Journal of Baghdad College of Dentistry

Background: Behçet’s disease (BD) is a disorder of systemic inflammatory condition. Its important features are represented by recurrent oral, genital ulcerations and eye lesions.
Aims. The purpose of the current study was to evaluate and compare cytological changes using morphometric analysis of the exfoliated buccal mucosal cells in Behçet’s disease patients and healthy controls, and to evaluate the clinical characteristics of Behçet’s disease.
Methods. Twenty five Behçet’s disease patients have been compared to 25 healthy volunteers as a control group. Papanicolaou stain was used for staining the smears taken from buccal epithelial cells to be analyzed cytomorphometrically. The image analysis software has been used to evaluate cytoplasmic, nuclear areas and the nuclear/cytoplasmic ratio (N/C).
Results. The cytoplasmic and nuclear area of buccal cells of Behçet’s disease cases were significantly smaller than those of healthy volunteers. However, the N/C ratio remained the same when compared between both groups. All patients had recurrent oral ulcer and none of the patient had cardiac and pulmonary symptoms.
Conclusion. Cytomorphometric analysis and exfoliative cytology techniques have the ability to detect the alterations in buccal epithelial cells caused by Behçet’s disease.

Background: One of the most important complications of fixed orthodontic treatment is formation of white spots, which are initial carious lesions. Addition of antimicrobial agents into orthodontic adhesive material might be wise solution for prevention of white spots formation. The aim of this study was to evaluate the antibacterial properties of orthodontic adhesive primer against S. Mutans after adding the three different types of nanoparticles (Ag, ZnO, or TiO2).
Materials and methods: Discs were prepared using empty insulin syringe approximately 2 mm×2 mm rounded in shape specimens (40 discs) were divided into four groups (ten discs for each group): The first group was the control (made from primer only), the second group (10 discs made from primer and incorporation of Ag NPs), the third group (10 discs made from primer and incorporation of ZnO NPs), and the fourth group (10 discs made from primer and incorporation of TiO2 NPs). The antibacterial properties of orthodontic bonding agent after incorporation of (Ag, ZnO, or TiO2) nanoparticles were evaluated by disc diffusion test and viable count of mutans streptococci.
Results: The results of this study showed that there were high significant differences between the all groups using ANOVA F-test, and the colony forming unit were 99×10³, 39.6×10³, 19.4×10³, 6.6×10³ CFU/mL respectively. Conclusion: The incorporation of these nanoparticles (Ag, ZnO, or TiO2) into Transbond ™ XT adhesive primer helps to enhance the antibacterial properties of primer against the S. mutans.

Background: The role of prophylactic antibiotics remains controversial. It is clear that actively facial fractures are considered as clean contaminated and should be treated with therapeutic antibiotics; however, there is widespread variability in the use, type, timing, and duration of prophylactic antibiotic administrated in practice today. There is an adverse effect of increased antibiotic resistance, as well as costs, it is important to review the current evidence for the role of prophylactic antibiotics in compound facial fractures.
The purpose of this study is to evaluate the role and significance of preoperative, perioperative and postoperative antibiotic prophylaxis for patients when there is already an infective focus, such as compound facial fracture.
Materials and methods: A total of 70 Iraqi patients aged 4-65 years, 50 males and 20 females who met the eligibility criteria were enrolled in this study to evaluate the infection rate in patients who have sustained compound facial fractures treated by open or closed treatment.
The patients were divided into two groups, Group A included 50 patients who received pre, peri and post-operative antibiotics. Postoperatively the antibiotics utilized in two different regimen timing. In Group B antibiotics were administrated peri and post-operatively for 20 patients. They were then followed up to 4 weeks for any sign or evidence of infection such as pus discharge.
Results: There was no significant association (p=0.664) between the incidence of post-operative infections and pre-operative administration of antibiotics. Significant association p.Value (0.032) between prevalence of postoperative infection and type of surgery.
Conclusion: Perioperative prophylactic antibiotics have been proven to lower infection rates postoperatively. Open reduction presented with significant complication (infection) than closed reduction modality of treatment.

Background: Chronic periodontitis is a bacterial infection that result in bone destruction associated with the increasing level of salivary tumor necrosis alpha and interleukin6 that affect Mother-infant bonding status. The aim of the present study was to assess the relationship between the Mother-infant bonding status in mothers with chronic periodontitis in relation to Salivary Tumor necrosis factor alpha and Salivary Interleukin6.
Materials and Methods: The selected sample consisted of mothers with chronic periodontitis compared with mothers with healthy periodontium in postpartum period, their age ranged between 30-40 years. Both groups were subjected to postpartum Bonding Questionnaire (PBQ). Periodontal health status was assessed for control group like plaque index and gingival index in order to obtain control group with healthy periodontium, while measuring probing pocket depth and clinical attachment level in addition to plaque and gingival index for study group. Salivary Tumor necrosis factor alpha and Interleukin6 measure in saliva by enzyme-linked immune sorbent assay (ELISA).
Results: The mean values of Salivary Tumor necrosis factor alpha and Interleukin 6 were found to be higher among mothers with chronic periodontitis than mothers with normal bonding relationship, and the percentage of disorder mother-infant bonding relation was higher in study group than in control group.
Conclusion: Mother-infant bondings affected by chronic periodontitis as the patient have higher Salivary Tumor necrosis factor alpha and Salivary Interleukin6 than mothers with healthy periodontal condition.

Background: Salivary gland neoplasms constitute a group of heterogeneous lesions with complex clinicopathologic characteristics and distinct biological behavior. Numerous studies have suggested geographical variation, therefore the aims of this study were to analyze the characteristics of salivary gland neoplasms in two Iraqi centers and to analyze the postoperative complications that are encountered after surgical treatment of these tumors.
Materials and Methods: A retrospective study of the patients who were treated for major and minor epithelial salivary gland tumors was conducted. The analyzed data included; demographic information (age and gender), the site of the tumor, the clinical manifestations, the histological type of the tumor, the type of the treatment and the postoperative complications.
Results: Fifty seven patients were included in this study. The parotid gland was involved in most patients (n=37, 64.9%). Thirty five patients (61.4%) had benign tumors while 22 patients (38.6%) had malignant tumors. The mean age of patients with malignant tumors was 52.05 (±17.3) while of patients diagnosed with benign tumors was 41.6 (±11.4) years, the difference was statistically significant (p= 0.008). Surgical treatment consisted of superficial parotidectomy, total parotidectomy, surgical excision of the submandibular gland, surgical excision of minor salivary glands and maxillectomy. The most common complication was weakness of one or multiple branches of the facial nerve, complications were significantly associated with patients’ age, whereas gender and type of tumor whether benign or malignant did not affect the complication rate
Conclusions: benign salivary gland tumors are more common than malignant tumors with no gender predilection and that patients who are diagnosed with malignant tumors are significantly older that patients with benign tumors, parotid gland is the most commonly affected gland with pleomorphic adenoma as the most frequent diagnosis. Facial nerve dysfunction was the most common complication and the complication rate was significantly associated with the age of patients.

Background: Oral Lichen planus (OLP) is a T-cell mediated chronic inflammatory oral mucosal disease of unknown etiology. Recent studies have reported an increased oxidative stress and lipid peroxidation in such patients. This suggests that reactive oxygen species may have a role in the pathogenesis of lichen planus. Oxidative stress in OLP release molecules consisting of granzymes resulting in local tissue damage in the effectors.
Antioxidants that can defend against oxidative stress in the body cells include enzymes, as well as non- enzymatic antioxidants, such as melatonin, uric acid, vitamin A and E.
Purpose: To study the level of salivary vitamin E and uric acid as antioxidant agents in patients with OLP and compared with healthy control.
Methods: Twenty five patients with OLP were enrolled in this study. Age, gender, occupation, smoking status (smokers or non-smokers), lesion types, duration, location and size were recorded for each patient. After an oral examination, salivary samples were collected and flow rates (ml/min) were recorded. The collected samples were centrifuged at 3000 rpm for 10 minutes; the clear supernatants were separated and stored frozen at (-20 c) until analysis. Then salivary vitamin E was investigated using ELISA kit based on bioten double antibody sandwich technology .
Uric acid was analyzed using a proprietary enzymatic reaction mixture that enables the detection of uric acid by the production of a red chromogen, which is quantitatively measured at a wavelength of 515 or 520 nm .
Results: The mean age of OLP patients was 48.3 years with a range of 30-60 years. Control group consisted of 35 healthy subjects who were age matched with OLP patients. Fourteen (56%) patients were with reticular and 11 (44%) were with erosive form, with the buccal mucosa was the most commonly affected site (88%), followed by tongue (8%) then gingiva (4%). A significantly lower salivary flow-rate, lower salivary vitamin E and uric acid level in OLP patients compared to control; while, no significant difference was seen between reticular and erosive type of OLP for both vitamin E and uric acid level. Regarding gender, no differences were found between males and females in salivary vitamin E. No significant correlation was found between vitamin E /uric acid and age. Similarly, no difference was found between males and females in uric acid.
Conclusion: Salivary anti-oxidant markers represented by vitamin E and uric acid decreased in OLP patients due to increase oxidative stress which may have an important role in the pathogenesis. Thus, it is recommended to give OLP patients anti-oxidant agents that may either help in healing process or decreased the severity.

Background: habit is any purposeless action repeated unconsciously. It is a sign of lack of harmony between the subject and the surrounding environment. Deleterious oral habits such as finger sucking could be one of the etiological factors for altered oro-facial growth development. This study conducted to explore the association between finger sucking habit and malocclusion in deciduous dentition.
Materials and method: Totally 40 chronic thumb sucker and 40 controls matching in age and gender were enrolled in the study. A study conducted by verifying different occlusal trait through the intra-oral examination. Thumb sucking habit diagnosed using data gathered from parents.
Results: The statistical analysis showed a highly significant difference (p>0.01) in the occurrence of anterior open bite, increased over jet between study and controls, in addition to that thumb sucking habit increased the likelihood of development of anterior open bite, increased overjet and posterior cross bite by 39 folds, 40 folds and 3 folds respectively.
Conclusions: Thumb sucking habit found to be a risk factor for the development of anterior open bite and increased overjet.

Background: Ageing is a continuous accumulative ordinary physiological phenomena occurs upon all organs and body structures including saliva by its constituents which can influence the caries process, for that this study was conducted to determine the impact of ageing on selectedchemical composition of saliva and their effects on dental caries experience characteristics at different age groups among apparently healthy men.Materials and method: A descriptive comparative study was conducted to compare between three study samples (young, middle and old age adults), thirty male in each study insert, aged (20 years, 40 years and 60 years) respectively. They were selected from private health center in Baghdad -Iraq, from the mid of November 2017until the end of February 2018, where they subjected to complete body investigations to confirm their health status, followed by thorough general body history and oral examination.Caries experience was recorded according to the criteria of WHO in1987. Un-stimulated saliva was collected according to Navazesh and Kumer and analyzed chemically to determine the level of calcium ions and alkaline phosphatase. All data then statistically analyzed by using SPSS version 22.Results: The current study, showed that the caries experience represented by DMFs increased with increasing age, by which the highest mean value of DMFs was established in the oldest age (60.37± 31.39) and the lowest mean value was noted among the youngest age (7.27±8.02). A significant differences existed between all study samples (p≤0.05). However, the missing surfaces represented the largest proportion of DMFs value when compared to Ds and Fs among all ages Iin the current study, with significant differences (p≤0.05) was followed by the decay fraction that found to be increased with age but with no significant difference. Salivary Calcium ions showed decreasing with increasing age with statically significant differences among different study samples while salivary alkaline phosphatase was increased with increasing age with no significant differences. Concerning the caries experience among the study samples, the salivary Ca2+ions inversely correlated while alkaline phosphates correlated positively with caries experience.Conclusion: there is a significant age relatedchanges on the selected chemical constituents of saliva that could affect the caries experience