Basic Informations
C.V
Arab board certificate in oral and maxillofacial surgery 2018.
• PhD in oral and maxillofacial surgery Ain Shams University 2021.
• Master Degree in oral and maxillofacial surgery, Cairo University 2013.
• Bachelor degree of oral and dental medicine Cairo University may 2006 very good.
Master Title
Clinical comparative study of immediate versus delayed single rooted implant in type two diabetic patient
Master Abstract
In the study, twenty-four implants were inserted in twelve patients. The ages of the patients participating in this study ranged from 40-6O years. There were no contraindications for surgical intervention in any of the patients.
In all patients, every one of them has two implants one immediately into the fresh extraction socket and the other is delayed (two-stage).in the anterior maxi1la area.
This study was conducted to make a comparison clinically and radiographically between delayed (two-stage) and immediate implant in type 2 diabetic patients.
This study was conducted through the placement of two implants in each patient who is well controlled through monitoring of the blood glucose level through fasting blood glucose test, post-prandial two hours blood glucose test, and HbAlc test.
All cases were followed up 3months, 6months, 9months, and 12 months after implant insertion.
In this study, diabetic patients show good healing over the implant site and no complications were noticed during the clinical follow-up period.
The result of glucose level monitoring showed that patients were well controlled all over the period of this study.
The results were assessed clinically and radiographically, the clinical evaluation consists of the presence or absence of the pain, swelling, numbness, infection, and mobility test. There is no significant difference between immediate and delayed implant in all tests except the swelling is slightly more in a delayed group more than immediate.
Radiographic evaluation of the change in bone density and peri implant bone less showed that immediate implant has higher bone loss than delayed implant .although bone density showed that immediate implant has a higher value if bone density more than delayed.
Conclusions:
From the current study, the following could be concluded:
1- Diabetic patients type 2 not Contraindicated in implant placement if well controlled.
2- Delayed implant was the best choice for diabetic patients because of minimal bone loss rather than an immediate implant.
PHD Title
Eminectomy versus Eminoplasty in treatment of chronic recurrent temporomandibular joint dislocation
PHD Abstract
In the study 13 patients with an age range of (22-55) year with a mean of (32 ± 8.3) year diagnosed with bilateral chronic recurrent TMJ dislocation were randomly assigned in two groups, first group included six patients treated by eminoplasty with removing of the anterior lateral slope of eminence and the control group including seven patients treated by complete removing of eminence. All patients did a multislice CT scan pre-operatively to exclude any pneumatization of the eminence.
The follow-up period post-operatively ranged from (11- 36 months) for all patients with a mean of (20.2± 7.9) months.
Immediately post-operatively there was a decrease in the maximum mouth opening in both groups with a mean of (33.1 ± 0.6) mm in the eminoplasty group (A) and a mean of (32.8 ± 0.26) mm in eminectomy group (B) that were improved gradually after three and six months follow up to reach (40.8 ±0.4) mm in eminoplasty group (A) and (40.4 ± 0.48) mm in eminectomy group (B).
In the first six months of the study, we found that there was no recurrence in both groups postoperatively but after that, all female patients in eminoplasty group (A) showed recurrence.
Major postoperative complications did not occur in either group. In group A, one patient developed temporary facial nerve palsy which improved after three months.
All recurrent patients in group A were retreated by doing eminectomy with follow-up period (6- 16) months with a mean of (10.1± 6.3) months which be group C.
Within the limitations of the current study, we can conclude that the eminectomy is a well-established treatment modality with a success rate and low morbidity in the treatment of chronic recurrent TMJ dislocation.