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Biomedical subjects

H Salama

Publications and source records attributed to H Salama.

32 records · Page 2Linked to original sources

Short-term healing of autogenous and allogeneic bone grafts after sinus augmentation: a report of 2 cases.

Sinus augmentation to facilitate the placement of cylindrical endosseous implants in the posterior maxilla has become more commonplace, and many different materials have been used for the sinus graft. The results of two sinus augmentation procedures, one grafted with demineralized freeze-dried bone (DFDB) and the other with autogenous iliac bone, are presented. Bone cores were obtained with a trephine drill from the grafted regions at the time of implant placement. Eight implants were placed into the grafted areas in each subject. The sample from the sinus grafted with autogenous bone was obtained 8 months postoperatively and the bone core from the sinus grafted with DFDB was taken 16 months postoperatively. The bone specimens were subsequently examined under light microscopy. The autogenous specimens demonstrated new bone formation with increased quantity and improved quality when compared to the specimens obtained from the sites grafted with allogeneic bone. All 8 implants placed into the autogenous grafts were clinically osseointegrated at stage 2. At 16-months postsurgery, the bone core taken from the site grafted with DFDB demonstrated poor bone quality and still contained remnants of the graft material in the region approximating the sinus membrane. Two of the 8 implants placed into the allogeneic grafts failed at stage 2. These findings suggest that autogenous sinus grafts produce bone of adequate quantity and quality for implant placement, whereas DFDB sinus grafts are not completely remodeled by the host and may produce bone of insufficient quality and quantity for predictable implant placement.

Alveolar Ridge Augmentation↗

High seroprevalence of hepatitis C infection among risk groups in Egypt.

High prevalence rates of hepatitis C virus (HCV) were recently reported among Egyptian blood donors. To confirm these observations and estimate the magnitude of HCV infection in this country, we determined the prevalence of antibodies to HCV (anti-HCV) in samples collected in 1992 from seven different populations of children and adults living in Egypt. Anti-HCV was found in 12.1% of rural primary schoolchildren, 18.1% of residents of a rural village, 22.1% of army recruits, 16.4% of children with hepatosplenomegaly, 54.9% of hospitalized, multitransfused children, 46.2% of adults on hemodialysis, and 47.2% of adults with chronic liver disease or hepatoma. Age-related prevalence of anti-HCV in a random sample of 270 inhabitants of a rural village increased progressively from zero in those 5-10 years of age to 41% in adults greater than the age of 50. Although the increased prevalence of anti-HCV among children and adults with parenteral exposures and chronic liver disease was expected, the prevalence of anti-HCV among persons representing the general population of Egypt was strikingly high. These data demonstrate the magnitude of HCV infection and its importance in chronic liver disease in Egypt. Future studies are needed to determine the routes of transmission of HCV in this country.

Adolescent↗

The utilization of rubber dam as a barrier membrane for the simultaneous treatment of multiple periodontal defects by the biologic principle of guided tissue regeneration: case reports.

The principle of guided tissue regeneration has demonstrated a level of success in regenerating the periodontal attachment apparatus lost to periodontal disease. Several types of membrane barriers, each one with distinct properties, have been utilized to apply this principle in periodontal wound healing. A series of case reports introduces and discusses the attributes of rubber dam as a barrier membrane for the treatment of multiple periodontal osseous defects. Comparison of preoperative and postoperative clinical measurements as well as reentry procedures are utilized to highlight successful osseous regeneration.

Adult↗

The role of orthodontic extrusive remodeling in the enhancement of soft and hard tissue profiles prior to implant placement: a systematic approach to the management of extraction site defects.

A classification scheme that systematizes the wide range of regenerative potential of common extraction site topographies is presented. Within this system, the parameters for immediate implant placement and preliminary ridge augmentation are discussed. In addition, a new adjunctive role for orthodontic extrusion is introduced. This approach is intended to manipulate "hopeless" teeth to modify their local defect environments, thereby enhancing the predictability of subsequent implant placement at those sites.

Alveolar Bone Loss↗

Remote-controlled device for sampling arterial blood in unrestrained animals.

A device is described that allows remote-controlled sampling of arterial blood in unrestrained animals. An artery and a vein are dissected in local anesthesia and connected by a plastic catheter, the sampling catheter. The flow of arterial blood in this artificial shunt can be blocked by kinking the sampling catheter by a remote-controlled device. The blood thus trapped in the sampling catheter, of 0.45 ml volume is analyzed for PO2, PCO2, and pH using electrodes. The technique has been used in ducks and hens but can be applied to other vertebrate classes and to species of smaller body size.

Anesthesia, Local↗

The interproximal height of bone: a guidepost to predictable aesthetic strategies and soft tissue contours in anterior tooth replacement.

Enhanced aesthetic objectives can be achieved with precision and predictability due to recent advances in restorative materials and procedures. Although these developments have expanded the therapeutic options available to practitioners and their patients, anterior hard and soft tissue deformities in the aesthetic zone continue to represent a significant technical challenge to the reconstructive team. The objective of this article is to present diagnostic and prognostic criteria that emphasize the osseous-gingival relationship as a means to achieve predictable aesthetic results in the anterior segment with conventional or implant-supported restorations.

Adolescent↗

The orthodontic-periodontal connection in implant site development.

Implant-supported restorations have become an established treatment modality, well accepted by patients and clinicians. Regaining function is now routinely expected, and the focus of patient demand has shifted to aesthetics. Aesthetic restoration of the partially edentulous anterior maxilla can be particularly challenging. The learning objective of this article is to present a comprehensive multidisciplinary treatment protocol, developed to establish a foundation for optimal aesthetics in implant therapy, with emphasis on the role of orthodontics in the enhancement of deficient components. Periodontal orthodontics is used to increase the vertical osseous dimension and preserve papillae; restorative orthodontics optimizes the site through manipulation of supragingival restorative space. Two clinical cases are utilized to illustrate the principles and implementation of this protocol.

Adult↗