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Biomedical subjects

R A Abdel-Fattah

Publications and source records attributed to R A Abdel-Fattah.

14 recordsLinked to original sources
PubMed1997

Considerations before surgical intervention in management of temporomandibular joint disorders.

In summary, reviewing the patients history, re-examining the patient, re-evaluating the imaging findings, evaluating prior treatment, incorporating additional treatment, exploring other possible contributing factors, and screening the patient's level of cooperation can lead to discovery of additional issues which may, when properly handled, result in successful nonsurgical treatment and avoid unnecessary surgeries.

Decision Making↗
PubMed1996

Incidents of symptomatic temporomandibular (TM) joint disorders in female population with missing permanent first molar(s).

In the literatures, the relationship between missing teeth or malocclusion and the symptoms of temporomandibular joint disorder such as frequent headaches, earaches, sinus pain, and jaw pain, has been documented. However, there were no specific details as to which teeth were missing to cause these symptoms. In this project the relationship between missing first molars in adult female subjects to the previously mentioned symptoms was studied using one group of 65 subjects with missing one, two, three, or four first molars and a control group of 67 subjects with no missing first molars. The study revealed a significant relationship of missing first molar(s) and the occurrence of headaches, earaches, sinus pain, and jaw pain.

Adult↗
PubMed1994

The dental practitioner's role as an expert witness.

Dentists of different specialties have been called upon for their expert testimony in dental or related injury cases. These injuries can be due to an auto accident, a fall, professional negligence or injury by an animal. The practitioner is asked to evaluate the injury, write a report and perhaps testify in a deposition or a court of law for a professional opinion. This article is to discuss the role of the dental practitioner in litigation. The dentist-witness' responsibilities, legal protections, the necessary tools to give an opinion, the characteristics of a good expert witness, the demeanor in a deposition and court appearance are discussed.

Dentists↗
PubMed1991

Simplified approach in temporomandibular joint (TMJ) and odontostomatognathic (OSG) examination.

Malpractice lawsuits due to temporomandibular joint (TMJ) and odontostomatognathic (OSG) injuries following dental therapy are increasing. Therefore, dentists and their staff must know how to screen patients to determine pre-existing conditions. Anatomical and physiological considerations are presented. Three major steps such as taking a good history, examining the patient carefully, and establishing adequate records are discussed in detail.

Dental Records↗
PubMed1990

Diagnosis and prevention of temporomandibular joint (TMJ) or odontostomatognathic (OSG) injury in dental practice.

Malpractice lawsuit cases due to temporomandibular joint/soft tissue injuries following dental therapy are increasing. Therefore, dentists and their staffs must know how to recognize, document and avoid any possible aggravation or precipitation of TMJ disorder. TMJ anatomy, biomechanics and mechanisms of TMJ injuries are presented. Etiological factors such as psychological factors, parafunctional activities, malocclusion, trauma, iatrogenic causes, systemic conditions, developmental disorders, neoplastic growth or medications are discussed. Preventive measures addressed include: history-taking, patient examination, complete records, the assessment of the patient's general condition, documentation of pre-existing findings, informing and educating the patient, performing only the necessary procedures, modifying appointments, selecting less traumatic dental techniques, avoiding sudden occlusal alterations and preparedness to handle unwanted complications.

Defensive Medicine↗
PubMed1989

Optimum temporomandibular joint (TMJ) condylar position.

Controversy exists over the value of the TMJ condylar position in the fossa. Many clinicians associate the concentric position to the normal individuals and the retruded position to the dysfunctional condition. It is also recommended that therapeutically, the condyle should be placed on the posterior slope of the articulating eminence. Different groups of investigators claim that the condylar position, centric, retruded or protruded has little or no value and is not correlated with dysfunctional situations. This controversy is attributed to the inconsistency of research methodology. Using a large number of subjects, defining age and sex, careful selection of subject, using tomographic analysis with similar section locations and excluding individuals with disturbed occlusal condition are recommended for a research of this type. The conclusion is that the condylar position is an end product of many dynamic changes such as growth and remodeling, functional matrix activities, occlusal alteration, functional adaptation and individual variation. It is suggested that diagnosis and treatment of TMJ disorders should not be based solely on the radiographic position of the condyle. Consideration of general body conditions is an essential part of total patient management. TM joint condylar position has been explained as the position of the mandibular condyles in the glenoid fossa when teeth are in maximum intercuspation. Clinicians have based their diagnosis and treatment of temporomandibular joint disorder on this position. The optimal condylar position has been a controversial matter in dentistry for many years. The purpose of this paper is to review the literature pertaining to condylar position and to discuss its significance in clinical practice.

Humans↗