Digital Repository for Faculty of Medical Technology

Abstract Back ground: Full coverage porcelain fused to metal crowns (PFM) is commonly recommended for restoration of extensively damaged teeth. Ability of the dentist to adequately prepare teeth is necessary to achieve a proper success and longevity of these restoration. Aims: This study aimed to determine the degree of axial taper and total occlusal convergence angles (TOC) for Porcelain Fused To Metal crowns (PFM) prepared with clinically practiced values, that carried out by dental practitioners in Tripoli center, Libya. Materials and Methods: It was a descriptive, cross-sectional study design and held at Alzendah private dental laboratory, Tripoli Libya. A convenience sample (40) models of Porcelain Fused To Metal Crowns (PFM) preparations carried out by private dental practitioners were scanned by employing a 3D model scanner (Ceramill Map300, Amanngirrbach, Austria). Evaluation of the total occlusal convergence (TOC), bucco-lingual and mesio-distal convergence angles of each abutment tooth was proceeded using B&B dental software (Guide system, B&B, Italy). The degree of taper was measured on the axial walls of each crown preparation and the bucco-lingual and mesio-distal convergence angles subsequently calculated. Results: A total of 40 casts having crown preparations (15 anterior, 25 posterior). The mean convergence angles mesio-distally for all preparations was 40.29° (sd 21.8°), and for the bucco-lingual was 29.92° (sd 9.3°), with mean of TOC was 35.10°. In anterior preparations, the mean bucco-lingual convergence angle was 42.32° (sd 12.2°) compared to 24.52° (sd 15.5°) for posterior preparations (p
Dr. Khaled Omar & Abdussalam Eljabali(1-2022)

Abstract Introduction: Provisional restoration is an important part of fixed prosthodontics. It must provide pulp protection, positional stability, occlusion maintenance , and space preservation. There are two methods for provisional restoration fabrication; direct and indirect techniques. Aim: the study aims to identify the most preferred technique of fabricating provisional fixed restorations according to different parameters and situations and to highlight the advantages and disadvantages of each technique, by specialist dentists practicing in different dental clinics in Tripoli. Methodology: In this study, 120 closed ended questionnaires were distributed to specialist dentists in dental fixed restoration among different private dental clinics in Tripoli/Libya to find out which technique they prefer to apply in their clinics. Results: This study has revealed that dentists prefer the direct technique for the anterior area and single unit and up to 3-4 units fixed partial denture. While indirect technique was more commonly used by dentists in cases of multi-units and posterior teeth. In addition, it has a higher success rate and does not cause pulpal and gingival irritation.
NARJES ELGHEZAWI HANAN IRHOMA , ABDUSSALAM ELJABALI (7-2021)

one of the main factors that affect the success of the cast crown is the accuracy of the internal and marginal fit, a well-fitting crown reduces the chance for recurrent caries and periodontal disease, whereas the space between a poorly-fitting crown and tooth preparation enables accumulation of bacterial plaque, the use of paint- on die spacing technique to produce the cement gap and subsequently to improve the seating of the cast crowns has become quite popular in the recent years. The purpose of the study is to compare the marginal gap and the internal fit produced by two paint-on die spacing materials (Manicure and paint on die spacer ). Twenty four identical stone dies were made, 12 were coated with paint- on die spacer material, and 12 were coated with nail varnish material, the dies coated with die spacer were divided into three groups (DA,DB,DC), and the dies coated with nail varnish were also divided into three groups (VA,VB,VC), groups DA and VA were coated with one layer, DB and VB were coated with two layers, DC and VC were coated with three layers, for both groups wax patterns were made and casted using the lost waxing technique and all steps were standardized, impression replicas of the casted crowns were made and sectioned by means of the impression replica technique, measurements were taken using Scanning Electron Microscope, from 4 points (marginal gap, mid-axial, axio-occlusal and mid-occlusal). There was no statistical significant difference in accuracy between crowns fabricated on die spacer coated dies and crowns fabricated on nail varnish coated dies. with the crowns fabricated on die spacer coated dies being slightly more accurate.
ABDUSSALAM ELJABALI(12-2019)

Background: Management of partially edentulous patients with hard and soft tissue undercuts is complicated, and the use of flexible dentures for these cases offers dual advantages of aesthetics and flexibility. However, research shows a varying preference for flexible dentures among general dental practitioners, prosthodontists, and other dental specialties. Objectives: The aim of this study was to survey the attitude and awareness of a sample of Libyan dental clinicians towards advantages, disadvantages, indications, and contraindications of flexible dentures. Material and methods: A descriptive cross-sectional study was conducted among 250 dentists currently practicing in different cities of Libya. Only 218 dentists responded. Using Google form software, a self-administrable e-questionnaire consisting of thirty-one multiple choice questions with "yes," "no" or "not sure" answers encompassing major aspects of flexible dentures was conducted through an online survey. Results: Out of 250 Libyan dentists to whom the questionnaire was sent, only 218 dentists responded and our results revealed that the respondents were females more than males with a ratio (2:1) and more than half of them were of age group (35-60 years) work in governmental dental practice with more than ten years of experience and 34.9% of them prefer and often offer flexible dentures to their patients. The majority of respondents with a long-term success of the flexible denture were prosthodontists who had more than ten years of experience with a correct response rate of more than 50% of questions that reflected their attitude and knowledge. Conclusions: Despite the fact that flexible dentures are not taught in Libyan universities of dentistry, about more than one-third of respondents prefer and recommend this treatment to their patients, and the long-term success of these prostheses was dependent on clinicians' education and their clinical experience.
Yusra Muftah Saad Elfaidy, Warida Abdalla Elnaihoum, Aseidah Abdullah Elgotrany(4-2022)

INTRODUCTION: CAD/CAM denture base materials are milled from pre-polymerized pucks of resin that are highly condensed. So, they provide no polymerization shrinkage eliminating its subsequent disadvantages. This technology offered improved fit, strength properties and more bio-hygienic denture bases compared with conventional processing of the denture base material. OBJECTIVES: The aim of the study was to evaluate the physico-mechanical properties of CAD/CAM denture base material and the effect of thermo-cycling on it compared with the conventional one. MATERIALS AND METHODS: The study was conducted on two parallel groups, divided according to the denture material used. Group (1) conventional PMMA (control group), group (II) CAD/CAM PMMA (study group) of 40 specimens each (16 for impact strength, 16 for flexural strength, 8 for surface roughness and grinded powder form both materials for residual monomer test). Each group was divided into 2 sub-groups: (A) No thermo-cycling and (B) Thermo-cycling, then subjected to 4 different tests, impact strength, flexural strength, surface roughness and residual monomer tests. Data were collected, tabulated and statistically analyzed. Significance level was set at 5%. Bar charts were used for graphical presentations. RESULTS: Our study revealed a highly statistically significant decrease in residual monomer of CAD/CAM PMMA material in both conditions before and after thermo-cycling when compared to conventional PMMA material, which therefore leads to enhanced impact strength and significantly reduced surface roughness after heat treatment. On the other hand, also a highly significant reduction of its flexural strength after thermocycling has been observed. CONCLUSIONS: CAD/CAM dentures with lower amount of methacrylate monomer exhibit more favourable physico-mechanical properties and they have a long-term biocompatibility even with thermal changes making them a more satisfactory as a denture base material for edentulous patients.
Yusra Muftah Saad Elfaidy, Ahmed M. Abdelhamid, Sonia M. Elshabrawy(12-2018)

Background: Libya has been malaria-free since 1973. The risk of malaria re-introduction to Libya is increasing because of the increase in imported malaria cases due to immigration to Libya from countries where malaria is endemic. Cases are mainly due to P. falciparum and Sub-Saharan Africa is the most common origin. This study was conducted to investigate the prevalence of malaria positive cases among illegal immigrants in the southern region of Libya. Methods: A prospective, observational, multi-center study was conducted. Three hundred and three illegal immigrants from 12 different countries were included. Enzyme-linked immunosorbent assay was used to detect the presence of serum malaria antibodies. Results: A total of 303 immigrants were included in the study with mean age of 25.78±5.92 years. Of them, 195 tested positive for malaria antibodies. Two hundred and sixty nine of the participants came from Brak Al-Shati, 16 from Sebha and 18 from Bergan centers, with 175, 15 and 5 positive cases, respectively. Most of the positive cases (172) arrived in Libya within 1-10 months. The highest number of positive cases (70) came from Ghana followed by (40) from Niger and (39) from Bangladesh. Conclusions: Illegal immigration is a major malaria re-introduction route. The issue of illegal immigration have to be treated urgently to stop the huge influx of illegal immigrants and increase the surveillance activities of infectious diseases in order to keep Libyan territories as a malaria-free lands. Key words: Illegal immigration, Malaria, Libya.
Fadwa Jamaledden Mustafa Kamel Mahanay, Badereddin Bashir K. Annajar, Asma A Ali Oun(11-2021)

This study was primarily conducted to investigate the prevalence of imported malaria in a sample of foreign workers (n-1038) in Tripoli during the period from May 2006 to June 2007. A comprehensive review of malaria epidemiology in Libya in the last two decades was also given. All samples were tested serologically using Malaria Rapid Diagnostic test and then examined using blood film technique. Results showed that only 10 samples (1%) were tested positive for both malaria rapid diagnostic test and blood film. Nine of those infected were identified as Plasmodium falciparum and one as Plasmodium vivax. This study confirms that the prevalence of malaria in legal foreign workers is low and the risk of re-introducing or transmitting malaria in the northern areas of the country is remote. It also gives no good reason for including malaria test among those requested for issuing health certificates to foreign workers. The use of malaria Rapid Diagnostic test for malaria detection in this study was proved to be practical and reliable. Although, the situation of imported malaria in Libya imposes no immediate threat to re-emerging of malaria in the country however, continuous surveillance and monitoring particularly to the southern regions and populations have to be taken in a great consideration. An updated new map of malaria vectors distribution in Libya is urgently needed to be able to outline areas of high risk of malaria transmission.
Fadwa Jamaledden Mustafa Kamel Mahanay, Badereddin Bashir K. Annajar(5-2009)

More Abstract This work shares Libyan experiences with medical education accreditation, as well as the challenges that the system faced in meeting the criteria of the World Federation of Medical Education (WFME). WFME, which was founded in 1972, is an international organization concerned with the education and training of medical doctors. WFME was initiated on the initiative of the WHO and the World Medical Association (WMA) with the goal of reviewing bodies that accredit basic medical education. The worldwide task force on accreditation in medical education was founded in 2004 by WHO and the WFME. In the same year, 26 members from 23 countries representing all six WHO–WFME regions assembled to discuss how WHO and WFME could assist in the establishment of long-term accrediting systems to ensure high-quality medical education. By 2024, all candidates must obtain a graduation certificate from a program certified by an entity that meets WFME or other international requirements for an accrediting system, according to the Educational Commission for Foreign Medical Graduates. Thereafter, accreditation for all health training programs by 2020 was indorsed as part of the WHO’s Worldwide Strategy on human resources for health: workforce 2030 and was recommended by the WMA. In response to these regulations, the NCQAA has started to prepare “the National Standards Manual for Basic Medical Education” and further connect with all Libyan medical faculties to comply with these criteria, while linking with the WFME. This is based on the WHO endorsement that all countries to apply accreditation mechanisms for health training institutions by 2020. Now it is a time to call for a rigorous auditing system in addition to assessment mechanisms in order to warrant ongoing quality control, and the quality control agency should be self-governing of external encouragement and have only an academic agenda. Finally, all medical schools that have decided to be recognized by the WFME, must have strengthened their ability to face challenges and start adapting these regulations and standards. The construction of networks, alliances, and associations between Libyan medical faculties are encouraged as an efficient approach for implementing and obtaining this accreditation.
Ahmed Elbadri M Atia(11-2021)