Dr Shady A. Moussa had received his Doctor of Dental Surgery in 2000 from Cairo University (Egypt) and his postgraduate Master of pediatric dentistry and oral public health from Al-Azhar University in 2006 and his PhD in pediatric dentistry and oral public health Al-Azhar University (Egypt) in 2012. He is a lecture in Zagazig University, and currently working as consultant of pediatric dentistry in King Saud Hospital. Dr. Shady published several articles in peer-reviewed journals.
Purpose: Study was evaluated the effect of Casein-Phosphopeptide with Amorphous-Calcium-Phosphate-complex(CPP-ACP) paste (Tooth-Mousse) and CPP-ACP complex with fluoride(MI paste) on cariogenic microflora system in children. Design: A total 120-children less than 15-years old with same oral hygiene-habits, participated in this study. They were divided into group(I) (n=20) who did not use CCP-ACP complexes and group(II) (n=100) that were divided into Subgroup(A) (n=50) who used (Tooth-Mousse) and Subgroup(B) (n=50) who used (MI-paste). They used CCP-ACP complexes as a topical application on teeth once daily for 60-seconds. Salivation of each child was stimulated by chewing a paraffin pellet for 5-minutes to collect 3ml of saliva that was divided into three equal parts. pH of saliva was measured by pH-meter using first part of collected saliva. Other parts of collected saliva were used for measuring the Streptococcus-mutans and lactobacilli count in saliva by means of selective culture media. Tests would be repeated after (7,14,30,45) days of material using. Collected-data were statistical analysis by ANOVA test. Results: Salivary pH of both subgroups were significantly higher than in the group(I), P<0.05. Streptococcus-mutans and Lactobacillus-acidophilus counts in both subgroups were significantly lower than the group(I), also while comparing subgroup(A) with subgroup(B) there was a significant decrease of bacterial counts in subgroup(B) more than subgroup(A), P<0.05. Conclusion: Using CPP-ACP complexes increased salivary pH, which decreased the growth of Streptococcus-mutans and Lactobacillus-acidophilus. CPP-ACP containing fluoride is more beneficial than using CPP-ACP alone which attributed to inhibiting bacterial metabolism by fluoride effect.
Dr Abigail Adeyemi is a senior lecturer in Orthodontics at the University College Hospital Ibadan, Nigeria. She is currently doing a PhD research degree in orthodontics at the University Of Manchester, United Kingdom. She is an experienced orthodontist with a wealth of experience in teaching and research and has about 25 publications in peer reviewed journals.
Background: Though the cause of cleft lip and palate (CL/P) remains largely unknown evidence based research in most developed countries shows a strong association of cause and effect of CL/P with genetics, environmental factors, nutritional deficiency, smoking, alcohol ,drug misuse .It would be assumed that folklores on CLP will not be as popular as it was many years ago. Despite the increase in knowledge and widespread access to medical care beliefs contrary to science still occurs in most developing countries. A narrative review of literature was conducted to identify myths and cultural beliefs associated with cause of Cleft lip and Palate. Methods: A literature review of databases and websites up to 2012 on folklore, myths and cultural beliefs surrounding Cleft lip and palate was carried out, 18 studies met the inclusion criteria. Data extracted followed the following format; study design, causal attributions and beliefs, country of origin, sample characteristics, sample size and year of publication. Results: Causal attributions were grouped by category and represented as environment, self-blame, supernatural, chance, unknown, or other. In developing countries, superstitious beliefs such as witchcraft, gods and retribution were still attributed as possible causes of Cleft Lip and Palate. While in developed countries, maternal impression, mechanical causes and folklore were attributed as possible causes of Cleft lip and Palate. Conclusion: Medical education can help allay fears and correct misinformed belief.