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Objective: To evaluate dental students' perceptions of manual and digital cephalometric landmark identification methods based on their preferences, difficulty level, and procedure time required to provide insights into the future of dental education, considering incorporating digital technology in dental schools. Materials and methods: Fifty‐five second‐year dental students were randomly divided into two groups: (1) group A, students who performed manual landmark identification first, followed by digital method; and (2) group B, students who performed digital method first, followed by manual method. The duration of the procedure was recorded. Subsequently, all students completed a questionnaire regarding the difficulty they experienced using a visual analog scale and their preferences. Landmark identification accuracy was measured. Results: Digital landmark identification was preferred by 93% of students. The mean procedure time for digital method was significantly lower than that of manual method (13.00 ± 5.60 vs. 9.70 ± 4.60; p = 0.002). Group B completed manual and digital methods in a shorter time than group A. Group A experienced less difficulty with manual procedure than group B. However, statistically significant differences were not observed in the difficulty level of digital technique. A statistically significant difference in the mean accuracy was shown in favor of the manual method. However, this difference is clinically insignificant (p = 0.001). Conclusions: Students considered digital method to be effective for learning and preferred it over manual method. Furthermore, digital landmark identification demonstrated better performance and was faster than manual method, suggesting that this must be incorporated in undergraduate dental education. [ABSTRACT FROM AUTHOR]

A new form of basis functions structures has been constructed. These basis functions constitute a mix of Chebyshev polynomials and Legendre polynomials. The main purpose of these structures is to present several forms of differentiation matrices. These matrices were built from the perspective of pseudospectral approximation. Also, an investigation of the error analysis for the proposed expansion has been done. Then, we showed the presented matrices' efficiency and accuracy with several test functions. Consequently, the correctness of our matrices is demonstrated by solving ordinary differential equations and some initial boundary value problems. Finally, some comparisons between the presented approximations, exact solutions, and other methods ensured the efficiency and accuracy of the proposed matrices. [ABSTRACT FROM AUTHOR]

In this work, we analyze the fractional order by using the Caputo-Hadamard fractional derivative under the Robin boundary condition. The topological degree method combined with the fixed point methodology produces the desired results. Finally to show how the key findings may be utilized, applications are presented. [ABSTRACT FROM AUTHOR]

Background: The literature on the use of static magnetic field (SMF), particularly in orthodontics, has certain gaps. Furthermore, the mechanism by which SMF affects orthodontic tooth movement (OTM) is still unclear and quite contradictory. Thus, the goal of this systematic review and meta-analysis was to assess SMF's effect on OTM. This study also sought to analyse the variability of the studies included in the analysis and the size of the impact of SMF on OTM. Methods: Using the PRISMA guidelines, reviewers implemented a search strategy across several online databases, filtering out the initial articles that were obtained by applying relevant inclusion and exclusion criteria. Results: The overall effect size for the odds ratio was found to be 0.58, with a 95% confidence interval ranging from 0.40 to 0.86. This indicates that exposure to static magnetic fields is associated with a significantly reduced likelihood of orthodontic tooth movement in the animal studies analysed. Similarly, the overall effect size for the risk ratio was calculated to be 0.71, with a 95% confidence interval ranging from 0.55 to 0.91. The risk ratio also suggests a significant impact of SMF on OTM, with animals exposed to magnetic fields being at a lower risk of experiencing substantial tooth movement compared to those not exposed. However, it is important to note that moderate heterogeneity was observed among the included studies. Conclusion: The findings of this systematic review and meta-analysis indicate that there may be a causal relationship between OTM and SMF. However, the small number of studies included in this review and their poor methodological quality limit the available data, highlighting the need for further well-designed research to support these conclusions. [ABSTRACT FROM AUTHOR]

Introduction: Obstructive sleep apnea (OSA) is a disorder in which ventilation becomes disrupted due to a complete or partial upper airway obstruction Altered craniofacial morphology is one of the most important anatomical factors associated with obstructive sleep apnea (OSA). Studies have assessed craniofacial features in the non-syndromic pediatric population. The aim of this study was to analyze the orthodontic and facial characteristic of craniofacial syndromic children referred for polysomnography (PSG) and to assess the correlation with the apnea–hypopnea index (AHI). Methods: In the current cross-sectional study, consecutive syndromic patients referred for PSG were invited to participate. A systematic clinical examination including extra- and intra-oral orthodontic examination was performed by calibrated orthodontists. Standardized frontal and profile photographs with reference points were taken and analyzed using ImageJ® software to study the craniofacial morphology. PSG data were analyzed for correlation with craniofacial features. STROBE guidelines were strictly adopted during the research presentation. Results: The sample included 52 syndromic patients (50% females, mean age 9.38 ± 3.36 years) diagnosed with 17 different syndromes, of which 24 patients had craniofacial photography analysis carried out. Most of the sample (40%) had severe OSA, while only 5.8% had no OSA. Down's syndrome (DS) was the most common syndrome (40%) followed by Goldenhar syndrome (5%), Pierre Robin Sequence (5%), and other syndromes. The severity of AHI was significantly correlated with decreased midfacial height. increased thyromental angle and cervicomental angle, decreased mandibular angle, and decreased upper facial height. All patients with DS were diagnosed with OSA (57% severe OSA), and their ODI was significantly correlated with increased intercanthal distance. Obesity was not correlated to the severity of AHI for syndromic patients. Conclusions: Decreased midfacial height and obtuse thyromental angle were correlated with increased AHI for syndromic patients. Increased intercanthal distance of DS patients could be a major predictor of OSA severity. Obesity does not seem to play a major role in the severity of OSA for syndromic patients. Further studies with larger samples are necessary to confirm these findings. [ABSTRACT FROM AUTHOR]

This research concerned with a new formulation of a spatial predator-prey model with Leslie-Gower and Holling type II schemes in the presence of prey social behavior. The aim interest here is to distinguish the influence of Leslie-Gower term on the spatiotemporal behavior of the model. Interesting results are obtained as Hopf bifurcation, Turing bifurcation and Turing-Hopf bifurcation. A rigorous mathematical analysis shows that the presence of Leslie-Gower can induce Turing pattern, which shows that this kind of interaction is very important in modeling different natural phenomena. The direction of Turing-Hopf bifurcation is studied with the help of the normal form. The obtained results are tested numerically. [ABSTRACT FROM AUTHOR]

This manuscript deals with the concept of Hilfer fractional neutral functional integro-differential equation with a nonlocal condition. The solution representation of a given system is obtained from the strongly continuous operator, linear operator and bounded operator, as well as the Wright type of function. The sufficient and necessary conditions for the existence of a solution are attained using the topological degree method. The uniqueness of the solution is attained by Gronwall's inequality. Finally, we employed some specific numerical computations to examine the effectiveness of the results. [ABSTRACT FROM AUTHOR]

This manuscript primarily focuses on the nonlocal controllability results of Hilfer neutral impulsive fractional integro-differential equations of order 0 ≤ w ≤ 1 and 0 < g < 1 in a Banach space. The outcomes are derived from the strongly continuous operator, Wright function, linear operator, and bounded operator. First, we explore the existence and uniqueness of the results of the mild solution of Hilfer's neutral impulsive fractional integro-differential equations using Schauder's fixed point theorem and an iterative process. In order to determine nonlocal controllability, the Banach fixed point technique is used. We employed some specific numerical computations and applications to examine the effectiveness of the results. [ABSTRACT FROM AUTHOR]

A new era in 3-dimensional analysis has begun with the use of cone-beam computed tomography (CBCT) in orthodontics, which promises to provide a more thorough understanding of the craniofacial skeletal architecture. This study aimed to investigate the correlation between the transverse basal arches discrepancy and dental compensation by utilizing CBCT width analysis. An observational study was conducted to retrospectively review 88 CBCT scans of patients presented to dental clinics from 2014 to 2020 obtained from the Planmeca Romexis x-ray system at three centers. Dental compensation data across normal and narrow maxillae were analyzed and a Pearson correlation was used to find the relationship between molar inclination and width difference. Significant maxillary molar compensation differences were observed between the normal maxilla and narrow maxilla group, where the amount of dental compensation (164.73 ± 10.15) was higher in the narrow maxilla group. A significant negative correlation (r = −0.37) was observed between width difference and maxillary molar inclination. Maxillary molars were tipped buccally to compensate for the reduced maxillary arch width. These findings are important to determine the amount of needed maxillary expansion taking into account the buccal inclination while treating cases. [ABSTRACT FROM AUTHOR]

This study aimed to identify the incidence and risk factors of sleep-disordered breathing (SDB) using an Arabic version of the pediatric sleep questionnaire (PSQ). A total of 2000 PSQs were circulated to children aged 6–12 years who were randomly selected from 20 schools in Al-Kharj city, Saudi Arabia. The questionnaires were filled out by the parents of participating children. The participants were further divided into two groups (younger group: 6–9 years and older group: 10–12 years). Out of 2000 questionnaires, 1866 were completed and analyzed (93.3% response rate), of which 44.2% were from the younger group and 55.8% were from the older group. Among all the participants, a total of 1027 participants were female (55%) and 839 were male (45%) with a mean age of 9.67 ± 1.78 years. It showed that 13% of children were suffering from a high risk of SDB. Chi-square test and logistic regression analyses within this study cohort showed a significant association between SDB symptoms (habitual snoring; witnessed apnea; mouth breathing; being overweight; and bedwetting) and risk of developing SDB. In conclusion: habitual snoring; witnessed apnea; mouth breathing; being overweight; and bedwetting strongly contribute the to development of SDB. [ABSTRACT FROM AUTHOR]

Assume that G is a finite group. The power graph P (G) of G is a graph in which G is its node set, where two different elements are connected by an edge whenever one of them is a power of the other. A topological index is a number generated from a molecular structure that indicates important structural properties of the proposed molecule. Indeed, it is a numerical quantity connected with the chemical composition that is used to correlate chemical structures with various physical characteristics, chemical reactivity, and biological activity. This information is important for identifying well-known chemical descriptors based on distance dependence. In this paper, we study Hosoya properties, such as the Hosoya polynomial and the reciprocal status Hosoya polynomial of power graphs of various finite cyclic and non-cyclic groups of order p q and p q r , where p , q and r (p ≥ q ≥ r) are prime numbers. [ABSTRACT FROM AUTHOR]

Dentist Reputation About 83% of the participants preferred a well-known dentist, while 16% of the participants did not matter to them the dentist's reputation (see Table 2). Dentist Characteristics The majority of the participants (78%) stated that they prefer dentists who are explanatory and 22% prefer dentists who are listeners (see Table 2). Male Dentists' Attire The majority of the participants (41%) preferred male dentists in scrubs and lab coats, followed by 32% of scrubs only, while 26% preferred formal and lab coats, and only 1% preferred traditional Saudi clothes (see Figure 1). Dentist Rank Approximately 38% of the participants preferred consultants, while 32% preferred specialists, 24% did not matter to them the dentist rank, and only 5% preferred general dentists (see Table 2). [Extracted from the article]

Objectives: To determine the health status of periradicular tissue and the quality of root canal fillings in an adult Saudi population attending dental clinics for the first time. Methods: This cross sectional study was conducted in the dental clinics at King Saud University, Riyadh and other dental centers (Jeddah, Najran, and Albaha City), Kingdom of Saudi Arabia between year 2010 and 2012. Good-quality panoramic radiographs of 926 Saudi subjects (540 males and 386 females) were analyzed based on the gender, age, health status, smoking habits, periapical status of the endodontically treated teeth, technical quality of the root canal fillings, and the presence or absence of coronal restoration. Data were calibrated and statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA) version 17. Results: Of the 25,028 teeth examined, 1,556 teeth (6.2%) had apical periodontitis (AP). Male subjects aged over 55 years and females between 36 and 45 years had higher AP. A total of 36 diabetic and 87 smokers subjects had AP. The AP was more common in male diabetics than female (p=0.383), and in female smokers more than male (p=0.44). Only 42.2% of male and 57.7% of female teeth had adequate root canal treatment. Conclusions: Apical periodontitis was significantly related to diabetes, smoking, and inadequate endodontic treatment. [ABSTRACT FROM AUTHOR]

We obtain a list of simple classes of singularities of function germs with respect to the quasi m-boundary equivalence relation, with m ≥ 2 . The results obtained in this paper are a natural extension of Zakalyukin's work on the new non-standard equivalent relation. In spite of the rather artificial nature of the definitions, the quasi relations have very natural applications in symplectic geometry. In particular, they are used to classify singularities of Lagrangian projections equipped with a submanifold. The main method that is used in the classification is the standard Moser's homotopy technique. In addition, we adopt the version of Arnold's spectral sequence method, which is described in Lemma 2. Our main results are Theorem 4 on the classification of simple quasi classes, and Theorem 5 on the classification of Lagrangian submanifolds with smooth varieties. The brief description of the main results is given in the next section. [ABSTRACT FROM AUTHOR]

Understanding tooth-size discrepancy is essential in the process of diagnosis of maxillary and mandibular relationship. Due to the high incidence of tooth-size disproportion, Practitioners should consider the high incidence of tooth-size disproportion when planning treatment for their patients, as in many cases, this can be a hindrance to obtaining an ideal result. This study aimed to determine the anterior and overall tooth ratios in the Saudi population and compare them with Bolton's standards. A total of 356 patients were recruited. For the anterior ratio, around 25% of the patients had a ratio equal to Bolton's standards (77.2%). Most subjects (53.7%) had a ratio above 77.2%, and the remaining (20%) had a ratio below 77.2%. The mean amount of anterior mandibular excess was 2.17 ± 2.12 mm, and the mean amount of anterior maxillary excess was 2.16 ± 2.08 mm. For the overall ratio, less than half of the participants (43%) had a ratio equal to Bolton's standards (91.3%). Almost 34% had a ratio above 91.3%, while 23% of the participants had a ratio below 91.3%. The mean amount of overall mandibular excess was 2.54 ± 2.37 mm, and the mean amount of overall maxillary excess was 3.31 ± 3.33 mm. The majority of the study sample had an overall and anterior Bolton ratio that is different from the norms of Bolton's standards, with a tendency for increased overall and anterior ratios. Having specific standards for the Saudi population is important for better clinical assessment and treatment outcomes., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (© 2023 Awawdeh, Alsaadi, Alraddadi, Alshunaiber, Alessa and Alsaeed.)

This study provides valuable insights into the cosmetic impact of orthodontic appliances on job-hiring prospects in Saudi Arabia. Both ceramic braces and clear aligners are considered cosmetic corrective devices compared to traditional metallic braces. This survey-based, cross-sectional study used two models, one male, and one female. Four standardized smiling frontal photographs were taken for each model: one without any appliance and three with different orthodontic appliances (i.e., metal braces, ceramic braces, and clear aligners). The photographs of each model were shown to potential employers, followed by three questions for each photo to assess the employers' views on the applicants' professionalism, communication skills, and the likelihood of being hired. The survey was distributed via an electronic questionnaire to employers in Saudi Arabia, collecting feedback from 189 participants. The sample was collected from October 2022 to February 2023. The models' scores while wearing metal and ceramic bracket appliances were significantly lower than when the models were wearing clear aligners or were not wearing any appliance in each domain. In conclusion, orthodontic appliances have cosmetic implications that affect job-hiring prospects, with a higher chance of being hired if the candidate does not have an orthodontic appliance., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Alsaeed et al.)

Aim and Objective: To report on the prevalence and patterns of orofacial clefts (OFC) among Saudi Arabian children by analyzing the results of the studies that have been reported in the literature., Materials and Methods: A data search was carried out for the articles that had reported on the prevalence of OFC among the Saudi Arabian population in databases like Web of Science, PubMed, Google Scholar, Scopus, and Saudi Digital Library. Articles that were published over the last 15 years were included in this study, following which 13 studies were assessed for qualitative data. Newcastle-Ottawa Quality Assessment Scales for cross-sectional studies were used for analyzing the methodological quality of these studies., Results: The prevalence of OFC was within the range of 0.65-1.9/1,000 live births. The highest was witnessed in the Medina region. Parent's consanguinity was the most common risk factor in OFC cases in the included studies. OFC was found to be higher among the male population in comparison with the female., Conclusion: The prevalence of OFC in Saudi Arabian children follows the global patterns of OFC. Isolated cleft lip (CL) and cleft palate (CP) are the most common forms of OFC. The prevalence of orofacial anomalies was reported more among children born to parents who had consanguineous marriages. Considering the higher rate of consanguinity among this population, there is an urgent need of developing educational and counseling programs to address the genetic consequences., How to Cite This Article: Albalawi F Alsaeed S, Alalola B, et al. Prevalence and Patterns of Orofacial Clefts among Children from Different Regions of Saudi Arabia: A Systematic Review. Int J Clin Pediatr Dent 2023;16(1):124-130., Competing Interests: Source of support: Nil Conflict of interest: None, (Copyright © 2023; The Author(s).)

Background: This study aimed to assess sleep medicine physicians' knowledge and attitudes toward the role of oral appliances (OAs) in managing obstructive sleep apnea (OSA) in Saudi Arabia., Methods: An online questionnaire was administered to the registered physicians practicing sleep medicine (otolaryngology, internal medicine, pulmonology, and family medicine) in Saudi Arabia. The questionnaire included 26 questions under five domains. All the collected data were analyzed using descriptive statistics and Chi-square tests., Results: One hundred sleep physicians (43% Saudi, 75% male) from Saudi Arabia participated in this study. Almost 43% of participants reported inadequate knowledge of the treatment of OSA patients using OAs. Half of the participants were unaware of how OAs work in managing OSA. Most physicians (62%) never referred the patient for treatment of OSA using OAs, whereas 4% referred at least one patient every month. The majority (60%) believed that there are barriers to referring a case for OA treatment, mainly the lack of knowledge of the suitable cases (60%) and the lack of qualified dentists in this area (43%)., Conclusion: Most sleep physicians reported poor knowledge of OA indications and mechanism of use, with most never referring a case for OA therapy.