علي هادي فهد الفتلاوي

ABSTRACT Background: Autism spectrum disorder is an enduring neuro-developmental disorder categorized by qualitative irregularities in mutual social communications. The analyses of dental caries incidence in monozygotic and dizygotic twins indicate a large number of different genes contributions. The human leukocyte antigens play a major role in immune response of an individual. This study aimed to estimate human leukocyte antigen class II genotype (DQ and DR) in relation to dental caries severity among institutionalized autistic adolescents. Materials and Methods: Two groups were included in this study, first group had 40 institutionalized autistic adolescents and second consisted of 40 apparently healthy school adolescents control group with age range (12 years-15 years old, only males) selected with regard to dental caries severity. Each group subdivided into two groups: high caries group (20 adolescents, DMFT ≥ 6 caries) and free group (20 adolescents, DMFT=0)). The amplification of the selected human leukocyte antigen alleles (DQ2, DQ4, DQ5, DQ6 and DR4) was carried out by polymerase chain reaction with sequence-specific primers, the products of were electrophoresed and analysed in agarose gel. The data of current study was analysed using SPSS version 21. Results: The percentage of human leukocyte antigen -DQ2 and -DQ6 were higher in study group than control group with significant difference. Within study group, human leukocyte antigen -DQ2, -DQ6 and DR4 were higher in caries free subgroup than high caries subgroup with statistical significant difference regarding human leukocyte antigen -DQ2. Conclusion: Human leukocyte antigen -DQ2, -DQ6 were more presented in autistic group. Human leukocyte antigen -DQ2, - DQ6 and DR4 were related to low level of caries activity in autistic adolescents.

ABSTRACT Background: The aim of the current study is to find out the prevalence of oral lesions in AL-Muthanna governorate and to find out the possible associated factors related to such prevalence in relation to gender, age and site. Aim of study: this study was carried out to evaluate the prevalence of oral lesions in this town that didn’t has any previous evaluation of wide range of basic data in its central hospital and will provide it for future study and comparison with surrounding towns. Materials and methods: In the present study, biopsy records of 684 cases of different body lesions over a 3 years period (2012-2015) were reviewed from the files of the laboratories of Al-Hussein teaching hospital in the governorate of AL-Muthanna. The available clinical data regarding age, gender and location were obtained for each case with oral lesion. Results: Among the 684 patients (178 males and 506 females), the overall prevalence of oral lesion was found to be only 25 patients (3.6%). 9 of them were males and constituted 1.3% of total examined cases, while 16 females had oral lesion constituted 2.3%. The age range of the patients was between (15-70) years. Oral lesions were more prevalent among females (2.3%) than males (1.3%), and there was significant statistical difference between males and females. The most common oral lesions were the pyogenicgranuloma, which diagnosed in 10 cases (40%) of orally affected patients. The highest prevalence was observed in tongue 4(16 %) while the lowest prevalence was found in the floor of the mouth 1(4%). The age groups (20 -35) years were highly affected by oral lesions 13(52%). Conclusions: Lesion prevalence differed significantly by age, sex. This study has provided information’s about the epidemiologic aspects of oral lesions that may prove valuable in planning of future oral health studies. Keywords: Oral lesions, Oral health, prevalence.

ABSTRACT Dental trauma has a great impact on quality of life, affecting children physically, esthetically and psychologically. This study aimed to assess the Dental trauma in relation to malocclusion amongst primary school children within Najaf city, Iraq. This cross-sectional study was carried out with 3176 children attending 12 primary schools in Najaf city. Cluster sampling methodology was used for selection of subjects, where each school formed a cluster. All students aged 7-12 years were examined in accordance with the Ellis and Davey classification of traumatic injuries to anterior teeth and grouped according to incisors relationship to three groups CI I, CI II & CI III. Statistical inspection was done by Chi-Square test. Among the 3176 (M=1653, F=1523) examined, found Cl I 57.9 % (1842), Cl II 32.02 % (1017) & Cl III 9.98 % (317), the prevalence of traumatic injury to anterior teeth was 7.93% (252). Of those 252 patients, 64.29% (162) were boys and 35.71% (90) were girls with male/female ratio approximately 2:1. The trauma according to incisor classification was Cl I 25 % (63), Cl II 69.84 % (176) & Cl III 5.16 (13) .The uppermost percentage of tooth injuries arise amongst 9-10 years old children. Sole tooth injury was found in 79.6% of the cases, 18.5% had two teeth injury, and 1.9% had more than two teeth injury. The most commonly affected teeth were maxillary central incisors (70.1%). Fall (52.3%) was the most common cause for traumatized dental injuries. Most common type of fractures was class II (49.3%) and class III (33.8) and most of them were untreated (95.2%). Traumatized dental injury is an existent dental poser and emphasis should be given in school dental healthiness programs on deterrent aspects of traumatized dental injuries especially CI II incisor relationship. Keywords: Malocclusion, Dental Trauma, Permanent Anterior Teeth, Incisors Relationship, Ellis and Davey Classification

ABSTRACT Background: Autism spectrum disorder is an enduring neuro-developmental disorder categorized by qualitative irregularities in mutual social communications. The analyses of dental caries incidence in monozygotic and dizygotic twins indicate a large number of different genes contributions. The human leukocyte antigens play a major role in immune response of an individual. This study aimed to estimate human leukocyte antigen class II genotype (DQ and DR) in relation to dental caries severity among institutionalized autistic adolescents. Materials and Methods: Two groups were included in this study, first group had 40 institutionalized autistic adolescents and second consisted of 40 apparently healthy school adolescents control group with age range (12 years-15 years old, only males) selected with regard to dental caries severity. Each group subdivided into two groups: high caries group (20 adolescents, DMFT ≥ 6 caries) and free group (20 adolescents, DMFT=0)). The amplification of the selected human leukocyte antigen alleles (DQ2, DQ4, DQ5, DQ6 and DR4) was carried out by polymerase chain reaction with sequence-specific primers, the products of were electrophoresed and analysed in agarose gel. The data of current study was analysed using SPSS version 21. Results: The percentage of human leukocyte antigen -DQ2 and -DQ6 were higher in study group than control group with significant difference. Within study group, human leukocyte antigen -DQ2, -DQ6 and DR4 were higher in caries free subgroup than high caries subgroup with statistical significant difference regarding human leukocyte antigen -DQ2. Conclusion: Human leukocyte antigen -DQ2, -DQ6 were more presented in autistic group. Human leukocyte antigen -DQ2, - DQ6 and DR4 were related to low level of caries activity in autistic adolescents.

ABSTRACT Background: The autism spectrum disorder (ASD) describes a wide range of symptoms, including difficulty with social interaction and communication skills. Controversial thinking about oral health of children with ASD, in general may have a lower hygiene level than healthy individuals, low caries rate and high body weight in comparison to healthy children. This study was conducted to assess the oral health status in relation to nutritional status among institutionalized autistic children and adolescents. Materials and methods: From 12 institutes in Baghdad, the study group contained 364 child and adolescent with ASD (Male= 294, Female=70), while control group included 441 normal child and adolescent (Male=357, Female=84) from primary and secondary schools. The age range (6-15) years old categorized to two age groups, children age group (6-10) years and adolescents age group (11-15) years. Decayed, missing and filled surfaces (dmfs, DMFS), plaque (PlI), Gingival (GI) and calculus (CI) indices were used to measure oral health status for both groups. Assessment of nutritional status performed by using BMI for age z-score value. The data of current study was analyzed using SPSS version 21. Results: Mean rank values of (dmfs, DMFS) were lower in study group than control group with high significant differences. The mean rank values of PlI, GI, and CI in study group were found to be higher than control group with high significant differences. A moderate positive high significant correlation was found between ds, dmfs, DS, DMFS and PlI, GI, CI in both groups. The mean rank values of body mass index (BMI) for age z-score were higher in study group than control group. Very weak negative high significant correlation between BMI for age z-score and ds, dmfs, DS, DMFS in study group. Conclusion: Dental caries severity, oral hygiene and gingival health were lower in ASD group than control group. Dental caries severity was related to oral health status in both groups. Possible of overweight, overweight and obesity were most common in children and adolescents with ASD than control group. Body weight of autistic children was related to dental caries severity. Keywords: Autism spectrum disorder; DMFS; body mass index; oral hygiene. (J Bagh Coll Dentistry 2017; 29(1): 117124)

ABSTRACT Background: Autism spectrum disorder is an enduring neuro-developmental disorder categorized by qualitative irregularities in mutual social communications. The analyses of dental caries incidence in monozygotic and dizygotic twins indicate a large number of different genes contributions. The human leukocyte antigens play a major role in immune response of an individual. This study aimed to estimate human leukocyte antigen class II genotype (DQ and DR) in relation to dental caries severity among institutionalized autistic adolescents. Materials and Methods: Two groups were included in this study, first group had 40 institutionalized autistic adolescents and second consisted of 40 apparently healthy school adolescents control group with age range (12 years-15 years old, only males) selected with regard to dental caries severity. Each group subdivided into two groups: high caries group (20 adolescents, DMFT ≥ 6 caries) and free group (20 adolescents, DMFT=0)). The amplification of the selected human leukocyte antigen alleles (DQ2, DQ4, DQ5, DQ6 and DR4) was carried out by polymerase chain reaction with sequence-specific primers, the products of were electrophoresed and analysed in agarose gel. The data of current study was analysed using SPSS version 21. Results: The percentage of human leukocyte antigen -DQ2 and -DQ6 were higher in study group than control group with significant difference. Within study group, human leukocyte antigen -DQ2, -DQ6 and DR4 were higher in caries free subgroup than high caries subgroup with statistical significant difference regarding human leukocyte antigen -DQ2. Conclusion: Human leukocyte antigen -DQ2, -DQ6 were more presented in autistic group. Human leukocyte antigen -DQ2, - DQ6 and DR4 were related to low level of caries activity in autistic adolescents.

تم خلال الزيارة فحص اسنان جميع الاطفال واعطاء محاضرة تثقيفية عن صحة الفم والاسنان كما تم توزيع الهدايا لهم جميعا

تم في يوم الاحد 12/5/2019 زيارة ميدانية من قبل فريق من فرع طب اسنان الااطفال والتقويم وطب الاسنان الوقائي وقد تم خلال الزيارة: 1. القاء محاضرة تثقيفية عن تسوس الاسنان والتهاب اللثة وكيفية الحفاظ على صحة الفم والاسنان. 2. فحص اسنان جميع المسنين والبالغ عددهم 38 (25 رجل و 13 امراة). 3. وضع خطة مستقبلية مع مسؤولي الدار لتابعة وعلاج الحالات المستجدة عند بدء الدوام في عيادات طب الاسنان. 4. التاكيد على تناول الغذاء الصحي الذي يدعم صحة الفم والاسنان. 5. تقديم الهدايا لجميع المسنين ومن ضمنها المواد الوقائية لصحة الفم والاسنان.

تم في يوم الاحد 30/12/2018 وفي تمام الساعة العاشرة صباحا القاء سمينار بعنوان (Management of traumatized tooth) من قبل م.د. علي هادي فهد

اجريت على قاعة المناقشات في فرع طب الاسنان الاطفال والوقائي في الطابق الثالث مناقشة اطروحة الدكتوراه الموسومة ( مستضد كريات الدم البيض البشرية الصنف الثاني (DQ و DR ), مكونات اللعاب والحالة الغذائية وعلاقتهم بحالة صحة الفم لدى الاطفال والمراهقين المصابين بالتوحد في معاهد بغداد ومحافظات الفرات الاوسط في العراق) لطالب الدراسات العليا ( علي هادي فهد الفتلاوي ) وذلك في تمام الساعة التاسعة من صباح يوم الاثنين الموافق ( 27\2\2017) .وقد تشكلت اللجنة المناقشة كل من : 1- ا.د.تغريد فاضل زيدان \ دكتوراه طب الفم \ كلية طب الاسنان \ جامعة بغداد........... رئيسا 2- ا.م.د.علي محمد الغراوي \ دكتوراه كيمياء سريرية \كلية اصول الدين الجامعة...........عضوا 3- الاستشاري د.جاسم طعمة الخفاجي \ دكتوراه مناعة سريرية \ كلية الرشيد الجامعة..........عضوا 4- ا.م.د. زهير صادق السهلاوي \ دكتوراه احياء مجهرية \ كلية طب الاسنان \ جامعة الكوفة...........عضوا 5- ا.م.د.بان صاحب ذياب \ دكتوراه طب الاسنان الوقائي \كلية طب الاسنان \جامعة بغداد...........عضوا 6- ا.م.د.ندى جعفر الشيح راضي \ دكتوراه طب الاسنان الوقائي \كلية طب الاسنان \جامعة بغداد...........مشرفا وقبلت اطروحة بتقدير امتياز بعد ابداء الملاحظات عليها ومنح الطالب شهادة الدكتوراه في طب الاسنان الوقائي .