Browsing by Author "Behardien, Nashreen"
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Item Diagnostic accuracy of maxillary periapical pathology perforating the sinus floor: a comparison of pantomograph and CBCT images(University of Western Cape, 2020) Walters, Jaco; Shaik, Shoayeb; Behardien, NashreenPeriapical lesions are fairly common pathology associated with the apex of a non-vital tooth. Some chronic lesions develop without an acute phase with no recollection of previous symptoms. It is known that maxillary odontogenic infections can breach the sinus floor with succeeding complications. Pantomography, a widespread conventional radiographic technique, provides a generalized view of the maxillofacial region. Advanced modalities like CBCT may facilitate in navigating complex anatomy, which would otherwise be obscured.Item The Efficacy of Platelet-Rich Fibrin (PRF) on Healing Following Surgical Removal of Third Molar Teeth(University of the Western Cape, 2021) Pedro-Beech, Kim; Behardien, NashreenAim: A clinical trial to determine the post-operative outcomes of a PRF-treated socket versus a conventionally treated socket following surgical removal of third molar teeth. Introduction: Third molar surgery is a procedure many have to endure and which often results in prolonged healing time with consequential absence from work and school. This has motivated clinicians to seek methods to enhance the healing process and in effect, reduce the healing time. Research on the use of PRF in enhancing wound healing in maxillofacial and oral surgery have shown varying results. Therefore, this study was conceived to ascertain the effect PRF has on the post-operative sequelae of third molar teeth. Materials and Methods: This was a split mouth, prospective, single blinded, randomized control trial. The study sample was made up of 26 patients (N=26) who met the inclusion criteria. Four of the patients experienced neurosensory fallout of an associated nerve and were subsequently excluded from the sample. This resulted in the total sample size of twenty-two patients (n=22). Symmetrically impacted maxillary and mandibular third molars were removed under general anaesthesia. Patients were treated in a within subject design: when one side of a patient was treated with PRF, the other side was conventionally treated and acted as a control. The allocation of the side treated with PRF was 'random'. Patients were followed-up on Day 2 and Day 7, respectively. Pain scores were recorded on a visual analogue scale (VAS) using 0 to 10 pain score. Swelling, wound dehiscence, development of alveolar osteitis, wound infection and post-operative bleeding were compared between the intervention and control side. Results: Twenty-two patients (females = 13 and males = nine) bItem An explorative study of the factors possibly contributing to the burden of maxillofacial infection presenting at the Tygerberg Oral Health Centre(University of Western Cape, 2020) Douglas-Jones, Martin; Behardien, Nashreen; Myburgh, NeilOver the last few decades, and throughout the world, there would seem to have been an increase in the number and severity of infections affecting the maxillofacial region. In the South African setting this seems to be especially evident in the state health system. Maxillofacial infection of odontogenic origin is largely preventable. If treated appropriately and early in the pathological process, the progression of the disease process is generally prevented and complications avoided. Management of maxillofacial infections once established has serious implications for patients and an already stressed health system. The reasons for this perceived increase in infections are likely multifactorial and it is hoped that this study may aid in understanding factors contributing to this burden.Item Oral hygienists' self-perceived competence on completion of a blended learning course in local anaesthesia at a South African university(South African Dental Association, 2018) Behardien, Nashreen; Gordon, Natalie Ann; Cupido, MarcelleThe expanding scope of practice of oral hygienists require universities to offer courses that would enhance their skills. Aim and objectives: To determine the self-perceived competence of oral hygienists to deliver local anaesthesia (LA) after completion of a blended-learning course.Item Oral mucosal and facial manifestations of HIV/AIDS in children (Cape Peninsula, South Africa)(University of the Western Cape, 2006) Behardien, Nashreen; Moola, M.H; Dept. of Oral Medicine and Periodontics; Faculty of DentistryCurrently, HIV/AIDS is one of the greatest threats to child survival in South Africa. It is estimated that approximately 6000 newborn babies become infected with the HIV virus monthly i.e. approximately 200 babies per day. During a 24 month period (October 1999 – October 2001), a descriptive prevalence study of the oro-facial manifestations affecting HIV-positive children was conducted in the Cape Peninsula, South Africa. The study population consisted of 268 vertically infected HIV-positive children. The study was motivated by the lack of data regarding oral mucosal lesions in children with vertically acquired HIV-infection. The study design was descriptive, and the population included consecutive, vertically infected HIV-positive patients sourced from out-patient clinics, hospital wards and special child-care facilities. The children were examined once consent was obtained from caregivers. The findings were documented using data capturing sheets. The data was captured on the Microsoft Excel program and analysed using the Epi 2000 program. The results indicated that a large proportion of HIV-infected children presented with orofacial manifestations at some stage during the course of HIV-infection. Oro-facial manifestations were observed in 70.1% of the study population. The prevalence of the most commonly observed manifestations were: oral candidiasis, 38.8%; parotid gland enlargement, 10.8%; oral ulceration, 5.6%; molluscum contagiosum, 7.8%; periodontal conditions, 3.4%; and herpes simplex infection, 0.7%.It can be concluded that in this sample of HIV-infected children, the prevalence of orofacial manifestations is higher than, and comparable with the findings of similar studies conducted in other regions of the world.Item Perforation of the palate - A report of two Syphilitic Gumma cases(South African Dental Association, 2020) Titinchi, Fadi; Behardien, Nashreen; Morkel, Jean; Opperman, JohanSyphilis has recently shown resurgence in its incidence especially in immune-compromised patients. We present two cases of tertiary syphilis in middle-aged males with large perforations in the hard and soft palates, one of which had Human Immunodeficiency Virus (HIV) co-infection. Diagnosis was initially difficult due to non-specific features mimicking other conditions such as perforation of cocaine abuse aetiology, neoplastic conditions, sarcoidosis, fungal infections, bacterial infections other than Treponema pallidum and Wegeners granulomatosis.