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  1. Sulaiman MM, Abdul Muttlib NA, Alawi R
    Cureus, 2023 Nov;15(11):e48159.
    PMID: 38046708 DOI: 10.7759/cureus.48159
    Construction of an ocular or eye prosthesis can be challenging, as it is a cosmetic device. It needs good communication between dentists and maxillofacial technicians. The construction process normally requires multiple appointments, which involve at least four visits starting with ocular impression to insertion of the prosthesis. This article will outline the clinical step and propose a clinical technique to reduce the number of appointments from four to three appointments, which would benefit both the patient and practitioner.
  2. Alhajj MN, Salim NS, Johari Y, Syahrizal M, Abdul-Muttlib NA, Ariffin Z
    Acta Stomatol Croat, 2020 Sep;54(3):263-272.
    PMID: 33132389 DOI: 10.15644/asc54/3/4
    Objective: Endodontically treated teeth may require posts for retaining the core and replacing the coronal structures that have been lost. The objective of this study was to evaluate and compare the push-out bond strength between different types of post cemented with different types of luting cement at different types of root level.

    Materials and Methods: In this in-vitro study, a total of 48 single-rooted permanent human teeth were decoronated, and the roots were treated endodontically. Following post space preparation, the sample was divided into four groups (n= 12 each) based on the types of post and cement. Two different types of post [GC everStick®POST (ES) and Parapost® Fiber LuxTM (PF)], and two different types of cement [G-CEMTM (G), and RelyXTM Unicem (R)] were used according to the manufacturer's instructions. All roots were sectioned at the coronal and middle thirds with a thickness of 3±0.1mm. The Push-out bond strength (PBS) test was performed using a universal testing machine at a cross-head speed of 0.5mm/ min. The bond strength values were recorded, and the data were analyzed using the SPSS program. Apart from descriptive statistics, three-way ANOVA was used for the interaction of the independent variables (post, cement, and root level). For differences between the groups, the Mann-Whitney U test was used. A P-value of less than 0.05 was considered significant for all analyses.

    Results: Push-out bond strength of samples at the middle level (11.38±10.31 MPa), with PF posts (11.18±9.98 MPa), and of those luted with RelyXTM Unicem cement (13.26±8.73 MPa) was higher than that of their counterparts. The PBS means of RelyXTM Unicem cement at both root levels were much higher than PBS means of G-CEMTM cement. Three-way ANOVA test revealed a significant effect for each variable with a higher effect of cement (Sum of Squares= 1310.690; P< 0.001). No significant difference (P= 0.153) was found between the coronal and middle parts and between ES and PF posts (P= 0.058). However, a highly significant difference (P< 0.001) was found between RelyXTM Unicem and G-CEMTM cements.

    Conclusion: The type of cement had a significant effect on push-out bond strength with RelyXTM Unicem which had higher values than G-CEMTM. However, the type of post and root level had no significant effect on PBS, although Parapost® Fiber LuxTM and middle root level had higher values than their counterparts.

  3. Yee Mun H, Alawi R, Abdul Muttlib NA, Abd Ghani H, Noorani TY
    Cureus, 2024 Oct;16(10):e71950.
    PMID: 39564065 DOI: 10.7759/cureus.71950
    Iatrogenic perforation is caused by the degradation of the dentin root floor or wall and the overlying cementum. This condition frequently arises from improper post-space preparation, root canal negotiation and preparation, and the use of misaligned burs or mechanical instruments during endodontic access. Proper management is essential; otherwise, it could lead to the need for tooth extraction. Management of iatrogenic perforation can be challenging. In this case report, a strip perforation on an upper anterior tooth was addressed for tooth rehabilitation using tricalcium silicate-based cement and a flexible glass fiber post. This approach aims to restore the tooth's function, structural integrity, and aesthetics while minimizing complications.
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