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Fulltext Flaxseed (linum usitatissimum) extract activity on human oral fibroblasts (HOrF) cell line

Sama Naziyah Shaban, Abdelkader Elbadawy Abbas Ashour, Khairani Idah Mokhtar, Solachuddin JauhariAriefIchwan, Basma Ezzat Mustafa Alahmad

Ann Dent, 2020;27(1):50-54.
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Natural products have demonstrated various activities beneficial to general health. Flaxseed (Linum usitatissimum) has been reported in many studies for its antimicrobial, antioxidant, and anti-inflammatory effects. Additionally, flaxseed extracts have skin wound healing activity and potential for treating oral ulcers.L. usitatissimum was extracted using 70% ethanol via soxhlet method and gas chromatography mass spectrum (GC-MS) was used to analyze the components of L. usitatissimum extract. The crude flaxseed oil were applied to human oral fibroblasts (HOrF), and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay was used to assess the cell viability after 24, 48 and 72 hours. Scratched HOrF cells were treated with crude flaxseed oil and healing was monitored per wound healing assay. GC-MS indicate that the major components present in L. usitatissimum oil extract are linolic, palmitic and oleic acid. L. usitatissimum crude oil extract showed high proliferation effect on HOrF cells at 24 and 48 hours, while the highest proliferation effect was recorded at 72 hours post-treatment. The wound healing assay results showed that healing activity of HOrF cells occurred as soon as 18 hours post-treatment when treated with L. usitatissimum crude oil extract. L. usitatissimum crude oil extract has proliferating and healing effects on HOrF cell line. Therefore, it can be considered as a potential promising oral wound healing agent.
Fulltext Linum usitatissimum as an antimicrobial agent and a potential natural healer: A review

Ummu Afifah Fadzir, Deny Susanti Darnis, Basma Ezzat Mustafa, Khairani Idah Mokhtar

Archives of Orofacial Sciences, 2018;13(2):1-8.
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Linum usitatissimum commonly known as flaxseed is one of the oldest crops traditionally cultivated
mainly for its oil purposes. Flaxseed is widely known for its rich source of nutritive and bioactive compounds. Recently, it has gained considerable interest due to the potential health benefits attributed to its component of metabolites, including its antimicrobial properties. Two main components of flaxseed, the unsaturated fatty acids and lignan, are suggested as the main metabolites that exhibit antimicrobial activities. This paper aims to give an overview on fatty acid and phenolic compound in flaxseed and their possible activities as antimicrobial agents.
Fulltext The evaluation of Streptococcus mutans content of saliva in patients with recurrent oral ulceration

Al-Ahmad, Basma Ezzat Mustafa, Muhannad Ali Kashmoola, Nur Aini Zakaria

International Medical Journal Malaysia, 2017;16(21):14-14.
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Recurrent oral ulcer is a chronic inflammatory condition characterized by mucosa
ulceration, which was believed to have bacterial etiology. Streptococcus mutans is one of the
bacteria which have been implicated in this case; it is gram-positive bacteria that reside in the
biofilms on the tooth surfaces. The aim of this study was to evaluate Streptococcus mutans content
in saliva of recurrent oral ulcer patients and its role as a prognostic factor. (Copied from article).
Fulltext The effect of Linum usitatissimum (Flax Seed) and Nigella sativa oil on selected oral pathogen (comparative study)

Nurul Fatihah Mohamed Yusoff, Basma Ezzat Mustafa, Pram Kumar Subramaniam, Nazih Shaban Mustafa, Muhannad Ali Kashmoola, Khairani Idah Mokhtar, et al.

Malaysian Journal of Medicine and Health Sciences, 2019;15(108):18-18.
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Introduction:Linum usitatissimum (flax seed) has been cultivated for domestic use since prehistoric times. Its use as a dietary supplement becomes more popular nowadays. Nigella sativa seeds and oils have been widely used for centuries in the treatment of various ailments throughout the world. It is an important drug in the Indian traditional system of medicine like Unani and Ayurveda. Methods: This is a laboratory experimental in-vitro study using select-ed oral pathogens (Streptococcus mutans, Klebsiella pneumoniae and Pseudomonas aeruginosa) cultured in nutrient agar. The pathogens were then inoculated in nutrient based broth and incubation for 24hours. Linum usitatissimum and Nigella sativa extract efficacy was tested by measurement of the zone of inhibition. The result of the extracts antimicrobial activities were compared with positive control (penicillin) and negative control(Dimethyl sulfoxide DMSO). The statistical analysis was done by using SPSS18. Results: The antibacterial effect of Linum usitatissimum and Nigella sativa extract is comparable to the effect of penicillin and this study shows that flax seed extract shows more potent antibacterial effect than Nigella sativa on Streptococcus mutans and Pseudomonas aeruginosa while both extracts didn’t show an effect on Klebsiella pneumoniae. Conclusion: The results of the present study scien-tifically validate the inhibitory capacity of Linum usitatissimum or Nigella sativa as antibiotic against selective oral pathogens this will contribute towards the development of new treatment options based on natural base products.
Fulltext The relationship between tooth loss, body mass index, and hypertension in postmenopausal female

Al-Ahmad BEM, Kashmoola MA, Mustafa NS, Hassan H, Arzmi MH

Eur J Dent, 2018 4 17;12(1):120-122.
PMID: 29657536 DOI: 10.4103/ejd.ejd_322_17

Objective: This study aimed to investigate the relationship between tooth loss and the level of blood pressure with the hypothesis that tooth loss is associated with the increase of hypertension in postmenopausal women.
Materials and Methods: Sixty postmenopausal female patients aged 51-68 years were included in the study to assess the relationship between tooth loss and the level of blood pressure. The information including sociodemographics, last menstruation period, hypertension history, and the duration of having tooth loss was recorded. Blood pressure was measured using sphygmomanometer and the number of tooth loss was determined.
Results: The results showed a more significant tooth loss in hypertension (median: 23 + 4; interquartile range [IQR]: 6) compared to the normotension postmenopausal women (median: 18 + 6; IQR: 12; P < 0.05). Furthermore, obese patients had more tooth loss (median: 23 + 5; IQR: 8) than the overweight patients (median: 19 + 8; IQR: 8).
Conclusion: Tooth loss is associated with the increase of hypertension in postmenopausal women which may have a role in the development of vascular diseases.
A Retrospective Study on the Etiological Factors of Orofacial Pain in a Malaysian Sample

Mustafa NS, Kashmoola MA, Al-Ahmad BEM, Fansuri MABH, Jurimi NHM, Kashmoola S

Eur J Dent, 2021 Nov 09.
PMID: 34753187 DOI: 10.1055/s-0041-1735443

OBJECTIVE: This study aimed to examine the etiological factors of orofacial pain for patients attending dental clinic at Faculty of Dentistry, International Islamic University Malaysia (IIUM).
MATERIALS AND METHODS: This retrospective study examined the data of 248 patients who have attended dental clinic at Faculty of Dentistry IIUM and suffering from different types of orofacial pain. The data were collected from January 2010 to November 2018. The etiologies of pain were classified according to International Classification of Orofacial Pain, 1st edition (2020).
STATISTICAL ANALYSIS: The association of age and gender with orofacial pain was evaluated by using the Chi-square test, and the significance level was set to 0.05.
RESULTS: Collected data showed that orofacial pain has different etiologies among the patients attending the dental clinic at Faculty of Dentistry IIUM. Moreover, a statistically significant relation was observed between orofacial pain toward gender and different age group.
CONCLUSION: The findings proposed that the orofacial pain has a variety of etiological factors with the highest percentage of orofacial pain attributed to disorders of dentoalveolar and anatomically related structures among patients attending dental clinic at Faculty of Dentistry IIUM.
Fulltext Effect of Visual Exposure versus Obstruction upon Patient's Quantitative and Qualitative Stress Parameters Changes during Minor Oral Surgery

Subramaniam PK, Al-Ahmad BEM, Mustafa NS, Izhan NAM, Shukor NFIA

Eur J Dent, 2023 Jul;17(3):895-901.
PMID: 36220122 DOI: 10.1055/s-0042-1757212

OBJECTIVES: Dental anxiety is ultimately related to the fear of pain, more evidently seen in surgical dental procedures. This study aimed at comparing the stress parameter differences between patients undergoing minor oral surgery (MOS) with their eyes covered (closed) versus uncovered (open) at our center.
MATERIALS AND METHODS: Twenty-three MOS patients were draped with eyes covered, while another 23 MOS patients were draped with eyes uncovered. Stress parameters such as systolic and diastolic blood pressures (DBP), mean arterial pressure (MAP), heart rate, random blood glucose, and Spielberger State-Trait Anxiety Inventory (STAI)-6 questionnaire score were recorded accordingly in the different intervals; then statistically analyzed later.
RESULTS: Closed eyes patients had significantly lower mean DBP and MAP (73.91 ± 6.80/88.94 ± 6.88 mm Hg) as compared with open eyes patients intraoperatively. Though significant only in the postoperative phase, the closed eyes group had a relatively lower mean heart pulse rate than the open eyes group in all surgical intervals. Postoperatively, closed eyes patients had lower mean blood glucose level as compared with open eyes group. STAI mean score revealed a higher psychological stress for closed eyes patients versus open eyes patients.
CONCLUSION: Closed eyes patients displayed lower quantifiable physiological stress level as compared with patients undergoing MOS draped with eyes uncovered. However, in qualitative psychological context, closed eyes draped MOS patients responded poorly as compared with opened eyes draped patients under similar surgical stress.
Fulltext Study on flaxseed crude extract on stem cells from human exfoliated deciduous teeth (SHED)

Nur Sazwi Nordin, Lokman Mohammad Isa, Syed Zahir Idid, Widya Lestari, Basma Ezzat Mustafa, Solachuddin Jauhari Arief Ikhwan, et al.

International Medical Journal Malaysia, 2017;16(21):48-48.
MyJurnal

Flaxseeds offer a wide range of pharmacological properties including antioxidant,
antibacterial and anticancer. However its effect on mesenchymal stem cells has not been
elucidated. Thus, this study aimed to determine the effects of flaxseed crude extract on stem cell
from human exfoliated deciduous teeth (SHED) in terms of cell viability, morphology and
proliferation activity. (Copied from article).