Mansoura Journal of Dentistry

Mansoura Journal of Dentistry (MJD) is the official publication of the Faculty of Dentistry – Mansoura University, Egypt. It is is a peer-reviewed journal published quarterly since 2014. The journal uses English as its official language.

Mansoura Journal of Dentistry is honored by the contributions of eminent international editors and reviewers.

Why choose to publish in the Mansoura Journal of Dentistry

  • Emerging journal: The journal follows well-planned steps showing promising progress.

  • Rapid peer review process: The journal adopts a double-blind peer review process. The first decision may take from 3-4 weeks while the final decision may be reached within 6-8 weeks.

  • Rapid peer review process: The journal adopts a double-blind peer review process. The first decision may take from 3-4 weeks while the final decision may be reached within 6-8 weeks.

  • Reasonable article processing charge: The Journal is an open access journal. Authors are kindly requested for article processing charge (APC) for their accepted submissions. There is no submission charge. For APC and payment details, please contact the journal.

Current Issue

Volume 12, Issue 4 (2025)View issue

Current Articles

    • Original Article1 January 2025

      In Vitro Evaluation of Retention of Double-Crown Prostheses Connecting Natural Teeth and Implants. A Comparative Analysis of Zirconia, PEKK, and Cobalt Chromium Materials for Primary and Secondary Crowns

      Purpose Objective: To assess and compare the retention performance of different material combinations—Zirconia, PEKK, and Cobalt-Chromium—over time using insertionremoval tests simulating one year of use. Materials and Methods: Nine mandibular polyurethane models with two canines and two dummy implants (first molar area) were used. Three groups of double-crown prostheses were fabricated, differing in materials used for both primary and secondary crowns: Zirconia, PEKK, and Cobalt-Chromium. All crowns were CAD/CAM-designed. Retention was tested using a Universal Testing Machine, with each overdenture subjected to 1,440 insertionremoval cycles to simulate one year. Final retention forces were measured and analyzed using SPSS v23, with significance set at P < 0.05. Results: Zirconia prostheses showed significantly lower retention than PEKK and CoCr (P = 0.0001). Although PEKK had higher retention than CoCr, the difference was not significant at baseline (P = 0.090). After simulated one-year use, all materials showed a reduction in retention. Zirconia remained significantly lower in retention compared to PEKK (P = 0.0001) and CoCr (P = 0.001), while PEKK showed significantly higher retention than CoCr (P = 0.015). Conclusion: All materials maintained clinically acceptable retention. PEKK provided the highest retention, followed by Cobalt-Chromium, while Zirconia showed the lowest. Retention decreased in all groups after one year of simulated use.
    • Original Article1 January 2025

      Digital versus Functional Pick-up Techniques for Two-Implant Retained Mandibular Overdentures: A Crossover Study

      Objective: To evaluate two pick-up techniques—digital and functional—for two-implant retained mandibular overdentures with respect to occlusal force distribution using the digital occlusal analysis system (Occlusense®). Patients and Methods: Twenty completely edentulous, healthy patients were selected from the Prosthodontics Department, Faculty of Dentistry, Mansoura University. Conventional complete dentures were first constructed, followed by placement of two implants in the mandibular canine regions using a guided surgical approach and a delayed loading protocol. For each patient, two sets of digitally fabricated mandibular overdentures were constructed. Patients were randomly assigned into two equal groups: Group I received digital complete overdentures with digitally created spacers for attachment placement, while Group II received digital complete overdentures without spacers. Locator attachments were used to retain the mandibular overdentures to the underlying implant fixture, and housings were incorporated using the direct pickup procedure. Occlusal force distribution was assessed at insertion (T0), after two weeks (T1), and after two months (T2). Results: No significant differences between the groups were observed at T0 and T1 across the anterior, premolar, and molar regions. However, at T2, significant differences were detected between the groups in all regions (p ≤ 0.05). Conclusion: Within the limitations of this study, the digital pick-up technique demonstrated more favorable outcomes, providing a more even distribution of occlusal forces compared to the functional pick-up technique after denture settling
    • Original Article1 January 2025

      Bolton’s tooth width discrepancies among Orthodontic patients in a Tanzanian Population

      Aim: The aim of the current study was to assess the prevalence of intermaxillary teeth width discrepancy among orthodontic patients in a Tanzanian population. Methods: A cross sectional retrospective study was carried involving 204 orthodontic casts. Data collection involved mesio-distal teeth width measurement of all teeth anterior to second molars using a digital Vernier Caliper. Intermaxillary teeth width ratios between lower and upper teeth was then determined according to Bolton’s formula. Independent t test was used to assess whether anterior and overall intermaxillary teeth width ratios vary between males and females. The prevalence of Bolton’s teeth width discrepancies were determined as a percentage of cases that felt outside 2 Standard Deviation of Bolton’s mean. Results: Intermaxillary anterior and overall teeth width ratios for the present study were 77.9±3 and 92.37 ±2.4 respectively. The study found no statistical significance difference in teeth width ratios between males and females. 69% of the cases from the current study lies within 2SD of the Bolton’s anterior mean while 87% of the cases falls within 2 SD of the Bolton’s overall mean score. Conclusion: The prevalence of Bolton’s teeth width discrepancy was found to be 31% for the anterior teeth and 12.8 % for the overall teeth. These prevalence were close to those reported from Americans, some African and Caucasian population.
    • Original Article1 January 2025

      Adaptation of Cantilever Endocrown Fixed Partial Denture: Effect of Design and Material Type

      Objective: The purpose of this in-vitro study was to evaluate the effect of using different material type and different preparation design on marginal and internal adaptation of cantilever endocrown fixed partial denture. Materials and Methods: Fifty-six mandibular first molars were randomly collected and divided into two main groups (n=28) according to preparation design Group B: butt joint and Group C: 1 mm chamfer finish line. Each group will be subdivide into four subgroups (n=7) according to the material type used, sub-group 1: zirconia, sub-group 2: zirconia reinforced lithium silicate (ZLS), sub-group 3: fiber reinforced composite (FRC) and sub-group 4: polyether ketone ketone (PEKK). Marginal and internal adaptation were assessed via triple scan. The specimens were subjected to 10,000 cycles in temperature between 5˚ C and 55˚ C to simulate one year in oral cavity. Also, were subjected to 240,000 repeated load cycles to simulate a wearing period of one year in the oral cavity. The data were statistically analyzed by ANOVA with Tukey post hoc (α=0.05). Results: There was a statistically significant effect of material alone, preparation design alone and their combined effect. Chamfer preparation design achieved better marginal fit than butt joint preparation design, as reflected in reduced mean marginal gaps. PEKK and zirconia showed superior adaptation, ZLS presented larger discrepancies and FRC was acceptable but lowest performance. Conclusion: Preparation design and material type significantly influence endocrown adaptation. Chamfer finish lines design and PEKK demonstrates promising performance for cantilever endocrowns.
    • Original Article1 January 2025

      Fracture Resistance of Monolithic Zirconia Crowns After Endodontically Access Preparation on Premolars Teeth

      Objective The present study aimed to evaluate the fracture resistance of endodontically treated premolars with monolithic zirconia crowns following standardized endodontic access cavity preparation and restoration with either composite or ceramic inlays. Materials and Methods Twenty extracted human premolars were selected and endodontically treated after creating standardized ovoid access cavities through the zirconia crowns using a highspeed diamond bur under water cooling. Specimens were randomly divided into two groups (n=10 per group): Group 1 restored with bulk-fill composite resin and Group 2 restored with CAD/CAM-fabricated ceramic inlays. Following thermocycling (10,000 cycles, 5–55 °C) and cyclic mechanical loading (240,000 cycles, 50 N), fracture resistance was tested using a universal testing machine. Data were statistically analyzed using Student’s t-test at a significance level of p
    • Original Article1 January 2025

      Effect of different implant designs on primary stability in different substrates

      Objective To clarify whether implant macrodesign has any influence on primary stability. Implant primary stability was evaluated in different substrates (fresh cow ribs and polyurethane artificial bone blocks) using several methods. Materials and Methods A total of 36 titanium dental implants (3.5 mm × 10 mm) and then divided into 3 groups (n=12): implants have trapezoidal thread design, implants have buttress thread design and implants have reverse buttress thread design were inserted in two different substrates (six fresh cow ribs and eighteen polyurethane casts). Immediately after insertion of dental implant, the implant stability was measured using three different methods (insertion torque, Periotest and AnyCheck device). Results The results of insertion torque, Periotest and AnyCheck device showed that the dental implants with trapezoidal thread design exhibited the highest primary stability in both cow rib and polyurethane substrates. In contrast, the results showed that the dental implants with a buttress thread design, showed the lowest primary stability in both cow rib and polyurethane substrates. Also, there was a significant difference in primary stability between the two substrates. Primary stability was consistently greater with polyurethane casts than with cow ribs. The results showed a significant interaction between implant design and substrate type, suggesting that the efficacy of each implant design differed according to the substrate. Conclusions Implant macrodesign has marked effect on primary stability in different substrates, which is essential prerequisite for osseointegration.
    • Original Article1 January 2025

      Fracture Resistance of Different Lithium Disilicate Restorations After Endodontic Access Cavity Preparation: Effect of Repair Method

      Objective: To evaluate the effect of different repair methods on the fracture resistance of lithium disilicate restorations after endodontic access cavity preparation. Materials and Methods: One hundred sixty sound human mandibular first molars were prepared and restored with four types of lithium disilicate–based crowns: IPS e.max CAD, GC Initial LiSi Block, Straumann n!ce, and CEREC Tessera (n = 40 each). Standardized endodontic access cavities were prepared in all specimens, then repaired using one of four techniques: (1) inlay restoration with Monobond Etch&Prime, (2) inlay restoration with IPS Ceramic Etching Gel + Monobond Plus, (3) direct composite with IPS Ceramic Etching Gel + Monobond Plus, or (4) direct composite with Monobond Etch&Prime. All specimens were thermocycled and subjected to fracture resistance testing using a universal testing machine. Data were analyzed with one-way and two-way ANOVA. Results: Both ceramic material and repair method significantly affected fracture resistance (p < 0.001). IPS e.max CAD and Straumann n!ce crowns exhibited the highest fracture resistance, while GC Initial LiSi Block showed the lowest. Inlay restorations consistently demonstrated higher fracture resistance compared with direct composite repairs across all ceramic groups. Two-way ANOVA confirmed that both variables (material and repair technique) were significant predictors of fracture resistance. Conclusions: Repair method plays a decisive role in the fracture resistance of lithium disilicate restorations after endodontic access. Inlay restorations provided superior reinforcement compared with direct composite repairs. Selection of ceramic material also influenced outcomes, with IPS e.max CAD and Straumann n!ce showing the best performance.

Most Popular Articles

  • Original Article
    1 March 2022

    Effect of Different Bevel Designs on Microleakage and Shear Bond Strength of Class IV Composite Restoration: A laboratory Study

    Objective: This laboratory study was conducted to evaluate the effect of different bevel designs (2mm bevel, skirt bevel and scalloped bevel) on microleakage and shear bond strength of class IV composite restorations. Materials and Methods: Sixty extracted human permanent maxillary central incisors were selected and a standardized mesio-incisal fracture was created. Teeth were divided into 3 groups (n=20) according to different bevel designs (2mm bevel, skirt bevel and scalloped bevel). All prepared teeth were restored with nano hybrid composite (Filtek Z250, 3M ESPE, St. Paul, MN, USA). Half of specimens were used for microleakage test, specimens were received 3 layers of nail polish, except for a 1 mm around the margins, then immersed in a 0.5% methylene blue dye for 24h. Dye penetration scores were assessed using stereomicroscope. The remaining teeth were utilized for shear bond strength test after measuring the surface area with (Image J) software, specimens were subjected to universal testing machine with crosshead speed of 1 mm/min. Results: Regarding microleakage, the result of Chi-Square test revealed that there was no significant difference between different bevel designs (p>0.05). Regarding shear bond strength the results of one-way ANOVA revealed the highest mean value for the 2mm bevel (16.74±5.29Mpa), while the lowest mean value recorded for the skirt bevel (12.20±1.54Mpa). Conclusion: Bevels can be advantageous in reducing microleakage and increasing shear bond strength in class IV restoration. However, the higher shear bond strength and minimum microleakage can be obtained with 2mm bevel, and it can be recommended for cliniciansn.
    Read More
  • Original Article
    1 September 2022

    Evaluation of The Effects of The Incisal Capping Twin Block on The Flaring of The Lower Incisors in The Treatment of Skeletal Class II Malocclusion

    Objective: The purpose of this research was to evaluate the effect of the incisal capped Twin Block on the proclination of the lower incisors in the treatment of skeletal class II malocclusion. Materials and Methods: Ten patients (age ranged from 9 to 14 y) with skeletal class II due to mandibular retrusion were selected and treated with the incisal capped Twin Block appliance. Overjet was more than 4 mm. Lateral cephalometric radiographs, photographs, and study casts were obtained before and after treatment. The collected data were analyzed using (SPSS) program for Windows (Standard version 26). The treatment duration was about 8-12 months. Results: Incisal capped TB appliance had Dento-skeletal and soft tissue effects including non-significant effect on the maxillary growth, significant advancement of the mandible, increase in the posterior and total anterior facial height, decrease in the overjet and overbite, retroclination of the upper incisors, significant proclination of the lower incisors and improvement of the soft tissue profile. Conclusions: The incisal capped Twin Block appliance was effective in the correction of skeletal class II patients. It produced a combination of skeletal and dental effects by forward movement of the mandible, palatal tipping of the upper incisors and labial flaring of the lower incisors. The addition of the acrylic capping to the lower incisors did not control the position of the lower teeth and did not prevent their labial flaring.
    Read More
  • Original Article
    1 January 2023

    Comparison between jet injector and traditional needle syringe during infiltration anesthesia in pediatric patients

    Objective To evaluate the pain level during infiltration anesthesia with needle free jet injectors in pediatric patients. Method 38 cooperative healthy child aged 4–7 years were selected to be anesthetized with both methods of injection, the needles jet injector and the conventional infiltration technique. The selected group was divided randomly into two groups of 19 child each, control group I (conventional needle) and study group II (jet injector). The pain levels were measured according to Wong-Baker Faces Pain (Rating) scale (WBFPS), to determine the level of acceptance of each method. The measuring of the pain level was done after administration of anesthesia with the help of parents, each child selects the score which determine his/her own experience. Results Jet injector showed a lower significant level of pain during infiltration anesthesia in children (P Conclusions Jet injector method is more accepted than traditional infiltration needle technique during infiltration and it promises to be a good alternative to needle injection during anesthesia in children.
    Read More
  • Original Article
    1 January 2024

    Conventional vs compressive implants for supporting immediate loading bar-retained mandibular overdenture: A study of peri-implant tissue health and implant stability

    Objective: This study was aimed to compare two implant design concepts used to assist immediately loaded mandibular complete overdenture as regards to the implant stability and peri-implant soft tissue health. Materials and Methods: Forty-four healthy fully edentate patients were chosen. Patients received conventional complete dentures and randomly divided into; Group I: with four conventional implants. Group II: with four compressive implants. For all patients, implants installed in the inter-foramina areas and were immediately loaded with mandibular complete overdenture containing metal framework housing three clips and retained by implant screwed titanium bar. Implant stability was measured by Periotest® and the tissue health was assessed in regards to modified gingival index (MGI) and pocket depth at T0, T6 and T12. Analysis of modified gingival index scores done by the Mann-Whitney U test. Analysis of implant stability and pocket depth scores done using repeated measures ANOVA test (P Results: No significant difference (PPP Conclusions: Compressive implants provided higher implant stability and lower pocket depth measures compared to the conventional implants. The compressive implant could be considered a promising implant design for immediate loading protocol.
    Read More
  • Original Article
    1 September 2022

    Awareness of Evidence Based Recommendations on Toothbrush Bristles Design and Texture among Dentists

    Objective: Dental plaque is a necessary etiologic factor in the onset and progression of dental caries and periodontal disorders. Numerous individual and material-based factors have an impact on dental plaque control. In light of the most recent evidence-based guidelines, this study's purpose is to determine the best toothbrush bristles surface plane design (flat; multilevel; angled), texture (soft; medium; hard) and to estimate how many dentists are aware of that too. Materials and Methods: This is a one-question survey directed on social media platforms of dentists' groups: - “Is it preferable to use a toothbrush with soft or medium bristles, and are toothbrushes with multi-level or angled bristles better than traditional flat bristles for brushing the teeth?”. The answers or reactions were limited to the first valid 400 answers. Results: Comparing the bristles texture (soft & medium) and bristles design (straight & multilevel or angled) showed a statistically significant difference (p ≤ 0.05). Also, there was a statistically significant difference between combining effects taking this descending order soft &multilevel, medium & straight, medium & multilevel and finally soft & straight. Conclusions: Premium toothbrushes based on scientific research with soft, multilevel, or angled bristles were used more frequently by dentists than ones with medium or straight bristles.
    Read More
  • Original Article
    1 January 2023

    Effect of Different Bar Designs to Retain Implant Mandibular Overdentures on Alveolar Ridge Resorptio

    Objective: To evaluate and compare both anterior and posterior area indices of two different bar attachments bar-locator & bar-clip that are used to retain implant mandibular overdentures. Materials and methods: sixteen completely edentulous participants were eligible (mean age is 50 years old). Every participant received new maxillary and mandibular conventional dentures. After 3 months of adaptation, 2- dental implants were inserted in mandibular canine regions. All participants were randomly divided into 2- equal groups; eight patients received bar-locator attachment (group I) and eight patients received bar-clip attachment (group II). Anterior area index (AAI) and posterior area index (PAI) was performed using a panoramic radiograph (AutoCAD® software) at the time of insertion (T0) and after 5 years of insertion (T5). The data were collected and analyzed by independent t-test and paired t-test. Results: For both groups at both times (T0 & T5); there was a significant difference in anterior maxillary bone resorption for group I (p=0.012) while in group II (p≤0.001). Furthermore, Posterior mandibular bone resorption showed a significant difference in both groups (p=0.002) with an increased amount of bone loss in group II than in group I. Conclusion: it was shown that 2-implant mandibular overdentures retained by bar-clip attachment expressed higher values of mandibular posterior and maxillary anterior bone resorption compared to 2-implant mandibular overdentures retained by bar-locator attachment.
    Read More