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Filter by:Occlusal plane "the average plane established by the incisal and occlusal surfaces of the teeth -The glossary of prosthodontic terms. Generally, it is not a plane but represents the planar mean of the curvature of these surfaces". Correct orientation of the occlusal plane plays a vital role in achieving optimal aesthetics, occlusal balance and function of complete dentures. Faulty orientation of occlusal plane in fixed or removable prostheses will affect the interaction between tongue and buccinator muscle resulting in food collection in sulcus and cheek or tongue biting. The occlusal plane is normally established anteriorly according to aesthetics of patient and posteriorly parallel to camper's plane. In the mandibular arch there are few landmarks which could be used to orient the occlusal plane like the retromolar pad, commissure of the lips and lateral borders of the tongue. Various landmark have been used to orient the occlusal plane in the maxillary arch e.g. parotid papilla, hamular notch- incisive papilla plane, ala-tragus line. There is no single method seems entirely accurate to locate the occlusal plane in edentulous patients. Therefore ,Investigators need a stable anatomic landmark can be used as a guide to determine occlusal plane (OP). Material and Methods: Forty Dentulous patients will be selected. All subjects had natural maxillary and mandibular teeth. In addition all subjects exhibited Class I skeletal and dental relationships with no prosthetic dental replacement. Subjects with Claa II or Class III relationships,fractured or abraded edges of the teeth,ankyloglossia and orthodontic treatment were excluded from the study. The mandibular posterior occlusal plane was determined according to the level of coronoid notch{CN} (greatest concavity anterior border of the ramus) by measure the distance between the occlusal plane and CN.
Aorta Abdominal aneurism (AAA) is a chronic degenerative disorder leading to the dilation and eventually to the rupture of the aortic wall. The pathology presents risk factors such as aging, atherosclerosis, male gender, cigarette smoking, pulmonary emphysema and high blood pressure.The vascular wall destruction is characterized by a remodeling of the extracellular matrix (ECM), the presence of an inflammatory infiltrate of macrophages and lymphocytes associated increase in production of MMPs. A similar destruction mechanisms is found in periodontitis a chronic inflammatory diseases characterized by gram-negative bacteria species that are able to degrade ECM of the tooth supporting tissues and leading finally to tooth loss .Moreover, relationships between periodontitis and cardiovascular disease have already been demonstrated. These associations are considered to be initiated by transient or prolonged bacteremia due to dissemination of oral bacteria or their products into the bloodstream . The periopathogens, more specifically Porphyromonas gingivalis (Pg), were observed in atherosclerosis and aneurysm specimens as well as in coronary heart disease and endocarditis The association between periodontitis and Abdominal Aortic Aneurysms (AAA) has not often been studied especially from a clinical aspect. The mechanisms that induce the initiation, the development or the recurrence and the rupture of AAA after a period of quiescence not well studied and are therefore still unknown. The aim of this clinical observational case controlled study is to search for a possible relationship between periodontal disease and rapid growth of AAA. Patients presenting stable or unstable AAA will be screened for the degree of periodontitis, for the type of oral microbiology and periodontopathogen markers present in the blood stream.