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Wellham A, Kim C, Kwok SS, Lee R, Naoum S, Razza JM, Goonewardene MS. Sleep-disordered breathing in children seeking orthodontic care-an Australian perspective. Aust Dent J 2023; 68:26-34. [PMID: 36346173 DOI: 10.1111/adj.12945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2022] [Indexed: 11/11/2022]
Abstract
BACKGROUND The prevalence of sleep-disordered breathing in children is underestimated due to impediments in detection and diagnosis. Consequently, delayed management may affect the quality of life and the growth and development of a child. Due to their patient demographic, orthodontists are optimally positioned to identify those at risk of sleep-disordered breathing and make referrals for investigation and management. This study aims to determine the prevalence of children at risk of sleep-disordered breathing in an Australian orthodontic population. METHODS A 1-year retrospective study was conducted in an urban Western Australian private orthodontic practice with two branches in similar socioeconomic demographics. The responses of new patients to a modified paediatric sleep questionnaire and standard medical history form were recorded. RESULTS In 1209 patients (4-18 years), 7.3% were at risk of sleep-disordered breathing. An association between sex and the potential risk of sleep-disordered breathing was found with 11% of males at risk of sleep-disordered breathing compared to 7% of females (P = 0.012). CONCLUSIONS The relatively high prevalence of children at risk of sleep-disordered breathing presenting for orthodontic care presents an opportunity to identify at-risk individuals through routine use of the paediatric sleep questionnaire. This would facilitate early referral for diagnosis and management of sleep-disordered breathing.
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Affiliation(s)
- A Wellham
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - C Kim
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - S S Kwok
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - Rjh Lee
- School of Dentistry, The University of Western Australia, Nedlands, Western Australia, Australia
| | - S Naoum
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - J M Razza
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - M S Goonewardene
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
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Wellham A, Kim C, Kwok SS, Lee R, Naoum S, Razza JM, Goonewardene MS. Sleep disordered breathing in children seeking orthodontic care - an Australian perspective. Aust Dent J 2023; 68:72-73. [PMID: 36786004 DOI: 10.1111/adj.12952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/08/2023] [Indexed: 02/15/2023]
Affiliation(s)
- A Wellham
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - C Kim
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - S S Kwok
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - Rjh Lee
- School of Dentistry, The University of Western Australia, Nedlands, Western Australia, Australia
| | - S Naoum
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - J M Razza
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - M S Goonewardene
- Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
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Patel J, Durey A, Naoum S, Kruger E, Slack-Smith L. Oral health education and prevention strategies among remote Aboriginal communities: a qualitative study. Aust Dent J 2021; 67:83-93. [PMID: 34767269 DOI: 10.1111/adj.12890] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND The delivery of effective oral health promotion strategies is essential to improving oral health outcomes among remote Aboriginal communities. This study aimed to explore the perceptions and attitudes of Aboriginal Australians living in remote Kimberley communities towards oral health education and disease prevention. METHODS Semi-structured interviews and yarning circles were carried out following purposive sampling of Aboriginal adults living in the East Kimberley region of Western Australia. RESULTS A total of 80 community members participated in the yarning process. School-based oral health promotion and community-driven restrictions on the sale of sugary food and drink were seen as positive strategies in improving oral health. Lifestyle changes brought about by modernity, internet availability and fixed community stores were perceived to create new challenges and shift the priorities for those living in remote communities. CONCLUSIONS Community-based yarning may better inform future oral health strategies in the Kimberley. A neoliberal approach of shifting responsibility onto the individual ignores the complex social inequities faced by Aboriginal people living in remote communities where macro-level determinants such as remoteness, food security and education significantly influence decisions around diet and oral health.
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Affiliation(s)
- J Patel
- School of Population and Global Health, The University of Western Australia, Perth, Australia.,UWA Dental School, The University of Western Australia, Perth, Australia
| | - A Durey
- School of Population and Global Health, The University of Western Australia, Perth, Australia
| | - S Naoum
- UWA Dental School, The University of Western Australia, Perth, Australia
| | - E Kruger
- School of Human Sciences, The University of Western Australia, Perth, Australia
| | - L Slack-Smith
- School of Population and Global Health, The University of Western Australia, Perth, Australia
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Harding J, Hartsfield JK, Mian AS, Allan BP, Naoum S, Lee RJH, Goonewardene MS. Accuracy of mandibular proximal segment position using virtual surgical planning and custom osteosynthesis plates. Int J Oral Maxillofac Surg 2021; 51:219-225. [PMID: 33941394 DOI: 10.1016/j.ijom.2021.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 02/23/2021] [Accepted: 04/07/2021] [Indexed: 02/02/2023]
Abstract
The purpose of this study was to determine whether the use of custom osteosynthesis plates increased the accuracy of proximal segment position following bilateral sagittal split osteotomy in a cohort of 30 patients when compared to a control group of 25 patients who had surgery with conventional plates. Surgery was performed by a single surgeon between October 2015 and December 2017. Post-surgical cone beam computed tomography scans were segmented using Mimics Innovation Suite (Materialise NV), and surface-based superimposition was achieved using ProPlan CMF (Materialise NV). However, there was a tendency for the rotational error to be smaller in the custom group than in the control group. The root mean square error in both groups and for all variables fell within clinical parameters of 2 mm and 4°. In conclusion, the results of this study indicate that customized mandibular fixation plates do not necessarily improve the accuracy of the proximal segments post-surgically; however they may be of benefit in individual patients.
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Affiliation(s)
- J Harding
- Orthodontic Department, UWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - J K Hartsfield
- Orthodontics and Oral Health Research, College of Dentistry, University of Kentucky, Lexington, Kentucky, USA; Division of Oral Development and Behavioural Sciences, UWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - A S Mian
- School of Computer Science and Software Engineering, The University of Western Australia, Crawley, Western Australia, Australia
| | - B P Allan
- Private Maxillofacial Surgery Practice, Perth, Australia
| | - S Naoum
- Orthodontic Department, UWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - R J H Lee
- Orthodontic Department, UWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - M S Goonewardene
- Orthodontic Department, UWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.
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El Harrak Y, Naoum S, Khawaja O, Salhi Y, Laib S, El Sanharawi M. Occupational Eye Trauma: a major public health issue in France. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Occupational Eye Trauma (OET) is a global cause of visual morbidity. According to the WHO, 55 million ocular lesions occur each year, and 1.6 million cases of total blindness caused by trauma. The objective of our work is to evaluate the frequency of OET per projectile in France, to compare results to other similar studies, and therefore to encourage the reinforcement of safety measures. This is a cross-sectional descriptive study, carried out in the Ophthalmic Emergency Department, at the Intercommunal Hospital of Villeneuve-Saint-Georges, France, including all patients who presented to the same doctor's consultation, between June 2019 and December 2019.
The study involved 1730 patients, 700 women and 1030 men, with an average age of 40. In 7 months, 600 are victims of ocular trauma and 346 are victims of projectile during professional practice, a prevalence of 20% of all emergencies, or 57% of all trauma. The prevalence is higher within males, reaching 33% of all emergencies. The average age was 39, 99% of males. The average consultation time was 3 days after the accident. Besides, 66% of consultants already have a previous history of OET; and 59% were not using a safety protection.
The study shows that 58% of patients had a corneal foreign body; 25% a corneal ulcer; 10% a conjunctival foreign body; while 2 cases (0.5%) presented a corneal wound requiring surgical management. Therefore, eye trauma is a real public health problem. They account for 35% of consultations, half of which are associated with professional activities, mainly affecting young and active men. The high rate of recidivism and non-respect of safety measures highlights the lack of awareness of the target population. Compared to the findings of a previous study lead in Morocco, the outcomes are almost identical, 20/18% in prevalence, 66/75% in recidivism.
Results of this work shows that OET, avoidable circumstances, are however frequent, causing potential severe lesions, with a reserved prognosis.
Key messages
The results of this work prove that occupational ocular trauma, avoidable circumstances, are however frequent. Workplaces with a high risk of eye trauma should strengthen their protective measures and training programs should be put in place for both workers and occupational physicians.
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Affiliation(s)
- Y El Harrak
- Ophtalmologie A, Faculté de médecine et de pharmacie de Rabat, Rabat, Morocco
- Ophthalmology, CHI, Villeneuve Saint-Georges, France
| | - S Naoum
- Ophthalmology, CHI, Villeneuve Saint-Georges, France
| | - O Khawaja
- Ophthalmology, CHI, Villeneuve Saint-Georges, France
| | - Y Salhi
- Ophthalmology, CHI, Villeneuve Saint-Georges, France
| | - S Laib
- Ophthalmology, CHI, Villeneuve Saint-Georges, France
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Naoum S. [Post-traumatic hypotony maculopathy]. J Fr Ophtalmol 2016; 39:e285-e286. [PMID: 27765450 DOI: 10.1016/j.jfo.2016.03.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Revised: 02/29/2016] [Accepted: 03/02/2016] [Indexed: 10/20/2022]
Affiliation(s)
- S Naoum
- CHU de Lille, 2, avenue Oscar-Lambret, 59000 Lille, France.
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Naoum S, Bouacha I, Drumare I, Marks C, Defoort-Delemmes S. Druses de la papille de l’enfant : intérêt des différents examens d’imagerie. J Fr Ophtalmol 2016; 39:341-5. [DOI: 10.1016/j.jfo.2016.02.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Revised: 09/20/2015] [Accepted: 02/11/2016] [Indexed: 10/22/2022]
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Naoum S, O’Regan J, Ellakwa A, Benkhart R, Swain M, Martin E. The effect of repeated fluoride recharge and storage media on bond durability of fluoride rechargeable Giomer bonding agent. Aust Dent J 2012; 57:178-83. [DOI: 10.1111/j.1834-7819.2012.01681.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Naoum S, Ellakwa A, Martin F, Swain M. Fluoride release, recharge and mechanical property stability of various fluoride-containing resin composites. Oper Dent 2011; 36:422-32. [PMID: 21819201 DOI: 10.2341/10-414-l] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIM To determine the fluoride release and recharge of three fluoride-containing resin composites when aged in deionized water (pH 6.5) and lactic acid (pH 4.0) and to assess mechanical properties of these composites following aging. METHODS Three fluoride-containing resin composites were analyzed in this study; a new giomer material named Beautifil II, Gradia Direct X, and Tetric EvoCeram. A glass ionomer cement, Fuji IX Extra, was also analyzed for comparison. Specimens were fabricated for two test groups: group 1 included 10 disc specimens initially aged 43 days in deionized water (five specimens) and lactic acid (five specimens). The fluoride release from these specimens was measured using a fluoride-specific electrode on nine specific test days during the aging period. Following 49 days of aging, each specimen was recharged in 5000 ppm neutral sodium fluoride solution for 5 minutes. Specimen recharge was then repeated on a weekly basis for 3 weeks. The subsequent fluoride rerelease was measured at 1, 3, and 7 days after each recharge episode. Group 2 included six disc specimens aged for 3 months in deionized water (three specimens) and lactic acid (three specimens). The hardness and elastic modulus of each specimen was measured using nano-indentation at intervals of 24 hours, 1 month, and 3 months after fabrication. Two-way factorial analysis of variance (ANOVA) and post-hoc (Tukey) testing was used to assess the influence of storage media (two levels) and composite type (three levels) on the fluoride release, fluoride rerelease, hardness, and elastic modulus of the assessed materials. The level of significance was set at p=0.05. RESULTS All three composites demonstrated fluoride release and recharge when aged in both deionized water and lactic acid. The cumulative fluoride released from Beautifil II into both media was substantially greater than the fluoride released from Gradia Direct X and Tetric EvoCeram after 43 days aging and was significantly (p<0.05, ANOVA, Tukey test) greater during several analysis periods. Beautifil II demonstrated the greatest recharge ability of the three composites over the 3-week recharge period in both media. Fuji IX Extra demonstrated a significantly (p<0.05) greater fluoride release and recharge compared with the three resin composites. The elastic modulus and hardness of the three composites did not decrease significantly (p<0.05) with fluoride release or fluid uptake over the 3-month aging period, in either media. CONCLUSION The three composites in the present study demonstrated fluoride release (Beautiful II > Gradia Direct X > Tetric EvoCeram) and fluoride recharge (Beautiful II > Gradia Direct X > Tetric EvoCeram). This capability raises the possibility of fluoride-containing composites exhibiting a lower incidence of recurrent caries than non fluoride–containing composites. The mechanical properties of each composite did not diminish with aging and fluoride release over the testing period.
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Affiliation(s)
- S Naoum
- The University of Sydney, Westmead Oral Health Centre, Sydney, Australia
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Mustapha F, Naoum S. Factors influencing the effectiveness of construction site managers. International Journal of Project Management 1998. [DOI: 10.1016/s0263-7863(97)00025-2] [Citation(s) in RCA: 45] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Aérichidé N, Crexelles C, Naoum S, Bonni Y, Simard P, Lacombe M. [Hemolysis in patients with a valve prosthesis]. Arch Mal Coeur Vaiss 1972; 65:853-62. [PMID: 4633522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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