Piezoelectric surgical instruments with various mini-sized tips and cutting technology offer a precise and thin cutting line that could allow the wider use of periodontal osseous wall swaging. This randomized controlled trial was designed to investigate the use of a minimally invasive piezo knife to harvest vascularized interseptal bone pedicles in treating intra-bony defects. Sixteen non-smoking patients (mean age 39.6 ± 3.9) with severe chronic periodontitis were randomly assigned into one of two groups (N = 8). The Group 1 (control) patients were treated by bone substitute grafting of the intra-bony defect, whereas the Group 2 patients were treated by intra-bony defect osseous wall swaging (OWS) combined with xenograft filling of the space created by bone tilting. In both groups, the root surfaces were treated with a neutral 24% EDTA gel followed by saline irrigation. Clinical and radiographic measurements were obtained at baseline and 6 months after surgery. The sites treated with osseous wall swaging showed a statistically significant probing-depth reduction and increase in clinical attachment compared with those of the Group 1 patients. The defect base level was significantly reduced for the OWS group compared to that of the Group 1 control. By contrast, the crestal bone level was significantly higher in the OWS group compared to Group 1. The crestal interseptal bone width was significantly higher in Group 2 at 6 months compared to the baseline value and to that of Group 1 (<0.001). The osseous wall swaging effectively improved the clinical hard- and soft-tissue parameters. The use of mini inserts piezo-cutting, sequential bone expanders for osseous wall redirection, and root surface EDTA etching appears to be a reliable approach that could allow the use of OWS at any interproximal dimension.

The research aims to highlight cultural values and norms that are impeding practices related to child marriage in Red Sea State. The paper focuses on the concept and analytical approach to assess child marriage as one form of the various forms of marital relations. The paper analyzed the interaction relationship between early marriage practices in certain RSS localities with local community perceptions and traditional beliefs. The methodology to achieve the objectives were based on descriptive analytic approaches based on interviews, case studies and questionnaires for households in three localities namely, Sinkat, Haya and Toker. Research for early marriage are linked to the desire of relatives to preserve wealth, purity and fear of shame which girls may be subjected to with delayed marriage. It is seen as simple, non costly marriage which goes hand in hand with other values of rural areas. The impact of early marriage on social and cultural fabric was not clearly understood by locality inhabitant as 60% of the society reflected positively on the advantages of the phenomena. Fifty nine percent of the questionnaire recipient advocate that suitable marriage age is 12-18 years. The after-effects of early marriage on health and death during pregnancy are thought to decrease with education and nutrition. Evidence from localities reflect that women empowerment is low and as a consequence, social development factors are also affecting cultural fabric.

The Study aims at identifying the quantitative rate of female circumcision in the Red Sea State during June 2016, where the diffusion of such phenomenon expresses the characteristics of the local community. The methodology of the study aimed at recognizing the extent of the diffusion of female circumcision in the ten localities through exploratory survey targeted at the female teachers and the mothers of the girls at the basic level and kindergarten age. The sample of the study consisted of (1060) items taken from (166) kindergarten and (198) basic level schools. The study arrived at main results which are summarized in the extinction of this phenomenon in certain housing units in Portsudan locality (Deim Medina and Darasalam). There are indicators that point to the fact that this phenomenon is dominating rural areas. If we made a comparison between last decade and the existing study, we find that there is remarkable development in the extinction indicator (68-72%). The study presented a number of recommendations; the most important are forming pressing community currencies for the purpose of close surveillance of rural areas, particularly Haya and Dordeib. In conclusion Female genital circumcision is still a serious problem in Red Sea State not only in rural area, but also among people living in urban areas. Elimination of poverty and improvement of education level will contribute to end this harmful phenomenon. Empowerment of people and polices is highly needed and effort should made to end terrible social and cultural norms which indigenize this practice.