Diş Hekimliği Fakültesi / Faculty of Dentistry

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3D Printing in Endodontics: Report of Three Clinical Cases with Innovative Approaches
(2021) Koc, Cemre; Capci, Abdullah; 34553896
3D printing is a process whereby a given material is deposited in successive layers to create a 3D object. In dentistry, this technology involves three steps: digital data acquisition using a scanner and/or CBCT, data processing and design within a software application, and manufacturing through 3D printing. The aim of the present article is to discuss the clinical application of 3D printing in endodontics through the presentation of three specific and original endodontic clinical cases. Innovative approaches were utilized in these cases for the treatment of a calcified root canal, periapical surgery, and autotransplantation. The results of all three cases were promising regarding proper case selection and in the design process. 3D-printing technology may be helpful to reduce surgical time, operator bias, and the risk of procedural errors.
Accidental Displacement of Mandibular Third Molar Roots into the Pterygomandibular Space
(2018) Tamer, Y.; Pektas, Z. O.; 30074013; AAE-7376-2019
The surgical removal of impacted third molars is one of the most common procedures performed in both oral surgery and general dentistry. Accidental displacement of the impacted tooth or root fragments to the adjacent anatomical spaces is a rare but serious complication with even life-threatening complications. This case report presents the diagnosis and surgical management of an accidentally displaced right mandibular third molar root via an intraoral approach.
Accuracy of Digitally Enhanced Images Compared with Unprocessed Digital Images in The Detection of External Root Resorption
(2017) Ghoncheh, Zahra; Afkhami, Farzaneh; Fard, Mohammad Javad Kharazi; Sorkhabi, Rasa Ebrahimi; Aydin, Ulkem; https://orcid.org/0000-0002-2130-2812
This study was for comparing the accuracy of processed digital images (reverse-contrast and colorization) with that of unprocessed digital images in detection of external root resorption (ERR). Eighty single-rooted human teeth were selected for this study. Mild, moderate, and severe ERR were simulated on 20 teeth each, and 20 were left untreated. Digital images using the paralleling technique were made, and three types of images were finally produced: unprocessed, reverse-contrast, and colorized. Three experienced dentists examined the images. The Wilson confidence intervals were calculated to analyze the diagnostic data. The kappa statistic was used to determine interobserver agreement. For unprocessed images, the rate of correct classification of mild and moderate to severe ERR was 88.3 and 80.0 %, respectively. The corresponding rate for reverse-contrast images was 81.7 and 80.0 %, and that for colorized images was 93.3 and 80.0 %, respectively. The sensitivity of unprocessed images in the detection of mild and moderate to severe ERR was 0.93 and 0.84, respectively. The corresponding sensitivity for reverse-contrast images was 0.83 and 0.84, and that for colorized images was 0.93 and 0.84, respectively. The specificity of unprocessed, reverse-contrast, and colorized images was 0.90, 0.92, and 1.00, respectively. The kappa coefficient for interobserver agreement was 0.86 for unprocessed images, 0.88 for reverse-contrast images, and 0.89 for colorized images. The difference between the sensitivity and specificity of unprocessed, reverse-contrast, and colorized images was not statistically significant (p > 0.05). The three techniques were of similar and desirable accuracy in detection of ERR.
Accuracy of high-resolution ultrasound (US) for gingival soft tissue thickness mesurement in edentulous patients prior to implant placement
(2021) Sonmez, Gul; Kamburoglu, Kivanc; Gulsahi, Ayse; 33201732
Objectives: To evaluate and compare the accuracy of high-resolution ultrasound (US) with two different cone beam CT (CBCT) units and clinical assessment for measuring gingival soft tissue thickness in edentulous patients prior to implant placement. Methods and materials: The study consisted of 40 maxillary implant sites of 40 healthy patients (20 females, 20 males; mean age, 47.88 years). We prospectively evaluated labial/buccal gingival thickness in 40 implant regions (16 anterior and 24 posterior) by using limited field of view (FOV) CBCT images and US images in comparison to gold standard transgingival probing measurements. One-way analysis of variance (ANOVA) was used to compare mean measurements obtained from CBCT (Morita and Planmeca), US, and transgingival probing. Interclass correlation coefficient (ICC) estimates were calculated based on means with two-way mixed and absolute-agreement model. Bland Altman plot was used to describe agreement between clinical vs US and CBCT measurements by constructing limits of agreement. Statistical significance was set at p < 0.05. Results: There was no significant difference between methods used according to mean gingival thickness measurements obtained from the top (p = 0.519) and bottom (p = 0.346) of the alveolar process. US and CBCT measurements highly correlated with clinical measurements for both top and bottom alveolar process gingival thickness (p < 0.001). Distribution of differences between clinical measurements and both CBCT measurements showed statistically significant differences according to 0 (p < 0.05). Distribution of differences between clinical measurements and US measurements did not show statistically significant difference (p > 0.05). Conclusion: High-resolution US provided accurate information for the measurement of gingival soft tissue thickness in edentulous patients prior to implant placement.
Accuracy of The Third Molar Index for Assessing the Legal Majority of 18 Years in Turkish Population
(2016) Gulsahi, Ayse; De Luca, Stefano; Cehreli, S. Burcak; Tirali, R. Ebru; Cameriere, Roberto; https://orcid.org/0000-0001-6487-3984; 27344224; AAD-6138-2021; HZK-4947-2023
In the last few years, forced and unregistered childmarriage has widely increased into Turkey. The aim of this study was to test the accuracy of cut-off value of 0.08 by measurement of third molar index (I-3M) in assessing legal adult age of 18 years. Digital panoramic images of 293 Turkish children and young adults (65 girls and 128 boys), aged between 14 and 22 years, were analysed. Age distribution gradually decreases as I-3M increases in both girls and boys. For girls, the sensitivity was 85.9% (95% CI 77.1-92.8%) and specificity was 100%. The proportion of correctly classified individuals was 92.7%. For boys, the sensitivity was 94.6% (95% CI 88.1-99.8%) and specificity was 100%. The proportion of correctly classified individuals was 97.6%. The cut-off value of 0.08 is a useful method to assess if a subject is older than 18 years of age or not. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
Age estimation in Turkish children and young adolescents using fourth cervical vertebra
(2020) Gulsahi, Ayse; Cehreli, Sevi Burcak; Galic, Ivan; Ferrante, Luigi; Cameriere, Roberto; 31915966
This study aimed to test radiographic projections of the posterior and anterior sides of the C4 vertebral body for age estimation in a cross-sectional sample of Turkish children and adolescents from the Baskent University Faculty of Dentistry. A sample of 232 x-rays from individuals aged between 5 and 15 years (101 boys and 131 girls) was analysed to investigate the correlation of age and changes in the projection ratio of the anterior and posterior sides of the body of the fourth cervical vertebra (Vba) in lateral cephalograms. The Normal Bayesian Calibration (NBC) model for age estimation was used to assess the relationship between Vba and age. The intra-observer repeatability and inter-observer agreement were 0.95 and 0.94, respectively. Age distribution gradually increased as Vba increased up to 14 years in both sexes. The difference between chronological and estimated ages did not increase with the increase in age. Calibration distributions of the dataset by the evaluation of Vba suggested mean absolute errors (MAEs) of 0.879 years and 0.906 years (mean interquartile ranges (MIQRs) 1.290 and 1.435 years)) in boys and girls, respectively. The biases of the estimates (beta(ERR)) were 0.013 and 0.027 for boys and girls, respectively. In conclusion, the NBC method on Vba variable appears to be suitable for age estimation in Turkish children and adolescents.
Alt çene tam ve kısmi dişsizlik vakalarında diş, implant ve diş-implant destekli hareketli protez uygulamalarında protetik yapılar ve çevre dokulardaki stres, gerinim ve yer değiştirmenin 3 boyutlu sonlu elemanlar stres analiz yöntemi ile değerlendirilmesi
(Başkent Üniversitesi Diş Hekimliği Fakültesi, 2012) Dağlık, Deniz; Çağlar, Alper
Bu çalışmanın amacı; mandibular diş, implant ve diş-implant destekli hareketli protezlerde, kortikal ve trabeküler kemiğin, protezin, dentinin, implantın, periodontal ligament ve tutucu elemanların biyomekanik davranışını, üç boyutlu sonlu elemanlar stres analizi ile değerlendirmektir. Üç boyutlu dişsiz mandibula modelinde dört farklı tasarım oluşturulmuştur. 1. tasarımda, kanin dişler bölgesinde iki adet implant, 2. tasarımda iki kanin diş, 3. tasarımda iki kanin diş ve ikinci molarlar bölgesinde iki adet implant ve 4. tasarımda kanin ve ikinci molar dişler bölgesinde ikişer adet implant locator tutucularla birlikte alt çene hareketli protez desteği olarak kullanılmıştır. Yükleme, sol kanin, premolar ve molar dişlerin cusp tepelerinden vertikal olarak toplam 100 N olarak uygulanmıştır. Sonlu elemanlar stres analizinde 3. ve 4. tasarımlar, 1. ve 2. tasarımlarla kıyaslandığında daha az yer değiştirme ve mukozada daha düşük temas basıncı ve basma stresleri göstermiştir. 4. tasarımda implant çevresi kortikal kemikte, locatorda, locator matrisinde ve housing parçada yükleme yapılmayan taraf posterior implantında en yüksek stresler oluşmuştur. 3. tasarımda posterior bölgeye implant yerleştirilmesiyle kanin dişlerde dentin ve periodontal ligamentte oluşan stresler azalmıştır. Posterior bölgeye implant yerleştirilmesiyle, ikinci molar bölgesinde trabeküler kemikte oluşan gerinim değerleri artmıştır. Posterior implant çevresindeki kortikal kemikte oluşan en yüksek değerler, kemikte rezorbsiyona neden olabileceği belirtilen en yüksek değerlerin altında görülmüştür. Dişsiz alveoler krette oluşan gerinim değerleri Frost’un kemik yapımı ve rezorpsiyonunu tanımladığı stimulasyon pencere aralığı değerlerinin alt sınırına yakın olduğu, posteriora implant yerleştirilmesiyle bu bölge kemiğinde oluşan gerinimlerin arttığı ve stimulasyon pencere aralığı değerleri içinde oluştuğu görülmüştür. En yüksek stresler dört implant kullanılan tasarımda posterior implantta, locator parçada, locator matrisinde ve housing parçada oluşmuştur. Elde edilen stres değerleri materyallerin dayanma sınırının altında oluşmuştur. Bu streslerin ve gerinimlerin, kemik rezorbsiyonu ve locator tutucu parçaya olan etkilerinin uzun dönemli klinik çalışmalarla değerlendirilmesi gerekmektedir. The aim of this study is to evaluate the biomechanical behavior of trabecular and cortical bone, denture, dentin, implant, periodontal ligament, and retentive elements on tooth, implant and implant-tooth supported removable overdenture prosthesis by three dimensional finite element analysis. Four different designs were constructed in 3 dimensional edentulous mandibular model. In the first design, two implants on canine tooth region; in the second design, two canine teeth; in the third design, two canine teeth and two implants on second molar region and in the fourth design, two implants each with locator retentive on canine and second molar region were used as mandibular removable overdenture prosthesis support. Loading was applied vertically on left canine, premolar and molar teeth with a total of 100 N. Designs 3 and 4 showed lower displacement and low contact pressure and compressive stresses at mucosa when compared with model 1 and 2 on finite element analysis. Cortical bone around posterior implants, locator abutment, locator matris and housing at unloaded posterior implant sites showed higher stresses in design 4. Stress values of periodontal ligament and dentin was decreased with the placement of implant at posterior region in model 3. With the placement of implant at posterior region, the strain values were increased on trabecular bone in second molar region. The highest stresses that occur on cortical bone around the posterior implant were lower than the highest values indicated to cause bone resorption. The results showed that strain values occurred on edentulous posterior alveoler ridge were close to the lowest values of numerical analyses of stimulus window scale defined for bone apposition and resorption by Frost; with placement of implant to posterior region strain values were increased in this bone region and all strain values were grouped in Frost’s stimulus window scale. The highest stress values were obtained on posterior implant, locator, matris and housing in design where four implants were used. The stress values were below materials endurance limit. However, effects of obtained stress and strain values on bone resorption and locator retention should be evaluated with long term clinical studies.
An Alternative Impression Technique for Complete Dentures
(2014) Yilmaz, Burak; Ozcelik, Tuncer Burak; https://orcid.org/0000-0001-5685-4409; 24286641; JJF-5618-2023
This article describes a technique for creating adequate space for an even thickness of polyvinyl siloxane (PVS) impression material at the periphery during complete denture impression making. A PVS border molding material is injected around the borders of a custom tray, a 17-mu m-thick stretch wrap film is folded into 4 layers, and a tray-shaped piece slightly larger than the size of the custom tray is placed on the tray covering the borders. After the border molding procedure is completed, the film is removed and the definitive impression completed with a medium-viscosity PVS impression material.
Alveolar Ridge Preservation with A Free Gingival Graft in the Anterior Maxilla: Volumetric Evaluation in A Randomized Clinical Trial
(2015) Karaca, C.; Er, N.; Gulsahi, A.; Koseoglu, O. T.; 25682463
The aim of this study was to evaluate and compare the dimensional changes in maxillary extraction sockets that have healed spontaneously and those treated with free gingival grafts. Ten subjects with at least two maxillary anterior teeth scheduled for extraction were selected for this study. Two maxillary teeth were allocated randomly to either the test group or the control group. In the test group, the extraction socket was covered with a free gingival graft harvested from the palate, while in the control group the sockets healed spontaneously. Cone beam computed tomography (CBCT) scans were taken on the day of extraction and at 3 months postoperative. Soft tissue healing of the extraction sockets was assessed visually by clinical inspection. Hard tissue measurements were obtained from the CBCT scans. After 3 months of healing, the control sockets had lost height in the buccal and lingual crestal bones (-1.03 and 0.56 mm, respectively); however, the height in the buccal and lingual crestal bones was preserved at the test sites (+0.06 and +0.25 mm, respectively). This difference between the two groups was statistically significant (P < 0.05). In contrast, both the control and test groups lost width in the buccal and lingual crestal bones; the difference between the control and test groups was not statistically significant (P > 0.05). The authors propose that covering the orifice of the extraction socket with a free gingival graft can result in preservation of the alveolar bone height.
Alveolar Ridge Splitting Versus Autogenous Onlay Bone Grafting: Complications and Implant Survival Rates
(2017) Altiparmak, Nur; Akdeniz, S.S.; Bayram, B.; Gulsever, S.; Uckan, S.; 28114264
Purpose:To compare the complications and implant survival rates of localized alveolar ridge deficiencies in the horizontal dimension reconstructed by alveolar ridge splitting (ARS) or autogenous onlay bone grafting (OBG).Materials and Methods:Twenty-eight ARS and 28 OBG were performed. The survival rate of the all included implants was evaluated using the clinical and radiographical evaluation criteria of Misch et al. Temporary exposure of graft, mild infection, temporary paresthesia, and bad split were defined as minor complications; permanent exposure of graft, loss of graft, and permanent paresthesia were defined as major complications. Major and minor complications of ARS and OBG groups were statistically compared.Results:When the minor and major complication rates are considered, there was not any statistically significant difference between OBG (P = 0.099) and ARS (P = 0.241) groups. The satisfactory survival rate of OBG group was 92% and was 100% in the ARS group, and the difference was not statistically significant (P = 0.116).Conclusion:When reconstructing vertically sufficient but horizontally insufficient alveolar ridges, ridge splitting technique could shorten the treatment period, decrease postoperative swelling and pain, eliminate the need for a second surgical site, reduce the treatment cost, and ease the patient cooperation to the surgery.
An Evaluation of the Relationship Between the Mesiobuccal Canal Configuration, the Interorifice Distance, and the Root Lengths of the Permanent Maxillary First Molars with Cone Beam Computed Tomography
(DIAGNOSTICS, 2024-12) Ozemre, Mehmet Ozgur; Karslioglu, Hazal; Kamburoglu, Kivanc
Background/Objectives: This study aimed to investigate the relationship between the mesiobuccal root canal configuration (MB RCC), the interorifice distance (IOD) and the corresponding root and other root lengths of the permanent maxillary first molars; Methods: Cone beam computed tomography (CBCT) images were acquired between 2020 and 2023 for different purposes unrelated to this study. Overall, 1550 CBCT images were retrospectively evaluated. A dentomaxillofacial radiologist with 15 years of experience evaluated the CBCT images and performed the measurements; Results: According to the MB RCC, there was no statistically significant difference between the Vertucci type II and Vertucci type IV groups in terms of the mean age and sex distribution (p = 0.694 and p = 0.273). There was no statistically significant difference in the IOD between the MB RCC groups (p = 0.755). Moreover, according to the MB RCC, there was no statistically significant difference between the Vertucci type II and Vertucci type IV groups in terms of the mesiobuccal, distobuccal, palatinal, and mean root lengths (p > 0.05); Conclusions: There was no association between the IOD and the type of RCC in the maxillary first molars. New studies conducted by collecting data from different centers to explore the different morphological features of maxillary first molars and detect their anatomical differences will provide more reliable and accurate results.
Analysis Of Gingival Display During Static And Dynamic Smiles In A Turkish Sample: A Clinical Study
(2022) Arifagaoglu, Ozge; Yilmaz, Umran; 35478707
Purpose The aim of this study is to determine the prevalence of smile types in spontaneous smiles among a Turkish population aged 18-23 and to compare it with the prevalence of static smiles. Materials and Methods This study was carried out with 150 undergraduate students at Baskent University Faculty of Dentistry (75 females, 75 males). For this purpose, photo recordings for static smiles and 20-second video recordings for dynamic smiles were taken 40 cm from the participant's nose. Measurements were made with an electronic ruler. Results High smile line was found to be the highest prevalence in both static and dynamic smiles (p<0.001). The average soft tissue display is higher in dynamic smiles (p<0.05). In both static and dynamic smiles, the average amount of gingival display was higher in females than in males (p<0.05). Conclusion When the smile line was evaluated on the photograph recordings while the patient was posing, it was found to be lower than the natural spontaneous smile line obtained from the video recordings. Since the gingival display increases when patients smile naturally instead of posing, clinical evaluations and restorative considerations should be planned according to the dynamic smile.
Antiproliferative and Mitochondrial Protective Effects of Apigenin in an Oxygen-Induced Retinopathy In Vivo Mouse Model
(2021) Sezenoz, Almila Sarigul; Akkoyun, Imren; Helvacioglu, Fatma; Haberal, Nihan; Dagdeviren, Attila; Bacanli, Didem; Yilmaz, Gursel; Oto, Sibel; 0000-0002-2860-7424; 34665015; AAK-7713-2021
Purpose: To investigate the effects of a common dietary flavonoid apigenin on retinal endothelial cell proliferation, retinal morphological structure, and apoptotic cell death in an oxygen-induced retinopathy (OIR) mouse model to evaluate the possibility of the use of apigenin in the treatment of ocular neovascular diseases (ONDs). Methods: Ninety-six newborn C57BL/6J mice were included. Eight groups were randomized, each including 12 mice. Two negative control groups were kept in room air: the first without any injection and the second received intravitreal (IV) dimethyl sulfoxide (DMSO), which is the solvent we used. The OIR groups were exposed to 75% +/- 2% oxygen from postnatal days (PD) 7 to 12. On PD 12, the mice were randomly assigned to 6 groups: 2 OIR control groups (1 received no injection, 1 received IV-DMSO), 2 IV-apigenin groups (10 and 20 mu g/mL), and 2 intraperitoneal (IP)-apigenin groups (10 and 20 mg/kg). We quantified retinal endothelial cell proliferation by counting neovascular tufts in cross-sections and examined histological and ultrastructural changes through light and electron microscopy. We evaluated apoptosis by terminal deoxynucleotidyl transferase-mediated nick end-labeling (TUNEL). Results: We detected a significant increase in endothelial cell proliferation in the OIR groups. Groups receiving apigenin, both IP and IV, had significant decreases in endothelial cells, atypical mitochondrion count, and apoptotic cells compared with the groups receiving no injections. None of the apigenin-injected groups revealed cystic degeneration or cell loss. Conclusions: Apigenin suppresses neovascularization, has antiapoptotic and antioxidative effects in an OIR mouse model, and can be considered a promising agent for treating OND. Clinical trial (Project number: DA15/19).
Appraisal of the relationship between tooth inclination, dehiscence, fenestration, and sagittal skeletal pattern with cone beam computed tomography
(2019) Coskun, Ipek; Kaya, Burcak; 30741575
Objectives: To examine the relationship between sagittal facial pattern and dehiscence/fenestration presence in conjunction with buccolingual tooth inclination by using cone beam computed tomography. Materials and Methods: The study was carried out on the cone beam computed tomography scans of the following three groups of patients (n = 20 in each group): Class I, Class II, Class III. Buccolingual tooth inclination, buccal dehiscence/fenestration presence, and lingual dehiscence/fenestration presence were evaluated on each tooth. Analysis of variance, Kruskall-Wallis H, Scheffe, and chi-square tests were used for statistical comparisons. Results: Differences (P<.05) were observed between the groups for inclination of upper incisors and all lower teeth except for second molars. Dehiscence prevalence in the upper buccal and posterior buccal regions was higher (P<.05) in the Class I group when compared with the other groups. Lower buccal and anterior buccal regions showed higher (P=.0001) dehiscence prevalence in all groups. No difference was observed in fenestration prevalence between the groups. The upper buccal and anterior buccal regions showed higher (P=.0001) fenestration prevalence in all groups. Conclusions: Orthodontists must consider concealed alveolar defects in treatment planning to avoid gingival recession or tooth mobility.
Assessing the Influence of Chin Prominence on Profile Esthetics: A Survey Study
(2018) Pisiren, Akin Bugra; Arman Ozcirpici, Ayca; Tuncer, Nilufer Irem; 0000-0002-3284-8220; 0000-0002-9250-3689; 29506888; HLV-7691-2023
Purpose: The aim of this survey study was to assess the influence of chin prominence on the perception of profile esthetics between genders by orthodontists, oral and maxillofacial surgeons (OMF), plastic surgeons, orthognathic patients and laypersons. Materials and methods: A total of 731 observers participated in this study. Profile photographs of one female and one male showing ideal soft tissue values, skeletal class 1 relationship, and normodivergent facial type were modified with photo editing program (Adobe Photoshop CC software), so that the chin was moved posteriorly up to 10 mm and anteriorly up to 8 mm at 2-mm intervals. Participants were asked to rate 11 female and 11 male profile images and to assess whether surgery was needed. Results: Within the limits of this study, ideal, slightly concave and slightly convex profiles for females, and ideal and slightly concave profiles for males were found more acceptable. Surgery was desired for 50.9% of retrusive profiles and 57.3% of protrusive profiles. Female participants had a higher rate of desire for surgery than male participants, and clinicians desired surgery significantly less than others. Desire for surgery started from 4 mm in males and females for all groups, from -6 mm in orthodontists and OMFs, from -4 mm in other groups in females, and from -6 mm in males for all groups. Conclusion: Clinicians tend to operate more pronounced cases when compared to laypeople. A significantly higher rate of surgery was desired for protrusive chin profiles, and female participants had a higher desire for surgery. (C) 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Assessing the Quality of Youtube (TM) Videos on Fixed Dental Implant Home-Care and Maintenance Protocols
(2022) Ozisci, Ozlem; 36540951
Objectives: The implant's supporting structure differs from that of the teeth when plaque accumulates, making it more prone to inflammation and bone loss. To ensure the implant's longevity, an effective maintenance protocol should be followed. This study aimed to evaluate the information on oral hygiene procedures at home for implant-supported fixed prosthesis. Methods: The keywords 'cleaning dental implant,' 'how to clean dental implant,' and 'dental implant hygiene' used to search for videos on YouTube (TM). Following the exclusions, two researchers independently analysed the remaining 100 videos for demographic data and content usefulness. Results: In terms of usefulness score distribution, 53.52% of the videos were considered slightly useful, 38.4% moderately useful and 8.1% very useful. The video content had the least quantity of knowledge about toothpaste choice (11.1%), but the greatest quantity of knowledge on flossing (68.7%). Conclusions: According to the study's findings, there is presently no evidence-based information on YouTube (TM) on dental implant oral hygiene protocols for home care procedures hygiene education. Therefore, dental care professionals should analyse the information's quality and reliability before recommending it to patients.
Assessment of alternative emergency treatments for symptomatic irreversible pulpitis: a randomized clinical trial
(2018) Birgul, Eren; Onay, Emel Olga; Ungor, Mete; 0000-0002-3276-0843; 0000-0001-5800-8871; 28857203; B-4134-2008; ABE-9724-2021
Aim To evaluate three emergency procedures for their ability to alleviate clinical symptoms associated with symptomatic teeth having signs of (at least) partial irreversible pulpitis. Methodology Sixty-six maxillary and mandibular molars were randomly assigned to a total pulpectomy group (TP; n = 22), partial pulpectomy group (PP; n = 22) or pulpotomy group (P; n = 22). Procedure durations were recorded. Patients answered a questionnaire on daily analgesic requirements and about clinical symptoms (pain intensity, chewing sensitivity and thermal sensitivity) after the anaesthetic effect had disappeared (Day 0) and on Days 1, 3 and 7 post-treatment. Results The total pulpectomy group was associated with the longest procedures (median, 24 min), followed by the partial pulpectomy and pulpotomy groups (P < 0.001 for all). In all three groups, pain intensity, thermal sensitivity and chewing sensitivity decreased significantly from the preoperative time-point to Day 7 (P < 0.001 for all). The total pulpectomy group reported greater reductions in pain intensity than the pulpotomy group between Days 0 and 7, Days 1 and 3, and Days 1 and 7 (P < 0.001 for all). No other intergroup differences were noted regarding reductions in pain intensity, and none were observed with respect to changes in prevalence of thermal sensitivity and chewing sensitivity. There were also no significant intergroup differences regarding the analgesic requirements throughout the 7days. Conclusion As emergency treatments for teeth having signs of irreversible pulpitis, pulpotomy, partial pulpectomy and total pulpectomy were comparable with respect to relieving clinical symptoms. Pulpotomy may be preferred because it requires significantly less time and is a simple technique that relieves symptoms quickly and effectively.
Assessment of antibacterial activity of different treatment modalities in deciduous teeth: an in vitro study
(2016) Gokcen, Esra Yesiloz; Oz, Firdevs Tulga; Ozcelik, Berrin; Orhan, Ayse Isil; Ozgul, Betul Memis; 0000-0002-3291-6174
In recent years, different biotechnological materials and modalities with antibacterial activity are being developed for oral cavity disinfection. However, the antimicrobial effects of all these materials have not been studied and understood in detail. Thus, the aim of this study was to compare the antibacterial activity of ozone therapy with dentine-bonding agents (containing antibacterial monomer 12-meth-acryloyloxydodecylpyridinium bromide (MDPB) and 10-methacryloyloxydecyl dihydrogen phosphate (MDP) and Ca(OH)(2) for deciduous teeth in vitro. The antibacterial effectiveness of the studied materials was determined by using a tooth cavity model on cylindrical cavities created in 90 deciduous second mandibular molars. Streptococcus mutans suspension was inoculated in the cavities. The teeth were distributed into six study groups (five different modalities and a negative control group). Dentine samples, which were collected from the cavities before and after the treatment sessions, were microbiologically evaluated and the materials' antibacterial activities were compared. There were statistically significiant differences in the S. mutans counts before and after treatment (P < 0.05). In terms of antibacterial efficiency, 60-second O-3 treatment was found to be the most successful method, followed by 30-second O-3, Clearfil Protect Bond (containing MDPB), Clearfil SE Bond (containing MDP) and Ca(OH)(2) treatment. The results from this study suggested that longer exposure to ozone might have more beneficial effects in terms of antibacterial activity for reducing the levels of S.mutans.
Assessment of carotid artery calcifications on digital panoramic radiographs and their relationship with periodontal condition and cardiovascular risk factors
(2020) Bilgin Cetin, Mehtap; Sezgin, Yasemin; Nisanci Yilmaz, Mediha Nur; Koseoglu Secgin, Cansu; 32996164
Objective The main purpose of this study is to determine the presence of carotid artery calcification (CAC) detected on digital panoramic radiographs (DPRs) retrospectively and correlate the findings with cardiovascular risk factors including gender, age, smoking status, hypertension, diabetes, and hyperlipidemia, along with atherosclerotic cardiovascular disease and periodontal status. Methods This clinical study is registered at ClinicalTrials.gov as NCT04017078. DPRs, periodontal status and cardiovascular risk factors of 1,101 patients (576 males, 525 females) were evaluated. The patients were grouped based on whether CAC was detected in dental DPRs [CAC (+)] or not [CAC (-)]. Periodontal status was categorised as gingivitis, periodontitis, and gingivitis with reduced periodontium (periodontally stable patient). Results Out of 1,101 patients, whose mean age was 42.1 +/- 15.5 years and 525 (47.7%) were female, 34 (3.1%) were diagnosed with CAC on DPRs. No significant difference was observed between groups considering gender, hypertension, diabetes, hyperlipidemia, smoking, and periodontal status. Patients aged 40-55 years (n = 398, 36.15%) and patients older than 55 years (n = 222, 20.16%) were associated with CAC (odds ratio = 4.49, 95% confidence interval = 1.65-12.17,P = 0.003; odds ratio = 4.41, 95% confidence interval = 1.33-14.61,P = 0.015, respectively). Conclusion Among all parameters, only age exhibited significant correlation with an increased risk of carotid calcification. Further studies with prospective designs and larger study populations are needed.
Assessment of Changes in Masseter Muscle by Three-Dimensional Close-Range Photogrammetry After Botulinum Toxin Type-A Injection: A Case Report with Review of Literature
(2019) Bayrak, Nagehan Burcu; Zeybek, Mustafa; Sanlioglu, Ismail; Dolanmaz, Dogan; https://orcid.org/0000-0001-8640-1443; 30890839; D-2556-2018
Masseter muscle hypertrophy (MMH) is a benign, unilateral or bilateral, painless enlargement. Treatment protocols include surgical excision or a non-invasive option, using botulinum toxin type A (BTX-A). There is no study in the literature that measures this dimensional change in the masseter muscle (MM). The aim of this case report is to present changes in volume and surface area in MM with three-dimensional close-range stereophotogrammetry (3DCS). For treatment 30 units of BTX-A was injected into the three points hypertrophic muscle and patient records were taken to compare with 3DCS with a non-metric Canon EOS 550 D camera before and after injection. The changes in the surface area and volume of this muscle were mapped and the objective data were obtained. This technique is useful for predicting the results of BTX-A application, and can be a useful tool for better physician-patient communication.