Fakülteler / Faculties
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Item Use of Cone-Beam Computed Tomography in Diagnosis of An Otherwise Undetected Periapical Lesion in An Anomalous Tooth(2014) Gulsahi, Ayse; Ates, Ufuk; Tirali, Resmiye Ebru; Cehreli, Sevi Burcak; https://orcid.org/0000-0001-6487-3984; HGA-3970-2022; AAD-2907-2020; AAD-6138-2021Fusion is a developmental anomaly of dental hard tissues. Since dental fusion is characterized by irregular coronal morphology and a complex endodontic anatomy, endodontic therapy of such teeth may present a serious clinical challenge. Cone-beam computed tomography (CBCT) is a useful tool for the management of complex endodontic problems and dental anomalies. In the case presented here, a CBCT scan revealed morphological details as well as the severity of periapical infection that had not been visualized with conventional imaging techniques. The results obtained with detailed imaging led to a change in the treatment plan.Item Efficiency of Fluoride-Free Toothpastes on The Inhibition of Erosive Tooth Wear in Primary And Permanent Teeth(2021) Uyar, Didem Sakaryali; Ozgul, Betul Memis; Tirali, Resmiye EbruThe objective of this study was to evaluate inhibition efficiencies of different fluoride-free remineralization agents against erosive challenge of orange juice on primary and permanent teeth samples using optical profilometer and scanning electron microscope. Forty-five non-carious permanent third molar teeth extracted in the orthodontic treatment and 45 non-carious primary teeth extracted at the exfoliation time were included in the study. After surface preparation for each sample, three different toothpastes which included CPP-ACP (Group-1), organic calendula-xylitol (Group-2), and calcium hydroxyapatite-silica (Group-3), were applied during erosion cycle with orange juice. After the cycle, surface depth and roughness for all samples were evaluated by optical profilometer. According to the analysis of exhibited data, significance level was accepted as p<0.05. Linear surface depth values were significantly higher in permanent teeth compared to primary teeth for Group-1. However, volumetric surface roughness values were statistically higher in Group-2 and Group-3 for primary teeth compared to permanent teeth samples. Erosion inhibition efficiency of fluoride is known. However, parents are very concerned about the toxic nature and prefer using fluoride-free toothpastes. Based on the findings, parents should be informed about insufficient erosion inhibition efficiency of these fluoride-free toothpastes and further studies are needed to inform dentists about the remineralization efficiency of ingredients of toothpastes for both primary and permanent teeth.Item Effects of Music on Sedation Depth and Sedative Use During Pediatric Dental Procedures(2016) Ozkalayci, Ozlem; Araz, Coskun; Cehreli, Sevi Burcak; Tirali, Resmiye Ebru; Kayhan, Zeynep; 0000-0002-4927-6660; 0000-0001-6487-3984; 0000-0003-0579-1115; 27687464; AAJ-4576-2021; AAD-6138-2021; HZK-4947-2023; AAD-2907-2020; AAJ-4623-2021Study objective: The study aimed to investigate the effects of listening to music or providing sound isolation on the depth of sedation and need for sedatives in pediatric dental patients. Design: Prospective, randomized, and controlled study. Setting: Tertiary, university hospital. Patients: In total, 180 pediatric patients, American Society of Anesthesiologists physical status I and II, who were scheduled for dental procedures of tooth extraction, filling, amputation, and root treatment. Interventions: Patients were categorized into 3 groups: music, isolation, and control. During the procedures, the patients in the music group listened to Vivaldi's The Four Seasons violin concertos by sound isolating headphones, whereas the patients in the isolation group wore the headphones but did not listen to music. All patients were sedated by 0.1 mg/kg midazolam and 1 mg/kg propofol. During the procedure, an additional 0.5 mg/kg propofol was administered as required. Measurements and main results: Bispectral index was used for quantifying the depth of sedation, and total dosage of the propofol was used for sedative requirements. The patients' heart rates, oxygen saturations, and Observer's Assessment of Alertness and Sedation Scale and bispectral index scores, which were monitored during the operation, were similar among the groups. In terms of the amount of propofol used, the groups were similar. Prolonged postoperative recovery cases were found to be significantly frequent in the control group, according to the recovery duration measurements (P = .004). Conclusions: Listening to music or providing sound isolation during pediatric dental interventions did not alter the sedation level, amount of medication, and hemodynamic variables significantly. This result might be due to the deep sedation levels reached during the procedures. However, listening to music and providing sound isolation might have contributed in shortening the postoperative recovery duration of the patients. (C) 2016 Elsevier Inc. All rights reserved.Item Dental and Dentofacial Problems in A Female Child With Toriello-Carey Syndrome: Changes in 3 Years(2016) Tirali, Resmiye Ebru; Ilhan, Banu; Sar, Cagla; Cehreli, Sevi Burcak; 0000-0001-6487-3984; 0000-0003-4966-9779; 27159668; HZK-4947-2023; AAD-2907-2020; AAD-6138-2021Toriello-Carey syndrome is a rare disease whose clinical manifestations are midline facial defects, laryngeal and pharyngeal hypoplasia, cardiac defect, and corpus callosum hypoplasia. Literature states that clinical manifestations are more evident in males. This is the second report in the literature which describes the dental and dentofacial features in an 8-year-old female patient with Toriello-Carey syndrome.Item Does MIH Affects Preoperative and Intraoperative Hypersensitivity?(2022) Ozgul, Betul Memis; Sakaryali, Didem; Tirali, Resmiye Ebru; Cehreli, Sevi Burcak; 35830629Objective: Hypersensitivity is an important problem that is encountered during the treatment of hypomineralized teeth. The aim of this prospective study was to compare responses to electrical pulp tests (EPTs) and cold tests among carious teeth with and without molar incisor hypomineralization (MIH) before and after the administration of local anesthesia for caries removal Results: The EPT results of anesthetized carious teeth without MIH were significantly higher than those of carious teeth with MIH (p = 0.011). The cold test results were significantly higher for anesthetized carious teeth with MIH than for those without MIH (p = 0.0001). Intraoperative pain was significantly higher for carious teeth with MIH (p = 0.003). Conclusions: The results of this study suggest that even after achieving sufficient anesthesia, hypersensitivity remains a clinical problem in MIH-affected carious molars. The results presented in this study indicate that this phenomenon is not related to achieving effective local anesthesia; therefore, behavior management in such cases is of the utmost importance compared to relying on adjacent anesthetic methods.Item Assessment of dental pain in children with intellectual disability using the dental discomfort questionnaire(2021) Senirkentli, Guler Burcu; Tirali, Resmiye Ebru; Bani, Mehmet; 33499707Objective: This study aimed to compare the Dental Discomfort Questionnaire (DDQ) scores in children with and without intellectual disability (ID) and to measure correlation between the total DDQ and the Decayed, Missing, and Filled Teeth (DMFT/dmft) scores, as well as the condition of the tooth causing pain. Method: This cross-sectional study included 81 children with normal intellectual development who attended the Departments of Pediatric Dentistry at two Turkish Universities and 80 children with different levels of intellectual disability who reported dental pain in special education centers. The 12-question DDQ (Turkish version) was applied to the parents of the patients with their consent. The relationship of the DDQ scores with tha of the DMFT/dmft, dental status, and demographic data was evaluated. Results: When the DDQ scores of children with intellectual disabilities were evaluated, it was found that the majority of the answers given to the questions were statistically similar (p < 0.05) to those of children with normal cognitive level. In the questions in which "pain when eating and brushing teeth" was evaluated, a higher score was obtained, which led to an increase in the total DDQ score (p < 0.001). There was a statistically significant difference between the groups in terms of the distribution of dental conditions (p < 0.001). When compared to the normal cognitive group, patients with mild and severe intellectual disabilities had more deep dentin caries, thoughy, frequent periapical abscess was less common in those groups (p < 0.001 and p = 0.022). There was no statistically significant relationship between DMFTscores. Conclusion: The DDQ was found to be a descriptive, functional, and easy-to-use questionnaire for children with intellectual disabilitiesin terms of detecting the presence of dental pain. No correlation was found between DMFT/dmft, dental status and DDQ scores.Item Effect of new light curing units on microleakage and microhardness of resin sealants(2016) Bani, Mehmet; Tirali, Resmiye Ebru; 27252010To determine new developed light curing units with shorter curing times effects on microleakage and microhardness values for resin fissure sealants. Resin filled sealant (UltraSeal-XT), resin unfilled sealant (Delton Type-II) and ormocer-based sealant (Admira-Seal) were light cured with a quartz-tungsten-halogen (QTH), two LED light and a high power LED. Two hundred and forty extracted human molars were randomly allocated into four groups according to used light-curing unit and three subgroups were formed for three different fissure sealant materials. Specimens were immersed in 0.5% basic fuchsia for 24 h, sectioned and examined under a stereomicroscope, and scored for marginal microleakage. Knoop hardness number (KHN) readings were measured after 48 h. Statistical analyses of test were found in significant difference both microleakage and microhardness values between the various light curing units. The time saving approaches in the curing light were determined higher microhardness, although it was found in higher microleakage.