8.international Congress of Mediterranean Societies of Pediatric Dentistry

www.amop-turkpedo2014.
org
The Future
Perspectives in
Pediatric
Dentistry
8th INTERNATIONAL CONGRESS OF MEDITERRANEAN

SOCIETIES OF PEDIATRIC DENTISTRY
8. Uluslararas Akdeniz lkeleri Pedodonti Dernekleri Kongresi
&
21st CONGRESS OF TURKISH SOCIETY OF
PEDIATRIC DENTISTRY
21. Trk Pedodonti Dernei Kongresi
NOVEMBER 13-15, 2014
13-15 Kasm 2014
HARBYE MILITARY MUSEUM AND CULTURAL CENTRE, ISTANBUL TURKEY
Harbiye Askeri Mze ve Kltr Merkezi, stanbul Trkiye
ABSTRACT BOOK / ZET KTABI

Bu bilimsel toplant Trkiye Bilimsel ve Teknolojik Aratrma Kurumu tarafndan desteklenmektedir.
This scientific meeting is supported by The Scientific and Technologic Research Council of Turkey
Dear Colleagues,
It is a great honor and pleasure for us to invite you to the Joint Meeting of 8th International Congress of
Mediterranean Societies of Pediatric Dentistry and 21st Congress of Turkish Society of Paediatric Dentistry
which will be held in stanbul, Turkey between November 13-15, 2014.
The main theme of the Congress is entitled as The Future Perspectives in Pediatric Dentistry. The congress scientific programme will cover a wide variety of subjects in the field of Pediatric Dentistry including
many recent advances and comprehensive overviews, distinguised speakers will share their valuable knowledges and experiences.
The organising committee is currently developing a programme that will be an excellent collection of scientific sessions for the meeting. The prominent international and national invited speakers in the Scientific
Programme of this meeting and the Social Programme, will attract the attention of a large number of our
colleagues and make this meeting very memorable. Colleagues from all around the world are all welcomed.
The congress will be held in the Harbiye Military Museum and Cultural Center which is located in the
center of stanbul and contain modern conference facilities and museum of charting the history of the Ottomans.
As the host of the congress, the beautiful city of stanbul is the largest city of Turkey. stanbul is one of the
truly romantic cities of the world, with its land spanning both Asia and Europe and divided by the scenic waters of the Bosphorus. stanbul has a very rich social and cultural heritage, the capital of Roman, Byzantine
and Ottoman empires and stanbul offers visitors all the sophisticated delights of a big modern city, it is all
there. Lets meet where the two continents meet.
We will be much pleased to offer you the traditional Turkish hospitality and we look forward to welcoming
you in stanbul and we are sure your experience at our congress will be a rewarding and unforgettable one.
Prof.Dr.Figen SEYMEN
President of Turkish Society of Pediatric Dentistry
COMMITTEES
Congress President
Prof.Dr. Figen Seymen
fseymen@istanbul.edu.tr
Congress Secretary
Assoc.Prof.Dr. Senem Selvi Kuvvetli
senemselvi@hotmail.com
Scientific Committee
Prof.Dr. Hayriye Snmez
Prof.Dr. Nesrin Eronat
Prof.Dr. Zuhal Krzolu
Prof.Dr. Serap Akyz
Prof.Dr.Seval lmez
Prof.Dr. Betl Kargl
Prof.Dr. Zeynep kte
Prof.Dr. zant na
Prof.Dr. Ycel Ylmaz
hayriyesonmez@hotmail.com
nesrin.eronat@ege.edu.tr
zuhal@med.sdu.edu.tr
sakyuz@marmara.edu.tr
solmez@hacettepe.edu.tr
bkargul@marmara.edu.tr
zokte62@yahoo.com
ozantoncag@gmail.com
yyilmaz25@gmail.com
Financial Committee
Prof.Dr. Oya Aktren
Prof.Dr. Elif Sepet
oya.aktoren@gmail.com
elifsepet@hotmail.com
Exhibition Committee
Prof.Dr.Gamze Aren
Prof.Dr. Ece Eden
Assoc.Prof.Dr. Mesut Enes Odaba
Assoc.Prof.Dr. Emin Caner TMEN
Assist.Prof.Dr. Serta Peker
gamzearen@hotmail.com
eceeden@yahoo.com
mesut@gazi.edu.tr
ect1976@gmail.com
sertacpeker@hotmail.com
SCIENTIFIC PROGRAMME
NOVEMBER 13 THURSDAY, 2014
Time
Zafer Hall
Fevzi akmak Hall
08.00-17.00
Registration
09.30-10.30
Chairmans: Prof.Dr.Figen Seymen, Prof.Dr. Mohamed Ezzeddine

Prof. MONTY DUGGAL
Restoration of Childrens Teeth: The Journey from Minimal Intervention to
Pulp Therapy
10.30-11.00
Coffee Break
11.00-12.00
Chairman: Prof.Dr. lknur Tanboa

Prof. ALASTAIR J. SLOAN
Dental Pulp Stem Cells and Dental Tissue Repair: Towards Regenerative
Dentistry
12.00-13.00
Lunch
13.00-14.00
Chairman: Prof. Dr. Nesrin Eronat

Prof. MONTY DUGGAL
MIH and Related Tooth Defects and The Restorative Options
14.00-15.00
Chairman: Prof. Dr. Zuhal Krzolu

Assoc. Prof. Dr. OSAMA EL SHAHAWY
Full Ceramic Restoration, The New Era In Pediatric Dentistry
15.00-15.30
Coffee Break
15.30-16.30
Chairman: Prof.Dr. Serap Akyz

Prof. MONTY DUGGAL
Trauma in Children and Adolescents with Emphasis on New Materials,
Developing Science and Multidisciplinary Management
16.30-17.50
ORAL SESSION I
Chairman: Prof.Dr. Betl Kargl
20.30
Gala Dinner (CAHDE)
ORAL SESSION II
Chairman: Prof.Dr. Ece Eden
NOVEMBER 14 FRIDAY, 2014

Time
Zafer Hall
08.00-12.00
Registration
09.00- 10.00
Chairman: Prof.Dr. Oya Aktren
Fevzi akmak Hall
Dr. NEVN ASAL

Orthodontic prevention, interception and treatment in the mixed
dentition with silicone activator
10.00-10.30
Coffee Break
10.30-11.15
Chairman: Prof.Dr.Serap etiner

Prof. Dr. KORAY GENAY
Orthodontics- Pedododontics Interface
11.15-12.00
Chairman: Prof.Dr. Feridun Baak

Prof. Dr. AZYE SARI
Congenital Agenesis of Mandibular Second Premolars: Etiology,
Prevalence, Diagnosis, Treatment Planning
12.00-13.00
Lunch
POSTER DISCUSSION
Chairman: Prof.Dr. Alp Erdin Koyutrk
13.00-14.00
Chairman: Prof.Dr. In Ulukap

Assoc. Prof. Dr. N.VAKUR OLGA
Assist. Prof. Dr. NHAN AKSAKALLI
Clinicopathological Approach to the Oral and Maxillofacial Bone
Lesions in Pediatric Dentistry
14.00-15.00
Chairman: Prof.Dr.Gamze Aren

Assist. Prof. Dr. SERTA PEKER
Laser Assisted Pediatric Dentistry
15.00-15.30
Coffee Break
15.00-17.00
AMOP BOARD MEETING
15.30-16.50
ORAL SESSION III

Chairman: Assoc.Prof.Dr. Senem Selvi Kuvvetli
17.00-18.00
AMOP Closing Ceremony
18.00-19.30
COCTAIL
ORAL SESSION IV
Chairman: Prof.Dr. Zeynep kte
15 KASIM 2014, CUMARTES

Time
30 Austos Zafer Salonu
Fevzi akmak Salonu
09.00-11.30
Moderatr: Prof.Dr. Oya AKTREN

PANEL: Koruyucu Dihekimlii Perspektifler ve
Stratejiler
Panelistler:
Prof.Dr. Tezer ULUSU, Prof. Dr. Zuhal KIRZIOLU
Prof.Dr. Gamze AREN, Prof.Dr. Ece EDEN
Prof.Dr. Ali R. MENTE, Prof.Dr. Nurhan ZALP
Prof.Dr. Meryem UZAMI TEKEK
Do.Dr. Senem Selvi KUVVETL
11.30-12.00
Kahve Aras
12.00-12.45
Oturum Bakan: Prof.Dr.Zeynep Aytepe

Prof. Dr. HAYRYE SNMEZ
Byk Az Keser Hipomineralizasyonunda Koruyucu
Uygulamalar ve Rezin Restorasyonlarn Baarsn
Arttran Yntemler
12.45-14.30
le Yemei
14.30-15.15
Oturum Bakan: Prof.Dr. Elif Sepet

Prof. Dr. ARIN NAMAL
Di Hekimlii Etii ve Meslekta likileri
15.15-16.25
KISA KONFERANSLAR I
SZL SUNUMLAR I
Oturum Bakan: Prof.Dr. Meryem Tekiek
Oturum Bakan: Prof.Dr. Ycel Ylmaz
Yard. Do. Dr. BUSE AYE SERN
zel bakm gerektiren ocuklarda dental gereksinimlere
yaklam ve beklentiler
Yard. Do. Dr. DDEM ATABEK
ocuk doktorlarnn ocuklarn az-di sal
konusunda farkndalklarnn deerlendirilmesi,
gelitirilmesi
Yard. Do. Dr.SERA DERELOLU
ocuk Dental Proflaksi Klinii
16.25-17.15
Kahve Aras
TPD retim ye Toplants
POSTER TARTIMALARI
Oturum Bakan: Prof.Dr. Il Snmez
17.15-18.25
KISA KONFERANSLAR II
SZL SUNUMLAR II
Oturum Bakan: Prof.Dr. Nurhan zalp
Oturum Bakan: Prof.Dr. Muharrem Cem Doan
Yard. Do. Dr. ESRA KIZILCI
ocuklarda rk oluumu ve evresel faktrler
Yard. Do. Dr. MERVE BAYRAM
Di r ve genetik ilikisi
Yard. Do. Dr. GLSM DURUK
ocuklarda grlen rklerin periodonsiyuma etkisi
Yard. Do. Dr. MERVE AKAY
Revasklarizasyon tedavisinde kullanlan l antibiyotik pat ile ilgili karlatrmal almalar
18.35-18.45
Kapan Treni
5
CONFERENCES
RESTORATION OF CHILDRENS TEETH: THE JOURNEY FROM MINIMAL INTERVENTION

TO PULP THERAPY
Prof. MONTY DUGGAL
Sadly, despite an impression of an improving oral health on a global population level, large numbers of children seek the care from dentists and paediatric specialists for severe dental caries. Even wealthy countries
have been unable to purge the population of this most common disease of childhood. This has put strain on
the health budgets and many governments have been asking the health professionals to seek approaches to
providing care for these children at minimal cost. In some countries this has lead to developing a philosophy
of supervised neglect of dental caries, with problems dealt with as and when they occur. In some European
countries such as the UK and increasingly Ireland and Netherlands debates are raging whether primary teeth
should be filled at all, and if so what might be the most cost effective approach to this. The speaker is a fervent advocate of high quality restorative dentistry to go hand in hand with preventive approach for children.
However, treatment planning for children cannot be a one shoe fits all approach, and has to take into account
individual social, behavioural and economic considerations. Some children will benefit from minimal intervention approach, together with an intensive preventive programme. Some will need comprehensive dental
care, including pulp therapy and coronal restorations and also multiple extractions. The speaker will try and
discuss these approaches and where they may be applicable making an attempt to be evidence based and on
a firm scientific footing. We should all be aware that in the current global economic climate when all governments and individual people are tightening their belts it is our duty as paediatric dentists to uphold highest
possible care for children, but not to be intransigent and oblivious to evidence based dentistry in our quest to
do what we have been trained to do. This lecture will aim to be thought provoking aimed at generating a discussion that is bound to land at the doorstep of every paediatric dentist in this world sooner rather than later.
DENTAL PULP STEM CELLS AND DENTAL TISSUE REPAIR: TOWARDS REGENERATIVE
DENTISTRY
Professor Alastair J Sloan
Head, Tissue Engineering & Reparative Dentistry, School of Dentistry, Cardiff University,
It is widely accepted that progenitor / stem cells reside within the post-natal dental pulp and studies suggest
several niches of mesenchymal progenitor cells known as dental pulp stem cells may be present in the tissue.
These progenitor cells are essential for dentine regeneration following injury, leading to the formation of
reparative dentine. Understanding the nature of these progenitor cell populations, their ability to function in
highly compromised environments and determination of their potentialities in terms of specificity of regenerative response may help direct new clinical treatments including the development of biologically based new
generations of smart clinical materials for controlled direct recruitment of the cells in situ. In addition, such
understanding is important for the development of isolation or recruitment strategies for use in tissue engineering such as seeding of stem cells at sites of injury for regeneration or use of the stem cells with appropriate
scaffolds to direct tissue repair processes. This lecture will explore the thoughts on the functional biology of
the dental pulp stem cells and how they may be harnessed to enhance tissue repair clinically.
MOLAR-INCISOR HYPOMINERALISATION (MIH) AND COMMON DENTAL ANOMALIES

SEEN IN GENERAL DENTAL PRACTICE
Prof. MONTY DUGGAL
The prevalence, presentation, aetiology and the management of a new condition known as Molar-Incisor
Hypomineralisation (MIH) will be discussed. This presents as soft, yellow and hypersensitive first permanent molars and demarcated opaque defects of central incisors. The most challenging issues for the GDP is
managing the acute sensitivity from these teeth, followed by their immediate, intermediate and long term
management. The aetiology, pathophysiology and histology of MIH will be reviewed based on recent and
new evidence. Common dilemmas in treatment planning for the clinicians will be highlighted. The use of
composites for restoration of anterior defects and the use of both SSCs and lab formed restorations for the
molars will be also be discussed. Also, the technique of microabrasion will be explored as an effective way of
improving the aesthetics for hypomineralisaed permanent incisors in adolescents and young adults.
FULL CERAMIC RESTORATION, THE NEW ERA IN PEDIATRIC DENTISTRY

Dr Osama El Shahawy
Associate Professor of Pediatric Dentistry Cairo University
Head of Pediatric Dentistry Department Future University, Egypt
Successful & reliable restoration of primary teeth is a cornerstone in managing pediatric dental defects. Restoration is essential to manage small cavities all through severely mutilated teeth. The longevity and reliability
of the restoration fulfilling function and esthetics demands is the goal of all pediatric dental practitioners.
As it is well known, Full coverage is the reliable restorative option for endodontically treated teeth, severely
mutilated teeth and teeth with developmental defects. Moreover recent conservative approaches in management of deep caries requires proper restorative seal to ensure the success of indirect pulp capping or partial
caries removal, and this can well achieved with full coverage.
Veneered stainless steel crowns emerged as an esthetic alternative to the classic stainless steel crowns. Most
recently, full ceramic zirconium crowns were introduced both for anterior and posterior restorations as a superior esthetic option with perfect gingival integration and thus adding a new dimension in restoring primary
teeth.
10
TRAUMA IN CHILDREN AND ADOLESCENTS WITH EMPHASIS ON NEW MATERIALS,

DEVELOPING SCIENCE AND MULTIDISCIPLINARY MANAGEMENT
Prof. MONTY DUGGAL
This talk will cover two areas. Firstly interdisciplinary care for children with severe dentoalveolar trauma
will be presented. Secondly the speaker will outline a detailed critique of regenerative endodontic procedures.
The speaker will outline his treatment philosophy for the management of young permanent teeth which have
suffered trauma resulting in injury to the pulp, resulting in the pulp becoming non vital before the root development is completed. . The emphasis of the course is to provide an update on the current approaches that
should be based on knowledge of cellular biology. Any attempt to provide treatments without an understanding of the tissue responses to injury or treatment are doomed to failure. Traditional approached have
involved Apexification with the use of calcium hydroxide. Calcium hydroxide has many advantages but also
there is a growing body of evidence on its detrimental effects on the integrity of dentine and dentinal proteins.
Mineral Tri-oxide Aggregate has also been recently used, its main advantage being that it allows a barrier to
be formed immediately, so that root canal obturation can be achieved. The speaker will discuss some disadvantages associated with MTA owing to its alkalinity, which is similar to that of calcium hydroxide. Recently
a lot has been written about the use of stem cells for regeneration of the pulp for non vital immature teeth.
This approach which is termed as Regenerative Endodontics seems to offer a new biological approach, which
would allow root development, but is largely untested and lacking evidence from clinical studies. Now that
we have some experience with the use of this technique it has become clear that the early optimism regarding
its success was ill founded. The outcomes for this technique continue to be unpredictable and still there is
little evidence to support its use into the future. The main issue that the speaker has found in his research is the
unpredictability of the outcomes when it is used to treat teeth with trauma as opposed to teeth with developmental anomalies, such as dens-in-dente. The role of the root sheath of Hertwig has largely been ignored and
the speaker will discuss the important role of this structure in the outcome of this technique. Future directions
will have to be to develop scaffolds and signalling molecules and this will be elaborated.
We have developed a multidisciplinary approach for the management of anterior teeth with poor prognosis as
a result of dental trauma. This involves bone management at the affected site followed by autotransplantation.
Since the inception of this programme we have placed over 160 transplants using the multidisciplinary team
comprising of both paediatric dentistry and orthodontic expertise. This talk will aim to provide an overview of
the relationship between dental trauma and orthodontic practice and discuss the technique of transplantation,
management of bone in areas where teeth are lost as a result of trauma and the requirements for pre-transplant
and post-transplant orthodontics.
Objectives to enable the participants
- to understand the impact of previous trauma
- the role of orthodontics in treatment of traumatized teeth of poor prognosis
-the role interdisciplinary care in dental Traumatology
- management of bone when loss of tooth is inevitable
- rationale and outcomes for tooth transplantation in children.
11
ORAL PRESENTATIONS
12

ORAL SESSION I
OP : 01
16:30 - 16:40
EVALUATION OF THE BIOCOMPATIBILITY OF DIFFERENT FLUORIDE AGENTS IN CELL

CULTURE
Bengi AYDINEL, Ege University Faculty of Dentistry - Department of Pedodontics,
ala KAYABAI, Ege University Faculty of Medicine - Department of Medical Biology,
Cumhur GNDZ, Ege University Faculty of Medicine - Department of Medical Biology,
Dilah OULU, Ege University Faculty of Dentistry - Department of Pedodontics,
Aim: The aim of this study was to investigate the biocompatibility of five different fluoride agents [1.23%
Acidulated Phosphate Fluoride(APF) and 2% Sodium Fluoride(NaF) gels, 1% Titanium Tetrafluoride(TiF4)
and 38% Silver Diamine Fluoride(SDF) solutions and Duraphat Fluoride Varnish containing 5% NaF] which
are thought to cause toxic effects on oral mucosal tissues by using cell culture method.
Methods: For this purpose, L929 mouse fibroblast cell lines and human gingival fibroblast cell lines obtained
from healthy individuals were used. Cytotoxicity of the agents was analyzed by using the real time xCELLigence System Analysis. Apoptosis is evaluated by using Annexin V and TUNEL test methods. For statistical
evaluation, linear regression analysis was used to compare the toxicity of fluoride agents. The data obtained
from apoptosis was evaluated statistically by using chi-square test and Fisher\s Exact test.
Results: The lowest cytotoxic effect was observed with NaF in L929 mouse fibroblast cell line and with APF
in human gingival fibroblasts. NaF significantly increased apoptosis in L929 cells however no significant difference was found between the control and the study groups in gingival fibroblast cell line. APF was observed
to have significant effect in inducing apoptosis in L929 cells but no significant apoptotic effect was observed
in gingival fibroblast cells (p>0,05). TiF4 showed high cytotoxicity in both L929 and gingival fibroblasts.
Silver diamine fluoride solution did not show any significant apoptotic effect in both L929 cells and gingival
fibroblasts (p>0,05). In both cell lines, NaF, APF gels and silver diamine fluoride were recorded as less cytotoxicty compared to TiF4 solution and Duraphat fluoride varnish.
Conclusion: Silver diamine fluoride which is a quick and effective treatment procedure for arresting caries,
preventing the formation of early enamel caries lesions in disabled and non-cooperated children can be recommended as an alternative to commonly used APF
Keywords: cytotoxicity, apoptosis, silver diamine, fluoride
13

ORAL SESSION I
OP: 02
16:40 - 16:50
EVALUATION OF THE EFFECT OF A HERBAL LOLLIPOP ON SALIVARY STREPTOCOCCUS

MUTANS LEVELS
Merve ERKMEN ALMAZ, Krkkale niversitesi Di Hekimlii Fakltesi - Pedodonti AD,
Il AROLU SNMEZ, Adnan Menderes niversitesi Di Hekimlii Fakltesi - Pedodonti AD,
Zeynep KTE, Ankara niversitesi Di Hekimlii Fakltesi - Pedodonti AD,
Aylin AKBAY OBA, Krkkale niversitesi Di Hekimlii Fakltesi - Pedodonti AD,
Aim: The aim of our study was to evaluate the effect of a herbal lollipop containing licorice root extract, on
salivary S. mutans in caries free and high caries risk children.
Methods: Study has been carried out in 108 children (5-11 aged). Groups were consisted of caries free children
(group A, n=36); children with high caries risk, whose dental treatment completed before lollipop use (Group
B, n=36) and children with high caries risk, who did not comply with dental treatment (group C, n=36).
Groups were divided into two subgroups according to lollipop types (herbal and placebo lollipops). Saliva
samples were taken before dental treatment in group B; before and after consuming lollipops, and at the end
of the third month in all groups, to determine the level of S. mutans using Dentocult SM Strip Mutans test.
The results were statistically analyzed with Wilcoxon signed-rank and Mann-Whitney U test.
Results: In all groups except C-1, there was no statistically significant difference between before and after
lollipop use, in the levels of salivary S. mutans (p>0,05). Only in the group of children, using herbal lollipop,
with high caries risk who did not have dental treatment, salivary S. mutans levels showed significant reduction
(p<0.05). In the group who completed dental treatment, salivary S. mutans counts were decreased significantly
after the treatment (p<0.05). At the third month control, in caries free children using placebo lollipops and
children using herbal lollipops with high caries risk who had dental treatment, S. mutans levels were found to
be significantly higher (p<0.05). There were no significant differences in other groups (p>0,05).
Conclusions: Herbal lollipops containing licorice root extract significantly reduced salivary S mutans levels in
children with high caries risk and who do not comply with dental treatment.
Keywords: Herbal therapy, dental caries, licorice, saliva, Streptococcus mutans
14

ORAL SESSION I
OP: 03
16:50 - 17:00
THE EFFECT OF CASEIN PHOSPHOPEPTIDE-AMORPH CALCIUM PHOSPHATE AND

ACIDULATED PHOSPHATE FLUORIDE GEL ON DENTAL EROSION IN PRIMARY TEETH
Eda ARAT MADEN, Gulhane Medical Academy - Pediatric Dentistry,
Ceyhan ALTUN, Gulhane Medical Academy - Pediatric Dentistry,
Gnseli GUVEN POLAT, Gulhane Medical Academy - Pediatric Dentistry,
zge ACAR, Gulhane Medical Academy - Pediatric Dentistry,
Aim: This study aimed to investigate the effect of acidulated phosphate fluoride (APF) gel and casein phosphopeptide/amorphous calciumphosphate (CPP-ACP) on the dental erosion produced by Coca Cola in primary
teeth.
Methods: This study evaluated by an in vitro model the effect of APF gel and CPP-ACP on the dental enamel
previously subjected to erosive challenge with Coca Cola. Sixty sound human primary molars were prepared
by embedding the crown sections in acrylic resin blocks leaving the enamel surfaces exposed. The surface
roughness of the enamel was measured with prophilometry at baseline. Specimens were randomly divided into
three treatment groups (n:20): artificial saliva, CPP-ACP, 1.23% APF gel. All specimens were then exposed
to an erosive challenge of coca cola soft drink and artificial saliva for 20 cycles of 20 seconds each. Demineralization-remineralization cycles was repeated twice at eight-hour intervals and roughness values were
measured. Enamel samples were treated with artificial saliva, CPP-ACP, 1.23% APF gel applied for 10 min
after erosive challenge. the arithmetic average roughness (Ra) readings were recorded after remineralization
agents were applied.
Results: The mean surface roughness in all groups increased significantly after erosion process and decreased
after remineralization treatment. After treatment, the mean surface roughness of the 1.23% APF gel group
was significantly less than the other groups and the mean surface roughness of the artificial saliva group was
significantly more than the other groups. 1.23% APF gel showed the highest protective effect against erosive
enamel loss.
Conclusions: Under the conditions of this study, artificial saliva, CPP-ACP and 1.23% APF treatments were
able to reduce erosive enamel loss produced by Coca Cola in primary teeth. However, 1.23% APF gel showed
the highest protective effect against erosive enamel loss.
Keywords: CPP-ACP paste, dental erosion, fluoride gel, primary, roughness
15

ORAL SESSION I
OP: 04
17:00 - 17:10
MOTHERS ATTITUDE, CARIES EXPERIENCE AND THEIR CORRELATION WITH

SALIVARY LEVEL OF INFECTION WITH CARIOGENIC BACTERIA
Blerta LATIFI-XHEMAJLI, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Agim BEGZATI, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Elvira STATOVCI, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Metihe BINAKU, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Shqiprim BAJRAMI, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Lumnije KRASNIQI, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Introduction: Mothers as primary caregivers are directly responsible for the dental health of their offspring
and can play an important role in preventing oral diseases in children.Understanding factors in mothers associated with high and low salivary levels of cariogenic bacteria is an important strategy for early childhood
caries prevention. Aim: Aim of the study was to identify the association between salivary levels of cariogenic
bacteria and validated caries risk factors generated from questionnaire.
Method: 300 mothers of young children (child aged of 12 months or younger)took part voluntary in the survey. They were recruited at the vaccination center while they brought their child for vaccine. The presence of
cariogenic bacteria Streptococcus mutans and Lactobacillus in saliva was determined using the CRT bacteria
test (Ivoclar Vivadent). Closed simple questions and observations were used to test the mothers attitude and
caries experience.
Results: Our results showed high levels of infection with Streptococcus mutans and Lactobacillus among
mothers (28 %). Participants were more highly infected by Streptococcus mutans (28.0%) than with Lactobacillus (19.7%).Three factors were significantly associated with Streptococcus mutans infection: level of
education, anterior caries experiences and observable dental plaque. A fourth factor - frequency of daily tooth
brushing showed to be associated to Lactobacillus infection.
Conclusion: The study showed that easy collected factors such maternal level of education and anterior clinical factors can be associated to mothers highly infected with Streptococcus mutans and Lactobacillus.
Keywords: caries experience, Streptococcus mutans, Lactobacillus, mothers attitudes, salivary, infection
16

ORAL SESSION I
OP : 05
17:10 - 17:20
EFFICACY OF FLUORIDE-PVA TAPES ON INHIBITING ENAMEL DEMINERALIZATION,

IN VITRO
Merve BA, Yeditepe University Faculty of Dentistry - Pediatric Dentistry,
Nuket SANDALLI, Yeditepe University Faculty of Dentistry - Pediatric Dentistry,
Gulengul DUMAN, Yeditepe University Faculty of Pharmacy, department of Pharmaceutic Technology,
Senem SELVI-KUVVETLI, Yeditepe University Faculty of Dentistry - Pediatric Dentistry,
Aim: The most common and successful methods used in the prevention of dental caries are fluoride applications. Varnishes are the vehicles most frequently used for topical fluoride applications with evidence on
effectiveness in prevention of dental caries. Drugs can be formulated for long-term controlled release when
polymers are added to the various carriers. PVA is a water soluble, non-toxic, biocompatible polymer, recently
used in a variety of fields in medicine, because of its high physical properties, excellent adhesion to tissues and
materials beside good chemical and thermal stability.The aim of the present study was to evaluate the effect of
fluoride tapes prepared using different concentrations of PVA on inhibiting demineralization of bovine enamel
in comparison with a %5 fluoride varnish in vitro.
Methods: Sixty enamel specimens (3*3mm) were prepared from extracted bovine incisors. Samples with
surface microhardness ranging from 340-380 Vickers Hardness Number (VHN) were pooled and randomly
assigned to five groups: control group, F-varnish group, 8%, 10%, 12% F-PVA groups. After applications of
agents in each group the pH-cycling was processed. Then VHN was measured and the percentage loss of surface microhardness (SML%) was calculated.
Results: Surface VHN values determined after pH-cycling were found to be significantly lower than the baseline values in the control and experimantal groups (p<0,0001). The difference between the groups was found
statistically significant. The surface VHN values in the experimental groups were significantly higher compared to the control group (p=0,0001). Also, the SML% rates were calculated lower in the experimental groups
and the difference was statistically significant (p<0,0001).
Conclusion: Fluoride tapes prepared with different concentrations of PVA were found to be effective in prohibiting enamel demineralization in vitro. The preventive effects of experimental F-PVA groups were determined to be comparable to the 5% flouride varnish (Duraphat).
Keywords: FLuoride, varnish, PVA
17

ORAL SESSION I
OP: 06
17:20 - 17:30
ROLE OF DENTAL STUDENTS IN PREVENTIVE DENTISTRY

Utku Can KEME, Ankara University - Pediatric Dentistry,
Sena KIZILASLAN, Ankara University - Pediatric Dentistry,
Selin EN, Ankara University - Pediatric Dentistry,
Bra MEZZINOLU, Ankara University - Pediatric Dentistry,
Ouzhan CENGIZ, Ankara University - Pediatric Dentistry,
Serdar KESKIN, Ankara University - Pediatric Dentistry,
Aim: As Ankara University Faculty of Dentistry/Youth Activist Group we are carrying out a youth initiative
project in Ankara University Faculty of Dentistry. The aim of this project is to create an educational model that
would make children of 5-7 age, their parents and teachers realize the importance of oral health.
Methods: We have taken the opinions of many pedagogues and pediatric dentists while we are creating this
educational model. Main difference of our model is that it includes creative drama. The teaching phase is
never a plain explanation, but one that makes the children learn by through the games they play. And an additional conference is given to the parents after the education of children. Looking at the faculties of dentistry
in Turkey, we can see that there are a lot of preclinic students. At this phase these students has no contribution
to society. But with our education module its proven that these students may contribute to society as well. We
included universities in Holland and Croatia since the member countries of European Union is more experienced and advanced in oral health than Turkey. By this way we are willing to use their experiences and at the
same time we create a cultural interaction with the students of dental faculties in different countries.
Conclusion: In the upcoming process, we will use our module on more children and support our module with
some datas and surveys before and after the process.
Keywords: Prevention, 5-7 age, prophylaxis, Dentistry, Student
18

ORAL SESSION II
OP :07
16:30 - 16:40
ANALYSIS OF COMPREHENSIVE DENTAL REHABILITATION UNDER GENERAL

ANESTHESIA AT A DENTAL HOSPITAL IN TURKEY
Kenan CANTEKIN, Faculty of Dentistry, Erciyes University - Pediatric Dentistry,
Serap AVCI, Faculty of Dentistry, Erciyes University - Pediatric Dentistry,
Salih DOAN, Faculty of Dentistry, Erciyes University - Pediatric Dentistry,
Mustafa AYDINBELGE, Faculty of Dentistry, Erciyes University - Pediatric Dentistry,
Mustafa Denizhan YILDIRIM, Faculty of Dentistry, Erciyes University - Pediatric Dentistry,
Dilek GNAY CANPOLAT, Faculty of Dentistry, Erciyes University - Pediatric Dentistry,
Aim:The aims of the present study were to describe the characteristics of children receiving comprehensive
dental rehabilitation under general anesthesia (DRGA) at dental hospital in Turkey, and to evaluate dental
treatment patterns and waiting times between examination and receiving GA for these children. The authors
described the characteristics of children receiving comprehensive DRGA at a dental hospital in Turkey.
Methods:A total of 441 patients records were included and were composed of 272 (61.7%) boys and 169
(38.3%) girls. Although most of the children (159, 54.1%) were aged between 3 and 5 (mean: 5.40 2.00)
years in the healthy children group (Group I), most of the special needs children (Group II) (85, 55.5 %) were
aged between 6 and 11 years old (mean: 6.93 3.13). Extreme non-cooperation, dental fear, and an excessive
need for treatment were the major reasons for the use of comprehensive dental treatment under GA.
Results and Conclusion: The mean waiting times for treatment under GAwere significantly shorter inASAIII,ASA
IV and disabled children in ASA I and ASA II, compared to physically and mentally fit ASA I and ASA II children.
Keywords: Dental care, General anesthesia, Special care, dentistry
19

ORAL SESSION II
OP: 08
16:40 - 16:50
ASSOCIATION BETWEEN ORAL HYGIENE AND LEVEL OF DENTAL PLAQUE

STREPTOCOCCI IN CHILDREN WITH CONGENITAL HEART ANOMALIES
Aida REXHEPI, University Dentistry Clinical Center of Kosova UDCCK - Depart. of Pediatric Dentistry,
Agim BEGZATI, University Dentistry Clinical Center of Kosova UDCCK - Depart. of Pediatric Dentistry,
Vjosa KRASNIQI, University Dentistry Clinical Center of Kosova UDCCK - Depart. of Oral Surgery,
Arbenore FETAJ, University Dentistry Clinical Center of Kosova UDCCK - Depart. of Pediatric Dentistry,
Vlera HALIMI, University Dentistry Clinical Center of Kosova UDCCK - Depart. of Pediatric Dentistry,
Metihe BINAKU, University Dentistry Clinical Center of Kosova UDCCK - Depart. of Pediatric Dentistry,
Introduction: The oral hygiene is the main component of the oral health. It has an impact on collection of
dental plaque and consequently the appearance of caries with all the possible consequences. Dental plaque organisms are not only the main causes for oral pathologies, but also for Bacterial Endocarditis (BE) at children
with Congenital Heart Diseases (CHD).
Aim: The aim of this study was evaluation of oral hygiene, the level of dental plaque streptococci and the
correlation between them in children with CHD.
Material and methods: The study includes 90 children divided in the group of healthy children (n=30) as a
control group and group of Children with CHD (n=60) as a study group. The children included in this research were of both genders, age 6 through 15 years. The evaluation of oral hygiene was done according to
Greene-Vermillion OHI-idex, whereas the level of streptococci from dental plaque (DP) was determinate by
CFU-method (colony forming unit) with the value of <102, 102-3, 104-5 and >105.
Results: The study provides indications for poor oral hygiene for both groups of children without significant
differences (P>0.05). The value from 1.1-2.0 was found in the high percentage in children whith CHD (45%),
while the value 0 only in two of them. Regarding to level of DP streptococci in the study group, 15% of cases
CFU was 102-3, 31.7% was 104-5 and 51.7% CFU>105 . The correlation between oral hygiene index and
level of dental plaque streptococci was significant for both groups (P<0.01).
Conclusion: Based on the results of our research we can conclude that children with CHD have the poor oral
hygiene and the high level of dental plaque streptococci that may have consequences on the overall health.
Keywords: Dental plaque, congenital heart disease, streptococci, oral hygiene.
20

ORAL SESSION II
OP : 09
16:50 - 17:00
THE EFFECTS OF GLUTEN-FREE DIET ON THE MANIFESTATIONS OF CELIAC DISEASE

Sibel ACAR, Ege University Faculty of Dentistry Department of Pedodontics,
Sema AYDOGDU, Ege University Faculty of Dentistry Department of Pedodontics,
Ertugrul SABAH, Ege University Faculty of Dentistry Department of Pedodontics,
Aim: The aim of the study was to evaluate the effects of gluten-free diet on the oral findings of celiac disease
Methods: The study was approved by the Ethical Committee of Ege University. Sixty-three children aged 3 to
19 years with the diagnosis of CD at least two years, 34 newly diagnosed and 35 healthy children of the same
age participated in the study. Enamel defects were diagnosed and classified by Aines classification. A questionnaire related to medical history, diet , oral hygiene habits and use of fluoride was carried out to all subjects.
The soft tissues were examined for the diagnosis of Recurrent Apthous stomatit (RAS) and the patients were
also questioned about the recurrence of oral ulcers. All data were analyzed using t-test, chi2-test ,NPar Test
and Mann-Whitney U-tests.
Result: The enamel defect prevalence was significantly higher in both CD group( %63,9). The patients who
were newly diagnosed had more dental enamel defects than the other celiac group, but the difference was not
significant(p=0,609). RAS was observed to be statistically higher in the group of newly diagnosed(p=0,016).
The prevalence of RAS decreased 69% of celiac patients after gluten-free diet. Sugar intake was found statistically higher in both newly diagnosed patient group and healthy group(0,008). The frequency of tooth-brushing
was higher in the group of celiac patients under gluten-free diet.
Conclusion: This investigation has shown that gluten-free diet acts an important role on developing enamel
defects and RAS. Restricted on gluten-free diet gives children more responsibility on their whole life and a
good care of themselves.
Keywords:
21

ORAL SESSION II
OP : 10
17:00 - 17:10
EXPERIENCE AND PREVALENCE OF DENTAL CARIES AMONG 15-YEAR OLD CHILDREN

IN THE EASTERN REGION OF THE REPUBLIC OF MACEDONIA
Vesna AMBARKOVA, Faculty of dentistry, University Ss.Cyril & Methodius - Department for Pediatric and
Preventive Dentistry,
Kristina GORSETA, Dental School,University of Zagreb - Department for pediatric dentistry,
Raffaella GOTHE, UMIT - Institute of Public Health, Medical Decision Making and HTA,
Aim: The aim of this study was to investigate the prevalence of dental caries experience among secondary
school children ( first grades ) in Eastern Region of the Republic of Macedonia.
Methods: In this cross-sectional study, secondary school children from 8 Secondary Schools (first grades, N=
414 ) were selected. Participants dental status was evaluated using the 2013 World Health Organization caries
diagnostic criteria for Decayed, Missing or Filled Teeth (DMFT) by 2 calibrated examiners.
Results: The total number of children in the sample was 414, comprising 188 (45.4 %) females and 226 (54.6
%) males. The mean DMFT was 5.77, with standard deviation (SD) of 4.02 and 95% confidence interval (CI)
of 5.38-6.16. Significant caries (SiC) index was 10.22. The prevalence of caries-free children was 9.4 %. The
percentage of untreated caries or the ration of D/DMFT was 0.49 (49.05 %).
Conclusions: Dental caries experience was seen to be high among 15-year old school children (first grades) in
Eastern Region of the Republic of Macedonia.
Keywords: Caries, caries prevalence, DMFT index, Macedonia
22

ORAL SESSION II
OP: 11
17:10 - 17:20
EVALUATION OF PREVALENCE AND ETIOLOGICAL FACTORS OF MOLAR INCISOR

HYPOMINERALIZATION IN TURKEY: A MULTI- CENTERED STUDY
Hayriye SNMEZ, Ankara University, Faculty of Dentistry Department of Pedodontics,
Ali Rza ALPZ, Ege University, Faculty of Dentistry Department of Pedodontics,
Fahinur ERTURUL, Ege University, Faculty of Dentistry Department of Pedodontics,
Asli TOPALOLU-AK, Ege University, Faculty of Dentistry Department of Pedodontics,
Elif Bahar TUNA, Istanbul University, Faculty of Dentistry Department of Pedodontics,
Emine EN TUN, 19 Mays University, Faculty of Dentistry Department of Pedodontics,
ule BAYRAK, Osman Gazi University, Faculty of Dentistry Department of Pedodontics,
Mine KORUYUCU, Istanbul University, Faculty of Dentistry Department of Pedodontics,
Gzde YILDIRIM, Ankara University, Faculty of Dentistry Department of Pedodontics,
Aim: This multi centered study aimed to evaluate the prevalence and potential etiological factors involved in
the development of Molar Incisor Hypomineralization (MIH) based on data from 4 cities of Turkey namely,
Ankara, Istanbul, Izmir and Samsun.
Methods: A total of 8867 children aged 7-13 years participated in the study. Dental examinations were done
under school circumstances by calibrated dentists. The crowns of the first permanent molars (FPMs) and
permanent incisors (PI) were examined according to European Association of Pediatric Dentistry diagnostic
criteria. Children were considered to have MIH, if one or more FPM with involvement of at least one or more
incisors were hypomineralized. Consent forms and surveys were sent to students families to evaluate medical
history, demographic and pregnancy related information.
Results: MIH showed a prevalence of 7% in Turkey. There was a statistically significant difference in MIH
prevalence among the centers (p=0.00). Istanbul had the highest prevalence with 11.9% which was followed
by Ankara 7.7%, Samsun 5.2%, and Izmir 3.1%. The prevalence of MIH was found to be associated with
childrens low birth weight, asthma, high fever resulting in convulsions, pneumonia, chronic renal failure and
severe diarrhea story during the first four years of life (p=0.00). Occurrence of measles, chicken pox and scarlet fever before the age of 4 was also found to be associated with MIH.
Conclusion: Present study underlined the potential etiological factors of MIH in Turkey. Families and children must be informed by their pediatricians for the risk of MIH. Children under this risk group must be
followed up by pedodontists since preventive approaches are very important at an early developmental age.
Keywords: molar, incisor, hypomineralization, Turkey, prevalence, etiological factors, children
23

ORAL SESSION II
OP : 12
17:20 - 17:30
DENTAL STATUS OF 15-YEAR OLD SCHOOLCHILDREN IN URBAN AND RURAL AREAS IN

PRISHTINA REGION
Dafina AHMETI, Dental School, Medical Faculty - Pediatric and Preventive Dentistry,
Blerta BRUCI, Dental School, Medical Faculty - Pediatric and Preventive Dentistry,
Lulejeta SHABANI, Dental School, Medical Faculty - Pediatric and Preventive Dentistry,
Blerta XHEMAJLI, Dental School, Medical Faculty - Pediatric and Preventive Dentistry,
OBJECTIVE: Dental caries is a major oral health problem in most countries affecting 60 90 % of junior
high school children. The aim of this study was to evaluate the dental status of 15-year ld children in Prishtina
region, in urban and rural areas.
MATERIALS AND METHODS: We have included 200 schoolchildren at the age of 15 (88 male and 112
female), residents of Prishtina region, from the urban and rural areas. Study was carried out at the University
Dental Clinical Center of Kosovo, patients were randomly selected. Participants from urban areas was 45
(22.5%) male; female 67 (33.5%) and from the rural regions male 43(21.5%) and 45 female schoolchildren
(22.5%). The dental caries prevalence and intensity among schoolchildren were calculated using DMFT index
following WHO guidelines.
RESULTS: The prevalence of dental caries among 200 schoolchildren enrolled was 84.5% while 15.5% were
caries free, whereas mean DMFT value was 3.89, while 23.1 % decayed teeth 3.8 % missed teeth and 12 %
filled teeth. Based on gender, caries prevalence among female was 64 % and 36% among male subjects. Mean
DMFT was higher than 0 (DMFT>0 ) for urban schoolchildren was 56.37% compared to rural schoolchildren
(43.63%).
CONCLUSION: We have concluded that Prishtina region schoolchildren have high caries prevalence. Preferred preventive approach is more than necessary for urban schoolchildren due to higher caries prevalence, related
to their diet and poor oral health maintenance. Furthermore, regular teeth controls are strongly recommended.
Keywords: caries experience,15-year old, schoolchildren, DMFT index
24

ORAL SESSION II
OP: 13
17:30 - 17:40
THE IMPACT OF UNAESTHETIC SMILE ON PSYCHOLOGICAL STATE OF CHILDREN

Blerta BRUCI, University of Prishtina Faculty of Dentistry Department of Pediatric Dentistry
Natyra AGANI, Medical Faculty - Childrens psychology Department,
Aida REXHEPI, Medical Faculty - Pediatric Dentistry,
Dafina AHMETI, Medical Faculty - Pediatric Dentistry,
Lulejeta SHABANI, Medical Faculty - Pediatric Dentistry,
Introduction: A friendly smile is the most important element in creating a first good impression. People who
have beautiful teeth are considered more attractive. They have more self confidence, self esteem, they are better accepted socially and they are more successful academically. A childss smile reveals their quality of their
life. Children with concerns over their smiles show less security. They avoid smiling, they cover their mouth
when they do. They feel inferior to other children. Unaesthetic smile has a deep impact on their life. Aim: The
aim of this study was to investigate the impact of childrens front teeth and their smile on their psychological
state.
Material and methods: Children of various ages were interviewed. We selected children most affected by their
unaesthetic smile. Their teeth were treated, restored, improved their aesthetics and their psychological state
was carefully monitored by the psychologist before and after the treatment.
Results: Children with unaesthetic smile showed low self confidence, low self esteem and isolation, depression which affected their social and academic performance. After the treatments, they showed improvements in
all the areas. They highlighted the joy of freedom to smile with the mouth open.
Conclusion: It is very important to educate parents and children to put more effort on oral hygiene, to treat and restore
their teeth, prevent them from experiencing this impact of unaesthetic smile on their psychological development.
Keywords: Unaesthetic smile, dental caries, psychological state, dental aesthetics
25

ORAL SESSION II
OP : 14
17:40 - 17:50
EVALUATION OF STRESS DURING DENTAL EXTRACTIONS-A CORRELATION STUDY

Vivek PADMANABHAN, Ras Al Khaimah College Of Dental Sciences - Pediatric Dentistry
Introduction: Dental environment may be a source of stress for young children. Such stressful conditions
may provoke fear and anxiety in children. Therefore stress factor is high in children visiting dentists and this
stress may increase or decrease in the subsequent visits that follow dependent upon to what they are exposed
to, during these visits especially high anxiety provoking procedures like dental extractions. Cortisol, called
also stress hormone participates in organisms response to stress situations and enters into complex interactions with the hormonal and immune system of a man.
Methodology: The salivary cortisol levels were investigated in 60 children who were divided into study and
control groups respectively. The control group was not subjected to any treatment except for collection of saliva. Children belonging to the study group were subjected to dental extraction as indicated and were performed
in three scheduled appointments.
Saliva samples were collected from all the children during all the appointments. Modified dental anxiety
scales were also used during each of the appointments. Salivary cortisol levels were evaluated using the ELISA kit supplied by Salimetrics.
Results:The results indicated that the salivary cortisol levels increased in the study group when compared to
the control groups and within the study group the salivary cortisol levels in the second appointment were on
a higher level when compared to the first and third appointments and the results were statistically significant
(p<0.005)
Conclusions: the results show that there is a positive correlation between anxiety scale measurements and
salivary cortisol levels.
Keywords: Anxiety, Stress, Salivary Cortisol
26
CONFERENCES
27
ORTHODONTIC PREVENTION, INTERCEPTION AND TREATMENT IN THE MIXED

DENTITION WITH SILICONE ACTIVATOR
Dr. NEVN ASAL
The fully developed deciduous occlusion provides a good prediction for how the occlusions will develop in
the future. Because malocclusions tend to become more severe as the dentition develops during the mixed
dentition, intervention in the mixed dentition is even more beneficial (Ingelsson-Dahlsrm M and Hagberg
C, 1994). For patients with class II malocclusion and deep bite this timing may provide better stability. The
profile and lip closure improve as well as the risk of incisor trauma reduces (Nguyen QV et al, 1999; Jrvinen
S, 1978).
Functional appliances have been frequently used for more than a century for treatment of Class II division 1
malocclusions. The principal aim of dentofacial orthopedic treatment is to correct the dental arch relationship
and to promote favorable mandibular growth changes (Andresen and Hupl, 1945). One of the essential benefits which is attributed to the treatment of Class II malocclusions is prevention of trauma to maxillary incisors
associated with the large overjet (Jrvinen S, 1978; Shulman JD, Peterson J, 2004).
Various improvements in the design of functional appliances have been introduced to attain better effectiveness and patient acceptance. An important characteristic of Class II functional appliances is the constriction
bite that positions the mandible anteriorly to enhance mandibular growth (Moore et al, 1989).
Dental impression on small children is often difficult for the dentist and unpleasant for the child (Rosted P. et
al, 2006; Landgren R.). We dont like to give rise to dental fear due the orthodontic process. Bite registration
is an intricate and time-consuming task for many general practitioners. The manufacturing process requires a
lot of time with multiple visits to the dentist and loss of income for the parents.
Prefabricated functional appliances, just like removable dental appliances, are considered to be complementary (Keski- Nisula K et al 2008; Usumez et al 2004) to the traditional functional appliances (Calvert FJ et
al 1982; Nielsen IL et al 1991). The former is prefabricated and only one measurement of dental-arch size is
needed to find the right size. There is no need for dental impression or bite registration. Prefabricated eruption
guidance appliances are effective in correcting increased overjet and overbite and have the advantage in regards to lesser fabrication costs, shorter chair-time and patient comfort (Keski-Nisula,K et al, 2008).
29
ORTHODONTICS- PEDODODONTICS INTERFACE

Prof.Dr. Koray GENAY
The pediatric dentist and orthodontist share many professional interests by virtue of the fact that they both
are guiding the eruption and development of dentition. It is important to differentiate between a developing
normal occlusion and a potential malocclusion, with an understanding of general physical maturation of the
growing child by pediatric dentist is also essential. Because of this reason, pediatric dentists should have the
responsibility to recognize, diagnose, and either appropriately manage or refer abnormalities in the developing
dentition. The objectives of intervention/treatment may be classified as preventive or interceptive, and include
reducing adverse growth, preventing increasing dental and skeletal disharmonies, managing ectopic tooth
eruptions, applying serial extractions, improving esthetics of the smile, and improving the occlusion. As the
potential synergistic collaboration of the pediatric dentistry and orthodontics, combined academic and clinical
interests in these disciplines are linked increasingly to solve problems in the child and adolescent patient.
This lecture aims, therefore, to address a range of common clinical problems encountered in pediatric dentistry
and orthodontic dental practice.
30
CONGENITAL AGENESIS OF MANDIBULAR SECOND PREMOLARS: ETIOLOGY,

PREVALENCE, DIAGNOSIS, TREATMENT PLANNING
Prof. Dr. AZYE SARI
Agenesis of permanent teeth is an important clinical and public health problem. Hypodontia is the term used
to describe the developmental absence of one or more primary or permanent teeth. It is one of the most common developmental dental anomalies in humans and is an important clinical and public health problem. The
prevalence varies among different ethnic groups ranging from 2.5 to 15.68%. Dental agenesis affects more
frequently the permanent rather than the primary dentition and is often seen in mandible. Furthermore, mandibular second premolars are the most frequently affected teeth (41.0 %) excluding third molars. Unilateral
occurance of second premolars is more common than bilateral occurance.
The condition may appear as part of a recognized genetic syndrome or as a non-syndromic, familial form,
which occurs as an isolated trait.
Clinically, persisted primary second molars may be in occlusion or become infraoccluded resulting in loss of
vertical and sagittal space because of the movement of adjacent or opposite teeth. Usually these retained teeth
are ankylosed. Radiographically, persisted primary molars may have resorption as healthy as can be.
For the treatment planning the age of the patient, condition of the retained teeth and supporting tissues, occlusion and interocclusal rest space must be taken into account.
The treatment options varies from the extraction or programised extraction of retained primary second molars
to keep them in the mouth. In general, care requires a team approach, including pediatric, orthodontic, restorative specialist and oral surgeon.
31
POSTER PRESENTATIONS
32
PP-01
COMPARISON OF RETENTION RATES OF A NANOFILLED AND CONVENTIONAL FISSURE
SEALANTS PLACED WITH AND WITHOUT ENAMEL PREPERATION: A 56-MONTH
FOLLOW-UP
Adem KUSGOZ, Karadeniz Technical University, Faculty of Dentistry - Pediatric Dentistry,
Mehmet TANRIVER, Sifa University, Faculty of Dentistry - Pediatric Dentistry,
Aim: This clinical study compared the retention rates of a nanofilled (Grandio seal) and conventional (Clinpro)
occlusal fissure sealant placed with different enamel preparation over 56 months.
Methods: The study was planned as a clinical trial with a split-mouth design. The authors enrolled 104 teeth,
each with no restoration or sealant and no detectable caries, from 30 patients. These children has been randomly separated into two groups: A case group (mechanically preparation of enamel) and a control group (conventional method,without preparation). After applying fissure sealants (Clinpro and Grandio seal) children were
followed up 56 months later. Due to loss to follow-up, only 21 children with 75 sealents were evaluated for
sealant retention. Each sealant was evaluated in terms of retention using the following criteria: 1 = completely
retained, 2 = partial loss, and 3 = total loss. The Pearson 2 test was used to evaluate differences in retention
rates among the sealants used with different enamel preparation method.
Results: No statistically significant differences were found between the retention rates for case group and
control group regarding the method and sealent type at 56-month evaluation period (p>0.05).
Conclusion: Although statistical evaluation didnt show significant difference, but sealant retention was more
evident after preparation technique.
Keywords: fissure sealant, retention, clinical study, mechanical preparation
33
PP-02
PRE-ERUPTIVE INTRACORONAL RESORPTION OF PERMANENT FIRST MOLAR TEETH:
REPORT OF TWO CASES AND THER TREATMENTS
Sinem YILDIRIM, Kocaeli Universty - Pediatric Dentistry,
lk ERMET ELBAY, Kocaeli Universty - Pediatric Dentistry,
Mesut ELBAY, Kocaeli Universty - Pediatric Dentistry,
Emine KAYA, Kocaeli Universty - Pediatric Dentistry,
Introduction: Pre-eruptive intracoronal resorption is a lesion often located within the dentin, adjacent to the
dentin-enamel junction, in the occlusal aspect of the crown. As the lesions resemble caries, they are often referred as -pre-eruptive caries-.
Background: The pathogenesis of pre-eruptive intracoronal resorption is unclear, since the developing tooth is
encased in its crypt and is not likely to be infected with cariogenic microorganisms. The purpose of these case
reports is to describe the diagnosis and treatment of permanent molars with pre-eruptive intracoronal resorptions and to elaborate on possible associated clinical problems.
Case Reports: In this case presentation, two pediatric patients (aged 6 )with no contributing medical history
were referred to Kocaeli Universitys Faculty of Dentistry Department of Pediatric Dentistry Clinic for routine
clinical examinations. Panoramic radiographies demonstrated unerupted mandibular first molars with a clear
radiolucent area in the crowns extending from the occlusal surface into the dentin. No periapical pathology
had been observed. Clinical examinations revealed the alveolar mucosa of the first molars with normal color,
texture, and contour. Pre-eruptive intracoronal resorptions were diagnosed, and the decision was made to
remove the defective tooth structure in the resorbed areas and restore the teeth. After administration of local
anesthesia, the gingival tissues above the unerupted molars were retracted by 810 nm diode laser, revealing
the occlusal surface of the first molars.An opening to the cavities were made with a high-speed bur and the
caries-like tissues were removed with a low-speed round bur. Then the cavities were lined with a calcium
hydroxide base and the teeth were restored with composite resin.
Conclusion: During the follow-up period, soft-tissue healing progressed normally and the teeth have been asymptomatic. Early diagnosis and treatment of pre-eruptive intracoronal resorption are essential to avoid pulp
involvement after/before tooth eruption.
Keywords:
34
PP-03
A COMPARISON OF BONDING STRENGHTS AND MICROLEAKAGES OF THE FISSURE
SEALANTS WITH DIFFERENT PIT FILLING CONTENT PROPORTIONS AND DIFFERENT
CHEMICAL STRUCTURES
Burak ARIKIOLU, Di Hekimlii - Pediatric Dentistry,
Sera MEK DERELOLU, Di Hekimlii - Pediatric Dentistry,
Ycel YILMAZ, Di Hekimlii - Pediatric Dentistry,
Esra YANAR, Di Hekimlii - Pediatric Dentistry,
Aim: The aim of this study is to compare the bonding strengths and microleakages of the fissure sealants having different pit filling content proportions (Bis-GMA(Grandio seal(%70), Control Seal(%55), Fusio(%65),
Compomer(Dyract seal(%65), Giomer (Beauti sealant(%40) and glass ionomer(Fuji Triage(%100) and different chemical structures.
Material and Methods: 60 upper premolars extracted for orthodontic purposes were chosen. Vestibular and
palatinal surfaces of the teeth were used in the bonding stress tests and occlusal surfaces used in the microleakage tests. Test groups were arranged as; Group-1: Grandio Seal, Group-2: Control Seal, Group-3: Fuji Triage,
Group-4: Fusio, Group-5: Beauti sealant, Group-6: Dyract Seal. Prepared samples had been waited at 370C
for 24 hours, subjected 500 times to thermal cycling test between 5C-55C , and soaked in 0.5 % basic fuchsin
dye solution for 24 hours.
Results: The differences between the pit filling contents and chemical structures of the tested fissure sealants
were statistically significant (P<0.05). Furthermore, the pit filling contents and the chemical structures of the
fissure sealants caused significant differences between microleakages and failure types.
Conclusion: Within the limits of this study, the pit filling contents and the chemical structures of the fissure sealants might have significant effects on the bonding strengths, microleakages, and the failure types.
Keywords:
35
PP-04
PREVALANCE OF TEETH NUMBER ABNORMALITIES IN ORDU, TURKEY
Tunahan KANYILMAZ, Ordu University Dentistry Faculty - Pediatric Dentistry,
Cigdem GULER, Ordu University Dentistry Faculty - Pediatric Dentistry,
Nihal BELDUZ KARA, Ordu University Dentistry Faculty - Pediatric Dentistry,
Koray SURME, Ordu University Dentistry Faculty - Pediatric Dentistry,
Aim: The aim of this study was to evaluate the prevalance of teeth number abnormalities in a sample of pediatric patients attendinding the Department of Pediatric Dentistry, Faculty of Dentistry, Ordu University.
Methods: The study consisted a sample of 5548 patients aged between 5-15 years (2769 boys and 2779 girls)
referred of our clinic between April 2012 - April 2014. Panoramic radiograph of patients were examined for
teeth number abnormalities. All data (age, sex, systemic disease or syndrom) were obtained from patient files.
Results: In 6.2% of patients (345 patients; 156 boys, 189 girls) were observed teeth agenesis. In 5,9% of
patients (327 patients; 147 boys and 180 girls) and 0.3% of patients (18 patients; 9 boys and 9 girls) were
detected hypodontia and oligodontia, respectively. The most common missing teeth were mandibular second
premolar followed by maxillary lateral incisor, and maxillary second premolar. Symetrical missing was common.In 1.2% of patients (69 patients; 52 boys and 17 girls) were observed supernumerary teeth. The most
common supernumerary teeth were mesiodens (31 patients; 24 boys and 7 girls).
Conclusions: Teeth agenesis are common in Ordu/Turkey. Teeth number abnormalities should be evaluated
clinically and radiographically. Early diagnosis and treatment of teeth number abnormalities prevents unwanted problems in the future.
Keywords: number abnormalities, teeth, agenesis, mesiodens, prevalance
36
PP-05
A DESCRIPTIVE EPIDEMIOLOGY STUDY OF CLEFT LIP AND PALATE IN THE
NETHERLANDS
Bura ZEN, ACTA (University of Amsterdam & VU University Amsterdam) - Cariology Endodontology
Pedodontology,
A.J.P. VAN STRIJP, ACTA (University of Amsterdam & VU University Amsterdam) - Cariology Endodontology Pedodontology,
Aim: The aim of this study was to determine the incidence of cleft lip and/or cleft palate in a population from
The Netherlands.
Methods: The records of a total of 105 (mean age 14.11,8 years old) cleft patients treated at ACTA Amsterdam (University of Amsterdam & VU University Amsterdam) were assessed on a retrospective basis. Data
regarding cleft type, sex, side of cleft and race were collected and analyzed.
Results: Cleft lip and palate (49.5%) was most frequently found, followed by cleft palate (30.5%) and cleft
lip with or without alveolus (20%). Cleft lip occurred more frequently in males (71.4%) but there was no
significant difference in gender in both cleft lip and palate and cleft palate (p>0.05). The left side was more
frequently affected in patients who had cleft lip with or without alveolus . Dutch children (74.3%) were affected more than immigrant children.
Conclusions: Cleft lip and palate was the most frequent cleft type and there was no difference in gender but
cleft lip occurred more frequently in males. The left side was more frequently affected who had cleft lip. More
comprehensive surveys should be conducted in order to supply the lack of data on the occurrence and determinants of oral clefts in The Netherlands.
Keywords: cleft lip and/or palate incidence, immigrant
37
PP-06
PREVALENCE AND EXPERIENCE OF DENTAL CARIES AMONG 15 YEAR OLD SECONDARY
SCHOOL CHILDREN FROM VELES CITY IN THE VARDAR REGION OF THE REPUBLIC OF
MACEDONIA
Vesna AMBARKOVA, Faculty of dentistry, University Ss.Cyril & Methodius - Department for Pediatric and
Preventive Dentistry,
Mira JANKULOVSKA, Faculty of dentistry, University Ss.Cyril & Methodius - Department for Pediatric
and Preventive Dentistry,
Domagoj GLAVINA, Dental School,University of Zagreb - Department for Pediatric Dentistry,
Arian DACI, University Dental Clinic Center - St.Pantelejmon,
Anita SOLEVA, PHO Health Center - Sector for Pediatric Dentistry,
Aim: The aim of this study was to assess the dental caries in 15-year-old children attending regular public
secondary schools in Veles.
Methods: The study has been carried out during 2013 on adolescents aged 15.01( 0.42).In this cross-sectional
study, the secondary school children from first grades (N=127) have been selected from 2 Secondary Schools
in Veles. The dental status of the participants was evaluated on the basis of the 1997 World Health Organization caries diagnostic criteria for Decayed, Missing or Filled Teeth (DMFT) by 2 calibrated examiners. P value
0.05 was considered statistically significant.
Results: The total number of children in the exercise was 127, consisting of 59 (46.46%) female and 68
(53.54.2%) male. The mean DMFT was 4.9768, with standard deviation (SD) of 3.5084 and 95% confidence
interval (CI) of 4.3603-5.5925. Significant Caries (SiC) index was 8.9302. The prevalence of caries-free children was 9.45%. The percentage of untreated caries or the ration of D/DMFT was 0.5601 (56.01%).
Conclusions: The present study provides some evidence of relatively high caries prevalence and severity in
comparison with the Western European countries. It is necessary to dedicate more attention to the oral health
of children and adolescents in our country.
Keywords: Caries, caries prevalence, DMFT index, Macedonia, School children
38
PP-07
ORAL HEALTH STATUS OF ADOLESCENT MALE INMATES IN DETENTION CENTER OF
ISTANBUL
Didem NER ZDA, stanbul Aydn University Dentistry Faculty - Pediatric Dentistry,
Sevgi ZORLU, stanbul Aydn University Dentistry Faculty - Pediatric Dentistry,
Cenker Zeki KOYUNCUOLU, stanbul Aydn University Dentistry Faculty - Periodontology,
Nurcan TEZCI ZGR, stanbul Aydn University Dentistry Faculty - Periodontology,
Gaye DIKME GVELI, stanbul Aydn University Dentistry Faculty - Periodontology,
Burcu KARADUMAN, stanbul Aydn University Dentistry Faculty - Periodontology,
Child delinquency has been increasing in our country as well as in many countries of the world. Child intelligence, abilities, familys social enviroment and life conditions are the factors which affect the child delinquency.
Aim: The purpose of this study was to determine the past dental attendance, caries prevalence, periodontal
status, traumatized teeth, existence of primary teeth and dental anomalies, molar incisal hypoplasia (MIH),
medicament usage, and smoking habits, of adolescent inmates residing in prison (detention center). Methods:
This is a cross sectional study that was carried out on inmates. Totally 232 adolescent male inmates (mean age:
16.650.91) who were residing in detention center in stanbul, Turkey assessed in this study. After taking general demographic information, all the subjects were clinically examined according to WHO criteria. Plaque
index (PI) and Gingival index (GI) was recorded at Ramfjord teeth to evaluate periodontal status All data were
statistically analysed by SPSS 15,0 programme, and chi-square test, Fishers exact test, Kruskal-Wallis test
and Mann-Whitney U tests.
Results: Average lenght of stay was 6.548.38 (min:0.03-max:48) months. 44.4% of inmates never visited a
dentists. The mean DMFT score of adolescent inmates was 6,784,07. 9.1% of inmates had traumatized teeth.
42 (18.1%) of all inmates had MIH. PI and GI scores were above 1.00 value. Approximately 10% (n=24) of
them had primary teeth and dental anomalies. While 12.9% of all using a drug for systemic diseases, 80.2% of
inmates were smoking cigarettes before taken to detention center.
Conclusion: This survey indicated that the oral health of prison inmates was poor. Goverment should improve of the prisoners and voluntary organizations to provide the oral health care services to inmates.
Keywords: prison, child, caries, periodontal status, dental
39
PP-08
COMPARISON AND EVALUATION OF THE ORAL HYGIENE HABITS OF 12-14 YEAR-OLD
CHILDREN AND THEIR PARENTS
idem KKEMEN, University of Suleyman Demirel, Faculty of Dentistry - Paediatric Dentistry,
Esra KARAAA, University of Suleyman Demirel, Faculty of Dentistry - Paediatric Dentistry,
Aim: The aim of study is to compare and evaluate the impact of parents oral hygiene habits and levels on 1214 year-old childrens oral hygiene habits.
Metods: 360 patients between the ages of 12-14 who were admitted to SDU/Faculty of Dentistry/Pediatric
Dentistry Clinic were evaluated for oral&dental health, oral hygiene habits. Halitosis through the organoleptic
method, DMFT index according to dental caries, TCI scores of 360 patients (203 female&157 male) were examined. Questions about brushing frequency, complaint of halitosis, bleeding during brushing, using of dental
flossing&mouthwash, tongue cleaning and oral care were asked to parents.
Results: DMFT-index of study group was identified as 4,12. This ratio were found 4,19 in girls,4,04 in boys.
With respect to age groups; DMFT scores were found 3,34 in 12 years old, 4,24 in 13 years old,4,76 in 14
years old. It was observerd that incidence has increased with age. According to frequency of brushing, patients
were classified as who ever brushed %5, who sometimes brushes %44,1, 1-time per day %35,5, two-times per
day %15, three-times per day %0,2. Patients who reported bleeding during brushing were composed %59 of
study group. Patients with halitosis were %33 of study group. When halitosis were examined by organoleptic
method %42,7 of patients without halitosis have been identified. The use of dental floss %3,6, tongue cleaning
%24, use of mouthbrush %1,9 were constitued of study group. %13,7 have never brushed their teeth (%75
fathers,%25 mothers) and who occasionally brushes %37,8 in 684 parents (352 mothers&332 fathers) were
determined. Using dentalfloss %4,6, tongue-cleaning %7,7, using-mouthbrush %2,9 of parents in this study
group were constituted.
Conclusions: Oral hygiene habits of children between12-14 ages were found as adversely affected by parents
poor oral hygiene habits. In both groups, insufficient oral hygiene habits and childrens caries prevalence have
increased with age-related.
Keywords: DMFT, halitosis, oral hygiene, habits, organoleptic method, TCI
40
PP-09
EVALUATION OF THE RELATIONSHIP BETWEEN DIETARY INTAKE AND DENTAL CARIES
IN CHILDREN
Esra AIK, Istanbul University - Faculty of Dentistry,
Ceren Gney TOLGAY, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Duygu YILMAZ, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Gamze AREN, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Aim: The aim of this study was to examine the relationship between parents education/income levels, specific dietary intake behaviors, especially consumption of added sugars, and oral health in children.
Methods: 301 children (158 females and 143 males), aged 3-15 years, who attended Istanbul University,
Faculty of Dentistry, Department of Pediatric Dentistry were included in the study. Oral health examination
of the children were performed and the dmft/DMFT scores were recorded. To provide dietary information,
parents and the children together completed a questionnaire including questions on general health, parents
education levels, family income, frequency of consumption of dietary items, oral hygiene practices, and other
potential risk factors for dental caries. Data were analysed NCSS using (Number Cruncher Statistical System)
2007 Statistical Software (Utah, USA).
Results: The mean dmft was 6.05 (SD 4.01) for boys and 5.84 (SD 3.87) for girls, whereas the DMFT
for boys and girls was 2.83 (SD 1.73) and 2.73 (SD 2.46), respectively. Children, whose family income
was lower than 1000 TL, had higher dmft scores although these differences were not statistically significant.
Frequency of consumption of carbonhydrate rich foods (rice, pasta etc.) and fruit-based sugared drinks was
statistically significantly positively associated with experience of caries (P=0.001 and P=0.017 respectively).
In children who consumed meat everyday, the dmft scores were statistically significantly lower than the children who consumed once a week (P=0.047). Carbonhydrate rich snacks (cookies, wafer etc.) intake frequency
is associated with high dmft scores (P=0.002).
Conclusion: Sugar rich dietary intake plays a significant role in dental caries especially in primary dentition of
children who comes from low-income families. Specific dietary guidance is needed to reduce the prevalance
of early childhood caries.
Keywords: dietary intake, carbonhydrate rich nutrition, dental caries
41
PP-10
EVALUATION AND COMPARISON OF COMPOSITE POSTS AND GLASS FIBER POSTS IN
RESTORING BADLY DECAYED PRIMARY INCISORS: AN IN VIVO STUDY
Ahmed F. RADY, Magrab Dental Center - Pediatric Dentist,
Mohamed S. FARAG, Faculty of Dentistry,Suez Canal University - Department of Pedodontics,
Sayed H. SANIOUR, Facuty of Dentistry, Cairo University - Department of Dental Biomaterials,
Purpose: The management of mutilated primary incisors in early childhood caries is a clinical challenge and
necessitates the use of intraradicular retention. The aim of this study was to compare clinically composite
posts and glass fiber posts used in restoring badly decayed primary incisors.
Methods: This in vivo study was performed on a total of ten children with mean age of 4.2 years; affected by
early childhood caries. In these children, a total of 35 grossly carious primary upper incisors teeth were restored using two techniques of intra-canal retention, 14 teeth were received posts and cores made of composite
resin (Filtek Supreme XT, 3M), and 21 teeth were received a glass fiber post (RelyX Fiber Post, 3M) cemented
with dual cured self-adhesive resin cement (RelyX Unicem, 3M). Patients were recalled at 6 and 12 months to
evaluate the retention and marginal adaptation of the intra-canal retained coronal restoration.
Results: At 6th month follow-up, out of 21 teeth restored with glass fiber posts; 20 teeth (96%) showed M1
grade of marginal adaptation and only 1 tooth (4%) showed M3 grade of marginal adaptation. While in the 14
teeth restored with composite posts, 11 teeth (79%) showed M1 grade and three teeth (21%) showed M3 grade. At 12th month follow-up, 28 restored teeth (80%) were available for evaluation. Out of 17 teeth restored
with glass fiber posts; 15 teeth (88%) showed M1 grade of marginal adaptation and two teeth (12%) showed
M3 grade of marginal adaptation. While in the 11 teeth restored with composite posts, 8 (73%) teeth showed
M1 grade and three teeth (27%) showed M3 grade. None of the restored teeth showed M2 grade of marginal
adaptation.
Conclusion: The use of glass fiber posts and composite strip crowns resulted in good clinical success re-establishing function and restoring esthetics in ECC.
Keywords: Fiber Post, Composite Post, Rely X, ECC
42
PP-11
MANAGEMENT OF HIGH-CARIES RISK PATIENTS: 2 CASE REPORTS
Selcuk SAVAS, Izmir Katip Celebi University - Pediatric Dentistry,
Fevzi KAVRIK, Izmir Katip Celebi University - Pediatric Dentistry,
Ebru KUCUKYILMAZ, Izmir Katip Celebi University - Pediatric Dentistry,
Esra UZER CELIK, Izmir Katip Celebi University - Restorative Dentistry,
Introduction: The management of high-caries risk patients with poor oral hygiene and severe decayed teeth
offers a great challenge to pediatric dentists. Newly developed fluoride releasing tooth-colored restorative
materials may be a good alternative to restore the extensive caries lesions of these patients.
Background: This case report describes restorative procedures including newly developed fluoride releasing
tooth-colored materials and proper preventive strategies in 2 high-caries risk patients. Case 1: A 12-year-old
boy with carious maxillary anterior incisors referred to the clinic. Incipient caries lesions were detected in the
buccal surfaces of several teeth. Possible etiological factors (diet, oral hygiene, mutans streptococci counts,
saliva secretion rate, buffer capacity, and caries experience) were investigated and recorded. The maxillary
anterior incisors were restored with restorative glass ionomer (EQUIA Fil) and enamel microabrasion (Opalustre) was performed on incipient caries lesions. The casein phoshopeptid amorphous calcium phosphate
(CPP-ACP) paste (Tooth Mousse) was administered to the patient. Case 2: A 12-year-old girl referred to the
clinic due to extensive carious lesions in her anterior and posterior teeth. Clinical examination revealed defective composite restorations in mandibular central incisors, extensive caries in mandibular lateral incisors, occlusal caries in posterior teeth. Etiological factors were investigated and recorded. The teeth were restored with
Giomer (Beautifil) and hydroxyapatite and fluoride based paste (Remin Pro) was administered to the patient.
Conclusion: After 9 and 12 months, all restorations were clinically successful and no secondary caries or
new carious lesion was detected in both patients. Newly developed fluoride releasing tooth-colored restorative materials are effective alternatives to restore carious lesions in high-caries risk patients. Increasing the patients awareness, motivation regarding oral hygiene and applying the preventive strategies in
addition to restorative procedures may reduce the caries risk and prolong the lifespan of restoration.
Keywords: High-caries risk patients, Fluoride releasing, tooth-colored materials, Preventive strategies
43
PP-12
DIAGNOSTIC ACCURACY OF ICDAS, DIAGNODENT PEN, CARIESCAN PRO AND
SOPROLIFE CAMERA FOR THE INCIPIENT CARIES DETECTION
Murat NAL, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
Arzu DRER, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
Fatih OZNURHAN, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
Arife KAPDAN, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
Tuba ARI, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
AM: The aim of this in-vitro study was to investigate validity of International Caries Detection and Assessment System (ICDAS-II), laser flourescence based device (DIAGNOdent pen), Alternating Current mpedance Spectroscopy Technique (CarieScan PRO) and light-induced fluorescence evaluator (SOPROLIFE) in the
detection and assessment of incipient occlusal caries.
METHODS: Totally 100 permanent molar teeth were selected and evaluated with each caries detection method. Histological validation was the accepted gold standard. The inter and intra-examiner realibility of caries
detection methods were assessed using the Cohens Kappa statistic. The caries detection methods were compared by sensitivity, specificity, positive and negative likelihood rations, areas under receiver operating characteristic (AUROC) curves for occlusal caries and with the Spearmans rank correlation coefficient againts
histology.
RESULTS: The statistical results of the present study showed excellent diagnostic accuracy for occlusal caries. In addition, all detection methods showed good intra-examiner and inter-examiner reproducibility. All
methods were strongly corrolated with histology.
CONCLUSONS: All tested methods presented similar performance in detecting occlusal caries lesion and good to excellent reproducibility. The children could be prevented to exposure unnecessary x-ray radiography by visual ICDAS-II caries diagnostic method supported by DIAGNOdent pen, Soprolife and CarieScan PRO devices. Soprolife camera and
computerized monitoring system may be more useful device in pediatric dentistry for initial caries detection.
Keywords: Early caries detection, initial caries, new methods
44
PP-13
REHABILITATION OF ORAL HEALTH ON ADOLESCENTS WITH SEVERE CARIES
Elvira STANOVCI, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Hana NAKA, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Nora JAKA, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Blerta XHEMAJLI, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Shqiprim BAJRAMI, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Urata TAHIRI, Medical Faculty, Dentistry School - Pediatric and Preventive Dentistry,
Introduction: Caries is highly prevalent pathology in developing countries and its severity increase with
the age. This disease implies serious consequences for the development of stomatognatic system and for the
childs quality of life.. Background: The purpose of this case report it was to describe the oral rehabilitation of
three patients (12-15 years old) presenting severe caries
Case Reports: The study included three patients 12-15 years old of both sexes. Patients have come at the Pediatric Dentistry Clinic because of pain. After clinical examination, the extensive coronary caries was observed
on tooth (13-23, 33-43), also the mucosa associated at these teeth was very inflamed. Initially it was done
removal of hard and soft deposits, processing of periodontal pockets and advice were given for the maintenance of oral hygiene and the use of antiseptics . In the second visit after OPT analyses, treatment was started.
Treatment included upper and lower frontal teeth. After preventive and curative treatments the oral rehabilitation was performed: the use of celluloid crowns, post pins, composite restoration, endodontic treatment and
partial removable prosthesis. The children has been monitored for more than one year, in 2-monthly intervals
on Pediatric Dentistry Clinic.
Conclusion: The oral health rehabilitation was able to reestablish the oral health of
ren. This is important for the establishment of proper facial and maxillary growth
childs psychological and social development. The full management including all
ment in children with severe caries was found successful after more than one year
Keywords:
45
this childand to the

this treatfollow up.
PP-14
MANAGEMENT OF A TOOTH WITH NECROTIC PULP AND INCOMPLETE ROOT
DEVELOPMENT
Buse Aye SERIN, ukurova niversitesi Di Hekimlii Fakltesi - Pedodonti,
Ekin KENCI, ukurova niversitesi Di Hekimlii Fakltesi - Pedodonti,
Introduction: Mineral trioxide aggregate (MTA) has been recommended for root-end filling, pulp capping,
apexification of immature teeth with necrotic pulps, repair of root perforations and horizontal root fractures,
pulpotomy and root canal filling in endodontics. Background The major challenge of performing root canal
treatment in an open apexed tooth is to obtain a good apical seal.The purpose of this study was to evaluate
the efficiacy of MTA clinically and radiographically as material used to induce root end closure in nonvital
permanent teeth with immature apices in children.
Case report: 12- year old boy was reffered to pediatric dentistry clinic suffering from a crown fracture caused
by a trauma which happened a few years ago and marked grayish discoloration of his teeth. The radiographic
examination revealed an immature tooth with wide open apex with a radiolucent area in approximating of
apex tooth According to the treatment protocol, the root canals were rinsed with 5% NaOCl; then, calcium
hydroxide paste was placed in the canals for 1 week.In the second visit; consequently, the apical portion of
the canal (4 mm) was filled with MTA. The remaining portion of the root canals was then closed with thermoplastic gutta-percha. Not showing any symptoms in two weeks, walking bleach technique was used and
the teeth was then restored with composite resins.At 6-month follow-up period the clinical and radiographic
appearance of the teeth showed resolution of the periapical lesions.
Conclusion The apical plug with MTA should be a succesful and effecitve treatment alternative for management of teeth with necrotic pulp with immature root development and periapical lesions. The results indicate
that MTA can be used as an apical plug in the teeth with open apices following root canal debridement and
disinfection with calcium hydroxide.
Keywords: Apical plug, Intracoronal bleeching, MTA, Trauma
46
PP-15
TREATMENT OF AN IMMATURE TRAUMATIZED TOOTH WITH EXTRA ORAL FISTULA
Ezgi BALTACI, Karadeniz Technical University Faculty of Dentistry - Department of Pediatric Denstistry,
Adem KUGZ, Karadeniz Technical University Faculty of Dentistry - Department of Pediatric Denstistry,
Introduction: A chronic inflammation of untreated traumatized tooth is one of the reasons for an extra-oral
sinus tract of odontogenic origin. It is a case report of an extra-oral sinus tract of dental origin, its diagnosis
and treatment.
Backround: The patient was a 10-year-old female with a complaint of drainage from a extra oral lesion on
the chin. Her parent stated that she had swelling, pain and fewer when they were referred to state hospital. She
received a large amount of antibiotics both orally and parenterally. Patient had a history of dental trauma 2
years ago and root apex development was interrupted.
Case report: Extra-oral examination showed a nontender elevated crusty nodule approximately 0,5 cm in diameter on the chin. Palpation elicited an exudatous discharge from it. ntraorally, tooth #31 had mobility and
horizontal crown fracture in middle third, showed no respond to percussion. The periapical radiograph showed
diffuse radiolucency surrounding apical part of the root. Nonsurgical endodontic therapy was performed.
Calcium hydroxide and triple antibiotic paste (metranidazol, ciprofloxacin and minocycline) used for intracanal medicament for 4 weeks. The apical part of the root canal was obturated with mineral trioxide aggregate
(MTA). A fiber-reinforced post and composite restoration was accomplished for fractured crown. At 6 months
and 1 year follow-up, clinical and radiographic examination showed healthy tissues and tooth.
Conclusion: This report emphasizes the importance of early treatment of traumatized teeth and nonsurgical
endodontic treatment approach to extra-oral fistulas caused by necrotic pulp.
Keywords: dental trauma, extra-oral fistula, triple antibiotic paste, mineral trioxide aggregate
47
PP-16
THE EFFECT OF VARIOUS INTRACANAL MEDICAMENTS ON THE PUSH-OUT BOND
STRENGTH OF BIODENTINE AND MTA+ TO ROOT CANAL DENTIN
Merve AKCAY, Faculty of Dentistry, zmir Katip elebi University, - Department of Pediatric Dentistry,
Hakan ARSLAN, Faculty of Dentistry, Ataturk University - Department of Endodontics,
Sinan TOPCUUGLU, Faculty of Dentistry, Erciyes University - Department of Endodontics,
Merve MESE, Faculty of Dentistry, zmir Katip elebi University, - Department of Pediatric Dentistry,
Aim: The aim of this study was to investigate the effect of three intracanal medicament [calcium hydroxide
(Ca[OH]2), double antibiotic paste (DAP) and triple antibiotic pastes (TAP)] placements on the bond strength
of Biodentine and MTA+.
Methods: Forty-eight single-rooted human mandibular premolars were decoronated and the root canals enlarged up to size 140 to simulate immature root apices and randomly divided into a control group (without intracanal medicament) and three experimental groups that received an intracanal medicament, either Ca(OH)2,
DAP (metronidazole, ciprofloxacin) or TAP (metronidazole, ciprofloxacin, minocycline). The intracanal medicament was removed by rinsing with 10 mL 17% EDTA followed by 10 mL of 2.5% NaOCl. Each group was
further equally divided into two sub-groups and the cavities filled with either MTA+ or Biodentine (n=12).
Push-out test was used to measure the bond strength between the root canal dentin and the cement. The data
were analyzed using two-way analysis of variance (ANOVA) and LSD post-hoc tests (P=.05).
Results: A two-way ANOVA revealed that the bond strength was not significantly affected by the intracanal
medicaments or cement type (P>.05). However, there were significant interactions between the intracanal
medicament and cement type (P<.001). There were no significant differences between MTA+ and Biodentine
after the different medicament applications for all multiple comparisons (P>.05). Also, there were no statistically significant differences between the intracanal medicament in the MTA+ group (P>.05). Biodentine after
TAP application resulted in the highest bond strength. In the Biodentine group, there was a significant difference between TAP with DAP (P=.012) and TAP with control group (P= 034).
Conclusions: TAP placement improved the dislodgement resistance of Biodentine. However, the bond
strength of the MTA+ was not affected by the use of intracanal medicament. Antibiotic combinations, especially minocycline, could remain within the dentin and affect the bond strength values of the cement.
Keywords: Biodentine, double antibiotic paste, triple antibiotic paste, bond strength, MTA
48
PP-17
PULP REVASCULARIZATION OF IMMATURE PERMANENT PREMOLAR: A CASE REPORT
Tuba EROL, Istanbul Medipol University - Pedodontics,
Erhan ERKAN, Istanbul Medipol University Faculty of Dentistry - Endodontics,
Asl PATIR MNEVVEROLU, Istanbul Medipol University - Pedodontics,
INTRODUCTION: Immature permanent teeth damaged by caries or trauma can present a challenge to dentistry. Endodontic treatment options are apexification, apical barriers, or more recently, revascularization.
BACKGROUND: The current treatment of necrotic immature teeth is provided by triple antibiotic paste
(TAP) which includes ciprofloxacin, metronidazole, and minocycline for revascularization process in necrotic
immature teeth. The aim of this report was to present a case of pulp revascularization in an immature necrotic
tooth.
CASE REPORT: An 12-year-old male damaged by caries permanent left second premolar. The observations
made with clinical and radiographic examinations that are revealed extensive coronal caries, immature root,
and periapical radiolucencies. Revascularization therapy was performed over multiple visits. In radiographic
and clinical check outs were asymptomatic and functional, periapical radiolucencies were healed, and roots
continued to develop.
CONCLUSION: Regenerative techniques may become a standard technique in treating immature necrotic
permanent teeth with an increasing number of clinical evidence.
Keywords: Triple antibiotic paste, immature teeth, revascularization
49
PP-18
COMPARISON OF THE FRACTURE RESISTANCE OF IMMATURE TEETH TREATED WITH
MTA, BIODENTINE, AND CALCIUM HYDROXIDE DURING APEXIFICATION
Mehmet TANRIVER, Sifa University,Faculty of Dentistry - Department of Paediatric Dentistry,
Mustafa ALTUNSOY, Sifa University,Faculty of Dentistry - Department of Paediatric Dentistry,
Evren OK, Sifa University,Faculty of Dentistry - Department of Endodontics,
Mehmet Selim BILGIN, Sifa University,Faculty of Dentistry - Department of Prosthodontics,
smail Davut APAR, Katip elebi University,Faculty of Dentistry - Department of Endodontics,
Aim: To compare the effect of Mineral Trioxide Aggregate (MTA), Biodentine and Calcium Hydroxide (CH)
on the fracture resistance of immature teeth after apexification.
Materials and methods: The crown and the apical 3 mm part of the 65 single-rooted teeth were removed. The
root canals were shaped with ProTaper files up to F5 size. Simulation of roots into immature apices were
carried out using size 4 green 1.5 mm diameter Unicore drills. The specimens were then randomly divided
into 5 groups (n = 13). In CH and positive control groups, roots were filled CH and soaked in distilled water
for 3 months. The root canals in the CH group were filled with Gutta Percha and AH Plus Sealer. The root
canals in the positive control group were left unfilled. The root canals in the negative control group were left
unprepared. In the other two groups, the root canals were fully filled either with MTA or Biodentine. The most
coronal part was flattened and the roots were simulated with artificial periodontal ligament using 0.2 mm silicone impression material teeth having fixed in acrylic resin molds. All the teeth were fixed in the Universal
Testing Machine and vertical force with 1mm/min crosshead speed was applied until failure occurred. The
values were recorded in Newtons. SPSS 15.0 was used for statistical analysis. One-way ANOVA and Tukey
HSD tests were used for statistical analysis of the groups.
Results: Biodentine group showed the best results followed by CH, MTA and control groups (p<0.05). There
were no significant differences between the groups MTA, CH and negative control groups (p>0.05) and these
groups were found statistically better than positive control group (p<0.05).
Conclusion: This in vitro study showed that Biodentine demonstrated the best results in the fracture resistance
of immature teeth. However, further clinical trials are needed.
Keywords: Calcium silicate based materials, apexification, fracture resistance, immature teeth
50
PP-19
ANTIBACTERIAL ACTIVITY OF RESIN MODIFIED AND HIGH VISCOSITY GLASS
IONOMER CEMENTS CONTAINING CHLORHEXIDINE DIACETATE/CETRIMIDE
MIXTURES AGAINST STREPTOCOCCUS MUTANS
Zeynep Asli GL, Trakya University Faculty of Dentistry - Pediatric Dentistry,
Tamer TZNER, Karadeniz Technical University - Pediatric Dentistry,
Fatih ZNURHAN, Cumhuriyet University - Pediatric Dentistry,
zgl BAYGIN, Karadeniz Technical University - Pediatric Dentistry,
lkay ALTINTEPE, Akdeniz University - Pediatric Dentistry,
Celal Kurtulu BURUK, Karadeniz Technical University Faculty of Medicine - Microbiology,
Aim:The aim of this study was to evaluate the antibacterial activity of resin modified (RM) and high viscosity
(HV) glass ionomer cements (GIC) containing chlorhexidine (CHX)/cetrimide(CT) mixtures against Streptococcus mutans. The CHX/CT powders were added to the powders of RM and HV GIC at the concentration of
2,5%/2,5% (total of 5%) and selected as experimental groups (EXP:RMEXP and HVEXP). Antibacterial free
groups were prepared as controls (CNT:RMCNT and HVCNT).
Methods:A total of 12 disc shaped specimens (10 mm diameter, 1mm depth) were used of the agar diffusion
test (ADT). The antibacterial activity of EXP and CNT groups were tested at 1,7 and 14 days. Mann Whitney
U test was used for comparing the antibacterial activity of EXP groups (p<0.05).
Results:According to the ADT; no inhibiton zones were obtained at 1, 7 and 14 days period both for RMCNT
and HVCNT. At day 1; no significant differences were found between the RMEXP and HVEXP (p>0.05)
whereas significantly higher antibacterial effects were found in HVEXP compared to the RMEXP (p<0.05) at
7 and 14 days period.
Conclusions:The incorpoartion of CHX/CT mixtures to the RM or HV GIC may provide antibacterial action
against Streptococcus mutans. Adding CHX/CT mixtures to the HV GIC can be considered as an acceptable
combination to inhibit the bacteria particularly for the atruamatic restorative treatment.
Keywords:
51
PP-20
EFFECTS OF DIFFERENT CAVITY DISINFECTANTS AND KTP LASER ON MICROTENSILE
BOND STRENGTH TO PRIMARY DENTIN
Fatih ZNURHAN,Cumhuriyet Universitesi - Di Hekimlii Fakltesi,
Ceren ZTRK, Cumhuriyet Universitesi - Di Hekimlii Fakltesi,
Elif SUNGURTEKIN EKCI, Yeditepe Universitesi - Di Hekimlii Fakltesi,
Aim : The aim of this in vitro study was to compare the effects of different cavity disinfectants and KTP laser
on microtensile bond strength to primary dentin.
Methods : Twelve primary molar teeth were used in this study. One third of the teeth (from coronal portion)
were removed to obtain flat surfaces. Chlorhexidine (CHX), propolis (PRO), ozonated water (OW), gaseous
ozone (OG) and KTP laser were used for disinfect the cavity. After this application an adhesive (Prime&Bond
NT) was applied to dentin surfaces and composite crowns were built up. One group received no pre-treatment
and was set as control (CONT). Ten sticks were obtained from these samples and were stressed in tension until
failure using a universal testing machine and the data were recorded.
Results : The mean strength values (in MPa) of the sticks were OW(11.12)> KTP(9.58)> CHX(7.58)>
PRO(7.42)> CONT(6.38)> OG(5.84) and OW showed significantly higher results than the other groups, except KTP group (p<0.05).
Conclusion : Within the limits of this study, it could be concluded that OW and KTP laser might be used safely
as cavity disinfectants in primary teeth without compromising the bond strength of restorative materials.
Keywords: chlorhexidine gluconate, ozone, KTP lasers, propolis, cavity disinfectans
52
PP-21
EFFECT OF PROPOLIS ADDED IN DIFFERENT PROPORTIONS TO FISSURE SEALANT ON
SHEAR BOND STRENGTH AND MICROHARDNESS
Mustafa ALTUNSOY, Sifa University Faculty of Dentistry - Pediatric dentistry,
Gke GARP, Sifa University Faculty of Dentistry - Pediatric dentistry,
Mehmet Emin USLU, Izmir Institute of Technology - Chemical Engineering,
Uur TRKAN, Gediz University Faculty of Engineering - Biomedical Engineering,
Sibel SILICI, Erciyes University Faculty of Agriculture - Agricultural Technology,
Aim: To investigate the effect of ethanolic extracts of propolis (EEP) added in different proportions to fissure
sealant on shear bond strength (SBS) and microhardness.
Methods: The sealant was divided into six groups: one using the original composition and five with 0.5 %,
0.35 %, 0.21 %, 0.13 % and 0.10 % EEP added to the fissure sealant. A total of 78 freshly extracted non-carious human first molar teeth were randomly divided into six groups of 13 each. The buccal surfaces of all
teeth were polished with 600-grit paper to create standard smooth surfaces. After etching, the fissure sealant
(Fissured Nova; IMICRYL, Konya, Turkey) with different propolis proportions was applied and light cured
with a light-emitting diode (LED) according to the manufacturers recommendations. SBS was evaluated in
failure using a knife-edge blade in a universal testing machine with a crosshead speed of 1 mm/min. Disk
shaped specimens were prepared from tested fissure sealants to determine Vickers hardness (VHN). SBS and
microhardness data were analyzed using One Way ANOVA and Tukey HSD tests.
Results: SBS values of 0,5 %, 0,35 % and 0,21 % propolis-containing groups showed failure on bonding. SBS
values of 0,13 % and 0,10 % propolis-containig groups were not statistically significantly different compared
with control group (p>0.05). 0,35 propolis-containing group showed highest microhardness values compared
to other groups (p<0.05). Control, 0,13 % and 0,5 % propolis-containing groups showed similar VHN values
with each other (p>0.05) and higher VHN values than 0,21 % and 0,10 % ones (p<0.05).
Conclusions: The addition of 0,13 % and 0,10 % propolis to fissure sealant did not change SBS. So
that; it can be used safely during routine dental practice due to its antibacterial property. But the proportional relationship was not observed between the amount of EEP in fissure sealant and microhardness.
Keywords: fissure sealant, propolis, shear bond strength, microhardness
53
PP-22
EFFECT OF PHOTO-ACTIVATED DISINFECTION ON SHEAR BOND STRENGTH OF
FLOWABLE COMPOSITES TO DENTIN
Mustafa ALTUNSOY, Sifa University - Pediatric Dentistry,
Mehmet TANRIVER, Sifa University - Pediatric Dentistry,
Evren OK, Sifa University - Endodontology,
Aim: To evaluate the effect of photo-activated disinfection (PAD) on shear bond strength (SBS) of flowable
composites to dentin.
Methods: Forty-four teeth were used. Buccal enamel surfaces of the teeth were removed and dentin surfaces
of teeth were polished with 400-grit paper to create standard flat surfaces. The teeth were randomly divided
into four groups (n = 11). In the control groups, Vertise Flow self-adhering flowable composite (Kerr, Orange,
CA, USA) and X-tra base bulk (Voco GmbH, Cuxhaven, Germany) composite were applied to the dentin according to the manufacturers instructions. In the PAD groups, PAD solution was applied to the dentin surfaces
according to the manufacturers instructions. Then, flowable composites were applied to the dentin surfaces
and polymerized. SBS was evaluated until failure occurred using a knife-edge blade in a universal testing machine. The data were analyzed with One-way analysis of variance (ANOVA) and Tukey HSD test ( = 0.05).
Results: X-tra base showed statistically higher SBS value than did the Vertise Flow (p<0.05). Both PAD
groups showed higher SBS than control groups but this was not statistically significant (p>0.05).
Conclusion: Disinfection of dentin surface with a PAD solution would be favorable in terms of not adversely
affecting the SBS of flowable composites.
Keywords: flowable composites, photo-activated disinfection, shear bond strength
54
PP-23
COMPARISION OF THREE DIFFERENT FISSURE SEALANT MATERIALS:
A PILOT-CLINICAL STUDY
Ceren YCEL ER, Ege University Faculty of Dentistry - Department of Pedodontics,
Berrin NEK, Ege University Faculty of Dentistry - Department of Pedodontics,
Menije MENDERES, Ege University Faculty of Dentistry - Department of Pedodontics,
Asl TOPALOLU AK, Ege University Faculty of Dentistry - Department of Pedodontics,
zant NA, Ege University Faculty of Dentistry - Department of Pedodontics,
Aim: Dental caries is a very common disease that can be arrested in its early stages. Approximately 90% of
carious lesions are found in the pits and fissures of permanent posterior teeth. For the prevention of caries,
pit and fissure sealants are widely used. The aim of our study is to evaluate retention and caries prevention of a glass-ionomer cement (GIC) fissure sealant (Fuji Triage Capsule,GC), a resin-based fissure sealant
(Clinpro,3M ESPE) and a glass-ionomer cement (GIC) based varnish (Clinpro XT Varnish,3M ESPE) placed
on the first permanent molars.
Methods: The study is a pilot, randomized clinical trial. Children with three caries-free permanent first molars
with deep pits and fissures were included in the study. Sealant materials were applied on 108 first permanent
molars in 36 children who were at the age of 7-12. Retention, quality of sealing and caries development were
clinically examined, both tactilely and visually, immediately and after 3 months, 6 months and 1 year.
Results: GIC sealants were completely lost in 19,4% , resin-based sealants in 8,3% and GIC based varnish in
52,7%. The total retention rates of GIC sealants were 33,3%, resin-based sealants were 61,1% and GIC based
varnish was 27,7%, respectively. The caries development was seen in 1 tooth for GIC sealants, in 1 tooth for
resin-based sealants and in 3 teeth for GIC based varnish.
Conclusion: The retention of resin-based sealants was markedly superior to the retention of GIC sealants and GIC based varnish. More accurate results can be achieved by increasing the number of patients.
Keywords: fissure sealant, caries prevention, dental caries, varnish
55
PP-24
CYTOTOXIC EFFECTS OF DIFFERENT PULPOTOMY MATERIALS ON DENTAL PULP
CELLS OF PRIMARY TEETH
Gizem OZBAY YAVLAL, Marmara University Dental Faculty - Pediatrc Dentistry,
Burcu ERTAN, Yeditepe University Genetics And Bioengineering Faculty - Gebetics,
Gamze TORUN KOSE, Yeditepe University Genetics And Bioengineering Faculty - Gebetics,
Betul KARGUL, Marmara University Dental Faculty - Pediatric Dentistry,
Aim : The success of the vital pulp therapy could only be achieved by maintaining vitality of pulp cells. To
maintain viability, it is compulsory to use biocompatible, non-cytotoxic materials. The aim of this study was
to evaluate cytotoxic effects of BiodentineTM, Pro-ROOT MTA, FormoCreasol (FC), Ferric Sulphate (FS)
and Calcium Hydroxide (Ca(OH)2) on dental pulp cells of primary teeth.
Material&Method: To evaluate cell viability, the materials and Cell cultures were prepared according to the
manufacturers\ instructions under aseptic conditions. (L 929) Mouse fibroblasts were used as toxicity targets.
On the 1st, 3rd and 7th day, cytotoxicity of MTA, BiodentineTM, FC, FS, and Ca(OH)2 were analysed with
3- (4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl) -2-(4-sulfophenyl)-2H- tetrazolium (MTS) assay
and the results were statistically evaluated by INSTANT (Graph Pad Inc. USA).
Results : According to MTS results on the 1st, 3rd and 7th days MTA was found the most biocompatible material; Biocompatibility of BiodentineTM, FC, FS and Ca(OH)2 showed statistically no significant difference
(p>0.05) and biocompatibility of MTA and BiodentineTM was found statistically not significant difference
(p>0.05).
Coclusion : BiodentineTM can be considered as an alternative material for Pulp therapy in pediatric patients
because of its low cytotoxicity. It is concluded that more work is required in this field can be recommended.
Keywords: Biodentine, MTA, FormoCreasol, Ferric Sulphate, Cytotoxcicity
56
PP-25
THE EFFECT OF SEVERAL ACCELERANTS ON SETTING TIME OF MINERAL TRIOXIDE
AGGREGATE
Pnar KULAN, Marmara University - Pediatric Dentistry,
Betl KARGL, Marmara University - Pediatric Dentistry,
Aim: Mineral Trioxide Aggregate (MTA) is used widely in endodontic therapy as a pulp-capping material,
root-end filling material and perforation-repair material. Although MTA has many favorable properties, it has
some disadvantages. One of the major disadvantages of the material is its long setting time, which, in turn,
necessitates multiple visits by the patients. Therefore, many attempts were made to improve the clinical manageability of MTA by adding a setting accelerator. The aim of this study was to evaluate the effects of several
additives on setting time.
Methods: ProRoot white MTA (WMTA) (Dentsply, USA) was mixed with various additives which tested
include distilled water, saline, anesthetic solution (2ml articaine HCl + 0,010 mg epinephrine, Maxicaine),
15% disodium hydrogen phosphate (Na2HPO4)(Merck, Darmstadt), K-Y Jelly (Johnson & Johnson, Canada),
5% and 10% calcium chloride (CaCl2)(Merck, Darmstadt). The setting times were evaluated using a Vicat
apparatus (Utest UTCM-0028). The molds used to test the samples were 10 mm wide and 2 mm deep. After a
homogenous mix was achieved, the cement was transferred into the molds. Setting time of the materials was
measured under controlled temperature and humidity (371C and 955% relative humidity). The samples
were tested at 5-minute intervals until fully set. The setting time was recorded when the needle failed to create
an indentation in three separate areas.
Results: The setting time of MTA mixed with 10% CaCl2 (272,83); K-Y Jelly (301,41); 15% Na2HPO4
(322,83) and 5% CaCl2 (352,83) were shorter than that of MTA mixed with distilled water (1402,83);
saline (1484,24); anesthetic solution (1632,83). Saline and anesthetic solution extended the setting time.
MTA mixed with 10% CaCl2 showed the lowest setting time.
Conclusions: This in vitro study, the various additives could be possible substitutes to water to decrease
MTA setting time. Nevertheless, more study will be needed to improve MTA\s preexisting advantages.
Keywords: MTA, accelerants, setting time
57
PP-26
COMPARISON OF MICROLEAKAGE OF SELF-ADHESIVE FLOWABLE COMPOSITES IN
CLASS V CAVITIES
Ebru KUCUKYILMAZ, zmir Katip Celebi University - Pediatric Dentistry,
Esra UZER CELIK, zmir Katip Celebi University - Restorative Dentistry,
Selcuk SAVAS, zmir Katip Celebi University - Pediatric Dentistry,
Basak BOLUKBASI, zmir Katip Celebi University - Pediatric Dentistry,
Aim: The aim of this in-vitro study was to compare the microleakage of self-adhesive flowable composites to
their counterparts applied with three different adhesive systems (3-step etch and rinse, 2-step self-etch, and
1-step self-etch) in Class V cavities.
Methods: Seventy-five standardized Class V cavities were prepared on both buccal and lingual/palatinal surfaces of extracted non-carious human molar teeth. The occlusal margins were located on the enamel where
the gingival margins were extended 1 mm below the cemento-enamel junction. Following preparation, all
specimens were randomly divided into five groups: (1) self-adhesive [Fusio Liquid Dentin (FLD)], (2) self-adhesive [Vertise Flow (VF)], (3) adhesive (3-step etch and rinse) [Gel Etchant/Optibond FL/Clearfil Majesty
Flowable] (3Er/flowC), (4) adhesive (2-step self-etch) [Clearfil SE Bond/Clearfil Majesty Flowable] (2Se/
flowC), (5) adhesive (1-step self-etch) [Clearfil S3 Bond Plus/Clearfil Majesty Flowable] (1Se/flowC). After
thermocycling and immersion in a 0.5% basic fuchsin, the restorations were sectioned and dye penetration
was evaluated under a stereomicroscope (n=30). The data were statistically analyzed with Kruskal-Wallis,
Mann-Whitney U and Wilcoxon Signed Ranks tests (=0.05).
Results: At the enamel interface, no significant differences were observed between the microleakage scores of
VF, FLD and 3Er/flowC, while they showed significantly lower leakage scores than 2Se/flowC and 1Se/flowC
(p<0.05). At the dentin interface, 3Er/flowC and 2Se/flowC exhibited lower leakage scores than VF, FLD and
1Se/flowC (p<0.05). VF, FLD had higher leakage scores at the gingival margins, while higher scores were
detected at the enamel margins in 2Se/flowC and 1Se/flowC (p<0.05).
Conclusions: Both self-adhesive flowable composites showed similar microleakage scores to the 3-step
etch and rinse adhesive/flowable composite in enamel, whereas their performance in dentin was worse
than 3-step etch and rinse adhesive/flowable composite and 2-step self-etch adhesive/flowable composite.
Keywords: Microleakage, Self-adhesive, flowable composite, etch&rinse, self-etch
58
PP-27
EFFECT OF DIFFERENT SURFACE PRE-TREATMENT METHODS ON THE
MICROLEAKAGE OF TWO DIFFERENT SELF-ADHESIVE COMPOSITES IN CLASS V
CAVITIES
Esra UZER CELIK, Izmir Katip Celebi University - Restorative Dentistry,
Ebru KUCUKYILMAZ, Izmir Katip Celebi University - Pediatric Dentistry,
Selcuk SAVAS, Izmir Katip Celebi University - Pediatric Dentistry,
Aim: To evaluate the effect of different surface pre-treatment methods on the microleakage of self-adhesive
flowable composites (SAFCs) in comparison with a conventional flowable composite applied with an etch-and-rinse adhesive system.
Materials and Methods: A hundred and thirty-five standardized class-V cavities were randomly divided into
nine groups: (1) three-step etch-and-rinse adhesive [Optibond FL, Kerr]/flowable composite [Clearfil Majesty
Flow, Kuraray] (E&Ra/flowC), (2) Fusio Liquid Dentin [Pentron], (3) Er:YAG Laser/Fusio Liquid Dentin
(Er&Las/Fusio Liquid Dentin), (4) Phosphoric Acid/Fusio Liquid Dentin (PhosA/Fusio Liquid Dentin), (5)
Polyacrylic Acid/Fusio Liquid Dentin (PolyA/Fusio Liquid Dentin), (6) Vertise Flow [Kerr], (7) Er:YAG
Laser/Vertise Flow (Er&Las/Vertise Flow), (8) Phosphoric Acid/Vertise Flow (PhosA/Vertise Flow), and (9)
Polyacrylic Acid/Vertise Flow (PolyA/Vertise Flow). After thermocycling and immersion in a 0.5% basic fuchsin, the restorations were evaluated under a stereomicroscope (n = 30). The data were statistically analyzed
(a = 0.05).
Results: Both SAFCs showed higher leakage scores than E&Ra/flowC in enamel and dentin (p < 0.05). Vertise
Flow showed lower leakage than Fusio Liquid Dentin in dentin (p<0.05). Pre-phosphoric acid etching reduced the microleakage scores of Fusio Liquid Dentin in both enamel and dentin (p < 0.05), while all surface
pre-treatment methods led to a significant reduction in the microleakage scores of Vertise Flow at the enamel
margin (p < 0.05).
Conclusion: Pre-etching of enamel and dentin by phosphoric acid may be satisfactory in improving the sealing
ability of Fusio Liquid Dentin, while phosphoric acid or polyacrylic acid etching or laser irradiation may be
used to improve the adhesion of Vertise Flow to enamel.
Keywords: Acid etching, Laser irradiation, Microleakage, Self-adhesive flowable composite
59
PP-28
CYTOTOXICITY OF THREE DIFFERENT COMPOSITES ON PULP AND PERIODONTAL
LIGAMENT STEM CELLS
Ezgi EKMEGELI, Marmara University, Faculty of Dentistry - Department of Pediatric Dentistry,
P. Neslihan TALI, Yeditepe University - Department of Genetics and Bioengineering,
Binnur KIRATLI HERAND, Yeditepe University - Department of Genetics and Bioengineering,
Serap AKYZ, Marmara University, Faculty of Dentistry - Department of Pediatric Dentistry,
Ayen YARAT, Marmara University, Faculty of Basic Medical Sciences - Department of Biochemistry,
Fikrettin AHIN, Yeditepe University - Department of Genetics and Bioengineering,
Aim: The aim of this study is to compare the effect of a universal, a bulk-fill and a flowable composite on the
cell viability of both human pulp stem cells (hPSCs) and periodontal ligament stem cells (hPLSCs) derived
from 3rd molar germ.
Methods: Three different restorative materials, Tetric EvoCeram, Tetric EvoCeram Bulk Fill and Tetric EvoFlow, were tested regarding to cytotoxicity in vitro. Samples of each material were put in Teflon rings (5mm x
2mm) and polymerized using a light unit. Then, samples were placed on transwell inserts (with a pore size 3
m) where the materials were co-cultured with hPSCs and hPLSCs. The toxicity was evaluated by the MTS
(3-(4,5-dimethyl-thiazol-2-yl)-5-(3-carboxy-methoxy-phenyl)-2-(4-sulfo-phenyl)-2H-tetrazolium) assay on
days 1, 3, 7, 10 and 14. 20% dimethysulfoxide (DMSO) was used as positive control (PC) group and non-treated cells were used as negative control (NC) group. For the statistical analysis GraphPad Prism software
program was used and analysis was made by one way-ANOVA.
Results: The results showed that Tetric EvoCeram, Tetric EvoCeram Bulk Fill exerted no cytotoxicity, but
Tetric EvoFlow caused cytotoxicity (p < 0.05) of almost all of the cells at the day 14th on both cell types.
Conclusion: The study showed the cytotoxicity of dental resin composites recently used in pediatric dentistry.
These results suggest that Tetric EvoCeram and Tetric EvoCeram Bulk Fill can be pereferable than flowable
version for tooth restoration in deep cavities and also the biocompability of restorative materials should be
considered when choosing for the procedure besides other physical properties. This study was supported by a
grant from Marmara University, Scientific Research Commission with the number SAG-C-DRP-041213-0452.
Keywords: Resin composite, cytotoxicity, pulp stem cell, periodontal ligament stem cell
60
PP-29
EVALUATION OF RADIOPACITY OF BULK-FILL RESTORATIVE MATERIALS
Bilal YASA, Izmir Katip elebi University - Restorative Dentistry,
Ebru KUCUKYILMAZ, Izmir Katip elebi University - Pediatric Dentistry,
Elif YASA, Sifa University - Department of Restorative Dentistry,
Elif Tarm ERTA, Izmir Katip elebi University - Department of Oral and Maxillofacial Radiology,
Objectives: This study investigated the radiopacity values of glass ionomer and resin based bulk-fill restoratives by using digital radiography system. Methods: Two different glass ionomer based (Equia Fil, GCP Glass
Fill), three different resin based (SDR Bulk Fill, Quixfil, Filtek Bulk Fill) bulk-fill restorative materials, and as
a control conventional composite material were used in the study. Three disc-shaped specimens were prepared
from each of these materials, at different thicknesses (1 mm, 2 mm and 4 mm), and tooth slices were obtained
with the same thicknesses. As a control, an aluminum stepwedge varying from 0.5 to 10 mm in thickness was
used. Materials were placed over a CMOS (Complementary Metal Oxide Semiconductor) sensor together with
the tooth slice and the aluminum stepwedge and were then exposed using a dental x-ray unit. The images were
analyzed by means of a software program to measure the mean gray values (MGVs). Five measurements were
obtained from each of the restorative materials, enamel, dentin and the stepwedge. The MGVs were converted
to the equivalent of the aluminum thicknesses. Two-way ANOVA was used to investigate the significance of
the differences among the groups. Tukeys test was applied for pairwise comparisons (p<0.05).
Results: GCP Glass Fill presented the lowest radiopacity values (1.950.035, 3.440,070, 6.530.076 mm Al
for 1, 2, 4 mm respectively) of all the groups while Quixfil were the highest (5.040.10, 8.510.11, 14.730.13
mm Al for 1, 2, 4 mm respectively). All bulk-fill restoratives were found to be higher than the enamel and dentin except the GCP Glass Fill. The radiopacity rose with the increasing thicknesses of the restorative materials.
Conclusion: All investigated bulk-fill restoratives passed the ISO requirements for radiopacity values.
Keywords:
61
PP-30
THE EFFECT OF WATER SORPTION AND SOLUBILITY OF DIFFERENT TYPES OF SELF
ADHERING FLOWABLE COMPOSITE RESINS
Ela NER, Selcuk University - Pediatric Dentistry,
Murat Selim BOTSALI, Selcuk University - Pediatric Dentistry,
Ebru KKYILMAZ, Izmir Katip Celebi University - Pediatric Dentistry,
Firdevs KAHVECIOLU, Selcuk University - Pediatric Dentistry,
Aim: The aim of this study was to compare the water sorption and solubility of two different self-adhering
flowable composite resin materials. Methods: Two commercial self adhering flowable composite materials
were selected: i. Vertise Flow (Kerr, Orange, CA, USA) and ii. Fusio Liquid Dentin (Pentron Clinical, Orange,
CA, USA). Twenty disc specimens (6 mm in diameter and 2 mm in depth) were prepared of each material, following the manufacturers instructions using an LED light-curing unit at 1200 mW/cm2 (VALO). The samples
were stored in a desiccator for 24 hours at 37C and then the weight of each sample was measured by sensitive
balance (M1). Following this procedure these specimens were placed in distilled water in an incubator for 24
hours at 37C. Then the samples were dried with blotting paper. The dry samples were weighed again (M2).
As a finally the samples were stored in a desiccator 24 hours at 37C and weighed (M3). The same process was
applied to the samples which had been stored in water for 7 days. Results were analyzed using the independent
sample t-test (=0.05).
Results: Although Vertise Flow water sorption and solubility mean values was higher than Fusio Liquid Dentin, there was no statistically significant difference determined between the tested materials (p > 0.05).
Conclusions: Within the limitations of this study no differences were found between the tested materials with
regards to water sorption and solubility.
Keywords: fusio liquid, dentin, vertise flow, water sorption, solubility
62
PP-31
DO THE MONOMERS RELEASE FROM THE COMPOSITE RESINS AFTER ARTIFICIAL
AGING?
Ugur TOKAY, Ondokuz Mayis University Faculty of Dentistry - Pediatric Dentistry,
Alp Erdin KOYUTURK, Ondokuz Mayis University Faculty of Dentistry - Pediatric Dentistry,
Abdurrahman AKSOY, Ondokuz Mayis University Faculty of Veterinary - Pharmacology and Toxicology,
Bilal OZMEN, Ondokuz Mayis University Faculty of Dentistry - Pediatric Dentistry,
Aim: The aim of this study is to measure the effect of thermal cycling on the amount of monomer released
from three different composite materials by HPLC analysis method.
Mehods: Three different composite materials, inlay composite, posterior composite and micro-hybrid composite were used. Sixty cylinder specimens each with a dimension of approximately 1 cm width and 3 mm depth,
were prepared before experiments were carried out. Inlay composite material was polymerized according to
manufacturers instructions. Thermal cycling device was used to simulate thermal differences which occur in
the mouth media. Monomers were analyzed using HPLC technic after thermal cycling process. The amount
of ethoxylated Bis-GMA and urethane dimethacrylate (UDMA) in inlay composite material, the amount of
ethoxylated Bis-GMA in posterior composite material, the amount of ethoxylated Bis-GMA and triethyleneglycol dimethacrylate (TEGDMA) in micro-hybrid composite material were investigated.
Results: Monomer release of thermal cycles levels showed a linear increase in UDMA and TEGDMA
(p<0.05). In terms of thermal cycles levels, Bis-EMA released from posterior composite showed a cubic change (p<0.001). It was observed that use of additional polymerization processes might have positive effect on
the decrease of residual monomer.
Conclusion: In the light of the results, we suggest that indirect composite resins have more outstanding features than direct composite resins in terms of biocompatibility.
Keywords: Aging, composite resins, monomer, high performance, liquid chromatography, thermal cycling
63
PP-32
SHEAR BOND STRENGTH OF TWO GLASS IONOMER CEMENT RESTORATIONS: AN IN
VITRO STUDY
Eman ALAA ELDEEN, Faculty of Dentistry - Pediatric Dentistry,
Amr ABD EL-AZIZ, Faculty of Dentistry - Pediatric Dentistry,
Amira BADRAN, Faculty of Dentistry - Pediatric Dentistry,
Aim: This study was performed to assess the shear bond strength of new Zinc reinforced glass ionomer cement restoration (Chemfil Rock) in comparison to conventional glass ionomer cement restoration (Ketac Fil)
in primary and permanent teeth.
Materials and Methods: Twenty extracted human premolars and twenty primary molars were selected for this
study. Teeth were cleaned, debrided of soft tissue remnants, cleaned with ultrasonic scaler and stored in saline
at 4 degrees within one month after extraction until use. A mold measuring 3 mm diameter and 2 mm depth
was centralized on a smoothened buccal or lingual surface for each tooth to make glass ionomer discs to assess
shear bond strength. Both materials were applied and condensed in the mold according to manfacturers instructions then the materials were allowed to set for 6 min (Chemfil Rock) and 7 min for (Ketac Fil) and then
after complete setting the split mold was split and removed.
Results: Ketac Fil with permanent teeth recorded the highest bond strength mean value followed by ketac Fil
with primary teeth then chemfil Rock with primary teeth while chemfil Rock with permanent teeth recorded
the lowest bond strength mean value.
Conclusions: Ketac Fil with permanent teeth showed higher bond strength than Ketac Fil with primary teeth
while Chemfil Rock with permanent teeth showed lower bond strength than Chemfil Rock with primary teeth.
Keywords: Shear Bond Strength, Chemfil Rock, Ketac fil, Primary Teeth, Permanent Teeth
64
PP-33
INVESTIGATION OF GLASS CARBOMER CEMENT BY X-RAY DIFFRACTION ANALYSIS
Halenur ONAT, Mustafa Kemal Universitesi - Cocuk Dihekimlii,
Zeki ARSLANOLU, Mustafa Kemal Universitesi - Cocuk Dihekimlii,
Zeki AYDIN, Mustafa Kemal Universitesi - Fen Edebiyat Fakltesi Kimya Blm,
Behiye BOLGUL, Mustafa Kemal Universitesi - ocuk Dihekimlii,
Oya EKER, Mustafa Kemal Universitesi - Restoratif Dihekimlii,
Aim: The aim of this study is to show the X-ray diffraction analysis of crystal structure of glass carbomer
cement (GCC) intended biomimetic technology.
Materials and Methods: Two different forms of glass carbomer cement was analyzed with XRD at two different temperatures (37oc and 1000oC).In the first group, powder of glass carbomer in capsule form at 37oC;
the second group, powder of glass carbomer in capsule form at 1000oC the third group, glass carbomer cement which mixed with stirrer (4800 rpm) at 337oC ; the fourth group, glass carbomer cement which mixed
with stirrer (4800 rpm) at 1000oC were examined. Powder samples were placed into the XRD sample holder
device. XRD device was used in 40 Kv and 30 mA with Ni filter and CuK with radiation..Deviation and dispersion angle was set to 1o. Scans were undertaken in the 090 2 range. To identify crystalline compounds,
all patterns were matched (Ca5(PO4)3(OH,Cl,F)).
Results: The amorphous structure was observed at 37oC, also the crystalline structure was observed at 1000oC.
Conclusion: High temperature is revealed the crystalline structure in glass carbomer cement. More study needs to be done on microstructure of glass carbomer cement.
Keywords: glass carbomer, X-ray diffraction analysis, XRD
65
PP-34
NEW WAYS TO TREAT DENTAL BIOFILM
Merih KIVAN, Anadolu University, Faculty of Science, - Department of Biology,
Zuhal KIRZIOLU, Faculty of Dentistry, Sleyman Demirel University - Department of Paedodontics,,
Begm GK, Faculty of Dentistry, Sleyman Demirel University - Department of Paedodontics,,
Aim: Microorganisms are protected from the negative enviromental conditions by biofilm formed in the
mouth, and they survive for a longer period and proliferate. The usage of anti-plaque agents in pediatric patients causes anxiety and is not preferred due to the toxic effects in these times. Green tea has been reported to
potentially have anti-cancer, anti-oxidant, anti-microbial, and anti-dental caries properties. Aim of this study
, to investigate the usability of the plant materials such as green tea exctract for the prevention of biofilm and
to develop a preparation that can be used in children with space maintainer.
Methods: The study grup were selected for Sleyman Demirel University School of pediatric dentistry clinic
in aged between 6 to 12 years children with space maintainer. Biofilm samples were taken from space maintainer of the body acrylic , acrylic teeth, band - loop space maintainer of metal body and fiber reinforced
compozite space maintainer of body. Mikro-titer plate method were carried out in 96-well culture plates to
determine the biofilm. Exopolysaccharide production was determined by crystal violet. Green tea leaves were
obtained from Rize, Turkey .
Results: S. Anginosus, S. Dysgalatie and S.Mutans was determined at biofilm sample. The greatest concentration of selected isolates of biofilm formation was observed on glucose and sucrose. Compared to other selected
isoletes, Dysgalati to create the most dense biofilm was observed. Black colored colonies of isolates was determined to be positive and orginal yellow colonies did not change colur that was determined to be negative.
The greatest sensitivity microorganisms to green tea have been identified as S.anginosus and S. Dysgalati.
Conclusions: Green tea mouthwash due to its beter taste and no known sideeffects can be used on a daily basis as an alternative agent. It should be explored as a long term anti-biofilm rinse with prophylactic benefits.
Keywords: biofilm, green tea , oral mikroorganisms
66
PP-35
CLINICAL SUCCESS OF FIBER-REINFORCED COMPOSITE RESIN AS A SPACE
MAINTAINER
Zlfikar Zahit IFTI, University of Suleyman Demirel, Faculty of Dentistry - Paediatric Dentistry,
Zuhal KIRZIOLU, University of Suleyman Demirel, Faculty of Dentistry - Paediatric Dentistry,
Ceylan al YETI, University of Suleyman Demirel, Faculty of Dentistry - Paediatric Dentistry,
Aim: Objective is to assess long-term clinical success and survival rates of glass fiber-reinforced composite
resin (GFRCR) as a space maintainer clinically.
Materials and methods: This study was conducted on 43 children who had premature loss of primary first or
second molars. Space maintainers were prepared on stone models of patients and applied directly to the buccal
surfaces of the abutment teeth with flowable composite. Patients were recalled once every 3 months. Survival
rate, and whether damage to the abutment teeth occurred were evaluated clinically and radiographically, and
prevention of the space was evaluated on stone models for 24 months or until failure. Mann-Whitney U-test
were used for the statistical analyses.
Results: In this study, a total of 55 GFRCR space maintainers were applied to patients aged 6-10 years and 44
of them were controlled regularly. 16,2% of space maintainers were dislodged and determined to be unsuccessful at the end of 12 months. At the 24 month follow-up, 52,2% success was observed with the GFRCR
space maintainer and %31,8 of space maintainers were removed due to permanent tooth eruption. The mean
survival time of space maintainers was determined to be 14.83.48 month (min=3, max=24 month). The mean
measure of space among the abutment teeth was measured at 5.891.27 mm. No significant relationship was
found between survival time and gender, tooth number, localization and space measure at 6 month intervals
(p>0.05). No caries lesion was observed although the tendency of plaque deposition around the abutment teeth
and it was observed that children and parental satisfaction degree was high.
Conclusion: After 24 months follow-up, addition to aesthetic properties of GFRCR space maintainer, applicability in a single visit and resistance against the forces are determined to be successful. This
situation suggests that, GFRCR space maintainers would be an alternative to metal space maintainers.
Keywords: Fiber-Reinforced Composite, Space Maintainer, Dental Materials, Prevention, Esthetics
67
PP-36
ASSESSMENT OF MICROHARDNESS BEHAVIOR OF RESIN BASED FOUR DIFFERENT
DENTAL FILLING MATERIALS
Oya EKER, Mustafa Kemal University - Restorative Dentistry,
Behiye BOLGL, Mustafa Kemal University - Pedodontic Dentistry,
Zeki ARSLANOGLU, Mustafa Kemal University - Pedodontic Dentistry,
Halenur ONAT, Mustafa Kemal University - Pedodontic Dentistry,
Osman AHIN, Mustafa Kemal University - Science and Art Faculty,
Aim: The aim of this study was to investigate and compare to microhardness of four dental filling material.
Methods Twenty cavities were prepared to a depth of 2 mm and diameter of 7 mm on acrylic resin (Meliodent;
UK) discs. Each of the tested materials was injected into one of the cavities. These groups were; Group1 -Sonicfill, Kerr; Group 2 - Z550, 3M; Group 3 - Heraeus Kulzer GmbH Pekalite; Group 4 - Flowable Composite,
Henry Schein. Specimens surfaces were polished before the indentation tests. Microhardness tests were done
using Vickers indenter with 9.8 N that the after the 24 hours later of the prepared materials.
Results: Microhardness values were 1093.255, 1002.505, 596.666, and 537.465 MPa for Group 1, Group 2,
Group 3 and Group 4 respectively.
Conclusions: The minimum hardness value was recorded for Flowable Composite and maximum hardness
value was Sonicfill.
Keywords: bulkfill compozite, microhardness, resin composite
68
PP-37
THE EFFECT OF WARMED LOCAL ANESTHETIC ON INJECTION PAIN AND ONSET OF
ANESTHESIA IN CHILDREN
Mustafa AYDINBELGE, Erciyes niversitesi Di Hekimlii Fakltesi - Pedodonti Ana Bilim Dal,
Hsniye GM, Erciyes niversitesi Di Hekimlii Fakltesi - Pedodonti Ana Bilim Dal,
Aim: Local anesthetic injection is one of the most fearful and anxious procedure in medical and dental practice
for both children and adults. Because of that reason local anesthetic agent application is a necessary procedure
in modern dentistry and medicine. Warming local anesthetic solution has been advocated by many authors to
reduce pain during injection whereas it has also been reported to have no benefits in reducing pain and accelerating onset of anesthesia.
Methods: A total of 100 volunteer cooperated children were included to this study who underwent dental treatment in Erciyes University Faculty of Dentistry, Department of Pediatric Dentistry. The study design was
created as a basic group which included 100 patients needed bilateral buccal infiltration anesthesia for in the
treatment of bilateral primary first molar. Warmed anesthetic solution (body temperature, BT: 37C) was injected to one side whereas anesthetic solution at room temperature (RT, 23C) was injected to the other side.
After the injection, onset of anesthesia was evaluated by probe tactile every 5 seconds. Local anesthetic agent
was warmed to body temperature using CALSET composite heater device (AdDent Inc. USA). All injections
were made by one surgeon in whole patients. A Wong-Baker FACES Pain Rating Scale (FPS) of 0 to 10, which
was designed as 0 being no pain and 10 being the worst pain ever experienced, was given to the patients to
quantify subjective pain during injection process.
Results: Mean onset time of anesthesia was significantly reduced in BT injections than RT injections while
FPS scores during injections for BT injections were significantly lower than RT injections.
Conclusions: According to results of our study, the use of warmed local anesthesia prior to injection would be more beneficial and comfortable, especially in patients who have dental fear.
Keywords: Local anesthetic, Warmed anesthetic solution , FACES Pain Rating Scale, Children, Pain
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PP-38
MICROTENSILE BOND STRENGTHS OF TWO DIFFERENT RESIN LUTING CEMENTS ON
COMPOSITE AND COMPOMER ONLAY RESTORATIONS
Zuhal KIRZIOLU, Faculty of Dentistry, Sleyman Demirel University - Department of Paediatric Dentistry,
ifti ZLFIKAR ZAHIT, Faculty of Dentistry, Sleyman Demirel University - Department of Paediatric
Dentistry,
Sartekin AYEGL, Faculty of Dentistry, Sleyman Demirel University - Department of Paediatric Dentistry,
Aim: The aim of the present study was to compare microtensile bond strengths on composite and compomer
onlay restorations cementated with self-cured and dual-cured resin luting cements using microtensile bond
strength test in mid-dentin section samples.
Methods: For the preparation of the test samples, 10 recently extracted sound primary molar teeth were collected, and placed in 10% formol solution. The teeth were dissected from the occlusal surface to the pulp parallel
to the occlusal surface using a diamond separator in the water. Total of 60 samples were randomly assigned to
4 groups (A1: composite+self cured resin luting cement, A2: composite+dual-cured resin luting cement, B1:
compomer+self-cured resin luting cement, B2: compomer+dual cured resin luting cement). Composite and
compomer material were placed in the molds and each layer was light-cured for 40 seconds. Pre-polymerized
onlay restorations were polymerized with heat and light in Lumamat 100. Rod-shaped samples with a surface
area of 1,00 0.03 mm were obtained from dentin section of the each material above and lateral to the tooth
pulp. The samples were examined under stereomicroscopy at x20 magnification. Microtensile bond strength
on the primary tooth dentin was measured on the extracted primary teeth.
Results: When the study data were compared statistically, there were no significant differences in A1-A2
and B1 and B2 (p>0,05). However, statistically differences were seen in A1-B1 and A2-B2 groups (p<0,01).
Self-cured luting cement groups had shown higher breaking strength. When samples were examined under
streomicroscope, adhesive type fracture was the most prevalent fracture type for the both materials.
Conclusion: It is important that the choice of type of luting cement in onlay restorations. In this in vitro study,
self-cured luting cement were found more higher breaking strength than dual-cured one in mid-dentin section
samples. This in vitro study must be supported with in vivo studies.
Keywords: onlay, composite, compomer, resin luting cement, primary molar
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PP-39
TREATMENT OF LATERALLY LUXATED ROOT FRACTURE WITH OPEN APICES
Ozge OZUS, Karadeniz Technical University Faculty of Dentistry - Pediatric Dentistry,
Tamer TUZUNER, Karadeniz Technical University Faculty of Dentistry - Pediatric Dentistry,
Gorkem YAHYAOGLU, Karadeniz Technical University Faculty of Dentistry - Pediatric Dentistry,
Ozgul BAYGIN, Karadeniz Technical University Faculty of Dentistry - Pediatric Dentistry,
Introduction: Dental injuries are often the result of direct trauma. Root fractures involving the permanent
dentition commonly affect the maxillary anterior region. Since the incomplete root development of maxillary
anterior permanent teeth with root fracture is unusual, this case report describes the traumatic injury of immature maxillary anterior left permanent tooth with oblique root fracture.
Background: This case report describes the laterally luxated root fracture with open apices of left maxillary
permanent central tooth. Case report A nine year-old boy with laterally luxated oblique root fracture and without any alveolar fracture of maxillary left permanent central incisor tooth was referred to Karadeniz Technical University, Faculty of Dentistry, Department of Pediatric Dentistry after 1 hour of the trauma. Appropriate
repositioning and splinting of the maxillary left permanent central incisor fracture was achieved for 4 weeks
with orthodontic wire semi-rigid splints and followed-up 15 months. After 15 months of following period, the
maxillary left permanent central incisor was found vital with the apical closure and connective tissue healing
was evident between the fractured root segments.
Conclusion: In conclusion, treatment of root fractures with open apices may provide beneficial healing pattern
with appropriate repositioning, careful splinting and follow-up procedures.
Keywords: root, fracture, reposition, splint
71
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TRAUMATIC INTRUSION OF MAXILLARY PERMANENT CENTRAL TEETH:
REPORT OF A CASE
Volkan CFTC, Cukurova University Faculty of Dentistry - Department of Paediatric Dentistry,
Cem DOGAN, Cukurova University Faculty of Dentistry - Department of Paediatric Dentistry,
Introduction: Luxation injuries comprise % 15-61 of dental traumas to permanent teeth in childhood. Intrusive
luxation is represented by an axial displacement of the tooth deeper into the alveolar bone. This type of injury
usually involves maxillary teeth and is associated with severe pulpal and periodontal damage. Background:
Treatment and prognosis of traumatically intruded teeth can vary depending on the age of the patient, type of
dentition and the stage of root development. Current management strategies include: passive repositioning,
immediate surgical repositioning and repositioning with dental traction by orthodontic devices, active repositioning.The case report describes the management of traumatically intruded maxillary central incisors.
Case report: A 13-year-old boy was referred to Cukurova University Faculty of Dentistry, Department of Paediatric Dentistry immediately after having fallen. Extraoral examination including TMJ were within normal
limits. Only there were lacerations on the lips and the skin. Intraoral examination revealed the absence of the
central maxillary incisors and mucogingival trauma. After radiographic evaluation, the intrusion of the central
maxillary incisors more than 6 mm into the maxillar bone was realized. In addition a crown fracture was also
detected. In the same session a mucoperiostal flap was elevated and the teeth 11 and 21 were removed by a
forceps via the oral cavity. In order to fix the teeth in their correct position, a non-rigid dental splint was applied to the buccal surface of the teeth for 4 weeks. In the middle of this splint period, the root canal treatments
of the teeth were done. Follow up examination was done after 9 months and the teeth were asymptomatic and
radiographically showed repair of the alveolar bone.
Conclusions: An urgent surgical repositioning is one of the treatment option after severe or moderate intrusion
and a multidisciplinary approach including pediatric dentist and a maxillo facial surgeon is a mandatory.
Keywords: Dental, trauma
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THREE DIFFERENT TYPES OF DENTAL INJURY IN ONE CASE
Seil ALIKAN, Erciyes University, Faculty of Dentistry - Pediatric Dentistry,
Mustafa AYDINBELGE, Erciyes University, Faculty of Dentistry - Pediatric Dentistry,
Salih DOAN, Erciyes University, Faculty of Dentistry - Pediatric Dentistry,
Introduction: Dental traumatic injuries usually occur in 7- to 12-year-old age group and mostly due to falls and
accidents around the home or school. Anterior region of the mouth is most commonly affected in dental trauma. Dental trauma may affect the teeth and alveolar bone and may involve the pulp and periodontal ligament.
Background: Root fractures in permanent teeth are uncommon injuries, seen mostly in children and show
complex healing patterns. Horizontal root fracture ranges from 0.5-7% in permanent teeth. Mid-root fractures
frequently occur in anterior teeth due to their position in the arch. Types of fractures are transverse to oblique
and single or multiple, complete or incomplete. Diagnosis of incomplete root fracture is time consuming and
complex.
Case Repoert: A 13-year-old male patient was referred to Erciyes University Department of Pediatric Dentistry. The patient has pain in anterior region of maxilla after dental trauma. He had a history of trauma during
a play at the school, 1 hour before he came to our clinic. Clinical and radiological examination showed rood
fracture (coronal third) of the right lateral incisor tooth (#12), complicate crown fracture of the right central
incisor tooth (#11) and crown fracture of the left central incisor tooth (#21). Partial pulpotomy performed to
the right central incisor tooth with MTA under local anesthesia. Crown fracture of left central incisor tooth
restored with composite filling material. Than we applied a semi-rigid splint, especially for the root fracture
for 8 weeks. After 2 months we observed internal resorption of the right lateral incisor and root-canal treatment performed to that tooth, than restored with composite filling material. Splint time extended for 1 month
because of the continuing mobility.
Conclusion: At the 12 months follow-up, all the teeth were asymptomatic, in function, and have not shown any
radiographic or clinical symptoms of pathology.
Keywords: dental, trauma, root fracture, partial pulpotomy, pulp injury
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MANAGEMENT OF HORIZONTAL ROOT FRACTURE: A CASE REPORT
Alize Su LGEN, Karadeniz Technical University - Pediatric Dentistry,
Adem KUGZ, Karadeniz Technical University - Pediatric Dentistry,
Tamer TZNER, Karadeniz Technical University - Pediatric Dentistry,
Introduction: Dentoalveolar traumas occur more frequently in young patients and most affected teeth are
maxillary incisors. Horizontal root fractures in permanent teeth are uncommon injuries among dental traumas,
being only 0.5-7% of the cases. Fractures occur most often in the middle third of a root and rarely at the apical
third. Treatment approach depends on the position of the fracture and extent of root involvement. Background:
A 10-year-old healthy male patient was referred to pediatric dentistry clinic 20 hours later with a history of
dental trauma to the maxillar central incisors due to an accident at school.
Case Report: Extraoral examination showed swelling on the lips with accompanying intraoral hematomas. In
intraoral examination, the tooth #21 was extruded and grade 2 mobility on the coronal segment was evident.
Radiographic examination revealed horizontal fracture in the apical third of tooth #21. The coronal segment
was repositioned and stabilized by splinting to the neighboring teeth with twisto flex and resin composite for
4 weeks. Antibiotics and antiinflamatuary drugs were prescribed. The patient was instructed on oral hygiene
and reccomended to remain on a soft diet. The periapical radiograph shows a radiolucent lesion around the
fracture line on tooth #21 at the 1st month follow-up evaluation. At the 3rd month period, the resorbtion area
was found as similar as the 1st month follow up period. An eighteen months follow-up period, the teeth was
asypmtomatic and showed a positive response to the pulp test.
Conclusion: The dental pulp is characterised by the ability to heal spontaneously in case of early intervention
to root fractures. The vitality of the teeth with horizontal root fracture can be maintained with careful splinting
and follow-up procedures without carrying out any endodontic treatments.
Keywords: horizontal, root, fracture, splinting, pulp, healing
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PREVALENCE OF TRAUMATIC DENTAL INJURIES IN ORDU, TURKEY
Didem ODABASI, Selcuk University - Pedodontics,
Nihal BELDUZ KARA, Ordu University - Pedodontics,
Cigdem GULER, Ordu University - Pedodontics,
Tunahan KANYILMAZ, Ordu University - Pedodontics,
Koray SURME, Ordu University - Pedodontics,
Aim: The aim of this study was to assess prevalence of traumatic dental injuries to children aged 1-15 years
during 2 year period (from April 2012 to April 2014) in Ordu, Turkey.
Methods: A total of 5804 patients have been recorded in Ordu University Faculty of Dentistry Department of
Pediatric Dentistry. Of these, 189 patients records were for dental trauma. A total of 284 teeth of 189 dental
traumatized children . ( 71 girls and 118 boys ) were examined. All data (age, sex, systemic disease or syndrom, the period elapsed between trauma, time of seeking dental care, source of trauma, injured primary and
permanent teeth, types of trauma, soft tissue injuries and the treatment procedures) were obtained from patient
files.
Results: The total frequency of trauma in this study was calculated as ( 3.2 % ) during 2 year period. The
males were found to have more traumatic injury than females (p<0.05) . Also, the permanent teeth were more
vulnerable to dental trauma than the primary teeth (p<0.05). The teeth mostly influenced by the traumas were
the upper central incisors in both primary ( 37.5 %) and permanent teeth ( 90.5 %).The main cause of injury
was falls ( 41.7 %).The most common type of trauma in the primary teeth was lateral luxation (32.5 %), while
it was enamel-dentin crown fracture (54.4 %) in the permanent ones. The most common method of treatment
was examination and extracted (40 %) for the primary teeth, and only direct restoration for the permanent teeth
without any endodontic treatment (38.2 %).
Conclusion: The patients, parents and teachers living in Ordu, Turkey should be informed about the dental
trauma and necessity of early treatment of dental traumas
Keywords: traumatic dental injuries
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DELAYED REPLANTATION OF AN AVULSED MAXILLARY INCISOR:
A 4 YEARS FOLLOW-UP
Pnar DEMIR, Inonu University - Pediatric Dentistry,
Cgdem GULER, Ordu University - Pediatric Dentistry,
Esra KIZILCI, Inonu University - Pediatric Dentistry,
Introduction: Avulsion is a type of serious injury which causes damage to dental and supportive tissues. The
most preferable treatment of the avulsed tooth is immediate replantation; however this may not be always
possible. Although replantation of avulsed permanent teeth is the commonly accepted treatment approach, the
long-term prognosis of replanted tooth is still controversial. Prognosis depends on the measures taken immediately at the place of the accident and the length of the time passed after avulsion.
Background: This report describes treatment and the management of an avulsed upper central incisor case
which is diagnosed 3 days after the accident.
Case Report: A healthy 12 year-old boy was referred to the Inonu University, Faculty of Dentistry, Department
of Pediatric Dentistry with a traumatically avulsed maxillary left central incisor, 3 days after the accident. Therefore the extraoral time was 3 days without placement of the the tooth in any storage medium. The patients
parents were informed about the possible complications of the delayed replacement and it was preferred to do
the replacement. For the treatment; the tooth was gently replanted, and then it was splinted by using orthodontic wire for 4 weeks. For the ongoing management of the injury; the patient was examined both clinically and
radiographically for 4 years. Replacement resorption was observed and this led to the loss of the tooth after 4
years. After extraction, the tooth was repaired with composite and bonded with a fiber to the other maxillary
incisors and canines.
Conclusions: The replantation has prevented the damage of alveolar bone for 4 years during the childhood
years of the patient. Therefore this study has shown that delayed replantation of an avulsed tooth for a child
should be done even in cases of poor prognosis where the tooth had extended extra-alveolar dry storage.
Keywords: avulsion, delayed replantation, replacement resorption
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HORIZONTAL ROOT FRACTURE IN A PRIMARY INCISOR: CONSERVATIVE
MANAGEMENT OF A CASE
Hseyin KARAYILMAZ, Akdeniz University, Faculty of Dentistry, - Department of Pedodontics,
Hande YALIN, Akdeniz University, Faculty of Dentistry, - Department of Pedodontics,
Introduction: Root fractures in the primary dentition are relatively uncommon and establish 1.4-3.8% of all
types of trauma incurred by children in the primary dentition because of the plasticity of the developing alveolar bone. They are most frequent at the age of 3-4 years due to beginning the physiologic root resorption and
weakening of the root.
Background and Case Report: In treatment of root fractures in primary teeth usually, surgical extraction of
the coronal fragment is carried out when root fracture with mobility occurs and apical fragment is leaved for
physiological resorption. Conservative treatment approaches like as repositioning, occlusal adjustment and
splinting are infrequently implemented. Impacted factors of choosing an appropriate treatment include location of the fracture line, the degree of displacement of the tooth and mobility, physiological root resorption at
the time of trauma and cooperation of the child. There is limited publication in the literature about the conservative treatment approaches and prognosis for these cases. The aim of this case report is to present, successful
results of conservative management in a 5 years old boy with horizontal root fracture in a primary maxillary
left central incisor. During one year follow-up, the tooth was clinically symptomless and functional, periodontally healthy, and radiographically, no periapical pathology is revealed.
Conclusion: Conservative treatment maintains functional and esthetic resolution for root fractured teeth,
furthermore prevent emotional problems both for children and their parents due to premature loss of an
anterior teeth. However, supplement studies are needed about conservative treatment approaches for root
fractures in the primary dentition to inhibit the physical and psychological costs of surgical treatments.
Keywords: Primary Dentition, Horizontal Root Fracture, Conservative Treatment
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ATYPICAL BARRIER FORMATION WITH CALCIUM HYDROXIDE APEXIFICATION
Sinem KURU, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Gulcan UNSAL, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Sermin Dicle ULUG, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Elif SEPET, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Oya AKTOREN, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Introduction: Calcium hydroxide (CaOH) apexification is the most common treatment for non-vital immature
permanent teeth.The calcific barrier can be complete or incomplete at the apex or a few millimeters short of
it.This report describes the management of 3 non-vital immature permanent teeth with atypical barrier formation at half of the root during CaOH apexification.
Case Reports: Case 1: 8-year-old boy was referred to the clinics of Dept.of Pediatric Dentistry,Istanbul University, with dental trauma after 2 days. Clinical examination showed crown fractures at maxillary right-left
central incisors.Maxillary left central incisor had negative response to thermal pulp test. CaOH was placed as
a temporary root canal filling material;9 months later, radiographic control revealed the bridge formation at
half of the root and root was filled with guta-percha up to barrier.After 2 years follow up, clinical and radiographical examinations showed no symptoms and pathology.
Case 2: 9-year-old boy with swelling at maxillary right incisor was referred to our clinic.Dental anamnesis
exhibited that maxillary right central insicor was restored with composite resin 2 years ago after dental trauma.
CaOH was placed into root canal;6 months later, the radiographic control revealed the bridge formation at half
of the root and the root was filled with guta-percha up to barrier.No clinical and radiographic findings were
seen after 1,5 years follow up.
Case 3: 8-year-old boy was referred to our clinics complaining about swelling with the history of dental trauma occurred 7 months ago.Examinations showed that maxillary left central incisor had a crown fracture and
apical lesion. CaOH was placed into root canal;8 months later the radiographic control exhibited barrier at
half of the root.After removal of atypical barrier, the root was filled with guta-percha. After 3 years follow
up,examinations showed no symptoms and pathology.
Conclusion: Atypical barrier formation during CaOH apexification could also be managed for a good prognosis.
Keywords: Apexification, CaOH, Atypical barrier
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MANAGEMENT OF ECTOPICALLY ERUPTED MANDIBULAR LATERAL INCISOR
BY AUTOTRANSPLANTATION
Yeliz GUVEN, Istanbul University - Department of Pedodontics,
Burak CANKAYA, Istanbul University - Department of Oral and Maxillofacial Surgery,
Koray GENCAY, Istanbul University - Department of Pedodontics,
Oya AKTOREN, Istanbul University - Department of Pedodontics,
Introduction: Ectopic eruption is defined as the deviation from the normal pattern of eruption leading to a
change in the final position of the tooth. In severe cases, nontreated ectopia may develop into either partial or
complete transposition of lateral and canine teeth. Ectopic eruption of mandibular permanent lateral incisors
can result in premature exfoliation of the deciduous canines or first molars as well as a dental midline shift.
Background: The aim of this case report is to describe the management of ectopically erupted mandibular
lateral incisor by autotransplantation procedure.
Case Report: A 10-year-old girl was referred to our clinics with a chief complaint of a tilting tooth on the right
side of mandible. Clinical examination revealed an alteration of eruption pattern of right lateral incisor, retained primary right lateral and canine teeth, early exfoliation of primary first molar and dental midline shifting
to the right side. Radiographic examination showed that the mandibular right lateral incisor ectopically erupted and was impeding the normal eruption of permanent canine. The treatment plan involved the extraction
of primary lateral and canine teeth followed by the extraction of permanent lateral. The permanent lateral
was stored in sterile saline solution during the preparation of recipient site with implant drill. The donor tooth
was firmly inserted into the recipient site, sutured and splinted to the adjacent tooth with a flexible wire and
composite splint. The splint was used for 4 weeks. The root canal treatment was performed 1 week after the
operation. Clinical and radiological findings during 4 year follow-up period were presented here. At 4-year
follow-up, the tooth was vital, asymptomatic and no radiolucency was observed in radiograph.
Conclusion: Early detection and intervention of ectopic mandibular lateral incisors are important for preventing development of transposition between ectopic lateral incisor and the developing canine germ.
Keywords: Ectopic eruption, Autotransplantation, Transposition
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ROOT RESORPTION OF YOUNG PERMANENT INCISOR AFTER ROOT CANAL TREATMENT
WITH TRIPLE ANTIBIOTIC PASTE: A CASE REPORT
Cem DOGAN, Cukurova University - Faculty Of Dentistry,
Buse AYSE SERIN, Cukurova University - Faculty Of Dentistry,
Introduction: The success of the endodontic treatment depends on the microbial suppression in the root canal
and periapical region. In this regard, mechanical instrumentation, irrigation, and intracanal medication are all
important. Triple antibiotic paste containing metronidazole, ciprofloxacin, and minocycline has been reported
to be a successful intracanal medicament in controlling the root canal pathogen and in managing necrotic
young permanent tooth.
Background: The purpose of this case report is to present the treatment of a young permanent tooth with necrotic pulp.
Case report: 15-years-old female patient was referred to our clinic for discoloration and fistula formation in
her maxillary left central incisor. When she was 11 years old, she had a dental trauma and after then orthodontic treatment was performed. Upon clinical and radiographic examination, the pulp of left central incisor
was diagnosed necrotic. Root canal therapy with triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) was performed at two visits. At 2 months follow-up, root resorbtion was detected by radiographic
examination.
Concluson: Necrotic young permanent teeth damaged by caries or trauma can present a challenge to dentistry.
The use of a triple antibiotic paste as an intracanal medicament may provide an alternative to routine treatments however it may be a controversial issue.
Keywords:
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FRACTURE RESISTANCE OF INCISAL FRAGMENTS FOLLOWING REATTACHMENT WITH
DIFFERENT TECHNIQUES
Volkan ARIKAN, Krkkale niversitesi - Pedodonti AD,
Serdar BALAR, Krkkale niversitesi - Restoratif Di Tedavis,
Fatih TULUMBACI, Krkkale niversitesi - Pedodonti AD,
Aylin AKBAY OBA, Krkkale niversitesi - Pedodonti AD,
Aim: The aim of the present study was to evaluate and compare the effect of acid-etching and Er,Cr:YSGG
laser treatment before the reattachment of incisal fragments in coronal fractures of permanent incisor teeth.
Methods: Sixty-six sound human maxillary incisors were randomly divided into three groups (n=22). Teeth
were embedded in self cure acrylic resins by leaving one third of the crowns out, and uncomplicated crown
fractures were obtained using an Instron testing device. The fragments were reattached by using three different
procedures and a hybrid resin composite (Z250) : Group I: Acid etching + Prime&Bond NT + ; Group II: Er,Cr:YSGG + Prime&Bond NT; Group III: Er,Cr:YSGG + Acid etching + Prime&Bond NT. The percentages of
shear bond strengths were determined by comparing fracture strengths of sound and reattached teeth for three
groups. All data were analyzed statistically with Kruskal Wallis H test.
Results: Mean fracture strengths of the reattached fragments were between 51.02% and 62.93% of the sound
teeth in all groups. Group I had significantly higher percentages of shear bond strength values (p<0.05) when
compared to Group II and Group III. No significant difference (p>0.05) was found be-tween Group II and
Group III.
Conclusions: The findings of the present study show that Er,Cr:YSGG laser irradiation prior to the reattachment of incisal fragments have negative effect on fracture strength.
Keywords: Er.Cr: YSGG laser, Crown Fractures
81
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MANAGEMENT OF MULTIPLE DENTAL TRAUMA EPISODES IN A PAEDIATRIC PATIENT
Dicle ULUG SERMIN, Istanbul University - Pediatric Dentistry,
Arzu PINAR-ERDEM, Istanbul University - Pediatric Dentistry,
Oya AKTOREN, Istanbul University - Pediatric Dentistry,
Introduction: Dental trauma in children and adolescents is a serious dental public health problem.Studies have
shown that some children and adolescents are affected only once with a dental trauma, while others seem to
be accident-prone and suffer from multiple dental trauma episodes.
Background: The present case report describes the management of a paediatric patient suffering from several
episodes of dental traumatic injuries.
Case Report: A 9-year-old boy was referred to Istanbul University,Faculty of Dentistry, Department of Pedodontics; with the chief complaint of pain in maxillary central icisors, along with extra oral swelling.The
patient reported a history of dental trauma following a fall one month ago.Clinical examination revealed that
maxillary central incisors were bulbous with larger mesiodistal diameter and exhibited an anomalous enamel
hyperplasia at the cervical third.Tooth 11,21,31 and 41 also showed patchy areas of white opacities.The parents reported a history of a severe traumatic episode at an age of 3 years, leading to avulsion of 51 and 61,
and luxation of 71 and 81. Both 11 and 21 were tender on percussion and a periapical radiograph exhibited
that the root of 11 and 21 had open apices.These teeth were debrided and medicated with calcium hydroxide
paste.At the 3th month of the dental treatment, the patient experienced a third dental trauma following a basketball accident and both maxillary central incisors sustained crown fracture at the cervical third.At the end of
the apexification procedure,these teeth were restored with fiber post and resin composite.After 1 year of follow-up, the clinical and radiographic findings demonstrated that the adopted clinical protocol was successful
and yielded healthy periodontal tissues with no signs of periradicular pathosis.
Conclusion: Dental injuries result in functional, esthetic and psychological disturbances, accompanied by great concern from the child, the parent and the dentist.This case report implies the importance of conservative
management of multiple dental trauma episodes in paediatric patients.
Keywords: trauma, paediatric patient, sequelae, fiber post, apexification
82
PP-51
REGENERATIVE ENDODONTIC TREATMENT - 2 YEARS FOLLOW UP
Sevil BORBAY AKGL, Selcuk Univertsity - Pediatric Dentistry,
Murat Selim BOTSALI, Selcuk Univertsity - Pediatric Dentistry,
Firdevs KAHVECIOLU, Selcuk Univertsity - Pediatric Dentistry,
Introduction: Regenerative endodontic treatment (RET) have been introduced to overcome the limits of the
traditional apexification approach and allow continued root development after treatment of infected immature
permanent teeth. Most RET include the step of intracanal bleeding. In this step care should be employed to
avoid damaging the Hertwigs epithelial root sheath (HERS). Complete damage of the HERS results in no
further root development. Tooth discoloration is a common finding in RET.
Background: The aim of this case report is to describe one case with severe apical periodontitis and abscess
that were treated by RET using Ca(OH)2 and MTA. Case Report: This report describes the RET of an immature left maxillary central incisor with apical periodontitis and abscess in the patient is 12 yaers old. In the
first treatment visit: The root canal working length was determined. The root canal was irrigated with NaOCl
and saline. The canal was dried with paper points. Ca(OH)2 was delivered to canal system. Access was temporarily restored. After three weeks in the second visit: There was very poor percussion. The Ca(OH)2 was
removed by irrigating with 17% EDTA and with salin. The canal was dried with paper points. Bleeding was
induced. When a blood clot had formed, white MTA was carefully placed on the blood clot. Glass ionomer was
flowed over the MTA and a composite resin restoration was placed over the glass ionomer.
Conclusion: A slow healing process was observed. HERS may be partial damaged. The tooth was asymptomatic
clinically and radiographically during the follow-up period of 2 years. Tooth discoloration was not observed. It is
predicted that apical closure will occur in extended period of time. Calcium hydroxide can be used as an effective
medicament in RET, and successful outcomes can be expected even in severe cases of apical periodontitis or abscess.
Keywords: Regenerative endodontic treatment , immature teeth, Calcium hydroxide, MTA
83
PP-52
MANAGEMENT AND 2 YEAR FOLLOW UP OF COMPLICATED CROWN FRACTURES IN
IMMATURE TEETH TREATED WITH CVEK PULPOTOMY
Sevil BORBAY AKGL, Selcuk Univertsity - Pediatric Dentistry,
Irem BA, Selcuk Univertsity - Pediatric Dentistry,
Murat Selim BOTSALI, Selcuk Univertsity - Pediatric Dentistry,
Introduction: Vitality of dental pulp is essential for long-term tooth survival. The aim of vital pulp therapy
is to maintain healthy pulp tissue by eliminating bacteria from the dentin-pulp complex. Pulp capping or
pulpotomy procedures rely upon an accurate assessment of the pulp status, and careful management of the
remaining pulp tissue. Partial pulpotomy (Cvek pulpotomy) is the treatment of choice for injured permanent
incisor teeth with exposed vital pulp tissue and immature apices. This treatment preserves pulpal function,
thus allowing continued root development.
Background: The present case report describes cases of four permanent incisors with incomplete root development that performed Cvek pulpotomy, with subsequent apical closure.
Case Report: Four permanent incisors with vital pulps and complicated crown fractures were treated partial
pulpotomy by Cvek technique. This consisted of amputation of 1 to 2 mm of the exposed pulp, placement of
calcium hydroxide. Restorative management included resin restoration and reattachment of the teeth fragments.
Conclusion: Treatments were considered successful in all cases according to the following criteria: absence of
clinical symptoms, absence of X-ray signs of pathology, and presence of pulpal vitality 24 months after treatment.
In conclusion, the Cvek pulpotomy is a successful technique for complicated crown fractures in immature teeth.
Keywords: Cvek pulpotomy , immature apices, root development, calcium hydroxide
84
PP-53
A CONTEMPORARY PROSTHETIC AND ORTHODONTIC MANAGEMENT APPROACH OF
TOOTH LOSS AFTER AVULSION: TWO CASE REPORTS
Glsm DURUK, Inonu University - Pediatric Dentistry,
Demir PINAR, Inonu University - Pediatric Dentistry,
Introduction: Dental trauma is one of the common and serious problems of children which can cause permanent tooth loss in early childhood years. Maxillar incisors are more affected from trauma, and their loss can
result esthetic and functional problems which can be difficult for treatment.
Background: This report describes treatment and the management of two cases which is diagnosed with tooth
loss, after 3 years the avulsion.
Case reports: Two healthy 11 and 13 year-old patients were applied to the Inonu University, Faculty of Dentistry, Department of Pediatric Dentistry with lost maxillary incisors. The patients had dental trauma 3 years
ago and during the period, both the patients hadnt have any treatment after the avulsion. Therefore, the teeth
nearby the avulsed teeth, moved to the space and prosthetic rehabilitation was impossible. For this reason,
orthodontic treatment has been performed to achieve a correct redistribution of the mesio-distal spaces with
regard to the median line. After distalization, aesthetic and functional prosthetic rehabilitation have done for
both patients.
Conclusions: In this cases, for the optimum management of the trauma, primarily, we eliminate the complications of the delayed treatment. Therefore, tooth loss may cause severe aesthetic, psychological and functional problems, patients should be rehabilitated prosthetically as soon as possible. In delayed treatments,
elapsed time of trauma damage can causes more complications for the remaining tissues. To prevent this
condition; parents, teachers, pediatricians and even dentists should be informed more about avulsion.
Keywords: dental trauma, avulsion, delayed treatment, tooth distalization, prosthodontic rehabilitation
85
PP-54
TREATMENT OF EXTERNAL RESORPTION OF TRAUMATIZED TOOTH WITH MINERAL
TRIOXIDE AGGREGATE
Gken Deniz BAYRAK, Yeditepe niversitesi - Pedodonti,
Kbra TONGUC ALTIN, Yeditepe niversitesi - Pedodonti,
Nket SANDALLI, Yeditepe niversitesi - Pedodonti,
Introduction: Inflammatory external root resorption (IERR) is caused by several etiologic factors including
traumatic dental injury, which may lead to progressive loss of the root structure. When pulp necrosis occurs
following trauma, the necrotic tissue is susceptible to bacterial contamination. The resorption process is maintained by bacterial products from the infected root canal.
Background: Clinically, teeth are usually not symptomatic in the early stage of the process. However, as
IERR progresses, abscess can be seen together with tooth mobility. Radiographically, radiolucencies can be
observed in the external root surface and adjacent to the surrounding bone.The new bioactive materials such
as mineral trioxide aggregate (MTA) can be used in the obturation of the root canal in cases of iatrogenic or
pathologic root resorption.
Case report: A 9 year old male had been referred to Yeditepe University, Faculty of Dentistry, Department of
Pediatric Dentistry with a chief complaint of trauma to permanent maxillary left central incisor. Intraoral examination had revealed enamel-dentin fracture without pulp involvement. Treatment had been carried out by a
resin composite restoration. After 4 years, the patient came with the chief complaint of swelling related with
the treated tooth. Intraoral examination revealed an abscess on the labial mucosa and mobility of the tooth.
Panoramic radiograph showed external resorption on the lateral surface of the root with a poor quality root
canal treatment done by a local dentist. After removal of the root canal filling, the tooth was disinfected with
triple antibiotic paste for 2 weeks. The entire root canal was filled with MTA. Restoration was performed with
composite resin. The patient was scheduled for follow up.
Conclusion: After 6 months follow-up period, there were no clinical or radiographic signs of pathology. Root canal treatment using MTA can be a good treatment choice for external root resorption following traumatic injuries.
Keywords: external root resorption, dental trauma, mineral trioxide aggregate
86
PP-55
MULTIDISCIPLINARY MANAGEMENT OF AN ANTERIOR-TOOTH WHICH
ENDODONTICALLY TREATED AND SEVERE DISCOLORED
Hulya ALTINTOP, zmir Katip elebi University, Faculty of Dentistry - Pedodontics,
Merve AKCAY, zmir Katip elebi University, Faculty of Dentistry - Pedodontics,
Huseyin AKCAY, University of zmir Katip elebi, Faculty of Dentistry - Maxillofacial Surgery,
Selcuk SAVAS, zmir Katip elebi University, Faculty of Dentistry - Pedodontics,
Introduction: Discoloration of a permanent incisor tooth in consequence of trauma and inappropriate endodontic treatment may have significant esthetic and social problems on children and adolescents. Background:
The purpose of this case report was to present the multidisciplinary management of a permanent central tooth
which have excessive material loss, severe discoloration and open apex.
Case Report: A 12-year-old female patient was referred to our clinic with a severe discoloration and an extensive tooth fracture. The dental history disclosed that inappropriate endodontic treatment and composite restoration had been performed after her first trauma experience. One year later after the treatment, the restoration
of the tooth was broken. Clinical and radiographic examination revealed that the presence of an unsuccessful
root canal treatment with open apex, complicated crown-root fracture extends below the subgingival area and
severe discoloration. According to the planned treatment procedures, root canal treatment was removed, onestep apexification was performed with MTA (Bioaggregate IBC, Inc) to create an apical barrier and followed
by conventional root canal treatment, intracoronal bleaching was performed (Opalescence Endo, Ultradent).
Then, the root canal obturation was removed to place fiber post (Cytec Blanco, Hahnenkratt) for supporting
the coronal restoration. The fiber post was stabilized into the root canal with dual-cure-luting composite (Variolink N, Ivoclar Vivadent). Following the replacing fiber post, flap surgery was performed to visualize the
palatinal fracture line. After hemorrhage control, the final restoration was made with strip crown. Finally, the
flap was reapproximatted to its original position and sutured. At the end of 6-month follow-up, the clinical
and radiological investigation of the tooth revealed that tooth was asymptomatic, functionally and esthetically
acceptable, had no periapical pathology.
Conclusions: Considering the root development and severe discoloration of a non-vital immature tooth, one-step apexification with MTA and intracoronal bleaching may be seen as a better option.
Keywords: trauma, multidisciplinary-approach, fiber post, MTA
87
PP-56
ESTHETIC TREATMENT OF MAXILLARY LATERAL AGENESIS AND DENTAL TRAUMATIC
INJURIE OF MAXILLARY CENTRAL TOOTH: 1 YEAR FOLLOW-UP
Muhammet YALCIN, Inonu University - Restorative Dentistry,
Reyhan SISMAN, Inonu University - Restorative Dentistry,
Esra KIZILCI, Inonu University - Pediatric Dentistry,
Introduction: Today, adhesive and composite resin tecnologies allow dentists to restore teeth with different
esthetic problems. Dental trauma and tooth agenesis are common problems of children and adolescents.
Background: This case report decribes estetic and conservative method for the management of missing lateral
incisor with rehabilitation of canine to the shape of lateral incisors and a fractured central incisor with direct
composite restorations which is diagnosed 4 years after the accident.
Case Report: A 14-year-old female patient was referred to the dental clinic of our institution, reporting a dental
trauma of the maxillary left central incisor and esthetic complaints. Dental history revealed that she had a trauma as the result of a fall. The intraoral and radiographic examinations showed that she had a non-complicated
crown fracture, lateral incisor agenesis and canine tooth laterally displaced with diastema. After treatment
plans were offered to the patient it was decided to rehabilite anterior region with composite resins(Amaris,
Voco, Cuxhaven, Germany). The teeth were etched with 37% phosphoric acid, restored with an adhesive
system and a composite. Re-contouring was performed for the diastema on the distal side of 12, mesial side
of the central incisors (11 and 21). Canine was prepared and re-countered with composite resin like a lateral
incisor. Finishing and polishing procedures were performed. She was called for control to evaluate the 1 year
stability of restorations. After 1 years the restorations were found successful according to clinic and radiografic criterias.
Conclusions: Composite resins are effective and offer the advantages of conservative, reversible treatment
directly in the mouth, immediate results and acceptable esthetics. The non-invasive, reversible nature of the
method and the ability to modify make this an attractive procedure.
Keywords: Tooth agenesis, Esthetics, Lateral incisors, Dental trauma, Composite resin reconstruction
88
PP-57
MANAGEMENT OF ANTERIOR TEETH TRAUMA: REATTACHMENT OF FRACTURED
FRAGMENTS
Damla TUNCER BUDANUR, University Of Istanbul - Pedodontics,
Sinem KURU, University Of Istanbul - Pedodontics,
Arzu Pnar ERDEM, University Of Istanbul - Pedodontics,
Elif SEPET, University Of Istanbul - Pedodontics,
Introduction: Crown fractures account for the majority of dental traumas.If handled properly, prognosis of
the pulp following a traumatic crown fracture can be favorable.Successful pain management with immediate
restoration of function, esthetics, and phonetics should be the prime objective when handling such cases.
Background: This case report describes the treatment of a right maxillary permanent incisor which had an
uncomplicated crown fracture (UCF) and a left maxillary permanent incisor that had a complicated crown
fracture (CCF) in the same patient and immediate esthetic rehabilitation of the crowns by reattachment of
fractured fragments at the first visit.
Case Report: A 9-year-old medically healthy boy was referred to Istanbul University, Faculty of Dentistry,
Department of Pedodontics, two hours after the dental trauma due to fall.The fractured tooth fragments were
recovered at the site of the injury and stored in water.Clinical and radiographic examinations revealed UCF of
right maxillary central incisor and CCF of left maxillary central incisor.After administration of local anesthesia, indirect pulp capping was applied to right maxillary central incisor with MTA.Left permanent maxillary
incisor with CCF was treated by partial pulpotomy. Partial pulpotomy consisted of pulp tissue removal to a
depth of only 1 to 2 mm, then capping the pulpal wound with MTA.After lining with resin-modified glass-ionomer cements, both central incisors were restorated by reattachment of fractured fragments in the same appointment.Periodic follow-ups are planning to be performed to assess clinically through pulpal sensitivity tests
and radiographically for periapical healing and to evaluate the clinical success of the reattachment procedure.
Conclusions: At the 6-month recall, there was no spontaneous pain; the pulp showed signs of vitality and no periapical radiolucency developed.Reattachment of fractured tooth fragments exhibit a satisfying fuction and esthetics with the use of a very conservative and cost-effective approach.Long-term evaluation is necessary in deciding the success of these treatment techniques.
Keywords: Crown fractures, management, MTA, reattachment
89
PP-58
DIFFERENT TREATMENT APPROACHES FOR THE MANAGEMENT OF COMPLICATED
CROWN FRACTURES
Elif Seyda BILGIN, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Damla BUDANUR, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Arzu PINAR-ERDEM, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Introduction: Complicated crown fractures(CCF) in permanent teeth cause esthetic and functional problems.
Successful pain management with immediate restoration of function,esthetics,and phonetics should be the
prime objective when handling such cases.
Background:This case report describes the different treatment approaches of the maxillary central incisors
with complicated crown fractures.Case reports:Case 1:A 8-year-old medically healthy boy was referred to
Istanbul University,Faculty of Dentistry, Department of Pedodontics,one week after the dental trauma.Clinical
and radiographical examinations revealed CCF,mobility and apical lesion of the right maxillary central incisor. Calcium hydroxide placed as a temporary root canal filling material and 3 months later MTA apexification
was performed and the root was filled with gutta-percha.Following the endodontic treatment,composite restoration of the tooth was made with silicon guide technique.After 1-year follow up,clinical and radiographical
examinations showed no symptoms of pathology.
Case: 2:8-year-old medically healthy girl was referred to our clinic two days after the dental trauma at the
maxillary right central incisor.Clinical and radiographical examinations revealed CCF and decided to make
root canal treatment.Calcium hydroxide apexification was applied.After 1-year follow-up,apical barrier occurred and the root was filled with gutta-percha.The tooth was restored with fiber post and composite resin.No
clinical and radiographical pathological findings were observed after 2-years follow-up.Case 3:12-year-old
medically healthy boy was referred to our clinic 3 months after the dental trauma at the maxillary left central
incisor.Examinations revealed CCF and apical lesion.Calcium hydroxide placed as a temporary root canal
filling material than the root was filled with gutta-percha.The tooth was restored with fiber post and composite
resin.No clinical and radiographical pathological findings were seen after 3-months follow-up.
Conclusion:In this case report, CCF were treated with root canal treatments and esthetic restorations were
performed with silicon guide and fiber post techniques.At the recalls,there were no spontaneous pain and
periapical radiolucencies developed.Composite restorations exhibit a satisfying fuction and esthetics.
Keywords: complicated crown fractures, treatment, silicon guide, fiber post
90
PP-59
ORTHODONTIC INTRUSION OF A TRAUMATICALLY EXTRUDED PERMANENT INCISOR:
A CASE REPORT
Sezin AKAY ZER, Istanbul University - Pediatric Dentistry,
Fatma Zeynep AYTEPE, Istanbul University - Pediatric Dentistry,
Introduction: Dentoalveolar trauma is a very common event in children. Extrusion refers to the vertical partial
displacement of the tooth out of the alveolar bone, resulting from a trauma. The frequency of extrusion have
been found to be %7 among traumatized permanent teeth.
Background : Treatment and prognosis of traumatically extruded teeth can vary depending on multiple factors
such as severity of trauma, age of patient, stage of root development. These teeth may undergo necrosis and
inflammatory resorption and also if untreated extrusion, may cause several problems. The purpose of this case
report is to present a treatment option of a traumatically extruded tooth.
Case Report : A 13-years-old boy with a traumatically extruded maxillary central incisor tooth (#11) was referred to the Department of Pedodontics, Istanbul University in third day after trauma. Orthodontic repositioning
of the tooth was planned in 6 months. At the beginning of orthodontic therapy it was observed that the tooth
was necrotic and needed an endodontic treatment. After orthodontic repositioning, an orthodontic retainer was
applied. After 12 months of follow-up, the tooth was asymptomatic and no pathological sign was observed
radiographically.
Conclusions: Orthodontic applience should be considered as a viable option for managing traumatic extrusion.
Keywords:
91
PP-60
MANAGEMENT OF COMPLICATED CROWN FRACTURES IN IMMATURE PERMANENT
INCISORS WITH PARTIAL PULPOTOMY: TWO CASE REPORTS
Nazli DURMUS, University of Izmir Katip Celebi, Faculty of Dentistry - Pediatric Dentistry,
Merve AKCAY, University of Izmir Katip Celebi, Faculty of Dentistry - Pediatric Dentistry,
Ebru KUCUKYILMAZ, University of Izmir Katip Celebi, Faculty of Dentistry - Pediatric Dentistry,
Introduction: Pulp exposure due to traumatic injuries in the anterior permanent teeth of children is a common
occurrence. Partial pulpotomy is one of the treatment choice for these injured permanent incisors. This treatment preserves pulpal function, thus allowing continued root development.
Background: The aim of this report was to present the partial pulpotomy with mineral trioxide aggregate
(MTA) and follow-up findings of 2 patients having complicated crown fractures.
Case series: A 9-year-old female patient with a crown fracture of maxillar left central incisor and a 7-year-old
male patient with a crown fracture of maxillar right central incisor were referred to our clinic, 3 and 24 hours
respectively after the trauma. Clinic examinations showed that pulp were exposed but vitality tests were positive. At radiographic examinations, open apices were observed, and no evidence of periradicular pathology
were seen. Teeth were isolated from saliva and the pulp tissue removed to a depth of only 1 to 2 mm. A sterile
cotton pellet moistened with saline was used to apply moderate pressure to the exposed pulp for 5 min. Following achievement of pulp hemostasis, the wounded pulp was covered with MTA (BioAggregate, Innovative
Bioceramix, Vancouver, BC, Canada) and a wet cotton pellet was placed onto the MTA for 24 hours. Final
restorations were performed with composite (Clearfil SE Bond, Kuraray and Clearfil Majesty Esthetic, Kuraray), one day after pulpotomy. At the end of 6 months follow-up, the clinical and radiological investigation
of the teeth revealed that teeth were asymptomatic, vital, functionally and esthetically acceptable, and had no
periapical pathology.
Conclusion: Partial pulpotomy with MTA is an effective treatment option for immature permenant teeth with exposed pulp, in maintaining pulpal vitality and allowing physiological root development.
Keywords: Trauma, Partial pulpotomy, MTA
92
PP-61
RESTORATIVE AND PROSTHETIC TREATMENT APPROACH IN TRAUMATIZED ANTERIOR
TEETH
Kamil KAHRAMAN, Seluk University - Pediatric Dentistry,
Hayri AKMAN, Seluk University - Pediatric Dentistry,
Onur GEZGIN, Seluk University - Pediatric Dentistry,
Gl TOSUN, Seluk University - Pediatric Dentistry,
Introduction: The reported incidence of tooth avulsion ranges from 1% to 11% of all traumatic injuries to the
permanent dentition. The maxillary central incisor is the most frequently avulsed tooth in the permanent dentition. This situation leads to function and aesthetics problems in patients.
Backround: This study was performed to eliminate loss of function and aesthetic considerations in patient with
avulsed anterior tooth because of dental trauma.
Case Report: A 14-year-old patient was admitted to our clinic because of trauma. As a result of internal
examination of the mouth, it has been seen that tooth #11 has been avulsed; in 21,31,32,42,41 number of teeth
mobility due to trauma were identified and it was decided to make splints. After 2 weeks, in the examination
of teeth #21,31,32,41,42 pulp necrosis was detected.Root canal treatment was applied to the teeth and they
were restored with composite filling material. The gap, that was occured depending on the loss of tooth # 11,
were rehabilitated with ribbond bridge.The oral hygiene education was given to the patient for the treatment
of inflammation which was occured in gingival due to trauma.
Conclusion: After the 1-year clinical and radiological controls, it has been seen teeth have good stability, aesthetics and periodontal health.
Keywords:
93
PP-62
LM-ACTIVATOR TREATMENT OF A PATIENT WITH CLASS II DIVISION 1 : A CASE REPORT
Glden KARABIBER, Marmara University - Orthodontics,
Berna GKKAYA, Marmara University - Pediatric Dentistry,
Excessive dental protrusion and excessive overjet are characteristics of Class II division 1 cases, particularly
in connection with thumb or lip sucking and tongue thrusting. Class II division 1 malocclusions with a mandibular deficiency have been treated for more than a century with different types of functional appliances.
The principal aims of dentofacial orthopedic treatment of skeletal Class II division 1 malocclusions with
an activator are to correct the dental arch relationship and to improve the patient\s facial profile by promoting favorable mandibular growth changes. LM-Activator is an orthodontic appliance for early orthodontic
treatment and eruption guidance. This case report describes the treatment of class II division 1 patient with
prefabric LM-ActivatorTM in mixed dentition period. A 10-year-old boy with no general health problems
was referred to the Department of Pediatric Dentistry, Dental School of the Marmara University. The patient had excessive dental protrusion and excessive overjet. LM-ActivatorTM (LM Dental AB, Finland) was
planned to mandibular growth changes. Proper appliance is chosen after some simple measurements at first
appointment. Lateral cephalometric radiograph, intraoral- extraoral photographs, 3Dmd photograph and stone models were obtained at treatment onset and at the end of treatment records. Instructions for use of this
appliance were told patient as 3 hours in day addition to full night usage. Also; patients and parents were
motivated. As a result of Cl ll division 1 patients treatment with LM-ActivatorTM was found effective dentally and skeletally. The outcome of treatment of LM-ActivatorTM has many advantages. The LM-ActivatorTM is simple to use and it requires shorter chair-side time. In addition, the treatment costs will be lowered.
Keywords:
94
PP-63
CHANGES IN PERIODONTAL AND MICROBIAL PARAMETERS AFTER THE SPACE
MAINTAINERS APPLICATION
Kenan CANTEKIN, Faculty of Dentitry, Erciyes University - Pediatric Dentistry,
Glda HERDEM, Faculty of Dentitry, Erciyes University - Pediatric Dentistry,
Duygu PERIN, Faculty of Medicine, Erciyes Universityes university - Department of Microbiology,
Mustafa AYDINBELGE, Faculty of Dentitry, Erciyes University - Pediatric Dentistry,
Background/purpose:The aims of this study were to evaluate the clinical and microbiological changes accompanying the inflammatory process of periodontal tissues during treatment with space maintainers (SM).
Materials and Methods: The children were separated into fixed (Group I, n=20) and removable (Group II,
n=20) appliance groups. A full periodontal examination, including probing pocket depth (PPD), bleeding on
probing (BOP), and plaque index (PI), was performed. Anaerobic microorganisms in the crevicular fluid were
detected with culture method. Clinical and microbial evaluations were performed before (T0) and three (T1)
and nine months (T2) after the application of the fixed or removable appliances.
Results: The PI, PPD and BOP scores at the testing sites of both groups increased significantly from before
treatment (T0) to nine months later (T2) (P<0.05), The presence of anaerobic bacteria in the subgingival
dental plaque increased from T0 (n=13, 65%) to T1 (n=16, 80%) in the fixed SM group, but not significantly
(P0.05), and the same values were obtained in T1 and T2 (n=16, 80%).
Conclusion: Although, the results of this study demonstrate that the application of fixed or removable SM appliances in children induced an increase of clinical periodontal parameters, anaerobic microbiota consisting of Aa, Pg, and T. forshia were not observed in any of the samples in short term.
Keywords: space maintainer, anaerobic microbiota, periodontal problems, oral health
95
PP-64
PREMEDICATION WITH NASAL SEDATION AS AN AID FOR BEHAVIOUR MANAGEMENT
IN DENTAL PROCEDURES FOR CHILDREN.
Heba MORGAN, Dentistry - Pediatric Dentistry,
Osama EL SHAHAWY, Dentistry - Pediatric Dentistry,
Aktham SHOUKRY, Dentistry - Pediatric Dentistry,
Abla AHMED, Dentistry - Pediatric Dentistry,
Fairouz SOLIMAN, Dentistry - Pediatric Dentistry,
Maria NABIL, Dentistry - Pediatric Dentistry,
Nourhan SAAD, Dentistry - Pediatric Dentistry,
Purpose: Evaluation of the time interval between administration of intranasal sedation premedication and separation from parents that ensures a smooth separation, assess anxiety scores before, during and after dental
procedures, and assess the length of simple extraction procedures.
Methods: One hundred 5-8 year-old children were randomly allocated to receive intranasal Ketamine 3mg/kg
and Midazolam 0.5mg/kg as premedicants before extraction procedures. The following have been assessed:
Time interval between administration of intranasal sedation premedication and separation of child from parents, Anxiety score before, during and after dental procedure using visual analogue score and modified observers assessment of alertness/sedation scale, Monitoring of hemodynamics (HR/spo2), Length of procedures
and Discharge criteria.
Results: Dental procedures were successfully completed in 82 children while 9 children were still resistant
after sedation and failed to receive treatment. 9 children showed difficulties during and after procedures regarding level of cooperation and discharge criteria.
Conclusions: Intranasal Ketamine and Midazolam sedation used appropriately by experienced personnel provides excellent means of achieving sedation suitable for minor dental procedures for children.
Keywords: Intranasal sedation, Children, Behaviour management, Extracion
96
PP-65
ORAL HEALTH KNOWLEDGE IN PARENTS OF CHILDREN WITH SPECIAL NEEDS
Vlera HALIMI FAZLIJA, University Dentistry Clinical Center of Kosovo UDCCK - Department of Pediatric and preventive Dentistry,
Agim BEGZATI, University Dentistry Clinical Center of Kosovo UDCCK - Department of Pediatric and
preventive Dentistry,
Blerim KAMBERI, University Dentistry Clinical Center of Kosovo UDCCK - department of endodontics,
Dafina DOBERDOLI, University Dentistry Clinical Center of Kosovo UDCCK - Department of Pediatric
and preventive Dentistry,
Blerta XHAFERI, University Dentistry Clinical Center of Kosovo UDCCK - Department of Pediatric and
Arbnore FETAJ, University Dentistry Clinical Center of Kosovo UDCCK - Department of Pediatric and
Objectives: The purpose of this study was to ascertain the knowledge of parents for dental diseases and their
prevention and to determine the impact of the social status on oral health of children with special needs.
Methods: A semi-structured questionnaire was prepared to collect required information from parents of children with special needs. The questionnaire was completed from parents of two special schools in Kosovo. From
the total of 170 (one hundred and seventy) parents the questionnaire was completed by 104 (one hundred and
four) parents . The average age of parents who completed the questionnaire was 45, from them 65 (62.5%)
were mothers and 39 ( 37,5% ) fathers.
Results: From the surveyed parents (52,9%) of them were with low level of education and a poor living condition, ( 31,7%) of the surveyed parents were with high school level of education and a poor living condition
too with a monthly income of less than 300 euros, (7,7%) of the surveyed were with some level of college
education and a monthly income exceeding 300 euros and (7,7%) surveyed parents were with a higher college
education and with average monthly income exceeding 500 euros. Beside their level of education most of the
parents (86,5%) were thinking that oral hygiene is very important for childrens oral health. Parents of children
with special needs are not sufficiently informed about nutrition and its importance. Majority of the parents
(72,1%) have no information regarding the prophylactic role of fluoride. Most of the parents do not send their
children to the dentist for regular visit, but only when they have pain.
Conclusion: The overall oral health knowledge and attitude of parents of children with special needs is not satisfactory, difficult social-economic situation and lack of information directly affect oral health of their children.
Keywords:
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ORAL REHABILITATION OF TWO CASES WITH HYPOHYDRATIC ECTODERMAL
DYSPLASIA
Didem OZDEMIR-OZENEN, Yeditepe University - Pediatric Dentistry,
Hanin FELLAGH, Yeditepe University - Pediatric Dentistry,
Nuket SANDALLI, Yeditepe University - Pediatric Dentistry,
INTRODUCTION: Ectodermal dysplasias (EDs) are known as hereditary disorders that occur as a consequence of disturbances in the ectoderm of the developing embryo ectodermal origin and dysplasia of mesodermally
derived tissues. Patients with ectodermal dysplasia usually exhibit smooth dry skin with partial or complete
absence of sweat glands, defects in the external morphology. Dental manifestations such as hypodontia, peg
shaped teeth, and reduced vertical dimension are also frequently present.
BACKGROUND: EDs have more than 180 different types and 11 subgroups. The most frequently observed
forms of ED are the hidrotic and the X- linked hypohidrotic (anhidrotic) ED type. The X-linked hypohidrotic
type is characterized by the triad of hypotrichosis, hypodontia or anodontia, hypohidrosis and other facial
features.
CASE REPORT: A 10 year-old-boy (Case 1) and an 8 year-old-girl (Case 2) diagnosed with hypohidrotic ED
were referred to Yeditepe University Faculty of Dentistry, Department of Pediatric Dentistry by the Department of Genetics for dental rehabilitation. The patients were siblings whose parents were first degree cousins.
Intraoral examination revealed poor oral hygiene, hypodontia, peg shaped cavitated teeth, and reduced vertical
dimension. Radiographic examination showed hypodontia in the upper jaw and anodontia in the lower jaw.
Case 1 was treated by restoring the carious teeth with resin composite restorations and then an over denture
prosthesis was applied. In case 2, a complete prosthesis was performed. Oral hygiene instructions were given
to the parents, and they have been scheduled for preventive treatments at periodic intervals of three months.
CONCLUSION:These patients have difficulty in everyday life due to some anomalies in their appearance. It is crucial
to refer these patients for psychological help and provide them an appropriate oral rehabilitation for a better life quality.
Keywords:
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MUTATIONAL ANALYSIS OF MSX1 AND PAX9 GENES IN A PATIENT WITH OLIGODONTIA
Derya CEYHAN, Faculty of Dentistry - Pediatric Dentistry,
Zuhal KIRZIOLU, Faculty of Dentistry - Pediatric Dentistry,
Nilfer AHIN CALAPOLU, Faculty of Medicine - Medical Biology,
Aim: Tooth agenesis is the most common congenital developmental anomaly and the first identified genes
have been MSX1 and PAX9. Aims of our study are to search for mutations in MSX1 and PAX9 genes and to
evaluate genetic profile together with missing teeth and other dental anomalies in a patient who has been followed up for 14 years from the age of 4 years and has been treated in our clinic and has a lot of missing teeth.
Methods: Healthy, boy patient who had 13 teeth missing except for third molars and signed the informed consent form was included in this study. DNA was isolated from blood and amplified by PCR. Nucleotide changes
were determined by SNP Genotyping technique. Bidirectional DNA sequence analysis was performed for
mutational analysis of two exons of MSX1 and four exons of PAX9. Results Any nucleotide changes were
not detected in the coding region of MSX1. Two polymorphisms, rs12883298(C>G) and rs12882923(A>G),
were detected in the intron1 region of PAX9. Consequently, no nucleotide changes in association with tooth
agenesis and other dental anomalies in MSX1 and PAX9 genes were observed.
Conclusions: Positive and negative results from genetic studies are important to reveal actual genes causing population-specific tooth agenesis. Screening other candidate genes out of commonly studied genes and searching interactions between genes will provide a better analysis for tooth agenesis models and accompanying dental anomalies.
Keywords: Congenital, Dental anomaly, MSX1, PAX9, Tooth agenesis
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THE CLINICAL AND GENETICAL INVESTIGATION OF SIBLINGS WITH
PYCNODYSOSTOSIS
Belen IRINOLU APAN, Marmara University, Faculty of Dentistry - Pediatric Dentistry,
Korkut ULUCAN, Marmara University, Faculty of Dentistry - Basic Sciences Department of Medical Biology and Genetics,
Serap AKYZ, Marmara University, Faculty of Dentistry - Pediatric Dentistry,
Introduction: Pycnodysostosis (PKND) is a rare, autosomal recessive disease characterized by short stature,
severe bone fragility, exophthalmus and oral manifestations such as micrognathia.
Background: Pycnodysostosis usually demonstrates typical craniofacial deformities, such as hypoplastic midface, anterior cross-bite, grooved palate and dental crowding. The aim of this case report is to investigate the
responsible genes for pycnodysostosis under reported cases of three siblings with PKND.
Case Report: Three of five siblings (FE 16(), ME 10(), HE 4()) with PKND applied to our clinic. The
other two siblings (AE 14(), ME, twin of ME with PKND, 10()) were PKND-unaffected. All the siblings
detailed clinical and radiological examination was performed. Taking into consideration the fragility in these
patients, appropriate restorative treatments and protective applications were preferred. Patients were given
oral hygiene education. Recall visits occurred in every 3 months during the 18-month follow-up period. For
mutational analysis, genomic DNA was isolated from buccal cells and seven exons, including exon- intron
boundaries were directly sequenced after amplification. The candidate gene, cathepsin K (CTSK), responsible
for PKND was also analyzed in the affected and unaffected family members.
Conclusions: Early diagnosis and treatment is important with PKND patients, since bone fractures easily occur during dental treatment and limited mouth opening makes it difficult to access the treated area. Frequent
recalls should be planned for PKND patients. Regular oral care and early preventive treatments ensure the
patients a better life quality. Genetically, all the affected members carried L7P variation as homozygous state,
whereas unaffected had the heterozygous state of the same condition. Conclusively, we suggest that L7P mutation may be a diagnostic criteria for this anomaly.
Keywords: Pycnodysostosis, Genetic
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PIERRE ROBIN SYNDROME: REPORT OF TWO CASES
Aliye Tue TANYER, Istanbul University Faculty of Dentitry - Department of Pediatric Dentistry,
Sla YARDIMCI, Istanbul University Faculty of Dentitry - DEpartment of Pediatric Dentistry,
Mine KORUYUCU, Istanbul University Faculty of Dentitry - DEpartment of Pediatric Dentistry,
Figen SEYMEN, Istanbul University Faculty of Dentitry - DEpartment of Pediatric Dentistry,
INTRODUCTION: Pierre Robin Syndrome (Pierre Robin Sequence) is a congenital craniofacial anomaly
comprising mandibular hypoplasia, with or without cleft palate, glossoptosis leading to life-threatening obstructive apnea and feeding difficulties during the neonatal period. It is stated that the incidence of Pierre Robin
sequence is estimated to be 1:8,500-14,000. Its inheritance is autosomal recessive also an X-linked form and
associated with trisomy 18 and other syndromes.
BACKGROUND: Cardiac, respiratory, oral and gastrointestinal problems can be seen with this syndrome.
These are cor pulmonale, upper airway obstruction, neonatal respiratory distress, middle ear pathology, glossoptosis, micrognathia, cleft palate,dental crowding and neonatal feeding problems.
CASE REPORTS: First patient is a 12 year old girl. She had surgery when she was age of 1.5 for palatal cleft.
Her extraoral examination shows that she has small mandible and bird-like face. Her intraoral examination
shows that she has dental caries and dental crowding especially in the mandible. Second patient is a 12 years
old boy. When he was born he had surgery for replacement of mandible to prevent glossoptosis. His extraoral
examination shows surgery scars on his angulus of mandible and his mandible is small. His intraoral examination shows that he has dental caries and dental crowding. Both patients- hand and wrist radiograph shows
that, their chronoligical ages are compatible with their bone age. Skeletal Class II anomaly is seen according
to the lateral cephalometric radiographs of the patients.
CONCLUSION: Pierre-Robin Syndrome is realized at very early ages and at birth. This syndrome affects different body systems, so multidisciplinary treatment team should follow-up these patients. Orthodontists and
pediatric dentists are duty to their dental treatment requirements. Aim of these treatments are both increasing
patient comfort and preventing dental anomalies.
Keywords: pierre-robin syndrome, pierre-robin sequence, micrognathie, craniofacial anomalies, special dental needs
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CASE REPORT: EPIDERMOLYSIS BULLOSA IN A CHILD PATIENT WITH AMELOGENESIS
IMPERFECTA
Hseyin KARAYILMAZ, Akdeniz University, Faculty of Dentistry, - Department of Pedodontics,
zge GNGR, Akdeniz University, Faculty of Dentistry, - Department of Pedodontics,
Seda HANIMELI, Akdeniz University, Faculty of Dentistry, - Department of Pedodontics,
Burcu YAMUR, Akdeniz University, Faculty of Dentistry, - Department of Pedodontics,
Introduction: Epidermolysis bullosa (EB) is an inherited disorder characterized by blister formation following
minor trauma. It is a chronic mechanobullos disease caused by the production of autoantibodies directed against type VII collagen. The disease is associated with conspicuous clinical and oral manifestations. The oral
involvement of EB includes generalized enamel hypoplasia, dental caries, dental morbidity, limited mouth
opening, ankyloglossia, microstomia and tongue erosion. Amelogenesis imperfecta (AI) is a hereditary disorder with dental enamel defects and enamel hypoplasia both in deciduous and permanent dentition. There are
a few case reports in the literature, which indicate the presence of EB along with AI. The aim of this report is
to present the clinical and radiographic manifestations and dental management of EB in a child patient with
hypocalcified form of AI.
Background and Case Report: A 12-year old male patient with EB referred to the Akdeniz University, Faculty
of Dentistry, Department of Pediatric Dentistry with the complaint of pain depends on dental caries and discolored anterior teeth. In accordance with EB, his medical history revealed presence of multiple dermal lesions,
which started to appear immediately after birth. Poor oral hygiene, rampant caries, and generalized gingival
inflammation were seen at intraoral examination. Enamel affected by AI was easily abraded, leaving an irregular surface. As a result of clinical and radiologic evaluation, patient was diagnosed with hypocalcified type
of AI along with EB. Patients pulpal and restorative treatments are in progress at our clinic.
Conclusion: An increased risk of caries is the main dental problem for patients with EB. Prevention of dental caries
and periodontal disease must be emphasized at an early age, because of severe limitations and complications of providing dental treatment to patients with EB. Management of patients with EB requires a multidisciplinary approach.
Keywords: Epidermolysis Bullosa, Amelogenesis Imperfecta, Enamel Hypoplasia, Mechanobullos Disease
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RELATIONSHIP AMONG CARBONIC ANHYDRASE 6 GENE POLYMORPHISM AND
SALIVARY PARAMETERS, DENTAL-ORAL HEALTH STATUS IN CHILDREN
Mnevver CORUH, Ataturk University - Pediatric Dentistry,
Taskin GURBUZ, Ataturk University - Pediatric Dentistry,
Sener TASDEMIR, Ataturk University - Department of Medical Genetics,
Aim: The aim of this study was to investigate carbonic anhydrase (CA) 6 one single nucleotide polymorphism
(SNP) and its possible association with dental-oral health parameters in children.
Methods: The study population consisted of 178 healthy children (boys and girls, aged 6-15). Caries status was
measured by using the dmft/DMFT (number of decayed, missing, and filled teeth) index. Unstimulated whole
saliva and blood samples were taken. SNP of (CA) 6 gene were determined by PCR and DNA sequencing.
SNPs were detected ; their pubmed database number are rs2274330 (A/G). Salivary pH was measured with pH
paper and salivary flow rate was calculated. Furthermore, the oral hygiene and gingival status were assessed
using the simplified oral hygiene index and gingival index, respectively. Data were analyzed with SAS V9.2.
Results: One SNP (dbSNP: rs2274330 ) which are responsible for amino acid changes, were found. The frequencies of this SNP were not significantly different between the caries-free group and the group with caries. The
frequencies of SNP was not significant between groups (P > 0.05). There was no association between this SNP
and dental-oral health status (OHI and GI) (P > 0.05).
Conclusions: This SNP found have no association with caries in children.
Keywords: Carbonic anhydrase, saliva, children, caries, oral hygiene
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SECKEL SYNDROME: A REPORT OF THREE CASES
Derya TABAKCILAR, Istanbul University - Pediatric Dentistry,
Dilek Ozge YILMAZ, Istanbul University - Pediatric Dentistry,
Mine KORUYUCU, Istanbul University - Pediatric Dentistry,
Elif Bahar TUNA-INCE, Istanbul University - Pediatric Dentistry,
Figen SEYMEN, Istanbul University - Pediatric Dentistry,
Koray GENCAY, Istanbul University - Pediatric Dentistry,
Introduction: Seckel syndrome is a rare, autosomal recessive syndrome, characterized by severe intrauterine
and postnatal growth retardation, microcephaly, mental retardation, and typical facial appearance with beak-like protrusion of the midface (bird-like face). Etiology of the syndrome, which involves multiple malformations, still remains unclear. Both sexes are equally affected.
Background: The purpose of this paper was to report three cases of Seckel sydrome with a combination of
clinical and radiographic features.
Case Report: A 6 and 9 year-old male and 10 year-old female patient referred to Istanbul University, Faculty
of Dentistry Department of Pedodontics with a diagnosis of Seckel syndrome. Extraoral examination revealed
growth retardation, microcephaly, micrognathia, bird-like face, speech disorder and inability to walk. Microdontia, congenitally missing teeth, discoloration of anterior teeth, gingival inflammation, enamel hypoplasia,
missing and unerupted teeth was observed according to intraoral and radiologic examination. Oral hygiene
instructions were given. Preventive treatment modalities were explained to parents to prevent possible caries
in future. Recall visits at every 3 months were emphasized.
Conclusion: Seckel syndrome is not encountered routinely in dental clinics, these cases illustrates the importance of dental care in such a rare condition. Regular follow-up provides early intervention and preventive
treatment to avoid unnecessary pain and complications.
Keywords: Seckel sydrome, clinical features, radiographic features, dental management, dental findings
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CONGENITAL MANDIBULAR HYPOPLASIA-HEMIFACIAL
MICROSOMIA-OCULOAURICULOVERTEBRAL SPECTRUM IN 6 CHILDREN WITH
GOLDENHAR SYNDROME
Dilek zge YILMAZ, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti A.D.,
Mine KORUYUCU, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti A.D.,
Derya TABAKILAR, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti A.D.,
Elif Bahar TUNA-NCE, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti A.D.,
Figen SEYMEN, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti A.D.,
Koray GENAY, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti A.D.,
Introduction: Goldenhar syndrome (GS) is a rare congenital defect characterized by a combination of anomalies of the face (hemifacial microsomia, unilateral facial hypoplasia, and lateral facial cleft), eyes (epibulbar
dermoid or lipodermoid, colobomas of the upper eyelid, iris, choroidea, and retina), ears (microtia, anotia, preauricular skin tags or blind fistulas, and other external ear malformations), and intra oral (lower jaw, midline
deviation to the affected side, protrusion of the upper incisors, congenitally missing teeth, delayed eruption).
The purpose of this case series was to report six cases of Goldenhar Syndrome with details of craniofacial and
dental findings.
Case reports: The study presents clinical data on the morphologic features, hearing, ophthalmologic, orthopaedic, neurological, cardiovascular, mental and dental findings of 6 Turkish patients (3 male-3 female) aged 4 to
12 years with the clinical diagnosis of GS. All patients have facial asymmetry, sensorineural hearing loss, hemifacial microsomia, mandibular hypoplasia, malformation of the ears, ocular anomalies, obstruction in eyes
duct. Four patients have auricular appendages and pretragal fistulas on the right ear. Two patients are presented
with right external ear agenesia. Two patients were mental retarded. Four patients were born of nonconsanguineous marriage. A 4-year-old girl is reported epipulbar dermoid in the right eye. A 6-year-old girl was born
as a monozygotic twin with heart disease and her sibling without any clinical signs of congenital abnormality.
Fusion tooth was seen in primary canine of 5-year-old girl. The development of dentition and shape of erupted
teeth were in normal limits in all patients.
Conclusions: In this syndrome, multiple-organ involvement can limit the surgical correction of the deformities
and management. Long term and regular follow-up is important to monitor the visual growth and development
of the patient. Ideally, a multidisciplinary team approach is required to manage the other associated anomalies.
Keywords: Oculo-auriculo-vertebral, Goldenhars syndrome
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DENTIN DYPLASIA TYPE 1: CASE REPORTS
Duygu YILMAZ, Istanbul University - Pediatric Dentistry,
Ceren Gney TOLGAY, Istanbul University - Pediatric Dentistry,
pek AASAPAN, Istanbul University - Dentomaxillofacial Radiology,
lknur ZCAN, Istanbul University - Dentomaxillofacial Radiology,
Gamze AREN, Istanbul University - Pediatric Dentistry,
Introduction: Dentin dysplasia type 1 (radicular dentin dysplasia) is a rare hereditary disturbance affecting
both primary and permanent dentition which is characterized by defective dentin development with clinically
normal appearing crowns, severe hypermobility of teeth and spontaneous dental abscesses or cysts. Radiographic analysis mostly shows shortened or absent roots, periapical radiolucencies and pulp chamber obliterations.
Case Report: A 15 year-old-boy was referred to Istanbul University, Faculty of Dentistry, Department of Pediatric Dentistry with a chief complaint of dental caries. His teeth had clinically normal crown morphology and
color. Radiographic examination showed short roots with periodontal defects. Intraoral examination of his 36
year-old mother revealed similar condition with short, blunted roots and early loss of multiple teeth. We also
examined his 4 year-old sister, but we didnt observe any finding of this condition.
Conclusions : A high standard of oral hygiene and maintenance of periodontal health is vital for the survival of affected teeth. Early diagnosis and long-term follow-up of this disease is important to prevent or delay loss of dentition.
Keywords: pediatric dentistry, hereditary, dentin dysplasia
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EVALUATIONS OF CRANIO-FACIAL AND DENTAL MANIFESTATIONS OF TEN TURKISH
PATIENTS WITH KABUKI SYNDROME
Ozge ERKEN GNGR, Akdeniz University, Faculty of Dentistry - Pediatric Dentistry,
Banu GZEL NUR, Akdeniz University, Faculty of Medicine - Pediatric Genetics,
Ahmet Yalcin GUNGOR, Akdeniz University, Faculty of Dentistry - Orthodontics,
Ercan MIHCI, Akdeniz University, Faculty of Medicine - Pediatric Genetics,
Huseyin KARAYILMAZ, Akdeniz University, Faculty of Dentistry - Pediatric Dentistry,
Inroduction: Kabuki syndrome (KS) is a rare autosomal dominant disorder of that was first described in 1981
by Niikawa et al. and then Kuroki et al. KS is characterized by a dysmorphic face, postnatal growth retardation, mild to moderate mental deficiency, and craniofacial, skeletal and dermatoglyphic abnormalities with
persistence of fetal fingertip pads. Common characteristic oro-dental features of KS are, cleft lip-palate or the
high arched palate, malocclusion, micrognathia, maxillary recession, hypodontia, microdontia, widely spaced
teeth, fistulae in the lower lips, screwdriver shaped incisors and ectopic upper molars. The aim of this study is
to describe the cranio-facial and dental manifestations, diagnosis and management of ten Turkish patient with
this rare genetic disorder.
Background: A total of 10 KS individuals were referred to our clinic by the Akdeniz University, Faculty of
Medicine Department of Pediatric Genetics, for detailed dental examination with different dental problems.
All of the patients were examined by extra and intra-orally and a large part of the patients were evaluated by
radiograpically.
Case reports: The age of KS patients ranged from 2 to 18 years (4 male and 6 female), with an average age of
8.00 5.77. In the large part of the patients were found to be typical facial appearance of KS. Long palpebral
fissures and sparse arched eyebrows were seen in seven patients. Deep dental caries, high plate, narrow dental
arches and malocclusion were seen at some of the patients in intraoral examination. Radiographic analysis
revealed hypodontia, large pulp chambers of molar teeth and skeletal open bite.
Conclusion: Dental management of the patient with KS should be as a multidisciplinary way. Oral hygiene
education should be given for dental care to patients and their parents. Application of conservative and preventive dental treatment as soon as possible is crucial for these patients.
Keywords: Kabuki Syndrome, craniofacial characteristics, dental management.
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PERIPHERAL OSSIFYING FIBROMA: A CASE REPORT
Ozge ATIKLER, Istanbul University Faculty of Dentistry - Department of Pedodontics,
Mert ATIKLER, Istanbul University Faculty of Dentistry - Department of Oral and Maxillofacial Surgery,
Elif Bahar TUNA NCE, Istanbul University Faculty of Dentistry - Department of Pedodontics,
Introduction: Peripheral Ossifying Fibroma (POF) is a non-neoplastic enlargement of the gingiva that is a
reactive gingival overgrowth occurring frequently in the anterior maxilla in teenagers and young adults. The
pathogenesis of this lesion is uncertain and it is thought to arise from periosteal and periodontal membrane.
It is usually related to trauma or local irritants, such as subgingival plaque and calculus, dental appliances,
and/or poor-quality dental restorations. Clinically, POFs are sessile or pedunculated, typically ulcerated and
erythematous or exhibit a color similar to the surrounding gingiva. Most lesions are <2 cm in size, although
larger ones often occur.
Case Report: A 12-year-old girl referred to Pediatric Dentistry Clinics of Istanbul University Faculty of Dentistry with the chief complaint of a soft tissue mass in the anterior maxilla palatal region. The patient did not
give any history of trauma, injury, or food impaction and there was no significant medical history. The lesion
was asymptomatic, non-ulcerated and overlying mucosa appeared normal. No radiological signs of involvement of alveolar ridge were observed. Under local anesthesia, the lesion was completely excised by conventional scalpel surgery. The tissue was submitted to the oral pathology division for histopathologic diagnosis.
After the 15-day follow-up, the surgical site showed uneventful healing. There was no evidence of recurrence
of the lesion after 24 months.
Conclusion: The occurrence of the POFs in children can exhibit an exuberant rate of growth and reach
important size in a relatively short period of time. If surgical intervention in an early stage is not done,
POF can become massive, causing extensive destruction of adjacent bone and significant functional or esthetic alterations. Early surgical treatment of the POF in children including removal of etiological factors is required to obtain satisfactory gingival repair and to attenuate the possibility of recurrence.
Keywords:
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A RARE CASE OF TURNERS HYPOPLASIA
Introduction: Unlike other abnormalities which affect a vast number of teeth, Turner\s hypoplasia usually
affects only one tooth in the mouth and it is referred to as a Turner\s tooth.
Background: Turner\s hypoplasia usually manifests as a developmental defect of the permanent successor
tooth, range from mild alteration in enamel mineralization in form of simple white or yellow brown discoloration to severe defective formation of enamel with loss of a portion of missing or severe pitting and irregularity
of tooth crown. If Turner\s hypoplasia is found on a canine or a premolar, the most likely cause is an infection
that was present when the primary tooth was still in the oral cavity.
Case Report: A 7-year-old boy was referred to our clinic with extensive caries on primary molar teeth. In
clinical and radiographic examination, crown destruction and a large periapical lesion associated with the
permanent tooth germ was observed in the mandibular right primary molar tooth. Also in the radiography, a
developmental anomaly was observed at the permanent tooth. The infected primary tooth was extracted. Since
there was no complaint of the patient, it has been decided to follow-up until the eruption of the permanent tooth. At the follow-up appointments, it was observed that tooth eruption process and root development continued
with a positive response to the pulp test. After 22 months, the conservative treatment of the tooth is completed
with composite restoration.
Conclusion: At the end of 22 months the tooth was clinically and radiographically asymptomatic.
Keywords: turners hypoplasia, developmental defect, permanent successor tooth
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MANAGEMENT OF CENTRAL INCISORS WITH FUSED SUPERNUMERARY TEETH: TWO
CASE REPORTS
Osama EL-SHAHAWY, Faculty of Oral and Dental Medicine, Future University - Pediatric Dentistry and
Public Health Department,
Dina SHEHAB, Faculty of Oral and Dental Medicine, Future University - Pediatric Dentistry and Public
Health Department,
Abstract Introduction: Supernumerary teeth are of particular interest to pediatric dentists, since most commonly they are the ones who make the initial diagnosis. The prevalence of supernumerary teeth is reported
to be from 1 to 3%. It is frequent enough that some recommend an anterior occlusal film as part of a childs
complete initial examination.
Background: The majority of supernumerary teeth is related to permanent dentition and occurs most commonly in the maxillary anterior region. When occurring in the midline area such tooth is referred to as mesiodens.
Uncommonly, supernumerary teeth might be fused to normal teeth within the arch, most frequently by lateral
fusion. Several problems are related to this type of fusion such as poor esthetics, periodontal problems, crowding and difficulty managing the tooth fused to the supernumerary.
Case report: The aim of the present article is to report the management of two uncommon cases of fused supernumerary teeth both in the maxillary anterior region. First case documents a treatment approach to solve
the esthetic and functional problems of a patient with amesiodensfused to the upper central incisor, considering this patient had limited time and financial constraints for a comprehensive management of the case. The
second case report presents the surgical separation and orthodontic treatment of a maxillary central incisor
fused to a mesiodens.
Conclusion: The technique described here is a simple and effective method for managing supernumerary teeth fused to maxillary incisors in order to restore proper alignment, function and esthetics.
Keywords:
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IMPACTED MAXILLARY INCISORS DUE TO A LARGE DENTIGEROUS CYST
Yeliz GUVEN, Istanbul University - Pediatric Dentistry,
Feyza NUR GORKEN, Istanbul University - Pediatric Dentistry,
Melis ARAZ, Istanbul University - Pediatric Dentistry,
Elif SEPET, Istanbul University - Pediatric Dentistry,
Oya AKTOREN, Istanbul University - Pediatric Dentistry,
Introduction: Dentigerous cyst, the second most common odontogenic cyst after radicular cyst, could cause
primary teeth retention, delayed tooth eruption, impaction of permanent teeth and its treatment ranges from
marsupialization to enucleation. Background: The objective of this case report is to present the management
of impacted central and lateral incisors due to dentigerous cyst.
Case Report: An 11-year-old boy was referred to the Pediatric Dentistry Clinics of Istanbul University with
the main complaint of retained deciduous incisors on the left upper jaw. Cone beam CT investigation showed
a unilocular radiolucency associated with the crown of the unerupted upper left incisors. Upper left central
incisor had a dilacerated root. Based on the clinical and radiological findings, a provisional diagnosis of dentigerous cyst was further confirmed by histopathologic examination. The treatment consisted of the extraction
of the upper left primary incisors and marsupialization of the lesion. After 7 months of follow-up, the cystic
lesion healed and spontaneous eruptions of the impacted incisors were noticed. The patient was referred for
further orthodontic treatment, after complete eruption of the teeth by 2 years,
Conclusion: Conservative treatment approaches for dentigerous cyst cases should be preferred as the first
treatment choice in chidren based on the facts that destructed bone has greater capacity to regenerate and the
teeth with open apices have greater eruptive potential.
Keywords: dentigerous cyst, impaction, marsupialization, conservative treatment, eruption
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ORAL LICHEN PLANUS LESIONS IN CONTACT WITH AMALGAM FILLINGS:
CASE REPORT
Ayegl SARI, Mustafa Kemal University - Periodontics,
Oya EKER,Mustafa Kemal University - Restorative Dentistry,
Behiye BOLGL, Mustafa Kemal University - Pedodontic Dentistry,
Zeki ARSLANOLU, Mustafa Kemal University - Pedodontic Dentistry,
Introduction: Lichen planus is a chronic inflammatory skin condition affecting about 1-2% of the adult population. It usually affects adults older than 45 years, although it may affect younger adults and children. It is
more common in women than in men (1.4: 1) Dental amalgam may cause oral lichen planus (OLP) lesions.
Background: A 50-year-old woman was referred to the, Department of Restoratif Dentistry, Mustafa Kemal
University, Dental Faculty, Hatay, Turkey with comlaints of oral burning since a year Case Report The patient
was clinically examined and 1 cm in diameter oral lesions were observed tongue and buccal mucosa in close
contact with amalgam fillings. Biopsy samples were taken from the patient and sent to the pathology. The
lesions identified that oral lichen planus dependant to the amalgam filling.
Conclusion: All the OLP lesions improvement were observed in one month after amalgam fillings were complete changed with composite fillings
Keywords: lichen, planus, amalgam, pathology
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DIFFERENT INTRACANAL POSTS USED IN RESTORING BADLY DECAYED PRIMARY
ANTERIOR TEETH IN EARLY CHILDHOOD CARIES: COMPARTIVE IN VITRO STUDY
Ahmed F. RADY, Faculty of Dentistry,Suez Canal University - Department of Pedodontics,
Mohamed S. FARAG, Faculty of Dentistry,Suez Canal University - Department of Pedodontics,
Sayed H. SENIOUR, Facuty of Dentistry, Cairo University - Department of Dental Biomaterials,
Purpose: The management of mutilated primary incisors in early childhood caries is a clinical challenge and
necessitates the use of intraradicular retention. The aim of this study was to compare the tensile bond strength of four different intracanal posts techniques used in restoring badly decayed primary incisors: composite
posts; orthodontic omega wire posts; and glass fiber posts cemented with two types of cement.
Methods: This in vitro study was performed on 52 extracted human primary maxillary incisors. Samples were
randomly divided into four groups of 13 each. Group I received posts and cores made of composite resin
(Filtek Supreme XT, 3M), group II used posts made from a 0.6 mm orthodontic wire bent as a Greek letter
(omega) cemented with (Filtek Supreme Flowable, 3M) composite resin, group III received a glass
fiber post (RelyX Fiber Post, 3M) cemented with flowable composite, and group IV used the same glass
fiber posts but cemented with dual cured self-adhesive resin cement (RelyX Unicem, 3M). The Mounted
specimens were subjected for tensile bond strength on a universal testing machine. The failure values and
modes of failure were statistically analyzed.
Results: Mean tensile bond strength for glass fiber posts cemented with RelyX Unicem was (17.06.6 kgF),
followed by (16.28.5) and (16.17.3 kgF) for orthodontic wire posts and composite posts, respectively. The
lowest value (14.53.6 KgF) was recorded in group III where glass fiber posts cemented with flowable composite. Statistical analysis (ANOVA) revealed no statistically significant difference between the groups. None
of the samples in group IV showed adhesive bond failure mode.
Conclusion: There was no significant statistical difference in tensile bond strength between the four techniques used; however glass fiber posts when cemented with RelyX Unicem showed the greatest dislodging strength, followed by orthodontic omega wire posts and, least of all, composite posts.
Keywords: Glass fiber post, Omega wire post, Rely x unicem, Early childhood caries
113
PP-82
EARLY MANAGMENT OF SPACING BETWEEN UPPER ANTERIOR TEETH IN YOUNG
ADULT PATIENTS
Mohamed S. FARAG, Faculty of Dentistry, Suez Canal University - Department of Pedodontics,
Aim: Managing patients with congenitally missing maxillary anterior teeth raises several important issues
concerning the amount of space, the patients age, the type of malocclusion, and the condition of the adjacent
teeth. We aimed in this study with early orthodontic intervention to eliminate a lot of psychological problems
that may arise in young adult patients with spacing between upper anterior teeth and to create as well as to
maintain a space for insertion an implant after facial growth had been completed.
Method: 18 patients with spaced anterior teeth were included in this study .The required space for implant
was gained either immediately by creating a space in the same place of the future implant or by moving the
canine first to the place of the future implant and then moving it to create a space for the future implant. Then
this space was maintained by a removable partial denture till facial growth had been completed followed by
implant insertion and crown construction.
Result: The results of this study showed that early orthodontic intervention with closing spaces found between maxillary anterior teeth with the aid of a removable partial denture till facial growth had been completed
followed by implant insertion and crown construction, satisfied all patients psychologically and esthetically.
Conclusion: It was also concluded that stability and success of the implant depends greatly on the facio-palatal width. It was found that moving a tooth to the place of the future implant and then moving it
to create a space for the future implant provided a very sufficient facio-palatal width to insert implant successfully with minimum effort .This technique was much better than insertion an implant with the aid of
bone graft in a space gained orthodontically by creating a space in the same place of the future implant .
Keywords: Orthodontic, Anterior, teeth, implant, denture
114
PP-83
INTENTIONAL REPLANTATION OF A HORIZONTALLY IMPACTED PREMOLAR
Yelda KASIMOGLU, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Yeliz GUVEN, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Burak CANKAYA, Istanbul University Faculty of Dentistry - Oral Surgery,
Oya AKTOREN, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Koray GENCAY, Istanbul University Faculty of Dentistry - Pediatric Dentistry,
Introduction: Autotransplantation is defined as the transplantation of embedded, impacted or erupted teeth
from one site to another in the same individual, into either extraction sites or surgically prepared sockets.
Intentional replantation which is considered as a form of autotransplantation is a procedure consisting of the
extraction of the related tooth, socket preparation if needed and replantation of the tooth to the same site.
Background: A 12-year-old boy was referred to the Department of Pediatric Dentistry, Istanbul University
with a complaint of spontaneous pain in his decayed upper left primary second molar. Panoramic radiography
and computed tomography images showed that upper left second premolar was fully impacted and horizontally positioned in the palate around the apex of the decayed primary second molar.
Case Report: Impacted premolar was planned to be replanted into its original site by surgically. Following
anesthesia of surgical site, the primary tooth and the underlying impacted premolar were extracted. Extracted
premolar was stored in saline while preparing the extraction socket with an implant drill. Once the tooth was
replaced in its final position, occlusion is checked and the replanted tooth was splinted to the adjacent teeth
with resin and wire. Radiological and clinical examination at 3 years follow-up showed that the replanted tooth was asymptomatic, maintained pulp vitality and was still properly functioning.
Conclusion: In young patients, intentional replantation should be considered as a first option in management of an impacted permanent tooth which has a great value for maintaining the balanced occlusion.
Keywords: autotransplantation, children, clinical indications, ectopic, impacted tooth, pulp vitality
115
PP-84
CONSERVATIVE APPROACH OF SEVERELY DECAYED PERMANENT INCISORS WITH
MULTIDISCIPLINARY APPROACH TO RESCUE THE SMILE OF A 12 YEAROLD CHILD
Emine KAYA, Kocaeli University - Pediatric Dentistry,
lk ERMET ELBAY, Kocaeli University - Pediatric Dentistry,
Ege KSELER, Kocaeli University -Prosthodontics,
Mesut ELBAY, Kocaeli University - Pediatric Dentistry,
Serkan SARIDA, Kocaeli University - Prosthodontics,
Introduction: The restoration of teeth with extensive structural damage is an important clinical procedure in
dental practice. Having untreated anterior teeth had directly been related to the emotional state of children and
their appearance. Treatment of these cases is often complex, time consuming, expensive and unpredictable.
Despite the availability of a variety of materials and techniques, the criteria for selection of such teeth for
restoration may be difficult.
Background: This report decribes, prosthodontic rehabilitation of severely decayed maxillary and mandibulary incisors with BruxZir CAD/CAM milled all zirconia restorations with no porcelain overlay after endodontic treatment, placement of some retentive features and gingival reconstruction with laser surgery.
Case report: A 12 year old male patient with severely decayed anterior maxillary and mandibulary incisors was
admitted to Pediatric Dentistry Clinic of Kocaeli University Faculty of Dentistry. The patient had no systemic
disease or certain deficiency. Clinical and radiological evaluations showed that all maxillary and mandibulary
incisors required endodontic treatment. After periodontal surgery with laser, endodontic treatments were performed. Glass fiber reinforced posts were placed in the canals because of inadequate remaining tooth structure
for restoration. For prosthodontic rehabilitation, all teeth were prepared and restored with BruxZir CAD/CAM
milled all zirconia restorations with no porcelain overlay to provide good esthetic. Examinations after treatment revealed good periodontal health, esthetics and normal function.
Conclusion: The approach to severely compromised teeth should be based on consistent scientific evidence to
reduce failure and improve the prognosis. If restoration is indicated, it must conserve and protect the remaining tooth structure.
Keywords: caries, pediatric, zirconia
116
PP-85
HELICOBACTER PYLORI IN THE ORAL CAVITY OF CHILDREN
Damla AKSIT, Marmara University - Pedodontics,
Serap AKYUZ, Marmara University - Pedodontics,
Binnur KIRATLI, Marmara University - Biochemistry,
Merve USTA, Sisli Etfal Egitim ve Arastma Hastanesi - Pediatric Gastroenterology,
Nafiye URGANCI, Sisli Etfal Egitim ve Arastma Hastanesi - Pediatric Gastroenterology,
Aysen YARAT, Marmara University - Biochemistry,
Aim: The aim of this study was to demonstrate the presence of H.pylori in the dental plaque and saliva which
are proposed as reservoir for gastric H.pylori of dyspeptic and healthy children respectively and to evaluate
the association of oral colonization of this bacteria with gastric infection.
Methods: Seventy patients with dyspeptic complaints, aged between 5-16 years who have undergone upper
gastrointestinal system endoscopy formed the study group. Control group included thirty healthy children in
the same age group. Oral clinical examination and collection of saliva (2 ml) and supragingival dental plaque
samples were performed. H.pylori was detected in dental plaque and saliva through a real-time PCR system.
Results: Among 70 children who underwent endoscopy 12 were gastric H.pylori (-) and 58 were gastric H.pylori (+) histopatologically. The real-time PCR identified H.pylori in the dental plaque samples of 8 (66.7%)
among 12 gastric H.pylori (-) children, 45 (77.6%) among 58 gastric H.pylori (+) children and 5 (16.7%)
among 30 control group. The real-time PCR also identified H.pylori in the saliva samples of 9 (75%) among
12 gastric H.pylori (-) children, 44 (75.9%) among 58 gastric H.pylori (+) children and 12 (40%) among 30
control group
Conclusion: In both dental plaque and saliva specimens the detection rate of H. Pylori in dyspeptic
group was higher than control group. In gastric (+) and (-) group the detection rates of H.pylori in dental
plaque and saliva samples were similar. Our results indicate that the presence of H.pylori in the oral cavity is not associated with the gastric infection. H.pylori can occur in the oral cavity aside and independently from the stomach. High rates of H.pylori identified in the dental plaque and saliva specimens indicate that the oral cavity is a source of bacterium for the transmission of infection by the oral route.
Keywords: H.pylori, dental, plaque, saliva, real-time, PCR
117
PP-86
HUMAN ENAMEL SECTIONS PREPARED WITH FOCUSED ION BEAM/SCANNING
ELECTRON MICROSCOPY
Burak KITIK, Marmara University - Pediatric Dentistry,
Meltem SEZEN, Sabanc University - Nanotechnology Research and Application Center,
Aim: Dual-beam platform allow the use of FIB as a nano-scalpel to reveal site-specific subsurface microstructures which can be examined in great detail by SEM. The purpose of this study was to observe, the sound
enamel with a FIB/SEM. Material method: FIB/SEM tomography studies were performed using -slice and
view- technique at the JEOL JIB 4601F MultiBeam platform. FIB milling was carried out on the sample at the
conventional angle of 53 such that the ion beam impacted perpendicular to the sample surface and was able
to sequentially -slice- surfaces away from the volume of interest, while electron beam was used to image the
cross-sectional surfaces simultaneously. Prior to milling, a protective Pt layer 1-2 m thick was deposited on
the top surface of the region of interest. Ion currents for the milling processes varied from 0.3- 3 nA for bulk
removal to 10-50 pA for milling of slice and view layers, depending on the observed levels of milling artefacts
or redeposition of material.
Results: The sound enamel surface with magnifications of 5000x, 10000x, 15000x, 20000x, 30000x was imaged by SEM and the cross-sections of subsurface with magnification of 4500x, 5000x, 12000x, 30000x were
imaged using FIB. The subsurface profiles of healthy surfaces obtained using FIB have shown no subsurface
cracking.
Conclusion: Detailed morphological analysis is critical to understanding the structural features of enamel and
designing preventive strategies. We also aim to continue this work to see the subsurface of demineralized and
remineralized enamel by using FIB/SEM technology
Keywords:
118
PP-87
MEASUREMENT OF PHOTON INTERACTION PARAMETERS IN HUMAN TEETH AT
DIFFERENT ENERGIES
Takn GURBUZ, Dentistry - Pediatric,
Yksel OZDEMIR, Arts and Sciences - Physics,
Hseyin SIMSEK, Dentistry - Pediatric,
Aim: The purpose of this study was to determine the total atomic cross sections, effective atomic numbers and
electron densities of the human teeth at different photon energies of 22.1, 25, 59.5 and 88 keV using a narrow
beam transmission method.
Methods: The tooth samples for which different types of treatments such as Er:YAG laser irradiation and 37%
orthophosporic acid solution were applied were compared with the control group if any change exists with
respect to the photon interaction parameters. Finally, the obtained results were compared with the theoretical
values calculated based on the WinXCom database.
Results: With respect to the different groups considered as subjects, it should be mentioned that the percent
deviation value of the effective atomic numbers ( ) for the laser applied group as compared to control group
ranges between 0.5% to 1.7% whereas for the acid solution group the percent deviation value ranges from
0.3% to 1.6% when compared to control group. The effective electron densities, ( ) values were found to
deviate from 0.6% to 4.1% for laser applied group, from 0.6% to 2.4% for acid solution applied group when
compared to controls.
Conclusions: No significant variation in and observed when different types of treatments are applied to human teeth since the deviations observed are within estimated errors. Moreover, the studies on different types of human teeth, which are classified according to age, gender etc. would
be interesting at different energies where different partial photon interaction processes dominate.
Keywords:
119
PP-88
INTERDISCIPLINARY MANAGEMENT OF A CHILD WITH IMPACTED PERMANENT
INCISOR AND ODONTOMA
Gulcan UNSAL, Istanbul Universty Faculty of Dentistry - Department of Pediatric Dentistry,
Semsettin Ender ILKER, Istanbul Universty Faculty of Dentistry - Department of Oral and Maxillofacial
Surgery,
Isn ULUKAPI, Okan Universty Faculty of Dentistry - Department of Pediatric Dentistry,
Oya AKTREN, Istanbul Universty Faculty of Dentistry - Department of Pediatric Dentistry,
Introduction: Impaction of permanent teeth causes serious consequences such as esthetic, phonetic and occlusal problems for the young patients. The odontoma is the most common odontogenic bening lesion of the jaws,
which is composed of hard dental tissue, epithelial and mesenchymal cells. The aim of this report was to present the management of a case with an impacted permanent central incisor due to dilaceration and odontoma.
Background: A healty 10-year old girl was referred to Pediatric Dentistry clinics of Istanbul University Faculty
of Dentistry with a complaint of an unerupted upper right central incisor. The patient was totally asymptomatic
and had no record of orofacial trauma.
Case Report: The patient had a balanced facial pattern and intraoral clinical examination revealed an Angle
Class I molar relationship.The panoramic and occlusal radiographs demonstrated an impacted maxillary right
central incisor positioned horizontally and an odontoma like lesion present around the root of the upper left
primary canine which caused the impaction of the upper left permanent canine. As treatment for impaction of
central incisor, the brackets were placed on the upper arch and the arch space loss was eliminated; then the impacted tooth was surgically exposed and a button was bonded for orthodontic extrusion. After 3 months , intraoral examination revealed that the root apex of the impacted tooth was palpable under the palatal mucosa. A
three-dimensional computed tomography (3D CT) showed that the upper right central incisor was dilacerated
with an angle of 90. As treatment for odontoma site, odontoma is surgically removed, the primary canine and
the maxillary right central incisor were extracted and the permanent canine has been orthodontically extruded.
Conclusions: The present case highlights the importance of 3D CT diagnosis and the interdisciplinary
management for a young patient with an impacted permanent incisor with dilaceration and odontoma.
Keywords: dilaceration, odontoma, 3D computed tomography
120
PP-89
EFFECTS OF ND:YAG LASER, OZONE IRRADIATION AND FOUR DIFFERENT IRRIGATION
SOLUTIONS ON MORPHOLOGY OF ROOT CANAL DENTIN IN PRIMARY TEETH
Cigdem GULER, Dentistry - Pediatric,
Taskn GURBUZ, Dentistry - Pediatric,
Esra YANAR, Dentistry - Pediatric,
Pnar DEMIR, Dentistry - Pediatric,
Aim: The aim of this study was to evaluate any changes in the micro-morphology of root canal dentin in primary teeth after treatments with Nd:YAG laser, ozone irradiation and four different irrigation solutions.
Methods: Study groups were prepared in palatinal root of 60 maxillary primary second molar teeth extracted
for orthodontic reasons. The root were exposed to 0.9% saline solution (control), 0.5% NaOCl, 3% H2O2,
0.4% chlorhexidine gluconate, ozone and Nd:YAG laser irradiation (n=10). All prepared teeth were studied
by using scanning electron microscopy to analyze the surface of the dentin. The scores of the SEM evaluation
were compared by using the Kruskal- Wallis and Mann-Whitney U tests.
Results: The lowest scores for the debris and smear layer were obtained in NaOCl and Nd:YAG laser, followed
by ozone (p < 0.05). In the majority of control samples treated with sterile saline solution, the dentin surfaces
were completely covered by a homogeneous smear layer. In teeth irradiated with the Nd:YAG laser showed a
clear glazed surface and some surface craters with cracks.
Conclusions: The results obtained under the experimental conditions of this study suggest that irradiation with the Nd:YAG laser has a satisfactory cleaning effect on root canal walls in primary teeth. In addition, use of ozone could be recommended because of its cleaning efficacy in the root canal dentin.
Keywords:
121
PP-90
REGIONAL ODONTODYSPLASIA: CLINICAL MANAGEMENT AND LONG-TERM FOLLOW
UP: A CASE REPORT
Mine KORUYUCU, Istanbul University, Faculty Of Dentistry - Pedodontics,
Figen SEYMEN, Istanbul University, Faculty Of Dentistry - Pedodontics,
Duygu YAMAN, Istanbul University, Faculty of Dentistry - Periodontology,
Korkud DEMIREL, Istanbul University, Faculty of Dentistry - Periodontology,
Koray GENAY, Istanbul University, Faculty Of Dentistry - Pedodontics,
BACKGROUND: Odontodysplasia (OD) is an uncommon condition that affects the enamel and dentine of
both primary and permanent dentitions. The teeth are misshaped, pitted, and yellowish to brownish in colour, with excessive wear and underlying periapical abscesses. On radiographs, the enamel and dentine lack
contrast, rendering the tooth a ghostlike appearance. AM: The purpose of this paper was to report a case of
regional odontodysplasia with details of clinical and radiographic features, thereby facilitating management
of this rare anomaly.
CASE REPORT: A 6-year-old girl came to our department with chief complaint of missing or unerupted permanent maxillary left central and lateral teeth. She had trauma in 1.5 years old and fell on the left side of face.
At the affected area, the gingiva was enlarged, fibrous, and tense. Radiograph showed abnormally formed
teeth with short roots. After 3 year follow up with temporary prothetic rehabilitation, periodontal surgery was
applied. Forced eruption and levelling was done during 1 year. Abnormal tooth eruption and root development
were observed in these three teeth. Root canal treatment has been completed with ProRoot MTA. An intracanal fiber post and the access cavity was restored with composite resin and zirconia ceramic crown were applied
when she was 13 year. The patient was placed on periodic recall to follow the growth and development of her
dental arch.
CONCLUSION: The best treatment option for ROD depends on the time of diagnosis, presenting symptoms and signs, functional and esthetic needs, and available treatment modalities. The affected unerupted teeth may result in the delay or failure of the process of eruption in addition to structural defects, and the possibility of bacterial infection is frequent. The treatment plan should be based
on the age of the patient, degree of anomaly, the functional and esthetical needs of individual case.
Keywords: Odontodysplasia, post-core, zirconia ceramic crown
122
PP-91
DENTIGEROUS CYST OF MAXILLA IN A CHILD: A CASE REPORT
zgl CARTI, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
Tuba ARI, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
Fatih ZNURHAN, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
Introduction: A dentigerous cyst is the most common developmental odontogenic cyst. It is characterized by a
unilocular radiolucent lesion and are rarely seen during childhood. It is a benign and asymptomatic intraosseous lesion that affects the bones of the maxillofacial complex ,interfering with tooth eruption. Aim: The purpose
of this case report is to report a maxillar dentigerous cyst on a 12 year old boy.
Case report: A 12 years old boy was referred to Cumhuriyet University Department of Pediatric Dentistry with
the complaint of a swelling on right side of his maxilla.ntraoral examination revealed red swelling, which
produced bulging of the cortical bone of firm consistency. Radiographic examination showed a unilocular,
radiolucent area associated with the crown of an unerupted canin. The patient didnt complain of pain and
there werent any inflammation symptom around the lesion.The patients maxillary decidious canine tooth was
extracted, so the cyst cavity was opened and the drainage was achieved. After marsupyalization spontenous
eruption of the permanent canine was expected. Patient was recalled for 6 months intervals. After 25 months
the patients maxillary canine eruption was determined spontaneously.
Result: In cases of this type of dental cysts it is possible to achieve spontaneus eruption of the involved permanent teeth into the dental arch even if they are badly dislocated. Simultaneous with eruption of the permanent
teeth, ossification of bone defect can take place. In this case report after 25 months of follow up spontaenous
eruptions of maksiller canine were noticed.
Keywords: Dentigerous cyst, Odontogenic infections
123
PP-92
THE FREQUENCY OF USING OF LOCAL ANESTHESIA IN DENTAL TREATMENT OF
PEDIATRIC PATIENTS
Bilal OZMEN, Dentistry - Pediatric,
Murat CORTCU, Dentistry - Pediatric,
Alp Erdin KOYUTRK, Dentistry - Pediatric,
Uur TOKAY, Dentistry - Pediatric,
Objective: The aim of this study was to evaluate the prevalence of the local anesthesia used for dental treatment in pediatric patients.
Materials-Methods: Randomly selected 1000 patients who applied to Ondokuz Mayis University Faculty of
Dentistry at 2012, who applied to dental treatment were included in this study. Dental treatments and if necessary applications of local anesthesia was performed by lecturer, assistant or students. Local anesthetics that
were performed before treatment or during treatment were recorded. The data statistically analyzed.
Results: During dental treatment, 442 patients (44%) were applied local anesthesia, 558 patients (56%) were
not apply a local anesthesia. There was statistical difference in local anesthesia prior to treatment(p <0.05), but
no istatistical difference in local anesthesia during treatment(p>0.05) between distribution according to age
group, practitioners or gender.
Conclusion: According to age, sex, and the practitioner\s preference, local anesthesia preference in dental
treatment can change in pediatric patients. It is suggested that using of local anesthesia in pediatric patients
before and during treatment depends on the practitioner\s experience
Keywords: local anesthesia, pediatric patients
124
PP-93
REVASCULARIZATION AND REVITALIZATION OF IMMATURE PERMANENT MOLAR
WITH APICAL PERIODONTITIS USING PLATELET-RICH FIBRIN: A CASE REPORT
Ruhan BOZATLIOLU, Istanbul Medipol University - Pedodontics,
Asl PATIR MNEVVEROLU, Istanbul Medipol University - Pedodontics,
Tuba DEVELI, Istanbul Medipol University Faculty of Dentistry - Oral and Maxillofacial Surgery,
INTRODUCTION: PRF was used as a matrix instead of a blood clot in revascularization of the tooth with
necrotic pulp and an open apex. PRF contains concentrated growth factors such as platelet-derived growth factor, transforming growth factor, vascular endothelial growth factor, epidermal growth factor, and insulin-like
growth factor.
BACKGROUND: Some researchers showed that pulp-like tissue could be generated in a human tooth with
necrotic pulp and an open apex by using PRF as a scaffold in regenerative endodontic procedures.
CASE REPORT: A 9-year-old girl was referred to Medipol University Faculty of Dentistry, Department of
Pedodontics with complaint of dental caries. Clinical examination showed that tooth #36 had an extensive
occlusal carious lesion. Sensitivity tests (heat, cold, and electric pulp test) of the tooth gave no response. The
tooth was tender to percussion. A periapical radiograph of the tooth showed that the root apices were not fully
formed and a large radiolucent lesion was present at the periapical area of both the mesial and distal roots.
The clinical diagnosis of tooth #36 was pulp necrosis and symptomatic apical periodontitis. An immature
mandibular right first molar of a 9-year-old girl was treated with a revascularization/revitalization procedure
using either a mixture of PRF and a blood clot or a blood clot alone on the same tooth. A preparation of white
mineral trioxide aggregate (MTA) and saline solution was gently placed over the mixture of blood and PRF in
the distal canal and over the blood in the mesial canals. Seven months postoperatively, healing of the periapical lesions had improved further.
CONCLUSION: Platelet-rich fibrin might serve as a potentially ideal scaffold in revascularization of immature permanent teeth with necrotic pulps as it is rich in growth factors, enhances cellular proliferation and
differentiation, and acts as a matrix for tissue ingrowth.
Keywords: PRF, Immature, Permanent Molar, MTA
125
PP-94
RADIOGRAPHIC EVALUATION THE LOCATION OF THE FORAMEN MENTALE IN
CHILDREN
Yusuf ATALAY, Afyon Kocatepe - Oral and Maxillofacial Surgery,
Esra Ece AKMAK, Afyon Kocatepe - Pedodontics,
Mehmet NAL, Afyon Kocatepe - Pedodontics,
Kamil Serkan AAAYAK, Dicle - Oral and Maxillofacial Surgery,
Hseyin KARAYILMAZ, Akdeniz - Pedodontics,
Aim: Foramen mentale (FM) is one of two holes located on the anterior surface of the mandible. It permits
passage of the mental nerve and vessels which innervate the lower teeth, lip, gingiva and lower face. FM is the
determinant of the mental triangle and forms an important landmark of the human mandible. Its modal position varies according to age, ethnicity and has been cited ranging from subcanine to submolar in different populations. The purpose of this study is to evaluate the location of FM by analyzing digital panoramic radiographs
in a group of children. Methods: In this study, digital panoramic radiographies taken from 583 children (390
boy-193 girl) aged between 10-16-years-old (mean:13.41.7) were analyzed retrospectively. The location and
symmetry of both of the FM were evaluated according to gender and age. Additionally, the average distances
of FM to the alveolar ridge and to the inferior border of the mandible were measured.
Results: FMs were symmetrical in 500 (85.8%) children (315 boys-185 girls). Statistically important relationship was determined between the symmetry of FM and gender (p=0.001), and age (p=0.002). It was determined that 1010 FMs (86.6%) were located between the premolars, 93 FMs (8%) were in line with the first
premolar and 63 FMs (5.4%) were in line with second premolar. The calculated average distance from FM to
the alveolar ridge was of 14.16.5mm and to the inferior border of the mandible was 10.571.7mm.
Conclusions: In order to obtain effective nerve block and to avoid post-procedural neurovascular complications
in the mental region, particular attention should be paid to the morphology of the FM. Therefore, a detailed knowledge of the FM anatomy and it\s variations in different populations is essential for dentists, orthopedicians and
anatomists alike. In our study, in most of children, FMs were symmetrical and located between the premolars.
Keywords: Mental Foremen, Anatomic Location, Children, Panoramic Radiography
126
PP-95
ERUPTION DISTURBANCES OF THE MAXILLARY INCISORS RELATED TO A MESIODENS:
FIVE CASE REPORT
Hanin FELLAGH, Yeditepe - Pediatric Dentistry,
Osman ETIN, Yeditepe - Oral and Maxillofacial Surgery,
irin GNER, Yeditepe - Pediatric Dentistry,
Kbra TONGU ALTIN, Yeditepe - Pediatric Dentistry,
Nket SANDALLI, Yeditepe - Pediatric Dentistry,
Introduction: Mesiodens are the most common supernumerary teeth, with the incidence of 0.15% to 1.9%,
while the cause of mesiodens is not fully understood, although proliferation of the dental lamina and genetic
factors have been implicated. It can be classified on the basis of their occurrence or according to their morphology (conical, tuberculate or molariform). Conical mesiodens are generally peg-shaped, located palatally
between the maxillary central incisors, tending to displace the erupting permanent central incisors.
Background: A mesiodens is often diagnosed coincidentally during a radiological examination. However, a
mesiodens may also be diagnosed in relation to a clinically identified central diastema, delayed or ectopic
eruption of the permanent incisors, which can affect occlusion and appearance. Treatment options may include
surgical extraction of the mesiodens. If the permanent teeth do not erupt in a reasonable period after the extraction, surgical exposure and orthodontic treatment may be required to ensure eruption and proper alignment
of the teeth
Case Report: This report describes five clinical cases with a chief complaint of aesthetic concerns that were
referred to Yeditepe University Faculty of Dentistry Department of Pediatric Dentistry. Intraoral examinations
revealed delayed eruption and misalignment of the maxillary central incisor while radiographic examination
showed six mesiodens in the incisor palato region. Following orthodontic and surgical consultation, the extraction of the supernumerary teeth was carried out, the patients were called at regular intervals to monitor the
eruption of the maxillary incisor and evaluate for further orthodontic needs.
Conclusions: Delayed, ectopic or asymmetric eruption of the central incisors should alert the clinician to the
possibility of a mesiodens. The clinician should obtain accurate radiographs including panoramic and periapical
views. Usually, removal of the mesiodens in children and adolescents results in spontaneous recovery of the complications. Early diagnosis minimizes the treatment required and prevents development of associated problems.
Keywords: mesiodens, incisors, teeth
127
PP-96
EVALUATION OF THE EFFECTS OF HELICOBACTER PYLORI GASTRITIS ON ORAL
HEALTH IN CHILDREN
ASIM DANE, Di Hekimlii - Pedodonti,
TAKIN GRBZ, Di Hekimlii - Pedodonti,
Aim: Early symptoms of many systemic diseases occur in the oral cavity which is the first part of GIS. Gastritis S the most common childhood disorders of GIS. The aim of this study was to isolate HP, the most common
bacterial cause of gastritis, from the dental plaque and to compare the oral findings (oral health conditions,
feeding types, tooth brushing frequency, saliva pH level, flow velocity and buffering capacity) of patients with
gastritis and healthy control group and to evaluate these patients in point of caries risk assessment.
Material and Method: 35 children with and 35 children without disorders aged between 5 to 15 years were
included into this study. Each of the patients oral cavity was examined and dental plaque and saliva specimens
were collected for analysis. Results: HP was isolated from dental plaque of 29 of patients with HP (82.9%)
gastritis.DMFT and dft scores of children with gastritis were, respectively, vs 4.37 1.41 and 1.97 1.68.
Conclusion: In the light of data collected it is found that oral cavity may act as reservoir area like gastric mucosa, oral health care may be important for preventing gastric disorders.
Keywords: CLO test, Gastritis, GIS, Helicobacter pylori
128
CONFERENCES
129
CLINICOPATHOLOGICAL APPROACH TO THE ORAL AND MAXILLOFACIAL BONE

LESIONS IN PEDIATRIC DENTISTRY
Assoc. Prof. Dr. N.VAKUR OLGA
Assist. Prof. Dr. NHAN AKSAKALLI
In this lecture we will discuss and highlight the diagnostic and clinical features of important odontogenic lesions in pediatric dentistry.
Odontogenic Tumours; Odontogenic tumours are lesions derived from epithelial, ectomesenchymal and/or
mesenchymal elements which have been part of the tooth forming apparatus. These tumors are found exclusively within the jaw bones or in the soft tissues overlying tooth bearing areas. These tumours may be generated at any stage of life.
Odontogenic tumours include entities of hamatomatous nature benign neoplasms some of which are aggressive and malignant neoplasms that have capable of metastasis. Odontogenic tumours accounted for between 1%
to 28% of oral lesions from various studies depending on criteria and catagories that were used for comparison.
There are some reports and studies examined odontogenic tumours in children as part of oral tumours or studied individual tumours such as ameloblastomas and adenomatoid odontogenic tumours but few have examined odontogenic tumours generaly in children.
The aim of this speech is to analyse the odontogenic tumours which are usually seen in children and adolescents.
Odontogenic Cysts; Cysts of the jaws are mostly seen in adults, therefore studied in the field of adult dentistry.
However, a number of these cysts are seen in pediatric age group, and for clinical significance and prognostic
value, they should also be studied in the field of pedodontics.
Cysts of the maxilla, mandible are divided into three groups: odontogenic cysts, nonodontogenic cysts and
pseudocysts. 98.3% of the true cysts are odontogenic cysts in maxilla and mandible. Except gingival cysts
(newborn, adult), and eruption cyst; all odontogenic cysts are found inside the bone.
From odontogenic cysts, gingival cyst of the newborn and eruption cyst are seen in children. Although is
reported that periapical cyst is seen rare under the age of 10, in a study made in Turkey, it is determined that,
61 % of periapical cysts, whichs age range is 4-85, are seen in children. In the study made in Turkey, dentigerous cyst is determined as the most common developmental cyst seen in pediatric age group. Parakeratinized
odontogenic cyst (Keratocystic Odontogenic Tumour) is the 3rd most common cyst in the jaw seen within the
pediatric age group. Parakeratinized odontogenic cyst, seen in pediatric age group and in multiple number,
it can be associated with nevoid basal cellcarcinoma syndrome (NBCCS). NBCCS is a autosomal dominant
inheritance pattern. Another developmental cysts seen in young adults is ortokeratinized odontogenic cyst.
130
LASER ASSISTED PEDIATRIC DENTISTRY

Assist. Prof. Dr. SERTA PEKER
Dental lasers are widely used in many areas in pediatric dentistry from diagnosis to prevention, from cavity
preparation to pulp vitality tests and from endodontics to trauma cases. Laser technology can be used as an
alternative instrument that sometimes completes and at other times substitutes and assists for the traditional
techniques. With the devoloping technology dental lasers are getting importance in pediatric dentistry and
children should be considered as amongst the first patients for having laser-assisted dentistry.
Different wavelengths can be used in both hard and soft dental tissues with different clinical applications. Reduction in the use of anesthetics, analgesics and antibiotics, and in intra-operative and post-operative bleeding,
elimination the need sutures and producing faster wound healing and less scar tissue are some advantages of
dental lasers in pediatric dentistry.
In this presentation the dental lasers, soft and hard tisssue aplications in our clinic and acceptance and advantages of dental lasers both for children and parents and laser safety subjects will be reviewed.
131
ORAL PRESENTATIONS
132

ORAL SESSION III
OP : 15
15:30 - 15:40
THE ANTIBACTERIAL ACTIVITY AND RELEASE OF QUATERNARY AMMONIUM

COMPOUNDS IN ORTHODONTIC ADHESIVE
zel MB1, Tzner T2, Gl ZA3, Coleman NJ4, Hurt A5,Buruk CK6.
1
Assist.Prof.Dr.,Karadeniz Technical University,Faculty of Dentistry,Department of Orthodontics
2
Assoc.Prof.Dr., Karadeniz Technical University,Faculty of Dentistry,Department of Pediatric Dentistry
3
Assist.Prof.Dr.,Trakya University, Faculty of Dentistry,Department of Pediatric Dentistry
4
Dr.,Greenwich University,School of Science,Department of Materials Chemistry
5
Research Assist., Greenwich University,School of Science,Department of Materials Chemistry
6
Assist.Prof.Dr.,Karadeniz Technical University, Faculty of Medicine,Department of Microbiology
Aim:The aim of this study was to evaluate the effects of 10 % benzalkonium chloride (BC) or 10 % cetylpyridinium chloride (CPC) incorporation to an orthodontic adhesive (OA) (Transbond XTTM) in terms of antibacterial activity and high performance liquid chromotography (HPLC) outcomes. Experimental groups (EXP)
consisted of 10 % BC (w/w) and 10 % CPC (w/w) antibacterial powders added OA where as antibacterial free
groups served as controls (CNT).
Methods: A total of 21 disc shaped specimens with the diameter of 5 mm and depth of 1 mm were prepared.
Nine samples were used for agar diffusion test (ADT) against S. mutans at 1, 7 and 14 days. The remaining
specimens (n=12) were used for HPLC test for the evaluation of releasing properties at 1, 7 and 14 days respectively. Comparisons of the EXP groups at each time sequence was done by the Mann Whitney U test for
both of the ADT and HPLC tests (p<0.05).
Results: Control groups showed neither any antibacterial activity nor releasing properties at 1, 7 and 14 day
periods. BC supplementation resulted in significantly higher (p<0.05) antibacterial effects than the CPC group
against S.mutans in all time periods. The comparison of HPLC test results of the BC and CPC groups exhibited no statistically significant differences (p>0.05) except for the 7 days period (p<0.05).
Conclusions:It may be concluded that the incorporation of 10 % BC or 10% CPC to the OA results in an increased antibacterial activity and the inhibitory effect of BC on the bacterial accumulation seems to be more
pronounced than CPC.
Keywords: orthodontic adhesive, benzalkonium chloride, cetylpyridinium chloride, streptococcus mutans
133

ORAL SESSION III
OP: 16
15:40 - 15:50
EFFECT OF A PLANT-DERIVED COLLAGEN CROSS-LINK AGENT ON DENTIN BOND

STRENGTH OF SELF-ADHESIVE RESIN COMPOSITES
Seda CAN, Seluk University Dental Faculty - Pedodontics,
Firdevs KAHVECIOGLU, Seluk University Dental Faculty - Pedodontics,
Hamdi ACAR, Seluk University Dental Faculty - Restorative Dentistry,
Mustafa ULKER, Seluk University Dental Faculty - Restorative Dentistry,
Aim: This in vitro study was performed to evaluate the effect of proanthocyanidin (PA), a plant-derived collagen cross-link agent, treatment on dentin shear bond strength of three different self-adhesive composites
(Fusio Liquid Dentin, Vertise Flow, Experimental Self-adhesive Composite)
Methods: For this purpose, mid-coronal dentin surfaces of 90 non-carious permanent molar teeth were exposed with wafering blade under water cooling and ground flat with 600-grit silicon carbide paper. 20 g of grape
seed extract was dissolved in 100 ml acetone and filtered and 20% PA solution was prepared. Dentin surfaces
of experimental groups were treated with PA solution for 1 min. Self-adhesive resin composite blocks were
placed onto specimens grouped as (n=15): Vertise Flow-No treatment (V1), Vertise Flow-PA treatment (V2),
Fusio Liquid Dentin-No treatment (F1), Fusio Liquid Dentin-PA treatment (F2), Experimental Self-adhesive
Composite-No treatment (E1), Experimental Self-adhesive Composite-PA treatment (E2). Specimens were
kept in water at 37C. SBS was tested 24 h later.
Results: There was no statistical significance between E1 and E2, and also between V1 and V2 (p>0.05).
However, shear bond strength of F1 was higher than the F2(p<0.05).
Conclusions: Within the limits of the current study, the tested collagen crosslinker (proanthocyanidin) did
not increase the dentin bond strengths of tested self-adhesive composites. Moreover, proanthocyanidin treatment may adversely affect the dentin bond strength, depending on the type of self-adhesive composite.
Keywords: Proanthocyanidin, Dentin Shear Bond Strength, Self-adhesive, Resin Composite, Collagen,
Cross-link
134

ORAL SESSION III
OP: 17
15:50 - 16:00
ROOT CANAL FILLING IN PRIMARY TEETH WITHOUT SUCCESSORS: MTA VERSUS

GUTTA-PERCHA/AH-PLUS
Tuba BEZGIN, Ankara University, Faculty of Dentistry - Pediatric dentistry,
Betl MEMI ZGL, Bakent University, Faculty of Dentistry - Pediatric dentistry,
Volkan ARIKAN, Krkkale University, Faculty of Dentistry - Pediatric dentistry,
aziye SARI, Ankara University, Faculty of Dentistry - Pediatric dentistry,
Aim: The aim of the present study was to compare mineral trioxide aggregate (MTA) with gutta-percha/AHPlus regarding their clinical and radiographical success in primary second molars without successors as root
canal filling materials.
Methods: A total of 16 patients (9 girls, 7 boys) aged 8-13 years (mean: 10.5) were selected from among patients attending the clinic of the Pediatric Dentistry Department of Ankara University in Ankara, Turkey. Each
child had at least one mandibular primary second molar without successor requiring root canal treatment. A
total of 20 teeth were randomly distributed into 2 groups using either MTA or gutta-percha/AH-Plus for root
canal treatment. The children were recalled for clinical and radiographic examination at 3.,6.,12., 18. and
24-month. Statistical analysis of the differences in treatment outcomes was performed by using the Chi-square
test.
Results: All 20 teeth were available for follow-up examinations. Clinically, there was no significant difference
in success rates between the groups at the end of 24-month follow-up (MTA: 100% and gutta-percha/AH-Plus
70%) (p>0.05). However, there was a significant difference in radiographical success between the groups
MTA with 90% success and gutta-percha/AH-Plus showing 30% success at the end of 24-month follow-up
(p<0.05). Radiographic failures were significantly higher than clinical failures (p<0.05). The most commonly
observed radiographic failure was pathologic root resorption.
Conclusion: MTA was superior to gutta-percha/AH-Plus and can be recommended for use in root canal treatment of primary second molars without successors depending on better tooth survival.
Keywords: primary second molars, without successors, mineral trioxide aggregate, gutta-percha/AH-Plus,
root canal treatment
135

ORAL SESSION III
OP : 18
16:00 - 16:10
HISTOLOGICAL EVALUATION OF FAILED PULPOTOMIZED PRIMARY TEETH WITH

CALCIUM HYDROXIDE
Irem BAG, Selcuk University Faculty of Dentistry - Pediatric Dentistry,
Sibel YILDIRIM, Selcuk University Faculty of Dentistry - Pediatric Dentistry,
Aim: The aim of the present study is to evaluate the histological features of the primary teeth which pulpotomized with calcium hydroxide (CH) and to compare the histological results with the clinical and radiographic
outcomes.
Methods: Six failed pulpotomized teeth with CH treated in Selcuk University Faculty of Dentistry, Department of Pediatric Dentistry were extracted. Following the extraction the teeth were immediately preserved in
10% buffered formalin and demineralized in 5% nitric acid solution. After dehydrating in ascending concentrations of ethanol, the teeth were embedded in paraffin and selected sections were stained with hematoxylin
and eosin. The prepared slides were examined under a light microscope. Then the histological results were
analyzed and compared with clinical and radiographic outcomes.
Results Five of the six teeth were extracted because of signs and symptoms of infection: pain, mobility and
swelling. When radiographic outcomes were examined, five of the six teeth had periradicular pathology. Only
one tooth had internal resorption and intra-canal calcification. After histological procedures, the findings show
that calcified barrier (dentine bridge) formation was seen in two of the teeth. Dentin apposition was seen in
three of the teeth. There was also histological evidence of resorption in the root canal walls of five teeth. Interradicular side of dentin structure showed that external resorption was another finding about failure. Inflamed
pulp was identified all specimens.
Conclusions In conclusion, this study showed that the infection, whether pre-existing or occurring as
a complication of CH pulpotomy treatment (post-operative) was the main reason of treatment failure. Internal and external resorptions were seemed to be secondary outcomes of persistent infections.
Keywords: calcium hydroxide, dental pulp of primary teeth, histological evaluation, pulpotomy
136

ORAL SESSION III
OP : 19
16:10 - 16:20
EVALUATION OF EFFECTIVENESS OF VARIOUS IRRIGATING SOLUTIONS ON REMOVAL

OF CALCIUM HYDROXIDE MIXED WITH 2% CHLORHEXIDINE GEL AND DETECTION OF
ORANGE-BROWN PRECIPITATE AFTER REMOVAL
Hakan ARSLAN, Atatrk University, Faculty of Dentistry - Endodontics,
Tuba GOK, zmir Katip elebi University, Faculty of Dentistry - Endodontics,
Gokhan SAYGILI, zmir Katip elebi University, Faculty of Dentistry - Endodontics,
Hulya ALTINTOP, zmir Katip elebi University, Faculty of Dentistry - Pedodontics,
Merve AKCAY, zmir Katip elebi University, Faculty of Dentistry - Pedodontics,
Ismail Davut CAPAR, zmir Katip elebi University, Faculty of Dentistry - Endodontics,
Aim: The aim of the present study were to evaluate the effect of various irrigating solutions on the removal of
calcium hydroxide mixed with 2% chlorhexidine gel from an artificial groove created in a root canal and the
generation of orange-brown precipitate in the remaining calcium hydroxide mixed with 2% chlorhexidine gel
after irrigation with the various irrigating solutions.
Methods: The root canals of 48 mandibular premolars were prepared using rotary instruments up to size F4.
The roots were split longitudinally and a standardized groove was prepared in the apical part of 1 segment. The
root halves were reassembled and calcium hydroxide mixed with 2% chlorhexidine gel medicament was placed into the grooves. The roots were randomly divided into 4 experimental groups specified by the irrigation
solution used: 1% NaOCl, 17% EDTA, 7% maleic acid, and 10% citric acid (n=12). The amount of remaining
medicament was evaluated under a stereomicroscope using a 4-grade scoring system. After irrigation, the specimens were also evaluated for the presence/absence of orange-brown precipitate. Data were analyzed with
Kruskal-Wallis and Mann- Whitney U tests (P=.0083).
Results: Solutions of 7% maleic acid and 10% citric acid were superior to solutions of 1% NaOCl and 17%
EDTA in removing calcium hydroxide mixed with 2% chlorhexidine gel (P<.0083). There were no significant
differences among the other groups (P>.0083). Orange-brown precipitate was observed in all specimens of the
NaOCl group but in no specimens in the other groups.
Conclusions: Irrigation solutions of 7% maleic acid and 10% citric acid were more effective in the removal of
calcium hydroxide mixed with 2% chlorhexidine gel than those of 1% NaOCl and 17% EDTA. Orange-brown
precipitate was found in all specimens of the NaOCl-irrigated groups but not observed in the other three groups.
Keywords: calcium hydroxide, citric acid, EDTA, maleic acid, orange-brown, precipitate
137

ORAL SESSION III
OP : 20
16:20 - 16:30
APICAL MICROLEAKAGE OF DIFFERENT MATERIALS IN SIMULATED IMMATURE

APICES
Il AROLU SNMEZ, Adnan Menderes niversitesi - Pedodonti AD,
Aim: One-step apexification has been reported as an alternative treatment method with more benefits than the
use of long-term calcium hydroxide for teeth with open apex. This invitro study evaluated and compared the
apical microleakage of ProRoot MTA(Dentsply), DiaRoot BioAggregate (DiaDent) and Biodentin (Septodont) in endodontic treatment of teeth with simulated immature apices.
Methods: Forty-five bovine maxillary incisors roots were prepared to simulate immature teeth and randomly
divided into three groups (n=15). Following root canal preparation, the specimens were obturated with; Group
I: ProRoot MTA; Group II: DiaRoot BioAggregate (DiaDent); Group III: Biodentin(Septodont). Apical microleakage was assessed using dye penetration technique. The linear dye penetration was measured at X30
magnification and the data were analyzed with ANOVA test.
Results: Group I showed the lowest apical leakage with a mean dye penetration of 4.64 mm while the leakage
was the highest in Group II with a mean dye penetration of 5.45 mm. The difference between Group I and
Group II was statistically significant (p<0.05).
Conclusions: The findings of the present study suggest that MTA showes the best sealing ability when used for
the obturation of immature apices.
Keywords: Biodentin, MTA, Bioaggregate, mickroleakage, endodontic treatment
138

ORAL SESSION III
OP : 21
16:30 - 16:40
EFFECT OF ER,CR:YSGG LASER IRRADIATION WITH RADIAL FIRING TIPS ON

ENTEROCOCCUS FAECALIS IN EXPERIMENTALLY INFECTED ROOT CANALS
Leman OZKAN, Near East University - Pediatric Dentistry,
Meryem GUVENIR, Faculty of Medicine - Clinical Microbiology,
Huseyin Kaya SUER, Faculty of Medicine - Infectious Diseases and Microbiology,
Serap CETINER, Near East University - Pediatric Dentistry,
Aim: The aim of this study was to investigate the disinfection effect of Er,Cr:YSGG laser using radial firing
tips with and without NaOCl solution.
Methods: In total eighty one extracted human mandibular premolar teeth were used. After root canal preparation and sterilization, the samples were inoculated with E. faecalis for 24 hours. The specimens were divided
into 4 experimental groups. Group 1 (n=25) was irradiated with 2 W laser, group 2 (n=25) was irradiated with
0.75 W laser in combination with 2.5 % NaOCl, group 3 (n=25) was irrigated with 5 % NaOCl and group 4
(n=6) was not treated. Statistical analysis was performed by using Wilcoxon Signed Ranks, Mann-Whitney U
and Kruskal-Wallis H tests.
Results: The combination of 0.75 W laser with 2.5 % NaOCl regime was found to be just as effective at inhibiting the growth of E. faecalis and sterilization of all root canals as 5 % NaOCl irrigation. 2 W laser had
significant bactericidal effect in infected root canals however it did not eradicate all bacteria. The SEM observations were in accordance with the microbiologic findings.
Conclusions: When the toxic effects of NaOCl is considered, combination of 2.5 % NaOCl and 0.75 W laser
treatment can be a valuable cleaning tool to be used in root canal treatment.
Keywords: e.faecalis, disinfection, laser, NaOCl, root canal treatment
139

ORAL SESSION III
OP : 22
16:40 - 16:50
GLASS CARBOMERS IN PEDIATRIC DENTISTRY

Dr. Mine Koruyucu
Istanbul University, Faculty of Dentistry, Department of Pedodontics, Istanbul, TURKEY
Introduction: The perfect restorative filling material would be the one that can be replaced by natural tooth
enamel and dentin. The research for a perfect restorative filling material has been ongoing.
Aim: The purpose of this presentation is to report usage of Glass Carbomer fillings and sealants in Pediatric
Dentistry.
Method: Glass Carbomer is a relatively new commercially available glass ionomer cements used as a restorative filling material and fissure sealant that is designed to deliberately remineralize in the mouth. It is claimed
to contain nanocrystals of calcium fluorapatite, which can act as nuclei for the remineralization process and
initiate the formation of fluorapatite. The glass has a much finer particle size compared to conventional glass
ionomer cements which is thought to aid its dissolution and ultimate conversion to fluorapatite. Compared to
conventional glass ionomer cements and resin-modified glass ionomer cements are characterised by having
a longer working time, a rapid set, improved aesthetic appearance and translucency and an increased early
strength. The longevity and strength of cements partly depend on their mechanical properties. The researches
on the subject have been evaluated.
Conclusion: It is considered to be used as an alternative to current materials in pediatric dentistry
Key words: Glass, Carbomer, fill, sealant, pediatric dentistry
140

ORAL SESSION IV
OP: 23
15:30 - 15:40
NON SYNDROMIC DENTIGEROUS CYST IN TWO SIBLINGS: A CASE REPORT

ffet YAZICIOLU, Cukurova University Faculty of Dentistry - Pedodontics,
Buse SERIN, Cukurova University Faculty of Dentistry - Pedodontics,
Cem DOAN, Cukurova University Faculty of Dentistry - Pedodontics,
Introduction: A dentigerous cyst is an odontogenic cyst - thought to be of developmental origin - associated
with the crown of an unerupted tooth. Such cyst remain initially completely asymptomatic unless when infected. The purpose of this case report is to describe the diagnosis and management of two siblings with dentigerous cyst associated with the tooth buds of permanent teeth.
Case report: A 8-year-old female in 2008 and her 8-year-old brother in 2011, 3 years later at his sisters age,
came to our clinic. The girls chief complaint was swelling and pain on right lower second primary molar
while three years later the boys complaint was swelling and pain on the right maxillar canine. No systemic
diseases or syndromes were present. Based on clinical and radiographical examinations, a provisional diagnosis of dentigerous cyst was made. The treatment instituted was the marsupialization with the extraction of
the involved primary teeth. The specimen from the cavity was sent to histopathological examination and the
findings confirmed diagnosis of dentigerous cyst. Due to the large extent of the lesion, the acrylic resin drain
was maintained for 30 days. Through the following period, a daily irrigation of the cystic cavity with saline
solution was carried out to prevent a secondary infection within the cystic cavity. A follow-up of 6 years for the
girl and 3 years of the boy showed no signs of recurrence. The girls second premolar is on occlusion without
any orthodontic treatment.
Results: Marsupialization of dentigerous cyst is completely effective and safe. This treatment allowed rapid healing
of the lesion and eruption of the permanent teeth with minimum orthodontic therapy or without orthodontic therapy.
Keywords: dentigerous, odontogenic, familial, child
141

ORAL SESSION IV
OP: 24
15:40 - 15:50
CONE BEAM COMPUTED TOMOGRAPHIC ANALYSIS OF FORAMEN HUSCHKE

(TYMPANICUM) IN A PEDIATRIC POPULATION
Ahmet ERCAN SEKERCI, Erciyes University, Dentistry Faculty - Oral And Maxillofacial Radiology,
Kenan CANTEKIN, Erciyes University, Dentistry Faculty - Pedodontics,
Mehtap PAYVEREN ARIKAN, Erciyes University, Dentistry Faculty - Oral And Maxillofacial Radiology,
Suleyman KUTALMIS BUYUK, Erciyes University, Dentistry Faculty - Orthodontcs,
Mustafa AYDINBELGE, Erciyes University, Dentistry Faculty - Pedodontics,
Aim: The foramen of Huschke (FH) (foramen of tympanicum) is an anatomic variation in the tympanic portion of the temporal bone due to a defect in ossification normal bone physiology in neonatal or postnatal period.
This study aimed to analyze and assess the presence, location and diameter of the FH in a pediatric population
through cone beam computed tomography (CBCT).
Methods: Reformatted axial, coronal and sagittal slices of 354 individual CBCT images were analyzed. Measurements were done in the axial plane as well as on the reconstructed coronal and sagittal planes. Differences
in FH incidence by measurements, sex, side, and location were statistically evaluated.
Results: We found a FH in 123 (34.7%) of 354 patients. This was unilateral in 60 patients (16.9%) and bilateral
in 63 patients (17.8%). A higher frequency of FT was observed in girls (42.1 %) than in boys (27.8 %) (p =
0.003). The mean axial diameter was 1.91 mm and mean sagittal diameter was 2.02 mm. Gender significantly
influence the diameter on left sagittal side (p: 0.046).
Conclusions: Our study is the first study in the literature evaluating FH in a pediatric population. The present
study provides new information to the literature concerning the identification of the presence of FH in a pediatric population. This finding may assist clinicians for understanding the morphology and preventing possible
complications in this region.
Keywords: Foramen of Huschke, foramen tympanicum, cone beam computed tomography, external auditory
canal
142

ORAL SESSION IV
OP : 25
15:50 - 16:00
BACTERIOLOGICAL PROFILE OF ODONTOGENIC INFECTIONS IN CHILDREN WITH

DECIDOUS AND PERMANENT TEETH
Teuta KUTLLOVCI, Faculty of Medicine - Department of Pediatric Dentistry,
Snezana ILJOSKA, Faculty of Dentistry - Department of Pediatric Dentistry,
Agim BEGZATI, Faculty of Medicine - Department of Pediatric Dentistry,
Urata TAHIRI, Faculty of Medicine - Department of Pediatric Dentistry,
Blerta XHAFERI, Faculty of Medicine - Department of Pediatric Dentistry,
Nita KUTLLOVCI, Faculty of Medicine - Department of Pediatric Dentistry,
Introduction : Odontogenic infection is a frequently occurring infectious process known to the health practice.
The fate of the infection depends on the virulence of the bacteria, host resistance factors and regional anatomy.
A bacterial infection of necrotic dental pulp tissues induces inflammation in the tissues at the apex tooth.
Aim : The aim of this study is to determine the bacterial species of odontogenic infections and bacterial composition of the microbiota from acute and chronic dental infections in young children.
Materials and methods: In this study were included 70 children aged 5-15 years with acute and chronic odontogenic infections with both dentitions After clinical examination and radiological verification,the caused
tooth was extracted. After taking the sample from tooth alveoli , the material is sent to the microbiological
laboratory for bacterial growth and cultivation. Identification and separation of bacteria was done by VITEK
2 cards (BioMeriux-France)
Results : Odontogenic infection is poly microbial ,from samples analyzed in terms of microbial infections as
well as acute and chronic were isolated aerobic and anaerobic bacteria.From the aerobic group bacteria have
dominated: Streptococci (mitis, oralis, anginosus) while from the anaerobic group have dominated Actinomyces (mayeri, naeslundii) and Clostridium group .Numerous novel, uncultivated and fastidious organisms have
been identified as potential pathogens with the use of non-culture techniques.
Conclusion : The role of bacteria in lesion pathogenesis is undeniable. Certain combination of anaerobic and
aerobic streptococci occurred frequently.The relative importance of each of these bacterial species in mixed
infections requires further investigations.
Keywords: odontogenic infection, microbiology, teeth, streptococci
143

ORAL SESSION IV
OP : 26
16:00 - 16:10
CONE BEAM COMPUTED TOMOGRAPHIC ANALYSIS OF INFRAORBITAL ETHMOID

(HALLER) CELLS IN A PEDIATRIC POPULATION
Ahmet ERCAN SEKERCI, Erciyes University, Dentistry Faculty - Oral And Maxillofacial Radiology,
Kenan CANTEKIN, Erciyes University, Dentistry Faculty - Pedodontics,
Mustafa AYDINBELGE, Erciyes University, Dentistry Faculty - Pedodontics,
Aim: Infraorbital ethmoid cells are defined as air cells situated beneath the ethmoid bulla along the roof of the
maxillary sinus and the most inferior portion of the lamina papyracea, including air cells located within the
ethmoid infundibulum. The aim of this retrospective study was to evaluate the frequency, volume, and surface
area of infraorbital ethmoid cells on cone-beam computed tomography (CBCT).
Methods: In this retrospective study, 368 CBCT evaluations were determined for infraorbital ethmoid cells.
One CBCT examination was carried out for each of the patients and interpreted for the presence of infraorbital
ethmoid cells. Volumetric measurements were performed using CBCT scans.
Results: In the 368 CBCT evaluations, 143 (38.8 %) were noted as having infraorbital ethmoid cells. The
majority of the cells were round in shape. The frequency of unilocular infraorbital ethmoid cells occurring
unilaterally was highly significant. There were no significant differences in the volume and surface area of
right and left infraorbital ethmoid cells between boys and girls.
Conclusions: Infraorbital ethmoid cells were well demonstrated and the volume and surface area of infraorbital ethmoid cell could be measured on CBCT scans. These cells may provide useful differential diagnoses for
patients suffering from orofacial pain of sinus origin.
Keywords: Infraorbital ethmoid cells, Cone-beam computed tomography, Haller cells
144

ORAL SESSION IV
OP: 27
16:10 - 16:20
EPIDEMIOLOGICAL DATA ON ODONTOGENIC DISEASES IN CHILDREN CAUSED BY

INFECTION
Urata TAHIRI, University of Dental Clinic of Kosovo - Departament of Pediatric and Preventive Dentistry,
Teuta KUTLLOVCI, University of Dental Clinic of Kosovo - Depart of Pediatric and Preventive Dentistry,
Aida REXHEPI, University of Dental Clinic of Kosovo - Depart of Pediatric and Preventive Dentistry,
Elvira STANOVCI, University of Dental Clinic of Kosovo - Depart of Pediatric and Preventive Dentistry,
Merita SADIKU, University of Dental Clinic of Kosovo - Depart of Pediatric and Preventive Dentistry,
Shpresa KAMERI, University of Dental Clinic of Kosovo - Depart. of Pediatric and Preventive Dentistry,
Abstract Introduction: Odontogenic infections caused by dental diseases of teeth in young children are related
to several factors. These factors can be physiological or influenced by children lifestyle . Therefore, it is often
difficult to identify sole factors causing the infection. Kosovo faced a long period with lack of epidemiological
data which can help identify potential factors to establish a prevention dental care in our institutions. Aim:
The aim of this study is to generate epidemiological data on the incidence of orofacial infections and find the
relationship between different age groups, gender and predisposed teeth.
Material and methods: The study includes 707 children from schools and nurseries, divided in three age
groups, 4-5 years (n=121), 7-9 years (n=249) and 10+ (n= 337). Evaluation of dental was done using DMFT
score. In addition, dental lesions were assessed via anamnesis and confirmed with x-ray. Statistical analysis
are conducted to assess the relationship with age, gender and predispose teeth.
Results: From the total of 707 examined children, 111 of them had odontogenic infections, both acute and
chronic. dmft for the age group 4-5 years is 7.05, and for the other group 7-9 years old is 6.5 and for the 10+ is
4.55. There was not found a significant relationship of frequency of infection between female and male gender
(P>0.01). Significant differences are found between different age groups (p<0.05). Most predisposed primary
tooth is found to be second molar (49.7%) and least infected primary tooth is canine (2%). 1st molar is most
predisposed tooth between permanent teeth (66.1%).
Conclusion: These results suggest that odontogenic infections are frequent in children in Kosovo. Significant
relationships found in this study can support preventive oral health actions in educational institutions. Data
on tooth predisposition suggest further studies to be done and assess the causality. Key words: odontogenic
infections, children, age, gender, predisposed teeth.
Keywords: odontogenic infections, children, age, gender, predisposed teeth
145

ORAL SESSION IV
OP : 28
16:20 - 16:30
ADVANCES IN CARIES DETECTION TOOLS IN PEDIATRIC DENTISTRY

DAOU MAHA H, School of Dental Medicine, Saint Joseph University - Dental Materials and Pediatric Dentistry,
DAGHER SANDRA, School of Dental Medicine, Saint Joseph University - Dental Materials and Pediatric Dentistry,
KHOURY-FREIHA MARLENE, School of Dental Medicine, Saint Joseph University - Dental Materials and
Pediatric Dentistry,
Introduction : Minimal intervention dentistry (MID) is a modern approach in caries prevention, detection, and,
management. This approach offers considerable benefits over traditional dentistry. MID allows early detection
of disease. A rigorous and systematic approach to caries diagnosis is essential to establish a care plan for the
disease and to identify preventive measures and to reduce restorative procedures. The aim of this presentation
is to address advances in key areas related to caries detection tools in pediatric dentistry.
Method and discussion: A comprehensive literature search for publications discussing this subject was performed using the search terms: fluorescence, digital radiography, near-infrared (NIR) transillumination, and
Cone Beam Computed tomography (CBCT) and pediatric dentistry. The methods and place of modern tools
actually recommended for clinical diagnosis are discussed and illustrated.
Conclusion: Caries detection tools can aid the pediatric dentist and the pediatric patient. These tools are potentially useful in regular control visits to monitor the progression or regression of early lesions
Keywords: Minimal intervention dentistry, caries detection tools
146

ORAL SESSION IV
OP : 29
16:30 - 16:40
EVALUATION OF THE DENTALVIBE INJECTION SYSTEM VERSUS TRADITIONAL

SYRINGE IN SUPRAPERIOSTEAL ANESTHESIA IN MAXILLAR AND MANDIBULAR
PRIMARY MOLAR TEETH
Emine KAYA, Kocaeli Universty - Pediatric Dentistry,
Can KAYA, Kocaeli Universty - Pediatric Dentistry,
Ceren UURLUEL, Kocaeli Universty - Pediatric Dentistry,
Canan BAYDEMIR, Kocaeli Universty - Department of Biostatistics,
Aim: The purpose of this study was to compare the pain during needle insertion and injection in maxillar and
mandibular primary molar teeth anesthetized with either traditional syringe (control) or DentalVibe Injection
Comfort System (experimental).
Methods: The study was planned as a randomized controlled crossover blind clinical trial, which comprised of
60 children (aged 6-12), who required operative procedures on their mandibular and maxillar primary molars
bilaterally. One of the deciduous teeth was treated with traditional syringe and contralateral tooth was treated
with DentalVibe Injection Comfort System in maxilla and mandible. A pain rating for each injection and needle insertion was obtained from subjects using the Wong-Baker Faces Pain Rating Scale (PRS). Objective
assessment was performed using Face, Legg, Cry, Consolability Scale (FLACC Scale). The obtained data
were analyzed.
Results: Statistical analyses were performed using the Wilcoxon signed rank test, Spearman correlation and
Mann-Whitney U test. There were no statistically significant differences for pain evalution during injection
and needle insertion in supraperiosteal anesthesia between traditional syringe and DentalVibe Injection Comfort System in maxilla and mandible.
Conclusions: The pain during supraperiosteal anesthesia administed with DentalVibe Injection Comfort System was similar to the pain of supraperiosteal anesthesia without DentalVibe Injection Comfort System in
maxilla and mandible.
Keywords: pain, supraperiosteal anesthesia, injection
147

ORAL SESSION IV
OP : 30
16:40 - 16:50
EVALUATION OF THE DENTALVIBE INJECTION SYSTEM VERSUS TRADITIONAL

SYRINGE IN INFERIOR ALVEOLAR NERVE BLOCK ANESTHESIA IN PEDIATRIC PATIENTS
Mesut ELBAY, Kocaeli Unversity - Pediatric Dentistry,
Sinem YILDIRIM, Kocaeli University - Pediatric Dentistry,
Ceren UURLUEL, Kocaeli University - Pediatric Dentistry,
Can KAYA, Kocaeli University - Pediatric Dentistry,
Canan BAYDEMIR, Kocaeli University - Department of Biostatistics,
Aim: The purpose of this study was to compare the pain during needle insertion and injection in mandibular
molars anesthetized with either traditional syringe (control) or DentalVibe Injection Comfort System (experimental).
Methods: The study was planned as a randomized controlled crossover blind clinical trial, which comprised
of 60 children, who required inferior alveolar nerve block anesthesia on their mandibular molars bilaterally.
One of the molar teeth was treated with traditional syringe and contralateral tooth was treated with DentalVibe
Injection Comfort System. In each visit, the severity of subjective pain was evaluated by using Wond-Baker
Faces Pain Rating Scale (PRS). Objective assessment was performed using Face, Legg, Cry, Consolability
Scale (FLACC Scale). The obtained data were analyzed. Also preference of the anesthesia tecnique was asked
to the patient at the end of the second appointment.
Results: Statistical analyses were performed using the Wilcoxon signed rank test, Spearman correlation and
Mann-Whitney U test. There were no statistically significant differences for pain evalution during needle insertion of each injection systems, but DentalVibe Injection Comfort System was detected more painful during
injection of anesthetic solution according to Spearmans correlation.
Conclusions: The pain during inferior alveolar nerve block anesthesia administered with traditional syringe
was not painful than DentalVibe Injection Comfort System.
Keywords: pain, inferior alveolar nerve block, injection
148
KONFERANSLAR
149
BYK AZI KESER HPOMNERALZASYONUNDA KORUYUCU UYGULAMALAR VE

REZN RESTORASYONLARIN BAARISINI ARTTIRAN YNTEMLER
Prof. Dr. HAYRYE SNMEZ
Byk Az Keser Hipomineralizasyonu (BAKH-MIH) ilk defa 1970lerde birinci daimi byk az ve keser
dilerin hipomineralizasyonu olarak bildirilmi ve farkl terimlerle ifade edilmitir. 2003 ylnda Atinada
yaplan bir toplantda BAKH (MIH) terimi ve klinik zellikleri zerinde fikir birliine varlmtr. Farkl lkelerde BAKH nu aratran almalar, %2.8den %40.2ye varan farkl prevelans deerleri bildirmektedir.
Beyaz- krem renginden sar ve kahverengine kadar deien, snrlar belirgin defektlerin gzlendii bu durumun etyolojisinde ameloblastlarn fonksiyonunu etkileyen prenatal, perinatal, neonatal problemlerin yan sra
erken ocukluk dneminde geirilen hastalklar ve evresel faktrler sorumlu tutulmutur.
zellikle byk az dilerde tberkl tepelerinde gzlenen defektlerde hipomineralize mine ineme basncna dayanamayp kolayca diten kopar ve gdalarn birikebilecei retansiyon yerlerini oluturur. Dilerdeki
hassasiyet ocuun dilerini fralamadan kanmasna neden olur ve dilerde rkler oluur.
Bu sunumda BAKHnun lkemizdeki prevelans, etyolojik nedenleri, tedavi ve koruyucu uygulamalar anlatlacaktr.
150
D HEKML ET ve MESLEKTALIK LKLER

Prof. Dr. Arn Namal
stanbul niversitesi Istanbul Tp Fakltesi
Tp Tarihi ve Etik Anabilim Dal
arinnamal@gmail.com
Etik, Felsefenin ahlak kavram ile metodoloji iinde ilgilenen bir koludur. Etik, farkl yaam alanlarnn
ahlaki sorunlarn ele almaya ynelir: Medya Etii, Eitim Etii, evre Etii gibi. Di Hekimlii Etii de
etiin uygulama alanlarndan birisidir ve meslein etik sorunlarn irdeler. Angloamerikan kltr evresinde
Dental Ethics kavram onlarca yldr, mesleimizin etik sorunlarnn canl ekilde tartld platformlarn
varedilmesinin karl olarak yerlemi bir kavram halini almtr. Meslek yelerinin birbirleri ile ilikilerinde bal kalmalar gereken etik ilke ve kurallar ve bunlarn inenmesinden doan istenmeyen durumla
da Di Hekimlii Etiinin inceledii ve deerlendirdii durumlardr. Her birimiz bir dier Di Hekiminin
meslektayz. Meslektalk, meslek yaamnda meslek yeleri ile baz normlara bal kalarak ilikide olmak
anlam tar. Meslektalk bilinci, Meslek Onuru ve Meslek Etii gibi kavramlar yaatmada nemli bir yer
tutar. eitli lkelerin Deontoloji Tzkleri, meslektalk ilikilerine eilirken daha ok, meslektaa olmayan davranlar tanmlamaya ynelmitir: Meslekta ve onun becerisi hakknda kltc szler sylemek,
meslektan mesleki bir konudaki yardm talebini geri evirmek gibi. Meslektaa olan ise, meslek yelerinin
birbirleri ile sayg temelinde, barl duygular iinde, n yargsz ve gvene dayal bir ibirlii iinde olabilmeleridir. Meslektalk kavramna ballk, bir yandan meslek yelerin birbirleri ile ilikilerinde bir dzen
salarken, dier yandan da meslein darya kar saygnln pekitirir. Ancak meslektal gzetmek, hastann karlarn ikinci plana atmak demek deildir. rnein bir tedavi hatas Bilirkii karsna geldiinde,
meslektal gzetmek gerekesiyle rtbas edilemez. Bu durumda Bilirkii, hem hastann iyiliini, hem de
meslein saygnln gzetme ykmll iinde, hatay ortaya koyacaktr. Bu sunumda benzeri rnekler
verilerek, Di Hekimliinde Meslektalk kavram etik adan irdelenecek, meslektalar olarak bu konudaki
ortak ykmllklerimize vurgu yaplacaktr.
151
KISA KONFERANSLAR-I
152
ZEL BAKIM GEREKTREN OCUKLARDA DENTAL GEREKSNMLERE YAKLAIM VE

BEKLENTLER
Yard.Do.Dr. BUSE AYSE SERN
ukurova niversitesi, Di Hekimlii Fakltesi, Pedodonti Anabilim Dal, Adana
Tm dnyada olduu gibi lkemizde de zel bakm gerektiren ocuklar birok sosyal ve salk sorunlar
yaamaktadr. Ailelerin veya bakclarn ocuklarn genel salk problemlerine odaklanmas sonucu az ve
di sal genellikle ikinci plana itilmektedir. Az ve di sal problemleri sklkla hayat kalitesini olumsuz ynde etkileyecek safhaya gelene kadar beklenmektedir. Bu da zel bakm gerektiren ocuklarn tedavilerini hem hekim hem de hasta asndan daha zor hale getirmektedir.
zel bakm gerektiren ocuklardaki az ve di kaynakl sorunlar, engel tipine gre farkllklar gstermektedir. Bu yzden tedavi plan hastann engel durumu gz nnde bulundurularak yaplmaldr. Gerek tedavi
maliyetlerinin yksek olmas, gerek zel bakm gerektiren hasta grubunun tedavi ihtiyalarnn fazlal koruyucu di hekimlii uygulamalarn zellikle bu grupta n plana karmaktadr. Bu nedenle bu ocuklarda
dilerin ilk srme srecinden itibaren olas az ve di problemlerinin nlenmesi ilk hedef olmaldr. Koruyucu tedaviler ocuklar iin daha kabul edilebilir yntemlerdir ve hekime gvenini artrarak iletiim kolayl
salar. Dier bir hedef ise bu bireylerde acil di hekimlii uygulamalarnn standart olarak her yerde salanabilmesidir. lkemizde salk hizmetlerine ulam kolaylatran politikalarn yannda zel bakm gerektiren
hasta grubuna hizmet verecek di hekimlerinin de bu konuyla ilgili eitimine ihtiya duyulmaktadr.
153
OCUK DOKTORLARININ OCUKLARIN AIZ-D SALII KONUSUNDA FARKINDALIKLARININ DEERLENDRLMES, GELTRLMES

Yard.Do.Dr. DDEM ATABEK
Gazi niversitesi, Di Hekimlii Fakltesi, Pedodonti Anabilim Dal, Ankara
lkemizde erken ocukluk dnemi rnn yaygnl halk sal asndan ciddi bir risk oluturmaktadr. Bebekler di hekimlerinden ok nce ocuk doktorlar tarafndan muayene edilmektedir ve bu balamda
ocuk doktorlarnn az salnn gelitirilmesine ynelik annenin eitiminde esiz yeri ve nemi vardr.
ocuk doktorlar bebein birimci ylda 5, ikinci ylda ise en az 3 kez kontrolden gemesi gerektiini vurgulamaktadr. te yandan di hekimliinde koruyucu uygulamalar kapsamnda baarl bir sonu elde etmek
iin bu uygulamalara doumdan sonraki 1 yllk srete balanmaldr. Ancak ocuk doktorlar tarafndan
hayatn ilk 2 yllk dneminde dzenli olarak kontrolleri yaplan ocuklar dahi ocuk di hekimlerine ynlendirilmemekte ve toplumsal olarak az ve di sal asndan koruyucu nleyici dental alkanlklarn
yerlemesi ve kazandrlmas salanamamaktadr. ocuk doktorlarnn bebek ve ocuklarda az-di sal
konusunda farkndalklarnn ve yaklamlarnn deerlendirilmesi amac ile blmmz tarafndan yrtlen almann sonular deerlendirildiinde hekimlerin az-di sal konusunda aldklar eitimi yetersiz
bulduklar ve gelitirme ihtiyac duyduklar (%94) bulguland. te yandan, ocuk sahibi olmak, gnlk snrl hasta says ve mesleki deneyimin bilgi, farkndalk ve pratik yaklam zerinde olumlu etkileri olduu
saptand.
Toplumda az ve di salnn gelitirilmesi bebeklik anda zellikle annenin eitimi ile mmkndr.
Bebek ve ocuklarn salk ihtiyalarnn giderilmesinde ocuk doktorlarnn ilk basama oluturduu ve
etkinlikleri gz nne alndnda bu balamda di hekimleri ile yaplacak ortaklaa almalar gelecek nesillerin az ve di salna nemli katklar salayacaktr.
Anahtar Kelime: Pedodontist, Pediatrist, rk
154
OCUK DENTAL PROFLAKS KLN

Yard. Do.Dr. Sera DERELOLU
Atatrk niversitesi, Di Hekimlii Fakltesi, Pedodonti Anabilim Dal, Erzurum
Tp fakltesinde tedavi ve koruyucu salk hizmetlerinin ayr verilmesi ve her iki alanda da verimin artmas
projemizin dnce kayna olmutur. Bu amala hazrladmz projeden gelen kaynakla dental nite
alnm, bu niteler sadece proflaksi uygulamalar iin ayrlm ve kliniimize randevu almak iin bavuran
her hastaya ve 6 aylk aralklarda daha nce de proflaksi yaplan hastalara beklemeden ve randevu bile vermeden proflaksi hizmeti ve beraberinde oral hijyen eitimi vermekteyiz. Bugn geldiimiz nokta sadece iki yl
iinde, daha nceleri blgemizdeki hastalarmzn byk bir ounluu dental profilaksinin ne olduunu bile
bilmezken, u an 6 ay sonra sadece proflaksi yaptrmak iin kliniimize bavurmann ve bu ekilde sadece di
arsyla di hekimine gitmemesi gerektiinin bilincine varmlardr.
FSSR RTC VE TOPKAL FLORD UYGULAMALARININ RUTN DENTAL KLNK
UYGULAMALARDAN AYRILMASI:LK KLNK SONULAR
AMA: Bu almann amac ocuk di hekimliinde rutin dental restoratif klinik uygulamalardan fissr
rtc ve topikal florid uygulamalarn ieren dental proflaksi uygulamalarnn ayrlmasnn dental proflaksi
uygulamalarnn saysal artna etkisinin karlatrlmasdr.
GERE-YNTEM: Bu almann verileri Ekim 2011- Mays 2012 tarihleri (klinik uygulama ayrm yaplmadan nce) ve Ekim 2012-Mays 2013 (klinik uygulama ayrm yapldktan sonra) tarihlerini kapsad. Veriler
Atatrk niversitesi Di Hekimlii Fakltesi database kaytlarndan elde edildi.
Kaytlardaki ocuklarn ya aralklar 36 ay-12 yl arasndayd. Topikal florid uygulamalar % 1.23 APF (kakjel yntemi) veya %5 NaF (vernik-brush yntemi) eklindeydi. Fissr rtc uygulamalar ise Bis-GMA esaslyd. Elde edilmi olan sekizer aylk saysal veriler istatistiksel olarak karlatrld.
155
BULGULAR: Hem fissr rtc hem de topikal florid uygulamalar iin klinik uygulama ayrm yaplmadan
nce ve klinik uygulama ayrm yapldktan sonraki veriler arasnda istatistiksel olarak anlaml farkllk ve
korelasyon bulunmutur.
(Fissr rtc iin;x2=257.81, p=0.000; spearman korelasyon=0.028, p=0.000. Topikal florid uygulamalar
iin; x2=543.903; p= 0.000; spearman korelasyon=0.048, p=0.000).
Aylara gre deiim yzdeleri ise; fissr rtc iin %381.75ten %720.07ye kadar; topikal florid uygulamalar iin; %282.78den %1101.81e kadar deiimler gstermitir.
SONULAR: Bu almann snrlar ierisinde, profilaksi uygulamalar rutin dental uygulamalardan
ayrldnda profilaksi uygulamalarnn saysal olarak belirgin artlarla karlalabilir. Bu durum zellikle
dmft/DMFT indekslerinin yksek ve gen nfusun fazla olduu lkelerde dental profilaksi uygulamalarnn
yaygnlatrlmas asndan yararl olabilir.Bununla beraber dmft/DMFT deiimlerinin gzlemlenmesi
zaman alc bir sretir.
156
SZL SUNUMLAR-I
157
15 KASIM CUMARTES 2014

SZL SUNUMLAR I
SS 1
15:15 -15:25
FARKLI RENKLERDEK KOMPOMERLERN POLMERZASYONU SONRASINDA AIA

IKAN ARTIK MONOMER MKTARININ NCELENMES
Veli ALPER GRGEN, nn niversitesi, Di Hekimlii Fakltesi, ocuk Di Hekimlii AD,
idem GLER, Ordu niversitesi, Di Hekimlii Fakltesi, ocuk Di Hekimlii AD ,
Murat SELM BOTSALI, Seluk niversitesi, Di Hekimlii Fakltesi, ocuk Di Hekimlii AD ,
Ylmaz UUR, Kays Aratrma stasyonu Mdrl - Biyokimya,
Cemil OLAK, nonu University Faculty of Medicine - Medical Informatic,
Ama: Bu in vitro almann amac, farkl renkteki kompomerin polimerizasyonu sonras reaksiyona girmemi artk monomer salm miktarlarnn on bir farkl zaman periyodunda (10. dakika, 1. saat, 3. saat, 12.
saat, 1. gn, 3. gn, 7. gn, 11. gn, 14. gn, 21. gn ve 30. gn) belirlenmesi ve renklerin polimerizasyon
zerine etkisinin incelenmesidir.
Yntem: Bu amala alma grubu oluturulmutur: Grup 1; geleneksel di rengindeki kompomer Dyract
XPnin (Dentsply DeTrey, Konstanz, Almanya) A2 rengi, Grup 2; renkli kompomer Twinky Starn (VOCO,
Cuxhaven, Almanya) pembe rengi ve Grup 3; Twinky Starn mavi rengi. Her grup iin standart teflon kalplar
kullanlarak rnekler hazrlanm (n=10) ve kompomerler retici firmann nerileri dorultusunda bir LED
k kayna kullanlarak polimerize edilmitir. Her bir zaman periyodunda reaksiyona girmemi artk monomer salm miktarlar (HEMA, BIS-GMA, TEGDMA, UDMA ve toplam artk monomer) yksek basnl likit
kromatografisi (HPLC) kullanlarak tespit edilmitir. Tm veriler istatistiksel olarak analiz edilmitir.
Bulgular: Tm gruplarda zaman periyodu artka artk monomer salm miktarlar da artmtr. Kompomerlerden en ok salnan artk monomerin BIS-GMA, en az salnan artk monomerin ise HEMA olduu tespit
edilmitir. 30 gnlk zaman periyodunda BIS-GMA, UDMA ve toplam artk monomer salm en ok Grup 3
ve en az Grup 1de, HEMA salm ise en ok Grup 1 ve en az Grup 3de tespit edilmitir. TEGDMA salm en
ok Grup 3de belirlenirken, Grup 1de hi olmamtr.
Sonular: Sonu olarak, kompomerlerde renk faktrnn artk monomer salm zerinde etkili olduu tespit edilmitir. A2 renk kompomer, pembe ve mavi renk kompomerlere oranla daha az toplam artk monomer salm gstermitir. Bu nedenle renkli kompomerlerden polimerizasyon sonras artk monomer salm
miktarnn azaltlabilmesi iin polimerizasyonun glendirilmesine ynelik ilave nlemler alnmaldr.
Anahtar Kelimeler: artk monomer kompomer, renk, yksek basnl likit, kromatografisi
158

SZL SUNUMLAR I
SS 2
15:25 - 15:35
% 10LUK YONZE LDOKANIN ORAL MUKOZADAK TOPKAL ANESTEZK

ETKNLNN DEERLENDRLMES
Gamze TOPUOLU, Erciyes Universitesi - Pedodonti,
Kenan CANTEKIN, Erciyes niversitesi - Pedodonti,
Ama: ocuklardaki dental tedavilerde kullanlan topikal anestezikler, ine enjeksiyonu srasndaki ary
byk lde azaltarak hastann tedaviyi kabul edilebilirliini arttrmaktadr. Bu klinik almann amac,
pediatrik mukozal atomizasyon cihaz (LMA MADdy) ile uygulanan % 10luk lidokain ile % 2.5 lidokain ve
% 2.5 prilokain kombinasyonu olan topikal anestezik kremin (EMLA %5) etki hzlarnn ve anestezi derinliklerinin karlatrlmasdr.
Gere ve Yntem : almamz, 7-10 ya arasndaki salkl ve infiltratif anesteziyi gerektirecek re sahip
50 hastann, 100 maksiller st molar dii zerinde gerekletirildi. almaya her hastann rkl sa ve sol
iki st molar dii dahil edildi. 100 adet di EMLA ve LMA MADdy uygulanmak zere iki gruba ayrld. Anestezikler 10, 30, 60 ve 120 sn sreyle uygulanarak deerlendirildi. Tedavisine balanacak olan hastann ilgili
di mukozasna LMA MADdy ile % 10luk lidokain pskrtld. Ayn hastann dier maksiller blgesindeki
st molar diinin mukozasna da EMLA krem uyguland. Hastann 10, 30, 60 ve 120 sn sonlarnda her ine
penetrasyonundan sonraki reaksiyonlar nabz deerleri ve grsel olarak da modifiye VAS skalas kullanlarak
incelendi. Gruplar arasndaki farkllklar eletirilmi- t testi kullanlarak deerlendirildi.
Bulgular: 10 sn de atomize lidokain kullanmnda nabz deerlerinde belirgin artma gzlenirken, 30. ve 120.
saniyelerde azalma gzlenmitir. Benzer ekilde ilerleyen zaman aralklarndaki EMLA uygulamasnda da
nabz deerleri dmtr. ki grup karlatrldnda tm zaman aralndaki nabz deerleri atomize lidokainde EMLAdan daha dk kmtr. 30, 60 ve 120 sn de aradaki fark nemli bulunurken (p<0,05) ; 10.
saniyede ise anlaml fark bulunmamtr (p>0,05). Vas deerleri, tm zaman aralklarnda atomize lidokainde
EMLAdan daha dk kmtr. 10. ve 30. saniyedeki skala deerleri arasndaki fark EMLA ve atomize lidokain iin nemli bulunmazken (p>0,05) ; 60. ve 120. saniyelerde nemli fark bulunmutur (p<0,05).
Sonular: Bu alma sonucunda LMA MADdy klinik olarak baarl bulunmu olsa da hakknda daha fazla
alma yaplmasna ihtiya vardr.
Anahtar Kelimeler: EMLA, krem, LMA, MADdy, Lidokain, Topikal, anestezi
159

SZL SUNUMLAR I
SS 3
15:35 - 15:45
FARKLI ERKLERDEK CAM YONOMERLERN RKTEN ETKLENM VE SALAM

ST D DENTN YZEYLERNE BALANMA DAYANIMLARININ VE FLOR SALIM
ZELLKLERNN DEERLENDRLMES
Ebru KKYILMAZ, zmir Katip elebi niversitesi - ocuk Di Hekimlii,
Seluk SAVA, zmir Katip elebi niversitesi - ocuk Di Hekimlii,
Fevzi KAVRIK, zmir Katip elebi niversitesi - ocuk Di Hekimlii,
Bilal YAA, zmir Katip elebi niversitesi - Restoratif Dihekimlii,
Murat Selim BOTSALI, Seluk niversitesi - ocuk Di Hekimlii,
Ama: almann amac, farkl ieriklerdeki cam iyonomerlerin salam ve rkten etkilenmi st dii dentin
yzeylerine mikro-gerilim balanma dayanmlarnn ve bu materyallerin flor salm/rearj zelliklerinin deerlendirilmesidir.
Gere ve Yntem: almada kullanlan cam iyonomer materyallerin balanma dayanmlarnn deerlendirilmesi amacyla 48 adet st molar die okluzal kavite hazrland. rneklerin yarsna pH-siklus ilemi uygulanarak rkten etkilenmi dentin dokusu elde edildi. Salam ve rkten etkilenmi dentin yzeyine sahip
di rnekleri rastlantsal olarak 3 gruba ayrlarak restore edildi: GC Equia (GC, Tokyo, Japan), GCP Glass Fill
(GCP Dental, Mijlweg, Netherlands), Ketac N100 (3M ESPE St. Paul, MN, USA). Restorasyonu tamamlanan
rneklerden elde edilen test ubuklar Universal test cihaz kullanlarak mikro-gerilim testine tabi tutuldu.
Materyallerin flor salm/rearj zelliklerinin deerlendirilmesi amacyla; her materyal iin 10ar adet olacak
ekilde hazrlanan disk eklindeki rnek deiyonize su ierisine brakld. rneklerden salnan flor iyonu miktar, 1, 2, 4, 8, 15, 22, 29, 36, 43 ve 49. gnlerde flor-spesifik elektrot ve iyon analizr araclyla lld,
her lm aralnda deiyonize su yenilendi. Bu periyodun ardndan her bir rnek %1,23 APF solsyonu ile
4 dakika rearj edildi. Rearj sonras rneklerin flor salm deerleri 10 farkl zaman aral iin tekrar deerlendirildi.
Bulgular: Salam dentin dokusunda; en yksek mikro-gerilim balanma deeri GC Equia ile elde edilirken
(P<0.05), GCP Glass Fill ve Ketac N100n balanma deerleri arasnda anlaml bir fark olmad belirlendi
(p>0.05). rkten etkilenmi dentin yzeyinde ise en yksek balanma gerilimi GC Equia ve GCP Glass Fill
ile elde edilirken (p>0.05), Ketac N100 en dk balanma gerilimini gstermitir (P<0.05). Balang flor salm ve flor rearj sonras, lm yaplan tm periyodlarda, GC Equia en yksek flor salm deerini verirken,
Ketac N100 en dk flor salmn gerekletirdi.
160
Sonu: Test edilen tm materyallerin flor salm zaman ierisinde azalrken, rearj sonras flor salmnn bir
miktar artt belirlendi. Cam iyonomer simanlarn rkten etkilenmi dentine balanma deerlerinin salam
dentine kyasla daha dk olduu tespit edildi.
Anahtar Kelimeler: rkten etkilenmi dentin, Mikro gerilim balanma dayanm, Cam iyonomer, Flor
salnm
161

SZL SUNUMLAR I
SS 4
15:45 - 15:55
FARKLI ERKLERDEK FSSR RTCLERN BALANMA DAYANIMLARININ,

PENETRASYON KABLYETLERNN, MKROSIZINTILARININ VE REMNERALZASYON
KAPASTELERNN DEERLENDRLMES
Ama: Bu almann amac, fissr rtc olarak kullanlan farkl ieriklere sahip cam iyonomer materyallerin, di dokusuna balanma dayanmlarnn, penetrasyon kabiliyetlerinin, materyal ile di yzeyi arasndaki
mikrosznt ve remineralizasyon kapasitelerinin deerlendirilmesidir.
Gere ve Yntem: almada farkl cam iyonomer esasl fissr rtc materyal (Fuji Triage, Fuji VII EP ve
GCP Glass Seal) kullanld. Mikrosznt deerlendirmesi iin, di yzeyine uygulanan fissr rtc materyaller termal-siklus ilemi sonrasnda, %0,5 bazik-fuksin solsyonu ierisinde bekletildi ardndan elde edilen kesitlerdeki sznt miktarlar dijital bir analiz program (LabSens, Olympus, Center Valley, PA, USA) yardmyla stereomikroskop altnda deerlendirildi (n=120). Fissr rtc materyallerin penetrasyon kabiliyetlerinin
belirlenmesi amacyla okluzal yzeylere uygulanan materyallerden bukko-lingual olarak elde edilen kesitler,
dijital analiz programyla incelendi ve doldurulmam alan oranlar hesapland (n=120). Test edilen materyallerin makaslama balanma dayanmlar Universal test makinesi araclyla lld (n=60). Materyallerin
remineralizasyon kapasitelerinin deerlendirmesi iin; balang lezyonu oluturulan mine yzeyleri zerine
uygulanan materyallerin, bu yzeylerde oluturduu Ca/P ve flor deiimleri 2, 4 ve 6 haftalk periyodlar iin
enerji dalml x-nlar analizi (EDS) ile belirlendi. Veriler istatistiksel olarak analiz edildi (=0.05).
Bulgular: Mikrosznt deerleri asndan tm fissr rtc materyaller arasnda istatistiksel olarak anlaml
fark bulundu: GCP Glass Seal>Fuji VII EP>Fuji Triage (p<0.05). En yksek doldurulmam alan orann GCP
Glass Seal gsterirken, Fuji Triage en az doldurulmam alan orann gsterdi (p<0.05). Fuji VII EP, Fuji Triage
ve GCP Glass Seal kyaslandnda en yksek balanma dayanm Fuji VII EP ile elde edilirken (p<0.05), test
edilen materyaller arasnda Ca/P deerleri asndan istatistiksel olarak anlaml bir fark bulunmad (p>0.05).
Oluturulan balang rklerine materyallerin uygulanmas sonrasnda, minedeki flor ieriinin istatistiksel
olarak artm olduu tespit edildi (p < 0.05).
Sonu: Fuji VII EP ve Fuji Triage materyalleri almada yer alan fiziksel kyaslamalar asndan baarl
bulunmutur. almada kullanlan tm fissr rtc materyaller rk engelleyici potansiyele sahip grnmektedir.
Anahtar Kelimeler: Cam yonomer, Fissr rtc, Remineralizasyon, Mikrosznt, Balanma dayanm
162

SZL SUNUMLAR I
SS 5
15:55 - 16:05
ST DI KK KANAL BOYUTU TESPTNDE 2 FARKLI APEKS BULUCU, EL HASSASYET

VE DJTAL RADYORAF LE YAPILAN LMLERN KARILATIRMALI
DEERLENDRMES
Seil ALIKAN, Erciyes University, Faculty of Dentistry - Pediatric Dentistry,
Kenan CANTEKIN, Erciyes University, Faculty of Dentistry - Pediatric Dentistry,
Ama; Baarl bir kanal tedavisi iin en nemli aama kk kanal alma boyutunun doru bir ekilde tespitidir. Bu zellikle alttaki daimi di jermine verilebilecek zararn minimalize edilmesi asndan da nem tar.
St dilerinde alma boyutu tespiti iin birok farkl yntem bulunmaktadr. Bu almann amac st dilerinde alma boyutu tespitinde 2 farkl apeks bulucu, el hassasiyeti ve radyografik yntemlerin karlatrmal
olarak deerlendirilmesidir.
Gere ve Yntem; Bu alma 5-8 ya aralnda olan, herhangi bir dental anksiyeteye sahip olmayan ve sistemik olarak salkl 12 ocuun 15 adet st molar dii zerinde yrtlmtr. alma, pulpektomi endikasyonu konulmu diler zerinde gerekletirilmi olup, geni periapikal radyolusensi olan, fistl formasyonu
grlen, mobil (2 den yksek), restorasyonlu, kalsifiye kanall ve inflamatuar rezorpsiyonu olan diler alma
d braklmtr. Diler izole edilerek kavite preperasyonu yapldktan sonra,pulpa trinerf yardm ile ekstirpe
edilerek % 5 lik sodyum hipoklorit ve serum fizyolojik ile irrige edilen kk kanallar paper point yardm ile
kurutulmutur. Silikon stoperli K-file, el hassasiyeti ile tahmini apekse pasif olarak yerletirilip lmler kaydedilerek dijital radyografi alnmtr. Alnan radyograf zerinden yeni lmler yaplarak kaydedilmitir. Son
olarak da elektronik apeks bulucular kullanlarak lmler yaplm olup tm lmler istatistiksel analizler
ile kyaslanarak ideal apeks belirleme yntemi bulunmaya allmtr.
Sonular; Yaplan analizlerle 4 farkl kk kanal boyu tespit yntemi deerlendirilmesi sonucu el hassasiyetinin radyografi ve elektronik tespit cihazlarna gre daha az doruluk oranna sahip olduu grlmtr. Bununla birlikte
st dilerinde alma boyutunun radyografik deerlendirilmesinde; kk kanal sistemindeki eitli varyasyonlar,
lmlerdeki teknik hatalar, zayf hasta uyumu, takn enstrmantasyon riski, kstl az akl ve rezorpsiyonun
farkl aamalar gibi pek ok faktr kanal boyunun doru ekilde belirlenmesi zerinde etki edebilmektedir.Btn bu sebeplerden, birok alma st dilerinde kk kanal boyutunun tespitinde yeni yntemlere odaklanmtr.
Anahtar Kelimeler: apeks bulucu, kanal tedavisi, pulpektomi
163

SZL SUNUMLAR I
SS 6
16:05 - 16:15
ER: YAG LAZER UYGULAMALARININ ST D MNE KOMPOZSYONU ZERNE ETKS

Firdevs KAHVECIOLU, Seluk University - Pediatric Dentistry,
Kamil KAHRAMAN, Seluk University - Pediatric Dentistry,
Hayri AKMAN, Seluk University - Pediatric Dentistry,
Gl TOSUN, Seluk University - Pediatric Dentistry,
Ama: Bu almann amac farkl enerjilerdeki Er: Yag lazer uygulamasnn st dii mine yzeyinin kompozisynuna etkisini deerlendirmektir.
Gere ve Yntem: Bu almada 45 adet rksz st molar dii kullanld. Dilerin bukkal yzeyleri akta
kalacak ekilde akrilik bloklara gmlerek lazer uygulanmas iin 3X3 mmlik alanlar elde edildi. Hazrlanan
diler farkl enerjilerdeki lazer uygulamalar iin gruplara ayrld: 1:200mj, 2 herz 2: 200mj, 3 herz, 3: 200mj,
10 herz, 4: 250mj, 2 herz 5: 250mj, 3 herz 6: 250mj, 10 herz 7: 300mj, 2 herz 8: 300mj, 3 herz 9: 300mj, 10
herz. Mine yzeylerinin Ca, P, F, Mg, K, Na yzde arlklar lazer uygulamas ncesi ve sonrasnda SEM-EDX ile deerlendirildi. Elde edilen veriler Kruskal Wallis ve Mann Whitney U testi ile deerlendirildi.
Sonular: Lazer uygulanmalar ncesi ve sonrasnda mine yzeyinin Ca, P, F arlk deerleri arasnda istatistiksel olarak anlaml fark bulundu(p<0,05). Mg, K, Na deerleri arasnda ise istatistiksel olarak fark bulunmad (p>0,05). Farkl enerji seviyelerindeki lazer uygulamalar ise mine yzeyinde minerallerin yzde
arlklarnda deiiklie neden olmad (p>0,05). Tartma: Bu almann sonucunda farkl enerji seviyelerindeki Er:Yag lazer uygulamalarnn st dii mine yzeyinde Ca, P, F arlk yzdelerini artrd grlmtr.
Anahtar Kelimeler:
164

SZL SUNUMLAR I
SS 7
16:15 - 16:25
GM PARTKLLER VE %0.12 KLORHEXDN GLUKANOT SOLSYONU EKLENEN

PORTLAND SMANIN ANTBAKTERYEL ETKNLNN DEERLENDRLMES
Glda HERDEM, Erciyes niversitesi - Pedodonti AD.
Mustafa AYDINBELGE, Erciyes niversitesi - Pedodonti AD.
Bar Derya ERAL, Erciyes niversitesi - Tp Fakltesi Mikrobiyoloji AD.
Ama:Bu almann amac; MTA (Mineral Trioksit Aggregate) ieriinde % 80 orannda bulunan ve MTAdan
ok daha ucuz olan Portland simann, antibakteriyel etkinliini artrarak, MTAya alternatif bir restoratif materyal elde etmektir. almamzda, MTA nn yerine kullanlabilecek antibakteriyel zellik gsteren, ok daha
ekonomik, biyouyumlu bir materyal elde etme konusunda mikrobiyolojik bir kriteri amak amalanmtr.
Gere ve Yntem:almamzda Portland simana %0.12 Klorhexidin Glukonat (KHG) ve %1 Gm partiklleri eklenmitir. Deney grubu olarak, KHG ve gm partiklleri eklenme durumuna gre olarak 3 farkl
Portland siman belirlenmitr. almann kontrol grubunu ise MTA oluturmutur. Antibakteriyel etkinliin
deerlendirilmesi iin agar difzyon testi kullanlmtr. almada di kanal sisteminde kronik ve akut enfeksiyonlarda sk karlalan mikroorganizmalardan E.faecalis, E.coli, S.aureus, P.aeruginosa, S.mutans, P.gingivalis, ve Candida albicans zerinde allmtr.
Bulgular:Yaplan alma sonucunda deney grubunun, kontrol grubu olarak kullanlan MTA ya oranla, inhibisyon zonunun daha geni olduu grlmtr. Elde edilen materyal, antibakteriyel etkinlik ynnden MTA
grubuna gre anlaml olarak stnlk salamtr.
Sonu: almamzn, MTA gibi yksek maliyetli bir materyale alternatif, yerli retim, biyouyumlu ve antibakteriyel bir rn gelitirme konusunda nemli bir balang verisi oluturduu deerlendirilmitir. Bununla
birlikte konuyla ilgili kapsaml almalara ihtiya vardr.
Anahtar Kelimeler: portland, mta, gm, klorheksidin, glukonat
165

SZL SUNUMLAR I
SS 8
16:25 - 16:35
ST D AMPUTASYON TEDAVSNDE BODENTNE KULLANIMININ KLNK VE

RADYOLOJK OLARAK DEERLENDRLMES
Mehmet BANI, Gazi University - Pediatric Dentistry,
Nagehan AKTA, Gazi University - Pediatric Dentistry,
ada INAR, Gazi University - Pediatric Dentistry,
Mesut Enes ODABA, Gazi University - Pediatric Dentistry,
Ama: Bu almann amac; Biodentine ve Mineral Trioksit Agregatn (MTA) insan st dii amputasyon
tedavisindeki klinik ve radyolojik baarsnn karlatrlmal olarak deerlendirilmesidir.
Gere ve Yntem: Bu alma iin, Ankara niversitesi Di Hekimlii Fakltesi Etik Kurulundan onay alnd.
Power analiz sonucu, 4-9 ya aralnda, alt enelerinde karlkl en az iki adet st molar diinde amputasyon
endikasyonu konulan 32 adet ocuk hasta almaya dahil edildi. Amputasyon tedavileri uzman iki ocuk di
hekimi tarafndan gerekletirildi. Diler rastgele MTA (Pro-Root MTA, Dentsply, USA) ve Biodentine (Septodont, Saint-Maur-des-Fosses, France) gruplarna ayrlarak, koronal pulpalarnn karlmas ve kanamann
durdurulmasnn ardndan pulpa yzeyleri MTA veya Biodentine ile kapatld. Tedavi edilen tm diler paslanmaz elik kron ile restore edildi. Klinik ve radyografik baarlar 1, 6, ve 12 aylk kontrollerle kaydedildi.
Elde edilen veriler chi-squared test yntemi ile deerlendirildi.
Bulgular: 1 yllk deerlendirme sonucu klinik ve radyolojik baar oran her iki grup (Biodentine; MTA) iin
de %97.5 olduu tespit edildi.
Sonu: St dii amputasyon tedavisinde Biodentine MTAya benzer olarak yksek oranda baarl klinik ve
radyolojik sonu gstermitir.
Anahtar Kelimeler: Amputasyon, Biodentine, MTA
166
POSTER SUNUMLARI
167
P-001
REZN NFLTRASYON TEKNNN ANTEROR BALANGI MNE RKLER
ZERNDEK ETKNLNN DEERLENDRLMES: 12 AYLIK TAKP
Figen EREN GIRAY, Marmara University School of Dentistry - Pediatric Dentistry,
Ahu DURHAN, Marmara University School of Dentistry - Pediatric Dentistry,
Eda HAZNEDAROLU, Marmara University School of Dentistry - Pediatric Dentistry,
Baak DURMU, Marmara University School of Dentistry - Pediatric Dentistry,
lknur TANBOA, Marmara University School of Dentistry - Pediatric Dentistry,
Ama: Aratrmamzda, erken lezyonlar sabitlemeye yarayan mikroinvaziv bir yntem olan rezin infiltrasyon
tekniinin daimi dilerdeki anterior balang mine rkleri zerindeki etkinliini deerlendirmek amalanmtr.
Yntem: Aratrmamza, M.. Di Hekimlii Fakltesi Pedodonti Anabilim Dalna bavuran yalar 7-11
arasnda deien, 8 erkek, 4 kz toplam 12 ocukta, 44 anterior balang mine rkl di deerlendirilmitir.
Balang mine rkleri tehis edilirken; DIAGNOdent pen kullanlm ve 5-20 deerleri arasnda llen
lezyonlar aratrmaya dahil edilmitir. Mine hipoplazisi ve fluorozis bulunan diler aratrma d braklmtr.
Aratrmaya katlan hastalar, oral hijyen eitimi, beslenme ve dental proflaksi uygulamas hakknda bilgilendirilmitir. Balang mine lezyonlar ayn klinisyen tarafndan ICON (DMG, HAMBURG-GERMANY)
kullanlarak tedavi edilmi, lmler, uygulama ncesi, uygulama sonras, 6. ay ve 12. ay olmak zere 4 kez
tekrarlanmtr. almada elde edilen bulgular deerlendirilirken, istatistiksel analizler iin IBM SPSS Statistics 22 (IBM SPSS, Trkiye) program kullanlmtr. Parametrelerin uygulama ncesi, uygulama sonras
ve 12. Ay DIAGNOdent dzeylerinin karlatrmalarnda Friedman Testi ve anlamlla neden olan dnemin
tespitinde Wilcoxon iaret testi, niteliksel verilerin karlatrlmasnda ise Mc Nemar testi kullanlmtr. Anlamllk p<0.05 dzeyinde deerlendirilmitir.
Bulgular: 12 aylk takip sonucunda aratrmaya katlm %100 olarak tespit edilmitir. Aratrmaya dahil edilen
bireylerde, aratrma sonunda istenmeyen yan etki ve ikyete rastlanmamtr. Klinik olarak vitalite kayb,
renklenme ve dietinde deiiklik olumamtr. Uygulama ncesi DIAGNOdent dzeyine gre, uygulamadan
hemen sonra (p=0.001) ve 12. ay (p=0.001) DIAGNOdent dzeylerinde grlen d istatistiksel olarak anlaml bulunmutur. Uygulamadan hemen sonraki DIAGNOdent dzeylerine gre 12. Ay dzeylerinde anlaml
bir deiim grlmemitir (p=0.374; p>0.05).
Sonu: Rezin infiltrasyon teknii, balang mine rklerinde, lezyonun gerilemesinde etkili bir yntem olarak deerlendirilmitir.
Anahtar Kelimeler: balang mine r, rezin infiltrasyonu, mikroinvaziv
168
P-002
BR GRUP LKRETM OKULU 3. VE 4. SINIF RENCSNN AIZ SALIINI
LGLENDREN BAZI ALIKANLIKLARI VE RK DURUMU
Elif BALLIKAYA, Hacettepe University - Deparment of Pediatric Dentistry,
Elif ATAOL, Hacettepe University - Deparment of Pediatric Dentistry,
Cansu ZIN, Hacettepe University - Deparment of Pediatric Dentistry,
Meryem TEKIEK, Hacettepe University - Deparment of Pediatric Dentistry,
Melek TURGUT, Hacettepe University - Deparment of Pediatric Dentistry,
Bahar GIZ DOAN, Hacettepe University - Department of Medical Faculty,
Ama: Bu almann amac, bir grup ilkretim okulu nc ve drdnc snf rencisinin az saln
ilgilendiren baz alkanlklar ve rk durumunun deerlendirilmesidir.
Yntem: Tanmlayc nitelikteki bu almada, 2013-2014 retim ylnda Hacettepe niversitesi Di Hekimlii Fakltesi Toplum Az ve Di Sal Alan Dersi kapsamnda, Ankara li Altnda lesinde bulunan
ilkretim okulunda renim gren 231 nc ve drdnc snf rencisi muayene edilmitir. Hacettepe
niversitesi ile Ankara li Altnda le Milli Eitim Mdrl arasnda yaplm olan protokol gerei, ad
geen iledeki okullarda az di salna ynelik almalar yapma izni Hacettepe niversitesi Di Hekimlii Fakltesine verilmitir. rencilerin az ii muayeneleri Di Hekimlii Fakltesi beinci snf rencileri
tarafndan ayna, sond ve kalem eklinde k kayna kullanlarak yaplmtr. Muayenede st ve daimi dilerin
durumu rk, dolgu ve kayp ynnden deerlendirilmi, ocuklarn az salna ilikin baz alkanlklarn belirlemek iin gelitirilmi bir anket formu, snf ortamnda gzlem altnda ocuklar tarafndan doldurulmutur. Yaplan muayeneler birbiriyle kalibre olmu ocuk Di Hekimlii uzmanlk rencileri tarafndan
kontrol edilmitir.
Bulgular: almaya katlan ocuklarn st dilerindeki ortalama rk, dolgu ve kayp deerleri srasyla
2,742,29, 1,121,67 ve 0,801,29 dur. Daimi dilerdeki ortalama rk, dolgu ve kayp deerleri ise srasyla
0,590,99, 0,431,05 ve 0,010,09 dur. Ortalama dmft ve dmfs deerleri 4,522,81 ve 11,849,39, DMFT
ve DMFS deerleri ise 1,001,33 ve 1,312,04 olarak hesaplanmtr. rencilerin 193 (%83,5) n atlamazken, 38 rencinin (%16,5) n atlad belirlenmitir. 200 (%86,6) rencinin n aralarnda birey
yeme alkanl olmasna karn 31 (%13,1) rencinin olmad; n aralarnda en ok tketilen besinlerin
%54,1 meyve, takiben %51,5 ayran,%44,2 meyve suyu,%42,9 biskvi olduu tespit edilmitir. 220 (%95,2)
rencinin kendine ait di frasnn olduu, 6 (%2,6) rencinin kendine ait di frasnn olmad, 5 (%2,2)
rencinin ise di fralarn ebeveynleri ile ortak kulland renilmitir.
Sonular: Sosyodemografik zellikler, di fralama alkanlklar ve beslenme alkanlklar az saln
nemli lde etkilemektedir.
Anahtar Kelimeler: az di sal, dmft, dmfs, DMFT, beslenme ve fralama alkanl
169
P-003
KOCAEL L VE EVRESNDE YAAYAN 5-12 YA GRUBU OCUKLARDA EKSK D
PREVALANSI: RETROSPEKTF ALIMA
Ceren UURLUEL, Kocaeli University - Pediatric Dentistry,
Ama: Bu almann amac; Kocaeli ili ve evresindeki ocuklarda, nc molar diler hari konjenital
olarak eksik olan st ve daimi dilerin cinsiyet ve lokalizasyona gre dalmn ve prevalansnaratrmaktr.
Gere ve Yntem: Bu almada, 2013-2014 yllar arasnda Kocaeli niversitesi Di Hekimlii Fakltesi
Pedodonti Anabilim Dalna eitli nedenlerle bavuran5185 hastanndijital panoramik rntgen kaytlar retrospektif olarak deerlendirildi.
Bulgular: Kaytlar incelenen 5185 hastann 227sinde konjenital di eksiklii tespit edildi. Hastalarn 112(%49.3)sini erkek, 115(%50.6)ini kz hastalar oluturmaktayd. Hastalarn 89(%39.2)unda 1 di,
93(%40)nde 2 di, 45(%19.8)inde 3 ve zeri di eksiklii olduu belirlendi. Hastalarn 84(%37)nde sadece maksiller dilerde eksiklik, 93(%40.9)nde sadece mandibular dilerde eksiklik, 41(%18)inde ise hem
maksiller hem de mandibular dilerde eksiklik olduu grld.Konjenital di eksikliininmandibuladamaksilladan daha sk olduu gzlendi. Di eksiklikleri; hastalarn 225(%99.1)inde daimi di, 2(%0.08)sinde st
dii eksiklii olarak tespit edildi.Konjenital di eksikliine lokalizasyon olarak en sk posteriormandibulada
rastlanld.
Sonu: Sonu olarak Kocaeli ili ve evresinde yaayan 5-12 ya aras ocuklardaki konjenital di eksiklii prevalansnn %4.3 olduu belirlendi. Bu prevalans deerinin literatrdeki baz almalarla paralellik gsterdii
belirlenirken; baz almalara gre dk olduu grld.
Anahtar Kelimeler:
170
P-004
GASTROZEFAGEAL REFL HASTALII BULUNAN OCUKLARDA DENTAL EROZYON
PREVALANSI
Tuba BEZGIN, Ankara niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Cansu KOYIIT, Ankara niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Ceyda TUNA KIRSALIOLU, Ankara ocuk Sal ve Hastalklar Hematoloji ve Onkoloji Eitim ve
Aratrma Hastanesi - Gastroenteroloji Klinii,
Nuray USLU KIZILKAN, Ankara ocuk Sal ve Hastalklar Hematoloji ve Onkoloji Eitim ve Aratrma Hastanesi - Gastroenteroloji Klinii,
Nurhan ZALP, Ankara niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Ama: Bu almann amac; gastrozefageal refl hastal (GRH) tans konan ocuk hastalarda dental
erozyonun grlme sklnn belirlenmesi ve erozyona neden olabilecek faktrlerin incelenmesidir.
Metod: almaya, Ankara ocuk Sal ve Hastalklar Hematoloji ve Onkoloji Eitim ve Aratrma Hastanesi Gastroenteroloji kliniinde GRH tans konmu olan 6-12 ya aras (ort. 9,9) 64 ocuk dahil edilmitir.
Ebeveynlere hastalar iin kapsaml bir anket uygulanmtr. Anket; dier sistemik hastalk varl, GRH tan
sresi, dzenli ila kullanm, di fralama skl ve ekli, iecek ve meyve tketimi hakknda kapsaml sorular iermektedir. Klinik muayene sonucunda dental erozyon olduu saptanan hastalarda erozyondan etkilenen
blge ve bu blgedeki yzey alan ile grlen erozyonun iddeti -O-Sullivan di ykm indeksi- kullanlarak
deerlendirilmitir. Elde edilen verilerin istatistiksel deerlendirmesinde Mann Whitney U ve Ki-Kare testleri
kullanlmtr.
Bulgular: Hastalarda erozyon grlme skl %53 (n=34) olarak bulunmutur. GRH tans yeni konmu
olanlarla eskiden tans konmu ve tedavi grenler arasnda erozyon grlme skl asndan anlaml fark
tespit edilmemitir (p>0,05). En ok etkilenen dilerin st santral ve lateral kesici diler ve en ok etkilenen
di yzeyinin insizal ve lingual yzeyler olduu grlmtr (p<0,05).Hastalarn asitli gdalar tketme ve
di fralama alkanlklaryla erozyon arasnda istatistiksel olarak anlaml bir iliki bulunamamtr (p>0,05).
Bununla birlikte hastalarda yala birlikte erozyon grlme sklnn artt ve su tketiminin artna bal
olarak erozyonun azald grlmtr (p<0,05).
Sonu: GRH bulunan ocuklarda dental erozyon prevalansnn yksek olmas, dilerdeki ar madde kayplarnn nlenmesi iin gerekli dental tedavilerin erken dnemde balamasnn gerekliliini gstermektedir.
Anahtar Kelimeler: gastrozefageal refl, dental erozyon
171
P-005
ERKEN OCUKLUK DNEM R VE SONULARININ OCUKLARIN YAAM
KALTESNE ETKS
Seckin YORULDU AKSU, Ataturk - Pediatric Dentistry,
Ece EDEN, Ege - Pediatric Dentistry,
Ama: almamzn amac, erken ocukluk dnemi r ve sonularnn ocuklarn yaam kalitesine etkilerinin ortaya konulmasdr.
Materyal ve Metot: almamzda geerlilii ve gvenilirlii kantlanm, 3-5 ya aralndaki ocuklarn di
problemleri ve di tedavilerinin gnlk yaantlarna olan etkisi deerlendirilmesinde, Erken ocukluk a
Az Sal Etki lei (ECOHIS) kullanlmtr. Rastgele seilmi 120 tane ocuk (65 erkek, 55 kz) ve
ebeveyni almaya dahil edilmitir. Elde edilen veriler p>0,05 nem seviyesinde istatistiksel olarak deerlendirilmitir. ocuklarn az muayeneleri ayna, sond ve k kaynandan yararlanlarak yaplm ve -dfs- indeksi kullanlarak rk ve dolgulu di yzeyleri kaydedilmitir. Etki leindeki ilk 9 soru -ocuk zerindeki
etkiler- blmn oluturmutur.
Bulgular: ocuklarn %30unun ar ikayetinin hi olmad ve %79,2sinin di problemi nedeniyle iletiim
problemi yaamad belirlenmitir. Ayrca, etki leinin son 4 sorusu -aile zerine etkiler- blmn oluturmutur. ocuklarnn di problemlerinin ailelerinin i yaantlarn etkilemedii fakat ebeveynlerin %24
orannda kendilerini sulu hissettikleri grlmtr. almamzda, az ii muayeneleri sonucunda -dfsskorlar ile ECOHIS arasnda pozitif ynde anlaml bir korelasyon bulunmutur (r=0.540, p<0.001).
Sonu: Bu alma, 3-5 ya aralndaki Trk ocuklarnn az salklarnn gnlk yaamlarna olan etkilerinin deerlendirilmesinde, Erken ocukluk a Az Sal Etki leinin geerli ve gvenilir olduunun
kantlanmasn desteklemitir.
Anahtar Kelimeler:
172
P-006
GML SPERNMERER DLERN KONK IINLI BLGSAYARLI TOMOGRAF (CBCT)
LE NCELENMES
Asl EVREN DELLBAI, Yeni Yzyl niversitesi Di Hekimlii Fakltesi - ocuk Di Hekimlii,
Gkhan GRLER, Istanbul Medipol niversitesi Di Hekimlii Fakltesi - Az, Di ve ene Cerrahisi,
AMA: Spernmerer (art) diler, normal dentisyona ilave olarak fazladan srm ya da gml kalm di
veya di benzeri yaplardr. zellikle ocuklarda, gml kalm spernmerer diler daimi dilerin srmesine engel olarak aprakla ve estetik sorunlara neden olabilmektedirler. Bu almann amac; panoramik
radyografide tespit edilen gml spernmerer dilerin radyolojik zelliklerinin ve olas patolojilerle ilikilerinin CBCT ile incelenmesidir.
METOD: Bu retrospektif almada, gml spernmerer di tespit edilen 27 hastadan elde edilen CBCT grntleri incelenerek, spernmerer dilerin says, lokalizasyonu, pozisyonu, tipi ve biimi belirlendi. Ayrca
bu dilerle ilikili patolojiler ve uygulanan tedavi deerlendirildi.
BULGULAR: 27 hastada toplam 29 gml spernmerer di tespit edildi. Bu dilerden 9 adedi odontoma
benzeri grntye sahipti. Dilerin daha ok maksillada lokalize olduu grld. Btn spernmerer diler
cerrahi olarak kartld.
SONU: Spernmerer diler komu dilerde srme bozukluu, rk, kk rezorpsiyonu, ene kisti olumas gibi komplikasyonlara yol aabilmektedirler. Bu nedenle, dikkatli klinik ve radyolojik inceleme ile tehis edilmeleri, olas patoloji ve komplikasyonlarn nlenebilmesi asndan nemlidir.
Anahtar Kelimeler: spernmerer di, odontoma, meziodens, CBCT
173
P-007
K KKL MAKSLLER SANTRALVE LATERAL DN MULTDSPLNER TEDAVS:
VAKA SUNUMU
Mesut ELBAY, Kocaeli niversitesi Dihekimlii Fakltesi - Pedodonti Anabilim Dal,
Emine KAYA, Kocaeli niversitesi Dihekimlii Fakltesi - Pedodonti Anabilim Dal,
lk ERMET ELBAY, Kocaeli niversitesi Dihekimlii Fakltesi - Pedodonti Anabilim Dal,
Serkan SARIDA, Kocaeli niversitesi Dihekimlii Fakltesi - Protetik Di Tedavisi Anabilim Dal,
Enver Alper SINANOLU, Kocaeli niversitesi Dihekimlii Fakltesi - Oral Radyoloji Anabilim Dal,
Giri: Farkl kanal konfigrasyonlarnn ve kk varyasyonlarnn bilinmemesi sebebiyle gzden karlan veya
eksik doldurulan kanallarn varl kanal tedavisinde baarszla neden olan nemli faktrlerdendir. Endodontide kullanm yaygnlamaya balayan konik nl bilgisayarl tomografi (KIBT) grntleme teknii ile
geleneksel intraoral radyografilerin neden olduu kstlamalar ortadan kaldrarak, kk kanal sisteminin morfolojisi ayrntl bir biimde belirlenmekte ve endodontik tedavinin baar ans arttrlmaktadr. Yaplan anatomik almalarda genellikle tek kkl ve tek kanall olarak bildirilen st keser diler, endodontik tedavinin
gerekletirilmesi asndan kolay olarak dnlse de literatrde birden fazla kanal veya kke sahip olan st
anterior diin olduu vakalar rapor edilmitir. Bu vaka raporunda ise; iki ayr kk olan st santral ve lateral
diin endodontik ve restoratif tedavisi bildirilmektedir.
Vaka Raporu: 12 yandaki kz hasta sol st santral ve lateral diinin hipoplastik kuronlarnn grnm ikyetiyle Kocaeli niversitesi Di Hekimlii Fakltesi Pedodonti Ana Bilim Dal Kliniine bavurmutur. Yaplan radyolojik muayenede 21 ve 22 numaral dilerinin iki kke sahip olduu ve kklerde lamina durann
geniledii tespit edilmitir. Dilerin vitalometrik muayeneye negatif cevap vermesi ve perksyona hassasiyet
gstermesi nedeniyle kk kanal tedavisi yaplmas planlanmtr. KIBT grntleri ile santral diin mesial ve
distal iki kke sahip olduu lateral diin kklerinin ise bukkal ve palatinal olarak konumland belirlenmitir.
Diler asemptomatik hale gelene kadar kk kanallar kalsiyum hidroksitle pansuman yaplmtr. Kk kanallar guta perka ile lateral kondansayon teknii ile doldurulduktan sonra obturasyon kalitesi periapikal radyografi
ile dorulanmtr. Hipoplastik ve amorf ekilli olan kuronlar fiber post uygulamasn takiben protetik olarak
restore edilmitir.
Sonu: Yaplan periyodik muayeneler sonucunda hastann hibir ikayeti olmad ve estetik asndan memnun olduu gzlenmitir.
Anahtar Kelimeler:
174
P-008
AIRI KRON HARABYET NEDENYLE NFRA-OKLUZYONDA OLAN PREMOLAR DN
KISA SREL ORTODONTK EKSTRZYONU
Gamze TOPUOLU, Erciyes niversitesi - Pedodonti,
Kenan CANTEKIN, Erciyes niversitesi - Pedodonti,
Hseyin Sinan TOPUOLU, Erciyes niversitesi - Endodonti,
Giri : Travma ve rk sebebiyle dilerde kron harabiyeti olumaktadr. Bu etmenler neticesinde gingiva seviyesinin altna inen salam di dokusuyla kalan diin restorasyonunu tamamlamak, izolasyondaki zorluklar
sebebiyle olduka gtr. Okluzyon seviyesinin altna dm dilerde ksa sreli ortodontik tedaviyle diin
ektrzyonunu ve dolaysyla ideal bir final restorasyonunu elde etmek mmkndr. Bu vakada, derin dentin
rnn kaldrlmasnn ardndan infra-okluzyonda kalan premolar diin ortodontik bir apereyle ksa sreli
tedavisi ve final restorasyonu sunulmutur.
Vaka raporu : 15 yandaki bayan hasta kliniimize ar ikayeti ile bavurmutur. Yaplan klinik ve radyografik muayene sonrasnda 45 numaral diinde pulpa odasna ilerlemi derin dentin r tespit edildi. lgili
diin r temizlenerek ayn seansta kanal tedavisi yapld. Distal yzeyinde ar madde kayb olan dite
yeterli izolasyon salanamad iin diin ekstrze edilmesine karar verildi. Ortodonti blmyle yaplan konsltasyon sonucunda hasta iin bir ortodontik aparey yaplmas planland. Hastaya bir hafta sonrasna randevu
verildi ve o seansta kanal tedavisi yaplm die post yerletirilip aparey iin ls alnarak randevu verildi.
nfra-okluzyonda kalm diin ekstrzyonu iin hazrlanan 45 numaral di blgesine gelecek ekilde planlanm ve st premolar blgesinin bukkal sulkusuna uzanan heliks bir bkm ieren ortodontik tele (0,7mm)
sahip olan hawley benzeri bir aparey yapld. Ortodontik kuvvetin uygulanabilmesi iin 45 numaral diin
bukkal yzeyine bir buton yerletirildi. Ortalama 150 grlk kuvvet uygulayan ortodontik bir elastik, apareyin
45 numaral di blgesindeki helikse ve butona geirildi. Hastaya apareyin kullanm retildi ve her akam
lastiini yenilemesi belirtildi. hafta sonra diin 3 mm ekstrze olduu saptand ve kontrol radyografisi
alnd. Yeterli okluzal seviyeye gelen diin preparasyonu yaplarak final restorasyonu full kron ile tamamland.
Sonu: Ar kron harabiyetlerinde planlanan basit bir hareketli aparey ile hem tedavi sresi ksaltlabilir hem
de ideal okluzyona gelen dilere daha baarl restorasyonlar uygulanabilir.
Anahtar Kelimeler: rk, ekstrzyon, ortodontik aparey
175
P-009
K KANALLI ST YAN KESC DN DENS NVAGNATUS TP IIIDEN AYIRICI TANISININ
CBCT LE YAPILMASI VE ENDODONTK TEDAVS
Elif EYDA BLGN, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti A.D.,
Arzu PINAR-ERDEM, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti A.D.,
Seluk GKYAY, stanbul niversitesi Di hekimlii Fakltesi - Endodonti AD.,
Giri: st yan kesici diler genellikle tek kk ve tek kanala sahiptirler. Bununla birlikte, anormal kk kanal
morfolojisine sahip olan st yan kesici diler de sklkla rapor edilmektedir. Bu diler genellikle embriyolojik
riskin yksek olduu blgede lokalize olduklar iin; geminasyon, fzyon, konkresens yada dens invaginatus
gibi biim anomalileri sergileyebilmektedirler. zellikle, Trk toplumunda, st yan kesici dilerde, eitli
kanal konfigrasyonlarna rastlanld bildirilmektedir. Ama: Bu olgu sunumu,iki kanall st sol yan kesici
diin dens invaginatus tip IIIden ayrc tansnn CBCT ile yaplmasn veanatomik varyasyon gsteren kk
kanal sisteminin endodontik tedavisini ve onun estetik rehabilitasyonunu anlatmaktadr.
Olgu Sunumu: 14 yanda sistemik hastal olmayan bir erkek hasta, ekstraoral akut abse nedeniyle amoksisilin reete edildikten sonra stanbul niversitesi Di Hekimlii Fakltesi Pedodonti AD.na ynlendirilmitir.
Alnan anamnezde, hastann 3 yanda sol st st yan kesici diinin travma sonucu intrze olduu saptanmtr.
Klinik deerlendirme sonucu, akut absenin, hipoplazik sol st srekli yan kesici diinden kaynakland belirlenmi, yaplan elektriksel ve termal vitalite testlerine negatif cevap alnmtr. Palpasyon ve perksyona duyarllk saptanmtr. Alnan dijital periapikal radyografide diin dens invaginatus tip III grntsyle uyumlu
olduu dnlm, kesin tan koymak amacyla alnan dental volumetrik tomografide (CBCT) diin iki kk
ve kanall bir yan kesici di olduu belirlenmitir. Endodontik tedavisi tamamlanan diin estetik restorasyonu
kompozit ile yaplmtr. Olgunun, 6 aylk kontrolnde klinik ve radyolojik olarak herhangi bir patolojiye
rastlanmamtr.
Sonu: Bu olgu sunumunda, iki kanall olan st sol yan kesici diin baarl kanal tedavisi ve dens invaginatus
tip III ile olan ayrc tans anlatlmtr. Bu tip olgularda anomalilerin doru tespit edilmesi, doru tedavi
plan ve iyi prognoz iin nemlidir. Bu amala, dental volumetrik tomografiler detayl radyografik grnm
elde edilmesi iin kullanlabilir.
Anahtar Kelimeler: ki kanall yan kesici, Dens invaginatus, Ayrc tan, CBCT
176
P-010
POLETLEN FBER LE GLENDRLM KOMPOZT REZNN ST KESC DNDE
KISA POST OLARAK UYGULANMASI: BR VAKA RAPORU
Eda ARAT MADEN, Gulhane Medical Academy - Pediatric Dentistry,
zlem Mart AKGN, Gulhane Medical Academy - Pediatric Dentistry,
Ceyhan ALTUN, Gulhane Medical Academy - Pediatric Dentistry,
Giri: Di r en yaygn grlen kronik ocukluk a hastaldr. Erken ocukluk a rnde erken
rk tutulumu ve st st kesici dilerde geni rk lezyonlar grlmektedir. Bu vaka raporunda geni r bulunan sol st st kesici diin tedavisi sunulmutur. Sol st st kesici die yaplan kanal tedavisinden sonra
ksa rezin post die yerletirilmitir. Kronun ekillendirilmesinde strip kron kullanlmtr.
Olgu Sunumu: Ailesiyle birlikte GATA ocuk Dihekimlii Kliniine bavuran 4 yanda bir erkek ocuk
hastann st st n dilerinde ar ikayeti vard. Hastann annesi ocuun 1 yl anne st aldn daha sonra
2 yl boyunca biberonla ekerli st itiini bildirdi. ocuk uykuya biberon azndayken dalyordu. ntraoral
muayenede ocuun st dilenmesinin tamamland grld. 51, 52, 61, 62 nolu dilerin rk olduklar
tespit edildi. ntraoral periapikal radyografide 61 nolu diteki rn pulpay iine ald belirlendi. 61 nolu
die yaplan kk kanal tedavisinden sonra polietilen fiber Ribbond (Ribbond, Seattle, WA, USA) ile ksa post
uygulamas yapld. 61 nolu di stip kronla restore edildi. Dier st kesici dilerdeki rkler temizlendikten
sonra kompomer uyguland.
Sonu: Koronal di yapsnda ok kayp olduunda endodontik tedaviden sonra kanal iine uygulanan postlar,
yeniden ekillendirilecek olan krona stabilite ve ineme kuvvetlerine kar g salamaktadr. Bu vakada
da geni kompozit restorasyondan nce yaplan polietilen fiber post pulpa tedavisi sonras st n kesici dite
mkemmel klinik performans gstermitir.
Anahtar Kelimeler: : fiber post, ribbond, st kesici di
177
P-011
TEK KKL VE TEK KANALLI ALT ST 1. MOLAR DLERN ENDODONTK TEDAVS:
VAKA RAPORU
Neslihan ZVEREN, Bezmialem Vakf Universitesi - Pedodonti Anabilim Dal,
erife ZALP, Bezmialem Vakf Universitesi - Pedodonti Anabilim Dal,
Giri: Baarl bir endodontik tedavi iin kk kanal anatomilerinin ve kanal morfolojilerindeki farklln
bilinmesi gerekir. Genellikle alt 1. st molar diler 2 kk ve 3 kanala sahiptir. Literatrlere gre epitelyal kk
knn invajinasyonundaki hata sonucu oluan, morfoloji farklln gzlemlediimiz bu vakann amac, tek
kk ve tek kanall alt ene st 1. molar dilerin endodontik tedavisi srasnda dikkatli klinik ve radyografik
gzlemin nemini belirtmektir.
Vaka raporu: Di rklerinin tedavi edilmesi amacyla Bezmialem niversitesi di kliniine ailesi ile bavuran 8 yandaki kz hastann sistemik olarak herhangi bir rahatszl bulunmad saptand. Muayene esnasnda derin dentin r grlen alt ene sa ve sol st 1. molar dilerin tek kke sahip olduu gzlemlendi. Ar ikayeti ve perksyonu olmayan dilerin pulpaya ulaan dentin rkleri olmas nedeniyle kanal
tedavilerine baland. Lokal anestezi altnda (Ultracaine DS Ampl, Aventis Pharma San. ve Ltd. stanbul/
TRKYE) sol alt 1. st molar diin endodontik kavitesi ald. Pulpa ekstirpe edilip alma boy tespiti iin
aletli radyografik film alnd. alma boyu hesaplandktan sonra step-back teknii ile MAF:30a kadar kanal
geniletildi. Her ee deiimde kanal %2.5lik sodyum hipoklorit solsyonu ile irrige edildi. Steril paper point
ile kurutulan kanal Metapex (Meta Biomed Co. Ltd., Chungbuk) ile dolduruldu. Kavite tabanna inko fosfat
kaide olarak yerletirdikten sonra zeri rezin ierikli cam iyonomer ile kapatld. Self-etch bond (Prime&Bond
NT Dentsply, USA) ve kompomer (Dyract XP, Dentsply, USA) kullanlarak dolgusu yapld. Ayn ilem bir
sonraki seansta sa alt 1. st molar di iin uyguland.
Sonu: Gnmze dek tek kk ve tek kanall alt st 1. molar diler ile ilgili ok az sayda vaka bildirilmitir. Sadece
klinik gzlem ve anamneze dayanarak bu tr anomali bir diin tedavisi srasnda fazla kanamann grlmesi
perforasyon ile kartrlmasna ve komplikasyonlara neden olabilir. Bu nedenle anormal kk morfolojisine sahip
st dilerinde ancak doru endikasyon ve iyi bir radyografik muayene ile baarl bir endodontik tedavi yaplabilir.
Anahtar Kelimeler: st molar, tek kk, tek kanal
178
P-012
ST DLERNDE SODYUM HPOKLORT UYGULAMASININ KALSYUM HDROKST VE
MNERAL TROKST AGREGAT AMPUTASYONUNUN BAARISINA ETKS
Merve AKAY, Katip elebi niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Burcu Nihan ELIK, Ankara niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
aziye SARI, Ankara niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Ama: St dii amputasyon tedavilerinde, Kalsiyum Hidroksit (CH) ve Mineral Trioksit Agregat (MTA) materyallerinin kullanm ncesinde, % 5lik sodyum hipoklorit (NaOCl) uygulamasnn tedavinin baarsna
olan etkilerinin 24 aylk klinik ve radyografik sonularnn deerlendirilmesi amalanmtr.
Materyal-Metod: Toplam 128 di CH ve MTA amputasyonu yaplmak zere 2 ana gruba, bunu takiben de amputasyon materyalinin uygulanmas ncesi %5lik NaOCl ve serum fizyolojik uygulamak zere ikier alt gruba ayrlmtr. Olgular klinik ve radyolojik olarak 24 ay takip edilmitir. Gruplar arasnda klinik baar ynnden farkn nemlilii Pearsonun Ki-Kare veya Fishers Exact test ile incelendi. Tip I hatay kontrol edebilmek
iin Bonferroni Dzeltmesi yapld. Bonferroni Dzeltmesine gre p<0,042 iin sonular istatistiksel olarak
anlaml kabul edildi. Bulgular: Klinik ve radyografik baar oranlar CH- NaOCl alt grubunda % 35.2, CH- salin alt grubunda % 35, MTA- NaOCl alt grubunda %87.5, MTA- salin alt grubunda %100 olarak belirlenmitir.
CH ve MTA gruplarnda alt gruplar arasndaki farkn istatistiksel olarak anlaml olmad ancak MTA- NaOCl
grubunun CH-NaOCl grubuna gre 24. ayda istatistiksel olarak anlaml derecede (p<0.002) daha baarl olduu belirlenmitir. MTA- serum grubunun ise hem 18.ayda (p<0.001) hem de 24. ayda (p<0.001) CH-serum
grubuna gre istatistiksel olarak anlaml derecede daha baarl olduu belirlenmitir.
Sonu: 24 aylk takip sreci sonunda NaOCl uygulamasnn CH amputasyonlarnda kontrol grubuna gre
baar asndan istatistiksel olarak anlaml farkllk yaratmad ancak uzun dnem takipte CH amputasyonlarnn baar yzdesinin her iki alt grupta da belirgin bir farkllkla d gsterdii belirlenmitir. MTA
amputasyonunda ise NaOCl uygulamasnn alt gruplar arasnda istatistiksel olarak anlaml farkllk yaratmad ancak NaOCl uygulamas asndan CH ve MTA gruplar birbirleriyle karlatrldklarnda MTA gruplarndaki baarnn CHye gre 24. ayda istatistiksel olarak anlaml bir farkla yksek olduu belirlenmitir.
Anahtar Kelimeler: amputasyon, MTA, Kalsiyum Hidroksit, NaOCl
179
P-013
ST D AMPUTASYON TEDAVLERNDE DEZENFEKTAN OLARAK SODYUM
HPOKLORT UYGULAMASININ ETKLER: HSTOPATOLOJK ALIMA
Merve AKAY, Katip elebi niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Burcu Nihan ELIK, Ankara niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Akif DEMIREL, Ankara niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Leyla DURUTRK, Ankara niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
aziye SARI, Ankara niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
mer GNHAN, Glhane Askeri Tp Akademisi - Patoloji Anabilim Dal,
Ama: Sodyum hipoklorit (NaOCl), antibakteriyel olmas ve doku zc etkisi nedeniyle st dii vital pulpa
tedavilerinde amputasyon medikaman olarak kullanm tercih edilen bir materyaldir. Bu almada, Kalsiyum
Hidroksit (CH) ve Mineral Trioksit Agregat (MTA) amputasyonlarnda %5lik NaOCl uygulamasnn, st dii
pulpasnn histopatolojik cevabna etkisinin deerlendirilmesi amalanmtr.
Materyal-Metod: Toplam 128 st az dii MTA ve CH olmak zere 2 ana gruba ve bu gruplar da kendi ilerinde
NaOCl (deney grubu) ve serum fizyolojik (kontrol grubu) olarak 2 alt gruba ayrlmtr. 24 aylk takip sresi
sonunda altndaki daimi diin yeterli kk geliiminin tamamland belirlenen 36 di histolojik inceleme iin
ekilmitir. CH- NaOCl grubunda 3, CH- serum grubunda 5, MTA- NaOCl grubunda 5, MTA- serum grubunda 7 rnek olmak zere toplam 20 diin histolojik inceleme iin uygun kesitlere sahip olduu belirlenmitir.
rnekler; pulpal enflamasyon varl ve iddeti, sert doku kpr devamll ve tbler yaps, odontoblastik
tabaka devamll ve i rezorpsiyon kriterlerine gre incelenmitir. Gruplar arasnda klinik bulgular ynnden farkn nemlilii Mann Whitney U veya Fishers Exact test ile incelendi. Tip I hatay kontrol edebilmek
iin Bonferroni Dzeltmesi yapld. Bonferroni Dzeltmesine gre p<0,025 iin sonular istatistiksel olarak
anlaml kabul edildi.
Bulgular: CH veya MTA gruplarnn her ikisinde de, deney ve kontrol gruplar arasnda test edilen kriterlerin gzlenme oranlarnda istatistiksel olarak anlaml bir farkllk belirlenmemitir (p>0.025). MTA- NaOCl
grubunda; sert doku kpr devamll, pulpal enflamasyon ve odontoblastik tabaka devamll kriterlerinin
gzlenme orannn, CH-NaOCl grubuna gre anlaml derecede yksek olduu belirlenmitir.
Sonu: CH veya MTA amputasyonlarnda, dezenfektan medikaman olarak NaOCl uygulamasnn, serum uygulanan gruplara gre baar kriterlerinin gzlenme oralarnda istatistiksel olarak anlaml bir farkllk yaratmad belirlenmitir. Kullanlan yntemden bamsz olarak MTAnn CHye gre stn bir materyal olduu,
vital amputasyon tedavilerinde uygun materyal seiminin, pulpa odasnda uygulanan medikaman seminden
daha nemli olduu belirlenmitir.
Anahtar Kelimeler: Mta, Histopatoloji, kalsiyum hidroksit, amputasyon
180
P-014
FARKLI RESTORATF MATERYALN NSAN FBROBLAST HCRELERNDE
OLUTURDUU OKSDATF STRES SEVYELERNN VE STOTOKSSTELERNN
DEERLENDRLMES
Tevfik DEMIRCI, Di Hekimlii - Pedodonti ABD,
Takn GRBZ, Di Hekimlii - Pedodonti ABD,
Fatih ENGL, Di Hekimlii - Pedodonti ABD,
Ama: almamzn amac, ocuk di hekimliinde yaygn olarak kullanlan, rezin ierikli farkl restoratif
materyalin (FujiII LC, Twinky Star, Glasiosite) insan fibroblast hcrelerinde oluturduu oksidatif stres
seviyelerinin ve sitotoksisitesinin deerlendirilmesidir.
Materyal ve Metot: almamzda, insan amniyon svsndan elde edilmi fibroblast hcreleri kullanlmtr.
Teflon kalplarda, 2mm yksekliinde ve 8mm apnda hazrlanan rnekler, plateletlerin her bir gzndeki
hcrelerle dorudan temas edecek ekilde yerletirilmitir. Hcrelerin 24 saat, 72 saat ve 7 gn sonundaki canllk oranlar MTT testi ile ve Toplam Oksidan Durum (TOD) deerleri ise TOD kiti ile llmtr. Veriler,
SPSS 20.0 programnda ve p=0.05 nem dzeyinde analiz edilmitir.
Bulgular: MTT testi sonucunda, her materyalde de 24 saat, 72 saat ve 7 gn sonunda hcre canll, kontrol
grubu ile karlatrldnda istatistiksel olarak anlaml lde azalmtr (p<0.05). Hcre canllk deerleri,
en dk FujiII LC materyalinde tespit edilmitir. Ayrca, kontrol grubu ile karlatrldnda, 24 saat ve 72
saat sonunda sadece FujiII LC materyalinin, 7 gn sonra ise materyallerin tamamnn daha yksek oksidatif
stres oluturduu grlmtr.
Sonu: MTT ve TOD deerlerine gre, materyallerin tamam sitotoksik bulunmutur. FujiII LC materyalinin dier materyallere kyasla daha yksek toksisite deerine sahip olduu tespit edilmitir.
Anahtar Kelimeler: MTT, Sitotoksisite, Kompomer, Rezin modifiye cam iyonomer siman, Hcre canll
181
P-015
SINIF V KAVTELERDE K FARKLI RESTORATF MATERYALN TERMAL GERLME
DAILIMININ SONLU ELEMANLAR YNTEM LE ANALZ
idem GLER, Ordu niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Mehmet Sami GLER, Ordu niversitesi Fatsa Deniz Bilimleri Fakltesi - Deniz Ulatrma ve letme
Mhendislii Ana Bilim Dal,
Fatih AKICI, Ordu niversitesi Di Hekimlii Fakltesi - Endodonti Anabilim Dal,
Elif Bahar AKICI, Ordu niversitesi Di Hekimlii Fakltesi - Endodonti Anabilim Dal,
Sadri EN, Atatrk niversitesi Makine Mhendislii Fakltesi - Konstrksyon ve malat Ana Bilim Dal,
Ama: Servikal lezyonlar snf V kaviteler ile restore edilebilir. Bu almann amac, maksiler 1. byk az
diinde oluturulan snf V kaviteye uygulanan iki farkl restoratif materyalin termal gerilme dalmn 3 boyutlu sonlu elemanlar yntemi ile analiz etmektir.
Gere ve Yntem: alma iin bir maksiler 1. byk az dii modellendi ve diin bukkal yzeyinin 1/3 servikal ksmnda bilgisayar ortamnda snf V kavite hazrland. Kavitenin restorasyonunda iki farkl restoratif materyal kullanld; Grup I: kompozit rezin ve Grup II: cam iyonomer. 400 Nluk kuvvet diin uzun aks ile 90
olacak ekilde, okluzal yzey zerine, 5 ve 55 Cde uyguland. Von Mises gerilme dalmlar deerlendirildi.
Bulgular: Her iki grupta da scaklk arttnda von Mises gerilme dalmnda art tespit edildi. 5Cde Grup
Ide 82,64 ve Grup IIde 94,46 MPa, 55 Cde ise Grup Ide 126,45 ve Grup IIde 144,53 MPa gerilme tespit
edildi.
Sonu: Snf V kavitelerin restorasyonunda kompozit rezin (Grup I), cam iyonomerden (Grup II) daha dk
gerilme deerleri sergilemitir.
Anahtar Kelimeler: Kompozit rezin, Cam iyonomer, Sonlu elemanlar analizi, Termal gerilme
182
P-016
FARKLI CAM YONOMER SMANLARIN KOMPOMERE OLAN MAKASLAMA BALANMA
DAYANIM KUVVETLERNN KARILATIRILMASI
Mustafa ALTUNSOY, ifa niversitesi - Pedodonti,
Evren OK, ifa niversitesi - Endodonti,
Ebru KKYILMAZ, zmir Katip elebi niversitesi - Pedodonti,
Baak BLKBAI, zmir Katip elebi niversitesi - Pedodonti,
Ama: Bu almann amac drt farkl cam iyonomer simann kompomere olan makaslama balanma dayanmlarn karlatrmaktr.
Gere ve Yntem: alma iin krk adet silindirik ekilli akrilik blok hazrland. Bloklarn dz yzeylerinin
ortasna 2 mm derinliinde ve 3 mm apnda olan ukurcuklar ald. Bloklar drt gruba ayrlarak alan ukurcuklar Ionoseal (Ionoseal, Cuxhaven, Almanya), Ketac Molar (3M EPSE, Seefeld, Almanya), Equia (GC
Avrupa, Tokyo, Japonya) ve micryl (Imicryl SC, Imicryl Di Malz San. Tic. A, Konya, Trkiye) marka cam
iyonomer materyalleri ile dolduruldu. Standart yzeyler elde etmek iin sertlemeden nce cam iyonomerlerin
zeri effaf bant ile kapatld. Sertleme tamamlandktan sonra cam iyonomer siman yzeylerine tek aamal
adeziv (Futurabond M, VOCO GmbH, Cuxhaven, Almanya) uyguland ve polimerize edildi. Her bir cam iyonomerin toz likit orannn ayarlanmas, kartrma sresi, bonding ajann uygulamas ve polimerizasyon ilemleri retici firmalarn tavsiyeleri dorultusunda gerekletirildi. Hazrlanan yzeylerin zerine yerletirilen 2
mm yksekliinde ve 2 mm apndaki aparatn ierisine tamayacak ekilde doldurulan kompomer materyali
(Imicryl SC, Imicryl Di Malz San. Tic. A, Konya, Trkiye) retici firmann tavsiyeleri dorultusunda LED
k cihaz ile polimerize edildi. Universal test makinesi ile her bir rnekte krlma meydana gelinceye kadar 1
mm/dk hzda kuvvet uyguland. Veriler tek ynl varyans analizi ve Tukey oklu karlatrma testleri ile istatistiksel olarak deerlendirildi (p=0.05). Bulgular: Ionosealin kompomere olan makaslama balanma deeri
dier cam iyonomerlerden istatistiksel olarak daha yksek bulundu (p < 0,05). Ketac Molar, Equia ve micrylin kompomere olan makaslama balanma deerleri arasnda istatistiksel olarak fark gzlenmedi (p > 0,05).
Sonu: Rezin esasl cam iyonomer siman olan Ionoseal kimyasal sertleen Ketac Molar, Equia ve micryl cam
iyonomer simanlara gre daha yksek makaslama balanma deeri gstermektedir.
Anahtar Kelimeler: Cam iyonomer siman, makaslama balanm kuvveti, kompomer
183
P-017
TOPKAL FLOR UYGULAMALARININ CAM YONOMER ESASLI FSSR RTC
MATERYALLERN MKROSERTLKLER ZERNE ETKS
Selcuk SAVA, zmir Katip elebi niversitesi - ocuk Di Hekimlii,
Baak BLKBAI, zmir Katip elebi niversitesi - ocuk Di Hekimlii,
Ama: Bu almann amac, topikal flor uygulamalarnn farkl ieriklerdeki cam iyonomer esasl fissr rtc materyallerin mikrosertlikleri zerine olan etkilerinin incelenmesidir.
Metot: almada farkl ieriklere sahip cam iyonomer esasl 3 adet fissr rtc materyal kullanld (Fuji
Triage, GCP Glass Seal, Fuji VII EP). retici firmalarn talimatlar dorultusunda disk eklinde hazrlanan 72
adet rnek (8,0x2,5 mm), k tabancas (Valo, Ultradent Products Inc, South Jordan, UT, USA) ile polimerize
edildi, 24 saat 37Cde, deiyonize su ierisinde bekletildikten sonra balang mikrosertlik lmleri Vickers
mikrosertlik test cihaz (Shimadzu Micro Hardness Tester HMV-2, Shimadzu Corporation, Kyoto, Japan) ile
gerekletirildi. lmleri tamamlanan rnekler, rastlantsal olarak %2lik NaF (Sultan Topex neutral pH gel,
Sultan Dental Products, USA) ve %1,23lk APFnin (Sultan Topex APF gel, Sultan Dental Products, USA)
uyguland 2 gruba bu gruplar da kendi ierisinde uygulama ekillerine gre 3 alt gruba ayrld (1dk jel uygulamas, 4 dk jel uygulamas, 4x4 dk jel uygulamas). Uygulama sonras rnekler deiyonize su ile ykand
ve mikrosertlik lmleri tekrarland. statistiksel analizler, tekrarlanan lml ANOVA testi ve Bonferroni
dzeltmesi ile gerekletirildi. Deerlendirmeler iin istatistiksel nem aral p<0.05 olarak kabul edildi.
Bulgular: Uygulanan ajann tr, uygulama sresi ve tekrarlayan uygulamalarn fissr rtc materyallerin
mikrosertlik deerlerini drd ancak elde edilen deerler arasnda istatistiksel olarak anlaml bir fark
olmad bulundu (p>0.05).
Sonu: almada kullanlan farkl ieriklere sahip fissr rtclerin yzey sertlik deerlerinin almada kullanlan topikal flor uygulamalarndan etkilenmedii grlmtr.
Anahtar Kelimeler: Cam yonomer, Fissr rtc, Flor, Mikrosertlik
184
P-018
TOPKAL FLOR UYGULAMALARININ BULK-FLL KOMPOZTLERN MKROSERTLKLER
ZERNE ETKS
Baak BLKBAI, zmir Katip elebi niversitesi - ocuk Di Hekimlii,
Ama: Bu almann amac, topikal flor uygulamalarnn farkl bulk-fill kompozit materyallerin mikrosertlikleri zerine olan etkilerinin incelenmesidir.
Metot: almada 3 farkl bulk-fill kompozit materyal kullanld (Clearfl Majesty Esthetic [Kuraray Medical Inc, Tokyo, Japan], Tetric N-Ceram Bulk Fill [Ivoclar Vivadent AG, Liechtenstein], Sonic Fill [Kerr
Corporation, Orange, CA]). retici firmalarn talimatlar dorultusunda, disk eklinde hazrlanan 72 adet
rnek (8,0x2,5 mm) k tabancas (Valo, Ultradent Products Inc, South Jordan, UT, USA) ile polimerize
edildi, 24 saat 37Cde, deiyonize su ierisinde bekletildikten sonra balang mikrosertlik lmleri Vickers
mikrosertlik test cihaz (Shimadzu Micro Hardness Tester HMV-2, Shimadzu Corporation, Kyoto, Japan) ile
gerekletirildi. lmleri tamamlanan rnekler, rastlantsal olarak %2lik NaF (Sultan Topex neutral pH gel,
Sultan Dental Products, USA) ve %1,23lk APFnin (Sultan Topex APF gel, Sultan Dental Products, USA)
uyguland 2 gruba bu gruplar da kendi ierisinde uygulama ekillerine gre 3 alt gruba ayrld (1dk jel uygulamas, 4 dk jel uygulamas, 4x4 dk jel uygulamas). Uygulama sonras rnekler deiyonize su ile ykand
ve mikrosertlik lmleri tekrarland. statistiksel analizler, tekrarlanan lml ANOVA testi ve Bonferroni
dzeltmesi ile gerekletirildi. Deerlendirmeler iin istatistiksel nem aral p<0.05 olarak kabul edildi.
Bulgular: Materyallerin mikrosertlik deerlerini en ok dren uygulama Clearfl Majesty Esthetic ve Sonic
Fill materyalleri iin 4x4 dk APF uygulamas olurken, Tetric N-Ceram Bulk Fill iin 4 dk APF uygulamas
olmutur. Bununla birlikte elde edilen deerler arasnda istatistiksel olarak anlaml bir fark olmad bulunmutur. (p>0.05)
Sonular: almada deerlendirilen bulk-fill kompozit materyallerin yzey sertlik deerlerinin almada
kullanlan topikal flor uygulamalarndan etkilenmedii grlmtr.
Anahtar Kelimeler: Cam yonomer, Fissr rtc, Flor, Mikrosertlik
185
P-019
IIKLA AKTVE EDLEN DEZENFEKSYONUN FSSR RTCLERN BALANMA
DAYANIMI VE MKROSIZINTISI ZERNE ETKS
Mustafa ALTUNSOY, Sifa University,Faculty of Dentistry - Department of Paediatric Dentistry,
Mehmet TANRIVER, Sifa University,Faculty of Dentistry - Department of Paediatric Dentistry,
Evren OK, Sifa University,Faculty of Dentistry - Department of Endodontics,
Bilge Gulsum NUR, Sifa University,Faculty of Dentistry - Department of Paediatric Dentistry,
Ama: Bu almann amac kla aktive edilen dezenfeksiyonun (IAD) fissr rtclerin mikrosznts ve
balanma dayanm zerine zerine etkisini deerlendirmektir.
Gere & Yntem: Balanma dayanmn deerlendirmek iin 30 di kullanld. Standart yzeyler elde etmek
amacyla dilerin bukkal ve lingual yzeyleri 600 nolu zmparayla andrld. Diler rastgele olarak 2 gruba
ayrld (n = 15). Fissurit FX kontrol grubunda asitlenmi mineye uyguland. IAD grubunda IAD solsyonu
retici firmann talimatlarna gre mine yzeylerine uyguland. Daha sonra, Fissurit FX mine yzeylerine
uygulanp polimerize edildi. Balanma dayanm testi Universal Test makinesinde gerekletirildi. statistiksel
analizde bamsz t-testi kullanld ( = 0.05). Mikrosznt testi iin 24 di kullanld. Diler rastgele olarak
2 gruba ayrld (n = 12) ve balanma dayanmndaki rneklere uygulanan ilemler bu iki grup iin de aynen
uyguland. Mikrosznt testi boya penetrasyon yntemiyle gerekletirildi. Veriler Mann - Whitney U testi (
= 0.05) ile analiz edildi.
Bulgular: Balanma dayanm (p = 0.77) ve mikrosznt (p = 0.67) asndan kontrol ve IAD gruplar arasnda
istatistiksel olarak anlaml bir farkllk gzlenmedi.
Sonular: Fissr rtclerin altna uygulanan IADun fissr rtcnn balanma dayanm ve mikroszntsn
etkilememesi ynyle kullanmn tavsiye etmekteyiz. Anahtar kelimeler: Ikla aktive edilen dezenfeksiyon,
fissr rtc, balanma dayanm, mikrosznt
Anahtar Kelimeler: Photo-activated disinfection, fissure sealant, shear bond strength, microleakage
186
P-020
TRAVMA SONRASI INTRZE OLAN MAKSILLER SANTRAL DITE TEDAVI YAKLAIMI:
BIR OLGU SUNUMU
zgl CARTI, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
Serkan AKSOY, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
Murat NAL, Cumhuriyet University, Faculty of Dentistry - Pediatric Dentistry,
Giri: ntrzyon yaralanmalar genellikle 6-12 ya arasndaki ocuklarda grlen ve diin alvaeol kemii ierisinde apikal ynde yer deitirmesine yol aan en sert travmatik yaralanmalardan biridir. Bu tip yaralanmalarn
sonucunda, pulpa vaskler desteini kaybetmekte ve periodontal ligament sert bir biimde yaralanmaktadr.
Klinik olarak di ksalm grlr, hatta ciddi olgularda di tamamen ortadan kaybolabilir. ntrziv lksasyonun tedavisi ve prognozu hastann ya, kk geliimi ve travmann iddetine bal olarak deiebilmektedir.
Olgu: Daimi sa st santral dii alveol kemik ierisine tamamen gmlm olan 9 yandaki erkek hastada,
travma zerinden 24 saat gemi halde kliniimize bavurdu. Bukkal mukozada ilik ile beraber maksillar
sa santraln tamamen intruze olduu grld. Kkn apikal geliimi ve intrzyonun iddetine bal olarak,
diin acilen cerrahi olarak yeniden konumlandrlmas ve kk kanal tedavisi yaplmas planland. Cerrahi olarak ekstrze edilen di 4 hafta sreyle semirijit olarak splintlendi. Repozisyonu takip eden 5 gn boyunca antibiyotik terapisi uyguland. Repozisyondan sonra pulpa ekstirpasyonu ve kk kanal tedavisi gerekletirildi.
Di kompozit rezin ile restore edildi. Hasta 6 ayda bir kontrol muayenelerine arld.
Sonu: 18 ay sonraki klinik ve radyolojik incelemelerden sonra apikal blge ve destek dokularda salkl iyileme olduu grlmtr.
Anahtar Kelimeler: ntrzyon, dental travma
187
P-021
TEDAV EDLMEYEN HORZONTAL KK KIRII SONRASI OLUAN BR RADKLER KST
Fethi ATIL, Krkkale niversitesi - Az,Di ve ene Cerrahisi,
Giri: Travmatik di yaralanmalar zellikle 8-11 ya ocuk hastalarda sk karlalan bir halk sal sorunu
olsa da horizontal kk krklar dier travmatik yaralanmalara gre daha nadir grlen vakalardr. Travma
sonucu oluan horizontal kk krklarnn apikal lde olmas durumunda prognozun genellikle iyi olduu
bildirilmektedir. Radikler kist, pulpas nekroze olan dilerin periapikal blgesinde gelien ve enflamasyona
bal ola-rak olutuu dnlen, kronik enflamatuar bir kist olup odontojenik kistler iinde en yaygn grlen
kisttir. Bu vaka raporunda horizontal kk kr sonras oluan radikler kiste ait tehis ve tedavi prosedr
sunulmaktadr.
Vaka raporu: 14 yandaki erkek hasta damak blgesindeki ilik nedeniyle Krkkale niversitesi Di Hekimlii Fa-kltesi Pedodonti AD kliniine bavurmutur. Hastann az ii muayenesinde 11-12-13 nolu diler
hizasnda palatinal blgede ilik grlm, ilgili blgeden alnan periapikal ve panoramik radyografi-lerde,
gemite horizontal kk kr olutuu tahmin edilen 12 nolu diten kaynaklanan geni bir kistik lezyon ve
bu lezyonla ilikili deplase olmu apikal fragman gzlenmitir. Hastadan alnan anamnezde birka yl nce
dental yaralanma geirdii ancak tedavi grmedii renilmitir. Sz konusu kistik yap ve di cerrahi olarak
karlm, yaplan patolojik inceleme sonucu radikler kist tans konmutur.
Sonu: Toplumun, travmatik dental yaralanmalar sonras herhangi bir ikayet olmasa bile bir di hekimine kontrol amal olarak bavurma konusunda bilinlendirilmesi gerekmektedir. Ayrca intraalveolar kk
krklar, oluabilecek komplikasyonlar asndan uzun sre klinik ve radyografik olarak takip edilmeli-dir.
Anahtar Kelimeler: Radkuler kist, Horizontal kk kr
188
P-022
KOMPLKE BR TRAVMA OLGUSU: 2 YILLIK TAKP
Giri: Lksasyon ve avlsiyon zellikle gen srekli dilerde sklkla karlalan travmalardr ve ocuklarda
olumsuz estetik, fonksiyonel ve psikolojik sorunlara yol amaktadr. Bu olguda kk geliimi tamamlanmam
st ene kesici dilerinin travma sonras tedavisi sunulmutur.
Olgu: 9 yandaki erkek hasta geirdii travmadan 1 gn sonra stanbul niversitesi Di Hekimlii Fakltesi
Pedodonti Anabilim Dal kliniine bavurmutur. Hasta travmadan 2 saat sonra di hekimine gtrlm ve
yar rijid slint uygulanmtr. Yaplan az ii muayenesi sonucu, splintte kopma meydana geldii, 12 nolu
diin avlse olduu, 11 ve 21 nolu dilerde ise lksasyon saptanmtr. 12 nolu di kaza sonras bulunamadndan reimplantasyon gerekletirilememitir. 11 ve 21 nolu dilerde vitalite testlerine negatif yant alnm,
radyografik muayene sonucu dilerin geliimlerinin tamamlanmam olduu saptanmtr. Eski splint kartlarak tekrar yar rijid bir splint 3 hafta sre ile uygulanmtr. Travmaya urayan dilerde 6 ay sresince vitalite
testlerine negatif yant alnm, patolojik lksasyon ve fistl oluumu grlmemesi nedeniyle yalnzca takip
edilmesine karar verilmitir. 1 yllk takip sonucunda vitalite testlerine pozitif yant alnm, 2 yllk takip sonucunda klinik ve radyografik olarak dilerin salkl olduu ve kk geliimlerinin devam ettii gzlenmitir.
Sonu: Travmaya uram, kk geliimi tamamlanmam gen srekli dilerde revasklarizasyon sonucu pulpann iyilemesi grlebilir. Bu tr olgularda uzun sreli klinik kontroller iyileme srecini izlemek veya
geliebilecek komplikasyonlar saptamak asndan gereklidir.
Anahtar Kelimeler: travma, lksasyon, avlsiyon
189
P-023
NTRZE OLMU DAM KESC DN ORTODONTK EKSTRZYON LE TEDAVS:
BR OLGU SUNUMU
Sermin Dicle ULU, Dihekimlii Fakltesi - Pedodonti Anabilim Dal,
Yeliz GVEN, Dihekimlii FAkltesi - Pedodonti Anabilim Dal,
Oya AKTREN, Dihekimlii FAkltesi - Pedodonti Anabilim Dal,
Giri: ntrzyon travmaya bal olarak diin alveol kemii ierisinde yer deitirmesidir. Periodontal ligament, damar-sinir paketi ve alveol kemii gibi yaplarn ayn anda zarara uramasndan dolay prognozu en
pheli dental travma tiplerinden biridir. Daimi diler iin uygulanabilecek tedavi seenekleri diin kendiliinden srmesinin beklenmesi, cerrahi repozisyon ve ortodontik ekstrzyondur. Bu olgu sunumunda travmaya
bal olarak st orta kesici dite intrzyon ve komplike kuron kr bulunan ocuk hastada uygulanan tedavi
yaklam sunulmutur.
Olgu: 10 yandaki erkek hasta stanbul niversitesi Di Hekimlii Fakltesi Pedodonti Anabilim Dalna
bisiklet kazas hikayesi ile bavurmutur. Klinik muayenede 11 numaral diin kuronunun labiale doru yer
deitirerek intrze olduu ve komplike kuron kr bulunduu belirlenmitir. Periapikal radyografide ilgili
diin apeksinin ak olduu ve alveolar soket kr gzlenmitir. Tedavide 11 numaral diin ortodontik ekstrzyonu ve kalsiyum hidroksit ile apeksifikasyonu planlanmtr. 13 aylk sabit ortodontik tedavi sonras ideal
oklzyon salanm ve 11 numaral diin kk oluumunu takiben endodontik tedavisi tamamlanarak kuron
harabiyeti kompozit rezin ile restore edilmitir. 1 yllk kontrollerde klinik ve radyografik olarak herhangi patolojik bulguya rastlanmamtr.
Sonu: Bu olguda intrzyon derecesinin fazla oluu ve alveol soket kr varl gz nnde bulundurularak
tedavide hafif kuvvetler ile ortodontik ekstrzyon tercih edilmitir.
Anahtar Kelimeler: travma, intrzyon, ortodontik, ekstrzyon
190
P-024
EKSTRZV LKSASYON TEDAVSNDE GE MDAHALE: OLGU SUNUMU
Mustafa AYDINBELGE, Erciyes niversitesi Di Hekimlii Fakltesi - Pedodonti Ana Bilim Dal,
Hsniye GM, Erciyes niversitesi Di Hekimlii Fakltesi - Pedodonti Ana Bilim Dal,
Kenan CANTEKIN, Erciyes niversitesi Di Hekimlii Fakltesi - Pedodonti Ana Bilim Dal,
Giri: Daimi dilerdeki lksasyon yaralanmalar sublksasyon, lateral lksasyon, intrzyon ve ekstrzyon olarak snflandrlmaktadr. Ekstrzyonun klinik belirtisi diin uzamas ve mobil olmasdr. Radyografik olarak
apikal blgede artm periodontal aralktr gzlenir. Tedavisi ekstrze olan dii olabildiince erken dnemde
repoze etmek ve iki hafta esnek bir splint ile stabilize etmektir. Ancak tedavinin zamannda yaplamam
olmas nedeniyle di repoze edilemeyebilir, byle durumlarda dii repoze edebilmek iin farkl yntemlere
bavurulabilir. Bu yntemlerden biri kasti replantasyon tedavisidir. Kasti replantasyon yakn gemite en son
are olarak dnlmesine ramen, son yllarda periodonsiyum ile ilgili bilgilerin ve gelitirilmi tekniklerin
artmas ile artk son are olarak grlmemektedir.
Olgu Sunumu: Alnan anamnez sonucunda, 11 yanda erkek hastann okulda geirdii bir kaza sonucunda
11 numaral diinde ekstrzyon meydana geldii, kaza sonras bulunduu ehirdeki bir di hekimi tarafndan
ilgili die splint uyguland ve kazadan 25 gn sonra splintin kmasna bal olarak diindeki mobilite nedeniyle Erciyes niversitesi Di Hekimlii Fakltesi ocuk Di Hekimlii Kliniine bavurduu renilmitir.
Travma zerinden uzun zaman gemesi nedeni ile di repoze edilememitir. Bu nedenle cerrahi bir ilem olan
kasti replantasyon tedavisi uygulamaya karar verilmitir. Di ekilmi, kanal tedavisi yaplm, ekim soketi
lk serum fizyolojik ile irrige edilip kan phts uzaklatrlmtr. Kanal tedavisi yaplm olan di replante ve
repoze edilmi, 3 hafta sre ile yar rijit splintleme yaplmtr. Hasta dzenli haftalk ve 2 haftalk kontrollere
arlm 4 haftada bir radyografik deerlendirme yaplmtr. kinci ay sonrasnda apikal blgede eksternal
rezorbsiyon balad gzlenmitir. Bunun zerine die apikal rezeksiyon yaplm ve rezeksiyon sonrasnda
yaplan 3 aylk kontrollerle toplam 21 aylk takipte rezorbsiyonun engellendii grlmtr.
Sonu: Ektrsiv lksasyon tedavisinde, travmadan sonra olabildiince erken dnemde repozisyonlandrma
ve splint ile stabilizasyon nemli yer almaktadr. Btn travmatik yaralanmalar da olduu gibi bu travmalarn tedavisinde de zaman nemli bir faktrdr. Ancak travma sonrasnda aradan uzun zaman getii durumlarda kasti replantasyon gibi tedavi seeneklerinin baarl sonular salayabilecei deerlendirilmitir.
Anahtar Kelimeler: Ekstrzyon, Kasti Replantasyon, Apikal Rezeksiyon
191
P-025
N APRAZ KAPANIIN HAREKETL ORTODONTK APAREYLER LE DZELTLMES:
BR OLGU SERS
Koray SURME, Ordu Universitesi Dis Hekimligi Fakultesi - Pedodonti Ana Bilim Dali,
Cigdem GULER, Ordu Universitesi Dis Hekimligi Fakultesi - Pedodonti Ana Bilim Dali,
Nihal BELDUZ KARA, Ordu Universitesi Dis Hekimligi Fakultesi - Pedodonti Ana Bilim Dali,
Yasin Atakan BENKLI, Ordu Universitesi Dis Hekimligi Fakultesi - Ortodonti Ana Bilim Dali,
Tunahan KANYILMAZ, Ordu Universitesi Dis Hekimligi Fakultesi - Pedodonti Ana Bilim Dali,
Didem ODABASI, Selcuk Universitesi Dis Hekimligi Fakultesi - Pedodonti Ana Bilim Dali,
Giri: n apraz kapan estetik ve fonksiyon asndan nemli bir problemdir. ocuk di hekimleri ve ortodontistler dental geliimin erken evresinde n apraz kapann tehis ve tedavisinden sorumludurlar. Kark
dilenme dneminde n apraz kapann tedavisi mmkndr ve tedavinin gecikmesi daha komplike durumlarn oluumuna neden olabilir.
Ama: Bu olgu serisinde Ordu niversitesi Di Hekimlii Fakltesi Pedodonti Anabilim Dalna bavuran ve
n apraz kapan tespit edilen bir grup ocuk hastann dental tedavileri sunulacaktr.
Olgu Raporu: almaya yalar 9-11 (ortalama 9,57 ya) arasnda deien, sadece n blgede bir veya iki dii
apraz kapanta olan 7 ocuk (3 kz ve 4 erkek) dahil edilmitir. Tm hastalar kark dilenme dneminde
olup, az ilikisi Angle snf Idir. Hastalarn sefalometrik lmleri yapldktan sonra hareketli ortodontik
apareyleri hazrlanm ve zemberekler aktive edilmitir. Tm hastalara diyet nerileri ve apareyin kullanm
ile ilgili bilgilendirme yaplmtr. Her aparey 2 hafta sonra kontrol edilmi, gerek duyulmas halinde apareyler yenilenerek 3 ay sresince kontrollere devam edilmitir. Hastalarda ortalama olarak 8.2 haftada n apraz
kapann dzenlendii tespit edilmitir.
Sonu:Angle snf I az kapanna sahip, bir veya iki kesici dii apraz kapanta olan hastalar hareketli ortodontik apareyler ile ksa srede, dk maliyette ve ileri ortodontik tedavilere duyulan gereksinim azaltilarak tedavi edilebilir.
Anahtar Kelimeler: hareketli ortodontik apareyler, n apraz kapan
192
P-026
TEK D N APRAZ KAPANII OLAN 9 OLGUDA HAREKETL APAREY TEDAVSNN
DEERLENDRLMES
Damla TUNCER BUDANUR, stanbul niversitesi - Pedodonti AD,
Sinem KURU, stanbul niversitesi - Pedodonti AD,
Arzu Pnar ERDEM, stanbul niversitesi - Pedodonti AD,
Elif SEPET, stanbul niversitesi - Pedodonti AD,
Giri: n apraz kapan; iskeletsel, dental veya hem iskeletsel hem de dental kaynakl olabilir. Kark dilenme dneminde dental kaynakl n apraz kapann tedavisi ile daha komplike olan maloklzyon oluumunu nlemek mmkndr. Dentofasiyal geliimle birlikte gerek Klas III ilikisi oluumunu nlemek iin n
apraz kapann neden olduu pseudo Klas III diye de ifade edilen bu durumun kark dilenme dneminde
ortadan kaldrlmas nerilmektedir. n apraz kapan tedavisi iin sabit ortodontik tedavi, zemberekli hareketli aparey, kompozit rezin slop gibi eitli tedavi seenekleri nerilmektedir. n apraz kapan tedavisinde
hareketli aparey kullanm; gvenli, kolay uygulanabilen, hasta tarafndan kabul edilebilir bir yntemdir.
Ama: Bu olgu sunumunda, benzer zellik gsteren 9 hastann n apraz kapan zemberekli hareketli aparey
ile tedavi edilmi, tedavi ynteminin etkinlii ve sresi deerlendirilmitir.
Olgu Sunumu: Bu olgu serisindeki hastalar; stanbul niversitesi, Di Hekimlii Fakltesi, Pedodonti A.D.na
dental muayene iin bavuran n apraz kapan anomalisi gsteren ocuklar arasndan seilmitir. Yalar
7-12 arasnda deien 9 ocuk tedavi kapsamna alnmtr. Tedavi iin seilen hastalarn; kark dilenme dneminde, Angle snf I oklzyonda, n blgede bir dite apraz kapan ilikisinin ve labialde repozisyon iin
yeterli mesafesinin olmas gibi benzer kapan zelliklerine sahip olmalarna dikkat edilmitir. 9 hastann n
apraz kapan anomalisi hareketli zemberekli aparey ile tedavi edilmitir. Aparey, azlar blgesinde oklzyon
ykseltici plak ve protrzyon zembereinden olumaktadr. Protrzyon zemberekleri 3 haftada bir klinikte
hekim tarafndan aktive edilmitir. n apraz kapann tamamen dzeldii ve yeterli overbite ilikisinin saland seansta apareylerin kullanmna son verilmitir.
Sonu: Hastalarn tamamnda 3-8 hafta iinde alt kesicilere gre palatinalde yer alan st kesici dilerin labiale doru yneldii ve normal overbite ilikisinin saland grlmtr. Vertikal olarak relaps oluumunu nleyecek
olan gerekli overbite kilit ilikisi salanmtr. Bu sonular nda, hareketli zemberekli apareylerin, Angle snf
I oklzyonda izlenen tek di n apraz kapan olgularnda baarl bir ekilde kullanlabilecei dnlmektedir.
Anahtar Kelimeler: n apraz kapan, hareketli aparey, tedavi
193
P-027
12-14 YALARINDAK OCUKLARIN ORTODONTK TEDAV GEREKSNMLERNN,
OCUKLARIN KEND STEKLER VE ALELERNN SOSYOEKONOMK DZEYLER VE
ETM SEVYELER DORULTUSUNDA DEERLENDRLMES
idem KKEMEN, Sleyman Demirel niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim
Dal,
Esra KARAAA, Sleyman Demirel niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Ama: Aratrmada; 12-14 yalar arasndaki ocuklarn kendilerinin farkettikleri di dzensizlikleri ve buna
bal ortodontik tedavi gereksinimlerinin ve bu gereksinimlerin cinsiyet, disel malokluzyon, ailenin eitim
seviyesi ve sosyoekonomik durumu gibi deikenlere gre deerlendirilmesi amalanmtr. Metot: SD Di
Hekimlii Fakltesi Pedodonti ABD Kliniine bavuran, 12-14 yalar arasndaki 420 hasta ortodontik tedavi
ihtiyac bakmndan deerlendirilmitir. Bu amala; hastalara dilerinin grnmnden memnuniyeti, gerekli
grld takdirde ortodontik tedavi istei ve nedeni, ailelerinin sosyoekonomik dzeyleri ve eitim seviyeleri ile ilgili yukardaki parametreler deerlendirilmitir.
Bulgular: 420 hastann (238 kz, 182 erkek) 113 disel olarak Snf I, 128i Snf II, 80i Snf II Div 1, 66s
Snf II Div 2, 33 Snf III malokluzyona sahiptir. alma grubunun %71,6s dilerinin grntsnden
memnun olmadklarn belirtmilerdir. Bu hastalarn %79u, memnuniyetsizliklerinden dolay daha nce de
di hekimine bavurduklarn bildirmilerdir. Glerken dilerinden dolay rahatszlk duyduunu syleyen 192
kiiden (%54,3) sadece 7 kiisi konuurken her zaman eliyle azn kapatmaktadr. alma grubunun %75,9u
ortodontik tedaviyle dilerinin dzeltilmesinin gerekli olduunu belirtmitir. Neden olarak da, byk ounluu (%73) dilerinin gzel gzkmesini istediklerini bildirmilerdir. Tedavide kullanlacak apareyin hastalarn %25,9u sabit, %41,9u hareketli olmasn isterken, geri kalan farketmeyeceini sylemitir. alma
grubunun %45,7si estetiin, %38,3 fonksiyonun, %16s her ikisinin de nemli olduunu belirtmilerdir.
Ailelerin sosyoekonomik durumlarna bakldnda; %56,8inin dk, %27,3nn orta, %5,2sinin yksek,
%10,4nn ok yksek aylk gelir seviyesinde olduu belirlenmitir. Ailelerin eitim seviyeleri incelendiinde, %41inin ilkokul,%14nn ortaokul, %24nn lise, %20sinin niversite mezunu olduu grlmtr.
Sonu: ocuklarn ortodontik tedavilerinin baarl olabilmesi iin ocuklarn gr ve destei alnmaldr.
Hastalarn birounun Snf I kapana sahip olduu, karma dilenme dneminde hekimlerin problemleri o
dnemde de zebilecei sonucuna varlmtr. Ailelerin sosyoekonomik dzeyleri ve eitim seviyeleri dk
olsa bile ocuklarn farkndalklarnn olduu grlmtr.
Anahtar Kelimeler: estetik ihtiyac, koruyucu ortodonti, malokluzyon, ortodontik tedavi gereksinimi, ortodontik tedavi istei
194
P-028
KRONK BBREK YETMEZL OLAN HASTANIN 7 YILLIK DENTAL TAKB:
VAKA SUNUMU
Mustafa Erhan SARI, OM Dihekimlii Fakltesi - Pediatric Dentistry,
Alp Erdin KOYUTRK, OM Dihekimlii Fakltesi - Pediatric Dentistry,
Bilal ZMEN, OM Dihekimlii fakltesi - Pediatric Dentistry,
Murat CORTCU, OM Dihekimlii fakltesi - Pediatric Pentistry,
Ama: Gen yata kronik bbrek yetmezlii tehisi konulan bir hastann dental takibini sunmaktr.
Olgu: Hasta 5 yanda kronik bbrek yetmezlii nedeniyle Ondokuz Mays ni tp fak. bavurmutur. E zamanl hastaya epilepsi tans da konulmutur. Diyalize ve epilepsi ilalarna balanmtr. 9 yl diyalize alnan
hastaya 14 yanda bbrek transplantasyonu yaplmtr. Hasta 9 yanda ocuk Di Hekimlii Kliniine
kontrol amacyla bavurmutur. Yaplan kontrollerde daimi dilerde kk formasyonunun yetersiz oluumu ve
buna bal daimi di kayplar, kk kanal boluklarnda siliklemeler tespit edilmitir. Alnan panoramik radyografiler ile hastann 7 yldr dental kontrolleri yaplmaktadr.
Sonu: Gen yalarda kronik bbrek yetmezlii kalsiyum emiliminde skntya sebep olabilmektedir, bu yzden di geliimini etkilenebilmektedir. Bu rahatszl bulunan hastalarda dental takiplerin yaplmas nemlidir. Erken tehis ve uygun tedavi yaklamlar oluabilecek komplikasyonlar azaltmada faydal olacaktr.
Anahtar Kelimeler: kronik bbrek yetmezlii, dental takib
195
P-029
MAKRODONT GRLEN ALT KK AZI DNDE ENDODONTK TEDAV
Banu TER, Bakent n vers tes stanbul Salik Uygulama Ve Ar Merkez - Pedodonti,
Mehmet Kutlu TANK, Bakent n vers tes stanbul Salik Uygulama Ve Ar Merkez - Pedodo
Giri:Bir diin normalden byk olduu boyut anomalilerine makrodonti denilmektedir. Makrodonti grlme
skl azdr ve en sk st kesici diler, ikinci olarak da alt st az dileri etkilenmektedir.
Olgu Raporu: Bu olguda alt enede ift tarafl makrodonti grnmnde kk az dileri belirgin zellikleri
ile sunulmutur. 14 yanda salkl bir erkek hasta sol alt enesinde iddetli ve spontan ar ikayeti ile klinie bavurdu. Yaplan klinik, periapikal ve panoramik radyografi deerlendirme sonrasnda hastann 45 nolu
diinde pulpay iine alan derin dentin r grld. rreversibl pulpitis tehisi konulan ilgili diin endodontik tedavi yaplarak azda tutulmasna karar verildi ve karmak kk kanal anatomisini belirleyebilmek iin
konik nl bilgisayarl tomografi (KIBT) alnmas planland. Alnan KIBT de diin mesialde 2 distalde de 1
olmak zere kanal olup, bu kanallarn da yatay pulpa dokusu ieren koridorlarla birbirlerine baland
gzlendi. Lokal anestezi altnda tedavi ncesi restorasyon gerekletirildi, lastik rt uygulamasn takiben
endodontik giri kavitesi ald. Pulpa koridorlar ultrasonik ularla birletirildi. Kk kanallar dner alet sistemi ile ekillendirildi ve son olarak akkan gutta perka ile dolduruldu. Kompozit rezin ile final restorasyon
yapld.
Sonu: Makrodontinin okluzyon ve rk geliebilme asndan risk oluturduu bilinmektedir. te yandan
makrodont diler zellikle estetik kaygnn fonksiyondan daha az nemli olduu posterior blgede doru klinik yaklamla baarl eklide azda tutulabilirler.
Anahtar Kelimeler: makrodonti, endodontik tedavi
196
P-030
D VTAMN NTOKSKASYONUNA BALI DAM DLERDE GRLEN OKLU
D ANOMALLER: OLGU SUNUMU
Mge YAVA, Bezm alem Vakif n vers tes D Hek ml Fakltes - Pedodont Anabi
erife ZALP, Bezm alem Vakif n vers tes D Hek ml Fakltes - Pedodont Ana,
Giri: Besinlerle prohormon eklinde alnan D vitamini, yada zlen, vcutta kalsiyum ve fosfat metabolizmasnda rol oynayan bir vitamindir. Di ve kemik geliiminde nemli bir role sahip olan D vitamini fazlal,
kanda kalsiyum dzeyinin ykselmesine bal olarak, kemiklerin daha krlgan hale gelmesine neden olurken,
dilerde ise mine hipoplazisi ve pulpa kalsifikasyonlarna neden olabilmektedir. Ama: Bu olgu sunumunun
amac; ocukluk dneminde geirilen D vitamini intoksikasyonuna bal olarak, geliim dnemindeki dilerde
ortaya kan oklu di anomalilerinin deerlendirilmesidir.
Vaka Raporu: Di rklerinin tedavi edilmesi iin Bezmialem Vakf nivesitesi Pedodonti Kliniine bavuran 8 yandaki kz hastann sistemik olarak herhangi bir hastalnn olmad saptand. Yaplan intraoral
klinik muayenede srm halde bulunan daimi alt ve st santral kesici ile alt lateral kesici dilerde kuronal
orta 1/3te izgi eklinde hipoplazik alanlar gzlendi. st lateral kesici dilerde ise insizal 1/3te hipoplazik
alanlar belirlendi. Alt ve st birinci molar dilerin de hipoplazik yapda olduu saptand. Yaplan radyografik
muayenede ise daimi kanin dilerinin kklerinde dilaserasyon ve kuronlarnda morfolojik bozukluk olduu
gzlendi. St dilerinin ise normal kk ve kuron morfolojisine sahip olduu tespit edildi. Alnan ayrntl
anamnezde, hastaya, 1 yanda iken yry bozukluu nedeniyle D vitamini eksiklii tedavisine baland
ve tedavi srasnda ortaya kan bulant, kusma ve ishal ikayetleri nedeni ile yaplan tetkikler sonucu D vitamini intoksikasyonu tehisi konulduu renildi. Tedavi planlamasnda ncelikle rk dilerin tedavisi, daha
sonra da hipoplazik alanlarn restorasyonu amaland. leri derecede madde kayb olan alt daimi birinci molar
diler, rk temizlendikten sonra self-etch bond (Clearfil SE Bond, Kuraray, Japan ) ve kompozit (Clearfil
Majesty ES-2 Kuraray, Japan) kullanlarak restore edildi. st ve alt kesici dilerin ise minimal preparasyon
sonras kompozit dolgu ile estetik restorasyonlar tamamland.
Sonu: Di geliiminin matriks formasyonu ve kalsifikasyon aamalar, hipoplazi ve hipokalsifikasyon gibi
defektlere neden olabilen eitli faktrlerin etkisi altndadr. ocukluk dneminde geirilen D vitamini intoksikasyonu da bu faktrlerden birisidir.
Anahtar Kelimeler: D vitami intoksikasyonu, hipoplazi, dilaserasyon
197
P-031
RABSON-MENDENHALL SENDROMU: OLGU RAPORU
Yelda KASIMOLU, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti A.D.,
Giri: Rabson-Mendenhall Sendromu (RMS) inslin reseptrlerini etkileyen ve nadir grlen otozomal resesif geili bir hastalktr. Bu sendrom tip-a inslin direnci, hiperinslinemi, subktan ya dokusu eksiklii,
akantozis nigrikans, geliim gerilii, erken puberte, erken dilenme ve pineal hiperplazi sonucunda ketoasidoz
gelimesi ile karakterizedir. Bu olgu raporunda RMSnin az ii ve radyolojik bulgularn sunulmaktadr.
Olgu Raporu: 8 yandaki kz hasta di ars ikayeti ile stanbul niversitesi Di Hekimlii Fakltesi Pedodonti Anabilim Dalna bavurmutur. Tbbi anamnezinde (kanc derece ise yazabilirsin.. r: 2. derece) akraba evlilii grlen hastann dahiliye ve dermatoloji kliniklerinde takibi yapld bilgisi edinilmitir. Az ii
muayenesinde hastann daimi dilenme dneminde olduu, n apraz kapan ve derin damak kubbesi varl
gzlenmitir. Dilin lateral yznde derin fissrler ve hipertrofik filiform papillalar tespit edilmitir. Hastada
kt az hijyeni ve kserostomiye bal yaygn di rkleri ile kronik marjinal gingivitis saptanmtr. Panoramik radyografi incelendiinde tm kk az, tm birinci ve ikinci byk az dilerinin kk geliimlerinin
ve tm nc byk az dilerinin ise kuron formasyonunun tamamland grlmtr. (bu normal bir bulgu
mu, normal olanlar deil de anormal yani normale uymayan bir bulgu varsa yazlr)
Sonu: RMSli hastalarda, erken yalarda tan, koruyucu tedavi yaklam ve dzenli kontrollerin hastann
yaam kalitesini artraca dnlmektedir.
Anahtar Kelimeler: Rabson-Mendenhall Sendromu, dental bulgular
198
P-032
LYAK HASTASI OCUKLARIN DMF-T/ DMF-T NDEKS, TKRK AKI HIZI VE PHSI,
D YAI VE MNE DEFEKTLERNN DEERLENDRLMES
Kenan CANTEKIN, Erciyes University - Pediatric Dentistry,
Ebru DELIKAN, Erciyes University - Pediatric Dentistry,
Ama: Bu almann amac lyak hastal olan ocuklarda tkrk salgs, di ya, mine defekti, az ii
aftz lezyonlar ve DMF-T/ dmf-t indeksinin salkl bireylerle karlatrarak farkllklar belirlemektir.
Gere ve Yntem: Yalar 5- 15 arasnda deien 20 lyak hastas ile benzer ya ve cinsiyet zelliine sahip
20 salkl ocuk almamza dahil edildi. Hasta ve kontrol grubu DMF-T/ dmf-t indeksi, aftz lezyonlar
ve mine defektleri asndan muayene edilerek deerlendirildi. Di ya alnan panoramik radyograflardan
Demirjian ytemi ile saptand. Ayrca uyarlmam tkrk ak hz ve tkrk PH deerlendirmeleri yapld.
Sonu: almamzn sonularna gre mine defekti oran lyak hastas ocuklarda kontrol grubuna kyasla
daha fazla bulundu. Az iinde aftz lezyon lyak hastalarnda daha yksekti.
Anahtar Kelimeler: lyak hastal, mine defekti, tkrk ak hz, di ya, aftz lezyon
199
P-033
TORELLO CAREY SENDROMLU HASTADA DENTO-FASYAL PROBLEMLER
Ebru TIRALI, Baskent University - Pediatric Dentistry,
ala AR, Baskent University - Orthodontics,
Banu LHAN, Baskent University - Pediatric Dentistry,
Burak EHRELI, Baskent University - Pediatric Dentistry,
Giri: Bu sendrom ilk kez 1988 ylnda Toriello Carey tarafnda 4 ocuk hastada tanmlanm otozomal resesif
gei gsteren bir sendromdur (OMIM 217980). Sendromun ayrc tansnda Pierre Robin ve Opitz sendromlar yer almaktadr. Sendromla ilikilendirilmi belirgin kranio-dento-fasiyal farllklar mikrosefali, geni fontaneller, hidrosefali, kk palpebral fissrler, ksa kirpikler, hypertelorizm, telekantus, strabismus, belirgin
kulaklar, burun kanatlar ak fakat kk burun, microstomi, mikroretrognathizm, glossoptosis, yark damak,
oligodonti, ve maloklzyondur.
Vaka Raporu: Bu vaka raporunda dental tedaviler iin Pedodonti Kliniine bavuran 8 yanda kz hastann
dento-fasiyal zellikleri ile tedavi planlamas anlatlmaktadr. Tan konulmu biimde klinie bavuran hasta
55 nolu diinde spontan ar hikayesi bildirmitir. Panoramik rntgen ile radyolojik deerlendirme ve klinik
muayene sonucunda hastann 55,65,75 ve 85 Nolu dilerin ar madde kayb ve periapikal patolojiler nedeni
ile ekim ile tedavilerine karar verilmitir. Hastada dental problemlerin yansra ortodontik olarak maksiller
darlk ve ak-kapan gzlenmitir. Ya ve sendrom nedeniyle hasta ile iletiim kurulamamtr. Hastann
dental ilemleri genel anestezi altnda tamamlanmtr. Genel anestezi srasnda ve sonrasnda herhangi bir
komplikasyon gelimemitir. Hasta ilem sonrasnda 3er aylk kontrollere arlmtr. Tek bir kontrole gelen
ve daha sonra bavurmayan hasta 3 sene sonra kliniimize bavurmutur. Bu sre ierisinde mandibulada belirgin byme gelimi ve maksilla kk kalmtr. Erken st dii kayb nedeniyle malokluzyonu iddetlenen
hastaya ortodontik tedavi yaplmas planlanmaktadr.
Sonu: Toriello Carey nadir grlen bir sendrom olup, anamnezde aile hikayesi bulunduunda morfolojik
ultrason teknikleri ile intaruterin yaamda tan konulabilen bu sendroma ilikin belirgin fasiyal zellikler nedeniyle dihekimlerinin farkndal klinik nem tamaktadr. Tansnn erken konmas, ileride geliebilecek
klinik problemlerin takibi asndan nem tamaktadr.
Anahtar Kelimeler:
200
P-034
BR OLGU NEDENYLE CHERUBSM
Enver Alper SINANOLU, Kocaeli Universty - Oral and Maxillofacial Radiology,
GR: Cherubism; non-neoplastik, maksilla ve mandibulada ciddi ykmlar oluturabilen, otozomal dominant
geili, fibro-ossez bir anomalidir. lk kez 1933 ylnda Jones tarafndan tanmlanmtr. Sklkla erkeklerde
gzlenen bu anomali ilk bulgularn alt yz blgesinde, arsz, bilateral ilikler olarak verir. Genellikle hastalarda karakteristik \melek yz\ grnm gzlenir. ki- yalarnda balayan lezyonlar ergenliin sonlarna doru spontan regresyon gsterir. Radyografik olarak; maksilla ve mandibulada iyi snrl, multiokler,
radyolsent lezyonlara rastlanlr. Cherubism tedavisinde sklkla hastalar puberte dnemi sonuna kadar takip
edilir.
VAKA RAPORU: 5 yandaki kz hasta, alt enesinde ift tarafl ilik ikayetiyle Kocaeli niversitesi Di
Hekimlii Fakltesi Pedodonti Kliniine bavurdu. Hastann ekstraoral muayenesinde yanak blgesinde bilateral, arsz, sert ilikler ve bilateral arsz submandibular lenfadenopati saptand. Hastann intraoral muayenesinde alt ve st st molar dilerinde aproksimal rkler olduu tespit edildi. Alnan panoramik film ve
KIBT (Konik In Huzmeli Bilgisayarl Tomografi) sonucunda mandibula posteriorunda bilateral, radyolusent, multipl kistik lezyonlar tespit edildi. Cherubism n tans konulan hastada yaplan genetik (SH3BP2)
ve laboratuar testleri cherubism tansn destekledi. Hastann gerekli restoratif tedavileri gerekletirildikten
sonra hasta takibe alnd.
SONU: Cherubism, karakteristik radyolojik grntlere sahiptir. Ancak, cherubism tansnda radyografik
deerlendirme tek bana yeterli deildir. laveten hastaln klinik grnts, lokasyonu, tutulumu olduka
byk nem tar. Cherubism tedavisi amacyla erken yata uygulanan gereksiz radikal cerrahi ilemleri engellemek iin, ocuk hastalar ilk gren hekimler olarak Pedodontistlerin sistemik hastalklar ve kraniofasiyal
sendromlar asndan yeterli bilgi ve donanma sahip olmas gerektii bu vaka ile 1 kez daha vurgulanmaktadr.
Anahtar Kelimeler:
201
P-035
DUDAK-DAMAK YARIKLI BR OCUUN RESTORATF, PROTETK VE FONETK
REHABLTASYONU
Burak ARIKIOLU, D Hek ml - Pediatric Dentistry,
Sera MEK DERELOLU, D Hek ml - Pediatric Dentistry,
Ycel YILMAZ, D Hek ml - Pediatri
Giri: Dudak-damak yarklar(DDY), byme ve geliimi etkileyen kompleks problemleri ieren en yaygn
fasiyal deformitelerden biridir. DDY etiyolojisinde, hem genetik hem de evresel faktrlerin rol oynad
ancak bu vakalarn byk bir ksmnda multi-faktryel kaltmn geerli olduu dnlmektedir. DDYli
ocuklarda, cerrahi tedavilerden sonra bile, hastalarnn rehabilitasyonu zellikle fonksiyonel ve estetik olarak olduka nem tar, fasiyal ve oral deformiteler di hekiminin mdahalesini gerektirir. Doumla balayp
hastann byme geliiminin bitimine kadar devam eden tedavi srecinde dzgn bir fonksiyonel yap kazandrlmasnn yan sra tatmin edici estetik sonu, hastann hayat kalitesinin arttrlmas asndan olduka
nlemlidir. Konjenital damak yarkl bireylerde en byk sorunlardan biri de konumadr.
Olgu ve Sonu: Bu olgu sunumunda, di ars, konuma ve estetik sorunlar sebebiyle Atatrk niversitesi Di
Hekimlii Fakltesi Pedodonti Anabilim Dalna bavuran 6 yanda ift tarafl dudak-damak yarkl erkek hastann genel anestezi altnda yaplan restoratif tedavilerini takiben, estetik ve fonetik rehabilitasyon rapor edilmitir.
Anahtar Kelimeler:
202
P-036
BARDET-BIEDL SENDROMU: K OLGU SUNUMU
Yelda KASIMOLU, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti A.D.,
Giri: Bardet Bield sendromu (BBS) otozomal resesif geili nadir grlen bir sendromdur. Karakteristik
zellikleri arasnda; obezite, retinal distrofi, polidaktili, mental retardasyon, hipogonodizm ve renal fonksiyon
kayb saylabilmektedir. Dental bulgular arasnda hipodonti, mikrodonti, kklerde ksalk ve derin damak kubbesi grlebilmektedir. Bu olgu raporunda BBSnin klinik ve radyografik bulgular sunulmaktadr.
Olgu Sunumu: BBS tanl 13 ve 18 yanda iki erkek karde stanbul niversitesi Di Hekimlii Fakltesi Pedodonti blmnde ar ikayeti ile bavurmutur. Hastalarn anamnezinde 1.dereceden akraba evlilii varl
renilmitir. Az d muayenede her iki kardete de obezite, polidaktili, mental retardasyon, hipogonodizm,
retinitis pigmentoza grlmtr. lk olguda az ii ve radyografik incelemede yaygn mine hipoplazisine,
srme gecikmesine ve Angle Snf II maloklzyona rastlanmtr. kinci olguda da mine hipoplazisi, alt sol 2.
kk az diinin kk geliiminde gecikme, alt orta kesici ve yan kesici dilerin kklerinde ksalk ile Angle
Snf II maloklzyon grlmtr.
Sonu: Bu sendroma sahip hastalarn az di bulgularnn da olabilecei gz nnde bulundurularak, dier hastalklarnn yansra di hekimi kontrollerinin de rutin olarak yaplmas gerektii bilinmelidir.
Anahtar Kelimeler: Bardet-Biedl Sendromu, az di bulgular
203
P-037
CRI-DU-CHAT SENDROMU: BR OLGU SUNUMU
Zeycan rem KYLOLU, Akdeniz University Faculty of Dentistry - pediatric dentistry,
Esma YILDIZ, Akdeniz University Faculty of Dentistry - pediatric dentistry,
Ercan MIHI, Akdeniz university of Medical - Pediatric Genetics,
Giri: Cri-du-chat sendromu (CdCs) 5 nolu kromozomun ksa kolundaki delesyondan kaynaklanan, nadir
grlen bir genetik bozukluktur. Bu sendrom, kedi miyavlamas eklinde ince, tiz, yksek sesli alama ile
karakterizedir. nsidans, canl doumlarda 1:15000 ile1:50000 arasnda deimektedir. Oral bulgular; mikrognati, malokluzyonlar, yksek damak ancak nadiren damak yar ile birlikte grlr, n ak kapan, kt az
hijyeni, mine hipoplazisi, kronik periodontitis, di srmesinde gecikme olarak bildirilmitir.
Olgu Sunumu: Bu olgu raporunda, CdCs tehisi konulan 2 yandaki Trk kznn, tipik tbbi ve dental bulgular ile dental tedavisi sunulmaktadr. Hasta, kliniimize kt az hijyeninden kaynaklanan rk ikayeti ile
gelmitir. Hastann yaplan klinik muayenesinde; hiperemik dieti dokusu, youn plak ve di rkleri tespit
edilmi, ancak kronik periodontitis bulgusuna rastlanmamtr. n ak kapan bulunan hastada di srme
zamanlarnn normal olduu grlmtr.
Sonu: Hastann restoratif tedavileri yaplm ve az hijyen tavsiyeleri velisine sunulmutur. Dental literatrde ok az sayda rastlanlan bu hastalar, beslenme ve yutkunma problemleri olduundan rk risk grubundadrlar. Bu nedenle, bu orofasiyal sendromun bulgularnn bilinmesi ocuk di hekimlii asndan nemlidir.
Anahtar Kelimeler: Cri du Chat Sendromu, 5 nolu kromozom, Delesyon, ocuk Di Hekimlii
204
P-038
K ALEDEN 18 OSTEOGENESZ MPERFEKTA OLGUSUNUN SOY GEM ANAMMEZ
LE TESPT EDLMES
Aye Derya BAYAT, Erciyes niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Mustafa AYDINBELGE, Erciyes niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Zeynep IIK, Erciyes niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
GR: Osteogenezis imperfekta (O) klinik olarak krlgan kemik hastal olarak bilinmektedir. Kemikte
krlmalar ve atlamalar ile karakterize kaltsal bir hastalktr. Tip I kollajenin her iki zincirindeki genlerin
(COLIA1 ve COLIA2) mutasyonu sonucu ortaya kt belirtilmitir. Tip I Oda kollajen miktarnda azalma
grlrken, Tip II, III ve IV Oda kollajen sentezinde hem nitel hem de nicel deiiklikler grlmektedir. Bu
hastalkta, Tip I kollajenden zengin dokularn tamam etkilenebilmektedir. O grlen hastalarda, mavi sklera,
dentinogenezis imperfekta, anormal kemik ekillenmeleri, byme gerilii, sa kayb, deride incelme, eklemlerde geveklik ve ar hareketlilik yaygn olarak izlenmektedir. Klinik deerlendirme ile birok vaka tehis
edilebilmekle birlikte, baz olgularda deri biyopsisi ve genetik testlere bavurulabilir. Genetik testler : -Onn
nceden tan konulmam durumunu, - Bir ebeveynin Onn mutasyona uram dominant formunun mozaik
taycs olup olmadn, - Aileleri veya yaknlarnda OI nn resesif formunun taycs olup olmadn
gsterebilir.
VAKA RAPORU: ki farkl ailenin ocuklar olan 8 yanda erkek ve 13 yanda kz hasta, Erciyes niversitesi Di Hekimlii Fakltesi Pedodonti Kliniine dilerde krlma, renklenme ve rk ikayetleri ile bavurmulardr. Alnan anamnez ve klinik muayene sonucunda hastalara osteogenesiz imperfekta tehisi konuldu.
Klinik ve radyografik muayenede hastalarda osteogenesiz imperfekta ile birlikte dentinogenezis imperfekta
tespit edildi. Aile hikayeleri sorgulandnda hasta yaknlarnda da benzer ikayetlerin olduu renildi. Soyaac deerlendirmesi sonucu hasta olma ihtimali olan bireyler klinie arlarak iki ailede toplam 18 kiide
osteogenezis imperfekta olgusu tespit edildi.
SONU: ki ailenin de aile hikayesi sonucu soyaaclar osteogenesiz imperfekta asndan deerlendirilmitir. Baz vakalarda otozomal dominat gei gzlenmekle birlikte, otozomal resesif geilere de rastlanmtr. Ailenin dier fertlerinde hastaln tehisinde, soyaac incelemesinin nemli olduu deerlendirilmitir.
Anahtar Kelimeler: Osteogenesiz imperfekta, mavi sklera, krlgam kemik
205
P-039
AMELOGENEZIS MPERFEKTA: OLGU SUNUMU
Giri: Amelogenezis imperfekta, st ve daimi dentisyonda mine geliimini olumsuz etkileyen herediter bir
anomali trdr. Bu anomali, minenin zayf geliimi ya da tamamen eksiklii ile karakterizedir. Amelogenezis imperfektada minedeki irregler yapya ilave olarak konjenital di kayplar, kapan bozukluklar, pulpal
kalsifikasyonlar, dentin displazileri, kk ve kron rezorbsiyonlar, hipersementoz, kk malformasyonlar ve
dilerin erpsiyonunda anomaliler grlebilir.
Vaka raporu: 14 yandaki kz hasta estetik grnm ve dilerinde hassasiyet ikayetiyle Krkkale niversitesi Di Hekimlii Fakltesi Pedodonti Kliniine bavurmutur. Hastann az ii muayenesinde dilerin mine
yzeylerinde yer yer beyaz opak ve sar-kahverengi lekeler gzlenmitir. Azdaki tm molar dilerde rk
alanlara rastlanmtr. Ayn zamanda posteriorda apraz kapan olduu tespit edilmitir. Klinik ve radyolojik
deerlendirme sonucu; azda tm yirmi ya dilerinin ve alt sol ikinci molar diin gml olduu tespit edilmitir. Alt sol ikinci molar diin kronunda geliimsel bir anomali olduu grlmtr. Bu die ekim endikasyonu konularak alt sol yirmi ya diinin ikinci molar boluuna ortodontik olarak srdrlmesi planlanmtr.
Sonu: Baz dilerin agenezisi veya gml kalmas, kapan bozukluklar gibi problemlerden dolay, bu hastalarda di tedavilerinin uzun sreli ve multidisipliner yaklamla yaplmas zorunlu hale gelmektedir.
Anahtar Kelimeler: Amelogenezis, mperfekta, gml di, geliimsel anomali
206
P-040
OCUKLARDA SUBMANDBULAR TKRK BEZ TAI: ERKEN TEHSN NEM
Hseyin KARAYILMAZ, Akdeniz University, Faculty of Dentistry - Pediatric Dentistry,
zge ERKEN GNGR, Akdeniz University, Faculty of Dentistry - Pediatric Dentistry,
Yldrm ERDOAN, Pamukkale University, Faculty of Dentistry - Pediatric Dentistry,
pek AHIN, Akdeniz University, Faculty of Dentistry - Pediatric Dentistry,
GR: Tkrk bezi ta (TBT) en sk grlen tkrk bezi hastal olmasna ramen, ocuk hastalarda
nadir olarak grlmektedir (%3). Anatomik faktrler nedeniyle en ok submandibular bez etkilenmekte ve
olgularn ounda kanaln distal blgesinde bulunmaktadr. Etiyolojisi ve patolojisi henz kesin olarak bilinmeyen bu rahatszln tedavisi, tkrk aknn stimle edilerek tan spontan olarak atlmasnn salanmas,
sialoendoskopi, cerrahi olarak tan ve/veya tkrk bezinin uzaklatrlmas, ekstrakorporal ok dalga lithotripsy, intrakorporal lazer gibi yntemlerle yaplabilmektedir. Bu almada, bir ocuk hastada submandibuler
TBT olgusunun tan ve tedavi plannn sunulmas ve erken tehisin neminin vurgulanmas amalanmtr.
OLGU RAPORU: Sistemik olarak salkl 10 yandaki erkek hasta, alt enesinin sol tarafnda ilik, ar ve
ineme gl ikyeti ile kliniimize bavurmutur. Hastaya yaplan klinik muayenede, az tabannn sol
n blgesinde bimanual palpasyonda ilik hissedilmi olup, Wharton kanalnn ucunda TBT tespit edilmitir.
Yaplan radyografik deerlendirmede ise, az tabannn sol ksmnda TBT ile uyumlu radyoopak grnt
olmamasna ramen, sol submandibular tkrk bezi kanalnda bulunan TBT nedeniyle hastada, -akut sialodenit- gelitii sonucuna varlmtr. TBT, tkrk bezi kanal aznn minr cerrahi giriimle geniletilmesinin
ardndan cerrahi olarak karlmtr.
SONU: Boyutlar, 1 - 10 mm arasnda deien TBTnin her yl 1-1.5mm byd bildirilmektedir. Bu
nedenle erken tehis nemli olup, yeterli tkrk salgsnn gerekletirilememesi, enfeksiyon riskinin artmas, artan ar ve ilik nedenleriyle hastann yaam kalitesinin dmesi gibi bir ok komplikasyonun ortaya
kmasn engelleyebilmektedir. ocuklarda grlen TBTler semptomlu veya semptomsuz olabilir, bu nedenle rutin muayenede dikkat edilmesi gerekmektedir. phelenilen durumlarda detayl tetkikler yaplarak,
hastann ilgili hekime ynlendirilmesi, erken tan ve tedavinin salanmas asndan byk nem tamaktadr.
Anahtar Kelimeler: Submandibular tkrk bezi, Tkrk bezi ta, Wharton kanal
207
P-041
SERVKAL TBERKLOZ LENFADENTL BR OLGUDA TEHSTEN TEDAVYE
Derya CEYHAN, Faculty of Dentistry - Pediatric Dentistry,
Giri: Tberkloz, salk alanndaki ilerlemelere ramen dnya apnda, zellikle de gelimekte olan lkelerde nemli bir salk problemi olmaya devam etmektedir.
Genel Bilgiler: Son yllarda, ekstrapulmoner tberkloz olgularnda art olduu rapor edilmekte ve ocuk
ve adlesan bireylerin daha fazla risk altnda olduu ifade edilmektedir. Servikal blgede grlen lenf nodu
tberklozu ise ekstrapulmoner tberklozun en sk grlen formudur.
Olgu Raporu: Mula ilinin Fethiye ilesinin bir kynden, 12 yandaki kz hasta, sa submandibular blgede
3 aydr varolan, sert, arsz iliin disel adan deerlendirilmesi iin kliniimize bavurdu. Alnan hikayesinde, herhangi bir sistemik rahatszl ve ikayeti olmad, bu ilik iin farkl salk merkezlerinde tp
ve di hekimlerince eitli ila tedavileri uyguland, iliin gerilemedii bymeye devam ettii, yaplan
ultrason deerlendirmelerinde benign lenf nodu bymesi belirlendii kaydedildi. Hastann klinik ve radyografik muayenesinde bu ilie sebep olabilecek herhangi bir disel patolojiye rastlanmad ve sistemik kaynakl
olabilecei dnlerek Kulak Burun Boaz servisinden konsultasyon istenildi. Bu serviste yaplan ultrason
incelemesi, biyopsi ve uygulanan ila tedavisinden sonu alnamaynca hastann Pediatri servisine ynlendirildii, deerlendirmeleri takiben Pediatri servisinin talebiyle Kulak Burun Boaz servisi tarafndan yaplan
eksizyonel biyopsinin patolojik raporunda tberkloz tans bildirildii renildi. 7 aydr tberkloz tedavisi
devam eden hastann kontrolnde, iliin geriledii grld ve ebeveyn, bu aamada, 8 ay nce kesime giden
ineklerine tberkloz tehisi konulduunu tesadfen syledi. Herhangi bir acil disel tedavi ihtiyac olmayan
hastann disel tedavilerinin, tberkloz tedavisi tamamlandktan sonra yaplmas planland.
Sonular: ocuklarla ilk karlaan hekimler olan pedodontistler; hastalarn anamnezlerinin tam alnarak
derinletirilmesi, ayrntl bir anamnezin hastalklarn erken tehisindeki neminin ebeveynlere vurgulanmas, uygulanan tedavilere direnli olgularda disiplinler aras ynlendirmelerin ve almann uygun ekilde planlanmas ile tberkloz gibi bulac hastalklarn tehis edilerek korunma salanmasnda nemli
bir grev stlenmektedirler. Klinisyenler, her hastann bulac hastalklar asndan potansiyel bir risk olabileceini unutmamal ve uygulanacak her trl ilemde korunma nlemlerini tam olarak salamaldrlar.
Anahtar Kelimeler: ocuk, Lenfadenit, Submandibular, Tehis, Tberkloz
208
P-042
MANDBULA ANTEROR BLGEDE TUTULUM GSTEREN D LE LKL DENTGERZ
KST: BR OLGU SUNUMU
Eser TUTU, Kocaeli University - Oral Surgery,
Bahadr KAN, Kocaeli University - Oral Surgery,
Pnar ELIK TOPU, Kocaeli Universty - Oral Surgery,
Giri: Dentigerz kistler radikler kistlerden sonra enenin en sk gzlenen ikinci odontojenik kistleridir.
ounlukla mandibular gml 20 ya dileriyle ilikiliyken, ocuklarda dentigerz kistler sklkla erpsiyon
halindeki dile ilikili olarak geliir. enede gml olarak kalm kanin, kesici ve premolar dilerle de ilikili
olabilir. Gml diin etrafndaki folikl epitelinden kaynak ald dnlmektedir. Genellikle radyolojik
incelemeler sonucu tespit edilirler. Sekonder olarak enfekte olmadklar srece ar, ilik ya da herhangi bir
baka semptom gstermezler. Bu olgu sunumunda, mandibula anterior blgede erpsiyon halindeki alt keser
dile ilikili dentigerz kistin multidisipliner yaklamla tedavisi sunulmaktadr.
Vaka Raporu: Mandibula anterior blgede 81 ve 82 numaral dileri azda bulunan 10 yanda kz hasta bu
blgedeki daimi dilerin srmemi olmas ikayetiyle Kocaeli niversitesi Di Hekimlii Fakltesi Pedodonti
Kliniine bavurmutur. Klinik ve radyolojik (panoramik radyografi ve konik nl bilgisayarl tomografi)
incelemeler sonucunda 2,5x2x1.5 boyutlarnda, gml 41 numaral di ile ilikili, arsz, unilokuler ve radyolusent bir lezyon izlenmitir. Gerekli hazrlklar yapldktan sonra genel anestezi altnda 81, 82 numaral
diler ekilmi olup, kist ile ilikili 41 numaral di ene ierisinde braklarak kist eksize edilmitir.
Sonu: 41 numaral diin srmesi bakmndan ilerleme kaydedilmi olup, kist boluunun deerlendirilmesi
ve rutin klinik-radyolojik kontroller iin hasta izlenmektedir.
Anahtar Kelimeler:
209
P-043
OTZM TANISI KONMU HASTADA CASTLLO MORALES APAREY: BR VAKA SUNUMU
Ebru TIRALI, Bakent Universitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Tutku Deniz BORA, Bakent niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Giri; Otizm, yandan nce balayan, mr boyu sren, sosyal etkileim ve iletiime zarar veren beynin
geliimini engelleyen bir hastalktr. Etiyolojisi henz tam belirlenememi olmakla beraber; kaltmsal veya
doum srasnda meydana gelen travmalar ya da baz alarn etken olabilecei dnlmektedir. Her bin
ocuktan birinde grlmektedir.Perioral kaslarda gszlk grlr ve salya akn kontrol edemezler. Orofasiyal Disfonksiyon terapisi bal altnda Castillo Morales apareyi ile kas tonusunu yeterli dzeyde salandn bildiren birok alma mevcuttur. Aparey ksaca dile stimulus vererek dili uyarmak ve yutma refleksini
uyarma amacna dayanr.
Vaka raporu; Bu vaka raporunda dental tedavileri iin kliniimize bavuran 9 yl 1 ay yanda erkek hastann
dento fasiyal zellikleri ile tedavi planlamas anlatlmaktadr. Otizm tans konulmu biimde klinie bavuran
hastada 64 nolu die ekim,74 nolu die restoratif tedavi yaplmas planlanmtr.Hastada dental problemlerin yan sra perioral kas hipotonisi ve buna bal salya ak ile konuma gl grlmtr. Yaplmas
planlanan dental tedaviler i.v derin sedasyon altnda tamamlanmtr. Sedasyon esnasnda ve sonrasnda hi
bir komplikasyon gelimemitir. Hasta ilemden 3 hafta sonra kontrole arlmtr. Hastaya Castillo Morales apareyi planlanm, klinikte l alnm ve aparey uygulanmtr. Hasta velisine apareyin gnde 30 dk
periodlar ile kullanmyla balanaca anlatlm ve apareyi hastaya gnde toplamda 3-4 saat kullandrmas
gerektii anlatlmtr.lerleyen dnemde ise tek sefer de apareyin azda kalma sresi 60 dky gemeyecek
ve gnde toplam 3-4 saat olacak ekilde kullandrlmtr.Hasta 6.hafta kontrolnden sonra bir kullanmda 60
dk olmak zere gnde 4 saat kullanmtr. 6. ayda pekitirme tedavisine geilmitir. Apareyin taklmasndan
sonraki 2. ve 6. haftada,daha sonra 3. ve 6. aylarda aparey kontrolleri yaplmtr.
Sonu; Castillo Morales apareyini uyguladmz otizm sendromu olan hastamzda 6 aylk takip sonucunda
perioral kas fonksiyonlarnda belirgin gelime grlmtr, salya kontrol salanm olup hastann yaam
kalitesine katk salamtr.
Anahtar Kelimeler: castillo morales, otizm
210
P-044
FT YUMURTA KZLERNDE SPERNMERER DLER
Yelda KASIMOLU, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Mine KORUYUCU, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Burak ANKAYA, stanbul niversitesi Di Hekimlii Fakltesi - Az, Di-ene Cerrahisi Anabilim Dal,
Figen SEYMEN, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Koray GENAY, stanbul niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Giri: Spernmerer (SN) dilerin etyolojisi halen tam olarak bilinememektedir. Farkl formlarda grlebilmekte ve kalc dilerin gmk kalmas gibi farkl lokal bozukluklara sebep olabilmektedir. Bu olgu raporunda
ift yumurta ikizlerinde grlen SN diler ve ynetimi sunulmaktadr.
Olgu raporu: 12 yandaki ift yumurta ikizleri st enede srmeyen orta kesici dileri nedeni ile stanbul niversitesi Di Hekimlii Fakltesi Pedodonti Anabilim Dalna bavurmutur. Yaplan tbbi anamnezde herhangi bir sistemik hastalk veya sendrom bulunmad, dilere dair anamnezde ise gemite herhangi bir dental
travma hikayesi bulunmad grlmtr. Panoramik radyografide A ikizinde 2 gmk SN die, B ikizinde
4 gmk SN di ve st ene st orta kesici die rastlanm, SN dilerin her iki ocukta da premaksilla ve alt
ene kk az blgelerinde yer ald tespit edilmitir. lk olarak halen azda var olan st dii ve SN diler
lokal anestezi altnda ekilmitir. A ikizinde 4 aylk takip dneminde srekli st kesici di tamamen srmtr.
B ikizinde 1 yllk takip dneminde kesici dilerden biri srmemi ve diin srdrlmesine karar verilmitir.
Tedavi kapsamnda n blgedeki yer kaybnn yeniden kazanlmas, gmk orta kesici diin cerrahi olarak
zerinin almas ve 6 ay sre ile srdrlmesi yer almaktadr.
Sonu: Olgu raporundaki ikizlerde farkl sayda SN dilerin bulunmasna karn, bu rapor SN dilerin etyolojisinde genetik faktrlerin etkisini ak bir biimde desteklemektedir.
Anahtar Kelimeler: ocuk, ekstrzyon, ikiz, ortodonti, spernmerer di
211
P-045
PEDATRK ZRKONYUM KURONLAR LE ESTETK VE FONKSYONEL
REHABLTASYON: OLGU SUNUMU
Mine KORUYUCU, Istanbul University, Faculty Of Dentistry - Pedodontics,
Figen SEYMEN, Istanbul University, Faculty Of Dentistry - Pedodontics,
Koray GENAY, Istanbul University, Faculty Of Dentistry - Pedodontics,
Giri: Erken ocukluk rkleri (E), gelimi lkelerde pediatrik hasta populasyonunun %1-12 kadarn,
az gelimi lkelerde %70 kadarn etkilemektedir. iddetli erken ocukluk rklerinin klinik grnm ok
belirgindir. Erken rk oluumu st ene st kesici dileri takiben, alt ve st ene birinci st az dilerini ve
alt ene kpek dilerini etkilemektedir. iddetli rk olumu n blge st dilerinin estetik tedavisi pedodontistler iin byk zorluk oluturmaktadr.
Ama: Bu olgu sunumunun amac, pediatrik zirkonyum kuronlar kullanlarak estetik ve fonksiyonel rehabilitasyonun salanmasdr. Olgu Sunumu: 3 yandaki erkek olgu pedodonti kliniine st ve alt st birinci
azlarnda ar ikayeti ve ailenin n blge st dilerindeki estetik ikayet ile bavurmulardr. Az ii muayenesinde arka blge st dilerinde derin dentin rkleri ve n blge st dilerinde orta derecede rk lezyonlar saptanmtr. Klinik ve radyografik muayenede dentoalveolar abse formasyonuna rastlanmamtr. st
ve alt ene st azlarnn pulpa tedavileri sonras, rk kesici ve az dilerinin pediatrik zirkonyum kuronlar
ile restorasyonlar gerekletirilmitir.
Sonu: Tedavi plan hastann yana, sosyoekonomik durumuna, rn iddetine, hastann az ii
durumuna, bireysel fonksiyonel ve estetik ihtiyaca gre planlanmaldr. Erken di kaybnn ve artm doku ykmnn nlenebilmesi iin erken yalarda tedaviye balanmas nemli olmaktadr.
Anahtar Kelimeler: Pediatrik kuron, erken ocukluk r
212
P-046
OCUKLARDA HELCOBACTER PYLOR GASTRT HASTALIININ AIZ SALII
ZERNE ETKLERNN DEERLENDRLMES
Asm DANE, Di Hekimlii - Pedodonti,
Takn GRBZ, Di Hekimlii - Pedodonti,
Ama: Birok sistemik hastaln ilk bulgusu azda ortaya kmaktadr. Az boluu GSin ilk basaman
oluturmaktadr. ocukluk anda karlalan en sk GS hastalklarndan birisi gastrit hastaldr. almamzda gastritin en sk bakteriyel sebebi olan HPnin dental plakta varlnn tespiti ve gastritli hastalarn
az bulgularnn (oral salk durumlar, beslenme ekilleri, di fralama skl, tkrk pH, ak hz, tamponlama kapasitesi) salkl bireylerden oluan kontrol grubuyla karlatrlmas, bu hastalarn rk riski
ynnden deerlendirilmesi amalanmtr.
Materyal ve Metot: almamza yalar 5-15 arasnda deien 35 gastrit hastas ve 35 salkl hasta dahil
edilmitir ve bireylerin az ii muayeneleri yaplarak, dental plak ve tkrk rnekleri toplanarak analizler
yaplmtr.
Bulgular: HP gastritli hastalarn 29unun (% 82.9) dental plak rneklerinde HP (+) olarak saptanmtr.Gastritli ocuklarn ortalama DMFT ve dft skorlar srasyla 4.371.41 ve 1.971.68 olarak bulunmutur.
Sonu: almamzda elde edilen veriler nda dental plakta HPnin izole edilmesi ile oral kavitenin gastrik
mukoza gibi rezervuar alan olabilecei ve gastrik hastalklarn nlenmesinde az hijyeninin nemli bir yer
tutabilecei sonucuna ulalmtr.
Anahtar Kelimeler: CLO test, Gastrit, Gastrointestinal hastalklar, Helicobacter pylori
213
P-047
A.K.. D HEKML FAKLTES PEDODONT KLNNE BR YIL NDE BAVURAN
HASTALARA UYGULANAN TEDAVLERN NCELENMES
Mehmet NAL, Afyon Kocatepe - Pedodontics,
Esra Ece AKMAK, Afyon Kocatepe - Pedodontics,
Cafer AHBAZ, Afyon Kocatepe - Restoratif Di Tedavisi,
Mehmet Sinan DOAN, Dicle - Pedodontics,
Ama: Kliniklere bavuran hastalarn ihtiyalarnn tespiti kliniklerin ihtiyalarna gre geliimi asndan byk nem tamaktadr. Bu alma Afyonkarahisar ilinde bir yldr hizmet veren Pedodonti A.D.\a bavuran
hastalara uygulanan di tedavilerinin deerlendirilmesi amacyla yaplmtr.
Yntem: almamz 2013 Eyll-2014 Austos aylar arasnda Afyon Kocatepe niversitesi Di Hekimlii
Fakltesi Pedodonti anabilim dalna bavuran 2688 hasta ( 1425 kz, 1263 erkek) oluturmaktadr. Hastalarmzn ilk muayeneleri yaplarak tedavi yaplmas uygun grlen hastalar belirlendi. Hastalarn ailelerine
yaplacak ilemler belirtildi ve onam veren ailelerin ocuklar almaya dahil edildi. almaya dahil olan
hastalarn ihtiyac olan tm tedavileri ve uygulanan apareylerin eitleri kaydedilerek snflandrld.
Bulgular: Hastalarmza en fazla kompomer dolgu %54,24 tercih edilirken,%27,34 orannda kompozit dolgu,
%8,33 orannda amalgam dolgu yaplmtr. Kavite preperasyonu yapldktan sonra pulpay koruma amacyla
dolgudan nce %56,98 orannda kuafaj uygulanmken; %22,68 orannda amputasyon tedavisi uygulanmtr.
2007 hastamza ilk muayeneleri esnasnda topikal fluor uygulamas yaplrken, toplam 994 die de fissr rtc uygulamas yaplmtr. Hastalarmzda grlen erken di eksiklii vakalarnda %67,32 oranda hareketli
yer tutucu apareyi tatbik edilirken %32,68 orannda hastamza sabit yer tutucu aparey uygulanmtr. Travma
vakalarnda uyguladmz splint says ise toplam 19\dir.
Sonu: Kliniimize bavuran hastalarmza en fazla kompomer dolgu yaplrken; yaplan dolgularn ounda
pulpay koruma amal (kuafaj, amputasyon) uygulanmtr. Az ve di salmzn korunmas ve salkl
devam ettirilmesi amacyla ailelerin oral hijyen eitiminin nemi hakknda bilgilendirilmelidir.
Anahtar Kelimeler: hasta populasyonu, tedavi, dolgu, yer tutucu
214
KISA KONFERANSLAR-II
215
OCUKLARDA RK OLUUMU VE EVRESEL FAKTRLER

Yard.Do.Dr. ESRA KIZILCI
nn niversitesi, Di Hekimlii Fakltesi, Pedodonti Anabilim Dal, Malatya
Yeni doann az ortamnda kolonize olan mikroorganizmalar, gelecekteki flora iin model oluturmaktadr.
Azda oluan mikrobiyal ekosistemde, yaam boyunca eitli deiimler meydana gelmektedir. Grlen
deiimde, az bakm alkanlklar, yresel ve sosyo-kltrel farklar gibi faktrler mevcut bakterilerin
say ve eitliliini deitirerek etkili olabilmektedir. Di rnn olumasndan sorumlu tutulan Mutans
Streptokok (MS) lar genellikle ilk dilerin srmesinden sonra az boluuna yerlemektedir. MS geiinin bu dnemde artmasnn sebebi, mikroorganizmann tutunmak iin az iinde dz yzeylere duyduu
ihtiyatr. Genel kan MS in belirli bir dnemde edinildii ynndedir. Yeni doann MS ile enfekte olma
srecinin 8-10 aylk dnemde tetiklendii ve 19-31. aylar arasnda en st dzeye ulat saptanmtr. Bebeklerin bu mikroorganizmalar enfekte bireylerden, zellikle de annelerinden kazandklar dnlen 19-31
ay aralna birinci enfektivite penceresi denilmektedir. 6-12 yalarnda ise ikinci enfektivite penceresi
ortaya kmaktadr.
Di rnn enfeksiyz, aktarlabilen bir hastalk olduunun tanmlanmasndan sonra rn oluumunu
engellemeye ve gei yollarn belirlemeye ynelim artmtr. MS ler az dnda ok snrl yzeylerde
canllklarn koruyabilirler ve yaylmlarnda tkrk transferi en nemli etkendir. Bebekte bakterilerin
geii ve az ortamna yerlemesi ounlukla anneden, babadan (aile-ii) ve bakclarndan olmaktadr. Ancak ocukta aile bireylerinden farkl genotipte S. mutans klonlar tespit edilmi, ocuun dier kaynaklardan
da enfekte olabileceini gstermitir. Geite tkrk transferine neden olan alkanlklarn, aznda yksek
miktarda MS bulunan bireylerin ve birlikte geirilen srenin etken olduu grlmtr. Anne bebeini yakn
temasla enfekte mikroorganizmalara maruz brakmasna karn, style ve bebee plasenta yoluyla eitli
antikorlar transfer ederek bebein baklk kazanmasn da salamaktadr.
Bireyin MS ile erken tanmas, zellikle st dilenmenin hemen banda yaygn MS varl, az iinde erken ve hzl rk oluumunu tetiklemektedir. lke genelinde yrtlecek toplum az-di sal eitim ve
uygulamalar ile bireylerin rk oluumu ve engellenmesi konusunda bilinlendirilip, rn balamadan
nce engellenmesi konusunda nemli admlar atlabilecei dncesindeyiz.
216
D R VE GENETK LKS
Yard.Do. Dr. MERVE BAYRAM
stanbul Medipol niversitesi, Di Hekimlii Fakltesi, Pedodonti Anabilim Dal, stanbul
Di r kompleks, kronik, multifaktriyel bir hastalk olup bugn dnya nfusunun %80inden fazlasn
etkileyen dnya apnda bir temel halk sal problemi oluturmaktadr. Di rnn, ar ve ac ekilmesi,
fonksiyon kayb, yaam kalitesinin dmesi gibi bireylerin ve toplumlarn zerindeki etkisi olduka nemlidir. Di r, konak ve evresel faktrler bata olmak zere birbiri ile etkileimli pek ok risk faktr ile
ilikilidir. Ancak hastaln olumasna neden olabilen risk faktrlerinin bilinmesine karn ayn evresel risk
faktrlerine maruz kalan bireylerin DMFT deerlerinde farkllklar bildirilmitir. Maruz kaldklar evresel
risk faktrlerinden bamsz olarak re kar daha hassas ve ok direnli bireyler bulunmaktadr. re
daha hassas ve direnli bireylerin varl, aratrmaclar di rnn genetik yaps zerine almalara
yneltmitir. Di r ve genetik ilikisi imdiye kadar deneysel, gzlemsel, balant ve iliki almalar
ile kantlanmtr. Di r ve genetik alannda bilgilerin artmas di r riski olan bireylerin belirlenmesine yol aacak, rn nlenmesi ve tedavisi iin kalc zm yollar bulunmasna yardmc olacaktr.
217
OCUKLARDA GRLEN RKLERN PERODONSYUMA ETKS

Yard.Do. Dr. GLSM DURUK
nn niversitesi, Di Hekimlii Fakltesi, Pedodonti Anabilim Dal, Malatya
rk lezyonu, st dilerinde daimi dilere kyasla daha hzl ilerlemektedir. Erken ocukluk a rklerinde
kole blgesinde rk lokalizasyonu olduka yaygndr. re bal kole blgesindeki gda retansiyonu
sonucu bu blgede biriken bakteriler ve konan savunma cevab arasndaki dengenin konak aleyhine
bozulmas ile lokal enfeksiyonel bir hastalk olan gingivitis olumaktadr.
St az dileri, geni ve dz ara yz deim alanlar gibi anatomik zelliklere sahip olmalar sebebiyle st dileri
ierisinde re en yatkn dilerdir. St dilenmesinde srt srta kaviteler olarak da bilinen st I. az diinin
distali ve st II. az diinin mezialini iine alan rkler yaygn olarak grlmektedir. Bu rklerin hzl
ilerlemesine bal olarak geni kavitasyonlar olumaktadr. Bu kavitasyonlara gda birikimi ve bu gdalarn
periodonsiyum iine gmlmesi (food impaction) sonucu oluan periodontal harabiyet sk karlalan
durumlardandr.
Dieti blgesine kadar uzanan rklerde plak indeksi, gingival indeks, dieti oluu svs (DOS) hacminde
art ve DOS komponentlerinde deiimler gzlenmektedir. St azlarn geni harabiyetli ara yz rklerinde
ileri aamalarda ataman kayb ile karlamak muhtemeldir. rn restore edilmesi sonucu bu parametreler
rksz dilerdekine benzer bulgular sergilemektedir. Bu durum plak birikimi iin retansiyon yeri olan
kavitelerin kapatlmas, ara yz kontann kaybolduu dilerde periodonsiyuma irritan etki yapan gda
gmlmesinin yeniden kazanlan ara yz kontayla elimine edilmesi, gda birikimi ve buna bal ar
ikayetiyle kullanlamayan dilerin restorasyon sonras kullanmna bal olarak inemenin katksyla
mekanik temizliin geri kazanlmasndan kaynakldr.
Di ve dietinin bir btnlk iinde olduu gereinden hareketle, periodontal saln tehdit edilmesini
engellemek adna rkl dilerin restore edilmelerinin nemi unutulmamaldr.
Anahtar kelimeler: rk, DOS, gda gmlmesi
218
REVASKLARZASYON TEDAVSNDE KULLANILAN L ANTBYOTK PATI LE

LGL KARILATIRMALI ALIMALAR
Yard.Do. Dr. MERVE AKAY
Izmir niversitesi, Di Hekimlii Fakltesi, Pedodonti Anabilim Dal, zmir
Revasklarizasyon tedavisi, vitalitesini kaybetmi ak apeksli gen daimi dilerde geleneksel apeksifikasyon
tedavisine alternatif konservatif bir tedavi seeneidir. Bu tedavi seenei mineralize dokularla kk duvarnn kalnlamasna ve fizyolojik kk geliiminin devam etmesine imkan tanmaktadr. Revasklarizasyon
tedavisinde en nemli aamalardan biri kk kanal sisteminin dezenfeksiyonudur. Kk kanal sisteminden enfeksiyonun etkin bir ekilde elimine edilebilmesi iin antibiyotik kombinasyonlar kullanlmaktadr. Gl
antimikrobiyal etkisi nedeniyle metronidazol, siprofloksasin ve minosiklinden oluan geleneksel l antibiyotik patnn aratrmaclar tarafndan sklkla tercih edildii grlmektedir. Konuyla ilgili yaynlanan olgu
raporlarnda l antibiyotik pat kullanmn takiben periapikal lezyonlarda nemli oranda azalma olduu,
apeksin kapand, dentin duvarlarnn kalnlat ve vitalite testine pozitif yant alnd bildirilmitir. Olumlu zelliklerine ramen, minosiklin ieren l antibiyotik patnn di kuronunda renklenmeye neden olduu, kk kanal sisteminden uzaklatrlmasnn zor olduu, krlma direncinde azalmaya neden olduu snrl
sayda almada rapor edilmitir. Son zamanlarda minosiklin yerine amoksisilin, sefaklor ve doksisiklin gibi
alternatif antibiyotiklerin kullanm ya da minosiklin iermeyen ikili antibiyotik pat kullanm nerilmitir.
Fakat revasklarizasyon tedavisinde bu antibiyotik pat kombinasyonlarnn bir arada karlatrlmal olarak
deerlendirildii almalar olduka snrldr.
Bu sunumda farkl l antibiyotik pat kombinasyonlarnn dilerde oluturduu renklenme, kk kanalndan
uzaklatrlma etkinlikleri, kanal dolgu maddesinin, kalsiyum silikat bazl simanlarn ve self etch adeziv bir
sistemin balanma dayanmna katklar, maturasyonunu tamamlamam dilerin krlma direncine etkisi gibi
farkl konularda yaplan almalar hakknda bilgi verilecektir.
219
SZL SUNUMLAR-II
220

SZL SUNUMLAR II
SS 9
17:15 - 17:25
LACTOBACILLUS REUTERINN ORAL KOLONZASYONUNUN HAYVAN MODEL

ZERNDE NCELENMES
Hilal ZBEY, Pamukkale niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Nket SANDALLI, Yeditepe niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Eber ALAR, Yeditepe niversitesi Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Gven KLEKI, stanbul niversitesi Di Hekimlii Fakltesi - Mikrobiyoloji Bilim Dal,
Nursen TOPUOLU, stanbul niversitesi Di Hekimlii Fakltesi - Mikrobiyoloji Bilim Dal,
Ama: almamzn amac, L. reuterinin oral mikrobiyolojik ereve ierisine dahil olabilme ve S. mutansla yarabilme yeteneinin in vivo koullarda sanlarda aratrlmasdr.
Gere ve Yntem: Tkrklerinde S. mutans ve L. reuteri bulunmayan 1 aylk 24 adet Spraque Dawley san
rastgele gruba ayrlmtr. Birinci grup (Kontrol grubu) 2. ayda S. mutans ile infekte edilmitir. 3. ,4. ve 5.
aylarda tkrk mikrobiyolojik analizleri yaplarak S. mutans saylar belirlenmitir. kinci grup (Probiyotik I
grubu) 2. ayda S. mutans ile 3. ayda L. reuteri (BioGaia Damla (Eczacba, Sanico N.V, Belika)) ile infekte edilmitir. nc grup (Probiyotik II grubu) ise 2. ayda L. reuteri (BioGaia Damla (Eczacba, Sanico
N.V, Belika)) ile 3. ayda S. mutans ile infekte edilmitir. Probiyotik I ve Probiyotik II gruplarnn 3. ,4. ve 5.
aylarda tkrk mikrobiyolojik analizleri yaplarak S. mutans ve L. reuteri saylar belirlenmitir. Bulgular:
Kontrol grubu ve Probiyotik I grubunda, S. mutans saylar 3. ve 4. ayda giderek artm, 5. ayda azalmtr,
Probiyotik II grubunda 4. ayda artm, 5. ayda azalmtr. Probiyotik I grubunda, L. reuteri saylar 4. ve 5.
ayda giderek artmtr, Probiyotik II grubunda 3. ,4. ve 5. aylarda her ay artmtr.
Sonu: Probiyotik I grubunda S. mutans seviyeleri Kontrol grubuna paralel olarak azalrken, L. reuteri seviyeleri artmtr. Probiyotik II grubunda ise S. mutans deerleri Kontrol grubuna gre daha yksek seviyede
balayp tekrar azalrken, L. reuteri seviyeleri artmtr. Bu nedenle, L. reuterinin ilk kolonizasyon suu olarak
tkrkte daha iyi bir kolonizasyon gsterdii dnlebilir. Ancak, L. reuteri ile daha fazla sayda kolonizasyon almas yaplmas gerekmektedir.
Anahtar Kelimeler: Probiyotik bakteri, lactobacillus reuteri, streptococcus mutans, san, tkrk
221

SZL SUNUMLAR II
SS 10
17:25 - 17:35
KONJENTAL DI EKSKLNN PANORAMK RADYOGRAFDE TESPTNDE

ARATIRMACI TECRBESNN ETKS
Salih DOAN, Erciyes niversitesi - ocuk Di Hekimlii,
Mustafa AYDINBELGE, Erciyes niversitesi - ocuk Di Hekimlii,
Kevser KOLAKOLU, Erciyes niversitesi - ocuk Di Hekimlii,
Vahti KILI, Erciyes niversitesi - ocuk Di Hekimlii,
Ama: Konjenital di eksiklii prevelansnn deerlendirildii almalara bakldnda, farkl blgelerde ok
farkl deerler elde edildii gzlenmektedir. Bunun yan sra konjenital di eksikliinin en sk gzlendii
diler, alt ve st enedeki dalm, simetrik veya tek tarafl gzlenme skl asndan da bir fikir birlii bulunmamaktadr. Prevelans deerlerinde gzlenen farkllklarn nedeni olarak ya, cinsiyet, etnik kken alma
grubundaki dalm farkllklarnn yan sra deerlendirme metotlar ile aratrmac faktrnn de bir etken
olabileceini gsterilmitir. Literatrde dental anomalilerin tespitinde aratrmacnn kendisi ile uyum dzeyi
deerlendirilmesine karn, aratrmaclar arasndaki uyum dzeyi zerinde ok az durulduu grlmektedir.
Buna gre; yapm olduumuz almada aratrmacnn tecrbe ve bilgi dzeyinin konjenital di eksiklii
prevelans deeri zerindeki etkisinin deerlendirilmesi amalanmtr.
Gere: Erciyes niversitesi Di Hekimlii Fakltesi Pedodonti Anabilim Dal kliniinde muayenesi yaplan,
yalar 7 ile 16 arasnda deien toplam 5318 ocuk hastadan alnm panaromik radyografilerin retrospektif
deerlendirmesi yaplmtr. Radyograflar srasyla bir di hekimlii rencisi, bir pedodonti doktora rencisi, deneyimli bir pedodonti retim yesi tarafndan deerlendirildikten sonra, 3 kiiden oluan bir kurul (2
deneyimli pedodonti retim yesi ile bir radyoloji retim yesi) tarafndan deerlendirilmitir. Aratrmaclar arasndaki farkllklar Mc Nemar ve genel uyum testleri ile deerlendirilmi, hesaplamalarda SPSS 20.0
(IBM SPSS Inc., Chicago, IL) program kullanlmtr.
Bulgular: alma sonucunda konjenital di eksikliinin tespitinde aratrmac tecrbe dzeyleri arasnda istatistiksel olarak anlaml dzeyde bir farkllk bulunduu tespit edilmitir (p<0,001). Buna karn aratrmaclarn konjenital di eksiklii prevelans deerleri arasnda farkllk bulunmamtr (p>0,05).
Sonu: Konjenital di eksikliinin tespitinde di says asndan aratrmac deneyimi nemli bir faktr olarak grlmesine karn, aratrmaclarn konjenital di eksiklii bulunmayan panoramiklerdeki yanl pozitif bulgular
sebebiyle prevelans deerlerinde gzlemciler arasnda istatistiksel olarak anlaml bir farkllk tespit edilememitir.
Anahtar Kelimeler: prevelans, tecrbe, uyum, konjenital, di eksiklii, panoramik film
222

SZL SUNUMLAR II
SS 11
17:35 - 17:45
LYAK HASTALIININ ERKEN TEHSNDE OCUK DHEKMLNN NEM

Sibel ACAR, Ege niversitesi, Di Hekimlii Fakltesi Pedodonti AD,
Nazan ERSIN, Ege niversitesi, Di Hekimlii Fakltesi Pedodonti AD,
Erturul SABAH, Ege niversitesi, Di Hekimlii Fakltesi Pedodonti AD,
Aim: lyak hastal tm dnyada olduu gibi lkemizde de sk grlen immun kkenli bir sistemik hastalktr. lkemizde her 110 ocukta 1 grlen bu hastaln erken tansnda ocuk dihekimleri nemli rol
oynamaktadr.
Methods: almamza 3-19 ya aralnda 132 lyak tans alm ocuk ve 55 salkl ocuk dahil edilmitir.
E.. ocuk Hastanesinde takipleri yaplan hastalarn dosyalar incelenmi ve hastaln iddetiyle bilgiler
kaydedilmitir. Tan yalar deikenlik gsteren hastalarn, tan ncesi dihekimi ziyaretleri kaydedilmi;
hastalar mine defekti varl ve iddeti, rekkrrent aftz stomatit yaknmalar asndan incelenmitir. Mine
defektleri Aine snflandrmasna gre sistematik ve kronolojik olarak deerlendirlmitir.
Results: lyakl ocuklarn % 57,57sinde mine defekti gzlenirken, salkl ocuklarda bu oran % 7,57
olarak bulunmutur. Rekkrrent aftz stomatit lyakl ocuklarn % 30,3nn temek ikayetleri arasnda
grlmtr. Tan ya ge olan ocuklar da her iki oral patolojinin daha ok grld, mine defektlerinin
siddetinin artt tespit edilmitir.
Conclusion: ocuk doktorlarnn n tan amacyla erken dnemde istedikleri dihekimi konsultasyonlar, hastalkla ilikili mine defektlerinin tehisinde donanml olunmas durumunda; hastaln seyrini etkileyerek kilo
kayb ve barsak nekrozlarnn azalmasna yardmc olur.
Anahtar Kelimeler: lyak hastal, mine defektleri, rekkrrent aftz stomatit, erken tehis, ocuk dihekimi
223

SZL SUNUMLAR II
SS 12
17:45 - 17:55
AVULSYON SONRASI GECKM REPLANTASYON: BR OLGU SERS

Pnar DEMIR, nn niversitesi, Di Hekimlii Fakltesi, Pedodonti AD,
idem GULER, Ordu niversitesi Di Hekimlii Fakltesi, Pedodonti AD,
Esra KIZILCI, nn niversitesi, Di Hekimlii Fakltesi, Pedodonti AD,
Giri: Dental travmatik yaralanma sonrasnda diin alveoler soketten tamamen kmasna avulsiyon, yerinden
kan diin tekrar yerine yerletirilmesine replantasyon ad verilmektedir. Avulse olan daimi dilerin replantasyonu kabul grm bir tedavi yaklam olmasna ramen replante edilen dilerin uzun dnem prognozu hala
tartmaldr. Replante edilmi diin prognozunda en nemli faktr diin az dnda kald sre ve saklama
ortamdr. Avulsiyon ile replantasyon arasndaki sre arttka replasman rezorbsiyonunun meydana gelme olasl artmakta, kk ucu ak dilerde revasklarizasyon olasl azalmaktadr. Ama: Bu olgu serisinde ge
replantasyon olgularnn uzun sreli takibi, tedavisi ve ortaya kan komplikasyonlar sunulacaktr.
Olgu Raporu: Bu almada 2010-2014 yllar arasnda nn niversitesi, Di Hekimlii Fakltesi, Pedodonti Anabilim Dalna avulsiyon nedeniyle bavuran 8-13 ya aras 10 hasta dahil edilmitir. Kliniimize dental
travma sonras ortalama 1 gn (2 saat-3 gn) sresinde ulaan 10 hastann avulse olan 15 adet daimi kesici
diine gecikmi replantasyon tedavisi yaplmtr. Hastalar ortalama 33 ay (18 ay - 48 ay) takip edilmitir. Bu
olgularda, en sk karlalan komplikasyonun (%47) replasman rezorbsiyonu sonucu diin kaybedilmesi olduu belirlenmitir. 15 diin 3 avulse olduunda kk geliimini tamamlamamken, bunlardan sadece 1 di
kk geliimine devam etmitir.
Sonu: Periodontal ligamentin yokluunda ve kontaminasyon kontrol altndaysa en iyi sonucun ankiloz ve
replasman rezorbsiyonu olaca tahmin edilebilmektedir. Bu sre er ya da ge replantasyon prosedrnn
baarszlkla sonulanmasna neden olacaktr. Daimi kesici dilerin replantasyonunda birincil ama hastann maksiller veya mandibuler anterior blgesinin kemik geliimi tamamlanana ve daimi bir protezin yaplabilecei zamana kadar diin azda tutulmasdr. Erken di kayplar mevcut alveol kemik yksekliinin
kaybolmasna ve orta hattn kaymasna neden olabilmektedir. Bu sebepler gz nnde bulundurulduunda, daimi keser dilerin ge de olsa replante edilmesi ocuun ene ve yz geliimi asndan nemlidir.
Anahtar Kelimeler: Avulsiyon, Gecikmi Replantasyon, Replasman Rezorbsiyonu, Dental Travma
224

SZL SUNUMLAR II
SS 13
17:55 - 18:05
DAM DLERDE GRLEN KRON KIRIKLARINDA 1 YILLIK TAKP SONUNDA

OLUABLECEK KOMPLKASYONLARIN DEERLENDRLMES: PLOT ALIMA
Esra KIZILCI, nn niversitesi - Pedodonti,
Pnar DEMIR, nn niversitesi - Pedodonti,
Ama: Dental travmatik yaralanmalar ocukluk ve ergenlik ann nemli salk problemlerindendir. ocuklarn yaklak %50si 15 yandan nce dental travmaya maruz kalmaktadr (1). Daimi dilerde en sk karlalan travma tipi kron krklardr (%26-76). Bu almann amac kron krklarnn 1 yllk takibi sonrasnda
karlalabilecek komplikasyonlarn belirlenmesidir.
Yntem: almamza 6-13 ya aralnda, daimi diinde kron kr bulunan 50 hastann 70 dii dahil edilmitir. Sistemik hastal ve mental problemi olan hastalar almaya dahil edilmemitir. ocuklarn velilerinden
detayl anamnez alnp, travma kayt formlar doldurulmutur. Hastalar tedavi sonras 1. ylda arlarak, klinik ve radyografik olarak oluabilecek komplikasyonlar (restorasyonun kayb, restorasyonda grlen baarszlklar, pulpa kanal obliterasyonu, pulpa nekrozu, kk geliiminin durmas, anormal mobilite, diin kayb,
rezorbsiyonlar) asndan incelenmitir. Veriler istatistiksel olarak deerlendirilmitir.
Bulgular: almaya katlan hastalarnn ortalama ya 11dir. Hastalardan %12sinin travmadan sonra ilk
gn klinie bavurduu, ortalama bavurma sresinin 5,8 ay olduu belirlendi. Yaralanmalarn en fazla yaz
mevsiminde gerekletii (%58) ve en fazla etkilenen dilerin st santral diler olduu grld (n=63,%90).
26 dite komplike, 44 dite ise komplike olmayan kron kr bulunmaktayd. Tedaviler deerlendirildiinde;
2 hastada di parasyla, 46 hastada ise yalnz kompozit dolgu ile restorasyonun tamamland, 22 die kanal
tedavisi gerektii grld. Bir yllk takip sonrasnda yaplan tedavi sonras memnuniyet skalasnda velilerin
restorasyonu grnm (%77), renk (%79), boyut (%80) ve genel memnuniyet (%90) asndan baarl bulduklar grld. Klinik deerlendirmede; dilerin %14 nde dolguda renklenme, %13nde dolgu kayb, %3
nde renklenme grld, %69 u ise klinik olarak baarl kabul edildi. Kanal tedavilerinde klinik ve radyografik olarak herhangi bir baarszlkla karlalmad. Elik eden lksasyon yaralanmalar, eneler aras kapan
ilikisi, fralama alkanl ve apeks geliim durumu ile baar arasnda anlaml iliki bulunamad (p<0,05).
Sonular: Dental yaralanmalarda ortaya kabilecek muhtemel komplikasyonlar asndan uzun sreli klinik
ve radyolojik takip nemlidir. Travma sonras ne gibi komplikasyonlarn ortaya kacabilecei ve kontrollerin
nemi hastalara ve ebeveynlere anlatlmaldr.
Anahtar Kelimeler: Dental travma, Restorasyon baars, Kron kr, Dental Komplikasyonlar, Daimi di
225

SZL SUNUMLAR II
SS 14
18:05 - 18:15
KNDLER SENDROMLU K KARDEN AIZ BULGULARI VE DENTAL TEDAV PLANI

Salih DOAN, Erciyes niversitesi - ocuk Di Hekimlii,
Seil ALIKAN, Erciyes niversitesi - ocuk Di Hekimlii,
Bar KARABULUT, Glhane Askeri Tp Akademisi - Di Hekimlii Blm,
Murat BORLU, Erciyes niversitesi Tp Fakltesi - Dermatoloji Anabilim Dal,
Demet KARTAL, Erciyes niversitesi Tp Fakltesi - Dermatoloji Anabilim Dal,
Giri: Kindler sendromu (KD) sendromu ilk olarak Alman Pediatrist Dr.Theresa Kindler tarafndan ekstremitelerde doumsal travmatik bller, poikiloderma (deride pigmentasyonlar) ve k duyarll olan 14 yanda
kz ocuunda tanmlanmtr. Nadir olarak gzlenen otozomal resesif geili bu sendromun az ii bulgular
hakknda ise ok az bilgi mevcuttur. Genel az ii bulgularnda di etinde kanama, mukozada beyaz lekeler,
dudaklarda atrofi, eroyon ve pigmentasyon varl bildirilmitir. Di ve evre dokular incelendiinde ise st
dilerinin erken kayb, gevek kanamal di eti, erken dnemde balayan ve hzl ilerleyen periodontitis yaygn
gzlemlenmitir. Bu olgu raporunda KS tans ile dental muayene ve tedavileri iin kliniimize gnderilmi iki
karde hastann klinik az ii bulgular ve uygulanan tedavilerin sunulmas amalanmtr.
Olgu Raporlar: Olgu raporunda Kingler Sendromu tans ile konsltayona gnderilen birisi 2 yanda erkek
ve dieri 7 yanda kz, iki kardein az ii ve dermatolojik muayene bulgular yan sra 7 yandaki hastaya
uygulanan tedavi prosedr sunulmaktadr.
Sonu: Kindlerin ilk tebliinden bu yana 100den fazla olgu bildirilmi olmasna karn Kingler sendromunun az ii bulgular hakknda yaynlanm ok az vaka bildirimi bulunmaktadr. Bu vakalarda generalize
yaygn periodontitis en belirgin az ii bulgudur ve geleneksel cerrahi olmayan periodontal tedavinin bu
hastalarda faydal olduundan bahsedilmektedir. Buna gre; KSli hastalarn erken dnemde tespitinden sonra dental adan da oral hijyenlerin en st dzeyde srdrlmesi ve dzenli kontrollerinin yaplmas gereken
olgularda da periodontal ve dental tedavilerinin yaplmas gereklidir.
Anahtar Kelimeler: Kingler Sendromu, periodontitis, olgu, az bulgular, oral hijyen
226

SZL SUNUMLAR II
SS 15
18:15 - 18:25
OCUKLARDA ARA YZ RKLERNN BYOKMYASAL DOS PARAMETRELER VE

KLNK LMLER ZERNE ETKS
Glsm DURUK, nn niversitesi, Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Takn GRBZ, Atatrk niversitesi, Di Hekimlii Fakltesi - Pedodonti Anabilim Dal,
Hlya AKSOY, Atatrk niversitesi, Tp Fakltesi - Biyokimya Anabilim Dal,
Ama. Bu almada, ocuklarda st azlarn ara yz rne bal periodontal harabiyetinin; OH-S, P, G,
SD, AK, DOS hacmi ve DOSta IL-1, VEGF ve OC miktarlarna olan etkisinin belirlenmesi amalanmtr.
Materyal ve Metot. Yalar 5-8 arasnda deien, sistemik rahatszl olmayan 22 ocuun 38 kuadrantndaki
ara yz rne bal periodontal harabiyetli st azlar ve 22 adet rksz st st kanin dii alma kapsamna alnarak, st azlarn tedavisinden 6 ay sonra klinik lmlerde ve DOS parametrelerinde biyokimyasal
adan meydana gelen deiiklikler deerlendirilmitir.
Bulgular. rkl dilerde salkl dilere oranla P, G, DOS hacmi ve DOSta IL-1, VEGF, OC miktarlar
yksek bulunmutur. rkl dilerin tedavisinden sonra bu dilerde OC hari tm parametrelerde (P, G,
SD, AK, DOS hacmi, IL-1, VEGF) d gzlenmitir (hepsi iin p<0.0001). Bu dilerde yine tedavi sonras
P, IL-1, VEGF ve OC parametreleri rksz dilere yakn deerler sergilerken (hepsi iin p>0.05), G ve
DOS hacmi rksz dilere kyasla daha yksek bulunmutur (her ikisi iin p<0.0001). rksz dilerde tedaviden 6 ay sonra DOS total OC hari btn parametrelerde d gzlenmi, ayn zamanda OH-S skorunda
orta seviyesinden iyi seviyesine deiim grlmtr.
Sonu. Bu almada tm parametreler rkl dilerde periodontitise benzer bulgular sergilerken, rksz
diler balarda gingivitis bulgular sergilemitir.
Anahtar Kelimeler: Ara yz r, DOS IL-1, Osteokalsin, VEGF
227

SZL SUNUMLAR II
SS 16
18:25 - 18:35
OCUKLARDA OBEZTE VE D R LKS

Salih DOAN, Erciyes niversitesi - Cocuk Di Hekimlii,
Kevser KOLCAKOGLU, Erciyes niversitesi - ocuk Di Hekimlii,
Ferhan ELMALI, Erciyes niversitesi - ocuk Di Hekimlii,
Ama: ocuklarda di r grlme sklnn ocuun beslenme alkanlklar ile ilikili olduu bilinmektedir. Bu noktadan yola karak yaplan almalarda ocuklarn beslenme alkanln yanstan obezite
durumu ile ocuun genel sal, dolays ile de di r arasnda da bir iliki olabilecei dnlmtr.
Ancak gnmze kadar yaplan almalar ocukluk dnemi obezitesi ve di r arasnda kesin bir ilikinin mevcudiyetini kantlayamamaktadr. Buna gre; almamzda Kayseri ili blgesine zel olarak verilen
beden ktle indeksi (BMI) ile WHO BMI deerleri kullanlarak bu blgede yaayan ocuklarda obezite ile di
r arasndaki ilikiyi st, karma ve daimi dentisyondaki salkl ve sistemik rahatszl bulunan ocuklarda ayr ayr deerlendirmeyi amaladk.
Yntem: almamzda Erciyes niversitesi Di Hekimlii Fakltesi Pedodonti Anabilim Dalna bavuran
ve Kayseri ili blgesinde yaayan 3-15 ya grubu 4558 ocuun muayeneleri WHO kriterlerine gre yaplm
olup, BMI ile DMFT ve dmft deerleri hesaplanmtr. Hastalar ya, cinsiyet, dentisyon, BMI, DMFT ve dmft
ve de sistemik hastalk asndan incelenmi ve karlatrlmtr. statistiksel analizde ise; pearson ki kare
testi ile T testi kullanlmtr.
Bulgular: alma sonucunda; salkl ocuklarda daimi dilenmede BMI indeks deeri ile rk prevelans
arasnda istatistiksel olarak anlaml bir farkllk gzlenmi olup, bu farkllk st ve kark dilenme dneminde anlaml dzeyde bulunmamtr. Sistemik rahatszl bulunan ocuklarda ise tm dentisyon tiplerinde BMI
indeksi ile rk prevelans arasnda bir iliki bulunmamaktadr.
Sonu: BMI indeksinin zellikle daimi dilenme dnemindeki ocuklarda nemli bir risk faktr olarak gz
nne alnmas gerekmektedir.
Anahtar Kelimeler: obezite, BMI, di r, kayseri, ocuk
228
INDEX
229
SURNAME NAME
A
ABD EL-AZIZ Amr
ACAR Hamdi
ACAR zge
ACAR Sibel
AAAYAK Kamil Serkan
AASAPAN pek
AGANI Natyra
AHMED Abla
AHMETI Dafina
AKBAY OBA Aylin
AKCAY Huseyin
AKAY Merve
AKAY ZER Sezin
AKGN zlem Mart
AKMAN Hayri
AKSAKALLI Nihan
AKT Damla
AKSOY Abdurrahman
AKSOY Hlya
AKSOY Serkan
AKTA Nagehan
AKTREN Oya
AKYZ Serap
ALAA ELDEEN Eman
ALASTAIR J Sloan
ALPER GRGEN Veli
ALPZ Ali Rza
ALTINTEPE lkay
ALTINTOP Hulya
ALTUN Ceyhan
ALTUNSOY Mustafa
AMBARKOVA Vesna
ARAT MADEN Eda
ARAZ Melis
AREN Gamze
ARI Tuba
ARIKAN Volkan
ARSLAN Hakan
ARSLANOLU Zeki
ASAL Nevin
AIK Esra
ATABEK Didem
ATALAY Yusuf
ATAOL Elif
ATIKLER Mert
ATKLER Ozge
ATIL Fethi
AVCI Serap
AYDIN Zeki
AYDINBELGE Mustafa
AYDINEL Bengi
AYDOGDU Sema
AYEGL Sartekin
AYTEPE Fatma Zeynep
B
BADRAN Amira
BA Irem
BALAR Serdar
BAJRAMI Shqiprim
BALLIKAYA Elif
BALTACI Ezgi
BANI Mehmet
BA Merve
BAYAT Aye Derya
PRESENTATION NUMBER
PP-32
OP: 16
OP: 03
OP : 09, SS 11
PP-94
PP-74
OP: 13
PP-64
OP : 12, OP : 13
OP: 02, PP-49, OP : 20, P-021
PP-55
PP-16, PP-55, PP-60, OP : 19, P-012, P-013
PP-59
P-010
PP-61, SS 6
PP-85
PP-31
SS 15
P-020
SS 8
PP-46, PP-47, PP-79, PP-83, PP-88, P-023
PP-28, PP-68, PP-85
PP-32
SS 1
OP: 11
PP-19
PP-55, OP : 19
OP: 03, P-010
PP-18, PP-21, PP-22, P-016, P-019
OP : 10, PP-06
OP: 03, P-010
PP-79
PP-09, PP-74
PP-12, PP-91
PP-49, OP: 17, OP : 20, P-021
PP-16, OP : 19
PP-33, PP-36, PP-80
PP-09
P-002
PP-76
PP-76
P-021
OP : 07
PP-33
OP : 07, PP-37, PP-41, PP-63, OP: 24, OP : 26, SS 7, P-024, P-038, SS 10
OP : 01
OP : 09
PP-38
PP-59
PP-32
PP-52, OP : 18
PP-49
OP: 04, PP-13
P-002
PP-15
SS 8
OP : 05
P-038
PAGE NUMBER
64
134
15
21, 223
126
106
25
96
24, 25
14, 81, 138, 188
87
5, 48, 87, 92, 137, 179, 180, 219
91
177
93, 164
4, 130
117
63
227
187
166
5, 78, 79, 111, 115, 120, 190
60, 100, 117
64
8
158
23
51
87, 137
15, 177
50, 53, 54, 183, 186
22, 38
15, 177
111
5, 41, 106
44, 123
81, 135, 138, 188
48, 137
65, 68, 112
4, 29
41
5, 154
126
169
108
108
188
19
65
19, 69, 73, 95, 142, 144, 165, 191, 205, 222
13
21
70
91
64
84, 136
81
16, 45
169
47
166
17
205
230
SURNAME NAME
PRESENTATION NUMBER
BAYDEMR Canan
BAYGIN zgl
BAYRAK Gken Deniz
BAYRAK ule
BAYRAM Merve
BEGZATI Agim
BELDUZ KARA Nihal
BENKLI Yasin Atakan
BEZGIN Tuba
BLGN Elif eyda
BILGIN Mehmet Selim
BINAKU Metihe
BOLGL Behiye
BLKBAI Baak
BORA Tutku Deniz
BORBAY AKGL Sevil
BORLU Murat
BOTSALI Murat Selim
BOZATLIOLU Ruhan
BRUCI Blerta
BUDANUR Damla
BURUK Celal Kurtulu
BURUK CK
OP: 04, OP: 08, PP-65, OP : 25

PP-04, PP-43, P-025
P-025
OP: 17, P-004
PP-58, P-009
PP-18
OP: 04, OP: 08
PP-33, PP-36, PP-80
PP-26, P-016, P-017, P-018
P-043
PP-51, PP-52
SS 14
PP-30, PP-51, PP-52, SS 1, SS 3
PP-93
OP : 12, OP : 13
PP-58
PP-19
OP : 15
C
ALAR Eber
AKICI Elif Bahar
AKICI Fatih
AKMAK Esra Ece
ALIKAN Seil
CAN Seda
ANKAYA Burak
CANTEKIN Kenan
APAR smail Davut
ARIKIOLU Burak
CARTI zgl
EHRELI Burak
EKMEGELI Ezgi
ELIK Burcu Nihan
ELIK TOPU Pnar
CENGIZ Ouzhan
ETIN Osman
CETINER Serap
CEYHAN Derya
CFTC Volkan
IFTI Zlfikar Zahit
INAR ada
OULU Dilah
OLAK Cemil
ORUH Mnevver
COLEMAN NJ
CORTCU Murat
SS 9
P-015
P-015
PP-94, P-047
PP-41, SS 5, SS 14
OP: 16
PP-47, PP-83, P-044
OP :07, PP-63, OP: 24, OP : 26, SS 2, SS 5, P-008, P-024, P-032
PP-18, OP : 19
PP-03, P-035
PP-91, P-020
P-033
PP-28
P-012, P-013
P-042
OP: 06
PP-95
OP : 21
PP-67, P-041
PP-40
PP-35
SS 8
OP : 01
SS 1
PP-71
OP : 15
PP-92, P-028
D
DACI Arian
DANE Asm
DAOU Maha H
DELKAN Ebru
DEMIR Pnar
DEMIRCI Tevfik
DEMREL Akif
DEMREL Korkud
DERELOLU Sera
DEVELI Tuba
DKME GVEL Gaye
DOGAN Cem
OP : 29, OP : 30
PP-19, PP-39
PP-54
OP: 11
PP-06
PP-96, P-046
OP : 28
P-032
PP-44, PP-89, SS 12, SS 13
P-014
P-013
PP-90
PP-93
PP-07
PP-40, PP-48, OP: 23
231
PAGE NUMBER
147, 148
51, 71
86
23
5, 217
16, 20, 97, 143
36, 75, 192
192
135, 171
90, 176
50
16, 20
65, 68, 112
58, 183, 184, 185
210
83, 84
226
62, 83, 84, 158, 160
125
24, 25
90
51
133
221
182
182
126, 214
73, 163, 226
134
79, 115, 211
19, 95, 142, 144, 159, 163, 175, 191, 199
50, 137
35, 202
123, 187
200
60
179, 180
209
18
127
139
99, 208
72
67
166
13
158
103
133
124, 195
38
128, 213
146
199
76, 121, 224, 225
181
180
122
155
125
39
72, 80, 141
SURNAME NAME
DOAN Mehmet Sinan
DOAN Salih
DUGGAL Monty
DUMAN Glengl
DRER Arzu
DURHAN Ahu
DURMU Baak
DURMUS Nazli
DURUK Glsm
DURUTRK Leyla
E
EDEN Ece
EL-SHAHAWY Osama
ELBAY Mesut
ELMALI Ferhan
ERAL Bar Derya
ERCAN SEKERCI Ahmet
ERDOAN Yldrm
EREN GIRAY Figen
ERKAN Erhan
ERKEN GNGR zge
ERKMEN ALMAZ Merve
EROL Tuba
ERSIN Nazan
ERTAN Burcu
ERTA Elif Tarm
ERTURUL Fahinur
EVREN DELLBAI Asl
F
F. RADY Ahmed
FELLAGH Hanin
FETAJ Arbnore
G
GARP Gke
GENAY Koray
GEZGIN Onur
GLAVINA Domagoj
GK Begm
GOK Tuba
GKKAYA Berna
GKYAY Seluk
GORSETA Kristina
GOTHE Raffaella
GIZ DOAN Bahar
GL ZA
GL Zeynep Asl
GLER idem
GLER Mehmet Sami
GM Hsniye
GNAY CANPOLAT Dilek
GNDZ Cumhur
GNER irin
GNGOR Ahmet Yaln
GNGR zge
GNHAN mer
GRBZ Takn
GRLER Gkhan
GUVEN POLAT Gnseli
GVEN Yeliz
GUVENIR Meryem
GZEL NUR Banu
PRESENTATION NUMBER
P-047
OP :07, PP-41, SS 10, SS 14, SS 16
OP : 05
PP-12
P-001
P-001
PP-60
PP-53, SS 15
P-013
P-005
PP-64, PP-78
PP-02, PP-84, OP : 29, OP : 30, P-003, P-007, P-034
SS 16
SS 7
OP: 24, OP : 26
P-040
P-001
PP-17
PP-75, P-040
OP: 02, PP-77, P-039
PP-17
SS 11
PP-24
PP-29
OP: 11
P-006
PP-10, PP-81
PP-66, PP-95
OP: 08, PP-65
PAGE NUMBER
214
19, 73, 222, 226, 228
3, 7, 9, 11
17
44
168
168
92
5, 85, 218, 227
180
5, 172
10, 96, 110
34, 116, 147, 148, 170, 174, 201
228
165
142, 144
207
168
49
107, 207
14, 109, 206
49
223
56
61
23
173
42, 113
98, 127
20, 97
PP-21
PP-47 PP-72, PP-73, PP-83, PP-90, P-031, P-036, P-044, P-045
PP-61
PP-06
PP-34
OP : 19
PP-62
P-009
OP : 10
OP : 10
P-002
OP : 15
PP-19
PP-04, PP-43, PP-44, PP-89, SS 1, P-015, P-025, SS 12
P-015
PP-37, P-024
OP :07
OP : 01
PP-95
PP-75
PP-70
P-013
PP-71, PP-87, PP-89, PP-96, P-014, P-046, SS 15
P-006
OP: 03
PP-47, PP-79, PP-83, P-023
OP : 21
PP-75
232
53
30, 79, 104, 105, 115, 122, 198, 203, 211, 212
93
38
66
137
94
176
22
22
169
133
51
36, 75, 76, 121, 158, 182, 192, 224
182
69, 191
19
13
127
107
102
180
103, 119, 121, 128, 181, 213, 227
173
15
79, 111, 115, 190
139
107
SURNAME NAME
H. SANIOUR Sayed
HALIMI Vlera
HANIMELI Seda
HAZNEDAROLU Eda
HERDEM Glda
HURT A
I
LHAN Banu
ILJOSKA Snezana
IIK Zeynep
JAKA Nourhan SAAD
JANKULOVSKA Mira
K
KAHRAMAN Kamil
KAHVECOLU Firdevs
KAMBER Blerim
KAMERI Shpresa
KAN Bahadr
KANYILMAZ Tunahan
KAPDAN Arife
KARAAA Esra
KARABBER Glden
KARABULUT Bar
KARADUMAN Burcu
KARAYILMAZ Hseyin
KARGL Betl
KARTAL Demet
KASIMOLU Yelda
KAVRIK Fevzi
KAYA Can
KAYA Emine
KAYABAI ala
KEME Utku Can
KENCI Ekin
KESKIN Serdar
KHOURY-FREIHA Marlene
KILI Vahti
KIRATLI Binnur
KIRZIOLU Zuhal
KITIK Burak
KIVAN Merih
KIZILASLAN Sena
KIZILCI Esra
KOYIIT Cansu
KOLAKOLU Kevser
KORUYUCU Mine
KSELER Ege
KYLOLU Zeycan rem
KOYUNCUOLU Cenker Zeki
KOYUTRK Alp Erdin
KRASNIQI Lumnije
KRASNIQI Vjosa
KKEMEN idem
KKYILMAZ Ebru
KULAN Pnar
KLEKI Gven
KURU Sinem
KUGZ Adem
KUTALMIS BYK Suleyman
KUTLLOVCI Nita
KUTLLOVCI Teuta
PRESENTATION NUMBER
PP-10, PP-81
OP: 08, PP-65
PP-70
P-001
PP-63, SS 7
OP : 15
PAGE NUMBER
42, 113
20, 97
102
168
95, 165
133
P-033
OP : 25
P-038
PP-64
PP-06
200
143
205
96
38
PP-61, SS 6
PP-30, PP-51, OP: 16, SS 6
PP-65
OP: 27
P-042
PP-04, PP-43, P-025
PP-12, PP-91, P-020
PP-08, P-027
P-027
SS 14
PP-07
PP-45, PP-70, PP-75, PP-94, P-040
PP-24, PP-25, PP-62, PP-86
SS 14
PP-83, P-031, P-036, P-044
PP-11, SS 3
OP : 29, OP : 30, P-003, P-034
PP-02, PP-84, OP : 29, P-007
OP : 01
OP: 06
PP-14
OP: 06
OP : 28
SS 10
PP-28, PP-85
PP-34, PP-35, PP-38, PP-67
PP-86
PP-34
OP: 06
PP-44, PP-56, SS 12, SS 13
P-004
SS 10, SS 16
OP: 11, PP-69, PP-72, PP-73, PP-90, OP : 22, P-044, P-045
PP-84
P-037
PP-07
PP-31, PP-92, P-028
OP: 04
OP: 08
PP-08, P-027
PP-11, PP-26, PP-27, PP-29, PP-30, PP-60, SS 3, SS 4, P-016, P-017, P-018
PP-25
SS 9
PP-46, PP-57, PP-58, P-022, P-026
PP-01, PP-15, PP-42
OP: 24
OP: 25
OP: 25, OP: 27
233
93, 164
62, 83, 134, 164
97
145
209
36, 75, 192
44, 123, 187
40, 194
94
226
39
77, 102, 107, 126, 207
56, 57, 94, 118
226
115, 198, 203, 211
43, 160
147, 148, 170, 201
34, 116, 147, 174
13
18
46
18
146
222
60, 117
5, 66, 67, 70, 99
118
66
18
5, 76, 88, 216, 224, 225
171
222, 228
23, 101, 104, 105, 122, 140, 211, 212
116
204
39
63, 124, 195
16
20
40, 194
43, 58, 59, 61, 62, 92, 160, 162, 183, 184, 185
57
221
78, 89, 90, 189, 193
33, 47, 74
142
143
143, 145
SURNAME NAME
L
LATIFI-XHEMAJLI Blerta
M
MEMI ZGL Betl
MENDERES Menije
MESE Merve
MIHI Ercan
MORGAN Heba
MEZZNOLU Bra
N
N.VAKUR Olga
NABIL Maria
NAKA Hana
NAMAL Arn
NORA Jaka
NUR Bilge Glsm
NUR GORKEN Feyza
O
ODABA Mesut Enes
ODABASI Didem
OK Evren
KTE Zeynep
ONAT Halenur
NA zant
NER Ela
NER ZDA Didem
TER Banu
Oya AKTREN
ZALP Nurhan
ZALP erife
ZBAY YAVLAL Gizem
ZBEY Hilal
ZCAN lknur
OZDEMIR Yksel
ZDEMR-ZENEN Didem
ZEL MB
ZEN Bura
OZKAN Leman
ZMEN Bilal
ZNURHAN Fatih
ZIN Cansu
ZTRK Ceren
OZUS Ozge
ZVEREN Neslihan
P
PADMANABHAN Vivek
PATIR MNEVVEROLU Asl
PAYVEREN ARIKAN Mehtap
PEKER Serta
PERN Duygu
PINAR Demir
PINAR-ERDEM Arzu
R
REXHEPI Aida
S
S. FARAG Mohamed
SABAH Erturul
SADIKU Merita
AHBAZ Cafer
AHN CALAPOLU Nilfer
PRESENTATION NUMBER
OP: 04
PAGE NUMBER
16
OP: 17
PP-23
PP-16
PP-75, P-037
PP-64
OP: 06
135
55
48
107, 204
96
18
4, 130
96
45
151
45
186
111
PP-64
PP-13
PP-13
P-019
PP-79
SS 8
PP-43, P-025
PP-18, PP-22, P-016, P-019
OP: 02
PP-33, PP-36
PP-23
PP-30
PP-07
P-029
P-015
P-004
P-011, P-030
PP-24
SS 9
PP-74
PP-87
PP-66
OP : 15
PP-05
OP : 21
PP-31, PP-92, P-028
PP-12, PP-19, PP-20, PP-91
P-002
PP-20
PP-39
P-011
OP : 14
PP-17, PP-93
OP: 24
PP-63
PP-53
PP-50, PP-57, PP-58, P-009, P-026
166
75, 192
50, 54, 183, 186
14
65, 68
55
62
39
196
82
5, 171
178, 197
56
221
106
119
98
133
37
139
63, 124, 195
44, 51, 52, 123
169
52
71
178
26
49, 125
142
4, 131
95
85
82, 89, 90, 176, 193
OP: 08, OP: 13, OP: 27
20, 25, 145
PP-10, PP-81, PP-82

OP : 09, SS 11
OP: 27
P-047
PP-67
42, 113, 114

21, 223
145
214
99
234
SURNAME NAME
AHN Fikrettin
AHN pek
AHIN Osman
SANDALLI Nket
SANDRA Dagher
AR ala
SARI Ayegl
SARI Mustafa Erhan
SARI aziye
SARIDA Serkan
AROLU SNMEZ Il
SAVA Seluk
SAYGILI Gokhan
EKER Oya
SELV-KUVVETL Senem
EN Sadri
EN Selin
EN TUN Emine
ENGL Fatih
SEPET Elif
SERN Buse Aye
ERMET ELBAY lk
SEYMEN Figen
SEZEN Meltem
SHABANI Lulejeta
SHEHAB Dina
SHOUKRY Aktham
SLC Sibel
MEK DERELOLU Sera
MSEK Hseyin
SNANOLU Enver Alper
RNOLU APAN Belen
MAN Reyhan
SOLEVA Anita
SOLIMAN Fairouz
SNMEZ Hayriye
STANOVCI Elvira
SUER Huseyin Kaya
SUNGURTEKN EKC Elif
SURME Koray
T
TABAKILAR Derya
TAHIRI Urata
TANBOA lknur
TANK Mehmet Kutlu
TANRIVER Mehmet
TANYER Aliye Tue
TADEMR Sener
TALI P. Neslihan
TEKIEK Meryem
TEZCI ZGR Nurcan
TIRALI Ebru
TOKAY Uur
TOLGAY Ceren Gney
TONGU ALTIN Kbra
TOPALOLU-AK Asl
TOPUOLU Gamze
TOPUOLU Hseyin Sinan
TOPUOLU Nursen
TOPCUUGLU Sinan
TORUN KSE Gamze
TOSUN Gl
TULUMBACI Fatih
TUNA Elif Bahar
TUNA KIRSALIOLU Ceyda
PRESENTATION NUMBER
PP-28
SS 15
PP-36
OP : 05, PP-54, PP-66, PP-95, SS 9
OP : 28
P-033
PP-80
P-028
OP: 17, P-012, P-013
PP-84, P-007
OP: 02, PP-77 OP : 20, P-039
PP-11, PP-26, PP-27, PP-55, SS 3, SS 4, P-017, P-018
OP : 19
PP-33, PP-36, PP-80
OP : 05
P-015
OP: 06
OP: 11
P-014
PP-46, PP-57, PP-58, PP-79, P-022, P-026
PP-14, PP-48, OP: 23,
PP-02, PP-84, OP : 29, OP : 30, P-003, P-007, P-034, P-042
PP-69, PP-72, PP-73, PP-90, P-044, P-045
PP-86
OP : 12, OP : 13
PP-78
PP-64
PP-21
PP-03, P-035
PP-87
P-007, P-034
PP-68
PP-56
PP-06
PP-64
OP: 11
OP: 04, PP-13, OP: 27
OP : 21
PP-20
PP-04, PP-43 P-025
PP-72, PP-73, P-031, P-036
PP-13, OP : 25, OP: 27
P-001
P-029
PP-01, PP-18, PP-22, P-019
PP-69
PP-71
PP-28
P-002
PP-07
P-033, P-043
PP-31, PP-92
PP-09, PP-74
PP-54, PP-95
OP: 11, PP-23
PP-27, P-008
P-008
SS 9
PP-16
PP-24
PP-61, SS 6
PP-49, OP : 20, P-021
OP: 11, PP-72, PP-73, PP-76, P-031, P-036
P-004
235
PAGE NUMBER
60
207
68
17, 86, 98, 127, 221
146
200
112
195
4, 31, 135, 179, 180
116, 174
14, 109, 138, 206
43, 58, 59, 87, 160, 162, 184, 185
137
65, 68, 112
17
182
18
23
181
78, 89, 90, 111, 189, 193
46, 80, 141, 153
34, 116, 147, 148, 170, 174, 201, 209
1, 101, 104, 105, 122, 211, 212
118
24, 25
110
96
53
35, 202
119
174, 201
100
88
38
96
5, 23, 150
16, 45, 145
139
52
36, 75, 192
104, 105, 198, 203
45, 143, 145
168
196
33, 50, 54, 186
101
103
60
169
39
200, 210
63, 124
41, 106
86, 127
23, 55
159, 175
175
221
48
56
93, 164
81, 138, 188
23, 104, 105, 108, 198, 203
171
SURNAME NAME
TUNCER BUDANUR Damla
TURGUT Melek
TRKAN Uur
TUTU Eser
TZNER T
TZNER Tamer
U
UUR Ylmaz
UURLUEL Ceren
LGEN Alize Su
ULKER Mustafa
ULUCAN Korkut
ULU Sermin Dicle
ULU SERMIN Dicle
ULUKAPI In
NAL Mehmet
NAL Murat
NEK Berrin
NSAL Glcan
URGANCI Nafiye
USLU KIZILKAN Nuray
USLU Mehmet Emin
USTA Merve
UZER CELIK Esra
V
VAN STRIJP A.J.P.
XHAFERI Blerta
XHEMAJLI Blerta
Y
YAMUR Burcu
YAHYAOGLU Gorkem
YALIN Hande
YALCIN Muhammet
YAMAN Duygu
YANAR Esra
YARAT Ayen
YARDIMCI Sla
YAA Bilal
YASA Elif
YAVA Mge
YAZICIOLU ffet
YET Ceylan al
YILDIRIM Gzde
YILDIRIM Mustafa Denizhan
YILDIRIM Sibel
YILDIRIM Sinem
YILDIZ Esma
YILMAZ Dilek zge
YILMAZ Duygu
YILMAZ Ycel
YORULDU AKSU Seckin
YCEL ER Ceren
Z
ZORLU Sevgi
ZLFKAR ZAHT ifti
PRESENTATION NUMBER
PP-57, P-026
P-002
PP-21
P-042
OP : 15
PP-19, PP-39, PP-42
PAGE NUMBER
89, 193
169
53
209
133
51, 71, 74
SS 1
OP : 29, OP : 30, P-003
PP-42
OP: 16
PP-68
PP-46, P-023
P-015
PP-88
PP-94, P-047
PP-12, P-020
PP-23
PP-46, PP-88
PP-85
P-004
PP-21
PP-85
PP-11, PP-26, PP-27
PP-05
PP-65, OP : 25
OP : 12, PP-13
158
147, 148, 170
74
134
100
78, 190
82
120
126, 214
44, 187
55
78, 120
117
171
53
117
43, 58, 59
37
97, 143
24, 45
PP-70
PP-39
PP-45
PP-56
PP-90
PP-03, PP-89
PP-28, PP-85
PP-69
PP-29, SS 3
PP-29
P-030
OP: 23
PP-35
OP: 11
OP :07
OP : 18
PP-02, OP : 29, OP : 30, P-042
P-037
PP-72, PP-73, P-031, P-036
PP-09, PP-74
PP-03, P-035
P-005
PP-23
PP-07
PP-38
102
71
77
88
122
35, 121
60, 117
101
61, 160
61
197
141
67
23
19
136
34, 147, 148, 209
204
104, 105, 198, 203
41, 106
35, 202
172
55
39
70
236

8.international Congress of Mediterranean Societies of Pediatric Dentistry

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8.international Congress of Mediterranean Societies of Pediatric Dentistry

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www.amop-turkpedo2014.

8th INTERNATIONAL CONGRESS OF MEDITERRANEAN

ABSTRACT BOOK / ZET KTABI

Fevzi akmak Hall

Chairmans: Prof.Dr.Figen Seymen, Prof.Dr. Mohamed Ezzeddine

Chairman: Prof.Dr. lknur Tanboa

Chairman: Prof. Dr. Nesrin Eronat

Chairman: Prof. Dr. Zuhal Krzolu

Chairman: Prof.Dr. Serap Akyz

Gala Dinner (CAHDE)

NOVEMBER 14 FRIDAY, 2014

Chairman: Prof.Dr. Oya Aktren

Fevzi akmak Hall

Dr. NEVN ASAL

Chairman: Prof.Dr.Serap etiner

Chairman: Prof.Dr. Feridun Baak

Chairman: Prof.Dr. In Ulukap

Chairman: Prof.Dr.Gamze Aren

AMOP BOARD MEETING

ORAL SESSION III

AMOP Closing Ceremony

15 KASIM 2014, CUMARTES

30 Austos Zafer Salonu

Fevzi akmak Salonu

Moderatr: Prof.Dr. Oya AKTREN

Oturum Bakan: Prof.Dr.Zeynep Aytepe

Oturum Bakan: Prof.Dr. Elif Sepet

TPD retim ye Toplants

RESTORATION OF CHILDRENS TEETH: THE JOURNEY FROM MINIMAL INTERVENTION

MOLAR-INCISOR HYPOMINERALISATION (MIH) AND COMMON DENTAL ANOMALIES

FULL CERAMIC RESTORATION, THE NEW ERA IN PEDIATRIC DENTISTRY

TRAUMA IN CHILDREN AND ADOLESCENTS WITH EMPHASIS ON NEW MATERIALS,

NOVEMBER 13 THURSDAY, 2014

EVALUATION OF THE BIOCOMPATIBILITY OF DIFFERENT FLUORIDE AGENTS IN CELL

NOVEMBER 13 THURSDAY, 2014

EVALUATION OF THE EFFECT OF A HERBAL LOLLIPOP ON SALIVARY STREPTOCOCCUS

NOVEMBER 13 THURSDAY, 2014

THE EFFECT OF CASEIN PHOSPHOPEPTIDE-AMORPH CALCIUM PHOSPHATE AND

NOVEMBER 13 THURSDAY, 2014

MOTHERS ATTITUDE, CARIES EXPERIENCE AND THEIR CORRELATION WITH

NOVEMBER 13 THURSDAY, 2014

EFFICACY OF FLUORIDE-PVA TAPES ON INHIBITING ENAMEL DEMINERALIZATION,

NOVEMBER 13 THURSDAY, 2014

ROLE OF DENTAL STUDENTS IN PREVENTIVE DENTISTRY

NOVEMBER 13 THURSDAY, 2014

ANALYSIS OF COMPREHENSIVE DENTAL REHABILITATION UNDER GENERAL

NOVEMBER 13 THURSDAY, 2014

ASSOCIATION BETWEEN ORAL HYGIENE AND LEVEL OF DENTAL PLAQUE

NOVEMBER 13 THURSDAY, 2014

THE EFFECTS OF GLUTEN-FREE DIET ON THE MANIFESTATIONS OF CELIAC DISEASE

NOVEMBER 13 THURSDAY, 2014

EXPERIENCE AND PREVALENCE OF DENTAL CARIES AMONG 15-YEAR OLD CHILDREN

NOVEMBER 13 THURSDAY, 2014

EVALUATION OF PREVALENCE AND ETIOLOGICAL FACTORS OF MOLAR INCISOR

NOVEMBER 13 THURSDAY, 2014

DENTAL STATUS OF 15-YEAR OLD SCHOOLCHILDREN IN URBAN AND RURAL AREAS IN

NOVEMBER 13 THURSDAY, 2014

THE IMPACT OF UNAESTHETIC SMILE ON PSYCHOLOGICAL STATE OF CHILDREN

NOVEMBER 13 THURSDAY, 2014

EVALUATION OF STRESS DURING DENTAL EXTRACTIONS-A CORRELATION STUDY

ORTHODONTIC PREVENTION, INTERCEPTION AND TREATMENT IN THE MIXED

ORTHODONTICS- PEDODODONTICS INTERFACE

CONGENITAL AGENESIS OF MANDIBULAR SECOND PREMOLARS: ETIOLOGY,