Gingival recession associated with Orthodontic treatment and root coverage

Many patients seek to pursue orthodontic treatment for esthetic improvement. These patients present with mal- alignment of the anterior teeth. There was strong correlation between the severity and extent of gingival recessions and past orthodontic treatment, it was suggested that orthodontic tooth movement may lead to gingival recession. The principal objective in the treatment of gingival recession is to cover the exposed root surfaces to improve es- thetics and to reduce hypersensitivity. Different soft tissue grafting procedures have been proposed in the treatment of gingival recessions. Free gingival grafts (FGG) are a reliable method for treatment of gingival recessions: An autograft is taken from the palate as replacement for the lost keratinized gingiva. The purpose of this case report was to illustrate the relationship between orthodontic therapy and gingival recession, and to describe the successful treatment of this case. A 24-year-old girl with gingival recession and hypersensitivity in the anterior mandibulary region was admitted to periodontology clinic. Treatment consisted of oral hygiene instruction, mechanical debride- ment and surgical periodontal treatment. Root coverage is performed with a FGG in a one step method. The patient and clinicians were satisfied with the result. FGG can a viable alternative in the treatment of gingival recession. Surgical periodontal treatments result in esthetic improvement, elimination of sensitivity, and less risk of develo- ping root carie

Nationalism and European identity in the frame of European citizenship

Identity and nationalism. National versus European? Clash of nationalism.Identity and nationalism. National versus European? Clash of nationalism.LUISS PhD Thesi

Leptin ve periodontal hastalıklar

Leptin, a hormone secreted by adipose tissue, but also by several other tissues, and it plays an important role in protection of the host from inflammation and infection. Periodontal diseases are multi-factorial infectious disorders that lead to destruction of the supporting tissues of the teeth. These diseases are the result of bacterial infections of the gingival tissues. Therapy to decrease the levels of oral microorganisms can reduce gingivitis and stabilize periodontitis. Previous studies have suggested a relationship between periodontal disease and leptin levels. Some researchers reported that there is a strong negative correlation between the gingival crevicular fluid (GCF) leptin level and periodontal disease progression, after the presence of leptin within healthy and inflamed gingiva has been demonstrated. The aim of this paper is to summarize the effect of leptin in the human body and to report relationship between periodontal disease and leptin levels. ÖZET Leptin, konağı inflamasyon ve infeksiyondan koruyucu önemli bir rolü olan, yağ dokusundan başka ilave çeşitli dokulardan da salgılanan bir hormondur. Periodontal hastalıklar, dişlerin destek dokularının yıkımına yol açan birden fazla faktörün sebep olduğu infeksiyöz hastalıklardır. Bu hastalıklar gingival dokularda bakteriyel infeksiyonlar sonucu oluşurlar. Oral mikroorganizmaların seviyelerini azaltarak yapılan tedavi, gingivitisi engelleyebildiği gibi, periodontitisi de stabilize edebilir. Daha önceleri yapılan çalışmalar da leptin seviyeleri ile periodontal hastalıklar arasında bir ilişki olduğunu ileri sürmüşlerdir. Bazı araştırıclar, sağlıklı ve hastalıklı gingivada leptinin varlığı gösterildikten sonra dişeti oluğu sıvısı leptin seviyesi ile periodontal hastalığın şiddeti arasında güçlü bir negatif korelasyon olduğunu bildirmişlerdir. Bu derlemenin amacı, leptin seviyeleri ve periodontal hastalık arasındaki ilişkiyi bildirmek ve insan vücuduna leptinin etkilerini özetlemektir. Anahtar Kelimeler; Hormon, leptin, periodontal hastalık, dişeti, dişeti iltihab ve dişeti oluğu sıvıs

Severity and Management of patients with Snake and Scorpion Envenomation Admitted to an Intensive Care Unit in Southeastern Turkey: A retrospective study

Background: Snake and scorpion envenomation is a common public health problem in many regions of the world. Life-threatening emergencies may occur in patients with snake and scorpion envenomation; therefore, these patients may be required intensive care unit (ICU) follow-up. Our objective was to present the demographic and clinical characteristics, treatment modalities and short term outcomes of patients with snake and scorpion envenomation who followed up in our tertiary hospital ICU. Methods: Patient records were retrospectively searched and snake or scorpion envenomation patients with ICU stay were identified with relevant keywords and ICD-10 codes between January 2010 and September 2019. All cases with ICU stay were included for study analysis, regardless of patient age. Scorpion and snake envenomation managed in outpatient clinic were excluded from our data. Poisoning severity score (PSS) system was used to present signs and symptoms and PSS was calculated. Primary and critical care treatment modalities were identified and analyzed. Results: Forty patients (25 with snake bites [62.5%] and 15 with scorpion sting [37.5%]) were included in this retrospective study. Local and systemic effects have been reported in 33 (82.5%) and in 27 patients (67.5%), respectively. Majority of patients suffered from pain or disturbances in sensory neural, hematological, cardiovascular or metabolic systems. Median PSS was 2 (0-4) and median length of stay in ICU was 2 days (1-12). Mortality rate was 2.5%. Antivenom immunoglobulins (n=32, %80.0), systemic antibacterial agents (n=24, 60%), and paracetamol (n=21, 52.5%) were the most common systemically administered treatments. Surgical interventions were performed in 4 patients (10%) Conclusions: We reported that snake and scorpion envenomation were mostly admitted to the ICU with local and/or systemic symptoms for advanced monitoring and observation. Although life treating emergencies and mortality was uncommon in our study, we think that these patients should be closely followed up in ICU

Relationship between intracellular pathogens Toxoplasma gondii and Borrelia burgdorferi infections and migraine

Aim: In this study, the serological values of our patients followed up with a diagnosis of migraine were compared with the results of healthy controls in terms of possible association with intracellular pathogens, Toxoplasma gondii and Borrelia burgdorferi. Methods: Fifty patients with migraine, randomly selected among migraine patients without any additional disease, who applied to Bolu Abant Izzet Baysal Training and Research Hospital between January 1, 2015 and August 31, 2019 were included in the study. Fifty subjects without headache were included as control group. The history of infectious diseases of the patient and control groups (Toxoplasma gondii, Borrelia burgdorferi- causing Lyme disease) was determined by serological diagnostic methods. Results: The study group consisted of 64 women with a mean age of 45.5±13.1 (15-76) years. Migraine and control groups were found to be similar in terms of age (p=0.059) and gender (p=0.211) distributions. The frequency of Toxoplasma gondii positivity in the migraine group was 28% (n=14) and 10% (n=5) in the control group. The frequency of Lyme was 19.6% (n=11) in the migraine group and 14.3% (n=8) in the control group. The frequency of Toxoplasma gondii positivity was statistically significantly higher in the migraine group (p=0.022), while the frequency of Lyme was found to be similar in the migraine and control groups (p=0.450). Conclusion: The results of our study suggest that there are statistically significant differences between migraine and control groups only in terms of Toxoplasma gondii positivity rates, not Lyme. However, we believe that larger sample studies are needed to determine the detailed relationship between migraine and Toxoplasma gondii infection

Case Report Amyloid Goiter Secondary to Ulcerative Colitis

Diffuse amyloid goiter (AG) is an entity characterized by the deposition of amyloid in the thyroid gland. AG may be associated with either primary or secondary amyloidosis. Secondary amyloidosis is rarely caused by inflammatory bowel diseases. Secondary amyloidosis is relatively more common in the patients with Crohn's disease, whereas it is highly rare in patients with ulcerative colitis. Diffuse amyloid goiter caused by ulcerative colitis is also a rare condition. In the presence of amyloid in the thyroid gland, medullary thyroid cancer should be kept in mind in the differential diagnosis. Imaging techniques and biochemical tests are not very helpful in the diagnosis of secondary amyloid goiter and the definitive diagnosis is established based on the histopathologic analysis and histochemical staining techniques. In this report, we present a 35-year-old male patient with diffuse amyloid goiter caused by secondary amyloidosis associated with ulcerative colitis

Geographical and temporal distribution of SARS-CoV-2 clades in the WHO European Region, January to June 2020

We show the distribution of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) genetic clades over time and between countries and outline potential genomic surveillance objectives. We applied three genomic nomenclature systems to all sequence data from the World Health Organization European Region available until 10 July 2020. We highlight the importance of real-time sequencing and data dissemination in a pandemic situation, compare the nomenclatures and lay a foundation for future European genomic surveillance of SARS-CoV-2