İmplant destekli overdenture ve klasik tam protezlerin hasta memnuniyeti açısından karşılaştırılması

<p><strong>Objectives: </strong>The aims of this study were to evaluate satisfaction of patients used implant-retained overdentures and conventional complete dentures, and to investigate the effect of sociodemographic properties on satisfaction.</p> <p><strong> Materials and Methods: </strong>Forty two patients, 27 female and 15 male,<strong> </strong>used implant-retained overdentures and conventional complete dentures were included in this study, who attended to University of Yeditepe, Faculty of Dentistry in 2011. A questionnaire was prepared and distrubuted to evaluate the patient satisfaction levels about their dentures and sociodemographic properties such as age, gender, education, marital and income status. The answers were asked to give as not satisfied, satisfied, very satisfied. Chi-square test and Fisher’s Exact Chi-square test were used to analyze the quantitative data. An alpha level of 0.05 was used for all statistical analyses.</p> <p><strong> Results: </strong>The mean age of the 42 patients (64.3% female, 35.7% male) was 62.26.<strong> </strong>It was observed that<strong> </strong>patients with higher educational level prefered implant-retained overdentures, compared to conventional complete dentures. In the conventional complete denture group, higher numbers of patients were very satisfied with the cleanability compared to implant-retained overdenture group. (<em>p</em>=0.039). There was no statistically significant differences between implant-retained overdentures and conventional complete denture groups with regard to satisfaction level of esthetic, chewing, speech, retention and comfort.</p><p><strong> Conclusions: </strong>It can be concluded that sociodemographic factors did not affect the satisfaction of different denture types. The patients with conventional complete dentures were more satisfied with the cleanability, compared to implant-retained overdentures.</p> <p><strong>Keywords:</strong> Conventional complete dentures, implant-retained overdentures, satisfaction.</p><p> </p><p><strong>ÖZET</strong></p> <p><strong> Amaç:</strong> Bu çalışmanın amacı, klasik tam protez ve implant destekli tam protez kullanan hastaların memnuniyetlerini değerlendirmek ve demografik özelliklerin memnuniyet üzerine etkisini incelemekti.</p> <p><strong> Gereç ve Yöntem: </strong>Çalışmaya,<strong> </strong>2011 yılında Yeditepe Üniversitesi Diş Hekimliği Fakültesi’nde, alt-üst klasik tam protez ve üst klasik-alt implant destekli tam protez uygulanan, 27’si kadın ve 15’i erkek, toplam 42 hasta dahil edildi. Hastalara, sosyodemografik özelliklerini (cinsiyet, yaş, ömedeni durum, öğrenim durumu, gelir düzeyi) içeren ve protezlerinin memnuniyetini değerlendiren anket formları dağıtıldı. Cevapların, memnun değilim/memnunum/çok memnunum şeklinde verilmesi istendi. Niteliksel verilerin karşılaştırılmasında Ki-Kare testi ve Fisher’s Exact Ki-Kare testi kullanıldı. Anlamlılık p<0,05 düzeyinde değerlendirildi.</p> <p><strong> Bulgular: </strong>%64,3’ü kadın ve %35,7’si erkek olan toplam 42 hastanın yaş ortalaması 62,26 idi. İmplant destekli protez kullanan lise ve üzeri eğitim düzeyindeki hastaların oranının, klasik tam protezler kullananlardan anlamlı şekilde yüksek olduğu görüldü. Bu hastaların temizlenebilirlikten çok memnun olma düzeylerinin ise klasik tam protez kullanan hastalardan yüksek olduğu belirlendi (<em>p=0,039)</em>. İmplant destekli protez kullanan hastalar ile klasik tam protez kullanan hastaların estetik, çiğneme, konuşma, tutuculuk ve rahatlık memnuniyet düzeyleri arasında istatistiksel olarak anlamlı bir farklılık bulunmadı.</p><p><strong> Sonuç: </strong>Yapılan çalışmada, demografik faktörlerin her iki protez tipinin memnuniyeti üzerine etkisi olmadığı, yalnızca klasik tam protez hastalarının implant destekli tam protez hastalarına kıyasla, temizlenebilirlik açısından daha memnun olduğu belirlendi.<strong> </strong></p> <p><strong>Anahtar Kelimeler: </strong>Klasik tam protez, implant destekli overdenture, memnuniyet.<strong> </strong></p&gt

Students' perspectives on undergraduate oral surgery education

Purpose: This study evaluated students' perceptions of their self-confidence regarding aspects of their undergraduate oral and maxillofacial surgical training. It further aimed to develop a reliable Turkish version of the questionnaire originally developed by the Association of British Academic Oral Maxillofacial Surgeons (ABAOMS) Education Committee

Evaluation of significant radiographic findings and their impact on the oral health-related quality of life of patients with complete dentures

Capar, Gonca Duygu (Trakya author)Purpose: The aim of this study was to assess the frequency and location of positive radiographic findings in edentulous patients and to evaluate the oral health-related quality of life (OHRQoL) and complacency of patients with positive radiologic findings. Materials and Methods: A total of 1,349 asymptomatic edentulous patients were retrospectively evaluated using a digital panoramic system for the presence of retained root fragments, impacted teeth, foreign bodies, radiolucencies, radiopacities, mental foramen at or near the alveolar crest, and maxillary sinus pneumatization. The patients with positive findings were called for a follow-up to take a new panoramic radiograph. The functional status and symptoms of participants were measured with the Oral Health Impact Profile (OHIP-14). Results: At least one or more of the radiographic findings were observed in 35.21% of the evaluated radiographs. The most frequent finding was sinus pneumatization (20.9%). The mean total OHIP score was 9.74 +/- 8.34. There was no statistically significant difference observed for gender, age, education levels, marital status, or having surgical interventions for total OHIP14 scores (P > .05). Conclusion: The results of this study suggest that routine radiographic examination of edentulous patients may not be crucial before rehabilitation, and using a total percentage of positive radiographic findings may result in the exaggeration of the disease risk in edentulous patients

Dental Education for Prevention of Oral Cancer in Turkey: Needs for Changing the Curriculum

OZDEMIR-OZENEN, Didem/0000-0002-2607-7634; Ozcakir-Tomruk, Ceyda/0000-0003-1545-5588; Ozdemir-Karatas, Meltem/0000-0001-7132-9936The aim of the present study is to evaluate the knowledge, attitudes, and behaviors of dental students on oral cancer in Istanbul, Turkey. A self-administered questionnaire adapted from Tanriover et al. consisting of 48 questions was distributed to 311 students enrolled in the fourth and fifth grades of a dental faculty in Istanbul, Turkey. Questions were grouped under 5 main headings: socio-demographic features, knowledge on risk factors and diagnostic procedures, history taking regarding to alcohol and smoking status, opinions and behaviors of oral cancer, and distribution of dental students according to diagnostic practice of oral cancer. The frequencies and percentages were calculated with descriptive analysis. The differences in distributions were analyzed using the chi-squared test. The p value was set at 0.05 for statistical significance. The overall response rate was 98% (305/311). The majority of the students identified tobacco and alcohol as risk factors (82% and 75.1%, respectively), while older age and inadequate consumption of fruits and vegetables were less likely to be known (60.2% and 52.8%, respectively). Almost one-fifth of the students stated that they have never performed oral cancer examinations during their first or subsequent dental examinations of their patients. Female students thought that dentists were authorized to make oral cancer examinations with a higher frequency compared to males (65.8% and 34.2%, respectively; p = 0.006). On the other hand, female students reported that they did not receive adequate education regarding cessation of smoking with a higher frequency compared with males (69.2% female and 30.8% male respectively; p = 0.0001). As this present study revealed that future dentists had insufficient knowledge in some of the main concepts on oral cancer risk factors, and they lacked the confidence in performing oral examinations in their patients, it is concluded that there is a need for a more structured teaching program with greater emphasis on the early signs and risk factors of OC. Reorganization of the dental curriculum, and courses which further draw attention on the responsibility of the dental practitioner in the detection of oral cancers will be beneficial for the creation of awareness on this significant topic among future dental workforce. Understanding the knowledge and perception of dental students on oral cancers is not only limited to a specific country but it is a worldwide critical issue in which information should be exchanged

Assessing the Quality of Life of Dental Students by using the WHOQOL-BREF Scale

Background/Aim: The study aimed to evaluate the quality of life (QOL) of dental students in a private dental school with the use of the WHOQOLBREF scale

Competencies of Performance Appraisal in a Dentistry School: A 6-Year Study

This study was performed to determine how senior students rate the importance of each competency of their performance and collect information on the self-perceived confidence levels pertaining to each competency. An anonymous survey was conducted on senior students of 6 consecutive years between 2012 and 2017. Students were asked to rate the importance of each competency and their self-confidences using a 5-point scale. Application of appropriate interpersonal and communication skills was ranked as the most important competency whereas developing a catastrophe preparedness plan for dental practice was ranked as having the lowest importance. Areas reported as weaker should be a warning sign for educators to develop strategies for better delivery and implementation of competencies and students' performance

Preventive effect of doxycycline sponge against bisphosphonate-related osteonecrosis of the jaws: an animal study

The aim of this study is to investigate the effect of doxycycline collagen sponge on bisphosphonate-related osteonecrosis of the jaw (BRONJ) and the level of serum biomarkers as an indicator of osteonecrosis. Twenty-four rats were divided into four groups. Animals in the control group were injected with saline and animals in Groups I, II and III were injected with zoledronate three times a week for eight weeks. After eight weeks, the following procedures were performed in each group. In Group I: extraction of maxillary first molar, in Group II: extraction of maxillary first molar and mucoperiosteal coverage was performed and in Group III: extraction of maxillary first molar and mucoperiosteal coverage with doxycycline collagen sponges was performed. At the end of 16 weeks, all animals were sacrificed. Serum collagen type I C-telopeptide (CTx), tartrate-resistant acid phosphatase (TRACP 5b) and alkaline phosphatase (ALP) levels’ analysis, clinical examination, histological and histomorphometrical analysis were performed. As a result no significant difference in CTx, TRACP 5b and ALP levels was observed between groups. Complete mucosal healing was observed in all animals in the control group and 66.7% of animals in Group III. The necrotic bone area in Group III was significantly lower than the other groups (p < 0.01). Statistically significant difference was observed between groups in terms of detached osteoclast number (p < 0.01). In conclusion, local application of doxycycline could have a positive effect in reducing the risk of BRONJ in rats

Competencies of Performance Appraisal in a Dentistry School: A 6-Year Study

Ozenen, Gurkan/0000-0001-7996-8097; Sungurtekin-Ekci, Elif/0000-0001-8465-8309; OZDEMIR-OZENEN, Didem/0000-0002-2607-7634; Tanriover, Ozlem/0000-0003-0251-3451This study was performed to determine how senior students rate the importance of each competency of their performance and collect information on the self-perceived confidence levels pertaining to each competency. An anonymous survey was conducted on senior students of 6 consecutive years between 2012 and 2017. Students were asked to rate the importance of each competency and their self-confidences using a 5-point scale. Application of appropriate interpersonal and communication skills was ranked as the most important competency whereas developing a catastrophe preparedness plan for dental practice was ranked as having the lowest importance. Areas reported as weaker should be a warning sign for educators to develop strategies for better delivery and implementation of competencies and students' performance