Occurrence and Timing of Complications of Crown-Fractures in Permanent Incisors: A Randomized Clinical Trial

Objective: To investigate the complications of crown fractures that might occur in different follow-up periods. Material and Methods: Individuals within the 6-13 age range with crown fracture and consulted to University Hospital were included in the study. Patients were randomly divided into three groups by block randomization method and evaluated clinical and radiographically for complications at the 6, 8 weeks, and 6, 12, 24 months. The crown of the tooth was divided into 9 equal squares and 6 classes of fracture types were created. Complications and their frequencies were evaluated based on the post-traumatic substance losses in these illustrated fracture types. Results: The incidence of complications was 28.9% at 6 months, 51.3% at 1year, and 63.9% at 2years. Class4 fractures had the highest probability of complications (32.4%) and the development of pulp necrosis (40.3%). It was detected that the complications such as pulp necrosis (21.6%) can be frequently observed in the 2nd year or later periods of crown fractures. Conclusion: In addition to current regular checks, periodic follow-up of crown fracture should be extended to reflect current findings. Dentists, patients, and their parents must be made conscious of the importance of the treatment and follow-ups of crown fracture

The prevalence, characteristics and complications of mesiodens in non-syndromic pediatric patients

Aim: This study aims to determine the prevalence of mesiodens in pediatric patients, and to examine the characteristics of mesiodens and the associated complications.Material and Methods: Panoramic radiographs of patients aged between 5-14 years who presented to the Pediatric Dentistry Department between 2012-2019 were analyzed. Among 54895 patients, 319 were found to have 355 mesiodens. The morphology, location, eruption stage and the associated complications of mesiodens were analyzed.Results: The prevalence of mesiodens was found to be 0.58 %. Two hundred and twelve patients were male (66 %), 238 were in the mixed dentition stage (74.6%); 89 % of the patients (n=284) had a single mesiodens, 10.7 % had 2 and one had 3 mesiodens. Conical morphology (n=225, 63.4 %), vertical position (n=233, 65.6 %) and impaction (n=180, 50.8 %) were found to be common in mesiodens. Complications associated with mesiodens were identified as diastema (21.9 %), rotation/displacement of the adjacent tooth (14.4 %), and presence of resorption (2.6 %). 61.1 % of mesiodens were found to be asymptomatic.Discussion: Although the prevalence value is similar to other studies in the literature review, it is closer to the studies on X children. Since the presence of diastema is the most common complication, radiographs should be carefully examined for the presence of mesiodens in a routine examination. Dentists need to be attentive in clinical examination to be able to prevent complications in the early stages

Evaluation of Epidemiology and Etiology of Dental Injuries Observed in Children [Cocuklarda Gorulen Dis Yaralanmalarinin Etiyoloji ve Epidemiyolojilerinin Degerlendirilmesi]

Traumatic dental injuries(TDI) is an important public health problem because of its frequency, occurrence at a young age and the high cost treatment follow-up procedures reason for continuing forward in the life of the patient's. In scientific literature, TDI frequency has increased in the last 30 years. Knowing the etiological and epidemiological factors of traumatic dental injuries would significantly support physicians in diagnosis and treatment planning. This observational retrospective study aimed to describe the epidemiological characteristics of traumatic dental injuries of children under the age of 15. The results obtained in this study will be useful for the development of the prevention and treatment of this type of injury of the pediatric population. [Med-Science 2015; 4(3.000): 2650-63

Evaluation of Epidemiology and Etiology of Dental Injuries Observed in Children Cocuklarda Gorulen Dis Yaralanmalarinin Etiyoloji ve Epidemiyolojilerinin Degerlendirilmesi

Traumatic dental injuries(TDI) is an important public health problem because of its frequency, occurrence at a young age and the high cost treatment follow-up procedures reason for continuing forward in the life of the patient's. In scientific literature, TDI frequency has increased in the last 30 years. Knowing the etiological and epidemiological factors of traumatic dental injuries would significantly support physicians in diagnosis and treatment planning. This observational retrospective study aimed to describe the epidemiological characteristics of traumatic dental injuries of children under the age of 15. The results obtained in this study will be useful for the development of the prevention and treatment of this type of injury of the pediatric population. [Med-Science 2015; 4(3.000): 2650-63

Effectiveness of Different Methods in Removing Dentin Caries of Primary Teeth: Micro-CT and SEM Evaluation

Objectives: With the recent improvements in technology, the expectation of minimal invasion and maximal comfort in caries removal techniques is increasing. This study aims to examine the effectiveness of six caries removal methods in primary teeth. Study design: Sixty primary molars (10 teeth in each groups) were used. floor was examined before and after caries removal. After caries removal, the patency of the dentinal tubules was examined in two teeth from each group on SEM images. Statistical analyses were performed using Kruskal-Wallis, Wilcoxon tests. Results: For six different caries removal methods, tooth mineral (inorganic, total) densities at cavity floors were compared among the groups after the procedures, and no statistically significant difference was found (p>0.05). On the SEM images, it was seen that the dentinal tubules were exposed and no smear layer was formed in the Carisolv group. Significant rough surfaces were exposed in the laser group. Conclusion: It was observed that alternative caries removal methods are at least as effective as the traditional method in primary teeth for clinical applications