2-5 yaş arası çocuklarda erken çocukluk çürüklerine neden olan risk faktörleri

Purpose: The aim of this study was to determine the association of dietary habits and socioeconomic status for early childhood caries (ECC) among 2-5 years old children. Materials and Methods: A total of 200 children (aged 2-5 years) were examined for gender, dmft, dmfs, dietary and brushing habits, duration and contents of bottle feeding, number of family individuals, educational level and occupation of parents and socioeconomic status. Statistical analysis was performed by using NCSS 2007 software and one-way ANOVA, tukey test, t-test, chi-square test were performed between the groups. Results: According to the results, 62.7% of the children had a history of bottle-feeding. Gender, number of main meal and drinking milk before sleeping were positively and total income was negatively associated with bottle feeding (p=0.031, p=0.017, p=0.038, p=0.0001). For children which were using bottle, the mean average of dmf and dmfs scores were 9.88, 15.5 respectively. Statistically significant differences were found between dmf, dmfs scores and bottle feeding (p=0.0001). Only breast feeding, only feeding bottle and bottle with breast feeding were significantly associated with dmf and dmfs scores (p=0.0001). Anterior caries pattern was significantly high for bottle feeeding than only breast and bottle feeding and only breast feeding (p=0.0001). Socioeconomic status was found significantly associated with dmf and dmfs scores (p=0.004, p=0.036). Conclusion: ECC was more prevalent in preschool children especially who were in low socioeconomic status. It was concluded that night-time breast-feeding in children, using of a bottle at night and during the day correlated with the etiology of ECC.Amaç: Bu çalışmanın amacı 2-5 yaş arası çocuklarda erken çocukluk çürükleri (EÇÇ) ile beslenme alışkanlıkları ve sosyoekonomik durum arasındaki ilişkinin karşılaştırılmasıdır. Gereç ve Yöntem: Toplam 200 çocuk (2-5 yaş arası) cinsiyet, dmft, dmfs, beslenme ve fırçalama alışkanlıkları, biberon ile beslenme süresi ve biberon içeriği, ailede ki birey sayısı, anne ve babanın eğitim düzeyi ve iş durumu ile ailenin sosyoekonomik durumu gibi parametreler açısından değerlendirilmiştir. İstatistiksel değerlendirmede NCSS 2007 yazılımı kullanılmıştır; gruplar arası karşılaştırmalarda tek yönlü ANOVA, tukey testi, t-testi ile ki- kare testi uygulanmıştır. Bulgular: Çalışmanın sonucunda çocukların % 62.7’sinin biberonla beslenme öyküsü bulundu. Biberonla beslenme ile cinsiyet, ana öğün sayısı, uykudan önce süt içme sıklığı arasında pozitif; toplam gelir düzeyi arasında negatif yönde istatistiksel olarak anlamlılık bulundu (p=0.031, p=0.017, p=0.038, p=0.0001). Biberon kullanan çocuklarda ortalama dmf ve dmfs skoru sırasıyla 9.88, 15.5 olarak saptandı. Dmf ve dmfs skorları ile biberon kullanımı arasında istatistiksel olarak anlamlı farklılık bulundu (p=0.0001). Sadece anne sütü ile beslenme, sadece biberon ile beslenme ya da hem anne sütü hem de biberonla beslenme ile dmf ve dmfs skorları arasında istatistiksel anlamlılık saptandı (p=0.0001). Ön dişlerde çürük görülme sıklığının biberon ile beslenen çocuklarda, sadece anne sütü ile beslenen ya da her ikisi ile beslenen çocuklara oranla anlamlı derecede yüksek olduğu izlendi (p=0.0001). Sosyoekonomik durum ile dmf ve dmfs skorları arasında istatistiksel anlamlılık saptandı (p=0.004, p=0.036). Sonuç: EÇÇ’nin özellikle düşük sosyoekonomik durumu olan okul öncesi çocuklarda daha yaygın olarak gö- rüldüğü saptanmıştır. EÇÇ’nin etiyolojisinde; geceleri anne sütü ile beslenme, gece boyunca veya gün içerisinde biberon kullanımı önemli rol oynamaktadır

Microinfiltracao de ionomero de vidro de alta viscosidade e carbômero de vidro com e sem revestimento antes e depois de envelhecimento hidrotermal

Objective: The objective of this study was to evaluate the microleakage patterns of GIC and GGC with and without their protective surface coatings on enamel and dentin margins before and after aging. Material and Methods: Two rectangular cavities (height: 2 mm; width: 3 mm; depth: 1.5 mm) were prepared on each tooth at the cemento-enamel junction were prepared on human permanent molars (N=56) and the teeth were randomly assigned to be restored with one of the following: a) high viscosity glass-ionomer cement (GIC) (EQUIA Fil, C Corp., Tokyo, Japan) (n=28), b) glass-carbomer cement (GCC) (Glass Carbomer Products, Leiden, The Netherlands) (n=28). Half of the teeth were further divided into two groups where one group received protective surface coating (SC) (G-Coat Plus, GC Corp) (n=14) and the other group did not (n=14). Half of the teeth were stored for 24 hours (n=7), and the other half was thermocycled (5000 cycles, 5-55°C) (n=7). For microleakage analysis, the teeth were immersed in 5% methylene blue dye for 24 hours, sectioned into two equal halves. Microleakage patterns were evaluated using stereomicroscope and scored on a scale of 0-3 (0: No dye penetration, 1: Dye penetration less than half of the axial wall, 2: Dye penetration more than half the axial wall, 3: Dye penetration spreading along the axial wall). Data were analyzed using Kruskal-Wallis tests at the significance level of 0.05. Results: Compared to 24 h storage, after thermocycling, coating on GIC decreased microleakage significantly compared to GCC (p=0.046) but not for GCC. In the thermocycled groups, coated GIC showed significantly less leakage at the enamel margin but no significant difference was found with both GIC and GCC in the dentin margins. Conclusion: The application of surface coating significantly reduced the microleakage scores of GIC but not GCC, within the enamel margins only.Objetivo: O objetivo deste estudo foi avaliar os padrões de microinfiltração de GIC e GGC com e sem seus revestimentos protetores superficiais nas margens de esmalte e dentina antes e após o envelhecimento. Material e Métodos: duas cavidades retangulares (altura: 2 mm; largura: 3 mm; profundidade: 1,5 mm) foram preparadas em cada dente na junção cemento-esmalte de molares permanentes humanos (N = 56), sendo aleatoriamente designados para serem restaurados com um dos seguintes: a) cimento de ionômero de vidro (GIC) de alta viscosidade (EQUIA Fil, C Corp., Tóquio, Japão) (n = 28), b) cimento de vidrocarbômero (GCC) Carbomer Products, Leiden, Holanda) (n = 28). Metade dos dentes foram divididos em dois grupos, onde um grupo recebeu revestimento protetor de superfície (SC) (G-Coat Plus, GC Corp) (n = 14) e o outro grupo não (n = 14). Metade dos dentes foram armazenados por 24 horas (n = 7), e a outra metade foi termociclada (5000 ciclos, 5-55 ° C) (n = 7). Para análise de microinfiltração, os dentes foram imersos em corante azul de metileno a 5% por 24 horas, seccionados em duas metades iguais. Os padrões de microinfiltração foram avaliados usando estereomicroscópio e pontuados numa escala de 0-3 (0: Sem penetração de corante; 1: penetração de corante inferior à metade da parede axial; 2: penetração de corante mais do que metade da parede axial; 3: penetração de corante ao longo da parede axial). Os dados foram analisados pelo teste de Kruskal-Wallis ao nível de significância de 0,05. Resultados: em comparação com o armazenamento de 24 h, após a termociclagem, o revestimento de superfície no GIC diminuiu significativamente a microinfiltração em comparação com o GCC (p = 0,046), mas não para o GCC. Nos grupos termociclados, o GIC revestido apresentou significativamente menos infiltração na margem do esmalte, mas não houve diferença significativa para o GIC e o GCC nas margens dentinárias. Conclusão: A aplicação do revestimento de superfície reduziu significativamente os escores de microinfiltração do GIC, mas não do GCC, apenas nas margens do esmalte

Stafne bone defect: Report of two cases

Stafne bone defects are asymptomatic lingual bone depressions of the lower jaw. In 1942, Stafne described for the first time 35 asymptomatic, radiolucent cavities, unilaterally located in the posterior region of the mandible, between the mandibular angle and the third molar, below the inferior dental canal and slightly above the basis mandibulae. In this study, the clinical and radiological characteristics of 2 cases of Stafne bone defects were described. Orthopantomograph and CBCT were used for diagnosing the defects. The bone defects of two patients in this study were asymptomatic and any other bone lesions, such as cysts and tumors, were excluded because no signs of inflammatory or tumoral changes were evident Therefore, surgery was not considered and the patients were followed for 1 year. Stafne bone defect was an incidental finding, presenting no evolutionary changes, and as such conservatory therapy based on periodic controls was indicated. Currently, complementary techniques such as CT are sufficient to establish a certain diagnosis

Rubinstein-taybi syndrome: A case report

Rubinstein-Taybi syndrome or Broad Thumb-Hallux syndrome is a genetic disorder characterized by facial dysmorphism, growth retardation, and mental deficiency. A seven-year-old girl had come to the Department of Pedodontics, Istanbul Medipol University, Faculty of Dentistry, Turkey, with a complaint of caries and bleeding of gingivae. The patient was mentally retarded. Extraoral features revealed distinctive facial appearance with a broad fore head, hypertelorism, broad nasal bridge, and beaked nose. Intraoral features observed were talons cusps in the upper lateral incisors, carious teeth, and plaque accumulation. Since the patient was mentally retarded, the dental treatment was done under GA. The treatment plan and dental management of this patient are discussed in this case report

Periodontal healing after traumatic injury

Travmatik dental yaralanmaların sonucunda, periodonsiyumda, pulpada ve yumuşak dokularda yara iyileşme süreci görülmektedir. Bu süreç, doku onarımı-devamlılığın dokudan farklı anatomi ve fonksiyona sahip başka bir doku ile sağlanması- ya da doku rejenarasyonu –devamlılığın aynı anatomi ve fonksiyona sahip doku ile sağlanması- ile gerçekleşebilmektedir. Yumuşak dokuların ve mineralize dokuların, cerrahi ya da travmatik yaralanmalara karşı olan cevabı çok hassas bir süreç olarak tanımlan- makta ve tedavi prosedüründe yapılacak olan değişikliklerin, iyileşmenin oranını ve kalitesini etkileyeceği bildirilmektedir. Bu nedenle uygun tedavi prosedürlerinin belirlenmesi için ilgili dokuda meydana gelen yara iyileşmesinde rol alan hücresel ve hümoral elemanların iyi anlaşılması gerekmektedir.After traumatic dental injuries, wound healing process is observed in periodonsium, pulp tissue and soft tissues. This process can occur with tissue reparation –the provision of progression by another tissue having different anatomy and function- or tissue regeneration –the provision of progression by a tissue having same anatomy and function-. Response of soft tissues and mineralized tissues against operational or traumatic injuries is identified as a very sensitive process and changes made in the treat- ment procedure is reported to have effect on healing ratio and quality. Therefore cellular and humoral elements taking place in the wound healing of the subjected tissue should be well understood to identify proper treatment procedures

Evaluation of dental age in individuals of different ages with unilateral cleft lip and palate

Objective: This study aimed to evaluate the dental age of unilateral cleft lip and palate (UCLP) patients aged 7-12 and 12-16 years using Demirjian's method and to compare these results with a control group. Methods: We evaluated the panoramic radiographs of 54 individuals with UCLP and 54 age- and gender-matched individuals without UCLP (control). The UCLP and control groups were divided into two groups: 7-12 and 12-16 years of age. Their dental ages were determined using Demirjian's method. Dental ages of the cleft side and noncleft side were assessed separately and were also compared with those of the control group to assess potential asymmetric dental developments in the UCLP group. Results: The chronological age was lower than the dental ages on both right and left sides in the control group (p<0.01). When age groups were evaluated separately, it was found that the chronological age was lower than the dental age in 7-12 year old individuals in the UCLP group (p<0.05), whereas it was less than the left and right dental ages in 7-12 (p<0.01) and 12-16 year old individuals (p<0.05) in the control group. Conclusion: We detected no differences in dental age between UCLP patients and healthy controls, and lack of asymmetrical dental development in the mandibular teeth of either group. However, based on assessments performed using Demirjian's method, subjects' dental and chronological ages were incompatible

Dental treatment of a child with pallister-killian syndrome

WOS: 000379071300001PubMed ID: 26998367The Pallister-Killian syndrome (PKS) is an extremely rare genetic disorder with an incidence estimated around 1/25000. PKS is a multiple congenital anomaly deficit syndrome caused by mosaic tissue limited tetrasomy for chromosome 12p. The presented report is the first confirmed case with PKS in Turkey. This report focuses on the orofacial clinical manifestations of an 6-year-old boy with PKS who was referred to the Department of Paediatric Dentistry clinic, Gazi University. It has been learned that the PKS was diagnosed 1 year after birth. Due to intellectual disability, it was decided to make the dental treatments under moderate sedation. Although significant tongue thrust and anterior open bite were determined, any oral appliances could not be applied because of the 2 epilepsy seizures in the last 2 years. The aim was to treat decayed teeth and set good oral hygiene in the patient's mouth. Still, there is a probability for epilepsy seizures. If epileptic seizures stop permanently, we can apply an oral appliance to block tongue thrust. The patient is now under control. In cases of systemic and oral findings such as PKS, conducting medical and dental approaches together will increase the life quality of patients

Çocuklarda ortodontik tedavi ihtiyacı: Üç indeksin karşılaştırılması

Purpose: An orthodontic treatment need index is a form of occlusal index devised initially to prioritize the need for treatment and to categorize the malocclusion and identify patients based upon treatment need. The aim of this study was to evaluate orthodontic treatment needs of children using IOTN (Index of Orthodontic Treatment Need), DAI (the Dental Aesthetic Index) and ICON (Index of Complexity, Outcome and Need) and the relationship among the three index. Material and Methods: After ethical approval and informed consent were obtained; 100 children aged 10-12 years were examined for malocclusion, overjet, overbite, open bite and crossbite. The study models of subjects were taken and the DAI, the Dental Health Component (DHC) and the Aesthetic Component (AC) of IOTN and ICON were compared. Statistical analysis was performed by using NCSS 2007 software and regression analysis was performed between the results. Results: The mean average scores of DAI, IOTN-DHC, IOTN-AC and ICON indices were 25.44±8.05, 2.46±0.98, 4.17±2.53 and 38.67±21.08, respectively. Statistically significant differences were found between DAI, IOTN-DHC, IOTN-AC and ICON scores (p<0.01). Conclusion: DAI, IOTN and ICON were found to be significantly correlated with each other regarding the prevalence of malocclusion and orthodontic treatment need.Amaç: Ortodontik tedavi ihtiyacı indeksleri, tedavi ihtiyacının önceliğinin belirlenmesi ve tedavi ihtiyacına bağlı olarak hastaların ve maloklüzyonların kategorize edilebilmesi için tasarlanan oklüzal indeks formudur. Bu araştırmanın amacı, çocuklarda ortodontik tedavi ihtiyacının IOTN (Index of Orthodontic Treatment Need), DAI (the Dental Aesthetic Index) ve ICON (Index of Complexity, Outcome and Need) indeksleri kullanılarak değerlendirilmesi ve bu üç indeks arasındaki ilişkinin belirlenmesidir. Gereç ve Yöntem: Etik kurul onayı ve bilgilendirilmiş onam formu alındıktan sonra, yaşları 10-12 arasında değişen 100 çocuk maloklüzyon, overjet, overbite, openbite ve crossbite açısından klinik olarak muayene edilmiştir. Hastalardan alt-üst çene alçı modeler elde edilerek DAI, IOTN-AC (Aesthetic Component), IOTN-DHC (Dental Health Component) ve ICON indeksleri kullanılarak ölçümler yapılmış ve bu ölçümler karşılaştırılmıştır. İstatistiksel analizler, NCSS 2007 software programı ve regresyon analizi yöntemi kullanılarak gerçekleştirilmiştir. Bulgular: Ortalama indeks skorları DAI, IOTN-DHC, IOTN-AC ve ICON için sırasıyla 25.44±8.05, 2.46±0.98, 4.17±2.53 ve 38.67±21.08 olarak bulunmuştur. DAI, IOTN-DHC, IOTN-AC ve ICON skorları arasında istatistiksel olarak anlamlı farklılık elde edilmiştir (p<0.01). Sonuç: Ortodontik tedavi ihtiyacının ve maloklüzyonun belirlenmesinde, DAI, IOTN ve ICON arasında anlamlı bir korelasyon bulunmuştu

Conservative surgical treatment of the jaw cysts in children: Case study of five patients

WOS: 000413916300026PubMed ID: 29072251Aims: Conservative treatment of jaw cysts establishes low surgical complication risk and protects vital anatomical structures such as inferior alveolar nerve, maxillary sinus and permanent tooth germs. Marsupialization and decompression have been widely used in children. The aim of this study was to evaluate the results of the conservative treatment of jaw cysts in five children. Materials and Methods: This article presents case series of marsupialization in jaw cysts associated with impacted teeth in five children. A total of nine impacted teeth within the cystic lesions were observed. Results: Complete resolution of all cystic lesions and simultaneous eruption of six impacted teeth within the cyst were managed. The other two teeth were erupted orthodontically and one had to be extracted. Conclusions: Marsupialization is effective for the treatment of cystic lesions in growing patients as it preserves vital anatomical structures and enables eruption of the impacted teeth within the cyst

Rethinking isolated cleft lip and palate as a syndrome

WOS: 000429971300011PubMed ID: 29500156Objective. The goal of the present work was to use dental conditions that have been independently associated with cleft lip and palate (CL/P) as a tool to identify a broader collection of individuals to be used for gene identification that lead to clefts. Study design. We studied 1573 DNA samples combining individuals that were born with CL/P or had tooth agenesis, supernumerary teeth, molar incisor hypomineralization, or dental caries with the goal to identify genetic associations. We tested 2 single-nucleotide polymorphisms that were located in the vicinity of regions suggested to contribute to supernumerary teeth. Overrepresentation of alleles were determined for combinations of individuals as well as for each individual phenotypic group with an alpha of.05. Results. We determined that the allele C of rs622260 was overrepresented in all individuals studied compared with a group of unrelated individuals who did not present any of the conditions described earlier. When subgroups were tested, associations were found for individuals with hypomineralization. Conclusions. Although we did not test this hypothesis directly in the present study, based on associations reported previously, we believe that CL/P is actually a syndrome of alterations of the dentition, and considering it that way may allow for the identification of genotype-phenotype correlations that may be useful for clinical care