The Practices of Treating Deep Carious Lesions Compared with the Dental Curriculum in Turkish Dentistry

Objective: The aim of this cross-sectional study is to investigate Turkish dentists’ opinions and preferences regarding the management of deep carious lesions and compare them with modern dental education concepts as provided by dental schools. Methods: Questionnaire 1 and Questionnaire 2 were sent separately to dental practitioners via the Turkish Dental Association and to university department heads of restorative dentistry. The data obtained were analyzed using chi-square tests and one-way ANOVA tests (p \u3c 0.05). Results: Regarding Questionnaire 1, most of the dentists (89.3%) responded that caries lesions should be removed completely up to the hard cut-off condition of the cavity floor. There was a statistically significant difference between female and male dentists’ preferences on less invasive treatment (p \u3c 0.05). Female dentists prefer less invasive treatment compared with male dentists (p = 0.002). Relatively older dentists (mean age = 41.8) are more inclined towards complete caries removal even if pulp exposure is likely (p = 0.040). The results of Questionnaire 2 reveal that there is no association between the time spans of education at dental schools and their caries removal approach curriculum (p \u3e 0.05). Most department heads of restorative dentistry prefer to apply complete caries removal (78.5%, n = 51). Conclusion: Despite today’s curriculum encouraging less invasive caries removal techniques, most dentists prefer more invasive treatment options. Continuous education of contemporary dentistry could update these clinical treatment attitudes of dentists and improve their clinical practice

ORTODONTİ-KONSERVATİF TEDAVİ İŞBİRLİĞİ İLE ESTETİK YAKLAŞIMLAR İKİ OLGU NEDENİYLE

Günümüzde, özellikle genç erişkinlergörünümlerine çok önem vermektedirler ve dişler,kişisel görünümlerinde kilit bir rol oynamaktadır.Son 25 yılda devamlı gelişim gösteren adeziv dişhekimliği de bu estetik ihtiyaçlar› hem basit hem de ekonomik olarak karş›layabilmektedir. Günümüzde modern adeziv teknikler, estetik olmayan diş formlar›n›n, boyutlar›n›n ve renklerinin düzeltilmesini sağlamak amac›yla restoratif malzemelerin direkt olarak diş yap›s›na yap›şt›r›lmas›n› sağlamaktad›r. Kompozit rezinler ayn› zamanda diastema kapat›lmas›, kama veya eksik yan kesici dişlerin düzeltimesi amac›yla da diş yap›s›na direkt olarak eklenebilir. Bu vaka raporu, malokluzyonla beraber eksik/kama şeklinde yan kesici dişleri olan iki hastan›n ortodonti ve konservatif tedavi işbirliği ile estetik ve fonksiyonel rehabilitasyonunu anlatmaktad›r. Başar›l› bir şekilde ortodontik tedavi, periodontal cerrahi ve direkt kompozit rezin uygulanmas›n› içeren koordine bir tedavi yap›lm›şt›r. Bu şekilde, hastalar›n üst öndişleri için estetik beklentileri invaziv bir tedavi uygulamas›na gerek kalmadan başar›yla sağlanm›şt›r

Fiber-reinforced technology in multidisciplinary chairside approaches

There is an increasing demand to improve dentofacial esthetics in the adult population. This demand usually requires a close collaboration within the various disciplines of dentistry and the patient at every stage of the therapy. The materials and techniques used by these interdisciplinary clinicians must be conservative and minimally invasive. Fiber-reinforced composite technology offers such solutions for chairside applications. This case report presents two cases where fiber-reinforced ribbon and composite complex was used in a multidisciplinary approach to improve esthetics