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

Determination of potential cellular proliferation in the odontogenic epithelia of the dental follicle of the asymptomatic impacted third molars

Purpose: The aim of this study is to determine the proliferative potentials of dental follicles (DF) of radiographically asymptomatic impacted third molar teeth by using Ki-67 and mini-chromosome maintenance protein 2 (MCM-2) proliferation markers, and to discuss whether there is any necessity for the removal of all impacted third molars by detecting the potential of the developing cysts and tumors; of its DF

EFFECTS OF PAMIDRONATE ADMINISTRATION ON TOOTH ERUPTION AND MANDIBULAR GROWTH IN NEW BORN RATS

Purpose: Bisphosphonates are commonly used drugs in pediatric patients in the treatment of osteoporotic diseases and various types of cancers. The purpose of this study was to evaluate the effects of pamidronate administration on mandibular growth and tooth eruption in new born rats

Comparison of hemodynamic effects of lidocaine, prilocaine and mepivacaine solutions without vasoconstrictor in hypertensive patients

OBJECTIVE: Local anesthetic solutions with vasoconstrictors are not contraindicated in hypertensive patients, but due to their hemodynamic effects, local anesthetics without vasoconstrictors are mainly preferred by the clinicians. The aim of this study was to compare hemodynamic effects of three different local anesthetics without vasoconstrictors during tooth extraction in hypertensive patients. MATERIAL AND METHODS: Sixty-five mandibular molars and premolars were extracted in 60 hypertensive patients (29 females and 31 males; mean age: 66.95 ± 10.87 years; range: 38 to 86 years old). Inferior alveolar and buccal nerve blocks were performed with 2% lidocaine hydrochloride (HCl), 2% prilocaine HCl or 3% mepivacaine HCl without vasoconstrictor. Hemodynamic parameters namely systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), heart rate (HR), saturation rate (SR), rate pressure product (RPP) and pressure rate quotient (PRQ) were investigated before and at different intervals after anesthetic injection. RESULTS: The hemodynamic effects of the three agents were similar to each other, although some significance was observed for DBP, MAP, RPP and PRQ values in the lidocaine, prilocaine and mepivacaine groups. CONCLUSION: Lidocaine, prilocaine and mepivacaine solutions without vasoconstrictor can be safely used in hypertensive patients. It is advisable that dental practitioners select anesthetic solutions for hypertensive patients considering their cardiovascular effects in order to provide patient comfort and safety