Late term complications of intruded permanent incisors: 2 case reports

sonmez, isil/0000-0002-3530-0244WOS: 000253603600040PubMed: 18280953This report describes 2 cases of intrusive luxation injuries of maxillary immature permanent central incisors. In both cases, intruded teeth were left for spontaneous reeruption. During periodic follow-ups for up to 2 years the teeth did not show any sign, clinically or radiographically, of pulp necrosis with apical periodontitis. However, in the first case tenderness to percussion and periapical radiolucency developed after 2.5 years and endodontic treatment was started. In the second case, the patient returned after 2 years 9 months with complaint and periapical radiolucency was observed radiographically. Endodontic therapy was performed. These late-term complications highlight the need for regular long-term follow-up in cases of intrusive luxation in permanent teeth

Developmental Disturbances of a Maxillary Central Incisor due to Trauma to Its Predecessor: A Case Report

sonmez, isil/0000-0002-3530-0244WOS: 000327463200014PubMed: 23689528Objective: To report the effects of a primary tooth trauma on the underlying permanent tooth germ. Clinical Presentation and Intervention: A 12-year-old girl was referred to our clinic with a complaint of poor aesthetic appearance. The crown of the permanent maxillary left central tooth exhibited an increased clinical crown height with an 'enamel hyperplasia' in the cervical third and had hypoplastic enamel with yellowish-brown discoloration extending from the middle third to the incisal edge. Radiographic examination revealed that the permanent maxillary left central tooth had abnormal root morphology with root dilaceration. The patient revealed a history of trauma at the age of 4 years. An aesthetic restoration with light-curing resin composite was performed on the vestibular surface of the maxillary left permanent central tooth. Conclusion: Sequelae of a primary tooth trauma on the permanent tooth were restored. We recommend that parents should be aware of the consequences of untreated trauma to a primary tooth. Educational and preventive programmes on dental trauma are required to educate parents about emergency knowledge and sequelae of dental trauma. Copyright (C) 2013 S. Karger AG, Base

Spontaneous re-eruption of intruded permanent incisors: five case reports

sonmez, isil/0000-0002-3530-0244WOS: 000207879500012PubMed: 16997096This report presents 5 cases of intrusive luxation in immature permanent central incisors. The intruded incisors, with careful monitoring, were allowed to spontaneously re-erupt, which avoided the need to reposition the tooth either orthodontically or surgically. All of the teeth re-erupted spontaneously in a few months. The root development continued in all of the cases and all pulps remained vital. There were no other signs of pulpal and/or periapical pathology. It can be concluded that intruded immature permanent teeth can spontaneously re-erupt, conserve their vitality, and continue their root development without any surgical or orthodontic management. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:e60-e65

Coronal microleakage of four endodontic temporary restorative materials: An in vitro study

sonmez, isil/0000-0002-3530-0244WOS: 000270084800041PubMed: 19716727Objective. The purpose of this study was to compare the sealing ability of the temporary restorative materials Cavit-G, Ketac Molar Easymix, and IRM with a new light-curing temporary material, Clip, using a methylene blue dye penetration test. Study design. Endodontic access preparations were prepared in 48 intact extracted human premolars. The teeth were divided into 6 groups, including positive and negative control groups. After access preparation, cotton pellets were placed in the pulp chamber so that the space remaining for the restoration was 4 mm. After thermal cycling for 500 cycles (5 degrees C-55 degrees C), the teeth were immersed in 2% methylene blue solution at neutral (pH = 7.0) in an incubator for leakage assessment. The teeth were sectioned, and the greatest depth of dye penetration was recorded. Marginal leakage was evaluated with a stereomicroscope. Results. Positive control sections exhibited complete dye penetration, and negative controls had none. In the experimental groups, the differences in the leakage scores of the Clip and Cavit-G groups and the other 2 groups were very marked. There were no statistically significant difference in marginal leakage between Cavit-G and Clip. Conclusion. The new light-curing temporary material Clip seals against marginal leakage as effectively as Cavit when used as a temporary filling. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: e67-e70

Clinical Evaluation of a Colored Compomer in Primary Molars

sonmez, isil/0000-0002-3530-0244WOS: 000261385800006PubMed: 19060488Objective: The purpose of this study was to evaluate the clinical performance of a new colored compomer material, Twinky Star, in primary molars. Subjects and Methods: Eighty class II restorations were placed in a total of 36 subjects and the clinical success of the restorations was evaluated after 12 months based on modified US Public Health Services criteria. Results: The failure rate of the restorations was 3.9% ( 3 out of 77) and the clinical success of the restorations, measured by anatomic form, marginal integrity, marginal discoloration, surface texture, maintenance of interproximal contact and secondary caries, was acceptable. Conclusion: The clinical success of the colored compomer material, Twinky Star, indicates that it could be a good alternative to tooth colored compomers. Copyright (C) 2008 S. Karger AG, Base

Healing with Incomplete Root Development After Forty Months Following: A Case Report

WOS: 000410750200014In recent years, the concept of revascularization has been developed that employs the use of a mixture of antibacterial drugs for disinfection of infected root canals. The clinical and radiographic examinations showed deep coronal caries, immature root, and periapical radiolucency in mandibular second premolar (#35) of a 13-year-old girl. The exam findings suggested revascularization treatment. Revascularization with triantibiotic mix was administered for 2 weeks. Then, a blood clot was created in the canal, over which mineral trioxide aggregate was placed. Coronal sealing was performed with composite resin. After 40 months follow-up, the tooth was asymptomatic with a positive response to the pulp test and periapical radiolucency was healed. However, no evidence of root development was observed. In spite of numerous reports of revascularization treatment, no incomplete root development was reported after long-term follow-up. Despite incomplete root development, positive response to the pulp test is controversial

Prevalence of Dental Anxiety in 7-to 11-Year-Old Children and Its Relationship to Dental Caries

sonmez, isil/0000-0002-3530-0244WOS: 000270365800004PubMed: 19797921Objectives: The aims of this cross-sectional study were to evaluate the level of fear of dental procedures among schoolchildren and assess the relationship between caries experience and fear of dental procedures. Subjects and Methods: 275 children aged 7-11 years were recruited for the study. Before conducting a dental examination, each subject was asked to independently complete a Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) questionnaire. Children having a score of 6 38 were included in the group 'with dental fear' while those scoring ! 38 were placed in the 'without dental fear' group. All dental examinations were performed on the school premises according to WHO criteria. Results: Mean CFSS-DS value was 28.1, and the number of children who experienced dental fear was 40 (14.5%). It was found that Decayed, Missing and Filled Surface Index (DMFS-dfs) increased significantly with increasing CFSS-DS values. Fear scores were highest for 'Choking' (3.3), 'Injections' (2.6) and 'Having somebody put instruments in their mouth' (2.6). No significant differences in fear scores between boys and girls were found in this study. Conclusions: The data showed prevalence of dental fear in the 7-11-year-old children of this study. Dental fear scores decreased with increasing age. Copyright (C) 2009 S. Karger AG, Base

Postoperative morbidity in pediatric patients following dental treatment under general anesthesia

WOS: 000488851900003PubMed: 31579891Purpose The aims of this study were to investigate post-operative complications in pediatric patients 24 and 72 hours after general anesthesia (GA) and to identify any associations between dental procedures and complications. Materials and Methods One hundred and thirty three healthy pediatric patients who had undergone dental treatment under GA (age range: two to nine years) were included in this study. The project was designed as a prospective, observational study supported by a questionnaire that collected data on children's post-operative complaints. Preoperative data were obtained from patients' files and included age, gender, medical condition and admission type (inpatient or outpatient) variables. The postoperative complaints were assessed either by phone contact or by face-to-face interviews using a questionnaire 24 and 72 hours after treatment. Results 69.9% of children reported one or more complaints after 24 hours and 35.3% after 72 hours. Coughing and pain (27.1%), inability to eat (24.8%), psychological changes (24.1%) and a sore throat (21.1%) were the most common complaints during the first day. After 72 hours, the severity and rate of the complications decreased significantly (p < 0.05). Conclusion Post-operative complaints following dental treatment under GA tended to be of mild severity and were mainly limited to the first day after the procedure

Prevalence and Distribution of Developmental Dental Anomalies in Pediatric Patients

WOS: 000410750200009Objective: The objective of this study was to evaluate the prevalence of dental anomalies in paediatric patients attending the Department of Paediatric Dentistry, Kirikkale University Faculty of Dentistry. Materials and Methods: The study consisted a sample of 9173 patients, aged between 0-15 years, referred to our clinic between 1 August 2011-1 August 2012. The patients were examined clinically and radiographically in terms of the number, size, shape, structure and color anomalies. Results: One hundred sixty six children (1.8%) were found to have developmental dental anomalies. The most frequently observed anomalies were congenitally missing teeth (0.52%) and supernumerary teeth (0.27%). Anomalies such as dens invaginatus (0.03%), dentinogenesis imperfecta (0.02%) and dilaceration (0.02%) were encountered more rarely. Conclusion: Early diagnosis and determination of the prevalence of dental anomalies in children is important in the treatment planning

Effects of different fissure sealant applications on laser fluorescence measurements

sonmez, isil/0000-0002-3530-0244WOS: 000285063100004PubMed: 20659181Objective. The aim of this in vitro study was to evaluate the effects of using only phosphoric acid or a self-etch bonding agent under clear and opaque fissure sealants on laser fluorescence (LF) readings and the reproducibility of the laser device. Methods. Eighty extracted permanent molars, ranged from sound to carious, were randomly divided into four groups: phosphoric acid + opaque sealant (group I), Clearfil S3 Bond (Kuraray, Kurashiki, Japan) + opaque sealant (group II), phosphoric acid + clear sealant (group III), and Clearfil S3 Bond + clear sealant (group IV). The teeth were measured using an LFpen device, before and after sealing. Data were analysed using the Spearman's correlation, Wilcoxon signed rank, and Mann-Whitney U-test. Results. Except group IV, there was a statistically significant decrease in fluorescence after the application of sealants (P 0.05). Conclusions. There was a statistically significant decrease in fluorescence for both clear and opaque sealant groups. However, clear sealant with Clearfil S3 Bond does not influence the LFpen readings