Behiye Sezgin Bolgül

Evaluation of caries risk factors and effects of a fluoride-releasing adhesive material in children with insulin-dependent diabetes mellitus (IDDM): initial first-year results

The aims of this study were to evaluate the prevalence and risk factors of dental caries, and to determine whether there is any relationship between a fluoride-releasing adhesive material and the development of dental caries in the first year in children with insulin-dependent diabetics (IDDM). The average age of the subjects was 4-15 years, and they had been suffering from IDDM for at least 2 years. The DMF/df(t) indices of 70 patients were calculated and total HbA1 (%) (glucose levels of blood) values were recorded from the medical records after clinical examination. The mean DMF/df(t) values of poorly controlled subjects (HbA1 values over 13%) were significantly higher than those of moderately (HbA1, 10.0-12.9%) and well-controlled (HbA1 values, <10%) subjects. The levels of salivary mutans streptococci (MS) and lactobacilli (LB) and the pH of paraffin-stimulated whole saliva were measured in diabetic patients. Salivary MS and LB scores of the poorly controlled subjects were significantly higher (2.5 ± 0.7 and 2.1 ± 1.0) than those of the moderately (1.6 ± 0.9 and 1.1 ± 0.8) and well-controlled (1.2 ± 1.0 and 0.8 ± 0.8) subjects. The mean pH values among all subjects were not statistically significant. All dental caries were restored with a fluoride-releasing adhesive material. At the end of the first year, no new caries or lost restorations were observed in these patients. Moreover, the rate of MS in the poorly and moderately controlled subjects was considerably reduced. However, no significant statistical reduction of MS was determined in the well-controlled subjects. The level of lactobacilli in the poorly controlled, moderately controlled, and well-controlled subjects was reduced.

Restoring Aesthetics and Function in a Young Boy with Hypomature Amelogenesis Imperfecta: A Case Report

Amelogenesis imperfecta has been described as a complex group of inherited conditions that disturbs the developing enamel structure and exists independent of any related systemic disorder. It is a rare dental disease but represents a great restorative challenge for dentists. A 12-year-old boy presented with sensitive, discolored, and mutilated teeth and decreased vertical dimension of occlusion. Direct composite resin restorations were applied to all teeth to modify the occlusion, to restore mild crowding, and to improve aesthetics. The 24-month recall examination revealed no pathology associated with the rehabilitation, and the patients aesthetic and functional expectations were satisfied. The rehabilitation included multiple anterior and posterior composite resins to eliminate tooth sensitivity, improve the aesthetics and occlusion, and restore function.

Amelogenezis imperfektalı iki hastada estetik ve fonksiyonun sağlanması: olgu sunumu

Amelogenesis imperfecta is a rare hereditarycondition in which enamel structure without evidence of sistemic disorders. Amelogenesis imperfecta is a disorder, requiring treatment due to esthetical, functional and related psychosocial problems. This article represents, two patients reffered to our clinic suffering from amelogenezis imperfecta who overcame the esthetical, functional and psychosocial problems by receiving multidisciplinary team rehabilitation. OZET Amelogenezis imperfekta herhangi bir sistemik hastalik olmaksizin mine yapisinda belirgin bozuklukla karakterize nadir gorulen herediter bir anomalidir. Amelogenezis imperfekta estetik, fonksiyon ve buna bagli psikososyal sorunlarla hastanin hekime basvurmasi sonucu tedavi ihtiyaci dogurmaktadir. Bu makalede, klinigimize basvurmus amelogenezis imperfektali iki kardesin multidisipliner tedavi yaklasimi sonucu estetik, fonksiyonel ve psikososyal problemlerinin ortadan kaldirildigi bir vaka raporu sunulmaktadir. Anahtar Kelimeler: Amelogenezis imperfekta, hipoplastik tip, protetik tedavi.