Buket Evren

The association between socioeconomic status, oral hygiene practice, denture stomatitis and oral status in elderly people living different residential homes.

Oral hygiene practices and denture status of elderly people living in residential homes are different depending on the type of residential homes. In this study the elderly people living in three different residential homes were investigated for this purpose. A total of 269 subjects, 119 males (mean age 73.9±8.8) and 150 females (mean age 78.5±7.2) were involved in this study. All subjects were interviewed and clinically examined. Age, sex, educational status, financial status, general health, dental visiting, overnight denture wearing, brushing habits and frequency were recorded using a structured questionnaire. The prevalence of edentulism, the presence and type of dental prostheses, denture cleanliness and the presence of denture stomatitis were evaluated. Forty-one percent of subjects were non-educated. Fifty-one percent of subjects had low income. The majority of people (66.6%) were edentulous. Among the edentulous subjects 32% had full denture and 16% had no denture. Forty three percent of the subjects reported cleaning their dentures with water and 40% with a toothbrush only. Denture hygiene was good for 14% of the subjects. Denture stomatitis was observed in 44% of the subjects wearing dentures. There was statistically significant difference between residential homes and educational status, level of income, dental visiting, denture status, brushing methods and brushing frequency (p<0.001). A positive relationship was observed between poor denture hygiene habits and the presence of denture-related stomatitis. The most important need within the residents of the residential home was the enhancement of oral care social insurance.

Fracture Resistance of Manually and CAD/CAM Manufactured Ceramic Onlays

PURPOSE This in vitro study aimed to evaluate fracture resistance in lithium disilicate onlays fabricated with IPS e.max Press and IPS e.max CAD systems and luted with different adhesive cements. MATERIAL AND METHODS Fifty maxillary first molars were prepared using a mesio-occluso-disto-lingual onlay cavity model. Ten onlays from each group were cemented using etch-and-rinse adhesives and high-viscosity composite resin cement, and 10 were cemented with self-adhesive, dual-curing universal resin cement. Fracture resistance was measured. RESULTS Significant differences were observed between resin cements (p < 0.05) and between materials (p < 0.05), but the interaction of these variables did not produce a significant difference. The fracture resistance of pressable ceramics was significantly higher than that of CAD/CAM onlays (p < 0.05), and Syntac Variolink was significantly higher than that of Multilink Sprint (p < 0.05). CONCLUSION All groups showed clinically acceptable fracture strength results. According to the study, both the onlay fabrication system and adhesive cements can be a viable treatment option.

Oral health status and treatment requirements of different residential homes in Istanbul: a comparative study.

The purpose of this study was to investigate dental/denture status of the elderly people living in different residential homes. In 346 elderly people from different residential homes two belonging to the state (Group 1 and Group 2) and one supported by private foundations (Group 3) were examined. Sixty percent of participants were edentulous and 22.8% of participants had no complete dentures which 9 (7.4%) of them were in Groups 1 and 2. Over 50% of the participants had no or low income and 45% of participants were illiterate. All of the participants who were illiterate and had low income were in Group 1 and Group 2. Oral hygiene was good for 15.4% and only 19.4% of participants removed their dentures overnight. Denture stomatitis was observed in 61.7% of subjects. Significant correlation was found between denture hygiene and age of participant, general health status, denture stomatitis, and overnight denture wear (p=0.001). The decayed, missing and filled teeth (DMFT) scores were 25.52±3.37. There was statistically significant differences between groups for DMFT scores (p=0.016). Dental health education is also needed focusing on the special needs of this neglected and socioeconomically deprived population to improve their quality of life.

The effect of temporary hydrostatic splint on occlusion with computerized occlusal analysis system

AIMS The aim of this study was to evaluate the effect of temporary hydrostatic splint on occlusion with computerized occlusal analysis system. MATERIAL AND METHODS Maximal bite force was recorded in intercuspal position by use of computerized occlusal analysis system from 11 female, 9 male, 20 subjects, (average age of 20) with normal intact dentitions. Subjects were instructed to use the hydrostatic splint for 24 h. Occlusal records were repeated three times before and after splint. All recordings were evaluated to determine the repeatability of the computerized occlusal analysis system. RESULTS AND CONCLUSION Hydrostatic splint increased maximum biting force. Relative percentage of left and right bite forces changed in the direction of neurophysiological position of the muscles. Hydrostatic splint can be a viable option for occlusal adjustments.

Clinical procedures, designs, and survival rates of all-ceramic resin-bonded fixed dental prostheses in the anterior region: A systematic review

OBJECTIVES The aim of this study is to systematically review all the clinical articles about all-ceramic resin-bonded fixed dental prosthesis (RBFDP) in the anterior region and assess their designs, clinical procedures, and survival rates. A systematic review was conducted after searching electronic databases PubMed/Medline and EBSCOhost Research Databases for articles published in English between 1987 and July 2017. MATERIALS AND METHODS The inclusion criteria were selected as all clinical studies, original design clinical reports, and clinical reports (follow-up time more than 1 year) as all clinical information in the literature are desired to be included in the present review. RESULTS The initial electronic search generated 472 articles from PubMed/Medline and 464 articles from EBSCOhost Research Databases. After selection of the articles as per the inclusion criteria, a final sample of 29 original studies is decided as: 1 randomized controlled clinical trial, 4 clinical controlled trials, 4 prospective cohort studies, 2 retrospective cohort studies, 6 original design clinical reports, and 12 clinical reports. After evaluation of the selected articles, it is likely that cantilever design all-ceramic RBFDPs are more successful than two retainer design in the anterior region; however, there is limited evidence for this result in the literature. CONCLUSION Well-designed randomized controlled clinical trials with large sample size are still needed to achieve more accurate results about the clinical success rate of different RBFDPs designs in the anterior region. CLINICAL SIGNIFICANCE Indications, designs, abutment teeth preparation, provisionalization, try-in, surface treatment options, and cementation of the all-ceramic resin-bonded fixed dental prostheses are described in this article. Clinical survival rates are also given in detail, so that clinicians can easily compare the current studies and give their own decision about all-ceramic resin-bonded fixed dental prostheses in the anterior region.