Gulumser Evlioglu

Prevalence of Bruxism Awareness In Istanbul, Turkey

Abstract The reported prevalence of symptoms related to bruxism varies in the general population because of different investigative methodologies, operational definitions, clinical criteria, and samples of population. Awareness of bruxism in the general population is 15% to 23%, however, this rate increases to 50% to 90% in clinical studies. The aim of this study was to investigate the prevalence of self-reported symptoms associated with bruxism in Istanbul, Turkey and to analyze the correlation between bruxism and factors such as age, gender, marital status, and occupation. Seven-hundred-ninety-five (795) adult subjects who resided in the city of Istanbul were interviewed by telephone about their age, gender, marital status, occupation, and description of the prevalence of bruxism awareness. The overall prevalence of clenching teeth was 45.7% and that of grinding teeth was 21.6%. Women responded positively to the questions more often than men. The data showed significant differences between males and females, regarding clencing teeth OR: 1.41 (95%CI: 1.05-1.87), difficulty opening OR: 2.64 (95% CI: 1.63-4.26), headache on awakening OR: 2.28 (95% CI: 1.58-3.27) joint sounds OR: 1.72 (95% CI: 1.24-2.38), sore on awakening OR: 2.97 (95% CI: 1.91-4.61), influence in daily activity (OR: 2.26 CI: 1.38-3.67). Tooth wear in the married group was higher than the single group. Age distribution showed significant differences related to grinding teeth, tooth wear and joint sounds. There were statistically significant differences between bruxism and job categories. As a conclusion, this study suggest an association between bruxism and stressful events such as marital status and job problems.

Estrogen Replacement Therapy Among Post-menopausal Women and Its Effects on Signs and Symptoms of Temporomandibular Disorders

Abstract The prevalence of temporomandibular disorders (TMD) is about two to five times higher in females than in males. Data for the higher prevalence of TMD in women and prevalence rates peak during the reproductive years and decrease after menopause. This indicated that female sex hormones may play a role in the etiology or maintenance of TMD. The aim of this study was to investigate the relationship between postmenopausal hormone use and TMD in Turkish postmenopausal women. One hundred-eighty (180), postmenopausal women, aged 42-72 years, were examined both clinically and by questionnaire with regard to the signs and symptoms of temporomandibular disorders, general health status and use of postmenopausal hormone replacement therapy in the preceding year. Ninety-one (91) postmenopausal women (50.6%) were on hormone replacement therapy (HRT). The remaining 89 (49.4%) postmenopausal women were not on hormone replacement therapy. There was no significant difference found in the signs and symptoms of TMD between postmenopausal women using hormone therapy and those not using postmenopausal hormones. There was no association between the use of postmenopausal hormones and the signs and symptoms of TMD in this study.

Patient responses to vacuum formed splints compared to heat cured acrylic splints: pilot study

ObjectiveVacuum formed and heat cured acrylic splints have been used in the diagnosis and treatment of temporomandibular disorders. The aim of this study was to evaluate patient’s preference to either the vacuum formed or the heat cured acrylic splint.Material and methodsTwenty patients planned to receive splints were chosen from the dental school. Both types of occlusal splints were fabricated for each of them. Each patient used the splints alternatively on a nightly basis for 3 weeks. After 3 weeks, each patient completed a questionnaire regarding the comfort, fit, retention, occlusal contact, taste, gingival and lip irritation, smoothness and smelling. Statistical analysis was conducted by the MacNemar’s Chisquare test.ResultsThere was no statistical difference in patient’s responses to the different splint materials except for the comfort of wearing through the night.ConclusionThe vacuum formed and heat cured acrylic splint may be equally worn in patient preference for treatment of temporomandibular disorders.

Management of pain in TMD patients: Bio-oxidative ozone therapy versus occlusal splints

Abstract Objective: To compare the effects of bio-oxidative ozone application with occlusal splints in temporomandibular disorder (TMD) patients with pain. Methods: Forty participants were selected after the diagnosis of TMD and randomly divided into two groups: ozone group (OG, n = 20) and occlusal splint group (OCSG, n = 20). Ozone was applied to patients three times per week, for a total of six sessions. Patients in the OCSG were instructed to use occlusal splints every night over a period of four weeks. Results: Mandibular movements showed significant differences for the time factor in OG and OCSG. Pressure pain thresholds of the temporal and masseter muscles at follow-up were significantly higher in the OCSG group. Both treatments statistically decreased the visual analog scale (VAS) scores. However, no statistically significant difference was observed between groups after the application of treatments. Discussion: Occlusal splint treatment is still the gold treatment modality for objective pain relief in patients with TMD pain.

Oral Rehabilitation of an Osteopetrosis Patient with Osteomyelitis

Osteopetrosis is a congenital disorder characterized by increasing osteoclastic function resulting in osteomyelitis in the jaws. Orofacial findings in osteopetrosis patients are unerupted, malformed, or delayed teeth and many dental caries due to vulnerable enamel and dentin and osteomyelitis. Many reports have described that maxilla is an uncommon site of occurrence for osteomyelitis due to cortical bone morphology and collateral circulation. This report aims to discuss clinical features and prosthodontic management of a patient with clinical features of adult form of osteopetrosis and osteomyelitis in both jaws. The patient has reported better masticatory and speech efficiency with removable dentures in maxillary and mandibular jaw and also self-esteem improvement and family interaction.