Hasan Hatipoğlu

Vertical and horizontal dimensional evaluation of free gingival grafts in the anterior mandible: a case report series

The shrinkage of free gingival grafts (FGGs) is a well-known clinical phenomenon but there are limited studies demonstrating the dimensional changes during healing in FGGs. The aim of the study is to examine the shrinkage of FGG in both horizontal and vertical dimensions and calculate the changes in the surface area of the graft at early and delayed periods of healing. The FGG procedure was applied to 15 consecutive patients in their mandibular anterior area. The graft sizes and areas were measured and the shrinkage of the graft was calculated at baseline and days 10, 21 and 180. Hemorrhage, sense alteration and pain symptoms were also examined. Change in the horizontal direction was not statistically significant during the whole study period (p > 0.05). However, there was a statistically significant reduction in the vertical direction in all visits, except day 10 (p < 0.05). Calculated graft area was also significantly reduced during the study period at all time-points compared to the baseline (p < 0.001). At day 10, 4 (26.7%) recipient sites and 5 (33%) donor sites demonstrated paresthesia. Only one (0.07%) recipient site demonstrated paresthesia at day 21 where the donor site resulted with an uneventful healing. At day 10, 5 (33%) patients demonstrated bleeding at their donor regions and resulted with a complete cessation of bleeding at day 21. Pain symptom was found in 8 (53.3%) recipient sites where 3 (20%) donor regions presented pain symptom at day 10. Graft shrinkage in the vertical dimension seems to affect the clinical outcomes of the FGG procedure. However, the influence of horizontal graft shrinkage was minimal.

Localized epidermolysis bullosa simplex with generalized enamel hypoplasia in a child.

Abstract:  Epidermolysis bullosa is an uncommon disease characterized by the formation of blisters following minor trauma. The three major types are simplex, junctional, and dystrophic. Generalized enamel hypoplasia is accepted as a feature of the junctional type. Teeth with enamel hypoplasia are liable to destruction in the form of caries and/or gingivitis. In this report, a patient with epidermolysis bullosa simplex and severe enamel hypoplasia is described and the importance of early dental consultation for all children with this disease is stressed.

Expanded Disability Status Scale-Based Disability and Dental-Periodontal Conditions in Patients with Multiple Sclerosis.

Objective: The aim of this study was to evaluate the association between different disability states in patients with multiple sclerosis (MS) as determined by the expanded disability status scale (EDSS) and dental-periodontal measures. Subjects and Methods: Eighty patients with MS (64 females and 16 males) were included in this study. Data on MS types, attack frequency, disease duration, EDSS scores and orofacial complaints prior to an MS attack were obtained from medical records. The plaque index (PI), probing depth (PD), clinical attachment level (CAL), gingival index (GI), decayed-missing-filled teeth (DMFT) index and number of present teeth were measured during one dental examination for each subject. The MS patients were divided into the following 2 groups based on their EDSS scores: low physical disability (L-DS) and high physical disability (H-DS). Differences in dental parameters between groups of low and high disability were investigated. p < 0.05 was considered statistically significant. Results: The mean age of the participants was 38.06 ± 10.11 years. Age and disease duration were higher in the H-DS MS group than in the L-DS MS group (p < 0.05). The PI, PD and GI were higher and the number of filled teeth was lower in the H-DS MS group than in the L-DS MS group (p < 0.05). The EDSS scores of the H-DS MS group presented a significant correlation with the number of decayed teeth (r = -0.548, p = 0.005). Orofacial complaints prior to an MS attack were reported by 18 (22.5%) patients. Conclusion: Oral measurements revealed various differences between groups of low and high disability in MS patients. In addition, some maxillofacial-oral complaints prior to an MS attack were observed.

Evaluation of Extraction Site Dimensions and Density Using Computed Tomography Treated With Different Graft Materials: A Preliminary Study

Purpose: The preliminary human study was designed to evaluate extraction site changes using CT after socket preservation (SP) with different materials. Materials and Methods: Fifty-two sockets from 17 Turkish individuals (8 women and 9 men; mean age 44.70 ± 9.99 years) localized at the maxillary anterior area were treated with demineralized bone matrix + collagen membrane (CM) (N = 14), hydroxyapatite bone substitute (HBS) + CM (N = 14), CM (N = 13), or left empty (N = 11). CT scans were taken 10 and 120 days after the procedure. Horizontal and vertical socket dimensions and Hounsfield unit (HU) values were evaluated. Results: First 3 groups showed a significant horizontal decrease from day 10 to 120. No significant change was detected in vertical socket dimension. For both horizontal and vertical, no intergroup difference was detected at days 10 and 120. At days 10 and 120, HU values in HBS + CM group were significantly higher compared with others. Apical and coronal HU values were not different at any period. Conclusion: Even if it did not provide better socket dimensions, HBS + CM treatment brought higher tissue density and thus, can be recommended to increase the bone quality and implant success after SP in upper anterior area.

Evaluation of Medical Consultations Forms of a Patient Group Admitted to the Dental Clinic of a University Hospital

Amac: Konsultasyon, bir hekimin baska bir bransin hekimi ile hastanin teshisi ve tedavisinin duzenlenmesi amaciyla yaptigi gorus alisverisidir. Bu calismanin amaci genel dis hekimligi tedavi hizmeti vermis olan bir birimde yazili konsultasyon kullanimini farkli yonleri ile degerlendirmektir. Materyal ve Metod: Calisma 159 adet yazili konsultasyon formunun retrospektif degerlendirilmesi ile gerceklestirilmistir. Bulgular: En sik gorusune basvurulan bolum kardiyoloji olmustur. Bunu dahiliye ve kulak-burun- bogaz hastaliklari takip etmistir. Hastalarin % 55,3 une dental tedavi girisimi oncesinde ek onlemler alinmasi onerilmistir. Degerlendirmemize gore konsultasyon mekanizmasi ile yonlendirilen hastalarin % 16,35 ununa sikayetleri ile ilgili yeni teshis konmus ve takip/tibbi tedavilerine baslanmistir. Sonuc: Sistemik sikayeti bulunan ve dental tedavi gorecek bireyler, tedavi esnasinda cesitli riskler ile karsilasabilirler. Ilgili dallar ile yapilan konsultasyonlar neticesinde bu bireylerin tibbi durumlari aciga kavusmaktadir. Bu da teshis ve tedavi surecini etkileyebilmektedir. Dis hekimi bazi sistemik hastaliklarin teshisine de katki da bulunabilir.