Mujgan Gungor Hatipoglu

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.

Trifid Mandibular Condyle: A Case Report

Abstract A suspected case of trifid mandibular condyle that was observed on a panoramic radiograph and confirmed using computed tomography (CT) is reported. No history of previous temporomandibular joint (TMJ) trauma was reported by the subject.

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 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.

The Influence of Different Nonsteroidal Anti-Inflammatory Drugs on Alveolar Bone in Rats: An Experimental Study

THE AIM The aim of this study was to investigate the effect of dexketoprofen trometamol, meloxicam, diclofenac sodium on any untreated alveolar bone when they are used as drugs for another indication. MATERIALS AND METHODS Twenty eight male Spraque-Dawley rats were randomized into four groups as dexketoprofen trometamol (Group I), meloxicam (Group II), diclofenac sodium (Group III) and control group. Nonsteroidal anti-inflammatory drugs (NSAID) were administered after a fibula fracture for 10 days. Untreated alveolar bone was histopathologically examined for spongious bone density, osteoclastic density and osteoblastic density. RESULTS Spongious bone density was lower in study groups (Group I, group II and group III) than the control group (p<0.05). In contrast, the increase in osteoclastic density was observed in other groups apart from the control group (p<0.05). Osteoblastic density was evaluated and it was determined that group II and group III had lower results than the control group (p<0.05) but group I was equal to the control group. CONCLUSION This study showed that systemically administrated NSAIDs have the potential to affect untreated alveolar bone. This should also be considered in long term use of NSAIDs.