Reha Alpar

Caries detection with DIAGNOdent and ultrasound

OBJECTIVE The objective of this study was to evaluate the repeatability of 2 nondestructive caries detection methods, ultrasound (ULS) and DIAGNOdent, for the detection of approximal caries lesions, and to evaluate 2 tips provided for the DIAGNOdent. STUDY DESIGN White/brown-spot lesions (n = 42) were captured by a digital camera, and measured by test methods and confocal laser scanning microscope (CLSM). Intra- and inter-observer reliability, accuracy, and Cohens kappa and Spearmans rho statistics were used. RESULTS At DIAGNOdent, intra-observer agreements were 78.5%, 66.7% for A tip and 59.5%, 47.6% for B for 2 examiners, respectively. Accuracy of both tips was 50% for the first examiner; 45.3% for A and 47.6% for the B tip for the second examiner. All ULS measurements were accurate, reliable, and positively and significantly correlated between examiners. CONCLUSION The A tip of the DIAGNOdent was found to be better than the B tip for the detection of enamel caries. All DIAGNOdent and ULS measurements were positive and significantly correlated for both examiners. Both methods demonstrated high repeatability and accuracy.

The effect of dental profile on daily functions of the elderly

The aim of the study was to evaluate statistically dentition and its effect on daily functions for a group of elderly volunteers. The study was conducted on 144 elderly people (86 males, 58 females) living in different nursing homes in Ankara, Turkey. Their ages varied between 60 and 100 years. Data assessed as dentition variables were number of teeth remaining and prosthesis use. Nearly 55% of the residents were edentulous and removable prosthesis users. The mean number of remaining teeth in subjects aged 60–69 was highest for all age groups in both sexes. The level of education and dental insurance of these subjects were also correlated with the dentition of elderly subjects. We found a statistically significant increase in the number of removable prosthesis users among educated and insured subjects. Functional capacity was better when the subjects had more remaining teeth or a removable prostheses. It is revealed by this study that healthy and good dentition prevents the decline of daily function and improves the social interaction and general well being of the elderly.

Value of technetium scintigraphy and iodine uptake measurement during follow-up of differentiated thyroid cancer

Measurement of serum thyroglobulin (Tg) levels and I-131 whole body scintigraphy (WBS) are used in the follow-up of patients with differentiated thyroid cancer (DTC). This study was designed to evaluate the significance of persistent I-131 uptake in the thyroid bed in patients with DTC following surgery and/or radioactive iodine ablation. Tc-99m thyroid scintigraphy (TS) and I-131 thyroid uptake (IU) were also performed to determine their clinical impact on patient management.Patients and MethodsSixty-two non-metastatic patients (14 men, 48 women) with a mean age of 44 years (range: 16-75) who had undergone surgical thyroidectomy for DTC were evaluated prospectively. All patients had undergone technetium and iodine scintigraphy (IS). Although serum Tg levels were measured in all patients, IU was available in 36.ResultsTg values were in the range of 0.2-24 ng/m/ (median: 0.2 ng/m/) when patients were in the hypothyroid state. 1-131 WBS detected residual tissue in the neck in 30 patients (48%); however TS was positive in only 12 (19%). 1-131 uptake in the thyroid bed ranged from 0 to 14% (median: 0.1%). Twelve of 13 patients with positive IS and negative TS had uptake values ≤ 0.3% (p > 0.00001). When IU values were ≤0.3%, 54% of our patients did not have any uptake in the thyroid bed on TS or IS, whereas when IU was >0.3%, 80% of patients had neck uptake on both TS and IS (p > 0.00001).ConclusionThe results of this study demonstrate that the concordance of IS and TS depends on the IU level after suspension of replacement therapy. Measurements of IU and TS are of considerable value in evaluating patient response to therapy and will substantially reduce the need for repetitive radioiodine scans and unnecessary treatment doses in patients with undetectable Tg values.

AB1452-HPR Which one has a greater effect on function and the psychosocial status in jia?: disease type or the presence of pain

Background Juvenile idiopathic arthritis (JIA) is a chronic inflammatory childhood disease with symptoms such as joint inflammation, pain and loss of quality of life.1 Types of disease and the presence of pain can impact the child psychosocially, as well as affecting functional activity.2 Objectives The aim of this study is to examine the results of functional and psychosocial status according to the disease type and the presence of pain symptoms in children with JIA. Methods The study included 71 children diagnosed with JIA who applied to the Hacettepe University İhsan Doğramacı Children’s Hospital Rheumatology Department. Following the collection of demographic information, functional status was assessed with the Child Health Assessment Questionnaire (CHAQ) and psychosocial and functional status was assessed with the scale developed in Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation for functional and psychosocial status of children with rheumatism by Edibe Ünal.3 Children were divided into groups according to disease type as oligoarthritis or polyarthritis and the presence or absence of pain. Results Table 1 shows the mean age and numbers of children. There was no difference between the groups according to disease type (p>0,05). On the other hand, comparing scores for the CHAQ total, CHAQ general VAS assessment, functional and psychosocial status according to the presence or absence of pain revealed significant differences (p<0,05).Abstract AB1452HPR – Table 1 Assessment values and comparison statistics Disease Type Pain Oligoarthritis(n=51) Polyarthritis(n=20) p Present(n=21) Absent(n=50) p Age (years) 10,88±3,81 13,50±3,92 0016 11,71±3,77 11,58±4,12 0885 CHAQ Total 0,28±0,29 0,46±0,41 0127 0,51±0,4 0,26±0,27 0012 CHAQ (General VAS) 2,49±2,43 3,93±3 0068 4,46±2,86 2,24±2,3 0002 Function (range 0–30) 4,72±4,85 5,05±6,32 0766 7,85±6,6 3,54±4,02 0004 Psychosocial (range 0–30) 23±5,67 14,5±5,82 0363 16±5,74 12,34±5,4 0012 Function; Psychosocial; Functional and Psychosocial subscales of Ünal’s scale.3 Conclusions We conclude that pain has a greater effect on functional, psychosocial and overall disease assessment in children with JIA when compared to the disease type. Thus, it must be taken into consideration that child’s ability to cope with pain should be improved. References [1] Angelo Ravelli, Alberto Martini. Juvenile idiopathic arthritis.The Lancet2007, 369(9563); 767–778. [2] Laura E Schanberga, John C Lefebvreb, et al. Pain coping and the pain experience in children with juvenile chronic arthritis. Pain1997, 73(2); 181–189. [3] Kısacık Pınar,Ünal Edibe, et al. Juvenil İdiyopatik Artritli Hastalarda Çok Yönlü Bir Değerlendirme Sistemi Oluşturulması Delphi Çalışması. 2016, Annals Of Paediatric Rheumatology Disclosure of Interest None declared

AB1447-HPR Biopsychosocial status of jia patients: perspectives of daily living activities, disease activity and family impact

Background Juvenile Idiopathic Arthritis (JIA) is the most frequent chronic rheumatic disease during childhood. It can result in disabilities, loss of quality of life and mood changes.1 Furthermore, literature reviewing the effects of arthritis on children and family is inonsistent, with studies showing significant difference or not, compared to healthy children.2 Objectives The purpose of this study is to present results regarding the functional status, psychosocial status and disease activity of children with JIA and their effects on the child’s family. The second aim is to present the correlations between these parameters. Methods The study included children diagnosed with JIA who applied to Hacettepe University İhsan Doğramacı Children’s Hospital Rheumatology Department. After demographic data was collected, all children were assessed with Child Health Assessment Questionnaire (CHAQ) for daily living activities, with the Juvenile Arthritis Disease Activity Score (JADAS) for disease activity and with a newly developed scale from Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation for children with rheumatism by Edibe Ünal(3 for functional and psychosocial status. Cut-off point was accepted as ≤2.7 for disease activity.4 The Family Impact Scale (FIS) was used to assess perspective of parents. Results A hundred and ninety-six children were included in the study. The mean age of children was 12,44±3,97 and female/male ratio was 55,6/44,4. Although the mean JADAS score was 3,33±4,21, it only detected active disease in 81 children. There was a moderate correlation between CHAQ (Pain) and functional scores of Ünal’s scale and JADAS score. CHAQ total score was well correlated with function and psychosocial scores. The correlation between FIS and other scales was very low.Abstract AB1447HPR – Table 1 Descriptives Mean±SD JADAS 3,33±4,21 CHAQ (Total) 0,32±0,38 CHAQ (Pain) 2,31±3,01 CHAQ (General VAS) 3,52±2,99 Function (range: 0–30) 4,09±5,85 Psychosocial (range: 0–30) 13,25±5,76 FIS 43,6±10.12 Function; Psychosocial; Functional and Psychosocial subscales of Ünal’s scale.3 Abstract AB1447HPR – Table 2 Correlations Conclusions Our results show that pain and function alter disease activity in children with JIA. It is seen that psychosocial states of children and their functional states expressed by their own knowledges also affect their daily life. These changes did not affect the wievpoint of the family. References [1] Spiegel L, Kristensen KD, et al. Juvenile idiopathic arthritis characteristics: Etiology and pathophysiology. Seminars in Orhodontics2015, 21(2); 77–83 [2] Susan T. Reisine. Arthritis and the Family. Arthritis Rheum1995, 8(4);265–271. [3]. Kısacık Pınar,Ünal Edibe, et al. Juvenil İdiyopatik Artritli Hastalarda Çok Yönlü Bir Değerlendirme SistemiOluşturulması Delphi Çalışması. 2016, Annals Of Paediatric Rheumatology. [4] Bulasovic Calasan M, De Vries LD, et al. Interpretation of the Juvenile Arthritis Disease Activity Socre: responsiveness, clinically important differences and levels of disease activity in prospective cohorts of patients wiht juvenile idiopathic arhritis. Rheumatology(Oxford)2014, 53(2); 307–312. Disclosure of Interest None declared