Serdar Baglar

Evaluation of Novel Microabrasion Paste as a Dental Bleaching Material and Effects on Enamel Surface

PURPOSE Dental fluorosis is an enamel dysplasia that can cause serious aesthetic and psychological problems. An examination of the literature shows that the microabrasion method is the most effective way to treat fluorosis. This study aimed to produce a prototype microabrasion paste for the treatment of fluorosis stains and to examine the effects of the paste on tooth structure and color in vitro. MATERIAL AND METHODS Forty extracted upper incisor teeth were used in this study. The teeth were divided into four treatment groups: a prototype microabrasion paste group (N = 10), an Opalustre paste group (N = 10), a 37% phosphoric acid gel group (N = 10), and a distilled water (control) group (N = 10). Following treatment, all specimens in each of the four groups were examined by scanning electron microscopy for changes in their surface enamel. Changes in tooth color changes of the 1st and 2nd groups were measured before and after treatment by a VITA Easyshade Advance spectrophotometer. RESULTS In scanning electron microscopy evaluations, significant differences were not observed between the 1st and 2nd groups. Differences in three color-measuring coordinates between the 1st and 2nd were also not statistically significant (p > 0.05). CONCLUSIONS The study demonstrated that the prototype paste is a viable treatment option for dental fluorosis. CLINICAL SIGNIFICANCE The findings in this study demonstrated that the tested prototype microabrasion paste is extremely harmless, minimally invasive agent, and able to improve the color, shine and chrome values of the teeth.

Dentinal tubule occluding capability of nano-hydroxyapatite; The in-vitro evaluation

In this in‐vitro study, the effectiveness of experimental pure nano‐hydroxyapatite (nHAP) and 1%, 2%, and 3% F¯ doped nano‐HAp on dentine tubule occlusion was investigated. And also, the cytotoxicity of materials used in the experiment was evaluated. Nano‐HAp types were synthesized by the precipitation method. Forty dentin specimens were randomly divided into five groups of; 1—no treatment (control), 2—specimens treated with 10% pure nano‐HAp and 3, 4, 5 specimens treated with 1%, 2%, and 3% F−doped 10% nano‐HAp, respectively. To evaluate the effectiveness of the materials used; pH, FTIR, and scanning electron microscopy evaluations were performed before and after degredation in simulated body fluid. To determine cytotoxicity of the materials, MTT assay was performed. Statistical evaluations were performed with F and t tests. All of the nano‐HAp materials used in this study built up an effective covering layer on the dentin surfaces even with plugs in tubules. It was found that this layer had also a resistance to degradation. None of the evaluated nano‐HAp types were have toxicity. Fluoride doping showed a positive effect on physical and chemical stability until a critical value of 1% F−. The all evaluated nano‐HAp types may be effectively used in dentin hypersensitivity treatment. The formed nano‐HAp layers were seem to resistant to hydrolic deletion. The pure and 1% F−doped nano‐HAp showed the highest biocompatibility thus it was assessed that pure and 1% F−doped materials may be used as an active ingredient in dentin hypersensitivity agents.

Fracture Resistance of Incisal Fragments Following Reattachment With Different Techniques in Simulated Crown Fractures

Introduction: The aim of the present study was to evaluate and compare the effect of acidetching and Er, Cr:YSGG laser treatment before the reattachment of incisal fragments in coronal fractures of permanent incisor teeth. Methods: Sixty-six sound human maxillary incisors were randomly divided into 3 groups (n=22). Teeth were embedded in self-cure acrylic resins by leaving one-third of the crowns out, and uncomplicated crown fractures were obtained using an Instron testing device. The fragments were reattached using 3 different procedures and a hybrid resin composite (Z250): Group I: Acid etching + Prime & Bond NT; Group II: Er,Cr:YSGG + Prime & Bond NT; Group III: Er,Cr:YSGG + Acid etching + Prime & Bond NT. The percentages of shear bond strengths were determined by comparing fracture strengths of sound and reattached teeth for 3 groups. All data were analyzed statistically with Kruskal-Wallis H test. Results: Mean fracture strengths of the reattached fragments were between 51.02% and 62.93% of that of the sound teeth in all groups. Group I had significantly higher percentages of shear bond strength values (P<0.05) when compared to group II and group III. No significant difference (P>0.05) was found between group II and group III. Conclusion: The findings of the present study show that Er,Cr:YSGG laser irradiation prior to the reattachment of incisal fragments has a negative effect on fracture strength.

Florid cemento-osseous dysplasia: A rare case report evaluated with cone-beam computed tomography

A 29-year-old systemically healthy female patient presented to our department. Cone-beam computed tomographic images showed multiple well-defined sclerotic masses with radiolucent border in both right and left molar regions of the mandible. These sclerotic masses were surrounded by a thin radiolucent border. We diagnosed the present pathology as florid cemento-osseous dysplasia and decided to follow the patient without taking biopsy. For the patient, who did not have any clinical complaints, radiographic followupis recommended twice a year. The responsibility of the dentist is to ensure the follow-up of the diagnosed patients and take necessary measures for preventing the infections.

Reliability of electronically detection of fissure caries (by using a prototype device): An alternative diagnostic electronic caries monitor device

Objective: The purpose of this in vitro study was to investigate the reliability of a prototype electronic caries monitor (ECM) for diagnosis of the dental caries on the occlusal surfaces of posterior teeth and to compare using histological examination as gold standard. Materials and Methods: Data were obtained from 93 occlusal sites of 33 extracted human molars. Electrical resistance to alternative currency of 21 Hz and 24 Vpp of the teeth was measured with the ECM, which produced in Selcuk University. After obtaining electrical conductance values, each tooth was then sectioned into two pieces mesiodistally and examined histologically for occlusal caries under the stereomicroscope. Statistical evaluations were made using Pearson correlation test. Results: A statistically significant negative correlation was found between electrical resistance of the teeth and occlusal caries presence ( P < 0.05). Conclusion: As a result, it is suggested that ECM is a nondestructive and suitable method at detection of occlusal caries.