Professional Documents
Culture Documents
iZMiR DiSHEKiMLERi
.
01
SPONSORLAR / SPONSORS
ANTA SPONSORU / BAG SPONSOR
NDEKLER / INDEX
NSZ 04-05
FOREWORD
06
BLMSEL KOMTE
SCIENTIFIC COMITTEE
07
GENEL BLGLER
GENERAL INFORMATION
08
BLMSEL PROGRAM
SCIENTIFIC PROGRAMME
11
KONFERANS ZETLER
ABSTRACTS OF LECTURES
19
POSTER ZETLER
POSTER ABSTRACTS
119
KATILIMCI FRMALAR
PARTICIPATING FIRMS
253
03
Deerli Meslektalarm;
zmir Dihekimleri Odas olarak bu yl 21. kez gerekletireceimiz uluslararas
kongremize ve gzel kentimiz zmirimizin yeillikler ve doal gzellikler ile
bezenmi nadide oteli Kaya zmir Termal Otel e hogeldiniz.
Gl bir bilimsel ve sosyal program ile zenginletirdiimiz bu kongremizde
sizleri aramzda grmekten kvan duyuyor hepinize gzel bir kongre diliyorum.
Sevgi ve sayglarmla
Dear Colleagues;
You are welcome to the 21 st International Congress of zmir Dental Association that will be held in
Kaya Thermal Hotel, which is surrounded by spectacular habitat.
We hope to create a memorable and rewarding experience for all participants with our scientific and
social programme. I wish you a pleasant and a rewarding congress.
With my best regards
04
NSZ
FOREWORD
Deerli Meslektalarm;
zmir Dihekimleri Odas olarak ylda iki kez dzenlediimiz bilimsel kongre
ve sergimizin 21. sini tarihte Agamemnon kaplcalar olarak bilinen alan zerinde kurulan Kaya zmir Thermal & Conventionda dzenliyoruz. Trkiyenin
farkl ehirlerinden akademisyen ve klinisyenlerin yannda, ABD, Yunanistan,
Hollanda, Kuveyt ve ngiltereden ok deerli bilim adamlarn da kongremizde
arlayarak bilgilerinden faydalanmay umuyoruz. gnlk kongre programmzda di hekimliinin farkl disiplinlerini kapsayan 24 konferans ve 2 panelin
yan sra, ZDO kongrelerinin vazgeilmezi olan ve periodontoloji, implantoloji,
estetik di hekimlii, protez ve lazer uygulamalarn ieren 8 adet canl sunum
da yer almaktadr.
Uzman bilim adamlarnn hazrladklar farkl konulardaki 12 adet uygulamal kursta meslektalarmz bilgilerini tazeleyecek ve maniplasyonlarn gelitireceklerdir. Bilimsel programla birlikte bir stand-up gsterisini ve paramedikal bir konumay da ieren kongremizde,
katlmclarn farkl ilgi alanlarn gz nne alarak bilimsel programmz 3 ayr salonda sunmay ve
her oturumda 3 alternatif konunun izlenebilmesini saladk. Ayrca, gen aratrmaclarn yaptklar
bilimsel aratrma ve olgular di hekimlii camiasna sunmalarn ve bilgi alveriinde bulunmalarn
salamak amacyla bu kongremizde de poster oturumlarna yer verdik. Hazrladmz zengin bilimsel
programla bilgilerini arttracak olan meslektalarmzn kongre otelimizin ifal kaplcalarnda bedenen
ve zihnen yenileneceklerine inanyor, tm katlmclarn iyi bir kongre geirmelerini diliyorum.
Dear Colleagues;
21st International Scientific Congress and EXPO DENTAL of zmir Chamber of Dentists will be held
in Kaya zmir Thermal & Convention Center, which is based near the historical Agamemnon thermal
springs area. In addition to the academicians and clinicians from different parts of Turkey, we will
host notable lecturers from USA, Greece, Holland and Kuvait during the congress. During the three
day-congress programme, there will be 24 lectures and 2 panel discussions concerning different disciplines of dentistry. Additionally, there will be 8 live clinical presentations about periodontology, implantology, esthetic dentistry, prosthodontics and laser dentistry. Participants will not only refresh their
knowledge, but also will improve their manipulation skills in 12 different hands-on course which will be
presented by competent scientists. In addition to the scientific programme, our congress will include a
stand up show and a paramedical speech. Considering the different interests of the participants, we
will present the scientific programme in three halls in the same session. In order to provide an opportunity to the young scientists to present their investigations and case reports to the dental community,
we have prepared poster sessions during the congress.
I belive that the participants will improve their knowledge with scientific programme and at the same
time, will be renewed mentally and physically in the thermal springs of the congress hotel. I wish you
all a rewarding congress and a good time in zmir .
NSZ
FOREWORD
05
Bakan / President
Sayman / Treasurer
Ersin ATNEL
Can SAN
ye / Member
ye / Member
ye / Member
ye / Member
ye / Member
Dr.Orhun BENGSU
Arif PINAR
lkay KARADEMRC LK
06
Bakan / President
Prof. Dr. Murat TRKN
BILIMSEL KOMITE
SCIENTIFIC COMITTEE
07
GENEL BLGLER
KONGRE MERKEZ
KONGRE DL
Trke ve ngilizcedir.
KAYIT MERKEZ
YAKA KARTLARI
YEMEK VE AY / KAHVE
OTOPARK
Kongre katlmclarna iinde kongre program, kongre kitap, yaka kart, katlm sertifikas ve yemek fileri olan bir
anta kayt esnasnda verilecektir.
SDE KREDS
POSTER SUNUM
Poster sunumlar 28.11.2014 Cuma gn saat 15:00da fuaye alannda bulunan poster standlarna kitapktaki poster
nosuna gre aslacak ve 30.11.2014 Pazar gn saat 11:00
da posterler kaldrlacaktr. Poster jrisinin deerlendirmesi sonucunda 1. 2. ve 3. lk dl kazanan poster sahiplerine dlleri gala yemeinde takdim edilecektir.
ANTA
SANAT KES
Kongremizde, resim, karikatr, heykel, ebru sanat ve benzeri sanatsal almalarn sergilemek isteyen kongreye kaytl
meslektalarmzn kullanm iin sanat kesi ayrlmtr.
Eserlerini sergilemek isteyen meslektalarmzn Odamzla
temasa gemesini rica ederiz.
08
SERG
Kongre katlmclar 28-30 Kasm 2014 tarihleri arasnda
Kaya Thermal & Convention salonlarnda dzenlenen sergiye yaka kartlarn gstererek, sektrle ilgili olanlar kimliklerini ibraz ederek cretsiz ziyaret edebileceklerdir. Her
ziyareti girite form dolduracaktr.
GENEL BILGILER
GENERAL INFORMATION
GENERAL INFORMATION
CONGRESS CENTER
NAME BADGES
Its only possible to attend the meetings with the name badges which will be given during registration. Its not possible
to attend the meeting rooms without name badges for security. A new name badge will be given to the ones who lost
theirs with a daily entrance fee. No name badges will be given without charge.
REGISTRATION CENTER
Registration to scientific congress will start on 28th November 2014 at 08:30 am in congress center. Registrated
candidates can enter congress center by taking their name
badges and bags from main foyer stands.
BAGS
A bag which consist of congress programme, congress booklet, name badges, attendance certificate and mealchecks
will be given at the registration.
CONGRESS LANGUAGE
CAR PARKING
Parking lot for Kaya Thermal & Convention Center will be
free of charge for the participants during the congress.
EXPODENTAL
Participants can visit Expodental on the dates between
28th-30th November 2014 in Kaya Thermal Convention by
showing their name badges or identity cards about sector
without charge. All visitors are expected to fill a form at the
entrance.
www.izdokongreleri.com
ZMR DHEKMLER ODASI / ZMR CHEMBER OF DENTISTS
Anadolu Cd.No:40 Tepekule Merkezi D:209-210-211 Bayrakl - ZMR
Telefon / Phone: +90 232 461 21 52 Faks / Fax: +90 232 461 37 59
www.izdo.org E-mail: iletisim@izdo.org
GENEL BILGILER
GENERAL INFORMATION
09
10
BILIMSEL PROGRAM
SCIENTIFIC PROGRAMME
2014
CUMA
28 KASIM
BLMSEL PROGRAM
SALON 1
10.00
11.00
11.00
11.30
K AAMALI
YAKLAIM GEREKTREN
MALOKLUZYONLAR
VE TEDAVLER
DO. DR. SERCAN AKYALIN
Amerika
Oturum Bakan:
PROF. DR. ASLI ERDN
SALON 2
10.00
11.00
10.00
11.00
Oturum Bakan:
DR. ORHUN BENGSU
KAHVE ARASI
LAVA ULTMATE LE BR GN
11.30
12.30
SALON 3
11.30
12.30
Oturum Bakan:
PROF. DR. EBRU AL
11.30
12.30
DHEKMLNDE BOMMETK:
DOALA NEKADAR YAKINIZ?
PROF. DR. SEMA BELL
Seluk ni.Di Hek.Fak. Endodonti AD.
PROF. DR. GRCAN ESKTAIOLU
Gazi & Yznc Yl ni. Di Hek.Fak
Protetik Di Ted. AD.
Oturum Bakan: PROF. DR. MEHMET AL GNGR
12:30
13.30
LE YEME
MODERN DHEKMLNDE
LAZER UYGULAMALARI
Moderatr: DR. NKHET BERK
Ankara
13.30
15.30
15.30
16.00
KAHVE ARASI
16.00
16.30
AILI KONUMASI
16.30
17.30
12
14.30
15.30
CANLI
13.30
14.30
Oturum Bakan:
DR. ORHUN BENGSU
PORSELEN LAMNA
SMANTASYONU VE
SMANTASYONDA DKKAT
EDLMES GEREKENLER
DO. DR. NURAY APA
Yeditepe ni.Di Hek. Fak.
Protetik Di Ted. AD.
14.30
15.30
Oturum Bakan:
DO. DR. VL KMBLOLU
Oturum Bakan:
PROF. DR. ESRA CAN
YUMUAK VE SERT
DOKUDA LAZERLER
SABT PROTEZLERDE
BAARISIZLIKLAR VE
ZMLER
19.30
CANLI
PORSELEN LAMNA
SMANTASYONU
VE SMANTASYONDA DKKAT
EDLMES GEREKENLER
DHEKMLNDE TIBB
PROBLEML HASTALARDA
LA KULLANIMI
17.30
18.30
13.30
14.30
17.30
18.30
CANLI
17.30
18.30
AILI KOKTEYL
2014
FRIDAY
28 NOVEMBER
HALL 1
TREATMENT OF MALOCCLUSIONS
THAT REQUIRE A TWO-PHASE
APPROACH
10.00
11.00
HALL 2
10.00
11.00
11.30
12.30
13.30
14.30
CANLI
14.30
15.30
CANLI
15.30
16.00
COFFEE BREAK
16.00
16.30
OPENING
16.30
17.30
19.30
Chairperson:
DR. ORHUN BENGSU
Chairperson:
PROF. DR. SEMA BELL
11.30
12.30
13.30
14.30
Chairperson:
DR. ORHUN BENGSU
Chairperson:
PROF. DR. CELAL ARTUN
CEMENTATION OF PORCELAIN
LAMINATES AND IMPORTANT
POINTS OF CEMENTATION
14.30
15.30
Chairperson:
ASSOC. PROF. DR.
VL KMBLOLU
Chairperson:
PROF. DR. ESRA CAN
17.30
18.30
10.00
11.00
LUNCH
LASER APPLICATIONS IN
MODERN DENTISTRY
13.30
15.30
Chairperson:
DR. ORHUN BENGSU
Chairperson:
PROF. DR. EBRU AL
12:30
13.30
RESTORATION OF ENDODONTICALLY
TREATED TEETH
COFFEE BREAK
A DAY WITH LAVA ULTIMATE
11.30
12.30
HALL 3
Chairperson:
PROF. DR. ASLI ERDN
11.00
11.30
SCIENTIFIC PROGRAMME
17.30
18.30
CANLI
Chairperson:
PROF. DR. GRCAN ESKTAIOLU
OPENING COCKTAIL
13
29
KASIM 2014
CUMARTES
BLMSEL PROGRAM
SALON 1
10.00
11.00
RESTORATF
DHEKMLNDE
GNCEL YAKLAIMLAR VE
GOMER TEKNOLOJSNN
AVANTAJLARI
PROF. DR. KOSMAS TOLIDIS
Yunanistan
Oturum Bakan:
DO. DR. ESRA UZER ELK
11.00
11.30
11.30
12.30
SALON 2
10.00
11.00
CANLI
13.30
14.00
DHEKMLNDE
KULLANILAN
MATERYALLERN
BYOLOJK UYUMLU
OLMASI NEML M?
11.30
12.30
16.00
16.30
KAHVE ARASI
TOTAL DSZLKTEN
GETE MMEDYAT
YKLEME
PROTOKOLLER
14.00
16.00
CANLI
RADYOGRAFDE
HANG BOYUT ?
16.30
17.30
Oturum Bakan:
DR. ORHUN BENGSU
VERTKAL KK KIRIKLARINDA
TEDAV YAKLAIMLARI
DR. NEJAT NZAM
Oturum Bakan:
PROF. DR. GNZ BAKSI EN
KK KANAL DOLGUSUNDA
YEN UFUKLAR
SALIKININ SALII
Moderatr: PROF. DR. GVEN KLEK
stanbul ni.Di Hek.Fak.
Mikrobiyoloji AD.
14.00
16.00 PROF. DR. HAYRYE ELB
Ege ni. Tp Fak. Psikiatri AD.
PROF. DR.TAMER LTF ERDEM
Okan ni.Di Hek.Fak. Az Di ve
ene Radyolojisi AD.
PROF. DR. BERRN DURMAZ
Ege ni.Tp Fak.
Dahili Tp Bilimleri Bl.
Fizik Ted. ve Rehabilitasyon AD.
14
KANAL ALETLER
NEDEN KIRILIR?
NASIL IKARTILIR?
YA IKARTAMAZSAK ?
15.00
16.00
20.00
Oturum Bakan:
DR. MT CANDAN
MNMAL NVAZV
DHEKML:
KORUMA VE D YAPISININ
RESTORASYONU
PROF. DR. HIEN C NGO
Kuveyt
Oturum Bakan:
PROF. DR. EBNEM TRKN
17.30
18.30
LE YEME
Oturum Bakan:
PROF. DR. KEMAL ALIKAN
16.30
17.30
ECZANE PERSPEKTFNDEN
AIZ D SALII
KAHVE ARASI
14.00
15.00
Oturum Bakan:
PROF. DR. ZEYNEP ERGC
12.30
13.30
ESTETK
DHEKMLNN
VAZGELMEZ:
BEYAZLATMA
SALON 3
Oturum Bakan:
PROF. DR. PELN GNER
17.30
18.30
Oturum Bakan:
PROF. DR. KR KANDEMR
GALA YEME
DREKT KOMPOZT
RESTORASYONLARDA
UZUN SREL SIZDIRMAZLII
NASIL SALAYABLRZ?
PROF. DR. ZAFER EHREL
16.30 Hacettepe ni.Di Hek.Fak.
18.30 Pedodonti AD.
Oturum Bakan:
PROF. DR. MURAT TRKN
29
NOVEMBER 2014
SATURDAY
SCIENTIFIC PROGRAMME
HALL 1
MINIMALLY INVASIVE COSMETIC
DENTISTRY - MATERIALS AND
PRACTICES OF A SUCCESS STORY
10.00
11.00
HALL 2
10.00
11.00
CANLI
Chairperson:
ASSOC. PROF. DR. ESRA UZER ELK
11.00
11.30
12.30
13.30
13.30
14.00
11.30
12.30
Chairperson:
PROF. DR. ZEYNEP ERGC
Chairperson:
ASSOC. PROF. DR. ESN ALPZ
IMMEDIATE IMPLANTATIONS AT
EDENTULOUS PATIENTS
14.00
16.00
CANLI
14.00
16.00 PROF. DR. HAYRYE ELB
Ege University, School of Medicine,
Department of Psychiatry
COFFEE BREAK
20.00
WHICH DIMENSION
IN RADIOGRAPHY?
16.30
17.30
Chairperson:
PROF. DR. GNZ BAKSI EN
17.30
18.30
Chairperson:
DR. MT CANDAN
16.30
17.30
Chairperson:
PROF. DR. EBNEM TRKN
16.00
16.30
LUNCH
Chairperson:
PROF. DR. KEMAL ALIKAN
15.00
16.00
BROKEN INSTRUMENTS:
PREVENTION AND REMOVAL
14.00
15.00
COFFEE BREAK
IS THE BIOCOMPATIBILITY OF
DENTAL MATERIALS IMPORTANT?
11.30
12.30
HALL 3
Chairperson:
PROF. DR. PELN GNER
17.30
18.30
Chairperson:
PROF. DR. KR KANDEMR
GALA DINNER
15
30
KASIM/NOV. 2014
PAZAR/SUNDAY
SALON 1
09.30
10.30
HALL 1
TRANSFORMAL NEFES
TRANSFORMAL BREATH
SEMRA BAKOLU
Transformal Nefes Eitmeni -zmir
SEMRA BAKOLU
Transformal Breath Instructor - zmir
UMAY KARABECE
Transformal Nefes Eitmeni -zmir
09.30
10.30
Oturum Bakan:
PROF. DR. EBRU AL
10.30
11.00
KAHVE ARASI
Chairperson:
PROF. DR. EBRU AL
10.30
11.00
11.00
12.00
12.00
13.00
11.00
12.00
CANLI
10.30
11.00
12.00
13.00
11.00
13.00
CANLI
HALL 2
09.30
10.30
CANLI
10.30
11.00
10.30
11.00
11.00
13.00
CANLI
12.00
13.00
Chairperson:
PROF. DR. ULE SNMEZ
COFFEE BREAK
09.30
10.30
10.30
11.00
11.00
12.00
Oturum Bakan:
PROF. DR. ECE EDEN
Chairperson:
PROF. DR. ECE EDEN
16
HALL 3
RK TESPT YNTEMLER
11.00
12.00
ABCs OF PERIODONTOLOGY:
SUBGINGIVAL CURETTAGE
SALON 3
09.30
10.30
SALON 2
PERODONTOLOJNN ABC' S:
SUBGNGVAL KRETAJ
COFFEE BREAK
ORTHODONTIC LIMITS FOR GP'S
Oturum Bakan:
DT. ERSN ATNEL
09.30
10.30
UMAY KARABECE
Transformal Breath Instructor - zmir
12.00
13.00
Chairperson:
PROF. DR. ZEYNEP ERGC
SALON ADI
KURS ADI
KURS VEREN
TARH
SAAT
1 BOLU
28.11.2014
10.30 - 12.30
2 RZE
ENDODONTK RETREATMENT
28.11.2014
13.30 - 15.30
3 ANKARA
ENDODONTDE BOAKTF
MATERYAL UYGULAMALARI
28.11.2014
15.30 - 17.30
29.11.2014
09.00 - 12.00
29.11.2014
10.00 - 12.00
6 MULA
29.11.2014
10.00 - 12.00
7 MULA
ESTETK D HEKMLNN
VAZGELMEZ: BEYAZLATMA
29.11.2014
14.00 - 16.00
8 BOLU
KK KANALI EKLLENDRLMESNDE
YEN BR ADIM: PROTAPER NEXT SSTEM
29.11.2014
14.00 - 16.00
9 ANKARA
30.11.2014
09.00 - 11.00
10 RZE
30.11.2014
09.00 - 11.00
30.11.2014
09.00 - 17.00
30.11.2014
11.30 - 13.30
11 MULA
BOLU
STANBUL
ANTALYA
12 ANKARA
HALL NAME
COURSE NAME
LECTURER
DATE
HOUR
1 BOLU
28.11.2014
10.30 - 12.30
2 RZE
ENDODONTIC RETREATMENT
28.11.2014
13.30 - 15.30
3 ANKARA
28.11.2014
15.30 - 17.30
29.11.2014
09.00 - 12.00
5 RZE
29.11.2014
10.00 - 12.00
6 MULA
CLINICAL PSYCHOLOGIST
BRGL GKE DOERING
29.11.2014
10.00 - 12.00
7 MULA
ESSENTIAL OF ESTHETIC
DENTISTRY: BLEACHING
29.11.2014
14.00 - 16.00
8 BOLU
29.11.2014
14.00 - 16.00
9 ANKARA
PRACTICAL RUBBER-DAM
APPLICATION COURSE
30.11.2014
09.00 - 11.00
10 RZE
ANTERIOR ESTHETIC
WITH RESIN COMPOSITES
30.11.2014
09.00 - 11.00
30.11.2014
09.00 - 17.00
PRACTICAL RUBBER-DAM
APPLICATION COURSE
30.11.2014
11.30 - 13.30
11 MULA
BOLU
STANBUL
ANTALYA
12 ANKARA
17
18
KONFERANS ZETLERI
ABSTRACTS OF LECTURES
He was born in 1961 and graduated from Dentistry Faculity of Marmara University in 1984.He completed his doctorate at Department of Oral and Maxillofacial Surgery at Faculity of Dentistry of Istanbul University. He became an associate professor in 1994,
became a professor in 2000. He was awarded with a Certificate of Appreciation by Istanbul University for the scientific studies
that he did in 1998, also worked for Oral and maxillofacial surgery and advanced dental implant surgery at University Hospital
(Rigshospitalet) in Kopenhag Denmark, faculity of Dentistry of Bern University and Winthertur Zimmer Enstitute in Sweden.
He is the chief editor for Journal of Turkish Dentistry and consultant for The British Dental Journal Turkish and many smiliar
scientific journals.
He is a member of Turkish Association of Oral and Maxillofacial Surgery, Turkish Association of Oral Surgery, Turkish Dental
Association and The International Association Oral and Maxillofacial Surgeons. He was a president of International Scientific
Congress for Journal of Turkish Dentistry in 2002, 2003, 2004, 2005, 2006 and International Dental Istanbul Dentistry Congress in
2007, 2008, 2012. He was also a founder and director of many scientific and social branches. He has many scientifical researches,
lecture books published in abroad and notified at congress.
Besides surgery of dentistry, stem cell advanced implantology applications, surface futures of implantology are his main field.
He has also 5 doctorate studies and 3 of them already completed. He has designed an implant system which was registered by
Turkish Patent Enstitute and put it into service of Turkish Dentists in 2010.
Prof.Dr. Ahmet Blent Katibolu is still working at Department of Oral and Maxillofacial Surgery at Faculity of Dentistry of Istanbul University.
20
MANY WAYS OF THE IMPLANT LOSS; AS YOU MAKE YOUR BED, YOU LIE ON IT.
Dental implantology applicaitons have been increasing rapidly in Turkey as in the world and it has taken the first place in dentistry
platform. During this increase,lack of basic implantology trainings, not having a good recognition of the science and working
parameters, scientifically shortage support of the systems cause some complications in the follow up processes.
Planing is the first and most important condition in Dental Implantology. Planing starts with the patients information and radiology and continues with clinical processes. But, planing is not only about the patient, the system which is studied must be also
known very well. At this process, ability of the dentist will be also very important. Dentists must be trained, equipped, prepared
very well. The dentist must be also able to dominate all of the equipments which will be used. Because, success in implantology
is a long process which starts with planing, choosing and preparing instruments, working place and it lasts with applicaitons of
surgical techniques and planing in time. Moreover, dentists must take into consideration of prosthetic processes, follow ups and
patients factors. The most important argument in failure is dental implant fails. The best is evaluating every chain ring one by
one such as dentist, patient and system about the fails.
21
Adile zda was born in Tunceli and she spent the first three years of her school life there. Late on, she moved to Elaz and
continued her education there. She completed her primary, secondary and high school education in Elaz. After graduating
from the Ankara University, faculty of pharmacy, she worked as a research assistant in the Cerrahpaa faculty of medicine , the
department of infectious disease, for a year and a half. Afterwards, she carried on her career as an independant pharmacist by
opening her first pharmacy zda Pharmacyin Balarba. She had difficulties in working as a pharmacist for the first three
years of her career because of the conditions of the country. While she was passing through heavy trials and facing difficult problems like shortage of medicine, she always wanted to carry the idea of developing her vocation one step further and to carry on
her profession in the best way possible. The studies she conducted professionally helped her further her careeras a pharmacist
and achieve the quality and the understanding of the European model of pharmacy. The main studies she carried out and shed
some light on the key points of pharmaceutics are as follows; Category management, Examples of framing and display and
Personal Care. Having Pharmacy is Hygiene and Personal Careas her motto, she carried out practices in the field of oral and
dental health, that influenced the perception of consumer behaviour positively. Suggesting various products and practices,she
reached out a great number of consumers by reminding them that the oral and dental health is important not just for the adults
but for the children and that personal care is vital for the development of the children and babies as well as the adults. After
these studies, she opened Cemil Topuzlu Pharmacy in 1984. In the following years, she participated in various seminars and
workshops,which took place in London,mainly focused on the topic of nutritional and vitamine supplements. The studies she
conducted those years helped her become a consultant pharmacist. Although it was considered as a great risk, she became the
initiator of the term mall pharmacy in Turkey by opening the pharmacy of Akmerkez inside the mall of Akmerkez in the year
of 1994. Throughout her educational and professional life, she took part actively in non-governmental organizations and and re-
22
alized many social responsibility projects. She is a member of The Rotary Club since 1993 and she was the director of the Rotary
Club of Saryer from the year 1996 to 1997.She was the special assistant of Governor. She took part in international committees.
In 1994, she served as the assistant county commissioner at a political party and in 1995 she ran for the parliament to become
the candidate for stanbul. In 2004, she became one of the founder members of Pharmetic: The Pharmacists as Entrepreneurs.
She was elected the vise president that year for the same organisation and later on she became the president.She still is an
active member of Pharmetic, in the commitee of education.
23
Anl Atila was graduated from Ankara ankaya Milli Piyango Anadolu Lisesi in 2003. Atila started his dentistry education at Ege
University Faculty of Dentistry in 2003 and graduated in 2008. In the same year Atila started his Ph.D. program at Ege University
Health Science Institute, Department of Periodontology. His field of interests are periodontal pathologies and treatments, gingival
esthetic surgeries, dental implants and surgical applications. Anl Atila has been a member of Turkish Association of Periodontology, European Federation of Periodontology (EFP), International Team For Implantology (ITI), Izmir Chamber of Dentists, and
Association of Ege Dental Health and Dentists. He is married.
24
ARE DERMAL FILLERS EFFECTIVE FOR THE TREATMENT OF THE PAPILLA DEFICIENCY?
The presence of interdental papilla is esential in achieving acceptible dental esthetic. Beside the esthetic problems due to black
triangles, phonetic and hygienic problems are often observed. Several soft tissue augmentation methods were described for
this purpose. Surgical techniques are the choise of dentists since the outcome is biologicly more acceptable while non-surgical
techniques are widely accapted by the patients. Although various augmentation methods are available, a gold standart has not
been described yet. Complicated surgical procedures including autogenous bone graft and/or connective tissue grafts, non-invasive and easy to apply methods such as dermal filler injection are also available. In this presentation, the methods used for
papilla augmentation will be evaluated. Also dermal fillers will be described and the application of the material will be shown on
a patient.
25
Prof.Dr.Aslan Y. GOKBUGET was born in 1957 in Adana/TURKEY . He qualified as a dentist (DDS) in 1982. Same year he attended
as an Assistant Professor at Istanbul University Dental School Department of Periodontology. Hes received his PhD degree at
same University in 1989; he became Associate Professor in 1993 and Full Professor in 1999. Prof. GOKBUGET retired from the
University in April 2013. Since 1993, he is doing implants in his dental practice in his private clinic named pggdent with two partners (Prosthodontis&Orthodontist) in Istanbul. Also he gives lectures and leads seminars on Periodontology and conducts courses on practical and advanced Implantology and Dental Lasers, and is an educator in Meffert implant Institute since 2004. Between
1995-96, Prof. GOKBUGET worked as a visiting professor at Eastman Dental Institute Oral Medicine Department, London, UK. His
main interests are Periodontology, mplantology, Bone grafts and bone surgery, Mucogingival surgery, Sistemic diseases and dentistry, Dental Lasers. Prof. GOKBUGET is an active member in numerous International societies naming AAP(American Academy
of Periodontology), ICOI (International Congress of Oral Implantology (Diplomat), IAP (International Academy of Periodontology),
EFP (European Federation of Periodontology), CAIA (Computer Aided Implant Academy)(vice-president).
26
patient acceptance. Er:YAG Lasers are used for clinical crown lengthening without gingival flap reflection and scaling but there are still considerations
exist. Nd:YAG lasers are used for bacteria irradication and coagulation . For chronic periodontitis variation of the treatment protocols and clinical
evaluation methods comparison of the studies is nearly impossible. There is a need of evidence based studies. Randomized, blinded, controlled and
longitudinal, clinical trials are essential to achieve reliable evidence.
References;
Flapless postextraction socket implant placement in the esthetic zone: part 1. The effect of bone grafting and/or provisional restoration on facial-palatal ridge dimensional change-a retrospective cohort study.
Tarnow DP, Chu SJ, Salama MA, Stappert CF, Salama H, Garber DA, Sarnachiaro GO, Sarnachiaro E, Gotta SL, Saito H.
Int J Periodontics Restorative Dent. 2014 May-Jun;34(3):323-31.
Outcome analysis of implant restorations located in the anterior maxilla: a review of the recent literature.
Belser UC, Schmid B, Higginbottom F, Buser D.
Int J Oral Maxillofac Implants. 2004;19 Suppl:30-42. Review.
Effects of connective tissue grafting on the facial gingival level following single immediate implant placement and provisionalization in the esthetic
zone: a 1-year randomized controlled prospective study.
Oshino S, Kan JY, Rungcharassaeng K, Roe P, Lozada JL.
Int J Oral Maxillofac Implants. 2014 Mar-Apr;29(2):432-40
Fresh extraction socket: spontaneous healing vs. immediate implant placement.
Discepoli N, Vignoletti F, Laino L, de Sanctis M, Muoz F, Sanz M.
Clin Oral Implants Res. 2014 Jul 17. doi: 10.1111/clr.12447.
27
Dr. Usumez is a 1996 graduate of Hacettepe University Faculty of Dentistry. In 1997 she started her PhD education in Department
of Prosthodontics in Selcuk University Faculty of Dentistry. In 2001, she completed her PhD thesis named Evaluation of bonding
Porcelain Laminate Veneers to acid etched or Er:Cr:YSGG laser etched teeth surfaces. She was appointed as Assistant Professor in 2003, as Associate Professor in 2005 and as Professor in 2010. She was awarded as the Young Scientist of 2008 by
The Turkish Dental Association. She completed Master of Science in Lasers in Dentistry in RWTH Aachen University in 2012.
In 2014, she has been elected as Turkey Country representative in Word Federation for Laser Dentistry. She has printed over 100
scientific articles in journals, oral and poster presentations awards and travel stipends from international congresses.
She is currently the head of Prosthodontics Department in Bezmialem Vakif University, Faculty of Dentistry. She is married and
has 2 children.
28
29
He was born in Biga in 1971. He graduated from Istanbul University, Faculty of Dentistry, in
1995. Between 1995-2000, he worked as a research assistant at Istanbul University, Faculty of Dentistry, Department of Endodontics. In 2000, he received Dr. Med. Dent. degree. He worked at Yeditepe University, Faculty of Dentistry from 2000 to 2014. He
became Assistant Professor in 2002 and Associate Professor in 2008. He began to work at Okan University, Faculty of Dentistry
in 2014 where he became a Professor of Endodontics. Mehmet Baybora Kayahan is a member of Turkish Endodontic Society and
European Society of Endodontology.
30
31
28.01.1957 Ankara
Education:
1970-1973
zmir Kz High School- ZMR
1973-1979
Ege University Medical Faculty
1980-1984
Assistant- Ege University Medical Faculty Physical Therapy and Rehabilitation Department
1984-1987
SSK Yeniehir Hospital (Compulsary Duty)
1987-1988
Specialist- Ege University Medical Faculty Physical Therapy and Rehabilitation Department
1988-1994
Assistant professor- Ege University Medical Faculty Physical Therapy and Rehabilitation Department
1994-...
Professor - Ege University Medical Faculty Physical Therapy and Rehabilitation Department
1992-1994
Assistant Manager of Ege University Medical Faculty Hospital
1997-1998
The Founder and Head of the Ege University, Atatrk Health Sciences School
1998-1999
Assistant Manager of Ege University, Department of Internal Medicine
1998-2001
The Head of the Ege University, School of Physical Education and Sports
1998-2001
Manager of the Ege University, School of Physical Education and Sports,
Department of Kinesiology and Training Sciences
2002- 2011
The Head of the Ege University Medical Faculty Physical Therapy and Rehabilitation Department
27.04.2006-2012
The Founder and Head of the Ege University Rehabilitation- Education and Research Center for Disabled Children
Publications:
32
33
He was born in 1962 in Mersin. After continuing his middle school education in Konya and Bornova Anatolian High School, he
won AFS scholarship and lived in USA in 1980 for one year. He graduated from Virginia Gar-Field High School in 1981. He started
his dental education in School of Dentistry, Ege University in 1981 and finished in 1986 by receiving D.D.S. title. He was appointed
as an assistant professor in Department of Restorative Dentistry and Endodontology in same school in 1987. After receiving a
scholarship by YK, he continued preliminary studies of his Ph.D. thesis in Department of Endodontics, School of Dentistry in
University of Amsterdam. He finished his studies in 1994 and received the Ph.D. title. He received TBTAK research grant and
accomplished a series of studies in University of Connecticut Health Center in 1996. He won the Best Presentation award in
Turkish Endodontic Society Congress in 1996 and also Best Poster award in European Society of Endodontology Congress in
1997. He was appointed as associate professor in 1998. In 1999, Hans Genet Foundation and European Society of Endodontology
awarded him as the Best Active Researcher. He received a research grant by Campbell Foundation in 2001 and he accomplished a series of studies about the fungi infections in endodontics in UCLA. He was appointed as tenure professor in 2004.
In addition to different duties in Dental School and Ege University, he worked as the director of Scanning Electron Microscopy
Laboratory between 1992-2013 and of Dental Materials Laboratory between 2008-2013. He retired from E. U. School of Dentistry
in January 2013 and worked in zmir Katip elebi University School of Dentistry as a visiting professor from March 2013 to June
2014. His singular or collaborative research studies have received 14 awards in national or international platforms. He has more
than 90 articles published in national or international scientific journals. He has presented more than 150 lectures and courses
in national or international congresses and meetings. His research articles have received more than 900 citations. He worked as
an editor in a translated book and made contribution to two other books. Currently, he has been working in scientific boards of 3
international and 3 national dental journals. In addition to working as an endodontist in his private office, he has been organizing
lectures, workshops and hands-on courses for the dentists.
34
35
Prof. Dr. Ebru Karabece al, graduated from Ege University School of Dentistry in 1991. She started working as a research and
teaching assistant in the Department of Prosthodontics in the same faculty. Worked as a clinical-observer and researcher in
Mayo Clinic, USA, for four months during her residency in 1997. In 1998 she accomplished her doctorate degree with the thesis
Evaluation of microbiologic adherence and hardness changes of four different resilient denture-lining materials. Dr. al became
an Associate Professor in 2006, and a Professor in 2011 in the Department of Prosthodontics, Ege University School of Dentistry.
She has more than 40 articles cited 137 times, which were published in national and international journals, and has many lectures and presentations in various key congresses and meetings.
Dr. al is an active member of ICP, IADR and TPID and is a reviewer of various national and international journals. Her primary
research areas are Adhesive Dentistry, Color-science, Implantology and Geriatrics.
She is married and has two children.
36
37
She graduated from Ege University Faculty of Dentistry in 1988. She completed the PhD Program in Health Sciences Pediatric
Dentistry, Ege University. She has appointed as Associate Professor of Pediatric Dentistry in 2000 and she became a professor
in 2006. She was a delegate of Turkish Dental Association (TDA) Dental Chamber Izmir in the years 2000-2002 and 2008-20012.
She lectured Medical intern students in Dokuz Eyll University on oral health between 2001-2003. She is lecturing third-year
students of the Ege University, Faculty of Medicine on oral helath in digestive system block course since 2006. She was the
co-promoter of the pHd thesis entitled minimally invasive approach in the treatment of primary teeth caries 2004-2009 in
Radboud University Nijmegen, Netherlands. She worked as a member of the Commission on Dental Public Health in TDA during
the periods 2000-2002 and 2008-2010. She was the member of the board of directors of Izmir Chamber of Dentists during 20122014. She is the Turkish translator of Traumatic Dental Injuries-Handbook that was published in 2014. She is still working as
lecturer in E.. Faculty of Dentistry Department of Pediatric Dentistry She has a son. Her interested topics are preventive dental
practices, dental trauma, and minimally invasive approach.
38
39
Dr. Enis Gray was born in stanbul, Turkey in 1958. After high school education, he graduated from Hacettepe University Faculty
of Dentistry in 1982, and received his PhD from the Department of Orthodontics at the same faculty in 1986. Between 1988 and
1991, Dr. Gray has run his private practice in Ankara, and at the same time worked as a clinical instructor and lecturer in Universities of Seluk, ukurova and Erciyes Departments of Orthodontics between 1991 and 2013.
In 1995, Dr. Enis Gray was promoted to Associated Professorship, and in 1996, he was awarded by Turkish Foundation of Scientific Researches (TUBITAK) for his study Seluk Type Headgear Timer he has done with his colleague Dr. Metin Orhan. In 1999,
he developed, published and presented Guray Instant Bite Raiser which was the first international patent of Turkey in the fields
of dentistry and orhodontics. The Guray Bite Raiser is a simple and fixed auxiliary used in raising the bite which facilitates some
of the orthodontic treatments.
Dr. Gray was the President of the Turkish Orthodontic Society between 2003 and 2005. In 2008, his invention EZretainer was developed and was presented to his colleagues all around the world. This appliance consists of a simple, fixed and adjustable space
maintainer. In 2010, his recent invention EZ Slider which creates parallel forces that prevent unwanted tipping and rotations while
allowing the movement of multiple teeth was developed and was presented to the orthodontic field.
40
41
PROF.DR.ERALP BUDUNELI
1989 ylnda Ege niversitesi Di Hekimlii Fakltesinden mezun oldu. 1992 ylnda Periodontoloji Anabilim Dalnda Aratrma Grevlisi olarak almaya balad ve 1998 ylnda
doktorasn tamamlad. 2005 ylnda Doent, 2011 ylnda ise Profesr unvan ald. Tannm
uluslararas ve ulusal bilimsel dergilerde 40dan fazla makalesi yaynland. Yurtd ve yurtii
bilimsel toplantlarda 70den fazla bildiri sundu. Periodontal hastalklarn tedavi teknikleri
balca ilgi alandr. Evli ve 2 ocuk babasdr.
Dr. Buduneli was graduated from Ege University, School of Dentistry in 1989. He started his
periodontology career at the same university in 1992 and completed his PhD in periodontology in 1998. He got the title of Associate Professor in 2005 and he became a full Professor in 2011. He has more than 40 papers published in well-known international
and national scientific journals. He has presented more than 70 studies in national and international scientific meetings. His
main field of interest is techniques of periodontal treatment. He is married and has two children.
42
ARE DERMAL FILLERS EFFECTIVE FOR THE TREATMENT OF THE PAPILLA DEFICIENCY?
The presence of interdental papilla is esential in achieving acceptible dental esthetic. Beside the esthetic problems due to black
triangles, phonetic and hygienic problems are often observed. Several soft tissue augmentation methods were described for
this purpose. Surgical techniques are the choise of dentists since the outcome is biologicly more acceptable while non-surgical
techniques are widely accapted by the patients. Although various augmentation methods are available, a gold standart has not
been described yet. Complicated surgical procedures including autogenous bone graft and/or connective tissue grafts, non-invasive and easy to apply methods such as dermal filler injection are also available. In this presentation, the methods used for
papilla augmentation will be evaluated. Also dermal fillers will be described and the application of the material will be shown on
a patient.
43
Prof. Dr Esra Can was born in 1970 in Ankara. She graduated from Sankt Georg College in 1989 and stanbul University Faculty
of Dentistry in 1994. She attended the PhD program of the Operative Dentistry in stanbul University Faculty of Dentistry, in the
academic years of 1995-1999. She worked in Yeditepe University Faculty of Dentistry Department of Operative Dentistry as a research assistant in between 2000-2002 and as an assistant professor in between 2002-2006. In 2006 she received her associated
professorship degree in Operative Dentistry. She worked as a research fellow in 2002 in Tokyo Medical and Dental School and in
2012 in University of Pennsylvania Dental Medicine. She is still working in Yeditepe University. Since 2013, she is one of the officers in Continental European Division (CED) of the IADR and president elect of CED for 2015. Her research topics are adhesive
and restorative dentistry, dental materials, bleaching and esthetic dentistry about what she is also giving lectures and hands-on
courses. She is a member of Turkish Dental Association, Association of Dental Laser Academy, Association of Restorative Dentistry and International Association for Dental Research.
44
45
She was born in zmir in 1978. In 2001, she was graduated from Ankara University Faculty of Dentistry. In 2007, she received the
title of Doctor of Philosophy from Ege University, Institute of Health Sciences, Department of Restorative Dentistry and Endodontics defending his thesis titled Evaluation of the efficiency of a computer program in the caries risk assessment. She worked
as an assistant professor in Sleyman Demirel University, Faculty of Dentistry, Department of Restorative Dentistry. In 2011,
she moved to zmir Katip elebi University and began working as a faculty member. She was promoted to associate professor in
2012. Dr. Uzer elik, currently has been working in zmir Katip elebi University, Faculty of Dentistry as the Vice Dean and Head
of Department Restorative Dentistry. She is married and has one child.
46
47
Graduated from Ege University Faculty of Dentistry in 1987. Finished E.U. Health Sciences Pedodontia Doctoral Program in 1995.
Worked in zmir Dentist Chamber, commision of mouth and dental health between the years of 1995-2002. Between 2000-2002
in Turkish Dentists Assossiation become Headquarter board member and between 2002-2004 Headquarter member of inspectorate. Worked in zmir Central Bank as a dentist between the years of 2000-2005. Given mouth and dental health class in Dokuz
Eyll University to 4th and 6th year medical students sice 2005. Did in zmir Dentists chamber discipline committee member
in 2014. In this period she workes as audit commission member. Since 1995 worked as mouth and dental health commission
member and/or presidency. Also she has already worked as pedodontist in Dokuz Eyll University pediatric dental clinic.
48
49
She was born in 1965 in zmir. She started her dental education in School of Dentistry, Ege University in 1983 and finished in 1988
by receiving D.D.S. title. She started working as a research and teaching assistant in the Department of Oral and Maxillofacial
Radiology of the same school in 1990. In 1995, after finishing her thesis entitled as Evaluation of bone height and bone density
by computed tomography and panoramic radiography for implant recipient sites she received her Ph.D. title. She was appointed
as associate professor in 2000 and as tenure professor in 2006. In 1996, she worked as a visiting researcher at the Department of
Oral Diagnosis and Radiology of University of Connecticut Health Center. She received Oral Research Awards at the Congresses of Balkan Stomatological Society in 1999 and European Academy of Oral and Maxillofacial Radiology in 2010. She also received
one of the best 16 Research Award of IADR-Continental European Division in 2001. She was appointed as associate professor
in 2000. She worked with Prof. Dr. Hans-Gran Grndahl at the Department of Oral and Maxillofacial Radiology, University of
Goteborg in 2003 and completed series of studies. She became a professor in 2006. She worked as an assisting editor and editor
between years of 2000 to 2010 for the Journal of Ege University, School of Dentistry. She worked in the Research and Scientific
Committee and Education Committee of the European Association of Dentomaxillofacial Radiology between years of 2010-2014.
She was appointed as the co-administrator of Health Sciences Institute of Ege University in 2012. She has more than 95 articles
published in national or international scientific journals. She has presented more than 70 lectures in national or international
congresses and meetings. Her research articles have received more than 400 citations. She has contributed in the writing of one
book and one book section. She is currently in the editorial board of 3 international and 5 national journals. She is currently
working in the department of Oral and Maxillofacial Radiology, School of Dentistry, Ege University.
50
51
Dr. Eskitascioglu was graduated from Ankara University Faculty of Dentistry in 1987. Eskitascioglu started his doctorate education in the same year in Ankara University Faculty of Dentistry; Department of Prosthodontics. In 20 June 1991, he assumed the
Science Doctor title. In 30 October 1996 Dr. Eskitascioglu assumed the Associate Professor title in Ankara University Faculty
of Dentistry, Department of Prosthodontics. In 1998, Dr. Eskitascioglu took office as Seluk University Faculty of Dentistry, Department of Prosthodontics Chair. In 14 June 2002 Dr. Eskitascioglu assumed the Professor title. He officiated as a member of
Faculty Comittee, a member of Faculty Comittee Management Board, Founder Chair of Ethic Comittee of Faculty, and Dean Vice.
In 23 December 2005, Dr. Eskitascioglu was appointed to Gazi University, Dental Faculty; Department of Prostodontics as a
Professor. In 25 February 2009, Prof. Dr. Eskitascioglu was assigned as the Founder Dean of Yznc Yl University; Faculty of
Dentistry. He is still proceeding with his charge. In 17 April 2009, Prof. Dr. Eskitascioglu was chosen as a member of Interuniversity Board.
Prof. Dr. Gurcan Eskitascioglu has more than 80 scientific essays; which 25 of them are published in journals within Science
Citation Index, and are about dental implants, dental fibers, adhesive restorations, ceramics and biomechanics. Also, his works
have been referred by many scientists. Prof. Dr. Eskitascioglu has many national and international scientific works; especially
in the conferences. Prof. Dr. Eskitascioglu, together with Prof. Dr. Sema Belli had also written a chapter in the book by Marco
Ferrari that was published in 2008; Fiber Post and Endodontically Treated Teeth: A Compeulunmandium of Scientific and Clinical
Perspectives.
Prof. Dr. Gurcan Eskitascioglu has been a member of Turkish Prosthodontics and Implantology Association, International Association of Dental Research (IADR) ,Turkish Dental Association and Chamber of Dentists of Ankara. He is married and has two
daughters.
52
53
She was graduated from Faculty of Dentistry, Istanbul University in 1976 and at the same year appointed as an assistant doctor
to the Department of Microbiology at the same faculty. She has been titled as Dr Med Dent in 1981 and Associate Professor
in Medicine at Microbiology in 1986. She studied in the Microbiology Department, Faculty of Medicine, Kobe University and the
Bacteriology Department, Osaka Dental University during January 1987 - March 1988. She realized FEMS Symposium Black
Pigmented Gram Negative Anaerobes in 1992 on behalf of Turkish Microbiological Society. She was appointed as Professor at
Department of Microbiology, Faculty of Dentistry, Istanbul University in 1996. Her lectures and dental researches are based on
molecular microbiology, anaerobic bacteriology, oral microbiology and infection control in dentistry. She is married and has a
daughter.
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55
Assoc. Prof. Dr. Hakan AKIN graduated from the University of Marmara School of Dentistry and following graduation, he completed his post-graduate program in Prosthodontics and received his PhD degree from the University of Cumhuriyet School of
Dentistry. He is presently an Associate Professor in the Departments of Prosthodontics.
Esthetic Dentistry applications, implants acting as a natural tooth in patients suffering tooth absence, zirconia porcelains, laser
applications in dentistry, at all enter into the special area of interests of Dr. Akin.
Dr. Akin is an active member of the Turkish Prosthodontic and Implantology Association and he is an ordinary member of the
International Academy of Adhesive Dentistry. 40 articles of him were published in many scientific journals which are about dental
implants, zirconia, denture base materials, dental magnets, and lasers in dentistry.
Furthermore, he is Editor-in-Chief of the Cumhuriyet Dental Journal and he is a reviewer of Clinical Implant Dentistry and Related Research, Journal of Prosthodontics, Photomedicine and Laser Surgery, ACTA Odontologica Scandinavica, Gerodontology,
Journal of Adhesive Dentistry, Journal of Dental Education, and Indian Journal of Dental Research.
Dr. Akin is married and he has a daughter.
56
57
Dr.Hakk Sunay has graduated from Dental Faculty of stanbul University in 1997 and received his Phd degree in 2003 form the
same University,Department of Endodontics. After his military service he has started to work in Dental Faculty of Yeditepe. He became Assistant Professor in 2007 and Associate Professor in 2012. He is working as Advisor to Dean since 2008. He has worked
as an executive board member in Turkish Endodontic Society between 2000-2008, and as the General Secretary 2010-2014.
He is also working as the treasurer of European Society of Endodontology since 2008.
He is specialist member of European Society of Endodontology and Associate Member of AAE.
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59
Halide Sava graduated from Faculty of Law, Marmara University. She completed the Marmara University, Graduate School of
Health Sciences, Health Institutions Management Post Graduate Training Program in 2006. She has written two books: Responsibilities of Health Workers and Health Institutions Engendered from the Medical Intervention and The Medical Intervention
Errors Reflected in the Judiciary. She has also many articles in the area of Health Legislation. She worked as the president of
stanbul Bar Association Health Legislation Center between the years of 2010-2013. She is the founder of the Health Legislation
Association and Association of Justice and Security in Health and she has been working as a lawyer, an expert on health legislation in her law office for a long time and she has been working as an educational counsellor and a legal adviser in the Medical
Jurisprudance Research Center www.tamdestek.com
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61
1992-2002
1992 -1998
1976-1981
1973-1976
INSTITUTIONAL MEMBERSHIPS
Board member at Turkish Society of Oral Implantology for 3 terms. Board member at EDAD. Treasurer for 2 terms, vice president
and general secretary. EDAD- Former president and founder member for Implantology team. ICOI (The International congress
of Oral Implantologist) Fellow. Honorary member and speaker for Azerbeijan Society of Implantology. Curriculum Implantologie
program educator in Turkey founded by German Society of Implantology and EDAD-Implantology Team. Curriculum Implantologie
program educator of Frankfurt University.
BOOKS
Translation editor for Uygulamal mplant Dihekimlii by Quintessence. Coauthor for Di Hekimliinde Baarnn Srlar.
Translation editor for MPLANTOLOJDE ESTETK Yumuak ve Sert Dokularn Tedavisi iin Stratejiler by Quintessence. National-international publications, scientific presentations, courses, congress president, congress chairman.
WORK EXPERIENCE
2004- 2009 Dentakademia Education Center (Basic-advanced Oral implantology and Prosthetic Education)
2000-2013 Theoritical and Practical Oral Implantology Educations in Istanbul, Ankara, zmir, Samsun, Diyarbakr, Adana, Mersin, Antalya, Bursa, Tekirda, Elaz, Eskiehir, Adapazar, zmit, Mula, Konya, Denizli, Kayseri, Trabzon, Kbrs, and Baku.
1984Private Practice.
Married with children.
62
63
CURRENT POSITION
Clinical Professor of Psychiatry
Chair for Dep. Of Psychiatry
Director of CLP Outpatient Clinic
Ege University zmir Turkey
EDUCATION and POSTGRADUATE TRAINING
1971-1975
Robert College Istanbul
1975-1981
Medical School
Ankara University, Faculty of Medicine, Ankara (1975-1980)
Ege University, Faculty of Medicine, Izmir )1980-1981)
1982-1985
Obligatory work at primary care
1985-1989
Residency in Dep. of. Psychiatry
1991-1992
University of British Columbia, Vancouver, BC Canada
1992-.
Ege University, Dep. Of Psychiatry
64
SALIKININ SALII
Salk sistemindeki gelimeler, modern toplumun hz ve yksek beklentisi salk alanlarn yksek performans ile almak
zorunda brakmaktadr. alma koullar zorlap yaplmas gereken i says arttka bu yke yant vermeye alan kiinin stresi
de artmakta, strese yant abalar bazen de tkenme ile sonulanmaktadr. Tkenme sendromu, kronik stres sonucu duygusal
bitkinlik, fiziksel tkenme ve zihinsel yorgunluk ile tanmlanr. Kronik stres HPA aks zerinde etkilidir. Tkenme sendromu biyolojisi, kiisel yatknlk zellikleri ve tkenmenin belirtileri anlatlacaktr. kinci blmde ise tkenmeye kar alnacak nlemler i
yeri ve kiisel zeminde yaplabilecekler, stresli alma ortamlarnda alnabilecek nlemler tartlacaktr.
65
Dr. Ngo has extensive experience in private practice, research and education. He was the principal of a dental practice located in
the business district of Adelaide, with a staff of five, he delivered good dental care based on the philosophy of Minimal Intervention over a period of 18 years. He is still treating patients with advanced caries and erosion.
As an educator, he has published and lectured extensively internationally on the dental materials, minimal intervention dentistry
and cariology. He serves on the editorial boards of several dental journals. Over the last 15 years, he has been very active as an
international speaker and have contributed to numerous major international meetings, e.g. FDI, Chicago Mid-Winter, IDEM, ADA
Congress, CDA. It is estimated that his courses have attracted over 20,000 participants.
In research, he is active in the areas of dental materials and cariology, he was appointed Visiting Research Fellow to the Adelaide
University in 1998, Research Director of the Colgate Australian Clinical Dental Research Centre, Adelaide University in 1999
and Research Consultant of the centre and Associate Professor to the University of Adelaide in 2003. In 2007, he joined the
National University of Singapore as Associate Professor in the Dept. of Restorative Dentistry. He was invited to the University of
Queensland as Professor and Chair of General Dental Practice in 2009. In 2012, he joined the University of Kuwait as Professor
of the department of General Dental Practice and Director of Comprehensive Dental Care. At present, his main focus in research
revolves around the clinical management of caries, especially in the elderly and medically compromised patients and the interactions between the glass-ionomers and the oral environment.
He has been a technical consultant to several dental organisations and was co-inventor of several dental products.
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67
Graduated from the Dental School of Thessaloniki on 1989 and started as research fellow at the Dept. of Operative Dentistry.
In the year 1993 got the Masters Degree on Pediatric Dentistry from the University of Bristol UK
In the year 1996 got his PhD from the University of Thessaloniki on Dental Materials with excellence.
At the moment is Assosiate Professor with the Dept. of Operative Dentistry at the University of Thessaloniki and appointed by the
Greek Government Chief Dental Officer of Hellenic Republic.
He authored approximately 50 scientific papers in English and in Greek and two textbooks in Greek, Immediate aesthetic restorations, 2004 and Solving clinical problems in Paediatric Dentistry, 2006.
His research interest is on minimal invasive cosmetic dentistry, esthetic restorative dentistry, biomaterials and pediatric dentistry.
He is a prestigious presenter on national and international level for the subjects of restorative materials and techniques and also
organizer of hands on courses for dentists on contemporary materials and techniques
From 1989 he owns a private dental clinic in Thessaloniki dedicated to esthetic and paediatric dentistry.
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69
Dr. Mehmet Emin Kaval graduated from Ege University School of Dentistry in 2004 and began his doctorate education in Endodontics Department of the same faculty. He received his PhD degree from Health Science Institution of Ege University with doctorate
thesis of The Effect of Various Preparation and Obturation Techniques on Microleakage During Endodontic Retreatment. Dr.
Mehmet Emin Kaval is the member of Turkish Endodontic Society and European Society of Endodontology and his research
interests are endodontic surgery, root canal preparation using Ni-Ti instruments, endodontic retreatment and electronic apex
locators. He is currently continuing his clinical and academic career in Department of Endodontics at Ege University School of
Dentistry.
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After graduated from Ege University, Faculty of Dentistry in 2003 I continued my PhD education in the Department of Periodontology of Institute of Health in the same university. Having
completed the PhD education in 2009 I started to work as a research assistant in Ege University Faculty of Dentistry Department
of Periodontology , where I still continue both clinical and academic researches.
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Nuray apa was graduated in 1995 from stanbul University Faculty of Dentistry.
She received her Masters Degree in 2002, and in 2005 received her PhD; both from Yeditepe
University Faculty of Dentistry Deparment of Prosthodontics. She received her Associate Professorship in 2012 and working as
one at Yeditepe University Faculty of Dentistry Deparment of Prosthodontics since.
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Dr. Raimond N.B. van Duinen Amsterdam niversitesinde eitim grmtr. 1987den bu yana Hague, Netherlands daki zel
kliniinde almaktadr ve Biomimetic DentistryI zerine odaklanmaktadr. Amsterdam niversitesinin br blm olan ACTAda aratrmac olarak alrken a Dr. Raimond N.B. van Duinennin Cam iyonomerler gibi bioaktif materyallere kar zel
bir ilgisi gelimitir. 2005de geleneksel Cam iyonomer Simanlarn universal direk restorative material olarak kullanm ile ilgili
yayn baslmtr. 2005den bu yana aratrmac ve konumac olarak bir ok Avrupa niversitesinde ve irkette bulunmutur.
(rnein Queen Mary, London ve University of Zagreb) . 2013de Uluslar Aras Biomimetik Uzman grubunu birka fikir lideri
ile birlikte kurmulardr.
website: biodentistry.eu
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Prof.Dr. Sema Belli graduated from Marmara University, Istanbul, Turkey with DDS, and received her PhD degree in Department
of Operative Dentistry from Seluk University, Konya, Turkey. Dr. Belli held the positions of chair and professor in Department of
Endodontics, Seluk University between. Her current position is Professor of Department of Endodontics at the same university.
She was a visiting researcher at Tokyo Medical and Dental University, and Medical College of Georgia. She has published and
lectured extensively on dental materials including dental composites, adhesives, glass or polyethylene fibre reinforcement materials, conservative restoration of extensive cavities, restoration of endodontically treated teeth, post and cores, finite elemental
analysis, composite polymerization, cuspal deflection, bond strength tests and leakage. Her current interest is biocompatibility
of the dental materials.
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SEMRA BAKOLU
1956 Ylnda zmirde dodu.Orta okul ve lise eitimini zmir zel Trk kolejinde tamamaladktam sonra evlenip 2 ocuk sahibi annesi oldu.
1999 senesinde Reikiile tanp bu yoldaki ilk admn att.Yurt ii ve yurt dnda bir ok seminerlere katlp kendini gelitirdi.Reiki master,Psiko Analiz,Melchizedek-In beden Aktivasyon
eitimi,Sesile ifalanma Teknikleri,Shiatsu,Prana ifacl ve Kristallerle Tedavi,Aile ifa
Terapi,Kiara Windrider ile lahi Nur almalar ve Yng-Yang Masaj ald eitimlerden
bazlardr.
Kendisi u anda meditasyon ve yoga dnda eitimini tamamlad Transformal Nefes tekniinin Eitmeni ve Yaam Koudur.Yurt genelinde Transformal Nefes seminerleri organize
edip tantmlar yapmakta,bireysel ve grup nefes seanslar vermektedir.
Born in izmir in 1956. Had graduated Middle and High School from Izmir Ozel Turk Collage after married and got two kids.
In 1999 year met reiki and take her first step. Then attended most of seminars in domestic and abroad to improve herself.Some
of trainings had taken are Reiki Master, psychoanalysis , meiczedek Light Body Activation Training , Prana healing and Healing
with crystals, Family healing thrapy, Divine and Light with Kiara Windrider workshops.
Now trained except meditation and yoga her title is Trainer of Transformal Breathing and Life Coach. Semra organizes and promotes Transformal breathing seminars, across the country.
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TRANSFORMAL NEFES
Kendimizi Tantma
Transformal Nedir? Dier nefes tekniklerinden fark nedir?
Diyafram Hakknda bilgi
Transformal Nefesin 3 seviyesi
1. Seviye Fiziksel Seviye
2. Seviye Zihinsel & Duygusal Seviye
3. Seviye Spirtel Seviye
TRASFORMAL BREATH
Introduction
What is Transformal Breathing? What are the distinguishing factors from other breathing techniques?
Information about the diaphragm
3 levels of Transformal breathing
1st Level : Physical Level
2nd Level : Mental and Emotional Level
3rd Level : Spiritual Level
Relaxation breathing
Breathing exercises
Meditation
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Dr. Sercan Akyaln completed his dental and orthodontic training at the Ege University in Izmir, Turkey. He began his teaching
career as an assistant professor at the University of Manitoba in Canada in 2008. In 2009, he received the American Association
of Orthodontists full-time faculty fellowship, and University of Manitoba Excellence in Classroom Teaching awards while in
Canada. He joined the University of Texas at Houston School of Dentistry faculty in 2011 at the Department of Orthodontics. He
received the American Association of Orthodontists Academy of Academic Leadership Award in 2011 and successfully finished
the Institute for Teaching and Learning program in affiliation with ADEA. During his tenure at the University of Texas at Houston,
he also received two other significant awards from the American Association of Orthodontists Foundation: 2012 Eugene E. West
Memorial Fellowship and 2013 Biomedical Research Award. In 2014, the university appointed him to the W. Bonham Magness
DDS Endowed Professor position.
Dr. Akyaln serves actively on the editorial review board of American Journal of Orthodontics and Dentofacial Orthopedics, Angle
Orthodontist and many other prominent orthodontic and dental journals. In his career as an early investigator, he has published
more than 30 peer-reviewed papers, four chapters, and co-authored an orthodontic textbook. He has been honored as a keynote
speaker in many national and international meetings. His current motive in academics is to strive for excellence in both research
supervision and clinical training of graduate orthodontic residents.
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He was born in Istanbul in 1965. He has graduated from College of Dentistry at University of Istanbul in 1985. He has been seeing
patients for the last 28 years at his private dental office located in the district of Levent. He has voluntarily served as a columnist
at the Istanbul Chamber of Dentists and collected his writings in his book called Oralmoral.
He has spent his last four years as a stand up artist appearing at colleges , congresses , ceremonies and scientific symposiums
delivering stand up shows related to dentistry. Berlin, Germany was the first place for him to perform his show in English.
Serdar Sralar Dmd. whose hobies include - Aikido and playing Kanun which is a Turkish musical instrument - has a 14 yrs. old
daughter named Serra.
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He was born in the central Anatolian city Eskisehir, Serhat Kken graduated from Marmara
School of Dentistry ( Istanbul ) in 1998. Since 1991, he has been practicing general dentistry at his private clinic in Istanbul. Over
the years, Dr. Kken focused on direct composite resin applications and dental photography; and presented at national meetings
on both the technical and artistic aspects of anterior direct resin restorations. He has also given several local hands-on courses
on composite resin artistry. Serhat Kken is a co-founder of Instant Composite and Trquoise Study Club, and is an active member of the Turkish Academy of Esthetic Dentistry and Kalkedon Advanced Dental Study Group. He enjoys a family life with two
children.
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: Artvin 25.07.1952
: ngilizce
: Tp Farmakoloji ve Klinik Farmakoloji
: Marmara nversitesi Di Hekimlii Fakltesi
: Evli ve iki ocuk annesi ve Larann anneannesidir.
AKADEMK NVANLARI
n Lisans
: stanbul Kz Lisesi, 1970.
Lisans
: M.. Eczaclk Fakltesi, 1975
Doktora
: stanbul niversitesi , stanbul Tp Fakltesi, Farmakoloji ve Klinik
Farmakoloji Ana Bilim Dal, 1980.
Doentlik
: Marmara niversitesi, Di Hekimlii Fakltesi, Tp Farmakoloji ve
Klinik Farmakoloji, 1988.
Profesrlk
: Marmara niversitesi, Di Hekimlii Fakltesi,
Farmakoloji Bilim Dal, 1996.
niversite ve Sivil Toplum kurulularnda idari ve dier grevleri
1980-
: Marmara niversitesi, Di Hekimlii Fakltesi, Farmakoloji Bilim Dalnn Kurucusu ve Bakan
1982-1992
: Marmara niversitesi, Di Hekimlii Fakltesi, Yonetim Kurulu yesi.
1983-1988
: Marmara niversitesi, Salk Bilimleri Enstits kurucularndan ve Mdr Yardmcs.
1987-1990
: Marmara .Di Hekmlii Fak. Dergisi yayn kurulu yesi
1990-1995
: Uluslararas JOurnal of Marmara University Dental Faculty dergisinin yayn kurulu Bakan
1998-2001
: Temel Tp bilimleri Ana bilim Dal Bakan
1999-
: Oral Biology YL programnn kurucusu
1999-
: 5.snf Di hekimlii rencileri iin Psikodrama yntemiyle Rol-model simlasyonuna dayal farmakolji eitimi
1998-1999
: Klinik Eczaclk Dernei kurucu yesi.
1997-2009
: ADS Savam Dernei Ynetim kurulu yesi.
1999-2002
: Klinik Eczaclk Dernei ynetim kurulu yesi ve Dernek genel sekreter
1999-2000
: ANKEM (Antibiyotik-Kemoterapi) Dernei Ynetim Kurulu yesi
1999-
: Association of Basic Science Teachers in Dentistry (ABSTD) yesi
Yrtt/Katkda bulunduu Tezler:
Temel Tp Bilimleri Farmakolojide 8 yksek lisans ve doktora, Dihekimli Klinik Bilimlerinde 5 doktora.
Yrtt Ulusal ve Uluslararas Projeler:
Uluslaras olmak zere toplam 7 projenin bakanln yrtmtr.
Bilimsel Eserleri:
Biri Quintessence tarafndan yurt dnda yaynlanan dier ikisi Trkiyede yaynlanan ve iki bask yapan 3 adet kitab, 12 adet editr
olduu kurs kitab, ve 2 adet kitabn blm yazar olmak zere toplam 17 kitab ve 42 ulusal ve uluslararas yayn mevcuttur.
Katld ulusal ve uluslararas toplantlar:
Yaklak 112 bilimsel ulusal ve uluslararas toplantda tebli ve konferanslar mevcuttur.
Ulusal ve Uluslararas yaklak 25 toplantnn bilimsel organizasyonunda ve ikisinde kongre bakan olarak grev almtr.
Toplam 11 kez Aklc la kullanm ile ilgili ANKEM kongresi iinde kurs dzenlemitir.
94
: Artvin 25.07.1952
: ngilizce
: Pharmacology and Clinical Pharmacology in Medicine (Dentistry)
: Married, mother of dem and Erdem and grandmother of Lara.
ACADEMIC TITLES
Highschool
Graduation
Doktora
Associated Professor
Professor
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He was born in 01.04.1952 in Suludere village, Kiraz. He finished the primary and middle school in Kiraz. He went to highschool
in Odemis and Izmir.
He graduated from Hacettepe University, School of Dental Medicine in 1978. He completed his PhD program at Ege University,
School of Dental Medicine, Department of Periodontology in 1984. In 1988, he holded associate professor degree. Since 1995 he
is full-time professor at Ege University. He continues as a doctor who can do is less than cannot or could not.
He has 2 sons, their mother has died in 2009. In 2013, he is married again with their new mother.
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SUBGINGIVAL KRETAJ
1978 ylndan sonra periodontolojide tedavi olarak yaplmamaktadr. Biz 36 yldr yaplmayan tedavinin ismini hala kullanyoruz.
Periodontoloji kliniklerine bavuran hastalarn % 90 n sadece hastann plak kontrol, hekimin di yzeyi temizlii ve kk yzeyi
dzletirmesi ile tedavi olmaktadr. Gnmzde bu tedavi eklini baslang veya cerrahisiz periodontal tedavi olarak isimlendirilmektedir.
Balang tedavisi yaplmam hastaya di ekiminden baka hangi tedaviyi uygularsanz uygulayn sonuta di kaybyla sonulanacak ve baarsz olacaktr. Bu sunumda balang tedavisinin ortaya kmasn salayan temel bilimsel almalar 1954
den 1986 ylna kadar olanlar bir katogoride ksaca deerlendirilecektir.1986 dan sonrakiler ise bu tedaviye eklenen madde ve
yntemlerin baarszlklarn gsteren almalar olup ksaca anlatlacaktr.
Dieti hastalklarnda kk yzeyi dzletirmesi esnasnda ne gibi hatalar yaplmaktadr ve bunlarn nasl stesinden gelinecei
gsterilecektir. Ultra soniklerin baslang tedavisindeki katklar ve yetersizlikleri anlatlacaktr. Baslang tedavisi ne zaman
baarszdr bunlar belirtilecektir.
Sunuma katlan meslektalarn sunumda grdkleri eksikler onlarn katklaryla giderilecektir.
SUBGINGIVAL CURETTAGE
Subgingival curettage is not accepted as a treatment option after 1978. We are still pronouncing the name of a treatment, which
is not in use for 36 years.
The treatment of patients referred to the clinic can be achieved only by proper oral hygiene practices of the patients and scaling
and root planning performed by the clinician in over 90% of the cases. Today this treatment strategy is known as the non-surgical
periodontal treatment.
Any treatment performed to a patient, except extraction, without completing the non-surgical periodontal treatment will fail and
result tooth loss.
In this presentation, the studies that lead to the formation of initial periodontal treatment between 1954-1986 will be briefly
evaluated. The studies after 1986 demonstrate the failures of the methods added to non-surgical periodontal treatment,which
will also be mentioned in the lecture.
The most frequent faults made during the root planning and their solutions will be shown.
The advantages and disadvantages of the ultrasonic scalers in initial periodontal treatment will be explained.
The situations in which the initial periodontal treatment is unsuccessful will be discussed.
The shortcomings of the presentation will be accomplished by the contribution of the audience.
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Prof. Dr. Tamer ERDEM graduated from stanbul University, Dental Faculty in 1986. Next year
he began his postgraduate education at Department of Oral Diagnosis and Radiology in the same faculty and received his PhD
degree in 1993, and he was awarded as Associate Professor in 1996 and full Professor in 2006. In 2014, he was transferred to
Okan University Dental Faculty as Vice-Dean and Chief of Dentomaxillofacial Radiology Department.
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UMAY KARABECE
zmirde doan Umay Karabece, orta ve lise eitimini zmir zel Trk Kolejinde tamamladktan sonra Dokuz Eyll niversitesi dari Bilimler Fakltesi Ekonometri blmnden mezun
oldu. San Diego University Businesss Language programn almasnn ardndan eitli arac
kurum irketlerinde Yatrm Danmanl yapt.
Kiara Windriderla 2005 ylnda tanarak enerji konusuyla ilgilenmeye balad. Windriderdan
Deeksha ve lahi Nur enerjileri konusunda eitimler ald. Sonrasnda yurtii ve yurtdnda bu
konularla ilgili birok eitime katld.
Kendisini en derinden etkileyen yntem olan Transformal Nefes 2007 ylnda yaamna girdi.
Bu alandaki btn sreleri tamamlayarak Transformal Nefes Eitmeni nvanyla almalarn srdrd. Kuantum Dnce Teknii uygulayclk eitimini aldktan sonra nefes konusundaki almalarna bu teknii de ekledi.
Umay Karabece, Semra Bakiolu ile birlikte 2009 ylnda kurduklar Nefesle Hayat Merkezinde, Transformal Nefes Eitmeni ve
Kuantum Dnce Teknii Uygulaycs olarak grev ald. Halen merkezlerinde Nefes ve Kuantum almalarnn yan sra Kiisel Geliimle ilgili birok farkl yntemi dananlarnn gereksinimlerine gre uygulamay srdrmektedirler.
I was born in izmir at 08.08.1967. After i had finished Izmir Turk Collage, graduated from 9 Eylul University Econometrics department. Later i had completed San Diego University Business Language certificate programme. For a while had worked as
Investment Consultant.
In year 2005 ,i met with Kiara Windrider and got interested with energy works. From her i trained about Deeksha and Divine
Light energy. Afterwards i attended trainings about on this topic in domestic and abroad.In 2007 year Transformal Breathing was
came in my life and this was most deeply affected method in my workshops by that technique. Later i completed all trainings
and worked as trainer in this field.After i had experienced in Breathing topic, met with Quantum Thinking Technique which had
finished trained for using .
With Semra Bakioglu opened Transformal Breathing Center together in 2009, that i Work as Transformal Breathing trainer and
Quantum Thinking technique practitioner. In our center , Applying Breathing and Quantum workshops alongside Personal Development related various different procedures for peoples needs.
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TRANSFORMAL NEFES
Kendimizi Tantma
Transformal Nedir? Dier nefes tekniklerinden fark nedir?
Diyafram Hakknda bilgi
Transformal Nefesin 3 seviyesi
1. Seviye Fiziksel Seviye
2. Seviye Zihinsel & Duygusal Seviye
3. Seviye Spirtel Seviye
TRASFORMAL BREATH
Introduction
What is Transformal Breathing? What are the distinguishing factors from other breathing techniques?
Information about the diaphragm
3 levels of Transformal breathing
1st Level : Physical Level
2nd Level : Mental and Emotional Level
3rd Level : Spiritual Level
Relaxation breathing
Breathing exercises
Meditation
101
He was born in Istanbul in 1982, Yksel Yazcolu graduated from Yeditepe University of Dentistry Faculty (Istanbul) in 2007.
Same year, he started to Phd program in Yeditepe University Prosthetic Department and in 2014 he graduated from Phd program.
He has a private clinic in Istanbul. Since 2012 he has given hands-on courses about indirect or direct composite restorations,
Yksel Yazcolu is a co-founder of Instant Composite and Trquoise Study Club. He is married and has two children.
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Dr. Cehreli received his Dental Degree and Specialty Degree in Pediatric Dentistry from Hacettepe University. He has been teaching and practicing Pediatric Dentistry at Hacettepe since 1998. Dr. Cehreli has authored over 100 scientific articles, and serves as
a reviewer/board member/editor to many national and international journals. He is an active member of a number of professional
organizations including the International Association of Pediatric Dentistry, International Association of Dental Research and the
International Association of Dental Traumatology. Dr. Cehreli has received several national and international awards in research.
His academic interests include clinical research on restorative techniques and pulp therapy, biocompatibility, endodontics and
dental traumatology. Dr. Cehreli has a particular interest in Dental Trauma and is a fellow of the International Association of
Dental Traumatology.
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Prof. Dr. Zeynep Ergc graduated from Ege University Faculty of Dentistry in 1996. She received her PhD in 2002. She was
appointed as an Associate Professor in 2007 and as a Professor in 2013. She published studies in national and international
scientific journals and being the recipient of CED-IADR and VDDI Stipends, she took part in joint projects in Germany. Currently,
she is a Professor in Ege University, Faculty of Dentistry, Department of Restorative Dentistry. She speaks English and German.
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Prof. Dr. Agah ertu was born in zmir in 1948; he graduated from Ege University Faculty of Medicine in 1972. He started finished
his specialization in the Department of Anesthesiology and Reanimation in 1977, and he became an Assisstant Professor in 1982,
Associate Professor in April 22,1983. He took the title of University Professor. In 1988. Bertween 31 March-17 April 1988, he
performed anesthesia for 90 patients plastic and reconstructive surgery for Interplast Germany organization in Kenya, Nyeri.
He started working in Cardiac and Thoracic Surgery and Organ Transplantation Center in September 12, 1986 and he continued
his work here until May 30, 1991. He performed some investigations about Erzincan earthquake-related disasters, Disaster Medicine, First Aid with the collaboration of International Resuscitation Research Center, University of Pittsburgh, United States in
July, 1992. He was selected as the president of Turkish Anesthesiology and Reanimation Association Resuscitation Committee
in 1996. He performed some studies for the membership of European Resuscitation Council (ERC). Until 1998, he was the program coordinator for Ambulances and Emergency Care Technician Program in Ege University Atatrk Health Vocational School.
He was selected as a member of Excutive Committee European Resuscitation Council (ERC) in June 2000 and he carried out
this task until 2011. He established Resuscitation Association in June 2003, and he has been the Chairman of the Board of this
Association. He signed and agreement between Resuscitation Association and ERC. He was among the founding members of
the Clinical Enteral Parenteral Nutrition Association (KEPAN). He took part in the Education Commission for the KEPAN Basic
Training Courses in twelve cities. He joined the international course TNT (Total Nutritional Therapy) in Chicago with the Education
Committee members. The same course took place in Turkey and he served in the translation of the course book to Turkish. He
was the Chairman of the Board of Directors of KEPAN in the period 2001-2003. He is the member of Turkish Anesthesiology and
Reanimation Association (TARD). He is also in the editorial board of the Turkish Anesthesiology and Reanimation Association
Journal.
He was selected in the Executive Board of Turkish Anesthesiology and Reanimation Association between 2001 and 2009. He was
appointed as Vice President in 2006. He was appointed as a consultant by the Turkish Red Crescent Association Board for The
First and Immediate Relief Oganization and Training. He was selected as a Senator by the Ege University Faculty of Medicine
Board of Directors between 2002 and 2005. He has been serving as a the Ministry of Health, Emergency Health services, Scientific Advisory Board Member since 2004. In addition to his task in the Anesthesiology and Reanimation Department, he took
part in the Department of Medical Education between 1999 and 2006. He has been the Director of Ege University Atatrk Health
Vocational Schools since December 2008. He is the author of many articles published in international refereed journals and
national journals. He is also the author of many posters presentes in international congresses.. He also directed many Thesis
in the Faculty of Dentistry and Faculty of Medicine. He wrote chapters in 13 books within the scope of Anesthesia and Intensive
Care in our country. He is married and has two children.
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Assoc. Prof. Ilgn Akay graduated from Ege University School of Dentistry in 2001 and began her doctorate education in Endodontics Department of the same faculty. She received her PhD degree from Health Science Institution of Ege University with
doctorate thesis of Evaluating the Effect of Different Irrigation Solutions on Root Canal Dentine with SEM and Microhardness
Tests in 2007. She received the title of Assistant Prof. in 2013, and Associate Prof. in 2014. She is a member of Turkish Endodontic Society and European Society of Endodontology. She is currently continuing her clinical and academic career in Department
of Endodontics at Ege University School of Dentistry.
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JOHAN K. APS
Di hekimlii derecesi-1993 Ghent niversitesi, Belika
Yksek lisans derecesi- 1997 Pediatrik Dihekimlii ve zel Bakm,
Ghent niversitesi, Belika
Doktora derecesi- 2002 Sistik fibrosis ve az sal parametreleri,
Ghent niversitesi, Belika
Yksek lisans derecesi- 2008 Dental ve maksillofasiyel radyoloji,
Londra niversitesi, Birleik Krallk
u anki meslei: Washington niversitesi, Di hekimlii Okulu, Oral Tp Anabilim Dal, Oral
ve massillofasiyel radyoloji blm bakan, Klinik Doenti
eitli hakemli dergilerin Editr, e-editr ve hakemidir. Bilimsel toplantlarda sunum zetleri ve posterleri, eitli bilimsel
makaleleri, kitaplarda blm yazardr. Be bilimsel dle sahiptir. zel ilgi alanlar, anatomi, az ve ene radyolojisi, sialografi
ve di hekimliinde intraossz lokal anestezidir.
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Hekimlik Deneyimi
2000-2014 Serbest Dihekimlii (kurucusu olduu istanbul az ve di poliklinii)
2006-2014 Lazer Eitmenlii
Dernek yelikleri
EDAD ( Estetik Dihekimlii Akademisi Dernei)
SOLA ( Society of Oral Laser Application)
WCLI ( World Clinical Laser Institude)
TURSOLA ( Turkish Society of Oral Laser Application)
Kiisel Bilgiler
1976 stanbul doumlu 2 ocuk babas
Graduation
1995-2000 Marmara niversitesi Dihekimlii Fakltesi
Professional experience
2000-2014 stanbul Dental Clinic (Owner and founder )
2006-2014 Laser Educator
Association membership
EDAD ( Estetik Dihekimlii Akademisi Dernei)
SOLA ( Society of Oral Laser Application)
WCLI ( World Clinical Laser Institude)
TURSOLA ( Turkish Society of Oral Laser Application)
Personal information
Born in stanbul in1976. He has two child
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Murat Trkn was born in zmir in 1965. He graduated from the Faculty of Dentistry, Ege University in 1987. He completed his PhD
thesis entitled Calcium hydroxide and sodium hypochlorite as the irrigation materials in 1994. Later on, he acquired his associate professor degree in Endodontics in 1998. Dr. Trkn has been working as a professor in Department of Restorative Dentistry
and also serves at the board of Izmir Chamber of Dentists as a vise-president. He is editor of Journal of Ege University School
of Dentistry. He has also been working in continuous postgraduate education commission in zmir Chambers of Dentists since
2003. Aside from having over 100 articles about restorative dentistry and endodontics published in international and national
journals, he has performed many oral and poster presentations in various national and international congresses, and continues
to give lectures and hand-on courses about various topics in restorative dentistry.
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He got his primary school education in Bornova Yavuz Selim Primary School zmir. He was graduated from the middle school of
Saint Joseph in zmir. After graduating from the zmir Atatrk High School, he entered Aegean University Faculty of Dentistry in
1982. He was graduated from the Dental Faculty in 1987. He attented the Phd programme in Aegean University Faculty of Dentistry Pedodontics Department in 1988. He got his Phd with the defence of doctorate thesis in September 1994 on the topic of
A Comparative Sudy About the IV Applications of Propofol and Ketamine as General Anaesthesia Agents in Pedodontics Cases.
He earned his degree of associate prfessor in 2000 and professor in 2006. He had been a member of the Faculty Commission of
the Aegean University Dental Faculty in 2004. He had been accountant of the Turkish Association of Pedodontics-zmir Branch
between 2006-20012. He had been the council member of the Turkish Society of Pediatric Dentistry and the Chairman of the
the zmir branch of the same society between 2012 and 2014. He had been the head of the Department of Pediatric Dentistry of
Aegean University Dental Faculty between 2011 and 2014. He is a stil a professor of the same department. He is married and
father of a daughter.
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Dr. Trk received her dental degree from the Faculty of Dentistry of the Ege University in 2004. In 2009, she received his PhD
degree from Health Science Institution of Ege University with doctorate thesis of Chemical and microbiological evaluation of
chlorhexidine release from chlorhexidine treated dentin.
She is currently employed as Assistant Professor at Department of Endodontology, Faculty of Dentistry, University of Ege. She
is a member of Faculty board. Her research interests are scanning electron microscopy, endodontic materials, stem cells and
retreatment. She serves as an editor for the journal Dentistry and Medical Research
She is currently a member of the European Society of Endodontology and Turkish Endodontic Society
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Dr. Dt. Vesile Nket BERK was worn at1954. Shed graduated from Konya Maarif Koleji at 1969, from Ankara Science High School
at 1972 . Shed graduated from Hacettepe University Dental Faculty at 1978. Shed received her Phd. degree in Orthodontics at
the Orthodontics department of the same school. She resigned from the university and worked as a private orthodontist at her
private clinic at1983-2005,. At 1995 shed gathered a a multi disciplinary clinic Denta Form . Shes still working at Denta Form
located at Mahatma Gandhi Cad. 34 G.O.P. Ankara as the founder, as an Orthodontist, as a cosmetic dentist and as a laser dentist.
Shes married and has one child. Her daughter Gizem Berk works with her as a laser dentist as well. Dr. Dt. Vesile Nket BERK
bought the first laser at 2004 . Now they have 2 soft tissue and 2 hard tissue lasers in their clinic. Shed her first laser training
from SOLA Academy at Vienna.
Contact: nberk@dentaform.com.tr
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POSTER ZETLERI
POSTER ABSTRACTS
P01
KLORHEKSDN VE SETRMD EREN FUJ IXDAN SALINAN FLOR MKTARININ DEERLENDRLMES
Bilge Glsm Nur1, Tamer Tzner2, Bar Kemer3
1
Karadeniz Teknik niversitesi, Di Hekimlii Fakltesi, Pedodonti Anabilim Dal, Trabzon, Trkiye
AMA: Birok ocukta yetersiz oral hijyen alkanlklar ve genel salk problemleri nedeniyle di rkleri hala byk bir
problem olarak ortaya kmaktadr. zellikle Atravmatik Restoratif Tedavilerde sklkla kullanlan cam iyonomer simanlarn(CS)
antibakteriyel(AB) zelliklerinin flor salm kapasiteleri ve sertleme reaksiyonu esnasnda oluan dk pHya bal olarak
meydana geldii bilinmektedir. Ancak bu etkinin zaman ierisinde azald ve kaybolduu bildirilmektedir. Antibakteriyel zellie
sahip katyonik dezenfektanlar CSlarn tozuna, likidine yada dzenleyicisine katlarak, simann AB etkinlii arttrlmakta ve uzun
sreli AB etki oluturulmaktadr. Bu almadaki ama Klorheksidin ve Setrimid gibi katyonik dezenfektanlar CSn tozuna veya
likidine katarak simandan salnan flor miktarndaki deiimi deerlendirmektir.
YNTEM: Bu almada, kontrol grubu olarak geleneksel CS olan Fuji IX kullanld. Deney gruplar ise Fuji IXun tozunda veya
likidinde %1 veya %5 orannda Klorheksidin veya Setrimid ieren materyallerinin toz formlar ile oluturuldu. Her bir grup iin
3er adet disk elde edildi (2 mm derinlik, 5 mm ap). erisinde 5 ml distile su (ph~7) ieren rnekler 37Cde 24 saat bekletildi.
Flor lmleri oda scaklndaki iyonometre ile gerekletirildi.
BULGULAR: Aa kan kmlatif flor konsantrasyonu miktar 1, 7, 15, 21 ve 30. gnlerde yukardaki prosedrlerin tekrarlanmas
ile deerlendirildi. statistiksel analiz Kruskal Wallis testi ve oklu karlatrma iin kullanlan Mann-Whitney U ve Bonferroni
testi ile gerekletirildi ve (p0.01).
SONU: Aratrmamz sonucunda, Fuji IXun yapsna ilave edilen katyonik dezenfektanlarn simann flor salm zelliini
olumsuz etkilemedii grld.
Anahtar Kelimeler: Flor salm, katyonik dezenfektanlar, Fuji IX
EVALUATION THE AMOUNT OF FLUORIDE RELEASED CHLORHEXIDINE AND CETRIMIDE CONTAINING FUJI IX
Bilge Gulsum Nur1, Tamer Tuzuner2, Bars Kemer3
1
AIM: Dental caries is still a big health problem due to insufficient oral hygiene habits and general health problems. It is known
that antibacterial properties of GICs used especially in atraumatic restorative treatments occurs due to fluoride release capacity
and low pH occurring during hardening reaction, and this effect reduces and vanishes with time. The aim of this study was to
evaluate the release of fluoride when cationic disinfectans such as Chlorhexidine and Cetrimide added to the powder or liquid of
the GICs with the idea of improving antibacterial effectiveness and increase the duration of antibacterial effect.
METHOD: Material and methods: Fuji IX as a conventional glass ionomer cement was used as control group. The powder of
either CHX or CT were added to the powder or liquid of the Fuji IX at concentrations of 1 and 5% and selected as experimental
groups. Three disk shaped specimens were prepared for each group (2mm depth, 10 mm diameter). Samples were stored in
5ml distilled water (ph~7) at 37C for 24 hours. The potential measurements were carried out at room temperature with an
ionometer.
RESULTS: The cumulative fluoride concentrations were evaluated at 1, 7, 15, and 30 days by renewing batch procedure. Statistical
data analysis was performed with Kruskall-Wallis, Mann Whitney U tests and Bonferroni tests at a significance level of p0.01).
CONCLUSION: It was observed in this study that cationic disinfectants didnt affect the fluoride releasing properties of the
cement added to Fuji IX.
Key Words : Cationic disinfectant, Fuji IX, Fluoride release
120
P02
TRK TOPLUMUNDA KRONOLOJK YA LE NC AZI D GELM ARASINDAK LK
Bilge Glsm Nur1, Mustafa Altunsoy1, zlem Akkemik2, Evren Ok3, Mehmet Sinan Evcil4
1
AMA: Son yllarda Trk genleri arasnda adli vakalarda byk art olduu grlmektedir. Gnmze kadar, Bat Anadolu
blgesinde yaayan Trk ocuklar ve erginlerinin nc daimi az dii mineralizasyonu ile kronolojik ya tahmini almasnn
yaplmad grlmektedir. Bu almann amac alt ene daimi nc az diinin geliimini Demirjian ve arkadalarnn
gelitirdii sekiz basamaktan oluan(A-H) yntem ile deerlendirmek ve nc az dii geliimini cinsiyet ve yaa gre daha
nce gerekletirilmi dier almalarla kyaslamaktr.
YNTEM: Bu alma Bat Anadolu blgesinde yaayan, yalar 7 ile 22 arasnda deien 1120 Trk kkenli [406 erkek(ortalama ya
15.173.80) ve 714 kz(ortalama ya 16.833.59)] ocuk ve genlerin dijital panoramik filmleri esas alnarak gerekletirilmitir.
BULGULAR: Trk poplasyonunda hem kzlar hem de erkekler ortalama 20 ya civarnda H basamana ulamaktadr. Bat
Anadolu blgesinde yaayan Trk genlerinin dier blgelerde yaayan Trk genlerine kyasla dental mineralizasyonun D-G
basaman daha ge tamamlad, ama H basaman daha erken tamamlad grlmektedir.
SONU: Kronolojik ya bilinmeyen bireylerde nc az dii mineralizasyonu ile gerekletirilen ya tahmini ve ortalama ya
hesaplanmas gvenilir bir ekilde kullanlabilir.
Anahtar Kelimeler: nc az dii, Kronolojik ya, Ya tahmini, Demirjian yntemi
Izmir Educational Dental Hospital, Oral and Maxillofacial Radiology, Izmir, Turkey
AIM: A great increase in criminal cases involving Turkish juveniles has been observed in recent years. To date, there has been no
chronological age estimation according to third-molar mineralization in Western Anatolia Turkish children and adolescents. The
aim of this study was to investigate the mandibular third molar development according to eight stages(AH) method of Demirjian
et al. and to compare third-molar development by sex and age with results of previous studies.
METHOD: This study includes 1120 Turkish children[406 males (mean age 15.173.80) and 714 females(mean age 16.833.59)]
from the Western Anatolia region aged 7 to 22 years based on radiological evidence from digital orthopantomograms.
RESULTS: Turkish population reached stage H at a mean age of 20 years both males and females. The dental mineralization
age of Western Anatolia Turkish youngsters were delayed at stages DG, but advanced at stage H compared with other Turkish
youngsters.
CONCLUSION: Third molar root mineralization can be reliably used to generate mean age and the estimated age range for an
individual of unknown chronological age.
Key Words: Age estimation,Chronological age, Demirjian method,Third molar teeth
121
P03
L ANTBYOTK PAT LE KAPLI PROTAPERN ENTEROCOCCUS FAECALISE KARIN ETKNLNN DEERLENDRLMES
Bilge Glsm Nur1, Uur Trkan2 , Evren Ok3 , Figen Kazak4, Arzu Duran5, Mustafa Altunsoy1, Halil brahim Atabay5
1
AMA: Kk geliimi tamamlanmam daimi dilerin kanal tedavileri kk ularnn ak olmasndan dolay zor olmaktadr.
Kk geliimini tamamlamam enfekte daimi dilerin tedavisinde gnmze kadar birok tedavi yaklamlar uygulanmasna
ramen, en uygun tedavi prosedr ile ilgili kesin bir yaklam olmad grlmektedir. Son dnemlerde, rejeneratif kanal
tedavi uygulamalarnda dezenfeksiyonu salamak amac ile l antibiyotik pat kullanlmaktadr. Ancak bu almalarda l
antibiyotik patlar belirli konsantrasyon gz nne alnmadan kullanlmaktadr. Bu almann amac dk konsantrasyonda
l antibiyotik pat ile ykl ipek fibrin/hyaluronik asit kompleks polyelectrrolyte filmi ile kapl protaperin revasklarizasyon
tedavisinde etkinliini deerlendirmektir.
YNTEM: Protaper zerine kaplanmas iin l antibiyotik pat sv karm ipek fibrin hyaluronik asite eklendi. Rastgele seilen
rnekler drt gruba ayrld. Kanallar sras ile sadece rotary aleti, l antibiyotik pat kapl rotary aleti, tedavi uygulanmayan
pozitif kontrol grubu ve negatif kontrol grubu olarak hazrland ve hazrlanan rnekler 1mL sv besi yeri ieren epandorf tplere
yerletirildi. Kk kanallar Enterococcus faecalis ile kontamine edildi ve 21 gn beklenildi.
BULGULAR: l antibiyotik patn MIC deeri her bir antibiyotik iin 25.8 g /mL (toplam karm 77.5 g/mL) olarak hesapland.
Taramal elektron mikroskobu ile yaplan deerlendirmede protaperin tamamna yaknnn ipek fibrin/hyaluronik asit ile
kapland grld. Her iki deney grubunda gruplar ierisinde kanal ekillendirmenin balangcnda ve sonunda istatistiksel
farkllk olduu bulguland(p.05). En fazla bakteriyel azalma kanal ykama solsyonlar ile saland.
SONU: Revasklarizasyon tedavi yaklam kk kanallarnn olgunlamasna olanak salarken, ayn zamanda dentin pulpasnda
kk hcrelerinde canlln korumaldr. Bu almann sonucunda, antibiyotik pat kullanm revasklarizasyon tedavisinde
gerekli olmayabilecei ngrlmektedir.
Anahtar Kelimeler: Protaper, Revasklarizasyon, l antibiyotik pat
THE PERFORMANCE OF TRIPLE ANTIBIOTIC PASTE COATED PROTAPER AGAINST ENTEROCOCCUS FAECALIS
Bilge Gulsum Nur1, Uur Trkan2 , Evren Ok3 , Figen Kazak4, Arzu Duran5, Mustafa Altunsoy1, Halil brahim Atabay5
1
AIM: The endodontic management of immature teeth is challenging due to the open apex. To date, many treatment protocols
used, whereas there are no evidence based guidelines to support a protocol that provides the most suitable outcome in the
treatment of infected immature teeth. Recently, triple antibiotic pastes(TAP) are used for disinfection in regenerative endodontic
procedures. However; specific concentration of the TAP were not considered. The aim of study was to evaluate effectiveness
of lower concentrations of TAP loaded silk fibroin/hyaluronic acid complex film coated to protaper on the revascularization
treatment.
METHOD: Triple antibiotic mixed solution was added to the silk fibroin hyaluronic acid to coat the protaper. The specimens were
then randomly divided into four groups. Canals were prepared only rotary instruments, coated with TAP, positive control group
received no treatment and negative control group samples were placed into the tubes containing 1 mL of brain heart infusion
broth medium, respectively. The root canals were contaminated with Enterococcus faecalis and then left for 21 days.
RESULTS: The MIC values of TAP were calculated and found to be 25.8g/mL for each antibiotic (77.5g/mL of mixture) against
E.faecalis. Scanning electron microscopy examination showed that the protataper was nearly fully coated with silk fibroin/
hyaluronic acid. A statistically significant difference was found before and after the instrumentation for both groups(p.05). The
greatest bacterial reduction was promoted by the irrigation solutions.
CONCLUSION: Revascularization treatment procedure must preserve the vitality of the dental pulp stem cells, which results
in completion of root canal maturation. As a result of this study, use of triple antibiotic paste may not be necessary in
revascularization treatment.
Key Words: Protaper, Revascularization, Triple antibiotic paste
122
P04
FARKLI POST SSTEMNN KK KIRIINA OLAN ETKSNN KARILATIRILMASI
Evren OK1, Erhan Dilber2, Mustafa Altunsoy3, Abdussamed Kalkan1, Necla Demir4
1
AMA: Bu in vitro almann amac, farkl sistemlerle ve simanlarla simante edilen farkl post sisteminin vertikal kk
krna etkisini karlatrmaktr.
YNTEM: Bu almada tek kkl ve tek kanall 75 adet st ene kanin dileri kullanld. Kronlar mine sement snrndan
uzaklatrldktan sonra kk kanallar Reciproc R50 eelerle (VDW GmbH, Munich, Germany) geniletildi. Kanal dolumu
ncesinde smear tabakas % 17 EDTA, % 5,25 NaOCl ve distile su kullanlarak uzaklatrld. Kk kanallar lateral kompaksiyon
teknii ile epoksi rezin ierikli kanal pat ve gta-perka kullanlarak dolduruldu. rnekler 37 C and %100 nemli ortamda 1 hafta
bekletildi ve daha sonra fiber post frezleri ile post boluklar hazrland. Di kkleri uygulanacak simanlara ve post sistemlerine
gre 5 gruba ayrld: negatif kontrol, pozitif kontrol, cam fiber post [Unicore (Ultradent, Salt Lake City UT, ABD)]+ kompozit
rezin kor [Grandio SO (Voco GmbH, Cuxhave, Almanya)], cam fiber post [Unicore]+ Rebilda post-kor sistemi, bireysel dkm
post-kor. Universal test cihaznda dilerin uzun aksna 135 a ile kuvvet krk gerekleene kadar uyguland. Veriler tek ynl
varyans analizi ve Tukey post hoc testi ile analiz edildi.
BULGULAR: Gruplar arasnda anlaml fark vard. Tukey oklu karlatrma testi sonucuna gre dkm post-kor (1949.35+316
N), Unicore+ Rebilda post-kor sistemi (1722.48+144.0 N) dndaki dier gruplardan istatiksel olarak daha yksek krlma
direnci gsterdi.
SONU: Kanal tedavisi yaplan kanin dilerinde dkm post-kor sistemlerine alternatif olarak fiber post-kor sistemleri, krlma
dayanmn arttrmtr. Dkm post-kor ile restore edilen dilerde tamir edilemeyen katastrofik krklar grlrken, fiber postkor ile restore edilen dilerde kompozit rezin kor ile kk ara yzeylerinden ayrlmalar grlmtr.
Anahtar Kelimeler: Dkm post-kor, fiber post-kor, kk kr, self adeziv rezin siman, vertical kk kr
AIM: The aim of this in vitro study was to compare the effect of three different post systems cemented with different systems
on root fracture.
METHOD: Seventy-five extracted human maxillary canines with single and straight roots were used in this study. After the
crowns were removed, root canals were prepared with Reciproc R50 files. Smear layer of roots were removed using 17% EDTA
followed by 5.25% NaOCl and distilled water. All the root canals were filled with cold lateral compaction technique using AH
Plus root canal sealer and gutta-percha. Samples were stored at 37C and 100% humidity for 1 week and then post space was
prepared using fiber post drills. The roots were then randomly divided into five groups according to the luting cements and post
systems: negative control, positive control, glass fiber post [Unicore (Ultradent, Salt Lake City UT, USA)] + composite core
[Grandio SO (Voco GmbH, Cuxhave, Germany)], glass fiber post [Unicore] + Rebilda post-core system, individual cast post
core. A load was applied on the crowns of all teeth at 135 to their long axis until fracture occurred. Data were analyzed using
one-way analysis of variance (ANOVA) and post-hoc Tukey tests.
RESULTS: There was statistically significant difference between the groups. According to the post-hoc Tukey test, cast post core
(1949.35 + 316 N) showed statistically significantly higher fracture resistance than all the groups except Unicore + Rebilda
post-core systems (1722.48 + 144.0 N).
CONCLUSION: Fiber post core system which is an alternative to cast post core systems increased the fracture resistance
of the canines with root canal treatment. While irrepairable catastrophic fractures might be seen in cast post-core systems,
separations between composite resin core, and root interfaces might be seen in teeth restored with fiber post-core systems.
Key Words: Cast post-core, Fiber post-core, Root fracture, Self-adhesive resin cement, Vertical root fracture
123
P05
PROROOT MTA, BIODENTINE VE BIOAGGREGATEIN KK DENTNE PUSH-OUT BALANMA DAYANIMLARI
brahim Ersoy1, Evren Ok1, Huseyin Erta2, Gkhan Saygl2
1
zmir Katip elebi niversitesi, Di Hekimlii Fakltesi, Endodonti Anabilim Dal, zmir
AMA: Bu in vitro almann amac, ProRoot MTA, Biodentine ve BioAggregaten kk dentine push-out balanma dayanmlarn
karlatrmaktr.
YNTEM: Bu almada tek kkl ve tek kanall 20 adet alt ene daimi premolar dileri kullanld. Kronlar mine sement
snrndan uzaklatrldktan sonra kk kanallar Reciproc R50 eelerle (VDW GmbH, Munich, Almanya) geniletildi. Daha sonra
kk kanallarna 1,3 mm apnda standart kaviteler oluturmak amacyla post frezlari (Exacto, Angelus, Londrina, PR, Brezilya)
ile prererasyon yapld. Smear tabakas % 17 EDTA, % 5,25 NaOCl ve distile su kullanlarak uzaklatrld. Kklerin orta lleri,
su soutmal elmas testere kullanlarak, kesme makinesinde (Isomet, Buhler, Lake Bluff, NY, ABD) dilerin uzun eksenlerine
dik olacak ekilde 1.00 0.05 mm kalnlnda seri kesitlere ayrld (20 x 3 = 60). Daha sonra rnekler rastgele gruba ayrld
(n = 20). Standardize kesitler beyaz ProRoot MTA (Dentsply/Tulsa Dental, Tulsa, OK, ABD), Biodentine (Septodent, Saint-Maurdes-Fosses Cedex, Fransa) ve BioAggragate (DiaRoot, Diadent, Burnaby, Kanada) siman ile Plugger kullanlarak dolduruldu.
rnekler 37 C and %100 nemli ortamda 1 hafta bekletildi. Push-out balanma dayanmlar niversal test cihaz (Instron,
Norwood, ABD) kullanlarak lld. Push-out testi sonras krlma modlar 25x bytmeli k mikroskobu altnda incelendi.
Veriler tek ynl varyans analizi (ANOVA) ve post hoc Tukey testi ile analiz edildi.
BULGULAR: Gruplar arasnda anlaml fark vard (p
SONU: ProRoot MTA ve Biodentinen Push-out balanma dayanm BioAggregatetan daha yksektir.
Anahtar Kelimeler: MTA, Biodentine, BioAggregate, Push-out balanma dayanm, Kalsiyum silikat bazl simanlar.
PUSH-OUT BOND STRENGTH OF PROROOT MTA, BIODENTINE AND BIOAGGREGATE TO ROOT DENTIN
brahim ERSOY1, Evren OK1, Huseyin Erta2, Gkhan Saygl2
1
AIM: The aim of this in vitro study was to compare the push-out bond strength of ProRoot MTA, Biodentine and BioAggregate
to root dentin.
METHOD: In the present study, twenty extracted mandibular permanent premolar teeth with single and straight roots were used.
After the crowns were removed, root canals were prepared with Reciproc R50 files. Then the roots were prepared with post drills
(Exacto, Angelus, Londrina, PR, Brazil) to obtain 1.3-mm diameter standardized cavities. Smear layer of roots were removed
using 17% EDTA followed by 5.25% NaOCl and distilled water. The middle third of the roots were sectioned perpendicular to
the long axis into 1.00 0.05 mm thick serial slices (20 root x 3 slice = 60 specimen) using a water-cooled diamond blade on a
cutting machine (Isomet, Buhler, Lake Bluff, NY, USA). The specimens were then randomly divided into three groups (n = 20). The
standardized root slices were filled using plugger with white ProRoot MTA (Dentsply/Tulsa Dental, Tulsa, OK, USA), Biodentine
(Septodent, Saint-Maur-des-Fosses Cedex, France) and BioAggragate (DiaRoot, Diadent, Burnaby, Canada). The samples were
stored at 37C and 100% humidity for 1 week. The push-out bond strengths were measured with using a universal testing
machine (Instron, Norwood, USA). The samples were then evaluated under a light microscope at 25x magnification to determine
the failure modes. The data were analyzed using one-way analysis of variance (ANOVA) and post hoc Tukey tests.
RESULTS: There was a statistically significant difference between the groups. The mean push-out bond strength value of the
ProRoot MTA and Biodentine groups was higher than the BioAggregate. There was no significant difference between ProRoot
MTA and Biodentine.
CONCLUSION: ProRoot MTA and Biodentine had higher push-out bond strength than BioAggregate.
Key Words: MTA, Biodentine, BioAggregate, Push-out bond strength, Calcium silicate based cements.
124
P06
KK KANAL MEDKAMENTLERNN KK KIRIINA OLAN ETKS
Evren OK1, brahim Ersoy1, Mustafa Altunsoy2 , Abdussamed Kalkan1
1
AMA: Bu in vitro almann amac, kk kanal medikamenti olarak kullanlan Ledermix pasta and Kalsiyum Hidroksitin
(Ca(OH)2) kk krna olan etkisini karlatrmaktr.
YNTEM: Bu almada tek kkl ve tek kanall 60 adet alt ene kk az dileri kullanld. Kronlar mine sement snrndan
uzaklatrldktan sonra kk kanallar Reciproc R50 eelerle geniletildi. Smear tabakas % 17 EDTA, % 5,25 NaOCl ve distile su
kullanlarak uzaklatrld. Kullanlan medicament tipine gre kk kanallar drt gruba (n = 15) ayrld: Ledermix pasta, Ca(OH)2,
negatif kontrol (Kk kanallarna preperasyon yapld fakat doldurulmad), pozitif control (Kk kanallr AH plus ve guta-perka
ile dolduruldu). rnekler 37 C and %100 nemli ortamda 3 hafta bekletildi. Daha sonra kklerin apical 4 milimetrelik ksm
akrilik rezin bloklara gmld. Universal test cihaznda kkn uzun aksna dik gelecek ekilde kuvvet krk gerekleene kadar
uyguland. Veriler tek ynl varyans analizi ve Tukey oklu karlatrma testi ile analiz edildi.
BULGULAR: Gruplar arasnda anlaml fark vard. Tukey oklu karlatrma testi sonucuna gre Ca(OH)2, negatif control
grubundan daha fazla krlma direnci gsterdi (p<0.05).
SONU: Kk kanal medikamenti olarak kullanlan Ca(OH)2 ve Ledermix Pasta alt ene premolar dilerin krlma direncini
artrmtr.
Anahtar Kelimeler: Kalsiyum Hidroksit, Ledermix Pasta, Kk kr, Vertikal kk kr
AIM: The aim of this in vitro study was to compare the effect of Ledermix paste and Calcium hydroxide Ca(OH)2) on root fracture.
METHOD: Sixty extracted human mandibular premolars with single and straight roots were used in this study. After the crowns
were removed, the root canals were prepared with Reciproc R50 files. Smear layer of roots were removed using 17% EDTA
followed by 5.25% NaOCl and distilled water. The roots were then randomly divided into four groups (n = 15) according to the
medicaments used: Ledermix paste, Ca(OH)2, negative control (The root canal prepared but not filled), and positive control
(Filled with AH Plus and gutta-percha). Samples were stored at 37C and 100% humidity for 3 week. Then the apical ends of the
roots were embedded vertically in 4 mm of the acrylic resin. A load was applied on the roots of all teeth to their long axis until
fracture occurred. Data were analyzed using one-way analysis of variance (ANOVA) and post-hoc Tukey tests.
RESULTS There was statistically significant difference between the groups. According to the post-hoc Tukey test, Ca(OH)2
showed statistically significantly higher fracture resistance than negative control group (p<0.05).
CONCLUSION: Ca(OH)2 and Ledermix Paste increased the fracture resistance of mandibular premolars.
Key Words: Calcium hydroxide, Ledermix Paste, Root fracture, Vertical root fracture
125
P07
KIRIK D SENDROMU VE AYIRICI TEHSNDE KONK IINLI BLGSAYARLI TOMOGRAFNN ROL: OLGU SUNUMU
Cneyt Asm Aral1, Evren Ok2
1
AMA: Dental pratikte sklkla karlalan Krk di sendromu, oluturduu iddetli ar semptomlarn gidermek amacyla hzl
tehis ve tedavi yaklam gerektiren bir problemdir. Bu olgu sunumunda; tehisi ve tedavisi gecikmi bir vaka sunulmaktadr.
YNTEM: Herhangi bir salk problemi olmayan 40 yandaki bir erkek hasta kliniimize bavurdu. zellikle ineme esnasnda,
ayrca scak ve souk yiyecekler srasnda sa st dilerinde elektrik arpmas tarznda arlar hisseden hastamz, ikyetlerinin
bir seneden beri olduu fakat tehis konulamadn belirtti. Hastamzn intraoral muayenesinde; dilerde generalize atrizyon,
abrazyon ve dieti ekilmesi bulgularna rastland.
SONU: Gzle muayene, transillminasyon ve boyama yntemleriyle maksiller 1. ve 2. premolarlar ve 1. molar dilerin palatinal
yzeylerinde atlaklar izlendi. Konik nl bilgisayarl tomografi incelemesinde maksiller 2. premolar dite grlen atlan
pulpaya ulat izlendi. Isrtma testinde hassasiyet gzlenen ve hiperemik olan maksiller 2. premolar die kanal tedavisi
uyguland. Kontrol seanslarnda hastamzn ikyetlerinin tamamen kaybolduu gzlendi. atlaklarn etyolojisinde rol oynayan
bruksizmin tedavisi iin koruyucu plak uygulamas nerildi ve tbbi konsltasyon yapld.
Anahtar Kelimeler: Krk di sendromu, Konik Inl Bilgisayarl Tomografi, Dentin hassasiyeti, Bruksizm
CRACKED TOOTH SYNDROME AND THE ROLE OF CONE-BEAM COMPUTED TOMOGRAPHY IN THE DIFFERENTIAL DIAGNOSIS:
A CASE REPORT
Cneyt Asm Aral1, Evren Ok2
1
AIM: Cracked tooth syndrome, which is frequently encountered in dental practice, is a problem that requires rapid diagnosis
and treatment in order to eliminate the symptoms of severe pain. In this report; a case of delayed diagnosis and treatment is
presented.
METHOD: A 40-year-old male patient who had no health problem referred to our clinic. The patient, who was feeling an electric
shock-like pain in the right upper teeth especially during chewing, and also during eating cold and hot foods, noted that his
complaints couldnt be diagnosed over a year. In intraoral examination; generalized attrition and abrasion, and gingival recessions
of the teeth was detected.
CONCLUSION: Cracks were observed on the palatal surface of maxillary first and second premolar, and first molar teeth,
through visual inspection, transillumination, and staining methods. Examination of the Cone-beam Computed Tomography
revealed that the crack of the maxillary fist premolar tooth reached the pulp. Root canal treatment was performed to the
maxillary fist premolar tooth which had hyperemia and sensitivity to bite test. In the control sessions, it was observed that the
complaints of the patient disappeared completely. Usage of a mouth guard was recommended and a medical consultation was
given for the treatment of bruxism which played a role in the etiology.
Key Words: Cracked tooth syndrome, Cone-beam Computed Tomography, Dentine sensitivity, Bruxism
126
P08
TRAVMA GERM ST 1. KK AZI DNDE GELEN VERTKAL KK KIRIININ SUPER BOND LE TEDAVS
Evren Ok1, M. Selim Yavuz2, Cneyt Asm Aral3
1
AMA: Travma sonucu meydana gelen kk krklar hastada ar, fonksiyon kayb ve estetik sorunlarn yan sra hastada psikolojik
sorunlara da yol aabilmektedir. zellikle kkte vertikal krk gerekletiinde ekim yaplmadan krk paralarn yaptrlarak
diin tek seansta tekrar fonksiyon ve estetiine kavuturulmas, periodontal dokularnn salnn devam ve hastann orijinal
kontur ve renkteki kendi diinin kullanlmas gibi avantajlar sebebiyle tercih edilebilmektedir.
YNTEM: Bu vaka raporunda st ene 1. Kk az diinde vertikal kron-kk kr ile kliniimize gelen hastann tedavisi
anlatlmaktadr. lk etapta diin kk kanal tedavisi yapld, krk paralar fiber post [Unicore (Ultradent, Salt Lake City UT,
ABD)], sperbond adeziv rezin siman (Sun Medical, iga, Japonya) ile yaptrld. Daha sonra kasti reimplantasyon tedavisi iin
di ekildi. ekim sonunda diin kknde hem bukkal hem de lingualini iine alan vertikal kk kr olduu saptand. Krk hatt,
piezzoelektrik ihaz ile temizlendikten sonra krk hatt tekrar sperbond ile yaptrld ve hastann dii re-implante edildi. Diin
3, 6 ve 12 aylk takibinde az iinde fonksiyonunu srdrd, periodontal olarak salkl olduu tespit edildi.
SONU: Kron ve kk krklarnn tedavisinde doru tehis ve uygun tedavi yntemleri ile kayda deer iyileme salanabilmektedir.
Her ya grubu bireylerde estetik ve konforu n planda tutup hasta memnuniyetini salamak nem arz etmektedir.
Anahtar Kelimeler: Dental travma, kron-kk kr, fiber post, superbond, kasti re-implantasyon.
TREATMENT OF VERTICALLY FRACTURED MAXILLARY FIRST PREMOLAR TOOTH WITH SUPER BOND
Evren OK1, M. Selim Yavuz2, Cneyt Asm Aral3
1
ifa University, School of Dentistry, Department of Oral and Maxillofacial Surgery, zmir
AIM: Root fractures caused by trauma may cause pain, loss of function and aesthetic problems as well as psychological problems
to the patients. It could be preferred due to its advantages such as regaining aesthetics and function without extraction when
vertical fracture occurs in the root by bonding the fragments to the tooth, maintenance of periodontal tissues and patients
original contour and using a tooth with his/her own tooth color.
METHOD: The treatment of a patient referred to our clinic with a vertical crown-root fracture in his first maxillary premolar
tooth was described in this case report. Firstly, root canal treatment was performed, fragments were attached with fiber post
[Unicore (Ultradent, Salt Lake City UT, USA)] using suberbond adhesive cement (Sun Medical, Shiga, Japan). Then the tooth
was extracted for intentional replantation. It was observed that both lingual and buccal part of the root was included in the
vertical fracture line after the extraction. After the fracture line was cleaned with piezoelectric machine, the fractured parts
were reattached with super bond and the tooth was reimplanted. It was observed that the tooth maintained function in 3, 6 and
12 months and periodontal health remained.
CONCLUSION: Considerable relief can be achieved with the appropriate diagnosis and treatment methods in crown root
fractures. It is of high importance to provide estetics and comfort with patient content in every age group.
Key Words: Dental trauma; crown-root fracture; fiber post; super bond; intentional replantation.
127
P09
KRONK BBREK YETMEZL OLAN OCUKLARIN ORAL VE DENTAL BULGULARININ DEERLENDRLMES
Ceren Yldrm1, zlem Mart Akgn1, Feridun Baak1, Cengiz Zeybek2, Faysal Gk2
1
AMA: Kronik bbrek yetmezlii (KBY) olarak ta bilinen kronik bbrek hastal (KBH), bbrek fonksiyonunda meydana gelen
progresif kaypla karakterizedir. Ktleen bbrek fonksiyonun belirtileri genel olarak non-spesifik olmakla birlikte genel bir
krgnlk ve itah azalmas grlebilir. Bu almann amac kronik bbrek hastas ocuklarn oral ve dental bulgularnn ayn
yataki salkl ocuklarla karlatrlmasdr.
YNTEM: KBY tans ile takip edilen 15 hastann az di muayenesi Glhane Askeri Tp Akademisi ocuk Di Hekimlii Anabilim
Dalnda yapld. Gingival indeks (GI), plak indeksi (PI), kanama indeksi (BOP), DMFT ve dmft deerleri normal hasta grubuyla
karlatrld. statistiksel analizler ve hesaplamalar iin SPSS for Win Ver. 15.0 kullanld.
SONU: almamzn sonular daha nce yetikinlerde yaplan almalarn sonular ile benzerlik gstermektedir. KBY
grubunda PI , GI ve BOP deerlerinin yksek olmasnn sebebinin KBY hastalarnda immn cevabn basklanmas olduunu
dnmekteyiz.
Anahtar Kelimeler: Kronik Bbrek Yetmezlii
THE EVALUATION OF ORAL AND DENTAL FINDINGS OF CHILDREN WITH CHRONIC KIDNEY DISEASE
Ceren Yldrm1, zlem Mart Akgn1, Feridun Baak1, Cengiz Zeybek2, Faysal Gk2
1
AIM: Chronic kidney disease (CKD), also known as chronic renal disease (CRD), is a progressive loss in renal function. The
symptoms of worsening kidney function are non-specific, and might include feeling generally unwell and experiencing a
reduced appetite. The purpose of this study is to compare the oral and dental findings of children with chronic kidney disease
with healthy children of the same age.
METHOD: Dental examinations were applied to 15 patients with CKD in GATA Pediatric Dentistry Department. The gingival
index (GI), plaque index (PI), bleeding on probing (BOP), dmft and DMFT values were recorded. For the statistical analysis and
calculations SPSS for Win was used.
CONCLUSION: The results of our study are similar to the results of the studies in adults. We think that as a result of the
suppression of the immune response in patients with CRF, the PI, GI and BOP values are highly in CRF group.
Key Words: Chronic kidney disease
128
P10
SPERNMERE D OLAN HASHMOTO TRODL HASTANIN TEDAVS
Ceren Yldrm1, zlem Mart Akgn1, Feridun Baak1
1
AMA: Hashimoto tiroidi vcudun kendi koruma sisteminin tiroid hcrelerine saldrd bir baklk sistemi hastaldr.
Kadnlarda grlme skl erkeklerden kat kat fazladr (10:1 ila 20:1). CTLA4 gen polimorfizmi ile genetik yatknlk grlr.
Spernmere diler di arknda normalde olmas gereken 20 st ve 32 kalc diten fazla olarak meydana diler olarak
tanmlanabilir. Bu vaka raporunda daimi premolar diin srmesine engel spernmere dii olan Hashimoto tiroidli 13 yandaki
kz hastann tedavisinin sunulmas amalanmtr.
YNTEM: 13 yandaki kz hasta daimi alt premolar diinde srme gecikmesi ikayetiyle kliniimize bavurdu. Radyografik
muayenede alt ene arknda daimi birinci premolar diin srmesine engel olan supernmere di tespit edildi. Hasta az, di
ve ene cerrahisi kliniine sevk edildi.
BULGULAR: Birinci st az ve spernmere di ekildi ve hasta bir pedodontist ve ortodontist tarafndan her alt ayda bir
kontrole arld.
SONU: Spernmere dilerin klinik komplikasyonlar arasnda daimi dilerde srme gecikmesi, kk anomalileri, kist oluumu,
diestema, rotasyonlar ve pulpa nekrozu ile birlikte vitalite kayb saylabilir. Spernumere dilerin tandan hemen sonra cerrahi
olarak karlmas bu komplikasyonlarn gen hastalarda oluma olasl drmektedir.
Anahtar Kelimeler: Spernumere Di, Hashimoto Tiroidi
AIM Hashimotos thyroiditis is an autoimmune disease in which the thyroid gland is attacked by a variety of cell- and antibodymediated immune processes. The incidence is much bigger in women than males (10: 1 to 20: 1). CTLA4 gene polymorphism
and genetic predisposition is seen. Supernumerary teeth may be defined as any teeth in excess of the usual configuration of
20 primary and 32 permanent teeth. This case report assessed to present the treatment of delayed eruption of permanent
premolar due to unerupted supernumerary tooth in a 13-year-old girl with Hashimotos thyroiditis.
METHOD: An 13-year-old female patient presented to our clinic complaining of delayed eruption of permanent mandibular
premolar tooth. Radiographic examination showed there was a supernumerary tooth which located on the mandibular arch.
Patient canalized to oral and maxillofacial surgery clinic.
RESULTS: Supernumerary tooth and primary first molar tooth were extracted and the patient was examined by pediatric dentist
and orthodontist every six months.
CONCLUSION: The clinical complications of supernumeraries include lack of eruption of teeth, root anomaly, cyst formation,
diastema, rotations, and pulp necrosis with loss of vitality. These complications are less likely to occur younger patients because
of immediate surgical removal after diagnosis.
Key Words: Supernumerary Tooth, Hashimotos Thyroiditis
129
P11
OCUK HASTADA DENTO-ALVEOLER YARALANMALARIN KIBT LE TEHS VE TEDAVS: OLGU SUNUMU
Gke Garip1, Bilge Glsm Nur1, Muhammed Selim Yavuz2, Osman Sami Alarc3
1
ifa niversitesi, Di Hekimlii Fakltesi, Az Di ve ene Cerrahisi Anabilim Dal, zmir, Trkiye
ifa niversitesi, Di Hekimlii Fakltesi, Oral Diagnoz ve Radyoloji Anabilim Dal, zmir, Trkiye
AMA: Dento-alveoler travmaya maruz kalm pediatrik hastann; boyutlu grntleme tekniklerinden Konik Inl Bilgisayarl
Tomografi kullanlarak, tehis ve tedavi planlanmasnn yrtlmesi amalanmtr.
YNTEM: St dentisyonu ilgilendiren dentoalveoler yaralanmalar, zellikle okul ncesi a ocuklarnda sk rastladmz
bir durumdur. Bu yaralanmalar sonucu dentoalveolar yaplarda meydana gelen deiimlerin geleneksel yntemlerle tehisi
ou zaman g olabilmektedir. Dento-alveolar yaralanmalarn tehisinde periapikal ve panoromik radyografilerden sklkla
yararlanlmaktadr. Bununla birlikte son dnemlerde kullanlan boyutlu grntleme yntemi ile di ve evre dokulardaki
anatomik oluumlar ve meydana gelen yapsal deiiklikler daha ayrntl olarak tespit edilmektedir. Bu olgu sunumunda 3
yanda erkek ocuk hastann geirdii kaza nedeni ile st ene n blgede grlen travmatik yaralanma Konik Inl Bilgisayarl
Tomografi (KIBT) kullanlarak deerlendirilmitir. Yaplan az ii ve radyografik muayene sonucunda travmay takiben; sa
lateral kesicide intrzyon, sa santral kesicide protrziv lksasyon, sol lateral kesici, sol kanin ve sa kaninde avulsiyon
gzlenmitir. Ayrca travmann etkisiyle st dudakta laserasyon tespit edilmitir. Tedavi protokol olarak dudaktaki yara blgesi
temizlendikten sonra stur atlarak yara kenarlar bir araya getirilmitir. Lateral kesicinin cerrahi olarak repoze edilmesinin
ardndan; santral kesicilerle splintlenmitir.
BULGULAR: Bir ay sonra diler zerindeki splint karlmtr. Klinik inceleme sonucu dilerde mobilite, gingival enflamasyon
veya koronal renklenme tespit edilmemitir.
SONU: ocuklarda grlen komplike travmatik yaralanmalarda, Konik Inl Bilgisayarl Tomografilerden faydalanlabilir.
Anahtar Kelimeler: Avlsiyon, Konik Inl Bilgisayarl Tomografi, Travma, Radyografi
Sifa University, School of Dentistry, Department of Oral and Maxillofacial Surgery, Izmir, Turkey
Sifa University, School of Dentistry, Department of Oral and Maxillofacial Radiology, Izmir, Turkey
AIM: It was aimed to diagnose and manage treatment planning with using Cone Beam Computed tomography (CBCT) of a patient
who suffered a dentoalveolar injury.
METHOD Dento-alvelar injury to the primary dentition is a common occurrence in young preschoolers. In general, alterations in
the dentoalveolar structures following trauma can not be diagnosed easily with conventional radiological procedures. Periapical
and panoramic radiographs are usually used in diagnosis of dentoalvelar injuries. However; with a three-dimensional imaging
method recently used; anatomical structures of the teeth, surrounding tissues and structural alterations can be determined in
a more detailed fashion. In this case report, a three year-old boy who suffered an injury in the maxillary arch was evaluated using
Cone Beam Computed tomography (CBCT). As a result of oral and radiographic examination following trauma; intrusion of right
lateral incisor, protrusive luxasion of right central incisor, avulsion of the left lateral incisor, left canine and right canine were
observed. Additionally the intraoral clinical examination showed laceration of the upper lip. During treatment; the laceration was
cleaned and sutures were placed. The lateral incisor was surgically repositioned with forceps, then splinted with central incisors
by flowable composite.
RESULTS: After 1 month check-up, splints on the teeths were removed. Mobility, gingival inflammation and coronal discoloration
were not observed during clinical examination.
CONCLUSION: Complicated traumatic injuries seen in children can be benefited from the Cone Beam Computed Tomography.
Key Words: Cone-Beam Computed Tomography, Trauma, Avulsion, Radiography
130
P12
N AIK KAPANIIN SABT TEKNKLE ORTODONTK TEDAVS: OLGU SUNUMU
Hakan Da1, Mehmet Kaplan1, Serkan Grgl1, Pnar Kutlu1
1
AMA: n dilerinin kapanmamas ikayetiyle kliniimize bavuran 16 yandaki erkek hastann sabit teknik ile yaplan
ortodontik tedavisini sunmaktr.
YNTEM: Az ii muayenesinde 1. Molarlarda angle snf III kapan ve n blgede ak kapan gzlendi. Yutkunma srasnda
dil itimi olduu grld. Seviyeleme sonras kullanlan intermaksiller elastik ile n ak kapan giderildi. Tedavi 23 ay srd.
Pekitirme iin sabit retainer kullanld. Tedavi ncesi ve sonras sefalometrik filmleri karlatrldnda sonularn daha ok
dentoalveoler olduu grld.
SONU: n ak kapan giderilerek overjet ve overbite ilikisi salanm, daha estetik bir glmseme izgisi de elde edilmitir.
Anahtar Kelimeler: Anterior, Open bite, Sabit teknik
ORTHODONTIC TREATMENT OF ANTERIOR OPEN BITE WITH FIXED APPLIANCES: CASE REPORT
Hakan Da1, Mehmet Kaplan1, Serkan Grgl1, Pnar Kutlu1
1
AIM: This case reports the treatment of 16 year old male patient with the complaint of anterior open bite by using fixed
orthodontic appliances.
METHOD: During the intraoral examination angle class III maloclusion and anterior open bite diagnosed. Also tongue thrust
during swallowing was detected. By using intermaxiller elastics after levelling anterior openbite treated. The patient was given
correct swallowing education. The treatment longed for 23 months. Fixed retrainer was used for retainment. The sephalometric
analysis of pre and post treatment was compared it was seen that the outcomes were mostly dentoalveolar.
CONCLUSION: By the treatment of anterior open bite over jet and over bite obtained and more estetical smiling line achieved.
Key Words: Anterior, Fixed appliances, Open bite
131
P13
ST ENEDE NADR GRLEN ARTI ST D OLGUSU
Ceren Yldrm1, zlem Mart Akgn1, Feridun Baak1
1
AMA: Art diler genetik veya evresel faktrlere bal olarak meydana geldii dnlen enelerde grlen geliimsel bir
bozukluktur. Erkeklerde kzlara gre 2:1 orannda daha fazla rastlanmaktadr. Daimi dilenme dneminde sk, st dilenme
dneminde ise nadiren grlmektedir. Bu vaka raporunda st ene keser diler blgesinde art dii olan 6 yandaki erkek
hastann sunulmas amalanmtr.
YNTEM: 6 yandaki erkek hasta st st keserler blgesindeki estetik problem sebebiyle ailesiyle birlikte kliniimize bavurdu.
Radyografik muayenede st ene arknda st birinci keser di ve st kanin di arasnda art di tespit edildi.
BULGULAR: Hasta az, di ve ene cerrahisi kliniine sevk edildi, art di ekildi.
SONU: Art dilerin etiyolojisi ile ilgili atavistik teori, dikotom teorisi, dental lamina teorisi gibi birka teori ne srlmtr
ancak etiyolojisi halen tam anlamyla belirlenememitir. Art diler kistlere, malokluzyona ve komu dilerin rezorpsiyonuna yol
aabilmektedir. St dilerinde nadir olarak grlmektedir. Tedavisi genellikle ekimdir.
Anahtar Kelimeler: st ene, Art di, St dii
AIM: Supernumerary teeth are developmental disturbance seems to be caused by genetic or environmental factors. Boys are
twice as much affected than girls with a ratio of 2: 1. Supernumerary teeth are frequently seen in the permanent dentition but
they are rare in the primary dentition. This case report assessed to present a 6-year-old boy with supernumerary tooth between
maxillary incisor teeth.
METHOD: An 6-year-old male patient presented to our clinic with his parents complaining of esthetic problem in primary
maxillary incisor teeth. Radiographic examination showed there was a supernumerary tooth which located on the maxillary arch
between the teeth of 51 and 53.
RESULTS: Patient canalized to oral and maxillofacial surgery clinic and supernumerary tooth was extracted.
CONCLUSION: Several theories such as the atavistic theory, the dichotomy theory, dental lamina theory suggested to explain the
unified etiologic explanation of supernumerary teeth but an exact etiology is still obscure. Supernumerary teeth can cause cysts,
malocclusion, resorption of the adjacent teeth. They are rare in the primary dentition. Generally the treatment of mesiodens is
extraction.
Key Words: Supernumerary tooth, Maxillar arch, Primary teeth
132
P14
PERAPKAL LEZYONLU MMATR PREMOLAR DN PLAZMADAN ZENGN FBRN LE TEDAVS
Ceren Yldrm1, zlem Mart Akgn1
1
AMA: Bu vaka raporunda periapikal lezyonlu immatr premolar diin plazmadan zengin fibrin (PZF) ile tedavisinin sunulmas
amalanmtr.
YNTEM: 13 yanda kz hasta sol alt diinin dolgusunun dmesi ikayeti ile kliniimize bavurdu. Yaplan az ii muayenesinde
35 nolu diine 1 sene nce kanal tedavisine baland fakat hastann tedavisine devam etmedii tespit edildi. Yaplan rafyografik
muayenede kk ucunda lezyon ve rezorpsiyon tespit edildi. Kanal ii NaOCl ile irrige edildi ve kanala siprofloksasin, metronidazol
ve tetrasiklin ieren l antibiyotik pat yerletirildi. 15 gnde bir kanal ii medikaman deitirildi ve 1 ay sonra kanal iine PZF
uguland. zeri MTA ile szdrmaz biimde kapatld. Di kompozit rezin ile restore edildi.
BULGULAR: 6 ay sonraki kontrol seansnda periapikal lezyonun iyiletii tespit edildi.
SONU: PZF ilk olarak Fransada Choukroun ve ark. tarafndan kullanlmtr. eriinde sitokinler, trombositler, lkositler,
fibrin, trombosit kkenli byme faktr (PDGF), inslin benzeri byme faktr (IGF), vaskler endotelyal byme faktr
(VEGF), transforme edici byme faktr - (TGF-) gibi byme faktrleri ve IL-1, IL-4, IL-6 ve tumor nekroz faktr-
(TNF-) bulunmaktadr. almamzn sonular, PZF ile immatr daimi dilerin tedavilerinde ksa srede baarl sonular elde
edilebileceini gstermitir.
Anahtar Kelimeler: Plazmadan Zengin Fibrin, mmatr Di, Periapikal Lezyon
TREATMENT OF IMMATURE PREMOLAR TOOTH WITH PERIAPICAL LESION USING PLATELET RICH FIBRIN
Ceren Yldrm1, zlem Mart Akgn1
1
AIM: This study describes the treatment of immature premolar tooth with periapical lesion, that was treated with platelet rich
fibrin (PRF).
METHOD A 13-year-old female patient referred to our clinic complaining of losing her dental filling. On intraoral examination
it was determined that the root canal treatment was started to her left mandibular premolar tooth one year ago and the
patient did not continue the treatment. Radiographic examination revealed there was a periapical lesion and resorption. The
root canals of the tooth disinfected with 2.5% NaOCl, and then medicated with triple antibiotic paste comprised of ciprofloxacin,
metronidazole, and tetracycline. This aster was changed every 15 days and one month later PRF was placed into the root canal.
PRF hermetically closed by the Mineral Trioxide Aggregate (MTA) and the tooth was restored with composite resin.
RESULTS: Six months after PRF treatment, radiographical examination revealed resolution of the radiolucency.
CONCLUSION: Platelet-rich fibrin was first described by Choukroun et al. in France. PRF contains cell components like platelets
and neutrophils, fibrin, Platelet-derived growth factor (PDGF), Insulin-like growth factor (IGF), Vascular endothelial growth factor
(VEGF),Transforming growth factor- (TGF-), cytokines such as; IL-1, IL-4, IL-6 and tumor necrosis factor- (TNF-). The
results of our study suggest that PRF is a very effective preparation for use in the treatment of immature teeth with peripical
lesion.
Key Words: Platelet Rich Fibrin, Periapical Lesion, Immature Tooth
133
P15
OLGUNLAMAMI DLERDE MTA, CEM VE BODENTNN APKAL SIZINTIYA ETKS
Bilge Glsm Nur1, Evren Ok2, Mustafa Altunsoy1, Mehmet Tanrver1, Abdssamed Kalkan2
1
AMA: Nekroze pulpal gen daimi dilerde kk kanal sisteminin geni ve kk ucuna doru genileyerek sonlanmas nedeni
ile apikal ve lateral ynde szdrmaz bir ekilde doldurulmas olduka zordur. Bu nedenle apeksifikasyon tedavilerinde apikal
tka olarak kullanlacak materyalin apikal rtclk zellii nem kazanmaktadr. almamzda hazrlanan simule immatr
dilerde MTA, CEM ve Biodentine materyallerinin apikal rtclk zelliklerinin in vitro koullarda karlatrlmas amaland.
YNTEM: almada 40 adet insan st orta kesici dii kullanld. Kklerin apikalinde kalan fazla kk ksm su soutmal elmas
diskler kullanlarak uzaklatrld ve 12 mm uzunluunda standart kkler elde edildi. Kklere immatr di kk simlasyonu
yaplmas amacyla kk kanallar ProTaper dner aletler ile F5 eesine kadar ekillendirildi. Hazrlanan rnekler 3 alma
grubu (n=10), bir pozitif kontrol grubu (n=5) ve bir negatif kontrol grubu (n=5) olmak zere toplam 5 gruba ayrld. alma
grubunda MTA, Biodentine ve CEM immatr dilerin apikal 3 mmlik ksmna plugger yardm ile yerletirildi. Tm rnekler 37C
etvde % 2lik metilen mavisi boya solsyonu ierisinde 24 saat boyunca bekletildi.
BULGULAR: Kontrol gruplar ve deney gruplar arasnda istatistiksel olarak anlaml bir fark olduu gzlendi (p<0,009).
SONU: Biodentine, MTAya alternatif olarak deerlendirilebilir. Ancak Biodentine materyalinin in vivo koullardaki etkinliini
deerlendiren klinik almalara gereksinim duyulmaktadr.
Anahtar Kelimeler: Apeksifikasyon, Dental sznt, Kk kanal dolgu materyalleri
AIM: It is a tough challenge to apically and laterally fill the canals withouht leakage in necrotized young permanent teeth since
the root canal system is wide and ends in blunderbuss type at the apical. Therefore, the apical sealing ability of the material to
be used as a plug gains importance in apexification treatments. It was aimed to compare the Apical sealing ability of MTA, CEM
and Biodentine in simulated immature teeth in vitro.
METHOD Forty human upper central incisors were used in this study. Standardized 12 mm roots were obtained by removing
the most apical part under water cooling with diamond disks. In order to perform the immature tooth root simulation, root
canals were prepared with ProTaper rotary instruments until F5 files. The prepared specimens were seperated into 5 groups as
3 experimental (n=10), one positive (n=5) and one negative control group (n=5). MTA, Biodentine and CEM were applied in the the
most apical 3 mm of immature teeth in the experimental groups with a plugger. All the specimens were soaked in 37C incubator
inside methylene blue for 24 hours.
RESULTS: It was observed that statistically significant difference existed between control and experimental groups (p<0.009).
CONCLUSION: Biodentine can be considered as an alternative to MTA. However, clinical studies evaluating the efficiency of
Biodentine in vivo are required.
Key Words: Apexification, Dental leakage, Root canal filling materials
134
P16
OCUKLARDA DEMR EKSKL ANEMS LE D R ARASINDAK LKNN DEERLENDRLMES
Bilge Glsm Nur1, Mehmet Tanrver1, Mustafa Altunsoy1, Tennur Atabay2
1
AMA: iddetli erken ocukluk rklerinin(-ECC) kk ocuklar etkiledii ve Dnya genelinde byk bir halk sal
problemi olduu bilinmektedir. Bununla birlikte -ECCin ocuklarda yetersiz beslenmeye etkileri hakknda ok az ey
bilinmektedir. Demir eksiklii anemisi (DEA) uzun dnem yetersiz beslenme nedeni ile olumaktadr. Bu ariv almasnn
amac DEA ile -ECC arasndaki ilikiyi aratrmaktr.
YNTEM: Bu alma, kaydedilen verilerin retrospektif deerlendirmesine dayanmaktadr. ki bin on iki ile 2014 yllar arasnda
yalar iki ile yedi arasnda deien -ECC sahip ocuklarn genel anestezi altnda di tedavisi gerekletirildi. almada ya
ortalamas 5.031.33 ya olan toplam 160 ocuk deerlendirildi. Hastalara genel anestezi uygulanmadan nce kan deerleri
deerlendirildi.
BULGULAR: rk dilerin ortalama ve standart sapmas 10.214.17 ve dmft skoru 10.15dir. Bu almadaki ocuklarn
tamam -ECC olarak tanmland. Ki-kare analizi sonucunda yalar 2-5 ya arasnda deien ocuklarn yaklak %20sinde ve
yalar 5-11 arasnda deien ocuklarn %16,5inde demir eksiklii anemisi grld.
SONU: almamz sonucunda demir eksiklii anemisinde risk faktrlerinden birinin -ECC olabildii, ancak aralarnda
nedensel bir iliki kurulamad ngrlmektedir. zellikle kk ocuklarda demir eksiklii anemisinin yan etkilerinden
kanmak iin, pediatristler ve di hekimleri -ECC bulunan ocuklarda hem az hijyenini hem de beslenme durumunu
iyiletirmek iin birlikte tedavi etmelilerdir.
Anahtar Kelimeler: Di r, Demir eksiklii anemisi, ocuklarda beslenme bozukluu, St dileri
RELATIONSHIP BETWEEN DENTAL CARIES AND IRON DEFICIENCY ANEMIA IN CHILDREN WITH
SEVERE EARLY CHILDHOOD CARIES
Bilge Glsm Nur1, Mehmet Tanrver1, Mustafa Altunsoy1, Tennur Atabay2
1
AIM: Severe early childhood caries(S-ECC) is known to affect the young children in worldwide.However, there is little known
about the effects of S-ECC on childhood malnutrition.Iron deficiency anaemia(IDA) is caused by malnutrition in a long period of
time.The aim of this retrospective study was to investigate the association between IDA and S-ECC.
METHOD: Children aged two to seven years with S-ECC were treated under dental general anaesthesia between 2012-2014.A
total of 160 children were evaluated;mean age was 5.031.33 years. Before performing general anesthesia, blood samples were
assessed:1)Hemoglobin;2)Hematocrit;3)Mean corpuscular volume;4)Red blood cell count;5)Mean corpuscular hemoglobin;6)
Mean corpuscular hemoglobin concentration;7)Red Cell Distribution Width.
RESULTS: The mean and standard deviation of decayed teeth were 10.214.17 and dmft score was 10.15.The children in this
study were defined to have S-ECC. Approximately,20% of the children with an age range from 24-59 months and 16.5% of them
from 5-11 years were diagnosed with IDA.
CONCLUSION: It is envisaged that one of the risk factors for IDA may be S-ECC, but it cannot establish a causal relationship.
To avoid side effect of IDA and dental caries, particularly in young children, pediatricians and pediatric dentists should provide
treatment to improve both the oral hygiene and the nutritional status of children with S-ECC.
Key Words: Dental Decay, Iron-Deficiency Anemia, Malnutrition in Children, Primary Teeth
135
P17
ELLS-VAN CREVELD SENDROMU: BR OLGU SUNUMU
Gkhan zkan1, Ali Topta1
Adnan Menderes niversitesi, Di Hekimlii Fakltesi, Az, Di ve ene Radyolojisi A.D., Aydn, Trkiye
AMA: Bu almann amac, Ellis-van Creveld sendromunun iskeletsel ve dental bulgular hakknda bilgi vermektir
OLGU TANIMLAMASI: Bu vaka sunumunda Ellis-van Creveld sendromlu 16 yandaki bir erkek hastann iskeletsel ve dental
bulgular deerlendirildi.
GERE VE YNTEM: Hastaln ayrc tanlar ve gncel tedavi yaklamlar tartld.
BULGULAR: Ellisvan Creveld Sendromu, nadir grlen ve otozomal resesif gei gsteren bir hastalktr.
HASTALIIN GENEL BULGULARI; ksa kol ve bacaklar, ksa kaburgalar ve buna bal kk gs kafesi sebebiyle solunum
problemleri, fazladan el ve ayak parmaklar, displazik trnaklar, ektodermal displazi ve konjenital kalp defektleridir. Az
bulgular ise; malokluzyon, hipodonti, oligodonti, displazik diler, di eti bymesi, labiogingival frenulum bymesi ve aksesuar
labiogingival frenulumdur.
SONU: Ellis-van Creveld sendromu nadir grlen bir hastalktr ve hekimler hastaln klinik ve radyografik bulgularn
tanmaldr.
Anahtar Kelimeler: Kondroektodermal displazi, Ellis-van Creveld, otozomal resesif hastalk
136
P18
BFD MANDBULAR KONDL VE GRNTLEME TEKNKLER: BR OLGU SUNUMU VE LTERATR TARAMASI
Gkhan zkan1, Ali Topta1
Adnan Menderes niversitesi, Di Hekimlii Fakltesi, Az, Di ve ene Radyolojisi A.D., Aydn, Trkiye
AMA: Bu almann amac; bifid mandibular kondil ve grntleme yntemleri hakknda bilgi vermektir.
GERE VE YNTEM : Hastann klinik bulgular ve radyograflar deerlendirilmi ve literatr taramas yaplmtr.
OLGU TANIMLANMASI :Kliniimize bavuran hastada rutin muayene srasnda bifid mandibular kondil tespit edilmitir.
BULGULAR : Bifid mandibular condyle (BMC), toplumda olduka az gzlenen etiyolojisi tam olarak bilinmeyen bir anomalidir.
Nadir gzlemlenen bir anomali olmasna ramen bilgisayarl tomografi (CT),cone beam bilgisayarl tomografi (CBCT) ve manyetik
rezonans grntleme (MRI) gibi gelien grntleme teknikleri sayesinde saptanma says artmtr.
SONU :Bifid kondil, klinik semptomu sk olmad iin rutin radyolojik muayene srasnda tesadfen saptanr. Etiyolojik
faktrleri tam olarak bilinmese de geliimsel anomali, travma ve temporomandibular eklem ankilozu sonucu aa kt
dnlmektedir. Hekimler eklem problemlerini gzden karmamak iin radyograflar dikkatli deerlendirmelidir.
Anahtar kelimeler : Bifid mandibular kondil, ankiloz, konik nl bilgisayarl tomografi
BIFID MANDIBULAR CONDYLE AND IMAGING TECHNIQUES: A CASE REPORT AND REVIEW OF THE LITERATURE
Gkhan zkan1, Ali Topta1
Adnan Menderes University, Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, Aydin, Turkey.
AIM : The purpose of this study is; to give information about bifid mandibular condyle and its imaging techniques.
METHODS : The radiographs of the patient were evaluated and the literature was reviewed.
CASE DESCRIPTION: In routine clinical examination, a bifid mandibular condyle was detected in a patient who applied to our
clinic.
RESULTS: Bifid mandibular condyle (BMC) is a rare detected anomaly in society that ethiology of its not known exactly. Despite
being infrequent, with the developing scanning techniques as; computered tomography (CT), cone beam computered tomography
(CBCT) and magnetic resonance imaging (MRI), the number of detection is increased.
CONCLUSION: Because of insufficient clinical symptoms, it finds out in routine radiographic examinations by coincidence.
Although uncertain ethiology, its thought that BMC occurs as developmental anomaly, by trauma and with temporomandibular
joint ankylosis. Physicians should carefully evaluate the radiographs not to miss out temporomandibular joint problems.
Key Words : Bifid mandibular condyle, ankylosis, cone beam computed tomography
137
P19
SERVKAL BLGE KRON-KK KIRIKLARINDA MULTDSPLNER TEDAV YAKLAIMI: OLGU SUNUMU
Seda Falakalolu1, zkan Adgzel1, Gkhan zdemir2, Nurullah Dger3
1
Dicle nivesitesi, Dihekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, Diyarbakr, Trkiye
AMA: Kk krklar transvers veya oblik, tek ya da ok paral, tamamlanm veya tamamlanmam olabilir.n grup dilerde
oluan,kron ve kk yzeyini diagonal olarak kesen kron kk krklar chisel tipi krk olarak adlandrlr.Bunlar kron krna
benzer.Ancak kk de ierdiinden daha komplikedir.Bu almann amac chisel tipi kra sahip olan dilerin multidisipliner
yaklamla tedavisidir.
YNTEM: 25 yandaki hasta st ene santral dilerine gelen travma sonucu oluan kron-kk kr sebebiyle Dicle niversitesi,
Di Hekimlii Fakltesi,Endodonti Anabilim Dal kliniine bavurdu.Klinik ve radyografik deerlendirme sonucu chisel tipi krk
tespit edildi.Lokal anestezi altnda krk para kartld ve temizlenerek distile suda bekletildi. Soketin ierisinde salam kalan
kk ksmnn kanal tedavileri tamamland.Kanal giri kaviteleri alp alma boyu uzunluu K tipi ee (#15) ile belirlendi.
ekillendirme reciproc dner ee sistemi ile yapld. rrigasyon iin %2,5 NaOCl ve %17lik EDTA uyguland. Kk kanal steril
kat konlar ile kurutuldu.Kanal tedavisi gutta-percha ve sealapex kullanlarak basit tek kon teknii ile bitirildi. Krk sebebiyle
palatinalde oluan granlasyon dokusunu temizlemek iin flep kaldrld.Post boluu hazrlanarak fiber post uyguland.Krk
para dual cure kompozit rezin simanla yaptrld.
BULGULAR: Cerrahi uygulanan blgede komplikasyonsuz iyileme gzlendi.6.ayda yaplan klinik ve radyografik deerlendirmede
herhangi bir patolojiye rastlanmad.
SONU: Servikal blge kron-kk krklarnn tedavisi komplike ve zaman alcdr.Bu olgu sunumunda multidisipliner alma
sonucu krk parann yerine yaptrlmas ile diin estetik olarak rehabilitasyonu ve hasta memnuniyeti salanmtr.
Anahtar Kelimeler: Fiber post, Kanal Tedavisi, Kron-Kk Krklar,
AIM: Root fractures transverse or oblique, single or multi-piece, completed or may be incomplete.Front group formed on the
teeth, crowns and root as the root crowns that cut the surface of diagonal fractures chisel type is referred to as broken.These
are crowns similar to fracture.However, the root is more complicated because it contains.The aim of this study was to chisel type
is caused by a multidisciplinary approach of the teeth with treatment.
METHOD: Patient is twenty five years old as a result of the trauma to the teeth crown-root fracture due to the Dicle University,
Faculty of dentistry, Endodontics Department was admitted to the clinic. Clinical and radiographic evaluation result chisel-type
fractures were detected.Removed broken parts under local anesthesia and distilled water cleaned was paused. Surviving in the
root part of the socket canal treatment was completed. Canal input cavity opening of canal length type K files (#15) with were
determined. Returns the file system was made with forming reciproc. Irrigation for 2.5% NaOCl, and EDTA of 17% was applied.
They put sterical paper was made with drying teeth. Root canal treatment is the only simple kon sealapex guttae-percha and
technique was completed with. Composed of granulation tissue in the palatinal due to broken to clean the flap is removed. Post
spacing is applied to the fiber post. Broken piece dual cure composite resin with pasted.
RESULTS: Uncomplicated recovery was observed in the region applied to surgery. clinical and radiographic evaluation at month
6 no pathology was found.
CONCLUSION: Treatment of fractures of cervical region Crown-root complex and time consuming. This report case is the result
of a multidisciplinary study in broken pieces with the tooth paste instead of aesthetically, rehabilitation and patient satisfaction
has been achieved.
Key Words: Fiber Post, Root Treatment, Crown-Root Fractures
138
P20
EKSTRAORAL SNS YOLUYLA DRENAJ GSTEREN KRONK APKAL APSE TEHSL DLERDE TEDAVS: OLGU
TANIMLANMASI
Evren Sarylmaz1, Eyp Canda Gndodu1, Cangl Keskin2
1
Ondokuz Mays niversitesi, Di Hekimlii Fakltesi, Endodonti Anabilim Dal, Samsun, Trkiye
AMA: Cilt zerinden drenaj gsteren dental enfeksiyonun konvansiyonel endodontik yaklam ile tedavi edilebileceinin bir
vaka ile sunumu amalanmaktadr.
YNTEM: 27 yanda sistemik olarak salkl bayan hasta ene ucu blgesinde cilt zerinden akan iltihap ikayeti ile Ordu
niversitesi Di Hekimlii Fakltesi Endodonti anabilim dalna bavurmutur. Hastann hikayesinde ocukluk dneminde yz
blgesinde yksekten dmeye bal travma bulunmaktadr. Hastann klinik muayenesinde mental blgede geni ekstraoral
sins yolu bulunmaktadr. Vitalite testlerine 31, 41, 42 numaral diler negatif yant vermektedir. Perksyon ve palpasyona
duyarllk bulunmamaktadr. Radyografik deerlendirmede periapikal radyografide 31, 41, 42 numaral dileri ieren geni bir
radyolusens gzlemlenmektedir. Kronik apikal apse tehisi konulmutur. Optidam ile izolasyon salandktan sonra 31, 41, 42
numaral dilere giri kavitesi ald. ProTaper dner ee sistemi ile %5,25 sodyum hipoklorit irrigasyonu altnda kk kanal
preparasyonu tamamlanmtr. Son irrigasyonda srasyla EDTA, distile su, % 5,25 NaOCl, distile su %2 klorheksidin glukonat
kullanlmtr. Kanal iine kalsiyum hidroksit pat ile onar gn arayla seans kanal ii pansuman yaplmtr. Seanslar arasnda
Cavit geici dolgu olarak kullanlmtr. Drdnc seansta ekstraoral sins yolundan p drenaj kesilmi ve vaka asemptomatik
hale gelmitir. Kk kanallar AHplus kanal pat, ProTaper F5 guta perka konu, 02 taper al standart guta perka konlar ile souk
lateral kompaksiyonla doldurulmutur. Kompozit restorasyon maddesi ile daimi restorasyon tamamlanmtr.
BULGULAR: Kk kanal tedavisinin tamamlanmasndan sonraki birinci ve nc ayda yaplan kontrollerde diler semptom
gstermemektedir. Ekstraoral sins yolunun skar dokusu ile iyiletii gzlemlenmitir. Balang radyografileri ile
karlatrldnda kontrol radyografilerinde radyolsent alanda kemiklemenin balad gzlenmektedir.
SONU: Ekstraoral sins yolu ile drene olan kronik apikal apse tehisli diler konvansiyonel kk kanal tedavisi ile herhangi bir
cerrahi uygulama gerektirmeden tedavi edilebilmektedir. Endodontide kk kanal tedavisinin baars doru tehis ve titiz tedavi
uygulamaya baldr.
Anahtar Kelimeler: Ekstraoral sins yolu, Kronik apikal apse
TREATMENT OF CHRONIC APICAL ABCESS DIAGNOSED TEETH WITH EXTRA-ORAL SINUS TRACT: CASE DESCRIPTION
Evren Sarylmaz1, Eyp Canda Gndodu1, Cangl Keskin2
1
AIM: The aim this case description is to describe conventional endodontic approach of a case of dental infection, skin.
METHOD: 27 years old female patient was referred to Ordu University, Faculty of dentistry Department of Endodontics with
complaints of pus drainage from her chin. Patient history revealed trauma from falling from a high place in her childhood.
Clinical examination revealed extra-oral sinus tract on the mental region. The teeth 31, 41, 42 exhibited negative response to
electric pulp tests. They were non-sensitive to percussion and palpation. Radiographical examinations reveals wide radiolucent
lesion that included apical root part of teeth 31, 41, 42. Teeth were diagnosed to have chronic apical abscess. Access cavity was
prepared after maintaining isolation with Optidam. Root canal preparation was performed wth ProTaper rotary system up to
F5 file under irrigation of 5,25% NaOCl. EDTA, distilled water, 5,25% NaOCl, distilled water, 2% chlorhexidine irrigation solutions
were used as final irrigation respectively. Root canals were dressed with Ca(OH)2 between three appointments for ten days. Cavit
was used as temporary filling between appointments. In forth appointment, drainage of pus from sinus tract was ceased and
case became asymptomatic. Root canals were obturated with AHPlus sealer, F5 ProTaper gutta percha and .02 tapered gutta
percha cones by cold lateral compaction. Final restoration of teeth were completed with composite restorative material.
RESULTS: Teeth were asymptomatic at first and third month control appointments. Extra-oral sinus tract was healed with scar
tissue. Compared with initial radiographs, control radiographs indicated ossification in periapical area.
CONCLUSION: Teeth with chronic apical abscess related with extra-oral sinus tract could be treated with conventional endodontic
treatment without surgical approach. Success of root canal treatment depends on proper diagnosis and rigorous application of
treatment.
Key Words: Extra-Oral Sinus Tract, Chronic Apical Abcess
139
P21
FARKLI RRGASYON SOLSYONLARININ AIK APEKSL DLERDEN L ANTBYOTK PATINI UZAKLATIRMADAK
ETKNL
Evren Ok1, Mustafa Altunsoy2, Bilge Glsm Nur2 , Abdssamed Kalkan1
1
AMA: Bu almann amac farkl irrigasyon solsyonlarnn ve ultrasonik ile irrigasyon solsyonlarnn kullanmnn ak
apeksli dilerden l antibiyotik patn (AP) uzaklatrmada etkinliklerini deerlendirilmektir.
YNTEM: almada 60 adet tek kkl di kullanld. Dilerin kk kanallar Reciproc R50 eesiyle ekillendirildi. Ak apeksli
kk simlasyonu 4 numaral yeil 1,5 mm apl Unicore driller kullanlarak gerekletirildi. Daha sonra AP kk kanallarna
yerletirildi. Kanal azlarna pamuk palet yerletirildi ve dilerin apikal ve koronal ksmlar rezin modifiye cam iyonomer
siman ile kapatlarak polimerize edildi. rnekler, distile su ierisinde 4 hafta 37 oC de bekletildikten sonra kkn koronalindeki
geici dolgu uzaklatrld ve rnekler rastgele 6 gruba ayrld: a) Serum (n=10), b)Ultrasonik Serum (n=10), c) NaOCl (n=10), d)
Ultrasonik NaOCl (n=10), e) Klorheksidin diglukonat (CHX) (n=10), f) El eesi ile NaOCl (n=10). Kanal ierisinde kalan artk AP
miktar steriomikroskop ile 30 bytme ile deerlendirildi. Veriler tek ynl varyans analizi ve Tukey post hoc testi ile analiz
edildi.
BULGULAR: CHX, Serum ve dier gruplar arasnda istatisiksel anlaml bir fark vard (p<0.05).
SONU: Simle ak apeksli dilerden AP uzaklatrmada irrigasyon solsyonlar ve ultrasonik ile birlikte kullanm tam
olarak kk kanallarndan APn uzaklatramamtr. Kullanlan solsyonlar arasnda APn uzaklatrmada en baarsz olan
CHX bulunmutur.
Anahtar Kelimeler: rrigasyon solsyonlar, NaOCl, Serum, CHX, Ultrasonik rrigasyon, mmatur di, l antibiyotik pat.
EFFECTIVENESS OF DIFFERENT IRRGATION SOLUTIONS ON TRIPLE ANTIBIOTIC PASTE REMOVAL FROM SIMULATED
IMMATURE ROOT CANAL
Evren Ok1, Mustafa Altunsoy2, Bilge Glsm Nur2 , Abdssamed Kalkan1
1
AIM: To evaluate the effectiveness of different irrigation solutions and ultrasonic activation on removal of triple antibiotic paste
from the simulated immature root canals.
METHOD: Sixty single-rooted teeth were used. The root canals were shaped with Reciproc R50 rotary files. Simulation of roots
with immature apices was carried out using size 4 Unicore drills. Triple antibiotic paste was placed into each root canals,
and packed to the working length. Then, cotton pellets were placed over canal orifices, and apical and coronal parts of the
roots were sealed with resin-modified glass ionomer cement, and light cured. Specimens were stored in distilled water for 4
weeks at 37oC. After 4 weeks, the temporary coronal seal was removed and the samples were randomly divided into: a) Saline
(n=10), b)Ultrasonic Saline (n=10), c) NaOCl (n=10), d) Ultrasonic NaOCl (n=10), e) Chlorhexidine digluconate (CHX) (n=10), f)
Hand instrument with NaOCl (n=10). The amount of remaining triple antibiotic paste on the canal walls was measured under
stereomicroscope with 30x magnification. The data were analyzed by using a one way ANOVA and post-hoc Tukey test at a
significance level of p<0.05.
RESULTS: There were a statistically difference among CHX and Saline and other groups (p<0.05).
CONCLUSION: Irrigation solutions and ultrasonic activation of the irrigation solutions could not completely remove the triple
antibiotic paste from simulated immature root canals. CHX was the worst of all the groups.
Key Words: Irrigation solutions, NaOCl, Saline, CHX, Ultrasonic irrigation, Immature teeth, Triple antibiotic paste
140
P22
SMLE EDLM AIK APEKSL DLERDE L ANTBYOTK PATIN IKARILMASI
Mustafa Altunsoy1, Evren Ok2, Bilge Glsm Nur1, Abdssamet Kalkan2, Ebru Kkylmaz3
1
zmir Katip elebi niversitesi, Di Hekimlii Fakltesi, Pedodonti Anabilim Dal, zmir, Trkiye
AMA: Bu almann amac ak apeksli dilerde l antibiyotik patn (AP) farkl ekillendirme teknikleri ile uzaklatrmadaki
etkinliinin deerlendirilmesidir
YNTEM: almada 60 adet tek kkl di kullanld. Dilerin kk kanallar 50 nolu Reciproc eesiyle ekillendirildi. Ak apeksli
kk simlasyonu 4 numaral yeil 1,5 mm apl Unicore driller kullanlarak gerekletirildi. Daha sonra kk kanallar AP ile
dolduruldu ve kklerin apikal ve koronal ksmlar rezin modifiye cam iyonomer siman ile kapatlarak polimerize edildi. rnekler,
distile su ierisinde 4 hafta 37oCde bekletildikten sonra kkn koronalindeki geici dolgu uzaklatrld. Kk kanallarndaki
APnin uzaklatrlmasnda kullanlan kanal ekillendirme trne gre 5 alma grubu (ProTaper, Reciproc, One Shape, Wave
One ve el aleti birlikte NaOCI kullanld) ve 1 kontrol grubu (sadece NaOCI ile irrigasyon yapld) olmak zere toplam 6 gruba
ayrld (n=10). Kanal ierisinde kalan artk AP miktar steriomikroskop ile 30 bytme ile deerlendirildi. statistiksel analizde
Kruskal-Wallis ve Tamhane testleri kullanld.
BULGULAR: Reciproc, One Shape, Wave One ve el aletleri ekillendirme tekniklerinin kontrol grubundan istatistiksel olarak
daha fazla miktarda AP uzaklatrd grld (p0.05). alma gruplar arasnda istatistiksel olarak fark grlmedi (p>0.05).
SONU: Simle ak apeksli dilerden AP uzaklatrmasnda Reciproc, One Shape, Wave One ve el aletleri ekillendirme
teknikleri ile NaOCI irrigasyonunun birlikte kullanmnn yalnzca NaOCI irrigasyonu kullanmndan daha etkili olduu
grlmtr. Ancak kullanlan tekniklerin hibiri AP yi tamamen kk kanalndan uzaklatramamaktadr.
Anahtar Kelimeler: l antibiyotik pastas, Ak apeksli di, Kanal ekillendirme teknikleri
Izmir Katip Celebi University, School of Dentistry, Department of Pediatric Dentistry, Izmir, Turkey
AIM: To compare the efficacy of instrumentation techniques on the removal of triple antibiotic paste (metronidazole, ciprofloxacin
and minocycline) (TAP) from simulated immature root canals.
METHOD: Sixty single-rooted teeth were used. The root canals were shaped with Reciproc R50 rotary files. Simulation of roots
with immature apices were carried out using size 4 Unicore drills. Triple antibiotic paste was placed into each root canals, and
packed to the working length. Then, cotton pellets were placed over canal orifices, and apical and coronal parts of the roots were
sealed with resin-modified glass ionomer cement, and light cured. Specimens were stored in distilled water for 4 weeks at 37oC.
After 4 weeks, the temporary coronal seal was removed and the samples were randomly divided into five experimental groups
(ProTaper, Reciproc, One Shape, Wave One, Manual) (n=10) and a control group (only irrigated with NaOCI) (n=10) according to the
method used for TAP removal. The amount of remaining TAP in the canal walls were measured under a stereomicroscope at 30
magnification. The data were analyzed using Kruskal-Wallis and Tamhane tests at a significance level of p < 0.05.
RESULTS: Reciproc, One Shape, Wave One, and Manual techniques removed significantly more TAP than the control group (p
< 0.05). ProTaper removed more TAP than the control group but this was not statistically significant (p > 0.05). There were no
statistically differences amongst the experimental groups in terms of removing TAP (p < 0.05).
CONCLUSION: Reciproc, One Shape, Wave One, and Manual instrumentation techniques with NaOCI were more effective in
removing TAP from simulated immature canals than only NaOCI irrigation. It was not possible completely to remove TAP from
immature root canals.
Key Words: Triple antibiotic paste removal, Immature root canal, Instrumentation techniques
141
P23
KAN LE TEMAS HALNDE KALSYUM-SLKAT ESASLI MATERYALLERDE MEYDANA GELEN RENKLENME:
SPEKTROFOTOMETRK ALIMA
Cangl Keskin1, Evren Sarylmaz2
1
Ondokuz Mays niversitesi, Dihekimlii Fakltesi, Endodonti Anabilim Dal, Samsun, Trkiye
AMA: Bu almada kalsiyum-silikat esasl materyalin kan ile temasnda meydana gelen renklenmesinin deerlendirilmesi
ve bu materyallerde zamanla meydana gelen renk deiimlerinin karlatrlmas amalanmtr.
YNTEM: Bu almada ProRoot wMTA, Biodentine ve BioAggregate kullanld. Kan rnei uzman hemire tarafndan bir
gnllden alnd. Phtlamay nlemek iin 3x4ml K2EDTA kapl steril tpler kullanld. Her materyalden iki rnek retici
firmann talimatlarna uygun ekilde kartrldktan ve metal halkalara konduktan sonra kan emdirilmi steril pamuk peletlerin
zerine yerletirildi. Kontrol gruplarnda steril salin solusyonu kullanld. farkl zamanda renk lmleri kayt altna alnd:
balang olarak her materyalin kartrlmasndan sonra, yerletirildikten 24 saat sonrasnda ve 30 gn sonrasnda. Renkteki
deiimin hesaplanmasnda uluslararas renk sistemi kullanld. Veri, iki ynl ANOVA tekrarlayan lmler ile deerlendirildi.
BULGULAR: Salin ile kyaslandnda kan ile ekspoze olan materyallerde istatiksel olarak anlaml renk deiikleri meydana
geldi (P
SONU: Eritrositler ve sertlemekte olan kalsiyum-silikat esasl materyaller arasnda bir etkileimin var olabilecei gz
nnde tutulmaldr. 12 dakika sertleme sresi bulunan Biodentine dier materyallere gre kanla temasta en az renklenme
gstermitir ancak bu fark istatiksel olarak anlaml deildir. Dolaysyla materyallerin renklenmesi ksa srede meydana
gelebilmektedir fakat uzun sertleme sreci renklenmenin iddetini arttrabilir.
AIM: This study aims to evaluate discoloration of three calcium silicate-based materials in contact with blood and compare the
color changes of these biomaterials over time.
METHOD: ProRoot wMTA, Biodentine and Bioaggregate were used in this study. Blood was sampled from a volunteer by
venipuncture by a nurse. 3 x 4 mL sterile tubes were spray coated with K2EDTA to prevent coagulation. Following mixing and
placement into metal rings one sample of each material was placed onto sterile cotton pellet moistened with blood. Sterile
saline was used in control groups. Color measurements were recorded at 3 time points: after setting of each material as
baseline, 24 hours after placement and 30 days upon retrieval. CIE system was used to calculate the difference in color. The data
were evaluated with two-way ANOVA repeated measures.
RESULTS: Materials exposed to blood exhibited statistically significant color changes (P< 0.001) compared with those exposed
to saline. Mta + blood group showed greater discoloration than BioAggregate + blood and Biodentine + blood, however these
differences were not statistically significant (P = 0,348).
CONCLUSION: An interaction between erythrocytes and unset calcium-silicate based materials may be proposed. Biodentine
which has 12 minutes setting time showed the least discoloration in contact with blood among other materials but difference
was not statistically significant. So, material discoloration may occur in short time but, longer setting process may increase it.
Key Words: Biodentine, Bioaggregate, Endodontics, Mineral trioxide aggregate
142
P24
BA DOKUSU GREFT LE DESTEKLENEN LATERALE KAYDIRILAN FLEP UYGULAMASI: BR VAKA RAPORU
Vesile Elif Toy1, Sema S. Hakk2
1
AMA: Dieti ekilmesi, yumuak doku kenarnn mine-sement birleiminin apikaline yer deitirmesi olarak tanmlanr.
Dieti ekilmeleri dentin hassasiyeti, estetik problemler, kk rkleri ve servikal abrazyona neden olan sklkla karlalan
periodontal sorunlardr. Bu vaka raporunda lokalize dieti ekilmesi olan bir hastann ba dokusu greftiyle birlikte laterale
kaydrlan flep teknii ile tedavisi sunulmutur.
YNTEM: 37 yanda sistemik olarak salkl, Miller snf I dieti ekilmesi bulunan bayan hasta kk hassasiyeti ve estetik ikayet
ile kliniimize bavurmutur. Klinik ve radyografik deerlendirmeleri takiben balang periodontal tedavi uygulanmtr. ekilme
blgesindeki kk yzeyini rtmek amacyla ba dokusu grefti laterale kaydrlan flep tekniiyle kombine olarak uygulanmtr.
Tam kalnlk sapl flep teknii kullanlm , verici blge sekonder iyilemeye braklarak periodontal pat ile kapatlmtr.
BULGULAR: Drt aylk takip sonras tatmin edici bir kk yzeyi kapanmas mevcuttu.yi bir estetik sonu kazanlm olup hasta
memnuniyeti salanmtr. Ayrca verici blgedeki iyilemenin 1 ayda tamamland gzlemlenmitir.
SONU: Bu vaka raporunda, hasta oral hijyen uygulamalarn etkin bir ekilde uyguladnda dieti ekilmelerinin tedavisinde
ba dokusu grefti ile birlikte laterale kaydrlan flep tekniinin baarl sonular verebilecei gzlenmitir.
Anahtar Kelimeler: Ba dokusu grefti, dieti ekilmesi, Laterale kaydrlan flep
LATERALLY POSTONED FLAP ASSOCATED WTH CONNECTVE TSSUE GRAFT: A CASE REPORT
Vesile Elif Toy1, Sema S. Hakk2
1
AIM: Gingival recession is defined as the displacement of the soft tissue margin apical to the cement-enamel junction. Gingival
recessions are commonly encountered periodontal problems result in dentin hypersensitivity, esthetic problems, root caries
and cervical abrasions. In this case report, the treatment of a patient with localized gingival recession using laterally positioned
flap technique combined with connective tissue graft is presented.
METHOD: A 37 year-old, systemically healthy, female patient with Miller class I gingival recession and with hypersensitivity,
esthetic complaint referred to our clinic for therapy. After clinical and radiographic examination, initial periodontal treatment was
performed. Connective tissue graft combined with laterally positioned flap technique was performed to provide root coverage.
Full thickness pedicle flap technique was used, the donor site was left for secondary wound healing and covered by periodontal
dressing.
RESULTS: After four-month follow-up root coverage was satisfactory. A sufficient esthetic result was gained and patient
satisfaction was provided. It was also observed that secondary healing time of the donor site was approximately one month.
CONCLUSION: In this case report, it is observed that laterally positioned flap technique combined with connective tissue graft
may provide successful results in the treatment of gingival recessions if the patient applies oral hygiene procedures effectively.
Key Words: connective tissue graft, gingival recession, laterally positioned flap
143
P25
PERMPLANT YAPIIK DET MKTARININ BA DOKUSU GREFT LE ARTIRILMASI: OLGU SUNUMU
eydanur Dengizek Eltas1, Mustafa zay Uslu1
1
AMA: Bu olgu sunumunun amac periimplant blgede yetersiz yapk dieti mevcudiyetinin ba dokusu grefti kullanlarak
artrlmasnn sunulmasdr.
YNTEM: 52 Yandaki bayan hastann birinci kk az dii blgesine yaplan implant tedavisi sonras bukkal yzeyde yapk
dieti olmad gzlemlendi. Hastann yapk dieti miktarnn artrlmas amacyla ba dokusu grefti blgeye yerletirildi.
SONU: Tedavi sonrasnda implantn bukkal yzeyinde yapk dieti olutuu tespit edildi.
Anahtar Kelimeler: ba dokusu grefti, implant, yapk dieti
INCREASEING THE AMOUNT OF PERIIMPLANT ATTACHED GINGIVA WITH CONNECTIVE TISSUE GRAFT PROCEDURE: CASE
REPORT
eydanur Dengizek Eltas1, Mustafa Ozay Uslu1
1
AIM : The aim of this case report is to present the increaseing the amount of periimplant attached gingiva with connective tissue
graft procedure.
METHOD : It is observed that there is not attached gingiva in the buccal surface of mandibular first premolar implant region
after implant treatment in a 52 years old female patient. Connective tissue graft was placed to increase the amount of attached
gingiva.
CONCLUSION: Attached gingiva forming was found on the buccal surface of implant after treatment.
Key Words: Attached gingiva, Connective tissue graft, Implant
144
P26
DET MELANN HPERPGMENTASYONUNUN CERRAH LE ESTETK TEDAVS: OLGU SUNUMU
eydanur Dengizek Eltas1
1
AMA: Bu olgu sunumunun amac st ene n blgedeki pigment birikiminin cerrahi yntemle estetik olarak tedavisinin
sunulmasdr.
YNTEM: 18 yandaki bayan hasta st ene n diler blgesindeki dietlerindeki siyah renklenme ikayeti ile kliniimize
bavurdu. Hastann dietlerindeki pigment birikimleri 15 nolu bistri ve kirkland ba kullanlarak uzaklatrlmtr. Klinik
deerlendirmeler 1. gn, 2. hafta ve 3. ayda gerekletirilmitir.
SONU: Tedavi sonrasnda melanin renklenmelerinin tamamen ortadan kaybolduu grld.
Anahtar Kelimeler: Cerrahi tedavi, Estetik, Melanin pigmentasyonu,
AIM: The purpose of the case report is to report removal of gingival melanin pigmentataion on anterior maxillar region using
surgical procedure.
METHOD: 18 years old female patient consulting to our clinic with the complaint about melanin hyperpigmentation on maxillar
anterior region. Treatment was performed with 15 scalpel and kirkland blade. Clinic parameters, such as bleeding, swelling,
redness, and healing were evaluated immediately after the surgery and 24 hours, 2 weeks, and 3 months later.
CONCLUSION: It was observed that melanin pigmentation was complete disappearance after treatment.
Key Words: Esthetic, Melanin pigmentation, Surgical treatment
145
P27
HPERTROFK FRENULUM BALANTISININ DYOT LAZER KULLANILARAK DZELTLMES: OLGU SUNUMU
eydanur Dengizek Eltas1
1
AMA: Bu olgu sunumunun amac st ene n blgedeki uzun frenulum balantsnn diyot lazer kullanlarak cerrahi tedavisinin
sunulmasdr.
YNTEM: 23 yandaki bayan hastann st ene n kesici diler blgesinde uzun frenulum balants tespit edildi. Hastann
frenulum balants diyot lazer kullanlarak uzaklatrld.
BULGULAR: Tedavi sonrasnda frenulum balantsnn baarl olarak uzaklatrld, yara iyilemesinin baarl ekilde
gerekletii ve hastann ilem sonras ar ikayetinin olmad tespit edildi.
Anahtar Kelimeler: Cerrahi tedavi, Diyot lazer, Frenulum
SURGICAL TREATMENT OF HYPERTROPHIC FRENULUM JUNCTION WITH DIODE LASER: CASE REPORT
eydanur Dengizek Eltas1
1
AIM: The aim of the case report is to describe the surgical treatment of hypertrophic frenulum in maxillar anterior region with
diode laser.
METHOD: It was detected long frenulum on anterior maxillar incisiv teeth region in 23 years old female patient. Hypertrophic
frenulum was removed using the diode laser.
RESULTS: After treatment succesful wound healing and frenulum connection removed was found. Patient has not complain of
pain after the procedure.
Key Words: Diode laser, Frenulum, Surgical treatment
146
P28
PERMPLANTTS TEDAVSNDE BA DOKUSU GREFT KULLANIMI: OLGU SUNUMU
eydanur Dengizek Eltas1, Vesile Elif Toy1, Nilfer Tlin Polat2
1
AMA: Bu olgu sunumunun amac periimplantitis sonucu kemik kayb oluan implantlarn bukkal yzeylerindeki dieti
ekilmesinin ba dokusu grefti kullanlarak kapatlmasnn ve yetersiz yapk dietinin bu yntemle artrlmasnn sunulmasdr.
YNTEM: 53 yandaki hastann sa st enesine 13, 14 ve 17 nolu dilerine adet implant yaplan hasta da 13 ve 14 nolu di
blgelerine yaplan implantlarn bukkal yzeylerinde dieti ekilmesi ve dieti kalnlndaki yetersizlik sonucu oluan metal
yansmas ikayetleri mevcuttu. Hastaya CIST protokoln takiben ba dokusu grefti ve koronale kaydrlan flep ilemleri yapld.
SONU: Tedavi sonrasnda implant yzeylerinin baarl ekilde rtnd gzlemlenmitir.
Anahtar Kelimeler: Ba dokusu grefti, Dieti ekilmesi, Koronole kaydrma, Periimplantitis
AIM: The aim of this case report is to describe to using connective tissue graft to closure the gingival recession on the buccal
surfaces of the implants as a result of periimplantitis bone loss and increasing inadequate attached gingiva with this method.
METHOD: A 53-years-old male patient was referred to the Periodontology Department, Faculty of Dentistry with gingival
recession and metal reflection complaint. Following the CIST protocol, connective tissue grafts and coronally positioned flap
procedure was performed.
CONCLUSION: After treatment, it was observed that implant surfaces was successfully covered.
Key Words: Connective tissue graft, Gingival recession, Coronally advanced flap, Periimplantitis
147
P29
PYOJENK GRANLOM VAKALARININ PERODONTAL TEDAVS: OLGU SERS
Vesile Elif Toy1
1
AMA: Pyojenik granloma, travmatik yaralanma, kronik ve dk seviyeli lokal irritasyon veya hormonal faktrlere bal
olarak geliebilen, deri ve mkz membrann benign bir yumuak doku tmrdr. Az ierisinde dieti, dudak, dil, palatinal
ve bukkal mukozada grlebilen bu lezyona en sk dietinde rastlanmaktadr. Klinik olarak birka mm den 2-3 cm ye kadar
deiik byklklerde ortaya kabilen pyojenik granlomlar arsz, dz yzeyli, sapl veya geni tabanl, lobler veya nodler
grnmde olabilirler. Tedavisi balang periodontal tedaviyi takiben lezyonun insize edilmesidir. Bu olgu serisinde hastada
tespit edilen pyojenik granloma olgularnn sunulmas amalanmtr.
YNTEM: Kliniimize bavuran ayr hastann intraoral muayenesinde farkl boyutlarda , belirgin snrl, sapl ve kanamal
mor-krmz renkli lezyonlar tespit edilmitir. lgili dilerde sondlamada kanama ve artm cep derinlii gzlenmitir. Hastalarn
tedavi ncesi ve sonras klinik indeksleri kaydedilmitir. Oral hijyen eitimi ve balang periodontal tedavi sonras lezyonlar
lokal anestezi altnda eksizyonel biyopsi yntemi ile karlmtr.
BULGULAR: Kitlelerin histopatolojik incelemesi sonucunda pyojenik granloma tans konulmutur. Cerrahi ilem sonras
hastalar takibe alnmtr. Postoperatif 3, 6 ve 12. aylarda kontrol yaplan hastalarda herhangi bir nks ile karlalmam olup,
operasyon blgesinin sorunsuz iyiletii grlmtr.
SONU: Kt az hijyeni ve dita varl pyojenik granloma geliiminde hzlandrc faktr olarak rol oynamaktadr. Lezyonun
insizyonundan sonra hastalarn dzenli plak kontrol yapmas nks orann azaltmaktadr.
Anahtar Kelimeler: Balang periodontal tedavi, Oral hijyen, Pyojenik granloma
AIM: Pyogenic granuloma is a benign soft tissue tumor of the mucous membrane and skin occurring in response to a variety of
stimuli such as traumatic injury, local irritation or hormonal factors. It can occur on the lips, tongue, palatal and buccal mucosa
in the oral cavity; but commonly found in gingiva. Clinically, pyogenic granulomas that can occur in various sizes such as few mm
up to 2-3 cm, may be painless, smooth-surfaced, pedicle or sessile, lobular or nodular in appearance. The treatment of pyogenic
granuloma is the excision of the lesion after initial periodontal therapy. In this case series, it is aimed to present the pyogenic
granuloma cases determined in three patients.
METHOD: During intraoral examination of three patients who referred to our clinic purple-red coloured, good delineated, pedicle
and haemorrhagic lesions in different sizes were detected. Increased pocket depth and bleeding at probing were observed at the
effected teeth. The clinical indexes of the patients were recorded before and after treatment. After oral hygiene education and
initial periodontal therapy the lesions were excised by excisional biopsy under local anesthesia.
RESULTS: The histopathological examination confirmed the diagnosis of pyogenic granuloma. The patients were monitored after
periodontal surgery. When the patients were controlled at three, six and twelve-month follow-up, no recurrences were observed
and it was seen that operation sites healed without any problem.
CONCLUSION: Poor oral hygiene and dental calculus are considered as accelerating factors in the development of pyogenic
granuloma. After periodontal surgery, regular plaque control performed by the patients reduces the relapse rate.
Key Words: Initial periodontal therapy, Oral hygiene, Pyogenic granuloma
148
P30
ORAL LKEN PLANUSLU HASTALARDAK KLNK BULGULAR: OLGU SERS
Aylin Kayadn1, lkay Peker1, zlem ok1, Onur ahin2, Burcu Sengven3
1
Gazi niversitesi Di Hekimlii Fakltesi, Az, Di ve ene Radyolojisi A.D. Ankara TRKYE
Gazi niversitesi Di Hekimlii Fakltesi, Az, Di ve ene Cerrahisi A.D. , Ankara TRKYE
AMA: Oral liken planus (OLP) orta yal kadnlarda daha ok grlen kronik, otoimmun mukokutanz bir hastalktr. Bu
almann amac sekiz oral liken planuslu hastann klinik bulgularn deerlendirmektir.
YNTEM: Bu alma 29-67 ya arasndaki sekiz oral liken planuslu hastay iermektedir. ncelikle tm hastalarn demografik
zellikleri ve medikal anamnez bilgileri kaydedildi. Hastalarn klinik muayenesi yaplarak lezyonlardan insizyonel biyopsi elde
edildi. Histopatolojik inceleme ile lezyonlara OLP tans konuldu.
BULGULAR: Lezyonlar, ya ortalamas 41 olan, drt (% 50) kadn ve drt (% 50) erkek hastada izlendi. Hastalarn % 87.5inde
(n=7) herhangi bir sistemik hastalk bulunmazken, sadece % 12.5inde (n=1) romatoid artrit vard. hastalarn % 50sinde (n=4)
lezyonlar arya neden olmaktayd. Hastalarn % 75inde (n=6) lezyonlar bilateral olarak gzlendi. Hastalarn yedisinde (% 87.5)
lezyonlar genellikle bukkal mukozada yerlemiti, sadece bir hastada lezyon dilde izlendi. OLP lezyonlar ounlukla retikler
tipteydi (% 62.5, n=5), bunu srasyla plak tip (% 25, n=2) ve eroziv tip (% 12.5, n=1) izlemekteydi.
SONU: Di hekimlerinin, klinik pratikte asemptomatik lezyonlar gzden karmamas iin OLPnin klinik bulgularn bilmesi
gereklidir.
Anahtar Kelimeler: Oral liken planus, klinik bulgular, histopatoloji
CLINICAL FINDINGS OF THE PATIENTS WITH ORAL LICHEN PLANUS: CASE SERIES
Aylin Kayadn1, lkay Peker1, zlem ok1, Onur ahin2, Burcu Sengven3
1
AIM: Oral lichen planus (OLP) occured most commonly in the middle aged women is a chronic, autoimmune and mucocutaneous
disease. This presentation was evaluated clinical findings of the eight patients with OLP.
METHOD: This study included eight patients with OLP aged between 29 -67 years. Firstly, demographic characteristics and
medical history of the patients were recorded. Clinical examinations of them were performed and incisional biopsy specimens
were obtained from the lesions. The lesions were diagnosed as OLP with histopathological examination.
RESULTS: The lesions were observed in four (50%) female and four (50%) male patients whose mean ages were 41. While no
systemic disease existed in 87.5% (n=7) of the patients, there was romatoid artrit in only 12.5% (n=1) of them. The lesions caused
to pain in 50% (n=4) of the patients. The lesions were observed bilaterally in 75% (n=6) of the patients. In seven (87.5%) of the
patients, the lesions were observed at the buccal mucosa, it was seen at the tongue in only a patient. OLP lesions were generally
reticular form (62.5%, n=5), followed by plaque (25%, n = 2) and erosive type (12.5%, n = 1), respectively.
CONCLUSION: Dentists should know clinical findings of OLP to keep an eye out for asymptomatic lesions in clinical practice.
Key Words: Oral lichen planus, clinical findings, histopathology
149
P31
OCUKLARDA D R LE TKRK AKIM ORANI VE TKRK PH LKS
Glser Kln1, Mjdet etin1
1
AMA: ocuklarda di r ile tkrk akm oran ve tkrk pHnn ilikisinin incelenmesi amalanmtr.
YNTEM: Dokuz Eyll niversitesi Tp Fakltesi ocuk Di Kliniine bavuran ve yalar 5-13 arasnda deien, 180 ocuk
hasta almaya dahil edildi. Tm hastalardan cinsiyet, ya, di fralama skl ve anne tahsili ile ilgili anket formu dolduruldu.
Hastalar yalarna gre 60 kiilik 3 gruba (5-7, 8-10 ve 11-13 ya) ayrld. Bu farkl ya grubundaki hastalar kendi iinde
kontrol(rk dii olmayan), az rkl (1-5 aras) ve ok rkl (6 ve daha ok) olarak 20er kiilik gruplara ayrld. ocuklarn
tkrk rnekleri sabah 9.00-10.00 saatleri arasnda alnarak tkrk pH ve akm oran deerleri lld.
BULGULAR: Aratrmamza katlan 180 ocuk hastann %49.44u kz, %50.55i erkektir. Cinsiyetle rk di says, tkrk pH
ve akm oran arasnda istatistiksel bir fark gzlenmedi. Tm ya gruplarndaki ocuklarda tkrk akm oran ve pH ile rk
arasnda negatif iliki saptand(p<0.028).
SONU: ocuklarda rk di says arttka, tkrk pHnn ve akm orannn dk olduunu gzlemlendi.
Anahtar Kelimeler: ocuk, Tkrk akm oran, Tkrk pH, Di r
THE RELATIONSHIP OF SALIVARY FLOW RATE AND SALIVARY PH ON DENTAL CARIES IN CHILDREN
Glser Kln1, Mjdet etin1
1
Dokuz Eylul University Faculty Of Medicine, Pediatric Dental Clinic, Narldere, Izmir
AIM: It is aimed to see the relationship of salivary flow rate and salivary pH on dental caries in children.
METHOD: 180 children, ages ranging from 513, which admitted to Childrens Dental Clinic of Dokuz Eylul University Faculty
of Medicine were included in the study. A questionnaire about age, gender, frequency of tooth brushing and their mothers
education status was filled by all of the patients. Patients were separated in 3 groups consisting of 60 patients each, according
to their ages (5-7, 8-10 and 11-13 years). These three patient groups were allocated to the 20-person groups which are control
(with non-tooth decay), having less tooth decay (1-5) and having too much tooth decay (6 or more). Childrens saliva samples
were taken in the morning between 9:00 to 10:00 hours and their salivary pH and flow rates were measured.
RESULTS: 49.44% of the patients were female and 50.55% were male. Statistically no difference observed between the gender,
the number of decayed teeth, salivary pH, and there was the flow rate. A negative correlation was determined between the saliva
flow rate, saliva pH and dental caries in all age groups (p
CONCLUSION: It is observed that as the number of dental caries increases in children, the saliva pH and saliva flow rates
decreases.
Key Words: Children, Saliva flow rate, Saliva pH, Dental caries
150
P32
SGARAYI BIRAKAN BREYLERDE MELANOZSN YKSEK FREKANS RADYOCERRAH LE TEDAVS: OLGU SERS
Veli zgen ztrk1, Beral Afacan1, Aysel Toprak1, Sabri Fatih Kurunlu1, Ali Grkan2
1
AMA: Melanozis, sigara ien bireylerin oral mukoza ve dietinde grlen, toplumda olduka sk karlalan kozmetik bir
problemdir. Genetik faktrler, ila kullanm, ekzojen pigmentasyon ve esitli sistemik hastalklardan bamsz olarak,
sigara ien bireylerde melanin pigmentinin fazla salglanmasyla oluur. Dieti melanozisinin tedavisinde cerrahi, kimyasal,
kriyocerrahi ve yksek frekans radyocerrahi gibi farkl tedavi seenekleri uygulanabilir. Yksek frekans radyocerrahi, zel bir
dalga boyunun zel elektrotlar araclyla uygulanacak blgenin mukozas altna belli frekanslarda dk s meydana getirme
prensibine dayanmaktadr.
YNTEM: Sistemik salkl 10 hasta (6 kadn, 4 erkek) uygulamadan nce cerrahisiz periodontal tedaviye alnd. Pigmentasyon
alanlarnn topikal %10luk lidokaine sprey ile anestezileri saland. Birinci haftadan sonra cerrahi alanlarn kenarlarnda hafif
kzarklklar gzlendi. kinci haftada youn pigmentasyon alanlarnda yksek frekans radyocerrahi tekrarland. Postoperatif
dnemde hastalardan klorheksidin gargara ile az bakm yaplmas istendi. Hastalara operasyon blgesini sadece yumuak di
frasyla temizlemesi konusunda talimatlar verildi. Operasyon sonrasnda herhangi bir postoperatif komplikasyon grlmedi.
Depigmentasyon tedavisi ilk yksek frekans radyocerrahisi sonras %80 ve ikinci uygulama sonras %100 baarl olmutur.
SONU: Yksek frekans radyocerrahi melanozisin tedavisinde estetik beklentileri karlayabilecek etkili ve basit bir yntem
olarak kabul edilebilir. Depigmentasyon alanlar ilk cerrahi ilemle tedavi edilir ancak tamamyla pembe estetik iin tekrarlayan
yksek frekans radyocerrahiye ihtiya duyulur.
Anahtar Kelimeler: yksek frekans radyocerrahi, melanozis, sigara
AIM: Melanosis pigmentation is observed in the oral mucosa and gingiva in smokers, is fairly common cosmetic problems in
population. Independently genetic factors, using drug, various exogenous pigmentation and systemic disease in smokers caused
by the excessive secretion of melanin pigment. Treatments of gingival melanosis are surgery, cryosurgery, chemicals and highfrequency radiosurgery. High-frequency radio surgery treatment is performed, controlled low temperature increase principle,
with specific wavelength and specific electrots under mucosa
METHOD: 10 systemic healthy patients (6 Female, 4 Male) enrolled non-surgical periodontally theraphy before application. The
pigmentated area was anesthetized using a topical 10% lidocaine spray. After the first week, slight redness was observed around
the margins of the surgical site. Second week high-frequency radiosurgery was repeated in heavy pigmentatiion areas if needed.
Post-operatively, the patient was given chlorhexidene rinses and continued to oral hygiene. The patient was instructed to perform
only gentle tooth brushing in the area of the surgery. There was no post-operative complication after surgeries. Completly
depigmentation achieved 80% after first high-frequency radiosurgery and 100% after second high-frequency radiosurgery.
CONCLUSION: High-frequency radiosurgery could be used in the treatment of gingival melanosis as an efficient and simple
method. Mostly pigmentation areas are treated with first surgery but for completly pink esthethic patient need repeating of
high-frequency radiosurgery.
Key Words: high-frequency radiosurgery, melanosis, smoking
151
P33
BR ETM D HASTANES ALIANLARININ MESLEE BALI SALIK KAYETLERNN DEERLENDRLMES
mit Candan1, F. kran Ercan Kaygusuz1, M.Sinan Evcil1, Glser Kln2, Mjdet etin2
1
AMA: Bu almann amac meslee bal salk ikayetlerinin belirlenmesi ve bu ikayetlerin ya, cinsiyet, meslekte
doldurulan yl, alma ekli ve gnlk alma saati ile ilikilerinin aratrlmasdr.
YNTEM: zmir Eitim Di Hastanesinde alan tm personele cinsiyet, medeni durumu, meslekte alma yl, alerji ve
meslee bal salk ikayetlerini ieren bir formu yzyze grlerek doldurulmutur. Bulgular: almada 21 ila 61
yalar arasnda (ya ortalamas 39.88 (9.003) %38,3 i erkek, %61.7i bayan olmak zere 324 kii yer almtr. Bu kiilerin
79u dihekimi, 24 hemire, 79u tekniker, 4 laborant, 75i memur, 62si hizmetlidir. almaya katlanlarn %57.7si alerjisi
olmadn belirtirken, en yksek oranda alerjiye neden olan materyalin %14.5 ile eldiven, %8.9 dezenfektan olduu tespit
edilmitir. Meslek gruplar ile ar ikayetleri arasnda balant istatistiksel adan deerlendirildiinde srt arsnn en yksek
oranda (%91.7) hemirelerde grld bunu (%81) dihekimlerinin izledii ve aralarndaki farkn istatistiksel olarak anlaml
olduu belirlenmitir
BULGULAR: almada 21 ila 61 yalar arasnda (ya ortalamas 39.88 (9.003) %38,3 i erkek, %61.7i bayan olmak zere 324
kii yer almtr. Bu kiilerin 79u dihekimi, 24 hemire, 79u tekniker, 4 laborant, 75i memur, 62si hizmetlidir. almaya
katlanlarn %57.7si alerjisi olmadn belirtirken, en yksek oranda alerjiye neden olan materyalin %14.5 ile eldiven, %8.9
dezenfektan olduu tespit edilmitir. Meslek gruplar ile ar ikayetleri arasnda balant istatistiksel adan deerlendirildiinde
srt arsnn en yksek oranda (%91.7) hemirelerde grld bunu (%81) dihekimlerinin izledii ve aralarndaki farkn
istatistiksel olarak anlaml olduu belirlenmitir.
SONU: Dihekimleri meslee bal ciddi salk problemleri yaamaktadrlar. Dihekimlii Fakltesinde okuyan rencilerimize
karlalabilecei meslek hastalklar ve bunlardan korunma yollar retilmeli ve yeni ders mfredatlarnda yerini almaldr.
Anahtar Kelimeler: Meslek hastalklar, salk personeli
AIM: The aim of the study is to determine the occupational health complaints and the relationship between occupational
complaints and age, gender, working position, working hours and the number of years worked in the occupation.
METHOD:: All working personnel in the Izmir Dental Education Hospital, gender, allergies, marital status, working years and
related health professions face to face is filled with a form complaints.
RESULTS: In this study 38,3 % male, 61,7 % female in total 324 personnel with age of 21-61 years (average 39,88 (9.003))
were included. Of these personnel, 79 were dentists; 24 nurse, 79 technicans, 4 laboratory, 75 official, 62 servant. 57.7 % the
participants stated that there is no allergy and allergy caused materials at the highest rate were found to be 14.5 % gloves and
8.9 % disinfectant. When evaluated occupational groups and pain was statistically significant. Back pain at the highest rate (91.7
%) nurses can be seen in (81 %) dentists followed and the difference between them was statistically significant .
CONCLUSION: As a result dentists encounter serious occupational hazards. Dentistry students must be warned about the future
occupational problems and taught totake precautions. It is necessary to support the questionnaire with clinical examinations
for the objectivity of the study.
Key Words: Occupational Diseases, Health Personnel
152
P34
PUBERTAL DNEMDEK SINIF II BLM II MALOKLUZYONA SAHP HASTANIN SABT TEKNKLE ORTODONTK TEDAVS:
OLGU SUNUMU
Mehmet Kaplan1, Hakan Da1, Serkan Grgl1
1
AMA: Snf II blm II malokluzyona sahip 11 yandaki kz hastann sabit teknik ile yaplan ortodontik tedavisini sunmaktr.
YNTEM: st enesinin dar olmas ikayetiyle kliniimize bavuran 11 yandaki kz hastann yaplan az d muayenesine
gre hastann konveks bir profile sahip olduu ve asimetri olmad grld. Az ii muayenesinde ise disel snf II blm
II malokluzyonu olduu grld. Overjet 5 mm, overbite ise 6 mm lld. Hayes-Nance analizine gre st enede 6 mm yer
darl tespit edildi. Sefalometrik analize gre ise st keserlerin retrze, alt keserlerin ise protrze olduu ve dik yn oranlarnn
normal snrlar arasnda olduu grld. Hastaya ekimsiz sabit tedavi ve Class II elastik kullanm planland. Toplam tedavi
sresi 14 ay srd. Sabit tedavi sonras normal overjet ve overbite ile birlikte snf I molar ve kanin ilikisi elde edildi. Balang
ve bitim sefalometrik lmleri karlatrld; skeletsel ve dentoalveolar deiikliklerin elde edildii grld.
SONU: Pubertal dnemdeki snf II blm II malokluzyonlu hastann tedavisi sabit ortodontik teknik ve Class II elastik kullanm
ile baarl ekilde yaplmtr.
Anahtar Kelimeler: puberta,sabit teknik, snf II blm II
TREATMENT OF A PATIENT WITH CLASS II DIVISION II MALOCCLUION IN PUBERTAL PERIOD BY USING FIXED APPLIANCES:
CASE REPORT
Mehmet Kaplan1, Hakan Da1, Serkan Grgl1
1
AIM: Aim of this report is to present treatment of an 11 year old female patient with II division II malocclusion by using fixed
appliances
METHOD: An 11 year old female patient consulted to our clinic with the complaint of maxillary narrowness. After the extra oral
and intra oral examination it was seen that the patient has a convex profile but hasnt got an asymmetry combined with class
II division II malocclusion. Over jet and over bite were 5 mm and 6 mm respectively. According to Hayes-Nance analysis 6 mm
narrowness in the maxilla was detected. Moreover according to results of cephalometric analysis results upper incisors were
retrusive, lower incisors were protrusive and vertical dimension rate was in normal limits. Fixed appliances without extraction
and using Class II elastics was planned. The treatment longed for 14 months. After the fixed treatment normal over jet and over
bite combined with class I molar and canin relation gained. After the treatment pre and post cephalometric measurements were
compared and skeletal and dental changes were detected.
CONCLUSION: The patient with Class II division II malocclusion during pubertal period was treated successfully by using fixed
appliances with class II elastics.
Key Words: fixed orthodontic technique, puberty, class II division II
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P35
LNGUAL DET EKLMESNN FBRN LE TEDAVS : BR OLGU SUNUMU
Veli zgen ztrk1, Beral Afacan1, Hasan nceolu1, Sabri Fatih Kurunlu1
1
AMA: Dieti ekilmesi, dieti dokusunun mine-sement birleiminden apikale doru yer deitirmesiyle kk yzeyinin aa
kmas olarak tanmlanr. Bu ekilmelerin tedavisinde laterale kaydrlan flep ile birlikte fibrin uygulamas gncel tedavi
seenei olarak yerini almaya balamtr. Laterale kaydrlan flep ile birlikte fibrin uygulamas yaplarak hzl optimal yara
iyilemesi salanarak tedavi baars arttrlmaya allmaktadr. Bu olgu raporunun amac, alt ene lingual blgede gzlenen
dieti ekilmesinin lateral kaydrlan flep ile fibrin uygulamasnn deerlendirilmesidir.
YNTEM: Bu olgu sunumunda, 23 yanda , sistemik salkl, sigara imeyen erkek hasta dieti ekilmesi ikayetiyle bavurdu.
Yaplan oral muayene sonucunda lingual blgede 4 mm di eti ekilmesi gzlendi. Ortodontik tedavi sonras kullanlan hareketli
Hawley apareyinin dokuyla temas kaldrld. Hastaya di yzeyi temizlii ilemi yaplp oral hijyen eitimi verildi. Laterale
kaydrlan flep operasyonu fibrin ile birlikte uyguland. Dieti ekilmesi 6.0 propilen sturler ile kapatld. Post-operatif hastaya
yumuak fralama nerildi. 10 gn sonra yaplan kontrolde optimum iyileme gzlendi. 1 ay sonunda di eti ekilmesinin %80
nin kapatlabildii gzlendi.
SONU: Lingual ekilmelerde laterale kaydrlan flep operasyonu ile fibrin uygulamas kabul edilebilir tedavi seeneidir. Tedavi
baarsnn deerlendirmesi iin hasta grubunda kontroll uzun dnem sonular ieren klinik almalara ihtiya vardr.
Anahtar Kelimeler: fibrin, dieti ekilmesi, kk kapama
AIM: Gingival recession is defined as the displacement of the gingival margin ,apically to cement enamel junction with root
surface gap. In gingival recessions treatment, lateral sliding flep plus fibrin application is combined as current treatment
procedure. Lateral sliding flap, with fibrin application ; increase treatment success is due to optimal wound healing. Aim of this
case report is to evaluate the later sliding flap with fibrin application in lingual gingival recession.
METHOD: In this case, a 23 years old , male, systemic healthy, non-smoker patient, approached to clinic with gingival recession
problem. After intraoral examination, 4 mm gingival recession detected at lingual area. The contacts of the Hawley retainer
which is used after orthodontics treatment is removed. Patient enrolled scaling and oral hygiene. Lateral sliding flep operated
with fibrin application. Girgival recession sutured with 6-0 propilen sutur. The patient is offered to brush teeth with soft brush.
Optimum healing is observed after 10 days. After 1 month , rootcoverage is observed at 80% percentage of gingival recession.
CONCLUSION: Laterale sliding flep plus fibrin application is an predictable treatment option for lingual gingival recession.
Clinical studies consisting of controlled and long term results are needed for the evaluation of treatment success.
Key Words: fibrin, gingival recession, root coverage
154
P36
LNGUAL TRAVMATK LSERASYON (RGA-FEDE HASTALII): BR OLGU SUNUMU
Bilal zmen1, zge Acar1
1
GATA Di Hekimlii Bilimleri Merkezi, ocuk Di Hekimlii Ana Bilimdal, Ankara, Trkiye
AMA: Riga-Fede hastal dilin lserasyonuyla karakterize bir hastalktr. lseratif lezyonlar dilin diler zerindeki tekrarlayan
hareketlerinden kaynaklanmaktadr. Bu vaka raporunun amac Riga-Fede hastal ve tedavisini sunmaktr.
YNTEM: E.G isimli 9 yandaki erkek hasta geni lingual lserasyon nedeniyle ocuk di hekimlii kliniine bavurmutur.
Kliniimize gelmeden nce hasta dier kliniklere (pediyatri, dermatoloji ve kulak-burun-boaz klinikleri) bavurmutur. Hasta 6
yldr bu hastalkla uram ve dier kliniklerde tedavi edilememitir. Bizim kliniimizde lserasyonun rm alt ene sol st
kpek diinden kaynakland belirlenmitir. Tedavi olarak di ekilmitir. ay sonra hasta tekrar grlm ve lserasyonun
tamamen iyiletii izlenmitir.
SONU: Riga-Fede hastal nadir grlr. Malignite gzken hastalklarla karabilecei iin bu hastaln tehisi btn
hekimler iin ok nemlidir.
AIM: Riga-Fede disease is a diserdor that characterized by an ulceration of the tongue. The ulcerative lesion resulting from the
repetitive trauma of the tongue with the teeth. The aim of this case report is to present Riga-Fede disease and its treatment.
METHOD: A 9-years-old boy E.G. was referred to the department of pediatric dentistry with an extensive lingual ulceration.
Patient was referred to another clinics (clinic of pediatrics, clinic of dermatology, clinic of otorhinolaryngology) before our clinic.
Patient was sufferring from this ulceration for 6 years and he could not be treated his disease in other clinics. In our clinic, it
was determined that the ulceration was originated from lower jaw left decayed primary canine tooth. Extraction of the teeth was
chosen as treatment of choice. Patient was reviewed after three months and the ulseration was fully resolved.
CONCUSION Riga-Fede disease is a rare. The diagnosis of this desease is very important all physicians because it has ability to
simulate a malignant process.
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P37
KRON KIRIKLARININ FBERLE GLENDRLM KOMPOZT LE ESTETK REHABLTASYONU: OLGU SUNUMU
mit Candan1, Nesrin Eronat2
1
AMA: Fiberle glendirilmi kompozit materyallerin yksek strese maruz kalan restorasyonlarda krlma dayanklln
arttrd bildirilmitir. Bu sunumda travma sonucu krlm olan st n keser diin fiberle glendirilmi nano-kompozit rezin
ile estetik olarak restorasyonuna ait tedavi protokol anlatlmtr.
YNTEM: 13 yandaki ocuk hasta bir gn nce travma sonucu st santral diinde (11 Nolu) meydana gelen mine-dentin kr
ile klinie bavurdu. Yaplan klinik ve radyolojik deerlendirmeler sonucunda, vital olduu anlalan di pomza ile temizlendi.
Ardndan lokal anestezi altnda kavite preparasyonu ve mineye bizotaj ilemi uyguland. Tm bizote edilen mine yzeyleri 15 sn
(Scotchbond Etchant, 3M ESPE) daland ve 15 sn sreyle hava-su spreyi yardmyla ykand. Bonding ajan (Adper Single Bond
3M ESPE) 20 saniye sreyle polimerize (Elipar FreeLight 2, 3M-ESPE) edildikten sonra ince bir tabaka akkan kompozit (Filtek
Flow 3M ESPE) uyguland. nceden slatlm ve kaviteye uygun boyda kesilmi 0.06 mm kalnlkta cam fiber (EverStick Net
Finland), akkan kompozitin zerine yerletirilip, birlikte 20 saniye LED ile polimerize edildi. Die fiber yerletirmeden nce
alimnyum folyo ile uygulanacak fiber miktar tespit edildi. Daha sonra tabakalama yntemi ile mine ve dentin taklit edilerek
kompozit yerletirildi (Filtek Supreme, 3M ESPE, USA). Her kompozit rezin tabakas 20 saniye polimerize edildi. Okluzyon kontrol
edildi. nce grenli elmas frez ve fleksibl diskler kullanlarak (Sof-Lex XT, 3M ESPE)bitirme ilemi gerekletirildi. hafta sonra
son bitirme ve parlatma ilemleri uyguland.
BULGULAR: Restorasyonun; birinci hafta, 12., 18 aylk kontrollerinde marjinal renklemeye, sekonder re rastlanmam ve
marjinal uyumda,anatomik formunda bir bozulma belirlenmemitir. Restorasyonun di yaps ile iyi bir entegrasyon gsterdii,
hastann hem estetik hem de fonksiyonel olarak memnun olduu gzlendi.
SONU: Travma sonucu kron kr meydana gelen n dilerde fiberle glendirilmi kompozit kullanlarak yaplan restorasyon,
hasta ve hekim asndan memnun edici sonular vermektedir.
Anahtar Kelimeler: Anahtar kelimeler: Kron Kr, Fiberle Glendirilmi Kompozit
ESTHETIC TREATMENT OF FRACTURED ANTERIOR TOOTH USING FIBER-REINFORCED RESIN COMPOSITE: A CLINICAL
REPORT.
mit Candan1, Nesrin Eronat2
1
AIM: Fiber-reinforcement of resin-based composite restorations has been proposed to increase fracture resistance of materials
under high stress-bearing conditions.Esthetic treatment of fractured anterior tooth using Fiber-reinforced Resin Composites
presented.
METHOD: A 13 years-old boy attended to the clinic one day after a trauma that caused a fracture in the maxillary central incisor
(# 11) affecting enamel and dentin. After clinical and radiographic examinations were conducted, in which the tooth was vital,
local anesthesia was applied.Preparation of the tooth with a bevel restricted to enamelwas performed. After etching the enamel
(15 s) adhesive was applied (Adper Single Bond, 3M ESPE) and light curing was performed for 20 s. with a blue light-emitting
diode (LED) (EliparFreelight, 3M ESPE). A thin layer of flowable resin composite (Filtek Flow 3M ESPE) was applied and a layer of
woven polymer-monomer gel impregnated E-glass fiber (EverStick Net) (0.06 mm in thickness) on the unpolymerized flowable
composite was condensed with a plugger and polymerized (20 s). Then, nanofilled composite was applied to the rest of the cavity
incrementally, each increment being cured for 20 s. Occlusion was carefully checked and restoration was contoured with fine
diamond burs and finished with flexible discs (Sof-Lex XT, 3M ESPE). Three weeks later final polishing was performed.
RESULTS: The restoration was evaluated at one week, 12, 18 and 24 months and satisfactory anatomic form, surface texture
and marginal adaptation was found. No marginal discoloration, secondary caries and postoperative sensitivity was observed.
The restoration presented total integration with the tooth structures and satisfied the functional and esthetic demands of the
patient.
CONCLUSION: The restoration of fractured anterior tooth using Fiber-reinforced Composite was found successful and satisfied
the expectation of the patient and the dental team.
Key Words: fiber-reinforced composite, crown fracture
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P38
AIRI KRON HARABYET OLAN POSTEROR DLERN FBERLE GLENDRLM KOMPOZT LE RESTORASYONU: OLGU
SUNUMU
mit Candan1, Nesrin Eronat2
1
AMA: Ar kron harabiyeti bulunan posterior dilerde uygulanan rezin restorasyonlarn dayankll, ineme basncnn
yksek olmas nedeniyle olumsuz etkilenmektedir. Madde kaybn en dk seviyede tutmak ve arka dilerin maruz kald
okluzal kuvvetler sonucunda meydana gelebilecek krlmalar engellemek iin fiber ile glendirilmi kompozit restorasyonlarn
kullanmlar gndeme gelmitir. Bu olgu sunumunda kron harabiyeti gsteren molar diin, fiberle glendirilmi nano-kompozit
rezin kullanlarak restorasyonunun metodolojik olarak anlatlmas amaland.
YNTEM: 12 yandaki ocuk hasta alt birinci az (36 Nolu) diinde hijyenik olmayan restorasyonu nedeni ile klinie bavurdu.
Hastann klinik ve radyolojik deerlendirmeleri sonucunda vital ve radyolojik olarak salkl olduu belirlenen az diindeki
amalgam dolgu, lokal anestezi altnda uzaklatrld. Minimal madde kayb ile kavite hazrland ve mine kenarlarna bizotaj
ilemi uyguland. Bizote edilen tm mine yzeyleri 15 s daland (Scotchbond Etchant, 3M ESPE) ve 15 sn sreyle hava-su
spreyi yardmyla ykand. Bonding ajan (Adper Single Bond 3M ESPE) 20 saniye sreyle polimerizeedildi (Elipar FreeLight 2, 3M
ESPE). Kaviteye akkan kompozit ince bir tabaka uygulandktan sonra, nceden slatlm ve kavite boyutlarna uygun olarak
kesilmi cam fiber yerletirilip, 20 saniye ikisi birlikte k kayna ile polimerize edildi. Kaviteye tabakalama yntemi ile kompozit
yerletirildi (Filtek Supreme,3M ESPE). Her rezin tabakasndan sonra 20 saniye sreyle polimerizasyon saland. nce grenli
elmas frez kullanlarak bitirme ilemi gerekletirildi.
BULGULAR: Restorasyonun; birinci hafta ve 18, 24 aylk kontrollerinde marjinal renklemeye rastlanmam ve marjinal uyumda,
anatomik formunda bir bozulma, yzeyde przlenme belirlenmemitir
SONU: Ar kron harabiyeti gsteren arka die uygulanan fiberle glendirilmi kompozit restorasyon, dayankllk ve okluzal
kuvvetlere kar diren asndan baarl bulundu. Bu tip kavitelerde bir alternatif olabilecei fikrine varld.
Anahtar Kelimeler: kron harabiyeti, fiberle glendirilmi kompozit
RESTORATION OF EXTENSIVELY CARIOUS POSTERIOR TEETH USING FIBER-REINFORCED RESIN COMPOSITE: CASE
REPORT
mit Candan1, Nesrin Eronat2
1
AIM: The longevity and fracture resistance of posterior teeth restored with resin composite are affected under high stressbearing conditions. To improve fracture resistance in large preparations and induce minimal cavity preparation the use of fiberreinforced resin composites are proposed. A methodical protocol for the restoration of extensively carious posterior molar tooth
with resin composite and glass-fiber layering is presented.
METHOD: A 12 years-old boy applied to the pedodontics clinic with insufficient restoration in the first molar tooth (# 36). After
clinical and radiographic examinations local anesthesia was applied. The amalgam restoration and carious dentin was removed
and a bevel was made restricted to enamel. After etching (15 s) adhesive was applied (Adper Single Bond, 3M ESPE) and light
curing was performed for 20 s. with a blue light-emitting diode (LED) (EliparFreelight, 3M ESPE USA). A thin layer of flowable
resin composite (Filtek Flow 3M ESPE) was applied and a layer of woven polymer-monomer gel impregnated E-glass fiber
(EverStick Net) (0.06 mm in thickness) on the unpolymerizedflowable composite was condensed with a plugger and polymerized
(20 s). Then, nanofilled resin composite was applied to the rest of the cavity incrementally, each increment being cured for 40 s.
Occlusion was carefully checked and restoration was contoured with fine diamond burs and finished with flexible discs (Sof-Lex
XT, 3M ESPE).
RESULTS: The restoration was evaluated at one week, 18 months after placement and completely satisfactory anatomic form,
surface texture and marginal adaptation was found. No secondary caries and postoperative sensitivity within the evaluation
periods was observed.
CONCLUSION: Conclusion: Nanofil resin restoration applied with glass-fiber layering in large posterior cavity was found
successful for fracture resistance in long term appointments and can be an alternative in restoring these cavities.
Key Words: fiber-reinforced composites, extensively carious molars
157
P39
RENCLERN D HEKML FAKLTESN TERCH NEDENLER VE FAKLTE LE LGL LK ZLENMLER
Pnar Kker1, Ayegl Demirba Kaya1
1
Ege niversitesi Di Hekimlii Fakltesi, Restoratif Di Tedavisi Ana Bilim Dal, Trkiye
AMA: Ege niversitesi Di hekimlii Fakltesi ni tercih edip 1. snf rencisi olan genlerin, meslek tercih kaynaklarn,
mezun olduklar orta retim kurumlarn, yaadklar blgeleri tespit etmek ve rencilerin faklte ile ilgili ilk izlenimlerinin
saptanmasdr.
YNTEM: 2010-2011, 2011-2012 ve 2012-2013 eitim ve retim yllarnda 1. snfa kaytl 332 renciye anket uyguland.
Ankette, rencilerin en son renim grdkleri okul, ailelerinin yaadklar yer, meslek tercih kaynaklar ve faklte ile ilgili ilk
izlenimleri sorularna yer verildi. Veriler Ki Kare testi kullanlarak deerlendirildi.
BULGULAR: Faklteyi kazanan renciler arlkl olarak Anadolu Lisesi(% 53.0) mezunlaryd. Fakltenin Trkiye nin
her blgesinden tercih edildii saptand. rencilerin tercih yaparken en ok yararlandklar kaynaklarn ise tandklar di
hekimleri(% 59.9) olduu grld. rencilerin faklte ile ilgili ilk izlenimlerinin genel olarak olumlu olduu (% 56.3) tespit
edildi.
SONU: Dihekimlini tercih aamasnda olan rencilerin bilinli ve istekli olmalarnn yan sra meslek ve eitim sreci
hakknda doru kaynaklardan bilgi almalarnn nemli olduu ortaya kmtr. Ege niversitesi gibi byk ve kkl bir
niversitenin tantm etkinliklerinde yetersiz olduu grlmtr.
Anahtar Kelimeler: Di hekimlii rencisi, ilk izlenim, meslek tercihleri
THE REASONS OF CAREER PREFERENCE OF DENTISTRY STUDENTS AND THEIR FIRST IMPRESSIONS ABOUT THEIR
FACULTY
Pnar Kker1, Ayegl Demirba Kaya1
1
AIM: The aim of our study was to determine the reasons of career preference, graduated high schools and place of living of first
grade dentistry students and their first impressions about the faculty.
METHOD: A questionaire was applied to 332 first grade students registered to Ege University Faculty of Dentistry. Questionaire
included questions about their graduated schools, place of living of their families, reasons of career preference of students and
their first impressions about the faculty. X2 test was used for statistical analysis.
RESULTS: Majority of students were graduates of Anatolian high school(% 53.0). There were students from all geographical
regions of Turkey. The reference of the students for their choices were mostly other dentists they recognized(% 59.9). Their first
impressions about the faculty were mostly positive(%56.3).
CONCLUSION: It s important for students to be well informed and motivated during their stage of making their career
preferences as well as to be informed from reliable resources. As being a big and established university, the presentation
activities were found to be inadequate for Ege University.
Key Words: Dentistry student, Career preference, First impressions
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P40
FARKLI DERMLERDEK OLEUROPENN REZN ESASLI FSSUR RTCNN BALANTI DRENCNE OLAN ETKS
Mehmet Selim Bilgin1, Ali Erdem1, Mustafa Altunsoy2, Mehmet Emin Uslu3
1
AMA: Zeytin aacnn yapraklarndan elde edilen fenolik ekstraktn etken malzemesi olan oleuropeinin fissr rtcnn
makaslama balant direncinin deerlendirilmesi
YNTEM: Fissur rtc 5 farkl gruba ayrld: ilki original ierikti ve dier drt grup %0,4, %0,5, %0,6 ve %1lik olmak zere
belirlendi. Yeni ekilmi elli adet maksiller santral insizr akrilik bloklara yerletirildi. Mine yzeyleri 400 gritlik zmpara ile
zmparalanarak standart yzeyler elde edildi. lemin yaplaca yzeye %37 lik fosforik asit uygulandktan sonar ykand ve hava
spreyi ile kurutuldu. Farkl deriimlerde oleuropein mine yzeyine silindirik bir kalpla uyguland. Makaslama balant testi
universal test makinesinde yapld. Veriler One-way ANOVA ve Tukey HSD testi ile analiz edildi ( = 0.05).
BULGULAR: %0,4, %0,5, %0,6 ve kontrol gruplar arasnda istatistiksel olarak fark bulunmamtr (p > 0.05). %0,6 ve kontrol
grubu %1lik gruptan daha yksek makaslama balant direnci gstermitir (p < 0.05).
SONU: Oleuropein belirli deriimlerde rezin bazl fissr rtcnn makaslama balant direncini negatif olarak
etkilemediinden, antibakteriyel katk maddesi olarak fissr rtclere katlabilir.
EFFECT OF ADDING DIFFERENT CONCENTRATIONS OF OLEUROPEIN TO RESIN BASED FISSURE SEALENT ON SHEAR BOND
STRENGTH
Mehmet Selim Bilgin1, Ali Erdem1, Mustafa Altunsoy2, Mehmet Emin Uslu3
1
AIM: To evaluate the shear bond strength (SBS) of phenolic extract of olive tree leaves which is called oleuropein added to fissur
sealent.
METHOD: The fissure sealant was divided into five groups: one using the original composition and four with 0.4%, 0.5%,
0.6% and 1% oleropein added to the sealant. Fifty freshly extracted maxillary central incisors were mounted in an acrylic jig.
Enamel surfaces were polished with 400-grit paper to create standard flat surfaces. The ground surfaces were etched with 37%
phosphoric acid, washed, and air dried. Then, oleuropein in different proportions added to fissure sealent were applied to the
enamel surfaces with a plastic cylinder and polymerized. SBS was tested for failure using a knife-edge blade in a universal
testing machine. The data were analyzed with One-way ANOVA and Tukey HSD test ( = 0.05).
RESULTS: There were no statistically differences among groups % 0.6, % 0.5, %0.4 and control (p > 0.05). Group % 0.6 and
control group showed statistically higher SBS than group % 1 (p < 0.05).
CONCLUSION: Since oleuropein does not adversely affect the SBS of resin based fissure sealent at certain doses, it can be used
as an additive for its antibacterial effect.
Key Words: Fissure sealent, caries, antibacterial, oleuropein, shear.
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P41
ANTERORDA FBERLE GLENDRLM KOMPOZT REZN KPR: BR VAKA RAPORU
Eda Arat Maden1, Ceyhan Altun1, Bilal zmen1, Ceren Yldrm1
1
Glhane Askeri Tp Akademisi Dihekimlii Bilimleri Merkezi ocuk Dihekimlii Anabilim Dal, Ankara, Trkiye
AMA: Dental travmatik yaralanmalar poplasyonda yaygndr, ocuklar ve genler zerinde sk grlen bir patolojidir. n
dilerin kayb psikolojik ve sosyal olarak hastalar iin zc olabilir. Son yllarda fiberle glendirilmi kompozit rezinler, alam
esasl restorasyonlara alternatif olarak kabul grmektedir. Bu vakada, avlsiyonlu bir dii olan 13 yandaki erkek hastann
akrilik di pontik ve fiberle glendirilmi kompozit rezinle yaplan sabit protez tedavisi sunulmas amalanmtr.
YNTEM: 13 yandaki bir erkek hasta st sol santral kesici diindeki avlsiyon sebebiyle travmadan 1 yl sonra ocuk
Dihekimlii Kliniine bavurdu. Avlse di kayp olduu iin hasta ve ebeveynleri estetikten ikyetiydi. Akrilik di pontik ve
fiberle glendirilmi kompozit rezin ile sabit protez yaplmasna karar verildi. Fiber ve kompozit rezine yeterli yer salamak
iin pontik diin lingual yzeyinden 1 mm kadar andrma yapld. Fiber (Ribbond, Seattle, WA, USA) uygun uzunlukta kesildi,
destek dilere ve pontie adapte edildi. Fiber, 21, 12 numaral dilerin ve 11 numaral pontiin 1/3 palatinaline yerletirildi.
Destek dilerin lingual yzeyleri Filtek Z350 XT ile kapland ve polimerize edildi. Pontik zerinde akta kalan fiber yzeylerinde
daha doal ekil elde etmek, final restorasyonu ekillendirmek ve ara yzeylerdeki balayc alan glendirmek iin kompozit
ilave edildi.
SONU: Diin bu ekilde yerine koyulmas, hzl, basit ve dk maliyetli bir yntemdir. Polietilen fiberle glendirilmi kprler,
daimi bir tedavi gibi ya da byme periyodundan sonra implant yerletirilmesi durumunda, uzun sreli fakat geri dnm
olan bir tedavi gibi dnlebilir.
Gulhane Military Medical Academy, Center of Dental Science Department of Pediatric Dentistry, Ankara, Turkey
AIM: Dental traumatic injuries are widespread in the population and are a frequent pathology among children and teenagers. The
loss of anterior teeth can be painful for patients, both psychologically and socially. In recent years, fiber-reinforced composite
resins (FRCs) have gained acceptance as viable alternatives to alloy-based restorations. The aim of this case is to present a
13-year-old boy with avulsion, treated by placing an acrylic tooth pontic with FRC as fixed partial denture.
METHOD: A 13-year-old boy visited the Department of Pediatric Dentistry because of tooth avulsion of the left maxillary central
incisors one year after the trauma. Both the patient and his parents were concerned with aesthetic because of the avulsed tooth
was missed. The decision was made to place an acrylic tooth pontic with FRC (Ribbond) as fixed partial denture. The preparation
consisted of removing approximately 1.0 mm of the lingual surface of the pontic to ensure adequate space for the placement of
the fiber and composite resin. The fiber framework (Ribbond, Seattle, WA, USA) was cut to the appropriate length and adapted
to the abutment teeth and the pontic area. The FRC framework was located in the palatal 1/3 area of 21, 12, 11 pontic. Lingual
surface of the abutment teeth were covered with Filtek Z350 XT and cured. Composite was added to the exposed fiber surfaces
on the pontic in order to obtain a more natural shape and shade of the final restoration and to reinforce the connector area of
the interproximal surface.
CONCLUSION: This method of tooth replacement is viewed as a fast, simple, cost-effective means of replacing anterior teeth.
Polyethylene FRC bridges can be considered as a permanent treatment or, in the case of implant placement after the end of the
growth period, as a long-lasting reversible treatment.
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P42
OCUK D DEKML PRATNDE RESTORATF MATERYAL SEM
Bilal zmen1, Murat Cortcu2, Banu Glcan2, Alp Erdin Koyutrk2, Uur Tokay3
1
Ondokuz Mays niversitesi, Di Hekimlii Fakltesi, ocuk Di Hekimlii Ana Bilimdal, Samsun, Trkiye
AMA: Bu almann amac ocuk di hekimlii pratiinde dolgu maddesi tercihlerinin incelenmesidir.
YNTEM: almamza Samsun Ondokuz Mays niversitesi Di Hekimlii Fakltesine 2012 yl ierisinde bavuran ve
restoratif tedavileri yaplan hastalardan rastgele seilen 850 tanesi dahil edilmitir. Restoratif tedaviler, retim yesi, asistan
veya renciler tarafndan, 509 daimi ve 711 st diine uygulanmtr. Kullanlan restoratif materyaller, uygulayclar, hastalarn
ya ve cinsiyetleri kaydedilmi, elde edilen veriler istatistiksel olarak deerlendirilmitir.
BULGULAR: Restorasyon tercihlerinin ya gruplarna gre deiim gsterdii belirlendi (p<0,05).
SONU: ocuk hastalarn di tedavilerinde kullanlan dolgu maddeleri; hastalarn yana, hekimlerin tercihine, restorasyon
uygulanan st veya daimi die gre farkllk gsterdii belirlenmitir.
Ondokuz Mayis University, Faculty of Dentistry, Department of Pediatric Dentistry, Samsun, Turkey
AIM: The aim of this study was to investigate the preferred restorative materials in the practice of pediatric dentistry
METHOD: Randomly selected 850 patients who applied to Samsun Ondokuz Mayis University Faculty of Dentistry at 2012, who
applied to dental treatment were included in this study. Restorative treatments were performed by lecturer, assistant or students,
and were performed to 509 permanent teeth and 711 primary teeth. Used restorative materials, practitioners, age and sex of
patients were recorded. The data statistically analyzed.
RESULTS: It was determined that restoration preferences changed according to age groups (p<0.05).
CONCLUSION: It was determined that the restorative materials used in the dental treatment of pediatric patients could changed
according to age, practitioners of choice and the permanet or primary teeth which aplied to restorations.
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P43
ODONTOMA NEDENYLE ETKLENM ST KESC DN ORTODONTK TEDAVS: BR VAKA RAPORU
Eda Arat Maden1, Bilal zmen1, Tamer Zerener2, Gkhan Duran3
1
Glhane Askeri Tp Akademisi Dihekimlii Bilimleri Merkezi ocuk Dihekimlii Anabilim Dal, Ankara, Trkiye
Glhane Askeri Tp Akademisi Dihekimlii Bilimleri Merkezi Oral ve Maksillofasiyal Cerrahi Anabilim Dal, Ankara, Trkiye
Glhane Askeri Tp Akademisi Dihekimlii Bilimleri Merkezi Ortodonti Anabilim Dal, Ankara, Trkiye
AMA: Odontomalar en sk grlen odontojenik tmrlerdendir ve genellikle asemptomatiktirler. Bazen odontomalar srme
gecikmeleri, dilerin gml kalmas, st diinin retansiyonu gibi di erupsiyonunda bozukluklara neden olabilirler. Bu vaka
raporunda ama 12 yanda bir erkek hastann kompaund kompozit odontomaya bal srmemi st sa santral kesici diini
sunmaktr.
YNTEM: 12 yanda bir erkek hasta srmemi st sa n diindeki ikayetle ocuk Dihekimlii Klinie bavurdu. ntraoral
periapikal radyografide st sa santral diin insizalinde srmeyi engelleyen radyoopak bir kitle grld. Daha sonra hasta Oral
ve Maksillofasiyal Cerrahi Kliniine gnderildi. Odontomann lokal anestezi altnda tamamen eksizyonu planland ve st daimi
kesici diin kendiliinden erupsiyonu beklendi. Di post-operatif radyografik deerlendirmeden 2 yl sonra belirli bir ykselme
gsterdi ancak ark iinde deildi. Bu nedenle etkilenmi dii kendi pozisyonuna getirmek iin ortodontik bir aparey yaplmaya
karar verildi. Di zerine ortodontik elastikler ile ekme gc uyguland. 2 yl sonraki takip randevusunda, daimi kesici santral
diin dental arkta olduu grld.
SONU: Odontomalarn erken tehisi, karmak ve pahal olmayan tedavilere ve daha iyi prognoza olanak salayabilir.
Gulhane Military Medical Academy, Center of Dental Science Department of Pediatric Dentistry, Ankara, Turkey
Gulhane Military Medical Academy, Center of Dental Science Department of Oral and Maxillofacial Surgery, Ankara, Turkey
Gulhane Military Medical Academy, Center of Dental Science Department of Orthodontics, Ankara, Turkey
AIM: Odontomas are the most common type of odontogenic tumors and generally they are asymptomatic. Occasionally,
odontomas may cause disturbances in the eruption of teeth, such as impaction, delay eruption or retention of primary teeth. .
The aim of this case report is to present a 12-year-old boy with an unerupted maxillary right central incisor due to a compound
composite odontoma.
METHOD: A 12-years-old male patient referred to the Pediatric Dentistry Department with a chief complaint of unerupted
upper right front tooth. Intra-oral periapical radiograph revealed the presence of the right central incisor with a radiopaque
mass present incisally, thereby obstructing its eruption. After then, the patient was referred to the Oral and Maxillofacial
Surgery Department. Complete excision of the odontoma under local anesthesia was planned and the spontaneous eruption of
the permanent maxillary tooth could be excepted. The tooth showed remarkable descent within the two years of post-operative
radiographic evaluation but it was not in the arch. Therefore it was decided to place an orthodontic device in order to guide
the impacted tooth into its position. Traction force was applied on the tooth using orthodontic elastics. At the end of the 2-years
follow-up visit, the permanent central incisor tooth was in the dental arch.
CONCLUSION: Early diagnosis of odontomas may allowed adoption of a less complex and less expensive treatment, and ensures
better prognosis.
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P44
HEMANJYOMU OLAN HASTADA ORAL BULGULAR: BR VAKA RAPORU
Bilal zmen, Ceren Yldrm, Eda Arat Maden1
1
Glhane Askeri Tp Akademisi Dihekimlii Bilimleri Merkezi ocuk Dihekimlii Anabilim Dal, Ankara, Trkiye
AMA: Bu yaznn amac hemanjiyomun oral bulgularn bildirmektir. Hemanjiyomlar kan damarlarnn iyi huylu profilerasyonuyla
karakterize, vaskler anomalilerdir. Oral hemanjiyomlar iin en yaygn lokasyon dudaktr. Perioral hemanjiyomlar vermillion
snrnn bozulmas, yaygn lserler, ar ve kt beslenmeye sebep olan ve kalc izler brakan lezyonlardr. Az blgesinde
kaslara gelen minr travmadan sonra kanama ve enfeksiyon geliebilir. Bu yaznn amac 7 yandaki bir ocuun dudak
blgesindeki hemanjiyom tansn, bu lezyona bal oral deiiklikler ve dental tedaviler ile bu deiiklikleri minimalize etmenin
mmkn olduunu vurgulamaktr.
YNTEM: 7 yandaki bir kz hasta alt dudak blgesindeki hemanjiyom ve dilerindeki apraklk ikayeti ile ocuk Dihekimlii
Kliniine bavurdu. Labial mukozada kalnlama, atrofik skarlarla lezyon fibrotik grnmdeydi. Radyolojik olarak hibir
deiiklik yoktu ve enelerin kemik yaps normaldi. Klinik ve radyografik muayenede alt birinci bykaznn olmad grld.
st sa ve sol kanin di ene kemiine gmlyd. Kanin dilerin erupsiyonu iin yer yoktu. Gerekli olan dental tedaviler yapld.
SONU: Hemanjiyom, hastann okuldaki sosyal ilikilerini, rutin yaantsn ve yz estetiini etkileyebilir. Bu yzden hastalarn
tedavi ihtiyalar vardr. Hemanjiyomu olan hastalar iin dentoalveolar muayene nemlidir. Hemanjiyomu olan ocuklar dental
maloklzyona sahip olabilir ve maloklzyon tedavisinin ya nemlidir.
Gulhane Military Medical Academy, Center of Dental Science Department of Pediatric Dentistry, Ankara, Turkey
AIM: The aim of this paper is to report a case of hemangioma was possible with the oral findings. Hemangiomas are benign
vascular anomalies characterized by proliferation of blood vessels. The most frequent location for oral haemangiomas is the
lip. Perioral hemangiomas lead to distortion of important cosmetic boundaries, such as the vermillion border, and commonly
ulcerate, causing pain, poor feeding, and permanent scars. In the oral region bleeding and infection may develop after masticatory
minor trauma. The purpose of this paper is to present a case study of a 7-year-old child with a diagnosis of hemangioma of
the lip, emphasizing the oral changes found as a result of this lesion, as well as the dental treatment used to minimize these
changes.
METHOD: A 7-year-old girl with hemangioma in the lower lip referred to Pediatric Dentistry Department, with a chief complaint
of crowding teeth. The lesion appeared fibrotic with labial mucosa thickening and atrophic scars. Radiographically, there were
no alterations and the bone structure of jaws was normal.The clinical examination and panoramic radiograph showed missing
permanent left mandibular first molar. The permanent maxillary right and left canine were embedded to upper jaw bone. There
was not space for canine eruption. The necessary dental procedures were performed.
CONCLUSION: Hemangioma may harms the patients social relationships at school, disturbing routine and compromising
facial esthetics. So they need treatment. Dentoalveolar examination is important for patient with hemangioma. The childs with
hemangioma can have dental malocclusion and the age of malocclusion treatment is important.
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P45
ST KESC DLERE GELEN TRAVMANIN ALTINDAK DAM DLERE ETKLER: K VAKA RAPORU
Eda Arat Maden1, Bilal zmen1, Ceren Yldrm1, Ceyhan Altun1
1
Glhane Askeri Tp Akademisi Dihekimlii Bilimleri Merkezi ocuk Dihekimlii Anabilim Dal, Ankara, Trkiye
AMA: St dilerine gelen travma, st dilerinin apikalleri ve altndaki daimi diler arasndaki yakn iliki nedeniyle altnda
bulunan dilere direkt zarar verebilir. St dilerine gelen travma sonras, alttaki daimi dilerde, pulpa nekrozu, temas kayb,
renk deiiklii, mine hipoplazisi, kron ve kk deformasyonu, ektopik erupsiyon en sk grlen sekellerdendir. Bu vakann amac,
st dilerindeki travmaya bal olarak daimi dilerde oluan problemleri ve tedavilerini sunmaktr.
YNTEM: Olgu 1 12 yandaki bir kz hasta kt bir estetik grnt nedeniyle kliniimize bavurdu. st daimi santral kesici
ektopik srmt. Radyografik muayenede st daimi santral kesici dite periapikal enflamasyon olduu grld. Hasta 4
yandayken travma geirdiini bildirdi. st daimi santral kesici die MTA kullanlarak endodontik tedavi planlamas yapld.
Daha sonra diin fizyolojik repozisyonu planland. Olgu 2 12 yandaki bir erkek hasta st sol daimi santral kesici diindeki kt
bir estetik grnt nedeniyle kliniimize bavurdu. st sol daimi santralin kronu hipoplastik mineye sahipti. Hasta 1 yandayken
travma geirdiini bildirdi. st sol daimi santral die kla sertleen kompozit rezin restorasyon yapld.
SONU: St dilerine gelen travma nedeniyle daimi dilerde oluan sekeller tedavi edildi. Ebeveynler tedavi edilmemi travmal
st dileri nedeniyle oluabilecek sonularn farknda olmaldrlar. Dental travmann sekelleri ve dental travmayla ilgili acil
bilgiler hakknda hastalar bilgilendirmek iin eitici ve koruyucu programlar gereklidir.
EFFECTS OF TRAUMA TO THE PRIMARY INCSORS ON THEIR PERMANENT SUCCESSORS: CASE OF TWO REPORTS
Eda Arat Maden1, Bilal zmen1, Ceren Yldrm1, Ceyhan Altun1
1
Gulhane Military Medical Academy, Center of Dental Science Department of Pediatric Dentistry, Ankara, Turkey
AIM: Trauma to primary teeth may result in direct damage to underlying developing permanent teeth because of the close
relationship that exists between the apices of the primary teeth and their permanent successors. Pulp necrosis, premature
loss, color change, enamel hypoplasia, crown and/or root deformation and ectopic eruption of permanent successors are the
most frequent sequelae in trauma to the primary incisors. The purpose of this case report was to present the problems and the
treatments on permanent successors due to trauma to the primary incisors.
METHOD: Case 1 A 12-year-old girl was referred to our clinic with a complaint of poor aesthetic appearance. The crown of the
permanent maxillary left central tooth exhibited an ectopic eruption. Radiographic examination revealed that the permanent
maxillary left central tooth had a periapical enflamation. The patient revealed a history of trauma at the age of 4 years. A treatment
plan was formulated that included endodontic treatment of the permanent maxillary left central tooth, including placement of
mineral trioxide aggregate (MTA) dressing. After that the physiological reposition of the permanent tooth was planned . Case 2 A
12-year-old boy was referred to our clinic with a complaint of poor aesthetic appearance of the permanent maxillary left central
tooth. The crown of the permanent maxillary left central tooth had hypoplastic enamel. The patient revealed a history of trauma
at the age of 1 years. An aesthetic restoration with light-curing resin composite was performed on the maxillary left permanent
central tooth.
CONCLUSION: Sequelae of a primary tooth trauma on the permanent teeth were treated. Parents should be aware of the
consequences of untreated trauma to a primary tooth. Educational and preventive programmes on dental trauma are required
to educate parents about emergency knowledge and sequelae of dental trauma.
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P46
KKSZ DAM BRNC AZI DLER: HSTOPATOLOJK BR VAKA RAPORU
Aybarshan Ylmaz1, Bilal zmen1, Gnseli Gven Polat1, zlem Mart Akgn1, mer Gnhan2
1
AMA: Araknoid kistler ounlukla beyinde ve bazen de omurilikte oluan, etraf araknoid zarla evrili, iinde beyin omurilik
svsna (BOS) benzer saydam sv ieren kistik yaplardr. ou, geliimsel olup, daha az oranda da araknoid zar da etkileyen
enfeksiyon ve kanamalar sonucu oluur. Bu vaka raporunun amac kk geliimi grlmeyen daimi birinci az dilere sahip bir
hastay sunmaktr.
YNTEM: Araknoid kist tansyla 1,3 ve 4 yalarnda operasyon geiren 10 yandaki hasta kliniimize rutin kontrol iin
gelmitir. Klinik muayenede herhangi bir patoloji gzlenmezken, radyolojik muayene iin alnan ortopantomografta daimi birinci
az dilerinin tamamnda kk geliiminin gereklemedii ancak kronun normal gelitii grlmtr. Hasta bir yldr takip
edilmektedir. lgili diler, yerine 2. daimi az dilerin migrasyonunu salayabilmek amacyla ekilmi ve histopatolojik olarak
incelenmitir. Histopatoloji inceleme sonucunda disorganize ve dismineralize di dokular belirlenmitir.
SONU: Araknoid kist grlen hastalarn dental adan da deerlendirilmesi, bu konuyla ilgili daha kapsaml almalarn
yaplmas gerektii dnlmektedir.
AIM: Arachnoid cysts are cystic structures surrounded by arachnoid membrane that containing transparent liquid like
cerebrospinal fluid (CSF), usually occur in the brain and sometimes in the spinal cord. Most of arachnoid membrane are
develeopmental but some arachnoid membrane occurs as a result of infection and bleeding. The aim of this case report is to
present a patient who has got rootless permanent first molar teeth.
METHOD: A 10-years-old girl patient who was operated on 1, 3 and 4 years of age according to arachnoid cyst diagnosis came
to our clinic for a routine examination. No patology was seen in clinical examination. However, received ortopantomograft for
radiological examination showed that the first permanent molars root development does not take place but the crown has been
developed normally. Patient had been followed for one year. First permanent molars were extracted to provide the migration of
second permanent molars and examined histopathologically. After the histopathologically examined, it was determined the disorganize and dis-mineralize teeth tissues.
CONCLUSION: It is considered that patients with arachnoid cysts must evaluated in terms of dental aspects and more
comprehensive studies on this issue must be done.
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P47
OCUK HASTALARDA DAM BRNC AZI D KAYIP PREVALANSININ DEERLENDRLMES
Bilal zmen1, Aybarshan Ylmaz1, Murat Cortcu2, Alp Erdin Koyutrk2, Uur Tokay3
1
Ondokuz Mays niversitesi, Di Hekimlii Fakltesi, ocuk Di Hekimlii Ana Bilimdal, Samsun, Trkiye
AMA: Bu almann amac muayene olmak iin klinie ilk kez bavurmu ocuk hastalarda daimi birinci az di kayp
prevalansnn deerlendirilmesidir.
YNTEM: almamza Samsun Ondokuz Mays niversitesi Di Hekimlii Fakltesine 2012 yl ierisinde ilk kez bavuran
ve panaromik film alnan hastalardan rastgele seilen 1204 tanesi dahil edilmitir. Panaromik filmlerde gzlenen alt ya dii
kayplar, kayp blgesi, hastalarn ya ve cinsiyetleri kaydedilmi, elde edilen veriler istatistiksel olarak deerlendirilmitir.
BULGULAR: 97 hastann 126 daimi birinci az diinin ekilmi olduu belirlendi. Di ekim oranlar ya ve cinsiyete gre
istatistiksel olarak deiim gstermektedir.
SONU: ocuk hastalarda eitli nedenlerle daimi birinci az di ekimleri olabilmektedir fakat bu diler hem di hekimi hem
de hastalar tarafndan korunmaya allmaldr.
EVALUATION OF PREVALENCE TO MISSING PERMANENT FIRST MOLAR TEETH IN THE CHILD PATIENTS
Bilal zmen1, Aybarshan Ylmaz1, Murat Cortcu2, Alp Erdin Koyutrk2, Uur Tokay3
1
Ondokuz Mayis University, Faculty of Dentistry, Department of Pediatric Dentistry, Samsun, Turkey
AIM: The aim of this study was to evaluate the prevalence of missing permanent first molar teeth in the child patients examined
for the first time.
METHOD: Randomly selected 1204 patients who examined for the first time in Samsun Ondokuz Mayis University Faculty of
Dentistry at 2012, who received panoramic radiographs. Number of extracted permanent first molars teeth, missing regions,
patients age and sex was recorded. The data statistically analyzed.
RESULTS: It was determined that 126 first permanent molar teeth of 97 patients had been extracted. Rate of extracted
permanent first molars teeth changed with age and sex, statistically (p
CONCLUSION: The first permanent molar teeth could be extracted different reasons in pediatric patients. However, these teeth
shold be protected by both dentists and patients.
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P48
TEKRAR EDEN BRONJ : VAKA RAPORU
Rdvan Akku1, Burcu Grsoytrak1, Hasan Onur imek1, Umut Demetolu1
1
Adnan Menderes niversitesi , Az Di ve ene Cerrahisi Ana Bilim Dal, Aydn, Trkiye
AMA: enelerin bifosfonata bal osteonekroz (BRONJ) vakalar ilk kez 2003 ylnda rapor edilmitir ve intravenoz bifosfonat
kullanan hastalarda sklkla grlen BRONJ, yaam kalitesini nemli derecede etkileyen ve ciddi morbidite oluturan bir
komplikasyondur . skeletle ilikili maling hastalklarn tedavilerinde, zellikle multiple mylemo ve metastatik meme ve prostat
kanserlerinde, ncelikli olarak intravenz kullanlan nitrojen ierikli formlasyonlarnn BRONJ oluturma riski ok daha
yksektir.
YNTEM: Rutin dental kontrolleri srasnda di hekimi tarafndan radyolusensi tespit edilen 19 yandaki erkek hasta
kliniimize bavurmutur. Bavuru zerine panaromik radyografi ekilmi , ekilen radyografta sa posterior mandibula da 1,5
x 2 cm geniliinde snrlar dzensiz radyolusens lezyon grlmtr. Hastada ar ve parestezi yoktur, ekstraoral muayenede
lenfodenapatiye rastlanmamtr. Yz ve boyun asimetirisi yoktur. Nekrotik kemik salkl kemik dokusunu grene kadar krete
edildi
BULGULAR: ntravenz bifosfonat kullanm intraoral kullanmna gre daha fazla BRONJ oluturma riskine sahiptir ve
kullanma sresinin artmasyla bu riskin artt bilinmektedir . Sklkla grlen bu klinik durum ene kemiinin bir blmnn
az ortamna almas ile karakterizedir. Ayrca kemikle bir kez birletikleri takdirde ortalama 10 yl bozunmadan kalabilirler.
Hastamz bu ilac brakm olmasna ramen kemiklerinde osteonekroz tekrar grlmtr.
SONU: Bifosfonatlar kullanlrken hastaya salayaca yararlar ve komplikasyonlar deerlendirilip ona gre kullanlmaldr. Bu
ilac kullanan hastalarda osteonekroza neden olabilecek travma ve cerrahi ilemlerden kanlmaldr
Anahtar Kelimeler: Bifosfonat, BRONJ, Osteonekroz
AIM: Bisphosphonate-related osteonecrosis of the jaw (BRONJ) was first reported in 2003 and BRONJ is a common
complication of intravenous bisphosphonates that seriously affects the quality of life of patients undergoing such treatment and
produces significant morbidity. The risk is greatest with the intravenous nitrogen-containing formulations used primarily in the
management of skeletal-related malignancy, including multiple myeloma and metastatic breast and prostate cancers.
METHOD: A 40 year-old man was referred to our Clinic, by his general dentist for a radiolucency that was detected during a
routine dental visit. On referral, a panoramic radiograph was obtained; it showed a 1,5-2 cm irreguler borders radiolucency
in the right posterior mandible. Paresthesia or pain had not seen. The extraoral examination of the patient did not show any
cervical or submandibular lymphadenopathy. There was no significant facial or cervical asymmetry. Necrotic bone was curetted
free of debris by the time seeing healty bone tissue.
RESULTS: Discussion: Intravenous bisphosphonate used riskier than intraoral bisphosphonate used has become potential
for causing BRONJ and this risk increases with long treatment.This clinical situation often is characterized by the portion of
mandible opening to the mouth. In addition, once the bones are combined, they can remain intact about ten years. Osteonecrosis
has seen n the patients bones again even he give up these drugs.
CONCLUSION: Benefits and complicatios should be considered at biphosphonate treatments . Trauma and surgical procuders
that may cause osteonecrosis should be avoided on patients who use this treatment.
Key Words: Biphosphonate, BRONJ, Osteonecrosis
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P49
N APRAZ KAPANIIN CATLANS APAREY LE TEDAVS: VAKA RAPORU
Aybarshan Ylmaz1, zlem Mart Akgn1, Ceren Yldrm1
1
Glhane Askeri Tp Akademisi, ocuk Di Hekimlii Ana Bilim Dal. Ankara ,Trkiye
AMA: n apraz kapan, alt ve st enedeki bir ya da birden fazla kesici diin normal olmayan ilikisidir. n apraz kapan,
birok farkl teknikle tedavi edilebilir. Bu vaka raporunun amac n apraz kapan olan bir hastann Catlans apareyi ile tedavisini
sunmaktr.
YNTEM: 11 yanda erkek hasta ocuk di hekimlii kliniine, st ene kesici dilerindeki estetik problem nedeniyle bavurdu.
Yaplan klinik muayenede st sol kesici diinin apraz kapanta olduu ve snf I molar ilikinin bulunduu tespit edildi. Santral
kesici di iin yeterli meziodistal boyut olduu belirlendi. Ebeveyni tedavi hakknda bilgilendirildi. Alt-st ene lleri alnd. 45
derece eimli akrilik dzlem dilerin uzun aksn rtecek ekilde yapld. Bu eik dzlem alt kesici ve kanin diine cam iyonomer
siman ile simante edildi. Hastaya oral hijyen eitimi verildi ve her hafta kontrole arld.
BULGULAR: n apraz kapan Catlans apareyi ile 1 ayda tedavi edildi. Catlans apareyinin karlmasndan sonra ilgili di
yzeyleri temizlendi ve topikal florr uyguland.
SONU: Catlans apareyi n apraz kapann tedavisinde, sabit ortodontik tedaviye alternatif bir tedavi eklidir. Ergenlik
dneminde bu tedavi ynteminin uygun olup olmad deerlendirilmelidir. n apraz kapann tedavisinde geleneksel
yntemler daha basit yntemlerle karlatrlmaldr.
Anahtar Kelimeler: Catlans apareyi, n apraz kapan, sabit ortodontik tedavi.
AIM: Anterior crossbite is the description of abnormal labiolingual relationship between one or more maxillary and mandibular
incisor teeth. Multiple techniques have been used to adjust anterior crossbite. The aim of this case report was to present a case
of anterior crossbite treatment using Catlans appliance in one mounth.
METHOD: An 11-years-old male patient was referred to the Pediatric Dentistry Department with an esthetic concern of the
maxillar central tooth. On clinical examination, anterior crossbite was determined in relation to maxillary left central incisors
and class I molar relationship is determined. There was adequate mesiodistal width labial direction movement of maxillary
teeth. Parents were informed about the treatment. Impressions of both jaws were taken. An acrylic inclined plane with 45
degrees angle was prepared to covering the long axis of teeth. This inclined plane cemented to the low incisor and canine teeth
with glass ionomer cement. Patient should pay attention to oral hygiene and come to control every week.
RESULTS: The crossbite was treated with Catlans appliance within one mounth. After removing the Catlans appliance, polishing
was done on the enamal surface and topical fluoride was appplied. Recall examination after 6 months showed normal incisal
relation without any relapse.
CONCLUSION: Catlans appliance is a suitable alternative for fulfillment of anterior dental crossbite instead of complicated fixed
orthodontic treatments. In adolescence stages, t should be considered that treatment is useful or not. Malocclusion should
be evaluated in considering of facial profile. Conventional treatments should be compared with easier alternative treatment
methods in correction of anterior crossbite.
Key Words: Anterior crossbite, Catlans appliance, fixed orthodontic treatment
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P50
SEREBRAL PALSL HASTADA MULTDSPLNER YAKLAIM: OLGU SUNUMU
Serkan Grgl1, Hakan Da1, Mehmet Kaplan1, Zeynep Torun2, Vehbi Bal3, Seda Aycan Altan3
1
AMA: Bu almann amac konjenital di eksiklii ve alt anterior aprakl olan serebral palsili bir bireyin sabit ortodontik
tedavisi ve sonrasnda estetik amal olarak kron boyu ykseltme ile birlikte fiber kpr uygulamasn sunmaktadr.
YNTEM: Serebral palsili 16 yandaki kadn hasta ve velisi, alt n dilerindeki apraklk ikayetiyle kliniimize bavurdu.
Yaplan klinik muayenede hastann kark dilenme dneminde olduu, st lateral diler ve alt ikinci premolarlarn konjenital
olarak eksik olduu ve sa st n blgede spernmerer di olduu tespit edildi. Hastaya aamal bir tedavi ngrld.
Birinci aamada sabit ortodontik tedavi, ikinci aama kron boyu ykseltme ve son olarak fiber kpr uygulamas yaplmasna
karar verildi. Serebral palsili hastalarda plak konrol daha g olduundan tedavi ncesi iyi bir oral hijyen eitimi verildi. 14
ay sren sabit ortodontik tedavi sonras dilerdeki apraklk giderildi. Estetik amal olarak st n blge dilerde kron boyu
ykseltme yaplmtr ve son olarak fiber kpr uygulamas ile hem estetik hem de fonksiyonel bir sonu elde edilmitir.
SONU: Serepral palsili hastada multidisipliner yaklam ile estetik ve fonksiyonun salanabilecei gsterilmitir.
Anahtar Kelimeler: sabit ortodontik tedavi, kron boyu ykseltme , fiber kpr
AIM: Aim of this study is to present crown lengthening for esthetic purpose and fiber reinforce adesive bridge application following
fixed appliances of a patient with congenitally missing teeth and lower anterior crowding accompanying with cerebral palsy.
METHOD: A 16 year old female patient with cerebral palsy referred to our clinic because of anterior crowding. In clinical
examination it was understood that the patient was in the mixed dentition period. Maxillary lateral teeth and mandibular second
premolar were missing congenitally and supernumerary tooth existence was also seen in maxillary right anterior area. It was
decided to plan a treatment with 3 stages. At first stage fixed orthodontic treatment , at second stage crown lengthening and
gingivoplasty and regulation of gingival contours for the fiber reinforce adesive bridge application made into the missing maxillary
lateral tooth space. At the final stage it was decided to make a fiber reinforce adesive bridge application. Fixed orthodontic
treatment was completed effectively in 14 months then crown lengthening was applied to maxillary anterior teeth for esthetic
purposes. t was concluded both esthetic and functional results with a final fiber reinforce adesive bridge application.
CONCLUSION: This study showed that both esthetic and function can be obtained with multidisciplinary approach for a patient
with cerebral palsy.
Key Words: fixed orthodontic treatment ,crown lengthening , fiber reinforce adesive bridge application
169
P51
DAM I. MOLAR DTE ARTI TBERKL: VAKA RAPORU
Mehmet Kaplan1, Hakan Da1, Serkan Grgl1, Ceren Yldrm2, zlem Mart Akgn2
1
AMA: Art tberkl, st ve daimi dentisyonda, sklkla az dilerinde grlen mine ve dentinde oluan nadir bir dental anomalidir.
Estetik ve oklzal uyumsuzluklar ile di rnde art gibi problemlere yol aabilmektedir. Bu vaka raporunda, art tberkl
bulunan st daimi 1. molar diin tedavisinin sunulmas amalanmtr.
YNTEM: 12 yandaki erkek hasta dilerinde apraklk ikayeti ile GATA Ortodonti Kliniine bavurdu. Yaplan klinik ve
radyografik muayenesinde n dilerinde apraklk olduu ve snf II molar ilikinin olduu tespit edildi. Sabit ortodontik tedavi
uygulamasna karar verildi. 1 yl sonraki kontrol randevusunda st daimi 1. molar dilerin oklzal yzeyindeki art tberkllere
bal olarak oklzal kapann salanamad belirlendi.
BULGULAR: ocuk di hekimlii ile yaplan konsltasyon sonucu, birer aylk periyodlarla dite andrma yapld. Okluzyonun
salanmas iin de box elastik uyguland. Her seansta hassasiyeti nlemek iin andrlan blgeye florid vernik uyguland.
rk oluumunu engellemek iin fissr sealant yapld.
SONU: Art tberkl, nadir olarak grlen bir dental anomalidir. Bu geliimsel anomalilerin erken tehisi okluzal
uyumsuzluklara, estetik sorunlara yol at ve re yatknl arttrd iin olduka nemlidir.
Anahtar Kelimeler: Art tberkl, okluzyon, flor vernik
AIM: Extra cusp is rare dental development anomaly involving both primary and permanent teeth. It is composed of enamel and
dentin. Extra cusp can cause aesthetic and occlusal interferences problems and has a higher tendency for dental caries. The
aim of this case report is to present the treatment of extra cusp in a permanent maxillary first molars.
METHOD: A 12-year-old male patient was referred to the Orthodontic Department with a chief complaint of esthetic concern
of tooth. On clinical and radiographic examination, anterior crowding teeth was observed in maxillary and mandibular dental
arches, Class II molar relationship was determined. Fixed orthodontic treatment was planned. After one year follow-up there
was not provided adequate occlusal contact due to extra cusp on maxillary first molar.
RESULTS: In co-operation with the Department of Pediatric Dentistry, abrasion treatment applied and the tooth were abraded
with a one-month periods. Box elastic was used to improve the occlusion. The abraded area treated with fluoride varnish at each
visit. Fissure sealant was carried out to preventive development of caries.
CONCLUSION: Extra cusp has been reported as a very rare dental anomaly. Early diagnosis of extra cusp is very important
because it may lead occlusal disharmonies, aesthetic problems and increased risk of dental caries.
Key Words: Extra cusp , occlusion, fluoride varnish
170
P52
ADLESAN BR HASTADA MAKSLLER ORTAHAT DASTEMANIN KAPATILMASI
Bilal Yaa1, Hseyin Hatrl1
1
zmir Katip elebi niversitesi, Di Hekimlii Fakltesi, Restoratif Di Tedavisi AD, zmir, Trkiye
AMA: Maksiller ortahat diastema(MOD) hastann grnm ile kendine gvenini olumsuz olarak etkilemesi nedeniyle zellikle
adlesanlarda yaygn bir problemdir. Kompozit build-up restorasyonlar, veneer uygulamalar, ortodontik tedavi ve bunlarn
kombinasyonlar MOD iin tedavi alternatiflerini oluturmaktadr. Adlesan dnem ierisinde MOD ve herhangi bir ortodontik
bozukluk birlikte grlrse tedavi yaklam ncelikle ortodontik olmaldr ancak ortodontik bozukluu olmayan bir hastann
tedavisinde yaklam minimal invaziv olmaldr. Bu noktada, kompozit build-up restorasyonlar, uygulamann geri dnebilirlii,
tamir edilebilirlii ve grecesel olarak dk maliyeti gibi avantajlar ile en uygun tedavi seeneidir. Bu vaka raporunun amac
adlesan dnemdeki bir hastada kompozit restorasyonlar ile MODnin kapatlmasnn anlatlmasdr.
YNTEM: 18 yanda erkek hasta st kesici dileri arasndaki diastema ikayeti ile kliniimize bavurdu. Klinik ve radyografik
deerlendirme sonrasnda hasta tedavi seenekleri iin bilgilendirildi ve diastemalarn kompozit restorasyonlarla kapatlmasna
karar verildi. Dilerin sadece build-up uygulanacak alanlar asitlendi ve balayc ajan Optibond FL (Kerr Corp.USA) retici
nerileri dorultusunda uyguland. Nano-hibrit kompozit rezin materyali Clearfil Majesty ES-2 (Kuraray, Japonya) tabakalama
teknii ile uyguland. Restorasyonlar ince grenli elmas bitirme frezleri ile bitirildi, Sof-Lex(3MEspe,USA) diskler ve polisaj
pastas ile cilaland. Sa st kesici diin gingival marjin konturu gingivektomi ile dzeltildi.
BULGULAR: Kontrol seansnda restorasyonlarn form, renk ve estetik zelliklerinin doal di yaps ile iyi bir uyum gsterdii ve
dietinin saln koruduu grld. Tedavi sonular hekim ve hasta iin memnuniyet verici idi.
SONU: Restoratif tedavi ncesinde oklzal iliki, yz orta hatt ve dilerin restorasyon sonrasnda sahip olaca ekil ve estetik
oranlar deerlendirilmelidir. Adlesan periyodda direkt kompozit restorasyonlarla diastemalarn kapatlmas zellikle hastann
baka bir ortodontik bozukluu bulunmadnda tercih edilebilecek bir yaklamdr.
Anahtar Kelimeler: diastema,diastema kapatma, maksiller orta hat diastema
AIM: Maxillary midline diastema (MMD) is a common esthetic problem especially in adolescents, because it adversely affects
body image and self-confidence. Different treatment modalities such as composite build-up restoration, veneer application,
orthodontics and combinations of them are available. In the adolescent period, if MMD and any malocclusion are seen together,
treatment approach should be orthodontic, however, the approach should be minimally invasive for treatment of the patient with
normal occlusion. At this point, composite build-up restoration is the most convenient alternative thanks to several advantages
such as; repairability, reversibility of procedure and relatively lower cost to patient. The aim of this case report is to present
closure of MMD with direct composite restorations in an adolescent patient.
METHOD: Seventeen-year-old male patient refer to our clinic with compliance of diastema between upper central incisors.
After clinical and radiographic examination and informing patient about treatment options, closure of diastema with composite
build-up restorations is concluded. Following build-up application areas of teeth were only etched with phosphoric acid, bonding
agent Optibond FL (Kerr Corp., USA) was applied according to manufacturer instructions. Nano-hybrid composite resin material
Clearfil Majesty ES-2 (Kuraray, Japan) was applied with incremental technique. Restorations were finished with ultra-fine burs
and polishing was performed with Sof-Lex (3MEspe,USA) polishing discs and a polishing paste. Countur of gingival margin of
upper right incisor reshaped with gingivectomy.
RESULTS: In control visit, form, colour and esthetic properties of the restorations were well-matched with natural tooth
structure and gingiva was healthy. Treatment results were satisfying for both patient and dentist.
CONCLUSION: Occlusal relationship, midline of the face and final shape and esthetic proportion of the tooth and must be
considered before the restorative treatment. Closure of diastemas with direct composite restoration can be preferred especially
when patient dont have any other malocclusion in the adolescence period.
Key Words: diastema, diastema closure, maxillary midline diastema
171
P53
TEK TARAFLI RESTORASYONLARDA RENK VE YZEY ANATOMS BELRLEMENN NEM
Bilal Yaa1, Hseyin Hatrl1
1
zmir Katip elebi niversitesi, Di Hekimlii Fakltesi, Restoratif Di Tedavisi AD, zmir, Trkiye
AMA: Doal dilerle komuluu olan n dilerin restorasyonunda ekil, renk, yzey yaps ve translsentlik estetik
sonular iin gerekli temel zelliklerdir. Pratikte di rengi genellikle renk skalalar ile belirlenmektedir ve objektif olarak
rengin belirlenebilmesi iin renk lm cihazlar gelitirilmitir. Bazen restorasyonun yzey yaps ve rengini, doal dilerle
uyumlu olacak ekilde bitirmek olduka zordur. Bu durumda klinisyen, yzey haritalamas ya da fotoraflarn kullanlmas
gibi yntemlerden faydalanabilir. Bu vaka raporunun amac sol st kesici dilerdeki renklenmi ve hijyenik olmayan eski
restorasyonlarn yenilenmesini anlatmaktr.
YNTEM: 27 yandaki erkek hasta sol st kesici dilerdeki renklenmi ve estetik olmayan eski restorasyonlar ikayeti ile
kliniimize bavurdu. Klinik muayene ve radyografik deerlendirme sonrasnda hasta tedavi alternatifleri konusunda bilgilendirildi
ve dilerin E-max CAD tm seramik kronlarla restorasyonuna karar verildi. Eski restorasyonlar kaldrlmas ve santral diteki
metal postun kartlmasn takiben diler restore edildi ve Chamfer tarznda tm seramik kron preperasyonu yapld. Polieter
ierikli l materyali ile l alnarak fotoraflarla birlikte laboratuvara gnderildi. Hazrlanan E-max CAD (Ivoclar, Lihtentayn)
tm seramik kronlarn yzey yaps fotoraflar yardm ile oluturuldu. Restorasyonlar dual-cure yaptrma siman (Variolink N,
Ivoclar) ile yaptrld. Fazlalk simann temizlenmesini takiben restorasyonlar ince grenli bitirme frezleri ile bitirildi ve porselen
polisaj pastas ile parlatld.
BULGULAR: Yaplan takip kontrolnde E-max CAD tm seramik kronlar memnuniyet verici klinik performans, renk uyumu,
marjinal ve gingival adaptasyon gsterdi.
SONU: Estetik sonulara ulaabilmek iin klinisyen komu dilerin renk, translsensi ve yzey yaps gibi zelliklerini detayl
olarak di teknisyenine bildirmelidir. Fotoraflar, yzey haritalama metodlar ve renk belirleme cihazlar bu amala kullanlabilir.
Anahtar Kelimeler: E-max , renk seimi, tek tarafl restorasyon
THE IMPORTANCE OF COLOR AND SURFACE TEXTURE ANATOMY DETERMINATION OF UNILATERAL RESTORATIONS
Bilal Yaa1, Hseyin Hatrl1
1
AIM: When restorating an anterior tooth adjacent to natural sound teeth, shape, color, texture, and translucency are main
features for esthetic results. Color of the tooth usually determined with scales in clinics and also color measurement tools
are developed to determine tooth color objectively. Sometimes it is quite difficult to match texture and color of restoration with
natural teeth. In this situation, clinicians can take advantages of surface mapping or photographing of adjacent teeth. The aim of
this case report is to present renewal of colored and non-hygenic old restorations on upper left incisors.
METHOD: Twenty-seven-year-old male patient referred to our cilinic with compliance of discolored non-esthetic old restorations
on upper left incisors . After clinical and radiographical examination, patient was informed about treatment options and restorating
teeth with E-max CAD all ceramic crowns was concluded. Following old restorations and metalic post were removed, teeth were
restored and chamfer preparations were performed for all-ceramic crowns. Impression was taken with polyether impression
material and sent to dental laboratory with photographs of adjacent teeth. E-max CAD (Ivoclar, Liechtenstein) crowns were
prepared and surface textures were created by dental technician with the help of photographs. Restorations were cemented
with a dual-cure luting cement (Variolink N, Ivoclar). Following the excess cement was removed, restorations were finished with
ultra-fine burs and ceramic polishing paste.
RESULTS: At follow-up visit, E-max CAD all-ceramic crown restorations demonstrated satistified clinical performance, color
match and marginal and gingival adaptation.
CONCLUSION: For desired esthetic results, clinician should inform dental technician about color, translucency and surface
texture of the adjacent teeth in details. Photographs, color mapping methods and color measurement tools can be used for this
purpose.
Key Words: color selection, E-max, unilateral restorations
172
P54
DEVTAL BEYAZLATMANIN ETKNL : VAKA RAPORU
Hseyin Hatrl1, Bilal Yaa1
1
zmir Katip elebi niversitesi, Di Hekimlii Fakltesi, Restoratif Di Tedavisi AD, zmir, Trkiye
AMA: Anterior di renklenmesinin hastalar zerinde sosyal, psikolojik ve estetik etkileri vardr. Tek di renklenmesi genellikle
travma, vitalite kayb, kanal tedavisi ve restoratif ilemlerin sonrasnda meydana gelmektedir.. Beyazlatma, venerler ve kronlar
renklenmi devital dilerin tedavi seenekleri olarak grlmesine ramen kanal tedavisi sonras kalan di dokusu miktar
veneer ve kron preperasyonu iin eliki oluturmaktadr. Yaplacak giriim salam di dokusu iin koruyucu olmal ve sonraki
tedavi alternatiflerini etkilememelidir. Beyazlatma, renklenmi dilerde renklenmelerin di yapsna zarar vermeden ortadan
kaldrlmasnda, basit ve koruyucu bir tedavi seeneidir. Bu vaka raporunun amac renklenmi st iki keser diin devital
beyazlatma ve kompozit restorasyonlarla estetik rehabilitasyonunun anlatlmasdr.
YNTEM: 35 yanda erkek hasta renklenmi iki st kesici dilerinden duyduu rahatszlk nedeniyle kliniimize bavurdu.
Yaplan klinik ve radyografik deerlendirmede, renklenmi dilere daha nceden kanal tedavisi yapld ve hibir semptom
bulunmad gzlendi. Pozitif bulgular sonucunda, dilerin walking Bleach teknii ile beyazlatlmasna ve kompozit rezinle
restore edilmesine karar verildi. Dilerin balang renk deerleri spektrofotometre cihaz (SpectroShade, MHT) ile belirlendi.
Endodontik giri kavitelerinin jel uygulamas iin hazrlanmasn takiben %35 hidrojen peroksit jel (Opalescence Endo, Ultradent)
uyguland ve kaviteler balayc ajan kullanmadan kompozit rezinle skca kapatld. Hasta gnde bir jelin deitirilmesi iin
arld. Lateral diin komu dilerle renk uyumu nc, santral diin ise altnc seansta saland. Beyazlatma ileminden 14
gn sonra diler kompozit restorasyonlar ile restore edildi.
SONU: Yaplan alt aylk kontrolde, beyazlatma yaplan dilerin komu dilerle ve kompozit restorasyonlarla renk uyumu
memnun ediciydi. Ciddi ekilde renk deiimi grlen renklenmi devital dilerin tedavisi bazen ok zaman alc olsa da
beyazlatma ilemleri dier tedavi seeneklerine gre hasta iin daha ekonomik ve di yaps iin koruyucudur.
Anahtar Kelimeler: Beyazlatma, devital di beyazlatma, di rengi
AIM: Discoloration of an anterior tooth may have significant social, psychological and esthetic impact on patients. Single tooth
discolaration usually resulting from local factors such as; trauma, vitality loss, endodontic treatment and restorative procedures.
Although bleaching, veneers or crowns are considered as treatment options for discolored non-vital teeth, amount of remained
sound tooth structure after endodontic treatment is controversy for veneer or crown preparation. Intervention should be
conservative for sound tooth structure and should not affect next restorative options. Bleaching offers simple conservative
approach in removal of stain and whitening discolored teeth without damaging tooth structure. The aim of this case report is to
present esthetic rehabilitation of severe discolarations of two upper incisors with devital bleaching and composite restorations.
METHOD: Thirty-five-year-old male patient with discolored two upper incisors refer to our clinic compliant about unesthetic
appearence. At the clinical and radiographical examination, it was observed that discolored teeth received endodontic treatment
and they didnt have any clinical or radiographical symptoms. Thanks to positive findings, walking bleach of discolored teeth
and composite restorations were concluded for the treatment. Initial colors of teeth were determined via spectrophotometer
(SpectroShade, MHT). Following endodontic access cavities were prepared for gel application, 35% hydrogen peroxide gel
(OpalescenceEndo, Ultradent) applied and cavities were tightly closed with composite resin without bonding. Patient was
recalled every three days for changing bleaching gel. Color match of lateral incisor with other teeth was obtained at second
recall and central incisor was at sixth. Fourteen days after bleaching teeth were restored with composite restorations.
CONCLUSION: At six month follow up, color stability of the bleached teeth and color match of the restorations were satisfying.
Although bleaching of severe discolored non-vital teeth may sometimes requires longer treatment period, the bleaching
procedure is more economical and conservative than other invasive restorative procedures.
Key Words: bleaching, devital bleaching, tooth color
173
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GEN PERAPKAL LEZYONLU DN ENDODONTK CERRAH TEDAVS 6 YILLIK TAKP: OLGU SUNUMU
Eyp Canda Gndodu1, Fatih akc1, Evren Sarylmaz1
1
AMA: Periapikal radyolsensi gsteren dilerde tedavinin tamamlanmas iin yeterli sre olmadnda, hasta fazla seansa
gelemiyorsa endodontik cerrahi tedavi tercih edilir. Bu olgu sunumunda, geni periapikal lezyona sahip alt kesici diin kk kanal
tedavisinin ardndan apikal rezeksiyon uygulamas ve 6 yllk takibi sunulmaktadr.
YNTEM: 34 yanda sistemik olarak salkl erkek hasta kliniimize alt enesinde zaman zaman oluan ilik ve az iine
akan iltihap ikayetiyle bavurmutur. Die kronik mikro travmaya bal kronik periapikal apse tehisi konuldu. Konvansiyonel
kk kanal tedavisinin ardndan apikal rezeksiyon yaplmasna karar verildi. Mikro travmann elimine edilmesi iin diin insizal
kenarnda mlleme yapld. Tedavinin ilk seansnda 32 nolu diin K tipi el aletleriyle kk kanal preparasyonu tamamland. kinci
seansta souk lateral kondensasyon teknii ile kk kanal dolgusu yapld. Kanal tedavisi tamamlandktan hemen sonra apikal
rezeksiyon ilemine geildi. Peter Nowak insizyon teknii ile tam kalnlk zarf flap kaldrld. Etkilenmi diin labial duvarndaki
kemiin lezyon blgesine kadar kaybedilmi olduu grld. Granlasyon dokusu ve enfekte artklar kretler ile tamamen
temizlendi. Diin apikal 3 mmlik ksm cerrahi angludurva ve elik frezler ile serum fizyolojik irrigasyonu altnda uzaklatrld.
Kanama kontrol yaplarak flap 3.0 ipek ile suture edildi. Yedi gn sonra suturlar uzaklatrld. Operasyon blgesinde herhangi
bir komplikasyon olmad gzlendi.
BULGULAR: Tedaviden 6 yl sonra kliniimize tekrar gelen hastann 32 nolu diiyle ilgili herhangi bir ikayetinin olmad
renildi. Klinik muayene sonucunda palpasyon ve perksyon hassasiyetinin olmad ve sins yolunun skar dokusu ile kapand
grld. Radyolojik muayenede lezyon blgesinin tamamen iyiletii belirlendi.
SONU: Periodontal kemik ykmnn elik ettii prognozu kt geni periapikal lezyonlu vakalarda enfekte alann tamamen
temizlenmesine olanak veren apikal rezeksiyon ilemi uzun dnemde baarl sonular vermektedir. Ancak mikro travma gibi
etiyolojik faktrlerin eliminasyonu mutlak nem tamaktadr.
Anahtar Kelimeler: apikal rezeksiyon, geni periapikal lezyon
SURGICAL ENDODONTIC TREATMENT OF A TOOTH WITH LARGE PERIAPICAL LESION 6 YEARS FOLLOW UP: CASE REPORT
Eyp Canda Gndodu1, Fatih akc1, Evren Sarylmaz1
1
AIM: Endodontic surgery is preferred for teeth with periapical radiolucency if time is insufficient to complete treatment or the
patient cannot afford more visit. In this case report, operation of apical resection after root canal treatment of a mandibular
incisor tooth with large periapical lesion and its 6 years follow-up has been presented.
METHOD: 34-year-old systemically healthy male patient referred to our clinic with complaints of inflammation flowing into
his mouth and swelling sometimes occurs anterior region of his lower jaw. Chronic periapical abscess related chronic microtrauma was diagnosed. Apical root resection application after completion of conventional root canal treatment was decided.
Incisal edge of the tooth was grinded for elimination of micro-trauma. Root canal preparation of the tooth 32 was completed
with K-file hand instruments in the first visit. Root canal filling was performed with cold lateral compaction in the second visit.
After completion of root canal treatment, apical resection operation was immediately initiated. A full-thickness envelope flap
was elevated by the Peter Nowak incision technique. It was seen that the labial bone of affected tooth had been destroyed up to
the lesion site. Granulation tissue and infected residues were thoroughly cleaned with curettes. 3 mm apical portion of the root
was removed under saline irrigation with surgical handpiece and steel burs. Control of bleeding was performed and the flap was
sutured with 3.0 silk. The sutures were removed after seven days. No complication was observed in operation site.
RESULTS: 6 years after treatment, the patient re-admitted to our clinic and it was learned that there is no complaints about his
tooth 32. Clinical examination revealed that there has been no sensitivity to palpation and percussion and the sinus tract has
been covered with scar tissue. Radiological examination has determined that lesion site fully recovered.
CONCLUSION: Periodontal bone destruction associated with large periapical lesions cases that has poor prognosis, the apical
resection operation which allows complete removal of infected sites, results succesfully in long term. However, the elimination
of the etiologic factors such as micro-trauma, has absolute importance.
Key Words: apical resection, large perapical lesion
174
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EKSTRAORAL SNS YOLU OLAN KANN DN CERRAH OLMAYAN ENDODONTK TEDAVS: OLGU SUNUMU
Eyp Canda Gndodu1, Funda Fundaolu Kkekenci1, Fatih akc1, Evren Sarylmaz1
1
AMA: Bu olgu sunumunda maksiller kanin diten kaynaklanan ekstraoral sins yolunun cerrahi olmayan kk kanal tedavisi ile
iyilemesi ve alt aylk takibi sunulmaktadr.
YNTEM: 20 yandaki erkek hasta burnunun yannda yaklak bir yldan beri iyilemeyen yara ikayetiyle Plastik Cerrahi
kliniine bavurmutur. Hastann yara blgesine Plastik ve Rekonstrktif Cerrah tarafndan ay ara ile iki kere operasyon
yapld renilmitir. Yarann iyilememesi zerine hasta kliniimize ynlendirilmitir. Yaplan klinik muayene sonucunda cilt
zerinde, burnun sa lateralinde ekstraoral sins yolu varl tespit edildi. Az iinde 13 ve 16 nolu dilerden destek alan 4 yeli
metal destekli seramik restorasyon mevcuttu. 13 nolu di blgesinde palpasyon ve perksyon hassasiyeti bulunmamaktayd.
Hastann mevcut sabit protezi skldkten sonra vitalite testi yapld. 13 nolu diten vitalite testine negatif yant alnd. Radyolojik
muayene sonucunda 13 nolu diin apikalinde geni radyolsent lezyon ve eksternal kk rezorpsiyonu varl gzlendi. Hastaya
kronik periapikal apse tans konularak ilgili diin kk kanal tedavisine baland. Ruber-dam izolasyonunun ardndan giri kavitesi
ald. ProTaper dner ee sistemi ile %5,25 sodyum hipoklorit irrigasyonu altnda kk kanal preparasyonu tamamland. 13 nolu
diin kk kanalndan p drenaj mevcuttu. Hastaya iki gn aralklarla pansuman yapld. Drenaj tamamen kesildikten sonra
kk kanalna kalsiyum hidroksit pat uyguland. On gn ara ile kalsiyum hidroksit pansuman yenilendi. Drdnc seansta di
asemptomatikti. Kk kanal lateral kompaksiyon teknii ile AH Plus ve guta perka kullanlarak dolduruldu.
BULGULAR: Tedaviden sonra ekstraoral sins yolunun skar dokusu ile iyiletii ve klinik semptomlarn kaybolduu gzlendi.
Hastann altnc ayndaki kontrolnde periapikal radyografilerde lezyon blgesinde kemiklemenin balad gzlenmitir.
SONU: Ekstraoral fistllerin kronik periapikal apseli dilerden kaynakl olabilecei unutulmamaldr. Byle vakalarda kk
kanal tedavisi uygulamas sonras cerrahi ileme gerek kalmakszn baarl sonular elde edilebilir.
Anahtar Kelimeler: ekstraoral sins yolu, periapikal lezyon
NONSURGICAL ENDODONTIC TREATMENT OF CANINE WITH EXTRAORAL SINUS TRACT: CASE REPORT
Eyp Canda Gndodu1, Funda Fundaolu Kkekenci1, Fatih akc1, Evren Sarylmaz1
1
AIM: In this case report, healing of extraoral sinus tract resulting from maxillary canine with non-surgical root canal treatment
and its six months follow up has been presented.
METHOD: 20-year-old male patient referred to the plastic surgery clinic with complaint of non-heal wound which next to his
nose about one year. It was learned that operations were performed on the patients wound area twice with an interval of
three months by Plastic and Reconstructive Surgeon. The patient was referred to our clinic for non-healing wound. Clinical
examination revealed that an extraoral sinus tract was detected on the patients skin of right lateral side of his nose. In the
mouth, there was 4-unit metal supported ceramic restoration supported with teeth 13 and 16. There was no palpation and
percussion sensitivity on the tooth 13. After removing the fixed dental prosthesis of the patient, vitality test was performed.
Vitality test response was negative for tooth 13. As a result of radiological examination, a large radiolucent lesion and the
presence of external root resorption was observed on the apical of tooth 13. The patient was diagnosed as chronic periapical
apical abscess and root canal treatment was initiated. Access cavity was prepared after maintaining isolation with ruber-dam.
Root canal preparation was performed with ProTaper Ni-Ti files under irrigation of 5,25% NaOCl. Pus drainage was existed from
the root canal of tooth 13. The patient was dressing at intervals of two days. After cessation of the drainage completely, calcium
hydroxide paste was applied to the root canal. At intervals of ten days, the calcium hydroxide dressing was reapplied. The tooth
was asymptomatic at the forth visit. The root canal was obturated with AH Plus and gutta percha by cold lateral compaction
technique.
RESULTS: After treatment extra-oral sinus tract was recovered with scar tissue and the disappearance of clinical symptoms
was observed. At the sixth month control visit of patient, beginning of ossification in the lesion site was seen in periapical
radiographs.
CONCLUSION: It should be noted that extraoral sinus tracts could be originated from the teeth with periapical abscess. In such
cases, after the root canal treatment without any surgical approach successful results can be obtained.
Key Words: extraoral sinus tract, periapical lesion
175
P57
WLLAMS SENDROMLU OLGULARDA AIZ VE D BULGULARININ DEERLENDRLMES
Dilah oulu1, Funda arr Dindarolu1, Filiz Hazan2
1
AMA: Williams sendromu, supravalvler aort stenoz, periferik pulmoner stenoz, hafif-orta derecede zeka gerilii ve dental
anomaliler ile seyreden kaltmsal bir hastalktr. Ortalama 1/25.000 canl doumda grlmektedir. Kz ve erkeklerde eit olarak
ortaya kan bu anomalinin 7 numaral kromozomun delesyonuna bal olarak ortaya kt dnlmektedir. Bu almann
amac Williams Sendromlu 15 olguda az ve di bulgularnn deerlendirilmesidir.
YNTEM: almaya 3-20 ya aras 15 Williams Sendromlu hasta dahil edildi. Hastalarn az ve di bulgular, dental plak
indeksi deerleri ve DMFT skorlar kaydedildi. Tm hastalardan panoramik radyografi, intraoral ve ekstraoral fotoraf alnd.
almada elde edilen veriler istatistiksel olarak ki-kare testi ile deerlendirldi.
BULGULAR: Hastalarn DMFT ve dmft deerleri srasyla, 0,42 0,10 ve 1,85 0,42 olarak tespit edildi. Diastema (%60),
makroglosi (%47), mikrodonti (%40), mikrognati (%33) ve dental erozyon (%33) en sk grlen dental anomaliler olarak saptand.
SONU: Williams Sendromlu olgularn yaam kalitelerinin devamll iin di hekimlerinin nemli rol oynad grndeyiz.
AIM: Williams syndrome is described as an association of supravalvular aortic stenosis, pulmonary artery stenosis, mental
retardation and dental malformations. The incidence is around 1/25.000 in live birth. It effects boys and girls equally and
associated with deletion of multiple adjacent genes at chromosome 7. The aim of the present study was to evaluate the orofacial
abnormalities of 15 patients with Williams Syndrome.
METHOD: Fifteen patients with Williams Syndrome aged between 3-20 years old were evaluated in this study. Orofacial findings,
dental plaque index and DMFT scores were recorded in each patient. Panoramic radiographs and extraoral, intraoral photographs
were taken from all patients. All data were evaluated statistically by chi-square test.
RESULTS: The mean DMFT and dmft scores were 0.42 0.10 and 1.85 0.42, respectively. The most common dental findings
were detected as diastema (60%), macroglossi (47%), microdontia (40%), micrognathia (33%) ve dental erosion (33%).
CONCLUSION: Dentists play a significant role for improving the quality of life of the patients with Williams Syndrome to minimize
or prevent dental abnormalities.
176
P58
FARKLI FLOR AJANLARININ GENOTOKSSTELERNN HCRE KLTRNDE ARATIRILMASI
Bengi Aydnel1, Dilah oulu1, ala Kayaba2, Cumhur Gndz2
1
AMA: Bu almann amac; 5 farkl flor ajannn (%1,23lk Asidle fosfat florr (APF) ve %2lik NaF jelleri, %1lik TiF4
solsyonu, %38lik gm diamin florr (GDF) solsyonu ve %5 NaF ieren Durafat flor verniinin genotoksisitelerinin hcre
kltrnde aratrlmasdr.
YNTEM: Bu amala almada hcre hatt olarak L929 fare fibroblast ve salkl bireylerden elde edilen dieti fibroblastlar
kullanlmtr. Genotoksisitenin belirlenmesi mikronkleus test yntemi ile yaplmtr. Sonularn istatistiksel analizi ki-kare
testi kullanlarak yapld.
BULGULAR: NaF, L929 hcreleri zerinde anlaml genotoksik etki gsterirken (p0,05). APF, L929 hcrelerinde anlaml genotoksik
etkide bulunurken (p0,05). TiF4n, L929 hcrelerindeki genotoksik etkisi anlaml bulunurken (p0,05). Gm diamin florrn
her iki hcre hattnda da anlaml genotoksik etkisi saptanmamtr (p>0,05). Durafatn, L929 hcrelerindeki genotoksik
etkisi anlaml bulunurken (p0,05). Her iki hcre hattnda da gm diamin florr solsyonunun genotoksik etkisinin almada
kullanlan dier tm ajanlara gre daha az olduu saptand.
SONU: Gm diamin florrn, klinikte rutin olarak kulanlmakta olan APF ve NaF jellerine alternatif olabilecei
dncesindeyiz.
AIM: The aim of this study was to investigate the genotoxicity of 5 different fluoride agents (1.23% Acidulated Phosphate Fluoride
(APF) and 2% Sodium Fluoride (NaF) gels, 1% Titanium Tetrafluoride (TiF4) and 38% Silver Diamine Fluoride (SDF) solutions
and Duraphat Fluoride Varnish containing 5% NaF which are thought to cause toxic effects on oral mucosal tissues by using
cell culture method.
METHOD: For this purpose, L929 mouse fibroblast cell lines and human gingival fibroblast cell lines obtained from healthy
individuals were used. Micronucleus test method was used for the detection of genotoxicity of the fluoride agents. For statistical
evaluation chi-square test was used.
RESULTS: As a result, NaF induced genotoxicity in L929 cells significantly (p0,05). APF was observed to have significant
genotoxic effect on L929 cells but no significant genotoxic effect was observed in gingival fibroblast cells (p>0,05). Also TiF4 had
a significant genotoxic effect in L929 cells (p0,05). Silver diamine fluoride solution did not show any significant genotoxic effect in
both L929 cells and gingival fibroblasts (p>0,05). Duraphat had a significant genotoxic effect in L929 cells (p0,05). Silver diamine
fluoride solution showed the less genotoxic effect in both cell lines.
CONCLUSION: Silver Diamine Fluoride solution can be recommended as an alternative to commonly used APF and NaF gels
in dental clinics.
177
P59
BLATERAL TALON TBERKL OLAN HASTANIN AIK APEKSL SA ST LATERAL DNN APEKSFKASYON TEDAVS:
OLGU SUNUMU
Mukader nci Baer Kolcu1, Hale Ar Aydnbelge1
1
AMA: Talon tberkl, st ve alt enede st ve daimi n dilerin, singulum alannda veya mine-sement bileiminde grlen bir
disel anomalidir. Klinikte; n dilerin palatinal yzeyinde knt yapan, V eklinde aksesuar tberkl olarak grlmektedir.
Grlme skl toplumsal farkllk gstermekte ve %0.6 -%4 (1,2) arasnda deiebilmektedir. Talon tberkl okluzal atma,
estetik sorunlar ve retansiyon alan oluturarak rk oluumu gibi klinik problemlere neden olabilir. Bu olgu raporunun amac,
bilateral talon tberkl grlen hastann klinik ve radyografik zelliklerinin, hastann ak apeksli sa lateral diinin tek
seansta apeksifikasyon tedavisinin ve sadece 5 ay ierisinde gzlenen radyografik iyileme bulgularnn sunulmasdr.
YNTEM: st ene n blgesinde lokalize ar ikayetiyle kliniimize bavuran 21 yandaki erkek hastann klinik muayenesinde
bilateral st ene lateral keser dilerinde talon tberkl olduu grld. Sa lateral keser diinde kavitasyon mevcut olan
hastann ilgili diinin perksyon testine duyarl ve devital olduu saptand. Radyolojik incelemede apikal akln kapanmad
ve kk ucunda lezyon olduu belirlendi. Hastaya kanal tedavisi ve apeksifikasyon tedavisi yaplmas planland. Giri kavitesi
aldktan sonra kanal boyu tespit edildi. %2,5luk NaOCl irigasyonu altnda kanal ekillendirilmesi yaplan die kalsiyum
hidroksit konularak pansuman yapld. Geici restorasyonu salanan diin, 10 gn sonraki ikinci seansnda asemptomatik olduu
grld. Apikal aklk minerale trikalsiyum agregat (MTA) kullanlarak kapatld ve ayn seans ters kon teknii kullanlarak kanal
dolumu ve daimi restorasyonu tamamland. Sol lateral keser diin vital olmas ve asemptomatik olmas nedeniyle hastaya bilgi
verilerek takibe alnd.
SONU: Yurt dna tanmas sebebiyle uzun sre takibi yaplamayan hastann 5 ay sonraki son kontrolnde radyolojik olarak
belirgin iyilemenin yan sra hastann dilerini fonksiyonel olarak kulland belirlendi.
Anahtar Kelimeler: Apeksifikasyon,Talon tberkl
APEXIFICATION TREATMENT OF A PERMANENT MAXILLARY LATERAL INCISORS ON A PATIENT WITH BILATERAL PALATAL
TALON CUSPS
Mukader nci Baer Kolcu1, Hale Ar Aydnbelge1
1
AIM: Talon cusp is one of the rare dental anomaly that can be seen on anterior teeths cingulum or enamel cementum junction
in both primary and permanent dentition. The appearance of this accessory cusplike structure is V shaped jutting out on the
palatal surface. ts prevelance differs from 0,6% to 4% , changing by populations. The talon cusp may cause interference with
occlusion, aesthetic problems or tendency to caries with retantion to plaque accumulation. This case report presents the clinical
and radiographic characteristics and management of a apexification treatment of a permanent maxillary lateral incisors tooth on
a patient with bilateral palatal talon cusps in one visit and with a radiographic healing signs in only five months.
METHOD: A 21-year-old male patient applied to our clinic with a complaint of localized pain in his maxillary anterior teeth. n his
clinical examination, bilateral talon cusp projections from the cingulum area of maxillary lateral incisors was seen. A cavitation
is detected in his right lateral tooth which was also observed devital and sensitivity to percussion test. Periapical radiograph
showed incomplete root formation with wide open apices and periapical lesion for the same tooth. Apexification and endodontic
root canal treatment was planned. In the first visit, an access cavity was prepared. The working length was established. Next,
pulp extirpation and complete debridement of the canal was done by copious irrigation with 2,5% sodium hypochloride. Calcium
hydroxide was placed into the canal. Patient was recalled after 10 day, when patient came back without any signs and symptoms
MTA placed with pluggers and root canal was obturated with using reverse-con technique. Left lateral tooth was vital and has no
symptoms. No any clinical problems were caused by it. Thus, only following was planned for that tooth.
CONCLUSION: The size of periapical lesion decreased significiantly and patient had no signs or symptoms after 5 months, the
long term follow up findings could not obtain because the patient move to abroad.
Key Words: talon cusp, apexification
178
P60
K PALATNAL KKL MAKSLLER 1. MOLAR: AYNI HASTAYA AT K VAKA
Feyza zdemir Ksack1 , Hatice Eretin2
1
AMA: Bu vaka raporunun amac maksiller 1. molar dilerde nadir grlen iki palatinal kk izlenen iki vakay sunmaktr.
YNTEM: 31 yandaki kadn hasta kliniimize, zellikle ineme srasnda iddetlenen di ars ile bavurmutur. Klinik
muayenede sa ve sol maksiller 1. molar dilerde derin mesio-distal rk tespit edilmitir. Her iki di perksyon ve palpasyonda
duyarl idi. Radyografik incelemede sol maksiller molar diin distal kknde radyolsensi ve 2 bukkalde 2 palatinalde olmak
zere 4 kk dikkat ekmitir. Tehisin ardndan kk kanal tedavisine baland. Kk kanallar ProFile enstrumanlarlar ile crowndown teknikle ekillendirildi. Enstrumantasyon boyunca %2,5luk sodyum hipoklorit ile irrigasyon yapld. Apikal preperasyon
#40.06 nolu ee ile tamamland. Final irrigasyon EDTA ile yapld. Kk kanallar kurulandktan sonra kalsiyum hidroksit ve
geici dolgu ile kapatlarak bir sonraki randevuya arlmlardr. 10 gn sonra ki ikinci randevuda sa maksiller 1. molar dite
herhangi bir semptoma rastlanmam ve al gtaperkalar ve AH 26 ile doldurulmu ve kalc restorasyon yaplmtr. Sol dite
ise bukkal mukozada ilik ve perksyonda hassasiyet olduu iin iki hafta sonraki randevuda sadaki ile benzer yntemle
doldurularak kalc restorasyon yaplmtr.
SONU: Di hekimi maksiller birinci molar dilerde anatomik varyasyonlar olabileceini aklda tutmaldr. Nadir de olsa drt
kk veya papaltinal kkte iki kanala rastlanabilmektedir. Sonu olarak insan di anatomilerindeki muhtemel varyasyonlarn
bilinmesi baarl kanal tedavileri iin nemlidir
Anahtar Kelimeler: kk kanallar, maksiller molarlar, anatomik varyasyonlar, kanal saylar
MAXILLARY FIRST MOLAR WITH TWO PALATAL ROOT CANALS: TWO CASE OF SAME PATIENT
Feyza zdemir Ksack1, Hatice Eretin2
1
AIM: This case report represents an uncommon case of maxillary first molars with two palatal roots and four canals in a single
patient.
METHOD: A 31 year-old female patient applied to our clinic complaining of sever toothache especially during mastication. The
clinical examination revealed extended mesiodistal decays on the left and right maxillary first molars, tenderness to percussion
and palpation of peri-radicular zone of the teeth. The radiographic examination of the left maxillary molar revealed radiolucency
around the apex of the distal root and disclosed the presence of four roots, two buccal and two palatal. After confirmation of
the diagnosis, root canals were prepared using the crown-down technique with ProFile instruments and irrigated with 2.5%
sodium hypochlorite. During the root canal preparation an EDTA was used in order to sustain the appropriate working length.
The apical preparation was performed #40.06, and final irrigated with EDTA, and calcium hydroxide root canal dressing followed
by root canal drying and placement of a temporary filling. At the second appointment with a 10 days interval, the right maxillary
first molar did not reveal any further symptoms and obturated with tapered gutta-percha points and AH 26 while the left one
demonstrated swelling at the buccal mucosa and tenderness to percusion so the patient was scheduled for two weeks to
obturate with the same obturating procedures.
CONCLUSION: Clinicians should be aware of uncommon anatomical variations in maxillary first molars, namely the occurrence
of four distinct root canals and two canals in the palatal root. Knowledge of possible variations in internal anatomy of human
teeth is important for successful endodontic treatment.
Key Words: root canals, maxillary molars, anatomical variations, number of canals
179
P61
ZMRDE MOLAR NSZR
DEERLENDRLMES
HPOMNERALZASYON
(MIH)
GRLME
SIKLII
VE
ETYOLOJK
FAKTRLERN
AMA: Bu almann amac zmirde Molar nsizr Hipomineralizasyonun (MIH) grlme sklnn ve potansiyel etiyolojik
faktrlerin deerlendirilmesidir.
YNTEM: almamzda, zmirde, yalar 7-13 aras deien 1240 renci yer almtr. Az muayneleri snf ortamnda kalibre
olmu dihekimleri tarafndan yaplmtr. 1. daimi molarlar ve kesicilerin kuronlar Avrupa ocuk Dihekimlii Birliinin tan
kriterlerine gre deerlendirilmitir. 1. daimi molarlar ile beraber kesicilerde grlen hipomineralizasyon yapsal bozukluu
Molar nsizr Hipomineralizasyonu olarak rapor edilmitir. almaya katlmak isteyen ailelerden imzal onam formu alnmtr.
Medikal anamnez iin ailelere anket formu gnderilmitir.
BULGULAR: zmirde MIH grlme skl %3.1 olarak rapor edilmitir. almamzda, MIH varl, 4 yana kadar geirilmi sk
diyare ve havale ile ilikili olduu saptanmtr. (p=0.05, p=0.003)
SONU: MIH riski yksek ocuklarn aileleri, ocuk doktorlar tarafndan bilgilendirilmeli ve bu gruptaki ocuklar, ocuk
dihekimleri tarafndan periyodik kontrollerle takip edilmelidir.
AIM: This study aimed to evaluate the prevalence and potential etiological factors involved in the development of Molar Incisor
Hypomineralization (MIH) in zmir.
METHOD: A total of 1240 children aged 7-13 years participated in the study. Dental examinations were done under school
circumstances by calibrated dentists. The crowns of the first permanent molars (FPMs) and permanent incisors (PI) were
examined according to European Association of Pediatric Dentistry diagnostic criteria. Children were considered to have MIH,
if one or more FPM with involvement of at least one or more incisors were hypomineralized. Consent forms and surveys were
sent to students families to evaluate medical history, demographic and pregnancy related information.
RESULTS: MIH showed a prevalence of 3.1% in zmir. The prevalence of MIH was found to be associated with frequent diarrhea
story and high fever resulting in convulsions during the first four years of life (p=0.05, p=0.003).
CONCLUSION: Present study underlined the potential etiological factors of MIH. Families and children must be informed by
their pediatricians for the risk of MIH. Children under this risk group must be followed up by pedodontists since preventive
approaches are very important at an early developmental age.
180
P62
AMRAL BATTI:VERTKAL KK KIRII
Emrah etin1, Hicran Dnmez zkan1, Senem Gken Yiit zer1
1
Adnan Menderes niversitesi, Di Hekimlii Fakltesi, Endodonti Ana Bilim Dal, Aydn, Trkiye
AMA: Kk kanal tedavisi sonra, ortodontik tedavi srasnda ortaya kan vertikal kk kr semptomlarnn deerlendirilmesi.
YNTEM: 18 yanda bayan hasta alt sa birinci molar diindeki iddetli ar ikayeti ile Adnan Menderes niversitesi Di
Hekimlii Fakltesi Endodonti Anabilim Dal kliniine bavurdu.Hastann medikal anamnezinde dental patoloji yaratacak
bir hastalk hikayesine rastlanmad.Klinik ve radyolojik muayenede hastann 46 nolu diinde dentin r gzlendi.Akut
irriversible pulpitis tehisi konuldu. Die endodonti uzman tarafndan tek seansta kanal tedavisi uyguland ve kompozit rezinle
restore edildi.6 aylk takipte diin asemptomatik olduu gzlendi.Hasta apraklk nedeniyle ortodonti kliniine ynlendirildi.
Ortodontik tedavi srasnda hastann 46 numaral diine molar band yerletirildi.Molar band yerletirildikten ortalama 3 ay
sonra hastada her ortodonti seansn takiben ineme srasnda artan ar ve hassasiyet balad.Yaplan klinik incelemede diin
vestibl yznde ilik tespit edildi.Semptomlar dorultusunda vertikal kk krndan phelenildi.Bu nedenle farkl alardan
alnan periapikal rntgenlerde vertikal kk krn gsteren bir grnt izlenmedi. Takiben tamamlanan konik nl bilgisayarl
tomografi incelemesinde aksiyal dzlemde vertikal kk kr tespit edildi.Bu nedenle diin ekimine karar verildi.ekimden
sonra, di metilen mavisi ierisinde bekletildi ve vertikal kk kr in vitroda kesin olarak sapland.
SONU: 3 kkl dilerde vertikal kk krklar genelde ekimle sonulanmaktadr.
Anahtar Kelimeler: kk kanal tedavisi1, ortodonti2, vertikal kk kr3
AIM: Evaluation of vertical root fracture after root canal treatment and monitoring the symptoms during orthodontic treatment.
METHOD: An 18 year-old female patient complaining severe pain involving mandibular right first molar, referred to the Department
of Endodontics, Faculty of Dentistry at Adnan Menderes University.The patients medical history was non-contributory.Clinical
and radiographic examination revealed a dentinal carius lesion of tooth #46 and it was diagnosed as acute irreversible pulpitis.
Single visit root canal theraphy was performed by an endodontist and a composite resin restoration was placed. At the sixth
month follow-up, the tooth was asymptomatic, and the patient was referred to an orthodontist for further treatment due to
crowding. A molar band was placed on tooth #46; however, three months after the band was placed, patient started feeling
discomfort and severe pain during mastication following every orthodontic appointment. In the clinical examination swelling
was present on the buccal plate. Based on these findings, a vertical root fracture (VRF) was suspected. Therefore, periapical
radiographs were taken from different angles; however, conventional radiography did not reveal any evidence of VRF. After
evaluation of cone beam computed tomography images on axial planes, presence of VRF was detected; thus, surgical extraction
of the tooth was required. After extraction, tooth was immersed into methylen blue and VRF was clearly observed in vitro.
CONCLUSION: Vertical root fracture in multi rooted teeth generally results in non-surgical or surgical extraction.
Key Words: Vertical root fracture, Endodontics, Root canal treatment
181
P63
OLGODONT VAKASININ MPLANT DESTEKL SABT PROTEZLE REHABLTASYONU: OLGU SUNUMU
Nurdan Kafal nsal1, zgr nan1, Doan Dolanmaz2, pek Krkl1
1
Seluk niversitesi Di Hekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, Konya, Trkiye
Seluk niversitesi Di Hekimlii Fakltesi, Az, Di ve ene Cerrahisi Anabilim Dal, Konya, Trkiye
AMA: Konjenital olarak di eksikligi varlnda sadece bir ka di eksiklii durumunda hipodonti, nc molar diler
saylmakszn alt veya daha fazla diin eksik olduu durumda oligodonti ve tm dilerin eksikliinde ise anadonti terimleri
kullanlr. Konjenital di eksiklii ok sk grlmesine ramen, oligodonti nadir rastlanlan geliimsel bir di say anomalisidir.
Oligodonti, genellikle sendromlar ve sistemik anomaliler ile ilikilidir. Oligodontide genetik faktrler sendromlarn bir paras
olarak veya tek bana bir bulgu olarak nemlidir. Oligodonti ile ilikili en sk karlalan dental bulgular; di saysnda azalma,
dilerin boyutlarnda klme, malformasyonlar ve srme gecikmeleridir. Bizim vakamizda da bu bulgular bulunmaktadir Bu
almada, genetik deerlendirme sonucu herhangi bir sendromla ilikili olmad saptanan ve oligodonti bulunan bir hastann
implant destekli sabit dental protez ile tedavisi anlatlmstr.
YNTEM: 24 yandaki erkek hasta estetik grnt bozukluu ve fonksiyon kayb ikayetleriyle Seluk niversitesi Dishekimlii
Fakltesine bavurdu. Tedavi ncesi dental, medikal ve sosyal hikayesi detayl bir ekilde incelendi. Hasta iin Az Di ve ene
Cerrahisi kliniinde gml di cerrahisi, oluan defekterin greftlenmesi ve 14 adet dental implant yerletirilmesi planland. 3
aylk osseointegrasyon srecinin ardndan metal destekli sabit protez ile rehabilitasyon yapld.
SONU: Sonu olarak oligodonti vakalarnn byk ksmnn sebebi genetik faktrler iken, olgumuzda da grld gibi, ok
nadirde olsa herhangi bir genetik rahatszlk olmakszn iddetli oligodonti ile karlalabilir. iddetli oligodonti; maksiller ve
mandibular kemik yksekliinin geliiminde yetersizlik sonucunda ciddi derecede olumsuz etkilenen estetik ve fonksiyonel
bozukluklara neden olur. Bu nedenle temel tedavi plan; grnty, ineme ve konuma fonksiyonlarndaki bozukluklar
dzeltmek olmaldr. Bu vakalarda konvansiyonel hareketli protezler yerine implant destekli sabit protezler ile tedavi hastalarn
estetik ve fonksiyonel ihtiyalarn gidererek yaam standartlarn ykseltmektedir.
Anahtar Kelimeler: implant, oligodonti, oral rahabilitasyon
REHABILITATION OF OLIGODONTIA CASE WITH IMPLANT SUPPORTED FIXED DENTURE: : A CASE REPORT
Nurdan Kafal Unsal1, zgur nan1, Doan Dolanmaz2, pek Krkl1
1
Seluk University, School of Dentistry, Department of Oral and Maxillofacial Surgery, Konya, Turkey
AIM: Although congenital tooth agenesis is a common dental finding, oligodontia is a rare developmental dental anomaly
associated with tooth number. Oligodontia, defined as the congenital absence of six or more teeth. Excluding the third molars,
is commonly associated with syndromes and systemic abnormalities. Genetic factors may play an important role in oligodontia
which may occur as part of a syndrome or as an isolated finding. This report presents case of oligodontia, 24 years, made certain
after genetic consultation not to be associated with any syndromes or systemic abnormalities. This clinical report describes the
treatment for a young adult patient with oligodontia using fixed dental prosthesis supporting dental implants.
METHOD: Patient referred to Selcuk university faculty of dentistry with complain of insufficient aesthetic and functional
dysfunction. Prior to treatment, a detailed dental, medical, and social history was obtained. Extraction of compacted teeth,
grafting the extraction area and fourteen dental implants planed to the patient at the Department of maxillofacial surgery. Three
month after surgery procedure finished, rehabilitationed with metal supported fixed denture.
CONCLUSION: In these cases, instead of conventional partial dentures, implant supported fixed dentures satisfy aesthetic and
functional needs of patients and raise the standard of living. Definitive treatment outcomes in terms of function, unaesthetic
appearance of the patient improved. The patients esthetic and functional expectations were also satisfied.
Key Words: implants, oligodontia, oral rehabilitation
182
P64
AZALMI DKEY BOYUT VE PROTETK REHABLTASYONU: OLGU SUNUMU
Aye Gzde Trk1, Mbin Ulusoy1
1
Ege niversitesi Di Hekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, Bornova, zmir, Trkiye
AMA: Dikey boyut kavram, iaretlenen iki anatomik nokta arasndaki mesafe olarak tanmlanmaktadr. Okluzal dikey
boyut genellikle, oklzyona gelen di dizisi ile tanmlanmaktadr. Di dizisindeki eksiklikler okluzal dikey boyutu etkileyerek,
yz morfolojisinde, fonksiyonda ve estetikte deiikliklere yol aarlar. Kart dilerin erpsiyonu da mevcut dileri prepare
etmeksizin ve okluzal dikey boyutu arttrmakszn protetik rehabilitasyonun yaplmasn zorlatrr. Bu olgu sunumunun amac,
st arka dilerini erken kaybetmi, alt arka dilerinin st krete deecek ekilde uzam ve vertikal dikey boyutu azalm olan 44
yandaki erkek hastaya, dikey boyutun arttrlarak, tam az protetik tedavinin uygulanmasnn sunulmasdr.
YNTEM: ncelikle, alt diler prepare edilerek st enede yer kazanmak amacyla sabit kron ve kprler planlanmtr.
Ardndan st n ene sabit ve arka sonsuz alana ise hassas balant atamanlar (Vario-stud-snap, Bredent, Senden, Germany)
kullanlarak hareketli blml protez ile tedavi edilmitir. Protezler, 1. hafta, 1., 3. ve 6.aylarda rutin olarak deerlendirilmitir.
BULGULAR: Fonksiyonel, estetik ve morfolojik adan memnun edici sonular elde edilmitir.
SONU: Bu olgu sunumunun kstlamalar dahilinde, okluzal dikey boyutun arttrlarak tam az protetik tedavinin yaplmas,
hastann estetik ve fonksiyonel beklentisini karlayarak, stomatognatik sisteme de katkda bulunmutur. Tedavi planlamasna
dikkat etmek gerekmektedir.
Anahtar Kelimeler: hassas balant, tam az protetik rehabilitasyon, dikey boyut precision attachment, full mouth protetik
rehabilitation, vertical dimension
AIM: Vertical dimension is defined as the distance between two selected anatomical or marked points. The vertical dimension
of occlusion is largely determined by the occluding dentition. Subsequently, loss of teeth will directly affect the the vertical
dimension of occlusion, leading to alteration in facial morphology, function, comfort, and esthetics. Overeruption of teeth lacking
opposed teeth can be also difficult to make a prosthesis without preparing the present teeth and without increasing the vertical
occlusal dimension. Therefore, the aim of this clinical report was to describe increasing vertical dimension with a full mouth
prosthetic treatment procedure for a 44-year-old male patient who exhibited loss of maxillary posterior teeth and overerupted
mandibular posterior teeth, subsequently decreased vertical dimension.
METHOD: First the mandibular arch was rehabilitated fixed partial dentures in order to gain space for maxillary prosthesis.
Afterwards, removable partial maxillary denture with precious attachments (Vario-stud-snap, Bredent, Senden, Germany) were
planned and fabricated. Routine clinical assessments were made after 1 week, 1 month, 3 months, and 6 months.
RESULTS: Functional harmony, absence of pain, no tension in facial and masticatory muscles, and phonetic and esthetic
satisfaction were obtained.
CONCLUSION: Within the limitations of this clinical report, full mouth rehabilitation with increasing vertical dimension not only
focuses on the esthetics and functional expectations of the patient but also improves the health of the stomatognathic system.
The evaluation period have to be considered carefully.
Key Words: full mouth rehabilitation, precision attachment, vertical dimension
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NEME FONKSYONU YAPAMAYAN SINIF 3 HASTALARIN PROTETK REHABLTASYONU: 2 OLGU SUNUMU
Il Karaokutan1
1
Seluk niversitesi, Di Hekimlii Fakltesi, Protetik Di Tedavisi Ana Bilim Dal, Konya, Trkiye
AMA: skeletsel snf 3 ene ilikili hastalarda estetik grnm ve ineme fonksiyonu genellikle yetersizdir ve bu hastalarn
protetik rehabilitasyonu karmaktr. Bu olgu sunumlarnda biri damak yarkl vertikal boyutu dk snf 3 yan apraz kapanl
parsiyel disiz hastann, biri ise tek di ile kapan salayan vertikal boyutu dk snf 3 yan apraz kapanl parsiyel disiz
hastann di st overdenture protezlerle ineme, estetik ve fonasyon problemlerinin tedavisi hedeflenmitir.
YNTEM: 40 yandaki kadn hasta blmmze ineme yapamad, damak yar nedeniyle yiyecek ve ieceklerin burnundan
geldii ve konumasnn anlalamad ikayetleriyle bavurmutur. Hastann 11-25 numaral dileri arasnda kprs,
34 ve 44 numaral dilerinde kronlar olduu, vertikal boyutun 3 mm dk olduu ve hem alt hem de st enede hareketli
protez kulland klinik ve radyografik muayene ile tespit edilmitir. Hastann tedavisinde alt ve st dilerdeki kron ve kprler
yenilenmi, damak yarnn kapatlmas iin st ene di st overdenture protez alt ene klasik parsiyel protez ile ideal vertikal
boyutuna uygun olarak Snf 1 iliki ekilde bitirilmitir. 45 yandaki kadn hasta blmmze ineme yapamad ve estetik
grntsnden memnun olmad ikayetleriyle bavurmutur. Hastann 44-46 numaral diler arasnda kprsnn olduu,
vertikal boyutun 2 mm dk olduu, st enede eksik dileri ve diastemalarnn olduu, alt enede ise eksik dilerle beraber
apraklklarnn olduu klinik ve radyografik muayene ile tespit edilmitir. Hasta sadece 16 ve 46 numaral dileri ile kapan
salamaktadr. Hastann tedavisinde st ene di st overdenture alt ene ise tam sabit protez ile bitirilmitir. Hastalar 1 aylk
srelerde kontrole arlmtr.
SONU: 6 aylk takip sonucunda hastalarn ineme ve fonasyon fonksiyonlarnn dzeldii, temporamandibuler eklem
rahatszlklarnn olmad ve estetik grnmlerinin kabul edilebilir dzeyde olduu tespit edilmitir. Bu tedavi ekli snf 3
hastalarn protetik rehabilitasyonu iin bir alternatif olarak kullanlabilir.
Anahtar Kelimeler: dk vertikal boyut, maloklzyon, overdenture,
PROSTHETIC REHABILITATION OF PATIENTS WITH CLASS 3 THAT CAN NOT HAVE CHEWING FUNCTION: 2 CASE REPORT
Il Karaokutan1
1
AIM: Skeletal class 3 patients is often poor in aesthetic appearance and chewing function and prosthetic rehabilitation of these
patients is complex. In these case reports, mastication, aesthetics and phonation problems treatments of .a patient with a cleft
palate, low vertical dimension, class 3 side cross occlusion partial edentulous patient and a patient with single tooth occlusion,
low vertical dimension class 3 side cross occlusion partial edentulous with teeth over overdentures are aimed.
METHOD: 40-year-old female patient was appealed our department with complaints of that not able to chew, due to cleft palate
food and drinks come from his nose and her speech can not be understood. By clinical and radiographic examination it was
determined that patient had a bridge between the number of teeth 11-25, crowns on the teeth 34 and 44, the vertical dimension
was 3 mm low and in both lower and upper jaws she uses removable prosthesis. In the treatment of patient upper and lower
teeth crowns and bridges were renovated. Teeth over overdenture was made in the upper jaw to closure of cleft palate and in the
lower jaw partial denture was made and it was completed as class 1 in accordance with the ideal vertical dimension. 45-yearold female patient was appealed our department with complaints of that not able to chew and is not satisfied with the aesthetic
appearance. The patient had a bridge between 44-46 teeth, vertical dimension was 2 mm low, in the upper jaw there are missing
teeth and diastema, in the lower jaw there are missing teeth and crowding which there are clinical and radiographic examination
were identified. Patients provide occlusion with only 16 and 46 teeth. In the treatment of patient teeth over overdenture was
made in the upper jaw, full fixed prostheses was made in the lower jaw. Patients called one-month period for control.
CONCLUSION: 6-month follow-up results of patients identified that there is an improve in the functions of mastication and
phonation, no temporomandibular joint disorder and aesthetic appearance is in an acceptable level. This type of therapy can be
used as an alternative for prosthetic rehabilitation of patients with class 3.
Key Words: malocclusion, overdenture
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ANTEROR BLGEDE BLEACHING SONRASI POLDASTEMA ELMNASYONU VE BULD-UP
Mustafa akr1, Mehmet Dall1, Adem Gk1
1
zmir Katip elebi niversitesi, Di Hekimlii Fakltesi, Restoratif Di Tedavisi Ana Bilim Dal, zmir, Trkiye
AMA: Dilerin koyu rengi ve arasndaki diastemalar, hastada ciddi estetik problemlere yol aar. Byle vakalarda estetik baars
yksek tedavi yntemleri gereklidir. Ayrca yine anterior blgedeki kk apraklklar da build-up teknii ile dzeltilebilir. Bu
vaka sunumunun amac nanohibrit kompozit Filtek Ultimatein (3M ESPE, Seefeld, Almanya) diastema eliminasyonundaki ve
build-up tekniindeki etkinliinin deerlendirilmesidir. Kliniimize bavuran 25 yandaki bayan hasta dilerinin koyu renginden
ve anterior blgedeki mevcut polidiestemadan estetik olarak ikayeti idi. Ayrca 22 nolu diin ekseninde hafif bir rotasyon
mevcuttu. Hastann az hijyeni ve di eti salnn iyi durumda olduu, kahve vb. gibi renklendirici maddeleri fazla kullanmad
belirlendi. Hasta gayet iyi bir kooperasyona sahipti.
YNTEM: ncelikle hastamza Opalescence PF %15 (Ultradent, South Jordan, ABD) ile bir home bleaching uyguland. Hastada
bulunan diastemalarn direkt kompozit uygulamasyla kapatlmasna karar verildi. Ayrca 22 nolu dite de build-up teknii ile
mevcut kk aprakln maskelenmesine karar verildi. Diastema blgelerine herhangi bir andrma yaplmad, aprak
olan 22 nolu diin ise mezio-bukkal kenarndan elmas frez ile bir miktar andrld. %37lik fosforik asit ve 3 aamal total etch
sistem olan Optibond FL (Kerr, Orange, ABD) uyguland. Diastemalar, strip band kullanlarak mine renginin kk tabakalar
halinde tepilmesiyle kapatld. apraklk ise kompozit yklemesiyle maskelendi. Son olarak restorasyon sof-lex diskler ile (3M
ESPE, Seefeld, Almanya) bitirilip parlatld.
SONU: lem sonunda hastay ve bizi memnun eden estetik bir tedavi saland. 3 ay sonra kontrol seansna arlan hastamzda
restorasyonlarda herhangi bir defekte veya renklenmeye rastlanmad.
zmir Katip elebi University, School of Dentistry, Department of Restorative Dentistry, zmir, Turkey
AIM: Darkness of teeth and diastemas, cause serious aesthetic problems for patients. In such cases, aesthetical methods are
necessary. Also, small crowdings of teeth on anterior can be corrected with the build-up technique. The purpose of this case
presentation is to evaulate the effectivity of nanohybrid composite Filtek Ultimate (3M ESPE, Seefeld, Germany) on elimination
of diastemas and build-up technique. A 25 years old female patient who complained about her anterior polydiastemas and
darkness of her teeth aesthetically applied our clinic. In addition there was a slight rotation in the axis of the tooth 22. It was
determined that oral hygiene and gum health of the patient were good, and did not use coloring agents such as coffee etc., and
also had a good cooperation.
METHOD: Firstly, a home bleaching was applied using Opalescence PF %15 (Ultradent, South Jordan, USA) . Diastemas were
decided to be closed with direct application of composite and masking the small crowding with build-up technique. No abrasion
was done on the diastema areas. Mesio buccal edge of the tooth 22 was eroded with a diamond bur. 37% phosphoric acid and
Optibond FL (Kerr, Orange, USA), a three step total etch system, was applied. Later, diastemas were closed by packing the small
layers of the enamel shade with using strip bands. The crowdings were masked by composite loading. Finally, the restorations
were finished and polished with Sof-lex discs (3M ESPE, Seefeld, Germany).
CONCLUSION: At the end of process, an aesthetic treatment which pleased the patient and us was provided. 3 months later, in
control session, no defect or discoloration was seen on the restorations.
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ORTODONTK TEDAV SONRASI OLUAN YAYGIN DEMNERALZASYON ALANLARININ KORUYUCU VE ESTETK TEDAVS
Bilal Yaa1, Ekin Grkem Uysal1, Serhat Kseolu2
1
AMA: Yaygn mine demineralizasyonu, kt az hijyeni ve beslenme alkanlna sahip sabit ortodontik tedavi gren
hastalarda potansiyel bir sorundur ve yaplan ortodontik tedavini baarsn da etkiler. Bu gibi estetik sorunlarn zm iin
adeziv dihekimliindeki gelimelerle birlikte gnmzde daha konservatif tedavi yaklamlar tercih edilmektedir. Bu vaka
sunumunun amac ortodontik braketlerin etrafnda oluan yaygn demiralizasyon ve kavitasyon alanlarnn direkt kompozit vener,
kozmetik konturlama ve remineralize ajan uygulamas ile koruyucu ve estetik tedavisinin anlatlmasdr.
YNTEM: 20 yandaki bayan hasta ortodontik tedavi sonras oluan, anterior blgedeki estetik ikayetleri sebebiyle kliniimize
bavurdu. Oral muayenede yaplan ortodontik tedavinin relaps olduu ve tm dileri ieren yaygn mine demineralizasyonu ve
kavitasyonlar ayn zamanda hastann zayf oral hijyene sahip olduu gzlendi. Tedavi iin motivasyon eitimi ile oral hijyenin
iyiletirilmesine, gingivoplasti ve direkt kompozit lamina uygulamasna karar verildi. Dietlerinin salkl bir grnme
getirilmesini takiben, sadece demineralize mine ve rk alanlar kaldrld ve build-up alanlar asitlendi. Balayc ajan Optibond
FL (Kerr Corp.,ABD) retici nerileri dorultusunda uyguland. Kozmetik olarak konturlanan sa st santral haricindeki dilere
nanofil ierikli kompozit rezin Filtek Ultimate (3M Espe, ABD) tabakalama tekniine gre uyguland. Restorasyonlarn bitim ve
polisaj ilemleri sar kuakl elmas frezler ve Sof-Lex (3M Espe, ABD) bitirme diskleri ile yapld. Son olarak CCP-ACP ierikli
remineralizasyon ajan (Tooth Mousse, GC, Japonya) hasta tarafndan gnlk olarak uyguland.
BULGULAR: Tedavi sonunda hastan oral hijyen motivasyonu olduka yksekti ve dieti sal mkemmeldi. Restorasyonlarn
doal dilerle uyumu son derece iyiydi. Hasta tedavi sonucundan olduka memnundu.
SONU: Ortodontik tedavi sonras oluan yaygn mine demineralizasyonu olgularnda, tedavi seimi demineralizasyonun
iddetine gre yaplmaldr. iddetli vakalarda, direk kompozit vener uygulamalar anterior di estetiinin salanmas iin iyi bir
tedavi seeneidir.
Anahtar Kelimeler: anterior estetik, demineralizasyon tedavisi, kompozit vener
Izmir Katip Celebi University, School of Dentistry, Department of Restorative Dentistry, Izmir, Turkey
zmir Katip Celebi University, School of Dentistry, Department of Periodontology, Izmir, Turkey
AIM: Generalized enamel demineralization is a potential problem of fixed orthodontic therapy in which patients have poor oral
hygiene and nutritional habits. It can also affect the esthetic results of orthodontic treatment. Thanks to enhancements of
adhesive dentistry, more conservative approaches are preferred to solve these esthetics problem nowadays. The aim of this case
report is to present preventive and esthetic treatment of enamel demineralization and cavitation around orthodontic braces with
direct composite veneer, cosmetic contouring and application of remineralization agent.
METHOD: Twenty-year-old female patient referred to our clinic for aesthetic complaints on anterior teeth that occured after
orthodontic treatment. At the oral examination, relapse of orthodontic treatment, generalized enamel demineralization and
cavitations and also poor oral hygiene were observed. Enhancement of poor oral hygiene with motivation, gingivoplasty, application
of direct composite veneer were concluded for the treatment. Following the gingival healing, only demineralized enamel and
caries were removed and build-up application areas of teeth were etched. Bonding agent Optibond FL (Kerr Corp.,USA)was used
according to manufacturer recommendations. Nanofilled-composite resin material Filtek Ultimate (3M Espe, USA) was applied
with an incremental technique except for upper right central which contoured cosmetically. Restorations were finished with
ultra-fine burs and polished with Sof-Lex (3M Espe, USA) polishing discs. As a final step, a CCP-ACP remineralization agent
(Tooth Mousse, GC, Japan) was daily applied by the patient.
RESULTS: After treatment, patients oral hygiene motivation was very high and gingival health was perfect. Restorations were
well-matched with natural teeth. Treatment outcomes were quite satisfying for the patient.
CONCLUSION: In cases of generalized enamel demineralization following orthodontic treatment, treatment option must be
chosen according to severity of demineralization. In severe cases, direct composite veneer is a good treatment alternative for
the esthetic rehabilitation of anterior teeth.
Key Words: anterior esthetic, composite veneer, demineralization treatment
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ST ANTEROR BLGEDE DASTEMA ELMNASYONU: VAKA RAPORU
Bilal Yaa1, Ekin Grkem Uysal1
1
AMA: Genel populasyonun % 21.4n etkileyen diastemalar yaplan almalarda daha ok st anterior blgede saptanmtr.
Diastema nedenleri kaltsal, kazanlm ya da fonksiyonel olabilir ancak klinikte genel olarak di-alveol ark boyut farkllklarna,
hipertrofik st dudak frenuluma ve periodontal hastalklara bal olarak gzlenmektedir. Gl nemli lde etkiledii iin
bireyin estetik grntsnde kilit rol oynamaktadr. Adeziv di hekimlii bu gibi estetik ihtiyalar hem basit hem de ekonomik
olarak karlayabilmesine ramen siyah genlerin giderilmesi klinik olarak byk zorluk oluturur. Bu almann amac; farkl
etiyolojik sebeplerle olumu farkl diastema vakasnn direkt kompozit restorasyonlarla tedavisini anlatmaktr.
YNTEM: st anterior blgedeki diastemalar sebebiyle estetik ikayetleri bulunan farkl yalardaki bayan hasta kliniimize
bavurdu. Yaplan oral muayenede herhangi bir oklzyon ya da periodontal problemi gzlenmedi. Renk seimini takiben dilerin
sadece build-up alanlar asitlendi ve Optibond FL (Kerr, ABD) bonding ajan olarak kullanld. Siyah genleri elimine etmek iin
effaf strip bandn dieti oluu iine dikkatlice yerletirilmesinden sonra, nano-hibrit kompozit Clearfil Majesty ES-2 (Kuraray,
Japonya) inkremental teknikle uyguland. Restorasyonlarn bitim ve polisaj ilemleri sar kuak elmas frezler, Sof-Lex (3M Espe,
ABD) bitirme diskleri ve polisaj pastas kullanlarak tamamland.
BULGULAR: Build-up restorasyonlar olduka memnuniyet verici renk uyumu ve marjinal adaptasyon sergiledi. Hastalarn
gingival sal normaldi ve estetik olmayan siyah genler elimine edilmiti. Hastalar tedavi sonucundan olduka memnundu.
SONU: Estetik dihekimliinde dihekimlerinin karlat en byk zorluklardan biri siyah genler olmadan diastemann
kapatlmasdr. Anterior dilerdeki restoratif bir ilemin baars sert ve yumuak dokular arasndaki estetik uyuma bal olduu
iin direk kompozit restorasyonlar doru teknik ve materyaller ile uygulanmaldr.
Anahtar Kelimeler: Anterior diastema treatment
AIM: Diastemas that affect 21.4% of general population are mostly localized maxiller anterior region. Reasons of diastema may
be hereditary, acquired or functional, however, it is generally observed depends on tooth-alveolar arch dimension differences,
hypertrophic upper lip frenulum or periodontal diseases in clinic. Because diastemas considerably affect the smile, it plays
key role on personal aesthetic appearance. Although adhesive dentistry is able to meet these necessities both simply and
economically, managing of black triangles is big challenge clinically. The aim of this study is to present treatment of three
diastema cases which occur different reasons with direct composite restorations.
METHOD: Three female patient who are different ages referred to our clinic because of complaints about diastemas on upper
anterior region. At the intraoral examination, any occlusion and periodontal problems were not observed. Following the selection
of color, only the build-up areas were totally etched and bonding agent Optibond FL (Kerr, USA) was applied. After carefully
placement of translucent strip band into gingival sulcus to eliminate black triangles, nano-hybrid composite resin Clearfil
Majesty ES-2 (Kuraray, Japan) was applied with an incremental technique. Restorations were finished with ultra-fine burs and
polished with Sof-Lex (3M Espe, USA) polishing discs and pastes.
RESULTS: The composite build-up restorations were demonstrated very satisfying clinical color match and marginal adaptation.
Gingival health of patients were normal and unesthetic black triangles were eliminated. Treatment outcomes were quite
satisfiying for the patients.
CONCLUSION: In esthetic dentistry, one of biggest challenges of the dentists face is closing diastemas without the presence of
black triangles. Because the success of a restorative treatment in anterior teeth depends on the esthetic integration between
soft and hard tissues, direct composite restorations must be applied with proper techniques and materials.
Key Words: Anterior diastema treatment
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P69
DET ALTINA UZANAN OBLK KOMPLKE KRON KIRIININ PARSYEL ENDOKRON LE RESTORASYONU
Bilal Yaa1, Ekin Grkem Uysal1
1
AMA: Genel populasyonda grlen dental travmalarn ou anterior blgede kaza sonucu meydana gelirken, posterior blgede
grlen travmalarda genellikle sekonder sebeplerden kaynaklanmaktadr. Bunlarn banda ise diteki ar madde kaybna
bal destek dokunun zayflatlmas gelmektedir. Genellikle tberkln tamamen krlmasyla sonulanan bu gibi durumlarda
krk hattnn lokalizasyonu tedavi seimini belirlemektedir. Bu vaka raporunun amac dieti altna uzanan oblik komplike kron
krnn parsiyel endokron ile restorasyonunun anlatlmasdr.
YNTEM: 33 yanda bayan hasta be gn nce olutuu belirtilen krk diinden kaynakl ar ikayeti ile kliniimize bavurdu.
Hastann az ii muayenesinde sa st ikinci premolar dite palatinal tberkl kapsayan ve dieti altna uzanan komplike kron
kr tespit edildi. Yaplan radiografik deerlendirmede herhangi bir periapikal lezyona saptanmad. Diteki vital bulgulardan
ve ar madde kaybndan dolay tek sensta kanal tedavi yaplmasna ve kalan di dokusunun korunarak parsiyel endokron
yaplmasna karar verildi. Kanal tedavisini takiben pulpa boluu preparasyona dahil edildi ve dieti altna uzanan krk hatt
cerrahi yapmadan derin dieti retraksiyonuyla aa karld. Polieter l malzemesi ile lnn alnmasndan sonra CADCAM system ile E-max CAD parsiyel endokron hazrland. Diin bireysel karakteristikleri boyama teknii ile saland. Hazrlanan
restorasyon dual-cure yaptrma siman ile simante edildi. Artk simannn uzaklatrlmasn takiben restorasyon sar kuak
bitirme frezleri, seramik lastikleri kullanlarak tamamland.
BULGULAR: Yaplan bir senelik kontrolde; restorasyon yksek oranda memnuniyet verici klinik performans sergiledi.
Restorasyonun marginal adaptasyonu ve gingival uyumu mkemmeldi. Boyama teknii sayesinde doal dile renk uyumu klinik
olarak olduka iyiydi.
SONU: Yaplan bir restorasyonda kalan di dokusu miktar ve desteklenmesi nemlidir yoksa istenmeyen krklarn olumas
kanlmazdr. Eer oluan krk hatt dieti zerinde ise tedavi direk restoratif ilemlerle yaplabilir ancak krk hatt dieti altna
uzanyor ise tedavi plan multidisipliner ya da daha gelimi restoratif yaklamlardan olumaldr.
Anahtar Kelimeler: Cad-cam,endokron
RESTORATION OF SUBGINGIVALLY LOCATED OBLIQUE COMPLICATED CROWN FRACTURE WITH PARTIAL ENDOCROWN
Bilal Yaa1, Ekin Grkem Uysal1
1
Izmir Katip Celebi University, School of Dentistry, Department of Restorative Dentistry, Izmir, Turkey
AIM: While most of dental traumas in general population can be seen in anterior region caused by accident, posterior region
traumas are generally caused by secondary reasons. Foremost among these is weakening of supporting tissues depend on
excessive loss of tooth structure. In such cases which result in totally cusp fracture, the localization of fracture line determines
the treatment choise. The aim of paper is to present restoration of subgingivally located oblique complicated crown fracture with
partial endocrown.
METHOD: Thirty-three-year-old female patient referred to our clinic with pain complaints caused by fractured tooth which was
broken five days ago. At the intraoral examination, subgingivally located complicated crown fracture involving palatal cusp was
detected on the upper-left-second-premolar. There was no periapical lesion at the radiographic evaluation. One-visit endodontic
treatment because of vitality and excessive loss of structure and partial endocrown by preventing remained tooth structure were
concluded for the treatment. Following the endodontic treatment, pulp chamber was included the preparation and subgingivally
located fracture line was non-surgically unearthed by deeply gingival retraction. After impression was taken with polyether
impression material, E-max CAD endocrown was milled under CAD-CAM system. Individual characteristics were obtained
using staining technique. Restoration was cemented with dual-cure luting cement. Following the excess cement was removed;
restorations were finished with ultra-fine burs, ceramic polishing rubbers.
RESULTS: At one-year follow-up, the restoration was demonstrated highly satistified clinical performance. Marginal and gingival
adaptation of restoration was perfect. Clinically quite good color-match with natural tooth was obtained thanks to staining
technique.
CONCLUSION: Remaining tooth structure and supporting of it is important, otherwise, occurring of unfavorable fractures is
inevitable. If fracture line is located supragingivally, treatment may be performed direct restorative procedures, however, if fracture
line is located subgingivally, treatment plan should be consist of multidisciplinary or more advanced restorative approaches.
Key Words: Cad-cam, endocrown
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VESTBL DERNL YETERSZ BR HASTADA TAM PROTEZ UYGULAMASI: OLGU SUNUMU
Rahime Tznsoy Akta1, Begm Yerci Kosor1
1
Ege niversitesi Di Hekimlii Fakltesi Protetik Di Tedavisi Anabilim Dal, zmir, Trkiye
AMA: Tutuculuu yeterli, dengeli bir tam protez hazrlanabilmesi iin proteze destek olacak sert, yumuak dokularn salkl
olmas gerekir. zellikle uzun yllardr disiz olup tam protez kullanan hastalarda protez ncesi cerrahi uygulamalar nem
kazanmaktadr.
YNTEM: Kliniimize yeni bir tam protez iin bavuran 68 yandaki bayan hastann az ii muayenesinde yetersiz maksiller
sulkus derinlii olduu grld. Hasta yksnde eski protezleri nedeniyle oluan epulis fissuratumun 2 kez rezeke edildii
renildi. Vestibl derinlik retantif bir protez uygulamas iin yeterli bulunmadndan preprotetik vestibuloplasti planland.
Vestibl derinlii ekillendirmek amacyla cerrahinin hemen ardndan kullanmas iin, operasyon ncesi alnan lden elde
edilen model zerinde kazma yaplarak akrilik plak hazrland. yileme sonras l aamasna ve oklzal ilikilere ynelik
nlemler alnarak alt st tam protez tamamland.
SONU: Cerrahi sonras istenilen vestibl derinlik elde edilememesine ramen, protetik nlemlerle hazrlanan tam protezlerin
1.ve 3. ay kontrollerinde yeterli retansiyonun saland grld.
AIM: For retentive, balanced complete dentures, the supportive hard and soft tissues need to be healthy. Especially complete
denture users for a long time may need preprosthetic surgery.
METHOD: A 68 year old female patient consulted to our clinic with need of complete dentures for both mandible and maxilla.
In intraoral examination, the vestibule sulcus depth in the maxilla was found insufficient. In the anamnesis, it is learnt that
the patient had 2 epulis fissuratum surgeries. A vestibuloplasty was planned for insufficient vestibule depth. An acrylic plate
was manufactured on the preoperative model by carving the insufficient vestibul depth to the depth needed. After the healing
process, the complete dentures were delivered with proper impression techniques and occusal contacts.
CONCLUSION: Although the vestibul depth needed couldnt be achieved after surgery, complete dentures manufactured and
delivered with prosthetic precautions were seemed to achieve sufficient retention in the 1st and the 3rd month call ups.
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GARDNER SENDROMU: VAKA SUNUMU
Glsn Akay1, lkay Peker1, Kahraman Gngr1
1
Gazi niversitesi Di Hekimlii Fakltesi, Az ,Di ve ene Radyolojisi Ana Bilim Dal,Ankara, Trkiye
AMA: Gardner sendromu barsaklarda ok sayda polipler (Familyal adenomatz polipozis) ve osteomalar, osteosklerozlar,
dental anomaliler, deri ve yumuak doku tmrleri gibi barsak d lezyonlar ile karakterize, nadir, otozimal dominant genetik
bir bozukluktur. Bu olgu sunumunun amac Gardner sendromlu bir hastann klinik ve radyografik bulgularn deerlendirmektir.
YNTEM: Gardner sendromlu 16 yandaki erkek hasta, oral ve maksillofasiyal bulgularnn deerlendirilmesi iin
Pediatrik Gastroenteroloji Blmnden konsltasyon amacyla kliniimize bavurdu. Ekstraoral muayenesinde, atipik
deri pigmentasyonlar gzlendi. ntraoral muayenede herhangi bir anomali izlenmedi. Panoramik radyografide maksilla ve
mandibulada diffz skleroze alanlar belirlendi.
SONU: Di hekimlerinin Gardner sendromunun klinik ve radyolojik bulgularndan haberdar olmas, hastaln erken tehisi ve
hastann yaam kalitesinin artrlmas asndan nemlidir.
Anahtar Kelimeler: dens kemik adalar, Familyal adenomatz polipozis, Gardner sendromu, osteoma
Gazi University, School of Dentistry, Department of Oral and Maxillofacial Radiology, Ankara,Turkey
AIM: Gardners syndrome is a rare autosomal-dominant genetic disorder characterized by multiple polyps in the intestine
(Familial intestinal polyposis) and extraintestinal lesions including multiple osteomas, dense bone islands, dental abnormalities,
and tumors of the skin and soft tissues. The aim of this presentation is to evaluate clinic and radiographic findings a patient with
Gardners syndrome.
METHOD: A-16-year old male patient with Gardners syndrome was attended to our clinic for consultation from Department
of Pediatric Gastroenterology to evaluate oral and maxillofacial manifestations. In extra-oral examination, atypical skin
pigmentations were seen on the face. Intraoral examination is unremarkable. In panoramic radiograph, diffuse sclerosis was
identified in maxilla and mandible.
CONCLUSION: The awareness of dentists about clinic and radiographic findings of Gardners syndrome is important for early
diagnosis and improvement in quality of life of the patient.
Key Words: dense bone islands, Familial intestinal polyposis, Gardners syndrome, osteoma
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P72
MANDBULAR KANAL VE KNC MOLAR DLERN KK APEKS ARASINDAK LKNN DEERLENDRLMES
Yasemin Yaman1, Elmas Trkel1, Cansu Kseolu Segin2, Cemal Kvan Klah2, Aye Glah2
1
Bakent niversitesi Di Hekimlii Fakltesi, Az, Di ve ene Radyolojisi Anabilim Dal, Ankara, Trkiye
AMA: Mandibular ikinci molar diin kk apeksinin mandibular kanaln st snrna olan uzaklnn belirlenmesidir.
YNTEM: Farkl dental problemler nedeniyle alnm 40 adet sa ve sol mandibular ikinci molar diin CBCT grntleri
incelendi. Mandibular ikinci molar diin apeksinden mandibular kanaln st snrna kadar olan mesafe lld.
BULGULAR: 40 adet mandibular molar diin 27 tanesi iki kkl,11 tanesi tek kkl,2 tanesi ise kklyd. Distal kkler
mandibular kanala mezial kklerden daha yakn bulundu. ki kkl dilerde, distal kk ile mandibular kanal aras ortalama
mesafe 2,03 mm ve mezial kk iin bu mesafe 2,4 mm olarak lld. kkl diler iin meziobukkal, meziolingual ve distal
kklerden mandibular kanala olan mesafe 0,99 mm , 2.95 mm ve 0,28 mm olarak hesapland. Tek kkl dilerde ise apeksten
mandibular kanala olan ortalama uzaklk 1.97 mm idi.
SONU: Endodontik tedavi ve mandibular apikal cerrahi srecinde, mandibular kanal ve mandibular posterior dilerin apeksleri
arasndaki ilikiyi bilmek nemlidir. Di hekimleri, potansiyel sinir hasarndan kanmak iin invaziv dental tedavi ilemlerinden
nce inferior alveolar sinirin pozisyonunun farknda olmaldr.
ASSESSMENT OF RELATIONSHIP BETWEEN MANDIBULAR CANAL AND SECOND MOLAR TEETH APEX
Yasemin Yaman1, Elmas Trkel1, Cansu Kseolu Segin2 ,Cemal Kvan Klah2, Ayse Glah2
1
Bakent University, School of Dentistry, Department of Oral and Maxillofacial Radiology, Ankara, Turkey
AIM: To estimate the distance from the root apex of mandibular second molar tooth to the superior border of mandibular canal.
METHOD: A total of 40 CBCT images of left and right mandibular second molar tooth analyzed. The CBCT images, taken because
of different dental problems were evaluated. All measurements were taken from the apices of the second molars to the superior
border of the mandibular canal.
RESULTS: 40 mandibular molar teeth were analyzed which of them 11 teeth had one, 27 had two and 2 teeth had three roots. The
distal root was closer to the mandibular canal than mesial root. For the teeth which have two roots, distances from the mesial
root and distal root to the mandibular canal were 2,4 mm and 2.03 mm. For the teeth which have three roots, distances from the
mesiobuccal, mesiolingual and distal root to the mandibular canal were 0,99 mm , 2.95 mm and 0,28 mm respectively. For the
teeth which have one root, the average distance between root apex and mandibular canal was 1,97 mm.
CONCLUSION: During endodontic treatment and mandibular apical surgery, it is important to know the relationship between
mandibular canal and the apices of the mandibular posterior teeth. Dentists should be aware of the position of the inferior
alveolar nerve before attempting invasive dental procedures in the lower jaw to avoid potential nerve injury.
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P73
KANAL TEDAVS SIRASINDA SODYUM HPOKLORTN KAZA LE TAIRILMASINI TAKBEN OLUAN KOMPLKASYONLAR
HAKKINDA VAKA RAPORU
Dilek Kiracolu1, Fatma Bahar Sezer1, Yamur ahin1
1
Ege niversitesi, Di Hekimlii Fakltesi, Az,Di ve ene Cerrahisi Ana Bilim Dal, zmir, Trkiye
AMA: Bu olgu sunumu; maxillar ikinci premolar diin kanal tedavisi srasnda lateral perforasyon nedeni ile periapikal dokulara
sodyum hipokloritin tarlmas sonucu oluan komplikasyonu ve tedavisini iermektedir.
YNTEM: 42 yandaki erkek hasta Ege niversitesi Di Hekimlii Fakltesi Az,Di ve ene Cerrahisi Anabilim Dalna kanal
tedavisi sonrasnda gelien sa maxillar blgesindeki ar ve ilik nedeni ile bavurmutur. Az ii muayenesi sonuncunda
kanal tedavisi uygulanan diin etrafndaki evre yumuak dokuda nekrotik alan gzlenmitir. ki hafta sresince hastaya
antiiflamatur ve antibiyotik reete edilerek medikal tedavi uygulanmtr. Bunun sonucunda ayn blgede kzarkln,iliin
ortadan kalkt grlm ve enfeksiyonu iaret eden bir bulguya rastlanmamtr.
SONU: Sodyum hipoklorit organik yumuak dokular zebilme yetenei ve antimikrobiyal etkisinden dolay endodontide en
ok tercih edilen kk kanal irrigasyon ajandr.Avantajl zelliklerine ramen , doku toksitesi nedeni ile klinik komplikasyonlara
neden olabilmektedir.Solsyon periradikler dokulara tarld zaman hastalar genellikle iddetli bir ar duyarlar.Bu gibi
durumlarda oluabilecek sekelin engellenmesi iin acil tedavi uygulanmaldr.
COMPLICATIONS FOLLOWING ACCIDENTLY EXTRUSION OF SODIUM HYPOCHLORITE IN THE COURSE OF ROOT CANAL
TREATMENT: A CASE REPORT
Dilek Kiracolu1, Fatma Bahar Sezer1, Yamur ahin1
1
Ege University, School of Dentistry, Department of Oral and Maxillofacial Surgery, zmir, Turkey
AIM: The aim of this case report was to present the inadvertent effects and management of accidently extrusion of Naocl into
the periradicular tissues through lateral perforation of maxillary right second premolar in the course of root canal treatment.
METHOD: A 42-year old male patient was referred to the Oral and Maxillofacial Surgery Department of Ege University for the
pain and swelling in his right maxillar region that had occured after root canal treatment. At intraoral exploration necrosis of
the soft tissue were seen around the tooth that root canal treatment was performed. 2 weeks after medical treatment of the
patient with antiinflammatory drugs and antibiotics; no swelling,redness or any sign of infection were seen at the same area.
CONCLUSION: Sodium hypochlorite (NaOCl) is the most preferred root canal irrigant in endodontics due to its ability to dissolve
organic soft tissue and antimicrobial effects.Although its adventegous properties,NaOCl may cause clinical complications
caused by the tissue toxicity. When the solution is injected into adjacent tissues in the periapical area, the patients usually
experience intence pain and urgent treatment should be implemented in order to prevent a longterm sequelae.
Key Words: sodium hypochlorite, complication, necrosis
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P74
ATROJENK LATERAL KANAL PERFORASYONUNA SAHP ST SANTRAL KESC DN ORTOGRAD TEDAVS
Gzde Kandemir Demirci1 , Mehmet Kemal alkan1
1
AMA: atrojenik lateral kanal perforasyonuna sahip st santral keserin mineral trioksit agregat ile ortograd tedavisinin klinik
ve radyografik olarak incelenmesi.
YNTEM: 16 yanda erkek hasta ubat 2014 tarihinde 21 numaral diinde ar ikayeti ile Ege niversitesi Dihekimlii Fakltesi
Endodonti Anabilim Dalna bavurmutur.Hastadan alnan anamnez ile 21 numaral diteki hijyenik olmayan kanal tedavisine
baka bir klinikte mdahale edildii renildi. Yaplan klinik ve radyografik incelemede 21 numaral diinde iatrojenik lateral
perforasyon olduu tespit edildi. Ayn seansta kk kanalnn biyomekanik geniletmesi %2,5 sodyum hipoklorit,%5 etilen diamin
tetra asetik asit ve %2 klorheksidin irigasyonu ile birlikte gerekletirildi ve kk kanal iine kalsiyum hidroksit pat gnderildi.
CS ile geici dolgu yapld ve hafta sonrasna randevu verildi. kinci seansta kalsiyum hidroksit skld ve perforasyon olan
beyaz MTA ile kapatlp,kk kanal iine nemli pamuk yerletirildi ve hasta bir gn sonraya arld.Son seansta MTA zerine
fiber post uygulamasnn ardndan koroner restorasyon kompozit rezin ile tamamland.
BULGULAR: Bir yllk klinik ve radyografik inceleme sonucunda diin asemptomatik ve fonksiyonda olduu ve periodontal bir cep
varl tespit edilememitir. Radyografik incelemede klinik bulgular destekleyen yeterli kemik destei mevcut ve apikal alandaki
lezyonun iyilemekte olduu tespit edildi.
SONU: Bu olguda olduu gibi mitsiz bir apikal alandaki iatrojenik perforasyona sahip bir olguda uygun bir endodontik ve
restoratif tedavi sonras diin fonksiyonda kald izlenmitir.
Anahtar Kelimeler: lateral kanal perforasyonu,mineral trioksit agregat
ORTHOGRADE TREATMENT OF CENTRAL INCISOR TEETH WHICH HAS IATROGENIC ROOT CANAL PERFORATION
Gzde Kandemir Demirci1 , Mehmet Kemal alkan1
1
AIM: Clinical and radiographic examination of the endodontic treatment of left maksillary incisor teeth which has iatrogenic root
canal perforation.
METHOD: A 16-year old male patient whose upper left central incisor has pain referred to Ege University Faculty of Dentistry
Department of Endodontology. From the patient history and unhygienic root canal in the tooth number 21 in the intervention
was learned that another clinic . Radiographic and clinical examination revealed that left central incisor had iatrojenic root canal
perforation. At the same session, biomechanical expansion was carried out with 2.5% sodium hypoclorite ,5% EDTA and 2%
chlorhexidine irrigation and calcium hydroxide medication was done into the root canal. CIS used as temporary restoration.
After three weeks, at the second appointment, perforation area filled with white MTA. Sterile moist cotton pellet placed on the
MTA. A day later, at the final appointment fiber post done above the MTA and coronary restoration has been completed with
composite resin.
RESULTS: After one year follow-up period, clinical and radiographic examination shows that the tooth is asymptomatic and is on
the function and not detected in the presence of a periodontal pocket. Radiographic findings support the clinical findings present
adequate bone support, and the lesion is healing .
CONCLUSION: Hopeless cases, as in this case, a case which has iatrogenic perforation in the apical area, function of the tooth
may be observed after successful endodontic and restorative treatment.
Key Words: lateral root perforation, mineral trioksite aggregate
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P75
RKSZ SERVKAL LEZYONLARDA SELF-ADEZV AKIKAN KOMPOZTN KLNK PERFORMANSINI DEERLENDREN
RANDOMZE, KONTROLL, SPLT- MOUTH ALIMA: 6 AYLIK SONULAR
Betl Aka1, Esra Uzer elik1, Fatma Ylmaz1
1
AMA: Bu randomize, kontroll, tek merkezli, split-mouth klinik aratrmann amac, rksz servikal lezyonlarda aamal
asitle ve yka adeziv sistemiyle (E&Ra/nanoC) uygulanan nanohibrit bir kompozit ile self adeziv akkan kompozitin (SAFC) klinik
performansn karlatrmaktr.
YNTEM: Bu almada 80 tane rksz servikal lezyon, split- mouth dizayna uygun olarak iki gruba ayrld. Kontrol grubunda
yer alan servikal lezyonlar, aamal asitle ve yka teknii (Optibond FL) ile uygulanan nanohibrit kompozitle (G-aenial) restore
edilirken; deney grubu, SAFC (Fusio Liquid Dentin) ile restore edildi. Kullanlan tm restoratif materyaller retici firmalarn
nerileri dorultusunda uyguland. Klinik deerlendirme, 1 hafta ve 6 ay sonra FDI kriterleri kullanlarak yapld. Veriler,
Wilcoxon Signed Ranks ve Mann-Whitney U testleri kullanlarak analiz edildi (a = 0.05).
BULGULAR: Alt ay sonra, 40 adet Fusio Liquid Dentin restorasyondan 27 adeti retansiyon kayb gsterdi. Bu materyal %33
retansiyon ile klinik olarak baarsz bulundu, E&Ra/nanoC (p = 0.000) retansiyonu %100 idi. Dier kriterler deerlendirildiinde
iki grup arasnda istatistiksel olarak sadece renk ve translusentlikte fark gzlendi (p = 0.002).
SONU: Alt aylk deerlendirme sonras Fusio Liquid Dentinin klinik performans baarsz bulundu. Klinisyenler, rksz
servikal lezyonlarda SAFC kullanrken bu materyal hakknda yeterli veri olmadnda dikkatli olmaldrlar.
Anahtar Kelimeler: rksz servikal lezyon, klinik aratrma, nanohibrit kompozit, self adeziv akkan kompozit
AIM: The aim of this randomised, controlled, single-centre, split mouth clinical trial was to compare the clinical performance
of a self-adhesive flowable composite resin (SAFC) in non-carious cervical lesions in comparison with a nanohybrid composite
applied with a three-step etch & rinse adhesive system (E&Ra/nanoC).
METHOD: Eighty non-carious cervical lesions were included and assigned into two groups, according to the split mouth design.
The cervical lesions in experimental group were restored with a SAFC (Fusio Liquid Dentin), while a nanohybrid composite
(G-aenial) with a three-step etch & rinse adhesive system (Optibond FL) was applied to the control group. All tested restorative
materials were used according to the manufacturers instructions. Clinical evaluation was performed after 1 week, and 6
months using FDI criteria. Data were analyzed using Wilcoxon Signed Ranks and Mann-Whitney U tests (a = 0.05).
RESULTS: After 6 months, 27 of 40 Fusio Liquid Dentin restorations were clinically unacceptable due to loss of retention leading
to a success rate of 33% in comparison to 100% of E&Ra/nanoC (p = 0.000). Considering the other criteria, the difference
between the two groups was only statistically significant for colour and translucency (p = 0.002).
CONCLUSION: The clinical performance of Fusio Liquid Dentin was found unacceptable after 6 months of clinical service.
Clinicians should be careful to use any SAFC in non carious cervical lesions, in case of no data available about the clinical
performance of this material.
Key Words: clinical trial , non-carious cervical lesions , nanohybrid composite , self-adhesive flowable composite resin
194
P76
AMELOGENEZS MPERFEKTALI BR HASTANIN NONNVASV YAKLAIMLA FONKSYONEL VE ESTETK REHABLTASYONU
Emine Kara1, Neslihan kk2
1
Yznc Yl niversitesi, Di Hekimlii Fakltesi, Restoratif Di Tedavisi Ana BilimDal, Van, Trkiye
Yznc Yl niversitesi, Di Hekimlii Fakltesi, Protetik Di Tedavisi Ana BilimDal, Van, Trkiye
AMA: Amelogenezis mperfecta (A) mine yapsndaki geliimsel defektleri ieren kaltsal bir hastalktr. A di hassasiyetine,
dikey boyut kaybna, fonksiyon bozukluuna, zayf estetie ve rk insidansnn artmasna neden olabilir.
YNTEM: kliniimize yaygn di hassasiyeti ve rk ikayetleri ile bavuran gen bayan hastann klinik muayenesi sonucunda
Pittet tip Hipoplastik Al olduu tespit edilmitir. Periodontal tedavi sonras di eti ekillendirilmesi Er-Cr: YSGG lazer ile
salanm ve noninvasiv konservatif lamine restorasyonlarla fonksiyonel ve estetik problemler giderilmitir.
SONU: A hastann estetik ve fonksiyonel problemleri dilerden herhangi bir madde kayb yaplmadan giderilmitir.
Anahtar Kelimeler: Er-Cr:YSGG lazer, noninvasiv lamina
FUNCTIONAL AND AESTHETIC REHABILITATION OF AMELOGENESIS IMPERFECTA PATIENT WITH NONINVASIVE APPROACH
Emine Kara1, Neslihan kk2
1
AIM: Amelogenesis mperfecta (AI) is a hereditary disease which contains enamels developmental defects.AI may cause dentinal
hypersensivity, loss of vertical dimension, loss of function, poor aesthetic and increased caries incidence.
METHOD: Patient came to our clinic with dentinal hypersensivity and caries problems. After the dental examination we identified
that the patient has Pittet type hypoplastic amelogenezis imperfecta. After periodontal treatment gingival forming done with
Er:Cr:YSGG laser. Functional and aesthetic problems are solved with non invasive conservative laminate restorations.
CONCLUSION: Problems of amelogenesis imperfecta patient are solved without any structure loss.
Key Words: Er:Cr:YSGG laser, non invasive laminate
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ENDODONTK TEDAV SONRASI KRON HARABYET OLAN DLERN CAD-CAM LE ALTERNATF RESTORASYONU
Nuri Murat Ersoy1, Neslihan kk1, Beyza nalan-Deirmenci1
1
AMA: rekonstruktif di hekimliinde ar kron harabiyetine sahip endodontik tedavili dilerin restorasyonu sregelen problemdir.
bu dilerin restorasyonlarnda farkl tedavi seenekleri mevcuttur. metal postlarla yaplan tedavilerin klinik deneyimleri
sonucunda di krklar ve debonding gibi problemlerle karlalmtr. seramik materyallerdeki gelimeler ve zellikle
CAD-CAM teknii ile yksek biyouyumlu, mekanik zellikleri iyiletirilmi tam seramik endokronlarn yapm salanmtr.
gnmzde tanmlanan tek di restorasyonlar morfolojik kron ve prepare edilmi kanal restorasyonunu kapsamaktadr. Modern
di hekimlii bu tarz restorasyonlarn yapmnda farkl zmler sunmaktadr. Bu almann amac post kor ve kron ile restore
edilmi kanal tedavili dilere alternatif olarak CAD-CAM ile retilen tam seramik endokronlarn tantmdr.
YNTEM: Ar kron harabiyeti olan endodontik tedavili molar di endokron iin prepare edilmitir. endokron tekniinde shoulder
marjin ve pulpa odasn kapsayan merkezi retansiyon kavitesi almtr. Feldspatik porselenlerle endokron retilmitir ve ayn
seansta simante edilmitir.
SONU: Bu teknik uzun dnemde stabilite ve nonvital dilerin korunmas asndan konservatif ve umut vaat edicidir. adesiv di
hekimliindeki seramik materyaller ve CAD-CAM teknolojisindeki gelimeler endokron restorasyonlar iin avantaj salamtr.
Anahtar Kelimeler: endokron, CAD-CAM, seramik
ALTERNATIVE RESTORATION TECHNIQUE OF DAMAGED AND ENDODONTICALLY TREATED TOOTH WITH CAD/CAM
Nuri Murat ERSOY1, Neslihan kk1, Beyza nalan-Deirmenci1
1
AIM: The rehabilitation of endodontically treated teeth is a constant problem in reconstructive dentistry. When the remaining
dental tissues do not provide sufficient retention for conventional restorations, the treatment may be carried out in several ways.
There are different options on this type of treatment in scientific and professional circles . Clinical experience has revealed certain
problems with metal posts, such as tooth fracture or debonding . The development of ceramic materials, and especially dental
CAD-CAM (computer-aided design and manufacturing) systems revitalized the possibility to produce single-unit restorations,
all-ceramic endo-crowns, characterized by high biocompatibility and good mechanical properties. Today, these are defined as
single unit restorations, corresponding to the prepared canal and morphologically shaped crown. Modern dentistry offers a wide
range of different solutions for the production of these restorations.The aim of this study is restorating endodontically treated
molar tooth with CAD/CAM endocrown which is an alternative to the post-core and full-coverage crown technique.
METHOD: An endodontically treated molar with damaged crown were prepared for endocrowns. The endocrown technique
comprises a circumferential butt margin and a central retention cavity inside the pulp chamber and constructs the both the
crown and core as a single unit with CAD/CAM. Endocrowns were made with the feldspatic porcelain CAD/CAM blocs and
cemented at the same session.
CONCLUSION: This technique represents a promising and conservative alternative to full crowns and posts for the treatment
of posterior non-vital teeth that require long-term protection and stability. The advances in the adhesive dentistry,ceramic
materials and CAD-CAM technology are advantageous for the alternative endocrown restoration techniques.
Key Words: endocrown, CAD/CAM, ceramic
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AIK APEKSL DEVTAL DLERDE MTA LE APKAL BARYER OLUTURULMASI : 3 OLGU SUNUMU
rem Kseler1, Gzde Kandemir Demirci1
1
AMA: Mineral trioksit aggregat(MTA) ak apeksli dilerde bakteriyel szntya kar apikal bariyer oluturmak iin kullanlan
etkili bir materyaldir. Bu olgu sunumunda periapikal lezyonlu ak apeksli dilerde MTA ile yaplan apeksifikasyon tedavisi ile
yeterli iyilemenin meydana geldii olgu rapor edildi.
YNTEM: lk seansta radyografik incelemede her 3 dite de periapikal lezyonla birlikte ak apeks varl grlmektedir. Klinik
incelemelerde her 3 dite perksyon olduu grld.Tm tehis verileri deerlendirdikten sonra,her hastann da santral
kesici dilerine kk kanal tedavisi planland.Kk kanallar Hedstrm eeleriyle prepare edildi, %2,5 sodyum hipoklorit ile irige
edildi ve kanal ii medikament olarak kalsiyum hidroksit kullanld. 3 hafta sonra hastalar arld. MTA retici firmann
talimatlarna uygun bir ekilde hazrland. Kanal boyuna uygun bir endodontik plugger kullanld ve stoper alma boyundan
1mm ksa olacak ekilde sabitlendi. MTA kanal iine yerletirildi ve plugger yardm ile apekse doru itildi. Nemli pamuk pelet
MTA nn zerine yerletirildi ve giri kavitesi geici dolgu ile kapatld. 24 saat sonra, geici dolgu kaldrld. Daha sonra MTA nn
zerine kk kanal dolgusu gta perka ve rezin siman ile yapld. Sonunda diler kompozit rezin ile restore edildi. Bir dite devital
beyazlatma uyguland.
BULGULAR: Alt aylk klinik takip sonrasnda diler yeterli klinik fonksiyon gstermekte, herhangi bir klinik semptom ve
periapikal lezyonlarn iyilemekte olduu grld.
SONU: Bu vakalarn klinik sonular deerlendirildiinde MTA nn ak apeksli dilerde apikal plug olarak kullanm pozitif
klinik sonular vermitir. Tedavilerin sonular literatrde uzunca bir sre daha tartlmaldr.
Anahtar Kelimeler: mineral trioksit agregat,ak apeks,apikal plug
MTA APICAL PLUG METHOD FOR THE TREATMENT OF NONVITAL PERMANENT INCISORS WITH OPEN APICES:THREE CASE
REPORTS
rem Kseler1, Gzde Kandemir Demirci1
1
AIM: Mineral trioxide aggregate (MTA) is as an effective material for apical barrier, forming an effective seal against bacterial
leakage in teeth with open apices . Mineral trioxide aggregate (MTA) apical plug method is an alternative treatment option for
open apices, and has gained popularity in the recent times. In this case report, successful treatment of three maxillary central
incisors with open apices and periapical lesions with MTA was reported.
METHOD: Patients reported to the Department of Endodontics, Faculty of Dentistry, Ege University, with a chief complaint of
pain and one of them discoloration of maxillary cenral insicor with a history of insufficient root canal treatment. Radiographic
examination demonstrated the presence of open apex and periapical radiolucency at three patients teeth.According to clinical
examination percussion existed on all of them. After evaluating all the diagnostic data, root canal treatment for three patients
central incisors were planned. At the first appointment, the access cavities and the root canals were prepared and calcium
hydroxide were used as intracanal medicament for two weeks. At the second appointment,. MTA placed in the apical 3 millimeters
of the root canals. After 24 hours, the temporary filling material and cotton pellet were removed. The remaining part of the root
canals were filled with gutta-percha and resin sealer. Devital bleaching was applied for one case.
RESULTS: After 6 months the radiographic examination showed significant healing of periapical lesions and functional teeth
were preserved in the mouth.
CONCLUSION: The creation of the apical barrier with the help of MTA facilitates the root canal obturation and contribute to the
periapical heailing. Using of this material in nonvital teeth with open apices is a positive effect on the prognosis of the treatment.
Key Words: mineral trioxide aggregate,open apices,apical plug
197
P79
KK GELM TAMAMLANMAMI TRAVMA GRM DN PARSYEL PULPOTOMYLE TEDAVS: OLGU SUNUMU
Bilge Glsm Nur1, Elif Yaa2 , Duygu Yldzeli2,
1
ifa niversitesi Di Hekimlii Fakltesi, Restoratif Di Tedavisi Anabilim Dal, zmir, Trkiye
AMA: Direkt pulpa rtlemesi ve total pulpotomiden ziyade parsiyel pulpotomi, kk geliimi tamamlanmam travma grm
pulpas akta olan daimi diler iin iyi bir tedavi seeneidir. Parsiyel pulpotominin bir avantaj hcreden zengin olan koronal
pulpa dokusunun korunmasdr. Bu doku daha iyi iyiletirme potansiyeline sahiptir ve dentinin fizyolojik yapmn salamaktadr.
Bu olgu sunumu kk geliimi tamamlanmam travma grm diin parsiyel pulpotomiyle tedavisini anlatmaktadr.
YNTEM: 10 yandaki erkek hasta, sa lateral kesici diinde komplike kron kr ve sol lateral kesici diinde ise mine kr
ikayeti ile kliniimize bavurdu. Travma bisiklet kazas sonucu 10 gn nce olmu ve di paralar bulunamamt. Yaplan az
ii muayenesinde maksiller santral di blgesinde gingival enflamasyon ve sa lateral kesici dite ise geni pulpa perforasyonu
olduu grld. Radyolojik muayenesinde travma grm diin apeksinin kapanmad tespit edildi. Diin tedavisi iin servikal
pulpatomi ve kalsiyum hidroksit uygulamas yapld. Aa kan dentin yzeyi kalsiyum hidroksit uygulamasndan sonra cam
iyonomer siman kullanlarak rtlendi ve krk yzeyi kompozit rezinle geici olarak restore edildi. Yaklak drt ay sonra
kompozit kaldrld, asit ve bonding uygulamasnn ardndan kompozit rezinle daimi restorasyon bitirildi. Klinik ve radyografik
kontroller tedaviden 1 hafta, 3ay, 6 ay ve 12 ay sonra gerekletirildi.
BULGULAR: Klinik kontrollerle diin elektrikli pulpa testine pozitif cevap verdii gzlemlenirken, radyografik kontrollerde
apeksin kapanmaya balad ve periapikalde herhangi bir patolojinin olmad grld.
SONU: Klinik olarak kk geliimi tamamlanmam travma grm pulpas ak dilere parsiyel pulpotominin uygulanmas
yksek baar oran ve memnun edici sonular sergilemektedir.
Anahtar Kelimeler: apeksi ak di, kompozit rezin, parsiyel pulpotomi
AIM: Partial pulpotomy, rather than direct pulp capping or complete pulpotomy, is the treatment of choice following traumatic
pulp exposure in immature permanent teeth. One of the advantages of partial pulpotomy is the preservation of the cell-rich
coronal pulp tissue. This tissue possesses better healing potential and can maintain the physiological deposition of dentin. This
case report describes the treatment of immature traumatized tooth with partial pulpotomy.
METHOD: A 10-year-old male patient presented to our clinic with a complicated crown fracture of his right upper lateral
incisor. The trauma had occurred about ten days earlier due to cycling accident and tooth fragment was not available. Intraoral
examination showed gingival inflammation at the gingival margin of the maxillary incisor region and large pulpal exposure
on right lateral incisor. Radiology examination revealed that fractured tooth had incompleted rooth growth. For treatment of
tooth, cervical pulpotomy procedures were performed and the tooth was treated with calcium hydroxide. The exposed dentin
and calcium hydroxide were both sealed with glass ionomer cement and fractured surfaces were restored temporarily with
composite resin. Approximately four months later composite restoration was removed, after acid etching and bonding procedure
composite restoration was built up. After the treatment, clinical and radiographic examinations were performed after 1 week, 3
months and 6 months and 12 months.
RESULTS: Clinical controls showed that tooth responded positively to the electric pulp tester, root growth started to closure and
no periapical changes were observed in radiographic controls.
CONCLUSION: Clinical application of partial pulpotomy for immature traumatized tooth with pulp exposure present high success
rates and satisfactory results
Key Words: tooth with open apices, composite resin, partial pulpotomy
198
P80
POSTEROR MONOLTK ZRKONYA RESTORASYONLAR N MODFYE LNGUALZE OKLUZYON KONSEPT: OLGU SERS
Pnar Ate1, Muharrem Erhan mlekolu1, Mine Dndar mlekolu1
1
Ege niversitesi, Di Hekimlii Fakltesi, Protetik Di Tedavisi Ana Bilim Dal, zmir, Trkiye
AMA: Zirkonya destekli seramik restorasyonlar, metal destekli restorasyonlara oranla yksek estetik zellikler
sergilemesi nedeniyle gnmzde yaygn bir kullanm alan bulmulardr. Bununla birlikte uzun dnemli klinik almalar
bu tip restorasyonlarda karlalan en byk komplikjasyonun st yap seramik kr olduunu gstermektedir. Bu
eit komplikasyonlarn nne gemenin yollarndan birisi st yap seramiine gereksinim duymayan monolitik zirkonya
restorasyonlardr. Uygulanacak olan oklzyon tipi, andrlmas ve yzey parlatmas ok g olan bu tarz restorasyonlarda
ok nemli bir parametredir. Bu olgu serisinde posterior blgeye uygulanan monolitik zirkonya restorasyonlar iin lingualize
oklzyon konsepti anlatlmaktadr
YNTEM: Ksmi di eksiklii yaknmasyla kliniimize bavuran 3 hastaya ( ya ortalamas: 51.6) monolitik zirkonya
materyalinden hazrlanan sabit blml protezler (12 yesi dayanak di olmak zere toplam 20 ye)uyguland. Radyografik
ve klinik deerlendirmenin ardndan, su soutmas altnda elmas frezler yardmyla yuvarlatlm tam basamak tipi marjin
sonlanmasna sahip di prepasyonlar elde edildi. Prepasyonlarn ardndan 3 boyutlu az ii dijital tarayc (Bluecam,Sirona,
Benshein, Almanya) kullanlarak ller elde edildi. Sanal tasarm srasnda oklzal ekillendirmeler st byk ve kkaz
dilerinin palatinal tberklleri baskn ve temasta olacak ekilde, bukkal tberkller ise ksa ve pasif temasta olacak ekilde
oklzal ablonlar oluturuldu. Ayn zamanda alt byk ve kkaz dilerinin tberkl alar azaltlarak daha s oklzal
tablalar elde edildi. Dijital tasarmlarn ardndan monolitik zirkonya bloklar (Incoris,TZI, B55,Sirona) kullanlarak restorasyonlar
bilgisayar destekli retim nitesinde (Cerec MCXL, Sirona) retildi. Yzey bitirme ve boyama ilemlerinin ardndan restorasyonlar
adeziv rezin simanlar (Multilink M, Ivoclar Vivadent, Schaan, Liechtenstein) yardmyla dilere yaptrld. Artiklasyon katlar
yardmyla oklzyon kontrol yapld ve oral hijyen eitimi verilen hastalar belirli periyot aralklaryla kontrole arld. Kontrol
aamalarnda restorasyonlar modifiye USPHS kriterlerine gre deerlendirildi. Anma miktarlar ise dijital substraksiyon
yntemi ile objektif olarak saptand.
SONU: ineme etkinlii ve kullanm konforu ynnden hastalarn monolitik zirkonya restorasyonlara ksa sre ierisinde
uyum gsterdii gzlemlenirken, 14 ay sonunda herhangi bir biyolojik ve mekanik baarszlklara rastlanmamtr.
Anahtar Kelimeler: Bilgisayar destekli tasarm ve retim, lingualize oklzyon, monolitik zirkonya, oklzal anma
MODIFIED LINGUALIZED OCCLUSION CONCEPT FOR POSTERIOR MONOLITHIC ZIRCONIA RESTORATIONS: CASE SERIES
Pnar Ate1 , Muharrem Erhan mlekolu1, Mine Dndar mlekolu1
1
AIM: Zirconia supported ceramic restorations are currently widely used due to there superior esthetic properties compare
to porcelain fused to metal restorations. However, long term clinical studies point out the most encountered complication as
veneer ceramic delaminations or fractures. To avoid these kind of complications monolithic zirconia restorations that can be
applied without veneering part may be utilized. Occlusial scheme is one of the most important parameters in these restorations
because of the difficulties in grinding and repolishing procedures. A lingualized occlusion concept in posterior monolithic
zirconia restorations is described in this case series.
METHOD: Fixed partial dentures fabricated from monolithic zirconia material (total 20 units with 12 abutments)were applied to
three patients(median age: 51.6) with partial edentoulism . Following radiographic and clinical evaluation, tooth preparations with
rounded shoulder margin type were made with diamond burs under water cooling. After preparation phase digital impressions
were made using a 3D intraoral digital scanner (Bluecam,Sirona, Benshein, Almanya). During digital design step, occlusial
surfaces were modified with prominent and active palatal cusps on upper molar and premolars while shortened cusps and a
shallow fossa in the molar posterior teeth. Following digital design restorations were milled out of monolithic zirconia blanks
(Incoris, TZI, B55, Sirona) using a CAM units (Cerec MCXL, Sirona). After polishing and staining finished restorations were
semented with an adhesive resin cement (Multilink M, Ivoclar Vivadent, Schaan, Liechtenstein). Occlusion was checked and
oral hygene education was provided. The patients were asked for recalls for every 6 mounths. During recalls restorations were
evaluated according to modified USPHS criteria. The wear levels were assessed with digital substraction method.
CONCLUSION: The patients showed high adaptation to monolithic zirconia restorations in terms of chewing efficiency and daily
comfort. Moreover , there were no biological and mechanical failures after and observation period of 14 months
Key Words: CAD-CAM, lingualized occlusion, monolithic zirconia, occlusal wear
199
P81
FBROEPTELYAL POLP: OLGU SUNUMU
Ouz Kse1, Hatice Yemenolu1
1
Recep Tayyip Erdoan niversitesi, Di Hekimlii Fakltesi, Periodontoloji Ana Bilim Dal,Rize,Trkiye
AMA: Fibroepitelyal polip (FP), youn kollojen ve ba dokusu ieren, pembe, krmz renkli bymelerdir. Lezyonlar di ta veya
uyumsuz restorasyon gibi lokal predispozan faktrlerle ilikilidir. Bu vakada, 61 yandaki bayan hastann 22-23 nolu dileri
arasnda, papilde lokalize olan FP olgusunun sunulmas amalamtr.
YNTEM: 61 yandaki bayan hasta 2 yl nce balayan arsz dieti bymesi ikayetiyle kliniimize bavurdu. Az ii
muayenede lezyonun arsz, pembe renkli, sapl ve interdental papilde lokalize olduu grld. Lezyon boyutlar yaklak 2x2
cm boyutundayd. Lezyon uyumsuz restorasyon kenar ve di talar ile ilikili idi. Cerrahisiz periodontal tedaviyi takiben lezyon
eksize edildi. Patolojik deerlendirme sonucu FP tans konuldu.
SONU: Bu vakada, FP iatrojenik restorasyon ve kt az hijyeni ile ilikili bulundu.
Anahtar Kelimeler: Polip, Fibroepitelyal Polip, Kronik irritasyon
Recep Tayyip Erdoan University, School of Dentistry, Department of Periodontology, Rize, Turkey
AIM: Fibroepithelial polyp is a pink or red growth which densely consists of collagen and connective tissue. Lesions are
associated with local predisposing factor such as calculus or ill-fitting restorations. The purpose of this report is to present a
case of FP on number 22-23 tooth of a 61 years old female patient.
METHOD: The 61 years old female patient referred to our clinic with a complaint of painless gingival enlargement since 2 years.
During intraoral examination, the lesion was painless, pink color, pedunculated and placed around the interdental papilla. The
dimensions of the lesion were approximately 2x2 cm. The lesion was associated with restorations located apical to marginal
gingiva and calculus. It was excised after non-surgical periodontal therapy. The results of pathological evaluation confirmed the
diagnosis of FP.
CONCLUSION: In this case, FP was associated with iatrogenic restoration and poor oral hygiene.
Key Words: Polyp, Fibroepithelial Polyp, Chronic rritation
200
P82
PERFERAL DEV HCREL GRANLOM: VAKA RAPORU
Ouz Kse1, Hatice Yemenolu1, Tuba Karahan2
1
Recep Tayyip Erdoan niversitesi, Di Hekimlii Fakltesi, Periodontoloji Ana Bilim Dal,Rize,Trkiye
Atatrk niversitesi, Di Hekimlii Fakltesi, Ortodonti Ana Bilim Dal, Erzurum, Trkiye
AMA: Periferal Dev Hcreli Granlom (PDHG), periodontal ligament ya da mukoperiosteumdan kaynaklanan, lokal irritan
faktrler sebebiyle di etinde ve alveol kretinde ortaya kan lezyonlardr. Bu raporda 39 yandaki bayan hastann 43-44 nolu
dileri arasnda lokalize olan bir PDHG olgusunun sunulmas amalanmtr.
YNTEM: Az ii deerlendirmede lezyon, non-lsere, belirgin snrl ve pembe renkliydi. Lezyonun boyutlar 0.7x0.6 cm idi.
Lezyona komu blgede uyumsuz sabit protetik restorasyon olduu gzlendi. Balang periodontal tedavinin ardndan lezyon
eksize edildi. Patolojik deerlendirme sonucu PDHG tehisi konuldu. Hasta dzenli aralklarla takip edilmektedir.
SONU: PDHGun doru tehis ve tedavi yaklamyla tekrarlanma riski en aza indirilebilir.
Anahtar Kelimeler: Periferal granlom, Dev hcreli granlom, Kronik irritasyon
Recep Tayyip Erdoan University, School of Dentistry, Department of Periodontology, Rize, Turkey
AIM: Peripheral Giant Cell Granuloma (PGCG) is a type of lesion arising from periodontal ligament or periosteum. Due to local
irritation, it exits on the gingiva and alveolar ridge. The purpose of this report is to present a case of PGCG on between numbers
43-44 teeth of 39 years old female patient.
METHOD: During an intraoral examination, the lesion was non-ulcerated, well-circumscribed and pink color. The dimensions
of the lesion were approximately 0.7x0.6 cm. Ill-fitting restorations were determined on adjacent teeth surfaces of the numbers
43-44 teeth. After initial periodontal treatment, the lesion was excised. The result of pathological evaluation confirmed diagnosis
of PGCG. Patient is still on regular follow-up.
CONCLUSION: Correct diagnosis and treatment planning may lead to reduce recurrence rate of PGCG.
Key Words: Peripheral Granuloma, Giant Cell Granuloma, Chronic rritation
201
P83
DUDAK DAMAK YARIININ OVERDENTURE LE PROTETK REHABLTASYONU
Mehmet Mustafa zarslan1, Kubilay Barutcigil1
1
Akdeniz niversitesi, Di Hekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, Antalya, Trkiye
Dudak damak yar hayat kalitesini ve sal etkileyen, en ok grlen konjenital malformasyonlardan birisidir. Damak yar
hastalarnn az fonksiyonunun ve estetiinin restore edilebilmesi iin sklkla multidisipliner tedaviye ihtiyalar vadr. Protetik
rehabilitasyonun amac, damak, burun ve az kavitelerini kapatarak inemeyi, yutkunmay ve konumay dzeltmektir. Protetik
rehabilitasyon iin yeterli yumuak ve sert doku destei gerekmektedir. Bir damak yar hastas overdenture protez ile tedavi
edildi. Protetik rehabilitasyon, palatal obturtr kullanarak defektin kapatldndan emin olunacak ekilde tam uyumlu bir protez
yapmn gerektirmektedir ve hastann konuma kalitesini arttrmasna izin vermeli, beslenmesinin ve salnn dzelmesine
yardmc olmaldr.
Anahtar Kelimeler: Overdenture, Dudak Damak Yar
Cleft lip or palate is one of the most common congenital malformations that affect health and overall quality of life. Cleft
palate patients often need multidisciplinary treatment to restore oral function and esthetics. The prosthetic rehabilitation
aims to obturate the palate, and the nasal and oral cavities, to improve chewing, swallowing and the speech. For prosthetic
rehabilitation adequate hard and soft tissue support are required. A cleft palate patient was treated with overdenture prostheses.
The prosthetic rehabilitation involved the emplacement of a complete adapted prosthesis, using a palatal obturator, with a view to
sealing the defect and allowing the patient to acquire better speech quality, and improve his nutrition and well-being.
Key Words: Overdenture,Cleft lip and Palate
202
P84
D DESTEKL ALT ENE OVERDENTURE: BR KLNK RAPOR
Merve Arslan1, Mehmet Mustafa zarslan1, Kubilay Barutcigil1
1
Akdeniz niversitesi, Di Hekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, Antalya, Trkiye
Alt ene tam disizlie sahip olgularda yaplan tam protezlerin kullanm zordur. Stabilite ve tutuculuun azalmas ile birlikte
zellikle fonksiyon kayb bu hastalarn temel ikyetleridir. Alt ene protezlerdeki eksik olan bu retansiyon, alt enenin n
segmentindeki doal di destei veya implant destei ile artrlr. Dilerin korunarak atasman tutuculu overdenturn
desteklenmesi tam protezler iin uygun ve salam bir altenatif olmaktadr. Buradaki kilit nokta ise, retansiyonda kullanlacak
olan diin stratejik seimidir. Bu klinik rapor alt enede uygun di desteine sahip iki hastaya uygulanan di destekli overdenture
yapmn aklamaktadr.
Anahtar Kelimeler: Di Destekli Overdenture
Using the complete denture is difficult on mandibula.Loss of function with reduced stability and retention is the main complaints
of the patients.If there are natural teeth or implants in mandibular anterior segment, retention of denture would be higher.
The preservation of teeth to support an attachment-retained overdenture is an appropriate and stable alternative to complete
dentures. A key to success is the strategic selection of teeth for retention. This clinical report explains an overdenture supported
by natural teeth in mandibula with two cases.
Key Words: Tooth Supported Overdenture
203
P85
LATERALE KAYDIRILAN FLEP TEKN LE DET EKLMELERNN TEDAVS: K OLGU SUNUMU
Vesile Elif Toy1, Tamer Ataolu2
1
Seluk niversitesi, Di Hekimlii Fakltesi, Periodontoloji Ana Bilim Dal, Konya, Trkiye
AMA: Dieti ekilmesi hasta iin nemli estetik ikayetlerden biri olarak karmza kmaktadr. Periodontal plastik
cerrahi teknikleri kk kapanmasyla birlikte yapk dieti miktarn da artrarak ideal sonuca ulamay hedefler. Bu amac
gerekletirmek iin birok cerrahi teknik bulunmaktadr. Bu olgu sunumunda lokalize dieti ekilmelerinin tedavisi amacyla
uygulanan laterale kaydrlan flep teknii sunulmutur.
YNTEM: ki bayan hasta dieti ekilmesi ikayetiyle kliniimize bavurmutur. Klinik ve radyografik deerlendirmeler ile
balang periodontal tedavi sonras ekilme blgesindeki kk yzeyini rtmek ve yapk dieti geniliini arttrmak amacyla
laterale kaydrlan flep uygulanmtr. Her iki olguda da tam kalnlk sapl flep teknii kullanlarak verici blge sekonder
iyilemeye braklmtr.
BULGULAR: 4 ve 12 aylk takibin ardndan, tatmin edici bir periodontal salk ve kk kapanmas salanmtr. Elde edilen yapk
dieti genilii, mukogingival stresin nlenmesi ve oral hijyen ilemlerinin rahata yaplabilmesi iin yeterliydi. yi bir estetik
sonu kazanlm olup hasta memnuniyeti salanmtr.
SONU: Bu olgu serisinde dieti ekilmelerinin tedavisinde verici blgedeki doku kalnl uygun olduunda laterale kaydrlan
flep ile tatmin edici sonularn elde edilebilecei gzlenmitir.
Anahtar Kelimeler: dieti ekilmesi, kk kapanmas, laterale kaydrlan flep
AIM: Gingival recession appears to be one of the important aesthetic complaints for patients. Periodontal plastic surgery
techniques aim to reach the ideal result by root coverage and at the same time enlarging attached gingiva. There are many
surgical techniques serving this purpose. In this case report, laterally positioned flap technique applied for the treatment of
localized gingival recessions is presented.
METHOD: Two female patients referred to our clinic with complaint of gingival recession. After clinical and radiographic
examination and following initial periodontal treatment, laterally positioned flap technique was performed in order to provide
root coverage and to increase the attached gingiva width. In two cases, full thickness pedicle flap technique was used and the
donor site was left for secondary wound healing.
RESULTS: After 4 and 12 months of follow-up, a satisfactory periodontal health and root coverage were obtained. Gained
attached gingiva was sufficient to prevent mucogingival stress and facilitate oral hygiene. A sufficient esthetic result was gained
and patient satisfaction was provided.
CONCLUSION: In this case report, it is observed that laterally positioned flap technique may provide satisfactory results in the
treatment of gingival recessions when the tissue thickness is suitable at donor site.
Key Words: gingival recession, laterally positioned flap, root coverage
204
P86
KK YZEY RKLERNE MULTDSPLNER TEDAV YAKLAIMLARI: OLGU SUNUMU
Muhammet Yaln1, Hakan Kamalak1, eydanur Dengizek Eltas2
1
AMA: Bu olgu sunumunun amac anterior blgedeki subgingival kk rklerinin multidispliner tedavisinin sunulmasdr.
YNTEM: 38 yandaki bayan hasta st enede n blgede kk yzey rkleri nedeniyle oluan estetik problemlerle kliniimize
bavurdu. Klinik inceleme sonucu rklerin dieti altnda devam ettii tespit edildi. Restorasyon yaplacak alanlarda
periodontal flep kaldrld. Kk yzeyleri aa karldktan sonra rkler temizlendi ve restore edildi. Klinik deerlendirmeler
6 ay sonra yapld.
SONU: Tedavi sonras estetik olarak herhangi bir renklenme veya krlma gzlenmedi. Restorasyon yaplan blgelerdeki
dietinin salkl olduu grld.
Anahtar Kelimeler: Dieti, Kk r, Periodontal Flep
AIM: The purpose of this case report is to provide multidisciplinary treatment of subgingival root caries in the anterior region of
the teeth.
METHOD: 38 years old female patient was admitted to our clinic with esthetic problems caused by root surface caries in
the anterior region of maxilla . Clinical examination was found that decay continued under the gums. Periodontal flap was
removed in the restoration area. Once root surfaces were exposed then caries were cleaned and restored. Clinic assesment
was performed after 6 months.
CONCLUSION: After the treatment, there was not observed any esthetics coloration or breaking. Gingiva was found healty in
restoration region.
Key Words: Gingiva, Periodontal Flap, Root Caries
205
P87
KLORHEKSDNN ENDODONTK TEDAV GRM DLERN KIRILMA DRENC ZERNE ETKS: EX VVO ALIMA
Tuba Trk1, Mehmet Emin Kaval1, Mehmet Sarkanat2, Micheal Hlsmann3
1
3
Gttingen niversitesi Di Hekimlii Fakltesi, Koruyucu Di Hekimlii, Periodontoloji ve Karyoloji Anabilim Dal, Gttingen,
Almanya
AMA: Bu almann amac endodontik tedavi srasnda uygulanan farkl irrigasyon protokollerinin dilerin krlma dayanmna
etkisinin deerlendirilmesidir.
YNTEM: 100 adet, rksz, tek ve dz kkl premolar di, kk boylar 12 mm olacak ekilde mine sement snrnn stnden
kesildi. Kk kanallar ProTaper dner alet sistemi ile F4e kadar geniletildi, bir byk eeye geilirken 1 ml %2,5 NaOCl ile
ykama yapld. Geniletmeler tamamlandktan sonra, uygulanan son ykama protokolne gre rnekler rastgele 5 gruba (n=20)
ayrld: Grup 1:distile su, Grup 2: %5 EDTA ve %2,5 NaOCl, Grup 3: %17 EDTA ve %2,5 NaOCl, Grup 4: %5 EDTA, %2,5 NaOCl
ve %2 CHX, Grup 5: %17 EDTA, %2,5 NaOCl ve %2 CHX. Son ykamadan sonra kanallar gta perka ve rezin esasl kanal
pat kullanlarak tek kon yntemi ile dolduruldu. rnekler akrilik rezine gmlp, universal krlma cihazna yerletirildi. Bu
ilemi takiben vertikal ynde 0,5 mm/dakika kuvvet, krk oluuncaya kadar uyguland. rneklerin krlma direnleri kaydedilip,
deerler One Way ANOVA testi ve Holm-Sidak oklu karlatrma testi kullanlarak istatistiksel olarak deerlendirildi (p<0,05).
BULGULAR: Gruplar arasnda istatistiksel olarak anlaml farklar elde edildi (p<0,05). %17 EDTA, %2,5 NaOCl ve %2 CHX
kullanlan rnekler anlaml olarak en yksek krlma direnci gsterdi. Sadece distile su kullanlan grup en dk krlma direnci
gsterirken, %17 EDTA ve %2,5 NaOCl kullanlan grup ikinci en dk krlma direncini gsterdi. CHX, %17 EDTA kullanlan
grupta , %5 EDTA kullanlan gruba gre daha fazla krlma direncini artrd.
SONU: Smear tabakasnn uzaklatrlmasn takiben kk kanallarnn CHX ile ykanmasnn, rneklerin krlma direncini
anlaml dzeyde artrd gzlendi.
EFFECT OF CHLORHEXIDINE ON ROOT FRACTURE RESISTANCE OF ENDODONTICALLY TREATED TEETH: AN EX VIVO STUDY
Tuba Trk1, Mehmet Emin Kaval1, Mehmet Sarkanat2, Micheal Hlsmann3
1
Gttingen University, School of Dentistry, Department of Preventive Dentistry, Periodontology and Cariology, Gttingen,Germany
AIM: The aim of this study was to evaluate the effect of chlorhexidine (CHX) and different final irrigation protocols on fracture
resistance of endodontically treated teeth.
METHODS: One hundred intact single, straight-rooted premolar teeth were sectioned below the cement enamel junction to
limit length of the teeth to 12 mm. Specimens were instrumented with ProTaper rotary instruments up to size F4. After each
instrument, 1 mL 2.5% NaOCl was used for irrigation. Following the instrumentation, the teeth were divided randomly into
five experimental groups (n=20) according to the final irrigating solutions: Group 1: distilled water, Group 2: 5% EDTA and
2.5% NaOCl, Group 3: 17% EDTA and 2.5% NaOCl, Group 4: 5% EDTA and %2.5 NaOCl and CHX 2%, Group 5: 17 % EDTA and
2.5% NaOCl and 2 %CHX. Thereafter root canals were obturated with gutta percha and resin based root canal sealer using
single-cone technique. The specimens were loaded vertically at 0.5 mm/min until fracture occurred. The data were evaluated
statistically using One-Way ANOVA test followed by Holm-Sidaks multiple comparison test (p<0.05).
RESULTS: Statistically significant differences were detected among the groups (p<0.05). The highest mean fracture resistance
was obtained from the group treated with 17% EDTA and CHX. Only distilled water used specimens showed the lowest fracture
strength, followed by 17% EDTA and 2.5% NaOCl treated specimens.
CONCLUSION: CHX application was found to be positively affecting the fracture resistance of endodontically treated teeth with
respect to EDTA concentration.
206
P88
ORTODONTK TEDAV ESNASINDA MEYDANA GELEN DET BYMELERNN CERRAH TEDAVS: OLGU SUNUMU
eydanur Dengizek Eltas1
1
AMA: Bu olgu sunumunun amac ortodontik tedavi srasnda meydana gelen dieti bymelerinin cerrahi yntemle
uzaklatrlmasnn sunulmasdr.
YNTEM: 16 yandaki bayan hasta halen devam etmekte olan ortodontik tedavisi esnasnda dieti bymeleri ikayetiyle
kliniimize bavurdu. Yaplan klinik muayene sonras braketleri sklerek gingivektomi ilemi uyguland. Klinik deerlendirmeler
1 ay sonra gerekletirildi.
SONU: Gingivektomi sonras yaplan klinik muayenede dietinin salkl olduu ve uygun forma kavutuu grld.
Anahtar Kelimeler: Dieti Bymesi, Gingivektomi, Ortodontik Tedavi
AIM: The aim of this case report is to determine the surgical treatment of gingival enlargement during orthodontic treatment.
METHOD: 16 years old female patient reffered to our clinic with gingival enlargement complaint during orthodontic treatment.
After clinical examination firstly brackets were disjointed then gingival enlargement was removed with gingivectomy procedure.
Clinic examination was evaluated after one month.
CONCLUSION: Clinical examination showed that gingiva was healty and in acceptable form after gingivectomy.
Key Words: Gingival Enlargement, Gingivectomy, Orthodontic Treatment
207
P89
KARBAMD PEROKST BAZLI BEYAZLATMA AJANLARININ MPLANT TTANYUM ALAIMINA ETKLER
zlem lgeen1, Merve Altunta1, Eyp Sabri Topal2
1
zmir Katip elebi niversitesi, Di Hekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, zmir, Trkiye
AMA: Karbamid peroksit, ev tipi beyazlatma tedavisinde en yaygn kullanlan beyazlatma ajandr. mplantlar bulunan hastalar
beyazlatma uygulamalar srasnda bu ajanlarn implant yzeylerine temas ihtimali ile kar karya gelebilirler. Aa km
protetik platform veya iyileme balklarnn varlnda beyazlatma ajanlar, implant titanyum alam yzeyine temas edebilir ve
koroziv etkilerle yzeyin bozulmasna yol aabilir. Bu almann amac; dk ve yksek konsantrasyondaki karbamid peroksit
beyazlatma ajannn tavsiye edilen uygulama ekli sonras implant titanyum alam zerindeki etkilerini deerlendirmektir.
YNTEM: Toplamda 20 adet 10x10x2.5mm boyutlarnda rnek grade 5 eli titanyum alamndan (Ti6Al4V) hazrland. rnek
yuzeyleri CNC ile ilenerek przllk deerleri 0.2 m altnda standart ve ayna seklinde polisaj saland. rnekler rastgele
iki gruba ayrld (n=10) ve herbirinde baslang yzey przll lmleri ve optik mikroskop incelemesi yapld. Bir gruba 8
saat % 10 karbamid peroksit + 16 saat distile su, dier gruba 30 dk % 35 karbamid peroksid+23.5 saat distile su sikluslar 10
gn boyunca uyguland. Uygulama sonras yzeyler grsel ve optik mikroskopla incelendi ve tekrar yuzey przll lmleri
yaplarak istatistiksel olarak deerlendirildi.
BULGULAR: Her iki uygulama da alam yzeyinde belirgin renk deiimine neden oldu. Yksek konsantrasyondaki deiim
dk konsantrasyona gre ok daha fazlayd. Optik mikroskop incelemesinde yzeydeki freze izlerinin bir miktar azald,
yksek konsantrasyonda bu izlerin daha az olduu ve yzeyin kendine has yeni bir texture kazand grld. Ancak yzey
przll asndan meydana gelen farkllklar istatistiksel olarak anlaml deildi (p>0.05).
SONU: Hem dk hem de yksek konsantrasyondaki karbamid peroksit bazl beyzalatma ajanlar, tavsiye edilen uygulama
sreleri dahilinde implant titanyum alam zerinde koroziv etkilere sahiptir.
Anahtar Kelimeler: Beyazlatma, mplant, Karmamid peroksit
AIM: Carbamide peroxide(CP) is most widely used bleaching agent in the home bleaching. Patients with implants face the
possibility that these agents may contact the surface of the implants during the bleaching application. When existing exposed
prosthetic platform and healing abutments, bleaching agents may contact to implant and may lead degradation of its surface
by corosive effects. The aim of this study was to evaluate the effects of high and low concentrated CP on implant titanium alloy,
when used according to recommendations.
METHOD: A total of 20 samples (10x10x2.5mm) were prepared by grade 5-eli titanium alloy(Ti-6Al-4V). The surfaces of samples
were processed with CNC and standardized mirror surfaces had below 0.2m were obtained. The samples were divided into two
groups (n=10); each one were examined with optical microscopy and initial surface roughness measurements were made. First
group was immersed in 10%CP 8h+distilled water 16h for 10 days. The other group was immersed in 35%CP 30 min+ distilled
water 23.5h for 10 days. After application, the surfaces were examined by visual and optical microscope. The surface roughness
were measured again and statistically evaluated.
RESULTS: Both applications led to significant color changes on the surface. Changes in high concentrations were higher than
in low concentrations. Optical microscope examinations showed a modest reduction of milling marks. These marks were less
in high concentrations. The surfaces in high concentrations had a new, different texture after application. The differences on
surface roughness values were not statistically significant (p> 0.05).
CONCLUSION: Both low and high concentrations of CP-based bleaching agents have corrosive effects on implant titanium alloy
within the recommended application time.
Key Words: Bleaching, Implant, Carbamide Peroxide
208
P90
TRKYE AKDENZ BLGESNDE TORUS MANDBULARS GRLME SIKLII
Mkerrem Hatipolu1, Mehmet Mustafa zarslan2, Alper Sindel3
1
AMA: Torus Mandibularis (TM) az ierisinde en sk rastlanan ekzositoz trlerinden biridir. TM varl periodontal cerrahi,
hareketli parsiyel ve tam protez yapmnda zorluklara sebep olabilmektedir.
YNTEM: Akdeniz niversitesi Dihekimlii Fakltesine Mays 2012 ve Mart 2014 tarihleri arasnda bavuran hastalardan 6352
(3201 kadn, 3151 erkek) kii TM bulunup bulunmamas ynnden klinik ve radyolojik olarak muayene edildi.
BULGULAR: Toplam 117 hastada TM oluumuna rastland (52 kadn, 65 erkek). Erkekler (%2.06) ve kadnlar (%1,62) arasnda
TM grlme skl asndan nemli derecede bir fark gzlemlenmedi. Torus mandibularis sklkla premolar blgede, ift tarafl
ve multipl olarak tespit edildi.
SONU: Bu almann sonularna gre Akdeniz Blgesinde TM grlme skl %1.84 olarak tespit edildi. Torus mandibularis
ve cinsiyet arasnda ise nemli bir iliki saptanmad.
Anahtar Kelimeler: Torus mandibularis, Akdeniz Blgesi, Prevalans
AIM: Torus Mandibularis (TM) is one of the most common intraoral exostoses. TM may present many problems when fabricating
a removable partial or comlete dentures and periodontal surgery.
METHOD: A total of 6352 (3201 women, 3151 men) patients who attended the Akdeniz University School of Dentistry for their
dental problems between May 2012 to March 2014. The presence or absence of TM was examined by clinical and radiological
examination.
RESULTS: Totally 117 patients had TM (52 women, 65 men). There was not a significant difference between men (2.06%) and
women (1.62%) with TM. There was most common located at the premolars, bilateral and multipl.
CONCLUSION: This study showed that the prevelans of TM in Mediterrian Region was 1.84%. There is not a significant relationship
between TM and gender
Key Words: Torus Mandibularis, Mediterranean Region, Prevalence
209
P91
YZEY RTC LE KAPLANMI KOMPOMER VE CAM YONOMER SMANIN KLNK BAARISI
lhan Uzel1, Fahinur Erturul1
1
AMA: Bu almann amac, yzey rtc uygulanan yksek viskoziteli cam iyonomer siman ve kompomer restoratif
materyallerin klinik baarlarn karlatrmaktr.
YNTEM: almada kapsl formda yksek viskoziteli cam iyonomer siman (Fuji IX GP Extra, GC), kompomer (Dyract Extra,
Dentsply) ve iki farkl yzey rtc (Fuji G-Coat Plus, Fuji Varnish, GC) materyal kullanld. almaya st molar dii rklerinin
restoratif tedavileri iin Ege niversitesi Di hekimlii Fakltesine bavuran ya ortalamas 6,81,08 olan 40 hasta dahil edildi.
Hastalara 40 tek ynl ve 168 ift ynl restorasyon cam iyonomer siman, kompomer ve yzey rtc kombinasyonlar ile
yapld. Yaplan restorasyonlar modifiye RYGE kriterlerine gre iki deneyimli gzlemci tarafndan deerlendirildi. Altnc ay
sonunda 36 hasta ve 165 restorasyon deerlendirilebildi. Modifiye RYGE kriterlerinin karlatrlmasnda Pearson Ki-Kare testi
ve restorasyonlarn retansiyonu analizinde Kaplan-Meier ve long-rank testleri uyguland.
BULGULAR: Altnc ay kontrolnde, Fuji IX GP Extra + Fuji G-Coat Plus grubundaki restorasyonlarda %3,8 baarszlk
gzlenmesine ramen Modifiye RYGE kriterlerine gre restorasyonlar arasndaki fark istatistiksel olarak anlamsz bulundu.
SONU: Bu almada, nano dolduruculu yzey rtc uygulanan yksek viskoziteli cam iyonomer siman ve kompomer
restorasyonlarn pedodonti kliniklerinde baar ile kullanlabilecekleri gsterilmitir.
Anahtar Kelimeler: Cam yononomer Siman, Kompomer, Restoratif Materyaller
AIM: The aim of this study was to clinically evaluate a surface coated high viscousity glass ionomer cement and a compomer
with modified RYGE criteria.
METHOD: In the present study encapsulated high viscosity glass ionomer, (Fuji IX GP Extra, GC), compomer (Dyract Extra,
Dentsply) and two surface coating materials (Fuji Varnish, Fuji G-Coat Plus, GC) were used. Fourty patients (mean age:6,81,08)
presented to Ege University School of Dentistry with carious primary molars participated the study. High viscosity glass ionomer
cements and compomers in combination with surface coats were placed in 40 Black I and 168 Black II cavities. Two calibrated
observers evaluated the restorations using modified RYGE criteria. Thirty-six patients and 165 restorations were evaluated at the
end of 6 months. Pearson Chi Square, Kaplan Meier and long rank tests were used to analyze the survival rates.
RESULTS: Although the failure rate was 3.8% for Fuji IX GP Extra + G-Coat Plus restoration, no statistically differences were
found according to modified RYGE criteria between the groups after the observation period of 6 months.
CONCLUSION: It was concluded that nano filled surface coated high viscosity glass ionomer cement and compomer restorations
can be used in pediatric clinics.
Key Words: Glass onomer Cement, Compomer, Restorative Material
210
P92
FARKLI YNTEMLERLE HAZIRLANMI METAL POSTLARIN KIRILMA DRENLER
Mehmet Selim Bilgin1, Ali Erdem1, brahim Ersoy2
1
ifa niversitesi, Dihekimlii Fakltesi, Protetik Di Tedavisi Ana Bilim Dal, zmir, Trkiye
ifa niversitesi, Dihekimlii Fakltesi, Endodonti Ana Bilim Dal, zmir, Trkiye
AMA: Ar kron harabiyeti olan, endodontik tedavileri yaplm dilerin restorasyonunda, farkl yntemlerle hazrlanm metal
postlarn, krlma direnlerinin karlatrlmas.
YNTEM: Fizyolojik salin zeltisinde bekletilmekte olan, rksz, ekilmi 40 insan alt 1. premolar diinin, mine-sement
snrndan kkleri kesildi(kk boyu 12 mm olacak ekilde). Endodontik tedavileri tamamland. Etvde 37C distile su ierisinde 7
gn bekletildi. 8mm kanal dolgusu karlarak btn dilerde standart post boluklar oluturuldu. Silikon l maddesi ile kanal
lleri alnd. 40 rnek rastgele 4 gruba ayrld; 1.DMLS post grubu (DP), 2.CAD-CAM post grubu (CC), 3.Dkm post grubu (CP),
4.Kontrol grubu. Hazrlanan postlar RelyX Ultimate Clicker rezin siman ile retici firmann direktifleri dorultusunda yaptrld.
Akrilik bloklar ierisine sabitlenen rneklere Universal Test Cihaznda 45 a ile kuvvet uyguland. Krlma deerlerine, One Way
Anova ve Tukey testleri ile istatistiksel analiz yapld.
BULGULAR: En yksek krlma direnci CAD-CAM grubunda (CC) (959,26235,8) bulundu. Onu srasyla; DMLS grubu (DP),
Dkm post grubu (CP) ve kotrol grubu izledi.
SONU: CAD-CAM ve DMLS yntemleri ile krlma direnci yksek metal postlar retilebilmektedir.
AIM: Comparison of fracture strength that produced different methods metal posts, endodontically treated teeth with inadequate
tooth structure.
METHOD: Forty extracted non-carious human mandibular first premolar teeth were kept in physiologic saline. The roots of
the teeth were removed from the cemento-enamel junction (12mm from the root apex). The roots endodontically treated. All
samples were kept in distilled water in an incubator at 37oC for 7 days. 8mm of root canal filling was removed and prepared
standard post space. The impression of post space were taken with silicone impression materials. 40 samples were divided
into 4 groups; 1.DMLS post group (DP), 2.CAD-CAM post group (CC), 3.Custom cast metal post group (CP), 4.Control group. All
posts were cemented with RelyX Ultimate Clicker (3M ESPE) according to the manufacturers recommendations. The force was
applied in universal testing machine with 45 degrees to the samples that were fixed into acrylic. It was statiscally analyzed with
One Way Anova and Tukey tests.
RESULTS: Highest fracture strength was found 959,26235,8 with CAD-CAM group (CC). DMSL post group (DP), Custom cast
metal post group (CP) and control group were listed in order according to fracture strength.
CONCLUSION: Higher fracture strength metal posts can be produced with CAD-CAM and DMLS methods.
211
P93
CAD/CAM LE RETLEN PULPA ODASI DESTEKL ONLEY RESTORASYON: BR OLGU SUNUMU
Ahmet Keski1, zlem lgeen1
1
zmir Katip elebi niversitesi, Dihekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, zmir, Trkiye
AMA: Ama Ar madde kaybna uram endodontik tedavili diler iin eitli tedavi seenekleri nerilmektedir. Bu almann
amac kron restorasyon yerine alternatif bir tedavi yaklam olarak pulpa odasna tutunan ve kalan di dokusu, estetii ve
fonksiyonu salayan bir restorasyon yapmaktr.
YNTEM: Olgu Tanmlamas Bu vaka raporunda, klinikte tek seansta CAD/CAM sistemiyle pulpa odas destekli onley
restorasyonunun yapm anlatlmaktadr. Bu vakada, endodontik tedavi sonras diin pulpa odasn ieren bir preparasyon yapld.
Preparasyon sonrasnda el kameras (Cerec Omnicam, Sirona, Germany) ile dijital l alnd. Daha sonra onley restorasyon,
dizayn nitesiyle (CAD) oluturuldu ve retim nitesiyle (CAM) (Cerec MC XL, Sirona, Germany) elde edildi. Sonrasnda
restorasyon cilaland ve simante edildi.
SONU: Sonu Yetersiz kalan di dokusuna sahip endodontik tedavili dilerin tedavisinde, pulpa odas destekli onley restorasyon
endodontik post ve tam kaplama kronlara alternatif olarak kullanlabilir.
zmir Katip Celebi University, School of Dentistry, Department of Prosthodontics, zmir, Turkey
AIM: Aim A few treatment options have been proposed to restore excessive damaged endodontically treated teeth. The aim of
this study is to use an alternative to full-coverage crowns with pulp chamber retantion, making it possible to prevent remaining
tooth structure, aesthetic and function.
METHOD: Case Description This study presents a case report of pulp chamber supported onlay restorations produced by
chairside CAD/CAM system. In this case, preparation was performed after endodontic treatment. The preparation consist of
central retention cavity into the entire pulp chamber. After preparation, digital impression was taken by hand-held camera(Cerec
Omnicam, Sirona, Germany) after preparation. Then onlay restoration was designed by CAD unit and produced by CAM unit
(Cerec MC XL, Sirona, Germany). Finally restoration was polished and cemented.
CONCLUSION: Conclusion The onlay restoration with pulp chamber-supported can be considered as an alternative to the
endodontic posts and full-coverage crowns for the restoration of the endodontically treated posterior teeth mainly those with
insufcient remaining tooth structure.
212
P94
LACA BALI DET BYMESNN PERODONTAL TEDAVS: VAKA SUNUMU
Abubekir Eltas1, Vesile Elif Toy1
1
AMA: Dieti bymeleri eitli etyolojik faktrler ve patolojik durumlara bal olarak gelien, yaygn olarak gzlenen klinik bir
bulgudur. laca bal dieti bymeleri hem hasta hem hekim iin ciddi bir sorundur. Antihipertansif olarak kullanlan kalsiyum
kanal blokrlerinin antikonvlsanlar ve immnspresanlar gibi dieti bymelerine sebep olduu bilinmektedir. laca bal
dieti bymelerinin tedavisinde bymenin iddetine ve fibrotik duruma gre oral hijyen eitimi ile birlikte konvansiyonel
periodontal tedavi, periodontal flep, gingivektomi operasyonlar, elektrocerrahi ve lazer eksizyonu uygulanmaktadr. Bu vakada,
balang periodontal tedavi ile nifedipin kullanmna bal gelien dieti bymesinin tedavisi sunulmaktadr.
YNTEM: Hipertansiyon nedeniyle yaklak 2 yldr gnde 60mg nifedipin kullanan 58 yandaki erkek hasta dieti bymesi
ikayeti ile kliniimize bavurmutur. Hastann klinik muayenesinde oral hijyeninin kt olduu, ayrca alt ve st enede n blge
dietlerinde arsz, sondalamada kanayan bymeler gzlenmitir. Klinik ve radyografik deerlendirmeleri takiben hastaya
oral hijyen eitimi verilerek balang periodontal tedavi kapsamnda dita temizlii ve kk yzeyi dzletirmesi yaplmtr.
Ayrca hastann doktoruyla konslte edilerek tansiyon ilacnn farkl bir trle deitirilmesi salanmtr.
BULGULAR: Sekiz aylk takip sonras uygulanlan cerrahi olmayan tedavi sonucunda, hastann az hijyenini idame ettirebilecei
bir ortam elde edilirken, periodontal ceplerin de eliminasyonu salanmtr. yi bir estetik sonu kazanlm olup hasta
memnuniyeti salanmtr.
SONU: Bu vaka raporunda, hasta oral hijyen uygulamalarn etkin bir ekilde gerekletirdiinde ilaca bal dieti bymelerinin
tedavisinde balang periodontal tedavi ile baarl sonular elde edilebilecei gzlenmitir.
Anahtar Kelimeler: Antihipertansif, Balang Periodontal Tedavi, Dieti Bymesi
AIM: Gingival enlargement is a commonly seen clinical sign induced by various etiologic factors and pathological conditions.
Drug-induced gingival enlargement is a serious problem for both patients and physicians. Calcium channel blockers used as
antihypertensive are known to cause gingival enlargement such as anticonvulsants and immunosuppressants. In the treatment of
drug-induced gingival overgrowth conventional periodontal treatment, periodontal flap, gingivectomy operations, electrosurgery
and laser excision are applied with oral hygiene education according to the severity of the enlargement and fibrotic status. In this
case report, the treatment of gingival overgrowth induced by nifedipine with initial periodontal treatment is presented.
METHOD: A 58-year-old male patient using 60mg nifedipine daily for about 2 years because of hypertension referred to our clinic
with complaint of gingival enlargement. During clinical examination poor oral hygiene, bleeding on probing and painless gingival
enlargement were observed at both maxillary and mandibular anterior teeth. After clinical and radiographic evaluations and
oral hygiene education, scaling and root planing is performed as initial periodontal therapy. The patients medication was also
changed by consulting with the patients physician.
RESULTS: After eight-month follow-up an environment that the patient could maintain his oral hygiene and the elimination of
the periodontal pockets were obtained. A good aesthetic result and patient satisfaction were provided.
CONCLUSION: In this case report, it is observed that initial periodontal therapy can provide successful results in the treatment
of drug-induced gingival enlargement when the patient applies oral hygiene procedures effectively.
Key Words: Antihypertensive, Gingival Enlargement, nitial Periodontal Therapy
213
P95
LTHAB NTERNAL KK REZORBSYONUNUN CERRAH OLMAYAN TEDAVS: OLGU SUNUMU
Elif eyma Kaban1, Ilgn Akay1, Gzde Kandemir Demirci1
1
Ege niversitesi, Dihekimlii Fakltesi, Endodonti Ana Bilim Dal, zmir, Trkiye
AMA: ltihabi internal kk rezorbsiyonunun MTA ile tedavi baarsnn klinik ve radyografik olarak incelenmesi
YNTEM: Mays 2014de Ege niversitesi Di Hekimlii Fakltesi Endodonti Ana Bilim Dalna bavurmu olan 24 yandaki
erkek hastann alnan anamnezinde 22 numaral diinde 1 ay nce ar ve ilik olduu belirlendi. Yaplan klinik muayenede ilgili
dite 2 sene nce yaplm geni bir kompozit rezin restorasyon grld ve elektrik pulpa testine negatif cevap alnd. Yaplan
radyolojik muayenede kk ucunda geni bir apikal lezyon ile birlikte kkn apikal te birlik ksmnda rezorbsiyon saptand
ve iltihabi internal kk rezorbsiyonu tehisi kondu. Ayrntl tetkik iin ilgili diten volmetrik tomografi alnd. Rezorbsiyon
blgesinde kkn d yzeyiyle balantl bir perforasyon grlmedi. Giri kavitesi ald. Rubber dam ile izolasyon saland.
alma boyu apeks bulucu ile tespit edildi. #60 numaral eeye dek geniletme yapld ve her ee arasnda %2,5 sodyum
hipoklorit ile irigasyon yapld. Kanal ii medikament olarak kalsiyum hidroksit kullanld. ki hafta sonra gerekletirilen 2.
seansta kalsiyum hidroksidin uzaklatrlmasnn ardndan %5 etilendiamin-tetra-asidik-asit ve %2 klorheksidin ile son
irigasyon gerekletirildi. Kat konlar ile rezorbsiyon alan kontrol edildi. Herhangi bir eksudasyon gzlenmedi. Beyaz MTA ile
rezorbsiyon alan dolduruldu, nemli pamuk yerletirildi ve bir gn sonrasna daimi restorasyon iin hastaya randevu verildi. Son
seansta MTA snrna kadar kk kanal iine fiber post uyguland ve daimi restorasyonu kompozit rezin ile tamamland.
BULGULAR: Alt aylk klinik takip sonrasnda diin asemptomatik,fonksiyonda ve periodontal adan salkl olduu gzlendi.
Radyografik incelemede, klinik bulgular destekleyen yeterli kemik desteinin varl ve apikal alandaki lezyonun iyilemekte
olduu grld.
SONU: Bu olguda olduu gibi perfore olmam internal rezorbsiyon olgularnn MTA ile tedavisi baarl sonular vermektedir.
Anahtar Kelimeler: ltihabi kk rezorbsiyonu, MTA
AIM: To assess clinical and radiological outcome of inflammatory internal-root-resorption treated with mineral-trioxideaggregate (MTA).
METHOD: A 24-years-old male patient referred to the Endodontic Dept of the EU. School of Dentistry. He had complaints of
pain and swelling in the left-maxillary-anterior-teeth region for 1-month. Clinical examination revealed a large composite resin
restoration on #22, which was made 2-years-ago. Tooth gave no response to EPT. Radiographic-findings revealed a resorption
area in the apical-third and a large radiolucent-lesion in the alveolar bone of the relevant tooth. Based on the clinical and
radiographic examinations, the diagnosis was inflammatory internal-root-resorption. Volumetric-tomography was performed
for further clinical evaluation. There was no perforation interrelating to the external surface of the root in the resorption area.
Access cavity was prepared and isolated with rubber-dam. Working length was determined by using apex-locator. Mechanical
root canal instrumentation was made up to file #60. Irrigation with 2.5% sodium hypochlorite was performed between each file
during the mechanical preparation of root canal. Calcium-hydroxide was used as intracanal-medication. Calcium-hydroxide was
removed two-weeks later at the second-appointment. Then, final irrigation was performed with 5% EDTA & 2% chlorhexidine.
The resorption area was checked with paper-points. No exudation was observed. White-MTA was applied in the resorption area.
A moist cotton pellet was placed on the MTA and the access cavity was closed with a temporary filling material. The final
appointment for permanent restoration was scheduled for the next day. The remaining part of the root canal was filled with
fiber-post and resin-cement. The coronal restoration was completed with composite-resin-material.
RESULTS: A 6-month follow-up revealed the patient was asymptomatic; the tooth was functional and periodontally healthy.
Presence of adequate marginal-bone level and reduced apical lesion area was shown in recall-radiographs.
CONCLUSION: This report suggests that successful non-surgical treatment of internal-root-resorption is possible with MTA
application.
Key Words: nternal Root Resorption, Mineral Trioxide Aggregate
214
P96
DREKT YNTEMLERLE UYGULANAN N BLGE RESTORASYONLARIN KLNK PERFORMANSINI ETKLEYEN FAKTRLER
Aye Tue Tuna1, Esra Uzer elik1, Baak Yazkan2
1
zmir Katip elebi niversitesi, Dihekimlii Fakltesi, Restoratif Di Tedavisi Ana Bilim Dal, zmir, Trkiye
Sleyman Demirel niversitesi, Dihekimlii Fakltesi, Restoratif Di Tedavisi Ana Bilim Dal, Isparta, Trkiye
AMA: n blgede direkt yntemlerle uygulanan restorasyonlar bu blgedeki di hastalklarnn tedavisinde hala ilk seenektir
ve bu nedenle bu restorasyonlarn klinik performanslarn etkileyen faktrler restorasyon mrn uzatmak amacyla
deerlendirilmelidir. Bu kesitsel almann amac; restorasyona ve hastaya ait faktrlerin direkt yntemlerle uygulanan n
blge restorasyonlarn klinik performans zerine etkilerini deerlendirmektir.
YNTEM: Farkl merkezlerde uygulanm 106 direkt n blge kompozit restorasyon, iki tecrbeli aratrmac tarafndan
retansiyon, renk uyumu, kenar adaptasyonu, kenar renklenmesi, anatomik form, sekonder rk oluumu, postoperatif
hassasiyet ve yzey przll asndan Modifiye Ryge Kriterleri (USPHS) kullanlarak deerlendirildi. Restorasyona ait kavite
snflandrmas, derinlik, mr, restorasyonun uyguland merkez gibi deikenler ile oral hijyen ve sigara ime alkanl gibi
hastaya ait faktrler lojistik regresyon analizi ile deerlendirildi.
BULGULAR: n blge kompozit restorasyonlarn baarszlk oran %62 olarak bulundu. Az ve di sal merkezlerinde
uygulanm olan restorasyonlarn (OR = 10.2, p = 0.000) yksek baarszlk riski ile ilikisi olduu grld.
SONU: Bu alma direkt yntemle uygulanan n blge kompozit restorasyonlarn klinik performansnn farkl di hekimlii
hizmeti salayclarndan anlaml olarak etkilendiini gstermitir.
Anahtar Kelimeler: Anterior Restorasyon, Retrospektif, Kesitsel alma
Izmir Katip Celebi University, School of Dentistry, Deptartment of Restorative Dentistry, Izmir, Turkey
Suleyman Demirel University, School of Dentistry, Deptartment of Restorative Dentistry, Isparta, Turkey
AIM: Direct anterior restorations are still the first choice for rehabilitation of tooth diseases in anterior region, thus the factors
which might affect their clinical performance should be considered to improve their longevity. The purpose of this crosssectional study was to evaluate the effects of factors related to restoration and patient on the clinical performance of direct
anterior restorations.
METHOD: 106 direct anterior composite restorations which had been performed in different clinical centres, were evaluated by
two experienced observers in terms of retention, colour match, marginal adaptation, marginal discoloration, anatomical form,
secondary caries, postoperative sensitivity and surface roughness using the Modified Ryge Criteria (USPHS). The variables
related to the restoration such as cavity classification, depth and age of restoration, type of dental service provider and the
variables related to the patient such as oral hygiene and smoking habit were analysed using the logistic regression analysis.
RESULTS: The failure rate for anterior composite restorations were 62%. Restorations made in public dental health centres (OR
= 10.2, p = 0.000) were associated with the higher risk for failure in anterior region.
CONCLUSION: The present study showed that type of dental service provider significantly affected the clinical performance of
direct anterior composite restorations.
Key Words: Anterior Restorations, Retrospective, Cross-Sectional
215
P97
GNGVEKTOM TEKNYLE GNGVAL DEPGMENTASYON: VAKA RAPORU
Vesile Elif Toy1
1
AMA: Gingival hiperpigmentasyon, epitelin bazal ve suprabazal tabakalarnda ar melanin birikimiyle oluur. Sigara imenin
ar melanin retimini artrd rapor edilmitir. Gingivadaki melanin pigmentasyonu tamamen iyi huylu olmasna ramen,
zellikle yksek glme hatt (gummy smile) olan hastalarda estetik sorun oluturmaktadr. Depigmentasyon iin birok teknik
kullanlmaktadr. Bu vaka raporu gingivektomi teknii ile yaplan basit ve etkili bir depigmentasyon yntemini tanmlamaktadr.
YNTEM: iddetli pigmente dieti ikayeti olan 25 yandaki erkek bir hasta kliniimize bavurdu. nemli bir tbbi yks
olmayan hasta son 10 yldr gnde ortalama bir paket sigara imekteydi. Hem maksiller hem de mandibular labial yzeylerde
youn melanin hiperpigmentasyonu gzlendi. Gingivektomi teknii ile birinci premolardan dier birinci premolara kadar gingival
depigmentasyon uyguland. Blge periodontal patla kapatlp postoperative nerilerde bulunuldu.
BULGULAR: 1 hafta sonra periodontal pat uzaklatrld, operasyon blgesi muayene edildi ve hasta 4 hafta boyunca haftalk
kontrollere arld. yileme herhangi bir komplikasyon olmakszn sorunsuz bir ekilde gerekleti. 3 aylk takip sonras hasta
dieti rengindeki belirgin dzelme nedeniyle memnundu.
SONU: Bu vakada depigmentasyon iin kullanlan gingivektomi teknii estetik, gvenlik ve etkinlik ynnden tatmin edici
sonular vermitir.
Anahtar Kelimeler: Depigmentasyon, Gingival Hiperpigmentasyon, Gingivektomi
AIM: Gingival hyperpigmentation is caused by excessive deposition of melanin in the basal and suprabasal cell layers of the
epithelium. Smoking has been reported to provoke excessive melanin production. Although melanin pigmentation of the gingiva
is completely benign, cosmetic concerns are common, particularly in patients having a very high smile line (gummy smile).
Various depigmentation techniques have been employed. This case report describes simple and effective depigmentation
technique using gingivectomy for gingival depigmentation.
METHOD: A 23-year-old male patient complaining of heavily pigmented gums referred to our clinic. There was no remarkable
medical history, but he had been smoking a pack of cigarettes per day on average for the last 10 years. Diffused melanin
hyperpigmentation was found on the labial surface of both the maxillary and mandibular arches. Gingival depigmentation was
performed from first premolar to first premolar using gingivectomy technique. The surgical area was covered with a periodontal
pack and postoperative instructions were given.
RESULTS: After 1 week, the pack was removed, the surgical area was examined and the patient was recalled for postoperative
visits on a weekly basis for 4 weeks. The healing was uneventful without any post-surgical complications. After 3-month followup, the patient was satisfied with the significant improvement in color.
CONCLUSION: In this case report, gingivectomy technique used for depigmentation showed satisfactory results with regard to
esthetics, safety, and effectiveness.
Key Words: Depigmentation, Gingival Hyperpigmentation, Gingivectomy
216
P98
TM AIZ MONOLTK ZRKONYA RESTORASYONLARDA BAST YZARKI KULLANILARAK KAPANI KAYDI: OLGU SUNUMU
Bahar Elter1, Ece engn1, Erhan mlekolu1, Atilla Keserciolu1
1
Ege niversitesi, Dihekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, zmir, Trkiye
AMA: Zirkonya destekli seramik restorasyonlar metal alaml restorasyonlara kyasla daha iyi estetik zelliklere sahip olmalar
nedeniyle son dnemde artan bir ivme ile kullanm alan bulmaktadr. Ancak, feldspatik esasl olan styap seramiinin dk
bklme dayanm ve zirkonya ile seramik arasndaki mekanik balanmann yetersiz olmas nedeniyle, bu tarz restorasyonlarda
styap krklar ile sklkla karlalabilmektedir. Bu olgu sunumunda bruksist bir hastada oklzyonu tayan posterior dilerin
tamamen monolitik zirkonyadan, n dilerin ise feldspatik seramikle venerlenmi zirkonya materyalinden retildii tm az
sabit protezin yapm aamalar anlatlmaktadr.
YNTEM: st yap kr yaknmas ile kliniimize bavuran 52 yandaki bayan hastaya yeni bir st tm ene sabit protez
yaplmas planland. Var olan protezi karldktan sonra di preparasyonlar kontrol edildi ve A tipi silikon l maddesi ile
ller elde edildi. Hazrlanan ana modeller dijital tarayc ile bilgisayar ortamna aktarld ve zirkonya altyapnn sanal tasarm
yapld. Oklzyonu destekleyen en distaldeki ikier tberkln tamamen monolitik zirkonyadan retilecek olmasna, n blgede
kalan dier nitelerin ise zerine styap seramii gelebilecek ekilde zirkonya altyap biiminde tasarlanmasna dikkat edildi.
Bununla birlikte, monolitik zirkonyadan retilecek oklzal yzeylerde lingualize tip oklzyona uyumlu morfoloji oluturuldu.
Dijital tasarm daha sonra bilgisayar destekli retim nitesinde monolitik zirkonya materyalden restorasyona dntrld.
Monolitik zirkonyadan oluturulan nitelerin mekanik polisaji yapldktan sonra, sinterleme ilemine geildi . Daha sonra
anterior ksmda yer alan zirkonya altyap zerine seramik styap uyguland, boyama ve glazr ilemlerinden sonra restorasyon
adeziv rezin ile simante edildi. Oklzyon kontrolu ve az hijyen eitimi ardndan hasta 6 aylk kontrollere arld.
SONU: Hastann lingualize oklzyona ksa srede uyum gsterdii gzlemlenirken, 15 aylk sre sonunda herhangi bir biyolojik
ya da mekanik olumsuzlua rastlanmad.
Anahtar Kelimeler: Bilgisayar Destekli Tasarm Ve retim, Lingualize Oklzyon, Monolitik Zirkonya
BITE REGISTRATION IN FULL-MOUTH MONOLITHIC ZIRCONIA RESTORATIONS USING A FACEBOW: CASE REPORT
Bahar Elter1, Ece engn1, Erhan mlekolu1, Atilla Keserciolu1
1
AIM: Zirconia based ceramic restorastions are commonly in use due to their superior esthetic properties compared to metal
based porcelain restorations. Owing to low flexural strength of veneering feldspathic ceramic and insufficient mechanical
connection between ceramic and zirconia interface , we are currently facing the problem of fracture in veneering porcelain. In
this case report, fabrication of a full mouth fixed dental prosthesis with monolithic zirconia occlusal surfaces for posterior and
ceramic veneered zirconia framework for anterior region in a bruxer patient is described.
METHOD: A new full mouth fixed maxillary denture is planned for the 52-year-old female patient with a complaint of
superstructure fracture of an existing metal-ceramic restoration. After removing the existing denture, preparations were
checked and impressions were made with an addition-type silicone impression material. The cast models were scanned with
a digital scanner and the digital design of the zirconia framework was completed. During the designing process the cusps of
the most distal units were shaped as monolithic crowns while the units in the anterior region were structured as frameworks
for a feldspathic veneering part. Moreover, the monolithic occlusal surfaces were designed to serve as a lingualized occlusion
scheme. The restoration was milled from monolithic zirconia blanks by using a cam unit. The monolithic zirconia surfaces were
polished according to the manufacturers instructions and than the whole framework was sintered. The zirconia frameworks
in the anterior parts were veneered with feldspathic ceramic. After staining and glazing procedures, the final restoration was
cemented. Occlusion was checked, oral hygiene education was provided and the patient was asked for 6 months periodic recalls.
CONCLUSION: The patient showed an immediate adaptation to lingualized occlusion. There were no mechanical or biological
failures after an observation period of 15 months.
Key Words: Computer Aided Design And Manufacturing, Lingualized Occlusion, Monolithic Zirconia
217
P99
DERN KONUMLU MPLANTLARDA SERAMK ARA PARALARLA MARJN YKSELTME VE IKI PROFL OLUTURULMASI
Firuzan Tan1, Gamze Paken1, Mine Dndar mlekolu1
1
Ege niversitesi, Dihekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, zmir, Trkiye
AMA: Gnmzde implant tedavisi n blge di eksikliklerinin estetik rehabilitasyonunda kullanlan en konservatif
yntemlerden birisidir. mplantlarn mukoza seviyesinden 3 mmden daha derine yerletirildii olgularda protetik aamada
etkin siman temizleme zorluu oluabilmektedir. Bu olumsuzluk periimplantitise varabilecek sonular doabilir. Prefabrike
dayanaklar ile her olguda istenilen k profili elde edilememektedir. Bu tarz hastalarda prefabrike dayanaklarn zerine
ileri retim yntemleriyle uygulanabilecek ara paralarla marjin seviyesi hijyenik konuma ykseltilebilir. Bu olgu sunumunda,
derine yerletirilmi bir implant zerine yaplan cam seramik ara para ile bireysel dayanak hazrlanlarak marjin seviyesinin
ykseltilmesi ve doala yakn k profili oluturulmas anlatlmaktadr.
YNTEM: Maksiller n blge di eksiklii yaknmasyla kliniimize bavuran bir hastaya dental implant (Straumann Bone
Level, Basel, svire) uyguland. Drt aylk iyileme srecinin ardndan protetik uygulama aamasna geildi. mplantn
zerindeki mukoza kalnlnn fazla olmas nedeniyle uygulanabilecek prefabrike dayanan basamak seviyesinin mukozann
3 mm. apikalinde konumland izlendi. Bu nedenle hem marjin seviyesini ykseltmek hem de doal die uyumlu bir k
profili olusturmak amacyla prefabrike dayanan zerine cam seramik materyalden bir ara para retilmesi planland. Polivinil
siloksan ile l alnd. Model zerinde dayanak seimi yapld ve iyileme mukoza seviyesi referans alnarak kayp mum
teknii yntemi ile dayanan zerine s ve basn altnda ekillendirilebilen cam seramik (IPS E.Max Press, Ivoclar Vivadent,
Lihtentayn) ara para retildi. Tasarm; vida deliini kapatmak amacyla seramik ara parann zerine lamina yerleecek
ekilde biimlendirildi. Seramik ara parann periimplanter mukoza ile temas edecek yzeyleri mekanik olarak parlatld.
Seramik ara para, adeziv rezin siman ile dayanaa yaptrld. Dayanak hasta azna 30 N/cm torkla vidaland. Hazrlanan
cam seramik lamina, seramik ara parann zerine simante edildi. Hasta 6 aylk sreler ile deerlendirmeye alnd.
SONU: Yaplan kontrollerde herhangi biyolojik ve mekanik komplikasyona rastlanmad. Peri-implanter mukozann ve papillerin
salkl ve uygun morfolojide ekillendii gzlendi.
Anahtar Kelimeler: Bireysel Dayanak, Cam Seramik, k Profili, Periimplanter Mukoza
MARGIN INCREMENT AND EMERGENCE PROFILE CREATION WITH CERAMIC MESOSTRUCTURES IN SUBCRESTAL IMPLANTS
Firuzan Tan1, Gamze Paken1, Mine Dndar mlekolu1
1
Ege niversitesi, Di Hekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, zmir, Trkiye
AIM: Implant treatment is one of the most conservative methods in esthetic rehabilitation of anterior single tooth absence.
In cases where implants are placed more than 3 mm subcrestally, a risk of efficient excess cement removal may arise which
may lead to periimplantitis. Prefabricated abutments cannot provide desired emergence profile in all cases. In such situations,
mesostructures on prefabricated abutments may be used to upgrade the margins to a hygienic position. In this clinical report,
increment of the abutment margin with the use of glass-ceramic custom abutment through a mesostructure and achievement
of natural emergence profile has been explained.
METHOD: A dental implant (Straumann Bone Level, Basel, Switzerland) was placed on a patient with the complaint of maxillary
anterior tooth absence. After a healing period of 4 months, prosthetic stage was performed. When the prefabricated abutment
was tried; it was observed that the base of the abutment was positioned 3 mm apically to the mucosa. Therefore, ceramic
mesostructure to be placed on this abutment was planned to be fabricated to obtain both marginal increment and natural
emergence profile. Polyvinylsiloxane impression was made. Abutment selection was made on the cast and hot-pressed glassceramic mesostructure was fabricated (IPS E.Max Press, Ivoclar Vivadent, Liechtenstein) with lost-wax technique with the
mucosa level taken as a reference. The design of the mesostructure led to mask the screw hole and laminate veneer fabrication
as a restoration. Mechanical polishing was made on the periimplantary mucosa contact surfaces. Ceramic mesostructure was
cemented onto the abutment with a resin cement. The abutment was screwed with a final torque of 30 N/cm. Prepared glassceramic laminate veneer was cemented on the ceramic mesostructure. The patient was recalled with 6-month periods.
CONCLUSION: No biological or mechanical complications were observed in recalls. The periimplantary mucosa and the papillae
formation were healthy and in appropriate contour.
Key Words: Ceramic Custom Abutment, Emergence Profile, Glass-Ceramic, Periimplantary Mucosa
218
P100
DJTAL L PARASI LE PRATK BR MPLANTST GEC KRON YAPIM TEKN: OLGU SUNUMU
Gamze Paken1, Muharrem Erhan mlekolu1, Firuzan Tan1
1
,Ege niversitesi, Dihekimlii Fakltesi Protetik Di Tedavisi Ana Bilim Dal, zmir, Trkiye
AMA: mplant st restorasyonlar iin istenen yumuak doku formunu elde etmek amacyla hastaya implant uygulamasndan
hemen sonra veya implant evresi iyileme tamamlandktan sonra geici restorasyonlar uygulanmaktadr. Bu ekilde, kalc
restorasyon ncesi hastann doal yumuak doku eklini yanstmak ve interdental papiller iin destekleyici kron konturu
oluturmak olas hale gelmitir. Bu olgu sunumunda, implantasyon sonras osseoentegrasyon ve yumuak doku iyilemesinin
ardndan dijital l paras ile ok iyi bir marjin uyumuna sahip implant st geici kron yapm iin pratik bir yntem
anlatlmaktadr
YNTEM: Krk yanda erkek hasta sol st ene santral eksiklii yaknmasyla kliniimize bavurdu. Yaplan klinik ve radyografik
deerlendirme sonrasnda implant destekli sabit protetik tedavisi yaplmasna karar verildi. Hastaya bir adet kumlanm ve
asitle przlendirilmi silindirik dental implant (iSy, Camlog, Basel, svire) yerletirildi. Drt aylk osseoentegrasyon sreci
sonrasnda implant evresi mukoza ekillendirilmesi ilemi iin geici protez yapm aamasna geildi. yileme bal
karldktan sonra implant ile uygun apta titanyum ara yap (Ti-base, Camlog, Basel, svire) vidaland ve zerine dijital l
paras (Scanbody, Sirona, Bensheim, Almanya) yerletirildi. Hastann simetrik santral dii ile ayn byklkte bir soyulabilir
kron kalb seildi. Kalbn ii kompozitle dolduruldu ve dijital l parasnn zerine uygun a ve konumda yerletirildi. Taan
kompozit artklar temizlendikten sonra kole formu doal dieti k profiline gre dzenlendi, yzey polisaj tamamland ve
titanyum ara yap zerine mekanik kilitle sabitlendi. ki haftalk yumuak doku ekillendirmesinin ardndan geici restorasyon
karld ve BDT yntemi dijital l elde edildi. Bireysel dayanak ve bireysel dayanak zerine yerleecek olan kron restorasyonu
tasarmlar uygun bilgisayar yazlm (Cerec 4.0, Sirona) kullanlarak elde edildi. Elde edilen seramik dayanan periimplanter
mukoza ile uyumu ve k profili kontrol edildi ve vidaland. Hazrlanan restorasyonlar az iinde denendi ve ufak dzenlemeler
sonrasnda glazrleme ilemi tamamland. Cam seramik kron rezin siman (Variolink II, IvoclarVivadent) ile simante edildi
Sentrik okluzyonda ve eksentrik hareketlerde okluzal atmalarn varl kontrol edildikten sonra hasta 6 aylk kontrollere
arld
SONU: Alt aylk deerlendirme sonunda hastada herhangi bir biyolojik yada mekanik olumsuzluk gzlenmemitir.
Anahtar Kelimeler: BDT, Bireysel Dayanak, Titanyum Ara Yap
A PRATICAL TEMPORARY IMPLANT CROWN FABRICATION TECHNIQUE WITH A SCAN-BODY: CASE REPORT
Gamze Paken1, Firuzan Tan1, Muharrem Erhan mlekolu1
1
AIM: Temporary restorations can be applied for the implant supported restorations to provide a final desire soft tissue
morphology immediately after implantation and/or following osseointegration. By this concept, to reflect the final soft tissue
contour before inserting the final restoration and to provide a crown shape supporting interdental papillae may be possible. In
this case report, a practical implant temporary crown fabrication method with highly adapted margins by using a digital scanbody after osseointegration and soft tisuue healing is described.
METHOD: A forty year-old male with maxillary left anterior tooth absence applied to our clinic. After clinical and radiographic
evaluations, implant supported fixed prostheses were decided to be applied. A sandblasted, acid-etched, hydrophilic surfaced
implant ( iSy, Camlog Basel, Switzerland) was placed. After a 4-month osseointegration period, temporary restoration was
designed to contour periimplantary mucosa. The caps were removed and titanium base (Ti-base, Camlog, Basel, Switzerland)
was screwed and digital impression cap (Scan body, Sirona, Bensheim, Germany) was placed.A strip crown matrix similar to
the symmetrical central incisor was chosen; the matrix was filled with a composite resin and placed on the digital impression
cap in an appropriate angle and position. After excess removal, the cervical form was aligned according to the emergence
profile and polishing was made after which mechanically fixed on the titanium mesostructure. After a 2-week healing period of
mucosa, temporary restoration was removed and optical impressions were made (BlueCam,Sirona) with CAD/CAM. Individual
abutment and the crown were designed with a software (Cerec 4.0, Sirona). After designing procedures, restorations were
milled from lithium disilicate and leucite blocks (IPS e.max and IPS Empress CAD Multi block, Ivoclar Vivadent). The adaptation
and emergence profiles of the ceramic abutments and periimplantary mucosa were checked and screwed. The prepared crowns
were tried-in and glazed after minor corrections. Glass-ceramic crowns were adhered with a resin cement (Variolink II, Ivoclar
Vivadent). After centric and eccentric occlusal disturbances were checked, the patient was recalled for 6-month period controls.
CONCLUSION: No biological or mechanical complaints were noticed after a 6-month period.
Key Words: CAD/CAM, ndividual Abutments, Titanium Base
219
P101
RKSZ SERVKAL LEZYONLARDA YKSEK VSKOZTEL CAM YONOMER RESTORASYONLARIN KLNK PERFORMANSINI
DEERLENDREN RANDOMZE, KONTROLL, SPLT-MOUTH ALIMA: 1 YILLIK SONULAR
Fatma Ylmaz1, Esra Uzer elik1, Betl Aka1
1
zmir Katip elebi niversitesi, Restoratif Di Tedavisi Ana Bilim Dal, zmir, Trkiye
AMA: Bu randomize, kontroll, tek merkezli, split-mouth klinik aratrmann amac, yksek viskoziteli cam iyonomer
restorasyonlarn rksz servikal lezyonlardaki 1 yllk klinik performansn aamal etch & rinse adezivle uygulanan
nanohibrit kompozit restorasyonlarla karlatrmaktr.
YNTEM: Bu almada 134 tane rksz servikal lezyon, split- mouth dizayna uygun olarak iki gruba ayrld. almada deney
grubu olarak yksek viskoziteli cam iyonomer (EQUIA Fil, GC); kontrol grubu olarak aamal etch & rinse adezivle (Optibond
FL, Kerr) uygulanan nanohibrit kompozit (G-aenial, GC) kullanld. Kullanlan tm restoratif materyaller retici firmalarn
nerileri dorultusunda uyguland. Klinik deerlendirme, 1 hafta, 6 ay ve 1 yl sonra FDI kriterleri kullanlarak yapld. Veriler,
Friedman 1-way ve Mann-Whitney U testleri kullanlarak analiz edildi (a = 0.05).
BULGULAR: Bir yl sonra, yksek viskoziteli cam iyonomer restorasyonlarn retansiyonu %96 iken, nanohibrit kompozitin
retansiyonu %100 idi. Tm deerlendirme kriterleri asndan iki restoratif materyal arasnda istatistiksel olarak anlaml fark
gzlenmedi.
SONU: Bir yllk deerlendirme sonras yksek viskoziteli cam iyonomer restorasyonlarn rksz servikal lezyonlardaki
klinik performans nanohibrit kompozitlerle benzer bulundu.
Anahtar Kelimeler: Yksek Viskoziteli Cam yonomer, rksz Servikal Lezyonlar, EQUIA Fil, Nanohibrit Kompozit
A RANDOMISED, CONTROLLED, SPLIT-MOUTH TRIAL EVALUATING THE CLINICAL PERFORMANCE OF A HIGH VISCOSITY
GLASS IONOMER RESTORATIONS IN NON-CARIOUS CERVICAL LESIONS: 1 YEAR RESULTS
Fatma Ylmaz1, Esra Uzer elik1, Betl Aka1
1
zmir Katip elebi University , School of Dentistry, Department of Restorative Dentistry, Izmir, Turkey
AIM: The aim of this randomised, controlled, single-centre, split mouth clinical trial was to compare the clinical performance of
high viscosity glass ionomer restorations in non-carious cervical lesions in comparison with nanohybrid composite restorations
applied with a three-step etch & rinse adhesive system.
METHOD: A hundred and thirty four non-carious cervical lesions were included and assigned into two groups, according to
the split mouth design. The cervical lesions in experimental group were restored with a high viscosity glass ionomer (EQUIA
Fil, GC); while a nanohybrid composite (G-aenial, GC) with a three-step etch & rinse adhesive system (Optibond FL, Kerr) was
applied to the control group. All tested restorative materials were used according to the manufacturers instructions. Clinical
evaluation was performed after 1 week, 6 months and 1 year using FDI criteria. Data were analysed using Friedman 1-way and
Mann-Whitney U tests (a = 0.05).
RESULTS: After 1 year, high viscosity glass ionomer restorations revealed a retention rate of 96% in comparison to 100% of
nanohybrid composite restorations. Considering all criteria, there were no significant differences between the two restorative
materials.
CONCLUSION: The clinical performance of high viscosity glass ionomer restorations in non-carious cervical lesions was found
similar to the nanohybrid composites after 1 year of clinical service.
Key Words: High Viscosity Glass onomer Restorations, Non-Carious Cervical Lesions, EQUIA Fil, Nanohybrid Composite
220
P102
OKLER PROTEZLERDE HAREKETLLN KESTENBAUM LMBUS TEST LE DEERLENDRLMES: OLGU SUNUMU
Makbule Heval ahan1, Turul Sayg2
1
Ege niversitesi Dihekimlii Fakltesi Protetik Di Tedavisi Anabilim Dal, zmir, Trkiye
AMA: Konjenital defektler, travma, tmr, arl grmeyen gz gibi nedenler gzn kaybna sebep olabilmektedir. Gzn kayb
ile yzde oluan farkllk kiide nemli fiziksel ve psikolojik problemlere sebep olabilmektedir. Okler protezlerdeki estetik ve
hareketlilik hastann normal grnmn kazandrp hayatn kolaylatrmaktadr. Bu almadaki ama, okler protezlerdeki
hareketliliin saysal deerlerinin Kestenbaum Limbus testi ile deerlendirmektir.
YNTEM: 60 yanda glokoma bal olarak gzn kaybetmi erkek hasta Ege niversitesi Di Hekimlii Fakltesi Protetik
Di Tedavisi ADye okler protez yaplmas iin bavurdu. Yaplan muayene sonras, PMMA okler implant uygulanm hastaya
protez yapmak iin soketin ls polivinil siloksan l maddesi ile alnd. Protez yapm aamalar ve provalar yapldktan
sonra okler protez hastaya teslim edildi. Hastann protez uyum sreci tamamlandnda deneme gzl kullanlarak okler
protezin hareketlerinin lmleri yapld. Hareketlilik lmnde okler protezin ie, da, yukar ve aa yndeki hareketlerinin
lmleri yapld. Hastann salkl gznn de lmleri yaplarak protezin hareketlilii deerlendirildi.
BULGULAR: Elde edilen verilere gre, hastann ie yndeki hareketi 4mm, da yndeki hareketi 5 mm, yukar yndeki hareketi
7 mm, aa yndeki hareketi 4 mmdir.
SONU: Okler protezler, kaybolan fonksiyonu karlayamasalar da hastann eski haline yakn bir grnm kazanmas, mevcut
durumu kabullenmesini kolaylatrr. Hastann sosyal ve psikolojik olarak da rahatlamasn salamaktadr. Okler protezlerin
hareketlilik deerlendirilmesinin Kestenbaum Limbus testi kullanlarak yaplmas hekim asndan kolaylk salamaktadr.
Anahtar Kelimeler: Hareketlilik, Okler Protezler, Kestenbaum Limbus Testi
AIM: The absence of an eye may be caused by a congenital defect, irreparable trauma, tumor, a painful blind eye. The disfigurement
associated with the loss of an eye can cause significant physical and emotional problems. Ocular prosthesis with acceptable
esthetics and reasonable motility in restoring normal appearance in patients with anophthalmia faciliate the patients life. The
aim of study, numeric data of motility of ocular prosthesis obtain by using Kestenbaum Limbus Test.
METHOD: 60 year old male patient who has lost his right eye suffering from glocoma applied to Ege University School of Dentistry
Department of Prosthodontics for an ocular prosthesis. Previously a PMMA ocular implant has been applied to the patient. In the
initial examination, the impression of the socket was taken with vinyl polisiloxane. Following fitting tests and fabrication of the
ocular prosthesis is delivered to the patient. When the prosthesis adaptation is completed, the movement analysis of the ocular
prosthesis is conducted with trial glasses. In this anlaysis, the movement of the ocular prosthesis in the up, down, in and out
directions are measured. Simultaneously, the measurements on the healthy eye is also conducted for a comparative analysis
of the prosthesis mobility.
RESULTS: According to the analysis, the movement of the prosthesis has been observed as follows: Inside direction: 4mm.
Outside direction: 5mm. Upwards direction 7mm. Downwards direction: 4mm.
CONCLUSION: Ocular prosthesis cannot fully recover the lost eye functions; however, it helps greatly to the patient to acknowledge
the current situation. It also helps patient in the psychological and sociological aspects. The mobility tests have been evaluated
using the Kestenbam Limbus tests, and this has been observed to be convenient for the dentist.
Key Words: Kestenbaum Limbus Test, Motility, Ocular Prosthesis
221
P103
KK KANALINDAK YABANCI CSMN UZAKLATIRILMASI: OLGU SUNUMU
lhan Uzel1, Mehmet Emin Kaval2, Dilah oulu1, Fahinur Erturul1
1
AMA: Dilerin kk kanallarnda yabanc cisim bulunmas az grlen bir durumdur. Yabanc cisim enfeksiyon ve ar kayna
olabildii gibi asemptomatik de olabilmektedir. Yabanc cismin kk kanalndan uzaklatrlmas ilemlerinin zorluu cismin
ekil, pozisyon ve byklne bal olarak deimektedir. Bu olgu raporunda kk kanalndaki yabanc cismin Masserann kit
yardmyla karltlmasn takiben gerekletirilen kanal tedavisinin klinik baars anlatlmaktadr.
YNTEM: Bu olgu sunumunda Ege niversitesi Dihekimlii Fakltesi Pedodonti Anabilim Dalna bavuran 12 yandaki erkek
hastann, sa alt birinci molar diinin kk kanalna ine saplanmas sonucu oluan periapikal enfeksiyonun bulgular ve diin
tedavisi sunulmutur. Hastann anamnezinde, geici dolgunun dmesi sonras hastann diini ine ile temizlemeye alt
ve bu srada inenin kanal iinde krld bilgisine ulalmtr. Radyolojik olarak da tespit edilen yabanc cisim Masserann
kit yardmyla kk kanalndan karld. Biyomekanik ekillendirmeyi takiben kanallar lateral kondasyon teknii ile gutta
perka ve AH Plus (Dentsply, Konstanz, German) kanal pat kullanlarak dolduruldu. Hastann daimi restorasyonu kompozit ile
tamamlanarak hasta takibe alnd.
SONU: On sekiz aylk takip sonucu dite radyolojik ve klinik olarak herhangi bir patolojiye rastlanmamtr. Kk kanalndaki
yabanc cisimlerin uzaklatrlmas deiik tekniklerle mmkn olabilmektedir. Bu olguda yabanc cisim, lokalizasyonu gz
nnde tutularak uygulanan teknik ile baarl ekilde uzaklatrlmtr.
Anahtar Kelimeler: ne, Kk Kanal, Yabanc Cisim
AIM: Foreign objects in the root canal is uncommon. The presence of foreign objects might be asymptomatic or these bodies
can cause pain The difficulties in removing of these objects with several techniques may vary acoording to the position, size, and
shape of the foreign object. This case report presents an effective removal of a foreign object with a Masserann kit.
METHOD: In this case report, the symptoms and successful treatment of a broken sewing needle in the root canal of the left
mandibular first molar and periapical infection originated from the sewing needle in a 12 year-old male patient were presented.
According to the patients history, the patient tried to keep the open tooth clean with various tools. The pulp chamber of tooth
#46 was open to the oral cavity. Radiographs showed the presence of an unusual metallic radiopaque object and detected by
radiography, and with a Masserann kit the foreign object was removed from the root canal and the patients root canal treatment
has been successfully completed. The root canal was filled with gutta percha applying cold lateral condensation technique and
AH Plus sealer (Dentsply, Konstanz, Germany). The tooth was restored with a composite resin.
CONCLUSION: Clinical and radiographic examination during recalls and after 18 months revealed no signs of pathology. Removal
of a foreign object from a root canal may be carried out using a variety of techniques. In this case, the localication of foreign body
was considered as the major point and was removed successfully.
Key Words: Foreign Object, Root Canal, Sewing Needle
222
P104
ORTODONTK TEDAV SIRASINDA, EKSTERNAL KK REZORPSYONU OLUMU DN CERRAH OLMAYAN ENDODONTK
TEDAVS
Beyza zk1, Tugba Trk1
1
AMA: Bu almann amac, ortodontik tedavi srasnda st kesici dite olumu eksternal kk rezorpsiyonun cerrahi olmayan
endodontik tedavinin sunulmasdr.
YNTEM: st kesici diinde ekternal rezorpsiyon tespit edilmi15 yandaki erkek hasta, dihekimi tarafndan Endodonti
Kliniine ynlendirilmitir. Radyografik incelemede 21 nolu diin kk orta lsnde yaygn ekternal rezoprsiyon tespit edildi.
Klinik incelemede diin devital olduu, perksyon ve palpasyon hassasiyetinin olmad gzlendi. lk seansta kk kanal boylar
tespit edilip, geniletmeler tamamland ve kanal ii medikament olarak kalsiyum hidroksit (CaOH) yerletirildi. CaOH her ay
deitirildi ve ikinci ayn sonunda kk kanal tedavisi tamamland.
BULGULAR: Diin klinik ve radyografik incelemeleri dzenli olarak yapld. Dokuzuncu ayn sonunda ki kontrollerde diin
asemptomatik olduu, radyolojik olarak ise lezyonlarn iyiletii gzlendi. Bulgular konik nl bilgisayarl tomografi ile
desteklendi.
SONU: Mevcut olguda kk rezorbsiyonlarnn tedavisinde cerrahisiz endodontik tedavi baarl bulundu. Olgunun takibi devam
etmektedir
Anahtar Kelimeler: Rezorpsiyon, Kalsiyum Hidroksit, Endodonti
NONSURGICAL ENDODONTIC TREATMENT OF A NONVITAL TOOTH WITH ORTHODONTICALLY INDUCED EXTERNAL ROOT
RESORPTION
Beyza Ozk1, Tugba Trk1
1
AIM: The purpose of this case presentation is to report the treatment of orthodontically induced external root resorption of a
maxillary central incisor
METHOD: A 15-year-old boy was referred to the department of Endodontology, by his dentist. The intraoral periapical radiograph
showed extensive external root resorption at tooth number 21. The defect seemed to be located in the distal and mesial zone of
the root, affecting its middle thirds. The tooth was devital and asymptomatic. There was no percussion and palpation sensitivity.
The first appointment included working length determination and chemo-mechanical preparation of the canal and intra-canal
medication with calcium hydroxide. Calcium hydroxide was renewed every month. Two months later the root canal system was
obturated with lateral condensation technique and restorated with resin composite.
RESULTS: Clinical and radiographic controls were made with regular intervals. After 9 months, tooth was asymptomatic in
clinically. The postoperative intraoral periapical radiograph revealed healing of lesions. These findings were also supported by
cone beam computed tomography. Tooth is still under control
CONCLUSION: This case presentation showed favourable outcomes of non surgical endodontic treatment of external root
resorption.
Key Words: Resorption, Calcium Hydroxide, Endodontics
223
P105
FARKLI POLSAJ SSTEMLERNN HBRT KOMPOZT REZNLERN RENKLENMESNE ETKS
zgr Kank1, L. ebnem Trkn2
1
Afyon Kocatepe niversitesi, Di Hekimlii Fakltesi, Restoratif Di Tedavisi Anabilim Dal, Afyonkarahisar, Trkiye
Ege niversitesi, Dihekimlii Fakltesi, Restoratif Di Tedavisi Anabilim Dal, zmir, Trkiye
AMA: Bu almann amac, elmas partikller emdirilmi bir polisaj diski ve kla sertleen bir likit polisaj sistemi ile yaplan
cilalama ilemlerinin kompozit rezinlerin renklenmesine olan etkisini incelemektir.
YNTEM: Bir nanohibrit kompozit rezinin (Clearfil Majesty Esthetic, Kuraray, Japonya) ve bir mikrohibrit kompozit rezinin (Artemis,
Ivoclar Vivadent, Liechtestein) dentin ve mine renklerinden hazrlanan 2 mm kalnlnda ve 10 mm apnda rneklerinin st
yzeyleri iki farkl cila sistemi ile cilalanmak suretiyle sekiz grup (n=10) oluturuldu. Tm kompozit rezin rneklerin st yzeyine
alminyum oksit partikller emdirilmi diskler (Enhance, Dentsply Caulk, ABD) ile 10 saniye sreyle bitirme ilemi uyguland.
Bitirme ilemi sonras, drt gruba ait rneklerin st yzeyleri elmas partiklleri emdirilmi diskler (PoGo, Dentsply Caulk) ile
10 saniye sreyle parlatlrken, dier gruplardaki rneklerin st yzeyine kla sertleen likit cila materyali (Lasting Touch,
Dentsply Caulk) tek tabaka halinde uyguland ve kla polimerize edildi. rnekler kahve solsyonunda 25Cde bir hafta sre ile
bekletildi. Spektrofotometre (Vita Easyshade, Vita, Vident, Brea, CA) ile bekletilen rneklerin balang, 1. gn, 3. gn, 5. gn ve
7. gn renk deerleri lld. Renklenme miktarlar E parametresi ile karlatrld. statistiksel hesaplamalarda Tukey HDS
testi ve T-testi kullanld (p 0.05).
BULGULAR: PoGo gruplar Lasting Touch gruplarndan anlaml olarak daha az renklendi (p0.05). PoGo gruplarnda, nanohibrit
kompozit rezin rnekler anlaml olarak daha az renklenirken (p0.05); Lasting Touch gruplarnda, kullanlan kompozit rezinin
renk deiimine katks bulunmad.
SONU: Elmas partikller emdirilmi disklerden oluan PoGo mekanik cilalama sistemi, likit cila sistemine gre kompozit
rezinlerin renklenmesini azaltarak estetik zelliklerini daha uzun sre korumasn salamtr.
Anahtar Kelimeler: Hibrit Kompozit Rezin, Polisaj Sistemleri, Renklenme
THE EFFECTS OF DIFFERENT POLISHING SYSTEMS ON THE DISCOLORATION OF HYBRID RESIN COMPOSITES
zgr Kank1, L. ebnem Trkn2
1
Afyon Kocatepe University, School of Dentistry, Department of Restorative Dentistry, Afyonkarahisar, Turkey
AIM: The aim of this study was to evaluate the polishing effect of a diamond impregnated polisher and a light-cured liquid
polishing system on the discoloration of hybrid resin composites.
METHOD: A nanohybrid (Clearfil Majesty Esthetic, Kuraray, Japan) and a microhybrid (Artemis, Ivoclar Vivadent, Liechtenstein)
resin composite of 2 mm height and 10 mm in diameter were fabricated with enamel and dentin colors and divided in eight
groups (n=10). Finishing was performed on the upper surface of the samples with aluminum oxide impregnated discs (Enhance,
Dentsply Caulk, USA) for 10 seconds. Then four groups were polished with a diamond impregnated disc polisher (PoGo, Dentsply
Caulk) for 10 seconds and the others were covered with a single layer of liquid polishing system (Lasting Touch, Dentsply Caulk)
and light-cured. Samples were stored in coffee solution at 25C for one week. The color changes of samples were evaluated
with a Spectrophotometer (Vita Easyshade, Vita, Vident, Brea, CA) at baseline, 1 day, 3 days, 5 days and 7 days. The parameter
of E was used for comparing the discolorations of the samples. Statistical analyses were performed with Tukey HDS test and
T-test (p 0.05).
RESULTS: PoGo groups showed significantly less discolorations than Lasting Touch groups (p0.05). Nanohybrid resin
composites polished with PoGo had significantly less discolarations (p0.05) while the type of the resin composite used had no
effect on the discolorations of the Lasting Touch groups.
CONCLUSION: The diamond impregnated mechanic polisher PoGo decreased more the discoloration potential of the resin
composites compared to the liquid polisher and so the esthetic properties of the materials could last longer.
Key Words: Hybrid Resin Composite, Polishing System, Discoloration
224
P106
AIRI HARABYETE URAMI N BLGE DLER N FBER POST DESTEKL KORUYUCU MULTDSPLNER TEDAV
YAKLAIMI
Cafer ahbaz1, zgr Kank1, Esra Ehliz1
1
Afyon Kocatepe niversitesi, Di Hekimlii Fakltesi, Restoratif Di Tedavisi Anabilim Dal, Afyonkarahisar, Trkiye
AMA: Koruyucu multidisipliner tedavi yaklam ile memnun edici bir gl tasarlamak
YNTEM: Otuz yandaki bayan hasta beslenmesini, sosyal hayatn ve psikolojik durumunu olumsuz ynde etkileyen estetik
ve fonksiyonel sorunlar nedeniyle restoratif tedavi blmne bavurdu. Klinik ve radyolojik tetkikler sonras az boluunda
di eksiklikleri ve ar kuron harabiyetli n diler tespit edildi. Gerekli ekimler ve restoratif tedaviler sonras, ar kuron
harabiyetli n diler endodontik olarak tedavi edildi (Flexmaster, VDW, Mnih, Almanya) ve fiber post (UniCore, Ultradent, ABD)
uygulamas ve rezin kompozit ile restorasyonlar tamamland. Kk kanallar fiber post sistemine ait zel bir frezle boaltld
ve %37lik fosforik asit (Tetric N-Etch, Ivoclar Vivadent, Schaan, Liechtenstein) ile asitlendi. Fiber postlar, total etch bir adeziv
sistem (Tetric N-Bond, Ivoclar Vivadent, Schaan, Liechtenstein) ve dual-cure self adeziv bir rezin siman sistem (G-CEM Automix,
GC Corp., Tokyo, Japonya) ile kanallara yerletirildi. Bu aamalarn ardndan, diler protetik tedavi iin hazrland ve metal
destekli seramik restorasyonlar ile tedavi bitirildi.
BULGULAR: Fiber post destekli koruyucu multidisipliner tedavi yaklam ile memnun edici bir gl tasarland. zellikle,
hastann yeni grnm sosyal hayatna ve psikolojik durumuna olumlu etkisi beklenenden daha fazla oldu.
SONU: Fiber postlarn dual-cure self adeziv rezin simanlarla kullanm ar harap olmu dilerin estetik ve fonksiyonel
rehabilitasyonu iin tercih edilen koruyucu ve restoratif bir tedavi yaklamdr. mplant uygulamalar gibi cerrahi tedavi
prosedrlerine fiber postlarn salad avantajlar dorultusunda ou zaman gerek duyulmamaktadr.
Anahtar Kelimeler: Fber post, Dual-cure self adeziv rezin siman, Multidisipliner tedavi
FIBER POST SUPPORTED PREVENTIVE MULTIDISCIPLINARY TREATMENT APPROACH FOR SEVERELY DAMAGED ANTERIOR
TEETH
Cafer ahbaz1, zgr Kank1, Esra Ehliz1
1
Afyon Kocatepe University, School of Dentistry, Department of Restorative Dentistry, Afyonkarahisar, Turkey
225
P107
K FARKLI ADEZVN DENTNE MAKASLAMA BALANMA DAYANIMLARI ZERNE AR-ABRAZYONUN ETKS
Gl Din1, Fethiye Akn1, smail Hakk Baltacolu2, Arzu Mjdeci2, Osman Gkay2
1
1Adnan Menderes niversitesi Di Hekimlii Fakltesi, Restoratif Di Tedavisi Anabilim Dal, Aydn, Trkiye
Ankara niversitesi Di Hekimlii Fakltesi, Di Hastalklar ve Tedavisi Anabilim Dal, Ankara, Trkiye
AMA: Bu almann amac; air-abrazyonun tek aamal ve iki aamal self etch adezivin dentine makaslama balanma
dayanmlar zerine etkisini deerlendirmektir.
YNTEM: 40 adet ekilmi rksz insan molar dii kullanlmtr. Diler her bir grup 20 di ierecek ekilde rastgele 2
gruba ayrlmtr. Grup 1: Bukkal yzeyel dentin yzeyleri 600 grit silikon karbit andrc disklerle przlendirilmitir. Grup 2:
Bukkal yzeyel dentin yzeylerine 120 psi basn ve 25m alminyum oksit partikllere sahip air-abraziv cihaz ile 10 saniye
air-abrazyon uygulanmtr. Daha sonra her bir gruptaki diler 2 farkl self etch adezivi ierecek ekilde 10ar diten oluan 2
gruba ayrlmtr. Restore edilen rnekler 37Cde 24 saat distile suda bekletildikten sonra 500 kez 5C ve 55Cde termal siklus
ilemine maruz braklmlardr. Daha sonra balk hz 0,5 mm/dk olan Universal test makinesi ile makaslama balanma
dayanmlar tespit edilmitir. statistiksel analiz tek ynl varyans analizi ve Post Hoc Tukey testi kullanlarak yaplmtr.
BULGULAR: Ayn adezivle restore edilen gruplarn, karbid disk ve air-abrazyon uygulamalar arasnda istatistiksel olarak anlaml
farkllklara rastlanmamtr (p>0,05). Buna karn, balanma deerleri deerlendirildiinde hem kontrol gruplar hem de airabrazyon gruplarnda Silorane adezivin balanma dayanm deerleri tek aamal adezivin balanma dayanm deerlerinden
istatistiksel olarak anlaml derecede dk deerler gstermitir (p
SONU: Air-abrazyonun uygulanan adezive gre restoratif materyallerin balanma dayanm etkiledii gzlenmitir.
Anahtar Kelimeler: Air-abrazyon, Balanma dayanm, Dentin, Self- etch adeziv
Adnan Menderes University, School of Dentistry, Department of Restorative Dentistry, AYDIN, TURKEY
AIM: The purpose of this study is to examine the effects of air-abrasion on shear bond strength of a single step and a two step
self-etch adhesives to dentin.
METHOD: 40 extracted noncarious human molar teeth were used. The teeth were randomly divided into two groups, each
containing 20 teeth. Group 1: Buccal superficial dentin surfaces were ground by using 600 grit silicon carbide abrasive discs.
Group 2: Buccal superficial dentin surfaces were airabraded for 10 seconds by using an air-abrasive unit with 25m aluminum
oxide particles at 120 psi pressure. The teeth in each group were also randomly divided into two subgroups each containing 10
teeth to apply two different self-etch adhesives. The restored specimens were stored in distilled water for 24 hours at 37C and
subjected to thermocycling for 500 cycles between 5C and 55C. Shear bond strengths were determined using a Universal
testing machine at a crosshead speed of 0,5 mm/per minute. Bond strength data were statistically analyzed by one-way ANOVA
and Post Hoc Tukey tests (=0.05).
RESULTS: There was no statistically significant difference between the carbid bur and air-abrasion applications in the groups
restorated with the same adhesive (p>0,05). However, when bond strength values considered, Silorane adhesive showed
statistically lower bond strength values than the single step adhesive both in control and air-abrasion groups (p
CONCLUSION: It was observed that air-abrasion affected the bond strength of restorative materials according to the applied
adhesives.
Key Words: Air-abrasion, Bond strength, Dentin, Self- etch adhesives
226
P108
SLORAN BAZLI KOMPOZT REZNN RKTEN ETKLENM DENTNE BALANMA DAYANIMLARI ZERNE ARABRAZYONUN ETKS
Fethiye Akn1, Gl Din1, smail Hakk Baltacolu2, Arzu Mjdeci2, Osman Gkay2
1
Adnan Menderes niversitesi Di Hekimlii Fakltesi, Restoratif Di Tedavisi Anabilim Dal, Aydn, Trkiye
Ankara niversitesi Di Hekimlii Fakltesi, Di Hastalklar ve Tedavisi Anabilim Dal, Ankara, Trkiye
AMA: Bu almann amac; siloran bazl kompozit rezinin rkten etkilenmi dentine makaslama balanma dayanmlar
zerine air-abrazyonun etkisini deerlendirmektir.
YNTEM: 10 adet ekilmi rksz insan molar dii ve 20 okluzal dentin rkl molar dii kullanlmtr. rk diler
okluzal yzeydeki rk dentini ortaya karmak iin dz bir ekilde andrlm ve her birine retici talimatlarna gre rk
boyas uygulanmtr. Okluzal rkl diler, her bir grup 10 di ierecek ekilde rastgele 2 gruba ayrlmtr. Grup 1: rk
dentin dokusu dk devirli rond frezle mekanik olarak uzaklatrlmtr. Grup 2: rk dentin dokusu 120 psi basn ve
25m alminyum oksit partikllere sahip air-abraziv cihaz ile 10 saniye air-abrazyon uygulanarak uzaklatrlmtr. rksz
ve rkten etkilenmi dentine sahip dilere, bir sellloid silindirik matrix (2,5 mm apnda 2 mm yksekliinde) ile siloran
bazl kompozit rezin kullanarak retici firmann tavsiyesi dorultusunda uygulanm ve k cihaz ile polimerize edilmilerdir.
rnekler 37Cde 24 saat distile suda bekletildikten sonra 500 kez 5C ve 55Cde termal siklus ilemine maruz braklmlardr.
Daha sonra balk hz 0,5 mm/dk olan Universal test makinesi ile makaslama dayanmlar tespit edilmitir. Deerler MPa
cinsinden kaydedilmitir. statistiksel analiz tek ynl varyans analizi ve Post Hoc Tukey testi kullanlarak yaplmtr.
BULGULAR: Siloran bazl kompozit rksz dentin dokusuna, rkten etkilenmi dentin dokusundan istatistiksel olarak
anlaml derecede yksek balanma dayanm deerleri gstermitir (p0,05).
SONU: Air-abrazyonun rkten etkilenmi dentine siloran bazl kompozitin balanma dayanm etkilemedii gzlenmitir.
Anahtar Kelimeler: Air-abrazyon, Balanma dayanm, Dentin, Siloran bazl kompozit rezin
EFFECT OF AIR-ABRASION ON BOND STRENGTH OF A SILORANE-BASED RESIN COMPOSITE TO CARIES AFFECTED DENTIN
Fethiye Akn1, Gl Din1, smail Hakk Baltacolu2, Arzu Mjdeci2, Osman Gkay2
1
Adnan Menderes University, School of Dentistry, Department of Restorative Dentistry, Aydn, Turkey
AIM: The purpose of this study is to examine the effects of air-abrasion on shear bond strength of a silorane-based resin
composite to caries affected dentin.
METHOD: 10 extracted noncarious human molar teeth and 20 extracted human molars with occlusal dentine caries were used.
Carious teeth were ground straightly to expose the carious lesion and caries indicator dye was applied to each one following
manufacturers instructions.The teeth with occlusal dentine caries were randomly divided into two groups, each containing 10
teeth. Group 1: Carious dentin was mechanically removed with a round bur in a contra-angle speed-reducing handpiece. Group
2: Carious dentin was removed by airabrading for 10 seconds by using an air-abrasive unit with 25m aluminum oxide particles
at 120 psi pressure. Silorane-based resin composite was applied on non carious teeth and the teeth with caries affected
dentin by a celluloid cylindirical matrix (diameter of 2,5 mm, height of 2mm) according to the manufacturers instructions and
polymerized with a lightcuring unit. The restored specimens were stored in distilled water for 24 hours at 37C and subjected to
thermocycling for 500 cycles between 5C and 55C. Shear bond strengths were determined using a Universal testing machine
at a crosshead speed of 0,5 mm/per minute. Values were recorded in megapascals (MPs). Bond strength data were statistically
analyzed by one-way ANOVA and Post Hoc Tukey tests (=0.05).
RESULTS: Bond strength values of Silorane-based resin composite to noncarious dentin was statistically higher than the
values to caries-affected dentin (p0,05).
CONCLUSION: It was observed that air-abrasion does not affect bond strength of silorane-based resin composite to cariesaffected dentin.
Key Words: Air-abrasion, Bond strength, Dentin, Silorane-based resin composite
227
P109
MTA LE HORZONTAL KK KIRIININ YLEMES : OLGU SUNUMU
Gizem Korkmaz, Melis imek, Mehmet Kemal alkan, Ouz Aktener
1
AMA: Travmaya maruz kalan olgun kesici dite horizontal kk krnn MTA ile tedavisinin klinik ve radyolojik sonularnn
incelenmesi
YNTEM: Doksan gn nce dme yksyle 24 yandaki erkek hasta, soua kar hassasiyet ve rahatszlk hissi ile
kliniimize bavurdu. Alnan periapikal radyografide sa st orta kesici diinin kk orta lsnde horizontal kk kr
saptand. Elektrik pulpa testine pozitif yant veren, mobilite gzlenmeyen dite perksyon hassasiyeti yoktu ve hastann spontan
ars bulunmamaktayd. lk muayeneden drt gn sonra pulpann nekroz olduu, spontan ar ve perksyon hassasiyeti
bulunan diin koroner parasna kk kanal tedavisi yaplmasna karar verildi. Diin kk apikal ls eelenmedi. Kk kanal
ekillendirilmesinin %2,5 sodyum hipoklorid ile birlikte yaplmasnn ardndan kalsiyum hidroksit yerletirildi. hafta sonra
kalsiyum hidroksitin uzaklatrlmasnn ardndan kk kanal ekillendirilmesi tamamlanp kk kanal kat konlar ile kuruland.
Beyaz MTA krk hattna kadar yerletirildi ve nemli pamuk yerletirilerek giri kavitesi geici dolgu materyali ile kapatld. gn
sonra koroner restorasyon kompozit rezin ile tamamland.
BULGULAR: Alt aylk klinik takip sonrasnda hastann asemptomatik, diin periodontal olarak salkl olduu ve kk apikal l
parasnda herhangi bir lezyon oluumu grlmemitir.
SONU: Bu olguda olduu gibi horizontal kk krnn tedavisinde MTA kullanm yararl grnmektedir
228
P110
GEN PERAPKAL LEZYONLU OEHLERS TP II DENS NVAGNATUS GRLEN MAKSLLER LATERAL DTE CERRAHSZ
ENDODONTK TEDAV: OLGU SUNUMU
Zeliha ztrk Mutlu1, Mehmet Emin Kaval1, Beyser Pikin1
1
AMA: Oehlers tip II dens invaginatus anomalisi grlen st lateral kesici diin cerrahi olmayan endodontik tedavisinin sunulmas
YNTEM: 17 yandaki bayan hasta maksiler lateral kesici diindeki dzensiz grnmnden kaynakl estetik ikyet nedeniyle
kliniimize bavurdu. Yaplan klinik muayenede mobilite ya da perksyona hassasiyet gstermeyen dite elektrik pulpa testine
negatif yant alnd. Alnan radyografide ilgili dite dens invaginatus ve geni periapikal lezyon saptand. lk seansta giri kavitesi
hazrland ve kk kanallar % 2,5 sodyum hipoklorit ile irrige edilerek el eeleriyle ekillendirildi. Kanallar kat konlarla kurutuldu
ve kalsiyum hidroksit medikasyonu uyguland. ay sonra her iki kanal gtaperka ve kanal pat ile lateral kompaksiyon yntemi
kullanlarak dolduruldu. Vestibl yzde gzlenen anatomik malformasyon direkt kompozit veneer uygulanarak giderildi.
BULGULAR: On sekizinci ayda yaplan klinik ve radyolojik muayenede, ilgili diten kaynakl periapikal lezyonun iyiletii, diin
asemptomatik ve fonksiyonda olduu, estetik beklentileri karlad gzlendi.
SONU: Dens invaginatuslu dilerde cerrahi olmayan kk kanal tedavisi uygulanarak periradikler iyileme elde edilebilmektedir.
Anahtar Kelimeler: Dens nvaginatus, Dental Anomali, Cerrahisiz Endodontik Tedavi
ENDODONTIC TREATMENT OF OEHLERS TIP II DENS INVAGINATUS IN MAXILLARY LATERAL INCISORS WITH LARGE
PERIAPICAL LESIONS: A CASE REPORT
Zeliha ztrk Mutlu1, Mehmet Emin Kaval1, Beyser Pikin1
1
AIM: To present nonsurgical endodontic treatment of case with Oehlers type II dens invaginatus in maxillary right lateral incisor
with large periapical lesion.
METHOD: A 17 years old female patient referred to our clinic due to the esthetic problem related to the maxillary right lateral
incisor. Radiographic examination revealed that there was Oehlers type II dens in maxillary lateral incisors with large periapical
lesion. In clinical examination, the tooth was no sensitive to electrical pulp testing and showed no mobility and tenderness
to the percussion. At the first appointment, an access cavity was prepared and the root canals were shaped using hand files
under copious irrigation with 2.5% sodium hypochlorite. The root canals were dried with sterile paper points and dressed with
a calcium hydroxide. Three months later the canals and the invagination were obturated with gutta-percha and sealer, using
lateral condensation technique. Direct composite veneer was applied to resolve the aesthetic complaint of the patient related to
the unusual anatomic form of the vestibule surface of the tooth.
RESULTS: At the 18 months follow-up it was observed that periapical lesion around the root apex of the related tooth was
healed. In clinical examinations, the tooth was asymptomatic, meeting both functional expectations and aesthetic.
CONCLUSION: Non-surgical endodontic treatment of teeth with dens invaginatus could give successful outcomes without any
surgical intervention.
Key Words: Dens nvaginatus, Dental Anomalies, Nonsurgical Endodontic Therapy
229
P111
TEK TARAFLI KONJENTAL KANN EKSKLNE BALI ANTEROR ESTETK BOZUKLUUN TEDAVS
Bilal Yaa1
1
zmir Katip elebi niversitesi, Restoratif Di Tedavisi Ana Bilim Dal, zmir, Trkiye
AMA: Tek tarafl konjenital daimi kanin eksiklii populasyonun % 0.1ini etkileyen olduka nadir grlen bir bozukluktur. ou
vakada sebebi bilinmemesine ramen dental literatrde kaltsal ve lokal faktrlerden kaynakland belirtilmektedir. Kanin
di dental ark iin kritik di olup, ayr bir neme sahip olduundan yokluu anterior blgede diastema, orta hat kaymas gibi
estetik bozukluklara sebep olur. Bu almann amac tek tarafl konjenital kanin eksikliine bal anterior diastema ve ortahat
kaymasnn direkt restoratif tekniklerle tedavisini anlatmaktr.
YNTEM: 27 yandaki bayan hasta st n blgede diastema ikayetiyle kliniimize bavurdu. Yaplan radyolojik ve az ii
muayenede n blgede yaygn diastema varl, sol st kaninin persiste kald ve daimi sol kanin jerminin hi olumad
gzlendi. Tedavi seneekleri hastaya sunulduktan sonra st kaninin ekimine, diastemalar iin build-up restorasyonlar
yaplmasna ve kayp daimi kanin iin ise direkt yntemle fiberle glendirilmi kompozit kpr yaplmasna karar verildi. ekim
ve dieti iyilemesini takiben direkt kompozit build-up restorasyonlar Filtek Ultimate (3M Espe, USA) ile tabakalanarak yapld.
Komu dilere yaplan minimal preparasyondan sonra direkt hazrlanan kompozit gvde GrandTEC rezin emdirilmi cam fiber
(Voco, Germany) ve GrandioSO Heavy Flow (Voco, Germany) akkan kompozit ile yaptrld. Restorasyonlar sar kuakl elmas
frezler ve polisaj diskleriyle tamamland.
BULGULAR: 18 aylk takip sonucunda, kompozit build-up restorasyonlar ve fiber destekli kompozit kprnn fonksiyon ve
estetii artrd gzlendi. Restorasyonlar bozulmadan kalrken klinik performanslar memnuniyet vericiydi. Renk, kenar ve
dieti uyumlar olduka iyi dzeydeydi. Hasta tedavi sonucundan ok memnundu.
SONU: Konjenital di eksikliinin elik ettii yaygn n blge diastemalarnn direkt restoratfe tekniklerle tedavisi klinik
ilem olarak zahmetli olmasna ramen klinik olarakta kantlanm bu teknikler, geleneksel yntemlerin aksine, basit, uygun
maliyetli, zamandan kazandran ve en nemlisi de minimal giriimsel zmler sunmaktadr.
Anahtar Kelimeler: Konjenital Kanin Eksiklii, Diastema, Direkt Build-Up Restorasyon, Fiberle Glendirilmi Kompozit Kpr
Izmir Katip Celebi University, School of Dentistry, Department of Restorative Dentistry, Izmir, Turkey
AIM: Unilateral congenital absence of the permanent canine (CAPC) is an extremely rare abnormality that affects 0.1% of
population. Although the reason of CAPC is obscure in most cases, it is reported to be due to hereditary or local factors in dental
literature. Because the canine is a critical tooth in the dental arch and plays an important role, its absence causes esthetic
abnormalities such as diastema, midline deviation on anterior region. The aim of this study is to present esthetic management
of anterior diastemas and midline deviation based on unilateral CAPC with direct restorative techniques.
METHOD: Twenty-seven-year-old female patient referred to our clinic with complaints about diastemas on upper anterior
region. At the radiological and intraoral examination, generalized diastemas, persistent deciduous left canine, and congenital
absence of left canine were observed on upper anterior region. After informing the patient about treatment options, extraction of
persistent deciduous canine, direct composite build-ups for diastemas, and direct fiber-reinforced-composite (FRC) framework
for the missing permanent canine were concluded. Following the extraction and healing, direct composite build-ups were
performed using with Filtek Ultimate (3M Espe, USA) incrementally. After minimal invasive preparation to adjacent teeth, a
direct composite pontic was cemented using GrandTEC resin-impregnated glass-fibers (Voco, Germany). and GrandioSO Heavy
Flow (Voco, Germany). Restorations were finished with ultra-fine burs and polishing disks.
RESULTS: At 18-month follow-up, the composite build-up restorations and FRC bridge improved function and esthetic.
Restorations were intact and demonstrated very satisfying clinical performance. Color match, marginal adaptation and gingival
adaptation of restorations were quite good. Treatment outcome was satisfiying for the patient.
CONCLUSION: Although management of generalized anterior diastemas accompanying congenital missing tooth with direct
restorative techniques is clinically inconvenient, unlike conventional methods, they present simple, cost-effective, time-efficient,
and most of all, minimally invasive solutions which are clinically proven.
Key Words: Congenital Absence Of Canine, Anterior Diastema, Direct Build-Up Restoration, Fiber-Reinforced Composite Bridge
230
P112
KEMK YETERSZLNDE GREFTLEME VE BREYSEL DAYANAKLARLA ESTETN OLUTURULMASI: OLGU SUNUMU
Ece engn1, Bahar Elter1, M. Erhan mlekolu1, Nejat Nizam2
1
Ege niversitesi, Dihekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, zmir, Trkiye
AMA: n blge tek di eksikliklerinde implant st sabit protezler hem estetik hem de fonksiyonel adan sklkla tercih
edilmektedir. Dikey ve yatay ynde kemik hacminin yetersiz olduu olgularda pembe beyaz estetie ulaabilmek iin sert ve
yumuak doku greftlemesine gereksinim duyulmaktadr. Bununla birlikte hastaya implant cerrahisi aamasnda yerletirilen ve
bir daha karlmadan protetik aamalarn gerekletirildii bireysel zirkonya dayanaklar da salkl bir yumuak doku ataman
asndan avantajdr. Bu olgu sunumunda, yatay ynde yetersiz kemik hacmine sahip bir olguda greftleme ile kemik hacmi
salanmasnn ardndan uygulanan implant tedavisi ile birlikte annda kalc bireysel dayanak konsepti anlatlmaktadr.
YNTEM: n blge tek di eksiklii ile kliniimize bavuran hastaya, radyografik ve klinik deerlendirmelerden sonra bir adet
kemik seviyesinde implant yaplmasna karar verildi (RC: 4,1 mm 12 mm, Straumann, Basel, svire). Cerrahi aamasnda,
horizontal kemik seviyesi yeterli olmad iin hastaya titanyum membran ile ynlendirilmi kemik rejenerasyonu uyguland.
4 ay sonra yeterli kemik konturu salandktan sonra implant yerletirildi. Yine ayn seans kalc bireysel zirkonya dayana ve
zerine geici restorasyonu yaplarak hasta klinikten ayrld. Protez aamasnda geici restorasyon uzaklatrld ve az iinden
dijital ls alnd (Cerec AC Bluecam, Sirona, Bensheim, Almanya). Restorasyon bilgisayarda dijital olarak tasarland (Cerec
AC, Sirona) ve cam seramik blok (e. max Cad C14 A2, Ivoclar Vivadent) kullanlarak bilgisayar destekli tasarm nitesinde (Cerec
MCXL, Sirona) retildi. Yzey bitirme ve boyama ilemlerinden ardndan restorasyon dual-cure rezin siman (Variolink II, Ivoclar
Vivadent) ile simante edildi. Kontrol aamasnda restorasyon PES/WES kriterlerine gre deerlendirildi. :
SONU: Estetik blgenin ideal bir biimde implant ile tedavi edilebilmesinde kemik grefti ve annda kalc bireysel dayanaklarn
birlikte kullanlmas, sert ve yumuak doku ogmentasyonu gerektiren durumlarda hem pembe beyaz estetik hem de fonksiyonel
adan baarl sonular vermektedir.
Anahtar Kelimeler: mplant, Kemik Augmentasyonu, Seramik, Yumuak Doku
ESTHETICS WITH GREFT AUGMENTATION AND IMMEDIATE DEFINITIVE CUSTOM ABUTMENT: CASE REPORT
Ece engn1, Bahar Elter1, M. Erhan mlekolu1, Nejat Nizam2
1
AIM: Implant-supported fixed prostheses are frequently used as an esthetic and functional treatment option for anterior
single tooth deficiences. Hard and soft tissue augmentation may be necessary in the presence of insufficient horizontal and
vertical bone levels for pink and white esthetics. Immediate definitive individual zirconia abutments which are placed at the time
of surgery and never removed again may supply advantages for healthy connective tissue atachment. In this case report, an
immediate individuel abutment consept after greft augmentation when there is deficiency in horizontal bone level was described.
METHOD: A 20-year-old female patient had applied to our clinic for implant rehabilitation for her missing maxillary left incisor.
After radiographic and clinic examination, a standard bone level implant (RC: 4,1 mm 12 mm, Straumann, Basel, Switzerland)
placement was decided. Before the implant surgery, guided bone regeneration with a titanium membrane was applied because
of insufficient horizontal bone level. After 4 months of healing, the implant was placed and an individual zirconia abutment was
placed and the temporary restoration was adapted to the zirconia abutment. At the prosthetic stages, temporary restoration
was removed and digital impression was made intraorally (Cerec AC Bluecam, Sirona, Bensheim, Germany). Restoration
was designed digitally (Cerec AC, Sirona). Then restoration was milled from a glass ceramic block (e.max Cad C14 A2, Ivoclar
Vivadent) using a CAM unit (Cerec MCXL, Sirona). After finishing and staining, restoration was cemented with a dual-cure resin
cement (Variolink II, voclar Vivadent). During recalls, restoration was scored according to PES/WES criteria.
CONCLUSION: The application of bone augmentation and immediate definitive individual abutment concept together when there
is a need for both soft and hard tissue augmentation yield both succesful pink white esthetic and functional results for the
rehabilitation of anterior region.
Key Words: Bone Augmentation, Ceramic, mplant, Soft Tissue
231
P113
SCHNEDERAN MEMBRAN PERFORASYONU SONRASINDA BLOK KEMK GREFT UYGULANARAK MMEDYAT MPLANT
YERLETRLMES: BR VAKA RAPORU
Alper Sindel1, znur zalp1, Mehmet Mustafa zarslan2
1
Akdeniz niversitesi, Dihekimlii Fakltesi, Az Di ve ene Cerrahisi Anabilim Dal, Antalya, Trkiye
AMA: Alt ve st enede grlen kemik kayplarnn birok nedeni vardr. Belli bir sre sonunda kayp dile ilgili ene kemii
atrofik hale gelmektedir. Bu durum dental implantlarn yerletirilmesi iin uygun olmayan kt kemik kalitesi ve kantititesine
neden olmaktadr. Bu vakada, sins ykseltme operayonu esnasnda meydana gelen sins membran yrtlmasn tamir eden ve
immediyat implant yerletirilmesi uygulanan bir teknik sunulmaktadr.
YNTEM: ift tarafl ve zellikle posterior maksiler blgesinde kemik rezorbsiyonu ve sins pnmatizasyonu bulunan 48
yandaki disiz bayan hasta kliniimize implant destekli protez yapm iin bavurdu. Sa maksiler sins ykseltmesi
esnasnda Schneiderian membrannda perforasyon meydana geldi. Mandibula simfiz blgesinden trefan frez kullanlarak
9 mm uzunluunda kemik blou alnd. Blok greft, yerletirilecek olan implantn boyutlarna uygun olacak ekilde implant
drilleri kullanlarak prepare edildi. Seilen implant iin kullanlacak olan final dril uygulanmadan nce kemik blou alc sahaya
vidalanarak sabitlendi. Greftin implantla stabilizasyonundan sonra perfore olan schnederian membran membran kullanlarak
onarld .
BULGULAR: Hastaya fonksiyonel olduu kadar estetik protezler yapld. Cerrahiden sonraki 1 yllk takibi panoramik filmle
yapld.
SONU: Onlay kortikal blok grefti sinus boluunun augmentasyonunda greft olarak ve ilem esnasnda dental implantn
stabilizasyonu iin kullanlabilir.
Anahtar Kelimeler: mplant Yerletirme, Membran Perforasyonu, Schneiderian Membran, Sins Augmentasyonu
AN IMMEDIATE IMPLANT PLACEMENT WITH BLOCK BONE GRAFT AFTER PERFORATION OF SCHNEIDERIAN MEMBRANE:
A CASE REPORT
Alper Sindel1, znur zalp1, Mehmet Mustafa zarslan2
1
Akdeniz University, School of Dentistry, Department of Oral and Maxillofacial Surgery, Antalya, Turkey
AIM: Bone loss can occur in the upper and lower jaws for several reasons. Over a period of time the jawbone associated with
missing teeth becomes atrophic. This often leaves a condition in which there is poor quality and quantity of bone, unsuitable for
placement of dental implants. The presented case is a study of a technique used for immediate implant placement at huge sinus
mucosa laceration during the maxillary sinus elevation procedure.
METHOD: A 48 years old edentulous woman who had alveoler bone resorption and maxillary sinus pneumatiziation especially
at posterior maxilla bilaterally, referred to our department for implant supported prosthesis. During the lift of right maxillary
sinus, the schneiderian membrane was perforated Block of bone was harvested with a trephine bur, 9 mm in length from the
symphisis of mandible. The block graft had been prepared by implant drills at diameters of implant which selected to be placed.
The block of bone which prepared before was screwed into the recipient site with implant. After stabilization of graft with implant,
perforation site of schneiderian membrane had been repaired by a patch over it.
RESULTS: The final prosthesis was esthetic as well as functional. The 1 year follow up of patient was observed by orthopantographs
after surgery.
CONCLUSION: Cortical block grafts may be used for grafting at complications while sinus floor augmentations to avoid secondary
infection by migration of bone graft. Also immediate implant application mentioned in this article provides graft stabilization and
prevents usege of more biomaterials for fixation.
Key Words: Implant Placement, Membrane Perforation, Schneiderian Membrane, Sinus Augmentation
232
P114
TEK D EKSKLKLERNDE FBER LE ESTETK DOKUNU
Fulya Toksoy Topu1, Hseyin Tort1, Elif Aybala Oktay1, Gkhan yn1
1
Glhane Askeri Tp Akademisi, Restoratif Di Tedavisi ve Endodonti Anabilim Dal, Ankara, Trkiye
AMA: Polietilen fiberler, di hekimliinde peridontal splint amal ve zellikle tek di eksikliklerinde konservatif bir yaklam
olarak adeziv kpr yapmnda da kullanlabilmektedirler. En byk avantajlar ise, metal iermedii iin iyi bir estetie sahip
olmas, tedavi maliyetinin dk olmas ve tek seansta uygulanabilmeleridir.
YNTEM: 19 yandaki erkek hasta, st sol 2nci keser di blgesindeki estetik kayglar ile kliniimize bavurmutur. Hastann
yaplan muayenesi sonucu, st sol 2nci keser diin nceden ekildii ve ekim boluuna yan dilerden destek alan, estetik
grnm olduka bozuk kompozit ierikli bir kron yapnn yapld tespit edildi. Dilerinin kpr yapm iin kesilmemesini ve
uzun bir tedavi sreci olduu iin implant yapmn istemeyen hastaya periodontal tedavi ve adeziv kpr yapm ayn seansta
planlanmtr. Hastamza uygun di rengindeki nanokompozit materyal ile strip kron kullanlarak pontik oluturuldu ve aza
uyumland. st sa 1nci keser ve sol st kanin aras dilerin ve hazrlam olduumuz gvdenin de palatinal yzeylerine fiber
yerletirebilmek iin oluklar ald. Bu blgelere asitle przlendirme yapld. Adeziv ve LED k uygulamay takiben akkan
kompozit ve zerine fiber yerletirilerek tekrar k uyguland. Fiber zerine pontik yerletirilerek adeziv kpry tamamlamak
iin kompozit ilaveleriyle restorasyon ekillendirildi. Bitirme ve polisaj prosedrleri uygulanarak tedavi bitirildi.
SONU: mplant gibi cerrahi bir ilemi veya kpr yapm gibi protetik bir tedaviyi istemeyen hastaya fiber destekli adeziv kpr
yaplarak konservatif bir tedavi yntemi ile estetik beklentileri salanm, doal di yaplar da maksimum seviyede korunmutur.
Anahtar Kelimeler: Di Eksiklii, Fiber, Kompozit
Gulhane Military Medical Academy, Department of Restorative Dentistry and Endodontics, Ankara, Turkey
AIM: Polyethylene fibers can be used for periodontal splinting and also for adhesive bridging as a conservative approach
especially in single missing tooth. The major advantages of polyethylene fibers are providing good esthetic outcomes as they
are metal-free, offering low treatment cost, and being applied in a single session.
METHOD: A 19-year-old male patient presented to our clinic due to aesthetic concerns at upper left 2nd incisive area. His
examination revealed that the upper left 2nd incisive tooth was missing due to a trauma and it was seen that a composite crown,
which was got support by other teeth, was built at the gap, and esthetics appearance was quite bad. The patient was planned to
undergo periodontal treatment and adhesive bridging in the same session as he refused cutting of his teeth for bridging and
dental implant treatment because of long treatment period. Pontic was designed using tooth-colored nanocomposite material
and strip crown. Grooves were prepared for fiber placement on the lingual surface of the teeth between upper right 1st incisive
and upper left canines and the designed body. Roughening through acid etching was performed to these areas. Following
adhesive and LED application, fluid composite was placed and LED was re-applied after fiber replacement. Pontic was placed on
the fiber and restoration was formed with composites to complete adhesive bridging. Treatment was finalized by finishing and
polishing procedures.
CONCLUSION: Esthetic expectation of a patient, who refused surgical procedure like dental implant treatment or prosthetic
treatment like bridging, was achieved by a conservative treatment, fiber-reinforced adhesive bridging, and natural tooth structure
is preserved at the maximum level.
Key Words: Composite, Fiber, Tooth Missing
233
P115
CONE-BEAM KOMPUTERZE TOMOGRAFLERLE MAKSLER SNS PATOLOJLERNN RETROSPEKTF ALIMASI
Hasan Ayberk Altug1, Alpaslan Gunduz1, Hilal Peker Ozturk2, Metin Sencimen1, Abdullah Tugrul Coskun1, Tamer Zerener1,
Hakan Avsever2
1
AMA: Bu almann amac hastalarn cone-beam bilgisayarl tomografilerinden(CBCT) ne tr maksiler sins patolojilerine
sahip olduklarn grmekti.
YNTEM:Az ve ene cerrahisi kliniimize 2014 ylnda sevk edilen hastalar arasndan rastgele seildi. eitli ya aralnda
bulunan 29 erkek ve 20 kadn hastann CBCT lerine bakld. Hastalarda ya ve cinsiyet faktr gz nne alnmad. CBCTler
daha ok disiz blgelerin deerlendirilmesi ve cerrahi operasyonlarn planlanmas iin kullanlr. Retrospektif bu almada
mukozal kalnlama, ekim sonras sinste kalm kk, retansiyon kisti vakalaryla karlald.
BULGULAR:32 hastada mukozal kalnlama, 1 hastada sins iinde kalm kk, 5 hastada retansiyon kisti izlendi. 11 hastada
sins patolojisi gzlenmedi.
SONU: Oral patolojilerin deerlendirilmesinde radyograflarn nemli yeri vardr. CBCTler oral patolojilerin deerlendirilmesinde
rutin olarak kullanlmazlar. Konvansiyonel radyograflarn yeterli olmad durumlarda yardmc olarak kullanlrlar. Bu almada
ortaya kan patolojiler tomografiler sayesinde ortaya kan patolojilerdir.
Anahtar kelimeler: Maksiler sins, Cone-beam bilgisayarl tomorafi
Gulhane Military Medical Academy, Department of Oral and Maxillofacial Radiology, Ankara,Turkey
AIM: The aim of this study was to evaluate patients who have maxillary sinus pathology or not in cone-beam computerized
tomography (CBCT).
METHOD: Patients were chosen randomly who were referred to Department of Oral Maxillofacial Surgery in 2014. There were 29
men and 20 women in various age ranges of the patients, their CBCT were analyzed. Age and sex factors were neglected. CBCT
is used, especially for the evaluation of edentulous areas and surgical operations planning. In this retrospective study, mucosal
thickening, remained root in sinus after extraction and retention cyst were encountered.
RESULTS: 32 patients showed mucosal thickening, 1 patient showed root in sinus, 5 patients showed retention cyst were came
across by the analysis. 11 patients were not observed sinus pathology.
CONCLUSION: Radiography is important for the evaluation of oral pathology. CBCT is not used routinely for the oral pathologies
evaluation. For the cases that conventional radiography is not adequate, it is used as collateral. In this study, pathologies were
occurred by chance due to the tomography.
Key Words: Maxillary sins, Cone-Beam Computerized Tomography
234
P116
MOLAR D ZERNDE KARTOPU MU VAR? TEHSNZ NEDR?
Hasan Ayberk Altug1, Abdullah Tugrul Coskun1, Sencer Secer1, Metin Sencimen1, Dilber Celik1
1
AMA: Odontomalar yaygn olarak grlen odontojenik tmrlerden olmasnn yannda gerek bir neoplazmdan ziyade
geliimsel anomaliler (hamartoma) olarak deerlendirilmektedirler. Srm odontoma terimi ise az boluuna iine alm
odontomalar belirtmek iin kullanlan bir terimdir.
YNTEM: Kliniimize bavurmu olan, 23 yandaki erkek hastada, seyrek olarak grlen, az boluuna alm, di tana
benzeyen, mandibular alt sa nc byk az blgesinde, az kokusu ve enfeksiyona neden olmu odontoma olgusunu sunduk.
Hastamzdan alnan panoramik radyografinde gml alt nc molar di kronu zerinde yer alan kartopu eklinde radyoopak
lezyon tespit edildi. Bu lezyon hafif mobilite ve hafif py ak izlenmiti ve evresindeki kemikte genileme izlenmemiti.
Gml diin kk oluumu tamamlanmt. Lezyon lokal anestezi altnda karld ve patolojiye gnderildi.
BULGULAR: karlan sert doku paras kampaund odontoma olarak tespit edildi. Sorunsuz geen iyileme periyodundaki
gzlemlerimiz, gml dii srmesi iin yerinde brakarak sadece lezyonu karma stratejimizi dorulam oldu.
SONU: Gml di komuluunda bulunup az iine alm odontomalar ok seyrek bulunduu iin bu vakay sunduk.
Odontomalar eitli klinik sonulara yol aabilmektedirler. Odotomalarn karakateristii ile ilgili yeterli bilgi uygun tehis ve
erken tedavi iin gereklidir.
Gulhane Military Medical Academy, Department of Oral Maxillofacial Surgery, Ankara Turkey.
AIM: Odontomas are a common type of odontogenic tumors and are considered to be developmental anomalies (hamartomas)
rather than true neoplasm. Erupted odontoma is a term used to specifically denote odontomas, which are exposed into the
oral cavity.
METHOD: Here, we present a rare case of an erupted odontoma in a 23 years old male patient who came with a complaint of
halitosis and infection due to the presence of calculus like structure in the mandibular right third molar teeth region. Panoramic
radiograph revealed that a mass of radiopaque structure was present in proximity crown of the lower mandibular third molar
teeth which was impacted. The structure was mobile with a few pus discharge and there was no expansion of any cortical plates.
The root formation of the impacted teeth was complete at that time. Removal of the structure was done under local anesthesia
and sent for histopathological report. :
CONCLUSION: The mass of hard tissue structure was identified to be a compound odontoma. Uneventful recovery on follow
up periods confirmed our prediction of leaving the teeth in place for eruption. Due to the rare occurrence of erupted odontoma
with impacted teeth, this case has been reported. Odontomas can give rise to various clinical appearances. Adequate knowledge
of their characteristics is necessary for establishment of proper and early diagnosis, followed by a proper treatment at the right
time, which will further result in a favourable prognosis.
Key Words: Odontoma, Mandibula, Impacted teeth
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P117
MAKSLLADA LOKALZE DEV HCREL GRANLOM, VAKA RAPORU
Hasan Ayberk Altug1, Sencer Secer1, Metin Sencimen1, Tamer Zerener1, Omer Orkun Cevizcioglu1
1
AMA: Periferal dev hcreli granlom, dieti ve alveolar krette oluan etyolojisi bilinmeyen hiperplastik benign enflematuvar
lezyondur. Normalde yumuak dokuda morumsu krmz renkli, ok ekirdekli dev hcreli alyuvarlarn damar dna kmas ile
nodl eklinde kendini gsterir. Bu vaka, sa st ene alveolar kretin vestiblnde arsz nodl ikayeti olan 54 yanda erkek
hastay sunmaktadr.
YNTEM: Az ii muayenede krmz, sk ve sapl, dz yzeyli lezyon tespit edildi. Ortopantomogramda lezyonun altnda yzeysel
radyolsensi grld. Lokal anestezi altnda lezyon eksize edildi ve doku histopatolojik olarak incelendi.
SONU: Periferal dev hcreli granlomu, pyojenik granlom gibi dier lezyonlarda klinik olarak ayrt etmek zordur. Vakamzda
klinik, radyolojik ve histopatolojik inceleme dorultusunda, periferal tip dev hcreli granlom tehis edildi.
Anahtar Kelimeler: Periferal giant cell granloma, maksilla
Gulhane Military Medical Academy, Department of Oral Maxillofacial Surgery, Ankara Turkey.
AIM: Peripheral giant cell granuloma is a benign inflammatory hyperplastic lesion of unknown etiology that occurs in the gingiva or
alveolar ridge. It normally manifests as a soft tissue nodule, purplish-red in color, consisting of multinucleated giant cells in a background
of mononuclear stromal cellsand extravasated red blood cells. This case presents a 54 year-old man whose chief complaint was painless
nodule in the right vestibular maxillary alveolar ridge.
METHOD: Intraoral examination revealed a nodule that was red, firm, and sessile, with a smooth surface texture. An orthopantomogram
revealed a superficial radiolucency under the lesion. An excisional biopsy was performed under local anaesthesia, and the tissue was
examined histopathologically.
CONCLUSION: It is difficult to distinguish clinically peripheral giant cell granuloma from other lesions like pyogenic granuloma. In our case
the lesion was diagnosed as peripheral type giant cell granuloma after a throughout clinical, radiologic, and histopathologic examinations.
Key Words: Peripheral Giant Cell Granuloma, Maxilla
236
P118
BR D HEKML FAKLTESNDEK KONK-IINLI BLGSAYARLI TOMOGRAF NCELEMES STENME NEDENLER
Zhre Akarslan1, lkay Peker1
1
Gazi niversitesi Di Hekimlii Fakltesi, Az, Di ve ene Radyolojisi Anabilim Dal, Ankara, Trkiye
AMA: Konik-nl bilgisayarl tomografi (KIBT) dental ve maksillofasiyal sert dokularn boyutlu grntlenmesini salayan
bir radyografik tekniktir. Son yllarda bu tekniin lkemizde kullanm artarak devam etmektedir. Bu almann amac bir
di hekimlii fakltesinin Az, Di ve ene Radyolojisi Anabilim Dalnda KIBT istenme nedenleri ve bunlarn dalmnn
belirlenmesidir.
YNTEM: almada Az, Di ve ene Radyolojisi Anabilim Dalnda KIBT elde edilmesi iin bavuran hastalara ait 1087 adet
KIBT istek formu incelendi. KIBT tetkik istek formlarnda yer alan, tetkikin istenme nedeni ile ilgili klinik bilgiler alma iin
hazrlanan standart formlara kaydedildi.
BULGULAR: KIBT isteklerinin srasyla; implant planlamas (% 42. 04), ene lezyonlar (% 18. 31), nc molar dilerin
kklerinin mandibular kanal ile olan ilikisi (% 11. 13), gml dilerin lokalizasyonu ve komu anatomik yaplarla olan ilikisi (%
7. 82), temporomandibular eklem (TME) patolojileri (% 3. 13), sins patolojileri (% 3. 13), ene ve di fraktrleri (% 2. 94), alveol
kemiinin kalite ve kantite deerlendirmesi (% 1. 93), dudak damak yar (% 1. 20) ve dier nedenler (%8. 37) olduu grld.
SONU: almann sonular KIBT tetkikinin en fazla implant planlamas iin istendiini gsterdi.
Anahtar Kelimeler: dental implant, konik-nl bilgisayarl tomografi, radyografi
Gazi University, School of Dentistry, Department of Oral and Maxillofacial Radiology, Ankara, Turkey
AIM: Cone-beam computed tomography (CBCT) is a radiographic technique allowing three dimensional visualization of dental
and maxillofacial hard tissues. In recent years the use of this technique in our country is increasing continuously. The aim of
this study was to assess the causes and distribution of CBCT requests according to cases in a Dentomaxillofacial Radiology
Department of a dental faculty.
METHOD: The CBCT request forms belonging to 1087 patients attending the Dentomaxillofacial Radiology Department were
assessed. Clinical informations related with the cause of CBCT examination request were recorded to standard forms for
prepared the study in CBCT examination request forms.
RESULTS: The requested CBCT images were found to be for implant planning (42. 04%), jaw lesions (18. 31 %), the relationship
of the mandibular canal to the roots of third molars (11. 13 %), localization and relationship of impacted teeth with anatomic
structures (7. 82 %), temporomandibular joint (TMJ) pathologies (3. 13 %), sinus pathologies (3. 13 %), teeth and jaw fracture (2.
94%), alveolar bone quantity and quality (1. 93 %), cleft lip-palate (1. 20 %) and other reasons (8. 37 %) in order.
CONCLUSION: The results of this study showed that the most CBCT analysis were requested for implant planning.
Key Words: dental implant, cone-beam computed tomography, radiography
237
P119
POST-KOR RESTORASYONLARIN BAARISIZLIK TPLER
Il Karaokutan1
1
AMA: Ar madde kaybna uram endodontik tedavili dilerde, restorasyona tutuculuk salamak amacyla post-kor sistemleri
kullanlmaktadr. Restore edildikten sonra bu dilerde zaman ierisinde eitli baarszlklarla karlalmas mmkndr. Bu
almann amac post-korlarda grlen baarszlk tiplerinin sklnn deerlendirilmesidir.
YNTEM: Kliniimizde 2010-2013 yllar arasnda deerlendirilen 215 adet prefabrike yivli post ve kor restorasyonun eitli
baarszlklara bal olarak yenilenmesine veya restore edilmi diin ekimine karar verilmitir. Baarszlk tipleri 10 grup
altnda deerlendirilmitir: (1) Post retansiyon kayb (2) Postun deformasyonu (3) Postun krlmas (4) Kk perforasyonu (5) Kk
kr (6) Kron protezinde tutuculuk kayb (7) Yeniden enfeksiyon olumasn ve takiben apikal lezyon (8) Korozyon (9) rk
oluumu (10) Alerji
BULGULAR: Deerlendirilen post-kor restorasyonlarda korozyona, alerjiye ve kk krna rastlanmamtr. En sk grlen
baarszlk tipi postun krlmas (% 24. 2) iken bunu srasyla postun deformasyonu (% 19. 1), kk perforasyonu (% 15. 3), apikalde
yeniden enfeksiyon olumas (% 12. 6), post retansiyon kayb (% 10. 7), kron protezinde retansiyon kayb (% 9. 3) ve rk (% 8.
8) takip etmitir.
SONU: Post uygulamas sonras eitli baarszlklar grlebilmektedir. Farkl dizaynlardaki postlarda farkl tipte baarszlklar
grlebilir. ileriki almalarda farkl tipteki postlarda deerlendirilmelidir.
Anahtar Kelimeler: baarszlk, post-kor, yivli post
AIM: Post-core systems are used for providing retention to the restoration in extremely damaged teeth that were endodontically
treated. After being restored these teeth could be faced with various failure over time. The aim of this study is to assess the
frequency of post-core restoration failure types.
METHOD: Between the years of 2010-2013, 215 prefabricated screw post and core restorations were evaluated in our clinic. The
restorations were decided to renew or the restorated tooth were extracted depending on the type of failure. The failure types
were evaluated in 10 groups: (1) Loss of post retention (2) Deformation of the post (3) Fracture of post (4) Root perforation (5)
Root fracture (6) Loss of crown retention (7) Infection and periapical lesion (8) Corrosion (9) Secondary caries (10) Allergy
RESULTS: Corrosion, allergy and root fracture was not seen in the evaluated post-core restorations. The most commonly seen
failure type was the post fracture (24. 2 %). The other failure types was the deformation of the post (19. 1 %), root perforation (15.
3 %), infection (12. 6 %), loss of post retention (10. 7 %), loss of crown retention (9. 3 %) and caries (8. 8 %).
CONCLUSION: Various failures can occur after post fixation. Different types of failures can be seen in different designed posts.
Further studies should evaluate failures in different types of posts.
Key Words: failure, post-core, screw post
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P120
MLLER SINIF III DET EKLMESNN MODFYE TNEL TEKN VE BA DOKU GREFT LE TEDAVS: OLGU SUNUMU
Mehmet Kanmaz1, Sema Becerik1
1
AMA: Dieti ekilmelerinin tedavisi amacyla sapl flepleri ve badoku greftlerini kullanan pek ok yntem nerilmitir. Bu olgu
sunumunun amac Miller Snf III dieti ekilmesinin tedavisinde modifiye tnel teknii ile birlikte uygulanan ba doku grefti nin
baarsnn deerlendirilmesidir.
YNTEM: Sol alt kesici dilerinde Miller snf III dieti ekilmesi olan 27 yandaki kadn hasta estetik ve kk hassasiyeti ikayeti
ile kliniimize bavurdu. Hastann periodontal balang tedavisi tamamland. Operayonda ksaca, 31 ve 41 nolu dilerin vestibul
yzlerinde sulkuler insizyonlar yapld ve bu insizyonlar birletiren tnel hazland. Damaktan alnan uygun boyuttaki ba doku
grefti tnel ierisine yerletirilip dikildi ve flap kuronele kaydrlarak dikildi.
BULGULAR: Operasyon sahasnda komplikasyonsuz iyileme gzlendi. Tedavi sonras ksmi dieti rtlmesi ve estetik iyileme
saland.
SONU: Modifiye tnel teknii ile birlikte ba doku grefti uygulamas, Miller snf III dieti ekilmelerinin tedavisinde baarl
sonular elde edilebilecek gvenli bir yntemdir.
Anahtar Kelimeler: Dieti ekilmesi, Miller snf III, Modifiye tnel teknii, Ba doku grefti
THE TREATMENT OF MILLER CLASS III GINGIVAL RECESSION WITH MODIFIED TUNNEL TECHNIQUE AND CONNECTIVE
TISSUE GREFT: CASE REPORT
Sema Becerik, Mehmet Kanmaz1
1
AIM: Different methods for coverage of gingival recessions using pedicle flaps and/or connective tissue grafts have been
reported. The aim of this case report is to identify the success of the modified tunnel technique with connective tissue graft
used to achieve root coverage of Miller Class III gingival recession.
METHOD: 27 year-old female patient with Miller class III recession defects on the mandibular incisors referred to the clinic
for treatment of esthetic concern and root sensitivity. nitial periodontal therapy was completed. In surgery briefly, sulcular
incisions performed including the vestibular surfaces of teeth 31 and 41 and a tunnel connecting these incisions prepared. The
connective tissue graft harvested from the palate and inserted through the tunnel, the flap positioned coronally and sutured.
RESULTS: No complication was observed in the surgical site post operatively. Partial root coverage and favorable esthetic results
were achieved.
CONCLUSION: Modified tunnel technique with connective tissue graft is a safe method, which can achieve successful results in
the treatment of Miller class III gingival recessions.
Key Words: Gingival recession, Miller class III, Modified tunnel technique, Connective tissue graft
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P121
LAZER ILE BEYAZLATMA -OLGU SUNUMLAR
Gzde elk1, Aye Atay1
1
Bezmialem Vakf niversitesi, Di Hekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, stanbul, Trkiye
AMA: Di beyazlatma renklenmi dilerin tedavisinde konservatif ve etkili bir yol haline gelmitir. Ofis beyazlatmann klinisyen
kontrol, hzl beyazlatma sonular, ksa tedavi sresi ve malzemenin yutulmasn engellemesi asndan avantajlar vardr.
Beyazlatmada, hidrojen peroksit ve karbamit peroksit yaygn olarak kullanlan ajanlardr. Beyazlatmann mekanizmas, di
yapsna beyazlatma ajannn nfuz etmesine dayanr. Uzun uygulama zaman veya birden fazla tedavi di hassasiyet riskini
arttrr. Plazma ark, LED, halojen ve lazer gibi farkl k kaynaklar bu ama iin kullanlr. Er:YAG ve diod lazerin popleritesi
artmaktadr. Lazer ile beyazlatmann amac, en etkili enerji kaynan kullanarak, herhangi bir yan etkiye yol amadan nihai
beyazlatma ilemini gerekletirmektir.
YNTEM: Bu olgu sunumunda iki hastaya Er:YAG (40 mJ, 10 Hz, 20 sn) ve diod (810 nm, 4W, 20 sn, CW) lazer ile beyazlatma
yapld. Diod lazer maksiller arka, Er: YAG lazer mandibular arka uyguland. Arklar arasndaki beyazlatma etkisi ve hassasiyet
fark karlatrld.
BULGULAR: Er:YAG lazer ile yaplan beyazlatmada diler diod lazerden daha az hassasiyet gsterdi.
SONU: Her iki yntem de klinikte kullanlmakla birlikte, Er-YAG lazerdeki su absorbsiyonundan dolay, diler sdan daha az
etkilenirler, dolaysyla daha az hassasiyet grlr. Lazer ile gerekletirilen beyazlatma srecinde di hekimleri; zellikle
hassasiyeti azaltmak iin, reticilerin kullanm talimatndaki sre limitlerine uymaldrlar.
Anahtar Kelimeler: Renklenmi diler, lazer, beyazlatma
AIM: Tooth bleaching has become an effective and conservative way for treating discolored teeth. Office bleaching has
advantages in terms of clinician control, quick whitening results, reduced treatment time and avoidance of material ingestion.
Some whitening agents like hydrogen peroxide or carbamide peroxide are commonly used for bleaching. The mechanism of
bleaching process is based on the penetration of the bleaching material to the tooth structure. Longer application time or
multiple treatment increase the risk of tooth sensitivity. Different light sources, such as plasma arc lamps, light-emitting diode
(LED), quartztungstenhalogen lamp or laser light are used for this purpose. Additionally Er:YAG and diode lasers are growing
in popularity. The objective of laser bleaching is to achieve the ultimate power bleaching process using the most efficient energy
source, while avoiding any adverse effects.
METHOD: In this case presentation, two patients had bleaching treatment activated by Er: YAG (40 mJ, 10 Hz, 20 s) and diode (810
nm, 4W, 20 s, CW) lasers. Diode laser was applied to the maxillary arch, and Er:YAG laser was applied to the mandibular arch. The
whitening effects and sensitivity difference between the arches were compared.
RESULTS: The teeth bleached with Er:YAG laser showed less sensitivity compared to diode laser.
CONCLUSION: Although two methods are used in clinical aplication, due to water absortion in Er-YAG laser, the teeth were
effected less temperature thereby less sensitivity was observed. When laser activated bleaching procedures are conducted,
dentists should follow the manufacturers instructions to limit the duration of light activation, especially to minimise sensitivity.
Key Words: Discolored teeth, laser, bleaching
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P122
TRAVMA SONUCU KIRILMI ST KESC DN MTA LE PULPOTOMS: 5 YILLIK TAKP
Tuba Trk1
Ege niversitesi Di Hekimlii Fakltesi Endodonti Anabilim Dal zmir, Trkiye
AMA: Travma sonucu pulpas ekspose olmu st kesici diin MTA ile yaplan vital tedavisinin ve 5 yllk kontrollerinin sunulmasdr.
YNTEM:16 yandaki erkek hasta, st sol kesici diine gelen travma nedeniyle kliniimize bavurdu. Yaplan klinik ve radyolojik
muayenede st sol kesici diinde pulpa dokusunu da iine alan mine dentin kr olutuu gzlendi. Yaplan muayenede mobilite
ve perksyon gzlenmeyen di, elektrik pulpa testine pozitif yant verdi. Dite spontan ar hikayesi yoktu. Vazokonstrktrsz
anestezi uygulanp, koronal pulpa dokusu ampte edildi ve kalan pulpa dokusu MTA ile rtlendi. Kavite cam iyonomer siman
ile kapatlp, 3 hafta sonra kompozit rezin ile restore edildi.
BULGULAR: Diin klinik ve radyolojik kontrolleri dzenli olarak yapld. Be yllk kontrollerde diin vitalitesini koruduu,
asemptomatik ve fonksiyonda olduu gzlendi. Radyolojik incelemede diin ve evre dokularn salkl olduu grld.
SONU: Bu olgunun 5 yllk takibinde, travma sonucu pulpas ekspoze olmu diin canlln ve fonksiyonunu korunmak iin MTA
ile yaplan pulpoktomi tedavisi baarl bulundu.
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P123
ANTEROR ESTETKTE KOMPOZT REZNLER: K OLGU
Jusuf Lukarcanin1, Murat Trkn
Ege niversitesi Di Hekimlii Fakltesi, Restoratif Di Tedavisi AD, zmir, Trkiye
AMA: Bu olgu bildiriminde 2 hastaya ait st n blgedeki estetik dzensizliklerin minimal invaziv restoratif yntemlerle
iyiletirilmesi sunulmaktadr.
OLGU TANIMLANMASI: Olgu 1: Yirmi bir yandaki erkek hasta n dilerindeki diastema ve ekil bozukluu nedeniyle kliniimize
bavurdu. ncelikle hastadan elde edilen model zerinde mock up ilemi yaplarak silikon anahtar elde edildi. Balayc ajan
(Adper Single Bond Plus, Dentsply DeTrey, Almanya) uygulamasn takiben rezin kompozit (Clearfil Majesty ES-2, Kuraray
Europe GmbH, Main Almanya) ile restorasyonlar tamamland. Birinci yl kontrolnde restorasyonlarn hem estetik hem de
fonksiyon asndan memnuniyet verici dzeyde ilev grd tespit edildi.
OLGU 2: Yirmi sekiz yandaki bayan hasta anterior blgedeki estetik ikayetlerinden dolay kliniimize bavurdu. Yaplan klinik
muayene sonrasnda st keser dilerde kompozit vener uygulanmasna karar verildi. ncelikle diler pomza ile temizlendi.
Balayc ajan (Adper Single Bond Plus, Dentsply DeTrey, Almanya) uygulamasn takiben rezin kompozit (Clearfil Majesty
ES-2, Kuraray Europe GmbH, Main Almanya) kullanlarak mamelonlar ilendi, ardndan uygun mine rengi tonlarnda rezin
kompozit ile restorasyonlar tamamland. ki senelik takipte estetik ve fonksiyon asndan restorasyonlar memnuniyet verici
olduu gzlendi.
SONU: Estetik di hekimliinde kompozit rezinler ile minimal invaziv teknikler kullanlarak baarl sonular elde edilmektedir.
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P124
EKSTERNAL SERVKAL KK REZORPSYONUN MULTDSPLNER TEDAVS: VAKA RAPORU
Elif Yaa1, Cneyt Asm Aral2 , Duygu Yldzeli1
1
ifa niversitesi Di Hekimlii Fakltesi, Restoratif Di Tedavisi Anabilim Dal, zmir, Trkiye
AMA: Eksternal servikal kk rezorpsiyonu sement, dentin ve kemiin geri dnmsz kaybna neden olmaktadr. Dental
travma, ortodontik tedavi, intrakoronal beyazlatma, periodontal tedavi ve idiyopatik nedenler gibi eitli etiyolojik faktrleri
bulunmaktadr. Periodontal tedavinin neden olduu eksternal servikal kk rezorpsiyonuna seyrek rastlanmaktadr. Eksternal
rezorpsiyonun tedavisi, rezorpsiyonun iddetine, konumuna, defektin pulpay perfore edip etmemesine ve diin restore
edilebilirliine baldr. Bu vaka raporunda, daha nceden mercan esasl kemik greft materyaliyle periodontal tedavisi yaplan, 55
yandaki bayan hastann st ene sa santral kesici diinde bulunan eksternal servikal rezoprsiyonun tedavisi anlatlmaktadr.
YNTEM: Yaplan radyolojik muayenesinde eksternal kk yzeyinde servikal lde yer alan geni dzensiz radyolusent blge
tespit edildi. Klinik muayenesinde ise rezorpsiyon boluunun periodontal cep ile ilikide olduu gzlemlendi. Bu nedenle kavite
preparasyonu iin rezorpsiyon alan flep kaldrlarak cerrahi olarak aa karld. Kavite temizlendikten sonra pulpada geni
perforasyon alan tespit edildi. lk nce kk kanaln izole etmek amacyla di kompozit rezinle restore edildi daha sonra kk
kanal konvansiyonel teknikle geniletildi ve gta perka ile dolduruldu.
BULGULAR: Yaplan 6 aylk kontrolde diin asemptomatik olduu tespit edildi ve radyografik olarak restore edilen rezorpsiyon
kavitesinin etrafnda herhangi bir patolojik bulguya rastlanmad.
SONU: Eksternal servikal kk rezorpsiyonunun grld dilerde uygun tedavi prosedrne balanmadka, rezorpsiyon
devam edecek ve zamanla geri dnm olmayan geni di dokusu kayb grlebilecektir.
Anahtar Kelimeler: eksternal servikal kk rezorpsiyonu, kompozit rezin, pulpa perforasyonu
AIM: External cervical root resorption (ECRR) is a process that leads to an irreversible loss of cementum, dentin and bone.
Several etiological factors have been presented such as dental trauma, orthodontic treatment, intracoronal bleaching,
periodontal therapy, and idiopathic etiology. ECRR caused by periodontal therapy is observed rarely. Treatment of it depends
on the severity, location, whether the defect has perforated the root canal system, and the restorability of the tooth. This case
report describes the treatment of an ECRR caused by a previous regenerative periodontal therapy with a coralderived bone graft
material in the upper right central incisor tooth in a 55-year-old women.
METHOD: The radiographic examination revealed a large irregular radiolucent area in the cervical third of the external root
surface. The resorption space was observed in related with periodontal pocket in intraoral examination. Thus surgical intervention
of the resorptive defect was performed by flap operation for cavity preparation. A large pulpal exposure was observed after
cleaning of the cavity. At first tooth restored with composite resin restoration to isolate root canal space then the root canal was
prepared conventionally and obturated with gutta percha.
RESULTS: At the 6 months follow-up examination the tooth was asymptomatic and radiographically showed no pathological
progress of the restored resorption cavity.
CONSUION: Unless proper treatment is initiated, this type of resorption continues and a large irreversible loss of tooth structure
may appear by time.
Key Words: external cervical root resorption, composite resin, pulpal exposure
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BELRGN GENAL TBERKLLERE SAHP ATROFK MANDBULADA MPLANT DESTEKL BAR PROTEZ UYGULAMASI: OLGU
SUNUMU
Eda zdere1, Mehmet Fatih Tuncer2
Seluk niversitesi, Protetik Di Tedavisi Ana Bilim Dal, Konya, Trkiye
AMA: Mandibuladaki kemik ykseklii ve geniliinde ileri derecede kaypla oluan atrofik disiz kretlerin protetik adan
restorasyonu olduka zordur. Genial tberkller ise mandibulann lingual ksmnda yer alan genial kaslarn yapt kemik
kntsna verilen addr. Genial tberkller mandibulann anterior ksmnn ar derecede rezorbe olmasyla olduka belirgin
hale gelirler. Bu olgu sunumunun amac ileri derecede mandibula rezorpsiyonu sonucu belirgin genial tberkle sahip bir
hastada implant destekli bar atamanlarn bir tedavi alternatifi olarak deerlendirilmesidir.
YNTEM: 68 yandaki bayan hasta 20 yldr kulland alt ene total protezinin fonksiyon esnasnda ar hareket etmesi
ikayetiyle Seluk niversitesi Di Hekimlii Fakltesi , Protetik Di Tedavisi Anabilim Dalna bavurmutur. Hastann az ii
muayenesinde hastann ileri derecede rezorbe mandibuler kretlere ve belirgin genial tberkllere sahip olduu grlmtr.
Hasann tedavi plan erevesinde interforaminal alana 2 adet implant yerletirilmitir. Genial tberkller iin herhangi bir ekstra
cerrahi prosedr uygulanmamtr. mplant destekli bar ataman, alt protezin tutuculuunu arttrmak amacyla kullanlmtr.
SONU: Mandibulada ileri kemik kayb grlen yal hastalara protetik yaklamda hastalarn yaam standardn ykseltecek
eitli tedavi seenekleri mevcuttur. mplant destekli bar atamann kullanld bu olgu sunumunda alt protezin stabilitesinin
baaryla artt grlmtr.
IMPLANT RETAINED OVERDENTURE WITH BAR ATTACHMENT: A CASE WITH PROMINENT GENIAL TUBERCLES AND
ATROPHIC MANDIBLE
Eda zdere1, Mehmet Fatih Tuncer2
1
Seluk University, School of Dentistry, Department of Oral Maxillofacial Surgery, Konya, Turkey.
AIM: Atrophic edentulous ridges in the mandible have many complications. There is a loss of width and height of alveolar bone.
Genial tubercles are the bony projections located on the lingual aspect of the mandible, which gives attachment to the genial
muscles. The genial tubercles are extremely prominent as a result of advanced ridge reduction in the anterior part of the body
of mandible. The aim of this clinical report is to assess implant-retained overdenture with bar attachment as an alternative
treatment method in the rehabilitation of patients with prominent genial tubercles and atrophic mandible.
METHOD: A 68 year-old female patient reffered to Selcuk University, Faculty of Dentistry, Department of Prosthodontics. The
patient has been using dentures for the past 20 years and complaining about stability of her lower removable denture. In
intraoral examination the patient had atrophic edentulous ridge on the mandible with prominant genial tubercles. Two implants
were placed in interforaminal area of the mandible. No extra surgery was performed for genial tubercles. Implant supported
overdenture with bar attachment was performed to improve the stability of the lower denture
CONCLUSION: For patients with advanced bone loss in the mandible, there is hope for beter quality of life. This report
demonstrates the successful use of implant-retained overdenture with bar attachment in the interforaminal area. This improves
retention and stability of the lower denture.
Key Words: Atrophic mandible, Barr attachment, Prominent genial tubercles
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P126
DLERDE AINMA SONUCU OLUAN DKEY BOYUT KAYBININ GDERLMES : OLGU SUNUMU
Eda zdere1
1
AMA: Di anmas, diin sert dokularndaki kayb belirten genel bir terimdir. Okluzal anma ise genellikle az ierisinde bir
diin dier bir die temasyla oluan atrizyona bal olarak meydana gelmektedir. Ar okluzal anma dikey boyutun dmesine,
pulpal patolojilere, kapan bozukluklarna, fonksiyon ve estetik kaybna neden olabilmektedir. Bu tip hastalara geni apta bir
tedavi plan oluturulmaldr. Bu olgu sunumunun amac atrizyona urayan dilerin sebep olduu alt yz yksekliinde azalma
gzlenen bir hastann tedavisinde sabit restorasyonlarn gerekliliinin gsterilmesidir.
YNTEM: 68 yanda erkek hasta ineme etkinliinde azalma ve glerken dilerinin grnmemesi ikayetiyle kliniimize
bavurmutur. Hastann intraoral muayenesinde atrizyona uram st diler ve mandibulada unilateral posterior disizlik
grlmtr. Hastaya detayl bir tedavi plan oluturduktan sonra mandibuladaki disiz sahaya 2 adet implant yerletirilmitir.
stenilen dikey boyut kronlar ve implant destekli sabit restorasyonlar yardmyla elde edilmitir.
SONU: Ar derecede anm dilerin uygun ekilde restore edilmesi di hekimleri asndan olduka zordur. Uygun
tedavi planlamas iin okluzal dikey boyutun azalmasnn nedenlerinin ve hastadan alnacak anamnezin dikkatli ekilde
deerlendirilmesi gereklidir. Kronlar ve implant destekli sabit restorasyonlar da ileri derecede di atrizyonu gsteren hastalarda
tedavi seenei olarak kullanlabilmektedir.
THE REHABILITATION OF WORN DENTITION AND DECREASED OCCLUSAL VERTICAL DIMENSION:A CASE REPORT
Eda zdere1
1
AIM: The term tooth wear is a general term that can be used to describe the surface loss of dental hard tissues. Occlusal
wear is most often attributed to attrition, which is defined as the wearing away of one tooth surface by another tooth surface.
Excessive occlusal attrition can result in decreased occlusal vertical dimension(OVD), pulpal pathology, occlusal disharmony,
impaired function, and esthetic disfigurement. Patients with excessive wear often require extensive restorative treatment. The
aim of this clinical report is to show the efficiency of implants and crowns in the treatment of worn teeth with decreased OVD
METHOD: A sixty eight years old male patient reffered to our department. The patient had extremely worn upper teeth with one
broken bridge in the anterior region and had unilateral posterior edentulous area on the mandible. The patient was complaining
about poor esthetics and reduced masticatory efficiency. Two implants placed in the edentulous area. The desired OVD was
restored with the help of crowns and implant supported fixed denture
CONCLUSION: Restoration of the extremely worn dentition presents a substantial challenge to the dentist. Careful evaluation of
the etiology, history, and factors relative to occlusal vertical dimension are essential to appropriate treatment planning. Treatment
methods such as crowns and implant supported dentures can be used in the rehabilitation of patients with severe tooth wear.
Key Words: Worn teeth, Occlusal-vertical Dimension, Oral rehabilitation
245
P127
ESTETK OLMAYAN RESTORASYONLARA SAHP BR VAKANIN REHABLTASYONU: OLGU SUNUMU
Eda zdere1
1
AMA: Gnmz Di hekimliindeki gelimeler hekimlere artk daha estetik restorasyonlar yapma olana vermektedir. Bu olgu
sunumunun amac birden ok estetik olmayan restorasyona sahip bir hastann daha estetik restorasyonlarla rehabilitasyonunu
gstermektir.
YNTEM: 32 yanda bayan hasta dilerindeki eski restorasyonlarn deitirilmesi ve estetik dzenlemeler iin Seluk niversitesi
Di Hekimlii Fakltesi Protetik Di Tedavisi Anabilim Dalna bavurmutur. Alternatif tedavi yntemlerinin maliyetleri , sresi
ve hastann istekleri de gz nne alnarak eski restorasyonun yenilenmesi, di eksiklii bulunan blgelerin kpr ile restore
edilmesi ve anterior blgeye 11 adet laminate yaplmas planland. Hastann posterior blgesi zirkonyum destekli porselen
restorasyonlarla,anterior blgesi ise lityum disilikat ierikli IPS Empress 2 (Ivoclar Vivadent, Schaan, Liechtenstein) laminateler
ile restore edildi.
SONU:Hastalara farkl tedavi yntemleri her birinin sreleri, avantaj ve dezavantajlaryla beraber anlatlmaldr. Bu vakada
hastann estetik ve fonksiyon konusundaki ikayetleri baaryla giderilmitir.
RESTORATIVE APPROACH FOR THE REHABILITATION OF MULTIPLE UNESTHETIC RESTORATIONS :A CASE REPORT
Eda zdere1
1
AIM: Advances in dentistry enable dentists to make more esthetic restorations. The purpose of this report is to present restorative
approach of multiple unesthetic restorations in one case.
METHOD: A 32 years old female patient was reffered to Selcuk University Faculty of Dentistry, Department of Prosthodontics
with various complaints such as esthetic and loss of chewing activity. Clinical examinations confirmed that the patient had oldunesthetic restorations and had some missing teeth. Different treatment options was presented to the patient with the time
commitments, costs, and the advantages and disadvantages of each. Bridges with zirconium oxide cores were planned for the
restoration of posterior region and 11 unit IPS Empress2 (lithium disilicate glass-ceramic) laminate veneers was planned for
the anterior region.
CONCLUSION: Different treatment options should be presented to the patient with the time commitments, costs, and the
advantages and disadvantages of each. In our case, all the pathologic and esthetic complaints of the patient were treated
successfully.
Key Words: laminate veneers, zirconium, full mouth restoration
246
P128
KLNK PRATNDE LAZER UYGULAMALARI- VAKA RAPORLARI
Gozde Celik1, Aslhan mez1
1
Bezmialem Vakf niversitesi, Di Hekimlii Fakltesi, Protetik Di Tedavisi Anabilim Dal, stanbul, Trkiye
AMA: Hekimler hastalarn daha iyi tedavi edebilmek ve bu tedavilerden gvenilir sonular alabilmek iin her zaman daha iyi
teknik ve ara arayndadr. Farkl dalgaboylarna sahip lazerler di hekimlii pratiinde sklkla kullanlmaktadr. Hzl yara
iyilemesi ve hastaya sunduu postoperatif rahatlk gibi avantajlar, yumuak doku cerrahisinde lazer kullanmn cazip hale
getirmitir.
YNTEM: Bu vaka sunumunda, ilk hastaya mock- up ilemi beraberinde kron boyu uzatma ilemi uygulanmtr. Er,Cr: YSGG
lazer (2780 nm, 2. 5 W, 75 Hz) estetik blgede simetrik gingival kontrn salanmasnda kullanlmtr. Ikinci hastada diyod
lazerle(810 nm, 4W, CW) lingual frenektomi yaplmtr. Son hastada ise diyod lazer (810 nm, 2W, CW) kullanlarak kron boyu
uzatma ve depigmentasyon ilemleri yaplmtr. st sa santral diin kron boyu sol santrale gre dzenlenmitir. Ayn lazer
cihaz ile maksiller bukkal yzdeki pigmente alanlar da kaldrlmtr (810 nm, 3W, CW).
SONU: Bu tedaviler hem hasta hem de hekim iin tatmin edici sonular vermitir. Yumuak dokuda lazer kullanm hzl ve
tahmin edilebilir sonular vermektedir.
Anahtar Kelimeler: kron boyu uzatma, depigmentasyon, diyod lazer, Er,Cr: YSGG, gingivektomi
AIM: Clinicians are always looking for better techniques and instruments for better patient treatment and trustable consequences
of these treatments. Lasers in different wavelengths are widely used in clinical dentistry. Soft tissue surgery is one of the most
attractive laser treatment modality; with the advantages of fast wound healing and superior postoperative comfort of the patient.
METHOD: In this case presentation, first patient had crown-lengthening treatment by using a mock-up procedure. Er,Cr: YSGG
(2780 nm, 2. 5W, 75 Hz) laser was used to achieve a symmetrical gingival contour in the esthetical region. The second patient had
lingual frenectomy using diode (810 nm, 4W, CW) laser. The third patient had crown lengthening and depigmentation by using
diode laser. Crown lengthening of the upper right central tooth was done according to the left central tooth (810 nm, 2W, CW).
The same laser device was used to remove pigmented areas on the maxillary buccal area (810 nm, 3W, CW).
CONCLUSION: Outcome of these treatment modalities were satisfactory for both the dentist and the patient. Using laser in soft
tissue, enables us to have faster and predictable results.
Key Words: crown lengthening,depigmentation, diode laser, Er,Cr:YSGG laser, gingivectomy
247
P129
BSKLET KAZASI SONRASINDA OLUAN KOMPLKE KRON KIRIININ ORJNAL KIRIK PARA LE RESTERASYONU VE BR
YILLIK TAKB: OLGU SUNUMU
Mukader nci Baer Kolcu1, Funda Kont obankara1
Seluk niversitesi Endodonti Ana Bilim Dal,Konya,Trkiye
AMA: Maksilofasiyal dokulara gelen travmalar, dilerde ve evre dokularda etkilerinin ve tedavi ihtiyalarnn eitli olduu
birok hasara neden olabilirler. Dental travmalar sklkla ocukluk ve genlik yllarnda meydana gelip zellikle st ene n
blge dilerini ilgilendirir. Dental yaralanmalar ierisinde yer alan kron krklar mine ve dentini ieren krklar olarak tanmlanr
ve pulpay iine alp almamasna gre komplikasyonlu veya komplikasyonsuz krklar olarak snflandrlabilir. Bu vaka raporunda,
bisiklet kazas geirdikten sonra kliniimize bavuran hastann st ene sa lateral diindeki komplike kron krnn orijinal
krk para kullanlarak restore edilmesi ve 1 yllk takibi sunulmaktadr.
YNTEM: Kliniimize bisiklet kazas geirdikten bir saat sonra bavuran 16 yandaki bayan hastann ekstraoral muayenesinde,
fasiyal dokularda burun kanad, ene ucu ve dudak blgesinde yzeyel derm abrazyonu olduu belirlendi. Hastann intraoral
muayenesinde, 12 numaral diinde komplike, 21 numaral diinde komplike olmayan kron kr, 11 numaral diinde sublksasyon
yaralanmas olduu tespit edildi. Radyografik deerlendirme de herhangi bir kk kr ya da kemik kr gzlenmedi. 12
numaral di hari tm diler elektrikli vitalite testine pozitif yant verdi. Hastann 21 numaral diinde hafif mobilite gzlendi.
Tedavi planlamasnda 12 numaral diin kanal tedavisi sonrasnda kompozit restorasyon materyali kullanlarak orijinal krk
di paras ile 21 numaral diin kompozit restorasyon ile restore edilmesi ve 11, 21 numaral dilerinin takibinin yaplmas
planland. Tedavisi planland gibi yaplan hastann 1o gn sonraki kontrolnde 11 numaral diinin vital yant verdii ve
mobilitesinin olmad grld. 21 numaral diin vitalitesini kaybetmesi zerine ilgili diine de kanal tedavisi uyguland. 3,6 ve
12 aylk kontrollerinde hastann 11 numaral dii vital olarak deerlendirildi, 12 ve 21 numaral dilerini de fonksiyonel olarak
kulland belirlendi.
SONU: zellikle n grup dilerde sklkla karlalan komplike kron krklar, orijinal di paras kullanlarak restore
edilebilirler. Bu yaklam yeterli estetiin salanmas, protetik yaklamlara kyasla daha ekonomik ve non-invaziv olmas
nedeni ile tercih edilebilecek alternatif bir tedavi yntemidir.
CLINICAL MANANGEMENT AND FOLLOW UP OF A COMPLICATED CROWN FACTURE WITH ORIGINAL FRAGMENT: A CASE
REPORT
Mukader nci Baer Kolcu1 , Funda Kont obankara1
1
AIM: Traumatic injuries to the maxillofacial structures results in varies of damage to many dental and periradicular structures,
with the need of the management and consequences of these injuries multifactorial. Dental traumatic injuries are highly
prevalent in childhood and adolescence and generally involves the maxillary anterior teeth. Crown fracture is one of the dental
injuries that described as a fracture involving enamel and dentin and also classified whether complicated or not according to
pulp involvement. This case report describes the restoration of a complicated crown fracture of tooth 12 with using original
fractured segment.
METHOD: A 16-year old female was referred to our clinic with crown fractures as a result of a bicycle accident one hour before.
Extra-oral examination revealed superficial derm abrasions on the nasal, labial and mental region. In intra-oral examnation,
tooth 12 showed complicated crown fracture where as tooth 21 showed uncomplicated one and tooth 11 had subluxation injury.
Radiographically no root or alveoler fracture was seemed. Except the tooth 12 all teeth was demonstrated positive response
for vitality tests. The tooth 11 showed mild mobility. The treatment plan comprimised restoration of tooth 12 with the original
fracture segment by using composite restoration material after endodontic root canal theraphy and only composite restoration
for the tooth 21. In the second visit, tooth 11 demonstrated no response for vitality tests so endodontic root canal theraphy was
performed for this tooth too. In the follow up visits in 3,6 and 12 months, teeths were functional and tooth 11 was vital.
CONCLUSION: Complicated crown fractures can be restored with the original fractured segment. This approach is an alternatif
treatment and preferable for providing ideal aesthtetic, being non-invasive and low cost in comparison with prothetic restorations.
248
P130
PROTAPER NEXT KANAL EES LE TAM SER RESPROKASYON HAREKET VE 360 DNME HAREKETNN ATLAK
OLUTURMA ETKSNN KARILATIRILMASI
smail Davut apar1, Banu Uysal1, Hakan Arslan2
1
zmir Katip elebi niversitesi, Di Hekimlii Fakltesi, Endodonti AD, zmir, Trkiye
AMA: Bu almann amac ProTaper Next kanal eeleri ile 360 dnme hareketi ve resiprokasyon hareketi kullanlarak ayn
ee sralamas kullanlarak yaplan kanal geniletmesi sonrasnda kk dentininde defekt olumas insidansnn incelenmesidir.
YNTEM: 75 adet alt kk az dii seildi. 25 adet die herhangi bir geniletme ilemi uygulanmad ve kontrol grubu olarak
ayrld. Geri kalan 50 di iki gruba ayrld (Grup 1: 360 dnme hareketi; Grup 2: resiprokasyon hareketi). Diler daha sonra
ProTaper Universal SX ve ProTaper Next X1-4 eeleri ile ayn ee sralamas ile geniletildi. Kk kanal geniletme ilemi
tamamlandktan sonra btn kklerden uzun eksenlerinde dik olacak ekilde apikalden 2, 4, 6, 8 mm uzaklktan kesildi ve
kesitler stereomikroskop altnda incelendi. atlak varl ve yokluu kaydedildi ve veriler Ki Kare testi ile analiz edildi. Anlamllk
derecesi p = . 05 olacak ekilde ayarland.
BULGULAR: Kontrol grubunda herhangi bir atlak izlenmedi. Hibir grupta dikey kk kr gzlenmedi. Deney gruplar arasnda
istatistiksel olarak anlaml bir farkllk izlenmedi (p > . 05).
SONU: Bu in vitro almann limitasyonlar dorultusunda, hem tam seri resiprokasyon hareketi hem de 360 dnme hareketi
kk dentininde benzer atlak formasyonuna neden oldu.
Department of Endodontics, Faculty of Dentistry, zmir Katip elebi University, zmir, Turkey
AIM: The aim of the present study was to investigate the incidence of cracks in root dentin after root canal preparation with a
ProTaper Next instrument with 360 rotary instrumentation or reciprocating motion with the same sequence.
METHOD: Seventy-five mandibular premolars were selected. Twenty-five teeth were left unprepared and served as a control. The
remaining 50 teeth were divided into two groups (Group 1: 360 rotary instrumentation; Group 2: reciprocating instrumentation).
They were then shaped with the following ProTaper Next instruments with the same sequence of ProTaper Universal SX and
ProTaper Next X1-4: 360 rotary instrumentation and 144 clockwise and 72 counter-clockwise motion. After the root canal
preparation, all the roots were sectioned perpendicular to the long axis at 2, 4, 6 and 8 mm from the apex, and the sections were
then observed under a stereomicroscope. The absence/presence of cracks was recorded, and the data were analysed with a
chi-square test. The signicance level was set at p = . 05.
RESULTS: No cracks were observed in the control group. Vertical root fractures were not observed in any of the groups. There
were no significant differences in crack formation between the experimental groups (p > . 05).
CONCLUSION: Within the limitations of this in vitro study, both full-sequence reciprocating instrumentation and 360 rotary
instrumentation caused similar crack formation in the root canal dentin.
249
P1131
PREMAXLLA PROTRZR
Turan ar Doan1
1
AMA: Ortodontide,st ene n tarafn ileriye alan aygt,modifiye distal jet(ekil 2),modifiye lingual ark ve snf 3 elastikten(ekil
3) oluan bir sistem olup, ,iskeletsel olarak n arka ynde st ene gerilii olan tm vakalarda,snf 1,snf 2 ,snf 3 ama zellikle
snf 3 vakalarda , st ene n blgesini ileriye alrken alt eneden destek alarak ,st ene arka blgesinin geriye gitmesini
engelleyen ve bunun iin de snf 3 elastik kullanlan ,az iine sabitlenmi ve az dna tamayan ,alt ve st eneye takl iki
paradan oluan bir aygttr.
YNTEM: st ene molar distalizasyonunda kullanlan aygtlarda deiiklikler yaplarak, st ene n blgesinde yer alan ve st
kpek(kanin) ile kk keser(lateral) dileri arasndan, sal sollu balayp,ortada midpalatal suturda(11) birleen ve Y harfinin
st ksmna benzeyen, Sutura incisivaya(1) kuvvet uygulayarak ,st ene n tarafn ileriye alma eklinde etkisi olur.
BULGULAR: Daha da gelitirilebilecek,yeni bir snf 3 tedavi metodu ve aygtdr.
SONU: Latince ismi ise Premaxilla Protrzr dr.
Anahtar Kelimeler: Premaxilla, Protrzr.
PREMAXLLA PROTRUSOR
Turan ar Doan1
1
AIM: It is an orthodontic appliance that protrudes the premaxilla constituting of modified distal Jet (Figure 2), modified lingual
arch and class II elastics. It can be utilized on all patients with maxillary retrusion on anterior posterior direction, Class I,
Class II, Class III but especially Class III cases. While bringing the premaxilla forward it gains anchorage from the mandible and
prevents distalisation of the maxillary posterior segment with Class III elastics. This appliance has two parts fixed in the mouth
and does not protrude extraorally.
METHOD: It has modifications to appliances used for maxillar molar distalisation, exerts force to stura incisiva that is located on
the anterior segment of the maxilla between canine and lateral teeth, to protrude the anterior segment of the maxilla
RESULTS: It is a new Class III treatment method and appliance that can be developed
CONCLUSION: Further named in Latin as Premaxilla Protrusor
Key Words: Premaxilla, Protrusor.
250
P132
ORTODONTDE KULLANILACAK GEN SLOTLU BRAKET SSTEM
Turan ar Doan1
1
AMA: Ortodontide kullanlacak olan gen slotlu braket sistemi ,gnmzde uygulan sabit ortodontik tedavide 1970 den beri
kullanlan drt keli braket slotu zerine kurulu Edge Wise sitemini tamamen deitirecektir
YNTEM: Slot kesitinin drt yzeyden, yzeye dmesi srtnme yzeyinin azaltarak tadavi srasnda uygulanacak olan
mekanik sistemlerin daha etkili olmasn salayacaktr.Daha az saydaki ve daha kk ebatl gen kesitli tellerin kullanlacak
olmas tedavi maliyeti azaltacaktr .En nemli avantaj ise tedavi sresini azaltacak olmasdr.Gnmzde uygulanan iki
aamal(yuvarlak tellerle die kron hareketleri yaptrlan seviyeleme aamas ve keli tellerle kk hareketleri yaptrlan ikinci
aama) tedavi metodunu ,tek aamal hale getirerek,ilk balangtan itibaren direk kk hareketi yaptran bir mekanik uygulanm
olacaktr
BULGULAR: Bylelikle braketlerin ve tellerin uzun sreli azda tanmas sonucu oluabilecek di rklerini,dieti
rahatszlklarn da azalacaktr.Ayrca tedavi sresinin ksal hastalarn psikolojisini de olumlu ynde etkileyerek daha konforlu
tedavi imkan salayacaktr
SONU: Sanayide metal veya porselen olarak rahatlkla retilebilinir
Anahtar Kelimeler: gen, slot, braket
AIM: The triangular slot design for Orthodontic use, will totally change the Edge Wise system based on 4 edge bracket slot
design that had been used since 1970 .
METHOD: Diminishing the surface number from 4 to 3 will decrease friction and will enable the mechanics used during
treatment to be more effective. Since it will be possible to use less and smaller wires, treatment costs will be cut down. Todays
two step treatment style (making crown movements with round wires and later root movements with rectangular or square
wires) will be single step and will enable use of mechanics that can make root movement from the very beginning.
RESULTS: Therefore periodontal or caries problems that result due to elongated bracket utilization will be diminished. Also
the shortness of treatment time will have positive effects on psychology of the patients and enable more comfortable treatment.
CONCLUSION: It can be produced, by dental industry, from metal or porcelain.
Anahtar Kelimeler: Triangular, slot, braches
251
252
KATILIMCI FIRMALAR
PARTICIPATING FIRMS
AC D HEKML MALZEMELER
YETKL K : EMRAH ABUKUSTA
L : STANBUL
TELEFON
WEB :
E-MAIL : emrah@ac-dental.com.tr
L : ZMR
TELEFON
WEB :
E-MAIL : info@alma-dent.com.tr
L : ZMR
TELEFON
WEB :
254
E-MAIL : gurkaynakyucel@hotmail.com
ALTERNATF MEDKAL
YETKL K : HSN DOAN
L : ZMIR
TELEFON
WEB : www.alternatifmedikal.com
E-MAIL : planet@alternatifmedikal.com
NVANI :
L : STANBUL
TELEFON
WEB : www.apripharma.com
E-MAIL : info@aprifarma.com
L : ZMR
TELEFON
WEB : www.beyazdental.com
E-MAIL : rcp.sari@hotmail.com
255
BOAZ D DEPOSU
YETKL K : MELH GNAL
ADRES : TURGUT ZAL CAD. KARAGL MERKEZ NO:84 K:1 NO:1-45 FINDIKZADE
LE : FATH
L : STANBUL
TELEFON
WEB : bogazicidisdeposu.com
E-MAIL : bogazicidental@hotmail.com
L : ZMR
TELEFON
FAX :
WEB : www.cagdasdisdeposu.com
E-MAIL : cagdasdis@hotmail.com
NVANI :
L : STANBUL
TELEFON
FAX :
WEB : www.dualdental.com.tr
256
E-MAIL : info@dualdental.com.tr
L : STANBUL
TELEFON
FAX :
WEB : www.implantka.com
E-MAIL : yelda@implantka.com
hilal@implantka.com
L : ZMR
TELEFON
WEB :
E-MAIL : deniz_dent@hotmail.com
L : DENZL
TELEFON
FAX :
WEB : www.dentalofis.com
E-MAIL : ksingin@hotmail.com
257
DENTSPLY MPLANT
YETKL K : BARI BATAL
L : STANBUL
TELEFON
DMSAN DENTAL
YETKL K : YASEMN ZNAL
L : ANKARA
TELEFON
FAX :
WEB : www.dimsandental.com
E-MAIL : www.dimsandental.com
ECE DENTAL
YETKL K : ECE SALAMDN
L : ZMR
TELEFON
WEB :
258
E-MAIL : egeimplant@hotmail.com
L : ANKARA
TELEFON
WEB :
E-MAIL : ferhataltunkara@hotmail.com
ESD
YETKL K : FETH SABAN
NVANI :
L : ANKARA
TELEFON
FAX :
WEB :
E-MAIL : fsfethi@hotmail.com
GC EUROPE
YETKL K : GZDE AKIN
ADRES : TEVIKIYE MAH. BYKIFTLIK SOK. DENIZ APT. NO:7 D.1 NIANTAI
LE : ILI
L : STANBUL
TELEFON
WEB : www.gceurope.com
E-MAIL : info@turkey.gceurope.com
259
GLOBAL SALIK
YETKL K : SELMAN ENER
L : STANBUL
TELEFON
WEB :
E-MAIL : dentalmalzemeler@hotmail.com
GSK
YETKL K : KAAN ERDOAN
L : STANBUL
TELEFON
WEB : www.gsk.com.tr
E-MAIL : kaan.x.erdogan@gsk.com.tr
L : ZMIR
TELEFON
WEB : www.gulsa.com.tr
260
E-MAIL : r.varol@gulsa.com.tr
L : ZMR
TELEFON
FAX :
LKAY D DEPOSU
YETKL K : AYHAN ZYAVUZ
L : ZMR
TELEFON
WEB : www.ilkaydisdeposu.com
E-MAIL : ilkayizmirdisdeposu@gmail.com
LR MEDYA YAYINCILIK
YETKL K : SEDAT AVU
ADRES : FEVZ PAA BULVARI ELK MERKEZ KAT 5 DARE 502 NO 162
LE : ANKAYA
L : ZMR
TELEFON
FAX :
WEB :
E-MAIL : cavussedat@hotmail.com
261
NC SGORTA ACENTEL
YETKL K : BELGN USANMAZ
NVANI :
L : ZMR
TELEFON
WEB : www.incisigorta.com
E-MAIL :
ADRES : 295/2 SOK. NO:1 EGE SUN PLAZA B BLOK NO:544 5.KAT
LE : BAYRAKLI
L : ZMR
TELEFON
WEB :
E-MAIL : info@ismettalaydis.com
K DENTAL BICON
YETKL K : MAKBULE YILDIZ
NVANI :
L : IZMIR
TELEFON
FAX :
WEB : www.bicon.com.tr
262
E-MAIL : yildizmakbule@gmail.com
KBAR DENTAL
YETKL K : ENGN KBAR
NVANI :
L : STANBUL
TELEFON
FAX :
WEB : www.kibardental.com
E-MAIL : dentalkibar@yahoo.com.tr
MS DENT
YETKL K : BAHAR BATMUR
L : ANKARA
TELEFON
WEB : www.misdent.com.tr
E-MAIL : info@misdent.com.tr
L : STANBUL
TELEFON
WEB :
E-MAIL : ortho-world@hotmail.com
263
L : ZMR
TELEFON
FAX :
WEB : www.atalaydental.com
E-MAIL : cakoatalay@hotmail.com
SGNAL-NNOVEX
YETKL K : ZGR AGN
ADRES : KAVACIK MAH. ZGR SOKAK FARMA PLAZA NO:20 K:3 KAVACIK
LE : BEYKOZ
L : STANBUL
TELEFON
FAX :
WEB : www.innovex.com.tr
E-MAIL : ozgur.agin@innovex.com.tr
L : STANBUL
TELEFON
FAX :
WEB : www.pg.com.tr
264
E-MAIL : demirkan.a.1@pg.com
L : STANBUL
TELEFON
FAX :
WEB : www.pasadental.com.tr
E-MAIL : info@pasadental.com.tr
QUINTESSENCE
YETKL K : ERTURUL ETINKAYA
NVANI : ORTAK
L : STANBUL
TELEFON
WEB : www.quintessence.com.tr
E-MAIL : bilgi@quintessence.com.tr
SS D DEPOSU
YETKL K : SEDAT KARA
NVANI :
L : STANBUL
TELEFON
WEB : www.sisdisdeposu.com.tr
E-MAIL : sisdisdeposu@hotmail.com
265
L : ISTANBUL
TELEFON
WEB : www.soyak.com.tr
E-MAIL : ikatirci@soyak.com.tr
L : ISTANBUL
TELEFON
WEB : www.sunray.com.tr
E-MAIL : info@sunray.com.tr
TOKUYAMA DENTAL
YETKL K : EMRE POLAT
L : ANKARA
TELEFON
WEB : www.tokuyamaturkiye.com
266
E-MAIL : info@tokuyamaturkiye.com
TOPU DENTAL
YETKL K : BILGE KAAN TOPU
L : ZMIR
TELEFON
WEB : wwwtopcudental.com.tr
E-MAIL : topcudental@hotmail.com
TOROS DENTAL
YETKL K : AHMET DEMIR
L : ANTALYA
TELEFON
WEB : www.torosdental.com
E-MAIL : info@torosdental.com
TRK DENTA
YETKL K : OSMAN NAZLI
L : BURSA
TELEFON
FAX :
WEB :
E-MAIL :
267
UMG UYSAL
YETKL K : FATIH UYSAL
L : STANBUL
TELEFON
: 444 4 864
WEB : www.umguysal.com
E-MAIL : info@umguysal.com
L : STANBUL
TELEFON
WEB : www.unimedltd.com
268
E-MAIL : unimed@unimedltd.com
NOTLAR
269
NOTLAR
270
NOTLAR
271
NOTLAR
272