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Öğe Comparison of gingivectomy procedures for patient satisfaction: Conventional and diode laser surgery(2017) Öncü, Elif; Erbeyoğlu, Ahmet Afşin; Alan, RaifKonvansiyonel ve diyot lazer ile yapılan gingivektomi prosedürlerinin hasta memnuniyeti açısından karşılaştırılması Amaç: Gingivektomi cerrahisinde konvansiyonel cerrahi veya 940 nm diyot lazer kullanımının hasta memnuniyeti açısından karşılaştırmaktır. Gereç ve Yöntemler: Bu kontrollü klinik çalışma, anterior maksilla bölgesinde sadece estetik nedenlerle gingivektomi cerrahisi isteyen 20 sağlıklı hasta üzerinde yürütüldü. Hastalar her grupta 10 hasta olacak şekilde rastgele dağıtıldı. Test grubunda diyot lazer ile cerrahi uygulanırken, kontrol grubunda cerrahi işlem bisturi ile uygulandı. Ameliyat sonrası kanama oranı, Dünya Sağlık Örgütü tarafından belirlenen kanama kriterleri kullanılarak değerlendirildi. Ameliyat sonrası rahatsızlık düzeyi görsel analog skala (VAS) kullanılarak kaydedildi, ameliyat süresi her operasyon için değerlendirildi ve postoperatif analjezik gereklilikler değerlendirilip karşılaştırıldı. Bulgular: Kontrol grubunda cerrahi sırasında anestezi gereksinimi istatistiksel olarak daha yüksek bulundu (p0.001). Ortalama kanama oranları, konvansiyonel ve lazer gruplarında sırasıyla 1.32 ve 0.24 idi (p0.001). Test grubundaki hastalarda cerrahi sonrası ağrı yoktu, ancak kontrol grubunda VAS ağrı düzeyi yüksek bulundu ve değerler arasındaki fark istatistiksel olarak anlamlıydı (p0.001). Gruplar arası ameliyat süreleri açısından istatistiksel olarak anlamlı bir fark bulunmadı. Sonuç: Bu çalışmanın sonuçları doğrultusunda, diyot lazer ile yapılan gingivektomi prosedürlerinin konvansiyonel tekniklere göre bariz avantajları bulunduğu gözlenmiştir.Öğe Effect of Passive Tobacco Smoking Exposure on the Periodontal Status of Turkish Children(Univ Indonesia, Fac Dentistry, 2021) Alan, Raif; Gezgin, Onur; Korkut, Emre; Turkoglu, Sukriye; Celik, Esra; Haliloglu, SeyfullahObjective: This study aimed to assess the effect of passive tobacco smoking (PTS) through the comparison of the periodontal status and the C-reactive protein (CRP) and cotinine levels in the biologic fluids in children who are exposed and unexposed to PTS. Methods: A total of 148 participants, whom had smokers (PTS-exposed, n=82) and non-smokers (PTS-unexposed, n=66) in their families, respectively, were included in the study. Gingival index, plaque index, probing depth, and bleeding on probing were recorded. Moreover, saliva, urine, and gingival crevicular fluid samples were collected. CRP and cotinine levels in the biological fluids were determined by the enzyme-linked immunosorbent assay method. Results: Both groups exhibited similar values for periodontal parameters and salivary CRP levels were higher in PTS-exposed group but not significant. The mean urinary cotinine level was significantly higher in children exposed to PTS than in unexposed children. Conclusions: There was no evidence for causative role of PTS in periodontal disease in this study. Longitudinal studies including large populations should be conducted to provide stronger evidence for the causative role of PTS in periodontal disease. Also, further epidemiological studies on the social context of smoking should be performed to improve the quality of life and lifespan of the society.Öğe Effect of Passive Tobacco Smoking Exposure on the Periodontal Status of Turkish Children(Univ Indonesia, Fac Dentistry, 2021) Alan, Raif; Gezgin, Onur; Korkut, Emre; Turkoglu, Sukriye; Celik, Esra; Haliloglu, SeyfullahObjective: This study aimed to assess the effect of passive tobacco smoking (PTS) through the comparison of the periodontal status and the C-reactive protein (CRP) and cotinine levels in the biologic fluids in children who are exposed and unexposed to PTS. Methods: A total of 148 participants, whom had smokers (PTS-exposed, n=82) and non-smokers (PTS-unexposed, n=66) in their families, respectively, were included in the study. Gingival index, plaque index, probing depth, and bleeding on probing were recorded. Moreover, saliva, urine, and gingival crevicular fluid samples were collected. CRP and cotinine levels in the biological fluids were determined by the enzyme-linked immunosorbent assay method. Results: Both groups exhibited similar values for periodontal parameters and salivary CRP levels were higher in PTS-exposed group but not significant. The mean urinary cotinine level was significantly higher in children exposed to PTS than in unexposed children. Conclusions: There was no evidence for causative role of PTS in periodontal disease in this study. Longitudinal studies including large populations should be conducted to provide stronger evidence for the causative role of PTS in periodontal disease. Also, further epidemiological studies on the social context of smoking should be performed to improve the quality of life and lifespan of the society.Öğe Evaluation of the Periodontal Disease Effect on Pulp Volume(Elsevier Science Inc, 2018) Terlemez, Arslan; Alan, Raif; Gezgin, OnurIntroduction: The success of periodontal and endodontic treatments depends on the total recovery from both conditions regardless of their occurrence as independent or combined lesions. There is strong presumptive evidence that teeth with periodontal disease may cause pulpal inflammation and degeneration. Therefore, the goal of this study was to establish a correlation between periodontitis and pulp volume. Methods: Thirty-four dental images from 17 patients obtained by cone beam 'computed tomography were analyzed by medical software to create three-dimensional images. Paired t test analysis was used for statistical analysis. Results: The statistical analysis showed that periodontitis had a significant effect on the volume and surface areas of the dental pulp (P <.05). Conclusions: The findings of this study showed that periodontitis causes pulp volume to reduce by approximately 20%. The use of three-dimensional models provides better understanding of the dental anatomy before endodontic treatment and, consequently, improvement of treatment outcomes. Additional studies are needed to investigate the effect of periodontal disease on pulp volume and surface area.Öğe Genel Anestezi Altında Yapılan Diş Tedavilerinin Çocukların Yaşam Kalitesi Üzerine Etkisi(2017) Korkut, Emre; Gezgin, Onur; Özer, Hazal; Alan, Raif; Şener, YağmurErken çocukluk çürüğü bulunan 0-72 ay aralığındaki çocuklarda, dental işlemlerin uygulanması sırasında yaşa bağlı kooperasyon bozukluğu, anksiyete gelişmesi, işlem seanslarının uzun olması gibi sebeplerden dolayı genel anestezi yöntemi sıklıkla tercih edilmektedir. Erken çocukluk çürüklerinin, çocuk hastaların ve ailelerinin yaşam kalitelerini önemli düzeyde etkilediği bilinmektedir. Yaşam kalitesi değerlendirmelerinde çocuklar ve ebeveynleri için günümüze kadar birçok farklı anket geliştirilmiştir. Günümüzde 6 yaş altındaki çocuklar için Ebeveyn Algı Anketi ve Aile Etki Ölçeği olmak üzere iki kısımdan oluşan Erken Çocukluk Çürüğü Ağız Sağlığı Ölçeği kullanılmaktadır. Çalışmaya, Necmettin Erbakan Üniversitesi, Diş Hekimliği Fakültesi, Pedodonti Anabilim Dalında genel anestezi altında dental tedavileri gerçekleştirilen 158 hasta ve ebeveynleri dahil edildi. İşlem öncesi hastaların demografik bilgileri ve dmft değerleri kaydedildi. İşlem öncesinde ve işlemi takip eden 2. ve 4. haftalarda ebeveynlerden ilgili anketi doldurmaları istendi. Veriler SPSS programı ile istatistiksel olarak analiz edildi. Etki boyutu 0.7’den büyükse, veride meydana gelen değişim büyük bir değişim olarak kabul edildi. Verilerin değerlendirilmesi sonucu genel anestezi altında yapılan tedaviler sonrasında tüm değerlerde istatistiksel olarak anlamlı bir azalma gözlendi. Çocuğun oral semptomları ve fonksiyonel durumuna ait bölümlerdeki azalmanın diğer bölümlere kıyasla daha fazla olduğu tespit edildi. Sonuç olarak erken çocukluk çürüğü gözlenen çocuklarda genel anestezi altında gerçekleştirilen dental işlemlerin hastalar ve ailelerinin yaşam kalitelerini arttıracak yönde etki ettiği görülmektedir.Öğe Oral Rehabilitation of a Patient with Congenital Erythropoietic Porphyria: A Rare Case Report(Univ Indonesia, Fac Dentistry, 2020) Alan, Raif; Celebi, Hakki; Kilinc, Fahriye; Dursun, RecepCongenital erythropoietic porphyria (CEP) is an extremely rare disorder involved in chronic porphyrias. One of the recommended evaluations to determine disease severity and needs of a person with CEP is dental assessment. Objective: To present a case of CEP and its oral rehabilitation. Case Report: A 32-year-old female patient was admitted to the clinic with hyperkeratinization, skin fragility, fissures, and wounds in her perioral region and hands. Intraoral gingival bleeding, mucogingival stress, and missing teeth were recorded. After medical consultation, phase I and II periodontal therapies were performed. The patient expressed satisfaction of the results of the procedures in terms of the parameters evaluated. The rare occurrence of the disease may delay the diagnosis. An unmet need still exists for multidisciplinary orientation of patients with CEP. Conclusion: Dentists should have and follow guidelines for treating patients with CEP.Öğe Oral Rehabilitation of a Patient with Congenital Erythropoietic Porphyria: A Rare Case Report(Univ Indonesia, Fac Dentistry, 2020) Alan, Raif; Celebi, Hakki; Kilinc, Fahriye; Dursun, RecepCongenital erythropoietic porphyria (CEP) is an extremely rare disorder involved in chronic porphyrias. One of the recommended evaluations to determine disease severity and needs of a person with CEP is dental assessment. Objective: To present a case of CEP and its oral rehabilitation. Case Report: A 32-year-old female patient was admitted to the clinic with hyperkeratinization, skin fragility, fissures, and wounds in her perioral region and hands. Intraoral gingival bleeding, mucogingival stress, and missing teeth were recorded. After medical consultation, phase I and II periodontal therapies were performed. The patient expressed satisfaction of the results of the procedures in terms of the parameters evaluated. The rare occurrence of the disease may delay the diagnosis. An unmet need still exists for multidisciplinary orientation of patients with CEP. Conclusion: Dentists should have and follow guidelines for treating patients with CEP.Öğe Peri-implant crevicular fluid levels of cathepsin-K, RANKL, and OPG around standard, short, and mini dental implants after prosthodontic loading(Korean Acad Periodontology, 2015) Alan, Raif; Marakoglu, Ismail; Haliloglu, SeyfullahPurpose: Despite the high success rates of endosseous dental implants, their placement is restricted according to the height and volume of bone available. The use of short or mini dental implants could be one way to overcome this limitation. Thus, this study aimed to compare standard, short, and mini dental implants with regard to associated clinical parameters and pen-implant crevicular fluid (PICF) levels of cathepsin-K (CTSK), RANK ligand (RANKL), and osteoprotegerin (UPS), after prosthodontic loading. Methods: A total of 78 non-submerged implants (Euroteknika, Aesthetica(+2), Sallanches, France) were installed in 30 subjects (13 male, 17 female; range, 26-62 years) who visited the clinic of the Periodontology Department Faculty of Dentistry, Selcuk University. Sampling and measurements were performed on the loading date (baseline) and 2, 14, and 90 days after loading. Assessment of the pen-implant status for the implant sites was performed using the pocket probing depth (PPD), modified plaque index, modified gingival index, modified sulcular bleeding index, and radiographic signs of bone loss. PICF samples collected from each implant were evaluated for CTSK, RANKL, and UPS levels using the ELISA method. Keratinized tissue and marginal bone loss (MBL) were also noted. Results: Clinical parameters statistically significantly increased in each group but did not show statistical differences between groups without PPD. Although implant groups showed a higher MBL in the upper jaw, only the standard dental group demonstrated a statistically significant difference. At 90 days, the OPG:sRANKL ratio and total amounts of CTSK for each group did not differ from baseline. Conclusions: Within the limitations of this study, both short and mini dental implants were achieving the same outcomes as the standard dental implants in the early period after loading.
