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Öğe Effect of internal connection type and screw channel angle on the screw stability of anterior implant-supported zirconia crowns(Wiley, 2023) Cakmak, Guelce; Guven, Mehmet Esad; Donmez, Mustafa Borga; Kahveci, Cigdem; Schimmel, Martin; Abou-Ayash, Samir; Yilmaz, BurakObjectivesTo investigate the effect of implant-abutment connection and screw channel angle on screw stability by comparing a newly introduced and an established connection, before and after cyclic loading.Materials and MethodsImplants (N = 44) with Torcfit (TF) or Crossfit (CF) connection were divided to be restored with a straight (CFS and TFS) or an angled screw access channel (CFA and TFA) titanium-base abutment (n = 11). CFA and TFA received screw-retained crowns, whereas CFS and TFS received hybrid zirconia abutments and cement-retained crowns. The initial torque value (ITV) of each complex (ITVI) and removal torque value (RTV) after 24 h (RTVI) were measured. Screws were replaced with new ones, ITVs were recorded again (ITVF), and crowns were cyclically loaded (2.4 million cycles, 98 N) to measure RTVs again (RTVF). Percentage torque loss was calculated. Data were analyzed (a = 0.05).ResultsITVs were similar among groups (p = .089). CF led to higher RTVs (p = .002), while CFS had higher RTVI than CFA (p = .023). After 24 h, CFS had lower percentage torque loss than TF, while CFA had lower percentage torque loss than TFA (p = .011). After cyclic loading, CF led to lower percentage torque (p < .001).ConclusionThe implant-abutment connection affected the removal torque values. However, no screw loosening occurred during cyclic loading, which indicated a stable connection for all groups. Screw access channel angle did not affect screw stability after cyclic loading.Öğe Effects of Fibers on Color and Translucency Changes of Bulk-Fill and Anterior Composites after Accelerated Aging(Hindawi Ltd, 2018) Tuncdemir, Ali Riza; Guven, Mehmet EsadThe aim of this study was to determine the effects of glass and polyethylene fibers on the color and translucency change of bulk-fill and anterior composites before and after artificial accelerated aging (AAA). Two types of teflon molds were used to fabricate samples which were 13 mm in diameter and, respectively, 2 mm and 4 mm in height. Polyethylene fiber (PF) and glass fiber (GF) were incorporated in the middle of the composite samples. Color and translucency changes of each composite were evaluated before and after AAA with spectrophotometer. ANOVA and Tukey's HSD post hoc statistical analysis were used at a significance level of 0.05. Before AAA (for anterior composites), there were no significant differences in L* and b* parameters among the three groups (p > 0.05); there were no significant differences in L* parameter between PF and GF groups or in TP between GF and control groups (p > 0.05) (for bulk-fill composites). After AAA, there were no significant differences in L* parameter between GF and control groups, in L* parameter between PF and control groups, in L* parameter among all groups, or in TP parameter between GF and control groups (p > 0.05). Fiber reinforcement led to color and TP change in both anterior and bulk-fill resin composites.Öğe Evaluation of Dimensional Stability and Occlusal Wear of Additively and Subtractively Manufactured Resin-Based Crowns after Thermomechanical Aging(Mdpi, 2023) Guven, Mehmet Esad; Cakmak, Gulce; Donmez, Mustafa Borga; Yilmaz, BurakThe knowledge on the surface deviations and wear of recently introduced additively or subtractively manufactured materials indicated for definitive prosthesis is limited. The aim of this present study was to evaluate the external surface and mesiodistal width deviation and the occlusal surface wear of one additively manufactured composite resin (MS) and three subtractively manufactured resins (nanographene-reinforced polymethylmethacrylate (GR), conventional polymethylmethacrylate (PMMA), and reinforced composite resin (BC)) after thermomechanical aging. Molar-shaped crowns were fabricated in the tested materials and digitized with an intraoral scanner (CEREC Primescan; Dentsply Sirona, Bensheim, Germany). Each crown was subjected to thermomechanical aging and rescanned with the same scanner. A three-dimensional analysis software (Geomagic Control X v.2022.1; 3D Systems, Rock Hill, SC, USA) was used to calculate the deviations on the external surface, mesiodistal width, and wear on the occlusal surfaces of the tested crowns. Data were analyzed using one-way ANOVA and Tukey's tests (alpha = 0.05). MS had higher external surface deviations than PMMA and GR (p <= 0.038) and higher mesiodistal width deviations than PMMA and BC (p = 0.004). BC and GR had higher volume loss than PMMA (p <= 0.002). The additively manufactured composite resin was more prone to deviations, while reinforced composite resin had lower wear resistance than most of the tested materials.Öğe A HUGE LESION IN THE MAXILLARY POSTERIOR REGION DIAGNOSED HIGH GRADE MUCOEPIDERMOID CARCINOMA OF MINOR SALIVARY GLANDS: A CASE REPORT(Dokuz Eylul Univ Inst Health Sciences, 2022) Magat, Guldane; Ozcan, Sevgi; Yuce, Fatma; Cetin, Mine; Guven, Mehmet Esad; Eravci, Fakih Cihat; Orhan, KaanMucoepidermoid carcinoma (MEC) is the most common malignant tumor of the salivary glands. These tumors occur commonly in the major salivary glands, especially the parotid, and they are the most frequently located in the palate intraorally. The similarity between MEC and other odontogenic cysts in the mouth is a critical situation that needs attention in clinical examination. Early diagnosis is very important in the diagnosis of asymptomatic growth, reaching very large sizes easily, its recurrence potential, and malignant character. The treatment and prosthetic rehabilitation of MEC are specified according to histopathological grade, location, and invasion pattern of the tumors. The purpose of this case is to present a 19-years-old female with high-grade MEC of minor salivary glands at the palate.Öğe Repair of aged bulk-fill composite with posterior composite: Effect of different surface treatments(Wiley, 2019) Ayar, Muhammet Kerim; Guven, Mehmet Esad; Burduroglu, Hatice Defne; Erdemir, FatihObjective In the present study, the ability of posterior resin composite to repair aged bulk-fill resin composite and vice versa were assessed by shear bond strength testing. Materials and Methods Resin composite substrates were aged and surfaces were abraded with abrasive papers, then bulk-fill substrates were repaired with posterior resin composite and vice versa using different surface treatments (no surface treatment [control]; etching with 37% phosphoric acid [H3PO4] for 20 seconds; etching with 10% hydrofluoric acid [HF] for 20 seconds; etching with 37% H3PO4 for 20 seconds + adhesive application; etching with 10% HF for 20 seconds + adhesive application; adhesive application only). Shear bond strengths (SBS) were then measured and surface roughness values (Ra) were determined. Cohesive strengths of nonaged resin composites were measured and used as reference groups. Resin composite surfaces after acid etching were evaluated by SEM. Data were analyzed using ANOVA and Fisher's LSD tests (P < .05). Results ANOVA showed that resin composite repair type did not affect SBS significantly (P = .850), while it showed that surface treatments significantly affected the SBS (P = .000). Only a combination of etching with 10% HF for 20 seconds with resin adhesive application provided similar SBS values with those of the positive control. Conclusions It was concluded that the aged bulk-fill resin composite would be effectively repaired with conventional posterior resin composite or vice versa if proper repair protocol was deployed. Clinical Significance The combination of 10% HF etching and adhesive application would provide efficient repair strength when the aged bulk fill resin composite is repaired with conventional posterior resin composite or vice versa.Öğe Trueness and precision of combined healing abutment scan body system scans at different sites of maxilla after multiple repositioning of the scan body(Elsevier Sci Ltd, 2023) Donmez, Mustafa Borga; Guven, Mehmet Esad; Yilmaz, Deniz; Abou-Ayash, Samir; Cakmak, Gulce; Yilmaz, BurakObjectives: To evaluate the accuracy of the scans of the combined healing abutment-scan body (CHA-SB) system located at different sites of the maxilla when SBs are replaced in between each scan.Methods: Three SBs were seated into HAs located at the central incisor, first premolar, and first molar sites of a maxillary model inside a phantom head, and the model was scanned extraorally (CEREC Primescan SW 5.2). This procedure was repeated with new SBs until a total of 10 scans were performed. Standard tessellation language files of CHA-SBs at each implant location were isolated, transferred into analysis software (Geomagic Control X), and superimposed over the proprietary library files to analyze surface (root mean square), linear, and angular deviations. Trueness and precision were evaluated with one-way analysis of variance and Tukey tests. The correlation between surface and angular deviations was analyzed with Pearson's correlation (alpha=0.05).Results: Molar implant scans had the highest surface and angular deviations (P <=.006), while central incisor implant scans had higher precision (surface deviations) than premolar implant scans (P=.041). Premolar implant scans had higher accuracy than central incisor implant scans on the y-axis (P <=.029). Central incisor implant scans had the highest accuracy on the z-axis (P <=.018). A strong positive correlation was observed between surface and angular deviations (r = 0.864, P<.001).Conclusion: Central incisor implant scans mostly had high accuracy and molar implant scans mostly had lower trueness. SBs were mostly positioned apically; however, the effect of SB replacement can be considered small as measured deviations were similar to those in previous studies and the precision of scans was high.Clinical Significance: Repositioning of scan bodies into healing abutments would be expected to result in similar single crown positioning regardless of the location of the implant, considering high scan precision with the healing abutment-scan body system. The duration of the chairside adjustments of crowns in the posterior maxilla may be longer than those in the anterior region.