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    iSiL SONMEZ

    This study evaluated the effectiveness of two school-based oral health education (OHE) programs on the oral health knowledge and behavior and oral hygiene of 9-year-old children in Turkey. The study included 1,053 school children aged 9... more
    This study evaluated the effectiveness of two school-based oral health education (OHE) programs on the oral health knowledge and behavior and oral hygiene of 9-year-old children in Turkey. The study included 1,053 school children aged 9 years in Aydin, Turkey. This study was a prospective, two-arm, and parallel-group clinical trial between two different OHE programs. The dentist group received one lecture on OHE given by dentists in the classroom. The teacher group had a similar lecture given by school teachers, including supporting materials which were available throughout the academic year. Oral health knowledge and behavior were evaluated with a questionnaire at baseline, and then at 1 and 6 months. In total, 110 students were randomly selected to undergo a plaque accumulation assessment according to the Silness–Löe Index at baseline and 1 month later to determine the effects of the education programs on oral hygiene. At baseline, tooth-brushing frequency was similar in the study...
    ObjectiveThe aim of our study was to evaluate the efficacy of an herbal lollipop containing licorice root extract on salivary Streptococcus mutans in caries-free and high-caries-risk children.Materials and methodsThe study was conducted... more
    ObjectiveThe aim of our study was to evaluate the efficacy of an herbal lollipop containing licorice root extract on salivary Streptococcus mutans in caries-free and high-caries-risk children.Materials and methodsThe study was conducted in caries-free and high-caries-risk children, aged 5–11 years (n = 108). The groups were caries-free children (group A); high-caries-risk children whose dental treatment was completed before lollipop use (group B); and high-caries-risk children who did not comply with dental treatment (group C). The groups were divided into two subgroups: herbal (A-1, B-1, C-1) and placebo lollipops (A-2, B-2, C-2). Saliva samples were taken before dental treatment, before and after consuming lollipops, and at 3 months after consuming lollipops. The results were statistically analyzed with chi-squared test.ResultsOnly in group C-1 (high-risk, using herbal lollipops) that significant reduction was observed in salivary S. mutans levels after lollipop use (p = 0.033), and only in the same group (C-1), there was significant difference between after lollipop use and third month levels (p = 0.006).ConclusionsHerbal lollipops could be recommended to children with high-caries risk who do not comply with dental treatment in place of high-carbohydrate snacks.Clinical relevanceThe paper provides a perspective on using herbal products in high-risk children for reducing salivary S. mutans counts.
    The purpose of this study was to evaluate the clinical performance of a new colored compomer material, Twinky Star, in primary molars. Eighty class II restorations were placed in a total of 36 subjects and the clinical success of the... more
    The purpose of this study was to evaluate the clinical performance of a new colored compomer material, Twinky Star, in primary molars. Eighty class II restorations were placed in a total of 36 subjects and the clinical success of the restorations was evaluated after 12 months based on modified US Public Health Services criteria. The failure rate of the restorations was 3.9% (3 out of 77) and the clinical success of the restorations, measured by anatomic form, marginal integrity, marginal discoloration, surface texture, maintenance of interproximal contact and secondary caries, was acceptable. The clinical success of the colored compomer material, Twinky Star, indicates that it could be a good alternative to tooth colored compomers.
    Objective: The purpose of this clinical study was to compare the retention rates of two flowable restorative systems (Admira Flow and Grandio Flow) with that of a conventional resin-based sealant (Fissurit F). Materials and Methods: The... more
    Objective: The purpose of this clinical study was to compare the retention rates of two flowable restorative systems (Admira Flow and Grandio Flow) with that of a conventional resin-based sealant (Fissurit F). Materials and Methods: The study was planned as a clinical trial with a split-mouth design. A total of 122 sealants (38 Admira Flow, 41 Grandio Flow, 43 Fissurit F) were randomly applied to completely erupted permanent molars in 35 patients aged 9–20 years and followed up for 24 months. Data were analyzed using Pearson’s χ2 and multiple comparison tests. Results: At the end of the follow-up period, Fissurit F had higher retention rates (81.0%) than both Admira Flow (60.5%) and Grandio Flow (57.1%), with p < 0.05. However, there was no significant difference in caries development among groups (p > 0.05). Conclusion: The two flowable composite resin materials used as fissure sealant were less retentive than the conventional resin sealant.
    PURPOSE To evaluate the effect of casein phosphopeptide-amorphous calcium phosphate (CCP-ACP) application on the microhardness of bleached enamel and compare it to that of fluoride application. METHODS 10 extracted bovine incisors were... more
    PURPOSE To evaluate the effect of casein phosphopeptide-amorphous calcium phosphate (CCP-ACP) application on the microhardness of bleached enamel and compare it to that of fluoride application. METHODS 10 extracted bovine incisors were cut into four sections (4 x 4 x 3 mm) that were randomly distributed among five groups (n = 8). All groups were bleached three times using 38% hydrogen peroxide (HP), with 5-day intervals between bleaching, according to the following treatment protocols: Group A: bleaching only; Group B: bleaching + daily CCP-ACP paste; Group C: bleaching + daily casein phosphopeptide-amorphous calcium fluoride phosphate (CPP-ACPF) paste; Group D: bleaching + daily 250ppm NaF solution; Group E: bleaching + APF gel (once after final bleaching). Specimens were maintained in artificial saliva throughout the experiment. Baseline and post-treatment Vickers microhardness values were obtained for all specimens. Statistical analysis was performed using one-way ANOVA and post-...
    The purpose of this article was to assess the effectiveness of ozone therapy in the management and prevention of caries, reviewing clinical and in vitro studies. Ozone has proven to be effective against gram-negative and gram-positive... more
    The purpose of this article was to assess the effectiveness of ozone therapy in the management and prevention of caries, reviewing clinical and in vitro studies. Ozone has proven to be effective against gram-negative and gram-positive bacteria, viruses, and fungi. In dentistry, most of the published articles are based on ozone's antimicrobial effects and the treatment of caries. Most of the clinical studies reported ozone to be a promising alternative to conventional methods for caries management. However, a few studies have shown ozone to be insufficient for preventing caries and reducing microorganisms in open occlusal carious lesions. Ozone might be a useful tool to reduce and control oral infectious microorganisms in dental plaque and dental cavity. However, the results of in vitro studies are controversial; while some researchers reported that ozone therapy had a minimal or no effect on the viability of microorganisms, others suggested ozone to be highly effective in killing both gram-positive and gram-negative oral microorganisms. Therefore, more evidence is required before ozone can be accepted as an alternative to present methods for the management and prevention of caries.
    To determine the effect of deproteinization on the success of composite crowns in hypocalcified amelogenesis imperfecta-affected permanent teeth in intraoral conditions. A total of 32 permanent teeth in 4 healthy children with... more
    To determine the effect of deproteinization on the success of composite crowns in hypocalcified amelogenesis imperfecta-affected permanent teeth in intraoral conditions. A total of 32 permanent teeth in 4 healthy children with hypocalcified amelogenesis imperfecta were restored with strip crowns and composite resin. Teeth on the left side of the jaw were selected as the control group, and teeth on the right side of the jaw were selected as the treatment group. In the treatment group, a solution of 5% sodium hypochlorite was applied for 1 minute after acid conditioning of tooth surfaces. Clinical success was determined by USPHS modified Ryge criteria up to 36 months. The deproteinization procedure had no effect on the anatomic form of the restorations. The cervical integrity of the restorations in both groups showed inferior results after 36 months compared to baseline. For both groups, no recurrence of caries was observed. The deproteinization had no significant effect on the success of the adhesive restorations; however, composite restorations were clinically successful in children affected by hypocalcified amelogenesis imperfecta in long-term follow-up.
    These 3 case reports the outcome of revascularization treatment in necrotic immature molars. During treatment, a tri antibiotic mix was used to disinfect the pulp for 2 weeks. Then a blood clot was created in the canal, over which mineral... more
    These 3 case reports the outcome of revascularization treatment in necrotic immature molars. During treatment, a tri antibiotic mix was used to disinfect the pulp for 2 weeks. Then a blood clot was created in the canal, over which mineral trioxide aggregate was placed. After 24 months, the immature molars showed continuation of root development. The patients were asymptomatic, no sinus tracts were evident and apical periodontitis was resolved Results from these cases show that revascularization/regeneration using 3Mix-MP method could be effective for managing immature permanent molar teeth with pulpal necrosis.
    To report the effects of a primary tooth trauma on the underlying permanent tooth germ. 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... more
    To report the effects of a primary tooth trauma on the underlying permanent tooth germ. 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 increased clinical crown height with an 'enamel hyperplasia' in the cervical third and had hypoplastic enamel with yellowish-brown discoloration extending from the middle third to the incisal edge. Radiographic examination revealed that the permanent maxillary left central tooth had abnormal root morphology with root dilaceration. The patient revealed a history of trauma at the age of 4 years. An aesthetic restoration with light-curing resin composite was performed on the vestibular surface of the maxillary left permanent central tooth. Sequelae of a primary tooth trauma on the permanent tooth were restored. We recommend that parents should be aware of the consequences of untreated trauma to a primary tooth. Educational and preve...
    The aims of this cross-sectional study were to evaluate the level of fear of dental procedures among schoolchildren and assess the relationship between caries experience and fear of dental procedures. 275 children aged 7-11 years were... more
    The aims of this cross-sectional study were to evaluate the level of fear of dental procedures among schoolchildren and assess the relationship between caries experience and fear of dental procedures. 275 children aged 7-11 years were recruited for the study. Before conducting a dental examination, each subject was asked to independently complete a Children's Fear Survey Schedule - Dental Subscale (CFSS-DS) questionnaire. Children having a score of > or =38 were included in the group 'with dental fear' while those scoring <38 were placed in the 'without dental fear' group. All dental examinations were performed on the school premises according to WHO criteria. Mean CFSS-DS value was 28.1, and the number of children who experienced dental fear was 40 (14.5%). It was found that Decayed, Missing and Filled Surface Index (DMFS-dfs) increased significantly with increasing CFSS-DS values. Fear scores were highest for 'Choking' (3.3), 'Injections' ...
    The purpose of this study was to compare the sealing ability of the temporary restorative materials Cavit-G, Ketac Molar Easymix, and IRM with a new light-curing temporary material, Clip, using a methylene blue dye penetration test.... more
    The purpose of this study was to compare the sealing ability of the temporary restorative materials Cavit-G, Ketac Molar Easymix, and IRM with a new light-curing temporary material, Clip, using a methylene blue dye penetration test. Endodontic access preparations were prepared in 48 intact extracted human premolars. The teeth were divided into 6 groups, including positive and negative control groups. After access preparation, cotton pellets were placed in the pulp chamber so that the space remaining for the restoration was 4 mm. After thermal cycling for 500 cycles (5 degrees C-55 degrees C), the teeth were immersed in 2% methylene blue solution at neutral (pH = 7.0) in an incubator for leakage assessment. The teeth were sectioned, and the greatest depth of dye penetration was recorded. Marginal leakage was evaluated with a stereomicroscope. Positive control sections exhibited complete dye penetration, and negative controls had none. In the experimental groups, the differences in th...
    Atraumatic restorative treatment (ART) was developed primarily for use in under-served areas of the world. This study was designed to compare caries prevention with high-viscosity glass ionomer cement (GIC) sealants placed according to... more
    Atraumatic restorative treatment (ART) was developed primarily for use in under-served areas of the world. This study was designed to compare caries prevention with high-viscosity glass ionomer cement (GIC) sealants placed according to the ART procedure and light-cured ...