Evaluation of the color stability and surface roughness of dual-cure, bulk-fill composites

Aim: In recent years, tooth-colored, dual-cure, bulk-fill composite resins, which have attracted attention for their ease of use, constitute one of the latest developments in pediatric dentistry applications. This study aimed to evaluate the color stability and surface roughness properties of three different dual-cure, bulk-fill materials and one light-cure, bulk-fill composite material used in pediatric dentistry. Methodology: In this study, three different dual-cure, bulk-fill composites (Fill-Up, HyperFIL, Cention-N) and one light-polymerized bulk-fill composite (Reveal HD) were used. A total of 70 samples were obtained for surface roughness testing. The surface roughness testing was performed with a Hysitron TI 950 Triboindenter device. A total of 105 samples were obtained for the evaluation of color stability. Cherry juice, iced tea, and distilled water were used as solutions. Initial and final color measurements were made using a spectrophotometer. The color differences between measurements were recorded according to the CIEDE 2000 system. Results: The least surface roughness among the composite groups was observed in the light polymerized Cention-N composite samples in the experimental group. In the Fill-Up and Cention-N composite groups in the experimental group, the surface roughness of the samples left to self-polymerization and the samples polymerized with light showed a statistically significant difference (p < 0.05). Among the composite groups, the highest amount of coloring was observed in the Fill-Up composite samples, which were left to self-polymerization and kept in cherry juice in the experimental group. The least coloration among the composite groups was observed in the Cention-N composite samples polymerized with light and kept in distilled water. Conclusion: Based on this information, a decrease in surface roughness and an increase in color stability can be expected due to self-polymerization and the light polymerization of dual-cured, bulk-fill composites. How to cite this article: Şivgan Güner Z, Bolgül B, İnandı T. Evaluation of the color stability and surface roughness of dual-cure, bulk-fill composites. Int Dent Res 2021;11(Suppl.1):266-273. https://doi.org/10.5577/intdentres.2021.vol11.suppl.39 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

The effect of mesenchymal stem cells, demineralized bone graft and platelet-rich plasma on osteogenesis in rat tibia defects

Aim: Deformities of the jaw and face are often caused by infection, inflammation, and cystic and neoplastic pathological conditions. Defects with various aetiologies should be repaired promptly using the most appropriate approach to reconstruct the anatomical form. To treat defects, bone grafts with various combinations have been used. In particular, combinations including cellular products to enhance osteogenic properties have been implemented. In this study, we aimed to investigate the effects of different materials and cells on bone defects by using mesenchymal stem cells (MSCs), which are thought to have a positive effect on healing, demineralized bone graft (DMB) and platelet-rich plasma (PRP). Methodology: We used 55 female rats weighing between 200-250 g, four of which were used to obtain platelet-rich plasma. The remaining animals were divided into five groups. Group I (n = 6) was the operative control group, Group II (n = 24) was given DMB, Group III (n = 24) was given DMB+PRP, Group IV (n = 24) was given MSC+DBG and Group V (n = 24) was given DMB+PRP+MSC applied to rat tibial defects (10 mm x 3 mm x 2 mm). Results: Statistically significant differences were observed in bone osteoblastic activity in tibia defects among the groups (p<0.05). Conclusion: Bone regeneration was significantly improved in groups where MSCs were used in combination with DMB and PRP. How to cite this article: Erdoğmuş Z, Gülsün B. The effect of mesenchymal stem cells, demıneralızed bone graft and platelet-rıch plasma on osteogenesıs ın rat tıbıa defects. Int Dent Res 2021;11(Suppl.1):47-55. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.8 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Current approach to bone augmentation with allogeneic cortical graft: A case report

Aim: Today, dental implant applications have become the most preferred option in the treatment of tooth deficiencies. Long-term successful results in dental implant applications depend largely on the volume and quality of the hard and soft tissues in the relevant region. Insufficient soft tissues and alveolar crest resorption complicate implant applications. Grafts and additional surgical procedures are required to compensate for resorption and to provide bone augmentation. Shell technique, one of the augmentation methods used in the treatment of alveolar bone defects, is an important procedure for guided bone regeneration. The purpose of this case report is to describe the treatment of vertical and horizontal bone loss with the Shell technique using allogeneic cortical grafts. Methodology: A 58-year-old female patient without any systemic disease was admitted to our clinic with the complaint of tooth loss in the right posterior mandibular region. In the intraoral and radiological examinations, it was determined that the bone volume in the relevant region was not sufficient for dental implant. Two-stage surgical treatment was planned for the patient. First, vertical and horizontal bone defects were augmented with allogeneic cortical graft application under local anesthesia. After the healing process, dental implants were placed in the sufficient volume of the alveolar bone and the patient's treatment was completed. Conclusion: Allogeneic grafts in the treatment of alveolar crest defects; it is a good alternative to autogenous bone grafts,there is no need for a second surgical field and the resulting reduction in morbidity. How to cite this article: Eriş Derkuş F, Yılmaz UN. Current approach to bone augmentation with allogeneic cortical graft: A case report. Int Dent Res 2021;11(Suppl.1):299-302. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.44 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Treatment of anatomic canal variations in premolar teeth: Five case reports

Aim: The aim of this case report is to present a series of anatomical variations and endodontic treatments in four two-canal mandibular premolar teeth and three rooted three-canal maxillary second premolar teeth with root canal treatment indications identified via clinical and radiographic examinations. The success of root canal treatment is achieved with a thoroughly examined root canal morphology that has been accurately determined radiographically and clinically before adequate shaping, irrigation, and hermetic filling procedures. Root canals that are not found or not adequately disinfected can cause root canal treatment failure and complications, such as pain, swelling, or persistent fistula, also known as flare-up, after treatment. Canal variations in the teeth were detected via periapical radiographs during the root canal instrumentation stage. Methodology: The endodontic treatments of four two-canal mandibular premolar teeth and one triple-rooted three-canal maxillary second premolar with root canal treatment indications were described. Conclusion: To achieve full success in root canal treatment, anatomical variations should be examined in detail before and during treatment, and treatment should be completed with appropriate techniques. How to cite this article: Dinger E, Bodrumlu E. Treatment of anatomic canal variations in premolar teeth: Five case reports. Int Dent Res 2021;11(Suppl.1):279-84. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.41 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Shortening of bones using novel contraction osteogenesis device: An experimental study

Aim: Given the high complication rates associated with orthognathic surgery for the correction of maxillomandibular malformations, studies have focused on alternative methods of strengthening the jaw, such as distraction osteogenesis. However, methods of shortening of the jaw are not well-elucidated in oral and maxillofacial surgery practice. This study aims to investigate the efficacy of a new method of shortening osteotomized jaws. Methodology: A 2.5–3 cm skin incision was made on the left tibia of each of 15 New Zealand white rabbits aged 12–18 months, followed by fixation of 15 mm pre-opened distractor devices to the tibia after osteotomy. After a five-day latency period, the distractors were activated to a total of 8 mm, with closure of the device set at a rate of 0.25 mm/day in the test group. After a five-day latency period, the distractors closed at a rate of 0.125 mm/day, achieving a total contraction of 5 mm. The distractors were not activated in the control group. The bone at the contraction range was evaluated, and the resultant shortening was measured. Results: The tibia was shortened by an average of 4.32 mm. Exaggerated bone formation was identified around the osteotomized cortical bone in all rabbits in the control and study groups, and there were minimal complication rates. Conclusion: This study verified that the jaw can be shortened by performing slow, controlled contraction with a bone resorption pattern. How to cite this article: Ocak H, Kılıç E. Alkan A, Shortening of the bones using a novel contraction osteogenesis device: An experimental study. Int Dent Res 2021;11(Suppl.1):26-31. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.5 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Comparison of cyclic fatigue of a reciprocating file system at different angles of rotation

Aim: The purpose of this in vitro study is to compare the cyclic fatigue resistance of Reciproc Nickel-Titanium (Ni-Ti) rotary files while operating root canals using in three different reciprocal angles. Methodology: Forty-five pieces of Reciproc R25 canal files were tested using artificial canals with a 60° angle of curvature, 5 mm curvature radius, and 1.5 mm diameter carved into a stainless steel block. The Ni-Ti files were checked with a stereomicroscope and then randomly separated into 3 groups. Group 1 consisted of reciprocal angles CCW 150°–CW 30°, Group 2 consisted of CCW 180°–CW 60°, and Group 3 consisted of CCW 210°–CW 90°. The duration of the cyclic fatigue being measured, elapsed time until a file fractured was determined with a chronometer. The lengths of the fractured pieces were measured with a digital caliper. After the cyclic fatigue test, two samples from each group were examined with a Scanning Electron Microscope (SEM) to determine the signs of cyclic fatigue. Results: One-way analysis of variance (ANOVA) was applied to the normally distributed groups (p<0,05). Since there was a significant statistical difference of file’s cyclic fatigue resistance (p=0,001) between the groups, Tukey’s honestly significant difference (HSD) post-hoc pairwise comparison test were used for determine to between which groups. While there were statistically significant differences between Group 1 and Group 2 (p=0,001), and between Group 1 and Group 3 (p=0,001), there was no significant difference between Group 2 and Group 3 (p=0,376). Group 1 displayed the highest resistance to cyclic fatigue. There were no statistically significant differences between the lengths of the fractured files within the three groups according to the one-way analysis of variance (p=0,847). Conclusion: In our study, it was observed that the reciprocal angles of CCW 150°–CW 30°, which were also suggested by the file manufacturer firms, had the highest fracture resistance against cyclic fatigue. How to cite this article: Akay A, Adıgüzel Ö, Erkan Akay S, Kaya S. Comparison of cyclic fatigue of a reciprocating file system at different angles of rotation. Int Dent Res 2021;11(Suppl.1):67-72. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.11 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

The effect of optical brightening toothpaste on the color stability of esthetic restorative materials

Aim: The aim of this study is to evaluate the effects of whitening toothpaste applications on the color stability of different tooth-colored restorative materials (Fuji IX, GC Fuji II LC, Equia Forte, and Kerr Point 4) Methodology: Standardized fourty disc-shaped specimens were prepared from esthetic restorative materials and polished. The baseline color values of each specimen were then measured using a spectrophotometer, according to the Commission Internationale de l'Eclairage L*, a*, and b* (CIELAB) color scale. Ten specimens from each group were then immersed in two different beverages (cherry juice and coke) for seven days. After immersion, the color value of each specimen was re-measured. Each sample was brushed with whitening toothpaste for 30 seconds using an electric toothbrush. The samples were kept in distilled water at room temperature and brushing continued twice a day for seven days. The color change value, Delta E (ΔE), was calculated. Data were analyzed by two-way ANOVA and post hoc Tukey's test. Results: When the results were evaluated, after the colored samples had been brushed with whitening toothpaste, a difference was found between the Delta E values according to the materials used (p<0.001), but no difference was found in relation to the beverages (p>0.001). When the values of the color changes were evaluated after the first brushing with whitening toothpaste and before the specimens were colored with drinks, a difference was observed in the Fuji II cola, Fuji II cherry, and Equia Forte cola groups (p<0.05). When the values of the color changes were evaluated for specimens in which brushing had been done twice a day for seven days with whitening toothpaste and before they were colored with drinks, a significant difference was observed in the Fuji II cherry and Equia Forte cola groups (p<0.05). Conclusion: Using Signal White Now whitening toothpaste for 2 min 2 times a day for seven days caused significant changes in the color of the restorative materials. The color change is dependent upon the type of restorative material that is used. How to cite this article: Kahvecioğlu F, Çoban E, Ülker HE. The effect of optical brightening toothpaste on the color stability of esthetic restorative materials. Int Dent Res 2021;11(Suppl.1):80-4. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.13 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Evaluation of the dental anxiety levels of patients applying to the faculty of dentistry during the COVID-19 pandemic

Aim: The purpose of this study is to determine the levels of dental anxiety in patients who applied to the Necmettin Erbakan University Faculty of Dentistry during the COVID-19 outbreak and to evaluate the relationships of their anxiety levels to age, gender, education level, and the frequency of visits to dentists. Methodology: There were 320 participants, including 163 females (50.9%) and 157 males (49.1%), aged from 18 to 65 years or older, who had applied to the Necmettin Erbakan University Faculty of Dentistry. The Corah Dental Anxiety Scale (CDAS) was used to determine the levels of dental anxiety (non-anxiety, little anxiety, anxiety, over anxiety, and excessive anxiety) and the anxiety groups (low or high). Descriptive statistics were presented in percentages. Data were analyzed using t-tests and one-way ANOVA and chi-square tests, at a significance level of p = 0.05. Results: Among the participants, 38.1% were at the non-anxiety level, 44.1% had very little anxiety, 10.9% had anxiety, 5% had over anxiety, and 1.9% had excessive anxiety. With regard to the anxiety groups, 82.5% were in the low anxiety group, and 17.5% were in the high anxiety group. Age, education level, and frequency of visiting the dentist were not found to have any effects on dental anxiety (p > 0.05). However, the effect of gender with regard to dental anxiety was significant (p < 0.05), as females had higher dental anxiety levels than males. Conclusion: While the effect of gender was found to be important in terms of dental anxiety, age, educational status, and the frequency of visiting the dentist did not have significant effects on dental anxiety. Females had higher dental anxiety scores and levels than males. How to cite this article: Tunçdemir AR, Büyükerkmen EB, Savaş A. Evaluation of the dental anxiety levels of patients applying to the faculty of dentistry during the Covıd-19 pandemic. Int Dent Res 2021;11(Suppl.1):238-244. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.35 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Effects of removable dental prostheses on mandibular bone density in postmenopausal osteoporotic patients

Aim: To investigate the effects of removable dental prostheses on mandibular bone density in postmenopausal osteoporotic patients. Methodology: The prospective study included 30 female patients aged 45–70 years who had been previously diagnosed with postmenopausal osteoporosis. The patients had no diseases affecting bone metabolism. The patients were divided into two groups: (i) patients who were using removable dental prostheses (n=15) and (ii) patients who were not using removable dental prostheses (n=15) (the control group). A whole-body dual energy x-ray absorptiometry (DXA) scan was performed to calculate the mandibular bone densities of the patients. Results: The use of removable mandibular prostheses did not cause a significant change in mandibular bone density. Conclusion: The fact that removable mandibular prostheses did not cause a significant change in mandibular bone density could be because the patients started using the removable prostheses long after they lost their teeth. How to cite this article: Akın Tartuk G, Kaya S. The effect of different final irrigation solutions on apical impermeability. Int Dent Res 2021;11(Suppl.1):201-5. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.28 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Temporary adhesive bridge restoration of the upper anterior teeth lost due to trauma: Three case reports

Aim: Traumatic dental injuries at the anterior region of the maxilla occur frequently in children and adults. In this case report, we aimed to describe the temporary aesthetic restoration of the upper lateral incisor with a fiber-reinforced bridge by using the original tooth crown, which had avulsed after dental trauma. Methodology: Case 1: A 14-year-old girl with an avulsion in tooth #11 due to trauma visited our clinic. During the examination, it was seen that the wound had healed, and there was no luxation in teeth #21 and #12. Since the patient could not undergo prosthetic procedures, for reasons including implants, and did not want a removable prosthesis, a single crown supported by acrylic tooth fibers was constructed. Case 2: A 17-year-old male patient was referred to our clinic because of an avulsed left lateral incisor tooth, which was traumatized 15 days before visiting the clinic. His medical history revealed that his parents had found the tooth two hours after the trauma. However, the emergency clinic that he had previously visited did reimplant that tooth and repaired it with fiber-reinforced composite. Case 3: In the examination of a 12-year-old male patient who applied to our clinic due to trauma, it was observed that tooth #11 had an avulsion and tooth #12 had a crown fracture. Root canal treatment was performed. A crown was made for the patient by supporting the fiber inside the canals of tooth #11 and tooth #21. It was revised aesthetically with the support of the crown of the other tooth. Conclusion: Avulsion after anterior trauma affects patients’ appearance aesthetically; thus, patients want to be treated as soon as possible. Function, phonation, and aesthetics must be quickly provided for a loose anterior tooth. Fiber-reinforced adhesive bridge techniques may be considered as a temporary treatment for providing an aesthetically appealing appearance until the completion of permanent prosthetic treatment. How to cite this article: Şahin M, Toptancı İR. Temporary adhesive bridge restoration of the upper anterior teeth lost due to trauma: Three case reports. Int Dent Res 2021;11(Suppl.1):285-91. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.42 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.