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Öğe Congenital insensitivity to pain: A case report with dental implications(2010) Sezgin Bolgül B.; Hamamci N.; Ağçkiran E.; Çelenk S.; Ayna B.Congenital insensitivity to pain is a rare disorder seen in early childhood. Five different types of hereditary sensory and autonomic neuropathy have been identified, to date, with different patterns of sensory and autonomic dysfunction, peripheral neuropathy, clinical features, and genetic abnormalities. Absence of pain and self-mutilation are characteristic findings of this syndrome. Teeth in the oral cavity can cause damage to the oral tissues and tongue. When diagnosed, there should be cooperation between the dentist and neurologist. Using an oral shield prevents biting, and thus tissue trauma can be prevented. Here, we present the case of a 6-month-old boy with congenital insensitivity to pain (hereditary sensory and autonomic neuropathies; HSAN type V) with self-mutilation injuries to his tongue and fingers caused by biting, along with a discussion of treatment strategies. The results of this report suggest that early diagnosis and specific dental management for patients with congenital insensitivity to pain are important for prevention of the characteristic oral and dental problems accompanying this disorder.Öğe A diagnosis and treatment of the multiple compound odontoma in mandibula(2009) Sezgin Bolgul B.; Gorgun B.; Ozer T.; Celenk S.; Ayna B.; Atakul F.Odontomas are classified as odontogenic tumours: however, they are thought to be developmental anomalies in which all dental tissues are represented. Compound odontomas are the most common type of odontogenic tumours and generally they are asymptomatic. The occurence of odontoma in the primary dentition is also uncommon. This paper, describes a case of compound odontomas diagnosed in 9 years old male child who presented to the Dicle University Dental Faculty Pediatric clinic complaining about unerupted teeth.Öğe Evaluation of clinical and microbiological features of deep carious lesions in primary molars(2003) Ayna B.; Çelenk S.; Atakul F.; Sezgin B.; Özekinci T.Purpose: Concern about the survival of microorganisms in deep carious lesions may often lead to unnecessary exposure of the pulp during excavation. This study evaluated the relationship between microbiological and clinical results of deep carious lesions in primary molars. Methods: Clinical evaluation was performed on 72 deep carious lesions considered to have pulp perforation after traditional excavation. The dentin color and consistency were assessed by means of standardized scales using the technique of Bjorndal et al before restoration. For microbiological examination, dentin samples were taken by a sterile bur and transferred to transport fluid, then plated on tryptic soy agar for growth of total colony forming units. Samples were then transferred on Rogosa SL agar for growth of oral lactobacilli and on mitis salivarius agar for growth of mutans streptococci. Results: The proportion of mutans streptococci, lactobacilli, and total colony forming units increased when the dentin color and consistency increased. However, the proportion of lactobacilli was smaller than diat of mutans streptococci in carious dentin samples. Conclusions: Contrary to expectations, the findings showed that the number of bacteria in carious dentin of primary molars was not significantly excessive. (J Dent Child. 2003;70:15-18).
