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    Evaluation of caries risk factors and effects of a fluoride-releasing adhesive material in children with insulin-dependent diabetes mellitus (IDDM)
    (Taylor & Francis Ltd, 2004) Bolgül, BS; Celenk, S; Ayna, BE; Atakul, F; Uysal, E
    The aims of this study were to evaluate the prevalence and risk factors of dental caries, and to determine whether there is any relationship between a fluoride-releasing adhesive material and the development of dental caries in the first year in children with insulin-dependent diabetics (IDDM). The average age of the subjects was 4-15 years, and they had been suffering from IDDM for at least 2 years. The DMF/df(t) indices of 70 patients were calculated and total HbA(1) (%) (glucose levels of blood) values were recorded from the medical records after clinical examination. The mean DMF/d(t) values of poorly controlled subjects (HbA(1) values over 13%) were significantly higher than those of moderately (HbA(1), 10.0-12.9%) and well-controlled (HbA(1) values, <10%) subjects. The levels of salivary mutans streptococci (MS) and lactobacilli (LB) and the pH of paraffin-stimulated whole saliva were measured in diabetic patients. Salivary MS and LB scores of the poorly controlled subjects were significantly higher (2.5 +/- 0.7 and 2.1 +/- 1.0) than those of the moderately (1.6 +/- 0.9 and 1.1 +/- 0.8) and well-controlled (1.2 +/- 1.0 and 0.8 0.8) subjects. The mean pH values among all subjects were not statistically significant. All dental caries were restored with a fluoride-releasing adhesive material. At the end of the first year, no new caries or lost restorations were observed in these patients. Moreover, the rate of MS in the poorly and moderately controlled subjects was considerably reduced. However, no significant statistical reduction of MS was determined in the well-controlled subjects. The level of lactobacilli in the poorly controlled, moderately controlled, and well-controlled subjects was reduced.
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    Öğe
    Use of an alternative pontic foundation technique for a fiber-reinforced composite fixed partial denture: A clinical report
    (Mosby, Inc, 2005) Ayna, E; Celenk, S
    This article describes the treatment of a patient for whom a fiber-composite laminate dowel and core and polyethylene fiber were used as a conservative alternative to provide a dowel-and-core and fixed partial denture foundation. The treatment plan included removing the existing restoration on the maxillary right first molar, placing a fiber-reinforced resin dowel and core for retention and reinforcement of the maxillary first premolar, and fabricating a definitive restoration using polyethylene fiber to reinforce the fixed partial denture.