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Öğe Anticaries effect of atraumatic restorative treatment with fissure sealants in suburban districts of Turkey(Assoc Dental Sci Republic China, 2009) Ercan, Ertugrul; Dulgergil, Coruh Turksel; Dalli, Mehmet; Yildirim, Isil; Ince, Bayram; Colak, HakanBackground/purpose: This 3-year field trial was performed to compare the effectiveness of high-viscosity atraumatic restorative treatment with glass ionomer sealant (ART-GIS) on the development of caries in a population of children living in two distinct localities in Diyarbakir City in southeastern Anatolia, Turkey. One of these was a suburban district with tow socioeconomic conditions and tacked routine dental care, and the other was located in the city center and had a moderate socioeconomic status with proximity to a welt-designed dental center. Materials and methods: Two primary schools were selected as study sites in these two locations. In total, 368 ART-GIS procedures were performed on 208 children aged 9-11 years, white 174 children who were students at another school in the center of the same city did not receive the sealant and served as controls. The clinical status of the ART-GIS was evaluated at the baseline and during the first, second and third years after placement. Differences between the two groups for each evaluation period were analyzed using Student's t test for the two independent groups. Results: The control group had nearly ten, five and three times greater numbers of new caries than did the ART group during the first, second and third years, respectively. The difference between the groups was statistically significant for each examination period with respect to the number of children having new caries (Student's t test, P < 0.001), and new caries occurrence (Student's t test, P < 0.001). Conclusion: These results clearly show that the ART-GIS procedure can be used as a preventive method in rural and/or suburban areas where other preventive approaches are neither available nor economical.Öğe Comparative Evaluation of the Effects of Ozone, Diode Laser, and Traditional Cavity Disinfectants on Microleakage(Taylor & Francis Inc, 2014) Gunes, Sifa; Bahsi, Emrullah; Ince, Bayram; Colak, Hakan; Dalli, Mehmet; Yavuz, Izzet; Sahbaz, CaferAim: This study aimed to evaluate the effects on microleakage of the application of ozone gas, laser and traditional cavity disinfection under in vitro conditions. Material and Methods: Ninety third-molar teeth extracted for various reasons were used in this study. All the teeth were prepared with a standard V cavity on the buccal surface. Then the teeth were randomly allocated to one of 6 groups of 15 teeth; Group 1 benzalkonium chloride, Group 2 chlorhexidine gluconate, Group 3 sodium hypochloride, Group 4 diode laser, Group 5 ozone gas, Group 6 control group- no disinfection was applied. Primer was applied to the cavities, then bond and 10-s polymerization. Clearfil AP-X was used in the cavities as a hybrid composite and polymerized for 20 s. The samples then underwent 1000 thermal cycles of 30-s application, in baths at temperatures between 5 +/- 2 degrees C and 55 +/- 2 degrees C. All the samples were stirred in 0.5% basic phuxine solution and the sections taken under stereomicroscope were examined and photographed at 15 x magnification. SEM analysis was made and the obtained results were statistically evaluated with the Kruskal-Wallis test. Results: No significant difference was seen between the groups in respect of the microleakage values of both the occlusal and gingival edges (p < 0.05). Comparison of the microleakage values of the occlusal and gingival edges of the groups determined the least leakage to be in the ozone group (p < 0.05). Conclusion: No statistical significance was determined between the groups. However, the mean least microleakage was found in the ozone group and the highest amount in the control group.Öğe Effect of 1% chlorhexidine gel on the bonding strength to dentin(Elsevier Taiwan, 2010) Dalli, Mehmet; Ercan, Ertugrul; Zorba, Yahya Orcun; Ince, Bayram; Sahbaz, Cafer; Bahsi, Emrullah; Colak, HakanBackground/purpose: The purpose of this in vitro study was to evaluate the effect of 1% chlorhexidine (CHX) gel on dentin bond strengths of posterior composite resin applied with two different adhesive systems. Material and methods: In total, 75 extracted, caries-free human molars were used. The occlusal surface of each tooth was ground to create a flat dentin surface. Then, each tooth was mounted in acrylic. The dentin specimens were randomly assigned to five groups of 15 specimens each. In Group 1, Prime Et Bond NT (PBNT) was applied; in Group 2, a 1% CHX gel + etching for 15 s + PBNT were applied; in Group 3, etching + 1% CHX gel + PBNT were applied; in Group 4, Clearfil S-3 Bond was applied; and in Group 5, 1% CHX gel + Clearfil S-3 Bond were applied. A dentine bonding system was applied to dentin surfaces, and composite cylinders were built up using a special device and then light-polymerized. Specimens were mounted and sheared using an Instron universal testing machine at a cross-head speed of 0.5 mm/min. Results: The results were recorded in megapascals. The sheared specimens were examined under a light microscope, and the type of failure (adhesive, cohesive or mixed) was recorded. Data were compared by one-way analysis of variance and Tukey's honestly significant difference tests. Means were 16.4 +/- 4.1 MPa in Group 1, 16.2 +/- 3.9 MPa in Group 2, 13.0 +/- 4.5 MPa in Group 3, 11.9 +/- 2.7 MPa in Group 4, and 11.5 +/- 2.7 MPa in Group 5. The use of 1% CHX gel before acid etching was significantly higher than after etching on the shear bond strength of PBNT (P < 0.05), but did not differ significantly from PBNT alone (P > 0.05). Conclusion: Within the limitations of the present in vitro study, it was concluded that 1% CHX gel application did not adversely affect the shear bond strengths of dentin-bonding agents.Öğe Effect of Different Cavity Disinfectants on Shear Bond Strength of Composite Resin to Dentin(Quintessence Publishing Co Inc, 2009) Ercan, Ertugrul; Erdemir, Ali; Zorba, Yahya Orcun; Eldeniz, Ayce Unverdi; Dalli, Mehmat; Ince, Bayram; Kalaycioglu, BarisPurpose: The aim of this study was to evaluate the effect of different cavity disinfectants on dentin bond strengths of composite resin applied with two different adhesive systems. Materials and Methods: One hundred mandibular third molars were sectioned parallel to the occlusal surface to expose midcoronal dentin. The dentin surfaces were polished with waterproof-polishing papers The specimens were randomly divided into 5 groups of 20 each. In group 1, the specimens were not treated with any cavity disinfectants and served as control. From groups 2 to 5. dentin surfaces were treated with the following cavity disinfectants, respectively; 2% chlorhexidine solution, 2.5% NaOCl, 1% chlorhexidine gel, 3% H2O2. The specimens were then randomly divided into 2 subgroups including ten teeth each to evaluate the effect of different bonding systems Dentin bonding systems were applied to the dentin surfaces and the composite buildups were created After the specimens were stored in an incubator for 24 h. the shear bond strength was measured at a crosshead speed of 1 mm/min. The bond strength data were analyzed with one way analysis of variance and Tukey-HSD tests. Results: There was no significant difference between chlorhexidine gel and control groups regardless of the type of the bonding agent (p > 0.05). On the other hand, pretreatment with NaOCl, H2O2 or chlorhexidine solutions had a negative effect on the shear bond strength of self-etching bonding systems Conclusion: The findings of this study suggest that when NaOCl, H2O2 or chlorhexidine solution Eire used as a cavity disinfectant, an etch-and-rinse bonding system should be preferredÖğe Evaluation of the clinical success of class I cavities prepared by an Er:YAG laser-2-year follow-up study(Elsevier Taiwan, 2008) Ercan, Ertugrul; Dulgerfil, Coruh Turksel; Nalcaci, Adil; Dalli, Mehmet; Zorba, Yahya Orcun; Ince, BayramThe aim of this study was to evaluate the success of class I occlusal restorations prepared by an Er:YAG laser after 24 months. Sixty-five teeth of 30 patients were included in the study, and an Er:YAG laser emitting at a wavelength of 2.94 mu m was used for the class I cavity preparations with not more than 113 of the mesiodistal width of the occlusal surfaces of each tooth. All cavities were restored with a light-cured composite resin, following a single bond application. After the baseline examination, restorations were reevaluated by the same experienced clinician after 24 months, using modified Ryge criteria. After 2 years, 53 restorations were reviewed in 26 patients. None of the teeth showed signs of secondary caries. Except for 2 teeth subjected to endodontic treatment due to pulpal inflammation, all other restorations were present, and the teeth were vital. Slight marginal discoloration was observed in 5 restorations, having a beta score. With its satisfactory acceptance by patients, class I cavity preparation with an Er:YAG laser would be a useful alternative for other conventional methods, especially for teeth which are to be restored with composite resins. (J Dent Sci, 3(4) : 193-198, 2008)
