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Öğe The evaluation of reasons for replacement of amalgam and composite(2013) Bahsi E.; Ince B.; Dalli M.; Sahbaz C.; Colak H.; Acikan I.; Aslan N.Amalgam and composite restorations take prime place in restorative dental practices. Over time, restorations are replaced for various reasons. This study aimed to evaluate the reasons for restoration replacement of patients presenting at Dicle University, Dental Faculty, Restorative Dentistry Clinic. The study comprised 705 patients (402 female, 303 male) who presented at the dental clinic for routine dental treatment. Without taking gender into consideration, patients aged 15-80 who were determined to have amalgam and composite filling problems were included in the study. The patients were allocated to 5 groups according to age: Group 1, 16-25 years, Group 2, 26-35 years, Group 3, 36-45 years, Group 4, 46-55 years, Group 5, 56 years and over. The failure of the fillings was diagnosed from clinical and radiological evaluation results. The age, gender and reason for the replacement of the restoration were recorded for all patients. The obtained data was evaluated with Student's t test and a difference was determined between the age groups. Of 705 restorations, 378 (53.62%) were amalgam and 327 were composite (46.38%). When the reasons for replacement of restorations were examined the primary reason was secondary caries (30.78%), followed by fracture of the restoration (17.6%) and overflowing filling (15.46%). A significant difference was found between the age groups in terms of the parameter of reason for restoration replacement (p<0.05). To determine between which age groups this difference was more significant, the Tukey HSD test was applied as a multiple comparison test. The most significant reason for replacement of amalgams and composites was found to be secondary caries. The factor of gender had no effect on the reasons for replacement of the restoration. Failure of the restoration was seen to be greater in the 16-25 age group.Öğe Evaluation of school-based prevention program in Turkey: Results of a 24-month study(Dental Investigations Society, 2016) Dulgergil C.T.; Ercan E.; Colak H.Objective: In this paper, cavity experiences of children with different levels of eruption and cavity activities that are enrolled at an elementary school with semi-rural characteristics in Kirikkale Provincial center were monitored for 2 years after a variety of protective applications. Materials and Methods: Three hundred and twenty-two children at the age of 7-11 were included in this study. Children were grouped as follows according to their cavity experiences and applications done: Group 1 - control group (with or without cavities) - was given hygiene training only; Group 2 - with medium level cavity activity (2-4 cavities in average) - oral hygiene training + surface restoration applied; Group 3 - children with 2-4 cavities on average - oral hygiene training + professional flour gel applied; Group 4 - children with 2-4 cavities in average - oral hygiene training + flour gel applied with brush; Group 5 - children with extreme cavity activity (children with 5 or more cavities) - oral hygiene training + surface restoration + professional flour gel combination applied. Results: At the end of the 2nd year, 277 children were reached. The increase of number of cavities in permanent teeth was determined as 35%, 0%, 1%, 0%, and 7% in groups 1-5, respectively. The difference between groups was found to be significant (Chi-square analysis, Pearson Chi-square = 27.002, P < 0.01). Conclusion: These findings have showed that, in Kirikkale Provincial center, some cavity-preventive measures such as surface restoration and gel applications, along with hygiene training, could provide optimum protection for school-age children. © 2016 European Journal of Dentistry.Öğe One-year clinical evaluation of Quixfil and Gradia Direct composite restorative materials in posterior teeth.(2013) Doğan D.; Ercan E.; Hamidi M.M.; Aylikçi B.U.; Colak H.The purpose of this study was to evaluate and compare the 12 month clinical performances of two different posterior composites in Class I and Class II restorations. Class I and class II cavities of 62 patients, 74 Quixfil (Dentsply/ Xeno V) and 68 Gradia Direct (GC America/G bond) composite restorations were placed by two dentists. Only small and medium-sized cavities were included in the study. Independent evaluations were performed at baseline (one week), after three months, six months, and one year, by one trained examiner using the modified U.S. Public Health Service rating criteria. Color match, marginal integrity, anatomical form, surface roughness, marginal or interfacial staining, postoperative sensitivity, and secondary caries were evaluated. Both restorative materials showed only minor changes, and no differences were detected between their performance at baseline and after 12 months. Postoperative sensitivity was observed in only one Quixfil restoration. In regard to the clinical performance, there was no statistically significant difference between the materials used. Both materials showed good clinical results with dominant alpha scores at the end of 12 months.Öğe Shear bond strength of bulk-fill and nano-restorative materials to dentin(Dental Investigations Society, 2016) Colak H.; Ercan E.; Hamidi M.M.Objectives: Bulk-fill composite materials are being developed for preparation depths of up to 4 mm in an effort to simplify and improve the placement of direct composite posterior restorations. The aim of our study was to compare shear-bond strength of bulk-fill and conventional posterior composite resins. Materials and Methods: In this study, 60 caries free extracted human molars were used and sectioned parallel to occlusal surface to expose midcoronal dentin. The specimens were randomly divided into four groups. Total-etch dentine bonding system (Adper Scotchbond 1XT, 3M ESPE) was applied to dentin surface in all the groups to reduce variability in results. Then, dentine surfaces covered by following materials. Group I: SonicFill Bulk-Fill, Group II: Tetric EvoCeram (TBF), Group III: Herculite XRV Ultra, and Group IV: TBF Bulk-Fill, 2 mm × 3 mm cylindrical restorations were prepared by using application apparatus. Shear bond testing was measured by using a universal testing machine. Kruskal-Wallis and Mann-Whitney U-tests were performed to evaluate the data. Results: The highest value was observed in Group III (14.42 ± 4.34) and the lowest value was observed in Group IV (11.16 ± 2.76) and there is a statistically significant difference between these groups (P = 0.046). However, there is no statistically significant difference between the values of other groups. In this study, Group III was showed higher strength values. Conclusion: There is a need for future studies about long-term bond strength and clinical success of these adhesive and bulk-fill systems. © 2016 European Journal of Dentistry.Öğe Talon cusps occurring concurrently with dens invaginatus on a permanent maxillary lateral incisor: A case report and literature review(Academy of General Dentistry, 2014) Colak H.; Yilmaz C.; Keklik H.; Colak T.A talon cusp is a prominent accessory horn-like structure that projects from the cingulum or cementoenamel junction of the maxillary or mandibular teeth. It can occur in primary and permanent dentition and can lead to occlusal interference, irritation of the tongue, pulpal necrosis, caries, and periodontal problems. Talon cusp has been reported to affect both sexes, and may be unilateral or bilateral. Talon cusps occur most often on the palatal surface of permanent maxillary incisors. A comprehensive literature review revealed only 6 reported cases of facial talon cusps. A talon cusp occurring simultaneously with dens invaginatus in a tooth is extremely rare; to date, only 9 case reports have been published. This article presents a unique case of concurrent dens invaginatus and palatal and facial talon cusps in the right maxillary central incisor of a 12-year-old girl. © 2014, Academy of General Dentistry. All rights reserved.