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    The Adjunctive Effect of Platelet-Rich Fibrin to Connective Tissue Graft in the Treatment of Buccal Recession Defects: Results of a Randomized, Parallel-Group Controlled Trial
    (Wiley, 2015) Keçeli, Hüseyin Gencay; Kamak, Gülen; Erdemir, Ebru Olgun; Evginer, Mustafa Serdar; Dolgun, Anıl
    Background: Platelet-rich fibrin (PRF) is an autologous preparation that has encouraging effects in healing and regeneration. The aim of this trial is to evaluate the effectiveness of coronally advanced flap (CAF) + connective tissue graft (CTG) + PRF in Miller Class I and II recession treatment compared to CAF + CTG. Methods: Forty patients were treated surgically with either CAF + CTG + PRF (test group) or CAF + CTG (control group). Clinical parameters of plaque index, gingival index, vertical recession (VR), probing depth, clinical attachment level (CAL), keratinized tissue width (KTW), horizontal recession (HR), mucogingival junction localization, and tissue thickness (TT) were recorded at baseline and 3 and 6 months after surgery. Root coverage (RC), complete RC (CRC), attachment gain (AG), and keratinized tissue change (KTC) were also calculated. Results: All individuals completed the entire study period. At baseline, mean VR, HR, CAL, KTW, and TT values were similar (P > 0.05). In both groups, all parameters showed significant improvement after treatment (P < 0.001), and except TT (P < 0.05), no intergroup difference was observed at 6 months after surgery. The amount of RC and AG, but not KTC and CRC, was higher in the PRF-applied group (P < 0.05). Conclusions: According to the results, the addition of PRF did not further develop the outcomes of CAF + CTG treatment except increasing the TT. However, this single trial is not sufficient to advocate the true clinical effect of PRF on recession treatment with CAF + CTG, and additional trials are needed.
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    Öğe
    ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY
    (Kırıkkale Üniversitesi, 2017) Keçeli, Hüseyin Gencay; Hatipoğlu, Hasan; Yaylak, Faik; Aydemir Turkal, Hümerya
    Objective: Gastroesophageal reflux disease and laryngopharyngeal reflux are common public health problems, which are known to effect oral cavity. Subjective assessment of symptom severity in patients with gastroesophageal reflux and laryngopharyngeal reflux can be made with self-reported “Reflux Symptom Index”. In this study, possible relation of dental and periodontal conditions with Reflux Symptom Index scores was evaluated.Material and Methods: This study was performed with 135 dental outpatients (52 female and 83 male; aged between 18-63 years). Demographic and clinical variables were procured and Reflux Symptom Index (a nine item and 45-point scale questionnaire) scores were evaluated. Dental and periodontal conditions were assessed with DMFT (decayed, missing, filled teeth) index and Community Periodontal Index scores. Patients were divided into two subgroups according to their RSI values (Reflux Symptom Index ?13; normal and Reflux Symptom Index and gt;13; abnormal) and differences were statistically investigated.Results: Reflux Symptom Index subgroups showed significant difference in all intraoral parameters except decayed teeth number (p and lt;0.05). In addition, Reflux Symptom Index scores did not show constant correlations with DMFT and Community Periodontal Index scores (p and gt;0.05).  Conclusion: Self-reported Reflux Symptom Index merits further investigation before declaring dental and periodontal conclusions in patients with gastroesophageal reflux disease and laryngopharyngeal reflux.