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    Assessment with radiography of tooth loss and alveolar bone resorption in elderly
    (2012) Eltas A.; Altun O.; Yavuzer D.; Dedeo?lu N.
    Objectives: The aim of this study was to determine the oral and periodontal health of elderly people in Turkish population. Materials and Methods: This study include 479 patients that 330 of them were 50-65 (Group A), 149 of them were 65 and over (Group B) years old. Systemic diseases, total number of teeth, number of teeth which has to extract, number of teeth which has to extract with periodontal reasons and frequency of alveolar bone resorption with periodontal reasons was evaluated with clinical examination records and OPT radiographs. Results: Frequency of tooth loss and alveolar bone resorption in group B were higher than group A (p<0.05). Systemic diseases and gender have no significant relation with number of lost tooth and frequency of alveolar bone resorption. Conclusions: It is clear that the data about oral health condition in elderly people is inadequate. Therefore, comprehensive clinical examinations are needed on this issue.
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    Evaluation of effects on periodontal health, halitosis and salivary flow of the occlusal: Splint use
    (Cumhuriyet University Faculty of Dentistry, 2012) Eltas A.; Tozoglu U.; Gungor H.
    Objectives: Occlusal splints (OS) are often used for the treatment of temporomandibular disorders (TMDs), bruxism, and occlusal disturbance, although the splint's effect on oral tissue has not been investigated enough. The aim of this study is to evaluate the effects of OS on halitosis, periodontal status and salivary flow rate (SFR) in patients with bruxism. Material and Methods: A total of 43 patients with bruxism participated in this study. Plaque index (PI), bleeding on probing (BoP), probing pocket depth (PPD), SFR and halitosis measurement were performed immediately before treatment and 3 months following the completion of the baseline treatment protocol. Results: The present study saw that the use of OS for three months did not affected the periodontal status. There was significant increase in the level of halitosis and also the level of SFR after the use of OS (p<0.001). Statistically significance relationship between halitosis and SFR with the use of OS was found (p<0.05), while there was not a correlation between SFR and halitosis (p>0.05). Conclusions: Although occlusal splints have therapeutic benefits, comprehensive clinical examinations are needed on this issue.
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    The influence of diabetes mellitus on the peri-implant microflora: A cross-sectional study
    (Elsevier B.V., 2022) Sabancı A.; Eltas A.; Celik B.; Otlu B.
    Background: Type 2 diabetes mellitus (T2DM) is an important systemic disease, predisposing patients to inflammatory conditions including periodontitis and peri-implantitis and negatively affects dental implant success through various mechanisms. This study aimed to compare clinical and microbiological findings of individuals with dental implants with or without T2DM. Methods: A total of 82 dental implants which were in function >3 years, were involved. The participants were divided into 2 groups; T2DM (n: 45 implants) and systemically healthy controls (n:37 implants). Periodontal indexes (Bleeding on probing (BOP), plaque index (PI), pocket depth (PD), and radiographic bone loss were recorded around implants in function >3 years. Subgingival microbiological samples were also collected from the peri-implant sites. Pathogens include Fusobacterium nucleatum, Camphylobacter rectus, Porphyromonas gingivalis, Tannerella forsythia, Actinobacillus actinomycetemcomitans, Treponema denticola, Prevotella intermedia, Peptostreptococcus micros, Eikinella corrodens, Prevotella nigrescens were evaluated. Results: Peri-implant heatlh was determined in systemically healthy (54.1%) and type 2 diabetes patients (24.4%). Peri-implantitis was also evident in systemically healthy (8.1%) and T2DM (35.6%) groups. No differences was found in shallow peri-implant pockets in both groups in terms of the prevelance of all evaluated bacteria (p > 0.05). However, C. rectus, P. gingivalis, A. actinomycetemcomitans and T. forsythia were isolated more frequently in deep peri-implant pockets in systemically healthy patients compared to T2DM patients (p < 0.05). Conclusions: Evaluted periodontal pathogens may not be affected by the presence of T2DM in implants. T2DM may not significantly alter the levels of specific periodontal pathogens in shallow and deep peri-implant pockets. C. rectus, P. gingivalis, A. actinomycetemcomitans and T. forsythia may be affected by T2DM in implants in deep pockets. © 2022 Craniofacial Research Foundation