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Öğe Effects of diode laser irradiation on dental pulps in rats(Comenius Univ, 2020) Guler, C.; Alan, H.; Demir, P.; Vardi, N.OBJECTIVES: To evaluate the effects of different power densities of diode laser on dental pulps in rats. BACKGROUND: In this study, we used the maxillary central incisors (n= 80) of the 40 adult male Wistar albino rats. METHODS: Rats were randomly divided into four groups according to power densities of diode laser (n= 10). Histopathological changes in pulp and height of odontoblast layer were examined. All data were compared statistically using Mann.Whitney U (Bonferroni) test, p< 0.05. RESULTS: G2 displayed slight histolopathologic alterations such as odontoblast cell disorganization and irregularities in cell extensions. Alterations were more prominent in the G3 than G2. Although the lowest odontoblast layer was measured in the G4, the difference in height of odontoblast layer among the groups was not found to be statistically significant. CONCLUSION: It was concluded that the use of diode laser caused changes at the cellular level in histological examination and may induce the formation of tertiary dentin by influencing the secretory activity of odontoblasts. As long as used in accordance with the recommended procedure, the diode laser can be safely used in dental hard tissues (Tab. 1, Fig. 4, Ref. 15). Text in PDF www.elis.sk.Öğe Stress distributions on crown-luting cement-substrate system with finite element method(Journal Of Central South Univ Technology, 2012) Sen, S.; Guler, M. S.; Guler, C.The aim of this work is to analyze the stress distributions on a crown-luting cement-substrate system with a finite-element method in order to predict the likelihood of interfacial micro cracks, radial or circumferential cracks, delamination, fracture and delamination with torsion. The contact and layer interface stresses in elastic layered half-space indented by an elastic sphere were examined using finite element method. The model consists of crown, luting cement and substrate. The solutions were carried out for three different elastic moduli of luting cement. It was placed between the cement and the substrate as a middle layer and its elastic module was chosen lower than the elastic module of crown and higher than the elastic module of dentin. An axisymmetric finite element mesh was set up for the stress analysis. Stress distributions on the contact surface and the interfaces of crown-luting cement and luting cement-dentin have been investigated for three different values of luting cement by using ANSYS. The effects of the luting cement which has three different elastic moduli on the pressure distribution and the location of interfacial stresses of the multi-layer model have been examined. The mechanism of crack initiation in the interfaces and interfacial delamination was also studied quantitatively. For each luting cement, the pressure distribution is similar at the contact zone. Stress discontinuities occur at the perfect bonding interfaces of the crown-luting cement and the substrate-luting cement. The maximum stress jumps are obtained for the highest and the lowest elastic module of the luting cement. In the crown-luting cement-substrate system, failures may initiate at crown-luting cement region for luting cement with the lowest elastic module value. In addition, failures at luting cement-substrate region may occur for luting cement with the highest elastic module. In the luting cement, the medium elastic module value is more suitable for stress distribution in crown-luting cement-substrate interfaces.Öğe Survival of avulsed permanent incisors in children following delayed replantation(Wolters Kluwer Medknow Publications, 2020) Demir, P.; Guler, C.; Kizilci, E.; Keskin, G.Background: Replantation of avulsed teeth is an invasive treatment approach where patient cooperation is required after the risks are explained to the patient or family. Although replantation of an avulsed permanent teeth is an accepted treatment approach, the long-term prognosis of the replanted teeth is still controversial. This report describes the survival of delayed replanted 15 incisors that was stored in unfavorable conditions after avulsion. Materials and Methods: Nine patients, aged 8-12 years, were referred to the Inonu University, Pediatric Dentistry Department with traumatically avulsed incisors. The parents were informed about the possible complications of a delayed replantation. Results: Forty percent of the teeth were splinted with flexible orthodontic wire and composite. The follow-up periods were varied from 24 to 48 months. The mean follow-up periods were 33.3 +/- 8 months. 40% of the teeth were retained in the mouth for at least 3 years and contributed to alveolar bone development. In these cases, the most common complication (9 teeth, 60%) was replacement root resorption. Two of the 15 teeth which had wide open apices, continued to the root development. Conclusion: In this study, replanted teeth were retained in the mouth for at least 2 years and contributed to the patient's development. Therefore, this study has shown that delayed replantation of an avulsed tooth for a child is still worthwhile, even in cases of poor prognosis where the tooth had extended extra-alveolar dry storage. We believe that delayed replantation should be done because of its importance for the child's jaw and facial development.Öğe A Two-Year Clinical Evaluation of Glass Ionomer and Ormocer Based Fissure Sealants(Journal Pedodontics Inc, 2013) Guler, C.; Yilmaz, Y.The objective of the present study provides further data comparing retention, marginal integrity and caries preventive effects of two fissure sealants (glass ionomer based; GC Fuji VII Capsule [Fuji VIP and ormocer based; Admira Seal [AS]) in children. This study was designed as a randomized single-blind clinical trial. The permanent first molars (PFMs) of 50 children, 7-13 years of age (mean age: 8.9 +/- 1.3 years), were sealed with a split-mouth design. Fissure sealants applied to the PFMs according to the manufacturer's recommendations by one pediatric dentist. Clinical evaluation of the sealants was carried out to record retention, marginal integrity and presence of caries at 6, 12, 18 and 24 months after placement by the other pediatric dentist. Kaplan-Meier survival analysis and Cox's regression models were used to estimate the probability of two sealants success. Results: Alpha and Bravo retention rates at the end of follow-up were 13% and 80% for Fuji VII and 3% and 83% for AS, respectively. For retention and marginal integrity between fissure sealants was found similar survival rates (p > 0.05). After 24 months, presence of caries was 16% for Fuji VII and 32% for AS (p < 0.05). Conclusion: Fuji VII and AS exhibited similar retention and marginal integrity during 24 months. However, Fuji VII was showed better results than AS for caries preventive effect. Consequently, Fuji VII sealants may be a better choice for preventing occlusal caries.
