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    Association between body mass index and waist circumference with periodontal health state
    (2019) Karaeren, Caner; Uraz, Ahu; Gursoy, Cansu; Bal, Ayse Belgin
    Aim: Obesity is one of the important public health concerns in both developed and developing countries, and may associate with increased risk of periodontitis. Present study aims to determine whether there is an association between periodontal disease and obesity in Turkish population.Material and Methods: This study is consisted of 950 participants included; 551 women and 399 men aged 18 to75 years. In all patients; probing depth (PD), clinical attachment level (CAL), bleeding on probing (BOP) and plaque index (PI) were recorded and radiographic examination was performed. Obesity and overweight were assessed by body mass index (BMI) and waist circumference (WC) using World Health Organization criteria. The covariates were categorized into three groups; 1- Socio-demographic variables, 2- Oral health behaviors, 3- General health status.Results: When the periodontal health status evaluations of 950 patients in our study were examined; 131 patients were healthy, 592 patients were diagnosed as gingivitis, and 227 patients were diagnosed as periodontitis. High waist circumference and body mass index were correlated with periodontal disease after adjusting co-varieties (p0.05).Conclusion: This positive association suggests that obesity is coherent with logically plausible role in the development periodontal disease.Keywords: Periodontal diseases; body mass index; waist circumference.
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    The comparison of postoperative wound healing following different gingivectomy techniques: A randomized prospective clinical trial
    (2019) Guler, Berceste; Isler, Cagri Sila; Uraz, Ahu; Bozkaya, Suleyman; Cetiner, Fitnat Deniz
    Aim: The aims of this study were to examine the degree of clinical discomfort condition experienced by patients and to improve wound healing by dental researcher throughout two weeks after gingivectomy treatment. Material and Methods: Forty-one patients suffering from gingival overgrowth were included in this study. Patients were divided into three groups for gingivectomy technique defined as; scalpel group (SG), ceramic rotary bur group (CG) and diode laser group (LG). The postoperative evaluating parameters as pain, burning, bleeding, epithelization, carbonization is recorded and standardized photographs were taken at 1st, 3rd, 5th, 7th, and 14th days postoperatively. All photographs were examined by the image analyzing software program. Results: The percentage of epithelization in the CG group is higher than the SG and LG group, but this value is not statistically significant on postoperative day 3. The LG group showed statistically significantly lower epithelization value on postoperative day 5. On postoperative day 1, VAS pain scores were significantly higher in the SG than in the LG; however, there were no statistically significant differences between the SG and CG. On postoperative day 3 and day 5, the SG pain scores were significantly higher than those from the CG; however, there were no statistically significant differences between the LG and CG. Conclusion: Aspect to controlled gingival tissue removing than diode laser and postoperative inflammation and wound healing values were observed almost equal with diode laser value; so ceramic gingiva burs may be an alternative treatment that is comparatively easier to implement and provide faster gingival recovery
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    The efficacy of ozone therapy on free gingival graft augmentation around dental implants
    (2018) Isler, Sila Cagri; Uraz, Ahu; Soysal, Fatma; Unsal, Fatma Berrin; Cetiner, Deniz
    Aim: The implants exhibiting lack of keratinized mucosa (KM) may be more prone to the early stage of peri-implant infection. The aim of the present study was to evaluate topical ozone therapy on free gingival graft (FGG) healing in terms of augmenting KM around the implants during 6-month follow-up. Material and methods: Thirty patients (16 women and 14 men) with inadequate KM around their implants were randomly allocated to either the ozone group (FGG + Ozone therapy) or the control group (FGG alone). The width and thickness of KM, plaque index (PI), gingival index (GI), probing depth (PD), mucosal recession (MR) and clinical attachment level (CAL) were evaluated at baseline, 1, 3 and 6 months. During 14 days postoperatively, patient’s pain perception was analyzed by using a visual analog scale analog scale (VAS). At 14 days, quality of life was also assessed via the Oral Health Impact Profile-14 (OHIP-14). Results: No significant differences were found between ozone and control groups with respect to KM dimensions at any study follow-up periods (p>0.05). Ozone group provided significantly higher CAL and MR values at 6 months compared to baseline values. Moreover, ozone group exhibited significantly lower GI values compared to the control group at 6 months (p<0.05). No significant difference was observed between the groups for postoperative VAS values and total OHIP-14 scores (p>0.05). Conclusion: Adjunctive ozone therapy did not provide any beneficial impact on the dimension of obtained KM around the implants at 6 months. However, ozone therapy may give rise to less mucosal inflammation around the implants compared to spontaneous healing