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Öğe Cow's Milk Protein Allergy in Pediatric Dentistry(Mazandaran Univ Med Sci, 2019) Altan, Halenur; Cosgun, Alem; Altan, AhmetContext: Immunological reactions against proteins found in cow's milk (casein and whey proteins) are called Cow's Milk Protein Allergy (CMPA). CMPA has systemic as well as oral symptoms. Also, any casein-containing products used for preventive and therapeutic purposes in dentistry may trigger this allergy. The objective of this compilation is to reveal the importance of CMPA in dentistry by adhering to the literature. Evidence Acquisition: A literature search was done using PubMed, with focus on articles published in the last 10 years. Searched terms included the following: cow's milk protein allergy, child, pathogenesis, prevention, management, and dentistry. Results: Oral allergy syndrome and dental erosion caused by gastroesophageal reflux were observed in 40% of patients with CMPA that were detected by the dentists. Conclusions: Pediatric dentists should be aware of CMPA and pediatricians should be given support in definitive diagnosis of CMPA.Öğe Dental Age Estimation in Southern Turkish Children: Comparison of Demirjian and Willems Methods(Kowsar Corp, 2017) Altan, Halenur; Altan, Ahmet; Sozer, Ozlem AkinciBackground: Age-related legal problems are particularly common in underdeveloped parts of Turkey. Age determination is important in terms of both laws and penalties in the legal process. Objectives: The aim of the present study was to compare the validity of the Demirjian and Willems methods in southern Turkish children. Methods: In this retrospective study, panoramic radiographs of 745 southern Turkish children (382 boys and 363 girls) aged between 4 and 15.99 years were examined by one investigator. According to Demirjian and Willems method, the mean difference between chronological and dental age was calculated for each sex and age group. The Wilcoxon test was used to compare all data. Statistical analysis was performed to test the validity of Demirjian and Willems methods by comparing the mean estimated and chronological age. Results: The Demirjian's method overestimated age with a mean accuracy of 0.832 in females and by 0.923 in males, while Willems method overestimated it by 0.202 in females and 0.434 in males. Conclusions: The dental age estimation by Willems method was found to be more accurate than Demirjian method in contemporary Turkish pediatric population.Öğe Epidermolysis Bullosa in dentistry: Report of three cases and review of the literature(University of Dicle, 2015) Arpag, Osman Fatih; Arslanoglu, Zeki; Altan, Halenur; Kale, Ediz; Bilgic, FundagulEpidermolysis Bullosa is a congenital, genetic, vesiculobullous disease. It may be autosomal dominant and recessively inherited. The major types of Epidermolysis Bullosa are Epidermolysis Bullosa Simplex, Junctional Epidermolysis Bullosa, and Dystrophic Epidermolysis Bullosa. Due to the systemic disorders specific to the Epidermolysis Bullosa patient, approach to dental care has gain importance in these cases. This article presents improving of patient comfort with oral health maintenance and atraumatic dental interventions in three cases diagnosed with Epidermolysis Bullosa and reviews the literature regarding clinical applications in brief. Three patients - one with Epidermolysis Bullosa Simplex and two with Dystrophic Epidermolysis Bullosa - were referred to our clinic by other medical institutions because of discomfort due to dental complaints. Intra and extra oral symptoms were examined and treatment plans were arranged for each one of them. Dental treatment was carried out mainly by means of establishing non-invasive methods like oral hygiene motivation along with professional debridement and radical methods like tooth extraction. All the treatments were done with precision by experienced specialists in the field of dentistry. Treated successfully the patients were taken under control for regular observation of the disease's oral symptoms.Öğe Evaluation of microhardness of newly developed glass carbomer-based dental filling material(İLİRYA LİMİTED ŞİRKETİ, 2019) Arslanoğlu, Zeki; Kale, Ediz; Meşe, Ayşe; Altan, HalenurAim: This study measured the microhardness of a newly developed glass carbomer dental filling material within the first 24 hours after setting and compared it against that of two different glass ionomers, with and without heating during setting, and a resin-modified glass ionomer. Methodology: Six cavities were prepared on acrylic resin discs. PMMA blocks were randomly divided into six groups of six cylinders and each cavity was filled with one of the tested materials according to their group. The groups were: Group1, Fuji Triage™ with heat; Group 2, GCP Glass Fill™; Group 3, Equia™ with heat; Group 4, Riva LC™; Group 5, Fuji Triage™; and Group 6, Equia™. Microhardness was measured by the Vickers hardness scale using a microindentation hardness tester at 2, 4, 6, 12 and 24 hours after initial setting of the materials. Results: Fuji Triage™ with heat applied during setting (Group 1) proved to be the hardest material, while Riva LC™ (Group 4) and GCP Glass Fill™ (Group 2) were the softest. Heating the Fuji Triage™ during the initial setting period significantly increased its physical strength after 24 hours. Conclusions: It was seen that microhardness of materials which used in our study was effected both time and heat.Öğe Idiopathic Juvenile Osteoporosis: A Case Report(Premchand Shantidevi Research Foundation, 2015) Altan, Halenur; Tosun, Gul; Sen, YasarIdiopathic Juvenile Osteoporosis (IJO) is a very rare disease, self restrictive and shows marked, spontaneous improvement during adolescence. The major clinical features were pain with difficulty walking, growth retardation, oral and dental abnormalities with radiographically porous bone structure. A 13-year-old male referred to paediatric dentistry clinic for toothache. The observations made with extra-intraoral clinic examination that one revealed short and skinny stature, diffuse caries in deciduous teeth, abraded lower incisor, deep bite and dysmorphic appearance in permanent incisor. This report emphasizes the recognized features of IJO as well as describes facio-dental findings that could aid in the diagnosis and management of these patients.Öğe *The role of overflow filling to occur orthodontic bad habit: A rare case report(University of Dicle, 2016) Bilgic, Fundagul; Arslanoglu, Zeki; Altan, Halenur; Yilmaz, Hakki; Sozer, Ozlem AkinciMalocclusions occurring in children can originate from a genetic origin or from s acquired after birth. "Force" implementation happens due to long-term. This force can be exerted by the tongue, cheek, finger or foreign bodies. In this case report, it was presented the orthodontic treatment of positioning to the vestibule in the arch was caused by applying tongue force to the tooth which overflowed filling.Öğe THE SETTING MECHANISM OF MINERAL TRIOXIDE AGGREGATE(Istanbul Univ Press, Istanbul Univ Rectorate, 2016) Altan, Halenur; Tosun, GulMineral trioxide aggregate (MTA) is a powder containing calcium silicate composed of hydrophilic particles which harden at the presence of moisture. MTA was initially introduced as a root end filling material. Due its practical advantages that include superior biocompatility, effective sealing capability, and the ability to improve regeneration of the pulp and peripheral root tissues, it is used in different clinical applications such as pulp capping, apexification, pulpotomy and perforation. Despite being a promising material in endodontic treatment, MTA is not commonly used. Long setting time is the main clinical disadvantage of MTA. The aim of this review is to provide an overview of the current literature concerning the setting mechanism of MTA, accelerators and devices used to evaluate various steps of the hardening process.
