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Öğe Clinical evaluation of coronally advanced flap with or without platelet-rich fibrin for the treatment of multiple gingival recessions(Springer Heidelberg, 2018) Kuka, Samed; İpçi, Şebnem Dirikan; Çakar, Gökser; Yılmaz, SelçukThe aim of this randomized, controlled study was to assess the clinical effect of platelet-rich fibrin (PRF) in combination with coronally advanced flap (CAF) on root coverage, esthetics, and patient satisfaction when compared to CAF alone for the treatment of multiple Miller class I recessions. A total of 24 patients with 52 Miller class I multiple recessions >= 3 mm were included and divided into CAF + PRF and CAF groups. At baseline and 12 months after surgery, recession height (RH), keratinized tissue height, gingival thickness (GT), and mean and complete defect coverage were evaluated. Patient satisfaction and root coverage esthetic scores were also assessed. Baseline RH in CAF + PRF and CAF groups was 3.15 +/- 0.24 and 3.36 +/- 0.34 mm, respectively. Intragroup comparisons revealed significant differences at 12 months for all parameters (p < 0.05). RH reduction was 2.75 +/- 0.33 and 2.51 +/- 0.33 mm (mean root coverage of 88.36 and 74.63%) in the CAF + PRF and CAF groups, respectively. Intergroup differences were found to be significant for GT gain (p < 0.05). The additional use of PRF membrane did not provide additional benefits in terms of root coverage outcomes compared with CAF alone. The use of PRF membranes increased tissue thickness significantly.Öğe Coronally advanced flap and envelope type of flap plus acellular dermal matrix graft for the treatment of thin phenotype multiple recession defects. A randomized clinical trial(Wiley, 2019) Ahmedbeyli, Cavid; İpçi, Şebnem Dirikan; Çakar, Gökser; Yılmaz, Selçuk; Chambrone, LeandroIntroduction The aim of this randomized clinical trial was to assess the aesthetical and clinical outcomes of acellular dermal matrix graft (ADMG) plus coronally advanced flap (CAF) with vertical incisions or the envelope flap in the treatment of thin phenotype, multiple-recession defects. Material and Methods Twenty-two participants with 55 class recession type 1 (RT1) with a depth of >= 3 mm were investigated. Control group was treated with ADMG plus conventional CAF with vertical releasing incisions, whereas test group received the envelope flap with ADMG. Primary outcome variables were complete root coverage (CRC), root coverage aesthetic score and patient satisfaction. Results Tooth-based CRC was observed in 23 of the 28 recession defects in mCAF + ADMG group (82.1%), whereas in 19 of the 27 recession defects in CAF + ADMG group (70.37%), with no inter-group difference (p > .05). CRC was observed in 9 of the 11 patients in mCAF + ADMG group (81.8%). On the other hand, in CAF + ADMG group, CRC was achieved in 8 of the 11 patients (72.7%). Results were similar between the groups (p > .05). Conclusions Both techniques were successful in the management of multiple recessions; however, superior results regarding patient's satisfaction were achieved with mCAF + ADMG.Öğe Dental implant survival and success rate after sinus augmentation with deproteinized bovine bone mineral and platelet-rich plasma at one and five years: a prospective-controlled study(Taylor & Francis Ltd, 2017) Karaca, Ebru Özkan; İpçi, Şebnem Dirikan; Çakar, Gökser; Yılmaz, SelçukThe aim of this comparative study was to evaluate, at one and five years, the implant success rate in the resorbed maxilla after sinus augmentation with platelet-rich plasma (PRP)/deproteinized bovine bone mineral (DBBM) versus DBBM/collagen membrane (CM). Using a split-mouth design, 10 patients with <= 5 mm of residual alveolar bone were treated with PRP/DBBM or DBBM/CM. After eight months, a total of 22 and 21 implants (Osseospeed (TM), Astra Tech AB, Sweden) were inserted in the PRP/DBBM and DBBM/CM sites, respectively. The implant success and survival rates, modified plaque and bleeding indices, probing depth and changes in bone level were all evaluated one year later, and again five years later. Only one implant was lost before the prosthetic rehabilitation of the PRP/DBBM group. There were no statistically significant differences in the evaluated parameters for the 1-and 5-year follow-up in the two groups (p > 0.05). After five years of loading, no further implants were lost, giving it an overall success rate of 83%. The clinical study showed that a high implant success and survival rate can be achieved at one year and maintained for up to five years, after a sinus-lift procedure utilizing both combinations.Öğe Knowledge and attitude of dentistry, medicine and pharmacy students related to HIV/AIDS(Ataturk Universitesi, 2024) Özenci, İlknur; Alshalabi, Firas Mamoun; Yıldız, Mehmet Selim; Dirikan İpci, Şebnem; Çakar, GökserObjective: HIV is one of the main infectious diseases threatening world health for a long time. It is critical that today's healthcare students have the right knowledge and perspectives on HIV/AIDS, as they are the first line of defense against such a threat locally and globally. This cross-sectional study was carried out to evaluate the knowledge and attitudes of healthcare students toward HIV/AIDS. Method: In this study, a 4-part questionnaire consisting of 50 questions was administered to 450 healthcare students. Participants’ sociodemographic status, general knowledge of HIV/AIDS, their attitude to patients, and their knowledge related to oral manifestations of it were evaluated. Results: With the participation of 100 students from each of the faculties of dentistry, medicine, and pharmacy, a response rate of 66.7% was achieved. The mean knowledge of HIV/AIDS score percentage was 44.2% in dentistry, 43.3% in medicine, and 44.6% in pharmacy. It was determined that they had a positive attitude towards HIV/AIDS patients, and their mean attitude percentage was 78.6% in dentistry, 75.9% in medicine, and 76.2% in pharmacy. When it comes to the oral manifestations of HIV/AIDS, as expected, dentistry students were found to have higher scores on the most common oral manifestations. Still, it was observed that students of all three faculties were not aware of most lesions. Conclusion: Although students' knowledge levels were lower than expected, it was determined that most students displayed a professional attitude towards HIV/AIDS. The results obtained from this study revealed that dentistry, medicine, and pharmacy students need more detailed relevant education.Öğe Knowledge and Attitudes of Oral Health Professionals to Different Dental Treatment Approaches in Bisphosphonate Therapy(Ataturk Universitesi, 2025) Dedeoğlu, Yasemin; Özenci, İlknur; Ahmedbeyli, Cavid; Çakar, Gökser; Dirikan İpci, ŞebnemObjective: This study evaluates oral healthcare professionals' attitudes towards managing different dental clinical scenarios considering different durations and administration routes of antiresorptive drugs. Methods: This study is a cross-sectional, Web-based survey. The first part of the survey evaluated demographic data; the second part investigated dentists' medication-related osteonecrosis of the jaw (MRONJ) treatment approach; the third part comprised clinical treatment scenario questions regarding the administration route and duration of usage. Oneway ANOVA test was used in the intergroup comparison of parameters showing normal distribution, and Tamhane's T2 test was used to determine the group that caused the difference. Student t-test was used for comparison of parameters showing normal distribution. The chi-square test, Continuity (yates) correction, and Fisher Freeman Halton test were used to evaluate qualitative data. Significance was set at P <.05. Results: 35.8% of dentists said they would not treat at-risk patients as the correct approach. More than half of the participants prefer to refer to the cases of osteonecrosis from the 1st stage to a specialist. A statistically significant difference was found between the correct answers about all five treatment scenarios for patients receiving oral bisphosphonate (BP) ≤3 years in favor of experienced dentists (P<.05). Conclusion: Within the confines of this study, dentists' knowledge of BP and osteonecrosis is moderate. Dentists with less than ten years of working experience are more cautious about patients using BP due to the risk of developing osteonecrosis when different dental treatments are performed.Öğe Laterally positioned flap along with acellular dermal matrix graft in the management of maxillary localized recessions(Springer Heidelberg, 2019) Ahmedbeyli, Cavid; İpçi, Şebnem Dirikan; Çakar, Gökser; Yılmaz, SelçukObjectivesThe aim of this study was to evaluate acellular dermal matrix graft (ADM) combination with laterally positioned flap (LPF) and to compare the results with LPF alone in terms of root coverage, esthetics, and patient perspectives in gingival recessions.Materials and methodsTwenty-two patients with localized Miller Class I/II recessions 3mm with gingival thickness (GT) <0.8mm were included. Outcome parameters such as recession height and width, keratinized tissue (KT) height, GT, mean and complete defect coverage, patient satisfaction, and root coverage esthetic score (RES) were re-evaluated at 12months postoperatively.ResultsMean and complete defect coverage were 94.80 and 72.73% in LPF+ADM group and 77.25 and 45.45% in LPF group, respectively. Significant differences were observed for KT and GT gain, patient satisfaction, and RES in favor of LPF group (p<0.05). A significant positive correlation was established between GT and mean defect coverage (r=0.448; p<0.05).ConclusionLPF is a successful approach in the treatment of localized Miller I/II gingival recessions. On the other hand, when thin donor tissue was thickened with an allogenic graft, more successful results regarding complete defect coverage, patient satisfaction, and RES were obtained.Clinical relevanceIncrease in gingival thickness and keratinized tissue height represents critical improvements in the prognosis of the advanced localized recessions and will be beneficial for patient's periodontal health and esthetics. Both approaches can be used successfully as an alternative for soft tissue root coverage in specific localized cases with a limited amount of keratinized tissue apical to the defect.Öğe A MULTIDISCIPLINARY APPROACH FOR THE RESTORATION OF A CROWN-ROOT FRACTURE WITH THE INVOLVEMENT OF SUPRACRESTAL ATTACHED TISSUES A CASE REPORT WITH A 7-YEAR FOLLOW-UP(Cumhuriyet University Faculty of Dentistry, 2021) Say, Esra Can; Dikici, Burcu; Çakar, GökserRestoration of crown-root fractures with the involvement of supracrestal attached tissues represents difficulties for clinicians, as these types of fractures require a multidisciplinary approach for adequate treatment and successful prognosis. Depending on the location of the fracture, different treatment approaches, such as periodontal crown lengthening procedures, rapid orthodontic or surgical root extrusion or tooth extraction followed by fragment reattachment, direct composite restorations, veneers, and crown restorations, have been indicated. This case report describes the management and long-term follow-up of the reattachment of a crown-root fracture using unidirectional fiber reinforcement after periodontal crown lengthening. Clinical and radiographic examinations of the reattached tooth after 7 years revealed favourable functional, physiological, and aesthetic outcomes and healthy surrounding periodontal structures, showing the success of the multidisciplinary treatment approach. © 2021, Cumhuriyet Dental Journal. All Rights Reserved.Öğe Serum vitamin D, hemoglobin A1c and vitamin B12 levels in patients with gingivitis and periodontitis stages(Taylor and Francis Ltd., 2024) Bulut, Selcen Özcan; Noyun, Deniz; Dirikan İpci, Şebnem; Çakar, GökserAim: To compare the serum vitamin D, hemoglobin A1c (HbA1c) and vitamin B12 levels in patients with gingivitis and four different periodontitis stages diagnosed according to the 2017 Periodontal Disease Classification. Materials & methods: A total of 606 patients were included in the study who were diagnosed with gingivitis and stage I–IV periodontitis. Patients were divided into groups based on disease stage, and the HbA1c, vitamin D and B12 levels of the patients were compared and analyzed. Result: The highest HbA1c level and the lowest vitamin D level were seen in stage III–IV periodontitis. The highest vitamin D and B12 levels were seen in the gingivitis group. Conclusion: Serum HbA1c, vitamin D and B12 levels might vary depending on the presence or severity of periodontitis. Clinical Trial Registration: NCT05745779 (This study was registered and approved by www.clinicaltrials.gov).Öğe Treatment of iatrogenic factor related gingival recession: A case report(Altınbaş Üniversitesi, 2020) Özenci, İlknur; İpçi, Şebnem Dirikan; Çakar, Gökser; Yılmaz, SelçukRecent reports in the literature show that the application of coronally advanced flap i n c ombination with subepithelial connective tissue graft in the treatment of Miller Class II and even III gingival recessions leads to successful results. This case report describes the use of subepithelial connective tissue graft and enamel matrix derivative combination with coronally advanced flap for the treatment of localized gingival recession caused by an ill-fitting crown restoration. The restorative treatment comprised of the retreatment of the endodontic and restorative needs. At 12 months, successful root coverage with 3.5 mm attachment gain was achieved. The patient had minimal discomfort and was satisfied with esthetic results. This case encourages the usage of subepithelial connective tissue graft, enamel matrix derivative and coronally advanced flap combination in localized Miller Class III gingival recessions. Even though the treatment of Miller Class III gingival recessions are challenging due to loss of interproximal bone and soft tissues, the application of subepithelial connective tissue graft in combination with the use ofenamel matrix derivative has shown to be a predictable treatment procedure in esthetic areas forroot coverage and gain of clinical attachment in single Miller Class III recession defects.Öğe Treatment of multiple gingival recessions by tunnel technique and acellular dermal matrix graft: a case report(Altınbaş Üniversitesi, 2018) Özenci, İlknur; İpçi, Şebnem Dirikan; Yılmaz, Selçuk; Çakar, GökserSuccessful clinical outcomes have been achieved with various root coverage procedures for the treatment of Miller Class I and II multiple gingival recessions. Regarding Miller Class III recessions, unpredictable success rate was reported due to the loss of interproximal tissue support. Recently, it has been demonstrated that complete root coverage is possible in Miller Class III defects, when the defects present mild interdental attachment loss. This case report describes the application of acellular dermal matrix graft (ADM) and tunnel technique (TUN) combination, for the treatment of Miller Class III multiple gingival recession defects. At 12-month, complete root coverage on teeth #41 and partial root coverage on teeth #31 with mean root coverage of 83.3% were achieved. Root coverage esthetic score was 7 with successful esthetic results. Besides significant defect coverage increase in keratinized tissue height and gingival thickness were obtained. According to the present clinical case, Miller Class III multiple gingival recessions can be predictably treated with TUN+ADM, if the attachment loss is not too severe.
