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    Awareness of oral and medical healthcare professionals in the prevention, diagnosis, and management of bisphosphonate-related osteonecrosis of the jaw
    (2023) Dedeoglu, Yasemin; Ozenci, Ilknur; Ipci, Sebnem Dirikan; Cakar, Gokser; Ahmedbeyli, Cavid
    Objective: The aim of this study was to evaluate the awareness and knowledge of oral and medical healthcare professionals regarding the prevention, diagnosis, and management of bisphosphonate-related osteonecrosis of the jaw (BRONJ).Materials and Methods: Two surveys were conducted with oral and medical healthcare professionals to evaluate their knowledge and attitude about bisphosphonates and their experiences with BRONJ. Results: A total of 385 oral and 119 medical healthcare responses were obtained. The level of knowledge of oral healthcare professionals who practiced for less than 10 years was significantly higher than that of those practicing for more than 10 years (p<0.05). Oral surgeons and periodontists had the highest level of knowledge (p<0.05). The knowledge level scores of the medical healthcare professionals exposed to the necrotic jaw during their careers were significantly higher than those who did not (p<0.05).Conclusion: Within its limits, the knowledge of medical healthcare professionals was lower than expected. Knowledge of oral healthcare professionals was moderate, except for oral surgeons and periodontists. Multidisciplinary informative platforms between oral and medical healthcare professionals will benefit the management of potential risks and complications related to BPs.
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    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, Leandro
    Introduction 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.
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    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, Şebnem
    Objective: 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.
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    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, Selçuk
    ObjectivesThe 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.