Browsing by Author "Ates, Ayfer Atav"

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Citation Count: 0
The comparison of different coronal restorations of endodontically treated posterior teeth on the patients' quality of life and satisfaction
(Kerman Univ Medical Sciences, 2021) Çam, Melek; Ulukapı, Haşmet; Ulukapi, Hasmet
BACKGROUND AND AIM: Everyday lives of individuals can be affected by dental treatments. The aim of this study was to evaluate the impacts of coronal restorations of endodontically treated posterior teeth (ETPT) on the patient's satisfaction and quality of life (QoL). METHODS: This cross-sectional clinical study was conducted at School of Dentistry, Istanbul Okan University, Istanbul, Turkey, using the semantic differential scale, Oral Health Impact Profile-14 (OHIP-14), and clinical assessments. Electronic charts and files of patients who received endodontic treatment and coronal restoration from June 2018 to January 2019 were reviewed. The patients included in the study had been treated by the same endodontist and restorative dental specialist. The coronal restoration of the ETPT had to be either direct composite restoration (DCR) or indirect ceramic restoration (ICR). 123 patients were deemed fit for this study. A rendezvous was created for the patients who agreed to participate in the study (n = 115) and those who came to the appointment were checked for the inclusion criteria. After clinical examinations, 68 patients filled in the questionnaires. Demographic information, the semantic differential scale, and the OHIP-14 scores-provided data were analyzed by Mann-Whitney U test, independent samples t-test, and the chi-square test. Statistical significance level was considered at P 0.05. RESULTS: 68 patients (n = 34 in each group) participated in the study. DCR and ICR groups had similar mean OHIP-14 scores (5.03 +/- 3.36 and 5.15 +/- 6.17, respectively) and general satisfaction scores (9.76 +/- 0.43 and 9.88 +/- 0.33, respectively) (P 0.05). There was no statistically significant difference between the satisfaction values of the two groups regarding cost, time involved, pain, aesthetics, chewing ability, pleasantness, and general satisfaction (P > 0.05). CONCLUSION: According to the results of the present study, both treatment options have created similar satisfaction for patients and offered high QoL.
Citation Count: 0
Comparison of gray-level detectability on computer monitors among several dental specialties: A web-based study
(Wroclaw Medical Univ, 2023) Alpay, Burcin Arican; Buyuk, Cansu; Ates, Ayfer Atav; Ağız,Diş ve Çene Radyolojisi / Oral, Dental and Maxillofacial Radiology
Background. Diagnosis in dentistry begins with the correct reading and interpreting of the dental radio-graph.Objectives. The aim of the present study was to examine the effects of the imaging technique used, the dentistry specialty and the years of experience on the gray-level perception among dentists.Material and methods. A custom web application was developed. Dentomaxillofacial radiologists (DentRads), endodontists (Ends) and general dental practitioners (GDPs) were invited via e-mail to parti-cipate in the study. A total of 46 participants met the requirements of the test. The test comprised 2 webpages. On the 1st page, the participants were asked for information such as gender, specialty, the years of experience, and the imaging techniques they used. Then, on the 2nd page, they were welcomed with instructions and directions, and asked to rearrange 85 gray color tones represented by square bars of equal dimensions. These mixed gray bars were placed in 4 rows according to the principles of the Farnsworth- Munsell 100-hue test (FM). Each clinician's test results were recorded in a database. The individual's level of recognition of gray tones was evaluated through the total error score (TES), which was calculated using a web-based independent scoring software program. Lower TES values were a desirable result, indicating fewer misplacement, while higher scores indicated more misplacements of gray tones. The testing time (TT) was recorded automatically.Results. The years of the participants' experience as dentists or specialists did not affect TES or TT. The dentists who used the charge-coupled device-complementary metal oxide semiconductor (CCD-CMOS) had lower TES values than those who used analog radiographs (p < 0.05).Conclusions. While the specialty and the years of experience did not affect the clinicians' ability to recognize gray tones, the digital imaging techniques (photostimulable phosphor (PSP) and CCD/CMOS) could improve the clinicians'gray-level perception.
Citation Count: 0
Comparison of SHAPING Ability of XP-Endo Shaper in Simulated J-Shaped Canals with Various Sizes
(Amber Publication, 2020) Ates, Ayfer Atav; Arican, Burcin; Isik, Vasfiye
Objective: To evaluate the shaping efficiency of the XP-endo Shaper (R) (XPS; FKG Dentaire, La Chaux-de-Fonds, Switzerland) in simulated canals with various sizes. Materials and Methods: Sixty-four simulated J shaped root canals, which had various apical diameters and 2% taper were used. Apical diameters of group 1, group 2, group 3, and group 4 were 0.15 mm, 0.30 mm, 0.40 mm, 0.50 mm, respectively. Simulated resin canals were prepared with the XP-endo Shaper at 37 degrees C inside a cabinet. The transportation value (TV), centering ability (CA), and the amount of resin removed (RR) were calculated using the superimposition of initial and final images. These parameters were calculated with the AutoCAD software program (Autodesk, San Rafael, CA) based on 18 reference points with 1-mm intervals of the canal. The data were analyzed with Kruskal-Wallis and then Dunn's multiple comparison tests. The significance level was set at p <= 0.05. Results: Shaping activity of XPS continued in group 4, but the amount of resin removed was statistically less than group 1. Group 2 and group 3 removed a statistically higher resin amount than group 1 and group 4 (p>0.05). Within groups, transportation value statistically increased in the middle region (points 4-6). The centering ratio of the groups was different at all points, being highest at point 8 and point 9. Conclusion: Under the limitations of this study, XPS respected the root canal anatomy and adapted to the canal walls, even in large simulated canals.
Citation Count: 19
Cone-Beam Computed Tomographic Analysis of Shaping Ability of XP-endo Shaper and ProTaper Next in Large Root Canals
(Elsevier Science inc, 2020) Orturk, Burcin Arican; Ates, Ayfer Atav; Fisekcioglu, Erdogan
Introduction: The aim of this study was to evaluate and compare the shaping abilities of the XPS (XP-endo Shaper) and PTN (ProTaper Next) systems by using cone-beam computed tomography on apical, middle, and coronal thirds of the pre-created large canals with different apical sizes. Methods: Seventy-two teeth with single canal were divided into 3 groups, and then large root canals were created with apical diameter #30 (Group 1), #35 (Group 2), or #40 (Group 3) by using hand files. Each group was again divided into 2 experimental groups, and root canals were instrumented with either XPS or PTN. Canals were scanned before and after instrumentation by using cone-beam computed tomography scanner to evaluate mesiodistal transportation, buccolingual transportation, centering ratio, percent increased prepared area (PA) (mm(2)), and percent increased prepared outline (PO) (mm) at 2, 5, and 8 mm from the apex. Data were statistically analyzed, and the significance level was set at P < .05. Results: There were no statistically significant differences in PA, PO, and centering ratio values between instruments in size 30 and size 35. The mean increases in PA and PO (P < .021) were statistically higher with XPS in size 40. PTN had statistically higher buccolingual transportation in size 30 and size 35. XPS had lower mesiodistal transportation values in all 3 apical sizes. Conclusions: PTN system is able to remove the dentin even in cases of increased apical diameter. However, XPS has less canal transportation and better centering ability compared with PTN.
Citation Count: 9
Differences in endodontic emergency management by endodontists and general dental practitioners in COVID-19 times
(Sociedade Brasileira de Pesquisa Odontologica, 2020) Ates, Ayfer Atav; Alomari, Taher; Bhardwaj, Anuj; Tabnjh, Abedelmalek; Gambarini, Gianluca
The aim of this study was to assess the differences, if any, between general dental practitioners (GDPs) and endodontists, in the diagnosis and treatment of endodontic emergencies during the worldwide outbreak of COVID-19. An online questionnaire was randomly sent by social media to clinicians in different countries from 24 April, 2020 to May 4, 2020. The survey consisted of a series of questions about demographic characteristics, endodontic emergency diagnoses, approaches to prevent aerosol formation, drug prescriptions in case of symptomatic irreversible pulpitis, and the ways in which dentists managed endodontic emergencies during the COVID-19 lockdown. A total of 1,058 dentists responded to the questionnaire; 344 (32.6%) of the participants were endodontists. Slightly less than half of the participants (n = 485, 45.8%) worked during the lockdown, but only 303 participants (28.6%) treated endodontic cases/emergencies. The responses showed agreement between endodontists and GDPs regarding the diagnosis of symptomatic irreversible pulpitis (SIP), symptomatic apical periodontitis (SAP), reversible pulpitis, and asymptomatic irreversible pulpitis (AIP). SIP and SAP were considered an emergency, whereas reversible pulpitis and AIP were not considered an emergency (p > 0.05). Non-aerosol-generating procedures and treatment approaches differed between the groups (p < 0.05). One-third of the participants did not use rubber dam (p > 0.05). Ibuprofen and amoxicillin-clavulanic acid were the most frequently prescribed drugs for pain associated with SIP. In conclusion, the most relevant findings in our survey were the differences between endodontists and GDPs in diagnosis, precheck triage, deep caries excavation procedures, and endodontic emergency pain relief strategies.
Citation Count: 2
Influence of Clinical Operative Technique on Debris Extrusion of Two Reciprocating Files
(Assoc Apoio Pesquisa & Saude Bucal-apesb, 2021) Ates, Ayfer Atav; Arican, Burcin; Testarelli, Luca; Gambarini, Gianluca; Zanza, Alessio; Seracchiani, Marco
Objective: To compare the influence of different clinical operative motions (pecking motion vs. MIMERACI) on apical debris extrusion using WaveOne Gold and EdgeOne Fire reciprocating files in the mesiobuccal canal of extracted molars. Material and Methods: Sixty mandibular molar teeth with curvature less than 20 degrees were divided into 4 groups (n=15 each): G1A: WOG pecking Group; G1B: WOG MIMERACI Group; G2A: EOF pecking Group; and G2B: EOF MIMERACI Group. The produced debris was collected in the preweighed Eppendorf tubes and following the shaping procedures; they dried in the incubator for 5 days at 70 degrees C. The tubes were weighed again, and the final extruded debris was measured by subtracting the pre-instrumentation from post-instrumentation weight of tubes. The canal preparation time was calculated with a digital chronometer. The obtained data were analyzed using two-way ANOVA at a 0.05 level of significance. Results: MIMERACI method significantly decreased the amount of debris pushed out in both instruments (p<0.05). Neither instruments nor clinical motions created a statistical difference regarding the required time (p>0.05). Conclusion: All tested instruments pushed debris out apically at some level, but MIMERACI operative technique was associated with significantly less apical debris extrusion.
Citation Count: 6
Influence of different irrigation regimens on the dentinal tubule penetration of a bioceramic-based root canal sealer: a confocal analysis study
(Springer London Ltd, 2021) Ates, Ayfer Atav; Çiftçioğlu, Elif; Ciftcioglu, Elif; Kucukay, E. Sedat; Endodonti / Endodontics
This study aims to assess the efficacy of various irrigation protocols on the dentinal tubule penetration of a bioceramic-based endodontic sealer. Sixty-four single-rooted extracted human mandibular incisors were used. After instrumentation, teeth were randomly divided into the following four groups (n = 16 each) according to the final irrigation technique: group 1, conventional endodontic needle (CEN); group 2, EndoActivator (EA); group 3, Er,Cr: YSGG laser; group 4, XP-endo Finisher (XPF). The root canals were finally irrigated with 17% EDTA and 5.25% NaOCl for 1 min (min) respectively. The teeth were then obturated with Endosequence BC Points and rhodamine B dye-labeled BC Sealer. After 2 weeks, 1-mm-thick transverse sections were cut 2 and 5 mm from the apex, and examined by confocal laser scanning microscopy at 5 x magnification. The total percentage of sealer penetration (TPSP), sealer penetration area (SPA), and maximum sealer penetration depth (MSPD) was measured. Data were analyzed by Kruskal-Wallis, Dunn's multiple comparison, and Wilcoxon tests, with significance set at P < 0.05. At 2 mm level, no significant differences were detected among the groups (P > 0.05). At the 5 mm level, the XPF group showed significantly higher values for both TPSP and SPA in comparison with the Er,Cr: YSGG laser and CEN groups (P < 0.05), but no significant difference was observed with the EA group. The choice of different final irrigation techniques can affect dentinal tubule penetration.
Citation Count: 0
Negotiating the second mesiobuccal canal: A comparison of nickel titanium files through the experience of undergraduate dental students
(Wiley, 2023) Ates, Ayfer Atav; Çiftçioğlu, Elif; Küçükay, Enver Sedat; Kucukay, Enver Sedat; Endodonti / Endodontics
ObjectivesThe aim of this study was to compare the ability of undergraduate students to reach working length (WL) in second mesiobuccal root canals (MB2) of maxillary first molars (n = 210) by using Reciproc Blue without glide path preparation, and One Curve with glide path preparation. MethodsThe students (n = 105) attended theoretical and practical courses. The first group (n = 53) shaped MB2 root canals using the One Curve system and then Reciproc Blue; the second group (n = 52) shaped MB2 root canals following the reverse sequence. Participants completed a questionnaire. The chi-square and Mann-Whitney U test were used for statistical analysis using significance of p The full WL was reached and shaping procedures were completed without complications in Reciproc Blue and One Curve groups at rates of 86.67% and 82.85%, respectively (p > 0.05). Treatment time was shorter in Reciproc Blue (p < 0.05). More (62.9%) students felt the One Curve system safer, while 61% felt the Reciproc Blue system faster. ConclusionsWithin the limitations of this study, instrument kinematics and glide path preparation did not interfere with undergraduate students' ability to achieve the WL in MB2 root canals.
Citation Count: 27
Post-obturation pain following the use of carrier-based system with AH Plus or iRoot SP sealers: a randomized controlled clinical trial
(Springer Heidelberg, 2019) Ates, Ayfer Atav; Dumani, Aysin; Yoldas, Oguz; Unal, Ilker
ObjectivesThe aim of this study was to compare the postoperative pain after root canal treatment using a carrier-based obturation system and two different sealers.Materials and methodsIn this prospective randomized clinical trial, 160 patients were selected. Patients with vital and devital teeth were randomized into four groups using a randomized block design with block sizes of 10 patients each. The groups were devital/vital teeth treated with iRoot SP sealer and devital/vital teeth treated with AH Plus sealer. Patients were prescribed ibuprofen, a 200-mg analgesic, if needed, and postoperative pain was recorded by visual analogue scale at 6, 12, 24, and 72h after obturation. Pain score and frequency of tablet intake were recorded and statistically analyzed.ResultsResults showed that there was no significant difference between groups in the incidence of postoperative pain; however, iRoot SP sealer was associated with less analgesic intake compared to AH Plus sealer.ConclusionThe use of different sealers did not significantly affect pain levels.Clinical relevanceiRoot SP sealer was associated with less analgesic intake compared to AH Plus sealer.