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Öğe Effect of Chronic Periodontitis on Serum and Gingival Crevicular Fluid Oxidant and Antioxidant Status in Patients With Familial Mediterranean Fever Before and After Periodontal Treatment(AMER ACAD PERIODONTOLOGY, 2014) Bostanci, Vildan; Toker, Hulya; Senel, Soner; Ozdemir, Hakan; Aydin, HuseyinBackground: The aim of this study is to investigate the impact of periodontal status on oxidant/antioxidant status in patients with chronic periodontitis (CP) who experienced familial Mediterranean fever (FMF) and their response to non-surgical periodontal therapy. Methods: Data were obtained from 13 patients with FMF with generalized CP (FMF-CP), 15 systemically healthy patients with generalized CP, 15 systemically and periodontal healthy controls (HCs), and 14 periodontally healthy patients with FMF (FMF-HC). Each participant's total oxidant status (TOS), total antioxidant status (TAS), and oxidative stress index (OSI) in their gingival crevicular fluid (GCF) and serum were recorded. Probing depth, clinical attachment level, and gingival and plaque indices in each participant were also measured. The GCF and clinical parameters at baseline and 6 weeks after periodontal treatment were recorded. Results: The study showed statistically significant improvement of clinical parameters in both FMF-CP and CP groups after periodontal treatment. The baseline GCF-TOS and OSI levels were significantly higher in the CP group compared with the FMF-CP group (P < 0.05). After periodontal treatment, the GCF-TOS levels were significantly reduced in members of the FMF-CP group (P < 0.05). The GCF-TAS levels in members of the FMF-CP group were significantly higher than those of members of the HC group at baseline (P < 0.05). Serum-TAS levels in the FMF-CP group were significantly higher than those in the CP and HC groups at baseline (P < 0.05). The GCF-TOS level in the FMF-CP group was significantly higher than that in the FMF-HC group at baseline and 6 weeks. However, there were no significant differences in the serum-TOS and serum-OSI levels of those in the FMF-CP and CP groups at baseline and 6 weeks (P > 0.05). Conclusion: The results of the present study show that patients with FMF-CP displayed reduced oxidative stress and increased antioxidant status compared with those in the CP and HC groups.Öğe Effect of external tooth bleaching on dental plaque accumulation and tooth discoloration(MEDICINA ORAL S L, 2008) Gursoy, Ulvi Kahraman; Eren, Digdem Isin; Bektas, Ozden Ozel; Hurmuzlu, Feridun; Bostanci, Vildan; Ozdemir, HakanObjectives: Treatment of dental discolorations with external bleaching is becoming very common in dentistry, however, possible irreversible alterations on enamel surface due to bleaching procedures is a topic of discussion. The aim of this study was to evaluate the clinical effects of bleaching by measuring the dental plaque accumulation on human enamel and tooth discoloration in vivo. Study Design: Forty-four teeth in eleven patients not revealing any restorations or periodontal problems were enrolled in this study. Bleaching agent applied only to labial surfaces of incisors using commercial 35 % hydrogen peroxide gel. Dental plaque and tooth color measured in the same group of participants, at the end of non-brushing periods lasting 3 and 5 days, respectively, before and after bleaching. Results: The results of the comparison of pre- and post-bleaching measurements showed that, after a non-brushing period lasting 3 day, discoloration scores and plaque accumulation scores for bleached surfaces were lower than the non-bleached surface scores. However, at the end of a non-brushing period lasting 5 day, even the color measurement score in post-bleaching period was lower than the pre- bleaching counterpart, plaque index measurements showed higher plaque accumulation scores in the bleached group. Conclusions: According to these results, bleaching with 35 % hydrogen peroxide seem to favor plaque accumulation after non-brushing period lasting 5 day and tooth discoloration after bleaching is not in correlation with the amount of plaque accumulation.Öğe The effects of non-surgical periodontal therapy on oxidant and anti-oxidant status in smokers with chronic periodontitis(PERGAMON-ELSEVIER SCIENCE LTD, 2013) Akpinar, Aysun; Toker, Hulya; Ozdemir, Hakan; Bostanci, Vildan; Aydin, HuseyinAim: The aim of this study was to determine the effect of non-surgical periodontal treatment on gingival crevicular fluid (GCF) and serum oxidant-antioxidant levels in smoking and non-smoking patients with chronic periodontitis. Methods: Twenty-nine patients with chronic periodontitis (15 smokers (CP-S) and 14 nonsmokers (CP-NS)) and 20 periodontally healthy subjects (10 smokers (H-S) and 10 non-smokers (H-NS)) totalling 49 subjects were included in this study. GCF was collected from at least two pre-selected sites (one moderate and one deep pocket) in patients with CP. In the healthy group, GCF samples were collected from one site. Probing pocket depth, clinical attachment level (CAL), gingival and plaque indices, and bleeding on probing were measured. To determine serum total oxidant status (TOS) and total antioxidant status (TAS), venous blood was drawn from each subject. The GCF, serum sampling, and clinical measurements were recorded at baseline and 6 weeks after periodontal treatment. Results: The study showed statistically significant improvement of clinical parameters after periodontal treatment in both smokers and non-smokers. In the CP-S group, there were no significant differences in GCF TAS levels at both moderate and deep pocket sites between baseline and 6 weeks (p > 0.05). GCF TAS levels in the CP-NS groups were significantly increased (p < 0.05) at moderate and deep pocket sites between baseline and 6 weeks. GCF TOS levels in the CP-S groups were significantly decreased (p < 0.05) at deep pocket sites between baseline and 6 weeks. There was no significant difference in serum TAS levels of the all periodontitis patient groups between at baseline and 6 weeks (p > 0.05). Serum TOS levels in the CP-S and CP-NS groups were significantly decreased (p < 0.05) after periodontal treatments. Conclusions: The periodontal treatment improves the clinical parameters in both smokers and non-smokers. These results confirm that non-surgical periodontal therapy can reduce oxidative stress. (C) 2012 Elsevier Ltd. All rights reserved.Öğe Evaluation of IL-1 beta, IL-1ra, and IL-10 levels and outcome of periodontal therapy in chronic periodontitis with familial Mediterranean fever(SPRINGER HEIDELBERG, 2017) Bostanci, Vildan; Toker, Hulya; Senel, Soner; Poyraz, Omer; Akpinar, Aysun; Gorgun, Emine Pirim; Bakar, OlcayThis study aimed to examine the IL-1 beta, IL-1ra, and IL-10 cytokine levels in gingival crevicular fluid (GCF) and serum of familial Mediterranean fever (FMF) and chronic periodontitis (CP) patients, and their response to nonsurgical periodontal therapy. A total of 50 patients, 15 FMF patients with generalized chronic periodontitis (FMF-CP), 15 systemically healthy patients with generalized chronic periodontitis (CP), ten systemically and periodontal healthy controls (HC), and ten periodontally healthy FMF patients (FMF-HC) were enrolled in the study. The cytokine levels in GCF and serum were determined by ELISA. Probing depth, clinical attachment level, and gingival and plaque indices in each participant were also measured. The GCF and clinical parameters at baseline and 6 weeks were recorded. The study indicated statistically significant healing of the clinical parameters in both FMF-CP and CP groups after periodontal treatment. GCF IL-1 beta levels at 6 weeks in FMF-CP group were significantly lower than the CP group (p < 0.05), and GCF IL-1ra levels were significantly decreased at 6 week in the FMF-CP group (p < 0.05). GCF IL-10 levels were significantly higher in the FMF-CP group than in the other groups at baseline and 6 weeks (p < 0.05). There were no significant differences in serum-IL-1 beta, IL-1ra, and IL-10 levels either FMF-CP or CP groups at baseline or 6 weeks (p > 0.05). The results of our study suggested that there was a positive correlation between gingival inflammation and serum cytokine levels in FMF patients and also colchicine treatment showed protective effects on GCF cytokine levels in FMF-CP group. Following treatment, GCF IL-1 beta and GCF IL-1ra levels were decreased in FMF-CP group. GCF IL-10 levels were increased in FMF-CP group compared to other groups. Also, the serum cytokine levels associated with periodontal inflammation in FMF patients.Öğe Prevalence of Chronic Periodontitis, Bruxism and Temporomandibular Joint Disorders in Patients with Fibromyalgia Syndrome(GALENOS YAYINCILIK, 2017) Yuce, Hatice Balci; Inanir, Ahmet; Gokturk, Ozge; Turkal, Humeyra Aydemir; Bostanci, VildanObjective: Chronic periodontitis is a world-wide infectious and inflammatory disease and may have a relationship with other inflammatory diseases such as fibromyalgia syndrome (FMS). The aim of this study was to determine whether the prevalence of periodontitis is increased in individuals with FMS or not. Materials and Methods: Sixty-four patients with FMS and 70 systemically healthy individuals were included in the present study. Fibromyalgia patients did not have any other systemically disease. All subjects had at least 20 functioning teeth and underwent detailed oral and radiographic examination, in addition, bruxism and temporomandibular joint (TMJ) examinations were performed. All clinical attachment levels, plaque and gingival indices were recorded. Results: Fibromyalgia patients tend to have higher gingival index scores than healthy individuals. There was a significant difference in the presence of bruxism between the study groups (p<0.05) but not in the presence of TMJ disorders. There was no significant difference regarding to periodontal disease between individuals under age 45 years. The prevalence of periodontitis was increased in healthy group aged above 45 years (p<0.05) but not changed in equivalent FMS patients (p>0.05). Conclusion: We found that the prevalence of periodontitis was not changed in FMS patients but was increased in healthy subjects above age 45.Öğe Prevalence of periodontal disease in patients with Familial Mediterranean Fever: A cohort study from central Turkey(QUINTESSENCE PUBLISHING CO INC, 2014) Bostanci, Vildan; Toker, Hulya; Senel, Soner; Sahin, SafakObjective: The aim of this study was to compare the periodontal status in patients with Familial Mediterranean Fever (FMF) and in those without this disease. Method and Materials: 84 subjects clinically diagnosed with FMF and 75 systemically healthy controls, matched by age and gender, were recruited. All FMF patients were on a regular daily colchicine treatment and during attack-free periods. Gingival Index (GI), Plaque Index (PI), probing pocket depth (PD), and clinical attachment level (CAL) were measured in all subjects. To evaluate periodontal disease further, patients were stratified into five groups. Education information and smoking habits were recorded. Results: The FMF patients and healthy controls were comparable for age, gender, and smoking status (P > .05). The FMF patients had significantly higher PI and GI values and lower PD and CAL values than those of the control group (P < .05). However, there was no significant difference among all groups in terms of periodontal disease severity (P > .05). In the FMF-severe periodontitis group, higher PI and GI values were seen (P < .05). However, there was no significant difference between the FMF-severe periodontitis group and the controls with severe periodontitis regarding the PD and CAL values (P > .05). Conclusion: Patients with FMF using colchicine did not manifest higher attachment loss compared to age- and sex-matched systemically healthy controls.Öğe The Relationship of Orthodontic Treatment Need with Periodontal Status, Dental Caries, and Sociodemographic Factors(HINDAWI PUBLISHING CORPORATION, 2012) Nalcaci, Ruhi; Demirer, Serhat; Ozturk, Firat; Altan, Burcu A.; Sokucu, Oral; Bostanci, VildanThe aim of this study was to determine the relationship of orthodontic malocclusion with periodontal status, dental caries, and sociodemographic status. Our study population consisted of a sample of 836 school children (384 male and 452 female, aged 1114 years). Four experienced orthodontists and two experienced periodontists performed the clinical examinations. The Treatment Priority Index (TPI), Community Periodontal Index of Treatment Needs (CPITN), decayed, missing, filled teeth (DMFT) scores, and a questionnaire that surveyed socio-demographic status of students were used. Spearman's rank correlation coefficients were used to measure the association between variables. TPI scores showed that 36.4% of the students had normal occlusion, while 41.2% had slight, 15.7% had definite, 4% had severe, and 2.7% had very severe malocclusion. TPI values did not show any significant differences between pupils in different age, gender, socioeconomic status groups, and CPITN scores, whereas there was a significant relationship between TPI and DMFT scores. The orthodontic treatment need was not significantly correlated with CPITN or socio-demographic status; however, the correlation coefficient showed a significant relationship between TPI and DMFT scores.Öğe Self-esteem, hopelessness, quality of life, and psychological symptoms in individuals diagnosed with periodontal disease(Springer, 2024) Bulut, Meryem Berrin; Kurtaran, Deniz; Bostanci, Vildan; Sari, Yavuz; Cil, Kubra NurThe purpose of this study is to examine the levels of self-esteem, hopelessness, quality of life, and psychological symptoms among individuals diagnosed with periodontal disease and compare them with those who were not diagnosed with periodontal disease. The literature review revealed a scarcity of studies that explore the relationship between psychological symptoms and periodontal diseases, and the absence of a comprehensive study that addresses the variables considered in this study. The participants were recruited from patients seeking treatment at a university's faculty of dentistry, including those who were diagnosed with periodontitis and gingivitis, as well as those who did not receive any such diagnoses. A total of 90 individuals (n(women)= 45, n(men)= 44, 1 not specified) voluntarily participated in the study. The study utilized the Beck Hopelessness Scale, Rosenberg Self-Esteem Scale, World Health Organization Quality of Life Scale, Brief Symptom Inventory, and demographic information form to collect data. The experimental method, a quantitative research technique, was employed. The data were analyzed using SPSS 25, employing ANOVA and correlation analysis. The findings revealed that the healthy group had a higher mean for the general health status dimension of quality of life than those diagnosed with periodontitis, and those diagnosed with gingivitis had a higher mean than those diagnosed with periodontitis. Additionally, the mean scores of the healthy group were lower than those diagnosed with periodontitis for both hopelessness and depression. Finally, the mean scores of patients diagnosed with gingivitis were lower than those diagnosed with periodontitis for hostility. The correlation analysis showed a positive and significant relationship between self-esteem and quality of life for all three groups. The results of this research have important implications, such as reducing interrelated psychological symptoms and periodontal diseases, planning early intervention studies, reducing the cost of treatment, improving oral health, and preventing unnecessary appointments.
