Abstract Book 22nd BaSS Congress 2017

22nd BaSS Congress Program
THURSDAY, MAY 4th, 2017

ALEXANDROS I ALEXANDROS II ARISTOTELIS I ARISTOTELIS II KALLIOPI AMFITRION II
09.00-10.00 09.00-10.00
09.00-10.00 REGISTRATION 09.00-10.00 REGISTRATION 09.00-10.00 REGISTRATION 09.00-10.00 REGISTRATION
REGISTRATION REGISTRATION
Session 1 Session 2 Session 3 Session 4 Session 5 Session 6
Oral Presentations Oral Presentations Oral Presentations Oral Presentations Posters Posters
Pres. Koulaouzidou E. Pres. Economides N. Pres.Sakellari D. Pres. Tolidis K. Pres. Matiakis A. Pres. Naka O.
OP.017 OP.024
OP.009 10.00-10.15 EGLENEN MN, 10.00-10.15 GEZGIN O,
OP.001
10.00-10.15 TZIMAS K, TSIAFITSA M, TUGLU MI, AYDEMIR I, GULEC KORKUT E, BOSTANCI B, OZER
10.00-10.15 CHALVATZOGLOU E, MOURATOGLOU A,
GERASIMOU P, TSITROU E. A. H, SENER Y. ANALYSIS OF
CHALVATZOGLOU S, TSIANTOU D. 10.00-12.00 10.00-12.00
ENDOCROWNS: AN ALTERNATIVE THE CONDYLAR EFFECTS OF SURFACE CHARACTERISTICS
YOUNG MOTHERS KNOWLEDGE ABOUT CHILDRENS ORAL
APPROACH FOR RESTORING EXTENSIVELY GRAPE-SEED EXTRACTION, AND RADIOPACITY OF
HEALTH, DENTAL VISITS AND BREASTFEEDING
DAMAGED TEETH STEM CELLS AND LASER BIOACTIVE PULP CAPPING
THERAPY ON RATS MATERIALS
PP.030
PP.001 NIKOLIĆ M, POPOVIĆ J, GAŠIĆ J, MITIĆ A,
TEKIC J, MANDINIĆ Z, CAIROVIC A. MARINKOVIĆ N.
MAIN CRITERIA FOR EXCELLENCE MODELS HEALTH CARE ADEQUATE DENTIST IN THE EYES OF PATIENT
WITH DENTAL ANXIETY
PP.002 PP.031
CITAK M, BEKTAS B, OZKAN S. TREATMENT OF SIMPLE TRIFUNOVIC J, BIOCANIN V, MATIJEVIC S.
ANTERIOR CROSSBITE WITH A REMOVABLE APPLIANCE : A DENTISTRY DOCUMENTATION AND ITS CENTRAL
CASE REPORT IMPORTANCE TO THE DENTIST
PP.032
PP.003 AVRAMOVA Ν, MIHAYLOVA Ι, DIMOV P,
ANDJELIC J. BONEV Β, YANEVA Κ.
BREASTFEEDING AS AN ETIOLOGICAL FACTOR IN THE WHAT BRINGS PROFESSIONAL SATISFACTION:
DEVELOPMENT OF MALOCCLUSION SOCIO-DEMOGRAPHIC PROFILE OF DENTISTS IN
BULGARIA
PP.033
GEORGIEV Z, VLAHOVA A, KISSOV C,
ALEKSANDROV S, KAZAKOVA R.
POSSIBLE APPLICATIONS OF PEEK IN DENTISTRY:
A LITERATURE REVIEW
PP.004
ZAFEIRIADIS AA, KARAMOUZOS A, ATHANASIOU AE,
ELIADES T, PALAGHIAS G.
IN VIVO COLOUR EVALUATION OF VIVERA® AND ESSIX®
CLEAR THERMOPLASTIC RETAINERS
PP.034
PP.005 GASIC J, BARAC R, POPOVIC J, MITIC A, STOSIC
ŞEKER ED.,GIZEM A., N. EFFECT OF ANTACID SUSPENSION ON
TREATMENT OF CLASS III MALOCCLUSION WITH REVERSE ARTIFICIAL GASTRIC JUICE-INDUCED ENAMEL
HEADGEAR IN EARLY PERIOD- CASE REPORT EROSION: AN ULTRASTRUCTURAL
EXPERIMENTAL MODEL
PP.035
BARAC R, GASIC J, POPOVIC J, MITIC A, NIKOLIC
PP.006
M.
OP.018 GRIBIZI I, GRAVINA GM.
OP.025 EROSIVE EFFECT OF SOFT DRINKS ON CEMENTO-
OP.010 10.15-10.30 GÖKALP KALABAY ORTHODONTICS IN ADULTS AS A PRE-PROSTHETIC
10.15-10.30 ALKURT M, ENAMEL JUNCTION IN VITRO: AN
OP.002 10.15-10.30 TZIMA D, ECONOMIDES N, P, ADEM SIYLI GZ, ÇANKAYA TREATMENT - A CLINICAL CASE
GUNDOGDU M, DUYMUS Z. ULTRASTRUCTURAL AND PROFILOMETRIC
10.15-10.30 DELIGIANNI AI, SFEIKOS T, KOUROS P. GOGOS C. ZT. THE THERAPEUTIC EFFECT STUDY
EVALUATION OF COLOR
LASER AND LED LIGHT SOURCE RESIN POLYMERIZATION: A ROOT CANAL TRANSPORTATION INDUCED OF HYALURONIC ACID ON
STABILITY OF DIFFERENT RESIN
MICROHARDNESS COMPARISON BY HYFLEX CM ROTARY SYSTEM USED BY GINGIVAL DEPIGMENTATION
CEMENTS AFTER
UNDERGRADUATE STUDENTS PROCUDURE WITH DIODE PP.036AYDIN EG, ÖZALP N. SUCCESSFUL
THERMOCYCLING PROCESS PP.007RAZNATOVIC N, GANJOLA D. GUMMY SMILE
LASER REPOSITION OF A MAXILLARY CENTRAL INCISOR
TREATMENT
AFTER 6 DAYS OF EXTRUSIVE LUXATION
PP.037
PP.008
KIRILOVA J, TOPALOVA-PIRINSKA S, STEFANOVA
DUBORIJA A.
VATCHEVA-DOBREVSKA R, KIROV D.
THE IMPORTANCE OF IMPLEMENTING PREVENTIVE
OZONE THERAPY INTO MANAGEMENT OF
MEASURES IN CLASS III MALOCCLUSION
DENTAL CARIES
PP.009 PP.038
PAPADOPOULOS A. COSGUN MT, TULGA OZ F. SPLINT APPLICATION
MICROABRASION,AN ALTERNATIVE FOR ANTERIOR DEEP AND REVASCULARIZATION OF AN AVULSED
POST-ORTHODONTIC WHITE SPOTS:A CASE REPORT TOOTH
PP.010
TÜRKER G, YAVUZ I, YILDIZ O. THE EVALUATION OF
SPONTANEOUS MAXILLARY INCISORS RETRACTION
DURING CANINE DISTALIZATION
PP.039
PP.011 PETROVSKI M, MINOVSKA A, TERZIEVA O.
OP.026 ILIC J, CUTOVIC T. ORAL LESIONS ASSOCIATED WITH WEARING OF
OP.019
10.30-10.45 ERGUN G, SAHIN USE OF TRANSPARENT PLASTIC ALIGNERS IN THE PROSTETIC DEVICES AMONG
OP.003 OP.011 10.30-10.45 KOCAK NA.
Z, SEDA ATAOL A. TREATMENT OF ORTHODONTIC PROBLEMS INSTITUTIONALIZED ELDERLY
10.30-10.45 PINAR ERDEM A, ŞEYDA ÜRKMEZ E, SEPET E, 10.30-10.45 KERIM M, ESAD GUVEN M. EVALUATION OF THE ND-YAG
THE EFFECT OF ZRO2
GÜNEŞ H, TOPÇUOĞLU N. REPAIR STRENGTH OF AGED BULK FILL LASER IN AGGRESSIVE
NANOPARTICLES ADDITION TO
ORAL HEALTH STATUS OF THE CHILDREN WITH ATTENTION POSTERIOR RESTORATIVE WITH PERIODONTITIS ADDITION TO
HEAT-CURED PMMA ON PP.012 PP.040
DEFICIT HYPERACTIVITY DISORDER: A PILOT STUDY POSTERIOR COMPOSITE CONVENTIONAL
TRANSVERSE STRENGTH AND KELMENDI S, LAKO M, KELMENDI M, BIDAJ A, MANDIC J, MANDINIC Z, KOSANOVIC D.
PERIODONTAL THERAPY
WATER SORPTION/SOLUBILITY XHEMNICA R. DECORONATION AND ADHESIVE BRIDGE, A
MIXED ORTHOPAEDIC- FUNCTIONAL THERAPY IN SECOND TREATMENT TO PRESERVE ALVEOLAR BONE
CLASS DENTAL MALOCCLUSION (A CASE REPORT)
PP.041
ZARKOVA ATANASOVA J, ZLATANOVSKA K,
KOCOVSKI D, NASHKOVA S, DIMOVA C.
RANGE OF COLOR PARAMETERS IN MAXILLARY
CENTRAL INCISORS VERSUS THREE DIFFERENT
SHADE GUIDES
PP.013 PP.042
XHEMNICA R, RROÇO M, KELMENDI S, ISUFI A. BILMENOĞLU Ç.
MANAGEMENT OF ANTERIOR DENTAL CROSSBITE WITH COMPARISON OF TRIOS INTRA ORAL DIGITAL
REMOVABLE APPLIANCES (A CASE REPORT) IMPRESSION SYSTEMS
PP.043
PP.014
ANGELOVSKA B, DELCEV G, DRAKALSKA E, ALI E,
HAVZIU F, HALILI I, HAVZIU H. MULTIDISCIPLINARY
GORGESKA B, KOVACHEVSKA I. RECOGNITION
COOPERATION ORTHODONTIC-SURGERY,TOOTH
AND REPORTING OF SUSPECTED ADVERSE DRUG
AGENESIS 41
REACTIONS USING SDA-PHARMACOVIGILANCE
OP.020 OP.027
OP.012 10.45-11.00 TALMAÇ AC, 10.45-11.00 CHUCHULSKA B,
OP.004
10.45-11.00 KUZUMI E, KUZUMI R. ÇALIŞIR M, ERTUĞRUL A, YANKOV T, IVANOVA A,
10.45-11.00 BULDUR B, KAYABASİ M, AYDIN MN.
PALATAL DENTIN THICKNESS COMPARISON OF ER,CR:YSGG GANCHOVSKA P, TODOROV G. PP.044
THE EFFECT OF PARENTAL FACTORS ON CHILDRENS’ DENTAL OP.015
DETERMINATION BASED ON TOOTH 12/22 AND DIODE LASER ON THE CHANGE OF COLOUR IN BAYINDIR F, DİKEÇ EV.
ANXIETY AND FEAR VUČIĆ L, JULOSKI J, VUČIĆ U, STANKOVIĆ O, ŠĆEPAN I.
DIMENSION IN FEMALE PATIENTS CYTOKINES LEVELS IN GAP THERMOPLASTIC DENTURE EFFECT OF DIFFERENT LASER SYSTEM ON BOND
OPENING OF MIDPALATAL SUTURE IN YOUNG-ADULT
PATIENTS BASE RESINS STRENGTH RESIN CEMENT WITH ESTHETIC POST
PATIENTS: CASE REPORT
SYSTEM
P.016 PP.045
IVIĆ S, STOJANOVIĆ L, STEFANOVIĆ N, PAJEVIĆ T, VUČIĆ L. BECHERU I, RADULESCU R.
ORTHODONTIC-SURGICAL TREATMENT OF SKELETAL THE USE OF VACCUM- FORMED PLASTIC
FACIAL ASYMMETRY: CASE REPORT TEMPLATES AS TEMPORARIES
OP.021 OP.028 P.017

OP.005
11.00-11.15 CALISKAN I, 11.00-11.15 ILIC D, STOJANOVIĆ L, GALLUCCIO G, PAJEVIĆ T, STEFANOVIĆ N,
11.00-11.15 BALAN A, MARTU STEFANACHE AM, PINTILICIUC OP.013
EKREN O,UCAR Y. ANTONIJEVIC D, BIOCANIN V, IVIĆ S.
SERBAN V, MAXIM DC, VASILCA GAVRILA LM. WITHDRAW
PORCELAIN CHIPPING POSTIC D, PETROVIC R. ORTHODONTIC MANAGEMENT OF CLASS III
CHILDREN’S SUBGINGIVAL MICROBIOTA IN MIXED DENTITION
EVALUATION OF CAST AND THE INFLUENCE OF MALOCCLUSION.
LASER SINTERED METAL- BISMUTHOXIDE,
CERAMIC RESTORATIONS: A ZIRCONIUMOXIDE AND
PP.018LAZIC E, KONTOPOULOS K, MAJSTOROVIC N, PP.046MEDIC V, OBRADOVIC DJURICIC K,
CLINICAL STUDY STRONTIUMFLUORIDE ON
NEDELJKOVIC N, MILOSEVIC O. CHANGES IN CERVICAL POSTIC S, RADOVIC K, ILIC D. CORRELATION
RADIOPACITY OF
LORDOSIS AND CERVICOVERTEBRAL MORPHOLOGY IN BETWEEN ABILITY OF DENTAL CEMENTS TO
NANOHYDROXIAPATITE
DIFFERENT GENDER AND AGE PERIODS ALTER PH OF SOLUTIONS AND THEIR SOLUBILITY
ENRICHED CALCIUM SILICATE
CEMENT
PP.047
PP.019 OBRADOVIC DJURICIC K, MEDIC V, POSTIC S,
PETROVSKA J, PETROVSKI D. WHITE SPOT ANTONIJEVIC D, ILIC D.
DEMINERALIZATION IN PATIENTS TREATED WITH FIXED AN ANTIOXIDATIVE CAPACITY OF SEVERAL
ORTHODONTIC APPLIANCES LUTING CEMENTS MEASURED BY TWO
METHODS
PP.048
PP.020
UZUN O, ALACAM T, YAVAS O, BULAK N.
YOVCHEVA K, MUSURLIEVA N, GOEV G.
THE EFFECTS OF USING MAGNIFICATION AND
VERTICAL AND SAGITTAL SPACE MAINTAINING IN EARLY
ILLUMINATION DEVICES ON BONDING
MIXED DENTITION
STRENGTH OF FIBER POSTS
PP.021 PP.049
TRPEVSKA V, KOVACEVSKA G, KANURKOVA L, PAPAKOCA K, KOVACEVSKA I.,KOCOVSKI D,
KOVACEVSKI N. PAPAKOCA G, STEFANOVA E.
CLINICAL IMPORTANCE OF T-SCAN III SYSTEM ASSESSMENT OF THE DEFINITIVE ROOT CANAL
COMPUTERIZED OCCLUSAL ANALYSIS IN PATIENTS WITH OBTURATION WITH CANASON - COMBIPACK
MALOCCLUSIONS SEALER
PP.022 PP.050
OP.022 OZKAN S, GOLLERLI YY, YAVUZ MC, CELIK E. ÇAKIR NN, DEMIRBUĞA S, ERKAYA I, BAKIR M.
11.15-11.30 SAVEANU TREATMENT OF OLIGODONTIA BY USING FIXED CLINICAL PERFORMANCE OF THREE
OP.014 OP.029
CI, DRAGOS O, ANISTOROAEI ORTHODONTIC APPLIANCES AND PROSTHETIC CONVENTIONAL ADHESIVES IN EARLY OCLUSAL
OP.006 11.00-11.15 DEMIREL G, HAKKI 11.15-11.30 COŞKUN EM,
D, DANILA V, GOLOVCENCU L. REHABILITION: A CASE REPORT CARIOUS LESIONS: 18-MONTH FOLLOW-UP
11.15-11.30 KUCUKASLAN D, GULER C, BELDUZ KARA N. BALTACIOĞLU I, KOLSUZ ME, ORHAN O. TUĞUT F, SARI F.
COMPARATIVE STUDY IN
EVALUATION OF KNOWLEDGE LEVEL AND AWARENESS OF MICRO-CT EVALUATION OF VOID AND GAP THE EFFECT OF DIFFERENT
PREVENTIVE RESTORATIONS PP.051
PARENTS ABOUT AVULSION AND CORONAL FRACTURE FORMATION IN BULK-FILL RESIN SINTERING PROCEDURES ON PP.023
PREPARED WITH BURR AND DJUROVIC KOPRIVICA D, PUSKAR T, VULETIC
COMPOSITES IN CLASS II RESTORATIONS THE ZIRCONIA'S COLOUR GURSES E, YAGCI A.
ER.CR: YSGG LASER RAKIC J, MILEKIC B, JEREMIC KNEZEVIC M.
IRRADIATION ASSESSMENT OF CB12 EFFECTIVENESS IN ORAL ODOR IN
IN- VITRO TESTS FOR BIOCOMPATIBILITY
PATIENTSWITH BONDED RAPID MAXILLARY EXPANSION
EVALUATION OF DENTAL MATERIALS
PP.024 PP.052
DINKOVA M. DOBRIKOVIC O, STANOJEVIC M, CICMIL S.
DENT@LIGN DIGITAL ALIGNERS IN CASE WITH CROWDED THE USE OF GIC BY DENTISTS IN THE SOUTH-
FRONT TEETH EAST PART OF BOSNIA AND HERCEGOVINA
PP.025 PP.053
RADOVIC I, NOGO ZIVANOVIC D, DAVIDOVIC B, ATALAY P, GONULDAS F, OZTAS DD.
STOJANOVIC N, KRUNIC J. THE EFFECT OF HYDROFLUORIC ACID ETCHING
ORAL HYGIENE HABITS, BEHAVIOR AND KNOWLEDGE OF PROCEDURE ON SURFACE ROUGHNESS OF
AN ELDERLY IN BOSNIA AND HERCEGOVINA THREE DIFFERENT ALL-CERAMIC SYSTEMS
PP.026
PP.054
JOVANOVIĆ M, MALEŠEVIĆ A, KOLAR J, ĐUKIĆ DEJANOVIĆ
GONULDAS F, ATALAY P, OZTAS DD.
S, TODOROVIĆ L.
SHEAR BOND STRENGTHS BETWEEN RESIN
PREVALENCE OF DENTAL CARIES AMONG ADOLESCENTS
OP.023 CEMENT AND ALL-CERAMICS FABRICATED BY
OP.015 WITH MENTAL DISORDERS
11.30-11.45 TOSESKA- USING DIFFERENT TECHNIQUES
11.15-11.30 DEMIRIZ L, BODRUMLU EH, OP.030
OP.007 SPASOVA Ν, DZIPUNOVA B,
TORAMAN F, NALE T. 11.30-11.45 SAGSOZ O, POLAT
11.30-11.45 SELIMOVIĆ-DRAGAŠ M, HUSEINBEGOVIĆ A. RADOJKOVA-NIKOLOVSKA V,
INTRARADICULAR SPLINTING OF AN SAGSOZ N.
SURVIVAL OF A TRAUMATIC RESTORATIVE TREATMENT (ART) STAVREVA N, SPASOV D. PP.055
HORIZONTAL ROOT FRACTURE BY USING CHEMICAL DEGRADATION OF
RESTORATIONS IN PRIMARY TEETH: 3-YEAR FOLLOW-UP ORTHODONTIC OZTAS DD, GONULDAS F, ATALAY P.
AN ENDODONTIC INSTRUMENT: A CASE CAD/CAM CERAMICS
MANAGEMENT IN MEDICALLY EVALUATION OF SHEAR BOND STRENGTH OF
REPORT
COMPROMISED PATIENTS TWO DIFFERENT RESIN CEMENTS ON LEUCITE-
REINFORCED GLASS-CERAMIC CAD/CAM BLOCK
PP.056
DEMIRBUGA S, ÇAKIR NN, KAPLAN MH, UÇAR
EN, BÜYÜKBAŞ H.
THE BOND STRENGTH OF UNIVERSAL
ADHESIVES ON CARIES-AFFECTED DENTIN WITH
OR WITHOUT ACID-ETCHING
PP.057HERDEM G, ERCIYES MA, İMAMOĞLU

PP.027MIHAYLOVA I, AVRAMOVA N, VASILEV B,
ŞIRVANLI NN. COMPARISON OF THE
BOJINOV P. SELF-ASSESSED VS. CLINICALLY MEASURED
CYTOTOXICITY OF MTA AND PORTLAND
LEVEL OF DENTAL HEALTH OF ADULTS
CEMENT CONCENTRATIONS ON L929.
PP.058
OP.00811.45-12.00 GEZGİN O, KORKUT E, GÜNEY ÇİLDAN B, OP.01611.30-11.45 DELIKAN E. EFFECTS DEMIRBUĞA S, ÇAKIR NN, AKAY AT, ERKAYA I,
PP.028
ALAN R, YAĞMUR S. THE FREQUENCY OF VARIOUS SYSTEMIC OF VARIOUS PULPOTOMY MEDICAMENTS BAKIR M.
FURTUNA Z, MARCU D, CIOBANU S.
DISEASES IN CHILDREN APPLYING TO THE DEPARTMENT OF ON COMPOSITE RESIN- DENTIN BOND THE BOND STRENGTH OF 5 DIFFERENT
METHOD OF INVESTIGATION USED IN CANDIDA
PEDIATRIC DENTISTRY STRENGTH UNIVERSAL ADHESIVES TO DEMINERALIZED
DIAGNOSIS
ENAMEL
PP.029 PP.059
DAVIDOVIĆ B, JANKOVIĆ S, LEČIĆ J, RADOVIĆ I, BJELOVIĆ ÇAKIR NN, DEMIRBUĞA S.
L. CLINICAL PERFORMANCE OF TWO UNIVERSAL
ORAL HYGIENE STATUS OF CHILDREN WITH AND ADHESIVES IN EARLY OCLUSAL CARIOUS
WITHOUT ASTHMA LESIONS: 18-MONTH FOLLOW-UP
12.00-12.30 BREAK
Oral presentations Oral Presentations Oral Presentations Oral Presentations Posters Posters
Pres. Kontonasaki E. Pres. Vlahovic Z. Pres. Pantelidou O. Pres. Tsalikis L. Pres. Delantoni A. Pres. Apatzidou D.
12.30-14.00 12.30-14.00
OP.048
OP.043 12.30-12.45 ZABOKOVA-
12.30-12.45 APOSTOLOGLOU BILBILOVA E, SOTIROVSKA-
V, FRAGKIOUDAKIS I, IVKOVSKA A, GEORGIEV Z,
OP.031 TOPITSOGLOU V, PANTELIDOU KOKOCEVA-IVANOVSKA O,
12.30-12.45 IGIC M, OBRADOVIC R, TODOROVIC K, TODOROVIC O. STEVANADJIJA J.
A. USE OF E-CIGARETTE, INFLUENCE OF PASTE CONTAIN
PREVALENCE OF INTRUSIONS IN THE PRIMARY DENTITION KNOWLEDGE AND CASEIN PHOSPHOPEPTIDE -
PERCEPTIONS OF STEAMING AMORPHOUS CALCIUM
AMONG GREEK UNIVERSITY PHOSPHATE ON ENAMEL
STUDENTS AROUND ORTHODONTIC
APPLIANCES
OP.037
PP.060
12.30-12.45 VAKIRTZIAN GA, VASILIADIS PP.087
CHONDRONIKOLA E, SIDERI M, DERVISOGLOU T,
L. ROBO I, HETA S.,PAPA P, HETA N.
DELANTONI A.
COMPARISON OF GENUINE K AND H QUANTITATIVE CHANGES IN GINGIVAL FLUID,
A COMPARATIVE STUDY BETWEEN 2D AND 3D IMAGING
STAINLESS STEEL HAND FILES WITH THEIR AS A RESULT OF SMOKING
IN DENTISTRY
CHINESE COUNTERFEITS,SEM. STUDY
PP.088
YILDIRIM TT, OZAN G, DÜNDAR S, BOZOGLAN
A, KAYA C.
EFFECTS OF MORUS NIGRA EXTRACT ON
ALVEOLAR BONE LOSS AFTER EXPERIMENTAL
PERIODONTITIS IN RATS
PP.089
PP.061 BOLYAROVA T, PETKOVA S.
STYLAS A, KOUROS P, BATAS L. CLINICAL EFFICACY OF PERIODONTAL PLASTIC
SOCKET-SHIELD TECHNIQUE IN THE ESTHETIC ZONE: A SURGICAL PROCEDURES FOR THE TREATMENT
CASE REPORT OF MUCOGINGIVAL CONDITIONS AROUND
TEETH
PP.090
PP.062
DELIVERSKA EG,STEFANOV L., STOYANOV H,
NAMDAR PEKİNER F, DÖNMEZ F, YILDIZ AN.
YOVCHEV D., MIHAYLOVA Z.
ERODERMA PIGMENTOSUM: A CASE REPORT AND
LATERAL PERIODONTAL CYST– A CASE REPORT
LITERATURE REVIEW
AND LITERATURE REVIEW
PP.063ARSLAN ZB, BERKER YILDIZ D, YASAR F. IMAGING PP.091BILEN E, ÖKTEN E, TEZEL A,

TUBERCULOUS LYMPH NODE CALCIFICATION ON TALAMANOV C. APICAL RESECTION WITH
PANORAMIC RADIOGRAPHY AND USG:A CASE REPORT CORONALLY ADVANCED FLAP:A CASE REPORT
PP.064
YILDIZ DB, ARSLAN ZB, YASAR F.
NON-SYNDROMIC MULTIPLE SUPERNUMERARY TEETH:
THREE CASE REPORTS
PP.092
TULGA Α, ÖMÜR DEDE D, ÇELİK E.
AN ALTERNATIVE TREATMENT APPROACH FOR
MISSING SANTRAL TOOTH WITH GINGIVAL
RECESSION OF ADJACENT TEETH-CASE REPORT
PP.065 PP.093
ANGELOVA I, KANAZIRSKA P, YORDANOV G, PETROVA B. CHENCHEV I, IVANOVA V, NEICHEV D.
COMPLICATIONS IN THE PARANASAL SINUSES AFTER APPLICATION OF A-PRF AND I-PRF IN
OP.044 ENDODONTIC TREATMENT ESTABLISHED BY CONE-BEAM COMBINATION OF BONE SUBSTITUTE MATERIAL
12.45-13.00 GÜRBÜZ S, СOMPUTED TOMOGRAPHY FOR ALVEOLAR RIDGE AUGMENTATION
KURTULUŞ Ö, KÜÇÜK H, OP.049
OP.038 ORDUYILMAZ F, GÖKER B. 12.45-13.00 EKREN O, PP.094
OP.032
12.45-13.00 THODHORJANI A, KONGO P. RELATIONSHIP BETWEEN OZKOMUR A, UR UCAR Y. KOTSILKOV K, BOTEVA T.
12.45-13.00 SAPUNAROVA P.
ENDODONTIC COMPLICATIONS OF VITAL PERIODONTAL FINDINGS AND ADHESION OF DENTAL MINIMALLY INVASIVE SINGLE FLAP APPROACH
ORAL HEALTH AND CHILDREN OBESITY
ABUTMENT TEETH SERUM INFLAMMATORY PORCELAIN TO LASER FUSED FOR PERIODONTAL REGENERATION
MARKERS IN TURKISH COBALT-CHROMIUM ALLOYS
GRANULΟMATOSIS WITH PP.066 PP.095
POLYANGIITIS PATIENTS KANAZIRSKA P, YORDANOV G, AMGELOVA I, KANAZIRSKI DZARIC T, GANJOLA D.
N. THE CLINICAL EFFECTS THERAPY IN THE
RENTGENOMETRY UPON IMPACTION OF THE CHRONIC GENERALIZED PERIODONTITIS
MANDIBULARY THIRD MOLARS STEOPOROTIC DISEASE ASSOCIATION
PP.096
PP.067
YETA N, NAZ YETA E, GÜNEY Z, AKKAYA MM,
KOÇ C, SAAT O, SÖNMEZ G, KAMBUROĞLU K.
SONAT B. TRATMENT OF AN ITCHING DEFECT
ASSESSMENT OF A PATIENT WITH AN ENDODOTICALLY
WITH ENDODONTIC AND PERIODONTAL
TREATED TOOTH BY CBCT
AESTHETIC SURGERY PROCEDURES
PP.097
PP.068
MILEUSNIC I, DAKOVIC D, RISTIC T, PEJANOVIC
ORHAN K, SEKI U, AVSEVER H, HAKIKI H.
D, PAVLOVIC M.
INCIDENTAL FINDING AS INVERTED PAPILLOMA: A CASE
EFFICACY OF MELOXICAM AS AN ADJUNCT TO
REPORT
FULL-MOUTH SCALING AND ROOT PLANING
PP.069 PP.098
DOGAN FB, CETIN B, AKGUNLU F. RISTIC T, MILEUSNIC I, PEJANOVIC D,
CENTRAL GIANT CELL GRANULOMA LOCATED IN THE PAVLOVIC M, BOROTIC N.
MAXILLA:A CASE REPORT MANAGEMENT OF GINGIVAL RECESSION
DEFECT USING PRF MEMBRANE
OP.045
13.00-13.15 ALİ YAVAN M, PP.070 PP.099
OP.050
OP.039 GÖYMEN M, MOURAD D, CETIN B, DOGAN FB, AKGUNLU F. VELJOVIC T, RAMIC B, GUSIC I, MIRNIC J,
OP.033 13.00-13.15 GUNDOGDU M,
13.00-13.15 ARI S, SONAT B, YILMAZ F. ÖZDEMİR S. ODONTOGENIC CYST ASSOCIATED WITH IMPACTED DJURIC M. COMPLICATIONS OF INTRA-ORAL
13.00-13.15 BALTACIOGLU I, DEMIREL G, KOLSUZ ME, ORHAN K ALKURT M, GUNDOGDU E, YESIL
EFFICIENCY OF MULTIPLE AND SINGLE EFFECTS OF PLAQUE MANDIBULAR THIRD MOLAR: TWO CASE REPORTS PIERCING-CASE REPORT
ANALYSIS OF MAXILLARY FIRST MOLAR TEETH MORPHOLOGY DUYMUS Z. WATER
CONE TECHNIQUES IN OVAL SHAPED DISCLOSING TABLETS ON
USING MICRO-CT SORPTION AND SOLUBILITY OF
CANALS PLAQUE REMOVAL AND PP.071 PP.100
ADHESIVE RESIN CEMENTS
GINGIVAL STATUS IN MAGAT G, OZCAN S. GUŠIĆ I, VELJOVIĆ T, MIRNIĆ J, MILEKIĆ B,
ORTHODONTIC PATIENTS PERI-IMPLANT TRABECULAR BONE ASSESSMENT ON ĐURIĆ M.
PANORAMIC RADIOGRAPHS AND CONE BEAM PLASMA CELL GINGIVITIS IN A HIV-POSITIVE
COMPUTED TOMOGRAPHY PATIENT
PP.072
PP.101
BELGIN EA, ADIGÜZEL O, AKKUŞ Z.
AFANDIYEV M, TAYMAN MA, AKKAYA MM,
CONE BEAM COMPUTED TOMOGRAPHY STUDY:
AHMADOV R. GUIDED BONE REGENERATION
MAKSILLAR CORTICAL BONE THICKNESS OF
IN PATIENT WITH ATROPHIC MAXILLA.
SOUTHEASTERN ANATOLIAN PEOPLE
PP.073
VLASKOVIC A, BIJELIC B, VASOVIC M, GAZIVODA D.
MULTIPLE SUPERNUMERARY MANDIBLE PREMOLARS –
CASE REPORT
PP.102
PP.074
RADOJOVA NIKOLOVSKA V, POPOVSKA M,
JEREMIC KNEZEVIC M, MARKOVIC D, PUSKAR T, KNEZEVIC
MINOVSKA A, MURATOVSKA I, NIKOLOVSKI B.
A, DJUROVIC KOPRIVICA D. MRI EVALUATION OF
THE ROLE OF ESTROGEN ON GINGIVAL HEALTH
TEMPOROMANDIBULAR JOINT INTERNAL DERANGEMENT
IN PREGNANCY
PP.103
PP.075 RADOJKOVA-NIKOLOVSKA V, POPOVSKA M,
XYLAGKOURELI E, TSOMPANIDES G, ANGELOPOULOS C. DZIPUNOVA B, TOSESKA SPASOVA N,
CONE BEAM CT EVALUATION OF ODONTOGENIC STOJANOVSKA V.
MAXILLARY SINUS PATHOLOGY TREATMENT OF GINGIVITIS DESQAMATIVE
OP.046 OP.051
CHRONICA
OP.040 13.15-13.30 KORUYUCU M, 13.15-13.30 KESIM B,
OP.034
13.15-13.30 TEKCE N, TUNCER S, DEMIRCI KASIMOĞLU Y, UZ S, BAHAR SAĞSEN B, ASLAN T.
13.15-13.30 GEORGIEV Z, KOVACEVSKA I, SOTIROVSKA- PP.104
M. TUNA E, SEYMEN F. EVALUATION OF DENTINAL PP.076
IVKOVSKA A, ZABOKOVA-BILBILOVA E, STEVANANDJIJA J. KOTSILKOV K, DIMITROV R.
INFLUENCE OF FIBER ON FRACTURE ASSOCIATION BETWEEN BAD DEFECTS DURING ROOT CANAL LONDOU A, XYLAGKOURELI E, VAITSIDIS Z, TSOMPANIDES
HEALTH OF FIRST PERMANENT MOLARS IN 12-YEARS-OLD MINIMALLY INVASIVE APPROACH IN THE
STRENGTH OF ENDODONTICALLY-TREATED ORAL HABITS AND PREPARATION USING G, ANGELOPOULOS C. DIFFERENTIAL DIAGNOSIS OF
SCHOOL CHILDREN IN PRILEP COMMUNITY TREATMENT OF ALTERED PASSIVE ERUPTION
TEETH MALOCCLUSION IN THERMOMECHANICALLY RADIOPAQUE LESIONS IN THE JAWS
AND COMPROMISED ESTHETICS (CASE REPORT)
MONOZYGOTIC TWINS PROCESSED NI-TI FILES
PP.105
PP.077
TSELIGKA L, MPAKALI E, PETRIDIS A, VOUROS I.
YURDABAKAN ZZ, OKUMUŞ O, PEKİNER FN, ÖZBAYRAK S.
NON-SURGICAL AND SURGICAL TREATMENT OF
EVALUATION OF THE MAXILLARY THIRD MOLARS AND
PERI-IMPLANTITIS: A LITERATURE REVIEW AND
MAXILLARY SINUS USING CBCT
CASE PRESENTATION
PP.106
YETİS E, OZTURK OZENER H, DOGAN B.
SURGICAL TREATMENT OF LOCALIZED GINGIVAL
OVERGROWTH: TWO CASE REPORTS
PP.107
PP.078
FIRKOVA E, SELIMOV P, BATALOV A.
UYSAL S, SARI S.
PORPHYROMONAS GINGIVALIS AND IL-1 GENES
MANAGEMENT OF THE SEVERLY SUBMERGED PRIMARY
VARIATIONS IN PATIENTS WITH CHRONIC
MOLAR. A CASE REPORT
PERIODONTITIS AND RHEUMATOID ARTHRITIS
PP.108
PP.079
ZOUFKA A, CHAZIRIS K, VOUROS I.
DOĞAN-KJSHDUSHUFH E, ARAS S. MANAGEMENT OF
THE APPLICATION OF MINIMALLY INVASIVE
THE SEVERLY SUBMERGED PRIMARY MOLAR. A CASE
SURGICAL TECHNIQUE (MIST) IN THE
REPORT
TREATMENT OF PERIODONTAL DEFECTS.
PP.080 PP.109
OP.047 BONEV B. EROGLU O, YILDIRIM HS, OLGAC V, KURU L.
OP.035 OP.041 13.30-13.45 STOJANOVIĆ L, OP.052 PSYCHOLOGICAL CHARACTERISTICS OF STUDENTS IN FDM SURGICAL TREATMENT OF PERIPHERAL GIANT
13.30-13.45 HAZAR BODRUMLU E, DEMIRIZ L, SENYURT F, 13.30-13.45 ÖZŞAHİN A, YILMAZ F, GALLUCCIO G. 13.30-13.45 CESUR AYDIN K, – SOFIA CELL GRANULOMA: A CASE REPORT
TORAMAN F ÖZTAN M. THE INTERDISCIPLINARY TEKIN A.
TREATMENT OF ANTERİOR DENTAL CROSSBİTE IN EARLY MIXED ENDODONTIC TREATMENTS OF TEETH MANAGEMENT OF EVALUATION OF DENTAL PP.110
DENTITION PERIOD: CASE SERIES WITH DIFFERENT CANAL MORPHOLOGY HYPODONTIA: STATUS VIA BODY MASS INDEX GOKMENOGLU C, DEDE FO, TURKMEN E, KARA
ORTHODONTICS PP.081
C.
ANDJELIC I.
4-HYDROXYNONEAL AND GLUTATHIONE LEVELS
ORAL HYGIENE HABITS IN PRESCHOOL CHILDREN
IN THE SALIVA OF THE INDIVIDUALS WITH
PERIODONTAL HEALTH AND DISEASE
PP.111
PP.082
ÇALIK M, KURU L, KÖSE KN.
VELEGANOVA V, KONDEVA V.
A FREE GINGIVAL GREFT USE IN
SPECIAL ORAL CARE FOR CHILDREN WITH DIABETES
AUGMENTATION OF MUCOGINGIVAL COMPLEX
MELLITUS TYPE 1
IN A CLEFT LIP/PALATE PATIENT
OP.04213.45-14.00 MAZINIS E, PP.112AĞRALI OB, AYTÖRE M, KURU L.

OP.03613.45-14.00 SIOKIS V. RESTORATIVE MATERIALS – LAMBRIANIDIS T. DENTAL CORPUS©: A PP.083 MATIJEVIC S. INFLUENCE OF CONTINUOUS ORAL TREATMENT OF AN IATROGENIC ROOT
CHOICES FOR PRIMARY TEETH: AN EVIDENCE-BASED APPROACH NEW 3D VITUAL APPLICATION FOR HEALTH EDUCATION ON ORAL HEALTH IN CHILDREN PERFORATION: A CASE REPORT WITH 6-MONTH
DENTAL ANATOMY EDUCATION FOLLOW-UP
OP.053
13.45-14.00 HOSIC Z, PP.113
PP.084
KOBASLIJA S, BAJRIC E. OZTURK D, OZTURK OZENER H, KURU L.
VUKOVIC A.
MESENCHYMAL STEM CELLS PERIODONTAL REGENERATIVE THERAPY OF
THE ORAL MANAGEMENT OF PAEDIATRIC ONCOLOGY
OBTAINED FROM DENTAL/ORAL INTENTIONALLY REPLANTED PERIODONTALLY
PATIENTS
TISSUE - A REGENERATIVE COMPROMISED TOOTH: HOPELESS TO HOPEFUL
FUTURE IN DENTISTRY
PP.114
PP.085
YILDIRIM HS, ILHAN MB, KURU L.
DIMITROVA M, KONDEVA V, RIMALOVSKA S, BOEVA T.
USE OF GINGIVAL UNIT TRANSFER IN THE
CHILD ABUSE AND DENTISTRY: A SURVEY OF THE
TREATMENT OF LOCALIZED GINGIVAL
KNOWLEDGE OF BULGARIAN DENTAL PRACTITIONERS
RECESSION: A CASE REPORT
PP.115
PP.086
BOZ C, AKKAYA M, BARBAROS R.
GEZGIN O, KORKUT E, ÖZCAN D, DEMIRAY F, SENER Y.
TREATMENT OF MILLER III TYPE GINGIVAL
EVALUATION OF DENTAL ANOMALIES IN PAEDIATRIC
RECESSION BY USING MODIFIED GINGIVAL UNIT
PATIENTS: A RADIOGRAPHIC STUDY
GRAFT: CASE REPORT
PP.116
YILDIRIM HS, ÇELİK H, KURU L.
INCREASING THE AMOUNT OF KERATINIZED
GINGIVA AROUND IMPLANTS WITH FREE
GINGIVAL AND CONNECTIVE TISSUE GRAFTS
14.00-15.00 BREAK
Oral Presentations Oral Presentations Oral Presentations Oral Presentations Posters Posters
Pres. Bostanci H, Bakopoulou Pres. Andjelic J., Pres. Ganibegovic
Pres. Koulaouzidou E. Pres. Naka O. Pres. Melikidis I.
A. Encheva R. M, Angelopoulos C.
15.00-16.30 15.00-16.30
OP.066
15.00-15.15 GUL AMUK N,
ONER M, KEKLIKCI H,
GULNUR TOPSAKAL K,
FACTORS AFFECTING
TREATMENT COMPLIANCE
AND PARTICIPATION OF
PATIENTS WITH CLASS II
MALOCCLUSION, USING
FUNCTIONAL APPLIANCE
OP.072
OP.060
15.00-15.15 OKŞAYAN R,
OP.054 15.00-15.15 MASTROGIANNI A, PP.117 PP.152
METİN DAĞSUYU I, KAHRAMAN
15.00-15.15 KALKAN Y, GURSOY M, GURSOY UK, KONONEN E, TORTOPIDIS D, GOGOS C, KOIDIS P. KOSTIC M, IGIC M, GLIGORIJEVIC N. ILIEV G, PAVLOVA J, FILTCHEV D, FILTECHEV A.
F.
DOGAN B. FRACTURE RESISTANCE OF EFFECT OF POSTPOLYMERISATION METHODS ON METHODOLOGY FOR CREATING PERSONALIZED
EVALUATION OF FEATURES OF
EFFECT OF NON-SURGICAL PERIODONTAL TREATMENT ON ENDODONTICALLY TREATED PREMOLARS MECHANICAL CHARACTERISTICS OF DENTURE BASE SMILE DESIGN AND EVALUATION OF THE
MAXILLARY IMPACTED
SERUM AND SALIVA RESISTIN LEVELS RESTORED WITH DIFFERENT POSTS AND RESINS ACHIEVED AESTHETIC RESULT.
CANINES, WITH CONE-BEAM
ZIRCONIA OR METAL-CERAMIC CROWNS
COMPUTED TOMOGRAPHY
PP.118 PP.153
GERDZHIKOV I. YORDANOVA G, MLADENOV M.
PROSTHETIC REHABILITATION OF A PATIENT WITH MICRODONTIA - INTERDISCIPLINAR CLINICAL
PARTIAL MAXILLECTOMY APPROACH
OP.07315.15-15.30 KESER G,
OP.06715.15-15.30 GUVEN Y, ULAY G, NAMDAR PEKİNER F,
OP.06115.15-15.30 STANOJEVIC M, PP.154ALEXANDROVA V, MANCHOROVА n,
PREVALENCE AND OĞUZ BORAHAN M.
STANCIC V,MLADENOVIC I, DOBRIKOVIC PP.119TOTI C, GURAKUQI A, HYSI D, PETRO E. ALEKSANDROV S, VLADIMIROV S. CAD-CAM
CHARACTERISTICS OF ECTOPIC EVALUATION OF DIAGNOSTIC
O. MEASUREMENT OF RETENTION FORCE TREATMENT OF BILATERAL MISSING TEETH - CASE EVALUATION OF COMPOSITE RESTORATIONS S
ERUPTION OF FIRST EFFICIENCY OF
ON DOUBLE CONICAL CROWN USING REPORT WEAR IN HIGH STRESS REGIONS: A DESIGN
PERMANENT MOLARS IN ULTRASONOGRAPHY IN
FINITE ELEMENT METHOD (FEM) STUDY
TURKISH POPULATION TEMPOROMANDIBULAR JOINT
DISORDERS: A PILOT STUDY
PP.120 PP.155
GURAKUQI A, TOTI C, PETRO E, HYSI D, DROBONIKU E. DAČIĆ S, MITIĆ A, DAČIĆ M, BARAC R, ŠARIĆ G.
PROSTHETIC REHABILITATION OF A PATIENT WITH THE MARGINAL GAP AROUND DENTAL
OLIGODONTIA NANOCOMPOSITE RESTORATION
OP.068
OP.074
OP.062 15.30-15.45 KOK H, TASSOKER PP.156
15.30-15.45 IORDANOVA
OP.055 15.30-15.45 OMUR DEDE D, CELİK E, M, OZCAN S. PP.121 QELI E, HYSI D, TOTI C, PETRO E, DROBONIKU
DIMOVA M. NONINVASIVE
15.15-15.30 KOCAK NA, YETGIN YAZAR A, YASAR GOKBUGET A. TULGA A, ONGOZ DEDE F. IS THERE ANY ASSOCIATION XHAJANKA E, BARDHOSHI M, HYSENAJ N, GJILO K. I.
DIAGNOSTIC IMAGING IN THE
KERATINIZED TISSUE THICKNESS AS A PREDICTOR OF ROOT AESTHETIC OUTCOME OF A MISSING BETWEEN THE FACIAL TYPE DIFFERENCES BETWEEN TWO DIFFERENT METHODS OF PERFORMANCE OF A BULK FILL- COMPOSITE IN
STUDY OF
COVERAGE IN CONNECTIVE TISSUE GRAFTS TOOTH WITH IMPLANT SUPPORTED AND THIRD MOLAR POLYMERIZATION IN COMPLETE REMOVABLE DENTURES CLASS II CAVITIES-TWO YEAR CLINICAL
TEMPOROMANDIBULAR
CERAMIC RESTORATION: A CASE REPORT IMPACTION? A RADIOGRAPHIC EVALUATION
DISORDERS
STUDY
PP.122
VOURTSA G, PAPADOPOULOU A, TOLIDIS K.
REPAIR OF RESIN COMPOSITE, PORCELAIN FUSED TO
METAL OR ALL CERAMIC RESTORATIONS
OP.075
OP.069
15.45-16.00 PAPADIMITRIOU
OP.063 15.45-16.00 BUYUK SK, PP.123
OP.056 I, BURGMANN R, ALMAGOU
15.45-16.00 HAKKI C, RAIF A, ELIF K. KARAMAN A, SIMSEK H. PAVLOVIC M, PEJANOVIC D, MILEUSNIC I, RISTIC T, PP.157
15.30-15.45 PUCAR A, MATIC PETROVIC S, CIMBALJEVIC M, P,SOTIRI V, GANOU L.
EVALUATİON OF THE EFFECT OF THE FRONTAL SINUS VUKOVIC B. KORKMAZ TORUN E, BAĞLAR S.
RADUNOVIC M, KUZMANOVIC PFICER J. 3D ALVEOLAR RIDGE
COMPLETE REMOVABLE DENTURE DIMENSION IN DIFFERENT 3D RADIOGRAPHS IN PLANNING OF COMPLEX EVALUATION OF CLINICAL AESTHETIC SUCCESS
SUBGINGIVAL REGIONS AS POTENTIAL RESERVOIR OF CANDIDA AUGMENTATION AND
REHABİLİTATİON ON EXTRAORAL SAGITTAL SKELETAL REHABILITATION OF EDENTULOUS PATIENTS - A CASE OF RESIN INFILTRATION SYSTEM
SPP- PRESENCE AND METHODS OF SAMPLING CUSTOMIZED BONE
AESTHETİC RELATIONSHIP OF PEDIATRIC REPORT STUDY
REGENERATION WITH
ORTHODONTIC SUBJECTS
INDIVIDUALIZED PEEK SHELLS
PP.124 PP.158
MOKHTARI TAVANA PY. ORDU MA, BAGLAR S.
USE OF RESILIENT DENTURE BASE MATERIAL CLINICAL EVALUATION OF DIFFERENT CARIES
(MOLLOPLAST-B) IN THE MANDİBLE RESORPTİON RIDGES REMOVAL METHODS: CASE SERIES
OP.076
16.00-16.15 TASSOKER M,
OP.064 OP.070
AYDIN KABAKCI AD,DUYGU A, PP.159
16.00-16.15 GENC E, BUYUK SK, SIMSEK 16.00-16.15 AKKURT A, PP.125
AKIN D, OZCAN S. GETOVA B,SOZOVSKA E, MILOSHEVSKI N,
H. HAMAMCI O. YILDIZ AN, ULAY G, NAMDAR PEKINER F, BORAHAN MO.
EVALUATION OF MANDIBULAR PAVLEVSKA M, JANEVSKA S, CARCEVA-
EVALUATION OF DENTAL STUDENTS´ INVITRO COMPARISON OF PREVALENCE AND CHARACTERISTICS OF
NOTCH, CORONOID PROCESS, DIMITROVA D. REPORT FOR EFFECTIVE
MANNERS ABOUT EDUCATIONAL SHEAR BOND STRENGHTS OF PNEUMATIZATION OF ARTICULAR EMINENCE ON CBCT OF
AND MANDIBULAR CONDYLE IMPLEMENTATION OF SCHOOL BASED SEALANT
STRATEGIES, SCHOOL DURATION, BRACKETS AFTER DIFFERENT TURKISH SUBPOPULATION
CONFIGURATIONS WITH CONE PROGRAM (SBSP)
SPECIALTY AND TECHNOLOGY ETCHING METHODS
BEAM COMPUTED
TOMOGRAPHY
PP.160
OP.057
PP.126 LONGUROVA N, ZLATANOVSKA K,
15.45-16.00 KEMER DOGAN ES, DOGAN B, YESIM KIRZIOGLU F,
GROZEV L, DOSHEV V, HRISTOV I, PAVLOV B, IVANOVA KOVACHEVSKA I, ILJOVSKA S, DENKOV N.
FENTOGLU O,
D. CORRELATION BETWEEN CONSUMPTION OF
THE ROLE OF MENOPAUSE ON THE RELATION BETWEEN
A NEW APPROACH IN MAKING OSA APPLIANCE THE CARBONATED DRINKS AND THE
HYPERLIPIDEMIA AND PERIODONTAL DISEASE
PREVALENCE OF DENTAL EROSIONS
OP.065 OP.071
16.15-16.30 KÜÇÜKEKENCI AS, 16.15-16.30 BOREKCI C, PP.127
FUNDAOĞLU KÜÇÜKEKENCI F, ÖMÜR OZKALAYCI N. KARAISKOU G, TASOPOULOS T, ZOIDIS P, KOUVELIOTIS PP.161
DEDE D. EVALUATION OF FACIAL G.,KOURTIS S. MOKHTARI TAVANA A, GOKAY O.
EFFECT OF BRAND AND SHADE OF RESIN AESTHETICS OF ORTHODONTIC COMBINING PEEK AND NATURAL TEETH FOR AN A RESİN-BASED MARYLAND BRİDGE
CEMENT ON THE COLOR OF MONOLITHIC PATIENTS WITH DIFFERENT INTERMEDIATE PARTIAL COVERAGE FPD. CASE PRESENT
CAD/CAM CERAMIC MALOCCLUSION
OP.05816.00-16.15 SOLOMON SM, SUFARU IG, FORNA D, PP.128YILMAZ A, KARAPINAR G, SULUN T, BAYRAKTAR PP.162ANDREEVSKI A, KOVACEVSKA I,
MARTU-STEFANACHE MA, STOLERIU S. STUDY REGARDING THE BG. USING OF RADIOGRAPHIC TEMPLATE WITH THREE GEORGIEV Z, ZARKOVA J. COMPOSITE RESIN
EFFECTS OF PERIODONTAL MECHANICAL INSTRUMENTATION ON IMPLANTS SUPPORTED MANDIBULAR OVERDENTURE: A DISCOLORATION CAUSED BY EVERY DAY
SUBSTANCE LOSS AND SURFACE QUALITY CASE REPORT CONSUMPTION PRODUCTS
PP.129
PP.163
YILMAZ U, KANSU G.
KIVRAK TC, GÖKAY O.
REPLACEMENT OF CONGENITALLY MISSING MAXILLARY
THE EFFECT OF VARIOUS LIQUIDS ON SURFACE
LATERAL INCISORS USING SCREW-RETAINED IMPLANT
HARDNESS OF DIFFERENT COMPOSİTE RESİNS
SUPPORTED PROSTHESIS: A CASE REPORT
PP.164
OP.059 PP.130 ISUFI A, PEPLA E, PLOTINO G, GRANDE NM,
16.15-16.30 KONSTANTOPOULOU C, KOUKI M, OIKONOMOU HRISTOV I, SLAVCHEV D, ZLATEV S, HRISTOV S, GAMBARINI G.
I. DOSHEV V. FRACTURE RESISTANCE OF ENDODONTICALLY
COULD SYSTEMIC CONDITIONS HAVE AN EFFECT ON CHRONIC SURVEY OF DEGREE OF AWARENESS OF DENTISTS ABOUT TREATED TEETH WITH CONSERVATIVE ACCESS
PERIAPICAL INFLAMMATION? THE QUALITIES OF SOFT RELINING MATERIALS CAVITIES RESTORED WITH THREE DIFFERENT
COMPOSITES
PP.131 PP.165
ÇINAR G, ŞAKAR O, GEÇKILI O, BURAL C. TSIAFITSA M, TZIMAS K, TSITROU E, GERASIMOU
THE USE OF A ROTATIONAL-PATH DESIGN FOR A P.
MANDIBULAR REMOVABLE PARTIAL DENTURE: A CASE WHITE SPOT REMOVAL USING MICRO
REPORT. ABRASION: A MINIMAL INVASIVE APPROACH
PP.132
PP.166
VUKOVIC B, PAVLOVIC M, MILEUSNIC I, BOROTIC N,
ANTONIOU I, AL MOCHAMANT I, GEORGIADOU
MILINKOVIC N.
G, DIONYSOPOULOS D.
CUBEX TM ZIRCONIA INDIRECT INLAYS – A CASE REPORT
DENTAL EROSION: ETIOLOGY AND TREATMENT.
STUDY
PP.133 PP.167
JANIĆ M, JOKSIMOVIĆ E, GAVRILOVIĆ S, PUREŠEVIĆ M, SERINSOZ F, ERTAS E.
SIMIĆ S. IN VITRO EVALUATION OF SURFACE HARDNESS
PATIENT’S MOTIVATION AS CRUCIAL FACTOR IN OF MICROHYBRID AND NANOCERAMIC
PROSTHODONTIC REHABILITATION COMPOSITE AFTER OFFICE BLEACHING
PP.134 PP.168
JANIĆ M, JOKSIMOVIĆ E, GAVRILOVIĆ S. , PUREŠEVIĆ M., ERCIN O, ERTAS E.
SIMIĆ S., TREATMENT OF TRAUMATICALLY FRACTURED
CHELIOGNATHOPALATOSHISIS – MULTIDISCIPLINARY AND RETRACTED PERMANENT INCISORS WITH
APPROACH TO THE THERAPEUTIC SOLUTIONS MULTIPLE APPROACH : A CASE REPORT
PP.169
TURKER AM, GULER E, ERTAS E.
NON-INVASIVE AESTHETIC RESTORATIONS WITH
DIRECT COMPOSITE RESIN: 5 CASE REPORTS
PP.170
PP.135
KARAMAN E, GULER E, ERCIN O.
CHEPTANARU O, CHELE N, BAJUREA N, UNCUTA D.
EVALUATION OF MICROLEAKAGE OF CLASS V
ABUTMENT DESIGN FOR SINGLE TOOTH RESTORATION IN
CAVITIES, RESTORATED WITH GLASS IONOMER
THE AESTHETIC ZONE
BASED MATERIALS
PP.136
PP.171
ÇETİNTAŞ S, KARACAER O.
SULUN T, GECKİLİ O, ERDOGAN Y.
TWO CASES OF LARGE DIASTEMA CLOSURE USING
IMPLANT SUPPORTED OVERDENTURE ABOUT 2
DIFFERENT MATERIALS WITHOUT ROOT CANAL
CASES
TREATMENT
PP.137
PP.172
OZDEMIR IA, TOKSAVUL S, TAMAC E, UNAL D.
ÖZDUMAN ZC, TUNCER D.
MULTIDISCIPLINARY APPROACH FOR RESTORING
ESTHETIC AND FUNCTIONAL MANAGEMENT OF
FUNCTIONAL AND AESTHETIC REHABILITATION OF A
THREE DIASTEMA-PATIENTS
PATIENT: CASE REPORT
PP.173
PP.138
DEMIREL G, GÖNÜLDAŞ F, KILIÇARSLAN MA,
UCTASLI S.
GÜR G.
COST OF TWO IMPLANT SUPPORTED MANDIBULAR
SIMULTANEOUS RESTORATION OF MAXILLARY
OVERDENTURES OPPOSED TO MAXILLARY COMPLETE
CENTRAL WITH CEREC BIOGENERIC REFERENCE
DENTURE
TECHNIQUE: A CASE REPORT
PP.139RADOVIĆ K, MILIĆ LEMIĆ A, ŽIVKOVIĆ R,

OBRADOVIĆ DJURIČIĆ K, MEDIĆ V. UNILATERAL PARTIAL PP.174DEDAJ E, DEDAJ H, NASTI A. PROBLEMS
DENTURE IN PATIENTS WITH SEVERELY RESORBED AFTER THE SAFE REMOVAL OF AMALGAM
MAXILLA: 5 YEARS FOLLOW UP STUDY
PP.140 PP.175
GÜMÜŞOK M, ŞIMŞEK E, ERDEN M, DEMIRAĞ S, KARABEY ALKAN F, ARISU HD.
U. EFFECTS OF CAVITY CLEANING METHODS ON
EVALUATION OF HYGIENE, ATTITUDE, HABITS ON THE BOND STRENGTH TO ENDODONTICALLY
REMOVABLE DENTURES IN A GROUP PATIENT TREATED TEETH
PP.176
AIVAZI C, TOLIDIS K, GERASIMOU P.
FIBERS IN RESTORATIVE DENTISTRY.
CONTEMPORARY APPROACHES WITH CLINICAL
CASES
PP.141
GOKKAYA M, EKERBICER Z.
FIXED DENTAL PROSTHESIS TREATMENT IN A PATIENT
UNDERGOING SEGMENTAL MANDIBULECTOMY
PP.142
PP.177
ZLATANOVSKA K, ZARKOVA-ATANASOVA J, LONGUROVA
CAYABATMAZ M.
N, KOVACEVSKA I, GIGOVSKI N.
EFFECT OF RESIN INFILTRATION TECHNIQUE ON
FRACTURE LOCALIZATION OF COMPOSITE VENEERS WITH
POSTORTHODONTIC WHITE SPOT LESIONS : A
DIFFERENT PREPARATION DESIGNS EXPOSED TO
ONE-YEAR FOLLOW-UP
COMPRESSIVE LOAD
PP.178
PP.143
PEHLİVAN ZC, SAATMAN A, DOGAN B.
GECKILI E, GECKILI O, AYBAR B, BURAL C.
MULTIDISCIPLINARY TREATMENT PROCEDURES
MAXILLARY OVERDENTURES RETAINED BY TELESCOPIC
FOR A PATIENT WITH ANTERIOR DIASTEMA: A
ATTACHMENTS
CASE REPORT
PP.144 PP.179
MACIT SN. EMMANOUILIDIS G, KARATZIOULAS K. EFFECT
ORAL APPLICATION FOR SLEEP DISORDER BREATHING; A OF DIFFERENT POLISHING SYSTEMS ON THE
CASE REPORT SURFACE ROUGHNESS OF COMPOSITE RESINS
PP.180
PP.145
DERELI Z, ÖZTÜRK B.
EKERBICER Z, GOKKAYA M.
EFFECT OF STAINING SOLUTIONS ON COLOR
REHABILITATION OF BILATERAL MAXILLARY DEFECT WITH
CHANGE OF DENTAL COMPOSITE RESIN AND
AN OBTURATOR PROSTHESIS
PORCELAIN
PP.146 PP.181
OANA-CELLA A, HORIA ŢIEREAN M, DĂGUCI C, ULKER O, KARAMAN E, ALAN K.
BURLIBAŞA M, TĂNĂSESCU LA. EFFECT OF DIFFERENT PRE-ETCHING TIMES ON
FEA STUDY IN BALL ATTACHMENTS IMPLANT SUPPORTED MICROSHEAR BOND STRENGTH TO ENAMEL
RPD WITH AND WITHOUT HOUSINGS AND DENTIN
PP.147 PP.182
YILDIRIM G, ERGÜDER B, ÇAKIR M, BELLAZ B. PAPADOPOULOU A, VOURTSA G, TOLIDIS K.
IMMEDIATE-FUNCTION CONCEPT FOR COMPLETELY CONTEMPORARY CONCEPTS IN ADHESIVE
EDENTULOUS JAWS WITH FOUR IMPLANTS: CASE CEMENTATION OF INDIRECT COMPOSITE OR
REPORTS CERAMIC ONLAYS AND ENDOCROWNS
PP.148 PP.183
ÜRGÜN AC, GECKILI E, YILMAZ M, KASAPOGLU C. GÜRSES M, KARABEKİROĞLU S, ÜNLÜ N.
RECONTOURING THE SOFT TISSUES IN DENTAL IMPLANT DİFFERENT TREATMENT METHODS FOR
RESTORATIONS FLUOROSİS: TWO CASE REPORTS
PP.184
PP.149
GÜNGÖR FS, KARABEKIROĞLU S.
OZDOGAN A, DUYMUS ZY.
THE PREVALENCE OF DENTINE
EFFECT OF DIFFERENT SURFACE TREATMENTS ON
HYPERSENSITIVITY AND ASSOCIATION WITH
MECHANICAL PROPERTIES OF ZIRCONIUM AND LITHIUM
DIFFERENT ETIOLOGICAL AND RISK FACTORS:A
DISILICATE CERAMICS
CROSS-SECTIONAL STUDY
PP.150 PP.185
KOVACEVSKA G, KOSEVA B, KOVACEVSKA DR, SAGLAM G, CENGIZ S, KARACAER O.
KOVACEVSKI A, KOVACEVSKI N, TRPEVSKA V. MARGINAL ADAPTATION AND FRACTURE
PROSTHETIC ASPECTS AND PATIENT SATISFACTION WITH RESISTANCE OF FELDSPATHIC AND POLYMER-
PMMA CAD/CAM PARTIAL DENTURES: A 3-YEAR INFILTRATED CERAMIC CAD/CAM
RANDOMIZED CLINICAL STUDY ENDOCROWNS FOR MAXILLARY PREMOLARS
PP.151YAGCI F, USTUN Y, ZORTUK M, AGIRNASLIGIL M. PP.186GÜNGÖR FS, GÜNGÖR MF. UPPER AND
EFFECTS OF TWO STERILIZATION METHODS ON FIBER LOWER MIDLINE DIASTEMA CLOSURE WITH
POSTS’ BONDING AND FLEXURAL STRENGTH DIRECT COMPOSITE RESIN: A CASE REPORT
16.30-17.00 BREAK

Lectures- Oral
Lectures Lectures-Oral Presentations Oral Presentations Posters Posters
Presentations
Pres.Poulopoulos A, Popovski Pres. Stanojevic M,
Pres. Minovska A, Tripodakis AP . Pres.Venetis G. Pres. Kontonasaki E. Pres. Gur G.
J. Denkovski M.
17.00-19.30 17.00-19.30
OP.093
OP.083
17.00-17.15 KISERI
17.00-17.15 ANTIC S, PAJIC
B,ÇAĞATAY D., YILDIZ M, SÜLÜN
LP.001 S, VUKICEVIC A, DJURIC M,
LP.005 T.
17.00-17.30 BAKOPOULOU A, APATZIDOU D. TISSUE FILIPOVIC N.
17.00-17.30 ANDREADIS D. COMPARISON OF THE
ENGINEERING IN THE RECOSTRUCTION OF PERIODONTAL THE ROLE OF FRONTAL SINUS
ΟRAL-SYSTEMIC HEALTH AND THE ROLE AGREEMENT BETWEEN
DEFECTS. PART I IN THE FRONTAL REGION
OF DENTAL RESTORATIONS INTRAORAL AND ARTICULATOR
TRAUMA: A FINITE ELEMENT
CONTACTS IN THE RETRUDED
ANALYSIS
CONTACT POSITION
PP.187YANKOV S, BOZHKOVAT, PAVLOV B, STANEV Y,

PP.228KIRILOVA J, DELIVERSKA E, TOPALOVA-
YOANA GEORGIEVA Y. THE SIGNIFICANCE OF RETRACTION
PIRINSKA S. APPLICATION OF PLATELET RICH
CORDS AMONG CONTEMPORARY NON-SURGICAL TISSUE
FIBRIN IN TREATMENT OF CHRONIC PERIAPICAL
DISPLACEMENT METHODS: A CRITICAL LITERATURE
LESIONS
REVIEW
OP.084
OP.094
17.15-17.30 GULER B, ISLER
17.15-17.30 LIOSATOU R,
SC, URAZ A, BOZKAYA S,
TORTOPIDIS D, MICHOU S, PP.188
LP.002 ÇETİNER FD. PP.229
LP.006 KOUNTOURAS K. ZDRAVKOVIĆ D, MILOSAVLJEVIĆ M, ĐORĐEVIĆ M, TODIĆ
17.30-18.00 APATZIDOU D, BAKOPOULOU A. TISSUE THE EVALUATION OF SOFT DELIC M.
17.30-18.00 MATIAKIS A. METAL-CERAMIC VS ALL- J, KANJEVAC T.
ENGINEERING IN THE RECOSTRUCTION OF PERIODONTAL TISSUE WOUND HEALING PARTICIPATION LUXATION AND AVULSION IN
ORAL MANIFESTATIONS OF SYSTEMIC CERAMIC FIXED DENTAL FREQUENCY OF REMOVABLE DENTAL PROSTHETIC
DEFECTS. PART II FOLLOWING DIFFERENT ROOT RESORPTION
DISEASES PROSTHESES: CLINICAL RESTORATIONS IN CENTRAL SERBIA
GINGIVECTOMY
PERFORMANCE AND
APPLICATIONS: A
COMPLICATIONS
PROSPECTIVE CLINICAL TRIAL
PP.230
PP.189 KONTOGIANNIS TG, KEREZOUDIS NP,
ATEŞ G, GEÇKİLİ O, SÜLÜN T. FARMAKIS ETR.
PROSTHETIC REHABILITION OF ANGLED AND REMOVAL ABILITY OF MTA- AND BIOCERAMIC-
MISALIGNMENT DENTAL IMPLANTS : A CASE REPORT BASED SEALERS FROM OBTURATED ROOT
CANALS: AN IN VITRO STUDY.
OP.077 OP.085 OP.095

PP.231
18.00-18.15 NIKOLOVSKI B, MINOVSKA 17.30-17.45 CAKMAK G, 17.30-17.45 GOKALP KALABAY
LP.003 PP.190 PUREŠEVIĆ M, ĐORĐEVIĆ L, GAVRILOVIĆ S,
A, POPOVIC-MONEVSKA D, POPOVSKA M, YAVUZ I. P, YURDAKOS A, MANDALI G.
18.00-19.00 MLADENOVIC I. EKICI Z, GEZ A. MAKSIMOVIĆ M, JANIĆ M.
RADOJKOVA-NIKOLOVSKA V. EVALUATION OF SOFT TISSUE EVALUATION OF THE HYGIENE
TEMPOROMANDIBULAR DISORDERS: CURRENT FINDINGS AND TREATMENT MODALITY FOR MAXILLARY KENNEDY CLASS APPROPRIATE PREPROSTHETIC TEETH
POSSIBILITIES OF THE TISSUE CHANGES IN PATİENTS WHO HABITS AND METHODS OF
FUTURE DIRECTIONS 1 MOD 2 : DOUBLE CROWN TECHNIQUE PREPARATION - PREREQUISITE OF OPTMAL
AUTOFLUORESCENCE IN DETECTION OF TREATED WİTH RAPİD REMOVABLE PARTIAL DENTURE
THERAPY RESULTS
ORAL MUCOSAL CHANGES MAXİLLARY EXPANSİON WEARER PATIENTS
PP.191 PP.232
VAKOU D, PAPAZOGLOU K, DIOMATARIS M, KOVACEVSKA I, DENKOVA N, PETROVSKI M,
PAPASTAMOS M, PELEKANOS S. GEORGIEV Z, ATANASOVA S.
COMPARISON BETWEEN ANALOG AND DIGITAL IN VITRO EVALUATION OF DIFERENT
WORKFLOW ON 10 CERAMIC VENEERS IN MAXILLA. A GUTTAPERCHA TECHNIQUES FOR ROOT CANAL
CASE REPORT. OBTURATION
OP.086
17.45-18.00 AKBULUT N, OP.096
OP.078 KARA T, ÖZGÜR DEMİRALP 17.45-18.00 CAGLAR I, MELIH
PP.192
LP.004 18.15-18.30 BURAL C, KAYACIOĞLU B, K,KURŞUN ÇAKMAK E, BAYRAK ATES SM, YESIL DUYMUS ZY. PP.233
ŞANVER A, ÖZDEN YE, AĞAR B, PEHLIVANLAR F.
19.00-19.30 NAKA O. GEÇKILI O, BAYRAKTAR G, BILHAN H. S., EFFECT OF DIFFERENT ÖKTEN E, YILMAZ F, ASLAN B, MUTLU KUL F.
IN THE PATIENT WITH ENAMEL HYPOPLASIA, SMILE
CLINICAL AND LABORATORY PROTOCOLS FOR ACHIEVING EFFECT OF APPLICATIONS OF TOPICAL INCIDENCE OF MAXILLARY ADHESIVES AND SURFACE SURGICAL AND ORTOGRADE TREATMENT OF
DESIGN WITH THE PHOTOSHOP PROGRAMME; A CASE
PRECISION OF FIT AT THE IMPLANT-PROSTHESIS INTERFACE AGENTS ON ACUTE DENTURE-INDUCED SINUS DISEASE, BONY SEPTA TREATMENTS ON BOND INTERNAL ROOT RESORPTION
REPORT
TRAUMATIC LESIONS: A CLINICAL STUDY AND DIMENSIONS BY USING STRENGTH OF RESIN CEMENT
CBCT: A RETROSPECTIVE TO PEEK
STUDY
PP.234
PP.193
KARAGÖLLÜ S, HAYIRCI GK, ÜNVERDİ ELDENİZ
LIOLIOU EA, TOURNAVITIS A, TORTOPIDIS D.
A. CONSERVATIVE MANAGEMENT OF
FULL-MOUTH REHABILITATION OF A BRUXER PATIENT
EXTERNAL ROOT RESORPTION WITH TWO YEARS
WITH TOOTH WEAR: A CASE REPORT
FOLLOW UP; A CASE REPORT
OP.087 OP.097
OP.079
18.00-18.15 ERTAŞ U, ATAOL 18.00-18.15 CAGLAR I, ATES PP.194
18.30-18.45 ALEXIOU A, PP.235
M. SM, DUYMUS ZY. AKARCA EM, SANVER A, KARASAN D, CANAY S.
ANASTASOPOULOU K, MATIAKIS A. PFAPA KARAGÖLLÜ S, ÜNVERDİ ELDENİZ A.
EVALUATION OF NASAL EFFECT OF POLISHING SYSTEMS TREATMENT OF EXCESSIVELY DAMAGED TEETH WITH
AND AUTOINFLAMMATORY PERIODIC CLINICAL MANAGEMENT AND SUBSEQUENT
AIRWAY VOLUME OF ON SURFACE ROUGHNESS AND ZIRCONIA POSTS AND FULL CERAMIC CROWNS: CASE
SYNDROMES: AN INTRIGUING DIAGNOSTIC HEALING OF A HORIZONTAL ROOT FRACTURE
OPERATED UNILATERAL CLEFT PHASE TRANSFORMATION OF SERIES
DILEMMA
LIP AND PALATE PATIENTS MONOLITHIC ZIRCONIA
PP.236PETKOVA D, MARKOVA K, VANGELOV L,

PP.195KARABAS Y, DENİZ D, GÜNCÜ B, AKTAS G.
ZIDAROVA V, AVRAMOVA M. IN VITRO STUDY
ESTHETIC MANAGEMENT OF A PATIENT WITH
OF THE ROOT SURFACE INTEGRITY AFTER
CONGENITALLY MISSING MAXILLARY LATERAL INCISOR
RETROGRADE PREPARATION WITH DIFFERENT
AND POLYDIASTEMAS
TECHNIQUES
OP.088
OP.098
OP.080 18.15-18.30 SIDERI M, PP.237
18.15-18.30 ÖZDEMİR H,
18.45-19.00 YILDIRIM B, BARİS E, CHAITIDOU M, TACHMATZIDIS PP.196 BOYADZHIEVA E, DIMITROVA S, FILIPOV I,
ÖZDOĞAN A.
SENGUVEN B, GULTEKIN E S. T, SAMARA E., NTABARAKIS N. KOCOVSKI D, PAPAKOCA K, PETROVSKI M, ZARKOVA – ZAGORCHEV P.
BOND STRENGTH OF SOFT
ARE ODONTOGENIC CYSTS INNOCENT AS BISPHOSPHONATE RELATED ATANASOVA J, ZLATANOVSKA K. TEMPERATURE CHANGES ON THE INNER ROOT
LINER TO DENTURE BASE: A
THEY ARE ASSUMED? REPORT OF 3 OSTEONECROSIS OF THE JAW: HYGIENE HABITS OF DENTURE WEARERS IN SHTIP SURFACE INDUCED BY WARM GUTTA-PERCHA
SYSTEMATIC REVIEW AND
MALIGNANT TRANSFORMATION PROTOCOLS FOR PREVENTION OBTURATION TECHNIQUES
META-ANALYSIS
AND MANAGEMENT
PP.238
PP.197 SIMEONOVA E, BIBOVA N, CANOVA S,
BOUSNAKI M, CHATZIPARASKEVA M, KOIDIS P. ZAGORCHEV P, DIMITROVA S.
TELESCOPIC CROWNS AS RETAINERS FOR DETACHABLE CASE REPORT OF INTRAOSSEOUS ANESTHESIA
PROSTHESES AT ENDODONTIC TREATMENT OF MANDIBULAR
MOLAR WITH IRREVERSIBLE PULPITIS
OP.089
OP.099
18.30-18.45 DOINA V,
OP.081 18.30-18.45 POŠTIĆ SD. PP.198 PP.239
RAZVAN L, ALEXANDRU V.
19.00-19.15 MATIAKIS A, KIOULPEKIDOU PROSTHODONTIC OZYILMAZ OY, KARA HB, GURLER G. BIBOVA N, TOMOV G, ZAGORCHEV P, DAKOV K.
CHRONIC SUPPURATIVE
T, ZOYLOYMI M, IOANNIDIS D. RESTAURATIVE REPLACEMENT EDENTULOUS MAXILLARY ARCH FIXED IMPLANT CLINICAL RESEARCH OF PAIN, DURING THE
ODONTOGENIC MAXILLARY
SYSTEMIC SCLEROSIS: WHY SHOULD THE OF MISSING TOOTH BY REHABILITATION USING A HYBRID PROSTHESIS: CASE ER:YAG LASER-ACTIVATED IRRIGATION AT
SINUSITIS IN CURRENT
DENTIST BE INTERESTED IN IT? IMPLANT IN THE UPPER DENTAL REPORT ENDODONTIC TREATMENT
CASUISTRY – DIAGNOSIS AND
ARCH
TREATMENT
PP.199
PP.240
KARA O, OZYILAMZ OY, KARA HB, DELILBASI C.
KOC C, SONMEZ G, KAMBUROGLU K.
EDENTULOUS MAXILLARY ARCH FIXED IMPLANT
CBCT AIDED INTERNAL ROOT RESORPTION
REHABILITATION USING A HYBRID PROSTHESIS: CASE
TREATMENT
REPORT
OP.100
18.45-19.00 YILMAZ S, ZAHİT
OP.082 OP.090
ADISEN M, MISIRLIOGLU M,
19.15-19.30 DALAMPIRAS S, 18.45-19.00 PEJANOVIC D, PP.200 PP.241
OKKESİM A.
DALAMPIRAS F.A.T.,ZAPARAS G, PETROVIC M, VUKOVIC N, CHATZIPARASKEVA M, BOUSNAKI M,LAMPRIDI V, AZMAZ NT, AYDINBELGE HA.
COMPARISON OF
DALAMPIRA M. MILEUSNIC I, RISTIC T. KOIDIS P. ENDODONTIC MANAGEMENT OF MANDIBULAR
MASTICATORY MUSCLE
A SURGICAL AND ORTHODONTIC ODYSSEY. USE OF PLATELET RICH FIBRIN THE “PARADOX” OF ALLOY SELECTION FOR CAST POST SECOND MOLAR TOOTH WITH FRACTURED
VOLUME AND OCCLUSAL FORCE
REPORT OF AN EXTREME CASE: 10 YEARS IN SURGICAL TREATMENT OF AND CORE FABRICATION INSTRUMENT, ABSCESS AND PERIAPICAL LESION
DISTRIBUTION BETWEEN
FOLLOW UP PERIAPICAL LESIONS
BRUXISM PATIENTS AND
HEALTHY INDIVIDUALS
PP.201 PP.242
KARABAŞ Y, DENIZ D, GUNCU B, AKTAŞ G. EREN H, EREN I, YILMAZ F.
ESTHETIC MANAGEMENT OF A PATIENT WITH TREATMENT OF EXTERNAL ROOT RESORPTION
CONGENITALLY MISSING MAXILLARY LATERAL INCISOR DEPENDING ON TRAUMA BY MTA: A CASE
AND POLYDIASTEMAS REPORT
LP.007
OP.091 19.00-19.30 KAMALAKIDIS SN.
PP.243
19.00-19.15 DALAMPIRAS S, SUCCESS IN COMPLETE PP.202
NOGO-ŽIVANOVIĆ D, STOJANOVIĆ N,
DALAMPIRAS F.A.T., DENTURE TREATMENT; TURP I, TURP V, TUNCEL I.
KANJEVAC T, TANASKOVIĆ I.
DALAMPIRA M. CYSTIC LESION DETAILED INVESTIGATION OF STRESS EVALUATION OF FOUR IMPLANT SUPPORTED
THE EFFECT OF QMIX IRRIGANT ON REMOVAL
OF THE MANDIBLE TREATED IN CONSTRUCTION PROTOCOLS, OVERDENTURES
OF CANAL WALL SMEAR LAYER
EMERGENCY OCCLUSAL SCHEMES AND
EVALUATION QUESTIONNAIRES
PP.244
GULTEKIN DS, COBANKARA FK.
UNUSUAL MAXILLARY FIRST MOLAR VERIFIED BY
CBCT SCANNING: A CASE REPORT
OP.092
19.15-19.30 DOGAN M, PP.203 PP.245
DOGAN DO, OZSOY UCAR SU. HADZHIGAEV V, ZLATEV S, VLAHOVA A, TODOROV G, INTZES L, TZIMA ZD, GOGOS C, ECONOMIDES N.
CHRONIC PLASMA CELL GEORGIEVA I. CYCLIC FATIGUE TESTING OF NICKEL TITANIUM
OSTEOMYELITIS OF THE CEMENTATION IN THE AGE OF DIGITAL DENTISTRY. A ROTARY INSTRUMENTS: A REVIEW OF
MAXILLA: A RARE REVIEW OF THE LITERATURE LITERATURE
PRESENTATION
PP.246ŽIVANOVIĆ S, PAPIĆ M, VLAŠKOVIĆ A,

PP.204ZLATEV S, KISSOV C, HADZHIGAEV V, KAZAKOVA R, POPOVIĆ M, LUKIĆ A. FREQUENCY OF TWO-
VLAHOVA A. COINCIDENCE BETWEEN THE FACIAL AND ROOTED MANDIBULAR CANINES IN
DENTAL MIDLINES DURING POSED SMILE POPULATION OF CENTRAL SERBIA – A CBCT
STUDY
PP.247
PP.205
MARAGKOU KL.
ANDRONACHE M, FEIER R, ANTOHE M, STAMATIN O,
ENTEROCOCCUS FAECALIS:INTRATUBULAR
FORNA NC.
DISINFECTION ACHIEVED WITH CALCIUM
STUDY OF BIOMECHANIC BEHAVIOUR IN PARTIAL
HYDROXIDE COMBINED WITH DIFFERENT
REMOVABLE PROSTHESES
VEHICLES AS INTRACANAL MEDICAMENT
PP.206
ANTOHE ME, VASLUIANU R, ANDRONACHE M, FEIER R, PP.248
FORNA NC. ROUSSOU K, SIDIROPOULOS K.
STATISTICAL STUDIES REGARDING THERAPEUTIC REGENERATIVE ENDODONTIC TREATMENT IN
APPROACHES FOR EDENTULOUS CLINICAL CASES IN TEETH WITH IMMATURE APICES
STUDENTS`PRACTICAL STAGES
PP.249
PP.207
CANPOLAT N, ÇOBANKARA FK.
SARIVASILEIOU D, CHATZAKI N, KALANTIDIS K.
INTENTIONAL REPLANTATION OF AN
IMMEDIATE IMPLANT RESTORATION IN THE AESTHETIC
ENDODONTICALLY COMPROMISED HOPELESS
ZONE. CASE REPORT
TOOTH
PP.208 PP.250
GECKILI O, GECKILI E, CANAN BURAL H. SIDIROPOULOS K, ROUSSOU K, ECONOMIDES N.
TRANSITION OF A 2 IMPLANT RETAINED MANDIBULAR REGENERATIVE PROCEDURES ON ENDODONTIC
OVERDENTURE TO IMPLANT SUPPORTED FIXED SURGERY: A CASE REPORT AND A LITERATURE
PROSTHESIS REVIEW.
PP.251
PP.209
ZIOUTIS V, IDZAHI K, PANTELIDOU O.
DAKOVIC D, PETKOVIC-CURCIN A, TATIC Z, VOJVODIC D.
MULTIPLE DENS EVAGINATUS ON THE
LOCAL IMMUNE RESPONSE OF THE PERIIMPLANT TISSUES
PREMOLARS OF A 14 YEAR-OLD CHINESE GIRL.
RELATED TO DENTAL PLAQUE AND GINGIVAL INDEXES
CASE REPORT
PP.252
PP.210
LACEVIC A, SARAJLIJA M, KAPUR POJSKIC L,
RAKASEVIC D, ALEKSIC Z, NIKOLIC JAKOBA N, ROGANOVIC
POJSKIC N, BAJROVIC K.
J, LAZIC Z.
MOLECULAR-GENETIC TECHNIQUE STUDYING
IMPACT OF PHOTODYNAMIC THERAPY ON CLINICAL AND
THE ORIGIN OF ANAEROBIC BACTERIA IN
IMMUNOLOGICAL PARAMETERS IN THE TREATMENT OF
PRIMARY ENDODONTIC INFECTIONS
PERIIMPLANTITIS
PP.253
PP.211 FUNDAOĞLU KÜÇÜKEKENCI F, KÜÇÜKEKENCI
TACHMATZIDIS T, SAMARA E, DABARAKIS N. AS.
MAXILLARY SINUS ELEVATION AND SIMULTANEUS CROWN REATTACHMENT WITH COMPLICATED
IMPLANT PLACEMENT USING PRGF - A CASE REPORT CROWN FRACTURE USING FIBER-REINFORCED
POST
PP.212
PP.254
SLABARI E, TESTIMITANU N, CIOBANU G.
ISUFI A, PLOTINO G, GRANDE NM, XHEMNICA R,
SOFT AND HARD TISSUE MANAGEMENT FOR A SINGLE -
GAMBARINI G. 3D QUANTITATIVE ANALYSES
TOOTH RESTORATION AT THE FRONT-IMMEDIATE
OF MINIMALLY INVASIVE ENDODONTIC CAVITY
IMPLANTATION
PP.255
PP.213
AYDINBELGE HA, YILMAZ MO. DENTINAL
DABIJA I, CHELE N, MOSTOVEI A, TOPALO V.
CRACK FORMATION AFTER ROOT CANAL
LATERAL SINUS FLOOR ELEVATION WITH IMMEDIATE
PREPARATION: ROTARY VERSUS RECIPROCAL
IMPLANT PLACEMENT WITHOUT GRAFTING MATERIAL
INSTRUMENTATION
PP.214 PP.256
CHELE N, MOSTOVEI A, DABIJA I, TOPALO V, ZĂNOAGĂ O. SUBASHI E, HYSI N.
EARLY TYPE TWO FLAPLESS PLACEMENT OF TWO-PIECE THE PERCENTAGE, THE QUALITY AND OTHER
DENTAL IMPLANTS USING NON-SUBMERGED APPROACH. DATA ABOUT ENDODONTIC TREATMENTS IN AN
ONE YEAR FOLLOW-UP. ALBANIAN ADULT POPULATION
PP.257SAĞLAM BC, HAZAR E, KOÇAK MM,

PP.215ZANOAGA O, MOSTOVEI A, CHELE N, TOPALO V. KOÇAK S, TÜRKER SA. THE CLEANING
DENTAL IMPLANTS PLACEMENT IN PATIENTS UNDER EFFICACY OF PASSIVE ULTRASONIC IRRIGATION
ANTICOAGULANT TREATMENT. AND XP-ENDO FINISHER AFTER POST SPACE
PREPARATION
PP.258
PP.216
BJELOVIĆ L, KRUNIĆ J, ERIĆ J, LEČIĆ J, KANJEVAC
ZGIRCEA A, CHELE N, ZANOAGA O, DABIJA I, MOSTOVEI
T. THE EFFECT OF INTERACTION BETWEEN
M. ONE YEAR FOLLOW-UP OF BONE LOSS AROUND
DIFFERENT ENDODONTIC IRRIGANTS ON
IMMEDIATE VERSUS CONVENTIONAL LOADED IMPLANTS
DENTINAL PERMEABILITY
PP.259
PP.217 ŽUŽA A, DAVIDOVIĆ L, KRUNIĆ J, JOKSIMOVIĆ B,
NIKOLOVSKI B, MINOVSKA A, RADOJKOVA NIKOLOVSKA VUJAŠKOVIĆ M. INCIDENCE OF
V, CVETANOVSKA STOJCEVA D, ALEKSANDROVSKA A. POSTOPERATIVE PAIN AFTER ONE-
IMPLANT-SUPPORTED FRONT TOOTH REPLACEMENT APPOINTMENT ENDODONTIC TREATMENT
USING TWO DIFFERENT IRRIGATION METHODS
PP.218
NIKOLOVSKI B, RADOJKOVA NIKOLOVSKA V, MINOVSKA
A, POPOVSKA M, POPOVIC MONEVSKA D.
DENTAL IMPLANTS IN CANCER TREATED PATIENTS
PP.219
AFOUXENIDES P, GOUSSIAS C, MELAKOPOULOS I.
POST-IMPLANT PLACEMENT NEUROSENSORY
DISTURBANCES
PP.220
TOKER H, YILDIRIM A.
EFFECT OF GASEOUS OZONE ON BONE REGENERATION
OF PERI-IMPLANTAL CREATED DEFECTS IN RABBITS:
PRELIMINARY FINDINGS
PP.221
GEORGIOU M, NAKA O.
ACHIEVING PASSIVE FIT OF IMPLANT RESTORATIONS:
PROTOCOLS FOR IMPLANT IMPRESSIONS
PP.222
VLAHOVIC Z, MIKIC M.
TEMPERATURE CHANGES IN THE BONE DURING FLAP AND
FLAPLESS PREPARATION OF IMPLANT SITE
PP.223
CIOBANU G, CHELI N.
IMMEDIATE RESTORATION IN THE ATROPHIED MAXILLA
PP.224
TULGA Α, GÖKMENOGLU C, SELAMET H, DEDE DO, ÇELİK
E.
THREE DIFFERENT ESTHETIC APPROACHES FOR IMPLANT
SUPPORTED RESTORATIONS AND LITERATURE REVIEW: A
CASE SERIES
PP.225
BEI M, SALIA A, GOUSSIAS H.
SHORT IMPLANTS: IS IT AN EFFECTIVE TREATMENT
PLANNING FOR THE ATROPHIC POSTERIOR MAXILLA AND
MANDIBLE?
PP.226
UCTASLI S, EKICI Z, BOZKURT R.
SINGLE IMPLANT SUPPORT FOR BILATERAL DISTAL
EXTENSION REMOVABLE PARTIAL DENTURE
PP.227
KOURAMAS AD, TRIANTAFYLLOU I, KOURAMAS G.
BALLOON ASSISTED SINUS LIFT: AN ALTERNATIVE, LESS
INVASIVE APPROACH
20.00 - OPENING CEREMONY WELCOME

RECEPTION
FRIDAY, MAY 5th, 2017
ALEXANDROS I ALEXANDROS II ARISTOTELIS I ARISTOTELIS II KALLIOPI AMFITRION IΙ

Lectures Lectures Oral Presentations Hands on Posters Posters
Pres. Akkaya M,
Pres.Kontonasaki E. Pres. Bicak H Pres. Poulopoulos A. Pres. Venetis G, Lucic M.
Qafmolla R.
LP.0010 OP.101
LP.008 09.00-10.00 RADOJKOVA- 09.00-09.15 DOGAN B, KEMER DOGAN
09.00-10.00 POGLAJEN J. MINIMAL
09.00-10.00 UZUNOV T. NIKOLOVSKA V. ES, FENTOGLU O, YESIM KIRZIOGLU F.
INVASIVE DENTISTRY IN EVERYDAY 09.00-11.00 09.00-11.00
DIGITAL IMPRESSIONS AND 3D PRINTING- APPLICATIONS IN HOW A PERIODONTALINFECTION COULD SERUM LIPOXIN LEVELS BE AN
PRACTICE
DENTISTRY MIGHT TRIGGER RHEUMATOID INDICATOR BETWEEN PERIODONTAL
ARTHRITIS DISEASE AND METABOLIC SYNDROME?
PP.306
PP.260
LP.009 KARAKAYA E, KUL FM, ÖZALP NU, AKSOY
BATSOUKA A, BOTSIS C.,SPYRAKI
10.00-11.00 PARAVINA RD. THE 2017 COLOR MATCHING MK, ÖKTEN E. REVASCULARIZATION OF
F.,ANDREADIS D, POULOPOULOS A.
CURRICULUM FOR DENTAL PROFESSIONALS AND STUDENTS TRAUMATICALLY INTRUDED IMMATURE
MOUTHWASHES AND ORAL MUCOSA
PERMANENT INCISOR: A CASE REPORT
OP.102
LP.011 PP.307
09.15-09.30 POPOVSKA M, SPASOVSKI S,
10.00-11.00 ALTAY AN. UYSAL SU, SONGUR E, TULGA OZ F. IN
NIKOLOVSKI B, ANASTASOVA L, 10.00-11.00 POGLAJEN J. MINIMAL
DENTAL TRAUMA & TREATMENT VITRO ASSESSMENT OF EFFECTIVENESS OF
PETKOVSKA R. INVASIVE DENTISTRY IN EVERYDAY
PRINCIPLES AT PRIMARY AND OZONE APPLICATION AGAINST
EFFECT OF DIFFERENT CONCENTRATIONS PRACTICE
YOUNG PERMANENT TEETH ODONTOPATHOGENIC MICROORGANISMS
OF DOXYCYCLINE IN THE TREATMENT OF
FRACTURES IN PRIMARY TEETH ROOT-CANAL
PERIODONTAL DISEASE
PP.308
PP.261 ATANASOVSKI A, KONDEVA V, LINGSTRÖM
SPYRAKI F, BOTSIS C.,BATSOUKA A, P, STOEVA V, RIMALOVSKA S.
ANDREADIS D, POULOPOULOS A. COMPARISON BETWEEN STIMULATED AND
ELECTRONIC CIGARETTES AND ORAL HEALTH UNSTIMULATED SALIVA BEFORE AND AFTER
TRAINING IN YOUNG FOOTBALL PLAYERS
OP.103
PP.309
09.30-09.45 MAMAKLIOĞLU D, 11.30-13.30 MANOLAKIS K. GUIDED
ATANASOVSKI A, KONDEVA V, LINGSTRÖM
KARCHED M, ASIKAINEN S, DOĞAN B. BIOFILM THERAPY (GBT) IN PROPHYLAXIS
P, STOEVA V, RIMALOVSKA S. DIETARY
EFFECT OF NON-SURGICAL OF TEETH AND ORAL IMPLANTS.
HABITS IN CHILDREN AND ADOLESCENTS
PERIODONTAL TREATMENT ON INTRODUCTION OF A MODERN PREVENTIVE
ATTENDING PROFESSIONAL SPORT
PERIODONTOPATHOGENS IN CONCEPT
ACTIVITIES
AGGRESSIVE PERIODONTITIS
PP.262
PP.310
BOTSIS C, SPYRAKI F,BATSOUKA A,
ŞENAY E, ÇELIK BN, OKTE- Z. SEALING OF
ANDREADIS D, POULOPOULOS A. DENTAL
AN IATROGENIC PERFORATION USING MTA:
IMPLANTS IN PATIENTS UNDER TREATMENT
A CASE REPORT
WITH IMMUNOSUPPRESSIVE AGENTS
OP.104
PP.311
09.45-10.00 ŞENYURT SZ, KISACIK B,
KELMENDI M, PETRO E, KELMENDI S, GACE
GÜNDOĞAR H, TAYSI S, ERCIYAS K.
E. PULPARY COMPLICATIONS IN PRIMARY
EFFECT OF CHRONIC PERIODONTITIS ON
DENTITION AND THEIR ALTERNATIVES OF
NITROSATIVE STRESS IN PATIENTS WITH
TREATMENT
PRIMARY SJOGREN’S SYNDROME
PP.263
PP.312
14.00-17.00 MOLDOVEANU B. MINIMAL NAMDAR PEKİNER F, OĞUZ BORAHAN M,
CERIT EN, ORHAN K, SARI S.
INVASIVE ENDODONTICS KESER G, UYAR BOZKURT S. DIFFUSE LARGE
PROGRESSIVE CHERUBISM: A CASE REPORT.
B-CELL LYMPHOMA : A CASE REPORT
PP.313
PP.264
HUSEINBEBOVIC A, SELIMOVIC DRAGAS M,
NAMDAR PEKİNER F, GÜLER DÖNMEZ F,
BAJRIC E, KOBASLIJA S. MICROBIOLOGICAL
YILDIZ A. XERODERMA PIGMENTOSUM: A
EVALUATION OF STEPWISE REMOVAL OF
CASE REPORT AND LITERATURE REVIEW
CARIOUS DENTINE IN PRIMARY TEETH
OP.10510.00-10.15 YILDIRIM T T,
NIGAR GUNCU G, GÖKSÜLÜK D, ÇOLAK PP.265DELIVERSKA EG, STEFANOV
M, FIKRET TÖZÜM T. IS THERE A L,STOYANOV H., PETKOVA M. UNUSUAL PP.314THEOCHARIDOU A, ARAPOSTATHIS K.
RELATIONSHIP AMONG SCHNEIDERIAN CASE OF BILLATERAL LEUKOPLAKIA OF ORAL ADHESION TO ENAMEL AFFECTED BY MIH
MEMBRANE THICKNESS, PERIODONTAL MUCOSA
BONE LOSS AND PERIAPICAL STATUS?
PP.266
GJORGJESKA B, DELCEV G, ANGELOVSKA B, PP.315
KOVACEVSKA I, JANEVA A. RELATION PETROVIĆ V, PEJČIĆ N, MARKOVIĆ D, ILIĆ-
BETWEEN QUANTITY OF DISINFECTANTS DIMITRIJEVIĆ I, PERUNOVIĆ N.
USED AND APPEARANCE OF INTRA- BREASTFEEDING AND RISK OF CHILDHOOD
HOSPITAL INFECTIONS IN SELECTED CARIES
HOSPITALS
OP.106
PP.316
10.15-10.30 PAPADIMITRIOU I, PP.267
KORKUT E, GEZGIN O, OZER H, SENER Y.
ALMAGOUT P, SOTIRI S, GANOU L. KIVRAK Α, HAKIKI Η, ÇONGARA KIVRAK Τ,
EVALUATION OF ER:YAG LASERS ON PAIN
TREATMENT AND REMOVAL OF CAMBAZOĞLU Μ. DIAGNOSIS AND
PERCEPTION DURING CARIES REMOVAL: A
GINGIVAL HYPERPIGMENTATION USING TREATMENT OF AN ARONJ CASE
COMPARATIVE STUDY
DIODE LASER THERAPY: CASE REPORTS
PP.317
PP.268
PERIC T, MARKOVIC D, PETROVIC B,
TASSOKER M, CETMILI H, OZCAN S,
PETROVIC V, MARKOVIC E. CLINICAL
KUBILAY ISIK B. CALCIFYING ODONTOGENİC
EFFICACY OF PASTE CONTAINING CPP-ACP IN
CYST IN MAXILLA: A RARE CASE REPORT
PRIMARY DENTITION
PP.318
OP.107
PP.269 KOUTROULI A,MOSCHOU A., ARHAKIS A,
10.30-10.45 ÇALIŞIR M. PERIODONTAL
MUSURLIEVA N, STOYKOVA M. PANTELIDOU O.
DISEASES IN CONSANGUINEOUS
RARE DISEASES AND ORAL MALODOR FILLING MATERIALS USED IN ROOT CANAL
MARRIAGES
THERAPY OF PRIMARY TEETH
PP.270 PP.319
HYSENAJ N, XHAJANKA E, BARDHOSHI M, PEJČINOVIĆ-JANEČEK T, ŠAČIĆ L, MARKOVIĆ
TABAKU F. FACTORS AFFECTING FUNGAL N. DOUBLE TEETH FORMATION
SPECIES ADHERENCE IN DENTURES AND (GEMINATION AND FUSION) - ANOMALIES
ORAL MUCOSA OF PRIMARY DENTITION
PP.320
PP.271 BAJRIC E, KOBASLIJA S, HUSEINBEGOVIC A,
THEODOSIOU C, MATIAKIS A. DRUG- ARSLANAGIC MURATBEGOVIC A,
RELATED MANIFESTATIONS OF ORAL MARKOVIC N. SAMPLE CONDITIONS
MUCOSA INTERFERENCE TO QUALITY OF DENTAL FEAR
AND ANXIETY EVALUATION IN CHILDREN
PP.272 PP.321
TAMIOLAKIS P, PIPERI E, SKLAVOUNOU- NASHKOVA S, ILJOVSKA S, ALIMANI-JAKUPI
ANDRIKOPOULOU A. J, DIMOVA C, ZARKOVA-ATANASOVA J.
FOREIGN BODY GRANULOMA TO BODY MASS INDEX RISK FOR THE
HYALURONIC ACID FILLER. A CASE REPORT DEVELOPMENT OF DENTAL CARIES OF 12
AND REVIEW OF THE LITERATURE. YEAR-OLD PUPILS
PP.273
DAKOVIC D, MILEUSNIC I, CUTOVIC T,
PP.322
BRKIC Z.
PURDANOSKA O, PURDANOSKI A, GETOVA
REVIEW OF CHRONIC ORAL GRAFT-VERSUS-
B. TRAUMATIC INJURES OF CHILDREN
HOST DISEASE (GVHD): CLINICAL STAGING
AND TOPICAL TREATMENT
PP.274
PP.323
ANDREADIS D, PANTAZI A, DEMI F,
GÜDÜK OF, TÜZÜNER T, BAYGİN O.
PANAGIOTOU E, POULOPOULOS A.
REMOVABLE ORTHODONTIC RETAINER:
LOCALIZED LOWER-LIP GIANT-CELL
PROOF OF THE CONCEPT DESIGN AS A
REACTION DUE TO FOREIGN BODY (BEARD
CUSTOM-MADE MOUTHGUARD
HAIR) ENCAPSULATION
PP.275TONEVA V, TONEVA A, RISTOVA PP.324AMBAKOVA V, MURATOVSKA I,
STOJANOVA A, PETROVSKI M, RISTOV O. STAVREVA N, GETOVA B, POPOVSKI V.
DENTAL CALCULUS IN RELATION TO DETERMINATION OF DENTAL FLUOROSIS IN
IDIOPATHIC NEHROLITIASIS THE FYROM
PP.276
YAPINA M, PETKOVA E, HRISTOVA S, PP.325
NEDEVA D, YOVCHEV D. DMFT INDEX AND JEREMIC M, VUKOVIC A, MARKOVIC D,
SOME BIOCHEMICAL INDICATORS IN VAVIC B. PERIODONTAL DISEASE OF
PATIENTS WITH IDIOPATHIC URTICARIA SCHOOLCHILDREN AND ADOLESCENTS
AND ANGIOEDEMA
PP.326
PP.277
CHALVATZOGLOU E, TSITSARA M, DIMITRAKI
MESEMANOLI Z, PAVLOU AM,
D, TSIANTOU D. NON-SYPHILITIC
KOLOKOTRONIS A. ORAL SIGNS OF
HUTCHINSON PRIMARY INCISOR IN A 24
PARANEOPLASTIC DISEASES
MONTHS OLD PATIENT:A CASE REPORT
PP.278
PP.327
KATIKARIDIS G, THEODOSOPOULOU Z,
GELMEZ A, ÜNLÜ N. BILATERAL AGENESIS
MATIAKIS A. HUMAN PAPILLOMAVIRUS
OF MANDIBULER PERMANENT CANINES: A
(HPV) - ASSOCIATED CARCINOMA OF THE
RARE CASE REPORT
OROPHARYNX : A DISTINCT CLINICAL ENTITY
PP.279 PP.328
DALAMPIRA M, DALAMPIRAS F.A.T., JANKOVIĆ S, LEČIČ J, DAVIDOVIĆ B,
ZOULOUMI M E. LESIONS OF NEGATIVE SAMARDŽIJA JH. DENTAL ANXIETY IN
PRESSURE IN THE MOUTH CAUSING ANXIETY SCHOOL AGE CHILDREN
PP.280
YILMAZ N, BEZGİN T. REPLANTATION OF
AN AVULSED TOOTH AFTER 17-HOURS
EXTRA-ORAL TIME: 2-YEAR FOLLOW-UP
PP.281 PP.329
MANDINIC Z, MANDIC J, VUKOVIC A, YILMAZ ZS, TOSUN G, BOTSALI MS.
BELOICA M, KOSANOVIC D. TRAUMATIC BLEACHING PERMANENT TEETH USING
EXTRACTED TOOTH, SUCCEED OF SODIUM PERBORATE WİTH WALKING
TREATMENT – A CASE REPORT BLEACH TECNIQUE :A CASE REPORT
PP.330
PITRIS I, PASCHALIDOU E, PASCHALIDOU M,
ARHAKIS A. WILLIAMS SYNDROME IN
DENTAL PRACTICE, A LITERATURE REVIEW
PP.331
PP.282 YAVUZ I, YILDIRIM S. SUCCESFUL LATE
DZENAD GANJOLA D. INTERVENTION TO GROWING
THIRD MOLAR SURGERY COMPLICATIONS OF UNCOMPLICATED
CROWN FRACTURE
PP.283
PP.332
DJURIC O, GANJOLA D. THE REASONS FOR
JOVANOVSKA M, SIMONOVSKA J.
TOOTH EXTRACTION IN A MONTENEGRIN
INTRUSIO DENTIS
POPULATION SAMPLE
PP.284
CUTOVIC T, JOVIC N, RADOJICIC J, ILIC J.
MULTIDISCIPLINARY APPROACH TO
TREATMENT OF THE CLEFT LIP AND PALATE
PP.285LEVCO S, SCERBATIUC D. THE

PP.333KAHVECİOĞLU F, SEYHAN S.
DIAGNOSIS OF PUS COLLECTION TO THE
KENNY-CAFFEY SYNDROME (A CASE REPORT)
PATIENTS WITH FLEGMON OF ORAL FLOOR
PP.334
PP.286 ŠAČIĆ L, MARKOVIĆ N, ARSLANAGIĆ-
PETKOVA M, STANIMIROV P, GATEVA N. MURATBEGOVIĆ A, KOBAŠLIJA S.
GORLIN-GOLTZ SYNDROME: A FOLLOW-UP PREVALENCE OF EARLY CHILDHOOD CARIES
OF A RARE CLINICAL CASE. AND TREATMENT NEEDS IN FEDERATION OF
BOSNIA AND HERZEGOVINA
PP.287 PP.335
ISUFI R. INTRODUCTION OF RDC/TMD EROGLU E, BURSA C, TOPTANCI IR, BURSA
PROTOCOL FOR ALBANIAN MAXILLOFACIAL AP, CELENK S. CLINICAL EVALUATION OF
DEPARTMENT DYSKERATOSIS CONGENITA :A CASE REPORT
PP.288
PP.336
RAILEAN S, TESTEMITANU N, RAILEAN G.
GONENLI M, KARA NB, GULER C. THE
POSTARU C, INCIDENCE OF CRANIAL
TREATMENT OF SELF-INFLICTED TONGUE
DEFORMITIES ACCORDING TO THE TYPE OF
TRAUMA USING A SPECIAL ORAL APPLIANCE
THE SCHOOL
PP.337
PP.289
DASKALAKI Z, ALIFAKIOTI E, THEOCHARIDOU
FIRKOVA E, SIMOV R, BAKARDIEV A,
A, ARHAKIS A. MICROABRASION FOR
GEORDZEVA D. GÜNGÖR FS, MEDICATION-
AESTHETIC IMPROVEMENT OF MILD TO
RELATED OSTEONECROSIS OF THE JAWS -
MODERATE FLUOROSIS: AN 1-YEAR
CAN WE ADD STAGE 4?
FOLLOW-UP CASE REPORT.
PP.338
PP.290
GUMUS H, COSAR G, AYDINBELGE M.
GEORGIOU P, EXARCHOS D, DABARAKIS N.
EVALUATION OF SURFACE ROUGHNESS
THE ROLE OF PDGF AND BMP IN THE
AFTER POLISHING PROCEDURE OF
REGENERATION OF THE ALVEOLAR BONE
DIFFERENT BRAND COMPOMERS
PP.291
PP.339
VIDENOVA L, STANIMIROV P. THE SEVERE
UNLUGENC E, BOLGUL B. MINERAL
FORM OF SPONTANEOUSLY OCCURRED
TRIOXIDE AGGREGATE APEXIFICATION
OSTEORADIONECROSIS OF THE LOWER JAW.
:REPORT OF THREE CASES
CASE REPORT
PP.292
PETROVIC SM, CIMBALJEVIC M,
KUZMANOVIC-PFICER J, JOTIC A, PUCAR A.
PRESENCE OF DIFFERENT CANDIDA SPECIES
AT DENTURE WEARERS WITHOUT DENTURE
STOMATITIS
PP.340
PP.293
SAGIROGLU A, BOLGUL B.
EGE B, ÇALIŞIR M, AKSOY F. RECURRENT
APEXIFICATION TREATMENT TRAUMATIZED
SQUAMOUS PAPILLOMA OCCURRING ON
MAXILLARY INCISORS WITH MTA: THREE
LOWER LIP IN A PEDIATRIC PATIENT
CASES REPORT
PP.294
PP.341
MORALI A, VASOGLOU M, VASOGLOU G,
PANAYIOTOU N, SIOKIS V.
MICHAELIDIS I, TSELKAS O. CONDYLAR
BLACK STAIN IN CHILDREN: PREVALENCE,
HYPERPLASIA-A REVIEW ΟΝ
MICROBIOLOGY AND RELATIONSHIP WITH
CLASSIFICATION, DIAGNOSIS AND
DENTAL CARIES. A LITERATURE REVIEW
TREATMENT
PP.295LILLIS T, VESALA AM, THEODORIDIS
C, SYMINTIRIDIS C. SINGLE TOOTH
CORTICOTOMY FOR IMPLANT PLACEMENT
IN PATIENT WITH LATERAL INCISOR
AGENESIS
PP.296
SCHOINAS N, STYLIARA C, PAPALEXIOU D,
ZOULOUMIS L. ANTIBIOTICS IN ORAL
SURGERY : WHEN, WHERE, HOW ARE
NECESSARY IN ANY CASE?
PP.297
DALAMPIRA M, DALAMPIRAS F.A.T.,
DALAMPIRAS S. THE SURGICAL APPROACH
OF DEEP IMPACTED PERMANENT TOOTH IN
ORDER TO APPLY ORTHODONTIC FORCES.
PP.298
BRIAMATOU K, PAPAKOSTA V, VASSILIOU S,
VAIRAKTARIS E. AN UPDATE ON
MEDICATION-RELATED JAW
OSTEONECROSIS: CLASSIFICATION,
PREVENTION AND TREATMENT
PP.299
KALAITSIDOU I, VAHTSEVANOS K,
PAZAITOU-PANAYIOTOU K, ANTONIADES K.
MANAGEMENT OF METASTATIC NECK NODE
IN THYROID CARCINOMA
PP.300
KALAITSIDOU I, VAHTSEVANOS K,
SAKELLARIOU P, DALAMPIRAS S,
ANTONIADES K. NEUROFIBROMA OF THE
MAXILLARY ANTRUM: A RARE CASE
PP.301
YURTTUTAN ME, SANCAK K, KIVRAK A,
ONCUL AMT. DECOMPRESSION AS A
TREATMENT OF MANDIBULAR
DENTIGEREOUS CYST IN CHILDREN
PP.302
CEKA I. TISSUE RECONSTRUCTION IN ORAL
SURGERY
PP.303
ADAMOUDI E, DALOPOULOU A,
KALAITZOGLOU ME, BELTES C.
MANAGEMENT RECOMMENDATIONS FOR
INVASIVE DENTAL TREATMENT IN PATIENTS
USING NOVEL ORAL ANTICOAGULANTS. A
SYSTEMATIC REVIEW.
PP.304
LATROUDIS P, SEFERIADIS B, SPRITINOUDIS
T, KOZARIDOU M, ZOULOUMIS L. BIOPSY
IN ORAL AND MAXILLOFACIAL SURGERY
PP.305
PAPADIMITRIOU K, KESSOPOULOU E,
DAVIDOPOULOU S, LEVI J. SURGICAL
REMOVAL OF IMPACTED MAXILLARY
CANINE. ETIOLOGY & DIAGNOSIS (CASE
REPORT)
11.00-11.30 BREAK
Session 31 Session 32 Session 33 Session 34 Session 35
Lectures Lectures Oral Presentations Posters Posters
Pres. Stanojevic M, Pres. Stancheva-Zaburtova D,
Pres. Perlea P. Pres. Muratovska I. Pres. Djurickovic M.
Uzunov T. Irodotou R.
11.30-13.30
OP.108
LP.015
11.30-11.45 KORKUT E, TORLAK E,
LP.012 11.30-12.30 VULICEVIC ZR.,
GEZGİN O, OZER H, SENER Y.
11.30-12.00 BERAJ S. KOSANOVIC D.,
ANTIBACTERIAL AND SMEAR LAYER 11.30-13.30
TMJ: TO BE OR NOT TO BE THE CRUCIAL POINT AT TREATMENT PROSTHODONTICS IN
REMOVAL EFFICACY OF PIPS AIDED
MODALITIES OF TMDS? ADOLESCENT AGE-ADHESIVE
IRRIGATION IN PRIMARY MOLAR ROOT
BRIDGES
CANALS
PP.371
SUBOTIC D. COMPARISON OF ORAL HYGIENE
HABITS AMONG UNIVERSITY STUDENTS
FROM MONTENEGRO
PP.342
FENTOĞLU O, DİNÇ G, KIRZIOĞLU FY. PP.372
FAMILIAL MEDITERRANEAN FEVER, SAKALI E, KATSOUDA M, ARAPOSTATHIS K,
SECONDARY AMYLOIDOSIS AND CHRONIC EXARXOY E. ATHLETIC MOUTHGUARDS: THE
PERIODONTITIS: IS PLASMINOGEN KEY TO DENTAL INJURY PREVENTION.
ASSOCIATED PATHWAY?
PP.343 PP.373
DINÇ G, FENTOĞLU O, KIRZIOĞLU FY. MLADENOVIC R, MARTINOVIC B,
SALIVARY OXIDATIVE STRESS IN PATIENTS MILOJKOVIC Z, ARSIC Z, DJORDJEVIC F .
WITH FAMILIAL MEDITERRANEAN FEVER PLAQUE REMOVAL WITH CHEWABLE
AND CHRONIC PERIODONTITIS TOOTHBRUSH IN STUDENTS
PP.344 PP.374
PANAYIOTOU EF, GOFA AA, KOUTSONAS MIRJANA DJURICKOVIC M. DENTAL HEALTH
MG. SINUS LIFT AND IMPLANT ESTIMATION FOR ADOLESCENTS AGE
TREATMENT:A CLINICAL CASE EIGHTEEN
PP.345CAN B, ÖNCÜ E, ALAN R, ERBEYOĞLU PP.375TRIČKOVIĆ JANJIĆ O, NIKOLIĆ M,
AA. USAGE OF DIFFERENT SURGICAL JANJIĆ M, STOJKOVIC B. SIGNIFICANCE OF
TECHNIQUES IN THE TREATMENT OF SEALANT RETENTION RELATED TO CARIES
GINGIVAL RECESSIONS: CASE SERIES PREVENTION
PP.376
PP.346 SEKULIC M, ACOVIC A, RADOVIC M,
SOYASLAN G, INAN O, HAKKI S. MILOSAVLJEVIC Z, KANJEVAC T. THE
MANAGEMENT OF PERI-IMPLANT SOFT CYTOTOXICITY OF THE OCTENIDINE
TISSUES: A CASE REPORT DIHYDROCHLORIDE ON ORAL
KERATINOCYTES
PP.347 PP.377
MARTU-STEFANACHE MA, BALAN A, FOIA STEFANOSKA T, ZABOKOVA-BILBILOVA E,
L.,SUFARU I, FORNA NC. STUDY SOTIROVSKA-IVKOVSKA A. EVALUATION OF
REGARDING THE EFFECTS OF PHOTO- A PIT AND FISSURE SEALANTS IN THE
ACTIVATED DISINFECTION AS ADJUNCTIVE PREVENTION OF DENTAL CARIES IN
PERIODONTAL TREATMENT SCHOOLCHILDREN
PP.348 PP.378
PASARIN L, NICOLAICIUC O, SUFARU IG, ŞAHLANAN A, GÜNGÖR HC. TREATMENT
OANTA C, MARTU S. EVALUATION OF THE OF MAXILLARY CENTRAL INCISORS INJURED
RISK MARKERS FOR ATHEROSCLEROSIS IN BY INTRUSIVE LUXATION AND CROWN
PATIENTS WITH SEVERE PERIODONTITIS FRACTURE: A CASE REPORT
PP.349 PP.379
SOLOMON SM, SUFARU I, PASARIN L, BEKTAS B, BUYUK SK. NONEXTRACTION
IOANID N, MARTU S. CLINICAL STUDY ORTHODONTIC TREATMENT OF SEVERE
REGARDING THE DENTAL STATUS IN A ANTERIOR CROWDING BY USING CERVICAL
POPULATION WITH HEMODIALYSIS HEADGEAR AND CLASS III ELASTICS
OP.109
11.45-12.00 GUVEN Y, DICLE AKSAKAL S, PP.350
TOPCUOGLU N, AKTOREN O, KULEKCI G. TAYMAN MA, EKICI Z, AKKAYA MM,
STAPHYLOCOCCUS AUREUS AND KILIÇARSLAN MA. REHABILITATION OF
METHICILLIN-RESISTANT ATROPHIC JAWS USING MPM AND IMPLANT
STAPHYLOCOCCUS AUREUS PRESENCE IN PLACEMENT: A CASE REPORT
THE ORAL CAVITY OF CHILDREN
PP.351
TAYMAN MA, ÖNDER C, KURGAN S,
GÜNHAN M. LOCALIZED AGGRESSIVE
PERIODONTITIS WITH GINGIVAL
OVERGROWTH DUE TO HORMONAL
CHANGES
PP.352
AKCAN SK,ÇOLAKOĞLU G., ELÇİN MA,
GULER B, ELÇİN B. TREATMENT OF PERI-
IMPLANT MUCOSITIS ACCOMPANYING WITH
DENTURE STOMATITIS: A CASE REPORT
PP.353
SUME KESIR SS, ERDEMIR EO, HENDEK MK,
BEZIRCI D, GULTEKIN SE. CASE REPORT:
DRUG-INDUCED GINGIVAL OVERGROWTH
ASSOCIATED WITH THE USE OF A
CYCLOSPORINE A
PP.354
MARTU I, LUCHIAN I, GORIUC A, FOIA L,
LP.016 MARTU S. EVALUATION OF THE
12.00-12.30 GULTEKIN SE. RELATIONSHIP BETWEEN THE PERIODONTAL
LP.013 MOVING FROM HISTOLOGICAL MODIFICATIONS AND LIPID PEROXIDATION
12.00-13.00 MOLDOVEANU B. SUBTYPING TO MOLECULAR IN PERIODONTAL DISEASE PATIENTS
MODERN DAY ENDODONTIC PHILOSOPHY CHARACTERIZATION: A NEW ERA
IN THE TREATMENT OF
AMELOBLASTOMAS? PP.355YAVUZER D. TREATMENT OF
GINGIVAL RECESSION AND INSUFFICIENT
ATTACHED GINGIVA USING GINGIVAL UNIT
GRAFT: A CASE REPORT
PP.356
LUCHIAN I, MARTU I, TATARCIUC M,
PASARIN L, MARTU S. COMPARATIVE
SURGICAL TREATMENT OF GINGIVAL
OVERGROWTH IN KINDEY TRANSPLANTED
PATIENTS
PP.357
SUFARU IG, SOLOMON SM, MARTU I,
MOISEI M, MARTU S. THE EVALUATION OF
SERUM AND GCF TNFΑ IN PATIENTS WITH
OSTEOPOROSIS AND PERIODONTAL DISEASE
PP.358
MARTU S, MARTU-STEFANACHE MA,
MARTU I, BALAN A, SOLOMON SM.
EVALUATION OF PERIODONTAL PATHOGENS
IN PATIENTS WITH CHRONIC KIDNEY
DISEASE
PP.359
JOVANOVIC M, DJORDJEVIC V, STASEVIC
KARLICIC I, NIKOLIC JAKOBA N, DJUKIC
DEJANOVIC S. ASSESSMENT OF THE
PERIODONTAL HEALTH AMONG
PSYCHIATRIC INPATIENT IN SERBIA
PP.360
PAPANDREOPOULOU M, VENOU TM,
TSALIKIS L. ΝECROTIZING- ULCERATIVE
GINGIVITIS/ PERIODONTITIS AND HIV
INFECTION
PP.361
SIDIROPOULOU N, TSALIKIS L, KAVADIA-
TSATALA S. THE CLOSED ERUPTION
TECHNIQUE IN THE TREATMENT OF
LABIALLY IMPACTED CANINES
PP.362
KRASTEVA St, KRASTEVA Si, POPOVA E.
LP.017 PARAMETERS OF GINGIVAL RECESSION IN
LP.014 FRONTAL CROSSBITE
12.30-13.30 GRBOVIC A.
13.00-13.30 SAKELLARI D.
PRACTICAL ASPECTS OF FINITE
CURRENT CONCEPTS IN GENOMIC AND PROTEOMIC ANALYSES IN
ELEMENT METHOD
DENTISTRY
APPLICATIONS IN DENTISTRY PP.363
GOVEDARICA O, CICMIL A, LECIC J, SIMIC I,
CICMIL S. FULL-MOUTH DISINFECTION
VERSUS QUADRANT ROOT PLANING IN
PATIENTS WITH CHRONIC PERIODONTITIS:
MICROBIOLOGICAL FINDINGS
OP.110
12.00-12.15 TÜRKCAN İ, NALBANT AD,
BAT E, AKCA G. PP.364
EXAMINATION OF 2- MLACHKOVA A, DOSSEVA-PANOVA V,
METHACRYLOYLOXYETHYL POPOVA C, KICHEVA M. CLINICAL AND
PHOSPHORYLCHOLINE POLYMER BIOCHEMICAL ASSESSMENT OF NON-
COATED ACRYLIC RESIN: SURFACE SURGICAL PERIODONTAL THERAPY
CHARACTERISTICS AND CANDIDA
ALBICANS ADHESION
PP.365OBRADOVIC R, FILIPOVIC G, IGIC M,
MILOSEVIC M, ĐORĐEVIC M.
PERIODONTAL HEALTH IN PATIENTS WITH
DIABETES MELLITUS
OP.111 PP.366
12.15-12.30 SAVIN C, TOMA V., NGANGA SW, KALKAN Y, BOOTORABI S,
MIHALAS E, CIOLOCA DP, PETCU A. DOGAN B.
CORRELATION BETWEEN ORAL CANDIDA KNOWLEDGE AND AWARENESS ABOUT
ALBICANS AND DENTAL CARIES IN A DIABETES MELLITUS AND PERIODONTAL
ROMANIAN CHILDREN POPULATION HEALTH AMONG MEDICAL INTERNS
PP.367
ÖZEN E, YILDIRIM HS, DOĞAN B.
FACTORS INFLUENCING THE PATIENT
REFFERRALS FROM GENERAL PRACTICE
DENTISTS TO PERIODONTISTS IN TURKEY
OP.112
12.30-12.45 KUCUK F, SONGUR E, TULGA PP.368
OZ F. MARTU-STEFANACHE MA, HONCIUC M,
IN VIVO EVALUATION OF OZONE BALAN A, MARTU S, FOIA L. THE
EFFECTIVENESS AGAINST SELECTED EVALUATION OF IL-1Β AND TNFΑ LEVELS IN
ODONTOPATHOLOGIC PATIENTS WITH PERIODONTAL DISEASE AND
MICROORGANISMS FROM INFECTED RHEUMATOID ARTHRITIS
PRIMARY SECOND MOLARS
PP.369
SUFARU IG, SOLOMON SM, PASARIN L,
MOISEI M, MARTU S.
THE ASSESSMENT OF IL-6 IN PATIENTS WITH
CHRONIC PERIODONTITIS AND
OSTEOPOROSIS
PP.370
MARTU S, NICOLAICIUC O, LUCHIAN I,
SUFARU IG, SOLOMON SM. STUDY
REGARDING THE EFFECTS OF
CONVENTIONAL PERIODONTAL THERAPY ON
PROINFLAMMATORY CYTOKINES IN
PATIENTS WITH ATHEROSCLEROSIS
13.30-15.00 BREAK
Session 36 Session 37 Session 38
Lectures Lectures Oral Presentations
Pres. Sakellari D. Pres. Angelopoulos C. Pres. Podaropoulos L.
OP.118
15.00-15.15 PAPADIMITRIOU I,
LP.020 ALMAGOYT P, SOTIRI V,DIMOU S., THEO
LP.018 15.00-17.00 ANGELOPOULOS C, MERHOLZ E.
15.00-16.00 YOON S-J, LEE E-J,LEE J-S,KANG B-C, TSIKLAKIS K, ORHAN K, COMPUTER-ASSISTED-
UNDERSTANDING HIGH FREQUENCY ULTRASONOGRAPHY FOR KAMBUROGLU K, DELANTONI A. IMPLANTOLOGICAL REHABILITATION OF
HEAD & NECK SOFT TISSUE LESIONS MINI SYMPOSIUM IN CONE- TUMOR-PATIENTS AFTER IRRADIATION
BEAM CT AND PATIENTS WITH EXTREME
ALVEOLAR-RIDGE-ATROPHY AFTER ILIAC-
CREST BONE AUGMENTATION
OP.119
LP.019 15.15-15.30 KYPRIANOU C,
16.00-17.00 QORRI E. CHATZIGIANNI A.
INCREASING THE STANDARD OF DENTAL CARE WITH SOFT TISSUE INDICATIONS AND PROGNOSIS OF
MANAGEMENT TOOTH AUTOTRANSPLANTATION: A
REVIEW OF THE LITERATURE
OP.120
15.30-15.45 HRISTOVSKI G.
IMPLANTS SUPPORTED FULL ARCH
RECONSTRUCTIONS AND IMMEDIATELY
FIXED TEMPORARY PROSTHETIC
SOLUTIONS
OP.121
15.45-16.00 TURK AG, ULUSOY M.
IMMEDIATE LOADING WITH DEFINITIVE
PROSTHESIS VERSUS CONVENTIONAL
LOADING OF IMPLANTS: PRELIMINARY
12 MONTH CLINICAL DATA
OP.122
16.00-16.15 VESALA AM, NACOPOULOS
C, DABARAKIS N.
PRF AND BONE GRAFTS IN
IMPLANTOLOGY. PRESENTATION OF THE
PROCEDURE BASED ON A CASE SERIES
OP.123
16.15-16.30 ALTUG-CILINGIR A, ATES M.
FINITE ELEMENT ANALAYSIS OF STRESSES
ACTING ON THE MANDIBULA BENEATH
COMPLETE DENTURES AND IMPLANT-
SUPPORTED OVERDENTURES
OP.124
16.30-16.45 BERKAY H, KEMAL M,
TUZLALI M. EARLY LOADING OF DENTAL
IMPLANTS IN MANDIBLE WITH ALL-ON-4
TREATMENT PROTOCOL
OP.125
16.45-17.00 AGOP FORNA D, FORNA N.
RETROSPECTIVE STUDY ON LASER
APPLICATIONS IN DENTISTRY
09.00-13.30 BaSS Council Meeting

SATURDAY, MAY 6th, 2017
ALEXANDROS I ALEXANDROS II ARISTOTELIS I ARISTOTELIS II KALLIOPI AMFITRION II
Lectures Award Session Oral Presentations Hands on Posters Posters
Pres.Tzermpos F. Pres. Pantelas G. Pres. Stancheva-Zaburtova D. Pres. Xhajanka E. Pres. Matiakis A.
OP.130 09.00-11.00 TRIANTAFYLLOU

09.00-09.15 PAPAEMMANOUIL G, NAKA O, J. PANAGIOTOU R. PLATELET
ANASTASSIADOU V. CONCENTRATE
SUCCESS AND FAILURE EVALUATION (CONTEMPORARY
CRITERIA FOR THE MANDIBULAR IMPLANT APPROACH-MULTIPLE
OVERDENTURE; A COMPREHENSIVE REVIEW APPLICATIONS)
OP.126
10.00-10:15 ALTINDAĞ A, AVSEVER H,
LP.021 GÜNDÜZ K, AKYOL M, ORHAN K.
09.00-10.00 PERLEA P. EVALUATION OF DIFFERENT METHODS IN THE DIAGNOSIS INCIDENTAL FINDINGS IN CONE-BEAM 09.00-11.00 09.00-11.00
OF VERTICAL ROOT COMPUTED TOMOGRAPHIC
IMAGES:CALCIFICATIONS IN HEAD AND NECK
REGION
OP.131
09.15-09.30 SARRI V,GOUSSIAS H,
BOUSSIOU A, GRIGORIOU A.
IMPLANTS: TO SPLINT OR NOT TO SPLINT?
OP.127
10.15-10.30 BEKETOVA A, POULAKIS N,
BAKOPOULOU A, ZORBA T, PAPADOPOULOU PP.380
PP.403
LP.022 L, CHRISTOFILOS D, KANTIRANIS N, FILIPOVIC G, ACOVIC A,
PAVLOU AM, LOLI C, KARATHANOS G,
10.00-11.00 SKLAVOUNOU A. ZACHARIADIS G, KONTONASAKI E, OBRADOVIC R, MILOSEVIC M.
ANAGNOSTOU E, ANDREADIS D. ORAL
IS DENTAL IMPLANTATION INDICATED IN PATIENTS WITH ORAL MUCOSAL KOUROUKLIS G, PARASKEVOPOULOS K, PREVALENCE OF DENTAL
PAPILLOMA IN CHILDHOOD.NOT ALWAYS
DISEASES? KOIDIS P. ANOMALIES IN SERBIAN
HPV-RELATED
INDUCING BIOACTIVITY OF DENTAL ORTHODONTIC PATIENTS
CERAMIC/BIOACTIVE GLASS COMPOSITES BY
ND;YAG LASER
OP.132
PP.381
09.30-09.45 YILMAZ B, OKUTAN Y, DINC ATA
POPOVIC B, ZIVKOVIC SANDIC
G.
M. THE INFLUENCE OF GENE
RETRIEVABILITY OF CEMENTED IMPLANT-
MUTATIONS ON DEVELOPMENT
SUPPORTED MONOLITHIC ZIRCONIA
OF TOOTH AGENESIS
CROWNS: AN IN VITRO STUDY
OP.128 PP.382
10.30-10.45 CETENOVIC B, COLOVIC B, KAYA RT, DALI A, ARSLAN SG, PP.404
VASILIJIC S, JOKANOVIC V, MARKOVIC D. KAYA G. THE EFFECTS OF GRADINARU I. PRACTICAL POSSIBILITIES
NANOSTRUCTURED ENDODONTIC MATERIALS THREE DIFFERENT MAXILLARY FOR AESTHETIC REHABILITATION BY
BASED ON HIGHLY ACTIVE CALCIUM EXPANSION METHOD ON USING FLEXIBLE MATERIALS
SILICATES-BIOCOMPATIBILITY STUDY DENTOFACIAL STRUCTURES
PP.383
OP.133 PETROU I, TSAMI M, DOULIS I,
PP.405
09.45-10.00 ÇAĞATAY DAYAN S, GEÇKILI O, MARATHIOTIS K,
ANDREADIS D, NASTOU C, MICHOU A,
BURAL C, GENCEL B. PAPADOPOULOS M. SKELETAL-
ANAGNOSTOU E, POULOPOULOS A.
IMPRESSION PROCEDURES FOR FULL ARCH ANCHORED MAXILLARY MOLAR
AMALGAM TATTOO IS NOT ALWAYS
IMPLANT SUPPORTED FIXED PROSTHESIS AS DISTALIZATION USING THE
FOUND CLOSE-TO-DENTAL
APPLIED BY DENTISTS IN TURKEY AMDA® APPLIANCE – A CASE
RESTORATIONS. A CASE REPORT
REPORT OF TWO PATIENTS
OP.129 PP.384
10.45-11.00 TRISIC D, CETENOVIC B, HALICIOGLU K, SARIOGLU B,
JOVANOVIC I, GJORGIEVSKA E, MARKOVIC D. HEZENCI Y. ORTHODONTIC
REAL-TIME THERMOGRAPHIC ANALYSIS OF TREATMENT OF A PATIENT WITH
HIGH-POWER DIODE LASERS APPLICATION IN BILATERAL CLEFT LIP WITH
ENDODONTIC TREATMENT OF YOUNG UNILATERAL ALVEOLAR
PERMANENT TEETH INVOLVEMENT
OP.134 PP.385
10.00-10.15 YABUL Α, CAGATAY D, GECKILI PIŞGIN E, YAVUZ I.
O, BILHAN H, TUNCER N. COMPARISON OF
IN VITRO EVALUATION OF RETENTION LOSS ANTHROPOMETRIC AND
AND WEAR OF BALL ATTACHMENTS FOR CEPHALOMETRIC
MANDIBULAR IMPLANT OVERDENTURES MEASUREMENTS OF THE FACE
PP.386 PP.406
AYDIN G, YAVUZ I. KELES KARIOTAKI M, MAKRIGIANNIS I,
SLIDER SUPPORTED BY TWO GOUDAKOU A, MARCOU V, ZOULOUMIS
MINI-SCREWS FOR CLASS II L. INCONTINENTIA PIGMENTI AND
CORRECTION: CASE REPORT ORAL MANIFESTATIONS. CASE REPORTS.
OP.135 PP.387
PP.407
10.15-10.30 ZEYNEP ADEM SIYLI G, KOCAK KARAKAYA O, YAĞCI A.
GOUDAKOY A, AL MOCHAMANT A,
NA, FIRATLI E. NASOALVEOLER MOLDING
BABASIDOU E, KOZARIDOY M,
COMPARISON OF PERIIMPLANT CREVICULAR METHOD IN BILATERAL CLEFT
ZOULOUMIS L. PALATAL PERFORATION
FLUID BONE MARKERS AROUND PLATFORM LIP AND PALATE PATIENT – CASE
FROM COCAINE ABUSE:A CASE REPORT
SWITCH AND TRADITIONAL IMPLANTS REPORT
PP.408
KUROS V, LIATOS K, PAXOYMIS G,
MITSOPOULOS L, ZOULOUMIS L.
BACTERIA(LEGIONELLA) TRANSMISSION
BY WATER OF DENTAL UNITS
PP.388
OP.136 UZER HB, BUYUK SK. PP.409
10.30-10.45 CEMERIKIC L, TIJANIC M, ORTHODONTIC TREATMENT OF RAPTIS L, SOURGOUNIS K, FLOROS St,
STOJKOVIC B. HIGH ANGLE PATIENT BY USING CHATZIGEORGIOU SP. DRUGS AND
PROCEDURES FOR WORKING WITH CHILDREN VERTICAL HOLDING APPLIANCE EQUIPMENT IN EMERGENCY DENTAL
WHO SUFFER FROM HAEMOPHILIA AND ORTHODONTICS: FOLLOW- PRACTICE
UP STUDY
PP.389DIKEN KB, BILGIC F. PP.410KARABEKİROĞLU S, GÖNDER HY,

PRESURGICAL NASOALVEOLAR KÖK H. DO HEMOSTATIC AGENTS
MOLDING METHOD OF A AFFECT SHEAR BOND STRENGTH AND
PATIENT WITH UNILATERAL CLINICAL BOND FAILURE RATE OF
CLEFT LIP AND PALATE ORTHODONTIC BRACKETS?
PP.390
BENKLI YA, ÇELİK E, KOŞGİN S, PP.411
OP.137 TOPBAŞI NM, YAVUZ MC. KARABEKIROĞLU S, AKDEMIR I,
10.45-11.00 STAMENKOVIC D. ORTHODONTIC AND KAHRAMAN FB. INFLUENCE OF CPP-
TELESCOPE PROSTHESIS – TRUTHS AND PROSTHETIC TREATMENT OF ACPF PASTE AND FLUORID VARNISH ON
FALLACIES MAXILLARY LATERAL INCISORS BRACKET SHEAR BOND STRENGTH OF
AGENESIS WITH SINGLE-TOOTH TWO ADHEZIVES
IMPLANT
PP.412
PP.391
DIONYSOPOULOS D, SFEIKOS T,
GOLOVCENCU L, ZEGAN G,
KARANASIOU C, TOLIDIS K, GERASIMOU
SAVEANU JC,ANISTOROAEI D.
P. EFFECT OF THREE CLINICAL CURING
INTERDISCIPLINARY TREATMENT
TREATMENTS ON FLUORIDE RELEASE
IN ORTHODONTIC ADULT
AND SURFACE HARDNESS OF GLASS
PATIENTS
IONOMERS
PP.392
PP.413
LIASI I, PAPADAKI M,
CELIK E, GOKTEPE B, BENKLI YA, DEDE
MANOUKAKIS T, MANOUKAKIS I.
DO, TULGA A. TREATMENT OPTIONS
ORTHODONTIC TREATMENT IN
FOR MAXILLARY LATERAL INCISORS
OBESE CHILDREN- IS IT
AGENESIS:TWO CASE REPORTS
DIFFERENT?
PP.393
MIRCEA NICOLAU A, LEATA R,
DECUSARA M, RUSU M, SINCAR PP.414
DC. STUDY ON THE FREQUENCY ALAN K, KARAMAN E. EFFECT OF
OF PALATALLY DISPOSED ADDITIONAL LIGHT-CURING ON COLOR
IMPACTED CANINE; STABILITY OF COMPOSITE RESINS
POSSIBILITIES OF SURGICAL AND
ORTHODONTIC TREATMENT
PP.394 PP.415
PAPADAKI M, LIASI I, TSALTAMPASI A, GERASIMOU P, TOLIDIS
MANOUKAKIS I, MANOUKAKIS T. K, BOUTSIOUKI C. AESTHETIC
MOUTHGUARDS FOR REHABILITATION OF AMELOGENESIS
ORTHODONTIC PATIENTS IMPERFECTA TEETH
PP.395
AFOUXENIDES P, LOUBRINIS N, PP.416
MANIATAKOS P, NTOVAS P, CILINGIR A. CLINICAL EVALUATION OF
DAMANAKIS G. EVALUATION INDIREECT COMPOSITE
OF INVISALIGN® TREATMENT: ONLAYS/OVERLAYS.
INDICATIONS AND LIMITATIONS
PP.396 PP.417
TOPBASİ NM, BENKLİ YA. THE OZEL GS, OGUZ AHMET BS, AKIN C.
CAMOUFLAGE TREATMENT OF SHEAR BOND STRENGTH OF THREE
CLASS III MALOCCLUSION IN AN DIFFERENT RESIN CEMENT ON NON-
ADULT PATIENT A CASE REPORT TREATED AND SANDBLASTED TI ALLOYS.
PP.397
ERGIN E, BASCIFTCI FA. PP.418
TREATMENT OF CLASS II OGLAKCI B, TUNCER D, ARHUN N.
MALOCCLUSION WITH TWIN SHEAR BOND STRENGTH OF RESIN
BLOCK APPLIANCE AND FIXED COMPOSITES WITH DIFFERENT FIBER-
ORTHODONTIC MECHANICS: REINFORCEMENT TECHNIQUES
CASE REPORT
PP.398
PP.419
FIDANBOY M, BAKA ZM.
ZOULOUMIS L,TILAVERIDIS I, SCHOINAS
TREATMENT OF SKELETAL CLASS
N,TSAVOS I, STAVROU V, SMALL
II MALOCCLUSION WITH
RADIOLUCENT LESIONS OF THE JAWS –
MONOBLOCK APPLIANCE : A
DIAPHORODIAGNOSTIC PROBLEMS
CASE REPORT
PP.420
PP.399
GHEORGHE D. SURLIN P, ROGOVEANU
ERDUR EA, ASIK S, BASCIFTCI FA.
I., HERASCU E., SILOSI I, ,,ANALYSIS OF
CLASS II NON EXTRACTION
GINGIVAL FLUID INTERLEUKIN-1 BETA
PATIENTS TREATED WITH THE
LEVELS IN PATIENTS WITH
FORSUS FATIGUE RESISTANT
PERIODONTAL DISEASE AND VIRAL
DEVICE
HEPATITIS C
PP.400 PP.421
KAYA RT, ARSLAN SG, KAYA G. GHEORGHE A, DIACONU O,GHEORGHE
EFFECTS OF THREE DIFFERENT D,TUCULINA M, MERCUT V, CLINICAL
MAXILLARY EXPANSION ASPECTS OF RESTORATION OF
APPLIANCES IN ROOT ENDODONTICALLY TREATED TEETH
RESORPTION USING FIBER POSTS- REVIEW
PP.422
PP.401
SCRIECIU M, MERCUT V, POPESCU S M,
GÖYMEN M, KARAKOYUNLU AF,
GHEORGHE D, SIMION S, DAGUCI L,
GULEC A. AN OPENBITE
CLINICAL AND HISTOLOGICAL ASPECTS OF
PATIENT TREATED WITH
PARO-PROSTHETIC CONDITION IN OLD
ZYGOMATIC ANCHORAGE
ADULT-CASE REPORT
PP.402
SARIOGLU B, HALICIOGLU K. PP.423
INVESTIGATION OF EFFECTS OF DAGUCI L, MERCUT V, DASCALU I T,
BLEACHING TECHNIQUES BATAIOSU M, DAGUCI C, THE EFFECTS ON
APPLIED AT DIFFERENT TIMES THE PERIODONTAL TISSUES OF THE
AFTER ORTHODONTIC DENTAL TRAUMATIC INJURIES AT
DEBONDING:AN IN-VITRO SCHOOLCHILDREN IN ROMANIA
STUDY
11.00-11.30 BREAK
Session 45 Session 46 Session 47 Session 48
Lectures Lectures Oral Presentations Oral Presentations
Pres. Dinkova M, Arpak N. Pres. Carevic M. Pres. Sklavounou A, Gultekin SE. Pres. Kamalakidis S.
OP.138
LP.026 OP.145
11.30-11.45 ANDREADIS D, LIGNOU S,
LP.023 11.30-12.30 ELIADES G. 11.30-11.45 SYMEONIDIS P,
PATARGIA I, STYLIANOU M, POULOPOULOS A.
11.30-12.30 FORNA N. DIGITAL VERSUS CLASSIC IN CONTEMPORARY DENTAL CEMENTATION IN PROSTHODONTICS: KONTONASAKI E, KOIDIS P.
AUTOIMMUNE BULLOUS DISEASES IN
MEDICINE TRENDS AND CHALLENGES OF SIMPLIFIED MONOLITHIC ZIRCONIA &
CHILDHOOD AND THEIR MANIFESTATIONS IN
TREATMENTS TRANSLUCENCY
THE ORAL CAVITY
OP.146
11.45-12.00 KANOUSAKI D,
LP.027 OP.139
TOURNAVITIS A, PISSIOTIS A,
LP.024 12.30-13.00 NAKA O. 11.45-12.00 ANDREOU A, SKLAVOUNOU A,
KOIDIS P.
12.30—13.00 IATROU I. EFFECT OF DENTURE ADHESIVES ON COMMON ORAL LESIONS IN CHILDREN AND
CHALLENGING LONG TERM
VASCULAR TUMORS AND MALFORMATIONS IN CHILDREN FUNCTION AND SATISFACTION OF COMPLETE ADOLESCENTS. A 15 YEARS RETROSPECTIVE
PROGNOSIS OF PROSTHETIC
DENTURE WEARERS REVIEW
TREATMENT FOR
COMPROMISED PATIENTS
OP.140
12.00-12.15 TAXIARCHOU A, MATIAKIS A,
OP.147
PAVLOU AM, ANAGNOSTOU E,
12.00-12.15 ERDOG M, UCTASLI
KOLOKOTRONIS A.
S. TRANSLUCENCY OF LITHIUM
PYOGENIC GRANULOMA OF THE
DISILICATE CERAMIC MATERIAL
TONGUE:CASE SERIES
WITH RESPECT TO THICKNESS
CLINICOPATHOLOGICAL STUDY WITH
IMMUNOHISTOCHEMICAL FEATURES
LP.025 LP.028
13.00-13.30 TZERMPOS F. PREVENTION AND MANAGEMENT OF SURGICAL 13.00-13.30 MELIKIDIS I.
COMPLICATIONS IN ORAL IMPLANTOLOGY BASIC PRINCIPALS OF DENTAL MARKETING
OP.141
OP.148
12.15-12.30 SENGUVEN B, ARSLAN L,
12.15-12.30 KOUGIAS K,
GULTEKIN SE.
MANOLAKIS K. IMPLANT
THE ROLE OF CASPASE-4 GENE EXPRESSION
MAINTENANCE IN GENERAL
IN APOPTOTIC PATHWAY OF ORAL
DENTAL PRACTICE
CARCINOGENESIS
OP.149
12.30-12.45 SALIA A, BEI M,
OP.142
GOUSSIAS H.
12.30-12.45 MITIC K, MIJOVSKA A, JANEV E,
LOCATORS®: A PRACTICAL AND
AMBARKOVA V,BAJRAKTAROVA I.
EFFECTIVE RETENTION SYSTEM
CELIAC DISEASE AND ORAL CAVITY
IN REMOVABLE
PROSTHODONTICS
OP.150
12.45-13.00 HRISTOZOVA M,
OP.143 KISSOV H, SHOPOVA D,
12.45-13.00 ESEN A, GÜRSES G, BAŞTÜRK F, BOJKOVA T, CHOCHEVA N.
YIĞIT GÜLER A. ASSESSMENT OF SPEECH
AWARENESS AND KNOWLEDGE OF ORAL CHANGES IN PATIENTS WITH
CANCER AMONG TURKISH DENTAL PATIENT FIXED PROSTHETIC
RESTORATIONS, MADE WITH
SPEECH ANALYZER
OP.14413.00-13.15 UZUN T. CALCIFYING

CYSTIC ODONTOGENIC TUMOUR OF
MANDIBLE: A CASE REPORT
13.30-14.00 BREAK
Pres. Ganibegovic M, Jotic A. Pres. Andjelkovic S, Beraj S. Oral Presentations Oral Presentations Oral Presentations Oral Presentations
Pres. Radojkova‐Nikolovska V, Pres. Mladenovic I,
Pres.Tortopidis D. Pres. Nil Altay A, Venetis G
Colic D. Bicak H.
LP.031
LP.029
15.00-15.30 PODAROPOULOS L.
15.00-16.00 KONGO E.
INCREASING STABILITY OF DENTAL IMPLANTS:
TREATMENT OF MAXILLARY RETRUSION. FACE MASK WITH OR WITHOUT RPE ?
THE CONCEPT OF OSSEODENSIFICATION
OP.174
OP.163 14.00-14.15 PETRO E, KELMENDI
14.00-14.15 TURP I, GENC M.,DROBONIKU E, HYSI D, TOTI
GE, TUNCEL I, KURT A, C.
CIMENDUR OO. THE EFFECT INFLUENCE OF FEEDING HABITS
OF DENTURE WEARING ON ON EARLY CHILDHOOD CARIES
CANDIDA SPECIES (ECC) IN PRESCHOOL CHILDREN
OF TIRANA
OP.182
OP.151
14.00-14.15 AKAY G, GÜNGÖR K,
14.00-14.15 KARAKOSTAS P, MATIAKIS
GÜRCAN S.
A,POULOPOULOS A, ANAGNOSTOU E,
AGE ESTIMATION BASED ON PULP
KOLOKOTRONIS A. GRANULAR CELL TUMOR
VOLUME TO TOOTH VOLUME RATIO
IN A SEROPOSITIVE PATIENT. A CASE
USİNG CONE BEAM COMPUTED
REPORT AND BRIEF LITERATURE REVIEW
TOMOGRAPHY
OP.175
OP.164
14.15 -14.30 POPOVSKA L,
14.15-14.30 CRACIUNESCU
REDZEPI I, STOJANOVSKA V,
EL, POP DM, NEGRUTIU L,
MURATOVSKA I.
SINESCU, ROMINU M. EFFECT
ACCURACY OF DIFFERENT
OF BLEACHING AND
METHODS OF WORKING
THERMOCYCLING OVER
LENGTH DETERMINATION IN
ENAMEL
ENDODONTICS
OP.152
14.15-14.30 TERZAKI P, MATIAKIS A,
PAVLOU AM, ANAGNOSTOU E,
KOLOKOTRONIS A. ORAL
LYMPHANGIOMA:AN INTERESTING
DIFFERENTIAL DIAGNOSTIC DILEMMA
OP.165
14.30-14.45 VLASIADIS K,
OP.153 KOUTSAMANI M, MOUZA OP.176 OP.183
14.30-14.45 AKSOY U, AKSOY S. ORHAN K. AM, BERTSIAS A, PHILALITHIS 14.30-14.45 RAPTIS L., 14.15-14.30 BATAK B, ONDER C,
ASSOCIATION BETWEEN ODONTOGENIC A. SOURGOUNIS K.,FLOROS YILMAZ D, KURGAN S, TERZİOGLU H.
CONDITIONS AND MAXILLARY SINUS THE ART OF ST.,CHATZIGEORGIOY SP. EFFECT OF DENTAL EDUCATION ON
MUCOSAL THICKENING: A RETROSPECTIVE COMMUNICATION. DRUGS & EQUIPMENT IN ESTHETIC PERCEPTION OF SINGLE
CBCT STUDY PROVIDING AN APPROACH EMERGENCY DENTAL PRACTICE IMPLANTS
TO IMPROVE DENTAL UNITS’
EFFECTIVENESS
OP.166
OP.184
14.45-15.00 DIMITRIADI D,
OP.154 14.30-14.45 ALACA BAYRAM HM,
VLASIADIS K,
14.45-15.00 TZIMAS N, BELTES C. CURRENT BAYRAM E, CELIKTEN B, TUFENKCI P,
VOUTOUFIANAKIS S.
ADVANCES IN METALLURGY AND KANBER M.EFFECT OF ACIDIC
THE ROLE OF THE DENTIST IN
MECHANICAL PROPERTIES OF NICKEL- ENVIRONMENT ON DISLODGEMENT
THE SOCIAL PHENOMENON
TITANIUM ENDODONTIC FILES RESISTANCE OF DIFFERENT SILICATE-
OF CHILD ABUSE AND
BASED ROOT REPAIR MATERIALS
NEGLECT
OP.177
14.45-15.00 DINKOVA M,
DILKOVA N.
CORRECTION OF DEEP OVERBITE
IN ADULT PATIENT WITH
TRAINER SYSTEM TM
OP.167
15.00-15.15 Κ.SEZGI CINEL,
OP.155 DEDE D.G
15.00.15.15 AFACAN B, KELEŞ ZP, YENISEY C, AN ALTERNATIVE
NIZAM N, EMINGIL G. TREATMENT OPTION FOR A
SALIVARY RESISTIN AND TNF-Α LEVELS IN PROSTHODONTIC
DIFFERENT PERIODONTAL DISEASES COMPLICATION WITH BALL
ATTACHMENT SCREW
FRACTURE: CASE REPORT
OP.178
15.00-15.15 KABAKTCHIEVA R, OP.185
GATEVA N, KOEV Y, DIMITROV 14.45-15.00 SOTIRI V, PAPADIMITRIOU
R. DENTAL TRAUMA IN I,ALMAGOU P., VOURTSI D., KATSAROU
CHILDREN - INTERACTIVE A. SOFT TISSUE LASERS IN DENTAL
SOFTWARE GUIDE FOR PRACTICE
DIAGNOSIS AND TREATMENT
OP.168
15.15-15.30 ONGOZ DEDE F,
GOKMENOGLU C, SAHIN IO.
OROSOMUCOID LEVELS IN
THE SALIVA OF THE
INDIVIDUALS WıTH
PERıODONTAL HEALTHY AND
DISEASE
OP.17915.15-15.30 SARAJLIJA
OP.15615.15-15.30 PIRIM GORGUN E,
M, LACEVIC A. DIGITAL OP.18615.00-15.15 BAYRAM E, TEKIN E,
TOKER H, POYRAZ O. EFFECT OF
RADIOGRAPHY VERSUS KANBER M, ALACA BAYRAM
PERIODONTAL TREATMENT ON
ELECTRONIC METHOD IN HM.DETERMİNATİON OF LONG TERM
INFLAMMATORY CYTOKINE LEVELS IN GCF IN
DETERMINIG ENDODONTIC COLOR CHANGES OF BIOMATERIALS
PATIENTS WITH AGGRESSIVE PERIODONTITIS
WORKING LENGTH
OP.169
15.30-15.45 KURT A,
OP.180
OP.157 BAYRAMGURLER TURP I, OP.187
15.30-15.45 TRIMERIDOU AS,
15.30-15.45 ULAY G, NAMDAR PEKINER F, KIZILTAS MV, TEKKELI SE. 15.15-15.30 GEZGIN O, KORKUT E, ALAN
PASCHALIDOU M,
YILDIZ AN. RESIDUAL MONOMER R, SENER Y. COMPARISON OF
ARAPOSTATHIS K.
THE PREVALANCE OF PARANASAL SINUSES ELUTION AFTER LIGHT- KNOWLEDGE, ATTITUDE AND PRACTICE
MANAGEMENT OF CHILDREN
ANATOMIC VARIATIONS ON CBCT SCAN ACTIVATION OF DUAL-CURED TOWARD ORAL HEALTH BETWEEN
WITH ASTHMA IN DENTAL
IMAGES OF TURKISH POPULATIONS RESIN CEMENT UNDER THE PEDIATRICIANS AND FAMILY DOCTORS
PRACTICE
INDIRECT RESTORATION
MATERIALS
OP.181
OP.158 15.45-16.00 BIÇAKCI H, OP.188
15.45-16.00 AMUK M, CANGER M, AMUK ZENCIRLI Ö, AYTAÇ F. BOND 15.30-15.45 KORKUT E, GEZGIN O,
NG. STRENGTH OF RESIN-RESIN DEMIRAY F, TULUMBACI F, SENER Y.
ULTRASONOGRAPHIC TONGUE THICKNESS INTERFACES WITH/WITHOUT EVALUATION OF PHYSICAL PROPERTIES
EVALUATION OF PATIENTS WITH CLASS I, PHOSPHORIC ACID AND SALIVA OF RESIN-MODIFIED GLASS IONOMER
CLASS II AND CLASS III MALOCLUSION CONTAMINATION USING CEMENT CONTAINING BIOACTIVE GLASS
UNIVERSAL ADHESIVE
OP.189
15.45-16.00 KOKOCEVA- IVANOVSKA O,
JANKULOVSKA M, PAVLEVSKA M,
ZABOKOVA – BILBILOVA E, MIJOVSKA A.
THE INFLUENCE OF FLUORIDE ON THE
CLINICAL DEVELOPMENT OF THE
CIRCULAR CARIES
OP.190
16.00-16.15 MIJOSKA A, KAPUSEVSKA
B, STAVREVA N, KOKOCEVA -
IVANOVSKA O. EVALUATION OF
BONDING STRENGTH BETWEEN
ZIRCONIUM AND RESIN USING
DIFFERENT PRIMERS
OP.170
OP.159 OP.191
LP.032 15.45-16.00 MERIÇ E,
16.00-16.15 QAFMOLLA A, GJINI E, 16:15-16:30 ANTONOGLOU GN, KALFAS
LP.030 15.30-16.30 PANTELAS G BOLGÜL B, TURGAY B, SARI—
QAFMOLLA E, KOLA D. S, VOUROS I. GUIDED BIOFILM THERAPY
16.00-17.00 VLAHOVIC Z. THE MANAGEMENT OF PATIENTS WITH ORAL MUSTAFA K. TREATMENT OF
STOMATOGNATIC APPARATUS (GBT): A NOVEL APPROACH FOR DENTAL
GUIDE IMPLANTOLOGY-ADVANTAGES & DISADVANTAGES LESIONS FROM A MAXILLOFACIAL SURGEON TWO CASES OF PYOGENIC
PATHOLOGIES AND ATYPICAL MOVEMENT OF PROPHYLAXIS IN INITIAL PERIODONTITIS
IN THE EVERYDAY PRACTICE GRANULOMA IN PEDIATRIC
MANDIBLE PATIENTS
PATIENTS
OP.171
OP.160 16.00-16.15 BOLGÜL B,
16.15-16.30 SEVKI I, CAKUR B. IS THERE ANY COŞGUN A, MERİÇ E,
CORRELATION BETWEEN BONE QUALITY AND TURGAY B.
MANDIBULAR HYPERMOBILITY IN THE COMPOUND ODONTOMA-
TEMPOROMANDIBULAR JOINT DIAGNOSIS AND TREATMENT
DYSFUNCTION? IN PEDIATRIC DENTİSTRY:
THREE CASE REPORTS
OP.161
16.30-16.45 YAVUZ MC, ALTUN M, SUNAR O,
SELAMET H. THE DIFFERENT USE OF
CONCAVE OSTEOTOME İN İNTERNAL SİNUS
LİFTİNG
LP.033
16.30-17.00 POULOPOULOS A.
OP.172
THE IMPACT OF ORAL MUCOSAL LESIONS
16.15-16.30 STAVREVA N,
AND SYSTEMIC DISEASES IN DENTAL IMPLANT
OP.162 KAPUSEVSKA B,
TREATMENT
16.45-17.00 KOUTSAMANI M, VLASIADIS AMBARKOVA V, MIJOSKA
K, MOUZA AM, PHILALITHIS A. HOW TO A, TOSESKA SPASOVA N.
MOTIVATE A DENTAL TEAM PROSTHETIC SOLUTION OF
TORUS MANDIBULARIS –
CASE REPORT
OP.173
16.45-17.00 SOTIRI V,
VOURTSI D.,PAPADIMITRIOU
I, ALMAGOU P.,KATSAROU A.
LASER- TISSUE INTERACTION.
TYPES, WAVELENGTHS,
APPLICATIONS
BaSS GENERAL ASSEMBLY

CLOSING CEREMONY
ROOM
BaSS Council
20.30 GALA DINNER 15.00-17.00
Meeting
INVITED LECTURERS
Session 19
LP.001 TISSUE ENGINEERING IN THE RECOSTRUCTION OF

PERIODONTAL DEFECTS. PART I
BAKOPOULOU A1, APATZIDOU D2.

1. DEP. OF FIXED PROSTHESIS & IMPLANT PROSTHODONTICS, ARISTOTLE UNIVERSITY,
THESSALONIKI, GREECE
2.DEPT OF PREVENTIVE DENTISTRY, PERIODONTOLOGY AND IMPLANT BIOLOGY, ARISTOTLE
UNIVERSITY, THESSALONIKI, GREECE
This lecture will present a step-by-step, novel established protocol for the development of
Bone Marrow Mesenchymal Stem Cell (BM-MSC)-based, Good Manufacturing Practice
compliant (cGMP), Advanced Tissue Medicinal Products (ATMPs), that are intended for
autologous application in periodontal reconstruction and tested for safety and efficacy by an
on-going clinical trial (ClinicalTrials.gov ID: NCT02449005). The results of this approach lead
to the development of a clinical-grade, xeno-free, cGMP biocomplex (ATMP), suitable for
periodontal reconstruction. The established cell cultures present enhanced “stemness”
characteristics (regarding expression of SC markers and mutilineage differentiation
potential), minimum senescence and chromosomal stability during expansion, while the
respective biocomplex is able to support cell viability, while triggering cells towards bone
regeneration. These pre-clinical data on this ready-to-use autologous ATMP are validated by
the results of the above mentioned on-going clinical trial on the reconstruction of
periodontal defects. Furthermore, this presentation will also provide new experimental
insights on the design and development of novel biocompatible scaffolds of certain
properties that when loaded with viable cells remain stable in conditions that mimic those of
a diseased site with chronic periodontitis and are evidenced by sophisticated in vitro and in
vivo experiments. Overall, the findings of these translational studies pave the way for the
transition from laboratory bench to the clinic and establish novel treatment approaches,
which can be extended to the majority of the population, who will be the final recipient of
this novel technology.
LP.002 TISSUE ENGINEERING IN THE RECOSTRUCTION OF
PERIODONTAL DEFECTS. PART II
APATZIDOU D1, BAKOPOULOU A2.

1.DEPT OF PREVENTIVE DENTISTRY, PERIODONTOLOGY AND IMPLANT BIOLOGY, ARISTOTLE
UNIVERSITY, THESSALONIKI, GREECE
2. DEP. OF FIXED PROSTHESIS & IMPLANT PROSTHODONTICS, ARISTOTLE UNIVERSITY,
A sophisticated periodontal regenerative treatment approach of vertical osseous defects

was introduced by Nyman and co-workers (1982) according to the principles of Guided
Tissue Regeneration. Over the years regeneration of the diseased periodontal tissues has
been sought by various surgical techniques, use of occlusive barrier membranes, bone
grafts, biomaterials with osteoconductive/osteoinductive properties. However, these
procedures have certain limitations in terms of reparative potential, morbidity, and stability
over time, underling the need for alternative therapies using improved bone graft
substitutes and cell-based repair strategies into the clinic (Rao and Stegemann, 2013). Tissue
engineering and regenerative medicine is a novel treatment approach that will be assessed
for its periodontal apparatus repair potential in a category of patients that suffer from
advanced periodontitis. The current presentation focuses onto novel surgical treatment
approaches in the reconstruction of the periodontal apparatus in advanced periodontitis
patients aiming to bring theory to daily practice by developing personalized treatment
methodologies and user-friendly chair-side procedures for loading stem cells onto scaffolds
for locally delivery. Human clinical studies and pre-/post-clinical studies conducted in the
Aristotle University of Thessaloniki and the Department of Preventive Dentistry,
Periodontology and Implant Biology contribute towards this end by providing the biological
rationale and the evidence for the efficacy of these clinical applications on one hand, and
any therapeutical and methodological limitations on the other hand. Novel surgical
treatment procedures in order to reconstruct intrabony periodontal defects, periodontal
soft and hard tissues and change the prognosis of hopeless teeth are presented in detail
justified by clinical, radiographic, immunological and microbiological parameters. Nyman S,
Lindhe J, Karring T, Rilander H. (1982) New attachment following surgical treatment of
human periodontal disease. Journal of Clinical Periodontology 9, 290-296. Rao R.R.,
Stegemann J.P. (2013) Cell-based approaches to the engineering of vascularized bone tissue.
Cytotherapy 15: 1309-1322.
LP.003 TEMPOROMANDIBULAR DISORDERS: CURRENT FINDINGS
AND FUTURE DIRECTIONS
MLADENOVIC I.
ASSIST.PROFESSOR, DPT OF ORAL REHABILITATION, MEDICAL FACULTY, UNIVERSITY OF EAST
SARAJEVO, BOSNIA AND HERZEGOVINA
LP.004 CLINICAL AND LABORATORY PROTOCOLS FOR ACHIEVING

PRECISION OF FIT AT THE IMPLANT-PROSTHESIS INTERFACE
NAKA O.
LECTURER - DPT OF PROSTHODONTICS, DENTAL SCHOOL, FACULTY OF HEALTH SCIENCES,
ARISTOTLE UNIVERSITY OF THESSALONIKI
Background: A simultaneous and even circumferential contact of the fitting surface of the
restoration with the underlying implant system, that induces no strain in the absence of
applied external loads, is a prerequisite for the survival and success of both the implant and
the prosthesis. As osseointegrated implants are functionally ankylosed to the bone, they
cannot compensate for the misfit of the superstructure at the implant-abutment joint.
Biologic and/or mechanical complications have been recorded as consequences of the
absence of passive fit. Aim: The purpose of the study was to identify the factors that
contribute to the positional distortion of the restoration and may hinder the passive and
accurate adaptation at the implant-prosthesis interface. Methods and materials: A
comprehensive literature search was performed via electronic databases using the
appropriate key words. The potentially appropriate articles were identified and evaluated
for eligibility through a predefined review process. Results: Several methods have been
implemented to assess the accuracy of fit; they can only detect significant vertical and
horizontal discrepancies though. Further, no clear guidelines have been established
regarding the clinically acceptable level of misfit. The included studies demonstrated that
each fabrication stage, ranging from impression to veneer application, may introduce
inaccuracies in the final implant restoration. Both clinical and laboratory protocols, focused
on the proper selection and accurate handling of the available materials, processes and
equipment, have been suggested. Moreover, the elimination of certain fabrication stages by
applying advanced technology proved to result in enhanced precision of fit and less
variability. Conclusion: An inevitable degree of inaccuracy is expected that there will always
be present due to the several error-introducing clinical and laboratory steps involved.
Carrying out well-controlled procedures is critical to the degree of mechanical integration
within the implant-prosthesis interface and therefore to the long-term clinical success of the
implant-supported restoration.
Session 20
LP.005 ΟRAL-SYSTEMIC HEALTH AND THE ROLE OF DENTAL

RESTORATIONS
ANDREADIS D.
ASSIST.PROFESSOR OF ORAL MEDICINE/ORAL PATHOLOGY, ARISTOTLE UNIVERSITY,
Based on literature and clinical experience there is evidence for interrelationship between
oral and systemic health to dental restorations. Not only the choice of dental management is
critical for the success of dental restorations in cases of patients with oral-systemic diseases
but interestingly, dental materials and type of dental restorations play a crucial role in the
clinical outcome of the oral-systemic disease. In addition, dental restorations improve the
quality of patients’ life and this may strongly contribute to the systemic health as well. The
aim of this presentation is to describe the possible side effects of dental restorations in oral-
systemic health and also to underline the role of oral-systemic health for the success of
dental management. Traumatic lesions, angular cheilitis, allergies-contact stomatitis,
burning mouth sensation, lichenoid reaction, fungal infections, tumor-like lesions, and
discoloration are very common conditions related to restorations of any type. Also,
metabolic, renal and gastrointestinal diseases, heart and respiratory abnormalities,
psychologic-muscle-neural diseases as well as mucocutaneous diseases may consist critical
parameters for successful dental management. In conclusion, clinicians should carefully
consider the patient’s medical status including drugs administration to avoid side effects and
deterioration of oral or systemic health as well as to modify their management depending
on the particular needs of each patient.
LP.006 ORAL MANIFESTATIONS OF SYSTEMIC DISEASES
MATIAKIS A.
LECTURER OF ORAL MEDICINE/ORAL PATHOLOGY, ARISTOTLE UNIVERSITY, THESSALONIKI,
GREECE
Oral manifestations of Systemic Diseases may contain: • Clinical manifestations of the

disease • Early findings of the disease which has not developed yet, being thus strong
indications of the forthcoming disease. • Side effects of medications administered for a
Systemic Disease. Some characteristic examples are the following: Recurrent Aphthous
Stomatitis is the most common oral disease, but Aphthous-like Ulcers are an indicative oral
manifestation for many serious systemic diseases, like idiopathic bowel inflammatory
disease (ulcerative colitis and Chrohn’s disease) as well as connective tissue-
autoimmunologically mediated diseases (Systemic Lupus Erythematosous, Reactive Arthritis
or Rheumatoid Arthritis). Especially concerning SLE, oral lesions stand among the main
diagnostic criteria, contributing in the establishment of final diagnosis. Atrophic Glossitis is
the main oral manifestation of Microcytic Hypochromic Anemia due to iron deficiency.
Investigation of the anemia’s causes may reveal a serious systemic disease like a malignancy.
Periodontitis is the sixth most common complication in diabetes mellitus nowadays. The
relation between periodontitis and diabetes mellitus is bidirectional. In a diabetic patient the
periodontal status reflects the blood glucose regulation. Many medications used for the
systemic diseases treatment, affect the oral cavity via different mechanisms, resulting in
certain oral findings like ulcers (methotrexate etc.), gingival hyperplasia (cyclosporine etc.),
xerostomia (antidepressant medications etc.), lichenoid reactions (hydroxyuria etc.). In
conclusion, a well-educated dentist, who is familiar with the above, will be able to evaluate
the patient’s medical history, to collaborate with other medical specialists, thus achieving
the optimal treatment of his patient.
Session 22
LP.007 SUCCESS IN COMPLETE DENTURE TREATMENT; DETAILED

INVESTIGATION OF CONSTRUCTION PROTOCOLS, OCCLUSAL
SCHEMES AND EVALUATION QUESTIONNAIRES
KAMALAKIDIS SN.
CLINICAL FACULTY-DEPARTMENT OF PROSTHODONTICS, DENTAL SCHOOL, FACULTY OF
HEALTH SCIENCES, ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
Background: The successful outcome of conventional complete denture treatment can be

defined using both subjective and objective criteria. Denture satisfaction determinants may
include denture quality, oral tissue condition, patient-dentist relationship, patients' attitude
toward dentures, patients' personality and socioeconomic factors. Aim: The purpose of the
study was to identify the factors that contribute to the success of complete denture
rehabilitation (different construction protocols and different occlusal schemes) through the
use of evaluation questionnaires, as well as in relation with objective factors (number of
recalls, total number and location of sore spots). Methods and materials: A comprehensive
literature search was performed through electronic databases using the appropriate key
words. The related to the subject scientific papers were identified and evaluated for
eligibility utilizing a predefined review process. Results: Several evaluation questionnaires
have been implemented to assess the success and satisfaction of complete denture patients.
It was determined that pts’ overall acceptance of their newly constructed complete dentures
improved significantly. The adaptation and acceptance of the conventional complete
dentures by the patients were independent of the construction protocol and of the occlusal
scheme being applied. The patients’ mean number of initial adaptation/adjustment visits
was equal in all studies. Conclusion: Disease-specific questionnaires are valuable tools and
should be used to assess the outcome of any treatment modality. Patients will adapt
comfortably to any type of bilateral balanced occlusal scheme and any type of complete
denture construction protocol being utilized.
Session 25
LP.008 DIGITAL IMPRESSIONS AND 3D PRINTING-

UZUNOV T.
ASSOC.PROFESSOR – DPT OF PROSTHETIC DENTISTRY, FACULTY OF DENTAL MEDICINE,
MEDICAL UNIVERSITY, SOFIA, BULGARIA
Major changes are taking place in dental profession as a result of new digital technologies. In
this presentation the audience will be introduced to the digital impressions and the range of
layered fabrication technologies and suggestions are made how these might be used in
dentistry. Additive fabrication is a process in which the final desired part is manufactured by
adding multiple layers of material on top of one another. The key idea of this innovative
method is that the three dimensional CAD (3D-CAD) model is sliced into many thin layers
and the manufacturing equipment uses this geometric data to build each layer sequentially
until the part is completed. Currently in literature and mainstream media, the term “3D
Printing” is being used to refer to all additive technologies (e.g. fused deposition modeling,
selective laser sintering, etc.). The “3D Printing” techniques have been employed to build
complex 3D models in medicine since the 1990s. The chief benefit of additive techniques is
the medical models that can be produced with undercuts, voids and anatomical landmarks
such as facial sinuses and neurovascular canals. Rapid prototyping has been also used in
dentistry for a range of dental specialties including oral and maxillofacial prosthodontics and
surgery, dental implantology as a surgical guide or physical model and prosthodontics. The
“3D Printing” model is employed to improve medical diagnosis and to provide a precise
surgical treatment plan. The technique would help shorten the surgery time and
consequently reducing the patients’ risk.
LP.009 THE 2017 COLOR MATCHING CURRICULUM FOR DENTAL

PROFESSIONALS AND STUDENTS
Paravina RD.
Professor – Dpt of Restorative Dentistry and Prosthodontics
Director, Houston Center for Biomaterials and Biomimetics (HCBB)
Ralph C. Cooley, DDS Distinguished Professor in Biomaterials
Session 26
LP.010 HOW A PERIODONTALINFECTION MIGHT TRIGGER

RHEUMATOID ARTHRITIS
RADOJKOVA-NIKOLOVSKA V.
CLINIC FOR ORAL PATHOLOGY & PERIODONTOLOGY, UNIVERSITY CLINICAL CENTER “ST
PANTELEJMON”, SKOPJE, FYROM
Numerous epidemiological data indicate a link between rheumatoid arthritis (RA) and
periodontal disease (PD). A pathogen linked to periodontal disease might trigger production
of autoantigens that set off and sustain inflammatory immune responses in the joints in
rheumatoid arthritis. In vitro and in vivo studies have sought to dissect potential
mechanisms by which periodontal disease may contribute to initiation and progression of
rheumatoid arthritis.
However, these are both multifactorial, chronic diseases, and their complex etiologies and
pathogenesis remain incompletely understood. Both diseases are characterized by chronic
inflammation, osseous destruction, damage of the supporting soft tissues, similar cellular
immune responses and common immunogenetic findings. There is a question could really be
an etiological link or does this simply represent a statistical coincidence connected by
common risk factors? This lecture seeks to provide background on these two diseases in the
context of recent discoveries suggesting that their pathogenesis may be related. In
particular, the process of citrullination, a post-translational protein modification, has been
highlighted as a process common to both diseases. This lecture presents the evidence for a
relationship between the diseases and its potential mechanisms in their expression are
discussed.
LP.011 DENTAL TRAUMA & TREATMENT PRINCIPLES AT PRIMARY

AND YOUNG PERMANENT TEETH FRACTURES
ALTAY AN.
RETIRED FACULTY FROM HACETTEPE UNIVERSITY, HEALTH SCIENCE INSTITUTE, TURKEY,
VISITING PROFESSOR AT OMAN DENTAL COLLEGE
Session 31
LP.012 TMJ: TO BE OR NOT TO BE THE CRUCIAL POINT AT

TREATMENT MODALITIES OF TMDS?
BERAJ S.
PHD-FACULTY OF TECHNICAL MEDICAL SCIENCES;ALFRED CAKE-ORTHOPEDIC-SURGEON-
ORTHOPEDIST- SURGEON AT NATIONAL TRAUMA CENTER, TIRANA, ALBANIA
Neuromuscular equilibrium and optimal-stable Cranio-Sacral alignment is the absolute goal

of the TMDs treatment. Holistic treatment of TMD depends on understanding how the
position and function of the TMJ affects the position and function of all the rest of the body
and on understanding the causes of the symptoms. Does a patient have a primary
musculature problem, primary joint problem or do habits and repetitive strain form the bulk
of the problems. The holistic principles of homeostasis go beyond basic occlusal
understanding and mandibular spatial positioning. To support Cranio-Mandibular System
function, compensatory muscle activity takes place within the entire body, which is integral
part of dynamic orchestra responsible for even the finest and slightest movements. The
postural chain is an essential part of full body Homeostasis and of fundamental importance
is the spatial position of the head and neck. Environmental influences include mechanical
stress and trauma, disease, nutrition, and “life-events” associated with occupational loading
of tissues, psychological stress, and socio-economic conditions. Genetic factors encompass
gene-based determinants of development and aging, gender and homeostatic processes.
Some of these factors can act directly on components of masticatory system. Most of times,
these determinants act indirectly through their influence on the intrinsic processes; they can
also influence each other. In attempt to resolve the underlying occlusal problems of TMD
the compensatory muscle activity may resulting in the serious symptoms due to the cranio-
sacral importance of motion in maxillary and palatine sutures and due to miss toleration
from the lower jaw of teeth rigid reconstructions. Holistic treatment of TMD should focus on
restoring Homeostasis to the body and more importantly empowering the patient to have
control over their condition.
LP.013 MODERN DAY ENDODONTIC PHILOSOPH
MOLDOVEANU B.
CLINICAL ASSISTANT, FACULTY OF DENTISTRY, ENDODONTICS DPT, CLUJ, VISITING
PROFESSOR UNIVERSITY OF TURIN
In the last 20 years endodontics has been closely linked to science and technology, and it is
precisely this connection that has allowed the specialty to have a steady growth becoming
today one of the most advanced medical disciplines in existence. However, knowing more
has made us understand that we still have a long way to go when it comes to ensuring a
predictable therapy for our patients and understanding the pathology of the pulp. Specialists
preoccupy themselves more and more with the creation ofsafe protocols that may ensure
endodontic success on a larger scale. Most of the dentists are unfortunately unaware of the
big changes that have happened in endodontics and thus rarely take advantage of the
wonderful new technologies that one has at his disposal. I cannot stress enough about how
understanding the new materials and instruments may better help the dentist in reaching
the goals of an endodontic treatment. During my lecture I will discuss in detail the
philosophy of modern day endodontics and about how the Coltene products are specifically
well designed,with great consideration for everything that evidence based dentistry has
taught us. Predictable endodontic treatments are a reality, let’s start preforming them
today.
LP.014 CURRENT CONCEPTS IN GENOMIC AND PROTEOMIC
ANALYSES IN DENTISTRY
SAKELLARI D.
ASSOC.PROFESSOR - DEPT OF PREVENTIVE DENTISTRY, PERIODONTOLOGY AND IMPLANT
BIOLOGY, ARISTOTLE UNIVERSITY, THESSALONIKI, GREECE
During the last decade, a significant burst was observed regarding the diagnostic and
prognostic potentials offered by advanced technologies such as genomic and proteomic
analyses.In Clinical Medicine,this enhanced information has led to the development of tests
targeted mainly to diagnosis of malignant diseases such as breast and prostate cancers and
planning of effective pharmaceutical treatment of cancer and psychiatric conditions. The
application of high-throughput genetic analyses such as Genome Wide Association Studies in
the field of Periodontology is an example of technologically advanced technique which offers
data and information far more expanded compared to pre-existing tests for genetic
polymophisms available in the market for periodontitis. In Dentistry ,scientific data are also
available regarding the application of high-throughput proteomic analysis in saliva or gingival
crevicular fluid (GCF) .Data deriving from GCF analysis are useful for early diagnosis and
more importantly ,correct prognosis of periodontal disease .This knowledge can lead to
proper management of patients for periodontal and peri-implant conditions or to the
correct planning and selection of prosthetic restorations.On the other hand,saliva offers the
advantages of easy,non-invasive and massive collection .Proteomic analysis in saliva has
greatly assisted in organizing the Salivary Proteome Knowledge Database which aims at
assessing all proteinaceous content of saliva in health and ideally in a number of pathologic
conditions.Currently, data derived with advanced technologies suggest that oral conditions
such as periodontitis and squamous carcinoma and a number of systemic diseases such as
diabetes melittus and Sjogren's syndrome can be identified with salivary analysis. Clinicians
should be aware ,that ,before being integrated in praxis , novel findings must be validated in
large scale studies involving different population samples.
Session 32
LP.015 PROSTHODONTICS IN ADOLESCENT AGE-ADHESIVE

BRIDGES
VULICEVIC ZR1, KOSANOVIC D.
1.DIRECTOR OF THE CLINIC FOR PEDIATRIC & PREVENTIVE DENTISTRY, SCHOOL OF DENTAL
MEDICINE, UNIVERSITY OF BELGRADE, SERBIA
Premature loss of permanent teeth in adolescent growth period can lead to both functional
and esthetical problems. Missing teeth in anterior regions can cause a malfunction in
mastication and proper pronunciation. If the missing teeth are not replaced, further
complications can occur, including adjacent tooth migration, loss of alveolar bone, and
irregular occlusion. Considering the sensitive nature of adolescent patients, loss of anterior
teeth can lead to development of complexes and low self-confidence.
Due to inability to restore the missing teeth in adolescent children with a fixed bridge or an
implant because of unfinished growth and development of orofacial system, modern
approach in treatment of premature tooth loss in that age is crafting an adhesive bridge.
Adhesive bridges are temporary or conditionally permanent structures that use adhesion to
bond to adjacent teeth. They require minimal or no preparation of adjacent teeth, have
good stability and high esthetic value. Their good adhesive and mechanical properties stem
from the fiber-reinforced composite materials.
In this lecture will be shown characteristics, indications and advantages of adhesive bridges,
as well as their performance in rehabilitation of esthetics and functionality of orofacial
system in adolescent children.
LP.016 MOVING FROM HISTOLOGICAL SUBTYPING TO MOLECULAR
CHARACTERIZATION: A NEW ERA IN THE TREATMENT OF
AMELOBLASTOMAS?
GULTEKIN SE.
PROF.DR.-GAZI UNIVERSITY;--FACULTY OF DENTISTRY--DEPARTMENT OF ORAL PATHOLOGY,
TURKEY
Over the last 10 years in medicine , the systemic treatment of advanced malignant tumors
has progressively moved away from the ‘one-size-fits-all’ approach to histological subtyping.
Currently, there is a progressive implementation of targeted therapies based on specific
molecular characteristics. The questions comes wheter this new generation “personalised
medicine” therapies can be used in dental medicine with specific reference to highly
agressive and unpredictable odontogenic tumors ? Ameloblastomas are benign odontogenic
tumours of the jaws. They exhibit aggressive biological behaviour with local recurrence
despite to wide surgical approaches, resulting serious cosmetic and functional problems.
Development of non-invasive therapies has been precluded by a lack of understanding of the
molecular background of ameloblastoma pathogenesis.In recent 2 years, a few studies on
molecular profiling of ameloblastomas displayed the frequent mutations in genes encoding
various signal transducers, BRAF V600E and SMO genes. By using Next generation
sequencing Technology, we identified BRAF V600E mutation in mandiblulary
ameloblastomas with 100 % rate in our 80 cases. The result of our recent data showed the
positive correlation between histologic subtyping and SMO and BRAF mutations, which may
indicate to perform nonsurgical treatment opportunities. There are various types of this
tumour and confusion still exists among clinicians as to its correct classification. A
comprehensive molecular characterization of ameloblastomas is performed to identify novel
genomic alterations that will led to recognation of molecular subtypes and influance the
new therapeutic approaches in near future.
LP.017 PRACTICAL ASPECTS OF FINITE ELEMENT METHOD
GRBOVIC A.
ASSOC.PROFESSOR, FACULTY OF MECHANICAL ENGINEERING, UNIVERSITY OF BELGRADE,
AND VISITING PROFESSOR, SCHOOL OF DENTAL MEDICINE, UNIVERSITY OF BELGRADE
The use of numerical methods, such as finite element method (FEM), has been widely
adopted in solving structural problems with complex geometry under external loads for
which is not possible to achieve an analytical solution. Basic idea behind FEM is to divide the
complex body geometry into smaller and simpler domains, called finite elements, and then
to formulate solution for each elementinstead of seeking a solution for the entire domain.
After finding the solutions for all elementsthey can be combinedto obtain a solution for the
whole domain. This numerical method is mostly used in engineering, but it’s also very useful
for studying the biomechanical properties of materials used in medicine and the influence of
mechanical forces on the biological systems. Since the FEM was introduced in dentistry four
decades ago, it became powerful tool for the predictions of stress and strain distribution on
teeth, dentures, implants and surrounding bone. FEM can indicate aspects of biomaterials
and human tissues that can hardly be measured in vivo and can predict the stress
distribution in the contact areaswhich are not accessible, such as areasbetween the implant
and cortical bone, denture and gingiva, oraround the apex of the implant in trabecular
bone.Aim of this paper is to present – using results of several successfully carried out FEM
calculations – the usefulness of this method in solving dentistry problems, as well as to
discuss practical aspects of FEM applications in dentistry. Some of the limitations of the
method, such as impossibility of completely replicating clinical conditionsand need for
simplified assumptions regarding modeling of loads and materials, are alsopresented.
However, the emphasisis ondetailed FE modelling of teeth, gingiva, bone and implants
(including the interfaces between them) and their fast modifications and changes as per the
requirement. All studies presented here have been carried out in commercial software for
finite element analysis ANSYS Workbench.
Session 36
LP.018 UNDERSTANDING HIGH FREQUENCY ULTRASONOGRAPHY

FOR HEAD & NECK SOFT TISSUE LESIONS
YOON S-J1, LEE E2-J,LEE J1-S,KANG B-C1

1.DEPT OF ORAL & MAXILLOFACIAL RADIOLOGY, SCHOOL OF DENTISTRY, CHONNAM
NATIONAL UNIVERSITY, GWANGIU, REPUBLIC OF KOREA
2. DPT OF ORAL ANATOMY, SCHOOL OF DENTISTRY, CHONNAM NATIONAL UNIVERSITY,
GWANGIU, REPUBLIC OF KOREA
Ultrasonography is useful for diagnosis of diseases of the salivary glands,

lymphoadenopathy, and muscles which are located superficially on the head and neck. High-
frequency ultrasonography provides excellent resolution image of superficial soft tissues
without using ionizing radiation. However, ultrasonography is not yet commonly used in
dental clinic. This study aimed to bring fundamental understandings of ultrasound and
acoustics, to afford principal physics of ultrasound imaging, and to share clinical experiences
of using ultrasonography of head and neck soft tissue lesions in dental clinic.
The ultrasonographs of patients of Chonnam National University Dental Hospital from Aug.
2011. to Dec. 2016 were reviewed. The ultrasonography examination was performed with a
linear probe of 12MHz transducer, and color Doppler technique was also used for
examination of vascularization.
Among total 90 patients, normal or pathologic conditions were examined on salivary glands
in 57 patients and on lymph nodes in 19. Lipoma, hemangioma, hematoma, muscle,
epidermoid cyst in skin, and cyst in bone were detected in the other patients. Sialoliths were
detected as hyperechoic mass with posterior acoustic shadow, and the location of sialoliths
was evaluated. The condition of parenchyma and ductules of salivary glands was also
evaluated. The evaluation of the location of sialoliths and the condition of salivary glands
was helpful for treatment planning. A benign tumor and a malignant tumor in salivary glands
were diagnosed using ultrasonography. Lymph nodes with inflammation and metastatic
malignancy were diagnosed with ultrasonography. Evaluation of the size, shape,
echogenisity, and peripheral blood supply of lymph nodes was done for diagnosis.
Ultrasonography provided metal artifact-free images, contrast to CT and MRI for evaluation
of soft tissue lesions near metal crowns of teeth.
High-frequency ultrasonography is challenging but useful examination tool for many kinds of
head and neck soft tissue lesions. Fundamental understandings of ultrasound and physics of
ultrasound imaging may be helpful for proper usage and interpretation of ultrasonography
in dental clinic.
LP.019 INCREASING THE STANDARD OF DENTAL CARE WITH SOFT
TISSUE MANAGEMENT
QORRI E.
DEAN OF FACULTY OF MEDICAL SCIENCES/ ALBANIAN UNIVERSITY
LP.020 A. MINI SYMPOSIUM IN CONE-BEAM CT
MODERATOR: ANGELOPOULOS C.
ANGELOPOULOS C: WHAT IS CONE BEAM CT AND HOW IT WORKS ? – GENERAL
APPLICATIONS
KAMBUROGLU K: CONE BEAM CT ENDODONTIC APPLICATIONS
DELANTONI A: CBCT in the diagnosis of Tempro-mandibular disorders (TMDs)
ORHAN K: CBCT CASE PRESENTATION
TSIHLAKIS K: THE DIAGNOSIS OF JAW TUMORS
Cone-beam Computed Tomography has been introduced to Dentistry approximately 18

years ago and has been almost instantly embraced by the dental profession. It was for the
first time that oral health professionals had an opportunity to assess an area of concern with
multiple thin sections and from all possible views with small, compact, "in office" devices;
this eliminated the disturbing "noise" caused by the overlapping of the surrounding
structures as occurred with traditional projectional dental imaging modalities (periapical and
panoramic imaging) and enhanced significantly diagnostic efficiency.
Soon after the introduction of CBCT, and despite the excitement about it, it was realized that
dentists were not that familiar with tomographic imaging; in fact, apart from a few
exceptions, like specialists in oral and maxillofacial radiology and surgery, who had advanced
training in sectional imaging modalities, no other had any formal training neither experience
in such imaging which admittedly is quite a challenge.
The goal of this course is to familiarize the participant with the basics of CBCT and introduce
a variety of applications in the maxillofacial region; these range from diagnostic utilities to
implant planning, CAD CAM applications and more.
Come and learn all the exciting and novel tools CBCT has to offer.
Session 39
LP.021 EVALUATION OF DIFFERENT METHODS IN THE DIAGNOSIS

OF VERTICAL ROOT
PERLEA P.
ASSOC.PROFESSOR, UMF CAROL DAVILA, DPT OF ENDODONTOLOGY, BUCHAREST, ROMANIA
Vertical root fractures (VRF) are diagnosed by several methods, none of which are
pathognomonic. Correct diagnosis is made by a combination of clinical signs and symptoms
and imagistic aspects revealed by periapical radiographs and Cone Beam Computed
Tomography (CBCT). The presence of a fistula, the occlusal pressure sensitivity, periodontal
probing, periodontal surgery consisting of flap lifting, direct visualization, the use of
complementary exams (transillumination) and the analysis of the case history can confirm a
VRF. The direct visualization of the fracture line can also be achieved using the dental
operative microscope. One must also thoroughly examine the surrounding bone for
confirming a VRF. Periapical radiograph which is currently used has limitations because of
the 2D representation and the overlapping of the anatomical structures. The CBCT is an
imagistic method which can help diagnose VFR, due to its accuracy, the 3D images and the
sections in all the plans. Since the prognosis of teeth with vertical root fracture is reserved
and they are most commonly extracted, then the diagnosis of the condition must be early
and very precise, due to the progressive bone loss. This presentation highlights the
challenges of a correct positive and differential diagnosis in relevant clinical cases with VFR
using dental operative microscope and CBCT, especially in endodontic treated teeth, when
more diagnostic errors due to artefacts can occur. Key words: VRF, CBCT, diagnosis
LP.022 IS DENTAL IMPLANTATION INDICATED IN PATIENTS WITH
ORAL MUCOSAL DISEASES?
SKLAVOUNOU A.
PROFESSOR AND HEAD OF THE DPT OF ORAL MEDICINE AND PATHOLOGY, SCHOOL OF
DENTISTRY, NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS, GREECE
In recent years it became apparent that in patients with systemic conditions it is important
to consider the benefits of the placement of dental implants which sometimes overweigh
the possible risks and the spectrum of indications for dental implants has been widened.
Thus a number of patients with oral mucosal diseases have been selected for dental
implantation. This group encompasses mainly patients with Sjogren’s syndrome a chronic
systemic autoimmune exocrinopathy, patients with OLP an immunologically mediated
mucocutaneous disease and patients with epidermolysis bullosa a group of hereditary
bullous dermatoses. These patients suffer from painful erosions/ulcerations of the oral
mucosa (OLP), hyposalivation and severe oral dryness and chronic oral candidosis (Sjogren
S.) as well as recurrent blister formation after minor trauma with scar formation (EB).
The wearing of full partial dentures in those patients due to the aforementioned signs and
symptoms and the fragility of the oral mucosa is hardly possible whereas oral rehabilitation
with implant supported prostheses is preferable.
In spite of the fact that the number of publications is small including single case reports and
evidence based guidelines are at present not available, it became evident that implant
outcome is comparable to those of healthy subjects with marked improvement of quality of
life. Therefore, no strict contraindication for the placement of implants in those patients
seems to be justified.
However, further randomized clinical studies with large sample size and long follow-up
period are necessary before definite conclusions can be drawn.
Session 45
LP.023 DIGITAL VERSUS CLASSIC IN CONTEMPORARY

DENTAL MEDICINE
FORNA N.
PROFESSOR – GR T POPA UNIVERSITY, DENTAL FACULTY, IMPLANTOLOGY & REMOVABLE
PROSTHESIS DPT, IASI, ROMANIA
Classical techniques of implant-prosthetic rehabilitation are always in a very small registry of

usage since that involves limited precision related to implant application and restoration of
occlusion. Computerized techniques occupy an increased area of application in implantology
and prosthetic restorations on implants through efficiency, accuracy and time saving.Robots
used in a sample of patients evaluated by both classical and modern technique offered at a
rate of 80% possibility to choose the most viable implantation location. Choosing the ideal
position of both implant placement and prosthetic architecture reduce abutment angulation
of implants and as such getting a corrected occlusion. Navigation in implantology as any
other type of navigation, especially medical ones, give an accurate picture in real time
execution and avoiding any future risks and failures. Planning in this manner the implant
placements will ease the application of a prosthetic implant treatment in a proper manner.
LP.024 VASCULAR TUMORS AND MALFORMATIONS IN CHILDREN
IATROU I.
PROFESSOR EMERITUS, DEPT OF ORAL & MAXILLOFACIAL SURGERY, SCHOOL OF DENTISTRY,
NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS, GREECE
Vascular anomalies consist a large and complex group of lesions that in the past caused a
great deal of confusion as far as definition, diagnosis and treatment were concerned. In 1982
Mulliken and Glowacki classified them based on histology, biology, and clinical presentation.
They divided vascular anomalies into two major categories: tumors and malformations. In
1996, the International Society for the Study of Vascular Anomalies (ISSVA) adopted and
modified Mulliken and Glowacki's original classification.
This classification system is now widely accepted to properly diagnose and manage vascular
anomalies. In the University Clinic of the Children’s Hospital of Athens “A. & P. Kyriakou”
they present the largest group of benign tumors and tumorous conditions of the oral and
maxillofacial region followed by odontogenic tumors. This lecture aims to present a large
series of treated head and neck vascular anomalies during a the period 2000-2016,
presenting the epidemiology and diagnostic approach of these lesions and highlighting new
treatment options, indications for surgery and final clinical outcome.
LP.025 PREVENTION AND MANAGEMENT OF SURGICAL
COMPLICATIONS IN ORAL IMPLANTOLOGY
TZERMPOS F.
ASSOC.PROFESSOR, DEPT OF ORAL & MAXILLOFACIAL SURGERY, SCHOOL OF DENTISTRY,
NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS, GREECE
The introduction of the osseointegrated dental implants as an alternative treatment option

for partially and fully edentulous patients has revolutionized dental treatment. More and
more patients ask for implant supported restorations not only for replacing missing teeth
but also for the improvement of their quality of life such as in cases of full edentulism by
avoiding the use of the removable full denture. This increasing demand for implant
rehabilitation has not only increased the number of implants which are placed but also the
number of dentists who are involved with the restorations has been increased. The last fact
is one of the etiologies of the increasing rate of surgical complications. Despite the fact that
a complication is a possibility in medicine and especially in surgery , it is quite annoying not
only for the patient but also for the surgeon. Bleeding, trauma to the inferior alveolar nerve,
sinus complications, fracture of the mandible, trauma to the adjacent teeth are some of the
complications which will be presented. The aim of this presentation is to focus not only to
the management but also to the prevention of these complications.
Session 46
LP.026 CEMENTATION IN PROSTHODONTICS: TRENDS AND

CHALLENGES OF SIMPLIFIED TREATMENTS
ELIADES G.
PROFESSOR – DPT OF BIOMATERIALS, NATIONAL AND KAPODISTRIAN UNIVERSITY OF
ATHENS, GREECE
LP.027 EFFECT OF DENTURE ADHESIVES ON FUNCTION AND

SATISFACTION OF COMPLETE DENTURE WEARERS
NAKA O.
LECTURER - DPT OF PROSTHODONTICS, DENTAL SCHOOL, FACULTY OF HEALTH SCIENCES,
Complete dentures have been associated with substantial problems regarding denture
wearer’s adaptation, masticatory efficiency, satisfaction and quality of life. Denture
adhesives have been suggested to address such problems as they increase the
coefficient of surface tension and the viscosity of the fluid film between denture base and
its foundation. These materials can be useful adjuncts when the anatomic structures are
compromised, the neuromuscular control is damaged and the denture control capability is
adversely affected, and when the quality and quantity of saliva are poor. Denture
adhesives were found to enhance the perceived retention and stability, to improve
individuals’ mastication efficiency as well as their comfort, confidence and satisfaction. The
individualized personal experience of using denture adhesives cannot be interpreted
accurately without the information derived by the objective measurements and vice
versa.The investigation of the psychological and functional benefit from the use of denture
adhesives will be attempted in the context of this lecture. The synergistic effect of
denture fixatives on denture function and satisfaction can be evaluated using both an
objective and a subjective approach. The objective approach is related to the occlusal force
values recorded in denture wearers with and without denture adhesives, through
the computerized occlusal analysis. The system provides a dynamic visual evaluation
of occlusion and records relative force values, the time sequence and displays
numerical values for occlusion and disocclusion times. The subjective approach explores
the perceptions, preferences and attitudes of denture wearers with and without denture
adhesives, through questionnaires.
The combined interpretation of the effect of denture adhesives on the function and the
personal/subjective needs may contribute todenture wearers’ awareness of the advantages
of the proper use of adhesives. Thus, edentulous individuals with good quality of dentures
and the use of adhesives become able to enjoy a balanced diet and an active social life.
LP.028 BASIC PRINCIPALS OF DENTAL MARKETING
MELIKIDIS I.
DDS, MBA – THESSALONIKI, GREECE
Marketing is perhaps the most misunderstood concept in both medicine and general
economy. Often confused with unethical practices that intend to mislead and deceive
consumers / patients. The goal of this presentation is to clarify the principles and objectives
of dental marketing. With the help of the international literature we will analyze its benefits,
and will highlight why marketing is an indispensable tool for the development of any
modern dental clinic. We will try to approach the psychology of the patient, to highlight the
value and importance of communication between doctor and patient, and especially to
highlight the fact that patient’s satisfaction does not involve just the dental services that we
offer them. Finally, we will refer to the basic elements that should be part of any marketing
plan.
Session 49
LP.029 TREATMENT OF MAXILLARY RETRUSION. FACE MASK WITH

OR WITHOUT RPE ?
KONGO E.
DDS, MSc, PhD HEAD OF DENTISTRY DEPARTMENT, FACULTY OF MEDICAL SCIENCE,
ALBANIAN UNIVERSITY, TIRANA, ALBANIA
LP.030 GUIDE IMPLANTOLOGY-ADVANTAGES & DISADVANTAGES
VLAHOVIC Z.
DMD, PhD - V DENTAL CENTRE, PODGORICA, MONTENEGRO
Session 50
LP.031 INCREASING STABILITY OF DENTAL IMPLANTS: THE

CONCEPT OF OSSEODENSIFICATION
PODAROPOULOS L.
DPT OF ORAL & MAXILLOFACIAL SURGERY, NATIONAL AND KAPODISTRIAN UNIVERSITY OF
ATHENS
Background: Mechanical stability of a dental implant is a necessity for the establishment and
preservation of osseointegration. The primary stability of an implant affects its secondary
stability and is a key prerequisite for immediate or early loading. The purpose of this lecture
is to assess the concept of osseodensification as a new method to increase primary and
secondary stability of dental implants. Materials and methods: MEDLINE database was
searched using a combination of specific terms. The current literature on the basic science,
method and clinical uses of the osseodensification concept was reviewed and its efficacy
was assessed. Results: Literature review revealed many different ways to increase the crucial
primary stability of dental implants, among which is the use of different implant designs and
surfaces, the initial stabilization of implants by the use of injectable cements and diverse
surgical techniques such as osseodensification. Assessement of the identified studies on this
new concept was performed. The biological aspects and results of the studies are quoted
and evaluated. Conclusion: Osseodensification technique may play a role in enhancing
implant stability and should be considered among methods in clinical use.
LP.032 THE MANAGEMENT OF PATIENTS WITH ORAL LESIONS
FROM A MAXILLOFACIAL SURGEON IN THE EVERYDAY PRACTICE
PANTELAS G.
DIRECTOR OF ORAL & MAXILLOFACIAL SURGERY DPT OF NICOSIA GENERAL HOSPITAL
ASSOC.PROFESSOR OF MEDICINE, EUROPEAN UNIVERSITY OF CYPRUS
Usually the oral lesions are presented as pigmented lesions, submucosal tumors of soft
tissue, bone changes, or as white or red lesions.
We are concerned about lesions which have characters of malignancy. Ulcerative lessions or
erythroplakia with red or mottled complexion which remains without obvious cause for over
10 days, rapid growth rate, easy bleeding in gently manipulation, stiffness, and unclear
boundaries and fixation in the underlying tissues.
A biopsy is necessary to exclude malignancy or set diagnosis. Treatment of malignancy at
early stage has better prognosis.
LP.033 THE IMPACT OF ORAL MUCOSAL LESIONS AND SYSTEMIC
DISEASES IN DENTAL IMPLANT TREATMENT
POULOPOULOS A.
ASSOC.PROFESSOR OF ORAL MEDICINE/ORAL PATHOLOGY, ARISTOTLE UNIVERSITY,
The impact of oral mucosal lesions and systemic diseases in dental implant treatment.
Background: The impact of local and systemic health risks on the outcome of therapy with
dental implants is unclear, since there are very few randomized controlled trials which
evaluated local/mucosal and systemic health status as a risk indicators. Our objective is to
evaluate whether oral mucosal local lesions in conjunction with dental implants and
systemic diseases exert influence on success and survival rates of implant rehabilitation.
Methods: An extensive literature search was conducted using PubMed/Medline, Scopus,
Scirus and Cochrane databases, utilising MeSH and search term combinations identified
publications on clinical use implant rehabilitation in patients with mucosal and systemic
diseases, reporting on study design, number, gender and age of patients, adequate follow-
up period, implant survival rate, published in international scientific journals. Results: There
are very few absolute medical contraindications to dental implant treatment, although a
number of conditions/diseases may increase the risk of treatment failure or complications.
However due to shortage of prospective studies the effect of local and systemic health risks
on the outcome of therapy with dental implants remains unpredictable, consequently well
designed observational studies are required. As in any clinical decision in dentistry/medicine
the extent of treatment alternatives and their advantages or disadvantages should be
carefully evaluated in relation to the patient's objective needs and medical problems.
Conclusions: The degree of the local/systemic disease-control is considered far more
important that the nature of the lesion/disorder itself, and individualized medical control
should be achieved prior to implant rehabilitation, since in many of these patients the
quality of life and functional benefits from dental implants may outweigh any potential risks.
Session 1
OP.001. YOUNG MOTHERS KNOWLEDGE ABOUT CHILDRENS ORAL

HEALTH, DENTAL VISITS AND BREASTFEEDING
CHALVATZOGLOU E1, MOURATOGLOU A2, CHALVATZOGLOU S3, TSIANTOU D4.
1
DENTIST(DOCTOR OF DENTAL SURGERY)-DENTIST AT A PRIVATE DENTAL CLINIC IN
THESSALONIKI
2
TEACHER OF PRIMARY SCHOOL
3
OBSTETRICIAN GYNECOLOGIST SURGEON
4
DDS, MSC PAEDIATRIC DENTIST-CLINICAL INSTRUCTOR AT THE DEPARTMENT OF
PAEDIATRIC DENTISTRY AT ARISTOTLE UNIVERSITY OF THESSALONIKI
BACKROUND: DENTAL CARRIES IS THE MOST COMMON DISEASE IN EARLY CHILDHOOD AGE.
ORAL HEALTH KNOWLEDGE, PRACTICES AND HABITS AS PROLONGED BREASTFEEDING,
DETERMINE CHILDREN'S ORAL HEALTH STATUS IN THE FUTURE AND IT IS INFLUENCED BY
THEIR PARENTS KNOWLEDGE AND BELIEFS. THE AIM OF THE STUDY WAS TO ACCESS THE
MOTHERS KNOWLEDGE ABOUT THE ORAL HEALTH OF THEIR PRE-SCHOOL CHILDREN IN
THESSALONIKI,GREECE
METHODS AND MATERIALS:A QUESTIONNAIRE BASED STUDY WAS CONDUCTED IN A
PRIVATE OBSTETRICIAN CLINIC IN THESSALONIKI,GREECE IN JANUARY-FEBRUARY 2017.
PREGNANT WOMEN AND YOUNG MOTHERS(HAVING CHILDREN YOUNGER THAN 4 YEARS
OLD), WERE INVITED TO PARTICIPATE IN THE STUDY. THE QUESTIONNAIRE, BASED ON
PREVIOUS STUDIES CONSISTED OF FOUR PARTS RELATED TO KNOWLEDGE ABOUT GENERAL
MOTHER'S AND CHILDREN'S ORAL HEALTH, AS WELL AS PROLONGED BREASTFEEDING AND
DEMOGRAPHIC DATA. RESULTS:THIRTY WOMEN, MEAN AGE 31, FULFILLED THE
QUESTIONNAIRE. THE MOTHERS' OVERALL ORAL HYGIENE KNOWLEDGE AND PRACTICES
WERE FAIR. MOST OF THEM WERE AWARE OF THE IMPORTANCE OF BRUSHING IN AN EARLY
AGE AND VISITING A PAEDIATRIC DENTIST FOR EXAM OR TEETH CLEANING. ON THE OTHER
HAND THEIR KNOWLEDGE WAS POOR REGARDING THE FLUORIDE CONCENTRATION, THE
CHILDREN'S ABILITY OF BRUSHING AND THE ATTITUDES ABOUT PROLONGED NOCTURNAL
BREASTFEEDING. MOTHERS' KNOWLEDGE ABOUT CHILDREN'S ORAL HEALTH SHOWED A
NON-SIGNIFICANT DIFFERENCE(p<0,01) BETWEEN THE PARTICIPANTS' AGE GROUPS.
MOTHERS WITH HIGHER EDUCATION QUALIFICATION HAD A LOWER KNOWLEDGE ABOUT
ABOUT THE NEGATIVE EFFECT OF PROLONGED BREASTFEEDING ON CHILDREN'S ORAL
HEALTH. DISCUSSION: EDUCATING MOTHERS ON ORAL HYGIENE AND DIETARY HABITS WILL
PROMOTE CHILDREN'S ORAL HEALTH
OP.002. LASER AND LED LIGHT SOURCE RESIN POLYMERIZATION:
A MICROHARDNESS COMPARISON
DELIGIANNI AI1, SFEIKOS T2, KOUROS P3.
1
PRE-GRADUATE STUDENT-DENTAL SCHOOL ARISTOTLE UNIVERSITY OF THESSALONIKI
2
SFEIKOS THRASYVOULOS-MSC STUDENT OPERATIVE DENTISTRY-DENTAL SCHOOL ARISTOTLE
UNIVERSITY OF THESSALONIKI
3
KOUROS PANTELIS-ASSOCIATE RESEARCHER OPERATIVE DENTISTRY-DENTAL SCHOOL
ARISTOTLE UNIVERSITY OF THESSALONIKI;--;--
Polymerization rate of a composite is defined as the unreacted double carbon bonds to the
reacted ones. Physico-chemical properties of composites and the three dimensional network
development are not allowing a complete transversion of double carbon bonds. According
to published research, only 60-70% of bonds are reacting in the ideal clinical environment.
Important factors that influence polymerization rate are light intensity and source, curing
time, composite thickness and shade. This study compares the microhardness produced
both with an LED-light (Bluephase, Ivoclar Vivadent) and a laser light (Sirona, Blue Laser) to
different depth composite samples. Samples were prepared in depths 1 to 5 mm with the
use of Teflon molds. In order all samples to be provided with equal amount of energy,
settings for laser were calculated to be 0,7 W, 20 sec. Calculations of microhardness were
ƉĞƌĨŽƌŵĞĚŽŶďŽƚŚƐĂŵƉůĞ͛ƐƐƵƌĨĂĐĞƐ͕ƚŚĞĂĚũĂĐĞŶƚƚŽƚŚĞůŝŐŚƚƐŽƵƌĐĞĂŶĚƚŚĞĚŝƐƚĂŶƚ͕ĂĨƚĞƌ
24h of storage in water in dark environment. Results were subjected to statistical analysis.
Comparison of the results are a primary lead to the potential of a Laser light source to be
used a polymerization initiator. Further parameters need to be investigated.
OP.003. ORAL HEALTH STATUS OF THE CHILDREN WITH

ATTENTION DEFICIT HYPERACTIVITY DISORDER: A PILOT STUDY
PINAR ERDEM A1͕bzmZ<D1, SEPET E1͕'mEb,3͕dKWhK)>hE4.
1
7^dEh>hE/sZ^/dz͕&h>dzK&Ed/^dZz͕WZdDEdK&WKKEd/^͕W͕
ISTANBUL, TURKEY
3
BAKIRKOY TRAINING AND RESEARCH HOSPITAL FOR MENTAL HEALTH AND NEUROLOGICAL
DISORDERS, DEPARTMENT OF CHILD AND ADOLESCENT PSYCHIATRY, ISTANBUL, TURKEY
4
UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PEDODONTICS, CAPA, ISTANBUL,
TURKEY
Background:Attention Deficit Hyperactivity Disorder (ADHD) is a childhood neurological

disorder.Studies have shown that children with ADHD are more prone to caries than those
without.The purpose of this study was to examine the oro-dental health status of those
patients.Materials and Methods:Neuro-psychological and psychological tests were
performed by psychologists to these children to diagnose the patients as with/without
ADHD.Dental caries prevalance,periodontal health status were examined.Microbiological
examinations (Streptococcus Mutans, Candida Albicans, Lactobacillus),saliva flow
rate,buffering capacity were performed on saliva samples.Additionally,several factors that
could be related to the caries risk were questioned through a survey including
socioeconomical status,frequency of dental control, frequency of sugary snacks
intake,fluoride exposure, frequency of toothbrushing,and medication.Statistical analysis
performed by IBM SPSS Statistics 22 (IBM SPSS, Turkey). Results:The patients were examined
ƵŶĚĞƌ ƚǁŽ ŐƌŽƵƉƐ ĂƐ ͞,͟ ;ŶсϱϵͿ ĂŶĚ ͞ŽŶƚƌŽů͟ ;ŶсϱϴͿ͘dŚĞ ŵĞĂŶ ĂŐĞ ǁĂƐ ĨŽƵŶĚ ĂƐ
ϵ͘ϳϴцϮ͘ϱϯǇĞĂƌƐŝŶ,ĂŶĚϵ͘ϵϯцϮ͘ϱϱǇears in the control group.No statistically significant
differences existed in salivary buffering capacity and flow rate;sulcus bleeding index and
probing depth; df(t)/df(s);DMF(T)/DMF(S) values between children with ADHD and the
control group.MS, LB counts were found significantly higher in children with ADHD
(p:0.001;p:0.024).Frequency of sugary snack intakes of the control group ( p:0.003) and the
fluoride exposure rate of the ADHD group (p:0.024) were found significantly
higher.Conclusion:Children with ADHD should be evaluated carefully despite no statistically
significant differences were found in most of the oro-dental health parameters among the
groups in this study.Even so,potential risk factors that could cause tooth decay in ADHD
group should not be disregarded.
OP.004.7+(())(&72)3$5(17$/)$&725621&+,/'5(16·
DENTAL ANXIETY AND FEAR
BULDUR B1͕<z^7D2, AYDIN MN2.
1
DDS, PHD, ASSISTANT PROFESSOR-CUMHURIYET UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF PEDIATRIC DENTISTRY
2
DDS, RESEARCH ASSISTANT-CUMHURIYET UNIVERSITY, FACULTY OF DENTISTRY,
Background: Parental characteristics have an impact on dental behaviors and dental anxiety
of children. The purpose of this study was to examine the effect of parental factors on
ĐŚŝůĚƌĞŶƐ͛ĚĞŶƚĂůĂŶǆŝĞƚǇĂŶĚĨĞĂƌ͘DĂƚĞƌŝĂůƐĂŶĚDĞƚŚŽĚƐ͗dŚĞƐƚƵĚǇŐƌŽƵƉĐŽŶƐŝƐƚĞĚŽĨϮϳϰ
children aged 7-10 and their parents. Independent variables such as socio-demographic
characteristics of parents, parental dental anxiety, frequency of dentist visits, frequency of
toothbrushing, family income, total number of children were examined on dental anxiety
levels of the children. The research tools were as follows; The Dental Fear Survey Schedule-
Dental Subscale (DFSS-DS), The Index of Dental Anxiety and Fear (IDAF-4C+) and survey
forms including questions regarding socio-demographic characteristics and examined
variables. The data were analyzed by using multivariate analysis of variance, independent
sample-t-test and eta square coefficient. Results: The results of this study showed that while
parental dental anxiety, frequency of dental visits and parental education level were
effective on dental anxiety levels of children (p<.05), other variables were not effective on
children's dental anxietǇ ;Ɖх͘ϬϱͿ͘ WĂƌĞŶƚĂů ĚĞŶƚĂů ĂŶǆŝĞƚǇ ŚĂĚ ŵŽƌĞ ĞĨĨĞĐƚ ŽŶ ĐŚŝůĚƌĞŶƐ͛
dental anxiety than frequency of dental visits and education level. Conclusion: This study
suggests that parental characteristics are influential on children's dental anxiety levels.
Parental factors must be carefully identified and necessary precautions must be taken to
reduce dental anxiety in children.
OP.005. &+,/'5(1·668%*,1*,9$/0,&52%,27$,10,;('
DENTITION
BALAN A1, MARTU STEFANACHE AM2, PINTILICIUC SERBAN V3, MAXIM DC3, VASILCA
GAVRILA LM4.
1
PROFESSOR DR.-U.M.F.
2
ASSISTANT DR. -U.M.F.
3
LECTURER DR.-U.M.F.
4
ASSISTANT DR. -U.M.F.
The microbiota of oral cavity contains a lot of species, with a high diversity and variety. The
ĐŚŝůĚƌĞŶ͛ƐŽƌĂůĐĂǀŝƚǇƌĞƉƌĞƐĞŶƚƐďǇŝƚƐĐŽŵƉůĞǆŵŝĐƌŽbiota an open ecosystem with a variate
microbial community, being in the same time a complex ecological niche. The aim of the
study was to describe the subgingival microbial profile of healthy Romanian children with
mixed dentition. Materials and methods. Our study was carried on a number of 60 healthy
children with mixed dentition, with chronological age between 7 and 9 years that were
randomly chosen. The examination included periodontal exam, collection of subgingival
plaque samples, culturing and identification of different bacterial species. Results. In the
microbiota of permanent and primary teeth were identified many similarities. Therefore,
among the most frequently detected species in the subgingival microbiota of both
permanent and primary teeth were S. sanguis, S. mitis. Among the most frequently isolated
bacterial species in permanent teeth were Streptococcus sanguis, Streptococcus mitis,
Veillonella parvula, Capnocytophaga gingivalis, Prevotella intermedia and Prevotella
loescheii while among the most frequently isolated species in primary teeth were
Streptococcus sanguis, Streptococcus mitis, Actinomyces naeslundii, Prevotella loeschei.
WĞƌŵĂŶĞŶƚ ŝŶĐŝƐŽƌƐ ĂŶĚ ƉƌŝŵĂƌǇ ĐĂŶŝŶĞƐ ƐĞĞŵŵĞĚ ƚŽ ͞ŚŽůĚ͟ ŚŝŐŚĞƌ ŶƵŵďĞƌƐ ŽĨ ŐƌĂŵ-
positive facultative and anaerobic cocci, while permanent and primary molars seemmed to
͞ŚŽůĚ͟ĂŵŽƌĞĐŽŵƉůĞǆŐƌĂŵ-negative flora. Conclusion. The results indicates that Romanian
children aged 7-9 years, with mixed dentition, presents diversified microbiota that can
influence the oral health status and the general health status as well.
OP.006. EVALUATION OF KNOWLEDGE LEVEL AND AWARENESS OF
PARENTS ABOUT AVULSION AND CORONAL FRACTURE
KUCUKASLAN D1, GULER C2, BELDUZ KARA N3.
1
RESEARCH ASSIST-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PEDIATRIC
DENTISTRY
2
ASSOC PROF DR-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PEDIATRIC
DENTISTRY
3
ASSOC PROF DR-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PEDIATRIC
DENTISTRY
Aim: The aim of this study is to evaluate the knowledge level and awareness about avulsion
and coronal fracture of parents of child patients who were admitted to Ordu University
Faculty of Dentistry, Department of Pediatric Dentistry.
Materials and Methods: The study was conducted with the voluntarily participation of 575
parents. All questionnaire forms were completed between 1 April and 30 June 2016. The
questionnaire was formed in two parts in order to evaluate participants' sociodemographic
information and knowledge levels. All questionnaire forms were collected following the
answers of the questions and analyzed statistically. The results were expressed as number of
participants and the correct response percentage.
Results: Knowledge level and awareness of parents about avulsion and coronal fractures
were found to have 40.2% ie "poor". 356 of the participants were female (61.9%) and 219
(38.1%) were male. No statistically significant difference was found between correct answers
and age, sex and dental trauma history (p>0.05). However, statistically significant difference
was found between correct answers and educational level, attending a first-aid training, the
preferred institution type for dental treatment and see someone having a dental trauma
(p<0.05).
Conclusion: Knowledge level and awareness of parents about avulsion and coronal fractures
could be increased through educational programs.
OP.007. SURVIVAL OF ATRAUMATIC RESTORATIVE TREATMENT
(ART) RESTORATIONS IN PRIMARY TEETH: 3-YEAR FOLLOW-UP
^>/DKs/-Z'a M1͕,h^/E'Ks/1.
1
ASSOCIATE PROFESSOR-DEPARTMENT OF PREVENTIVE AND PEDIATRIC DENTISTRY, DENTAL
FACULTY, UNIVERSITY OF SARAJEVO
Background:Atraumatic Restorative Treatment (ART) endorsed by the World Health

Organization is a treatment which involves hand instrumentation and placement of high
viscosity glass-ionomer cement restorations. The protocol for ART is noninvasive and highly
acceptable to patients. The aim of this retrospective study was to evaluate survival rate of
ART restorations placed in primary teeth over a period of 3 years. Methods: Inclusion criteria
applied in this study was: 4-10 years old patients of the Department of Preventive and
Pediatric Dentistry, Dental Faculty University of Sarajevo who, at the time of evaluation, had
at least one GIC restoration in a primary tooth, placed by the protocol for ART restorations,
first time before 2016. The criteria established by Frencken and Holmgren were used to
determine whether the ART restorations were retained or lost. Restorations which had deep
wear were considered lost. Results:A total of 251 ART restorations were examined. The 3-
year cumulative survival rate of fully retained ART restorations were 122 (48, 61%).The
failure rate of ART restorations in primary teeth over the 3-year period were 129 (51,39%).
Retention rates for the restorations were higher in the first than in the second and third
ǇĞĂƌ͕ ďƵƚ ǁŝƚŚ ŶŽ ƐƚĂƚŝƐƚŝĐĂů ĚŝĨĨĞƌĞŶĐĞ ;ɍϮ ƚĞƐƚ ǀĂůƵĞ ϳ͘ϵϲϴ͖ ĚĨ ϰ͖ Ɖс Ϭ͘ϬϵϮͿ͘ ŽŶĐůƵƐŝŽŶ͗
Although evaluation of ART restoration in this study showed a low survival rate, ART should
be seen as part of oral health care based on a philosophy of health promotion and disease
prevention. Keywords: ART, Glass ionomer cements, Pediatric dentistry,
OP.008. THE FREQUENCY OF VARIOUS SYSTEMIC DISEASES IN

CHILDREN APPLYING TO THE DEPARTMENT OF PEDIATRIC
DENTISTRY
''7EK1, KORKUT E2͕'mEz7>E3, ALAN R4͕z)DhZ^5.
1
ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
2
3
RESEARCH ASSISTANT-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
4
DEPARTMENT OF PERIODONTOLGY
5
PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PEDIATRIC DENTISTRY
INTRODUCTION Dental practices can create risks that may affect the health of individuals
with systemic disease, although there are applications where healthy individuals can be
easily tolerated. For this reason, dentists should make necessary treatment by gathering
information about patients' general health status, current systemic diseases and using drugs
and taking necessary precautions against possible complications. PURPOSE The aim of this
study is to determine the rate of child patients with systemic disease who are applying for
the dental examination and treatments of Necmettin Erbakan University, Faculty of
Dentistry, Department of Pediatric Dentistry. METHOD AND MATERIALS In this study, 7800
patients aged between 0-16 years who applied Necmettin Erbakan University Faculty of
Dentistry, Department of Pediatric Dentistry between September 2014 and July 2016 were
retrospectively analyzed. RESULTS 7800 children who participating in the study 88.6% (6914)
have no disease. 9,8% (735) had one disease, 1,7% (134) had two diseases. Furthermore,
0,2% (17) had more than two diseases. Cardiovascular disease is the most common disease
group (2.02%). The second most common disease group with a rate of 1.34% is neurological
diseases. The frequencies of the other diseases that have been identified are already listed
as follows; hematologic, allergic, endocrinological, respiratory, gastrointestinal, urological,
syndromic, infectious, oncologic, psychological, dermatologic and others. CONCLUSION
There is high possibility to seen systemic disease on children who consult to dental clinic for
examinations and treatments. For this reason, dentists need to be careful for detection of
disease and take necessary precautions while the anamnesis during the examination.
Session 2
OP.009. ENDOCROWNS: AN ALTERNATIVE APPROACH FOR
RESTORING EXTENSIVELY DAMAGED TEETH
TZIMAS K1, TSIAFITSA M1, GERASIMOU P2, TSITROU E2.

1
POSTGRADUATE STUDENT-DEPARTMENT OF OPERATIVE DENTISTRY, ARISTOTLE UNIVERSITY
OF THESSALONIKI
2
ASSISTANT PROFESSOR-DEPARTMENT OF OPERATIVE DENTISTRY, ARISTOTLE UNIVERSITY OF
THESSALONIKI
ENDOCROWNS: AN ALTERNATIVE APPROACH FOR RESTORING EXTENSIVELY DAMAGED

TEETH BACKGROUND: RESTORATION OF ENDODONTICALLY TREATED TEETH (ETT) WITH
EXTENSIVE TOOTH LOSS IS CHALLENGING FOR THE GENERAL PRACTITIONER. THE USE OF
POSTS COMBINED WITH FULL COVERAGE RESTORATIONS IS A WELL ESTABLISHED
APPROACH, YET NOT INDICATED IN EVERY CASE OF ETT RESTORATIONS. FURTHERMORE,
THE USE OF POSTS IS NOT COMPILED WITH THE REINFORCEMENT OF THE REMAINING
TOOTH STRUCTURE. THUS, THE USE OF INDIRECT CERAMIC OR COMPOSITE RESTORATION IS
AN ACCEPTABLE ALTERNATIVE APPROACH CONCERNING THE ETT. ENDOCROWNS ARE
INDIRECT RESTORATIONS THAT USE THE PULP CHAMBER FOR RETENTION. METHODS AND
MATERIALS: PREPARATION TECHNIQUE, INDICATIONS OF USE AS WELL AS ADVANTAGES
AND DISADVANTAGES OF ENDOCROWNS WILL BE REPORTED. REVIEW OF LITERATURE
REGARDING THE CLINICAL PERFORMANCE OF ENDOCROWNS WILL FOLLOW. 4 CLINICAL
CASES PERFORMED BY POSTGRADUATE STUDENTS OF THE DEPARTMENT OF OPERATIVE
DENTISTRY OF ARISTOTLE UNIVERSITY OF THESSALONIKI WILL BE DISCUSSED. TWO CASES
ARE CAD/CAM MANUFACTURED MOLAR ENDOCROWNS (ONE CERAMIC AND ONE
COMPOSITE RESTORATION) AND TWO ARE DENTAL LAB MANUFACTURED COMPOSITE RESIN
PREMOLAR ENDOCROWN RESTORATIONS. RESULTS: ACCORDING TO THE USPHS CRITERIA
FOR DIRECT CLINICAL EVALUATION OF RESTORATIONS, AFTER A TEN MONTH PERIOD THE
MAJORITY OF ENDOCROWNS IS RECORDED AS ALPHA, EXCEPT FOR ONE COMPOSITE RESIN
CAD/CAM ENDOCROWN WHICH BELONGS TO THE BRAVO SCALE CONCERNING THE GROSS
FRACTURE. RESTORING ETT USING ENDOCROWNS IS A CONSERVATIVE TECHNIQUE AND A
FEASIBLE ALTERNATIVE TREATMENT REGIMEN. CONCLUSIONS: DUE TO LIMITED EVIDENCE
REGARDING THE LONG TERM PERFORMANCE OF THIS RELATIVELY NEW RESTORATIVE
TECHNIQUE, A CAREFUL SELECTION OF CASES SHOULD BE APPLIED.
OP.010. ROOT CANAL TRANSPORTATION INDUCED BY HYFLEX CM

ROTARY SYSTEM USED BY UNDERGRADUATE STUDENTS
TZIMA D1, ECONOMIDES N2, GOGOS C3.

1
POST-GRADUATE STUDENT-DEPARTMENT OF ENDODNTOLOGY, SCHOOL OF DENTISTRY,
2
PROFESSOR-DEPARTMENT OF ENDODNTOLOGY, SCHOOL OF DENTISTRY, ARISTOTLE
3
ASSOCIATE PROFESSOR-DEPARTMENT OF ENDODNTOLOGY, SCHOOL OF DENTISTRY,
Root canal transportation induced by Hyflex CM rotary system used by undergraduate
students Background: One of the primary objectives of canal preparation is that it is
achieved without altering the shape and course of curvature of the root canal. The adverse
event of transportation causes a deviant root canal. Subsequently, adequate debridement is
impeded and the outcome of endodontic treatment is affected. Methods and Materials: One
hundred undergraduate students in their first year of clinical practice and without any
previous experience in rotary instrumentation performed a root canal treatment on a molar
(maxillary /mandibular) using Hyflex CM (Coltene/Wahledent, Cuyahoga Falls,OH) rotary
instruments. Periradicular radiographs were taken with the paralleling technique and were
superimposed using image analysis software (ImageJ v1.44, U.S. National Institutes of
Health, Bethesda, MD, USA). Results: The degree of deviation of the root canal filling from
the original canal was relatively low. Conclusions: Under the conditions of this study Hyflex
CM respected original canal shape.
OP.011. REPAIR STRENGTH OF AGED BULK FILL POSTERIOR

RESTORATIVE WITH POSTERIOR COMPOSITE
KERIM M1, ESAD GUVEN M2.

1
DDS, PHD-BIRUNI UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF RESTORATIVE
DENTISTRY
2
DDS, PHD-KONYA NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF PROSTHODONTIC DENTISTRY
Aim: Novel bulk-fill posterior restorative with new resin monomers were introduced
recently. Concerning composite repairing, the question of whether this new composite class
would be repaired by the same methods with conventional resin composite arises.
Therefore, the ability of bulk-fill composites to be repaired was assessed by shear bond
strength test. Methods: Bulk-fill and posterior resin composite substrates prepared and aged
by boiling in water for 8 hours and then storing in water for 2 weeks. Then, Bulk-fill
substrates were repaired with posterior resin composite and posterior resin composite
substrates were repaired with bulk fill composite with using different surface treatments (no
surface treatment + no aging [positive control], no surface treatment [negative control],
etching with 37% phosphoric acid for 20 s, etching with 3% hydrofluoric acid for 20 s, etching
with 37% phosphoric acid for 20 s + adhesive, etching with 3% hydrofluoric acid for 20 s +
adhesive, only adhesive application). Shear bond strengths (SBS) were then measured after
water storage for 24-Ś͘ ĂƚĂ ǁĞƌĞ ĂŶĂůǇǌĞĚ ƵƐŝŶŐ EKs ĂŶĚ dƵŬĞǇ͛Ɛ ,^ ;Ɖ ф Ϭ͘ϬϱͿ͘
Results: ANOVA showed that composite repair type did not affect SBS significantly (p=0.850),
while it showed that surface treatments significantly affected the SBS (p=0.000). Only
combination of etching with 3% hydrofluoric acid for 20 s with resin adhesive application
provided similar SBS with those of positive control. Conclusions: It was concluded that bulk-
fill composite would be effectively repaired with conventional posterior composite or vice
versa if proper repair protocol deployed.
OP.012. PALATAL DENTIN THICKNESS DETERMINATION BASED ON
TOOTH 12/22 DIMENSION IN FEMALE PATIENTS
KUZUMI E1, KUZUMI R2.

1
PHD-PUBLIC UNIVERSITY DENTAL CLINIC
2
MD
Aim of this study was testing a previous ĨŽƵŶĚĨŽƌŵƵůĂŝŶĨĞŵĂůĞƉĂƚŝĞŶƚ͛ƐƚŽŽƚŚϭϮͬϮϮǁŚŝĐŚ

predicts palatal dentin thickness on enamel ʹcement junction based on tooth dimensions
measured on tooth and tooth X-ray. Material and Method: A sample of extracted tooth
12/22 from female patients was gathered. A facial-lingual x-ray is performed for each tooth.
The predicted value of palatal dentin thickness is calculated and documented for each tooth.
Each tooth is sectioned on enamel cement junction level. The real palatal dentin thickness is
measured and documented for each tooth. Conclusion: Comparison between predicted and
real values reveal insignificant changes. Using this formula we can predict palatal dentin
thickness on enamel cement-junction level in female patients prior to any dental
intervention.
OP.013. WITHDRAW
OP.014. MICRO-CT EVALUATION OF VOID AND GAP FORMATION IN

BULK-FILL RESIN COMPOSITES IN CLASS II RESTORATIONS
DEMIREL G1͕,<</>d/K)>h/1, KOLSUZ ME2, ORHAN O2.

1
DDS.PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF RESTORATIVE
DENTISTRY
2
DDS.PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF MAXILLOFACIAL
RADIOLOGY
Since flowable resin composites were first introduced in 1996, a variety of products have
been present on the market. The latest generations of flowable composites or bulk-fill
flowable composites have become more widely used following the development of
materials with improved curing , controlled polymerization con- traction stresses and
increased layer thickness ranging from 4 to 6 mm, instead of the traditional 2 mm value
commonly used.The aim of this study was to determine the influence of Bulk-fill flowable
composite on marginal microleakage and internal voids in class II box restorations.Fifty
extracted molars were prepared with mesial and distal class II box cavity preparations and
divided into five groups. Each group was restored separately with the following materials:
SDR Bulk-fill (group I), Sonic Fill (group II), Filtek Bulkfill (group III), Extrabase (group IV) and
Filtek Ultimate Flowable Restorative +Filtek Ultimate Universal Restorative (group V as a
ĐŽŶƚƌŽůͿ͘ĨƚĞƌƐƚŽƌŝŶŐĨŽƌϮϰŚŽƵƌƐŝŶϯϳΣĚŝƐƚŝůůĞĚǁĂƚĞƌ͕ĂůůƚŚĞƐƉĞĐŝŵĞŶƐǁĞƌĞƐƵďũĞĐƚĞĚ
ƚŽϭϬϬϬƚŚĞƌŵĂůĐǇĐůĞƐŽĨϱΣͬϱϱΣŝŶǁĂƚĞƌǁŝƚŚĂϯϬ-second dwell time. All the specimens
were imaged by MicroCT. Sequential sections (n = 11) at 8.09 pixel size were taken at top,
middle and bottom sites of each restoration relative to the axial wall and the interfacial
micro-void volume fraction (%VF) was calculated. The results of %VF per material and
restoration site were subjected to statistical analysis by 2-ǁĂǇ EKs ĂŶĚ dƵŬĞǇ͛Ɛ ƚĞƐƚ͘
There was significant difference in bulk-fill composites and control group. (P<.05).
OP.015. INTRARADICULAR SPLINTING OF AN HORIZONTAL ROOT

FRACTURE BY USING AN ENDODONTIC INSTRUMENT: A CASE
REPORT
DEMIRIZ L1, BODRUMLU EH1, TORAMAN F2, NALE T2.

1
ASSISTANT PROFESSOR-BULENT ECEVIT UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF PEDIATRIC DENTISTRY
2
RESEARCH ASSISTANT-BULENT ECEVIT UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
Root fracture has been defined as a fracture involving dentin, cementum, pulp and
periodontal ligament. Root fractures in permanent teeth are quite uncommon with
frequency between 0.5% and 7% among all cases of dental trauma. Depending on the level
of the fracture line various treatment modalities may be employed by the clinician to
promote healing. A 10-year-old female patient was referred to our clinic one day after falling
from the bicycle. In clinical examination, avulsed and missing left central and lateral incisors
were observed. In radiographic examination, the root of the right maxillary central incisor
was detected as horizontally fractured. The stabilization splint was applied and remained for
four weeks. After this period, the stabilization splint was removed. The mobility of the
fragments (Grade II) was noticed and fixing them by using intracanal splint was decided.
During the procedure, both coronal and apical root fragments were endodontically treated
and obturated by using cold lateral condensation, and then, the root was stabilized
internally by insertion of a size 40# Hedstrom stainless-steel endodontic file into the root
canal. Six months follow-up examination revealed satisfactory clinical and radiographic
findings of the fracture line. The follow-up period still continues. This method can be
considered as an alternative treatment option for teeth with horizontal root fractures if the
stabilization of the mobile fragments is necessary.
OP.016. EFFECTS OF VARIOUS PULPOTOMY MEDICAMENTS ON

COMPOSITE RESIN- DENTIN BOND STRENGTH
DELIKAN E.
MERSIN UNIVERSITY, DENTISTRY FACULTY, DEPARTMENT OF PEDIATRIC DENTISTRY
Background: Pulpotomy can be defined as the removal of coronal portion of the dental pulp,
followed by placement of suitable medicament that will promote healing and preserve
vitality of the tooth. Formocresol, electrosurgery, laser, sodium hypochlorite, ferric sulphate,
gluteraldehyde, bone morphogenetic protein, hard setting calcium hydroxide, MTA are used
in pulpotomy treatments. In recent years, new hemostatic agents like ankaferd blood
stopper (ABS) and chitosan have begun to be used as a pulpotomy treatment medicament.
The aim of this study is to identify the bond strength differences between composite resin
and dentin by using various hemostatic agents during pulpotomy. Methods and Materials:
Five groups, each consisting of 20 noncarious primary teeth smooth dentin surfaces
contaminated with chitosan, ABS, ferric sulphate, blood and control are created. Then rinsed
with distilled water and air dried slightly. Single stage self-etch bond polymerized, composite
resin was placed in same diameter and height and polymerized. After conducting shear bond
strength, the failure modes were identified usinŐ Ă ƐƚĞƌĞŽŵŝĐƌŽƐĐŽƉĞ ǁŝƚŚ ϮϬп
magnification. Statistical analysis of data was conducted using ANOVA one- way analysis of
varience and Tukey Post-hoc comparison test. Results: There was no statistically significant
difference between the hemostatic agents and the control group in terms of shear bond
strength. There was a statistically significant difference between chitosan and ABS in favor of
chitosan. Adhesive failure was more common in all groups. Conclusion: The hemostatic
agents used in pulpotomy do not effect dentin-adhesive bond strength negatively. Further
studies on the use of chitosan are needed.
Session 3
OP.017. THE CONDYLAR EFFECTS OF GRAPE-SEED EXTRACTION,
STEM CELLS AND LASER THERAPY ON RATS
EGLENEN MN1, TUGLU MI2, AYDEMIR I3, GULEC A4.

1
RESEARCH ASSISTANT-GAZIANTEP UNIVERSITY DENTISTRY FACULTY, DEPARTMENT OF
ORTHODONTICS
2
PROF-MANISA CELAL BAYAR UNIVERSITY, INSTITUE OF HEALTH SCIENCES DEPARTMENT OF
HISTOLOGY AND EMBRYOLOGY
3
DR, PH.D-MANISA CELAL BAYAR UNIVERSITY, INSTITUE OF HEALTH SCIENCES DEPARTMENT
OF HISTOLOGY AND EMBRYOLOGY
4
ASSIST PROF-GAZIANTEP UNIVERSITY DENTISTRY FACULTY, DEPARTMENT OF
ORTHODONTICS
Background: Functional treatment of skeletal Class II malocclusions could lead to growth in

the glenoid fossa and in the condyle. The aim of this study was to evaluate the effects of
using localized applied low level laser therapy (LLLT) with systematically administrated
grape-seed extraction (GSE) and mesenchymal stem cells (MSCs) on new bone formation
and neovascularization of the condyle of the rats after mandibular advancement by using
ĨƵŶĐƚŝŽŶĂůĂƉƉůŝĂŶĐĞ͘DĞƚŚŽĚƐĂŶĚDĂƚĞƌŝĂůƐ͗ϰϱƌĂƚƐǁĞŝŐŚƚŝŶŐϮϱϬцϱϬŐƌ͕ĚŝǀŝĚĞĚƌĂŶĚŽŵůǇ
into 8 groups. Functional appliances were administrated all groups (n=6) except control
group. The group 1 (n=3) was the control group. The group 2 was treated with only
appliances; the group 3 with 300 mg/kg/day GSE; the group 4 with 8 J/cm2 LLLT once in a
two days; the group 5 with LLLT and GSE; the group 6 with 1x106 MSCs and GSE, the group 7
with LLLT and MSCs; the group 8 with LLLT, MSCs and GSE. Immunohistochemical analysis of
VEGF, Osteonectin, Type-II collagen, Stro-1 were done for the condyle after 4 weeks. Results:
New bone and osteoblast formation, osteonectin, VEGF, Type II collagen and STRO-1 were
increased with appliance use, and the highest increase was achieved by the combined
application of GSE, LLLT and MSCs to the appliance groups. Conclusion: It has been found
that especially MSCs with LLLT and GSE applications provide new vascularity, cell
proliferation, Type II collagen formation, osteoblast differentiation and new bone formation.
OP.018. THE THERAPEUTIC EFFECT OF HYALURONIC ACID ON

GINGIVAL DEPIGMENTATION PROCUDURE WITH DIODE LASER
'P<>W<>zW1, ADEM SIYLI GZ1͕E<z ZT2.

1
PHD-DEPARTMENT OF PERIODONTOLOGY, OKMEYDANI ORAL AND DENTAL HEALTH
,K^W/d>͕7^dEh>͕dhZ<z
2
PHD-DEPARTMENT OF PERIODONTOLOGY, FACULTY OF DENTISTRY, GAZI UNIVERSITY,
ANKARA, TURKEY
The therapeutic effect of hyaluronic acid on gingival depigmentation procudure with diode
laser Background: Melanin pigmentation results from melanin produced by the melanocytes
present in the basal layer of the oral epithelium.Hyaluronic acid is a glycosaminoglycan with
anti-inflammatory & anti edematous properties. Hyaluronic acid provides anti-inflammatory
properties in wound healing. In this study we investigated the property of periodontal gel
containing % 0.8 hyaluronic acid to accelerate the wound healing process of depigmention
with diode laser. Materials and Methods: 24 patients who were esthetically complain about
their dark gums requested for treatment were selected for this study. 48 sites from 24
patients with bilateral melanin hyperpigmentation were treated with diodle laser. Surgery
was performed in anterior superior and/or inferior regions(as test and control groups)
Randomly choosen 24 site (test group) were received HA gel(0.8%). 0.8% topical hyaluronic-
acid gel was applied wound area and covered with periodontal dressing material (Gengigel)
at baseline.Patients were evaluated for Wound healing index (WHI),the visual analog pain
scale (VAS), Dummett-Gupta oral pigmentation index (DOPI) at 3, 7, 14, 21 days after
surgery. Results: Final results were statistically analyzed and significance was evaluated.
Comparative pain assessment and repigmentation scores between the two groups did not
show any statistical significance. The examiners found a better pattern of healing in the
testgroup until 21 days after surgery. Further investigations for therapeutic effects of
hyaluronic application in periodontal diseaseare essential for the real benefit of its
application and full realization of periodontal tissue regeneration.
OP.019. EVALUATION OF THE ND-YAG LASER IN AGGRESSIVE

PERIODONTITIS ADDITION TO CONVENTIONAL PERIODONTAL
THERAPY
KOCAK NA.
DR.-ISTANBUL UNIVERSITY, DENTISTRY, PERIODONTOLOGY
Background: Currently, the data about antimicrobial medication protocols are still confusing
in the treatment of aggressive periodontitis. The use of Nd: YAG lasers for antimicrobial
purposes may be an alternative to this dilemma. The aim of this study is to investigate the
clinical, microbiological and biochemical results of antibiotic and Nd: YAG laser in addition to
conventional treatment for aggressive periodontitis. Methods and Materials: 26 patients
was included with generalized aggressive periodontitis divided into two treatment groups.
13 patients who received initial periodontal therapy (SRP) with antimicrobial drugs were
included in the control group; 13 patients treated with SRP and Nd: YAG lasers were
included in the experimental group. Biochemical, clinical and microbiological examinations
were carried out. Results: Clinical and biochemical measurements showed no significant
difference between the groups except for TIMP-1 concentrations was significantly higher in
the laser group. Both Porphyromonas gingivalis (Pg) and Treponema denticola decreased in
non-laser group but only Pg decreased in laser group. Significantly increased number of
Tannerella forsythia was observed in non-laser group. Aggregatibacter
actinomycetemcomitans showed no significant change in both groups. Conclusion: Within
the limitations of this study the increase in the TIMP-1 concentrations in laser group is
promising. Whereas further studies need to be done for usage of lasers as an alternative to
antimicrobial drug in treatment of aggressive periodontitis.
OP.020. COMPARISON OF ER,CR:YSGG AND DIODE LASER ON THE
CYTOKINES LEVELS IN GAP PATIENTS
d>D1͕>/b/ZD2͕Zdh)Zh>3,
1
DR.DT.-sEzmmEmz/>hE/sZ^/dz&h>dzK&Ed/^dZzWZdDEdK&
PERIODONTOLOGY
2
ASST.PROF.DR.-ADIYAMAN UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
3
ASSOC.PROF.DR.-7D/Z<d/W>/hE/sZ^/dz&h>dzK& DENTISTRY DEPARTMENT OF
PERIODONTOLOGY;--;--
Aim: The aim of our study is to determine the IL-ϭɴ͕/>-8 and Tnf-ɲůĞǀĞůƐŝŶ'&ĂŶĚĐůŝŶŝĐĂů
periodontal parameters following the treatment with Er,Cr:YSGG and diode lasers in adjunct
to SRP in patients with GAgP. Materials and Methods: Twenty-six patients with GAgP (n=26)
ǁĞƌĞĞŶƌŽůůĞĚŝŶƚŚĞƐƚƵĚǇ͘dŚĞƐƚƵĚǇǁĂƐĚĞƐŝŐŶĞĚĂƐĂ͞ƐƉůŝƚ-ŵŽƵƚŚ͟ƐƚƵĚǇ͘/ŶĞĂĐŚƉĂƚŝĞŶƚ͕
three quadrants were determined as SRP-control, SRP+Er,Cr:YSGG and SRP+Diode laser.
Clinical periodontal measurements were recorded at the baseline and third month after the
treatment. Cytokines levels in GCF were determined by ELISA. Results: The Er,Cr:YSGG laser
group used as an addition to the conventional mechanical periodontal treatment was found
to be the more successful group over the diode laser and the SRP-control group with regard
to the changes in clinical periodontal indices and in biochemical indicators at the end of the
treatment was more successful than the other groups(p<0.05). Conclusions: To the best of
our knowledge, it is the first study in the literature that showed the effects of diode and
Er,Cr:YSGG lasers on the GCF cytokines levels in the GAgP patients. Within the limits of the
present study, the Er,Cr:YSGG laser promises hope for the treatment of GAgP.
OP.021. PORCELAIN CHIPPING EVALUATION OF CAST AND LASER

SINTERED METAL-CERAMIC RESTORATIONS: A CLINICAL STUDY
CALISKAN I1, EKREN O1, UCAR Y1.

1
DR.-CUKUROVA UNIVERSITY
Porcelain Chipping Evaluation of Cast and Laser Sintered Metal-Ceramic Restorations: A

Clinical Study Background:To evaluate and compare chippings type of failure in Co-Cr metal-
ceramic restorations fabricated by laser sintering (DMLS) or conventional cast methods.
Methods and materials: 75 patients with a need of fixed partial dentures without any sign of
bruxial behaviors or symptoms randomly divided into 2 groups. In the first group metal
substructure of restorations were fabricated by laser sintering using CO-Cr alloy
powder(DMLS). In the second group substructures were fabricated by using lost-wax
technique using Co-Cr alloy ingots. Patients recall and clinical examinations of the prostheses
were done 6 months after the cementation. The chippings in metal-ceramic restorations
were evaluated and classified. Student T, Mann Whitney U, Ki Square and Fisher tests were
ƵƐĞĚ ŝŶ ƐƚĂƚŝƐƚŝĐĂů ĂŶĂůǇƐŝƐ͘ ;ɲсϬ͘ϬϬϱͿ ZĞƐƵůƚƐ͗ dŚĞ ƐƵĐĐĞƐƐ ƌĂƚĞ ǁĂƐ ĨŽƵŶĚ ϵϲ͘ϵй ĂŶĚ ƚŚĞ
survival rate was found 98.7% in terms of chipping among all patients. There were
statistically no differences between DMLS group (3.8%) and cast group (2.6%) in terms of
chipping.There was statisticaly no differences between groups in terms of chipping grades.
The chipping in male patients (5.8%) were significantly higher than female patients (1.4%).
Conclussions: Within the limitations of the current study it was concluded that occurance of
chipping in metal-ceramic fixed partial dentures fabricated by either DMLS or conventional
casting methods showed statisticaly no significant differences.
OP.022. COMPARATIVE STUDY IN PREVENTIVE RESTORATIONS

PREPARED WITH BURR AND ER.CR: YSGG LASER IRRADIATION
SAVEANU CI1, DRAGOS O2, ANISTOROAEI D3, DANILA V4, GOLOVCENCU L3.
1
LECTURER-UNIVERSITY OF MEDICINE AND PHARMACY, FACULTY OF DENTAL MEDICINE,
PREVENTIVE DENTISTRY DEPARTMENT
2
SCIENTIFIC RESEARCHER-NATIONAL INSTITUTE OF RESEARCH-DEVELOPMENT FOR
TECHNICAL PHYSICS
3
LECTURER-UNIVERSITY OF MEDICINE AND PHARMACY, FACULTY OF DENTAL MEDICINE
ORTHODONTICS DEPARTMENT
4
ASSISTENT PROFESSOR-UNIVERSITY OF MEDICINE AND PHARMACY, FACULTY OF DENTAL
MEDICINE SURGERY DEPARTMENT
Objectives: The aim of this study was to analyze the hybrid layer=HL by scanned electron
microscopy (SEM) in cavities bur-prepared=M and kinetic=K with ER.CR:YSGG Laser
(Waterlase MD-Biolase), filled with adhesive materials. Materials: The study was realized in
vitro on human teeth extracted with informed consent orthodontics reasons and that were
divided at random into equal groups. The cavities were performed (M) with bur No.1 and (K)
with peaks MG6-MZ6 30% water 60% air:enamel-5,5W30%water:60%air+20Hz:dentin
3W:30%water:60%+15Hz:filled with adhesive systems
^Ρс^ĐŚŽƚĐŚďŽŶĚƚĐŚ;ϯDΡͿ͖^WсĚƉĞƌ^ŝŶŐůĞŽŶĚWůƵƐ;ϯD^WͿĂŶĚƌĞƐŝŶĐŽŵƉŽƐŝƚĞ͕
compomer and giomer materials, termocycling-500cycles:50-550;stored-48h;cut lengthwise,
polished, conditioned=H3PO4-37%-5s analyzed by SEM (JEOLJSM6390AJapan) and
ƐƚĂƚŝƐƚŝĐĂůůǇ;EKs͗ƉчϬ͘ϬϱͿ͘ZĞƐƵůƚƐ͗dŚĞƌĞǁĞƌĞĚŝĨĨĞƌĞŶĐĞƐďĞƚǁĞĞŶƚŚĞĂǀĞƌĂŐĞƐŝǌĞŽĨ
the hybrid layer. Conclusions: The preparation techniques influence the dimensional level of
the HL in favor of the kinetic samples for the same category of materials but the results are
not available for all the materials tested.
OP.023. ORTHODONTIC MANAGEMENT IN MEDICALLY

COMPROMISED PATIENTS
TOSESKA-SPASOVA Ɂ1, DZIPUNOVA B1, RADOJKOVA-NIKOLOVSKA V2, STAVREVA N3, SPASOV

D4.
1
DOCTOR-DEPARTMENT OF ORTHODONTICS
2
DOCTOR-DEPARTMENT OF PERIONDONTOLOGY
3
DOCTOR-FIXED PROSTHODONTICS
4
DOCTOR-PRIVATE PRAXIS
Orthodontic therapy is no longer reserved for only healthy patients.With better
management of serious medical problems, increased quality of life expectations, and greater
ambulation, medically compromised individuals are now regular visitors to orthodontic
practices. The presentation gives valuable information regarding the current knowledge of
the most common systemic and local diseases on the outcome of orthodontic treatment.
This article examines aspects of some of the conditions that are of relevance to orthodontic
practice. Various systemic diseases, serious medical conditions and their effect on
orthodontic treatment are presented in this study. Medical conditions commonly
encountered in orthodontic patients include: risk of infective endocarditis,
hypertension,bleeding disorders, asthma,sickle cell anemia, leukemia, cystic fibrosis,
epilepsy, multiple sclerosis, viral hepatitis, diabetes, renal disorders, eating
disorders,osteoporosis and allergies to materials used during orthodontic treatment. As a
rule, general medical problem can affect orthodontic treatment and care should be taken
while managing medically compromised patients as it is not an absolute contraindication.
While orthodontic therapy has been considered to be completely noninvasive, specific
orthodontic procedures may place some patients at risk for serious sequelae. The
presentation focuses on the difficulties faced when orthodontic treatment is provided and
will make recommendations to avoid the potential problems that may arise. This study
reviews the management of medically compromised patient during orthodontic treatment.
The orthodontic treatment considerations are also discussed. Various medical conditions
and their impact on treatment procedures must be recognized by orthodontist.With
appropriate management, successful orthodontic treatment can be done with minimal
physical damage and maximum treatment outcome.
Session 4
OP.024. ANALYSIS OF SURFACE CHARACTERISTICS AND
RADIOPACITY OF BIOACTIVE PULP CAPPING MATERIALS
GEZGIN O1, KORKUT E2, BOSTANCI B3, OZER H3, SENER Y4.
1
DEPARTMENT OF PEDIATRIC DENTISTRY KONYA/TURKEY
2
DEPARTMENT OF PEDIATRIC DENTISTRY KONYA/TURKEY
3
PHD STUDENT-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF PEDIATRIC DENTISTRY KONYA/TURKEY
4
PEDIATRIC DENTISTRY KONYA/TURKEY
Purpose: Vital pulp preservation in the treatment of deep caries is challenging due to sealing
issue. The aim of this study was to compare the physicochemical properties and radiopacity
of various light curing pulp capping materials. Method and Materials: In this study, SEM-EDS
analysis and the radiopacity of four different pulp capping materials (TheraCal LC, Biner LC,
Imicryl, and Activa-Bioactive) were evaluated. Each material was characterized by scanning
electron microscopy (SEM) and chemical composition of each material was analyzed by
energy dispersive x-ray spectroscopic (EDS) analysis. The disk shaped specimens (8 mm
diameter and 1 mm thickness) were prepared from each material and exposed to a digital x-
ray along with an aluminum stepwedge for the radiopacity assay. The statistical analysis was
performed with ANOVA and DƵŶĐĂŶ͛Ɛ ƉŽƐƚ-hoc test. Results: To investigate the chemical
composition of the materials, SEM-EDS analysis was performed. The elemental identification
showed that contained Ca, Si, O, Al, Na as the major ions. In addition, it was observed
bioactive based Imicryl and Activa-Bioactive contain F. TheraCal had lower radiopacity.
Conclusion: Bioactive based pulp capping materials offer major advantages in inducing
dentin-like tissue formation because of including Ca and F ions highly.
OP.025. EVALUATION OF COLOR STABILITY OF DIFFERENT RESIN

CEMENTS AFTER THERMOCYCLING PROCESS
ALKURT M1, GUNDOGDU M2, DUYMUS Z3.

1
ASSIST. PROF. -ZWdzz/WZK'EhE7sZ^dz͕WZdDEdK&Ed7^dZz
2
ASSIST. PROF. -ddmZ<hE7sZ^dz͕WZDEdK&Ed7^dZz
3
PROF.-RECEP TAYYIP ZK'EhE7sZ^dz͕WZdDEdK&Ed7^dZz
Background: Although most of the studies investigated color stability of restorative

materials, evaluation of color stability of resin cement after thermocycling study is limited.
Aim of study is to compare the cŽůŽƌĐŚĂŶŐĞ;ѐͿŽĨĨŝǀĞƌĞƐŝŶĐĞŵĞŶƚƐ;WĂŶĂǀŝĂ^͕WĂŶĂǀŝĂ
V5, RelyX U200; Variolink NLC clear and Variolink NLC +1) after thermocycling. Methods and
materials: 120 Disks of resin cements,15 mm in diameter and 1.5 mm in thickness, were
fabricated using a custom made silicon mold (n=24). Changes in color of specimens were
determined after 10,000 cycles of thermocycling with a spectrophotometer. Color
measurements of resin cements were made without (control) ceramic restoration and with
different thick ceramic restoration. Ceramic disks, simulating laminate veneers, with
ƚŚŝĐŬŶĞƐƐ ŽĨ Ϭ͘ϱ͕ Ϭ͘ϳ ĂŶĚ ϭ͘Ϭ ŵŵ ;ϭ͕ /W^ Ğ͘ŵĂǆͿ ǁĞƌĞ ĨĂďƌŝĐĂƚĞĚ͘ ŽůŽƌ ĚŝĨĨĞƌĞŶĐĞƐ ;ȴͿ
ďĞƚǁĞĞŶ ƚŚĞ ĐŽŶƚƌŽů ĂŶĚ ƚĞƐƚ ŐƌŽƵƉƐ ǁĞƌĞ ĐĂůĐƵůĂƚĞĚ͘ ȴ ƌĞƐƵůƚƐ ǁĞƌĞ ĂŶĂůǇƐĞĚ ďǇ Ϯ-way
EKsĂŶĚdƵŬĞǇ͛ƐƚĞƐƚ͘ZĞƐƵůƚ͗ĨƚĞƌƚŚĞƚŚĞƌŵŽĐǇĐůŝŶŐƉƌŽĐĞƐƐ͕Ɛubgroup Control had the
ŚŝŐŚĞƐƚ ĐŽůŽƌ ĐŚĂŶŐĞ ;ѐͿ ;W ф Ϭ͘ϬϱͿ ŝŶ Ăůů ŐƌŽƵƉƐ͕ ĨŽůůŽǁĞĚ ďǇ Ϭ͘ϱ͕ Ϭ͘ϳ͕ ĂŶĚ ϭ ŵŵ ǁŝƚŚ
ceramic restoration. The factor of thickness of ceramic restoration showed significant
ŝŶĨůƵĞŶĐĞŽŶȴǀĂůƵĞƐ;WфϬ͘ϬϱͿ͘,ŽǁĞǀĞƌ͕ȴǀĂůƵĞƐŽĨall ceramic restoration groups were
lower than 3.3. Conclusion: After 10,000 cycles of thermocycling, with different thick
ĐĞƌĂŵŝĐ ƌĞƐƚŽƌĂƚŝŽŶ ƐŚŽǁĞĚ ĐůŝŶŝĐĂůůǇ ĂĐĐĞƉƚĂďůĞ ĐŽůŽƌ ĐŚĂŶŐĞ ;ѐфϯ͘ϯͿ͘ ,ŽǁĞǀĞƌ͖ ĐŽŶƚƌŽů
groups presented the greatest alterations and their changes were not acceptable value
;ѐϯ͘ϯͿ͘ tŝƚŚŽƵƚ ĐĞƌĂŵŝĐ ƌĞƐƚŽƌĂƚŝŽŶ͕ ƚŚĞƌŵŽĐǇĐůŝŶŐ ĂĚǀĞƌƐĞůǇ ĂĨĨĞĐƚ ĂĞƐƚŚĞƚŝĐ ƉƌŽƉĞƌƚŝĞƐ
of resin cements.
OP.026. THE EFFECT OF ZRO2 NANOPARTICLES ADDITION TO

HEAT-CURED PMMA ON TRANSVERSE STRENGTH AND WATER
SORPTION/SOLUBILITY
ERGUN G1, SAHIN Z2, SEDA ATAOL A3.

1
DDS, PHD-GAZI & MERSIN UNIVERSITY, FACULTY OF DENTISTRY
2
DDS, DCLINDENT-PRIVATE PROSTHODONTIC PRACTICE
3
DDS, PHD-MERSIN UNIVERSITY, FACULTY OF DENTISTRY
Background: Clinically, the reinforcement of PMMA has great significance. The aim of this
study was to evaluate the transverse strength, water sorption and solubility of poly methyl
methacrylate (PMMA) reinforced with 5%, 10% and 20% tetragonal zirconium oxide-yttria
stabilized (ZrO2) nanoparticles (nano- ZrO2) after aging by thermocycle. Materials and
methods: A total of 160 test specimens were fabricated from heat-cured PMMA for two
different test parameters. The test specimens were divided into four groups according to the
ratio of nano- ZrO2 added to the heat-cured PMMA; Group 1: 5% nano- ZrO2; Group 2: 10%
nano-ZrO2; Group 3: 20% nano-ZrO2 and Group 4: heat-cured PMMA without nano-ZrO2
(control group). Then the test specimens were divided into two subgroups (thermocycling
and water storage). They were subjected to the tests of transverse strength and water
sorption/solubility. The randomly selected test specimens from flexural strength test groups
were examined with SEM. XRD analysis was used to examine the crystal structure of the
nanoparticles. The all test data were analyzed with Kruskal Wallis test. Results: A statistically
significant decrease in transverse strength was observed in all additional ratios of nano-ZrO2
when compared to the control groups (p<0.001). As the nano-ZrO2 addition rate increases,
the water sorption/solubility values of the test specimens also increased. Generally, there
were no statistically significant differences between the thermocycling and water storage
groups in terms of the test parameters values. Conclusion: Addition of nano-ZrO2 with
various ratios had an adverse effect on the transverse strength and water
absorption/solubility of heat-cured PMMA.
OP.027. CHANGE OF COLOUR IN THERMOPLASTIC DENTURE BASE
RESINS
CHUCHULSKA B1, YANKOV T1, IVANOVA A1, GANCHOVSKA P2, TODOROV G3.
1
ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL MEDICINE,
DEPARTMENT OF PROSTHODONTICS
2
ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL MEDICINE,
3
PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL MEDICINE, DEPARTMENT
OF PROSTHODONTICS
Background: Colour stability is an important property of any denture base thermoplastic

material. Staining of it may result in patient dissatisfaction and additional expense for a
replacement. Colour changes indicate aging or porosity. However little information is
available on the influence of food dyes on the colour stability of flexible dentures. Aims: To
determine and compare the influence of food dyes on the colour stability of 3 different
types of denture base materials. Materials and Methods: Three types of denture base resins
- polyethylene (nylon), flexible PMMA and conventional heat curing PMMA (pink and
colourless) were used as materials for this study. 33 specimens of each material were
divided into groups and immersed in solutions of the same food dye mix and the control
group in distilled water; the colour change was observed over 30 hours at the 1st, 16th and
30th hour. The results were measured visually and compared. Results: No changes were
observed after the 1st hour; within the 16th hour initial colour change was observed in all
groups and at the 30th hour a noticeable change was observed in all specimens. The
greatest colour change was observed in nylons, followed by the thermoplastic PMMA and
lastly the conventional PMMA. Conclusion: Thermoplastic denture base materials showed
acceptable colour stability, which is mainly influenced by intensity of the dye and the
exposure time. To verify the long-term stability in the mouth additional in-vitro studies are
needed.
OP.028. THE INFLUENCE OF BISMUTHOXIDE, ZIRCONIUMOXIDE

AND STRONTIUMFLUORIDE ON RADIOPACITY OF
NANOHYDROXIAPATITE ENRICHED CALCIUM SILICATE CEMENT
ILIC D, ANTONIJEVIC D, BIOCANIN V, POSTIC D, PETROVIC R.
DDM, MSC, PHD -SCHOOL OF DENTAL MEDICINE
Background Calcium silicate cements are promising candidates for root canal obturation,
canal perforation treatment, apexification and pulp capping. The addition of radiopacifiers
to their composition is necessary to increase radio-visibility on dental radiographs. Novel
calcium silicate based cement with the addition of nanohydroxyapatite (nanoHAP) was
introduced recently. The aim of this study was to compare the influence of three different
radiopacifying agents to the radiopacity of nanoHAP-enriched calcium silicate dental cement
(CSC-nanoHAP). Materials/methods CSC-nanoHAP was used as a basis for mixing with
following radiopacifiers: bismuth oxide, zirconium oxide and strontium fluoride. The
experiments were performed in accordance with International Standardization Organization
(ISO) 6876. The radiopacity was determined after digital radiography taken on charged
couple device alongside an aluminium step-wedge as a reference. The radiographic density
of six cement specimens (of each mixture) measuring 8 mm in diameter and 1 mm in
thickness was compared with the radiographic density of each step of aluminium standard in
order to convert it into the radiodensity in equivalent thickness of aluminium. Results The
highest radiopacity was obtained for the CSC-ŶĂŶŽ,WнďŝƐŵƵƚŚŽǆŝĚĞŵŝǆƚƵƌĞ;ϲ͘ϳцϬ͘ϭͿƚŚĂƚ
was statistically significant in comparison to CSC-nanoHAP + zirconium oxide mixture
;ϱ͘ϯцϬ͘ϮͿĂŶĚ^-ŶĂŶŽ,WнƐƚƌŽŶƚŝƵŵŽǆŝĚĞŵŝǆƚƵƌĞ;ϰ͘ϬцϬ͘ϱͿŵŵů;ƉфϬ͘ϬϱͿ͘ŽŶĐůƵƐŝŽŶ
The studied radiopacifiers (bismuth oxide, zirconium oxide and strontium fluoride) are
promising alternatives capable to improve radiopacity of nanoHAP-enriched calcium silicate
cement properties.
OP.029. THE EFFECT OF DIFFERENT SINTERING PROCEDURES ON

THE ZIRCONIA'S COLOUR
Kb<hED1, dh)hd&1, SARI F2.

1
ASSISTANT PROFESSOR-CUMHURIYET UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS, SIVAS, TURKEY;
2
ASSISTANT PROFESSOR-GAZIANTEP UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS, GAZIANTEP, TURKEY
Objectives: The aim of this study was to investigate the effect of different sintering
parameters on colour stability of zirkonia. Material and Methods: 20 cylindrical specimens,
prepeared from partially sintered Yttria stabilized zirconia (Y-TZP) blocks (13x1mm), were
divided into two different groups (1.group at 1480 0C for 180 min, 2. group at 1510 0C for 30
min) and sintered (n:10). The difference of the samples were measured by using
spectrophotometer, Easyshade. Results: Different sintering procedure applied to zirconia
level un-confirmlty level. Conclusion: The color of the zirconia restorations is effected by the
sintering procedure. For this reason, the amount of sintering effect must be tested before
routine application.
OP.030. CHEMICAL DEGRADATION OF CAD/CAM CERAMICS
SAGSOZ O1, POLAT SAGSOZ N2.

1
DR.-ATATURK UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF RESTORATIVE
TREATMENT
2
DR.-ddhZ<hE/sZ^7dz,>d, SERVICES VOCATIONAL SCHOOL DEPARTMENT OF
DENTAL PROSTHETIC TECHNOOGIES
Aim: The chemical properties of oral environment have an appreciable influence on the in
vivo degradation of CAD/CAM ceramics. The aim of the present study was to investigate the
effect of organic acids, heptane and ethanol (the food-simulating liquids) on CAD/CAM
ceramics. Material and Method: Four CAD/CAM ceramics were selected:(1) 3M ESPE LAVA
Ultimate, (2) VITA Enamic, (3) IPS e.max, (4) VITA Suprinity. Seven different samples were
C as follows: artificial saliva, % 75 ethanol, heptane, 0.02 N citric
acid, 0.02 N lactic acid in aqueous solution and were tested to obtain flexural strength,
surface micro-hardness and wear characteristics. After conditioning, the flexural strength
values were assessed using a universal testing machine (1mm/min crosshead speed) and the
fractured samples were used for determination of Vickers hardness values using a digital
micro-hardness tester (100 g/15 s) and determination of wear using a chewing simulator.
Kruskal-Wallis and Mann-Whitney U-tests were used for statistical analysis. Results: The
highest mechanical property values were found for IPS e.max and VITA Suprinity where the
lowest was found for LAVA Ultimate. Organic acids were negatively affected the mechanical
properties of ceramics. There were significant differences among groups (p<0.05).
Conclusion: The mechanical properties of CAD/CAM ceramic materials are influenced by
food-simulating liquids.
Session 7
OP.031. PREVALENCE OF INTRUSIONS IN THE PRIMARY DENTITION
IGIC M1, OBRADOVIC R2, TODOROVIC K3, TODOROVIC A4.

1
PROFESSOR-MEDICAL FACULTY NIS;BRANISLAVA STOJKOVIC-ASSISTANT-MEDICAL FACULTY
NIS
2
ASSOCIATE PROFESSOR-MEDICAL FACULTY NIS
3
ASSISTANT-MEDICAL FACULTY NIS
4
DOCTOR-MEDICAL FACULTY NIS
Background. The principal purpose of treatment of traumatic injuries to the primary teeth is
pain control and prevention of possible damage to the bud of the primary tooth. Hypoplasia,
including enamel discoloration, is the most common malformation occurring as the
consequence of intrusion of the primary teeth. Our aim in the paper was to establish the
prevalence of intrusion in comparison with other injuries to the periodontal and hard dental
tissues in children with primary teeth. Methods and materials. The study enrolled 70
children aged 1-5 years with traumatic injuries to the periodontal and hard dental tissues,
therapeutically managed at the Dentistry Clinic in Nis. The data were collected by way of the
ĂŶĂůǇƐŝƐ ŽĨ ƉĂƚŝĞŶƚƐ͛ ƚƌĂƵŵĂ ƌĞĐŽƌĚƐ͘ ZĞƐƵůƚƐ͘ dŚĞ ŽďƚĂŝŶĞĚ ƌĞƐƵůƚƐ ƐŚŽǁĞĚ ƚŚĂƚ ŝŶũƵƌŝĞƐ ƚŽ
the periodontal tissues were statistically significantly (p<0,001) more common (91,31%) than
hard dental tissue injuries (8,69%). Among periodontal injuries, intrusions were present in
26,35%, with a slight predominance of boys, nevertheless without a statistical significance.
Conclusion. Tooth intrusions are relatively common in the primary dentition. The prevention
of dental intrusions requires timely anticipation, identification, and removal of all
predisposing factors.
OP.032. ORAL HEALTH AND CHILDREN OBESITY
SAPUNAROVA P.
ORAL HEALTH AND CHILDREN OBESITY-MEDICAL UNIVERSITY PLOVDIV DEPARTMENT OF

PEDIATRIC DENTISTRY;MARIQ KUKLEVA
Nowadays non-communicable diseases are increasingly recognized as a major cause of

morbidity and mortality. Among them are obesity and other diseases related to the diet. The
global changes during the past century have led to serious changes in the diet, like
consumption of soft drinks and fast food, which along with other changes in the lifestyle,
have contributed to the uprising number of overweight people. Obesity is defined as a
disease, in which the diet energy intake exceeds the body energy requirements, resulting in
body fat accumulation. Complications of obesity include less life duration, greater risk for
diabetes type 2, cardiovascular diseases, asthma, high level of cholesterol, high blood
pressure, arthritis and poor general health. In the current review are represented
contemporary data of oral health of obese children. Analysis of the correlation between the
dental caries and obesity, periodontal diseases and obesity and tooth eruption and obesity is
done. Keywords: obesity, dental caries, tooth eruption, periodontal diseases
OP.033. ANALYSIS OF MAXILLARY FIRST MOLAR TEETH
MORPHOLOGY USING MICRO-CT
BALTACIOGLU I1, DEMIREL G1, KOLSUZ ME1, ORHAN K2

1
PHD, DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY
2
PROF, PHD, DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY
Purpose: The aim of this study was to determine the positional relationship between the
crown contour and the pulp chamber as well as morphological characteristics of maxillary
first molars using micro-CT system with reconstruction from a volumetric rendering
program. Methods: In total 21 extracted maxillary first molars, (11 left, 10 right teeth) were
used. The positional relationship between the crown contour, pulp chamber and
morphology of the teeth was investigated three-dimensionally by means of micro-CT
imaging (Skyscan 1174, Kontich, Belgium). Differences in morphology of the teeth, pulp
dimensions and volumes were evaluated using chi-square and Mann Whitney U t-tests.
Differences were considered significant when P < 0.05. Results: Closest distance of mesio-
ďƵĐĐĂů ƉƵůƉ ŚŽƌŶ ƚŽ ĞŶĂŵĞů ƐƵƌĨĂĐĞ ;ŵŵͿ ǁĂƐ ĨŽƵŶĚ ƚŽ ďĞ ;Ϯ͘ϱŵŵцϬ͘ϮϬͿ ĨŽƌ ƌŝŐŚƚ͖
;Ϯ͘ϮϵŵŵцϬ͘ϭϳͿĨŽƌůĞĨƚƚĞĞƚŚ͕ǁŚŝĐŚǁĂƐƐƚĂƚŝƐƚŝĐĂůůǇƐŝŐŶŝĨŝĐĂŶƚ;ƉсϬ͕Ϭϭϳ͕ƉсϬ͕ϬϬϭͿ͘^ŝŵŝůĂƌůǇ͕
closest distance of disto-buccal pulp horn to enamel surface (mm) was also significant
ďĞƚǁĞĞŶůĞĨƚĂŶĚƌŝŐŚƚƚĞĞƚŚ;ƉсϬ͕ϬϬϭͿ͘dŚĞƉƵůƉǀŽůƵŵĞĨŽƌƌŝŐŚƚƐŝĚĞǁĂƐ;ϯϮ͕ϵϰŵŵϯцϯ͕ϭϵͿ
ǁŚĞƌĞĂƐ ĨŽƌ ůĞĨƚ ;ϯϯ͕ϳϭŵŵϯцϮ͕ϴϮͿ ǁŝƚŚŽƵƚ Ă ƐƚĂƚŝƐƚŝĐĂů ƐŝŐŶŝĨŝĐĂŶƚ ;ƉсϬ͕ϰϴϭͿ͘ ŽŶĐůƵƐŝons:
These results suggest that significant difference should be noted for right and left teeth
maxillary first molars during preparation of cavities. Further studies must be done for larger
sample as well as for other molar teeth in different populations to reveal the morphology of
the molar for considerations in restorative dentistry.
OP.034. HEALTH OF FIRST PERMANENT MOLARS IN 12-YEARS-OLD

SCHOOL CHILDREN IN PRILEP COMMUNITY
GEORGIEV Z1, KOVACEVSKA I2, SOTIROVSKA-IVKOVSKA A3, ZABOKOVA-BILBILOVA E4,

STEVANANDJIJA J5.
1
DDS, PROFESSOR-&h>dzK&Ed>D//E͕hE/sZ^/dz͞^d͘zZ/>E
Dd,K/h^͕͟^<KW:&zZDKE/
2
DDS, PROFESSOR-&h>dzK&Ed>D//E͕hE/sZ^/dz͞'K>s͟^d/W͕&zZ
MACEDONIA
3
DDS, PROFESSOR-FACULTY OF DENTAL MEDICINE, UN/sZ^/dz͞^d͘zZ/>E
4
MSC, ASSOC. PROFESSOR-&h>dzK&Ed>D//E͕hE/sZ^/dz͞^d͘zZ/>E
5
DR SPECIALIST-&h>dzK&Ed>D//E͕hE/sZ^/dz͞^d͘zZ/>EDd,K/h^͕͟
SKOPJE FYR MACEDONIA
ABSTRACT: Introduction: Fissure sealing in the children is a method of decreasing the caries
incidence of population, because occlusal fissure is much vulnerable site of the tooth.
Government of FYR Macedonia before 8 years are accepting Dental preventive program:
Fissure sealing of first permanent molars in 6-year-old school children. Aim: The aim of this
study was to investigate the success of that caries preventive program. Materials and
methods: For improving that aim, in September and October 2015, we obtaining 345 school
children of Prilep community, born 2003 y., 177 males, and 168 females. First permanent
molars in all the examined children were occlusally sealed before 6 years (2009) with GC Fuji
Triage. Results and discussion: From 01 January 2008, started implementation of the
National strategy for prevention of oral diseases in the children in FYR Macedonia: Fissure
sealing of first permanent molars in 6-year-old school children. On 12-year-old school
children - 2015 y, DMF index especially for first permanent molars was 34,4%: decayed -
13,5%, missing - 2%, and filled - 18,9%. Males: DMF index specially for first permanent
molars was 32,1%: decayed - 13%, missing 2% and filled 17,1%. In females DMF index
specially for first permanent molars was 36,9%; decayed - 14,1%, missing - 2,1%; and filled -
20,7%. Conclusion: Insufficient oral hygiene, inappropriate diet, lack of fluoride, need to
urgent implementation of other included component of National Oral Strategy
OP.035. TREATMENT O)$17(5ú25'(17$/&5266%ú7(,1($5/<

MIXED DENTITION PERIOD: CASE SERIES
BODRUMLU HE1, DEMIRIZ L2, SENYURT F3, TORAMAN F4.

1
ASSISTANT PROFESSOR -BULENT ECEVIT UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF PEDODONTICS; ZONGULDAK, TURKEY;
2
ASSISTANT PROFESSOR-BULENT ECEVIT UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF PEDODONTICS; ZONGULDAK, TURKEY;
3
RESEARCH ASSISTANT-BULENT ECEVIT UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
4
RESEARCH ASSISTANT -BULENT ECEVIT UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
Anterior crossbite is the term used to describe an abnormal labiolingual relationship

between one or more maxillary and mandibular incisor teeth. Anterior crossbite correction
in early mixed dentition is highly recommended as this kind of malocclusion do not diminish
with age. Correction of anterior crossbite is important to prevent more serious problems
which may occur in older ages. Different techniques have been used to correct anterior
crossbite. These case series describes the use of a removable acrylic appliance with a bite
plate incorporating a screw for the management of anterior crossbite in children in early
mixed dentition.These case series enrolled on a total of 4 patients with systemically healthy
who have been a chief complaint of an unaesthetic appearance of the maxillary central
incisors, which were located behind the lower anterior teeth. To align the maxillary anterior
teeth and correct the crossbite, a removable acrylic appliance with a posterior bite-opening
platform was used. Anterior crossbite was corrected in all patients after 4-16 weeks follow
up. Requirement of patients advanced orthodontic treatment has been removed with early
intervention. The procedure is a simple and effective method for treating anterior dental
crossbite. General and pediatric dentists, as well as orthodontists, may find this technique
useful in managing crossbite cases of the mixed dentition and utilizing the discussion and
illustrations for further clinical guidance.
OP.036. RESTORATIVE MATERIALS ² CHOICES FOR PRIMARY
TEETH: AN EVIDENCE-BASED APPROACH
SIOKIS V.
POSTGRADUATE STUDENT-PAEDIATRIC DENTISTRY DEPARTMENT, ARISTOTLE UNIVERSITY OF
THESSALONIKI
Nowadays, in the part of Restorative Dentistry, there is a variety of materials that can be
used for the (final) restoration of teeth, presenting differences depending on their
properties and the type of the cavity (often determined by the extension of caries lesion). In
the same way, in Paediatric Dentistry and even more regarding primary teeth, it have been
used several restorative materials that present a various evidence in their use. These
materials varies from amalgam and glass ionomer cement ʹ the first materials in use ʹ to the
resin-based materials, such as composite resin, resin-modified glass ionomer cements and
compomers, and the preformed stainless steel crowns (conventional or esthetic). According
to recent randomized clinical trials, systematic reviews and meta-analyses, there is a varying
level of evidence for the use of the above mentioned materials and clinicians need to
examine and understand the available literature evidence carefully to aid them in clinical
decision making. Also, recently, it have been suggested new restorative choices ʹ e.g. partial
or no removal of caries, Hall technique etc - in the literature (mostly for general
practitioners) that can be important solutions for restoring primary teeth under certain
conditions, such as low cooperation, presence of moisture, weakness of isolation etc. Such
choices, however, need more evidence by well designed clinical trials. Therefore, although
there is substantial evidence, the final choice of the material and its use lies on the careful
understanding and knowledge of the evidence and the correct choice of each clinical case.
Session 8
OP.037. COMPARISON OF GENUINE K AND H STAINLESS STEEL
HAND FILES WITH THEIR CHINESE COUNTERFEITS, SEM. STUDY
VAKIRTZIAN GA1, VASILIADIS L2.

1
UNDERGRADUATE STUDENT-DEPARTMENT OF DENTISTRY, SCHOOL OF HEALTH SCIENCES,
A.U.TH.
2
ASSOCIATE PROFESSOR-SECTION OF PATHOLOGY AND THERAPEUTICS OF DENTAL TISSUES
DEPARTMENT OF DENTISTRY, SCHOOL OF HEALTH SCIENCES, A.U.TH.
Background: To study genuine stainless steel K and H files (Dentsply Maillefer) with their
Chinese counterfeit with the same brand name, under the scanning electron microscope
(SEM). The study was focused mainly on the appearance and the structure of the surface of
the files. Material and Methods: 480 stainless steel files,25 mm were examined in the as
received condition. Specifically:120 were genuine K files, 120 were counterfeit K files, 120
were genuine H files,120 were counterfeit H files (all size 15- 80) All files were examined
under SEM in magnifications ranging from 20 to 1000 and characteristic microphotographs
were taken from specific areas of each file. Electron dispersive microscopy (EDS) was
performed in these areas. Results: The findings show important differences in surface of
genuine and counterfeit files. The main morphological differences were that the counterfeit
ƐŚŽǁĞĚŵŽƌĞƐƵƌĨĂĐĞŝƌƌĞŐƵůĂƌŝƚŝĞƐĂŶĚĚĞďƌŝƐ͕ŝŶĐŽŶƐŝƐƚĞŶĐǇďĞƚǁĞĞŶƚŚĞĨŝůĞĚŝĂŵĞƚĞƌŝƚ͛Ɛ
size, inconsistency of the tip morphology, increased number of cutting edges per mm,
irregularities on the cutting edges.The EDS surface analysis showed the genuine files
exhibited traces of Si and the counterfeit files traces of Ni and Cr. (no calorimetry study was
performed). Conclusions: The lack of ISO standardization of counterfeit files and their
diffeƌĞŶƚƐƵƌĨĂĐĞƐƚƌƵĐƚƵƌĞĂŶĚŝƌƌĞŐƵůĂƌŝƚŝĞƐŵĂŬĞƚŚĞŝƌĐůŝŶŝĐĂůƵƐĞƚŽďĞŶŽƚƐĂĨĞ͘/ƚ͛ƐǀĞƌǇ
important when buying files because at least in the Greek market well reputable dental
stores, probably without knowing, sell counterfeit ass genuine.
OP.038. ENDODONTIC COMPLICATIONS OF VITAL ABUTMENT TEETH
THODHORJANI A1, KONGO P2.

1
MSC-ALBANIAN UNIVERSITY
2
PROF. DR-ALBANIAN UNIVERSITY
Options for replacing missing teeth in recent years have increased a lot especially with the
increase of the quality of implants. But classic fixed prosthetic is used mostly in daily practice
in our country. Preparation of vital tooth for fixed restorations increases the risk of pulpal
damage. Aim The aim of this paper is to assess the impact of restorative procedures on vital
tooth by studying radiological data. Material and methods The material consisted in 215
panoramic x-rays with fixed prosthetic prosthesis presented during the 2014-2015 at the
Albanian University Clinic. Results In 215 panoramic were found 233 frontal teeth and 310
molars vital. Without periapical changes incisors 187 (80.2%) and 277 (89.3%) molars.
Discussion The highest percentage of complications noted at the frontal region due to the
smaller thickness of the layer of dentin compared with molars. Conclusions To prevent late
complications clinicians should carefully assess thickness of hard tissue, the patient's age
and tooth position in the arch.
OP.039. EFFICIENCY OF MULTIPLE AND SINGLE CONE TECHNIQUES
IN OVAL SHAPED CANALS
ARI S1, SONAT B2, YILMAZ F1.

1
DDS, PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF ENDODONTICS
2
PROFESSOR-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF ENDODONTICS
Introduction: Oval canals create great challenges during the instrumentation and obturation
of root canal treatment. This study compared the effectiveness of multiple and single cone
techniques for oval- shaped canals Materials and Methods:42 premolars with oval-shaped
canals were selected in this study.The roots were instrumented with ProTaper rotary files
and randomly divided into 2 groups. The first group was filled with the lateral condensation
technique and the second group was filled using the single-cone techniques. All specimens
ǁĞƌĞƐƚŽƌĞĚĂƚϯϳǑĂŶĚϭϬϬйŚƵŵŝĚŝƚǇĨŽƌϭǁĞĞŬƚŽĐŽŵƉůĞƚĞƐĞƚƚŝŶŐŽĨsealers. Crowns
were separated from cementoenamel junction and embedded in acrylic resin.Horizontal
root sections were cut 2, 4 and 6mm from the apex and examined under a stereomicroscope
and digital images were taken. The area occupied by the gutta-percha and total canal area
were measured using ImageJ Software and the ratio of these 2 values was calculated as
percentage.The data weƌĞ ĂŶĂůǇǌĞĚ ƵƐŝŶŐ <ƌƵƐŬĂů tĂůůŦƐ , ĂŶĚ DĂŶŶ-Whitney U test.
Results: There was no significant difference between the groups at 4mm and 6mm (p >0.05).
But the single-cone group produced significantly greater percent gutta-percha filled area at 2
mm from the apex (p <0.05). Conclusions: In this study it is found that single-cone technique
may yield better filling in oval shaped root canals at a level 2 mm from the apex.
OP.040. INFLUENCE OF FIBER ON FRACTURE STRENGTH OF

ENDODONTICALLY-TREATED TEETH
TEKCE N1, TUNCER S2, DEMIRCI M3.

1
DDS,PHD-hE/sZ^/dzK&<K>/͕&h>dzK&Ed/^dZz͕WZdDEdK&Z^dKZd7s
Ed7^dZz
2
DDS,PHD-hE/sZ^/dzK&/^dEh>͕&h>dzK&Ed/^dZz͕WZdDEdK&Z^dKZd7s
Ed7^dZz
3
DDS, MSC, PHD-UNIVERSITY OF ISTANBUL, FACULTY OF DENTISTRY,DEPARTMENT OF
RESTORd7sEd7^dZz
Purpose:The aim of this study was to to compare polyethylene ribbon fiber-reinforcement

composites with short fiber-reinforced compositeandthe effectiveness of polyethylene
ribbon fiber according to therestorative materials used (low-viscous bulk-fill composite,
high-viscous flowable composite or conventional paste composite). Materials and Methods:
Fifty molars were divided into five groups; (groups 1) Ribbond-reinforced Surefil-SDR; (group
2) Ribbond-reinforced G Aenial Flo; (group 3) Ribbond-reinforced G Aenial Posterior; (group
4) short fiber-reinforced composite everX Posterior; (group 5) intact teeth. Ribbond was
adopted to cavity walls by impregnating an adhesive and using a flowable composite and
polymerized directly using a light-curing-unit. Results: Polyethylene ribbon fiber-reinforced
groups (groups 1-3) and short fiber-reinforced composite group (group 4) displayed similar
results. Polyethylene ribbon fiber can be used safely under 4ʹmm bulk-filled composites.
Conclusion: Ribbond-reinforced low-viscous bulk-fill, high-viscous flowable, and
OP.041. ENDODONTIC TREATMENTS OF TEETH WITH DIFFERENT

CANAL MORPHOLOGY
Pb,7E1, YILMAZ F2͕PdED3.

1
DDS-E<ZhE7sZ^7dK&Ed7^dZz&h>dzWZdDEdK&EKKEd7
2
DDS, PHD-E<ZhE7sZ^7dK&Ed7^dZz&h>dzWZdDEdK&EKKEd7
3
DDS,PHD,PROFESSOR-E<ZhE7sZ^7dK&Ed7^dZz&h>dzWZdDEdK&
EKKEd7
Endodontic treatments of teeth with different canal morphology Introduction: A complete

knowledge of the root canal anatomy and its variations teeth becomes an essential
prerequisite to achieving the objectives of access, thorough cleaning, disinfection, and three-
dimensional obturation of the pulp space. Variations in the form of aberrant canal
configurations, accessory canals, bifurcation, isthmuses, and anastomoses are often difficult
to identify, thus creating a problem for endodontic treatment. Failure to recognize and treat
an extra canal might provide a constant source of irritation, thereby compromising the long-
term success of the root canal therapy. Case Report: This case series presentation shows the
importance of diagnosis and treatment of complex endodontic cases such as; Mandibular
premolar tooth with 3 canals, two rooted mandibular canine and lateral teeth and c canal.
Conclusion: Accurete diagnos is very important to correct and successful root canal
treatment. Also usage of dental operating microscope may be a preferable diagnostic
method in several endodontic cases to find extra root canal access.
OP.042'(17$/&25386$1(:'9,78$/$33/,&$7,21)25
DENTAL ANATOMY EDUCATION
MAZINIS E1, LAMBRIANIDIS T2.

1
DDS, PHD-ARISTOTLE UNIVERSITY OF THESSALONIKI
2
DDS, PHD, PROFESSOR OF ENDODONTOLOGY A.U.TH-ARISTOTLE UNIVERSITY OF
THESSALONIKI
Introduction. The thorough knowledge of tooth anatomy is fundamental in dental education

as it is the basis for the clinical training of students. With the development of sophisticated
computer imaging technology, the creation of 3D interactive images of teeth was enabled.
WƵƌƉŽƐĞ͘ dŽ ŝŶƚƌŽĚƵĐĞ ĞŶƚĂů ŽƌƉƵƐΞ͕ ĂŶ ŝŶŶŽǀĂƚŝǀĞ ϯ ĂƉƉůŝĐĂƚŝŽŶ͕ ƚŚĂƚ ĐŽŶƐƚŝƚƵƚĞƐ Ă
useful tool in teaching of dental anatomy. This application is available for desktop
computers, tablets and smartphones in all platforms (iOS, Android and Windows). Materials
and Methods. Photorealistic 3D models of each tooth were created in a 3D modeling
program. Root and surface morphology was based on the current literature and anatomy
textbooks. For each tooth, various data as: anatomical landmarks, development and
dimensions were used, along with quality photos of extracted teeth, x-rays, illustrations and
a full review of the bibliography. Results. All recent research suggests that learning is more
efficient when teaching is enriched through the utilization of interactive medical images
rather than using traditional presentations and lectures. Additionally, the majority of
students are familiar with new interactive touchscreen technology, making this teaching
application even more user-friendly. Conclusions. The use of 3D, virtual and augmented
reality technology has changed the way that a contemporary student receives information.
ĞŶƚĂů ŽƌƉƵƐΞ͕ ƚŚŝƐ ŶĞǁůǇ ĚĞǀĞůŽƉĞĚ ĂƉƉůŝĐĂƚŝŽŶ͕ ŚĂƐ ƚhe potential to enhance the
traditional learning process by combining it with new technology.
Session 9
OP.043. USE OF E-CIGARETTE, KNOWLEDGE AND PERCEPTIONS OF
STEAMING AMONG GREEK UNIVERSITY STUDENTS
APOSTOLOGLOU V1, FRAGKIOUDAKIS I2, TOPITSOGLOU V3, PANTELIDOU O4.

1
DENTIST-ARISTOTLE UNIVERSITY OF THESSALONIKI,SCHOOL OF DENTISTRY, DEPARTMENT
OF PREVENTIVE DENTISTRY , PERIODONTOLOGY AND IMPLANT BIOLOGY;IOANNIS
2
UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI,SCHOOL OF
DENTISTRY, DEPARTMENT OF PREVENTIVE DENTISTRY , PERIODONTOLOGY AND IMPLANT
BIOLOGY
3
VASILIKI TOPITSOGLOU-ASSOCIATE PROFESSOR-ARISTOTLE UNIVERSITY OF
THESSALONIKI,SCHOOL OF DENTISTRY, DEPARTMENT OF PREVENTIVE DENTISTRY ,
PERIODONTOLOGY AND IMPLANT BIOLOGY
4
ASSOCIATE PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI,SCHOOL OF DENTISTRY,
DEPARTMENT OF ENDODONTICS;--
Use of E-cigarette, Knowledge and Perception of steaming among Greek university students.
Abstract Introduction: Electronic cigarette was first released in 2007 and since then the habit
of steaming has been very common among the youth. Numerous studies do underline the
harmful effects of tobacco to oral health. However there is only few literature data about
the influence of e-smoking liquids to oral cavity and health in general.Purpose:The aim of
this study was to investigate the prevalence of e-cigarette use among undergraduate
students of Aristotle University of Thessaloniki and their perceptions about the effect of
steaming to their oral health.Method and materials:A 22 item questionnaire was built
containing multiple choice questions following a 5 grade Likert scale.The questionnaire
consisted of 3 parts regarding personal data, oral health data and smoking habits and
ƉĞƌĐĞƉƚŝŽŶƐ͘ɈŚĞ ƐƚƵĚǇ ƐĂŵƉůĞ ŝŶĐůƵĚĞĚ ƵŶĚĞƌŐƌĂĚƵĂte students of two schools.The first
group did provide knowledge of biology while the other did not. The questionnaire was
uploaded in an electronic platform, a link to which was send to the students via their
institutional account.Results: The study group consisted of students from 7 different
departments : School of Dentistry, Medicine, Pharmaceutics, Veterinary, Economical
sciences, Political sciences and Journalism.Descriptive statistics and inferential statistics
revealed no significant differences in the use of e-cigarette between the gender, the age
group and the knowledge in the field of biology. Conclusion: E-cigarette use is not that
prevalent among the University students. The vast majority is unaware of the implications of
E-cigarette to the oral cavity.
OP.044. RELATIONSHIP BETWEEN PERIODONTAL FINDINGS AND
6(580,1)/$00$725<0$5.(56,1785.,6+*5$18/Ʊ0$726,6
WITH POLYANGIITIS PATIENTS
GmRBmZ S1, KURTULUbP2, KmmK H3, ORDUYILMAZ F4, GPKER B5.

1
DR. -GAZI UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PERIODONTOLOGY
2
PROF. DR. -GAZI UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PERIODONTOLOGY
3
DR.-GAZI UNIVERSITY, FACULTY OF MEDICINE DIVISION OF RHEUMATOLOGY, DEPARTMENT
OF INTERNAL MEDICINE
4
DR.-GAZI UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PERIODONTOLOGY
5
PROF.DR.-GAZI UNIVERSITY, FACULTY OF MEDICINE DIVISION OF RHEUMATOLOGY,
DEPARTMENT OF INTERNAL MEDICINE
Background: Granulamatosis with polyangiitis(GPA) is a potentially life-threatening disease,

characterized by vasculitis of small vessels. The involvement of strawberry-like gingivitis,
although rare, is the pathognomonic oral sign of GPA. Methods and Materials: Twenty-one
'W ƉĂƚŝĞŶƚƐ;ϭϰ ŵĂůĞƐ͕ ŵĞĂŶ ĂŐĞ ϱϮ͕ϭцϭϯ͕ϵ ǇĞĂƌƐͿ ƐĞĞŶ Ăƚ ƚŚĞ 'Ăǌŝ hŶŝǀĞƌƐŝƚǇ
Rheumatology Clinic were studied. The American College of Rheumatology and Chapel Hill
Consensus Conference criteria were used for the diagnosis of GPA. Information on
demographics, plaque index(PI), gingival index(GI), gingival recession(GR), clinical
attachment level(CAL), probing depth(PD) and sulcular bleeding(SB) were recorded. Clinical
features and serum C-reactive protein(CRP), white blood cells(WBCs) counts were obtained
from medical records. Disease activity of GPA was calculated using Birmingham vasculitis
activity index/GPA(BVAS/GPA). Periodontal condition was evaluted in 2 groups:Gingivitis
group and periodontitis group. Relationship between periodontal condition and severity of
the disease was evaluated. Results:Eleven GPA patients(52%) were diagnosed with the
periodontitis and ten patients(48%) had gingivitis. Significantly higher values for PD and GR
were observed in periodontitis group compared to gingivitis group. Moreover, gingivitis
group had significantly lower BVAS score, serum CRP and WBCs compared to periodontitis
group. There were positive correlations between BVAS and PI[(p=0,036),(r=0,46)],
GI[(p=0,04),(r=0,45)] and GR[(p=0,008),(r=0,58)]. Conclusion: Our results suggest that
periodontal status may be related to GPA course. Those with periodontitis tend to have
higher disease activity compared to those with gingivitis. We can speculate that
periodontitis might be contributing to systemic inflammatory process in GPA. Further
studies are needed to investigate if the treatment of periodontal condition effects the
course and prognosis of GPA.
OP.045. EFFECTS OF PLAQUE DISCLOSING TABLETS ON PLAQUE

REMOVAL AND GINGIVAL STATUS IN ORTHODONTIC PATIENTS
YAVAN MA1, 'PzDED2, MOURAD D3͕PD7Z^4.

1
DOCTOR-ADIYAMAN UNIVERSITY,FACULTY OF DENTISTRY,DEPARTMENT OF ORTHODONTICS
2
ASSISTANT PROFERSSOR-GAZIANTEP UNIVERSITY,FACULTY OF DENTISTRY,DEPARTMENT OF
ORTHODONTICS
3
DENTIST-GAZIANTEP UNIVERSITY,FACULTY OF DENTISTRY,DEPARTMENT OF ORTHODONTICS
4
DENTIST-GAZIANTEP UNIVERSITY,FACULTY OF DENTISTRY,DEPARTMENT OF
ORTHODONTICS;--
Objectives: The aim of this study was to investigate the effects of using plaque disclosing
tablets on plaque and gingival index scores in patients wearing fixed orthodontic appliances.
Material-Methods: This study was conducted as a double blinded and randomize clinical
trial. 48 patients in age range of 12-18 years, who need fixed orthodontic treatment were
randomly distributed to 3 groups. In group A (n=16), the subjects were motivated by
conventional oral hygiene instructions including verbal information about tooth brushing,
demonstration on model and self-application by patients; patients in group B (n=17) were
motivated by plaque disclosing tablets to show the location of the biofilm at chair in addition
to same instructions of group A. Those in group C were (n=15) given disclosing tablets for
use at home 1 times in 2 days besides same motivation techniques in group B. Periodontal
parameters were recorded at each appointment during a 3-month follow-up. Results: The
plaque index scores of group C were significantly lower (p<0,05) compared with group A and
B after first (T2) and third months (T3), however no significant differences (p>0,05) were
found between group A and ͘'ŝŶŐŝǀĂůƐƚĂƚƵƐŽĨŐƌŽƵƉĚŝĚŶ͛ƚĐŚĂŶŐĞƐŝŐŶŝĨŝĐĂŶƚůǇ;ƉхϬ͕ϬϱͿ
during three months and statistically lower compared with group A and B. Conclusion: Using
plaque disclosure tablets at home increased efficiency of plaque removal and stability of
gingival health by means of self-examination at home.
OP.046. ASSOCIATION BETWEEN BAD ORAL HABITS AND

MALOCCLUSION IN MONOZYGOTIC TWINS
KORUYUCU M1͕<^/DK)>hzϭ͕h^2, BAHAR TUNA E3, SEYMEN F4.

1
RESEARCH ASISTANT DR.-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PEDODONTICS
2
DOCTORATE STUDENT -ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PEDODONTICS
3
ASSOCIATE PROFESSOR -ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PEDODONTICS
4
PROFESSOR DOCTOR-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PEDODONTICS
Background: The ratio of bad habits and malocclusion is an important issue in terms of early
treatment of disorders of the craniofacial and skeletal growth. Aim: The aim of this study is
to evaluate the association between bad oral habits and malocclusion in monozygotic twins.
DĞƚŚŽĚƐ͗dŚĞƐĂŵƉůĞĐŽŶƐŝƐƚĞĚŽĨϱϭƉĂŝƌƐŽĨŵŽŶŽǌǇŐŽƚŝĐƚǁŝŶƐ;ŵĞĂŶĂŐĞϵ͘ϳϲцϮ͘ϵ͕ƌĂŶŐĞ
5-15) who were attending to the Istanbul University Faculty of Dentistry, Department of
Pedodontics. In clinical examination, children were evaluated regarding with bad oral habits
such as pacifier sucking, bottle feeding, finger sucking, nail biting, mouth breathing, tongue
trust and bruxism. These findings were compared between their malocclusions (molar
occlusion, canine occlusion, openbite, crossbite, deepbite, overjet and midline shift) and
recorded. Differences between the groups were statistically analyzed using the Kruskall
Wallis, Mann-Whitney U and Chi-square tests. Results: There was no significant difference
between malocclusion parameters and nail biting, mouth breathing and finger sucking
(p>0.05). Tongue trust and openbite (p=0.027), bruxism and overjet (p=0.031), bruxism and
midline shift (p=0.021), pacifier sucking and deepbite (p=0.049), bottle feeding and molar
malocclusion (p=0.005), bottle feeding and deepbite (p=0.048) were found significantly
associated. There was no statistical difference in all parameters between siblings.
Conclusion: Studying twins is a simple and powerful way to incorporate a genetic
perspective into epidemiologic studies of common diseases. Early diagnosis of the bad oral
habits by dentists and applying the adequate therapy in cooperation with other disciplines
will help the child to quit oral habits and may prevent the maloclussions.
OP.047. THE INTERDISCIPLINARY MANAGEMENT OF HYPODONTIA:

ORTHODONTICS
^dK:EKs/>͕GALLUCCIO G.
ORTHODONTICS-HEALTH CENTER, VELIKA PLANA, SERBIA

DEPARTMENT OF ORTHODONTICS, SCHOOL OF DENTAL MEDICINE, UNIVERSITY OF
BELGRADE, SERBIADEPARTMENT OF ORTHODONTICS, SCHOOL OF DENTAL MEDICINE,
UNIVERSITY OF ROME LA SAPIENZA, ITALY
Orthodontics The range of problems that can present in patients with hypodontia is
enormous and each case should be considered on its own merits and discussed fully within
the interdisciplinary team. In many cases of hypodontia, orthodontic treatment can greatly
facilitate any restorative treatment, or sometimes even eliminate the need for it.
Orthodontic treatment for patients with congenitally missing teeth is a challenge to effective
treatment planning. The reduced number of lateral incisors is of particular significance for
aesthetics. In most cases, the necessity of performing orthodontic-prosthetic treatment is a
basic requirement, especially for the patients combining hypodontia with changes in the
shape and size of available teeth and dental-jaw discrepancy. These morphological changes
ŝŶ ƚŚĞ ĚĞŶƚŝƚŝŽŶ ĂƌĞ ƚŚĞ ŵŽƐƚ ĐŽŵŵŽŶ ƉĂƚŝĞŶƚ͛Ɛ ŵŽƚŝǀĞ ĨŽƌ ƵŶĚĞƌƚĂŬŝŶŐ ŽƌƚŚŽĚŽŶƚŝĐ
treatment. There are 3 possible treatments when upper lateral incisors are missing: (a) to
close the spaces by moving the posterior teeth forward, the canines will replace the lateral
ŝŶĐŝƐŽƌƐ ĂŶĚ ƚŚĞ ƉƌĞŵŽůĂƌƐ ǁŝůů ƌĞƉůĂĐĞ ƚŚĞ ĐĂŶŝŶĞƐ ĂŶĚ ƚŚĞ ƚĞĞƚŚ ǁŝůů ďĞ ͞ŵŽĚŝĨŝĞĚ͟ Žƌ
reshaped accordingly, (b) to open the spaces and replace the missing teeth prosthetically
and the prosthetic options are the installation of a dental implant, a bridge (butterfly or
conventional bridge) or the use of a removable partial prosthesis, (c) a combination of both:
opening on one side and closing on the other side. Each option of treatment described
previously offers benefits and disadvantages and each can be esthetically and functionally
successful under certain conditions.
Session 10
OP.048. INFLUENCE OF PASTE CONTAIN CASEIN PHOSPHOPEPTIDE
- AMORPHOUS CALCIUM PHOSPHATE ON ENAMEL AROUND
ORTHODONTIC APPLIANCES
ZABOKOVA-BILBILOVA E1, SOTIROVSKA-IVKOVSKA A1, GEORGIEV Z1, KOKOCEVA-IVANOVSKA

O1, STEVANADJIJA J2.
1
DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY, FACULTY OF DENTISTRY
2
PHI HEALTH CENTER, PRILEP, FYR MACEDONIA
KƌƚŚŽĚŽŶƚŝĐ ƚƌĞĂƚŵĞŶƚ ǁŝƚŚ Ă ĮǆĞĚ ĂƉƉůŝĂŶĐĞ ŵĂǇ ďĞ ĐŽŵƉĂƚŝďůĞ ǁŝƚŚ ĂŶ ŝŶĐƌĞĂƐĞĚ
incidence of caries. The purpose of this study to evaluate the preventive effects of a topical
application with pastes containing casein phosphopeptide-amorphous calcium fluoride
phosphate (CPP-ACFP) on enamel around orthodontic brackets. In this in vitro study were 60
healthy extracted third molar without any clinical sign of decalcification were selected. All
teeth were cut in half, thus the control and test specimens were obtained from the same
teeth. The teeth were divided in two groups according to the period of monitoring (one and
three months). Orthodontic brackets were bonded with a resin-modified glass ionomer
cement. Then, they were coated with topical gel CPP-ACFP each day and stored in artificial
saliva until analysis. Determination of the Ca in the enamel was done by flame atomic
absorption spectrometry. The results obtained in this study refer to high percentage of Ca in
enamel in the study group for the first examined period. The percentage of Ca in enamel
were remarkably higher after one month from application of pastes contain CPP-ACFP. The
finding form from this in vitro study indicate that fluoride-releasing adhesives may inhibition
enamel decalcification adjusted orthodontic brackets during the examined period, by
forming a protective deposit of calcium fluoride-like particles on the enamel surface. Kay
words: enamel, bracket, prevention
OP.049. ADHESION OF DENTAL PORCELAIN TO LASER FUSED

COBALT-CHROMIUM ALLOYS
EKREN O1, OZKOMUR A1, UCAR Y1.

1
DR.-CUKUROVA UNIVERSITY
Adhesion of Dental Porcelain to Laser-fused Cobalt-chromium Alloys Background: To

evaluate the bond strength of dental porcelain to metal frameworks fabricated using
different layered manufacturing techniques (DMLS and DMLM), Co-Cr alloy powders and
layer thicknesses Methods and Materials: Bar-shaped metal specimens were manufactured
using either DMLS or DMLM (n=15). The powder alloys used were Keramit NP-S and Cobalt-
Chrome SP-Ϯ ǁŝƚŚ ϮϬђŵ ĂŶĚ ϯϬђŵ ůĂǇĞƌ ƚŚŝĐŬŶĞƐƐ͘ ĞŶƚĂů ƉŽƌĐĞůĂŝŶ ǁĂƐ ĂƉƉůŝĞĚŽŶ Ž-Cr
bars. Porcelain bond strength was evaluated by three-point-bending test according to ISO
9693 (2012). 3-way ANOVA followed by Tukey HSD test were used for statistical analysis
;ɲс͘ϬϱͿ͘ ^D- EDS analysis was conducted in order to evaluate any correlation between
ceramic remnants on metal surface and bond strength values. Results: The mean bond
strength value of the specimens manufactured using DMLS was significantly higher than the
mean bond strength value manufactured using DMLM. While there was no statistically
significant difference between layer thicknesses, alloy powders closely affects bond strength
of porcelain to metals. Statistical comparisons revealed that highest bond strength could be
achieved with DMLS-Cobalt-Chrome SP2-ϮϬђŵƐƵďŐƌŽƵƉĂŶĚƚŚĞůŽǁĞƐƚďŽŶĚƐƚƌĞŶŐƚŚǁĂƐ
observed in DMLS-Keramit NP-S-ϮϬђŵ ƐƵďŐƌŽƵƉ ƐŚŽǁŝŶŐ ƐƚĂƚŝƐƚŝĐĂůůǇ ƐŝŐŶŝĨŝĐĂŶƚ ĚŝĨĨĞƌĞŶĐĞ
;Ɖч͘ϬϱͿ͘EŽĐŽƌƌĞůĂƚŝŽŶǁĂƐĨŽƵŶĚďĞƚǁeen porcelain remnants on metal surface and bond
strength values. Conclusions: The selected manufacturing device and the powder alloy
significantly affect metal-ceramic bond strength, while no difference was observed between
ϮϬʅŵĂŶĚϯϬʅŵůĂǇĞƌƚŚŝĐŬŶĞƐƐes. There is no correlation between the metal-ceramic bond
strength and the ceramic remnants on metal surface
OP.050. WATER SORPTION AND SOLUBILITY OF ADHESIVE RESIN

CEMENTS
GUNDOGDU M1, ALKURT M2, GUNDOGDU E3, YESIL DUYMUS Z4.

1
ASSISTANT PROFESSOR-AddmZ<hE/sZ^/dz͕&h>dzK&Ed/^dZz͕WZdDEdK&
PROSTHODONTICS, ERZURUM, TURKEY
2
ASSISTANT PROFESSOR-ZWdzz7WZK)EhE/sZ^/dz͕&h>dzK&Ed/^dZz͕
WZdDEdK&WZK^d,KKEd/^͕Z7͕dhZ<z
3
PHD. STUDENT-ddmZ<hE/sZ^/dz͕&h>dzK&D//E͕WZdDEdK&D/>
BIOCHEMISTRY, ERZURUM, TURKEY
4
PROFESSOR-ZWdzz7WZK)E UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
K&WZK^d,KKEd/^͕Z7͕dhZ<z͖EhZ/<E-PROFESSOR-ddmZ<hE/sZ^/dz͕
FACULTY OF MEDICINE, DEPARTMENT OF MEDICAL BIOCHEMISTRY, ERZURUM, TURKEY
BACKGROUND: THE CLINICAL BEHAVIOR OF ADHESIVE RESIN CEMENTS MAY BE AFFECTED

BY POLYMERIZATION TYPE. THE PURPOSE OF THE PRESENT STUDY WAS TO EVALUATE THE
EFFECT OF POLYMERIZATION TYPE ON WATER SORPTION AND SOLUBILITY OF ADHESIVE
RESIN CEMENTS. METHODS AND MATERIALS: THREE SELF-ETCH ADHESIVE RESIN CEMENTS
(PANAVIA, DUO-LINK, CLEARFIL) AND TWO SELF-ADHESIVE RESIN CEMENTS (RELYX
AUTOMIX, MAXCEM ELITE) WERE TESTED IN THE PRESENT STUDY. A TOTAL OF 24
SPECIMENS WERE PREPARED FOR EACH ADHESIVE RESIN CEMENT AND DIVIDED INTO 3
GROUPS ACCORDING TO THE POLYMERIZATION TYPE USED: SELF-CURING, LIGHT-CURING
(MANUFACTURER INSTRUCTIONS AS CONTROL), AND DOUBLE LIGHT-CURING. THE WATER
SORPTION AND SOLUBILITY WERE DETERMINED ACCORDING TO ISO 4049:2009. DATA WERE
ANALYZED WITH A 2-WAY ANALYSIS OF VARIANCE, AND THE POST-HOC TAMHANE TEST
;ɲсϬ͘05). RESULTS: THE WATER SORPTION AND SOLUBILITY WAS SIGNIFICANTLY DIFFERENT
AMONG THE ADHESIVE RESIN CEMENTS (P<0.05). MAXCEM ELITE HAD THE HIGHEST WATER
SORPTION VALUES (P<0.05), WHILE CLEARFIL HAD THE LOWEST VALUES (P<0.05).
CONCERNING THE WATER SOLUBILITY, THE HIGHEST MASS LOSS WAS NOTED FOR MAXCEM
ELITE. DUO-LINK AND RELYX AUTOMIX HAVE EXHIBITED NEGATIVE SOLUBILITY; PANAVIA,
CLEARFIL, AND MAXCEM ELITE POSITIVE SOLUBILITY. NO SIGNIFICANT DIFFERENCES WERE
NOTED AMONG THE POLYMERIZATION TYPE (P>0.05). CONCLUSION: THE WATER SORPTION
AND SOLUBILITY OF RESIN CEMENTS WERE IN ACCORDANCE WITH ISO REQUIREMENT,
EXCEPT MAXCEM ELITE FOR WATER SORPTION. THE POLYMERIZATION TYPE DID NOT
AFFECT THE WATER SORPTION AND SOLUBILITY.
OP.051. EVALUATION OF DENTINAL DEFECTS DURING ROOT CANAL
PREPARATION USING THERMOMECHANICALLY PROCESSED NI-TI
FILES
KESIM B1͕^)Ê2, ASLAN T3.

1
ASSISTANT PROFESSOR-MERSIN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
ENDODONTICS
2
PROFESSOR-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ENDODONTICS
3
ASSISTANT PROFESSOR-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
ENDODONTICS
Abstract Background: The aim of this study was to compare the incidence of root cracks
after root canal instrumentation with thermomechanically processed Ni-Ti files with
different instrumentation kinematics. Materials and methods:150 extracted mandibular
premolars with mature apices and straight root canals were divided into 5 groups and used
in this study. In group 1, thirty teeth were prepared by using hand K files and assigned to
control group, group 2 was instrumented by using K3XF rotary files (SybronEndo, Glendora,
CA) with continuous rotary motion. The teeth in group 3 were instrumented by ProTaper
Next (Dentsply Maillefer, Ballaigues, Switzerland) rotary files which make asymmetric rotary
motion, In group 4, teeth were instrumented by Reciproc (VDW, Munich, Germany) with
reciprocation motion and in group 5, teeth were instrumented by Twisted File Adaptive
(SybronEndo, Orange, CA) files that use combination of continuous rotation and
reciprocation motion (n=30/per group). All the roots were horizontally sectioned 3 mm, 6
mm and 9 mm from the apex with a low speed saw under water cooling. Then the slices
were examined through a stereomicroscope to determine the presence of dentinal
microcracks. Results:For the apical (3-mm) and coronal (9-mm) sections, the ProTaper Next
and TF Adaptive produced significantly more cracks than the hand files, Reciproc, and K3XF
(p < 0.05). Conclusions: Within the limitations of this in vitro study, all thermal-treated Ni-Ti
instruments and hand files caused microcracks in root canal dentin.
OP.052. EVALUATION OF DENTAL STATUS VIA BODY MASS INDEX
CESUR AYDIN K1, TEKIN A2.

1
ASSIST PROF DR-ISTANBUL MEDIPOL UNIVERSITY SCHOOL OF DENTISTRY
DENTOMAXILLIFACIAL RADIOLOGY
2
SPECIALIST DT-ISTANBUL MEDIPOL UNIVERSITY SCHOOL OF DENTISTRY
DENTOMAXILLIFACIAL RADIOLOGY
Background: Increasing BMI is known to be in association with periodontal diseases. Also,

ascendence of the number of tooth loss and decay may be observed. In this study we aimed
to distinguish different dental or medical parameters of patients within different BMI
ƐƵďĐůĂƐƐĞƐ͘DĂƚĞƌŝĂůĂŶĚDĞƚŚŽĚ͗ϱϯϵƉĂƚŝĞŶƚƐĂƚƚĞŶĚŝŶŐ7ƐƚĂŶďƵůDĞĚŝƉŽůhŶŝǀĞƌƐŝƚǇ͕^ĐŚŽŽů
of Dentistry, Department of Dentomaxillofacial Radiology have attended the study.
Following routine dental and radiographic evaluation, BMI measures of whole patients were
taken. Gender, marital status, BMI subgroup, cigarette and alcohol consumption,
educational status, time of last dental visit, time of recent calculus removement, type of
toothbrush, interval of brushing, planned periodontal therapy, diabetes/ hypertension as
risc factors were determined as questionnaire. Mean periodontal pocket depth, mean
gingival index, number of missing/ decayed/ endodontic needed and extraction planned
teeth were analysed via BMI subgroups. Results: With incresing age, female gender and
married marital status obesity tendency ascends and with higher education levels obesity
tendency descends. Overweight and obese patients have more tendency for diabetes and
hypertension. As for dental status and needs, overweight and obese patients have higher
mean periodontal pocket depth and mean gingival index. Thin and normal BMI patients are
more apt for dental calculus removement and overweigt and obese patients need more
curettage and flap operations. Conclusion: Increasing BMI is found to be related with age,
gender, marital status, education status, and effects periodontal health.
OP.053. MESENCHYMAL STEM CELLS OBTAINED FROM

DENTAL/ORAL TISSUE - A REGENERATIVE FUTURE IN DENTISTRY
HOSIC Z1, KOBASLIJA S2, BAJRIC E3.

1
UNDERGRADUATE STUDENT -DENTAL FACULTY UNIVERSITY OF SARAJEVO
2
FULL PROFESSOR -DENTAL FACULTY UNIVERSITY OF SARAJEVO
3
ASSISTENT PROFESSOR -DENTAL FACULTY UNIVERSITY OF SARAJEVO
Stem cell therapy has a promising future for tissue regenerative medicine. However,
because stem cell technology is still in its infancy, interdisciplinary cooperation is needed to
achieve successful clinical applications. Mesenchymal stem cells can be obtained with ease
from dental/ oral tissue, making them an attractive source of autologous stem cells. Oral
MSCs include dental pulp stem cells (DPSCs), stem cells from exfoliated deciduous teeth
(SHED), stem cells from apical papilla (SCAP), periodontal ligament stem cells (PDLSCs) and
mesenchymal stem cells from gingiva (GMSCs). They offer a biological solution for restoring
damaged dental tissues such as vital pulp engineering, regeneration of periodontal ligament
lost in periodontal disease, and for generation of complete or partial tooth structures to
form biological implants. Dental mesenchymal stem cells share properties with
mesenchymal stem cells from bone marrow and there is a considerable potential for these
cells to be used in different stem ʹ cell ʹ based therapies, such as bone and muscle
regeneration. In addition, their immunosuppressive ʹ immunomodulatory properties make
these cells a suitable source for treating immunodisorders like systematic lupus
erythematosus. Gingival tissue might also be a very good source of epithelial cells used in
the treatment of severe ocular surface disorders. In this review, we give a brief description
of tooth development and anatomy, definiton and classification of stem cells, with special
attention on mesenchymal stem cells from dental/oral tissue.
Session 13
OP.054. EFFECT OF NON-SURGICAL PERIODONTAL TREATMENT ON
SERUM AND SALIVA RESISTIN LEVELS
KALKAN Y1, GURSOY M2, GURSOY UK3, KONONEN E4, DOGAN B5.
1
DDS.-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PERIODONTOLOGY
2
DDS. PHD-TURKU UNIVERSITY, INSTITUTE OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
3
ASSOC. PROF.-TURKU UNIVERSITY, INSTITUTE OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
4
PROF. DR.-TURKU UNIVERSITY, INSTITUTE OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
5
PROF. DR.-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
Background: Resistin, cysteine-rich protein, has important regulatory roles in inflammation

and correlates directly with type-2 diabetes mellitus (T2DM). This study aimed to evaluate
the effect of non-surgical periodontal therapy (NSPT) on serum and salivary resistin levels in
chronic periodontitis (CP) patients with and without T2DM. Materials and Methods: Eighty
participants were divided into 4 groups of 20 individuals each: systemically and periodontally
healthy (H), T2DM+H, CP, and T2DM+CP. The examination included plaque index, bleeding
on probing, gingival index (GI), probing depth (PD), clinical attachment level (CAL), glycated-
hemoglobin (HbA1c) and fasting-plasma-glucose (FPG) measurements in all groups at
baseline, and in CP and T2DM+CP groups 3 months after NSPT. Resistin levels in saliva and
serum samples were determined by the LuminexΠ-ǆDWΡ ƚĞĐŚŶŝƋƵĞ͘ ZĞƐƵůƚƐ͗ ƚ ďĂƐĞůŝŶĞ͕
salivary resistin levels were significantly (p<0.05) lower in the H group than in the other
groups, and serum resistin level was higher (p<0.05) in the T2DM+CP group than in the CP
group. After NSPT, GI was lower in the CP group than in the T2DM+CP group (p<0.05). In
addition, in both groups all clinical parameters improved significantly (p<0.05), but HbA1c
and FPG levels showed no change. Furthermore, resistin levels in serum, but not in saliva,
decreased significantly (p<0.05) in both CP and T2DM+CP groups after NSPT. Conclusions:
Despite the significant decrease in the serum resistin level after NSPT, the levels were
consistently higher in CP patients with T2DM than in those without diabetes.
OP.055. KERATINIZED TISSUE THICKNESS AS A PREDICTOR OF

ROOT COVERAGE IN CONNECTIVE TISSUE GRAFTS
KOCAK NA1, YETGIN YAZAR A2, YASAR GOKBUGET A3.

1
DR.-ISTANBUL UNIVERSITY, DENTISTRY, PERIODONTOLOGY
2
DR.-PRIVATE CLINIC, PERIODONTOLOGY
3
PROF.-WZ/sd>7E/͕WZ/KKEdK>K'z
Background This study is designed to compare the subepithelial connective tissue graft with
coronally advanced flap procedure in Miller Class I defects which previously grouped as
ŚĂǀŝŶŐ ĞŝƚŚĞƌ ͞ƚŚŝĐŬ͟ Žƌ ͞ƚŚŝŶ͟ ƉŚĞŶŽƚǇƉĞƐ ƚŽ ĞǀĂůƵĂƚĞ ƚŚĞ ƉŽƐƐŝďůĞ ĞĨĨĞĐƚ ŽĨ keratinized
ƚŝƐƐƵĞƚŚŝĐŬŶĞƐƐŽŶƌŽŽƚĐŽǀĞƌĂŐĞ͘DĞƚŚŽĚƐĂŶĚDĂƚĞƌŝĂůƐ/ŶďŽƚŚ͞ƚŚŝĐŬ͟;ϭϴƐƵďũĞĐƚƐͿĂŶĚ
͞ƚŚŝŶ͟;ϭϵƐƵďũĞĐƚƐͿŐƌŽƵƉƐ͕ƌĞĐĞƐƐŝŽŶĚĞĨĞĐƚƐǁĞƌĞƚƌĞĂƚĞĚǁŝƚŚƚŚĞƐĂŵĞƐƵƌŐŝĐĂůĂƉƉƌŽĂĐŚ͘
Plaque index (PI), gingival index (GI), recession depth (RD), recession width (RW) and width
of keratinized tissue (WKT) were recorded on baseline, 6. week, 3., 6., 9., and 12. months
respectively. Probing depth (PD), clinical attachment level (CAL), thickness of keratinized
tissue (TKT) of defects were recorded on baseline, 3., 6., 9. and 12. months. The percentage
of root coverage was measured on 3., 6. and 12. months. Palatal mucosa thickness
measurements were repeated on 6. and 12. months. Results Compared to baseline, there
was statistically significant decrease in CAL, RD and RW; and a significant increase in PD,
WKT and TKT in both groups (p<0,05). TKT was the highest on 3. month, decreased till 9.
ŵŽŶƚŚ ĂŶĚ ďĞĐĂŵĞ ƐƚĂďůĞ ƚŚĞŶ͘ ĐĐŽƌĚŝŶŐ ƚŽ ƉŚĞŶŽƚǇƉĞƐ͕ ŽŶůǇ ĚĞĨĞĐƚƐ ŽĨ ƚŚŝŶ ŐƌŽƵƉ͛Ɛ
baseline TKT was positively cŽƌƌĞůĂƚĞĚǁŝƚŚƚŚĞĂŵŽƵŶƚŽĨŐƌŽƵƉ͛ƐƌŽŽƚĐŽǀĞƌĂŐĞ͘ŽŶĐůƵƐŝŽŶ
Within the results of this study success of root coverage is influenced by a threshold
thickness of thin phenotype group. However; in order to speculate on an accurate flap
thickness further studies need to be done.
OP.056. SUBGINGIVAL REGIONS AS POTENTIAL RESERVOIR OF

CANDIDA SPP- PRESENCE AND METHODS OF SAMPLING
PUCAR A1, MATIC PETROVIC S2, CIMBALJEVIC M2, RADUNOVIC M3, KUZMANOVIC PFICER J3.
1
ASSOCIATED PROFESSOR-SCHOOL OF DENTAL MEDICINE UNIVERSITY OF BELGRADE
2
CLINICAL RESEARCHER-SCHOOL OF DENTAL MEDICINE UNIVERSITY OF BELGRADE
3
ASSISTANT-SCHOOL OF DENTAL MEDICINE UNIVERSITY OF BELGRADE
The presence of yeasts in periodontal tissues and their potential role in pathogenesis of
periodontitis have been documented lately. The purpose of this study was to detect Candida
spp. on the tongue and in subgingival sites in healthy and T2D patients with chronic
periodontitis (CP), and to compare the accuracy of sampling methods. This study included
145 patients divided into four groups: healthy control (group A), nondiabetics + CP (Group
B), diabetics with good metabolic control + CP (group C) and diabetics with poor
glycoregulation + CP (Group D). Cotton swab samples from tongue and subgingival samples
were obtained using sterile paper points and sterile curette. Swab cultures were made on
Sabouraud dextrose agar and than on ChromAgar media. The sampling methods for
subgingival plaque were compared by Receiving Operator Curve . Presence of subgingival
yeast were 29.5% at whole sample. Candida spp were more frequently detected in
subgingival samples at group D than in otheƌ ŐƌŽƵƉƐ ;ʖϮ͗ Ɖ ф Ϭ͘ϬϬϱͿ͘ ƚ ϭϱ͕ϭй ƐĂŵƉůĞƐ͕
Candida were detected in subgingival areas but not on the tongue. Candida albicans
monoinfection were the most common, followed by C.albicans+C.glabrata combination.
There was a significant difference in the sampling methods for subgingival plaque (p =
0.000). Candida spp is more prevalent in subgingival area of diabetics with poor metabolic
control than in healthy subjects or diabetics with good glycoregulation. The sampling of
subgingival plaque by sterile curette is more accurate than with paper points. Subgingival
plaque may represent reservoir of commensals.
OP.057. THE ROLE OF MENOPAUSE ON THE RELATION BETWEEN
HYPERLIPIDEMIA AND PERIODONTAL DISEASE
KEMER DOGAN ES1, DOGAN B1, YESIM KIRZIOGLU F2, FENTOGLU O3,
1
ASST. PROF.-MUSTAFA KEMAL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY, HATAY, TURKEY
2
PROF.-SULEYMAN DEMIREL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY, ISPARTA, TURKEY
3
ASSOC. PROF.-SULEYMAN DEMIREL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY, ISPARTA, TURKEY;--
Background: Impairment of the lipid metabolism could affect the periodontal disease and
increased oxidative stress may have a role on this relationship. Also, both lipid metabolism
and periodontal disease are affected by menopause. The aim of the present study was to
evaluate the role of menopause on the relation between hyperlipidemia and periodontal
disease via oxidative stress markers in saliva. Material and methods: Sixty-seven women
were enrolled in the study. Four groups were created as follows: 18 systemically healthy and
premenopause women (C), 16 patients with hyperlipidaemia and premenopause (H), 17
systemically healthy and postmenopause women (M), and 16 patients with hyperlipidaemia
and postmenopause (HM). Sociodemographics, periodontal and metabolic parameters and
saliva oxidative stress markers (myeloperoxidase [MPO] and 8-hydroxy-2'-deoxyguanosine
[8-OHdG]) were evaluated. Results: Serum lipid parameters were higher in group M and MH
comparing to group C. Linear regression analyses revealed that 8-OHdG levels increased in
groups H or M but the increase of probing pocket depth (PD) was only significant in group H
compared to group C. All evaluated periodontal parameters except plaque index were higher
in group MH. The togetherness of menopause and hyperlipidemia (group MH) increased the
levels of MPO and 8-OHdG in saliva, and PD and missed teeth compared to group H.
Conclusion: Although hyperlipidemia seems to be more efficient on periodontal disease than
menopause only, contribution of the menopause on hyperlipidemia strongly affected
periodontal disease and oxidative status. This situation should be considered on the studies
regarding periodontal disease and oxidative stress.
OP.058. STUDY REGARDING THE EFFECTS OF PERIODONTAL

MECHANICAL INSTRUMENTATION ON SUBSTANCE LOSS AND
SURFACE QUALITY
SOLOMON SM1, SUFARU IG1, FORNA D2, MARTU-STEFANACHE MA2, STOLERIU S3.
1
ASSOC.PROF. PHD-hDW,͞'Z/'KZd͘WKW͟/^/
2
ASSIST. PROF. PHD STUDENT-hDW,͞'Z/'KZd͘WKW͟/^/
3
LECTURER PHD-hDW,͞'Z/'KZd͘WKW͟/^/
Background: The aim of our study was to establish the level of calculus and dental tissue
loss, together with the quality of the dental root surface after the instrumentation
performed by three techniques applied in the causal treatment of the periodontal disease ʹ
the Gracey curettes, the ultrasonic scaler and the reciprocating systems with Periotor
inserts. Method and materials: The study was conducted on 33 extracted teeth by
periodontal pathological reasons which were randomly distributed in three sample groups:
group 1 (instrumentation with Gracey curettes), group 2 (ultrasonic piezoelectric scaling)
and group 3 (instrumentation with reciprocating system). The quantitative evaluation of
hard tissue loss after instrumentation was done by weighing each tooth before and after
performing the procedure. Samples were examined using ESEM and for each sample
micrographs were obtained in four magnifications Results: The greatest weight loss in the
samples was registered by Group 1 (Gracey curettes), but there were no statistically
significant differences between the mean values of the weights between the study groups.
Lowest scores were obtained by scaling with Periotor inserts followed closely by ultrasonic
scaling with perio-tips. Conclusion: The results of our study revealed the fact that the scaling
with the Periotor inserts was the least aggressive method, followed by the ultrasonic scaler
and the Gracey curettes. Using Periotor inserts for root surface scaling the root surface
morphology obtained is the most regular and even with fewest dentin denudation areas.
OP.059. COULD SYSTEMIC CONDITIONS HAVE AN EFFECT ON

CHRONIC PERIAPICAL INFLAMMATION?
KONSTANTOPOULOU C1, KOUKI M1, OIKONOMOU I2.

1
DDS-NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS
2
DDS, LECTURER OF ENDODONTOLOGY-NATIONAL AND KAPODISTRIAN UNIVERSITY OF
ATHENS
Background: Although the effect of systemic conditions on chronic periapical inflammation is

an interesting aspect faced nowadays by the scientific community, the relative studies are
quite few. Specific systemic diseases, genetic factors and acquired habits seem to create a
triad with the potential to influence chronic periapical inflammation. Methods and
Materials: A literature review has been prepared. Results: Hypophosphatemic vitamin D-
resistant rickets is associated with recurrent spontaneous abscess formation, which is often
the first manifestation of the disease. Diabetes mellitus is related both to higher prevalence
and greater size of periapical lesions and to worsen prognosis for root filled teeth.
Moreover, higher prevalence of radiographic periapical lesions was observed in liver
transplant candidates too. Diabetes, hypertension, coronary heart disease and thyroxine
therapy were found significantly associated with an increased risk of tooth extraction after
nonsurgical root canal treatment. The knowledge about the relationship between viral
infections and endodontic pathosis is still poor. Certain genetic polymorphisms may alter
ŚŽƐƚ͛ƐĚĞĨĞŶƐĞĂŶĚĂĐƚĂƐ ŝŶĨůĂŵŵĂƚŝŽŶŵŽĚŝĨŝĞƌƐ͘^ŵŽŬŝŶŐƐĞĞŵƐƚŽŚĂǀĞĂŶ ŝŶĨůƵĞŶĐĞŽŶ
the pathogenesis and prevalence of apical periodontitis. Conclusion: Various systemic
conditions may have an impact on chronic periapical inflammation. However, more
epidemiological studies, mainly prospective, are needed for thorough investigation of this
association. The existence, severity and response of the periapical lesions to treatment have
presented dentists with the possibility of contributing to the diagnosis of systemic diseases.
Session 14
OP.060. FRACTURE RESISTANCE OF ENDODONTICALLY TREATED
PREMOLARS RESTORED WITH DIFFERENT POSTS AND ZIRCONIA
OR METAL-CERAMIC CROWNS
MASTROGIANNI A1, TORTOPIDIS D2, GOGOS C3, KOIDIS P4.

1
POSTGRADUATE STUDENT-DEPARTMENT OF FIXED PROSTHESIS AND IMPLANT
PROSTHODONTICS, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI,
GREECE
2
ASSOCIATE PROFESSOR-DEPARTMENT OF FIXED PROSTHESIS AND IMPLANT
GREECE
3
ASSOCIATE PROFESSOR-DEPARTMENT OF ENDODONTOLOGY, SCHOOL OF DENTISTRY,
ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
4
PROFESSOR-CHAIRMAN-DEPARTMENT OF FIXED PROSTHESIS AND IMPLANT
GREECE
Aim. Longevity of endodontically treated teeth depends on several variables among which
post and crown type used. The aim of this study was to investigate the fracture strength of
endodontically treated premolars restored with two types of posts and monolithic zirconia
(MZ) or metal-ceramic (MC) crowns. Method-materials. Thirty intact freshly extracted
maxillary premolars were endodontically treated and randomly divided into three groups of
10 specimens each. Teeth in Group I received a resin filling in access hole (control), in Group
II had a 40% reduction of clinical crown and restored with glass-fiber posts and composite
cores, while in Group III after the same reduction restored with prefabricated metal posts
and composite cores. Group II received MZ crowns while Group III MC. Specimens were
embedded in acrylic resin and subjected to axial compression load into a universal testing
machine at a cross-head speed 1 mm/min, until fracture. Mean values were compared with
the Least Significant Difference criterion. Significance level of all hypotheses testing
ƉƌŽĐĞĚƵƌĞƐǁĂƐƉƌĞĚĞƚĞƌŵŝŶĞĚĂƐWчϬ͘Ϭϱ͘ZĞƐƵůƚƐ͘DĞĂŶĨƌĂĐƚƵƌĞůŽĂĚƐ;EͿǁĞƌĞϮϮϰ͕ϯϲĨŽƌ
Group I, 1422,85 for Group II and 2427,17 for Group III. MC crowns exhibited significant
higher fracture strength compared to both control and premolars restored with MZ crowns
(P<0.001). Conclusion. The presence of crown increases the fracture strength of premolars
irrespectivelly of the type of post and crown. Teeth restored with MC crowns and
prefabricated metal posts and composite cores exhibited greater fracture resistance than
the MZ crowns with glass-fiber posts and composite cores.
OP.061. MEASUREMENT OF RETENTION FORCE ON DOUBLE
CONICAL CROWN USING FINITE ELEMENT METHOD (FEM)
STANOJEVIC M1, STANCIC V2, MLADENOVIC I3, DOBRIKOVIC O4.

1
MSC, DDM-UNIVERSITY IN EAST SARAJEVO
2
PROF. DDM-UNIVERSITY BELGRADE
3
PHD. DDM-UNIVERSITY IN EAST SARAJEVO
4
DDM-DENTAL OFFICE STANOJEVIC
MEASUREMENT OF RETENTION FORCE ON DOUBLE CONICAL CROWN USING FINITE

ELEMENT METHOD (FEM) Retention force is a force that oposes forces that are trying to
elevate the prosthetic reconstuction from its base position. During the time many efforts
have been made do find the best solution. Among others one solution for establishing a
retention force is a double crown system. It started as a telescope system that hade some
shortcomings, so it was upgraded whit a conical double crown system. In this work we have
maesured a retention force on double conical crown whit the same angle, but changing the
material that we have used and a metod of fabrication of the outer conical crown. All the
results have been evaluated thru a Finite Element Method (FEM), on which we give the
emphasis. The idea is to use FEM on a regular basis for double crown assesment if it turns
out to be comparable to a real life experiment. We have used 3 differnt materials for the
outer crown ( titanium, gold and semyprecious alloys) and 3 different manufacturing
methods (prefabricated pices, CAD ʹCAM fabrication and casted pices). Results have shone
that casted gold, prefabricated titanium and CAD-CAM fabricated titanium showed the same
retentiv force, while prefabricated gold showed a biger retention force and the
semyprecious alloy showed the higest retention force. All this findings have been veryfied by
FEM. We have proven that FEM is a valid method in assesment of retention force on double
conical crowns, and can replace a costly real life experiment.
OP.062. AESTHETIC OUTCOME OF A MISSING TOOTH WITH

IMPLANT SUPPORTED CERAMIC RESTORATION: A CASE REPORT
OMUR DEDE D1, >7<1, TULGA A2, ONGOZ DEDE F3.

1
ASST.PROF.-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
2
PROF.-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PROSTHODONTICS
3
ASST.PROF.-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
Background: Achieving an optimal aesthetic outcome of a single-tooth implant supported

restoration has some challenges in aesthetic region. A satisfying aesthetic result may not
only depends on a visually pleasing prosthesis but also to natural surrounding peri-implant
soft tissue architecture and emergence profile. This case report describes a clinical
approach; customized ceramic abutment and restoration following a soft-tissue conditioning
with dynamic compression technique. Methods and materials: A 21 year old male patient
was referred to our clinic with aesthetic and functional problems because of missing
maxillary right central incisor. After detailed clinical and radiographically examinations, a
bone-level dental implant was inserted. After 2 months, peri-implant soft tissue
management procedure was performed with dynamic compression technique. Than the
created pleasing soft tissue profile has been transferred to the final master cast using an
individualized impression coping and CAD-CAM made customized ceramic restoration was
fabricated. Results: A satisfying aesthetic result was obtained and there was no complains
during 6 months follow-up. Conclusion: The dynamic compression technique with
provisional restoration is an ideal treatment option for single-tooth implant supported
restorations in aesthetic region, due to obtain a successful peri-implant soft tissue
architecture and emergence profile. Using ceramic restorative materials are also essential
for the natural appearance of this restorations. Keywords: Dental implant, dynamic
compression technique, emergence profile, custom abutment, ceramic material
OP.063. (9$/8$7ú212)7+(())(&72)&203/(7(5(029$%/(
'(1785(5(+$%ú/ú7$7ú2121(;75$25$/$(67+(7ú&
HAKKI C1, RAIF A2, ELIF K3.

1
^^7^dEdWZK&^^KZ-NECMETTIN ERBAKAN UNIVERSITY FACULTY OF DENTISTRY
2
^^7^dEdWZK&^^KZ-NECMETTIN ERBAKAN UNIVERSITY FACULTY OF DENTISTRY
DEPARTMENT OF PERIODONTOGY
3
RESEARCH ASSISTANT-NECMETTIN ERBAKAN UNIVERSITY FACULTY OF DENTISTRY
Objective: Lip and perioral region may be affected by many factors: including repetitive
muscle movements, maxillary and mandibular bone support, and adipose tissue. It is also
known that the teeth are very effective in the aesthetics of the lip and perioral region. The
aim of this study was to evaluate the effect of prosthetic rehabilitation with complete
removable dentures on perioral aesthetic condition. Methods: This study was conducted
with 17 patients (14 female-ϯ ŵĂůĞ͖ ŵĞĂŶ ĂŐĞ͗ ϲϬ͕Ϭϳцϳ͕Ϯϱ͖ ϱϳцϱ͕ ƌĞƐƉĞĐƚŝǀĞůǇͿ ǁŚŽ ǁĞƌĞ
performed complete removable dentures in a period of time. To measure perioral wrinkles
and lip thickness, photographs including the region between eyes and chin, were taken from
the frontal and profile position of the patient, with and without dentures. The following
determinants were evaluated: marionette lines, upper/lower lip volume, upper/lower radial
lip lines, nasolabial folds, corner of the mouth lines, and the labiomental crease. Datas were
analysed with SPSS.15 and p value <0.05 was considered as a significant. Results: As a result,
there was no significant differences between ages of the patients. Oral rehabilitation with
maxillary and mandibular complete removable dentures significantly improved all wrinkles
in the perioral region (p<0.05), except labiomental crease. Conclusion: Usage of maxillary
and mandibular complete removable dentures may affect the size of wrinkles in the perioral
region and thus aesthetic satisfied by patients.
OP.064. EVALUATION OF DENTAL STUDENTS MANNERS ABOUT
EDUCATIONAL STRATEGIES, SCHOOL DURATION, SPECIALTY AND
TECHNOLOGY
GENC E1, BUYUK SK2, SIMSEK H3.

1
RESEARCH ASSISTANT-ORDU UNIVERSITY FACULTY OF DENTISTRY DEPARTMANT OF
ORTHODONTICS, TURKEY
2
ASSISTANT PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY DEPARTMANT OF
ORTHODONTICS, TURKEY
3
ASSISTANT PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY DEPARTMANT OF
PEDIATRIC DENTISTRY, TURKEY
Aim: The purpose of this educational study was to evaluate TurŬŝƐŚ ĚĞŶƚĂů ƐƚƵĚĞŶƚƐǲ
manners about educational strategies, school duration, specialty and technology. Materials
and Methods: A survey instrument with ten statements using a five-point Likert scale. A total
of 187 dental students from a public university from Turkey. The students were divided into
five different groups according to their education levels. The Kruskal Wallis Test was
performed to compare the responses among the groups. Results: There was a significant
difference among the groups in one of ten statements (P<0.05). The groups were agreed
with each other in their average responses for nine of the ten statements (P>0.05). All
groups approved the statements about the technology integration while there were mixed
opinions about electronic text-books. Moreover, each group had positive views about the
role of visual elements, social activities and congress or symposiums during dental school
education. Dental students stated that faculty lectures were adequate and dental specialty
education was required after dental school training; however dental students stated that
education duration should not be over than 5 years. Conclusion: Dental school
ĂĚŵŝŶŝƐƚƌĂƚŽƌƐ ƐŚŽƵůĚ ƉĂǇ ĂƚƚĞŶƚŝŽŶ ĨƌŽŵ ĚĞŶƚĂů ƐƚƵĚĞŶƚƐǲ ƉĞƌƐƉĞĐƚŝǀĞƐ ŽŶ ĚĞŶƚĂů ƐĐŚŽŽů
education in decision making.
OP.065. EFFECT OF BRAND AND SHADE OF RESIN CEMENT ON THE

COLOR OF MONOLITHIC CAD/CAM CERAMIC
<mm<<EI AS1͕&hEK)>h<mm<<EI F1͕PDmZ2.

1
DDS, PHD-DEPARTMENT OF PROSTHODONTICS, FACULTY OF DENTISTRY, ORDU UNIVERSITY,
ORDU, TURKEY
2
DDS, PHD,ASSISTANT PROFFESOR-DEPARTMENT OF PROSTHODONTICS, FACULTY OF
DENTISTRY, ORDU UNIVERSITY, ORDU, TURKEY
Purpose. The purpose of this in vitro study was to evaluate the effect of different shades and
brands resin cement on the color of Cad/Cam ceramics. Materials and methods. Thirty
ĐĞƌĂŵŝĐƐƉĞĐŝŵĞŶƐ ǁĞƌĞ ĨĂďƌŝĐĂƚĞĚ ;ϭϰпϭϮпϭ͘ϱ ŵŵͿ ďǇ ĐƵƚƚŝŶŐ ŽĨ ĚŝĨĨĞƌĞŶƚ ĐĞƌĂŵŝĐďůŽĐks
(IPS e.max CAD; Lds, Vita Suprinity; ZrLds, and inCoris TZI; MZr) (n=10). Sixty cement
ƐƉĞĐŝŵĞŶƐ ǁĞƌĞ ƉƌĞƉĂƌĞĚ ;ϭϰпϭϮпϮ ŵŵͿ ƵƐŝŶŐ ƚŚƌĞĞ ƐŚĂĚĞƐ ŽĨ ƚǁŽ ďƌĂŶĚƐ ƌĞƐŝŶ ĐĞŵĞŶƚƐ
(RelyX Ultimate/RelyX U200 Tr, Un, A3O) (n=10). Color measurements were made without
(control) and with each /shade of resin cement (test) with a spectrophotometer. Color
ĚŝĨĨĞƌĞŶĐĞƐ;ȴϬϬͿďĞƚǁĞĞŶƚŚĞĐŽŶƚƌŽůĂŶĚƚĞƐƚŐƌŽƵƉƐǁĞƌĞĐĂůĐƵůĂƚĞĚ͘ȴϬϬƌĞƐƵůƚƐǁĞƌĞ
analyzed by 3-ǁĂǇEKsĂŶĚdƵŬĞǇ͛ƐŵƵůƚŝƉůĞĐŽŵƉĂƌŝƐŽŶƚĞƐƚƐ;ɲс͘ϬϱͿ͘ZĞƐƵůƚs. Both the
cement shade, ceramic type and interaction between cement shade-ceramic type
ƉĂƌĂŵĞƚĞƌƐ ǁĞƌĞ ƐŝŐŶŝĨŝĐĂŶƚ ŽŶ ȴϬϬ ;Wф͘ϬϬϱͿ͘ ϯK ĐĞŵĞŶƚ ŐƌŽƵƉƐ ƌĞƐƵůƚĞĚ ŝŶ Ă ĐůŝŶŝĐĂůůǇ
ƵŶĂĐĐĞƉƚĂďůĞȴϬϬ;ȴϬϬхϮ͘ϮϱͿĨŽƌ>ĚƐĂŶĚƌ>ĚƐĐĞƌĂŵŝĐƐ͘hŶĐĞŵĞŶƚŐƌŽƵƉƐƌĞƐulted in a
ĐůŝŶŝĐĂůůǇƵŶĂĐĐĞƉƚĂďůĞȴϬϬĨŽƌƌ>ĚƐĐĞƌĂŵŝĐ͘ȴϬϬǀĂůƵĞƐŽĨDƌĐĞƌĂŵŝĐǁĞƌĞůŽǁĞƌƚŚĂŶ
ǀŝƐƵĂůůǇ ƉĞƌĐĞƉƚŝďůĞ ůĞǀĞů ;ѐϬϬчϭ͘ϯϬͿ ĨŽƌ ĞĂĐŚ ĐĞŵĞŶƚ͘ dŚĞ ŵƵůƚŝƉůĞ ĐŽŵƉĂƌŝƐŽŶƐ ƐŚŽǁĞĚ
ƚŚĂƚEŽƐƚĂƚŝƐƚŝĐĂůůǇƐŝŐŶŝĨŝĐĂŶƚĚŝĨĨĞƌĞŶĐĞĨŽƵŶĚďĞƚǁĞĞŶƚŚĞѐϬ0 values of cement groups
in the same shade (P>.05). Conclusions. A3O cement causes clinically unacceptable result for
glass ceramics. Glass ceramics were similarly affected by the cement shade and thus may
have similar optical features, however, zirconia was less translucent than glass ceramics.
Session 15
OP.066. FACTORS AFFECTING TREATMENT COMPLIANCE AND
PARTICIPATION OF PATIENTS WITH CLASS II MALOCCLUSION,
USING FUNCTIONAL APPLIANCE
GUL AMUK N1, ONER M2, KEKLIKCI H3, GULNUR TOPSAKAL K4,
1
DDS,PHD (ASSISTANT PROFESSOR)-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF ORTHODONTICS
2
DDS (POSTGRADUATE STUDENT)-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY,
3
4
Aim: The purpose of this study was to identify factors that may affect compliance and
participation to orthodontic treatment of patients with skeletal class II malocclusion, using
functional appliance. Material Method: Fourty patients with class II skeletal malocclusion (15
ŵĂůĞƐ ĂŶĚ Ϯϱ ĨĞŵĂůĞƐ͖ ŵĞĂŶ ĂŐĞ ϭϰ͘ϴцϮ͘ϱ ǇĞĂƌƐ͕ ŵĞĂŶ E͗ ϲ͘ϴΣцϭ͘ϬϰΣͿ ǁŚŽ ǁĞƌĞ ďĞŝŶŐ
treated with fixed (Herbst) or removable (Twin block) functional appliances at least for 3
months were included in this study. Questionnaire was prepared to obtain information
about the family life and daily life of patients as personality profile; compliance and
participation of patients as cooperation profile. The relation between personality profile and
cooperation profile was determined using chi-square test. Results: The results demonstrated
that parental education level influence malocclusion awareness, appliance wear compliance
and school success of patients significantly (P<0.05). Uneasiness level in family life was found
related with tolerance for treatment duration and appointment continuity of patients
significantly (p<0.05). Comparisons between herbst and twin block patients revealed
significant difference at only request for continuation of treatment and difficulty of
appliance wear assessments. 60% patients with Herbst appliance were willing for
continuation of treatment and 20% indicated difficulty of appliance wear, while for twin
block appliance, 20% of patients stated request to carry on the treatment and 40% found
treatment with twin block uncomfortable and difficult. Conclusion:Parental characteristics
and family life affect awareness and compliance of patients. Class II functional appliance
type as fixed or removable is related with compliance and participation of patients to
orthodontic treatment.
OP.067. PREVALENCE AND CHARACTERISTICS OF ECTOPIC
ERUPTION OF FIRST PERMANENT MOLARS IN TURKISH
POPULATION
GUVEN Y.
DR.-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PEDODONTICS
Background: Ectopic eruption (EE) of the first permanent molar (FPM) is a local eruption
disturbance characterized by the abnormal eruptive pathway of FPM causing the permanent
tooth to be locked under the distal undercut of the second primary molar. Awareness and
early detection of EE allow for timely intervention and can avoid potential orthodontic
problems. The aim of the present study was to investigate the prevalence and characteristics
of ectopically erupting FPMs in Turkish population. Methods and materials: This
retrospective study was performed using panoramic radiographs of 7649 patients (3506
girls, 4143 boys) ranging in age from 5 to 11. The age and gender of the subject, the number
and location of the ectopic molars, bilateral versus unilateral occurrence, the degree of
resorption on the roots of the primary molars and the other associated dental anomalies
were assessed. EE was categorized according to a grading system which is based on the
resorption rates of the primary molars. Results: Of the 7649 reviewed cases, 203 subjects
;ϭϭϴ ďŽǇƐ ĂŶĚ ϴϱ ŐŝƌůƐ͖ ŵĞĂŶ ĂŐĞ͗ ϲ͘ϴϮцϭ͘Ϯϱ ǇĞĂƌƐͿ ǁĞƌĞ ĚŝĂŐŶŽƐĞĚ ǁŝƚŚ ŽĨ ƚŚĞ &WDƐ
(2.65%). Severe and very severe degree of EE were found to be more common in maxilla
than in mandible while moderate degree of EE was more prevalent in mandible (p=0.251).
Conclusion: This study, the first in a Turkish population, identified the prevalence of EE of
FPMs. This is also the second largest prevalence study of EE conducted to date.
OP.068. IS THERE ANY ASSOCIATION BETWEEN THE FACIAL TYPE

AND THIRD MOLAR IMPACTION? A RADIOGRAPHIC STUDY
KOK H1, TASSOKER M2, OZCAN S3.

1
ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, ORTHODONTICS
2
ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, ORAL AND MAXILLOFACIAL
RADIOLOGY
3
ASSOCIATE PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, ORAL AND MAXILLOFACIAL
RADIOLOGY
Background: The impaction rate is higher for third molars than for any other teeth, as third
molars are the last teeth to erupt. Inadequate retromolar space and the direction of
eruption may be contributing factors. The aim of this study was to investigate the
relationship between third molar impactions and different skeletal face types. Methods and
materials: Panoramic and lateral cephalometric radiographs of 158 orthodontic patients
(aged between 19-25 years) were retrieved from the archived records of Necmettin Erbakan
University Faculty of Dentistry, Konya, Turkey. Third molar impaction was classified on the
ďĂƐŝƐ ŽĨ tŝŶƚĞƌ͛Ɛ ĐůĂƐƐŝĨŝĐĂƚŝŽŶ͘ dŚĞ ĨĂĐŝĂů ƚǇƉĞ ǁĂƐ ĚĞƚĞƌŵŝŶĞĚ ďǇ Ă ŵĞĂƐƵƌĞ ŽĨ ƚŚĞ ĨĂĐŝĂů
axis angle according to a method of Breik and Grubor. The facial axis angle was measured as
the posterior angle created by the lines Ba-Na and Pt-'Ŷ͘dŚĞŵĞĂŶǁĂƐϵϬцϮ͘ŶĂŶŐůĞŽĨ
>93 was regarded brachyfacial, and an angle of <87 was regarded dolichofacial. Results: The
overall rate of mandibular and maxillary third molar impaction was 65,2 and 38,6 per cent,
respectively. Although there was statistically significant difference between different
skeletal face types and mandibular third molar impactions (x2, p<0,05), no statistically
significant differences were observed between different skeletal face types and maxillary
third molar impactions (x2, p>0,05). Brachyfacials demonstrated lower prevalence of third
molar impaction (8%) as compared dolichofacials (36,8%). Conclusion: It was concluded that
the greater horizontal facial growth pattern of brachyfacial subjects over dolichofacial
subjects provides increased space for full eruption of the mandibular third molars.
OP.069. THE FRONTAL SINUS DIMENSION IN DIFFERENT SAGITTAL

SKELETAL RELATIONSHIP OF PEDIATRIC ORTHODONTIC SUBJECTS
BUYUK SK1, KARAMAN A2, SIMSEK H3.

1
ASSISTANT PROFESSOR-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
ORTHODONTICS
2
RESEARCH ASSISTANT-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
ORTHODONTICS
3
ASSISTANT PROFESSOR-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PEDIATRIC DENTISTRY
Aim: The aim of this present study was to investigate frontal sinus morphology in different
sagittal skeletal relationship subjects by using postero-anterior cephalometric radiographs.
Material and Methods: The study sample consisted of 75 subjects divided into three
according to their jaw sagittal skeletal relationship groups (Class I subjects; mean age:
ϭϱ͘ϭϰцϭ͘ϰϬǇĞĂƌƐ͕ůĂƐƐ//ƐƵďũĞĐƚƐ͖ŵĞĂŶĂŐĞ͗ϭϱ͘Ϯϭцϭ͘ϳϳǇĞĂƌƐ͕ůĂƐƐ///ƐƵďũĞĐƚƐ͖ŵĞĂŶĂŐĞ͗
ϭϱ͘ϭϲцϭ͘ϱϳ ǇĞĂƌƐͿ͘ dŚĞ ƌŝŐŚƚ ĂŶĚ ůĞĨƚ ŵĂǆŝŵƵŵ ŚĞŝŐŚƚ ĂŶĚ ǁŝĚƚŚ ŽĨ ƚŚĞ ĨƌŽŶƚĂů sinus,
maxillary width, nasal width, cranial width, antegonial width parameters were measured in
75 postero-anterior cephalometric radiographs. The data were analyzed using independent
t, Mann Whitney U, one way analysis of variance and Kruskal-Wallis tests. Results: Right
frontal sinus height, left frontal sinus height and width show statistically significant
differences among groups (P<0.05). Moreover, right frontal sinus width was larger in males
than females in Class III subjects and this difference was statistically (P<0.05). Conclusion:
The frontal sinus dimension parameters may bring a different perspective to forensic
dentistry because they may differ in individuals with different sagittal skeletal jaw
relationship.
OP.070. INVITRO COMPARISON OF SHEAR BOND STRENGHTS OF
BRACKETS AFTER DIFFERENT ETCHING METHODS
AKKURT A1, HAMAMCI O2.

1
ASSISTANT PROFESSOR-UNIVERSITY OF DICLE DEPARTMENT OF ORTHODONTICS
2
PROFESSOR-RETAIRED
Objective: To compare the shear bond strenghts, surface characteristics and fracture mode
of brackets bonded to enamel after different etching methods; phosphoric acid, Self Etching
Primer (SEP), Erbium: Yttrium-Aluminum-Garnet (Er:YAG) and Erbium, Chromium doped:
Yttrium-Scandium-Gallium-Garnet (Er,Cr:YSGG) laser. Materials and Methods: Human
premolars extracted for orthodontic purpose were used. Enamel was etched with 38%
phosphoric acid, SEP and three different power output of Er,Cr:YSGG (1 W, 1,5 W, 1,75 W)
laser and Er:YAG (1 W, 1,4 W, 1,8 W) laser. Brackets were bonded with a light cure adhesive
and share test was performed with a universal testing machine. Results: OneWay ANOVA
test showed significant differences between groups according to different etching methods.
Tukey HSD test did not reveal significant differences between acid etching, SEP and 1,4 W
and 1,8 W Er:YAG laser groups. Bond strenghts obtained from other groups were lower than
that obtained from acid etching and SEP group. Chi Square test indicated significant
differences between groups. Generally, less adhesive remained on the enamel surface after
laser etching than acid etching or SEP application. SEM examinations of enamel before and
after debonding from laser etching revealed more irregular and uneven surface
characteristics than that produced by acid etching or SEP groups. Conculusion: It may be
concluded that SEP application is the most practical and safe alternative method for etching
of enamel.
OP.071. EVALUATION OF FACIAL AESTHETICS OF ORTHODONTIC

PATIENTS WITH DIFFERENT MALOCCLUSION
BOREKCI C1, OZKALAYCI N2.

1
RESEARCH. ASSISTANT. DT.-DEPARTMENT OF ORTHODONTICS, FACULTY OF DENTISTRY,
hE/sZ^/dzK&m>Eds/d
2
PROF. DR.-DEPARTMENT OF ORTHODONTICS, FACULTY OF DENTISTRY, UNIVERSITY OF
m>Eds/d
Aim: The aims of this study were to evaluate the facial aesthetics of orthodontic patients and
to investigate the relation with the orthodontic problems and facial aesthetics. Material and
Methods: Standardized photographs were taken from patients. On photographs, facial
features of the patients were evaluated in detail based on 11 different facial regions and the
obtained data will be examined using statistical analysis. Fitzpatrick photo type classification,
Glogau wrinkles classification, Facial skeletonization / fullness classification scale, Forehead
checklist, Eyebrows checklist, Eyes analysis checklist, Nasal analysis checklist, Lips checklist,
Teeth checklist, Chin checklist and Smile analysis checklist were used for the evaluation.
Results: Patients in the study are consist of 158 girls and 92 boys between 7-38 ages. 36.4%
of patients have Class I, 53.2% of these have Class II and 10.4% of these have class III molar
relationship. 38.6% of skeletal class I, 25.5% of skeletal class II and 56.25% of skeletal class III
patients have an asymmetric posed smile. 38.3% of skeletal class II patients have consonant
smile arc, while in class III patient these rate is only 6.2%. 28.1% of skeletal class III patients
and 30% of class II patients have inferior scleral show. 57.8% of the individuals between the
ages of 18-30 have a flat forehead profile, while in the patients between the ages of 15-18
this rate is 28.5%. Conclusion: Some skeletal and dental malocclusions and facial
characteristics are related to each other. Some facial features are more common in specific
patient groups.
Session 16
OP.072. EVALUATION OF FEATURES OF MAXILLARY IMPACTED
CANINES, WITH CONE-BEAM COMPUTED TOMOGRAPHY
K<bzEZ1, Dd7E)^hzh/1, KAHRAMAN F1.

1
DDS, PHD, ASSISTANT PROF.-^</b,/ZK^DE'/hE/sZÎTY DENTISTRY FACULTY
ORTHODONTICS DEPARTMENT
Background: Early detection of canine impaction is very important to treatment and in terms
of resolving adverse situations. The aim of this study was to evaluate the descriptive
features of maxillary impacted canines through with cone-beam computed tomography
(CBCT). Material and Method: This retrospective study examined CBCT scans of 140
maxillary impacted canines among 102 patients (43 male, 59 female; mean age 16.25 +/ʹ
6.31 years). The following impacted canine related parameters were analyzed in CBCT
images: impaction side, localization, root resorption levels of adjacent teeth, occlusal plane
and midline distance to impacted canines, and angulation of impacted canine to midline,
lateral incisor, and occlusal plane. Results: Bilateral canine impaction was found in 38
subjects, and 64 subjects had sustained unilateral canine impaction. Severe resorption was
found in 14 cases. There were no statistically significant differences between the occlusal
plane and the maxillary midline distance to the impacted canine cusp tip and root apex
(p>0.05). The angulation of right maxillary impacted canines to the midline showed higher
values than that of left maxillary impacted canines (p<0.05). The occlusal plane angulation of
left maxillary impacted canines showed higher values than right maxillary impacted canines
(p<0.05). Conclusions: Maxillary canine impaction was more frequently seen among female
subjects than male subjects. Maxillary lateral incisors were more frequently affected than
first premolars, and slight resorption was more frequent seen in adjacent teeth. CBCT
assessments of impacted maxillary canines provide accurate measurements of angular,
linear, and resorption parameters.
73. EVALUATION OF DIAGNOSTIC EFFICIENCY OF

ULTRASONOGRAPHY IN TEMPOROMANDIBULAR JOINT DISORDERS:
A PILOT STUDY
KESER G1, ULAY G2͕EDZW<7EZ&3, K)hKZ,ED4.

1
DR.-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, MARMARA UNIVERSITY, FACULTY
K&Ed/^dZz͕7^dEh>͕dhZ<z
2
RES. ASSIST.-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, MARMARA UNIVERSITY,
&h>dzK&Ed/^dZz͕7^dEh>͕dhZ<z
3
PROF.-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, MARMARA UNIVERSITY,
4
ASSIST. PROF.-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, MARMARA
hE/sZ^/dz͕&h>dzK&Ed/^dZz͕7^dEh>͕dhZ<z͖--
Objective:Temporomandibular joint (TMJ); consists of the mandibular condyle which is

separated from the mandibular fossa by an articular disc,ligaments, and muscles.
Temporomandibular Joint diseases (TMD) and disorders refer to a complex of conditions,
manifested by pain in jaw area and associated muscles and limitations in the ability to make
the normal movements of speech, facial expression, eating, chewing, and swallowing.
Ultrasonography (US) is a non-invasive, cost-effective, easy-to-use imaging method using
sound waves, without ionizing radiation and as a diagnostic procedure it has been shown to
be accurate for the diagnosis of TMD. The purpose of this study is to evaluate the diagnostic
efficacy of ultrasonography imaging in temporomandibular joint disorders. Material and
Method: The retrospective ultrasonography images of 20 patients ( female, male) who had
been reffered to Marmara University, Faculty of Dentistry, Oral Diagnosis and Radiology
Clinic with a complaint related to TMJ were evaluated in terms of condylar surface
irregularities, joint space reduction and joint effusion. Detailed and through examinations of
the TMJ were performed by clinicians in accordance with guidelines of the Research
Diagnostic Criteria for Temporomandibular Disorders ( DC/ TMD). Results: A total of 20
patients ( % 70 female, %30 male, mean age: 33,75) and 40 TMJ were evaluated and in % 15
erosive degenerative changes, in % 82,5 condylar surface flattening and in % 27,5 increased
joint capsule width was observed. Conclusion: Ultrasonography ia a non-invasive technique
suitable for visualization of TMJ and evaluation of TMD in routine clinical practice.
OP.074. NONINVASIVE DIAGNOSTIC IMAGING IN THE STUDY OF

TEMPOROMANDIBULAR DISORDERS
IORDANOVA DIMOVA M.
ASSOC. PROF. DSC, PHD-MEDICAL UNIVERSITY SOFIA, FACULTY OF DENTAL MEDICINE,

DPARTMENT OF PROSTHETIC DENTISTRY
Aim: To discuss indications and contraindications for infrared thermography in patients with
Temporomandibular Disorders (TMD). Materials and methods: 157 patients (121 women
and 36 men) with TMD have been examined. Objectively ʹ by means of thermo-visual
diagnostics (Device TV-0ZK Nizhny Novgorod, Russia) and subjectively ʹ through
questionnaire were studied and analyzed indications and contraindications for
implementation of the survey. Results: Infrared thermography has indisputable indications
in patients with TMD. The analysis of the questionnaire survey showed no contraindications
for application of the method in the studied group. Conclusion: The infrared thermography is
an objective method for examination and documentation of myo- and arthopathies of the
masticatory system in patients with TMD. Key words: temporomandibular Disorders,
infrared thermography
OP.075. 3D ALVEOLAR RIDGE AUGMENTATION AND CUSTOMIZED

BONE REGENERATION WITH INDIVIDUALIZED PEEK SHELLS
PAPADIMITRIOU I1, BURGMANN R2, ALMAGOUT P3, SOTIRI V4, GANOU L5.
1
ST. LUKE HOSPITAL SOLINGEN, DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY,
GERMANY/CLINIC FOR ORAL SURGERY AND IMPLANTOLOGY DR. BURGMANN; LEVERKUSEN
GERMANY/GENERAL HOSPITAL WESTATTICA: DEPARTMENT OF DENTISTRY, ATHENS
2
DR-CLINIC FOR ORAL SURGERY AND IMPLANTOLOGY, LEVERKUSEN GERMANY
3
DR-GENERAL HOSPITAL WESTATTICA: DEPARTMENT OF DENTISTRY, ATHENS;
4
GENERAL HOSPITAL WESTATTICA: DEPARTMENT OF DENTISTRY, ATHENS
5
INTRODUCTION: A rehabilitation with dental-implants must always be seen in conjunction

with existing anatomical-structures.The bone-offer determines the difficulty of the implant-
treatment,the overall implant-planning,including any-bone-augmentation-measures and the
implant-prognosis.Prerequisite for a-successful-dental-implantation and an-ideal-aesthetic-
result is a-sufficient alveolar-bone for the bony-implant-bearing and the-bony-support of the
gingival-soft-tissue.In-order-to achieve the-aim-of the optimal implant-prosthetics,the bone
is grafted with different-techniques at the-ideal-calculated-position according to the
backward-planning.These techniques include the bone-block-transplant,the-controlled-
bone-regeneration(GBR),sandwich-osteotomies,bones-preading,distraction-osteogenesis
and-a-new-technique-the-Customized-Bone-Regeneration(CBR). With-CBR-it is possible to
reconstruct-complex and-large defects with an-individualized-mesh-or-shell. Due to the pre-
planned-fit,an adaptation to the defect is no longer necessary,resulting shortened operating-
time and predictable results. AIM: The aim of the study is the presentation of clinical-cases
for prosthetic-rehabilitation of patients with extensive vertical-as-well-as horizontal osseous-
and-soft-tissue deficit after bone-grafting with individualized-PEEK-shells and subsequent
implantation in-a-second-step. MATERIAL-AND-METHODS: The study was conducted in-the-
Department-of-Oral-and-Maxillofacial-Surgery,St.-Lukas-Hospital-in-Solingen-and-in-the-
Clinic-for-Oral-surgery-and-Implantology-Dr.Burgmann-in-Leverkusen. The patients
concerned introduced themselves with the wish for implantological-rehabilitation in their
extensive-atrophic-lower-jaws.The bone-defects where grafted using individualized-PEEK-
shells which were created with-CAD/CAM-methods-and the insertion of the implants
followed in a second-operation after 5months. DISCUSSION: Three-dimensional defects are
still a challenge in modern-implantology.Conventional block-grafts cause increased
comorbidity for the patient with questionable-revascularisation of the block and possible
resorption of a part of the volume.With-CBR-the reconstruction of complex and large bone-
defects is possible with predictable-results and is a method-far-more-pleasant for the
patient. CONCLUSION: So far were the individualized-gitters made of titanium.Titanium is
biocompatible in comparison to the-human-bone,but relatively stiff.Shells made of
Peek(polyetheretherketone)are an attractive alternative to titanium-gitters,due to their
lower-weight,strength,the biocompatibility,osseointegrative and are more economical
because of the reduced-production-costs.Therefore-PEEK-can also-used as-an equivalent
material to titanium for-the-CBR-at the bone-augmentation.
OP.076. EVALUATION OF MANDIBULAR NOTCH, CORONOID
PROCESS, AND MANDIBULAR CONDYLE CONFIGURATIONS WITH
CONE BEAM COMPUTED TOMOGRAPHY
TASSOKER M1, AYDIN KABAKCI AD2, AKIN D2, OZCAN S3.

1
DEPARTMENT OF ORAL AND MAXILLOFACIAL RADIOLOGY
2
INSTRUCTOR-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF
ANATOMY
3
ASSOCIATE PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
BACKGROUND Having detailed knowledge about the anatomical structure of mandible is

important for anthropologists, forensic scientists and reconstructive surgeons. This study
was designed to evaluate mandibular notch, coronoid process, and condyle morphology
thought to be related to each other in developmental terms. METHODS AND MATERIALS
This study was conducted based on CBCT images of a total of 108 patients. The CBCT images
were selected retrospectively from the archived records of Department of Oral and
Maxillofacial Radiology, Necmettin Erbakan University. Configurations of coronoid process,
mandibular notch and condylar process were reviewed on axial, coronal and sagittal CBCT
sections. Coronoid process and mandibular notch shape was classified into triangular and
round. In the coronal sections, condylar process shape was categorized as convex, rounded,
flattened, angled and concave. Rounded, flattened, beak-like and concave shapes was used
for classification of condylar process in the sagittal section. RESULTS 216 (108 mandibles)
coronoid processes, mandibular notches and condylar processes were evaluated. The
majority of the coronoid processes was in triangular shape (68.1%). Round mandibular notch
was found to be maximum (79.2%) out of 216 sides. There was statistically significant
relation between age and condyle shapes (p<0.001) both sagittal and coronal sections.
Gender had an effect on the condyle shapes in the coronal sections (p<0.05). CONCLUSION
The datas were obtained from this study can be used as anthropological markers to assess
different races and can be used in forensic sciences based on the influence of age and
gender on mandibular morphology.
Session 20
OP.077. POSSIBILITIES OF THE TISSUE AUTOFLUORESCENCE IN
DETECTION OF ORAL MUCOSAL CHANGES
NIKOLOVSKI B1, MINOVSKA A2, POPOVIC-MONEVSKA D3, POPOVSKA M3, RADOJKOVA-

NIKOLOVSKA V4.
1
DOCTOR-CENTER FOR DENTAL HEALTH ʹETERNADENT
2
PROFESSOR-FACULTY OF MEDICAL SCIENCES, UGD ʹ STIP
3
PROFESSOR-FACULTY OF DENTISTRY, UKIM ʹ SKOPJE
4
ASSOC. PROFESSOR-FACULTY OF DENTISTRY, UKIM ʹ SKOPJE
Introduction:The most common way to detect disease is by visual inspection of the suspect
tissue. Many dentists cannot detect oral cancer with the naked eye, but using the tissue
autofluorescence, we can see under the mucosal surface which helps us detect potentially
dangerous growths and lesions.Aim:To describe the role that primary care physicians can
play in early recognition of oral tissue changes, assisted by the new optical technologies as
ƚŚĞs>ƐĐŽƉĞΠŝŵĂŐŝŶŐƐǇƐƚĞŵ͘DĂƚĞƌŝĂůĂŶĚŵĞƚŚŽĚƐ͗dŚĞƐĞŵĞƚŚŽĚƐŽƉƚŝŵŝǌĞƚŚĞĐŽŶƚƌĂƐƚ
based on spectral differences between normal and abnormal tissue. To optimally visualize
fluorescence at 340-nm excitation, the emission should be observed through a blue
bandpass filter transmitting light at 430 nm.Results:There are presented main features of
this adjunctive diagnostic tool, as well as the sensitivity and specificity. We can conclude that
ĂƚϵϱйĐŽŶĨŝĚĞŶĐĞůĞǀĞů͕ƚŚĞƌĞŝƐƐŝŐŶŝĨŝĐĂŶƚĂŐƌĞĞŵĞŶƚďĞƚǁĞĞŶs>ƐĐŽƉĞΠƌĞƐƵůƚƐĂĐĐŽƌĚŝŶŐ
to the biopsy results.Conclusion:Fluorescence visualization can identify clinically occult, high-
risk oral lesions by allowing health care professionals and surgeons to visualize and map
occult disease. This process may improve overall survival by early detection of the primary
tissue changes, as well as decreasing rates of locoregional recurrence.
OP.078. EFFECT OF APPLICATIONS OF TOPICAL AGENTS ON ACUTE

DENTURE-INDUCED TRAUMATIC LESIONS: A CLINICAL STUDY
BURAL C1͕<z/K)>h2͕'</>/K3, BAYRAKTAR G4, BILHAN H5.
1
ASSOC PROF DR-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS, CAPA, ISTANBUL, TURKEY
2
DDS-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PROSTHODONTICS,
CAPA, ISTANBUL, TURKEY
3
ASSOC PROF DR-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
4
PROF DR-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
5
ASSOC PROF DR-OKAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS, ISTANBUL, TURKEY
The effect of the application of topical agents of over-the counter products on the healing of
the denture-induced traumatic ulcerations and patients' subjective pain and improvement
on the quality of life was investigated. 140 New maxillary and mandibular dentures were
fabricated. After delivery of the dentures, patients with acute denture-induced traumatic
lesions were randomized to one of the seven study groups (n=20) according to the
treatment type as follows: control group (only denture adjustment with grinding, no topical
application), topical applications of corn oil, oxygenated glycerol triester (TGO) gel, D-
panthenol gel and mouthwash, L-arginine mouthwash and hyaluronic acid gel. Patients'
assessment of subjective pain was assessed using 100-mm scale Visual analog Scale (VAS)
scores. The evaluation of significant differences between the groups was analyzed using the
Mann-Whitney-U test (p<0.05). A total of 306 (209 mandibular and 97 maxillary) denture-
induced traumatic lesions were observed. The mandibular and maxillary overall healing rate
at 7 days period was 67% and 65%, respectively. The difference in healing and the change in
the VAS scores between the treatment groups was not statistically significant throughout 0-
7 days. (p>0.05). The topical treatment for denture-induced traumatic ulcerations do not
have an additional advantageous effect over the current denture adjustment protocol by
grinding.
OP.079. PFAPA AND AUTOINFLAMMATORY PERIODIC SYNDROMES:

AN INTRIGUING DIAGNOSTIC DILEMMA
ALEXIOU A1, ANASTASOPOULOU K1, MATIAKIS A2.
1
UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI
2
LECTURER OF ORAL MEDICINE-ARISTOTLE UNIVERSITY OF THESSALONIKI
The autoinflammatory diseases (AID) are considered to be unprovoked, self-limited fever

attacks accompanied by some inflammatory manifestations. Familial Mediterranean Fever
(FMF), Tumor Necrosis Factor-associated Periodic Fever Syndrome (TRAPS), Mevalonate
Kinase Deficiency (MKD), Pyogenic sterile Arthritis, Pyoderma gagrenosum, Acne syndrome
(PAPA) and Cryopyrin-Associated Periodic fever Syndrome (CAPS) are hereditary diseases
resulting from modified genes which cause a specific clinical phenotype. Periodic Fever
Aphthous stomatitis Pharyngitis Adenitis (PFAPA) syndrome is an autoinflammatory, non-
hereditary disease. PFAPA syndrome, is characterized by recurrent fever periods. It is
commonly found in children up to five years old. This review of the literature presentation, is
based on recent Greek as well as English literature. The aim of this review is to display the
causes, the clinical signs and symptoms at the oral and cervical area and the therapeutic
approach for AID and especially PFAPA.
OP.080. ARE ODONTOGENIC CYSTS INNOCENT AS THEY ARE
ASSUMED? REPORT OF 3 MALIGNANT TRANSFORMATION
YILDIRIM B1͕Z7^1, SENGUVEN B1, GULTEKIN ES2.
1
ASSOC. PROF.DR-GAZI UNIVERSITY FACULTY OF DENTISTRY. ORAL PATHOLOGY DEPT.
2
SPROF.DR-GAZI UNIVERSITY FACULTY OF DENTISTRY. ORAL PATHOLOGY DEPT
Odontogenic cysts constitute an important aspect of oral and maxillofacial pathology.

Although generally they are benign, 1% of them may become malignant. The epithelial lining
of odontogenic cysts may reveal simple cystic expansion, keratinization, mucous prosoplasia,
verrucous proliferation or dysplastic transformation. In WHO histological classification of
odontogenic tumors 2005; primary intraosseous squamous cell carcinoma derived from
keratocystic odontogenic tumor and primary intraosseous squamous cell carcinoma derived
from odontogenic cysts were defined as different entities in odontogenic carcinomas. Here
in this study we present 3 cases of primary intraosseous squamous cell carcinoma derived
from odontogenic cyst with verrucous proliferation. The study reports the clinical findings,
radiological scans, histopathology, HPV status of cases and follow up records.
OP.081. SYSTEMIC SCLEROSIS: WHY SHOULD THE DENTIST BE

INTERESTED IN IT?
MATIAKIS A1, KIOULPEKIDOU T2, ZOYLOYMI M2, IOANNIDIS D3.
1
LECTURER IN ORAL MEDICINE-ARISTOTLE UNIV. SCHOOL OF DENTISTRY
2
UNDERGRADUATE STUDENT-ARISTOTLE UNIV. SCHOOL OF DENTISTRY
3
PROFESSOR-ARISTOTLE UNIV. SCHOOL OF MEDICINE
Systemic Sclerosis is a disease of unknown aetiology, affecting the skin as well as the internal
organs (visceral, lungs, kidneys), characterized by skin stiffening due to microvascular
disorders, fibrosis and collagen deposition of the subcutaneous tissues. The oral features of
Systemic Sclerosis as well as the particular problems during dental management of Systemic
Sclerosis patients are described. Microstomia (limited mouth opening) due to inelastic peri-
oral skin, is the main oral feature. Lingual frenum may be hard due to collagen deposition in
submucosa, resulting in hypomobile tongue accompanied by speech disorders. Gingival
recession along with widening of the periodontal ligament may develop. Generally, oral
mucosa is thin, shiny and pale in color. Microstomia and peri-articular problems which may
exist occasionally, make dental treatment impracticable. Additional medical problems of the
patient, like dysphagia (caused by eosaphagous sclerosis) as well as pulmonary, cardiac and
renal diseases, complicate dental treatment. Xerostomia caused by secondary Sjogren
Syndrom which may accompany Systemic Sclerosis results to dental caries, periodontal
disease as well as to dentures discomfort. Systemic Sclerosis patient may be under a long-
term steroid therapy, which affects and modifies dental treatment. Penicillamine is the
treatment of choice. Taste disregulation , oral ulcers and lichenoid reactions are among oral
side effects of Penicillamine. Involvement of fingers disability in Systemic Sclerosis
(sclerodactyly) leads to a poor oral hygiene.
OP.082. A SURGICAL AND ORTHODONTIC ODYSSEY. REPORT OF AN

EXTREME CASE: 10 YEARS FOLLOW UP
DALAMPIRAS S1, DALAMPIRAS F.A.T2, ZAPARAS G3, DALAMPIRA M4.

1
PROFESSOR, ORAL AND MAXILLOFACIAL SURGENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI
2
DENTIST-COMENIUS UNIVERSITY OF BRATISLAVA
3
ORTHODONTIST-CAROL DAVILA OF BUCHAREST
4
DENTISTRY STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI
INTRODUCTION. RETARDED ERUPTION OF PERMANENT TEETH IS A COMMON

PHENOMENON WHEN IT IS AFFECTING A SINGLE TOOTH OR A GROUP OF TEETH BUT IT IS
VERY EXTREME WHEN IS PRESENTED AS A TOTAL DISTURBANCE IN BOTH ARCHES. GENETIC
REASONS AND DISEASES SUCH AS CLEIDOCRANIAL DYSOSTOSIS ARE FACTORS RELATED
WITH SUCH AN ANOMALY. DESPITE THE UNDERLYING DISEASE OR THE GENETIC DISABILITY
d, <'ZKhE K& d,/^ ^/dhd/KE /^ ͞d, >K^^ K& ZhWd/s &KZ͟ d,AT MEANS
THAT FOR UNKNOWN REASONS PEOPLE MEDICALLY AND GENETICALLY HEALTHY PRESENT
ERUPTION PROBLEMS. CASE REPORT. A 13-YEAR-OLD MALE PATIENT WAS REFERRED TO
OUR CLINIC COMPLAINING FOR THE TOTAL ABSENCE OF PERMANENT TEETH IN HIS MOUTH.
CLINICAL EXAMINATION REVEALED THAT ALL PRIMARY TEETH REMAINED IN BOTH DENTAL
ARCHES EXCEPT THE TWO CENTRAL PRIMARY MANDIBULAR INCISORS (71,81) THAT WERE
EXTRACTED ONE YEAR PRIOR. BEHIND THE PRIMARY ARCH THE FIRST PERMANENT MOLARS
WERE SEMI ERUPTED IN BOTH JAWS. RADIOGRAPHIC EXAMINATION REVEALED THAT
UNDER THE DECIDUOUS DENTITION ALL PERMANENT TEETH WERE IMPACTED EXCEPT THE
SEMI-ERUPTED FIRST PERMANENT MOLARS. A DECISION WAS MADE TO EXPOSE
SURGICALLY THE TWO PERMANENT CENTRAL INCISORS OF THE MANDIBLE, WHILE NO
ORTHODONTIC FORCES WERE USED, IN ORDER TO FACILITATE THE ERUPTION. AFTER
SEVERAL MONTHS IT WAS OBVIOUS THE TENDENCY OF TWO PERMANENT TEETH TO ERUPT.
AFTER A SERIES OF OPERATION 12 TEETH OF THE LOWER JAW WERE ERUPTED WITH THE
HELP OF ORTHODONTIC TRACTION. NOWADAYS AFTER 10 YEARS WE PRESENT THIS
EXTREME CASE. CONCLUSION. THIS PATIENT IS PRESENTED IN ORDER TO EMPHASIZE THAT
PATIENCE AND TENACITY ARE ESSENTIAL VIRTUES IN THE MANAGEMENT OF UNIQUE CASES
LIKE THIS.
Session 21
OP.083. THE ROLE OF FRONTAL SINUS IN THE FRONTAL REGION
TRAUMA: A FINITE ELEMENT ANALYSIS
ANTIC S1, PAJIC S2, VUKICEVIC A3, DJURIC M4, FILIPOVIC N5.
1
DMD, MD, PHD-CENTER FOR RADIOLOGICAL DIAGNOSTICS, FACULTY OF DENTISTRY,
UNIVERSITY OF BELGRADE, LABORATORY FOR ANTHROPOLOGY, INSTITUTE OF ANATOMY,
FACULTY OF MEDICINE, UNIVERSITY OF BELGRADE
2
DMD, MF SURGEON-CLINIC FOR NEUROSURGERY, CLINICAL CENTAR OF SERBIA
3
MECHANICAL ENGINEER, PHD-FACULTY OF ENGINEERING, UNIVERSITY OF KRAGUJEVAC,
SERBIA, BIOENGINEERING RESEARCH AND DEVELOPMENT CENTER KRAGUJEVAC
4
MD, PHD-LABORATORY FOR ANTHROPOLOGY, INSTITUTE OF ANATOMY, FACULTY OF
MEDICINE, UNIVERSITY OF BELGRADE
5
MECHANICAL ENGINEER, PHD-FACULTY OF ENGINEERING, UNIVERSITY OF KRAGUJEVAC,
BIOENGINEERING RESEARCH AND DEVELOPMENT CENTER KRAGUJEVAC, PRVOSLAVA
Anatomy of frontal sinuses varies individually, from differences in volume and shape to rare
cases when the sinuses are totally absent. However, there are scarce data regarding the
influence of these variations on impact generated fracture pattern. Therefore, the aim of
this study was to analyze the role of frontal sinus in the distribution of the stress and
fracture pattern of the frontal region. The study included two representative Finite Element
models of the skull. Reference model was built on the basis of computed tomography scans
of a human head with normally developed frontal sinuses. By modifying the reference
model, another model was generated- a model without frontal sinuses. A 7.7 kN force was
applied perpendicularly to the forehead of each model, in order to simulate a frontal impact.
The results showed that, in the case with normally developed sinuses, more of the stress
distrbuted on the anterior sinus wall, while protecting the posterior sinus wall and adjacent
intracranial contents. In the case without sinuses, the inner cortical plate as well as frontal
part of the cranial base showed more fragility than in the case with developed sinus cavities.
In conclusion, impact-induced stress distribution and fracture pattern in the frontal region
highly depend on the presence of frontal sinuses. Well developed frontal sinuses might
ƉƌŽǀŝĚĞ Ă ƐƵƌǀŝǀĂů ďĞŶĞĨŝƚ͕ ďǇ ĂĐƚŝŶŐ ĂƐ ͞ƐŚŽĐŬ ĂďƐŽƌďĞƌƐ͟ ƚŚĂƚ ƉƌŽƚĞĐƚ ƐƵƌƌŽƵŶĚŝŶŐ ǀŝƚĂů
structures and intracranial contents.
OP.084. THE EVALUATION OF SOFT TISSUE WOUND HEALING

FOLLOWING DIFFERENT GINGIVECTOMY APPLICATIONS: A
PROSPECTIVE CLINICAL TRIAL
GULER B1, ISLER SC2, URAZ A3, BOZKAYA S4, d7EZ&5.

1
PHD ASSIST PROF -DUMLUPINAR UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
WZ/KKEdK>K'z͕<md,zʹTURKEY
2
DDS PHD -GAZI UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PERIODONTOLOGY,
EMEK-ANKARA/TURKEY
3
PHD ASSOC PROF-GAZI UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY, EMEK-ANKARA/TURKEY
4
PHD ASSOC PROF-GAZI UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ORAL AND
MAXILLOFACIAL SURGERY, EMEK-ANKARA/TURKEY
5
PHD PROF.-GAZI UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY, EMEK-ANKARA/TURKEY
Purpose: The aim of this study is examining clinical discomfort condition experienced by
patients and improving wound healing by researcher dentist over a period of two weeks
after the gingivectomy treatment. Methods: Fourty one patients suffering from gingival
overgrowth were included to this study. Patients were divided into three groups for
gingivectomy surgery technique sd follows; Scalpel group (SG), Ceramic rotary bur group
(CG) and diode laser group (LG). The postoperative parameters; postoperative pain, burning,
bleeding, erythema, edema, epithelization, vascularization, carbonization were recorded and
standardized photographs were taken in the 1st, 3rd, 5th, 7th, 14th days postoperatively. All
photographs were examined by image analysing software program (softwarenin ismini yaz).
Results: Epithelization values were statistically lower for SG than CG and LG, while there was
no significant difference betweeen LG and CG group in the 5th and 7th days,. In the first day,
the recorded postoperative pain scores difference (regarding ne?)were significantly higher
for SG than LG. There was no statistically significant wound healing difference between
diode laser, scalpel and ceramic bur surgery for all of the follow-up appointments
Conclusions: In this study it was observed that, controlled gingival tissue removing with
ceramic bur group, postoperative inflammation and wound healing values were almost
equal with diode laser values. It can be concluded that ceramic rotary bur may be an
alternative treatment to diode laser surgery for gingivectomy operations
OP.085. EVALUATION OF SOFT TISSUE CHAN*(6,13$7ú(176

:+275($7(':ú7+5$3ú'0$;ú//$5<(;3$16ú21
CAKMAK G1, YAVUZ I2.

1
Z^Z,^^7^dEd-Z/z^hE/sZ^/dz͕&h>dzK&Ed7^dZz͕WZdDEdK&
KZd,KKd7^
2
PROF. DR.-Z/z^hE/sZ^/dz͕&h>dzK&Ed7^dZz͕WZdDEdK&KZd,KKd7^
Background: Maxillary transversal deficiency is one of the problems encountered frequently

in orthodontic practice. Rapid maxillary expansion is a treatment option for maxillary
transversal deficiency. Rapid maxillary expansion causes skeletal and dental effects as well
as changes in soft tissues. Soft tissue changes can be evaluated by direct clinical
measurements, extraoral photographs and three-dimensional imaging methods. The aim of
this study was to determine the soft tissue changes that occur in patients with rapid
maxillary expansion by three dimensional imaging methods. Materials and methods: 30
patients with unilateral or bilateral posterior cross bite were treated with full coverage rapid
maxillary expansion appliance in Erciyes University Faculty of Dentistry. 3dMD (3dMD,
Atlanta, GA) images were obtained from the patients at the beginning of the treatment and
at the end of the retention. Then, length and angle measurements were performed on the
initial and after retention images in vertical, sagittal and transversal directions using 3dMD
Vultus software. Results: Statistically significant changes were found in the vertical plane in
N (nasion)-LI (labium inferius) and N-STO (stomion) measurements. Significant increases
were found in the parameters in the transverse plane. A statistically significant difference
was found at the lower lip angle (right chelating point - labium inferius - left chelating point)
in angular values. Conclusion: Significant changes were observed in vertical, sagittal and
transverse dimensions after rapid maxillary expansion in patients with maxillary transversal
deficiency.
OP.086. INCIDENCE OF MAXILLARY SINUS DISEASE, BONY SEPTA

AND DIMENSIONS BY USING CBCT: A RETROSPECTIVE STUDY
AKBULUT N1, KARA T2, PZGmR DEM7RALP K3, KURbUN AKMAK E4, BAYRAK S5.
1
ASSOCIATE PROF.-GAZIOSMANPASA UNIVERSITY, DENTISTRY FACULTY,
DENTOMAXILLOFACIAL SURGERY DEPARTMENT, TOKAT, TURKEY.
2
RESEARCH ASSISTANT.-GAZIOSMANPASA UNIVERSITY, DENTISTRY FACULTY,
DENTOMAXILLOFACIAL SURGERY DEPARTMENT, TOKAT, TURKEY
3
DDS, PHD. -dmZ</zWh>/,K^W/d>^'Ez͕D/EISTRY OF HEALTH, ANKARA, TURKEY
4
ASSOCIATE PROF.-dmZ</zWh>/,K^W/d>^'Ez͕D/EISTRY OF HEALTH, ANKARA,
TURKEY
5
ASSISTANT PROF. -Ed7dz^>hE/sZ^/dz͕Ed/^dZz&h>dz͕
DENTOMAXILLOFACIAL RADIOLOGY DEPARTMENT, BOLU, TURKEY.
Background: Dental implant placement sometimes necessitates sinus elevation procedure

with the purpose of acquiring bone volume in the edentulous maxilla. Maxillary sinus
pathology and formation of bony septations can lead to failure in surgical operation. The aim
of this retrospective study is to estimate the prevalence of pathology, septa and sinus
dimensions by using CBCT images of 202 maxillary sinus. Methods and Materials: CBCT
images between the years 2014 and 2016 were obtained using I-Cat from 101 subjects and
analysed by one observer according to sinus pathology, septa and dimansions by utilizing
axial, sagittal, cross-sectional, panoramic images and 3D reconstructions. Results:
Anteroposterior, mediolateral, superoinferior length were ranged between 5.7-42.3 mm,
11.1-38.1mm, 7.8-48.4mm, respectively. Maxillary sinus pathology was found in 44.5%. Of
these pathologies, 25% was osteomeatal obstruction, 55.5% was mucosal thickening and
27% was antral polyposis. Maxillary sinus septa was present in 7 cases (3.5%). Conclusion:
Proper preoperative CBCT evaluation of the maxillary sinuses prior to any augmentation and
implant placement is essential for minimizing postoperative complications and increasing
the operation success.
OP.087. EVALUATION OF NASAL AIRWAY VOLUME OF OPERATED
UNILATERAL CLEFT LIP AND PALATE PATIENTS
Zdbh1, ATAOL M2.

1
PROFESSOR-ddmZ<hE/sZ^/dz͕&h>dY OF DENTISTRY, DEPARTMENT OF ORAL AND
MAXILLOFACIAL SURGERY
2
RESEARCH ASISTANT, DENTIST-ddmZ<hE/sZ^/dz͕&h>dzK&Ed/^dZz͕
DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY
Cleft lip and palate patients have not only deficiency of oronasal separation but also various
problems about nasal anatomy. Alar base, concha and septum are correspondingly over
impressed. Additionally, class 3 skeletal deformity is seen in the individuals. These conditions
may limit nasal function. In our study, 15 unilateral cleft lip-palate patients older than 15-
year-old (10F/5M-mean age:19.13) who had operated in our clinic as study group and 15
subjects with non-cleft skeletal class 3 as the control group (10F/5M-mean age:19.20) were
included. Nasal airway volumes (total/cleft side/non-cleft side/control/nasal passages) of
individuals were examined and compared statistically. The results showed that the study
group had significantly higher values in terms of total airway volume (p<0.05). Additionally,
there was also a significant difference between cleft side and non-cleft side and between
cleft side and control group and between non-cleft side of the study group and control
group (p<0.05). Also, there was no significant difference between groups in terms of
nasopharyngeal (p=039) and nasal passage volumes(p=0.73). The results showed that there
are some problems in terms of nasal airway volume in cleft lip and palate patients even if
the lip, palate and alveolar cleft operations were made. For this reason, corrective nasal
surgical procedures should not be confined to rhinoplasty alone. The aim of this
presentation is to evaluate differentiation on nasal airway volumes of unilateral cleft lip and
palate patients in comparison with non-cleft skeletal class III control group, thus, to inform
about nasal conditions of operated cleft lip and palate patients.
OP.088. BISPHOSPHONATE RELATED OSTEONECROSIS OF THE

JAW: PROTOCOLS FOR PREVENTION AND MANAGEMENT
SIDERI M1, CHAITIDOU M1, TACHMATZIDIS T2, SAMARA E3, NTABARAKIS N4.
1
UNDERGRADUATE STUDENT-SCHOOL OF DENTISTRY ARISTOTLE UNIVERSITY OF
THESSALONIKI GREECE
2
DDS-DENTIST
3
DDS MPH, MJDF RCS(EG)-POSTGRADUATE STUDENT -SCHOOL OF DENTISTRY,DEPARTMENT
OF DENTOALVEOLAR SURGERY, IMPLANTOLOGY, RADIOLOGY ARISTOTLE UNIVERSITY OF
THESSALONIKI GREECE
4
DDS, PHD-ASSOCIATE PROFESSOR DENTOALVEOLAR SURGERY, IMPLANTOLOGY, DENTAL
ANAESTHESIA-SCHOOL OF DENTISTRY,DEPARTMENT OF DENTOALVEOLAR SURGERY,
IMPLANTOLOGY,RADIOLOGY. ARISTOTLE UNIVERSITY OF THESSALONIKI GREECE
Bisphosphonate related osteonecrosis of the jaw: protocols for prevention and management
Introduction: Bisphosphonates are used for a broad range of diseases with the main
consequence being the osteonecrosis that was first reported in 2003.The incidence of BRONJ
after dental extractions is estimated at 1:143,000patients per year ( 0,8-1,2% for intravenous
administration and 0,00038-0,06% patients with oral bisphosphonates). At the initial stage
of osteonecrosis there are no symptoms from the osteonecrotic bone but later on there is
pain, teeth mobility, redness of the area and numbness of the area. Aim: The aim of this
presentation is to present the results of the systematic review of the preventive methods
and treatment regimens of the osteonecrosis for patients on bisphosphonates. Materials
and Methods: A comprehensive systematic review of Pubmed, Cohrane Database of
Systematic Reviews using the following key words: protocols, prevention, treatment,
management, osteonecrosis, mandible, maxilla, dental extraction, bisphosphonates with no
restriction at the time of publication and including research papers on humans was
conducted. Results: A total of 189 articles were identified of whom only 19 were included in
this study. The use of antibiotics at different regimens before and after any surgical
procedure is well documented but the discontinuation of these medications reported in
ƐŽŵĞ ƐƚƵĚŝĞƐ ĚŽĞƐŶ͛ƚ ŽĨĨĞƌ ĂŶǇ ĂĚǀĂŶƚĂŐĞƐ ƚŽ ƚŚĞ ƉĂƚŝĞŶƚƐ͘ dŚĞ ƵƐĞ ŽĨ ŵŽƵƚŚǁĂƐŚ ŝƐ
suggested in order to reduce the microbial flora. Conclusions:There are no broadly accepted
protocols for the prevention and treatment of bisphosphonate related osteonecrosis of jaw
due to the lack of well-designed clinical trials.
OP.089. CHRONIC SUPPURATIVE ODONTOGENIC MAXILLARY

SINUSITIS IN CURRENT CASUISTRY ² DIAGNOSIS AND TREATMENT
DOINA V1, RAZVAN L2, ALEXANDRU V3.

1
CONF. UNIV. DR. -ENT CLINIC OF EMERGENCY COUNTY HOSPITAL
2
CONF. UNIV. DR. -hEZ:K^͟hE/sZ^/dzʹ FACULTY OF MEDICINE AND PHARMACY
GALATI
3
STUDENT-hEZ:K^͟hE/sZ^/dzʹ FACULTY OF MEDICINE AND PHARMACY GALATI
Introduction: Since the etiology of chronic suppurative maxillary sinusitis is multiple

(odontogenic, rhinogenic, traumatic, iatrogenic, etc.) diagnostic and therapeutic approaches
are interdisciplinary (ENT, dentistry, oro-maxillofacial surgery, endoscopic surgery),
therefore a close collaboration with the dental clinic is necessary. Purpose: Updating the
methods of diagnosis and treatment in OCSMS. Material and method: The current study was
carried out on a period of 2 years (January 1st, 2015 ʹ January 1st, 2017) on a total of 255
patients, of which 216 were diagnosed in the ENT clinic and 49 were diagnosed in the dental
ĐůŝŶŝĐ͘ ƐƚĂƚŝƐƚŝĐĂů ƐƚƵĚǇ ǁĂƐ ƉĞƌĨŽƌŵĞĚ ŽŶ ƉƌŝŵĂƌǇ Žƌ ƐĞĐŽŶĚĂƌǇ ĚŝĂŐŶŽƐŝƐ͛ ĨƌĞƋƵĞŶĐǇ͕ ĂƐ
well as a case study to establish the most appropriate therapy method and the opportunity
of an etiological treatment. Simultaneously, comparisons were performed between
therapeutic approaches for the cases diagnosed in the ENT clinic and the cases diagnosed in
the dental clinic. Results: Patients with early diagnosis have benefited from shortening of the
ĚŝƐĞĂƐĞ͛Ɛ ĞǀŽůƵƚŝŽŶ͘ dŚĞ ŵŽƐƚ ĨƌĞƋƵĞŶƚ ŽĚŽŶƚŽŐĞŶŝĐ ĞƚŝŽůŽŐŝĞƐ ǁĞƌĞ͗ ĂƉŝĐĂů ƉĞƌŝŽĚŽŶƚŝƚŝƐ͕
oro-maxillary communication, periapical cysts and implants. The main treatment of the
OCSMS was always done after the dental treatment. This was applied differently based on
the features of each case and included procedures ranging from maxillary sinus puncture to
Caldwell-Luck maxillary sinus surgical cure. Special attention was given to the surgical
approach by FESS. Conclusions: Multiple early diagnosis rules were established for the
OCSMS. A treatment algorithm was designed from interdisciplinary approach. Conditions to
prevent relapse were also established.
OP.090. USE OF PLATELET RICH FIBRIN IN SURGICAL TREATMENT
OF PERIAPICAL LESIONS
PEJANOVIC D1, PETROVIC M2, VUKOVIC N3, MILEUSNIC I4, RISTIC T4.
1
ASSISTANT PROFESSOR-DEPARTMENT OF ORAL SURGERY, FACULTY OF DENTISTRY
PANCEVO
2
RESIDENT-DEPARTMENT OF ORAL SURGERY, FACULTY OF DENTISTRY PANCEVO
3
ASSISTANT RESEARCHER-DEPARTMENT OF ORAL SURGERY, FACULTY OF DENTISTRY
PANCEVO
4
ASSISTANT PROFESSOR-DEPARTMENT OF PERIODONTOLOGY, FACULTY OF DENTISTRY
PANCEVO
USE OF PLATELET RICH FIBRIN IN SURGICAL TREATMENT OF PERIAPICAL LESIONS

BACKGROUND: FOR COMPLETE CURE OF PERIAPICAL LESIONS (PAL) CONSERVATIVE
TREATMENT IS SUCCESSFUL IN 85% OF CASES. AT THE REMAINING 15% OF PATIENTS
SURGICAL INTERVENTION IS NECESSARY. SURGERY CREATES CONDITIONS FOR COMPLETE
WOUND HEALING. LATELY, IN ORDER TO ACCELERATE BONE HEALING AND IMPROVE
POSTOPERATIVE REGENERATION OF PAL WE USE PLATELET RICH FIBRIN (PRF). THIS
MODERN BIOCATALYST ENCOURAGES MECHANISMS OF CELL PROLIFERATION,
ANGIOGENESIS, CHEMOTAXIS AND THUS A POSITIVE EFFECT ON THE ACCELERATED TISSUE
REGENERATION. METHODS AND MATERIALS: IN THIS STUDY WE EXAMINED THE EFFECTS OF
PRF ON A HEALING OF A BONE DEFECTS REMAINING AFTER THE SURGICAL REMOVAL OF THE
PAL. WITH ALL THE PATIENTS WE USE THE SAME STANDARD SURGICAL PROCEDURE OF
REMOVING THE PAL, AND FOR THE USE OF PRF WE OBTAINED THE PROTOCOL DEVELOPED
BY CHOUKROUN. POST OPERATIVE HEALING WAS CHECKED BY CLINICAL AND
RADIOGRAPHICAL PARAMETER WITHIN A PERIOD OF 3 TO 6 MONTH. RESULTS: IN ALL THE
CASES INVOLVED IN THIS STUDY, BOUTH, THE CLINICAL AND THE RADIOGRAPHICAL
PARAMETERS IN POSTOPERATIVE PERIOD SHOWED THAT THE WE OBTAINED A HIGHER
LEVEL OF BONE HEALING AND LESS POSTOPERATIVE COMPLICATIONS WITH THE PATIENTS
THAT WE TREATED WITH PRF. CONCLUSION: AS A RESULT OF THIS STUDY WE CONCLUDED
THAT PRF IS EFFICACIOUS IN THE TREATMENT OF INTRABONY DEFECT. ALTHOUGH THE
GROWTH FACTORS STILL ARE BEING INVESTIGATED, PRF WITH ITS BENEFICACIAL
OUTCOMES WILL DEFINITELY REVOLUTIONIZE THE SURGICAL DENTISTRY IN THE FUTURE.
OP.091. CYSTIC LESION OF THE MANDIBLE TREATED IN

EMERGENCY
DALAMPIRAS S1, DALAMPIRAS F.A.T.2, DALAMPIRA M3.

1
PROFESSOR, ORAL AND MAXILLOFACIAL SURGEON-ARISTOTLE UNIVERSITY OF
THESSALONIKI
2
DENTIST-COMENIUS UNIVERSITY OF BRATISLAVA
3
DENTISTRY STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI
CYSTIC LESIONS OF THE JAWS CAN REMAIN UNDIAGNOSED FOR MANY YEARS SINCE THEY
KE͛d WZKh ^zDWdKD^ K& d,/Z WZÊ͘ K&dE͕ d,z Z Zs> &dZ
RADIOGRAPHIC EXAMINATION, BUT SOMETIMES THEY CAUSE PROBLEMS THAT FORCE
PATIENTS TO IMMEDIATELY SEEK FOR MEDICAL ASSISTANCE. CASE REPORT. A 37-YEAR-OLD
FEMALE PATIENT WAS REFERRED TO AN ORAL AND MAXILLOFACIAL CLINIC BY HER DENTIST
t/d,/'EK^/^K&/EdK>Z>W/E/Ed,Z/',d DE/>͘d,W/EtKh>E͛d
STOP WITH COMMON ANALGESICS. THE PAIN WAS EXCRUCIATING AND THE PATIENT CAME
TO OUR CLINIC IN AN EMERGENCY. CLINICAL EXAMINATION REVEALED THAT THE MOLAR
WAS ALMOST COMPLETELY DESTROYED, BUT THERE WERE NO OTHER SIGNS (FOR EXAMPLE
SWELLING) EXCEPT THE PAIN. RADIOGRAPHIC EXAMINATION REVEALED A LARGE CYSTIC
LESION ATTACHED TO THE DISTAL ROOT OF 46. THE LESION WAS EXTENDED TO THE
PROXIMAL ROOT OF 47 AND NEAR THE INFERIOR BORDER OF THE MANDIBLE. ITS IMAGE
GAVE THE IMPRESSION THAT IT PRESSED AGAINST THE MANDIBULAR CANAL. AN
IMPORTANT RADIOGRAPHIC FIND WAS THE FACT THAT THE CYSTIC LESION ESPECIALLY IN
ITS LOWER PART WAS SURROUNDED BY A STRONG LAYER OF BONE THAT WAS FORMING A
LINE BETWEEN THE INTERIOR OF THE CYST AND THE SURROUNDING TISSUES IN THE AREA.
CONCLUSION THE AIM OF THIS PRESENTATION IS TO INFORM GENERAL DENTISTS AND ORAL
AND MAXILLOFACIAL SURGEONS THAT IN CASES OF EXTREME PAIN WHO IS NOT
RESPONDING TO ANALGESICS THERE IS A HIGH PROBABILITY THAT THE PAIN ORIGINS FROM
AN INSIDE PRESSURE TO THE BONE ELEMENTS AND THE RIGHT TREATMENT IS TO DRAIN
THE CYSTIC CONTENT THROUGH THE BONY CORTEX.
OP.092. CHRONIC PLASMA CELL OSTEOMYELITIS OF THE MAXILLA:

A RARE PRESENTATION
DOGAN M1, DOGAN DO2, OZSOY UCAR SU3.

1
ASSISTANT PROF.DR.-CUMHURIYET UNIVERSITY FACULTY OF MEDICINE DEPARTMENT OF
OTORHINOLARYNGOLOGY , SIVAS, TURKEY
2
ASSOC. PROF.DR-CUMHURIYET UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS, SIVAS, TURKEY.
3
RESEARCH ASSIST.-CUMHURIYET UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS, SIVAS, TURKEY
Background. The aim of the study is to describe the clinicopathological findings of the case
of inflammatory plasma cell osteomyelitis in the oral cavity. We report an exceptional case
of chronic osteomyelitis of the posterior maxilla in a 30-year-old healthy male by
odontogenic infection advancing which was managed successfully by the combination of
antibiotics, endodontic treatment, surgical sequestrectomy and debridement. Methods and
materials. A 30-year-old male patient presented with a short history of swelling and pain in
the right maxilla premolar region. When the patient developed swelling in the same area 6
months ago, endodontic treatment was applied to the 14th and 15th teeth, and antibiotics
were used. After that, the patient's complaints have improved until this time. Panoramic
radiography and CT showed a space-occupying lesion with noninfiltrative margins.
Histopathological examination showed chronic reactive inflammatory cells including plasma
cells. CD 138 was positive. Results. Nonspecific inflammatory reaction in the oral cavity is
completely benign and simple excision is curative. Its correct recognition by the surgeon is
important to avoid unnecessarily radical and potentially mutilating surgery. Conclusion.
However, plasma cell osteomyelitis is not a very common tumour type of the maxilla and it
can be rarely observed in our patients.
Session 22
OP.093. COMPARISON OF THE AGREEMENT BETWEEN INTRAORAL
AND ARTICULATOR CONTACTS IN THE RETRUDED CONTACT
POSITION
KISERI B1, A)ATAY2, YILDIZ M3, SmLmN T4.

1
DR.-PRIVATE PRACTICE
2
DR.-ISTANBUL UNIVERSITY
3
DR.-PRIVATE PRACTICE
4
PROF. DR.-ISTANBUL UNIVERSITY
The clinical requirements of an articulator are the ability to perform reproduction of centric
and eccentric occlusion. If dental casts are accurately mounted to an articulator, it is possible
to simulate certain occlusal relationships, but it should not be forgotten an articulator can
simulate but not duplicate all mandibular movements. Many different types of articulators
have been developed to perform lateral and protrusive movements, and some of them have
even individually adjustable. Nevertheless, most of them cannot be performed the retrusive
movement.In this present presentation the ability of two different articulator systems
(Girrbach Artex CR (Amann Girrbach) and Gerber Condylator Vario)will be discussed
regarding mimics of the retrusive movement in details.
OP.094. METAL-CERAMIC VS ALL-CERAMIC FIXED DENTAL

PROSTHESES: CLINICAL PERFORMANCE AND COMPLICATIONS
LIOSATOU R1, TORTOPIDIS D2, MICHOU S3, KOUNTOURAS K4.

1
UNDERGRADUATE STUDENT, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF
2
ASSOCIATE PROFESSOR, DEPARTMENT OF FIXED PROSTHESIS AND IMPLANT
GREECE
3
UNDERGRADUATE STUDENT, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF
4
LECTURER, DEPARTMENT OF OPERATIVE DENTISTRY, SCHOOL OF DENTISTRY, ARISTOTLE
UNIVERSITY OF THESSALONIKI, GREECE
Introduction. Traditionally, high noble metal-ceramic reconstructions for fixed dental

prostheses (M/C FDPs) were recognized as the gold standard due to their excellent
mechanical properties and biocompatibility. Nowadays, all-ceramic fixed dental prostheses
(All/C FDPs) are considered an established treatment alternative to M/C FPDs in daily clinical
practice due to their superior aesthetic performance and biocompatibility. Complications of
both M/C and All/C tooth-supported FDPs are divided into biological-related to abutments
and into technical- related to materials failure. Aim: To assess the clinical performance and
survival rate of metal-ceramic and all-ceramic tooth supported fixed dental prostheses and
to determine the incidence of their biological and technical complications. Materials and
methods: Research in three online Libraries (Medline, Scopus, Cochrane Library) was
performed for clinical studies and systematic review articles about biological and technical
complications of metal-ceramic and all-ceramic FDPs. Search terms applied were: survival
rate, metal-ceramic FDPs, all-ceramic FDPs, complications, technical and biological
complications. Included articles were selected from January 2002 up to February 2017.
Results-Conclusion: All-ceramic FDPs exhibited similar 5-year survival rate (91%) as the gold
standard metal-ceramic FPDs (94%) and show mainly technical complications such as veneer
ĐĞƌĂŵŝĐ ĨƌĂĐƚƵƌĞ ĂŶĚ ƚŚĞ ůŽƐƐ ŽĨ ƌĞƚĞŶƚŝŽŶ͘ ȻŶ ĐŽŶƚƌĂƐƚ ŵĞƚĂů-ceramic FDPs seem to have
higher rate of biological complications, such as periodontal disease, root fracture and
endodontic complications. Probably, the difference in the incidence of biological
complications can be explained by the higher follow-up period of the metal ceramic FDPs,
while for all ceramic FDPs have still not been conducted long-term clinical studies.
OP.095. EVALUATION OF THE HYGIENE HABITS AND METHODS OF

REMOVABLE PARTIAL DENTURE WEARER PATIENTS
GOKALP KALABAY P1, YURDAKOS A2, MANDALI G3.

1
PHD-DEPARTMENT OF PERIODONTOLOGY, OKMEYDANI ORAL AND DENTAL HEALTH
2
PHD-DEPARTMENT OF PROSTHODONTIC, OKMEYDANI ORAL AND DENTAL HEALTH
3
PHD-DEPARTMENT OF PROSTHODONTIC, OKMEYDANI ORAL AND DENTAL HEALTH
,K^W/d>͕7^dEh>͕dhZ<z͖--;--
Background:The aim of this study is to evaluate the hygiene methods and habits concerning
the use of removable partial denture in Turkish population. Materials and Methods: A total
of 553 partial denture wearers, with at least 6 months of prostheses use, completed a
questionnaire about age, gender, educational status, general health, frequency of visiting a
dentist, duration of denture wearing, denture cleaning frequency, methods following clinical
examination. The data were analyzed by using SPSS 20 istatistical package programe.
Results:In this study, the mean age of the subjects was 56 and most were females (51.9%).
40.24 % of patients clean their dentures daily once. The majority of these subjects used
water and soap for denture cleansing. 45.21 % had been using the same denture for more
than 5 years. 64.92% patients removed their dentures at night. Dentists should give proper
instructions regarding maintenance of denture hygiene.It is the obligation of the dentist to
motivate and instruct the patient and provide the means and methods for plaque control.
OP.096. EFFECT OF DIFFERENT ADHESIVES AND SURFACE

TREATMENTS ON BOND STRENGTH OF RESIN CEMENT TO PEEK
CAGLAR I1, MELIH ATES SM2, YESIL DUYMUS ZY3.

1
ASSIST. PROF. DR.-RECEP TAYYIP ERDOGAN UNIVERSITY, FACULTY OF DENTISTRY,
2
ASSIST. PROF. DR.-RECEP TAYYIP ERDOGAN UNIVERSITY, FACULTY OF DENTISTRY,
3
PROF. DR.-RECEP TAYYIP ERDOGAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
Background: Polyetheretherketone (PEEK) can be used as a framework material for fixed

dental prostheses. Main disadvantage of PEEK in prosthetic dentistry is its low surface
energy and resistance to surface modifications, therefore the aim of this in vitro study was
to investigate the influence of different PEEK surface pretreatments and adhesive systems
on the bond strength of resin cement to PEEK. Methods and materials: 120 PEEK disks were
fabricated from a PEEK blank and divided into 4 pretreatment groups (n=30); (A),
sandblasting with ϱϬђŵůϮKϯ͕;Ϳ͕ƐŝůŝĐĂĐŽĂƚŝŶŐƵƐŝŶŐŽũĞƚ^ǇƐƚĞŵ͕;Ϳ͕ĞƚĐŚŝŶŐǁŝƚŚZ-
YAG laser, (D), untreated control group. All groups were then allocated to 3 conditioning
groups (n=10): visio.link, Signum PEEK Bond, or no conditioning. Resin cement was mixed
accoƌĚŝŶŐƚŽƚŚĞŵĂŶƵĨĂĐƚƵƌĞƌƐ͛ŝŶƐƚƌƵĐƚŝŽŶƐĂŶĚƉůĂĐĞĚŝŶƚŽĂŐĞů-cap which was positioned
on the specimen surfaces. After preparation, all specimens were stored in distilled water at
ϯϳΣ ĨŽƌ Ϯϰ ŚŽƵƌƐ͘ ^ŚĞĂƌ ďŽŶĚ ƐƚƌĞŶŐƚŚ ƚĞƐƚƐ ǁĞƌĞ ĐŽŶĚƵĐƚĞĚ ǁŝƚŚ Ă ƵŶŝǀĞƌƐĂl testing
machine. Mean shear bond strength values (MPa) were calculated and data were analyzed
with ANOVA and Tukey's test (p=0.05). Results: Surface treatment methods and adhesive
agents significantly affected the shear bond strength of resin cement to the PEEK bases
(pϬ͘ϬϱͿ͘ ŽŶĐůƵƐŝŽŶ͗ ŽŶĚŝŶŐ ƚŽ W< ŝƐ ƉŽƐƐŝďůĞ ǁŚĞŶ ƵƐŝŶŐ ĂŶ ĂĚŚĞƐŝǀĞ ƐǇƐƚĞŵ ǁŝƚŚ
different surface treatment methods. The results strongly encourage further research in
PEEK applications.
OP.097. EFFECT OF POLISHING SYSTEMS ON SURFACE

ROUGHNESS AND PHASE
TRANSFORMATION OF MONOLITHIC ZIRCONIA

CAGLAR I1, ATES SM2, DUYMUS ZY3.
1
ASSISTANT PROFESSOR-RECEP TAYYIP ERDOGAN UNIVERSITY FACULTY OF DENTISTRY
2
ASSISTANT PROFESSOR-RECEP TAYYIP ERDOGAN UNIVERSITY FACULTY OF DENTISTRY
WZdDEdK&WZK^d,KKEd7^
3
PROFESSOR-RECEP TAYYIP ERDOGAN UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS
Background: Monolithic zirconia restorations are directly exposed to the oral environment
and masticatory functions therefore surface polishing or finishing of the zirconia restorations
required. The aim of this study was to compare the polishing effectiveness of various
polishing systems and evaluate the influence on surface roughness and phase
transformation of monolithic zirconia. Material&method: Forty monolithic zirconia
specimens (Katana Zirconia HT, Kuraray-Noritake) were fabricated and all specimens were
ground with a diamond bur prior to polishing procedures to simulate an occlusal adjustment
procedure. Sintered and ground monolithic zirconia specimens were used as control group
(n=10) and other specimens were divided into 3 groups according the polishing systems. The
surfaces were characterized by a profilometer and scanning electron microscope (SEM).
Phase transformations was evaluated by x-ray diffraction (XRD) analysis. The data were
analyzed with ANOVA and Tukey's test (p=0.05). Results: The polishing systems had
significantly lower surface roughness values than control group (pϬ͘ϬϱͿ͘ dŚĞ ^D ŝŵĂŐĞƐ
obtained were consistent with the profilometric findings. Phase transformation was not note
in any group. Conclusions: All polishing systems may not be detrimental for the phase
transformation of monoclinic zirconia.
OP.098. BOND STRENGTH OF SOFT LINER TO DENTURE BASE: A

SYSTEMATIC REVIEW AND META-ANALYSIS
PD7Z,1͕PK)E2.
1
DR., PHD-ddmZ<hE/sZ^/dz͕&h>dzK&Ed/^dZz͕WZdDEdK&
PROSTHODONTICS
2
DR., PHD-ddmZ<hE/sRSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
Bond strength of soft liner materials with denture base materials is continuously under
development. There are several studies in the literature evaluating the bond between soft
liner materials and denture base materials. The aim of this systematic review is to perform a
meta-analysis to find out which form of soft liner materials better attach to the denture base
materials, what are the surface treatments with the highest efficacy to increase the bond
strength, and what is the most commonly preferred test method to measure the bond
strength. Based on a search made on the PubMed, EMBASE and Google Academic, 57
articles were included to the present study. The results indicated that the most commonly
used test method was the tensile test. Surface treatments effective on bond vary depending
on the type of the test applied and the type of the attached soft liner material. Different
surface treatments applied to denture base materials have different effects on the bond
strengths of soft liner materials. Silicon-based soft liner materials are more commonly
preferred than acrylic-based soft liner materials. The efficacy of surface treatments varies
depending on the soft liner materials and the test type. While CA and CS were the most
commonly applied surface treatments, very limited number of studies preferred to apply CJ
and L. CA and L are the most effective surface treatments both for S and A. Storage in water
and thermocycle applied before or after the surface treatments were also found to be
effective on the bond strength.
OP.099. PROSTHODONTIC RESTAURATIVE REPLACEMENT OF

MISSING TOOTH BY IMPLANT IN THE UPPER DENTAL ARCH
WKad/^͘
MSC,PHD-UNIVERSITY CLINIC OF DENTAL PROSTHETIC,SCHOOL OF DENTAL MEDICINE IN

BELGRADE, UNIVERSITY OF BELGRADE
The purpose of this study is to present successful replacement of missing premolar in the
upper jaw by implant and metal-ceramic single crown. A patient SP, aged 50 yrs., came in
the Clinic of Dental Prosthetic, University of Belgrade, after accidental extraction of left
upper premolar. A patient had all natural remaining teeth in his upper jaw, except the first
one upper premolar. Dental status and oro-facial conditions were additionally examined by
3-D panoramic tomography (3D scanning roentgen apparatus, Scanora3D), prior decision on
implant positioning. In the oral surgery procedure of bone preparing, single implant (SICace
3,4 x 11,5 mm.,SIC invent AG, Switzerland) was inserted and positioned, flap was covered,
and gingival former was secured. After 6 weeks of osseointegration, oral-gingival margins of
implant were uncovered, and abutment-retainer was set-up, using locator for master cast
fabrication. Single metal-ceramic (Vita, Germany) crown was fabricated. After try-in of metal
coping, definite color was provided (C3VitaShade). The crown was shaded, and finished,
than definitively cemented using temporary paste(Temp-bond, Kerr, Sybron, Germany).
Additional medicamentous solution of calcitonin and calcium-gluconate solution in 3:1
proportion, was injected through buccal lamelar bone all-around osseointegrated implant.
Conclusion. Implant and metal-ceramic single crown are good restorations in partially
edentulous dental arch. Additional osseointegration could be accelerated and improved
using additional medicamentous solution of calcitonin and calcium-gluconate. Key words:
Implant, upper jaw, metal-ceramic crown, bone density, fixed-prosthodontics
OP.100. COMPARISON OF MASTICATORY MUSCLE VOLUME AND

OCCLUSAL FORCE DISTRIBUTION BETWEEN BRUXISM PATIENTS
AND HEALTHY INDIVIDUALS
YILMAZ S1, ,7d/ÊD2, MISIRLIOGLU M3, K<<^7D4.

1
ASSISTANT PROFESSOR-</Z/<<>hE7sZ^7dz&h>dzK&Ed7^dZz
EdKDy7>>K&7>Z7K>K'zW
2
DEdKDy7>>K&7>Z7K>K'zW
3
DEdKDy7>>K&7>Z7K>K'zW
4
Z^Z,^^7^dEd-</Z/<<>hE7sZ^7dz&h>dzK&Ed7^dZz
DENdKDy7>>K&7>Z7K>K'zW
Background: Bruxism is a para-functional activity characterized by teeth grinding or

clenching during day time or sleep. Hypertrophy of masseter muscles is clinically evident in
patients with long-term bruxism. However, changes in masticatory muscles in young adult
individuals have not been studied comprehensively. In this study, we aim to compare the
differences in masticatory muscle volume and occlusal force distribution between patients
with bruxism and healthy individuals. Methods and Material: The study was performed on
14 individuals with bruxism and 12 healthy female individuals between the ages of 20 and 27
;ŵĞĂŶ͗ Ϯϯцϭ͕ϴϱͿ͘ DZ ŝŵĂŐĞƐ ŽĨ ƚŚĞ ƉĂƚŝĞŶƚƐ ĨƌŽŵ Ă ƉƌĞǀŝŽƵƐ ĐůŝŶŝĐĂů ƚƌŝĂů ǁĞƌĞ ƵƐĞĚ ĨŽƌ
volumetric measurements of the masticatory muscles. Two observers performed the
volumetric measurements using a 3D-Doctor software by manual segmentation method.
Distribution of bite forces was also recorded using a T-Scan II occlusal analysis system. All the
variables were statistically analyzed using SPSS 17 software. Results: There was no
statistically significant interobserver difference for measurements and T-scan II recordings.
Although muscle volume and occlusal force distribution were slightly higher in healthy
individuals than in patients with bruxism, there was no statistically significant difference
between the groups. A high correlation was observed between the percentages of muscle
volume and occlusal force on the same side. Conclusion: According to the results, there were
no statistically significant dimensional changes in the masticatory muscles in the young
patients with bruxism. The T-scan occlusal analysis system showed meaningful results in the
detection of the side of excess muscle mass.
Session 27
OP.101. COULD SERUM LIPOXIN LEVELS BE AN INDICATOR
BETWEEN PERIODONTAL DISEASE AND METABOLIC SYNDROME?
DOGAN B1, KEMER DOGAN ES1, FENTOGLU O2, YESIM KIRZIOGLU F3.
1
ASST. PROF.-MUSTAFA KEMAL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY, HATAY, TURKEY
2
ASSOC. PROF.-SULEYMAN DEMIREL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
3
PROF.-SULEYMAN DEMIREL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
Background: The link between periodontal disease and various systemic diseases is clearly
revealed. Metabolic syndrome (MetS) is a cluster of systemic diseases and studies trying to
clarify the relation between periodontal disease and MetS have gained importance recently.
The purpose of this study was to evaluate the effect of MetS on periodontal disease and
exhibit the role of lipoxin (LX), which is a proresolving lipid mediator, on this relation.
Material and Methods: One hundred and thirty two individuals (sixty five systemically
healthy [H], sixty seven MetS) were participated. Sociodemographics, anthropometrics and
oral heath behaviours were recorded. Periodontal (plaque index [PI], gingival index, probing
pocket depth [PD], and clinical attachment level [CAL]) and biochemical parameters, and
serum LXA4 levels were determined. Adjusted multivariate linear regression analyses among
MetS, periodontal parameters and serum LX levels were performed. Results: MetS group
was older and had higher body mass index (BMI) and flossing but lower education level than
group H. PD and CAL were higher and LX was lower in MetS group comparing to group H in
regression analyses. Negative correlations among LX and periodontal parameters (PI, PD and
CAL) were indicated in partial correlation analyses controlled for age, education, flossing,
BMI and MetS. Conclusion: MetS increased periodontal disease severity. An inverse relation
among serum LX levels, periodontal disease and MetS was observed. Serum LX levels could
be used as an indicator of this relation.
OP.102. EFFECT OF DIFFERENT CONCENTRATIONS OF

DOXYCYCLINE IN THE TREATMENT OF PERIODONTAL DISEASE
POPOVSKA M1, SPASOVSKI S2, NIKOLOVSKI B3, ANASTASOVA L4, PETKOVSKA R5.
1
PROFESSOR-FACULTY OF DENTISTRY, UKIM, SKOPJE
2
DOCTOR-FACULTY OF DENTISTRY, UKIM, SKOPJE
3
DOCTOR-PHO ETERNA DENT, SKOPJE
4
ASOCC PROFESSOR-FACULTY OF PHARMACY, UKIM, SKOPJE
5
PROFESSOR-FACULTY OF PHARMACY, UKIM, SKOPJE
Aim. To investigate the influence of different concentrations of Doxycycline on clinical

manifestation at periodontitis. Material and Methods.Study included 60 subjects with
moderate periodontitis. The first group (30 subjects) was treated with antimicrobial dose
Doxycycline 1x100 mgr/day and a second group with sub microbial doses 2x20 mgr/day.
Doxycycline in saliva and gingival fluid is determined by method of liquid chromatography
with fluorescence detection. Results. In the first group, PD and CAL gradually declining. In
the second group, PD and CAL after 2.5 months were significantly lower than that at the first
examination,( x = 3,61mm vs x = 2,65mm. and x = 4,06 mm vs x = 2,95 mm.) Doxycycline
concentration in saliva and GCF after 7, 15 and 21 days in the group treated with 100
mgr/day decreased. Patients treated with SDD 2x20 mgr/day at 15, 30 and 60 days
continuously decrease in gingival fluid and in saliva slight increased after 30 days. However,
after 60 days the concentration of Doxycycline is reduced compared to day 15. Conclusion.
SDDoxycycline led to a reduction in the depth of periodontal pockets and significant
reduction of CAL, resulting in satisfactory clinical finding.
OP.103. EFFECT OF NON-SURGICAL PERIODONTAL TREATMENT ON

PERIODONTOPATHOGENS IN AGGRESSIVE PERIODONTITIS
DD<>/K)>h1, KARCHED M2, ASIKAINEN S3͕K)E4.

1
DDS PHD-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
2
DDS PHD-KUWAIT UNIVERSITY, DEPARTMENT OF BIOCLINICAL SCIENCES, KUWAIT
3
PROF DR-KUWAIT UNIVERSITY, DEPARTMENT OF BIOCLINICAL SCIENCES, KUWAIT
4
PROF DR-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
Background: This study aimed to evaluate the effect of non-surgical periodontal treatment
(NPT) on subgingival periodontopathogens in patients with generalized aggressive
periodontitis (GAgP). Materials and Methods: Forty-two GAgP patients were included in the
6-month follow-up study. Patients received NPT without antibiotics. Clinical parameters
consisted of measurements for plaque index (PI), gingival index (GI), probing depth (PD),
bleeding on probing (BOP) and clinical attachment level (CAL) around all teeth. Subgingival
bacterial samples were taken from 6 deepest periodontal pockets. Quantitative PCR was
used to determine total bacterial counts and counts of Aggregatibacter
actinomycytemcomitans, Porphyromonas gingivalis, Fusobacterium nucleatum, Prevotella
intermedia, Parvimonas micra and Campylobacter rectus at baseline and 3 and 6 months
after treatment. Results: Mean whole-mouth values for PI, GI, BOP, PD and CAL and the
ƉĞƌĐĞŶƚĂŐĞ ŽĨ ƐŝƚĞƐ ǁŝƚŚ Wшϱ ŵŵ ŝŵƉƌŽǀĞĚ ƐŝŐŶŝĨŝĐĂŶƚůǇ ďŽƚŚ Ăƚ ϯ ĂŶĚ ϲ ŵŽŶƚŚƐ ĂĨƚĞƌ
treatment (p<0.05). Morever, mean PI, GI, PD, BOP and CAL of sampled sites were
significantly reducedat 3 and 6 months compared to baseline (p<0.05). The counts of P.
gingivalis, F. nucleatum, P. intermedia, P. micra and C. rectus and the total bacterial counts
were significantly lower (p<0.05) both at 3 and 6 months after treatment compared to those
at baseline. Conclusion: NPT without antibiotics showed improvement on clinical and
microbiological parameters in patients with GAgP.
OP.104. EFFECT OF CHRONIC PERIODONTITIS ON NITROSATIVE
675(66,13$7,(176:,7+35,0$5<6-2*5(1·66<1'520(
ZIYA bEzhZdS1, KISACIK B2͕'mEK)Z,3, TAYSI E4, ERCIYAS K5.

1
ASSISTANT PROFESSOR-GAZIANTEP UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
2
ASSOCIATE PROFESSOR-SECTION OF RHEUMATOLOGY, GAZIANTEP MEDICAL PARK
INTERNATIONAL HOSPITAL
3
ASSISTANT PROFESSOR-GAZIANTEP UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
4
PROFESSOR-GAZIANTEP UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF
BIOCHEMISTRY
5
PROFESSOR-GAZIANTEP UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
BACKGRKhE͗^ũƂŐƌĞŶ͛ƐƐǇŶĚƌŽŵĞ;^^ͿĂŶĚĐŚƌŽŶŝĐƉĞƌŝŽĚŽŶƚŝƚŝƐ;WͿĂƌĞƚŚĞŵŽƐƚĐŽŵŵŽŶ
chronic inflammatory diseases and have remarkable similar pathologies. Occurrence of
periodontal diseases in primary SS (PSS) is still controversial. The purpose of this study was
to investigate the effect of CP on nitrosative stress in patient with PSS by evaluating gingival
crevicular fluid and serum nitrosative parameters. MATERIALS AND METHODS: A total of 80
individuals were divided into four groups of 20 each: 1) PSS with CP (PSS-CP group); 2) PSS-
periodontally healthy (PSS-PH group); 3) systemically healthy with CP (SH-CP group) and 4)
systemically and periodontally healthy (SH-PH group). Clinical periodontal parameters were
measured and gingival crevicular fluid-serum nitrosative parameters in terms of nitric oxide
(NO), peroxynitrite (ONOO(-)) levels and nitric oxide synthase (NOS) enzyme activity were
assessed. Demographic and rheumatologic variables were recorded. RESULTS: Gingival
crevicular fluid NO, ONOO(-) and NOS values were statistically significantly higher in PSS-CP
group than the other groups (P<0.05) but did not differ significantly between PSS-PH and SH-
PH groups. In addition; serum NO, ONOO(-) and NOS values were significantly higher in PSS-
PH group than the SH-PH group (P<0.05). CONCLUSIONS: This is the first study to confirm
increased nitrosative stress due to CP in PSS patients. Although CP and PSS each increase
nitrosative stress, these effects are only significant when both CP and PSS are combined
relativĞ ƚŽ ŶĞŝƚŚĞƌ ĞǆƉŽƐƵƌĞ͘ <ztKZ^͗ ŚƌŽŶŝĐ WĞƌŝŽĚŽŶƚŝƚŝƐ͖ ^ũƂŐƌĞŶ͛Ɛ ^ǇŶĚƌŽŵĞ͖
Nitrosative Stress; Gingival Crevicular Fluid; Serum
OP.105. IS THERE A RELATIONSHIP AMONG SCHNEIDERIAN

MEMBRANE THICKNESS, PERIODONTAL BONE LOSS AND
PERIAPICAL STATUS?
YILDIRIM T1, NIGAR GUNCU G2, GPKSmLmK D3͕OLAK M4, FIKRET TPZmM T5.
1
ASSISTANT PROFESSOR-DEPARTMENT OF PERIODONTOLOGY, FACULTY OF DENTISTRY,
FIRAT UNIVERSITY, ELAZIG, TURKEY.
2
PROFESSOR-2DEPARTMENT OF PERIODONTOLOGY, FACULTY OF DENTISTRY, HACETTEPE
UNIVERSITY, ANKARA, TURKEY
3
DR.-3DEPARTMENT OF BIOSTATISTICS, FACULTY OF MEDICINE, HACETTEPE UNIVERSITY,
ANKARA, TURKEY.
4
ASSISTANT PROFESSOR-4DEPARTMENT OF DENTO-MAXILLOFACIAL RADIOLOGY, FACULTY
OF DENTISTRY, DICLE UNIVERSITY, DIYARBAKIR, TURKEY.
5
PROFESSOR-DEPARTMENT OF PERIODONTICS, COLLEGE OF DENTISTRY, UNIVERSITY OF
ILLINOIS AT CHICAGO, CHICAGO, IL, USA.
Background: The most common complication of sinus floor elevation is the perforation of
Schneiderian membrane. Different factors have been implicated in the risk of sinus
membrane perforation during sinus-lift surgery. The purpose of this study was to evaluate
ƚŚĞƉŽƐƐŝďůĞƌĞůĂƚŝŽŶщƐŚŝƉďĞƚǁĞĞŶƐŝŶƵƐŵƵĐŽƐĂůƚŚŝĐŬŶĞƐƐ;DdͿ͕ŵƵĐŽƐĂůĂƉƉĞĂƌĂŶĐĞ;DͿ͕
periodontal bone loss (PBL), and periapical status using cone beam computerized
tomography (CBCT). Methods and materials: The current retrospective study consists of
1000 maxillary sinus CBCT images of 500 patients. The CBCT scans were assessed to detect
the prevalence of maxillary sinus MT, MA, PBL, and periapical status. Chi-square test analysis
was used to determine the influence of PBL and periapical status on sinus MT and MA.
Results: PBL was significantly associated with MT (P=0.004) and MA (P=0.038). There was no
significant association between MT and age; however, there was a significant association
between MT and gender (P<0.001). There were significant associations between the PBL and
age (P<0.001), and PBL and gender (P=0.005). Further, it was also presented that periapical
status was related to MT (P<0.001) and MA (P=0.019). Conclusions: PBL and periapical
lesions may have an association with mucosal thickening of the maxillary sinus. Key words:
Tomography; Periapical diseases; Periodontal disease; Sinus; Schneiderian membrane
OP.106. TREATMENT AND REMOVAL OF GINGIVAL

HYPERPIGMENTATION USING DIODE LASER THERAPY: CASE
REPORTS
PAPADIMITRIOU I1, ALMAGOUT P2, SOTIRI V3, GANOU L3.

1
ST. LUKAS HOSPITAL SOLINGEN, DEPARTMENT OF ORAL, MAXILLOFACIAL SURGERY,
GERMANY/GENERAL HOSPITAL WESTATTICA: DEPARTMENT OF DENTISTRY, ATHENS
2
DR-GENERAL HOSPITAL WESTATTICA: DEPARTMENT OF DENTISTRY, ATHENS
3
INTRODUCTION: An attractive-ƐŵŝůĞǁĂƐĐŽŶƐƚĂŶƚůǇƚŚĞĨŽĐĂůƉŽŝŶƚŽĨƉĞŽƉůĞ͛ƐĂƚƚĞŶƚŝŽŶ͕ŝŶ-
order-to perfect their aesthetic-appearance.The gingiva is the-most-commonly affected
intraoral-tissue that is leading to unsatisfactory looks.Gum-Melanin-Pigmentation(GMP)is a
widespread appearance that can occur in all ethnicities,is completely benign and seen
predominantly as a genetic-feature of some populations.Most-pigmentations are caused by
five-major-pigments:melanin,oxyhaemoglobin,melanoid,carotene and reduced
haemoglobin.Melanin,a brown-pigment,is the-most-common cause of endogenous gum-
pigmentation and is the most prevalent gingival-pigmentation.The demand for
depigmentation is normally made for aesthetic-reason.This problem is aggravated in
patients with a
OP.107. PERIODONTAL DISEASES IN CONSANGUINEOUS
MARRIAGES
>/b/ZD͘
ASST.PROF.DR.-ADIYAMAN UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF

PERIODONTOLOGY
Some of the rare autosomal recessive diseases could be seen commonly in the
consanguineous marriages. Consanguineous marriages have generally been accepted as
having important detrimental effects on offsprings. Currently, many young consanguineous
couples planning to have children are afraid of the consequences of consanguinity on their
offsprings. Some rare syndromes affecting phagocytes, epithelia, connective tissue and teeth
could cause severe periodontal conditions. There were some identified genes that are
responsible for these syndromes. Periodontal manifestations of these genetic disorders or
syndromes imitate some types of periodontal diseases. Familial and cyclic neutropenias,
granulomatous disease, agranulocytosŝƐ͕>ĂŶŐĞƌŚĂŶƐ͛ĐĞůůĚŝƐĞĂƐĞ͕ŐůǇĐŽŐĞŶƐƚŽƌĂŐĞĚŝƐĞĂƐĞ͕
hypophosphatasia, leucocyte adhesion deficiency, Papillon->ĞĨğǀƌĞ͕ŚĠĚŝĂŬ-Higashi, Cohen,
Ehlers-ĂŶůŽƐ͕ DĂƌĨĂŶ͛Ɛ͕ ŽǁŶ͛Ɛ͕ ,Ăŝŵ-Munk, and Kindlers syndromes are some of these
genetic conditions. A consequence of consanguineous marriage occurs in the oral and
periodontal tissues. Although, aggressive periodontitis shows an autosomal dominant
transition, some syndromic forms of the periodontitis show autosomal recessive heredity.
Therefore, the hypothesis of consanguineous marriage increases the incidence of
periodontal disease may be suggested within the limitation of this data. Although
consanguineous marriages are common in the world, the relationship with periodontal
diseases has not been investigated frequently. Our knowledge is not enough for the effects
of consanguineous marriage on oral and periodontal diseases. The aim of this review is to
show the relation between consanguineous marriages and periodontal diseases.
Session 33
OP.108. ANTIBACTERIAL AND SMEAR LAYER REMOVAL EFFICACY
OF PIPS AIDED IRRIGATION IN PRIMARY MOLAR ROOT CANALS
KORKUT E1, TORLAK E2, ''7EK3, OZER H4, SENER Y5.

1
ASSIST. PROF.-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
2
ASSOC. PROF.-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF SCIENCE, DEPARTMENT OF
MOLECULAR BIOLOGY
3
ASSIST. PROF.-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
4
PHD. STUDENT-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
5
PROF.-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PEDIATRIC DENTISTRY
Purpose: The objective of this study was to compare antibacterial and smear layer removal
efficacy of the photon-induced photoacoustic streaming (PIPS) with those of conventional
and laser-activated irrigations in primary molar root canals. Method and Materials: The root
canal specimens used for antimicrobial efficacy evaluation were first inoculated with
Enterococcus faecalis. Smear layer removal efficacy was evaluated on the non-inoculated
specimens. Inoculated and non-inoculated specimens were randomly divided into four
treatment groups. In the sodium hypochlorite (NaOCl) group the root canals were irrigated
with 5% NaOCl. In the laser groups the root canals were irradiated for 1 min with either a
940 nm Nd:YAG or a 810 nm diode lasers followed by NaOCl irrigation. In the PIPS group the
%5 NaOCl was activated with a 2940 nm Er:YAG laser equipped with a PIPS tip at nonablative
settings for 1 min. Antibacterial efficacy was determined by viable counts of E. faecalis after
treatments. The treated root canals were examined by scanning electron microscopy to
determine the smear layer removal efficacy of treatments. Results: Statistically significant
(P<0.05) reductions in the number of E. faecalis were achieved in diode laser and PIPS
groups compared to the NaOCl group. However, no significant difference was observed
between the counts obtained in the NaOCl and Nd:YAG groups. PIPS activated irrigation
resulted in more cleaning of the root canal walls and a higher quantity of open tubules.
Conclusions: These findings suggest that PIPS can be considered as an effective irrigant
agitation technique in pediatric endodontics.
OP.109. STAPHYLOCOCCUS AUREUS AND METHICILLIN-RESISTANT
STAPHYLOCOCCUS AUREUS PRESENCE IN THE ORAL CAVITY OF
CHILDREN
GUVEN Y1, DICLE AKSAKAL S2, TOPCUOGLU N3, AKTOREN O4, KULEKCI G5.
1
DR-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PAEDIATRIC
DENTISTRY
2
DT-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PAEDIATRIC
DENTISTRY
3
DR-ISTANBUL UNIVERSITY,FACULTY OF DENTISTRY, DEPARTMENT OF ORAL MICROBIOLOGY
4
PROF DR-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PAEDIATRIC
DENTISTRY
5
PROF DR-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ORAL
MICROBIOLOGY
Introduction: Methicillin-resistant Staphylococcus aureus (MRSA) is an important cause of

hospital acquired infections in humans. In recent years, the attention of bacteriologists has
been focused on the mouth as a reservoir of opportunistic pathogens. The aim of this study
was to analyze the oral presence of S.aureus and MRSA in children referred to the clinics of
Dept.of Pediatric Dentistry, Istanbul University. Methods: One thousand children aged 4-15
;ŵĞĂŶĂŐĞϵ͘ϳϱцϮ͘ϰϲͿŚĂǀĞďĞĞŶĂƐƐĞƐƐĞĚŝŶƚŚĞŝƌĨŝƌƐƚĚĞŶƚĂůǀŝƐŝƚƐĨŽƌ^͘ĂƵƌĞƵƐĂŶĚDZÂ.
The patients were evaluated by a questionnaire for risk factors such as skin infection,
antibiotic use during the last 6 months, drug use through IV or inhalation, presence of
healthcare worker in the family, previous dental treatment and use of space maintainers.
Then the tongue swab samples were taken and investigated for S. aureus and MRSA
presence. The data was analyzed statistically by chi-square tests. Results: S.aureus was
isolated from 140 specimens (14%). Of these, 15 (10.7%) were methicillin resistant and 125
(89.3%) were methicillin sensitive. No significant differences (p>0.05) were found between
the risk factors and S. aureus or MRSA. Conclusion: This study, the first up to date for
analyzing MRSA in the first dental visits of children, has demonstrated that the oral cavity of
children could be a reservoir of pathogenic S.aureus.
OP.110. EXAMINATION OF 2-METHACRYLOYLOXYETHYL

PHOSPHORYLCHOLINE POLYMER COATED ACRYLIC RESIN:
SURFACE CHARACTERISTICS AND CANDIDA ALBICANS ADHESION
dmZ<E71, NALBANT AD2, BAT E3, AKCA G4.

1
DDS, PHD-PRIVATE DENTIST, ANKARA, TURKEY
2
DDS, PHD-DEPARTMENT OF PROSTHODONTICS, FACULTY OF DENTISTRY, GAZI UNIVERSITY,
ANKARA, TURKEY
3
PHD-DEPARTMENT OF CHEMICAL ENGINEERING, MIDDLE EAST TECHNICAL UNIVERSITY,
ANKARA, TURKEY
4
MD, PHD-DEPARTMENT OF MICROBIOLOGY, FACULTY OF DENTISTRY, GAZI UNIVERSITY,
ANKARA, TURKEY
The aim of this study is to evaluate the effects of 2-methacryloyloxyethyl phosphorylcholine
(MPC) polymer coating with various concentrations onto acrylic resin denture base material
on surface characteristics such as contact angle and surface roughness and on Candida
albicans adhesion which is the major factor of denture stomatitis. For this purpose, 48
samples, including 12 for each of the control group and three test groups, were prepared
from heat-polymerized acrylic denture base material. Surfaces of the specimens in test
groups were coated with poly(MPC) (PMPC) by graft polymerization of MPC in different
concentrations (0.25 mol/L; 0.50 mol/L and 0.75 mol/L), while no surface treatment was
applied to the control group. Contact angles and surface roughness were examined, and
chemical composition of the surfaces were analyzed by Attenuated Total Reflectance-
Fourier Transform Infrared Spectroscopy (FTIR) to verify the presence of PMPC coatings.
Then, specimens were incubated with C. albicans for 18 hours and the number of adhered
cells was determined. Upon PMPC coating, the contact angle values statistically decreased,
but no difference was found in surface roughness values. A statistically significant decrease
was observed in C. albicans adhesion in parallel with the increase in the MPC polymer
concentration. There was no significant difference between 0,50 mol/L and 0,75 mol/L
groups in terms of adhesion. Based on the results, graft polymerization of MPC on acrylic
denture base material reduces the adhesion of C. albicans, and may be evaluated as a
coating for prevention of denture stomatitis.
OP.111. CORRELATION BETWEEN ORAL CANDIDA ALBICANS AND

DENTAL CARIES IN A ROMANIAN CHILDREN POPULATION
SAVIN C1, TOMA V2, MIHALAS E3, CIOLOCA DP4, PETCU A5.
1
LECTURER -U.M.F.
2
ASSOCIATE PROFESSOR-U.M.F.
3
DMD, PHD -U.M.F.
4
ASSISTANT, PHD-U.M.F.
5
LECTURER -U.M.F.
The origin of dental caries is multi-factorial and many studies have shown the association
between Candida species and dental caries, both in adults and children, with variable
frequency in different geographical areas. The isolation of collagenase from Candida albicans
increased the interest in Candida species and their possible role in the etiopathogeny of
dental caries.The aim of this study was to identify the prevalence of Candida species in the
oral cavity of a sample of Romanian children with and without dental caries. Methods and
materials. The study was carried on a number of 68 children aged 4-11 years old. For each
child was assessed the deft/DMFT score and according to that, the study sample has been
divided in 2 groups ʹ control group and study group. Mycological examination was
conducted on the saliva samples collected from children. Oral yeast colonization was
assessed by culturing Candida albicans on suitable broth. Results. The CFU/plate of Candida
in the study group was statistically higher than the one in the control group. Spearman's
rank correlation test showed a linear relationship of CFU/plate with deft/DMFT scores.
Conclusion. Oral Candida albicans plays an active role in dental caries in cases of Romanian
children aged 4-11 years. The prevalence of oral Candida albicans was significantly higher in
the study group, fact that pleads for its active role in extensive carious lesions.
OP.112. IN VIVO EVALUATION OF OZONE EFFECTIVENESS
AGAINST SELECTED ODONTOPATHOLOGIC MICROORGANISMS
FROM INFECTED PRIMARY SECOND MOLARS
KUCUK F1, SONGUR E2, TULGA OZ F3.

1
DDS-NEAR EAST UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF PAEDIATRIC
DENTISTRY
2
DDS PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF PAEDIATRIC
DENTISTRY
3
PROF DR-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF PAEDIATRIC
DENTISTRY
BACKGROUND: Elimination of microorganisms presence in root canal is crucial for clinical

survival. Ozone can be an alternative for disinfiction due to its antimicrobial effect. AIM: This
was to determine the antibacterial efficacy of ozone in human primary root canals against E.
faecalis and C. albicans. MATERIAL&METHOD: 18 patients aged between 5-11 with 36
primary mandibular second molars were included and divided in 3 groups. In Group 1, canals
irrigated by 2,5% sodium hypochlorite during chemomechanical preparation. In Group 2 and
Group 3, 0.9% saline and 2.5% sodium hypochlorite used for chemomechanical preparation
respectively, afterwards ozone gas was applied for 80 seconds. Final irrigation of canals
completed with 0.9% saline for all groups. First and second samples were obtained from
distal root canal after the pulpal removal and the final irrigation respectively and transferred
into 2 mL Reduce Transport Liquid (RTF) containing sterile test tubes. RESULTS: The viable
microorganism counts were significantly reduced compared with the initial contamination of
root canals in all groups (p<0.05). The effectiveness of ozone compared with sodium
hypochlorite irrigation and disinfection on E. faecalis and C. albicans strains, for E. faecalis as
follows; Group 3 > Group = Group 2 and for C. albicans as follows; Group 3 > Group > Group
2. CONCLUSION: Even though ozone has significant effectiveness on disinfection, organic
ƚŝƐƐƵĞĐĂŶ͛ƚďĞĚŝƐƐŽůǀĞĚĂŶĚƉƌĞƐĞŶĐĞŽĨŽƌŐĂŶŝĐƚŝƐƐƵĞĚĞĐƌĞĂƐĞƐŝƚƐĞfficacy. Ozone itself
ŝƐŶ͛ƚ ĂŶ ĂůƚĞƌŶĂƚŝǀĞ ŝƌƌŝŐĂŶƚ ƚŽ ƐŽĚŝƵŵ ŚǇƉŽĐŚůŽƌŝƚĞ ŚŽǁĞǀĞƌ ĐŽŵďŝŶĂƚŝŽŶ ǁŝƚŚ ƐŽĚŝƵŵ
hypochlorite can be suggested for clinical use.
Session 38
OP.118. COMPUTER-ASSISTED-IMPLANTOLOGICAL
REHABILITATION OF TUMOR-PATIENTS AFTER IRRADIATION AND
PATIENTS WITH EXTREME ALVEOLAR-RIDGE-ATROPHY AFTER
ILIAC-CREST BONE AUGMENTATION
PAPADIMITRIOU I1, ALMAGOYT P2, SOTIRI V3, DIMOU S4, THEO MERHOLZ E5.
1
GERMANY/ GENERAL HOSPITAL WESTATTICA: DEPARTMENT OF DENTISTRY, ATHENS
2
DR.-GENERAL HOSPITAL WESTATTICA: DEPARTMENT OF DENTISTRY, ATHENS
3
4
GERMANY
5
GERMANY
INTRODUCTION: Nowadays,dental-implants have turned into a fundamental,if not

routine,component of oral-rehabilitation and most-reliable-procedure in the disciplŝŶĞ͛Ɛ
attempt to realize restitution-ad-integrum.However,in patients with extreme-alveolar-ridge-
atrophies and particularly in tumour-patients,it comes through the extensive surgical-
procedures and adjuvant-radiotherapy to fundamental changes in the-anatomy of the-oral-
cavity.In the pre-irradiated-jaw is purely mucosa-supported-prosthesis due-to xerostomia
and necrosis-risk of irradiated-bone not-indicated.With the navigated-implantology it's
possible to travel through the jaw-crest,to locate structures and assess the existing-bone in
all-levels.On the basis of the available data,at the computer,it can be determined the
length,inclination,diameter as-well-as the ideal-position of the implants.A virtual-planning
provides the conditions for an exact implant-placement,following the prosthetic-restoration
of masticatory function.Furthermore unnecessary bone-exposure is avoided. AIM The-aim-
of-the study is the presentation of clinical-cases for prosthetic-rehabilitation of tumour-
patients and patients with extreme alveolar-ridge-atrophy after iliac-crest-bone-grafting
with 3D-navigated minimally-invasive-implantation using-the-Camlog-guide-system.
Material-and-Methods: The study was conducted-in-the-Department-of-Oral-and-
Maxillofacial-Surgery,St.-Lukas-Hospital-in-Solingen.The patients concerned introduced
themselves for implantological-rehabilitation in our department after surgical-resection and
irradication and after augmentation of the-extreme-alveolar-ridge-atrophy of the lower-jaw
with iliac-crest-bone.The insertion of a-total-of-12-implants and-4-implants was performed
by making dental-CT's and planning of the implantation using-CTV-software. DISCUSSION:
With-3D-imaging,implant-prosthetic-dentistry has taken a major step-forward.The dentist
can plan the-surgical-procedure in a virtual-way in combination with 3D-planning-
programs.This is mainly possible due-to-the continuous-improvement of the specific-
implant-planning-programs such as-CTV-software.By using these systems is achieved
extremely light-traumatization of the tissue and the implantation is more accurate than
when implanted-by-hand. CONCLUSION: By-full-guided-implantation,performing of
complicated-surgical-measures and implementation under minimally-invasive
implantological-effort has become considerably safer and more-structured.The risk of
postoperative-complications is significantly reduced.Finally,is the operation-via-the
shortened operating-time far more-pleasant for the patient.
OP.119. INDICATIONS AND PROGNOSIS OF TOOTH

AUTOTRANSPLANTATION: A REVIEW OF THE LITERATURE
KYPRIANOU C1, CHATZIGIANNI A2.

1
DENTIST-PRIVATE PRACTICE
2
DR. SPECIALIST ORTHODONTIST, SCIENTIFIC ASSOCIATE -DEPARMENT OF ORTHODONTICS,
DENTAL SCHOOL, ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
INDICATIONS AND PROGNOSIS OF TOOTH AUTOTRANSPLANTATION: A REVIEW OF THE

LITERATURE Background: Autogenous tooth transplantation is the operation of transferring
a tooth from one site to another to the same individual, including transplantation of erupted
or embedded or impacted teeth into extraction sites or surgically prepared sockets. The aim
of this study was to present the indications, the risk factors and the prognosis of
autotransplantation of teeth in humans. Materials and methods: A review of the literature
has been conducted in order to resume the indications and prognostic factors of tooth
autotransplantation. Moreover, biological principles, risk factors and pre- or postoperative
interventions will be analyzed to establish the prognosis. Results: Autotransplantation of
teeth is strongly indicated in patients with congenital tooth absence or tooth loss due to
trauma or caries, when an ideal donor tooth is present. In addition, immature teeth have
often been autotransplanted in combination with orthodontic treatment to deal with
problems such as impaction, aplasia and displacement. Potential risk factors are the age, the
gender and the general and oral health of the patient. Also, the stage of the donor tooth
root formation and the anatomic shape of the donor tooth and the recipient site. Regarding
the prognosis, the survival rate of the autotransplanted teeth seems to be excellent since it
ranges between 75.3-91%. Conclusions: Autotransplantation is a viable method for replacing
missing teeth, provided that correct diagnosis is performed and all the risk factors are
controlled.
OP.120. IMPLANTS SUPPORTED FULL ARCH RECONSTRUCTIONS

AND IMMEDIATELY FIXED TEMPORARY PROSTHETIC SOLUTIONS
HRISTOVSKI G.
DR.-GA DENTAL -PRIVATE DENTAL CLINIC
Implants supported restorations in the partial and completely edentulous jaws is always
faced with different surgical and prosthetic challenges. One of them is patients wish to have
fixed esthetic prosthetic as soon as posible after the implant surgical treatment.This
presentation will reviewed 10 years expirience in surgery and prosthetic immediate implant
placement and imediate fixed prosthetic with successful outcomes ,using variety of different
treatment solutions including sophisticated CAD-CAM tehnics
OP.121. IMMEDIATE LOADING WITH DEFINITIVE PROSTHESIS
VERSUS CONVENTIONAL LOADING OF IMPLANTS: PRELIMINARY 12
MONTH CLINICAL DATA
TURK AG1, ULUSOY M2.

1
DDS, PHD-EGE UNIVERSITY SCHOOL OF DENTISTRY DEPARTMENT OF PROSTHODONTICS
2
DDS, PHD-EGE UNIVERSITY SCHOOL OF DENTISTRY DEPARTMENT OF PROSTHODONTICS
IMMEDIATE LOADING WITH DEFINITIVE PROSTHESIS VERSUS CONVENTIONAL LOADING OF

IMPLANTS: PRELIMINARY 12 MONTH CLINICAL DATA BACKGROUND: CLINICAL OUTCOMES
OF DENTAL IMPLANTS RESTORED WITH DEFINITIVE FIXED PARTIAL PROSTHESES
IMMEDIATELY AFTER IMPLANT PLACEMENT IS LACKING IN THE LITERATURE. THUS THE AIM
OF THIS CLINICAL STUDY WAS TO COMPARE THE CLINICAL OUTCOMES OF IMMEDIATE
LOADING OF IMPLANTS WITH DEFINITIVE FIXED PARTIAL DENTURES WITHIN 1 WEEK WITH
CONVENTIONAL LOADING. METHODS AND MATERIALS: NINE PARTIALLY EDENTULOUS
PATIENTS TREATED WITH 1 TO 3 IMPLANTS, INSERTED WITH A TORQUE OF AT LEAST 35
NCM. THEY WERE RANDOMLY DIVIDED INTO 2 GROUPS ACCORDING TO THE LOADING
PROTOCOLS. FOUR PATIENTS WITH 8 IMPLANTS WERE LOADED WITH DEFINITIVE FIXED
PARTIAL DENTURES IN OCCLUSION WITHIN 1 WEEK AFTER PLACEMENT. FIVE PATIENTS WITH
10 IMPLANTS RECEIVED CONVENTIONAL LOADING AFTER 3 MONTHS OF IMPLANT
PLACEMENT. THE FOLLOW-UP PERIODS FOR ALL PATIENTS WERE 3, 6, AND 12 MONTHS OF
POST-LOADING. OUTCOME MEASURES WERE PROSTHESIS AND IMPLANTS SURVIVAL RATES
AND ANY COMPLICATIONS RELATED WITH ESTHETICS AND PATIENT SATISFACTION.
RESULTS: ONE IMMEDIATELY LOADED IMPLANT FAILED AFTER 1 MONTH OF POST LOADING
DUE TO OCCLUSAL TRAUMA. THREE IMMEDIATELY LOADED IMPLANTS HAD MILD MOBILITY
AFTER 12 MONTHS. NO IMPLANTS AND PROSTHESIS FAILED IN CONVENTIONAL LOADING
GROUP. CONCLUSION: WITHIN THE LIMITATIONS, THIS PRELIMINARY STUDY MAY SUGGEST
THAT CONVENTIONAL LOADING OF IMPLANTS MAY INCREASE PATIENT FUNCTIONAL
SATISFACTION, WITH RESPECT TO IMMEDIATELY LOADED WITH DEFINITIVE PROSTHESES IN
FUNCTIONAL OCCLUSION. FURTHER STUDIES INVOLVING LARGER SAMPLE SIZES ARE
REQUIRED TO CONFIRM THESE PRELIMINARY RESULTS.
OP.122. PRF AND BONE GRAFTS IN IMPLANTOLOGY.

PRESENTATION OF THE PROCEDURE BASED ON A CASE SERIES
VESALA AM1, NACOPOULOS C2, DABARAKIS N3.

1
DMD, MSC STUDENT-DEPARTMENT OF DENTOALVEOLAR SURGERY, IMPLANT SURGERY
AND RADIOLOGY, FACULTY OF DENTISTRY, SCHOOL OF HEALTH SCIENCES, ARISTOTLE
2
BSC, DDS, MSC, PHD-SCIENTIFIC COLLABORATOR OF ATHENS MEDICAL SCHOOL
3
ASSOCIATE PROFESSOR, DDS, MSC, PHD-DEPARTMENT OF DENTOALVEOLAR SURGERY,
IMPLANT SURGERY AND RADIOLOGY, FACULTY OF DENTISTRY, SCHOOL OF HEALTH
SCIENCES, ARISTOTLE UNIVERSITY OF THESSALONIKI
ĂĐŬŐƌŽƵŶĚ͗ WůĂƚĞůĞƚƐ͛ ƌĞŐĞŶĞƌĂƚŝǀĞ ƉŽƚĞŶƚŝĂů ǁĂƐ ŝŶƚƌŽĚƵĐĞĚ ŝŶ ƚŚĞ ϳϬ͛Ɛ͕ ǁŚĞŶ ŝƚ ǁĂƐ
observed that they contain growth factors responsible for increased collagen production,
cell mitosis, blood vessels growth, and recruitment of other cells that migrate to the site of
injury, inducing cell differentiation etc. Methods and materials: PRF (Platelet Rich Fibrin)
ƉƌŽĐĞĚƵƌĞ ďĞŐŝŶƐ ǁŝƚŚ ƉůĂĐŝŶŐ ƉĂƚŝĞŶƚ͛Ɛ ďůŽŽĚ ŝŶ Ă ĐĞŶƚƌŝĨƵŐĞ ĂŶĚ ĐĞŶƚƌŝĨƵŐŝŶŐ ŝƚ ĨŽƌ ϴ
minutes without the addition of an anticoagulant. During the process, the blood coagulates
and separates into three distinct layers. The bottom layer is a red blood cell (RBC) layer that
is removed and discarded while the top layer consists of a cell free layer that is also unused.
The middle layer is a mesh network which contains the majority of the platelets and fibrin.
Results: PRF prolongs the effects of typical physiologic wound healing and provides a
condensed network of fibrin that is saturated with cytokines and growth factors. PRF speeds
up the healing process and optimizes bone grafting results. It is capable of regenerating both
tissue and bone and can be used with either a bone substitute or alone. We will present the
procedure based on a case series and will include cases with or without bone substitute.
Conclusion: The technique is simple, inexpensive, protects the surgical site and promotes
soft tissue healing. It acts as a biological connector between different graft elements and as
a matrix that supports neoangiogenesis, capturing stem cells and migration of
osteoprogenitor cells to the centre of the graft.
OP.123. FINITE ELEMENT ANALAYSIS OF STRESSES ACTING ON

THE MANDIBULA BENEATH COMPLETE DENTURES AND IMPLANT-
SUPPORTED OVERDENTURES
ALTUG CILINGIR A1, ATES M2.

1
ASSOCIATE PROFESSOR-TRAKYA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS
2
PROFESSOR-MEDIPOL UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS
Background: Stress distribution in the mandible beneath complete dentures and implant-
supported overdentures have not been determined clearly. The aim of this study is to
determine the stress distribution beneath an implant retained overdenture by finite element
analysis. Methods and materials: The mathematical model of the mandible, implants ant the
dentures are created with CT scans which are joined in Mimics software and converted to
volumes wirth Catia V5 R10 Cad program. All components are positioned in Catia to place
and the 2mm space which is left between the denture base and the bone surface is defined
as mucosa. The loading conditions of the laboratory tests are simulated and the data is
recorded. Results: A more uniform patern of stress distribution is achieved with implant
supported lower full dentures. The highest equivalent stresses are recorded at the
retromolar path area beneath conventional full denture. For the implant supported group
the area of stres bearing are the buccal pouch and the implant perifery. Conclusion: (1) the
placement of implant improve the stress distribution which we think is a stimulative for
remodelling (2) single sided chewing revealed higher rate of stress around the implants,
which indicates that bilateral chewing should be advised to the patients. (3) the resorption
process and the stress distribution are still subject that should thoroughly be researched
further.
O P. 12 4. EARLY LOADING OF DENTAL IMPLANTS IN MANDIBLE
WITH ALL-ON-4 TREATMENT PROTOCOL
BERKAY BELGIN H1, KEMAL M2, KILIC S3, TUZLALI M4.

1
RES. ASST.
2
UNIVERSTY
3
RES. ASST.-MUSTAFA KEMAL UNIVERSTY
4
ASST. PROF.-MUSTAFA KEMAL UNIVERSTY
/EdZKhd7KE͗KƐƐĞŽŝŶƚegration, defined as a direct structural and functional connection

between ordered, living bone and the surface of a load-carrying implant. It is recommended
that a osseointegration period for three months in the mandible and six months in the
maxilla is necessary. Clinicians developed the immediate loading protocol for shorten this
time. MATERIALS AND METHODS : The patient is a 53-year-old-female who is in good
general health. Previously, six maxillary implants had been placed and the patient had been
provided with a maxillary full arch implant supported fixed dental prosthesis. Her request
was fixed mandibular prosthesis that provided both function and esthetics. Radiographically,
she displayed a complete absence of bone in the posterior areas of mandible. There was
enough bone only where the interforaminal region of mandible. But she had adequate bone
volume for an All-On-4 treatment. Four implants were placed in the mandible with primary
stability. The implant insertion torque values were also assessed with a manual wrench and
reported higher than 35 N/cm. At the end of surgery healing cylinders were introduced.
Radiographic evaluation were performed after surgery. Open tray impression copings are
placed on the abutments. A full-arch impression is made with polyvinyl siloxane impression
material. One week after implantation the implants were loaded with temporary
restorations. Four weeks after implantation the implants were loaded using provisional
metal-ceramic restorations. RESULTS-DISCUSSION : Implant-supported-prostheses may be
loaded at different time protocols such as; immediate, early and conventional. Immediate
loading helps forming esthetic results around the restoration.
OP.125. RETROSPECTIVE STUDY ON LASER APPLICATIONS IN

DENTISTRY
AGOP FORNA D1, FORNA N2.

1
ASSIST. PROF-GR.T.POPA.UNIVERSITY, ORAL SURGERY
2
PROF-GR.T.POPA.UNIVERSITY,IMPLANTOLOGY,REMOVABLE PROSTHODONTICS
Background: Laser applications in dentistry have proven covering all areas of work, by
comparison classical techniques being deficient in terms of: pain, bleeding and hemostasis,
sterilization of the laser application area, rapidity of execution on soft tissue, removal of
pathological bone and soft tissue secondary to curettage. Material and method: We
performed a comparative study, classical surgical method versus laser on a number of 85
patients noting: For laser interventions 87% decreased bleeding, 62% decreased pain, 92%
increased rapidity in maneuvers for soft tissues, and 69% increased rapidity for hard tissues,
100% sterilization and curettage. Conclusions: laser interventions constitute a starting point
for new techniques, materials, concepts and even mentalities both practically and
academically. Keywords: surgical laser , Acknowledgement: POSDRU/160/2.1/S/139881
Session 40 ʹ Awards
OP.126. INCIDENTAL FINDINGS IN CONE-BEAM COMPUTED
TOMOGRAPHIC IMAGES:CALCIFICATIONS IN HEAD AND NECK
REGION
>d/E)1, AVSEVER H2͕'mEm<3, AKYOL M4, ORHAN K5.

1
RESEARCH ASSISTANT-ANKARA UNIVERSITY FACULTY OF DENTISTRY, ORAL AND
MAXILLOFICIAL RADIOLOGY DEPARTMENT
2
ASSOCIATED PROFESSOR-GULHANE MILITARY MEDICAL ACADEMY (GATA), DENTISTRY
CENTER, DEPARTMENT OF DENTOMAXILLOFACIAL RADIOLOGY
3
ASSOCIATED PROFESSOR-ONDOKUZ MAYIS UNIVERSITY, DEPARTMENT OF
DENTOMAXILLOFACIAL RADIOLOGY
4
ASSOCIATED PROFESSOR-YILDIRIM BEYAZIT UNIVERSITY, DEPARTMENT OF BIOSTATISTICS
5
PROFESSOR-ANKARA UNIVERSITY FACULTY OF DENTISTRY, ORAL AND MAXILLOFICIAL
RADIOLOGY DEPARTMENT
Objective: The use of CBCT in dentistry has been increasing popularity nowadays. CBCT
images provide valuable information from anatomic structures and pathologies. Images
obtained with CBCT allow for more appropriate treatment planning. The purpose of this
study was to assess the calcifications which were found incidentally on CBCT images and to
reveal the frequency and characteristics. Study Design: A total of 691 CBCT images which
obtained from the patients were assessed. Demographic data and calcifications which were
found out of primarily interest area were noted. The incidental findings were categorized
and analyzed using descriptive statistics. Results: 945 calcifications were discovered on
318(46.02%) of the 691 ƉĂƚŝĞŶƚƐ͛ŝŵĂŐĞƐ͘ϯϳϯ;ϱϯ͘ϵϴйͿƐĐĂŶƐƐŚŽǁĞĚŶŽĐĂůĐŝĨŝĐĂƚĞĚĨŝŶĚŝŶŐƐ͘
The age range of patients was from 5 to 84 years. The most common calcification was
tonsillolith(86.03%), followed by stylohyoid calcifications(6.24%), antrolith and subdermal
calcifications(2.33%). Conclusion: Calcified lesions in head and neck region were commonly
seen in CBCT images. Although the most of the calcifications are asymptomatic and require
no treatment but correct identification of these findings will reduce unnecessary further
diagnostic assessments and will provide more appropriate treatment plans. It will also
provide the ability comprehensively evaluation of underlying diseases and practitioners will
have life-saving information by early diagnosis. Keywords: CBCT, incidental findings,
calcifications, radiology.
OP.127. INDUCING BIOACTIVITY OF DENTAL CERAMIC/BIOACTIVE

GLASS COMPOSITES BY ND;YAG LASER
BEKETOVA A, POULAKIS N, BAKOPOULOU A, ZORBA T, PAPADOPOULOU L, CHRISTOFILOS D,

KANTIRANIS N, ZACHARIADIS G, KONTONASAKI E, KOUROUKLIS G, PARASKEVOPOULOS K,
KOIDIS P.
Objectives. Aims of this study were to investigate the optimal conditions of laser irradiation
ofa novel Bioactive Glass/Dental Ceramic-BP67 composite for acceleration of
hydroxyapatite-HA formation and to assess cellular responses on the precipitated HA
region.Methods. BP67 (Bioactive Glass: 33.3%, Dental Ceramic: 66.7%) was fabricated by the
solʹgelmethod. A laser assisted biomimetic-LAB process was applied to BP67 sintered
specimensimmersed in 1.5-times concentrated simulated body fluid-ϭ͘ϱп-SBF. The effect of
variousenergy densities of pulsed nanosecond Nd-YAG (1064 nm) laser and irradiation
exposuretimes (30 min, 1 and 3 h) were evaluated for HA precipitation. The HA film was
characterizedby FTIR, XRD, SEM and micro Raman techniques. ICP-AES was used for
ƌĞǀĞĂůŝŶŐ ĐŚĂŶŐĞƐ ŝŶĐŚĞŵŝĐĂů ĐŽŵƉŽƐŝƚŝŽŶ ŽĨ ƚŚĞ ϭ͘ϱп-SBF during irradiation. Cell viability
and morphologicalcharacteristics of periodontal ligament fibroblasts-PDLFs, human gingival
fibroblasts-HGFsand SAOS-2 osteoblasts on the HA surface were evaluated by MTT assays
and SEM.Results. At optimal energy fluence of 1.52 J/cm2and irradiation time for 3 h
ĨŽůůŽǁĞĚďǇŝŵŵĞƌƐŝŽŶŝŶϭ͘ϱп-SBF at 60ƕ C, a dense HA layer was formed on laser-irradiated
BP67 within7 days. The resulting HA film was tightly bonded to the underlying substrate and
had min-eral composition similar to cementum. MTT assay showed a consistent reduction of
cellproliferation on the HA layer in comparison to conventional control ceramic and BP67
forall 3 cell lines studied.
OP.128. NANOSTRUCTURED ENDODONTIC MATERIALS BASED ON

HIGHLY ACTIVE CALCIUM SILICATES-BIOCOMPATIBILITY STUDY
CETENOVIC B1, COLOVIC B1, VASILIJIC S2, JOKANOVIC V3, MARKOVIC D4.
1
PHD-VINCA INSTITUTE OF NUCLEAR SCIENCES
2
ASSOCIATE PROFESSOR-INSTITUTE FOR MEDICAL RESEARCH, MILITARY MEDICAL ACADEMY
3
PHD-VINCA INSTITUTE OF NUCLEAR SCIENCES
4
PROFESSOR-SCHOOL OF DENTISTRY, UNIVERSITY OF BELGRADE
Background: Similar to MTA, new materials based on calcium silicates have been
synthesized. Recently, the combination of fully innovative sol-gel method with high-
temperature self-propagating reaction has been employed for the synthesis of potentially
new endodontic material, mineral polyoxide carbonate aggregate (ALBO-MPCA). The aim of
this paper was to assess chemical characterization and analyze biocompatibility of new
endodontic materials combined with different radiopacifiers (ALBO-MPCA1 and ALBO-
MPCA2) in comparison to MTA+ (Cerkamed, Stalowa Wola- Poland). Methods and Materials:
Morphology of samples was assessed using SEM, while the hydration products were
ŝĚĞŶƚŝĨŝĞĚ ƵƐŝŶŐ yZ ĂŶĂůǇƐŝƐ͘ DĂƚĞƌŝĂůƐ͛ ĂůŬĂůŝŶŝƚǇ ǁĂƐ ŵĞĂƐƵƌĞĚ ďǇ Ɖ,-meter previously
calibrated. The biocompatibility investigation of materials' suspensions was conducted by
MTT test. LDH cytotoxicity assay and thymidine incorporation assay were utilized for
biocompatibility investigations of materials' eluates (24h, 7-day and 21-day). Results:
Samples mostly consisted of agglomerates built up from nanoparticles, preferably spherical
and rode-like with the homogenous distribution of the phases. The pH values of MTA+ were
alkaline but significantly lower than in case of ALBO-MPCA1 and ALBO-MPCA2 (p<0.05).
Dose-ĚĞƉĞŶĚĞŶƚŵĞƚĂďŽůŝĐĂĐƚŝǀŝƚǇŽĨĂůůƚĞƐƚĞĚŵĂƚĞƌŝĂůƐǁĂƐŶ͛ƚĚĞŵŽŶƐƚƌĂƚĞĚ;ƉхϬ͘Ϭϱ). All
tested materials exhibited significant differences in the percentage of cytotoxicity between
diluted and undiluted eluates after 7-day period (p<0.05). Regarding the same observation
time, the increase of cell proliferation was noted in case of undiluted eluates of ALBO-
MPCA1 and ALBO-MPCA2 (p<0.05). Conclusion: As the results of in vitro testing in this study
confirmed that both investigated materials ALBO-MPCA1 and ALBO-MPCA2 are
biocompatible, they can be recommended for further clinical investigations.
OP.129. REAL-TIME THERMOGRAPHIC ANALYSIS OF HIGH-POWER
DIODE LASERS APPLICATION IN ENDODONTIC TREATMENT OF
YOUNG PERMANENT TEETH
TRISIC D1, CETENOVIC B2, JOVANOVIC I3, GJORGIEVSKA E4, MARKOVIC D5.
1
PHD STUDENT-CLINIC FOR PAEDIATRIC AND PREVENTIVE DENTISTRY, FACULTY OF DENTAL
2
PHD-CLINIC FOR PAEDIATRIC AND PREVENTIVE DENTISTRY, FACULTY OF DENTAL MEDICINE,
UNIVERSITY OF BELGRADE
3
TEACHING ASSOCIATE-DEPARTMENT OF ELECTRONICS, FACULTY OF ELECTRONIC
ENGINEERING, UNIVZ^/dzK&E/a
4
ASSISTANT PROFESOR-&h>dzK&Ed/^dZz͕hE/sZ^/dz͞^^zZ/>EDd,K/h^͟
SKOPJE
5
PROFESSOR-CLINIC FOR PAEDIATRIC AND PREVENTIVE DENTISTRY, FACULTY OF DENTAL
Objective: To assess, in vitro, temperature variations at the external root surface caused by
diode lasers during endodontic treatment of young permanent teeth. Methods and
Material: The 940 nm and 975 nm diode lasers were applied. Twenty extracted mandibular
incisors were randomly distributed into four groups according to laser output power (0.5 W,
1 W, 1.5 W, 2 W), in continuous mode. Additionally, the teeth were instrumented to
simulate an open apex, and subjected to the irradiation protocols. Digital radiography of the
teeth was made. Temperature rise was evaluated using a thermographic camera. Results:
Both lasers showed safe limits at power of 0.5 W, with the lowest values at the apical third,
and mean temperature increases of 1.67 0C and 4.32 0C for 940 nm and 975 nm lasers,
respectively. The 940 nm laser showed rises of temperature above 7 0C in the cervical and
middle third, with 1.5 W and 2 W, in safe time frame, while 975 nm laser showed
temperature variations above 7 0C with 1 W, 1.5 W, and 2 W. In young permanent teeth,
975 nm laser, in all groups, caused rises of temperature above 7 0C, while 940 nm laser with
power only of 2 W caused rising of temperature above 7 0C, outside of safe time frame.
Conclusion: The 940 diode laser can be used for endodontic treatment of young permanent
teeth with the safety limit of 1.5 W, while 975 nm laser application is safe only at power of
0.5 W.
Session 41
OP.130. SUCCESS AND FAILURE EVALUATION CRITERIA FOR THE
MANDIBULAR IMPLANT OVERDENTURE; A COMPREHENSIVE
REVIEW
PAPAEMMANOUIL G1, NAKA O2, ANASTASSIADOU V3.

1
POSTGRADUATE STUDENT-DEPARTMENT OF REMOVABLE PROSTHODONTICS, DENTAL
SCHOOL, FACULTY OF HEALTH SCIENCES, ARISTOTLE UNIVERSITY OF THESSALONIKI
2
LECTURER-DEPARTMENT OF REMOVABLE PROSTHODONTICS, DENTAL SCHOOL, FACULTY OF
HEALTH SCIENCES, ARISTOTLE UNIVERSITY OF THESSALONIKI
3
PROFESSOR-DEPARTMENT OF REMOVABLE PROSTHODONTICS, DENTAL SCHOOL, FACULTY
OF HEALTH SCIENCES, ARISTOTLE UNIVERSITY OF THESSALONIKI
Background: Mandibular implant overdentures supported by two implants are considered

the minimum standard of care for the edentulous mandible. It has been argued that they
offer enhanced chewing ability, increased retention and stability, advanced function and
improved quality of life, compared to the conventional complete dentures. Aim: The
purpose of this study was to identify, record and evaluate the criteria used to assess the
treatment outcome of mandibular implant overdentures. The criteria related to the efficacy
of the particular treatment modality were evaluated in three levels; peri-implant tissues,
prosthesis and patient. Methods and Materials: A comprehensive literature search was
conducted using the appropriate keywords. The last search took place in December 2016.
Predefined inclusion and exclusion criteria were applied in order to identify and evaluate for
eligibility the related clinical studies. Results: Data were extracted from 181 out of the 332
identified records where participants were provided with maxillary conventional complete
dentures and mandibular implant-supported overdentures on two implants. The synthesis of
the findings of the included studies led to the concentration and screening of the various
criteria used and resulted in the identification of those criteria that are reliable and valid.
Conclusion: According to the studies brought together for the current comprehensive
review, various criteria have been used to define the success and the failure of the
mandibular implant overdentures supported by two implants. The implementation of the
suggested reliable and valid criteria in the follow-up sessions can be an indicator of the
efficacy of the particular treatment modality.
OP. 131. IMPLANTS: TO SPLINT OR NOT TO SPLINT?
GOUSSIAS H, BOUSSIOU A, GRIGORIOU S, SARRI V.
NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS, DEPARTMENT OF

PROSTHODONTICS
The field of Implantology, is one of the most important ones in modern dentistry and is
constantly evolving through the years. Implant dentistry is a predictable therapeutic option
for both edentulous and partially edentulous patients, helping them improve their quality of
life. The clinician must take under consideration various parameters in order to decide the
ideal prosthetic treatment for his patient. A controversial issue, is whether to splint or not
adjacent implants. The aim of the current study is to recommend indications for splinting or
not adjacent implants and present the biological and mechanical differences between these
types of restorations. The literature was reviewed by searching electronic libraries, such as
Pupmed and Science Direct. After data collection and processing, case reports, comments
and animal studies were discarded. The appropriate restoration type depends on the
following clinical parameters: number, length and type of implants, position, bone quality
and quantity and the existence of parafunctional oral habits. Some of the indications for
splinting implants are: short implants, poor bone quality, cantilevers. In the present study,
no significant difference is found between the success of implants supporting splinted or
non-splinted prostheses. Mechanically, splinted implants seem to be more advantageous
than non-splinted. As far as biological complications are concerned, the majority of articles
conclude that there is no significant difference amongst them. Within the limitations of this
literature review, there is a confusion among the authors about splinting or not implants;
therefore, further investigation would be needed.
OP.132. RETRIEVABILITY OF CEMENTED IMPLANT-SUPPORTED

MONOLITHIC ZIRCONIA CROWNS: AN IN VITRO STUDY
YILMAZ B1, OKUTAN Y2, DINC ATA G3.

1
ASSIST. PROF.-ADNAN MENDERES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHETIC DENTISTRY, AYDIN,TURKEY
2
PROSTHETIC DENTISTRY, AYDIN,TURKEY
3
RESTORATIVE DENTISTRY, AYDIN,TURKEY
Retrievability of Cemented Implant-Supported Monolithic Zirconia Crowns: An In Vitro Study

Background: There are two different methods of retaining a fixed implant-supported
restoration: Screw retention and cementation. The choice of method was based on the
clinician's preference. In cement-retained implant-supported restoration it is important to
gain adequate retention of definitive restoration as well as retrievability of prosthesis. The
type of cement used influences the retention of the restoration. Purpose of this study is to
compare the retention of implant-supported monolithic zirconia crowns luted with dental
cements that are commonly used. Methods and materials: Sixty implant abutments and
analogs (NucleOSS), were divided into 6 groups. One abutment was scanned with intraoral
scanner and a complete-coverage modified crown was designed and 60 crowns were
produced with a CAD/CAM system from monolithic zirconia blocks. Crowns were cemented
with six different cements (a permanent resin cement, 2 temporary resin cements, a glass
ionomer cement, a zinc-phosphate cement, a zincpolycarboxylate cement) due to
instrucƚŝŽŶ ŽĨ ƚŚĞŝƌ ŵĂŶƵĨĂĐƚƵƌĞƌƐ͘ ůů ŽĨ ƚŚĞ ƐƉĞĐŝŵĞŶƐ ǁĞƌĞ ƐƚŽƌĞĚ Ăƚ ϯϳΣ ŝŶ ϭϬϬй
humidity for 24 hours and thermocycled. The retentive force was measured using a pull-out
test with a universal testing machine. Mean retentive strengths were calculated using one-
way ANOVA test (p=0.05). Results: The mean force needed to dislodge the crown was
highest for the group in which permanent resin cement used (p<0.05) Conclusion: The
results provide a ranking order of the cements regarding their ability to retain the prosthesis
and facilitate easy retrievability except resin cement.
OP.133. IMPRESSION PROCEDURES FOR FULL ARCH IMPLANT
SUPPORTED FIXED PROSTHESIS AS APPLIED BY DENTISTS IN
TURKEY
)dzzE^1͕'</>/K2, BURAL C3, GENCEL B4.

1
IMPRESSION PROCEDURES FOR FULL ARCH IMPLANT SUPPORTED FIXED PROSTHESIS AS
APPLIED BY DENTISTS IN TURKEY-ISTANBUL UNIVERSITY
2
ISTANBUL UNIVERSITY
3
ISTANBUL UNIVERSITY
4
ISTANBUL UNIVERSITY
One of the most critical requirements for Implant Supported Fixed Prosthesis is a passive fit
of the prosthesis. Numerous impression techniques and materials have evolved to improve
accuracy. The objective of this study is to evaluate techniques of impression for full arch
implant supported fixed prosthesis sent to commercial laboratories from private
practitioners. Five dental laboratories were asked to record features of all incoming
impressions for full arch implant supported fixed prosthesis during a 1-year period. Records
included: tray type (stock/custom), impression technique (open tray/closed tray), impression
material (Condensation silicone/Addition silicone/Polyether). This study included 132
impression received by 5 dental laboratories. Most impressions were taken with stock trays
(n=104). A total of 22 impressions were taken with condensation silicone, 64 with addition
silicone and 46 with polyether.
OP.134. IN VITRO EVALUATION OF RETENTION LOSS AND WEAR OF

BALL ATTACHMENTS FOR MANDIBULAR IMPLANT OVERDENTURES
zh>Ȱ1, CAGATAY DAYAN C2, GECKILI O3, BILHAN H4, TUNCER N5.
1
DR-PRIVATE PRACTISE
2
DR-ISTANBUL UNIVERSITY ISTANBUL DENTISTRY FACULTY DEPARTMENT OF
PROSTHODONTICS
3
ASSOC. PROF-ISTANBUL UNIVERSITY ISTANBUL DENTISTRY FACULTY DEPARTMENT OF
PROSTHODONTICS
4
ASSOC. PROF-OKAN UNIVERSITY DENTRISTY FACULTY DEPARTMENT OF PROSTHODONTICS
5
PROF. DR-ISTANBUL UNIVERSITY ISTANBUL DENTISTRY FACULTY DEPARTMENT OF
PROSTHODONTICS
Total prothesis are a succesful treatment option for edentuloism. Nevertheless dental
implants are applied widespread in dentistry. Recently, rehabilitation of edentulous
mandible with 2 dental implants positively effect patient satisfaction by increasing retention
and stabilization. There are many types attachment systems for implant supported
overdentures. Mostly ball attachments preferred ones due to their low cost and easy clinical
implamention. The aim of this study is to examine the wear and change of the retention
forces of four different types of ball attachment systems. In our study, 4 different ball
attacment systems were compared . Group 1 Biohorizons ball attachment with pink plastic
reteiner, Group 2 DTI ball attachment with pink plastic reteiner, Group 3 is gold reteiner
from the ITI Straumann company and Group 4 is titanium reteiner from ITI Straumann
company. Two implant analogs from each group are placed parallelly in kestamid blocks. 20
reteiner from each grup are connected with abutments. Cycle tests and measurement of
ƌĞƚĞŶƚŝŽŶ ĨŽƌĐĞƐ ĂƌĞ ŵĂĚĞ ŝŶ 7ƐƚĂŶďƵů dĞĐŚŶŝĐĂů hŶŝǀĞƌƐŝƚǇ ďǇ Dd^ 322 Test Frame
Equipment. Wear of abutments are examined by 3D scanner. In conclusion, golden
attachments of ITI Straumann has been the most succesful group with lowest retention loss
and lowest amount of wear. On the other hand titanium attachment of ITI Straumann
performed highest wear levels and retention loss. Plastic attachments of DTI and
Biohorizons showed clinically proper values which did not significantly differ. We suggest
golden ball attachment systems for long term success based on our study results.
OP.135. COMPARISON OF PERIIMPLANT CREVICULAR FLUID BONE

MARKERS AROUND PLATFORM SWITCH AND TRADITIONAL
IMPLANTS
ZEYNEPADEM SIYLI G1, KOCAK N2, FIRATLI E3.

1
PHD-OKMEYDANI ORAL AND DENTAL HEALTH HOSPITAL,PERIODONTOLOGY DEPARTMENT
2
PHD-ISTANBUL UNIVERSITY, SCHOOL OF DENTISTRY,PERIODONTOLOGY DEPARTMENT
3
PROF-ISTANBUL UNIVERSITY, SCHOOL OF DENTISTRY,PERIODONTOTLOGY DEPARTMENT
The aim of this study is to evaluate clinical peri-implant parameters, marginal bone level
changes and the levels of peri-implant crevicular fluid (PICF) bone markers as; receptor
activator of nuclear factor kappa-B ligand (RANKL), osteoprotegerin (OPG), monocyte
chemotactic protein-1 (MCP-1), Interleukin-1 beta (IL-ϭɴͿ͘ǁĞƌĞƉĞƌĨŽƌŵĞĚĂŶĚĐŽŵƉĂƌĞĚŝŶ
PS versus non-platform switching (NPS) abutments. All subjects sampled in this study had at
least two implants in the posterior region. Participants received a clinical and radiographic
examination of the implant site before the implantation. Totally 94 implants in which 47 of
them as test group (PS), and the other 47 as control group (NPS) were inserted. PISF samples
are taken and peri-implant health status was evaluated by plaque index (PI), bleeding on
probing (BOP), and probing pocket depth (PPD) at the time of 1 week after loading (T1) and
1 year after loading (T2). PISF MCP-1, IL-ϭɴ͕ ZE<> ĂŶĚ KW'ůĞǀĞůƐ ǁĞƌĞ ĂŶĂůǇǌĞĚǁŝƚŚ ĂŶ
enzyme-linked immunosorbent assay. The overall mean marginal bone level (MBL) change at
ϭϮ ŵŽŶƚŚƐ ǁĂƐ Ϭ͕ϱϭцϬ͕ϯϭ ŵŵ ĨŽƌ W^ ŐƌŽƵƉ ĂŶĚ Ϭ͕ϳϯцϬ͕Ϯϵ ŵŵ ĨŽƌ EW^ ŐƌŽƵp. Statistically
significant marginal bone level change was observed between groups from T1 to T2. The
amount of RANKL, OPG, MCP-1 levels increased and IL-ϭɴůĞǀĞůƐĚĞĐƌĞĂƐĞĚĨŽƌďŽƚŚŐƌŽƵƉƐ
from T1 to T2. No statistically significant difference was shown for the increase of
biomarkers between two measurements; except for MCP-1, the increase between two
measurements in the NPS group was significantly higher than the PS group. Clinical and
biochemical analyses provided no evidence of a group superiority except MCP-1.
OP.136. PROCEDURES FOR WORKING WITH CHILDREN WHO
SUFFER FROM HAEMOPHILIA
CEMERIKIC-PRIMARIUS L1, TIJANIC M2, STOJKOVIC B3.

1
DENTAL CLINIC IN NIS
2
ASS.PROF-DENTAL CLINIC,MEDICAL FACULTY UNIVERSITY OF NIS
3
ASS-DENTAL CLINIC,MEDICAL FACULTY UNIVERSITY OF NIS;
Haemophilia is a hereditary disease characterised by a chemostatic disorder caused by one

or more coagulation factor deficiency.The aim of this work is to highlight some procedures
and emphasize the importance of cooperation between medical workers of various
specialties in dental management of children with haemophilia. All the modern scientific
data propagate the importance of preventive and prophylactic measures and procedures
(such as regular oral hygiene, localised fluoridation and placing sealants, etc.), which can be
safely done in patients with haemophilia with the aim of protecting the teeth from decay.
However, if there are clinical manifestations of the disease, the dental problem should be
solved before the possible complications appear. Preventive and prophylactic measures,
conservative restoration and endodontic treatment are the procedures which do not require
any special haematological preparation. As opposed to these interventions, extraction,
mandibular and lingual anaesthesia require obligatory haematological preparation of the
patient, which involves coagulation factor replacement therapy according to a defined
protocol, with the obligatory local haemostatic measures Conclusion: It is necessary for both
patients and dentists to be educated on the matters of dental management of the patients
with haemophilia in order to minimise fear and anxiety. What is required is the collaboration
of medical workers of different specialties, who have been involved in the treatment of the
patient since his/ her childhood, to prevent the occurrence of dental problems and their
complications. This would minimise the exposure to factor replacement therapy, which
would entail the cost reduction and the possibility of complications that frequent application
of this type of therapy might cause.
OP.137. TELESCOPE PROSTHESIS ² TRUTHS AND FALLACIES
STAMENKOVIC D.
PHD STUDENT-SCHOOL OF DENTAL MEDICINE, UNIVERSITY OF BELGRADE
TELESCOPE PROSTHESIS ʹ TRUTHS AND FALLACIES. PARTIAL EDENTULOUS IS NOT ONLY A

STATE IN WHICH LOST MORE TEETH, BUT THIS IS THE SITUATION WHERE THE FEW
REMAINING TEETH IN THE JAW ARE USUALLY SMALL BIOLOGICAL VALUE AND BADLY
DISTRIBUTED. DO YOU REMOVE THE FEW REMAINING TEETH SMALL BIOLOGICAL VALUE
AND AN UNFAVORABLE DISTRIBUTION, AND MAKE THE FULL DENTURE (SIMPLE AND
PREDICTABLE PROCEDURE, THERAPY TAKES LESS TIME AND COSTS LESS) OR TREAT AND
PREPARE THE REMAINING TEETH AND CREATE A TELESCOPE DENTURE? IT IS A DILEMMA TO
WHICH THE ANSWER IS GIVEN IN THE LECTURE. BENEFITS OF THE TELESCOPIC DENTURE IN
COMPARISON WITH OTHER TYPES OF DENTURES ARE SLOWING RESORPTION OF THE
ALVEOLAR RIDGE, THE ABILITY TO BETTER RETENTION AND STABILIZATION AND
PSYCHOLOGICAL BETTER SENSE OF THE PATIENT. IN THIS LECTURE WILL BE DESCRIBED THE
DIAGNOSTIC MODEL AND THE WORKING PROCEDURE WITH IT IN THE ARTICULATOR AND
SURVEYING UNIT. ALSO, THE LECTURE SHOWS THE DIFFERENT POSSIBILITIES OF THERAPY
PARTIAL EDENTULOUS WITH THE TELESCOPIC DENTURES THROUGH SEVERAL EXAMPLES AS
WELL AS THEIR ADVANTAGES IN COMPARE WITH OTHER TYPES OF REMOVABLE PARTIAL
DENTURES. THE LECTURE GIVES A BRIEF OVERVIEW OF THE BIOMECHANICS OF TELESCOPIC
DENTURES WITH FREE-END SADDLES. MOVEMENTS OF THE FREE-END SADDLE, STRESS AND
STRAIN OF THE PRIMARY AND SECONDARY TELESCOPIC CROWNS, AS WELL AS THE STRESS
AND STRAIN OF SUPPORTING TISSUE OF THE ABUTMENT TEETH WILL BE SHOWN BY FINITE
ELEMENT ANALYSIS.
Session 47
OP.138. AUTOIMMUNE BULLOUS DISEASES IN CHILDHOOD AND
THEIR MANIFESTATIONS IN THE ORAL CAVITY
ANDREADIS D1, LIGNOU S2, PATARGIA I3, STYLIANOU M4, POULOPOULOS A5.
1
ASSISTANT PROFESSOR-DEPARTMENT OF ORAL MEDICINE/PATHOLOGY, SCHOOL OF
DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
2
DDS-DEPARTMENT OF ORAL MEDICINE/PATHOLOGY, SCHOOL OF DENTISTRY, ARISTOTLE
3
PRE-GRADUATE STUDENT OF SCHOOL OF DENTISTRY-DEPARTMENT OF ORAL
MEDICINE/PATHOLOGY, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI,
GREECE
4
DDS-DEPARTMENT OF ORAL MEDICINE/PATHOLOGY, SCHOOL OF DENTISTRY, ARISTOTLE
5
ASSOCIATE PROFESSOR-DEPARTMENT OF ORAL MEDICINE/PATHOLOGY, SCHOOL OF
Introduction: Autoimmune bullous diseases are a group of conditions that manifest with
blister on the skin or mucous membranes. Most of them are uncommon in children.
Purpose: To review the literature including the most recent papers that are relevant to our
approach and demonstrate quality research with useful data concerning autoimmune
bullous eruptions in children. Methods and Materials: The study was based on a review of
recent publications on Pubmed using as key-ǁŽƌĚƐ ͞ĂƵƚŽŝŵŵƵŶĞ͕͟ ͞ďƵůůŽƵƐ͕͟
͞ŵƵĐŽĐƵƚĂŶĞŽƵƐ͕͟͞ĚŝƐĞĂƐĞƐ͕͟͞ĐŚŝůĚŚŽŽĚ͘͟dŚĞƌĞƐƵůƚƐǁĞƌĞĂďŽƵƚϳϮĂƌƚŝĐůĞƐ͕ϲϵŽĨǁŚŝĐŚ
referred to case reports and 3 of which were literature review. We selected 34 of them
according to criteria: 1. The most recent cases, in particular from 2010 to 2017, 2. The most
usual cases, 3. The basic diagnosis. Results: There is a wide variety of autoimmune bullous
diseases with oral involvement in childhood: 1. LgA Linear Bullous Dermatosis, 2. Dermatitis
Herpitiformis, 3. Pemphigoid, 4. Pemphigus, 5. Systemic Lupus Erythematosus, 6.
Epidermolysis Bullosa, 7. Erythema Multiforme, 8. Lichen Planus. The diagnosis is based on
clinical and histopathological findings, but differential diagnosis is usually difficult. Oral
manifestations occasionally can help the diagnostic procedure. Conclusions: Autoimmune
bullous disorders in children are challenging as they encompass a wide range of entities and
type of oral manifestations. So, it is necessary for the clinicians to have adequate knowledge
for the diagnosis of these diseases.
OP.139. COMMON ORAL LESIONS IN CHILDREN AND ADOLESCENTS.

A 15 YEARS RETROSPECTIVE REVIEW
ANDREOU A1, SKLAVOUNOU A2,

1
POSTGRADUATE STUDENT-DEPARTMENT OF ORAL MEDICINE AND ORAL PATHOLOGY,
SCHOOL OF DENTISTRY, NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS, GREECE
2
PROFESSOR, HEAD OF DEPARTMENT-DEPARTMENT OF ORAL MEDICINE AND ORAL
PATHOLOGY, SCHOOL OF DENTISTRY, NATIONAL AND KAPODISTRIAN UNIVERSITY OF
ATHENS, GREECE
Title: Common oral lesions in children and adolescents. A 15 years retrospective review.
Short introduction: There are few demographic data regarding oral lesions in the pediatric
population. Purpose: To evaluate the demographic characteristics of oral lesions in Greek
children and adolescents. Methods and Materials: The files from the Oral Pathology
Department of the University of Athens Dental School served as a source for this study. All
cases were systematically searched from the histopathological reports during a 15-years
period (2002-2016). Data regarding gender, age, location and histological diagnosis were
retrieved and analyzed. Results: From a total of 14943 oral biopsies, 830 (5,6%) cases
referred to pediatric population. The age ranged from 4th month to 18th year with a mean
age at 11,8 years and there was no significant difference between males (53%) and females
(47%). The great majority of the lesions (99,2%) were benign. The lower lip was the most
commonly biopsied site (222, 26,7%). Mucocele was the most common type of mucosal
lesion with 211 cases (25,4%), followed by reactive/ inflammatory lesions. Regarding
intraosseous diseases dentigerous cyst was most frequently encountered (6,7%), whereas
odontoma (4,3%) was the commonest odontogenic tumor. Conclusion: The results of the
present study are in accordance the literature and provide useful information for the
pediatric and the general dentist.
OP.140. PYOGENIC GRANULOMA OF THE TONGUE:CASE SERIES

CLINICOPATHOLOGICAL STUDY WITH IMMUNOHISTOCHEMICAL
FEATURES
TAXIARCHOU A1, MATIAKIS A2, PAVLOU AM3, ANAGNOSTOU E4, KOLOKOTRONIS A5.
1
UNDER-GRADUATED STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI
2
LECTURER OF DEPARTMENT OF ORAL PATHOLOGY, DMD,PHD, MD-ARISTOTLE UNIVERSITY
OF THESSALONIKI
3
DMD,PGS OF ORAL PATHOLOGY-ARISTOTLE UNIVERSITY OF THESSALONIKI ;ELEFTHERIOS
4
PATHOLOGIST,MD-ARISTOTLE UNIVERSITY OF THESSALONIKI
5
PROFESSOR AND HEAD OF DEPARTMENT OF ORAL PATHOLOGY,DMD,PHD,MD-ARISTOTLE
Title: Pyogenic Granuloma of the tongue: case series clinicopathological study with
immunohistochemical features Background: Pyogenic granuloma is a benign, tumor-like,
reactive overgrowth affecting oral mucosa, especially in an area of repeated trauma or local
irritation. In this oral presentation, we present a clinicopathological study of twenty six
pyogenic granuloma cases located specifically tongue, found in our laboratory histological
archives during a period of fifteen years ( 2001 -2016). Methods and Materials: Ninety one
patients with pyogenic granuloma came to our clinic. Only twenty six of them, had the lesion
located on the tongue. Fourteen of them were men and twelve women. The age ranged
from twenty two to seventy five years old in men and twenty four to eighty four years old in
women. The majority of the lesions, was detected on the dorsal surface of the tongue. The
laboratory examination, included histological as well as immunohistochemical examination.
Results and Conclusion: Surgical excision was the treatment of choice. Fibroma due to
irritation and peripheral giant cell granuloma mainly, as well as other benign neoplasms and
sometimes malignancy, are included in differential diagnosis. In conclusion, the clinical
diagnosis of pyogenic granuloma which is not a rare oral lesion, ought to be always
established by biopsy and histological examination, in order to exclude a malignancy, mainly
oral squamous cell carcinoma.
OP.141. THE ROLE OF CASPASE-4 GENE EXPRESSION IN
APOPTOTIC PATHWAY OF ORAL CARCINOGENESIS
SENGUVEN B1, ARSLAN L2, YUCEL O3, GULTEKIN SE4.

1
ASSOC. PROF. -GAZI UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF ORAL
PATHOLOGY
2
MSC. -GAZI UNIVERSITY FACULTY OF SCIENCES DEPARTMENT OF BIOLOGY
3
DR. -GAZI UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF ORAL PATHOLOGY
4
PROF.-GAZI UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF ORAL PATHOLOGY
Squamous cell carcinoma of oral cavity is in the ten most common cancer worldwide. Oral
epithelial dysplasia may be described as morphological appearances between normal and
malignant epithelial tissue. Here, we evaluated the mRNA expression of caspase-4 and
immunohistochemical detection of apoptotic and proliferating cells via DDF-45, and Ki67
antibodies, on oral squamous cell carcinoma, dysplasia, and non-neoplastic epithelial
ŚǇƉĞƌƉůĂƐŝĂĐĂƐĞƐŝŶƚĞŶĚŝŶŐƚŽĞŵƉŚĂƐŝǌĞƚŚĞĂƉŽƉƚŽƐŝƐŝŶŽƌĂůĐĂŶĐĞƌĂŶĚŝŶƚŚĞĚŝƐĞĂƐĞ͛ƐƐŽ
called early stages. Ten formalin fixed, paraffin embedded tissues were used for each entity.
Caspase 4 expression was analyzed by quantitative RT-PCR. ABC method was used for
immunohistochemistry. Reduced caspase-4 expression was seen in 80%, 73%, and 54% in
cancer, dysplasia, and hyperplasia samples, respectively. Immunohistochemical analysis of
cancer samples from dysplasia revealed high DDF45 immunoreactivity, whereas low
immunoreactivity from hyperplasia group. Proliferation index also was higher in cancer cases
than dysplasia and hyperplasia. DFF45 seems to play an important role in the onset of
apoptotic process by acting through the regulation of DNA fragmentation. These data
suggest that the apoptosis through caspase 3 expression and DNA fragmentation is active in
oral epithelial neoplasms especially in squamous cell carcinoma.
OP.142. CELIAC DISEASE AND ORAL CAVITY
MITIC K1, MIJOVSKA A2, JANEV E3, AMBARKOVA V4, BAJRAKTAROVA I5.
1
ASSOC.PROF-UNIVERSITY SS. CYRIL AND METHODIUS, FACULTY OF DENTAL MEDICINE,
DEPARTMENT OF ORAL PATHOLOGY AND PERIODONTOLOGY
2
ASSOC.PROF-hE/sZ^/dz͞^^͘zZ/>EDd,K/h^͕͟&h>dzK&Ed>D//E͕
3
ASSOC.PROF-hE/sZ^/dz͞^^͘zZ/>EDd,K/h^͕&h>dzK&Ed>D//E͕
DEPARTMENT OF ORAL SURGERY
4
DEPARTMENT OF PEDODONTICS
5
Aim: Celiac disease(CD) is still presented with underdiagnosed cases, with no gastrointestinal
symptoms, but only extraintestinal manifestations. Early diagnosis might assist in diagnosis
of atypical celiac disease patients. The purpose of this study was to determine the
prevalence and possible association of CD and recurrrent aphthous stomatitis (RAS),
atrophic glossitis, caries, and enamel hypoplasia. Methods: The study was carried out on 20
patients with diagnosed CD (age range:9-25 years), and 20 healthy patients. All patients
were clinically follow up in order to detect any soft or hard tissues lesions, presented in oral
cavity. Results: Frequency of RAS in the CD group was significantly higher (41%) in CD group
than that in controls(15%). Only five cases of atrophic glossitis were found in CD group vs
one case among controls. There were no statistical differences between CD group and the
control group with respect to caries and enamel hypoplasia (p>0,05). Conclusion: Patients
with CD have a great risk for (RAS) and atrophic glossitis, but no predisposition for caries and
enamel hypoplasia. Multiprofessional action with the involvement of a gastroenterologist
and dentists, is very important for diagnosing and guiding the patient with CD, to minimize
oral infections and to achieve a good quality of life. Key words: celiac disease, enamel
hypoplasia, atrophic glossitis, recurrrent aphthous stomatitis, xerostomia.
OP.143. AWARENESS AND KNOWLEDGE OF ORAL CANCER AMONG

TURKISH DENTAL PATIENT
ESEN A1, 'mZ^^'2͕bdmZ<&2͕z/)/d'm>Z3.

1
2
3
Oral cancer is an important health problem around the world. Its etiology is multifactorial
and most important causes are smoking, alcohol abuse or both. Early detection can reduce
mortality, morbidity same as all kind of cancers. But one of the most important factors for
early diagnosis is public awareness about its signs and symptoms. Aim of this study was to
evaluate levels of public awareness and knowledge about oral cancer, signs and symptoms.
Materials and Method: This study consists of 839 participants. A modified questionnaire
obtained all participants through a face to face interview. The questionnaire includes
personal information and questions about oral cancer include source of information, signs,
symptoms and risk factors. Data were statistically analyzed by Statistical Package for the
Social Sciences(SPSS). Results: It was observed that only %18,8 of participants had
knowledge about oral cancer. Only %19 of university graduates had heard oral cancer, while
the ratio among primary school graduates was %23.5. There were no statistically differences
among age, gender and educational level. The most common source of information was
media, it was seen that the lowest information source was obtained from dentistis.
Conclusions: This study showed that public awareness and knowledge about oral cancer,
signs and symptoms are insufficient in Turkey. There is a major need to increase that low
levels of awareness and knowledge for oral cancer. Media campaigns may be useful because
the media is thought to be the most important source of information in this regard.
OP.144. CALCIFYING CYSTIC ODONTOGENIC TUMOUR OF
MANDIBLE: A CASE REPORT
UZUN T.
ORAL AND MAXILLOFACIAL SURGERY
The calcifying cystic odontogenic tumor, formerly known as calcifying odontogenic cyst is a
rare , bening, locally aggresive, slow-growing neoplasm. Its occurence constitutes about 0.3-
0.8 % of all odontogenic cysts. The most frequent sign is painless, slow growing swelling.
Radiographically it appears as a well-defined unilocular radiolucency. The microscopical
features of lesion showed well-delineated cyctic proliferation of odontogenic epithelium
with ghost cells and fibrous connective tissue wall. In the present study, 42 years old man
who has CCOT treated with enucleation is reported after 6 months follow-up.
Session 48
OP.145. MONOLITHIC ZIRCONIA & TRANSLUCENCY
SYMEONIDIS P, KONTONASAKI E, KOIDIS P.
1a Postgraduate Student,
1b Asist. Professor
1c Professor
BACKGROUND: Zirkonia is considered semi-translucent, although the quantity of transmitted

light is not remarkable when compared with the values obtained from lithium-disilicate glass
ceramics. Semi-translucency of a ceramic material depends on the rate of scattering and
absorption of the incident light into the ceramic mass. The higher the scattering the highest
the opacity of the material. Scattering occurs when light passes through pores,
imperfections, impurities and the grain contours. Semi-translucency depends on the degree
of crystallinity, the chemical composition and the grain size of the ceramic material. The aim
of this study was to review the published literature concerning the translucency of
monolithic zirconia.
MATERIALS AND METHODS: The MEDLINE electronic database was searched, and relevant
original and review articles from 1-1-2010 to 28-2-2017 were included.
RESULTS: Translucency is generally measured with Contrast Ratio (CR) or Translucent
Parameter (TP). The ratio of the intensity of reflected radiant flux to that of the incident
ƌĂĚŝĂŶƚĨůƵǆĐŽŶƐŝƐƚƐƚŚĞW͘dŚĞdWŝƐƚŚĞĚŝĨĨĞƌĞŶĐĞŝŶĐŽůŽƌ;ȴȵΎͿďĞƚǁĞĞŶĂƵŶŝĨŽƌŵ
thickness of a material measured over white and black backing. Both values are recorded
with the use of a spectrophotometer. Significant differences were recorded in both TP and
CR values among the various commercial monolithic zirconia ceramics, while the most
significant factor affecting both parameters was the materiĂů͛ƐƚŚŝĐŬŶĞƐƐ͘
CONCLUSIONS: High translucency monolithic zirconia shows a modest but perceptible
increase in translucency, in comparison with conventional monolithic zirconia, thus
increasing the clinically suitable thickness range with optimized aesthetic and resistance.
OP.146. CHALLENGING LONG TERM PROGNOSIS OF PROSTHETIC
TREATMENT FOR COMPROMISED PATIENTS
KANOUSAKI D1, TOURNAVITIS A2, PISSIOTIS A3, KOIDIS P3.

1
Postgraduatre Student
2
PhD Canditate
3
Professor
Medical polypathology in dental tratment is not a rare entity, along with mental and
phychological diseases. Especially in Prosthodontics, polypathology meets patients' stress
and their need for a rather time-consuming tratment plan, even though the majority of
them are highly complicated cases. This situation hidden the potential of accumulating
pressure of prosthodontist, leading eventually to a series of decisions and actions, masking
misdiagnosis and mistreat and perhaps to an adverse event and /or moderate the resulting
effects when an adverse event occurs. This presentation identifies a case of a 62-year-old
female patient to be used as a paradigm that presented for treatment 13 years ago,
complaining primarily of lost teeth, due to periodontitis and interested in rehabilitation with
implants. However, although the patient met the criteria of medical polypathology, as well
as polypharmacy and psychological disturbances, the entire spectrum of risk factors was not
complete raised and utilized. The proposed/ applied treatment plan included convetional
and implant-supported FDPs, upon completion of required pretreatment interventions. Even
though the treatment plan was executed as accurately and precisely as possible, the patient
continued the following years to present severe biological and technical complications,
revealing prognostic issues that should have been uncovered in first place, as the initial
proposed treatment plan was concerned. In this respect, the material presented herein
emphasizes the crucial need for extensive and thorough evaluation of diagnostic and clinical
data,for a simplification of treatment plan and risk assessment as well as reparability of
scheme, regardless tha patient's expectations and complexity.
OP.147. TRANSLUCENCY OF LITHIUM DISILICATE CERAMIC

MATERIAL WITH RESPECT TO THICKNESS
ERDOG M, UCTASLI S.
UNIVERSITY OF ANKARA, FACULTY OF DENTISTRY, DEPARTMENT OF PROSTHODONTICS
BACKGROUND Translucency has been emphasized as one of the primary factors in

controlling the esthetic outcome of ceramic restorations. The aim of this study was to
evaluate the translucency of lithium disilicate ceramic material with respect to thickness.
MATERIAL METHOD In total, 40 rectangular-shaped specimens (12mmx14mm) with different
thicknesses (0.5mm, 1.0mm, 1.5mm and 2.0mm) fabricated with A3 shade, lithium disilicate
ceramic material (rosetta sm, hass, korea) utulising by cad/cam technique. Translucency was
measured at baseline and after uv aging test conditions (atlas uv 2000, mtt, usa).
Translucency was measured according to the CIE lab colour scale relative to the standard
illuminant D65 over a white tile (CIE L*= 99.25, a*= --0.09 and b*= 0.05) and a black tile (CIE
L*= 0, a*= 0.01 and b*= 0.03) using a reflection spectrophotometer (cm-700d, konica-
minolta, japan).The translucency baseline values of lithium disilicate ceramic material was
26.99, 20.96, 15.75 and 11.86 and depending on 0.5mm, 1.0mm, 1.5mm and 2.0mm
thicknesses, respectively. Obtained data were analysed using analysis of variance (anova) at
the p<0.05 significance level with spss version 13 (statistical package for social science, spss,
ĐŚŝĐĂŐŽ͕Ŧů͕ƵƐĂͿ͕ĨŽůůŽǁĞĚďǇdƵŬĞǇ͛ƐƉŽƐƚĂŶĂůǇƐŝƐƚŽĚĞƚĞƌŵŝŶĞƚŚĞĚŝĨĨĞƌĞŶĐĞƐďĞƚǁĞĞŶƚŚĞ
groups. CONCLUSION The translucency of lithium disilicate ceramic material was significantly
influenced by different thicknesses (p<00.5). The translucency was increased when the
thickness of ceramic material was decreased. However, uv aging did not any adverse effect
between two test conditions (p>0.05). ̘
OP.148. IMPLANT MAINTENANCE IN GENERAL DENTAL PRACTICE
KOUGIAS K1, MANOLAKIS K2.

1
MR-ARISTOTLE UNIVERSITY DENTAL SCHOOL, DEPARTMENT OF DENTOALVEOLAR SURGERY
- SURGICAL IMPLANTOLOGY - RADIOLOGY, THESSALONIKI, GREECE
2
DR-PRIVATE DENTAL PRACTIONER
Title: Implant maintenance in general dental practice. Background: Peri-implant diseases

may affect the peri-implant mucosa only, or additionally the supporting bone. Correct
diagnosis of peri-implant disease is critical for the appropriate management. If undiagnosed,
peri-implant disease may lead to complete loss of osseointegration and implant loss.
Methods and Materials: A review of the current literature on peri-implant disease and
treatment modalities as well as the authors personal experience from daily practice were
used to prepare this presentation. Results: In this presentation, tools for the diagnosis of
peri-implant diseases are reviewed with the aim of providing guidelines for clinical practice.
The review also aims to identify potential risk factors associated with peri-implant diseases.
Protocols for removing dental plaque and tartar from implants and improving oral hygiene
regimes by the patient will be discussed. Conclusion: Simple protocols and guidelines are
provided for implant maintenance. Emphasis should also be given, in identifying risk factors
during treatment planning stage and also stressing out the importance of high oral hygiene
standards by the patient.
OP.149/2&$7256$35$&7,&$/$1'())(&7,9(5(7(17,21
SYSTEM IN REMOVABLE PROSTHODONTICS
SALIA A, BEI M, GOUSSIAS H.
DDS-NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS
The prosthetic rehabilitation of the mandible is a very challenging clinical task, due to the
fact that chronic edentulism strongly affects the residual ridge. According to the Mac Gill
consensus(2002) , the use of an implant overdenture is considered nowadays to be the first
therapeutic choice. Especially, in cases of extensive bone resorption, the use of two implants
in the mandible is the minimal surgical intervention with significant advantages in
ŽǀĞƌĚĞŶƚƵƌĞƐ͛ ƌĞƚĞŶƚŝŽŶ͘ dŚŝƐ ƉŽƐƚĞƌ ŝƐ ƚŚĞ ŽƵƚĐŽŵĞ ŽĨ ĞǆƚĞŶƐŝǀĞ ůŝƚĞƌĂƚƵƌĞ ƌĞƐĞĂƌĐŚ ŝŶ
scientific sites such as Pubmed and Sciencedirect with the keywords: : implant, overdenture,
retention, precision attachments, locator, complete edentulism, removable prosthesis,
implant restoration, ball attachments. The development of prosthetic implant parts from
manufactures has given more alternatives in many prosthetic problems. The main problem is
the difficulty of using retentive parts in implants that are not placed parallel as well as the
reduced prosthetic space. Locator retentive parts solve effectively these problems allowing
implant angulation and provide increased retention without the need of excessive height for
their integration in the acrylic mass of the overdenture. Locator system is able to function
even if implant divergence rises up to 40 degrees(total). The purpose of this poster is to
describe both advantages and disadvantages of locator system, based on recent literature, in
combination with the description of interesting clinical cases. The management of
mandibular edentulism with the use of this system is presented by clinical cases.
OP.150. ASSESSMENT OF SPEECH CHANGES IN PATIENTS WITH

FIXED PROSTHETIC RESTORATIONS, MADE WITH SPEECH
ANALYZER
HRISTOZOVA M1, KISSOV H2, SHOPOVA D3, BOJKOVA T4, CHOCHEVA N5.
1
ASSISTANT PROFESSOR-MEDICAL UNIVERSITY OF PLOVDIV FACULTY OF DENTAL MEDICINE
DEPARTMENT OF PROSTHETIC DENTISTRY
2
PROFESSOR-MEDICAL UNIVERSITY OF PLOVDIV FACULTY OF DENTAL MEDICINE
3
ASSISTANT PROFESSOR-MEDICAL UNIVERSITY OF PLOVDIV FACULTY OF DENTAL MEDICINE
4
PHD -MEDICAL UNIVERSITY OF PLOVDIV FACULTY OF DENTAL MEDICINE DEPARTMENT OF
PROSTHETIC DENTISTRY
5
PHD-W>Ks/shE/sZ^/dzͣW/^^//,/>EZ^</͟WZdDEdK&&ZE,E'ZDE
LANGUAGES AND LITERATURES
Background: Speech evaluation in dentistry is important for appropriate prosthetic

rehabilitations. Phonetics must be considered with mechanics and esthetics as a primary
factor for successful prosthodontic treatment. The aim of this study is to introduce an
objective digital acoustic analysis of speech. Method and materials: We used Sony ICD-
UX533 recorder to make mp3-ƌĞĐŽƌĚƐ ŽĨ ƉĂƚŝĞŶƚ͛Ɛ Ɖƌonunciation of selected words
(symbols). Pre-treatment records were performed and ones after the restorations were tried
in. Audacity was used to convert the records in wav-format and for segmentation of the
symbols in certain phoneme combinations. With the aid of Speech Analyzer we analyze
digitally the formants of the speech before and after treatment. Results and conclusion:
Speech Analyzer gives automatically graphic analysis of the frequencies of phonemes. It
performs useful and objective analysis and avoid the subjective auditory assessment.
Session 51
OP.151. GRANULAR CELL TUMOR IN A SEROPOSITIVE PATIENT. A
CASE REPORT AND BRIEF LITERATURE REVIEW
KARAKOSTAS P1, MATIAKIS A2, POULOPOULOS A3, ANAGNOSTOU E4, KOLOKOTRONIS A5.
1
D.M.D-SCHOOL OF DENTISTRY OF ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
2
D.M.D, M.D, PHD, LECTURER-DEPARTMENT OF ORAL MEDICINE AND PATHOLOGY, SCHOOL
OF DENTISTRY OF ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
3
D.M.D, M.SC, PHD, ASSOCIATE PROFESSOR-DEPARTMENT OF ORAL MEDICINE AND
PATHOLOGY, SCHOOL OF DENTISTRY OF ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
4
M.D, PATHOLOGIST-DEPARTMENT OF ORAL MEDICINE AND PATHOLOGY, SCHOOL OF
DENTISTRY OF ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
5
D.M.D, M.D, PHD, PROFESSOR AND HEAD-DEPARTMENT OF ORAL MEDICINE AND
PATHOLOGY, SCHOOL OF DENTISTRY OF ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
Title: Granular cell tumor in a seropositive patient. A case report and brief literature review.
Background: Granular cell tumor (GCT) is a benign swelling of oral mucosa, originating from
Schwann cells. The lesion is usually found on the tongue, showing a slight prevalence in
women between the third and the fourth decade of life. Purpose: The purpose of our
presentation is to describe a GCT case located at the dorsum of the tongue in a seropositive
male patient, and his treatment. Materials/Methods: We searched similar cases in online
Pubmed and Scopus databases with keywords granular cell tumor, oral mucosa, and HIV
infection, and until now the aforementioned case is a unique one. Results: We present the
clinical case with patient's medical history, his laboratory tests, the differential diagnostic
approach, and the surgical excision of the lesion. Conclusions: Until now, a unique oral GCT
case in a HIV(+) patient is presented. Surgical excision constitutes the treatment of choice.
Histological examination as well as immunochemistry establishes the diagnosis. There is no
possible relationship between GCT and HIV infection. However, further research is
recommended.
OP.152. ORAL LYMPHANGIOMA:AN INTERESTING DIFFERENTIAL

DIAGNOSTIC DILEMMA
TERZAKI P1, MATIAKIS A2, PAVLOU AM3, ANAGNOSTOU E4, KOLOKOTRONIS A5.
1
UNDER-GRATUATED STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI
2
LECTURER OF DEPARTMENT OF ORAL PATHOLOGY(DMD,PHD,MD)-ARISTOTLE UNIVERSITY
OF THESSALONIKI
3
DMD,PGS OF ORAL PATHOLOGY-ARISTOTLE UNIVERSITY OF THESSALONIKI
4
PARHOLOGIST,MD-ARISTOTLE UNIVERSITY OF THESSALONIKI
5
PROFESSOR(DMD,PHD,MD),HEAD OF DEPARTMENT OF ORAL PATHOLOGY-ARISTOTLE
Title: Oral lymphangioma:An interesting differential diagnostic dilemma. Background:

Lympangioma is a tumor-like lesion of lymphatic vessels that is found in subcutaneous,
muscle or skin tissue of the body and rarely in oral mucosa. Usually it is being noticed during
birth or at the age of 2 years old.The aim of this presentation is to develop a rare case of oral
lymphangioma, its surgical treatment and differentiate it from other similar oral lesions.
Methods/Materials: It concerns a male patient 72 years old who visited our clinic. Oral
examination revealed a fluctuant swelling in the left upper buccal mucosa area, opposite
from the second left premolar about 6mm diameter. The lesion was covered by a reddish
oral mucosa, painless in palpation. The nearby teeth were vital. The patient noticed the
swelling 2 months ago without any differentiation in the size. A mucocyst was the first
clinical diagnosis. It was surgically removed under local anesthesia. Histological examination
established the diagnosis of lymphangioma of the oral mucosa. The post-surgical period was
uneventful. Results/Conclusion: In conclusion, clinical diagnosis must always be established
by biopsy and histological examination. In our case, differential diagnosis includes periapical
or periodontal infection, mucocyst or other benign tumors. Surgical treatment is the
treatment of choice. The rarity of our case, is also established by the fact that in our clinic,
during a period of 15 years, only 5 similar cases are included, one of them being the case
referred above.
OP.153. ASSOCIATION BETWEEN ODONTOGENIC CONDITIONS AND

MAXILLARY SINUS MUCOSAL THICKENING: A RETROSPECTIVE
CBCT STUDY
AKSOY U1, ORHAN K2.

1
ASST PROF-NEAR EAST UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
ENKKEd/^͖^/><^Kz-ASST PROF-NEAR EAST UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF DENTOMAXILLOFACIAL RADIOLOGY
2
PROF-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
Introduction: The maxillary sinus can be affected by odontogenic conditions because of its
close relationship with maxillary posterior teeth. Identifying the relationship between
odontogenic and sinusal pathologies is essential to establish the correct diagnosis and
management of the patient. This study aimed to assess the maxillary sinus mucosal
thickening and to associate them with odontogenic conditions using cone-beam computed
tomographic (CBCT) images. Material and Methods: CBCT images of 94 patients (43 female,
51 male; age range 18-80 years) with 188 exposed maxillary sinuses were evaluated
retrospectively. The presence of root canal treatment, periapical lesions, the relationship
between the maxillary sinus floor and the root tips in posterior maxillary teeth and sinus
mucosal thickening were recorded. Thickening >2 mm was considered pathological. Results:
Mucosal thickening >2 mm was observed in 55 (58.5%) patients and 85 (45.2%) sinuses. Of
the 188 sinuses, periapical lesions were found in 48 (25.5%) regions and 24 (50%) of them
were associated with the mucosal thickening. Root canal treated teeth were found in 37
(19.6%) regions and 17 (45.9%) of them were related with the mucosal thickening. There
were no statistically significant associations between mucosal thickening and the
odontogenic conditions studied (p>0.05). Conclusions: Sinus mucosal thickening is a
common radiographic finding. We emphasize that CBCT imaging is an appropriate method
for evaluating the maxillary sinus findings and their associated odontogenic conditions with
lower radiation dose.
OP.154. CURRENT ADVANCES IN METALLURGY AND MECHANICAL
PROPERTIES OF NICKEL-TITANIUM ENDODONTIC FILES
TZIMAS N1, BELTES C2.

1
DDS-PRIVATE PRACTICE
2
DDS,MSC, MCLINDENT, PHD-PRIVATE PRACTICE
Introduction: Instrumentation of the root canal is accomplished by the use of endodontic

instruments and irrigating solutions. During the last 25 years, Nickel ʹTitanium instruments
have gained popularity among clinicians and revolutionized root canal instrumentation. Aim:
To outline the metallurgical properties of conventional and novel engine-driven Nickel-
Titanium endodontic files and review their effect on mechanical properties. Material and
methods: A comprehensive review of the dental literature was conducted., using reference
textbooks of dental materials, endodontics and three electronic databases. Results: Nickel-
Titanium (NiTi) alloys used in endodontics contain approximately 56% (wt) nickel and 44%
(wt) titanium resulting to a 1:1 atomic ratio (equiatomic) of their components. Equiatomic
NiTi alloy contains 3 microstructural phases namely austenite, martensite and R-phase.
Conventional NiTi instruments are utilised in the austenite phase under clinical conditions
and exhibit special characteristics of superelasticity and shape memory. Recently,
thermomechanical processing has been used to produce NiTi instruments in martensite or R-
phases, taking advantage of their superior flexibility and fatigue resistance. Conclusion:
Flexibility, torsional resistance and flexural fatigue resistance are the fundamental
mechanical properties of NiTi endodontic instruments for reducing the risk of intracanal
instrument separation, thereby increasing clinical success. In order to maximize the benefits
of NiTi endodontic instrumentation, clinicians should be aware of the nature of different NiTi
instruments because instrument performance is directly affected by metallurgical
processing.
OP.155. SALIVARY RESISTIN AND TNF-ƣ/(9(/6,1',))(5(17

PERIODONTAL DISEASES
AFACAN B1, <>bW2, YENISEY C3, NIZAM N4, EMINGIL G5.

1
ASSIST. PROF. DR. -ADNAN MENDERES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF PERIODONTOLOGY, AYDIN
2
ASSIST. PROF. DR.-ADNAN MENDERES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF PERIODONTOLOGY, AYDIN
3
PROF. DR.-ADNAN MENDERES UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF
BIOCHEMISTRY, AYDIN
4
ASSOC. PROF. DR.-EGE UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
WZ/KKEdK>K'z͕7D/Z
5
PROF. DR.-EGE UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PERIODONTOLOGY,
7D/Z
Background: Resistin, recently described adipokine and cysteine-rich secretory protein, has
regulatory roles in host response. It stimulates synthesis and secretion of tumor necrosis
factor (TNF)-ɲ ŝŶ ŝŵŵƵŶŽ-inflammatory events. Resistin has been detected in body fluids
and could play a role in the etiopathogenesis of various inflammatory diseases. The present
study aimed to evaluate salivary resistin and TNF-ɲůĞǀĞůƐŝŶĚŝĨĨĞƌĞŶƚƉĞƌŝŽĚŽŶƚĂůĚŝƐĞĂƐĞƐ͘
Methods and Materials: A total of 80 systemically healthy and non-smoking individuals
including 20 chronic periodontitis (CP), 20 generalized aggressive periodontitis (G-AgP), 20
gingivitis (G) patients and 20 periodontally healthy subjects were included. Probing pocket
depth, clinical attachment levels, plaque index and papillary bleeding index were recorded,
saliva samples were collected from each individual. Salivary resistin and TNF-ɲ ůĞǀĞůƐ ǁĞƌĞ
analyzed by enzyme-ůŝŶŬĞĚ ŝŵŵƵŶŽƐŽƌďĞŶƚ ĂƐƐĂǇ͘ ƵŶŶ͛Ɛ ŵƵůƚŝƉůĞ ĐŽŵƉĂƌŝƐŽŶƐ ĂŶĚ
Spearman rank correlation tests were used for statistical analysis. Results: Resistin and TNF-
ɲ ůĞǀĞůƐ ǁĞƌĞ ĚĞƚĞcted in all saliva samples. Although CP, G-AgP and G groups had higher
salivary resistin levels compared to healthy controls this did not reach to significance
(P>0.05). CP, G-AgP and G groups had similar salivary resistin levels (P>0.05). There was no
significant difference in salivary TNF-ɲ ůĞǀĞůƐ ŝŶ ƐƚƵĚǇ ŐƌŽƵƉƐ ;WхϬ͘ϬϱͿ͘ ŽŶĐůƵƐŝŽŶ͗ tŝƚŚŝŶ
the limits of the present study, we might suggest that resistin may not hold value as an
inflammatory mediator of periodontal disease characterized by tissue destruction. Further
studies investigating resistin in other biological fluid (GCF) or gingival tissue samples are
needed to clarify its role in the pathogenesis of periodontal disease.
OP.156. EFFECT OF PERIODONTAL TREATMENT ON

INFLAMMATORY CYTOKINE LEVELS IN GCF IN PATIENTS WITH
AGGRESSIVE PERIODONTITIS
PIRIM GORGUN E1, TOKER H2, POYRAZ O3.

1
CUMHURIYET UNIVERSITY
2
FACULTY OF DENTISTRY
3
DEPARTMANT OF PERIODONTOLOGY
Aim: The roles of interleukin-34(IL-34) and IL-22 in aggressive periodontitis are not exactly
known. This study aimed to examine the IL-22, IL-34 and IL-ϭɴ ůĞǀĞůƐ ŝŶ ŐŝŶŐŝǀĂů ĐƌĞǀŝĐƵůĂƌ
fluid (GCF) of patients with aggressive periodontitis as well as periodontally healthy
individuals and their response to nonsurgical periodontal therapy. Methods: A total of 65
patients (35 patients with AgP patients and 30 periodontally healthy individuals). Clinical
periodontal parameters (including plaque index, gingival index, pocket depth and clinical
attachment level) and GCF samples were collected at baseline and 6-week. Non-surgical
periodontal therapy was performed in patients with GAgP. IL-22, IL-34 and IL-ϭɴ ůĞǀĞůƐ ŝŶ
GCF were determined by enzyme-linked immunosorbent assay (ELISA). Results: AgP patients
showed significant improvement on clinical parameters after periodontal therapy(p<0.05).
GCF levels of IL-22 and IL-34 were significantly lower in the AgP group than control group at
baseline(p<0.05). After periodontal treatment, GCF levels of IL-22 and IL-34 in AgP patients
were similar to control group (p>0.05). GCF levels of IL-ϭɴǁĂƐƐŝŐŶŝĨŝĐĂŶƚůǇŚŝŐŚĞƌĂƚďĂƐĞůŝŶĞ
in the AgP group than control group and also after periodontal therapy, GCF levels of IL-ϭɴ
was decreased (p<0.05). Conclusion: IL-1beta is a key mediator for evaluating the
periodontal inflammation in AgP and may not found a correlation with IL-22 and IL-34.
Additional studies are required to evaluate their role in aggressive periodontitis.
OP.157. THE PREVALANCE OF PARANASAL SINUSES ANATOMIC
VARIATIONS ON CBCT SCAN IMAGES OF TURKISH POPULATIONS
ULAY G1, NAMDAR PEKINER F2, YILDIZ AN3.

1
RES.ASSIST.-MARMARA UNIVERSITY DENTISTRY FACULTY, DEPARTMANT OF
DENTOMAKSILLOFACIAL RADIOLOGY
2
PROF.DR
3
RES.ASSIST
Introduction: The paranasal sinuses constitute a set of structures of the maxillofacial region
of great importance to the dental surgeon. The imaging investigation of the anatomical
variation of the paranasal sinuses is important in assessing the predisposing factors for
inflammatory changes of the paranasal sinuses. Conventional radiology does not permit a
detailed study of the nasal cavity and paranasal sinuses. CBCT images have sufficient quality
for visualizing the paranasal sinuses even at lowest radiation exposure. The aim of this
retrospective study is to investigate the prevalence of anatomic variations of the paranasal
sinus region by using data of CBCT images. Materials and Methods: The samples included
paranasal sinuses images of 200 adult patients who visited the Marmara University Faculty
of Dentistry, Department of Oral Diagnosis and Radiology, and underwent CBCT examination
picked up from the picture archiving and communications system. Results: The prevalance of
concha bullosa superior was % 9.5 (%7.4 for women,% 11.9 for men), concha bullosa media
was % 54(%55.5 for women,%52.1 ĨŽƌ ŵĞŶͿ͘ dŚĞ ƉƌĞǀĂůĂŶĐĞ ŽĨ ,ĂůůĞƌ͛Ɛ ĐĞůů ǁĂƐ й
19.5(%17.5 for women, %21.7 for men), Agger cell was %55.5(%55.5 for women,%55.1 for
ŵĞŶͿ ĂŶĚ KŶŽĚŝ ĐĞůů ǁĂƐ йϱϯ͘ϱ ;йϱϱ͘ϱ ĨŽƌ ǁŽŵĞŶ͕ йϱϭ ĨŽƌ ŵĞŶͿ͘ dŚĞƌĞ ǁĂƐŶ͛ƚ ŵĂǆŝůůĂƌ
sinus agenezis. Conclusions: CBCT is a convenient radiografic examination to evaluate the
paranasal sinuses anatomic variations. Dentists must take in consideration this anatomic
variations of paranasal sinuses.
OP.158. ULTRASONOGRAPHIC TONGUE THICKNESS EVALUATION

OF PATIENTS WITH CLASS I, CLASS II AND CLASS III MALOCLUSION
AMUK M1, CANGER M2, AMUK NG3.

1
DDS, PHD-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ORAL AND
MAXILLOFACIAL RADIOLOGY
2
DDS, PHD (ASSOCIATE PROFESSOR)-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY,
3
DDS, PHD (ASSISTANT PROFESSOR)-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY,
Aim: The size of tongue has an important role in terms of development of jaws and
dentoalveolar arches. The aim of this study was to determine the relationship between
tongue size and skeletal class I, class II and class III malocclusions through ultrasonographic
tongue thickness measurements. Subjects and Method: The study consisted of 36 male and
54 female patients. The mean ĂŐĞ ŽĨ ƐƵďũĞĐƚƐ ǁĂƐ ϭϱ͘ϵцϮ͘Ϭϴ ǇĞĂƌ-old. Tongue dimensions
were evaluated by ultrasonographic tongue thickness, cephalometric tongue height and
cephalometric tongue length measurements. Comparisons of tongue dimensions measured
by different methods between skeletal groups were performed using ANOVA test. Reliability
of methods were determined with Pearson Correlation Coefficient. Results:
Ultrasonographic tongue thickness values were statistically significant between class I, class
II and class III malocclusion groups (p<0.001). The lowest tongue thickness values were
ŽďƐĞƌǀĞĚŝŶĐůĂƐƐ//ƐƵďũĞĐƚƐ;ϰϬ͕ϱϲцϮ͕ϯϭŵŵͿǁŚŝůĞĐůĂƐƐ///ƐƵďũĞĐƚƐ;ϰϰ͘ϱцϮ͘ϯϱŵŵͿŚĂĚƚŚĞ
highest tongue thickness values (p<0.05). Cephalometric tongue lenght (p<0.001) and
tongue height values (p<0.05) were statistically significant between class I, class II and class
III malocclusion groups. Cephalometric tongue lenght measurements had significant and
positive correlation with ultrasonographic tongue thickness for whole skeletal groups
(p<0.01), while cephalometric tongue height had relationship with ultrasonographic tongue
thickness at only class I malocclusion group (p<0,05). Conclusion: Ultrasonographic tongue
thickness measurement was a reliable and reproducable method. Tongue size of skeletal
class III subjects were greater than skeletal class I subjects and class II subjects had smaller
tongue sizes than class I subjects significantly.
OP.159. STOMATOGNATIC APPARATUS PATHOLOGIES AND

ATYPICAL MOVEMENT OF MANDIBLE
QAFMOLLA A1, GJINI E2, QAFMOLLA E2, KOLA D2.

1
PHD, FACULTY OF DENTAL MEDICINE
2
MSC
Stomatognatic Apparatus Pathologies and Atypical Movement of Mandible Alketa

QAFMOLLA, MSc; Ph.D; Elton GJINI Emil QAFMOLLA Denisa KOLA Abstract Different
pathologies of the stomatognatic apparatus like:dysfunction of TMJ,pulpits,
periodontitis,bruxism etc.,are reasons of atypical movement of mandible. Atypical
movement showed a deviation of the mandible during open or close of the mouth. The
objective of study is to determine the reasons of atypical movement of the mandible, as well
as to find its treatment manners. Material & Method,we have controlled and treated 43
patients with TMJ dysfunction and mastication muscles problems,about 18ʹ60years old.
Patients are divided in 2groups.We have determined the reasons of the atypical movement
and conclude about the diagnose according the clinical examination protocol. Results,at
about 50%of the cases the reason of the atypical movement was TMJ pain, while at the
second group,at about100% of the cases,the main reason was bruxism.The treatment of the
patients of the first group was carried out by therapeuticʹmedicament as well as
physically,while the patients of the second group were treated by therapeuticʹprosthetic
manner by relaxes elements.The positive results shown for the success of the treatment of
the first group at the 81,82 % of the patients and for the control group the success was
arrived at the 95.24%of patients. Conclusions,the statistical analyze has proved the same
results of the treatment of the first group, as well as and for the second group of control.The
elimination of the reasons and application of the combination treatment therapeuticʹ
prosthetic are main methods for elimination of the atypical movement. Key word:Atypical
movement of mandible, pathologies, clinical examination protocol, diagnoses.
OP.160. IS THERE ANY CORRELATION BETWEEN BONE QUALITY
AND MANDIBULAR HYPERMOBILITY IN THE TEMPOROMANDIBULAR
JOINT DYSFUNCTION?
BAYRAKDAR SEVKI I1, CAKUR B2.

1
ASSISTANT PROFESSOR-ESKISEHIR OSMANGAZI UNIVERSITY, DEPARTMENT OF ORAL AND
2
ASSOCIATE PREOFESSOR-ATATURK UNIVERSITY, DEPARTMENT OF ORAL AND
Objective: It was suggested that the joint hypermobility increased the risk for low bone
mass. Therefore, the objective of the present study was to determine whether there was a
correlation between the bone quality of the temporomandibular joint (TMJ) (the mandibular
condyle and articular eminence) and the TMJ subluxation in temporomandibular joint
dysfunction (TMD). Methods: Fifty-nine patients with TMD were analyzed retrospectively
with cone beam computed tomography (CBCT). Parasagittal images of the TMJ were
evaluated with regard to both bone quality (types I ʹ IV) and mandibular condyle movement
(normal and hypermobility). Results: No correlation was found between the bone quality
index (BQI) and mandibular condyle movement in the TMD (p > 0.05). Conclusions: The bone
quality types (I-IV) did not have a direct influence on the temporomandibular joint
hypermobility in TMD. Keywords: Temporomandibular joint dysfunction, Bone quality,
mandibular condyle movement, Cone beam computed tomography, Mandibular
Hypermobility
OP.161. 7+(',))(5(1786(2)&21&$9(267(2720(ú1
ú17(51$/6ú186/ú)7ú1*
YAVUZ MC, ALTUN M, SUNAR O, SELAMET H.
DDS-KZhhE7sZ^7dz͕&h>dzK&Ed7^dZz͕WZdDEdK&WZ7KKEdK>K'z
Implantation in the maxillary region is complicated due to maxillary sinus pneumatization. In

the internal sinus lift technique, the sinus membrane is elevated by using osteotome with
the crestal approach. The residual bone height in which the sinus lift technique with
osteotomy and the necessity of using graft materials for the preservation of the space
created in the sinus for new bone formation is controversial. The aim of this case series was
to evaluate radiographically the bone gains in the sinuses of three patients in whom
implants had been placed by the internal sinus lift technique using concave (sharpened
edge) osteotome without using any graft. Following the removal of the full thickness
mucoperiosteal flap, compact bone was easily fractured with concave osteotomy set
without using any drill. Then it was proceeded by slowly percussing on the osteotome with
the surgical mallet, and a greenstick fracture was created at the sinus floor by directing the
coronal compact bone apically. The implants were placed in the sockets using a low torque.
Bone remodeling was successfully observed in the radiographs after 6 months of follow-up
in patients who had a roof with implant without using any graft material in the sinus cavity.
We think that compact bone, easily breaking, directed from the coronal of the alveolar crest
to the apical region, contributes to the formation of new bone observed in the sinus region
of the radiograph. The effectiveness of the concave osteotomy set used in this study can be
evaluated with new studies.
OP.162. HOW TO MOTIVATE A DENTAL TEAM
KOUTSAMANI M1, VLASIADIS K2, MOUZA AM3, PHILALITHIS A4.

1
DENTIST CONSULTANT-HEALTH CENTER OF KASTELI, HERAKLION, CRETE
2
DENTIST CONSULTANT-HEALTH PLANNING UNIT, FACULTY OF MEDICINE, UNIVERSITY OF
CRETE
3
ASSOCIATE PROFESSOR-DEPARTMENT OF BUSINESS ADMINISTRATION, TECHNOLOGICAL
EDUCATIONAL INSTITUTE OF CENTRAL MACEDONIA
4
PROFESSOR-DEPARTMENT OF SOCIAL MEDICINE, FACULTY OF MEDICINE, UNIVERSITY OF
CRETE ;--
Introduction For a dental unit to become more effective, it has to equip its employees with
knowledge, qualifications and skills, increasing this way their abilities and improving their
productivity. Methods In the relevant literature, one can find many theories regarding
incentives and motivation strategies that can be adopted in a dental team. These include the
Masloǁ͛Ɛ ƚŚĞŽƌǇ ŽĨ ŶĞĞĚƐ͕ ƚŚĞ ƚǁŽ-factor theory, the ERG theory, the theory of covering
acquired needs, the theory of expectations and the equality theory, which are often
combined, for the development of a dental team. Concerning the motivational behaviors,
each of these theories represents a different goal. Conclusions It is noted that staff
motivation in a private dental team has much in common with that of a public one. The
provided incentives can be economic, healthcare-related and social. Economic incentives
include the basic salary, the benefits and the productivity bonuses. Additionally, the pension,
the insurance and the healthcare coverage better establish the feeling of security. Regarding
the social incentives, days-off, lifelong learning and career advancement can be considered.
Besides, an important part of the staff motivation is related to the provided incentives from
the leadership, which include the goals setting of the dental unit, participation in decision
making together with the support and reward of the efforts, aiming to promote the
professional development of employees.
Session 52
OP.163. THE EFFECT OF DENTURE WEARING ON CANDIDA SPECIES
TURP I1, GENC GE2, TUNCEL I1, KURT A3, CIMENDUR OO1.
1
ASSISTANT PROFESSOR-BEZMIALEM VAKIF UNIVERSITY DEPARTMENT OF PROSTHODONTICS
2
DR-/^dEh>hE7sZ^/dzWARTMENT OF MEDICAL MICROBIOLOGY
3
ASSISTANT PROFESSOR-TRAKYA UNIVERSITY DEPARTMENT OF PROSTHODONTICS;OZLEM
The aim of the current study is to evaluate the effect of denture wearing on the number of
pathogen candida species. Asymptomatic 19 maxillary complete denture wearer patients
without any denture stomatitis were included in the study after their informed consents
ǁĞƌĞ ƚĂŬĞŶ͘ dŚĞ ƉĂƚŝĞŶƚƐ͛ ŵĂǆŝůůĂƌǇ ĚĞŶƚƵƌĞƐ ǁĞƌĞ ĚĞůŝǀĞƌĞĚ ǁŝƚŚ Ă ĐŚŝƉ ĞŵďĞĚded in the
palatal base at the first molar region to calculate the time in the mouth. Samples were taken
from the palate and saliva for quantifying the Candida species after incubation at delivery,
after 3,7 and 14 days. Information about smoking habits, any previous denture, opposing
arch and any systemic disease and medication was also taken. The patient wore their
ĚĞŶƚƵƌĞƐ ĨŽƌϭϰ͘ϳϭцϱ͘Ϯϱ ŚŽƵƌƐ ƉĞƌĚĂǇ͘ ĂŶĚŝĚĂ ƐƉĞĐŝĞƐ ǁĞƌĞ ŵŽƌĞ ƉƌĞǀĂůĞŶƚ ŝŶ ƚŚĞƐĂůŝǀĂ
than they were in the palate. The presence of a previous denture affected the quantity of
pathogen Candida species.
OP.164. EFFECT OF BLEACHING AND THERMOCYCLING OVER

ENAMEL
CRACIUNESCU EL, POP DM, NEGRUTIU L, SINESCU, ROMINU M.
Background
Bleaching agents in different concentrations are widely used in dental offices due to their
advantages in aesthetics. Along with excellent results, the side effects over enamel and
dental materials need to be investigated.
The aim of this study is to evaluate the effect of bleaching over enamel and thermocycling
on different resin composites samples.
Methods and Materials
In this study are tested five groups and each essential group was randomly subdivided to
two subgroups: control and bleaching. The composite resins involved in this study were: G-
enial (GC), Evetric (Ivoclar Vivadent), Filtek Z550 (3M ESPE), Premise (Kerr), Grandio (Voco).
From each composite resin were prepared 24 samples, square shape of 1cm x 1cm. The
chosen bleaching material was Beyond II, 35% hydrogen peroxide.
The shade of the samples was identified before and after bleaching with R-20 Bleaching
Shade Guide/ and VITA Easyshade Compact.
The samples were imersed in red wine for thermocycling. Thermocycling procedure was
ĐŽŶĚƵĐƚĞĚďĞƚǁĞĞŶϱΣĂŶĚϱϱΣ͕ĨŽƌϯ͘ϬϬϬĐǇĐůĞƐ͘
The strength of the samples was testet befor and after thermocycling.
Results and Conclusions
According to performed tests and investigations and also to statistical analysis, the results
are indicating a significant degradation of the strengths of the samples.
OP.165. THE ART OF COMMUNICATION. PROVIDING AN APPROACH
72,03529('(17$/81,76·())(&7,9(1(66
VLASIADIS K1, KOUTSAMANI M2, MOUZA AM3, BERTSIAS A4, PHILALITHIS A5.
1
DENTIST CONSULTANT-HEALTH PLANNING UNIT, FACULTY OF MEDICINE, UNIVERSITY OF
CRETE
2
DENTIST CONSULTANT-HEALTH CENTER OF KASTELI, HERAKLION, CRETE
3
ASSOCIATE PROFESSOR-DEPARTMENT F BUSINESS ADMINISTRATION, TECHNOLOGICAL
EDUCATIONAL INSTITUTE OF CENTRAL MACEDONIA
4
PHD-BIOSTATISTICS LABORATORY, CLINIC OF SOCIAL AND FAMILY MEDICINE, UNIVERSITY
OF CRETE
5
PROFESSOR-DEPARTMENT OF SOCIAL MEDICINE, FACULTY OF MEDICINE, UNIVERSITY OF
CRETE
Introduction Communication in a dental office is the exchange of views, ideas, concerns and
feelings, under the assumption that the director, the dental technician, the staff, the
patients, the providers and the State are involved. The quality of services provided to
patients in a dental unit depends, among other factors, on the level and the extent of the
communication process. This is because successful communication reduces job stress,
ensuring to the team members an optimal work environment. It also minimizes the risk of
medical errors, thus avoiding legal involvements. The prerequisites of a successful
communication also include the professional style of leadership, the continuous education
of all members involved and the participation of the team in the decision-making process.
Besides, expert leaderships can enhance the professional management of the dental offices.
Purpose The aim of this work is to demonstrate how a dental team can work successfully by
improving its communication skills. Initially, all staff members have to be devoted to their
duties and be self-confident, increasing thus their efficiency. Additionally, their work must
follow a coordinated plan, under the supervision of the director (in the role of the leader), to
increase the optimal and desired outcomes without any delay. Last but not least, it is of
particular importance that they develop positive interpersonal relations with the patients.
This implies that patients should be carefully listened to and never be ignored. Additionally,
they must have a good understanding of their illness and should be encouraged to follow the
indicated therapy.
OP.166. THE ROLE OF THE DENTIST IN THE SOCIAL PHENOMENON

OF CHILD ABUSE AND NEGLECT
DIMITRIADI D1, VLASIADIS K2, VOUTOUFIANAKIS S3.

1
^͕Ed>KE^h>EdWK^d'Zhd^dhEd/EDE'/E''/E'ȰE,ZKE/
DISEASES IN THE MEDICAL SCHOOL OF LARISSA IN COLLABORATION WITH HELLENIC OPEN
UNIVERSITY .-HEALTH CENTER VIANNOS
2
DDS, PHD, DENTAL CONSULANT -UNIVERSITY HOSPITAL OF HERAKLION
3
MDP , PHD, PEDIATRIC CONSULANT AND MANAGER -HEALTH CENTER VIANNOS;--;--
Nowadays the child abuse is a serious social and global health problem. There is compelling
evidence that the phenomenon is common throughout the world and is found in all culture,
ethnic and socioeconomic segments of society. Child abuse and neglect defines as any
recent act or failure to act on the part of a parent or caretaker, serious physical or emotional
harm, sexual abuse or exploitation, or an act or failure to act which presents an imminent
risk of serious harm that probably which results in death. There are four basic types of child
maltreatment: physical abuse, sexual abuse, emotional and psychological abuse. Hospital
studies have shown that higher percent of all non-accidental injuries to children involve the
head, face, mouth and neck, suggesting that dentists may come into contact with a number
of abused children. The dentists must be able to identify the signs of physical and behavioral
manifestations appear the child abuse and treat any dental or oro-facial injuries. Oro-facial
manifestations of physical abuse include bruising, abrasions or lacerations of tongue, lips,
oral mucosa, dental fractures, dental dislocations, dental avulsions, maxilla, mandibula
fractures and bite marks. Signs of sexual abuse in oral cavity represent erythema, ulcer,
pseudomembranus lesions of lips, tongue, syphilis, herpes simplex virus. Oral signs of
neglect are poor hygiene, early childhood caries, infections, aptha lesions. The purpose of
this study is to sensitize and highlight the role of dentists. The dentist must to report
suspected cases to the proper authorities consistent with state law.
OP.167. AN ALTERNATIVE TREATMENT OPTION FOR A

PROSTHODONTIC COMPLICATION WITH BALL ATTACHMENT
SCREW FRACTURE: CASE REPORT
Ⱦ͘^'//E>1, DEDE D.G2.

1
DDS-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PROSTHODONTICS
2
DDS, PHD-ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PROSTHODONTICS
Background: Implant supported prosthesis have many biological or mechanical

complications, also abutment or screw fracture complications are the most common and
problematic ones. While changing the abutment and/or screw is the easy way to overcome
this complication, alternative solutions should be considered in the case of removing
fractured attachment or screw should not be possible. This case report presents the oral
rehabilitation of a patient with ball attachment screw fracture. Methods and Materials: A 55
years old female patient who had an implant-supported overdenture in mandibular jaw,
referred to our clinic with retention and stabilization problems of her prosthesis. After the
clinic and radiographic examinations, it was determined that one of the two ball attachment
screw has been fractured fractured and the half part of this screw was still remaining in right
implant. Because of the extraction process was failed and the patient rejected the additional
implant placement, an alternative treatment option was planned with using the screw cavity
on existing right implant. A custom post-restoration with an extra-coronal type stud
attachment was fabricated and cemented into this cavity. Then the female part of the new
attachment was adapted into the overdenture. Results: The result was found to be
satisfactory for both patient and clinician. During 1, 3 and 6-month follow-up, continued
stabilization of the dowel, implant and superstructure has been observed. Conclusion: When
removing the broken screw part is impossible without any damage on the internal implant
surface, alternative prosthetic approaches may be useful and successful.
OP.168. OROSOMUCOID LEVELS IN THE SALIVA OF THE
,1',9,'8$/6:×7+3(5×2'217$/+($/7+<$1'',6($6(
ONGOZ DEDE F1, GOKMENOGLU C2, SAHIN IO3.

1
PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
2
ASSISTANT PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
3
RESEARCH ASSISTANT-ORDU UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
Aim: Acute-phase proteins are effective markers for the identification and evaluation of
inflammatory diseases. Orosomucoid (ORM) is an acute-phase plasma protein, which is also
termed as alpha-1-acid glycoprotein, and this glycoprotein is inflammation-sensitive. The
aim of this study is to evaluate the analysis of the saliva levels of ORM and C-reactive protein
(CRP) in individuals with periodontal health and disease. Materials and Methods: Fourty-five
chronic periodontitis (CP) and 45 periodontally healthy controls (PH) were enrolled in this
study. Saliva sampling and clinical periodontal parameters were assessed. ORM and CRP
levels in saliva were measured by enzyme-linked immunosorbent assay. Results: The clinical
periodontal parameters were significantly higher in the CP group compared to those of the
control group (P < 0.05). There was not significant difference in salivary flow rate between
CP and control groups (p>0.05). The levels of CRP and ORM in saliva were significantly higher
in CP patients than in periodontally healthy groups (P < 0.05). Also, a significant positive
correlation was found between CRP and ORM levels in groups (P < 0.05). Conclusions: The
study revealed that presence of periodontitis was associated with higher saliva level
OP.169. RESIDUAL MONOMER ELUTION AFTER LIGHT-ACTIVATION

OF DUAL-CURED RESIN CEMENT UNDER THE INDIRECT
RESTORATION MATERIALS
KURT A1, BAYRAMGURLER TURP I2, KIZILTAS MV3, TEKKELI SE4.

1
ASST. PROF.-TRAKYA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
2
PROF.-BEZMIALEM VAKIF UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
3
DR
4
ASSOC. PROF.-BEZMIALEM VAKIF UNIVERSITY, FACULTY OF PHARMACY, DEPARTMENT OF
ANALYTICAL CHEMISTRY
Background: The mechanical and biological properties of indirect restorations may be

affected by residual monomer elution of resin cement after cementation. The purpose of
this study was to evaluate residual monomer elution after light-activation of dual-cured
resin cement under the indirect restoration materials. Methods and materials: One dual-
cured resin cement and four indirect restoration materials (LS, leucite-reinforced glass-
ceramic; LDS, lithium-disilicate glass-ceramic with feldspathic ceramic; Z, zirconia with
feldspathic ceramic; MZ, Monolithic zirconia) were selected. A total of 80 cement specimens
(5Ԝ mm in diameter and 0.5Ԝ mm in height) were polymerized between indirect restoration
material (5 mm in diameter, 3 mm in height) and dentin (5 mm in diameter, 1 mm in height)
(n=20). SpĞĐŝŵĞŶƐǁĞƌĞŝŵŵĞƌƐĞĚŝŶĂƌƚŝĨŝĐŝĂůƐĂůŝǀĂĂŶĚƐƚŽƌĞĚĂƚϯϳΣĨŽƌϭ͕ϮϰŽƌϳϮŚŽƵƌƐ͘
The amount of eluted monomer and its leaching behavior over time was identified using
high-performance liquid chromatography. Data were analyzed through two-way
ANOVA/Tukey tests (p<0.05). Results: There were statistically significant differences
between groups according to the amount of released monomer (p<0.01) and also among
time periods (p<0.01). The amount of monomer eluted from MZ group was the highest and
the amount of monomer eluted from LDS group was the lowest (p<0.05). The total amount
of monomer was the highest after 72 hours (p<0.05). Conclusion: The residual monomer
elution of dual-cured resin cement was the highest in monolithic zirconia and lowest in
lithium-disilicate glass-ceramic with feldspathic ceramic. The amount of residual monomer
eluted from resin cements was influenced by the time.
OP.170. TREATMENT OF TWO CASES OF PYOGENIC GRANULOMA IN

PEDIATRIC PATIENTS
DZ/1, K>'m>1, TURGAY B2, SARIͶMUSTAFA A3.

1
MUSTAFA KEMAL UNIVERSITY, DENTAL FACULTY, DEPARTMENT OF PEDODONTICS, HATAY
2
MUSTAFA KEMAL UNIVERSITY, DENTAL FACULTY, DEPARTMENT OF ORAL AND
MAXILLOFACIAL SURGERY, HATAY
3
MUSTAFA KEMAL UNIVERSITY, DENTAL FACULTY, DEPARTMENT OF PERIODONTOLOGY,
HATAY
Background Pyogenic granuloma is a relatively common benign mucocutaneous exophytic

lesion occurring intraorally or extraorally. The exact etiopathogenesis remains unknown,
although contributory factors include trauma, inflammation,certain medications,hormon
changes and infectious agents. Material-Method Case-1 An 11 year-old male patient was
referred to the Mustafa Kemal University, Dental Faculty, Department of Pediatric Dentistry,
Hatay, Turkey with complaint of swollen gum in the right lower lingual anterior region for a
month. Intra-oral examination revealed a solitary stalked growth on lingual gingiva
measuring about 1 x 1.5 cm in size, extending from 42-distal (right lower second permanent
incisive) to 44-distal (right lower first permanenet premolar). Case-2 A 10 year-old male
patient was referred to the Mustafa Kemal University, Dental Faculty, Department of
Pediatric Dentistry, Hatay, Turkey with complaint of swollen gum in the left upper buccal
posterior region for two months. Intra-oral examination revealed a solitary stalked growth
on buccal gingiva measuring about 1 x 1 cm in size, extending from 65-distal (left upper
second primary molar) to 26-distal (left upper first permanent molar). Results On palpation,
both lesions were soft in consistency, tender and bleeds profusely on probing. Two patients
had moderate oral hygiene, relatively. Surgical removal of lesions were performed and
patients treated under local anesthesia. Conclusion Pyogenic granulomas are commonly
encountered soft tissue enlargements. Careful diagnosis is essential to differentiate this
lesion from vascular lesions. Keywords: Oral, Pyogenic granuloma, Etiopathogenesis
OP.171. COMPOUND ODONTOMA-DIAGNOSIS AND TREATMENT IN
3(',$75,&'(17ú675<7+5((&$6(5(32576
K>'m>1, Kb'hE1, DZ71, TURGAY B2.

1
MUSTAFA KEMAL UNIVERSITY, DENTAL FACULTY, DEPARTMENT OF PEDODONTICS, HATAY
2
MUSTAFA KEMAL UNIVERSITY, DENTAL FACULTY, DEPARTMENT OF ORAL AND
MAXILLOFACIAL SURGERY, HATAY
BACKROUND Odontomas are the most common odontogenic tumours. They are considered
to be hamartomas rather than neoplasms, and are composed of the tissues native to teeth:
enamel, dentin, cementum and pulp tissue. They are broadly classified into compound
odontoma (small tooth like structures) and complex odontoma (a conglomeration of dentin,
enamel and cementum). Generally, odontomas have been associated with trauma during
primary dentition as well as with inflammatory and infectious processes, hereditary
anomalies (Gardner syndrome, Hermann's syndrome), odontoblastic hyperactivity and
alterations in the genetic components responsible for controlling dental development.
Odontomas are slow-growing, asymptomatic neoplasms found in jaws. In about 80% of
cases, they are associated with impacted or unerupted teeth. Although they are commonly
asymptomatic, clinical indicators of odontoma may include retention of deciduous teeth,
noneruption of permanent teeth, pain, expansion of the cortical bone and tooth
displacement. MATERIAL METHOD: The cases of compound odontomas were described in
two patients ages 11 and 9 years-old respectively. Compound odontomas were disturbing
the eruption of maxillary central incisors in both patients. The third case was discovered
during radiographical examination of ten years old male patient referred to our clinic due to
central incisor fracture. Odontomas were removed surgically. RESULTS: The histopatological
examinations confirmed that the lesions are compound odontomas. We follow the patients
in three months intervals to control and observe teeth eruption. CONCLUSION: Early
diagnosis and treatment of odontomas are important. Disturbance in tooth eruption is one
of the most common complications associated with odontomas. Keywords: Compound
Odontoma, Child, Tumour
OP.172. PROSTHETIC SOLUTION OF TORUS MANDIBULARIS ²

CASE REPORT
STAVREVA N1, KAPUSEVSKA B2, AMBARKOVA V3, MIJOSKA A3, TOSESKA SPASOVA N3.
1
DOCTOR-STUDENT-UNIVERSITY
2
PROFESSOR-UNIVERSITY
3
DOCTOR-UNIVERSITY
Introduction: Torus mandibularis are exostosis formed by a dense cortical and limited
amount of bone marrow covered with a thin and poorly vascularized mucosa, mostly found
bilaterally in the lingual surface of the mandibulae. Prior to prosthetic work, they are
surgically removed. Aim is to present successful visil-sceleton partial denture with good
retention/stabilization, without a surgical treatment. Purpose: Torus mandibularis present
serious problem with direct or indirect conservative solutions of partial edentulous of lower
jaw. Most often, these cases are surgically than prosthetically treated. In this case, medical
and dental histories revealed that he is diabetic with congested heart failure due to chronic
hypertension more than 10 years back. After a consultation with oral surgeon it was decided
to achieve a successful prosthetic solution without a surgical treatment. Materials and
methods: In a 60 year old partially edentulous patient in lower jaw, making of visil-sceleton
partial denture is indicated. Symmetrical outgrowths on both sides in the area of premolars
on lingual side of lower jaw were initially observed, because the patient declare an absence
of painful sensations and change in their intensity. Visil-sceleton partial denture is designed,
which the patient uses remarkably for a longer period of time. Results: Mandibulary visil-
sceleton partial denture is designed, keeping a good retention and stabilization even with
the two symmetrical torus mandibularis. Conclusion: Visil-sceleton partial denture
successfully designed without a surgical treatment of the expressed torus mandibularis
brings a satisfaction to patient and doctor. Kew words: torus mandibularis, visil-sceleton
partial denture, retention, stabilization.
OP.173. LASER- TISSUE INTERACTION. TYPES, WAVELENGTHS,

APPLICATIONS
SOTIRI V1, VOURTSI D2, PAPADIMITRIOU I2, ALMAGOU P3, KATSAROU A4.
1
DMD DENTIST-GENERAL HOSPITAL OF WEST ATTIKA,
2
DENTIST
3
DENTIST-GENERAL HOSPITAL OF WEST ATTIKA
4
NURSE-GENERAL HOSPITAL OF NIKEA
INTRODUCTION The modern technology, has already introduce laser application in dental
practice. The word LASER took its name by the English words: Light Amplification of
Stimulated Emission of Radiance. There are different kinds of laser which can be used in the
dental office. Some of the most frequently used laser is: ER:YAG (ERBIUM), ND:YAG, laser
CO2(CARBON DIOXIDE), and Diode laser. AIM The aim of this presentation is to inform about
the types of lasers used in dentistry, their specifications, and the type of surgery that can be
used. CONCLUSION Nowadays laser can be used for cavity preparation, desensitization of
exposed cervical dentine, bacterial reduction of contaminated dentine, at surgical
techniques of periodontology and preproshetic surgery, at endodontic, at implantology, at
oral and maxillofacial surgery and at last, at bleaching. Laser therapy is contentiously gaining
momentum in the total treatment concept in dentistry. This is not surprising given the broad
spectrum of indications that today, thanks to laser, can be treated efficiently, in combination
to the traditional models of treatment. From the laser mentioned above, only ERBIUM
LASER can cut enamel and dentin, while all other wavelengths cannot be applied in the hard
tissue. The use of laser in dental practice gives us a lot of benefits. A number of them are
listed bellow: a blood free and clear field of operation, no postoperative bleeding, no
suturing, sometimes no anesthesia is needed.
Session 53
OP.174. INFLUENCE OF FEEDING HABITS ON EARLY CHILDHOOD
CARIES (ECC) IN PRESCHOOL CHILDREN OF TIRANA
PETRO E1, KELMENDI M2, DROBONIKU E3, HYSI D4, TOTI C4.
1
PHD-FACULTY OF DENTAL MEDICINE, TIRANA, ALBANIA
2
PHD-UNIVERSITY DENTAL CLINIC, TIRANA, ALBANIA
3
ASS.PROF-FACULTY OF DENTAL MEDICINE, TIRANA, ALBANIA
4
ASS.PROF-FACULTY OF DENTAL MEDICINE, TIRANA, ALBANIA
Introduction: Early Childhood Caries (ECC) is a serios problem in preschool children of Tirana,
Albania. This study aimed to evaluate possible association between feeding habits and ECC.
Methods: In this cross-sectional study, 6 out of 42 public kindergartens in Tirana city, were
randomly selected. The representative sample was 904 children, 3-5 years old. Information
was obtained through structured questionnaires that were completed by parents and
intraoral examination of children. Screening, diagnosis and recording of the subjects in this
study were obtained according to WHO (1997) criteria. ECC form was marked for each child
based on the classification criteria of AAPD (2008). The data were analysed by SPSS.18
Software. Descriptive Statistics and Hi square test were used for a level of significance as
p<0.05. Results: The prevalence of ECC in children 3-5 years old in public kindergartens in
Tirana city was 91% (823/904). 62.1% (561/904) of children suffered severe ECC and the
ŵĞĂŶĚĞĨƚǁĂƐϲ͘ϰϱ;^цϰ͘ϮϱͿ͘dŚĞƌĞǁĞƌĞƐŝŐŶŝĨŝĐĂŶƚĂƐƐŽĐŝĂƚŝŽŶďĞƚǁĞĞŶĂƌůǇŚŝůĚŚŽŽĚ
Caries and feeding habits (p<0.05). Conclusions: The prevalence of ECC and the mean deft
are very high in preschool children of Tirana. Most of the children suffered severe ECC.
Feeding habits were identified as significant caries risk factors of the examined children.
OP.175. ACCURACY OF DIFFERENT METHODS OF WORKING

LENGTH DETERMINATION IN ENDODONTICS
POPOVSKA L1, REDZEPI I2, STOJANOVSKA V3, MURATOVSKA I4.

1
DOCTOR OF DENTAL SCIENCE (DDSC)-FACULTY OF DENTAL MEDICINE, DEPARTMENT FOR
CARIOLOGY AND ENDODONTOLOGY
2
DOCTOR OF DENTAL MEDICINE (DMD-FACULTY OF DENTAL MEDICINE, DEPARTMENT FOR
3
4
Objective of in vivo study was to compare the accuracy of two methods: electronic and
tactile working length determination of the molars in both jaws and is there any difference
in determining the working length after vital or mortal pulpectomy. Materials and method:
60 vital molars were endodontically treated due to irreversible pulp damage. The patients
were randomized in two groups by the method used for determining the working length: I
group: tactile working length determination, II group: using an apex locator. In both groups
mortal or vital pulp pulpectomy was performed. After working length determination, the
ƌĞƐƵůƚƐǁĞƌĞƌĂƚĞĚĂƐ͗ĂͿĂĐĐƵƌĂƚĞ͕ďͿĂĐĐĞƉƚĂďůĞ;цϬ͕ϱŵŵ͖ĐͿƵŶĂĐĐĞƉƚĂďůĞ;ĨƌŽŵϬ͕ϲƚŽϭ
ŵŵͿ͖ ĂŶĚ ĚͿ ĨĂŝůƵƌĞ ŝĨ ƚŚĞ ŵĞĂƐƵƌĞĚ ĚŝƐƚĂŶĐĞ ǁĂƐ ŵŽƌĞ ƚŚĂŶ ц ϭ͕ϭ ŵŵ ĨƌŽŵ ƚŚĞ ĨŽƌĂŵĞŶ
internum . Results: There is a statistical significance in accuracy between electronic and
ƚĂĐƚŝůĞ ŵĞƚŚŽĚ͘ dŚĞ ƐƵĐĐĞƐƐ ƌĂƚĞ ŝŶ ǁŽƌŬŝŶŐ ůĞŶŐƚŚ ĚĞƚĞƌŵŝŶĂƚŝŽŶ ǁĂƐ ϳϵй ǁŝƚŚ цϬ͘ϱ ŵŵ
tolerance; whereas using the tactile method was 24,8%. There was no significant difference
in accuracy of the measurements of the maxillary and mandibular root canals made with
electronic method, neather the tactile method. The results of the both odontometrics
methods showed most accurate measurements in the straight root canals. There is no
significant difference in accuracy measurements between the teeth with the vital and mortal
puplectomy. Conclusion: Root canal working length determination using the apex locator is
simple and faster method, instead of radiographic method, and moreover there is no
unnecessary radiation exposure.
OP.176. DRUGS & EQUIPMENT IN EMERGENCY DENTAL PRACTICE
RAPTIS L., SOURGOUNIS K.,FLOROS ST.,CHATZIGEORGIOY SP.
Medical emergencies are life-threatening conditions for patients and require immediate and
effective management. Though infrequent, medical emergencies can do arise in the dental
enviroment. Therefore, the dental office preparation for the prevention and management of
those life-threatening events is a very critical issue. The contemporary preparation of the
denttal office presupposes the presence of specific equipment and emergency drugs. The
present article had no intention of analyzing the advanced diagnostic procedures and
managment of specific medical emergencies, or focusing on thorough pharmacologic
properties of particular drugs.On contrast, the aim of this article was to provide a helpful
overview of the essential emergency drugs and basic equipment. The authors pointed out
that their suggestions about the composition of the drugs listed are not absolutely
committing, because the appropriate selection of emergency drugs should be also guided by
the individual dentist's needs and the nature of the dental treatment. As well, it should be
emphasised that the availability of emergency drugs and equipment has to be only one part
of the contemporary preparation of the dental office and staff, which should additionally
include preventive strategy, continuing training in basic life support, development of
emergency team approach, and performance of mock emergencies.
OP.177. CORRECTION OF DEEP OVERBITE IN ADULT PATIENT WITH

TRAINER SYSTEM TM
DINKOVA M1, DILKOVA N2.

1
ASSOCIATE PROFESSOR, DMD, PHD -MEDICAL UNIVERSITY - SOFIA, FACULTY OF DENTAL
MEDICINE, DEPARTMENT OF ORTHODONTICS
2
RESIDENT, DMD -MEDICAL UNIVERSITY - SOFIA, FACULTY OF DENTAL MEDICINE,
Deep overbite is one of the most frequent malocclusions in growing and non ʹ growing
patients. In adult patients it could lead to a complicated pathology associated with
destruction of periodontal and hard dental tissues and TMJ problems. The Aim of the
following study is to present the possibility to correct deep overbite in adult non-growing
patients by combined approach including fixed appliance in upper arch and myofunctional
Trainer SystemTM. Materials and Methods: A 20 ʹ year ʹ old male patient, elected
representative to demonstrate the clinical steps. He visited the Department of Orthodontics,
Faculty of Dental Medicine - Sofia with chief complaint of persisting grinding of teeth. The
patient had Angle Class I malocclusion, crowding of lower frontal teeth, biretrusion and
severe deep overbite. Full orthodontic analysis of plaster casts, x-rays (panoramic and
cephalometric) and photographs (extra- and intraoral) was done before, during and after the
treatment. The active treatment was performed in two stages. During the first stage T4A soft
(Trainer for Alignment) was used. Then braces on the upper jaw were bonded and T4BTM
(Trainer for Braces) was adjusted. The retention appliances chosen were fixed retainer in
lower jaw and TMJ appliance during the night. Results: The final result showed teeth leveling
in both arches, the crowding in lower jaw was relieved and the overbite was reduced.
Conclusion: Correction of deep overbite with combined approach - fixed and myofunctional
appliances - TrainersTM, is a convenient and efficient treatment method in adult patients.
OP.178. DENTAL TRAUMA IN CHILDREN - INTERACTIVE SOFTWARE

GUIDE FOR DIAGNOSIS AND TREATMENT
KABAKTCHIEVA R1, GATEVA N2, KOEV Y3, DIMITROV R4.

1
PROFESSOR-MEDICAL UNIVERSITY OF SOFIA, FACULTY OF DENTAL MEDICINE
2
ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY OF SOFIA, FACULTY OF DENTAL MEDICINE
3
DOCTOR OF DENTAL SURGERY-MEDICAL UNIVERSITY OF SOFIA, FACULTY OF DENTAL
MEDICINE
4
DOCTOR OF DENTAL SURGERY-MEDICAL UNIVERSITY OF SOFIA, FACULTY OF DENTAL
MEDICINE;--
AIM: Interactive software guide for diagnosis and treatment planning of trauma cases in
children was created (in Bulgarian). MATERIALS AND METHODS: The guide is designed with
graphical, clinical and descriptive methods using specialized software and could be found
online and offline as well. It is uploaded to the website of Medical University of Sofia,
making it available for anyone interested. RESULTS: The guide represents contemporary
source of specialized and systematized information concerning trauma cases in children,
which could be useful both for students and for professionals. This software product consists
of all the required information for diagnosis and treatment trauma cases in primary and
permanent dentition, two tables with reference values for pulp vitality ( when using Electric
pulp test (EPT) and two checklists for medical history and oral status as well. Simple and
quick access to the information is assured through the interactive design. All of the
ĚŝĂŐŶŽƐĞƐ ƉƌĞƐĞŶƚĞĚ ĂƌĞ ŝůůƵƐƚƌĂƚĞĚ ǁŝƚŚ ĂƵƚŚŽƌƐ͛ ĐůŝŶŝĐĂů ĐĂƐĞƐ͕ ƉŚŽƚŽŐƌĂƉŚƐ͕ ĚŝĂŐŶŽƐƚŝĐ ǆ-
rays and treatment plans with more than 10 contemporary treatment approaches and long-
term recalls. Every case is followed with test question for self-evaluation. The guide is
consistent with the contemporary WHO classification. CONCLUSION: The guide owns
theoretical, methodological and practical value. Its interactive nature facilitates adding
information concerning theory and praxis in simple way. Although it is designed for teaching
students, post-graduate students and professionals, it could be used for exchanging and
popularizing professional experience when presenting and discussing interesting clinical
cases.
OP.179. DIGITAL RADIOGRAPHY VERSUS ELECTRONIC METHOD IN
DETERMINIG ENDODONTIC WORKING LENGTH
SARAJLIJA M1, LACEVIC A2.

1
MDS-SCHOOL OF DENTISTRY, SARAJEVO UNIVERSITY, DEPT. OF DENTAL PATHOLOGY AND
ENDODONTICS
2
PHD-SCHOOL OF DENTISTRY, SARAJEVO UNIVERSITY, DEPT. OF DENTAL PATHOLOGY AND
ENDODONTICS
DIGITAL RADIOGRAPHY VERSUS ELECTRONIC METHOD IN DETERMINING ENDODONTIC

WORKING LENGTH Objective: The aim of this study was to compare digital radiography and
electronic method in the process of determining endodontic working length in vitro.
Materials and Methods: Sample for this investigation consisted of 60 extracted single root
teeth of permanent dentition with maturated apices. Following access cavity preparation
the teeth were randomly divided in two groups A and B (n = 30). Working length for the A
teeth group was determined by digital radiographic method. Actual working length for this
group was performed using a comparative microscope. Endodontic working length for the B
teeth group was determined electronically using Raypex 5 apex locator in alginate
experimental model. The measurements were taken following irrigation of the root canals
with saline. ISO 15 K-file was used as intracanal measuring instrument .The actual working
length for the B teeth group was determined by stereomicroscope. The data were analyzed
using Student's t-test and significance was set at p<0.05. Results: Significant difference was
found between the radiographic and actual working length (t-test, p<0.05). There was no
statistically significant difference between electronic and control measurements of the
working length (t-test, p>0.05). The average error of electronic method (0.003 mm) was
significantly lower (t-test, p<0.05) than average error of radiographic method (0.462 mm).
Conclusion: According to the results of this investigation, electronic determination of the
working length is more accurate than digital radiographic method.
OP.180. MANAGEMENT OF CHILDREN WITH ASTHMA IN DENTAL

PRACTICE
TRIMERIDOU AS1, PASCHALIDOU M2, ARAPOSTATHIS K3.

1
DENTIST-ARISTOTLE UNIVERSITY OF THESSALONIKI
2
POST-GRADUATE STUDENT IN PAEDIATRIC DENTISTRY-DEPARTMENT OF PAEDIATRIC
DENTISTRY
3
ASSOCIATE PROFESSOR IN PAEDIATRIC DENTISTRY
ABSTRACT Asthma is a non-communicable chronic disease defined by recurrent attacks of

dyspnea and wheezing. Early onset asthma, during infancy or childhood, is frequent. The
gravity and frequency of the asthmatic episodes may vary, while its pharmacotherapy
includes inhaled or/and per os corticosteroids and inhaled beta-2-agonists. Both asthma and
its pharmacological treatment have been previously related to an increase of caries
experience in children and adolescents, as well as to modifications of the salivary flow rate
and buffer capacity. The effects of asthma medication and the disease itself on the oral
microflora, plaque formation and periodontal health status remain still unclear.
Furthermore, previous studies have tried to shed light on the effect of asthma disease on
facial and tooth development, considering asthma as a risk factor for the development of
occlusal problems and DDE respectively. This study aims to review and analyse the scientific
concerns mentioned above, related to the effects of asthma on the oral health of children
and adolescents. In addition, information on the dental care of asthmatic patients is
provided, as well as guidelines for the management of an asthmatic crisis during dental
treatment in pediatric subjects.
OP.181. BOND STRENGTH OF RESIN-RESIN INTERFACES

WITH/WITHOUT PHOSPHORIC ACID AND SALIVA CONTAMINATION
USING UNIVERSAL ADHESIVE
BIAKCI H1, ZENCIRLI P2, AYTAF3.

1
RESEARCH ASISTANT-ABANT IZZET BAYSAL UNIVERSITY, FACULTY OF DENTISTRY,
RESTORATIVE DENTISTRY
2
LECTURER-ABANT IZZET BAYSAL UNIVERSITY, FACULTY OF DENTISTRY, RESTORATIVE
DENTISTRY
3
ASISTANT PROFESSOR-ABANT IZZET BAYSAL UNIVERSITY, FACULTY OF DENTISTRY,
Background: Bond strength of universal adhesives may be change under different

conditions. This in vitro investigation compared the shear bond strength (SBS) of three
universal adhesives to resin/resin interface with/without phosphoric acid and saliva
contamination. Methods and Materials: Composite cylinders(Herculite XRV Ultra Enamel,
Kerr Hawe, CA, USA) were prepared to be 10 mm in diameter and 2 mm in height. Then
randomly divided into three groups according to type of adhesive used as follows; Group 1
Clearfil Universal Bond (Kuraray Noritake Dental Inc., Okayama, Japan), group 2 Single Bond
Universal (3M-ESPE, St. Paul, USA) and group 3 All Bond Universal (Bisco Inc., Schaumburg,
USA). Each groups were separeted four subgroups according to type of surface treatment as
follows: without surface treatment(N), only phosphoric acid(PA), only saliva
contamination(C) and phosphoric acid after saliva contamination(CPA). Composite
resins(Herculite XRV Ultra Dentin, Kerr Hawe, CA, USA) with a diameter of 1.5 mm and a
height of 2 mm were applied to the prepared surfaces with teflon mold. The SBS was
measured and failure modes were determined. Results and Conclusion: The mean values of
SBS of group 3N were statistically higher compared to the group 1N and 2N (p<0.05). When
comparing the different surface treatments of the same adhesive, a significant difference
was observed only in the group 3 (p<0.05). Group 3N and group 3C significantly higher
compared to the group 3PA and group 3CPA (p<0.05). This study can help the clinician to
apply universal adhesive in case of different surface treatment to resin/resin interface.
Session 54
OP.182. AGE ESTIMATION BASED ON PULP VOLUME TO TOOTH
92/80(5$7,286ú1*&21(%($0&20387('7202*5$3+<
AKAY G1͕'mE'PZ<2͕'mZE^3.
1
^W7>7^dEd7^d-ANKARA YILDIRIM BEYAZIT UNIVERSITY, FACULTY OF DENTISTRY
TEPEBASI DENTAL HOSPITAL, ANKARA/TURKEY
2
ASSOCIATE PROFESSOR DR.-GAZI UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
ORAL AND DENTOMAXILLOFACIAL RADIOLOGY,ANKARA, TURKEY
3
PROFESSOR DR.- ANKARA UNIVERSITY, FACULTY OF VETERINARY MEDICINE, DEPARTMENT
OF BIOSTATISTICS, ANKARA, TURKEY
Background: One reliable way among age estimation methods is using the teeth. Seconder
dentin deposition is an important indicator for dental age estimation in adults. The aim of
this study is to evaluate pulp/tooth volume ratio on cone beam computed tomography
(CBCT) images and develop a valid method for TurŬŝƐŚ ĂĚƵůƚƐ͛ ƉŽƉƵůĂƚŝŽŶ͘ DĞƚŚŽĚƐ ĂŶĚ
Materials: In this study, 211 single rooted teeth, extracted for orthodontic and periodontal
reasons, of 134 patients (67 female, 67 male) with ages ranging from 16 to 71 years were
used. The CBCT images of extracted teeth were transferred to ITK-SNAP analyze program for
segmentation and pulp and tooth volume was calculated. A regression model was created
according to volume ratios. Results: The pulp volume and the pulp/tooth volume ratio
showed statistically significant differences between age groups (p<0,001). The regression
analysis showed a moderate coefficient correlation between the pulp/tooth volume ratio
and biological age for the whole research sample (R2= 0,39). Conclusion: Pulp volume and
pulp/tooth volume ratio is a significant index for age and CBCT can be a useful tool for age
estimation in adults.
OP.183. EFFECT OF DENTAL EDUCATION ON ESTHETIC

PERCEPTION OF SINGLE IMPLANTS
BATAK B1, ONDER C2, YILMAZ D3, KURGAN S2͕dZ7K'>h,1.

1
PHD, DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS
2
PERIODONTOLOGY
3
PROSTHODONTICS
Background: The aim of this study was to assess esthetic perception change between first
year and newly graduated students at Ankara University Faculty of Dentistry to provide
esthetically acceptable single tooth implant prostheses in the maxillary esthetic zone using
PES (pink esthetic score) /WES (white esthetic score). Methods and Materials: A cross-
sectional survey study using a subjective questionnaire to assess the esthetics in single-tooth
implant cases in the anterior maxilla was performed. The interviewed subjects were divided
into 2 groups: 120 1rd and newly 100 graduated students. The questionnaire consisted of
PES and WES. As the groups were independent from each other, the comparison between
the groups were done by Mann-Whitney U Test. Associations between categorical variables
were tested with the Pearson's Chi-Square Test. The reliability and internal consistency of
ƚŚĞŵĞƚŚŽĚ ǁĂƐĐŽŶĨŝƌŵĞĚďǇƌŽŶďĂĐŚΖƐůƉŚĂ͘ZĞƐƵůƚƐ͗ƌŽŶďĂĐŚ͛ƐůƉŚĂƐŚŽǁĞĚǀĂůƵĞƐ
шϬ͘ϳϱϮŝŶƚŚĞƋƵĞƐƚŝŽŶŶĂŝƌĞ͕ǁŚŝĐŚŝŶĚŝĐĂƚĞƐĂŶĂĚĞƋƵĂƚĞƌĞůŝĂďŝlity. There was no statisticaly
significant difference according to gender also no difference between the groups for PES
(p=0.961). There was a statistically significant difference for WES between the groups
(p<0.01). The most significant results for WES were about the color and the texture (p<0.01).
The WES scores of the graduated students were lower than the 1rd year students.
Conclusions: First and graduated students have different opinions when assessing esthetics
of single tooth implant supported cases. Experience and area of expertise seem to influence
the evaluation of esthetics in the anterior region especially on total WES, color and texture
scores.
OP.184. EFFECT OF ACIDIC ENVIRONMENT ON DISLODGEMENT

RESISTANCE OF DIFFERENT SILICATE-BASED ROOT REPAIR
MATERIALS
ALACA BAYRAM HM1, BAYRAM E1, CELIKTEN B2, TUFENKCI P3, KANBER M4.
1
ASSISTANT PROFESSOR-GAZIOSMANPASA UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF ENDODONTICS
2
DOCTOR OF PHILOSOPHY-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
ENDODONTICS
3
ASSISTANT PROFESSOR-MUSTAFA KEMAL UNIVERSITY, FACULTY OF DENTISTRY,
4
RESEARCH ASSISTANT-GAZIOSMANPASA UNIVERSITY, FACULTY OF DENTISTRY,
Background: The aim of the present study was to compare the dislodgement resistance of
Biodentine, EndoSequence Root Repair Material putty and Tech Biosealer Apex as root
repair materials in the presence or absence of an acidic environment could affect a
compromised bond to dentin. Material and Methods: One hundred eighty root sections
were instrumented. The specimens were randomly divided into 3 groups (n = 60) and repair
materials were fitted incrementally into the canal spaces. The specimens were placed in an
incubator for allowed to set and then divided randomly into 4 subgroups (n=15). The
specimens were wrapped in pieces of gauze soaked in phosphate buffer saline solution (pH =
7.4) and butyric acid buffered at pH values of 6.4, 5.4, and 4.4. Push-out bond strength
values were measured using a universal testing machine. The slices was examined under the
a stereomicroscope for evaluating to failure modes. Results: The push-out bond values of pH
7.4 was higher than pH 4.4 in all the test materials. While the push-out bond strength values
of Biodentin was significantly higher than Tech Biosealer in all pH values, there was no
statistically significant difference between Biodentin and Endosequence Putty groups (P >
0.05). Inspection of the samples showed adhesive failure mode was the most frequently
observed type in all groups. Conclusion: The placement of calcium silicateʹbased materials
in an inflamed low pH environment may affect its physical and chemical properties. An acidic
pH value facilitates leakage and dislocation of repair materials under mechanical loads.
OP.185. SOFT TISSUE LASERS IN DENTAL PRACTICE
SOTIRI V1, PAPADIMITRIOU I2, ALMAGOU P3, VOURTSI D2, KATSAROU A4.
1
DMD DENTIST -GENERAL HOSPITAL OF WEST ATTIKA
2
DENTIST
3
DENTIST-GENERAL HOSPITAL OF WEST ATTIKA
4
NURSE-GENERAL HOSPITAL OF NIKEA
INTRODUCTION: The modern technology, has already introduce laser application in dental
practice. There are different kinds of laser which can be used in the dental office. Some of
the most frequently used laser is: ER:YAG (ERBIUM), ND:YAG, laser CO2(CARBON DIOXIDE),
and Diode laser. Nowadays laser can be used for cavity preparation, desensitization of
exposed cervical dentine, bacterial reduction of contaminated dentine, at surgical
techniques of periodontology and preproshetic surgery, at endodontic, at implantology, at
oral and maxillofacial surgery and at last, at bleaching. Laser therapy is contentiously gaining
momentum in the total treatment concept in dentistry. This is not surprising given the broad
spectrum of indications that today, thanks to laser, can be treated efficiently, in combination
to the traditional models of treatment. AIM: The aim of the research is the presentation of
surgeries on the soft tissues (gingivoplasty for hyperplastic gingival, excision of fibroma,,
frenectomy), and the postoperative situation of the patient. MATERIAL AND METHOD: The
research was done in the dental clinik of GENERAL HOSPITAL OF WEST ATTIKA. The surgery
was done with diode laser, of 980nm wavelength. CONVERSATION: The diode laser has
980nm wavelength. This is a wavelength that can be absorbed from the chromophils of soft
tissue. This is the reason that diode laser is very successful in creating a blood-free field. It is
used in contact to the tissue. CONCLUSION: The use of laser in dental practice gives us a lot
of benefits. A number of them are listed bellow: a blood free and clear field of operation, no
postoperative bleeding, no suturing, sometimes no anesthesia is needed, shorter
appointments, increased wound healing.
OP.186. '(7(50ú1$7ú212)/21*7(50&2/25&+$NGES OF
BIOMATERIALS
BAYRAM E1, TEKIN E2, KANBER M3, ALACA BAYRAM HM1.

1
ASSISTANT PROFESSOR-GAZIOSMANASA UNIVERSITY, FACULTY OF DENTISTRY,
2
RESEARCH ASSISTANT-GAZIOSMANASA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF ENDODONTICS
3
RESEARCH ASSISTANT-GAZIOSMANASA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF ENDODONTICS
Aim: To determine the effects of long-term color change of coronal tooth by EndoSequence
BC, Tech BIOSEALER, Biodentine, and MTA materials. Methodology: Seventy two second
premolars were used. The roots were sectioned horizontally about 2 mm below the
cementoenamel junction using a diamond disc and continuous water cooling. The teeth
were assigned to 1 of 6 groups (n =12 teeth per group). The groups were as follows: Angelus
MTA, Tech biosealer, Endosequence putty, Biodentine, GMTA, AH+̘, Positive control
(metronidazole, ciprofloxacin, and minocycline (equal parts mixed in distilled water in a 3:1
powder:liquid ratio), Negative control (no material). All materials were mixed. A 3-mm
increment of each material was then placed inside the cavities. The color stability test was
performed before and after thermocycling and at the end of each immersion period. The
color measurements were performed 3 times for every reading, and the mean value of the
triplicates was calculated. Each sample was measured spectrophotometrically at 5 time
points: after material placement and at 1 day, 2 day, 3 day, and 5 day at thermal cyclus after
restoration. Results Color change was affected by the biomaterial type and thermalcycling (p
< 0.05). However, there is no statistically significant interactions between thermocycling and
filling materials ( p> 0.05) Conclusions The color change of teeth filled with biomaterials may
affected over a long time period. Biodentine and EndoSequence BC sealers showed less
color change than any biomaterials.
OP.187. COMPARISON OF KNOWLEDGE, ATTITUDE AND PRACTICE

TOWARD ORAL HEALTH BETWEEN PEDIATRICIANS AND FAMILY
DOCTORS
GEZGIN O1, KORKUT E2, ALAN R3, SENER Y4.

1
ASSIST PROF.-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PEDIATRIC DENTISTRY
2
PEDIATRIC DENTISTRY
3
PERIODONTOLOGY
4
PROF.-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PEDIATRIC DENTISTRY
Background: Pediatricians and family doctors are at the first step in the education of parents
about oral health, as well as the prevention of oral diseases and the provision of oral health
in children. The aim of this study was to evaluate the knowledge, attitude and practices of
pediatricians and family doctors about oral health in children. Methods and materials: A
questionnaire consisting of 50 items was sent to pediatrician and family doctors via mail.
Descriptive analysis and chi-square tests were done to analyze the data. Results:
Participation in the survey, with a total of 240 participants (58 pediatricians, 182 family
doctors), was 100%. It was found that pediatricians believe that they have more important
role in the development of oral health and prevention of oral diseases and they are more
interested in participating in the oral health program than are the family doctors.
Conclusion: Pediatricians and family doctors should work with dentists to improve the
quality of oral hygiene in all young children.
OP.188. EVALUATION OF PHYSICAL PROPERTIES OF RESIN-

MODIFIED GLASS IONOMER CEMENT CONTAINING BIOACTIVE
GLASS
KORKUT E1, GEZGIN O1, DEMIRAY F2, TULUMBACI F3, SENER Y4.
1
DEPARTMENT OF PAEDIATRIC DENTISTRY, KONYA, TURKEY
2
PHD STUDENT-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF PAEDIATRIC DENTISTRY, KONYA, TURKEY
3
ASSISTANT PROFESSOR-ANKARA YILDIRIM BEYAZIT UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF PAEDIATRIC DENTISTRY, ANKARA, TURKEY
4
PAEDIATRIC DENTISTRY, KONYA, TURKEY
Background Today, some agents are added to impart antibacterial activity restorative
materials improve antibacterial used. Therefore, bioactive glasses are also used in dentistry
in recent years. The purpose of this study is to evaluation of physical properties that resin
modified glass ionomer material containing bioactive glass compared to other resin-
modified glass ionomer cements. Matherial-Method This study consists of four groups which
includes GC Fuji II GP (GC Corporation, Tokyo, Japan), Riva Light Cure (SDI, Illionis, ABD),
Photac Fil Quick Aplicap Light-Curing Glass Ionomer Restorative Material (3M, ESPE,
Minnesota, ABD) and is composed from the ACTIVA BioACTIVE (Pulpdent Corporation,
Watertown, MA USA). Four RMGICs materials were prepared according to the
ŵĂŶƵĨĂĐƚƵƌĞƌƐ͛ŝŶƐƚƌƵĐƚŝŽŶƐĂŶĚ/Ô 9917-2:2010 standard for testing compressive strength,
flexural strength and Vickers Hardness. The data were analyzed using SPSS software (version
18, SPSS Inc., Chicago, IL, USA). One-way ANOVA and Tukey HSD post hoc-test was
performed to show significant differences between the materials (p<0.05). Results The
compressive and flexural strength values of all the RMGICs groups were significantly
different from each other (P<0.05). The highest Vickers Hardness values was exhibited by
Photac Fil Quick Aplicap Light-Curing Glass Ionomer Restorative Material, lowest values were
exhibited by Riva Light Cure (SDI, Illionis, ABD). Conclusion There is no significant difference
between the physical properties of resin-modified glass ionomer cements and resin-
modified glass ionomer cements containing bioactive ingredients according to outcomes of
this in-vitro study. However, it is required further studies to investigate the antibacterial
properties and the ion release of this material.
OP.189. THE INFLUENCE OF FLUORIDE ON THE CLINICAL

DEVELOPMENT OF THE CIRCULAR CARIES
KOKOCEVA- IVANOVSKA O1, JANKULOVSKA M2, PAVLEVSKA M2, ZABOKOVA ʹ BILBILOVA E2,
MIJOVSKA A3.
1
FACULTY OF DENTISTRY
2
DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY, FACULTY OF DENTISTRY,
3
DEPARTMENT OF PROSTHODONTICS, FACULTY OF DENTISTRY
Circular caries appears in the early childhood at the age of 1-1,5, immediately after the
eruption of the primary teeth. The aim of this study is to proceed how fluor influences on
the clinical development of the circular caries at children exposed to cariogenic diet. To
reach the aim of this study we included 40 patients at 3-3,5 years of age, who still used a
baby bottle in their every day nutrition diet. We applied the topical application of
aminoflour solution at the beginning of each two weeks and then once a month with the
check-ups every three months in the period of 24 months. This research was undertaken on
the Clinic of Children and Preventive dentistry. Out of 40 examined patients with circular
caries, we succeeded to change their eating habits to 30 of them (75%) and to improve their
oral hygiene. Within the 24-month topical flour treatment, we managed to stop the circular
ĐĂƌŝĞƐĂƚƚŚĞƉĂƚŝĞŶƚƐ͘ƚƚŚĞƌĞƐƚϭϬƉĂƚŝĞŶƚƐ;ϮϱйͿǁĞĚŝĚŶ͛ƚƐƵĐĐĞĞĚŶĞŝƚŚĞƌƚŽ change the
eating habits (to remove the baby bottle) nor to improve the oral hygiene. With these
patients, after the 24-month topical flour treatment we registered further progression of the
circular caries. The analysis of the results from the 24-month topical fluor treatment,
showed that we reached the best results with those patients to whom we succeeded both to
correct the eating habits and improve the oral hygiene (wash the teeth at least twice a day).
OP.190. EVALUATION OF BONDING STRENGTH BETWEEN

ZIRCONIUM AND RESIN USING DIFFERENT PRIMERS
MIJOSKA A1, KAPUSEVSKA B1, STAVREVA N1, KOKOCEVA O1.

1
ASSISTANT PROFESSOR -FACULTY OF DENTAL MEDICINE UNIVERSITY SS CYRIL AND
METHODIUS
Background Achieving good bonding of non-reactive zirconia surface to composite resin is

sometimes very hard. Using different types of ceramic primers may accomplish better
adhesion and stronger bonding. The objective of the paper was to evaluate the effect of two
primers on shear bond strength between zirconium dioxide ceramic and resin. Methods and
materials Thirty-six Y-ZTP ceramic specimens made of Cercon base (Degudent) were
manufactured and divided into three groups (n=12) according to primers used for
examination. Control group without primers and groups coated with Monobond S (Ivoclar
Vivadent) and Rely X ceramic primer (3M ESPE) cemented with Z-Prime Plus (Bisco Inc.).
Notched edge shear bond test was performed on specimens after 24 hour storage in termal
bath at 37 C. Failure was observed as fracture on the bonded surface, and SEM analysis
afterwards. Results After statistical analyses results showed significantly higher values for
SBS for specimen treated with ceramic primers, and group treated with Monobond showed
highest values of all. Conclusion Zirconia ceramic primers can increase and improve bonding
values for zirconium and composite resins, and can be recommended for everyday use in
clinical practice.
OP.191. GUIDED BIOFILM THERAPY (GBT): A NOVEL APPROACH

FOR DENTAL PROPHYLAXIS IN INITIAL PERIODONTITIS PATIENTS
ANTONOGLOU GN1, KALFAS S2, VOUROS I3,

1
DDS, PHD-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT OF PREVENTIVE DENTISTRY,
PERIODONTOLOGY, AND IMPLANT BIOLOGY
2
PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT OF PREVENTIVE DENTISTRY,
PERIODONTOLOGY, AND IMPLANT BIOLOGY
3
ASSOCIATE PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT OF PREVENTIVE
DENTISTRY, PERIODONTOLOGY, AND IMPLANT BIOLOGY
ĂĐŬŐƌŽƵŶĚ͗ /ŶŝƚŝĂů ƉĞƌŝŽĚŽŶƚĂů ƚƌĞĂƚŵĞŶƚ͛Ɛ Ăŝŵ ŝƐ ƚŚĞ ĚŝƐƌƵƉƚŝŽŶ ŽĨ ŽƌŐĂŶŝƐĞĚ ŵŝĐƌŽďŝĂů ƉůĂƋƵĞ Žƌ
biofilm harboured on teeth which oftentimes leads to the resolution of inflammation. Traditional
treatment protocols include, primarily, oral hygiene instructions and conventional scaling and root
planning (cSRP). However, cSRP is time-consuming, technically demanding, requires the use of local
anaesthesia, may yield loss of tooth substance, and a certain amount of discomfort to the practitioner
as well as the patient at the day they receive the treatment. In parallel, it has been suggested that the
use of powder air-polishing instruments in adjunct with supersonic scalers may yield the same or
superior treatment outcome in shorter time. Aim: To investigate the treatment outcome of Guided
Biofilm Therapy (GBT) (Air-flow Plus, Piezon No pain, EMS, Nyon) in relation to biofilm removal
efficiency, time efficiency as well as safety and patient comfort compared to cSRP. Materials and
methods: A randomised clinical trial was designed using parallel groups in a single centre. In total 40
patients in need of initial periodontal treatment will be enrolled to the study and will be allocated in
GBT treatment protocol (test group) and the conventional treatment (control group). Clinical
periodontal parameters will be recorded at baseline and post-treatment. A questionnaire will be
completed both by the practitioner and the patient and will be used to assess additional outcomes.
Expected results: The investigators expect from the use of the suggested protocol to reduce chair-
time, the practitioners physical effort and patient discomfort in the treatment of initial periodontitis
patients.
Session 5
PP.001. MAIN CRITERIA FOR EXCELLENCE MODELS HEALTH CARE
TEKIC J͕DE/E/͕/ZKs/͘
JASMINA TEKIC-PRIM DR SCI-FACULTY OF DENTAL MEDICINE

KZEDE/E/-DOC. DR-FACULTY OF DENTAL MEDICINE
ALEKSANDRA CAIROVIC-ASS.DR-FACULTY OF DENTAL MEDICINE
THE BEST WAY TO IMPROVE QUALITY OF HEALTH ORGANIZATIONS THAT HAVE SYSTEMS OF QUALITY
MANAGEMENT IS THE APPLICATION OF THE CONCEPT OF TOTAL KVELITETOM (TQM). THIS
APPROACH ENSURES THE IMPROVEMENT OF OVERALL PERFORMANCE OF HEALTH ORGANIZATIONS,
PRIMARILY THE INTERNAL ORGANIZATION INCLUDING MANAGEMENT, RESOURCES, PROCESSES AND
HUMAN RESOURCES, HEALTH SERVICES AND PERFORMANCE OF BUSINESS RESULTS. ON THE MARKET
REQUIRES HIGH QUALITY PRODUCTS AND SERVICES TO IMPROVE THE QUALITY OF LIFE, OR TQM
EXCELLENCE MODEL THROUGH THE OPERATIONS OF ALL SOCIAL SUBJECTS. IT IS A PROCESS, IT
WOULD BE NO END, KNOWING THE NATURE OF MAN, THAT NEVER SATISFIED WITH PROGRESS TO
DATE, WHICH IS THE MAIN DRIVING FORCE OF SOCIAL DEVELOPMENT. WE ARE WITNESSING TODAY,
TO A CERTAIN NUMBER OF STATES ARE INTRODUCING AWARDS TO ORGANIZATIONS THAT ARE
WITHIN A SPECIFIED PERIOD MADE RELEVANT TO SUCCESS IN THE IMPLEMENTATION OF TQM AND
THE REALIZATION OF MODELS OF EXCELLENCE IN ACHIEVING QUALITY. HERE ARE EXPLORING
DEVELOPMENT OF A MODEL OF BUSINESS EXCELLENCE (BE) FOR THE DENTAL HEALTH CARE. THE AIM
OF THIS PAPER IS TO PRESENT AND ANALYZE THE EXISTING CRITERIA FOR PRODUCT EXCELLENCE AND
BASED ON THAT CRITERIA DEFINE MODELS OF EXCELLENCE FOR DENTAL HEALTH CARE IN SERBIA.
PP.002. TREATMENT OF SIMPLE ANTERIOR CROSSBITE WITH A

REMOVABLE APPLIANCE : A CASE REPORT
CITAK M, BEKTAS B, OZKAN S.
MEHMET CITAK -DEPARTMENT OF ENDODONTICS, FACULTY OF DENTISTRY, ORDU UNIVERSITY, ORDU,

TURKEY
BIRCAN BEKTAS--DEPARTMENT OF ORTHODONTICS, FACULTY OF DENTISTRY, ORDU UNIVERSITY,
ORDU, TURKEY
SERKAN OZKAN--DEPARTMENT OF ORTHODONTICS, FACULTY OF DENTISTRY, ORDU UNIVERSITY,
ORDU, TURKEY
AIM: THIS CASE REPORT PRESENTS THE TREATMENT OF A PATIENT WITH A SIMPLE ANTERIOR
CROSSBITE USING A REMOVABLE APPLIANCE IN THE PERMANENT DENTITION. CASE DESCRITION:THE
CHIEF COMPLAINT OF THE 16-YEAR-OLD FEMALE PATIENT WAS THE UGLY APPEARANCE OF HER
FRONT TEETH. SHE HAD A SYMMETRICAL FACE WITH COMPETENT LIPS, DENTAL CLASS I CANINE AND
MOLAR RELATIONSHIPS, UPPER ANTERIOR CROWDING, AND AN ANTERIOR DENTAL CROSSBITE
BECAUSE OF A LINGUALLY POSITIONED UPPER RIGHT CENTRAL INCISOR. THE LOWER RIGHT CENTRAL
AND LATERAL INCISOR WAS LABIALLY POSITIONED AND WAS PRONE TO OCCLUSAL TRAUMA.
GINGIVAL RECESSION ON THE LABIAL SURFACE OF THE LOWER RIGHT CENTRAL AND LATERAL INCISOR
WAS CONSIDERED TO BE BECAUSE OF A TRAUMATIC OCCLUSION. THE PATIENT WAS ON THE
WAITING LIST FOR FIXED ORTHODONTIC TREATMENT; THEREFORE, IT WAS DECIDED TO PERFORM
REMOVABLE APPLIANCE TREATMENT AS SOON AS POSSIBLE TO CORRECT THE CROSSBITE, RESOLVE
THE CROWDING, AND ELIMINATE THE OCCLUSAL TRAUMA. THE TREATMENT PLAN INCLUDED A
REMOVABLE ORTHODONTIC APPLIANCE WITH FINGER SPRINGS. RESULTS: AT THE END OF THE 7-
MONTH TREATMENT, THE CROSSBITE WAS SUCCESSFULLY CORRECTED, CROWDING WAS RESOLVED,
NORMAL OVERJET AND OVERBITE WERE ACHIEVED, AND THE SMILE ESTHETICS SIGNIFICANTLY
IMPROVED. CONCLUSION: IN PROPERLY SELECTED CASES, WITH CASES INVOLVING GOOD AND
SATISFACTORY PATIENT COMPLIANCE, CORRECTION OF A SIMPLE ANTERIOR CROSSBITE CAN BE
SUCCESSFULLY ACHIEVED USING A REMOVABLE APPLIANCE. KEYWORDS: ANTERIOR CROSSBITE,
PERMANENT DENTITION, REMOVABLE APPLIANCE
PP.003. BREASTFEEDING AS AN ETIOLOGICAL FACTOR IN THE

DEVELOPMENT OF MALOCCLUSION
ANDJELIC J.
JASMINKA ANDJELIC-DDS MSC PHD-THE UNIVERSITY OF MONTENEGRO, THE FACULTY OF MEDICINE,

STUDY PROGRAM DENTISTRY
INTRODUCTION A NEWBORN BABY FIRST STARTS BREATHING AND THEN EATING. THE FUNCTION OF
SUCTION (MILKING) IS USED FIRST IN EATING AND IT IS LATER FOLLOWED BY CHEWING. AIM THE AIM
OF THIS STUDY IS TO DETERMINE HOW BREASTFEEDING AFFECTS SAGITTAL DEVELOPMENT OF THE
UPPER AND LOWER JAWS WELL AS WHETHER THE DURATION OF EXCLUSIVE BREASTFEEDING
AFFECTS THE SAGITTAL RELATIONSHIP BETWEEN THE UPPER AND LOWER JAW. THE EASIEST AND
MOST WIDELY USED METHOD FOR DETERMINING THE ANTEROPOSTERIOR POSITION OF THE JAWS IS
BY USING ANGLES SNA, SNB AND ANB. MATERIAL AND METHODS THE STUDY INCLUDED 90 PATIENTS
AGED 18 TO 22 YEARS. THE FIRST GROUP CONSISTS OF PATIENTS WHO WERE NOT BREASTFED, THE
SECOND OF THOSE WHO WERE BREASTFED FOR LESS THAN SIX MONTHS AND THE THIRD ONE OF
THOSE WHO WERE BREASTFED LONGER THAN SIX MONTHS. TELERADIOGRAPHS WERE TAKEN FOR
EACH PATIENT AND ANGLES SNA, SNB AND ANB WERE ANALYZED IN ORDER TO DETERMINE SAGITTAL
RELATIONSHIP BETWEEN UPPER AND LOWER JAW. RESULTS THE RESULTS SHOWED THAT THE
ANGLES HAD THE HIGHEST VALUE IN THE GROUP OF PATIENTS WHO WERE BREASTFED FOR MORE
THAN SIX MONTHS FOLLOWED BY GROUP OF PATIENTS WHO WERE BREASTFED FOR LESS THAN SIX
MONTHS AND THE LOWEST VALUE IN THE GROUP OF PATIENTS WHO WERE NOT BREASTFED.
CONCLUSION PROPER NUTRITION IS ONE OF THE SIGNIFICANT PRECONDITION FOR NORMAL
SAGITTAL RELATIONSHIP BETWEEN MANDIBLE AND MAXILLA AND THE CRUCIAL FACTOR FOR
NORMAL JAW RELATIONSHIP AND DEVELOPMENT OF ANGLE CLASS I.
33,19,92&2/285(9$/8$7,212)9,9(5$$1'(66,;
CLEAR THERMOPLASTIC RETAINERS
ZAFEIRIADIS AA, KARAMOUZOS A, ATHANASIOU AE, ELIADES T, PALAGHIAS G.
ANASTASIOS A. ZAFEIRIADIS-ORTHODONTIC SPECIALIST AND PH.D. CANDIDATE-DEPARTMENT OF

ORTHODONTICS, FACULTY OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI
ANDREAS KARAMOUZOS-ORTHODONTIC SPECIALIST AND RESEARCH FELLOW-DEPARTMENT OF
ORTHODONTICS, FACULTY OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI
ATHANASIOS E. ATHANASIOU-DEAN, PROFESSOR AND PROGRAM DIRECTOR IN ORTHODONTICS-
HAMDAN BIN MOHAMMED COLLEGE OF DENTAL MEDICINE, MOHAMMED BIN RASHID UNIVERSITY
OF MEDICINE AND HEALTH SCIENCES
THEODORE ELIADES-PROFESSOR AND HEAD-DEPARTMENT OF ORTHODONTICS AND PEDIATRIC
DENTISTRY, CENTER OF DENTAL MEDICINE, UNIVERSITY OF ZURICH;GEORGE PALAGHIAS-PROFESSOR-
DEPARTMENT OF OPERATIVE DENTISTRY, FACULTY OF DENTISTRY, ARISTOTLE UNIVERSITY OF
THESSALONIKI
BACKGROUND: THE AIM OF THE PRESENT STUDY WAS TO ASSESS THE IN VIVO COLOUR ALTERATIONS
OF TWO DIFFERENT CLEAR THERMOPLASTIC RETAINERS. METHODS AND MATERIALS: THIRTY
PATIENTS WERE RANDOMLY ALLOCATED INTO TWO GROUPS (N=15) AFTER ORTHODONTIC
dZdDEd͘'ZKhWϭZ/ss/sZΠE'ZKhW Ϯ^^/yΠнZd/EZ^͘&KZ,Wd/Ed͕
TWO RETAINERS WERE FABRICATED (FOR USE AND CONTROL). THE CIELAB PARAMETERS OF
Wd/Ed^͛ hWWZ EdZ> /E/^KZ^ tZ D^hZ t/d, ^WdZK^,Ρ
SPECTROPHOTOMETER IMMEDIATELY AFTER ORAL INSERTION (T0) AND AFTER 15 DAYS (T1), 1
MONTH (T2) AND 3 MONTHS (T3) OF USE. THE MEASUREMENTS WERE ALSO PERFORMED BOTH
WITH AND WITHOUT THE CONTROL ALIGNER ON. ȴȵ DIFFERENCES WERE CALCULATED. RESULTS: ȴȵ
CHANGES FROM T0 TO T1, T2 OR T3 SHOWED NO STATISTICALLY SIGNIFICANT DIFFERENCES
BETWEEN 11 AND 21. NO SIGNIFICANT DIFFERENCES IN ȴȵ CHANGES WERE OBSERVED BETWEEN
GROUPS 1 AND 2 WITHIN ANY COMBINATION OF MEASUREMENTS OR TEETH 11 OR 21. ȴȵ(T3-T0)
CHANGES FOR USED RETAINERS WERE 1.55 TIMES HIGHER THAN CONTROL (P=0.002) AND 1.44 TIMES
HIGHER THAN TEETH-ONLY (P=0.004). FOR USED RETAINERS, COLOUR CHANGES BETWEEN T3 AND T0
WERE 1.56 TIMES HIGHER THAN BETWEEN T1 AND T0 AND 1.47 HIGHER THAN THOSE T2 AND T0
(P<0.001). CONCLUSION: USED RETAINERS EXHIBITED GREATER COLOUR CHANGES THAN CONTROL
OR TEETH-KE>z͘ d,^ ,E'^ /EZ^ t/d, d, hZd/KE K& h^͘ s/sZΠ E ^^/yΠ
RETAINERS EXHIBITED SIMILAR COLOUR STABILITY. THERE WERE NO DIFFERENCES BETWEEN 11 AND
21. ALL DIFFERENCES OBSERVED DURING 3 MONTHS WERE CONSIDERED CLINICALLY ACCEPTABLE
(ȴE<3.7), ALTHOUGH PROLONGED USE COULD CAUSE CLINICALLY SIGNIFICANT COLOUR CHANGES.
PP.005. TREATMENT OF CLASS III MALOCCLUSION WITH REVERSE

HEADGEAR IN EARLY PERIOD- CASE REPORT
b<ZED.
>/&/>Zb<Z-TREATMENT OF CLASS III MALOCCLUSION WITH REVERSE HEADGEAR IN EARLY

PERIOD- CASE REPORT-ERCIYES UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
ORTHODONTICS
'/D<'mE-TREATMENT OF CLASS III MALOCCLUSION WITH REVERSE HEADGEAR IN EARLY
PERIOD- CASE REPORT-ERCIYES UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
ORTHODONTICS
AIM: THE PURPOSE OF THIS CASE REPORT IS TO EVALUATE THE EFFECTS OF CLASS III MALOCCLUSION
TREATMENT WITH RAPID MAXILLER EXPANSION (RME) AND REVERSE HEADGEAR (RHG) IN THE EARLY
PERIOD AND THE TREATMENT STABILITY AFTER 1 YEAR FOLLOW UP PERIOD. CASE: THE COMPLAINT
OF THE 7-YEARS-OLD FEMALE PATIENT WAS PROTRUDE LOWER JAW. CLINICAL AND RADIOGRAPHIC
EXAMINATION SHOWED THAT CIRCULAR CROSS-BITE, 5 MM NEGATIVE OVERJET, 4 MM OVERBITE,
SKELETAL CLASS III MALOCCLUSION (ANB -0.6) AND FUNCTIONAL DISLOCATION (3 MM). IT WAS ALSO
FOUND THAT ALL OF THE PREMOLAR TEETH OF THE PATIENT WERE CONGENITALLY DEFICIENT. AFTER
DIAGNOSIS, THE PATIENT WAS TREATED WITH RME + RHG. THE RME APPLIANCE WAS ACTIVATED FOR
7 WEEKS AND REVERSE HEADGEAR WAS APPLIED AT THE SAME TIME. THE PROTRACTION FORCES
WERE 250-400 GR FOR EACH SIDE. END OF THE TREATMENT, CHINCAP WAS APPLIED IN RETENTION
PERIOD. THE PATIENT WAS FOLLOWED UP FOR A 1-YEAR ABOUT RELAPSE. RESULTS: AT THE END OF
THE TREATMENT, CONVEX PROFILE, 3 MM POSITIVE OVERJET, 4 MM OVERBITE AND SKELETAL CLASS I
(ANB 2,6) RELATIONSHIP WERE OBSERVED. AT THE END OF THE 1-YEAR FOLLOW-UP PERIOD, 2 MM
OVERJET AND 4.5 MM OVERBITE WERE OBSERVED. CONCLUSION: ANTERIOR CROSS BITE WAS
TREATED SUCCESSFULLY IN THE EARLY PERIOD WITH RME+RHG. HOWEVER, SUFFICIENT PROFILE
CORRECTION CAN BE ACHIEVED WITH THESE APPLIANCES.
PP.006. ORTHODONTICS IN ADULTS AS A PRE-PROSTHETIC

TREATMENT - A CLINICAL CASE
GRIBIZI I, GRAVINA GM.
ILDA GRIBIZI-POST GRADUATING IN ORTHODONTICS-ILDA GRIBIZI DENTAL CLINIC TIRANA

GIOVANNI MANES GRAVINA-POST GRADUATED IN ORTHODONTICS-GIOVANNI MANES GRAVINA
DENTAL CLINIC ROME
ORTHODONTICS IN ADULTS AS A PRE-PROSTHETIC TREATMENT - A CLINICAL CASE. BACKGROUND: A

46 YEARS OLD PATIENT WAS PRESENTED IN THE DENTAL CLINIC ASKING THE REPLACEMENT OF THE
FIRST RIGHT LOWER MOLAR. BASED ON THE CLINICAL, RADIOLOGICAL AND PHOTOGRAPHIC
EXAMINATION, IT WAS VISIBLE AN INSUFFICIENT SPACE TO REPLACE THE LOST MOLAR WITH AN
IMPLANT. THE PATIENT WAS PROPOSED TO UNDERGO A PRE-PROSTHETIC ORTHODONTIC
TREATMENT. THE OBJECTIVE OF THIS TREATMENT WAS SETTING THE LOWER SECOND MOLAR IN
SUCH A POSITION THAT THE NECESSARY SPACE WAS OPENED TO ENABLE THE REPLACEMENT OF THE
FIRST MOLAR WITH AN IMPLANT THUS PROVIDING THE PATIENT THE NORMAL MASTICATOR
FUNCTION. METHODS AND MATERIALS: TO ACHIEVE THE DESIRED RESULT, IT WAS DECIDED TO
EXTRACT THE THIRD MOLAR AND SET THE SECOND MOLAR IN AN UPRIGHT POSITION TO REGAIN THE
LOST SPACE WITH A SECTIONAL ORTHODONTIC TREATMENT. USED MATERIALS: BRACKETS, TUBES,
AUSTRALIAN AND STAINLESS STEEL ARCH-WIRES, TADS, OPEN COIL AND LIGATURES. RESULTS: AFTER
9 MONTHS OF SECTIONAL ORTHODONTIC TREATMENT, THE SECOND MOLAR WAS POSITIONED
UPRIGHTLY AND THE NECESSARY SPACE WAS GAINED TO SET THE IMPLANT AS A REPLACEMENT FOR
THE MISSING MOLAR. CONCLUSION: PRE-PROSTHETIC ORTHODONTIC TREATMENTS ARE ABSOLUTELY
NECESSARY IN SOME SPECIFIED CLINICAL CASES BECAUSE THEY ARE THE SOLE SOLUTION FOR THE
MOST EFFICIENT TREATMENT OF THE PATIENT AS WELL AS THE IMPROVEMENT OF MASTICATOR
FUNCTION, HYGIENE AND DENTAL AESTHETICS. PRE-PROSTHETIC ORTHODONTICS SHOULD CONTINUE
TO HAVE AN IMPORTANT ROLE IN THE FUTURE AESTHETICS -FUNCTIONAL ORIENTED DENTISTRY AND
CONTEMPORARY CHALLENGES IN DENTISTRY.
PP.007. GUMMY SMILE TREATMENT
RAZNATOVIC N, GANJOLA D.
SNEZANA RAZNATOVIC--CLINICAL HOSPITAL CENTER OF MONTENEGRO

DZENAD GANJOLA
'hDDz ^D/> dZdDEd ÊE ZEdKs/͕ E 'E:K> >/E/> ,K^W/d> EdZ
OF MONTENEGRO THE SMILE HAS AN IMPORTANT ROLE IN THE DETERMINATION OF THE FIRST
/DWZ^^/KEK&WZ^KEͣ͘'hDDz^D/>͞KZͣ,/',^D/>>/E͞KZͣ'/E'/s>^D/>>/E͞/^
CONDITION CHARACTERIZED BY EXCESSIVE EXPOSURE OF MAXILLARY GINGIVA DURING SMILING.
PREVALENCE OF GUMMY SMILES IS : 7% OF YOUNG ADULT MALES AND 14% OF YOUNG ADULT
FEMALES (DIAMOND O.) THE AIM OF THIS STUDY WAS TO SHOW A DIFFERENT CAUSES OF GUMMY
SMILE AND TERAPEUTIC PROCEDURES. ETIOLOGICAL FACTORS CAN BE DIVIDED INTO: SKELETAL,
DENTAL AND SOFT TISSUE CAUSES. METHODS FOR TREATING A GUMMY SMILE: GUM REDUCTION
(PERIODONTAL SURGERY), LIP REPOSITIONING SURGERY, ORTHODONTIC TREATMENT, ORTHOGNATIC
SURGERY, COSMETIC DENTISTRY. THE AIM OF THIS STUDY IS TO PRESENCE THERAPEUTIC OPTION TO
OBTAIN A NATURAL AND HARMONIOUS SMILE. THE PATIENT EXSPRESSED A HIGH DEGREE OF
SATISFACTION AFTER SUCCESSFUL THERAPY.
PP.008. THE IMPORTANCE OF IMPLEMENTING PREVENTIVE

MEASURES IN CLASS III MALOCCLUSION
DUBORIJA A.
ANDJELKA DUBORIJA-SPECIALIST IN ORTHODONTICS-DENTAL CLINIC, CLINICAL CENTRE OF

MONTENEGRO
d,/DWKZdEK&/DW>DEd/E'WZsEd/sD^hZ^/E>^^///D>K>h^/KEE><
DUBORIJA DENTAL CLINIC, CLINICAL CENTRE OF MONTENEGRO INTRODUCTION:CLASS III
MALOCCLUSIONS ARE VERY COMPLEX ORTHODONTIC ANOMALIES THAT OFTEN REQUIRE A
MULTIDISCIPLINARY APPROACH AND LONG-TERM TREATMENT. OBJECTIVE: TO DETERMINE THE
PREVALENCE OF MALOCCLUSION CLASS III FOR A PERIOD OF 01.JANUARY 2010 UNTIL 31. DECEMBER
2015 AND HIGHLIGHT THE IMPORTANCE OF PREVENTIVE MEASURES. MATERIALS AND
METHODS:THIS RETROSPECTIVE STUDY INCLUDED 1,000 CHILDREN, AGED 6 TO 14 WHO WERE
EXAMINED AT THE DEPARTMENT OF ORTHODONTICS, DENTAL CLINIC, CLINICAL CENTRE OF
MONTENEGRO, DURING THIS SIX-YEAR PERIOD. ALL THE EXAMINED PATIENTS HAD THEIR
ORTHODONTIC CARD OPENED, HETERO-ANAMNESISAND PRELIMINARY IMPRESSION TAKEN,
PERFORMED ANALYSIS OF STUDY MODELS, FUNCTIONAL ANALYSIS AND X-RAY DIAGNOSTICS
(ORTHOPANTOMOGRAPHY AND OPTIONALLY TELERENDGENOGRAPHY) IN ORDER TO SET
ORTHODONTIC DIAGNOSIS. RESULTS:OUT OF THE 1,000 PATIENTS EXAMINED, AGED 6 TO 14, IN 79
THE PRESENCE OF MALOCCLUSION CLASS IIIWAS CONFIRMED, INDICATING HIGH PREVALENCE OF
THISANOMALY - 7.9%. RESULTS DID NOT SHOW A STATISTICALLY SIGNIFICANT DIFFERENCE IN
PREVALENCE BETWEEN BOYS AND GIRLS. IN ADDITION TO GENETIC AND ETIOLOGIC
FACTORS,DEVELOPMENT OF THESE ANOMALIES IS ALSO AFFECTED BY NON-GENETIC ETIOLOGICAL
FACTORS AND THEY CAN BE SIGNIFICANTLY AFFECTEDIN THE PERIOD OF MIXED DENTITION.
CONCLUSION: DUE TO THE COMPLEXITY OF THE TREATMENT OF THESE ANOMALIES, IT IS IMPORTANT
TO EMPHASIZE THE NEED FOR EARLY DIAGNOSIS AND PREVENTION.TIMELY IMPLEMENTATION OF
APPROPRIATE MEASURES OF INTERCEPTIVE ORTHODONTICS GREATLY IMPROVES CLINICAL PICTURE
OF THESE ANOMALIES AND IN MANY CASES CAN LEAD TO HEALING, WHICH IS VERY IMPORTANT DUE
TO THEIR HIGH PREVALENCE.
PP.009. MICROABRASION, AN ALTERNATIVE FOR ANTERIOR DEEP

POST-ORTHODONTIC WHITE SPOTS:A CASE REPORT
PAPADOPOULOS A.
ATHANASIOS PAPADOPOULOS-DDS, POSTGRADUATE STUDENT-A.U.T.H. , DEPARTMENT OF

OPERATIVE DENTISTRY AND AESTHETICS
MINIMALLY INVASIVE DENTISTRY IS THE MODERN MEDICAL APPROACH TO THE MANAGEMENT OF

CARIES, UTILIZING CARIES RISK ASSESSMENT,AND FOCUSING ON THE EARLY PREVENTION AND
INTERCEPTION OF THE DISEASE. MOVING FOCUS AWAY FROM THE RESTORATION OF TEETH,ALLOWS
DENTISTS TO ACHIEVE MAXIMUM INTERVENTION,WITH MINIMAL INVASIVE
APPROACHES.MINIMALLY INVASIVE CARIES TREATMENT IS BASED ON FOUR IMPORTANT MODERN
CONCEPTS:EARLY DIAGNOSIS,ORAL ENVIRONMENT MODELING BASED ON CARIES RISK
EVALUATION,MICRO-INVASIVE CAVITY PREPARATION AND DYNAMIC TREATMENT USING
BIOLOGICALLY ACTIVE MATERIALS AND MODERN ADHESIVE SYSTEMS.IN RECENT YEARS NEW
TECHNOLOGIES HAVE BEEN PROPOSED AS AN ALTERNATIVE TO THE CONVENTIONAL MECHANICAL
REMOVAL OF CARIOUS TISSUE.THIS CLINICAL CASE INTENDS TO SHARE A WAY TO APPROACH DEEP
SPOTS WITH THE MICROABRASION PROCEDURE,USING AQUACARE DEVICE.THIS DEVICE CUTS
QUICKLY BUT CONSERVATIVELY,MINIMIZING REMOVAL OF SOUND TOOTH TISSUES CONCURRENTLY
ELIMINATING THE RISK OF CHIPPING OR STRESS FRACTURING.FEMALE PATIENT,AGED 20,REPORTED
TO THE POST-GRADUATE CLINIC OF OPERATIVE AND AESTHETIC DENTISTRY OF DENTAL SCHOOL
A.U.T.H. WITH CHIEF COMPLAINT OF INTENSE WHITE SPOTS IN ANTERIOR TEETH,FOLLOWING
ORTHODONTIC TREATMENT.AFTER DISCUSSING DIFFERENT TREATMENT MODALITIES WITH THE
PATIENT,MINIMALLY INVASIVE TREATMENT WAS ADOPTED.REMOVAL OF WHITE SPOTS WAS
ACHIEVED USING ALUMINUM OXIDE POWDER 29 MICRON WITHOUT ANESTHESIA,FOLLOWED BY A
COMPOSITE RESIN RESTORATION,PLACED IN THE CAVITY PREPARED WITH AIR
ABRASION.THUS,CONSERVATIVE REMOVAL OF DEEP WHITE SPOTS,PROVIDED A SUITABLE AND
NATURAL AESTHETIC RESULT,WELL BALANCED WITH THE SMILE.
PP.010. THE EVALUATION OF SPONTANEOUS MAXILLARY

INCISORS RETRACTION DURING CANINE DISTALIZATION
dmZ<Z'͕ YAVUZ I, YILDIZ O.
'P<,EdmZ<Z-MS, DDS-DZ^7EhE/sZ^/dz͕&h>dzK&Ed/^dZz͕WZdDEdK&
KZd,KKEd/^͕DZ^7E͕dhZ<z
7Z,7Dzsh-PROF., PHD, DDS-Z7z^hE/sZ^/dz͕&h>dzK&Ed/^dZz͕WZdDEdK&
KZd,KKEd/^͕<z^Z7͕dhZ<z͖K^DEz/>/-DDS-Z7z^hE/sZ^/dY, FACULTY OF DENTISTRY,
WZdDEdK&KZd,KKEd/^͕<z^Z7͕dhZ<z
AIM: THE AIM OF THIS STUDY WAS TO EVALUATE OF THE RESULTANT SPONTANEOUS MAXILLARY
INCISOR RETRACTION DURING MAXILLARY CANINE DISTALIZATION. MATERIALS-METHODS: THIS
STUDY CONSISTED OF 25 Wd/Ed^ ;ϭϱ '/Z>^͕ ϭϬ Kz^Ϳ t/d, DE ' ϭϲ͘ϰϱцϭ͘Ϭϳ zZ^͘ d,
CANINE DISTALIZATION WAS ACHIEVED ON 0.016X0.022 INCH STAINLESS-STEEL ARCHWIRE WITH A
150-G NICKEL TITANIUM CLOSED-COIL SPRING STRAINED BETWEEN THE MINI-SCREW AND THE
CANINE BRACKET AFTER LEVELLING AND ALIGNMENT PHASE. THE END OF CANINE DISTALIZATION,
RETRUSION AND RETRACTION OF MAXILLARY INCISORS WAS EVALUATED USING U1-SN, U1-PP, U1-NA
ANGLES AND U1-NA DISTANCE. RESULTS: THE RESULT OF STATISTICAL ANALYSIS, THERE WAS
SHOWED THAT SIGNIFICANTLY DIFFERENCES WAS OBSERVED ALL ANGULAR (P<0.001) AND LINEER
(P<0.01) MEASUREMENTS. CONCLUSION: ACCORDING TO THE RESULTS OF THIS STUDY,
SPONTANEOUS INCISOR RETRACTION IS EXPECTED RESULT OF MAXILLARY CANINE DISTALIZATION.
PP.011.USE OF TRANSPARENT PLASTIC ALIGNERS IN THE
TREATMENT OF ORTHODONTIC PROBLEMS
ILIC J, CUTOVIC T.
JANA ILIC-DENTIST-HEALTH CENTRE BANJALUKA

TATJANA CUTOVIC-ASSISTANT PROFESSOR-MEDICAL FACULTY UNIVERSITY OF DEFENCE,BELGRADE
SERBIA
INTRODUCTION: THE PLASTIC TRANSPARENT ALIGNERS ARE USED TO CORRECT THE MILD
IRREGULARITIES OF THE TEETH. UNLIKE TRADITIONAL FIXED APPLIANCES, WHICH CONSIST OF
BRACKETS, ARCHES AND ELASTIC RUBBER, ALIGNERS LEAD TEETH TO AN IDEAL POSITION WITH THE
HELP OF PLASTIC, TRANSPARENT FOILS. ALIGNERS FOR CORRECTING TEETH ARE MADE OF A THIN,
TRANSPARENT THERMOPLASTIC MATERIAL (MEDICAL POLYURETHANE), WHICH MAKES THEM
VIRTUALLY INVISIBLE ON THE TEETH. THE AIM OF THIS STUDY IS TO SHOW THE POSSIBILITIES AND
LIMITATIONS OF THE USE OF TRANSPARENT PLASTIC ALIGNERS IN THE TREATMENT OF
ORTHODONTIC PROBLEMS. METHODS AND MATERIALS: BY USING A TRANSPARENT PLASTIC ALIGNER
THE TREATMENT OF DIFFERENT KINDS OF ORTHODONTIC PROBLEMS WAS CONDUCTED: MODERATE
CROWDING AND SPACING, MODERATE DIASTEMA CLOSURE, THE REVERSE OVERJET ONE OF FRONTAL
TEETH, CASES OF ORTHODONTIC RELAPSE. WITH THE USAGE OF ALIGNER SMALLER INTRUSIVE
MOVEMENTS ARE EFFECTIVELY IMPLEMENTED, TIP MOLAR DISTALY AND POSTERIOR DENTAL
EXPANSION. USING ADDITIONAL ATTACHMENTS, WHICH WERE CLUNG TO CERTAIN TEETH
SIGNIFICANTLY IMPROVED SHIFTING OF THE TEETH WITH ALIGNER. THE ALIGNERS ARE LESS
EFFICIENT FOR EXTRUSIVE TOOTH MOVEMENT AND DEROTATION OF THE TEETH WITH A ROUNDED
CROWN. RESULTS: DESPITE NUMEROUS CONSTRAINTS, WITH THE USAGE OF TRANSPARENT
ALIGNERS MANY ADULT ORTHODONTIC ANOMALIES WERE SUCCESSFULLY CURED, ESPECIALLY IF
THEY ARE COMBINED WITH EXTRA ORTHODONTIC ELEMENTS. WITH PROPER INDICATION, THEIR
SUCCESS RATE IS VERY HIGH. CONCLUSION: THE PLASTIC TRANSPARENT ALIGNERS HAVE BECOME
PART OF MODERN ORTHODONTIC TREATMENT WHICH IS AESTHETICALLY ACCEPTABLE AND MORE
COMFORTABLE FOR THE PATIENT BUT REQUIRES CONTINUOUS TRAINING OF ORTHODONTIST AND
SPECIAL ACCESS TO THIS KIND OF TREATMENT.
PP.012. MIXED ORTHOPAEDIC- FUNCTIONAL THERAPY IN SECOND

CLASS DENTAL MALOCCLUSION (A CASE REPORT)
KELMENDI S, LAKO M, KELMENDI M, BIDAJ A, XHEMNICA R.
SHIRLI KELMENDI-M.SC.-PRIVATE CLINIC

MARJOLDA LAKO-M.SC-
MANOLA KELMENDI-PHD-UNIVERSITARY DENTAL CLINIC OF TIRANA, ALBANIA, DEPARTMENT OF
PAEDIATRIC DENTISTRY
ARISA BIDAJ-M.SC-
ROZELA XHEMNICA-PHD-UNIVERSITARY DENTAL CLINIC OF TIRANA, ALBANIA, DEPARTMENT OF
ORTHODONTICS
BACKGROUND: PATIENT NAMED E.A, 11 YEARS OLD , WAS PRESENTED TO THE PRIVATE DENTAL
CLINIC WITH A MAJOR CONCERN REGARDING HER UPPER FRONTAL TEETH WHICH WERE PROCLINED ,
ACCOMPANIED BY A WIDE DIASTEMA BETWEEN 11 AND 21. PURPOSE: TO IMPROVE THE AESTHETIC
OF THE PROFILE BY STIMULATING CONDYLAR GROWTH IN POSTERIOR DIRECTION IN ORDER TO
LENGTHEN THE MANDIBULE. TO IMPROVE THE OCCLUSION BY RETROINCLINING THE ANTERIOR
UPPER FRONTAL TEETH AND BY CORRECTING DEEP BITE. MATERAL AND METHOD: THE
CEPHALOMETRIC ANALYSES REVEALED: FIRST SKELETAL CLASS, SECOND MOLAR CLASS, FIRST
DIVISION, SUBDIVISION, ACCOMPANIED BY MANDIBULAR MCROGNATHIA (GO-ME < S-N)
INCLINATION OF SUPERIOR CENTRAL INCISOR WId, d, &ZE<&KZd W>E с ϭϭϴΣ͕ d,z Z
VESTIBULARISED. WIDE DIASTEMA BETWEEN 11 AND 21. DEEP BITE, THE PATIENT WAS
HYPODIVERGENT. THERE WAS DECIDED TO PUT AN EXPANSION TRANSVERSAL SCREW TO THE
MONOBLOCK THAT WAS GOING TO BE DESIGNED IN THE LABORATOR. THERE WAS ALSO PLANNED TO
PUT A SLOPING PLANE TO THE MONOBLOCK IN ORDER TO MEDIALISE THE MANDIBULE AND BITE
PLANES AND A FRONTAL PLANE WHOSE HEIGHT WAS DECIDED TO BE 4 MM. RESULTS: THE DENTAL
MALOCCLUSION OF SECOND MOLAR CLASS WAS CORRECTED. IN ADDITION, ANTERIOR MAXILLARY
TEETH WERE RETROINCLINATED AND THE MANDIBULE WAS FORWARDED. CONCLUSION: MIXED
ORTHOPAEDIC AND FUNCTIONAL THERAPY PERMITS TO CONTROL MANDIBULAR PROTRUSION AND
TO CORRECT MALOCCLUSION OF SECOND MOLAR CLASS, FIRST DIVISION, IN PATIENTS WITH FIRST
SKELETAL CLASS. KEYWORDS: FUNCTIONAL APPLIANCE, DENTAL SECOND CLASS, MANDIBULAR
MICROGNATHIA, DEEP BITE, BITE PLANES, FRONTAL PLANE, TRANSVERSAL SCREW.
PP.013. MANAGEMENT OF ANTERIOR DENTAL CROSSBITE WITH

REMOVABLE APPLIANCES (A CASE REPORT)
XHEMNICA R͕ZZKKD͕<>DE/^͕/^h&/͘
ROZELA XHEMNICA-PHD-UNIVERSITY OF MEDICINE OF TIRANA,FACULTY OF DENTAL

MEDICINE,DEPARTMENT OF ORTHODKEd/^͖D/>dKEZZKK-M.D-O.M.F.S
LINDITA XHEMNICA-PROF-;SHIRLI KELMENDI-MSC-;ALMIRA ISUFI
BACKGROUND: THIS CASE REPORT DESCRIBES THE TREATMENT OF AN 8-YEAR-OLD GIRL WITH
ANTERIOR DENTAL CROSSBITE USING A SERIES OF REMOVABLE APPLIANCES TO BRING THE TEETH
INTO A NORMAL POSITION. MATERIAL AND METHODS: A REMOVABLE ACRYLIC APPLIANCE WITH A
BITE PLATE INCORPORATING A SCREW WAS USED TO CORRECT THE ANTERIOR DENTAL CROSSBITE
AND ALIGN THE INCISORS. THE SUBSEQUENT ERUPTION OF THE MAXILLARY LEFT LATERAL INCISOR
ON THE PALATINAL SIDE WAS TREATED WITH A SECOND ACRYLIC PLATE INCORPORATING A
LABIOLINGUAL SPRING.RESULTS: 8 MONTHS LATER , THE ANTERIOR CROSSBITE INVOLVING MULTIPLE
INCISORS WAS CORRECTED. CONCLUSION: ANTERIOR CROSS-BITE IN PRIMARY AND PERMANENT
DENTITION, IS A MALOCCLUSION THAT REQUIRES EARLY ORTHODONTIC TREATMENT AND SPECIAL
CARE OF THE PAEDIATRIC DENTIST, IN ORDER TO AVOID OTHER COMPLICATIONS. KEYWORDS: CASE
REPORT, CROSSBITE, REMOVABLE APPLIANCES
PP.014. MULTIDISCIPLINARY COOPERATION ORTHODONTIC-

SURGERY,TOOTH AGENESIS 41
HAVZIU F, HALILI I, HAVZIU H.
DR.STOM FLAMUR HAVZIU--LEGE ARTIS DENTAL POLYCLINIC

DR.SCI IMBERLI HALILI --DENTIESTETICA2 CLINIC;DR.SCI HASIM HAVZIU --LEGE ARTIS DENTAL
POLYCLINIC
MULTIDISCIPLINARY COOPERATION ORTHODONTIC-SURGERY,TOOTH AGENESIS 41 TOOTH AGENESIS

OR HYPODONTIA IS ONE OF THE MOST COMMON ANOMALIES OF THE HUMAN DENTITION,
CHARACTERIZED BY THE DEVELOPMENTAL ABSENCE OF ONE OR MORE TEETH OR MOST PREVALENT
CRANIOFACIAL CONGENITAL MALFORMATION IN HUMANS. ACCORDING TO SEVERITY, THIS
MALFORMATION CAN BE SUBDIVIDED INTO HYPODONTIA, OLIGODONTIA AND ANODONTIA. WITH A
FREQUENCY OF 20ʹ30%, TOOTH AGENESIS IS THE MOST PREVALENT DENTAL DYSPLASIA, BUT NOT
ALL TEETH ARE EQUALLY AFFECTED. UP TO 25% OF THE POPULATION MAY LOSE OR MISSED AT LEAST
ONE OR THREE TEETHS. TRADITIONALLY, TOOTH AGENESIS IS CLASSIFIED DEPENDING ON THE
NUMBER OF MISSING TEETH AS EITHER HYPODONTIA (3 UP TO SIX MISSING TEETH) OR OLIGODONTIA
MORE THAN SIX MISSING TEETH). WHILE TOOTH AGENESIS MAY BE ASSOCIATED WITH SEVERAL
SYNDROMES LIKE DOWN SYNDROM, NON-SYNDROMIC HYPODONTIA REFERS TO THE CONGENITAL
ABSENCE OF A FEW TEETH IN THE ABSENCE OF ANY OTHER DEFORMITY. IT MIGHT NEGATIVELY
AFFECT BOTH THE ESTHETICS AND FUNCTION.ESTHETICS ITSELF IS AN IMPORTANT FACTOR AND ITS
WZK>D^ D/',d &&d Wd/Ed^͛ ^>&-ESTEEM, COMMUNICATION BEHAVIOR, PROFESSIONAL
PERFORMANCE AND QUALITY OF LIFE. PATIENTS WITH MISSING PERMANENT TEETH MAY SUFFER
FROM COMPLICATIONS SUCH AS MALOCCLUSION (WHICH ITSELF CAN LEAD TO MASTICATION
PROBLEMS), PERIODONTAL DAMAGE, LACK OF ALVEOLAR BONE GROWTH, REDUCED CHEWING
ABILITY, INARTICULATE PRONUNCIATION, CHANGES IN SKELETAL RELATIONSHIPS AND AN
UNFAVORABLE APPEARANCE, MOST OF WHICH NEED RATHER COSTLY AND CHALLENGING
MULTIDISCIPLINARY TREATMENTS.
PP.015. OPENING OF MIDPALATAL SUTURE IN YOUNG- ADULT

PATIENTS: CASE REPORT
sh/>͕:h>K^</:͕sh/h͕^dE<Ks/K͕aWE/͘
LJILJANA sh/-DR., PHD STUDENT-DEPARTMENT OF ORTHODONTICS, SCHOOL OF DENTISTRY,

JOVANA JULOSKI-DR SCI -DEPARTMENT OF ORTHODONTICS, SCHOOL OF DENTISTRY, UNIVERSITY OF
BELGRADE
hZKash/-DR., PHD STUDENT-SCHOOL OF DENTISTRY, UNIVERSITY OF BELGRADE
K>'^dE<Ks/-DR.., PHD DTUDENT-DEPARTMENT OF ORTHODONTICS, SCHOOL OF DENTISTRY,
/sEaWE-DR., PROFESSOR-DEPARTMENT OF ORTHODONTICS, SCHOOL OF DENTISTRY,
THE CLINICAL CRITERION FOR SUCCESSFUL MECHANICAL OPENING OF THE MIDPALATAL SUTURE IS
THE PATIENT'S CHRONOLOGICAL AGE. IT ALSO DEPENDS ON THE STAGE OF SUTURE MATURATION.
SINCE PATIENT'S AGE AND SUTURE MATURATION ARE OFTEN NOT IN CORRELATION, THERE IS NO
GENERAL AGREEMENT ABOUT THE AGE WHEN THE OPENING OF SUTURE IS NO LONGER POSSIBLE. IN
ADDITION TO A CAREFUL CONSIDERATION OF THE POSSIBILITY OF MIDPALTAL SUTURE OPENING, THE
MONITORING OF CLINICAL AND THE RADIOGRAPHIC SIGNS AT THE BEGINNING OF THE TREATMENT
ARE ALSO REQUIRED. IN THE DEPARTMENT OF ORTHODONTICS, SCHOOL OF DENTAL MEDICINE,
UNIVERSITY OF BELGRADE, TWO FEMALE PATIENTS, AGED 16 AND 17, WERE PRESENTED FOR
COMPREHENSIVE ORTHODONTIC TREATMENT. IN ORDER TO RESOLVE MAXILLARY TRANSVERSE
DEFICIENCY, TRANSVERSE FORCE ACROSS TO MAXILLA WAS APPLIED IN BOTH CASES . FORCES WERE
DELIVERED WITH HYRAX EXPANDERS WITH METAL FRAMEWORKS. RAPID EXPANSION WAS DONE
WITH TWO TURNS DAILY (0,5 MM PER DAY) OF THE JACKSCREW, IN BOUGHT CASES. AFTER TWO
WEEKS, THE CLINICAL SIGN OF MAXILLA SUTURE OPENING WAS PRESENT (DIASTEMA BETWEEN
UPPER CENTRAL INCISORS), IN BOTH CASES. IN RADIOGRAPH OCCLUSAL IMAGES THE OPENING OF
MIDPALTAL SUTURE COULD BE SEEN. RAPID EXSPANSION PROTOCOL WAS CARRIED ON UNTILL
TRANSVERSAL MAXILLARY DEFICIENCY WAS RESOLVED. WITH CAREFUL CONSIDERATION OF
POSSIBILITIES OF MIDPALATAL SUTURE OPENING BEFORE THE TREATMENT, AND MONITORING OF
CLINICAL AND RADIOGRAPHIC SIGNS AT THE BEGINNING OF THE TREATMENT, IT IS POSSIBLE TO
OPEN MIDPALATAL SUTURE IN GROWING AND YOUNG-ADULT PATIENTS.
PP.016. ORTHODONTIC-SURGICAL TREATMENT OF SKELETAL
FACIAL ASYMMETRY: CASE REPORT
/s/^͕ ^dK:EKs/>͕^d&EKs/E͕W:s/d͕sh/>͘
ORTHODONTIC-SURGICAL TREATMENT OF SKELETAL FACIAL ASYMMETRY: CASE REPORT-HEALTH

CENTER, VELIKA PLANA, SERBIA; DEPARTMENT OF ORTHODONTICS, SCHOOL OF DENTAL MEDICINE,
UNIVERSITY OF BELGRADE, SERBIA
ORTHODONTIC-SURGICAL TREATMENT OF SKELETAL FACIAL ASYMMETRY: CASE REPORT MOST

PEOPLE PRESENT SOME DEGREE OF FACIAL ASYMMETRY, SINCE A STATE OF PERFECT SYMMETRY IS
RARE. THE EXPRESSION OF ASYMMETRY OR ITS ATTENUATION DEPENDS ON INDIVIDUAL
CHARACTERISTICS, SUCH AS THE SOFT TISSUE THICKNESS OVER THE IMBALANCE REGION. FACIAL
ASYMMETRY IS ONE OF THE MOST DIFFICULT AND CHALLENGING DENTOFACIAL DEFORMITIES TO
CORRECT IN ORTHODONTICS. MAXILLA PROVIDES MINIMAL SOFT TISSUE SUPPORT, MOST MAXILLARY
ASYMMETRY USUALLY DEVELOPS SECONDARY TO ASYMMETRIC MANDIBULAR GROWTH. OPTIMAL
CORRECTION OF SUCH ASYMMETRIES REQUIRES AN INTERDISCIPLINARY APPROACH INVOLVING
COOPERATION AND SKILLS OF BOTH ORTHODONTIST AND ORAL SURGEON RIGHT FROM THE ONSET
OF PLANNING THROUGH THE COMPLETION OF TREATMENT AND RETENTION. THIS CASE REPORT
DESCRIBES THE SUCCESSFUL TREATMENT OF A PATIENT WITH MANDIBULAR LATEROGNATHISM AND
ASSOCIATED FACIAL ASYMMETRY WITH COMBINED SURGICAL ORTHODONTIC APPROACH. A 18-YEAR-
OLD ADULT FEMALE REPORTED TO THE DEPARTMENT OF ORTHODONTICS FOR CORRECTION OF HER
FACIAL ASYMMETRY. THE CHIEF CONCERN OF THE PATIENT WAS THE NOTICEABLE PROGRESSIVELY
WORSENING ASYMMETRY SINCE LAST 4 YEARS AND ACCOMPANYING MASTICATORY INSUFFICIENCY.
AFTER 17 MONTHS OF PRESURGICAL ORTHODONTIC TREATMENT, INTRAORAL VERTICAL RAMUS
OSTEOTOMY, AND STRAIGHTENING GENIOPLASTY WERE PERFORMED AS TWO STEP SURGERIES TO
REPOSITION THE DEVIATED MANDIBLE AND CHIN, RESPECTIVELY. AFTER SURGICAL ORTHODONTIC
TREATMENT, SIGNIFICANT IMPROVEMENT IN OCCLUSION, MASTICATORY FUNCTION, AND FACIAL
APPEARANCE WAS DISCERNIBLE. THE TOTAL ACTIVE TREATMENT PERIOD WAS 24 MONTHS.
POSTTREATMENT RECORDS AT 2 YEARS SHOWED STABLE RESULTS WITH A GOOD OCCLUSION.
PP.017. ORTHODONTIC MANAGEMENT OF CLASS III

MALOCCLUSION.
^dK:EKs/>͕'>>h/K'͕W:s/d͕^d&EKs/E͕/s/^͘
DEPARTMENT OF ORTHODONTICS, SCHOOL OF DENTAL MEDICINE, UNIVERSITY OF

BELGRADE, SERBIA , DEPARTMENT OF ORTHODONTICS, SCHOOL OF DENTAL MEDICINE,
UNIVERSITY OF ROME LA SAPIENZA, ITALY, HEALTH CENTER, VELIKA PLANA
Orthodontic Management of Class III Malocclusion Class III malocclusions are considered to
be one of the most difficult problems to treat, due to mandibular growth, class III
discrepancy worsens with age. Studies on facial growth demonstrate that the maxillary
growth ends before that of the mandible. The incidence of this malocclusion in the white
population has been reported to be 1% to 5%. For patients with psuedo Class III
malocclusion, early orthopedic treatment can correct the existing or developing skeletal,
dentoalveolar, and muscular imbalances and improve the oral environment and facial
esthetics. In subjects with true Class III malocclusion, early orthopedic correction is bound to
relapse. Hence in such cases, the orthosurgical approach has to be employed, once the
mandibular growth is complete. The mandibular growth continues even after pubertal spurt.
This article report shows: a) the stability of an early Class III malocclusion treatment by using
a maxillary expansion and facemask therapy of 7 yrs patient, the early treatment provides a
good occlusal relation for the normal maxillary growth, promoting long-term posttreatment
stability; b) the stability of the ortho-surgical second 17yrs patient with three treatment
process phases, presurgical orthodontic, surgical and postsurgical orthodontic phase, with
the final facial profile after surgery which showed the results of a great significance of a
dramatic change in the appearance.
PP.018. CHANGES IN CERVICAL LORDOSIS AND

CERVICOVERTEBRAL MORPHOLOGY IN DIFFERENT GENDER AND
AGE PERIODS
LAZIC E, KONTOPOULOS K, MAJSTOROVIC N, NEDELJKOVIC N, MILOSEVIC O.
UNIVERSITY OF BELGRADE, FACULTY OF DENTAL MEDICINE,DEPARTMENT OF

ORTHODONTICS
Background. During the growth, proportions of cervical structures were changed, influenced
by factors such as age, gender, ethnic origin and craniofacial morphology. Cervical lordosis
and dimensions of cervical vertebrae are in relation to the sagital and vertical development
of the face and jaws. Therefore, the aim of this study was to determine the changes in
cervical lordosis and cervicovertebral morphology in different gender and age periods based
on the percentage of anterior and posterior cervical vertebrae body height in the total
anterior C2ʹC5 height, and anterior and posterior intervertebral space height in the total
anterior C2ʹC5 height. Methods and materials. The study included lateral teleradiographs of
540 patients of both genders, divided into nine different age groups: from 7-19 years and
older. Cervical lordosis angle (OPT/CVT), percentage of anterior and posterior cervical
vertebrae body height in the total C2ʹC5 height (%ABHC2/C2C5, %ABHC3/C2C5,
%ABHC4/C2C5, %ABHC5/C2C5), and anterior and posterior intervertebral space height in the
total C2ʹC5 height (%AISC2C3/C2C5, %AISC3C4/C2C5, %AISC4C5/C2C5, %PISC2C3/C2C5,
%PISC3C4/C2C5, %PISC4C5/C2C5) were measured and analysed. Results. The results showed
higher OPT/CVT angle in female in almost all age groups, decrease of %ABHC2/C2C5 during
growth and higher value in male, and increase of %ABHC2, %ABH C3, %ABHC4,
%ABHC5/C2C5 during growth and higher value in female. Percentage of intervertebral
spaces during growth decrease and value are higher in male. Conclusions. The cervical
lordosis becomes more curved and vertebral bodies occupy more space of the spine in
females, while intervertebral spaces occupy more of this space in males.
PP.019. WHITE SPOT DEMINERALIZATION IN PATIENTS TREATED

WITH FIXED ORTHODONTIC APPLIANCES
PETROVSKA J, PETROVSKI D.
JASNA PETROVSKA-ORHODONTIST-FACULTY OF DENTISTRY

DRAGAN PETROVSKI-PROSTODONTIST-FACULTY OF DENTISTRY
One of the most common adverse phenomena that occur during orthodontic treatment with
fixed appliances is white spot demineralization (WSL). The presence of this phenomenon is
common in patients with inadequate oral hygiene. This problem is a concern for both
orthodontists and patients interested in achieving the best possible aesthetic outcomes
during therapy. The aim of this study was to determinate the incidence and location of WSL
in patients treated with fixed orthodontic appliances. Eighty orthodontic patients, treated
with fixed appliances at the Department of Orthodontics in Skopje were examined. All the
patients fulfilled following criteria: no previous orthodontic treatment, no systematic
diseases, no chronic medication and no dental anomalies. The visual examination was
performed under direct illumination using a dental lamp after drying the tooth enamel with
compressed air for five seconds. WSL often develop in patients treated longer than 12
months, and in patients without adequate oral habits. In most cases, demineralization was
found on incisors in the maxilla, and on molars in mandible. Females were less frequently
affected than men, probably they cleaned their teeth more often and they practice
additional hygienic procedures.
PP.020. VERTICAL AND SAGITTAL SPACE MAINTAINING IN EARLY

MIXED DENTITION
YOVCHEVA K, MUSURLIEVA N, GOEV G.
KETI YOVCHEVA -ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF

DENTAL MEDICINE, DEPARTMENT OF ORTHODONTICS
NINA MUSURLIEVA-CHIEF ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY
OF PUBLIC HEALTH,DEPARTMENT OF SOCIAL MEDICINE
GALIN GOEV-DENTAL TECHNICIAN-PRIVATE PRACTICE
The aim of all early therapeutic methods used in early mixed dentition is to prevent the
occurrence of orthodontic irregularities in the permanent dentition. A 6-years old girl in
early mixed dentition stage came in the Department of Orthodontics. Tooth 85 was
extracted due complicated caries. Clinical and paraclinical investigations were undertaken.
Paraclinical investigations include impressions from upper and lower jaw and OPG. The
model analysis showed supraposition of tooth 55, which may block the sagittal and lateral
movements and is a perquisite for growth impairment of the mandibula. The child refused to
wear removable lingual plate, so we construct band-loop space maintainer. The space
maintainer was fixed on tooth 46 with glass-ionomer cement and proper instructions for oral
hygiene were given. The loop retains the vertical and sagittal occlusal relationships. The
preservation of the occlusal morpho-functional complex using space maintainers mainly
when the premature loss of the second primary molars occurs is an excellent interceptive
treatment options.
PP.021. CLINICAL IMPORTANCE OF T-SCAN III SYSTEM
COMPUTERIZED OCCLUSAL ANALYSIS IN PATIENTS WITH
MALOCCLUSIONS
TRPEVSKA V, KOVACEVSKA G, KANURKOVA L, KOVACEVSKI N.
V. TRPEVSKA-SPEC.DR-PHO DENTAL CLINICAL CEdZ ͞^s͘ WEd>:DKE͕͟ >/E/ &KZ

ORTHODONTICS;G. KOVACEVSKA-DDS, MS, PHD-FACULTY OF DENTAL MEDICINE,
hE/sZ^/dzͣ^^͘</Z/>/DdK/:͕͟WZdDEdK&WZK^d,KKEd/^
L. KANURKOVA-DDS, MS, PHD-&h>dzK&Ed>D//E͕hE/sZ^/dzͣ^^͘</Z/>/
DdK/:͕͟W,KEd>>/E/>EdZ͞^s͘WEd>:DKE͕͟>/E/&KZ
ORTHODONTICS;N. KOVACEVSKI-SPEC.DR-PRIVATE PRACTICE, IMPACTA DENTAL
Abstrakt Aim or purpose: The aim of this study is to show the clinical importance of T-Scan III
System computerized occlusal analyses of static and dynamic occlusal parameters in subjects
with malocclusions. Analysis of occlusal contacts distribution, recording the timing of
occlusion and disclusion provides the clinician important diagnostic and therapeutic
elements. Materials and Methods: Patients with orthodontic malocclusions, at mean age of
15 years, came in our clinic needing orthodontic treatment. After the standard clinical
examination, anamnesis and radiographic analyses, each patient performed a computerized
occlusal registration and three parameters were studied: distribution of occlusal force and
occlusal contact area when reaching maximum intercuspation (MIP) and occlusion and
disclusion time. Results: The results obtained confirm that patients with malocclusions have
greater bilateral asymmetry in the occlusal force and the center od force is located more
mesially than in the patients with normal occlusion. Occlusion and disclusion time is longer
than 0.4sec. Conclusion: T-Scan system is rapid and accurate in objective determination of
occlusal static and dynamic parameters, allowing the doctor to decide any necessary
adjustments for optimal occlusion, both aesthetically and functionally. Subjective
assessment of occlusal contacts lead to variable results, false interpretation that can lead to
therapeutic errors. Computerized method with T-Scan III System as a clinical diagnostic
screening device for occlusion is recommended. Key words: T-Scan III System computerized
occlusal analysis, occlusion, occlusal static and dynamic parameters.
PP.022. TREATMENT OF OLIGODONTIA BY USING FIXED

ORTHODONTIC APPLIANCES AND PROSTHETIC REHABILITION: A
CASE REPORT
OZKAN S, GOLLERLI YY, YAVUZ MC, CELIK E.
SERKAN OZKAN-ASSISTANT PROFFESSOR-ORDU UNIVERSITY

YESIM YASEMIN GOLLERLI-RESEARCH ASSISTANT-ORDU UNIVERSITY
MUSTAFA CIHAN YAVUZ-ASSISTANT PROFFESSOR-ORDU UNIVERSITY
ERSAN CELIK-ASSISTANT PROFFESSOR-ORDU UNIVERSITY
Oligodontia is a rare genetic disorder which represents the congenital absence of more than
six teeth in primary, permanent or both dentitions excluding third molars. The case was
seventeen years old male patient. The patient had 12,13,14,15- 22,23,24,25- 32,34- 42,44,45
numbers teeth missing. Class I skeletal relationship and Class III subdivision dental
relationship and the high vertical dimension were seen. The fixed orthodontic appliance
were used 10 months, Ostemm implants (south korea) 10*4 mm in the maxilla were placed
12 months into treatment. Total treatment time was 22 months for the final occlusal
correction. 5 months retention protocol were used with follow up.
PP.023. ASSESSMENT OF CB12 EFFECTIVENESS IN ORAL ODOR IN

PATIENTSWITH BONDED RAPID MAXILLARY EXPANSION
GURSES E, YAGCI A.
EREN GURSES-RESEARCH ASISSTANT-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY,

AHMET YAGCI-ASSOCIATE PROFFESOR-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY,
Aim: The aim of our study is to assess the oral odor formed in patients with bonded upper
rapid maxillary expansion by measuring with halimeter and to investigate the effectiveness
of CB12, which is chlorhexidine gluconate-zinc acetate to halitosis. Material&Methods:
Twenty patients with bilateral crossbite were selected for the study and all of them were
given an informed consent form. The ethics committee approval of our work has been
approved by Erciyes University Ethics Committee. All of the 20 selected patients were given
full coverage upper maxillary expansion appliance. The patients were divided into two
groups and 10 of them were motivated to use CB12.Both the control group and the CB12
groups were trained for optimal oral hygiene practice. Both groups were recorded on the
1st, 7th and 21st days then after expansion and fixed retantion by measuring the halitosis in
ppb by the halimeter instrument. Results: Five measurements were noted for each
individual personally. The measurements made at the end of the rigid retantion were
assessed statistically by SPSS program. It was determined that there was no odor formation
in the CB12 group, and halitosis even decreased in some of the patients. The control group
was found to have both statistically and clinically significant halitosis. Conclusion:CB12 can
be routinely prescribed in patients treated with full coverage rapid maxillary expansion.
CB12 is an effective mouth wash for preventing halitosis.
PP.024. DENT@LIGN DIGITAL ALIGNERS IN CASE WITH CROWDED

FRONT TEETH
DINKOVA M.
MIROSLAVA DINKOVA, DMD, PHD-DENT@LIGN DIGITAL ALIGNERS IN CASE WITH CROWDED

FRONT TEETH-DEPARTMENT OF ORTHODONTICS, FACULTY OF DENTAL MEDICINE, MEDICAL
UNIVERSITY OF SOFIA
Dental crowding is one of the most common orthodontic problems. Dent@lign digital
system includes a series of invisible, individualized, removable orthodontic aligners, which
provide effective tooth movement by applying light forces. The aim is to present the
application of Dent@lign digital system for treatment of crowded front teeth. Materials and
methods: 17-year-old female patient was referred to our clinic with main compliants of poor
esthetics and embarrassed oral hygiene. A full orthodontic analysis including x-rays, plaster
models and photos was made. In addition a digital analysis for Dent@lign aligners was
elaborated because the patient preferred an aesthetic orthodontic treatment. The
Dent@lign analysis showed 6 steps of aligners in the upper jaw and 6 aligners in the lower
jaw would be necessary for correcting the problems. The patient accepted the proposed
treatment plan and was instructed to wear the appliances 18-20 hours per day except the
time for eating, drinking and brushing. For space providing, an approximal enamel reduction
(AER) was applied. Results demonstrated leveling and alignment of the dental arches.
Correction of the crowding was achieved within the virtually planned 6 steps in upper and
lower jaw. AER was performed according to the laboratory analysis. The duration of
treatment was 12 months. Conclusion: Dent@lign digital system is effective, aesthetic,
comfortable, compatible with social and professional life of patients, does not affect the
speech, is practically painless, with easy and effective mechanics, reduced chair-time, good
cost/benefit correlation and also it can be used in patients with mouth breathing and sleep
apnea.
PP.025. ORAL HYGIENE HABITS, BEHAVIOR AND KNOWLEDGE OF

AN ELDERLY IN BOSNIA AND HERCEGOVINA
RADOVIC I, NOGO ZIVANOVIC D, DAVIDOVIC B, STOJANOVIC N, KRUNIC J.
IGOR RADOVIC-DDS MSC-UNIVERSITY OF EAST SARAJEVO, DEPARTMENT OF RESTORATIVE

DENTISTRY AND ENDODONTICS
DAJANA NOGO ZIVANOVIC-DDS-UNIVERSITY OF EAST SARAJEVO, DEPARTMENT OF
RESTORATIVE DENTISTRY AND ENDODONTICS
BOJANA DAVIDOVIC-DDS MSC PHD-UNIVERSITY OF EAST SARAJEVO, DEPARTMENT OF
PAEDIATRIC AND PREVENTIVE DENTISTRY
NIKOLA STOJANOVIC-DDS MSC PHD-UNIVERSITY OF EAST SARAJEVO, DEPARTMENT OF
JELENA KRUNIC-DDS MSC PHD-UNIVERSITY OF EAST SARAJEVO, DEPARTMENT OF
Aim: The aim of this study was to asses the oral hygiene habits, behavior and knowledge
related to dental health among an elderly population in B&H. Material and methods: The
study included 312 subjects ( 152 males and 160 females) aged 65-74 years who were
selected by random sampling from six areas of Bosnia and Hercegovina. The subjects filled a
questionnaire concerning sociodemographic variables, oral hygiene habits, frequency of
dental visits and reason for the last visit, behavior and knowledge related to dental health.
Results: A total of 72.5% participans reported brushing their teeth once a day. The vast
majority of the subjects (85.5%) did not use dental floss. Females had better oral hygiene
habits (p<0.05) than males. Dental visits within the past year were reported by 27.5% of
participans. The reasons for the last dental visits were tootache (39.3%) and need for change
of the prosthesis ( 26.0%). About one third of study population (35.3%) know the
significance of dental plaque. Conclusion: The results of this study indicate that oral hygiene
habits , behavior and knowledge related to dental health in an Bosnian elderly need to be
improved.
PP.026. PREVALENCE OF DENTAL CARIES AMONG ADOLESCENTS
WITH MENTAL DISORDERS
:KsEKs/D͕D>as/͕<K>Z:͕h</:EKs/^͕dKKZKs/>͘
D/>:KsEKs/-PREVALENCE OF DENTAL CARIES AMONG ADOLESCENTS WITH MENTAL

DISORDERS-SCHOOL OF DENTAL MEDICINE, UNIVERSITY IN BELGRADE, BELGRADE, SERBIA
DD>as/-PREVALENCE OF DENTAL CARIES AMONG ADOLESCENTS WITH MENTAL
DISORDERS-FACULTY OF DENTISTRY, UNIVERSITY BUSINESS ACADEMY IN NOVI SAD,
WEsK͕^Z/
JOVO KOLAR-PREVALENCE OF DENTAL CARIES AMONG ADOLESCENTS WITH MENTAL
DISORDERS-FACULTY OF DENTISTRY, UNIVERSITY BUSINESS ACADEMY IN NOVI SAD,
WEsK͕^Z/
^>s/h</:EKs/-PREVALENCE OF DENTAL CARIES AMONG ADOLESCENTS WITH
MENTAL DISORDERS-GOVERNMENT OF THE REPUBLIC OF SERBIA, BELGRADE, SERBIA
>:hKD/ZdKKZKs/-PREVALENCE OF DENTAL CARIES AMONG ADOLESCENTS WITH
MENTAL DISORDERS-MEDICAL ACADEMY OF THE SERBIAN MEDICAL SOCIETY, BELGRADE,
SERBIA
Background/Aim. According to the World Health Organization (WHO), mental disorders are
one of the leading causes of disability in people between the ages 15 and 44 worldwide.
Both retrospective and prospective studies have shown that the most adulthood mental
disorders begin in childhood and adolescence. The aim of this study was to determine
prevalence of dental caries among adolescents with mental disorders. Patients and
Methods. The study comprised 60 adolescents (24 males and 36 females) with mental
ĚŝƐŽƌĚĞƌƐƚƌĞĂƚĞĚĂƚƚŚĞůŝŶŝĐĨŽƌWƐǇĐŚŝĂƚƌŝĐŝƐŽƌĚĞƌƐ͞ƌ>ĂǌĂ >ĂǌĂƌĞǀŝđ͟ŝŶĞůŐƌĂĚĞ͘dŚĞ
DMF (decayed-missing-filled) index and social-demographic characteristics were registered,
as well as characteristics of the mental disorders. Results. The mean age of patients was
ϭϴ͘ϳϯцϰ͘Ϯϱ;ϭϰƚŽϮϯǇĞĂƌƐŽĨĂŐĞͿ͘dŚĞŵŽƐƚ common diagnosis was behavioral disorder
;ϳϴ͘ϵйͿĂŶĚ ƚŚĞƉĂƚŝĞŶƚƐ ǁĞƌĞƚƌĞĂƚĞĚǁŝƚŚƚŚĞĂǀĞƌĂŐĞŶƵŵďĞƌŽĨϭ͘ϱϲцϬ͘ϳϳƉƐǇĐŚŝĂƚƌŝĐ
drugs (1 to 3). Sixty eight percent of patients were smokers and 49% were narcotic users.
The mean value of DMF index was 14.ϴϳцϮ͘ϯϰ͘dŚĞƐƚƌƵĐƚƵƌĞŽĨƚŚĞD&ŝŶĚĞǆƐŚŽǁĞĚƚŚĂƚ
carious and extracted teeth dominated with 78.9%. Conclusion. The results of this study
indicate a need for continuous research on oral health of adolescent with mental disorders
in general in order to determine the current state of their oral health and determine modes
of its improvement, with the emphasis on primary systems of health care, and
implementation of optimal measures for its improvement.
PP.027. SELF-ASSESSED VS. CLINICALLY MEASURED LEVEL OF

DENTAL HEALTH OF ADULTS
MIHAYLOVA I, AVRAMOVA N, VASILEV B, BOJINOV P.
IVANKA MIHAYLOVA-DR-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE

NADYA AVRAMOVA-DR, PHD-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE
BORISLAV VASILEV-DR-DENTAL PRATICE,111
PETER BOJINOV-DR, PHD-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE
Self-assessed vs. Clinically Measured Level of Dental Health of Adults AIM: The aim of the
present study was to compare self-assessed to clinically measured level of dental health.
MATERIAL AND METHODS: In 2015 a total of 250 questionnaires were distributed (response
rate 92.4%,n=231) among randomly selected male and female patients in six dental
ƐƵƌŐĞƌŝĞƐ͕ǁŚŽǁĞƌĞĚŝǀŝĚĞĚŝŶƚŽϰĂŐĞŐƌŽƵƉƐĂĐĐŽƌĚŝŶŐƚŽ,ĂǀŝŐŚƵƐƚ͛ƐĂŐĞĐůĂƐƐŝĨŝĐĂƚŝŽŶϭϴ-
29,30-39,40-59 and over 60 years old administered questionnaires consisting dental health
self-assessment scale, dental status form (filled in by dentist) and an item about attendance
patterns. Data was processed by IBM SPSS 23.0,statistical significance was set at p< 0.05.
RESULTS: Dental caries prevalence assessment showed caries spread in the entire sample
was 48.08%. Alternative statistical analysis showed there is no statistically significant
difference between genders although the prevalence among females was 48.96% and
among males-46.82%.There is statistically significant difference in caries prevalence
between over 60 years old participants and those in the age groups 30-39 and 40-59
(p<0.001). DMFT for the entire sample was 12.26.There was no statistical difference in DMFT
by gender (p>0.001). Self-assessment scoring showed 61.04% rated their oral health as
͞ŐŽŽĚ͕͟Ϯϯ͘ϴϭй-͞ǀĞƌǇŐŽŽĚ͕͟ϵ͘Ϭϵй-͞ďĂĚ͟ĂŶĚϲ͘Ϭϲй-͞ĞǆĐĞůůĞŶƚ͘͟KE>h^/KE͗dŚŝƐƐƚƵĚǇ
results show that dental caries is wide spread among all representatives in spite their gender
and age differences. Some statistically significant differences were found between age but
not gender groups. This study reaffirm the fact that prevention, motivation, regular dental
visits are essential for reducing DMFT ʹ a global goal of WHO.
PP.028. METHOD OF INVESTIGATION USED IN CANDIDA DIAGNOSIS
FURTUNA Z, MARCU D, CIOBANU S.
FURTUNA ZINOVIA-STUDENT-UNIVERSITY OF MEDICINE AND PHARMACY

MARCU DIANA-ASSOCIATE PROFESOR-ODONTOLOGY, PARODONTOLOGY AND ORAL
PATHOLOGY AT STATE UNIVERSITY OF MEDICINE AND PHARMACY
CIOBANU SERGIU-HEAD OF DEPARTMENT, PHD IN HEALTH SIENCE-ODONTOLOGY,
PARODONTOLOGY AND ORAL PATHOLOGY DEPARTMENT, STATE UNIVERSITY OF MEDICINE
AND PHARMACY
Introduction Medical mycology uses a relatively wide range of nutrition medium for
isolation, identification and conservation of pathogenic and potential pathogenic fungi.
Nowadays, there are mediums in various forms (powder, liquid forms in tubes, solid forms
on plates). The disadvantage of these forms is that they allow the cultivation of yeasts for a
long time. Purpose: Elaboration of a fast microbiological diagnosis of oral candisosis. In this
context, there was elaborated a selective dosed medium for the fast isolation, multiplication
and indication of yeasts from genus Candida (MSD-Cand) which allows the determination of
yests in inspected materials and preventive microbial etiology in the pathological process.
Material and methods: For the determination of selectivity of MSD-Cand there were
performed 103 experiences with Candida albicans in association with other microorganisms.
After our performed researches, there was established that MSD-Cand has a selectivity for
Candida Albicans depending on associated microorganisms. There were performed 98
experiences with 7 types of Candida genus in order to determine the sensitivity of MSD-
Cand. It allows the indication of yeasts from Candida genus during 9 hours of incubation at
37 degrees Celsius in concentration of 103 amound of microorganisms/ml. Conclusion: 1.
There was elaborated a selective nutrition medium in form of film for the fast isolation,
multiplication and indication of yeasts from Candida genus, which allows the determination
of yeasts during 9 hours, depending on the initial concentration in a milliliter or gram. 2.
MSD-Cand is sensitive and has a selectivity from the yeasts from Candida genus.
PP.029. ORAL HYGIENE STATUS OF CHILDREN WITH AND WITHOUT

ASTHMA
s/Ks/͕:E<Ks/^͕>/:͕ZKs//͕:>Ks/>͘
K:E s/Ks/-ASSISTANT PROFESSOR -UNIVERSITY OF EAST SARAJEVO, FACULTY OF

MEDICINE, DENTISTRY PROGRAM, DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY
WITH ORTHODONTICS, FOCA, BOSNIA AND HERZEGOVINA
^s:d>E:E<Ks/-ASSISTANT PROFESSOR -UNIVERSITY OF EAST SARAJEVO, FACULTY OF
MEDICINE, DENTISTRY PROGRAM, DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY
WITH ORTHODONTICS, FOCA, BOSNIA AND HERZEGOVINA
:>E >/-ASSISTANT-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,
DENTISTRY PROGRAM, DEPARTMENT OF ORAL REHABILITATION, FOCA, BOSNIA AND
HERZEGOVINA
/'KZ ZKs/-ASSISTANT-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,
DENTISTRY PROGRAM, DEPARTMENT OF RESTORATIVE DENTISTRY AND ENDODONTICS,
FOCA, BOSNIA AND HERZEGOVINA
>:/>:E :>Ks/-ASSISTANT-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,
DENTISTRY PROGRAM, DEPARTMENT OF RESTORATIVE DENTISTRY AND ENDODONTICS,
FOCA, BOSNIA AND HERZEGOVINA
Introduction: Asthma is a chronic lung disease which is characterized by reversible airway

obstruction, airway inflammation and increased responsiveness of the airways to stimuli.
Objective: To evaluate the oral hygiene status of children with and without asthma.
Methods: 136 children aged from 6 to 16 years were involved in the present study.
Participants were divided into two groups: children with asthma (n=68) and the children
without asthma (n=68) group. Oral hygiene levels were assessed using Greene-Vermillion
plaque index. The oral examination of the teeth was performed by the use of probe and
dental mouth mirror under artificial light. Results: The male/female ratio was 77.9%/22.1%,
which is in accordance with the reported distribution of asthma in children. Until puberty,
asthma is more common in boys than in girls, but after puberty the incidence is equal. Good
oral hygiene (31.1%) was more present in children without asthma whereas poor hygiene
(20.0%) was more frequent in children with asthma (p<0.001). Conclusion: It is evident that
asthmatic children have higher prevalence of mean values of plaque index compared to no
asthmatic children. Organized action by community, dental professionals and public health
authorities is required to address the discrepancies in and hygiene among children with and
without asthma. Keywords: children; asthma; oral hygiene
Session 6
PP.030. ADEQUATE DENTIST IN THE EYES OF PATIENT WITH
DENTAL ANXIETY
E/<K>/D͕WKWKs/:͕'a/:͕D/d/͕DZ/E<Ks/E͘
DZ/:E/<K>/-ASSISTANT -UNIVERSITY OF NIS, FACULTY OF MEDICINE, CLINIC OF

DENTISTRY NIS, SERBIA
:>EWKWKs/-ASSISTANT PROFESSOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, CLINIC
OF DENTISTRY NIS, SERBIA
:KsE<'a/-PROFESSOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, CLINIC OF
><ÊZD/d/-PROFESSOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, CLINIC OF
E/<K>DZ/E<Ks/-DOCTOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, CLINIC OF
BACKGROUND: OVER 35 % OF PEOPLE HAVE FEAR OF DENTISTS. DENTAL FEARS REFERS TO

>> ͣd,/E'^ ,s/E' dK K t/d, dd,͘͞ d, Z^KE^ Z - BAD EXPERIENCES, NOT
NECESSARILY PAIN RELATED, PATIENT'S EXPECTATIONS AND PUBLIC IMAGE OF DENTISTS AS
SOMEONE WHO HURTS. DENTAL PROFESSIONALS CAN CONTRIBUTE TO DENTAL PHOBIAS,
BUT CAN PREVENT THEM TOO. MATERIAL AND METHOD: NINETY PATIENTS WITH HISTORY
OF AVOIDANCE OF DENTAL TREATMENT WERE QUESTIONED. A SURVEY CONSISTED OF 10
QUESTIONS RELATED TO DENTAL FEAR. RESULTS: THE MAJORITY OF QUESTIONED PATIENTS
REPORTED THAT DENTIST'S GENDER AND AGE DOES NOT PLAY A ROLE IN THEIR FEAR.
PATIENTS WANT TO BE FAMILIAR WITH PROCEDURE (76.7%). ABOUT HALF PATIENTS
WOULD LIKE THEIR DOCTOR TO BE A SPECIALIST. SMALL TALK WITH THE AIM TO MINIMIZE
THE FEAR IS DESIRABLE FOR 68,9% OF PATIENTS. DENTAL OFFICE SHOULD BE MODERN
ACCORDING TO 63,3% OF PATIENTS, WITH LIGHT MUSIC PLAYING (65,6%), BUT NOT
NECESSARILY NEAR HOME. THE MAJORITY OF PATIENTS REPORTED DELAY OF TREATMENT
INCREASES THE FEAR (67,8%). NINETY PERCENT OF PATIENTS WOULD LIKE DENTIST TO STOP
WHEN THEY GIVE SIGN WITH THE HAND. CONCLUSION: DENTIST'S AGE AND GENDER, AND
DISTANCE OF DENTAL OFFICE DOES NOT PLAY A BIG ROLE IN FEAR OF PATIENTS. ON THE
OTHER HAND, A IDEAL DENTIST SHOULD BE A SPECIALIST IN CORRESPONDENT FIELD OF
DENTISTRY. THE DOCTOR SHOULD LEAD A SMALL TALK WITH PATIENT, EXPLAIN THE
PROCEDURE BEFORE START, AND SHOULD NOT MAKE PATIENT WAIT IN THE WAITING
ROOM. MODERN DENTAL OFFICE WITH MUSIC MINIMIZES THE FEAR OF TREATMENT.
PP.031. DENTISTRY DOCUMENTATION AND ITS CENTRAL
IMPORTANCE TO THE DENTIST
TRIFUNOVIC J, BIOCANIN V, MATIJEVIC S.
JOVANKA TRIFUNOVIC-MD-UNIVERSITY OF TRAVNIK, FACULTY OF PHARMACY AND HEALTH,

DEPARTMENT OF DENTISTRY, TRAVNIK, BOSNIA AND HERZEGOVINA
VLADIMIR BIOCANIN-DMD-UNIVERSITY OF TRAVNIK, FACULTY OF PHARMACY AND HEALTH,
DEPARTMENT OF DENTISTRY, TRAVNIK, BOSNIA AND HERZEGOVINA
STEFAN MATIJEVIC-DMD-WZ/sdEd>WZd/͟ZK
Dentistry documentation (DD) consists of: dentistry record,documentation on health status

of mouth and teeth,documentation on work and diseases in dentistry and record of the
appropriate specialized dentistry service. Data from medical documentation are understood
as personal data of the patiĞŶƚĂŶĚŵĂƌŬĞĚĂƐƐƚƌŝĐƚůǇĐŽŶĨŝĚĞŶƚŝĂů͘ŶǇĚĂƚĂŝŶƚŚĞƉĂƚŝĞŶƚ͛Ɛ
medical records is subjected to doctor-ƉĂƚŝĞŶƚĐŽŶĨŝĚĞŶƚŝĂůŝƚǇ͘ĂƚĂŝŶƚŚĞƉĂƚŝĞŶƚ͛ƐƌĞĐŽƌĚƐ
may be used as evidence in legal proceedings and as means in assessment of professionsl
work of any dentist. A correct keeping of DD is the best defence in legal proceedings since it
represents a reliable evidence of diagnosis and therapy. The DD should be legible and easily
understood for other health care workers too, whether it is hand-written or computer -kept.
There are different computer programmes containing various abbreviations and codes often
unfamiliar to those who do not own the same computer programme. The person performing
identification procedure on the basis of teeth strongly depends on the data from the dental
records of the patient. There are different types of dentistry health records like: Written
dentistry health record and Electronic dentistry health record. Written record presents the
most common type in practice.Electronic record are increasingly used; especially in private
practice surgeries. It should be kept as long as it may prove useful. DD should not be
disposed of or stored away until 10 years from the last entry have passed. Parts of DD are:
the Task of the report, General data, Expert opinion, Material, Finding, Interpretation of
findings and the Conclusion.
PP.032. WHAT BRINGS PROFESSIONAL SATISFACTION: SOCIO-

DEMOGRAPHIC PROFILE OF DENTISTS IN BULGARIA
sZDKsɁ͕D/,z>KsȻ͕DIMOV P͕KEsȲ͕zEsȾ͘
NADYA AVRAMOVA-DR, PHD, SENIOR ASSIST.PROF. -MEDICAL UNIVESITY-SOFIA, FACULTY

OF DENTAL MEDICINE, DEPARTMENT OF DENTAL PUBLIC HEALTH
IVANKA MIHAYLOVA-DR, ASSIST. PROF. -MEDICAL UNIVESITY-SOFIA, FACULTY OF DENTAL
MEDICINE, DEPARTMENT OF DENTAL PUBLIC HEALTH
PLAMEN DIMOV-IT ENGINEER-MILITARY ACADEMY-SOFIA, BULGARIA
BOIKO BONEV-DR, PHD, ASSOC.PROF. -MEDICAL UNIVESITY-SOFIA, FACULTY OF DENTAL
KRASSIMIRA YANEVA-DR, PHD, PROF. -MEDICAL UNIVESITY-SOFIA, FACULTY OF DENTAL
Aim: To investigate the influence of some socio-demographic determinants ʹ age, gender,

location and ownership of dental practice ʹ on professional satisfaction among dentists in
Bulgaria. Method and Materials: A self-administrated questionnaire consisting of 37 items
about socio-demographic characteristics, motivation, work environment and economic
factors was mailed to a random sample of 1427 dentists (response rate=30.5%, n=436).
Professional satisfaction was assessed by using a three-point scale ʹ satisfied, partly and
dissatisfied. To collect and analyze primary data Microsoft Windows Server 2008 R2,
Microsoft SQL Server 2008, Internet Information Server 7.5 and Microsoft SharePoint Server
2010 were used. To search for statistically significant associations statistical package IBM
SPSS Statistics 19.0. was used (p<0.05). Results: Dentists aged 36-45 were found to be
completely satisfied ʹ 104(35.9%), p<0.05 and dentists up to 35 years demonstrated the
highest level of partly satisfaction ʹ 66(50.8%), p<0.05. It was not found statistically
significant association between professional satisfaction and gender of the respondents
(p=0.265). The highest levels of complete ʹ 130(44.8%) and partly satisfaction ʹ 58(44.6%)
were found in dentists practicing in big cities (p<0.05). Practitioners owning dental practice
were completely satisfied ʹ 218(75.2%), p<0.05 compared to dentists working in rented
dental offices and being mainly dissatisfied ʹ 10(62.5%), p<0.05. Conclusion: Socio-
demographic profile of the most satisfied dentist in Bulgaria was associated to 36-45 aged
practitioner, regardless of gender, working in big city and owning his/her dental office.
PP.033. POSSIBLE APPLICATIONS OF PEEK IN DENTISTRY: A

LITERATURE REVIEW
GEORGIEV Z, VLAHOVA A, KISSOV C, ALEKSANDROV S, KAZAKOVA R.
ZHIVKO GEORGIEV-PHD, STUDENT, DEPARTMENT OF PROSTHETIC DENTISTRY-&D͕ ʺh ʹ

PLOVDIV, BULGARIA
ANGELINA VLAHOVA-PHD, ASSOCIATE PROFESSOR, DEPARTMENT OF PROSTHETIC
DENTISTRY-&D͕ʺhʹ PLOVDIV, BULGARIA
CHRISTO KISSOV-PHD, PROFESSOR, DEPARTMENT OF PROSTHETIC DENTISTRY-&D͕ ʺh ʹ
PLOVDIV, BULGARIA
SVETLIN ALEKSANDROV-PHD, ASSISTANT PROFESSOR, DEPARTMENT OF PROSTHETIC
DENTISTRY-&D͕ʺhʹ PLOVDIV, BULGARIA
RADA KAZAKOVA-ASSISTANT PROFESSOR, DEPARTMENT OF PROSTHETIC DENTISTRY, FDM-
&D͕ʺhʹ PLOVDIV ,BULGARIA
Introduction. Polyether-ether-ketone (PEEK) is a present dental material with significant

advantages including excellent mechanical properties, biocompatibility and non-toxicity. The
high-perfomance thermoplastic polymer is used in many medical fields due to its bone-like
elasticity. Purpose. The aim of this presentation is to describe the possible clinical
applications of PEEK in Dentistry. Materials and methods. A survey based on 254 literary
sources from Bulgarian authors and foreign authors from PubMed, Sciense Direct, Journal of
Prosthetic Dentistry was made. Results and discussion. According to the literature in this
field we establish a few possible clinical applications of PEEKs in Dentistry: in Prosthodontics
- for fabrication of fixed and removable prosthetic restorations, in Implantology ʹ for
individual abutments and for implant construction. Conclusion. Nowadays investigations*
for new abilities of using PEEKs in Prosthodontics are conducted. In Prosthodontics these
materials can be combined with metal alloys for alternative fixed restoration. Key words:
PEEK, applications, dentistry, literature review *Georgiev, Zh, Composite structures of
polyether ether ketone (PEEK) and metal alloys (In press)
PP.034. EFFECT OF ANTACID SUSPENSION ON ARTIFICIAL GASTRIC
JUICE-INDUCED ENAMEL EROSION: AN ULTRASTRUCTURAL
EXPERIMENTAL MODEL
GASIC J, BARAC R, POPOVIC J, MITIC A, STOSIC N.
JOVANKA GASIC-PROFESSOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, DEPARTMENT OF

DENTISTRY, SERBIA
RADOMIR BARAC-DOCTOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, DEPARTMENT OF
DENTISTRY, SERBIA
JELENA POPOVIC-ASSISTANT PROFESSOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE,
DEPARTMENT OF DENTISTRY, SERBIA
ALEKSANDAR MITIC-PROFESSOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, DEPARTMENT
OF DENTISTRY, SERBIA
NENAD STOSIC-DOCTOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, DEPARTMENT OF
DENTISTRY, SERBIA
BACKGROUND: ANTACIDS WHICH ALLEVIATE OF GASTROESOPHAGEAL REFLUX DISEASE

SYMPTOMS, CAN CONTROL DENTAL EROSION WHEN USED AS A MOUTHWASH. THIS STUDY
AIMED TO EVALUATE THE ULTRASTRUCTURAL MODELS OF ENAMEL EROSION AFTER
EXPOSURE TO ARTIFICIAL GASTRIC JUICE (AGJ), AS WELL AS AFTER EXPOSURE TO ANTACID
SUSPENSION (ASD) OF THE PREVIOUSLY ERODED ENAMEL, AND TO DETERMINE THE
DIFFERENCES IN MORPHOLOGICAL STRUCTURE AND ENAMEL SURFACE ROUGHNESS
BETWEEN THESE MODELS. MATERIALS AND METHODS: ENAMEL SPECIMENS (N=24),
OBTAINED BY PREPARATION OF EXTRACTED HUMAN WISDOM TEETH, ARE DIVIDED INTO
THREE GROUPS. NEGATIVE CONTROL (N=8) WAS IMMERSED IN ARTIFICIAL SALIVA (AS).
POSITIVE CONTROL (N=16) HAD THE PROTOCOL: THREE TIMES DAILY FOR 15 MINUTES IN
6ML AGJ, RINSING WITH DISTILLED WATER, IMMERSION IN AS, DURING 14 DAYS.
EXPERIMENTAL GROUP: EIGHT SAMPLES WERE ISOLATED FROM POSITIVE CONTROL WITH
THE PROTOCOL: THREE TIMES DAILY FOR 15 MINUTES IN 6ML ASD, RINSING WITH DISTILLED
WATER, IMMERSION IN AS, DURING 14 DAYS. THE SAMPLES WERE PREPARED FOR A
SCANNING-ELECTRON-MICROSCOPE (SEM) AND ROUGHNESS PARAMETERS (RA, RQ, RZ RY)
ANALYSIS. DATA WERE ANALYZED BY ONE-tzEKs͕dh<z͛^͕E^dhENT-NEWMAN-
KEULS POST-HOC TESTS. RESULTS: SEM-MODEL OF AGJ-INDUCED ENAMEL EROSION
SHOWED STRONG CENTRAL PART PRISM DESTRUCTION. AFTER EXPOSURE OF PREVIOUSLY
ERODED ENAMEL TO ASD, HONEYCOMB TYPE ETCHING WAS ONLY ACCENTUATED. THERE
WERE NO DIFFERENCES OF THE RA AND RQ PARAMETER VALUES BETWEEN THE NEGATIVE
CONTROL AND EXPERIMENTAL SAMPLES. RZ AND RY SHOWED SIGNIFICANT DIFFERENCE
AMONG ALL OF EXAMINED GROUPS. CONCLUSION: ANTACID SUSPENSION CHANGES THE
ULTRASTRUCTURAL MODEL PREVIOUSLY ERODED ENAMEL, BUT CANNOT COMPLETELY
CONTROL SURFACE ROUGHNESS.
PP.035. EROSIVE EFFECT OF SOFT DRINKS ON CEMENTO-ENAMEL
JUNCTION IN VITRO: AN ULTRASTRUCTURAL AND PROFILOMETRIC
STUDY
BARAC R, GASIC J, POPOVIC J, MITIC A, NIKOLIC M.
RADOMIR BARAC-DOCTOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, DEPARTMENT OF

DENTISTRY, SERBIA
JOVANKA GASIC-PROFESSOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, DEPARTMENT OF
DENTISTRY, SERBIA
JELENA POPOVIC-ASSISTANT PROFESSOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE,
DEPARTMENT OF DENTISTRY, SERBIA
ALEKSANDAR MITIC-PROFESSOR-UNIVERSITY OF NIS, FACULTY OF MEDICINE, DEPARTMENT
OF DENTISTRY, SERBIA
MARIJA NIKOLIC-ASSISTANT-UNIVERSITY OF NIS, FACULTY OF MEDICINE, DEPARTMENT OF
DENTISTRY, SERBIA
INTRODUCTION: WHILE THE EROSIVE POTENTIAL OF SOFT DRINKS ON ENAMEL SURFACE IS

WELL DOCUMENTED, THERE ARE NO DATA ON THEIR IMPACT ON THE CEMENTO-ENAMEL
JUNCTION (CEJ). THIS STUDY AIMED TO EVALUATE MORPHOLOGICAL CHANGES AND
SURFACE ROUGHNESS IN THE CEJ AFTER EXPOSURE TO A VARIOUS SOFT DRINKS. MATERIALS
AND METHODS: CEJ SPECIMENS, OBTAINED BY PREPARING OF EXTRACTED HUMAN THIRD
MOLARS, WERE DIVIDED INTO FIVE GROUPS AND IMMERSED IN SOFT DRINKS (1.COCA-
COLA, 2.ORANGE JUICE, 3.CEDEVITA, 4.GUARANA, 5.STRAWBERRY YOGURT) THREE TIMES
DAILY FOR 15 MINUTES, RINSED WITH DISTILLED WATER AND WERE STORED IN THE
ARTIFICIAL SALIVA, DURING 14 DAYS. CEJ ULTRASTRUCTURAL ANALYSIS WAS PERFORMED
USING SCANNING-ELECTRON-MICROSCOPE. ENAMEL AND CEMENT SURFACES ROUGHNESS
WAS MEASURED BY STYLUS PROFILOMETER, USING THE RA PARAMETER. DATA WERE
ANALYZED BY ONE-tz EKs͕ dh<z͛^͕ E ^dhEd-NEWMAN-KEULS POST-HOC
TESTS. RESULTS: COCA-COLA CAUSED SEVERE EROSION OF THE ENAMEL SURFACE
(HONEYCOMB-MODEL), WHILE THE CEMENT SHOWED EXTREME IRREGULARITY WITH
NUMEROUS DEFECTS. THE SEPARATION OF ENAMEL FROM CEMENT IS ALSO OBSERVED.
AFTER EXPOSURE TO ORANGE JUICE, ATYPICAL DEMINERALIZATION WAS NOTICED. THE
SPECIMENS IMMERSED IN CEDEVITA AND GUARANA SHOWED NO SIGNIFICANT DAMAGE TO
THE STRUCTURES THAT MAKE UP THE CEJ, AND RA PARAMETER IS NOT STATISTICALLY
DIFFERENT BETWEEN THESE GROUPS. STRAWBERRY YOGURT DID NOT DO ANY DAMAGE TO
CEJ. CONCLUSION: ALL OF THE TESTED SOFT DRINKS, EXCEPT YOGURT, HAVE CAUSED
MORPHOLOGICAL CHANGES IN THE CEJ. THE STRONGEST EROSIVE EFFECT WAS OBSERVED
ON SAMPLES IMMERSED IN COCA-COLA AND ORANGE JUICE. RA VALUES OF ENAMEL AND
CEMENT WERE IN CORRELATION WITH ULTRASTRUCTURAL FINDINGS ON THE CEJ.
PP.036. SUCCESSFUL REPOSITION OF A MAXILLARY CENTRAL
INCISOR AFTER 6 DAYS OF EXTRUSIVE LUXATION
AYDIN EG, P>WE͘
>/& 'm> z/E-DDS- ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF

PEDIATRIC DENTISTRY, ANKARA, TURKEY
EhZ,E P>W-PROF- ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PEDIATRIC DENTISTRY, ANKARA, TURKEY
Background: One of the most critical injuries in dental traumatology is extrusive luxation of
permanent teeth. Repositioning of the extruded tooth at the earliest time is the accepted
treatment for extrusive luxation.This case report presents 3 years follow-up of an extrusive
luxation 6 days after trauma. Material&Method: A 13-year-old male patient was referred to
our clinic 6 days after trauma.Intraoral examination revealed maxillary right central incisor
with extrusive luxation.Radiographical examination indicated that the tooth had closed apex
and was extruded approximately 3mm relative to the cement-enamel junction of the
adjacent tooth.The tooth presented with grade III mobility.Under local anesthesia the
gingiva was gently cleaned, irrigated with saline solution and oxygen water.Then, tooth was
placed in position with finger pressure.Teeth were splinted with semi-rigid 0,5mm
orthodontic wire from maxillary right lateral incisor to left central incisor.One week
later,root canal treatment was initiated to the tooth and calcium hydroxide based root canal
dressing was placed for ten days. Results:2 weeks later the splint was removed and root
canal was filled with gutta-percha points and 2SEAL(root canal sealer VDW).Patient was
recalled for clinical and radiographic evaluation after 3-months, 6-months, one year and
then yearly thereafter.At the end of 3-years follow-up,clinical and radiographical
examinations showed no pathology and the teeth appeared normal and the patient had no
complaints. Conclusion:Despite of the general view that reposition of extrusive luxation
injury could not possible after 24 hours due to blood clot, in this case the successful
treatment extrusive luxation after 6 days of trauma.
PP.037. OZONE THERAPY INTO MANAGEMENT OF DENTAL CARIES
KIRILOVA J, TOPALOVA-PIRINSKA S, STEFANOVA VATCHEVA-DOBREVSKA R, KIROV D.
Aim: The aim of the survey is to determine ozone therapy in the management and
prevention of caries in caries-active patients. Materials and method: The clinical
investigation includes 16 volunteers with deep approximal caries on the posterior teeth.
Microbiological material from the cavity lesion is taken twice: first before treatment; second
after application of ozone gas for 24 sec on the prepared cavity for restoration. Additional
ozone gas has been performed 10 times for 2x54 seconds to all the teeth. The patients were
observed after 12 months. Results: Multibacterial microflora has been established with
prevailing microorganisms from the group of the oral streptococci (90,90%): Streptococcus
anginosus ( 40,90%), Streptococcus mutans (18,18%), Streptococcus mitis (22,73%). Other
microorganisms has been established as a Candida albicans (36, 36%), Enterooccus faecalis (
22,72%) of the investigated lesions.The ozone application for 24 seconds decontaminates
the dentin in deep approximal caries lesions. The clinical observation was not found new
cases if caries lesions after 12 months. Conclusion: The ozone therapy is an efficient in the
management and prevention of caries in caries-active patients.
PP.038. SPLINT APPLICATION AND REVASCULARIZATION OF AN
AVULSED TOOTH
COSGUN MT, TULGA OZ F.
MELIKE TURGUT COSGUN-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY, DEPARTMENT

FIRDEVS TULGA OZ-PROF. -ANKARA UNIVERSITY FACULTY OF DENTISTRY, DEPARTMENT OF
PEDIATRIC DENTISTRY
Dental trauma has become a frequent emergency in children and is reasonably common
between 8-10 years old ones. Avulsion of permanent teeth is seen in 0.5ʹ3% of all dental
injuries. Avulsion is a complex injury affecting the pulp, periodontal ligament and the
alveolar bone. Repositioning and replantation with subsequent stabilization by a dental
splint is the standard of care for avulsed permanent teeth. Avulsed permanent teeth can
survive following replantation. A male patient aged 8 years old applied to Ankara University
Faculty of Dentistry, Department of Pediatric Dentistry after two days of a bicycle accident
that resulted in dental trauma. After intra oral and radiographic examinations, the patient
was diagnosed with subluxation in maxillary right central and avulsion in maxillary left
central incisors with open root apices. The avulsed maxillary left central incisor was
replanted immediately after the trauma and splinted in another dental clinic. During the
ĞǆĂŵŝŶĂƚŝŽŶ ŝƚ ǁĂƐ ŽďƐĞƌǀĞĚ ƚŚĂƚ ǁĞƌĞŶ͛ƚ ĞĨĨĞĐƚŝǀĞůy bonded. Splint was reapplied again
from canine to canine with a flexible orthodontic wire and kept for 2 weeks. After observing
negative result from vitality test following 4 weeks of trauma, revascularization treatment
was performed. Follow-ups were done for 4 weeks, 3, 6, 12 and 18 months. Apical closure
was seen and no infection was observed during the follow-up periods. Splints not only
facilitate repositioning of displaced teeth to their original location but also ensure adequate
fixation, for preventing accidental ingestion or inhalation and protect avulsed tooth against
traumatic forces especially during vulnerable healing period.
PP.039. ORAL LESIONS ASSOCIATED WITH WEARING OF

PROSTETIC DEVICES AMONG INSTITUTIONALIZED ELDERLY
PETROVSKI M, MINOVSKA A, TERZIEVA O.
PETROVSKI MIHAJLO-MR.SCI.-hE/sZ^/dzK&͞'K>s͟
MINOVSKA ANA-PROF. D-R.;IVANOVSKI KIRO-PROF. D-R.
TERZIEVA OLIVERA-MR. SCI.-hE/sZ^/dzK&͞'K>s͟
Introduction: The presence of mucosal lesions among institutionalized adults is quite high
and most frequent lesions of the oral mucosa that are present are those induced by wearing
dentures. These types of lesions are associated with instability of dentures, inadequate oral
hygiene and irregular dental check-ups. Aim- To determines the prevalence of oral mucosal
changes associated with the wearing of prosthetic devices among institutionalized elderly.
Material and method: The investigation included a total number of 73 subjects older than 65
years from examination done in the "Mother Teresa" nursing home for adults located in
Skopje. All of the subjects with prosthetic devices were examined for oral changes presence.
The examination was done with visual inspection and palpation. No biopsy was used.
Results: Commonly present changes associated with long-term use of prostheses or
inadequately dimensioned prosthetic devices (67% of subjects who wear prostheses
complain of some difficulty with their wearing) were ulcerous lesions and Stomatitis
protetica. In the group of pathological changes dominate the lesions associated with the
wearing of prosthetic devices - decubital-ulcerous changes caused by the wearing of
prosthetic devices (36%) and Stomatitis protetica (22%). Conclusion - In the investigated
population very important pathological lesions are those changes associated with wearing
prosthetic devices because of their high prevalence. Also it is very important that
pathological lesions require constant monitoring. Key words: institutionalized elderly, oral
lesions, geronto-stomatology, oral changes.
PP.040. DECORONATION AND ADHESIVE BRIDGE, A TREATMENT TO

PRESERVE ALVEOLAR BONE
MANDIC J, MANDINIC Z, KOSANOVIC D.
JELENA MANDIC-PROF.DR-CLINIC FOR PAEDIATRIC AND PREVENTIVE DENTISTRY, FACULTY

OF DENTISTRY, UNIVERSITY OF BELGRADE, SERBIA
ZORAN MANDINIC-DOC.DR-CLINIC FOR PAEDIATRIC AND PREVENTIVE DENTISTRY, FACULTY
OF DENTISTRY, UNIVERSITY OF BELGRADE, SERBIA
DUSAN KOSANOVIC-DR-CLINIC FOR PAEDIATRIC AND PREVENTIVE DENTISTRY, FACULTY OF
DENTISTRY, UNIVERSITY OF BELGRADE, SERBIA
Background: Premature loss of frontal teeth can lead to loss of alveolar bone, especially in
bucco-palatal dimension. Decoronation is a surgical method for treating ankylosed or
endodonthically untreatable incisors in children and adolescents. The tooth crown and root
canal filling are removed, and then root is covered in mucoperiostal flap and left in alveolar
bone to be resorbed. The missing crown is usually replaced with an adhesive bridge, to
provide aesthetical and functional solution, as well as to prevent mesial migration of teeth
around the mucoperiostal flap region. Materials and methods : Male patient, 15 years old,
reported to the Clinic for paediatric and preventive dentistry with traumatic fractures of
both upper central incisors crowns, exposing the pulp cavities. Anamnesis showed that those
teeth were previously injured 2years ago, and retroalveolar x-ray showed intra-radicular
resorption of right central upper incisor. Decoronation of right central upper incisor was
performed in local anesthesia. After suture removals, left central incisor was strengthened
with fiber-post. Impressions were taken, and adhesive bridge was designed around the fiber
post, and reinforced on palatinal sides of both lateral incisors. Results: Follow-ups were
performed at 2 weeks, 1 month and 6 months. No signs of pathological processes or
infections were observed. Conclusion: Decoronation procedure is an effective way of
preserving alveolar ridge in child and adolescent age, and provides good basis for future
implant treatment.
PP.041. RANGE OF COLOR PARAMETERS IN MAXILLARY CENTRAL

INCISORS VERSUS THREE DIFFERENT SHADE GUIDES
ZARKOVA ATANASOVA J, ZLATANOVSKA K, KOCOVSKI D, NASHKOVA S, DIMOVA C.
JULIJA ZARKOVA ATANASOVA-ASS.MSC.-UNIVERSITY OF GOCE DELCEV

KATERINA ZLATANOVSKA-ASS.PHD.-UNIVERSITY OF GOCE DELCEV
DARKO KOCOVSKI-DR. -UNIVERSITY OF GOCE DELCEV
SANJA NASHKOVA-ASS.PROF.-UNIVERSITY OF GOCE DELCEV
CENA DIMOVA-PROF.DR.-UNIVERSITY OF GOCE DELCEV
Background: Proper evaluation and analysis of color distribution of shade guides is

important to achieve clinically acceptable color matches in everyday dentistry. Therefore,
the aim of our study was to determinate the color of natural teeth in selected population
group and compare it with the color distribution of three different commercially available
shade guides. Methods and materials: The color of maxillary central incisors (n=235) was
measured usŝŶŐ ŝŶƚƌĂŽƌĂů ƐƉĞĐƚƌŽƉŚŽƚŽŵĞƚĞƌ ^Ś̌ĚĞWŝůŽƚ˃ʺ ;ĞŐƵ ĞŶƚ͕ 'ĞƌŵĂŶǇͿ͕ ŝŶ ƚŚĞ
middle third of the labial surface in patients from age range 18-69 years. Color values of
natural teeth and shade tabs from the shade guides Vita Classical, Ivoclar chromascop and
Vita3D Master were recorded according to CIE Lab color space. Descriptive statistic and t-
test were used to determine whether the color differences seen in the samples were
statistically different. Results: The range of values for the parameters of the natural tooth
color were for L*60.04-81.21 for a* 0.88- 8.54, b* 10.37-26.26. All attributes of the maxillary
central incisor displayed a broader range than those from the shade guides. The 1-sample t
test revealed a significant difference (P<.001) between means of color ranges for all values.
ŽŶĐůƵƐŝŽŶ͗ dŚĞƌĞ ĂƌĞ ƐŚĂĚĞƐ ŝŶ ŶĂƚƵƌĂů ƚĞĞƚŚ ƚŚĂƚ ĐĂŶ͛ƚ ďĞ ĐŽŵƉĂƌĞĚ ƚŽ ĞŝƚŚĞƌ ƐŚĂĚĞ ƚĂď
and in order to select the best match for a restoration we need to make compromise for
finding the lowest color difference. Beside the subjectivity of the visual methods in color
determination in dentistry mismatches also can originate from the selected shade guide.
PP.042. COMPARISON OF TRIOS INTRA ORAL DIGITAL IMPRESSION

SYSTEMS
/>DEK)>h͘
UNI. FACULTY OF DENTISTRY, DEPARTMENT OF PROSTHODONTICS
This study aims to evaluate the precision and accuracy of 3Shape Trios intra oral scanner
systems. To this end, an edentulous mandibular model equipped with 6 implant analogues
was scanned 10 times by 3 intra oral scanners (3Shape), after scanbodies were placed on
implant abutments. The data was converted into STL format. Additionally, the model was
scanned with an industrial scanner (Atos Core 80) to form the control group. The data
obtained from the scanners and were evaluated on three dimensional comparison software
on surface bases. Kruskal Wallis test was employed for the comparison of the non-
parametric groups, while Mann Whitney-U test was utilized for the assessment of the
relationships between groups differing from each other. Intra-class correlation coefficient
(ICC) as calculated for the analysis of errors related to the method employed for parametric
measurements. The significance was found to be p<0,05. When the devices were put in
order in accordance with superimposition values, Atos Core 80 was found to be more
precise when compared to the intra oral scanners. Evaluated with the same criteria, Trios
ŽůŽƌ WŽĚ ďǇ ϯ^ŚĂƉĞ ǁĂƐ ĨŽƵŶĚ ϯϬ͕ϵ ʅŵ͕ dƌŝŽƐ ŽůŽƌ Zd ďǇ ϯ^ŚĂƉĞ ǁĂƐ ĨŽƵŶĚ ϰϬ͕ϯ ʅŵ
and Trios MonoColor CART by 3Shape was fouŶĚϰϯ͕Ϭʅŵ͘
PP.043. RECOGNITION AND REPORTING OF SUSPECTED ADVERSE
DRUG REACTIONS USING SDA-PHARMACOVIGILANCE
ANGELOVSKA B, DELCEV G, DRAKALSKA E, ALI E, GORGESKA B, KOVACHEVSKA I.
BISTRA ANGELOVSKA-PROFESSOR, PHD-UNIVERSITY ,GOCE DELCEV

ELENA DRAKALSKA-ASSISTANT PROFESSOR, PHD-UNIVERSITY, GOCE DELCEV
ERDAL ALI-MPHARM-UNIVERSITY, GOCE DELCEV
BILJANA GORGESKA-PROFESSOR, PHD-UNIVERSITY, GOCE DELCEV
IVONA KOVACHEVSKA-PROFESSOR, PHD-UNIVERSITY, GOCE DELCEV
Background Pharmacovigilance is a system used for detecting, collecting, monitoring,

assessment and securing new data for safety concerns of the drugs and following the
risk/benefit ratio from usage of the drug, or interactions with other drugs. The purpose of
this study is to show: the significance and development of pharmacovigilance as part of the
pharmaceutical and healthcare work, centers and participants in the system of
pharmacovigilance, side effects of drugs and the correct manner of their reporting, and post-
marketing monitoring of drugs. Materials and methods To achieve the established goals we
reviewed relevant literature sources of primer and secondary literature, recommendations
of Word Health Organization (WHO), recommendations of EU, centers for monitoring
adverse drug reactions and written regulations of Republic of Macedonia. Results and
discussion With the continuous development of the system of pharmacovigilance,
improvement of the patient health and its safety associated with the use of drugs is
observed that also directly affect public health. Pharmacovigilance also contributes in
assessing the benefits, harm, the efficiency and risk of drug usage, which suggests their
safety, rational and efficient usage. Regulations in the Republic of Macedonia are fully
harmonized with the recommendations of the WHO and EU, however, reports for adverse
reactions to the National Center are significantly less than the other European countries.
Conclusion With more involvement and increased responsibility of healthcare professionals,
patients themselves, researchers, pharmaceutical industry, regulatory authorities and
international organizations, the safety of the treatment, significantly would be improved and
would reduce health care costs.
PP.044. EFFECT OF DIFFERENT LASER SYSTEM ON BOND

STRENGTH RESIN CEMENT WITH ESTHETIC POST SYSTEM
BAYINDIR F͕7<s͘
FUNDA BAYINDIR-PROF.DR.-ddmZ<hE/sZ^/dz
E'7EsK><E7<-DDS-PRIVATE PRACTICE
Aim: The aim of this study, to investigate the result and contributions of surface treatment
with different laser systems on bond strength resin cement with esthetic post system made
of different material. Material and Method: 3 different esthetic post systems (RelyXTM fiber
post, C-WŽƐƚΠǌŝƌĐŽŶŝƵŵŽǆŝĚĞƉŽƐƚ͕ĂƐǇWŽƐƚdDǌŝƌĐŽŶŝĂƌĂŝŶĨŽƌĐĞĚĨŝďĞƌƉŽƐƚͿŝŶĐůƵĚŝŶŐϰϬ
from each system were used. On this posts, 3 different surface treatments (Er:YAG laser,
Nd:YAG laser ve Femtosecond (Fs) laser) including 10 pieces from each system were applied.
The remaining 10 samples no action by the control group was created. The obtained posts
were cemented used self-adesive resin cement (RelyXTM U200) into the 12mm length and
4mm diameter composite post slot. From each prepared sample's coronal medial and apical
regions 2 mm thick section were taken to make push out tests. Afterwards, the push out
resistance was measured using 0.5 mm/min head speed universal testing machine. Results:
There are statistically significant different between glass fiber posts and zirconia reinforced
glass fiber posts with zirconia posts. Zirconia post shows lower bond strength values. Etching
procedure conducted on the zirconia posts the Fs lasers and Nd: YAG lasers are more
effective. Conclusion: Zirconium oxide posts that have lower bond strength than glass fiber
posts may be applied surface treatments for increasing its bond strength. Nd: YAG lasers and
Fs surface treatment are another surface treatment increases the value of one bond
strength of zirconia post.
PP.045. THE USE OF VACCUM- FORMED PLASTIC TEMPLATES AS

TEMPORARIES
BECHERU I, RADULESCU R.
IOANA BECHERU-ASSISTANT PROFESSOR-UMF CAROL DAVILA, DEPARTMENT OF ESTHETICS

RADU RADULESCU-ASSISTANT PROFESSOR-UMF CAROL DAVILA, DEPARTMENT OF
BIOCHEMISTRY
Background: Unusual clinical situations where a temporary fixed or mobile prostheses

cannot be used to aesthetically solve an anterior short edentation, require a different
approach. Objective: To propose an alternative option for short term anterior arch
temporary restoration using a custom made splint tray. Materials and method: Accurate
alginate impressions of both arches coupled with occlusal registration using a silicone
impression material are required. The impressions are disinfected and then cast in less than
15 minutes using class IV gypsum. After setting the cast, models are fixed in a simple hinge
articulator using the silicone registration. Missing teeth are modelled with proper shade light
cure composite. Models with composite restorations are then used as a template for a
custom splint tray using a one-millimeter thick hard acetate shell and a vacuum former. The
tray is well trimmed and polished. Composite teeth are then resin bonded to the custom
split tray. Discussion: The proposed restoration method presents good mechanical
properties and acceptable aesthetically results. The main limits come from the increased
vertical dimension. Conclusions: This method could be used as an alternative for anterior
temporary restoration in carefully selected cases.
PP.046. CORRELATION BETWEEN ABILITY OF DENTAL CEMENTS TO

ALTER PH OF SOLUTIONS AND THEIR SOLUBILITY
MEDIC V, OBRADOVIC DJURICIC K, POSTIC S, RADOVIC K, ILIC D.
VESNA MEDIC-ASSISTANT PROFESSOR-CLINIC OF PROSTHETIC DENTISTRY, SCHOOL OF

DENTAL MEDICINE, UNIVERSITY OF BELGRADE, SERBIA
KOSOVKA OBRADOVIC DJURICIC-PROFESSOR-CLINIC OF PROSTHETIC DENTISTRY, SCHOOL OF
DENT
SRDJAN POSTIC-PROFESSOR-CLINIC OF PROSTHETIC DENTISTRY, SCHOOL OF DENTAL
KATARINA RADOVIC-ASSISTANT-CLINIC OF PROSTHETIC DENTISTRY, SCHOOL OF DENTAL
DRAGAN ILIC-ASSISTANT-CLINIC OF ENDODONTICS, SCHOOL OF DENTAL MEDICINE,
The cements used in dentistry have ability to influence the pH of the solutions in which they
are stored. At the same time dental cements can degrade when exposed to saliva in the
mouth. This studies goal was to examine possible correlation between the ability of dental
cements to alter pH of aqueous solutions and solubility of dental cements. Materials and
methods The four luting cements: zinc-phosphate, polycarboxylate, glass-ionomer and one
resin based cement were used in this study. The materials were stored in distilled water and
lactic acid solution at different pH ( 7, 4, 2,7 ) trough 1, 7, 15 and 30 days.The pHof the
solutions was recorded using a digital pH meter, and the loss of material (solubility) was
obtained from the difference between the initial and final drying mass of each sample
Results The influence of time on cement solubility was shown to be significant for all tested
materials. The pH of storage solutions is affected by cements solubility characteristics.
Ranking of weight loss was: polycarboxylate>zinc-phosphate>glass-ionomer >resin cement
All of the cements showed effects on solution pH that were highly significant ( p < 0.001 in
all cases), increasing pH by least 1.54 units over the time. Ranking of the ability of dental
cements to alter pH of aqueous solutions was:polycarboxylate>zinc-phosphate>glass-
ionomer >resin cement Conclusion : This research did not confirm a direct correlation
between the ability of dental cements to alter pH of storage solutions and their solubility.
PP.047. AN ANTIOXIDATIVE CAPACITY OF SEVERAL LUTING

CEMENTS MEASURED BY TWO METHODS
OBRADOVIC DJURICIC K, MEDIC V, POSTIC S, ANTONIJEVIC D, ILIC D.
KOSOVKA OBRADOVIC DJURICIC-PROFESSOR-CLINIC OF PROSTHETIC DENTISTRY, SCHOOL OF

VESNA MEDIC-ASSISTANT PROFESSOR-CLINIC OF PROSTHETIC DENTISTRY, SCHOOL OF
SRDJAN POSTIC-PROFESSOR-CLINIC OF PROSTHETIC DENTISTRY, SCHOOL OF DENTAL
MEDICINE, UNIVERSITY OF BELGRADE, SERBIA;DJORDJE ANTONIJEVIC-ASSISTANT-
LABORATORY FOR ANTHROPOLOGY, INSTITUTE FOR ANATOMY, FACULTY OF MEDICINE,
DRAGAN ILIC-ASSISTANT-CLINIC OF ENDODONTICS, SCHOOL OF DENTAL MEDICINE,
Many dental procedures, including making fixed restorations, may result in local
inflammation in the oral cavity such as gingivitis. Antioxidative properties of dental cements,
which are in contact with injured gingival tissue, can be considered as a beneficial agent in
these situations. Aim of this study was to assess the antioxidative (AO) capacity of temporary
lutings using ABTS and HPMC method on the same sample both. Material/methods Five
commercially available temporary luting cements, (K) Kariofil Z, (V)Viko Temp, (T) Temp
Bond NE, (R) RelyX Temp and (C) Cp-Cap were used by six samples each. Their solution
extracts upon 24h dwelling were processed by ABTS colorimetric test and HPMC polarografic
assay. Student t test was applied by confidential level of 0.05. Reults ABTS means were: K-
99.8, V- 31.0, T- 43.5, R- 8.2 and C- 98.9 i.e. the highest for K and C that is significantly
different (p < 0,01) in comparison to V, T and R exposing low AO range (8.2 ʹ 43.5). Means of
AO activity expressed by HPMC were: K- 0.0170, V-0,0098, T-0.0128, R-0.0095 and C-0.0160
revealing the highest AO values for K and C significantly different (p < 0,01) in comparison to
the others. Conclusions Kariofil Z and Cp-Cap temporary lutings exposed high values of AO
activity by both methods that were significantly different regarding other cements. Based on
the obtained results, it can be concluded that both methods (ABTS, HPMC) can be equally
used for assessment AO capacity of dental cements.
PP.048. THE EFFECTS OF USING MAGNIFICATION AND

ILLUMINATION DEVICES ON BONDING STRENGTH OF FIBER POSTS
UZUN O, ALACAM T, YAVAS O, BULAK N.
OZGUR UZUN-PROFESSOR -GAZI UNIVERSITY ;TAYFUN ALACAM-PROFESSOR -FACULTY OF

DENTISTRY
OZER YAVAS-PHD.DDS-DEPARTMENT OF ENDODONTICS; NESLIHAN BULAK-DT
Aim; The aim of this study was to investigate the effects of using different magnification and
illumination devices in bond strength of fiber posts to root canal dentin. Materials and
methods; A hundred extracted human single root teeth crowns were cut out from the
cementoenamel junction. Endodontic treatment performed in each root. All samples were
arranged 4 main groups and 2 subgroups. Standard post space preparation procedure was
applied to each sample. When placing fiber posts, dental operation microscope (DOM),
dental loupe, dental loupe with light and naked eye used in each main group. An acid etch, a
bonding agent an adhesive cement used for first subgroup, a self-adhesive cement used for
ƐĞĐŽŶĚƐƵďŐƌŽƵƉŽĨŵĂŝŶŐƌŽƵƉƐ͘ĨƚĞƌϮϰŚŽƵƌƐ͕ƐĂŵƉůĞƐǁĞƌĞƐĞĐƚŝŽŶĞĚƚŽĂƉƉůǇ͚ƉƵƐŚŽƵƚ͛
test. Push out test were applied to the sectioned samples. The results of 4 main groups and
2 subgroups were compared with each one statistically. Results ; There were not statistically
significant differences between the naked eye, dental loupe, dental loupe with light and
DOM groups both for self etch and self adhesive cement subgroups. Conclusion; In this
experimental conditions we found that using a magnification device is not superior than
naked eye, but the facilities provided by the 'dental loupe and operation microscope' are
noteworthy.
PP.049. ASSESSMENT OF THE DEFINITIVE ROOT CANAL

OBTURATION WITH CANASON - COMBIPACK SEALER
PAPAKOCA K, KOCOVSKI D, PAPAKOCA G, STEFANOVA E.
KIRO PAPAKOCA-PROFESOR-UNIVERSITY
IVONA KOVACEVSKA-PROFESOR-UNIVERSITY
DARKO KOCOVSKI-DOCTOR-UNIVERSITY
GORDANA PAPAKOCA-DOCTOR-PHO
EMILIJA STEFANOVA -DOCTOR-PHO
Background: Definitive root canal obturation is composed of sealer and adequate gutta-
percha tehnique. The aim of this study was to do assessment and x-ray evaluation of the
quality of the definitive obturation with the sealer Canason - Combipack which is based on
zinc - oxide eugenol. Material and Method: At dental office PZU Dent Estet in Shtip in the
period of 20 months were endodontic treated 70 teeth. After the diagnosis of disease of the
pulp, was made endodontic treatment step by step with root canal instrumentation and
irrigation with 1% Sodium hypochlorite. Definitive root canal obturation was made with
Canason sealer and lateral condensation filling technique. And then was performed coronal
restoration. All teeth were monitored clinically and x-ray in a period of 3, 6, 12 and 18
months. Results: The evaluation showed compact root canal obturation whose homogeneity
could be noted from x-ray which were made at a certain time in each of the patients.
Conclusion: The sealer Canason according to its characteristics has good qualities and
performances for optimal root canal obturation and can be used in endodontic surgery.
PP.050. CLINICAL PERFORMANCE OF THREE CONVENTIONAL

ADHESIVES IN EARLY OCLUSAL CARIOUS LESIONS: 18-MONTH
FOLLOW-UP
</ZEE͕D/Zh)^͕ERKAYA I, BAKIR M.
E/ZEhZE</Z-DDS-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF

^Z D/Zh)-DDS, PHD-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF RESTORATIVE DENTISTRY
IKBAL ERKAYA-STUDENT-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
MERVE BAKIR-STUDENT-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
Background: The aim of this study was to evaluate the 18-month clinical performance of
three conventional adhesives in posterior teeth with early stage carious lesion using two
evaluation criteria (FDI and USPHS). Methods and materials: Twenty patients were
participated in this study. Sixty restorations (Three restorations for each participant) were
performed using split-mouth design and divided to four groups: Clearfil Tri-S Bond (TSB),
Clearfil SE Bond (CSE), and Single Bond 2 (SB2). A microhybrid composite resin was placed
incrementally. The restorations were evaluated at baseline, 6-month recall, and 18-month
recall, using both the FDI and USPHS criterias by two double-blinded and experienced
examiners. Statistical analyses were performed using Chi-square test (ɲ=0.05). Results: A
total of 60 restorations were evaluated after 18 months. The participation rate was 100%.
There was no significant difference in all factor (Marginal staining, anatomical form, color
changes of restoration, secondary caries, retantion, and post-operative sensitivity) among
the groups according to USPHS and FDI criteria (p>0.05) except for marginal adaptation. SB2
provived best marginal adaptation followed by CSE and TSB recpectively. There was
statistically difference between SB2 and TSB (pϬ͘ϬϱͿ͘ ŽŶĐůƵƐŝŽŶ͗ dŚĞ ĐůŝŶŝĐĂů ďĞŚĂǀŝŽƌ ŽĨ
the conventional adhesives at 18 months do not depend on the bonding strategy. A one-step
self-etch adhesive TSB provided worst marginal adaptation. Further in vivo and in vitro
studies are needed.
PP.051. IN- VITRO TESTS FOR BIOCOMPATIBILITY EVALUATION OF
DENTAL MATERIALS
DJUROVIC KOPRIVICA D, PUSKAR T, VULETIC RAKIC J, MILEKIC B, JEREMIC KNEZEVIC M.
DANIELA DJUROVIC KOPRIVICA-ASSISTANT-FACULTY OF MEDICINE, UNIVERSITY OF NOVI SAD

TATJANA PUSKAR-PROFESSOR-FACULTY OF MEDICINE, UNIVERSITY OF NOVI SAD
JELENA VULETIC RAKIC-RESEARCHER-FACULTY OF MEDICINE, UNIVERSITY OF NOVI SAD
BOJANA MILEKIC-ASSISTANT PROFESSOR-FACULTY OF MEDICINE, UNIVERSITY OF NOVI SAD
MILICA JEREMIC KNEZEVIC-ASSISTANT PROFESSOR-FACULTY OF MEDICINE, UNIVERSITY OF
NOVI SAD
Background: Dental materials that, temporary or permanent, come into direct contact with
oral tissues must satisfy certain requirements in terms of biocompatibility. The usual
approach in biocompatibility testing is to start with simple in-vitro assays based on cell
cultures. Methods and Materials: For in-vitro tests of dental materials are used monolayer
cell cultures or three-dimensional (3D) models of oral mucosa (tissue engineering obtained),
whose selection and arrangement are simulating in vivo conditions. The simplest tests for
potential toxicity of dental materials are based on the damaging the cell membrane and
testing of cell viability and proliferation. Cytotoxicity of material can be determined by
validation of cell viability. Direct methods are based on the ability of some colors to pass
through the membrane of viable cells and change their color binding to specific cellular
structure. Indirect method involves an assessment of metabolic cell activity as an indicator
of their viability. Cells are incubated with tetrazolium salts creating formazan products. The
amount of colored formazan product is directly proportional to the metabolic activity of
cells. Results: In-vitro tests results are primarily related to the acute toxic effect and are used
for the evaluation of biological safety of the material. Conclusion: The modern concept of
biocompatibility testing of dental materials is based on the reduction of animal experiments
through better simulation of in-vivo conditions in in-vitro experiments. Whenever possible,
in-vitro and animal tests should be modified, in order to better imitate the clinical conditions
and to make the results clinically more relevant.
PP.052. THE USE OF GIC BY DENTISTS IN THE SOUTH-EAST PART

OF BOSNIA AND HERCEGOVINA
DOBRIKOVIC O, STANOJEVIC M, CICMIL S.
DOBRIKOVIC OLIVERA-DDM-DENTAL OFFICE STANOJEVIC

STANOJEVIC MIHAEL-MSC DDM-UNIVERSITY IN EAST SARAJEVO
CICMIL SMILJKA-PHD DDM-UNIVERSITY IN EAST SARAJEV
THE USE OF GIC BY DENTISTS IN THE SOUTH-EAST PART OF BOSNIA AND HERCEGOVINA The use of
GIC is world wide spread for many decades now. During this time it has shown his good but also his
bad sides. All the manufacturers are trying to improve them products to stay ahead of the
competition. But in that entire struggle it is a big question if the final consumer, the dentist, has the
proper information and feedback about the materials. In our contact to colleagues we did notice that
a lot a prejudice exist about using GIC. We have made a survey about awareness and the usage of GIC
in the population of dentist in south-east part of Bosnia and Hercegovina. The survey contains 10
questions. Questions are about do dentist use a GIC materials, in which way and what is their
knowledge about new GIC materials. Also questions are about they satisfaction whit GIC in different
indications, and so on. Very big differences are between dentist which work in private practice and
dentist witch work in state practice. Also most dentist use same materials. From all of that we have
ĐŽŶĐůƵĚĞĚƚŚĂƚƚŚĞƌĞƐŚŽƵůĚďǇŵŽƌĞůĞĐƚƵƌĞƐ͕ŵŽƌĞŚŝŐŚƋƵĂůŝƚǇŝŶĨŽƌŵĂƚŝŽŶ͛Ɛ͕ŝŶĨŽƌŵĂƚŝŽŶ͛ƐƚŚĂƚĂƌĞ
scientifically supported and they should be on native language.
PP.053. THE EFFECT OF HYDROFLUORIC ACID ETCHING

PROCEDURE ON SURFACE ROUGHNESS OF THREE DIFFERENT ALL-
CERAMIC SYSTEMS
ATALAY P, GONULDAS F, ODABAS T, OZTAS DD.
PELIN ATALAY-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF PROSTHODONTICS

FEHMI GONULDAS-DDS, PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS
DOGAN DERYA OZTAS-DDS, PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS
Background: In an attempt to improve bonding of resin cements to ceramics, various surface

treatments that facilitate chemical and micromechanical retention have been recommended. In
addition, the composition and the construction method of the all-ceramics should be considered to
determine the surface treatment method. The aim of this study was to evaluate of surface roughness
modification of three different all-ceramic systems after hydrofluoric acid etching. Materials and
Methods: Fourty specimens were prepared from two different CAD/CAM blocks (20 specimens of
leucite-reinforced glass-ceramic (IPS Empress CAD) and 20 specimens of feldspathic blocks (CEREC))
sectioned in dimensions of 2-mm thickness, 12-mm length and 10-mm wide with a diamond slicer.
Twenty leucite-reinforced pressable ceramic specimens (IPS Empress Esthetic) were constructed by
the hot pressing technique in the same dimensions. All specimens were etched with hydrofluoric acid
by different etching periods and alteration of surface roughness values were measured with a
profilometer before and after the surface treatments. The data were statistically analyzed. Results: As
a result of this study, the differences between the surface roughness values of the specimens was
evaluated, and the alterations was observed depending on the period of acid application. Conclusion:
Regarding to results of this study, surface Ra values of etched all-ceramic systems may be affected by
composition and the construction method of the material of restorations.
PP.054. SHEAR BOND STRENGTHS BETWEEN RESIN CEMENT AND

ALL-CERAMICS FABRICATED BY USING DIFFERENT TECHNIQUES
GONULDAS F, ATALAY P, ODABAS T, OZTAS DD.

PROSTHODONTICS
PROSTHODONTICS;--
Background: There are many ways to produce all-ceramic restorations which includes powder/liquid
building, slip casting, hot-ceramic pressing and computer-aided design/computer-aided
manufacturing (CAD/CAM). CAD/CAM procedures compete against conventional fabricated
restorations. As different methods of production may produce variable results, this study aims to
compare CAD/CAM systems to hot-pressed ceramics regarding their shear bond strength using resin
cement. Materials and Methods: Twenty specimens were prepared from leucite-reinforced glass-
ceramic blocks (IPS Empress CAD) sectioned in dimensions of 2-mm thickness, 12-mm length and 10-
mm wide with a diamond slicer. Twenty leucite-reinforced pressable ceramic specimens (IPS Empress
Esthetic) were constructed by the hot pressing technique in the same dimensions. The obtained
fragments were then embedded in autopolymerizing acrylic resin. Subsequently, resin cement was
applied to the surface of the specimens using a Teflon mold and photopolymerization was carried out.
All specimens were stored in distilled water for 24 h. The shear bond strength measurements were
accomplished with a universal testing machine (Lloyd Instruments) and the failure modes (adhesive,
cohesive or mixed) were determined. The data were statistically analyzed. Results: Regarding to the
results of the study, there were differences between shear bond strength values of the tested
specimens. Conclusion: Material selection must be considered cautiously by clinicians, because bond
strength between all-ceramic restoration and resin cement may be affected by fabrication techniques
of restorations, without being related to the structure.
PP.055. EVALUATION OF SHEAR BOND STRENGTH OF TWO

DIFFERENT RESIN CEMENTS ON LEUCITE-REINFORCED GLASS-
CERAMIC CAD/CAM BLOCK
OZTAS DD, GONULDAS F, ATALAY P, ODABAS T.

PROSTHODONTICS
PROSTHODONTICS
Background: Resin-based adhesive luting materials are extensively used for cementation of all-
ceramic restorations. Resin cements are considered necessary to long-term survival of restorations.
Currently, adhesive cements are categorized as total-etch, self-etch and self-adhesive systems. Both
systems have their own advantages and disadvantages. This study aimed to evaluate the comparison
of the shear bond strength of two different resin cements on CAD/CAM block. Materials and
Methods: Fourty specimens were prepared from leucite-reinforced glass-ceramic blocks (IPS Empress
CAD) sectioned in dimensions of 2-mm thickness, 12-mm length and 10-mm wide with a diamond
slicer. The obtained fragments were then embedded in autopolymerizing acrylic resin. Two different
resin cements were applied to the surface of the specimens using a Teflon mold and
photopolymerization was carried out. All specimens were stored in distilled water for 24 h. The shear
bond strength measurements were accomplished with a universal testing machine (Lloyd
Instruments) and the failure modes (adhesive, cohesive or mixed) were determined. The data were
statistically analyzed. Results: The shear bond strengths of the prepared specimens were examined
and different values were obtained as a result of the study. Conclusion: The bond strength between
all-ceramic restoration and resin cements may be affected by the type of resin cement. Thus,
clinicians must be careful when choosing the type of cement according to the material of restoration
that will be used.
PP.056. THE BOND STRENGTH OF UNIVERSAL ADHESIVES ON
CARIES-AFFECTED DENTIN WITH OR WITHOUT ACID-ETCHING
DEMIRBUGA S, </ZEE͕<W>ED,͕hZE͕mzm<b,͘
SEZER DEMIRBUGA-DDS, PHD-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF

E7Z EhZE </Z-DDS-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
MEL< ,7>> <W>E-DDS-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
Zh EhZ hZ-DDS, PHD-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
,d7 mzm<b-DDS, PHD-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
Background: The aim of this study was to investigate microshear bond strength of three universal
adhesives to caries-affected dentin with and without acid etching compared to conventional
adhesives. Methods and materials: A total of 135 composite cylinders (n=15 in each group) were
bonded to caries-affected midcoronal dentin using three universal adhesives (Single Bond Universal
(3M ESPE) (SBU), All Bond Universal (Bisco) (ABU), Futurabond Universal (Voco) (FU)) with or without
acid etching and three conventional adhesives (total of 9 groups). After 24 hours storage in distilled
ǁĂƚĞƌĂƚϯϳΣ͕ŵŝĐƌŽ-ƐŚĞĂƌďŽŶĚƐƚƌĞŶŐƚŚ;ђ^^ͿƚĞƐƚǁĂƐƉĞƌĨŽƌŵĞĚ͘dŚĞĚĞďŽŶĚŝŶŐƐƵƌĨĂĐĞƐǁĞƌĞ
evaluated under the scannning electron microscopy. The data was analyzed using two-way ANOVA,
Tukey, and Chi-ƐƋƵĂƌĞ ƚĞƐƚƐ͘ ZĞƐƵůƚƐ͗ ĨƚĞƌ ĂĐŝĚ ĞƚĐŚŝŶŐ͕ ǁŚŝůĞ &h ŝŶĐƌĞĂƐĞĚ ƚŚĞ ђ^^ ;WϬ͕ϬϱͿ͕ ^h
reduced (PϬ͕ϬϱͿĂŶĚhĚŝĚŶŽƚĐŚĂŶŐĞ;WϬ͕ϬϱͿ͘dŚĞĨƌĂĐƚƵƌĞƉĂƚƚĞƌŶƐƉƌŽǀŝĚĞĚ͚ĂĚŚĞƐŝǀĞĨĂŝůƵƌĞ͛
subtantionally in all groups. Conclusion: The effect of acid application before universal adhesives on
the caries-affected dentin depends on the adhesive system to be used.
PP.057. COMPARISON OF THE CYTOTOXICITY OF MTA AND

PORTLAND CEMENT CONCENTRATIONS ON L929.
HERDEM G͕Z/z^D͕7DDK)>hb/ZsE>/EE͘
'm>) ,ZD-COMPARISON OF THE CYTOTOXICITY OF MTA AND PORTLAND CEMENT

CONCENTRATIONS ON L929.-Z/z^ mE/sZ^/d^/͕ &h>dz K& Ed/^dZz͕ W/dZ/
DENTISTRY
MUSTAFA AYDINBELGE--Z/z^ mE/sZ^/d^/͕ &h>dz K& DENTISTRY, PEDIATRIC
DENTISTRY
E&/Ê>E7DDK)>hb/ZsE>/--Z/z^mE/sZ^/d^/͕&h>dzK&W,ZDz
Introduction: MTA has good biological properties, and it is a mineralization-inducing material

with different indications in endodontics. The benefits of MTA are very high. Therefore the
area of use has expanded considerably. Because MTA is in contact with the periodontal
tissues, bone, and pulp, it is important to know its cytotoxic and genotoxic effects. The
purpose of this study was to evaluate the cytotoxicity of MTA compared with portland
cement. Methods: Mouse fibroblasts cells (L929) were placed in contact with different
dilutions of culture media previously exposed to such materials. Cytotoxicity was evaluated
by methol-thiazol-diphenyl tetrazolium assay in spectrophotometer to check the viability
rate and cell survival. Cell survival rate was assessed before and after exposure to cement
extracts, and the results were statistically analyzed by Kruskal-Wallis and Dunn tests (P <
.05). Results: The results showed that the cell viability remained above 70% in MTA group for
all dilutions but the 1:1 fresh dilution. In portland cement fresh group showed that the cell
viability remained above 40% and set portland group aboved %100. Conclusions: MTA was
the less cytotoxic material in this study. Portland cement showed the lowest cell viability
rates and caused a decrised cell viability when compared with control group.
PP.058. THE BOND STRENGTH OF 5 DIFFERENT UNIVERSAL

ADHESIVES TO DEMINERALIZED ENAMEL
D/Zh)^͕</ZEE͕AKAY AT, ERKAYA I, BAKIR M.
^ZD/Zh)-DDS, PHD-Z/z^hE7sZ^/dz͕&h>dzK&Ed/^dZz͕WZdDEdK&
E7ZEhZE</Z-DDS-Z/z^hE7sZ^/dz͕&h>dzK&Ed/^dZz͕WZdDEdK&
z^hEdh)<z-DDS-Z/z^hE7sZ^/dz͕&h>dzK&Ed/^dZz͕WZdDEdK&
IKBAL ERKAYA-STUDENT-Z/z^hE7sZ^/dz͕&h>dzK&Ed/^dZz͕WZdDEdK&
MERVE BAKIR-STUDENT-Z/z^hE7sZ^/dz͕&h>dzK&Ed/^TRY, DEPARTMENT OF
Background: The aim of this study was to invastigate the adhesive performance of universal
adhesives to demineralized enamel. Methods and materials: Fifty five extracted noncarious
human incisors were selected and demineralised using a pH-cycling model. The teeth were
randomly divided into 11 main groups according to adhesive procedures used (Single Bond
Universal (SU), Single Bond Universal+acid etching, All Bond Universal (AU), All Bond
Universal+ acid etching, Clearfil Universal (CU), Clearfil Universal+acid etching, Gluma bond
Universal (GU), Gluma bond Universal+acid etching, Prime Bond One Select (PU), Prime
Bond One Select+acid etching, Single Bond 2 (SB2) (Control)). The adhesives were applied to
demineralized enamel surface and a microhybride composite resins were placed and light
cured. After micro-shear bonding test, the fracture surfaces were examined under the SEM.
Statistical analysis was performed using one-ǁĂǇ EKs ĂŶĚ dƵŬĞǇ͛Ɛ ƉŽƐƚ-hoc tests.
Results: While the bond strength of three universal adhesives, SBU, AU, PU increased with
acid-etching (pϬ͕ϬϱͿ͕ ƚŚĞ ďŽŶĚ ƐƚƌĞŶŐƚŚ ŽĨ ŽƚŚĞƌ ƚǁŽ ƵŶŝǀĞƌƐĂů ĂĚŚĞƐŝǀĞ͕ h ĂŶĚ 'h
reduced with acid-etching (pϬ͕ϬϱͿ͘ŵŽŶŐ Ăůů ŐƌŽƵƉƐ ŝŶĐůƵĚŝŶŐ ĐŽŶƚƌŽů ;^ϮͿ͕ Wh ƉƌŽǀŝĚĞĚ
highest bond strength values. Conclucion: The bond strength of universal adhesives in
demineralized enamel with acid-etching depends on adhesive material used. Further in vivo
and invitro studies are needed.
PP.059. CLINICAL PERFORMANCE OF TWO UNIVERSAL ADHESIVES
IN EARLY OCLUSAL CARIOUS LESIONS: 18-MONTH FOLLOW-UP
</ZEE͕ D/Zh)^͘
E/ZEhZE</Z-DDS-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF

^Z D/Zh)-DDS, PHD-ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
Background: The aim of this study was to evaluate the 18-month clinical performance of two
universal adhesives in posterior teeth with early stage carious lesion using two evaluation
criteria (FDI and USPHS). Methods and materials: Twenty patients were participated in this
study. Eighty restorations (Four restorations for each participant) were performed using
split-mouth design and divided to four groups: All Bond Universal, All Bond Universal+acid
etching, Clearfil universal, Clearfil universal+acid etching. A microhybrid composite resin was
placed incrementally. The restorations were evaluated at baseline, 6-month recall, and 18-
month recall, using both the FDI and USPHS criterias by two double-blinded and experienced
examiners. Statistical analyses were performed using Chi-square test (ɲ=0.05). Results: A
total of 80 restorations were evaluated after 18 months. The participation rate was 100%.
There was no significant difference in all factor (Marginal staining, marginal adaptation,
anatomical form, color changes of restoration, secondary caries, retantion, and post-
operative sensitivity) among the groups according to USPHS and FDI criteria (p>0.05).
Conclusion: The clinical behavior of the universal adhesives at 18 months do not depend on
the bonding strategy. Further in vivo and in vitro studies are needed.
Session 11
PP.060. A COMPARATIVE STUDY BETWEEN 2D AND 3D IMAGING IN
DENTISTRY
CHONDRONIKOLA E, SIDERI M, DERVISOGLOU T, DELANTONI A.
EIRINI CHONDRONIKOLA-UNDERGRADUATE STUDENT-SCHOOL OF DENTISTRY ARISTOTLE UNIVERSITY

OF THESSALONIKI GREECE
MARIA SIDERI -UNDERGRADUATE STUDENT-SCHOOL OF DENTISTRY ARISTOTLE UNIVERSITY OF
THESSALONIKI GREECE
THEODOROS DERVISOGLOU-POSTGRADUATE STUDENT-SCHOOL OF DENTISTRY,DEPARTMENT OF
DENTOALVEOLAR SURGERY, IMPLANTOLOGY, RADIOLOGY ARISTOTLE UNIVERSITY OF THESSALONIKI
GREECE
ANTIGONI DELANTONI-LECTURER-SCHOOL OF DENTISTRY,DEPARTMENT OF DENTOALVEOLAR
SURGERY, IMPLANTOLOGY, RADIOLOGY ARISTOTLE UNIVERSITY OF THESSALONIKI GREECE
A COMPARATIVE STUDY BETWEEN 2D AND 3D IMAGING IN DENTISTRY INTRODUCTION: Dental

imaging by means of radiography is a valuable diagnostic tool for dentists. Imaging should always
follow the clinical examination bearing in mind to weigh the dipole of benefit/harm for the patient.
Under no circumstances should radiographic imaging be considered as a procedure of daily routine
ignoring the biological effects of radiation. There are two main imaging categories in dentistry: two
dimensional (which for the purpose of our study will be limited to panoramic) and three dimensional
(which we will limit to CBCT). PURPOSE: Our aim is to compare OPG and CBCT by presenting the
advantages, disadvantages and main applications of the techniques in relation to the anatomical
structures of the maxillofacial region and underlying pathology, considering that a correct diagnosis
can lead to a precise treatment. METHODS AND MATERIALS: A systematic review of published articles
on Pubmed and contiguous online data, using the following keywords: panoramic radiography, cone
beam computed tomography, advantages and disadvantages, diagnosis and comparison. RESULTS:
The contribution of imaging methods in dentistry is of great importance. If diagnostic doubt occurs,
imaging should be repeated since ignoring underlying pathology is more dangerous to the patient
than absorbed radiation. CONCLUSION: In order to achieve the best diagnostic result, the choice of
the imaging technique should be based on its suitability and applications and what the dentist expects
to diagnose, although studies have not demonstrated significant alternations in treatment.
PP.061. SOCKET-SHIELD TECHNIQUE IN THE ESTHETIC ZONE: A

CASE REPORT
STYLAS A, KOUROS P, BATAS L.
ALEXANDROS STYLAS UNDERGRATUADE STUDENT

PANTELIS KOUROS D.D.S., PHD
LEONIDS BATAS D.D.S., M.SC, PHD
ARISTOTLE UNIVERSITY OF THESSALONIKI, DENTAL SCHOOL
Introduction: Tooth loss is accompanied by an inevitable subsequent remodeling process of the

alveolar ridge and retreat of the soft tissues that surround it. The resorption of the alveolar ridge is
more pronounced on the buccal than on the lingual aspect of the extraction socket. Alterations are
attributable to periodontal ligament loss and trauma at the buccal bone plate. Hurzeler intoduced at
2010 the socket-shield technique to prevent buccal tissue reduction. The rationale was to retent a
portion of the portion of the root and the subsequent periodontal ligament and simultaneously place
an immediate implant. Methods and Materials: An adult female patient, 39y.o. presented with a
ferruleless lateral maxillary incisor which had undergne apicectomy and had been restored with a
post and crown which amputated repeatedly. The root sectioned to prepare a socket-shield at
implant placement. Provissionalization achieved with an adhesively retained bridge. The implant
loaded after 6 months of healing. Results: Due to a pre-existed lesion, osseointegration was dubious,
therefore,loading had been postponed to monitor lealing with a series of x-rays.6 months later,
loading was ddecided sespite the incomplete rediofraphical integration due to the prolonged
stability demonstrated. Regardless the time mediated to finalization, the emerge profile and bone
volume remained stable. Currently the implant completed 9 months of clinical service without any
implications or changes. Conclusion: The socket-shield technique is a promising approachto maintain
the buccal bone plate and achieve a satisfactory aesthetic outcome. However, well-designed clinical
studies with long follow-up time and histological documentation are still needed.
PP.062. XERODERMA PIGMENTOSUM: A CASE REPORT AND

LITERATURE REVIEW
EDZW<7EZ&͕PED&, YILDIZ AN.
&7>7 EDZ W<7EZ-PROF.-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, FACULTY OF

Ed/^dZz͕DZDZhE/sZ^/dz7^dEh>͕dhZ<z
&dD'm>ZPED-Z^͘^^7^d͘-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, FACULTY
K&Ed/^dZz͕DZDZhE/sZ^/dz7^dEh>͕dhZ<z
zbEhZ z/>/-Z^͘ ^^7^d͘-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, FACULTY OF
Objective/ Case: Xeroderma pigmentosum, which is commonly known as XP, is an inherited condition
characterized by an extreme sensitivity to ultraviolet (UV) rays from sunlight. It is a rare disorder and
it is estimated to affect about 1 in 1 million people in the United States and Europe. The condition is
more common in Japan, North Africa, and the Middle East. It mostly affects the eyes and areas of skin
exposed to the sun. Some affected individuals also have problems involving the nervous system.
People with xeroderma pigmentosum have a greatly increased risk of developing skin cancer. Without
sun protection, about half of children with this condition develop their first skin cancer by age 10.
Most people with xeroderma pigmentosum develop multiple skin cancers during their lifetime. These
cancers occur most often on the face, lips, and eyelids. Cancer can also develop on the scalp, in the
eyes, and on the tip of the tongue. The purpose of this study is to present the case of a 32-year-old
female patient with a xeroderma pigmentosum and literature review.
PP.063. IMAGING TUBERCULOUS LYMPH NODE CALCIFICATION ON

PANORAMIC RADIOGRAPHY AND USG: A CASE REPORT
ARSLAN ZB, BERKER YILDIZ D, YASAR F.
ZEYNEP BETUL ARSLAN-RESEARCH ASSISTANT-SELCUK UNIVERSITY DENTISTRY FACULTY ORAL AND

DILA BERKER YILDIZ-RESEARCH ASSISTANT-SELCUK UNIVERSITY DENTISTRY FACULTY ORAL AND
FUSUN YASAR-ASSOCIATE PROFESSOR-SELCUK UNIVERSITY DENTISTRY FACULTY ORAL AND
INTRODUCTION: Calcified lymph nodes are usually asymptomatic and may be detected on a routine
panoramic radiography. Causes of lymph node calcifications are tuberculous, sarcoidosis, amyloidosis,
histoplasmosis, bacille calmette-guerin(BCG) vaccination, coccidiomyosis, filariasis, treated lymphoma
and metastatic calsifiying neoplazm. The most common of these is tuberculous and often
encountered in cervical and submandibular lymph nodes. PURPOSE: The aim of this case report to
present a female patient who has multiple calcified lymph nodes because of lymph tuberculous.
METHOD AND MATERIALS: A 49 year old female patient referred to our clinic to have a dental
examination. After taking a panoramic radiography, we detected multiple bilateral calcifications of
ůǇŵƉŚŶŽĚĞ͘&ƌŽŵƚŚĞƉĂƚŝĞŶƚ͛ƐĂŶĂŵŶĞƐŝƐǁĞůĞĂƌŶĞĚƚŚĂƚƚŚĞƉĂƚŝĞŶƚŚĂĚůǇŵƉŚŶŽĚĞƚƵďĞƌĐƵůŽƐŝƐ
and operated about 15 years ago. Then we evaluated the calcified nodes by using USG and took
several images. There were multiple, irregular, hypoechoic areas on these images. RESULTS: Patients
may be referred to our clinic for examinations for several dental purposes and cervical and
submandibular lymph node calcifications may be recognized on a routine panoramic radiography.
CONCLUSIONS: Some structures in the head and neck region can be seen on a panoramic radiography
and may help us to detect other pathologies of this region such as the calcification of lymph nodes.
PP.064. NON-SYNDROMIC MULTIPLE SUPERNUMERARY TEETH:

THREE CASE REPORTS
YILDIZ DB, ARSLAN ZB, YASAR F.
DILA BERKER YILDIZ-RESEARCH ASSISTANT-SELCUK UNIVERSITY DENTISTRY FACULTY ORAL AND

zEW dm> Z^>E-RESEARCH ASSISTANT-SELCUK UNIVERSITY DENTISTRY FACULTY ORAL AND
FUSUN YASAR-ASSOCIATE PROFESSOR-SELCUK UNIVERSITY DENTISTRY FACULTY ORAL AND
INTRODUCTION: Supernumerary teeth , also known as hyperdontia , are addition teeth to regular
teeth series. Multiple supernumerary teeth can be seen in associaton with several syndrome such as
'ĂƌĚŶĞƌ͛Ɛ ƐǇŶĚƌŽŵĞ͕ ůĞŝŽĚŽĐƌĂŶŝĂů ĚǇƐƉůĂƐŝĂ͕ ŚůĞƌƐ ĂŶůŽŶƐ ƐǇŶĚƌŽŵĞ͕ dƌŝĐŚŽ-rhino phalangic
syndrome, cleft lip and palate. Examples of non-syndromic supernumerary teeth are very rare. The
presence of supernumerary teeth can cause dental malposition, over retained teeth, ectopic
eruption,delayed eruption, pathological lesion in neighboring teeth. PURPOSE: We present three
cases which have non-syndromic multiple supernumerary teeth which were incidental findings during
routine radiographic examination. METHOD AND MATERIALS: In the first case report, there were four
non-syndromic supernumerary premolars located in the maxillary and mandibular region in a 21 year
old male patient.In the second case report,a 28 year old female patient with three non-syndromic
supernumerary canin and premolars located in the maxillary and mandibular region is reported.In the
third case report, a 17 year old female patient with five nonsydromic supernumerary canin and
premolars located in the maxillary and mandibular region is reported. RESULTS: Excess of one or more
teeth may lead to occlusal, pathologic and functional problem. Therefore, radiogarphic examination is
of extreme importance in suƉĞƌŶƵŵĞƌĂƌǇ ƚĞĞƚŚ͛Ɛ ĞĂƌůǇ ĚŝĂŐŶŽƐŝƐ͘ KE>h^/KE͗ KƌƚŽƉĂŶƚŽŐƌĂƉŚŝĐ
radiogaphy is important in early detection of nonsyndromic supernumerary teeth.
PP.065. COMPLICATIONS IN THE PARANASAL SINUSES AFTER
ENDODONTIC TREATMENT ESTABLISHED BY CONE-BEAM
ǿ20387('7OMOGRAPHY
ANGELOVA I, KANAZIRSKA P, YORDANOV G, PETROVA B.
I.ANGELOVA-COMPLICATIONS IN THE PARANASAL SINUSES AFTER ENDODONTIC TREATMENT

ESTABLISHED BY CONE-BEAM ˁOMPUTED TOMOGRAPHY-MEDICAL UNIVERSITY PLOVDIV, FACULTY
OF DENTAL MEDICINE, DEPARTMENT OF IMAGING DIAGNOSTICS, DENTAL ALLERGOLOGY AND
PHYSIOTHERAPY
P.KANAZIRSKA
G.YORDANOV
B.PETROVA
CBCT is a relatively new method that uses cone beam to delivery x-rays onto flat- panel array
detectors.The distance between tube and detector is small and that allows significant reduction of the
radiation dose, without compromising quality and resolution.The entry of the CBCT is very fast,
because of the good quality diagnostic data, 3D imaging, low dose radiation. The main use of CBCT is
in dental pathology , endodontics, orthodontics, implantology, maxillofacial diseases, paranasal
sinuses. The visualization of high-contrast bone morphology on CBCT is comparable to standard sinus
CT, allowing clear delineation of the principal surgically relevant osseous structures. Soft tissue
visibility is however limited. CBCT scan provides a fast and efficient alternative to conventional CT
Foreign bodies are rarely found in the maxillary sinus, and usually they have a dental origin. We are
reporting 10 cases of foreign bodies into the maxillary. They were diagnosed by three-dimensional
images from cone-beam computed tomography (CBCT) Key words:CBCT,paranasal
sinus,complications
PP.066. RENTGENOMETRY UPON IMPACTION OF THE

MANDIBULARY THIRD MOLARS
KANAZIRSKA P, YORDANOV G, AMGELOVA I, KANAZIRSKI N.
P.KANAZIRSKA-RENTGENOMETRY UPON IMPACTION OF THE MANDIBULARY THIRD MOLARS -

MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL MEDICINE, 1) DEPARTMENT OF IMAGING
DIAGNOSTICS, DENTAL ALLERGOLOGY AND PHYSIOTHERAPY
2) DEPARTMENT OF ORAL SURGERY
G.YORDANOV
I.AMGELOVA
N.KANAZIRSKI
Purpose: The purpose of this article is to present an objective method for determination of the
medio-distal inclination and the space for eruption of the third molars of the mandible. Materials and
methods: The studied patients with impacted third molars of the mandible are 127, aged 17 through
60. They were examined with Cone-beam Computed Tomography (CBCT). On the
orthopantomography, obtained after the scanning as a reconstructed image, we defined the medio-
distal inclination and space for eruption of the third molars of the mandible. For this purpose, we
summarized several methods. Results: The most common inclination of the third molars of the
mandible with retained eruption is the medial one at 120 teeth (ϲϭ͘ϱйцϯ͘ϱͿ͘^ĞĐŽŶĚŝŶĨƌĞƋƵĞŶĐǇŝƐ
the vertical one ʹ ϯϰƚĞĞƚŚ;ϭϳ͘ϰйцϮ͘ϳͿ͕ĨŽůůŽǁĞĚďǇƚŚĞĚŝƐƚĂůŝŶĐůŝŶĂƚŝŽŶʹ ϮϭƚĞĞƚŚ;ϭϬ͘ϴйцϮ͘ϮͿ͘
With the lowest frequency are the teeth which are positioned horizontally ʹ ϮϬƚĞĞƚŚ;ϭϬ͘ϯйцϮ͘ϮͿ͘
Shortage of retƌŽŵŽůĂƌ ƐƉĂĐĞ ŝƐ ĞƐƚĂďůŝƐŚĞĚ ĨŽƌ ϭϳϯ ƚĞĞƚŚ ;ϴϴ͘ϳй ц Ϯ͘ϯͿ͘ /Ŷ ϮϮ ƚĞĞƚŚ ;ϭϭ͘ϯй ц Ϯ͘ϯͿ
there is enough space in the jaw for eruption. Conclusion: By determining the inclination of impacted
wisdom teeth under this methodology one can avoid the subjective factor ʹ the seventh tooth. It is
not a reference plane, because it can also be tilted or missing. With the help of the developed method
the retromolar point can be determined more objectively. Key words: CBCT, impacted wisdom teeth
of the mandible, medio-distal inclination, retromolar space.
PP.067. ASSESSMENT OF A PATIENT WITH AN ENDODOTICALLY

TREATED TOOTH BY CBCT
<K͕SAAT O͕^PED'͕<DhZK)>h<͘
DZ <K-RESEARCH ASSOCIATE-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF

ENDODONTICS
Dr. Ogulcan Saat Ankara University Faculty of Dentistry Department of Dentomaxillofacial
ZĂĚŝŽůŽŐǇ'm> ^PED-RESEARCH ASSOCIATE-ANKARA UNIVERSITY FACULTY OF DENTISTRY
<ŦsE <DhZK)>h-PROF-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
A 22 yer old female patient with a complaint of discomfort and slight pain during chewing in her
endodontically treated mandibular molar tooth was referred to our clinic. Intraoral imaging was
inadequate to assess the exact etiology of the patient complaints. A CBCT image was taken in order to
assess any possible complication or a periapical pathology. Outcome assessment conducted by using
serial multiplanar reconstruction images revealed that there was an underfilled root canal which
might cause patient discomfort. Patient was referred for retreatment. Outcome assessment of
endodontically treated teeth with complications and undefined pain by using CBCT should be
considered in certain cases.
PP.068. INCIDENTAL FINDING AS INVERTED PAPILLOMA: A CASE

REPORT
ORHAN K, SEKI U, AVSEVER H, HAKIKI H.
KAAN ORHAN-PROFESSOR-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF

UMUT SEKI-RESEARCH ASSISTANT -ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
HAKAN AVSEVER-ASSOCIATED PROFESSOR-GULHANE EDUCATION AND RESEARCH HOSPITAL,
HAMI HAKIKI-RESEARCH ASSISTANT -ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
BACKGROUND Sinonasal inverted papilloma is a benign growth extending into the underlying stroma
of the nasal cavity and paranasal sinus. We present a patient with inverted papilloma who referred
for oroantral fistule. METHODS AND MATERIALS A 24-year-old male patient referred to our clinic with
sinusitis symptoms such as stuffiness, nasal discharge and pain in molar area. In his clinical history,
oroantral fistule was occurred after extraction of first maxillary molar tooth on the right side and the
patient was treated for oroantral fistule two years ago. After panoramic radiography examination,
CBCT and MRI examination were decided. RESULTS Excepting sinusitis symptoms, the patient had one
more suspicious symptom as epistaxis. After panoramic examination, right maxillary sinus was found
more radiopaque significantly. In CBCT examination, lesion was included maxillary, ethmoidal, frontal
sinuses and nasal cavity. Also lesion was started to invasion to sphenoidal sinus. There was
destruction of medial wall of right maxillary sinus including ostium. T1W images were demonstrated
margins of lesion and characteristic feature of sinonasal inverted papilloma as centering at the middle
ŵĞĂƚƵƐ͘ dϮt ŝŵĂŐĞƐ ǁĞƌĞ ĚĞŵŽŶƐƚƌĂƚĞĚ ͚͚ĐŽŶǀŽůƵƚĞĚ͕ ĐĞƌĞďƌŝĨŽƌŵ͛͛ ĂƌĐŚŝƚĞĐƚƵƌĞ ǁŚŝĐŚ ŝƐ
characteristic appearance for sinonasal inverted papilloma. CONCLUSION We were examined cause of
symptoms for oroantral fistule initially. After CBCT examination we were concluded that lesion was
not associated with oroantral fistule. With MRI findings, we diagnosed the lesion as sinonasal inverted
papilloma and the patient was referred to otorhinolaryngology.
PP.069. CENTRAL GIANT CELL GRANULOMA LOCATED IN THE

MAXILLA:A CASE REPORT
DOGAN FB, CETIN B, AKGUNLU F.
FATMA BUSRA DOGAN-RESEARCH ASSISTANT-SELCUK UNIVERSTY,DENTISTRY FACULTY,ORAL AND

BILGUN CETIN-RESEARCH ASSISTANT-SELCUK UNIVERSTY,DENTISTRY FACULTY,ORAL AND
FARUK AKGUNLU-PROFESSOR-SELCUK UNIVERSTY,DENTISTRY FACULTY,ORAL AND MAXILLOFACIAL
RADIOLOGY
7ŶƚƌŽĚƵĐƚŝŽŶ͗ĞŶƚƌĂů ŐŝĂŶƚ ĐĞůů ŐƌĂŶƵůŽŵĂ ŝƐ Ă ŶŽŶ-neoplastic proliferative lesion of unknown

etiology.It is located more often in the mandible than in the maxilla.They can range from
asymptomatic to destructive lesions that grow quickly.It is a lesion to be considered in the differential
diagnosis of osteolytic lesions affecting the jaws.Definitive diagnosis is given by biopsy.Apical lesions
detected during clinical and radiographic examinations may indicate different pathologies such as
central giant cell granuloma. Purpose:The purpose of this study is to present a case with central giant
cell granuloma which is a rare occuring jaws lesion. Method and Materials:32 year old male patient
referred to our clinic because of the intraoral swelling of posterior maxilla for three days.There was
no other complaint and finding except for the swelling.He had gone to an other clinic for that
complain before referred to our clinic and the diagnos was that the intraoral swelling was caused by
abscess.During the radiographical examination, we saw that there was an unilokuler radiolucent
ůĞƐŝŽŶ ĨƌŽŵ ĐĂŶŝŶĞ͕ĨŝƌƐƚ ĂŶĚ ƐĞĐŽŶĚ ƉƌĞŵŽůĂƌ͛Ɛ ĂƉĞǆŝƐ ƚŽ ƌŝŐŚƚ ŵĂǆŝůůĂƌǇ ƐŝŶƵƐ͘Ɛ Ă ƌĞƐƵůƚ ŽĨ ƚŚĞ
tomography from this area, the field unilocular was observed as hypodense. Results:It was
determined that the lesion of the excisional biopsy made in the patient was histopathologically giant
cell granuloma. Conclusions:When an apical lesion or swelling are seen rare lesions in the differential
diagnosis should also be considered. Panoramic and CBCT can help to distinguish diagnosis of some
lesions.
PP.070. ODONTOGENIC CYST ASSOCIATED WITH IMPACTED
MANDIBULAR THIRD MOLAR: TWO CASE REPORTS
CETIN B, DOGAN FB, AKGUNLU F.
BILGUN CETIN-RESEARCH ASSISTANT-SELCUK UNIVERSTY, DENTISTRY FACULTY, ORAL AND

FATMA BUSRA DOGAN-RESEARCH ASSISTANT-SELCUK UNIVERSTY, DENTISTRY FACULTY, ORAL AND
FARUK AKGUNLU-PROFESSOR-SELCUK UNIVERSTY, DENTISTRY FACULTY, ORAL AND MAXILLOFACIAL
RADIOLOGY
7ŶƚƌŽĚƵĐƚŝŽŶ͗ /Ŷ Ăůů ŝŵƉĂĐƚĞĚ ƚĞĞƚŚ͕ ƚŚŝƌĚ ŵŽůĂƌƐ ĂƌĞ ƚŚĞ ŵŽƐƚ ĐŽŵŵŽŶ ǁŝƚŚ йϵϴ͕ ĞƐƉĞĐŝĂůůǇ
mandibular third molars. Reasons of that teeth impaction are lack of space, malposition and other
conditions. It is stated that about 1/3 of the mandibular third molars are associated with pathologic
conditions.Among the several pathology which can affect the impacted teeth the most common are
the dentigerous cyst, odontogenic keratocyst ameloblastoma and nonspecific inflammatory tissue.
Purpose: the purpose of this study to present two cases that have odontogenic cyst associated with
impacted mandibular wisdom tooth. Both of cysts caused unusual symptoms and images. Method
And Materials:The first case: A 38 year old male patient referred to our clinic with a huge swelling in
the right half of his face in addition his right eye was affected. After the clinic and radiographic
examination we recognized a ruptured odontogenic cyst of impacted third molar which covered and
rezorbed the ramus cortex. And the second case: a 48 year old male patient also referred to our clinic
because of feeling a hard mass on the base of his left mandible. He had a impacted mandibular third
molar that inverted and partially erupted mandibular base. In fact a odontogenic cyst caused that
problems. Results: Both of the cyst were opereted and teeth were extracted. Conclision: Early
diagnosis and treatment of the odontogenic cyst lesion is very important to prevent morbidty.
Different types of cystic lesions can be easily detected by using panoramic radiography that is
commonly used in dental clinics.
PP.071. PERI-IMPLANT TRABECULAR BONE ASSESSMENT ON

PANORAMIC RADIOGRAPHS AND CONE BEAM COMPUTED
TOMOGRAPHY
MAGAT G, OZCAN S.
GULDANE MAGAT-ASSIST.PROF.DR.-NECMETTIN ERBAKAN UNIVERSITY DENTISTRY FACULTY

SEVGI OZCAN-ASSOC.PROF.DR.-NECMETTIN ERBAKAN UNIVERSITY DENTISTRY FACULTY
OBJECTIVE: Fractal dimension (FD) and voxel value (VV) evaluations on digital panoramic radiography
(DPR) and cone beam computed tomography (CBCT) images might be a useful diagnostic tool for
bone alterations. The aims of this study were to examine the changes in FD and VV of peri-implant
alveolar bone on DPRs and CBCTs before and after 6 months implantation and to evaluate the
correlation between DPR and CBCT FD values. METHODS: Sixteen patients receiving 60 dental
implants were included in this study. The total of 60 implant sites consisted of posterior mandibular
sites. A region of interest (ROI) was selected from DPR and CBCT images. Image processing was
applied to correct for lighting irregularity, and the box-counting method was used to calculate FD. In
addition, VV of ROI on CBCT was calculated, too. RESULTS: No significant differences were observed
between FD and VVs values calculated before and after 6 months implant loading DPR and CBCT
images. In addition, there were no significant differences between DPR and CBCT measurements for
FD values. However, VVs at the implant apex were not significantly correlated with FD values before
and after 6 months implant loading (distal, apical and mesial) on the DPR and CBCT. CONCLUSIONS: It
can be concluded that the FD values and VVs of the peri-implant trabecular bone architecture did not
change after 6 months implantation. More elaborate studies are necessary to verify these results and
test their clinical applicability. KEY WORDS: Fractal dimension, voxel value, panoramic, cbct, implant
PP.072. CONE BEAM COMPUTED TOMOGRAPHY STUDY: MAKSILLAR

CORTICAL BONE THICKNESS OF SOUTHEASTERN ANATOLIAN
PEOPLE
BELGIN EA͕/'m>K͕<<hb Z.
CEREN AKTUNA BELGIN-RESEARCH ASSISTANT-DICLE UNIVERSITY, FACULTY OF DENTISTRY,

DEPARTMENT 0F MAXILLOFACIAL RADIOLOGY, DIYARBAKIR/TURKEY
P<E/'m>-ASSOCIATE PROFESSOR-DICLE UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF ENDODONTICS DIYARBAKIR/TURKEY
</<<hb-PROFESSOR-DICLE UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF BIOSTATISTICS
DIYARBAKIR/TURKEY
AIM The aim of this retrospective study was to measure between the maxillar premolar and molar
teeth apices to buccal cortical bone and evaluate of differences in gender and different age groups,
using by cone beam computed tomography (CBCT) images. METHODOLOGY This study was performed
in 451 premolar and molar teeth of one hundred and thirteen patients were admitted to Dicle
University, Faculty of Dentistry, Department of Oral and Maxillofacial Radiology for different reasons.
ĂƚĂ ǁĞƌĞ ĂŶĂůǇǌĞĚ ƵƐŝŶŐ ^ƚƵĚĞŶƚ͛Ɛ ƚ- tests and Tukey HSD tests. RESULTS There was a statistical
difference between male and female. The thinnest point of the maxillary bone was measured in
women as 2,11 mm, in men as 2,02 mm in the first premolar teeth at the same time the thickest point
of maxillar bone was measured in women as 9,87 mm and in men 10,71 mm palatinal root of the first
molar. The difference between distobuccaů ĂŶĚ ƉĂůĂƚĂů ƌŽŽƚƐ ŽĨ ĨŝƌƐƚ ŵŽůĂƌ͕ ƚŚĞ ƐĞĐŽŶĚ ŵŽůĂƌ͛Ɛ
mesiobuccal root of different age groups were significant at the buccal bone thickness (p<0,05).
CONCLUSIONS The measurements of maxillar buccal bone thickness using CBCT for various dental
procedures especially in endodontic surgery, orthodontic mini implant treatment, dental implant
procedures, and healing after tooth extraction that are important knowledge.
PP.073. MULTIPLE SUPERNUMERARY MANDIBLE PREMOLARS ²

CASE REPORT
VLASKOVIC A, BIJELIC B, VASOVIC M, GAZIVODA D.
ALEKSANDRA VLASKOVIC-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL

SCIENCES, UNIVERSITY OF KRAGUJEVAC, SERBIA
BORIVOJ BIJELIC-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL SCIENCES,
UNIVERSITY OF KRAGUJEVAC, SERBIA
MIROSLAV VASOVIC-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL SCIENCES,
DRAGAN GAZIVODA-ASSISTANT PROFESSOR-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL
The background. Supernumerary teeth are extra teeth in comparison to the regular dentition.
Supernumerary premolars are teeth morphologically belonging to the premolar group that may
appear in either of the dental arches. They are more likely to develop in the mandible than in the
maxilla. It has been reported that prevalence of supernumerary premolars in permanent dentition is
between 0.075-0.26%. Supernumerary premolars account between 8-9.1% of all supernumerary
teeth. Hyperdontia affecting premolars can be single, multiple or related to a syndrome such as
Cleidocranial dysplasia and Gardner syndrome. Multiple supernumerary teeth in individuals with no
other disease or syndrome are very rare. Bilateral occurrence is uncommon and large percentages of
supernumerary premolars remains impacted, unerupted, and usually asymptomatic. Radiography
plays an important role in diagnosis of supernumerary teeth. Case report. A 25-year-old patient
reported that he had noticed a solid bulge in the left side of mandible. Intraoral examination revealed
there was solid tumefaction in the area between first and second mandible premolars on left side. It
has been done three-dimensional computerized tomography. Radiographic examination revealed an
impacted supernumerary mandible premolar between left first and second premolars, and two more
impacted supernumerary premolars, one between right first and second premolars and second
between right second premolar and first molar. Surgical removal of these teeth is treatment of
choice. Conclusion. In this case report, we present intraoral images, radiographic images, including
three-dimensional computerized tomography, and the surgical treatment. Key words: supernumerary
teeth, mandible premolars
PP.074. MRI EVALUATION OF TEMPOROMANDIBULAR JOINT

INTERNAL DERANGEMENT
JEREMIC KNEZEVIC M, MARKOVIC D, PUSKAR T, KNEZEVIC A, DJUROVIC KOPRIVICA D.
MILICA JEREMIC KNEZEVIC-ASSISTANT PROFESSOR-FACULTY OF MEDICINE, UNIVERISTY OF

NOVI SAD
DUBRAVKA MARKOVIC-FULL PROFESSOR-FACULTY OF MEDICINE, UNIVERISTY OF NOVI SAD
TATJANA PUSKAR-FULL PROFESSOR-FACULTY OF MEDICINE, UNIVERISTY OF NOVI SAD
ALEKSANDAR KNEZEVIC-ASSISTANT PROFESSOR-FACULTY OF MEDICINE, UNIVERISTY OF
NOVI SAD
DANIELA DJUROVIC KOPRIVICA-ASSISTANT-FACULTY OF MEDICINE, UNIVERISTY OF NOVI SAD
BACKGROUND: Internal derangements of the temporomandibular joint (TMJ) is defined as

an abnormal position of the disc relative to the mandibular condyle and articular eminence.
The goal of this study was to examine what is the most frequent internal disorder of TMJ in
non-patient population of women. MATERIALS AND METHODS: The research was conducted
as a prospective study at the Diagnostic Imaging Center, Oncology Institute of Vojvodina in
Sremska Kamenica (Serbia). We included 100 female subjects (200 TMJs) who came for a
scheduled MRI of endocranium not related to potential TMJ pathology. Each subject
underwent a parasagittal and coronal cross section of TMJ through both condyles using
Siemens Avanto 3T. According to Drace, anterior disc dislocation (ADD) was categorized on
ƚŚĞĚĞŐƌĞĞŽĨĚŝƐĐĚŝƐůŽĐĂƚŝŽŶ͘Z^h>d^͗DĞĂŶĂŐĞŽĨƉĂƚŝĞŶƚƐǁĂƐϰϵцϭϮ͕ϭϵ;ϭϵ-65) years.
Internal derangements of TMJ were detected in 50 TMJ (25%). Of this number, 44 TMJ (88%)
had ADD, while in 6 TMJ (12%) posterior disc dislocation was detected. In the subgroup of
ADD majority of disc dislocation (DD) was with reduction (24TMJ (55%)). The largest number
of TMJ in which ADD was identified had a degree of dislocation in the range of 31o to 50o
(20 (44,5%)), while the smallest number of TMJ (3 (7%)) had a degree of dislocation higher
than 80o. CONCLUSION: ADD, in our study, was the most frequent disc dislocation of TMJ.
The most frequent subgroup of ADD was in range of 31o to 50o.
PP.075. CONE BEAM CT EVALUATION OF ODONTOGENIC
MAXILLARY SINUS PATHOLOGY
XYLAGKOURELI E, TSOMPANIDES G, ANGELOPOULOS C.
ELENI XYLAGKOURELI-DDS-424 GENERAL MEDICAL ARMY HOSPITAL

ARISTEA LONDOU-D.D.S., CONSULTANT OF DENTAL DEPARTMENT 424 GENERAL MEDICAL
ARMY HOSPITAL -424 GENERAL MEDICAL ARMY HOSPITAL
GEORGE TSOMPANIDES-D.D.S., MSC, ENDODONTIC CONSULTANT OF DENTAL DEPARTMENT
424 GENERAL MEDICAL ARMY HOSPITAL -424 GENERAL MEDICAL ARMY HOSPITAL CHRISTOS
ANGELOPOULOS-D.D.S., MSC, PHD, ASSOC. PROFESSOR, SCHOOL OF DENTISTRY, ARISTOTLE
UNIVERSITY OF THESSALONIKI -SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF
THESSALONIKI
INTRODUCTION: THE DEVELOPMENT OF PERIAPICAL LESIONS IN TEETH WHOSE ROOT APICES

ARE CLOSE TO OR EXTENDING INTO THE MAXILLARY SINUSES COULD ELICIT INFLAMMATORY
CHANGES IN THE MUCOSAL LINING AND, SUBSEQUENTLY, THE DEVELOPMENT OF SINUSITIS.
THE PURPOSE OF THIS POSTER PRESENTATION IS TO DESCRIBE THE RADIOGRAPHIC
CHARACTERISTICS OF ODONTOGENIC MAXILLARY SINUSITIS AS SEEN ON CONE-BEAM
COMPUTED TOMOGRAPHY (CBCT) SCANS AND INTRAORAL RADIOGRAPHS. METHODS:
DENTAL RECORDS, INTRAORAL (PANORAMIC AND/OR PERIAPICAL) RADIOGRAPHS AND CBCT
SCANS OF 67 PATIENTS SHOWING SINUS DISEASE IN UNILATERAL OR BILATERAL MAXILLARY
SINUSES WERE EVALUATED. SINUS ALTERATIONS WERE CONSIDERED AS FOLLOWING:
GENERALIZED OR LOCALIZED MUCOSAL THICKENING , MAXILLARY SINUSITIS , AND
RETENTION CYSTS. THE ODONTOGENIC CONDITIONS EVALUATED WERE INADEQUATE
ENDODONTIC TREATMENT, PERIAPICAL LESIONS, AND PERIODONTAL BONE LOSS.
DESCRIPTIVE ANALYSES WERE PERFORMED. RESULTS: THE MOST PREVALENT CONDITION
WAS LOCALIZED MUCOSAL THICKENING (51,9%), FOLLOWED BY GENERALIZED MUCOSAL
THICKENING (38.2%) MAXILLARY SINUSITIS (9.1%), AND RETENTION CYSTS (4.6%).
LOCALIZED MUCOSAL THICKENING WAS STATISTICALLY ASSOCIATED WITH PERIAPICAL
LESIONS WHEREAS A CLOSE ANATOMIC RELATIONSHIP BETWEEN TEETH AND THE SINUS
FLOOR WAS NOTED. THE ADDITIONAL CLINICALLY RELEVANT INFORMATION OBTAINED
WITH THE CBCT IMAGES COMPARED TO INTRAORAL RADIOGRAPHS FACILITATED DIAGNOSIS
AND IMPROVED THE DECISION MAKING PROCESS. CONCLUSIONS: CHANGES IN THE
MAXILLARY SINUSES ASSOCIATED WITH PERIAPICAL PATHOLOGY ARE A COMMON
CONDITION. MAXILLARY FIRST OR SECOND MOLAR TEETH ARE MOST OFTEN INVOLVED,
INDIVIDUAL OR MULTIPLE ROOTS MAY BE IMPLICATED IN THE SINUS PATHOLOGIC
ALTERATIONS. CBCT IMAGING IS AN APPROPRIATE METHOD FOR EVALUATING THE
MAXILLARY SINUS FINDINGS AND THEIR ASSOCIATED ODONTOGENIC CONDITIONS
COMPARED TO INTRAORAL RADIOGRAPHS
PP.076. DIFFERENTIAL DIAGNOSIS OF RADIOPAQUE LESIONS IN
THE JAWS
LONDOU A, XYLAGKOURELI E, VAITSIDIS Z, TSOMPANIDES G, ANGELOPOULOS C.
ARISTEA LONDOU-D.D.S., CONSULTANT OF DENTAL DEPARTMENT 424 GENERAL MEDICAL

ARMY HOSPITAL -424 GENERAL MEDICAL ARMY HOSPITAL
ELENI XYLAGKOURELI-DDS -424 GENERAL MEDICAL ARMY HOSPITAL
ZISIS VAITSIDIS-DDS, POST GRADUATE STUDENT OF DENTOALVEOLAR SURGERY, SURGICAL
IMPLANTOLOGY AND RADIOLOGY, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF
THESSALONIKI -SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI
GEORGE TSOMPANIDES-D.D.S., MSC, ENDODONTIC CONSULTANT OF DENTAL DEPARTMENT
424 GENERAL MEDICAL ARMY HOSPITAL -424 GENERAL MEDICAL ARMY HOSPITAL
CHRISTOS ANGELOPOULOS-D.D.S., MSC, PHD, ASSOC. PROFESSOR, DEPT OF
DENTOALVEOLAR SURGERY, SURGICAL IMPLANTOLOGY AND RADIOLOGY, SCHOOL OF
DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI -SCHOOL OF DENTISTRY, ARISTOTLE
INTRODUCTION LOCALIZED AREAS OF BONE PRODUCTION IN THE JAWS ARE COMMONLY

IDENTIFIED ON DENTAL RADIOGRAPHS AND CONE BEAM COMPUTED TOMOGRAPHY
RECONSTRUCTIONS AS RADIOPACITIES. A VARIETY OF TERMS HAS BEEN USED TO DESCRIBE
THESE RADIOPACITIES, INCLUDING BONE SCLEROSIS, CONDENSING OSTEITIS, COMPACT OR
DENSE BONE ISLANDS. SOFT TISSUE LESIONS OF THE MAXILLOFACIAL REGION MAY ALSO
PROJECT AS RADIOPACITIES IN RADIOGRAPHS, SUCH AS TONSILLOLITHS, PHLEBOLITHS OR
SIALOLITHS. THE FORMER RADIOPACITIES MAY USUALLY ARISE SOME DIAGNOSTIC
DILEMMAS IN CLINICAL PRACTICE. THE PURPOSE OF THIS STUDY IS TO PRESENT THE
RADIOGRAPHIC APPEARANCE OF RADIOPACITIES OF THE JAWS, AS FOUND IN ROUTINE
INTRAORAL PERIAPICAL AND/OR PANORAMIC RADIOGRAPHS AND CONE BEAM COMPUTED
TOPOGRAPHIES. MATERIALS AND METHODS DENTAL RECORDS, INTRAORAL (PANORAMIC
AND/OR PERIAPICAL) RADIOGRAPHS AND CBCT SCANS OF 765 PATIENTS WERE EXAMINED
FOR THE PRESENCE OF RADIOPACITIES. THE DENTAL CONDITIONS EVALUATED WERE TOOTH
VITALITY, INADEQUATE ENDODONTIC TREATMENT, PERIAPICAL LESIONS, AND
PERIODONTAL BONE LOSS. DESCRIPTIVE ANALYSES WERE PERFORMED. RESULTS THE
RADIOPAQUE MASSES INCLUDED IN THE STUDY WERE WELL-DEFINED, LOCALIZED,
ELLIPTICAL, CIRCULAR, OR IRREGULAR IN FORM AND OF VARYING SIZE. THE MOST
PREVALENT RADIOPACITIES CONDENSING OSTEITIS AND IDIOPATHIC OSTEOSCLEROSIS THE
ADDITIONAL CLINICALLY RELEVANT INFORMATION OBTAINED WITH THE CBCT IMAGES
COMPARED TO INTRAORAL RADIOGRAPHS FACILITATED DIAGNOSIS AND IMPROVED THE
DECISION MAKING PROCESS. CONCLUSIONS SCLEROTIC BONE LESIONS IDENTIFIED ON
DENTAL RADIOGRAPHS MAY BE THE RESULT OF AN INFECTION, STRESS, TRAUMA, HEALING
OF OSTEOMYELITIS OR REPRESENT DYSPLASTIC ʹ NEOPLASTIC PROCESSES. THE CLINICIAN
MUST KNOW THE RADIOGRAPHIC CHARACTERISTICS AND BE ABLE TO IDENTIFY THESE
CONDITIONS.
PP.077. EVALUATION OF THE MAXILLARY THIRD MOLARS AND
MAXILLARY SINUS USING CBCT
YURDABAKAN ZZ, K<hDhbK͕W<7EZ&E͕PzZ<^͘
Z. ZUHAL YURDABAKAN -DR.-ISTANBUL KEMERBURGAZ UNIVERSITY, FACULTY OF DENTISTRY, ORAL

AND DENTOMAXILLOFACIAL RADIOLOGY
P>D K<hDhb-SPECIALIST -ISTANBUL KEMERBURGAZ UNIVERSITY, FACULTY OF DENTISTRY, ORAL
AND DENTOMAXILLOFACIAL RADIOLOGY
&7>7 EDZ W<7EZ-PROF.-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, ORAL AND
^D7,PzZ<-PROF.-ISTANBUL KEMERBURGAZ UNIVERSITY, FACULTY OF DENTISTRY, ORAL AND
Background: The purpose of this study was to assess the position and relationship of the maxillary
third molars to the maxillary sinus using cone beam computed tomography (CBCT) in a Turkish
population. Method and Materials: In this retrospective study, a total of 300 right and 307 left
maxillary third molars were examined using CBCT images obtained from 394 patients. Data including
the age, gender, the angulation type, depth of the third molars, horizontal and vertical positions of
the maxillary sinus relative to the third molars were examined using Chi square tests. Results: Among
394 patients, 215 (54.6%) were male and 179 (45.4%) were female. The most common angulation of
impaction was vertical (80.2%), followed by distoangular (7.6%), others (7.2%), mesioangular (4.1%),
buccopalatal (0.5%) and horizontal (0.3%). Based on the depth of the third molars in relation to the
adjacent second molar, Class A was the most common. Regarding the relationships of the third molars
with the maxillary sinus examined on CBCT, vertical type I (43.5%), and horizontal type II (59.3%) were
seen most frequency. There was a significant difference between the vertical and horizontal
relationships (p<0.05). Conclusion: Knowledge of the anatomical relationship between the maxillary
sinus floor and maxillary third molar roots is important for diagnosing and treating sinus pathologies
as well as for removing a maxillary third molar. A presurgical CBCT evaluation could be valuable when
performing dental procedures involving the maxillary third molars. Key words: Cone beam computed
tomography, maxillary third molar, maxillary sinus
PP.078. MANAGEMENT OF THE SEVERLY SUBMERGED PRIMARY

MOLAR. A CASE REPORT
UYSAL S, SARI S.
SEVIL UYSAL-KJSHDUSHUFH-ANKARA UNIVERSITY

b/z^Z/
Management of the severely submerged primary molar: A case report BACKROUND Dental
infraocclusion is a condition that frequently associated with primary molars and management of the
submerged teeth vary according to the severity of the case. CASE REPORT A 7 year-old girl was
referred to the pediatric dental clinic due to the missing of her upper right first primary molar. It was
learned that the tooth 54 had erupted but subsequently it had been embedded in bone. In intraoral
examination, the tooth 55 was tilted toward to the submerged tooth. Radiographically, it was evident
that the upper right first primary molar was severely submerged with its roots related closely to the
permanent tooth germ. Additionally, the teeth 74, 84 were moderately infraoccluded too.
TREATMENT Surgical removal of the submerged tooth (54) on suspicion of ankylosis was performed,
however the roots of the tooth were resorbed and showed no signs of ankylosis. The teeth 74, 84
were brought to the same occlusal plane with the adjacent teeth by resin restoration to prevent
tipping of adjacent teeth. Because of multiple missing teeth, a removable retainer was made to the
patient. FOLLOW-UP Despite the possibility of ankylosis of the infraoccluded primary molars and the
root development of the successor premolar were followed up at 3 -month intervals. CONCLUSION
The treatment depends on factors such as patient's age, position of the tooth, severity of
infraocclusion, amount of the adjacent teeth tipping and presence of the permanent tooth germ.
ĐĐŽƌĚŝŶŐƚŽƚŚĞĐĂƐĞƐ͛ĐŚĂƌĂĐƚĞƌŝƐƚŝĐƐĐŽŶƐĞƌǀĂƚŝǀĞŽƌƐƵƌŐŝĐĂůƚƌĞĂƚŵĞŶƚƐĐĂŶďĞĐĂƌƌŝĞĚŽƵƚ͘
PP.079. MANAGEMENT OF THE SEVERLY SUBMERGED PRIMARY

MOLAR.
K)E-KJSHDUSHUFH E, ARAS S.
DFGDFG GBFHFH GNGFHTRH TRHFTHRT
Management of the severely submerged primary molar Dental infraocclusion is a condition that
frequently associated with primary molars and management of the submerged teeth vary according
to the severity of the case. A 7 year-old girl was referred to the pediatric dental clinic due to the
missing of her upper right first primary molar. It was learned that the tooth 54 had erupted but
subsequently it had been embedded in bone. In intraoral examination, the tooth 55 was tilted toward
to the submerged tooth. Radiographically, it was evident that the upper right first primary molar was
severely submerged with its roots related closely to the permanent tooth germ. Additionally, the
teeth 74, 84 were moderately infraoccluded too. TREATMENT Surgical removal of the submerged
tooth (54) on suspicion of ankylosis was performed, however the roots of the tooth were resorbed
and showed no signs of ankylosis. The teeth 74, 84 were brought to the same occlusal plane with the
adjacent teeth by resin restoration to prevent tipping of adjacent teeth. Because of multiple missing
teeth, a removable retainer was made to the patient. FOLLOW-UP Despite the possibility of ankylosis
of the infraoccluded primary molars and the root development of the successor premolar were
followed up at 3 -month intervals. The treatment depends on factors such as patient's age, position of
the tooth, severity of infraocclusion, amount of the adjacent teeth tipping and presence of the
ƉĞƌŵĂŶĞŶƚƚŽŽƚŚŐĞƌŵ͘ĐĐŽƌĚŝŶŐƚŽƚŚĞĐĂƐĞƐ͛ĐŚĂƌĂĐƚĞƌŝƐƚŝĐƐĐŽŶƐĞƌǀĂƚŝǀĞŽƌƐƵƌŐŝĐĂůƚƌĞĂƚŵĞŶƚƐĐĂŶ
be carried out.
PP.080. PSYCHOLOGICAL CHARACTERISTICS OF STUDENTS IN FDM

² SOFIA
BONEV B.
BOYKO BONEV-ASSOC. PROF.-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE, DEPARTMENT

OF DENTAL PUBLIC HEALTH
Abstract: Using the character shaping questionnaire of Hans Eysenck a study was conducted including
38 students (12 male and 26 female) from the Faculty of Dental Medicine of Medical University ʹ
Sofia. The main objective was to establish the psychological personality type among respondents in
the following dimensions: extraversion-introversion, emotional stability, psychoticism and social
desirability. As a result, the study has found that the average of the surveyed students for
extraversion - introversion are the norm for the Bulgarian population, but impressively enough
66.66% of the men are above the stated norm and 34.62% of the women are under it. In the study of
social desirability (lie) has been found that the values (both men and women) are below the norm for
the Bulgarian population, which confirms the reliability of the data.
PP.081. ORAL HYGIENE HABITS IN PRESCHOOL CHILDREN
ANDJELIC I.
IVANA ANDJELIC-DENTIST-GENERAL DENTAL PRACTICE, PRIMARY HEATH CARE CENTER TIVAT
Introduction In numerous WHO studies that give recommendation regarding healthy living, oral
health protection and promotion occupy a prominent place. Aim The aim of this study is to determine
oral hygiene habits of preschool children and analyze the frequency of daily tooth brushing. Material
and methods The study included 60 children aged 4 to 5 years from two kindergartens in the
Municipality of Tivat. Simple random sampling technique was used and parental consent was also
obtained. The dental examination was carried using non-invasive method with dental mirror and
probe under natural light. In addition to dental examination, the survey was conducted using specially
designed questionnaire for parents and kindergarten teachers. Results The results showed that 40%
of respondents brush their teeth every day mostly once or twice a day. Children are generally not sure
how to brush their teeth properly and they rarely remember to do that. The parents usually do not
ƐƵƉĞƌǀŝƐĞ ƚŚĞŝƌ ĐŚŝůĚƌĞŶ͛Ɛ ƚŽŽƚŚ ďƌƵƐŚŝŶŐ͘ dŚĞŝƌ ŚĂďŝƚƐ ĂƌĞ ŝŶ ĐŽƌƌĞůĂƚŝŽŶ ǁŝƚŚ ƐŽĐŝĂů ĂŶĚ ĞĐŽŶŽŵŝĐ
ƐƚĂƚƵƐŽĨƚŚĞĨĂŵŝůǇĂŶĚƉĂƌĞŶƚƐ͛ŽĐĐƵƉĂƚŝŽŶĞƐƉĞĐŝĂůůǇŽĨŵŽƚŚĞƌƐ͘ŽŶĐůƵƐŝŽŶ^ŝŶĐĞĐĂƌŝĞƐŝƐƚŚĞŵŽƐƚ
widespread disease in our country, a proper oral hygiene routine is of the utmost importance. Dentist
should inform parents about the importance of oral hygiene for the oral health of their children. On
the whole the oral hygiene habits of preschool children in our municipality is satisfactory. Children
should be motivated to maintain regular and proper oral hygiene in cooperation with their parents.
PP.082. SPECIAL ORAL CARE FOR CHILDREN WITH DIABETES

MELLITUS TYPE 1
VELEGANOVA V, KONDEVA V.
VELEGANOVA VANYA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY,DENTAL FACULTY,DEPARTMENT

KONDEVA VESELINA-ASSOCIATE PROFESSOR
Introduction. Prevention of oral diseases is particularly important for children with medical problems.
Lack of oral care seriously compromise their general condition. In children with medical problems the
oral care system includes: an assessment of the risk for development of oral disease for each
individual case; behavior change to maintain oral health and dental protection Aim. To propose a oral
care strategies for children and adolescents with type 1 diabetes. Material and methods. Children and
adolescents with closely monitored type 1 diabetes mellitus, attended the Pediatric Clinic in Medical
University in the town of Plovdiv, are included in this study. Results. After evaluation of the dental and
periodontal status and the oral risk factors individual complex preventive programs for the children
with diabetes mellitus type 1 are made, according to the individual risk. Oral care focuses on the
prevention as a basis for good oral health. Conclusion. Regular professional care, clinical assessment
of dental and periodontal status and glycemic control of the general disease, are the main preventive
measures ensuring good oral health of patients with diabetes mellitus type 1. Key words: diabetes
mellitus type 1, children, special oral care
PP.083. INFLUENCE OF CONTINUOUS ORAL HEALTH EDUCATION
ON ORAL HEALTH IN CHILDREN
MATIJEVIC S.
SNEZANA MATIJEVIC-DDS MSC PHD-THE UNIVERSITY OF MONTENEGRO, THE FACULTY OF MEDICINE,

STUDY PROGRAM DENTISTRY
Oral health is an important part of overall health and it is of great importance for well-being and
quality of life of children. The aim of this study is to determine the state of oral health in children aged
10 - 15 years as well as whether continuous education about oral hygiene has an impact on the oral
health of examined children. The prevalence of caries was determined using DMF index by Klein and
Palmer. Plaque index (PI) by Silness->ƂĞĂŶĚŐŝŶŐŝǀĂůŝŶĚĞǆ;'/Ϳ by Silness->ƂĞǁĞƌĞƵƐĞĚƚŽĂƐƐĞƐƐƚŚĞ
level of oral hygiene, gingival status and degree of gum inflammation. The children were divided into
two groups. The first group attended an education programme that lasted 12 months while the
second group had only one session at the beginning of the study. The average value of DMF index in
examined children in the first group was 7.3 at the beginning and 5.3 at the end of the study. These
values were much higher in the second group that is 8.1 and 7.2 respectively. In the first group plaque
index was 1.56 at the beginning and 1.02 at the end of the study. For children who did not attend the
education programme these values were 1.89 and 1.45 respectively. The values of gingival index were
significantly lower in children who had continuous education (0.78) compared to other children
(1.12). The study has shown that continuous education about oral hygiene leads to better state of oral
hygiene and gingival status.
PP.084. THE ORAL MANAGEMENT OF PAEDIATRIC ONCOLOGY

PATIENTS
VUKOVIC A.
ANDJELA VUKOVIC-PAEDIATRIC DENTISTRY-V DENTAL CENTAR
THE ORAL MENAGEMENT OF PAEDIATRICS ONCOLOGY PATIENTS The risk of uncontrolled dental
disease during cancer therapy can continue for at least 12 month.In children general growth and
dental development should be closely monitored.Cancer therapy is very complex and
complicated.There is evidence that damage to developing teeth is a frequent complication during
radiotherapy,but chemotherapy on the other hand appears to have a little effect on oral health.This
period during therapy is very unpleasant for the little patients and their families. Patients should be
unproved oral care.So we as a doctors must: -give diet counselling about taking sugar and acid
consumption -plaque and gingival scores need to be carefully monitored -normal daily tooth brushing
by the patient or parent should be undertaken regular if necessary with soft brush -the role of
fluoride in the continuing prevention caries is essential like topical application or in dentifrice -
chlorhexidine gel should continue be applied every three months Restorations should be kept simple
ensuring the maintains of acceptable aesthetic and function.in children,routine restorative treatment
must be delayed until the patient is in remission.Dental extraction should be undertaken in a hospital
environment with an appropriate antibiotic prophylaxis. The aim of this work is to improved the
quality of life children with maligned disease. key words:oral management,cancer therapy,paediatric
dentistry
PP.085. CHILD ABUSE AND DENTISTRY: A SURVEY OF THE
KNOWLEDGE OF BULGARIAN DENTAL PRACTITIONERS
DIMITROVA M, KONDEVA V, RIMALOVSKA S, BOEVA T.
MARIANA DIMITROVA-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL

MEDICINE, DEPARTMENT OF PEDIATRIC DENTAL MEDICINE
VESELINA KONDEVA-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL
SEVDA RIMALOVSKA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL
TATYANA BOEVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV,FACULTY OF PUBLIC HEALTH,
DEPARTMENT OF MEDICAL INFORMATICS, BIOSTATISTICS AND E-LEARNING
Introduction: Child abuse is internationally spread phenomenon and it is a significant public health
problem. It concerns all sectors of society, regardless of ethnicity, culture and socio-economic status.
Dental practitioners are obliged to report suspicions of child abuse and neglect along with related
documents. Unfortunately a small number of dental practitioners report cases of child abuse. Aim: To
determine the knowledge of Bulgarian dental practitioners about child abuse and neglect and their
willingness to participate in reporting to the institutions. Materials and methods: Object of the study
are 265 dental practitioners from several Bulgarian regions. They fill a direct anonymous
questionnaire containing 15 questions. Results: Every second dental practitioner with over 20 years of
professional experience has had suspicious cases /49.20%/, but only 5.7% report about them. The
ŵŽƐƚĐŽŵŵŽŶƌĞĂƐŽŶŝƐ͞>ĂĐŬŽĨŬŶŽǁůĞĚŐĞŽŶƌĞƉŽƌƚŝŶŐƉƌŽĐĞƐƐͬ͟ϰϬ͘ϰϬйͬ͘DŽƌĞƚŚĂŶŚĂůĨŽĨƚŚĞ
questioned practitioners /54.30%/ consider themselves not being relevantly informed on detecting
the signs of child abuse. Conclusion: Only a small number of practitioners have reported cases of child
abuse. Most participants confirm the need for additional training in the assessment of the signs of
child abuse and neglect. Key words: child abuse, neglect, dental practitioners
PP.086. EVALUATION OF DENTAL ANOMALIES IN PAEDIATRIC

PATIENTS: A RADIOGRAPHIC STUDY
GEZGIN O, KORKUT E, PE͕ DEMIRAY F, SENER Y.
ONUR GEZGIN-ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,

DEPARTMENT OF PAEDIATRIC DENTISTRY
EMRE KORKUT-ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
WZdDEdK&W/dZ/Ed/^dZz͖hz'hPE-SPECIALIST STUDENT-NECMETTIN ERBAKAN
UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PAEDIATRIC DENTISTRY
FATMA DEMIRAY-PHD STUDENT-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF PAEDIATRIC DENTISTRY;YAGMUR SENER-PROFESSOR-NECMETTIN ERBAKAN
UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PAEDIATRIC DENTISTRY
Background The aim of the present retrospective study to assess the rate of dental anomalies and to
examine the value of panoramic radiographs in detecting these anomalies in pediatric patients.
Material and Methods We retrospectively reviewed 780 pediatric patients who had visited Necmettin
Erbakan University, Faculty of Dentistry, department of Paediatric Dentistry and had a panoramic
radiograph taken between 3-15 years old children. Possible relations with age, gender were
evaluated. Results The dental anomalies were observed in 106 of the 780 panoramic radiographs
(%13.5). The most common dental anomaly according to the obtained data is congenital tooth
deficiency (%6.92). The frequency of other anomalies is as follows: surnumerer tooth (%3.46),
taurodontism (%1.28). Conclusion The dentists should be aware for dental anomalies in their
ƉĂĞĚŝĂƚƌŝĐ͛ƐƉĂƚŝĞŶƚƐƚƌĞĂƚŵĞŶƚƐƉĂŶŽƌĂŵŝĐƌĂĚŝŽŐƌĂƉŚƐ͘ĂƌůǇƚƌĞĂƚŵĞŶƚŽĨƚŚŝƐƚǇƉĞŽĨĨŝŶĚŝŶŐƐĐŽƵůĚ
help patients avoid subsequent complications.
Session 12
PP.087. QUANTITATIVE CHANGES IN GINGIVAL FLUID, AS A
RESULT OF SMOKING
ROBO I, PAPA P, HETA N.
ILMA ROBO-MD-HEAD OF THE DEPARTMENT OF PERIODONTOLOGY, ALBANIAN UNIVERSITY, TIRANA,

ALBANIA
SAIMIR HETA-PHD-HOSPITAL CENTER, PEDIATRIC SURGERY, SURGEON PEDIATRICIAN, TIRANA,
ALBANIA
PANAJOT PAPA-PHD-FACULTY OF MEDICAL SCIENCES, UNIVERSITY OF ELBASAN, ALBANIA;EDLIRA
SADIKU-MSC-PRIVATE CLINIC, TIRANA, ALBANIA
NEVILA HETA-PHD-UNIVERSITY HOSPITAL CENTER, BIOCHEMICAL LABORATORY, TIRANA, ALBANIA
Purpose: The aim of the study is to emphasize the notions: determinant, indicator and predictor of
risk factors for periodontal pathologies and to show their logic interconnection, analyzing the effects
of one of the risk factors, in this case of smoking, mainly to the amount of gingival fluid. Materials and
methods: For achieving this aim, measurements were carried out, in mm of the wet amount of
adsorbent placed in sulcus, before and 30 minutes after smoking; held in sulcus, for 3 minutes. This
procedure was repeated several times. In the end, we organized the summary table, the
interconnection of concepts about periodontal risk factors. Results: What represents the human
body, consisting of the host which is subjected to the action of oral bacterial flora, interactions that
extend in time, where the diet operates with mechanical elements. It is noted that the change in
wetting the adsorbent was only 1 or 0.5 millimeters, in 3 minutes. Small change, but in total for the
whole mouth, is great. Once this 0.5 mm, produced in 6 different points around the tooth, and 32
teeth simultaneously. Conclusions: Smoking increases the amount of crevicular fluid, but also
promotes bone and destructiveness, whose clinical signs to the naked eye, being visible. Keywords:
smoking, determinants, forecasters, indicators, crevicular fluid
PP.088. EFFECTS OF MORUS NIGRA EXTRACT ON ALVEOLAR BONE

LOSS AFTER EXPERIMENTAL PERIODONTITIS IN RATS
YILDIRIM TT͕KE'͕mEZ^͕KK'>E͕<z͘
TUBA TALO YILDIRIM-ASSISTANT PROFESSOR-DEPARTMENT OF PERIODONTOLOGY, FACULTY OF

DENTISTRY, FIRAT UNIVERSITY, ELAZIG, TURKEY
GONCA OZAN- ASSISTANT PROFESSOR-DEPARTMENT OF BIOCHEMISTRY, FACULTY OF VETERINARY
MEDICINE, FIZdhE/sZ^/dz͕>/)͕dhZ<z͘
^Z<E mEZ-ASSISTANT PROFESSOR-DEPARTMENT OF PERIODONTOLOGY, FACULTY OF
DENTISTRY, FIRAT UNIVERSITY, ELAZIG, TURKEY;ALIHAN BOZOGLAN-ASSISTANT PROFESSOR-
DEPARTMENT OF PERIODONTOLOGY, FACULTY OF DENTISTRY, FIRAT UNIVERSITY, ELAZIG, TURKEY
CAN AYHAN KAYA-ASSISTANT PROFESSOR-DIYARBAKIR VACATIONAL HIGH SCHOOL, DICLE
UNIVERSITY, DIYARBAKIR, TURKEY.
Background: Morus nigra have a variety of biological effects, including anti-inflammatory activities.
However, there has been no report on the effect of morus nigra on periodontal diseases. Here, we
examined the effects of morus nigra on the experimental periodontitis in a rat model. Methods and
Material: Twenty-four Wistar rats were separated into three groups: control group (C, n=8),
experimental periodontitis (PER, n=8), and experimental periodontitis and treated with morus nigra
(MN+PER, n=8) (50 mg/kg per day for 21 days). A 3/0 silk suture was placed around the mandibular
right and left first molars subgingivally; after 21 days, the rats were sacrificed. The level of MMP-8 and
MMP-13 were also analyzed. Results: Morus nigra treatment decreased tissue MMP-8 and MMP-13
and there was significant difference in the tissue levels of MMP-8 and MMP-13 between PER group
and MN+PER group (p<0.05). In contrast there was no significant difference in the serum levels of
MMP-8 and MP-13 between the all groups (p>0.05). Conclusions: The present study revealed that
systemic administration of morus nigra significantly contributes to periodontal healing in the
experimental-periodontitis rat models
PP.089. CLINICAL EFFICACY OF PERIODONTAL PLASTIC SURGICAL

PROCEDURES FOR THE TREATMENT OF MUCOGINGIVAL
CONDITIONS AROUND TEETH
BOLYAROVA T, PETKOVA S.
THEODORA BOLYAROVA-ASSOCIATE PROFESSOR-DEPARTMENT OF PERIODONTOLOGY, FACULTY OF

DENTAL MEDICINE, MEDICAL UNIVERSITY SOFIA
SILVIYA PETKOVA-RESIDENT-DEPARTMENT OF PERIODONTOLOGY, FACULTY OF DENTAL MEDICINE,
MEDICAL UNIVERSITY SOFIA
The aim : The aim of this study was to assess the clinical efficacy of procedures epithelialized free
gingival graft (FGG) and coronally advanced flap plus connective tissue graft (CAF+CTG) for the
treatment of gingival recessions with loss of inter-dental attachment. Material and methods:
Seventeen recession defects of Miller class III and IV in seven patients at lower incisors were included.
Five patients with 14 recessions were treated with FGG and two patients with 3 recessions ʹ with
CAF+CTG. Outcome measures included Complete Root Coverage (CRC), Recession Reduction
(RecRed), Root coverage Esthetic Score (RES), Keratinized Tissue Gain (KTG), width of Attached
Gingiva (AG) and Root Sensitivity (RS). Results: After 6 months CAF+CTG resulted in better outcomes
in terms of CRC, RecRed and RES. Greater width of AG was observed after FGG procedure. RS was
improved in both groups. Conclusions: Application of CAF+CTG increased the probability of achieving
CRC and higher RES in treatment of recession defects of Miller class III and IV. The FGG was associated
with gain in width of AG.
PP.090. LATERAL PERIODONTAL CYST² A CASE REPORT AND

LITERATURE REVIEW
DELIVERSKA EG, STOYANOV H, MIHAYLOVA Z.
ELITSA G. DELIVERSKA -ASSOCIATE PROFESSOR-MU- SOFIA, FDM, DEPARTMENT OF ORAL AND

LUTCHEZAR STEFANOV-ASSIST PROFESSOR-MU- SOFIA, FDM, DEPARTMENT OF ORAL AND
HRISTO STOYANOV-ASSISTANT PROFESSOR-MU- SOFIA, FDM, DEPARTMENT OF ORAL AND
DIMITAR YOVCHEV-ASSOCIATE PROFESSOR-MU- SOFIA, FDM, DEPARTMENT OF ORAL AND
ZORNITSA MIHAYLOVA-ASSISTANT PROFESSOR-MU- SOFIA, FDM, DEPARTMENT OF ORAL AND
Background: The lateral periodontal cyst (LPC) is a rare example of a developmental odontogenic cyst.
LPC may clinically be diagnosed as radicular cyst, keratocyst, ameloblastoma, odontogenic fibroma,
mixoma or as other types of odontogenic cysts and tumours. Purpose: The aim is to present two
unusual clinical cases of LPC of the upper and lower jaw. Material and methods: We present two
patients with histologically proved LPC. The X-ray revealed radiolucent well-defined, circular in shape
homogeneous formation around the affected root. Results: The treatment of choice was surgery -
enucleation of cyst formation. The complete removal of the cyst was successfully performed. The
result of the histological examination showed LPC. Since after the operation regular follow up was
performed and till now there were not any signs of recurrence. Conclusion: LPC is a rare odontogenic
cyst of developmental origin, which should be timely, diagnosed and surgically removed. Key words:
LPC, odontogenic cyst, devlopemental cyst, treatment
PP.091. APICAL RESECTION WITH CORONALLY ADVANCED FLAP: A

CASE REPORT
BILEN E͕P<dE͕d>͕d>DEKs͘
EMRAH BILEN-DDS-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF

PERIODONTOLOGY
P<dE-DDS-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ENDODONTICS
ADNAN TEZEL-PROF.DR. -ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
CEMAL TALAMANOV-DDS-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
Apical resection with coronally advanced flap:a case report Gingival recession is a condition that
causes problems such as sensitivity, root caries and difficulties in oral hygiene procedures.Periodontal
plastic surgery is frequently used to correct these conditions. A 43-year-old a systemically healthy
male patient was admitted to our clinic with the complaint of a swelling.There was a fistula on the
apex of the maxillary left central tooth and also there was an internal resorption. A total of 3 sessions
of Calcium Hydroxide dressing was performed by the endodontist. A week after root treatment was
completed, surgery was performed to remove the lesion and treat the gingival recession at left
central, lateral and canine. The incision was made to accommodate the left central tooth lesion and
cover the root exposure. Horizontal incision was extended from the mesially left central of the tooth
to the distally of the left canine tooth.Two vertical incisions extending to the alveolar mucosa were
performed. The full thickness flap was removed and then the lesion was curetted.the enfected root
apex was resected 3-4mm.the cavity opened with rond bur and Mta placed into the cavity.after scrp
%37 sitric acit was applied to root surface. Then periosteal incision was made to position the flap in
the coronal and suturred with 3-0 silk suture. After the surgery, the patient was given antibiotics anti-
inflammatory analgesic and mouthwash. The sutures were removed after 15 days. The patient's left
central tooth was asymptomatic and completely closed in three month follow-up.
PP.092. AN ALTERNATIVE TREATMENT APPROACH FOR MISSING
SANTRAL TOOTH WITH GINGIVAL RECESSION OF ADJACENT
TEETH-CASE REPORT
dh>'Ȱ͕PDmZ͕>7<͘
z dh>'-ASIST. PROF. -ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF

PROSTHODONTICS
K'h PDmZ DEDE-ASIST. PROF. -ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
ZÊ >7<-ASIST. PROF. -ORDU UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
AN ALTERNATIVE TREATMENT APPROACH FOR MISSING SANTRAL TOOTH WITH GINGIVAL RECESSION
OF ADJACENT TEETH-CASE REPORT This case report describes the rehabilitation of the missing
maxillary left central incisor with the esthetic rehabilitation of excessive gingival recession involving
adjacent teeth (11, 21) in a 42-year-old man. The loss of the gingival soft tissue caused a dentin
hypersensitivity and an esthetic problem due to increase in crown length of the adjacent teeth. The
ƉĂƚŝĞŶƚ͛ƐĞǆƚƌĂĐƚĞĚƚŽŽƚŚǁĂƐƵƐĞĚĨŽƌƚŚĞƌĞŚĂďŝůŝƚĂƚŝŽŶŽĨƚŚĞŵŝƐƐŝŶŐƚŽŽƚŚ͘'ŝŶŐŝǀĂ-colored metal-
ceramic maryland bridge with a retentive pin for the extracted tooth was applied to imitate the lost
gingiva and to provide a natural anatomic tooth length. After the cementation of this Maryland
bridge, the cementation procedure of extracted teeth to the bridge was performed. This method may
be a minimally invasive alternative treatment method for missing anterior incisors with gingival soft
tissue loss of adjacent teeth, providing esthetic results and patient satisfaction.
PP.093. APPLICATION OF A-PRF AND I-PRF IN COMBINATION OF

BONE SUBSTITUTE MATERIAL FOR ALVEOLAR RIDGE
AUGMENTATION
CHENCHEV I, IVANOVA V, NEICHEV D.
IVAN CHENCHEV-CHIEF ASSISTANT PROFESSOR-MEDICAL UNIVERSITY OF PLOVDIV, FACULTY OF

DENTAL MEDICINE
VASILENA IVANOVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY OF PLOVDIV, FACULTY OF DENTAL
MEDICINE
DEYAN NEICHEV-CHIEF ASSISTANT PROFESSOR-MEDICAL UNIVERSITY OF PLOVDIV, FACULTY OF
DENTAL MEDICINE
Abstract: Introduction: Different barrier membranes and augmentation techniques are used in oral
surgery, for recovery of lost bone structures with varied success. Recently a combination between
bone graft materials and Platelet-Rich-Fibrin (PRF) is implemented in the periodontology and
implantology. Aim: The aim of this case report is to assess the possibility for augmentation of the
alveolar ridge in the frontal region of the upper jaw, utilizing a combination of bone graft material,
injectable platelet-rich-fibrin (i-PRF) and advanced platelet-rich fibrin (A-PRF). Methods: A 18 year-old
male with expulsion of tooth 11 and partial fracture of the alveolar ridge was treated with
augmentation of the alveolar ridge using bone graft material, injectable platelet ʹrich-fibrin(i-PRF)
and advanced platelet-rich-fibrin (A-PRF). Clinical results were reviewed 4 months after the
augmentation and dental implant was placed. Results: Postoperative period went normally and the
control CBCT scan showed good organization of new bone allowing placement of a dental implant.
Conclusions: The successful clinical and radiographic results of the case reveal that using A-PRF and i-
PRF can be beneficial for bone augmentation of the alveolar ridge before implant placement.
PP.094. MINIMALLY INVASIVE SINGLE FLAP APPROACH FOR

PERIODONTAL REGENERATION
KOTSILKOV K, BOTEVA T.
KAMEN KOTSILKOV-ASSOCIATE PROFESSOR -MU SOFIA, FACULTY OF DENTAL MEDICINE,

DEPARTMENT OF PERIODONTOLOGY
TRAYANA BOTEVA-DOCTOR OF DENTAL SURGERY-DENTAL CLINIC KOTSILKOVI
INTRODUCTION: The destructive periodontal diseases are among the most prevalent in the human
population. In some cases, bony defects are formed during the disease progression, thus forming
deep periodontal pockets. The reconstruction of these defects is usually done with the classical
techniques of bone substitutes placement and guided tissue regeneration. The clinical and histological
data from the recent years, however, demonstrate the relatively low regenerative potential of these
techniques. The contemporary approaches for periodontal regeneration rely on minimally invasive
surgical protocols, aimed at complete tissue preservation in order to achieve and maintain primary
closure and at stimulating the natural regenerative potential of the periodontal tissues. AIM: This
presentation demonstrates the application of a new, minimally invasive, single flap surgical
technique. MATERIALS AND METHODS: A 37 years old patient presented with chronic generalized
periodontitis. The initial therapy led to good control of the periodontal infection with a single residual
deep periodontal pocket at 33 due to a deep intrabony defect medially. A single flap approach with an
enamel matrix derivate application and a connective tissue wall technique were performed. Proper
primary closure was obtained. RESULT: One month after surgery an initial mineralisation process in
the defect was detected. At the sixth month, a complete clinical healing was observed. The
radiographic control showed finished bone mineralization and periodontal space recreation.
CONCLUSION: In the limitation of the presented case, the minimally invasive surgical approach led to
complete clinical healing and new bone formation, which could be proof for periodontal
regeneration.
PP.095. THE CLINICAL EFFECTS THERAPY IN THE CHRONIC

GENERALIZED PERIODONTITIS STEOPOROTIC DISEASE
ASSOCIATION
DZARIC T, GANJOLA D.
TATJANA DZARIC-THE CLINICAL EFFECTS TERAPPY IN THE CHRONIC GENERALIZED PERIODONTITIS -

STEOPOROTIC DISEASE ASSOSIATION-CLINICAL CENTRE OF MONTENEGRO
DZENAD GANJOLA--CLINICAL CENTRE OF MONTENEWGRO
Backround: The present study proposes an assesment of the clinical effects on periodontal level
generated by the adjunctive periodontal therapy with sub-antimicrobal doses of doxycycline in
patients with divided in study group (clasical periodontal debridment and sub-antimicrobal doses of
doxycycline for 4 mounths and the control group and osteoporosischronic periodontitis and
osteoporosis. Material and metods: The study group was comrised of number 21 with chronic
periodontitis and osteoporosis, divided in study group (clasical periodontal debridment and sub-
antimicrobal doses of doxycycline for 3 months ) and the control group (clasical debridment only). We
analised the periodontal parameters (probing depth, clinical attachment level, the PBI and PI indices)
at baseline, in the last day of medication and 3 months after the drug therapy.Reasults:The reduction
of the moderate and profound pockets was higher for the group with adjunctive therapy. Thesites
with an inital deph of 0,3mm in the study group presented also a attachment gain.Conclusions: The
yherapy with sub-antimicrobal doses of doxycycline generated significant clinical improvement in
patients with chronical periodontitis and osteoporosis an improvement which can reducethe
necessity of surgical procedures.
PP.096. TRATMENT OF AN ITCHING DEFECT WITH ENDODONTIC

AND PERIODONTAL AESTHETIC SURGERY PROCEDURES
YETA N, NAZ YETA E, 'mEz͕ AKKAYA MM, SONAT B.
NECMETTIN YETA -DDS, PHD -ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF

PERIODONTOLOGY
ELIF NAZ YETA -DDS, PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
>/, 'mEz-DDS.-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
M. MURAT AKKAYA-DDS, PHD -ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
BADE SONAT -DDS, PHD -ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
ENDODONTIA
Aim: One of the most important goals of periodontal plastic surgery is to eliminate gingival recession.
Different techniques have been developed to cover denuded roots. This root-coverage procedures
usually based on the coronally advanced flap. And when coronally advanced flap combined with sub-
epithelial connective tissue graft, this technique is considered as gold standard. In this case, the
extent of connective tissue was not adequate to obtain a sufficient amount of graft. Case Report: A
22-year-old, systemically healthy female patient with right second incisor gingival recession applied to
our clinic. According to the history of the patient, it was learned that the defect was caused by the
patient's constant irritation to this region by itching. Radiographic examination revealed external root
resorption in the apical region of the tooth and intraoral examination showed deep bone and soft
tissue loss. The current situation, in all these findings, was classified as Miller class 2 recession.
Surgical treatment was started after endodontic treatment using MTA. After the elevation of the flap
the apical of root was filled with MTA than the recession was covered with modified laterally
positional flap. At the end of 6 months, sufficient connective tissue was obtained to cover the root
surface with the coronally positioned flap. At 9 month visit we observed that recession was optimally
covered. And finally devital bleaching applied to the tooth. Conclusion: Using combination of
mucogingival techniques may be useful in such cases where deep intra-bony defects and recessions
are involved. However controlled clinical trials are necessary.
PP.097. EFFICACY OF MELOXICAM AS AN ADJUNCT TO FULL-

MOUTH SCALING AND ROOT PLANING
MILEUSNIC I, DAKOVIC D, RISTIC T, PEJANOVIC D, PAVLOVIC M.
IVAN MILEUSNIC-ASSISTANT PROFESSOR-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD, FACULTY OF

STOMATOLOGY IN PANCEVO, SERBIA
DRAGANA DAKOVIC-ASSOCIATE PROFESSOR-UNIVERSITY OF DEFENCE IN BELGRADE, MEDICAL
FACULTY OF THE MILITARY MEDICAL ACADEMY, DEPARTMENT OF DENTISTRY
TAMARA RISTIC-ASSISTANT PROFESSOR-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD, FACULTY OF
DJORDJE PEJANOVIC -ASSISTANT PROFESSOR-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD, FACULTY
OF STOMATOLOGY IN PANCEVO, SERBIA
MAJA PAVLOVIC-TEACHING FELLOW-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD, FACULTY OF
INTRODUCTION. Periodontitis is a complex disease caused by the microorganisms of dental biofilm

and perpetuated by the host's immune response. One of the key parts of the immune response is
played by the enzyme cyclooxigenase-2, which can be suppressed by the action of non-steroidal anti-
inflammatory drugs, such as meloxicam. AIM. The aim of this study was to investigate the short-term
effect of meloxicam (M) combined with full-mouth scaling and root planing (SCRP) on clinical
parameters of periodontal health: probing pocket depth (PPD), clinical attachment level (CAL) and
gingival bleeding index (GBI). MATERIAL AND METHODS. 60 otherwise healthy patients diagnosed
with chronic periodontitis were divided into two groups: one receiving full-mouth SCRP and
meloxicam 15 mg b.i.d (SCRP + M) and the other only full-mouth SCRP. PPD, CAL and GBI were
measured before and 10 days after the initiation of therapy. RESULTS. PPD, CAL and GBI improved
significantly within both groups: 0.66 mm, 0.03 mm and 37.64% respectively for SCRP + M; and 0.75
mm, 0.08 mm and 36.61% for SCRP. However, no significant differences were found between the
groups. CONCLUSION. Short-term 15 mg meloxicam b.i.d failed to show significant improvement of
periodontal parameters when combined with full-mouth scaling and root planing over full-mouth
SCRP alone.
PP.098. MANAGEMENT OF GINGIVAL RECESSION DEFECT USING

PRF MEMBRANE
RISTIC T, MILEUSNIC I, PEJANOVIC D, PAVLOVIC M, BOROTIC N.
TAMARA RISTIC-ASSISTANT PROFESSOR-UNIVERSITY BUSINESS ACADEMY NOVI SAD,FACULTY OF

DENTISTRY PANCEVO, CLINIC OF PERIODONTOLOGY
IVAN MILEUSNIC-ASSISTANT PROFESSOR-UNIVERSITY BUSINESS ACADEMY NOVI SAD,FACULTY OF
DENTISTRY PANCEVO, CLINIC OF PERIODONTOLOGY
DJORDJE PEJANOVIC-ASSISTANT PROFESSOR-UNIVERSITY BUSINESS ACADEMY NOVI SAD,FACULTY OF
DENTISTRY PANCEVO, CLINIC OF ORAL SURGERY
MAJA PAVLOVIC-ASSISTANT PROFESSOR-UNIVERSITY BUSINESS ACADEMY NOVI SAD,FACULTY OF
DENTISTRY PANCEVO, CLINIC OF PROSTHODONTICS
NENAD BOROTIC-ASSISTANT -UNIVERSITY BUSINESS ACADEMY NOVI SAD,FACULTY OF DENTISTRY
PANCEVO, CLINIC OF PROSTHODONTICS
BACKGROUND:. Gingival recession defect represents a displacement of gingival margin apically from
cement enamel junction with loss of soft and hard tissues. Treatment of gingival recession is surgical
and the ideal goal is complete restauration of lost periodontal tissues. Modern approach to recession
treatment presupposes the concept of active regeneration and tissue engineering. Recent researches
are focused on the development of therapeutic alternatives that result in the local release of growth
factors. PRF is a natural fibrin-based biomaterial prepared from an anticoagulant-free blood harvest
without any artificial biochemical modification that allows obtaining fibrin membranes enriched with
platelets and growth factors. MATHERIAL AND METHOD: The patient was referred to our Clinic for
treatment of a single gingival recession defect at tooth #13 (Miller class II). The patient presented
good systemic health and non-smoker. Gingival recession was treated using coronally advanced flap
with platelet rich fibrin. Clinical parameters such as gingival recession coverage, keratinized tissue
width, clinical attachment level, gingival index and plaque index were recorded at baseline, and six
and twelve months postoperatively. Postoperative healing was evaluated through the healing index,
recorded at one, two and three weeks postop. RESULTS: Significant improvement in all parameters
assessed was observed. Healing index, gingival index and plaque index showed significant
improvement six and twelve months after treatment compared to the baseline. CONCLUSION:. Use of
PRF membrane in gingival recession treatment provided good clinical results, followed by enhanced
wound healing and decreased patient discomfort due to avoidance of secondary surgical site.
PP.099. COMPLICATIONS OF INTRA-ORAL PIERCING-CASE REPORT
VELJOVIC T, RAMIC B, GUSIC I, MIRNIC J, DJURIC M.

TANJA VELJOVIC-ASSISTANT PROFESSOR -FACULTY OF MEDICINE, UNIVERSITY OF NOVI SAD, NOVI
SAD, SERBIA
BOJANA RAMIC-ASSISTANT PROFESSOR -FACULTY OF MEDICINE, UNIVERSITY OF NOVI SAD, NOVI SAD,
SERBIA
IVANA GUSIC-ASSISTANT PROFESSOR -FACULTY OF MEDICINE, UNIVERSITY OF NOVI SAD, NOVI SAD,
SERBIA
JELENA MIRNIC-ASSISTANT PROFESSOR -FACULTY OF MEDICINE, UNIVERSITY OF NOVI SAD, NOVI SAD,
SERBIA
MILANKO DJURIC-ASSOCIATE PROFESSOR-FACULTY OF MEDICINE, UNIVERSITY OF NOVI SAD, NOVI
SAD, SERBIA
Intra-oral piercing leads to frequent complications. Constant mechanical trauma caused by tongue
piercing, along with the bad habit of biting or chewing on it, leads to periodontal damage and gingival
recession of mandibular incisors, which are the most affected teeth. Case report: A twenty-year-old
female patient was referred to our clinic due to severe mobility of her first mandibular incisors. The
patient reported piercing her tongue one year ago. With the exception of the right central incisor, all
mandibular incisors were positive to vitality test. Analysis of X-ray images revealed bone loss in the
mandibular central incisor area, as well as instrument separation in the middle third of the canal of
the mandibular right central incisor. During endodontic treatment, separated instrument was
successfully removed, and the canal was cleaned and obturated, after which composite restoration
was placed on the treated tooth. In the next visit, lower incisors were treated by scaling and root
planing. The anterior mandibular teeth were then splinted at the lingual side with a thin stainless
steel wire. For additional stability, the splint was covered with a thin layer of flowable composite. The
patient was informed of the potential risk of losing her teeth and was advised to remove the piercing.
Six months after piercing removal, clinical examination showed no signs of significant mobility and
control X-ray revealed bone healing. Dental practitioners should provide appropriate guidance to
patients who wear piercing and inform them of all potential health risks associated with this type of
popular body art.
PP.100. PLASMA CELL GINGIVITIS IN A HIV-POSITIVE PATIENT
'ha//͕s>:Ks/d͕D/ZE/:͕D/></͕hZ/D͘
/sE'ha/-DMD, ASSISTANT PROFESSOR- UNIVERSITY OF NOVI SAD,FACULTY OF MEDICINE,CLINIC

FOR DENTISTRY OF VOJVODINA, DEPARTMENT OF PERIODONTOLOGY AND ORAL MEDICINE
dE: s>:Ks/-DMD, ASSISTANT PROFESSOR-UNIVERSITY OF NOVI SAD,FACULTY OF
MEDICINE,DEPARTMENT FOR DENTISTRY
:>E D/ZE/-DMD, ASSISTANT PROFESSOR-UNIVERSITY OF NOVI SAD,FACULTY OF
MEDICINE,DEPARTMENT FOR DENTISTRY
K:E D/></-DMD, ASSISTANT PROFESSOR-UNIVERSITY OF NOVI SAD,FACULTY OF
MEDICINE,CLINIC FOR DENTISTRY OF VOJVODINA, DEPARTMENT OF PROSTHETIC DENTISTRY
D/>E<K hZ/-DMD, ASSOCIATE PROFESSOR-UNIVERSITY OF NOVI SAD,FACULTY OF
MEDICINE,CLINIC FOR DENTISTRY OF VOJVODINA, DEPARTMENT OF PERIODONTOLOGY AND ORAL
MEDICINE
INTRODUCTION: Plasma cell gingivitis (PCG) is a rare condition manifesting as intense redness and
edematous swelling of both free and attached gingiva. While its etiology is not clear, due to the
presence of dense infiltration of plasma cells in the lamina propria, many authors suggest that PCG is
a hypersensitivity response to certain allergens, such as flavoring agents in chewing gums and
dentifrices, strong spices and some herbs. Immune dysregulation is an important feature of HIV
infection and different types of allergic conditions develop in almost half of all individuals infected
with HIV. To date, however, no cases of PCG in HIV-positive patients have been reported. CASE
REPORT: A 32-year-old HIV-positive male reported to our clinic complaining of swollen, easy bleeding
gums surrounding his upper left teeth. Clinically, marginal and attached gingiva in the region of teeth
23 and 24 appeared reddish pink and edematous with granular surface texture. Initial periodontal
therapy and oral hygiene instructions were given, but as no clinical improvement was noted at 14-day
follow-up, incisional biopsy was performed. Microscopic examination showed dense inflammatory cell
infiltrate in the lamina propria predominantly comprising of plasma cells. The patient was advised to
change regular toothpaste and discontinue chewing gum use. At postoperative follow-up after 2
weeks, both the redness and the swelling had markedly reduced. CONCLUSION: Early diagnosis of PCG
in HIV-positive patients may help identify and eliminate allergens that stimulate already compromised
immune system in this vulnerable group of patients.
PP.101. GUIDED BONE REGENERATION IN PATIENT WITH

ATROPHIC MAXILLA.
AFANDIYEV M, TAYMAN MA, AKKAYA MM, AHMADOV R.
MAHMUD AFANDIYEV-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF

PERIODONTOLOGY
D͘zb dzDE-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
M.MURAT AKKAYA-DDS PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
RAUF AHMADOV-DDS -ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
Guided bone regeneration, which is applied in order to increase the bone mass in the selected site for
implant placement, is a frequently applied and acceptable method. In this method, various types of
membranes and graft materials are used, and then the bone is formed in the proper volume and
form. A 48-year-old female patient attended to our clinic with a complain of non-aesthetic
appearance becouse of hermissingmaxillary anterior tooth. The patient's bone contourwas
insufficient because of exessive resorbtion. Computed tomography images were taken to determine
the amount of bone before the operation. The patient's 22th tooth was also removed becouse of
bone destruction at the time of operation. 1 cc xenograft was placed in the defect area which could
serve as a matrix for new bone formation and it was covered with type 1 collagen leaf membrane. At
this time, 2 tubes of blood were taken from the patient and centrifuged to obtain platelet-rich fibrin
(PRF). This preparation, is placed on the collagen membrane to provide natural wound healing. The
flap was closed with 3-0 silk suture. 6 months later, another computed tomography was obtained
from the region. An average of 4.5 mm bone gain was measured. Key words: bone grafting; guided
bone regeneration; atrophic maxilla.
PP.102. THE ROLE OF ESTROGEN ON GINGIVAL HEALTH IN
PREGNANCY
RADOJOVA NIKOLOVSKA V, POPOVSKA M, MINOVSKA A, MURATOVSKA I, NIKOLOVSKI B.
VERA RADOJOVA NIKOLOVSKA-ASOCC PROFESSOR-FACULTY OF DENTISTRY, UKIM,SKOPJE

POPOVSKA MIRJANA-PROFESSOR-FACULTY OF DENTISTRY, UKIM, SKOPJE
MINOVSKA ANA-PROFESSOR-FACULTY OF MEDICINE, GOCE DELCEV, STIP
MURATOVSKA ILIJANA-ASOCC PROFESSOR-FACULTY OF DENTISTRY,UKIM, SKOPJE
NIKOLOVSKI BRUNO-DOCTOR-PHO ETERNA DENT SKOPJE
Introduction: pregnancy, as important period in the life of woman, is characterized by elevation of

female sex hormones levels in plasma and saliva. Gingival inflammation runs with two peaks, during
the first trimester when occurs increased production of gonadotropins, and during the third trimester,
when levels of estrogens and pregesterone are Aim: To determine serum and salivary level of 17ɴ-
estradiol in pregnant women and to determine its effect on gingival health followed by gingival
indices.Material and method: 30 women in the last trimester of pregnancy were examined. Clinical
trials were conducted to assess gingival health followed by indices of dental plaque, gingival
inflammation and enlargement. Levels of 17ɴ-estradiol are examined using DRG Estradiol ELISA.
Results and Conclusion: analysis of correlative values comparing serum and salivary levels of 17ɴ-
estradiol and indices of gingival status in pregnant women, suggest a strong correlation on each of
them(r=0.67-0.94). Hormone concentrations, show potent influence which they manifest on gingival
health, which in turn suggests the role of dentists in the prevention and treatment modalities in
pregnancy.
PP.103. TREATMENT OF GINGIVITIS DESQAMATIVE CHRONICA
RADOJKOVA-NIKOLOVSKA V, POPOVSKA M, DZIPUNOVA B, TOSESKA SPASOVA N,

STOJANOVSKA V.
VERA RADOJKOVA-NIKOLOVSKA-ASOCC PROFESSOR;POPOVSKA MIRJANA- PROFESSOR-FACULTY OF

DENTISTRY, UKIM,SKOPJE
DZIPUNOVA BILJANA-ASOCC PROFESSOR-FACULTY OF DENTISTRY, UKIM,SKOPJE
TOSESKA SPASOVA NATASA-ASOCC PROFESSOR-FACULTY OF DENTISTRY, UKIM,SKOPJE
VERA STOJANOVSKA-ASOCC PROFESSOR-FACULTY OF DENTISTRY, EURM,SKOPJE
Introduction: Desquamative gingivitis demonstrate epithelial desquamation, erythema, erosions,

and/or vesiculobullous lesions of the gingiva. Generally is accepted that it is not a separate entity, and
may be the result of mucous membrane pemphigoid , lichen planus , pemphigus vulgaris, dermatitis
herpetiformis, adult linear IgA dermatosis, allergic reaction of medicaments and postmenopausal
woman. Despite the availability of many therapeutic agents that claim to reduce severity, no
intervention that is completely successful for treatment of desquamative gingivitis exists. Aim: to
present the case of CDG who had not been diagnosed and inadequately treated more than seven
months, and the success of the applied therapy after coming to the clinic of periodontology. Materials
and Methods: 49 years old woman, in iatrogenic menopause was followed. We make a medical
history and clinical examination, and after that local and systemic therapy was conducted. Results and
Conclusion: local therapy does not yield the expected results, so systemic corticosteroid therapy was
conducted after which there was calm down and complete loss of clinical signs. Patient after 18
months of treatment is still in remission phase of changes, which fully justifies the application of
systemic corticosteroid therapy in treatment of CDG.
PP.104. MINIMALLY INVASIVE APPROACH IN THE TREATMENT OF
ALTERED PASSIVE ERUPTION AND COMPROMISED ESTHETICS
(CASE REPORT)
KOTSILKOV K, DIMITROV R.
KAMEN KOTSILKOV-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY OF SOFIA, FACULTY OF DENTAL

MEDICINE, DEPARTMENT OF PERIODONTOLOGY
RADOY DIMITROV-DOCTOR OF DENTAL SURGERY-DENTAL CLINIC KOTSILKOVI
INTRODUCTION: The clinical situation with short-looking clinical crowns due to coronal position of the
gingival margin is defined as altered passive eruption (APE) by Goldman&Cohen (1968). Treatment
planning in such cases should be consistent with the amount of keratinized mucosa and the alveolar
crest level. Traditionally this condition requires an open flap surgery to define the diagnosis and
treatment. Contemporary diagnostic tools provide more precise planning, avoiding invasive diagnostic
approaches and providing minimally invasive treatment protocol. Composite materials can be used in
such cases to achieve new emergence profile and to create proper tooth form and relationship, a
prerequisite for gingival health. AIM: This presentation shows minimally invasive approach for
treatment of APE and compromised esthetics. MATERIALS AND METHOD: A 19 years old patient
presented with compromised esthetics in the maxillary frontal region. A combination from trans-
gingival probing and radiographic evaluation revealed gingival excess and normal bone-to-CEJ
distance, thus diagnosing a type I, subtype A APE. Laser-assisted gingival recontouring was chosen as
treatment option and after the initial healing process the patient was able to test provisional. After
establishing the final form, direct resin restorations were performed with margins placed slightly
supragingivally. RESULT: One year after treatment ̌ healthy periodontal tissue was observed. The
newly formed gingival contour and the restored emergence profile demonstrate perfect harmony.
CONCLUSION: Confining within the limits of the presented case, it can be concluded that laser therapy
and direct restorations could be predictable treatment approach in cases with APE IA.
PP.105. NON-SURGICAL AND SURGICAL TREATMENT OF PERI-

IMPLANTITIS: A LITERATURE REVIEW AND CASE PRESENTATION
TSELIGKA L, MPAKALI E, PETRIDIS A, VOUROS I.
TSELIGKA LEMONIA-UNDERGRADUATE STUDENT-SCHOOL OF DENTISTRY, ARISTOTLE UNIVESITY OF

THESSALONIKI
MPAKALI EVANGELIA-UNDERGRADUATE STUDENT-SCHOOL OF DENTISTRY, ARISTOTLE UNIVESITY OF
THESSALONIKI
PETRIDIS ANASTASIOS-POSTGRADUATE STUDENT-DEPARTMENT OF PREVENTIVE DENTISTRY,
PERIODONTOLOGY AND IMPLANT BIOLOGY, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF
THESSALONIKI GREECE.
VOUROS IOANNIS-ASSOCIATE PROFESSOR-DEPARTMENT OF PREVENTIVE DENTISTRY,
PERIODONTOLOGY AND IMPLANT BIOLOGY, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF
THESSALONIKI GREECE.
INTRODUCTION: While osseointegrated dental implants are predictably applied for replacing missing
teeth, biological complications have been reported including inflammatory reactions of the
surrounding tissues. Peri-implantitis prevalence has been reported to be 28-56% amongst population.
Thus, the therapeutic approach of peri-implant disease has been a subject of research as there is a
controversy concerning the efficiency of non-surgical and surgical treatment. PURPOSE: The purpose
of this study is to discuss various approaches for the treatment of peri-implantitis based on the
findings of relevant clinical studies. MATERIALS-METHODS: A literature review of the therapeutic
approaches of peri-implantitis was conducted including both non-surgical and surgical treatment.
Furthermore, cases treated with different protocols will be presented. RESULTS: There are various
approaches in the peri-implantitis treatment. Some of the techniques applied in non-surgical therapy
are local application of antibiotics, ultrasonic devices, laser devices, carbon-fiber and titanium
curettes and air-abrasive devices. Unfortunately, only limited improvement of peri-implantitis defects
may be expected after application of non-surgical therapy. In surgical techniques we have a choice of
access flaps, bone filling materials, guided bone regeneration, enamel matrix derivatives
(EMDOGAIN). Both approaches have unpredictable results and depend on the severity, the
morphology of the defect and the chosen technique. CONCLUSIONS: From the existing evidence, it
seems that conventional non-surgical therapy is not effective in controlling peri-implantitis, while
surgical techniques seem more advantageous. To date there is no clearly recommended strategy for
efficiently treating peri-implantitis and accordingly more studies should be conducted in order to
establish an exact protocol of peri-implantitis therapy.
PP.106. SURGICAL TREATMENT OF LOCALIZED GINGIVAL

OVERGROWTH: TWO CASE REPORTS
zd7^͕ OZTURK OZENER H, DOGAN B.
zd7^-DDS-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PERIODONTOLOGY

HAFIZE OZTURK OZENER -ASSISTANT PROF DR-MARMARA UNIVERSITY, FACULTY OF DENTISTRY,
BASAK DOGAN-PROF DR-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
Background: Localized gingival overgrowth (LGO) is known to be a reactive response to plaque or

other irritants. Several therapeutic options exist in the treatment of the excised area of LGO. In this
two case reports, we present two different treatment approaches after the excision of LGO. Methods
and Materials: Two systemically healthy females at age 39 or 23 years, applied to the periodontology
clinic with a complaint of gingival overgrowth in localized areas. There were no abusive habits
explored in neither of the patients. Intraoral examination revealed pedunculated firm lesions
interproximally at gingival margin and attached gingiva between Ӥ32 and Ӥ34 in case-I and Ӥ 43 and
Ӥ 45 in case-II. There were no radiographic bone loss in both cases. Following the non-surgical
treatment, the excision of the fibrous lesions resulted with 1 mm in case-I and lack of keratinized
tissue in case-II and root surface exposure in the operation areas. To cover the root surface and to
increase the keratinized tissue height in the operation sites, connective tissue grafting with coronally
positioned flap in case-I and gingival unit grafting in case-II were performed. Result: Through 6-month
follow-up, full root coverage and at least 3 mm of keratinized tissue gain were obtained with no
recurrence of lesion. Histopathologic examination revealed that case-I was irritation fibroma and
case-II peripheral ossifying fibroma. Conclusion: In the treatment of two LGO cases, satisfactory
aesthetic and function with no recurrence of the lesions were achieved by the presented surgical
methods. Keywords: gingival overgrowth, epulis, connective tissue graft, gingival unit graft
PP.107. PORPHYROMONAS GINGIVALIS AND IL-1 GENES
VARIATIONS IN PATIENTS WITH CHRONIC PERIODONTITIS AND
RHEUMATOID ARTHRITIS
FIRKOVA E, SELIMOV P, BATALOV A.
ELENA FIRKOVA-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY - PLOVDIV, FACULTY OF DENTAL

MEDICINE, DEPARTMENT OF PERIODONTOLOGY AND ORAL DISEASES
PAVEL SELIMOV-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY - PLOVDIV, FACULTY OF MEDICINE,
DEPARTMENT OF PROPEDEUTICS OF INTERNAL DISEASES
ANASTAS BATALOV-PROFESSOR-MEDICAL UNIVERSITY - PLOVDIV, FACULTY OF MEDICINE,
DEPARTMENT OF PROPEDEUTICS OF INTERNAL DISEASES
Background. Periodontal disease and rheumatoid arthritis share many pathological and
immunological similarities. P. gingivalis is the key pathogen in periodontitis and lately suspected as
ƚŚĞ͞ŵĂƐƚĞƌŵĂŶŝƉƵůĂƚŽƌ͟ŝŶƉĂƚŚŽŐĞŶĞƐŝƐŽĨĂƌƚŚƌŝƚŝƐǀŝĂƉƌŽĐĞss of citrullination of peptides, carried
out by peptidyl-arginin deiminase. P.gingivalis is unique among periodontal pathogens possessing this
enzyme. Methods and materials. From 2015 to 2016, 69 patients, diagnosed with rheumatoid arthritis
(ACR/EULAR criteria, 2010) and moderate to advanced periodontal disease were included in this
study. Presence of P. gingivalis was checked with PCR from subgingival plaque samples. Genetic
variations for Il-1ɲ and Il-1ɴ were searched for from buccal mucous membrane and blood of these
patients. Results. P. gingivalis was detected in 67% of patients with rheumatoid arthritis. Genetic
variance of Il-1 genes, indicating predisposition and stronger immune reaction toward bacterial
challenge was present in 82% of patients. The combination of heterozygotic type for Il-1ɲ ʹ 889C/T
and Il-ɴ +3954C/T is considered as a risk factor for developing both diseases. Conclusion. Early
microbiological testing for Porphyromonas gingivalis and monitoring the periodontal status of
patients at risk for developing rheumatoid arthritis could be beneficial for early diagnosis and complex
adequate treatment of those patients, combined with periodontal treatment. Obviously in the future
rheumatologists should start working in close cooperation with periodontologists in order to achieve
the best possible treatment outcomes for these complicated patients.
PP.108. THE APPLICATION OF MINIMALLY INVASIVE SURGICAL

TECHNIQUE (MIST) IN THE TREATMENT OF PERIODONTAL
DEFECTS.
ZOUFKA A, CHAZIRIS K, VOUROS I.
TZOUFKA ANNA-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI

CHAZIRIS KRITON-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI
VOUROS IOANNIS-ASSOCIATE PROFESSOR-DEPARTMENT OF PREVENTIVE
DENTISTRY,PERIODONTOLOGY AND IMPLANT BIOLOGY,SCHOOL OF DENTISTRY,ARISTOTLE
UNIVERSITY OF THESSALONIKI,GREECE.
The application of minimally invasive surgical technique (MIST) in the treatment of periodontal
defects. Tzoufka A.,Chaziris K.,Vouros I. Department of Preventive Dentistry,Periodontology and
Implant Biology,School of Dentistry,Aristotle University of Thessaloniki,Greece. Background: The
Minimally Invasive Surgical Technique (Cortellini and Tonetti 2009) is described as a microsurgical
approach in periodontal surgery for reducing surgical invasiveness and promoting wound healing by
the application of papilla preservation concepts. In comparison with conventional surgical techniques,
MIST is more beneficial for wound and blood clot stability and primary wound closure for blood-clot
ƉƌŽƚĞĐƚŝŽŶ͘ &ƵƌƚŚĞƌŵŽƌĞ͕ Ă ǀĞƌǇ ĨĂǀŽƌĂďůĞ ƉĂƚŝĞŶƚƐ͛ ƉĞrception in terms of post-operative pain is
reported. The aim of the presentation is to review the minimally invasive technique in terms of
benefits, efficiency and limitations for the treatment of vertical periodontal defects. Materials and
Methods: A case demonstrating a novel approach for the treatment of intrabony defects is presented.
Periodontal surgery based on MIST was performed. Limited buccal and lingual full thickness flaps by
applying the simplified papilla preservation technique were elevated, the aim being to expose the
coronal edge of the residual bone crest. Scaling and root planning are performed by utilizing mini-
curettes and sonic/ultrasonic instruments. Periodontal regeneration by using various biomaterials
may be simultaneously performed. Results: Post operatively, patient morbidity was reported reduced.
The follow-up examination revealed improved clinical and radiographic outcomes. Conclusion:
Minimally invasive surgery may offer a promising therapy outcome focusing on patient centered
parameters in the treatment of intrabony periodontal lesions.
PP.109. SURGICAL TREATMENT OF PERIPHERAL GIANT CELL

GRANULOMA: A CASE REPORT
EROGLU O, YILDIRIM HS, OLGAC V, KURU L.
ONUR EROGLU-PHD STUDENT-DZDZhE7sZ^/dz͕WZdDEdK&WZ7KKEdK>OGY

HATICE SELIN YILDIRIM-ASISTANT PROFESSOR-DZDZ hE7sZ^/dz͕ WZdDEd K&
WZ7KKEdK>K'z
VAKUR OLGAC-ASSOCIATED PROFESSOR-ISTANBUL UNIVERSITY, DEPARTMENT OF ONCOLOGY
LEYLA KURU-PROFESSOR-DZDZhE7sZ^/dz͕WZdDEdK&WZ7KKEdK>K'z
Background/Aim: Peripheral giant cell granuloma (PGCG) is a benign reactive hyperplastic lesion
which arises from periosteum and periodontal membrane following chronic trauma or local irritation.
The aim of this case report is to illustrate periodontal treatment of a PGCG case. Case Summary: A 47
year-old female patient applied to our clinic with complaints of pain during chewing and speaking,
aesthetic concerns and gingival enlargement. Medical history revealed the use of ramipril (5 mg, 1x1)
because of hypertension for 2 years. Dental examination revealed localized gingival enlargement with
dimension of 15x12 mm together with ulcerated lingual and gingival margins between mandibular
right lateral and canine teeth. There was no radiographic bone loss associated with this region. Six
weeks after initial periodontal treatment, the lesion was decreased to a dimension of 10x10 mm.
Remained fibrous lesion was removed by excisional biopsy; crestal bone underlying the lesion was
abraded with a round steel bur. Free gingival graft with proper dimensions was used for maintaining
the excised amount of gingiva. The flap was closed with 4.0 silk simple sutures. Histopathological
findings were in accordance with PCGC. Sutures were removed one week after surgery. Reevaluation
performed 3 months after surgery revealed uneventfull healing with no recurrence of the lesion.
Conclusion: Free gingival graft procedure following complete excision of PCGC could be a successful
approach in surgical treatment of lesion occured in mandibulary anterior region. Key words: Free
gingival graft, peripheral giant cell granuloma, gingival enlargement.
PP.110. 4-HYDROXYNONEAL AND GLUTATHIONE LEVELS IN THE

SALIVA OF THE INDIVIDUALS WITH PERIODONTAL HEALTH AND
DISEASE
GOKMENOGLU C, DEDE FO, TURKMEN E, KARA C.
CEREN GOKMENOGLU-ASSISTANT PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY

FIGEN ONGOZ DEDE-ASSISTANT PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT
OF PERIODONTOLOGY
EMRAH TURKMEN-RESEARCH ASSISTANT-ORDU UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT
OF PERIODONTOLOGY
CANKAT KARA-ASSOCIATE PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTOLOGY
Aim: 4-hydroxynonenal (4-HNE) is one of the end products of lipid peroxidation and also a specific
marker of oxidative stress; whereas glutathione (GSH) is an antioxidant preventing damage on cells
caused by reactive oxygiene species such as free radical, peroxides and lipid peroxides. The purpose
of this study is to evaluated 4-HNE and GSH levels in healthy individuals and patients with chronic
periodontitis. Materials and Methods: The study included 45 patients with chronic periodontitis and
45 healthy indiviuals. Unstimulated saliva samples were obtained and full mouth periodontal
measurements (plaque index, gingival index, periodontal pocket depth and bleeding on probing) were
recorded. Salivary 4-HNE and GSH were analyzed with enzyme-linked immunosorbent assay. Results:
All periodontal measurement score were found significantly higher in chronic periodontitis group
compared with healthy controls (p <0.05). There was not significant difference in salivary flow rate
between chronic periodontitis and control groups (p>0.05). 4-HNE levels were higher in healthy
indiviuals, while GSH levels were higher in periodontitis group. However, these differences were not
statistically significant. There was a positive correlation between 4-HNE and GSH levels in both
subjects with periodontal healthy and chronic periodontitis. Conclusion: Salivary markers can be
affected by so many factors. Therefore, gingival crevicular fluid sampling can provide clearer
information about lipid peroxidation and oxidative stress levels in subjects with chronic periodontitis
than the saliva.
PP.111. A FREE GINGIVAL GREFT USE IN AUGMENTATION OF

MUCOGINGIVAL COMPLEX IN A CLEFT LIP/PALATE PATIENT
>/<D͕<hZh>͕<P^<E͘
DmD/E>/<-PHD STUDENT-MARMARA UNIVERCITY, DEPARTMENT OF PERIODONTOLOGY

LEYLA KURU-PROFFESSOR-MARMARA UNIVERCITY, DEPARTMENT OF PERIODONTOLOGY
<D> E/ <P^-ASSISTANT PROFESSOR-MARMARA UNIVERCITY, DEPARTMENT OF
PERIODONTOLOGY
Background: The treatment of cleft lip/palate patients are difficult cases and require multidiscipliner
approach including orthodontics, oral surgery, periodontology, and prosthodontics. After
ƌĞĐŽŶƐƚƌƵĐƚŝŽŶ ŽĨ ƚŚĞ ƉĂƚŝĞŶƚ͛Ɛ ĂŶƚĞƌŝŽƌ ŵĂǆŝůůĂ ǁŝƚŚ ƐĞƌŝĂů ƐƵƌŐŝĐĂů ƉƌŽĐĞĚƵƌĞ͕ ƌĞƐƵůƚĞĚ ƐŚĂůůŽǁ
vestibule is one of the most common problem causing restriction in lip mobility, deficiency in
keratinized mucosa around teeth and/or implants and difficulty in oral hygiene procedures resulting
in destabilized gingival health. This case presents the solution of such problems by periodontal plastic
surgery using free gingival graft (FGG). Procedure: A female patient, aged 23, with the history of serial
surgical procedures for the reconstruction of cleft lip/palate was referred to periodontology clinic
having shallow vestibule by prosthodontic department. Her clinical examination revealed no
keratinized tissue around implant #12 and shallow vestibule in premaxillar region having oral mucosa
starting directly from the periimplant mucosa. Radiographic examination demonstrated no bone loss
around implants. Following initial periodontal treatment, FGG procedure was planned to augment the
shallow vestibule and the mucogingival complex. The recipient site was prepared from #13 to #22, the
vestibule was deepened by incision, and lip mucosa was left for secondary healing. The FGG was
harvested from the palate and sutured with 4.0 resorbable suture. After one week, sutures were
removed, healing was uneventful and 6- month of follow-up showed no complication. Conculusion:
This case demonstrated that FGG is dependable procedure in augmentation of shallow vestibule and
creating keratinized tissue band resulting in stabile gingival and periimplanter mucosal health in cleft
lip/palate patients. Key words: free gingival graft, shallow vestibule, shallow vestibule
PP.112. TREATMENT OF AN IATROGENIC ROOT PERFORATION: A

CASE REPORT WITH 6-MONTH FOLLOW-UP
)Z>/K͕ zdPZD͕<hZh>͘
PDZ7Z<E)Z>/-DR.-DEPARTMENT OF PERIODONTOLOGY, FACULTY OF DENTISTRY, MARMARA

UNIVERSITY, ISTANBUL, TURKEY.
DZs zdPZ-DT.-DEPARTMENT OF ENDODONTICS, FACULTY OF DENTISTRY, MARMARA
LEYLA KURU-PROF. DR.-DEPARTMENT OF PERIODONTOLOGY, FACULTY OF DENTISTRY, MARMARA
Background: A perforation is an invasion into the supporting tissues that primarily provokes
inflammation together with loss of periodontal attachment and eventually may compromise the
prognosis of the tooth. Materials and Methods: In this case report, treatment of a root perforation on
the coronal portion of the tooth #11 of a systemically healthy 45 year-old female patient is presented.
Patient was referred from a private practice clinic because of the gingival redness and swelling
occurred as a result of improper endodontic cavity preparation and filing. Root canal of the associated
tooth was widened up to no 40 file. The canal was irrigated with sodium hypochloride (5.25%) and the
final irrigation was done with ethylene diamine tetra asetic acide (17%). Subsequently, root canal was
filled with lateral condensation technique. 1 month after completion of endodontic treatment,
surgical therapy was planned to obturate the perforation on the vestibular surface of the root.
Mucoperiosteal flap was elevated between teeth #12-#21 with distal oriented oblique vertical
incisions allowing direct vision to the perforation area. The perforation was treated with mineral
trioxide aggregate (MTA) and glass ionomer root filling. Results: At the end of 6-month follow-up
period, uneventful clinical and radiographic healing were achieved without any complication.
Conclusion: This case report demonstrates the successful outcome of a multidisciplinary treatment
approach including MTA and glass ionomer root filling implementation with an open flap access to the
perforation area. Key words: Endodontics, mineral trioxide aggregate, perforations, open flap surgery.
PP.113. PERIODONTAL REGENERATIVE THERAPY OF

INTENTIONALLY REPLANTED PERIODONTALLY COMPROMISED
TOOTH: HOPELESS TO HOPEFUL
OZTURK D, OZTURK OZENER H, KURU L.
DAMLA OZTURK-DDS-MARMARA UNIVERSITY,FACULTY OF DENTISTRY, DEPARTMENT OF

PERIODONTOLOGY
HAFIZE OZTURK OZENER-ASSISTANT PROF DR-MARMARA UNIVERSITY, FACULTY OF DENTISTRY,
LEYLA KURU-PROF DR-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
Background: Intentional replantation can be a successful treatment alternative for periodontally

involved hopeless teeth. In this case report, intentional replantation with periodontal regenerative
therapy was presented. Methods and Materials: A systemically healthy 58 year-old female patient
applied to the periodontology clinic with a complaint of bad appearance and pain in her elongated
ƚŽŽƚŚηϮϭ͘ůŝŶŝĐĂůĞǆĂŵŝŶĂƚŝŽŶƌĞǀĞĂůĞĚŝŶĨůĂŵĞĚŐŝŶŐŝǀĂ͕ƉƵƐĞǆƵĚĂƚŝŽŶ͕ĞǆƚƌƵƐŝŽŶ͕DŝůůĞƌ͛Ɛ'ƌĂĚĞ//
mobility, probing depth of 9 mm mesiolabially in relation to #21. The tooth was nonresponsive to pulp
sensitivity test. Periapical radiograph revealed severe bone loss. Phase I therapy including scaling,
root planing and splinting with wire and composite was carried out. Surgery was scheduled four
weeks after completion of the endodontic treatment. The tooth was gently extracted and replanted
utilizing root conditioning combined with regenerative therapy. Xenograft was placed into the bony
defect followed by placement of a collagen membrane covered by coronally advanced flap. Result:
Throughout 6-month follow-up, mobillity was remarkably reduced to Grade I with a marked reduction
in probing depth and dense radiopacity in periapical area suggestive of new bone formation.
Conclusion: Improvements in the clinical and radiographic parameters strongly suggest that
intentional replantation may be a cost-effective substitute to implants. Keywords: periodontal
diseases, tooth replantation, xenograft, collagen membrane, bone regeneration
PP.114. USE OF GINGIVAL UNIT TRANSFER IN THE TREATMENT OF

LOCALIZED GINGIVAL RECESSION: A CASE REPORT
YILDIRIM HS, ILHAN MB, KURU L.
HATICE SELIN YILDIRIM-ASSISTANT PROFESSOR-MARMARA UNIVERSITY, FACULTY OF DENTISTRY,

MUSTAFA BOGACHAN ILHAN-DDS-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
LEYLA KURU-PROFESSOR-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
Aim: One of the most important factors for the success in periodontal plastic surgery is the synergistic
relationship between involved tissues and vascular supply. Gingiva has a special capillary network
increasing towards the gingival margin. Thus free gingival graft can survive on the avascular root
surfaces. In this case report, treatment of Miller II localized gingival recession with gingival unit
transfer was presented. Case Report: A 20 year-old female was attended to Marmara University
Department of Periodontology. Medical history showed that she has no systemic diseases. On clinical
examination, localized Miller II recession with 6 mm recession depth on buccal side of mandibular
right central incisor was observed. On radiographical examination, there was no bone loss. Initial
periodontal treatment was performed. Recession depth, from cementoenamel junction (CEJ) to
marginal gingiva, probing depth from marginal gingiva to the bottom of the pocket; clinical
attachment level, from CEJ to the bottom of the pocket and recession width were recorded at
baseline,1 and 3 months after surgery. Gingival unit transfer surgery was performed after 6 weeks
after initial periodontal treatment. Sutures were removed 10 days post-operatively. At 1 month
follow-up, complete root covarage was observed. Conclusion: Surgical treatment of Miller II gingival
recession may result in complete root coverage using gingival unit transfer technique. Keywords:
Autografting, gingiva, gingival recession, gingival unit
PP.115. TREATMENT OF MILLER III TYPE GINGIVAL RECESSION BY

USING MODIFIED GINGIVAL UNIT GRAFT: CASE REPORT
BOZ C, AKKAYA M, BARBAROS R.
CANAN BOZ-DDS-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PERIODONTOLOGY

MURAY AKKAYA -PROF. DR. -ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
RAHME BARBAROS-DDS.-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
Treatment of Miller III Type Gingival Recession By Using Modified Gingival Unit Graft: Case Report
AIM: Gingival recession is the exposure of the root surface due to an apical shift of the gingival margin
and can cause sensitivity, caries, adverse aesthetics or cervical root abrasion. A lot of periodontal
aesthetic surgery procedures are designed to eliminate these problems and/or correct defects in the
morphology. The gingival unit graft is one of various techniques that can be employed in the
treatment of mucogingival problems and recessions. Case Report: A 32-year-old systemically healthy
patient with a recession of lower first incisor was referred to the clinic. After clinical and radiographic
examinations the recession was classified as Miller Class III. After local anesthesia, the recipient site
was prepared by denuding the connective tissue. The graft was harvested from the palatal aspect of
the maxillary premolars, placed on the recipient site and sutured. A satisfactory color and tissue blend
were obtained at the recipient area along with better results associated with the original defect
coverage. Conclusion: Acceptable treatment results can be achieved in Miller Class III recession
defects with gingival unit grafting. However controlled clinical trials are necessary.
PP.116. INCREASING THE AMOUNT OF KERATINIZED GINGIVA

AROUND IMPLANTS WITH FREE GINGIVAL AND CONNECTIVE
TISSUE GRAFTS
YILDIRIM HS, >7<,͕<hZh>͘
,͘ ^>7E z/>/Z/D-ASSIST. PROF. DR.-MARMARA UNIVERSITY, DENTAL FACULTY, DEPARTMENT OF

PERIODONTOLOGY, ISTANBUL, TURKEY
,>7> >7<-DDS.-MARMARA UNIVERSITY, DENTAL FACULTY, DEPARTMENT OF PERIODONTOLOGY,
ISTANBUL, TURKEY
LEYLA KURU-PROF. DR.-MARMARA UNIVERSITY, DENTAL FACULTY, DEPARTMENT OF
Background/Aim: The keratinized tissue around dental implants provides increased resistance of the
periodontium to external injury and muscular fibers of alveolar mucosa, contributes to the
stabilization of the gingival margin position. A keratinized gingival band around implant restorations is
usually provided, in order to promote plaque control and reduce the incidence of periimplant disease.
Many surgical techniques have been utilized to augment gingival tissue dimensions. The aim of this
case report is to present free gingival and connective tissue graft procedures for increasing
keratinized gingiva around implants. Case report: A 68 year old male patient was referred to our clinic
with complaints of gingival swelling and bleeding around implants under the overdenture prosthesis
in the anterior mandibular region. Medical history revealed use of Co-irda (300 mg, 1x1) because of
hypertension for 6 years. Dental examination revealed 0.5 and 1 mm keratinized gingiva width around
implants #43 and #33, respectively. There was bone resorption around implants radiographically.
Firstly, patient underwent mechanical periodontal treatment (MPT) combined with oral hygiene
instructions. Six weeks after MPT, connective tissue graft operation was performed around implant
#43. Free gingival graft procedure was applied around implant #33 1 month after the first surgery.
Sutures were removed 10 days postoperatively. Results showed 3 and 2.5 mm keratinized tissue
increase around the implants #43 and #33, respectively. Conclusion: Free gingival and connective
tissue procedures resulted in gain of keratinized gingiva around implants and keratinized gingiva
width remained stable at 9 months follow up period.
Session 17
PP.117. EFFECT OF POSTPOLYMERISATION METHODS ON
MECHANICAL CHARACTERISTICS OF DENTURE BASE RESINS
KOSTIC M, IGIC M, GLIGORIJEVIC N.
MILENA KOSTIC-PHD-MEDICAL FACULTY OF NIS, SERBIA;MARKO IGIC-DR-MEDICAL FACULTY OF NIS,

SERBIA
NIKOLA GLIGORIJEVIC-DR-MEDICAL FACULTY OF NIS, SERBIA
Introduction. Mechanical properties of acrylic restorations depend on the type and manner of their
polymerization. Postpolymerisation treatments, such as water boiling, microwave irradiation and
water storage, can affect mechanical properties (flexural strength and modulus of elasticity) of theese
materials. Materials and Methods. The study included acrylate resins as well as acrylate for
orthodontic appliances impregnated with aesthetic beads. Flexural strength, modulus of elasticity and
the deflection were measured immediately after polymerization, after a hot and microwave
postpolymerization and after immersion in a water bath at room temperature. Results. After
postpolymerisation treatments there was an increase in flexural strength and modulus of elasticity
relative to initial values for all tested materials. Conclusion. Bearing in mind the reduction in fracture
risk of dental prosthesis, proposed postpolimerisation procedures, can be used in all clinical situations
where there is an increased risk of damage to dentures.
PP.118. PROSTHETIC REHABILITATION OF A PATIENT WITH

PARTIAL MAXILLECTOMY
GERDZHIKOV I.
IVAN GERDZHIKOV -CHIEF ASSISTANT, PHD-MEDICAL UNIVERSITY -SOFIA, BULGARIA, FACULTY OF

DENTAL MEDICINE,DEPARTMENT OF PROSTHETIC DENTISTRY
Prosthetic rehabilitation of a patient with partial maxillectomy Ivan Gerdzhikov Department of

Prosthetic dentistry, Faculty of Dental Medicine, Medical University -Sofia, Bulgaria Background:
Injuries in maxillofacial area after maxillary resection lead to serious aesthetic changes, psychological
problems and functional disorders associated with difficulty in chewing, swallowing, speech and
breathing. Prosthetic methods of treatment are of prime importance in complex treatment and
rehabilitation in patients with maxillary resection. Materials and methods: The prosthetic treatment
of a 66-year-old patient with a unilateral maxillary defect in result of an oncological operation and
remaining mandibular teeth is described. Upper and lower imprpession were taken with irreversible
hydrocolloid impression material after tamponing the maxillary defect with gauze. The post resection
prosthesis was finished by the classical technology from heat-curing acrylic resin with a low residual
monomer content. The effectiveness of prosthetics was evaluated by the method of Mihaylov for
both oral-nasal examination of the pressure with the device
PP.119. TREATMENT OF BILATERAL MISSING TEETH - CASE
REPORT
TOTI C, GURAKUQI A, HYSI D, PETRO E.
CELJANA TOTI-PROF ASS-FACULTY OF DENTAL MEDICINE

ALMIRO GURAKUQI-PHD-PRIVATE DENTAL OFFICE
ETLEVA DROBONIKU-PROF ASS-FACULTY OF DENTAL MEDICINE
DORJAN HYSI-PROF ASS-FACULTY OF DENTAL MEDICINE
ENIDA PETRO-PHD-FACULTY OF DENTAL MEDICINE
Introduction: According to literature, the most frequent tooth to be genetically missing is the second
premolar and after that is lateral incisor in maxilla. It involves an important impact on aesthetics. The
aim of this presentation is to show the treatment of a patient with bilateral missing lateral incisors.
Material and methods: The patient is a girl of 17 years old. The clinical examination and panoramic X-
ray confirmed: agenesia of teeth 12 and 22. Tooth 52 was still within the dental arch. There was not
enough space between tooth 11 and 13; Class I molar relationship; Early extraction of tooth 36. After
a multidisciplinary consultation it was decided to start with the orthodontic treatment to align the
maxillary dental arch and to create space for both missing laterals. Later these teeth would be
substituted by dental implants. The orthodontic treatment was finished after 18 months. During the
retention phase, tooth 52 was extracted and dental implants were inserted for teeth 12 and 22. Three
months after the ceramic crown were applied. Result: The patient was very pleased at the end of the
treatment. Thanks to this multidisciplinary plan, the maxillary dental arch form was improved and
enough space was created for missing teeth.
PP.120. PROSTHETIC REHABILITATION OF A PATIENT WITH

OLIGODONTIA
GURAKUQI A, TOTI C, PETRO E, HYSI D, DROBONIKU E.
ALMIRO GURAKUQI-PHD-PRIVATE DENTAL OFFICE

CELJANA TOTI-PROF ASS-FACULTY OF DENTAL MEDICINE
DORJAN HYSI-PROF ASS-FACULTY OF DENTAL MEDICINE
ETLEVA DROBONIKU-PROF ASS-FACULTY OF DENTAL MEDICINE
The aim of this presentation is to show our experience in the treatment of a patient with oligodontia.
Material and method: A patient of 14 years old, female presented: oligodontia of teeth
11,12,15,17,21,22,25,27,35,45; bilateral posterior crossbite; rotation of teeth 23,24; esthetic,
functional and psychological problems. After a multidisciplinary consultation it was decided to start
with RME to correct the transversal problems. At the age of 17 years old 2 implants were inserted to
substitude teeth 11 and 21. During this time we tried to correct the position of teeth 23 and 34 using
partial braces as well as a removable appliance. At the end of the treatment a full ceramic bridge was
applied to substitute the rest of missing teeth in the upper arch. Results: The patient was very pleased
at the end of the treatment. Orthodontic treatment as the first step of the overall treatment, in a case
like this, creates a better dental arch so that the final prosthetic solution could offer a better
aesthetics, function and satisfaction for the patient.
PP.121. DIFFERENCES BETWEEN TWO DIFFERENT METHODS OF
POLYMERIZATION IN COMPLETE REMOVABLE DENTURES
XHAJANKA E, BARDHOSHI M, HYSENAJ N, GJILO K.
EDIT XHAJANKA-ASSOCIATE PROFESSOR-FACULTY OF DENTAL MEDICINE

MERITA BARDHOSHI-ASSOCIATE PROFESSOR-FACULTY OF DENTAL MEDICINE
NEADA HYSENAJ-MASTER OF SCIENCE-hE/sZ^/dz Ed> >/E/͖<KK ':/>K-DOCTOR OF
PHILOSOPHY-FACULTY OF DENTAL MEDICINE
Differences between two different methods of polymerization in complete removable dentures.

ΎWƌŽĨ͘ ƐƐŽĐ͘ Ěŝƚ yŚĂũĂŶŬĂ͕ WƌŽĨ͘ƐƐŽĐ͘DĞƌŝƚĂ ĂƌĚŚŽƐŚŝ͕D͘^Đ͘ EĞĂĚĂ ,ǇƐĞŶĂũ͕ WŚ͘͘ <ŽĕŽ 'ũŝůŽ͘
*Faculty of Dental Medicine, Albania. The aim of the study: The construction of total prosthesis as
efficiently as possible and the comparison with conventional total prosthesis. Material and method:
For a 5-years period we prepared total prosthesis to 245 patients and we observed them.The patients
are divided into two groups:the first group included 133 patients with SR-Ivocap prosthesis;the
second group,112 patients with conventional prosthesis. Based on the medical check of
patients,immediately the prosthesis implementation and after a 1-2-3-5 year period, we compared
the results of the prosthesis implementation process and prosthesis function in the 2 groups.The
treatment results are evaluated based on some criteria.1-Increase of vertical occlusion dimension; 2-
Pressure points; 3-Decubitusis; 4-Low stability; 5-Prosthetic stomatitis. Results: After the periodic
controls the results show that in SR-Ivocap prosthesis the stability is very good in 33,1% of patients,
against 19,7% in conventional prosthesis; in SR-Ivocap dentures OVD increase in 0%, in traditional
dentures 52,6%; In SR-Ivocap dentures decubitis are present in 22,5%, in traditional dentures 41,9%,
prosthetic stomatitis in 16,5%, in SR-Ivocap dentures and 37,3% in traditional dentures; in SR-Ivocap
dentures interferences were present in 9,7%, in traditional dentures interferences were 81,25%,
denture fractures were 8,0% in SR-Ivocap dentures and 19,9% in traditional dentures. Conclusions:
SR-Ivocap prosthesis overlays in all the parameters, compared to conventional prosthesis. The SR -
IVOCAP system is the best way to achieve perfection in dental prosthesis.
PP.122. REPAIR OF RESIN COMPOSITE, PORCELAIN FUSED TO

METAL OR ALL CERAMIC RESTORATIONS
VOURTSA G, PAPADOPOULOU A, TOLIDIS K.
GEORGIA VOURTSA-POSTGRADUATE STUDENT -ARISTOTLE UNIVERSITY OF THESSALONIKI, SCHOOL OF

HEALTH SCIENCES,DENTAL SCHOOL, DEPARTMENT OF OPERATIVE DENTISTRY
AGGELIKI PAPADOPOULOU-POSTGRADUATE STUDENT -ARISTOTLE UNIVERSITY OF THESSALONIKI,
SCHOOL OF HEALTH SCIENCES,DENTAL SCHOOL, DEPARTMENT OF OPERATIVE DENTISTRY
KOSMAS TOLIDIS-ASSOCIATE PROFESSOR -ARISTOTLE UNIVERSITY OF THESSALONIKI, SCHOOL OF
HEALTH SCIENCES,DENTAL SCHOOL, DEPARTMENT OF OPERATIVE DENTISTRY
Background: Health sciences in general, as well as oral health science in particular, tend to minimal
invasive procedures as more as possŝďůĞ͘ dŚŝƐ ƌĞƐƵůƚ ƚŽ ƚŚĞ ŶĞĞĚ ŽĨ ĐŚĂŶŐŝŶŐ ĚĞŶƚĂů ƉƌĂĐƚŝƚŝŽŶĞƌƐ͛
everyday practice. Regarding operative dentistry, this may mean emphasizing on preventive dentistry,
minimum surgical intervention when there is a cavitated lesion or repairing, instead of replacing,
failed existing restorations. About restoration repair, the biological profit lies to the fact that it is not
possible to remove an old restoration, without cutting off a part of sound tissues. Moreover, repairing
is faster and cheaper. Methods and materials: This review summarizes the protocols for repairing
resin composite, porcelain fused to metal or all ceramic restorations and compares the methods used.
Medline was searched for relative articles on the last 10 years. Results: To consider a restoration
repair successful, a high life expectancy must have been proved. The most important part for this, is
finding the failure reason and overtaking it and creating a strong bond between the existing and the
new restoration material. The bond relies mostly on the materials used and the surface process of the
old restoration Conclusion: As the materials advance and bond strength increases, repairing a
restoration should be considered as a solution, before replacing it.
PP.123. 3D RADIOGRAPHS IN PLANNING OF COMPLEX

REHABILITATION OF EDENTULOUS PATIENTS - A CASE REPORT
STUDY
PAVLOVIC M, PEJANOVIC D, RISTIC T, VUKOVIC B.
MAJA PAVLOVIC-TEACHING FELLOW-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD,

DJORDJE PEJANOVIC-ASSISTANT PROFESSOR-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD,
IVAN MILEUSNIC-ASSISTANT PROFESSOR-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD,
TAMARA RISTIC-ASSISTANT PROFESSOR-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD,
BRANISLAVA VUKOVIC-TEACHING FELLOW-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD,
The success and durability of prosthetic rehabilitation in complex cases depends on a precise
prosthetic plan and appropriate surgical preparation. Analysis of 3D CBCT radiographs enables the
assessment of the volume of the available bone, the width and length of the residual alveolar ridge,
the proximity of significant anatomical structures and the possibility to place dental implants. The
purpose of this case study was to implement 3D CBCT imagery and the accompanying planning
software to present and discuss the therapeutic plan of rehabilitation. A 55-year old female patient
presented with two fixed partial dentures (FPD) and progressive periodontitis because of which it was
decided to extract all the remaining teeth in the upper jaw. Afterwards, considering the age of patient
and the fact that she insisted on fixed partial dentures as a therapy option, a 3D radiograph was made
in order to evaluate all therapeutic possibilities. Impressions were taken and the models were poured
and scanned in an extraoral scanner for software analysis. Combining data gathered from the 3D
radiograph and virtual models, it was possible to plan and present to the patient the surgical part of
therapy - insertion of 5 dental implants, as well as prosthetic rehabilitation with fixed partial dentures.
Consequently, the final plan could be evaluated and accepted by the patient. 3D radiographic imagery
and the data collected by it, proved to be an invaluable tool in planning of the rehabilitation with
dental implants and fixed partial dentures.
PP.124. USE OF RESILIENT DENTURE BASE MATERIAL

(MOLLOPLAST-%,17+(0$1'ú%/(5(62537ú215,'*(6
MOKHTARI TAVANA PY.
PELIN YASEMIN MOKHTARI TAVANA-RESEARCH ASSISTANT-ANKARA UNIVERSITY, DENTISTRY

FACULTY, PROSTHODONTICS DEPARTMENT
YASEMIN KESKIN-PROFESSOR
One of the main purposes of prosthetic treatment is to maintain the integrity and continuity of tissues
under functional pressure. The tissues below the prosthetic base plate require functional pressures to
maintain their health and integrity. However, this pressure must be continuous and within certain
limits. When the pressure on the tissue is continuous and above the physiological limits, the support
causes resorption in the bone. Jaws showing different resilience areas are important in terms of
prosthetics. The extremely resorbed edentulous mandible has always presented difficulties for the
dentist and patient. This case describes the use of a heat-cured soft liner to aid in patient comfort. A
detailed description of the laboratory processing procedures for Molloplast-B-lined dentures that
varies from those offered by the manufacturer has proved to be effective. The processing technique
for Molloplast-B-lined dentures is very sensitive, consequently, no steps should be omitted. Because
these procedures are time-consuming, the minimal time required is 3 full working days in the
laboratory. Our study was carried out on two prosthetic patients, one female and one male, aged
between 70 and 80, who applied to our clinic at Ankara University dentistry faculty. The common
feature of both patients is bone resorption in the lower jaw posterior region. For this reason, both
patients suffered from using their prosthesis. To elevate these complaints, local molloplasty and relief
have been performed on patients' old prosthesis modified new prosthesis.
PP.125. PREVALENCE AND CHARACTERISTICS OF

PNEUMATIZATION OF ARTICULAR EMINENCE ON CBCT OF
TURKISH SUBPOPULATION
YILDIZ AN, ULAY G, NAMDAR PEKINER F, BORAHAN MO.
zb EhZ z/>/-DT -DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, MARMARA UNIVERSITY,
GAMZE ULAY-DT-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, MARMARA UNIVERSITY,
FILIZ NAMDAR PEKINER-PROF-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, MARMARA
hE/sZ^/dz͕&h>dzK&Ed/^dZz͕7^dEh>͕dhZ<z
D͘ K)h KZ,E-ASIST PROF-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, MARMARA
hE/sZ^/dz͕&h>dzK&Ed/^dZz͕7^dEh>͕dhZ<Ǉ
Introduction: The aim of this study was to determine the prevalence and characteristics of
pneumatization in the articular eminence (PAT) in an oral diagnosis and radiology clinic population
using cone-beam computed tomography (CBCT), and review of the PAT literature. Material and
Methods: The subjects for this retrospective study consisted of all 200 adult patients who visited the
department of Oral Diagnosis and Radiology, Marmara University Faculty of Dentistry, and underwent
a single CBCT examination picked up from the picture archiving and communications system (PACS)
from 2011 to 2016. Gender were recorded for all patients, and for the cases of pnuematization,
laterality and type (unilocular or multilocular) were noted. Results: Of the 200 patients, 64 (32,0%)
had PAT, of whom 35 were female (32,4%), and 29 were male (31,5%). Of the 64 patients, 39 (60,9%)
had unilateral and 25 (39,1%) had bilateral PAT. 17 (26,6%) PATs were multilocular and 47 (73,3%)
PATs were unilocular. Conclusion: CBCT images are an accurate and reliable means of detection of the
exact size and type of pneumatization and the relationship of pnuematization to the adjacent tissue.
In differential diagnosis of suspected cases or in cases for which surgical treatment is planned,
panoramic radiographs should be supplemented with CBCT.
PP.126. A NEW APPROACH IN MAKING OSA APPLIANCE
GROZEV L, DOSHEV V, HRISTOV I, PAVLOV B, IVANOVA D.
GROZEV LYUBOMIR-ASSISTANT - PROFESSOR-MEDICAL UNIVERSITY- PLOVDIV, FACULTY OF DENTAL

MEDICINE, DEPARTMENT OF PROSTHETIC DENTISTRY
DOSHEV VASKO-ASSISTANT - PROFESSOR-MEDICAL UNIVERSITY- PLOVDIV, FACULTY OF DENTAL
HRISTOV ILIYAN-ASSISTANT - PROFESSOR-MEDICAL UNIVERSITY- PLOVDIV, FACULTY OF DENTAL
PAVLOV BOYAN-ASSISTANT - PROFESSOR-MEDICAL UNIVERSITY- PLOVDIV, FACULTY OF DENTAL
IVANOVA DANIELA-ASSISTANT - PROFESSOR-MEDICAL UNIVERSITY- PLOVDIV, FACULTY OF DENTAL
Introduction: There are many appliances for the treatment of snoring and OSA. A big part of them are
made by including the maxille and the mandible. Goal: Our goal is to present a new approach in
making of an intraoral appliance for the treatment of Obstructive Sleep Apnea. Materials and
Methods: We use an elastic resin which covers all of the preliminary modelling surfaces in the lower
jaw and gives a very good comfort through the patients sleep. Results: Our patients are satisfied of
the appliance and they have no any compliances about the wearing of it. Conclusion: The new
approach in the design of our intraoral appliance gives us the reason to present it to the dental
society.
PP.127. COMBINING PEEK AND NATURAL TEETH FOR AN

INTERMEDIATE PARTIAL COVERAGE FPD. CASE PRESENT
KARAISKOU G, TASOPOULOS T, ZOIDIS P, KOURTIS S.
GEORGIA KARAISKOU-DDS-UNIVERSITY OF ATHENS,DENTAL SCHOOL, DEPARTMENT OF

PROSTHODONTICS
THEODORE TASOPOULOS-DDS,MSC-UNIVERSITY OF ATHENS,DENTAL SCHOOL
GEORGIOS KOUVELIOTIS-DDS,CDT-UNIVERSITY OF ATHENS,DENTAL SCHOOL, DEPARTMENT OF
PROSTHODONTICS
PANAGIOTIS ZOIDIS -DDS,MSC, PHD-UNIVERSITY OF ATHENS,DENTAL SCHOOL, DEPARTMENT OF
PROSTHODONTICS
STEPHANOS KOURTIS-DDS, PHD-UNIVERSITY OF ATHENS,DENTAL SCHOOL, DEPARTMENT OF
PROSTHODONTICS
COMBINING PEEK AND NATURAL TEETH FOR AN INTERMEDIATE PARTIAL COVERAGE FPD. CASE
PRESENT The loss of teeth due to periodontol reasons may cause functional,psycological and
aesthetic problems for the patient.To restore anterior missing teeth resin-bonded-bridge is a
conservative, minimally invasive clinical option, either as a provisional or a final restoration.It is
prefered mostly because of aesthetic reasons and the importance of preserving the remaining
supporting teeth,even in cases of existing mobility.For the fabrication of the framework metal
alloys,ceramic materials and polymers have been used over the years.In the presented clinical case
polyetheretherketone(peek) was chosen because of its properties namely,elasticity and aesthetic
appearance.The purpose of this poster was to present an alternative,temporary therapy proposal
using a PEEK framework and natural teeth as pontics for resin-bonded-bridges.However it must be
underlined that this material has been newly been intodused in dentistry.Therefore the long term
effects and success rate require further evidence and investigation.
PP.128. USING OF RADIOGRAPHIC TEMPLATE WITH THREE
IMPLANTS SUPPORTED MANDIBULAR OVERDENTURE: A CASE
REPORT
YILMAZ A, KARAPINAR G, SULUN T, BAYRAKTAR BG.
ASLI YILMAZ-DDS, PHD STUDENT-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF

PROSTHODONTICS
GOKAY KARAPINAR-DDS, PHD STUDENT-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY,
WZdDEdK&KZ>EDy7>>K&7>^hZ'Zz
TONGUC SULUN-PROF.DR.-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
BELKIS GULSEN BAYRAKTAR-PROF.DR.-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF PROSTHODONTICS;--
Using of radiographic template with three implants supported mandibular overdenture: a case report
Recent studies showed that most of the surgical and prosthetic complications are related with poor
diagnosis and implant placement. These factors play a crucial role in the long-term predictability and
success of implant prosthetics. It is showed that the patient is more satisfied with implant supported
overdenture than to the mandibular conventional complete denture. Many different attachment
systems (magnets, bar systems, locators, telescopic coping) were developed for edentulous patients.
According to the literature, locator attachment system offers the possibility to obtain a higher
retention and an improved stability for overdentures in edentulous patients with a severely resorbed
mandible and lack of vertical space between the arches. Since implant supported overdenture
became a widely accepted treatment option for edontolus patients, it is crucial to choose the best
prosthetic and surgical modality. In this case, we present a technique of fabrication of a radiographic
template to support surgery and three-implants supported overdenture as a succesful treatment
option.
129. REPLACEMENT OF CONGENITALLY MISSING MAXILLARY

LATERAL INCISORS USING SCREW-RETAINED IMPLANT
SUPPORTED PROSTHESIS: A CASE REPORT
YILMAZ U, KANSU G.
UMRAN YILMAZ-REPLACEMENT OF CONGENITALLY MISSING MAXILLARY LATERAL INCISORS USING

SCREW-RETAINED IMPLANT SUPPORTED PROSTHESIS: A CASE REPORT-ANKARA UNIVERSITY FACULTY
OF DENTISTRY, DEPARTMENT OF PROSTHODONTICS
GULAY KANSU
REPLACEMENT OF CONGENITALLY MISSING MAXILLARY LATERAL INCISORS USING SCREW-RETAINED

IMPLANT SUPPORTED PROSTHESIS: A CASE REPORT Background: Generally, single missing tooth in the
maxillary anterior region are best restored with cement retained implant restoration. The only reason
ƚŽ ƵƐĞ ƐĐƌĞǁ ƌĞƚĂŝŶĞĚ ƉƌŽƐƚŚĞƐŝƐ ǁŽƵůĚ ďĞ ŝĨ ƚŚĞ ŝŵƉůĂŶƚ͛Ɛ ůŽŶŐ axis is too palatal in the anterior
region or extremely limited inter-occlusal distance. In this case, screw-retained restorations were
prefered; because abutments would be shorter than 5 mm due to the limited interarch spaces which
is negative for retention. Case Report: A 21 year old female patient with bilateral congenitally missing
maxillary lateral incisor reported to Ankara University, Faculty of Dentistry. The patient had
undergone orthodontic treatment 2 years before to obtain space for maxillary lateral incisor teeth.
On examination it was observed that residual ridge showing adequate horizontal bone width;
however vertical bone height was slightly deficient. Periodontal health of the all other teeth were
ŐŽŽĚ͘ dŚĞ ƉĂƚŝĞŶƚ͛Ɛ ŵĞĚŝĐĂů ŚŝƐƚŽƌǇ ĚŝĚŶ͛ƚ present any contraindications for dental treatment.
Conclusion : A major benefit of a screw-retained prosthesis is retrievability. In addition, screw-joint
systems provide a great variety of transmucosal and prosthetic components, work well in patients
with limited inter-occlusal space, require no removal of subgingival cement, cause no negative
sequela when the cement is not removed. However, screw-retained prosthesis requires precise
positioning of the implant for optimal location of the screw access hole and esthetic problems in
anterior zone. At the 1-year follow-ƵƉ͕ ƚŚĞ ƚƌĞĂƚŵĞŶƚ ǁĂƐ ƐĂƚŝƐĨĂĐƚŽƌǇ ĨŽƌ ƚŚĞ ƉĂƚŝĞŶƚ͛Ɛ ĞƐƚŚĞƚŝĐ
expectations.
PP.130. SURVEY OF DEGREE OF AWARENESS OF DENTISTS ABOUT

THE QUALITIES OF SOFT RELINING MATERIALS
HRISTOV I, SLAVCHEV D, ZLATEV S, HRISTOV S, DOSHEV V.
ILIAN HRISTOV-ASSISTANT-PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE,

DEYAN SLAVCHEV-ASSOCIATE-PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE,
STEFAN ZLATEV-ASSISTANT-PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE,
STILYAN HRISTOV-ASSISTANT-PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE,
VASKO DOSHEV-ASSISTANT-PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE,
SURVEY OF DEGREE OF AWARENESS OF DENTISTS ABOUT THE QUALITIES OF SOFT RELINING

MATERIALS BACKGROUND: CLINICAL CASES OF OVERDEVELOPED TORUS PALATINUS AND
RETENTIONAL TUBERAE MAXILLAE, SEVERE, UNEVEN, NONSYMMETRICAL RESORPTION OF
MANDIBULAR RIDGE ARE QUITE A CHALLENGE. SUCH CASES MAY BECOME EVEN MORE
COMPLICATED IF THERE IS NARROW, SHARP ALVEOLAR RIDGE WITH THIN MUCOSA, EXOSTOSES,
PAINFUL AREAS AROUND LINEA MYLOHYOIDEA AND FORAMEN MENTALE. THE EVEN DISTRIBUTION
OF MASTICATORY FORCES, WHEN HAVING SUCH ANATOMO-TOPOGRAPHIC CONDITIONS IS VERY
COMPLICATED. THE AIM OF THE CURRENT INVESTIGATION IS TO ANALYZE THE COLLEAGUES,
AWARENESS WITH THE SOFT RELINING MATERIALS, THEIR NATURE, PROPERTIES AND APPLICATION.
MATERIALS AND METHODS: A DIRECT QUESTIONNAIRE METHOD WAS USED AS A FORM OF WRITTEN
QUESTIONING DURING WHICH EVERYONE OF THE CONSIDERED DENTISTS ANSWERS THE GIVEN
QUESTIONS. DOCUMENTARY METHOD OF GATHERING AND PROCESSING OFFICIAL STATISTICAL DATA
WAS USED, AS WELL AS STATISTICAL METHODS OF ANALYZING THE INFORMATION AND GRAPHICAL
METHODS OF PRESENTING THE RESULTS FROM THE RESEARCH USING TABLES AND FIGURES.
RESULTS: 115 DENTISTS HAVE BEEN QUESTIONED (56 MALE AND 59 FEMALE). THE AVERAGE AGE OF
THE CONSIDERED PERSONS WAS 43.67 (30.43%) YEARS OLD. THE MAJOR GROUP WAS THAT
BETWEEN THE AGE OF 45-54 (30.43%) , FOLLOWING THE GROUP OF 25-34 YEARS OLD (28.70%).
CONCLUSION: ALTHOUGH MOST OF THE INTERVIEWED ANSWERED, THAT THEY ARE VERY WELL
ACQUAINTED WITH THE SOFT RELINING MATERIALS, THEY DO NOT USE THEM VERY FREQUENTLY IN
THEIR PRIVATE PRACTICES.
PP.131. THE USE OF A ROTATIONAL-PATH DESIGN FOR A
MANDIBULAR REMOVABLE PARTIAL DENTURE: A CASE REPORT.
/EZ', b<ZK͕'</>/K͕hZ>͘
'msEE /EZ-DDS-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF

K>z b<Z-PROFESSOR-ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
KEhZ'</>/-ASSOCIATE PROFESSOR -ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF PROSTHODONTICS, ISTANBUL, TURKEY
CANAN BURAL-ASSOCIATE PROFESSOR -ISTANBUL UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF PROSTHODONTICS, ISTANBUL, TURKEY
Prosthodontic treatment of patients with missing anterior teeth has various treatment options when
biomechanics, aesthetics and finance are considered together. When a conventional removable
partial denture (RPD) is the choice of treatment, maximum effort should be given to achieve and
improve aesthetics. A rotational path removable partial denture design may be used in aesthetically
demanding situations.Prosthodontic treatment of a 28-years old male patient with severe mandibular
alveolar anterior defect due to previous surgery of the impacted canines is presented. A rotational
path mandibular RPD is designed to replace the 6 anterior missing teeth. To obtain maximum
retention, the master cast was evaluated on the surveyor and RPD is designed according to the
surveyed rotational path. The design of the RPD for the Kennedy Class IV patient consisted of only
bilateral posterior circumferential clasps with minor connectors on the present teeth. When
compared to conventional RPDs, the main advantage of this design is the elimination of the anterior
clasps with maximum retention and aesthetics with minimal use of clasps.
PP.132. CUBEX TM ZIRCONIA INDIRECT INLAYS ² A CASE REPORT

STUDY
VUKOVIC B, PAVLOVIC M, MILEUSNIC I, BOROTIC N, MILINKOVIC N.
BRANISLAVA VUKOVIC-TEACHING FELLOW-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD, FACULTY

OF STOMATOLOGY IN PANCEVO, SERBIA
MAJA PAVLOVIC-TEACHING FELLOW-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD, FACULTY OF
NENAD BOROTIC-TEACHING FELLOW-UNIVERSITY BUSINESS ACADEMY IN NOVI SAD, FACULTY OF
NENAD MILINKOVIC-DDS-PRIVATE DENTAL PRACTICE
The mechanical properties of dental materials are an essential factor for the longevity and
functionality of indirect dental restorations. Ceramic inlays have good aesthetic and mechanical
properties. Also, they are a better solution for the restoration of Class I and Class II defects on
posterior teeth compared to the materials used for direct restorations. The aim of this study was to
show the use of a novel ceramic material - Cubex zirconia for Class I inlays on posterior teeth. A 30-
year old male patient presented with two old amalgam fillings on lower right molars (46, 47). It was
decided to replace the fillings with all-ceramic inlays made of CubexTM zirconia (Dental Direkt GmbH,
Spenge, Germany). After the removal of the amalgam fillings and the correction of the cavity
accŽƌĚŝŶŐ ƚŽ ƚŚĞ ŵĂŶƵĨĂĐƚƵƌĞƌ͛Ɛ ŐƵŝĚĞůŝŶĞƐ͕ ĂŶ ŝŵƉƌĞƐƐŝŽŶ ǁĂƐ ƚĂŬĞŶ ƵƐŝŶŐ Ă ƐƚĂŶĚĂƌĚ ƚƌĂǇ ĂŶĚ
addition silicone. The plaster model was scanned in an extraoral scanner. Subsequently, a virtual
model was used to design the future restorations in CAD software. The final design was milled in a
CAM machine from prefabricated CubexTM zirconia blocks in the final colour. Afterwards, the inlays
were sintered and adjusted on the model. Clinically, the following parameters were checked: fitting,
marginal adaptation and aesthetic effect. Finally, the inlays were cemented with resin cement and
adjusted and polished. Novel materials, such as CubexTM, are an addition in the armamentarium for
the indirect restoration of posterior teeth owing to their excellent mechanical and aesthetic qualities.
333$7,(17·6027,9$7,21$6&58&,$/)$&725,1
PROSTHODONTIC REHABILITATION
:E/D͕ :K<^/DKs/͕'sZ/>Ks/^͕WhZas/D͕^/D/^͘
:E/ DZ/E-DR-hE/sZ/dd K'Z͕^dKDdK>Ka</ &<h>dd͕ <>/E/< ^dKDdK>Ka<h

PROTETIKU
:K<^/DKs/E-DR-hE/sZ/ddK'Z͕^dKDdK>Ka</&<h>dd͕<>/E/<^dKDdK>Ka<h
PROTETIKU
'sZ/>Ks/ ^ZE-DR-hE/sZ/dd K'Z͕^dKDdK>Ka</ &<h>dd͕ <>/E/<
^dKDdK>Ka<hWZKdd/<h
WhZas/ D/>/-DR-hE/sZ/dd K'Z͕^dKDdK>Ka</ &<h>dd͕ KLINIKA ZA
^dKDdK>Ka<hWZKdd/<h
^/D/ ^d&E -DR-hE/sZ/dd K'Z͕^dKDdK>Ka</ &<h>dd͕ <>/E/< ^dKDdK>Ka<h
PROTETIKU
AIM: Rehabilitation of the patient with impaired intermaxillary relation, unfavourable arrangement of
remaining teeth and poor oral hygiene. METHOD: The patient aged 45, reported to the Prosthodontic
Clinic in order to compensate lost teeth. The established situation indicated we had a difficult task. A
large number of extracted teeth, while remaining teeth has been destroyed by cavities and covered
ǁŝƚŚ ĚĞŶƚĂů ƉůĂƋƵĞ͕ ƵŶĨĂǀŽƵƌĂďůĞ ĂƌƌĂŶŐĞĚ ǁŝƚŚ ĚŝƐŚĂƌŵŽŶŝĐ ŝŶƚĞƌŵĂǆŝůůĂƌǇ ƌĞůĂƚŝŽŶ͘ WĂƚŝĞŶƚ͛Ɛ
rehabilitation, who apart from an extremely complex clinical situation has poor hygiene as a
detrimental factor, was very challenging. During prosthetic rehabilitation planning, all aggravating
ĐŝƌĐƵŵƐƚĂŶĐĞƐ ǁĞƌĞ ƚĂŬĞŶ ĐĂƌĞ͘ &ƵƌƚŚĞƌŵŽƌĞ͕ ǀĞƌǇ ŝŵƉŽƌƚĂŶƚ ǁĂƐ ƉĂƚŝĞŶƚ͛Ɛ ŵŽƚŝǀĂƚŝŽŶ ƚŽ ƌĞĂůůǇ
change his oral health attitude. After pre-prosthetic preparation which included oral surgery and
periodontal interventions, after all remaining teeth preparations, study analysis model impressions
were taken. The next step was the analysis of study models in the articulator, based on which the
following was indicated-in the upper jaw a 13 crowns circular bridge, while the lower jaw indicated
partial denture with castings. CONCLUSION: Pre-prosthetic preparation, planning, rehabilitation and
maintenance of accomplished results as part of the specialistdiscipline of prosthetic dentistry, very
much depend on the patieŶƚ͛ƐŵŽƚŝǀĂƚŝŽŶĂƐǁĞůů͘dŚĞƉƌĞƐĞŶƚĞĚĐĂƐĞƐŚŽǁƐƚŚĂƚĞǀĞŶŝŶƐŝƚƵĂƚŝŽŶƐ
when due to poor habits and negligence of the patient we cannot consider doing fixed prosthetic
work, with good approach to the patient and detailed planning, it is possible to get satisfactory results
which will be a further incentive for the patient to maintain accomplished therapeutic success.
PP.134. CHELIOGNATHOPALATOSHISIS ² MULTIDISCIPLINARY

APPROACH TO THE THERAPEUTIC SOLUTIONS
:E/D͕:K<^/DKs/͕ 'sZ/>Ks/^͘
:E/ MARINA-DR-hE/sZ/dd K'Z͕^dKDdK>Ka</ &<h>dd͕ <>/E/< ^dKDdK>Ka<h

PROTETIKU
:K<^/DKs/E-DR-hE/sZ/ddK'Z͕^dKDdK>Ka</&<h>dd͕<>/E/<^dKDdK>Ka<h
PROTETIKU
'sZ/>Ks/ ^ZE-DR-hE/sZ/dd K'Z͕^dKDdK>Ka</ &<h>dd͕ <>/E/<
^dKDdK>Ka<hWZKdd/<h
Introduction: Cheliognathopalatoshisis is congenital anomaly with multifactorial causes (genetic

causes, virus infection, hypoxia and toxins in prenatal period), which represents a big functional and
esthetic problem for the patients. Aim: The aim of this study was to represent clinical case of
prosthetic rehabilitation of the patient with cheliognathopalatoshisis. Material and method: Patient,
the age of 20 years old, reported to the Clinic of Prosthodontics, School of Dentistry, University of
Belgrade, for reconstruction the anterior region of partial edentulous maxilla. Considering it is a very
demanding indication for patient with cheliognathopalatoshisis, where orthodontic therapy was
completed, detailed clinical examination, study model analysis and complex Rag diagnostic was
carried out. After functional analysis and posterior occlusal contact correction with composite fillings,
upper frontal teeth preparation was accessed, same as temporary bridge making, and taking dental
impressions with additional silicone. In order to get guaranteed precision of future dental
restorations, plaster model was scanned in Acryl Cad program, acrylate substructure was made which
was intraorally adjusted, before fabrication of the metal framework. Further working phases,
including ceramic glazing and metalceramic bridge cementation belong to routine clinical procedures.
Conclusion: Prosthetic rehabilitation of the patients with with complex cleft lip and palate are very
difficult professional demand. Successfully completed surgical and orthodontic therapy, unfortunately
does not often leave optimal conditions for prosthodontic treatment of these patients. Therefore, it is
ŽƵƌ ĂŶĚ ƉĂƚŝĞŶƚƐ͛ ƐĂƚŝƐĨĂĐƚŝŽŶ ŝĨ ůŽŶŐ-term functional and esthetic solutions can be achieved by an
adequate therapy.
PP.135. ABUTMENT DESIGN FOR SINGLE TOOTH RESTORATION IN

THE AESTHETIC ZONE
CHEPTANARU O, CHELE N, BAJUREA N, UNCUTA D.
CHEPTANARU OLGA-ASSISTANT PROFESSOR -STATE UNIVERSITY OF MEDICINE AND PHARMACY

CHELE NICOLAE-PHD, ASSOCIATE PROFESSOR-STATE UNIVERSITY OF MEDICINE AND PHARMACY
BAJUREA NICOLAE-PHD, ASSOCIATE PROFESSOR-STATE UNIVERSITY OF MEDICINE AND PHARMACY
UNCUTA DIANA -PHD, DMD, ASSOCIATE PROFESSOR-STATE UNIVERSITY OF MEDICINE AND
PHARMACY -
Background: Implant-supported restorations especially in the esthetic zone can be challenging with
limited facial, interdental or interocclusal space and unproper implant axis. The type of abutment
should provide adequate emergence profile for support of periimplantary soft tissue and optimal
mucogingival esthetics. Aim: To present the different prosthetic abutments in the implant supported
restorations, comparing subjective and objective aesthetic outcomes. Methods: The study included 15
people with anterior single missing tooth, who received implant prosthetic treatment. Patients were
divided into three samples: I study sample - 5 patients treated with ceramic restorations on Zirconia
abutments. II study sample - 5 patients treated with ceramic restorations on customized metal -
ceramic abutments and III control sample ʹ 5 patients treated with metal-ceramic crowns on metal,
standard abutments. The following parameters consisted of PES, WES, radiographic bone level and
success parameters were evaluated. Results: Differences in the shape and volume of artificial crowns
in all samples have not noticed, but the color and translucency of the highest aesthetic results
showed the sample I and II. The WES was higher than the corresponding PES. The patients were
satisfied with prosthetic outcome. Conclusions: Single tooth implants seem to be an achievable
treatment option for functional rehabilitation of tooth loss in the anterior zone. The chosen material
and the type of abutment for manufacturing the implant restoration do not ensure aesthetic results,
if all parameters are not taken into account.
PP.136. TWO CASES OF LARGE DIASTEMA CLOSURE USING
DIFFERENT MATERIALS WITHOUT ROOT CANAL TREATMENT
d7Edb^͕ KARACAER O.
bEz d7Edb-PHD STUDENT -GAZI UNIVERSITY FACULTY OF DEd/^dZz WZK^d,KKEd7

DEPARTMENT
P'm> <ZZ-PROFESSOR-'/ hE/sZ^/dz &h>dz K& Ed/^dZz WZK^d,KKEd7
DEPARTMENT
TWO CASES OF LARGE DIASTEMA CLOSURE USING DIFFERENT MATERIALS WITHOUT ROOT CANAL
TREATMENT Background: One female and one male patient with high expectation of esthetics applied
to our clinic. It was decided to apply zirconium full ceramic bridge to female patient with higher
aesthetic expectancy and laser metal supported porcelain bridge to male patient. Methods and
materials: After evaluating the diagnostic models obtained from both patients, a knifeedge step
preparation was performed in the case of metal supported porcelain bridge, and a subgingival 1mm
champher step preparation was performed in the case of zirconium bridge. In order to achieve
esthetics, the teeth in the anterior region were prepared as far as possible from the buccal region and
parallelism was maintained between the teeth without any root canal treatment. In the production of
metal-supported porcelain bridges, laser cutting metal which has high biocompatibility and does not
make gray stains on the gums is used. In both patients, gingival level adjustment was made to provide
the smile design, pink porcelain was used in the required areas. The polycarboxylate cement was used
for permanent cementation after the control session at third week. Results: As a result of weekly
controls at 1, 3, and 6 weeks, no biological or mechanical complications were observed. The wide
diastemas were closed and patients were satisfied with the good esthetic results. Conclusion:
Zirconium material has superior mechanical properties like natural look, light reflectance and
biocompatibility that resulting more esthetic appearance compared to metal supported porcelain
bridges.
PP.137. MULTIDISCIPLINARY APPROACH FOR RESTORING

FUNCTIONAL AND AESTHETIC REHABILITATION OF A PATIENT:
CASE REPORT
OZDEMIR IA, TOKSAVUL S, TAMAC E, UNAL D.
INAN ANIL OZDEMIR-RESEARCH ASSISTANT-EGE UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT

OF PROSTHODONTICS
SUNA TOKSAVUL-PROFESSOR DOCTOR-EGE UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS
ECE TAMAC-RESEARCH ASSISTANT-EGE UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS
DILAY UNAL-RESEARCH ASSISTANT-EGE UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PERIODONTICS
The wear on the occlusal surfaces of teeth due to attrition, is the effect of friction caused by
functional and parafunctional activities.The occuring of the occlusal traumatic forces on the health of
the periodontal tissues, pulpal pathology, trauma, common occlusal diseases, occlusal disharmony,
impaired function, esthetic disfigurement, temporomandibular joint diseases and congenital disorders
are the main reasons for making a full mouth rehabilitation.A correct sequence of the treatment
while managing these patients can lead to a favourable prognosis.Determining the etiology, the
correct occlusal vertical dimension and centric relation are the critical issues for these patients. This
case report describes the multidisciplinary full-mouth rehabilitation of a 60-year-old female patient
who admitted to our clinic demanding for the esthetic correction of her abraded teeth and
diastemas.The patient had no relevant medical history and temporomandibular disorder.During the
clinical examination, poor oral hygiene, gingivitis and gingival hyperplasia were noticed.First of all, at
the beginning of the full-mouth rehabilitation, her periodontal disease was treated and her oral
hygiene improved.Then, all of her remaining teeth were reducted and full veneer metal ceramic
restorations were prepared with an increase of 5 mm in the existing vertical occlusal dimension.
PP.138. COST OF TWO IMPLANT SUPPORTED MANDIBULAR

OVERDENTURES OPPOSED TO MAXILLARY COMPLETE DENTURE
UCTASLI S. , GORKEM GOKER
SADULLAH UCTASLI-COST OF TWO IMPLANT SUPPORTED MANDIBULAR OVERDENTURES OPPOSED TO

MAXILLARY COMPLETE DENTURE.-UNIVERSITY OF ANKARA, FACULTY OF DENTISTRY
GORKEM GOKER
BACKGROUND Two-implant supported overdenture in the mandible opposing a maxillary complete

denture has been considered the first treatment choice for edentulous patients (Feine JS, Carlsson GE,
et al The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first
choice standard of care for edentulous patients. Montreal, Quebec, May 24-25, 2002. Int J Oral
Maxillofac Implants 17: 601-602, 2002; British Society for the Study of Prosthetic Dentistry. TheYork
consensus statement on implant-supported overdentures. Eur J Prosthodont Restor Dent 17: 164-
165, 2009). METHODS AND MATERIALS The aim of this study was to compare cost of two implant
supported mandibular overdentures opposed to maxillary complete denture treatment modality from
dental hospital and private practice. Total cost of two implant supported mandibular overdentures
opposed to maxillary complete denture treatment consists of oral and radiographic examination cost,
dental implant and attachment system cost, surgery cost, denture cost and maintaining cost. Dental
ŚŽƐƉŝƚĂů ĐŽƐƚ ĂƌĞ ǀĂƌŝĞĚ ĚĞƉĞŶĚŝŶŐ ŽŶ ƉĂƚŝĞŶƚ͛Ɛ ŶĂƚŝŽŶĂů ŚĞĂůƚŚ ŝŶƐƵƌĂŶĐĞ ĂŶĚ ƉĂƚŝĞŶƚ͛Ɛ ƉƌĞƐĞŶƚ
situation whether employee or retired. At private practice national health insurance does not cover
cost of treatment. Total treatment cost was calculated according to national health insurance and
Turkish Dental Association price list of 2017. CONCLUSION Total cost of treatment from dental
hospital and private practice were approximately 7320TL and 3290TL, respectively. Assumption of 1
Euro is equal to 4TL then total cost can be 1830 Euro and 820 Euro. Comparison of dental hospital and
private practice total treatment cost ratio is 1 : 2.2 based on 2017 price list.
PP.139. UNILATERAL PARTIAL DENTURE IN PATIENTS WITH

SEVERELY RESORBED MAXILLA: 5 YEARS FOLLOW UP STUDY
ZKs/<͕D/>/>D/͕/s<Ks/Z͕KZKs/:hZ//<͕D/s͘
<dZ/EZKs/-ASSISTANT PROFESSOR-SCHOOL OF DENTAL MEDICINE BELGRADE

><ÊZD/>/>D/
Z/s<Ks/
<K^Ks<KZKs/:hZ//
sÊD/
Purpose: Removable partial denture (RPD) as a common treatment option for unilateral partially
edentulous patients not indicated for implant therapy due to lack of bone, might disturb aesthetic
and comfort needs. Unilateral complex partial denture (UCPD) without denture palate could be an
alternative to RPD treatment, but there is a lack of evidence about UCPD treatment outcomes during
the long-term clinical performance. The aim of this this study was to use periodontal, prosthodontic
and participant satisfaction measures to evaluate the long-term clinical performance of UCPD.
Methods: After 7 days, 1 and 5 years of maxillary UCPD insertion, 10 wearers were measured for
pocket probing depth (PPD) and vertical clinical attachment loss (CAL-V) of direct abutment (DA),
indirect abutment (IA) and control teeth (CT); recorded for complications and failures of UCPD and
completed the questionnaire of participant satisfaction with UCPD (stability, comfort and
manipulation). Results: CAL-V and PPD significantly increased during the time for DA; IA and CT
(p<0.0001), but the tooth function (DA, IA and CT) did not significantly influence the changes in PPD
and CAL-V for each time separately. The fracture of one abutment tooth and increase of the number
of artificial teeth deformations during the time (p=0,039) was observed after 5 years. Participant
satisfaction with prostheses after 1 year and after 5 years vs 7 days was significantly improved.
Conclusion: Good clinical performance of UCPD was observed during the evaluation period regarding
the condition of periodontal tissues, prosthetic complications and patients reports of satisfaction,
comfort and manipulation.
PP.140. EVALUATION OF HYGIENE, ATTITUDE, HABITS ON THE

REMOVABLE DENTURES IN A GROUP PATIENT
'mDmbK<D͕b/Db<͕ZED͕D/Z)^͕<Zz U.
Dh^d&'mDmbK<-DR.DT-MINISTRY OF HEALTH 75. YIL ORAL AND DENTAL HEALTH HOSPITAL

D/Eb/Db<-DR.DT.-MINISTRY OF HEALTH 75. YIL ORAL AND DENTAL HEALTH HOSPITAL
MURAT ERDEN-DR.DT.-MINISTRY OF HEALTH 75. YIL ORAL AND DENTAL HEALTH HOSPITAL
^m>zDED/Z)-Ed7^d-MINISTRY OF HEALTH 75. YIL ORAL AND DENTAL HEALTH HOSPITAL
h)hZ<Zz-^^7^d͘WZK&͘-DEPARTMENT OF ACTUARIAL SCIENCE, HACETTEPE UNIVERSITY
Objective: Aim is to evaluate the hygiene methods, attitudes, habits about the use of removable
dentures, whether patients have been instructed by the dentist on how to take care their dentures,
and the interest of the patients about the guideline given to them after placement removable
dentures. Methods: The questionnaire was conducted by the researchers one hundred patient
wearing partial and/or total removable dentures currently. Non-parametric approaches were carried
out to evaluate the questionnaires. Statistical analysis was performed using descriptive statistics and
chi-square tests. Results: In this study showed that % 31 of patients continuously wore their dentures
during night sleeping, and patients usually did not apply to the dentist for control of the dentures if
there was no complaint. 63% of the patients mentioned having not been advised themselves how to
clean their dentures and 44% of patients mentioned not to be instructed by their dentists or any
dental care professional that they should be removed during night sleeping. Patients were frequently
eager to read a guideline like a brochure or a booklet containing information on the care and
maintenance of removable dentures. Conclusion: It was found out that dentists could neglect to
inform patients. Dentists should take care to instruct patients regarding how to care their removable
denture after treatment. Giving a guideline for patients might be useful to be used longer and more
health their removable dentures.
PP.141. FIXED DENTAL PROSTHESIS TREATMENT IN A PATIENT
UNDERGOING SEGMENTAL MANDIBULECTOMY
GOKKAYA M, EKERBICER Z.
MEHTAP GOKKAYA-RESEARCH ASSISTANT-PROSTHETIC DEPARTMENT OF DENTISTRY FACULTY OF

SELCUK UNIVERSITY
ZEYNEP EKERBICER-RESEARCH ASSISTANT-PROSTHETIC DEPARTMENT OF DENTISTRY FACULTY OF
SELCUK UNIVERSITY
FIXED DENTAL PROSTHESIS TREATMENT IN A PATIENT UNDERGOING SEGMENTAL MANDIBULECTOMY

BACKGROUND: Surgical treatment of malignancies in the oral cavity often results in an unfavourable
anatomic condition for prosthodontic rehabilitation. Rehabilitation of mandibular resection patients
must aim at restoring mastication and other functions such as intelligible speech, swallowing and
aesthetics. PURPOSE: This article describes the choice of therapy and procedures undertaken in
prosthetic rehabilitation of a patient who underwent mandibular resection and radiotherapy.
METHOD AND MATERIALS: A 67-year-old man with a discontinuity defect following resection of a
ŵĂŶĚŝďƵůĂƌƚƵŵŽƵƌǁĂƐƌĞĨĞƌƌĞĚƚŽWƌŽƐƚŚĞƚŝĐĞƉĂƌƚŵĞŶƚŽĨĞŶƚŝƐƚƌǇ&ĂĐƵůƚǇŽĨ^ĞůĕƵŬhŶŝǀĞƌƐŝƚǇ͘
In this case, autogenic graft procedure was performed to the patient. By achieving maxillo-mandibular
relation with reconstruction plaque, patient's facial aesthetic and chewing function are regained.
Maxillar and mandibular restorations were analyzed clinically and radiographically. After the
restorations were removed, the remaining teeth were evaluated periodontally. The patient was
received initial periodontal theraphy. Fixed dental prosthesis treatment was planned for maxilla. And
removable complete denture was also planned for mandibula. RESULTS: Maxillar remaining teeth
ǁĞƌĞƌĞƐƚŽƌĞĚďǇĨŝǆĞĚŵĞƚĂůĐĞƌĂŵŝĐƌĞƐƚŽƌĂƚŝŽŶƐ͘DĂŶĚŝďƵůĂƌĐŽŵƉůĞƚĞĚĞŶƚƵƌĞĐŽƵůĚŶ͛ƚďĞŵĂĚĞ
because of the lack of bone deposition after the autogenic graft procedure. The mandibular complete
denture will be made according to the maxillary restorations after the recurrent plastic surgery
treatment. CONCLUSIONS: The multidisiplinary treatment is important for these patients. This will
provide a maximum level of treatment for the maxillofacial patients, thereby returning them to
society most expeditiously.
PP.142. FRACTURE LOCALIZATION OF COMPOSITE VENEERS WITH

DIFFERENT PREPARATION DESIGNS EXPOSED TO COMPRESSIVE
LOAD
ZLATANOVSKA K, ZARKOVA-ATANASOVA J, LONGUROVA N, KOVACEVSKA I, GIGOVSKI N.
KATERINA ZLATANOVSKA-ASS. PHD-hE/sZ^/dz ͞'K>s͟ ^d/P, FACULTY OF MEDICAL

SCIENCESʹDENTAL MEDICINE, UNIVERSITY GOCE DELCEV, STIP, FYROM
JULIJA ZARKOVA-ATANASOVA-ASS. MSC.-hE/sZ^/dz ͞'K>s͟ ^d/W͕ &h>dz K& D/>
SCIENCESʹDENTAL MEDICINE, UNIVERSITY GOCE DELCEV, STIP, FYROM; NATASHA LONGUROVA-ASS.
PHD -hE/sZ^/dz ͞'K>s͟ ^d/W͕ &h>dz K& D/> ^/E^ʹDENTAL MEDICINE,
UNIVERSITY GOCE DELCEV, STIP, FYROM
IVONA KOVACEVSKA-ASSOCIATE PROF.-hE/sZ^/dz ͞'K>s͟ ^d/W͕ &h>dz K& D/>
SCIENCESʹDENTAL MEDICINE, UNIVERSITY GOCE DELCEV, STIP, FYROM
NIKOLA GIGOVSKI-ASSOCIATE PROF.-UNIVERSITY KIRIL AND METHODIUS SKOPJE
FACKULTY OF STOMATOLOGY
Background: The aim of this in vitro study was to evaluate the fracture localization of composite
veneers with three different preparation designs. Methods and Materials: 15 extracted human
permanent maxillary central incisors were divided into three groups (n=5). The teeth from each group
were prepared with different type of veneer preparation: Group 1-feather preparation; Group 2-bevel
preparation and Group 3- incisal overlap-palatal chamfer. Composite veneers were produced using
light-curing technical composite In:joy (DeguDent) and bonded to the prepared maxillary central
incisors using resin cement RelyX veneer (3M ESPE). Specimens were loaded to fracture in universal
testing machine TRITECH WF 10056 (Wykeham Farrance, Milan, Italy). The localization of fracture was
recorded and data was analyzed. Results: The most common fracture localization in group 1 was in
the gingival third , group 2 in the incisal third, while in group 3 two specimens were fractured only in
the incisal part and in three specimens the fractures were localized both incisal and gingival.
Conclusion: Preparation design had a significant effect on the fracture localization. According the
results, the preferred preparation design is incisal overlap-palatal chamfer. The veneers with this type
of preparation design exhibited better fracture resistance and superior aesthetic for the patient.
PP.143. MAXILLARY OVERDENTURES RETAINED BY TELESCOPIC

ATTACHMENTS
GECKILI E, GECKILI O, AYBAR B, BURAL C.
ESMA-GECKILI-ISTANBUL UNIVERSITY
ONUR -GECKILI-ISTANBUL UNIVERSITY
BUKET -AYBAR-ISTANBUL UNIVERSITY
CANAN-BURAL-ISTANBUL UNIVERSITY
Edentulous patients often have complaints with their conventional complete dentures. Dental
implants have been successfully used to retain these dentures and increase the quality of life and
satisfaction of these patients. For the edentulous maxilla, 4 implants are indicated to retain an
overdenture for biomechanical reasons. However in cases of insufficient preoperative planning, these
four implants may not be inserted in the anterior maxilla and bar retained overdentures may not be
fabricated. In the present report prosthetic rehabilitation of 2 maxillary edentulous cases where the
implants couldn't have been placed in the anterior maxilla are presented. Telescopic custom
abutments were fabricated and served as primary crowns and maxillary overdentures supported by
telescopic attachments were delivered to the patients. Both patients were followed up for 8 years
and no complications were observed. As a result telescopic attachments may be a good alternative to
bar attachments in maxillary overdentures in specific cases.
144. ORAL APPLICATION FOR SLEEP DISORDER BREATHING; A

CASE REPORT
MACIT SN.
SULE NUR MACIT-ORAL APPLICATION FOR SLEEP DISORDER BREATHING A CASE REPORT-ANKARA
UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF PROSTHODONTICS
ORAL APPLICATION FOR SLEEP DISORDER BREATHING; A CASE REPORT Background: Sleep disordered
breathing (SDB) is an extremely common medical disorder associated with important morbidities.
Oral appliances which used for the treatment of sleep disorder breathing are a simple and influentual
alternative for protection of upper airways from obstructions during sleep. Recently, there has been
increasing interest about oral appliance usage for obstructive sleep apnea patients because of the
limitations of another therapies such as positive airways pressure therapy and surgical methods while
each method has advantages and disadvantages. Methods and materials: A 47 year old male patient
who had a history of excessive snoring, sleepness and headache, was referred to our clinic because of
oral appliance therapy. One piece custom oral apparatus in the form of a denture with crochets (on
the tooth number 14, 16, 24, 26, 34, 37, 44, 47) was planned. Maxillomandibular relation was
ƌĞĐŽƌĚĞĚǁŝƚŚǁĂǆƌŝŵƐ͕ŝŶĐƌĞĂƐŝŶŐƚŚĞƉĂƚŝĞŶƚ͛ƐĞǆŝƐƚŝŶŐǀĞƌƚŝĐĂůĚŝŵĞŶƐŝŽŶŽĨŽĐĐůƵƐĂůĨƌŽŵϱŵŵƚŽ
7mm, which was 75% of the ƉĂƚŝĞŶƚ͛Ɛ ŵĂǆŝŵƵŵ ƉƌŽƚƌƵƐŝŽŶ͘ dŚĞƐĞ ĐĂƐƚƐ ǁĞƌĞ ŵŽƵŶƚĞĚ ŽŶ ĂŶ
articulator in this position. Appliance was manufactured from heat-cured acrylic polymer. The patient
was instructed on how to use and care for the appliance. Results: The patient reported an
improvement in his daytime symptoms and snoring. A year later; apparatus and dental tissues were
controlled. No technical or biological complications were observed during the follow-up period.
145. REHABILITATION OF BILATERAL MAXILLARY DEFECT WITH AN

OBTURATOR PROSTHESIS
EKERBICER Z, GOKKAYA M.
ZEYNEP EKERBICER-RESEARCH ASISTANT-PROSTHETIC DEPARTMENT OF DENTISTRY FACULTY OF

SELCUK UNIVERSITY
MEHTAP GOKKAYA-RESEARCH ASISTANT-PROSTHETIC DEPARTMENT OF DENTISTRY FACULTY OF
SELCUK UNIVERSITY
REHABILITATION OF BILATERAL MAXILLARY DEFECT WITH AN OBTURATOR PROSTHESIS

BACKGROUND: Defect of maxilla that was result of trauma, congenital malformations and surgical
intervention of malign-benign neoplasms rehabilitated with obturator prosthesis. Patients with
maxillary defect are faced with many problems like aesthetic, phonetic, functional and psychological.
PURPOSE: The primarily aim of prosthetic rehabilitation is to cover the maxillary defect and eliminate
the above problems. In this case report rehabilitation of a patient with maxillary defect which forms
communication among the oral cavity, nasal cavity and maxillary sinus by removable obturator
prosthesis is described. METHOD AND MATERIALS: A 61 year-old male patient with bilateral maxillary
defect referred to ƉƌŽƐƚŚĞƚŝĐ ĚĞƉĂƌƚŵĞŶƚ ŽĨ ĞŶƚŝƐƚƌǇ &ĂĐƵůƚǇ ŽĨ ^ĞůĕƵŬ hŶŝǀĞƌƐŝƚǇ͘ /Ŷ ŝŶƚƌĂŽƌĂů
examination it was observed that maxilla including hard palate was resected and bilateral concha
nasalis inferiors were in relationship with oral cavity. The patient had swallowing, speech, nutritional
and esthetic problems. After consultant with department of oral and maxillofacial surgery the patient
was treated with maxillary obturator prosthesis and a removable prosthesis for mandible. Soft lining
material was applied to the maxillary obturator prosthesis. RESULT : After the delivery of the
prostheses the patient was evaluated on the 7th and 21 th days. The improvement of speech and
function was observed and patient satisfaction was evaluated. The patient is pleased his denture
esthetically, functional and phonetically CONCLUSION: It was understood that correctly designed
obturator prosthesis helps to restore function, phonetic and esthetic appearance in the best way.
PP.146. FEA STUDY IN BALL ATTACHMENTS IMPLANT SUPPORTED

RPD WITH AND WITHOUT HOUSINGS
OANA-CELLA A, ,KZ/f/ZED͕'h/͕hZ>/bD͕dE^^h>͘
OANA-CELLA ANDREI-ASSOCIATE PROFESSOR PHD-UMF CAROL DAVILA BUCHAREST, ROMANIA

D/Z,KZ/f/ZE-PROFESSOR PHD-TRANSILVANIA UNIVERSITY OF BRASOV, ROMANIA
KE^dEd/E 'h/-ASSOCIATE PROFESSOR PHD-UNIVERSITY OF MEDICINE AND PHARMACY,
CRAIOVA, ROMANIA
D/,/hZ>/b-ASSOCIATE PROFESSOR PHD-UMF CAROL DAVILA BUCHAREST, ROMANIA
LIVIA->/dE^^h-ASSISTANT PROFESSOR PHD-UMF CAROL DAVILA BUCHAREST, ROMANIA
Aim: The postinsertion maintenance of the implant supported RPDs is a key factor for the long-term
success of the prosthetic treatment. This paper presents a comparison between the maximum von
Mises stress values appeared under occlusal loading in the acrylic saddle and teeth areas of a
mandibular class I Kennedy removable partial dentures (RPD) with ball attachments, in two situations:
with and without the metal housings of the two ball attachments placed on the implants. Material
and method: 3D model for the finite element analysis was created for class I Kennedy RPDs with only
six anterior teeth as abutments and two implants, placed bilaterally, each in the second molar area.
On the principal abutment teeth and on the implants ball attachments were positioned, providing
support and retention for the denture. In the first case studied we placed the metal housings of the
implant attachments, while in the second case we did not. All materials were considered
homogeneous, isotropic and having linear elasticity. Results and conclusion: The highest von Mises
stresses appeared on the PM2 and the smallest appeared on the saddle. Their values were 430.4MPa
with housing and 430.5MPa without it on the PM2 and 42.18MPa versus 42.2MPa on the saddle. Our
results demonstrate there are no important differences between the two possible treatment
solutions, showing that placement of the housings, which is important for the easier periodically
replacement of the Teflon components of the attachments, does not influence the maximum von
Mises stress values in the RPD͛ƐĂĐƌǇůŝĐĐŽŵƉŽŶĞŶƚƐ͘
PP.147. IMMEDIATE-FUNCTION CONCEPT FOR COMPLETELY

EDENTULOUS JAWS WITH FOUR IMPLANTS: CASE REPORTS
YILDIRIM G͕Z'mZ͕</ZD͕>>͘
GULHAN YILDIRIM-PROSTHODONTIST-ISTANBUL YENI YUZYIL UNIVERSITY, FACULTY OF

DENTISTRY,DEPARTMENT OF PROSTHODONTICS
hZ< Z'mZ-ASSISTANT PROFESSOR-ISTANBUL YENI YUZYIL UNIVERSITY, FACULTY OF
Ed/^dZz͕WZdDEdK&KZ>EDy7>>K&7>^hZ'Zz
DZs </Z-ASSISTANT PROFESSOR-ISTANBUL YENI YUZYIL UNIVERSITY, FACULTY OF
Ed/^dZz͕WZdDEdK&KZ>EDy7>>K&7>^hZ'Zz
BERK BELLAZ-ASSOCIATE PROFESSOR-ISTANBUL YENI YUZYIL UNIVERSITY, FACULTY OF
DENTISTRY,DEPARTMENT OF PROSTHODONTICS
IMMEDIAT-FUNCTION CONCEPT FOR COMPLETELY EDENTULOUS JAWS WITH FOUR IMPLANTS: CASE
REPORTS Immediate-function implants have become an accepted alternative for fixed restoration
protocols in edentulous jaws on the basis of documented high success rates. The Multi plus
restoration (MultiPlus system BEGO) is a surgical and prosthetic protocol for immediate function
involving the use of four implants to support a fixed prosthesis in patients with completely edentulous
ũĂǁƐ͘ /Ŷ ƚŚŝƐ ƐƚƵĚǇ͕ ƚǁŽ ĐĂƐĞ ƌĞƉŽƌƚƐ ƚŚĂƚ ďĞ ĂƉƉůŝĞĚ ͞DƵůƚŝ ƉůƵƐ ƌĞƐƚŽƌĂƚŝŽŶ ĐŽŶĐĞƉƚ ͞ǁŝůů ďĞ
presented. First case was 60 years old female patient and had severely resorption edentulous
mandible, second case was 72 years old male patient and had edentulous maxilla. In both cases, there
was not enough bone for placement of the implants in the posterior region. The first case had a
mental nerve branch and it was risking implantation in posterior region. In the second case, there was
not enough bone in the ƉŽƐƚĞƌŝŽƌ ƌĞŐŝŽŶ ĂŶĚ ŶĞĞĚ ƐŝŶƵƐ ĂƵŐŵĞŶƚĂƚŝŽŶ ďƵƚƉĂƚŝĞŶƚĚŝĚŶ͛ƚ ǁĂŶƚ ƚŚŝƐ
operation. Therefore we applied on all-on-four concept (full-arch fixed prosthesis supported by two
ĚŝƐƚĂůƚŝůƚĞĚŝŵƉůĂŶƚƐĂŶĚƚǁŽĂŶƚĞƌŝŽƌĂǆŝĂůůǇƉůĂĐĞĚŝŵƉůĂŶƚƐ͕Ϯϯ͕ϳϱпϭϭ͕ϱ- 2 ϰ͕ϭпϭϭ͕ϱͿŝŶďŽƚŚĐĂƐĞƐ͘
After surgical protocols, implants were loaded immediately. The provisional functional acrylic
prosthesis was delivered at the same day as surgery. Patients follows up continues for 6 months
uneventfully. Due to these cases Multi plus immediate function concept can be considered as a viable
treatment for edentulous patients with insufficient bone for implant placement
PP.148. RECONTOURING THE SOFT TISSUES IN DENTAL IMPLANT
RESTORATIONS
mZ'mE, GECKILI E, YILMAZ M, KASAPOGLU C.
>/zZEmZ'mE-DDS-ISTANBUL UNIVERSITY
ONUR GECKILI-ASSOCIATE PROFESSOR-ISTANBUL UNIVERSITY
ESMA GECKILI-PHD, DDS-ISTANBUL UNIVERSITY
MUSTAFA YILMAZ -PHD, DDS-ISTANBUL UNIVERSITY
CETIN KASAPOGLU-PROFESSOR-ISTANBUL UNIVERSITY
The emergence profile of an implant restoration is one of the most important factors for maintaining
the health of the peri-implant soft tissues and esthetics. In the present report, a series of cases who
received gingival recontouring by the fabrication of provisional restorations to produce proper
emergence profiles of definitive implant restorations were presented. Provisional screw-retained
were fabricated for all of the cases in order to recontour the soft tissues. The patients were recalled
at every week and light curing composite resin was added to fill the space between the provisional
crown base and trimmed gingiva. After 4 to 8 weeks, the final impressions were made for the
definitive implant restorations. As a conclusion, the final implant restorations with the proper
emergence profiles are expected to provide superior esthetics and functional results especially in
cases where esthetics is extremely important.
PP.149. EFFECT OF DIFFERENT SURFACE TREATMENTS ON

MECHANICAL PROPERTIES OF ZIRCONIUM AND LITHIUM
DISILICATE CERAMICS
OZDOGAN A, DUYMUS ZY.
ALPER OZDOGAN-RES. ASSIST.-ATATURK UNIVERSITY FACULTY OF DENTISTRY, DEPARTMENT OF

PROSTHODONTICS, ERZURUM, TURKEY
ZEYNEP YESIL DUYMUS-PROF. DR.-RECEP TAYYIP ERDOGAN UNIVERSITY FACULTY OF DENTISTRY,
DEPARTMENT OF PROSTHODONTICS, RIZE, TURKEY
Aim: The aim of this study was to investigate the effect of different surface treatments on Vickers
hardness and flexural strength of aesthetic materials such as zirconia and lithium disilicate ceramics
which were used in fixed prosthodontics. Material and Method: In this study, 50 zirconia and 50
lithium disilicate ceramic specimens (25x4x2 mm) were used. After identifying one group as the
control group, the grinding, sandblasting, CoJet, Er:YAG laser were applied on the surface of
specimens from each group (n=10). Scanning Electron Microscope (SEM) images were taken from one
specimen of each group. After applying Vickers hardness test to the specimens, flexural strength test
was performed. Obtained datas were statistically analysed with two way analysis of variance and
ƵŶĐĂŶ͛Ɛ ŵƵůƚŝƉůĞ ĐŽŵƉĂƌŝƐŽŶƐ ƚĞƐƚƐ͘ ZĞƐƵůƚƐ͗ dŚĞ ƌĞƐƵůƚƐ ŽĨ ƚǁŽ ǁĂǇ ĂŶĂůǇƐŝƐ ŽĨ ǀĂƌŝĂŶĐĞ ƐŚŽǁĞĚ
that, there were statistically significant differences were found between surface treatment groups in
terms of Vickers hardness of zirconia and lithium disilicate ceramics (p<0.001), but there were no
statistically significant differences were found between surface treatment groups in terms of flexural
strength (p>0.05). Conclusion: As a result of this study it can be concluded that surface treatments
could affect the hardness of ceramic materials, therefore zirconia found to be more harder and
durable than lithium disilicate ceramics.
PP.150. PROSTHETIC ASPECTS AND PATIENT SATISFACTION WITH
PMMA CAD/CAM PARTIAL DENTURES: A 3-YEAR RANDOMIZED
CLINICAL STUDY
KOVACEVSKA G, KOSEVA B, KOVACEVSKA DR, KOVACEVSKI A, KOVACEVSKI N, TRPEVSKA V.
G. KOVACEVSKA-DDS, MS, PHD-&h>dz K& Ed> D//E͕ hE/sZ^/dz ͣ^^͘ </Z/> / DdK/:͕͟
B. KOSEVA-SPEC.DR-PRIVATE PRACTICE, D-R KOVACEVSKA
A. KOVACEVSKI4-SPEC.DR-PRIVATE PRACTICE, IMPACTA DENTAL
N. KOVACEVSKI-SPEC.DR-PRIVATE PRACTICE, IMPACTA DENTAL
V. TRPEVSKA-SPEC.DR-PHO DENTAL CLINICAL CENTER SV. PANTELEJMON-CLINIC FOR ORTHODONTICS
Aim or Purpose: This report aimed to compare prosthetic aspects and patient satisfaction during a 3-
year randomized clinical trial of PMMA CAD/CAM partial dentures in comparison with conventional
partial dentures. Materials-Methods: Twenty one partial edentulous patients (mean age: 65.5 years)
received PMMA CAD/CAM partial dentures: ten patients only in the maxilla, seven patients in the
mandible and four patients prosthesis in maxilla and in the mandible. Controls of prosthetic aspects
and patient satisfaction we make after 1 day, 7 day and after 6 months. Subjects indicated satisfaction
with their prostheses using a questionnaire and visual analog scale. Patient satisfaction and prosthetic
complications were recorded for partial dentures and natural teeth at 6 months and 1 and 3 years
after dentures insertion. Results: Aesthetics, comfort, stability and ease of handling the PMMA
CAD/CAM partial dentures and ease of hygiene procedures were rated higher. No significant
differences in other parameters of patient satisfaction between groups were noted after 3 years. Four
of our patients had need for dentures repairs. Conclusions: PMMA CAD/CAM partial dentures in
maxilla and mandible had comparable patient satisfaction, less prosthetic maintenance and costs, and
less soft tissue complications when compared to conventional acrylic and metal partial dentures ones
after 3 years. Prosthetic aspects and patient satisfaction with PMMA CAD/CAM partial dentures: a 3-
year randomized clinical study. Prosthetic aspects and patient satisfaction with PMMA CAD/CAM
partial dentures: a 3-year randomized clinical study. Keywords: PMMA CAD/CAM partial dentures,
prosthetic aspects, satisfaction
PP.151. EFFECTS OF TWO STERILIZATION METHODS ON FIBER

32676·%21',1*$1')/(;85$/675(1*7+
YAGCI F, USTUN Y, ZORTUK M, AGIRNASLIGIL M.
FILIZ YAGCI-PHD, DDS-ERCIYES UNIVERSITY FACULTY OF DENTISTRY, PROSTHODONTIST

YAKUP USTUN-PHD, DDS, ASSOCIATE PROFESSOR-ERCIYES UNIVERSITY FACULTY OF DENTISTRY,
MUSTAFA ZORTUK-PHD, DDS. ASSOCIATE PROFESSOR-MUSTAFA KEMAL UNIVERSITY FACULTY OF
DENTISTRY DEPARTMENT OF PROSTHODONTICS
MEHMET AGIRNASLIGIL-RESEARCH ASISTANT-ERCIYES UNIVERSITY FACULTY OF DENTISTRY,
Background Sterilization of the fiber posts may be needed in some clinical conditions. But the effects
ŽĨĚŝĨĨĞƌĞŶƚƐƚĞƌŝůŝǌĂƚŝŽŶƚĞĐŚŶŝƋƵĞƐŽŶŐůĂƐƐĨŝďĞƌƉŽƐƚƐ͛ďŽŶĚŝŶŐƐƚƌĞŶŐƚŚĂŶĚĨůĞǆƵƌĂůƐƚƌĞŶŐƚŚŝƐŶŽƚ
well documented. Methods and Materials Thirty glass fiber posts (Dentcolic, Itena, France) were used
to evaluate the effects of sterilization on bonding strength. Posts were divided into three groups
(n=10) according to applied sterilization type: 1) control 2) ethylene oxide sterilization 3) autoclave
sterilization. Thirty extracted mandibular premolars with a single and circular root canal,
endodontically treated and posts were luted with a dual-cure resin cement. Pull-out test was carried
out along the long axis of the post until the post dislodged from the root canal with a universal testing
machine. Maximum force was recorded in Newtons For flexural strength analysis, three point bending
test applied to the posts which were divided into 3 groups according to applied sterilization type.Data
was analyzed using one-way ANOVA. After pull-out test, specimens were examined under
magnification of 25x with a microscope to categorize the failure mode. After three point bending test
the specimens were examined under 1000x magnification using SEM. Results There was no
statistically significant difference among the groups in terms of bonding strength (p=0,70) and flexural
strength (p=0,25). The failures of the bonded posts were mostly mix typea and SEM images were
similar. Conclusion Sterilization of the glass fiber posts neither by autoclave nor by ethylene oxide
revealed a significant effect on bonding strength or flexural strength of the posts
Session 18
PP.152. METHODOLOGY FOR CREATING PERSONALIZED SMILE
DESIGN AND EVALUATION OF THE ACHIEVED AESTHETIC RESULT.
ILIEV G, PAVLOVA J, FILTCHEV D, FILTECHEV A.
GEORGI ILIEV-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY OF SOFIA, FACULTY OF DENTAL

JANINA PAVLOVA-ASSOCIATED PROFESSOR-MEDICAL UNIVERSITY OF SOFIA, FACULTY OF DENTAL
DIMITAR FILTCHEV-ASSOCIATED PROFESSOR-MEDICAL UNIVERSITY OF SOFIA, FACULTY OF DENTAL
ANDON FILTECHEV-PROFESSOR-MEDICAL UNIVERSITY OF SOFIA, FACULTY OF DENTAL MEDICINE,
The aim of the study was to approbate methodology for creating personalized smile design using
created software VisagiSMile and to evaluate the final aesthetic result. Materials and Methods: Nine
patients aged from 30 to '50 were treated. Four of the patients with porcelain veneers, two with
porcelain fused to metal crowns and three with zirconium dioxide crowns. Each patient were taken
digital photographs in full face and maximum smile under standardized conditions. Using software
VisagiSMile had made individual smile design. Of each test person were taken impressions. On plaster
models were made wax modeling of the upper front teeth, in accordance with the parameters set by
the digital design. The design was recreated in the mouth in the form of a composite mask over the
natural teeth. After approval by the patient, the treatment was completed. Each patient was asked to
complete a questionnaire, which evaluate the aesthetic result of individual applications design.
Results: Approbated methodology for customized smile design and evaluation of aesthetic result was
easily applicable. To all patients methodology enable optimal aesthetic results of prosthetic
treatment. Conclusions: 1. Created software supports the dentist and patient in deciding on the
aesthetics of prosthetic restoration. 2. The total coefficient representing the assessment of patients
for the final aesthetic result of the prosthetic treatment with a personalized smile design was 68.5 -
highly satisfactory. 3. Using the proposed methodology through prosthetic we can reproduce smile
design corresponding to individual facial features, the temperament and personal preferences of the
patient.
PP.153. MICRODONTIA - INTERDISCIPLINAR CLINICAL APPROACH
YORDANOVA G, MLADENOV M.
GRETA YORDANOVA-ASSOC. PROFF.-MEDICAL UNIVERSITY OF SOFIA, FACULTY OF DENTAL MEDICINE,

MARTIN MLADENOV-DR.-PRIVATE PRACTICE
Background: Microdontia is a condition in which the tooth size is relatively small according to a
normal sized tooth. This condition can affect the width of the tooth or both the width and height of
the tooth. Single microdontia is more often observed form than generalized microdontia. Females are
affected more often than males. The decreased dimension of the lateral incisors leads to tooth-tooth
discrepancy in the frontal area. Material and Methods: We report a clinical case of a 38 years old
female patient with peg-shaped lateral incisors and diasthema of 5 mm. She was diagnosed with I
class relationships in the posterior area, deep bite in the frontal area, due to retrusion of the central
ŝŶĐŝƐŽƌ͘ dŚĞ ƉĂƚŝĞŶƚ͛Ɛ ŵĂŝŶ ĐŽŵƉůĂŝŶƚ ǁĂƐ ŚĞƌ ĂĞƐƚŚĞƚŝĐ ĂƉƉĞĂƌĂŶĐĞ͘ ZĞƐƵůƚƐ͗ dŚĞ ŽƌƚŚŽĚŽŶƚŝĐ
treatment plan included protrusion of the central incisors and space gaining for the lateral incisors ʹ
at about 6,5 mm. This dimension of the lateral incisors related perfectly to the dimension of the
central incisors. The peg-shaped laterals should be located in the middle of the gained space, because
the cervix is the widest part of the crown. These types of treatments are difficult because of the
anchor loss of the central incisors and canine during the movement of the lateral incisor. They should
be restorated medial and distal. Conclusion: After the gained space was achieved, the lateral incisors
were provisionally restorated. This is how we maintained the space. After the orthodontic treatment
has finished, the laterals were definitely restored with veneers.
PP.154. CAD-CAM EVALUATION OF COMPOSITE RESTORATIONS S

WEAR IN HIGH STRESS REGIONS: A DESIGN STUDY
ALEXANDROVA V, MANCHORKsʤŶ͕><ÊZKs^͕s>/D/ZKs^͘
VALERIYA ALEXANDROVA-PHD STUDENT-MEDICAL UNIVERSITY - PLOVDIV, FACULTY OF DENTAL

MEDICINE, DEPARTMENT OF OPERATIVE DENTISTRY AND ENDODONTICS
NESHKA MANCHOROVʤ-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY - PLOVDIV, FACULTY OF
DENTAL MEDICINE, DEPARTMENT OF OPERATIVE DENTISTRY AND ENDODONTICS
SVETLIN ALEKSANDROV-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY - PLOVDIV, FACULTY OF
DENTAL MEDICINE, DEPARTMENT OF PROSTHETIC DENTISTRY;STOYAN VLADIMIROV-ASSOCIATE
PROFESSOR-MEDICAL UNIVERSITY - PLOVDIV, FACULTY OF DENTAL MEDICINE, DEPARTMENT OF
OPERATIVE DENTISTRY AND ENDODONTICS
Abstract: Introduction: The frequency of patients with parafunctions in world population increases.
More often, patients with occlusal tooth wear will require treatment of carious lesions in the distal
region. Justified application of the conventional composite materials in conditions of increased
occlusal stress, require improvement in their mechanical characteristics: modulus of elasticity,
hardness and wear resistance. Purpose: The aim of this study is to make an objective assessment of
the wear resistance of posterior composite restorations in conditions of extreme chewing forces.
Method and materials: After preliminary selection of participating volunteers in the study, direct
restorations by Gradia direct posterior (GC) were made. The restorations were digitally scanned by 3
Shape Trios. By means of CAD software module of CAD-CAM system the area of the sagittal section of
restoration at the point of the most intimate contact with the antagonist was measured. Results and
conclusions: Patients will be followed up by control examinations after 6 and 12 months. The use of
CAD-CAM system in this study is introduction of modern highly technological method for objectively
determining the degree of teeth and composite wear resistance. Key words: CAD-CAM system, direct
composite restoration, wear resistance.
PP.155. THE MARGINAL GAP AROUND DENTAL NANOCOMPOSITE

RESTORATION
/^͕ D/d/͕/D͕ZZ͕aZ/'͘
^d&E /-ASISSTANT PROPHESSOR-hE/sZ^/dz K& E/a͕ ^Z/͕ >/E/ K& Ed/^dZz͕

DEPARTMENT FOR RESTORATIVE DENTISTRY AND ENDODONTICS, FACULTY OF MEDICINE
><ÊZ D/d/-PROPHESSOR-hE/sZ^/dz K& E/a͕ ^Z/͕ >/E/ K& Ed/^dZz͕ WZdDEd
FOR RESTORATIVE DENTISTRY AND ENDODONTICS, FACULTY OF MEDICINE
D/>//-DOCTOR-hE/sZ^/dzK&E/a͕^Z/͕>/E/K&Ed/^dZz͕D/>^,KK>
RADOMIR BARAC-DOCTOR-hE/sZ^/dz K& E/a͕ ^Z/͕ >/E/ K& Ed/^dZz͕ WZdDEd &KZ
RESTORATIVE DENTISTRY AND ENDODONTICS, FACULTY OF MEDICINE
'KZE aZ/-DOCTOR-hE/sZ^/dz K& E/a͕ ^Z/͕ >/E/ K& Ed/^dZz͕ WZdDEd &KZ
Introduction. Assessing the margin quality of dental restorations is important when evaluating new
restorative materials and bonding techniques. Purpose. This study evaluated the marginal integrity of
nanocomposite restoration bonded with two techniques to enamel and dentin, by measuring the
length of marginal gap. Method and materials. Class V cavities on extracted teeth were prepared and
restored with nonocomposite Filtek Ultimate FU/3M ESPE. Bonding was achieved by using phosphoric
acid (etch and rinse technique) with adhesive Adper Single Bond 2 - ASB/3M ESPE or without using
phosphoric acid (self etch technique) with adhesive Adper Easy One - AEO/3M ESPE.
Photopolymerization of composite and adhesives was performed using standard halogen light (Elipar
Highlight 3M ESPE). Tooth-composite interface in enamel and dentin was analyzed with a scanning
electron microscope (JSM-5300, JEOL). The length of marginal gap in micrometers and percentages,
measured by Auto Desk AutoCAD software, from SEM micrographies. Results. Bonding technique
without phosphoric acid (AEO-FU composite system) showed a significantly higher percentage of
bond length with gap, in enamel 29,6% and in dentin 77,4%, compared to the etching technique with
phosphoric acid (ASB-FU composite system) with lower percentage the length of margins with gap, in
enamel 7,5% (p<0,001), and in dentin 42,7% (p<0,05). Conclusion. Enamel and dentin bonding of
nanocomposite were more effective with etch and rinse technique. Bonding technique strongly
influences marginal integrity of nanocomposite restoration.
PP.156. PERFORMANCE OF A BULK FILL- COMPOSITE IN CLASS II

CAVITIES-TWO YEAR CLINICAL EVALUATION
QELI E, HYSI D, TOTI C, PETRO E, DROBONIKU I.
ETLEVA QELI-ASS PROF-FACULTY OF DENTAL MEDICINE

DORJAN HYSI-ASS PROF-FACULTY OF DENTAL MEDICINE
CELJANA TOTI-ASS PROF-FACULTY OF DENTAL MEDICINE
INA DROBONIKU-MSC-PRIVATE DENTAL CLINIC
The aim of this study was to evaluate the two- year clinical performance of a bulk fill composite
;&ŝůƚĞŬΡƵůŬ &ŝůů WŽƐƚĞƌŝŽƌ ZĞƐƚŽƌĂƚŝǀĞ Ϳ ŝŶ ĐůĂƐƐ // ĐĂǀŝƚŝĞƐ͘ DĂƚĞƌŝĂůĂŶĚŵĞƚŚŽĚƐ͗ ƚŽƚĂůŽĨ ϲϮ ďŽǆ
ĐůĂƐƐ//ĐĂǀŝƚŝĞƐǁĞƌĞƌĞƐƚŽƌĞĚƵƐŝŶŐĂďƵůŬĨŝůůĐŽŵƉŽƐŝƚĞ;&ŝůƚĞŬΡƵůŬ&ŝůůWŽƐƚĞƌŝŽƌZĞƐƚŽƌĂƚŝǀĞͿ͘dŚĞ
restorations were placed in 46 patients (group age 18-61). Restorations were evaluated at baseline, 6
months, 1 year and 2 year after placement, using modified US Public Health Service criteria: color
match, marginal discoloration, secondary caries, anatomical form, marginal adaption. At baseline,
restorations were considered as acceptable for all criteria. Results: All the restorations were examined
after 6 months. During these period 2 restorations were lost. 60 restorations were examined after 12
months and they were accetable for all criteria. After 24 months 58 restorations were examined
because a patient with two restorations did not come at recall and 2 fillings were lost. The retention
rate was 96%. No secondary caries, loss of anatomic form was observed. Regarding marginal
discoloration 6 restorations were rated Bravo. Regarding marginal adaption 4 restorations were rated
Bravo. Regarding color match 3 restorations were rated Bravo. Conclusion: Clinical results show that
bulk fill composite have satisfactory clinical performance at box cavities of class II.
PP.157. EVALUATION OF CLINICAL AESTHETIC SUCCESS OF RESIN

INFILTRATION SYSTEM
KORKMAZ TORUN E͕)>Z^͘
ESRA KORKMAZ TORUN-EVALUATION OF CLINICAL AESTHETIC SUCCESS OF RESIN INFILTRATION

SYSTEM-</Z/<<>hE7sZ^7dz
^ZZ)>Z
BACKGROUND: White spot lesions on the anterior teeth are aesthetically uncomfortable. Resin
infiltration is a microinvasive approach recently introduced for the treatment of initial enamel caries
and white spot lesions. In this case, treatment of white spot enamel lesions using resin infiltration
ƚĞĐŚŶŝƋƵĞŚĂƐďĞĞŶ ƌĞƉŽƌƚĞĚ͘ 7D͗dŚĞ Ăŝŵ ŽĨ ƚŚŝƐ ƐƚƵĚǇǁĂƐ ƚŽ ĐůŝŶŝĐĂůůǇ ĂƐƐĞƐƐ ƚŚĞ ĞĨĞĐƚŝǀĞŶĞƐƐ ŽĨ
masking white spot enamel lesions using a resin infiltration system. CASE: A 20-year-old woman was
admitted to our clinic because of unaesthetical white spot lesions on the maxiller central and lateral
incisor teeth. It was decided to treat with resin infiltration technique(ICON-DMG). After the cleaning
and isolation of the teeth, the surface layer was eroded by the application of %15 hydrochloric acid
gel(ICON-Etch;DMG) for 120 s to expose the layer of lesion body, then etching gel was washed away
throughly for 30 s using a water spray. After drying with air, lesions were desiccated using
ethanol(ICON-dry ;DMG) for 30 s and again dried gently with air. Infiltrant resin (ICON-Infiltrant;DMG)
was applied to the surface and allowed to penetrate inside for 3 min and light cured 40 s. RESULT::
Highly significant color differences that were achieved by infiltration. CONCLUSION :Resin infiltration
method is a suitable treatment option for eliminating white spot lesions at limited certain levels. This
method may contribute to stop the progression of initial caries lesions and satisfying the aesthetic
expectations. The long-term colour stability of this technique should be followed up through
continuos clinical and scientific studies.
PP.158. CLINICAL EVALUATION OF DIFFERENT CARIES REMOVAL

METHODS: CASE SERIES
ORDU MA, BAGLAR S.
MERVE AYDEMIR ORDU-CLINICAL EVALUATION OF DIFFERENT CARIES REMOVAL METHODS: CASE

SERIES-KIRIKKALE UNIVERSITY
SERDAR BAGLAR
<'ZKhE͗ZŽƚĂƌǇŝŶƐƚƌƵŵĞŶƚ͛ƐĨƵŶĚĂŵĞŶƚĂůĚƌĂǁďĂĐŬƐĂƌĞ͖ƵŶƐĂƚŝƐĨŝĞĚƉĂƚŝĞŶƚƐ͕ůŽĐĂůĂŶĞƐƚŚĞƐŝĂ
requirement, pulp irritation, unnecessary sound tissue removal. Thus, there has been a growing
interest in developing alternative techniques. AIM: To clinically evaluate three different techniques of
caries excavation in terms of efficacy, efficiency and pain experienced. CASES: 1: Patient is 22. A year
after his orthodontic treatment, he applied to our clinic with complaint of aesthetic. After an intraoral
examination, caries were detected in all teeth between 35 and 45. The caries were removed on teeth
number 45-44-ϰϯǁŝƚŚĂƌŝƐŽůǀΡ͕ϰϮ-41-32-31 with Er,Cr:YSGG Laser, 33-34-35 with the conventional
method. They were restored with 3M Filtek Ultimate Universal Composite. Finally, gingivo-plasty was
done with Er, Cr: YSGG Laser. 2: She is 25. She applied to our clinic complaining about sensitivity in her
teeth. Visual and radiographic examination revealed proximal caries on teeth number 15-24-25-46-47.
The caries were removed on teeth number 25-46-ϰϳǁŝƚŚƌ͕ƌ͗z^''>ĂƐĞƌ͕ϭϱǁŝƚŚĂƌŝƐŽůǀΡ͕ĂŶĚϮϰ
ǁŝƚŚĐŽŶǀĞŶƚŝŽŶĂůŵĞƚŚŽĚ͘dŚĞǇǁĞƌĞƌĞƐƚŽƌĞĚǁŝƚŚϯDůĞĂƌĨŦůDĂũĞƐƚǇWŽƐƚĞƌŝŽƌŽŵƉŽƐŦƚĞ͘/ŶĂůů
cavities, the efficacy of the caries removal was checked with Facelight device after caries excavations.
Patients were controlled once in three months throughout a year by modified USPHS criteria.
RESULTS: Regarding the modified USPHS criteria there were no significant difference among the caries
ƌĞŵŽǀĂůƚĞĐŚŶŝĐƐƵƐĞĚ͘ĐĐŽƌĚŝŶŐƚŽƚŚĞ&ĂĐĞůŝŐŚƚ͕ĂƌŝƐŽůǀΡǁĂƐƚĞŶĚƚŽƌĞŵĂŝŶĐĂƌŝĞƐĐŽƌƌĞƐƉŽŶĚƚŽ
conventional methods and laser. CONCLUSION: Conventional method and laser were more efficient,
ǁŚĞƌĞĂƐĂƌŝƐŽůǀΡĂŶĚůĂƐĞƌǁĞƌĞŵŽƌĞĐŽŵĨŽƌƚĂďůĞ͘
PP.159. REPORT FOR EFFECTIVE IMPLEMENTATION OF SCHOOL

BASED SEALANT PROGRAM (SBSP)
SOZOVSKA E, MILOSHEVSKI N, PAVLEVSKA M, JANEVSKA S, CARCEVA-DIMITROVA D.,

BILJANA GETOVA
SOZOVSKA ELENA-DENTIST-MINISTRY OF HEALTH

MILOSHEVSKI NIKOLA-DENTIST-MINISTRY OF HEALTH
PAVLEVSKA MERI-PAEDIATRIC DENTIST-UNIVERSITY OF DENTISTRY SKOPJE
JANEVSKA SEVDALINA-PAEDIATRIC DENTIST-MINISTRY OF HEALTH
CARCEVA-DIMITROVA DANIELA-ORTHODONTIST-UNIVERSITY OF DENTISTRY SKOPJE
Sealants are effective for preventing decay in children,protect vulnerable areas,can reduce cavities in
6-year molars up to 80% immediately and up to 60% for 4 years or more.The aim is to report on the
impact of implementation of the sealing.In frame of National strategy School-Based Sealant Program
(SBSP) exists since 2008.The Ministry of Health has provided ongoing funding for the SBSP since its
inception.147 preventive teams from Local public health departments calibrated according to WHO
critĞƌŝĂ͕ĐŽǀĞƌƉƌŝŵĂƌǇƐĐŚŽŽů͛ƐĐŚŝůĚƌĞŶĂƚĂŐĞϲƚŽϭϮǁŝƚŚƐĞĂůŝŶŐ͘dŚŝƐŝƐĂŶĂƚŝŽŶĂůƉƌŽŐƌĂŵǁŚŝĐŚ
does not require ethics approval and was supported by the local authorities and schools staff.The
SBSP has experienced significant growth. During the first year (2008-09), the program served children
at age 6 from primary schools and provided 19.062 screenings and 47.294 sealings.Until 2013-14
school year, it had expanded and included new generation every new school year, providing total
114.190 screenings and 522.000 sealings.The SBSP is based on the protocols recommended by the
Association of Pedodonticts.Sealants were applied to sound premolars and molars after full
eruption.The results from the epidemiological research before the implementation of the program(in
2008) at 12 years old indicated high DMFT,6.9.The results from the research after the implementation
of the program (in 2014),indicated reduction of DMFT,2.4.SBSP has shown to be an effective
preventive measure especially in countries with low-income where the Public Health System is
designed to include dentists who are exclusive involved only in prevention of oral disease and funded
by the Government.
PP.160. CORRELATION BETWEEN CONSUMPTION OF THE
CARBONATED DRINKS AND THE PREVALENCE OF DENTAL
EROSIONS
LONGUROVA N, ZLATANOVSKA K, KOVACHEVSKA I, ILJOVSKA S, DENKOV N.
NATASHA LONGUROVA- FACULTY OF MEDICAL SCIENCE SHTIP UGD

KATERINA ZLATANOVSKA - MK-FACULTY OF MEDICAL SCIENCE SHTIP UGD
IVONA KOVACHEVSKA- -FACULTY OF MEDICAL SCIENCE SHTIP UGD
SNEZANA ILJOVSKA- -FACULTY OF DENTAL MEDICIN, SKOPJE
NIKOLA DENKOV- -DENTAL OFFICE DR. MERI DENKOVA
The goal of the study was to determine the association between carbonated drinks and the
prevalence of dental erosions, according to gender in examinees at the age from 10 to 29 years. In the
study we included 46 examinees at the age from 10 to 29 years, from whom 25 (54.3%) were female,
and 21 (45,7%) were male, at the age from 10 to 29 years. The study was consisted from clinical
examinations, which meant, keeping a record of the consumption of carbonated drinks, and the
existence of dental erosions on the first permanent incisors and molars. The results in the presented
distribution of dental erosions diagnosed on the central incisors and the first permanent molar, for
Pearson and p>0,05, in correlation to the gender of the examinees does not have a significant
difference. In the presented distribution of dental erosions according to dental surfaces in correlation
to the gender of the examinees and the use of carbonated drinks and dental erosions diagnosed on
the central incisors and the first permanent molar, for p<0,001 there is a significant difference. As a
conclusion, we would like to note, that the dentists should be more active in the promotion of health,
in terms of stopping dental erosions. Key words: dental erosions, carbonated drinks, central incisors
and first permanent molar
33$5(6ú1-%$6('0$5</$1'%5ú'*(
MOKHTARI TAVANA A, GOKAY O.
ARMIN MOKHTARI TAVANA-MSC.DR.DT-ANKARA UNIVERSITY,DENTISTRY FACULTY,RESTORATIVE

DENTISTRY
OSMAN GOKAY-PROF.DR-ANKARA UNIVERSITY,DENTISTRY FACULTY,RESTORATIVE DENTISTRY
A resin-bonded fixed partial denture (RB-FPD) is a prosthetic construction which can replace one or
several teeth in an occlusal system and which comprises a pontic element which is adhesively
attached to one or more abutment teeth. The RB-FPD can be made using various techniques and
materials. A direct resin-bonded fixed partial denture is made of composite, reinforced or not by a
frame of flexible metal or fiber material. For an indirect resin-bonded fixed partial denture, a metal,
fibre-reinforced composite or ceramic substructure is fabricated in a dental laboratory. The basic
principle of a resin-bonded fixed partial denture is minimal invasiveness. The aim of this in vivo study
was to evaluate the success of Maryland bridge bonded to teeth with a flowable bulk fill composite
resin. 40 Years old Female Patient came with Anterior 21 missing and esthetic complains. Due to
Economical and time pƌŽďůĞŵƐ͕ƐŚĞĐŽƵůĚŶ͛ƚĂĨĨŽƌĚ/ŵƉůĂŶƚĂŶĚďĞƐŝĚĞƚŚĂƚ͕ƐŚĞĚŝĚŶ͛ƚĂĐĐĞƉƚƚŽĚŽ
preparations for neighbour teeth for bridge prosthesis. After investigation of oral condition, we
decided to make a Resin-Based Maryland bridge without preparation of neighbour teeth to
elimination of anterior esthetic problem. We used Angular Fiber Splint for improving stability and a
Flowable bulk-fill composite for resin bonding adhesion because of low shrinkage in this material.
Patient was followed for 6 Months. She did not suffer from local complications of teeth and irritation
of gums after RB-FPD. The patient was satisfied with the results of the RB-FPD.
PP.162. COMPOSITE RESIN DISCOLORATION CAUSED BY EVERY

DAY CONSUMPTION PRODUCTS
ANDREEVSKI A, KOVACEVSKA I, GEORGIEV Z, ZARKOVA J.
ANDREEVSKI ALEKSANDAR-D-R, MR.SCI-PZU

KOVACEVSKA IVONA-PROF. D-R, DR.SCI PHD-FACULTY OF MEDICAL SCIENCE, DENTAL MEDICINE,
hE/sZ^/dz͞'K>s͟ad/W
GEORGIEV ZLATKO-PROF. D-R, DR.SCI PHD-FACULTY OF DENTAL MEDICINE, UNIVERSITY
ZARKOVA JULIJA-ASS. D-R, MR.SCI -FACULTY OF MEDICAL SCIENCE, DENTAL MEDICINE, UNIVERSITY
͞'K>s͟ad/W
Background: Composite resins revolutionized the modern restorative dentistry with its high value
aesthetic properties especially in the frontal region, and satisfactory stability in the posterior region of
the human dental arch. The aim of this poster presentation is to serve us as a reminder about the
possible staining of the composite resins immersed into various drinks, food colorants and dental
rinse products. Methods and materials: For this type of research we used a number of scientific
articles from the database of PubMed which dated from the year of 2009 until present time. We used
only articles that had in vitro researches on plain composite resin based restorative materials which
are most used in dental practices around the world. Results: All the articles showed a small to a
significant discoloration of the composite resins no matter of the chemical compound of the resin
matrix, or the finishing technique. The colour difference varies between researches due to the
different methods and materials used in them. For any discoloration to occur there are many intrinsic
and extrinsic causes which vary from resin to resin. Conclusion: Composite resins are prone to
discoloration which occurs from the substances that are part of our everyday consumption products.
Discoloration can be slowed down with proper placement of the resins into the cavities, and adequate
techniques of finishing and polishing.
PP.163. THE EFFECT OF VARIOUS LIQUIDS ON SURFACE HARDNESS

OF DIF)(5(17&20326ú7(5(6ú16
KIVRAK TC, 'P<zK͘
dh)KE'Z</sZ<-THE EFFECT OF VARIOUS LIQUIDS ON SURFACE HARDNESS OF DIFFERENT

KDWK^7dZ^7E^-ANKARA UNIVERSITY FACULTY OF DENTISTRY,RESTORATIVE DENTISTRY
K^DE'P<z-THE EFFECT OF VARIOUS LIQUIDS OE^hZ&,ZE^^K&/&&ZEdKDWK^7d
Z^7E^-ANKARA UNIVERSITY FACULTY OF DENTISTRY,RESTORATIVE DENTISTRY
The aim of this study was to evaluate the effect of various food simulating liquids on surface hardness
of two bulk fill composite resins (X-tra fill, X-tra base) and a nanohybrid composite resin (Grandio).
Forty cylindrical specimens were prepared for each resin composites using a plexiglass mold (2 mm
height and 8 mm diameter). All the specimens were polymerized by a LED curing unit on top side
against a selluloid mylar strip for 20 s. Baseline hardness (VHN) from top surfaces of specimens were
measured with a surface hardness tester. Then, they were divided into four groups (n:10) and stored
in heptan, citric acid 0.02 N, ethanol (%50) and distilled water for 7 days. Hardness measurements
were repeated the end of 24 h and 7 days. Mean values of groups were compared using analysis of
variance (ANOVA) and Tukey-Kramer Multiple Comparison test (p=0,05). Statistically significant
differences were observed among hardness value of composites in all test conditions. The least
hardness value were found in a bulk fill composite resin (X-tra base) all of the liquids and baseline.
Distilled water was the least effect on hardness of all composite resins, while the lowest surface
hardness values were found % 50 ethanol solution groups of all composite resins tested. In
addition,storage time in liquids was affect the surface hardness and the lowest surface hardness
values were found the end of 7 days. Key Words: Nanohybrid composite resin, Bulk Fill composite
resin, surface hardness, food simulating liquids (FSL's)
PP.164. FRACTURE RESISTANCE OF ENDODONTICALLY TREATED

TEETH WITH CONSERVATIVE ACCESS CAVITIES RESTORED WITH
THREE DIFFERENT COMPOSITES
ISUFI A, PEPLA E, PLOTINO G, GRANDE NM, GAMBARINI G.
ALMIRA ISUFI-DDS, MSC, PHD-SAPIENZA, UNIVERSITY OF ROME, ITALY

ERLIND PEPLA-DDS, MSC, PHD-UNIVERSITY OF BRISTOL, ENGLAND, UK
GIANLUCA PLOTINO-DDS, PHD-SAPIENZA, UNIVERSITY OF ROME, ITALY
NICOLA MARIA GRANDE-DDS, PHD-CATHOLIC UNIVERSITY OF SACRED HEART, ROME, ITALY
GIANLUCA GAMBARINI-MD, DDS-SAPIENZA, UNIVERSITY OF ROME, ITALY
Aim. To determine and compare the fracture resistance of endodontically treated teeth with
conservative access cavities restored with bulkfill materials (SDR and SonicFill) and traditional resin
composite. Methods. 40 maxillary and 40 mandibular first molars with similar dimensions were
assigned to 4 subgroups for each tooth type (n=10): Group A: control group, including intact teeth;
Group B: access cavities were restored with a traditional resin composite (EsthetX; Dentsply-Italy,
Rome, Italy); Group C: access cavities were restored with a bulkfill flowable composite (SDR; Dentsply-
Italy), and Group D: access cavities were restored with a bulkfill composite (SonicFill; Kerr-Orange,CA).
In both Groups C and D a 1.5 mm layer of the occlusal surface was restored with the same resin
composite as Group B. After performing conservative access cavities, root canal treatments and
adhesive procedures, the specimens were subjected to compressive force in a material static-testing
machine until fracture occurred, the maximum fracture load of the specimens was measured (N).
Data were statistically analyzed with one-way analysis of variance (ANOVA) and Bonferroni tests
(P<0.05). Results. No statistically significant differences were found among groups (P<0.05). Fracture
resistance of endodontically treated teeth with conservative access cavities restored with a traditional
resin composite and with bulkfill composite (SDR and SonicFill) was similar in both maxillary and
mandibular molars and showed no significant decrease in fracture resistance compared to intact
specimens. Conclusions. No significant difference was observed in the mechanical fracture resistance
of endodontically treated molars restored with traditional resin composite restorations compared to
bulkfill composite restorations.
PP.165. WHITE SPOT REMOVAL USING MICRO ABRASION: A

MINIMAL INVASIVE APPROACH
TSIAFITSA M, TZIMAS K, TSITROU E, GERASIMOU P.
MARIA TSIAFITSA-POSTGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT

OF OPERATIVE DENTISTRY
KONSTANTINOS TZIMAS-POSTGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI,
DEPARTMENT OF OPERATIVE DENTISTRY
EFROSYNI TSITROU-ASSISTANT PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT
PARIS GERASIMOU-ASSISTANT PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT
WHITE SPOT REMOVAL USING MICRO ABRASION: A MINIMAL INVASIVE APPROACH Background:
Smile improvement sometimes refers to removal of white lesions in the aesthetic zone. These lesions
are caused by either fluorosis or plaque accumulation in association with orthodontic appliances,
enamel structure, diet, salivary flow etc. Removal of these demineralized white spots requires a
minimal invasive treatment, in order to preserve the tooth structure. Micro abrasion with
hydrochloric acid is a well established conservative technique for removal of superficial enamel
defects and various stains. Materials and methods: There will be a presentation of clinical cases from
the postgraduate clinic of the Department of Operative Dentistry of Aristotle University of
Thessaloniki (AUTh). Results: Application of hydrochloric acid resulted in significant removal of white
spots. a stable clinical result was present in the six-month recall visit. Conclusion: Preservation of
tooth structure and aesthetic improvement are important in clinical practice. Application of
hydrochloric acid for white spots or other stain removal is a concervative technique compiled with
these two requirements.
PP.166. DENTAL EROSION: ETIOLOGY AND TREATMENT.
ANTONIOU I, AL MOCHAMANT I, GEORGIADOU G, DIONYSOPOULOS D.
ANTONIOU ILIANA-DDS, POSTGRADUATE STUDENT-AUTH, SCHOOL OF DENTISTRY, DEPARTMENT OF

OPERATIVE DENTISTRY
IOSIF AL MOCHAMANT -DDS, POSTGRADUATE STUDENT-AUTH, SCHOOL OF DENTISTRY, DEPARTMENT
GEORGIA GEORGIADOU-DDS, POSTGRADUATE STUDENT -AUTH, SCHOOL OF DENTISTRY,
DEPARTMENT OF OPERATIVE DENTISTRY
DIMITRIS DIONYSOPOULOS-DDS, PHD-AUTH, SCHOOL OF DENTISTRY, DEPARTMENT OF OPERATIVE
DENTISTRY
Dental erosion causes long-term destruction of tooth substance, due to non-carious intrinsic or
extrinsic erosive factors.There is some evidence that dental erosion is becoming more common.
Dental erosion is of multifactorial etiology. Despite the fact that individuals are exposed to exactly the
same acid challenges in their diets, some of them exhibit more extensive erosion than others. This
finding explains the importance of the combined action of chemical, biological and behavioral factors
causing dental erosion. Dental professionals have to diagnose dental erosion relying/based on clinical
findings. This is of particular importance in the early stages of erosive tooth wear. Determination of
the different risk factors is mandatory for the appropriate preventive measures, which have to be
individually designed for each patient. Preventive treatment involves neutralizing the effects of acids
and improving the resistance of the teeth to acidic attacks. In cases of extensive erosive tooth wear,
oral rehabilitation becomes necessary. Minimally invasive restorative intervention is preferable even
with advanced erosive destruction. Treatment of choice is sealing or covering with composite
material. Conservative treatment should be preferred for initial restorative treatments, especially in
young persons. In case of severely eroded upper front teeth, porcelain veneers can be applied.
Furthermore, if the defects on posterior teeth are extensive, then full ceramic overlays or crowns are
indicated.
PP.167. IN VITRO EVALUATION OF SURFACE HARDNESS OF
MICROHYBRID AND NANOCERAMIC COMPOSITE AFTER OFFICE
BLEACHING
SERINSOZ F, ERTAS E.
FUNDA SERINSOZ-SPECIALTY STUDENT-ONDOKUZ MAYIS UNIVERSITY FACULTY OF DENTISTRY

ERTAN ERTAS-PROFFESSOR-ONDOKUZ MAYIS UNIVERSITY FACULTY OF DENTISTRY
Introduction: Surface hardness is an important physical property of dental materials, defined as the
resistance of the material against penetration. Although bleaching agents are widely used, studies on
the effects of bleaching agents on the microhardness of dental materials have yielded contradictory
results. The addition of nanoceramic particles to composites produced in recent years is claimed to
offer advantages such as reduced resin content and reduced monomer diffusion resulting lower
polymer shrinkage and higher abrasion resistance. Purpose: This in vitro study aimed to evaluate the
effect of bleaching agent (Opalescence Boost PF % 40 HP) on the hardness of microhybrid composite
(Gradia direct anterior) and a new nanoceramic composite (Ceram-x-One Spheretec). Materials and
Method: Twenty disc-shaped specimens (10.0 mm diameter, 2.0 mm depth) of each material were
fabricated and then polished. The samples were randomly divided into two groups (control and
ďůĞĂĐŚŝŶŐͿ͘ ůů ƐĂŵƉůĞƐ ǁĞƌĞ ŬĞƉƚ ŝŶ ƚŚĞ ĂƌƚŝĨŝĐŝĂů ƐĂůŝǀĂ ĨŽƌ ϭϰ ĚĂǇƐ Ăƚ ϯϳΣ͘ ůĞĂĐŚŝŶŐ ĂŐĞŶƚ ǁĂƐ
ĂƉƉůŝĞĚ ϮпϮϬ ŵŝŶƵƚĞƐ ϭƐƚ ĂŶĚ ϴƚŚ ĚĂǇƐ ŽŶ ďůĞĂĐŚŝŶŐ ŐƌŽƵƉ ƐƵƌĨĂĐĞ͘ ĨƚĞƌ ϭϰƚŚ days samples
submitted to Knoop microhardness test (100g/15sn). Results: The data were statistically analyzed
ǁŝƚŚ EKs ĂŶĚ dƵŬĞǇ͛Ɛ ƉŽƐƚ ŚŽĐ ƚĞƐƚ͘ /Ŷ ƚŚĞ ĐŽŶƚƌŽů ŐƌŽƵƉ ŵĞĂƐƵƌĞŵĞŶƚƐ ŽĨ ŶĂŶŽĐĞƌĂŵŝĐ
composite showed significiantly higher values than microhybrid composite. Bleached group was
showed lower knoop hardness values compared with control group but difference was minimal.
Conclusion: %40 hydrogen peroxide bleaching agent did not significiantly reduce the hardness of
microhybrid and nanoceramic composite.
PP.168. TREATMENT OF TRAUMATICALLY FRACTURED AND

RETRACTED PERMANENT INCISORS WITH MULTIPLE APPROACH: A
CASE REPORT
ERCIN O, ERTAS E.
OZLEM ERCIN-SPECIALTY STUDENT-ONDOKUZ MAYIS UNIVERSITY FACULTY OF DENTISTRY
AIM: IN THIS CASE REPORT, WE PLANNED TO PROTRACTING TEETH TO ESTIMATED ORIGINAL

POSITION BECAUSE THERE WASN'T ENOUGH SPACE BETWEEN UPPER AND LOWER INCISORS FOR
APPROPRIATE CROWN RESTORATION. CASE: A 16-YEAR-OLD MALE PATIENT WAS REFERRED TO
RESTORATIVE CLINIC WITH THE COMPLAINT OF TRAUMATIC DENTAL INJURY. THE MEDICAL HISTORY
WAS NON-CONTRIBUTORY. ENDODONTICALLY TREATED TEETH RESTORATED WITH DIRECT RESIN
COMPOSITE FOR TEMPORARILY. REMOVABLE PROTRUSION APPLIANCE HAVE BEEN DESIGNED IN
ORDER TO PROTRACTING INCISOR TEETH. THE REMOVABLE ORTHODONTIC APPLIANCE WAS USED
FULL TIME OF DAY FOR 4 WEEKS FOR PROTRUSION OF TEETH BY THE PATIENT. AFTER ONE MONTH,
INCISORS PROTRACTED 2 MM INTO ESTIMATED ORIGINAL POSITION. UPPER RIGHT INCISOR WAS
RESTORATED BY USING FIBER-REINFORCED POST AND COMPOSITE CORE AND UPPER LEFT INCISOR
BECAUSE OF EXISTENCE OF ENOUGH BECAUSE IT HAVE LESS LOSS CORONAL TISSUE. AFTER ONE
WEEK TEETH WERE PREPARED AND RESTORATED WITH CAD-CAM TECHNOLOGY. CONCLUSION: IN
SUCH CASES ORTHODONTIC AND RESTORATIVE COMBINED TREATMENTS CAN BE CONSIDERED AS AN
ALTERNATIVE TO CONVENTIONAL TREATMENTS AND LEAD TO MINIMALIZED INVASIVE RESULTS.
USING CAD-CAM GENERATED CROWNS LEAD TO SAVING TIME, ELIMINATED LABORATUAR
PROCEDURES AND MORE AESTHETIC RESULTS.
PP.169. NON-INVASIVE AESTHETIC RESTORATIONS WITH DIRECT

COMPOSITE RESIN: 5 CASE REPORTS
TURKER AM, GULER E, ERTAS E.
AYSE MERVE TURKER-SPECIALTY STUDENT-ONDOKUZ MAYIS UNIVERSITY FACULTY OF DENTISTRY

EDA GULER-ASSOC.PROFF-ONDOKUZ MAYIS UNIVERSITY FACULTY OF DENTISTRY
AIM: PRESENCE OF DIASTEMA BETWEEN ANTERIOR TEETH IS CONSIDERED AS A MAJOR AESTHETIC

PROBLEM.THERE ARE MANY TREATMENT MODALITIES FOR DIASTEMA CLOSURE. AMONGST THE
SUGGESTED OPTIONS FOR DIASTEMA CLOSURE SUCH AS ORTHODONTIC, RESTORATIVE AND
PROSTHODONTIC TREATMENT, SOMETIMES THE USE OF PROXIMALLY APPLIED RESIN COMPOSITE
MAY BE MORE PRACTICAL AND CONSERVATIVE.ON THE OTHER HAND RECENT STUDIES ALSO
SHOWED THAT DIRECT COMPOSITE RESIN RESTORATIONS ARE CONSIDERED
FUNCTIONAL,STABLE,AESTHETICAL,AND CHEAPER RESTORATIONS COMPLETED IN LESS CHAIR TIME
BY USING APPROPRIATE OCCLUSION. CASE: IN THESE 5 CASES REPORT 2 MAXILLARY MIDLINE
DIASTEMAS AND 3 MAXILLARY POLIDIASTEMAS WERE CLOSED WITH DIRECT COMPOSITE RESIN
RESTORATIONS IN ONE APPOINTMENT WITHOUT ANY PREPARATION.BEFORE STARTING THE
TREATMENTS, PREOPERATIVE PHOTOGRAPHS (BODY;CANON EOS 600D,105MM MACRO LENS; SIGMA
HSM) WERE TAKEN.SILICON INDEXES WERE PREPARED BEFORE THE TREATMENTS.FOLLOWING ORAL
PROPHYLAXIS,SHADE SELECTION WAS DONE. %37 ORTOPHOSPHORIC ACID WAS USED FOR ETCHING
THEN AN UNIVERSAL ADHESIVE SYSTEM WAS USED AND COMPOSITE RESIN WAS LAYERED ON MESIAL
AND DISTAL SURFACES OF THE TEETH THAT WERE ISOLATED WITH RUBBER DAM AND TEFLON BANDS.
FINISHING AND POLISHING PROCEDURES WERE ACHIEVED BY USING POLISHING DISCS. PATIENT WAS
INFORMED FOR RECALLS FOR EVERY 6 MONTH. CONCLUSION: AT SIX-MONTH RECALL NO
SENSITIVITIES, DISCOLORATIONS, OR FRACTURES WERE DETECTED ON TEETH AND
RESTORATIONS.DIRECT COMPOSITE RESINS SEEMED TO BE HIGHLY AESTHETIC AND DURABLE
RESTORATIONS THAT CAN SATISFY PATIENTS AS UNDER THE CONDITIONS OF CASE PRESENTED.
PP.170. EVALUATION OF MICROLEAKAGE OF CLASS V CAVITIES,

RESTORATED WITH GLASS IONOMER BASED MATERIALS
KARAMAN E, GULER E, ERCIN O.
EMEL KARAMAN-ASSIST.PROF-ONDOKUZ MAYIS UNIVERSITY DENTISTRY FACULTY DEPARTMENT OF

RESTORATIVE
EDA GULER-ASSOC.PROF-ONDOKUZ MAYIS UNIVERSITY DENTISTRY FACULTY DEPARTMENT OF
RESTORATIVE
OZLEM ERCIN-RES.ASSIST-ONDOKUZ MAYIS UNIVERSITY DENTISTRY FACULTY DEPARTMENT OF
RESTORATIV
OBJECTIVES: THIS STUDY AIMED TO EVALUATE THE MICROLEAKAGE OF DIFFERENT FLOUR RELEASING
DENTAL MATERIALS IN CLASS V CAVITIES. MATERIALS AND METHODS: FORTY TWO UPPER PREMOLAR
TEETH EXTRACTED FOR ORTHODONTIC PURPOSES, WERE USED. STANDARDIZED CLASS V CAVITIES
;ϰпϮпϮ DDͿ t/d,Khd s>^ WZWZ d ϭ DD >Kt d, DEdK-ENAMEL JUNCTION ON
THE BUCCAL AND PALATAL SURFACES. TEETH WERE RANDOMLY DIVIDED INTO SIX GROUPS (N=7)
AND RESTORED AS FOLLOWS: 1.RESIN MODIFIED GLASS IONOMER CEMENT (GC DENTAL, TOKIO,
JAPAN), 2.CONVENTIONAL GLASS IONOMER CEMENT (FUJI II LC,GC DENTAL, TOKIO, JAPAN),
3.COMPOMER (GLASIOSITE, VOCO, CUXHAVEN, GERMANY) , 4.GIOMER (BEAUTIFIL, SHOFU, TOKIO,
JAPAN), 5.FLOWABLE GIOMER (BEAUTIFIL ZERO 0, SHOFU, TOKIO, JAPAN), 6. GLASS CARBOMER (GCP,
GCP DENTAL, NEDERLAND). ALL PREPARATIONS WERE CUT USING A DIAMOND CYLINDER BUR
(DIATECH, SWISS DENTAL INSTRUMENTS, HEERBRUGG, SWITZERLAND) IN A WATER-COOLED
HIGHSPEED HANDPIECE. NEW BUR WAS USED AFTER PREPARING FIVE TEETH. TEETH WERE
IMMERSED IN DISTILLED WATER FOR SEVEN DAYS AND TEETH WERE SECTIONED
OCCLUSOGINGIVALLY. DEGREE OF MICROLEAKAGE WAS DETERMINED BY DYE PENETRATION.
ENAMEL AND DENTIN MARGINS WERE SCORED SEPERATELY UNDER A STERIOMICROSCOPE, AND THE
MOST SEVERE DEGREE WAS RECORDED. RESULTS CONVENTIONAL GLASS IONOMER CEMENT
SHOWED THE LOWEST MICROLEAKAGE SCORES. GLASS CARBOMER SHOWED THE HIGHEST
MICROLEAKAGE SCORES BOTH FOR ENAMEL AND DENTIN(P<0.001). CONCLUSION NONE OF THE
MATERIALS TESTED SHOWED COMPLETE PREVENTION OF DYE PENETRATION. ALL OF THESE
MATERIALS ARE USEFUL AT CLASS V CAVITIES.
PP.171. IMPLANT SUPPORTED OVERDENTURE ABOUT 2 CASES
^h>hEd͕'<7>7K͕ERDOGAN Y.
TONGUC SULUN-PROF. DR.-7^dEh>hE7s

KEhZ'<7>7-DOC.DR-7^dEh>hE7s
z^D7E ZK'E-^7^^dEd Z͘ d͘-7^dEh> hE7s WƌŽĨ͘Ěƌ͘ŵĞů Zs/^ ĚĚƐ ƉŚĚ
Student Ali Can YENI
Removable dentures in complete edentulous cases may cause some clinical problems such as
inadequate retension or stability and excessive supportive bone loss due to unbalanced stress
distribution especially in the mandible. In order to prevent these problems 2 implants are usually
inserted in the mandible to retain the mandibular dentures. Ball, bar, magnet or locator attachment
systems are generally used for these mandibular overdentures. In the mandible 2 implant supported
overdentures with bar attachments having cantilever extensions are not indicated. However in cases
of improper implant insertion, if the implants are too close to each other, it is not possible to use any
other attachment system to securely retain the overdentures. In the presented 2 cases where the
mandibular implants were close, distal extension bars were fabricated and used as the attachment
system for the mandibular overdentures. No complications were observed during the 6 month follow
up period and patient satisfaction was high.
PP.172. ESTHETIC AND FUNCTIONAL MANAGEMENT OF THREE

DIASTEMA-PATIENTS
PhDE, TUNCER D.
mDZmd ZE PhDE-RESEARCH ASSISTANT-BASKENT UNIVERSITY, FACULTY OF DENTISTRY,

DEPARTMENT OF RESTORATIVE DENTISTRY
DUYGU TUNCER-ASSOCIATE PROFESSOR-BASKENT UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF RESTORATIVE DENTISTRY
ĂĐŬŐƌŽƵŶĚ͗ dŚĞ ŝŵƉŽƌƚĂŶĐĞ ŽĨ ďĞĂƵƚǇ ĂŶĚ ĂƚƚƌĂĐƚŝǀĞŶĞƐƐ ŝŶ ƚŽĚĂǇ͛Ɛ ƐŽĐŝĞƚǇ ŚĂƐ ďĞĞŶ well
established. There is an increasing demand of improving dentofacial esthetics among
adolescent/adult population. Tooth components; such as tooth color, dimension and shape can be
changed to require dentofacial esthetic. Materials and techniques must be minimally invasive and
conservative while the teeth, tissues and joints are all in function and harmony. Method and
Materials: This clinical case report series describe direct composite laminate veneer technique which
is used for three patients with esthetic and functional problems related to diastemas, peg shaped
laterals and mid-line deviation. A two-step etch-and-rinse adhesive system (Single Bond 2, 3M ESPE)
and a nanoceramic composite resin material (Ceram-X Duo, Dentsply) with different shades were
used for the restoration of the patients. Finishing and polishing procedures were achieved by using
ƉŽůŝƐŚŝŶŐ ĚŝƐĐƐ ;^ŽĨůĞǆ ĚŝƐĐƐ͕ ϯD ^WͿ͘ dŚĞ ƉĂƚŝĞŶƚƐ͛ ĞƐƚŚĞƚŝĐ ĞǆƉĞĐƚĂƚŝŽŶƐ ǁĞƌĞ ƐƵĐĐĞƐƐĨƵůůǇ ŵĞƚ
through a comprehensive approach consisting of direct composite laminate veneer technique.
Patients were informed for recalls for every 6 months. Results: Direct composite veneer restorations
may be a treatment option for patients with the esthetic problems of anterior teeth in cases similar to
those reported here. Conclusion: Direct composite resins seemed to be highly esthetic restorations
that can satisfy patients as under the conditions of cases presented.
PP.173. SIMULTANEOUS RESTORATION OF MAXILLARY CENTRAL

WITH CEREC BIOGENERIC REFERENCE TECHNIQUE: A CASE
REPORT
DEMIREL G, 'PEm>b&͕</>/Z^>ED͕'mZ'͘
'm>/< D/Z>-DDS.PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF

&,D/ 'PEm>b-DDS.PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
D,Dd >/ </>/ZSLAN-DDS.PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
'mZ<E'mZ-DDS.PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF RESTORATIVE
DENTISTRY
The application of computer-aided design/ computer-aided manufacturing (CAD/CAM) technology in

dentistry is having a profound effect on both dental laboratories and clinics. Acquiring optical images
of the prepared teeth directly with the intra-oral camera eliminates the need for conventional
impression procedures and improves patient comfort. This clinical report describes the practical
usage of CEREC 3D system with the Biogeneric Reference Technique (BRT) for designing and milling
one central incisor. BRT provides the operator to copy the contra-lateral tooth and create a mirror
image of it on the preparation. This feature allows symmetrical design through using the mirrored
replicated image and it provides clinical benefits while restoring anterior tooth simultaneously. A
step-by-step protocol is described from design to cementation of these restorations. A 21 year-old
male patient presented himself at the Department of Restorative Dentistry, Ankara University with
aesthetic concerns on her anterior teeth. Intraoral examination revealed that left maxillary incisor
restored with large composite resin restoration was aesthetically unsatisfactory. The treatment plan
in this case included fiber post and core fabrication followed by all ceramic crowns, manufactured
using the CEREC 3D system.
PP.174. PROBLEMS AFTER THE SAFE REMOVAL OF AMALGAM
DEDAJ E, DEDAJ H, NASTI A.
EDLIRA DEDAJ-PROBLEMS AFTER THE SAFE REMOVAL OF AMALGAM-ALDENT UNIVERSITY

HENRI DEDAJ--PRIVATE CLINIC
AJOLA NASTI--ALDENT UNIVERSITY
WƌŽďůĞŵƐ ĂĨƚĞƌ ƚŚĞ ƐĂĨĞ ƌĞŵŽǀĂů ŽĨ ĂŵĂůŐĂŵ ĚůŝƌĂ ĞĚĂũΎ ,ĞŶƌŝ ĞĚĂũϷ͕ ũŽůĂ EĂƐƚŝϸ ΎůĚĞŶƚ
University, Tirana, Albania Introduction: Amalgam was a widely used restorative material in the last
century. Nowadays, its use is significantly limited due to the release of mercury, from fillings with this
material. Researchers refer problems during the removal of amalgam fillings and after the procedure,
because of the potential exposure of the subject towards mercury vapor. Aim: Problems in subjects,
to be evidenced, after the removal of amalgam fillings by a well-defined protocol. Method and
Material: In this study, there were included 32 subjects (20 women and 12 men) who wanted to
replace amalgam fillings for different reasons. Subjects underwent a diet rich in vitamin C, magnesium
chloride, fiber. This diet continued 2 months after replacement of fillings. A well-defined protocol was
attended, where were used rubber dam, protective masks for the subject and for the doctor, the
powerful suction, tungsten burs and tools for the removal of amalgam. Two weeks after the amalgam
removal, certain subjects submitted a questionnaire to highlight concerns after the procedure. Results
and Conclusions: After replacing the fillings with amalgam, 91 % of the subjects resulted with no
problems, while 9% (3 subjects) referred concerns. A subject had lack of appetite and in 2 subjects
there were insomnia signs.
PP.175. EFFECTS OF CAVITY CLEANING METHODS ON BOND

STRENGTH TO ENDODONTICALLY TREATED TEETH
ALKAN F, ARISU HD.
FEHIME ALKAN-DR-GAZI UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF RESTORATIVE

DENTISTRY
HACER DENIZ ARISU-ASSOC PROF DR-GAZI UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
EFFECTS OF CAVITY CLEANING METHODS ON BOND STRENGTH TO ENDODONTICALLY TREATED TEETH

Background:Aim of this study was to evaluate the effect of cavity cleaning methods on bond strength
of adhesive systems to dentin after removing zinc-oxide eugenol (ZOE) temporary material. Materials
and Methods:Coronal parts of 90 extracted third molar teeth were removed and occlusal access
cavities were prepared. After root canal treatment, cavities were filled with ZOE temporary material
ĂŶĚƐƚŽƌĞĚĨŽƌϳĚĂǇƐĂƚϯϳΣŝŶĚŝƐƚŝůůĞĚǁĂƚĞƌ͘ĨƚĞƌƚĞŵƉŽƌĂƌǇŵĂƚĞƌŝĂůǁĂƐƌĞŵŽǀĞĚ͕ƚĞĞƚŚǁĞƌĞ
randomly divided into three groups according to cavity cleaning methods (control, 2% chlorhexidine
and %100 ethanol) and five subgroups (3-step total-etch, 2-step self-etch, single-step self-etch,
universal adhesive and chlorhexidine containing universal adhesive). After restoring with composite
resin, occlusal force of 250N was applied 10,000 times. Specimens were sectioned into 1 mm2 surface
area beams. Microtensile bond strength test was performed. Failure modes were determined under
stereomicroscope and analysed with SEM. Results:The highest dentin bond strength was observed in
clorhexidine containing universal adhesive system after application of 100% ethanol for 30 seconds.
Lowest bond strengths were observed in one-step self-etch adhesive application in control and in
chlorhexidine containing universal adhesive system after 2% chlorhexidine application for 30 seconds.
Conclusion:Within the limitations of this in vitro study, it can be concluded that 100% ethanol
application for 30 seconds created cleaner dentin surfaces and could increase the adhesive
penetration by removing the ZOE residues beTter than control and 2% chlorhexidine application for
30 seconds.
PP.176. FIBERS IN RESTORATIVE DENTISTRY. CONTEMPORARY

APPROACHES WITH CLINICAL CASES
AIVAZI C, TOLIDIS K, GERASIMOU P.
C.AIVAZI-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI, DENTAL

SCHOOL
K.TOLIDIS-ASSOCIATE PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI, DENTAL
SCHOOL, PATHOLOGY AND THERAPEUTICS OF DENTAL TISSUES
P.GERASIMOU-ASSISTANT PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI, DENTAL
SCHOOL, PATHOLOGY AND THERAPEUTICS OF DENTAL TISSUES
Fiber reinforcement in resin-based restorative materials has been in clinical use for many
years. Fibrous materials act to reinforce a matrix material such as acrylic, bis-acrylic, or
composite by transferring the stress under applied load from the weaker resin material to
the much stronger fiber. Aim of this study is to present the use of fiber reinforced materials
in clinical cases and discuss the advantages of them over other conventional systems. Fiber
reinforced systems are successfully used in composite restorative materials with
incorporated glass fibers, periodontal splinting, directly bonded endodontic posts, the
creation of a fixed partial denture with a composite resin pontic or a natural tooth pontic,
trauma stabilization, orthodontic fixed lingual retainers and space maintainers. There are
many types of fibers available for reinforcement and each type has its own unique
characteristics. Fibers most commonly employed in dental applications for reinforcement
are polyethylene, glass, polypropylene, carbon or aramid. Glass fibers seem to be the fibers
of choice because of the good adhesion abilities and excellent esthetic properties. In
addition, the light-polymerized fiber reinforced composite substructure allows direct
chemical bonding with the covering composite and this eliminates the need for mechanical
retention as would be needed with a metal substructure. Therefore awareness of the
advantages and limitations of each type of fiber will enable the clinician to select the best
alternative treatment for a particular clinical situation.
PP.177. EFFECT OF RESIN INFILTRATION TECHNIQUE ON

POSTORTHODONTIC WHITE SPOT LESIONS : A ONE-YEAR FOLLOW-UP
CAYABATMAZ M.
MUHAMMEED CAYABATMAZ-DR.-ERCIYES UNIVERSITY FACULTY OF DENTISTRY

EFFECT OF RESIN INFILTRATION TECHNIQUE ON POSTORTHODONTIC WHITE SPOT LESIONS :

A ONE-YEAR FOLLOW-UP Objective: The aim of this clinical follow up was to clinically assess
both the effectiveness of masking and remineralisation effect of white spot enamel lesions
;t^>ƐͿ Ă ƌĞƐŝŶ ŝŶĨŝůƚƌĂƚŝŽŶ ƚĞĐŚŶŝƋƵĞ͘ ^ƵďũĞĐƚ ĂŶĚ DĞƚŚŽĚƐ͗ dŽƚĂůůǇ ϭϮ ƚĞĞƚŚ ;ƐƺƉĞƌŝŽƌ ĂŶĚ
inferior incisors and canins) with white spot lesions after orthodontic treatment with fixed
appliances a patient was applied resin infiltration technique by using Icon (DMG, Hamburg,
Germany) and the subject was instructed to brush teeth with 1450 ppm fluoride toothpaste
;^ĞŶƐŽĚǇŶĞWƌŽŶĂŵĞů'ůĂŬƐŽƐŵŝƚŚŬůŝŶĞ͕EĞǁǇŽƌŬͿ͘dŚĞĐŽůŽƌĐŚĂŶŐĞ;ѐͿŽĨĞĂĐŚƚŽŽƚŚǁĂƐ
measured with a Spectrophotometer (VITA Easyshade Compact, VITA Zahn-fabrik, Bad
^ĂĐŬŝŶŐĞŶ͕'ĞƌŵĂŶǇͿĂŶĚĨůƵŽƌĞƐĐĞŶĐĞůŽƐƐ;ѐYͿǁĂƐŵĞĂƐƵƌĞĚďǇƋƵĂŶƚŝƚĂƚŝǀĞůŝŐŚƚ-induced
fluorescence QLF-D Biluminator TM (Inspektor Research Systems BV, Amsterdam,
Netherland), at different time points after treatment: baseline (0 mounth), 3 mounths and
12 mounths. Results: Icon treatment improved the WSLs color significantly and gave the
ѐсϯ͘ϭϬ͘ dŚĞ /ĐŽŶ ƚƌĞĂƚŵĞŶƚ ĂůƐŽ ƌĞƐƵůƚĞĚ ŝŶ Ă ƐŝŐŶŝĨŝĐĂŶƚ ĐŚĂŶŐĞ ŝŶ ƚŚĞ ѐY ŽĨ t^>Ɛ
ĐŽŵƉĂƌĞĚ ǁŝƚŚ ďĂƐĞůŝŶĞ͘ ŽŶĐůƵƐŝŽŶ͗ ѐY ƐŚŽǁĞĚ ƐŝŐŶŝĨicant recovery both at the baseline
values and 3.rd month ʹ ϭϮ͘ ŵŽƵŶƚŚ ĂĨƚĞƌ ƚƌĞĂƚŵĞŶƚ͘ ѐ ǀĂůƵĞƐ ǁĞƌĞ ĂĐĐĞƉƚĂďůĞ Ăůů ƚŝŵĞ
ƉŽŝŶƚƐ͘dŚĞƌĞǁĂƐŶŽĐŽƌƌĞůĂƚŝŽŶďĞƚǁĞĞŶѐYĂŶĚѐ͘ZĞƐŝŶŝŶĨŝůƚƌĂƚŝŽŶƚĞĐŚŶŝƋƵĞŝƐĞĨĨĞĐƚŝǀĞ
for post orthodontic WSLs.
PP.178. MULTIDISCIPLINARY TREATMENT PROCEDURES FOR A

PATIENT WITH ANTERIOR DIASTEMA: A CASE REPORT
W,>7sE, SAATMAN A, DOGAN B.
zEWZEW,>7sE-DDS, RESEARCH ASSISTANT-MARMARA UNIVERSITY, FACULTY OF

DENTISTRY, DEPARTMENT OF RESTORATIVE DENTISTRY
AYSE SAATMAN-DDS, PHD. STUDENT-MARMARA UNIVERSITY, FACULTY OF DENTISTRY,
BASAK DOGAN-PROF. DR. -MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF PERIODONTOLOGY
Background: Diastemas are one of the main aesthetic concerns of patients. Composite resin
is the least invasive, economical and aesthetic restorative method. However, the health of
periodontal tissues is essential in all dental restorative treatments. This case report presents
multidisciplinary approach of diastema closure in an aggressive periodontitis patient.
Material and Methods: A 38-year-old female patient applied to the periodontology clinic
with aesthetic problems caused by anterior diastemas. Aggressive periodontitis was
diagnosed after clinical and radiological examinations. Following initial periodontal therapy,
regenerative periodontal surgery consisted of bone graft and enamel matrix derivates
application was performed. Three months after surgery, the patients evaluated for the
aesthetic and affordable diastema closure with composite resin. The wax-up of the area was
prepared from impression of maxillary anterior teeth. Following isolation, pretreatment by
fine grid diamond burs and etching with 37% ortho-phosphoric-acid were performed. After
rinsing and gently drying, universal adhesive was applied. The silicon index was prepared
from the wax-up, was loaded with a thin layer of translucent composite, pressed gently
against the palatal side of the tooth and polymerised. Dentinal shade was placed, final
enamel thickness was measured before polymerisation. Translucent resin was condensed
with composite brush. Finishing was accomplished with discs and special rubber cups.
Results: No pathological pocket depth, discolorations, fractures, secondary-caries or soft-
tissue pathologies were detected at 6 months follow-up. The patient was satisfied about her
ŶĞǁĂƉƉĞĂƌĂŶĐĞ͘ŽŶĐůƵƐŝŽŶ͗dŚŝƐĐĂƐĞƌĞƉŽƌƚƐŚŽǁƐƚŚĂƚƚŚĞƉĂƚŝĞŶƚ͛ƐĨƵŶĐƚŝŽŶ͕ĂĞƐƚŚĞƚŝĐƐ͕
and self-confidence could be obtained with a successful multidisciplinary approach.
PP.179. EFFECT OF DIFFERENT POLISHING SYSTEMS ON THE
SURFACE ROUGHNESS OF COMPOSITE RESINS
EMMANOUILIDIS G, KARATZIOULAS K.
GEORGIOS EMMANOUILIDIS-GRADUATE STUDENTS-ARISTOTLE UNIVERSITY THESSALONIKI

GREECE
KONSTANTINOS KARATZIOULAS-GRADUATE STUDENTS-ARISTOTLE UNIVERSITY
THESSALONIKI GREECE
Objectives: Long-term success of composite restorations is correlated to the surface

roughness which affects not only esthetics but hygiene as well. Different systems are
designed for easy, fast and effective polishing of resin composites. The present study aimed
to investigate the influence of different polishing systems on the surface roughness of a
composite resin. Materials and methods: Forty-five composite (Filtek Z350, 3M, ESPE) discs
were fabricated using telfon molds (10 mm x 2 mm) and then were randomly divided into 3
groups (n=15). Group A: no polishing procedure (polyester strip, control), Group B: OneGloss
(Shofu Dental Corporation, Japan), Group C: Super-Snap disks (Shofu Dental Corporation,
JaƉĂŶͿ͘ ^ĂŵƉůĞƐ ǁĞƌĞ ƉŽůŝƐŚĞĚ ĂĐĐŽƌĚŝŶŐ ƚŽ ƚŚĞ ŵĂŶƵĨĂĐƚƵƌĞƌ͛Ɛ ŝŶƐƚƌƵĐƚŝŽŶƐ͘ dŚĞ ŵĞĂŶ
surface roughness was recorded using a profilometer (SJ-201, Mitutoyo, Japan). Additional
samples were analyzed with a 3D optical profilometer. Data were analyzed using one-way
analysis of variance (ANOVA). The statistical significant level was set at 0.05. Results:
Polyester strip and Super-Snap disks produced smoother surfaces while rougher surfaces
were obtained after polishing with OneGloss (p<0.05). Conclusion: Under the present
experimental conditions multi-step system seemed to be a better polishing system than the
single-step system tested.
PP.180. EFFECT OF STAINING SOLUTIONS ON COLOR CHANGE OF

DENTAL COMPOSITE RESIN AND PORCELAIN
DERELI Z, PdmZ<͘
ZEYNEP DERELI-PHD DDS ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY

WZdDEdK&Z^dKZd/sEd/^dZz͖KZPdmZ<-PRIVATE PRACTICE
The aim of this study is to evaluate in vitro color change of porcelain and composite resins.
Two hundred and forty specimens of each of composite resins Filtek Ultimate (FU) and Aelite
All PB (AE), and porcelain, Emax and Empress, were prepared. The specimens were then
divided into 4 groups of 60 specimens each and immersed in 4 staining solutions (distilled
water, coffee, tea and cherry juice). The initial colors of composite resin and porcelain
samples were determined with a spectrophotometer (VITA Easyshade Compact, Vident,
'ĞƌŵĂŶǇͿ͘dŚĞǀĂůƵĞŽĨѐсϯ͘ϯǁĂƐƵƐĞĚŝŶĐŽůŽƌĞǀĂůƵĂƚŝŽŶĂŶĚŵĞĂƐƵƌĞŵĞŶƚƐ͘^ĂŵƉůĞƐŽĨ
composite and porcelain groups were placed in 20 cc glass bottles and were incubated at 37
Ǒ ĨŽƌ Ă ƉĞƌŝŽĚ ŽĨ ŽŶĞ ŵŽŶƚŚ͘ ŽůŽƌ ŵĞĂƐƵƌĞŵĞŶƚƐ ŽĨ Ăůů the samples were made at first,
7th, 15th and 30th days. Color differences between three measurements were calculated.
Statistical analysis of the obtained data was performed using Mann Whitney U, Wilcoxon
tests. After the process FU had more color change than AE and was more affected by coffee
ƐŽůƵƚŝŽŶ͘dŚĞĐŽůŽƌĚŝĨĨĞƌĞŶĐĞƐďĞƚǁĞĞŶďĂƐĞůŝŶĞĂŶĚĂĨƚĞƌƐƚĂŝŶŝŶŐǁĞƌĞŵŽƌĞƚŚĂŶǀĂůƵĞѐ
ĨŽƌĐŽŵƉŽƐŝƚĞƌĞƐŝŶƐ͘ŵĂǆĂŶĚŵƉƌĞƐƐƉŽƌĐĞůĂŝŶƐƉĞĐŝŵĞŶƐŚĂĚĂǀĂůƵĞŽĨѐůĞƐƐƚŚĂŶϯ͘ϯ͘
DeltaE of all of the materials was changed after the immersion in all of the staining solutions
during the experimental process. Nanocomposite changed more color than microhybrid
composite after staining process in solutions. Porcelain samples had minimal color change
that is acceptable.
PP.181. EFFECT OF DIFFERENT PRE-ETCHING TIMES ON

MICROSHEAR BOND STRENGTH TO ENAMEL AND DENTIN
ULKER O, KARAMAN E, ALAN K.
OZLEM ULKER-SPECIALTY STUDENT-ONDOKUZ MAYIS UNIVERSITY FACULTY OF DENTISTRY

EMEL KARAMAN-ASSISTANT PROFFESSOR-ONDOKUZ MAYIS UNIVERSITY FACULTY OF DENTISTRY
KUBRA ALAN-SPECIALIST DENTIST-^D^hEKZ>,>d,,K^W7d>
INTRODUCTION: UNIVERSAL BONDING AGENTS HAVE BEEN INTRODUCED FOR USE AS SELF-ETCH OR
ETCH-EZ/E^,^/s^WE/E'KEd,Ed>^h^dZdE>/E//E͛^WZEFERENCE.
PURPOSE:TO EVALUATE THE EFFECT OF DIFFERENT PRE-ETCHING TIMES BEFORE THE APPLICATION OF
A UNIVERSAL ADHESIVE ON SHEAR BOND STRENGTH TO ENAMEL AND DENTIN. MATERIALS-METHOD
: 60 EXTRACTED HUMAN PREMOLARS WERE SECTIONED MESIODISTALLY. BUCCAL AND LINGUAL
TOOTH SECTIONS WERE MOUNTED WITH DUAL-CURING ACRYLIC RESIN. HALF OF THE OBTAINED 120
SPECIMENS WERE GROUND FLAT TO DENTIN AND THE OTHER HALF TO ENAMEL USING A SEQUENCE
OF WATER-COOLED CARBIDE POLISHING PAPERS TO A 400-GRIT FINISH. THE ENAMEL AND DENTIN
SPECIMENS RANDOMLY DIVIDED INTO 4 GROUPS (N=15) WITH PHOSPHORIC ACID PRE-ETCHING
TIMES OF 5, 10, OR 15 S BEFORE APPLICATION OF THE CLEARFIL UNIVERSAL BOND AND CONTROL
WITHOUT PRE-ETCHING.RESIN COMPOSITE WAS PACKED INTO THE POLYETHYLENE TUBING (1 MM
LENGTH,0.7 MM INTERNAL DIAMETER) LIGHT CURED FOR 20 S, AND THE SPECIMEN WAS STORED IN
/^d/>> tdZ d ϯϳΣ &KZ Ϯϰ , &KZ KE t< E d^d &KZ D/ZKdE^/> KE
STRENGTH (MTBS). FAILURE MODE WAS ALSO DETERMINED FOR EACH SPECIMEN. RESULTS:
REPEATED MEASURES ANOVA REVEALED NO SIGNIFICANT DIFFERENCES IN THE MEAN MTBS TO
ENAMEL AND DENTIN FOR ALL GROUPS. ADHESIVE FAILURES WERE THE MOST FREQUENTLY
IDENTIFIED FAILURE IN EACH GROUP CONCLUSION: THE INFLUENCE OF DIFFERENT ETCHING MODES
ON THE ENAMEL AND DENTIN BONDING PERFORMANCE OF UNIVERSAL ADHESIVES WAS FOUND TO
BE SIMILAR.
PP.182. CONTEMPORARY CONCEPTS IN ADHESIVE CEMENTATION

OF INDIRECT COMPOSITE OR CERAMIC ONLAYS AND
ENDOCROWNS
PAPADOPOULOU A, VOURTSA G, TOLIDIS K.
AGGELIKI PAPADOPOULOU-POSTGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI,

SCHOOL OF HEALTH SCIENCES, SCHOOL OF DENTISTRY, DEPARTMENT OF OPERATIVE DENTISTRY
GEORGIA VOURTSA-POSTGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI, SCHOOL OF
HEALTH SCIENCES, SCHOOL OF DENTISTRY, DEPARTMENT OF OPERATIVE DENTISTRY
KOSMAS TOLIDIS-ASSOCIATE PROFESSOR -ARISTOTLE UNIVERSITY OF THESSALONIKI, SCHOOL OF
HEALTH SCIENCES, SCHOOL OF DENTISTRY, DEPARTMENT OF OPERATIVE DENTISTRY
Background: Improvement of composite materials and development of adhesive techniques allowed
us to proceed from macroretention and porcelain-fused-to metal crowns or cast-post and core
restorations to microretention and onlays or endocrown adhesive restorations. Conditioning, priming
and bonding, have given us the opportunity of minimal invasive solutions. Ɉhe aim of this
presentation is to organize and introduce contemporary knowledge and techniques regarding the
cementation of ceramic and composite onlays and endocrown restorations to vital or endodonticaly
treated teeth. Methods and materials: This review summarizes the cementation protocols of indirect
composite and ceramic onlays and endocrown restorations and compares the methods used. Medline
was searched for relative articles on the last 10 years. Results: Although cementation seems to be the
most critical step of this procedure, unfortunately is also the most complex one. Great variety of
adhesive systems (etch and rinse, self etch, self adhesive), different ways of polymerization (light,
chemical, dual) and different kind of adherent surface treatment (etching, air-abrasion, tribochemical
processing) may easily compromise the success of indirect restorations. Conclusion: Adequate
knowledge of adhesive principles and careful implementation of adhesive cementation protocols
would lead us to long lasting, durable and aesthetically acceptable restorations.
PP.183. 'ú))(5(1775($70(170(7+2'6)25)/82526ú67:2
CASE REPORTS
'mZ^^D͕ <Z<7ZK)>h^͕mE>mE͘
DZs 'mZ^^-Z^Z, ^^7^dEd-EDdd7E Z<E hE7sZ^7dz͕ &h>dz K& Ed7^dZz͕

WZdDEdK&Z^dKZd7sEd7^dZz
^7 <Z<7ZK)>h-^^7^dEd WZK&SSOR-EDdd7E Z<E hE7sZ^7dz͕ &h>dz K&
Ed7^dZz͕WZdDEdK&Z^dKZd7sEd7^dZz
E7Dd mE>m-PROFESSOR-^>h< hE7sZ^7dz͕ &h>dz K& Ed7^dZz͕ WZdDEd K&
Z^dKZd7sEd7^dZz
Conclusion.As a result of this study, it was found that the rate of cranial deformities is directly
proportional to the nature of the examined school. Cranial deformities persist during school period of
ĐŚŝůĚ͛Ɛ ĚĞǀĞůŽƉŵĞŶƚ͘ ,ŝŐŚĞƌ ŝŶĐŝĚĞŶĐĞ ŽĨ ĐƌĂŶŝĂů ĚĞĨŽƌŵŝƚŝĞƐ ǁĂƐ ĨŽƵŶĚ ŝŶ ƐĐŚŽŽů ĐŚŝůĚƌĞŶ ǁŝƚŚ
neurological disabilities (48.18%) and lowest incidence was found in pre-university schools.
PP.184. THE PREVALENCE OF DENTINE HYPERSENSITIVITY AND

ASSOCIATION WITH DIFFERENT ETIOLOGICAL AND RISK
FACTORS:A CROSS-SECTIONAL STUDY
'mE'PZ&^͕ <Z</ZK)>h^͘
&dD ^) 'mE'PZ-RESEARCH ASSISTANT-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF

^/ <Z</ZK)>h-ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF
Objectives: Dentine hypersensitivity (DH) is a common clinical finding with a wide variation in
prevalence, etiology and related risk factors. In this cross-sectional study, it is aimed to determine the
prevalence of DH and to examine some associated etiological and risk factors in a sample of Turkish
population. Methods: This survey was conducted among 1915 adults (917 males, 998 females)
referred to the clinic. The self-administered questionnaire elicited information on demography,
systemic disease, using medicine, dental visit frequency, periodontal treatment frequency, self-
reported DH, bruxism, smoking, xerostomia, gingival bleading during the brushing, nutrition and tooth
brushing habits. Statistical analysis of data was made using the ͚>ŽŐŝƐƚŝĐZĞŐƌĞƐƐŝŽŶŶĂůǇƐŝƐ͛͘ZĞƐƵůƚƐ͗
The prevalence of self-reported DH was %53,89 among the individuals. It was significantly higher in
31-40 age and in females than males. Logistic regression analysis showed that bruxism and
xerostomia had a significant association with DH. Other etiological and risk factors, such as dental visit
frequency, systemic disease, smoking, using the hard tooth brush, gingival bleeding while brushing,
consumption of acidic drink, milk and dairy products, vinegar, pickles, spicy foods, corn flakes and
herbal tea, absorbing fruit in the mouth, eating something before going to bed, pipette usage and
nutrition type were found a significant association with DH too (p<0,05). Conclusions: The numbers of
affected females tend to be higher than those of males. Dentin hypersensitivity was more common in
individuals with bruxism and xerostomia. Nutrition and tooth brushing habits have also acted an
important role on dentine hypersensitivity.
PP.185. MARGINAL ADAPTATION AND FRACTURE RESISTANCE OF

FELDSPATHIC AND POLYMER-INFILTRATED CERAMIC CAD/CAM
ENDOCROWNS FOR MAXILLARY PREMOLARS
SAGLAM G, CENGIZ S, KARACAER O.
GAYE SAGLAM-DDS-BULENT ECEVIT UNIVERSITY FACULTY OF DENTISTRY, DEPARTMENT OF

PROSTHODONTICS
ZONGULDAK, TURKEY
SEDA CENGIZ-DDS, PHD-BULENT ECEVIT UNIVERSITY FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
ZONGULDAK, TURKEY
OZGUL KARACAER-DDS, PHD-GAZI UNIVERSITY FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS; ANKARA, TURKEY
Background: The aim of this in vitro study was to investigate marginal adaptation and fracture
resistance of feldspathic and polymer-infiltrated ceramic CAD/CAM endocrowns. Methods and
Materials: Twenty extracted human permanent maxillary premolars were randomly divided into two
groups (n=10); Group Cerec (GC), teeth with CAD/CAM fabricated feldspathic ceramic (CEREC Blocks,
Sirona Dental Systems, Bensheim, Germany) endocrowns; Group Enamic (GE), teeth with CAD/CAM
fabricated polymer-ŝŶĨŝůƚƌĂƚĞĚ ĐĞƌĂŵŝĐ ;sŝƚĂ ŶĂŵŝĐ͕ sŝƚĂ ĂŚŶĨĂďƌŝŬ͕ ĂĚ ^ćĐŬŝŶŐĞn, Germany)
endocrowns. All teeth were endodontically treated and decoronated horizontally at 2 mm above the
cemento-enamel junction. Standardized endocrown preparations were done with 4 mm depth into
pulp chamber. Endocrowns were manufactured using CAD/CAM system from ceramic blocks
according to the mentioned above. Following adhesive cementation (Variolink II, Ivoclar Vivadent,
Schaan, Liechtenstein), all specimens were subjected to thermocycling. Marginal adaptation
evaluated under SEM at 200x magnification. A compressive load was applied at 45 degrees to long
axis of the teeth using an universal testing machine until failure. Failure load was recorded and failure
modes were evaluated. Statistical analyses were performed with SPSS 19.0 (SPSS Inc., Chicago, IL,
USA) software. Data were compared using Mann-Whitney U test. Results: There were no significant
differences in the marginal adaptation between two groups (p>0.05). Group GE presented
significantly higher fracture resistance when compared to GC (p<0.05). Failure pattern was similar and
characterized with tooth-ceramic fracture on the force applied side. Conclusion: CAD/CAM fabricated
endocrowns is an option for restoration endodontically treated teeth but its use on premolars must
be evaluated carefully.
PP.186. UPPER AND LOWER MIDLINE DIASTEMA CLOSURE WITH
DIRECT COMPOSITE RESIN: A CASE REPORT
'mE'PZ&^͕'mE'PZD&͘
&dD ^) 'mE'PZ-RESEARCH ASSISTANCE-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF

MEHMET &d7,'mE'PZ-DENTIST-KONYA ORAL AND DENTAL HEALTH HOSPITAL
Objectives: One of the main problems in esthetic dentistry is closing diastema between teeth with a
direct technique without creating the black triangle. Whenever possible, tooth material augmentation
versus tooth material amputation allows for a more conservative treatment option. This case report
shows a restorative protocol using direct composite resin build up when addressing the midline
diastema. Methods: A 28-year-old female patient reported to the clinic, with the chief complaint of
spacing in the upper and lower front tooth region. Because the diastemas were small, that is, less
than 2 mm, we opted for the restoration of the teeth employing the direct restorative adhesive
system. Firstly the appropriate composite color was chosen and the teeth isolated with Optragate and
cotton rolls. Then, etched with %35 fosforic aside for 10 seconds. After washing, teeth was dried and
then Prime&Bond (Clearfil-SE-Bond-Kuraray) was applied. Composite build up from mesial aspect of
ƚŚĞĐĞŶƚƌĂůŝŶĐŝƐŽƌƐĨŽůůŽǁŝŶŐƚŚĞůĂǇĞƌĞĚƚĞĐŚŶŝƋƵĞǁĂƐĚŽŶĞǁŝƚŚϯD^W&ŝůƚĞŬΡϱϱϬEĂŶŽ,ŝďƌŝƚ
composite. Finally, finishing and polishing of the restorations were done with diamond burs and Sof-
Lex disks. Results: At one-year recall no sensitivities, discolorations, or fractures were detected on
teeth and restorations. Direct composite resins seemed to be highly aesthetic and durable
restorations that can satisfy patients. Conclusions: Restorative method with direct composite resin is
the least invasive, reversible, economic and aesthetic treatment which can be done in a single visit in
comparison with all other available treatment options.
Session 23
PP.187. THE SIGNIFICANCE OF RETRACTION CORDS AMONG
CONTEMPORARY NON-SURGICAL TISSUE DISPLACEMENT
METHODS: A CRITICAL LITERATURE REVIEW
YANKOV S, BOZHKOVAT, PAVLOV B, STANEV Y, YOANA GEORGIEVA Y.
STOYAN YANKOV-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL

MEDICINE, DEPARTMENT OF PROSTHODONTICS
TANYA BOZHKOVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL
MEDICINE, DEPARTMENT OF PROSTHODONTICS;BOYAN PAVLOV-ASSISTANT PROFESSOR-MEDICAL
UNIVERSITY PLOVDIV, FACULTY OF DENTAL MEDICINE, DEPARTMENT OF PROSTHODONTICS
YOSIF STANEV-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL
YOANA GEORGIEVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF DENTAL
Background: Gingival management and displacement is of utmost importance for obtaining accurate
impressions for adequate marginal fit and emergence profile. The variety of methods for tissue
management can be broadly classified into surgical and non-surgical. Aim: To investigate critically the
most commonly used tissue displacement methods among practitioners worldwide within the last 7
years. Materials and methods: An electronic database search was conducted using Google scholar,
publication dates ranging from 2010 to February 2017. Along with the term ͞ƌĞƚƌĂĐƚŝŽŶ ĐŽƌĚƐ͕͟ ǁĞ
ĂĚĚĞĚ͞ďƌĂŝĚĞĚ͟ĂŶĚ͞ŬŶŝƚƚĞĚ͟ĂƐŬĞǇǁŽƌĚƐƚŽŶĂƌƌŽǁƚŚĞƐĞĂƌĐŚƌĞƐƵůƚƐ͘WĂƚĞŶƚƐĂŶĚĐŝƚĂƚŝŽŶƐǁĞƌĞ
excluded from the search. Results containing books were also disregarded. The total number of
reviewed articles was 33 where only 22 of them met the requirements of the research title. Results:
Summarized results from the reviewed articles show acceptable tissue retraction by most methods,
displaying different deflection quantities and marginal recession levels. Nevertheless, according to the
majority of surveys, a high percentage of practitioners continue to use gingival retraction cords as a
main method to expose cervical margins. Conclusions: Several retraction techniques have proven to
be relatively predictable, safe and effective but there is no specific evidence to promote the use of a
single technique over any other. The selection of the method for gingival retraction primarily depends
on each clinical case and other related factors like accessibility, age, systemic disease etc. However
the retraction cord technique remains to be the prefered method for gingival management due to its
many advantages.
PP.188. FREQUENCY OF REMOVABLE DENTAL PROSTHETIC

RESTORATIONS IN CENTRAL SERBIA
Zs<Ks/͕ D/>K^s>:s/D͕KZs/D͕dK/:͕<E:sd͘
Zs<Ks/ :E-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL SCIENCES,

DZ<K D/>K^s>:s/-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL
D/>/ KZs/-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL SCIENCES,
hE/sZ^/dz K& <Z'h:s͕ ^Z/͖:>E dK/-ASSISTANT PROFESSOR-FACULTY OF MEDICAL
SCIENCES, CLINIC OF PROSTHODONTICS, UNIVERSITY OF PRISTINA
TATJANA KANJEVAC-ASSOCIATE PROFESSOR-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL
BACKGROUND Toothless and edentulous are conditions of stomatognathic system which directly
reduce functional efficiency of masticatory system. The aim of this study was to determine the
frequency of removable prosthetic restorations in the population of Central Serbia respondents.
METHODS AND MATERIALS In a descriptive cross-sectional study, medical records were analyzed of
respondents aged from 20 up to 74 years, who were rehabilitated with removable prosthetic
treatment from 1st January 2014 till 1st January 2016 in public health institutions of the cities
Kragujevac and Jagodina. RESULTS From total number (n =1206, 577 were female and 629 male) of
reviewed medical records there were 723 upper complete dentures (41.8%), 487 (28.2%) lower
complete dentures, 186 (10.8%) partial plate removable dentures in upper jaw, 334 (19.2%) lower
partial plate dentures. Between cities and removable dentures exists significant statistical connection
(Chi-quare test. C2 (3, n = 1730) = 61,811, p = 0.000, Cramer's V = 0.189). There is not statistically
significant connection between the types of removable dentures and gender (Chi-square test. C2 (9, n
= 1,115) = 5.35, p = 0.8, Cramer's V = 0.07). The distribution of mobile prosthetic restorations by
gender in Kragujevac was in favor of women (62.9% female respondents and 37.1% of male
respondents). Similarly, in Jagodina has been found that the mobile dentures were more frequent in
women (65.4%) compared to men (34.6%). CONCLUSION The most common prosthetic denture in the
public-health institutions in Central Serbia cities was upper complete denture. Keywords: toothless,
edentulousness, mobile prosthetic restorations
PP.189. PROSTHETIC REHABILITION OF ANGLED AND
MISALIGNMENT DENTAL IMPLANTS : A CASE REPORT
db'͕'<7>7K͕^m>mEd͘
'P<E db-DDS-ISTANBUL UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF

PROSTHODONTICS
KEhZ '<7>7-ASSOCIATE PROFESSOR-ISTANBUL UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT
OF PROSTHODONTICS
dKE'h ^m>mE-PROFESSOR-ISTANBUL UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
PROSTHODONTICS
Dental implants create a helpful treatment modality in prosthetic dentistry. However, parallel to the
growing number of implant patients, malpositioned implants are encountered in clinical practice
more often. Proper angulation should be determined according to the future prosthesis with the
consideration of bucco-lingual, apico-coronal and mesio-distal positions. Although, there are many
͞ƌĞƐĐƵĞƚĞĐŚŶŝƋƵĞƐ͟ĨŽƌƌĞƐƚŽƌŝŶŐĐĂƐĞƐƉůĂĐĞĚŽƵƚƐŝĚĞŽĨƚhe occlusion (eg, having to be with custom
and angled abutments), the surgery should be planned for suitable angulaution at the onset. A 62
years old woman presented to Istanbul University, Department of Prosthodontics for implant
supported fixed prosthetic treatment. Clinical examination revealed angulated and misaligned dental
implants on the maxillary and mandibular. A definitive maxillary and mandibular impressions were
made with impression copings after angled multiunit abutments were used.In the intermediate dental
laboratory, the impression was casted and a model was prepared. The model was scanned, and the
bridge was designed using CAD design and sent to the central processing unit. The central processing
unit was a remotely located laboratory with the laser sintering equipment. Special CAM software was
used to import a CAD file, supplied in the STL format from a scanner/CAD software. Scanned laser
metal framework retained fixed prostheses was screwed on implants.The case was followed-up for
three month. It could be preferred by clinicians to achieve improved esthetic results in situations with
complicated anatomy when fixture placement has not been optimal from a restorative viewpoint.
Treatment planning can be facilitated without surgical compromise.
PP.190. TREATMENT MODALITY FOR MAXILLARY KENNEDY CLASS

1 MOD 2 : DOUBLE CROWN TECHNIQUE
EKICI Z, GEZ A.
ZEYNEP EKICI-TREATMENT MODALITY FOR MAXILLARY KENNEDY CLASS 1 MOD 2 : DOUBLE CROWN
TECHNIQUE-UNIVERSITY OF ANKARA
D,Dd>/</>/Z^>E-- FACULTY OF DENTISTRY
ASILKAN GEZ-- DEPARTMENT OF PROSTHODONICS--DEPARTMENT OF ORAL SURGERY
Background Telescopic prosthesis is a double crown system. This system involves copings as a lower
part with covering the remaining coronal part of abutment teeth and removable partial denture
major connector contains upper part of double crowns. The advantages of this type of retainer,
provides guidance, support, and protection from dislodging movements, and transfers occlusal forces
along the long axis of the abutment teeth. Case Report The aim of this study was to present the
fabrication of removable prosthesis with double crown technique. 60-year old female patient was
referred to the University of Ankara, Faculty of Dentistry, Department of Prosthodontics who had
complaint unaesthetics appereance due to missing maxillar teeth with deep bite. After clinical and
radiographic examination, maxillary Kennedy Class 1 mod 2 case decided to treat with removable
telescopic prosthesis. Initially, the vertical dimension was redetermined in view of the wear of the
patient's old prosthesis. Existing abutment teeth were prepared for metal copings and conventionally
cemented after fabrication of metal copings. Finally, removable partial denture was accomplished as
double crown technique other means telescopic prosthesis. Conclusion The main advantage of
telescope retainers is: transmits occlusal forces in a favorable direction to the supporting tissues and
long axes of the abutment teeth. Reduction of lateral stress on supporting tissues and abutment teeth
by using telescopic retainers has been well documented. Telescopic crown treatment modality
combined with removable partial denture can be successful approach to preserve supporting tissues
and/or abutment teeth.
PP.191. COMPARISON BETWEEN ANALOG AND DIGITAL WORKFLOW

ON 10 CERAMIC VENEERS IN MAXILLA. A CASE REPORT.
VAKOU D, PAPAZOGLOU K, DIOMATARIS M, PAPASTAMOS M, PELEKANOS S.
DIMITRA VAKOU-DENTAL STUDENT-NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS

KALLIOPI PAPAZOGLOU-DENTIST-NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS
MICHALIS DIOMATARIS-POSTGRADUATE STUDENT DEPARTMENT OF OPERATIVE DENTISTRY-
NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS
MICHALIS PAPASTAMOS-DENTAL TECHNICIAN-
STAVROS PELEKANOS-PROSTHODONTIST, ASSISTAN PROFFESOR -NATIONAL AND KAPODISTRIAN
UNIVERSITY OF ATHENS
BACKGROUND: HARMONY AMONG TEETH, LIPS AND FACIAL COMPONENTS IS THE GOAL OF
PROSTHODONTIC TREATMENT, WHETHER PERFORMED BY CONVENTIONAL OR DIGITAL WORKFLOW
METHODS. THE AIM OF THIS POSTER IS TO PRESENT A CLINICAL CASE TO COMPARE THE TRADITIONAL
AND THE DIGITAL FABRICATION WORKFLOW FOR EXTENDED CASES OF 10 CERAMIC VENEERS.
METHODS AND MATERIALS: A 37-YEARS-OLD FEMALE PATIENT PRESENTED WITH HER MAIN
COMPLAINT BEING THE TOOTH FORM AND COLOR DISCREPANCIES. AFTER THOROUGH CLINICAL AND
RADIOGRAPHIC EXAMINATION, ORTHODONTIC TREATMENT WAS DECIDED. THE FINAL EXPECTED
OUTCOME WAS DIGITALLY DESIGNED AND A SURGICAL STENT WAS MANUFACTURED FOR A CROWN
LENGTHENING PROCEDURE. FIVE MONTHS AFTER THE SURGERY, CONSERVATIVE PREPARATIONS
WERE PERFORMED WITH THE HELP OF DIAGNOSTIC KEYS. CAD/CAM TEMPORARY RESTORATIONS
WERE APPLIED. BOTH FELDSPATHIC AND DIGITAL VENEERS WERE CONSTRUCTED AND TRIED-IN
INTRAORALLY SIMULTANEOUSLY. FELDSPATHIC VENEERS WERE CHOSEN AND BONDED. RESULTS:
BOTH TREATMENT OPTIONS LED TO A VERY SATISFYING ESTHETIC OUTCOME REGARDLESS THE
MATERIAL AND THE TECHNIQUE THAT WAS UTILIZED. ANALOG WORKFLOW WAS MUCH MORE TIME
CONSUMING THAN THE DIGITAL METHOD. 3D SCAN WAS MORE COMFORTABLE FOR THE PATIENT
THAN THE IMPRESSION. MOST DIFFERENCES APPEARED THROUGH LABORATORY STEPS, WHERE
TECHNICAL SENSITIVITY IN ANALOG WORKFLOW IS INCREASED. CONCLUSIONS: ALTHOUGH THE
ESTHETIC OUTCOME OF THE FELDSPATHIC VENEERS IS SUBJECTIVELY CHOSEN, THE ANALOG
WORKFLOW IS MUCH MORE DEMANDING IN EXTENDED CASES. THE DIGITAL APPROACH, DUE TO THE
REDUCED DIFFICULTY, SPEED AND COMPLEXITY TENDS TO BE FAVORABLE.
PP.192. IN THE PATIENT WITH ENAMEL HYPOPLASIA, SMILE
DESIGN WITH THE PHOTOSHOP PROGRAMME; A CASE REPORT
bEsZ͕PEz͕)Z͕ PEHLIVANLAR F.
,DdbEsZ͕,ddWhE/sZ^/dz&h>dzK&Ed/^dZzWZK^d,KKEd/
DEPARTMENT
zhEh^DZPE͕,ddWhE/sZ^/dz&h>dzK&Ed/^dZzWZK^d,KKEd/
DEPARTMENT
hZ<)Z͕,ddWhE/sZ^/dz&h>dY OF DENTISTRY PROSTHODONTIC
DEPARTMENT
FATMA PEHLIVANLAR, HACETTEPE UNIVERSITY FACULTY OF DENTISTRY PROSTHODONTIC
DEPARTMENT
A 22-years-old female patient with enamel hypoplasia applied to Hacettepe University

Dentistry Faculty Prothodontics Department. After the clinical and radiographic
examinations were not observed the obstruction of treatment. Parafunctional habits of the
patient was questioned. In a patient who complained of aesthetics; Digital wax-up
application was done using Photoshop computer programme. After the patient was
approved in the digital environment, the data was sent to the laboratory. After the wax-up
application of the plaster model wax-up in the laboratory, mock-up application was made in
the mouth. Smile design was provided with Laminate veneer crowns. In this poster,
prosthetic rehabilitation with laminate veneers is described in the direction of the smile
design made using the photoshop computer programme of the patient with enamel
hypoplasia.
PP.193. FULL-MOUTH REHABILITATION OF A BRUXER PATIENT

WITH TOOTH WEAR: A CASE REPORT
LIOLIOU EA, TOURNAVITIS A, TORTOPIDIS D.
EYDOKIA-ANNA LIOLIOU-POSTGRADUATE STUDENT-DEPARTMENT OF FIXED PROSTHESIS

AND IMPLANT PROSTHODONTICS, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF
ALEXANDROS TOURNAVITIS-PHD CANDIDATE-DEPARTMENT OF FIXED PROSTHESIS AND
IMPLANT PROSTHODONTICS, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF
DIMITRIOS TORTOPIDIS-ASSOCIATE PROFESSOR-DEPARTMENT OF FIXED PROSTHESIS AND
IMPLANT PROSTHODONTICS, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF
Introduction. Severe tooth wear is a potential threat for dental hard tissue and masticatory
function. The management of tooth wear has been a subject of increasing interest from both
restorative and preventive points of view. Aim. The aim of this report was to describe the
stages of full mouth rehabilitation of a 60-year old female bruxer patient with
Temporomandibular (TMD) myofascial pain and a severely worn dentition to restore
function and esthetics. Method-materials. Treatment planning was markedly demanding; in
the first stage, a full-arch centric relation occlusal splint, mounted study casts, diagnostic
waxing-up, direct mock-up and provisional restorations were made. In the second stage,
preparation of all mandibular and maxillary teeth and placement of long-term provisional
restorations in the increased occlusal vertical dimension were performed, based on the
dictating esthetics and phonetics. In the last stage, metal-ceramic restorations with metal
occlusal surfaces on the posterior teeth were cemented and a full-arch occlusal splint was
used to protect the restorations. Stable occlusal contacts on all teeth with equal intensity in
centric relation and anterior guidance in harmony with functional movements were
especially taken into account. Conclusion. Management of a bruxer patient with severe
tooth wear is challenging in restorative dentistry and the full-mouth rehabilitation is often
required for the complete functional and esthetic restoration of the patient.
PP.194. TREATMENT OF EXCESSIVELY DAMAGED TEETH WITH

ZIRCONIA POSTS AND FULL CERAMIC CROWNS: CASE SERIES
AKARCA EM, SANVER A, KARASAN D, CANAY S.
ELIF MELIKE AKARCA-RESEARCH ASSISTANT-HACETTEPE UNIVERSITY FACULTY OF DENTISTRY

DEPARTMANT OF PROSTHODONTICS
AHMET SANVER-RESEARCH ASSISTANT-HACETTEPE UNIVERSITY FACULTY OF DENTISTRY
DUYGU KARASAN-ASSIST PROF-HACETTEPE UNIVERSITY FACULTY OF DENTISTRY
SENAY CANAY-PROFESSOR-HACETTEPE UNIVERSITY FACULTY OF DENTISTRY DEPARTMANT
OF PROSTHODONTICS
Treatment of excessively damaged teeth with zirconia posts and all ceramic crowns: case
series Background: The use of Zirconia as a restorative material getting more popular
ďĞĐĂƵƐĞŽĨŝƚ͛ƐďŝŽĐŽŵƉĂƚŝďŝůƚǇĂŶĚƐƵƉĞƌŝŽƌĞƐƚŚĞƚŝĐƉƌŽƉĞƌƚŝĞƐ͘dŚĞĂŝŵŽĨƚŚŝƐĐĂƐĞƐĞƌŝĞƐ
was to provide data about the contribution of zirconia posts in esthetic results of
restorations in the anterior zone. Materials and Methods: Five teeth in four patients
between 20-50 years old were treated with zirconia posts and all ceramic single crowns (1
male, 3 female). Zirconia posts were designed and manufactured from Yitria stabilized
Zirconium oxide blocks with CAD-CAM technology in the laboratory. One of the zirconia
posts was placed in the cental incisor, whereas the other zirconia posts were placed in the
premolar teeth. Self-adhesive resin cement was used for cementation. Following the
cemention of the post-core assembly teeth were restored with all ceramic crowns. Results:
Periodontal tissues were healty around the crowns. Satisfactory estehtic results were
achieved from both patient and the dentist's point of view. Conclusion: Zirconia posts give
satisfactory esthetic results when used under all ceramic restorations.
PP.195. ESTHETIC MANAGEMENT OF A PATIENT WITH
CONGENITALLY MISSING MAXILLARY LATERAL INCISOR AND
POLYDIASTEMAS
KARABAS Y͕E7͕'mEm͕<d^'͘
YUSUF KARABAS-RESEARCH ASSISTANT-HACETTEPE UNIVERSITY FACULTY OF

DENTISTRY,DEPARTMENT OF PROSTHODONTIC
7>ZE7-RESEARCH ASSISTANT-HACETTEPE UNIVERSITY FACULTY OF
Z/^'mEm-ASSISTANT PROFESSOR-HACETTEPE UNIVERSITY FACULTY OF
'm>7<d^-ASSISTANT PROFESSOR-HACETTEPE UNIVERSITY FACULTY OF
Esthetic management of a patient with congenitally missing maxillary lateral incisor and
polydiastemas Background: Treatment options for the replacement of congenitally absent
lateral incisors are included: a single-tooth implant, a tooth-supported restoration, or canine
substitution. However the addition of the polydiastemas to missing maxillary lateral incisor
makes the treatment options more challenging. Although selecting the appropriate
treatment option depends on many factors (such as the malocclusion, the anterior
relationship, specific space requirements, and the condition of the adjacent teeth), patient
preference is the most important one. In this study, the prosthetic rehabilitation of a patient
with congenitally missing maxillary lateral incisor and polydiastemas was presented.
Methods and materials: A 21 year-old female patient was referred to Hacettepe University,
Department of Prosthodontics with anterior esthetic complaints. First of all, the orthodontic
treatment combining with a dental implant placement was suggested to patient, however
this option was refused due to its prolonged treatment time. After the second treatment
option (tooth-supported restoration) was approved by the patient, diagnostic wax-up and
mock-up was fabricated prior to operation. The treatment was finished with teeth
supported zirconia based fixed partial dentures. Results: Anterior esthetic appearance was
restored satisfactorily and no technical and biological complication was occurred during the
9 months. Conclusion: Some patients with polydiastemas and congenitally absent tooth may
not prefer orthodontic treatment due to prolonged treatment period. In such cases, only
prosthetic options can be used to achieve satisfactory esthetic and functional outcome.
PP.196. HYGIENE HABITS OF DENTURE WEARERS IN SHTIP
KOCOVSKI D, PAPAKOCA K, PETROVSKI M, ZARKOVA ʹ ATANASOVA J, ZLATANOVSKA K.
DARKO KOCOVSKI-DOCTOR- hE/sZ^/dz ͞'K >s͕͟ &h>dz K& D/> ^/E^͕

DENTAL MEDICINE ʹ SHTIP.
KIRO PAPAKOCA-DOCENT -hE/sZ^/dz ͞'K >s͕͟ &h>dz K& D/> ^/E^͕
DENTAL MEDICINE ʹ SHTIP.
MIHAJLO PETROVSKI-ASSISTANT-hE/sZ^/dz ͞'K >s͕͟ &h>dz K& D/>
SCIENCES, DENTAL MEDICINE ʹ SHTIP.
JULIJA ZARKOVA - ATANASOVA-ASSISTANT
KATERINA ZLATANOVSKA-ASSISTANT -hE/sZ^/dz ͞'K >s͕͟ &h>dz K& D/>
SCIENCES, DENTAL MEDICINE ʹ SHTIP.
/ŶƚƌŽĚƵĐƚŝŽŶ͗tĞĂƌŝŶŐĚĞŶƚƵƌĞƐŝƐĐŽŵŵŽŶůǇĂƐƐŽĐŝĂƚĞĚǁŝƚŚƉĂƚŝĞŶƚ͛ƐƐĂƚŝƐĨĂĐƚŝŽŶĂŶĚƐŽŵĞ
complications. Denture hygiene is important for maintaining oral health. Proper hygiene on
dentures is essential to prevent dental plaque accumulation and consequently staining of
dentures, halitosis, denture stomatitis and other infections. Aim: The aim of this study was
to analyze the behavior and hygiene habits of denture wearers in the local population in
Shtip. Material and Method: For the purpose of this study we used a specific questionnaire
to evaluate the population in Shtip, their denture hygiene, knowledge and ability to clean
the denture at appropriate intervals. The sample included 200 respondents wearing
denture. Questionnaire contains certain information like: age, gender, time of wearing,
method of cleaning, frequency of cleaning, cleaning of the oral cavity. Results: Average age
of the respondents was 73 years. All respondents answered that they have no difficulty in
cleaning dentures and cleaned their dentures least once a day. Every respondent brush their
dentures, 60% used only water while brushing their denture. The use of denture cleanser or
other chemical agents for immersion was very low. Majority of them answered that they
cleaned their dentures only. Conclusion: Every respondent used some method for the
hygiene of dentures but respondents had restricted knowledge for denture cleaning
materials. Therefore, it is necessary to develop appropriate programs for training
professionals responsible for daily care to maintain oral hygiene among denture wearers.
Key words: cleaning, dentures, habits, water, wearers.
PP.197. TELESCOPIC CROWNS AS RETAINERS FOR DETACHABLE

PROSTHESES
BOUSNAKI M, CHATZIPARASKEVA M, KOIDIS P.
BOUSNAKI MARIA-PHD CANDIDATE-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT

OF FIXED PROSTHESES AND IMPLANT PROSTHODONTICS
CHATZIPARASKEVA MARIA-POSTGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI, DEPARTMENT OF FIXED PROSTHESES AND IMPLANT PROSTHODONTICS
KOIDIS PETROS-PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT OF
FIXED PROSTHESES AND IMPLANT PROSTHODONTICS
In patients with periodontal disease and severely compromised dentition, prosthodontic

rehabilitation remains challenging. In such cases, treatment modalities based on the concept
of telescopic crowns (TCs) can provide good prognosis to, especially when implant
application is either impossible or not applicable. When referring to TC, the pair of crowns
with absolute intercontacting surfaces is defined, the outer one achieving retention by
friction, and comprises of two parts: the primary crown which is cemented to abutment
tooth, and has parallel external axial walls or max 2 degrees axial convergence, and the
removable telescopic outer crown or secondary crown attached to the prosthesis and made
of the same with the primary alloy material. The recommended alloy for fabrication of TCs is
the one that is high in gold content, and elastic modulus together with increased hardness
(ADA Type IV). TCs offer several advantages, such as great reparability which is crucial in
extensive cross arch restorations, axial loading of the anchor teeth leading to a favorable
distribution of force, maintenance of teeth with poor prognosis, while loss of an abutment
tooth does not require major modification of the prostheses, esthetic advantage of
retention without clasps, usage o non-parallel abutments, as their angulation can be
corrected by the primary crowns, and application of better oral hygiene due to removal of
the prostheses. TCs can be used as retainers either for fixed or removable prostheses, or
even combined with dental implants as abutments. Representative cases with the
application of TC principals will be presented.
PP.198. EDENTULOUS MAXILLARY ARCH FIXED IMPLANT

REHABILITATION
USING A HYBRID PROSTHESIS: CASE REPORT
OZYILMAZ OY, KARA HB, GURLER G.
OZGUN YUSUF OZYILMAZ-ASSISTANT PROF-ISTANBUL MEDIPOL UNIVERSITY DEPARTMENT

PROSTHODONTICS
HALUK BARIS KARA-ASSOCIATION PROF-ISTANBUL MEDIPOL UNIVERSITY DEPARTMENT
PROSTHODONTICS
GOKHAN GURLER-ASSISTANT PROF -ISTANBUL MEDIPOL UNIVERSITY DEPARTMENT OF
SURGERY
Many people have life-long problems with their dentures, such as difficulties with speaking
and eating, loose denture. An implant-supported hybrid prosthesis might be a solution in
cases which are needed more esthetic, function, lip support, speech and intraoral proper
occlusal biting. This case report presents implant supported hybrid prosthesis by using metal
framework and an acyrlic resin in teeth construction to rehabilitate a complete denture in
ŽƌĚĞƌƚŽƌĞƐŽůǀĞĂĐŚŝĞĨĐŽŵƉůĂŝŶƚŽĨĞƐƚŚĞƚŝĐ͘dƌĞĂƚŵĞŶƚŚĞůƉĞĚƚŽŵĂŝŶƚĂŝŶƉĂƚŝĞŶƚ͛ƐƐĞůĨ-
confidence and comfort, as well as favorable masticatory function. Rehabilitation with
hybrid prosthesis is an ideal treatment of choice for maxillomandibular skeletal
discrepancies and provide esthetic and lip support.
PP.199. EDENTULOUS MAXILLARY ARCH FIXED IMPLANT

REHABILITATION USING A HYBRID PROSTHESIS: CASE REPORT
KARA O, OZYILAMZ OY, KARA HB, DELILBASI C.
OZGUN YUSUF OZYILMAZ-ASSISTANT PROF-ISTANBUL MEDIPOL UNIVERSITY DEPARTMENT

PROSTHODONTICS
HALUK BARIS KARA-ASSOCIATION PROF-ISTANBUL MEDIPOL UNIVERSITY DEPARTMENT
PROSTHODONTICS
GOKHAN GURLER-ASSISTANT PROF -ISTANBUL MEDIPOL UNIVERSITY DEPARTMENT OF
SURGERY
Many people have life-long problems with their dentures, such as difficulties with speaking
and eating, loose denture. An implant-supported hybrid prosthesis might be a solution in
cases which are needed more esthetic, function, lip support, speech and intraoral proper
occlusal biting. This case report presents implant supported hybrid prosthesis by using metal
framework and an acyrlic resin in teeth construction to rehabilitate a complete denture in
order to resolve a chief complaint of esthetic. Treatment helpĞĚƚŽŵĂŝŶƚĂŝŶƉĂƚŝĞŶƚ͛ƐƐĞůĨ-
confidence and comfort, as well as favorable masticatory function. Rehabilitation with
hybrid prosthesis is an ideal treatment of choice for maxillomandibular skeletal
discrepancies and provide esthetic and lip support.
PP.207+(´3$5$'2;µ2)$//2<6(/(&7,21)25&$673267
AND CORE FABRICATION
CHATZIPARASKEVA M, BOUSNAKI M, LAMPRIDI V., KOIDIS P.
CHATZIPARASKEVA MARIA-POSTGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF

THESSALONIKI,SCHOOL OF DENTISTRY,DEPARTMENT OF FIXED PROSTHESIS & IMPLANT
PROSTHODONTICS
BOUSNAKI MARIA-PHD CANDIDATE-ARISTOTLE UNIVERSITY OF THESSALONIKI,SCHOOL OF
DENTISTRY,DEPARTMENT OF FIXED PROSTHESIS & IMPLANT PROSTHODONTICS
LAMPRIDI VASILIKI-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI,SCHOOL OF DENTISTRY
KOIDIS PETROS-PROFESSOR AND CHAIRMAN,-ARISTOTLE UNIVERSITY OF
THESSALONIKI,SCHOOL OF DENTISTRY,DEPARTMENT OF FIXED PROSTHESIS & IMPLANT
PROSTHODONTICS
Background: In the current literature, a confusion prevails concerning the selection of the
͞ŝĚĞĂů͟ĂůůŽǇĨŽƌƚŚĞĐĂƐƚƉŽƐƚŝŶĞŶĚŽĚŽŶƚŝĐĂůůǇƚƌĞĂƚĞĚƚĞĞƚŚ͘ŝŵŽĨƚŚĞƐƚƵĚǇ͗WƵƌƉŽƐĞŽĨ
this study is, through a systematic review of the literature, to bring clarity to the issue and
provide some guidelines for the selection of the alloy for the cast posts in endodontically
treated teeth. Materials and methods: MEDLINE database was searched up to February 2017
by using Boolean operators aiming to make a holistic version of keywords search. The search
ĨƵŶĐƚŝŽŶǁĂƐ͞ĞŶƚΎE;ĂƐƚƉŽƐƚ͍KZĚŽǁĞůͿE;ůůŽǇ͍KZ͞ŵĞƚĂůĂůůŽǇ͟ͿE;Ƶ-pt.
KZ dŝƚĂŶŝƵŵ KZ ͞ŽďĂůƚ ŚƌŽŵŝƵŵ͟ KZ ͞EŝĐŬĞů ŚƌŽŵŝƵŵ͟ KZ ͞WůĂƚŝŶƵŵ ŐŽůĚ ƉĂůůĂĚŝƵŵ͟
KZW'WͿ͘͟&ƌŽŵƚŚĞĨŝƌƐƚƐĞĂƌĐŚϭϬϯƌĞƐƵůƚƐǁĞƌĞŽďƚĂŝŶĞĚ͕͕ĂŶĚƚŚƌŽƵŐŚĨƵƌƚŚĞƌƐĞůĞĐƚŝŽŶ
the results were narrowed down to 87. Results: Six studies were identified that matched the
inclusion criteria set in our study. The results depict a diversity in the post cast alloys
research studies Three of the studies were in-vitro while two used finite element analysis
(FEA). Clinically, noble alloys (gold type III and IV) seem to have better 10-year survival, in
contrary with these findings, in vitro experiments do not depict this superiority of nobel
alloys over Ni-Cr and titanium alloys. Conclusion:. Noble alloys with high gold content seem
to have high clinical survival, while paradoxically in vitro studies when ignoring clinical
variables and complexity, show that Ni-Cr or titanium alloys could also be considered for cast
posts.
PP.201. ESTHETIC MANAGEMENT OF A PATIENT WITH
CONGENITALLY MISSING MAXILLARY LATERAL INCISOR AND
POLYDIASTEMAS
<Zbz͕E/͕'hEh͕<db'͘
YUSUF KARABAS-RESEARCH ASSISTANT-HACETTEPE UNIVERSITY FACULTY OF

7>ZE7-RESEARCH ASSISTANT-HACETTEPE UNIVERSITY FACULTY OF
Z/^'mEm-ASSISTANT PROFESSOR-HACETTEPE UNIVERSITY FACULTY OF
'm>7<d^-ASSISTANT PROFESSOR-HACETTEPE UNIVERSITY FACULTY OF
Esthetic management of a patient with congenitally missing maxillary lateral incisor and
polydiastemas Background: Treatment options for the replacement of congenitally absent
lateral incisors are included: a single-tooth implant, a tooth-supported restoration, or canine
substitution. However the addition of the polydiastemas to missing maxillary lateral incisor
makes the treatment options more challenging. Although selecting the appropriate
treatment option depends on many factors (such as the malocclusion, the anterior
relationship, specific space requirements, and the condition of the adjacent teeth), patient
preference is the most important one. In this study, the prosthetic rehabilitation of a patient
with congenitally missing maxillary lateral incisor and polydiastemas was presented.
Methods and materials: A 21 year-old female patient was referred to Hacettepe University,
Department of Prosthodontics with anterior esthetic complaints. First of all, the orthodontic
treatment combining with a dental implant placement was suggested to patient, however
this option was refused due to its prolonged treatment time. After the second treatment
option (tooth-supported restoration) was approved by the patient, diagnostic wax-up and
mock-up was fabricated prior to operation. The treatment was finished with teeth
supported zirconia based fixed partial dentures. Results: Anterior esthetic appearance was
restored satisfactorily and no technical and biological complication was occurred during the
9 months. Conclusion: Some patients with polydiastemas and congenitally absent tooth may
not prefer orthodontic treatment due to prolonged treatment period. In such cases, only
prosthetic options can be used to achieve satisfactory esthetic and functional outcome.
202. STRESS EVALUATION OF FOUR IMPLANT SUPPORTED

OVERDENTURES
TURP I, TURP V, TUNCEL I.
ISIL TURP-ASSISTANT PROFESSOR-BEZMIALEM VAKIF UNIVERSITY DEPARTMENT OF

PROSTHODONTICS
VOLKAN TURP-DDS PHD-ISTANBUL UNIVERSITY DEPARTMENT OF PROSTHODONTICS
ILKIN TUNCEL-ASSISTANT PROFESSOR-BEZMIALEM VAKIF UNIVERSITY DEPARTMENT OF
PROSTHODONTICS
OBJECTIVES: The goal of the current study is to evaluate the stress formation of the bone
and other structure when tilted implants and mini implants are used to support a
mandibular overdenture. MATERIALS AND METHODS: Four 3D finite element models of
mandibular overdentures were established using four axial standard-sized implants (SA
model), four standard-sized implants with the mesial ones axial and the distal ones tilted (ST
model) and four mini- implants (MA model) with Locator attachments. Four types of 100 N
load were applied to the overdenture in each model; bilateral vertical, unilateral vertical and
unilateral oblique and a vertical load on the lower incisors. The stresses generated at the
peri-implant bone, implants and the prosthetic components and the overdentures were
evaluated. RESULTS: The highest stress value of the cortical bone was observed in the ST
model which also displayed alterations in the location of the highest stress. No remarkable
differences were observed between standard-sized implants and mini-implants. The stresses
generating in the overdenture at posterior loads were mostly observed around the implants.
CONCLUSION: Clinicians should keep in mind that; when overdenture treatment is
supported by four implants where mesial ones are axial and distal ones are tilted, more
stress is expected to develop in the bone.
PP.203. CEMENTATION IN THE AGE OF DIGITAL DENTISTRY. A

REVIEW OF THE LITERATURE
HADZHIGAEV V, ZLATEV S, VLAHOVA A, TODOROV G, GEORGIEVA I.
VIKTOR HADZHIGAEV-ASSISTANT PROFESSOR-DEPARTMENT OF PROSTHETIC DENTAL MEDICINE,

FACULTY OF DENTAL MEDICINE, MEDICAL UNIVERSITY PLOVDIV
STEFAN ZLATEV-ASSISTANT PROFESSOR-DEPARTMENT OF PROSTHETIC DENTAL MEDICINE, FACULTY
OF DENTAL MEDICINE, MEDICAL UNIVERSITY PLOVDIV
ANGELINA VLAHOVA-ASSOCIATE PROFESSOR-DEPARTMENT OF PROSTHETIC DENTAL MEDICINE,
GEORGI TODOROV-PROFESSOR-DEPARTMENT OF PROSTHETIC DENTAL MEDICINE, FACULTY OF
DENTAL MEDICINE, MEDICAL UNIVERSITY PLOVDIV
IOANA GEORGIEVA-ASSISTANT PROFESSOR-ASSISTANT PROFESSOR
/ŶƚƌŽĚƵĐƚŝŽŶ͗ ĞŵĞŶƚĂƚŝŽŶ ŝƐ ƚŚĞ ĨŝŶĂů ƐƚĂŐĞ ŝŶ ĐůŝŶŝĐĂů ĐĂƐĞƐ ƌĞƐƚŽƌĞĚ ǁŝƚŚ &W͛Ɛ͘ ^ŝŶĐĞ ƚŚĞ
introduction of CAD/CAM technology a rapid increase in the usage of constructions based on
zirconium dioxide is observed. This material and its modifications may require a different cementation
protocol. Purpose: The aim of the current review of the literature is to organize the current
knowledge regardiŶŐ ƚŚĞ ĐĞŵĞŶƚĂƚŝŽŶ ŽĨ ƌKϮ ďĂƐĞĚ &W͛Ɛ ŵĂŶƵĨĂĐƚƵƌĞĚ ƵƚŝůŝǌŝŶŐ ƚŚĞ ͬD
ƚĞĐŚŶŽůŽŐǇ͘DĂƚĞƌŝĂůƐĂŶĚDĞƚŚŽĚ͗ůŝƚĞƌĂƚƵƌĞƐĞĂƌĐŚĐŽŶĐĞƌŶŝŶŐĐĞŵĞŶƚĂƚŝŽŶŽĨƌKϮďĂƐĞĚ&W͛Ɛ
manufactured using CAD/CAM technology was conducted in the PubMed (US National Library of
DĞĚŝĐŝŶĞͿ ĚĂƚĂďĂƐĞ ĂŶĚ ůƐĞǀŝĞƌ͛Ɛ ƐĞĂƌĐŚ ĞŶŐŝŶĞ ĨŽƌ ƐĐŝĞŶƚŝĨŝĐ ůŝƚĞƌĂƚƵƌĞ - ScienceDirect. A
ĐŽŵďŝŶĂƚŝŽŶŽĨŬĞǇǁŽƌĚƐĂŶĚDĞƐŚƚĞƌŵƐǁĞƌĞƵƐĞĚǁŝƚŚƚŚĞŽŽůĞĂŶŽƉĞƌĂƚŽƌƐ͗͞KZ͕͟͞E͟ĂŶĚ
͞EKd͘͟ dŝŵĞ ĨŝůƚĞƌ ĨŽƌ ƌĞƐĞĂƌĐŚĞƐ ĐŽŶĚƵĐƚĞĚ ĚƵƌŝŶŐ ƚŚĞ ůĂƐƚ ϱ ǇĞars was applied. Results and
discussion: The search yielded 268 results. After a complex study selection protocol, 42 articles
relevant to the topic were chosen. The papers were divided by their type ʹ ͞ŝŶǀŝƚƌŽ͟ĂŶĚ͞ŝŶǀŝǀŽ͘͟
The results of the studies were organized in different sections according to their main topic.
Conclusion: The identified articles differ in their methodology and purpose, thereby it is not possible
to conduct a meta-analysis of the reported results. In conclusion, there is no universal protocol for
luting of CAD/CAM fabricated restorations but a preference towards composite cements is observed,
ǁŚĞŶƚŚĞƌĞŝƐŶ͛ƚƐƵĨĨŝĐŝĞŶƚŵĂĐƌŽ-mechanical retention.
PP.204. COINCIDENCE BETWEEN THE FACIAL AND DENTAL
MIDLINES DURING POSED SMILE
ZLATEV S, KISSOV C, HADZHIGAEV V, KAZAKOVA R, VLAHOVA A.
STEFAN ZLATEV-ASSISTANT PROFESSOR-DEPARTMENT OF PROSTHETIC DENTAL MEDICINE, FACULTY

CHRISTO KISSOV-PROFESSOR-DEPARTMENT OF PROSTHETIC DENTAL MEDICINE, FACULTY OF DENTAL
MEDICINE, MEDICAL UNIVERSITY PLOVDIV
VIKTOR HADZHIGAEV-ASSISTANT PROFESSOR-DEPARTMENT OF PROSTHETIC DENTAL MEDICINE,
RADA KAZAKOVA-ASSISTANT PROFESSOR-DEPARTMENT OF PROSTHETIC DENTAL MEDICINE, FACULTY
ANGELINA VLAHOVA-ASSOCIATE PROFESSOR-DEPARTMENT OF PROSTHETIC DENTAL MEDICINE,
Introduction: The coincidence between the midline of the face and the dental midline is of great
clinical significance and can determine the successful outcome of a restorative treatment. Different
assessment methods are proposed, but the majority of them are noninvasive, utilizing standardized
facial photographs. Purpose: The aim of the current study is to assess the frequency of deviations
between the facial and dental midline in a selected sample. Methods and Materials. A sample of 148
students were selected from the undergraduate students of the FDM, MU Plovdiv from 231 willing to
participate in the current study. The included healthy volunteers had no visible craniofacial anomalies
ĂŶĚ ǁĞƌĞ ĐŚŽƐĞŶ ƌĂŶĚŽŵůǇ ǁŝƚŚ ƚŚĞ ĂƉƉůŝĐĂƚŝŽŶ ͞ZŶ'ĞŶĞƌĂƚŽƌ͘͟ ƉŚŽƚŽŵĞƚƌŝĐ ƐĞƚƚŝŶŐ ǁĂƐ
developed, which gave the means for fixed face to camera lens distance and reproducible head
position for all of the participants. The resulting photographs were evaluated with the ImageJ
software. Descriptive statistics and Pearson Chi square tests were used. Results and discussion: 148
frontal photographs were made and evaluated for facial and dental midline discrepancy. A deviation
was found in 20.95%of the studied sample. No statistically significant difference was observed
between genders. The results of the current study are in agreement with other reported findings.
Conclusion: The analysis of the coincidence of the dental and facial midlines is an important part of
the pretreatment diagnostic procedures and can be beneficial for the overall facial esthetic outcome.
It has an important clinical meaning in the area of prosthetic dentistry. Key words:esthetics,dental
midline,facial midline
PP.205. STUDY OF BIOMECHANIC BEHAVIOUR IN PARTIAL

REMOVABLE PROSTHESES
ANDRONACHE M, FEIER R, ANTOHE M, STAMATIN O, FORNA NC.
MONICA ANDRONACHE;-LECTURER, PHD,

RAMONA FEIER-ASISTANT PROFESSOR, PHD-
MAGDA ANTOHE-LECTURER, PHD,-
O. STAMATIN-ASISTANT PROFESSOR, PHD-
NORINA CONSUELA FORNA-PROFESSOR, DEAN, PHD,DDS
The prosthetic dentures partially removable are not rigidly connected to the tissues of the
oral cavity, but they are conceived in order to be removed from the oral cavity and then
reapplied . Consequently they are subjected to the dislocation tendency caused by the
functional efforts such as those during mastication. For this purpose, in the conceiving of a
removable prosthetic treatment, it is necessary to take into account a series of elementary
notions of biomechanics . For this study, was made in the lab two dental prosthesis, one
held in place by means of the cast clasps and the second by special sustaining and stabilizing
elements represented by an extracoronary groove and a retention bar . we studied the
behavior of the lingual area of the prosthesis held in place by special sustaining and
stabilizing elements (at the level of friction bar) after having applied the photoelastic coating
on the entire prosthesis These observations are explained through the tendency for tilting of
the distal saddle from quadrant 4 on the artificial gums, under the action of loads,
accompanied by a tendency for compression of the main connector and its twisting
(asymmetrical loads). Theoretically, the load should cause symmetrical deformations (or
almost symmetrical) at the level of the main connector. We may conclude that in these
situations, the dental-mucosal main connector with a larger support area will have a more
uniform distribution of loads both within it and at the level of the remaining elements of the
prosthetic field.
PP.206. STATISTICAL STUDIES REGARDING THERAPEUTIC

APPROACHES FOR EDENTULOUS CLINICAL CASES IN
STUDENTS`PRACTICAL STAGES
ANTOHE ME, VASLUIANU R, ANDRONACHE M, FEIER R, FORNA NC.
MAGDA-ECATERINA ANTOHE-LECTURER, PHD-

ROXANA VASLUIANU-LECTURER, PHD-MONICA
ANDRONACHE-LECTURER, PHD-
RAMONA FEIER-ASISSTANT PROFESSOR, PHD
NORINA CONSUELA FORNA-PROFESSOR, PHD, DDS-
This study aimed at outlining the importance of a holistic biological perspective on

relationships between the body and the stomatognathic system and the necessity of a
complex rehabilitation in view of reaching a long lasting balance. The purpose of this study is
to present the increase of educational standards at The Faculty of Dental Medicine in Iasi
through the application of social programs, with a deep impact on the didactic process. We
have taken into account the training of students from the final 2 years, where the number of
social programs in our Faculty increased considerably, and assessed the extent to which the
educational standards reached our prevision.The social programs have provided the perfect
framework of development for practical activity on a large number of patients with a variety
ŽĨ ŽƌĂů ƉĂƚŚŽůŽŐǇ͕ ǁŝƚŚĚŝĨĨĞƌĞŶƚ ƚǇƉĞƐ ŽĨ ŐĞŶĞƌĂů ƐƚĂƚĞ ĚĞĨŝĐŝĞŶĐŝĞƐ͘ dŚĞ ƉĂƚŝĞŶƚƐ͛ ĚĂƚĂ ĂƌĞ
kept in electronic files, serving as efficient data basis to create of epidemiologic models,
which are bases for the target therapeutic approach. For the paying patients were used
modern removable prostheses at lower costs than in a private dental office. The students
had the opportunity to use special systems of maintenance, support and stabilization. The
social programs provide the framework of hand work augmentation and increase the level of
professional and vocational training of the students, giving individual identity to the
therapeutic algorithm for each clinical entity of dental medicine. Each clinical case is having a
possible ideal therapeutical solution based on a complex algorithm of conception.
PP.207. IMMEDIATE IMPLANT RESTORATION IN THE AESTHETIC
ZONE. CASE REPORT
SARIVASILEIOU D, CHATZAKI N, KALANTIDIS K.
DIMITRA SARIVASILEIOU-STUDENT-ARISTOTELIO UNIVERSITY OF THESSALONIKI

NATALIA CHATZAKI-STUDENT-ARISTOTELIO UNIVERSITY OF THESSALONIKI
KONSTANTINOS KALANTIDIS-DENTIST-ARISTOTELIO UNIVERSITY OF THESSALONIKI
Immediate implant restorstion in the aesthetic zone. Case report Background: During the last decades
immediate placement of implants has proven to be very predictable, especially with the increasing
popularity of guided bone regenaration technique. At the same time immediate loading offers several
benefits for the restoration of teeth in the aesthetic zone. Methods and materials: The aim of the
study is to present a case of a female patient with a fractured lateral incisor (#22). The treatment plan
was the extraction of the abovementioned tooth, immediate placement of an implant and immediate
loading. After the extraction, an alveolar bone deffect was revealed at the labial part of the maxilla,
which was confronted with guided bone regeneration. The implant was inserted and the day after the
provisional tooth was placed. Results: Since the clinician takes under consideration all the factors
during the surgical and prosthetic procedure the results of immediate implant placement and
immediate loading in the aesthetic zone are highly predictable. Additional advantages of immediate
implant placement are the reduction of the number of the surgical procedures, the preservation of
gingival aesthetics and last but not least the patient does not have to be in a transitional state without
anterior tooth. Conclusion: In case of loss of an anterior tooth immediate placement and loading of an
implant is the predominant indication.
PP.208. TRANSITION OF A 2 IMPLANT RETAINED MANDIBULAR

OVERDENTURE TO IMPLANT SUPPORTED FIXED PROSTHESIS
GECKILI O, GECKILI E, CANAN BURAL H.
ONUR GECKILI -ASSOCIATE PROFESSOR-ISTANBUL UNIVERSITY

ESMA GECKILI-PHD, DDS-PRIVATE CLINIC
MUSTAFA YILMAZ-PHD, DDS-ISTANBUL UNIVERSITY
HAYRUNNISA CANAN BURAL -ASSOCIATE PROFESSOR-ISTANBUL UNIVERSITY
In this case report, the transition of a patient wearing a maxillary complete denture and a mandibular
2 implant retained overdenture for 10 years to implant supported maxillary and mandibular fixed
hybrid prosthesis is presented. The patient who received 2 implants in the mandible 10 years ago in
our clinic came for a visit with the decision of fixed prosthesis. After a radiographic and clinical
examination, 6 implants were planned in the maxilla after a sinus floor augmentation procedure and 4
implants were planned in the mandible between the mental foramina. 6 months after the insertion of
10 implants, maxillary and mandibular fixed hybrid prosthesis were fabricated and screwed to the
abutments. After a 1 year radiographic and clinical evaluation, no bone loss or any other complication
was observed and the patient was satisfied with the treatment
PP.209. LOCAL IMMUNE RESPONSE OF THE PERIIMPLANT TISSUES
RELATED TO DENTAL PLAQUE AND GINGIVAL INDEXES
DAKOVIC D, PETKOVIC-CURCIN A, TATIC Z, VOJVODIC D.

FACULTY OF THE MILITARY MEDICAL ACADEMY, CLINIC OF DENTISTRY, BELGRADE, SERBIA
ALEKSANDRA PETKOVIC-CURCIN-PHD-UNIVERSITY OF DEFENCE IN BELGRADE, MEDICAL FACULTY OF
THE MILITARY MEDICAL ACADEMY, CLINIC OF DENTISTRY, BELGRADE, SERBIA
ZORAN TATIC-ASSOCIATE PROFESSOR-UNIVERSITY OF DEFENCE IN BELGRADE, MEDICAL FACULTY OF
THE MILITARY MEDICAL ACADEMY, CLINIC OF DENTISTRY, BELGRADE, SERBIA
DANILO VOJVODIC-PROFESSOR-UNIVERSITY OF DEFENCE IN BELGRADE, MEDICAL FACULTY OF THE
MILITARY MEDICAL ACADEMY, INSTITUTE FOR MEDICAL RESEARCH, BELGRADE, SERBIA
INTRODUCTION. Periimplantitis starts as a lesion of the marginal soft tissues. Unempeded progression
of inflammation from the marginal to the supportive tissues results in a true periimplantitis lesion.
Due to the repeated cycles of inflammation, periimplantitis may cause loss of the inserted implant.
AIM. The purpose of this study was to establish the relationship among the cytokine levels in the
samples of periimplant fluid and the state of the oral hygiene and the level of inflammation of
periimplant tissues. METHODS. The study was performed on 98 patients treated at the Department of
Implantology, Dental Clinic of Military Medical Academy, Belgrade, Serbia. The patients were divided
into the experimental group with diagnosed periimplantitis and healthy controls. The state of the oral
hygiene and periimplant gingival inflammation were defined by clinical parameters. The
concentration of cytokines in periimplant fluid was determined using the commercial
citofluorimetrical test. RESULTS. The mean value of IL-8 in patients with periimplantitis was almost 30
times higher than healthy controls. Also, IL-5 levels were 14 times higher (MW test, P= 0.0000).
Furthermore, it was recorded that the build up of dental plaque and the higher value of gingival index
in the experimental group were linked with higher levels of IL-8 and IL-5 in the periimplant fluid (MW
test, P= 0.0000). CONCLUSION. The increased levels of chemokines (IL-8) and proinflammatory
cytokines (IL-5) underline the immune response profile to the microbial chalenge and clinical gingival
indexes found in periimplantitis.
PP.210. IMPACT OF PHOTODYNAMIC THERAPY ON CLINICAL AND

IMMUNOLOGICAL PARAMETERS IN THE TREATMENT OF
PERIIMPLANTITIS
RAKASEVIC D, ALEKSIC Z, NIKOLIC JAKOBA N, ROGANOVIC J, LAZIC Z.
DRAGANA RAKASEVIC-DDS-UNIVERSITY OF BELGRADE, DEPARTMENT OF PERIODOTOLOGY

ZORAN ALEKSIC-PHD, DDS-UNIVERSITY OF BELGRADE, DEPARTMENT OF PERIODOTOLOGY
NATASA NIKOLIC JAKOBA-PHD, DDS-UNIVERSITY OF BELGRADE, DEPARTMENT OF PERIODOTOLOGY
JELENA ROGANOVIC-PHD, DDS-UNIVERSITY OF BELGRADE, INSTITUTION OF PHARMACOLOGY
LAZIC ZORAN-PHD, DDS-MILITARY MEDICAL ACADEMY, DEPARTMENT OF IMPLANTOLOGY
Background: Peri-implantitis is defined as an inflammatory lesion induced by periodontopathogens

and excessive immunological response of host cells. Photodynamic therapy (PDT) could be used as
adjunctive therapy in the treatment of peri-implantitis. The aim the study was to evaluate clinical and
immunological parameters of peri-implantitis treatment outcome when diverse surgical methods
were used (with or without an adjunctive PDT). Material and Methods: Study involved 52 implants
with diagnosed peri-implantitis, divided into two groups. In the experimental group (27 peri-
implantitis) PDT was used for decontamination of implant surface and peri-implant tissues during the
surgical procedure. Application of chlorhexidine gel followed by saline irrigation was used for
decontamination in the control group (25 peri-implantitis). Bleeding on probing (BOP), peri-implant
probing depth (PPD) and clinical attachment level (CAL) were recorded at baseline and three months
after the surgery. The total amount of IL-6, IL-17 in the peri-implant crevicular fluid were measured by
ELISA before and three months after the therapy. Results: Total amount of IL-17 and IL-6 decreased
significantly in both groups after the period of three months. PDT was associated with significant
decrease of IL-17 and IL- 6 (p<0.001) when compared with chlorhexidine application. The use of PDT
resulted in significant decrease of BOP (p<0.002) in comparison with chlorhexidine. There was no
significant difference in PD and CAL results between two groups. Conclusion: The results of the study
indicate that PDT may be proposed as an adjuvant therapy for decontamination of implant surface
and surrounding peri-implant tissues in the treatment of peri-implantits.
PP.211. MAXILLARY SINUS ELEVATION AND SIMULTANEUS

IMPLANT PLACEMENT USING PRGF - A CASE REPORT
TACHMATZIDIS T, SAMARA E, DABARAKIS N.
THEODOROS TACHMATZIDIS-DMD, PGDIP IMPLANTOLOGY-PRIVATE PRACTICE;ELPIDA SAMARA-DDS,

MPH,MJDF RCS (EG)-ARISTOTLE UNIVERSITY OF THESSALONIKI
DR NICKOS DABARAKIS-DDS, PHD ASSOCIATE PROFESSOR-DEPART. OF DENTOALVEOLAR SURGERY,
IMPLANTOLOGY & RADIOLOGY, ARISTOTLE UNIVERSITY OF THESSALONIKI
Implant rehabilitation of the edentulous posterior maxilla may be a challenging procedure in the
presence of insufficient bone volume for implant placement. Maxillary sinus floor elevation is a very
predictable and reproducible surgery. The choice of the technique, either lateral using a Caldwell-Luc
osteotomy or axial with the Summers osteotomy is mainly dependent on the remaining bone height
of the alveolar ridges. The aim of the present article was to describe a lateral sinus lift using plasma
rich in growth factors (purported the aim of compacting particulate grafts and improving conditions
for bone regeneration), bone xenograft (Bi-oss, Geistlich) as sub-antral graft materials and
simultaneous placement of an implant surface (Xive, Dentsply implant). In the described case report,
clinical and radiographic results obtained seven days, and six months after surgery are also reported.
From the clinical and radiographic point of view, suitable healing was observed and the implant was
clinically stable without changes at the level of the bone crest. The presented technique might show a
viable alternative to place implants in atrophic maxillary areas.
PP.212. SOFT AND HARD TISSUE MANAGEMENT FOR A SINGLE -

TOOTH RESTORATION AT THE FRONT-IMMEDIATE IMPLANTATION
SLABARI E, TESTIMITANU N, CIOBANU G.
EUGENIO SLABARI-DDS, -University MEDICINE AND PHARMACY NICOLAE TESTIMITANU

Nicolae CHELI -DDS MDS PHD-UNIVERSITY MEDICINE AND PHARMACY NICOLAE TESTIMITANU
GALINA CIOBANU-DDS PHD -UNIVERSITY MEDICINE AND PHARMACY NICOLAE TESTIMITANU
The aesthetic success of an implant restoration starts at the explanation stage, with the trauma- free
removal of the root while preserving hard and soft tissue structures . Preservation and restoration of
tissue structures are just as important during the subsequent stages of treatment: extraction, implant
placement, vestibular wall regeneration with autologous bone and immediate temporary crown.
Methods and materials In this report, the clinical and radiographic result a presented on 10 young
patients with a case of inflammation to a pocket depth with a vestibular swelling . We resolved the
problem quickly and with a good result, so we did the flap and performed the extraction. The swelling
had destroyed vestibular bone. The implant was immediately inserted with an immediately loading.
The bony defect was augmented with autologous bone from the mandibular symphysis. Between soft
and hard tissue we placed a barrier membrane and after we fixed a temporary crown After one year
we changed the temporary crown with definitive restoration , a zirconia ceramic crown . Result Of 10
implants, 9 (95%)were considered clinically successful. It is most important in cases of immediate
implant placement that the implant position is not too labial and is within the safety zone for labial
plate preservation with a good emergence profile. Sometimes we need to do autologous grafting with
soft and hard tissues with immediate restoration , as in our case . Conclusion: The success of 5 years
follow-up implant-based treatment and sequence for the clinical circumstance .
PP.213. LATERAL SINUS FLOOR ELEVATION WITH IMMEDIATE

IMPLANT PLACEMENT WITHOUT GRAFTING MATERIAL
DABIJA I, CHELE N, MOSTOVEI A, TOPALO V.
DABIJA ION-UNIVERSITY ASSISTANT-THE STATE MEDICAL AND PHARMACEUTICAL UNIVERSITY

ͣE/K> d^dD/fEh͕͟ WZdDEd K& KZ> E Dy/>>K-FACIAL SURGERY AND ORAL
IMPLANTOLOGY
CHELE NICOLAE-PHD, ASSOCIATE PROFESSOR-THE STATE MEDICAL AND PHARMACEUTICAL
hE/sZ^/dzͣE/K>d^dD/fEh͕͟WZdDEdK&KZ>EDy/>>K-FACIAL SURGERY AND
ORAL IMPLANTOLOGY
MOSTOVEI ANDREI-PHD, ASSOCIATE PROFESSOR-THE STATE MEDICAL AND PHARMACEUTICAL
ORAL IMPLANTOLOGY
TOPALO VALENTIN-PHD, PROFESSOR-THE STATE MEDICAL AND PHARMACEUTICAL UNIVERSITY
ͣE/K> d^dD/fEh͕͟ WZdDEd K& KZ> E Dy/>>K-FACIAL SURGERY AND ORAL
IMPLANTOLOGY--d,^ddD/>EW,ZDhd/>hE/sZ^/dzͣE/K>d^dD/fEh͕͟
DEPARTMENT OF ORAL AND MAXILLO-FACIAL SURGERY AND ORAL IMPLANTOLOGY
Aim: To appreciate the endo-sinus bone gain in case of lateral sinus floor elevation with immediate
implants placement using blood as grafting material. Material and methods The study was axed on 6
patienƚƐ ;ϯϴ͘Ϯϳцϯ͘ϭ ǇĞĂƌƐͿ ǁŚŽ ƌĞĐĞŝǀĞĚ ϭϱ ŝŵƉůĂŶƚƐ ŝŶ ƉŽƐƚĞƌŝŽƌ ƐŝĚĞƐ ŽĨ ƵƉƉĞƌ ũĂǁ͘ dŚĞ ŝŵƉůĂŶƚƐ
insertion was performed simultaneously with lateral SFE using the trap door technique. Before
implants insertion the sinus cavity formed after elevation were filled only with blood collected from
peripheral vein. Six months later, the second surgical step was performed. The endo- sinus bone gain
during healing and 1 year postprosthetic has been evaluated. Statistical analysis was made by
calculating mean values, standard errors and Pearson correlation test. Results: All implants
ƐƵĐĐĞƐƐĨƵůůǇ ŝŶƚĞŐƌĂƚĞĚ͘ ZĞƐŝĚƵĂů ďŽŶĞ ŚĞŝŐŚƚ ĨƌŽŵ ŵĞƐŝĂů ĂŶĚ ĚŝƐƚĂů ĂƐƉĞĐƚƐ ǁĂƐ ϱ͘ϵцϬ͘ϰϭŵŵ ĂŶĚ
ϱ͘ϬϮцϬ͘ϮϮŵŵ͕ ǁŚŝůĞ ƚŚĞ ůĞŶŐƚŚ ŽĨ ŝŵƉůĂŶƚƐ ƉƌŽƚƌƵĚĞĚ ŝŶƚŽ ƐŝŶƵƐ ǁĞƌĞ ϱ͘ϴцϬ͘ϯŵŵ ĂŶĚ ϲ͘ϭцϬ͘ϭŵŵ
respectively. At the end of healing period, the endo-ƐŝŶƵƐďŽŶĞŐĂŝŶĐŽŶƐŝƐƚĞĚϳ͘ϯцϬ͘ϰŵŵ;ŵĞƐŝĂůͿĂŶĚ
ϴ͘ϭцϬ͘ϭŵŵ;ĚŝƐƚĂůͿ͘ KŶĞ ǇĞĂƌ ƉŽƐƚ-prosthetic, the bone became mature with good corticalization of
ƚŚĞŶĞǁƐŝŶƵƐĨůŽŽƌ͕ǁŝƚŚĚŝŵĞŶƐŝŽŶƐŽĨϱ͘ϵцϬ͘ϱŵŵĂŶĚϲ͘ϲцϬ͘Ϭϴmm from mesial and distal. During
ƚŚŝƐ ƉĞƌŝŽĚ͕ Ă ƐŚƌŝŶŬ ŽĨ ϭ͘ϰϯцϬ͘ϭϱŵŵ ĂŶĚ ϭ͘ϱцϬ͘ϭϴŵŵ ŽĐĐƵƌƌĞĚ͘ ƐƚƌŽŶŐ ĐŽƌƌĞůĂƚŝŽŶ ďĞƚǁĞĞŶ
implant protruded length and endo-sinus bone gain was observed: 0.92(mesial) and 0.68(distal).
Conclusions: In appropriate conditions, the lateral sinus floor elevation without grafting material and
with simultaneously implant placement lead to formation of an adequate amount of endo-sinus bone.
By this way, it is possible to avoid the use of grafting materials.
PP.214. EARLY TYPE TWO FLAPLESS PLACEMENT OF TWO-PIECE
DENTAL IMPLANTS USING NON-SUBMERGED APPROACH. ONE
YEAR FOLLOW-UP.
CHELE N, MOSTOVEI A, /:/͕dKW>Ks͕EK'K͘

hE/sZ^/dzͣE/K>d^dD/fEh͕͟WZdDEdK&KZ>EDy/>>K
ͣE/K>d^dD/fEh͕͟WZdDEdK&KZ>EDy/>>K
EK' K>'-PHD, ASSOCIATE PROFESSOR-THE STATE MEDICAL AND PHARMACEUTICAL
ORAL IMPLANTOLOGY
Aim: to appreciate the periimplant bone modeling in case of early type 2 one-step flapless implants
placement during healing period and 1 year postprosthetic. Material and methods: twenty two-piece
ĚĞŶƚĂůŝŵƉůĂŶƚƐǁĞƌĞŝŶƐƚĂůůĞĚŝŶϭϳƉĂƚŝĞŶƚƐ;ϰϯ͕Ϯцϭ͕ϮϵǇĞars) in posterior sides of inferior jaw, 4 to 8
weeks after teeth extraction, using one-step flapless approach (with immediate healing abutment
connection). The implant platform was placed under the level of mucosa. After the healing period of 3
months, the prosthetic treatment has been initiated. The following parameters were evaluated:
implants stability at the end of healing (Periotest Classic), peri-implant bone remodeling from
placement till 1 year post-prosthetic. Statistical analysis was made by calculating mean values and
standard errors. Results: All implants successfully integrated. The radiolucency between implant and
bone walls appreciated after the implant placement, disappeared at the end of the healing period. At
this point, both hard and soft tissue integration occurred. The secondary stability was -ϱ͕ϱцϬ͕ϰ͘dŚĞ
total bone loss from implant placement till 1 year post-prosthetic were: anterior ʹ ϭ͕ϭцϬ͕ϭϱŵŵ͕
posterior ʹ Ϭ͕ϴцϬ͕ϭŵŵ͘ ,ŽǁĞǀĞƌ͕ ďĞƐŝĚĞ ƚŚĞ ƌĞƐŽƌƉƚŝŽŶ͕ ďŽŶĞ ĂƉƉŽƐŝƚŝŽŶ ŚĂƐ ďĞĞŶ ĂůƐŽ ŽďƐerved
around 9 implants predominantly during healing period. Conclusion: The one-step early type 2
implant placement using flapless approach, lead to both hard and soft tissue integration during
healing. The preservation of socket content showed a good transformation into bone. The bone loss
from implant placement till 1 year post-ƉƌŽƐƚŚĞƚŝĐĚŽĞƐŶ͛ƚĞǆĐĞĞĚŵĞĂŶďŽŶĞůŽƐƐǀĂůƵĞƐĚĞƐĐƌŝďĞĚŝŶ
conventional approaches.
PP.215. DENTAL IMPLANTS PLACEMENT IN PATIENTS UNDER

ANTICOAGULANT TREATMENT.
ZANOAGA O, MOSTOVEI A, CHELE N, TOPALO V.
ZANOAGA OLEG-PHD, ASSOCIATE PROFESSOR-THE STATE MEDICAL AND PHARMACEUTICAL

UNIVERSIdzͣE/K>d^dD/fEh͕͟WZdDEdK&KZ>EDy/>>K
Aim: to appreciate the possibility of implant surgery into patients under anticoagulant treatment
without cancellation of it. Methods: The following surgical procedures had been performed on 5
patients under anticoagulant(acencumarol, warfarin) treatment: conventional implants, flapless
technique, lateral and transcrestal sinus floor elevation. The volume of surgery for every patient were:
1st-10 implants installed with flap elevation, 2nd-3 implants installed conventionally, 3rd-2 implants
installed using flapless transcrestal approach, 4th- 6 implants installed with bilateral sinus floor
elevation, 5th- 3 implants installed in one-step flapless approach. Three patients out of five had the
International Normalized Ratio (INR) from 1.3 to 1.6 before surgery. In order to prevent
thrombembolic accidents in these cases, the anticoagulant dose was increased under the dynamic
control of INR. For the others INR were 2.1-2.5 which is within the range specification (2.0-4.0) and
ŵĞĚŝĐĂƚŝŽŶ ĚŽƐĞ ǁĂƐŶ͛ƚ ŵŽĚŝĨŝĞĚ͘ EĞĐĞƐƐĂƌǇ ŚĞŵŽƐƚĂƐŝƐ ǁĂƐ ƉĞƌĨŽƌŵĞĚ ƵƐŝŶŐ ůŽĐĂů ĂƉƉůŝĂŶĐĞ ŽĨ Ă
gauze soaked in human thrombine. Results: No severe bleeding during or after surgical procedures
occured. Patients 1,2 and 4 had hematomas of adjacent spaces at the second day after surgery.
Smaller consequences occurred in patients treated using minimally invasive approaches. Conclusions:
The study has shown that implant placement and other surgical procedures like transcrestal or lateral
sinus floor elevation is possible to perform on patients under anticoagulant medication without its
cease, priority being given to minimally invasive methods. The dose of anticoagulant medication must
be changed when necessary according to the INR values in order to prevent thrombembolic
complications or bleeding.
PP.216. ONE YEAR FOLLOW-UP OF BONE LOSS AROUND IMMEDIATE

VERSUS CONVENTIONAL LOADED IMPLANTS
ZGIRCEA A, CHELE N, ZANOAGA O, DABIJA I, MOSTOVEI M.
ZGIRCEA ADRIAN-PHD STUDENT-USMF

CHELE NICOLAE-PHD, ASSOCIATE PROFESSOR-USMF
ZANOAGA OLEG-PHD, ASSOCIATE PROFESSOR-USMF
DABIJA ION-PHD STUDENT-USMF
MOSTOVEI MIHAI-UNIVERSITY ASSISTENT -USMF
Aim: The evaluation of bone loss around two-piece dental implants with immediate restoration in
comparison with conventional loaded ones. Methods: Twenty five partially edentulous patients from
ǁŚŝĐŚϭϳŵĞŶĂŶĚϴǁŽŵĞŶ;ŵĞĂŶĂŐĞϰϭцϭ͘ϯϰͿƌĞĐĞŝǀĞĚϯϳƚǁŽ-piece dental implants installed in
esthetic zone of the upper jaw. Control group - 20 implants installed in two surgical steps, Study
group- 17 implants installed in one-step, with immediate restoration at 1 week postoperatively. The
ŵĞĂŶ ŚĞĂůŝŶŐ ƉĞƌŝŽĚ ǁĂƐ Ϯϰ͘ϰϮцϰ͘Ϭϰ;^ƚƵĚǇͿ ĂŶĚ Ϯϱ͘ϱϰцϯ͘ϳϵ;ŽŶƚƌŽůͿ ǁĞĞŬƐ͘ dŚĞ ĨŽůůŽǁŝŶŐ
parameters were evaluated: primary (Study Group) and secondary stability (both Groups, Periotest
Classic), peri-implant bone modeling using Adobe Photoshop CC Program (at the end of the healing
period, 1 year post-prosthetic and total bone loss ʹ from the 1st step till 1 year post-prosthetic).
Statistical analysis was made by calculating mean values, standard error, Mann-Whitney U tests.
Results: Primary stability was-ϰ͘ϬϲцϬ͘Ϯϭ;^ƚƵĚǇͿ ǁŚŝůĞ ƚŚĞ ƐĞĐŽŶĚĂƌǇ ǁĞƌĞ-ϯ͘ϵϰцϬ͘Ϭϰ;^ƚƵĚǇ͕ ƉхϬ͘ϬϱͿ
and-ϰ͘ϱцϬ͕ϮϮ ŽŶƚƌŽů;ƉфϬ͕ϬϱͿ͘ Weriimplant bone loss(Study) from mesial and distal aspects were:
Ϭ͘ϴϳцϬ͘ϭϳŵŵ ĂŶĚ Ϭ͘ϯϭцϬ͘ϭϮŵŵ Ăƚ ƚŚĞ ĞŶĚ ŽĨ ŚĞĂůŝŶŐ ƉĞƌŝŽĚ͖ Ϭ͘ϭϵцϬ͘Ϭϱŵŵ ;ƉфϬ͘ϬϬϭͿ ĂŶĚ
Ϭ͘ϭϲцϬ͘ϬϮŵŵ ;ƉхϬ͘ϬϱͿ Ăƚ ϭ ǇĞĂƌ ĨŽůůŽǁ ƵƉ͖ Ϭ͘ϵϵцϬ͘ϭϮŵŵ ĂŶĚ Ϭ͘ϰϳцϬ͘ϭϮŵŵ ;ƚŽƚĂů ďŽŶĞ ůŽƐƐͿ͘ dŚĞ
bone loss duriŶŐŚĞĂůŝŶŐ;ŽŶƚƌŽůͿ͗Ϭ͘ϱϭцϬ͘ϭϰŵŵĂŶĚϬ͘ϯϯцϬ͘ϭϰŵŵ͕ĂƚϭǇĞĂƌĨŽůůŽǁƵƉʹϬ͘ϴϭцϬ͘ϭϱŵŵ
ĂŶĚ Ϭ͘ϲцϬ͘ϭϮŵŵ ;ƉхϬ͕ϬϱͿ͖ ƚŽƚĂů ďŽŶĞ ůŽƐƐ ʹϬ͘ϵϮцϬ͘ϭϱŵŵ ĂŶĚ Ϭ͘ϴϭцϬ͘ϭϱŵŵ͘ ŽŶĐůƵƐŝŽŶ- One-year
results demonstrate that the immediate restored implants in the maxilla have predictable results. The
total bone loss from placement till one year follow-up had no difference between groups.
PP.217. IMPLANT-SUPPORTED FRONT TOOTH REPLACEMENT
NIKOLOVSKI B, MINOVSKA A, RADOJKOVA NIKOLOVSKA V, CVETANOVSKA STOJCEVA D,

ALEKSANDROVSKA A.
NIKOLOVSKI BRUNO-DOCTOR-ETERNADENT-SKOPJE
MINOVSKA ANA-PROFESSOR-FACULTY OF MEDICAL SCIENCES, UGD ʹ STIP
RADOJKOVA NIKOLOVSKA VERA-ASSOC.PROFESSOR-FACULTY OF DENTISTRY, UKIM- SKOPJE
CVETANOVSKA STOJCEVA DANIELA-DOCTOR-ETERNADENT-SKOPJE
ALEKSANDROVSKA ANA-DOCTOR-ETERNADENT-SKOPJE
/ŶƚƌŽĚƵĐƚŝŽŶ͗ WĂƚŝĞŶƚƐ͛ ĞǆƉĞĐƚĂƚŝŽŶƐ ĂƌĞ ĂůǁĂǇƐ ŚŝŐŚ ĂŶĚ ĐŽŵƉƌŽŵŝƐĞƐ ǁŝƚŚ ŝŵƉůĂŶƚ-supported
dentures is, therefore, particularly in the presence of a high smile-line, almost impossible. Implants
performed without optimal preoperative planning and treatment can result in faulty implant
positioning and/or insufficient management of the surrounding soft tissues which will result in an
aesthetic failure Consequently, an optimal aesthetic implant treatment depends not only on the
prosthetic and technical procedures, but also to a great extent on the following anatomical and
surgical parameters: Submucosal localization of the implant shoulder; Proper three-dimensional
implant position; aesthetic soft tissue contours; Symmetry of the clinical crown with the contralateral
natural control tooth. Case report: This paper includes a case report of a 27-year-old patient, after
receiving a transmucosally placed implant in the region of the lost tooth #21.
PP.218. DENTAL IMPLANTS IN CANCER TREATED PATIENTS
NIKOLOVSKI B, RADOJKOVA NIKOLOVSKA V, MINOVSKA A, POPOVSKA M, POPOVIC

MONEVSKA D.
BRUNO NIKOLOVSKI-DOCTOR-DHC ETERNADENT ʹ SKOPJE

VERA RADOJKOVA NIKOLOVSKA-ASSOC. PROFESSOR -FACULTY OF DENTISTRY, UKIM ʹ SKOPJE
ANA MINOVSKA-PROFESSOR-FACULTY OF MEDICAL SCIENCES, UGD ʹ STIP
MIRJANA POPOVSKA-PROFESSOR-FACULTY OF DENTISTRY, UKIM- SKOPJE
DANICA POPOVIC MONEVSKA-PROFESSOR-FACULTY OF DENTISTRY, UKIM - SKOPJE
The AIM of this systematic review is to evaluate the risks and complications, as well as the survival
rate of dental implants after tumour surgery and radiotherapy.MATERIALS AND METHODS:A review
of the literature published between 1990 and June 2016 was conducted through searches of PubMed
and Google Scholar. Implant survival rates were compared with respect to timing of radiation (prior to
or after implantation), region of implanting (maxilla, mandible, bone grafts, free flaps), radiation dose
and time interval between radiation therapy and implant placement.RESULTS:Forthy-six articles
fulfills the inclusion criteria. Overall implant survival rates with radiation therapy done pre- and
postimplantation were 87.9% and 91.1%, respectively. The implant survival rate was significantly
higher in the mandible (93.3%) comparing to the maxilla (77.8%) or for grafted bone (86.7%) in
preimplantation radiation therapy. Similarly, the implant survival rate was higher when implants were
placed in free flaps (89.3%) than in nonvascularized bone grafts (81.7%). CONCLUSION:There was no
significant difference in dental implant survival rates wheather the radiation therapy was done
preimplantation or postimplant rehabilitation. The most compelling factor affecting implant survival is
the anatomical site of implant placement with a better survival rate in the mandible compared to the
maxilla and grafted bone.
PP.219. POST-IMPLANT PLACEMENT NEUROSENSORY
DISTURBANCES
AFOUXENIDES P, GOUSSIAS C, MELAKOPOULOS I.
PANAYOTIS AFOUXENIDES-UNDERGRADUATE STUDENT-NATIONAL AND KAPODISTRIAN UNIVERSITY

OF ATHENS
CHRISTOS GOUSSIAS-UNDERGRADUATE STUDENT-NATIONAL AND KAPODISTRIAN UNIVERSITY OF
ATHENS
IOANNIS MELAKOPOULOS-DMD, PHD-PRIVATE PRACTICE
POST-IMPLANT PLACEMENT NEUROSENSORY DISTURBANCES Even though, there have been many
advancements in the field of implantology, without proper planning, implant surgery bears many
risks. One of the most common and most serious complications when placing implants in the
mandible, is inferior alveolar nerve (IAN) injury; the following neurosensory disturbance can range
from partial loss of sensation to debilitating pain. This is a case report of an IAN injury associated with
ŝŵƉůĂŶƚƉůĂĐĞŵĞŶƚ͘dŚĞƌĞ͛ƐĂůƐŽĂďƌŝĞĨƌĞǀŝĞǁŽĨƚŚĞůŝƚĞƌĂƚƵƌĞĂďŽƵƚƉƌĞǀĞŶƚŝŽŶŵĞƚŚŽĚƐ͕ĚŝĂŐŶŽƐŝƐ
and treatment planning. To keep the risk at bay, one must thoroughly examine the area receiving the
implant through CBCT. The use of surgical guides can also be helpful, but of foremost importance is
the skill and experience of the surgeon. Should the doctor injure the nerve, the key to a hassle-free
experience for both the doctor and the patient is early diagnosis. Then, the doctor should eliminate
the cause of injury and if necessary, perform microsurgical repair of the nerve. The patient must be
ƉƵƚ ƵŶĚĞƌ ŵĞĚŝĐĂƚŝŽŶ ĐŽŶƐŝƐƚĞĚ ŽĨ E^/͛Ɛ ĂŶĚ ĐŽƌƚŝĐŽƐƚĞƌŽŝĚƐ͖ ŽĨ ŐƌĂǀĞ ŝŵƉŽƌƚĂnce is that the
patient is put in a strict schedule where the symptoms will be assessed regularly. Concluding, it is
obvious that even the simplest implant cases can pose a great risk for the patient. Then the most
meticulous post-injury care is needed for a merry ending.
PP.220. EFFECT OF GASEOUS OZONE ON BONE REGENERATION OF

PERI-IMPLANTAL CREATED DEFECTS IN RABBITS: PRELIMINARY
FINDINGS
TOKER H, YILDIRIM A.
,m>z dK<Z-PROFESSOR DOCTOR-CUMHURIYET UNIVERSITY, FACULTY OF DENTISTRY,

PERIODONTOLOGY, SIVAS, TURKEY
>7 z/>/Z/D-Z^Z, ^^7^dEd-CUMHURIYET UNIVERSITY, FACULTY OF DENTISTRY,
PERIODONTOLOGY, SIVAS, TURKEY
Aim: Regenerative procedures are being used in therapy of peri-implant bone defects. The purpose of
this study is to investigate the short and long term effects of ozone on bone regeneration in
experimental peri-implantal defect treated with xenograft. Materials and Methods: Eighteen male,
New Zealand rabbits were used in this study. This study was conducted as a split-mouth design. A
peri-implant defects (6mm diameter) were created in left and right tibias of rabbits and placed
implants (3.3 mm in diameter). Animals were randomly divided into two groups: 1) xenograft group
and xenograft with ozone group (n:10), 2; empty control defect and empty control with ozone groups
as a controls (n:8). Gaseous ozone was applied on the operation day and the following 2 weeks every
other day (140ppm @ 2L/d, 2.24 mg). At different time points of healing (4 or 8 weeks), the animals
were sacrifed. Implant stability were measured with magnetic resonance method (ISQ values) during
implant surgery and at sacrification time. Results: There were no significant differences in baseline
ISQ values for 4-week period among the study groups. At the end of the 4-week period, xenograft
with ozone group was higher ISQ values than empty control defect. According to 8-week period, in
empty control group was lower in 8-week ISQ values than empty control with treated ozone and
xenograft with treated ozone group. Conclusion: Within the limitations of this preliminary results, it
was found that gaseous ozone application may tend to increase implant stability. However, these
results are needed to confirm moreover.
PP.221. ACHIEVING PASSIVE FIT OF IMPLANT RESTORATIONS:

PROTOCOLS FOR IMPLANT IMPRESSIONS
GEORGIOU M, NAKA O.
MARIA GEORGIOU-POSTGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI,

DENTAL SCHOOL, DEPARTMENT OF PROSTHODONTICS
OLGA NAKA-LECTURER-ARISTOTLE UNIVERSITY OF THESSALONIKI, DENTAL SCHOOL,
Background: Implants behave like ankylosed teeth and they are deprived of the resilience of
the periodontal ligament. A considerable challenge for a screw-retained implant restoration
is to achieve passive fit of the superstructure to the implant. Any misfit of metal framework
will lead to a wide range of mechanical and/ or biological complications. Accurate
impressions are critical for the achievement of marginal fit. Aim: The purpose of this study is
to determine the role of various implant impression techniques and materials in obtaining
accurate marginal fit of implant superstructures. Materials and methods: A comprehensive
literature search was conducted via electronic databases, using the corresponding keywords
and predefined inclusion and exclusion criteria. Results: Data were extracted from 57 out of
the 80 potentially appropriate articles. Regarding the impression technique, 18 studies out
of the 29 revealed that the open-tray technique was more predictable compared to the
closed- tray technique, especially in cases of multiple implants with angulations greater than
ϭϬȗ͘ůĞǀĞŶƐƚƵĚŝĞƐƐƵƉƉŽƌƚĞĚƚŚĂƚƐƉůŝŶƚĞĚŝŵƉƌĞƐƐŝŽŶƚĞĐŚŶŝƋƵĞĞŶŚĂŶĐĞƐƚŚĞĂĐĐƵƌĂĐǇŽĨ
the impression and master cast, while 8 articles elicited no differences between splinted and
non-splinted conventional impression techniques. Among the different impression materials
used, most studies concluded that there are no differences between polyether and
polyvinysiloxane in terms of accuracy. Conclusion: The individualized use and proper
handling of the appropriate materials and techniques can limit the introduction of errors and
contribute to the passive fit at the implant-prosthesis interface.
PP.222. TEMPERATURE CHANGES IN THE BONE DURING FLAP AND

FLAPLESS PREPARATION OF IMPLANT SITE
VLAHOVIC Z, MIKIC M.
ZORAN VLAHOVIC-ASS. PROF.-MEDICAL FACULTY PRISTINA - KOS.MITROVICA. BRANCH OF

DENTISTRY
MIRKO MIKIC-DR-MEDICAL FACULTY PODGORICA
Introduction: Flapless surgical technique represents a minimally invasive implant placement

procedure. Disadvantage of this procedure is related to less efficient bone tissue heat
dissipation due to the use of guides and sleeves. Aim of this paper is to analyse the existence
of temperature changes within the bone tissue during flap and flapless preparation of
implant site, without guides. Materials and methods: In this in vitro experimental study, we
used ten sheep mandibles.On the right side, bone preparation was performed using flap,
and on the left side using flapless technique. Temperature changes of the bonewere
registered by a thermographic camera. Results: The analysis of temperature changes
registered by the thermographic camera showed there is no significant difference in bone
temperature between flap and flapless technique. Conclusion: Our recommendation, while
using flapless technique for implant site preparation, is to use a cooled down physiological
solution if you use a guide, and, if flapless preparation is performed without a guide, there is
no need for a physiological cooled solution
PP.223. IMMEDIATE RESTORATION IN THE ATROPHIED MAXILLA
CIOBANU G, CHELI N.
GALINA CIOBANU-DDS, PHD -UNIVERSITY MEDICINE AND PHARMACY NICOLAE TESTIMITANU

NICOLAE CHELI -DDS, MDS, PHD-UNIVERSITY MEDICINE AND PHARMACY NICOLAE TESTIMITANU
Background The key to a successful immediate restoration in patients who require tooth removal
secondary to trauma , gross decay , severe periodontal bone loss , or endondontic failure of the teeth
. Most patients with different metabolic diseases lose teeth early. And these patients need immediate
loading . Methods and materials In A Day protocol offers significant advantages over more traditional
, two-stage implant procedures, without grafting. In an hour protocol, the patients requires an initial
highly functional and aesthetic denture with correct centric and vertical positions and tooth
arrangement that can act as an exact model for the final computer-generated fixed prosthesis This
protocol is a great solution to treating the atrophied maxilla and mandible without grafting. In this
protocol we can place an implant with a different angulation using bone from the zygomatic buttress,
the pterygomaxillary buttress, or the mandibular symphysis with immediate restoration. Result With
this protocol, TC-3D is helpful in obtaining parallelism between implant, bone and teeth, which helps
distribute the force and establish a good biomechanical relationship between bone, root and crown.
Also, it is suggested to use full-arch rehabilitation with elasticity similar to that of bone . Conclusion:
Immediate loading therapy in the upper and lower jaw has a great success rate . In order to have
success with this protocol, it is very important to have these three key elements: biological,
engineering and prosthetic.
PP.224. THREE DIFFERENT ESTHETIC APPROACHES FOR IMPLANT

SUPPORTED RESTORATIONS AND LITERATURE REVIEW: A CASE
SERIES
dh>'Ȱ͕'P<DEK'>h͕SELAMET H͕K͕>7<͘
z dh>'-PHD, ASISSTANT PROF-KZh hE7sZ^7dz͕ &h>dz K& Ed7^dZz͕ WZdDEd OF

WZK^d,KKEd7^
ZE 'P<MENOGLU-PHD, ASISSTANT PROF-KZh hE7sZ^7dz͕ &h>dz K& Ed7^dZY,
WZdDEdK&WZ7KKEdK>K'z
,7>> ^>Dd-Z^Z, ^7^dEd-KZh hE7sZ^7dz͕ &h>dz K& Ed7^dZY, DEPARTMENT OF
WZ7KKEdK>K'z
K'hPDmZ-PHD, ASISSTANT PROF-KZhhE7sZ^7dz͕&h>dzK&Ed7^dZY, DEPARTMENT
K&WZK^d,KKEd7^
ZÊ >7<-PHD, ASISSTANT PROF-KZh hE7sZ^7dz͕ &h>dz K& Ed7^dZz͕ WZdDEd K&
WZK^d,KKEd7^
THREE DIFFERENT ESTHETIC APPROACHES FOR IMPLANT SUPPORTED RESTORATIONS AND

LITERATURE REVIEW: A CASE SERIES Abstract Background: As the recent demand from patients having
missing anterior teeth for esthetic, alternative treatment approaches of implant supported
restorations in anterior regio have been increased. But there are few reports on the esthetic
treatment approaches varying due to implant position and lack of pink esthetic. Methods and
Materials: A comprehensive literature review was undertaken to examine the data related to implant
supported esthetic restorations to objectively evaluate the innovations in esthetic treatment
approaches. The three representative cases described in this report were as following: A 54 year-old
ŵĂŶ ǁŝƚŚ ƚǁŽ ŵĂůĂůŝŐŶĞĚ ŝŵƉůĂŶƚƐ ŝŶƚŚĞ ŵĂǆŝůůĂƌǇ ƐĂŶƚƌĂů ƚĞĞƚŚ͛Ɛ ƌĞŐŝŽ͕ Ăϰϴ ǇĞĂƌ-old woman with
two malaligned implants in the maxillary ƌŝŐŚƚůĂƚĞƌĂůŝŶĐŝƐŽƌĂŶĚĐĂŶŝŶĞƚĞĞƚŚ͛ƐƌĞŐŝŽĂŶĚĂϮϭǇĞĂƌ-
ŽůĚǁŽŵĂŶǁŝƚŚĂƐŝŶŐůĞŝŵƉůĂŶƚŝŶƚŚĞŵĂǆŝůůĂƌǇůĞĨƚƐĂŶƚƌĂůŝŶĐŝƐŽƌƚĞĞƚŚ͛ƐƌĞŐŝŽ͘dŚĞŐŝŶŐŝǀĂĂŶĚƐŽĨƚ
tissues were contoured with provisional composite restorations to mimic the emergence profile and
prefabricated zirconia abutments were customized with reference from the reshaped gingiva for all
the patients. But different approaches were applied to the patients to compensate the improper
implant axis and the lack of soft tissue. Results: An esthetically and functionally acceptable results
were obtained for the patients. After 6 months, the controls were done and the patients were
pleased with the results. Conclusion: Preliminary results revealed improvement in esthetics; however,
long-term clinical follow-up should be performed.
PP.225. SHORT IMPLANTS: IS IT AN EFFECTIVE TREATMENT

PLANNING FOR THE ATROPHIC POSTERIOR MAXILLA AND
MANDIBLE?
BEI M, SALIA A, GOUSSIAS H.
BEI MARIA-DDS, SCIENTIFIC ASSOCIATE, PROSTHODONTICS DEPARTMENT -NATIONAL AND

KAPODISTRIAN UNIVERSITY OF ATHENS
SALIA ANDROMACHI-DDS, SCIENTIFIC ASSOCIATE PROSTHODONTICS DEPARTMENT -NATIONAL AND
GOUSSIAS HERCULES-DDS, ASSISTANT PROFESSOR, PROSTHODONTICS DEPARTMENT -NATIONAL AND
The rehabilitation of atrophic maxilla and mandible has been the field of interest for both surgeons
and prosthodontists due to their anatomical restrictions. The main problem is the reduced width and
especially height of the crestal ridge in the posterior area. This led to the need of alternative solutions
avoiding sinus lifting, complicated bone augmentation procedures or the use of overdentures. The
purpose of this study is to investigate whether short implants provide an adequate and effective
treatment to patients with either medical problems or low financial profile. This poster is the
outcome of extensive literature research in scientific sites such as Pubmed and Sciencedirect with the
keywords: implant, short implant, atrophic maxilla, diameter, surface, mandible. Short-length
implants are considered to be those with length less than 8mm supporting both single crowns or
multiple unit brigdes for fixed and removable prosthetic restorations. Due to chronic complete
edentulism, a large amount of ridge height is lost resulting in an increased prosthetic space. Placing a
short implant would otherwise indicate that the crown/implant ratio will not be ideal. However
evidence based results show that there is little difference in stress concentration between a short and
a regular implant. Furthermore stress is reduced as implant diameter increases leading to the fact
that width is of greater significance than length as far as stress is concerned. In addition, splinted
crowns seem to be another factor which reduces stress concentration around the implant resulting in
high levels of success and longitude of short implants.
PP.226. SINGLE IMPLANT SUPPORT FOR BILATERAL DISTAL
EXTENSION REMOVABLE PARTIAL DENTURE
UCTASLI S, EKICI Z, BOZKURT R.
SADULLAH UCTASLI-SINGLE IMPLANT SUPPORT FOR BILATERAL DISTAL EXTENSION REMOVABLE

PARTIAL DENTURE-hE/sZ^7dzK&E<Z
ZEYNEP EKICI--FACULTY OF DENTISTRY
MERVE ERDOG--WZdDEdK&WZK^d,KKEd7^
POYZAN BOZKURT--DEPARTMENT OF ORAL SURGERY
Background A bilateral distal extension partial removable denture (PRD) replaces the most distal
tooth or teeth on each side of one arch of the mouth. The placement of a distal implant associated
with PRD has been reported to make this rehabilitation more stable. Case Report The aim of the
present study was to describe the fabrication of RPD with single implant/locator attachment for
bilateral edentulous distal extension. 71-year old female patient with maxillary bilateral edentulous
opposed to mandibular dentate was referred to the University of Ankara, Faculty of Dentistry,
Department of Prosthodontics. The patients chief complaints lack of retention and stability of
conventional PRD because she refused to use clasp on maxillary left santral tooth. Radiographic
examination using panoramic X-ray revealed insufficient bone thicknesses for placement of standart
implants for posterior maxillary posterior area. Under local anesthesia, single implant was placed
uneventfully (3.25mm diameter, 13mm length, BIOMET 3i, USA) to maxillary left canine area utilising
two step surgery. After 3 months osseointegration period the implant was checked on the panoramic
radiograph. Single implant supported RPD was fabricated with U-plaque metal framework (chromium-
cobaltcastingalloy, DFS, Riedenburg, Germany) with locator attachment (ZestAnchors, Escondido, CA,
USA) by means of conventional technique. Conclusion Three years clinical follow-up revealed that the
use of dental implant with partial removable denture has beneficial effects for patients as increasing
denture stabilty and retention, decreasing treatment cost and more over patient satisfaction.
PP.227. BALLOON ASSISTED SINUS LIFT: AN ALTERNATIVE, LESS

INVASIVE APPROACH
KOURAMAS AD, TRIANTAFYLLOU I, KOURAMAS G.
ARGYRIS-DIMITRIOS KOURAMAS-DMD-DEPARTMENT OF DENTOALVEOLAR SURGERY, IMPLANTOLOGY

AND RADIOLOGY, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI;IOANNIS
TRIANTAFYLLOU-DDS-;GRIGORIOS KOURAMAS
Balloon Assisted Sinus Lift: an Alternative, Less Invasive Approach Backround: Implantology is an
excellent treatment modality for treating partial and complete edentulism. However, when patients
present deficient alveolar ridges, its application could be endangered. This problem is enlarged in the
posterior maxilla where ridge resorption and sinus pneumatization are often encountered. The
procedure of choice to restore this anatomic deficiency is called sinus lift. Traditionally, two main
techniques were described, the lateral window technique and the transcrestal technique.
Nevertheless, some less invasive techniques have been proposed in the last years, one of these is the
balloon assisted sinus lift (BASL). The purpose of this study is to review the literature concerning the
BASL, compare it with the two traditional techniques and finally to present 5 clinical cases in which
this specific technique was used. Materials and methods: In this study 40 articles were reviewed and
included from the MEDLINE database, with publication year ranging from 1994 to 2016. There is
presentation of 5 clinical cases in which the balloon technique was used. Results: According to the
literature, BASL may be a less invasive and a more practical technique from a clinical perspective.
Dental implants were successfully positioned after the balloon assisted sinus lift in all cases, which is
confirmed by periapical and panoramic x-rays, as well as cone beam computed tomography (CBCT).
Conclusion: The balloon assisted sinus lift seems to be a less invasive procedure and a good
alternative to the two main techniques.
Session 24
PP.228. APPLICATION OF PLATELET RICH FIBRIN IN TREATMENT
OF CHRONIC PERIAPICAL LESIONS
KIRILOVA J, DELIVERSKA E, TOPALOVA-PIRINSKA S.
JANET KIRILOVA-ASSOCIATE PROFESSOR-FACULTY OF DENTAL MEDICINE, DEPARTMENT OF

COSERVATIVE DENTISTRY,SOFIA, BULGARIA
ELITSA DELIVERSKA-ASSOCIATE PROFESSOR-FACULTY OF DENTAL MEDICINE, DEPATRMENT OF ORAL
AND MAXILLOFACIAL SURGERY, SOFIA, BULGARIA
SNEJANKA TOPALOVA-PIRINSKA-PROFESSOR-FACULTY OF DENTAL MEDICINE, DEPARTMENT OF
COSERVATIVE DENTISTRY,SOFIA, BULGARIA
Improvement in technical instruments and surgical techniques might enhance the outcome of
endodontic surgery. In order to induce bone regeneration and soft tissues healing after oral surgery,
the local application of growth factors and plasma rich fibrin has been advocated. Aim:To assess
potential benefits of use of platelet rich fibrin(PRF) in modern endodontic surgical procedures in
terms of radiographic healing acceleration and postoperative discomfort reduction. Materials and
methods:Twelve patients with chronic apical periodontitis were investigated. Sixteen teeth with large
periapical lesions(PAI 4-5) have been prepared for surgical procedure. Root canal were treated and
filled with warm condensation. In some cases were made retrograde filling with MTA. PRF have been
locally applied to promote the healing potential of the surgical site in six patients(nine teeth). Six
patients with chronic apical periodontitis were randomly assigned to the control group(n = 6) without
use of growth factors. Postoperative swelling and pain were assessed with a questionnaire.
Radiographic healing was assessed according to CBCT imaging for a period of six months. Data were
analyzed with non-parametric tests. Results:In the PRF group the patients experienced less pain in the
1ʹ6 h postoperatively as well as oedema, which never exceeded the moderate intraoral and extraoral
swelling. Radiographic healing was detectable earlier in the PRF group, with the majority of cases
scored as complete healing after 3ʹ6 months. Conclusion:The adjunctive use of PRF in treatment of
chronic periapical lesions might promote the acceleration of the radiographic healing and reduce the
postoperative discomfort. Key words:PRF,endodontic surgery,chronic periapical lesion
PP.229. PARTICIPATION LUXATION AND AVULSION IN ROOT
RESORPTION
DELIC M.
MAJA DELIC -ENDODONTICS-CLINICAL CENTRE OF MONTENEGRO
Introduction:A tooth luxation is when a tooth has been pushed out of place.Avulsion is complete
displacement of tooth from its socket in alveolar bone owing to trauma. Aim : Study the prevalence of
root resorption after luxation or avulsion injuries on permanent teeth referred in Clinical Hospital
Center of Montenegro. Material and method : We observed 110 patients with dental trauma ; 40
female, 70 male ;aged between 18 and 55 years.90 permanent teeth had sustained luxation or
avulsion injuries. Only 5 avulsed teeth had been replanted within 30 min. after avulsion. 36 avulsed
teeth had been endodonticaly treated. These cases were followed for 3 year. Results : Permanent
teeth luxation and avulsion injuries occurred most often in upper incisors ( 70 % ) of patients mostly
aged 18 ʹ 25 years, with males more commonly affected than females ( 75% vs 25% ).Root resorption
was observed in 42 of these cases. Of the 42 cases with resorption , 7 were associated with luxaton
injury ( 20% ) while 35 ( 80%) with avulsion. We differentiated 30 cases of inflammatory root
resorption and 10 cases of ankylosis and osseous replacement. Conclusion : The prevalence of root
resorption and complications are bigger in avulsion injuries on permanent teeth mostly due to the
inadequate transport media of the avulsed tooth, long period between avulsion and reimplantation
and bacterial contamination during extra ʹ alveolar storage seemed the most critical.
PP.230. REMOVAL ABILITY OF MTA- AND BIOCERAMIC-BASED

SEALERS FROM OBTURATED ROOT CANALS: AN IN VITRO STUDY.
KONTOGIANNIS TG, KEREZOUDIS NP, FARMAKIS ETR.
TAXIARCHIS G. KONTOGIANNIS-POST-GRADUATE STUDENT-DEPT. ENDODONTICS, SCHOOL OF

DENTISTRY, NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS
NIKOLAOS P. KEREZOUDIS-ASSOCIATE PROFESSOR-DEPT. ENDODONTICS, SCHOOL OF DENTISTRY,
ELEFTHERIOS T.R. FARMAKIS-ASSISTANT PROFESSOR-DEPT. ENDODONTICS, SCHOOL OF DENTISTRY,
BACKGROUND: Calcium silicate-based sealers have been recently introduced because of their
biocompatibility and bioactivity. Literature data about their retreatability is still limited. This study
aimed at comparing the removal ability of a MTA- and a bioceramic-based sealer from obturated root
canals. AIM: To assess in vitro the retreatability of root canals obturated with single cone technique
and either an MTA-based or a bioceramic-based sealer of the retreated canals. MATERIALS &
METHODS: 80 extracted single-rooted premolars were instrumented using BTRaCe (FKG Dentaire, La
Chaux-de-Fonds, Switzerland) and obturated with a single cone of gutta-percha (40.04) and either
MTA Fillapex (Angelus, Londrina, PR, Brazil) or Total Fill BC Sealer (FKG Dentaire, La Chaux-de-Fonds,
Switzerland). During retreatment, two equal groups were formed: (A) MTA Fillapex retreated with D-
Race (n=40), and Total Fill retreated with D-Race (n=40), Working length and patency regaining were
recorded. The recordings underwent appropriate statistical analyses. RESULTS: Working length was
regained in all teeth. Patency was significantly easier to regain in the MTA Fillapex groups.
CONCLUSIONS: In Total Fill group it was more difficult to regain patency compared with MTA Group.
PP.231. APPROPRIATE PREPROSTHETIC TEETH PREPARATION -
PREREQUISITE OF OPTMAL THERAPY RESULTS
WhZas/D͕ KZs/>͕'sZ/>Ks/^͕D<^/DKs/D͕:E/D͘
D/>/ WhZas/-DOCTOR OF DENTAL MEDICINE-UNIVERSITY OF BELGRADE, FACULTY OF

DENTAL MEDICINE
>:h/E<K KZs/-DOCTOR OF DENTAL MEDICINE-UNIVERSITY OF BELGRADE, FACULTY
OF DENTAL MEDICINE
^ZE'sZ/>Ks/-DOCTOR OF DENTAL MEDICINE-UNIVERSITY OF BELGRADE, FACULTY OF
DENTAL MEDICINE
D/>Ka D<^/DKs/-TEACHING ASSISTANT, DOCTOR OF DENTAL MEDICINE-UNIVERSITY OF
BELGRADE, FACULTY OF DENTAL MEDICINE
DZ/E :E/-DOCTOR OF DENTAL MEDICINE-UNIVERSITY OF BELGRADE, FACULTY OF
DENTAL MEDICINE
Preprosthetic and teeth preparation is considered as a mandatory procedure which

precedes the realization of the definitive treatment plan of making dental restorations.The
aim of this paper is the report of an interesting clinical case with a well-designed
preprosthetic periodontal preparation that preceded the full mouth reconstruction with
ceramic and metal-ceramic restorations.In the contemporary dental practice,a
multidisciplinary approach is considered as necessary, so that therapy modalities in the
management of such patients are/be optimal and long lasting. Material and method. Patient
B.G., aged 58, came to the Clinicfor prosthodontics in Belgrade, asking for a dental check-up.
An anamnesis, a clinical check-up, X- ray diagnostics and an analysis of plaster casts were
required for a preliminary prosthetic plan. Thin gingival biotype in upper teeth and
pronounced gingival recession of teeth 24-26 were very worrying. Besides that, there was a
need to remove the old, functionally and aesthetically improper metal-ceramic
restorations.Preprosthetic periodontal preparation encompassed the conservative
treatment of periodontal tissue (dental scaling, periodontal pocket treatment), and the
surgical approach for the correction of recession (L-PRF) and the gingival zenith position on
tooth 11. Three months after the intervention and the consequent check-up of achieved
clinical results(a stable position and architecture of gingiva), prosthetic rehabilitation was
made. Conclusion. Complex upper and lower teeth treatment with highly esthetic ceramic
and metal-ceramic restorations will be/is successful only after well-designed preprosthetic
teeth and soft tissue management.According to this, structural esthetic rules provided by
analysis, which contribute significant naturalness of artificial composition, should not be
forgotten.
PP.232. IN VITRO EVALUATION OF DIFERENT GUTTAPERCHA
TECHNIQUES FOR ROOT CANAL OBTURATION
KOVACEVSKA I, DENKOVA N, PETROVSKI M, GEORGIEV Z, ATANASOVA S.
KOVACEVSKA IVONA-PROFESSOR-FACULTY OF MEDICAL SCIENCE DEPARTMENT OF DENTAL

MEDICINE, UNIVERSITY
DENKOVA NATASA-ASSISTENT-FACULTY OF MEDICAL SCIENCE DEPARTMENT OF DENTAL MEDICINE,
UNIVERSITY
PETROVSKI MIHAJLO-ASSISTENT-FACULTY OF MEDICAL SCIENCE DEPARTMENT OF DENTAL MEDICINE,
UNIVERSITY
GEORGIEV ZLATKO-PROFESSOR-FACULTY OF DENTISTRY, UNIVERSITY
ATANASOVA SANDRA-DENTIST-FACULTY OF MEDICAL SCIENCE DEPARTMENT OF DENTAL MEDICINE,
UNIVERSITY
Backgrounds: The three-dimensional hermetic root canal obturation presents one of the most
important condition for successful endodontic therapy.The main goal of this study was evaluation of
the quality of three different gutta-percha techniques for root canal obturation. Material and
methods: Sixty single root teeth extracted for prosthetic and orthodontic reasons were endodontic
treated. Endodontic treatment was performed with manual canal instrumentation and 1% sodium
hypochlorite irrigation. According to technique of gutta-percha application they were divided in three
groups: first group ʹ 20 teeth obturated with AH plus sealer and Gutta-Flow technique; second group
ʹ 20 teeth obturated with AH plus sealer and single cone gutta-percha technique and third group ʹ 20
teeth obturated with AH plus sealer and Thermafil gutta-percha technique. Teeth roots were divided
on three cross-sectional segments one in orifice level, one in middle and one in apical third. Analysis
ĂŶĚ ĞǀĂůƵĂƚŝŽŶ ŽĨ ĐĂŶĂů ŽďƚƵƌĂƚŝŽŶ ǁĂƐ ƉĞƌĨŽƌŵĞĚ ďǇ >ŝŐŚƚ ŵŝĐƌŽƐĐŽƉĞ K>zDWh^Π ^ϲϭďǇ ƚǁŽ
irrespective researchers. Results: Samples of first experimental group showed the best root canal
obturation in the coronal, middle and apical third. Cross sectional samples of third group
demonstrated gutta-percha on one side and plastic carrier on the other side in the root canal.
Conclusion: The three in vitro techniques have shown good results and solid canal sealing. Of
particular importance to obtain reliable results is the experience of the therapist, as well as his
knowledge of different gutta-percha techniques.
PP.233. SURGICAL AND ORTOGRADE TREATMENT OF INTERNAL

ROOT RESORPTION
P<dE, YILMAZ F, ASLAN B, MUTLU KUL F.
P<dE-DDS-DEPARTMENT K&EKKEd7^͕&h>dzK&Ed/^dZz͕E<Z
UNIVERSTY
FUNDA YILMAZ-DDS,PHD-WZdDEdK&EKKEd7^͕&h>dzK&Ed/^dZz͕E<Z
UNIVERSTY
BERNA ASLAN-DDS,PHD-WZdDEdK&EKKEd7^͕&h>dzK&Ed/^dZz͕E<Z
UNIVERSTY
FERAH MUTLU KUL-DDS-DEPARTMENT OF EKKEd7^͕&h>dz K& Ed/^dZz͕E<Z
UNIVERSTY
Introduction: Internal root resorption is defined as the loss of dental hard tissues as a
consequence of odontoclastic activity, starting from the inner root canal wall. IRR is usually
asymptomatic and detectible upon routine radiographic examination. Many etiologic factors
have been mentioned. Materials and Methods: A 52 year old male patient was referred to
Ankara University,Faculty of Dentistry. Maxillary right canine tooth and first premolar tooth
weren͛ƚ ƚĞŶĚĞƌ ƚŽ ƉĞƌĐƵƐƐŝŽŶ͕ ŶŽ ƉĂŝŶ ŽŶ ƉĂůƉĂƚŝŽŶ ďƵƚ Ă ƐƵƉƉƵƌĂƚŝŶŐ ƐŝŶƵƐ ƚƌĂĐƚ ǁĂƐ
obvious on the buccal gingiva near first premolar. The teeth responded to sensitivity tests
negatively. Periapical radiographic findings showed canine had seconder caries and first
premolar had large composite restoration. Both teeth had periapical pathology. Also there
was an internal root resorption in canine. At initial visit pulp tissue was removed. Root
canals were filled Ca(OH)2. After 21 days the sinus tract was still active. Resorptive root
canal was obturated with MTA orthogradically. Root canals of premolar were obturated with
gutta-percha and AH Plus. Periapical surgery was planned and done 2 days later. Results: The
patient was followed up for 1-3-6 months. The teeth were completely asymptomatic. Sinus
tract was healed. There was significant healing on radiographic assessment. Conclusion:
Successful treatment of IRR necessitates complete cleaning of pulpal space and filling the
whole space with biomaterials. MTA was used as the repair material in this case due to its
capacity to promote hard tissue formation and to inhibit osteoclastic and odontoclastic
ƌĞƐŽƌƉƚŝŽŶ͘<ĞǇǁŽƌĚƐ͗7ŶƚĞƌŶĂůZŽŽƚZĞƐŽƌƉƚŝŽŶ͕Dd
PP.234. CONSERVATIVE MANAGEMENT OF EXTERNAL ROOT

RESORPTION WITH TWO YEARS FOLLOW UP; A CASE REPORT
<Z'P>>m^͕HAYIRCI GK͕mEsZ7>E7͘
^DEhZ <Z'P>>m-RESEARCH ASISTANT-SELCUK UNIVERSITY, FACULTY OF DENTISTRY,

GAMZE KAN HAYIRCI-RESEARCH ASISTANT-SELCUK UNIVERSITY, FACULTY OF DENTISTRY,
DEPARTMENT OF ENDODONTIC
z mEsZ7>E7-PROF.-SELCUK UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF ENDODONTIC
BACKGROUND: External root resorption (ERR) may occur as a result of trauma, orthodontic
treatment, bacterial infection or insufficient sealing of the root canal and leads to crater
formation at apex. Treatments are case-dependent and aim for the repair of the resorptive
lesion and prolong retention of the tooth. MATERIALS AND METHODS: This case report
presents the rapid progressive ERR of a maxillary right central of a 10-year old male who
suffered from the dental trauma. Patient referred to our clinic with recurrent pain in this
tooth. After clinical and radiographic examination, an external root resorption was observed.
The incisors were slightly tender to percussion and had moderate mobility. Under local
anesthesia, the access cavity was opened. After working length determination, the root
canal was chemomechanically prepared with manual K-files(Diadent) with copious 2,5%
NaOCl irrigation and rinsed with saline and dried. Calcium hydroxide-paste was used as
intracanal-medicament. After two-weeks, asymptomatic-tooth was filled with MTA-Angelus
and splinted to adjacent teeth with semi-rigid fixation. After 1-year radiographic evaluation
revealed that there was no resorption. After two-years he exposed to a second trauma.
Maxillary left central incisor had spontaneous pain and percussion. Root canal was
instrumented with Protaper files (Dentsply/Tulsa-USA) irrigated with 2,5% NaOCl, medicated
with calcium-hydroxide for 7-days, obturated with AH-Plus(Dentsply) and gutta-percha with
lateral condensation. RESULTS: MTA has been known with good chemical and biological
properties and these were proved with this case. CONCLUSION: MTA can be considered a
valid obturation material that can improve the healing outcome in severe inflammatory
resorptions.
PP.235. CLINICAL MANAGEMENT AND SUBSEQUENT HEALING OF A

HORIZONTAL ROOT FRACTURE
<Z'P>>m^͕mEsZ7>E7͘
^DEhZ<Z'P>>m-RESEARCH ASISSTANT-SELCUK UNIVERSITY, FACULTY OF DENTISTRY,

zmEsZ7>E7-PROF. -SELCUK UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF ENDODONTIC
<'ZKhE͗ dƌĂƵŵĂƚŦĐ ŝŶũƵƌŝĞƐ ŽĨ ƚĞĞƚŚ ĂƌĞ ƚŚĞ ŵĂŝŶ ĐĂƵƐĞ ŽĨ ĞŵĞƌŐĞŶĐǇ ƚƌĞĂƚŵĞŶƚ ŝŶ
dentistry. When a root fractures horizontally, the coronal segment is displaced to a varying
degree, but generally the apical segment is not displaced. As apical pulpal circulation is not
disrupted, pulp necrosis in the apical segment is extremely rare. METHODS AND MATERIALS:
A 25-year-old male patient was referred to endodontic clinic 1-day after trauma.
Radiographic examination revealed horizontal root fracture of the maxillary left central
incisor. It was slightly mobile and had vital response to electric pulp testing. Patient had both
spontaneous and percussion pain. On provisional repositioning and splinting the fragments,
root canal treatment was performed to the coronal root segment. Root canal were prepared
to F3 30/09( Dentsply Tulsa Dental, Tulsa USA) and irrigated with 2.5% sodium hypochlorite
(NaOCl). A calcium hydroxide paste mixed with chlorhexidine gluconate (CHX) was placed
with a lentulo filler. One week later, the tooth was asymptomatic; the root canals were
irrigated with 2.5% NaOCl, saline, CHX and obturated using AHPlus (Dentsply) and Gutta-
percha with lateral condensation technique. The splint stayed for one month until mobility
of the teeth considered within normal limits. RESULTS: A two-year follow-up of this case
revealed a well stabilized assembly of the root fragments when only coronal part filled with
conventional methods and achieved healing with fibrous connective tissue. CONCLUSIONS:
Based on this case report, conservative non-surgical management of horizontal root fracture
can be adequate treatment to achieve aesthetic, function and can preserve alveolar bone
volume.
PP.236. IN VITRO STUDY OF THE ROOT SURFACE INTEGRITY AFTER

RETROGRADE PREPARATION WITH DIFFERENT TECHNIQUES
PETKOVA D, MARKOVA K, VANGELOV L, ZIDAROVA V, AVRAMOVA M.
DESISLAVA PETKOVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, PLOVDIV, FACULTY OF

KREMENA MARKOVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, PLOVDIV, FACULTY OF
LYUBOMIR VANGELOV-CHIEF ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, PLOVDIV,
FACULTY OF DENTAL MEDICINE, DEPARTMENT OF OPERATIVE DENTISTRY AND
ENDODONTICS
VICTORIA ZIDAROVA-STUDENT-MEDICAL UNIVERSITY, PLOVDIV, FACULTY OF DENTAL
MEDICINE
MARTINA AVRAMOVA-STUDENT-MEDICAL UNIVERSITY, PLOVDIV, FACULTY OF DENTAL
MEDICINE
Abstract Despite high success rates after conventional endodontic treatment, there are
cases of failure which cannot be treated conventionally. In such cases surgical approach may
be a treatment of choice with predictable outcome. Aim: To evaluate the effect of the three
techniques used for root end cavity preparation on the integrity of the resected root surface
. Methods and materials: 63 freshly extracted upper front teeth were prepared with rotary
instruments, filled with gutta-percha and sealer. With a diamond bur 3 mm of the apices
were resected perpendicullary to the longitudinal axis of the tooth. Thirty-one of the teeth
were prepared with diamond coated ultrasound retro tip (Group 1), thirty one - with
stainless steel ultrasound retro tips (Group 2) and 31 with Er:YAG laser. Presence of cracks
and chippings was assessed by stereomicroscope, with magnification 20x. The preparation
time was recorded. Results: It was found statistical dependence between the time needed
for root preparation and the used tip (F=272.3, P<0.001). Such correlation was not found
between the type of the used tip and the presence of cracks and chippings (P>0.05, FEA).
Conclusions: According to the results, laser preserves the integrity of root end cavities better
than US devices, in terms of cracks, but it takes more time and creates prerequisite to
overpreparation. Keywords: cracks, root end cavity preparation, ultrasonic, Er:YAG laser
PP.237. TEMPERATURE CHANGES ON THE INNER ROOT SURFACE

INDUCED BY WARM GUTTA-PERCHA OBTURATION TECHNIQUES
BOYADZHIEVA E, DIMITROVA S, FILIPOV I, ZAGORCHEV P.
ELENA BOYADZHIEVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY-PLOVDIV, FACULTY OF

SILVIA DIMITROVA-CHIEF ASSISTANT PROFESSOR,PHD-MEDICAL UNIVERSITY-PLOVDIV,
FACULTY OF DENTAL MEDICINE, DEPARTMENT OF OPERATIVE DENTISTRY AND
ENDODONTICS
IVAN FILIPOV-PROFESSOR-MEDICAL UNIVERSITY-PLOVDIV, FACULTY OF DENTAL MEDICINE,
DEPARTMENT OF OPERATIVE DENTISTRY AND ENDODONTICS
PLAMEN ZAGORCHEV-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY-PLOVDIV, FACULTY OF
PHARMACY, DEPARTMENT OF PHYSICS, BIOPHYSICS AND MATHEMATICS
INTRODUCTION: TEMPERATURE RISES ON THE INNER ROOT SURFACE LINKED WITH WARM
GUTTA-PERCHA TECHNIQUES MAY AFFECT THE PROPERTIES OF THE ENDODONTIC SEALER,
THEREFORE THE QUALITY OF THE ROOT CANAL OBTURATION. PURPOSE: THE PURPOSE OF
THIS IN-VITRO STUDY WAS TO ESTABLISH THE MAXIMUM TEMPERATURE VALUES THAT
OCCUR ON THE INNER ROOT SURFACE DURING WARM VERTICAL COMPACTION,
THERMOPLASTICIZED GUTTA-PERCHA INJECTION, AND CARRIER-BASED
THERMOPLASTICIZED GUTTA-PERCHA OBTURATION TECHNIQUES. MATERIALS AND
METHODS: TWENTY-FOUR FRESHLY EXTRACTED, SINGLE-ROOT HUMAN TEETH WERE
SELECTED FOR THIS STUDY. THE TEETH HAD NO RESTORATIONS AND APICAL FORAMINA
BETWEEN 0.20MM AND 0.35MM IN DIAMETER. SPECIMENS WERE PREPARED BY THE SAME
OPERATOR USING WAVE ONE GOLD ENDODONTIC FILE SYSTEM TO APICAL SIZE OF 25/07 OR
35/06. IN ORDER TO ATTACH THE THERMOCOUPLES (0.26MM, 0.6MG), TWO HOLES WERE
PREPARED UNILATERALLY ON EACH ROOT AT THE 5TH AND THE 9TH MILIMETER. THE
OBTURATION PROCEDURES WERE PERFORMED IN A CYLINDRICAL THERMOSTATIC BLOCK
;ϯϳ͘ϬKцϬ͘ϱKͿ͕ &h>>z WZWZ z KhZ Z^Z, dD FOR ISOTHERM ENDODONTIC
MEASURMENTS. IN ADDITION, THE TEMPERATURE OF THE INJECTED OR OVEN-HEATED
GUTTA-PERCHA, AND THE TEMPERATURE ON THE SURFACE OF SYSTEM B HEATED PLUGGER
WERE RECORDED. RESULTS: THE HIGHEST TEMPERATURE WAS MEASURED WHEN
OBTURATING THE ROOT CANAL WITH WARM VERTICAL COMPACTION-83OC, FOLLOWED BY
INJECTION OF PLASTICIZED GUTTA-PERCHA-50OC, AND CARRIER-BASED
THERMOPLASTICIZED GUTTA-PERCHA-38.5OC. THE MOST SIGNIFICANT TEMPERATURE
VALUE IN THIS STUDY WAS MEASURED AT THE TIP OF THE SYSTEM B HEATED PLUGGER-
137OC. CONCLUSION: WARM VERTICAL COMPACTION AND INJECTED THERMOPLASTICIZED
MAY POTENTIALLY LEAD TO NEGATIVE EFFECT ON THE ENDODONTIC SEALER THROUGH
MORE SIGNIFFICANT TEMPERATURE RISES.
PP.238. CASE REPORT OF INTRAOSSEOUS ANESTHESIA AT

ENDODONTIC TREATMENT OF MANDIBULAR MOLAR WITH
IRREVERSIBLE PULPITIS
SIMEONOVA E, BIBOVA N, CANOVA S, ZAGORCHEV P, DIMITROVA S.
EMILIYA SIMEONOVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF DENTAL

MEDICINE, OPERATIVE DETRISTY AND ENDODONTICS
NADIYA BIBOVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF DENTAL
MEDICINE, OPERATIVE DETRISTY AND ENDODONTICS
SNEZHANA CANOVA-PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE,
OPERATIVE DETRISTY AND ENDODONTICS
PLAMEN ZAGORCHEV-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF
PHARMACY, MEDICAL PHYSICS, BIOPHYSICS AND MATHEMATICS
SILVIYA DIMITROVA-CHIEF ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF
DENTAL MEDICINE, OPERATIVE DETRISTY AND ENDODONTICS
Introduction Achieving a reliable and effective pulp anesthesia of mandibular molars with
irreversible pulpitis is a common clinical problem. Purpose The purpose of the case report is
to investigate the possibility of intraosseous anesthesia as a primary method of analgesia in
endodontic treatment of mandibular molar. Materials and methods It was conducted a
single-visit endodontic treatment of mandibular molar with irreversible pulpitis. The
anesthesia was performed with computer-assisted intraosseous system Quicksleeper. It was
studied: 1. Subjective feelings during and after anesthesia with Visual Analog Scale (VAS); 2.
Changes in pulse rate with pulse oximeter after intraosseous infiltration of 0.9 mL anesthetic
solution containing adrenaline; 3. Presence of pain through the different steps of endodontic
treatment with VAS; 4. Presence of postoperative pain in the place of anesthesia 24 hours
after treatment. Results There were no subjective complaints during and after intraosseous
anesthesia. It was registrated a transient increase in heart rate by 20 beats per minute for 90
seconds . There was no pain during the different steps of endodontic treatment and no
posteoperative pain in the place of anesthesia. Conclusion In this case report the
intraosseous anesthesia ensure an effective pulp anesthesia during endodontic treatment of
mandibular molar with irreversible pulpitis.
PP.239. CLINICAL RESEARCH OF PAIN, DURING THE ER:YAG LASER-

ACTIVATED IRRIGATION AT ENDODONTIC TREATMENT
BIBOVA N, TOMOV G, ZAGORCHEV P, DAKOV K.
NADYA BIBOVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY-PLOVDIV, FACULTY OF

DENTISTRY, DEPARTMENT OF OPERATIVE DENTISTRY AND ENDODONTICS
GEORGI TOMOV -ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY-PLOVDIV, FACULTY OF
DENTISTRY, DEPATMENT OF PARODONTOLOGY
PLAMEN ZAGORCHEV-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY-PLOVDIV, DEPARTMENT
OF MEDICAL PHISICS
KONSTANTIN DAKOV-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY-PLOVDIV, FACULTY OF
DENTISTRY, DEPARTMENT OF OPERATIVE DENTISTRY AND ENDODONTICS
Introduction Many factors occurs pain during the endodontic treatment: preoperative,
operative and postoperative. Extrusion of the irrigant in peri-radicular tissue is one of the
reasons challenged pain. 2.Aim To compare operative pain in the application of Er:YAG laser-
assisted irrigation and manual irrigation technique. 3.Material and method This study used
Er:YAG laser (Syneron, Israel) with parameters 0,3W, 15mJ, 20Hz. Were studied 47 patients,
64 single rooted, asymptomatic teeth diagnosed Necrosis pulpae. Cavum pulpae is filled with
irrigant and activated by Er:YAG laser for 1 min. 4.Results Of 32 patients receiving Er:YAG
laser-assisted irrigation is reported pain at 3 persons. Of 32 patients undergoing manual
technique of irrigation does not reported pain. 5.Conclusions The results of the Er:YAG laser
application to activate the solution at endodontic treatment are clinically comparable with
the manual irrigation and does not cause pain.
PP.240. CBCT AIDED INTERNAL ROOT RESORPTION TREATMENT
KOC C, SONMEZ G, KAMBUROGLU K.
CEMRE KOC-DR-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEP. OF ENDODONTICS

GUL SONMEZ-DR-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEP. OF ORAL AND
KIVANC KAMBUROGLU -PROF.DR-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEP. OF
ORAL AND MAXILLOFACIAL RADIOLOGY
Internal root resorption(IRR) is loss of root canal wall as a result of clastic activity. IRR is
generally asymptomaticn and usually detected during routine dental radiographic
examinations. If the hard tissue destruction cause perforation of the root canal wall, sinuc
tract may occur. Intraoral and panoramic images are limited to reveal exact size or location
of the resorptive defect and associated perforation due to their two dimensional nature.
However, CBCT imaging provides 3D visualization of all root surfaces. A 20-year old male
patient was referred to our clinic for endodontic therapy on asymptomatic right maxiller
central tooth. The patient had a trauma history for 10 years ago. The tooth was
nonresponsive to pulp vitality. The lingual mucosa was slightly tender on percussion. On
radiographic examination ,periapical radiolucency and involving related tooth and uncertain
enlargement in the middle third of root canal space was observed. CBCT images revealed
perforation on the lingual root canal wall. The access cavity and root canal preparation was
performed. After the root canal was dressed with calcium hydroxide for two weeks, apical
third of the root canal was obturated with gutta percha, perforation site and rest of root
canal was obturated with MTA- Angelus (Angelus, Londrina,PR,Brazil).Follow up of the
patient was uneventful. CBCT is an effective diagnostic tool for identifying the presence of
root resorptions and asssociated perforation sites. Also, it can bu use for outcome
assessment of root resorptions.
PP.241. ENDODONTIC MANAGEMENT OF MANDIBULAR SECOND

MOLAR TOOTH WITH FRACTURED INSTRUMENT, ABSCESS AND
PERIAPICAL LESION
AZMAZ NT, AYDINBELGE HA.
NAZIFE TUGBA AZMAZ-RESEARCH ASISTANT-SELCUK UNIVESITY DENTISTRY FACULTY

HALE ARI AYDINBELGE-PROFESSOR DOCTOR-SELCUK UNIVERSITY DENTISTRY FACULTY
Background: Instrument fracture within the root canal during root canal treatment is an
undesirable complication. The canal which has broken instrument segment may not be
cleaned and shaped effectively. There are several recommended methods to retrieve
separated instruments. In this clinical case report, use of ultrasonic vibrations for file
removal was presented in a mandibular second molar tooth with abscess and periapical
lesion. Material and methods: A 32 year old male was referred to the Department of
ŶĚŽĚŽŶƚŝĐƐ͕ &ĂĐƵůƚǇ ŽĨ ĞŶƚŝƐƚƌǇ͕ ^ĞůĕƵŬ hŶŝǀĞƌƐŝƚǇ͕ <ŽŶǇĂ͕ dƵƌŬĞǇ ĨŽƌ ĞŶĚŽĚŽŶƚŝĐ
management of a permanent mandibular second molar tooth with dentoalveolar abscess.
Orthopantomography showed a seperated endodontic instrument in the middle of the
mesio-buccal canal and associated periapical lesion. Non-surgical endodontic retreatment
was planned. Broken file was successfully retrieved by using low intensity ultrasonic
vibrations at the first session. After the instrument removed from the canal, the tooth was
prepared in working length. After resolution of the abscess, the endodontic treatment was
completed at the second appointment. Result: The patient was recalled at the end of six
months. The patient was satisfied by the treatment and the tooth was clinically
asymptomatic. A 6 months follow-up radiographic examination revealed progressive
involution of periapical lesion. Conclusion: The teeth which have broken instrument, abscess
and periapical lesion may be successfully treated with non-surgical endodontic retreatment.
PP.242. TREATMENT OF EXTERNAL ROOT RESORPTION DEPENDING
ON TRAUMA BY MTA: A CASE REPORT
EREN H, EREN I, YILMAZ F.
HAKAN EREN-DR.-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DENTOMAXILLOFACIAL

RADIOLOGY DEPT.
7ZD ZE-RESEARCH ASSISTANT-ANKARA UNIVERSITY, FACULTY OF DENTISTRY,
ENDODONTICS DEPT.
FUNDA YILMAZ-DR. -ANKARA UNIVERSITY, FACULTY OF DENTISTRY, ENDODONTICS DEPT
Treatment of External Root Resorption Depending on Trauma by MTA: A Case Report

Background: The response of the dentoalveolar tissues to infection is characterized by
inflammation which may result in tooth resorption. External root resorption is an
uncommon and intractable disease. Depending upon the type of resorption and etiology,
different treatment regimens have been proposed. Treatment alternatives are case-
dependant and aim for the repair of the resorptive lesion and long-term retention of the
tooth. MTA can be a superior material to be successfully used in the non-surgical treatment
of ERR. Case Report: 55 year-old female patient reffered to hospital for a routine dental
check-up. Periapical radiographic examination was performed and periapical lesion with
external root resorption was identified in upper right second incisor. It was found out by the
ƉĂƚŝĞŶƚ͛ƐĂŶĂŵŶĞƐŝƐƚŚĂƚƚŚĞƌĞŚĂĚďĞĞŶĂƚƌĂƵŵĂŚŝƐƚŽƌǇϱǇĞĂƌƐĂŐŽ͘/ƚǁĂƐĂůƐŽĚĞƚĞĐƚĞĚ
by clinical examination that patient had an uncompleted root canal therapy. Intracanal MTA
therapy was applied to take the external root resorption under control before root canal
therapy. 1 year follow-up was also presented. Conclusion: Intracanal MTA can be considered
as a viable option for root canal filling in external root resorption.
PP.243. THE EFFECT OF QMIX IRRIGANT ON REMOVAL OF CANAL

WALL SMEAR LAYER
NOGO-/sEKs/͕^dK:EKs/E͕<E:sd͕dE^<Ks//͘
DAJANA NOGO-/sEKs/-DDS-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,

DEPARTMENT FOR RESTORATIVE DENTISTRY AND ENDODONTICS
E/<K>^dK:EKs/-DDS MSC PHD-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,
/'KZ ZKs/-DDS MSC-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,
TATJANA KANJEVAC-DDS MSC PHD-UNIVERSITY OF KRAGUJEVAC,FACULTY OF MEDICAL
SCIENCES,DEPARTMENT OF PREVENTIVE AND PEDIATRIC DENTISTRY
/ZE dE^<Ks/-DDS MSC PHD-UNIVERSITY OF KRAGUJEVAC,FACULTY OF MEDICAL
SCIENCES,DEPARTMENT OF HISTOLOGY AND EMBRYOLOGY
Introduction: During root canal preparation, smear layer is formed and deposites along the
canal walls. The presence of a smear layer can prevent the penetration of intracanal
medicaments and irrigants into the dentinal tubules, reduces sealer adhesion and affect
sealing negatively. The different types of irrigant solutions using in endodontic therapy to
remove smear layer. The study examined the effect of final irrigation with QMix or 17%
EDTA on the smear layer removal. Methods and materials: Thirty recently extracted human
single-rooted teeth were used in this study. Chemo-mechanical preparation was performed
using ProTaper (Denstply Maillefer, Ballagues, Switzerland) nickel titanium rotary
instruments. The roots were randomly divided into three groups (n=10) according to the
types of irrigant used as the final rinse, after initial NaOCl irrigation: Group I: 17% EDTA,
Group II: QMix, Group III: distilled water (control group). Roots were split longitudinally and
prepared for scanning electron microscope (X2000) to evaluate of smear layer removal in
the coronal, middle and apical thirds. Results: QMix was more efficient to remove smear
layer from the apical and middle third than the EDTA (p<0.05). The specimens in QMix and
EDTA groups presented cleaner surfaces when compared with control group (distilled water)
irrespective of root thirds (p<0.01). Conclusion: It can be concluded that final irrigation with
QMix were superior to EDTA in smear layer removal. Key words: QMix, EDTA, smear layer,
scaning electron microscope
PP.244. UNUSUAL MAXILLARY FIRST MOLAR VERIFIED BY CBCT

SCANNING: A CASE REPORT
GULTEKIN DS, COBANKARA FK.
DIDEM SEDA GULTEKIN-RESEARCH ASISTANT-SELCUK UNIVERSITY

FUNDA KONT COBANKARA-PROFESSOR DOCTOR-SELCUK UNIVERSITY
AIM: The purpose of this case report is to describe the unusual anatomy that was detected
in a maxillary first molar during endodontic treatment. BACKGROUND: Apart from known
anatomical structures, variations in canal morphology can be seen in many teeth. Knowledge
this variations, particularly concerning the location and treatment of all canals, is very
important for the success of endodontic therapy. Maxillary first molar teeth have highly
complex root and canal morphology. There are many publications about maxillary first molar
with complex root canal system and their management in the literature. MATERIAL AND
METHODS: It was prepared access cavity for routine endodontic procedures. There were two
obvious canal orifices, buccal and palatinal. During preparation it was felt that file was
directed to different angle in the apical part of buccal canal. After treatment performed in
one visit, CBCT was taken. The sections of the scan were showed the buccal canal had type
IV canal configuration. RESULT: This case report showed the importance of CBCT in cases of
variations not detectable by radiography. CONCLUSION: Clinicians should always be aware
about the possibility of variation such as extra canal, lateral canal, apical delta, apical
ramifications entity or a small number of root and canal forms. Preoperative and
intraoperative radiographs taken at different angles can be used to evaluate root canal
morphology. Also, using an advanced imaging method such as CBCT is very important to
confirm the three-dimensional anatomy of teeth.
PP.245. CYCLIC FATIGUE TESTING OF NICKEL TITANIUM ROTARY
INSTRUMENTS: A REVIEW OF LITERATURE
INTZES L, TZIMA ZD, GOGOS C, ECONOMIDES N.
LAMPROS INTZES-PHD CANDIDATE-DEPARTMENT OF ENDODONTOLOGY, SCHOOL OF

DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI
ZOI-DESPOINA TZIMA-POSTGRADUATE STUDENT-DEPARTMENT OF ENDODONTOLOGY,
SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI
CHRISTOS GOGOS-ASSOCIATE PROSFESSOR-DEPARTMENT OF ENDODONTOLOGY, SCHOOL
OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI
NIKOLAOS ECONOMIDES-PROFESSOR-DEPARTMENT OF ENDODONTOLOGY, SCHOOL OF
Cyclic fatigue testing of Nickel-Titanium rotary instruments: A review of literature

Background: Despite the superior mechanical properties of NiTi rotary instruments, file
separation remains a major concern. Cyclic flexural fatigue and torsional failure are
responsible for this phenomenon. Several studies strive to investigate in vitro the
contribution of cyclic fatigue resistance to instrument separation. Methods and Materials:
Thus far, a standardized testing method for cyclic fatigue resistance of rotary instruments is
lacking. As a result, a wide range of devices has been developed in order to fulfill the
purpose of uniformity in methodology. This review includes studies in which the tested
instruments were confined in a glass or metal tube, in a sloped metal block or in a grooved
block-and-rod assemblyResults: The superiority of one laboratory study model design over
another seems questionable. Variations in the methodology have an impact on the fatigue
behavior of rotary instruments and subsequently on the outcome of these studies.
Conclusions: A universal standardization on cyclic fatigue testing of NiTi rotary instruments is
required to ensure comparable results.
PP.246. FREQUENCY OF TWO-ROOTED MANDIBULAR CANINES IN

POPULATION OF CENTRAL SERBIA ² A CBCT STUDY
/sEKs/^͕WW/D͕s>a<Ks/͕WKWKs/D͕>h</͘
^hE /sEKs/-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL

D/>KaWW/-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL SCIENCES,
><ÊZs>a<Ks/-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL
D/>/ WKWKs/-ASSISTANT PROFESSOR-DEPARTMENT OF DENTISTRY, FACULTY OF
MEDICAL SCIENCES, UNIVERSITY OF KRAGUJEVAC, SERBIA
><ÊZ >h</-FULL PROFESSOR-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL
BACKGROUND: The canines play an important role in occlusion guidance, in preserving facial
ƐŚĂƉĞĂŶĚĂĞƐƚŚĞƚŝĐƐ͘&ŽƌƐƵĐĐĞƐƐĨƵůĞŶĚŽĚŽŶƚŝĐƚŚĞƌĂƉǇŝƚ͛ƐŶĞĐĞƐƐĂƌǇƚŽŬŶŽǁƚŚĞĞǆƚĞƌŶĂů
and internal root morphology of the tooth. Mandibular canines in most cases have one root
and one root canal, although according to previous studies two-rooted mandibular canines
occur in 1.7% to 6.2% of cases, and in 10.6% have two or more root canals. Aim of this study
is to determine root and root canal morphology of mandibular canines in Central Serbian
population using CBCT. METHODS AND MATERIALS: This study involved a retrospective
analysis of 95 CBCT images. All images were made in the x-ray cabinet of the Faculty of
Medical Sciences, University of Kragujevac from Oct. 2014. to Dec. 2016. During the analysis
of images, the number of roots and root canals of mandibular canines were registered.
Vertucci classification was used for the analysis of the root canal morphology. RESULTS: Of
155 mandibular canines, one root was present in 94.2% of the teeth, while two roots were
present in 5.8% of cases. Two root canals were present in 7.0%. The analysis of root canal
morphology showed that the type I was the most frequent in 92.9%, and type V was the
second most common in 5.8%. CONCLUSION: These findings confirm the significance of
knowing the external and internal root morphology in endodontics, since there are
morphological variations among different populations. CBCT may be a good diagnostic tool
for the evaluation of tooth morphology.
PP.247. ENTEROCOCCUS FAECALIS: INTRATUBULAR DISINFECTION

ACHIEVED WITH CALCIUM HYDROXIDE COMBINED WITH
DIFFERENT VEHICLES AS INTRACANAL MEDICAMENT
MARAGKOU KL.
KALLIOPI-LIDA MARAGKOU-MDDR-ARISTOTLE UNIVERSITY THESSALONIKI, DEPARTMENT OF

ENDODONTICS
Enterococcus faecalis: Intratubular disinfection achieved with calcium hydroxide combined

with different vehicles as intracanal medicament. Backgrounds: Calcium hydroxide is a
widespread endodontic intracanal medicament, but alone it is not effective against
intratubular bacteria. Enterococcus faecalis, is considered as a resistant bacterial strain
isolated from failed endodontic therapies, due to its ability to invade deep in dentinal
tubules. Thus, the aim of this review was to compare the efficacy of calcium hydroxide
vehicles including silver nanoparticles, which tend to become the new promising vehicle for
calcium hydroxide. Methods and Materials: A comprehensive search was made in PUBMED
database. Reference lists from relevant articles were scanned and then inclusion/exclusion
criteria were applied. Included studies were categorized according to the vehicle mixed with
calcium hydroxide (sterile water or saline, chlorexidine, propylene glycol, silver
nanoparticles). Results: Forty-two studies were retrieved and twenty-two were considered
as relevant. As ĞǆƉĞĐƚĞĚ͕ĂĐƋƵĞŽƵƐǀĞŚŝĐůĞƐǁĞƌĞŶ͛ƚĂďůĞƚŽƉƌŽǀŝĚĞĚŝƐŝŶĨĞĐƚŝŽŶŽĨĚĞŶƚŝŶĂů
tubules. Combination of calcium hydroxide with chlorexidine despite that it showed no
synergistic effect, performed better than CH alone. Addition of propylene glycol to calcium
hydroxide somehow increased its antibacterial efficacy against intratubular enterococci.
Recently, silver nanoparticles were found to be very effective in elimination of E.faecalis
biofilm even in short-term medication. Conclusion: Calcium hydroxide alone had limited
effectiveness in eliminating bacteria from dentinal tubules. However its combination with
different vehicles and new methods of application increased not only its antibacterial
activity but also its penetrability into inaccessible areas for chemomechanical preparation.
PP.248. REGENERATIVE ENDODONTIC TREATMENT IN TEETH WITH
IMMATURE APICES
ROUSSOU K, SIDIROPOULOS K.
KONSTANTINA ROUSSOU-D. D. S.-SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF

THESSALONIKI, THESSALONIKI, GREECE
KONSTANTINOS SIDIROPOULOS-D. D. S.-SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF
REGENERATIVE ENDODONTIC TREATMENT IN TEETH WITH IMMATURE APICES BACKROUND:

REVASCULARIZATION OR REGENERATIVE ENDODONTIC TREATMENT IS ONE OF THE
TREATMENT OPTIONS IN TEETH WITH INCOMPLETE ROOT FORMATION. THE BIOLOGICAL
BASE OF REGENERATIVE ENDODONTIC TREATMENT IS BASED ON TISSUE ENGINEERING
WHICH INCLUDES THE USE OF (DENTAL PULP) STEM CELLS, SCAFFOLDS AND GROWTH
FACTORS. THE REGENERATIVE PROCEDURES INCLUDE DISINFECTION OF THE ROOT CANALS
WITH IRRIGANTS AND INTRACANAL MEDICAMENTS, PROVOCATION OF BLEEDING AND
CREATION OF A BLOOD CLOT INTO THE CANAL AND FINALLY THE CORONAL SEAL. METHODS
& MATERIALS: IN THIS STUDY DENTAL JOURNALS WERE REVIEWED USING THE ONLINE
PUBMED DATABASE WITH KEYWORDS REGENERATIVE ENDODONTIC TREATMENT,
REVASCULARIZATION, TRIPLE ANTIBIOTIC PASTE, STEM CELLS. THE MATERIALS OF THE
STUDY COMPRISE OF CLINICAL AND IMAGING STUDIES, CASE REPORTS AND SYSTEMATIC
REVIEWS IN ENGLISH. RESULTS & CONCLUSION: CASE REPORTS AND CASES SERIES PROVIDE
PROMISING RESULTS, ALTHOUGH ANIMAL STUDIES DOCUMENT REPAIR RATHER THAN
REGENERATION, WHICH OPENS THE DISCUSSION ON PROGNOSIS AND OUTCOME,
ESPECIALLY THE BIOLOGICAL VERSUS THE PATIENTBASED OUTCOME. REGENERATIVE
ENDODONTIC PROCEDURES HOLD THE PROMISE OF RESTORING THE PULP/DENTIN
COMPLEX IN TEETH WITH IMMATURE ROOTS AND NECROTIC PULPS. HOWEVER THERE IS
NEED FOR CONDUCTING SEVERAL EXPERIMENTAL AND CLINICAL STUDIES.
PP.249. INTENTIONAL REPLANTATION OF AN ENDODONTICALLY

COMPROMISED HOPELESS TOOTH
CANPOLAT N͕KE<Z&<͘
E7 EWK>d ;Z^Z, ^^/^dEd͖ ^Ϳ-INTENTIONAL REPLANTATION OF AN

ENDODONTICALLY COMPROMISED HOPELESS TOOTH-SELCUK UNIVERSITY DENTISTRY
FACULTY DEPARTMENT OF ENDODONTICS
&hE<KEdKE<Z;WZK&^^KZ͖^͕W,Ϳ
AIM: The purpose of this case report is to present intentional replantation of a mandibular
left central incisor after two failed endodontic retreatments. BACKGROUND: Conventional
endodontic treatment may fail eventually although it usually has high success rates. In such
cases, retreatment or apical surgery may be considered. However, if these treatment
options are impossible or impractical, intentional replantation might be last resort for
preserving the tooth. MATERIAL AND METHODS: A 33-year-old woman sought treatment
with complaint of discomfort in the mandibular left central incisor. Radiographs showed that
the mandibular left central incisor was endodontically treated and had periapical radiolucent
lesion. Retreatment had been done six months ago. However, the second retreatment was
also failed. Intentional replantation was planned since the patient refused any surgical
attempt. When the tooth was extracted, a second root was detected which was not noticed
before. After the extraoral retrograde filling of the second root, tooth was replanted. After
12 months, the tooth was functioning without showing any clinical problems and, good
apical healing was detected via radiographs. RESULT: This case report suggests that
intentional replantation is a predictable and accepted endodontic treatment procedure to
correct an obvious radiographic or clinical endodontic failure. CONCLUSION: Although the
success rate of intentional replantation is far below than routine endodontic treatment or
apical surgery, it can be reserved as a last resort after other procedures have failed or when
apical surgery is not an option.
PP.250. REGENERATIVE PROCEDURES ON ENDODONTIC SURGERY:

A CASE REPORT AND A LITERATURE REVIEW
SIDIROPOULOS K, ROUSSOU K, ECONOMIDES N.
SIDIROPOULOS KONSTANTINOS-DENTIST-ARISTOTLE UNIVERSITY OF THESSALONIKI

ROUSSOU KONSTANTINA-DENTIST
ECONOMIDES NIKOLAOS-ASSOCIATE PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI
AIM/BACKGROUND: THE PURPOSE IS TO PRESENT A CASE OF AN APICO-MARGINAL DEFECT

ON A SECOND MANDIBULAR PREMOLAR WHICH TREATMENT INCLUDED ENDODONTIC
SURGERY WITH THE USE OF GTR TECHNIQUES. THE CASE REPORT WAS FOLLOWED BY A
LITERATURE REVIEW INCLUDING THE IMPLEMENTATION OF REGENERATIVE PROCEDURES
ON ENDODONTIC SURGERY. MATERIALS AND METHODS: THIS PRESENTATION DESCRIBES
THE SUCCESSFUL TREATMENT OF AN ENDODONTIC-PERIODONTAL COMBINED
LESION(PRIMARY ENDODONTIC INVOLVEMENT) INVOLVING THE BUCCAL PLATE AND
PERIAPICAL AREA OF #35.THE TREATMENT PROTOCOL INCLUDED ROOT CANAL
RETREATMENT AND ENDODONTIC SURGERY WITH THE USE OF COLLAGEN MEMBRANE AND
XENOGENEIC BOVINE BONE. A CBCT EXAMINATION WAS PERFORMED PRE-OPERATIVELY
AND POST-OPERATIVELY PROVIDING AN ADDITIONAL PROOF OF HEALING PROCESS. A
LITERATURE REVIEW WAS CONDUCTED ON PUBMED UP TO 1 JANUARY 2017 FOCUSING ON
CLINICAL HUMAN STUDIES. RESULTS: THE CLINICAL AND RADIOGRAPHIC EXAMINATION ON
FOLLOW ʹhW^ &dZ Ϯ zZ^͕ ^,Kt d, &KZDd/KE K& ͞KE->/<͟ d/^^h KE
PERIAPICAL AREA OF #35 AND THE RECONSTRUCTION OF BUCCAL PLATE. THE SIZE, THE TYPE
OF LESION AND THE BIOMATERIAL WERE IDENTIFIED AS FACTORS THAT AFFECT THE
OUTCOME OF REGENERATIVE PROCEDURES ON ENDODONTIC SURGERY. THE MOST
FAVORABLE OUTCOMES WERE ASSOCIATED WITH THROUGH-THROUGH LESIONS(1B),
APICOMARGINAL DEFECTS(2B) AND LARGE PERIAPICAL LESIONS(>10MM). ALSO
BIOABSORBABLE MEMBRANE WITH THE USE OR NOT OF BONE GRAFTS DEMONSTRATES A
SIGNIFICANT ADVANTAGE OVER THE OTHER AVAILABLE BIOMATERIALS. CONCLUSION:
REGENERATIVE PROCEDURES MAY PROVIDE A TREATMENT OPTION WITH PREDICTABLE
OUTCOMES AFTER SURGICAL ENDODONTIC TREATMENT. THE SUCCESSFUL OUTCOME
DEPEND ON STRING CASE SELECTION.
PP.251. MULTIPLE DENS EVAGINATUS ON THE PREMOLARS OF A 14
YEAR-OLD CHINESE GIRL. CASE REPORT
ZIOUTIS V, IDZAHI K, PANTELIDOU O.
ZIOUTIS VASILEIOS-DDS-JEUGDTANDZORG WEST, THE HAGUE

KARIM IDZAHI-DDS, MSC ENDODONTIST-ACADEMIC CENTRE OF DENTISTRY AMSTERDAM,
CLINIC BOLLENSTREEK, THE HAGUE
OURANIA PANTELIDOU-ASSOCIATE PROFESSOR, ENDODOLOGY-ARISTOTLE UNIVERSITY OF
THESSALONIKI
Dens evaginatus is a dental anomaly during the tooth development that appears clinically as
an additional occlusal cusp that consists of enamel, dentin and sometimes enclosing pulp
ʏŝƐƐƵĞ͘dŚŝƐĂďŶŽƌŵĂůĐƵƐƉĐĂŶďĞďƌŽŬĞŶŽƌǁŽƌŶŽƵƚƚŚĂƚůĞĂĚƐƚŽĂƉƵůƉĞǆƉůŽƐƵƌĞǁŚŝĐŚ
causes pulpal infection, necrosis and perioapical inflammation. A 14 year-old girl with
chinese origin was presented with mild pain to the right side of the upper jaw and she
complained for an abscess a couple days ago. Clinical and radiographic examination revealed
a fistula and a periapical radiolucent lession to the premolar 15 respectively. The premolar
was free of decay or fillings and the formation of the root was still incomplete. The patient
was under orthodontic treatment. More thorough clinical examination revealed dens
evaginatus on the upper and lower premolars. The patient was refered to an endodontist in
order to carry out the endodontic treatment. The apical part of the root was filled with MTA
and the rest with the technique of vertical compaction of warm Gutta Percha. The further
treatment plan consisted of oral hygiene instructions and drilling of the other non-
pathological extra cusps with indirect pulp capping in order to prevent and avoid further
attrition and eventual infection. A 8-month follow-up of these teeth shows no pathology or
pain and the pulp tissue remains vital. Early diagnosis and correct approach of dens
envaginatus play a vital role to the pulpal viability and to ensure a complete root formation.
PP.252. MOLECULAR-GENETIC TECHNIQUE STUDYING THE ORIGIN

OF ANAEROBIC BACTERIA IN PRIMARY ENDODONTIC INFECTIONS
LACEVIC A, SARAJLIJA M, KAPUR POJSKIC L, POJSKIC N, BAJROVIC K.
AMELA LACEVIC-PHD-SCHOOL OF DENTISTRY SARAJEVO UNIVERSITY DEPARTMENT OF

DENTAL PATHOLOGY AND ENDODONTICS
MUBERA SARAJLIJA-MDS-SCHOOL OF DENTISTRY SARAJEVO UNIVERSITY DEPARTMENT OF
DENTAL PATHOLOGY AND ENDODONTICS
LEJLA KAPUR POJSKIC-PHD-INSTITUTE FOR GENETIC ENGINEERING AND BIOTECHNOLOGY
NARIS POJSKIC-PHD-INSTITUTE FOR GENETIC ENGINEERING AND BIOTECHNOLOGY
KASIM BAJROVIC-PHD-INSTITUTE FOR GENETIC ENGINEERING AND BIOTECHNOLOGY
Title: Molecular-genetic technique studying the origin of anaerobic bacteria in primary

endodontic infections Introduction: Quantitative molecular detection method in
determining number of species specific cell copies is reliable method of detection. Estimated
exact number of DNA copies of targeted microbes were analyzed and based on reference
genome copies obtained from ATCC. Purpose: To detect anaerobic bacterial origin in primary
endodontic infection by quantitative molecular method. Method and materials: The study
was performed on the single rooted teeth of thirty patients who fulfilled enrollment criteria.
Cases were diagnosed as: chronic apical periodontitis, acute apical periodontitis or localized
abscesses, all primary endodontic infections with chronic periodontits. Exclusion criteria
were: presence of mucosal fistula, aggressive form of periodontitis, radiographic evidence of
endodontic-periodontal communication and the use of antibiotic in previous two months.
Specimen sampling was performed under strict aseptic conditions and used as a source of
DNA for further analyzes. The origin of targeted anaerobic bacteria in endodontic infection
was analyzed by SYBER Green RT/PCR absolute quantitative method. Results: The most
frequent species found in primary endodontic infection were: F. nucleatum 100%, T.
forsythia 90% , P. gingivalis 70%, A. actinomycetemcomitans 3%. Pearson test detected
significant correlation in endodontic biofilm only between F. nucleatum and T. forsythia
(P=0.03 , r= 0,380). The origin of anaerobic bacteria in primary endodontic infection, as
found by T-test, will be presented in table. Conclusions: Molecular detection method in this
study underline that anaerobic bacteria detected in primary endodontic infection originate
from periodontal pockets of concomitant endodontic-periodontal infections.
PP.253. CROWN REATTACHMENT WITH COMPLICATED CROWN

FRACTURE USING FIBER-REINFORCED POST
&hEK)>h<mm<<E/&͕<mm<<E/^͘
&hE&hEK)>h<mm<<E/-DDS, PHD-DEPARTMENT OF ENDODONTICS, FACULTY OF

,Dd^Z<E<mm<<E/-DDS, PHD-DEPARTMENT OF PROSTHODONTICS, FACULTY OF
Background: Maxillary incisors are the most common teeth to be related to dental trauma
because of their exposed position in the dental arch. Patients want traumatized anterior
teeth to be repaired quickly due to aesthetic concerns. In this case, reports present a
successful treatment of a complicated crown-root fracture on a single visit. The treatment
includes a fractured tooth adhesive reattachment of the fragment part using a fiber
reinforced post after endodontic treatment. Case Presentation: A 26-years-old male patient
was referred to Department of Endodontic, Ordu University of Turkey with a dental injury of
the maxillary right, left central incisors and left lateral incisor. Clinical and radiographic
examination of left central, lateral incisors revealed a complicated horizontal crown fracture
that extended subgingivally on the palatal area with a single fragment attached only by
periodontal ligament fibers as well as widely open pulp chamber. Moreover, right lateral
incisor had a noncomplicated crown fracture. Crown reattachment was performed using a
fiber-reinforced post after endodontic treatment. Composite resin restoration was
performed on right central incisor. Results: Clinical examination after 12 months revealed a
stable reattachment of the fragment, acceptable esthetics, satisfying function, and
periodontal health with no bleeding on probing. Patient satisfied with this treatment.
Conclusion: The use of fiber reinforced restoration along with adhesive technology may be
an aesthetic restorative option and less invasive procedure than the conventional crown on
a single visit.
PP.254. 3D QUANTITATIVE ANALYSES OF MINIMALLY INVASIVE
ENDODONTIC CAVITY
ISUFI A, PLOTINO G, GRANDE NM, XHEMNICA R, GAMBARINI G.
ALMIRA ISUFI-DDS, MSC, PHD-SAPIENZA, UNIVERSITY OF ROME, ITALY

GIANLUCA PLOTINO-DDS, PHD-SAPIENZA, UNIVERSITY OF ROME, ITALY
NICOLA MARIA GRANDE-DDS, PHD-CATHOLIC UNIVERSITY OF SACRED HEART, ROME, ITALY
ROZELA XHEMNICA-DDS-FACULTY OF MEDICAL DENTISTRY, UNIVERSITY OF MEDICINE,
TIRANA, ALBANIA
GIANLUCA GAMBARINI-MD,DDS-SAPIENZA, UNIVERSITY OF ROME, ITALY
Objective: To determine and compare the difference of coronal dentine and enamel volume
removed when preparing traditional (TEC), and two minimally invasive access cavities:
ĐŽŶƐĞƌǀĂƚŝǀĞ ;Ϳ ĂŶĚ ͞ŶŝŶũĂ͟ ĞŶĚŽĚŽŶƚŝĐ ;EͿ ĂĐĐĞƐƐ ĐĂǀŝƚŝĞƐ ĂŶĚ ƉƌŽƉŽƐĞ Ă ŶĞǁ
classification. Methods: Thirty maxillary and thirty mandibular extracted human intact
molars were selected and assigned to TEC, CEC or NEC groups (n = 10/group/type).
Specimens were imaged with CBCT (iCAT) before and after preparing endodontic access
cavities. The sliced image data were exported as DICOM-file and imported into the MeVisLab
framework system for segmentation and volume measurement. After segmentation, the
volume of coronal dentine and enamel was measured and the difference in percentage of
the volume removed when preparing endodontic access cavities was calculated. The data
were statistically analyzed with analysis of variance (ANOVA) and Student-Newman-Keuls
test for multiple comparisons. Results: The results show that there is significant difference
between the three groups. The amount of dentine and enamel removed (DER) is significantly
lower in NEC, both in maxillary and mandibular molars (P< .05). The CEC cavity removed
significantly lower values of DER compared to TEC. According to the results we propose a
new classification: NEC (3-6% volume of DER), CEC ( up to 12-15% volume of DER) and TEC
(more than 15-23% volume of DER). Conclusions: The present study defined the volumetric
changes in the volumes of dentine and enamel removed when preparing minimally invasive
endodontic access cavities and proposed a classification according to their volume.
PP.255. DENTINAL CRACK FORMATION AFTER ROOT CANAL

PREPARATION: ROTARY VERSUS RECIPROCAL INSTRUMENTATION
AYDINBELGE HA, YILMAZ MO.
HALE ARI AYDINBELGE-PROFESSOR DOCTOR-SELCUK UNIVERSITY FACULTY OF DENTISTRY

ENDODONTI
MINE OZCELIK YILMAZ-RESEARCH ASSISTANT-SELCUK UNIVERSITY FACULTY OF DENTISTRY
ENDODONTI
Introduction: The aim of this investigation was to compare the incidence of dentinal crack
after preparation with reciprocating (Reciproc and WaveOne) and fullsequence rotary
(ProTaper Next and ProTaper Universal) instruments. Methods: Seventy-five mandibular
central incisors with mature apices and straight root canals (<50) that had been extracted for
periodontal reasons were selected and stored in distilled water until use. Fifteen teeth were
left unprepared and served as a negative control group, and the remaining 60 teeth (4
experimental groups) were prepared by using fullsequence rotary (ProTaper Next and
ProTaper Universal) and reciprocating (Reciproc and WaveOne) instruments. After
preparation, the teeth were horizontally sectioned at 3, 6, and 9 mm from the apex with a
low-speed saw under water-cooling. All slices were then viewed through a stereomicroscope
(Novex, Arnhem, The Netherlands) at 25X magnification and pictures were taken. The
presense of dentinal crack was noted and analyzed by used the chi-square test. Results: The
control group had no dentinal crack. All root canal preparation with both rotary and
reciprocating instruments resulted in dentinal crack. In the 3 mm section, PU produced
significantly more dentinal crack than control group and experimental groups (p < 0.05). The
PN group produced significantly more dentinal crack in the 6 mm sections than 3 and 9 mm
sections.(p < 0.05). Conclusion: Under the conditions of this study, root canal preparation
with both rotary and reciprocating instruments resulted in dentinal crack.
PP.256. THE PERCENTAGE, THE QUALITY AND OTHER DATA ABOUT

ENDODONTIC TREATMENTS IN AN ALBANIAN ADULT POPULATION
SUBASHI E, HYSI N.
ENXHI SUBASHI-DENTIST-ALBANIAN UNIVERSITY

NERITA HYSI-DENTIST-ALBANIAN UNIVERSITY
Many studies about the percentage ,the quality and other data about root canal fillings ,
demonstrate a low proportion of appropriate root fillings (33-42%) and many (21-22%) of
periapical radiolucencies.The aim of the present radiographic study was to determine if
there is any difference between the two groups that we are studying .To achieve this goal,
orthopantomograms taken in patients who attended our University Dental Clinic for the first
time in 2015 and others who attended other private dental clinics were evaluated. The
following criteria were applied to assess the root-filled teeth : length and homogeneity of
the root fillings and the periapical state. In group A, 42% of the root fillings ended 1-2mm
before the radiographic apex and in group B this percentage was 33%. Sufficient
homogeneity was found in 49% (group A) and 43% (group B) of the root fillings. The
prevalence of root-filled teeth with periapical lesions was 22% in group A and 21% in group
B. It is concluded that, the number of endodontic treatments in our population is big enough
and also further efforts in research and dental schools should focus on the treatment of
curved root canals.
PP.257. THE CLEANING EFFICACY OF PASSIVE ULTRASONIC

IRRIGATION AND XP-ENDO FINISHER AFTER POST SPACE
PREPARATION
^)>D͕,Z͕<K<DD͕<K<^͕dmZ<Z^͘
ZE E ^)>D-DDS PHD-m>Ed s/d hE/sZ^/dz &h>dz K& Ed/^dZz͕

DEPARTMENT OF ENDODONTICS, KOZLU ZOGULDAK TURKEY
ECEHAN HAZAR-DDS-m>Eds/dhE/sZ^/dz&h>dzK&Ed/^dZz͕WZdDEdK&
ENDODONTICS, KOZLU ZOGULDAK TURKEY
Dh^d& DhZd <K<-DDS PHD-m>Ed s/d hE/sZ^/dz &h>dz K& Ed/^dZz͕
^/> <K<-DDS PHD-m>Ed s/d hE/sZ^/dz &h>dz K& Ed/^dZz͕ WZdDEd
OF ENDODONTICS, KOZLU ZOGULDAK TURKEY
^s/E <dDhZ dmZ<Z-DDS PHD-m>Ed s/d hE/sZ^/dz &h>dz K& Ed/^dZz͕
Background: The aim of this study is to evaluate the efficacy of passive ultrasonic irrigation
and XP-endo Finisher on the surface cleanliness of root canal walls after post space
preparation in endodontically treated teeth. Methods: Forty extracted mandibular premolar
teeth were endodontically treated. After post space preparation, the teeth were divided into
four groups. Different irrigation protocols following post space preparation were performed
as follows; distilled water as a control group (Group 1), NaOCl/EDTA without any activation
(Group 2), NaOCl/EDTA irrigation with passive ultrasonic activation (Group 3), and
NaOCl/EDTA irrigation with XP-endo Finisher (Group 4). The teeth were split and the canal
ǁĂůůƐ ǁĞƌĞ ĞǆĂŵŝŶĞĚ ǁŝƚŚ ƐĐĂŶŶŝŶŐ ĞůĞĐƚƌŽŶ ŵŝĐƌŽƐĐŽƉĞ ƵŶĚĞƌ ϭϬϬϬп ŵĂŐŶŝĨŝĐĂƚŝŽŶ͘ dŚĞ
presence of debris was evaluated with 3-point scoring system. For each sample 10 scores
were obtained and averaged. The results were statistically analyzed. Results: None of the
irrigation protocols could completely clean the canal walls after post space preparation.
Passive ultrasonic irrigation and XP-endo Finisher groups demonstrated lower scores than
the control and non-activated NaOCl/EDTA groups. The highest results were recorded in the
control group. Conclusion: The activation with passive ultrasonic irrigation or XP-endo
Finisher was more effective in cleaning of the root canal walls after post space preparation.
PP.258. THE EFFECT OF INTERACTION BETWEEN DIFFERENT

ENDODONTIC IRRIGANTS ON DENTINAL PERMEABILITY
:>Ks/>͕<ZhE/:͕Z/:͕>/:͕<E:sd͘
>:/>:E:>Ks/-DD,MSC-DEPARTMENT OF RESTAURATIVE DENTISTRY AND

EKKEd/^͕&h>dzK&D//E͕hE/sZ^/dzK&^d^Z:sK͕&K͕KÊ/E
HERZEGOVINA
:>E<ZhE/-DD,PHD-DEPARTMENT OF RESTAURATIVE DENTISTRY AND ENDODONTICS,
&h>dzK&D//E͕hE/sZ^/dzK&^d^Z:sK͕&K͕KÊ/E,Z'Ks/E
:>EZ/-DD, PHD-DEPARTMENT OF ORAL REHABILITATION, FACULTY OF MEDICINE,
hE/sZ^/dzK&^d^Z:sK͕&K͕KÊ/E,Z'Ks/E
JELENA L/-DD,MSC-DEPARTMENT OF ORAL REHABILITATION, FACULTY OF MEDICINE,
hE/sZ^/dzK&^d^Z:sK͕&K͕KÊ/E,Z'Ks/E
TATJANA KANJEVAC-DD, PHD-DEPARTMENT OF PREVENTIVE AND PEDIATRIC DENTISTRY,
FACULTY OF MEDICAL SCIENCES, UNIVERSITY OF KRAGUJEVAC, KRAGUJEVAC, SERBIA
Introduction: The aim of this study was to evaluate the effect of interaction between
different endodontic irrigants on dentinal permeability. Material and methods: Fifty
maxillary anterior teeth were prepared by rotary instrumentation and 5.25% sodium
hypochlorite (NaOCl). The root canal surfaces were conditioned for smear layer removal
ƵƐŝŶŐ ϭϳй ĞƚŚǇůĞŶĞĚŝĂŵŝŶĞ ƚĞƚƌĂĂĐĞƚŝĐ ĂĐŝĚ ;dͿ ĂŶĚ Ă ĮŶĂů ǁĂƐŚ ǁŝƚŚ ĚŝƐƚŝůůĞĚ ǁĂƚĞƌ͘
Roots were randomly divided into five groups (n=10) according to final rinse protocol as
follows: control group (sterile water) ; 5.25% NaOCl + 2% chlorhexidine (CHX) group; 17%
EDTA+ 2% CHX group; 1.3% NaOCl+MTAD group; and 5.25% NaOCl + QMix group. Roots
were externally coated with fast polymerizing epoxy resin and immersed in 0.2% Rhodamine
B solution for 24 hours. One-millimeter thick slices from the cementum-enamel junction
were scanned at 400 dpi and analyzed using the software ImageLab 4.1 (Bio Red, Tokyo,
Japan) for the assessment of dye penetration in dentin tubules. Results: In the apical third,
sterile water group showed significantly more dye penetration than other groups (p<0.05).
In the middle third of the canal, all groups showed significantly better penetration than CHX
group (p<0.05). In the coronal third, MTAD, QMiX and sterile water (p<0.05) yielded superior
penetration than CHX. Conclusion: The interaction between NaOCl and CHX significantly
reduced dentine permeability while interaction between NaOCl and EDTA/CHX, MTAD or
QMix exerted no effect, except in apical third.
PP.259. INCIDENCE OF POSTOPERATIVE PAIN AFTER ONE-

APPOINTMENT ENDODONTIC TREATMENT USING TWO DIFFERENT
IRRIGATION METHODS
h͕s/Ks/>͕<ZhE/:͕:K<^/DKs/͕sh:a<Ks/D͘
h><ÊZ-DDS MSC-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,

DEPARTMENT OF DENTAL PATOLOGY
s/Ks/>K-DDS PHD-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,
DEPARTMENT
<ZhE/:>E-DDS PHD-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,
DEPARTMENT OF
:K<^/DKs/K:E-DDS-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,
DEPARTMENT OF PRECLINICAL SCIENCES PATHOLOGICAL PHYSIOLOGY
sh:a<Ks/D/Z:E-DDS PHD-UNIVERSITY OF BELGRADE, FACULTY OF DENTISTRY
DEPARTMENT OF CONSERVATIVE DENTISTRY AND ENDODONTOLOGY
Background. Postoperative pain is unwanted sensation after root canal treatment. Several
factors may influence postoperative pain including the extrusion of irrigation solutions
beyond the apical constriction. The aim of this study was to compare the postoperative level
of pain after one-visit root-canal therapy of teeth with vital pulps using either conventional
endodontic needle irrigation or a negative apical pressure device. Methods and materials.
Fifty-eight patients were recruited with an asymptomatic vital posterior tooth requiring
primary endodontic treatment. The teeth were randomly assigned into two groups
according to the irrigation device used: apical positive (conventional irrigation, n=30) or
negative apical pressure irrigation (EndoVac system, n=28). A questionnaire was given to the
participants to note the intensity of pain as well as the amount of analgesics taken
postoperatively. Pain levels were assessed after 24, 48 and 72 hours by using a 4-point pain
intensity scale. The amount of ibuprofen taken was recorded at the same time intervals.
Results. No statistically significant difference in postoperative pain level was found between
the groups at any observations period (p> 0.05). Also, no significant difference was observed
in the number of analgesic tablets used (p> 0.05). Conclusion. Both investigated irrigation
methods resulted in similar postoperative pain after one-visit root-canal treatment of vital
posterior teeth.
Session 29
PP.260. MOUTHWASHES AND ORAL MUCOSA
BATSOUKA A, BOTSIS C, SPYRAKI F, ANDREADIS D, POULOPOULOS A.
ANDRIANA BATSOUKA-UNDERGRADUATE STUDENT -DEPARTMENT OF ORAL MEDICINE /

PATHOLOGY, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
CHARISIS BOTSIS-DDS-DEPARTMENT OF ORAL MEDICINE / PATHOLOGY, SCHOOL OF
FOTEINI SPYRAKI-DDS-DEPARTMENT OF ORAL MEDICINE / PATHOLOGY, SCHOOL OF
DIMITRIOS ANDREADIS -ASSISTANT PROFESSOR-DEPARTMENT OF ORAL MEDICINE /
ATHANASIOS POULOPOULOS -ASSOCIATE PROFESSOR-DEPARTMENT OF ORAL MEDICINE /
MOUTHWASHES AND ORAL MUCOSA. BACKGROUND: MOUTHWASHES ARE USED IN DAILY

ORAL ROUTINE OR ARE PRESCRIBED DURING THERAPY OF CLINICAL INCIDENCES. MAINLY,
THEY INCLUDE ANTIBACTERIAL AGENTS TEMPORARILY REDUCING THE NUMBER OF
BACTERIA IN THE ORAL CAVITY AND INHIBITING PLAQUE FORMATION. HOWEVER, MANY
ADVERSE EFFECTS ARE ASSOCIATED WITH THE ORAL MUCOSA. THIS PRESENTATION AIMS TO
DESCRIBE THE COMMON ORAL MUCOSAL MANIFESTATIONS DUE TO THE USE OF
MOUTHWASHES. MATERIAL AND METHODS: AN ANALYTICAL LITERATURE REVIEW VIA
MEDLINE/PUBMED DATABASE WAS CONDUCTED UP TO JANUARY 2017 UTILIZING TERM
COMBINATION WITH KEY WORDS.
PP.261. ELECTRONIC CIGARETTES AND ORAL HEALTH
SPYRAKI F, BOTSIS C, BATSOUKA A, ANDREADIS D, POULOPOULOS A.
FOTEINI SPYRAKI-DDS-SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI,

DEPARTMENT OF ORAL MEDICINE/PATHOLOGY
CHARISIS BOTSIS-DDS-SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI,
ANDRIANA BATSOUKA-UNDERGRADUATE STUDENT-SCHOOL OF DENTISTRY, ARISTOTLE
UNIVERSITY OF THESSALONIKI, DEPARTMENT OF ORAL MEDICINE/PATHOLOGY
DIMITRIOS ANDREADIS-ASSISTANT PROFESSOR-SCHOOL OF DENTISTRY, ARISTOTLE
ATHANASIOS POULOPOULOS-ASSOCIATE PROFESSOR-SCHOOL OF DENTISTRY, ARISTOTLE
ELECTRONIC CIGARETTES AND ORAL HEALTH BACKROUND. Electronic cigarettes are
electrical devices which vaporize glucol-based liquid into an aerosol mist containing various
concentrations of nicotine. Over the last years, e-cigarettes have become very popular but
there are increasing conflicting claims concerning the effect of these novel industrial
products on the health. The aim of this presentation was to describe the recent findings of
studies on the effects of the electronic ĐŝŐĂƌĞƚƚĞ͛Ɛ ůŝƋƵŝĚ ŽŶ ŚƵŵĂŶ ƉĞƌŝŽĚŽŶƚĂů ůŝŐĂŵĞŶƚ
fibroblasts and epithelial cells and to promote the awareness about increasing explosion
reports of electronic smoking devices, often resulting in complex injuries to the head and
neck. MATERIALS AND METHODS. An analytical literature review via Medline/Pubmed
database was conducted up to January 2017 utilizing term combination with key words
PP.262. DENTAL IMPLANTS IN PATIENTS UNDER TREATMENT WITH

IMMUNOSUPPRESSIVE AGENTS
BOTSIS C, SPYRAKI F, BATSOUKA A, ANDREADIS D, POULOPOULOS A.
CHARISIS BOTSIS-DDS-SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI,

FOTEINI SPYRAKI-DDS-SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI,
ANDRIANA BATSOUKA-UNDERGRADUATE STUDENT-SCHOOL OF DENTISTRY, ARISTOTLE
DIMITRIOS ANDREADIS-ASSISTANT PROFESSOR-SCHOOL OF DENTISTRY, ARISTOTLE
ATHANASIOS POULOPOULOS-ASSOCIATE PROFESSOR-SCHOOL OF DENTISTRY, ARISTOTLE
DENTAL IMPLANTS IN PATIENTS UNDER TREATMENT WITH IMMUNOSUPPRESSIVE AGENTS

Background: It has been suggested that immunosuppressive treatment could be
contraindication to dental implant placement. The objective of this study is to evaluate the
influence of the administration and withdrawals of immunosuppressive agents on the
success rates of osseointegration of dental implants. Methods and Materials: An extensive
literature search, using Medline/Pubmed database, was conducted up to January 2017
ƵƚŝůŝǌŝŶŐ ƚĞƌŵ ĐŽŵďŝŶĂƚŝŽŶ ǁŝƚŚ ƚŚĞ ŬĞǇ ǁŽƌĚƐ͗ ͞ŝŵŵƵŶŽƐƵƉƉƌĞƐŝŽŶ͟ Žƌ
͞ŝŵŵƵŶŽƐƵƉƉƌĞƐƐŝǀĞ ƚŚĞƌĂƉǇ͟ ĂŶĚ ͞ĚĞŶƚĂů ŝŵƉůĂŶƚƐ͘͟ ZĞƐƵůƚƐ͗ dŽ ĞŶƐƵƌĞ ĚĞŶƚĂů ŝŵƉůĂŶƚ
success it is crucial to select patients who do not possess contraindications to therapy.
Treatment with implants is arguable in patients undergoing immunosuppression due to
rheumatoid diseases, autoimmune skin diseases and organ transplantation. One of the
adverse effects of such type of treatment includes the impact on healing of soft tissues and
bone. However such drugs administered in human follow a multidrug regimen that alters its
results, while currently used medication are far less toxic toward bones. The key to success
is the observance of appropriate treatment procedures, antibiotic therapy and proper
hygienic routines. Conclusion: There is very limited evidence relating to dental implant
treatment in patients under treatment with immunosuppressive agents. In addition, no
evidence-based treatment guidelines are presently available. From the analysis of the
literature it seems that the dental implant rehabilitation is a valid option in these patients.
Prospective comparative studies involving larger study groups which would consider various
treatment regimens should be done.
PP.263. DIFFUSE LARGE B-CELL LYMPHOMA: A CASE REPORT
EDZW<7EZ&, K)hKZ,ED͕<^Z'͕hzZK<hZd^͘
&7>7 EDZ W<7EZ-PROF.-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY,

&h>dzK&Ed/^dZz͕DZDZhE/sZ^/dz7^dEh>͕dhZ<z
D,Dd K)h KZ,E-ASST. PROF.-DEPARTMENT OF ORAL DIAGNOSIS AND
Z/K>K'z͕&h>dzK&Ed/^dZz͕DZDZhE/sZ^/dz7^dEh>͕dhZ<z
GAYE KESER-DR.-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, FACULTY OF
^m,z> hzZ K<hZd-ASSOC. PROF.-DEPARTMENT OF MEDICAL PATHOLOGY, FACULTY
OF MEDICINE, MARMARA UNIVERSITY, ISTANBUL, TURKEY
Objective: Lymphoma is the most common blood cancer. The two main forms of lymphoma
are Hodgkin lymphoma and non-Hodgkin lymphoma (NHL). Lymphoma occurs when cells of
the immune system called lymphocytes, a type of white blood cell, grow and multiply
uncontrollably. The body has two main types of lymphocytes that can develop into
lymphomas: B lymphocytes and T lymphocytes. B-cell lymphomas are much more common
than T-cell lymphomas and account for approximately 85 percent of all NHLs. Diffuse large B-
cell lymphoma (DLBCL) is the most common form of NHL. DLBCL is an aggressive (fast-
growing) lymphoma that can arise in lymph nodes or outside of the lymphatic system, in the
gastrointestinal tract, testes, thyroid, skin, breast, bone, or brain. Often, the first sign of
DLBCL is a painless, rapid swelling in the neck, underarms, or groin that is caused by
enlarged lymph nodes. The purpose of this study is to present the case of a male patient
with a diffuse large B-Cell lymphoma and literature review. Case: A 70-year-old male patient
who has been reffered to Marmara University, Faculty of Dentistry, Oral Diagnosis and
Radiology Clinic had a complaint of a non-healing and progressively enlarging lesion on the
anterior maxillar buccal / palatinal mucosa and alveolar ridge. Under local anesthesia
incisional biopsy was performed and histopathological examination revealed diffuse large B-
Cell lymphoma as definite diagnosis. Consequently, the patient was referred to department
of hematology where the lesion was treated.
PP.264. XERODERMA PIGMENTOSUM: A CASE REPORT AND
LITERATURE REVIEW
EDZW<7EZ&, 'm>ZPED&, YILDIZ A.
&7>7 EDZ W<7EZ-PROF.-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY,

FACULTY OF DENd/^dZz͕DZDZhE/sZ^/dz7^dEh>͕dhZ<z
&dD 'm>ZPED-Z^͘^^7^d͘-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY,
&h>dzK&Ed/^dZz͕DZDZhE/sZ^/dz7^dEh>͕dhZ<z
zbEhZz/>/-Z^͘^^7^d͘-DEPARTMENT OF ORAL DIAGNOSIS AND RADIOLOGY, FACULTY
K&Ed/^dZz͕DZDZhE/sZ^/dz7^dEh>͕dhZ<z
Objective/ Case: Xeroderma pigmentosum, which is commonly known as XP, is an inherited

condition characterized by an extreme sensitivity to ultraviolet (UV) rays from sunlight. It is a
rare disorder and it is estimated to affect about 1 in 1 million people in the United States
and Europe. The condition is more common in Japan, North Africa, and the Middle East. It
mostly affects the eyes and areas of skin exposed to the sun. Some affected individuals also
have problems involving the nervous system. People with xeroderma pigmentosum have a
greatly increased risk of developing skin cancer. Without sun protection, about half of
children with this condition develop their first skin cancer by age 10. Most people with
xeroderma pigmentosum develop multiple skin cancers during their lifetime. These cancers
occur most often on the face, lips, and eyelids. Cancer can also develop on the scalp, in the
eyes, and on the tip of the tongue. The purpose of this study is to present the case of a 32-
year-old female patient with a xeroderma pigmentosum and literature review.
PP.265. UNUSUAL CASE OF BILLATERAL LEUKOPLAKIA OF ORAL

MUCOSA
DELIVERSKA EG, STEFANOV L, PETKOVA M.
ELITSA G. DELIVERSKA -ASSOCIATE PROFESSOR-MU- SOFIA, FDM, DEPARTMENT OF ORAL

AND MAXILLOFACIAL SURGERY
LUTCHEZAR STEFANOV-ASSISTANT PROFESSOR-MU- SOFIA, FDM, DEPARTMENT OF ORAL
HRISTO STOYANOV-ASSISTANT PROFESSOR-MU- SOFIA, FDM, DEPARTMENT OF ORAL AND
MILENA PETKOVA-ASSISTANT PROFESSOR-MU- SOFIA, FDM, DEPARTMENT OF ORAL AND
Oral leukoplakia is the most common potentially malignant disorder affecting oral cavity.
Various surgical and non-surgical treatments have been reported, but currently there is no
universal consent on the most appropriate one and on the duration or interval of follow-up
of patients with this condition. Objective The aim of our paper is to present a case of
bilateral leukoplakia of oral mucosa and to review diagnosis and management of oral
leukoplakia according to the literature untill now. Material and methods We present a 61
years old male with non-homogenious multifocal oral leukoplakia. Results Clinical evaluation
(extraoral and intraoral) of patient and pathohistological findings of both lesions confirms
the diagnosis ʹ leukoplakia of oral mucosa without dysplasia. The patient was treated in
nonsurgical manner. Conservative treatment includes use of chemopreventive agents such
as vitamins (vitamins A, C, E), fenretinide (Vitamin A analogue), carotenoids (beta-carotene,
lycopene), curcumin. The patient was followed up regularly untill now without any signs of
malignant transformation. Conclusion Management of oral leukoplakia should begin with
elimination of risk factors (if any) such as tobacco abuse, betel chewing, alcohol abuse,
superimposed candida infection over the lesion etc. Key words: oral leukoplakia, multifocal,
management
PP.266. RELATION BETWEEN QUANTITY OF DISINFECTANTS USED

AND APPEARANCE OF INTRA-HOSPITAL INFECTIONS IN SELECTED
HOSPITALS
GJORGJESKA B, DELCEV G, ANGELOVSKA B, KOVACEVSKA I, JANEVA A.
BILJANA GJORGJESKA-FULL PROFESSOR-DEPARTMENT OF PHARMACY, FACULTY OF MEDICAL

SCIENCES, GOCE DELCEV UNIVERSITY
BISTRA ANGELOVSKA-ASSOCIATE PROFESSOR-DEPARTMENT OF PHARMACY, FACULTY OF MEDICAL
IVONA KOVACEVSKA-ASSOCIATE PROFESSOR-DEPARTMENT OF PHARMACY, FACULTY OF MEDICAL
ANDONELA JANEVA -PHARMACIST-DEPARTMENT OF PHARMACY, FACULTY OF MEDICAL SCIENCES,
GOCE DELCEV UNIVERSITY
The aim of this study was to review of the use of antiseptics and disinfectants in selected hospitals
ŽǀĞƌ ĨŝǀĞ ǇĞĂƌ͛Ɛ ƉĞƌŝŽĚ͘ dŚĞ ĚĂƚĂ ǁĞƌĞ ĐŽůůĞĐƚĞĚ ĨƌŽŵ ŚŽƐƉŝƚĂůƐ ŝŶ ^ƚƌƵŵŝĐĂ͕ KŚƌŝĚ͕ sĞůĞƐ͕ ^ƚŝƉ ĂŶĚ
Kavadarci over five years. The data from the annual reports for disinfectants and antiseptics (Bactosal,
Ecosal, Dezintal, Betadine, Hydrogen peroxide, Formaldehyde, Ethanol) used on the selected
departments for gynecology, surgery and transfusion were collected. The results of microbiological
testing conducted by the public health centers in Strumica, Ohrid, Veles, Stip and Kavadarci over five
years were collected and used. Routine testing period for microbiological controls in hospitals was 15
days. In general the disinfectants and antiseptics are used optimally and correctly according to the
needs of the hospitals investigated. The amount of disinfectants and antiseptics consumed comparing
with the microbiological data indicates their rational utilization starting from 2012. Use of
disinfectants according to the standardized procedures established by the IHI times allows current
daily care for patients and staff in the hospitals investigated. The processed data from public health
centers confirm the above and point out the precautions to be taken when conditionally pathogenic
bacteria have been detected. It is pointed out the role of IHI times in the hospitals, as well as the role
of hospital pharmacists. We would like to suggest the implementation of disinfection process
validation as standardization measure as well as more often routine microbiological controls in the
hospitals.
PP.267. DIAGNOSIS AND TREATMENT OF AN ARONJ CASE
</sZ<Ȱ͕,</</ȸ͕KE'Z</sZ<Ɉ͕DK)>hɀ͘
AHMET KIVRAK-DDS-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ORAL AND

HAMI HAKIKI-DDS-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ORAL AND
dh) KE'Z </sZ<-DDS-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
D/EDK)>h-DDS,PHD-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ORAL
Introduction: Bisphosphonates possess a high chemical affinity for bone and inhibit osteoclastic
activity.They are widely used in the treatment of osteoporosis and bone metastasis in cancer patients.
We are reporting a case of osteonecrosis in mandible following a simple tooth extraction. Case
presentation: A 60-year-old female patient who had pain and discharge in her posterior mandible
admitted to our hospital. Patient history revealed oral bisphosphonate(BP-Alendronate 70mg per
week for one year) usage for the management of osteoporosis.Clinical exam revealed a sinus tract
and bone sequester in the left mandibular premolar region.The patient stated that her related tooth
was extracted about 8 months ago,which was a month after the termination of the BP
therapy.Radiographic examination with OPG and CBCT revealed a radiolucency which was containing
bone sequester in the related region.Our patient received 40 seasons of hyperbaric oxygen
therapy(HBOT) under 2.5 ATA(atmosphere absolute) pressure.We also prescribed Amoxicillin plus
Clavulanic Acid(1g,BID) together with Metronidazole(500mg,TID) one week preoperatively.The
operation performed under general anesthesia.Curettage of the necrotic bone and sequestra
continued until we reach to the healthy well-vascularized bone.Sharp bony edges were removed and
meticulous irrigation performed with saline and rifomycin solution.The defected region obturated
with platelet rich fibrin and sutured with Vicryl.The patient received extra 40 sessions of HBOT post-
operatively. Discussion and Conclusion: Along with the widespread usage of the BPs and other
antiresorptive agents,we cannot classify ARONJ cases as rare diseases.This situation necessitates
further awareness of both medical and dental professionals in regard to prevention,diagnosis and
treatment of this clinical condition.
33&$/&,)<,1*2'2172*(1ú&&<67,10$;,//$$5$5(
CASE REPORT
TASSOKER M, CETMILI H, OZCAN S, KUBILAY ISIK B.
MELEK TASSOKER-ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, DEPARTMENT OF ORAL

AND MAXILLOFACIAL RADIOLOGY
HAYRIYE CETMILI-RESEARCH ASSISTANT-NECMETTIN ERBAKAN UNIVERSITY, DEPARTMENT OF ORAL
SEVGI OZCAN-ASSOCIATE PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, DEPARTMENT OF ORAL
BOZKURT KUBILAY ISIK-ASSOCIATE PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, DEPARTMENT OF
Introduction: The calcifying odontogenic cyst (COC) was first reported by Gorlin et al. in 1962. It had
been classified as a neoplasm until it was renamed as a calcifying cystic odontogenic tumor (CCOT) by
the WHO, in 2005. It is an extremely rare lesion. Case presentation: A 35-year- old female patient
applied our radiology department for prosthetic requirement. A routine panoramic examination
revealed that there was a unilocular cystic lesion in the maxillary anterior region and the left
permanent canine tooth was impacted in the nasal bone level. Cone beam computed tomography
ŝŵĂŐĞƐ ƐŚŽǁĞĚ ƚŚĞ ƌĂĚŝŽůƵĐĞŶƚ ůĞƐŝŽŶ ŚĂĚ ĐĂůĐŝĨǇŝŶŐ ĨŽƌŵĂƚŝŽŶƐ ĂŶĚ ŝƚ͛Ɛ ƐŝǌĞ ǁĂƐ ϭϬǆϵ͕ϲŵŵ͘ dŚĞƌĞ
was a radiopaque formation oŶƚŚĞĂƉŝĐĂůƐŝĚĞŽĨƚŚĞĐǇƐƚŝĐůĞƐŝŽŶ͘dŚĞŝŵƉĂĐƚĞĚĐĂŶŝŶĞ͛ƐĐƌŽǁŶǁĂƐ
connected with radiopaque lesion. The histopathologic result was calcifying odontogenic cyst with
ghost cells. Conclusion: Due to the clinical characteristics of this lesion, the differential diagnosis of
COC must be done with regard to the ameloblastoma, dentigerous cyst, and keratocysts. In more
advanced stages it could be confused with calcifying epithelial odontogenic tumor, fibroodontoma,
adenomatoid odontogenic tumor and partially mineralized odontoma.
PP.269. RARE DISEASES AND ORAL MALODOR
MUSURLIEVA N, STOYKOVA M.
NINA MUSURLIEVA-CHIEF ASSISTANT PROFESSOR-MEDICAL UNIVERSITY PLOVDIV,FACULTHY OF

PUBLIC HEALTH,DEPARTMENT OF SOCIAL MEDICINE AND PUBLIC HEALTH
MARIA STOYKOVA-PROFESSOR-MEDICAL UNIVERSITY PLOVDIV, FACULTY OF PUBLIC HEALTH,
DEPARTMENT OF SOCIAL MEDICINE AND PUBLIC HEALTH
Background: Halitosis is defined as an unpleasant odor that emanates from the oral cavity. A small but
important percentage of oral malodor cases have an extra-oral aetiology (systemic diseases). The aim
of this poster is to draw attention to potential role of rare syndroms in the causation of halitosis.
Methods and materials: A systematic review of avaible literature in Pub Med was provided. Results:
Trimethylaminuria, or fish odor syndrome, is a condition characterized by the presence of
trimethylamine - a tertiary amine whose odor is described as resembling that of rotting fish - in the
urine, sweat, and expired air. Odoriferous substances generated within the body and transported to
the lungs via the circulatory system may, if sufficiently volatile, leave with the exhaled air and impart a
fetid odor to the breath. Wegener's granulomatosis (WG), is a systemic disorder that involves
different oral symptoms ʹ ůĞƐŝŽŶƐ͕ ͞ƐƚƌĂǁďĞƌƌǇ ŐŝŶŐŝǀŝƚŝƐ͕͟ ƉĂƌŽƚŝĚ ŐůĂŶĚ ƐǁĞůůŝŶŐ ĂŶĚ ŽƌĂů ŵĂůŽĚŽƌ͘
Hand Schuller Christian is other systemic disease with oral manifestation - sore mouth, halitosis,
gingivitis, unpleasant taste, loose teeth. Conclusion: The dentist may be the first health care
professional to see patients with symptoms and findings of rare diseases. Early diagnosis and
treatment is the most important factor in the management of this potentially fatal disease. Key
words: halitosis, oral malodour, systemic diseases
PP.270. FACTORS AFFECTING FUNGAL SPECIES ADHERENCE IN

DENTURES AND ORAL MUCOSA
HYSENAJ N, XHAJANKA E, BARDHOSHI M, TABAKU F.
NEADA HYSENAJ-MASTER OF SCIENCE-UNIVERSITY DENTAL CLINIC

EDIT XHAJANKA-ASSOCIATE PROFESSOR-FACULTY OF DENTAL MEDICINE
MERITA BARDHOSHI-ASSOCIATE PROFESSOR-FACULTY OF DENTAL MEDICINE
FLORION TABAKU-MASTER OF SCIENCE-TABAKU PRIVATE CLINIC
Factors affecting fungal species adherence in dentures and oral mucosa. *M.Sc.Neada
Hysenaj,**Prof.Assoc.Edit Xhajanka,**Prof.Assoc.Merita Bardhoshi, M.Sc.Florion Tabaku *University
Dental Clinic.**Faculty of Dental Medicine,Albania. The aim of this review is to study in detail the
causes of inoculation of candida species in denture porosity structure. Methods.Articles in journals
indexed in medline were evaluated.They were searched with these key words:fungal,
adherence,denture,oral mucosa.Based on the evaluation of these articles,some contradictory findings
were found related to the factors that influence fungal adherence in dentures and oral mucosa.
Results.The initial adherence is thought to be controlled by surface roughness and surface free
energy.Higher adherence of particular Candida species is attributed to their surface free energy
values,since hydrophobic micro-organisms seem to be more adherent to acrylic surfaces.Other factors
are thought to be salivary properties,the use of denture liners and fungal-bacteria relation,but in
these cases we have contradictory results in vitro studies.Clinical observation are necessary to
confirm these factors.Conclusion.It is important to study the role of these factors in vivo,in order to
understand the total process of fungal species adherence.The relationship of denture base materials
and their effect on fungal growth requires further investigation through epidemiologic,clinical and
basic research.These new studies may include surface characteristics,but other important matters
discussed on this review are fundamental to facilitate treatment protocols. New research should be
on multispecies biofilm,as close as possible to the in vivo situation.Other pathogens should be under
investigation,as the results found for one Candida species may not hold,again in experimental setups
where other organisms and saliva are present.
PP.271. DRUG-RELATED MANIFESTATIONS OF ORAL MUCOSA
THEODOSIOU C, MATIAKIS A.
CHRISTINA THEODOSIOU-UNDERGRADUATE STUDENT-SCHOOL OF DENTISTRY-ARISTOTLE UNIVERSITY

OF THESSALONIKI
APOSTOLOS MATIAKIS-LECTURER-DEPARTMENT OF ORAL MEDICINE-SCHOOL OF DENTISTRY-
INTRODUCTION: Every medical treatment may lead to adverse effects in oral cavity, even when used
in standard doses and mode of administration. The mechanisms of these effects are in most cases
unknown or even difficult to be predicted. PURPOSE: This presentation aims at analyzing the clinical
ĨĞĂƚƵƌĞƐĂŶĚƚŚĞƉŽƐƐŝďůĞŵĞĐŚĂŶŝƐŵƐŽĨĐƌĞĂƚŝŽŶŽĨƚŚĞŵŽƐƚĨƌĞƋƵĞŶƚŽƌĂůŵƵĐŽƐĂ͛ƐŵĂŶŝĨĞƐƚĂƚŝŽŶƐ
induced by medications, namely ulcers, pigmentation, lichenoid reactions, erythema multiforme,
pemphigoid-like and pemphigus-like reactions, mucositis, gingival hyperplasia and hairy tongue.
METHODS AND MATERIALS: For the elaboration of this presentation research has been carried out of
the world-wide bibliography in databases Google Scholar, Pubmed and ResearchGate. The articles
which were chosen are published after 2010 in order to be succeeded a more contemporary approach
of the issue. RESULTS: The categories of medications leading to lesions of oral mucosa, as well as the
frequency of the latter, are significant. Nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics,
antihypertensives, anticonvulsants, antifungals, antidiabetics, antimalarials, antiretrovirals, oral
contraceptives, hormone-replacement therapy, immunosuppressants, psychotropics, drugs acting
upon the central nervous system and chemotherapeutic agents constitute great examples of them.
CONCLUSION: Due to the high percentage of appearance of oral manifestations related to medical
treatment, a detailed medical history must be taken by the dentist in order to be led to correct
diagnosis which is required for their correct administration.
PP.272. FOREIGN BODY GRANULOMA TO HYALURONIC ACID
FILLER. A CASE REPORT AND REVIEW OF THE LITERATURE.
TAMIOLAKIS P, PIPERI E, SKLAVOUNOU-ANDRIKOPOULOU
PARIS TAMIOLAKIS-POSTGRADUATE STUDENT-DEPARTMENT OF ORAL MEDICINE AND ORAL

PATHOLOGY, SCHOOL OF DENTISTRY, NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS, GREECE
EVANGELIA PIPERI-ASSISTANT PROFESSOR-DEPARTMENT OF ORAL MEDICINE AND ORAL PATHOLOGY,
SCHOOL OF DENTISTRY, NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS, GREECE
ALEXANDRA SKLAVOUNOU - ANDRIKOPOULOU-PROFESSOR, HEAD OF DEPARTMENT
Foreign body granuloma to hyaluronic acid filler. A case report and review of the literature.
Introduction: As a result of the increasing demand for cosmetic procedures in the orofacial area
nowadays, both clinicians and pathologists are faced with a growing number of complications,
including the development of foreign body granulomas. Purpose: To present a case of foreign body
granuloma to hyaluronic acid filler and review the pertinent literature. Case report: A 48-years-old
female patient presented with an asymptomatic, well-defined submucosal firm nodule on the upper
lip mucosa, of four month duration. The patient had been subjected to hyaluronic acid filler injections
in the ipsilateral nasolabial fold six months ago. With a provisional diagnosis of foreign body
granuloma and a differential diagnosis of salivary gland and neural tumor, the nodule was excised.
Histopathologically pools of amorphous, basophilic material surrounded by foreign body
macrophages were observed, confirming the tentative diagnosis. Discussion: A total of 128 cases of
oral foreign body granulomas to soft tissue fillers have been reported so far with the majority of
patients being females in their 6th decade of life. Most cases occured on the lips as single nodules,
more commonly after injection of liquid silicone. The histologic appearance of granulomatous foreign
body reactions seems to be specific for each type of injected filler. Conclusion: Clinicians should keep
in mind that questions regarding esthetic procedures performed in the area should always be
included during history-taking.
PP.273. REVIEW OF CHRONIC ORAL GRAFT-VERSUS-HOST DISEASE

(GVHD): CLINICAL STAGING AND TOPICAL TREATMENT
DAKOVIC D, MILEUSNIC I, CUTOVIC T, BRKIC Z.

FACULTY OF THE MILITARY MEDICAL ACADEMY, CLINIC OF DENTISTRY, BELGRADE, SERBIA
TATJANA CUTOVIC-ASSISTANT PROFESSOR-UNIVERSITY OF DEFENCE IN BELGRADE, MEDICAL FACULTY
OF THE MILITARY MEDICAL ACADEMY, CLINIC OF DENTISTRY, BELGRADE, SERBIA;ZLATA BRKIC-
PROFESSOR-UNIVERSITY OF DEFENCE IN BELGRADE, MEDICAL FACULTY OF THE MILITARY MEDICAL
ACADEMY, CLINIC OF DENTISTRY, BELGRADE, SERBIA
INTRODUCTION. Chronic graft versus host disease (GVHD is a severe consequence of hematopoietic
stem cell transplantation and a significant cause of morbidity and loss of quality of life in the long-
term survival. Oral cavity is one of the most frequently affected systems with marked signs and
symptoms leading to significant complications. Oral GVHD is characterized by lichenoid inflammation
involving the entire oral cavity, particularly affecting the tongue and buccal mucosa. Clinically, it
manifests as white reticular and plaque-like hyperkeratotic lesions, enanthematous lesions or
ulcerations. The changes vary from limited lichenoid reticulum to severly painful ulcerations. Mucosa
of the soft palate and oropharynx is sometimes also involved. The AIM of this presentation is to
review the current staging and treatment of oral GVHD related to its severity. METHODS. A MEDLINE
ƐĞĂƌĐŚŽĨĂƌƚŝĐůĞƐƵƐŝŶŐƚŚĞŬĞǇǁŽƌĚƐ͞ŽƌĂů͕͟͞ŐƌĂĨƚ͕͟͞ǀĞƌƐƵƐ͕͟͞ŚŽƐƚ͟͞ĚŝƐĞĂƐĞ͟ĂŶĚ͞ƚƌĞĂƚŵĞŶƚ͟ǁĂƐ
conducted to identify relevant clinical trials, review articles and case reports up to January 2017. The
search was limited to human studies. CONCLUSION. The international system for clinical staging of
oral GVHD represents an adequate basis for diagnosis and treatment. However, in most of the
reviewed studies the treatment was not
PP.274. LOCALIZED LOWER-LIP GIANT-CELL REACTION DUE TO

FOREIGN BODY (BEARD HAIR) ENCAPSULATION
ANDREADIS D, PANTAZI A, DEMI F, PANAGIOTOU E, POULOPOULOS A.
ANDREADIS DIMITRIOS-ASSISTANT PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI

PANTAZI ANASTASIA-DDS-ARISTOTLE UNIVERSITY OF THESSALONIKI DPT OF DENTISTRY
DEMI FIORELA-DDS-ARISTOTLE UNIVERSITY OF THESSALONIKI DPT OF DENTISTRY
PANAGIOTOU ELEUTHERIOS-MD-ARISTOTLE UNIVERSITY OF THESSALONIKI DEPARTMENT OF ORAL
MEDICINE/PATHOLOGY
POULOPOULOS ATHANASIOS-ASSOCIATE PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI
Background: The foreign body reaction begins as wound healing, including accumulation of exudate at
the site of injury, infiltration of inflammatory cells to debride the area, and the formation of
granulation tissue. However, the persistent presence of a foreign body inhibits full healing and
occasionally causes the accumulation of giant cells which encapsulate the foreign body, chronic
inflammation and finally the formation of a granuloma. Purpose: The aim of this report is to present
an unusual case of a patient with focal lower-lip giant-cell reaction due to foreign body ʹ beard hair
encapsulation Case description: A forty-four year old patient presented with painless nodule 0.5x0.5
ƚŚĂƚŐƌĞǁǁŝƚŚŝŶĂĨŽƌƚŶŝŐŚƚŽŶƚŚĞůĞĨƚƐŝĚĞŽĨƚŚĞůŽǁĞƌůŝƉ͛ƐǀĞƌŵŝůůŝŽŶďŽƌĚĞƌ͘dŚĞĐŽŶƐŝƐƚĞŶĐǇŽĨƚŚĞ
lesion was solid-elastic and it was covered by normal mucosa. The lesion was completely removed
and sent for biopsy. Histological findings were consistent with focal giant-cell reaction of the lower lip,
due to foreign body encapsulation and infection, specifically in this case beard hair. No signs of
malignancy were observed. There has been no post-surgical recurrence after a 2-month observation
period. The affected area presents with perfect aesthetics. Conclusions: The clinical appearance of a
localized giant-cell response to foreign body encapsulation may be mistaken for malignancy. The
importance of proper biopsy is greatly indicated in the differential diagnosis as it is presented in this
case report.
PP.275. T DENTAL CALCULUS IN RELATION TO IDIOPATHIC

NEHROLITIASIS
TONEVA V, TONEVA A, RISTOVA STOJANOVA A, PETROVSKI M, RISTOV O.
VERICA TONEVA-DOCTOR-UNIVERSITY GOCE DELCEV STIP

ALEKSANDRA TONEVA -DOCTOR -UNIVERSITY GOCE DELCEV STIP
ALEKSANDRA RISTOVA STOJANOVA --UNIVERSITY GOCE DELCEV STIP
MIHAJLO PETROVSKI -DOCTOR -UNIVERSITY GOCE DELCEV STIP
OLIVER RISTOV --UNIVERSITY GOCE DELCEV STIP
Beckground: Renal stones are among the most common cause of morbidity in humans, primarily
because of their formation and action can lead to serious kidney function disorders. Dental calcuilus
possesses the same structural construction and mineralization process as in other biological
processes, including renal stones. The main main goal of this study was to evaluate the relationship
between the presence of dental plaque and tartar and renal stones in individuals with nephrolithiasis.
Mattherial and method: Total number of 80 patients, male and female, aged between 25-50 years,
coming at regular internist control chuch-ups were evaluated. All of the subjects were with
diagnosted nephrolithiasis. All of them had fullfiled a survey about their oral hygiene routuine and
were check up for presence of dental calculus. Oral status of persons was investigated by using a
simplified OHI calculus index and Volpe Manhold calculus index. Results: High prevalcence of dental
calculus in more than 90 % of the subjects was recorded among the patients with nefrolitiasis High
mean values Calculus Indices scores recorded among study group shown positive high significant
correlation recorded between dental plaque with calculus accumulations among study group.
Conclusion: From the results we can noticed that there is a connection between the presence of
tartar and renal calculi. There for, special oral health preventive programs are needed for those
patients. Key Words: Dental calculus, dental plaque mineralization, idiopathic calcium renal stone,
kidney stones, urolithiasis.
PP.276. DMFT INDEX AND SOME BIOCHEMICAL INDICATORS IN

PATIENTS WITH IDIOPATHIC URTICARIA AND ANGIOEDEMA
YAPINA M, PETKOVA E, HRISTOVA S, NEDEVA D, YOVCHEV D.
MAYA LYAPINA-DR, PHD-MU SOFIA, FACULTY OF MEDICINE, DEPARTMENT OF HYGIENE, MEDICAL

ECOLOGY AND NUTRITION;ELENA PETKOVA-DR-MU SOFIA, CLINICAL CENTER OF
ALLERGOLOGY;STELLA HRISTOVA-DR-DENCHEVA DENTAL CLINIC;DENISLAVA NEDEVA-DR-MU SOFIA,
CLINICAL CENTER OF ALLERGOLOGY;DIMITAR YOVCHEV-DR, PHD-MU SOFIA, FACULTY OF DENTAL
MEDICINE, DEPARTMENT OF ORAL AND IMAGE DIAGNOSTIC
Idiopathic urticaria and angioedema are states with unclear etiology, suddenness and
unpredictability. Approximately 40-50% of patients with chronic spontaneous urticaria have
angioedema, and about 10% have angioedema alone. In search of a possible reason for the
appearance of these conditions we have chosen to study the relationship of oral health and in
particular the condition of the hard dental tissues (DMFT index) and changes in some biochemical
parameters (levels of vitamin D, TAT, MAT, TSH, albumin, CRP, K, Na, Cl, C1, C3 and C4 esterase
inhibitor, blood glucose. We include in the research microbiological testing of throat swabs and
detection of of H.pylori in a stool sample.) Results: The values of DMFT index are indicative and show
poor oral health of patients with idiopathic urticaria and angioedema compared to healthy controls.
We find out low levels of vitamin D and increased levels of TAT, MAT, in the group with angioedema
with a statistically significans compared to the group with urtikaria. The rest of other studied
biochemical parameters do not show important deviations from reference values.
PP.277. ORAL SIGNS OF PARANEOPLASTIC DISEASES
MESEMANOLI Z, PAVLOU AM, KOLOKOTRONIS A.
ZAFEIRIA MESEMANOLI-DDS, MSC-ARISTOTLE UNIVERSITY OF THESSALONIKI, DENTISTRY SCHOOL

ACHILLEIA-MARIA PAVLOU-DDS, MSC-ARISTOTLE UNIVERSITY OF THESSALONIKI, DENTISTRY SCHOO
ALEXANDROS KOLOKOTRONIS-PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI, DENTISTRY
SCHOOL
Oral Signs of Paraneoplastic Diseases Background: There are several paraneoplastic diseases
presenting with signs and symptoms in oral cavity. The malignancy can precede, appear
simultaneously or follow the oral signs and symptoms.There is a wide range of paraneoplastic
diseases many of which can appear predominantly in the oral mucosa or the oral findings can be the
only signs of the disease. Methods and materials: We present a review with the most frequent
ƉĂƌĂŶĞŽƉůĂƐƚŝĐ ĚŝƐĞĂƐĞƐ ĂƐƐŽĐŝĂƚĞĚ ǁŝƚŚ ƚŚĞ ŽƌĂů ŵƵĐŽƐĂ͘ WƵďŵĞĚ ǁĂƐ ƐĞĂƌĐŚĞĚ ƵƐŝŶŐ ͞Žral
ƉĂƌĂŶĞŽƉůĂƐƚŝĐ ĚŝƐĞĂƐĞƐ͟ ĂŶĚ ͞ŽƌĂů ƉĂƌĂŶĞŽƉůĂƐƚŝĐ ƉĞŵƉŚŝŐƵƐ͟ ĂƐ ŬĞǇǁŽƌĚƐ͘ ϰϯϮ ĂƌƚŝĐůĞƐ ǁĞƌĞ
assessed of which 135 were finally selected. Results: Paraneoplastic pemphigus was the main
reported paraneoplastic disease. It usually affects patients with hematological-related disorders and
malignancies and is associated with a high mortality rate. Other diseases include acanthosis nigricans
(skin pigmentation and oral papillomas), Sweet syndrome (neutrophilic infiltration of the muco-
cutaneous lesions). Dermatomyositis and polymyositis are also reported as well as glucagonoma and
amyloidosis. Neurological diseases present in less than 1% of the cases. Conclusion: Paraneoplastic
diseases appear with a wide range of signs and symptoms affecting not only the skin but also various
mucosae. The oral mucosa can be one of these and an early diagnosis can contribute to a higher
survival rate and to a better quality of life as well.
PP.278. HUMAN PAPILLOMAVIRUS (HPV) - ASSOCIATED

CARCINOMA OF THE OROPHARYNX : A DISTINCT CLINICAL ENTITY
KATIKARIDIS G, THEODOSOPOULOU Z, MATIAKIS A.
KATIKARIDIS GEORGIOS-STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI

THEODOSOPOULOU ZOI-STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI
MATIAKIS APOSTOLOS-LECTURER-DEPARTMENT OF ORAL PATHOLOGY , ARISTOTLE UNIVERSITY OF
THESSALONIKI
HPV associated (HPV+) squamous cell carcinoma of the oropharynx is a well established clinical entity
with different epidemiological patterns, biological and clinical attributes . It is mostly affecting middle-
aged males and its prevelance is constantly rising and is expected to be the most common HPV
associated tumor , exceding cervical cancer by 2020 . It is caused mostly by high risk HPV types ( 16,
18 ) and it is typically located on the tonsil or the base of the tonque . Oncogenesis is believed to
derive from the epithelium cells of the tonsilar crypts , due to the expression of the viral oncogenes
E6 andE7, while the tumours are generally small , well-differentiated , of basaloid morphology with
weak or no keratinazation . HPV+ Carcinomas of the Oropharynx have been associated with
favourable prognosis , better response to treatment inspite the theurapetic protocol and better life
quality overall than HPV- carcinomas of the same area .Yet HPV possitivity is a simplistic approach to
risk stratification and more robust biomarkers such as p16 oncogene and E6/E7 mRNA can be used in
order to design patient groups that can safely go through a de-intensified protocol , thus minimazing
the side effects without risking the outcome . Up to date most institutes use common protocols for
both HPV+ and HPV- tumors , however there is a lot of ongoing clinical research on Chemo-
radiotherapy with anti-EGFR agents (cetuximab instead of cisplatin) and with hypoxic cell
radiosensitisers (cisplatin and daily nimorazolehe)
PP.279. LESIONS OF NEGATIVE PRESSURE IN THE MOUTH

CAUSING ANXIETY
DALAMPIRA M, DALAMPIRAS FAT, ZOULOUMI M.
DALAMPIRA MARIA -DENTISTRY STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI

DALAMPIRAS FOIVOS-ANTONIOS-THOMAS-DENTIST-COMENIUS UNIVERSITY OF BRATISLAVA
ZOULOUMI MARIA-ELENI-DENTISTRY STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI
INTRODUCTION PATIENTS ARE COMING VERY OFTEN WITH CANCEROPHOBIA DUE TO THE
PRESENCE MOUTH LESIONS THAT ARE PRESENT FOR SOME TIME IN THE ANTERIOR PART OF
THE MUCOSA OF THE MOUTH VESTIBULE. THOSE LESIONS ARE PRODUCED FROM CHRONIC
LOCAL NEGATIVE PRESSURE IN THE MOUTH SINCE MANY PATIENTS ARE ACCUSTOMED TO
CHEW THEIR CHEEKS. CASE REPORT. A 60 YEARS OLD FEMALE PATIENT CAME FOR MOUTH
EXAMINATION SEEKING INFORMATION FOR TWO SMALL LESIONS BEHIND THE MOUTH
CORNER. THE LESIONS WERE CLOSE TO EACH OTHER AND THEY WERE PRESENT FOR
SEVERAL MONTHS IN THE AREA WITHOUT ANY OTHER SYMPTOMS BUT THE PATIENT COULD
FEEL THEM AND SEE THEM IN THE MIRROR. AFTER REASSURING THE PATIENT THAT THOSE
LESIONS WERE BENIGN AN OPERATION WAS PERFORMED FOR THE REMOVAL OF THESE
LESIONS WITH ONE INCISION. THE MATERIAL WAS SENT TO AN ORAL PATHOLOGIST FOR
MICROSCOPIC EVALUATION. AFTER THE HISTOLOGY REPORT THE PATIENT WAS TRULY
RELIEVED FROM HIS ANXIETY. CONCLUSION THE FACT THAT MANY PATIENTS SUFFER FROM
CANCEROPHOBIA SHOWS THE IMPORTANCE OF REASSURANCE AND THE RIGHT CLINICAL
AND RAPID HISTOLOGICAL RESPONSE.
PP.280. REPLANTATION OF AN AVULSED TOOTH AFTER 17-HOURS

EXTRA-ORAL TIME: 2-YEAR FOLLOW-UP
YILMAZ N, '7Ed͘
NESLIHAN YILMAZ-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY, PEDIATRIC DENTISTRY

dh)'7E-ASSOC. PROF.-ANKARA UNIVERSITY FACULTY OF DENTISTRY, PEDIATRIC DENTISTRY
Background: Avulsion is a serious injury which is most commonly seen in young children and occurs in
maxillary incisors. Immediate replantation is recommended as a treatment and follow-up is required
in order to prevent possible complications.This report presents a case of replantation of a
traumatically avulsed central incisor. Material&Method: A 9-year-old girl referred to Ankara
hŶŝǀĞƌƐŝƚǇ &ĂĐƵůƚǇ ŽĨ ĞŶƚŝƐƚƌǇ ĞƉĂƌƚŵĞŶƚ ŽĨ WĞĚŝĂƚƌŝĐ ĞŶƚŝƐƚƌǇ ǁŝƚŚ ƚŚĞ ĂǀƵůƐĞĚ ůĞĨƚ ŦŶĐŝƐŽƌ͕ ϭϳ
hours after trauma. Clinical examination showed that socket was full of blood clot and the avulsed
tooth was in a glass bottle with tap water. After finishing root canal treatment and scaling necrotic
tissues around the root, the tooth was immersed in %2 sodium flouirde for 20 minutes. The socket
was irrigated by saline and the tooth was replanted with gentle pressure. Flexible wire splint was
applied for 4 weeks. Results: Patient was asymptomtic when she returned for removing splint and
was recalled for clinical and radiographic evaluation after 3 months, 6 months, 1 year and then yearly
thereafter. After 2-year follow-up, radiographic examination showed ankylosis and root resorption.
Conclusion: Although complications like ankylosis or root resorption may be unavoidable, delayed
replantation of avulsed tooth may be a good alternative to prosthesis till the growth is completed due
to preservation of the alveolar bone and psychological benefit to the patient.
PP.281. TRAUMATIC EXTRACTED TOOTH, SUCCEED OF TREATMENT

² A CASE REPORT
MANDINIC Z, MANDIC J, VUKOVIC A, BELOICA M, KOSANOVIC D.
ZORAN MANDINIC-ASSOCIATE PROFESSOR-CLINIC FOR PAEDIATRIC AND PREVENTIVE DENTISTRY

SCHOOL OF DENTAL MEDICINE UNIVERSITY OF BELGRADE
JELENA MANDIC-ASSOCIATE PROFESSOR-CLINIC FOR PAEDIATRIC AND PREVENTIVE DENTISTRY
SCHOOL OF DENTAL MEDICINE UNIVERSITY OF BELGRADE
ANA VUKOVIC-TEACHING ASISTANT-CLINIC FOR PAEDIATRIC AND PREVENTIVE DENTISTRY SCHOOL OF
DENTAL MEDICINE UNIVERSITY OF BELGRADE
MILOS BELOICA-TEACHING ASISTANT-CLINIC FOR PAEDIATRIC AND PREVENTIVE DENTISTRY SCHOOL
Background: Traumatic dental injuries often occur in accidents or sports-related injuries. Traumatic
extractions represents serious teeth injuries that most affected the upper central incisors. The success
of replantation depends on many factors: mainly from the time that has past from the avulsion of the
tooth and the way to preserve the one. Case report: An 13- year-old girl was referred to the Clinic of
Paediatric and Preventive Dentistry, School of Dental Medicine University of Belgrade three days after
the accident with traumatic extraction of permanent upper right central incisor (11) that has been
implanted in the nearest surgery during the first 15 minutes after the injury. Immediate treatment
involved imobilisation the injured teeth by composite splint. After a seven days of injury, root canal
debridement was made to prevent root external resorption. During the next two months, root canal
ǁĂƐĨŝůůĞĚďǇƚŚĞ>ĞĚĞƌŵŝǆΠĂŶĚƐƚĞƌŝůĞƉĂƐƚĞŽĨĂ;K,ͿϮŽŶϯϬĚĂǇƐ͘dǁŽŵŽŶƚŚƐůĂƚĞƌƚŽŽƚŚϭϭǁĂƐ
ĚĞĨŝŶŝƚĞůǇĞŶĚŽĚŽŶƚŝĐĂůůǇƚƌĞĂƚĞĚďǇƚŚĞƉĞǆŝƚΠĂŶĚŐƵƚƚĂƉĞƌĐha poens. Two years, after the end of
treatment, clinical and radiographic examinations revealed no signs of pathology ie. root resorption
and the patient was satisfied with her aesthetic appearance. Conclusions: Appropriate treatment plan
that included fast dental health care, ie. quick replantation of avulsed tooth during next 30 minutes
after the injury, represents the most important factor for a good prognosis.
PP.282. THIRD MOLAR SURGERY
DZENAD GANJOLA D.
DR DZENAD GANJOLA-THIRD MOLAR SURGERY -JZU KCCG STOMATOLOSKA POLIKLINIKA PODGORICA
Removal of third molars (wisdom teeth) remains one of the most common procedures , generally
considered to be routine. Typical development of the third molar tooth germ begins around the age
of 8-9 years with radiographic appearance distal to the second molars. The crown is typically visible by
14 years of age and root formation is generally considered to be nearly complete by the age of 20-21
Concepts that are likely to determine eruption include angulation of the tooth, relative degree of root
formation at the time of assessment, relative depth of impaction, available space for eruption
(typically regarded as the space from the anterior aspect of the ascending ramus to the distal of the
second molar) and the size of the impacted third molar. In a recent study involving patients with
erupted third molars followed over a three year period, those patients older than 25 years of age
showed a higher incidence of caries than younger patients. In fact, one study correlated caries
experience in third molars with non-third molar teeth, and suggested that up to 40% of third molars
will develop caries by the end of the third decade. The potential risk for caries combined with
decreased access for hygiene poses a long-term risk for spread to adjacent teeth, and likely
contributes to the periodontal disease progression.
PP.283. THE REASONS FOR TOOTH EXTRACTION IN A

MONTENEGRIN POPULATION SAMPLE
DJURIC O, GANJOLA D.
DR OLGA DJURIC-THE REASONS FOR TOOTH EXTRACTION IN A MONTENEGRIN POPULATION SAMPLE-

JZU KCCG STOMATOLOSKA POLIKLINIKA PODGORICA
DR DZENAD GANJOLA COAUTHOR
Tooth extraction is the removal of a tooth from its socket in the bone. If a tooth has been broken or
damaged by decay, your dentist will try to fix it with a filling, crown or other treatment. Sometimes,
though, there's too much damage for the tooth to be repaired. In this case, the tooth needs to be
extracted. The reasons for extraction of teeth were determined in a Montenegrin population sample
of 505 patients, ranging in age from 16 to 71 years. Caries was the primary cause of extraction (63%),
followed by periodontitis (34%). For the adult age groups, the percentages were approximately the
same. While periodontitis was the cause of one-third of the extractions, these occurred in only one-
fifth of the population. Although there is a commonly expressed belief that periodontitis is the major
cause of tooth loss in adults, a review of both historical and contemporary literature does not support
this position. According to the current concept of the natural history of periodontal disease, only
about one-fifth of the population, or less, is likely to have periodontitis severe enough to cause tooth
loss. This view is consistent with data from this and most other studies on the reasons for tooth
extraction.
PP.284. MULTIDISCIPLINARY APPROACH TO TREATMENT OF THE

CLEFT LIP AND PALATE CUTOVIC T, JOVIC N, RADOJICIC J, ILIC J.
TATJANA CUTOVIC-ASSISTANT PROFESSOR-MEDICAL FACULTY UNIVERSITY OF DEFENCE BELGRADE

NEBOJSA JOVIC-PROFESSOR-MEDICAL FACULTY UNIVERSITY OF DEFENCE BELGRADE
JULIJA RADOJICIC-ASSISTANT PROFESSOR-MEDICAL FACULTY UNIVERSITY OF NIS
JANA ILIC-DENTIST-HEALTH CENTRE BANJALUKA
Introduction: Cleft lip and palate are the most common congenital anomalies of the craniofacial
region. Clefts occur as a result of insufficient fusion between the medial nasal continuation and
maxillary extensions or between the palatal extensions. The etiology of cleft is multifactorial, genetic
and environmental factors equally influence the occurrence of clefts. In order to achieve the best
possible functional and esthetic results of great importance is multidisciplinary treatment of these
patients. The aim of this paper is to show different ways of multidisciplinary approach in the
treatment of the cleft lip and palate. Materials and Methods: In order to achieve the main goals of the
treatment (satisfactory facial esthetics, occlusion, speech, swallowing, prevention of hearing
impairment) different types of treatment are conducted depending on the clinical picture. Because
the varieties of problems which patients with cleft are faced (difficult nutrition, speech disorder,
hearing problems, poor occlusion and facial esthetics) multidisciplinary treatment is necessary.
Mandatory members of the team involved in the treatment are the maxillofacial surgeon,
orthodontist, otolaryngologist, psychologist, speech therapist and if necessary, other specialists and
doctors can be included. Results: Treatment of the cleft is unique and specific and only team
approach enables successful treatment outcome. By using multidisciplinary approach it significantly
improved transverse irregularities and achieved a satisfactory occlusion with a balanced profile of the
patient. Conclusion: Although small anatomical region is affected, for a good diagnosis and treatment
multidisciplinary approach and patient care is very important from birth to the end of growth and
development.
PP.285. THE DIAGNOSIS OF PUS COLLECTION TO THE PATIENTS

WITH FLEGMON OF ORAL FLOOR
LEVCO S, SCERBATIUC D.
LEVCO SIMION-ASIST. UNIV. PHD - STUDENT-^ddD/>hE/sZ^/dzEW,ZDz͞E/K>

d^dD/fEh͟ d, WZdDEd K& KZK-MAXILO-FACIAL SURGERY AND ORAL IMPLANTOLOGY
͞ZÊ/'hfE͟
SCERBATIUC DUMITRU-PROF. UNIV. DR. HAB. ST. MED.-STATE MEDICAL UNIVERSITY AND PHARMACY
͞E/K> d^dD/fEh͟ d, WZdDEd K& KZK-MAXILO-FACIAL SURGERY AND ORAL
/DW>EdK>K'z͞ZÊ/'hfE͟
Introduction The trend to minimal invasion is used also in oro-maxilo-facial surgery. In the past the
surgical treatment for the flegmon of oral floor were characterized in large incision for the better
drainage of the pus. Actually because of the scientifically progress appeared the possibility for the
clear diagnosis of pus collections from affected spaces. Besides the surgical treatment, the patients
also have drug treatment, were the clinician have the possibility to look for the local and general
status of the organism, let the surgeon to make small incisions for the pus drainage. The result will be
better recovery. The purpose: Analyzes of the differences between the result obtained from the
computer tomography and ultrasound referred to the pus collection of the patients with oral floor
flegmon. Materials and methods The research was made in the Medico-sanitary Public Institute,
Institute of Emergency. In 2016, 12 patients were involved in the research with the flegmon of the
oral floor. To those patients were made computer tomography of oral floor and ultrasound. The
results were compared. Results The result of computer tomography to the patients with the flegmon
of the oral floor shows that in 70% of the cases do not detect about one affected space. In 30% - were
detected all affected spaces. In addition with ultrasound , in 90% of cases were detected all infected
spaces. Conclusions 1. Ultrasound has higher efficiency in detection of infected spaces 2. For clear
diagnosis need to be associated these two methods
PP.286. GORLIN-GOLTZ SYNDROME: A FOLLOW-UP OF A RARE

CLINICAL CASE.
PETKOVA M, STANIMIROV P, GATEVA N.
MILENA PETKOVA -ASSISTANT PROFESSOR-MEDICAL UNIVERSITYʹSOFIA, FACULTY OF DENTAL

MEDICINE, DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY
PAVEL STANIMIROV -ASSOCIATE PROFESSOR-MEDICAL UNIVERSITYʹSOFIA, FACULTY OF DENTAL
MEDICINE, DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY
NATALIA GATEVA -ASSOCIATE PROFESSOR-MEDICAL UNIVERSITYʹSOFIA, FACULTY OF DENTAL
MEDICINE, DEPARTMENT OF PEDIATRIC DENTISTRY
Gorlin-Goltz syndrome: a follow-up of a rare clinical case. Nevoid basal cell carcinoma syndrome
(NBCCS), ĂůƐŽ ƌĞĨĞƌƌĞĚ ƚŽ ĂƐ ƚŚĞ ͚'ŽƌůŝŶʹ'Žůƚǌ ƐǇŶĚƌŽŵĞ͕͛ ŝƐ ĂŶ ĂƵƚŽƐŽŵĂů ĚŽŵŝŶĂŶƚ ŝŶŚĞƌŝƚĞĚ
condition with strong penetrance. The syndrome is caused by mutations in PTCH gene- a tumor
suppressor gene mapped to chromosome 9q22.3-q31. Manifestations of the syndrome occur early in
life, often in childhood. The chief components are multiple basal cell carcinomas of the skin,
odontogenic keratocysts (OKCs), ectopic intracranial calcification, rib and vertebral anomalies, plantar
and palmar pits, central nervous system and ocular lesions, and fairly typical facial features with
frontal bossing and ocular hypertelorism. Many other anomalies have been reported in these patients
and probably also represent manifestations of the syndrome. We present a follow-up of a clinical case
of 15 years old female patient diagnosed with NBCCS by clinical, radiographic and histological
findings. She appeared with multiple jaw cystic lesions, a large cyst in the maxillary sinus leading to
diplopia and multiple synchronous and metachronous developing basal cell carcinoma of the skin. We
highlight the importance of early diagnosis and treatment of this syndrome in order to reduce the
severity of complications including cutaneous and cerebral malignancy and oromaxillofacial deformity
and destruction due to odontogenic cysts and in order to provide a better prognosis for the patient.
PP.287. INTRODUCTION OF RDC/TMD PROTOCOL FOR ALBANIAN

MAXILLOFACIAL DEPARTMENT
ISUFI R.
RAMAZAN ISUFI-PROF.DR.-CHEEF OF DEPARTMENT OF ORO MAXILLO FACIAL, UNIVERISTY OF

MEDICINE, TIRANA
Abstract: Temporomandibular disorders (TMD) are complicated by different factors which will
characterized these disorders with clinical signs and symptoms. The cardinal signs and symptoms for
TMD are pain in the masseter muscle, TMJ and/or temporalis muscle regions; mouth ʹ opening
limitations and TMJ sounds. From different literature data, TMD diagnosis is based on a through
clinical assessment and international classifying schema, also rely on standardized clinical tests to
categorize TMD patients. Techniques with imagines should be used to gain a better insight within the
temporomandibular joint; RMN to the depiction of soft tissues; TC to bone structures; EMG to prove
effective in improving. Regarding unified opinion on the classification and diagnosis of these
pathologies in Albania, we think it would be very interesting to application the assessment of
RDC/TMD on Albanian maxillofacial department. The TMD diagnostic process can help us to relies on
a psychosocial assessment of patients, which can be useful to detect a psychosocial impairment that
needs to be addressed at the therapeutically level.
PP.288. INCIDENCE OF CRANIAL DEFORMITIES ACCORDING TO THE

TYPE OF THE SCHOOL
RAILEAN S, RAILEAN G, POSTARU C,
RAILEAN SILVIA-DR-STATEUNIVERSITY OF MEDICINE AND FARMACY ,,NICOLAE TESTEMITANU

RAILEAN GHEORGHE-DR-NEUROLOGICAL DEPARTMENT
POSTARU CRISTINA-DR-STATEUNIVERSITY OF MEDICINE AND FARMACY ,,NICOLAE TESTEMITANU
Introduction.Cranial deformities problem in children is common today and became particularly acute
with the launch of the campaign "Back to Sleep" by USA pediatricians association. Cranial deformities
have increased risk for development of pathological manifestations of neurological, ophthalmological,
otolaryngological, dental-alveolar etc. systems. The main problem that remain unclear now days is
the incidence of cranial deformities in school children and their impact over organ and system and
special to the head and neck areas. Materials and methods. 3923 school children were examined in
2012-2015 years. In these study children from three types of schools were involved.421 children were
examined from schools with severe neurological disorders; 2157 children were from schools with
special educational needs; and 1345 children from pre-university schools. Results. From 3923
children 632 (16%) were found with cranial deformities.12.4% of these children were found with
cranial deformities of plagiocephaly type, 1%-with craniostenoses and 2.7% with other
deformities.We found statistically true that in schools for children with neurological disabilities
44.18% cases were found with cranial deformations, in schools for children with special educational
needs 17.71%, while in pre-ƵŶŝǀĞƌƐŝƚǇ ƐĐŚŽŽůƐ ϰй ;yϸ ϯϳϳ͘ϳϴϰ WϬ͘ϬϬϭͿ.
Conclusion.As a result of this study, it was found that the rate of cranial deformities is directly
proportional to the nature of the examined school. Cranial deformities persist during school period of
ĐŚŝůĚ͛Ɛ ĚĞǀĞůŽƉŵĞŶƚ͘ ,ŝŐŚĞƌ ŝŶĐŝĚĞŶĐĞ ŽĨ ĐƌĂnial deformities was found in school children with
neurological disabilities (48.18%) and lowest incidence was found in pre-university schools.
PP.289. MEDICATION-RELATED OSTEONECROSIS OF THE JAWS -

CAN WE ADD STAGE 4?
FIRKOVA E, SIMOV R, BAKARDIEV A, GEORDZEVA D.
ELENA FIRKOVA-ASSOCIATE PROFESSOR-NEDICAL UNIVERSITY - PLOVDIV, DEPARTMENT OF

PERIODONTOLOGY AND ORAL DISEASES
RADOSLAV SIMOV-ASSISSTANT PROFESSOR-HOSPITAL
ANGEL BAKARDIEV-PROFESSOR -HOSPITAL
DESISLAVA GEORDZEVA -ASSISSTANT PROFESSOR-HOSPITAL
Background. Medication-related osteonecrosis of the jaw changed the nomenclature

bisphosphonate-related osteonecrosis of the jaw because of the growing number of osteonecrosis
associated with other anti-resorptive and antiangiogenic therapies. Patients must be considered to
have MRONJ if ALL the following characterisics are present: Current or previous treatment with
antiresorptive or angiogenic agents Exposed bone or bone that can be probed through an intraoral or
extraoral fistula in the maxillofacial region, persisting for longer than 8 weeks No history of radiation
therapy to the jaws or obvious metastatic diseases of the jaws. MRONJ adversely affects quality of
life, producing significant morbidity. AAOMS (2014) defines the staging and treatment strategies for
MROJ. Currently there is no unified classification, established for use of all professionals. Methods
and materials. From 2010 to 2016 60 patients with current or previous bisphosphonate therapy were
diagnosed with MRONJ and staged following AAOMS classification. 16 initially presented with bone
sequestrum, evaluated by CT scan, which indicated the volume of surgical procedure. Results.
Number of patients with MROJ is growing consistently. In Bulgaria most of them have already mobile
bone fragments when they seek help. This stage ʹ with bone sequestrum with or without infection - is
not included in current staging systems, but can guide the surgeon easy (together with CT findings)
for the treatment procedures. Conclusion. AAOMS classification is useful from clinical and diagnostic
perspective. Adding stage 4 ʹ presence of mobile sequestrum, evaluated by CT, will offer the surgical
orientation to the treating surgeon.
PP.290. THE ROLE OF PDGF AND BMP IN THE REGENERATION OF
THE ALVEOLAR BONE
GEORGIOU P, EXARCHOS D, DABARAKIS N.
PINELOPI GEORGIOU
DIMITRIOS EXARCHOS DENTAL CLINIC
NIKOLAOS DABARAKIS--ARISTOTLE UNIVERSITY OF THESSALONIKI
THE ROLE OF BMPS AND PDGF IN REGENERATION OF THE ALVEOLAR BONE BACKGROUND RECENT
ATTENTION HAS FOCUSED ON THE POTENTIAL FOR BIOLOGICAL MEDIATORS CONCERNING BONE
REGENERATION TO IMPROVE WOUND HEALING, ENHANCE THE CLINICAL BENEFITS OF BONE
REPLACEMENT GRAFTS AND PROVIDE BETTER, MORE CONSISTENT RESULTS. METHODS, MATERIALS
THIS STUDY EVALUATES THE EFFECTS OF PLATELET-DERIVED GROWTH FACTOR (PDGF) AND BONE
MORPHOGENETIC PROTEIN-2 AND -7 (BMP-2, BMP-7) ON BONE REGARDING SINUS AUGMENTATION,
ALVEOLAR RIDGE AUGMENTATION/PRESERVATION, DISTRACTION OSTEOGENESIS, TREATMENT OF
CLEFTS AND IMPLANT PLACEMENT. THE RESEARCH WAS CONDUCTED THROUGH PUBMED AND
WILLEY ONLINE LIBRARY DATABASES. 80 RANDOMIZED CONTROL TRIALS WERE SELECTED, INCLUDING
SOME REVIEWS (23 REFERRED TO PDGF: 9 ON HUMANS,14 ON ANIMALS AND 57 REFERRED TO BMPS:
18 ON HUMANS, 57 ON ANIMALS). RESULTS BOTH OF THE BIOLOGICAL MEDIATORS APPEARED TO BE
A PROMISING ALTERNATIVE TO THE SO FAR COMMONLY USED TECHNIQUES. PDGF WAS VERY
EFFECTIVE COMBINED WITH BIO-OSS OR B-TRICALCIUM PHOSPHATE AND ACTED BETTER WITHOUT A
MEMBRANE. BMPS SHOWED THE BEST RESULTS AT 1,5 MG/ML AND COMBINED WITH COLLAGEN
CARRIERS. THE COMBINATION USAGE OF BMP-2 WITH BOVINE-DERIVED DEPROTEINIZED
XENOGRAFT, SYNTHETIC CERAMIC MATRIX, HYDROXYAPATITE OR GUIDED BONE REGENERATION
SHOULD BE CAREFULLY EVALUATED. THE SAME APPLIES TO THE COMBINATION OF PDGF WITH BIO-
OSS COLLAGEN. CONCLUSION DESPITE THE PROMISING RESULTS, MORE STUDIES ARE NEEDED TO
DETERMINE THE BEST CARRIER AND DOSE, COMPARE THEIR EFFECTIVENESS TO THE POPULAR
AUTOGRAFTS, ALLOGRAFTS,PRF AND ESTIMATE THE QUALITY OF THE REGENERATED BONE, THE
LONG-TERM CLINICAL BENEFITS AND ANY POSSIBLE SIDE-EFFECTS.
PP.291. THE SEVERE FORM OF SPONTANEOUSLY OCCURRED

OSTEORADIONECROSIS OF THE LOWER JAW. CASE REPORT
VIDENOVA L, STANIMIROV P.
LYUBIKA VIDENOVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY

PAVEL STANIMIROV-ASSOCIATE PROFESSOR-FACULTY OF DENTAL MEDICINE;--DEPARTMENT OF ORAL
AND MAXILLOFACIAL SYRGERY
The osteoradionecrosis (ORN) is one of the most serious complications following radiotherapy of the
head and neck. The studies indicate that ORN is a consequence of functional and structural changes in
the bone that may occur a few months or years after a radiotherapy. The causes of the bone damage
are the absorbed radiation dose and the field of radiation. The trauma in the oral cavity, the surgeries,
that was performed, dental extractions, dental status and oral hygiene have a direct influence for
occurrence of the bone necrosis . The ORN can occur spontaneously without traumatic or infectious
factors in extremely rare cases. In these cases it is considered that the main risk factor is the method
of irradiation. The percutaneous techniques, as well as a larger field of irradiation result in severe
damage to the bone. We represent a patient with severe osteoradionecrosis and pathological fracture
of the mandible, that have spontaneously occurred. We highlight the severity of the problem and the
progressive character of the desease and the difficulty in its treatment.
PP.292. PRESENCE OF DIFFERENT CANDIDA SPECIES AT DENTURE

WEARERS WITHOUT DENTURE STOMATITIS
PETROVIC SM, CIMBALJEVIC M, KUZMANOVIC-PFICER J, JOTIC A, PUCAR A.
SANJA MATIC PETROVIC-RESEARCH ASSISTENT-UNIVERSITY OF BELGRADE, SCHOOL OF DENTAL

MEDICINE, DEPARTMENT OF ORAL MEDICINE AND PERIODONTOLOGY
MILENA CIMBALJEVIC-RESEARCH ASSISTENT-UNIVERSITY OF BELGRADE, SCHOOL OF DENTAL
MEDICINE, DEPARTMENT OF ORAL MEDICINE AND PERIODONTOLOGY
JOVANA KUZMANOVIC-PFICER-RESEARCH ASSISTENT-UNIVERSITY OF BELGRADE, SCHOOL OF DENTAL
MEDICINE, DEPARTMENT FOR MEDICAL STATISTIC AND INFORMATICS
ALEKSANDRA JOTIC-PROFESSOR-UNIVERSTIY OF BELGRADE, FACULTY OF MEDICINE, CLINIC FOR
ENDOCRINOLOGY AND METABOLIC DISEASES, CLINICAL CENTER OF SERBIA
ANA PUCAR-PROFESSOR-UNIVERSITY OF BELGRADE, SCHOOL OF DENTAL MEDICINE, DEPARTMENT OF
ORAL MEDICINE AND PERIODONTOLOGY
The aim of this study was to examine prevalence and variety of Candida spp. at diabetics and non-
diabetics wearing partial/complete acrylic dentures without clinical signs of Denture stomatitis (DS)
and to study if some local or systematic factors are risk factors for harboring Candida at these
subjects. Total of 60 subjects wearing partial/complete upper acrylic denture having at least half of
palatal mucosa covered by denture were selected and stratified into three experimental groups:
systematically health subjects, patients with diagnosed Type 2 Diabetes (T2D) and good
glycoregulation, and T2D subjects with poor glycoregulation. Cotton swab samples were obtained
from each patient from hard palate mucosa and denture surface. Swab cultures were made on
Sabouraud dextrose agar and ChromAgar Media for distinction of various Candida spp. Density
growth was also measured. Frequency of Candida spp. findings were similar between groups. At
healthy subjects, only C.albicans was detected. At groups with T2D, C.albicans was the commonest
isolated species, followed by C.glabrata and C.tropicalis. Negative finding of yeasts on palatal mucosa,
but positive on denture surface were detected at all groups, but with the highest frequency at
diabetics with poor glycoregulation. Denture surface was heavier colonized than hard palate mucosa.
Presence and duration of diabetes in years were only independent predictors for harboring Candida
spp. at denture surface. Prosthesis of denture wearers without DS may potentially serve as reservoir
of Candida spp. Presence of more pathogenic and resistant non-albicans species are related to
immunocompromised subjects, even without clinical signs of inflammation.
PP.293. RECURRENT SQUAMOUS PAPILLOMA OCCURRING ON

LOWER LIP IN A PEDIATRIC PATIENT
EGE B, >/b/ZD, AKSOY F.
BILAL EGE-ASST. PROF. DR.-DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY

Dd/E>/b/Z-ASST.PROF.DR.-DEPARTMENT OF PERIODONTOLOGY
FATIH AKSOY-DR. DT.-DEPARTMENT OF ENDODONTICS
Background: Squamous papilloma (SP) is a benign proliferating lesions which results in a papillary or
verrucous exophytic mass. It is generally characterized by painless and slowly growing. As an oral
lesion, it raises concern because of its clinical appearance which may mimic exophytic carcinoma,
verrucous carcinoma or condyloma acuminatum. These lesions most frequently occur on the tongue,
hard and soft palate but any surface of the oral cavity can be affected. SP is commonly seen between
age 30-50 years and sometimes can occur before the age of 10 years. Methods and Materials: In our
case a 14-year-old female patient was reported with a painless growth on the lower lip surface since
one month. There was no history of pain, parasthesia or numbness associated with the growth. After
intraoral examination, the lesion was surgically excised and it was sent for histopathological
ĞǀĂůƵĂƚŝŽŶ͕ ǁŚŝĐŚ ĐŽŶĨŝƌŵĞĚ ƚŚĞ ͚ƐƋƵĂŵŽƵƐ ƉĂƉŝůůŽŵĂ͛͘ ZĞƐƵůƚƐ͗ ϭ ŵŽŶƚŚ ĂĨƚĞƌ ƐƵƌŐĞƌǇ͕ ŝƚ ǁĂƐ
recurred in the patient. It was seen that the lesion extended towards the teeth due to the diastema in
the lower incisor teeth. The lesion was excised again and the healing was uneventful in follow-up visit.
Conclusion: Oral squamous papilloma accounts for around 2.5% of all oral verruco-papillary lesions
and 8% of all oral tumors in children. So, early diagnosis and surgical excision should be performed to
avoid further complications.
PP.294. CONDYLAR HYPERPLASIA-$5(9,(:ƱƯ&/$66,),&$7,21

DIAGNOSIS AND TREATMENT
MORALI A, VASOGLOU M, VASOGLOU G, MICHAELIDIS I, TSELKAS O.
ATHANASIA MORALI-DENTIST-ORAL AND MAXILLOFACIAL SURGERY OF 401 GENERAL ARMY

HOSPITAL, ATHENS, GREECE
MICHAIL VASOGLOU-ORTHODONTIST-PRIVATE PRACTISE
GEORGIOS VASOGLOU-DENTISTRY STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI
IOANNIS MICHAELIDIS-ORAL AND MAXILLOFACIAL SURGEON-ORAL AND MAXILLOFACIAL SURGERY OF
401 GENERAL ARMY HOSPITAL, ATHENS, GREECE
ORESTIS TSELKAS-ORAL AND MAXILLOFACIAL SURGEON-ORAL AND MAXILLOFACIAL SURGERY OF 401
GENERAL ARMY HOSPITAL, ATHENS, GREECE
CONDYLAR HYPERPLASIA-A REVIEW ɃɁ CLASSIFICATION, DIAGNOSIS AND TREATMENT ABSTRUCT

Introduction: Condylar hyperplasia (CH), also called hemimandibular hypertrophy,
temporomandibular joint (TMJ) condylar hyperplasia or hypercondylia, is a self-limiting disorder
characterized by excessive growth of the mandibular condyle, resulting in functional and esthetic
problems. Purpose: The aim of this presentation is to review the literature on classification, means of
diagnosis and treatment of CH and to emphasize on accurate diagnosis and considered factors so as
treatment to ensure the stability of the final result. Methods and materials: Review of literature,
combined with data obtained by CH treated cases. Results: Etiology of CH includes endocrine
distortions, metabolic hyperactivity, trauma, genetic causes, tumor growth. Diagnosis is made by a
series of clinical, radiograph, nuclear imaging procedures and histological examination. Treatment
options are condylectomy (high or low) combined or not with compensatory orthodontic therapy and
orthognathic surgery. Conclusions: Condylar hyperplasia is a deformity leading to facial asymmetry of
variable severity. Diagnosis and classification is made through clinical and laboratory procedures but
the key point is to accurately and on time differentiate it from other situation such as orthodontic
cases with asymmetry due to functional reasons. Certain treatment protocols have been suggested
after classification of the case, but each patient has to be treated on individual consideration.
PP.295. SINGLE TOOTH CORTICOTOMY FOR IMPLANT PLACEMENT
IN PATIENT WITH LATERAL INCISOR AGENESIS
LILLIS T, VESALA AM, THEODORIDIS C, SYMINTIRIDIS C.
LILLIS THEODOROS-DDS, MSC-DEPARTMENT OF DENTOALVEOLAR SURGERY, IMPLANT SURGERY AND

RADIOLOGY, FACULTY OF DENTISTRY, SCHOOL OF HEALTH SCIENCES, ARISTOTLE UNIVERSITY OF
THESSALONIKI
VESALA ANNA-MARIA-DMD, MSC STUDENT-DEPARTMENT OF DENTOALVEOLAR SURGERY, IMPLANT
SURGERY AND RADIOLOGY, FACULTY OF DENTISTRY, SCHOOL OF HEALTH SCIENCES, ARISTOTLE
THEODORIDIS CHARIS-DDS, MSC STUDENT-DEPARTMENT OF DENTOALVEOLAR SURGERY, IMPLANT
SURGERY AND RADIOLOGY, FACULTY OF DENTISTRY, SCHOOL OF HEALTH SCIENCES, ARISTOTLE
SYMINTIRIDIS CONSTANTINOS-DDS, MSC ORTHODONTIST
Background: Alveolar corticotomy is a contemporary method for orthodontic treatment acceleration.

It is a surgical technique based on intentional mini-injury of the cortical alveolar bone prior to
orthodontic force application. Our case presents the effect ofcorticotomy in maxillary canine
retraction management. Materials and methods: A 20years-old female patient diagnosed with
bilateral incisor agenesis was considered for orthodontic treatment. Orthodontic treatment was
successful regarding the upper right quadrant and space closure by mesialization of the posterior
segments was achieved. Nevertheless, on the left quadrant, despite the orthodontic efforts, the
premolars failed to be moved and additionally only the crown of the canine was mesialized with the
apex having remained in the canine region. The canine was decided to be pulled back to its initial
position and implant placement for replacement of the missing incisor was considered, albeit
insufficient space and no complete movement was achieved even when a miniscrew was placed.
Hence buccal corticotomy was scheduled and performed. Results: A periapical radiography 3 months
after the procedure depicts an additional increment of space between the apices and sufficient
alveolar bone. A single implant (3.4mm/11mm Xive-s, Dentsply-Friadent) was placed with the flapless
procedure and immediate loading with temporary prosthesis was conducted. The final prosthesis was
placed 3 monthspost implantation. Conclusion: Single-tooth osteotomy in combination with
orthodontic treatment, may be an effective option for treatment acceleration and amelioration of
clinical outcomesunder the proper circumstances.
PP.296. ANTIBIOTICS IN ORAL SURGERY : WHEN, WHERE, HOW ARE

NECESSARY IN ANY CASE?
SCHOINAS N, STYLIARA C, PAPALEXIOU D, ZOULOUMIS L
NICK SCHOINAS-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT

OF DENTISTRY
CHARIKLEIA STYLIARA-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI,
DEPARTMENT OF DENTISTRY
DIMITRIOS PAPALEXIOU-DENTIST-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT OF
DENTISTRY
LAMPROS ZOULOUMIS-PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI, DEPARTMENT OF
DENTISTRY
ANTIBIOTICS IN ORAL SURGERY : WHEN, WHERE, HOW ARE NECESSARY IN ANY CASE? BACKGROUND :
Antibiotherapy consists in systemic administration of antibiotics to treat an infection. This
prescription should be restricted to recommended indications. Using antibiotherapy is always a
complement to adequate local threatment, especially for the threatment of oral surgery. RESULTS :
The aim of this study is to analyze the circumstances where the antibiotics are necessary in oral
ƐƵƌŐĞƌǇ͘ WƌŽƉŚǇůĂĐƚŝĐ ĂŶƚŝďŝŽƚŚĞƌĂƉǇ ŝƐ ƌĞĐŽŵŵĞŶĚĞĚ ĂĐĐŽƌĚŝŶŐ ƚŽ ƚŚĞ ƉĂƚŝĞŶƚ͛Ɛ ŝŶĨĞĐƚŝŽƵƐ ƌŝƐŬ ĂŶĚ
the invasive procedure performed. It is initiated to limit the risk of infectious endocarditis or to limit
the risk of local infection and its possible extension. Antibiotherapy is administered in a single intake
within one hour before surgery : amoxicillin (2gr in adults, 50mg/kg in children) & in case of allergy, it
is recommended clindamycin (600mg in adults, 20mg.kg-1 in children over 6 years of age). MATERIAL
AND METHODS : Papers of high validation from 1990 to 2017 were included in the present study
based on webserches made with pubmed and Scopus. The conditions in which antibiotic prophylaxis
is necessary will be presented along with the most appropriate antibiotic regime. CONCLUSION : The
use of antibiotics must be personalized for dental patients, since every patient is unique and has
different needs as concerns chemoprophylaxis, depending on the systemic diseases that one might
have.
PP.297. THE SURGICAL APPROACH OF DEEP IMPACTED

PERMANENT TOOTH IN ORDER TO APPLY ORTHODONTIC FORCES.
DALAMPIRA M, DALAMPIRAS FAT, DALAMPIRAS S.
IMPACTED PERMANENT TEETH ARE A CHALLENGE TO THE ORAL AND MAXILLOFACIAL

SURGEON AND TO THE ORTHODONTIST, ESPECIALLY WHEN THE CRITICAL QUESTION ARISES:
EXTRACTION OR PRESERVATION? AFTER THE DECISION TO PRESERVE AND GUIDE THE
IMPACTED TOOTH INTO ITS NATURAL POSITION IN THE ARCH, A SURGICAL- ORTHODONTIC
PLAN MUST BE MADE WITH THE COLLABORATION OF THE TWO SPECIALISTS; THE
ORTHODONTIST AND THE SURGEON. THE SURGICAL PART OF THE EXPOSURE OF THE
IMPACTED TOOTH CROWN MUST BE PERFORMED IN ORDER TO FACILITATE THE
ORTHODONTIC MANAGEMENT THAT FOLLOWS THE OPERATION. CASE REPORT. A 14 YEARS
OLD MALE PATIENT WAS REFERRED TO OUR CLINIC WITH CHIEF COMPLAINT THAT THE
PERMANENT LEFT MANDIBULAR CANINE DID NOT ERUPT WHILE THE HOMOLOGUS TOOTH
IN THE OTHER SIDE WAS IN THE ARCH. THE RADIOGRAPHIC EXAMINATION PRESENTED A
DEEP IMPACTED PERMANENT CANINE IN THE AREA. THE TREATMENT PLAN WAS TO EXPOSE
THE CROWN OF THE IMPACTED CANINE BY REMOVING THE COVERING BONE AND TO BOND
Z<d KE d, dKKd,͛^ ^hZ&͘ Z^h>d^ E KE>h^/KE͘ dK KDW>d d,
OPERATION WAS A LABORIOUS TASK. THE MOST IMPORTANT PROBLEM WAS THE CONTROL
K& >/E' E d, W WK^/d/KE K& d, dKKd,͛^ ZKtE d,d t^ WK^/E'
SERIOUS PROBLEM IN THE INTEGRITY OF THE ADJACENT TOOTH. FINALLY, THE TOOTH WAS
UNDER TRACTION WITH ELASTIC ELEMENTS. THE AIM OF THIS PRESENTATION IS FIRSTLY TO
EMPHASIZE THE IMPORTANCE OF THE INTERDISCIPLINARY COLLABORATION BETWEEN THE
ORTHODONTIST AND THE SURGEON AND SECONDLY THE VALUE OF THE ABILITY AND THE
EXPERIENCE OF THE SPECIALISTS.
PP.298. AN UPDATE ON MEDICATION-RELATED JAW
OSTEONECROSIS: CLASSIFICATION, PREVENTION AND TREATMENT
BRIAMATOU K, PAPAKOSTA V, VASSILIOU S, VAIRAKTARIS E.
KYRIAKI BRIAMATOU-DENTIST-DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY

VERONICA PAPAKOSTA-MD,DDS,PHD, ORAL AND MAXILLOFACIAL SURGEON, CONSULTANT-
UNIVERSITY GENERAL HOSPITAL ATTIKON, MEDICAL SCHOOL, NATIONAL AND
STAVROS VASSILIOU-MD,DDS,PHD ORAL AND MAXILLOFACIAL SURGEON, ASSISTANT
PROFESOR
ELEUTHERIOS VAIRAKTARIS-MD,DDS,PHD,ORAL AND MAXILLOFACIAL SURGERY, HEAD OF
THE DEPARTMENT
Medication-related osteonecrosis of the jaw (MRONJ) is a challenging condition to recognize

and treat, impairing oral health-related quality of life. It is characterized by non-healing
exposed areas of jawbone persisting for 8 weeks in the absence of any radiotherapy to the
area and occurs in patients receiving antiresorptive drugs for malignant diseases and
osteoporosis. The aim of this poster is to summarize and provide up-to-date information on
classification, preventive strategies and treatment options on this disease that is of major
interest for dentists dealing with this. The electronic search in MEDLINE was restricted to
English language articles published in peer-reviewed journals from January 2012 to January
2017. MRONJ is a multifactorial disease and is currently classified in three stages, and there
is discussion whether to include a stage 0 category. Maintenance of good oral hygiene,
elimination of oral disease prior to initiation of antiresorptive agents and prediction of the
risk for development of ONJ by assessing biomarkers levels are the main preventive
strategies. Management of MRONJ is conservative or surgical and requires close teamwork
for the dentist and the treating physician. It is established upon the stage of the disease, the
histopathological examination, the presence of contributing drug therapy and the
comorbidity.
PP.299. MANAGEMENT OF METASTATIC NECK NODE IN THYROID

CARCINOMA
KALAITSIDOU I, VAHTSEVANOS K, PAZAITOU-PANAYIOTOU K, ANTONIADES K
IOANNA KALAITSIDOU-RESIDENT, MD, DDS-ARISTOTLE UNIVERSITY OF THESSALONIKI,

KONSTANTINOS VAHTSEVANOS-ASSOCIATE PROFESSOR, MD, DDS-ARISTOTLE UNIVERSITY OF
THESSALONIKI,
KALLIOPI PAZAITOU-PANAYIOTOU-DIRECTOR, MD-DEPARTMENT OF ENDOCRINOLOGY AND
ENDOCRINE ONCOLOGY, THEAGENION HOSPITAL, THESSALONIKI
KONSTANTINOS ANTONIADES-PROFESSOR, MD, DDS-ARISTOTLE UNIVERSITY OF
THESSALONIKI
Introduction: The purpose of this study is to describe the epidemiology of the lateral cervical
lymph node metastases in carcinoma of the thyroid gland and to present our experience in
their treatment. Methods: Between the time period September 2010 and September 2014,
12 patients with a history of thyroid carcinoma and lateral cervical lymph node metastasis
were treated in our Department. The data of the current retrospective study were obtained
from the archive of two hospitals. Clinical examination, imaging of neck(ultrasound, CT, MRI)
and preoperative FNAC of thyroid were performed. In all cases, histological examination was
done. Results: All patients (7 women and 5 men) had undergone total thyroidectomy for
papillary thyroid cancer. 7 of them with regional lymph nodes metastases had prior central
compartment neck dissection. The time of the initial surgery and diagnosis of metastatic
disease in lateral cervical lymph nodes were from 2 months to 13 years.Modified lymph
node dissection (MRND) was performed in all patients. Bilateral neck dissections were done
in five cases. Conclusions: Modified radical lymph nodes dissection is an effective and
comparatively safe procedure for the treatment of patients with thyroid cancer and lateral
lymph nodes metastases. If adequately performed it ensures better quality of life, longer
survival and improves further control on distant metastases. Removal of only enlarged
lymph nodes or berry picking should be abandoned because recurrence rate is significantly
high and they do not fulfill the onco-surgical principles of neck dissections.
PP.300. NEUROFIBROMA OF THE MAXILLARY ANTRUM: A RARE

CASE
KALAITSIDOU I, VAHTSEVANOS K, SAKELLARIOU P, DALAMPIRAS S, ANTONIADES K.
IOANNA KALAITSIDOU-RESIDENT, MD, DDS-ARISTOTLE UNIVERSITY OF THESSALONIKI,

KONSTANTINOS VAHTSEVANOS-ASSOCIATE PROFESSOR, MD, DDS-ARISTOTLE UNIVERSITY OF
THESSALONIKI,
PAVLOS SAKELLARIOU-NEUROSURGEON, MD-NEUROSURGERY DEPARTMENT, GENERAL
,K^W/d>͞'͘WWE/<K>Kh͕͟d,^^>KE/</
STYLIANOS DALAMPIRAS-PROFESSOR, MD, DDS-ARISTOTLE UNIVERSITY OF THESSALONIKI,
KONSTANTINOS ANTONIADES-PROFESSOR, MD, DDS-ARISTOTLE UNIVERSITY OF
THESSALONIKI
Introduction:Neurofibromas of nasal and paranasal sinuses are rare. About 25% and 45%
cases of neurofibroma occur in the head and neck region.Their isolated occurrence in the
maxillary antrum is unusual entity. The purpose of this study is to report a new case of a
neurofibroma of the maxillary sinus. Case report: A 56-year-old female presented to our
clinic with a swelling on the left zygomatic region of the face since two years. On clinical
examination, extraoral inspection revealed slight fullness in the left maxillary region. There
was a firm, nontender mass palpable just below the inferior orbital margin. Visual acuity,
visual field, and eyeball movements were normal. There was no regional lymphadenopathy.
The intraoral inspection revealed a swelling of vestibular groove. Computed tomography
scan showed soft tissue opacity in the left maxillary sinus with the extension of the mass into
the middle cranial fossa. Bony erosions were seen involving the left floor of the orbit. Under
local anaesthesia, incisional biopsies of oral lesion were performed. The histological results
supported evidence of benign neurofibroma. Complete tumor removal was accomplished by
Modified Weber Fergusson approach (with Lynch extension). Facial nerve palsy of House-
Brackmann (HB) grade III developed immediately postoperatively and persisted for about 20
days. Conclusion: Primary neurofibromas arising in the nasal and paranasal sinuses are
uncommon. Though neurofibromas of maxillary sinus are extremely rare, it should be
considered in the differential diagnosis of tumors of the upper jaw.
PP.301. DECOMPRESSION AS A TREATMENT OF MANDIBULAR

DENTIGEREOUS CYST IN CHILDREN
YURTTUTAN ME, SANCAK K, KIVRAK A, ONCUL AMT.
MEHMET EMRE YURTTUTAN-DDS, PHD-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT

OF ORAL AND MAXILLOFACIAL SURGERY
KEVSER SANCAK-DDS-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ORAL AND
AHMET KIVRAK-DDS-ANKARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ORAL AND
AYSEGUL MINE TUZUNER ONCUL-DDS, PHD-ANKARA UNIVERSITY, FACULTY OF DENTISTRY,
BACKGROUND: DENTIGEROUS CYST IS THE MOST COMMON DEVELOPMENTAL CYSTS OF THE JAWS. IT
IS CHARACTERIZED BY A UNILOCULAR RADIOLUCENT LESION THAT ENCLOSES PERMANENT TOOTH
BUDS OR UNDER CERTAIN CIRCUMSTANCES, DISPLACED TOOTH BUDS. MATERIAL- METHODS: THIS IS
CASE REPORT OF A LARGE DENTIGEROUS CYST IN 8 AND 10 YEAR-OLD PATIENTS TREATED
CONSERVATIVELY BY DECOMPRESSION METHOD SAVING ALL TEETH IN RELATION CYST. THE
RADIOGRAPHIC FINDINGS REVEALED A WELLDELIMITED RADIOLUCENT AREA WITH SCLEROTIC
MARGINS, COMPLETELY ASSOCIATED WITH THE CROWN OF THE INVOLVED PERMANENT TEETH. THE
FIRST PATIENT HAD TEETH 34, 35 INVOLVED WITH THE RADIOLUCENT LESION. 74, 75 NUMBERED
TEETH EXTRACTED, DRAINAGE TUBE WAS PLACED. THE SECOND PATIENT HAS A RADIOLUCENT
LESION THAT ENCLOSES TEETH 44, 45. TOOTH 85 WAS EXTRACTED, BUCCAL APPROACH WAS
PREPARED. CYST EPITHELIUM SUTURED TO ORAL MUCOSA. LONG-TERM FOLLOW-UP REVEALED
GOOD HEALING OF BONY LESION. DISCUSSION: BUCCAL BONY EXPANSION AND A MISSING TOOTH IS
THE MOST COMMON CLINICAL FEATURE. CONSERVATIVE TREATMENT IS VERY EFFECTIVE TO THIS
ENTITY AND AIMS AT ELIMINATING THE CYSTIC TISSUE AND PRESERVING THE PERMANENT TOOTH
INVOLVED IN THE PATHOLOGY. IN LARGE CYSTS, AN INITIAL DECOMPRESSION CAN REDUCE THE SIZE
OF THE BONE DEFECT BEFORE DEFINITIVE ENUCLEATION. DRAINAGE OF THE CYST ENSURES THAT
FLUID NO LONGER ACCUMULATES, STIMULUS ON THE CYSTIC CAPSULE DISAPPEARS. CONCLUSION:
SINCE THIS CYST HAS A LARGE PREVALENCE IN CHILDREN, DECOMPRESSION CAN BE ADVISABLE AS
DEFINITIVE TREATMENT TO ALLOW THE ERUPTION OF THE PERMANENT TOOTH INVOLVED. CHILDREN
HAVE A GREAT REGENERATIVE POTENTIAL AND TOOTH WITH INCOMPLETE ROOT DEVELOPMENT
MAINTAIN THE ERUPTIVE STRENGTH.
PP.302. TISSUE RECONSTRUCTION IN ORAL SURGERY
CEKA I.
INA CEKA-TISSUE RECONTRUCTION IN ORAL SURGERY.-MEDICAL UNIVERSITY OF TIRANA, FACULTY OF

DENTAL MEDICINE, DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY, TIRANA
TITLE: TISSUE RECONSTRUCTION IN ORAL SUGERY INTRODUCTION: THE TISSUE REGENERATION AND
ITS RECONTRUCTION IN DENTAL ARCHES IS CLOSELY RELATED TO THE TYPE OF DEFECT PRESENTED
ON THE SITE. RECONSTRUCTION AND REGENERATION OF BONE TISSUE IS BASED ON DIFFERENT
PRINCIPLES IN RELATION TO THE RECONSTRUCTION AND REGENERATION OF SOFT TISSUE, WHICH
NEED A DIFFERENT APROACH. ALSO, OF GREAT IMPORTANCE IN THIS FIELD IS THE TYPE OF
RECONSTRUCTION AND REGENERATION, NAMELY THE USE OF NEW INDUSTRIAL METHODS OR THE
APPLICATION OF AUTOLOGOUS MATERIALS. CLINICAL DIFFERENCES BETWEEN ARTIFICIAL BONE AND
AUTOLOGOUS NATURAL BONE, ALSO CLINICAL DIFFERENCES BETWEEN INDUSTRIAL COLLAGEN
MEMBRANES AND AUTOLOGOUS CONNECTIVE TISSUE, COMPRISE AN IMPORTANT BURST ON THE
TECHNIQUES OF REGENERATION AND ON THE CREATION OF A SUITABLE OPERATORY FIELD FOR THE
PROSTHETIC REHABILITATION OF THE PATIENT. THE POSTEXTRACTIVE SITES CONSTITUTE AN
IMPORTANT SITUATION WHICH UNDER PROPER REGENARATION USUALLY CALLED
PP.303. MANAGEMENT RECOMMENDATIONS FOR INVASIVE DENTAL

TREATMENT IN PATIENTS USING NOVEL ORAL ANTICOAGULANTS.
A SYSTEMATIC REVIEW.
ADAMOUDI E, DALOPOULOU A, KALAITZOGLOU ME, BELTES C.
ELISAVET ADAMOUDI-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI

ATHINA DALOPOULOU-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI
MARIA- ELPIDA KALAITZOGLOU-DDS-ARISTOTLE UNIVERSITY OF THESSALONIKI
CHARALAMPOS BELTES-DDS, MSC, MCLINDENT, PHD-ARISTOTLE UNIVERSITY OF
THESSALONIKI
Introduction: Warfarin has been the established oral anticoagulant for the last 50 years,
being effective in the prevention and treatment of venous and arterial thromboembolic
disorders. However, the frequent requirement for INR monitoring, multiple drug and food
interactions have fuelled the need for development of new oral anticoagulants (dabigatran,
rivaroxaban, apixaban and edoxaban). Aim: To search the scientific literature for guidelines
and new studies on the dental management of patients using oral antithrombotic
medication and to propose an updated clinical practice recommendation. Material and
methods: A systematic literature search in MEDLINE, Embase, and the Guideline websites,
from 2007 to 2017, produced articles that were critically evaluated. Conclusion: The new
direct factor Xa inhibitors and the direct thrombin inhibitors, called direct oral
anticoagulants (DOAs) have rapid onset of action, fast elimination on cessation, and fewer
drug- drug or drug- food interactions than warfarin. However, the emergence of new direct
oral anticoagulants poses some challenges due to the lack of simple reversal agent in the
event of post- surgical bleeding. Future randomized trials utilizing new direct oral
anticoagulants are warranted.
PP.304. BIOPSY IN ORAL AND MAXILLOFACIAL SURGERY
LATROUDIS P, SEFERIADIS B, SPRITINOUDIS T, KOZARIDOU M, ZOULOUMIS L
The removal of tissue or cells for analysis is called biopsy. Biopsy is the most common surgical
operation. Biopsy is a medical test performed by a surgeon, involving extraction of samples cells or
tissues for examination to determine the presence or extent of a disease benin or malignant. The
tissue is generally examined under a microscope by a pathologist, and can also be analyzed
chemically. The most common technique is when an entire lump or suspicious area is removed, and
this procedure called excisional biopsy. When only a sample of tissue is removed with preservation of
the histolofical architecture of the tissue's cells, the procedure is called incisional biopsy or core
biopsy. At last when a sample of tissue or fluid is removed with a needle in such a way that cells are
removed without preserving the histological architecture of the tissue cells, the procedure is called a
needle aspiration biopsy. or tru-cut biopsy. Also in specific cases we perform CT-quided, MRI-quided
or ultra sonic-quided biopses. In this article we present the necesity of biopsy in omfs and the limites
of dental practicioners in performing this procedure as it concern their training on this issue.
PP.305. SURGICAL REMOVAL OF IMPACTED MAXILLARY CANINE.

ETIOLOGY & DIAGNOSIS (CASE REPORT)
PAPADIMITRIOU K, KESSOPOULOU E, DAVIDOPOULOU S, LEVI J.
Permanent maxillary canine impaction has been reported in about 1-2% of the population.This makes
maxillary canine the second most commonly impacted tooth after the third molars.Approximately
one third of impacted maxillary canines are positioned labially while two thirds are located
palataly.Maxillary canine impaction occurs twice as often in females than males,while only 8% of
canine impaction is bilateral.Diagnosis of impaction can be made as early as 8 years old and it is based
on both clinical and radiographic examination.
This is a case report of a healthy 13 years old male,where periapical radiographic findings confirmed
the presence of an impacted left maxillary canine.CBCT of the area showed labial crown placement
while the root was positioned between the roots of the first premolar.The recommended treatment
included extraction of the canine and implant placement when patient turns 18.
A full thickness flap and osteotomy necessary to visualize the impacted tooth was
performed,preserving the bone adjacent to the lateral and premolar.Site preparation was made using
osteotomy drills.After extraction of the canine,flap was repositioned and sutured.
Since permanent maxillary canines are considered the cornerstones of the dental arches,surgical
exposure and orthodontic alignment should be the treatment of choice.Removal of impacted canine
is a rarely used approach but might be considered if the tooth is ankylosed,has internal or external
root resorption,or its position is unfavorable and it is impossible to bring it in occlusion.
Session 30
PP.306. REVASCULARIZATION OF TRAUMATICALLY INTRUDED

IMMATURE PERMANENT INCISOR: A CASE REPORT
KARAKAYA E, KUL FM, P>WEh͕<^KzD<͕P<dE͘
ESRA KARAKAYA-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY PAEDIATRIC DENTISTRY

FERAH MUTLU KUL-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY PAEDIATRIC DENTISTRY
EhZ,E h^>h P>W-PROFESSOR-ANKARA UNIVERSITY FACULTY OF DENTISTRY PAEDIATRIC
DENTISTRY
MERVE KURUN AKSOY -DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY PAEDIATRIC DENTISTRY
P<dE-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY, ENDODONTICS
Background: Intrusion is the displacement of the tooth into the alveolar bone along the axis of the
tooth and is accompanied by comminution or fracture of the alveolar socket; however it occurs less
frequently in permanent dentition. Observation for spontaneous re-eruption, immediate surgical
repositioning and orthodontic repositioning are the treatment modalities to manage intrusive
luxation. In this case report, the revascularization of traumatically intruded immature permanent
maxillary right central incisor was presented. Method and Material: A 9 year-old boy was referred to
Ankara University, Faculty of Dentistry, Department of Paediatric Dentistry at the same day of trauma.
Intraoral examination showed moderately intruded tooth 11with crown fracture and tooth 21 was
mobile. No alveolar fracture was detected. As there was no spontaneous repositioning of the tooth 11
within two weeks, surgically extrusion was decided and splinted for two weeks.Since the teeth
presented with immature apices and 21 was diagnosed as devital, revascularization therapy was
performed. Splint was removed after two weeks. Result: The patient was recalled for 3 months
intervals. At the end of 15 months, it was observed that root development continued. Conclusion:
Surgical repositioning is recommended for teeth that are completely intruded. Eventhough this
procedure may increase the risk of external resorption, in this case report the succesful treatment for
intrusive luxation in immature permanent teeth with revascularization therapy that can promote
continued root development and root dentin apposition, was presented.
PP.307. IN VITRO ASSESSMENT OF EFFECTIVENESS OF OZONE

APPLICATION AGAINST ODONTOPATHOGENIC MICROORGANISMS
IN PRIMARY TEETH ROOT-CANAL
UYSAL SU, SONGUR E, TULGA OZ F.
SEVIL UYAR UYSAL-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY PAEDIATRIC DENTISTRY

EFSUN SONGUR-PHD DDS-PRIVATE PRACTICE
FIRDEVS TULGA OZ-PROFESSOR-ANKARA UNIVERSITY FACULTY OF DENTISTRY PAEDIATRIC DENTISTRY
BACKGROUND When the pulp is irreversibly infected or necrotic, treatment options for primary teeth,
root canal treatment or extracted. However, it is known that one of the most important tasks of the
child dentist is to keep the teeth in the mouth healthy and functional until the age of physiological
decline. So, the most appropriate treatment option in the presence of the correct indications is root
canal treatment. METHODS AND MATERIALS The antibacterial effectiveness of the experiment
materials were determined by using 54 extracted primary teeth root canal which were infected
experimentally with E. faecalis ve C. albicans. After the bacterial inoculation, the contaminated teeth
were divided 3 groups. Then, microbiological samples were taken from the root canals with sterile
paper points. They were transferred to tubes and colonies of bacteria were counted with tradional
culture methods. RESULTS According to the results, the viable microorganism counts were
significantly reduced compared with the initial contamination of root canals in all groups. The order of
success of the study, which was evaluated the effectiveness ozone gas application compared with
sodium hypochlorite and disinfection on E. faecalis and C. albicans strains, was provided that the
same results for both microorganisms and the results are supported with an SEM analysis.
CONCLUSION Ozone gas could be an aid to sodium hypochlorite in endodontic treatment, because of
increasing the antibacterial efficiency when should be used at the end of instrumentation.
PP.308. COMPARISON BETWEEN STIMULATED AND

UNSTIMULATED SALIVA BEFORE AND AFTER TRAINING IN YOUNG
FOOTBALL PLAYERS
ATANASOVSKI A, KOEss͕>/E'^dZPDW͕^dKss͕Z/D>Ks^<^͘
ALEKSANDAR ATANASOVSKI-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, DENTAL FACULTY,

VESELINA KONDEVA-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY, DENTAL FACULTY, DEPARTMENT
WdZ >/E'^dZPD-PROFESSOR-SAHLGRENSKA ACADEMY AT UNIVERSITY OF GOTHENBURG,
INSTITUTE OF ODONTOLOGY, DEPARTMENT OF CARIOLOGY
VELINA STOEVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF PUBLIC HEALTH,
DEPARTMENT OF EPIDEMIOLOGY AND MDS.
SEVDA RIMALOVSKA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, DENTAL FACULTY, DEPARTMENT
Introduction. Participants in sport activities undergo a serious changes in the general hydration status
due to intense sweating and breathing. Exertion on a daily basis, can affect the general hydration
status and affect the salivary flow. These processes can lead to changes in salivary parameters, which
could have impact on the oral health. Aim. To compare the differences in the quality and quantity of
saliva before and after training in young football players. Material and methods. Object of
investigation are 400 children, all male football players, divided into 10 groups from 8 to 17 years old.
Standard samples of unstimulated and stimulated saliva were taken before and after 2 hours of
training in compliance with the circadian rhythm. GC Saliva-Check BUFFER was used for assessing of
the samples. Results. The results show normal salivary flow before training in all age groups.
Significant differences in the quality and quantity of both unstimulated and stimulated saliva were
recorded immediately after the 2 hours of exercise. In young age groups changes in the quality and
quantity of saliva were not significant, in comparison to the results of the older groups. In the groups
of children from 12 to 17 years were recorded significant changes in all parameters of the saliva
assessed before and after training. Conclusions. Intense physical exertion in young football players
decreases salivary parameters and can affect the oral homeostasis and can be a serious risk factor for
oral diseases Key words: saliva, physical exercise, oral diseases
PP.309. DIETARY HABITS IN CHILDREN AND ADOLESCENTS
ATTENDING PROFESSIONAL SPORT ACTIVITIES
ATANASOVSKI A, KONDEVs͕>/E'^dZPDW͕^dKss͕Z/D>Ks^<^͘
ALEKSANDAR ATANASOVSKI-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, DENTAL FACULTY,

VESELINA KONDEVA-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY, DENTAL FACULTY, DEPARTMENT
WdZ͘ >/E'^dZPD-PROFESSOR-SAHLGRENSKA ACADEMY AT UNIVERSITY OF GOTHENBURG,
INSTITUTE OF ODONTOLOGY, DEPARTMENT OF CARIOLOGY
VELINA STOEVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, FACULTY OF PUBLIC HEALTH,
DEPARTMENT OF EPIDEMIOLOGY AND MDS.
SEVDA RIMALOVSKA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY, DENTAL FACULTY, DEPARTMENT
Introduction. Football is preferred in young individuals as a sport activity. Physical exercise is related
to a high energy expenditure, acquiring balanced and rich in carbohydrates diet. These diets are
needed to compensate the energy lost during the exercises and for the recovery period, which is
related to lowering of oral pH and can increase the risk of oral diseases. Aim. ˃o explore the dietary
habits in children attending professional sport activities. Material and methods. A questionnaire
survey is conducted in 400 children participating in a professional football club, including questions
about their dietary habits. The participants are 8-17 years old, divided into 10 groups, according to
the age. Statistical analysis is performed with SPSS v.17. Results. Results show that in early age
children do not follow certain dietary habits, but as they grow up and get more involved in sport
activity they start to keep a dietary regime. Children in all age groups prefer rich in carbohydrates
food. In lower age groups the intake of proteins and carbohydrates is equal, but with the age a
prevalence of carbohydrates is seen, probably because trainings get more vigorous and more energy
is needed. All children report intake of sweetened food and beverages before and after the trainings
on a daily basis. Conclusions. Children attending professional sport activities consume rich in
carbohydrates food and beverages to compensate their energy depletion after the training. These
dietary habits can be a serious risk on oral health. Key words: sport, diet, carbohydrate, children.
PP.310. SEALING OF AN IATROGENIC PERFORATION USING MTA: A

CASE REPORT
bEz͕ >/<E, OKTE- Z.
>/& bEz-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF PAEDIATRIC

DENTISTRY
hZh E/,E >/<-DDS PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
ZEYNEP OKTE-PROFESSOR-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF PAEDIATRIC
DENTISTRY
Background:Iatrogenic perforations are one of the most common complications seen during access
cavity preparation in endodontic treatments. Successful treatment of a perforation depends on
complete sealing of the perforated area and preventing infection. Mineral Trioxide Aggregate (MTA)
has been regarded as an ideal material for perforation repair since its introduction in 1993. The aim of
this case report is to present a successful treatment of an iatrogenic perforation using MTA. Material
and Method:A 13 year old girl referred to Ankara University Faculty of Dentistry Department of
Pediatric Dentistry with a chronic apical abscess of left upper lateral incisor tooth. According to her
dental history root canal treatment was planned and began a month ago in an another dental clinic.
However, the abscess did not heal and a progression and expansion of abscess was noticed by her
parents. We detected the root perforation at the coronal 1/3 of the root on buccal surface during the
removal of temporary restorative material. The perforation was sealed with MTA according to
ŵĂŶƵĨĂĐƚƵƌĞƌ͛ƐŝŶƐƚƌƵĐƚŝŽŶƐ͘ĨƚĞƌĂƉƉůǇŝŶŐƚƌŝŵŝǆ;ĨŽƌƚŚƌĞĞǁĞĞŬƐͿĂŶĚĂK,;ĨŽƌƚǁŽŵŽŶƚŚƐǁŝƚŚ
changing every two weeks) as an intracanal medicament, root canal treatment was completed.
Result:At the 12-months follow-up, radiographic examination revealed further healing. The tooth
remained asymptomatic. Conclusion:MTA has the potential to be used as a repair material in cases
with iatrogenic perforations.
PP.311. PULPARY COMPLICATIONS IN PRIMARY DENTITION AND

THEIR ALTERNATIVES OF TREATMENT
KELMENDI M, PETRO E, KELMENDI S, GACE E.
MANOLA KELMENDI-PHD-UNIVERSITY OF MEDICINE OF TIRANA, FACULTY OF DENTAL MEDICINE,

ENIDA PETRO-PHD-UNIVERSITY OF MEDICINE OF TIRANA, FACULTY OF DENTAL MEDICINE,
SHIRLI KELMENDI-M.SC-PRIVATE CLINIC
ENO GACE -PHD-ALBANIAN UNIVERSITY OF TIRANA
Background: Pulp inflammations vary a lot in primary dentition versus permanent dentition. The
morphology of primary teeth plays an important role. There were treated cases with: -Pulp necrosis
and paradontal pathologies -Pathology of furcation -Dental sepsis Purpose: To treat pulpal pathology
in primary dentition by using contemporary pastes with high efficiency so that the primary teeth can
ďĞƉƌĞƐĞŶƚŝŶƚŚĞĐŚŝůĚ͛ƐŵŽƵƚŚƚŝůůƚŚĞƉĞƌŝŽĚŽĨƉŚǇƐŝŽůŽŐŝĐĂůĐŚĂŶŐĞĨŽƌĂŶŽƌŵĂůĚĞǀĞůŽƉŵĞŶƚŽĨ
the tooth-jaw-face system. Material and method: There were taken in study 40 children with pulpal
implications in primary dentition. Method of treatment: Pulpecthomy 10 primary teeth were treated
with ZnOE ( zinc oxide eugenol) 10 primary teeth were treated with Endoflas 10 primary teeth were
treated with Kri paste 10 teeth were treated with Metapex They were followed up for two years.
Results : The use of modern pastes gives better results in the treatment of pulpal pathology and its
complications. Conclusions: Endoflas remains the best alternative compared to other pastes.
Keywords: primary teeth, furcation, pulp, endoflas.
PP.312. PROGRESSIVE CHERUBISM: A CASE REPORT.
CERIT EN, ORHAN K, SARI S.
EMINE NUR CERIT-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY PAEDIATRIC DENTISTRY

KAAN ORHAN -PROFESSOR-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT OF
b/z^ZŦ-PROFESSOR-ANKARA UNIVERSITY FACULTY OF DENTISTRY PAEDIATRIC DENTISTRY
Background Cherubism is a non-neoplastic progressive hereditary and benign disease affecting only
jawbones since. It is characterized by notable bilateral swelling of the cheeks. Theses cases are often
diagnosed by dentists during dental examination. Method and Material An 11-year old boy was
referred to the pediatric dentistry clinic with the chief complaint of bilateral facial swelling. Clinical
examination revealed swelling of both rami of the mandible with bilateral expansion of the
mandibular angle extending to the molar and retromolar regions. Panoramic radiography showed
generalised multicystic bilateral radiolucent lytic lesions affecting the mandible. A computed
tomography scan of the mandible showed bilateral multilocular, expansile lesions in mandibular
bone, perforation of the buccal cortical plate and disposition of the mandibular molars. Karyotyping
was performed to rule out genetic mutations, and obtained normal. Molecular analysis detected
ƐƉĞĐŝĨŝĐ ŐĞŶĞƚŝĐ ŵƵƚĂƚŝŽŶ ŝŶ ƚŚĞ ^,ϯWϮ ŐĞŶĞ͘ WĞƌŝƉŚĞƌĂů ďůŽŽĚ ƚĞƐƚƐ͛ ƌĞƐƵůƚƐ ;ƐĞƌƵŵ ĂůŬĂůŝŶĞ
phosphatase, calcium, procalcitonin and parathyroid hormone) were detected in normal values.
Results Results obtained from detailed examination verified cherubism diagnosis. The patient was
informed to warn against mandibular fractures due to trauma. 12 month radiographic control of the
patient revealed enlargement in mandibular lesions. Surgical treatment necessity will be decided
during follow ups. Conclusion Cherubism can regress after puberty but in progressive cases surgery
may be feasible. Thats why the patients should be followed up regularly allerted for the fracture.
PP.313. MICROBIOLOGICAL EVALUATION OF STEPWISE REMOVAL

OF CARIOUS DENTINE IN PRIMARY TEETH
HUSEINBEBOVIC A, SELIMOVIC DRAGAS M, BAJRIC E, KOBASLIJA S.
AMINA HUSEINBEBOVIC-ASSOCIATE PROFESSOR-DEPARTMENT OF PREVENTIVE AND PAEDIATRIC

DENTISTRY FACULTY OF DENTISTRY OF SARAJEVO UNIVERSITY
MEDIHA SELIMOVIC DRAGAS-ASSOCIATE PROFESSOR-DEPARTMENT OF PREVENTIVE AND PAEDIATRIC
DENTISTRY; FACULTY OF DENTISTRY OF SARAJEVO UNIVERSITY
ELMEDIN BAJRIC-ASSISTANT PROFESSOR-DEPARTMENT OF PREVENTIVE AND PAEDIATRIC DENTISTRY;
FACULTY OF DENTISTRY OF SARAJEVO UNIVERSITY
SEDIN KOBASLIJA-FULL PROFESSOR-DEPARTMENT OF PREVENTIVE AND PAEDIATRIC DENTISTRY;
Background: Stepwise excavation of carious dentine in deep lesions reduces the odds of pulpal
exposure thus enabling pulp vitality preservation. The aim of this study was to assess the changes in
the cultivable microflora following stepwise excavation of carious dentine in primary dentition deep
lesions, after two-month interval. Methods and materials: A total of 31 teeth were treated. After a
complete excavation from cavity walls, partial removal of carious dentin on the pulp wall was
carefully done, except from those places where pulpal exposure was likely to occur. Dentinal sample
from the advancing front of lesion was taken using a spoon excavator, and the teeth received indirect
pulp capping with calcium hydroxide cement and temporary glass ionomer cement filling. After 8-10
weeks, cavities were re-entered and another dentinal sample from the same area of infected dentin
was taken. Remaining infected dentin was removed and the tooth was restored. Microbiological
analysis of dentinal samples was done by cultivation of aerobic and anaerobic microflora, by
subcultivation of pure cultures and by using API identification systems. Results: After the two-month
period statistically significant (P < 0.05) reduction of frequency of Lactobacillus acidophilus and
Candida albicans was observed in dentinal samples, as well as significantly increased frequency of
Neisseria species. A total number of identified species before and after the treatment were 28 and 20,
respectively. Conclusion: Since stepwise removal of caries resulted in in lower levels of infection, the
results of the study support the treatment of deep carious lesions using this method.
PP.314. ADHESION TO ENAMEL AFFECTED BY MIH
THEOCHARIDOU A, ARAPOSTATHIS K.
APOSTOLINA THEOCHARIDOU-DDS-ARISTOTLE UNIVERSITY, SCHOOL OF DENTISTRY

KONSTANTINOS ARAPOSTATHIS-ASSISTANT PROFESSOR-ARISTOTLE UNIVERSITY, SHCOOL OF
DENTISTRY, DEPARTMENT OF PAEDIATRIC DENTISTRY
ADHESION TO ENAMEL AFFECTED BY MIH BACKGROUND: Molar incisor hypomineralization (MIH) is a

qualitative defect of systemic origin, affecting permanent first molars and often permanent incisors.
The treatment modalities can include, amongst others, fissure sealants for prevention of enamel
breakdown and composite restorations. Both require adhesion to tooth structure. AIM: To review the
literature on the adhesion to enamel affected by MIH. METHOD AND MATERIALS: A search of
PupMed/Medline, ResearchGate and Google Scholar was performed and limited between 2003, when
the judgement criteria for MIH were set, and 2016. Thirty four papers were considered relevant to the
subject including five in vivo and six in vitro studies. Studies involving less than ten teeth were
excluded. RESULTS: A four year clinical trial showed that the application of a single bottle, primer and
bond, after acid etching and prior to sealant placement is superior to the etch-seal technique. Despite
the high success rate of composite restorations shown in three clinical longitudinal studies, there are
conflicting results over self etch being superior to total etch adhesive systems. Pretreating the enamel
surface with fluoride preventive solutions, such as NaF and APF, or with resin infiltration can be
promising in increasing the retention of composites and orthodontic brackets. Three in vitro studies
provide inconsistent data about NaOCl pretreating. CONCLUSION: Sealants applied with the etch-
bond-seal technique have greater retention. Further research is required to provide evidence of the
effectiveness of the adhesive system and pretreatment in order to achieve optimal bonding to MIH.
PP.315. BREASTFEEDING AND RISK OF CHILDHOOD CARIES
WdZKs/s͕ W:/E͕DZ<Ks/͕/>/-/D/dZ/:s//͕WZhEKs/E͘
sE: WdZKs/-PROFESSOR-FACULTY OF DENTISTRY, UNIVERSITY OF BELGRADE, DEPARTMENT OF

PREVENTIVE AND PEDIATRIC DENTISTRY
Eda W:/-PHD-FACULTY OF DENTISTRY, UNIVERSITY OF BELGRADE, DEPARTMENT OF
:EDZ<Ks/-PROFESSOR-FACULTY OF DENTISTRY, UNIVERISTY OF BELGRADE, DEPARTMENT OF
/sE />/-/D/dZ/:s/-PHD-FACULTY OF DENTISTRY, UNIVERISTY OF BELGRADE, DEPARTMENT OF
PARODONTOLOGY AND ORAL MEDICINE
E WZhEKs/-PHD-FACULTY OF DENTISTRY, UNIVERSITY OF BELGRADE, DEPARTMENT OF
BREASTFEEDING AND RISK OF CHILDHOOD CARIES BACKGROUND: Breastfeeding has many positive
aspects to the general health of the children. Influence of breastfeeding to the children oral health is
still topic of many debates. The aim of study was to investigate the effect of breastfeeding to the risk
of childhood caries. METHODS AND MATERIALS: The Medline scientific base and Google scholar base
were analyzed. The papers with research topic of breastfeeding and its impact on the oral health of
children were analyzed. RESULTS: Sixty-four paper included. Results of analyzed papers indicated that
breastfeeding is essential for proper growth and development of the jaws. For proper development of
the orofacial system, breastfeeding at least six months is essential. Studies indicate that breastfeeding
is not associated with the development of childhood caries. However frequent breastfeeding during
night and especially often bottle feeding can be risk factors for development of childhood caries.
Breastfeeding reduces the need for bottle feeding, and may contribute to the reduction of circular
caries in children. CONCLUSION: Resent paper indicated there are no association between
breastfeeding and childhood caries. Further research needed to understand the influence of
breastfeeding to the children oral health. World health association and scientific papers suggested
that optimal duration of breastfeeding is around two years, at regular time intervals and not at night.
Use of adequate and balanced food is also strongly recommended.
PP.316. EVALUATION OF ER:YAG LASERS ON PAIN PERCEPTION

DURING CARIES REMOVAL: A COMPARATIVE STUDY
KORKUT E, GEZGIN O, OZER H, SENER Y.
EMRE KORKUT-ASSIST. PROF. DR. -NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,

ONUR GEZGIN-ASSIST. PROF. DR. -NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
HAZAL OZER-PHD STUDENT-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
YAGMUR SENER-PROF. DR.-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
Background: The aim of this study was to evaluate and compare the anxiety levels of children who
went through caries removal in their symmetrical permanent molar teeth using an erbium-doped
yttrium aluminum garnet (Er: YAG) laser and traditional rotary instruments. The study also aimed to
provide an insight to dentists in their struggle with dental anxiety and fear and assist them in selecting
the most suitable treatment method. Methods and Materials: Occlusal caries in the permanent molar
teeth of 120 pediatric patients who came to the Department of Pediatric Dentistry, Faculty of
Dentistry, Necmettin Erbakan University, was removed using Er: YAG and high- and low-speed rotary
instruments. After the cavity preparation, all the teeth were restored using the same bonding agent
and resin restorative material. All stages were performed by one dentist. The participating children
were asked to choose a value or face from the modified Wong-Baker FACES Pain Rating Scale. The
study data were analyzed using SPSS version 22.0 software. Results: There was a statistically
significant difference between the research groups (p<0.05). In the Er: YAG laser group, 54.99% of the
participants reported that they had less pain and pressure, while 13.74% said that they had no pain at
all. In the conventional method group, the rate of the children reporting that they had no pain was
6.66%. Conclusion: The researcher believes that removal of caries using a laser with less or no pain
might help pediatric patients to overcome the possible fear and anxiety levels.
PP.317. CLINICAL EFFICACY OF PASTE CONTAINING CPP-ACP IN

PRIMARY DENTITION
PERIC T, MARKOVIC D, PETROVIC B, PETROVIC V, MARKOVIC E
TAMARA PERIC-ASSISTANT PROFESSOR-DEPARTMENT OF PAEDIATRIC AND PREVENTIVE DENTISTRY,

FACULTY OF DENTAL MEDICINE, UNIVERSITY OF BELGRADE
DEJAN MARKOVIC-PROFESSOR-DEPARTMENT OF PAEDIATRIC AND PREVENTIVE DENTISTRY, FACULTY
OF DENTAL MEDICINE, UNIVERSITY OF BELGRADE
BOJAN PETROVIC-ASSOCIATE PROFESSOR-DEPARTMENT OF PAEDIATRIC AND PREVENTIVE DENTISTRY,
DENTISTRY CLINIC OF VOJVODINA, UNIVERSITY OF NOVI SAD
VANJA PETROVIC-ASSOCIATE PROFESSOR-DEPARTMENT OF PAEDIATRIC AND PREVENTIVE DENTISTRY,
FACULTY OF DENTAL MEDICINE, UNIVERSITY OF BELGRADE;EVGENIJA MARKOVIC-ASSISTANT
PROFESSOR-DEPARTMENT OF ORTHODONTICS, FACULTY OF DENTAL MEDICINE, UNIVERSITY OF
BELGRADE
Background: The purpose of this study was to assess clinical effect of casein phosphopeptide-
amorphous calcium phosphate (CPP-ACP) containing paste on the remineralisation of white spot
caries lesion in primary dentition. Methods and Materials: The study comprised 40 children aged 2-6
years exhibiting at least one white spot lesion who were randomised into two groups (n=20). Subjects
of the intervention group used CPP-ACP containing paste two times a day supplementary to their
regular oral hygiene, and the control group used standard fluoride toothpaste. All participants and
their parents received the same dietary and hygiene advices. To visually examine enamel
demineralisation, white spot lesion index (Goerlick) was used. Patients were followed-up for 3
months. Chi-ƐƋƵĂƌĞ ƚĞƐƚ ĂŶĚ ^ƚƵĚĞŶƚ͛Ɛ ƚ-test were used in the statistical analyses. Results: A
considerable regression of white spot lesions was noted in the CPP-ACP group (p<0.0001) with
complete clinical loss in 70% of observed teeth. On the other hand, a progression of caries process
has been observed in 65% of control cases. Conclusion: The application of CPP-ACP containing paste
can successfully remineralise white spot caries lesions in primary teeth.
PP.318. FILLING MATERIALS USED IN ROOT CANAL THERAPY OF

PRIMARY TEETH
KOUTROULI A, ARHAKIS A, PANTELIDOU O
ANNA KOUTROULI-UNDERGRADUATE STUDENT -ARISTOTLE UNIVERCITY OF THESSALONIKI

ATHINA MOSCHOU-UNDERGRADUATE STUDENT -ARISTOTLE UNIVERCITY OF THESSALONIKI
ARISTIDIS ARHAKIS-FELLOW TEACHING/CLINICAL ASSOCIATE-ARISTOTLE UNIVERCITY OF
THESSALONIKI DEPARTMENT OF PAEDIATRIC DENTISTRY
OURANIA PANTELIDOU-ASSOCIATE PROFESSOR-ARISTOTLE UNIVERCITY OF THESSALONIKI
DEPARTMENT OF ENDODONTOLOGY
Background: Pulpectomy in deciduous teeth is a common procedure in dental practice, seeking to

preserve function of the pulpally involved tooth. Both the technique and the obturating materials
differ from the ones used in permanent teeth, due to morphologic differences and the fact that
primary teeth are susceptible to physiologic root resorption. There are three main categories for the
classification of root canal obturating materials: Zinc Oxide with Eugenol pastes (ZnOE), iodoform
pastes (e.g Kri) and a combination of iodoform with calcium hydroxide pastes (e.g. Vitapex, Endoflas).
This presentation aims to present a review of the major filling materials as well as their advantages
and disadvantages. Methods and materials: A literature survey of the electronic database was
conducted regarding the period 1980-2016. Thirty two (32) references including reviews, clinical
studies and guidelines were evaluated. Results: ZnOE is traditionally the most widely used filling
material with success rates 68,7%-86,1%. However, iodoform pastes with calcium hydroxide are lately
preferred because of the good results they present (78%-100% success rates). Conclusion: ZnOE
presents strong antibacterial effectiveness but lower resorption rate than the deciduous root.
Ca(OH)2 is usually mixed with iodoform, presenting favorable biological properties and also inducing
periapical tissue healing. Iodoform pastes are characterized by antibacterial effectiveness and higher
resorption rate as opposed to ZnOE, but are supposed to provoke tooth discoloration. Gutta-percha
points are utilized in case of absence of the permanent successor tooth, while a mixture of antibiotics
is applied alternatively to mechanical root preparation.
PP.319. DOUBLE TEETH FORMATION (GEMINATION AND FUSION) -
ANOMALIES OF PRIMARY DENTITION
W:/EKs/-:E<d͕a/>͕DZ<Ks/E͘
dE:W:/EKs/-:E<-DR.SPEC-PUBLIC HEALTH CARE CANTON SARAJEVO

>:> a/-MR. SC-DEPARTMENT OF PREVENTIVE AND PEDIATRIC DENTISTRY OF DENTAL SCHOOL
SARAJEVO, UNIVERSITY OF SARAJEVO, SARAJEVO, BOSNIA AND HERZEGOVINA
E/E DZ<Ks/-PROF.DR -DEPARTMENT OF PREVENTIVE AND PEDIATRIC DENTISTRY OF DENTAL
SCHOOL SARAJEVO, UNIVERSITY OF SARAJEVO, SARAJEVO, BOSNIA AND HERZEGOVINA
ABSTRACT Objective: The aim of this study was to present gemination and fusion anomalies of the
teeth that the dentist in daily practice may encounter as insolated cases or as serendipitous
radiographic observations. Methodology: Presented cases were collected in time period for May 2012
to January 2017 in The Public Institution Health Centre of Sarajevo Canton, Pedatric dental clinic.
Discussion: Double teeth formations are anomalies more often in primary dentition and usually affect
front teeth. The double formation in the primary dentition in 20-75% of cases are accompanied by
aplasia of permanent tooth replacement. The frequency in primary dentition is 0.1 to 1.6% and in
permanent dentition only 0.1-0.2%, no dependents on sex. 66.7% of double teeth are fusion, a 33.3%
gemination. The frequency of the fusion in Bosnia and Herzegovina is 27% and of the gemination is
2%. Fusion represents two individual teeth connected to the coronal section and it is more common
in the mandible. In most of the cases central and lateral incisor are connected or lateral incisor and
canine are connected. Gemination is the compound dental embryos during development and the
teeth have a common pulp chamber and canal. Most often affected teeth are incisors and canines of
primary and permanent dentition. Conclusion: Dental anomalies are clinically evident abnormalities.
They may be the cause of various dental problems. Careful observation and appropriate investigations
are required to diagnose the condition and institute treatment. Key words: teeth, dental anomalies,
anomalies of teeth development
PP.320. SAMPLE CONDITIONS INTERFERENCE TO QUALITY OF

DENTAL FEAR AND ANXIETY EVALUATION IN CHILDREN
BAJRIC E, KOBASLIJA S, HUSEINBEGOVIC A, ARSLANAGIC MURATBEGOVIC A,
ELMEDIN BAJRIC-ASSISTANT PROFESSOR-DEPARTMENT FOR PREVENTIVE AND PEDIATRIC DENTISTRY,

SEDIN KOBASLIJA-FULL PROFESSOR-DEPARTMENT FOR PREVENTIVE AND PEDIATRIC DENTISTRY,
AMINA HUSEINBEGOVIC-ASSOCIATE PROFESSOR-DEPARTMENT FOR PREVENTIVE AND PEDIATRIC
DENTISTRY, FACULTY OF DENTISTRY OF SARAJEVO UNIVERSITY
AMRA ARSLANAGIC MURATBEGOVIC-ASSISTANT PROFESSOR-DEPARTMENT FOR PREVENTIVE AND
PEDIATRIC DENTISTRY, FACULTY OF DENTISTRY OF SARAJEVO UNIVERSITY
NINA MARKOVIC-ASSISTANT PROFESSOR-DEPARTMENT FOR PREVENTIVE AND PEDIATRIC DENTISTRY,
BACKGROUND Dental fear and anxiety (DFA) in children represents specific clinical phenomenon. Its
widespread presence up to 20-40% of the clinical child dental population could have negative
influence on dental treatment plan and procedures as well pretty often. DFA presence evaluation in
sample itself is also specific issue, and depends on many moments, such as its size, type,
environment, etc. The aim of this paper is to discuss these sample characteristics. METHODS AND
MATERIALS Three studies in Sarajevo Faculty of Dentistry were conducted during years, where DFA
presence in children aged from 8 to 15 years was determined. The studies were not related, one
comprised of 120, another of 400 patients, and the third of 636 patients. The sample for the first and
second study was clinical and for the third school-type. DFA presence was determined by CFSS-DS
scale, where normative values of this instrument were estimated. RESULTS Normative results
(internal consistency reliability and construct validity) were statistically significantly better in bigger
ƐĂŵƉůĞƐ ;ƌŽŶďĂĐŚ ĂůƉŚĂ шϬ͘ϵ͕ ŽǀĞƌ ϲϬй ŽĨ ƚŽƚĂů ǀĂƌŝĂŶĐĞ ĞǆƉůĂŝŶĞĚͿ͘ ^ŝŵŝůĂƌůǇ͕ ƐĐŚŽŽů-type sample
and environment also seemed to produce better results in explaining of DFA presence nature.
Subclinical cases of DFA presence also appeared as important part of explaining problems in child
dental behavior in the office. CONCLUSION Sample size and type, as well the environment where the
study of DFA presence evaluation is taking place could strongly interfere to the obtained results.
PP.321. BODY MASS INDEX RISK FOR THE DEVELOPMENT OF

DENTAL CARIES OF 12 YEAR-OLD PUPILS
NASHKOVA S, ILJOVSKA S, ALIMANI-JAKUPI J, DIMOVA C, ZARKOVA-ATANASOVA J.
SANJA NASHKOVA-ASSISTANT PROFESSOR-UNIVERSITY

SNEZANA ILJOVSKA-PROFESSOR-UNIVERSITY
JETMIRE ALIMANI-JAKUPI-ASSISTANT PROFESSOR-PREVENTIVA-DENTAL ʹ GOSTIVAR
CENA DIMOVA-PROFESSOR-UNIVERSITY
JULIJA ZARKOVA-ATANASOVA-TEACHING ASSISTANT-UNIVERSITY
Obesity and the oral health have common riskfactors with aspecialattention given to the unbalanced
diet.The prevalence ofobesity in children was ourchallenge.We focused our objective ondetermining
the relationship between high weight and thepresence of dentalcaries.Our research included a total
of100 pupils from both genders(30-control group without DMF and70-an experimental one with
DMF)at the age of12from the local elementary schools in Shtip.The determination ofBMIin%was
conducted following the patterns of BMI and using the tables provided by theC.D.C and Prevention
and the specialized software oftheWHO(AnthroPlusv1.0.4)which enables to estimate the data forthe
body weight of children and adolescents by generating values given in%which determines
thecategory ofBMIin charts.The examinees were divided
in4categories:lowweightBMI<.5%normalweight=530%.The presence orabsence of caries process
wasnoted using the KleinʹPalmerindex.There is no significant relation between the BMIin children
and the presence of dentalcaries for PearsonChisquare=0,92andp>0,05(p=0,82)In determining the
significance ofthe contribution for the presence of dentalcaries in every component where the
increased body weightwas taken as areference category it has been notedthat in the experimental
group thegreatest influence is in the increased weight group(Wald=0,76/p>0,05(p=0,38)thenin the
normal weight(Wald=0,23/p>0,05(p=0,63)and with the least influence found in thelow weight
group(Wald=0,01/p>0,05(p=0,92).Inthe presented distribution of data concerning the weight in
children with permanent dentition for the correlation of the presence of dentalcaries for the Fisher's
Exact Test=1,08andp>0,05(p=0,840/0,826-0,845)showed nosignificant difference between thetwo
groups.The relevance of the highorlow levels ofBMIfor the development of dentalcaries still
remains.Itshould be pointed outthat thereare variousfactors for the increased indexof caries in
children and a significant oneis still the highBMIand the low socio-economic background. Key
words:DMFT,BMI-index
PP.322. TRAUMATIC INJURES OF CHILDREN
PURDANOSKA O, PURDANOSKI A, GETOVA B.
OLIVERA PURDANOSKA-TRAUMATIC INJURES OF CHILDREN-POLYCLINIC ALTEA ʹ PRILEP

ALEKSANDAR PURDANOSKI--POLYCLINIC ALTEA - PRILEP;
BILJANA GETOVA--HEALTH CENTAR - VALANDOVO
The dental traumatic injures to children are common problem in pedodontic practise.The aim of this
study is to present the relation between the type of tooth and the type of trauma, of
children.Examination was made on 40 children with 83 cases of dental trauma and was made at our
dental office.Collected data shows that: under fractures IIcl. 57,83%,39,76% on dislocation, 2,41% on
traumatic tooth extraction.Tooth with highest traumatic incedence are the upper central
incisors(65,06%) upper lateral(10,84%),upper canines(2,41%) where as on the lower jow
incisors(10,84%),lateral(6,03%) and canines(4,82%).
PP.323. REMOVABLE ORTHODONTIC RETAINER: PROOF OF THE

CONCEPT DESIGN AS A CUSTOM-MADE MOUTHGUARD
'mm<K&͕dmmEZd͕z'7EK͘
PDZ &Zh< 'mm<-RESEARCH ASSISTANT-KARADENIZ TECHNICAL UNIVERSITY,DEPARTMENT OF

PAEDIATRIC DENTISTRY, KANUNI KAMPUS,61080, TRABZON,TURKEY
dDZ dmmEZ-ASSOCIATE PROF.DR-KARADENIZ TECHNICAL UNIVERSITY,DEPARTMENT OF
P'm> z'7E-ASSOCIATE PROF.DR-KARADENIZ TECHNICAL UNIVERSITY,DEPARTMENT OF
Background: Protective devices such as mouthguards are considered as the effective way to reduce
the severity of oro-facial traumatic dental injuries in contact sports. These devices can be identifed as
stock mouthguards, self-ĂĚĂƉƚĞĚ͚ďŽŝů-and-ďŝƚĞ͛ŽƌĐƵƐƚŽŵ-made (CM) mouthguards.The aim was to
present the removable orthodontic retainer as a custom-made mouthguard by also explaining the
feedback of the patient's comfort. Methods and materials: Thirteen years old boy who recently had
matches in official karate tournaments were referred to the paediatric dentistry clinic with the
discomforts such as retention/unfeasibility, breathing and performance problems during matches
because of previously used stock mouthguards. It was decided to utilize CM mouthguards as 3 mm
ƚŚŝĐŬŶĞƐƐ ŽĨ ƐƐŝǆΠWůĂƐƚŝĐ ƌĞƚĂŝŶĞƌƐ ;ĞŶƚƐƉůǇ͕^ĂƌĂƐŽƚĂ͕&>Ϳ ĂĨƚĞƌ ƉƌŽǀŝĚŝŶŐ ƚŚĞ ĂůŐŝŶĂƚĞ ŝŵƉƌĞƐƐŝŽŶƐ
from the maxillary arch. The retention ability and feasibility was checked in dental clinic in first
session and if needed, the adjusments were done. The self-report comfort analysis of patient was
recorded after his first official match. Results: According to the experience feedback of patient, no
injury was reported. Additinoally, the usage of CM mouthguard reduced the severity of trauma with
better retention, breathing and match performance outcomes rather than the previously applied
stock mouthguards. Conclusion:Based on the results of this case report, the proof of the concept
design of CM mouthguards prepared from the removable orthodontic retainer material could have
positive effects on patient's tolerability by providing acceptable protection in contact sports.
PP.324. DETERMINATION OF DENTAL FLUOROSIS IN THE FYROM
AMBAKOVA V, MURATOVSKA I, STAVREVA N, GETOVA B, POPOVSKI V.
AMBAKOVA VESNA-RESEACH FELLOW-FACULTY OF DENTISTRY, UNIVERSITY SS.CYRIL & METHODIUS

ILIJANA MURATOVSKA-ASSOCIATE PROFESSOR-FACULTY OF DENTISTRY, UNIVERSITY SS.CYRIL &
METHODIUS
NATASA STAVREVA-RESEARCH FELLOW-FACULTY OF DENTISTRY, UNIVERSITY SS.CYRIL & METHODIUS
BILJANA GETOVA-PEDODONTIC DENTIST-HEALTH HOME, VALANDOVO
VLADIMIR POPOVSKI-FULL PROFESSOR-FACULTY OF DENTISTRY, UNIVERSITY SS.CYRIL & METHODIUS
Aim of the study to determine the prevalence of dental fluorosis in the children from FYROM. Method
The investigation was carried out on group of 1541 school children aged 6, 12 and 15 years, of both
sexes and 301 children were at 6 years of age, 608 children were at 12 years of age and 632 pupils
were at 15 years of age. Participants dental fluorosis status was evaluated using the 2013 World
Health Organization diagnostic criteria. First we clinical investigate frontal permanent teeth and, if
suspicious changes were detected than, must be clinical investigate also permanent molars. Every
patient with a some degree of dental fuorosis was filmed with a digital camera Sony Cyber-shot DSC-
P73. Results.The fluorosis of the first, second and third degree was observed in 49 children who had
been lifetime residents in a settlements with higher concentrations of fluorine in drinking water. Eight
of them at the age of six were from Monospitovo and Gradsko villages, 34 of them at the age of 12-
ǇĞĂƌŽůĚǁĞƌĞĨƌŽŵƚŚĞĨŽůůŽǁŝŶŐǀŝůůĂŐĞƐ͗DŽŶŽƐƉŝƚŽǀŽ͕sŝŶŝēĂŶŝĂŶĚ'ƌadsko and 7 children at the
age of 15years old were from the Vinichani village. Conclusion Dental fluorosis among the children
from FYROM is nearly eradicated. Key words: dental fluorosis, drinking water fluoride levels, optimal
fluoride level
PP.325. PERIODONTAL DISEASE OF SCHOOLCHILDREN AND

ADOLESCENTS
JEREMIC M, VUKOVIC A, MARKOVIC D, VAVIC B.
JEREMIC MARKO-DR.- DEPARTMENT OF DENTISTRY, HEALTH CARE CENTER JAGODINA

ANA VUKOVIC-ASSIST. DR. SCI.-DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY, SCHOOL OF
DENTAL MEDICINE, UNIVERSITY OF BELGRADE
DEJAN MARKOVIC-PROF. DR. SCI. -DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY, SCHOOL
OF DENTAL MEDICINE, UNIVERSITY OF BELGRADE
BRANKO VAVIC-DR.-DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY, SCHOOL OF DENTAL
BACKGROUND Periodontal disease represents socio-economic burden both because poor oral health
related quality of life and general health implications. The prevention strategies against tooth and
gum diseases involves elimination of oral biofilm and promotion of adequate hygiene methods. AIM
The aim of the study was perform plaque evaluation and analysis of gingival inflammation in Serbian
schoolchildren with permanent dentition. METHOD Study group consisted of 56 children and
adolescents aged 12 to 18 years. For plaque evaluation plaque index (PI) was used, and for evaluation
of gibngival inflammation gingival inex (GI) was used. RESULTS All participants had PI>0. Almost one
third of all children had PI=1-2. Higher levels of PI were more frequent in boys. Mean GI was 1.16.
Radiograph exams performed in patient with GI>2 showed initial damage to the periodontal tissues in
87.5% of cases. CONCLUSION There is necessity to highlight the importance of preventive strategies
which should enable dental plaque biofilm control with hygiene measures and in childhood in youth
in order to prevent development of periodontal disease.
PP.326. NON-SYPHILITIC HUTCHINSON PRIMARY INCISOR IN A 24
MONTHS OLD PATIENT:A CASE REPORT
CHALVATZOGLOU E, TSITSARA M, DIMITRAKI D, TSIANTOU D.
CHALVATZOGLOU EFTHYMIA-DDS-PRIVATE DENTIST

TSITSARA MARIA-DDS-PRIVATE DENTIST
DIMITRAKI DIONYSIA-DDS, POSTGRADUATE STUDENT IN PAEDIATRIC DENTISTRY-POSTGRADUATE
STUDENT IN PAEDIATRIC DENTISTRY IN ARISTOTLE UNIVERSITY OF THESSALONIKI
TSIANTOU DIMITRA-DDS, MSC PAEDIATRIC DENTIST-CLINICAL INSTRUCTOR IN THE PAEDIATRIC
DENTISTRY DEPARTMENT IN ARISTOTLE UNIVERSITY OF THESSALONIKI
BACKROUND: SYPHILIS IS A SEXUALLY TRANSMITTED INFECTION CAUSED BY THE BACTERIUM

TREPONEMA PALLIDUM. IT MAY ALSO BE TRANSMITTED MOTHER TO CHILD(CONGENITAL SYPHILIS)
RESULTING IN FETAL DEATH, PERINATAL DEATH OR CONGENITAL SYPHILIS. PATIENTS WITH
CONGENITAL SYPHILIS CAN ALSO HAVE A DISTINCTIVE ENAMEL HYPOPLASIA IN PERMANENT
INCISORS WITH A NOTCH IN THE INCISAL'S EDGE(HUTCHINSON INCISORS) AND IN THE FIRST MOLARS
(MULBERRY MOLARS). WITH THE WIDESPREAD USE OF PENICILLIN, SYPHILIS PREVALENCE HAD
SIGNIFICANTLY DECLINED. HOWEVER IN 2014 AN OVERALL RATE OF 5,1 PER 100.000 POPULATION
WAS MENTIONED AMONG EUROPEAN COUNTRIES. CASE REPORT: THIS CASE PRESENTATION
DESCRIBES A DECAYED HUTCHINSON-SHAPED PRIMARY INCISOR IN A 2 YEAR OLD GIRL. THE
PARENTAL MAIN COMPLAIN WAS THE PAIN IN TOOTH #51. A FULL MEDICAL AND DENTAL HISTORY,
INTRAORAL AND EXTRAORAL EXAMINATION IN KNEE-TO-KNEE TECHNIQUE AND PERIAPICAL X-RAY
WERE DONE. PARENTS, BOTH DOCTORS, MENTIONED THE EXISTENCE OF THE DEFORMITY FROM ITS
EARLY ERUPTION AND ALSO MENTIONED THAT IT LOOKED LIKE A HUTCHINSON TOOTH. DUE TO THE
LACK OF COOPERATION AND PARENTAL UNWILLINGNESS OF SEDATION, A ROOT CANAL TREATMENT
IN KNEE-TO KNEE POSITION WAS DECIDED. IN THE MEANTIME, PARENTS WERE REQUESTED TO HAVE
THE VDRL TEST IN ORDER TO ELIMINATE THE EXISTANCE OF CONGENITAL SYPHILIS. BOTH PARENTS
WERE NEGATIVE IN VDRL TEST. ROOT CANAL TREATMENT WAS COMPLETED IN 3 SECCIONS. RESULTS:
HUTCHINSON INCISORS ARE A CHARACTERISTIC DEFORMITY OF THE PERMANENT INCISORS IN
PATIENTS WITH CONGENITAL SYPHILIS. NO CASE OF HUTCHINSON PRIMARY INCISOR HAS BEEN
REPORTED. HOWEVER, NON -SYPHILITIC HUTCHINSON PRIMARY TEETH ARE ALSO RARELY
MENTIONED IN LITERATURE
PP.327. BILATERAL AGENESIS OF MANDIBULER PERMANENT

CANINES: A RARE CASE REPORT
GELMEZ A͕mE>mE͘
ARZU GELMEZ-PHD STUDENT-EDdd7E Z<E hE/sZ^/dz Ed/^dZz &h>dz WZdDEd

OF PAEDIATRIC DENTISTRY
E7Dd mE>m-PROF. DOCTOR-^>h< hE/sZ^/dz Ed/^dZz &h>dz WZdDEd K&
RESTORATIVE AND ADHESIVE DENTISTRY
Tooth agenesis is one of the most prevalent congenital dental anomalies seen in human beings.
Hypodontia is the congenital absence of 1 or a few teeth only, with a prevalence of approximately 2%
to 10% in the permanent dentition. The most frequently missing teeth in the permanent dentition are
mandibular second premolars and maxillary lateral incisors with the exception of the 3rd molar teeth.
Hypodontia of permanent mandibular canines in a healthy individual is exceptionally rare. To date,
the literature appears to contain only one published report (Anthonappa and King 2016) of isolated
occurrence of one or two permanent canines missing in a patient. This paper reports a rare case of
non-syndromic bilateral, congenitally missing mandibular permanent canines in a healthy 10 year old
Turkish female patient. In this presentation, some evaluations are made about a brief literature
review on prevalence, etiology and treatment modalities of of this case.
PP.328. DENTAL ANXIETY IN SCHOOL AGE CHILDREN
:E<Ks/^͕>/:͕s/Ks/͕^DZ/::,͘
^s:d>E :E<Ks/-DDS,MSC,PHD-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,

DENTISTRY PROGRAM, DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY WITH
ORTHODONTICS, FOCA, BOSNIA AND HERZEGOVINA
JELENA >/-DDS,MSC,-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE, DENTISTRY
PROGRAM, DEPARTMENT OF ORAL REHABILITATION, FOCA, BOSNIA AND HERZEGOVINA
K:E s/Ks/-DDS,MSC,PHD-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE,
DENTISTRY PROGRAM, DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY WITH
ORTHODONTICS, FOCA, BOSNIA AND HERZEGOVINA
:KsE,Z/^^DZ/:-DDS-UNIVERSITY OF EAST SARAJEVO, FACULTY OF MEDICINE, DENTISTRY
PROGRAM, DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY WITH ORTHODONTICS, FOCA,
BOSNIA AND HERZEGOVINA
INTRODUCTION Dental visits are stressful for larger percentage of children. The reasons for such
behavior could be find in unpleasant sounds and smells, meeting unknown authorities as well as the
pain expectancy. Dental anxiety, a fear of dental procedures, is frequent, especially before dental
treatment. It includes both sexes and all ages. AIM The aim of the study was to determine the level of
dental anxiety in school age children. METHOD The study included 105 subjects of both genders, ages
11, 13 and 15 years. The level of dental anxiety was assessed by Dental Anxiety Scale questionnaire.
The questionnaire consisted of four questions related to dental treatment. The answers were scored
with 1 to 5, wherein the higher points mean the more pronounced anxiety. RESULTS Research results
show that the fifth grade students had the lowest fear (7.2/20) and seventh graders the greatest
(8.9/20). Slightly more than 25% of children are looking forward to going to the dentist. While sitting
in the waiting room about 55% of children feel relaxed. While sitting in the dentist's chair, waiting for
the dentist more than 10% of them are tensed and 7.6% are very afraid. Pronounced fear during
dental examination is present in 6.7% of children. CONCLUSION Dental anxiety is a very important
reason for dental visits avoidance, which can certainly contribute to poor oral health and the
development dental disease complications. The results of present study indicate the necessity of
preventive methods and behavioral techniques to release or fear in patients.
PP.329. BLEACHING PERMANENT TEETH USING SODIUM
3(5%25$7(:ú7+:$/.,1*%/($&+7(&1,48($&$6(5(3257
YILMAZ ZS, TOSUN G, BOTSALI MS.
zEWbzz/>D
'm>dK^hE
MURAT SELIM BOTSALI
SELCUK UNIVERSITY FACULTY OF DENTISTRY, DEPARTMENT OF PEDIATRIC DENTISTRY. KONYA,
TURKEY
AIM
Dental trauma is a common cause of discoloration requiring internal bleaching for young permanent
incisors. Previous endodontic and restorative dental treatment also led to discoloration of this teeth.
The aim of this case presentation to report non-vital discolored maxillary incisors bleached by sodium
perborate.
CASE PRESENTATION
The patient was a 13 year old boy complaining of a discolored non-vital maxillary central incisors and
maxillary right lateral incisor. Devital bleaching with sodium perborate was planned teeth that were
treated endodontically in the past.When the cavities was opened it was seen that gutta perchas are
in the above of the cemento-enamel junction, then, 1ʹ2 mm of the gutta-percha was removed in an
apical direction beyond the cemento-enamel junction. To assure a barrier between the sealed root
canal and the bleaching gel ,a 1ʹ2 mm of glass ionomer cement base (mechanical seal) was placed
over the gutta percha.
Sodium perborate with saline solution was applied to teeth for five days. After five days, the color of
the teeth were recorded as satisfactory Bleaching material were removed from access cavity. Then,
the pulp chamber was rinsed and dried and obturated with calcium hydroxide to be left in the pulp
chamber for 1 week before the permanent restoration (3M ESPE Universal Restorative 200, USA). The
Patient has been follow up 1 year. After 1 year follow up period no signs of any pathology were
observed either clinically or radiographically. It was seen that there was no re-coloration again.
CONCLUSION
In this study using sodium perborate with walking bleaching technique is found to be successful in
bleaching permanent teeth. This procedure is safe, simple and conservative technique for young
permanent teeth.
PP.330. WILLIAMS SYNDROME IN DENTAL PRACTICE, A

LITERATURE REVIEW
PITRIS I, PASCHALIDOU E, PASCHALIDOU M, ARHAKIS A.
IOANNIS PITRIS-UNDERGRADUATE STUDENT-SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF

THESSALONIKI GREECE
ELENI PASCHALIDOU-UNDERGRADUATE STUDENT-SCHOOL OF MEDICINE, ARISTOTLE UNIVERSITY OF
THESSALONIKI GREECE
MARIA PASCHALIDOU-POSTGRADUATE STUDENT-PAEDIATRIC DENTISTRY DEPARTMENT, ARISTOTLE
UNIVERSITY OF THESSALONIKI GREECE
ARISTIDIS ARHAKIS-FELLOW TEACHING/CLINICAL ASSOCIATE-PAEDIATRIC DENTISTRY DEPARTMENT,
ARISTOTLE UNIVERSITY OF THESSALONIKI GREECE
Background Williams syndrome [WS] is a developmental disorder with most of the cases being not
inherited but occur as random events during the formation of reproductive cells. WS incidence is
about 1 in 10,000 cases and the most usual responsible deletion is located in chromosome 7. Main
syndrome characteristics include mild to moderate intellectual disability, unique personality
characteristics, distinctive facial features, and cardiovascular problems. Facial and oral manifestations
ŝŶĐůƵĚĞ͞ĞůĨŝŶĨĂĐĞ͕͟ŵĂůŽĐĐůƵƐŝŽŶ͕ŚŝŐŚŝŶĐŝĚĞŶĐĞŽĨĂŶƚĞƌŝŽƌŽƉĞŶďŝƚĞĂŶĚĂďŶŽƌŵĂůƐŝǌĞ͕ƐŚĂƉĞŽƌ
number of primary and permanent teeth. Method Searching the literature in Pubmed and Google
^ĐŚŽůĂƌ ƵƐŝŶŐ ŬĞǇǁŽƌĚƐ͗ ͞tŝůůŝĂŵƐ ƐǇŶĚƌŽŵĞ͕͟ ͞tŝůůŝĂŵƐ-ĞƵƌĞŶ ƐǇŶĚƌŽŵĞ͕͟ ͞ĞůĨŝŶ ĨĂĐĞ͕͟ ͞ĚĞŶƚĂů
ĂŶŽŵĂůŝĞƐ͘͟dŚĞ ůŝƚĞƌĂƚƵƌĞ ƐĞĂƌĐŚ ŚĂƐ ďĞĞŶ ĐŽŶĚƵĐƚĞĚ ŝŶ ŶŐůŝƐŚ ǁŝƚŚ ŶŽ ůŝŵŝƚĂƚŝŽŶƐ ŽŶ ĚĂƚĞ ŽĨ
publication or level of evidence. Results Dental management of children with WS requires careful
medical history recording and clinical/ radiographic assessment of dental/oral anomalies. Moreover,
successful treatment includes using behavior management techniques in agreement with the specific
psychological, mental and sensory disabilities of patients with WS. Conclusion Dental management of
WS includes early diagnosis of the syndrome and collaboration of several specializations during the
treatment and the supportive follow-ƵƉ͘ ŵƉŚĂƐŝƐ ƐŚŽƵůĚ ďĞ ŐŝǀĞŶ ƚŽ ƚŚĞ ƉĂƚŝĞŶƚ͛Ɛ ƉƐǇĐŚŽůŽŐŝĐĂů
profile for the behavioral approach. Finally, the kinetic and mental disabilities, if presented, should be
taken into consideration for the application of appropriate, personalized preventive measures and
oral hygiene instructions.
PP.331. SUCCESFUL LATE INTERVENTION TO GROWING

COMPLICATIONS OF UNCOMPLICATED CROWN FRACTURE
YAVUZ I, YILDIRIM S.
IREM YAVUZ-RESEARCH ASISTANT-^>h<hE7sZ^7dzWZdDEdK&W7dZ7Ed7^dZz

SIBEL YILDIRIM-PROFESSOR-^>h<hE7sZ^7dzWZdDEdK&W7dZ7Ed7^dZz
Management of dental trauma and regular follow-up can significantly impact subsequent prognosis of
the teeth involved. The purpose of study of this study is showing the complication that arose from
delayed management of uncomplicated crown fractures. Clinical oral examination at 10 years old
healthy boy showed that the maxillary central incisor had uncomplicated crown fracture, moderate
mobility and the fistula at vestibula area was observed. Radiographic examination showed externally
resorbed areas around single root of the tooth. There was a large periapical lesion as well. Routine
root canal treatment procedures applied with ample amount of sodium hypochloride irrigation. After
drenaige was completed, calcium hydroxide root canal dressing was applied for three weeks. Calcium
hydroxide treatment was repeated three times. At the end of second month , periapical lesion was
diminished and external resorption process was stopped. Since the tooth was asymptomatic,
ƉĞƌŵĂŶĞŶƚ ƌŽŽƚ ĐĂŶĂů ƚƌĞĂƚŵĞŶƚ ǁŝƚŚ Dd ǁĂƐ ĂƉƉůŝĞĚ͘ ƚ ƚŚĞ ϴƚŚ ŵŽŶƚŚƐ͛ ƌĞǀŝƐŝƚ ŽĨ ƚŚĞ ƉĂƚŝĞŶƚ͕
tooth was still asymptomatic , functional and the lesion was completely healed. As a result , even it
was a late intervention to uncomplicated crown fracture in the case , succesfull treatment of
complicated complications can be reserved to a functional and healthy tooth.
PP.332. INTRUSIO DENTIS
JOVANOVSKA M, SIMONOVSKA J.
MAJA JOVANOVSKA-DR SCI.-DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY, PHO ST.

PANTELEIMON ʹ SKOPJE
JASNA SIMONOVSKA-DR SCI.-DEPARTMENT OF PEDIATRIC AND PREVENTIVE DENTISTRY, PHO ST.
PANTELEIMON - SKOPJE
This case report is about a 10 year old male patient with a tooth intrusion of the upper left central
incisor. The patient was injured at a waterpark, in the front teeth area, followed by extensive bleeding
from the mouth and nose, after which the parents suspected the tooth was knocked out. The boy
came into our clinic 3 days after getting injured, mainly because of pain and edema. Following a
clinical assessment, we recognized the tooth was fractured and deeply intruded inside the alveola.
After an X-ray, the diagnosis was confirmed ʹ intrusio dentes 21 cum fractura dentes. The growth of
the root had been finished. Under local anaesthesia we pulled out the tooth to its initial position and
set up a composite ligature wire. After an endodontic treatment, we filled it with Biodentin. Because
of the invasive nature of the injury, we opted for a prolonged, 4 week immobilization. 6 weeks later,
we restored the fractured part of the crown with composite. We did check-ups on the patient after 1
month, 3 months, and then every 6 months for the next 3 years. No complications emerged from the
injury or therapy, thus we consider the repositioning successful.
PP.333. KENNY-CAFFEY SYNDROME (A CASE REPORT)
<,s7K)>h&͕SEYHAN S.
&7Zs^<,s7K)>h-^^K7dWZK&^^KZ-SELCUK UNIVERSITY, FACULTY OF

Ed7^dZz͕WZdDEdK&W/dZ/Ed/^dZz
^&7z^z,E-RESEARCH ASSISTANT-^>h<hE/sZ^/dz͕&h>dzK&Ed7^dZz͕
AIM: Kenny - Caffey Syndrome is a rare genetic disorder characterized by internal cortical
thickening and medullary stenosis of the tubuler bones, absent diploic space in the skull,
growth retardation with short stature, hypocalcemia mostly due to congenital
hypoparathyroidism. Ophtalmologic abnormalities (hyperopia) and dysmorphic features
including a prominent forehead, microphtalmia, micrognatia and dental anomalies are the
other characteristic symptoms. In this case report, it is aimed to review the oral-dental
findings of the Kenny-Caffey Syndrome which is observed as a rare syndrome. CASE
PRESENTATION: 8 year old boy, was referred to Selcuk University, Faculty of Dentistry,
Department of Pedodontics. Intraoral examination revealed caries in primary molar teeth.
The radiographic examination showed that short roots, impacted primary and permanent
teeth. His carious treated with composite restorations. After 1 year follow up, he had no
complaints. A few newly formed fissure caries were also treated. The patient was given oral
hygiene training. CONCLUSION: In this case report, clinical and radiographic dental features
of Kenny-Caffey Syndrome are described. Restorations, oral hygiene and new caries should
be checked in recalls.
PP.334. PREVALENCE OF EARLY CHILDHOOD CARIES AND
TREATMENT NEEDS IN FEDERATION OF BOSNIA AND
HERZEGOVINA
a/>͕DZ<Ks/E͕Z^>E'/-DhZd'Ks/͕<Ka>/:^͘
>:>a/-MR SCI-UNIVERSITY OF SARAJEVO, BOSNIA AND HERZEGOVINA

E/EDZ<Ks/-DR SCI-UNIVERSITY OF SARAJEVO, BOSNIA AND HERZEGOVINA
DZZ^>E'/-DhZd'Ks/-DR SCI-UNIVERSITY OF SARAJEVO, BOSNIA AND
HERZEGOVINA
^/E<Ka>/:-DR SCI-UNIVERSITY OF SARAJEVO, BOSNIA AND HERZEGOVINA
Objective: The objective of this study was to assess clinical parameters of early childhood
caries in preschool children. Methodology: The research methodology follows the
methodology prescribed by WHO for this type of research. The research was conducted at
the Clinic for Child and Preventive Dentistry, Faculty of Dentistry in Sarajevo and the Public
Health Centre of Sarajevo Canton. The sample consisted of 165 respondents, children aged
3-5 years. The research consisted of the clinical examination of children. Clinical examination
was performed to determine the dental status of respondents with a listing of necessary
treatments. Results: On the total sample N = 165 average value of dmft was 6.79. The
average age of the children of the respondents in the survey was 4.08 years, and out of the
total number of children, 48.5% were boys and the remaining 51.5% of girls. The percentage
of children without caries was 17.0%. The highest average value of dmft had five-year-olds,
8.35. The percentage of untreated caries on the total dmft was 88.2%. The most frequent
treatment need was one surface filling (2.64), and the lowest number of the teeth needed
endodontic treatment (0.05). Extraction due to caries was not recorded at 3-year-olds.
Conclusion: The present study demonstrates high caries prevalence in preschool children in
the Federation of Bosnia and Herzegovina. Community based preventive programs should
be developed and urgently implemented to improve oral and general healthn of these
populations. Key words: early childhood caries, dmft, treatment needs
PP.335. CLINICAL EVALUATION OF DYSKERATOSIS CONGENITA: A

CASE REPORT
EROGLU E, BURSA C, TOPTANCI IR, BURSA AP, CELENK S.
EZGI EROGLU-W, ^dhEd ;^^7^dEdͿ-DICLE UNIVERSITY DENTISTRY FACULTY,

DEPARTMENT OF W/dZ/Ed/^dZzͬ/zZ<ŦZͬdhZ<z
CAGLAR BURSA-W, ^dhEd ;^^7^dEdͿ-DICLE UNIVERSITY DENTISTRY FACULTY,
WZdDEdK&WZK^d,d/Ed/^dZzͬ/zZ<ŦZͬdhZ<z
ISMET REZANI TOPTANCI-^7^^d͘ WZK&͘ Z͘ ;W,͕ ^Ϳ-DICLE UNIVERSITY DENTISTRY
FACULTY, WZdDEdK&W/dZ/Ed/^dZzͬ/zZ<ŦZͬdhZ<z
^>/ W>7E hZ^-W, ^dhEd ;^^7^dEdͿ-DICLE UNIVERSITY DENTISTRY FACULTY,
WZdDEdK&KZd,KKEd/^ͬ/zZ<ŦZͬdhZ<z
SEMA CELENK-PROF. DR. (PHD, DDS)-DICLE UNIVERSITY DENTISTRY FACULTY, DEPARTMENT
K&W/dZ/Ed/^dZzͬ/zZ<ŦZͬdhZ<z
Objectives: Dyskeratosis congenita (DC) is an hereditary bone marrow defect syndrome that
is characterized by reticular hyper-pigmentation of the skin, degenerate nails, mucous
membrane leukoplakia and pancytopenia. Diagnosis may be delayed until clinical signs are
apparent. Severe pancytopenia often causes early mortality of DC patients, who have an
increased risk of developing oropharyngeal squamous cell carcinoma. A few case reports
have described oral changes in DC, which include oral leukoplakia, intraoral brown
pigmentation, hypodontia, low enamel structure, tooth loss, increased dental caries,
aggressive periodontitis, taurodontism and blunted roots. At diagnosis of this syndrome
medical and dental examination is important. The aim of this case report was evaluation and
rehabilitation of a male patient with Dyskeratosis congenita. Case Report: 8 Years old male
patient was admitted our clinics for location of maxillary and mandibulary teeth. After taking
medical history, oral and radiographic examination was performed. After define diagnosis of
Disceratosis Congenita, dental treatment was finished for esthetic and functional
rehabilitation, a soft-lined over denture which supported by dental tissue was made. The
patients' follow-up is performing every three months at our clinics. Conclusion: Dyskeratosis
congenita (DC) is a very rare disease that affects all the life. The oral condition of this patient
is important because of dyskeratosis. At our patient esthetic and function is important for In
terms of psychological development. We believe that; prosthetic restoration with soft-lined
overdenture is one of the ideal treatment options for these patients.
PP.336. THE TREATMENT OF SELF-INFLICTED TONGUE TRAUMA

USING A SPECIAL ORAL APPLIANCE
GONENLI M, KARA NB, GULER C.
MELIKE GONENLI-RESEARCH ASSIST.-ORDU UNIVERSITY, FACULTY OF DENTISTRY,

NIHAL BELDUZ KARA-ASSOC. PROF. DR.-ORDU UNIVERSITY, FACULTY OF DENTISTRY,
CIGDEM GULER-ASSOC. PROF. DR.-ORDU UNIVERSITY, FACULTY OF DENTISTRY,
Background: Self-injury is an important health care factor that can affect individuals of any
age or gender and its incidence is increasing among pediatric patients. This is a very serious
problem for pediatric patients because it can create painful lesions that interfere with
proper breast-feeding and nutrition, thus, put the patient at risk of nutritional deficiency.
Several strategies and appliances have been described for the prevention and treatment of
self-inflicted oral trauma. Methods and Materials: A 2-year-old male patient who swelling
and pain in tongue was referred to our clinic. We learned that patient undergone dental
trauma 5 days ago and the injured tongue was sutured under general anesthesia. The self-
inflicted tongue trauma related to bite was detected in patient. The traumatic erythematous
and ulcerative lesions on the lateral border of the tongue were observed. We did not
conduct any invasive surgical procedures such as biopsy or excision, but instead constructed
a special oral appliance to cover the mandibular arches and teeth to protect the tongue
against further tissue damage. The patient was prescribed medication. Oral appliance was
for 2 weeks. Results: After removal of the appliance the patient showed improvement and
did not suffer from any complications. Conclusion: This case report emphasized the
importance of an additional conservative approach for treating a pediatric patient with self-
inflicted tongue trauma who has previously undergone a surgical treatment for tongue. A
customized oral appliance to prevent tongue biting was our treatment of choice. This
technique was a more conservative therapy, which in turn made more invasive treatments
unnecessary.
PP.337. MICROABRASION FOR AESTHETIC IMPROVEMENT OF MILD

TO MODERATE FLUOROSIS: AN 1-YEAR FOLLOW-UP CASE REPORT.
DASKALAKI Z, ALIFAKIOTI E, THEOCHARIDOU A, ARHAKIS A.
ZOI DASKALAKI -UNDERGRADUATE STUDENT -SCHOOL OF DENTISTRY, ARISTOTLE

UNIVERSITY OF THESSALONIKI, THESSALONIKI, GREECE
EVGENIA ALIFAKIOTI-POSTGRADUATE STUDENT -SCHOOL OF DENTISTRY, ARISTOTLE
UNIVERSITY OF THESSALONIKI, THESSALONIKI, GREECE
APOSTOLINA THEOCHARIDOU-DDS
ARISTIDIS ARHAKIS-FELLOW TEACHING/CLINICAL ASSOCIATE -SCHOOL OF DENTISTRY,
ARISTOTLE UNIVERSITY OF THESSALONIKI, THESSALONIKI, GREECE
Microabrasion for Aesthetic Improvement of Mild to Moderate Fluorosis: An 1-year Follow-

up Case Report. Background: Fluoridation of drinking water is associated with decreased
caries prevalence, but in high concentration may cause fluorosis staining. Fluorosis is a
condition resulting from excessive ingestion of fluoride during early childhood, which leads
to metabolic alterations in the ameloblasts. This results in defective matrix formation and
improper calcification of teeth. The poor aesthetic appearance of these teeth, including
intrinsic tooth discolorations, may vary in severity, ranging from white opacities in mild cases
to more severe brown defects or enamel pitting. In severe cases, a combination of
techniques is preferred to achieve an aesthetic result. Methods and materials: For the
present case of mild to moderate dental fluorosis, microabrasion with 18% hydrochloric acid
and pumice slurry was used to improve the aesthetic appearance of the anterior upper teeth
in a 9-year-old female patient. The white, opaque staining was a result of the exposure to
high concentration of fluoride present in the drinking water in the area of Lagkada, Greece.
Results: The microabrasion re-established the smile and improved the appearance of the
teeth without causing significant structural loss. The absence of postoperative
hypersensitivity was also reported. One year after treatment, the microabradedteeth
present a regular, smooth enamel surface, showing satisfactory aesthetic outcome.
Conclusion: Microabrasion is a conservative treatment with minimal enamel wear that can
provide sufficient results in color uniformity of teeth and restore the patient's self-esteem.
PP.338. EVALUATION OF SURFACE ROUGHNESS AFTER POLISHING

PROCEDURE OF DIFFERENT BRAND COMPOMERS
GUMUS H, COSAR G, AYDINBELGE M.
HUSNIYE GUMUS-ASSISTANT PROFESSOR-ERCIYES UNIVERSITY FACULTY OF DENTISTRY,

DEPARTMENT OF PEDIATRIC DENTISTRY, KAYSERI, TURKEY
'm>K^Z-RESEARCH ASSISTANT-ERCIYES UNIVERSITY FACULTY OF DENTISTRY,
DEPARTMENT OF PEDIATRIC DENTISTRY, KAYSERI, TURKEY
MUSTAFA AYDINBELGE-ASSISTANT PROFESSOR-ERCIYES UNIVERSITY FACULTY OF
DENTISTRY, DEPARTMENT OF PEDIATRIC DENTISTRY, KAYSERI, TURKEY
Aim: Surface roughness of dental restorations is an important factor for the long-term
success of the restoration will affect the accumulation of dental plaque and color stability.
thus, aim of our study is compared the surface roughness of the different brand
compomers,that most commonly used in the restorative treatment of deciduous teeth, after
polishing. Material & Methods: Four different compomer brands were used in the our study.
'ϭ͗ ŽŵƉŽŐůĂƐƐ &͖ 'Ϯ͗ ǇƌĂĐƚ yW͖ 'ϯ͗ ϯDΡ &ϮϬϬϬ͖ 'ϰ͗ dǁŝŶŬǇ ^ƚĂƌ͘ The specimens were
embedded in metal cylinders 2 mm high and 8 mm in diameter and 8 specimens were
prepared for each group. Polymerization for 20 seconds with Valo light device then polished
using Sof-Lex XT discs. The surface roughness (Ra) of all samples was measured using a
profilometer. The statistical difference between the surface roughness of the groups was
evaluated using One-Way ANOVA (p <0.05). Results: The Ra values of G1, G2, G3 and G4
ŐƌŽƵƉǁĞƌĞϬ͕ϯϯцϬ͕Ϭϰ͖Ϭ͘ϯϯцϬ͘Ϭϳ͖Ϭ͘ϱϯцϬ͘ϬϰĂŶĚϬ͘ϯϵц 0.08, respectively. Meanwhile,
ƚŚĞZĂǀĂůƵĞŽĨƚŚĞϯDΡ&ϮϬϬϬŐƌŽƵƉǁĂƐƐŝŐŶŝĨŝĐĂŶƚŚŝŐŚĞƌƚŚĂŶƚŚĞŽƚŚĞƌŐƌŽƵƉƐ;ƉфϬ͕ϬϱͿ͕
there was no statistically significant difference between the Ra values of the other groups
(p> 0,05). Conclusion: These study showeĚƚŚĂƚϯDΡ&ϮϬϬϬǁĂƐƚŚĞŵŽƐƚƌŽƵŐŚĞƐƚƐƵƌĨĂĐĞ͘
The other brands of compomers had less surface raughness and there was no significant
different between the Ra values of them.
PP.339. MINERAL TRIOXIDE AGGREGATE APEXIFICATION: REPORT
OF THREE CASES
UNLUGENC E, BOLGUL B.
ECE UNLUGENC-MUSTAFA KEMAL UNIVERSITY, FACULTY OF DENTISTRY, PEDIATRIC

DENTISTRY
BEHIYE BOLGUL-MUSTAFA KEMAL UNIVERSITY, FACULTY OF DENTISTRY, PEDIATRIC
DENTISTRY
THE COMPLETION OF ROOT DEVELOPMENT AND CLOSURE OF THE APEX OCCURS UP TO 3

YEARS AFTER THE ERUPTION OF THE TOOTH. THE TREATMENT OF PULPAL INJURY DURING
THIS PERIOD PROVIDES A SIGNIFICANT CHALLENGE FOR THE CLINICIAN. SEVERAL
PROCEDURES HAVE BEEN RECOMENDED TO TREAT OF CHOICE FOR NECROTIC TEETH WITH
IMMATURE ROOT. MANY APPOINTMENTS ARE REQUIRED FOR CONVENTIONAL TREATMENT
WITH AN AVERAGE DURATION OF 18 MONTHS. THE MOST COMMONLY ADVOCATED
MEDICAMENT IS CALCIUM HYDROXIDE. BUT MINERAL TRIOXIDE AGGREGATE (MTA) HAS
BEEN SUCCESFULLY EXPRESSED RECENTLY FOR ONE VISIT APEXIFICATION. WE REPORT A
CASE SERIES WHEREIN CALCIUM HYDROXIDE AND MTA WERE USED SUCCESSFULLY FOR ONE
STEP APEXIFICATION IN TEETH WITH OPEN APEX.
PP.340. APEXIFICATION TREATMENT TRAUMATIZED MAXILLARY

INCISORS WITH MTA: THREE CASES REPORT
SAGIROGLU A, BOLGUL B.
AYCIN SAGIROGLU-MUSTAFA KEMAL UNIVERSITY FACULTY OF DENTISTRY, PEDIATRIC

DENTISTRY
BEHIYE BOLGUL-MUSTAFA KEMAL UNIVERSITY FACULTY OF DENTISTRY, PEDIATRIC
DENTISTRY
AIM OF THIS REPORT WAS TO PRESENT TREATMENT OF TRAUMATIZED 3 MAXILLARY

PERMENANT INCISORS WITH OPEN APICES WITH MTA. ALL OF CASES WAS REFERRED TO
OUR CLINIC AFTER A LONG TIME FROM TRAUMA. AFTER THE VITALITY CONTROL WITH
>/E/>EZ/K>K'/>yD7Ed/KE͕ZKKdE>dZdDEd^Z^dZd͘d,
ROOTS CANALS WERE OBTURATED WITH CALCIUM HYDROXIDE AND TWO WEEKS LATER
PATIENTS WERE CALLED AGAIN. AFTER CHEMOMECHANICAL DEBRIDEMENT, THE APICAL
THIRD OF THE ROOT CANAL WAS FILLED WITH MTA TO CREATE AN APICAL STOP. AT THE
END OF THE HARDENING PROCESS OF MTA, REMAINING PART OF THE ROOT CANAL WAS
FILLED WITH GUTTA-PERCHA AND ROOT CANAL SEALER. AT THE THREE MONTHS FOLLOW-
UP, TEETH WERE ASYMPTOMATIC AND HAVE SEEN HEALING OF THE PERIRADICULAR AREA
AT RADIOGRAPHS OF PATIENTS WITH PERIAPICAL LESION. THE FOLLOW-UP THE CASES
CONTINUE. AS A RESULT MTA IS PREFERRED IN SUCH CASES BECAUSE OF THE ADVANTAGES
SUCH AS DECREASE NUMBER OF SESSIONS, REMOVE THE RISK OF WEAKENING ROOTS AND
CREATE A BETTER APICAL BARRIER.
PP.341. BLACK STAIN IN CHILDREN: PREVALENCE, MICROBIOLOGY

AND RELATIONSHIP WITH DENTAL CARIES. A LITERATURE REVIEW
PANAYIOTOU N, SIOKIS V.
PANAYIOTOU NATALIE-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF

THESSALONIKI
SIOKIS VASILEIOS-POSTGRADUATE STUDENT-PAEDIATRIC DENTISTRY DEPARTMENT,
Introduction: Black stain constitutes an often clinical finding in children and are
characterized by distinctive dark dots to continuous lines, which are localized at the tooth
surface parallel to the gingiva. Aim: To review the literature regarding the prevalence, the
microbiology and the relationship between black stain and dental caries in children. Study
design: A search of English literature were conducted through PubMed/Medline, and
^ĐŽƉƵƐ͕ ƵƐŝŶŐ ƚŚĞ ĂĐĐŽƌĚŝŶŐ ŬĞǇǁŽƌĚƐ͗ ͞ďůĂĐŬ ƐƚĂŝŶ͕͟ ͞ŵĞůĂŶŝŶ ƉŝŐŵĞŶƚĂƚŝŽŶ͕͟ ͞ďĂĐƚĞƌŝĂ͕͟
͞ƉƌĞǀĂůĞŶĐĞ͕͟ ͞ƉƌŝŵĂƌǇ ĚĞŶƚŝƚŝŽŶ͕͟ ͞ƉĞƌŵĂŶĞŶƚ ĚĞŶƚŝƚŝŽŶ͕͟ ͞ĚĞŶƚĂů ĐĂƌŝĞƐ͘͟ ůů ƚǇƉĞƐ ŽĨ
studies were included in the previous review. Results - Discussion: From the search, 52
papers were identified related to the above mentioned topic. The prevalence of black stain
varies from 2.4% to 21% worldwide. The predominant types of bacteria isolated from this
deposit are Actinomyces spp. Compared to non-discolored dental plaque, black stain
contains lower numbers of cariogenic bacteria, including insoluble iron salt and a high
content of copper, calcium and phosphate. Saliva in BS patients has higher calcium
concentrations and higher buffering capacity. It has been found that it has low susceptibility
to dental caries according to the lower glucose and higher calcium, phosphate content.
Conclusions: Beneficial salivary parameters and non-cariogenic plaque may explain the
association between lower caries experience and prevalence in children with black stain. The
main aspect of patients with black stain is the treatment of the aesthetic problem. Further
research is needed to fully understand the nature, aetiology, and possible caries-protective
properties of black stain.
Session 34
PP.342. FAMILIAL MEDITERRANEAN FEVER, SECONDARY

AMYLOIDOSIS AND CHRONIC PERIODONTITIS: IS PLASMINOGEN
ASSOCIATED PATHWAY?
&EdK)>hK͕7E'͕</Z/K)>h&z͘
P>D &EdK)>h-ASSOCIATE PROFESSOR DR.-hE/sZ^/dz K& ^m>zDE D/Z>͕

FACULTY OF DENTISTRY, DEPARTMENT OF PERIODONTOLOGY, ISPARTA, TURKEY
'P 7E-PERIODONTIST DR:-hE/sZ^/dz K& ^m>zDE D/Z>͕ &h>dz K&
DENTISTRY, DEPARTMENT OF PERIODONTOLOGY, ISPARTA, TURKEY
&͘ zb7D </Z/K)>h-PROFESSOR DR:-hE/sZ^/dz K& ^m>zDE D/Z>͕ &h>dz K&
DENTISTRY, DEPARTMENT OF PERIODONTOLOGY, ISPARTA, TURKEY
Background and Objective: Familial Mediterranean fever (FMF) and chronic periodontitis are
inflammatory diseases which have also an increased prevalence in Mediterranean countries
especially. There are no published studies regarding the role of plasminogen (PLG) system in
FMF, FMF associated secondary amyloidosis (FMF-A) and chronic periodontitis, although
recent limited data have focused on the association between FMF and chronic periodontitis.
Therefore, the aim of this study was to evaluate the salivary levels of PLG in patients with
chronic periodontitis, FMF and FMF-A. Material and Methods: The study population included
122 patients with FMF (only FMF, and FMF and amyloidosis) and 128 subjects with
systemically healthy control (C). The test and control groups were also diagnosed as chronic
periodontitis (p) and periodontally healthy. Unstimuled total salivary samples were obtained
from the test and controls. The clinical periodontal parameters were recorded, and salivary
PLG levels were assessed. Results: The amyloidosis group had significantly higher clinical
periodontal parameters than those of the FMF and C groups (p<0.05). The salivary PLG levels
were significantly higher in the FMF and amyloidosis groups when compared with the
control group (p <0.001). The FMFp and amyloidosis-p groups had higher PLG levels in
comparison with the Cp group (p<0.001 and p<0.05, respectively). The PLG levels were
significantly associated with clinical periodontal parameters in the FMF group. Conclusions:
This is the first study to demonstrate that PLG mediated inflammatory pathway could play
an important role in the pathogenesis of genetic-inflammatory or inflammasomeopathic
diseases such as FMF, FMF-A and chronic periodontitis.
PP.343. SALIVARY OXIDATIVE STRESS IN PATIENTS WITH FAMILIAL
MEDITERRANEAN FEVER AND CHRONIC PERIODONTITIS
/E', &EdK)>hK͕</Z/K)>h&z͘
'P /E-PERIODONTIST DR.-hE/sZ^/dz K& ^m>zDE D/Z>͕ WZdDEd K&

PERIODONTOLOGY, FACULTY OF DENTISTRY, ISPARTA, TURKEY
P>D &EdK)>h-ASSOCIATE PROFESSOR DR.-hE/sZ^/dz K& ^m>zDE D/Z>͕
DEPARTMENT OF PERIODONTOLOGY, FACULTY OF DENTISTRY, ISPARTA, TURKEY
&͘zb/D</Z/K)>h-PROFESSOR DR.-hE/sZ^/dzK&^m>zDED/Z>͕WZdDEdK&
PERIODONTOLOGY, FACULTY OF DENTISTRY, ISPARTA, TURKEY
Aim: Familial Mediterranean Fever (FMF) which is an inherent auto-inflammatory disease

has a high prevalence in our country as a Mediterranean country. In this study salivary
oxidative stress markers were evaluated in patients with FMF, FMF-related amyloidosis and
periodontitis. Material and Methods: Study population consists of 175 patients involving 90
FMF patients (81 with FMF and 9 with FMF-amyloidosis) and 85 systemically healthy
individuals. Salivary samples were taken from all individuals, and clinical periodontal
measurements including plaque index, gingival index, percentage of bleeding on probing,
probing pocket depth (PPD), and clinical attachment level (CAL) were performed. Total
antioxidant status (TAS), total oxidant status (TOS), 8-hydroxydeoxyguanosine (8OHdG),
malondialdehyde (MDA) and oxidative stress index (OSI) were investigated. Results: FMF-
amyloidosis group had higher levels of PPD, CAL (p:0.048 p:0.021 respectively) and TOS,
8OHdG, MDA and OSI (p:<0.001) than those of FMF and control groups. The groups with
periodontitis had higher levels of salivary TOS, 8OHdG, MDA, and OSI compared with
periodontally healthy groups. In FMF group, patiens with periodontitis and periodontally
healthy had higher levels of TOS, 8OHdG, MDA, and OSI compared with their own control
groups. In all of the groups clinical periodontal parameters were significantly and positively
correlated with TOS, 8OHdG, and MDA. Conclusions: Our results which clearly demonstrate
the role of salivary oxidative stress in FMF and chronic periodontititis could provide an
important mechanictic step for the clarification of inflammatory mechanisms of FMF and
chronic periodontitits.
PP.344. SINUS LIFT AND IMPLANT TREATMENT: A CLINICAL CASE
PANAYIOTOU EF, GOFA AA, KOUTSONAS MG.
ELEANA F. PANAYIOTOU-DENTIST-PRIVATE PRACTICE

ANASTASIA A. GOFA-PERIODONTIST-PRIVATE PRACTICE
MICHAEL G. KOUTSONAS-PROSTHODONTIST-PRIVATE PRACTICE
Sinus lift and implant treatment: a clinical case Background: The aim of this clinical case
presentation is to demonstrate the long term efficacy of sinus lift and implant treatment.
Materials and Method: A male patient (61) with periodontal disease, without posterior teeth
came for comprehensive treatment. Initially, periodontal treatment was performed for all
teeth that were to be maintained. In the mandible, teeth #47,43,42,41,31,32,33 were
maintained and 4 implants were placed, in order to replace the posterior missing teeth. In
the maxilla teeth #13,11,21,22 were kept temporarily to support a provisional acrylic bridge.
Bilateral sinus lift with DFDBA and xenograft combined with collagen membrane was
performed. Six months later a control CBCT was done and 7 implants were placed
(17,15,12,21,23,25,26). Seven months later implants were loaded with fixed prostheses.
Radiographic control was done at 2 months, 2.5, 5.5 and 7 years. Results: This case is a good
example of how sinus lift and implant treatment can be successful and the results can be
maintained over a long period of time. Peri-implant bone levels were radiographically stable
with neither marginal bone loss nor peri-implant radiolucencies. Regular clinical examination
demonstrated healthy peri-implant tissues. Conclusion: As shown in the literature, this
clinical case demonstrates that sinus lift and implant treatment, in order to provide fixed
dental prosthesis, is a stable and useful technique leading to a better quality of life,
providing the patient is maintained regulary.
PP.345. USAGE OF DIFFERENT SURGICAL TECHNIQUES IN THE

TREATMENT OF GINGIVAL RECESSIONS: CASE SERIES
CAN B͕PEm͕>EZ͕ZzK)>h͘
BILGE CAN-RESEARCH ASSISTANT-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF

DENTISTRY, DEPARTMENT OF PERIODONTOLOGY
>/& PEm-ASST. PROF.-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
RAIF ALAN-ASST. PROF.-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF DENTISTRY,
,Dd &b/E ZzK)>h-ASST. PROF.-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF
DENTISTRY, DEPARTMENT OF PERIODONTOLOGY
BACKGROUND: The objective of various mucogingival surgical procedures is to achieve

successful coverage of exposed root surfaces with aesthetically and functionally. In the
presence of adequate gingiva, repositioning the gingiva on the exposed root surface results
with the most aesthetic outcome. However, this may not be observed in all cases. Before
selecting accurate technique for the root coverage, several factors need to be considered. To
achieve successful and predictable root coverage, procedures can be modified or combined
each other. AIM: The aim of this case series is to demonstrate that different surgical
techniques are suitable, successful and predictable in areas inadequate attached gingiva and
presence of recession. CASE PRESENTATION: This case series reports treatment of gingival
recession (GR) defects using different surgical techniques: sub epithelial connective tissue
graft (SCTG), lateral sliding flap (LSF) and free gingival graft (FGG). CONCLUSION: Periodontal
plastic surgery has an important role in the treatment of GR due to increasing aesthetic
demand of patients. Therefore, SCTG, LSF and FGG techniques may result with satisfying and
tolerable outcomes.
PP.346. MANAGEMENT OF PERI-IMPLANT SOFT TISSUES: A CASE

REPORT
SOYASLAN G, INAN O, HAKKI S.
GULSAH SOYASLAN-RESEARCH ASSISTANT-SELCUK UNIVERSITY, FACULTY OF DENTISTRY,

OZGUR INAN-PROFESSOR-SELCUK UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
SEMA HAKKI-PROFESSOR-SELCUK UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
Background: Esthetic problems around the dental implants have been observed due to
inappropriate position and angulation of the implants. For acceptable esthetic,
implantologist should take in to account soft/hard tissue associated factors. In this case
report, we aimed to manage soft tissue problem around the implants that previously placed
inappropriate angulation. Case presentation: A 46 years old female patient had esthetic
concerns at maxillary anterior region. In intraoral examination, we recognized that right and
left implants at canine region was inserted inappropriate angulation. Patient was informed
about implants had to be removed to provide proper angulation. However, patient wanted
to keep them in her mouth and requested better esthetic. Laterally sliding flap techniques
with subepithelial connective tissue grafts were applied for both implants. Three months
after surgery new implant abutments and crowns were introduced. Conclusion: Esthetic of
the patient was more acceptable is spite of the problematic angulation of the implants. If the
new implant surgery was not accepted by patient, soft tissue management around the
implants might provide better results.
PP.347. STUDY REGARDING THE EFFECTS OF PHOTO-ACTIVATED

DISINFECTION AS ADJUNCTIVE PERIODONTAL TREATMENT
MARTU-STEFANACHE MA, BALAN A, SUFARU I, FORNA NC.
MARTU-STEFANACHE MARIA-ALEXANDRA-ASSIST. PROF. PHD STUDENT-hDW,͞'Z͘d͘WKW͟

BALAN ADRIANA-PROFESSOR PHD-hDW,͞'Z͘d͘WKW͟
LILIANA FOIA-PROFESSOR PHD-hDW,͞'Z͘d͘WKW͟
SUFARU IRINA-GEORGETA-ASSIST.PROF. PHD-hDW,͞'Z͘d͘WKW͟
FORNA NORINA-CONSUELA-PROFESSOR PHD-hDW,͞'Z͘d͘WKW͟
Background: The purpose of the study was to assess the effects of LED PAD and tolonium
chloride on periodontal clinical parameters in chronic periodontitis patients. Methods and
materials: We recruited 66 patients with chronic periodontitis, divided in two groups
(control group and study group which, besides the conventional therapy measures, also
received PAD therapy). The periodontal clinical parameters (probing depth, bleeding on
probing and clinical attachment level) were registered at baseline and after 3 months.
Results: The post-therapy evaluation revealed significantly improved results for the
periodontal clinical parameters in the study group, when compared to the control group.
Decreased values for the probing depth and for the BOP were noticed for both groups, with
higher differences for the study group than the control group. We also remarked a gain of
periodontal clinical attachment, more significant for the PAD group. Conclusion: The PAD
disinfection, as an adjunctive periodontal therapy, determined a significant improvement for
the periodontal clinical parameters in patients with periodontal disease.
PP.348. EVALUATION OF THE RISK MARKERS FOR

ATHEROSCLEROSIS IN PATIENTS WITH SEVERE PERIODONTITIS
PASARIN L, NICOLAICIUC O, SUFARU IG, OANTA C, MARTU S.
PASARIN LILIANA-LECTURER PHD-hDW,͞'Z/'KZd͘WKW͟

NICOLAICIUC OVIDIU-ASSIST.PROF. PHD STUDENT-hDW,͞'Z/'KZd͘WKW͟
SUFARU IRINA-GEORGETA-ASSIST.PROF. PHD -hDW,͞'Z/'KZd͘WKW͟
OANTA CORNELIA-ASSIST.PROF. PHD STUDENT-hDW,͞'Z/'KZd͘WKW͟
MARTU SILVIA-PROFESSOR PHD-hDW,͞'Z/'KZd͘WKW͟
Background: The purpose of this study was to provide an insight into the association
between periodontitis and atherosclerosis by determining the plasma levels of a series of
risk markers for cardiovascular disease in cases with periodontitis. Methods and Materials:
The study was conducted on 29 subjects without diagnosed systemic diseases (17 with
severe periodontitis and 12 with healthy periodontium). Fasting blood plasma was analyzed
for glucose, lipids and markers of systemic inflammation (C-Reactive Protein and fibrinogen).
The associations between periodontitis and the various substances analyzed in plasma were
calculated using a multivariate logistic regression model, which compensated for age,
gender, smoking and body mass index. Results: The regression analyses revealed a
significant association between periodontitis and high levels of C-reactive protein (CRP)
[odds ratio (OR) 4.0, confidence interval (CI) 1.4ʹ11.4] and fibrinogen (OR 8.7, CI 2.6ʹ28.4).
Conclusion: Severe periodontitis was associated with increased levels of CRP, glucose and
fibrinogen.
PP.349. CLINICAL STUDY REGARDING THE DENTAL STATUS IN A
POPULATION WITH HEMODIALYSIS
SOLOMON SM, SUFARU I, PASARIN L, IOANID N, MARTU S.
SOLOMON SORINA-MIHAELA-ASSOC.PROF. PHD-hDW,͞'Z/'KZd͘WKW͟/^/

SUFARU IRINA-GEORGETA-ASSIST.PROF. PHD -hDW,͞'Z/'KZd͘WKW͟/^/
PASARIN LILIANA-LECTURER PHD-hDW,͞'Z/'KZd͘WKW͟/^/
IOANID NICOLETA-ASSIST.PROF. PHD -hDW,͞'Z/'KZd͘WKW͟/^/
MARTU SILVIA-PROFESSOR PHD-hDW,͞'Z/'KZd͘WKW͟/^/
Background: The purpose of the study was to assess the op status in patients with end-stage
CKD and hemodialysis, in correlation to the history of renal impairment. Method and
materials: The present study was conducted on a number of 364 patients with end-stage
CKD, who were following a hemodialysis regime, longer than 6 months. The data regarding
the age, gender, environment, associated diseases were obtained from the clinical charts.
The patients were submitted to an odontal and periodontal clinical examination. Each
patient filled a questionnaire which offered data regarding the oral hygiene habits, diet,
vicious habits and the presence/absence of xerostomia. Results: The main cause for end-
stage chronic kidney disease was a PKD, followed by diabetes mellitus and arterial
hypertension. A high percentage of the patients presented severe chronic periodontitis (with
significant clinical attachment loss), deep carious lesions, tooth abrasion and terminal tooth
loss. The questionnaire data revealed that a high percentage of the patients accused
frequent xerostomia and also presented poor oral hygiene, correlated to the calculus
deposits. Conclusion: There is a close link between the systemic changes in the CKD patient
and the oral manifestations. Even two of the main causes of CKD (hypertension and diabetes
mellitus) exert important changes on the tissues in the oral cavity, leading to significant
tooth loss and masticatory impairment, thus, to a poor quality of life.
PP.350. REHABILITATION OF ATROPHIC JAWS USING MPM AND

IMPLANT PLACEMENT: A CASE REPORT
TAYMAN MA͕<//͕<<zDD͕</>/Z^>ED͘
D͘zbdzDE-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY, DEPARTMENT OF

PERIODONTOLOGY
ZEYNEP EKICI-DDS-ANKARA UNIVERSITY FACULTY OF DENTISTRY, DEPARTMENT OF
PROSTHODONTICS
M. MURAT AKKAYA-DDS PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY, DEPARTMENT
OF PERIODONTOLOGY
D,Dd >/ </>/Z^>E-DDS PHD-ANKARA UNIVERSITY FACULTY OF DENTISTRY,
A systemically healthy female patient at the age of 50, was admitted to our clinic with the
complaint of total edentulism and the request of fixed prosthetic therapy. Radiographic
examination was performed with CBCT and alveolar bone atrophy was detected. Bone
augmentation procedure was performed with MPM (mineralized plasmatic matrix). Four
tubes of blood were taken from the patient and centrifuged for 15 minutes. The MPM-PRF
mixture was stirred for a few minutes to obtain a stable and formable compound in pellet
form. This homogenous biomaterial was placed to provide horizontal augmentation to the
atrophic bone regions of the mandibular and maxillary alveolar bones. CBCT was taken after
6 months of recovery. Sufficient cortical width was obtained for implantation. Temporary
guides with small radiolucent balls were prepared to determine the location of implants, and
a panoromic radiograph was taken from the patient by the help of this guide. 8 implants
were placed in the upper jaw, 6 implants were placed in the lower jaw, and after 4 months
ŚĞĂůŝŶŐƉĞƌŝŽĚ͕ƚŚĞƉĂƚŝĞŶƚ͛ƐĨŝǆĞĚƉƌŽƐƚŚĞƐŝƐǁĞƌĞƐƵĐĐĞƐƐĨƵůůǇĐŽŵƉůĞƚĞĚ͘
PP.351. LOCALIZED AGGRESSIVE PERIODONTITIS WITH GINGIVAL

OVERGROWTH DUE TO HORMONAL CHANGES
TAYMAN MA, PEZ͕<hZ'E^͕'mE,ED͘
D͘zbdzDE-DDS -E<ZhE7sZ^dz&h>dzK&Ed7^dZzWZdDEdK&
WZ7KKEdK>K'z
EEPEZ-DDS PHD-E<ZhE7sZ^dz&h>dzK&Ed7^dZzWZdDEdK&
WZ7KKEdK>K'z
b7s'<hZGAN-DDS PHD-E<ZhE7sZ^dz&h>dzK&Ed7^dZzWZdDEdK&
WZ7KKEdK>K'z
DZ>'mE,E-DDS PHD-E<ZhE7sZ^dz&h>dzK&Ed7^dZzWZdDEdK&
WZ7KKEdK>K'z
Plaque induced gingival diseases are affected by local factors such as plaque and dental
calculus, but may also be modified by changes in the specific systemic factors and hormone
levels of the host. The increase in levels of pubertal sex hormones may alter the
inflammatory response to dental plaque and cause gingival overgrowth. Existing gingival
enlargement increases plaque retention and makes plaque elimination difficult. This may
exacerbate existing periodontal damage. A 17-year-old female patient with no systemic
disease and no smoking or drug usage, applied to our clinic by complaints of gingival
bleeding, oral malador, and gingival overgrowth. During the periodontal evaluation, color
change, gingival overgrowth and spontaneous bleeding were detected in the gingiva.
Localized aggressive periodontitis was diagnosed by clinical periodontal indices and
radiographic examination. After the phase 1 periodontal treatment, the tissues were excised
by performing gingivectomy and gingivoplasty.
PP.352. TREATMENT OF PERI- IMPLANT MUCOSITIS

ACCOMPANYING WITH DENTURE STOMATITIS: A CASE REPORT
AKCAN S<͕>7ED͕GULER B͕>7E͘
^ZW <Z</b <E- 7^dEh> z/E hE/sZ^/dz &h>dz K& Ed/^dZz͕

PERIODONTOLOGY DEPARTMENT
'7D K><K)>h- 7^dEh> z/E hE/sZ^/dz &h>dz K& Ed/^dZz͕ KZ> E
DENTOMAXILLOFACIAL RADIOLOGY DEPARTMENT
D,Dd >7 >7E- 7^dEh> z/E hE/sZ^/dz &h>dz K& Ed/^dZz͕ KZ> E
DENTOMAXILLOFACIAL RADIOLOGY DEPARTMENT
BERCESTE GULER- <md,z hD>hW/EZ hE/sZ^/dz͕ &h>dz K& Ed/^dZz͕
7>'>7E- <EhE7^h>dE^m>zDEZ^Z,EdZ/E/EG HOSPITAL, PATHOLOGY
DEPARTMENT
Aim: The etiology of denture stomatitis is multifactorial and Candida species, especially
Candida albicans, play a major role in the development of denture stomatitis including the
local factors such as trauma of denture, continuous denture wearing, denture cleanliness
and denture plaque. The condition is usually asymptomatic. However, patients may
complain of slight soreness or discomfort due to the mechanical trauma of dentures. The
aim of this case report is to present a multidisciplinary approach in the treatment of peri-
implant mucositis accompanying with denture stomatitis. Material and methods: 55-year-
old, systemically healthy male patient was referred to the Periodontology Department with
the chief complaint of discomfort and inability to use implant-supported overdenture in the
maxilla. Intraoral examination showed erythema restricted only to the denture supporting
area due to the trauma of unadapted overdenture prosthesis and revealed the diagnosis of
denture stomatitis. Intensive plaque accumulation, gingival hypertrophy and table of peri-
implant mucositis were observed. Antifungal mouthwash(Nystatin, 4x1) and topical
antifungal agent(Izokonazol nitrate, 2X1) was prescribed for the treatment of denture
stomatitis. The incompatibilities of denture were eliminated. After phase I periodontal
treatment, hypertrophic tissues were removed with gingivectomy operation and flap was
advanced apically to protect keratinized tissue in the buccal area of the implants. Results:
Clinical inflammation was treated succesfully with re-adaptation of denture and antifungal
theraphy. As a result of periodontal treatment, keratinized tissue width around the implants
was increased and supported the adaptation of denture. Conclusion: Periodontal health was
ensured and patient's chewing function was improved with a multidisciplinary approach.
PP.353. CASE REPORT: DRUG-INDUCED GINGIVAL OVERGROWTH
ASSOCIATED WITH THE USE OF A CYCLOSPORINE A
SUME KESIR SS, ERDEMIR EO, HENDEK MK, BEZIRCI D, GULTEKIN SE.
S.SELVA SUME KESIR-SPECIALTY STUDENT-KIRIKKALE UNIVERSITY, PERIODONTICS

DEPARTMENT
EBRU OLGUN ERDEMIR-PROFESSOR-KIRIKKALE UNIVERSITY, PERIODONTICS DEPARTMENT
MELTEM KARSIYAKA HENDEK -ASSISTANT PROFESSOR-KIRIKKALE UNIVERSITY,
PERIODONTICS DEPARTMENT
DIDEM BEZIRCI-PHD STUDENT-KIRIKKALE UNIVERSITY, PERIODONTICS DEPARTMENT
S. ELIF GULTEKIN-PROFESSOR-GAZI UNIVERSITY, ORAL PATHOLOGY DEPARTMENT
INTRODUCTION: Certain drugs can contribute to the development of gingival overgrowth

(hyperplasia), including: anticonvulsants, calcium channel blockers and
immunosuppressants. Cyclosporine A (CsA) is an immunosuppressant commonly reported to
result in drug-induced gingival overgrowth (DIGO). This report outlines a case of gingival
overgrowth induced by Cyclosporine A exacerbated by the presence of plaque. MATERIAL-
METHOD: A 20-year-old male presented to the dental clinic at the Kirikkale University,
Faculty of Dentistry, Department of Periodontics with severe DIGO. Medically, the patient
had nephrotic syndrome, was taking Cyclosporine A once daily for 2 years. Following initial
oral hygiene instruction and local debridement to reduce the gingival inflammation,
remaining excess gingival tissues were removed surgically (gingivectomy) and sent for
histopathologicĂů ĂŶĂůǇƐŝƐ͘ /Ŷ ĂĚĚŝƚŝŽŶ ƚŽ ŝŶƚƌĂŽƌĂů ƚƌĞĂƚŵĞŶƚƐ͕ ƉĂƚŝĞŶƚ͛Ɛ ŵĞĚŝĐĂƚŝŽŶ ǁĂƐ
changed from Cyclosporine A to Tacrolimus by his medical doctor. RESULT: Fibroepithelial
overgrowth showing moderate chronic inflammation was observed in histopathological
analysis.5 months follow-up results after gingivectomy approach showed that there was
improved access for professional and at home cleaning, in addition to an improved aesthetic
outcome. Only mandibular anterior region had mild inflammatory gingival overgrowth due
to insufficient plaque control. CONCLUSION: This case report has shown that changing
medication without adequate plaque control cannot yield satisfactory clinical response. It is
important that individuals taking Cyclosporine A and other drugs causing changes in gingiva,
need to demonstrate excellent plaque control to reduce their risk of developing DIGO.
PP.354. EVALUATION OF THE RELATIONSHIP BETWEEN THE

PERIODONTAL MODIFICATIONS AND LIPID PEROXIDATION IN
PERIODONTAL DISEASE PATIENTS
MARTU I, LUCHIAN I, GORIUC A, FOIA L, MARTU S.
MARTU IOANA-ASSIST. PROF. PHD -hDW,͞'Z/'KZd͘WKW͟/^/

LUCHIAN IONUT-ASSIST. PROF. PHD -hDW,͞'Z/'KZd͘WKW͟/^/
GORIUC ANCUTA-ASSIST. PROF. PHD -hDW,͞'Z/'KZd͘WKW͟/^/
FOIA LILIANA-PROFESSOR PHD-hDW,͞'Z/'KZd͘WKW͟/^/
SILVIA MARTU-PROFESSOR PHD-hDW,͞'Z/'KZd͘WKW͟/^/
Background: Our study was centred on the comparative research of enzymatic and non-
enzymatic oxidative status mediators in the crevicular fluid on chronic and aggressive
periodontitis patients, compared to periodontal healthy subjects. Method and Materials:
The study was conducted on 42 patients. They were divided in 3 study groups: chronic
periodontitis subjects, aggressive periodontitis patients and periodontal healthy subjects. On
marginal periodontitis patients, associated or not with systemic diseases, we initially
collected gingival crevicular fluid and saliva samples and we evaluated the following
enzymatic stress markers for all the three groups of subjects: superoxide dismutase,
glutathione peroxidase, malondialdehyde, using the gingival crevicular fluid (GCF) as biologic
material. Results The statistical analysis for the malondialdehyde in the control group,
aggressive periodontitis group and chronic periodontitis group shows significant differences
between the groups. SOD values in the gingival crevicular fluid were low in the periodontitis
groups compared to the control group. Despite the strong correlation between the
glutathione peroxidase values in the three groups, we did not observe any significant
differences between the GPx values in the aggressive periodontitis, chronic periodontitis and
control groups. Conclusion: The present study revealed significant statistic differences
between most of the oxidative stress parameters analysed in the GCF, especially in the
aggressive periodontitis group, less in the chronic periodontitis group compared to the
control group.
PP.355. TREATMENT OF GINGIVAL RECESSION AND INSUFFICIENT

ATTACHED GINGIVA USING GINGIVAL UNIT GRAFT: A CASE
REPORT
YAVUZER D.
DUYGU YAVUZER-PHD STUDENT-ANKARA UNIVERSITY FACULTY OF DENTISTRY DEPARTMENT

OF PERIODONTOLOGY
AIM: Hypersensitivity, aesthetic problems, cervical caries and difficulty in plaque control are
frequently seen in presence of gingival recession with insufficient amount of attached
gingiva. Gingival unit grafts are used in root coverage and increasing the amount of attached
gingiva. In this case report the treatment of a patient with localized gingival recession and
insufficient amount of attached gingiva using gingival unit graft technique is presented.
METHOD: A 21 years old, systemically healthy, female patient with Miller class II gingival
recession referred to our clinic with complaint of hypersensitivity and aesthetics. During
clinical examination, it was determined that there was gingival recession at rigt mandibular
central incisor and insufficient amount of attached gingiva. Initial periodontal therapy was
performed and oral hygiene instructions were given before surgery. In order to cover the
tooth surface at the recession site and increase the amount of attached gingiva, gingival unit
graft technique was applied. Clinical examination was performed at 1st, 3rd, 6th and 12th
and 24th months after surgery. RESULTS: It was observed that the amount of attached
gingiva was increased and the root surface was covered after surgical therapy. During
evaluation at 6th month, it was seen that the root surface was covered completely as a
result of creeping attachment. CONCLUSION: In this case report, it is detected that gingival
unit graft technique is a successful method in covering the exposed root surfaces and
increasing the amount of attached gingiva.
PP.356. COMPARATIVE SURGICAL TREATMENT OF GINGIVAL

OVERGROWTH IN KINDEY TRANSPLANTED PATIENTS
LUCHIAN I, MARTU I, TATARCIUC M, PASARIN L, MARTU S.

TATARCIUC MONICA-PROFESSOR PHD-hDW,͞'Z/'KZd͘WKW͟/^/
Background: Gingival overgrowth is one of the most frequent alterations at the oral level of
the kidney transplanted patients. Method and Materials: Our study included 10 patients
with kidney transplant and gingival overgrowth in the anterior area of the mandible. The
sample population was randomly divided into two groups named A and B with an equal
number of patients. The patients included in the group A benefited of classical removal of
the overgrowth using a scalpel and the patients included in the group B benefited by laser-
assisted surgery using a 940 nm wavelength diode laser. The same team operated all the
patients that were included in the current research. All removed tissues were sent to
Anatomic Pathology examination. Results: The classic periodontal surgery was more difficult,
less precise and took more time than the laser assisted one. In the same time during the
laser assisted surgery we had less bleeding and less post-operative discomfort. Although
epulis surgical removal has a high rate of recurrence we had none at 3 months follow up in
the patients treated with the laser. In group A he had 2 recurrence cases in which we had to
redo the surgery. Conclusion: The laser assisted periodontal surgery technique proved to be
minimally invasive, efficient and predictable for a successful result.
337+((9$/8$7,212)6(580$1'*&)71)ƣ,13$7,(176
WITH OSTEOPOROSIS AND PERIODONTAL DISEASE
SUFARU IG, SOLOMON SM, MARTU I, MOISEI M, MARTU S.
SUFARU IRINA-GEORGETA-ASSIST. PROF. PHD -hDW,͞'Z/'KZd͘WKW͟/^/

MOISEI MIHAELA-LECTURER PHD
ĂĐŬŐƌŽƵŶĚ͗ ŚƌŽŶŝĐ ƉĞƌŝŽĚŽŶƚŝƚŝƐ ŝƐ ƌĞůĂƚĞĚ ƚŽ ŽƐƚĞŽƉŽƌŽƐŝƐ͖ dE&ɲ ŚĂƐ Ă ƉŽƚĞŶƚ ƌĞƐŽƌďŝŶŐ
activity on bone level, which affects the periodontal status. We proposed an evaluation of
dE&ɲƐĞƌƵŵĂŶĚŐŝŶŐŝǀĂůĐƌĞǀŝĐƵůĂƌĨůƵŝĚůĞǀĞůƐŝŶƉĂƚŝĞŶƚƐǁŝƚŚŽƐƚĞŽƉŽƌŽƐis and periodontal
disease. Method and Materials: We assessed 64 patients, divided in two groups:
osteoporotic patients and systemically healthy subjects. The patients were clinically
ĞǆĂŵŝŶĞĚ ĂŶĚ dE&ɲ ůĞǀĞůƐ ǁĞƌĞ ŵĞĂƐƵƌĞĚ ŝŶ '& ĂŶĚ ƐĞƌƵŵ ƐĂŵƉůĞƐ ďǇ >/^ methods.
ZĞƐƵůƚƐ͗dŚĞĐůŝŶŝĐĂůƉĂƌĂŵĞƚĞƌƐƉƌĞƐĞŶƚĞĚŚŝŐŚĞƌǀĂůƵĞƐŝŶƚŚĞƐƚƵĚǇŐƌŽƵƉ͖ĂůƐŽ͕dE&ɲůĞǀĞůƐ
were significantly elevated for the osteoporosis patients. It may be suggested that elevated
'& ĂŶĚ ƐĞƌƵŵ dE&ɲ ĐŽŶƚƌŝďƵƚĞƐ ƚŽ ŚŝŐŚ ŶƵŵďĞƌ ŽĨ ĐĞůůƐ Ănd T cells present in the
inflammatory periodontal tissues, enhancing the periodontal tissue breakdown. Conclusions:
dŚĞŽƐƚĞŽƉŽƌŽƐŝƐƉĂƚŝĞŶƚƐĂƌĞƉƌŽŶĞƚŽŽǀĞƌƉƌŽĚƵĐĞdE&ɲ͕ǁŚŝĐŚ ĂůƐŽĂĐƚŝǀĂƚĞƐƚŚĞĐĞůůƐ
and promotes the B cells activity in the periodontal inflammatory sites, aggravating the
evolution of the periodontal disease.
PP.358. EVALUATION OF PERIODONTAL PATHOGENS IN PATIENTS

WITH CHRONIC KIDNEY DISEASE
MARTU S, MARTU-STEFANACHE MA, MARTU I, BALAN A, SOLOMON SM.

MARTU-STEFANACHE MARIA-ALEXANDRA-ASSIST.PROF. PHD STUDENT-hDW, ͞'Z/'KZ
d͘WKW͟/^/
BALAN ADRIANA-PROFESSOR PHD-hDW,͞'Z/'KZd͘WKW͟/^/
Background: The periodontal disease may represent a risk factor in patients with chronic
kidney disease; we proposed an evaluation of the periodontal pathogens in patients with
periodontal disease, with and without chronic kidney disease. Methodand materials: The
periodontal status of the patients, divided in two groups (test group ʹ with chronic kidney
disease and a control group, without systemic diseases) was assessed by clinical examination
and samples of gingival crevicular fluid were taken to detect the periodontal pathogens by
Polymerase Chain Reaction methods. Results: The frequency of the sites with probing depths
шϱ ŵŵ ǁĂƐ ůŽǁĞƌ ŝŶ ƚŚĞ ĐŽŶƚƌŽů ŐƌŽƵƉ͘ /Ŷ ƚŚĞ ĐŽŶƚƌŽů ŐƌŽƵƉ ƚŚĞ ŵŽƐƚĨƌĞƋƵĞŶƚ ƉĂƚŚŽŐĞŶ
was Eikenella corrodens, followed by Porphyromonas gingivalis, Prevotella nigrescens,
Treponema denticola, Tannerella forsythia and Fusobacterium nucleatum. In this group we
could not detect the presence of Aggregatibacter actinomycetemcomitans or Prevotella
intermedia. In the test group the most frequent periodontal pathogen was still E.corrodens,
followed by P.gingivalis, T.denticola, T.forsythia, P.nigriscens, F.nucleatum, P.intermedia and
A.actinomycetemcomitans. Although the frequencies of these pathogens were higher in the
test group, the significance level was obtained only for P.gingivalis, T.forsythia and
T.denticola. Conclusion: The red complex periodontal pathogens were more frequent in
patients with chronickidneydisease.The high frequencies of aggressive periodontal
pathogens and of severe forms of periodontal disease determine a rigorous approach in
these patients, with frequent control visits.
PP.359. ASSESSMENT OF THE PERIODONTAL HEALTH AMONG

PSYCHIATRIC INPATIENT IN SERBIA
JOVANOVIC M, DJORDJEVIC V, STASEVIC KARLICIC I, NIKOLIC JAKOBA N, DJUKIC DEJANOVIC

S.
MILA JOVANOVIC-DR TEACHER ASSISTANT-UNIVERSITY OF BELGRADE, SERBIA

VLADAN DJORDJEVIC-DR -SCHOOL OF DENTAL MEDICINE;IVANA STASEVIC KARLICIC-DR SC-
DEPARTMENT OF PERIODONTOLOGY AND ORAL MEDICINE
NATASA NIKOLIC JAKOBA-DR PHD ASSISTANT PROFESSOR-DR SUBOTICA 4, BELGRADE,
SERBIA
SLAVICA DJUKIC DEJANOVIC-DR PHD FULL PROFESSOR-STOMFAK@RCUB.BG.AC.RS
Background: The available evidence suggests higher prevalence and severity of periodontal
disease among psychiatric inpatients. The aim of this study was to evaluate their periodontal
status and consider possible risk factors that might lead to the deterioration of periodontal
ŚĞĂůƚŚ͕ĂƚƚŚĞůŝŶŝĐĨŽƌWƐǇĐŚŝĂƚƌŝĐŝƐŽƌĚĞƌƐ͞ƌ>ĂǌĂ>ĂǌĂƌĞǀŝĐ͟ŝŶĞůŐƌĂĚĞ͕^ĞƌďŝĂ͘DĂƚĞƌŝĂů
and methods: This cross-sectional study comprised 190 inpatients at the Clinic and 190
mentally healthy patients at the Clinic for Periodontology and Oral Medicine, School of
Dental Medicine, University of Belgrade. The Community Periodontal Index of Treatment
Needs (CPITN) was registered in both groups,as well as the characteristics of the primary
disease among inpatients with psychiatric disorders. Results: The patients in the study group
ŚĂĚ ƐŝŐŶŝĨŝĐĂŶƚůǇ ŚŝŐŚĞƌ ƐĐŽƌĞƐ ŽĨ ƚŚĞ W/dE ;Ϯ͘Ϯϱ ц Ϭ͘ϵϴͿ ƚŚĂŶ ƚŚĞ ƉĂƚŝĞŶƚƐ ŝŶ ƚŚĞ ĐŽŶƚƌŽů
ŐƌŽƵƉ;ϭ͘ϮϮцϭ͘ϭϬͿ͘DŽƐƚŽĨƚŚĞƉĂƚŝĞŶƚƐŝŶ the study group had supra- or subgingival calculi
(44.8%) in contrast to the control group patients, who had in most cases gingival bleeding
(47.8%). Periodontal pockets were detected in 34.8% of the psychiatric inpatients. Linear
regression analysis shows that gender and ages were statistically significant predictors of
CPITN value among the inpatients with psychiatrics disorders. Conclusion:The inpatients
with psychiatrics disorders had a high prevalence of periodontal disease compared to the
general population. The studies like thesehave to educate and sensitize psychiatrists and
psychiatric nurses to the oral problems of their patients. Keywords: psychiatric, inpatients,
CPITN index.
33Ư(&527,=,1*- ULCERATIVE GINGIVITIS/ PERIODONTITIS

AND HIV INFECTION
PAPANDREOPOULOU M, VENOU TM, TSALIKIS L.
PAPANDREOPOULOU MARIA-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERISTY OF

THESSALONIKI, DEPARTMENT OF DENTISTRY
VENOU THEODORA- MARIA-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI, DEPARTMENT OF DENTISTRY
TSALIKIS LAZAROS-ASSOCIATE PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI, CLINIC
K&WZsEd/sEd/^dZz͕WZ/KɁKEdK>K'zE/DW>Ed/K>K'z͕WZdDEdK&
DENTISTRY
BACKROUND: NECROTIZING- ULCERATIVE GINGIVITS (NUG) AND PERIODONTITIS (NUP) ARE

MIXED BACTERIAL INFECTIONS, MOSTLY CAUSED BY THE EXISTENCE OF ANAEROBES AN
SPIROCHETES. NECROTIZING- ULCERATIVE GINGIVITIS IS CHARACTERIZED BY ULCERATION
AND DESTRUCTION OF ONE ORE MORE INTERDENTAL GINGICAL PAPILLAE, STRONG PAIN,
BLEEDING GUMS, FIBRINOUS SLOUGHS AND HALITOSIS. IN CASE OF NECROTIZING-
ULCERATIVE PERIODONTITIS, THE CLINICAL MANIFESTATIONS ARE ACCOMPANIED BY BONE
DESTRUCTION AND ATTACHMENT LOSS. THOSE TWO CLINICAL ENTITIES ARE CONSIDERED
TO BE CLOSELY RELATED WITH HIV INFECTION AND AIDS. AIM OF OUR STUDY IS TO
INVESTIGATE THE PREVALENCE AND INCEDENCE OF NUG AND NUP IN HIV POSITIVE
PATIENTS. METHODS AND MATERIALS: WE SEARCHED THE PUBMED INTERFACE WITH THE
USE OF KEY- WORDS: NECROTIZING- ULCERATIVE GINGIVITIS, NECROTIZING- ULCERATIVE
PERIODONTITIS, HIV INFECTION, AIDS. ONLY ARTICLES IN ENGLISH WERE INCLUDED, BUT NO
DATE LIMITATION WERE APPLIED. RESULTS: A TOTAL NUMBER OF 27 ARTICLES WERE
FINALLY ESTIMATED ACCEPTABLE ACCORDING TO THE TITLE AND ABSTRACT.
NEVERTHELESS, THE PREVALENCE AND INCIDENCE OF THOSE CILINICAL ENTITIES AMONG
HIV INFECTED INDIVIDUALS VARIES. CONCLUSION: IN BIBLIOGRAPHY, NECROTIZING-
ULCERATIVE GINGIVITS (NUG) AND PERIODONTITIS (NUP) ARE CONSIDERED TO BE
ASSOCIATED WITH HIV INFECTION, IT IS NOT YET CLARIFIED WHETHER THE EXISTENCE OF
NUG OR NUP CAN LEAD TO THE SUSPICION OF HIV INFECTION. THE EXPLANATION OF A
PROBABLE HIGH PREVALENCE IS ATTRIBUTED TO UMMUNOSUPPRESSION AND DIFFERENT
MICROBIOLOGY AND FURTHER INVESTIGATION IS NECESSARY TO BE PROVEN.
PP.361. THE CLOSED ERUPTION TECHNIQUE IN THE TREATMENT
OF LABIALLY IMPACTED CANINES
SIDIROPOULOU N, TSALIKIS L, KAVADIA-TSATALA S.
NINA SIDIROPOULOU-STUDENT-DENTAL SCHOOL, ARISTOTLE UNIVERSITY OF THESSALONIKI,

LAZAROS TSALIKIS-ASSOCIATE PROFESSOR-DEPARTMENT OF PREVENTIVE DENTISTRY,
PERIODONTOLOGY AND IMPLANT BIOLOGY, DENTAL SCHOOL, ARISTOTLE UNIVERSITY OF
SMARAGDA KAVADIA-TSATALA-ASSOCIATE PROFESSOR-DEPARTMENT OF ORTHODONTICS,
DENTAL SCHOOL, ARISTOTLE UNIVERSITY OF THESSALONIKI, THESSALONIKI, GREECE
Background: The impaction of permanent maxillary canines is observed in many orthodontic

patients. The treatment of these cases includes surgical uncovering and orthodontic
movement of the tooth into its right place in the dental arch. The purpose of this study is to
investigate the advantages and the disadvantages of the closed eruption technique.
Materials and Methods: Pubmed was searched for studies published until January 2017
ƵƐŝŶŐŬĞǇƐǁŽƌĚƐ͗͞ŝŵƉĂĐƚKZƵŶĞƌƵƉƚKZĞĐƚŽƉŝĐ͟E͞ůĂďŝĂůKZďƵĐĐĂů͟E͞ŵĂǆŝůůĂKZ
ƵƉƉĞƌ͟E͞ĐĂŶŝŶĞKZĐƵƐƉŝĚ͟E͞ƐƵƌŐĞƌǇŽƌƐƵƌŐŝĐĂů͟E͞ĐůŽƐĞĚĞƌƵƉƚŝŽŶƚĞĐŚŶŝƋƵĞ͟
and filters: humans. Relevant publications were used in order to evaluate the periodontal
status of labially impacted canines after combined orthodontic and surgical treatment by
means of closed eruption technique. Reviews were excluded. Results: Thirty-nine studies
from which thirty-four met the inclusion criteria were found. The results concerning the
closed eruption technique were inconsistent. No clear evidence showing its possible
superiority regarding post-operative periodontal status over other surgical procedures
existed. Conclusion: A multidisciplinary management, atraumatic surgery, adequate control
of dental plaque and gingival inflammation, and minimal orthodontic forces can lead to
excellent results concerning the aesthetics and function in patients with delayed canine
eruption. However, there is a lack of evidence on the efficacy of the closed eruption
technique compared to the other surgical techniques and there is a definite need for further
research.
PP.362. PARAMETERS OF GINGIVAL RECESSION IN FRONTAL

CROSSBITE
KRASTEVA St, KRASTEVA Si, POPOVA E.
STILYANA KRASTEVA-ASSISTANT PROFESSOR-MEDICAL UNIVERSITY OF PLOVDIV, FACULTY OF

DENTAL MEDICINE, DEPARTMENT OF PERIODONTOLOGY
SILVIYA KRASTEVA-ASSOCIATE PROFESSOR-MEDICAL UNIVERSITY OF PLOVDIV, FACULTY OF
DENTAL MEDICINE, DEPARTMENT OF ORTHODONTICS
ELKA POPOVA-PROFESSOR-MEDICAL UNIVERSITY OF PLOVDIV, FACULTY OF DENTAL
MEDICINE, DEPARTMENT OF PERIODONTOLOGY
INTRODUCTION: For the appearance and the development of a gingival recession have an
important role the malocclusions such as tooth crowding, overjet, deep bite and open bite.
Few authors reveal the frontal crossbite as a factor of gingival recession. That motivates us
to research this interrelationship. AIM: To determine the parameters of the gingival
recession on the teeth with frontal crossbite on patients with completed maxillary growth.
MATERIALS AND METHODS The measure of our study is the gingival recession on the teeth
with frontal crossbite. We investigated 80 patients aged 16 to 52 years with frontal
crossbite. That means 960 teeth, which of them have 501 gingival recession. We used an
electronic digital caliper clinically in the patient's mouth to determinate the parameters of
the gingival recession ʹ ͞ǁŝĚƚŚ͟ĂŶĚ͞ĚĞƉƚŚ͘͟dŚĞĚŝƐƚĂŶĐĞŵĞĂƐƵƌĞĚĨƌŽŵƚŚĞůŽǁĞƐƚƉŽŝŶƚ
of the gingival margin to the ceŵĞŶƚŽĞŶĂŵĞůũƵŶĐƚŝŽŶƌĞƉƌĞƐĞŶƚƐƚŚĞ͞ĚĞƉƚŚ͟ŽĨƚŚĞŐŝŶŐŝǀĂů
recession, and in the wide area - ƚŚĞ ͞ǁŝĚƚŚ͟ ͘ Z^h>d^͗ tĞ ĨŽƵŶĚ ƚŚĞ ĂǀĞƌĂŐĞ ǁŝĚƚŚ ŽĨ
recessions: at the mandible - 4.32 mm; at the maxilla - 3.94 mm. The average depth of the
recession in the mandible was 1.96 mm and 1.74 mm at the maxilla. KEY WORDS: gingival
recession, frontal crossbite
PP.363. FULL-MOUTH DISINFECTION VERSUS QUADRANT ROOT

PLANING IN PATIENTS WITH CHRONIC PERIODONTITIS:
MICROBIOLOGICAL FINDINGS
GOVEDARICA O, CICMIL A, LECIC J, SIMIC I, CICMIL S.
OLIVERA GOVEDARICA-DDS, MSC-FACULTY OF MEDICINE FOCA, DEPARTMENT OF

DENTISTRY, UNIVERSITY OF EAST SARAJEVO, BOSNIA AND HERZEGOVINA
ANA CICMIL-DDS, MSC-FACULTY OF MEDICINE FOCA, DEPARTMENT OF DENTISTRY,
UNIVERSITY OF EAST SARAJEVO, BOSNIA AND HERZEGOVINA
JELENA LECIC-DDS, MSC-FACULTY OF MEDICINE FOCA, DEPARTMENT OF DENTISTRY,
UNIVERSITY OF EAST SARAJEVO, BOSNIA AND HERZEGOVINA
IVANA SIMIC-DDS, PHD, ASSISTANT PROFESSOR-FACULTY OF MEDICINE FOCA, DEPARTMENT
OF DENTISTRY, UNIVERSITY OF EAST SARAJEVO, BOSNIA AND HERZEGOVINA
SMILJKA CICMIL-DDS, PHD, ASSISTANT PROFESSOR-FACULTY OF MEDICINE FOCA,
DEPARTMENT OF DENTISTRY, UNIVERSITY OF EAST SARAJEVO, BOSNIA AND HERZEGOVINA
Background: The aim of this study was to test the hypothesis that over a period of three
months, full-mouth disinfection treatment (FMD) resulted in greater reduction in the
detection frequency of four periodontal pathogens compared with quadrant scaling and root
planing (Q-SRP) in patients with chronic periodontitis. Methods and materials: Twenty three
ƉĂƚŝĞŶƚƐǁŝƚŚĐŚƌŽŶŝĐƉĞƌŝŽĚŽŶƚŝƚŝƐ;ϭϱĨĞŵĂůĞƐ͕ŵĞĂŶĂŐĞϰϴ͘ϴцϳ͘ϭǇĞĂƌƐͿǁĞƌĞŝŶĐůƵĚĞĚĂŶĚ
randomly assigned into two groups: FMD group (n=12) and Q-SRP group (n=11). The FMD
group received full-mouth scaling and root planing performed in two consecutive days with
adjunctive chlorhexidine treatment. Patients from Q-SRP group received scaling and root
planing, quadrant by quadrant at one-week intervals. Subgingival plaque samples were
collected from the deepest site in each quadrant at baseline, one, and three months after
completion of therapy. Polymerase chain reaction (PCR) was used to determine the
presence of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Prevotella
intermedia i Tannerella forsythia in subgingival plaque. Results: Both treatment modalities
resulted in reduction in the presence of all four periodontal pathogens one and three
months after therapy. Significant improvement was observed only for Tannarela forsythia
(p<0.05) one month after therapy. No statistically significant difference was found between
the two treatment groups. Conclusion: This study failed to confirm that FMD protocol
resulted in greater microbiological improvements compared with Q-SRP over a three months
period, as determined by PCR.
PP.364. CLINICAL AND BIOCHEMICAL ASSESSMENT OF NON-

SURGICAL PERIODONTAL THERAPY
MLACHKOVA A, DOSSEVA-PANOVA V, POPOVA C, KICHEVA M.
ANTOANETA MLACHKOVA-CLINICAL AND BIOCHEMICAL ASSESSMENT OF NON-SURGICAL

PERIODONTAL THERAPY-MEDICAL UNIVERSITY, FACULTY OF DENTAL MEDICINE,
VELITCHKA DOSSEVA-PANOVA
CHRISTINA POPOVA
MAJA KICHEVA
BACKGROUND: There are a lot of scientific articles concerning importance of destructive

host response in progression of periodontal disease determined by variety of pro-
inflammatory mediators. It was established a large amount of RANKL, pro-inflamatory
cytokines such as IL-1, IL-6, TNF-ɲ͕ĂŶĚĐŚĞŵŽŬŝŶĞƐ-IL-8 in gingival tissue and crevicular fluid
in periodontally diseased patients compared to healthy individuals. The increased cytokine
expresion in tissues is associated with connective tissue loss and alveolar bone resorption.
The reduction of cytokine tissue expression may be a sign of periodontal healing. AIM:
Evaluation of the effectiveness of non-surgical therapy in chronic periodontitis by the
expression of IL-ϭɴĂŶĚ/>-6 in gingival tissue. MATERIALS AND METHODS: 20 patients with
chronic periodontitis were included in this investigation. Main clinical measurements were
evaluated before and after non-surgical treatment. Gingival biopsies before and after
routine periodontal instrumentation were taken. Gene expression of IL-6 and IL-ϭɴ ŝŶ
gingival was determined by PCR. RESULTS: Results showed increased levels of IL-ϭɴĂŶĚ/>-6
in the gingival tissue of patients with chronic periodontitis close to deep periodontal
pockets. Statistically significant reduction in clinical parameters after non-surgical treatment
(p<0.01) was established. The gene expression of IL-ϭɴĂŶĚ/>- 6 tends to decrease as result
of the therapy. Moreover we found significant correlations between studied clinical and
biochemical parameters (p<0.05). CONCLUSION: The current study confirms clinical
measurements as well as IL-ϭɴ ĂŶĚ />-6 as reliable markers for evaluation of non-surgical
therapy in chronic periodontitis.
PP.365. PERIODONTAL HEALTH IN PATIENTS WITH DIABETES

MELLITUS
OBRADOVIC R͕&/>/WKs/'͕/'/D͕D/>K^s/D͕KZs/D͘
RADMILA OBRADOVIC-ASSISTANT PROFESSOR-UNIVERSITY OF NIS, MEDICAL FACULTY,

DEPARTMENT OF ORAL MEDICINE AND PERIODONTOLOGY
GORDANA FILIPOVIC-ASSOCIATE PROFESSOR-UNIVERSITY OF NIS, MEDICAL FACULTY,
MARIJA IGIC-ASSOCIATE PROFESSOR-UNIVERSITY OF NIS, MEDICAL FACULTY, DEPARTMENT
OF CHILDREN AND PREVENTIVE DENTISTRY
MARIJA MILOSEVIC-TEACHING ASSISTANT-UNIVERSITY OF KRAGUJEVAC, FACULTY OF
MEDICAL SCIENCES, DEPARTMENT OF ORAL MEDICINE AND PERIODONTOLOGY
D/>/ KZs/-TEACHING ASSISTANT-UNIVERSITY OF KRAGUJEVAC, FACULTY OF
MEDICAL SCIENCES, DEPARTMENT OF PROSTHODONTICS
Introduction: Diabetes mellitus (DM) is one of the most prevalent endocrine metabolic
disorders and has damaging effects on the oral cavity and whole body. It has been reported
as a significant risk factor for periodontal disease. The aim of the study: The aim of the study
was to examine periodontal status of patients with DM and compare it with healthy
patients. Methods: This clinical study was carried out at Department of Periodontology and
Oral medicine, Nis University, Faculty of Medicine. The study procedures were approved by
the Nis University Faculty of Medicine Institutional Ethical Committee (01-2800-7). Three
equal groups participated in the study: group 1 (50 patients with type 1 DM), group 2 (50
patients with type 2 DM) and group 3 (50 patients with no DM). After anamnesis and
medical records analysis, periodontal examination was done using indices: plaque index (PI),
tartar index (IZK), gingival bleeding on probing (BOP), periodontal Ramfjord index (PDI) and
Community Periodontal Index of Treatment Needs (CPITN). SPSS software program was used
for the statistical analysis. Results: The examined indices had statistically higher values in the
diabetic groups comparing to the group 3 (patients with no DM). There were no differences
in indices values between diabetic groups (type 1 and type 2 DM). Conclusion: Periodontal
health of diabetic patients is not at the satisfactory level and further efforts should be made
in order to promote the significance of oral hygiene in the prevention of periodontal disease
and improvement of periodontal and diabetic state.
PP.366. KNOWLEDGE AND AWARENESS ABOUT DIABETES
MELLITUS AND PERIODONTAL HEALTH AMONG MEDICAL INTERNS
NGANGA SW, KALKAN Y, BOOTORABI S, DOGAN B.
SUSAN WANJIKU NGANGA-DDS-MARMARA UNIVERSITY, FACULTY OF DENTISTRY,

YAPRAK KALKAN-DDS-MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF
PERIODONTOLOGY
SEYEDRASOUL BOOTORABI-DDS-MARMARA UNIVERSITY, FACULTY OF DENTISTRY,
BASAK DOGAN-PROF. DR. -MARMARA UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF PERIODONTOLOGY
Background: There is a strong evidence that shows the relationship between diabetes
mellitus (DM) and periodontal disease (PD). Since many interns lack required information,
health providers should have the relevant knowledge needed to enable them to put it in
practice. The aim of the study is to evaluate the knowledge and awareness of the medical
interns concerning the association between DM and periodontitis. Materials and methods:
The survey was distributed among officially registered 283 medical interns of Marmara
University. The finished questionnaires were immediately collected by the researcher upon
completion. Out of 283, only 271 (95,8%) interns were willing to participate in the study.
Result: Of the respondents, more than 80% were aware that good periodontal health is
important for overall health and that tooth brushing and flossing are important to
accomplish that. Of the respondants, only 43% were aware about the link between DM and
periodontitis but only 26% had knowledge about the studies shows this link. Half of the
interns agreed that periodontitis is an issue in controlling DM. One third of them disagreed
about DM increase the tendency to have severe periodontitis. The collaboration between
physicians and dental professionals is needed to reduce the risk of PD. About 75% of the
participants are seeking for additional information about PD and its impact on DM.
ŽŶĐůƵƐŝŽŶ͗DĞĚŝĐĂůŝŶƚĞƌŶƐĚŽŶ͛ƚŚĂǀĞĞŶŽƵŐŚŬŶŽǁůĞĚŐĞĂďŽƵƚƚŚĞůŝŶŬďĞƚǁĞĞŶWĂŶĚ
DM. The knowledge and awareness about the association can be increased through
conducting educational courses.
PP.367. FACTORS INFLUENCING THE PATIENT REFFERRALS FROM

GENERAL PRACTICE DENTISTS TO PERIODONTISTS IN TURKEY
PE͕YILDIRIM HS͕K)E͘
sZE PE-DDS.-MARMARA UNIVERSITY, DENTAL FACULTY, DEPARTMENT OF

,͘ ^>7E z/>/RIM-ASSIST. PROF. DR.-MARMARA UNIVERSITY, DENTAL FACULTY,
DEPARTMENT OF PERIODONTOLOGY, ISTANBUL, TURKEY
b< K)E-PROF. DR.-MARMARA UNIVERSITY, DENTAL FACULTY, DEPARTMENT OF
Background: General practitioners (GPs) evaluate the periodontal status of patient and make
decisions to treat or refer the patients to a periodontist. The aim of this study was to identify
factors that GPs consider important in selecting a periodontists in Turkey. Material and
Methods: The questionnaire distributed among 532 GPs who attended to 22th International
ŽŶŐƌĞƐƐŽĨdƵƌŬŝƐŚĞŶƚĂůƐƐŽĐŝĂƚŝŽŶŝŶ7ǌŵŝƌ͕dƵƌŬĞǇ͖ŽƵƚŽĨƚŚĞŵ͕Ϯϱϳ;ϰϴйͿǁĞƌĞǁŝůůŝŶŐ
to participate to the survey. Results: The most important factors influencing periodontal
referraůďǇ'WƐ͕ǁĞƌĞĚĞĨŝŶĞĚĂƐƉĞƌŝŽĚŽŶƚŝƐƚ͛ƐĐůŝŶŝĐĂůƐŬŝůů;ϰ͘ϰϲцϭ͘ϮϯͿ͕ƉƌĞǀŝŽƵƐĞǆƉĞƌŝĞŶĐĞ
ďĞƚǁĞĞŶ'WĂŶĚƉĞƌŝŽĚŽŶƚŝƐƚ;ϰ͘ϭϬцϭ͘ϮϯͿ͘&ĞŵĂůĞ'WƐǁĞƌĞϭϳƚŝŵĞƐŵŽƌĞůŝŬĞůǇƚŽƌĞĨĞƌшϯ
patients per month to a periodontist than male GPs (P<0.001). GPs practicing in cities other
ƚŚĂŶ/ƐƚĂŶďƵůͬŶŬĂƌĂͬ/ǌŵŝƌǁĞƌĞϬ͘ϰϯƚŝŵĞƐŵŽƌĞůŝŬĞůǇƚŽƌĞĨĞƌшϯƉĂƚŝĞŶƚƐƉĞƌŵŽŶƚŚƚŽĂ
periodontist (P<0.05). Moreover, GPs examining 41-60 new patients per week, were nearly
Ϭ͘ϮƚŝŵĞƐŵŽƌĞůŝŬĞůǇƚŽƌĞĨĞƌшϯƉĂƚŝĞŶƚƐƉĞƌŵŽŶƚŚƚŽĂƉĞƌiodontist (P<0.05). Conclusions:
dŚŝƐƐƚƵĚǇŝŶĚŝĐĂƚĞƐƚŚĂƚƉĞƌŝŽĚŽŶƚŝƐƚ͛ƐĐůŝŶŝĐĂůƐŬŝůůǁĂƐĐŚŽƐĞŶďǇ'WƐĂƐƚŚĞƉƌŝŵĂƌǇĨĂĐƚŽƌ
influencing the referral decisions of GPs. Moreover, gender, the city of practice and number
of new patients evaluated per week are important issues regarding GPs to refer patients to a
periodontist.
PP.368. THE EVALUATION OF IL-Ƥ$1'71)ƣ/(9(/6,13$7,(176

WITH PERIODONTAL DISEASE AND RHEUMATOID ARTHRITIS
MARTU-STEFANACHE MA, HONCIUC M, BALAN A, MARTU S, FOIA L.
MARTU-STEFANACHE MARIA-ALEXANDRA-ASSIST. PROF. PHD STUDENT-hDW, ͞'Z/'KZ

d͘WKW͟IASI
HONCIUC MADALIN-PHD STUDENT-hDW,͞'Z/'KZd͘WKW͟/^/
BALAN ADRIANA-PROFESSOR PHD-hDW,͞'Z/'KZd͘WKW͟/^/
FOIA LILIANA-PROFESSOR PHD-hDW,͞'Z/'KZd͘WKW͟/^/
Background: Our purpose was to identify if rheumatoid arthritis (RA) influenced levels
ofsalivary biomarkers of periodontal disease. Method and materials: Biological assessments
and periodontal examinations were performed on 15 patients with RA, 10 patients with
chronic periodontitis and 11 healthy patients as control group. Unstimulated whole saliva
samples were analysed for interleukin-1b (IL-1b) and tumour necrosis factor-ɲ ;dE&-ɲͿ
concentrations. Results: The arthritis and healthy groups had significantly less oral disease
than the periodontitis group but the arthritis group having significantly moresites bleeding
on probing (BOP) than control group. Salivary levels ofIL-1b were significantly elevated in the
periodontal disease groupand IL-1b was the only biomarker with significantly higher levels in
thearthritis group compared with control group. Arthritis patients receiving anti-TNF-ɲ
antibody therapy had significantly lower IL-1b and TNF-ɲ ůĞǀĞůƐ ĐŽŵƉĂƌĞĚǁŝƚŚ ĂƌƚŚƌŝƚŝƐ
patients not on anti-TNF-ɲƚŚĞƌĂƉǇ ĂŶĚ ŚĞĂůƚŚǇ ĐŽŶƚƌŽůƐ͕ ƌĞƐƉĞĐƚŝǀely. Conclusion: RA
patients have higher levels of periodontal inflammation than healthy control group and also
an increased BOP. Systemic inflammation appears to influence levels ofselect salivary
biomarkers of periodontal disease, and anti-TNF-ɲƚŚĞƌĂƉǇ Ɛignificantly modify in lowers
salivary levels IL-1b and TNF-ɲůĞǀĞůƐ ŝŶ Z͘<ĞǇǁŽƌĚƐ͗ ƐĂůŝǀĂƌǇ ďŝŽŵĂƌŬĞƌƐ͕ ŝŶƚĞƌůĞƵŬŝŶ ϭď͕
tumor necrosis factor (TNF) parodontalӽ disease, rheumatoid arthritis.
PP.369. THE ASSESSMENT OF IL-6 IN PATIENTS WITH CHRONIC

PERIODONTITIS AND OSTEOPOROSIS
SUFARU IG, SOLOMON SM, PASARIN L, MOISEI M, MARTU S.
SUFARU IRINA-GEORGETA-ASSIST. PROF. PHD -hDW,͞'Z/'KZd͘WKW͟/^/

MOISEI MIHAELA-LECTURER PHD-hDW,͞'Z/'KZd͘WKW͟/^/
Background: The systemic status affected by osteoporosis, especially in bone deficit

conditions, can enhance the inflammation on periodontal level, with severe alveolar bone
loss. Method and materials: The study examined the systemic and inflammatory status, pre-
and post-therapy. The clinical study was conducted in patients with chronic periodontitis,
divided in osteoporosis group and systemically healthy subjects. The clinical periodontal
parameters were determined at baseline and after scaling and root planing. The IL-6 levels
were investigated pre-therapy in gingival crevicular fluid and post-therapy in serum. Results:
The periodontal tissue loss and the crevicular fluid IL-6 were significantly more severe in the
osteoporosis group, as image of the local influence of an impaired skeletal system. Both
groups had a positive response to the periodontal therapy, with low levels of clinical
parameters and serum cytokine. Conclusion: Our results support the relationship between
osteoporosis and periodontal inflammatory changes, which can be amended by the
conventional therapy.
PP.370. STUDY REGARDING THE EFFECTS OF CONVENTIONAL

PERIODONTAL THERAPY ON PROINFLAMMATORY CYTOKINES IN
PATIENTS WITH ATHEROSCLEROSIS
MARTU S, NICOLAICIUC O, LUCHIAN I, SUFARU IG, SOLOMON SM.

NICOLAICIUC OVIDIU-PHD STUDENT-hDW,͞'Z/'KZd͘WKW͟/^/
SUFARU IRINA-GEORGETA-ASSIST.PROF. PHD-hDW,͞'Z/'KZd͘WKW͟/^/
Background: This study aimed to assess the effects of conventional periodontal treatment by
scaling and root planing on GCF levels of TNF-a, IL-1b and IL-6, to clarify the possible link
between periodontitis and atherosclerosis. Method and materials: The study included a total
of 40 subjects divided into two main groups: the study group (n = 26) and control group (n =
14). The cases included patients with atherosclerosis with prescribed diet (D) or antilipemic
therapy with a drug from the statin group (S). Controls (C) were selected from healthy
subjects with chronic periodontitis but systemically healthy. Cases underwent periodontal
examination that included global and radiological examination. Measurements of
periodontal parameters, periodontal probing, BOP, plaque, calculus, tooth mobility and
furcation lesions were standardized between the examiners. Analysis of IL-1b, IL-6 and TNF-
ɲ ŝŶ ĐƌĞǀŝĐƵůĂƌ ĨůƵŝĚ ǁĂƐ ĐŽŶĚƵĐƚĞĚ Ăƚ ƚŚĞ ďĞŐŝŶŶŝŶŐ ŽĨ ƚŚĞ ƐƚƵĚǇ ĂŶĚ Ăƚ ϯ ŵŽŶƚŚƐ ĂĨƚĞƌ
periodontal therapy. Results: The significant decreases were found in the crevicular fluid for
all cytokines. The most obvious decrease (P = 0.001) was for IL-6 in the group of statins. This
study shows that inflammation plays a key role in the association between periodontal
disease and atherosclerosis. Conclusion: Combining antilipemic treatment with periodontal
therapy can provide beneficial effects on metabolism and control of inflammatory
atherosclerosis by lowering proinflammatory cytokines.
Session 35
PP.371. COMPARISON OF ORAL HYGIENE HABITS AMONG

UNIVERSITY STUDENTS FROM MONTENEGRO
SUBOTIC D.
DANIJELA SUBOTIC-PEDODONTIC-CLINICAL CENTRE OF MONTENEGRO
INTRODUCTION : Professional more education of dental students should create stable

behavior patterns in their own oral health care which should result in the improvement of
their oral health AIM : The aim of this study was to compare oral health and oral hygiene
habits and attitudes of 2th year dental students with the 2th year students of other faculties
of University of Montenegro MATERIALS AND METHODS : Number of subjects participating
in this study was 42 which included 20 students of dental medicine ( 2th year) and 22
students of other faculties (2th year)of University of Montenegro , of both genders.
Questionnaire consisted of 20 questions about social status, oral hygiene, dental
checkups,sweets consuption, alcohol and cigarette usage and oral health attitudes. Data
were statistically analyzed using SPSS ver. 16.0 software. RESULTS: Results showed
difference between two groups, where dental students compared to their colleagues from
other faculties. Dental students were better instructed in brushing techniques, brush more
often, use additional means of oral hygiene, have lesser prevalence of gingival bleeding and
visit dentist more often then their colleagues from other faculties. CONCLUSION: Because of
greater awareness of oral health problems and improved knowledge on preventive
measures, students of dental medicine could positively contribute to the oral health of their
patients and their colleagues by education, but also by their own example as a role ʹ model.
PP.372. ATHLETIC MOUTHGUARDS: THE KEY TO DENTAL INJURY

PREVENTION.
SAKALI E, KATSOUDA M, ARAPOSTATHIS K, EXARXOY E.
EVI SAKALI-DENTIST-THE DEPARTMENT OF PAEDIATRIC DENTISTRY, ARISTOTLE UNIVERSITY

OF THESSALONIKI, GREECE
MARY KATSOUDA-PAEDIATRIC DENTIST IN THESSALONIKI, GREECE
ARAPOSTATHHS KWNSTANTINOS-ASSISTANT PROFESSOR IN THE DEPARTMENT OF
PEDIATRIC DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE
ELENA EXARXOY-GRADUATE STYDENT OF PAEDIATRIC DENTISTRY, ARISTOTLE UNIVERSITY OF
The high risk of sport-related dental and facial injuries in children and adolescents due to the
increased popularity and competitiveness of sport activities over the world, underlines the
preventive value of the oral-facial protectors. The use of a protective mouthguard
constitutes an effective way in preventing possible injuries in athletes of all ages, gender and
skill level (college, amateur or professional). Organized and unorganized sports, contact and
non-contact activities or trainings like ice hockey and gymnastics can be of equally hazard in
teeth injuries, mouth lacerations, jaw dislocations and fractures. Children with orthodontic
disorders such as increased overjet with a compound of inadequate lip coverage are more
prone to have an injury in maxilla incisors, affecting the upper lip or even the maxilla. Dental
ĂŶĚŽƌŽĨĂĐŝĂůƚƌĂƵŵĂƐĐĂŶŚĂǀĞƉƐǇĐŚŽůŽŐŝĐĂůĂŶĚĞĐŽŶŽŵŝĐĂůŝŵƉĂĐƚŝŶďŽƚŚĐŚŝůĚƌĞŶ͛ƐĂŶĚ
ƚŚĞŝƌĨĂŵŝůŝĞƐ͛ůŝĨĞƐŝŶĐĞƉĂŝŶŵĂǇŽĐĐƵƌĂŶĚƚƌĞĂƚŵĞŶƚŵĂǇďĞŶĞĞĚĞĚ͘dŚĞre are three types
of athletic mouthguards: a)Type I (custom-fabricated mouthguards) b)Type II (mouth-
formed mouthguards) and c)Type III (stock mouthguards). The custom-made mouthguard
presents better retention and comfort compared to the other two types. Although, criteria
ƐƵĐŚĂƐĐŽƐƚ͕ƉĂƚŝĞŶƚ͛ƐĂŐĞĂŶĚƐƉĞĐŝĨŝĐĐůŝŶŝĐĂůƐŝƚƵĂƚŝŽŶƐ;ŽƌƚŚŽĚŽŶƚŝĐďƌĂĐŬĞƚƐͿŝŶĚŝĐĂƚĞƚŚĞ
appropriate mouthguard type selection. In conclusion, continuous education is strongly
recommended upon the use of a mouthguard at an early age to achieve the goal of oral-
facial trauma prevention.
PP.373. PLAQUE REMOVAL WITH CHEWABLE TOOTHBRUSH IN
STUDENTS
MLADENOVIC R, MARTINOVIC B, MILOJKOVIC Z, ARSIC Z, DJORDJEVIC F.
RASA MLADENOVIC-TA, DDS, PHD STUDENT-FACULTY OF MEDICINE, UNIVERSITY OF

PRISTINA, DEPARTMENT FOR DENTISTRY
BRANKICA MARTINOVIC-ASSOC. PROF.-FACULTY OF MEDICINE, UNIVERSITY OF PRISTINA,
DEPARTMENT FOR DENTISTRY
ZORAIDA MILOJKOVIC-ASSIST. PROF.-FACULTY OF MEDICINE, UNIVERSITY OF PRISTINA,
DEPARTMENT FOR DENTISTRY
ZORAN ARSIC-TA, DDS-FACULTY OF MEDICINE, UNIVERSITY OF PRISTINA, DEPARTMENT FOR
DENTISTRY
FILIP DJORDJEVIC-TA, DDS-FACULTY OF MEDICINE, UNIVERSITY OF PRISTINA, DEPARTMENT
FOR DENTISTRY
Introduction: Plaque control is the basis of prevention of oral diseases. In many studies it has
been shown that there is a positive correlation between level of education and oral health.
Therefore, students are an important group of the population that can be interrogated to
assess oral health awareness and behavior among young people and educated groups. In
addition to classical and electric toothbrushes can be found chewable toothbrush. The aim
of this study was to evaluate and compare the use of a chewable toothbrush and classic
toothbrush for plaque removal in students. Material and methods: To identify plaque we
used disclosing tablets, and for the assessment of plaque accumulation TQHI index.
Experimentally group of students used a ͙͙͙͙͘͘
PP.374. DENTAL HEALTH ESTIMATION FOR ADOLESCENTS AGE

EIGHTEEN
DJURICKOVIC M.
MIRJANA DJURICKOVIC-DR-FACULTY OF MEDICINE, DEPARTMENT PREVENTIVE AND

The background:. The aim of this study was to determine the dental status of adolescents
age 18 in the capital city ( Podgorica) in Montenegro. Methods and materials: The study
included 1567 pupils both genders from six High Schools in Podgorica.The parameters that
have been used for the estemation of the oral health condition were:DMFT,SiC .Two dentals
team clinicaly examined all subjects in line with WHO methodology and criteria.All chosen
children from the sample were checked by the standard dental diagnostic equipment ( plane
dental mirror,standard CPITN periodontal probe),under the artificial light on the dry teeth
on the dental chair.Results: The average value of Index DMFT at the 18-years-old in
Podgorica,Montenegro was 9.9.On average,93.7% of the egxamined children from this
sample had dental caries.Percentage of non treted caries was 41.5%, percentage of filled
was 51,8% and missing teeth was 6,7%. The SiC Index was 12.9.Conclusions: After these
epidemic researches we can conclude that the oral health condition with the adolescents at
the age of 18 in Montenegro is not satisfied. In accordance with this is what should
emphasize the importance of the modern preventive measures and programs and apply
through the system of the primary oral protection and work intensively on the promotion of
the oral helth.
PP.375. SIGNIFICANCE OF SEALANT RETENTION RELATED TO

CARIES PREVENTION
dZ/<Ks/:E:/K͕E/<K>/D͕:E:/D͕^dK:<Ks/͘
K>/sZ dZ/<Ks/ :E:/-ASSISTANT PROFESSOR-FACULTY OF MEDICINE, DENTISTRY

CLINIC, DEPT. OF PREVENTIVE AND PEDIATRIC DENTISTRY, NIS, SERBIA
D:E/<K>/-PHD STUDENT-FACULTY OF MEDICINE, NIS, SERBIA
D/> :E:/-PHD STUDENT->ht/' Dy/D/>/E^ hE/sZ^/d d DmE,E͕ hE/sZ^/dz
HOSPITAL, DEPARTMENT OF ORTHODONTICS, MUNICH, GERMANY
BRANISLAVA STOJKOVIC-TEACHING ASSISTANT-FACULTY OF MEDICINE, DENTISTRY CLINIC,
DEPT. OF PREVENTIVE AND PEDIATRIC DENTISTRY, NIS, SERBIA
Background. High caries prevalence regardless of implementation of pit and fissure sealing
programs, primarily in first permanent molars, indicates the problem of sealant retention,
detected through regular examinations. Aim. This study aimed to assess the length of
sealant retention, caries chronology and prevalence after sealant loss. Method. Research
included 107 third-grade school children, with 350 first permanent molars sealed in the first
grade. Physical examination and dental records produced data on sealant retention and
caries prevalence after sealant loss, between the first and the third grade. Results. One year
after sealing, physical examination reported 45.71% (160) teeth with lost sealants and 5.71%
(20) of previously sealed teeth already had caries. In the third grade, sealant loss was
recorded in 68.57% (243) molars, and 4.00% (14) more teeth with lost sealant had caries.
There was no difference in relation to jaw, or the side of dental arch. Caries prevalence in
relation to teeth was almost equal, slightly higher on the upper right and lower left molar, 9
caries affected teeth each (2.57%), than on the upper left and lower right molar with 8 caries
affected teeth each (2.29%). Conclusion. High rate of sealant loss and caries occurrence in
pits and fissures of first permanent molars immediately after sealing indicates the problem
of sealant retention, and imposes the obligation of frequent examinations aimed at caries
prevention, especially in the first year following sealing.
PP.376. THE CYTOTOXICITY OF THE OCTENIDINE
DIHYDROCHLORIDE ON ORAL KERATINOCYTES
SEKULIC M, ACOVIC A, RADOVIC M, MILOSAVLJEVIC Z, KANJEVAC T.
MIONA SEKULIC-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL

ALEKSANDAR ACOVIC-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL
MIRJANA RADOVIC-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL
ZORAN MILOSAVLJEVIC-ASSOCIATE PROFESSOR-DEPARTMENT OF HISTOLOGY AND
EMBRIOLOGY, FACULTY OF MEDICAL SCIENCES, UNIVERSITY OF KRAGUJEVAC, SERBIA
TATJANA KANJEVAC-ASSOCIATE PROFESSOR-DEPARTMENT OF DENTISTRY, FACULTY OF
Introduction: Octenisept is one of the novel oral antiseptic solutions. The active substances
are octenidine (0,2%) and phenoxyethanol (2%) with a synergic antimicrobial activity. It
showed good properties as an oral disinfectant. Studies have shown that some of the
antiseptics have certain level of cytotoxicity to the oral mucosa. Material and methods:
Swabs were taken from the buccal mucosa of four healthy volunteers, at the Institute of
Histology and Embryology, Faculty of Medical Sciences, University of Kragujevac in the pilot
study. Epithelial cells of the donor are mixed, placed in physiological solution. 0.15 ml of
solution of individual cells was added in 1.35 ml antiseptic solution Octenisept. After the
initial determination of the percentage of the sample cell viability, cytotoxicity antiseptic
solution to the cell was measured after the first, third, fifth, tenth, 15th, 20th and 25th
minutes. Samples were stained with acridine orange/ethidium bromide, and observed by
fluorescence microscopy. All measurements were performed in triplicate, and mean value is
calculated as the final result. Result: At the beginning of the experiment the viability of the
keratinocytes was 100%. Ten minutes later retained 100% of its value, then the
measurements were repeated at five-minute intervals, giving decreasing results and viability
in the fifteenth minute of 65%, in the 20th minute 30%, and after 25 minutes we didn`t
noticed viable cells. Conclusion: The cytotoxic effect of Octenisept begins to manifest after
15 minutes, which is significantly longer than the recommended period for use of this
antiseptics.
PP.377. EVALUATION OF A PIT AND FISSURE SEALANTS IN THE
PREVENTION OF DENTAL CARIES IN SCHOOLCHILDREN
STEFANOSKA T, ZABOKOVA-BILBILOVA E, SOTIROVSKA-IVKOVSKA A.
TANJA STEFANOSKA-PHI HEALTH CENTRE

EFKA ZABOKOVA-BILBILOVA
ANA SOTIROVSKA-IVKOVSKA
Pit and fissure sealants are safe and effective method for prevention of dental caries and are
considered essential for caries prevention. The most caries susceptible teeth during the 1st
year after eruption are first permanent molars when the tooth is not fully matured and oral
hygiene is not well established. The purpose of this study was to evaluate the caries
prevention effect of pit and fissure sealant application on permanent first molars among
school children. In this study we have examined 90 school children at the age of 6 to 9 years
old. They were separated into sealant and control group with follow up for one year. In the
sealant group (n=60) fissure sealing was performed on only fully erupted and healthy first
permanent molars; the control group (n=30) was only examined with no sealant application
(GC Fuji Triage). The results show that sealants were highly effective (98.2%) in preventing
dental caries in permanent molar teeth. In the present study, caries incidence in the sealant
group was 1.8% and in the control group was 3.0%, which demonstrated a significant
reduction in the incidence of caries one year after the baseline measurements. The
effectiveness of protection by sealant application was superior to self-care without sealants.
Sealant program can be used as an effective method to decrease caries prevalence in school
children. Another advantage of a glass ionomer as a pit and fissure sealant is that it provides
a prolonged fluoride release over time.
PP.378. TREATMENT OF MAXILLARY CENTRAL INCISORS INJURED

BY INTRUSIVE LUXATION AND CROWN FRACTURE: A CASE REPORT
b,>EE͕'mE'PZ,͘
z7< b,>EE-RESEARCH ASSISTANT-DEPARTMENT OF PEDIATRIC DENTISTRY,

HACETTEPE UNIVERSITY FACULTY OF DENTISTRY, ANKARA, TURKEY
,D7 D 'mE'PZ-PROFESSOR DOCTOR-DEPARTMENT OF PEDIATRIC DENTISTRY,
HACETTEPE UNIVERSITY FACULTY OF DENTISTRY, ANKARA, TURKEY
Introduction: Intrusive luxation is a severe form of dental trauma, which accounts for 0.5ʹ2%
of dental injuries in the permanent dentition. It is the axial dislocation of a tooth in its
alveolus. Crown fractures are the most frequent form of traumatic dental injuries that affect
the permanent dentition. Its frequency ranges between 26 and 76%. Case report : An 8-year
old girl was referred to the pediatric dentistry clinics for the management of dental trauma.
dŚĞ ƉĂƚŝĞŶƚ͛Ɛ ŵĞĚŝĐĂů ŚŝƐƚŽƌǇ ǁĂƐ ƵŶƌĞŵĂƌŬĂďůĞ͘ /Ŷ ŝŶƚƌĂŽƌĂů ĞǆĂŵŝŶĂƚŝŽŶ͕ ĞŶĂŵĞů-dentin
fractures of #11 and #21 were noted. It was also observed that both teeth were intruded
approximately 2 mm. This obervation was confirmed by the dull, metalic sound obtained on
percussion test. The radiographs taken also revealed intrusion injury as well as open apices
of both teeth. The treatment plan comprised indefinitive treatment of crown fractures with
hard-setting calcium hydroxide and glass-ionomer cement. It was also decided to wait for
the spontaneous re-eruption of both incisors which was observed to be complete one
month later. The teeth were restored with composite resin and the patient was recalled for
follow-up visits. After 2 years, the teeth were vital and in function. Cold and electrical pulp
testing and percussion tests indicated positive results. Radiographically, the thickening of
root walls and the closure of apices were visible. Comments: The treatment approach which
were parallel to the current clinical guidelines proved to be beneficial for the patient.
PP.379. NONEXTRACTION ORTHODONTIC TREATMENT OF SEVERE

ANTERIOR CROWDING BY USING CERVICAL HEADGEAR AND CLASS
III ELASTICS
BEKTAS B, BUYUK SK.
BIRCAN BEKTAS -DEPARTMENT OF ORTHODONTICS, FACULTY OF DENTISTRY, ORDU

UNIVERSITY, ORDU, TURKEY
^͘<hd>D/bhzh<
Orthodontic treatment of the severe anterior crowding without nonextraction first premolar
may be a challenging features of orthodontic treatment. This case study describes the
cervical headgear and class III elastics which was used in an approach to the resolving of
severe anterior crowding in nonextraction orthodontic patient. The patient had a Class I
skeletal malocclusion with severe anterior crowding in both arches. His chief complaint was
the severe crowding and an undesirable smile. The goal of treatment was to improve
function and esthetics by resolving the crowding in both arches, open the bite, achieve a
Class I dental relationship. Treatment was completed in 1 year and 4 months and removable
retainers were placed on both arches. His crowding was corrected by using cervical
headgear and class III elastics. The esthetic and functional objectives were achieved at the
end of orthodontic treatment. Key Words: Open bite, Vertical holding appliance, Fixed
orthodontics
Session 43
PP.380. PREVALENCE OF DENTAL ANOMALIES IN SERBIAN

ORTHODONTIC PATIENTS
FILIPOVIC G, ACOVIC A, OBRADOVIC R, MILOSEVIC M.
GORDANA FILIPOVIC-ASSOCIATE PROFESSOR-DEPARTMENT OF DENTISTRY, FACULTY OF

ALEKSANDAR ACOVIC-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL
RADMILA OBRADOVIC-ASSISTANT PROFESSOR-DEPARTMENT OF DENTISTRY, FACULTY OF
MARIJA MILOSEVIC-PHD STUDENT-DEPARTMENT OF DENTISTRY, FACULTY OF MEDICAL
The background. Dental anomalies in number, size, position and shape are important factors
which can cause orthodontic problems. The aim of this study was to determine the
prevalence of developmental anomalies in the permanent teeth of a Serbian orthodontic
patient in digital panoramic radiographs. Materials and methods. A total of 1500 panoramic
radiographs of orthodontic patients aged over 16 years were analyzed for evidence of
developmental dental anomalies such as hypodontio, hyperdontio, impacted teeth,
taurodontism, gemination, fusion, peg lateral incisors, transposition. Sex distribution was
53% female and 47% male. Data were evaluated using descriptive statistics such as
ĨƌĞƋƵĞŶĐǇĂŶĚƉĞƌĐĞŶƚĂŶĚWĞĂƌƐŽŶʖϮƚĞƐƚ͘ZĞƐƵůƚƐ͘dŚĞƉƌĞǀĂůĞŶĐĞŽĨdental anomalies in
this study was 15,6% and it was higher in females than in males, although this difference is
not statistically significant. The most frequently observed dental anomaly were impacted
teeth (7,75%) followed by dental anomalies in number of teeth (hypodontia 6,05%,
hyperdontia 3,06%). In a much less number of patients were taurodontism (1,25%) and peg
lateral incisors (0,98%) prevalent. Fusion and gemination were present only in 0,06% of the
cases. Conclusion. The most common dental developmental anomaly in Serbian orthodontic
population were impacted teeth. By early detection and management of dental anomalies
potential functional, esthetic and occlusal problems can be avoided. Key words: dental
anomalies, orthodontic, Serbia
PP.381. THE INFLUENCE OF GENE MUTATIONS ON DEVELOPMENT
OF TOOTH AGENESIS
POPOVIC B, ZIVKOVIC SANDIC M.
BRANKA POPOVIC-THE INFLUENCE OF GENE MUTATIONS ON DEVELOPMENT OF TOOTH

AGENESIS-INSTITUTE OF HUMAN GENETICS, SCHOOL OF DENTAL MEDICINE, UNIVERSITY OF
BELGRADE
MARIJA ZIVKOVIC SANDIC-THE INFLUENCE OF GENE MUTATIONS ON DEVELOPMENT OF
TOOTH AGENESIS-CLINIC FOR ORTHODONTICS, SCHOOL OF DENTAL MEDICINE, UNIVERSITY
OF BELGRADE
Background: Tooth agenesis is one of the most common dental anomalies in humans, and it
can occur as non-syndrome form or as a part of various syndromes. Genetic background of
tooth agenesis is related to numerous genes whose products are signal molecules and
transcription factors that control different phases of tooth morphogenesis (bud, cap, and
bell stage). Reciprocal interactions between dental epithelial and mesenchimal tissue, under
control of specific gene products, might lead to changing in tooth morphology, number, and
structure. The key markers included in tooth morphogenesis may be WNT10A and RUNX2
genes. Methods and materials: Mutational analysis of WNT10A and RUNX2 genes was
performed in 10 patients with tooth agenesis, using direct sequencing method. Also in the
same group, was done measurement of the mesiodistal tooth dimensions by scanning of
digital models. Results: Performed molecular analysis showed the presence of WNT10A and
RUNX2 mutations, in 40% and 70% of the sample, respectively. Taking into account of clinical
data, all the mesiodistal teeth size were significantly smaller than in healthy patients.
Moreover, in tested group, the most commonly congenitally missing teeth were upper
lateral incisors and lower second premolars. Conclusion: Found mutations in WNT10A and
RUNX2 genes, could have remarkable role in etiology of no-syndrome tooth agenesis,
especially in missing of upper lateral incisors and lower second premolars.
PP.382. THE EFFECTS OF THREE DIFFERENT MAXILLARY

EXPANSION METHOD ON DENTOFACIAL STRUCTURES
KAYA RT, DALI A, ARSLAN SG, KAYA G.
REFIKA TOPAL KAYA-THE EFFECTS OF THREE DIFFERENT MAXILLARY EXPANSION METHOD

ON DENTOFACIAL STRUCTURES-/> hE/sZ^7d^7 /b ,</D>/)/ &<h>d^/ KZdKKEd/
ANABILIM DALI
SEHER GUNDUZ ARSLAN
GURKAN KAYA
Aim: The aim of this study is to evaluate the effects of skeletal, dentoalveolar, which is the
results of rapid maxillary expansion (RME) , semirapid maxillary expansion (SRME) , slow
maxillary expansion (SME). Material and method: Three study groups- consisted of 30
subjects- ǁĞƌĞƉĞƌĨŽƌŵĞĚ͘ZDŐƌŽƵƉ;ϭϯ͕ϵϲцϬ͕ϴϮǇĞĂƌƐ͕ϳŐŝƌůƐ-3 males) had tooth-borne
ŚǇƌĂǆ ĂƉƉůŝĂŶĐĞ͕ ^ZD ŐƌŽƵƉ ;ϭϯ͕ϲϱ ц Ϭ͕ϰϯ ǇĞĂƌƐ͕ ϲ ŐŝƌůƐ-4 males) acrylic bonded hyrax
ĂƉƉůŝĂŶĐĞ͕^DŐƌŽƵƉ;;ϭϯ͘ϰϵцϬ͘ϱϳǇĞĂƌƐ͕ϴŐŝƌůƐ-2 boys) were used quad helix appliances.
Retention period was 3 months. Lateral cephalometry and Posteroanterior radiographs pre-
treatment, post treatment and post retention period and measurements were made. For
intra- group and inter-group comparisons, ANOVA and Tukey HSD were performed. Results:
Among the three groups, skeletal and dental measurements performed on the sagittal side
showed that the point A moved forward and increased in the vertical dimension. While
skeletal and dental measurements performed transversally between the three groups
resulted in more skeletal effect in the SRME group, more dental effects were obtained in the
RME group and buccal tipping in the posterior teeth. Conclusion: While similar skeletal and
dental chnages were seen in the RME and SRME groups, no significant differences were
found in the sagittal direction in the SME group.
PP.383. SKELETAL-ANCHORED MAXILLARY MOLAR DISTALIZATION

86,1*7+($0'$$33/,$1&(² A CASE REPORT OF TWO
PATIENTS
PETROU I, TSAMI M, DOULIS I, MARATHIOTIS K, PAPADOPOULOS MA.
IOANNA PETROU-UNDERGRADUATE STUDENT-SCHOOL OF HEALTH SCIENCES, FACULTY OF

MARIA TSAMI-UNDERGRADUATE STUDENT-SCHOOL OF HEALTH SCIENCES, FACULTY OF
IOANNIS DOULIS-POSTGRADUATE STUDENT-DEPARTMENT OF ORHODONTICS, SCHOOL OF
HEALTH SCIENCES, FACULTY OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI,
GREECE
KONSTANTINOS MARATHIOTIS-POSTGRADUATE STUDENT-DEPARTMENT OF ORHODONTICS,
SCHOOL OF HEALTH SCIENCES, FACULTY OF DENTISTRY, ARISTOTLE UNIVERSITY OF
MOSCHOS A. PAPADOPOULOS-PROFESSOR-DEPARTMENT OF ORHODONTICS, SCHOOL OF
HEALTH SCIENCES, FACULTY OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI,
GREECE
Introduction: Treatment of non-compliant patients presenting Class II malocclusion is

challenging. Various treatment modalities that have been suggested including intermaxillary
as well intramaxillary ones. Intramaxillary distalization appliances have been proved
problematic due to anchorage loss. A latest development, the Advanced Molar Distalization
ƉƉůŝĂŶĐĞ ;ĂŵĚĂΠͿ ƐĞĞŵƐ ƚŽ ĚĞĂů ǁŝƚŚ ƚŚĞ ŝƐƐƵĞ ŽĨ ĂŶĐŚŽƌĂŐĞ ůŽƐƐ͕ ǁŚŝůĞ ŝŶ ĂĚĚŝƚŝŽŶ ŝƚ
produces a more bodily distalization than other appliances or approaches. Purpose: This
poster aims to present and discuss the orthodontic treatment of two patients with unilateral
ĂŶĚďŝůĂƚĞƌĂůůĂƐƐ//ŵŽůĂƌƌĞůĂƚŝŽŶƐŚŝƉƐƵƐŝŶŐƚŚĞĂŵĚĂΠ͕ďŽƚŚƚƌĞĂƚĞĚĂƚƚŚĞWŽƐƚŐƌĂĚƵĂƚĞ
Clinic of the Department of Orthodontics, Aristotle University of Thessaloniki, Greece. The
first patient was a 14-year-old girl with a straight Class I facial pattern and a unilateral Class II
malocclusion. The second case concerned a 11-year-old boy with a convex Class II facial
pattern and a bilateral Class II malocclusion. Both patients had increased overjet and
overbite. Unilateral and bilateral molar distalizations were performed in the first and the
ƐĞĐŽŶĚ ĐĂƐĞ ƌĞƐƉĞĐƚŝǀĞůǇ ƵƐŝŶŐ ĂŵĚĂΠ͘ dŚĞ ĂƉƉůŝĂŶĐĞ ǁĂƐ ĂŶĐŚŽƌĞĚ ŽŶ ƚǁŽ ŵŝŶŝƐĐƌĞǁ
implants inserted paramedian in the anterior palate. Treatment with fixed appliances
followed molar distalization in both cases and a Class I molar and canine occlusion was
achieved, together with an acceptable overjet and overbite. Conclusion: These two case
ƌĞƉŽƌƚƐŝůůƵƐƚƌĂƚĞƚŚĞĞĨĨŝĐŝĞŶĐǇŽĨĂŵĚĂΠĂƐĂŶŽŶ-compliance and non-extraction approach
for the comprehensive orthodontic treatment of patients with Class II malocclusion.
PP.384. ORTHODONTIC TREATMENT OF A PATIENT WITH

BILATERAL CLEFT LIP WITH UNILATERAL ALVEOLAR
INVOLVEMENT
HALICIOGLU K, SARIOGLU B, HEZENCI Y.
KORAY HALICIOGLU-ASSOCIATE PROFESSOR-ABANT IZZET BAYSAL UNIVERSITY FACULTY OF

DENTISTRY DEPARTMENT OF ORTHODONTICS
BURAK SARIOGLU-RESEARCH ASSISTANT-ABANT IZZET BAYSAL UNIVERSITY FACULTY OF
YASIN HEZENCI-RESEARCH ASSISTANT-ABANT IZZET BAYSAL UNIVERSITY FACULTY OF
Aim: Cleft lip and palate is a congenital anomaly which affects the soft and hard tissues
consequently causing negative effects on speech, function and aesthetics. The aim of this
case report is to present the orthodontic treatment of a patient with bilateral cleft lip and
alveolus. Material and Method: A 12 year old male with operated cleft lip and alveolus was
refered to our clinic for orthodontic treatment.The cleft alveolus was unilateral and on the
right side. Examinations revealed a dolicofacial, Cl 3 skeletal pattern, retrognatic maxilla, -4
mm overjet and 4 mm overbite. He had congenitally missing maxillary lateral incisor and
impacted canine on the cleft side. Left maxillary lateral incisor was malformed and impacted.
Treatment started with a Petit type face mask. Malformed lateral incisor was extracted and
impacted canine was orthodontically erupted towards the cleft alveolar area with
orthodontic treatment. Results: Treatment was finished in 40 months. Functional and
aesthetic results were obtained to the patient. After treatment, normal physiologic tooth
mobility was present on the right central incisor and orthodontically erupted canine teeth
adjacent to cleft area. Radiographs showed considerable bone gain on the horizontal bone
defect of the cleft alveolus related to orthodontically erupted canine. Conclusion: Treatment
showed us bone gain can be seen on the cleft side with the help of orthodontic eruption of
impacted tooth. The durability of the alveolar bone can be achieved by this way.
PP.385. COMPARISON OF ANTHROPOMETRIC AND CEPHALOMETRIC

MEASUREMENTS OF THE FACE
W/b'/E, YAVUZ I.
>/& W/b'/E-COMPARISON OF ANTHROPOMETRIC AND CEPHALOMETRIC MEASUREMENTS

OF THE FACE.-ERCIYES UNIVERSITY DEPARTMENT OF ORTHODONTICS
IBRAHIM YAVUZ
Introduction: The aim of this study is to establish the differences between the
anthropometric and cephalometric proportion indices of the head and face. Materials and
methods: 73 subjects (29 females and 44 males) were included in this study.
Anthropometrically vertical length of the face (soft tissue n- soft tissue gn), horizontal width
of the face (soft tissue zg- soft tissue zg) measured with a millimetric compass for three face
type. Same measurements were made cephalometrically in Dolphin imaging program and
ƚŚĞŶ ĨŽƌ ĞĂĐŚ ƐƵďũĞĐƚ͛Ɛ ĨĂĐŝĂů ŝŶĚĞǆ ǁĂƐ ĚĞƚĞƌŵŝŶĞĚ ƐĞƉĂƌĂƚĞůǇ͘ ŶƚŚƌŽƉĞŵĞƚƌŝĐ ĂŶd
cephalometric indices were compared with Mann-Whitney U test. results:The results of
Mann-Whitney U test showed that no significant differences were between anthropometric
and cephalometric measurement for all face types. p<0,05 conclusion:High correlation was
observed between anthropemetric and cephalometric measurements in facial index.
PP.386. KELES SLIDER SUPPORTED BY TWO MINI-SCREWS FOR

CLASS II CORRECTION: CASE REPORT
AYDIN G, YAVUZ I.
DT. GAMZE AYDIN-KELES SLIDER SUPPORTED BY TWO MINI-SCREWS FOR CLASS II

CORRECTION: CASE REPORT-1. ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF ORTHODONTICS, KAYSERI, TURKEY
WZK&͘Z͘7Z,/Dzsh--1. ERCIYES UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT
OF ORTHODONTICS, KAYSERI, TURKEY
Aim: In this case report presented a patient with a dental class II malocclusion was treated
by modified keles slider with a bone anchored. Case and Method: A 15, 5 years old female
patient was referred to our clinic with complaint of crowding. She had skeletal Class I and
dental Class II relationships however vertical dimensions were normal. Also she had normal
upper- lower incisor inclinations and all the permanent teeth were in the mouth. In the
treatment plan, we decided to maxillary molar teeth distalization. Keles Slider appliance
which was the supported by two mini screw on the anterior palatina was applied as the
distalization device. Keles Slider activation applied a force of 200 g to each molar tooth.
Dental changes were measured on cephalograms, and dental casts were obtained before
and after distalization. Results: Unlike conventional intraoral distalization appliance, molar
teeth have a minimum inclination to distally, besides providing dental Class I relationship.
There is also no forward movement in the incisor and premolar teeth. Conclusion:
Distalization system supported by intraosseous screws have been shown to provide
distalization without significant distally tipping. Key Words: Molar distalization, mini-screw,
keles slider
PP.387. NASOALVEOLER MOLDING METHOD IN BILATERAL CLEFT

LIP AND PALATE PATIENT ² CASE REPORT
<Z<zK͕z)/͘
Z^Z, ^^/^dEd P' <Z<z-NASOALVEOLER MOLDING METHOD IN BILATERAL

CLEFT LIP AND PALATE PATIENT ʹ CASE REPORT -ERCIYES UNIVERSITY
^^͘WZK&͘,Ddz)/
Aim: In this case report, the clinical results are shared about making the cartilage correction
and surgery more convenient in the early period by nasoalveolar molding of bilateral lip
palate patients. Case and method: A 3-day-old baby patient who was born in 2015 was
diagnosed with bilateral lip and palate, and her records were taken. Nasoalveolar molding
has begun as Grayson suggests. Nasal stents were added to the appliance 4 weeks after
plaque application. On weekly controls, acrylic appendages and mating were done
effectively in order to extend the columellas. The use of the lip band has been taught to the
patient's parents to support the effect of nasal stents. Nasal stents have been regularly
activated to create slight whiteness in the tissue for 5-10 seconds and then return to normal
coloring. Nutrition and growth of the patient continued to develop after use. The patient
underwent a lip operation when she was 6 months old. At the end of nasal molding, the
nose was lifted up and the direction of the alar cartilages was straightened. Columella and
filtration are extended. Soft tissue surgery has been made more convenient. Conclusion:
With nazoalveolar molding device, nutrition is facilitated in babies with cleft lip and palate.
Activation of the nasal stents added to this appliance and various shape changes made in the
appliance allow for early correction of soft tissues and especially nasal cartilage and more
favorable positioning of the surgeon.
PP.388. ORTHODONTIC TREATMENT OF HIGH ANGLE PATIENT BY
USING VERTICAL HOLDING APPLIANCE AND ORTHODONTICS:
FOLLOW-UP STUDY
UZER HB, BUYUK SK.
HASENE BETUL UZER-RESEARCH ASSISTANT-ORDU UNIVERSITY, FACULTY OF DENTISTRY,

DEPARTMENT OF ORTHODONTICS, ORDU, TURKEY
SULEYMAN KUTALMIS BUYUK-ASSISTANT PROFESSOR-ORDU UNIVERSITY, FACULTY OF
DENTISTRY, DEPARTMENT OF ORTHODONTICS, ORDU, TURKEY
Treatment of the vertical dimension of high angle patients without the advantage of
compliance may be a challenging characteristic of fixed orthodontic treatment. This case
report examines the vertical holding appliance which was used in an approach to control and
reduce the vertical dimension of high angle patient. The patient had a Class II malocclusion
with high-angle pattern and bimaxillary dental protrusion was presented. His chief complaint
was the difficulty in speech articulation and image of the teeth. The patient had a tongue
thrust swallowing. His dental bite was corrected by using vertical holding appliance for the
correction of bite. Fixed orthodontic appliances were used for orthodontic treatment and
final occlusal correction. The 6 months follow-up of high-angle patient was generally stable
and favourable. Key Words: High angle, Vertical holding appliance, Fixed orthodontics
PP.389. PRESURGICAL NASOALVEOLAR MOLDING METHOD OF A

PATIENT WITH UNILATERAL CLEFT LIP AND PALATE
DIKEN KB, BILGIC F.
KIFAYET BURCU DIKEN-RESEARCH ASSISTANT-MUSTAFA KEMAL UNIVERSITY FACULTY OF

DENTISTRY, DEPARTMENT OF ORTHODONTICS, HATAY, TURKEY
FUNDAGUL BILGIC-ASSISTANT PROFESSOR DOCTOR-MUSTAFA KEMAL UNIVERSITY FACULTY
OF DENTISTRY, DEPARTMENT OF ORTHODONTICS, HATAY, TURKEY
Cleft lip and palate (CLP) is the most common craniofacial defect which consists of during
pregnancy.The children who are affected by CLP have many esthetic and functional
problems such as feeding, swallowing, hearing, speech difficulties and articulation problems.
Orthodontists play a major role of performing presurgical nasoalveolar molding (PNAM).
PNAM technique can be applied effectively to reduce the prominence of the premaxilla,
reshape the nasal cartilage and the maxillary dentoalveolar arch and minimize scar
formation before surgical cleft lip repair. The aim of this case report is to demonstrate the
presurgical nasoalveolar molding and primary lip repair of a male patient with unilateral
complete cleft lip and palate.The patient was 5 days old when he was referred to our
clinic.At the beginning of the treatment, an acrylic feeding plate was considered for infant
born with CLP.After 7 days alveolar molding process was started with a nasoalveolar molding
appliance.Nasal molding process started with a nosepiece after the cleft size was <5 mm.The
patient was followed up for 7 months and then referred for surgery.
PP.390. ORTHODONTIC AND PROSTHETIC TREATMENT OF

MAXILLARY LATERAL INCISORS AGENESIS WITH SINGLE-TOOTH
IMPLANT
E<>/z͕>7<͕KKb'7E^͕dKWb/ED͕zshD͘
YASIN ATAKAN BENKLI-ASSISTANT PROFESSOR-ORDU UNIVERSITY, DENTISTRY FACULTY,

ORTHODONTIC DEPARTMENT
ZÊ>7<-ASSISTANT PROFESSOR-ORDU UNIVERSITY, DENTISTRY FACULTY, PROSTHETIC
DEPARTMENT
^ZW7><Kb'7E-RESEARCH ASSISTANT-ORDU UNIVERSITY, DENTISTRY FACULTY,
EhZ7DZddKWb/-RESEARCH ASSISTANT-ORDU UNIVERSITY, DENTISTRY FACULTY,
Dh^d&7,Ezsh-ASSISTANT PROFESSOR-ORDU UNIVERSITY, DENTISTRY FACULTY,
Aim: Implant restorations are a primary treatment option for the replacement of
congenitally missing lateral incisors. The purpose of this study is to prepare places for single-
tooth implants to patients with bilateral congenitally absent maxillary lateral incisors.
Materials and methods: The case was a 16-year-old male who had bilateral congenitally
absent maxillary lateral incisors. The goal of orthodontic alignment was to achieve sufficient
bone between the roots to place the implant. Alignment of both dental arches was achieved
ďǇ ƵƐŝŶŐ ŵƵůƚŝďƌĂĐŬĞƚ ĂƉƉůŝĂŶĐĞ ;ZŽƚŚ ƉƌĞƐĐƌŝƉƚŝŽŶ͕ ƐůŽƚ ƐŝǌĞ Ϭ͘ϬϮϮпϬ͘ϬϮϴ͛͛ ǁŝƚŚ Eŝ-Ti
ĂƌĐŚǁŝƌĞƐƌŽƵŶĚϬ͘ϬϭϮ͕Ϭ͘ϬϭϰĂŶĚϬ͘Ϭϭϲ͛͛Ϳ͘ĨƚĞƌĂůŝŐŶŝŶŐƚŚĞEŝdŝŽƉĞŶĐŽŝůƐƉƌŝŶŐǁĂƐƵƐĞĚ
to open space closure and the distalization of the canines so that an ideal rotational effect
ǁĂƐ ŽďƚĂŝŶĞĚ ǁŝƚŚŽƵƚ ŚŽƌŝǌŽŶƚĂů ƵŶĚĞƐŝƌĂďůĞ ŵŽǀĞŵĞŶƚƐ͘ ^ƚĂŝŶůĞƐƐ ƐƚĞĞů ͘Ϭϭϳп ͘ϬϮϱ͛͛ ĂƌĐŚ
wire was finally attached during one month. At the end of treatment dental Class I occlusion
was obtained. Total orthodontic treatment time was 24 months. 10x4 mm implants
(Ostemm, South Korea) in the maxilla lateral regions were placed after orthodontics
treatment. The osseointegrated implants were loaded about 3 months after the surgical
procedure. Finally zirconia crowns was cemented. Conclusion: Implant of missing maxillary
incisors produced well-accepted esthetic results. Keywords: implant, orthodontics, lateral
agenesis, zirconia
PP.391. INTERDISCIPLINARY TREATMENT IN ORTHODONTIC ADULT
PATIENTS
GOLOVCENCU L, ZEGAN G, SAVEANU JC.
LOREDANA GOLOVCENCU-LECTURER-UNIVERSITY OF MEDICINE AND PHARMACY IASI

DANIELA ANISTOROAEI-LECTURER-UNIVERSITY OF MEDICINE AND PHARMACY
GEORGETA ZEGAN-PROFESSOR-UNIVERSITY OF MEDICINE AND PHARMACY
IULIA CATALINA SAVEANU-LECTURER-UNIVERSITY OF MEDICINE AND PHARMACY
Background. In the past decades we experience a greater demand for orthodontic treatment
among adult patients in a period in which dental and facial esthetics represents a priority. In
most cases the treatment for a non-growing patient is a great challenge for orthodontist
especially in those cases with skeletal imbalance or with particular dental conditions.
Materials and methods. Patients with skeletal class II and class III malocclusion were
examined and the treatment plan involved an interdisciplinary approach with orthodontics,
maxillo-facial surgery and/or prosthodontics. The patients were treated using different types
of orthodontic appliances according to their diagnostic and complexity of the malocclusion.
Results. At the end of the treatment all the patients had nice dental alignment, functional
and stable occlusion and a significant improvement in their facial and dental appearance.
Conclusions. The orthodontic treatment in adults frequently requires a carefully examination
and diagnostic of the malocclusion and other pathologic oral conditions and a good
cooperation with practitioners from different dental and medical fields.
PP.392. ORTHODONTIC TREATMENT IN OBESE CHILDREN- IS IT

DIFFERENT?
LIASI I, PAPADAKI M, MANOUKAKIS T, MANOUKAKIS I.
IOANNA LIASI-DENTIST, DDS-DENTAL CLINIC THESSALONIKI

MARIA PAPADAKI-DENTIST, DDS-DENTAL CLINIC THESSALONIKI
THOMAS MANOUKAKIS-DENTAL STUDENT-UNIVERSITY OF SOFIA
IOANNIS MANOUKAKIS-ORTHODONTIST, MSC, MSC, PHD-DENTAL CLINIC THESSALONIKI
Orthodontic treatment in obese children- Is it Different? One in five school-aged children are
obese (WHO, 2014) while the data supports further increase. Consequently, the number of
obese children seeking orthodontic treatment is increasing proportionally. The present
literature review aims to illustrate the different profile of obese child in terms of biological,
nutritional and psychological parameters which may influence orthodontic therapy. More
specifically, the biological parameters involved are reduced saliva and increased
ŝŶĨůĂŵŵĂƚŽƌǇŵĞĚŝĂƚŽƌƐǁŚŝĐŚŵĂǇĂůƐŽƌĞƐƵůƚŝŶƐĂůŝǀĂƌǇŐůĂŶĚƐ͛ŚǇƉŽĨƵŶĐƚŝŽŶ͘ĚĚŝƚŝŽŶĂůůǇ͕
obesity affects regulation of hormones such as leptin and adiponectin, that act on
adenohypophysis, influencing puberty, growth spurt, bone turnover and therefore tooth
movement. It has been also reported that obesity has been associated with specific
craniofacial characteristics, such as reduced upper face height and larger mandibles.
Nutritionally, excessive intake of foods rich in sugar and cholesterol may lead to both
periodontal diseases and caries particularly in children with orthodontic appliances.
Psychologically, studies show an inverse relationship between weight and self-esteem
resulting in psychosocial dysfunction, anxiety and reduced cooperation. The studies in
bibliography report that all of the aforementioned parameters have an important role in
every phase of orthodontic approach; planning, treatment and retention. This occurs as,
obesity may affect the onset of treatment, facial analyses needed, appliance selection, oral
ŚĞĂůƚŚ͕ĞŵĞƌŐĞŶĐǇ ĂƉƉŽŝŶƚŵĞŶƚƐ͕ ƉĂƚŝĞŶƚƐ͛ ĐŽŽƉĞƌĂƚŝŽŶ͕ ƉƐǇĐŚŽůŽŐŝĐĂů ĞŶĐŽƵƌĂŐĞŵĞŶƚĂŶĚ
behavior management needed. When those parameters are evaluated individually and
taken into consideration during all phases of orthodontic intervention, the final outcome
and treatment duration does not differ significantly.
PP.393. STUDY ON THE FREQUENCY OF PALATALLY DISPOSED

IMPACTED CANINE; POSSIBILITIES OF SURGICAL AND
ORTHODONTIC TREATMENT
MIRCEA NICOLAU A, LEATA R, DECUSARA M.
ALEXANDRU MIRCEA NICOLAU-PHD

DORINA-CERASELLA SINCAR-PHD
RAZVAN LEATA-PHD
MAGDALENA RUSU-PHD
MIARA DECUSARA-PHD
Introduction. Impaction of a tooth is an anomaly characterized by a remaining tooth entirely

in the bone, at least 2 years after the normal period of eruption, which may result from
disturbances in the development of the jaw, loss of secondary space through migration,
dental obstacles tooth factors related to tooth (abnormal conformation, low potential
eruption, etc.) Material and method. Our study was conducted between Jan 1st 2014- Dec
31st 2016 on a group of 46 patients who were referred for aesthetic disorders caused by
upper canine position, sometimes with persistence of deciduous canine on the arch. The age
of the patients was between 15 and 34 years, mean age of 22.8 years.. All patients were
applied orthodontic treatment with fixed appliances and orthodontic recovery after surgical
exposure of the impacted canine. Also, it was determined the incidence of upper canine
impaction depending on the position inside the body of the bone. Results. The most affected
age group was 21-25 years and the most frequent location was at the upper right
hemiarcade, with an incidence of palatal impaction of 83%. Conclusions. Impaction of
canines may go unnoticed after a routine oral examination, so early diagnosis and
localization could be the first steps in their treatment management. Surgical exposure and
orthodontic treatment are different depending on the particular clinical cases
PP.394. MOUTHGUARDS FOR ORTHODONTIC PATIENTS
PAPADAKI M, LIASI I, MANOUKAKIS I, MANOUKAKIS T.
MARIA PAPADAKI-DENTIST, DDS-DENTAL CLINIC THESSALONIKI

IOANNA LIASI-DENTIST, DDS-DENTAL CLINIC THESSALONIKI
IOANNIS MANOUKAKIS-ORTHODONTIST, MSC, MSC, PHD-DENTAL CLINIC THESSALONIKI
THOMAS MANOUKAKIS-DENTAL STUDENT-UNIVERSITY OF SOFIA
Mouthguards for Orthodontic Patients Sports accidents account for 10-39% of all dental
injuries in childhood. Orthodontic appliances affect the type (luxation, avulsion, soft tissue
lacerations, fractures) and severity of the injury. All the scientific and sport institutions
recommend the use of an athletic mouthguard in regard with the sport involved. The lack of
evidence and the scarcity of the clinical studies in the literature support weakly sound and
practical protocols in preventing athletic injuries in orthodontic patients. In bibliography,
three types of mouthguards are referred: a) the preformed b) the mouth-formed and c) the
custom-made. The last one comprehends specific advantages due to its increased
effectiveness, retention, convenience, and aesthetics. Nevertheless, there are still major
restrictions and difficulties to be solved in regards to the impression technique, the
accommodation of the orthodontic appliances in the mouthguard and the interference with
treatment mechanics, dentoalveolar changes, or development. We present a new version of
customized mouthguard containing particular characteristics: A new type of material using
the multi-layer technique; material selection and construction according to the needs of
each sport and the teeth involved using an advanced type of fabrication-appliance. Space
management for anticipated dentoalveolar changes or development is achieved with a new
photopolymerized resign. Additionally, it combines low fabrication-costs and easy
fabrication by the dental office personnel. This customized mouthguard combines particular
advantages in terms of effectiveness, retention and acceptance by the athletes, respecting
comfort and aesthetics.
33(9$/8$7,212),19,6$/,*175($70(17,1',&$7,216
AND LIMITATIONS
AFOUXENIDES P, LOUBRINIS N, MANIATAKOS P, NTOVAS P, DAMANAKIS G.
PANAYOTIS AFOUXENIDES-UNDERGRADUATE STUDENT-NATIONAL AND KAPODISTRIAN

NIKOLAOS LOUBRINIS-UNDERGRADUATE STUDENT-NATIONAL AND KAPODISTRIAN
PANAYOTIS MANIATAKOS-UNDERGRADUATE STUDENT-NATIONAL AND KAPODISTRIAN
PANAYOTIS NTOVAS-POSTGRADUATE STUDENT-NATIONAL AND KAPODISTRIAN UNIVERSITY
OF ATHENS
GEORGIOS DAMANAKIS-DDS, MSC DIPL. ORTHO.-NATIONAL AND KAPODISTRIAN UNIVERSITY
OF ATHENS
/ŶƚƌŽĚƵĐƚŝŽŶ͗ dŚĞ /ŶǀŝƐĂůŝŐŶΠ ƐǇƐƚĞŵ͕ ŝŶǀŽůǀĞƐ ŵŽǀŝŶŐ ƚĞĞƚŚ ŝŶ ŝŶĐƌĞŵĞŶƚƐ ǁŝƚŚ Ă ƐĞƌŝĞƐ ŽĨ
removable clear polyurethane trays (aligners). It uses CAD/CAM stereolithographic
technology to forecast treatment and fabricate many custom-made aligners from a single
ŝŵƉƌĞƐƐŝŽŶ͘ŝŵ͗dŚĞƉƌĞƐĞŶƚĂƚŝŽŶŽĨƚǁŽƉĂƚŝĞŶƚƐƚƌĞĂƚĞĚǁŝƚŚ/ŶǀŝƐĂůŝŐŶΠĂŶĚƚŚĞƌĞǀŝĞǁŽĨ
the current literature about the indications and limitations of this kind of treatment.
Methods and Materials: Two patients, diagnosed with severe crowding of teeth in maxilla
and mandible and one of them with history of periodontal disease, were treated with
ŝŶǀŝƐĂůŝŐŶΠ͘ ZĞƐƵůƚƐ͗ ͗ /ŶǀŝƐĂůŝŐŶΠ ĂŶĚ ĨŝǆĞĚ ĂƉƉůŝĂŶĐĞƐ ĂƌĞ ƐŝŵŝůĂƌ ŝŶ correcting rotations,
marginal ridge heights, space closure, and root alignment, but fixed appliances are superior
in correcting occlusal contacts, posterior torque, and anteroposterior discrepancies.
ŝƐĐƵƐƐŝŽŶ͗ /ŶǀŝƐĂůŝŐŶΠ ƚƌĞĂƚŵĞŶƚ ŝƐ ŝŶĚŝĐĂƚĞĚ ĨŽƌ ĐƌŽǁding, alignment, and spacing up to
5mm, overbites (II2 Angle Class), narrow dental arches and mild relapses after orthodontic
treatment. On the other hand, limitations may be crowding or spacing over 5mm, tooth
tipping over 45o, short clinical crowns, centric relation and occlusion discrepancy, severe
ƚŽŽƚŚƌŽƚĂƚŝŽŶŽǀĞƌϮϬŽ͕ŽƉĞŶďŝƚĞƐ͘/ŶĐŽŶĐůƵƐŝŽŶ͕/ŶǀŝƐĂůŝŐŶΠƚŚĞƌĂƉǇƐĞĞŵƐĂƚƚƌĂĐƚŝǀĞĨŽƌ
esthetic ʹ demanding patients, particularly for adults. The adaptation time is noticeable
shorter and the therapeutic outcome is similar to fixed appliances therapy in many
occasions. Patient compliance though seems to be a very important contributor for the
treatment outcome.
PP.396. THE CAMOUFLAGE TREATMENT OF CLASS III

MALOCCLUSION IN AN ADULT PATIENT A CASE REPORT
dKW^7ED͕E<>7z͘
EhZ7 DZd dKW^7-RESEARCH ASSISTANT-ORDU UNIVERSITY, FACULTY OF DENTISTRY,

z^/E d<E E<>7-ASSISTANT PROFESSOR-ORDU UNIVERSITY, FACULTY OF DENTISTRY,
A Female, aged 20 years 3 months, came for an orthodontic consultation for a skeletal Class
III malocclusion (ANB angle, -ϭ͘ϭΣͿǁŝƚŚĂƐǇŵŵĞƚƌŝĐůĂƐƐ///ŵŽůĂƌƌĞůĂƚŝŽŶƐŚŝƉ͕ĐŽŵƉůŝĐĂƚĞĚ
by an anterior crossbite, a deepbite, and 9 mm of asymmetric maxillary crowding. The
patient desired noninvasive camouflage treatment. The diagnosis showed that treatment
without extractions or orthognathic surgery was a viable approach. Arch length analysis
indicated that the interproximal enamel reduction of mandibular anterior teeth and
protraction of maxillary anterior teeth could resolve the crowding and midline discrepancy.
The patient accepted the complex, staged treatment plan with the understanding that it
would require about 1.5 years. Fixed appliance treatment with conventional brackets, early
light short elastics, interproximal enamel reduction, protraction of maxillary anterior teeth,
ŽƉĞŶĞĚƚŚĞǀĞƌƚŝĐĂůĚŝŵĞŶƐŝŽŶŽĨƚŚĞŽĐĐůƵƐŝŽŶ͕ŝŵƉƌŽǀĞĚƚŚĞEĂŶŐůĞďǇϭΣ͕ĂŶĚĂĐŚŝĞǀĞĚ
excellent alignment. Key Words: Camouflage, Class III, Orthodontics, Protraction.
PP.397. TREATMENT OF CLASS II MALOCCLUSION WITH TWIN

BLOCK APPLIANCE AND FIXED ORTHODONTIC MECHANICS: CASE
REPORT
ERGIN E, BASCIFTCI FA.
ELIF ERGIN-RESEARCH ASSISTANT-SELCUK UNIVERCITY FACULTY OF DENTISTRY

FARUK AYHAN BASCIFTCI-PROFESSOR DOCTOR-SELCUK UNIVERCITY FACULTY OF DENTISTRY
Aim: Removable or fixed functional appliances are commonly used in treatment of skeletal
mandibular retrusion. The aim of this case report is to present treatment of a patient with a
Class II malocclusion using twin block appliance and fixed orthodontic mechanics. Material
and Methods: A 11.1-year-old male patient was admitted to our clinic with the chief
complaint of maxillary incisor protrusion and lip incompetence. Clinical examination of
patient showed that he had a convex profile, retrognathic mandibula, a full unit Class II
molar and canine relationship, 5 mm overbite, 10.4 mm overjet and protrusive maxillary
incisors. The patient was in the CS1 cervical stage according to the initial cephalometric
ƌĂĚŝŽŐƌĂƉŚ͘ĐĐŽƌĚŝŶŐƚŽŝŶŝƚŝĂůĐĞƉŚĂůŽŵĞƚƌŝĐĂŶĂůǇƐŝƐÊ͗ϴϭ͘ϯΣ͕Ê͗ϳϱΣ͕E͗ϲΣ͕tŝƚƐ͗
4.1 mm, SN-'Ž'Ŷ͗ϯϳ͘ϯΣ͕Dǆϭ-Ê͗ϭϭϲ͘ϲΣ͕/DW͗ϵϱ͘ϲΣǁĞƌĞŵĞĂƐƵƌĞĚ͘dƌĞĂƚŵĞŶƚƉůĂŶǁĂƐ
the application of twin block appliance with slow maxillary expansion. The expansion screw
was turned twice a week until sufficient expansion was achieved during the twin block
appliance treatment. Then the treatment was continued with fixed orthodontic mechanics.
Appointments were scheduled monthly. Results: The total treatment time was 2 years. At
the end of the treatment, Class I canine and molar relationships with ideal overjet and
ŽǀĞƌďŝƚĞ ǁĞƌĞ ĂĐŚŝĞǀĞĚ͘ &ŝŶĂů ĐĞƉŚĂůŽŵĞƚƌŝĐ ĂŶĂůǇƐŝƐ ƐŚŽǁĞĚ ƚŚĂƚ Ê͗ ϳϳ͘ϵΣ͕ E͗ ϯ͘ϰΣ͕
Wits: 3 mm, Mx1-Ê͗ ϭϬϯ͘ϳΣ͕ /DW͗ ϵϯ͘ϯΣ͘ ŽŶĐůƵƐŝŽŶ͗ ůĂƐƐ // ŵĂůŽĐĐůƵƐŝŽŶ ĚƵĞ ƚŽ
mandibular retrognathism was successfully treated with twin block appliance followed by
fixed orthodontic mechanics and resulted in functional and esthetic outcomes.
PP.398. TREATMENT OF SKELETAL CLASS II MALOCCLUSION WITH
MONOBLOCK APPLIANCE: A CASE REPORT
FIDANBOY M, BAKA ZM.
MERVE FIDANBOY-RESEARCH ASSISTANT-SELCUK UNIVERCITY FACULTY OF DENTISTRY

ZELIHA MUGE BAKA-ASSISTANT PROFESSOR DOCTOR-SELCUK UNIVERCITY FACULTY OF
Aim: Class II malocclusions are one of the most common problems in orthodontic treatment.
Functional appliances such as monoblock are commonly used for the treatment of Class II
malocclusions with mandibular deficiency. The aim of this case report is to present the
orthopedic treatment of skeletal Class II malocclusion with monoblock appliance. Material
and methods: A 13-year 7-month old male patient was admitted to our clinic who had
skeletal Class II jaw relationship and Angle Class II molar relationship on both right and left
sides, 1.2 mm crowding in upper arch and 2.9 mm space in lower arch. Handwrist
radiographs indicated that the patient was in MP3cap period. Initially he was treated with a
monoblock appliance for 11 months. Then fixed orthodontic treatment was applied to
finalize the occlusion without extractions. Lateral cephalograms were taken before and after
ƚŚĞ ƚƌĞĂƚŵĞŶƚ͘ /ŶŝƚŝĂů ĐĞƉŚĂůŽŵĞƚƌŝĐ ŵĞĂƐƵƌĞŵĞŶƚƐ ǁĞƌĞ Ê͗ ϴϬ͘ϮΣ͕ Ê͗ ϳϯ͘ϮΣ͕ E͗ ϳΣ͕
SN-'Ž'Ŷ͗ ϯϲ͘ϭΣ͕ /DW͗ϭϬϬΣ͘ ZĞƐƵůƚƐ͗ ůĂƐƐ // ŵĂůŽĐĐůƵƐŝŽŶ ǁĂƐ ƐƵĐĐĞƐƐĨƵůůǇ ƚƌĞĂƚĞĚ ǁŝƚŚ
monoblock appliance during growth and development period. At the end of the treatment,
Class I canine and molar relationship with ideal overjet and overbite were achieved. Final
ĐĞƉŚĂůŽŵĞƚƌŝĐ ŵĞĂƐƵƌĞŵĞŶƚƐ ǁĞƌĞ Ê͗ ϴϭ͘ϯΣ͕ Ê͗ ϳϴ͘ϮΣ͕ E͗ ϯ͘ϭΣ͕ Ê-'Ž'Ŷ͗ ϯϴ͘ϵΣ͕
/DW͗ϵϲ͘ϵΣ͘ŽŶĐůƵƐŝŽŶ͗dŚĞƐƵĐĐĞƐƐŽĨƚƌĞĂƚŵĞŶƚǁŝƚŚĂĨƵŶĐƚŝŽŶĂůĂƉƉůŝĂŶĐĞƌĞůŝĞƐŽŶƚŚĞ
ƉĂƚŝĞŶƚ͛Ɛ ĐŽŽƉĞƌĂƚŝŽŶ͘ ĐĐĞƉƚĂďůĞ ŽĐĐůƵƐŝŽŶ ĂŶĚ aesthetics were achieved with monoblock
appliance followed by fixed orthodontic treatment.
PP.399. CLASS II NON EXTRACTION PATIENTS TREATED WITH THE

FORSUS FATIGUE RESISTANT DEVICE
ERDUR EA, ASIK S, BASCIFTCI FA.
EMIRE AYBUKE ERDUR-ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, FACULTY

OF DENTISTRY, DEPARTMENT OF ORTHODONTICS
SUMEYYE ASIK-RESEARCH ASSISTANT-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF
DENTISTRY, DEPARTMENT OF ORTHODONTICS
FARUK AYHAN BASCIFTCI-PROFESSOR-SELCUK UNIVERSITY, FACULTY OF DENTISTRY,
Aim: Several types of removable and fixed functional appliances are used for the treatment
of Class II malocclusion due to mandibular retrusion. The aim of this case report is to show
non-extraction treatment results of class II patients treated with the forsus fatigue resistant
device. Materials and methods: In this case report, two patients, admitted to our clinic for
functional and aesthetic reasons, were presented. Both patients had dental arch crowding
and cephalometric analysis showed that the patients had skeletal and dental Class II
malocclusion due to mandibular retrusion (SNB < 78 and ANB > 4). The first patient was a 15-
year-old boy. Clinical examination showed that, the patient had 5 mm overjet and 3.6 mm
overbite. Maxillary and mandibular dental arch crowding were 1.3 mm and 2.9 mm
respectively. The second patient was a 16-year-old boy. Clinical examination showed that,
the patient had 6.9 mm overjet and 2.6 mm overbite. Maxillary and mandibular dental arch
crowding were 2.5 mm and 1.2 mm respectively. Both patients were treated with the forsus
fatigue resistant device. Results: After orthodontic treatment, dental arch crowding was
resolved, class I molar and canine relationship was maintained, ideal overjet and overbite
were achieved. Conclusion: Skeletal Class II malocclusions due to mandibular retrusion can
be treated with removable or fixed functional orthodontic appliances. Forsus fatigue
resistant device, that is one of the fixed functional orthodontic appliances, is effective in
correcting skeletal class II malocclusion due to mandibular retrusion.
PP.400. EFFECTS OF THREE DIFFERENT MAXILLARY EXPANSION

APPLIANCES IN ROOT RESORPTION
REFIKA TOPAL KAYA RT, ARSLAN SG, KAYA G.
REFIKA TOPAL KAYA-EFFECTS OF THREE DIFFERENT MAXILLARY EXPANSION APPLIANCES IN

ROOT RESORPTION-/> mE/sZ/^d^/ /b ,</Db/)/ &<m>d^/ KZdKKEd/ E/>/D
DALI
^,Z'mEmZ^>E
GURKAN KAYA
Aim: The objective of our study is to compare severity of root resorption in upper first
premolar teeth after a retention period of 3 months followed by rapid with hyrax screw,
semi-rapid expansion with hyrax screw and slow expansion with quad helix expansion
appliance. Material and method: the material of this study involves 60 upper premolar teeth
of 30 patients who had maxillary expansion treatment and indication of extraction of upper
first premolars. After maxillary expansion had been completed, retention with the
appliances in place was applied for 3 months. At the end of the retention period, root
resorption was evaluated by Micro CT(SkyScan 1172, Belgium) in extracted first premolar
teeth. In the evaluation, 5 total volume parameters were used. Results: When areas
regardless of the total volume of resorption assessed, rapid maxillary expansion group had
more resorption than the other groups(p<0,05) This was followed by semi-rapid and slow
expansion groups respectively. (p<0,01, p<0,001). Conclusions: when three groups
compared, rapid maxillary expansion group had the highest resorption results. This was
followed by semi-rapid and slow expansion groups respectively. The highest resorption areas
were found as buccal, palatinal, distal and mesial areas respectively.
PP.401. AN OPENBITE PATIENT TREATED WITH ZYGOMATIC

ANCHORAGE
'PzDED͕KARAKOYUNLU AF, GULEC A.
DZs'PzDE-^^7^dEdWZK&^^KZ-GAZIANTEP UNIVERSITY DEPARTMENT OF

ORTHODONTICS
>7&hZ<E<Z<KzhE>h-Z^Z,^^7^dEd-GAZIANTEP UNIVERSITY DEPARTMENT OF
ORTHODONTICS
zb'h>'h>-^^7^dEdWZK&^^KZ-GAZIANTEP UNIVERSITY DEPARTMENT OF
ORTHODONTICS
Anterior open bite treatment is one of the most challenging issue in orthodontics. There are
different ways of treatment depending on the ethiology of openbite malocclusion; extrusion
of the incisors, impaction of posterior teeth or preventing passive eruption of posterior
teeth by extraorally and surgical correction. In this case report a minimally invasive
prosedure is presented in which zygomatic multipurpose anchroge was used to achieve
intrusion of maxillary posterior teeth. A 14 years old female patient with Class II skeletal and
dental relationship reffered to Orthodontic Department of Gaziantep University. She had 6
mm of anterior openbite because of combination with excessive maxillary posterior growth
and deficient anterior teeth eruption. Multipurpose implants were placed on the zygomatic
buttress area bilaterally to intrude the posterior teeth and the intrusive force was applied
bilaterally with nine mm Ni-dŝ ĐŽŝů ƐƉƌŝŶŐƐ ďĞƚǁĞĞŶ ŽĨ ƚŚĞ ďĞŶĚĞĚ ͞/͟ ƐŚĂƉĞĚ ƉƌŽĐĞƐƐĞƐ ŽĨ
anchroge plate which is the part of it in oral cavity and the arms extending buccally through
the acrylic appliance. 7.4 mm of posterior teeth intrusion was achieved in 6 months. From
now on we will continue the fixed treatment with the extraction of the upper first premolars
and wire ligation between the implant and the molar tubes through the treatment to
maintain the intrusion of upper posterior teeth. The zygomatic multipurpose anchroge is a
good treatment alternative to the extraoral appliances and the orthognathic surgery for
intrusion of the molars in a short period of time.
PP.402. INVESTIGATION OF EFFECTS OF BLEACHING TECHNIQUES
APPLIED AT DIFFERENT TIMES AFTER ORTHODONTIC DEBONDING:
AN IN-VITRO STUDY
BURAK SARIOGLU B, HALICIOGLU K.
BURAK SARIOGLU-RESEARCH ASSISTANT-ABANT IZZET BAYSAL UNIVERSITY FACULTY OF

KORAY HALICIOGLU-ASSOCIATE PROFESSOR-ABANT IZZET BAYSAL UNIVERSITY FACULTY OF
In patients who has orthodontic treatment with increased functional and aesthetic
expectations,the need to have more white teeth after treatment is increasingly
widespread.The purpose of this study is to examine the effects of office and home bleaching
techniques applied at different times after debonding on enamel surface.In this study,70
premolar teeth extracted for orthodontic treatment will be used.70 teeth will be divided
into 7 groups.Enamel surface changes will be measured with optical-profilometer and
surface changes will be observed with scanning-electron-microscope.Debonding will be
performed after orthodontic bonding is applied to all teeth forming the groups.In group1
normal enamel surface will be examined.In group2,the surface of the debonded teeth will be
examined.In group3,office bleaching will be applied to debonded teeth and surface changes
will be examined.In group4,home bleaching will be applied to the debonded teeth and
surface changes will be examined.In group5,debonded teeth which is kept in incubator and
artificial saliva for 4 weeks will be examined.In group6,office bleaching will be applied to
debonded teeth which is kept in incubator and artificial saliva for 4 weeks and changes will
be examined.In group7,home bleaching will be applied to the debonded teeth which is kept
in incubator and artificial saliva for 4 weeks and changes will be examined.The
homogeneous distribution suitability of the study parameters will be assessed by
Kolmogorov-Smirnov test.The roughness parameters of each group will be analyzed using
the ANOVA test.Intergroup comparisons will be analyzed with Tukey-multiple-comparison
test.Surface roughness of the groups will be compared in terms of the obtained data.
Session 44
PP.403. ORAL PAPILLOMA IN CHILDHOOD.NOT ALWAYS HPV-

RELATED
PAVLOU AM, LOLI C, KARATHANOS G, ANAGNOSTOU E, ANDREADIS D.
ACHILLEIA-MARIA PAVLOU-DDS, MSC-DEPARTMENT OF ORAL MEDICINE/PATHOLOGY,

SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI
CHRISTINA LOLI-DDS -DEPARTMENT OF ORAL MEDICINE/PATHOLOGY, SCHOOL OF
GEORGE KARATHANOS-DDS -DEPARTMENT OF ORAL MEDICINE/PATHOLOGY, SCHOOL OF
ELEFTHERIOS ANAGNOSTOU-MD-DEPARTMENT OF ORAL MEDICINE/PATHOLOGY, SCHOOL
OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI
DIMITRIOS ANDREADIS-ASSISTANT PROFESSOR -DEPARTMENT OF ORAL
MEDICINE/PATHOLOGY, SCHOOL OF DENTISTRY, ARISTOTLE UNIVERSITY OF THESSALONIKI
Oral Papilloma in childhood. Not always HPV-related. Background: Oral squamous

papillomas are benign lesions of stratified squamous epithelium origin. They present as well-
bounded usually small sized exophytic lesions of variable colour (white), with a rough
cauliflower-like surface usually affecting the soft palate, tongue or lips. Human Papilloma
Virus (HPV) (mainly HPV 6 and 11) has been associated. Methods and materials: We present
a case of a 10-years-old boy presenting with a painless, whitish, cauliflower-like exophytic
lesion with a diameter of 4mm at the buccal gingiva of #35. The lesion was surgically excised
under local anesthesia and examined histopathologically. Results: The histopathological
examination confirmed the initial clinical diagnosis of oral papilloma. The lesion was
negative for HPV by PCR detection. Conclusion: Oral squamous papillomas are common,
asymptomatic, benign lesions partially associated not always with HPV infection. Adults of
both sexes are equally affected whereas papillomas can also affect a small percentage of
children. The fact that HPV can be transmitted both sexually and non-sexually highlights the
possibility that in some cases of children presenting oral squamous papillomas, sexual abuse
could be suspected as well, arising social-legal issues.
PP.404 PRACTICAL POSSIBILITIES FOR AESTHETIC

REHABILITATION BY USING FLEXIBLE MATERIALS
GRADINARU I,
GRADINARU IRINA-LECTURER-GRIGORE T POPA UNIVERSITY OF MEDICINE AND PHARMACY OF IASI,

FACULTY OF DENTAL MEDICINE, DENTAL MATERIALS DEPARTMENT
INTRODUCTION. Denture injection represents an alternative to the classical thermo-baro-

polymerization technique, being a new method offered by the producers for improving the clinical
performances of these appliances. BioDentaplast is a technopolymer material based on poly-oxy-
methylene, highly crystalline, with linear structure, indicated for manufacturing frameworks of
removable partial dentures, clasps and attachments. MATERIAL AND METHOD. In the present study
were included 21 patients, 13 female and 8 male, aged between 41-72 years, with different types of
partial edentations, treated by partial flexible appliances made of BioDentaplastʹBredent (Germany).
RESULTS AND DISCUSSION. The advantages of the prosthetic appliances made of BioDentaplast are
numerous: a very good physiognomy, the color of the support and stability elements being similar to
the teeth; high degree of accuracy; the material is well tolerated by the tissues (is perfect for
monomer-allergic patients because have no residual monomer); the elements of support and stability
have a good elasticity; the resistance in time is good; a good stability that ensures comfort to the
patient; increased resistance to aging. The material is supplied in cartridges, an incorrect mix being
excluded, which would have a negative effect on the material used for the prosthetic restoration. The
material is manufactured in several shades of color (A1, A2, A3, B2, B3) that allow tooth color.
CONCLUSION. The prosthetic therapy using flexible materials represents a modern and advantageous
possibility in dental practice, due to their biomechanical and aesthetic properties. These flexible
prosthetic appliances permit the compliance with all requirements imposed by the dento-somatho-
facial aesthetics.
PP.405. AMALGAM TATTOO IS NOT ALWAYS FOUND CLOSE-TO-

DENTAL RESTORATIONS. A CASE REPORT
ANDREADIS D, NASTOU C, MICHOU A, ANAGNOSTOU E. POULOPOULOS A.
DIMITRIOS ANDREADIS-ASSISTANT PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI

AMALIA MICHOU-DDS-ARISTOTLE UNIVERSITY OF THESSALONIKI
CHRYSOULA NASTOU-DDS-ARISTOTLE UNIVERSITY OF THESSALONIKI
ATHANASIOS POULOPOULOS-ASSOCIATE PROFESSOR-ARISTOTLE UNIVERSITY OF
THESSALONIKI
ELEUTHERIOS ANAGNOSTOU-MD-ARISTOTLE UNIVERSITY OF THESSALONIKI
Background: Oral mucosal pigmentation could be the result of the increase of melanin or
ŵĞůĂŶŽĐǇƚĞƐ͛ŶƵŵďĞƌ͕ƚƵŵŽƌĐĞůůƐŽƌƚŚĞĚĞƉŽƐŝƚŝŽŶŽĨŚĞŵŽƐŝĚĞƌŝŶ͕pharmaceutic agents or
dental materials. The implantation of dental materials including amalgam close to dental
restorations is very common in clinical practice. However, mucosal amalgam tattoo may be
found not related to amalgam restorations leading to diagnostic dilemmas. Purpose: The aim
of this report is to present an unusual case of a patient with amalgam tattoo found at the
mucosa of lower lip as shown by microscopy. Case description: Sixty-year-old female was
referred with localized mucosal rounded discoloration on the lower lip approximately for
two years. Amalgam or other dental restoration were not observed at the adjacent teeth,
ďƵƚ ŽŶůǇ Ăƚ ƚŚĞ ŵŽůĂƌƐ ŽĨ ďŽƚŚ ũĂǁƐ͘ WĂƚŝĞŶƚ͛Ɛ ŵĞĚŝĐĂů ŚŝƐƚŽƌǇ ǁĂƐ ĐůĞĂƌ͕ ƚĂŬŝŶŐ ŶŽ
medication. The initial diagnosis included oral melanotic maculas or melanocytic nevus as
well as submucosal hemorrhage-hematoma due to trauma. The lesion was completely
excised surgically. Microscopy showed normal epithelium without dysplasia and the
presence of dark stained (black-brown) particles-granules within the connective tissue. The
particles were negative for the Perls' Prussian blue staining excluding possible depositions of
hemosiderin and leading to the diagnosis of amalgam tattoo. Conclusion: The variety of oral
pigmented lesions can consequently cause differential diagnosis pitfalls. Hence the medical
history, careful clinical examination and histological examination are necessary for the final
ĚŝĂŐŶŽƐŝƐ ĞƐƉĞĐŝĂůůǇ ŝŶ ĐĂƐĞƐ ǁŝƚŚŽƵƚ ŽďǀŝŽƵƐ ůŝŶŬ ďĞƚǁĞĞŶ ůĞƐŝŽŶ͛Ɛ ůŽĐĂƚŝŽŶ ĂŶĚ ĞƚŝŽlogic
factors.
PP.406. INCONTINENTIA PIGMENTI AND ORAL MANIFESTATIONS.
CASE REPORTS.
KARIOTAKI M, MAKRIGIANNIS I, GOUDAKOU A, MARCOU V, ZOULOUMIS L.
KARIOTAKI MARIA-DENTIST-ARISTOTLE UNIVERSITY OF THESSALONIKI

MAKRIGIANNIS IOANNIS-POSTGRADUATE STUDENT OF HOSPITAL DENTISTRY-CLINIC OF
HOSPITAL DENTISTRY
GOUDAKOU ANNI-POSTGRADUATE STUDENT OF HOSPITAL DENTISTRY-DEPARTMENT OF
MARCOU VASILIKI-POSTGRADUATE STUDENT OF HOSPITAL DENTISTRY
ZOULOUMIS LAMPROS-PROFESSOR OF ORAL AND MAXILLOFACIAL SURGERY
The Incontinentia Pigmenti, also known as Bloch-Sulzberger syndrome, is a very rare

neurocutaneous disorder with dermatological interest. However, the disorder also has
ophthalmologic, neurological and dental involvement. It is inherited with X-dominant way.
The symptoms of the disorder are divided to major and minor. The major symptoms are the
typical rash in the neonatal age, skin hyperpigmentation and alopecia. The minor symptoms
involve dental deformities, thin and sparse hair, nail damages and retinopathy. The oral and
dental abnormalities have a great interest of the clinical dentist. People who show the
symptoms may have dental shape anomalies, hypodontia, delayed dentition, cleft palate
and high arched palate. The aim of this study is to present two clinical cases of Incontinentia
Pigmenti with oral and dental manifestations. Patients with Incontinentia Pigmenti require a
multidisciplinary approach to achieve best results and the clinical dentist should be informed
of the syndrome to fix the best treatment plan for this group of patients.
PP.407. PALATAL PERFORATION FROM COCAINE ABUSE: A CASE

REPORT
GOUDAKOY A, AL MOCHAMANT A, BABASIDOU E, KOZARIDOY M, ZOULOUMIS L.
GOUDAKOY ANNI-DDS, POSTGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI

AL MOCHAMANT ADAM-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI
BABASIDOU EVANGELIA-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI
KOZARIDOY MARIA-DDS-ARISTOTLE UNIVERSITY OF THESSALONIKI
ZOULOUMIS LAMBROS-PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI
Cocaine abuse has increased in the past years, with a rise in the reported cases of
midpalatine perforations produced as a result. The vasoconstrictive and caustic effect of the
drug can produce direct irritation and ischemia of the nasal and palatine mucosa, leading
over the long term to the creation of an oronasal perforation secondary to maxillary bone
destruction. The differential diagnosis must be established with traumatisms, neoplasms,
infections, and autoimmune processes that affect this zone, along with processes of a
reactive nature. In order to establish a correct differential diagnosis, complementary tests
are needed in the form of computed tomography, lesion biopsy, blood tests, and
toxicological tests. From the management perspective, the ideal treatment for these
cocaine-induced perforations would be reconstructive surgery. A number of surgical
techniques have been described, mostly comprising the use of local mucoperiosteal flaps or
tongue flaps (due to their intense vascularization) in the case of minor perforations, larger
fistulas tend to be managed with distant nonpedicled flaps (generally from the forearm). A
solution in cases of surgical failure is to prepare an obturating prosthesis, either directly or
sometimes after treatment failure. The aim of our poster is to present a case report which is
associated with this subject.
PP.408. BACTERIA (LEGIONELLA) TRANSMISSION BY WATER OF

DENTAL UNITS
KUROS V, LIATOS K, PAXOYMIS G, MITSOPOULOS L, ZOULOUMIS L.
KUROS VASILIS-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI

LIATOS KONSTANTINOS-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI
PAXOYMIS GIANNIS-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF THESSALONIKI
MITSOPOULOS LEUTERIS-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI
ZOULOUMIS LAMBROS-PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI
It is well known that dental procedures can in many ways cause infectious diseases via
transmitted bacteria. The water of dental units has been implicated as one of the ways of
bacteria transmission. Recently it has been recognized that the water system of dental units
is an infectious source with high concentrations of micro-organisms including Legionella.
Although nowadays it has not been found increased risk of disease for the staff or the
patients. The operating conditions in the water network of dental units particularly favorable
for the multiplication of Legionella. If the water in the tanks remains stagnant and without
movement, it can promote the increase of biofilms and micro-organisms, leading to the
contamination of the water. In order to minimize for the staff and the patients in a dental
clinic it is required to take some protective measures. In conclusion, the probability of
contamination of the water circulation systems is minor but still remains, for this reason
dentists have to use suitable protective devices and inspect the water system in a regular
basis.
PP.409. DRUGS AND EQUIPMENT IN EMERGENCY DENTAL
PRACTICE
RAPTIS L, SOURGOUNIS K, FLOROS St, CHATZIGEORGIOU SP.
Raptis L.
Sourgounis K.
Floros St.
Chatzigeorgiou S-P.
Medical emergencies are life-threatening conditions for patients and require immediate and
effective management. Though infrequent, medical emergencies can do arise in the dental
enviroment. Therefore, the dental office preparation for the prevention and management of
those life-threatening events is a very critical issue. The contemporary preparation of the
denttal office presupposes the presence of specific equipment and emergency drugs. The
present article had no intention of analyzing the advanced diagnostic procedures and
managment of specific medical emergencies, or focusing on thorough pharmacologic
properties of particular drugs.On contrast, the aim of this article was to provide a helpful
overview of the essential emergency drugs and basic equipment. The authors pointed out
that their suggestions about the composition of the drugs listed are not absolutely
committing, because the appropriate selection of emergency drugs should be also guided by
the individual dentist's needs and the nature of the dental treatment. As well, it should be
emphasised that the availability of emergency drugs and equipment has to be only one part
of the contemporary preparation of the dental office and staff, which should additionally
include preventive strategy, continuing training in basic life support, development of
emergency team approach, and performance of mock emergencies.
PP.410. DO HEMOSTATIC AGENTS AFFECT SHEAR BOND STRENGTH

AND CLINICAL BOND FAILURE RATE OF ORTHODONTIC BRACKETS?
<Z<7ZK)>h^͕'PEZ,z͕<P<,͘
^7 <Z<7ZK)>h-ASSISTANT PROFESSOR-DEPARTMENT OF RESTORATIVE DENTISTRY,

NECMETTIN ERBAKAN UNIVERSITY, KONYA
,<E z^7E 'PEZ-RESEARCH ASSISTANT-DEPARTMENT OF RESTORATIVE DENTISTRY,
NECMETTIN ERBAKAN UNIVERSITY, KONYA
,d7 <P<-ASSISTANT PROFESSOR-DEPARTMENT OF ORTHODONTICS, NECMETTIN
ERBAKAN UNIVERSITY, KONYA
Objective: To evaluate the effects of different hemostatic agents on the shear bond strength
(SBS) and clinical bond failure rate of orthodontic metal brackets in vitro and in vivo. Total of
100 human premolar teeth were randomly divided five groups: Control, Blood, Viscostat,
Hydogen Peroksite (H2O2), and Epinephrine. Teeth were bonded with same light-cured
adhesive and composite. Thermal cycling was then used for ageing procedure on all samples.
After storage in distilled water for 24 h, the brackets were subjected to SBS test at a speed of
0.5 mm/min until bracket debonding. SBS values and the Adhesive Remnant Index (ARI)
were evaluated. Ninety nine patients (52 female, 47 males) who were undergoing routine
orthodontic treatment were recruited for this controlled clinical study at bonding stages. All
patients had bleeding on buccal surface of any premolar tooth or teeth at bonding were
included this study. During 6 month bond failure rate was calculated. Data were analyzed
using the one-way ANOVA and the Tukey post-hoc test (p<0.05). McNemar test used to
compare bracket-bond failure. Analysis of variance showed a significant difference (p<0.001)
between the groups. No significant differences was found between hemostatic agent groups
(p>0.05) in the in vitro part. The lowest failure rate was obtained in control group rather
than hemostatic agent groups (p<0.05). Each of the hemostatic agent (Viscostat, H2O2, and
Epinephrine) can be used for bleeding management during orthodontic bonding process.
Epinephrine application showed highly bond failure rate in clinical follow up. KEY WORDS:
Bond failure, Shear-bond-strength, Hemostatic Agent
PP.411. INFLUENCE OF CPP-ACPF PASTE AND FLUORID VARNISH

ON BRACKET SHEAR BOND STRENGTH OF TWO ADHEZIVES
<Z</ZK)>h^͕<D/Z/͕<,ZDE&͘
^/ <Z</ZK)>h-ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY, FACULTY

OF DENTISTRY, DEPARTMENT OF RESTORATIVE DENTISTRY
/b/E AKDEMIR-RESEARCH ASISTANT-NECMETTIN ERBAKAN UNIVERSITY, FACULTY OF
&dD dm> <,ZDE-ASSISTANT PROFESSOR-NECMETTIN ERBAKAN UNIVERSITY,
&h>dzK&Ed/^dZz͕WZdDEdK&KZd,KKEd7
Background: The aim of this in vitro study was to investigate the effect of CPP-ACPF paste
and fluorid varnish (5% NaF) application before/after acid etching on the bracket-enamel
shear bond strength (SBS) of a total etch system and to compare them one self etch system.
Methods: Total of 160 upper premolar teeth extracted for orthodontic reasons from
adolescent subjects were collected within 3 months after extraction. Teeth were divided into
eight equal groups (20 teeth/group), two control and six test groups: 1-Control etch, 2-CPP-
ACPF before etch, 3-CPP-ACPF after etch, 4-%5NaF before etch, 5-%5NaF after etch; 6-
Control-selfetch, 7-CPP-ACPF before selfetch, 8-%5NaF before selfetch. After adhesive
system application composite resin was placed onto the bracket, excess adhesive was
removed from around the base of the bracket and the adhesive was then light-cured. All
samples thermocycled for 5000 cycles. Debonding forces will be measured with a universal
testing machine at a crosshead speed of 0.5 mm/min. Failure sites will be examined under a
stereomicroscope at 40X magnification. Results: Enamel surface treatment with %5NaF
before acid-etching significantly decreased SBS compared to the control and to its
application before acid-etching both etch and self-etch groups (P<0.05). The highest SBS
means were ensured in total etch groups then self etch adhesive groups, but these were not
statistically significant (p>0.05). Lower ARI index was recorded when the agents were
applied after acid-etching. Conclusion: Brackets SBS was not changed significantly when CPP-
ACPF was applied after/before acid-etching. Significantly decreased SBS mean was obtained
when %5NaF application was made before etching.
PP.412. EFFECT OF THREE CLINICAL CURING TREATMENTS ON

FLUORIDE RELEASE AND SURFACE HARDNESS OF GLASS
IONOMERS
DIONYSOPOULOS D, SFEIKOS T, KARANASIOU C, TOLIDIS K, GERASIMOU P.
DIMITRIOS DIONYSOPOULOS-PHD-ARISTOTLE UNIVERSITY OF THESSALONIKI

THRASYVOULOS SFEIKOS-POSTGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI
CHRISTINA KARANASIOU-POSTGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF
THESSALONIKI
KOSMAS TOLIDIS-ASSOCIATE PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI
PARIS GERASIMOU-ASSISTANT PROFESSOR-ARISTOTLE UNIVERSITY OF THESSALONIKI
ɈŚĞƉƵƌƉŽƐĞŽĨƚŚŝƐƐƚƵĚǇǁĂƐƚŽŝŶǀĞƐƚŝŐĂƚĞƚŚĞĞĨĨĞct of radiant heat, ultrasonic treatment

and 42.7 wt% CaCl2 solution on fluoride release and surface hardness of three conventional
GICs. Four experimental groups were made for each GIC; in group 1, the specimens were left
to set without any treatment; in group 2, the specimens were irradiated for 2 min using a
LED unit; in group 3, ultrasound was applied using a scaler for 55 sec on the specimen
surface; and in group 4, the specimens were immersed in 42.7 wt% CaCl2 solution for 2 min.
Fluoride release patterns of each GIC were evaluated during a 28-day period using a fluoride
ion-selective electrode. Surface hardness of the tested GICs was also evaluated 24 h after
preparation of the specimens using Vickers hardness method. Statistical analysis of the data
ǁĂƐŵĂĚĞƵƐŝŶŐEKsĂŶĚŽŶĨĞƌƌŽŶŝƉŽƐƚŚŽĐƚĞƐƚ;ɲсϬ͘ϬϱͿ͘ZĂĚŝĂŶƚŚĞĂƚ͕ƵůƚƌĂƐŽƵŶĚĂŶĚ
CaCl2 solution treatments reduced fluoride release and increased surface hardness of the
tested GICs (p<0.05). Among the GICs evaluated differences in fluoride release and surface
hardness were observed (p<0.05). Radiant heat, ultrasound and CaCl2 solution treatments
may be effective methods for improving the setting reaction of GICs and achieve earlier
sufficient initial mechanical properties. Although a reduction in fluoride release occurs after
these treatments, the anticariogenic properties of the GICs may not affected significantly.
PP.413. TREATMENT OPTIONS FOR MAXILLARY LATERAL INCISORS
AGENESIS: TWO CASE REPORTS
CELIK E, GOKTEPE B, BENKLI YA, DEDE DO, TULGA A.
ERSAN CELIK-ASSISTANT PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY

DEPARTMENT OF PROSTHODONTICS, TURKEY
BUSRA GOKTEPE-RESEARCH ASSISTANT-ORDU UNIVERSITY FACULTY OF DENTISTRY
YASIN ATAKAN BENKLI-ASSISTANT PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY
DEPARTMENT OF ORTHODONTICS, TURKEY
DOGU OMUR DEDE-ASSISTANT PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY
AYCA TULGA-ASSISTANT PROFESSOR-ORDU UNIVERSITY FACULTY OF DENTISTRY
Background: Maxillary lateral incisors agenesis is a common congenitally dental anomaly

that affects approximately %2 of population. Achieving an optimal esthetic outcome has
some challenges due to the localization of the anomaly. This presentation focused on the
two different treatment options for the rehabilitation of this agenesis. Methods and
Materials: Case 1: A 21-year-old male was referred to our clinic for missing lateral incisors.
After the clinical and radiographically examinations treatment option that involves
interdisciplinary interaction between the orthodontist and prosthodontist was preferred.
The purpose of the orthodontic treatment was to gain appropriate space to replace the
missing lateral agenesis. Than two bone level implants with 3.5 mm diameter and 10 mm
length were placed. After osseointegration period the prosthodontic treatment was
performed by using lithium disilicate all ceramic crowns on the customized zirconia
abutment with ti-base. Case 2: The other case was a 16-year-old female with congenital
agenesis of maxillary lateral incisors. In this case, canine teeths were brought in contact with
the central incisors by space closing with orthodontic treatment and than composite resin
was placed for recreate ideal lateral incisor color and contour. Results: Both treatment
options were found biologically compatible and resistant to fracture and the patients were
satisfied with the esthetic result. Conclusion:An interdisciplinary approach is necessary to
provide the most predictable treatment outcome when rehabilitating the lateral agenesis
with canine substitutions and single tooth implants.
PP.414. EFFECT OF ADDITIONAL LIGHT-CURING ON COLOR
STABILITY OF COMPOSITE RESINS
ALAN K, KARAMAN E.
KUBRA ALAN-SPECIALIST, RESTORATIVE DENTISTRY-SAMSUN ORAL HEALTH HOSPITAL

EMEL KARAMAN-PHD, ASSISTANT PROFESSOR-ONDOKUZ MAYIS UNIVERSITY, DEPARTMENT
Aim: To evaluate the effect of additional light-curing on color stability of resin composites.
Material and Method: In this study, a nanofill (Filtek Ultimate), a nanohybrid (Filtek Z550), a
microhybrid (Filtek Z250) and a bulk-fill (Filtek Bulk Fill) light-cured composite resin materials
were tested. Eighty disc-shaped specimens were prepared from each material using either a
QTH or a LED light source and randomly assigned into 2 groups according to the surface
treatment: no polishing (control) and polishing with aluminium oxide disks (Sof-Lex). Then
additional light-curing was applied to half of the specimens from each group. All specimens
immersed in coffee for one week. Color measurements were performed at baseline and
after one week storage in coffee solution with a spectrophotometer. Results: Statistically
significant differences in color stability were observed in the restorative materials among
composition of composite resin, polishing protocols and additional light-curing while there is
no significant differences among light sources. Microybrid and nanohybrid composites
showed less stain retention than nanofill composite. Less discoloration was observed in
groups polished with Sof-Lex. Additional light curing reduced discoloration in all groups
tested. Conclusion: Additional light-curing may be beneficial after finishing and polishing to
ŵĂŝŶƚĂŝŶ ůĞƐƐ ĚŝƐĐŽůŽƌĂƚŝŽŶ ĚĞƉĞŶĚŝŶŐ ŽŶ ŵĂƚĞƌŝĂů͛Ɛ ĨŝůůĞƌ ĐŽŶƚĞŶƚ͘ /Ŷ ŽƌĚĞƌ ƚŽ ŵĂŝŶƚĂŝŶ
aesthetics and to increase resistance to discoloration of resin composites, the application of
appropriate finishing and polishing procedures are recommended.
PP.415. AESTHETIC REHABILITATION OF AMELOGENESIS

IMPERFECTA TEETH
TSALTAMPASI A, GERASIMOU P, TOLIDIS K, BOUTSIOUKI C.
TSALTAMPASI ATHINA-UNDERGRADUATE STUDENT-ARISTOTLE UNIVERSITY OF

THESSALONIKI
GERASIMOU PARIS-ASSISTANT PROFESSOR-DEPARTMENT OF OPERATIVE DENTISTRY,
TOLIDIS KOSMAS-ASSOSIATE PROFESSOR-DEPARTMENT OF OPERATIVE DENTISTRY,
BOUTSIOUKI CHRISTINA-DENTIST
ĞǀĞůŽƉŵĞŶƚĂů ƚŽŽƚŚĚŝƐƚƵƌďĂŶĐĞƐ ĂĨĨĞĐƚ ĂŶ ŝŶĚŝǀŝĚƵĂů͛Ɛ ĂƉƉĞĂƌĂŶĐĞ Ěuring the adulthood,
having a direct impact on self-confidence, social relationships and career chances. A patient
in his mid 20s with Amelogenesis Imperfecta diagnosed in his childhood sought treatment to
improve the esthetic appearance of his front teeth. A natural-looking, conservative, long-
term solution and permanent management of teeth sensitivity were the most important
considerations, making porcelain veneers the treatment of choice. The challenge in this case
was to achieve a stable and successful bond between the indirect restorations and the
underlying affected enamel and to properly manage the space between the front teeth and
close the 2-3 mm diastemas with respect to the golden proportions. Patient was monitored
for 24-months and was satisfied with the esthetic outcome.
PP.416. CLINICAL EVALUATION OF INDIREECT COMPOSITE

ONLAYS/OVERLAYS.
CILINGIR A.
AYLIN CILINGIR-ASSISTANT PROFESSOR-FACULTY OF DENTISTRY DEPARTMENT OF

Objectives: The aim of our study was to evaluate the clinical performance of indirect
composite onlay and overlay restorations. Materials and Methods: In total 29 patients (15
ŵĂůĞƐ͕ ϭϰ ĨĞŵĂůĞƐ͕ ŵĞĂŶ ĂŐĞ͖ ϯϴ͘ϭϳцϭϮ͘ϯϳ ǇĞĂƌƐͿ ϯϴ ŝŶĚŝƌĞĐƚ ĐŽŵƉŽƐŝƚĞ ŽŶůĂǇƐͬŽǀĞƌůĂǇƐ
(Gradia, GC) were luted using a dual-cured cement (Panavia F2.0). The restorations were
evaluated using the modified USPHS criteria. The observation periods involved 2 recalls
during 12 months. After baseline recordings, patients were followed at 6 months and 1 year.
The data were collected and analyzed at a level of significance (p<0.05) using Friedman,
Bonferroni-adjusted Wilcoxon, Cochran Q, Bonferroni-adjusted Mc Nemar tests to examine
the restorations. Results: All restorations assessed were rated clinically acceptable in USPHS
criteria. Regarding the clinical performance of the tested materials there were no statistical
significant difference among the fracture of restoration, postoperative sensitivity between
baseline and the 1 year recall. Adaptation, color match, marginal discolouration, surface
roughness, fracture of tooth, wear of restoration showed a significant difference between
baseline and the 1-year recall. Conclusions: Within the limitations of this study, composite
onlays/overlays demonstrated adequate clinical performance after 1 year of function.
Monitoring this study further will give more descriptive data.
PP.417. SHEAR BOND STRENGTH OF THREE DIFFERENT RESIN
CEMENT ON NON-TREATED AND SANDBLASTED TI ALLOYS.
OZEL GS, OGUZ AHMET BS, AKIN C.
GULSUM SAYIN OZEL-ASSIS PROF. DR.-ISTANBUL MEDIPOL UNIVERSTY

BEBEK SERRA OGUZ AHMET-ASSIS PROF. DR.-ISTANBUL MEDIPOL UNIVERSTY
CEYDA AKIN-ASSIS PROF. DR.-NECMETTIN ERBAKAN UNIVERSITY
ďƐƚƌĂĐƚ7D͗ŽŶĚŝŶŐŽĨƌĞƐŝŶĐĞŵĞŶƚƐƚŽŵĞƚĂůƐŵĂǇĐŽŶƚƌŝďƵƚĞƚŽƚŚĞůŽŶŐĞǀŝƚǇŽĨĨŝǆĞĚ
restorations. The aim of this research is to evaluate the effect of different resin cement
ƚǇƉĞƐ ĂŶĚ ĂůƐŽ ĐŽŵƉĂƌĞ ƚŚĞ ĞĨĨĞĐƚ ŽĨ ƐĂŶĚďůĂƐƚŝŶŐ;ϭϭϬ ђŵ ůϮKϯͿ ŽŶ ďŽŶĚ ƐƚƌĞŶŐƚŚ ƚŽ
titanium surfaces. MATERIALS AND METHODS: A total of 72 Titanium discs (10 mm in
diameter and 3 mm in height) were prepared and embedded in acrylic resin. 72 Titanium
discs were randomizely divided into 2 groups. Half of the specimens were sandblasted with
ϭϭϬ ђŵ ůϮKϯ ƉĂƌƚŝĐƵůĞƐ ĂŶĚ ŚĂůĨ ŽĨ ƚŚĞ ƐƉĞĐŝŵĞŶƐ ŚĂĚ ŶŽ ƐƵƌĨĂĐĞ ƚƌĞĂƚŵĞŶƚƐ ;EŽŶ-
treated). Both sandblasted and non-treated specimens of each surface treatment type were
divided into 3 subgroups, which received one of the following luting self adhesive-resin
cement: Clearfil Cement panavia (Kuraray), Rely X U-300 (3M-Espe) and Mis Cement
;D7^Ϳ;ŶсϭϮͿŝŶ a 4 mm diameter and 2 mm thickness were applied to the central region of
ƚŚĞƐƉĞĐŝŵĞŶƐ͘ůůƐƉĞĐŝŵĞŶƐǁĞƌĞƐƚŽƌĞĚŝŶĚŝƐƚŝůůĞĚǁĂƚĞƌĂƚϯϳΣĨŽƌϮϰŚĂŶĚ^ŚĞĂƌďŽŶĚ
tests between the Ti specimens and resin cements were performed in a mechanical testing
machine with a crosshead speed of 0.5 mm/min.Data (MPa) were analyzed using One-way
ANOVA and Tukey HSD tests. RESULTS:There were significantly difference berween the
groups (p=0.000). Sandblasted groups showed higher shear bond strength when compared
with non-treated groups for all resin cement types (p<0.05). Clearfil SE Cement Panavia
sandblasted groups showed the highest values (143.91), MIS Cement non-treated groups
showed the lowest values(20.201).
PP.418. SHEAR BOND STRENGTH OF RESIN COMPOSITES WITH

DIFFERENT FIBER-REINFORCEMENT TECHNIQUES
OGLAKCI B, TUNCER D, ARHUN N.
BURCU OGLAKCI-DENTIST-BASKENT UNIVERSITY, FACULTY OF DENTISTRY

DUYGU TUNCER-ASSISTANT PROFESSOR-BASKENT UNIVERSITY, FACULTY OF DENTISTRY
NESLIHAN ARHUN-PROFESSOR-BASKENT UNIVERSITY, FACULTY OF DENTISTRY
Aim or purpose: the aim was to evaluate the effect of different fiber reinforcement
techniques on the shear bond stregth of different resin composites to dentine.
materials&methods: 30 extracted human molar's teeth buccal and lingual surfaces were
ground flat to reveal standart smear layers on dentine (n=60). The prepared surfaces were
acid-etched and Single Bond2 adhesive(3M) was applied. The specimens were divided into 5
groups according to fiber-reinforcement techniques and resin composite(n=12) Group1:
Filtek Z250+RibbondTHM wetted with Heliobond (Ivoclar Vivadent); Group2: Filtek Z250;
Group3: EverX Posterior (GC); Group4: SDR (Dentsply)+RibbondTHM wetted with
Heliobond;Group5: SDR. The specimens were kept at 37 oC and %100 humidity for 24 hours
Shear bond strength (SBS) test was accomplished with a universal test machine at a cross
head speed of 1 mm/min after 1000 thermal cycling between 5 - 55 oC. Debonded surfaces
were observed with a stereomicroscope under X15 magnification to determine mode of
failure of the samples. SBS data of all groups was statistically analyzed by One Way Anova
and post hoc test. Results: Group 5 showed statistically significantly higher SBS values
;ϮϬ͕ϴϲϮцϭϮ͕ϮϰϴDWĂͿǁŚŝůĞ'ƌŽƵƉϰ;ϵ͕ϯϭϱцϲ͕ϮϲϮͿƐŚŽǁĞĚƚŚĞƐƚĂƚŝƐƚŝĐĂůůǇƐŝŐŶŝĨŝĐĂŶƚůŽǁĞƐƚ
^^ǀĂůƵĞƐ͘'ƌŽƵƉϮ;Ϯϭϳ͕ϴϴϴцϵ͕ϰϭϬͿĂŶĚ'ƌŽƵƉϯ;ϭϲ͕Ϭϭϯцϳ͕ϳϳϵͿƐŚŽǁĞĚƐŝŵŝůĂƌ^^ǀĂůƵĞƐ͘
conclusions: short fiber-reinforced, microhybrid and ribbon reinforced microhybrid resin
composites have similar shear bond strength values on dentine. keywords: fiber- reinforced
composite, shear bond stregth, resin composite.
PP.419. SMALL RADIOLUCENT LESIONS OF THE JAWS.

DIAPHORODIAGNOSTIC PROBLEMS.
ZOULOUMIS L, TILAVERIDIS I, SCHOINAS N, TSAVOS I, STAVROU V.
Zouloumis L., Professor of Oral and Maxillofacial Surgery, Aristotle University of Thessaloniki
Tilaveridis I., Assistant Professor of Oral and Maxillofacial Surgery, Aristotle University of
Thessaloniki
Schoinas N., Undergraduate student, School of Dentistry, Aristotle University of Thessaloniki
Tsavos I., Undergraduate student, School of Dentistry, Aristotle University of Thessaloniki
Stavrou V., Undergraduate student, School of Dentistry, Aristotle University of Thessaloniki
Background: Radiolucent lesions of the hard tissues of the jaws may appear in the
radiographic images, that can be specific for the bone lesions and the diagnosis can be
conducted only from that. However, in most cases radiology is used to set a differential
diagnosis form a variety of clinical conditions that include bone lesions, as a radiographic
finding.
Results: The aim of the study is to inform our fellow colleges and students about the
differential diagnostic dilemmas that radiographic images may pose, concerning small
radiolucent lesions of the jaws. Furthermore, these lesions can be related to benign or
malignant pathology, that can even be life threatening.
Materials and Method: Many papers have been published concerning the specific subject.
Size of the lesion, margins, shape, location, whether if it is in the mandible or the maxilla,
the quality of the cortical and the cancellous bone, the reaction of the surrounding tissues
and the rate of radiolucency are all assessed in order to set a diaphorodiagnosis.
Conclusion: The criterias mentioned above should be examined in order to

diaphorodiagnose clinical conditions. Fellow colleagues should bare in mind that, in most
cases, radiology on its own cannot result in final diagnosis and usually further investigation is
required.
PP.420. ANALYSIS OF GINGIVAL FLUID INTERLEUKIN-1 BETA

LEVELS IN PATIENTS WITH PERIODONTAL DISEASE AND VIRAL
HEPATITIS C
GHEORGHE D. ,SURLIN P, ROGOVEANU I., HERASCU E., SILOSI I,
Dorin Gheorghe PhD student Periodontology, Faculty of Dental Medicine, University of

Medicine and Pharmacy Craiova
Petra Surlin Professor, Department of Periodontology, Faculty of Dental Medicine, University
of Medicine and Pharmacy Craiova
Ion Rogoveanu Professor, Department of Gastroenterology, Faculty of Medicine, University
of Medicine and Pharmacy Craiova
Elena Herascu PhD student Gastroenterology, Faculty of Medicine, University of Medicine
and Pharmacy Craiova
Izabela Silosi Lecturer, Department of Immunology, Faculty of Medicine, University of
Medicine and Pharmacy Craiova
Introduction: Interleukin- 1 beta (IL-1 beta) is an important inflammatory marker involved in the
alveolar bone resorption of the periodontal disease.
Purpose: This pilot study was aimed to compare the levels of IL-1 beta in the gingival crevicular fluid
of patients diagnosed with both periodontal disease and viral hepatitis C to those of the patients who
only had been diagnosed with periodontal disease.
Method and materials: Three groups of patients were formed ʹ group A diagnosed with both
diseases, group B: periodontal disease only and the control group. Samples of gingival crevicular fluid
were collected by inserting a paper strip in the gingival groove of the anterior upper teeth. After 20
seconds the paper strip was removed and introduced in a phosphate-buffered saline solution. The
samples were then kept in a cold environment. After completion of the clinical stage, the levels of IL-1
beta were compared by ELISA analysis.
Results and conclusion: The mean IL-1 beta concentrations were the highest for the group of patients
suffering from both hepatitis C and periodontal disease. The patients diagnosed with periodontal
disease only had higher concentrations of crevicular IL-1 beta than the control group, but lower ones
than the group A patients. As a conclusion, the disrupted hepatic function of patients with chronic
hepatitis C can be a cause for elevated levels of IL-1 beta, which in return can exacerbate the
development of the periodontal disease and the rate of alveolar bone resorption, a more
comprehensive study being required. Key words: IL-1 beta, periodontal disease, viral hepatitis C.
PP.421. CLINICAL ASPECTS OF RESTORATION OF
ENDODONTICALLY TREATED TEETH USING FIBER POSTS- REVIEW
GHEORGHE A, DIACONU A, GHEORGHE D, TUCULIN M, MERCUT V.
Anca Gheorghe PhD student Endodontics, Research Assistant, Dental Medicine, UMF Craiova
Oana Diaconu Lecturer, Department of Endodontics, Dental Medicine, UMF Craiova
Dorin Gheorghe PhD student Periodontology, Research Assistant, Dental Medicine, UMF
Craiova
DŝŚĂĞůĂ fƵĐƵůŝŶĉ WƌŽĨĞƐƐŽƌ͕ ĞƉĂƌƚŵĞŶƚ ŽĨ ŶĚŽĚŽŶƚŝĐƐ͕ &ĂĐƵůƚǇ ŽĨ ĞŶƚĂů DĞĚŝĐŝŶĞ͕ hD&
Craiova
sĞƌŽŶŝĐĂDĞƌĐƵƜWƌŽĨĞƐƐŽƌ͕ĞƉĂƌƚŵĞŶƚŽĨWƌŽƐƚŚĞƚŝĐƐ͕ĞĂŶŽĨ&ĂĐƵůƚǇŽĨĞŶƚĂůDĞĚŝĐŝŶĞ͕
UMF Craiova
Restoration of endodontically treated teeth represents a small, but largely controversed side
of endodontics. It is well-known that restoration with fiber posts and composite core
material is one of the most well-documented and scientifically-supported technique
available. However, the overall treatment plan should always precede the root canal therapy
itself and placing a fiber post in an endodontically treated tooth must be guided by
biomechanical concepts, not by empirical ones.
Aim: to collect data from literature in order to establish the most common types of failures
following restoration of endodontically treated teeth.
Methods: The main source when looking for articles was PubMed, which offered 1139
ƌĞƐƵůƚƐǁŚĞŶƐĞĂƌĐŚŝŶŐĨŽƌ͞ĞŶĚŽĚŽŶƚŝĐĂůůǇƚƌĞĂƚĞĚƚĞĞƚŚ͕͟͞ƌĞƐƚŽƌĂƚŝŽŶ͕͟͞ĨŝďĞƌƉŽƐƚ͘͟dŚĞn,
selecting a time interval between 2000-2016, it offered 254 articles. Straining more the
ƌĞƐĞĂƌĐŚ͕ ƚŚĞƌĞ ǁĞƌĞ ĂĚĚĞĚ ͞ĨƌĂĐƚƵƌĞ ƌĞƐŝƐƚĂŶĐĞ͟ ƚŽ ƚŚĞ ĨĂĐƚ-finding, so it was obtained a
number of 110 articles. Some of them were used in the present work paper.
Results: When it comes to the restoration of endodontically treated teeth there are some
characteristics of the fiber post and luting material to keep in mind, but also some details
regarding the remaining tooth structure. Besides that, there are some pre-treatment
procedures that could be done in order to reach long-term success.
Conclusion: Endodontically treated teeth form an important subject of debate when it
comes to their restoration. Despite the great variety of techniques available in current
endodontics for placing fiber posts, practitioners still do not have a specific guideline to
follow.
Key words: endodontic treated teeth, restoration, fiber posts.
PP.422. CLINICAL AND HISTOLOGICAL ASPECTS OF PARO-
PROSTHETIC CONDITION IN OLD ADULT-CASE REPORT
SCRIECIU M, MERCUT V, POPESCU SM, GHEORGHE D, SIMION S DAGUCI L.
Monica Scrieciu Department of Prosthetic Dentistry and Oral Rehabilitation, Faculty of Dental
Medicine, University of Medicine and Pharmacy Craiova
sĞƌŽŶŝĐĂ DĞƌĐƵƜ ĞƉĂƌƚŵĞŶƚ ŽĨ WƌŽƐƚŚĞƚŝĐ ĞŶƚŝƐƚƌǇ ĂŶĚ KƌĂů ZĞŚĂďŝůŝƚĂƚŝŽŶ͕ &ĂĐƵůƚǇ ŽĨ
Dental Medicine, University of Medicine and Pharmacy Craiova
Mihaela Popescu Department of Prosthetic Dentistry and Oral Rehabilitation, Faculty of
Dental Medicine, University of Medicine and Pharmacy Craiova
Dorin Gheorghe PhD Student, Department of Prosthetic Dentistry and Oral Rehabilitation,
Faculty of Dental Medicine, University of Medicine and Pharmacy Craiova
Silviu Simion PhD Student, Department of Prosthetic Dentistry and Oral Rehabilitation,
>ƵŵŝŶŝƜĂ ĉŐƵĐŝ WŚ ^ƚƵĚĞŶƚ͕ ĞƉĂƌƚŵĞŶƚ ŽĨ WƌŽƐƚŚĞƚŝĐ ĞŶƚŝƐƚƌǇ ĂŶĚ KƌĂů ZĞŚĂďŝůŝƚĂƚŝŽŶ͕
Introduction
The paro-prosthetic pathology is a widespread condition, with plurifactorial etiology,
clinically manifested as teeth mobility and periodontal pathology.
Case report
67 years old male patient with mandibular class I Kennedy partial edentulism, treated by
chrome-nickel alloy fixed denture and removable partial denture, with an insufficient
periodontal support and teeth mobility presented with periodontal pathology. The mobile
ƚĞĞƚŚǁĞƌĞĞǆƚƌĂĐƚĞĚĂŶĚĂƌĞĂƐŽĨŵƵĐŽƐĂůŚǇƉĞƌƉůĂƐŝĂǁĞƌĞĞǆĐŝƐĞĚ͘^ĞƌŝĂůƐĞĐƚŝŽŶƐŽĨϯʅŵ
in thickness were obtained from formalin-fixed paraffin-embedded tissue. Sections were
stained with Hematoxilyn ʹ Eosin(HE) and immunohistochemical processed using the LSAB 2
System HRP- Universal Labeled method (Streptavidin Biotin 2 System Horseradish
Peroxidase, DAKO, Denmark).
Results
The histological diagnosis was papilomatosis with discrete parakeratosis(fig. 1) and rich
chronic inflammatory infiltrate with diffuse widespread lymphocytes and ectasieted blood
vessels with passive hyperemia(fig.2). The immunohistochemical analysis highlighted a weak
positive CD45 RO reaction for lymphocytes T diffusely scattered in lamina propria(fig. 3) and
intense perivascular disposed(fig.5). Limphocytes T and their precursors with intense CD3
and CD20 positive reaction were observed in superficial chorion(fig.7, fig.8). It was observed
an intense positive CD 20 and CD79a reaction for limphocytes B in superficial chorion and
the same reaction was weak in deep lamina propria(fig. 10, fig. 11).
Conclusion
Hyperplasia mucosa due to over-extended edges of complete denture was histological
associated with papilomatosis and inflammatory infiltrate rich in CR20 and CD3 limphocytes
T and CD20 and CD79a limphocytes B in superficial lamina propria.
Key words: lymphocytes, papilomatosis, lamina propria
PP.423. THE EFFECTS ON THE PERIODONTAL TISSUES OF THE

DENTAL TRAUMATIC INJURIES AT SCHOOLCHILDREN IN ROMANIA
DAGUCI L, MERCUT V, DASCALU IT, BATAIOSU M, DAGUCI C.
ĉŐƵĐŝ>ƵŵŝŶŝƜĂ
DĞƌĐƵƜsĞƌŽŶŝĐĂ
ĂƐĐĉůƵ/ŽŶĞůĂdĞŽĚŽƌĂ
ĉƚĉŝŽƐƵDĂƌŝůĞŶĂ
ĉŐƵĐŝ ŽŶƐƚĂŶƚŝŶ͕ hŶŝǀĞƌƐŝƚǇ ŽĨ DĞĚŝĐŝŶĞ ĂŶĚ WŚĂƌŵĂĐǇ ŽĨ ƌĂŝŽǀĂ͕ &ĂĐƵůƚǇ ŽĨ ĞŶƚĂů
Medicine, Romania
Background: There are few reports available on the histological and immunohistochemical
aspects of traumatic dental injuries in schoolchildren in Romania, as well as in other
countries. The purpose of this study is to determine the phenotype of cells that participate
in the immune response from dental traumatic injuries at children.
Material and methods: We took samples of gingival mucosa from seven schoolchildren with
gingival mucosa lesion in the immediate surrounding area of the fractured tooth. It were
ŽďƚĂŝŶĞĚϰђŵƚŚŝĐŬƐĞĐƚŝŽŶƚŚĂƚǁĞƌĞƐƚĂŝŶĞĚǁŝƚŚ,ĞŵĂƚŽǆǇůŝŶ-Eosin and Goldner-Szekely
trichrome. In the immunohistochemical study we used the following antibodies: CD3 to
emphasize T-lymphocytes, CD68 to emphasize macrophage ,CD34 to emphasize blood
vessels.
Results: The histological examination showed the existence of extended necrosis of the
superficial periodontium, hemorrhage, vascular congestion and capillary angiogenesis. The
immunohistochemical study allowed us to remark the presence of a great number of CD3
positive T- lymphocytes. From the cells of the immune system found in the injured path,
macrophages were the most numerous of all. The immunohistochemical assesment of the
angiogenesis process showed the presence of a relatively high number of newly formed
capillaries in the injured periodontium.
Conclusion: We consider the results of the present study to be effective in orientation of

traumatic dental injuries management.
COVIC A. PP.376, PP.380 ALKURT M. OP.025, OP.050
ADAMOUDI E. PP.303 ALMAGOUT P. OP.106, OP.118, OP.173,
ADEM SIYLI GZ. OP.018 OP.185
/'m>K͘ PP.072 ALTAY AN. LP.010
AFACAN B. OP.155 >d/E)͘ OP.126
AFANDIYEV M. PP.101 ALTUG-CILINGIR A. OP.123
AFOUXENIDES P. PP.219, PP.395 ALTUN M. OP.161
)Z͘ PP.192 AMBAKOVA V. PP.324
AGIRNASLIGIL M. PP.151 AMBARKOVA V. OP.142, OP.172
AGOP FORNA D. OP.125 AMUK M. OP.158
)Z>/K͘ PP.112 AMUK NG. OP.158
AHMADOV R. PP.101 ANAGNOSTOU E. OP.151, OP.140, OP.152,
AIVAZI C. PP.176 PP.403, PP.405
AKARCA EM. PP.194 ANASTASOPOULOU K. OP.079
AKAY AT. PP.058 ANASTASOVA L. OP.102
AKAY G. OP.182 ANASTASSIADOU V. OP.130
AKBULUT N. OP.086 ANDJELIC J. PP.003, PP.081
AKCA G. OP.110 ANDREADIS D. LP.005, OP.138, PP.260,
AKCAN SK. PP.352 PP.261, PP.262, PP.274,
AKDEMIR I. PP.411 PP.403, PP.405
AKGUNLU F. PP.069, PP.070 ANDREEVSKI A. PP.162
AKIN C. PP.417 ANDREOU A. OP.139
AKIN D. OP.076 ANDRONACHE M. PP.205, PP.206
AKKAYA MM. PP.096, PP.101, PP.115, ANGELOPOULOS C. PP.075, PP.076
PP.350 ANGELOVA I. PP.065, PP.066
AKKURT A. OP.070 ANGELOVSKA B. PP.043, PP.266
<<hb͘ PP.072 ANISTOROAEI D. OP.022, PP.391
AKSOY F. PP.293 ANTIC S. OP.083
AKSOY MK. PP.306 ANTOHE M. PP.205, PP.206
AKSOY S. OP.153 ANTONIADES K. PP.299, PP.300
AKSOY U. OP.153 ANTONIJEVIC D. OP.028, PP.047
<db'͘ PP.195, PP.201 ANTONIOU I. PP.166
AKTOREN O. OP.109 ANTONOGLOU GN. OP.191
AKYOL M. OP.126 APATZIDOU D. LP.001, LP.002
AL MOCHAMANT A. PP.407 APOSTOLOGLOU V. OP.043
AL MOCHAMANT I. PP.166 ARAPOSTATHIS K. OP.180, PP.314, PP.372
ALACA BAYRAM HM. OP.184, OP.186 ARAS S. PP.079
ALACAM T. PP.048 ARHAKIS A. PP.318, PP.330, PP.337
ALAN K. PP.181, PP.414 ARHUN N. PP.418
ALAN R. OP.008, OP.187, PP.345 ARI S. OP.039
ALEKSANDROV S. PP.033, PP.154 ARISU HD. PP.175
ALEKSANDROVSKA A. PP.217 ARSIC Z. PP.373
ALEKSIC Z. PP.210 ARSLAN L. OP.141
ALEXANDROVA V. PP.154 ARSLAN SG. PP.382
ALEXANDRU V. OP.089 ARSLAN SG. PP.400
ALEXIOU A. OP.079 ARSLAN ZB. PP.063. PP.064
ALI E. PP.043 ARSLANAGIC MURATBEGOVIC A. PP.320, PP.334
>7zsED͘ OP.045 ASIK S. PP.399
ALIFAKIOTI E. PP.337 ASIKAINEN S. OP.103
ALIMANI-JAKUPI J. PP.321 ASLAN B. PP.233
ALKAN F. PP.175 ASLAN T. OP.051
ATALAY P. PP.053, PP.054, PP.055 BAYRAM E. OP.184, OP.186
ATANASOVA S. PP.232 BAYRAMGURLER TURP . OP.169
ATANASOVSKI A. PP.308, PP.309 BECHERU I. PP.045
ATAOL M. OP.087 BEI M. OP.149, PP.225
db'͘ PP.189 BEKETOVA A. OP.127
ATES M. OP.123 BEKTAS B. PP.002, PP.379
ATES SM. OP.097 BELDUZ KARA N. OP.006
ATHANASIOU AE. PP.004 BELGIN EA. PP.072
AVRAMOVA M. PP.236 BELLAZ B. PP.147
AVRAMOVA N. PP.027, PP.032 BELOICA M. PP.281
AVSEVER H. PP.068, OP.126 BELTES C. OP.154, PP.303
AYBAR B. PP.143 E<>7z͘ PP.390, PP.396, PP.413
AYDEMIR I. OP.017 BERAJ S. LP.011
AYDIN EG. PP.036 BERKAY H. OP.124
AYDIN G. PP.386 BERKER YILDIZ D. PP.063
AYDIN KABAKCI AD. OP.076 '7Ed͘ PP.280
AYDIN MN. OP.004 BEZIRCI D. PP.353
AYDINBELGE HA. PP.241, PP.255 BIBOVA N. PP.238, PP.239
AYDINBELGE M. PP.338 /</,͘ OP.181
zd&͘ OP.181 BIDAJ A. PP.012
zdPZD͘ PP.112 BIJELIC B. PP.073
AZMAZ NT. PP.241 BILEN E. PP.091
BABASIDOU E. PP.407 BILGIC F. PP.389
)>Z^͘ PP.157, PP.158 BILHAN H. OP.078, OP.134
BAHAR TUNA E. OP.046 />DEK)>h͘ PP.042
BAJRAKTAROVA I. OP.142 BIOCANIN V. OP.028, PP.031
BAJRIC E. PP.320 :>Ks/>͘ PP.029, PP.258
BAJRIC E. OP.053, PP.313 BODRUMLU EH. OP.015
BAJROVIC K. PP.252 BOEVA T. PP.085
BAJUREA N. PP.135 BOJINOV P. PP.027
BAKA ZM. PP.398 BOJKOVA T. OP.150
BAKARDIEV A. PP.289 BOLGUL B. PP.339, PP.340
BAKIR M. PP.050, PP.058 K>'m>͘ OP.170, OP.171
BAKOPOULOU A. LP.001, LP.002, OP.127 BOLYAROVA T. PP.089
BALAN A. OP.005, PP.347, PP.358, BONEV Ȳ. PP.032, PP.080
PP.368 BOOTORABI S. PP.366
BALTACIOGLU I. OP.033 BORAHAN MO. PP.125
BARAC R. PP.034, PP.035, PP.155 BOREKCI C. OP.071
BARBAROS R. PP.115 BOROTIC N. PP.098, PP.132
BARDHOSHI M. PP.121, PP.270 BOSTANCI B. OP.024
Z7^͘ OP.080 BOTEVA T. PP.094
BASCIFTCI FA. PP.397, PP.399 BOTSALI MS. PP.329
bdmZ<&͘ OP.143 BOTSIS C. PP.260, PP.261, PP.262
BAT E. OP.110 BOUSNAKI M. PP.197, PP.200
BATAIOSU M. PP.423 BOUSSIOU A. OP.131
BATAK B. OP.183 BOUTSIOUKI C. PP.415
BATALOV A. PP.107 BOYADZHIEVA E. PP.237
BATAS L. PP.061 BOZ C. PP.115
BATSOUKA A. PP.260, PP.261, PP.262 BOZHKOVA T. PP.187
z'7EK͘ PP.323 BOZKAYA S. OP.084
BAYINDIR F. PP.044 BOZKURT R. PP.226
BAYRAK S.. OP.086 BOZOGLAN A. PP.088
BAYRAKTAR BG. PP.128, OP.078 BRIAMATOU K. PP.298
BRKIC Z. PP.273 CHATZIGEORGIOU SP. OP.176, PP.409
BULAK N. PP.048 CHATZIGIANNI A. OP.119
BULDUR B. OP.004 CHATZIPARASKEVA M. PP.197, PP.200
BURAL C. OP.078, OP.133, PP.131, CHAZIRIS K. PP.108
PP.143 CHELE N. PP.135, PP.213, PP.214,
BURGMANN R. OP.075 PP.215, PP.216
hZ>/bD͘ PP.146 CHELI N. PP.212, PP.223
BURSA AP. PP.335 CHENCHEV I. PP.093
BURSA C. PP.335 CHEPTANARU O. PP.135
BUYUK SK. OP.064, OP.069, PP.379, CHOCHEVA N. OP.150
PP.388 CHONDRONIKOLA E. PP.060
mzm<b,͘ PP.056 CHRISTOFILOS D. OP.127
)dzzE͘ OP.093, OP.133, OP.134 CHUCHULSKA B. OP.027
CAGLAR I. OP.096, OP.097 CICMIL A. PP.363
CAIROVIC A. PP.001 CICMIL S. PP.052, PP.363
</ZD͘ PP.147 CILINGIR A. PP.416
</ZEE͘ PP.050, PP.056, PP.058, CIMBALJEVIC M. OP.056, PP.292
PP.059 CIMENDUR OO. OP.163
CAKMAK G. OP.085 /EZ'͘ PP.131
CAKUR B. OP.160 CINEL S. OP.167
>/<D͘ PP.111 CIOBANU G. PP.212, PP.223
>/b/ZD͘ OP.020, OP.107, PP.293 CIOBANU S. PP.028
CALISKAN I. OP.021 CIOLOCA DP. OP.111
DK)>hɀ. PP.267 CITAK M. PP.002
CAN B. PP.345 COBANKARA FK. PP.244, PP.249
CANAN BURAL H. PP.208 K><D͘ OP.105
CANAY S. PP.194 K><K)>h'͘ PP.352
CANGER M. OP.158 COLOVIC B. OP.128
E<zd͘ OP.018 KE'Z</sZ<Ɉ. PP.267
CANOVA S. PP.238 COSAR G. PP.338
CANPOLAT N. PP.249 Kb'hE͘ OP.171
CARCEVA-DIMITROVA D. PP.159 COSGUN MT. PP.038
CAYABATMAZ M. PP.177 Kb<hED͘ OP.029
CEKA I. PP.302 CRACIUNESCU EL. OP.164
CELENK S. PP.335 CUTOVIC T. PP.011, PP.273, PP.284
>/<E͘ PP.310 CVETANOVSKA STOJCEVA D. PP.217
>7<͘ OP.062, PP.022, PP.092, DABARAKIS N. OP.122, PP.211, PP.290
PP.224, PP.390, PP.413 DABIJA I. PP.213, PP.214, PP.216
>7<,͘ PP.116 /D͘ PP.155
CELIKTEN B. OP.184 /^͘ PP.155
CEMERIKIC L. OP.136 'h/͘ PP.146, PP.423
CENGIZ S. PP.185 DAGUCI L. PP.422, PP.423
CERIT EN. PP.312 DAKOV K. PP.239
CESUR AYDIN K. OP.052 DAKOVIC D. PP.097, PP.209, PP.273
CETENOVIC B. OP.128, OP.129 DALAMPIRA M. OP.082, PP.279, PP.297
CETIN B. PP.069, PP.070 DALAMPIRAS F.A.T. OP.082, OP.091, PP.279,
d7EZ&͘ OP.084 PP.297
d7Edb^͘ PP.136 DALAMPIRAS S. OP.082, OP.091, PP.297,
CETMILI H. PP.268 PP.300
CHAITIDOU M. OP.088 DALI A. PP.382
CHALVATZOGLOU E. OP.001, PP.326 DALOPOULOU A. PP.303
CHALVATZOGLOU S. OP.001 DAMANAKIS G. PP.395
CHATZAKI N. PP.207 DANILA V. OP.022
DASCALU I T. PP.423 DJURIC M. OP.083, PP.099
DASKALAKI Z. PP.337 DJURIC O. PP.283
DAVIDOPOULOU S. PP.305 DJUROVIC KOPRIVICA D. PP.051, PP.074
s/Ks/͘ PP.029, PP.025, PP.328 DOBRIKOVIC O. OP.061, PP.052
s/Ks/>͘ PP.259 K)E͘ OP.054, OP.057, OP.101,
DECUSARA M. PP.393 OP.103, PP.106, PP.178,
DEDAJ E. PP.174 PP.366, PP.367
DEDAJ H. PP.174 DOGAN DO. OP.092
DEDE DG. OP.167 DOGAN FB. PP.069, PP.070
DEDE DO. PP.224 DOGAN M. OP.092
DEDE DO. PP.413 K)E-KJSHDUSHUFH E. PP.079
DEDE FO. PP.110 DOINA V. OP.089
DELANTONI A. PP.060 PED&͘ PP.062
DELCEV G. PP.043, PP.266 KZs/>͘ PP.231
DELIC M. PP.229 KZs/D͘ PP.188, PP.365
DELIGIANNI AI. OP.002 DOSHEV V. PP.126, PP.130
DELIKAN E. OP.016 DOSSEVA-PANOVA V. PP.364
DELILBASI C. PP.199 DOULIS I. PP.383
DELIVERSKA E. PP.090,PP.228, PP.265 DRAGOS O. OP.022
DEMI F. PP.274 DRAKALSKA E. PP.043
D/Z)^͘ PP.140 DROBONIKU E. OP.174, PP.120
DEMIRAY F. OP.188, PP.086 DROBONIKU I. PP.156
DEMIRBUGA S. PP.050, PP.056, PP.058, DUBORIJA A. PP.008
PP.059 h</:EKs/^͘ PP.026
DEMIRCI M. OP.040 mEZ^͘ PP.088
DEMIREL G. OP.014, OP.033, PP.173 hZ/D͘ PP.100
DEMIRIZ L. OP.015, OP.035 DUYGU A. OP.076
E7͘ PP.195, PP.201 DUYMUS ZY. OP.025, OP.097, PP.149
DENKOV N. PP.160 DZARIC T. PP.095
DENKOVA N. PP.232 DZENAD GANJOLA D. PP.282
DERELI Z. PP.180 DZIPUNOVA B. OP.023, PP.103
DERVISOGLOU T. PP.060 ECONOMIDES N. OP.010, PP.245, PP.250
DIACONU O. PP.421 EGE B. PP.293
DICLE AKSAKAL S. OP.109 EGLENEN MN. OP.017
7<s͘ PP.044 EKERBICER Z. PP.141, PP.145
DIKEN KB. PP.389 EKICI Z. PP.190, PP.226, PP.350
DILKOVA N. OP.177 EKREN O. OP.021, OP.049
DIMITRAKI D. PP.326 >7E͘ PP.352
DIMITRIADI D. OP.166 >7ED͘ PP.352
DIMITROV R. OP.178, PP.104 ELIADES G. LP.025
DIMITROVA M. PP.085 ELIADES T. PP.004
DIMITROVA S. PP.237, PP.238 ELIF K. OP.063
DIMOU S. OP.118 EMINGIL G. OP.155
DIMOV P. PP.032 EMMANOUILIDIS G. PP.179
DIMOVA C. PP.041, PP.321 ZzK)>h͘ PP.345
DINC ATA G. OP.132 ERCIN O. PP.168, PP.170
7E'͘ PP.342, PP.343 ERCIYAS K. OP.104
DINKOVA M. OP.177, PP.024 ERCIYES MA. PP.057
DIOMATARIS M. PP.191 ERDEMIR EO. PP.353
DIONYSOPOULOS D. PP.166, PP.412 ERDEN M. PP.140
DJORDJEVIC F . PP.373 ERDOG M. OP.147
DJORDJEVIC V. PP.359 ERDOGAN Y. PP.171
DJUKIC DEJANOVIC S. PP.359 ERDUR EA. PP.399
EREN H. PP.242 GENC GE. OP.163
EREN I. PP.242 GENCEL B. OP.133
ERGIN E. PP.397 GEORDZEVA D. PP.289
Z'mZ͘ PP.147 GEORGIADOU G. PP.166
ERGUN G. OP.026 GEORGIEV Z. OP.034, OP.048, PP.033,
Z/:͘ PP.258 PP.162, PP.232
ERKAYA I. PP.050, PP.058 GEORGIEVA I. PP.203
EROGLU E. PP.335 GEORGIOU M. PP.221
EROGLU O. PP.109 GEORGIOU P. PP.290
ERTAS E. PP.167, PP.168, PP.169 GERASIMOU P. OP.009, PP.165, PP.176,
Zdbh͘ OP.087 PP.412, PP.415
Zdh)Zh>͘ OP.020 GERDZHIKOV I. PP.118
ESAD GUVEN M. OP.011 GETOVA B. PP.159, PP.322, PP.324
ESEN A. OP.143 GEZ A. PP.190
EXARCHOS D. PP.290 ''7EK͘ OP.008, OP.024, OP.108,
EXARXOY E. PP.372 OP.187, OP.188, PP.086,
FARMAKIS ETR. PP.230 PP.316
FEIER R. PP.205, PP.206 GHEORGHE A. PP.421
FENTOGLU O. OP.057, OP.101, PP.342, GHEORGHE D. PP.420, PP.421, PP.422
PP.343 GIGOVSKI N. PP.142
FIDANBOY M. PP.398 GIZEM A. PP.005
&/<ZddPmDd͘ OP.105 GJILO K. PP.121
FILIPOV I. PP.237 GJINI E. OP.159
FILIPOVIC G. PP.365, PP.380 GJORGIEVSKA E. OP.129
FILIPOVIC N. OP.083 GJORGJESKA B. PP.266
FILTCHEV D. PP.152 GLIGORIJEVIC N. PP.117
FILTECHEV A. PP.152 GOEV G. PP.020
FIRATLI E. OP.135 GOFA AA. PP.344
FIRKOVA E. PP.107, PP.289 GOGOS C. OP.010, OP.060, PP.245
FLOROS ST. OP.176, PP.409 'P<>W<>zW͘ OP.018, OP.095
FOIA L. PP.347, PP.354, PP.368 'P<zK͘ PP.161, PP.163
FORNA D. OP.058 'P<Z͘ OP.044
FORNA N. LP.022, OP.125, PP.205, GOKKAYA M. PP.141, PP.145
PP.206, PP.347 'P<DEK'>h͘ OP.168, PP.110, PP.224
FRAGKIOUDAKIS I. OP.043 'P<^m>m<͘ OP.105
&hEK)>h<mm<<E/&͘ OP.065, PP.253 GOKTEPE B. PP.413
FURTUNA Z. PP.028 GOLLERLI YY. PP.022
GACE E. PP.311 GOLOVCENCU L. OP.022, PP.391
GALLUCCIO G. OP.047, PP.017 'PEZ,z͘ PP.410
GAMBARINI G. PP.164, PP.254 GONENLI M. PP.336
GANCHOVSKA P. OP.027 'PEm>b&͘ PP.053, PP.054, PP.055,
GANJOLA D. PP.007, PP.095, PP.283 PP.173
GANOU L. OP.075, OP.106 GORGESKA B. PP.043
'a/:͘ PP.030, PP.034, PP.035 GORIUC A. PP.354
GATEVA N. OP.178, PP.286 GOUDAKOU A. PP.406, PP.407
'sZ/>Ks/^͘ PP.133, PP.134, PP.231 GOUSSIAS C. PP.219
GAZIVODA D. PP.073 GOUSSIAS H. OP.131, OP.149, PP.225
GECKILI E. PP.143, PP.148, PP.208 GOVEDARICA O. PP.363
'<7>7K͘ OP.078, PP.131, OP.133, 'PzDED͘ OP.045, PP.401
OP.134, PP.143, PP.171, GRADINARU I. PP.404
PP.189, PP.208 GRANDE NM. PP.164, PP.254
GELMEZ A. PP.327 GRAVINA GM. PP.006
GENC E. OP.064 GRBOVIC A. LP.016
GRIBIZI I. PP.006 HENDEK MK. PP.353
GRIGORIOU A. OP.131 HERDEM G. PP.057
GROZEV L. PP.126 HETA N. PP.087
'mm<K&͘ PP.323 HETA S. PP.087
GUL AMUK N. OP.066 HEZENCI Y. PP.384
GULEC A. OP.017, PP.401 HONCIUC M. PP.368
GULER B. OP.084, PP.352 ,KZ/f/ZED͘ PP.146
GULER C. OP.006, PP.336 HOSIC Z. OP.053
'm>ZPED&͘ PP.264 HRISTOV I. PP.126, PP.130
GULER E. PP.169, PP.170 HRISTOV S. PP.130
GULNUR TOPSAKAL K. OP.066 HRISTOVA S. PP.276
GULTEKIN DS. PP.244 HRISTOVSKI G. OP.120
GULTEKIN SE. LP.015, OP.080, OP.141, HRISTOZOVA M. OP.150
PP.353 ,h^/E'Ks/͘ OP.007, PP.313, PP.320
GUMUS H. PP.338 HYSENAJ N. PP.121, PP.270
'mDmbK<D͘ PP.140 HYSI D. OP.174, PP.119, PP.120,
'mEm͘ PP.195, PP.201 PP.156
'mEK)Z,͘ OP.104 HYSI N. PP.256
GUNDOGDU E. OP.050 IATROU I. LP.023
GUNDOGDU M. OP.025, OP.050 IDZAHI K. PP.251
'mEm<͘ OP.126 IGIC M. OP.031, PP.117, PP.365
'mEb,͘ OP.003 ILHAN MB. PP.114
'mEz7>E͘ OP.008 ILIC D. OP.028, PP.046, PP.047
'mE'PZ&^͘ PP.184, PP.186, PP.289 ILIC J. PP.011, PP.284
'mE'PZ,͘ PP.378 />/-/D/dZ/:s//͘ PP.315
'mE'PZ<͘ OP.182 ILIEV G. PP.152
'mE'PZD&͘ PP.186 ILJOVSKA S. PP.160, PP.321
'mE,ED͘ PP.351 7DDK)>hb/ZsE>/EE͘ PP.057
'mZ'͘ PP.173 INAN O. PP.346
GURAKUQI A. PP.119, PP.120 INTZES L. PP.245
'mZm^͘ OP.044 IOANID N. PP.349
'mZE^͘ OP.182 IOANNIDIS D. OP.081
GURLER G. PP.198 IORDANOVA DIMOVA M. OP.074
GURSES E. PP.023 ISLER SC. OP.084
'mZ^^'͘ OP.143 ISUFI A. PP.013, PP.164, PP.254
'mZ^^D͘ PP.183 ISUFI R. PP.287
GURSOY M. OP.054 IVANOVA A. OP.027
GURSOY UK. OP.054 IVANOVA D. PP.126
'ha//͘ PP.099, PP.100 IVANOVA V. PP.093
GUVEN Y. OP.067, OP.109 /s/^͘ PP.016, PP.017
HADZHIGAEV V. PP.203, PP.204 JANEV E. OP.142
HAKIKI H. PP.068, PP.267 JANEVA A. PP.266
,<</>d/K)>h/͘ OP.014 JANEVSKA S. PP.159
HAKKI C. OP.063 :E/D͘ PP.133, PP.134, PP.231
HAKKI S. PP.346 :E:/D͘ PP.375
HALICIOGLU K. PP.384, PP.402 :E<Ks/^͘ PP.029, PP.328
HALILI I. PP.014 JANKULOVSKA M. OP.189
HAMAMCI O. OP.070 JEREMIC KNEZEVIC M. PP.051, PP.074
HAVZIU F. PP.014 JEREMIC M. PP.325
HAVZIU H. PP.014 JOKANOVIC V. OP.128
HAYIRCI GK. PP.234 :K<^/DKs/͘ PP.259
HAZAR BODRUMLU E. OP.035 :K<^/DKs/͘ PP.133, PP.134
HAZAR E. PP.257 JOTIC A. PP.292
JOVANOVIC I. OP.129 KARCHED M. OP.103
:KsEKs/D͘ PP.026, PP.359 KARIOTAKI M. PP.406
JOVANOVSKA M. PP.332 KASAPOGLU C. PP.148
JOVIC N. PP.284 <^/DK)>hz͘ OP.046
JULOSKI J. PP.015 KATIKARIDIS G. PP.278
KABAKTCHIEVA R. OP.178 KATSAROU A. OP.173, OP.185
KAHRAMAN F. OP.072 KATSOUDA M. PP.372
KAHRAMAN FB. PP.411 KAVADIA-TSATALA S. PP.361
<,s7K)>h&͘ PP.333 KAYA C. PP.088
KALAITSIDOU I. PP.299, PP.300 KAYA G. PP.382, PP.400
KALAITZOGLOU ME. PP.303 KAYA RT. PP.382, PP.400
KALANTIDIS K. PP.207 <z^7D͘ OP.004
KALFAS S. OP.191 <z/K)>h͘ OP.078
KALKAN Y. OP.054, PP.366 KAZAKOVA R. PP.033, PP.204
KAMALAKIDIS SN. LP.007 KEKLIKCI H. OP.066
<DhZK)>h<͘ PP.067, PP.240 <>bW͘ OP.155
KANAZIRSKA P. PP.065, PP.066 KELMENDI M. OP.174, PP.012, PP.311
KANAZIRSKI N. PP.066 KELMENDI S. PP.012, PP.013, PP.311
KANBER M. OP.184, OP.186 KEMAL M. OP.124
KANG B-C. LP.017 KEMER DOGAN ES. OP.057, OP.101
KANJEVAC T. PP.188, PP.243, PP.258, KEREZOUDIS NP. PP.230
PP.376 KERIM M. OP.011
KANOUSAKI D. OP.146 KESER G. OP.073, PP.263
KANSU G. PP.129 KESIM B. OP.051
KANTIRANIS N. OP.127 KESSOPOULOU E. PP.305
KANURKOVA L. PP.021 KICHEVA M. PP.364
KAPLAN MH. PP.056 </>/Z^>ED͘ PP.173, PP.350
KAPUR POJSKIC L. PP.252 KIOULPEKIDOU T. OP.081
KAPUSEVSKA B. OP.172, OP.190 KIRILOVA J. PP.037, PP.228
KARA C. PP.110 KIROV D. PP.037
KARA HB. PP.198, PP.199 </Z/K)>h&z͘ PP.342, PP.343
KARA NB. PP.336 KISACIK B. OP.104
KARA O. PP.199 KISERI B. OP.093
KARA T. OP.086 KISSOV C. PP.033, PP.204
<Zbz͘ PP.195, PP.201 KISSOV H. OP.150
KARABE<7ZK)>h^͘ PP.183, PP.184, PP.410, KIVRAK TC. PP.163
PP.411 KIVRAK Ȱ. PP.267, PP.301
KARABEY U. PP.140 KIZILTAS MV. OP.169
KARACAER O. PP.136, PP.185 KNEZEVIC A. PP.074
<Z'P>>m^͘ PP.234, PP.235 KOBASLIJA S. OP.053, PP.313, PP.320,
KARAISKOU G. PP.127 PP.334
KARAKAYA E. PP.306 <K͘ PP.067, PP.240
KARAKAYA O. PP.387 <K<DD͘ PP.257
KARAKOSTAS P. OP.151 KOCAK NA. OP.019, OP.055, OP.135
KARAKOYUNLU AF. PP.401 <K<^͘ PP.257
KARAMAN A. OP.069 KOCOVSKI D. PP.041, PP.049, PP.196
KARAMAN E. PP.170, PP.181, PP.414 KOEV Y. OP.178
KARAMOUZOS A. PP.004 KOIDIS P. OP.060, OP.127, OP.145,
KARANASIOU C. PP.412 OP.146, PP.197, PP.200
KARAPINAR G. PP.128 <P<,͘ OP.068, PP.410
KARASAN D. PP.194 KOKOCEVA-IVANOVSKA O. OP.048, OP.189,
KARATHANOS G. PP.403 OP.190
KARATZIOULAS K. PP.179 KOLA D. OP.159
KOLAR J. PP.026 KULEKCI G. OP.109
KOLOKOTRONIS A. OP.140, OP.151, OP.152, KURGAN S. OP.183, PP.351
PP.277 KUROS V. PP.408
KOLSUZ ME. OP.014, OP.033 <hZbhE<D<͘ OP.086
KONDEVA V. PP.082, PP.085, PP.308, KURT A. OP.163, OP.169
PP.309 <hZdh>hbP͘ OP.044
KONGO E. LP.028 KURU L. PP.109, PP.111, PP.112,
KONGO P. OP.038 PP.113, PP.114, PP.116
KONONEN E. OP.054 KUZMANOVIC PFICER J. OP.056, PP.292
KONSTANTOPOULOU C. OP.059 KUZUMI E. OP.012
KONTOGIANNIS TG. PP.230 KUZUMI R. OP.012
KONTONASAKI E. OP.127, OP.145 KYPRIANOU C. OP.119
KONTOPOULOS K. PP.018 LACEVIC A. OP.179, PP.252
KORKMAZ TORUN E. PP.157 LAKO M. PP.012
KORKUT E. OP.008, OP.024, OP.108, LAMBRIANIDIS T. OP.042
PP.086, PP.316 LAMPRIDI V. PP.200
KORKUT E. OP.187, OP.188 LATROUDIS P. PP.304
KORUYUCU M. OP.046 LAZIC E. PP.018
KOSANOVIC D. PP.040, PP.281 LAZIC Z. PP.210
<P^<E͘ PP.111 LEATA R. PP.393
KOSEVA B. PP.150 >/:͘ PP.029, PP.258, PP.328,
<Kb'7E^͘ PP.390 PP.363
KOSTIC M. PP.117 LEE E-J. LP.017
KOTSILKOV K. PP.094, PP.104 LEE J-S. LP.017
KOUGIAS K. OP.148 LEVCO S. PP.285
KOUKI M. OP.059 LEVI J. PP.305
KOUNTOURAS K. OP.094 LIASI I. PP.392, PP.394
KOURAMAS AD. PP.227 LIATOS K. PP.408
KOURAMAS G. PP.227 LIGNOU S. OP.138
KOUROS P. OP.002, PP.061 LILLIS T. PP.295
KOUROUKLIS G. OP.127 >/E'^dZPDW͘ PP.308, PP.309
KOURTIS S. PP.127 LIOLIOU EA. PP.193
KOUTROULI A. PP.318 LIOSATOU R. OP.094
KOUTSAMANI M. OP.162, OP.165 LOLI C. PP.403
KOUTSONAS MG. PP.344 LONDOU A. PP.076
KOUVELIOTIS G. PP.127 LONGUROVA N. PP.142, PP.160
KOVACEVSKA DR. PP.150 LOUBRINIS N. PP.395
KOVACEVSKA G. PP.021, PP.150 LUCHIAN I. PP.354, PP.356, PP.370
KOVACEVSKA I. OP.034, PP.043, PP.049, >h</͘ PP.246
PP.142, PP.160, PP.162, LYAPINA M. PP.276
PP.232, PP.266 MACIT SN. PP.144
KOVACEVSKI A. PP.150 MAGAT G. PP.071
KOVACEVSKI N. PP.021, PP.150 MAJSTOROVIC N. PP.018
KOZARIDOU M. PP.304, PP.407 MAKRIGIANNIS I. PP.406
KRASTEVA Si. PP.362 D<^/DKs/D͘ PP.231
KRASTEVA St. PP.362 D>as/͘ PP.026
<ZhE/:͘ PP.025, PP.258, PP.259 DD<>/K)>h͘ OP.103
KUBILAY ISIK B. PP.268 MANCHOROVʤ N. PP.154
KUCUK F. OP.112 MANDALI G. OP.095
<mm<,͘ OP.044 MANDIC J. PP.040, PP.281
KUCUKASLAN D. OP.006 DE/E/͘ PP.001, PP.040, PP.281
<mm<<E/^͘ OP.065, PP.253 MANIATAKOS P. PP.395
KUL FM. PP.306 MANOLAKIS K. OP.148
MANOUKAKIS I. PP.392, PP.394 MILOSAVLJEVIC Z. PP.376
MANOUKAKIS T. PP.392, PP.394 MILOSEVIC M. PP.365, PP.380
MARAGKOU KL. PP.247 MILOSEVIC O. PP.018
MARATHIOTIS K. PP.383 MILOSHEVSKI N. PP.159
MARCOU V. PP.406 MINOVSKA A. OP.077, PP.039, PP.102,
MARCU D. PP.028 PP.217, PP.218
DZ/E<Ks/E͘ PP.030 MIRCEA NICOLAU A. PP.393
MARKOVA K. PP.236 MIRJANA DJURICKOVIC M. PP.375
DZ<Ks/͘ OP.128, OP.129, PP.074, D/ZE/:͘ PP.099, PP.100
PP.315, PP.317, PP.325 MISIRLIOGLU M. OP.100
MARKOVIC E. PP.317 D/d/͘ PP.030, PP.034, PP.035,
DZ<Ks/E͘ PP.319, PP.320, PP.334 PP.155
MARTINOVIC B. PP.373 MITIC K. OP.142
MARTU I. PP.354, PP.356, PP.357, MITSOPOULOS L. PP.408
PP.358 MLACHKOVA A. PP.364
MARTU S. PP.348, PP.349, PP.354, MLADENOV M. PP.153
PP.356, PP.357, PP.358, MLADENOVIC I. LP.003, OP.061
PP.368, PP.370, PP.369 MLADENOVIC R. PP.373
MARTU-STEFANACHE MA. OP.005, OP.058, PP.347, MOISEI M. PP.357, PP.369
PP.358, PP.368 MOKHTARI TAVANA A. PP.161
MASTROGIANNI A. OP.060 MOKHTARI TAVANA PY. PP.124
MATIAKIS A. LP.006, OP.079, OP.081, MOLDOVEANU B. LP.012
OP.140, OP.151, OP.152, MORALI A. PP.294
PP.271, PP.278 MOSCHOU A. PP.318
MATIC PETROVIC S. OP.056 MOSTOVEI A. PP.213, PP.214, PP.215
MATIJEVIC S. PP.031, PP.083 MOSTOVEI M. PP.216
MAXIM DC. OP.005 MOURAD D. OP.045
MAZINIS E. OP.042 MOURATOGLOU A. OP.001
D/s͘ PP.046, PP.047, PP.139 MOUZA AM. OP.162, OP.165
MELAKOPOULOS I. PP.219 MPAKALI E. PP.105
MELIH ATES SM. OP.096 MURATOVSKA I. OP.175, PP.102, PP.324
MELIKIDIS I. LP.027 MUSURLIEVA N. PP.020, PP.269
MERCUT V. PP.421, PP.422, PP.423 MUTLU KUL F. PP.233
DZ7͘ OP.170, OP.171 NACOPOULOS C. OP.122
MESEMANOLI Z. PP.277 NAKA O. LP.026, LP.004, OP.130,
Dd7E)^hzh/͘ OP.072 PP.221
MICHAELIDIS I. PP.294 NALBANT AD. OP.110
MICHOU A. PP.405 NALE T. OP.015
MICHOU S. OP.094 EDZW<7EZ&͘ OP.073, OP.157, PP.062,
MIHALAS E. OP.111 PP.125, PP.263, PP.264
MIHAYLOVA I. PP.027, PP.032 NASHKOVA S. PP.041, PP.321
MIHAYLOVA Z. PP.090 NASTI A. PP.174
MIJOSKA A. OP.172 NASTOU C. PP.405
MIJOSKA A. OP.190 NAZ YETA E. G PP.096
MIJOVSKA A. OP.142, OP.189 NEDELJKOVIC N. PP.018
MIKIC M. PP.222 NEDEVA D. PP.276
D/></͘ PP.051, PP.100 NEGRUTIU L. OP.164
MILEUSNIC I. OP.090, PP.097, PP.098, NEICHEV D. PP.093
PP.123, PP.132, PP.273 NGANGA SW. PP.366
D/>/>D/͘ PP.139 NICOLAICIUC O. PP.348, PP.370
MILINKOVIC N. PP.132 NIGAR GUNCU G. OP.105
MILOJKOVIC Z. PP.373 NIKOLIC JAKOBA N. PP.210, PP.359
D/>K^s>:s/D͘ PP.188 E/<K>/D͘ PP.030, PP.035, PP.375
NIKOLOVSKI B. OP.077, OP.102, PP.102, OZSOY UCAR SU. OP.092
PP.217, PP.218 PdED͘ OP.041
NIZAM N. OP.155 OZTAS DD. PP.053, PP.054, PP.055
NOGO-/sEKs/͘ PP.025, PP.243 PdmZ<͘ PP.180
NTABARAKIS N. OP.088 OZTURK D. PP.113
NTOVAS P. PP.395 OZTURK OZENER H. PP.106, PP.113
OANA-CELLA A. PP.146 OZYILMAZ OY. PP.198, PP.199
OANTA C. PP.348 W:s/d͘ PP.016, PP.017
OBRADOVIC DJURICIC K. PP.046, PP.047, PP.139 PAJIC S. OP.083
OBRADOVIC R. OP.031, PP.365, PP.380 PALAGHIAS G. PP.004
OGLAKCI B. PP.418 PANAGIOTOU E. PP.274
OGUZ AHMET BS. PP.417 PANAYIOTOU EF. PP.344
K)hKZ,ED͘ OP.073, PP.263 PANAYIOTOU N. PP.341
OIKONOMOU I. OP.059 PANTAZI A. PP.274
K<<^7D͘ OP.100 PANTELAS G. LP.031
K<bzEZ͘ OP.072 PANTELIDOU O. OP.043, PP.251, PP.318
OKTE Z. PP.310 PAPA P. PP.087
P<dE͘ PP.306 PAPADAKI M. PP.392, PP.394
P<dE͘ PP.091, PP.233 PAPADIMITRIOU I. OP.075, OP.106, OP.118,
K<hDhbK͘ PP.077 OP.173, OP.185
OKUTAN Y. OP.132 PAPADIMITRIOU K. PP.305
OLGAC V. PP.109 PAPADOPOULOS A. PP.009
PDmZ͘ OP.062, OP.065, PP.092 PAPADOPOULOS M. PP.383
PEm͘ PP.345 PAPADOPOULOU A. PP.122, PP.182
ONCUL AMT. PP.301 PAPADOPOULOU L. OP.127
PEZ͘ OP.183, PP.351 PAPAEMMANOUIL G. OP.130
ONER M. OP.066 PAPAKOCA G. PP.049
ONGOZ DEDE F. OP.062, OP.168 PAPAKOCA K. PP.049, PP.196
ORDU MA. PP.158 PAPAKOSTA V. PP.298
ORDUYILMAZ F. OP.044 PAPALEXIOU D. PP.296
ORHAN K. OP.126, OP.033, OP.153, PAPANDREOPOULOU M. PP.360
PP.068, PP.312 PAPASTAMOS M. PP.191
ORHAN O. OP.014 PAPAZOGLOU K. PP.191
P>WE͘ PP.036, PP.306 WW/D͘ PP.246
OZAN G. PP.088 PARASKEVOPOULOS K. OP.127
PzZ<^͘ PP.077 PASARIN L. PP.348, PP.349, PP.356,
PE͘ PP.086 PP.369
OZCAN S. OP.068, OP.076, PP.071, PASCHALIDOU E. PP.330
PP.268 PASCHALIDOU M. OP.180, PP.330
PD7Z,͘ OP.098 PATARGIA I. OP.138
OZDEMIR IA. PP.137 PAVLEVSKA M. OP.189, PP.159
PD7Z^͘ OP.045 PAVLOU AM. OP.140, OP.152, PP.277 ,
PEz͘ PP.192 PP.403
PK)E͘ OP.098, PP.149 PAVLOV B. PP.126, PP.187
PhDE͘ PP.172 PAVLOVA J. PP.152
OZEL GS. PP.417 PAVLOVIC M. PP.097, PP.098, PP.123,
PE͘ PP.367 PP.132
OZER H. OP.024, OP.108, PP.316 PAXOYMIS G. PP.408
P'mZD7Z>W<͘ OP.086 PAZAITOU-PANAYIOTOU K. PP.299
OZKALAYCI N. OP.071 W,>7sE͘ PP.178
OZKAN S. PP.002, PP.022 PEHLIVANLAR F. PP.192
OZKOMUR A. OP.049 PEJANOVIC D. OP.090, PP.097, PP.098,
Pb,7E͘ OP.041 PP.123
W:/E͘ PP.315 POSTARU C. PP.288
W:/EKs/-:E<d͘PP.319 POSTIC D. OP.028
W<7EZ&E͘ PP.077 WKad/^͘ OP.099, PP.046, PP.047
PELEKANOS S. PP.191 POULAKIS N. OP.127
PEPLA E. PP.164 POULOPOULOS A. LP.032, OP.138, OP.151,
PERIC T. PP.317 PP.260, PP.261, PP.262,
PERLEA P. LP.020 PP.274, PP.405
WZhEKs/E͘ PP.315 POYRAZ O. OP.156
PETCU A. OP.111 PUCAR A. OP.056, PP.292
PETKOVA D. PP.236 PURDANOSKA O. PP.322
PETKOVA E. PP.276 PURDANOSKI A. PP.322
PETKOVA M. PP.265, PP.286 WhZas/D͘ PP.133, PP.134, PP.231
PETKOVA S. PP.089 PUSKAR T. PP.051, PP.074
PETKOVIC-CURCIN A. PP.209 QAFMOLLA A. OP.159
PETKOVSKA R. OP.102 QAFMOLLA E. OP.159
PETRIDIS A. PP.105 QELI E. PP.156
PETRO E. OP.174, PP.119, PP.120, QORRI E. LP.018
PP.156, PP.311 RADOJICIC J. PP.284
PETROU I. PP.383 RADOJKOVA-NIKOLOVSKA V. LP.009, OP.023,
PETROVA B. PP.065 OP.077, PP.102, PP.103,
PETROVIC B. PP.317 PP.217, PP.218
PETROVIC M. OP.090 ZKs//͘ PP.025, PP.029
PETROVIC R. OP.028 ZKs/<͘ PP.046, PP.139
PETROVIC SM. PP.292 RADOVIC M. PP.376
WdZKs/s͘ PP.315, PP.317 RADULESCU R. PP.045
PETROVSKA J. PP.019 RADUNOVIC M. OP.056
PETROVSKI D. PP.019 RAIF A. OP.063
PETROVSKI M. PP.039, PP.196, PP.232, RAILEAN G. PP.288
PP.275 RAILEAN S. PP.288
PHILALITHIS A. OP.162 RAKASEVIC D. PP.210
PINAR ERDEM A. OP.003 RAMIC B. PP.099
PINTILICIUC SERBAN V. OP.005 RAPTIS L. OP.176, PP.409
PIPERI E. PP.272 RAZNATOVIC N. PP.007
PIRIM GORGUN E. OP.156 RAZVAN L. OP.089
W/b'/E͘ PP.385 REDZEPI I. OP.175
PISSIOTIS A. OP.146 RIMALOVSKA S. PP.085, PP.308, PP.309
PITRIS I. PP.330 RISTIC T. OP.090, PP.097, PP.098,
PLOTINO G. PP.164, PP.254 PP.123
PODAROPOULOS L. LP.030 RISTOV O. PP.275
POJSKIC N. PP.252 RISTOVA STOJANOVA A. PP.275
POLAT SAGSOZ N. OP.030 ROBO I. PP.087
POP DM. OP.164 ROGANOVIC J. PP.210
POPESCU SM. PP.422 ROUSSOU K. PP.248, PP.250
POPOVA C. PP.364 ZZKKD͘ PP.013
POPOVA E. PP.362 RUSU M. PP.393
POPOVIC B. PP.381 SAAT O. PP.067
WKWKs/:͘ PP.030, PP.034, PP.035 SAATMAN A. PP.178
WKWKs/D͘ PP.246 a/>͘ PP.319, PP.334
POPOVIC-MONEVSKA D. OP.077, PP.218 SAGIROGLU A. PP.340
POPOVSKA L. OP.175 ^)>D͘ PP.257
POPOVSKA M. OP.077, OP.102, PP.102, SAGLAM G. PP.185
PP.103, PP.218 ^)Ê͘ OP.051
POPOVSKI V. PP.324 SAGSOZ O. OP.030
SAHIN IO. OP.168 SIDIROPOULOS K. PP.248, PP.250
SAHIN Z. OP.026 SIDIROPOULOU N. PP.361
b,>EE͘ PP.378 SIMEONOVA E. PP.238
SAKALI E. PP.372 SIMIC I. PP.363
b<ZK͘ PP.131 ^/D/^͘ PP.133, PP.134
SAKELLARI D. LP.013 SIMION S. PP.422
SAKELLARIOU P. PP.300 SIMONOVSKA J. PP.332
SALIA A. OP.149, PP.225 SIMOV R. PP.289
SAMARA E. OP.088, PP.211 b/Db<͘ PP.140
^DZ/::,͘ PP.328 SIMSEK H. OP.064, OP.069
SANCAK K. PP.301 SINCAR DC. PP.393
bANVER A. PP.192, PP.194 SINESCU ROMINU M. OP.164
SAPUNAROVA P. OP.032 SIOKIS V. OP.036, PP.341
SARAJLIJA M. OP.179, PP.252 SKLAVOUNOU A. LP.021, OP.139, PP.272
SARI F. OP.029 SLABARI E. PP.212
SARI S. PP.078, PP.312 SLAVCHEV D. PP.130
aZ/'͘ PP.155 SOLOMON SM. OP.058, PP.349, PP.357,
SARIͶMUSTAFA K. OP.170 PP.358, PP.369, PP.370
SARIOGLU B. PP.384, PP.402 SONAT B. OP.039, PP.096
SARIVASILEIOU D. PP.207 SONGUR E. OP.112, PP.307
SARRI V. OP.131 SONMEZ G. PP.067, PP.240
SAVEANU CI. OP.022 SOTIRI S. OP.106
SAVEANU JC. PP.391 SOTIRI V. OP.075, OP.118, OP.173,
SAVIN C. OP.111 OP.185
aWE/͘ PP.015 SOTIROVSKA-IVKOVSKA A. OP.034, OP.048,
SCERBATIUC D. PP.285 PP.377
SCHOINAS N. PP.296 SOURGOUNIS K. OP.176, PP.409
SCHOINAS N. PP.419 SOYASLAN G. PP.346
SCRIECIU M. PP.422 SOZOVSKA E. PP.159
SEDA ATAOL A. OP.026 SPASOV D. OP.023
SEFERIADIS B. PP.304 SPASOVSKI S. OP.102
b<Z͘ PP.005 SPRITINOUDIS T. PP.304
SEKI U. PP.068 SPYRAKI F. PP.260, PP.261, PP.262
SEKULIC M. PP.376 STAMATIN O. PP.205
SELAMET H. OP.161, PP.224 STAMENKOVIC D. OP.137
SELIMOV P. PP.107 STANCIC V. OP.061
^>/DKs/-Z'aD͘ OP.007, PP.313 STANEV Y. PP.187
bEz͘ PP.310 STANIMIROV P. PP.286, PP.291
SENER Y. OP.024, OP.108, PP.086, ^dE<Ks/K͘ PP.015
PP.316 STANOJEVIC M. OP.061, PP.052
SENER Y. OP.187, OP.188 STASEVIC KARLICIC I. PP.359
SENGUVEN B. OP.080, OP.141 STAVREVA N. OP.023, OP.172, OP.190,
SENYURT F. OP.035 PP.324
bEzhZd^͘ OP.104 STAVROU V. PP.419
SEPET E. OP.003 STEFANOSKA T. PP.377
SERINSOZ F. PP.167 STEFANOV L. PP.090, PP.265
SEVKI I. OP.160 STEFANOVA E. PP.049
bzmZ<D͘ OP.003 STEFANOVA VATCHEVA-DOBREVSKA R. PP.037
SEYHAN S. PP.333 ^d&EKs/E͘ PP.016, PP.017
SEYMEN F. OP.046 STEVANADJIJA J. OP.034, OP.048
SFEIKOS T. OP.002, PP.412 STOEVA V. PP.308, PP.309
SHOPOVA D. OP.150 ^dK:EKs/>͘ OP.047, PP.016, PP.017
SIDERI M. OP.088, PP.060 ^dK:EKs/E͘ PP.025, PP.243
STOJANOVSKA V. OP.175, PP.103 dK/:͘ PP.188
STOJKOVIC B. OP.136, PP.375 TODOROV G. OP.027, PP.203
STOLERIU S. OP.058 TODOROVIC A. OP.031
STOSIC N. PP.034 TODOROVIC K. OP.031
STOYANOV H. PP.090, PP.265 dKKZKs/>͘ PP.026
STOYKOVA M. PP.269 TOKER H. OP.156, PP.220
STYLAS A. PP.061 TOKSAVUL S. PP.137
STYLIANOU M. OP.138 TOLIDIS K. PP.122, PP.176, PP.182
STYLIARA C. PP.296 TOLIDIS K. PP.412, PP.415
SUBASHI E. PP.256 TOMA V. OP.111
SUBOTIC D. PP.371 TOMOV G. PP.239
SUFARU I. PP.347, PP.349 TONEVA A. PP.275
SUFARU IG. OP.058, PP.348, PP.357 TONEVA V. PP.275
SUFARU IG. PP.369 TOPALO V. PP.213, PP.214, PP.215
SUFARU IG. PP.370 TOPALOVA-PIRINSKA S. PP.037, PP.228
^m>mEd͘ OP.093, PP.128, PP.171, dKWb/ED͘ PP.390, PP.396
PP.189 dKWhK)>hE͘ OP.003, OP.109
SUME KESIR SS. PP.353 TOPITSOGLOU V. OP.043
SUNAR O. OP.161 TOPTANCI IR. PP.335
SYMEONIDIS P. OP.145 TORAMAN F. OP.015, OP.035
SYMINTIRIDIS C. PP.295 TORLAK E. OP.108
TABAKU F. PP.270 TORTOPIDIS D. OP.060, OP.094, PP.193
TACHMATZIDIS T. OP.088, PP.211 TOSESKA-SPASOVA Ɂ. OP.023, OP.172, PP.103
TALAMANOV C. PP.091 TOSUN G. PP.329
d>D͘ OP.020 TOTI C. OP.174, PP.119, PP.120,
TAMAC E. PP.137 PP.156
TAMIOLAKIS P. PP.272 TOURNAVITIS A. OP.146, PP.193
dE^^h>͘ PP.146 TRIANTAFYLLOU I. PP.227
dE^<Ks//͘ PP.243 dZ/<Ks/:E:/K͘ PP.375
TASOPOULOS T. PP.127 TRIFUNOVIC J. PP.031
TASSOKER M. OP.068, OP.076, PP.268 TRIMERIDOU AS. OP.180
TATARCIUC M. PP.356 TRISIC D. OP.129
TATIC Z. PP.209 TRPEVSKA V. PP.021, PP.150
TAXIARCHOU A. OP.140 TSALIKIS L. PP.360, PP.361
TAYMAN MA. PP.101, PP.350, PP.351 TSALTAMPASI A. PP.415
TAYSI S. OP.104 TSAMI M. PP.383
TEKCE N. OP.040 TSAVOS I. PP.419
TEKIC J. PP.001 TSELIGKA L. PP.105
TEKIN A. OP.052 TSELKAS O. PP.294
TEKIN E. OP.186 TSIAFITSA M. OP.009, PP.165
TEKKELI SE. OP.169 TSIANTOU D. OP.001, PP.326
TERZAKI P. OP.152 TSITROU E. OP.009, PP.165
TERZIEVA O. PP.039 TSITSARA M. PP.326
dZ7K'>h,͘ OP.183 TSOMPANIDES G. PP.075, PP.076
TEZEL A. PP.091 TUCULINA M. PP.421
THEO MERHOLZ E. OP.118 TUFENKCI P. OP.184
THEOCHARIDOU A. PP.314, PP.337 TUGLU MI. OP.017
THEODORIDIS C. PP.295 dh)hd&͘ OP.029
THEODOSIOU C. PP.271 TULGA A. OP.062, PP.413
THEODOSOPOULOU Z. PP.278 TULGA OZ F. OP.112, PP.038, PP.307
THODHORJANI A. OP.038 TULGA Ȱ. PP.092, PP.224
TIJANIC M. OP.136 TULUMBACI F. OP.188
TILAVERIDIS I. PP.419 TUNCEL I. OP.163, PP.202
TUNCER D. PP.172, PP.418 VASOGLOU G. PP.294
TUNCER N. OP.134 VASOGLOU M. PP.294
TUNCER S. OP.040 VASOVIC M. PP.073
TURGAY B. OP.170, OP.171 VASSILIOU S. PP.298
TURK AG. OP.121 VAVIC B. PP.325
dmZ<E7͘ OP.110 VELEGANOVA V. PP.082
TURKER AM. PP.169 s>:Ks/d͘ PP.099, PP.100
dmZ<ER G. PP.010 VENOU TM. PP.360
dmZ<Z^͘ PP.257 VESALA AM. OP.122, PP.295
TURKMEN E. PP.110 VIDENOVA L. PP.291
TURP I. OP.163, PP.202 VLADIMIROV S. PP.154
TURP V. PP.202 VLAHOVA A. PP.033, PP.203, PP.204
TUZLALI M. OP.124 VLAHOVIC Z. LP.029, PP.222
dmmEZd͘ PP.323 VLASIADIS K. OP.162, OP.165, OP.166
TZERMPOS F. LP.024 s>a<Ks/͘ PP.073, PP.246
TZIMA D. OP.010 VOJVODIC D. PP.209
TZIMA ZD. PP.245 VOUROS I. OP.191, PP.105, PP.108
TZIMAS K. OP.009, PP.165 VOURTSA G. PP.122, PP.182
TZIMAS N. OP.154 VOURTSI D. OP.173, OP.185
hZE͘ PP.056 VOUTOUFIANAKIS S. OP.166
UCAR Y. OP.021 sh/>͘ PP.015, PP.016
UCTASLI S. OP.147, PP.138, PP.226 sh/h͘ PP.015
ULAY G. OP.073, OP.157, PP.125 sh:a<Ks/D͘ PP.259
ULKER O. PP.181 VUKICEVIC A. OP.083
ULUSOY M. OP.121 VUKOVIC A. PP.084, PP.281, PP.325
UNAL D. PP.137 VUKOVIC B. PP.123, PP.132
UNCUTA D. PP.135 VUKOVIC N. OP.090
mEz͘ PP.096 VULETIC RAKIC J. PP.051
mE>mE͘ PP.183, PP.327 VULICEVIC ZR. LP.014
UNLUGENC E. PP.339 XHAJANKA E. PP.121, PP.270
mEsZ7>E7͘ PP.234, PP.235 XHEMNICA R. PP.012, PP.013, PP.254
UR UCAR Y. OP.049 XYLAGKOURELI E. PP.075, PP.076
URAZ A. OP.084 YABUL . OP.134
mZ'mE͘ PP.148 z)/͘ PP.023, PP.387
USTUN Y. PP.151 YAGCI F. PP.151
UYAR BOZKURT S. PP.263 z)DhZ^͘ OP.008
UYSAL S. PP.078, PP.307 YANEVA Ⱦ. PP.032
UZ S. OP.046 YANKOV S. PP.187
UZER HB. PP.388 YANKOV T. OP.027
UZUN O. PP.048 YASAR F. PP.063, PP.064
UZUN T. OP.144 YASAR GOKBUGET A. OP.055
UZUNOV T. LP.008 YAVAS O. PP.048
VAHTSEVANOS K. PP.299, PP.300 YAVUZ I. OP.085, PP.010, PP.331,
VAIRAKTARIS E. PP.298 PP.385, PP.386
VAITSIDIS Z. PP.076 YAVUZ MC. OP.161, PP.022, PP.390
VAKIRTZIAN GA. OP.037 YAVUZER D. PP.355
VAKOU D. PP.191 YENISEY C. OP.155
VANGELOV L. PP.236 YESIL DUYMUS Z. OP.050, OP.096
VASILCA GAVRILA LM. OP.005 YESIM KIRZIOGLU F. OP.057, OP.101
VASILEV B. PP.027 YETA N. PP.096
VASILIADIS L. OP.037 YETGIN YAZAR A. OP.055
VASILIJIC S. OP.128 zd7^͘ PP.106
VASLUIANU R. PP.206 z/)/d'm>Z͘ OP.143
YILDIRIM A. PP.220 ZABOKOVA-BILBILOVA E. OP.034, OP.048, OP.189,
YILDIRIM B. OP.080 PP.377
YILDIRIM G. PP.147 ZACHARIADIS G. OP.127
YILDIRIM HS. PP.109, PP.114, PP.116, ZAFEIRIADIS AA. PP.004
PP.367 ZAGORCHEV P. PP.237, PP.238, PP.239
YILDIRIM S. PP.331 ,7d/ÊD͘ OP.100
YILDIRIM TT. OP.105, PP.088 EK'K͘ PP.214, PP.215, PP.216
YILDIZ A. PP.264 ZAPARAS G. OP.082
YILDIZ AN. OP.157, PP.062, PP.125 ZARKOVA-ATANASOVA J. PP.041, PP.142,
YILDIZ DB. PP.064 PP.162, PP.196, PP.321
YILDIZ M. OP.093 Zs<Ks/͘ PP.188
YILDIZ O. PP.010 ZEGAN G. PP.391
YILMAZ A. PP.128 E/Z>/P͘ OP.181
YILMAZ B. OP.132 ZEYNEP ADEM SIYLI G. OP.135
YILMAZ D. OP.183 ZGIRCEA A. PP.216
YILMAZ F. OP.039, OP.041, PP.233, ZIDAROVA V. PP.236
PP.242 ZIOUTIS V. PP.251
YILMAZ M. PP.148 /sEKs/^͘ PP.246
YILMAZ MO. PP.255 /s<Ks/Z͘ PP.139
YILMAZ N. PP.280 ZIVKOVIC SANDIC M. PP.381
YILMAZ S. OP.100 ZLATANOVSKA K. PP.041, PP.142, PP.160,
YILMAZ U. PP.129 PP.196
YILMAZ ZS. PP.329 ZLATEV S. PP.130, PP.203, PP.204
YOANA GEORGIEVA Y. PP.187 ZOIDIS P. PP.127
YOON S-J. LP.017 ZORBA T. OP.127
YORDANOV G. PP.065,PP.066 ZORTUK M. PP.151
YORDANOVA G. PP.153 ZOUFKA A. PP.108
YOVCHEV D. PP.090, PP.276 ZOULOUMIS L. PP.296, PP.304, PP.406,
YOVCHEVA K. PP.020 PP.407, PP.408, PP.419
YURDABAKAN ZZ. PP.077 ZOYLOYMI M. OP.081, PP.279
YURDAKOS A. OP.095 h͘ PP.259
YURTTUTAN ME. PP.301

Abstract Book 22nd BaSS Congress 2017

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Abstract Book 22nd BaSS Congress 2017

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22nd BaSS Congress Program

THURSDAY, MAY 4th, 2017

OP.021 OP.028 P.017

PP.057HERDEM G, ERCIYES MA, İMAMOĞLU

PP.063ARSLAN ZB, BERKER YILDIZ D, YASAR F. IMAGING PP.091BILEN E, ÖKTEN E, TEZEL A,

OP.04213.45-14.00 MAZINIS E, PP.112AĞRALI OB, AYTÖRE M, KURU L.

PP.139RADOVIĆ K, MILIĆ LEMIĆ A, ŽIVKOVIĆ R,

Session 19 Session 20 Session 21 Session 22 Session 23 Session 24

PP.187YANKOV S, BOZHKOVAT, PAVLOV B, STANEV Y,

OP.077 OP.085 OP.095

PP.236PETKOVA D, MARKOVA K, VANGELOV L,

PP.246ŽIVANOVIĆ S, PAPIĆ M, VLAŠKOVIĆ A,

PP.257SAĞLAM BC, HAZAR E, KOÇAK MM,

20.00 - OPENING CEREMONY WELCOME

ALEXANDROS I ALEXANDROS II ARISTOTELIS I ARISTOTELIS II KALLIOPI AMFITRION IΙ

Session 25 Session 26 Session 27 Session 28 Session 29 Session 30

PP.285LEVCO S, SCERBATIUC D. THE

09.00-13.30 BaSS Council Meeting

Pres.Tzermpos F. Pres. Pantelas G. Pres. Stancheva-Zaburtova D. Pres. Xhajanka E. Pres. Matiakis A.

OP.130 09.00-11.00 TRIANTAFYLLOU

PP.389DIKEN KB, BILGIC F. PP.410KARABEKİROĞLU S, GÖNDER HY,

OP.14413.00-13.15 UZUN T. CALCIFYING

BaSS GENERAL ASSEMBLY

LP.001 TISSUE ENGINEERING IN THE RECOSTRUCTION OF

BAKOPOULOU A1, APATZIDOU D2.

APATZIDOU D1, BAKOPOULOU A2.

A sophisticated periodontal regenerative treatment approach of vertical osseous defects

LP.004 CLINICAL AND LABORATORY PROTOCOLS FOR ACHIEVING

LP.005 ΟRAL-SYSTEMIC HEALTH AND THE ROLE OF DENTAL

Oral manifestations of Systemic Diseases may contain: • Clinical manifestations of the

LP.007 SUCCESS IN COMPLETE DENTURE TREATMENT; DETAILED

Background: The successful outcome of conventional complete denture treatment can be

LP.008 DIGITAL IMPRESSIONS AND 3D PRINTING-

LP.009 THE 2017 COLOR MATCHING CURRICULUM FOR DENTAL

LP.010 HOW A PERIODONTALINFECTION MIGHT TRIGGER

LP.011 DENTAL TRAUMA & TREATMENT PRINCIPLES AT PRIMARY

LP.012 TMJ: TO BE OR NOT TO BE THE CRUCIAL POINT AT

Neuromuscular equilibrium and optimal-stable Cranio-Sacral alignment is the absolute goal

LP.015 PROSTHODONTICS IN ADOLESCENT AGE-ADHESIVE

VULICEVIC ZR1, KOSANOVIC D.

LP.018 UNDERSTANDING HIGH FREQUENCY ULTRASONOGRAPHY

YOON S-J1, LEE E2-J,LEE J1-S,KANG B-C1

Ultrasonography is useful for diagnosis of diseases of the salivary glands,

LP.020 A. MINI SYMPOSIUM IN CONE-BEAM CT

Cone-beam Computed Tomography has been introduced to Dentistry approximately 18

LP.021 EVALUATION OF DIFFERENT METHODS IN THE DIAGNOSIS

LP.023 DIGITAL VERSUS CLASSIC IN CONTEMPORARY

Classical techniques of implant-prosthetic rehabilitation are always in a very small registry of

LP.024 VASCULAR TUMORS AND MALFORMATIONS IN CHILDREN

The introduction of the osseointegrated dental implants as an alternative treatment option

LP.026 CEMENTATION IN PROSTHODONTICS: TRENDS AND

LP.027 EFFECT OF DENTURE ADHESIVES ON FUNCTION AND

LP.029 TREATMENT OF MAXILLARY RETRUSION. FACE MASK WITH

LP.030 GUIDE IMPLANTOLOGY-ADVANTAGES & DISADVANTAGES

LP.031 INCREASING STABILITY OF DENTAL IMPLANTS: THE

OP.001. YOUNG MOTHERS KNOWLEDGE ABOUT CHILDRENS ORAL

CHALVATZOGLOU E1, MOURATOGLOU A2, CHALVATZOGLOU S3, TSIANTOU D4.

DELIGIANNI AI1, SFEIKOS T2, KOUROS P3.

OP.003. ORAL HEALTH STATUS OF THE CHILDREN WITH

PINAR ERDEM A1͕bzmZ<D1, SEPET E1͕'mEb,3͕dKWhK)>hE4.

Background:Attention Deficit Hyperactivity Disorder (ADHD) is a childhood neurological

BULDUR B1͕<z^7D2, AYDIN MN2.

KUCUKASLAN D1, GULER C2, BELDUZ KARA N3.

Background:Atraumatic Restorative Treatment (ART) endorsed by the World Health

PINAR ERDEM A1͕bzmZ<D1, SEPET E1͕'mEb,3͕dKWhK)>hE4.

BULDUR B1͕<z^7D2, AYDIN MN2.

''7EK1, KORKUT E2͕'mEz7>E3, ALAN R4͕z)DhZ^5.

DEMIREL G1͕,<</>d/K)>h/1, KOLSUZ ME2, ORHAN O2.

'P<>W<>zW1, ADEM SIYLI GZ1͕E<z ZT2.

Kb<hED1, dh)hd&1, SARI F2.

Pb,7E1, YILMAZ F2͕PdED3.

GmRBmZ S1, KURTULUbP2, KmmK H3, ORDUYILMAZ F4, GPKER B5.

YAVAN MA1, 'PzDED2, MOURAD D3͕PD7Z^4.

KORUYUCU M1͕<^/DK)>hzϭ͕h^2, BAHAR TUNA E3, SEYMEN F4.