Volum Rezumate BaSS 2018-1

Organized by
Romanian Association for Dental

Education
under the aegis of
Balkan Stomatological Society
23RD BaSS Congress
Dental Medicine of the Younger

vs. Elderly Patients
10 – 12 May 2018
PALAS Congress Hall | IASI | ROMANIA
www.e-bass.org
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23rd BaSS Congress
Dental Medicine of the Younger vs. Elderly Patients
10 – 12 May 2018
BASS COUNCIL MEMBERS

EXECUTIVE COMMITTEE:
President: Prof. Dr. Argirios Pissiotis
Past President: Prof. Dr. Dragoslav Stamenkovic
President Elect: Prof. Dr. Norina Forna
Vice President: Prof. Dr. Ana Minovska
Secretary General: Prof. Dr. Anastasios Markopoulos
Honorary Treasurer: Dr. Nicolaos Maroufidis
Editor-in-Chief: Prof. Dr. Dejan Markovic
COUNCIL MEMBERS:
COUNTRY Councilors Deputy Councilors

ALBANIA Prof. Dr. Ruzhdie Qafmolla Assoc. Prof. Dr. Edit Xhajanka
Prof. Dr. Rozarka Budina Dr. Virgjini Mulo
BOSNIA- Dr. Mihael Stanojevic Dr. Miroslav Lucic
HERZEGOVINA Prof. Dr. Sedin Kobaslija Assist. Prof. Dr. Elmedin Bajric
BULGARIA Prof. Dr. Andon Filchev Assoc. Prof. Dr. Miroslava Dinkova
Asst. Prof. Dr. Nikolai Sharkov Dr. Ivailo Metodiev
CYPRUS Dr. Rodos Irodotou Dr. George Minas
Dr. Huseyin Bicak Dr. Sami Solyali
F.Y.R.O.M. Assoc. Prof. Dr. Iljiana Dr. Marijan Denkovski
Muratovska
Dr. Julio Popovski
GREECE Dr. Georgios Tsiogas Dr. Athanasios Devliotis
Assoc. Prof. Dr. Athanasios Assoc. Prof. Dr. Elisavet
Poulopoulos Koulaouzidou
MONTENEGRO Dr. Dzenad Ganjola Dr. Zoran Vlahovic
Assist. Prof. Dr. Mirjana Prof. Dr. Jasminka Andjelic
Djurickovic
ROMANIA Assoc. Prof. Dr. Paula Perlea Assoc. Prof. Dr. Doriana Agop
Prof. Dr. Ecaterina Ionescu Forna
SERBIA Prof. Dr. Momir Carevic Dr. Ana Jotic
Dr. Slobotan Andjelkovic
TURKEY Prof. Dr. Murat Akkaya Prof. Dr. Ender Kazazoglu
Dr. Nejat Arpak Prof. Dr. Gurkan Gur
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23rd BaSS Congress
10 – 12 May 2018
CONGRESS COMMITTEES
President of the Congress

Professor Dr. NORINA CONSUELA FORNA
SCIENTIFIC COMMITTEE :
Prof. Dr. Norina Forna ROMANIA
FOREIGN MEMBERS:
Prof. Dr. Rozarka Budina ALBANIA
Dr. Brunilda Cenkoglu ALBANIA
Dr. Virgjini Mulo ALBANIA
Assoc. Prof. Dr. Alketa Qafmolla ALBANIA
Prof. Dr. Ruzhdie Qafmolla ALBANIA
Assoc. Prof. Dr. Edit Xhajanka ALBANIA
Prof. Dr. Jabbar Hasanov AZERBAIJAN
Prof. Dr. Charles Pilipili BELGIUM
Assist. Prof. Dr. Elmedin Bajric BOSNIA-HERZEGOVINA
Prof. Dr. Maida Ganibegovic BOSNIA HERZEGOVINA
Assist. Prof. Dr. Sedin Kobaslija BOSNIA-HERZEGOVINA
Dr. Miroslav Lucic BOSNIA-HERZEGOVINA
Dr. Mihael Stanojevic BOSNIA-HERZEGOVINA
Assoc. Prof. Dr. Miroslava Dinkova BULGARIA
Prof. Dr. Andon Filtchev BULGARIA
Dr. Ivailo Metodiev BULGARIA
Assoc. Prof. Dr. Nikolai Sharkov BULGARIA
Assist. Prof. Dr. Sevda Mihailova Yantcheva BULGARIA
Prof. Dr. Florent Songo Baukaka CONGO
Prof. Dr. Koffi Yolande COTE D’IVOIRE
Dr. Huseyin Bicak CYPRUS
Dr. Rodos Irodotou CYPRUS
Dr. George Minas CYPRUS
Dr. Sami Solyali CYPRUS
Prof. Dr. Patrick Hescot FRANCE
Dr. Marijan Denkovski FYROM
Prof. Dr. Ana Minovska FYROM
Assoc. Prof. Dr. Ilijana Muratovska FYROM
Dr. Julio Popovski FYROM
Prof. Dr. Helmut B. Engels GERMANY
Dr. Arwed Gernot Ludwig GERMANY
Prof. Dr. Roland Török GERMANY
Prof. Dr. Stylianos Dalampiras GREECE
Assoc. Prof. Dr. Antigoni Delantoni GREECE
Dr. Athanasios Devliotis GREECE
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23rd BaSS Congress
10 – 12 May 2018
Assoc. Prof. Dr. Elisavet Koulaouzidou GREECE

Prof. Dr. Anastasios Markopoulos GREECE
Dr. Nicos Maroufidis GREECE
Prof. Dr. William Papaioannou GREECE
Prof. Dr. Argirios Pissiotis GREECE
Assoc. Prof. Dr. Athanasios Poulopoulos GREECE
Dr. Georgios Tsiogas GREECE
Prof. Dr. Jasminka Andjelic MONTENEGRO
Assoc. Prof. Dr. Mirjana Djurickovic MONTENEGRO
Dr. Dzenad Ganjola MONTENEGRO
Dr. Zoran Vlahovic MONTENEGRO
Dr. Mariusz Duda POLAND
Prof. Dr. Anna Lella POLAND
Prof. Dr. Rui Amaral Mendes PORTUGAL
Prof. Dr. Sergiu Ciobanu REPUBLIC OF MOLDOVA
Prof. Dr. Immaculee Kamanzi RWANDA
Dr. Slobotan Andjelkovic SERBIA
Prof. Dr. Momir Carevic SERBIA
Dr. Ana Jotic SERBIA
Prof. Dr. Dejan Markovic SERBIA
Prof. Dr. Tamara Peric SERBIA
Prof. Dr. Dragoslav Stamenkovic SERBIA
Prof. Dr. Murat Akkaya TURKEY
Dr. Nejat Arpak TURKEY
Prof. Dr. Gurkan Gur TURKEY
Prof. Dr. Ender Kazazoglu TURKEY
ROMANIAN MEMBERS:
Prof. Dr. Sorin Andrian ROMANIA
Prof. Dr. Adriana Balan ROMANIA
Prof. Dr. Lucia Barlean ROMANIA
Prof. Dr. Cristina Bodnar ROMANIA
Prof. Dr. Alexandru Bucur ROMANIA
Prof. Dr. Aureliana Caraiane ROMANIA
Prof. Dr. Radu Septimiu Campian ROMANIA
Prof. Dr. Viorel Ibric Cioranu ROMANIA
Prof. Dr. Marcel Costuleanu ROMANIA
Prof. Dr. Ioan Dănilă ROMANIA
Prof. Dr. Andreea Didilescu ROMANIA
Prof. Dr. Carmen Dorobat ROMANIA
Prof. Dr. Kamel Earar ROMANIA
Prof. Dr. Liliana Foia ROMANIA
Prof. Dr. Gabriela Ifteni ROMANIA
Prof. Dr. Ecaterina Ionescu ROMANIA
Prof. Dr. Danisia Haba ROMANIA
Prof. Dr. Silvia Mârţu ROMANIA
Prof. Dr. Madalina Matei ROMANIA
Prof. Dr. Veronica Mercut ROMANIA
Prof. Dr. Anca Mesaros ROMANIA
Prof. Dr. Meda-Lavinia Negrutiu ROMANIA
Prof. Dr. Ion Patrascu ROMANIA
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23rd BaSS Congress
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Prof. Dr. Eugenia Popescu ROMANIA

Prof. Dr. Anca Sava ROMANIA
Prof. Dr. Tatiana Taranu ROMANIA
Prof. Dr. Monica Tatarciuc ROMANIA
Prof. Dr. Georgeta Zegan ROMANIA
Prof. Dr. Irina Nicoleta Zetu ROMANIA
Prof. Dr. Anca Vitalariu ROMANIA
Assoc. Prof. Dr. Paul Freiman ROMANIA
Assoc. Prof. Dr. Anca Melian ROMANIA
Assoc. Prof. Dr. Sorin Mihali ROMANIA
Assoc. Prof. Dr. Constantin Mihai ROMANIA
Assoc. Prof. Dr. Paula Perlea ROMANIA
Assoc. Prof. Dr. Mihaela Monica Scutariu ROMANIA
Assoc. Prof. Dr. Cosmin Sinescu ROMANIA
Assoc. Prof. Dr. Sorina Mihaela Solomon ROMANIA
Lecturer Dr. Doriana Agop Forna ROMANIA
Dr. Horia Barbu ROMANIA
Dr. Razvan Branzan ROMANIA
Dr. Vlad Deac ROMANIA
Dr. Andrei Kozma ROMANIA
Dr. Mihaela Mosnegutu ROMANIA
Dr. Dorin-Alexandru Păruş ROMANIA
Dr. Marius Popovici ROMANIA
ORGANIZING COMMITTEE :
Assoc. Prof. Dr. Cristina Iordache Assist. Dr. Magda Barlean
Assoc. Prof. Dr. Gianina Iovan Assist. Dr. Maria Bolat
Assoc. Prof. Dr. Alice Murariu Assist. Dr. Arina Ciocan - Pendefunda
Lecturer Dr. Doriana Agop Forna Assist. Dr. Daniel Cioloca
Lecturer Dr. Liana Aminov Assist. Dr. Dragos Fratila
Lecturer Dr. Monica Andronache Assist. Dr. Cristian Giuroiu
Lecturer Dr. Alina Apostu Assist. Dr. Tudor Hamburda
Lecturer Dr. Adina Armencia Assist. Dr. Catalina Holban Cioloca
Lecturer Dr. Carina Balcos Assist. Dr. Alexandra Martu
Lecturer Dr. Cristian Budacu Assist. Dr. Ovidiu Nicolaiciuc
Lecturer Dr. Oana Ciurcanu Assist. Dr. Cornelia Oanta
Lecturer Dr. Cristina Gena Dascalu Assist. Dr. Ioana Rudnic
Lecturer Dr. Ancuta Goriuc Assist. Dr. Ovidiu Stamatin
Lecturer Dr. Nicoleta Ioanid Assist. Dr. Amelia Surdu
Lecturer Dr. Ionut Luchian Assist. Dr. Zenaida Surlari
Lecturer Dr. Georgiana Macovei Assist. Dr. Dragos Virvescu
Lecturer Dr. Ioana Martu Res. Assist. Dr. Cosmin Cretu
Lecturer Dr. Mihaela Salceanu Dr. Tataru Calin
Lecturer Dr. Veronica Pintiliciuc Serban Dr. Alexandru Calin
Lecturer Dr. Ana Sirghie (Petcu) Dr. Cibela Caras
Lecturer Dr. Roxana Vasluianu Dr. Nicole Tofan
Assist. Dr. Ovidiu Aungurencei Stud. Oana Butnaru
Assist. Dr. Raluca Baciu Stud. Razvan Curca
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23rd BaSS Congress
10 – 12 May 2018
Romanian IT Support:
Ionut Baltag
Manager General SC John B Agency SRL
www.socialdoc.ro / tel. +40 742 154 378
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23rd BaSS Congress
10 – 12 May 2018
MESSAGES
BaSS President
Prof. Dr. Argirios Pissiotis
Dear distinguished members of the Balkan Stomatological Society,

Dear Colleagues in the Balkan Countries,
It is my pleasure to invite you to attend the 23rd Congress of the Balkan Stomatological
Society (BaSS) which will be organized this year by our President-Elect, Professor Dr. Norina Forna
in Iasi, Romania at the Palas Congress Hall from the 10th through the 12th of May 2018.
The Balkan Stomatological Society (BaSS) following its tradition of more than twenty years
in organizing, as per its constitutional obligation, another annual Congress with the purpose of
bringing together dentists from all the Balkan countries to exchange scientific knowledge and share
clinical experiences for the benefit of the oral health care of the people residing in the Balkans.
The chosen theme of this Congress is “Dental Medicine of the younger versus elderly
patients”. This addresses the provision of oral health care to the young people to ensure that they live
their lives with as smaller dental problems as possible but also ensures that the elderly people receive
the dental care they require to be able to enjoy the rest of their lives.
This Congress has also another purpose except the pure scientific one and this is the
opportunity it will provide once more, to bring together dentists form the Balkan and other European
countries to spend a long weekend together socializing, meeting old friends, making new ones
enhancing communications between professionals form the Balkan area and Europe.
With this message I would like to wish my dear friend and colleague Prof. Norina Forna and
her team a great success with the organization and extend an invitation to all the colleagues to come
to Iasi.
With Kind Regards,

Prof. Dr. Argirios Pissiotis
BaSS President
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23rd BaSS Congress
10 – 12 May 2018
MESSAGES
President of BaSS Congress 2018

Prof. Univ. Dr. Norina Forna
Dean, Faculty of Dental Medicine,
Grigore T. Popa U.M.Ph., Iasi, Romania
President of the Romanian Society of Oral Rehabilitation
Dear Colleagues,
I warmly invite you to the 23rd Balkan Stomatological Society Congress, which will be held
this year in Iasi, Romania, from 10 to 12 of May 2018.
This meeting marks an important moment in the evolution of the Romanian Association for
Dental Education and of the Faculty of Dental Medicine, under the aegis of interdisciplinarity and
avant-garde.
The selection of the governing theme for this international scientific event is not random: the
dental medicine practice raises special issues in the treatment of either young or elderly patients,
which often require special demands, opening a wide field of subjects for the dental research.
The BASS meeting will bring our city, Iasi, in the center of the scientific community devoted
to the study of advances in dental medicine. Distinguished speakers from all around the world will
offer the most recent updates in the clinical and paraclinical areas of interdisciplinarity, covering a
broad range of topics, and the sessions of conferences and oral communications organized
throughout the meeting will provide a valuable framework for all the specialists in the field of dental
medicine to change knowledge and to establish new professional collaborations.
We are looking forward to welcome you in Iasi, the city of seven hills, “little Rome” of
Romania, from the heart of the Moldavian region, a city rich in history and culture, and we hope that
your staying here will be a very pleasant experience!
President of BaSS Congress 2018

Prof. Univ. Dr. Norina Forna
Dean, Faculty of Dental Medicine,
Grigore T. Popa U.M.Ph., Iasi, Romania
President of the Romanian Association for Dental Education
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23rd BaSS Congress
10 – 12 May 2018
BaSS CONGRESS HISTORY

BaSS Venue - Dates President of the Presidents of BaSS President BaSS General
Congresses Congress Committees Secretary
1st Helexpo, “I. Vellidis” - Dr. Kostas - -
Congress Center Hatzipanagiotou
Thessaloniki, Greece Prof. Dr.
28 – 31 March 1996 Dimitris Karakasis
2nd Sava Center Prof. Dr. Prof. Dr. Prof. Dr. Prof. Dr.
Belgrade, Yugoslavia Dragan Beloica Marko Vulovic Dimitris Karakasis Dimitris Iakovidis
2 – 5 April 1997 Prof. Dr.
Ljubomir Todorovic
3rd National Palace of Assoc. Prof. Dr. Assist. Prof. Dr. Prof. Dr. Prof. Dr.
Culture Nikola Atanasov Nikolai Sharkov Dimitris Karakasis Dimitris Iakovidis
Sofia, Bulgaria Prof. Dr.
2 – 5 April 1998 Elena Dulgerova
4th Lutfi Kirdar Prof. Dr. Prof. Dr. Prof. Dr. Prof. Dr.
Convention & Nuri Yazicioglou Nejat Arpak Dimitris Karakasis Dimitris Iakovidis
Exhibition Center Prof. Dr.
Istanbul, Turkey Hamit Bostanci
22 – 25 March 1999
5th Helexpo, “I. Vellidis” Prof. Dr. Dr. Prof. Dr. Prof. Dr.
Congress Center Dimitris Iakovidis Georgios Tsiogas Dragan Beloica Dimitris Iakovidis
Thessaloniki, Greece (Dr. Prof. Dr. (Prof. Dr.
13 – 16 April 2000 Georgios Tsiogas) Ioannis Kayavis Dimitris Karakasis)
6th “Romexpo” Prof. Dr. Dr. Prof. Dr. Prof. Dr.
International Fair Andrei Iliescu Alexandru Brezoescu Dragan Beloica Dimitris Iakovidis
Center Prof. Dr. (Prof. Dr.
Bucharest, Romania Horia Traian Dumitru Dimitris Karakasis)
3 – 6 May 2001
7th Pine-Bay Holiday Prof. Dr. Prof. Dr. Prof. Dr. Prof. Dr.
Resort Hotel Nejat Arpak Murat Akkaya Nuri Yazicioglu Dimitris Karakasis
Kusadasi, Turkey Prof. Dr.
28 – 30 May 2002 Hamit Bostanci
8th Intercontinental Hotel Prof. Dr. Dr. Prof. Dr. Prof. Dr.
Tirana, Albania Pavli Kongo Besnik Gavazi Nuri Yazicioglu Dimitris Karakasis
1 – 4 May 2003 Assist.Prof. Dr. (Assoc. Prof. Dr.
Lindita Xhemnica Petros Koidis)
9th Metropol Hotel Prof. Dr. Prof. Dr. Prof. Dr. Prof. Dr.
Ohrid, FYROM Mile Carcev Dragoljub Veleski Nikola Atanasov Petros Koidis
13 – 16 May 2004 Prof. Dr.
Ana Minovska
10th Sava Center Prof. Dr. Prof. Dr. Prof. Dr. Prof. Dr.
Belgrade, Yugoslavia Marko Vulovic Dragan Beloica Nikola Atanasov Petros Koidis
11 – 14 May 2005 Prof. Dr.
Dragoslav Stamenkovic
11th Holiday Inn Hotel Prof. Dr. Prof. Dr. Prof. Dr. Assoc. Prof. Dr.
Sarajevo, Halid Sulejmanagic Sedin Kobaslija Andrei Iliescu Lambros Zouloumis
Bosnia-Herzegovina Prof. Dr.
11 – 14 May 2006 Olga Blagojevic
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23rd BaSS Congress
10 – 12 May 2018
BaSS CONGRESS HISTORY

BaSS Venue - Dates President of the Presidents of BaSS President BaSS General
Congresses Congress Committees Secretary
12th Grand Cevahir Hotel Prof. Dr. Prof. Dr. Prof. Dr. Assoc. Prof. Dr.
Istanbul, Turkey Hamit Bostanci Nuri Yazicioglu Andrei Iliescu Lambros Zouloumis
12 – 14 April 2007 Prof. Dr.
Murat Akkaya
13th Hawaii Grand Hotel Dr. Irodotos Dr. Joseph Violaris Prof. Dr. Assoc. Prof. Dr.
and Resort Irodotou Dr. Georgios Pandelas Marko Vulovic Lambros Zouloumis
Limassol, Cyprus (Prof. Dr.
1 – 4 May 2008 Petros Koidis)
14th Palace of Culture and Ass.Prof. Dr. Prof. Dr. Prof. Dr. Assoc. Prof. Dr.
Sports Nikolai Sharkov Aneliya Klissarova Marko Vulovic Lambros Zouloumis
Varna, Bulgaria Prof. Dr. (Prof. Dr.
6 – 9 May 2009 Doan Ziya Petros Koidis)
15th Helexpo, “I. Vellidis” Prof. Dr. Theodoros Prof. Dr. Prof. Dr.
Congress Center Lambrianidis Petros Koidis Argirios Pissiotis
Thessaloniki, Greece
22 – 25 April 2010
16th Grand Hotel Rin Prof. Dr. Prof. Dr. Andrei Iliesku Prof. Dr. Prof. Dr.
Bucharest, Romania Norina Forna Prof. Dr. Alexandru Petros Koidis Argirios Pissiotis
28-30 April 2011 Bucur
Prof. Dr. Adrian Streinu
Cercel
17th Hotel Tirana Prof. Dr. Dr. Rozarka Budina Prof. Dr. Prof. Dr.
International Ruzhdie Qafmolla Dr. Pavli Kongo Hamit Bostanci Argirios Pissiotis
Tirana, Albania Dr. Edit Xhajanka
3-6 May 2012
18th Hotel Alexandar Prof. Dr. Dr. Marijan Denkovski Prof. Dr. Prof. Dr.
Palace Ana Minovska Dr. Ilijana Muratovska Hamit Bostanci Argirios Pissiotis
Skopje, FYROM
25-27 April 2013
19th Sava Centar Prof. Dr. Dr. Obrad Zelić Assoc. Prof. Dr. Assoc. Prof. Dr.
Belgrade, Serbia Dragoslav Dr. Dejan Marković Nikolai Sharkov Nikolaos
24 - 27 April 2014 Stamenković Economides
20th International Hotel Prof. Dr. Assoc. Prof. Dr. Assoc. Prof. Dr.
Bucharest, Romania Norina Forna Nikolai Sharkov Nikolaos
23-26 April 2015 Economides
21st Hotel "Bosna" Dr. Prim. Prof. Dr. Assoc. Prof. Dr.
Banja Luka, Bosnia- Mihael Stanojevic Savo Kostadinovic Dragoslav Stelios Dalampiras
Herzegovina Prof. Dr. Stamenkovic
12 - 15 May, 2016 Sedin Kobaslija
22nd Hotel "Macedonia Prof. Dr. Dr. Georgios Tsiogas Prof. Dr. Prof. Dr. Anastasios
Palace Hotel" Lampos Zouloumis Argirios Pissiotis Markopoulos
Thessaloniki, Greece
4 - 7 May, 2017
23rd Palas Congress Hall Prof. Dr. Prof. Dr. Prof. Dr. Anastasios
Iasi, Romania Norina Forna Argirios Pissiotis Markopoulos
10 – 12 May, 2018
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23rd BaSS Congress
10 – 12 May 2018
IASI, THE CULTURAL CAPITAL OF ROMANIA

Iasi is the largest city in eastern Romania
and the seat of Iași County. Located in the
Moldavia region, Iași has traditionally been one
of the leading centres of Romanian social,
cultural, academic and artistic life.
Known as The Cultural Capital of Romania,
Iași is a symbol in Romanian history and the main
economic and business centre of the Moldavian
region of Romania.
Home to the oldest Romanian university and
to the first engineering school, Iași is one of the
most important education and research centres
of the country. The social and cultural life
revolves around the Vasile Alecsandri National
Theater (the oldest in Romania), the Moldova
State Philharmonic, the Opera House, the Iași
Athenaeum, a famous Botanical Garden (the
oldest and largest in Romania), the Central
University Library (the oldest in Romania), the high quality cultural centres and festivals, an array of
museums, memorial houses, religious and historical monuments. The city is also known as the site
of the largest Romanian pilgrimage which take place each year, in October.
IASI GENERAL INFORMATION:

Location: North-East of Romania
Elevation: 200 ft (60 m)
Size: City – 93.9 sq. km
Metropolitan area – 808 sq.
km
Population: 362.142 (2016)
First documented: 1408 AD
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23rd BaSS Congress
10 – 12 May 2018
CONGRESS VENUE
PALAS
Congress
Hall
THE PALAS ENSEMBLE

The Palas multifunctional building
complex is the largest investment in the real
estate sector outside Bucharest, worth over 265
million euros, made by Iulius Group. The Uni
Project, inaugurated in May 2012, introduced
the concept of a “lifestyle center” on the
domestic market.
Situated in the historical center of Iasi,
near the Palace of Culture, the urbanistic
ensemble attracts over 12 million visitors every
year.
Palas includes shopping, shopping street, 5 meeting rooms, offices, a 4 * hotel,

underground parking of 2,500 seats, park and green areas over 50,000 sqm.
Palas is also recognized as a business pole, thanks to its first office component, where
many multinational companies operate in areas such as IT, finance, engineering engineering,
consulting and insurance. The Unic Business Center features 6 Class A office buildings,
distinguished by state-of-the-art technical features and modern facilities.
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23rd BaSS Congress
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The PALAS ensemble is not only a place for shopping and business, but also a special
destination for spending free time in nature. Located on the grounds of the former Garden of the
Domnesti Court, in the oriental style, the present garden preserves elements from the arrangements
made by Vasile Lupu, such as the circular lake and a closed pontoon with a gazebo on the place
of the Middle Ages havuz.
MOZART HALL 120 places

CHOPIN HALL 300 places
CONGRESS HALLS: 5 VIVALDI HALL 240 places
The biggest hall: 700 places ROSSINI HALL 350 places
VERDI HALL 250 places
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23rd BaSS Congress
10 – 12 May 2018
SOCIAL PROGRAM AND EVENTS

THURSDAY, May 10th
17:00 – 18:30 OPENING CEREMONY
(National Theatre from Iasi)
19:00 WELCOME COCKTAIL
(“CASTEL” Restaurant)
FRIDAY, May 11th

10:00 – 12:00 1st BaSS Council Meeting
(MOZART Hall, PALAS Congress Hall)
14:00 – 16:00 BaSS – FDI – ARO – ERO – ADEE Meeting
(“Vasile Pogor” Conference Hall, CITY HALL)
16:30 – 18:30 Dental Medicine Faculties DEANS Meeting
(“Vasile Pogor” Conference Hall, CITY HALL)
20:00 GALA DINNER
(CHOPIN + VIVALDI Hall, PALAS Congress Hall)
SATURDAY, May12th
09:00 – 10:00 Professional Associations Meeting
10:00 – 12:00 2nd BaSS Council Meeting
12:00 – 14:00 BaSS General Assembly
(CHOPIN Hall, PALAS Congress Hall)
14:00 Closing Ceremony
(CHOPIN Hall, PALAS Congress Hall)
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23rd BaSS Congress
10 – 12 May 2018
TOURISTIC OPTIONS :
IASI city tour (3h 30’)
- FEE: 12 EUR/ person/ for groups 18 persons
- Transport by bus
- The price includes accompanying guide (Romanian, English, French languages)
Enjoy the charm of the

former capital of Moldavian
region, the perfume of linden
trees and the ancient stories of
the mitropolits and the princes
who made from this old town a
point of interest in the medieval
Europe. Be part of the events
that occur in the city that proudly
calls itself “the Capital of
Culture” from Romania.
Start the visit with a walk in the Palace Square and review the main monuments in
the area: Palace of Culture (the former palace of Moldavian rulers), Palas Mall Gardens,
St. Nicholas Church, Dosoftei House.
Continue the visit with the monuments situated along the Stefan cel Mare Boulevard:
Three Hierarchs Church, Catholic Cathedral, Metropolitan Church, City Hall Palace and the
National Theater.
Travel to the Unirii Square to see the Alexandru Ioan Cuza Monument and its
historical buildings, Select Hotel and Traian Hotel (built by Gustave Eiffel). Walk up the
Copou Boulevard to feel the pulse of the university heart of Iasi; allow yourself a moment
of relaxation and day-dreaming in the The Hall of the Lost Footsteps from “Alexandru Ioan
Cuza” University, 120 meters in length, painted in fresco by Sabin Balasa.
Make a short visit in the Copou Garden, to see the 250 years old linden tree known
as the place where Mihai Eminescu, the greatest poet of the Romanians, used to rest and
to find sources of inspiration.
The last objective of the trip will be the Cetatuia Hill, from where you can admire the
beautiful panorama of Iasi and where you will visit the Cetatuia Monastery, the former
summer residence of the Moldavian rulers. Aftwerwards you will return to the central area.
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23rd BaSS Congress
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One day trip to Bucovina and Neamt:

- FEE: 55 EUR/ person/ for groups 18 persons
- Transport by modern bus
- The price includes accompanying guide (Romanian, English, French languages)
Departure from Iasi

(around 8.30 AM) towards Neamt
County, the region with the most
impressive monuments of
Moldavian Middle Ages, the old
monasteries and the defense
fortresses.
We will visit the Agapia
Monastery, the largest religious
institution in the area (to see the
church – and the interior frescoes
painted by the Romanian famous
Painter Nicolae Grigorescu, the museum and the ateliers). We will stop to visit the Neamt
Citadel (after a walk uphill for about 15 minutes to reach the objective). The coffe breaks
and lunch time are not included in the price but compulsory as timing.
We will go towards Bucovina, the region that belongs to UNESCO'S patrimony and
awarded by FIJET with the Pomme D'or (Golden Apple prize). We will stop for taking photos
of local architecture in Baisesti Village, on the valley of Moldova River.
The main objective of the
trip will be to visit the Voronet
Monastery - The Sixtine Chapel
of the East, famous for the
impressive frescoes on the
outside walls, representing the
Final Judgment and other scenes
of the Holly Book.
We will return to Iasi
(arriving around 7 PM).
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23rd BaSS Congress
10 – 12 May 2018
18
SCIENTIFIC PROGRAM OVERVIEW
THURSDAY, MAY 10th, 2018
TIME CHOPIN A Hall CHOPIN B Hall VIVALDI A Hall VIVALDI B Hall MOZART Hall ROSSINI A Hall ROSSINI B Hall VERDI Hall
10:00
Receiving and registration of the participants
18:00
10:00 PLENARY PLENARY PLENARY PLENARY PRESS ORAL ORAL WORKSHOP
12:00 LECTURES LECTURES LECTURES LECTURES CONFERENCE PRESENTATIONS PRESENTATIONS
● Antigoni Delantoni ● Tamara Peric ● Norina Forna ● Aureliana Caraiane Restorative dentistry I Periodontology I (6) ORAL
(GREECE) 60 min: (SERBIA) 30 min: (ROMANIA) 60 min: (ROMANIA) 30 min: (8) OP 148-155 IMPLANTOLOGY
-Medical vs. Dental Non-Operative Haptic Systems in Perspectives of OP 202-209 Megagen
radiographs – When Treatment of Caries Dental Medicine Nanotechnologies
and How to use each Disease: New ● Helmut B. Engels using in Dental
in the Maxillo-Facial Perspectives in (GERMANY) 30 min: Medicine
Area Children and Adults Extraction – ORAL
-Maxillo-facial ● William Implantation – PRESENTATIONS
ultrasound – Basics Papaioannou Prosthesis Oral surgery III (2)
and Applications (GREECE) 30 min: ● Ender Kazazoglu OP 101-103
● Doriana Agop The Paradigm for Non- (TURKEY) 30 min: Hospital Dentistry (1)
Forna (ROMANIA) 30 Surgical Periodontal Immediate Loading: OP 53
min: Therapy Today Why, When and How New technologies (1)
Minimal – invasive ● Sergiu Ciobanu OP 59
priorities in dento- (Rep. MOLDOVA) Preventive Dentistry
alveolar surgery 30 min: (2)
● Arwed Gernot The Role of OP 173-174
Ludwig (GERMANY) Polymerase Chain
30 min: Reaction in the
Bone Substitution Evaluation of the
versus Bone Periodontal Disease
Regeneration ● Radu Septimiu
Campian (ROMANIA)
30 min:
Ethics and Deontology
in Dentistry
12:00 PLENARY PLENARY PLENARY ORAL STUDENTS AND ORAL POSTER WORKSHOP
14:00 LECTURES LECTURES LECTURES PRESENTATIONS YOUNG DENTISTS PRESENTATIONS PRESENTATIONS ORAL
● Cristina Bodnar ● Paula Perlea ● Ecaterina Ionescu Restorative dentistry II SESSION Restorative dentistry Pediatric dentistry I (9) IMPLANTOLOGY
(ROMANIA) 30 min: (ROMANIA) 30 min: et al. (ROMANIA) 30 (8) OP 251-259 III (8) PP 108-116 Megagen
Clinical Aspects in Endodontics in min: OP 194-201 OP192, OP100, OP 210-217 Preventive dentistry
Oral Rehabilitation in Younger versus The Biological OP80, OP77 (7)
Younger Adult and Elderly Patients Determinant in PP 149-155
Elderly Patients with ● Eugenia Popescu Orthodontic Therapy Periodontology I (8)
Specific Needs (ROMANIA) 30 min: ● Alexandru Bucur PP 129-136
● Stylianos Dental Extraction and (ROMANIA) 30 min:
Dalampiras Bisphosphonates Clinical and
(GREECE) 30 min: Histopathological
Orthodontia and Oral Considerations on
& Maxillofacial Surgery Bone Grafts in
in Close Collaboration Implantology
● Vlad Deac DEBATE (30 min): 12:30 – 14:00
(ROMANIA) 30 min: UMB – BaSS Dental Medicine
The Prevention in Medallion Faculties DEANS
Stomatology – A New Meeting
Vision Moderators:
● Sorin Andrian V. Milicescu, M. Rusu Curricula
(ROMANIA) 30 min: (ROMANIA) Harmonization for
Modern Approaches Dental Medicine
regarding Root Caries Residency
ORAL ORAL
Lesions Control
PRESENTATIONS PRESENTATIONS
Oral Surgery I (4) Oral Surgery II (4) Moderator:
OP 93-96 OP 97-100 Ecaterina Ionescu
(ROMANIA)
CMDR President
14:00
Lunch Break
14:30
14:30 ORAL ORAL ORAL ORAL POSTER ORAL ORAL WORKSHOP
16:00 PRESENTATIONS PRESENTATIONS PRESENTATIONS PRESENTATIONS PRESENTATIONS PRESENTATIONS PRESENTATIONS LASERS IN
Oral Implantology I (6) Endodontology I (6) Fixed Prosthodontics I Oral diagnosis – oral Laser (1) PP 53 Orthodontics I (6) Paediatric Dentistry I DENTISTRY
(6) radiology I (6) New technologies (2) (6) HTP Medical
OP 72-77 OP 22-27 OP 35-40 OP 60-65 PP 54-55 OP 106-110, OP 123 OP 132-137 Dr. Marten Toewe
Oral implantology (5) (GERMANY)
PP 65-69
Oral pathology (4)
PP 70-73
Community dentistry
(4) PP 1-4
17:00
OPENING CEREMONY – NATIONAL THEATER from IASI
18:30
19:00
WELCOME COCKTAIL – “LA CASTEL” Restaurant
FRIDAY, MAY 11th, 2018

10:00 PLENARY PLENARY PLENARY PLENARY 1st BaSS Council ORAL ORAL WORKSHOP
12:00 LECTURES LECTURES LECTURES LECTURES Meeting PRESENTATIONS PRESENTATIONS
● Mariusz Duda ● Roland Török ● Rui Amaral ● Cosmin Sinescu Orthodontics II (11) Restorative Dentistry DIRECT ESTHETIC
(POLAND) 60 min: (GERMANY) 30 min: Mendes (ROMANIA) 30 min: IV (6) RESTORATIONS
Predictable Implant New Method for (PORTUGAL) 60 min: News in Dental OP 107, OP 112-121 OP 226-232 USING COMPOSITE
Treatment as the Horizontal and Vertical The Medical Impression Technique: MATERIALS WITH
Result of Basic and Augmentation of the Compromised Patient Clasic versus ART TECHNOLOGY
Continuous Education Alveolar Ridge based in an Ageing Optoelectronic
in Implantology on Biology Population Paradigm KaVo Kerr Resto
● Sorin Mihali ● Sevda Mihailova ● Koffi Yolande ● Horia Barbu Dr. Lupu Costin
(ROMANIA) 30 min: Yantcheva (COTE D’IVOIRE) (ROMANIA) 30 min:
Maintaining Tissue (BULGARIA) 60 min: 60 min: Treatment Planning in
Architecture after Posterior Composite Clinical and Oral Implantology
Tooth Extraction using Resins – A Current Radiological Mediate ● Immaculee
Implant-Supported Assessment of Matrix Evaluation of Kamanzi (RWANDA)
Restorations Development Endodontic 30 min:
● Meda-Lavinia ● Carmen Dorobat et Treatments performed Dentistry in Rwanda
Negrutiu (ROMANIA) al. (ROMANIA) 30 by Hospital Students ● Anca Mesaros
30 min: min : (ROMANIA) 30 min:
Imaging of Biofilm HIV infection in The Particularities of
Development by stomatognatic system the Orthodontic
Optoelectronic Treatment at Different
Methods Ages
12:00 PLENARY PLENARY PLENARY PLENARY POSTER ORAL ORAL WORKSHOP
13:00 LECTURES LECTURES LECTURES LECTURES PRESENTATIONS PRESENTATIONS PRESENTATIONS
● Veronica Mercut ● Ana Minovska ● Charles Pilipili ● Andreea Didilescu Removable Oral diagnosis – Oral Oral pathology I (4) DIRECT ESTHETIC
(ROMANIA) 30 min: (FYROM) 30 min: (BELGIUM) 30 min: (ROMANIA) 30 min : Prosthodontics (13) radiology II (3) RESTORATIONS
Clinical, The Nature of Reserved subject The Effect of Mineral PP 156-168 OP 69-71 OP 89-92 USING COMPOSITE
Epidemiological and Surfaces Roughness Trioxide Aggregate on MATERIALS WITH
Etiopathological after Er:YAG Laser ● Florent Songo Hard Tissue ART TECHNOLOGY
Aspects of Dental Assisted Root Bio- Baukaka (CONGO) Formation. A
Wear in Young People modification 30 min: Systematic Review KaVo Kerr Resto
versus the Elderly ● Athanasios L’état de Santé des ● Alketa Qafmolla Dr. Lupu Costin
● Ilijana Muratovska Poulopoulos Enfants (ALBANIA) 30 min:
(FYROM) 30 min: (GREECE) 30 min: Drépanocytaires Early Discover of the
The Role of Gingival Non-Normal Posture
Quaternary Manifestations of as Prophylaxis Dento-
Ammonium Systemic Diseases Maxila-Faciale
Compounds in Dental and Conditions
Adhesives
13:00
Lunch Break
14:00
14:00 ORAL ORAL ORAL ORAL BaSS – FDI – ARO – ORAL ORAL WORKSHOP
16:00 PRESENTATIONS PRESENTATIONS PRESENTATIONS PRESENTATIONS ERO – ADEE Meeting PRESENTATIONS PRESENTATIONS ORAL
Community Dentistry Oral Pathology II (6) Periodontology II (10) Oral Implantology II (5) (LOCATION: IASI Preventive Dentistry Other I (9) IMPLANTOLOGY
(5) OP 83-88 OP 78-82 CITY HALL – MAIN (7) BTK
OP 1-5 Oral Surgery IV (3) Laser (5) HALL)
Gerodontology (1) OP 104-105, OP 102 OP 156-163; OP 153, OP 54-58 ROUND TABLE OP 175-182 OP 242-250
OP 52 OP 154 Updates in bone
Oral Diagnosis (2) augmentation and
OP 66-67 grafting
Moderator:
Dr. Helme Altaee
(DUBAI)
16:00 POSTER POSTER WORKSHOP
16:30 PRESENTATIONS PRESENTATIONS ORAL
Coffee Break
Oral Surgery I (6) Orthodontics I (5) IMPLANTOLOGY
PP 74-79 PP 89-94 BTK
16:30 ORAL ORAL ORAL ORAL Dental Medicine ORAL ORAL WORKSHOP
18:30 PRESENTATIONS PRESENTATIONS PRESENTATIONS PRESENTATIONS Faculties DEANS PRESENTATIONS PRESENTATIONS ORAL
Dental Biomaterials I Restorative Dentistry Periodontology III (9) Other II (9) Meeting Paediatric Dentistry II Removable IMPLANTOLOGY
(9) V (8) (LOCATION: IASI (10) Prosthodontics I (11) BTK
OP 6-13, OP 16 OP 218-225 OP 164-172 OP 233-241 CITY HALL – MAIN OP 138-147 OP 183-193
HALL)
ROUND TABLE 17:00 – 18:30
POSTER
PRESENTATIONS
Intra-operative Fixed Prosthodontics I
complications in dental (12)
implantology PP 35-46
Moderator: Endodontology I (6)
Dr. Helme Altaee PP 13-18
(DUBAI)
18:30 POSTER POSTER POSTER POSTER
19:30 PRESENTATIONS PRESENTATIONS PRESENTATIONS PRESENTATIONS
Fixed prosthodontics II Restorative Dentistry Oral surgery II (9) Periodontology II (12)
(9) (7) PP 80-88
PP 26-34 PP 169-175 Orthodontics (3) PP 137-148
PP 95-97
20:00
GALA DINNER – CHOPIN + VIVALDI HALL
SATURDAY, MAY 12th, 2018

09:00 PLENARY PLENARY LECTURES PLENARY LECTURES PLENARY LECTURES Professional POSTER POSTER POSTER
10:00 LECTURES ● Marcel Costuleanu ● Kamel Earar ● Maida Ganibegovic Associations PRESENTATIONS PRESENTATIONS PRESENTATIONS
● Andrei Kozma et (ROMANIA) 30 min: (ROMANIA) 30 min: (BOSNIA Meeting Dental Biomaterials (8) Orthodontics III (11) Pediatric dentistry II
al. (ROMANIA) 30 Biochemical Effects of Contemporary HERZEGOVINA) PP 5-12 (12)
min: Collagen-Cultured Approaches of Zirconia in 30 min: Other (4)
Oral Hereditary Mesenchymal Stem Fixed Prosthesis Lifestyle vs. Oral Health PP 176-179 PP 98-107, PP 93 PP 117-128
Abnormalities - Child Cells on Endothelial ● Madalina Matei Tempora Mutantur
Diagnosed with Progenitor Cells In Vitro (ROMANIA) 30 min: ● Mihaela Mosnegutu
Epidermolysis Bullosa ● Sorina Mihaela Prevention of Dento- (ROMANIA) 30 min:
● Ion Patrascu Solomon (ROMANIA) Alveolo Maxilar The antibiotics used in
(ROMANIA) 30 min: 30 min : Disharmonies in School dental medicine – age-
Advantages, Limits Actualities of Association and Preschool Children correlated
and Alternatives in between Periodontal particularities
Zirconia Prosthetics Disease and End-Stage
Restorations Chronic Kidney Disease
/ Dialysis
10:00 ORAL ORAL PLENARY LECTURES PLENARY LECTURES 2nd BaSS Council ORAL ORAL POSTER
12:00 PRESENTATIONS PRESENTATIONS ● Jabbar Hasanov ● Brunilda Cenkoglu Meeting PRESENTATIONS PRESENTATIONS PRESENTATIONS
Endodontology II (7) (AZERBAIJAN) 30 min: (ALBANIA) 30 min: Orthodontics III (12) Endodontology II (7)
OP 28-34 Fixed Prosthodontics II Sinus Floor Dental Implant Dental Biomaterials PP 19-25
Fixed Prosthodontics II (10) Augmentation. The Placement using and Devices II (7) Oral diagnosis (9)
(3) Importance of Navigation System PP 56-64
OP 41-43 Examination, Treatment ● Irina Nicoleta Zetu OP 122-131, OP 111, Gerodontology (5)
OP 44-51, OP 230, Options and Follow Up on (ROMANIA) 30 min: OP 114, OP 115 OP 14-21, OP 176 PP 47-51
OP 68 Successful Results Modern Orthodontic
● Viorel Ibric Cioranu Therapeutic
(ROMANIA) 30 min: Approaches in Children
Complications of Implant- and Young Adults
Prosthetic Treatment at ● Mihaela Monica
Young vs. Elder Patient Scutariu (ROMANIA)
● Razvan Branzan 30 min:
(ROMANIA) 30 min: Considerations on
The Reciprocating Improving the Oral
Movement in Endodontics Health of the Elderly
● Marius Popovici ● Anca Melian
(ROMANIA) 30 min: (ROMANIA) 30 min:
Caprice or Necessity in Study regarding the
Dental Medicine Clinical Applications of
Premixed Bioceramic
Materials in
Endodontics
12:00
BaSS General Assembly
14:00
14:00
CLOSING CEREMONY
23rd BaSS Congress
10 – 12 May 2018
DETAILED SCIENTIFIC PROGRAM

THURSDAY, MAY 10th, 2018
THURSDAY, MAY 10th, 2018 CHOPIN A HALL
Time
10:00
PLENARY LECTURES
12:00
Prof. Dr. Ana Minovska (FYROM)
Chairmen:
Prof. Dr. Argirios Pissiotis (GREECE)
PLENARY LECTURES
● Antigoni Delantoni (GREECE) 60 min:
-Medical vs. Dental radiographs – When and How to use each in the Maxillo-Facial Area
-Maxillo-facial ultrasound – Basics and Applications
● Doriana Agop Forna (ROMANIA) 30 min:
Minimal – invasive priorities in dento-alveolar surgery
● Arwed Gernot Ludwig (GERMANY) 30 min:
Bone Substitution versus Bone Regeneration
12:00
PLENARY LECTURES
14:00
Prof. Dr. Stylianos Dalampiras (GREECE)
Chairmen:
Prof. Dr. Cristina Bodnar (ROMANIA)
PLENARY LECTURES
● Cristina Bodnar (ROMANIA) 30 min:
Clinical Aspects in Oral Rehabilitation in Younger Adult and Elderly Patients with Specific
Needs
● Stylianos Dalampiras (GREECE) 30 min:
Orthodontia and Oral & Maxillofacial Surgery in Close Collaboration
● Vlad Deac (ROMANIA) 30 min:
The Prevention in Stomatology – A New Vision
● Sorin Andrian (ROMANIA) 30 min:
Modern Approaches regarding Root Caries Lesions Control
14:00
LUNCH BREAK
14:30
25
23rd BaSS Congress
10 – 12 May 2018
14:30 ORAL PRESENTATIONS

16:00 Oral Implantology I (6)
Prof. Dr. Ender Kazazoglu (TURKEY)
Chairmen:
Lect. Dr. Doriana Agop Forna (ROMANIA)
OP 72 THE USE OF FOUR IMPLANTS PLACED IN IMMEDIATE FUNCTION TO SUPPORT
MAKSILLER FIXED PROSTHODONTIC REHABILITATION
RUKIYE DURKAN*, PERIHAN OYAR**, GONCA DESTE*
*University of Afyon Kocatepe, Faculty of Dentistry
** University of Hacettepe, Health Services Vocational School of Dental Technology
Program, Ankara
Turkey
OP 73 IMPLANT REHABILITATION OF EDENTULOUS PATIENT
ERDA QORRI, FABIO DE PROPRIS, ISMAIL KARABUDAK
Albanian University, Tirana
Albania
OP 74 IMPACT OF İMPLANT SUPPORTED MANDİBULAR OVERDENTURES ON ORAL
HEALTH RELATED QUALİTY OF LİFE
MEHMET MUSTAFA OZARSLAN, NELLI YILDIRIMYAN, ALPER SINDEL, MEHMET ALI
ALTAY
Akdeniz University, Antalya
Turkey
OP 75 EFFECT OF DIFFERENT DIAMETER ON THE SUCCESS OF FIXED SINGLE-TOOTH
IMPLANT RESTORATIONS: 2 YEAR FOLLOW-UP
ÖZGE PARLAR ÖZ, NERMIN DEMIRKOL, MAHMUT ERÇIL, MEHMET DEMIRKOL
Gaziantep University
Turkey
OP 76 IMPLANT SUPPORTED OVERDENTURE: SELECTION OF THE ATTACHMENT
TYPES FOR ATROPHIC MANDIBULA: TWO CASE REPORTS
M.SERTAÇ OZDOGAN, MINE TURAL, K.AYBUKE AYDEMIR, FILIZ AYKENT
Ankara Yıldırım Beyazıt University
Turkey
17:00
OPENING CEREMONY – The National Theater from Iasi
18:30
19:00 WELCOME COCKTAIL – CASTEL Restaurant
26
23rd BaSS Congress
10 – 12 May 2018
THURSDAY, MAY 10th, 2018 CHOPIN B HALL
Time
10:00
PLENARY LECTURES
12:00
Assist. Prof. Dr. Elmedin Bajric (BOSNIA and HERZEGOVINA)
Chairmen:
Prof. Dr. Radu Septimiu Campian (ROMANIA)
PLENARY LECTURES
● Tamara Peric (SERBIA) 30 min:
Non-Operative Treatment of Caries Disease: New Perspectives in Children and Adults
● William Papaioannou (GREECE) 30 min:
The Paradigm for Non-Surgical Periodontal Therapy Today
● Sergiu Ciobanu (Rep. MOLDOVA) 30 min:
The Role of Polymerase Chain Reaction in the Evaluation of the Periodontal Disease
● Radu Septimiu Campian (ROMANIA) 30 min:
Ethics and Deontology in Dentistry
12:00
PLENARY LECTURES & ORAL PRESENTATIONS - Oral Surgery I (4)
14:00
Prof. Dr. Paula Perlea (ROMANIA)
Chairmen:
Prof. Dr. Eugenia Popescu (ROMANIA)
PLENARY LECTURES
● Paula Perlea (ROMANIA) 30 min:
Endodontics in Younger versus Elderly Patients
● Eugenia Popescu (ROMANIA) 30 min:
Dental Extraction and Bisphosphonates
14:00 Oral Surgery I (4)
OP 93 PATHOGENESIS OF THE PHLEGMON OF THE MOUTH FLOOR
SIMION LEVCO
N. Testemitanu State University of Medicine and Pharmacy Chisinau
Rep. of Moldova
OP 94 REHABILITATION OF ENDENTULOUS SUPERIOR ARCHES
MIHAELA MITREA, DELIA HINGANU, VALERIU-MARIUS HINGANU, LOREDANA-
LILIANA HURJUI, HORATIU-ALIN NEDELCU
Grigore T. Popa University of Medicine and Pharmacy Iasi
Romania
OP 95 BILATERAL ODONTOGENIC MAXILLARY SINUSITIS ASSOCIATED WITH ORBITAL
OSTEITIS – A RARE PATHOLOGICAL ENTITY
27
23rd BaSS Congress
10 – 12 May 2018
HORATIU-ALIN NEDELCU*, IRINA NEDELCU**, VALERIU-MARIUS HINGANU*, DELIA

HINGANU*, MIHAELA MITREA*
*Grigore T. Popa University of Medicine and Pharmacy Iasi
** Sf. Spiridon Clinical Emergency Hospital Iasi
Romania
OP 96 AN ANATOMICAL STUDY: THE SEPARATION POINT OF THE LINGUAL AND THE
INFERIOR ALVEOLAR NERVES
ERENGÜL BODUÇ*, OKAN BİLGE**
*Kaskas University, Kars, Medicine Faculty
**Ege Üniversity, Izmir, Medicine Faculty
Turkey
14:00
LUNCH BREAK
14:30
16:00 Endodontology I (6)
Prof. Dr. Danisia Haba (ROMANIA)
Chairmen:
Assoc. Prof. Dr. Mihaela Salceanu (ROMANIA)
OP 22 EFFECT OF LOW LEVEL LASER THERAPY ON POSTOPERATIVE PAIN AFTER
SINGLE VISIT ENDODONTIC TREATMENT
ELIF BAHAR CAKICI, ADEM GUNAYDIN, BUSRA UYSAL, FATIH CAKICI
Ordu University, Faculty of Dentistry
Turkey
OP 23 CLINICAL AND STATISTICAL STUDY RELATED TO PREVALENCE OF PERIAPICAL
LESIONS TO DIABETES PATIENTS
CRISTIAN LEVENTE GIUROIU, SORIN ANDRIAN
Romania
OP 24 MATERIALS AND TECHNIQUES USED BY GENERAL DENTISTS IN ENDODONTIC
TREATMENTS: FINDINGS FROM IASSY AREA
MIHAELA SALCEANU, CRISTINA-ANGELA GHIORGHE, CRISTINA ANTOHI, YLLKA
DECOLLI, ANCA MELIAN
Romania
OP 25 RADIOGRAPHIC EVALUATION OF PERIAPICAL STATUS IN FAILED ENDODONTIC
TREATED WITH 3 DIFFERENT PERIAPICAL INDEX
LEYLA BENAN AYRANCI, AHMET ÇETINKAYA
Turkey
28
23rd BaSS Congress
10 – 12 May 2018
OP 26 PLACE OF CBCT IN ANALYSE OF ENDODONTIC PATIENT

DANISIA HABA, YLLKA DECOLLI, ANCA MELIAN, MIHAELA ROXANA POPESCU,
CRISTINA ANTOHI
Romania
OP 27 EFFECT OF SEVERAL FINAL IRRIGATION PROCEDURES ON FRACTURE
RESISTANCE OF CANAL PREPARED ROOTS
TUGRUL ASLAN, KONUL NAGHIYEVA
Erciyes University, Kayseri, Faculty of Dentistry
Turkey
17:00
18:30
THURSDAY, MAY 10th, 2018 VIVALDI A HALL
Time
10:00
PLENARY LECTURES
12:00
Prof. Dr. Dragoslav Stamenkovic (SERBIA)
Chairmen:
Prof. Dr. Norina Forna (ROMANIA)
● Norina Forna (ROMANIA) 60 min:
Haptic Systems in Dental Medicine
● Helmut B. Engels (GERMANY) 30 min:
Extraction – Implantation – Prosthesis
● Ender Kazazoglu (TURKEY) 30 min:
Immediate Loading: Why, When and How
12:00
PLENARY LECTURES & ORAL PRESENTATIONS - Oral Surgery II (4)
14:00
Prof. Dr. Ecaterina Ionescu (ROMANIA)
Chairmen:
Prof. Dr. Alexandru Bucur (ROMANIA)
● Ecaterina Ionescu, Elina Teodorescu (ROMANIA) 30 min:
The Biological Determinant in Orthodontic Therapy
● Alexandru Bucur (ROMANIA) 30 min:
Clinical and Histopathological Considerations on Bone Grafts in Implantology
29
23rd BaSS Congress
10 – 12 May 2018
DEBATE (30 min):

UMB – BaSS Medallion
Moderators:
Prof. Dr. V. Milicescu (ROMANIA)
Prof. Dr. M. Rusu (ROMANIA)
14:00 Oral Surgery II (4)
OP 97 THE VALUE OF THE STEREOLITHIC MODEL IN ORO-MAXILLOFACIAL
RECONSTRUCTION TREATMENT
DANIELA SULEA, EUGENIA POPESCU, VICTOR VLAD COSTAN
Romania
OP 98 ASSESSING THE ROLE OF THE FACTORS INVOLVED IN THE DEVELOPMENT OF
ORAL CAVITY CANCER
ALEXANDRA CRACANA CARP, ANDREI NICOLAU, EUGENIA POPESCU
Romania
OP 99 BROWN TUMORS OF THE JAWS: AN UNCOMMON EXPRESSION OF
PARATHYROID DISORDERS
ANDRADA RALUCA DOSCAS, MIHAI LIVIU CIOFU, RALUCA DRAGOMIR, VICTOR
VLAD COSTAN
Romania
14:00
LUNCH BREAK
14:30
16:00 Fixed Prosthodontics I (6)
Prof. Dr. Monica Tatarciuc (ROMANIA)
Chairmen:
Prof. Dr. Gabriela Ifteni (ROMANIA)
OP 35 ECONOMY? AESTHETIC? WHICH IS MORE IMPORTANT CONSIDERING AGE AND
SEX?
ALI CAN BULUT, İLKER DARICI, SAADET ATSÜ, TÜRKAN SEZEN ERHAMZA
Kirikkale Univesity, Faculty of Dentistry
Turkey
OP 36 THE INVESTIGATION OF REASONS FOR REMOVAL OF FIXED PROSTHETIC
RESTORATIONS
MELEK TASSOKER, ALI RIZA TUNCDEMIR
Necmettin Erbakan Univesity, Konya, Faculty of Dentistry - Turkey
30
23rd BaSS Congress
10 – 12 May 2018
OP 37 EFFECT OF SURFACE ROUGHNESS OF MONOLITHIC ZIRCONIA AND LITHIUM

DISILICATE AFTER GLAZING AND POLISHING
CEYDA AKIN*, OZGUN YUSUF OZYILMAZ**
*Necmettin Erbakan Univesity Konya, Faculty of Dentistry
** Bezmi Alem Vakif University Istanbul, Faculty of Dentistry
Turkey
OP 38 SHORT-TERM PROSPECTIVE CLINICAL EVALUATION OF MONOLITHIC AND
VENEERED ZIRCONIA SINGLE CROWNS
İNAN ANIL ÖZDEMİR, SUNA TOKSAVUL, MUHİTTİN TOMAN
Ege University Izmir, Faculty of Dentistry
Turkey
OP 39 COMPARISON OF THE TWO DIFFERENT FIBERS ON LIGHT TRANSMITTANCE OF
THE COMPOSITES
MAKBULE TUGBA TUNCDEMIR, ALI RIZA TUNCDEMIR
Necmettin Erbakan Univesity Konya, Faculty of Dentistry
Turkey
OP 40 COMPLICATIONS AND MANAGEMENT OF SCREW-REATINED IMPLANT
SUPPORTED FDPs
ARZU ATAY, CANSU BAYRAKER, SIBEL DİKİCİER, CUMHUR KORKMAZ
SBU Faculty of Dentistry, Istanbul
Turkey
17:00
18:30
31
23rd BaSS Congress
10 – 12 May 2018
THURSDAY, MAY 10th, 2018 VIVALDI B HALL
Time
10:00 PLENARY LECTURE & ORAL PRESENTATIONS
12:00 Oral surgery III (3) / Hospital Dentistry (1)
New technologies (1) / Preventive Dentistry (2)
Dr. Rodos Irodotou (CYPRUS)
Chairmen:
Prof. Dr. Aureliana Caraiane (ROMANIA)
● Aureliana Caraiane (ROMANIA) 30 min:
Perspectives of Nanotechnologies using in Dental Medicine
12:00 Oral surgery III (2) / Hospital Dentistry (1)
New technologies (1) / Preventive Dentistry (2)
OP STUDY REGARDING THE EFFECTIVENESS OF SEDATION TECHNIQUES DURING
101 PREIMPLANT SURGICAL PROCEDURES
MANUEL FLORIN ROSU, DORIANA AGOP-FORNA, CLAUDIU TOPOLICEANU,
NORINA FORNA
Romania
OP IMAGING IN THE DIAGNOSIS OF MAXILLOFACIAL TRAUMATIC INJURURIES. A
103 COMPLEXE CASE OF MIDFACIAL FRACTURE
CRISTIAN CONSTANTIN BUDACU*, IULIA CHISCOP**, DANISIA HABA*,
ALEXANDRU NEMTOI*, CONSTANTIN MIHAI*
**Dunarea de Jos University Galati
Romania
OP 53 SARCOMA KAPOSI IN EXTREME APPEARANCE
CHARI CHARIS*, DALAMPIRAS FOIVOS-ANTONIOS-THOMAS**, MARIA
DALAMPIRA***, STYLIANOS DALAMPIRAS
* AHEPA Hospital, Thessaloniki; ** Comenius University of Bratislava;
*** Chemist, MSC in Food Chemistry, 4th Year Dentistry Student;
**** Aristotle University of Thessaloniki
Greece
OP 59 USE OF SIMULATORS IN THE EDUCATIONAL PROCESS OF STUDENTS’
TRAINING
DANIEL PAVAL, RAMONA DIANA FEIER, MAGDA ANTOHE, MONICA
ANDRONACHE, NORINA FORNA
Romania
32
23rd BaSS Congress
10 – 12 May 2018
OP STUDIES ON THE USE OF ERCR:YSGG LASER IN SECONDARY PREVENTION OF

173 DENTAL CARIES
CATALINA IULIA SAVEANU*, IRINA BAMBOI*, OANA DRAGOS**, LIVIA BOBU*, VLAD
DANILA*
** National Institute of Research-Development for Technical Physics – IFT Iasi
Romania
OP IN VITRO AND IN VIVO STUDY OF THE CHARACTERISTICS OF SEALING
174 MATERIALS
CATALINA IULIA SAVEANU*, CONSTANTIN ONUTA*, OANA DRAGOS**, IRINA
BAMBOI*, LOREDANA GOLOVCENCU*
Romania

14:00 Restorative dentistry II (8)
Dr. Ivailo Metodiev (BULGARIA)
Chairmen:
Assoc. Prof. Dr. Gianina Iovan (ROMANIA)
OP EFFECT OF ROOT-CANAL PRETREATMENT AND ADHESIVE STRATEGY ON THE
194 FIBER POST BOND STRENGTH
BATU CAN YAMAN*, FUSUN OZER**, OZGUR IRMAK*, BEGUM YILMAZ*, MARKUS
BLATZ**
*Eskisehir Osmangazi University, Faculty of Dentistry
** University of Pennsylvania, Philadelphia, USA
Turkey
OP FUNCTIONAL-AESTHETIC DIRECTED OCCLUSION (FADO). INTERDISCIPLINARY
195 ASPECTS OF OCCLUSAL REHABILITATION IN THE COMPLEX IMPLANT
PROSTHETIC TREATMENT
VALERIU FALA, VITALIE GRIBENCO, GHEORGHE BORDENIUC, LILIAN NISTOR
N. Testemitanu State University of Medicine and Pharmacy, Chisinau
Rep. of Moldova
OP PARTIAL PORCELAIN LAMINATE VENEER; A CASE WITH INTRINSIC TOOTH
196 DISCOLORATION
OZLEM KARA, EMEL VJSEL
Bezmialem Vakif University, Istanbul, Faculty of Dentistry
Turkey
33
23rd BaSS Congress
10 – 12 May 2018
OP DIGITAL EVALUATION OF MOD CAVITY PREPARATION TAPERS DIFFERENCES

197 BETWEEN GRADES OF DENTISTRY FACULTY
ALPEREN DEĞIRMENCI, BEYZA ÜNALAN DEĞIRMENCI
Van Yuzuncu Yil University, Faculty of Dentistry
Turkey
OP EFFICACY OF PLASMA ACTIVATION ON BLEACHING
198 FATMA YILMAZ*, ESRA UZER CELIK, UTKU KÜRSAT ERCAN, FATMA IBIS
*Pamukkale University; ** Izmir Katip Celebi University
Turkey
OP EFFECT OF IRRADIATION DISTANCE AND TIME ON SURFACE HARDNESS OF
199 SELF-ADHESIVE AND FLOWABLE COMPOSITES
MAKBULE TUGBA TUNCDEMIR, KUBRA KAHRAMAN
Necmettin Erbakan University, Konya, Faculty of Dentistry
Turkey
OP COMPARISON OF TWO DIFFERENT POLISHING SYSTEMS ON SURFACE
200 ROUGHNESS OF BULK-FILL AND ANTERIOR COMPOSITES
MAKBULE TUGBA TUNCDEMIR, MEHMET GOKBERK KAAN DEMIREL
Turkey
OP MICROLEAKAGE OF GLASS-IONOMER CEMENT IN PRIMARY DENTITION
201 JELENA KOSTOVIC, TAMARA PERIC
University of Belgrade, School of Dental Medicine
Serbia
14:00
LUNCH BREAK
14:30
16:00 Oral diagnosis – oral radiology I (6)
Assoc Prof. Dr. Anca Melian (ROMANIA)
Chairmen:
Assoc. Prof. Dr. Cristina Iordache (ROMANIA)
OP 60 THE SHORT TERM PREVALENCE OF ORAL MUCOSAL LESİONS IN TURKISH
POPULATION
CEREN ÖZEREN, EMRE AYTUĞAR
Izmir Katip Celebi University, Faculty of Dentistry
Turkey
OP 61 A CASE OF NICOTINIC STOMATITIS SHOWING A CLEAR IMPROVEMENT WITH
ONLY THE REDUCTION OF SMOKING
Turkey
34
23rd BaSS Congress
10 – 12 May 2018
OP 62 DENTAL STUDENTS’ KNOWLEDGE AND ATTITUDES REGARDING RADIATION

RISK ON PREGNANT WOMEN
EDA DİDEM YALÇIN, EMİNE ŞAHIN
Gaziantep University, Faculty of Dentistry
Turkey
OP 63 COMPARING DIAGNOSTIC ACCURACY OF PANORAMIC RADIOGRAPHY AND
ULTRASONOGRAPHY WITH PERIAPICAL RADIOGRAPHY IN DETECTING
PERIAPICAL LESIONS
ZEYNEP BETÜL ARSLAN, HILAL DEMIR, DILA BERKER YILDIZ, FÜSUN YASAR
Selciuk University, Konya, Faculty of Dentistry
Turkey
OP 64 COMPARATIVE EVALUATION OF PANORAMIC RADIOGRAPHY AND CBCT
IMAGING FOR RADIODIAGNOSTIC PROPERTIES IN THE POSTERIOR MAXILLA
FATMA BÜŞRA DOĞAN, BILGÜN ÇETİN, FARUK AKGÜNLÜ
Turkey
OP 65 COMPARISON OF MASSETER MUSCLE THICKNESS BETWEEN DENTULOUS AND
PARTIALLY POSTERIOR EDENTULOUS PATIENTS
HILAL DEMIR, FÜSUN YAŞAR
Turkey
17:00
18:30
35
23rd BaSS Congress
10 – 12 May 2018
THURSDAY, MAY 10th, 2018 MOZART HALL
Time
10:00 PRESS
12:00 CONFERENCE
12:00
STUDENTS AND YOUNG DENTISTS SESSION
14:00
Dr. Madgdalena Wilczak (POLAND)
Chairmen:
Assist. Prof. Dr. Claudiu Topoliceanu (ROMANIA)
OP SALIVA AS A FIRST CHOICE DIAGNOSTIC FLUID. INTRODUCTION TO TOXIC
251 METALS AND THEIR RELATIONSHIP WITH PREGNANCY
MADGDALENA WILCZAK
Medical University of Poznan, YDW President
Poland
OP Presentation of International Association of Dental Students
252 ANDREY BALTAEV, IADS President
Russia
OP USING THE DDS SOFTWARE IN OPTIMIZATION OF THE IMPLANT THERAPY
253 OANA-MARIA BUTNARU*, Coordinator: DORIANA AGOP-FORNA**
*4th year student, Faculty of Dental Medicine
**Lecturer, Department of Oral and Maxillofacial Surgery
Romania
OP DENTISTRY OUTSIDE OF THE BOX. COME, LISTEN AND FIND YOURSELF
254 MADGDALENA WILCZAK
Poland
OP THE INFLUENCE OF PERIODONTAL DISEASE ON THE PREDICTIBIITY OF MOLAR
255 UPRIGHTING. A FEM STUDY
RAZVAN FLORIN CURCA*, Coordinator: SILVIA MARTU**
**Professor, Department of Periodontology
Romania
OP EFECTELE DEZINFECTIEI PRIN FOTOACTIVARE LED ASUPRA PARAMETRILOR
256 PARODONTALI CLINICI LA PACIENTII CU PARODONTITA CRONICA
MIHAI DUDU*, MATEI VORNICU*,
Coordinators: SILVIA MARTU**, ALEXANDRA MARTU**
*5th year students, Faculty of Dental Medicine
36
23rd BaSS Congress
10 – 12 May 2018

Romania
OP AVOIDING PERIODONTAL HAZARDS THROUGH CLINICAL AND TECHNOLOGICAL
257 REQUIREMENTS. A CASE REPORT
ANDREEA MIHAELA IORDAN*, CATALIN SILVIU TIBEICA*,
Coordinators: MONICA TATARCIUC**, IOANA MARTU***, IONUT LUCHIAN***
*5th year students, Faculty of Dental Medicine; **Professor, ***Lecturer
Romania
OP VICIOUS HABITS - RISK FACTORS IN THE APPEARANCE OF DENTAL AND
258 MAXILLARY ABNORMALITIES
DIANA SAHLEANU*, LUCIAN VOLOSENIUC*,
Coordinators: MIHAELA MOSCU**, IOANA MARTU***, IONUT LUCHIAN***
*students, Faculty of Dental Medicine; **Professor, Department of Anatomy and Clinical
Anatomy
Romania
OP Increased cortisol and dental medicine of the younger and elderly patients
259 CRISTINA ZURBA*, Coordinator: ANDREI NEAMTU**
*student, Faculty of Dental Medicine; **Associated Professor, Department of Physiology
Romania
OP COMPUTERIZED SYSTEMS USED TO QUANTIFY THE SUCCESS OF PROSTHETIC
192 TREATMENT
COSMIN-IONUT CRETU, RAMONA DIANA FEIER, MAGDA-ECATERINA ANTOHE,
OVIDIU STAMATIN, ROXANA VASLUIANU, MONICA ANDRONACHE, NORINA
CONSUELA FORNA
Romania
OP STUDY REGARDING THE SUCCESS RATE OF THE PREIMPLANT SURGICAL
100 PROCEDURES USING DIFFERENT XENOGRAFTS MATERIALS
DANA LAZARUC, DORIANA AGOP-FORNA, CLAUDIU TOPOLICEANU, NORINA
FORNA
Romania
OP 80 STRESS DISTRIBUTION AROUND DENTAL IMPLANTS IN MANDIBULAR BONE
ANCA SÎNZIANA BUTNARU MOLDOVEANU, DORIANA FORNA AGOP, NORINA
CONSUELA FORNA
37
23rd BaSS Congress
10 – 12 May 2018

Romania
OP 77 NONINVASIVE EVALUATION OF PERI-IMPLANT BONE LOSS
FRANCISC-FLORIN BARTOK, NORINA CONSUELA FORNA
Romania
14:00
LUNCH BREAK
14:30
14:30 POSTER PRESENTATIONS
16:00 Laser (2) / New technologies (2) / Oral implantology (5)
Oral pathology (4) / Community dentistry (4)
Lecturer Dr. Cristina Popa (ROMANIA)
Chairmen:
Lecturer Dr. Cringuta Paraschiv (ROMANIA)
PP 53 THE LASER BENEFITS FOR ELDERLY PATIENTS
MELANIA COJOCARU, EMMA CRISTINA DRAGHICI, ROXANA IULIA MARINESCU,
SANDA MIHAELA POPESCU, VERONICA MERCUŢ, MONICA SCRIECIU, ALEX
SĂLAN
University of Medicine and Pharmacy Craiova
Romania
PP 54 NEW POSSIBILITIES IN DIAGNOSTICS OF CARIOUS LESIONS
PANTELIS MANOLIS
Comenius University Bratislava
Slovak Republic
PP 55 CHAIRSIDE RESTORATION OF A BROKEN CENTRAL INCISOR
ESAD TAHA, DEFNE BURDUROGLU, ABDURRAHMAN ŞAHINBAS
Bezmialem Vakif University Istanbul
Turkey
PP 65 CBCT USED IN PROSTHODONTIC REHABILITATION OF YOUNG AND OLD AGED
PATIENTS
ANTONIO VALENTIN FALCA*, LIGIA MUNTIANU**
*Târgoviște Dental Clinic;
**Carol Davila University of Medicine and Pharmacy Bucharest
Romania
PP 66 LATERAL SINUS LIFT BY PLATELET-RICH FIBRIN ALONE: CLINICAL AND
RADIOLOGICAL EVALUATION. CASE REPORT
IVAN CHENCHEV, VASILENA IVANOVA
Medical University, Plovdiv, Faculty of Dental Medicine
Bulgaria
38
23rd BaSS Congress
10 – 12 May 2018
PP 67 THE GINGIVAL BIOTYPE INFLUENCE UPON CRESTAL BONE LEVEL DURING

OSSEOINTEGRATION PERIODS
ELVIRA TOPALO, VALENTIN TOPALO, GHEORGHE NICOLAU, ANDREI MOSTOVEI,
ROMAN BOICO
Republic of Moldova
PP 68 LATERAL SINUS FLOOR ELEVATION AND IMPLANTS PLACEMENT IN
EXTREMELY ATROPHIC CONDITIONS
ION DABIJA, NICOLAE CHELE, ANDREI MOSTOVEI, VALENTIN TOPALO, DUMITRU
CHELE
Republic of Moldova
PP 69 HOW MANY IMPLANTS, WHERE?
NİLÜFER BÖLÜKBAŞI BALCIOĞLU*, BRUNILDA GASHI CENKOGLU**
*Istanbul University, **Albanian University, Tirana
Turkey - Albania
PP 70 PREVALENCE OF ORAL LESIONS MODULATED BY PATIENT’S AGE: THE YOUNG
AND THE ELDERLY
CRISTINA POPA, ANA MARIA FILIOREANU, CARMEN STELEA, EUGENIA POPESCU
Romania
PP 71 THERAPEUTIC EFFECTS OF CHLORHEXIDINE-GEL USE IN INFLAMMATORY
PROCESSES OF PATIENTS WITH CHRONIC PERIODONTITIS
TATJANA DZARIC
Clinical Centre of Montenegro
Montenegro
PP 72 SURGICAL MANAGEMENT OF ODONTOGENIC MYXOMA ASSOCIATED WITH
EMBEDDED TEETH
SENIZ KARACAY, İBRAHIM MUTLU, ESRA TUNALI
University of Health Sciences, Istanbul, Faculty of Dentistry
Turkey
PP 73 RETROSPECTIVE STUDY OF ORAL INFECTION WITH CANDIDA ALBICANS
INPATIENTS BY DIFFERENT AGE GROUPS
GEORGE ALEXANDRU MAFTEI, ANA MARIA FILIOREANU, CARMEN STELEA,
CRISTINA POPA
Romania
39
23rd BaSS Congress
10 – 12 May 2018
PP 1 ORAL HEALTH STATUS OF YOUNG PEOPLE IN IASI, ROMANIA

MURARIU ALICE, BOBU LIVIA, VASLUIANU ROXANA, BACIU RALUCA ELENA,
FORNA NORINA
Romania
PP 2 DIABETES MELLITUS: A CHALLENGE FOR MODERN DENTAL MEDICINE
MIHAELA MONICA SCUTARIU, DRAGOS NICOLAE FRATILA, GEORGIANA
MACOVEI, AMELIA ELENA SURDU, OANA ELENA CIURCANU
Romania
PP 3 ATRIAL FIBRILLATION AND ITS IMPACT ON DENTAL MANAGEMENT
CRÎNGUTA PARASCHIV, IRINA ESANU, ROXANA MIHAELA BARBU, DIANA
LUCHIAN, CRISTINA MARIA GAVRILESCU
Romania
PP 4 USE OF THE INTERNATIONAL CARIES DETECTION AND ASSESSMENT SYSTEM
BY DENTAL STUDENTS
ADINA OANA ARMENCIA, GEORGIANA MACOVEI, SORANA NICOLETA ROSU,
CARMEN STELA HANGANU
Romania
17:00
18:30
40
23rd BaSS Congress
10 – 12 May 2018
THURSDAY, MAY 10th, 2018 ROSSINI A HALL
Time
12:00 Restorative dentistry I (8)
Dr. Nicolaos Maroufidis (GREECE)
Chairmen:
Prof. Dr. Sorin Andrian (ROMANIA)
OP SURFACE EVALUATION OF A BULK FILL COMPOSITE AFTER FINISHING AND
202 POLISHING PROCEDURE
IRINA NICA, GIANINA IOVAN, SIMONA STOLERIU, CRISTINA-ANGELA GHIORGHE,
SORIN ANDRIAN
Romania
OP THE ASSESSMENT OF CHANGES INDUCED BY BLEACHING SYSTEM
203 OPALUSTRE ON DIRECT RESTORATIVE MATERIALS
GALINA PANCU, SORIN ANDRIAN, IRINA NICA, CLAUDIU TOPOLICEANU, SIMONA
STOLERIU
Romania
OP THE ASSESSMENT OF CERVICAL DENTAL WEAR PREVALENCE IN RELATION TO
204 TOOTHBRUSH CHARACTERISTICS
ANTONIA MOLDOVANU, GIANINA IOVAN, NICOLETA TOFAN, CLAUDIU
TOPOLICEANU, GALINA PANCU
Romania
OP THE ASSESSMENT OF THE MOUTHWASHES ACTION ON MICROHARDNESS OF
205 THE MATERIALS USED IN DENTAL SEALING
NICOLETA TOFAN, SORIN ANDRIAN, ANTONIA MOLDOVANU, CRISTINA-ANGELA
GHIORGHE, GALINA PANCU
Romania
OP FRACTURE RESISTANCE OF ROOTS RESTORED WITH DIFFERENT POST AND
206 CORES
FATIH SARI, ESRA SARI, SEVGI GÜLMEZ, ZÜBEYDE UÇAR GÜNDOĞAR
Turkey
41
23rd BaSS Congress
10 – 12 May 2018
OP REPAIR AND REPLACEMENT DECISIONS BASED ON THE ESTHETIC SCORE OF

207 ANTERIOR COMPOSITE RESTORATIONS
CLAUDIU TOPOLICEANU, CRISTINA-ANGELA GHIORGHE, GALINA PANCU,
ANTONIA MOLDOVANU, ANDREI GEORGESCU
Romania
OP EFFECTS OF MATERIAL THICKNESS AND POLYMERIZATION DURATION ON
208 MICROHARDNESS OF INDIRECT COMPOSITE
DILAN KARA, NESLIHAN TEKCE, EMRE OZEL
University of Kocaeli, Department of Restorative Dentistry
Turkey
OP EFFECTS OF DIFFERENT TEAS ON MICROHARDNESS OF ANTERIOR
209 COMPOSITES
SENA KARGI*, EMRE OZEL*, NESLIHAN TEKCE*, CANAN BAYDEMIR**
University of Kocaeli, *Department of Restorative Dentistry; ** Department of Biostatistic
Turkey

14:00 Restorative dentistry III (8)
Dr. George Minas (CYPRUS)
Chairmen:
Assoc. Prof. Dr. Simona Stoleriu (ROMANIA)
OP EFFECTS OF DIFFERENT POLISHING SYSTEMS ON FLOWABLE COMPOSITES’
210 SURFACE ROUGHNESS
ELIF ILGI SANCAK, NESLIHAN TEKCE, EMRE OZEL
University of Kocaeli, Department of Restorative Dentistry
Turkey
OP THE EFFECTS OF HERBAL TEAS ON DISCOLORATION OF ANTERIOR
211 COMPOSITES
SELEN BOZKAYA*, NESLIHAN TEKCE*, EMRE OZEL*, CANAN BAYDEMIR**
Turkey
OP STUDY ON POST-OPERATIVE SENSITIVITY IN ETCH & RISE ADHESIVE
212 STRATEGY
CRISTINA-ANGELA GHIORGHE, SORIN ANDRIAN, CLAUDIU TOPOLICEANU,
GALINA PANCU, MIHAELA SALCEANU
Romania
42
23rd BaSS Congress
10 – 12 May 2018
OP COMPARISON OF THE DMFT INDEX AND ORAL CARE HABITS OF DENTISTRY

213 FACULTY STUDENTS
MAKBULE TUGBA TUNCDEMIR
Turkey
OP INVESTIGATION OF COMPOSITE RESIN RESTORATION COLORS BY USING
214 CIELAB (ΔEAB) AND CIEDE2000 (ΔE00) FORMULAS
HAKAN YASİN GÖNDER, ZEYNEP DERELİ, MERVE GÜRSES
Turkey
OP PROVIDING A HARMONIOUS SMILE WITH COMPOSITE LAMINATE VENEER IN
215 MISSING CENTRAL INCISOR TOOTH
BEYZA UNALAN DEGIRMENCI, ALPEREN DEGIRMENCI, HABIL BAZYEL
Turkey
OP INFLUENCE OF ADDING HYDROPHILIC AMIDE MONOMERS TO SHEAR BOND
216 STRENGTH
MUSTAFA DÜZYOL, SEVIM ATILAN, ZEYNEB MERVE ÖZDEMIR
Turkey
OP THERMOGRAPHIC MEASUREMENT OF TEMPERATURE RISE İNDUCED DURING
217 GLASS CARBOMER POLYMERIZATION
MUSTAFA DÜZYOL, ZEYNEB MERVE ÖZDEMIR, SEVIM ATILAN
Turkey
14:00
LUNCH BREAK
14:30
16:00 Orthodontics I (5)
Prof. Dr. Georgeta Zegan (ROMANIA)
Chairmen:
Assoc. Prof. Dr. Loredana Golovcencu (ROMANIA)
OP CONE-BEAM COMPUTED TOMOGRAPHY EVALUATION OF ANGULAR AND
106 LINEAR FEATURES OF MANDIBULAR IMPACTED CANINES
MEHMET AYDIN, RIDVAN OKSAYAN, FATIH KAHRAMAN, IBRAHIM SEVKI
BAYRAKDAR, ILHAN METIN DAGSUYU
Osmangazi University, Eskisehir, Faculty of Dentistry
Turkey
OP VOLUMETRIC CHANGES IN NASOFARENGEAL AIRWAY WITH COMBINED USE
108 OF RAPID MAXILLARY EXPANSION AND FACEMASK TREATMENT
43
23rd BaSS Congress
10 – 12 May 2018
ERSIN YILDIRIM, SENIZ KARACAY

Turkey
OP COMPUTER AIDED ORTHODONTICS - THE WORKFLOW OF TREATMENT
109 SOLUTIONS
LILIANA-GABRIELA HALITCHI*, DANIELA IVONA TOMITA*, CODRUTA ILIESCU**,
STELIAN CIOBANU*, OANA MARIA DARABA*
*Apollonia University, Iasi
**Grigore T. Popa University of Medicine and Pharmacy Iasi
Romania
OP PREVALENCE AND DISTRIBUTION OF ROOT RESORPTIONS AND
110 CALCIFICATIONS AFTER ORTHODONTIC TREATMENT
YASEMIN NUR KORKMAZ, BURAK SARIOGLU, ZELIHA UGUR AYDIN
Abant Izzet Baysal University, Bolu, Faculty of Dentistry
Turkey
OP COMPARISON OF CEPHALOMETRIC MEASUREMENTS PERFORMED WITH A
123 SMARTPHONE APPLICATION AND A COMPUTER SOFTWARE
NEHIR CANIGÜR BAVBEK, GAMZE METIN GÜRSOY, ERDAL BOZKAYA
Gazi University, Ankara
Turkey
17:00
18:30
THURSDAY, MAY 10th, 2018 ROSSINI B HALL
Time
12:00 Periodontology I (6)
Prof. Dr. Sedin Kobaslija (BOSNIA and HERZEGOVINA)
Chairmen:
Prof. Dr. Silvia Martu (ROMANIA)
OP COMPARISON OF ANXIETY AND PERCEPTION LEVELS OF PATIENTS
148 UNDERGOING INITIAL PERIODONTAL TREATMENT USING DIFFERENT
INSTRUMENT
AYSAN LEKTEMUR ALPAN
Pamukkale University, Denizli - Turkey
44
23rd BaSS Congress
10 – 12 May 2018
OP THE EFFICACY OF CYANOACRYLATE ON PALATAL WOUND HEALING AND

149 POSTOPERATIVE COMPLAINTS
HILAL SELAMET*, CEREN ERDOĞAN GOKMENOGLU**
*Okan University, Istanbul; **Ordu University
Turkey
OP EVALUATION THE CYTOTOXIC EFFECTS OF DIFFERENT ORAL ANTISEPTICS ON
150 PRIMARY GINGIVAL FIBROBLASTS
NAZLI ZEYNEP ALPASLAN YAYLI*, AHU DIKILITAS**, SERAP KESKIN TUNC*,
BEYZA UNALAN DEGIRMENCI*, MEHMET TASPINAR*
*Van Yuzuncu Yil University; ** Usak University
Turkey
OP GINGIVAL RECESSION – CHOOSING THE RIGHT TREATMENT OPTION
151 BRUNO NIKOLOVSKI*, ANA MINOVSKA**, VERA RADOJKOVA-NIKOLOVSKA***,
DANICA POPOVIK-MONEVSKA***, MIRJANA POPOVSKA***
* Center for Dental Health – ETERNAdent; ** Faculty of Medical Sciences, UGD;
*** Faculty of Dentistry, UKIM
FYROM
OP THE EVALUATION OF CHANGES IN PERIODONTAL BACTERIAL CHARGE IN
152 YOUNG/ELDERLY PATIENTS WITH CHRONIC PERIODONTITIS
ALEXANDRA CORNELIA TEODORESCU, LIVIU ZETU, SILVIA TESLARU, IRINA-
GEORGETA SUFARU, SILVIA MARTU
Romania
OP THE EVALUATION OF BONE DENSITY IN YOUNG / ELDERLY PATIENTS WITH
155 CHRONIC PERIODONTAL DISEASE
SILVIA TESLARU, CORNELIA TEODORESCU, IOANA RUDNIC, IOANA SIOIUSTIS,
LIVIU ZETU
Romania

14:00 Pediatric dentistry I (9) / Preventive dentistry (7) / Periodontology I (8)
Lecturer Dr. Carina Balcos (ROMANIA)
Chairmen:
Lecturer Dr. Liliana Pasarin (ROMANIA)
PP PREVENTION OF ORAL DISEASE IN CHILDREN WITH AUTISM
108 SNEZANA MATIJEVIC
University of Montenegro, Faculty of Medicine, Study Program Dentistry, Podgorica
Montenegro
45
23rd BaSS Congress
10 – 12 May 2018
PP SUPERNUMERARY TEETH IN PRIMARY AND PERMANENT DENTITION

109 GUNSELI GUVEN POLAT, OZLEM KUZU
University of Health Sciences, Istanbul
Turkey
PP FUSED PRIMARY MANDIBULAR LATERAL AND CANINE WITH CONGENITAL
110 MISSING PERMANENT LATERALS
GUNSELI GUVEN POLAT, CAFER ATAS
Turkey
PP THE DMFT SCORE AND THE FLUORIDE IN DRINKING WATER FROM THE
111 VARDAR REGION
VESNA AMBARKOVA *, ILIJANA MURATOVSKA *, ELENA PEJEVA **, ANGELA
STAMENKOVA ***, JOVAN AMBARKOV *
*University Ss.Cyril & Methodius, Skopje; ** Private dental office;
***University Dental Clinic Center - Skopje
FYROM
PP NEW PSYCHOMETRIC SCALE FOR EVALUATION OF DENTAL FEAR AND
112 ANXIETY PRESENCE IN CHILDREN
ELMEDIN BAJRIC, SEDIN KOBASLIJA, AMINA HUSEINBEGOVIC, MEDIHA
SELIMOVIC-DRAGAS, NINA MARKOVIC
University of Sarajevo, Faculty of Dentistry
Bosnia and Herzegovina
PP ORAL HEALTH CARE FOR CHILDREN WITH SPECIAL NEEDS
113 DANIJELA SUBOTIC
Montenegro
PP RESTORATION OF FRACTURED TEETH USİNG REATTACHMENT TECHNİQUE:
114 TWO CASE REPORTS
MESUT ELBAY, ÜLKÜ ŞERMET ELBAY, GÜL UÇAR, SERKAN SARIDAĞ, SÜMEYYE
KOÇ
Kocaeli University
Turkey
PP TREATMENT OF ERUPTION CYST BY MASSAGE PROCEDURE: CASE REPORT
115 SÜMEYRA AKKOC, HALENUR ALTAN
Gaziosmanpaşa University, Tokat, Faculty of Dentistry
Turkey
PP A CASE OF COMPOUND ODONTOMA WITH AN IMPACTED PREMOLAR IN A
116 YOUNG PATIENT
ÖZLEM KUZU, GÜNSELİ GÜVEN POLAT, MEHMET ZAHİT BAŞ
46
23rd BaSS Congress
10 – 12 May 2018
University of Health Sciences İstanbul

Turkey
PP THE FLUORIDE CONCENTRATION IN TEAS AVAILABLE IN SERBIAN MARKET
149 ZORAN MANDINIC, MARIJANA CURCIC, JELENA MANDIC, JASMINA TEKIC,
DANIJELA DJUKIC COSIC
University of Belgrade
Serbia
PP REASONS FOR EXTRACTION OF PERMANENT TEETH
150 OLGA DJURIC, DZENAD GANJOLA
JZU KC CG
Montenegro
PP CORRELATION BETWEEN THE CA AND PHOSPHATES IN THE SALIVA IN
151 DEPENDENCE CARBONATED BEVERAGES
NATASHA LONGUROVA, IVONA KOVACHEVSKA, KATERINA ZLATANOVSKA,
VERICA TONEVA, DENKOV NIKOLA
Faculty of Medical Science, Shtip
FYROM
PP DENTAL HEALTH ESTIMATION FOR ADOLESCENTS AGE FIFTEEN
152 MIRJANA DJURICKOVIC
Faculty of Medical, Podgorica
Montenegro
PP EVALUATION OF INFECTION CONTROL KNOWLEDGE AND ATTITUDES AMONG
153 DENTAL TECHNICIANS IN IASI
CARINA BALCOS, MAGDA BARLEAN, LIVIA BOBU, DANA BOSINCEANU, LUCIA
BARLEAN
Romania
PP HAND HYGIENE PRACTICES FOR HEALTH CARE ASSOCIATED INFECTIONS
154 PREVENTION IN THE DENTAL SETTINGS IN IASI
MAGDA CALINA BARLEAN, EUGENIA POPESCU, LIVIA BOBU, CARINA BALCOS,
LUCIA BARLEAN
Romania
PP STUDY ON THE ASSOCIATION BETWEEN THE DEGREE OF DENTAL FLUOROSIS
155 AND THE CARIOUS EXPERIENCE IN THE SCHOOL POPULATION IN IASI COUNTY
ANCA STUPU, MONICA TATARCIUC, OVIDIU NICOLAICIUC, CARINA BALCOȘ
Romania
47
23rd BaSS Congress
10 – 12 May 2018
PP PARTICULARITIES IN THE SURGICAL APPROACH OF THE PATIENT WITH

129 HEPATIC PATHOLOGY
DIANA MARIA ANTON, OANA ELENA CIURCANU, IRINA GEORGETA ȘUFARU,
LILIANA PĂSĂRIN, SILVIA MÂRȚU
Romania
PP CARDIOVASCULAR INDICATORS IN PATIENTS WITH PERIODONTAL DISEASE:
130 SERUM MYELOPEROXIDASE AND ANTI-OXIDIZED LOW DENSITY LIPOPROTEIN
ÖZLEM FENTOĞLU*, BURAK DOĞAN**, F. YEŞIM KIRZIOĞLU*, ESRA SINEM
KEMER**
*Süleyman Demirel University, Isparta;
**Mustafa Kemal University, Hatay
Turkey
PP EFFECT OF ORTHODONTIC TREATMENT ON THE PERIODONTIUM IN THE CASE
131 OF PATIENTS WITH PERIODONTAL DISEASE
IOANA-ANDREEA SIOUSTIS, MARIA ALEXANDRA MARTU, CORNELIA ALEXANDRA
TEODORESCU, IONUT LUCHIAN, SILVIA MARTU
Romania
PP TREATMENT OF MILLER II GINGIVAL RECESSION: A CASE REPORT
132 VOLKAN ARIKAN, HATICE SELIN YILDIRIM , BAŞAK DOĞAN
Marmara University Istanbul
Turkey
PP PERIODONTAL AUGMENTATION IN THE TREATMENT OF ORAL PYOGENIC
133 GRANULOMA
GAMZE KAVUNCU
Marmara University Istanbul
Turkey
PP THE DISTRIBUTION OF PATIENT REFERRAL PROCEDURES TO PERIODONTISTS
134 FROM DENTISTS
EVREN ÖZEN, HATICE SELIN YILDIRIM, BAŞAK DOĞAN
Marmara University, Istanbul, Faculty of Dentistry
Turkey
PP HOW TO AVOID EXPLANTATION IN CASES OF PERI-IMPLANTITIS
135 BOJAN VELKOSKI, BRUNO NIKOLOVSKI, DANIELA CVETANOVSKA-STOJCEVA,
RISTE BRZAKOV, ANA MINOVSKA
Center for dental health – ETERNAdent, Skopje
FYROM
48
23rd BaSS Congress
10 – 12 May 2018
PP THE ACTION OF AСЕПТА PARODONTAL MEDICATIONS ON PERIODONTAL

136 STRUCTURES AT PATIENTS WITH DIABETES MELLITUS
ZINOVIA VACULA-FURTUNA, DIANA MARCU, LIDIA ENI
Nicolae Testemitanu State University of Medicine and Pharmacy Chisinau
Republic of Moldova
14:00
LUNCH BREAK
14:30

16:00 Paediatric Dentistry I (6)
Prof. Dr. Momir Carevic (SERBIA)
Chairmen:
Assoc. Prof. Dr. Ana Petcu (ROMANIA)
OP MESIODENS: A RADIOGRAPHIC STUDY ON CHILDREN IN TOKAT REGION
132 HALENUR ALTAN, SÜMEYRA AKKOÇ, AHMET ALTAN
Gaziosmanpasa University, Tokat
Turkey
OP EXTRA AND INTRA ORAL MANIFESTATIONS AND REVIEW OF 20 ECTODERMAL
133 DYSPLASIA CASE
TUĞÇE NUR PEKDEMIR, CANSU OSMANOĞULLARI SARIYILDIZ, İZZET YAVUZ
Dicle University, Diyarbakir, Faculty of Dentistry
Turkey
OP MOLAR INCISOR HYPOMINERALISATIONS RELATION TO PREVALENCE OF
134 DEVELOPMENT DEFECTS OF ENAMEL
AMRA ARSLANAGIC MURATBEGOVIC, NINA MARKOVIC, AMILA ZUKANOVIC
OP CONSERVATIVE TREATMENT OF DENTIGEROUS CYST IN THE MANDIBLE:
135 REPORT OF 4 CASES INFLAMMATORY DENTIGEROUS CYSTS
YASEMIN DERYA FIDANCIOGLU, ONUR GEZGIN, EMRE KORKUT, YAGMUR
SENER, FATMA DEMIRAY
Turkey
OP CHARACTERISTIC MANIFESTATIONS OF EPIDERMOLYSIS BULLOSA (EB) : A
136 REVIEW AND 2 CASE REPORTS
TUĞÇE NUR PEKDEMIR, EBRU AKLEYIN, CANSU OSMANOĞULLARI SARIYILDIZ,
İZZET YAVUZ
Dicle University, Diyarbakır, Faculty of Dentistry
Turkey
49
23rd BaSS Congress
10 – 12 May 2018
OP INTERRELATION FREQUENCY BETWEEN DENTAL CROWDING AND

137 PERIODONTAL STATUS IN A GROUP OF PRIMARY SCHOOL CHILDREN
DAN CRISTIAN IONEL, ROXANA-MĂDĂLINA ONEA, GABRIEL VALERIU POPA,
KAMEL EARAR, MĂDĂLINA NICOLETA MATEI
Dunarea de Jos University, Galati
Romania
17:00
18:30
THURSDAY, MAY 10th, 2018 VERDI HALL
Time
10:00 WORKSHOP
Megagen
12:30 ORAL IMPLANTOLOGY
12:30 Dental Medicine Faculties DEANS Meeting
14:00 Curricula Harmonization for Dental Medicine Residency
Moderator:
Ecaterina Ionescu (ROMANIA) - CMDR President
14:00
LUNCH BREAK
14:30
14:30 WORKSHOP HTP Medical
16:00 LASERS IN DENTISTRY Dr. Marten Toewe (GERMANY)
17:00
18:30
50
23rd BaSS Congress
10 – 12 May 2018
FRIDAY, MAY 11th, 2018
FRIDAY, MAY 11th, 2018 CHOPIN A HALL
Time
10:00
PLENARY LECTURES
13:00
Prof. Dr. Meda-Lavinia Negrutiu (ROMANIA)
Chairmen:
Prof. Dr. Veronica Mercut (ROMANIA)
● Mariusz Duda (POLAND) 60 min:
Predictable Implant Treatment as the Result of Basic and Continuous Education in
Implantology
● Sorin Mihali (ROMANIA) 30 min:
Maintaining Tissue Architecture after Tooth Extraction using Implant-Supported
Restorations
● Meda-Lavinia Negrutiu (ROMANIA) 30 min:
Imaging of Biofilm Development by Optoelectronic Methods
● Veronica Mercut (ROMANIA) 30 min:
Clinical, Epidemiological and Etiopathological Aspects of Dental Wear in Young People
versus the Elderly
● Ilijana Muratovska (FYROM) 30 min:
The Role of Quaternary Ammonium Compounds in Dental Adhesives
13:00
LUNCH BREAK
14:00
16:00 Community Dentistry (5) / Gerodontology (1) / Oral Diagnosis (2)
Assoc. Prof. Dr. Edit Xhajanka (ALBANIA)
Chairmen:
Assoc. Prof. Dr. Mihaela Monica Scutariu (ROMANIA)
OP 1 KNOWLEDGE AND ATTITUDE OF DENTISTS IN DETECTING AND REPORTING
CHILD ABUSE AND NEGLECT
NINA MARKOVIC, AMRA ARSKANAGIC MURATBEGOVIC, ELMEDIN BAJRIC
OP 2 PERIODONTAL DISEASES IN CHILDREN AND THEIR IMPORTANCE: AN
OVERVIEW
METIN ÇALIŞIR*, AHMET CEMIL TALMAÇ**
* Adiyaman University, Faculty of Dentistry;
** Yuzuncu Yil University, Faculty of Dentistry
Turkey
51
23rd BaSS Congress
10 – 12 May 2018
OP 3 A RETROSPECTIVE STUDY ON DISTRIBUTION OF DENTAL TREATMENTS IN A

PEDIATRIC DENTISTRY CLINIC IN KONYA
EMRE KORKUT
Necmettin Erbakan University, Konya
Turkey
OP 4 GEOGRAPHIC INFORMATION SYSTEM ANALYSIS ON DISTRIBUTION OF
PATIENTS VISITING PUBLIC DENTAL SERVICES IN KONYA CITY
ONUR GEZGIN, EMRE KORKUT, RAIF ALAN, HAZAL OZER
Turkey
OP 5 STUDY ON GOHAI OF EXAMINED COMPLETE DENTURE WEARERS IN CENTRAL
BOSNIA
BRANIMIR STOŠIĆ*, SRĐAN POŠTIĆ**, ESAD KUČEVIĆ***, AJDINA HALILOVIĆ-
ASOTIĆ****, VLADAN ĐORĐEVIĆ**
*University of Novi Sad, Department of Dentistry, Faculty of Medicine;
** University of Travnik, Federation BH; ***Tutin; ****Saradent, Federation BH
Serbia
OP 52 QUALITY OF A LIFE OF COMPLETE DENTURE WEARERS BEFORE AND AFTER
ADDITIONAL INTERVENTIONS ON DENTURES
SRĐAN D. POŠTIĆ*, ESAD KUČEVIĆ**, VLADIMIR BIOČANIN***, BRANIMIR
STOŠIĆ****, BRANKA TRIFKOVIĆ*, AJDINA HALILOVIĆ***, VLADAN ĐORĐEVIĆ***,
AMINA ASOTIĆ***, MILOŠ MAKSIMOVIĆ*, MAHERA BAKER ALHAYMONID***, DAMIR
DŽANAN***
*University of Beograd;
**Medical Center, Tutin;
***FZF Travnik – Pharmaceutical – Medical – Faculty of Travnik, Federation of BH;
****Faculty of Medicine, Dept. of Dentistry, Novi Sad
Serbia
OP 66 PREVALENCE OF IDIOPATHIC CORONAL RESORPTION IN IMPACTED
PERMANENT TEETH
FATMA NUR YILDIZ*, UMUT PAMUKCU*, ZUHRE AKARSLAN*, BULENT
ALTUNKAYNAK**, ILKAY PEKER*
Gazi University, Ankara, *Faculty of Dentistry; ** Faculty of Arts and Sciences,
Department of Statistics
Turkey
OP 67 EVALUATION OF THE FREQUENCY OF THIRD MOLAR AGENESIS
UMUT PAMUKCU*, NEBIHA GOZDE ISPIR*, MERYEM TORAMAN ALKURT*, BULENT
52
23rd BaSS Congress
10 – 12 May 2018

Turkey
16:00
COFFEE BREAK
16:30
18:30 Dental Biomaterials I (9)
Prof. Dr. Paul Freiman (ROMANIA)
Chairmen:
Lect. Dr. Irina Gradinaru (ROMANIA)
OP 6 IMPLANT RESTORATIONS USING PEEK FRAMEWORKS
IULIANA BABIUC*, MIHAELA PAUNA*, LUCIAN CIUR**
*UMPh Carol Davila Bucuresti; **CLLAR Dental Iasi
Romania
OP 7 IN VITRO BIOACTIVITY OF NANOSTRUCTURED MATERIALS MIXED WITH
DIFFERENT RADIOPACIFIERS USING SCAP CELLS
BOJANA ĆETENOVIĆ*, DIJANA TRIŠIĆ**, BOŽANA ČOLOVIĆ*, VUKOMAN
JOKANOVIĆ*, DEJAN MARKOVIĆ**
*Vinca Institute of Nuclear Sciences;
**School of Dental Medicine, University of Belgrade
Serbia
OP 8 DIGITAL EVALUATION OF PREPARATION SUCCESS DIFFERENCES BETWEEN
GRADES OF DENTISTRY FACULTY
BEYZA ÜNALAN DEĞIRMENCI, ALPEREN DEĞIRMENCI, BIRGÜL AKDOĞAN
Van Yuzuncu Yıl University
Turkey
OP 9 EFFECT OF DIFFERENT SURFACE TREATMENT OF ZIRCONIA ON SURFACE
ROUGHNESS AND MORPHOLOGIC CHANGES
FAIK TUĞUT, ÜMIT GÜNEY
Cumhuriyet Üniversity, Sivas, Faculty of Dentistry
Turkey
OP 10 EFFECT OF PLASMA APPLICATIONS ON BOND STRENGTH OF MAXILLOFACIAL
SILICONES BONDED TO RESINS
MERVE BANKOGLU GUNGOR*, SECIL KARAKOCA NEMLI*, CEYDA BASAK INAL*,
MERAL BAGKUR*, NURSEL DILSIZ**
*Gazi University, Ankara, Faculty of Dentistry
** Gazi University, Ankara, Faculty of Engineering and Architecture Arts and Science
Turkey
OP 11 MECHANICAL PROPERTIES OF FLOWABLE RESIN COMPOSITES
IOANA-CODRUTA MIRICA, ONDINE LUCACIU, RADU SEPTIMIU CAMPIAN
53
23rd BaSS Congress
10 – 12 May 2018
Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca

Romania
OP 12 TRANSMISSION OF LIGHT EMITTING DIODE CURING LIGHT THROUGH
DIFFERENT CAD/CAM MATERIALS
SELİN ÜMMÜ ÖZSOY UÇAR*, FATİH SARI**, MEHMET EMRE COŞKUN*
*Cumhuriyet University, Sivas, Faculty of Dentistry
** Gaziantep University, Faculty of Dentistry
Turkey
OP 13 CONSIDERATIONS ABOUT ALLCERAMIC RESTAURATIONS
BOGDAN MIHAI GALBINASU, LUCIAN TOMA CIOCAN, ION PATRASCU
*UMPh Carol Davila Bucuresti
Romania
OP 16 OSSEOINTEGRATION EVALUATION OF A COLLAGEN-BASED MATERIAL AND A
CALCIUM PHOSPHATE CERAMIC
HORIA MANOLEA, MONICA CRAITOIU, L. MOGOANTA, E. OSIAC, F. OBADAN, R.
RICA
Romania
20:00 GALA DINNER (CHOPIN + VIVALDI HALL)
FRIDAY, MAY 11th, 2018 CHOPIN B HALL
Time
10:00
PLENARY LECTURES
12:00
Prof. Dr. Sevda Mihailova Yantcheva (BULGARIA)
Chairmen:
Prof. Dr. Roland Török (GERMANY)
● Roland Török (GERMANY) 30 min:
New Method for Horizontal and Vertical Augmentation of the Alveolar Ridge based on
Biology
● Sevda Mihailova Yantcheva (BULGARIA) 60 min:
Posterior Composite Resins – A Current Assessment of Matrix Development
● Carmen Dorobat, Isabela Loghin, Cristina Nicolau (ROMANIA) 30 min :
HIV infection in stomatognatic system
12:00
PLENARY LECTURES
13:00
54
23rd BaSS Congress
10 – 12 May 2018
Prof. Dr. Anna Lella (POLAND)

Chairmen:
Prof. Dr. Cristina Popa (ROMANIA)
● Ana Minovska (FYROM) 30 min:
The Nature of Surfaces Roughness after Er:YAG Laser Assisted Root Bio-modification
● Athanasios Poulopoulos (GREECE) 30 min:
Gingival Manifestations of Systemic Diseases and Conditions
13:00
LUNCH BREAK
14:00
16:00 Oral Pathology II (6) / Oral Surgery IV (3)
Prof. Dr. Liliana Foia (ROMANIA)
Chairmen:
Lect. Dr. Oana Ciurcanu (ROMANIA)
OP 83 INFECTIOUS PATHOLOGY - SIGNS AND SYMPTOMS IN THE ORO-MAXILO-
FACIAL SPHERE
IOANA FLORINA IORDAN*, DOINA CLEMENTINA COJOCARU**, MIHAELA
CATALINA LUCA**, CARMEN MANCIUC**
*Sf Parascheva Infectious Diseases Hospital, Iasi
Romania
OP 84 DESMOPLASTIC NEUROTROPIC MELANOMA OF THE HARD PALATE: A CASE
REPORT OF A RARE ORAL MALIGNANCY
NEDA HASANOĞLU ERBAŞAR, HALIL ANLAR, MUSTAFA RAŞID TOKSÖZ, SINAN
YASIN ERTEM
Turkey
OP 85 ORAL LESIONS SCREENING IN YOUNG AND ELDERLY PATIENTS
LAURA-CRISTINA RUSU, ALEXANDRA ROI, RAMONA AMINA POPOVICI, COSMIN
SINESCU, ANGELA CODRUTA PODARIU
Victor Babes University of Medicine and Pharmacy Timisoara
Romania
OP 86 ACCUMULATION OF N-EPSILON CARBOXYMETHYL LYSINE IN RAT ORAL
CAVITY TISSUES: A BIOMARKER OF AGING
ADINA BIANCA BOȘCA*, MARIAN TĂULESCU**, VIOREL MICLĂUȘ, ANIDA MARIA
BĂBȚAN, ARANKA ILEA
*University of Medicine and Pharmacy Cluj-Napoca
**University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca
Romania
55
23rd BaSS Congress
10 – 12 May 2018
OP 87 ORAL LESIONS IN ELDERLY PATIENTS

MIHAELA PAULA TOADER, IRINA MIHAELA ESANU*, STEFAN TOADER*, MIRELA
GRIGOROVICI**, TATIANA TARANU*
**University C.F. Hospital
Romania
OP 88 CHEILITIS - ETIOPATOGENIC AND CLINICAL CONSIDERATIONS IN RELATION TO
PATIENTS AGE
TATIANA TARANU*, STEFAN TOADER*, IRINA MIHAELA ESANU*, MIRELA
GRIGOROVICI**, MIHAELA PAULA TOADER*
Romania
OP THE MAXILLAR NARROWINGS – FREQUENCY, DIAGNOSIS, TREATMENT
104 SABINA CALFA
Rep. of Moldavia
OP BRONCHIAL ASTHMA - A CHALLENGE FOR MODERN ORAL SURGERY
105 OANA ELENA CIURCANU, DORIANA AGOP FORNA, MONICA MIHAELA SCUTARIU
Romania
OP SINUS LIFT
102 REFJOLA AHMETAJ
Albanian University, Tirana, Faculty of Medical Sciences
Albania
16:00
COFFEE BREAK
16:30
18:30 Restorative Dentistry V (8)
Dr. Nicolaos Maroufidis (GREECE)
Chairmen:
Lect. Dr. Anca Melian (ROMANIA)
OP EFFICACY AND COLOUR STABILITY OF TWO DIFFERENT AT-HOME BLEACHING
218 SYSTEMS: TWO YEAR FOLLOW-UP
ESRA UZER ÇELİK*, BETÜL AKA**, BAŞAK YAZKAN***, GÖZDE ÖZTÜRK*
*İzmir Katip Çelebi University, Faculty of Dentistry
** Bornova Oral Dental Health Centre, İzmir
*** Pamukkale University, Denizli, Faculty of Dentistry
Turkey
56
23rd BaSS Congress
10 – 12 May 2018
OP EFFECT OF EXPERIMENTAL INTRACORONAL BLEACHING AGENTS ON DENTIN

219 MICROHARDNESS
ESRA UZER ÇELİK*, MURAT TÜRKÜN**, ELVAN BODUR*, BURAK ÇELIK***
** Ege University, Faculty of Dentistry
*** Private Clinic
Turkey
OP BLEACHING EFFICACY AND COLOR STABILITY OF EXPERIMENTAL
220 INTRACORONAL BLEACHING AGENTS
ESRA UZER ÇELİK*, MURAT TÜRKÜN**, EDA KIZILKAYA*, BETÜL AKA***
*** Private Clinic, Bornova Oral Health Center
Turkey
OP THE CLINICAL PERFORMANCE OF CAD/CAM GENERATED DIFFERENT
221 INLAY/ONLAY MATERIALS: A ONE-YEAR FOLLOW UP
GÖKHAN KARADAĞ, SERDAR BAĞLAR
Kirikkale University, Faculty of Dentistry
Turkey
OP THE EFFECT OF LIGHT POLYMERIZATION PROCEDURE ON SHEAR BOND
222 STRENGHT OF TWO COMPOSITE MATERIAL
YUSUF BAYRAKTAR, KADIR DEMIR, GÖKHAN KARADAĞ
Turkey
OP THE DIFFERENT VIEW OF ANTERIOR ESTHETIC: PREFABRICATED COMPOSITE
223 VENEERS; FIVE CASES REPORTS
İSMET REZANI TOPTANCI
Dicla University, Diyarbakir, Faculty of Dentistry
Turkey
OP IN VITRO BOND STRENGTH EVALUATION OF EXPERIMENTAL ADHESIVE
224 CONTAINING POLY(METHYL VINYL ETHER-CO-MALEIC ANHYDRIDE)
COPOLYMER
OZGE CELIKSOZ*, OZGUR IRMAK**, ZEYNEP DIKMEN**, VURAL BUTUN**
*Private Office; **Eskisehir Osmangazi University - Turkey
OP SEVERE INCISAL EDGE ABRASION CAUSED BY AN UNUSUAL HABIT - CASE
225 REPORT
DORELIA LUCIA CALIN
Grigore T. Popa University of Medicine and Pharmacy Iasi - Romania
57
23rd BaSS Congress
10 – 12 May 2018
FRIDAY, MAY 11th, 2018 VIVALDI A HALL
Time
10:00
PLENARY LECTURES
13:00
Prof. Dr. Rui Amaral Mendes (PORTUGAL)
Chairmen: Prof. Dr. Koffi Yolande (COTE D’IVOIRE)
Prof. Dr. Charles Pilipili (BELGIUM)
10:00 ● Rui Amaral Mendes (PORTUGAL) 60 min:
12:00 The Medical Compromised Patient in an Ageing Population
● Koffi Yolande (COTE D’IVOIRE) 60 min:
Clinical and Radiological Mediate Evaluation of Endodontic Treatments performed by
Hospital Students
12:00 ● Charles Pilipili (BELGIUM) 30 min:
13:00 Reserved subject
● Florent Songo Baukaka (CONGO) 30 min:
L’état de Santé des Enfants Drépanocytaires
13:00
LUNCH BREAK
14:00
16:00 Periodontology II (10)
Prof. Dr. Patrick Hescot (FRANCE)
Chairmen:
Prof. Dr. Sergiu Ciobanu (Rep. Of MOLDOVA)
OP EVALUATION OF IL-6 AND IL-37 LEVELS AND PERIODONTAL STATUS IN
156 PATIENTS WITH HELLP SYNDROME
HACER SAHIN AYDINYURT, ORKUN ÇETIN
Yuzuncu Yil University, Van
Turkey
OP COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER COLD
157 ATMOSPHERIC PLASMA AND CONVENTIONAL FRENECTOMY
HAKAN ÖZDEMIR
Eskisehir Osmangazi University
Turkey
OP EFFECT OF INITIAL PERIODONTAL THERAPY ON CLINICAL AND BIOCHEMICAL
158 PARAMETERS IN SMOKER/NON-SMOKER CHRONIC PERIODONTITIS PATIENTS
MUSTAFA BOGACHAN ILHAN, HATICE SELIN YILDIRIM, BURCIN ALEV TUZUNER,
AYSEN YARAT, LEYLA KURU
Turkey
58
23rd BaSS Congress
10 – 12 May 2018
OP ORAL HYGIENE PRACTICES IN PATIENTS WITH RHEUMATOID ARTHRITIS

159 BURAK GÖKAY YILDIRIM, ARZU BEKLEN
Eskişehir Osmangazi University, Faculty of Dentistry
Turkey
OP EVALUATION OF TOXIC HEAVY METAL CONTENT OF DIFFERENT TYPES OF
160 BIOMATERIALS: A PILOT ICP-MS STUDY
EMRE YAPRAK
Kocaeli University, Faculty of Dentistry
Turkey
OP PERIODONTAL AFFECTION OF SEX HORMONES IN THE REPRODUCTIVE PERIOD
161 IN THE WOMAN
VERA RADOJKOVA NIKOLOVSKA*, MIRJANA POPOVSKA*, ANA MINOVSKA**,
ANETA ATANASOVSKA STOJANOVSKA*, BRUNO NIKOLOVSKI***
*Faculty of Dentistry, UKIM, Skopje; ** Medical Faculty, UGD, Stip;
*** PHO Eternadent, Skopje
FYROM
OP CONVENTIONAL PERIODONTAL THERAPY FOR PATIENTS WITH
162 ATHEROSCLEROSIS: STUDY REGARDING THE EFFECTS ON IL-1β, IL-6, TNF-α
SILVIA MARTU, IRINA GEORGETA SUFARU, MARIA ALEXANDRA MARTU, IOANA
MARTU, SORINA MIHAELA SOLOMON
Romania
OP GINGIVAL TISSUE’S OPTICAL COHERENCE TOMOGRAPHY ANALYSIS FOR
163 PATIENTS WITH CHRONIC HEPATITIS C AND PERIODONTAL DISEASE
DORIN NICOLAE GHEORGHE, PETRA SURLIN, ELENA HERASCU, EUGEN OSIAC,
ION ROGOVEANU
Romania
OP THE METABOLIC EFFECTS OF PERIODONTAL TREATMENT ON SERUM
153 MALONDIALDEHYDE AND MYELOPEROXIDASE LEVELS IN STATIN USERS
OZLEM FENTOGLU*, BURAK DOGAN**, ESRA SINEM KEMER DOGAN**, FATMA
YESIM KIRZIOGLU*
*Suleyman Demirel University, Faculty of Dentistry
** Mustafa Kemal University, Hatay, Faculty of Dentistry
Turkey
OP THE EFFECT OF CONVENTIONAL PERIODONTAL TREATMENT ON LIPOXIN A4
154 LEVELS IN PATIENTS WITH PERIODONTAL DISEASE
OZLEM FENTOGLU*, ESRA SINEM KEMER DOGAN**, BURAK DOGAN**, FATMA
YESIM KIRZIOGLU*
59
23rd BaSS Congress
10 – 12 May 2018

Turkey
16:00
COFFEE BREAK
16:30
18:30 Periodontology III (9)
Dr. Miroslav Lucic (BOSNIA and HERZEGOVINA)
Chairmen:
Assoc. Prof. Dr. Liliana Pasarin (ROMANIA)
OP RELIABILITY OF THREE INDICES MEASURING GINGIVAL OVERGROWTH
164 AHMAD SAFA ALKATEB, HAFIZE OZTURK OZENER, LEYLA KURU
Turkey
OP LIPID STATUS AND HYPERRESPONSIVE PATTERN IN PERIODONTITIS
165 – IS THERE A LINK?
LILIANA FOIA*, ANCUTA GORIUC*, BOGDAN MINEA*, PETRA ȘURLIN**,
ALEXANDRA MÂRȚU*, AMELIA SURDU*, VASILICA TOMA*, LOREDANA HURJUI*
*Grigore T. Popa University of Medicine and Pharmacy Iasi;
** University of Medicine and Pharmacy Craiova
Romania
OP METHODS OF DIAGNOSIS AND SURGICAL TREATMENT OF GINGIVAL
166 RECESSIONS
VIORICA CHETRUS, ROMAN ION
Rep. of Moldova
OP RECENT CONCEPT OF PERIODONTAL DISEASE AETHIOLOGY- GENETIC TEST
167 FOR SUSCEPTIBILITY
ANETA ATANASOVSKA STOJANOVSKA*, SASKA TODOROSKA**, ILIJANA
MURATOVSKA*, MIRJANA POPOVSKA*, VERA RADOJKOVA NIKOLOVSKA*
*Faculty of Dentistry, UKIM, Skopje
**University Dental Clinical Center Ss Pantelejmon Skopje
FYROM
OP BOND STRENGTH BETWEEN DENTIN AND FIBER POST USING DIFFERENT
168 PRETREATMENTS
ILIJANA MURATOVSKA*, ANETA ATANASOVSKA-STOJANOVSKA*, VERA
RADOJKOVA-NIKOLOVSKA*, MIRJANA POPOVSKA*, M. PETKOV, V.
STOJANOVSKA
FYROM
60
23rd BaSS Congress
10 – 12 May 2018
OP EVALUATION OF CHARACTERISTICS OF DENTAL ALLOYS STRUCTURE THAT

169 MAY INFLUENCE PERIODONTAL TISSUE HOMEOSTASIS
MARIUS ANDREI DINU*, RAMONA IMELDA DINU*, SILVIA MARTU*, HORIA TRAIAN
DUMITRIU**
**Carol Davila University of Medicine and Pharmacy Bucuresti
Romania
OP THE ROLE OF MYELOPEROXIDASE IN EVALUATION OF THE OXIDATIVE STATUS
170 DURING PERIODONTAL IMPAIRMENT
VASILICA TOMA, LILIANA FOIA, GABRIELA GELEȚU, MIOARA TRANDAFIRESCU,
FLORINA FILIP CIUBOTARU
Romania
OP REGENERATIVE PERIODONTAL TREATMENT WITH THE USE OF BIOMATERIALS:
171 EMDOGAIN® AND BIO-OSS®
SASKA TODOROSKA*, ANETA ATANASOVSKA STOJANOVSKA**, MIRJANA
POPOVSKA**, LINDITA ZENDELI BEXHETI*,NATASA TOSESKA SPASOVSKA**
*University Dental Clinical Center Ss Pantelejmon Skopje
**Faculty of Dentistry, UKIM, Skopje
FYROM
OP EFFECTS OF PERIODONTAL THERAPY ON CLINICAL PARAMETERS IN PATIENTS
172 WITH RENAL DISORDERS
DORINA-CERASELLA ŞINCAR, KAMEL EARAR, MIOARA DECUSARĂ, GABRIEL
VALERIU-POPA
Dunarea de Jos University of Galati
Romania
61
23rd BaSS Congress
10 – 12 May 2018
FRIDAY, MAY 11th, 2018 VIVALDI B HALL
Time
10:00
PLENARY LECTURES
13:00
Prof. Dr. Helmut Engels (GERMANY)
Chairmen: Prof. Dr. Andreea Didilescu (ROMANIA)
Prof. Dr. Anca Vitalariu (ROMANIA)
● Cosmin Sinescu (ROMANIA) 30 min:
News in Dental Impression Technique: Clasic versus Optoelectronic Paradigm
● Horia Barbu (ROMANIA) 30 min:
Treatment Planning in Oral Implantology
● Immaculee Kamanzi (RWANDA) 30 min:
Dentistry in Rwanda
● Anca Mesaros (ROMANIA) 30 min:
The Particularities of the Orthodontic Treatment at Different Ages
● Andreea Didilescu (ROMANIA) 30 min :
The Effect of Mineral Trioxide Aggregate on Hard Tissue Formation. A Systematic
Review
● Alketa Qafmolla (ALBANIA) 30 min:
Early Discover of the Non-Normal Posture as Prophylaxis Dento-Maxila-Faciale
13:00
LUNCH BREAK
14:00
16:00 Oral Implantology II (5) / Laser (5)
Prof. Dr. Dumitru Chele (Rep. of Moldova)
Chairmen:
Prof. Dr. Tatiana Taranu (ROMANIA)
OP 78 THE PRACTICAL APPLICABILITY OF SURGICAL GUIDES IN ORAL
IMPLANTOLOGY
DUMITRU CHELE, NICOLAE CHELE, ANDREI MOSTOVEI, MIHAI MOSTOVEI, ION
DABIJA
Rep. of Moldova
OP 79 GUIDED BONE REGENERATION USING ABSORBABLE COLLAGEN MEMBRANE
ASSOCIATED WITH BOVINE BONE SUBSTITUTE IN YOUNG AND ELDERLY
PATIENTS
ONDINE LUCACIU, ALEXANDRU MEȘTER, ROXANA BORDEA, ADINA SÂRBU,
CODRUTA MIRICA, FLORIN ONIȘOR, SIMION BRAN, RADU SEPTIMIU CÂMPIAN
Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca - Romania
62
23rd BaSS Congress
10 – 12 May 2018
OP 81 IMMEDIATE IMPLANT LOADING WITH FIXED DENTAL RESTORATION -

2 CASE REPORT
MLADEN BEHARA*, DUSICA BOZOVIC - BEHARA**, SLADJANA TMUSIC*
*Private Practice Dr. Behara, Cacak; **Health Center Cacak
Serbia
OP 82 COMPLICATIONS AFTER THIRD MOLAR EXTRACTION
Serbia
OP 54 STUDY REGARDING THE ADVANTAGES OF ERBIUM LASERS IN LASER-
ASSISTED FRENECTOMY
STEFAN GHERASIMESCU, DORIANA AGOP-FORNA
Romania
OP 55 EFFECTS OF ER, CR: YSGG LASER ON CLINICAL PARAMETERS AND CYTOKINE
LEVELS IN AGGRESSIVE PERIODONTITIS
AHMET CEMIL TALMAC*, METIN ÇALIŞIR**
*Van Yuzuncu Yil University, Faculty of Dentistry
** Adiyaman University, Faculty of Dentistry
Turkey
OP 56 THE EFFECTS OF ER,CR:YSGG LASER ETCHING ON SURFACE ROUGHNESS OF
AN INDIRECT COMPOSITE RESIN
AYSEGUL KURT, AYLIN CILINGIR
Trakya University, Faculty of Dentistry Edirne
Turkey
OP 57 LASER WELDING TESTS FOR CoCrMo ALLOYS USED IN REMOVABLE PARTIAL
DENTURE TECHNOLOGY
CRISTINA MARIA BORTUN, MEDA LAVINIA NEGRUTIU, DANIELA MARIA POP Victor
Babes University of Medicine and Pharmacy Timisoara
Romania
OP 58 STUDY REGARDING THE POSTOPERATIVE EVOLUTION FOLLOWING ER:YAG
LASER-ASSISTED ALVEOLAR AUGMENTATION
DORIANA AGOP-FORNA, OANA CIURCANU
Romania
16:00
COFFEE BREAK
16:30
63
23rd BaSS Congress
10 – 12 May 2018

18:30 Other II (9)
Dr. Georgios Tsiogas (GREECE)
Chairmen:
Lecturer Dr. Loredana Hurjui (ROMANIA)
OP EXPRESSION OF NESFATIN-1 IN PERIODONTAL DISEASE ASSOCIATED WITH
233 METABOLIC SYNDROME
LOREDANA LILIANA HURJUI, IONELA LACRAMIOARA SERBAN, ION HURJUI,
LILIANA FOIA, RALUCA JIPU, IRINA GRADINARU
Romania
OP SALIVARY LEVELS EVALUATION OF STRESS MARKERS IN PATIENTS WITH
234 CHRONIC PERIODONTITIS
RALUCA JIPU, IONELA LACRAMIOARA SERBAN, MINELA AIDA MARANDUCA,
IRINA GRADINARU, MIHAELA MITREA, LOREDANA LILIANA HURJUI
Romania
OP DENTAL BLEACHING MATERIALS: CLINICAL REVIEW
235 EMANUELA LIDIA CRACIUNESCU, LAURA IDORASI, MEDA LAVINIA NEGRUTIU,
COSMIN SINESCU, MIHAI ROMINU
Romania
OP CLINICAL ANATOMY OF MOEBIUS SYNDROME
236 DELIA HINGANU, PAUL SALAHORU, MIHAELA MITREA, ALIN HORATIU NEDELCU,
MARIUS VALERIU HINGANU
Romania
OP PARTICULAR ASPECTS IN DIFFERENTIAL DIAGNOSIS OF FACIAL PARALYSIS
237 MARIUS VALERIU HINGANU, CRISTINEL IONEL STAN, ALIN HORATIU NEDELCU,
MIHAELA MITREA, DELIA HINGANU
Romania
OP THE ROLE OF THE MEDIAL REGION OF THE FACE IN THE STOMATOLOGICAL
238 PRACTICE
CORINA CIUPILAN, STEFAN SELARU, CRISTINEL IONEL STAN, DELIA HINGANU,
MONICA MIHAELA SCUTARIU
Romania
64
23rd BaSS Congress
10 – 12 May 2018
OP TESTING A NEW AGE ESTIMATING METHOD IN ADULTS

239 STRAHINJA PAVLOVIC, JOVANA MIJUCIC, MILUTIN MICIC, KSENIJA ZELIC
MIHAJLOVIC, DANIJELA DJONIC
University of Belgrade, School of Medicine - Serbia
OP EVALUATION OF ACADEMIC MOTIVATIONS OF DENTAL FACULTY STUDENTS: A
240 PILOT STUDY
KUMRU DIDEM ATALAY*, SEMA YÜKSEL**, GÜLIN FERYAL CAN*, ERDAL
BOZKAYA**, EMINE KAYGISIZ**, FATMA DENIZ UZUNER**, BERNA DENGIZ*
*Başkent University, Faculty of Engineering
** Gazi University, Ankara, Faculty of Dentistry
Turkey
OP COMPUTER BASED TRAINING METHODS IN DENTAL PRACTICE
241 ADRIAN DOLOCA, GABRIELA IFTENI, ZENAIDA SURLARI, ARINA PENDEFUNDA,
OANA TANCULESCU
Romania
FRIDAY, MAY 11th, 2018 MOZART HALL
Time
10:00
1st BaSS Council Meeting
12:00
13:00 Removable Prosthodontics (13)
Lecturer Dr. Dana Gabriela Bosanceanu (ROMANIA)
Chairmen:
Assist. Dr. Maria Bolat (ROMANIA)
PP ACTUAL TECHNOLOGICAL POSSIBILITIES FOR THE REMOVABLE PROSTHETIC
156 APPLIANCES
IRINA GRADINARU, RALUCA JIPU, LOREDANA LILIANA HURJUI
Romania
PP CONSIDERATIONS ON ORAL HYGIENE OF ELDERLY DENTURE WEARERS
157 DANA GABRIELA BOSINCEANU, ELENA RALUCA BACIU, IOANA MARTU, CARINA
BALCOS, DAN NICOLAE BOSINCEANU
65
23rd BaSS Congress
10 – 12 May 2018
PP FULL ARCH REHABILITATION OF EDENTULOUS PATIENT WITH SUBPERIOSTAL

158 IMPLANT-SUPPORTED OVERDENTURE PROSTHESIS: A CASE REPORT
OZGUN YUSUF OZYILMAZ, KUBRA ERDEM, OZLEM KARA
Turkey
PP IMPORTANCE OF IMAGISTIC EVALUATION OF COMPLETE EDENTULOUS
159 PATIENTS IN THE MEDICAL DENTAL FACULTY IN IASI
DAN NICOLAE BOSINCEANU, DORIANA AGOP FORNA, CARMEN NICOLETA
SAVIN, MARIA BOLAT, DANA BOSINCEANU
Romania
PP CONCEPT OF NEUTRAL ZONE IN IN LOWER COMPLETE DENTURES
160 MARIA BOLAT, DANA GABRIELA BOSINCEANU, RALUCA BACIU, DORIANA AGOP-
FORNA, DAN NICOLAE BOSINCEANU
Romania
PP THE QUALITY OF LIFE FOR ELDERLY PATIENTS WITH REMOVABLE DENTURE
161 MARIA-ANTONELA BELDIMAN, GEORGIANA MACOVEI, CORNELIA BREZULIANU,
NICOLETA IOANID, ELENA LUCA
Romania
PP PREVALENCE OF TEMPOROMANDIBULAR DISORDERS IN COMPLETE DENTURE
162 WEARERS
DARKO KOCOVSKI, KIRO PAPAKOCA, VERICA TONEVA, KATERINA
ZLATANOVSKA, JULIJA ZARKOVA – ATANASOVA
University “Goce Delcev”, Stip, Faculty of Medical Science
FYROM
PP REHABILITATION OF A BALL ATTACHMENT RETAINED REMOVABLE PROTHESIS
163 PATIENT COMPLAINING LACK OF RETENTION: A-CASE REPORT EMRE OZDEN,
ILAYDA ASKAN, ENDER KAZAZOGLU
Yeditepe University, Istanbul, Faculty of Dentistry
Turkey
PP SOME PHYSICAL PROPERTIES OF FLORESCENT CARBON NANOPARTICLE
164 ADDED DENTURE LINERS
AYSE SEDA ATAOL*, GULFEM ERGUN**, ISIL CEKİC-NAGAS**, RUKAN GENC***
*Mersin University, Faculty of Dentistry
**Gazi University, Ankara, Faculty of Dentistry
*** Mersin University, Faculty of Engineering
Turkey
66
23rd BaSS Congress
10 – 12 May 2018
PP EDENTULOUS PATIENTS: GERBER CONCEPT IN FULL DENTURE FABRICATION

165 VITALIE PANTEA, NICOLAE COJUHARI, LARISA ROSCA, MARIA TERENTIEVA,
OLEG SOLOMON
N. Testemitanu University of Medicine and Pharmacy Chisinau
Republic of Moldova
PP USING THERMOPLASTIC MATERIAL DENTURE IN PARTIAL EDENTATION – THE
166 COMFORT vs THE BIOMECHANICS ASPECTS
ROXANA IONELA VASLUIANU, MONICA ANDRONACHE, MAGDA ECATERINA
ANTOHE, RAMONA FEIER, NORINA CONSUELA FORNA
Romania
PP OSSEOUS RESORPTION IN IMPLANTS SUPPORTING COMPLETE DENTURES BY
167 MEANS OF ANGLED/STRAIGHT BALL ATTACHMENTS
RALUCA-IULIA JUNCAR*, DANIELE POPA**, GABRIELA CIAVOI*, MIHAI JUNCAR*
*University of Oradea;
**Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca
Romania
PP BAR ATTACHMENT: A CASE REPORT
168 ZELAL SEYFIOĞLU POLAT*, VEDAT TARI**, NUMAN CETINKAYA*, MUHAMMED
CAGLAR BURSA*, HATICE KUBRA DAMAKSIZ*
*Dicle University, Diyarbakır, Faculty of Dentistry;
**Dental Surgey, Mardin Tukey
Turkey
13:00
LUNCH BREAK
14:00
14:00 ROUND TABLE
Moderator:
16:30 Updates in bone augmentation
Dr. Helme Altaee (DUBAI)
and grafting
16:30 ROUND TABLE
Moderator:
18:30 Intra-operative complications in
Dr. Helme Altaee (DUBAI)
dental implantology
67
23rd BaSS Congress
10 – 12 May 2018

19:30 Fixed prosthodontics II (9)
Prof. Dr. Nicolae Chele (Rep. of MOLDOVA)
Chairmen:
Assoc. Prof. Dr. Oana Tanculescu (ROMANIA)
PP 26 FRONTAL TEETH PROPORTIONS ON DIGITAL PHOTOS COMPARED TO GYPSUM
MODELS
GEORGI ILIEV, JANINA PAVLOVA, DIMITAR FILTCHEV, SVETLOZAR RANGELOV
Medical University, Sofia, Faculty of Dental Medicine
Bulgaria
PP 27 COMPERATIVE DIMESNIONS ON DIGITAL PHOTOS AND ON MODLES IN FRONT
FACIAL ASPECT
JANINA PAVLOVA, GEORGI ILIEV, DIMITAR FILTCHEV, SVETLOZAR RANGELOV
Bulgaria
PP 28 REHABILITATION OF TWO PATIENTS WITH CUSTOMIZED ABUTMENTS: 2 CASE
REPORT
SINEM BAYRAM, SERKAN SARIDAĞ
Turkey
PP 29 FULL MOUTH REHABILITATION OF COMPLETELY EDENTULOUS PATIENT WITH
FULL ARCH SCREW-RETAINED PROSTHESIS: A CASE REPORT
ZIYA SEFERLI, FATIH MEHMET COŞKUNSES, SERKAN SARIDAĞ
Turkey
PP 30 PATIENT’S SATISFACTION OF FIXED PROSTHODONTIC TREATMENT
NEADA HYSENAJ, EDIT XHAJANKA, MERITA BARDHOSHI
University Dental Clinic, Tirana
Albania
PP 31 3 MONTH FOLLOW-UP OF REHABILITATION WITH TELESCOPIC CROWN: CASE
REPORT
BURCU KANPALTA, ABDURRAHMAN ŞAHINBAŞ, DEFNE BURDUROĞLU
Bezmi Alem Vakif University, Istanbul
Turkey
PP 32 CEMENTED-RETAINED VERSUS SCREW-RETAINED FIXED IMPLANT-SUPPORTED
PROSTHESES
OLGA CHEPTANARU, NICOLAE BAJUREA, DIANA UNCUTA, NICOLAE CHELE
N. Testemitanu State University of Medicine and Pharmacy, Chișinau
Republic of Moldova
68
23rd BaSS Congress
10 – 12 May 2018
PP 33 INFLUENCE OF MATERIALS USED FOR FIXED PROSTHESES ON GINGIVAL

MUCOSA
LUMINIŢA DĂGUCI, MONICA MIHAELA CRĂIŢOIU, ALMA MARIA FLORESCU,
ROXANA MARIA PASCU, OANA CELLA ANDREI
University of Medicine and Pharmacy of Craiova
Romania
PP 34 PROSTHETIC REHABILITATION OF MAXILLAR ANTERIOR TEETH WITH
DIFFERENT IPS E-MAX PRESS SYSTEMS; TWO CASES REPORTS
YUNUS EMRE ÖZDEN, GÖZDE AKŞEN, ENDER KAZAZOĞLU
Yeditepe University, Istanbul, Dentistry Faculty
Turkey
FRIDAY, MAY 11th, 2018 “Vasile Pogor” Conference Hall -

IASI CITY HALL
Time
14:00
BaSS – FDI – ARO – ERO – ADEE Meeting
16:00
16:00
COFFEE BREAK
16:30
16:30
Dental Medicine Faculties DEANS Meeting
18:30
FRIDAY, MAY 11th, 2018 ROSSINI A HALL
Time
12:00 Orthodontics II (10)
Assoc. Prof. Dr. Cristian Romanec (ROMANIA)
Chairmen:
Assoc. Prof. Dr. Daniela Anistoroaei (ROMANIA)
OP DOES ACRYLIC CAPPING MODIFICATION TWIN BLOCK INHIBIT THE
107 PROCLINATION OF LOWER ANTERIOR TEETH
BURCIN AKAN, GOKCENUR GOKCE
Izmir Katip Celebi University, Faculty of Dentistry - Turkey
69
23rd BaSS Congress
10 – 12 May 2018
OP CONTRIBUTION OF TOOTH SIZE AND ARCH DIMENSION TO DENTAL CROWDING

112 NATASA TOSESKA-SPASOVA*, BILJANA DZIPUNOVA*, LJUBA SIMJANOVSKA*,
ANETA ATANASOVSKA-STOJANOVSKA*, ZORAN SPASOV**
*University "St.Cyril and Methodius",Skopje, Faculty of Dentistry
**Private Practice
FYROM
OP TO EVALUATE THE KNOWLEDGE OF DENTISTRY STUDENTS ABOUT
113 ORTHODONTICS AS A SPECIALTY
MERYEM ESMA AKMAN, AYSEGUL GULEC, MERVE GOYMEN
Turkey
OP CEPHALOMETRIC EVALUATION OF THE EFFECTS OF TWIN-BLOCK APPLIANCE
116 IN SUBJECT WITH CLASS II MALOCCLUSION
OZLEM INCE, BANU KAHRAMAN, RIDVAN OKSAYAN
Eskisehir Osmangazi University, Faculty of Dentistry
Turkey
OP THE EFFECT OF DIFFERENT SURFACE TREATMENTS OF ZIRCONIA CERAMICS
117 FOR SHEAR BOND STRENGTH OF BRACKETS
CANAN GICIR, RIDVAN OKSAYAN, HAKAN ÖZDEMİR
Turkey
OP CONE-BEAM COMPUTED TOMOGRAPHY EVALUATION OF EFFECTS OF MINI-
118 SCREW AIDED RAPID MAXILLARY EXPANSION ON NASAL STRUCTURES
GAMZE CAGLA URUC, GULSEN KACIRA KESKIN, RIDVAN OKSAYAN, ILHAN METIN
DAGSUYU
Turkey
OP CLINICAL STUDY OF PERIODONTAL PARAMETERS EVOLUTION DURING
119 ORTHODONTIC TREATMENT
RAZVAN LEATA, CERASELLA DORINA SINCAR, MIOARA DECUSARA, GABRIEL
POPA
Romania
OP DENTAL AGE ESTIMATION BY DEMIRJIAN DURING ORTHODONTIC TREATMENT
120 ON TURKISH CHILDREN
SERKAN ÖZKAN
Ordu University
Turkey
70
23rd BaSS Congress
10 – 12 May 2018
OP EFFECTS OF POSTERIOR INTRUSION WITH ZYGOMATIC ANCHORAGE ON SOFT

121 TISSUE
BURÇIN AKAN, BEYZA KARADEDE, AHMET OGUZ SAHAN, RANA KIZILTEKIN
Izmir Katip Celebi University
Turkey
13:00 Oral diagnosis – Oral radiology II (3)
Assist. Prof. Dr. Antigone Delantoni (GREECE)
Chairmen:
Assoc. Prof. Dr. Alice Murariu (ROMANIA)
OP 69 THE UTILITY OF CT SCAN IN EVALUATION OF MAXILLARY SINUSITIS IN YOUNG
AND OLD PACIENTS
ROXANA MIHAELA POPESCU, BOGDAN DOBROVAT, CRISTINA ANTOHI, IOANA
RADU, DANISIA HABA
Romania
OP 70 EVALUATION OF THE NASOPALATINE CANAL MORPHOLOGY BY USING
DENTAL TOMOGRAPHY IN TURKISH SUBPOPULATION
BILGUN CETIN, FATMA BUSRA DOGAN, FARUK AKGUNLU
Turkey
OP 71 INCIDENTAL PARANASAL SINUSES FINDINGS ON CRANIO-CEREBRAL MRI
SCANS: A RETROSPECTIVE STUDY
BOGDAN DOBROVAT, ROXANA POPESCU, IOANA RADU, EMILIA MARCIUC,
DANISIA HABA
Romania
13:00
LUNCH BREAK
14:00
16:00 Preventive Dentistry (7)
Prof. Dr. Nikolai Sharkov (BULGARIA)
Chairmen:
Prof. Dr. Lucia Barlean (ROMANIA)
OP COMPARATIVE ASSESSMENT OF ORO-DENTAL HEALTH AT STUDENTS OF
175 DIFFERENT CULTURAL LEVELS
CATALINA IULIA SAVEANU, MNARKI HAIFA, IRINA BAMBOI
Romania
OP CARIES INHIBITING EFFECT OF PREVENTIVE MEASURES DURING
177 ORTHODONTIC TREATMENT WITH FIXED APPLIANCES
71
23rd BaSS Congress
10 – 12 May 2018
EFKA ZABOKOVA-BILBILOVA, ANA SOTIROVSKA IVKOVSKA, ZLATKO GEORGIEV,

ANETA MIJOSKA, NATASHA STAVREVA
"Ss Cyril and Methodius" University, Skopje, Faculty of Dental Medicine
FYROM
OP ORAL HEALTH STATUS AND RISK FACTORS OF FIRST GRADE
178 SCHOOLCHILDREN IN IASI, ROMANIA
LIVIA BOBU, LUCIA BARLEAN, CATALINA IULIA SAVEANU, CARINA BALCOS,
MAGDA BARLEAN
Romania
OP THE PREDICTIVE POWER OF CARIOGRAM FACTORS FOR THE CARIES LESIONS
179 OF SCHOOLCHILDREN IN IASI, ROMANIA
LIVIA BOBU, ALICE MURARIU
Romania
OP ENDODONTIC TREATMENT OF TEMPORARY TEETH IN PRIVATE DENTAL
180 OFFICES
ANA ELENA PETCU (SIRGHE), CARMEN SAVIN, LAURA-MARIA VASILCA-GAVRILA,
EUGENIU MIHALAS, ADRIANA BALAN
Romania
OP PREVENTIVE EVALUATION OF RISK FACTORS FOR TOOTH LOSS IN YOUNG
181 ADULTS
LUCIA BARLEAN, CARINA BALCOS, LIVIA BOBU, MAGDA CALINA BARLEAN,
RAMONA DIANA FEIER
Romania
OP ASSESSMENT OF THE IMPACT OF DENTAL CARIES TREATMENT ON
182 CHILDREN’S ORAL HEALTH-RELATED QUALITY OF LIFE
EUGENIU MIHALAS, LAURA-MARIA VASILCA-GAVRILA, ADRIANA BALAN, ANA
PETCU (SIRGHE), CARMEN SAVIN
Romania
72
23rd BaSS Congress
10 – 12 May 2018

16:30 Oral Surgery I (6)
Assoc. Prof. Dr. Constantin Mihai (ROMANIA)
Chairmen:
Assoc. Prof. Dr. Razvan Leata (ROMANIA)
PP 74 GINGIVAL FIBROMATOSIS RESULTING FROM OLD PROSTHESES A CASE
REPORT
DZENAD GANJOLA, SNEZANA RAZNATOVIC
Clinical Center of Montenegro
Montenegro
PP 75 UPDATES REGARDING THE TREATMENT OF CHRONIC SUPPURATIVE
ODONTOGENIC MAXILLARY SINUSITIS
DOINA VESA, RAZVAN LEATA, ALEXANDRU IOAN VESA
Dunarea de Jos University Galati
Romania
PP 76 PROSTHETICS OVER HEMISECTED MOLARS AND THEIR FOLLOW UP (CASE
STUDY)
BOBI MICEVSKI*, BRUNO NIKOLOVSKI*, DANIELA CVETANOVSKA-STOJCEVA*,
ANA ALEKSANDOVSKA*, ANA MINOVSKA**
*ETERNAdent, Skopje; ** Goce Delcev University, Faculty of Medical Sciences, Stip
FYROM
PP 77 EDS ANALYSIS OF MINERAL LOSS IN DECIDUOUS TEETH WITH CIRCULAR
CARIES
OLGA KOKOCEVA IVANOVSKA, AMBARKOVA VESNA, MIJOSKA ANETA, NATASHA
STAVREVA, LJUBICA SIMJANOVSKA
Faculty For Dental Medicine ”Ss Cyril And Methodius” Skopje
FYROM
PP 78 THE PARTICULATED ILIAC CREST BONE GRAFT USED IN MAXILLARY
ALVEOLAR BONE RECONSTRUCTION. CASE REPORT
ALEXANDRU GHETIU, DUMITRU SÎRBU, NICOLAE CHELE, VALENTIN TOPALO, ION
DABIJA
Republic of Moldova
PP 79 SURGICAL DECOMPRESSION IN THE TREATMENT OF JAW CYSTS
LUCIAN CHIRILA*, ALEXANDRU LUPU**, ALEXANDRU ISOP**
*Carol Davila University of Medicine and Pharmacy Bucharest;
**Clinical Hospital of Oral and Maxillo-facial Surgery Dan Theodorescu, Bucharest
Romania
73
23rd BaSS Congress
10 – 12 May 2018

18:30 Paediatric Dentistry II (10)
Prof. Dr. Adriana Balan (ROMANIA)
Chairmen:
Assoc. Prof. Dr. Carmen Savin (ROMANIA)
OP POLYDISPLAZIC ECTODERMAL SYNDROME
138 KAMEL EARAR, MĂDĂLINA NICOLETA MATEI
Romania
OP NUTRITION AND ORAL HEALTH IN CHILDREN
139 VASILE VALERIU LUPU, MARIN BURLEA, GABRIELA PADURARU, ANCUTA IGNAT
Romania
OP ORTHODONTIC MANAGEMENT OF THE YOUNG VS THE PERIO-PROSTODONTIC
140 PATIENT
MARIA ALEXANDRA MARTU, SORINA SOLOMON, IONUT LUCHIAN, SILVIA MARTU,
NORINA CONSUELA FORNA
Romania
OP SATISFACTION WITH RESTORATION ON MULTIPLE SURFACE CARIES IN
141 PRIMARY TEETH
ZEYNEP ASLI ÖZKAYA, ZEKIYE HIDAYET
Turkey
OP COMPARATIVE STUDY REGARDING THE MICROBIAL ACCUMULATION ON
142 ZIRCONIA AND STAINLESS STEEL CROWNS IN PEDIATRIC DENTISTRY
LAURA MARIA VASILCA GAVRILA, EUGENIU MIHALAS, ADRIANA BALAN, ANA
Romania
OP HOW MUCH INFORMATION DO PARENTS HAVE ABOUT DENTAL AVULSION
143 INJURY?
GULCE COSAR, HUSNIYE GUMUS
Turkey
OP THE PREVELANCE OF TOOTH AGENESIS IN A GROUP OF TURKISH PATIENTS: A
144 RETROSPECTIVE STUDY
Merve BAYRAM, Nevin Kaptan AKAR
Medipol University, Istanbul, School of Dentistry
Turkey
74
23rd BaSS Congress
10 – 12 May 2018
OP THE PREVALENCE OF ORAL FEATURES IN A SAMPLE OF ROMANIAN CHILDREN

145 WITH DOWN SYNDROME
CARMEN SAVIN, ANA PETCU (SIRGHE), LAURA MARIA VASILCA GAVRILA, DANA
BOSANCEANU, ARIS PRISACARIU - RADOS
Romania
OP DENTO-PERIODONTAL TRAUMA - A REAL PROBLEM OF PEDIATRIC DENTISTRY
146 ADRIANA BALAN, CARMEN SAVIN, DANA MAXIM, ALEXANDRA MARTU,
GHEORGHE GH. BALAN
Romania
OP EARLY FUNCTIONAL REHABILITATION: A PRIVILEGE RESTRICTED TO YOUNG
147 PATIENTS
ARINA VINEREANU
Romania
19:30 Restorative Dentistry (7)
Assoc. Prof. Dr. Iulia Catalina Saveanu (ROMANIA)
Chairmen:
Lecturer Dr. Livia Bobu (ROMANIA)
PP RESTORATIVE APPROACHES TO ANTERIOR TRAUMATISED TOOTH
169 ALPEREN DEGIRMENCI, BEYZA UNALAN DEGIRMENCI, HABIL BAZYEL
Van Yuzuncu Yıl University, Faculty of Dentistry
Turkey
PP POLYDIASTEMA CLOSURE USING COMPOSITE LAMINATE VENEERS
170 BEYZA UNALAN DEĞIRMENCI, ALPEREN DEĞIRMENCI, HABIL BAZYEL
Turkey
PP COMPOSITE RESTORATIONS OF THE DENTAL TRAUMA CASE
171 BEYZA UNALAN DEĞIRMENCI, ALPEREN DEĞIRMENCI, HABIL BAZYEL
Turkey
PP CLOSURE OF THE MIDLINE DIASTEMA WITH COMPOSITE LAMINATE VENEER
172 RESTORATIONS
ALPEREN DEĞIRMENCI, BEYZA UNALAN DEĞIRMENCI, HABIL BAZYEL
Turkey
PP CLOSURE OF THE POLIDIASTEMAS DUE TO HIGH FRENULUM ATTACHMENT
173 ALPEREN DEĞIRMENCI, BEYZA UNALAN DEĞIRMENCI, HABIL BAZYEL
Van Yuzuncu Yıl University, Faculty of Dentistry - Turkey
75
23rd BaSS Congress
10 – 12 May 2018
PP HEATED COMPOSITE FOR DENTAL RESTORATIONS

174 RADU PETCO, LIDIA ENI, DIANA MARCI
Republic of Moldova
PP EFFECT OF POLISHING SYSTEMS ON THE SURFACE ROUGHNESS OF
175 NANOHYBRID COMPOSITES
NAZLI SIRINSUKAN, ESRA CAN
Turkey
FRIDAY, MAY 11th, 2018 ROSSINI B HALL
Time
12:00 Restorative Dentistry IV (7)
Prof. Dr. Monica Scrieciu (ROMANIA)
Chairmen:
Assoc. Prof. Dr. Angela Ghiorghe (ROMANIA)
OP THE BOND STRENGTH OF ADHESIVE RESINS TO MTA-FILLAPLEX
226 CONTAMINATED DENTIN TREATED BY VARIOUS GUTTA-PERCHA SOLVENTS
HANIFE ALTINIŞIK*, CEMILE KEDICI ALP*, ESRA ÖZYURT**
*Gazi University, Faculty of Dentistry; **Trakya University, Edirne, Faculty of Dentistry
Turkey
OP THE INFLUENCE OF PREHEATING ON MARGINAL ADAPTATION OF RESIN-
227 BASED MATERIALS FOR DIRECT RESTORATION
SIMONA STOLERIU, GALINA PANCU, IRINA NICA, NICOLETA TOFAN, GIANINA
IOVAN
Romania
OP MINIMALLY INVASIVE TECHNIQUES OF DISCOLOURED ANTERIOR TEETH – A
228 CASE SERIES
Gul Yildiz Telatar*, Baris Can Telatar**
*RTE University, Rize, Faculty of Dentistry; **Private Orthodontist
Turkey
76
23rd BaSS Congress
10 – 12 May 2018
OP EFFECT OF 40% HYDROGEN PEROXIDE ON THE ADHESIVE INTERFACE

229 BETWEEN COMPOSITE RESIN AND DENTAL TISSUES
GIANINA IOVAN, SORIN ANDRIAN, CRISTINA ANGELA GHIORGHE, IRINA NICA,
SIMONA STOLERIU
Romania
OP NONCARIOUS CERVICAL LESIONS IN YOUNGER VERSUS ELDERLY PATIENTS
231 SANDA MIHAELA POPESCU, VERONICA MERCUT, MONICA SCRIECIU, IULIA
ROXANA MARINESCU, EMMA CRISTINA DRAGHICI, MELANIA COJOCARU, HORIA
OCTAVIAN MANOLEA, MONICA MIHAELA CRAITOIU
Romania
OP CONCEPTS ON AGE AND ASPECTS OF ORAL STATUS IN ELDERLY PATIENTS IN
232 CRAIOVA
MONICA SCRIECIU, VERONICA MERCUȚ, SANDA MIHAELA POPESCU, HORIA
OCTAVIAN MANOLEA, MONICA MIHAELA CRAITOIU, RAZVAN GHITA
Romania

13:00 Oral pathology I (4)
Prof. Dr. Marcel Costuleanu (ROMANIA)
Chairmen:
Prof. Dr. Anca Sava (ROMANIA)
OP 89 A RETROSPECTIVE ANALYSIS OF SEVEN YEARS OF ORAL BIOPSIES IN
ALBANIA
BRUNILDA CENKOGLU*, MEHDI ALIMEHMETI**, ERISA KOLA**, TEUTA
DIMARELI***, DAJANA COLLAKU***
* Albanian University, Tirana
** Tirana University, Medical Faculty
***Impladental Clinic
Albania
OP 90 ANATOMICAL, PATHOLOGICAL AND IMMUNO-HISTOCHEMICAL
CONSIDERATIONS ON THE TUMORS OF THE ORAL CAVITY AND SALIVARY
GLANDS
ANCA SAVA*, FLORENTA GABRIELA DUMITRESCU**, ALEXANDRU NEMTOI*,
MARIUS HINGANU*, DANISIA HABA*
**Prof. Dr. N. Oblu Emergency Hospital
Romania
77
23rd BaSS Congress
10 – 12 May 2018
OP 91 A GENERAL OVERVIEW OF ORAL MANIFESTATIONS IN HEPATITIS C VIRUS

INFECTION
ALEXANDRU MESTER*, ONDINE LUCACIU*, DAN BUHATEL*, ARANKA ILEA*, LIDIA
CIOBANU**, RADU SEPTIMIU CAMPIAN*
* Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca
** Regional Institute of Gastroenterology and Hepatology “Octavian Fodor”
Romania
OP 92 INCIDENTAL DISCOVERY OF ORO-PHARYNGEAL CANCERS DURING ROUTINE
UPPER DIGESTIVE TRACT ENDOSCOPY
GHEORGHE G. BALAN, ADRIANA BALAN, VERONICA SERBAN - PINTILICIUC,
ANDRA GAMEN, CARMEN SAVIN
Romania
13:00
LUNCH BREAK
14:00
16:00 Other I (9)
Dr. Mihael Stanojevic (BOSNIA and HERZEGOVINA)
Chairmen:
Prof. Dr. Carmen Dorobat (ROMANIA)
OP BACTERIAL CONJUNCTIVITIS
242 CLAUDIA FLORIDA COSTEA, GABRIELA DIMITRIU, NICOLETA DUMITRESCU,
ANCA SAVA, MIHAELA DANA TURLIUC
Romania
OP AMNIOTIC MEMBRANE TRANSPLANT – ITS USE IN OPHTHALMOLOGICAL
243 PRACTICE
CLAUDIA FLORIDA COSTEA, GABRIELA DIMITRIU, GABRIELA FLORENTA
DUMITRESCU, MIHAELA DANA TURLIUC, ALEXANDRU CARAULEANU
Romania
OP EYE SOCKET – ANATOMICAL LANDMARKS FROM A SURGICAL POINT OF VIEW
244 CLAUDIA FLORIDA COSTEA, ANCA SAVA, MIHAELA MITREA, ROXANA POPESCU,
MIHAELA DANA TURLIUC
Romania
OP THE ADVANTAGES AND DISADVANTAGES OF NANOTECHNOLOGY
245 CRISTINA-MARIA GAVRILESCU, CRINGUTA PARASCHIV, PALOMA HORJINEC,
DIANA-MARIA SOTROPA, ROXANA-MIHAELA BARBU
78
23rd BaSS Congress
10 – 12 May 2018
OP PAIN EVALUATION IN YOUNG AND ELDERLY PATIENTS WITH DISORDERS OF

246 THE STOMATOGNATHIC SYSTEM
IRINA ESANU, MIHAELA BOANCA, PAULA TOADER, TATIANA TARANU, CRINGUTA
PARASCHIV
Romania
OP MAIN APPLICATIONS OF ROBOTS IN SURGERY – SHORT REVIEW
247 CRISTINA GENA DASCALU, RAMONA DIANA FEIER, GEORGETA ZEGAN, MAGDA-
ECATERINA ANTOHE
Romania
OP CLOSTRIDIUM DIFFICILE INFECTION ASSOCIATED TO MEDICAL CARE IN BUCO-
248 MAXI-FACIAL SECTOR
ANDREEA-AMALIA CĂLIN, GEORGIANA ALEXANDRA LĂCĂTUȘU, ALICE CÎȘLARIU,
IRINA MARGARETA NISTOR, G. MUSTEAȚĂ
Sf. Parascheva Clinic Hospital of Infectious Diseases Iasi
Romania
OP LEADERSHIP IN DENTAL MEDICINE- OPINION SURVEY
249 ELENA MIHAELA CARAUSU, LUCIAN STEFAN BURLEA, LAURA ELISABETA
CHECHERITA, IULIAN COSTIN LUPU, GEORGETA ZEGAN
Romania
OP CAREER DEVELOPMENT PATHS IN DENTAL MEDICINE – COUNSELLING FOR
250 STUDENTS
RAMONA DIANA FEIER, NORIN FORNA, CRISTINA GENA DASCALU, NORINA
FORNA
Romania
16:30 Orthodontics I (5)
Lecturer Dr. Mihnea Iacob (ROMANIA)
Chairmen:
Lecturer Dr. Dana Maxim (ROMANIA)
PP 89 CLEAR ALIGNERS – INVISALIGN
JASMINKA ANDJELIC
The University of Montenegro, The Faculty of Medicine, Study Program Dentistry,
Podgorica - Montenegro
PP 90 TREATMENT OF CLASS III MALOCCLUSION BY REVERSE TWIN FORCE BITE
CORRECTOR AND FIXED APPLIANCES CASE REPORT
FEYZA NUR DÜNDAR, IREM ÇIÇEKLI, ALI IHYA KARAMAN
79
23rd BaSS Congress
10 – 12 May 2018
Kocaeli University - Turkey

PP 91 INTERDISCIPLINARY TREATMENT OF A CLEFT LIP AND PALATE PATIENT:A
CASE REPORT
ZEYNEP NORCINLI, ESRA MUTLUOL, MEHMET AKIN
Selcuk University, Konya, Faculty of Dentistry
Turkey
PP 92 TREATMENT OF ANTERIOR MAXILLARY DISCREPANCY WITH FAN-TYPE RAPID
MAXILLARY EXPANSION APPLIANCE: A CASE REPORT
MERVE FIDANBOY, ZELIHA MUGE BAKA
Turkey
PP 94 TREATMENT OF SKELETAL CLASS III MALOCCLUSION WITH BONDED RAPID
MAXILLARY EXPANSION AND REVERSE HEADGEAR: CASE REPORT
SELDA AKAR, LEYLA CIME AKBAYDOGAN, ZELIHA MUGE BAKA
Turkey

18:30 Removable Prosthodontics I (11)
Prof. Dr. Ruzhdie Qafmolla (ALBANIA)
Chairmen:
Assoc. Prof. Dr. Diana Diaconu Popa (ROMANIA)
OP EFFECT OF SOFT TISSUE THICKNESSES ON RETENTION OF DENTURE
183 ADHESIVES
EMRE TOKAR*, ALEX FOK**
** University of Minnesota, School of Dentistry, USA
Turkey
OP DIFFERENT TERMINATIONS AFTER MECHANICAL AGING TENSION FORMATIONS
184 IN VARIOUS CONNECTION SYSTEMS OF IMPLANTED OVERDENTURE
PROSTHESES
MUSTAFA YILDIRIM, MURAT ALKURT, ZEYNEP YEŞİL DUYMUŞ
Recep Tayyip Erdogan University, Rize
Turkey
OP CLINICO-STATISTICAL STUDY ON EDENTULOUS SPACES EVOLUTION IN DRUG
185 CONSUMING PATIENTS
ADRIANA BISOC, MIHAELA PAUNA, LIVIA ALICE TANASESCU, OANA CELLA
ANDREI
Carol Davila University of Medicine and Pharmacy, Bucuresti
Romania
80
23rd BaSS Congress
10 – 12 May 2018
OP FACTORS OF ADAPTATION PERIOD TO REMOVABLE PARTIAL DENTURES AT

186 GERIATRIC PATIENTS IN MACEDONIA
NATASHA STAVREVA, BILJANA KAPUSEVSKA, ANETA MIJOSKA, EFKA
ZABOKOVA BILBILOVA, OLGA KOKOCEVA IVANOVSKA
Faculty of Dental Medicine Skopje
FYROM
OP EFFECTS OF ZrO2 NANOPARTICLE ADDITION ON SOME MECHANICAL
187 PROPERTIES OF VARIOUS DENTURE LINERS
GULFEM ERGUN*, AYSE SEDA ATAOL**, FERHAN EGİLMEZ*, RUKAN GENC***,
ZEYNEP SAHIN**
** Mersin University, Faculty of Dentistry
Turkey
OP CURRENT METHODS OF TRAINING FOR DENTAL TECHNICIANS
188 MAGDA-ECATERINA ANTOHE, MONICA ANDRONACHE, RAMONA DIANA FEIER,
OVIDIU STAMATIN, ROXANA VASLUIANU, NORINA CONSUELA FORNA
Romania
OP THE SUCCESS OF PROSTHODONTICAL TREATMENT -QUANTIFICABLE
189 BIOMECHANICAL APPLICATION
MONICA ANDRONACHE, MAGDA-ECATERINA ANTOHE, ROXANA VASLUIANU,
RAMONA DIANA FEIER, OVIDIU STAMATIN, NORINA CONSUELA FORNA
Romania
OP DOES SOFT LINING MATERIAL AFFECT ORAL HEALTH IMPACT PROFILE? A
190 PILOT STUDY
ALI CAN BULUT
University of Kirikkale, Faculty of Dentistry
Turkey
OP REHABILITATION OF A PATIENT WITH MAXILLARY DEFECT WITH A
191 PROSTHESIS SIMILAR TO THE OLD OBTURATOR
HATICE ÖZDEMIR
Atatürk University, Erzurum, Faculty of Dentistry - Turkey
OP PATHOLOGY SCREENING OF SOCIAL PATIENTS CASES IN MOLDOVA COUNTY
193 OVIDIU STAMATIN, MONICA ANDRONACHE, ROXANA VASLUIANU, RAMONA
DIANA FEIER, NORINA CONSUELA FORNA
Romania
81
23rd BaSS Congress
10 – 12 May 2018

19:30 Oral surgery II (9) / Orthodontics (3)
Lecturer Dr. Cristian Budacu (ROMANIA)
Chairmen:
Assist. Dr. Ana Maria Filioreanu (ROMANIA)
PP 80 BUCCAL FAT PAD ADVANCEMENT FLAP FOR CLOSURE OF AN ORO-ANTRAL
COMMUNICATION (A CASE REPORT STUDY)
ALEXANDRU LUPU*, ALEXANDRU ISOP*, LUCIAN CHIRILA**
*Clinical Hospital of Oral and Maxillo-facial Surgery ”Dan Theodorescu” Bucharest,
Romania
PP 81 RECURRENT MUCOCELE TREATMENT OF A CHILD PATIENT: A CASE REPORT
M. BAHATTIN BINGÜL, TUĞÇE NUR PEKDEMIR
Turkey
PP 82 THE MANAGEMENT OF NEW ORAL ANTICOAGULANT THERAPY ON PATIENTS
UNDERGOING DENTOALVEOLAR SURGERY
EMILIA DAMBU, OANA ELENA CIURCANU, CRISTINA BOLOGA, ALEXANDRA
LORINA STELEA, CARMEN GABRIELA STELEA
Romania
PP 83 ALVEOLAR RIDGE PRESERVATION FOLLOWING TOOTH EXTRACTION USING
PLATELET RICH FIBRIN AND BONE GRAFT
BILJANA EVROSIMOVSKA*, DANIELA VELESKA-STEFKOVSKA**, ADEM ALIU*,
CENA DIMOVA***, KIRO PAPOKOCA***
*University Dental Clinical Center "Sts Pantelejmon", Skopje;
**University “Ss. Cyril and Methodius”, Skopje;
***University “Ss. Goce Delcev”, Stip
FYROM
PP 84 CLINICAL APPLICATION OF PLATELET-RICH FIBRIN IN PERIODONTAL OSSEOUS
DEFECTS
BILJANA EVROSIMOVSKA*, DANIELA VELESKA-STEFKOVSKA**, FILIP KONESKI*,
**University “Ss. Cyril and Methodius”, Faculty of Dentistry, Skopje;
FYROM
PP 85 PATIENT AGE - PREDICTION FACTOR OF POSTOPERATIVE DISEASE IN ORAL
SURGERY
82
23rd BaSS Congress
10 – 12 May 2018
CRISTIAN CONSTANTIN BUDACU*, IULIA CHISCOP**, OANA ELENA CIURCANU*,

* Grigore T. Popa University of Medicine and Pharmacy Iasi;
Romania
PP 86 DENTAL TRAUMA: A CASE REPORT
VEDAT TARI*, ZELAL SEYFIOGLU POLAT**, NUMAN CETINKAYA**, MUHAMMED
CAGLAR BURSA**, HATICE KUBRA DAMAKSIZ**
*Dental Surgery, Mardin; **Dicle University, Diyarbakır, Faculty of Dentistry
Turkey
PP 87 IMPACTED CANINES - TO EXTRACT OR NOT?
RISTE BRZAKOV*, BRUNO NIKOLOVSKI*, BOJAN VELKOSKI*, ANA MINOVSKA**,
VERA RADOJKOVA-NIKOLOVSKA***
*ETERNAdent, Skopje;
** UGD, Stip, Faculty of Medical Sciences;
***UKIM, Skopje, Faculty of Dentistry
FYROM
PP 88 CONTEMPORARY VIEWS of OPEN and CLOSED SURGICAL EXPOSURE OF
ENCLOSED CUSPIDS
KYROS VASILEIOS, PAHOUMIS IOANNIS, MARIA SIDERI, ADAM AL MOCHAMANT,
IOANNIS FOTOPOULOS
Aristotle University of Thessaloniki
Greece
PP 95 MANAGEMENT OF A CLASS II MALOCCLUSION USING CERVICAL HEADGEAR:A
CASE REPORT
MERVE OZTURK, ZEYNEP SEYMAN, ZELIHA MÜGE BAKA
Turkey
PP 96 EFFECT OF VIBRATION APPLIED BY MODIFIED ELECTRIC TOOTHBRUSH ON
ORTHODONTIC TREATMENT
OZGE GUNBAY, AHMET YAGCI
Erciyes University, Kayseri
Turkey
PP 97 TREATMENT OF SKELETAL CLASS II WITH MINI-IMPLANT SUPPORTED MOLAR
DISTALIZATION APPLIANCE: CASE REPORT
GULSEN KACIRA KESKIN, GAMZE CAGLA URUC, RIDVAN OKSAYAN
Eskisehir Osmangazi University - Turkey
83
23rd BaSS Congress
10 – 12 May 2018
FRIDAY, MAY 11th, 2018 VERDI HALL
Time
10:00 WORKSHOP
14:00 DIRECT ESTHETIC RESTORATIONS KaVo Kerr Resto
USING COMPOSITE MATERIALS Dr. Lupu Costin
WITH ART TECHNOLOGY
14:00 WORKSHOP
BTK
17:00 ORAL IMPLANTOLOGY

18:30 Fixed Prosthodontics I (12) / Endodontology I (6)
Assist. Dr. Dragos Virvescu (ROMANIA)
Chairmen:
Assist. Dr. Elena Luca (ROMANIA)
PP 35 DENTAL BRIDGES AND THEIR EFFECTS ON ABUTMENT TEETH
ZENOVIA SURLARI, DRAGOS VIRVESCU, DORIANA AGOP FORNA, OANA DOLOCA
TANCULESCU, GABRIELA IFTENI
Romania
PP 36 THE IMPORTANCE OF SCREEN VERIFICATION IN TREATMENT THERAPY OF
COVERAGE
ELENA LUCA, CORNELIA BREZULIANU, NICOLETA IOANID, ARINA ALICE CIOCAN
PENDEPUNDA, MARIA ANTONELA BELDIMAN
Romania
PP 37 USE OF PORCELAIN VENEERS IN DENTAL OFFICES IN MACEDONIA
KATERINA ZLATANOVSKA, IVONA KOVACEVSKA, NATASA LONGUROVA, SANJA
NASKOVA, DARKO KOCOVSKI
University “Goce Delcev”, Stip, FACULTY OF MEDICAL SCIENCE – DENTAL
MEDICINE
FYROM
PP 38 PROVISIONAL RESTORATION IN SOFT TISSUE MANAGEMENT AROUND
ANTERIOR SINGLE-TOOTH DENTAL IMPLANT: A CASE REPORT
YESIM CETIN, ABDURRAHMAN SAHINBAS
Turkey
PP 39 ADHESION BETWEEN COMPOSITE AND TITANIUM WITH DIFFERENT METAL
PRIMERS
AYŞE ERZINCANLI, ENDER KAZAZOĞLU
84
23rd BaSS Congress
10 – 12 May 2018
Yeditepe University, Istanbul, Dental School

Turkey
PP 40 TREATMENT OF A PATIENT WITH ANTERIOR CROWDING COMPLAINT BY USING
DIGITAL WAX-UP METHOD; A CASE-REPORT
SELEN ERKUL, YUNUS EMRE OZDEN, ENDER KAZAZOGLU
Turkey
PP 41 THE EFFECT OF FERRULE PRESENCE ON THE FRACTURE STRENGHT OF
DIFFERENT ENDOCROWNS AND POST-CORE RESTORATIONS
IREM AKSU*, AHMET ATILA ERTAN**, NUR EMEL HERSEK**
*Yeditepe University Istanbul, ** Hacettepe University Istanbul
Turkey
PP 42 PROSTHETIC REHABILITATION OF A PATIENT WITH ATTRISION AND BRUXISM
USING CAD-CAM TEMPORARY AND PERMANENT RESTORATIONS
GUREL PEKKAN, BANU CUKURLUOZ BAYINDIR, OMER FARUK TEKIN
Dumlupınar University, Kutahya, Faculty of Dentistry
Turkey
PP 43 PROSTHETIC REHABILITATION OF ANGLED IMPLANTS WITH PARTIAL HYBRID
PROSTHESIS. A CASE REPORT
SELEN ERKUL, AYSE ERZINCANLI, CEREN USTUNEL, NURHAN GULER, ENDER
KAZAZOGLU
Yeditepe University Dental Hospital
Turkey
PP 44 MINIMAL COSMETIC RESTORATION WITH LITHIUM DISILICATE VENEERS IN
PATIENTS WITH PARAFUNCTION, WHILE ACHIEVING OCCLUSAL STABILITY
ANA ALEKSANDROVSKA*, DANIELA CVETANOVSKA-STOJCEVA*, BRUNO
NIKOLOVSKI*, RISTE BRZAKOV*, ANA MINOVSKA**
*ETERNAdent; ** University Goce Delchev Shtip
FYROM
PP 45 PROSTHETIC REHABILITATION OF MAXILLER ANTERIOR TEETH WITH ZIRCONIA
LAMIA NAJAFOVA
Turkey
PP 46 THE BIOMATERIALS IMPACT USED IN FIXED RESTAURATIONS OVER
PERIODONTAL ARHITECTURE: IN VITRO STUDY
ALICE-ARINA CIOCAN-PENDEFUNDA, ALINA MIHAELA APOSTU, ELENA RALUCA
BACIU, NICOLETA IOANID, GABRIELA IFTENI
85
23rd BaSS Congress
10 – 12 May 2018
PP 13 INTRA RADICULAR RESTORATIONS AND RETROGRADE RETRETMANT OF

TEETH
MAJA DELIC, DZENAD GANJOLA
Montenegro
PP 14 THE STUDY OF THE CONCORDANCE BETWEEN HISTOLOGICAL AND CLINICAL-
RADIOLOGICAL ASPECTS IN CHRONIC APICAL PERIODONTITIS
CRISTIANA PETCU, CRISTIAN PETCU, SIMINA GAMAN, ANDREEA CAZAN,
MIHAELA STAN
Romania
PP 15 EVALUATION OF ENDODONTIC LESION ON CBCT AND DIGITAL PERIAPICAL
RADIOGRAPHY A CASE REPORT
MIHAELA-JANA ȚUCULINA, DIANA SILVIA DUȚU, SANDA MIHAELA POPESCU, IREN
MORARU, ANCA GHEORGHE
Romania
PP 16 HISTOLOGICAL STUDY REGARDING STRUCTURAL CHANGES OCCURRED IN
IRREVERSIBLE PULPITIS
ANCA GABRIELA GHEORGHE, VERONICA MERCUT, MIHAELA TUCULINA, SANDA
MIHAELA POPESCU, DORIN GHEORGHE
Romania
PP 17 TREATMENT OF INTERNAL RESORPTION WITH MTA: A CASE REPORT
BEYHAN BAŞKAN, ÖZKAN ADIGÜZEL
Turkey
PP 18 CBCT IN DIAGNOSTIC AND TREATMENT PLAN OF PERIAPICAL LESIONS:
SURGERY OR ENDODONTIC TREATMENT
CRISTINA ANTOHI, TUDOR COSMIN ONICIUC, DANISIA HABA, LIANA AMINOV,
DORIANA AGOP FORNA
Romania
86
23rd BaSS Congress
10 – 12 May 2018

19:30 Periodontology II (12)
Assoc. Prof. Dr. Sorina Solomon (ROMANIA)
Chairmen:
Lecturer Dr. Ioana Martu (ROMANIA)
PP NEW ASPECTS IN DENTAL FIXATION AFTER TRAUMA AND PERIODONTITIS
137 KYROS VASILEIOS, MARIA-ELENI ZOULOUMI, MARIA SIDERI, AGATHI-PANAGIOTA
SPYROPOULOU, LAMPROS ZOULOUMIS
Greece
PP IBUPROFEN INFLUENCE ON GINGIVAL BLEEDING DURING ETIOLOGICAL
138 PERIODONTAL TREATMENT
IOANA RUDNIC, VERONICA PINTILICIUC ŞERBAN, LILIANA PĂSĂRIN, SILVIA
TESLARU, SORINA SOLOMON
Romania
PP OBTAINIG OF GINGIVAL FIBROBLASTS CULTURES BY EXPLANT TECHNIQUE-A
139 SIMPLE METHOD FOR REASEARCHS
IOANA MARTU, ANCUTA GORIUC, IONUT LUCHIAN, DANA BOSANCEANU,
RALUCA -ELENA BACIU, MONICA TATARCIUC
Romania
PP STUDY REGARDING THE IMPACT OF PROSTHETIC IATROGENIES ON THE
140 PERIODONTAL STATUS
LILIANA PĂSĂRIN, SORINA MIHAELA SOLOMON, IRINA-GEORGETA ȘUFARU,
IONUT LUCHIAN, SILVIA MÂRȚU
Romania
PP EVALUATION OF THE EFFECTS OF OCCLUSAL TRAUMA IN PERIODONTALLY
141 IMPAIRED PATIENTS
COSMIN POPA, IONUT LUCHIAN, IOANA MARTU, SORINA - MIHAELA SOLOMON,
SILVIA MÂRȚU
Romania
PP EVALUATION OF THE PERIODONTAL PARAMETERS IN DENTAL PROSTHESIS
142 PATIENTS WITH RHEUMATOID ARTHRITIS
MADALIN HONCIUC, MARIA-ALEXANDRA MARTU, LILIANA PASARIN, IOANA
RUDNIC, SILVIA MARTU
87
23rd BaSS Congress
10 – 12 May 2018
PP STUDY ON THE ASSOCIATION BETWEEN THE SEVERITY OF CHRONIC

143 PERIODONTITIS AND CAROTID ATHEROSCLEROSIS
OVIDIU NICOLAICIUC, SORINA MIHAELA SOLOMON, LILIANA PASARIN, BOGDAN
VASILIU, SILVIA MARTU
Romania
PP RISK FACTORS EVALUATION IN PATIENTS WITH PERIODONTITIS ASSOCIATED
144 WITH CARDIOVASCULAR DISEASE
BOGDAN VASILIU, ALEXANDRA CORNELIA TEODORESCU, OVIDIU NICOLAICIUC,
NAZIRA SAVA, SILVIA MARTU
Romania
PP COMPARATIVE THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS OF METAL-
145 CERAMIC AND ALL CERAM 5-UNIT FPD
NICOLETA IOANID, ARINA ALICE CIOCAN PENDEFUNDA, ELENA LUCA,
ANTONELA BELDIMEN, GABRIELA IFTENI
Romania
PP SEVOFLURAN AND PROPOFOL, THEIR IMPACT ON PERIODONTAL STATUS AT
146 PEDIATRIC PATIENTS
SAIMIR HETA*, ILMA ROBO**, SPIRO SILLA*, DARIEL THERESKA*, SONILA
ROBO***
*University Hospital Center, Tirana; **Albanian University, Tirana; ***Fier Maternity, Fier
Albania
PP APPLICATION OF GS THREE PLAQUE GEL IN DETECTION OF DENTAL PLAQUE
147 MIRJANA POPOVSKA*, LIDIJA VELOVSKA*, LINDITA ZENDELI BEXHETI**, BILJANA
RUSEVSKA**, MARIJA IVANOVSKA**
*Faculty of Dentistry, Skopje; **University Dental Clinic Skopje
FYROM
PP PATHOGENIC POTENTIAL EVALUATION OF PERIODONTAL MICROBIAL FLORA
148 IN PATIENTS WITH DIABETES NON AND INSULIN-DEPENDENT
RAMONA IMELDA DINU*, MARIUS ANDREI DINU*, SILVIA MARTU*, DUMITRIU
HORIA TRAIAN**
Romania
88
23rd BaSS Congress
10 – 12 May 2018
SATURDAY, MAY 12th, 2018
SATURDAY, MAY 12th, 2018 CHOPIN A HALL
Time
09:00 PLENARY LECTURES & ORAL PRESENTATIONS
12:00 Endodontology II (7) / Fixed Prosthodontics II (3)
Prof. Dr. Ion Patrascu (ROMANIA)
Chairmen:
Dr. Andrei Kozma (ROMANIA)
● Andrei Kozma et al. (ROMANIA) 30 min:
Oral Hereditary Abnormalities - Child Diagnosed with Epidermolysis Bullosa
● Ion Patrascu (ROMANIA) 30 min:
Advantages, Limits and Alternatives in Zirconia Prosthetics Restorations
12:00 Endodontology II (7) / Fixed Prosthodontics II (3)
OP 28 COMPARATIVE EVALUATION OF SOME TECHNIQUES FOR DIRECT
VISUALIZATION OF THE ENDODONTIC MORPHOLOGY
LIANA AMINOV*, MIHAELA SALCEANU*, CRISTINA ANTOHI*, ALEXANDRU A.
ILIESCU**, YLLKA DECOLLI*
**University of Medicine and Pharmacy Craiova
Romania
OP 29 PERIAPICAL STATUS AND PREVALENCE OF PERIODONTITIS PRIOR TO
SPECIALIST ENDODONTIC RETREATMENT. A RADIOLOGICAL REVIEW
ANAMARIA ZAHARESCU, DAN-CRISTIAN IONEL, GABRIEL-VALERIU POPA, KAMEL
EARAR, MĂDĂLINA-NICOLETA MATEI
Dunărea de Jos University of Galați
Romania
OP 30 STUDY REGARDING DETECTION ACCURACY OF ROOT INCIPIENT RESORPTION
BY COMPUTER TOMOGRAPHY
TUDOR HAMBURDA, MIHAELA SALCEANU, CRISTINA ANTOHI, CLAUDIU
TOPOLICEANU, ANCA MELIAN
Romania
OP 31 DETERMINATION OF REMNANTS WITH DIFFERENT OBTURATION AND GUTTA-
PERCHA REMOVAL TECHNIQUES IN RETREATMENT
ALI TURKYILMAZ, GOZDE AKBAL DINCER, GULSEN ERMIŞ, DILEK
HANCERLIOGULLARI, ALI ERDEMIR
Kirikkale Univesity, Faculty of Dentistry - Turkey
89
23rd BaSS Congress
10 – 12 May 2018
OP 32 EFFECT OF DIFFERENT IRRIGATION ACTIVATION METHODS ON DENTIN DEBRIS

REMOVAL
ALI TURKYILMAZ, GOZDE AKBAL DINCER, DILEK HANCERLIOGULLARI, GULSEN
ERMIŞ, ALI ERDEMIR
Turkey
OP 33 POSSIBLE ETIOLOGY OF PERIAPICAL LESIONS : A RETROSPECTIVE
RADIOGRAPHIC STUDY
Elif Defne Altıntaş, Gülsüm Ceylan
Istanbul Medipol University, School of Dentistry
Turkey
OP 34 INFLUENCE OF DIFFERENT PECKING DEPTH ON AMOUNT OF APICALLY
EXTRUDED DEBRIS DURING ROOT CANAL PREPARATION
ELIF BAHAR CAKICI, BUSRA UYSAL, ADEM GUNAYDIN, FATIH CAKICI
Ordu Univesity, Faculty of Dentistry
Turkey
OP 41 THE ROLE OF THE PROVISIONAL PROSTHETICS IN FIXED PROSTHODONTICS
LAURA CHECHERITA, ELENA LUCA, MIHAELA MITREA, ELENA MIHAELA
CARAUSU, BOGDAN BULANCEA
Romania
OP 42 NEW CROSS-SECTIONAL PONTIC DESIGN FOR MINIMIZING THE FRACTURE
INCIDENCE OF FIBRE-REINFORCED COMPOSITE BRIDGES
OANA TANCULESCU, ALINA APOSTU, ADRIAN DOLOCA, RALUCA MOCANU,
GABRIELA IFTENI
Romania
OP 43 THE USE OF TWO NEW TEMPORARY RESTORATION SYSTEMS IN PATIENTS
WITH CONGENITAL LATERAL DEFICIENCY
FILIZ YAGCI*, GÖKHAN TURKER**
*Erciyes University Kayseri, Faculty of Dentistry
** Mersin University
Turkey
12:00
14:00
14:00 CLOSING CEREMONY
90
23rd BaSS Congress
10 – 12 May 2018
SATURDAY, MAY 12th, 2018 CHOPIN B HALL
Time
09:00
PLENARY LECTURES & ORAL PRESENTATIONS - Fixed Prosthodontics II (8)
12:00
Assoc. Prof. Dr. Irina Esanu (ROMANIA)
Chairmen:
Assoc. Prof. Dr. Oana Tanculescu (ROMANIA)
09:00 ● Marcel Costuleanu (ROMANIA) 30 min:
10:00 Biochemical Effects of Collagen-Cultured Mesenchymal Stem Cells on Endothelial
Progenitor Cells In Vitro
● Sorina Mihaela Solomon (ROMANIA) 30 min :
Actualities of Association between Periodontal Disease and End-Stage Chronic Kidney
Disease / Dialysis
12:00 Fixed Prosthodontics II (10)
OP 44 EVALUATION OF INTERNAL FIT OF METAL COPINGS FABRICATED WITH LAZER
SINTERIZATION AND CONVENTIONAL METHODS
GUREL PEKKAN*, SULEYMAN HAKAN TUNA**, HATICE CANAN HEKIMOGLU***,
BANU CUKURLUOZ BAYINDIR*
* Dumlupinar University Kutahya, Faculty of Dentistry
** Suleyman Demirel University, Faculty of Dentistry
*** Hacettepe University, Faculty of Dentistry
Turkey
OP 45 ZIRCONIA SURFACE TREATMENT FOR IMPROVING BONDING TO VENEERING
CERAMIC – IN VITRO STUDY
ANETA MIJOSKA, NATASHA STAVREVA, EFKA ZABOKOVA BILBILOVA, OLGA
KOKOCEVA IVANOVSKA, VESNA AMBARKOVA
Faculty for Dental Medicine SS Cyril and Methodius, Skopje
Macedonia
OP 46 PROSTHODONTIC REHABILITATION OF CHILDHOOD AND ADULTHOOD
PATIENTS WITH ECTODERMAL DYSPLASIA
ÖZGE PARLAR ÖZ, MAHMUT ERÇIL, NERMIN DEMIRKOL
Turkey
OP 47 COMPARATIVE STUDY ON DIFFERENT DENTAL IMPRESSION TECHNIQUES
USED IN FIXED PROSTHESIS
CORNELIA BREZULIANU, NICOLETA IOANID, LAURA CHECHERITA, ANTOANELA
BELDIMAN, ELENA LUCA
91
23rd BaSS Congress
10 – 12 May 2018
OP 48 THE RELEVANCE OF COMPUTERIZED AXIOGRAPHY IN THE DIAGNOSIS OF

TEMPOROMANDIBULAR JOINT DYSFUNCTIONS
ANDREI FACHIRA*, OLEG SOLOMON*, MIHAI MOSTOVEI*, DANIELA CHIRITA*,
NORINA FORNA**
*N. Testemitanu State University of Medicine and Pharmacy Chisinau, Rep. Moldova
**Grigore T. Popa University of Medicine and Pharmacy Iasi, Romania
OP 49 TECHNOLOGICAL ALTERNATIVES IN THE ACHIEVEMEN OF METALLIC
FRAMEWORK
DANIELA MARIA POP, EMANUELA LIDIA CRĂCIUNESCU, COSMIN SINESCU,
ADRIAN TUDOR STAN, MEDA-LAVINIA NEGRUȚIU
Victor Babes University of Medicine and Pharmacy Timișoara
Romania
OP 50 TOMOGRAPHIC COMPARATIVE ANALISYS FOR TEMPORO-MANDIBULAR
DISORDERS
GABRIELA IFTENI, ALINA APOSTU, DRAGOS VIRVESCU, OVIDIU AUNGURENCEI,
ZENAIDA SURLARI
Romania
OP 51 EFFECTS OF SURFACE TREATMENTS AND AGING ON TRANSLUCENCY AND
COLOR STABILITY OF MONOLITHIC CERAMICS
MERAL KURT, BİLGE TURHAN BAL
Gazi University, Ankara, Faculty of Dentistry
Turkey
OP DIFFERENCES IN PERCEPTION OF SMILE ESTHETICS
230 MARIA JUSTINA ROXANA VIRLAN, VICTOR NIMIGEAN, SIMONA ANDREEA
MORARU, VANDA ROXANA NIMIGEAN
Carol Davila University of Medicine and Pharmacy Bucuresti
Romania
OP 68 TRENDS IN THE ASSESSMENT OF ORAL MANIFESTATIONS OF SYSTEMIC
SCLEROSIS: CBCT RESULTS
CODRINA ANCUTA, CRISTINA POMIRLEANU, MAGDA ECATERINA ANTOHE,
EUGEN ANCUTA, CRISTINA IORDACHE
Romania
12:00
14:00
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23rd BaSS Congress
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SATURDAY, MAY 12th, 2018 VIVALDI A HALL
Time
09:00
PLENARY LECTURES
12:00
Prof. Dr. Kamel Earar (ROMANIA)
Chairmen: Prof. Dr. Viorel Ibric Cioranu (ROMANIA)
Assoc. Prof. Dr. Mihai Constantin (ROMANIA)
● Kamel Earar (ROMANIA) 30 min:
Contemporary Approaches of Zirconia in Fixed Prosthesis
● Madalina Matei (ROMANIA) 30 min:
Prevention of Dento-Alveolo Maxilar Disharmonies in School and Preschool Children
● Jabbar Hasanov (AZERBAIJAN) 30 min:
Sinus Floor Augmentation. The Importance of Examination, Treatment Options and
Follow Up on Successful Results
● Viorel Ibric Cioranu (ROMANIA) 30 min:
Complications of Implant-Prosthetic Treatment at Young vs. Elder Patient
● Razvan Branzan (ROMANIA) 30 min:
The Reciprocating Movement in Endodontics
● Marius Popovici (ROMANIA) 30 min:
Caprice or Necessity in Dental Medicine
SATURDAY, MAY 12th, 2018 VIVALDI B HALL
Time
09:00
PLENARY LECTURES
12:00
Prof. Dr. Maida Ganibegovic (BOSNIA and HERZEGOVINA)
Chairmen: Prof. Dr. Brunilda Cenkoglu (ALBANIA)
Prof. Dr. Irina Nicoleta Zetu (ROMANIA)
● Maida Ganibegovic (BOSNIA and HERZEGOVINA) 30 min:
Lifestyle vs. Oral Health Tempora Mutantur
● Mihaela Mosnegutu (ROMANIA) 30 min:
The antibiotics used in dental medicine – age-correlated particularities
● Brunilda Cenkoglu (ALBANIA) 30 min:
Dental Implant Placement using Navigation System
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23rd BaSS Congress
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● Irina Nicoleta Zetu (ROMANIA) 30 min:

Modern Orthodontic Therapeutic Approaches in Children and Young Adults
● Mihaela Monica Scutariu (ROMANIA) 30 min:
Considerations on Improving the Oral Health of the Elderly
● Anca Melian (ROMANIA) 30 min:
Study regarding the Clinical Applications of Premixed Bioceramic Materials in
Endodontics
SATURDAY, MAY 12th, 2018 MOZART HALL
Time
09:00
Professional Associations Meeting
10:00
10:00
2nd BaSS Council Meeting
12:00
SATURDAY, MAY 12th, 2018 ROSSINI A HALL
Time
10:00 Dental Biomaterials (8) / Other (4)
Lecturer Dr. Alina Apostu (ROMANIA)
Chairmen:
Lecturer Dr. Ancuta Goriuc (ROMANIA)
PP 5 IN VITRO EFFICACY OF SILVER DIAMINE FLUORIDE
LAURA IDORASI, SANDRA ANDREEA SECOSAN, COSMIN SINESCU, ADRIAN
TUDOR STAN, MEDA-LAVINIA NEGRUTIU
Romania
PP 6 BIOCOMPATIBILITY EVALUATION OF COBALT-CHROMIUM ALLOYS
PROCESSED BY TRADITIONAL CASTING, COMPUTERIZED MILLING, SLS AND
SLM
CRISTINA ELENA SAVENCU, SORIN DANIEL POROJAN, ROXANA DIANA VASILIU,
ADRIAN BOLOȘ, LILIANA POROJAN
94
23rd BaSS Congress
10 – 12 May 2018
Romania
PP 7 CORROSION ASPECTS OF NITINOL AS ORTHODONTIC WIRE
ELENA-RALUCA BACIU, MARIA BOLAT, MARIA-ANTONELA BELDIMAN, ALICE-
ARINA CIOCAN-PENDEFUNDA, DANA GABRIELA BOSÎNCEANU
Romania
PP 8 EVALUATION OF RESIN COMPOSITES ADAPTATION USING MICRO-CT
ADRIAN TUDOR STAN, LAURA IDORAȘI, EMANUELA CRĂCIUNESCU, COSMIN
SINESCU, MIHAI ROMÎNU
Romania
PP 9 MODERN OPTOELECTONIC METHOD FOR FIRING TEMPARATURE OF CERAMIC-
FUSED TO-METAL DENTAL PROSTHESES
RALUCA TODOR, COSMIN SINESCU, CAIUS STOIAN, ADRIAN GH. PODOLEANU,
MEDA LAVINIA NEGRUTIU
Romania
PP 10 MICRO-MORPHOLOGICAL CHANGES OF PORCELAIN SURFACE AFTER
DIFFERENT SURFACE TREATMENTS
EMILIJA BAJRAKTAROVA VALJAKOVA, VESNA KORUNOSKA STEVKOVSKA,
NIKOLA GIGOVSKI, ANETA MIJOSKA, CVETANKA BAJRAKTAROVA MISEVSKA
University “Ss Cyril and Methodius”, Skopje
FYROM
PP 11 STUDY ON THE ELECTROCHEMICAL CORROSION OF SOME NOBLE AND BASE
METAL DENTAL ALLOYS
ELENA ODETTE LUCA, MONICA TATARCIUC, DIANA DIACONU-POPA , ANCA
VIŢALARIU
Romania
PP 12 OCT EVALUATION OF PROSTHETIC METAL FRAMES MADE WITH
CONVENTIONAL METHOD AND SLS/SLM METHOD
CAIUS STOIAN*, RALUCA TODOR*, COSMIN SINESCU*, ADRIAN GH.
PODOLEANU**, MIHAI ROMÎNU*
*Victor Babes University of Medicine and Pharmacy Timisoara
** University of Kent, Canterbury
Romania
PP THE MANAGEMENT OF DISC DISLOCATION POST-PROSTHETIC TREATMENT
176 ALINA APOSTU, GABRIELA IFTENI, OANA TANCULESCU DOLOCA, ARINA CIOCAN
PENDEFUNDA, OVIDIU AUNGURENCEI
95
23rd BaSS Congress
10 – 12 May 2018

Romania
PP BRUXISM – THE INFLUENCE OF THE CATEHOLAMINES – LITERATURE REVIEW
177 MARIANA DIMOVA-GABROVSKA*, DESISLAVA DIMITROVA**
*Medical University Sofia; ** Medical University Varna
Bulgaria
PP MODERN METHODS OF LABORATORY DIAGNOSIS IN PERIODONTAL DISEASES
178 ANCUȚA GORIUC, BOGDAN MINEA, MARCEL COSTULEANU, IOANA MÂRȚU,
LILIANA FOIA
Romania
PP ELEMENTS OF NONVERBAL LANGUAGE IN THE DOCTOR-PATIENT
179 RELATIONSHIP IN THE DENTAL OFFICE
GEORGIANA MACOVEI, DIANA DIACONU POPA, GALINA PANCU, ANTONELA
MARIA BELDIMAN, ADINA OANA ARMENCIA, ODETTE LUCA, MONICA MIHAELA
SCUTARIU, ALEXANDRA BOLOS
Romania

12:00 Orthodontics III (12)
Prof. Dr. Mariana Pacurar (ROMANIA)
Chairmen:
Lect. Dr. Mihnea Iacob (ROMANIA)
OP EFFECTS OF DIFFERENT BLEACHING METHODS ON SHEAR BOND STRENGTH
122 OF ORTHODONTIC METALLIC BRACKETS
SAHAND GHAFFARI, MEHMET BULBUL, RIDVAN OKSAYAN
Turkey
OP ASSESSMENT OF ORTHODONTIC TREATMENT OUTCOMES. EARLY VERSUS
124 LATE TREATMENT
LOREDANA GOLOVCENCU, GEORGETA ZEGAN, DANIELA ANISTOROAEI
Romania
OP COMPARISON THE DIFFERENT TYPES OF BONDING TECHNIQUES EFFECTS ON
125 WHITE SPOT LESION FORMATION
TANER OZTURK*, ONUR AYKAN ATILLA**, MUSTAFA MURAT ERUZ***, AHMET
YAGCI*
*Erciyes University, Kayseri, Faculty of Dentistry; **Osmanli Dental Center, Ministry of
Health; ***Private Practice
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23rd BaSS Congress
10 – 12 May 2018
Turkey
OP 3-DIMENSIONAL SOFT TISSUE ANALYSIS OF PATIENTS TREATED WITH FIXED
126 PALATAL CRIB APPLIANCE
TANER OZTURK, NISA GUL AMUK
Turkey
OP COMPLEX SURGICAL-ORTHODONTIC TREATMENT OF A CLASS II2 ADULT
127 PATIENT
MIHNEA IACOB, GABRIEL MELIAN, IRINA ZETU
Romania
OP THE EVALUATION OF THE IMPACTED MAXILLARY CANINES
128 HATICE KOK
Turkey
OP EFFECTIVENESS OF INTERCEPTIVE ORTHODONTIC TREATMENT IN REDUCING
129 MALOCCLUSIONS: REVIEW AND CASE REPORTS
DANIELA ANISTOROAEI, GEORGETA ZEGAN, LOREDANA GOLOVCENCU
Romania
OP SALIVARY CHANGES AT WEARERS OF ORTHODONTIC APPLIANCES
130 GEORGETA ZEGAN, LOREDANA GOLOVCENCU, CRISTINA GENA DASCALU,
DANIELA ANISTOROAEI, ELENA MIHAELA CARAUSU
Romania
OP ORTHODONTIC THERAPY ON THE CRONOLOGICAL AGE AXIS
131 MARIANA PĂCURAR, MANUELA CHIBELEAN, EUGEN BUD
University of Medicine and Pharmacy Tg. Mures, Faculty of Dentistry
Romania
OP EVALUATION OF STYLOID PROCESS BETWEEN SKELETAL CLASS I AND CLASS
111 II MALOCCLUSION
TURKAN SEZEN ERHAMZA
Turkey
OP ORTHODONTIC-SURGICAL TREATMENT OF A PATIENT WITH SKELETAL CLASS
114 III MALOCCLUSION AND ANTERIOR OPENBITE - CASE REPORT
LEYLA CIME AKBAYDOGAN, ZELIHA MUGE BAKA
Turkey
97
23rd BaSS Congress
10 – 12 May 2018
OP TREATMENT OF A CLASS III MALOCCLUSION WITH RAPID MAXILLARY

115 EXPANSION AND REVERSE HEADGEAR
EMEL BICAN GEÇGEL, LEYLA ÇİME AKBAYDOĞAN, ZELIHA MÜGE BAKA
Turkey
SATURDAY, MAY 12th, 2018 ROSSINI B HALL
Time
10:00 Orthodontics III (11)
Prof. Dr. Georgeta Zegan (ROMANIA)
Chairmen:
Lecturer Dr. Veronica Pintiliciuc (ROMANIA)
PP 93 ORTHODONTIC TREATMENT OF A PATIENT WITH TRANSVERSAL MAXILLARY
DEFICIENCY USING HYBRID EXPANDER: A CASE REPORT
ILKNUR CAGLI KARCI, MEHMET AKIN, ZEYNEP NORCINLI
Turkey
PP 98 ASYMMETRICAL RAPID MAXILLARY EXPANSION IN POSTADOLESCENT
PATIENT: CASE REPORT
SAHAND GHAFFARI, RIDVAN OKSAYAN
Turkey
PP 99 THE RESULTS OF THE REVERSE PULL HEADGEAR TREATMENT IN PATIENTS
WITH ANGLE CLASS III MALOCCLUSION
VALENTINA TRIFAN, DANIELA TRIFAN
Republic of Moldova
PP THE MORBIDITY OF POSTERIOR CROSSBITE IN REPUBLIC OF MOLDOVA
100 DANIELA TRIFAN, ELENA STEPCO
Republic of Moldova
PP TREATMENT OF ASYMMETRIC GUMMY SMILE BY ORTHODONTAL AND
101 PERIODONTAL MEANS
LIGIA VAIDA, GABRIELA CIAVOI, ABEL MOCA, BIANCA NEGRUTIU, BIANCA TODOR
University of Oradea
Romania
98
23rd BaSS Congress
10 – 12 May 2018
PP ORTHODONTC TREATMENT FOR PROSTHODONTIC REHABILITATION

102 ZELJKO MILOSAVLJEVIC*, DANKA MILOSAVLJEVIC**, BILJANA NIKOLIC*"*
*School of Dentistry, Belgrade; **Private Practice, Belgrade; ***Health Center, UB
Serbia
PP RETRACTION OF UPPER INCISORS WITH ORTHODONTIC MINI IMPLANTS
103 ZELJKO MILOSAVLJEVIC, PREDRAG NIKOLIC
University of Belgrade, School of Dentistry
Serbia
PP ORTOPEDICAL FACIAL MASK
104 LJILJANA STOJANOVIĆ*, NEDA STEFANOVIĆ*, TINA PAJEVIĆ*, TANJA ČUTOVIĆ**,
SLOBODAN IVIĆ***
*University of Dentistry, Belgrade; **Military Hospital VMA, Belgrade;
***Health Center Velika Plana
Serbia
PP QUAD HELIX
105 TANJA ČUTOVIĆ*, LJILJANA STOJANOVIĆ**, NEDA STEFANOVIĆ**, TINA
PAJEVIĆ**, SLOBODAN IVIĆ***
*Military Hospital VMA, Belgrade; **University of Dentistry, Belgrade;
Serbia
PP THE INTERDISCIPLINARY MANAGEMENT OF HYPODONTIA
106 TANJA IVANOVIĆ*, LJILJANA STOJANOVIĆ**, MARINA MILINKOVIĆ*, NEDA
STEFANOVIĆ**, TINA PAJEVIĆ**
*Univ. in the East Sarajevo, University of Medicine Foča, Bosnia and Herzegovina;
**University of Dentistry, Belgrade
Serbia
PP JAW POSITION IN MACEDONIAN SUBJECTS WITH DISTOOCCLUSION
107 BILJANA DZIPUNOVA, NATASA TOSESKA SPASOVA, VERA RADOJKOVA
NIKOLOVSKA, ILIJANA MURATOVSKA, MIRJANA POPOVSKA
Faculty of Dentistry, Skopje
FYROM
99
23rd BaSS Congress
10 – 12 May 2018

12:00 Dental Biomaterials and Devices II (8)
Prof. Dr. Horia Manolea (ROMANIA)
Chairmen:
Assist. Prof. Dr. Maria Bolat (ROMANIA)
OP 14 EFFECTS OF DIFFERENT FISSURE SEALANT AGENTS AND APPLICATION
METHODS ON ACCURACY OF CARIES DETECTION DEVICES
Derya Surmelioglu, Zübeyde Ucar Gundogar, Aysenur Borsoken Gungor
Gaziantep Universty, Faculty of Dentistry
Turkey
OP 15 INFLUENCE OF RETRACTION AGENTS ON PHYSICAL PROPERTIES OF RESIN
CEMENTS
GULSUM SAYIN OZEL*, OZGÜNÜZ YUSUF OZYILMAZ**, CEYDA AKIN
* Istanbul Medipol University; ** Bezmialem University
Turkey
OP 17 FINITE ELEMENTE ANALYSIS ON THE INFLUENCE OF THE BRIDGE DESIGN ON
THE SUPPORTING AREA
MONICA SILVIA TATARCIUC, DIANA DIACONU-POPA, ODETTE LUCA, ANCA
MIHAELA VITALARIU
Romania
OP 18 CROSS-CONTAMINATION IN DENTAL LABORATORY - PRACTICAL ASPECTS
DIANA DIACONU-POPA, MONICA SILVIA TATARCIUC, OVIDIU NICOLAICIUC, ANCA
MIHAELA VITALARIU
Romania
OP 19 THE INFLUENCE OF SILVER NANOPARTICLES DIMENSIONS AND
CONCENTRATION ON THE PROPERTIES OF ACRYLIC RESINS
ANCA MIHAELA VITALARIU, RADU COMANECI, MONICA SILVIA TATARCIUC,
DIANA DIACONU-POPA
Romania
OP 20 STUDY ON THE VARIATION OF SALIVARY AMYLASE BASED ON THE
PATHOLOGY INVOLVED
BOGDAN-PETRU BULANCEA, ROXANA-IONELA VASLUIANU, ELENA-RALUCA
BACIU , LAURA CHECHERITA, MONICA SILVIA TATARCIUC
Romania
OP 21 RESEARCH ABOUT DIFFERENT METHODS IN DENTAL ALLOYS CASTING
STRUCTURES
100
23rd BaSS Congress
10 – 12 May 2018
WILLI A. URICIUC*, ARANKA ILEA*, HORATIU VERMESAN**, RADU SEPTIMIU

CAMPIAN*
*Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca
**Technical University, Cluj Napoca
Romania
OP SHOULDER ISSUES IN DENTISTS: A PILOT STUDY
176 CRISTINA IORDACHE, ANTONELA BELDIMAN, ANA MARIA FATU, CRISTINA
POMIRLEANU, CODRINA ANCUTA
Romania
101
23rd BaSS Congress
10 – 12 May 2018
SATURDAY, MAY 12th, 2018 VERDI HALL
Time
10:00 Pediatric dentistry II (12)
Prof. Dr. Aurelia Spinei (Rep. of MOLDOVA)
Chairmen:
Assoc. Prof. Dr. Elena Mihaela Carausu (ROMANIA)
PP INDIVIDUALIZED AND COMPLEX PREVENTION OF DENTAL CARIES IN CHILDREN
117 WITH DISABILITIES
AURELIA SPINEI
Republic of Moldova
PP RAGYOGRAPHIC FOLLOW-UP OF APEXIFICATION WITH MINERAL TRIOXIDE
118 AGGREGATE: A CASE REPORT
EZGI EROĞLU, EMINE TATAR, SEMA ÇELENK, TUĞÇE NUR PEKDEMIR
Dicle University, Istanbul
Turkey
PP MESIODENSE AS A RISK FACTOR IN TREATMENT OF DENTAL INJURY
119 MESUT ELBAY*, ÜLKÜ ŞERMET ELBAY*, CEREN UĞURLUEL**, BAHADIR KAN*,
ESER TUTUŞ*
*Kocaeli Universty, Faculty of Dentistry; **Medicana Hospital
Turkey
PP REPLANTATION OF AVULSED TOOTH: A CASE REPORT
120 HATICE KÜBRA DAMAKSIZ, ELMAS TÜFEK ATICI, EMIN CANER TÜMEN, BUKET
AYNA
Dicle University Istanbul, Faculty of Dentistry
Turkey
PP THE STATE OF ORAL HYGIENE IN CHILDREN FROM SOCIALLY DISADVANTAGED
121 FAMILIES
SVETLANA PLAMADEALĂ, SVETLANA GREC, ECATERINA BOCANCEA, DANIELA
GALAI, AURELIA SPINEI
Republic of Moldova
PP SALIVA ANTIOXIDANT CAPACITY AND DENTAL CARIES IN CHILDREN BETWEEN
122 THE AGE 4 TO 6
SANJA NASHKOVA, KATERINA ZLATANOVSKA, VERICA TONEVA, SANDRA
ATANASOVA, NATASHA LONGUROVA
University "Goce Delcev " Shtip - FYROM
102
23rd BaSS Congress
10 – 12 May 2018
PP NUTRITION AND ORAL HEALTH IN CHILDREN – PILOT STUDY

123 MARIANA DIMOVA - GABROVSKA, DESISLAVA DIMITROVA, ANDREEVA -
BORISOVA RADOSVETA
Medical University - Varna
Bulgaria
PP RESTORATION OF COMPLICATED CROWN FRACTURE WITH FIBER POST: A
124 CASE REPORT
Turkey
PP DEVELOPMENTAL ENAMEL DEFECTS AND DENTAL CARIES IN LOW BIRTH
125 WEIGHT CHILDREN
OLGA BĂLTEANU, ELENA HRISTEA, IURIE SPINEI, MARIA COSTIOGLU, AURELIA
SPINEI
Republic of Moldova
PP AESTHETIC RESTORATION OF UNCOMPLICATED CROWN FRACTURE: 2 CASE
126 REPORTS
EMİNE TATAR, EZGİ EROĞLU, İSMET REZANİ TOPTANCI, HATİCE KÜBRA
DAMAKSIZ
Dicle University Diyarbakir, Faculty of Dentistry
Turkey
PP MANAGEMENT OF THE DENTIGEROUS CYSTS RELATED TO THE DELAYED
127 TREATMENT OF INFECTED PRIMARY TEETH
ÜKÜ ŞERMET ELBAY, GÜL UÇAR, FATIH MEHMET COŞKUNSES, DENIZ AKIN
Turkey
PP DENTAL REHABILITATION OF A PATIENT WITH AMELOGENEZIS IMPERFECTA:
128 CASE REPORT
CANSU OSMANOĞULLARI SARIYILDIZ, TUĞÇE NUR PEKDEMIR, İZZET YAVUZ
Dicle University, Faculty of Dentistry
Turkey
103
23rd BaSS Congress
10 – 12 May 2018

12:00 Endodontology II (7) / Oral diagnosis (9) / Gerodontology (5)
Lecturer Dr. Cristina Gavrilescu (ROMANIA)
Chairmen:
Lecturer Dr. Claudia Costea (ROMANIA)
PP 19 FORMING AN APICAL BARRIER WITH BIODENTINE AN IMMATURE TOOTH WITH
PERIAPICAL LESION : CASE REPORT
MERVE YENİÇERİ ÖZATA*, SEDA FALAKALOĞLU**, ÖZKAN ADIGÜZEL*, BEYHAN
BAŞKAN*
*Dicle University, Diyarbakır, Faculty of Dentistry
** Aydın Oral and Dental Health Center, Aydın
Turkey
PP 20 MTA REPAIR OF A INTERNAL, EXTERNAL RESORPTION AND APICAL INFECTION
- CASE REPORT
VALBONA DISHA
Albania
PP 21 REVASCULARIZATION: CASE REPORT
DAMLA ÇETINKAYA
Ministry of Health - Ordu
Turkey
PP 22 ODONTOGENIC MAXILLARY SINUSITIS OF IATROGENIC ETIOLOGY AND ITS
RELATION TO ENDODONTICS
GEORGIOS GKINIS, LIANA AMINOV, CRISTINA ANTOHI, YLLKA DECOLLI
Romania
PP 23 NON–SURGICAL ENDODONTIC TREATMENT OF EXTENSIVE PERIAPICAL
LESIONS OF ENDODONTIC ORIGIN
AMİNE KÜÇÜKİLHAN, EMİNE DEMİR ŞEREFLİ, EMRE BAYRAM, HÜDA MELİKE
BAYRAM
Gaziosmanpaşa University, Tokat
Turkey
PP 24 THE RETREATMENT OF MOLAR AND PREMOLAR TEETH AND MTA REPAİRİNG
OF PERFORATİON AND FOLLOWİNG-UP
EMİNE DEMİR ŞEREFLİ, AMİNE KÜÇÜKİLHAN, HÜDA MELİKE BAYRAM, EMRE
BAYRAM
Turkey
PP 25 SIMILARITIES AND DIFFERENCES IN COMPLEX ENDODONTIC THERAPY IN THE
YOUNG/ ELDERLY PATIENT
104
23rd BaSS Congress
10 – 12 May 2018
ALINA-RAMONA DIMOFTE, DAN-CRISTIAN IONEL, GABRIEL-VALERIU POPA,

KAMEL EARAR, MĂDĂLINA-NICOLETA MATEI
Dunărea de Jos University Galați
Romania
PP 56 DIAGNOSTIC ACCURACY OF DIFFERENT ORAL SCREENING METHODS IN
DETECTION OF POTENTIALLY MALIGNANT DISORDERS
BRUNO NIKOLOVSKI*, VERA RADOJKOVA – NIKOLOVSKA**, ANA MINOVSKA***,
DANIELA CVETANOVSKA-STOJCEVA*, ANA BUNDALEVSKA – ALEKSANDROVSKA*
* Center for dental health ETERNAdent, Skopje
**UKIM, Skopje, Faculty of Dentistry
***UGD, Stip, Faculty of Medical Sciences
FYROM
PP 57 RADIOLOGIC FINDINGS OF TWO PALATINAL TONSILLOLITH CASES
EMINE ŞAHIN, EDA DIDEM YALÇIN
Turkey
PP 58 MASSIVE OSTEOSARCOMA OF THE MAXILLA: A RARE CASE REPORT
Turkey
PP 59 AN EXTENSIVE HEMANGIOMA OF THE ORAL SOFT TISSUES CAUSING
DYSPHAGIA AND DYSPHONIA
Turkey
PP 60 GIANT RADICULAR CYST OF THE MANDIBLE: A CASE REPORT
DILA BERKER YILDIZ, ZEYNEP BETÜL ARSLAN, FÜSUN YASAR
Selcuk University, Konya
Turkey
PP 61 RADICULAR CYST: A CASE REPORT WITH PANORAMIC RADIOGRAPHY AND
COMPUTED TOMOGRAPHY FINDINGS
HILAL DEMIR*, TANSU ÇIMEN**, FÜSUN YAŞAR*
*Selcuk University Konya; **Alanya Alaeddin Keykubat University Antalya
Turkey
PP 62 RADIOGRAPHIC IMAGES OF SUPERNUMERER TEETH: THREE CASES REPORTS
MEHMET ÇOLAK, HASAN DEMİR, BEYHAN BAŞKAN, İZZET YAVUZ
Dicle University, DİYARBAKIR
Turkey
105
23rd BaSS Congress
10 – 12 May 2018
PP 63 DIAGNOSTIC ACCURACY OF LESIONS OF ORAL MUCOSA USING

AUTOFLUORESCENCE TEHNIQUE
ALEXANDRU NEMTOI, DANISIA HABA, ANA NEMTOI, ANCA SAVA
Romania
PP 64 COMPARATIVE STUDY BETWEEN CBCT AND PR FOR THE DETECTION OF
PERIAPICAL LESIONS ON HYPERTENSIVE PATIENTS
IOANA RADU, ROXANA POPESCU, BOGDAN DOBROVAT, YLLKA DECOLLI,
DANISIA HABA
Romania
PP 47 ASSESSMENT OF ORAL HEALTH IN ALZHEIMER PATIENTS
ILGIN ASENA CEBECI*, DAMLA ÖZTÜRK**, BEGÜM DOĞAN***, BAŞAK DOĞAN**,
NURAL BEKIROĞLU*
*Marmara University, Istanbul, Department of Biostatistics, Institute of Health Sciences;
** Marmara University, Istanbul, Faculty of Dentistry
*** Saint-Joseph Private French High School, Istanbul
Turkey
PP 48 PSYCHOLOGICAL IMPLICATIONS IN REMAKING OF THE ESTETICAL FUNCTION
AT THE ELDERLY FULLY TOOTHLESS PATIENTS
GABRIELA CIAVOI, LIGIA VAIDA, IOANA SCROBOTA, IOANA ROMANUL, RALUCA
JUNCAR
University of Oradea - Romania
PP 49 ORAL EXFOLIATIVE CITOLOGY AS MONITORING TOOL FOR MUCOSAL
TROPHICITY IN ELDERLY PATIENTS
MIHAELA MOSCU, CATALINA BARBAROSIE, IRINA RUGINA, COSMIN POPA
Romania
PP 50 PERIODONTAL STATUS AMONG INSTITUTIONALIZED ELDERLY
MIHAJLO PETROVSKI, OLIVERA TERZIEVA- PETROVSKA, ANA MINOVSKA, KIRO
PAPAKOCA, IVONA KOVACEVSKA
University "Goce Delcev", Stip - FYROM
PP 51 ASSESSMENT OF THE NEED FOR ASSISTANCE IN MAINTAINING OF ORAL
HYGIENE AMONG INSTITUTIONALIZED ELDERLY
MIHAJLO PETROVSKI, OLIVERA TERZIEVA- PETROVSKA, KIRO PAPAKOCA, ANA
MINOVSKA, IVONA KOVACEVSKA
University "Goce Delcev" Stip - FYROM
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BaSS SPEAKERS (in alphabetical order of the countries)
Assoc. Professor
ALBANIA
ALKETA QAFMOLLA
DMD MSc PhD
UMPh Tirana
Alketa Qafmolla was graduated in 2005 in Dentistry, Medical Faculty, Tirana University. She
finished her Master degree in 2008 and completed her PhD studies in September 2012. Alketa has
actively participated in different national and international professional conferences and workshops.
She is first author also co-author in several scientific works and books published. She is a professor
in Faculty of Dental Medicine Tirana, Department of Prosthetics, since 5 years.
Assist. Professor
BULGARIA
SEVDA MIHAILOVA YANTCHEVA

DMD MSc PhD
UMPh Sofia
Professor
FYROM
ILIJANA MURATOVSKA
DMD MSc PhD
UMPh Skopje
Dr. Ilijana Muratovska, DMD, MSc, PhD, is Professor at the Cariology and Endodontics
Department, Faculty of Dental medicine, “St. Cyril and Methodius” University, Skopje. She is author
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of two books and more than 50 scientific articles, 11 on pubmed. She has a clinical experience of
almost 25 years in the fields of restorative dentistry and endodontics, coordinator for Erasmus
projects, past vice-dean for international cooperation and chief of the department for Cariology and
Endodontics. Education at other institutes: 2016- Osaka, university, Dental School Japan, (prof. S
Imazato), 2015 – Lingotto DENTAL School Torino, Italy (Prof.E. Berruti), 2014 – University of
Tennessee, Mempfis, USA, (Prof. F.G Godoy), 2008 – Bernard–Gotlieb Univ.Vienna Austria , (Prof.
A Moritz), 2001– ACTA, Amsterdam, Holland, (Prof. P Wesselink). She has over 20 presentations at
professional conferences, invited seminars, two international projects and three national projects.
Courses: 2016- Schlumbohn, Endo Hands-on course, Germany, 2015- Planmeca, CBCT, Helsinki,
Finland, 2013- HINARI train the trainers workshop, 2010- Fotona, Laser, Ljubljana, Slovenia. General
research interests: dental adhesive technology, cytotoxicity of dental composites, endodontic
irrigants. Volonteer activities: International Diabetes summer camp, Education and managing life with
juvenile diabetes 2009-2014 Ohrid, Macedonia.
Assoc. Professor
GREECE
WILLIAM PAPAIOANNOU
DMD MSc PhD
National and Kapodistrian University
William (Vasileios) Papaioannou (D.D.S., M.Sc.D., Ph.D.) graduated in 1992 from the Dental
School of the Aristotle University, in Thessaloniki (Greece). He is a specialized periodontist trained
atthe Catholic University Leuven (Belgium), where he also completed his Master’s in Dental Sciences
(M.Sc.D.) and Doctor in Medical Sciences(Ph.D.) degrees, with Prof. MarcQuirynen and Prof. Daniel
van Steenberghe. His research has focused on oral microbiology and he was a member of the group
initially proposing the “One Stage Full-Mouth Disinfection” protocol for treating periodontitis. Presently
he has a private practice limited to periodontology and dental implants in Athens, Greece, and is an
Associate Professor of Preventive and Community Dentistry at the National and Kapodistrian
University of Athens. His clinical experience covers: i) treatment of periodontal diseaseand oral
disease prevention, ii) dental implant treatment, iii) periodontal plastic surgery and iv) halitosis (bad
breath) diagnosis and management. He has authored over 70 national and international publications
and has given invited presentations in many national and international meetings. Moreover, he is the
General Secretary of the Hellenic Society of Periodontology and member of the Board of the
Continental European Division of the International Association for Dental Research (CED-IADR).
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Assist. Professor
GREECE
ANTIGONE DELANTONI
DMD MSc PhD
Dr. Antigone Delantoni obtained her DDS in October 1998, at Aristotle University of
Thessaloniki; between August 1999 and Febryary 2002 she carried out and obtained her MSc title, in
Oral Radiology, at University of British Columbia – Vancouver, Canada. In February 2007 she
obtained her PhD title with the thesis “TMJ involvement and imaging in patients with inflammatory
disorders”, at Aristotle University of Thessaloniki; in June 2008 she became also MD, at the same
university. She graduated in October 2009 her PostDoc studies with the thesis “MRI staging of tongue
cancer, correlation of radiographic findings to pathology”, also at Aristotle University of Thessaloniki.
Since 2006 she activates in research area at Aristotle University of Thessaloniki, Greece.
Professor
GREECE
ATHANASIOS POULOPOULOS
DMD MSc PhD
Professor
ROMANIA

DMD MSc PhD
“Grigore T. Popa” UMPh Iasi
Prof. Dr. Norina Forna is the Dean of the Faculty of Dental Medicine of University of Medicine
and Pharmacy “Grigore T. Popa”, Iasi, Romania since 2004. She is the Vice President of the Dental
College Romania and the President of Dental College Iasi. Regarding her international recognition
she is the First Vice President of CIDCDF - AUF, Elect President 2017 of the Balkan Dental Society
and European Prosthodontic Association President. She is the President of the Romanian Robotic
Prosthodontics and Implantology Association, the Romanian Society of Oral Rehabilitation, the
Romanian Association for Dental Education and the Association of Dental Faculties Deans from
Romania. Prof. Dr. Norina Forna is Full Member of the Romanian Academy of Medical Sciences,
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Member of Pierre Fauchard Academy, Fellow & Diplomat of International College of Dentistry, Fellow
of Academy of Dentistry International, Fellow and Diplomate of International Congress of
Implantologists and EPA European Specialist in Prosthodontics. Prof. Dr. Norina Forna has
competences in Implantology, Prosthodontics and Surgery from European Master (France and USA);
she is specialist in Prosthetic Dentistry, MaxilloFacial Surgery and General Practice.
Assist. Professor
SERBIA
TAMARA PERIC
DMD MSc PhD
University of Belgrade, Faculty of Dental Medicine
Docent Dr. Tamara Perić is an Assistant Professor of Preventive and Paediatric Dentistry at
Faculty of Dental Medicine, University of Belgrade. She graduated in 2001, defended her MSc thesis
Experimental and clinical evaluation of a chemo-mechanical system for removal of carious dentine in
2005, and PhD thesis Anticaries efficacy of calcium-phosphates in patients with salivary gland
hypofunction in 2011. She is a specialist in paediatric and preventive dentistry. Her particular expertise
is in prevention and non-invasive/minimally invasive treatment of dental caries and dental
traumatology. Dr. Peric has published 45 papers and articles in peer-reviewed journals, presented
more than 100 papers at international and national conferences, co-authored 7 books, and
participated in several scientific projects. She has been lecturing both in Serbia and internationally.
For her work, she was awarded 1st prize for Clinical Research at the 16th World Congress of the
International Association for Dental Traumatology in 2010, and the Award of the Serbian Medical
Society in 2016. She is a Secretary General of the Serbian Association for Paediatric and Dentistry.
Since 2015, Dr. Peric is a member of the Editorial Board of the Balkan Journal of Dental Medicine.
Professor
Ender Kazazoglu
TURKEY
DMD MSc PhD

The Dean and Head of the Department of
Prosthetics
University of Yeditepe Dental School
Dr. Ender Kazazoğlu graduated in 1984 from the University of Marmara Dental School,
Istanbul, Turkey. He received his Ph.D. from The London Hospital Medical College in U.K. 1991. Then
he worked at the London Hospital as a research assistant (1991-1992). Beginning of 1993, he started
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to work as a lecturer in the field of Prosthetics at the University of Marmara Dental School. Currently
he is working at the University of Yeditepe Dental School. Working as a chief editor for Turkish part
of the Journal of Balkan Stomatology, Editor for J. Dishekimligi, Member of editorial board of J.
Yeditepe Clinic, Chief Editor of J. Esthetic & Implantology, Member of editorial board of International
J. Prosthodontics. Dr. Kazazoglu supervised 9 MSc and 17 PhD thesis; published 64 articles in
international and 32 articles in national journals; presented 62 international and 31 national
presentations; Lectured 48 national and 11 international conferences.
INVITED SPEAKERS
(in alphabetical order of the countries)
Professor
BELGIUM
CHARLES PILIPILI
DMD MSc PhD
Director of FDI Programs for Continuous Education
- for Africa
HERZEGOVINA
Professor
BOSNIA-
MAIDA GANIBEGOVIC
DMD MSc PhD
Faculty of Dentistry
Professor
FLORENT SONGO BAUKAKA
CONGO
DMD MSc PhD

Dean, Faculty of Dental Medicine, University of
Kinshasa
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COTE D’IVOIRE
Professor
YOLANDE KOFFI GNAGNE
DMD MSc PhD
Director of FDI programs for Africa – the
francophone countries
Professor
FRANCE
PATRICK HESCOT
DMD MSc PhD
Past President FDI World Dental Fédération
Expert WHO World Health Organisation
- Chevalier de la Légion d’Honneur, Docteur in Dental Surgery.

- Activities in National Organisations (France):
In charge of national strategic plan for oral health prevention in schools 1981-2012
1987-
In charge of the French Ministry of Health of the national epidemiological 1990-1993
studies on the oral health of six-, nine- and twelve-year olds & 1998-
2006
President of the UFSBD, the French Union for Oral Health 1989-2012
Honorary President since 2012
In charge of national strategic plan for oral health prevention in dental
1989-2012
practice
General Secretary and subsequently Chairman of the Foreign Affairs
Commission of the ADF (French Dental Association) and Representative 1990-2012
of France to the FDI World Dental Federation
Secretary General of the ADF (French Dental Association) 1995-2012
In charge of national quality in dentistry programme 1995-2000
In charge of Europe’s largest annual dental congress (Paris) 1995-2012
Vice-President of the CNFCO, the French National Council for Continuing
2000-2012
Professional Education
Technical Advisor to the French Ministry of Health (Mr Xavier BERTRAND 2005-2007
and Mr Philippe BAS)
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Member of the French National Academy of Dentistry since 2006

Chargé de mission on Disability and Oral Health to Mrs Nadine Morano,
Secretary of State for Family and Solidarity for the French Ministry of 2010
Labour, Solidarity and Civil Service
- Activities in International organisations:
1st -2nd
Chairman of the FDI World Conference on the Promotion of Oral Health
May 1997
WHO Expert (World Health Organisation) since 1998
Director of a WHO Collaborating Centre 1998-2012
Board Member, then President-elect of the ERO-FDI (European Regional
2001-2007
Organisation of the FDI)
President of the ERO-FDI 2007-2010
FDI Councillor 2007-2015
Chair, FDI Strategy for Africa Task Team 2013-2015
FDI President since 2015
Including, inter alia, oversight of:
FDI Strategy for Latin America
Vision 2020 Task Team
FDI partnerships
Fellow, International College of Dentists (ICD) since 2016
- Publications: Author of over 90 national and international communications and publications,
and 12 books, including:
• The state of oral health in France in 1987, 1990, 1993 et 1998
• WHO International research programme on the determinants of oral health
The situation in France – 2000
• Oral health guide for the general public: Vos Dents, Qui, Quoi, Combien ?
(Your teeth – who, how, how much?) – 2001
• Belles Dents (Nice teeth) – Éditions du Seuil, 2003
• Santé parodontale/Santé générale: Inter-relations et états des lieux en France
(Periodontal health & General Health: interrelations and situation in France) – 2007
• Three guides on Nutrition and Oral Health, 2008
Professor
FYROM
ANA MINOVSKA
DMD MSc PhD
Faculty of Medical Sciences, UGD, Stip
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Professor
GERMANY
HELMUT BERTHOLD ENGELS

DMD MSc PhD
President German Center for Oral Implantology
DZOI
Born in Bonn. Various school education until 1969. Housepractioneert at the company
Siemens in Munich. Studies: mechanical engineering (flow machines) with the examination in 1973
to the diploma engineer. Studies medicine and dentistry with a doctorate in 1979 and subsequent
doctorate to Dr. med. dent. At the Friedrich Wilhelm Bonn University in Bonn. Since 1980, I worke as
a dentist in my own office with the focus on implantology with various implant systems. Lecturer at
universities (Prof. at the University of Pernambuco, Recife) and various congresses at home and
abroad. Clinical advanced training as a course leader of the work group for enossal implantation
procedures in practice. Author of several scientific publications, among other things handbook of the
implantology (4th edition). Co-author of the expert manuals I and II, accounting manuals I and II,
manual implantology 5th edition, white book.
Founding member of the Consensus Conference Implantology. Conducting prophylaxis
courses for the training of colleagues and dental specialists. Founder of the oral care center. Scientific
Director of the German Continuing Education Symposium DFS. Conducting symposia and training
courses in practice. 1987 Development of mucosal anchors. Member of the academy practice and
science, as well as various implantological and dental associations. Member and honorary member
in several foreign implantological associations, with fellowship and diplomate status (ICOI). Since
1989 -2006 founding member of the board of directors of implant dentists in Europe (BDIZ EDI e.V.,
4500 members), founder and CEO (President a.D., senior president a.D). From 2000 to 2006
Managing Director of BDIZ EDI. Since 2012 President of the DZOI e. V. Grand Jury President at the
Health Media Award (HMA 2012 - 2016). Expertise in court; Senior assessor of the BDIZ (until 2006);
Since 1995 he has been expert in the development of implant standards in ISO / TC 106, Chairman
SC4 / WG 13, SC8 / WG 1-5. Chairman of the DIN Committee Terminology, Member of the DIN
Advisory Board. Chamber delegate from North Rhine-Westphalia (until 2015). Delegate at KZV VV
(since 2012) Auditor at the MDC. Focused on implantology, European specialist in implantology
(EDA), certified expert on the consensus conference (DZOI, DGZI, DGI and BDIZ). Editor at the "BDIZ
konkret" Journal (until 2006). Since 1990 honorary member (secretary, treasurer since 2006) in the
board of the children's home Käthe Stein e. V.
Areas of practice: Prevention, surgical dentistry, PAR, augmentation, implantology and
aesthetic dentistry. Hobbies: sailing, golfing, traveling
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Professor
GERMANY
ARWED GERNOT LUDWIG

DMD MSc PhD
Specialist in oral and maxillofacial surgery
Study of medicine and dentistry at the University of Goettingen (1983 -1991), Germany; 1991
– 2005 working at the University Hospital in Marburg and Goettingen (Germany); Since 1995
Specialist as Cranio-Maxillofacial Surgeon; 1996 Trainer for ultrasound in head and neck; 1998
Specialist in Plastic Surgery; 2000 Fellow of the European Board of Oro-Maxillofacial Surgery; 2005
Habilitation; 2006 Private office as Cranio-, maxillofacial and plastic surgeon in Kassel and Höxter
and director and owner of the MGK Medizinische und Gesichtschirurgische Klinik Kassel; 2015
Founder and owner of the MGZ Medizinisches Gesichtschirurgisches und Zahnmedizinsches
Zentrum Kassel und Breuna; more than 100 national and international publications and 150 lectures
all over the world, member in 14 national and international medical societies.
Member of the University of Göttingen and Academic office of the University of Marburg;
Managing Board Member of the DZOI (Deutsche Zentrum für orale Implantologie); Specialist in
implantology; Specialist in hygiene in Hospitals; Specialist in acupuncture; Specialist in pain therapy.
Professor
GERMANY
ROLAND TÖRÖK
DMD MSc PhD
President ICOI – Europe, for Germany
Professor
GREECE
STYLIANOS DALAMPIRAS
DMD MSc PhD
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Professor
POLAND
ANNA LELLA
DMD MSc PhD
FDI – ERO President
Professor
POLAND
MARIUSZ DUDA
DDS PhD DICOI
Oral implantology expert, co-founder and present President of PSI – Polish Society of Oral
Implantology, Vice-President of ICOI, ICOI Europe Board Member. Representative of Advanced
Credentials Commission ICOI – examination committee for international dental implantology
approvals. Coordinator and Chairman of Curriculum Implantology PSI educational course. Editor in
chief of “Implant Dentistry” - PSI and ICOI affiliated journal. Owner of Duda Clinic Imlpants & Esthetic
Dentistry Clinic and Duda Clinic College of Dental Medicine.
Professor
PORTUGAL
RUI AMARAL MENDES

DMD MSc PhD
ADEE – President of the Education Committee
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Professor
MOLDOVA
REP. OF
SERGIU CIOBANU
DMD, MSc, PhD
N. Testemitanu SUMPh Chisinau
- January 2018- present: Dean of the Faculty of Stomatology;

- July 2016 – present: Chief of the Department Odontology, periodontolgy and oral pathology,
„Nicolae Testemiţanu”; State University of Medicine and Pharmacy;
- 2014- present: university professor, Department Odontology, periodontolgy and oral
pathology, „Nicolae Testemiţanu”; State University of Medicine and Pharmacy;
- 2010 - present: Chief doctor, Dental Clinic „Parodent Prim” SRL;
- Published scientific papers: Author of 106 scinetific papers, publshed in national and
international magazinez, including 1 monography- 183 pages (2012), patent of invention-4,
patent of innovation- 1.
- Mentions and awards: 2005- Certificate of Mention awarded by The Ministry of Education,
Youth and Sports of Republic of Moldova, 2009- Certificate of Excelence of the Rector of
“Nicolae Testemițanu” State University of Medicine and Pharmacy. 2015- First place Ceriticate
of the Government of Republic of Moldova. 2016- „Civic Merits” medal;
- Competency: Endodontics, dental restaurations, periodotology, European competency in
Implantology (2013), plasmolifting în dentistry 2014.
RWANDA
Professor
IMMACULEE KAMANZI
DMD, MSc, PhD
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Dr.
ROMANIA
HORIA BARBU
DMD, MSc, PhD
Titu Maiorescu University Bucuresti
Dr. Horia Barbu has completed graduate training in oral surgery in Bucharest, Romania in
2006. His PhD research was focused on endocrinology, implant surgery, osteoporosis and
osteonecrosis of the jaws. Dr. Horia Barbu graduated 2 master programs (Implant-Prosthetic Oral
Rehabilitation at Carol Davila University and Metallic Materials in Medicine at Polytechnic University
in Bucharest). His collaborative research efforts over the last years have resulted in numerous
publications covering a wide range in the field of implantology and endocrinology on sinus
augmentations, guided bone regeneration, inferior alveolar nerve repositioning, osteoporosis,
immediate loading of dental implants. Dr. Horia Barbu is the Head of Oral Implantology Department
for license students and for the Implant Master Program within Titu Maiorescu University, Bucharest,
Romania. Dr. Horia Barbu is presently the Dean of the Faculty of Dental Medicine within Titu
Maiorescu University, Bucharest, Romania.
ROMANIA
Dr.
RAZVAN BRANZAN
DMD, MSc, PhD
Professor
ROMANIA
ALEXANDRU BUCUR
DMD MSc PhD
“Carol Davila” UMPh Bucharest
Professor Alexandru Bucur is the Head of Oral and Maxillofacial Chair, Faculty of Dental
Medicine, University of Medicine and Pharmacy “Carol Davila”, Bucharest. Among his national and
international positions held we can mention the following:
- Delegate to the UEMS Section of OMF Surgery and Stomatology
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- Examiner of European Board of Oral and Maxillofacial Surgery

- President of The Romanian Association of oro-maxillofacial and dento-alveolar surgeons
- Counselor for Romania of European Association for Cranio-Maxillofacial Surgery
- Member of International Association of Oral and Maxillofacial Surgeons
- Chief of Editorial board of ”Romanian Journal of OMF surgery and Implantology”
- Member of C.N.T.D.C.U. Specialisee Committee for confirmation Phd Title
- Competent in Implantology
- Certificate of complementary studies in ultrasonography
- Overspecialization in lithotripsy and sialendoscopy
- Graduation certificate in Sanitary Management
- PhD coordinator
- Member in The International Academy of Oral Oncology
- Coordonator of the complementary studies program in the Inhalosedation
- Visiting Professor, Gregorio Marañón Hospital (Madrid, 2007)
Professor Alexandru Bucur is author of 8 textbooks; he had over 30 presentations at
international congresses, over 150 presentations at national congresses and more than 200
scientifical articles in extensor. He is author of 17 articles ISI indexed, project director and member in
the working committee of grants, his activity being recognized through the following awards and
distinguishes:
- Ordinance “ Sanitary Virtue in rank of Commandant” 10.12.2004, Presidential Decree,
No.1102/10.12.2004
- Excellence Diploma of International Congress on Oral Cancer (ICOOC) Melbourne
- Honorary Diploma of International Research Committee of Oral Implantology (IRCOI), 13-
15.06.2002, Bucharest
- Excellence Diploma of Medical Journalists Association,28 January 2005
- Included in the biography of the “Who is who” personalities’ encyclopedia
His main scientific contributions regard: the insertion of the first Stryker type Condyle
Prosthesis from Eastern Europe for reconstruction of temporomandibular joint (2005); the surgical
bimaxillary treatment of severe dentomaxillary anomalies; the reconstruction of complex oral and
maxillofacial defects with free vascularly and microsurgical anastomosied flaps and the surgical
treatment of salivary gland tumours.
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Professor
ROMANIA
AURELIANA CARAIANE
DMD, MSc, PhD
Ovidius University Constanta
Prof. Univ. Dr. Aureliana Caraiane, Dean of the Faculty of Dental Medicine, "Ovidius"
University of Constanta. MD General Dentistry, specialist Oral Implantology. Professor at the Faculty
of Dental Medicine. Author of 4 books, collaborator for 2 books and 4 chapters in the field of the
activity, 24 papers in ISI indexed journals, more than 30 papers in ISI Proceeding or BDI indexed
journals, 19 abstracts in ISI indexed journals, more than 30 papers published in Romanian databases
indexed journals, 44 studies published in summary in volumes of international scientific manifestations
and 28 studies published in summary in volumes of national scientific manifestations. Member in 4
research projects and Director of 1 research project. Member in 5 national scientific societies in the
field of Dental Medicine. Participant at 57 courses and scientific manifestations since 1998 until now,
11 graduation certificates attesting the training in the specialization Dentistry-Implantology. Director
of the Department of Dental Medicine, Faculty of Dental Medicine, Constanta (in 2012). Member of
the Faculty of Dental Medicine Council (since 2000), Member of the Department of Dental Medicine
Council, (since 2012). Member of the Senate of the "Ovidius" University of Constanta, (since 2012).
Vice President of the Alma Mater Union of "Ovidius" University of Constanta (2003 to 2009), President
of the Association of Teachers, Teaching Assistant and TESA at "Ovidius" University of Constanta
(from 2009 to 2012).
Professor
ROMANIA
RADU SEPTIMIU CAMPIAN

DMD, MSc, PhD
Iuliu Hatieganu UMPh Cluj Napoca
Professor Radu Septimiu Campian is specialist in oromaxillofacial surgery; since 2008 he is

Professor and Head of the Department of Oral Rehabilitation, Oral Health and Management, Faculty
of Dental Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj Napoca and also the
Dean of Faculty of Dental Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj
Napoca. Since 2007 Professor Campian is the President of Dentists College, Cluj Napoca and
member in professional committees of the Romanian National College of Dentists; he is also member
in international and national professional societies (European Association for Cranio-Maxillofacial
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Surgery, Romanian Society of Oral and Maxillo-facial Surgery, Society of Biomaterials) and in the
editorial board of scientific journals (Romanian Journal of Dental Medicine, Medic Dentist.RO).
Professor Campian managed three national research projects and was member in the team of another
seven projects; he is author or co-author of 11 books, 13 scientific articles published in international
journals, more than 40 scientific articles published in national journals and more than 100 scientific
articles published in the proceedings volumes of national and international manifestations. Professor
Campian is Invited Speaker at various scientific events from Romania and abroad, where he lectured,
in more than 100 conferences, about the newest trends and innovations in the field of oromaxillofacial
surgery.
Dr.
ROMANIA
VLAD DEAC
DMD, MSc, PhD
Oradea
12 yrs Dental Practitioner and entrepreneur; 21 yrs NGO experience ;Since 2006 part of the
Dental Prevention educational programs; Since 2001 organizer of several continuous education
programs (dental and emergency); Editor in chief of the Dentalife Journal; Financial management
experience; Open space technology facilitator; PhD student on philosophy UBB Cluj-Napoca;
Member of Business Owners Federation of Oradea, founder and member of SARTISS association
(support association for the emergency unit in Oradea); Member of the MASH Camp Emergency
Training Program team; Member of the board of CIDAS (Instruction and Developing Skills Center for
Saviors Oradea); Vice-president of the RDAPP; NLO for the FDI.
Professor
ROMANIA
ANDREEA DIDILESCU
DMD, MSc, PhD
Carol Davila UMPh Bucuresti
Professor
ROMANIA
ANDREI ILIESCU
DMD, MSc, PhD
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Professor
ROMANIA
ECATERINA IONESCU
DMD MSc PhD
“Carol Davila” UMPh Bucharest
Ecaterina Ionescu, PhD, MD, is Professor and the Head of the Department of Orthodontics
and Dentofacial Orthopedics, Faculty of Dental Medicine, University of Medicine and Pharmacy “Carol
Davila”, Bucharest, since 2008. Prof. Ionescu held the position of the vice-rector for educational
policies in University since 2012. She is the President of the Romanian National College of Dentist
and member of well-known national and international professional societies/associations. Prof.
Ecaterina Ionescu published several books and many research articles in the field of orthodontics,
general dentistry and public healthcare systems. She is also member of the editorial board for
prestigious Romanian journals. During her professional activity, Prof. Ecaterina Ionescu presented
numerous lectures and conferences at national and international scientific meetings.
Professor
ROMANIA
VERONICA MERCUT
DMD, MSc, PhD
UMPh Craiova
Professor
ROMANIA
VIORICA MILICESCU
DMD, MSc, PhD
Professor
ROMANIA

DMD, MSc, PhD
Victor Babeş UMPh Timişoara
Meda-Lavinia Negruţiu is professor at the "Victor Babeş" University of Medicine and

Pharmacy Timişoara, Faculty of Dentistry, Prostheses Technology and Dental Materials Department.
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Her research activities and competences are in the fields of dental materials and prostheses
technology, alternative technologies in prosthodontics; imagistic investigations in dentistry – optical
coherence tomography, structural adhesives for optical bonding; articulators; polymer injection
technology; numeric simulation studies; soldering and welding technologies (plasma, laser);
unconventional technologies of investigation, analysis, prognosis in dentistry. She was part of the
research group that developed the first Time Domain Optical Coherence Tomography and the first
Spectral Domain Optical Coherence Tomography Systems dedicated to dentistry in the east of
Europe. She has 541 scientific works – 240 of them published (105 listed on the ISI Web of Science)
and 301 oral communications at meetings in Romania and abroad. She is an author and coauthor at
21 monographies and 6 courses, co-author of one accorded (RO 121317 B1 /29.05.2009) and three
in work OSIM patents. She is member in the research team of 11 grants - by 3 of them as project
manager and 1 partner project responsible. She is member in the Management Comitee, representing
Romania, of the FP7 COST Action MP 1005. According to Web of Science, the Hirsch index is 6.
Sum of times cited articles, without self-citations is 55 and the number of Citing Articles without self-
citations is 47. The address of the researcherid.com profile is: http://www.researcherid.com/rid/B-
6974-2008.
She is Visiting Senior Lecturer in the School of Physical Sciences, University of Kent,
Canterbury, UK. She is member of the Romanian Society of Biomaterials, West Romania
Multidisciplinary Research Association, Romanian Society of Lasers in Dentistry, Romanian Society
of Esthetic Dentistry, SPIE, OSA.
Professor
ROMANIA
PAULA PERLEA
DMD, MSc, PhD
ROMANIA
Dr.
MARIUS POPOVICI
DMD, MSc, PhD
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Professor
ROMANIA
MIRCEA RUSU
DMD, MSc, PhD
Grigore T. Popa UMPh Iasi
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SPEAKERS
(in alphabetical order of the countries and the names)
Professor
ALBANIA
BRUNILDA CENKOGLU
DMD PhD
Dr.
AZERBAIJAN
JABBAR HASANOV
DDS PhD
Chairman of Society of Implantologists of
Azerbaijan
Lecturer
ROMANIA
DORIANA AGOP - FORNA

DMD, MSc, PhD
Professor
ROMANIA
SORIN ANDRIAN
DMD, MSc, PhD
Professor
ROMANIA
CRISTINA BODNAR
DDS, MSc, PhD
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Professor
ROMANIA
VIOREL IBRIC CIORANU

DMD, MSc, PhD
Regina Maria Hospital Bucuresti
Professor
ROMANIA
MARCEL COSTULEANU
DMD, MSc, PhD
Professor
ROMANIA
CARMEN DOROBAT
DMD, MSc, PhD
Professor
ROMANIA
KAMEL EARAR
DMD, MSc, PhD
Dunarea de Jos UMPh Galati
Professor
ROMANIA
ANDREI KOZMA
DMD, PhD
Romanian Academy of Scientists
Professor
ROMANIA
MADALINA MATEI
DMD, MSc, PhD
Dunarea de Jos UMPh Galati
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Assoc. Professor
ROMANIA
ANCA MELIAN
DMD, MSc, PhD
Professor
ROMANIA
ANCA MESAROS
DMD, MSc, PhD
Iuliu Hatieganu UMPh Cluj Napoca
Assoc. Professor
ROMANIA
SORIN MIHALI
DMD, MSc, PhD
Victor Babes UMPh Timisoara
Dr.
ROMANIA
MIHAELA MOSNEGUTU
DMD, PhD
Iasi
Professor
ROMANIA
ION PATRASCU
DMD, MSc, PhD
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Professor
ROMANIA
EUGENIA POPESCU
DMD, MSc, PhD
Assoc. Professor
ROMANIA
MIHAELA MONICA SCUTARIU

DMD, MSc, PhD
Professor
ROMANIA
COSMIN SINESCU
DMD, MSc, PhD
Victor Babeş UMPh Timişoara
Assoc. Professor
ROMANIA
SORINA MIHAELA SOLOMON

DMD, MSc, PhD
Professor
ROMANIA
IRINA ZETU
DMD, MSc, PhD
« Grigore T. Popa » UMPh Iasi
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L1 ETHICS AND DEONTOLOGY IN DENTISTRY

RADU SEPTIMIU CAMPIAN
Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca
Romania
1 – COMMUNITY DENTISTRY
L2 IMAGING OF BIOFILM DEVELOPMENT BY OPTOELECTRONIC METHODS

MEDA-LAVINIA NEGRUTIU, COSMIN SINESCU, CRISTINA-MARIA BORTUN,
EMANUELA-LIDIA CRACIUNESCU, MIHAI ROMINU
Romania
2 - DENTAL BIOMATERIALS AND DEVICES
Introduction: It is currently estimated that over 60% of all human infections and 80% of
bacterial infections, treated by physicians are due to biofilms. Bacteria are rarely found isolated from
community structures known as biofilms. The formation of dental biofilm follows specific
mechanisms of initial colonization on the surface, microcolony formation, development of organized
three dimensional community structures, and detachment from the surface. The structure of the
plaque biofilm might restrict the penetration of antimicrobial agents, while bacteria on a surface grow
slowly and display a novel phenotype; the consequence of the latter is a reduced sensitivity to
inhibitors. The aim of this study was to evaluate with different optoelectronic methods the
morphological characteristics of the dental biofilm. Materials and Methods: The study was
performed on samples from 28 patients of different ages. The methods used in this study were
Spectral Domain Optical Coherence Tomography (SD-OCT) working at 870 nm for in vivo
evaluations. For ex vivo evaluations Time Domain Optical Coherence Tomography (TD-OCT)
working at 970 nm was employed, as well as confocal microscopy and Scanning Electron
Microscopy (SEM) for validations. For each patient a sample of dental biofilm was obtained directly
from the vestibular surface of the teeth's. The methods were repeated after a professional cleaning
and analyzed again. Results: Both SD-OCT and TD-OCT produced C- and B-scans that were used
to generate three dimensional (3D) reconstructions of the sample. The results were compared with
confocal microscopy and with SEM evaluations. The biofilm network was dramatically destroyed
after the professional dental cleaning. Conclusions: OCT noninvasive methods can act as a
valuable tool for the 3D characterization of dental biofilms. The results were validated by confocal
microscopy and SEM.
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L3 ADVANTAGES, LIMITS AND ALTERNATIVES IN ZIRCONIA PROSTHETICS

RESTORATIONS
ION PATRASCU, LUCIAN T. CIOCAN, BOGDAN GALBINASU
Romania
In the search for the ultimate esthetic restorative material, many new all-ceramic systems
have been introduced to the market. One material currently of great interest is Zirconia. Zirconia has
the potential to allow for the use of reliable, multiunit all-ceramic restorations for high-stress areas
such as the posterior region of the mouth. Ceramics offer the potential for excellent esthetics,
biocompatibility, and long-term stability. It also eliminates the need of metallic understructures in
dental prosthesis, it has excellent mechanical properties and radio opacity. It has to be covered by
feldspatic porcelain to give the natual aspect of artificial teeth. For this study, we considered 11
cases of ceramic core zirconia restorations that have been observed after being tested “in vivo” for
different periods of time. The failures that were noticed are: fracture of plating material (feldspatic
porcelain) and fracture of entire structure (zirconia and feldspatic porcelain). The failed prosthesys
were removed without additional damage and have been investigated by using ESEM electrono-
microscopy. In this conference are analyzed alternative materials and techniques in place of
zirconia for implant restorations: hybrid structures titanium-hibrid cermic, hard reinforced glass
polymers.
L4 CLINICAL AND RADIOLOGICAL MEDIATE EVALUATION OF ENDODONTIC

TREATMENTS PERFORMED BY HOSPITAL STUDENTS
KOFFI YOLANDE
Cote D’ Ivoire
3 - ENDODONTOLOGY
L5 ENDODONTICS IN YOUNGER VERSUS ELDERLY PATIENTS

PAULA PERLEA, CRISTINA CORALIA NISTOR
Romania
3 - ENDODONTOLOGY
Endodontic therapy is a challenging procedure in both younger and elderly patients. In all
the situations we aim to retain the teeth, its benefits in aesthetic and functional purposes being of
paramount importance. As practitioners, we are facing specific age-related issues. In permanent
immature teeth, although it would be ideal to maintain pulp vitality until the end of root formation,
there are also cases of deep complicated caries or even trauma when this is impossible. As a result,
we are confronted with the situation of endodontic therapy at teeth sometimes incompletely erupted.
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The application of the clamp of the rubber dam is difficult, due to the lack of convexities and the thin
radicular walls. The mechanical debridement is posing problems because of the wide apexes,
consequently it will be very brief and the efficency of the endodontic treatment will rely very much on
the action of the irigants. Even the use of irrigants has to be very carefull, taking into consideration
the prevention of extrusion over the apex, especially in the case of a divergent, wide apical
diameter, as well as a certain protocol in the case of pulp regeneration. For root canal filling we
have to use special biocompatible materials, such as the MTA barrier, for a good apical sealing. In
addition to all these peculiarities, we also have to take into consideration the anxiety specific to this
age, which merely amplifies the difficulty of the endodontic treatment. In elderly patients, problems
are diametrically opposed. The pulp chamber is reduced by depositing of secondary and repairing
dentine, sometimes leading to perforation of the furcation. The vitality tests are often inconclusive.
The root canals are narrow, at least in the coronary third. Associated general pathologies, such as
diabetes, can occur. These affects either anesthesia through certain restrictions, or the ability of the
body to regenerate. To avoid errors we have to appreciate both the general health condition of the
patient and to have an accurate preoperative x-Ray or CBCT, to use magnification (dental operative
microscop). This presentation aims to illustrate the particularities of endodontic treatment in the
elderly versus young patients, showing original clinical cases and the management of these specific
situations.
L6 CLINICAL, EPIDEMIOLOGICAL AND ETIOPATHOLOGICAL ASPECTS OF DENTAL

WEAR IN YOUNG PEOPLE VERSUS THE ELDERLY
VERONICA MERCUT, DRAGOS POPA*, MIHAELA VATU, SANDA MIHAELA
POPESCU, MONICA SCRIECIU, MONICA MIHAELA CRAITOIU
University of Medicine and Pharmacy Craiova; *University of Craiova
Romania
3 - ENDODONTOLOGY
Dental wear is the term used for irreversible loss of dental hard tissue due to the interaction
of teeth with physical and chemical factors excluding brutal trauma and dental caries. Recent
literature has shown a series of studies showing an increase in the prevalence of dental wear both
in young and in elderly. This paper presents a clinical and statistical study performed on a group of
485 patients who were examined in the Clinic of Dental Prosthetics of UMF Craiova in order to
highlight the prevalence of dental wear on age groups and the etiological factors involved. The
results revealed a 13% prevalence of dental wear in the age group of 20-30 years, 37% in the 30-50
age group and 50% in the age group 50-80 years. Among the etiological factors involved first was
the reduction of the number of teeth, followed by fruit and vegetable consumption, incorrect
prostheses, consumption of carbonated beverages, incorrect brushing, etc. According to this study,
excessive occlusal forces are the first in the etiology of dental wear. The paper will also present a
finite element study to show the distribution of forces to a young patient versus an elderly patient.
Keywords: dental wear, finite element method.
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L7 THE EFFECT OF MINERAL TRIOXIDE AGGREGATE ON HARD TISSUE

FORMATION. A SYSTEMATIC REVIEW
A. DIDILESCU*, M. CRISTACHE**, M. ANDREI*, G. VOICU***, P. PERLEA
*Carol Davila University of Medicine and Pharmacy, Bucuresti, Faculty of Dental
Medicine
** Carol Davila University of Medicine and Pharmacy, Bucuresti, Faculty of Midwifery
and Medical Assisting
*** Politehnica University of Bucharest, Faculty of Medical Engineering
Romania
3 - ENDODONTOLOGY
Objectives: The aim of the present study was to bring new information in the field of
conservative dental pulp therapy, as related to the influence of mineral trioxide aggregate (MTA) on
hard tissue barrier formation, using histologic assessments. Methods: A systematic literature
search was conducted across four databases. Human randomized clinical trials and controlled
clinical trials were included, with direct pulp capping performed on healthy permanent teeth
undergoing experimental mechanical pulp exposures. Results: Ten studies comparing MTA to
calcium hydroxide (CH) have been selected. Use of MTA was associated with a higher rate of hard
tissue formation than CH. The odds ratio comparing the two groups was 4.33 (95% CI, 2.12-8.84; p
< .001). Conclusions: Hard tissue barrier formation was influenced in a more positive way by MTA.
Based on current evidence, MTA has better effects on hard tissue formation than CH in mechanical
exposed pulp capping.
Keywords: direct pulp capping, calcium hydroxide, MTA
Acknowledgement: This work was supported by a grant of Ministery of Research and
Innovation, CNCS – UEFISCDI, project number PN-III-P4-ID-PCE-2016-0506, within PNCDI III.
L8 THE RECIPROCATING MOVEMENT IN ENDODONTICS

RAZVAN BRANZAN
Romania
3 - ENDODONTOLOGY
L9 STUDY REGARDING THE CLINICAL APPLICATIONS OF PREMIXED BIOCERAMIC

MATERIALS IN ENDODONTICS
ANCA MELIAN, TUDOR HAMBURDA, CRISTIAN GIUROIU, YLLKA DECOLLI,
MIHAELA SALCEANU
Romania
3 - ENDODONTOLOGY
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Background: Premixed bioceramic materials are used now in endodontics because both
antimicrobial and sealing properties. Their clinical indications are: endodontic retreatment (microbial
control phase and filling phase), indirect and direct pulp capping, vital pulpotomy, perforation repair,
obturation of mature teeth and immature teeth with open apices, root-end fillings. The aim of this
paper is to discuss the current premixed bioceramic materials, give an overview of the literature and
present clinical cases in which they were used successfully. Methods and Materials: The selected
cases in wich premixed bioceramic materials were used are: conservative treatment in a crown-root
fracture with pulp exposure and vital pulpotomy, perforation repair, obturation after horizontal root
fracture, conservative retreatment in radicular cyst. Recalls up to four years are presented. Results
and Conclusion: In the cases of retreatment and perforation repair the treatment resulted in
elimination of clinical symptoms and bone healing. The crown-root fracture with pulp exposure was
treated and rehabilitated with the preservation of pulp vitality and zirconia restauration milled by
CAD/CAM method after digital impression of removed tooth fragment. The teeth with horizontal root
fracture were obturated and after four years they are still functional with no signs of external
resorption. This case series shows that premixed bioceramic materials can be used successfully in
different clinical situation and offer some potential advantages over other materials.
L 10 CONTEMPORARY APPROACHES OF ZIRCONIA IN FIXED PROSTHESIS

KAMEL EARAR
Dunarea de Jos University of Medicine and Pharmacy Galati
Romania
4 - FIXED PROSTHODONTICS
A dento-somato-facial aesthetics represents an avant-garde field that brings together the
current evolutionary trends of dental medicine in terms of contemporary techniques and
technologies in conjunction with the type of biomaterials used, all these aspects adapted to the
particularities of each clinical case, with the ultimate goal of conferring individuality. The
achievement of aesthetic desideratum within the fixed prostheses is fully consistent with the specific
prosthetic rehabilitation of each clinical case in part in the context of non-metallic prosthetic
restorations. Material qualities of zirconia are represented by flexural strength similar to alloys, low
thermic conductibility similar to the tooth, biocompatibility, esthetic qualities. The CAD-CAM systems
eliminate technical errors that can occur in the technical laboratory, but the task of the doctor-dental
technician team remains, that of perfecting the restoration for excellent results. Recent clinical
studies concentrate on the resistance of the veneering ceramic, the issue of the resistance of
zirconia being resolved. The recommendation of specialists for the configuration of the zirconia
framework is modifying it by thickening the marginal area. Studies have now started to concentrate
on zirconia implantology abutments where apparently there are difficulties at the junction between
the abutment and the titanium screw. All the recent results indicate that choosing the zirconia
framework in detriment to the classic metallic alloys is the right choice for modern dental practices.
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L 11 CLINICAL ASPECTS IN ORAL REHABILITATION IN YOUNGER ADULT AND

ELEDERLY PATIENTS WITH SPECIFIC NEEDS
CRISTINA BODNAR, MIHAELA PANTEA, MIHAELA TANASE
Romania
In Romania (like in other countries from UE) it is a fact that 1 person from 6 has a physical,
psychological or behavior handicap. The access to dental service is limited for patients with special
medical needs associated with low economic status no matter the age. Due to „The Chart of
fundamental human rights”/art.26 every person with a handicap has the right to participate in social
and professional life like any other person. Our goal in this study is focused on patients with special
medical conditions and low economic status in order to improve their access to dental treatment.
The authors present some clinical cases of young, adult and elderly patients with special needs
treated in the Pedodontics and Fixed Prosthodontics departments from UMF Carol Davila, Faculty
of Dental Medicine Bucharest, Romania. Conclusions: Patients with special medical condition and
low economic status need a great amount of dental treatment, mostly oral rehabilitation, but the
access to dental services is significant lower than real dental needs. Still, patients can be treated in
standard conditions, receiving direct and prosthetic restorations not only emergency procedures.
The authors believe that social programs focused on patients with different handicaps and low
economic status can improve their access to dental treatment with low costs.
L 12 AGING POPULATION – A CHALLENGE FOR CONTEMPORARY EUROPEAN

DENTISTRY
ANNA LELLA
Poland
5 - GERODONTOLOGY
L 13 CONSIDERATIONS ON IMPROVING THE ORAL HEALTH OF THE ELDERLY

MIHAELA MONICA SCUTARIU
Romania
5 - GERODONTOLOGY
Oral health is an important component of the quality of life as well as the nutritional status
of elderly people which usualy present the most diverse morpho-clinical features, a number of
nutritional particularities that guide the clinical, paraclinical, diagnosis and prosthetic treatment plan.
Elderly patients with a poor general status are at increased risk for various oral conditions. For the
proper treatment of the elderly's oral health, a comprehensive, multidisciplinary approach is needed,
with the reduction of barriers between elderly people and oral health services. The current trend of
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increasing the number of elderly people with a large number of natural teeth is a dynamic challenge
for dental medicine as a result of the increased need for additional oral health services (prevention
and restoration).
L 14 THE MEDICAL COMPROMISED PATIENT IN AN AGEING POPULATION

RUI AMARAL MENDES
Portugal
6 - HOSPITAL DENTISTRY
L 15 L’ETAT DE SANTE DES ENFANTS DREPANOCYTAIRES

FLORENT SONGO BAUKAKA
Congo
L 16 THE NATURE OF SURFACES ROUGHNESS AFTER ER:YAG LASER ASSISTED

ROOT BIO-MODIFICATION
ANA MINOVSKA
FYROM
7 - LASER
One important contemplation in periodontal therapeutic modalities is the root surface which
has become exposed to the oral environment as a result of periodontitis. Changes in pathologically
exposed root surface are physical and chemical in nature and also become cytotoxic due to the
release of bacterial toxins that get attached to the root cementum. In regenerative attempts the root
interface functions as one of the wound margins and must provide an appropriate surface for cell
attachment and fiber development if regeneration is to occur. Knowing that successful periodontal
therapeutic outcomes include clot stability, cell migration towards the root surface, cell attachment,
cell proliferation and differentiation, debridement and preparation of a root surface play an important
rule for the above-mentioned events which constitutes the rationale behind root bio-modification.
The most conventional method includes scaling and root planing which are primarily aimed at the
gross removal of cement from the root surface. Beside this method, nowadays the laser assisted
root debridement become very popular since the laser beam is capable of achieving a delicate
removal of tissue. Whatever method for debridement of root surface in order to detoxify,
decontaminate and demineralize is used, significant change in topography and roughness happens
which has impact on many properties of the environment that they support. The aim of this
presentation will be to outline some challenging aspects of a root surface roughness, after Er:YAG
assisted debridement, since it contain irregularities of various orders ranging from shape deviations
to irregularities of the order of interatomic distances.
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L 17 NON-OPERATIVE TREATMENT OF CARIES DISEASE: NEW PERSPECTIVES IN

CHILDREN AND ADULTS
TAMARA PERIC
Serbia
8 - NEW TECHNOLOGIES
A comprehensive understanding of the caries disease has initiated development of various
preventive and therapeutic strategies during the last decades. Minimally invasive approach in
cariology comprises a caries-risk assessment, early caries detection, intensive
preventive/prophylactic measures together with patient education and behaviour changes, and a
treatment aimed at maximum preservation of healthy tooth tissue. A number of new materials allow
us to assess the conservative treatment, and to implement non-operative approach. Since the early
findings of caries-protective effects of fluoride, intensive research has been conducted, and is still
conducting, in order to determine benefits, safety, and cost-effect of diverse fluoride delivery
systems. Today, there is a clear evidence of caries-inhibiting effects of fluoride gels, varnishes, and
solutions for topical application. In addition, the current state of knowledge supports the use of
casein phosphopeptide-amorphous calcium phosphate for remineralization of early caries lesion.
Novel remineralization strategies, such as: arginine, chlorhexidine, calcium phosphates, xylitol,
probiotics, etc. are developing, but there is still uncertainty as to the level of effectiveness of these
techniques for caries management. Sealing pits and fissures is considered to be an effective way of
preventing or arresting development of occlusal caries. The placement of a fissure sealant isolates
the carious lesion from the biofilm at the tooth surface and postpones the restorative cycle. In order
to overcome weaknesses of remineralization strategies, the possibility to arrest caries by applying a
physical barrier between enamel and potentially cariogenic biofilms has also been transferred to
smooth surfaces. Resin infiltration is thought to prevent diffusion of bacterial acids into the lesion,
thus preventing consequent demineralization. The lecture will present the current state of
knowledge of caries diagnosis/detection and prevention, as well as non-invasive and microinvasive
protocols used for an early treatment of caries disease. Specifics of initial caries treatment in young
and adults, as well as treatment possibilities and limitations will also be reviewed.
L 18 PERSPECTIVES OF NANOTECHNOLOGIES USING IN DENTAL MEDICINE

AURELIANA CARAIANE
Ovidius University, Faculty of Dental Medicine, Constanta
Romania
Nanotechnology is a science that deals with the research and development of materials
and devices at the atomic or molecular level. Soon, almost every aspect of human life will be
influenced by nanotechnologies. Dr. Richard Feynman was the first to introduce the concept of
nanotechnology in 1959, in his lecture entitled “Nanotechnology: It’s a small world”. Nanotechnology
involves the development of materials, devices, and systems exhibiting properties that are different
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from those found on a larger scale. In the nanodimension range of 1-100 nm. With the advancement
in the technology, nanotechnology has greatly advanced in different fields of science, including
dentistry (nano dentistry). Researchers in the field of dentistry have explored the potential of
nanoparticles in the existing therapeutic modalities with moderate success. The main
implementations in the field of dentistry includes new diagnostic systems, local drug delivery agents,
restorative materials, regenerative materials, bone and tissue graft materials and implant surface
modifications. This field of science may sound fiction at this time, but nano dentistry has great
developmental potential that will revolutionize the diagnosis and treatment in the future. Also,
nanotechnology will have a great impact on dental research, dental prevention, diagnostics and
treatment solutions.
Keywords: nanotechnology, nanomaterials, dentistry.
L 19 NEWS IN DENTAL IMPRESSION TECHNIQUE: CLASIC VERSUS

OPTOELECTRONIC PARADIGM
COSMIN SINESCU, FLORIN IONEL TOPALA, MEDA LAVINIA NEGRUȚIU,
EMANUELA LIDIA CRĂCIUNESCU, MIHAI ROMINU
Romania
Introduction: Dental impression represent an importnat step in prosthetic solutions for the
patients. However, the classical methods usualy involve erors which will be refleted in the accuracy
of the future prosthetic construct. One solutio to the old fashion methods is to use the optoelectronic
impression. Some limitations are pointed out also for this technology. The aim of this presentation is
to present two new type of impressions, one for classical and one for the optoelectornic method, as
an improvement in compare with the other solutions. Materials and Methods: 3D printing
technology was used in order to obtain an individual structure that will lead to a more stabile
impression using the clasiccal method. Optical coherence tomography (OCT) was employed for the
optoelecronic alternative. The system was a Spectral Domain OCT wich was working at 860 nm.
Results: Both methods show improvements in compare with the clasical and digital solutions in
terms of stability (for the clasical one) and speed along with the noncontact and minim invasive
approach (for the OCT solution). Conclusions: Both presented impressions methods could act as
valuable solution for a better impression technique.
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L 20 MEDICAL VS. DENTAL RADIOGRAPHS – WHEN AND HOW TO USE EACH IN THE
MAXILLO-FACIAL AREA
ANTIGONI DELANTONI
Greece
9 - ORAL DIAGNOSIS – ORAL RADIOLOGY
The modern technological advances in imaging and medical science in general are
limitless. The dentist and the medical doctor must be constantly informed on the newer
technological methods that are available and of the prospects the novelties in science might bting
up to life. Radiology is applied to all fields of dentistry and is a valuable tool for dentists. However,
the advances in radiology have led most dentists in seeking knowledge from more specialized and
trained colleagues. New techniques in imaging are constantly emerging and more evolved
techniques are now applied to daily practice. One of the newer techniques available to the majority
of dentists is Cone Beam Computer Tomography. Its applications are now a daily practice in dental
radiology and are used on a daily basis in maxillofacial imaging. However, the applications of
medical radiographic techniques are not common to dentists and need further clarification. The aim
if the lecture is to present the applications of all newer imaging modalities in dentistry and compare
them to the applications of the medical radiographic techniques. The common pathology and the
common applications of the techniques will be discussed. The international guidelines for the
techniques applications will be discussed and the key pathology for each technique will be
analyzed.
L 21 MAXILLO-FACIAL ULTRASOUND – BASICS AND APPLICATIONS

ANTIGONI DELANTONI
Greece
Ultrasound is an underused investigation tool by dentists. The key features of the lecture
will be to provide the general dentist with the basic principles of the technique and its key
applications. Compared to other medical imaging methods, USG has several advantages. The
major advantage is that it is interactive with the patient and real time, it is portable and readily
accessible in most imaging centers, the examination is inexpensive and noninvasive. It ia a radiation
free technique that can provide on the spot diagnosis for the patients. It is a very useful tool in
surgery to look at lumps of the neck including thyroid nodules, to look at structures such as tongue,
soft tissue of the oral cavity. However, most dental radiologists do not know how to utilize USG in
the diagnosis of various kinds of oral diseases, which is very disadvantageous for patients with any
soft tissue diseases. In the lecture we will cover the basic principles of ultrasonography as a
technique and will try to focus on the understanding the key features seen in the neck area with an
ultrasonographic exam. We will try to expand to the key applications in salivary gland pathology and
other areas of interest. We will compare it to other radiographic techniques and will analyze where
the technique can complete other examination methods of head and neck area imaging.
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L 22 HAPTIC SYSTEMS IN DENTAL MEDICINE

Romania
10 - ORAL IMPLANTOLOGY
Aims & objectives: Haptic systems in dental medecine such as dentsim systemd are used
for education due to their interractive interface that help in formation and offer feed-back of the
result. Materials and Methods: For a number of 736 students a number of evaluations were made
to determine the time and accuracy of practical manouvers, such as cavity preparations, endodontic
access preparation and inlay and crown preparation. After evaluation, a feeb-back survey on the
use of the dentsim systems was made to determine the role of haptic systems in education.
Results: From the evaluation of the results of the practical manouvers the advanced students, from
the sixth year were the ones that obtained the highest scores in bots accuracy in less time for
composite preparation and for crown preparation, as for the feed back, 55% of the students
considered as an absolutely necessary step in education, and 40% of the students repsonded to the
5 th item of the questionnaire that is an successfull replacement of the pacient work. Conclusion:
The use of dentsim systems has proven to be a verry practical and accurate educational instrument
in forming dentists.
L 23 EXTRACTION – IMPLANTATION – PROSTHESIS

HELMUT B. ENGELS
Germany
L 24 BONE SUBSTITUTION VERSUS BONE REGENERATION

ARWED GERNOT LUDWIG
Germany
Bone defects of the jaw occur after teeth extraction, cyst removal, trauma, tumor or
inflammation. For rehabilitation and reconstruction of these defects autogenous bone was for a long
time the standard method. In the last 20 years more different methods and materials for
augmentation of bone defects of the jaw were developed. The problem is to decide which method
and which material should be prefered in this clinical situation. The source of the material
determines the classification. Basicly bone regeneration material must be distinguished from bone
graft substitute material. Regeneration material is resorbable and new bone is regenerated. In
opposite to this bone substitute material are not resorbable and leads to a repair instead of
regeneration of the bone. This material is integrated in the defect as functional foreign body. This
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leads to a disturbed load transmission through implant in the repaired bone. Therefore different
applications in typical dental defect situations and the results will be demonstrated: socket
preservation, ridge preservation, lateral defect reconstruction and cyst defect rehabilitation. In
dependence of the defect and of the soft tissue the material should be elected.
L 25 NEW METHOD FOR HORIZONTAL AND VERTICAL AUGMENTATION OF THE

ALVEOLAR RIDGE BASED ON BIOLOGY
ROLAND TÖRÖK
Germany
L 26 PREDICTABLE IMPLANT TREATMENT AS THE RESULT OF BASIC AND

CONTINUOUS EDUCATION IN IMPLANTOLOGY
MARIUSZ DUDA
Poland
The lecture consists of the 3 issues: discussion of the common mistakes of the beginners
in the field of implantology, presentation of the successful cases according to minimally invasive
implantology without or with the digital workflow taking into consideration educational background
based upon the decades of the experience of ICOI. Success in implant treatment depends on many
factors. In the early career of implantologist usually some common errors occur. Mistakes can
address both treatment planning, surgical stage and implantoprosthetic stage of the implant
treatment. The presentation shows cases with mistakes in the treatment within both simple and
complex cases. The errors concern eg. the positioning of implants, incorrect eligibility for surgery,
inferior alveolar nerve damage, perforation of the implant to the bottom of the oral cavity or
perforation to the maxillary sinus. On the other hand the author will present classic complex
planning and digital workflow of the implantoprosthetic reconstructions. Comparing the level of
planning, quality, accuracy, documentation, chair time and job satisfaction clearly speak in favour of
modern technologies that have become available today. Taking into consideration educational
background in order to achieve satisfactory implantologic result seems to be essential in any implant
treatment. Learning objectives: - to get familiar with early career of implantologists common errors
- to learn how to avoid implantologic errors
- to learn troubleshooting examples
- to compare cases with mistakes in the treatment within both simple and complex cases
- to get familiar with basic ICOI educational concepts.
Keywords: positioning of implants, implantologic errors, nerve injury, implant
troubleshooting examples, complex implant cases, digital workflow, education in implantology
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L 27 IMMEDIATE LOADING: WHY, WHEN AND HOW

ENDER KAZAZOGLU
University of Yeditepe, Dental School
Turkey
Indeed, we have a great achievement for implant treatments of fully or partially edentate
patients using Prof. Branemark protocol (1974). We are living a world that everything is going so
fast. Therefore, as a dentist we also change our treatment protocols almost in every fields according
these new trends. Such as today, we are encouraged to replace the restorations immediately after
the implant surgery by implant manufacturers and patients. However, this type of treatments need
certain type of experience and knowledge. But after all, dentists are not well educated neither in
dental schools nor at the courses of continuous educations. I am going to discuss to find out answer
of the following questions in this lecture: Immediate loading is it applicable treatment for everyone
including elderly people, what is the protocol for immediate loading and what is the strategic points
for long lasting treatment of immediate loading.
L 28 DENTAL IMPLANT PLACEMENT USING NAVIGATION SYSTEM

BRUNILDA CENKOGLU*, VOLKAN ARISAN**, HAKAN OZYUVACI
*Albanian University, Tirana ; **Istanbul University, Turkey
Albania
Background: Implants have become a frequently used treatment method in the treatment
of tooth deficiencies, bringing about various complications. One of these complications is the
implant not be placed in the correct position. Incorrect positioning results in various soft tissue
complications, bone resorption around implants, prosthetic and aesthetic problems. Moreover, these
positional errors can damage important anatomical structures such as maxillary sinus, mandibular
nerve, and can lead to problems that can not be compensated in the patient's health. Objective: A
well-fabricated dental implant prosthesis is based on the appropriate placement of the implant, a
Prosthetic-Driven Concept that highlights the importance of the implant placement, angle, and
direction. In this study our objective is to investigate the accuracy and reliability of the dental implant
navigation system. Results: We observed that increasing the frequency of use of the navigate
system shortened the operating time. Furthemore, correct positioning during manual implant
placement is based on the experience and knowledge of the surgeon so using the navigation
system can assist in efficient implant surgery because it can ensure both correct dental implant
placement and patient safety. Conclusion: However, processes such as template production
process, patient preparation, software planning and delivery time increase the cost and total
treatment time. For this reason, implantation under the guidance of a navigation system can be
considered as an appropriate treatment alternative.
Keywords: implants position, dental navigation system, accuracy.
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L 29 SINUS FLOOR AUGMENTATION. THE IMPORTANCE OF EXAMINATION,

TREATMENT OPTIONS AND FOLLOW UP ON SUCCESSFUL RESULTS
JABBAR HASANOV
Chairman Of Society Of implantologists Of Azerbaijan
Azerbaijan
Nowadays sinus lift surgery in atrophic maxilla has become routine and everybody is aware
of how successful it is. However, some problems can arise? Why? Is the Maxillary sinus always the
same in all people? We can come across, in sinus, different structures and issues as septums,
unusual sinus floor relief, lesions, inflammatory, artery(s) etc. In this presentation we will discuss the
different ways of sinus lifting – its planning, surgery, complications and their treatment.
L 30 CLINICAL AND HISTOPATHOLOGICAL CONSIDERATIONS ON BONE GRAFTS IN

IMPLANTOLOGY
ALEXANDRU BUCUR, VLAD ANGHELESCU, IRINA NECULAE, BOGDAN BUCUR
Romania
Although the insertion of dental implants has become an increasingly popular method of
treatment, it remains desirable to understand the mechanisms that enhance the bone volume by
using bone susbstitutes in implanto-prosthetic rehabilitation. Though there are still many
controversial issues in biology of bone graft integration, at present it is possible to understand the
complex biological reaction, both phenomenologically and experimentally. This paper argues that
osteoinduction in implanto-prosthetic therapy remains the ultimate goal in the restitutio ad integrum
process that we should obtain from the postextractional plague and ending with the various methods
of augmenting the bone supply. The paper makes a parallel between materials that favor
osteoinduction compared to those that favor osteoconduction, trying to remove from the everyday
practice the concept of commercial medicine aimed at "bone growth".
Keywords: osteoconduction, osteoinduction, osteointegration, grafts.
L 31 MAINTAINING TISSUE ARCHITECTURE AFTER TOOTH EXTRACTION USING

IMPLANT-SUPPORTED RESTORATIONS
SORIN MIHALI, PAUL CORNEL FREIMAN
Vasile Goldiş Western University of Arad
Romania
Background: Hard and soft tissue modifications occur after tooth extraction. An important
factor for maintaining stable gingival contours is the reproduction of the shape of the root in the
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cervical third of the extracted tooth. The aim of this study was to compare the conventional healing
abutment with custom healing abutment in terms of maintenance of soft tissue architecture.
Methods and Materials: Twenty-four patients who underwent single tooth extraction and single
immediate implant placement were included in the study. Twelve patients were treated with
conventional healing screw after immediate implant placement (control group) and 12 were treated
with screw-retained custom healing abutment (test group). After minimally traumatic tooth
extraction, a temporary abutment was fabricated utilizing flowable composite, which adapted to the
socket architecture, to serve as a customized healing abutment. In order to evaluate soft tissue
remodeling in all cases, digital impressions were made before tooth extraction, at implant insertion,
at 6 months after insertion, and after placement of the final restorations. Results: After 6 months of
the osseointegrated period, the custom healing abutments served successfully as a tooth profile for
peri-implant tissue. Gingival thickness around the dental implants was evaluated in cases of
implants with customized healing screw, and minimal marginal bone loss was observed over time.
In cases of implants with conventional healing screw, soft tissue remodeling around the implants is
observed, in contrast to cases of custom healing abutments. The custom healing abutments
maintained 360-degree soft-tissue shape over this follow-up period. Conclusion: Correct design of
a healing abutment is important for maintaining the emergence contour in cases of immediate
implant placement. In our study, a considerable difference was observed between the standard
healing screw and customized healing screw. The selection between provisional restoration and
customized healing abutment is only based on esthetic considerations.
Keywords: custom healing screw, soft tissue, tooth extractions, emergence profile,
immediate implant.
L 32 COMPLICATIONS OF IMPLANT-PROSTHETIC TREATMENT AT YOUNG VS.

ELDER PATIENT
VIOREL IBRIC CIORANU
Spitalul Euroclinic Regina Maria, Bucuresti
Romania
The purpose of this study was to identify and to classify the accidents and the
complications that can appear during the implant-prosthetic treatment, showing also the possible
treatment solutions. Material and Methods: The study was made on a sample of 279 patients with
821 inserted implants followed by prosthetic reconstructions at 4- 6 months after intervention. The
stady was made on a period of 5 years for 180 patients (81 elders, > 60 years and 99 young, 20 –
60 years). At 9 patients (7 elder and 2 young) we noticed tardive complications. At 37 patients we
identified and cured secondary and tardive complications. Results: The percentage of
complications in our sample was only 3%. The scientific literature reports yearly a number of
3.000.000 inserted implants, among which 150.000 show complications (5%). Our classification
covers immediate intra-operatory, secondary and tardive accidents. The intra-operatory accidents
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come as a consequence of wrong operatory techniques. Our sample’s analysis shows the
prevalence of secondary complications (infections, osteitis, osteomiellitis) and tardive complications
(mucositis, periimplantitis, the implant’s mobilization, the implant’s fracture, mesostructured fracture,
the fixing screw’s fracture and the abutment’s fracture). The most frequent complications were
noticed at elder subjects, as a consequence of the wrong cases selection, because the elder
patients have some general pathologies, like diabetes, liver diseases, neurologicalor other
physiopathological not-compensated diseases. A subset of patients didn’t follow the hygienic
recommendations and didn’t come for periodic controls. We tried through the cases previously
presented to exemplify these complications and the solutions we chosed to solve them.
L 33 TREATMENT PLANNING IN ORAL IMPLANTOLOGY

HORIA BARBU
Romania
Three dimensional resorption of the post-extractional site after tooth loss can lead to
severe atrophies of the residual ridge. Planning an appropriate implanto-prosthetic treatment from
the functional and aesthetic rehabilitation point of view, narrows considerably implant placement
without prior augmentation. There are a multitude of possibilities for planning a case. Which
treatment planning is the right one from the periodontal, orthodontic, endodontic and aesthetic point
of view? Which one has priority? What can we use as temporary restorations? What about the final
restoration: we must know now where the implants will be placed and what type of restoration the
patient will have after 2 years. These questions are just a part of a multitude of others, which if
correctly planned can lead to success in implant dentistry. What can we do when we have
complications? Which treatments are appropriate in order to solve the complications? During this
lecture we will try to give some correct directions regarding the choices we have for solving the
problem. Increasing success in oral implantology is influenced, in addition to surgical experience, by
the quality of materials and instruments used.
L 34 GINGIVAL MANIFESTATIONS OF SYSTEMIC DISEASES AND CONDITIONS

ATHANASIOS POULOPOULOS
Greece
11 - ORAL PATHOLOGY (ORAL MEDICINE)
On examination, the oral cavity and especially the gingiva may exhibit manifestations of
underlying systemic disease and conditions which is possible to serve as an indicator of overall
health. Skin diseases such as Lichen Planus, Oral Pemphigoid, Pemphigus Vulgaris and Erythema
Multiforme is possible to present symptoms on the gingival epithelium. Allergic reactions to dental
restorative materials, components of oral hygiene products and foods or additives may occur on the
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gingiva and are most common in patients with a history of allergic conditions. There are several
fungi species associated with gingival conditions, with the most common of these is Candida
albicans, in addition, viral infections mainly of herpes virus type may cause gingival lesions which
include primary herpetic gingivostomatitis, recurrent oral herpes and Varicella-zoster infections.
Bacterial infections of several species (Neisseria Gonorrhea, Treponema Pallidum, Streptococcal
Species) overwhelm the host’s resistance and cause gingival lesions which include painful
ulcerations, chancres, mucous patches or severe inflammation. Vitamin deficiencies may produce
changes on the gingiva. The most studied relationship is between Vitamin C and gingiva, which
results in defective collagen formation and maintenance. Gingival diseases associated with the
Endocrine System characterized by a marked inflammatory response of the gingiva, whereas
gingival diseases associated with Blood Dyscrasias such as leukemia may exhibit severe gingival
bleeding and fast enlargement of the gums. Consequently severe periodontal inflammation or
bleeding should motivate investigation of a variety of different diseases such as diabetes mellitus,
human immunodeficiency virus infection, thrombocytopenia, and leukemia. Commonly used drugs
such as phenytoin, cyclosporine, calcium channel blockers, sodium valproate, oral contraceptives
can lead to gingival changes including hyperplasia (overgrowth) and gingivitis. In conclusion
detailed medical history, physical examination and biopsy of specific lesions may aid in determining
the underlying etiology of gingival lesions and allow for earlier intervention by medical colleagues.
L 35 BIOCHEMICAL EFFECTS OF COLLAGEN-CULTURED MESENCHYMAL STEM

CELLS ON ENDOTHELIAL PROGENITOR CELLS IN VITRO
MARCEL COSTULEANU, IONUT CAZAN, DIANA TATARCIUC, SIDONIA SUSANU,
OTILIA BOISTEANU
Romania
We tempted to explore the biochemical effects, represented by apoptosis, triggered by
conditioned medium, obtained as a result of culturing mesenchymal stem cells for 24 hours, on
endothelial progenitor cells. The mesenchymal stem cells were developed on collagen fibers in the
presence of thapsigargin, concanavalin A, leptin and ghrelin. Meanwhile, were used the following
inhibitors: AG490, a JAK2 inhibitor; PD98059, a MEK/ERK inhibitor; and LY294002, a PI3K/Akt
signaling inhibitor. When we analyzed the results, we observed that the conditioned medium,
obtained from mesenchymal stem cells cultivation, applied in a 10% concentration for 24 hours,
induced apoptosis of endothelial progenitor cells in different degrees: 10 µM leptin>
ghrelin>>concanavalin A apelin. Furthermore, LY294002 and AG490-conditioned medium of
mesenchymal stem cells reduced the apoptotic effects induced by leptin on developed endothelial
progenitor cells. The very first conclusion is that the inhibition of PI3K/Akt signaling pathway is
blocking the apoptotic effects of leptin stimulation of mesenchymal stem cells population. The
inhibition of JAK/STAT pathways seems to be less effective.
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L 36 HIV INFECTION IN STOMATOGNATIC SYSTEM

CARMEN DOROBAT, ISABELA LOGHIN, CRISTINA NICOLAU
Romania
Background: Oral manifestations in HIV infection have been well documented as early
markers of HIV infection and progression, also are significant as they may affect the patients’ quality
of life and can be used to assess the status of immunosuppression and determine the prognosis of
the disease. Aim: Our objective was to determine the prevalence of oropharyngeal manifestations
in HIV infected patients in order to establish a quick diagnosis. Materials and Methods: We
performed a retrospective study on 936 patients from HIV/AIDS Regional Center of the Clinical
Hospital of Infectious Diseases „Sf. Parascheva” Iasi, diagnosed with different stages of HIV
infection and admitted to our hospital in period January - December 2017. Results: Oropharyngeal
manifestations appeared in almost half of the patients (49%), the majority were aged between 18
and 28 years old (67%). The most frequent lessions was oral candidiasis 83%, followed by
gingivostomatitis 92 cases (21%), infections with Herpes Virus 17 cases (4%), aphthous stomatitis
21 cases (4%), Kaposi sarcoma 4 cases, bilateral parotidity (2 cases). Oral manifestations were
associated with viro-immunological status. Conclusions: The immunosupression status was highly
significant corelated with oral manifestations, beeing necesary a correct clinical evaluation of
positive HIV patient in order to diagnosed them and institute a specific treatment.
Keywords: Oral manifestations, HIV infection, Kaposi sarcoma.
L 37 DENTAL EXTRACTION AND BISPHOSPHONATES

EUGENIA POPESCU, VICTOR VLAD COSTAN
Romania
12 - ORAL SURGERY AND ORAL MAXILLOFACIAL SURGERY
Background: Bisphosphonate-associated osteonecrosis of the jaws (BONJ) is recognised
as a significant complication related to the use of bisphosphonates and currently is gaining
importance due to the increasingly widespread use of these medications. Patients are placed into
low or hight risk groups of developing BONJ depending on the systemic condition for which they
have received bisphoshonates. Numerically, the largest groupwordwide is patients receiving
bisphosphonates for osteoporosis and these generally fall into the low risk group for BONJ. The risk
group, while numerically smaller, is composed of those patients receiving bisphophonates in the
management of malignancy affecting the bones, either primary or secondary (metastatic disease). A
number of additional systemic and local risk factors are proposed, which increase the posibility of
developing BONJ following an extraction. The scope of this study was to evaluate the risk factors
causing osteonecrosis of the maxillary bones after the tratment with bisphosphonates, in the
patients who addressed the Oral and Maxillofacial Surgery Clinic between 2009-2017. Materials
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and Methods: 83 patients suffering from this pathology were registered, their files including
information on age, sex, the illness for which the drug had been recommended and the precribed
dose, the maner of its administration and the duration, the cause of the maxillary lesion, the
symtomatology evidenced during the first consultation, additional examinations treatment and
evolution. Results: Most cases of osteonecrosis had been caused by dental extractions, especially
at the mandible. The higher risk was faced by patients who were administered the drug
intravenously. Conclusions: Oral surgery interventions are the main trigger factors involved in
BONJ pathogenesis. In the process of disease prevention, an important role plays the treating
physician who has prescribed the antiresorptive and antiangiogenic medication, and who should
direct the patient to dental physician for treatment and rehabilitation before starting the general
therapy.
Keywords: bisphophonates, jaw osteonecrosis, dental extraction.
L 38 MINIMAL – INVASIVE PRIORITIES IN DENTO-ALVEOLAR SURGERY

DORIANA AGOP-FORNA
Romania
The new technologies of dento-alveolar surgery are being developed and introduced in
clinical practice to increase the success rate and patient safety using minimal invasive methods
(lasers, piesosurgery) and computerized methods for pre-implant and implant treatment planning.
In dento-alveolar surgery laser techniques are considered by many practitioners the standard of
care for surgical procedures, due to improved visualization, accuracy, hemostasis, and decreased
discomfort. The “user-friendly” interface, more portability, ergonomic hand-pieces as well as the
decrease of lasers prices contribute to the widespread of laser technologies in the dento-alveolar
surgery. The broad range of lasers used in dento-alveolar surgery include diode lasers (805-
980nm), Nd:YAG lasers (1064nm), Er:YAG (2940nm), Er,Cr:YSGG (2780nm), and CO2 lasers
(9300nm, 10600nm). Laser-assisted oral surgical procedures include frenectomy, vestibuloplasty,
excision of epulis fissuratum, fibroma, as well as alveolar bone remodeling. A great benefit of lasers
use is also the coagulation during operation, postoperative benefits (minimal swelling and scars), as
well as the biostimulation procedures that accelerates the healing time. Piezosurgery is another new
technique with great clinical benefits (less pain and swelling postoperatively compared with
conventional technique) in sinus lift technique by lateral approach. Nowadays various expert
systems have applications in dental medicine: Implant 3D (Universe, USA), NobleGuide (Nobel
Biocare, USA), Digital Smile Design (DSD), SimPlant (Materialise Dental), Virtual Implant
Placement (BioHorizons, Anglia), ImplantMaster (iDent, USA), Implant 3D (Media Lab, Italia),
EasyGuide (Keystone Dental). These software applications represent powerful tools for the clinical
decisions and therapeutic planning algorithm, creating a new paradigm in the management of the
pro-prosthetic and pre-implant surgery procedures. Researches that assess the use of these
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systems in the analysis of real clinical cases as well as in various simulated clinical situations are
requested to contribute to the widespread of these new modern tools.
L 39 ORTHODONTIA AND ORAL & MAXILLOFACIAL SURGERY IN CLOSE

COLLABORATION
STYLIANOS DALAMPIRAS
Aristotle University, Thessaloniki
Greece
The two leading specialties in Dental Medicine, Orthodontics and Oral & Maxillofacial
Surgery, after many years of evolution, are now mature and presenting a considerable progress in
a very demanding scientific field. A huge amound of knowledge and information and years of
study and practice, are needed for the qualification , of a specialist in order to serve, either of both.
In Europe and the Balkans today, a continuous effort is taking place, for a high level of health
services. This effort is reflected in a very satisfactory manner , in the activities depicting the
collaboration, of the two Dental specialties. A large number of series of patients seeking therapie
for simple or complicated problems, related to the dental arches, the jaws and the facial skeleton
are treated according to modern protocols, inside the frame of a collaboration, that is characterized
as indispensable. The aim of this lecture is to present cases that are represending, the broad
spectrum of this inerdisciplinary cooperation. Simple problems concerning teeth positioning in the
arch, treated according to common oral surgery techniques (impacted teeth, odontomes etc.), and
more complicated cases affecting the jaws and the facial skeleton are presented here, in order to
emphasize the necessity and the value of such a collaboration, for the benefit of all patients.
L 40 The Biological Determinant in Orthodontic Therapy

ECATERINA IONESCU, ELINA TEODORESCU
Romania
13 - ORTHODONTICS
L 41 THE PARTICULARITIES OF THE ORTHODONTIC TREATMENT AT DIFFERENT

AGES
ANCA MESAROS
Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca
Romania
13 - ORTHODONTICS
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Aim: Diagnosis and treatment for complex orthodontic patients involves thorough clinical
and complimentary investigations and a multidisciplinary treatment approach is preferred. However,
a staging for the treatment must be assigned in accordance with the patients’ complaint as well as
his particularities in respect with age and development. Objectives: to emphasize the importance of
a correct assessment of every case, to determine the growth potential in younger populations in
order to achieve both functional and aesthetic goals for our patients. Material and Methods: A brief
but deep review of the literature on the topic of orthodontic case management for patients of
different ages was done and the highlights of the discoveries will be presented and discussed. The
second part exemplifies by case presentations the arguments that were taken into account in
establishing the treatment protocol and for some of them presenting also the final result of the
treatment while assessing both the achievement of our functional goals as well as patients’
satisfaction. Results: Most of the literature regarding the approach of adult multidisciplinary and
complex cases consists in case reports and very little statistical data is available regarding the
protocols to be followed in such cases. In cases of adolescents, establishing a treatment plan can
be more problematic due to their potential of growth. Age is not always a reliable criteria in
assessing this potential and reading the clinical and paraclinical signs to interpret the remaining
growth as well as the direction of this growth can be the key elements in establishing a correct
treatment plan from both functional and aesthetical points of view. Conclusions: Our findings
through both literature research and clinical assessment of complex cases show the importance of
team work and careful treatment planning in the therapeutic approach of patients with complex oral
pathology.
L 42 MODERN ORTHODONTIC THERAPEUTIC APPROACHES IN CHILDREN AND

YOUNG ADULTS
IRINA NICOLETA ZETU, LIVIU ZETU
Romania
13 - ORTHODONTICS
In the recent years the orthodontics has seen a great development, in terms of both, the
means of investigation and diagnosis, and therapeutic means. The increasing addressability of
adults for the orthodontic treatment has led to the development of specific modalities that meet the
aesthetic, functional and especially anchorage criteria. In the vast majority of the cases, biological
anchorage is not enough. For this reason, orthodontists have found different solutions to and
enhance this anchorage. But even this, to call it traditional orthodontic anchorage, has its limits. By
means of clinical cases, we will present classical and modern orthodontic treatment methods.
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L 43 PREVENTION OF DENTO-ALVEOLO MAXILAR DISHARMONIES IN SCHOOL AND

PRESCHOOL CHILDREN
MADALINA NICOLETA MATEI, KAMEL EARAR
Dunarea de Jos University of Galati, Faculty of Medicine and Pharmacy
Romania
14 - PAEDIATRIC DENTISTRY
Prevention means the reduction to an eradication of a disease, means the reduction of the
therapeutic needs of dental decay, periodontitis, means stopping the evolution of jaw dental alveolar
disharmony, means the partial or total reduction of the general or local complications of the
evolutionary dental caries, from which the outbreak and edentations in the younger age are the
most important. Food hygiene appears at this time as a method of preventing the disease, including
dental disease; this method is developed nowadays when Contzea, a well-known Romanian
teacher, concluded "Hygiene of food is the science of physiological and psychological ties between
man and the food environment". The study includes 27 cases with dislocated and distal dislocation
disharmons. Each of these disharmonies may cause an interlocking occlusion, coded from 4 to 6
after gravity, estimated after the distance between the lower canine cuspid to the superior canine
cuspid, 2-5 mm = 4; 6-9 = 5, greater than or equal to 10 mm = 6; it is recorded with 8 reverse gear
to 1-2 teeth in the front area.In dento-alveolo-maxillary sagittal disharmonies with distal occlusion
there are 14 abnormalities (51.85%) dento-maxillary, associated with distal occlusion, in which the
growth deficit occurs here in the alveolo-mandibular segment, while the excess growth is observed
to the superior alveolo-maxillary segment. Pediatric DDAM prevention methods are: local buccal
dental hygiene with a local fluorisation, general fluorisation in nutrition hygiene, sealing of cracks
and fossets, early treatment of superficial dental caries in the support area.
L 44 ORAL HEREDITARY ABNORMALITIES - CHILD DIAGNOSED WITH

EPIDERMOLYSIS BULLOSA
ANDREI KOZMA*, ANDREEA DONA IORDAN DUMITRU**, ANA-MARIA PANGICA**,
ADELA RADULESCU*, CRISTINA BODNAR***
* Alessandrescu Russescu National Institute for Mother and Child Health Bucuresti
**Titu Maiorescu University Bucuresti
***Carol Davila University of Medicine and Pharmacy Bucuresti
Romania
Bullous epidermolysis represents a group of 5-16 heterogeneous entities that share the
tegumentary and mucosal fragility in minor trauma. Hereditary diseases characterized by vesicular
rashes in the mucous membranes and teguments. Aim: is to describe oral manifestations in
patients diagnosed with bullous epidermolysis. Material and Method: The clinical case of a 5-year
and 2-month-old patient diagnosed with bullous epidermolysis at the age of 3 years is presented,
who has depressed ares of the tongue, as well as functional disorder consecutive enamel
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hypoplasia, severe swallowing disorder, numerous synechiae and microstoma. Results and
Discussions: The disorders that have occurred have resulted in physiognomy dysfunction,
mastication and swallowing for which the patient has requested dental care. The main problem is
optimizing the swallowing function and avoiding overinfection of the existing lesions. An extremely
important aspect is prevention, which is a real challenge because their diet is predominantly
composed of soft foods rich in carbohydrates and patients due to lesions lose their ability to practice
prophylactic measures.
Keywords: epidermolysis bullosa, rash, mucosa.
L 45 THE PARADIGM FOR NON-SURGICAL PERIODONTAL THERAPY TODAY

WILLIAM PAPAIOANNOU
Greece
15 - PERIODONTOLOGY
Oral health is characterized by the dynamic balance of the oral microbiome; a balance
between non-pathogenic bacteria and pathogenic ones. If this balance is upset dysbiosis ensues
and disease follows. An especially important category of oral infections is periodontal disease. The
most severe form, periodontitis, is the major contributing factor to tooth loss in adults. The
unchecked growth of the dental microbial plaque biofilm around teeth and the subsequent gingival
inflammation are significant stages for the establishment of periodontopathic microbiome and the
progression of supportive tissue loss. The main ecological niche for bacteria involved in periodontitis
is indeed the periodontal pocket, but the oral cavity has a wide range of regions (e.g. the tongue,
tonsils oral mucosa, implants, etc.) where they can attach and survive. The transference of various
bacteria between different niches is quite likely. If this does occur during treatment, the success of
a periodontal therapy may be compromised. The realization of the importance of these factors, with
involvement in disease initiation and progression, has led to a reevaluation and change in the
treatment paradigm. The classic non-surgical treatment protocol comprised a series of 4 to 6
subgingival scaling and root-planing sessions, with intervals of 1 or 2 weeks, which however gives
an opportunity for the treated pockets to become re-infected by bacteria from the other infected
sites. In order to prevent, or minimize, this from happening the one-stage full mouth disinfection
treatment protocol is utilized. This approach takes into account the fact that the oral cavity is one
large interconnected ecological system and that during disease the oral microbiome, in its entirety,
is in a dysbiotic state. The therapy of the mouth as a whole and within a short period of time is the
new paradigm in the treatment of periodontitis. The advantages are the significant reduction of the
microbial biofilm and bacterial load of the mouth as a whole, which in turn allow for a better clinical
result overall and in the long term. It also permits for a much more efficacious approach for severe
periodontitis cases, especially when combined with antimicrobial treatment.
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L 46 ACTUALITIES OF ASSOCIATION BETWEEN PERIODONTAL DISEASE AND END-

STAGE CHRONIC KIDNEY DISEASE / DIALYSIS
SORINA MIHAELA SOLOMON, SILVIA MARTU, IOANA RUDNIC
Romania
15 - PERIODONTOLOGY
It is now widely recognized that the incidence of end-stage renal disease is increasing
amongst the population, and patients receiving renal replacement therapy, including hemodialysis,
peritoneal dialysis or renal transplantation, tends to include an extended segment of patients who
contact the medical dentist. Periodontal disease, in its moderate to severe forms, also predominates
in the general population, but it is more and more often mentioned that it is more common in
patients with chronic renal disease who are in dialysis, as well as in patients with renal disease
terminal phase with renal replacement therapy. From a chemico-biological point of view,
periodontitis was associated with high levels of systemic inflammatory markers. Therefore,
periodontitis can be an intrinsic source of systemic inflammation in the population with chronic end-
stage renal disease, but can be stopped or eradicated by periodontal specific etiological therapy.
The specific effects of chronic renal disease and renal replacement therapy on periodontal tissues
include the appearance and progression of gingival hyperplasia, especially in immunosuppressed
patients who have received renal transplantation, as well as plaque, calculus and gingival
inflammation index, which causes the possible increase in the prevalence and severity of
periodontal disease in patients with chronic renal disease in the terminal phase undergoing specific
treatment, especially in those receiving dialysis. Consequently, effective initial periodontal therapy
may influence systemic inflammation sources by decreasing serum levels of proinflammatory
biomarkers. Considering these aspects, it can be argued that the evaluation and treatment of
periodontal disease acquires important valences, especially in patients with chronic renal disease in
dialysis, the collaboration between the urologist and the dentist becoming obligatory in these cases.
Keywords: kidney disease, dialysis, periodontal disease.
L 47 THE ROLE OF POLYMERASE CHAIN REACTION IN THE EVALUATION OF THE

PERIODONTAL DISEASE
SERGIU CIOBANU, DRAGOȘ CUCU, SERGIU ROSCA, VIOREL VACAROV, ARTIOM
BÎRZOI
N.Testemitanu State University of Medicine and Pharmacy Chisinau
Dental Clinic „Parodent Prim” SRL
Rep. of Moldova
15 - PERIODONTOLOGY
Background: The oral cavity is colonized by 700 species of pathogenic and non-
pathogenic microorganisms, thus forming a stable biocenosis. In the onset of periodontal disease
(PD), the basic element is represented by the action of the periodontal pathogenic microorganisms
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(PPM) from the subgingival bioflim and periodontal pocket, against the decreasing resistance of the
macroorganism. Material and Methods: The study included 27 patients with PD of varying severity.
The research was performed by using "ParodentScreen" - a Polymerase Chain Reaction (PCR)
test. The reason of using this method was to assess the qualitative and quantitative values of PPM
in patients with PD. Thus, was determined the level of contamination (qualitative values) and
concentration (level of bacterial contamination) of PPM. Results: As a result of the study: in the
examined subjects, for the 5 basic PPM (Actinobacillus actinomycetemcomintans, Porphyromonas
gingivalis, Prevotella intermedia, Bacteroidus forsythus, Treponema denticola) was determinated
the qualitative, but not quantitative values, having a general bacterial mass (mbg) graded well above
the normal baseline. At 7 patients, Actinobacillus actinomycetemcomintans was not found, it is
being considered one of the most aggressive and in one case there was not detected any PPM.
Conclusions: The results we can conclude after this study are: that the qualitative and quantitative
evidence of PPM by performing the "ParodontScreen" using PCR test can optimize the early
diagnosis and treatment scheme of periodontal disease in the initial phases, the monitoring of the
efficiency of the treatment stages and the dynamics during the maintenance treatment of the
patients with periodontal disease.
L 48 EARLY DISCOVER OF THE NON-NORMAL POSTURE AS PROPHYLAXIS DENTO-

MAXILA-FACIALE
ALKETA QAFMOLLA
Dental Medicine Faculty, Tirana
Albania
16 - PREVENTIVE DENTISTRY
The good health is jointed with the staying manner of the individuals in site, so with its
posture, which is our body ability to receive the difference of the position in life environment. The
posture is a mode of the moving, staying, walking, seating, wearing, which is in correlation with
individual position during the day. The posture was determined by neuro-motor system, muscles
and articulations of the body, which function with effectively, where they are in physical balance. A
correlation between maxilla, mandible, biting and general body posture exists. Have three main
concepts about the posture: a] posture is jointed with oral health; b] the biting influenced at body
posture, and c] the oral health has its impact in general health. The bad and good posture exists,
and the posture has, as well a good correlation with malocclusion. The aim of study: is to evidence
correlation between posture and malocclusion determining reasons of posture damage, as well as
prophylactic measures that needed to be performed, in order to avoid as soon as possible non
normally posture. The posture problems are: cervical and spinal, which are accompanied with fusion
of C2 –C3 vertebras, lorodosis, kyphosis and scoliosis. Malocclusions which shown at the non-
normal posture are IInd, IIIrd skeletal, deep and crossing biting of posture. The main reasons of the
non-normal posture are large forces at the kid body, staying in non normal position in front of PC,
TV etc. The prophylactic measures to avoid the posture are avoiding of the non normal staying
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position in front of PC, TV etc. In such cases needed to combine the orthopedic – orthodontic
treatment. The orthodontic treatment carried out by functional fixed and moving apparatus according
the anomalies. Conclusion: Early discover of the damaged posture will influence in the early
prevention of anomalies and, the patients treatment should made in multi-disciplinary and
orthopedic-orthodontic manners.
L 49 GLOBAL PREVENTION OF FDI

PATRICK HESCOT
France
L 50 LIFESTYLE VS. ORAL HEALTH TEMPORA MUTANTUR

MAIDA GANIBEGOVIC
L 51 THE PREVENTION IN STOMATOLOGY – A NEW VISION

VLAD DEAC
Romania
Due to the position of the mouth, oral health is part of the general health and also part of
the well-being of the individual. This is why the dentist can be seen a well-being creator. A
professional that leads his patients to a happier and healthier personal status. The basis of
prevention is education. And education means not only teaching children how to floss or to use
toothbrush but a general more comprehensive understanding of the importance of the dentist for the
general health. The dentist frequently is the first doctor a patient sees. Therefore our responsibility is
way more important than one can imagine.
L 52 THE ANTIBIOTICS USED IN DENTAL MEDICINE – AGE-CORRELATED

PARTICULARITIES
MIHAELA MOSNEGUTU
Romania
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L 53 POSTERIOR COMPOSITE RESINS – A CURRENT ASSESSMENT OF MATRIX

DEVELOPMENT
Sevda Mihailova Yantcheva
Bulgaria
18 - RESTORATIVE AND ADHESIVE DENTISTRY
L 54 THE ROLE OF QUATERNARY AMMONIUM COMPOUNDS IN DENTAL ADHESIVES

ILIJANA MURATOVSKA
FYROM
Bacteria left in the cavity floor of dentin can live for a long time and complete removal of the
infected dentin is desirable in order to prevent the recurrence of decay. Incomplete removal of
infected dentin is currently recommended, especially in clinical situations of deep carious lesions
preserving the vitality of the pulp tissue. Multiple disinfectants have been used in dentistry, in an
effort to reduce or eliminate bacteria during cavity preparation and prior to the placement of dental
restorations. Restorations perfomed with composites accumulate more biofilm and are subject of
faster degradation than those made with the materials such as ceramics and glassionomer cements
．This can lead to the formation of secondary caries，damage to the pulp and consequently to the
restoration failure. The release of antibacterial monomers or/and particle from dentin adhesives are
currently available on the market beneficially providing results with respect to antibacterial effect.
Different kinds of Quaternary ammonium salts including 12-
methacryloyloxydodecylpyridiniumbromide (MDPB) and methacryloxylethylcetylammonium chloride
(DMAE-CB), quaternary ammonium dimethacrylate (QADM), quaternary ammonium
polyethylenimine (QPEI) and so on, have been synthesized and incorporated into dental materials
to achieve antibacterial effect. Quaternary ammonium salts possess capability of causing bacterial
lysis by binding to bacterial membranes. The purpose of this presentation is to present antibacterial
potention and evaluate the effect of disinfectant agent and different dentin adhesives with
antibacterial monomers on shear bond strength between dentin and to evaluate the failure pattern.
L 55 CAPRICE OR NECESSITY IN DENTAL MEDICINE

MARIUS POPOVICI
Romania
19 - OTHER
L 56 DENTISTRY IN RWANDA
IMMACULEE KAMANZI
Rwanda
19 - OTHER
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L 57 MODERN APPROACHES REGARDING ROOT CARIES LESIONS CONTROL

SORIN ANDRIAN, SIMONA STOLERIU
Romania
19 - OTHER
Root caries represent multifactorial, bacterial induced, pathological process which lead to
dental hard tissues breakdown apical then enamel-cementum junction. Often the lesions affect the
cementum and dentine which are color modified and soft and did not involve the adjacent enamel.
The lack of a common terminology leaded to wrong interpretation regarding root caries prevalence
and incidence. On major risk for root caries are the persons over 65 years of age. Mandibular
bicusps and frontal maxillary teeth are affected the most, 75% of the lesions being located on buccal
and proximal surfaces. In clinical practice the main method for root caries detection and monitoring
is the visual and tactile evaluation based on the assessment of tissues hardness, lesion location, the
presence of cavity and surface aspect. Patient susceptibility to root caries is influenced by some
biological, environmental, social, psychological and behavioural factors. Actual evaluation protocols
rely on general susceptibility or general risk assessment, without taking in consideration specific
location. The preventive and restorative strategies are more and more complex and holistic. They
need a systematic evaluation and integration of clinical and scientific evidences regarding patient
history, systemic and local diseases, practitioner expertise and patient treatment needs.
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OP 1 KNOWLEDGE AND ATTITUDE OF DENTISTS IN DETECTING AND REPORTING

CHILD ABUSE AND NEGLECT
NINA MARKOVIC, AMRA ARSKANAGIC MURATBEGOVIC, ELMEDIN BAJRIC
1 - COMMUNITY DENTISTRY
Background: Dentists in general and pediatric dentists in particular, can play an important
role in detecting and reporting cases of child abuse and neglect (CAN). The aim of the paper was to
assess knowledge and attitudes about child abuse and neglect among B&H dentists. Material and
Methods: A questionnaire consisted of 27 questions was administrated in total number of 210 B&H
dentists. The paper focuses on detection of physical and sexual abuse and dental neglect which
dentists most commonly come across in the course of their work. Results: Dentists in Bosnia and
Herzegovina are very rarely provided (8%) with training related to recognition and reporting of CAN
and only a small part or no part at all of B&H Dental Faculties’ curriculum is devoted to it. 65% of
dentists had never suspected CAN in their practice, while 8,6% have suspected and reported.
Prevailing reasons (84%)for non reporting suspected case of CAN is lack of knowledge on reporting
procedures. 45% of dentists considered psychosomatic disorders, sexual implications and untidy
appearance as main CAN indicators, followed by psychosomatic disorders as only indicator in 18.6
% and 9.5 % didn’t know the answer. 43% of dentists didn’t give any definition of CAN. Conclusion:
The findings indicated lack of knowledge in many areas related to signs of child abuse and neglect
among BH dentists.
OP 2 PERIODONTAL DISEASES IN CHILDREN AND THEIR IMPORTANCE: AN

OVERVIEW
METIN ÇALIŞIR*, AHMET CEMIL TALMAÇ**
* Adiyaman University, Faculty of Dentistry;
** Yuzuncu Yil University, Faculty of Dentistry
Turkey
Background: Periodontal diseases may occur at any age and are characterized by chronic
inflammation and loss of dental support tissues. These diseases are common among children as
well as adults. Especially gingivitis affects a large majority of children and adolescents. The aims of
this presentation are: to provide a comprehensive literature that can easily be consulted, on the
subject and to draw the attention of oral health care providers to the importance of periodontal
health in children. Materials and Methods: The Pubmed database was searched for relevant
literature by combining each of the following terms, “periodontal diseases” and “children and
adolescent”. Results: Periodontal diseases can cause various changes in the periodontal tissues.
The changes in periodontium can present different clinical manifestations from marginal gingival
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inflammation to severe bone loss. Apart from periodontitis and gingivitis, some systemic and genetic
diseases, intraoral lesions and necrotizing diseases may cause similar changes in the periodontium.
Having periodontal diseases at early ages can lead to more severe periodontal problems in the later
stages of life. Conclusion: For this reason, early diagnosis and treatment of these diseases are
very important. Dentists should be able to distinguish between different types of periodontal
diseases and apply the optimal treatment plan for each disease. In addition, informing patients and
their families will play a crucial role in reducing the prevalence of this disease and therefore in
reducing the economic burden on governments.
OP 3 A RETROSPECTIVE STUDY ON DISTRIBUTION OF DENTAL TREATMENTS IN A

PEDIATRIC DENTISTRY CLINIC IN KONYA
EMRE KORKUT
Turkey
Background: The retrospective evaluation of data for dental treatments can inform about
the general dental needs, and may help to make an estimate about oral status of society. The
purpose of this study was to evaluate the distribution of dental treatments performed in a pediatric
dentistry clinic. Methods and Materials: The data was collected from Necmettin Erbakan
University, Department of Pediatric Dentistry. All preventive, restorative and endodontic treatments
and extractions performed between 2014-2018 years were included in study. Treatments were
classified as preventive (fluoride application, fissure sealant), restorative (composite, compomer,
glass ionomer, amalgam), endodontics (pulpotomy, pulpectomy) and surgical (extraction). Less
common treatments such as orthodontic appliances or advanced surgical procedures were
excluded from study. Also the distribution of treatments according to the age group, sex and
dentition was evaluated in the study. Results: A total of 41338 patients were treated between 2014-
2018 years. The average number of treatment sessions was 2.03(±0.23) for all patients. 50.08% of
patients were male and mean age was calculated as 10.54 (±3.45). The most common treatment
group was preventive (68.61%). The 46.21% of restorative treatments were applied to primary teeth
and most preferred restorative material was resin composite with a proportion of 67.95%.
Conclusion: It is thought that the increase in the preventive treatment frequency will lead to a
decrease in the need for restorative and endodontic treatment in the long term. Therefore the high
proportion of preventive treatments among all treatments can be considered as an important
indicator of oral health in the community.
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OP 4 GEOGRAPHIC INFORMATION SYSTEM ANALYSIS ON DISTRIBUTION OF

PATIENTS VISITING PUBLIC DENTAL SERVICES IN KONYA CITY
ONUR GEZGIN, EMRE KORKUT, RAIF ALAN, HAZAL OZER
Turkey
Background: The geographic information systems (GIS) links individuals with the
environment and provides detailed information for understanding the spatial distribution of patients
affected by a specific disease. The purpose of this study is to analyze and visualize the distribution
of patients who come to public health services providing oral and dental health care and dental
treatments using GIS. Methods and Materials: Information on the treatment of all patients who
applied to public health services providing oral and dental health care within the boundaries of
Konya City between 2012 and 2016 and the data such as the number of outpatient clinics and the
number of dentists in these hospitals were obtained from Konya Province Public Hospitals
Institution. The obtained treatment information was classified for all departments except the
orthodontic department. Changes in the data over the years were proportionally compared and
visualized using GIS. Results: When the treatments evaluated in different departments are
examined, an increase is observed in every department except periodontology over the years.
When the geographical distribution of the treatments data is examined, it is observed that the
density of the treatment applied in the areas where the population is more increased in the central
region. Conclusions: It is believed that the use of GIS would be useful to detect deficiencies in oral
health services and thus provide guidance to relevant institutions to take the necessary precautions
or to further improve the present situation.
OP 5 STUDY ON GOHAI OF EXAMINED COMPLETE DENTURE WEARERS IN CENTRAL

BOSNIA
BRANIMIR STOŠIĆ*, SRĐAN POŠTIĆ**, ESAD KUČEVIĆ***, AJDINA HALILOVIĆ-
ASOTIĆ****, VLADAN ĐORĐEVIĆ**
*University of Novi Sad, Department of Dentistry, Faculty of Medicine;
** University of Travnik, Federation BH; ***Tutin; ****Saradent, Federation BH
Serbia
This study evaluated the quality of a life of complete denture wearers before and after
manual professional interventions on dentures. GOHAI questionnaire was completed by 121
randomly selected and interviewed edentulous denture wearers, aged 72.98±7.49 yrs. 3 specialists
of prosthodontics provided clinical oral examinations and interventions in health institutions of
central Bosnia (Ethic approval-No 03-67-1/14). Crɑ=0.800 before interventions on dentures and
after Crɑ=0.765 indicated internal consistency of the questionnaire. Validity of discriminatory
landmark of the instrument was confirmed by significant values of Pearson correlation r – 0.401 to
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0.590 with respect to interventions on dentures. Students’ t-test pointed to significant reductions of
the indexes of functional field (p=0.007) and pain/discomfort field (p=0.015) influencing significantly
better mark for quality of life and reduction of GOHAI index ( t=2.606; sig=0.010). Analysis of
variances for GOHAI general and group indexes respecting the condition of the patients after
prosthetic interventions showed improvement documented by significant reduction of general index
(F=9.271; p=0.003), in reductions of functional field (F=12.601; p=0.001) and in reductions of
pain/discomfort field (F=6.622; p=0.011). Significant differences were for: How often did you limit the
kinds or amounts of food you eat?( F=7.3;p<0.007), How often did you have trouble biting or
chewing?(F=4.1;p<0.04), How often were you able to swallow comfortably?;How often have your
teeth or dentures prevented you from speaking?(F= 3.9;p<0.04), How often were you able to
eat?(F=4.1;p<0.05), How often did you feel uncomfortable eating in front of people ?(F=4.2;p<0.04).
Prosthetic interventions on dentures improved quality of life of examined patients.
OP 6 IMPLANT RESTORATIONS USING PEEK FRAMEWORKS

IULIANA BABIUC*, MIHAELA PAUNA*, LUCIAN CIUR**
*UMPh Carol Davila Bucuresti; **CLLAR Dental Iasi
Romania
New materials and techniques have brought an improvement in design, precision and
quality of the prosthetic restorations. This offers an increased comfort and better esthetics for the
patient. High-performance polymers represent a new class of biomaterials that has become a
popular choice for prosthetic devices. These thermoplastic polymers can be injected or processed
via CAD/CAM technology in order to produce different types of restorations, such as hybrid implant
restorations, hybrid abutments and frameworks for removable dentures. The current presentation
illustrates some clinical cases where PEEK material from Juvora and CAD/CAM technology was
used to produce implant supported restorations. These prosthetic devices are very precise, light
weight, biocompatible, resistant and displaying great esthetics.
OP 7 IN VITRO BIOACTIVITY OF NANOSTRUCTURED MATERIALS MIXED WITH

DIFFERENT RADIOPACIFIERS USING SCAP CELLS
BOJANA ĆETENOVIĆ*, DIJANA TRIŠIĆ**, BOŽANA ČOLOVIĆ*, VUKOMAN
JOKANOVIĆ*, DEJAN MARKOVIĆ**
*Vinca Institute of Nuclear Sciences;
**School of Dental Medicine, University of Belgrade
Serbia
Background: Cytotoxicity is defined as material’s capacity to impact on cellular viability.
Besides its biocompatibility, material should produce the desired host response in specific situation.
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Aim of this study was to evaluate the bioactivity of nanostructured endodontic materials based on
highly active calcium silicates mixed with different radiopacifiers (ALBO-MPCA1 and ALBO-MPCA2)
in comparison to MTA+. Methods and Materials: Stem cells isolated from the human apical papilla
(SCAPs) were cultured in the presence of fresh materials for 48h and 7-days. Cell viability was
determined using the Neutral Red assay. To assess cell morphology and attachment, investigated
materials were directly seeded onto SCAPs and analysed by inverted microscope. Alizarin red
staining (ARS) was used to evaluate the materials’ bioactivity after the exposure to their eluates (24
h, 7-days, 21-days). Results: The percentage of relative cell viability decreased with increasing
time, but it was not lower than 70% regardless of material and time. Statistically significant
differences in percentage of relative cell viability were not observed between investigated material in
both observation times (p>0.05). In the direct contact with tested materials SCAPs were spherical
with clearly expressed numerous cytoplasmic extensions. Materials’ dissolved particles
concentrated on SCAPs and along their cytoplasmic extensions. No statistically significant
differences in ARS effects between materials’ 21-days eluates and control group were noticed
(p>0.05). Conclusion: All materials had suitable cytotoxicity and bioactivity. As ALBO-MPCA1 was
associated with better bioactivity effects, it can be suitability for clinical application.
OP 8 DIGITAL EVALUATION OF PREPARATION SUCCESS DIFFERENCES BETWEEN

GRADES OF DENTISTRY FACULTY
BEYZA ÜNALAN DEĞIRMENCI, ALPEREN DEĞIRMENCI, BIRGÜL AKDOĞAN
Van Yuzuncu Yıl University
Turkey
Background: PrepCheck software is a CAD/ CAM educational tool developed by Sirona
for the Cerec AC. The prepCheck software can create a 3D model of a student’s crown preparation.
Tools in the software can be used to evaluate the preparation. All the lecturers defend that after long
preclinical exercises, students will show a real progress. The aim of this study is evaluating the tooth
preparation success digitally according to the different grades of dentistry faculty. Material and
Method:10 students were included to this study from Van Yuzuncu Yil University Faculty of
Dentistry Grade 3, 4 and 5 (n:30). Same phantom models and the standart champher preparation
bur sets were distributed to each of the students. An instructor explained the restoration type and
margin. All the students prepared lower right molar teeth as champher edged and margined
supragingivally. Then the models were collected and scanned digitally. Virtual models were
evaluated with the prepCheck programme. Evaluation criterias were defined as preparation tapers
of the buccal, lingual, mesial and the distal walls, presence of undercut, width of margins buccally,
lingually, distally and mesially, marginal quality, surface quality and interocclusal distance. Results:
Statistical analysis of the datas were done with SPSS programme. Effects of grades on the
preparation success were analyzed with One-Way ANOVA test. Highest success were observed on
the 5th grade according to all evaluated criterias. Preparation success differences between the
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grades were statistically significant. Conclusions: Digital evaluation of the preparation is more
objective and useful for both the students and the lecturers.
OP 9 EFFECT OF DIFFERENT SURFACE TREATMENT OF ZIRCONIA ON SURFACE

ROUGHNESS AND MORPHOLOGIC CHANGES
FAIK TUĞUT, ÜMIT GÜNEY
Cumhuriyet Üniversity, Sivas, Faculty of Dentistry
Turkey
Objectives: The aim of this research was to investigate the effect of different surface
treatment on roughness and morphologic changes on sintered zirconia. Material and Methods: 80
cylindrical specimens with the dimensions 15 mm diameter and 1.3 mm height were obtained from
semi-sintered Y-TZP blocks. These specimens were randomly separated into subgroups; Control,
sandblasting, Er-YAG laser , Nd-YAG laser, Er-YAG laser + sandblasting, Nd-YAG laser +
sandblasting, fine diamond burs, coarse diamond burs. All the zirconia samples were treated after
sintering procedures. No treathments were performed in control group. The average surface
roughness of each specimen was determined with a profilometer. X-ray diffraction (XRD) analysis
were performed to identify crystalline structure and SEM analysis for the detection on the surface
changes. The data were analyzed by analysis of variance and Tukey’s test (p<0.05). Results: Nd-
YAG Lazer group had the lowest surface roughness on zirconia. There were statically significant
differences between control and all groups except for Nd-YAG laser group (p<0.05). The highest
surface roughness values were seen in Er-YAG laser + sandblasting. According to the XRD analysis
the highest rate of phase change was determined in sandblasted groups. Furthermore cracks and
slots were detected in laser and bur groups by SEM analysis. Conclusions: It can be said that
applying surface treatment on zirconia except for Nd-YAG laser and Nd-YAG laser + sandblasting
procedures is more effective in terms of roughness.
OP 10 EFFECT OF PLASMA APPLICATIONS ON BOND STRENGTH OF MAXILLOFACIAL

SILICONES BONDED TO RESINS
MERVE BANKOGLU GUNGOR*, SECIL KARAKOCA NEMLI*, CEYDA BASAK INAL*,
MERAL BAGKUR*, NURSEL DILSIZ**
** Gazi University, Ankara, Faculty of Engineering and Architecture Arts and Science
Turkey
Background: The purpose of this study was to evaluate the effect of plasma applications
on surface topographies of two resins and bond strength of maxillofacial silicones bonded to these
resins. Methods and Materials: 48 experimental groups (n=10) were generated regarding the two
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different resins (acrylic and triad), two different silicones (silicone 1 and 2), aging (thermocycled or
not), and six different surface treatments (1.Grinding, 2.Polishing, 3.Grinding+oxygen plasma,
4.Polishing+oxygen plasma, 5.Grinding+argon plasma, and 6.Polishing+argon plasma). After
grinding and polishing of the resins, the surface roughnesses were measured. Surface topography
of a specimen from each surface treatment group was determined by atomic force microscopy
(AFM). After surface treatments, silicones were polymerized. Hardness and peel bond strength
values of the control and thermocycled groups were determined. Results: Surface roughness
values of the ground specimens were higher than polished specimens. AFM showed that surface
topographies of the ground specimens were irregular. When evaluating the hardness values, it was
observed that thermocycling decreased the hardness and the values were higher for silicone 2.
Surface treatments affected the peel bond strength between resins and maxillofacial silicones.
Polished specimens showed higher peel bond strength than ground specimens. Plasma application
had improved the peel bond strength between the resins and silicones. Conclusion: Bonding
failures between resins and maxillofacial silicones are the commonly faced problems with facial
prostheses. Polishing, argon plasma, and oxygen plasma are effective in improving the bonding
between resins and maxillofacial silicones.
OP 11 MECHANICAL PROPERTIES OF FLOWABLE RESIN COMPOSITES

IOANA-CODRUTA MIRICA, ONDINE LUCACIU, RADU SEPTIMIU CAMPIAN
Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca
Romania
Objectives: The purpose of the present study was to evaluate the compressive strength,
flexural strength and flexural moduls of eleven flowable resin composites (FRC). Materials and
methods: We used for mechanical investigation eleven FRC: Tetric EvoFlow (A3, Bleach L),
PermaFlo (A1), PermaFlo DC (A2), Filtek Supreme XT (A3), Accolade SRO (A2), Accolade PV (A2),
StarFill 2B (Dentin), StarFlow (A2), SYNERGY Nano Formula (A3.5/B3, A4/M5, A2/B2, A3/D3,
Super White), els extra low shrinkage (A3) and Wave (A3). Specimens (n=7) were prepared for
compression testing (4 mm in diameter and 8 mm long) and flexural strengths (paralelipiped with 2
mm ± 0.01 × 2 mm ± 0.01 × 25 mm ± 0.01). Samples of FRC were cured using XL3000 photocuring
source (3M Dental Products, St Paul, MN, USA) for 60s. The test specimens were water stored at
37 °C for 24 h before the mechanical tests. Mechanical test was carried out in a universal testing
machine at a loading rate of 0.75 mm/min until fracture. Results: The results recorded were
statistically different (a = 0.05) when was evaluated with ANOVA statistical analysis. Mechanical
properties were well corelated with filler volume fraction. Mechanical testing of materials tested were
between 182.87 – 310.38 MPa for compressive strength, 59.59 – 96.95 MPa for flexural strength
and 2.34 – 6.23 GPa flexural moduls. Conclusions: Future flowable resin composite are
recommended to have higher mechanical properties in order to improve the clinical lastingness of
the fillings.
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Keywords: flowable resin composites, mechanical properties, modulus of elasticity.

OP 12 TRANSMISSION OF LIGHT EMITTING DIODE CURING LIGHT THROUGH
DIFFERENT CAD/CAM MATERIALS
SELİN ÜMMÜ ÖZSOY UÇAR*, FATİH SARI**, MEHMET EMRE COŞKUN*
*Cumhuriyet University, Sivas, Faculty of Dentistry
** Gaziantep University, Faculty of Dentistry
Turkey
Objective: The aim of this study was to evaluate light transmission values and rates of
through different CAD/CAM ceramics in different thicknesses. Methods and Materials: Specimens
prepared from five different CAD/CAM blocks IPS Empress CAD (losit reinforced glass ceramic),
IPS e.max CAD (lithium disilicate reinforced glass ceramic), inCoris TZI (monolithic zirconium-oxide
ceramic), LavaTM Ultimate (resin nano ceramic) and Vita Suprinity (zirconia reinforced lithium
silicate glass ceramic) used 1x1 cm at 0.5 and 1.00 mm thicknesses. Transmission values and rates
of LED light curing unit (Valo, Ultradent, St Louis, MO, USA) through all ceramic specimens
measured by powermeter in ten groups (n=20). Data analyzed by using two way variance analysis
(ANOVA) and LSD tests. Results: The highest and lowest transmission rates obtained in IPS e.max
0,5 mm group (78,16±0,91 %), inCoris TZI 1 mm group (48,48±1,44 %) respectively. According to
the two-way ANOVA and LSD results, there were statistically significant differences between the
ceramic materials in terms of transmission rates due to ceramic type and thickness (p 0,05).
Conclusion: Transmission values of light source are affected by ceramic structure and thickness. It
has been found that as the thickness increases in all ceramic groups, the transmission rates
decrease.
Keywords: transmission, power meter, LED, CAD/CAM ceramics.
OP 13 CONSIDERATIONS ABOUT ALLCERAMIC RESTAURATIONS

BOGDAN MIHAI GALBINASU, LUCIAN TOMA CIOCAN, ION PATRASCU
*UMPh Carol Davila Bucuresti
Romania
Socio-economic development, speed of information flow and the increase in patients'
expectations have led to the development of highly advanced materials and technologies in terms of
intrinsic material properties, especially aesthetic aspect. Aesthetic requirements are in a continuous
growing and this has benefited the dental development by always. Another important aspect of
morpho-functional reconstruction of absent tissue is related to the direct reconstruction materials
and indirect restorations fixing. These and related adhesive systems, are key players in developing
the interface with tissues that are intended to be restored. The production, testing and
characterization of biomaterials is highly developed and is growing very rapidly. The interface
achieved with hard dental structures, especially given the whole closing marginal resin cement
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restoration plays an essential role in direct and indirect dental restorations. All failures shown in the
literature are based on the mentioned area of interface and its physicochemical properties. From
this point of view, for restoration to succeed on a long term, in addition to the bio-compatibility and
bio-tolerance offered by the materials, attention must be paid to the area of contact with tooth
structure and the stages or preparation.
OP 14 EFFECTS OF DIFFERENT FISSURE SEALANT AGENTS AND APPLICATION

METHODS ON ACCURACY OF CARIES DETECTION DEVICES
Derya Surmelioglu, Zübeyde Ucar Gundogar, Aysenur Borsoken Gungor
Gaziantep Universty, Faculty of Dentistry
Turkey
Purpose: The purpose of this in vitro research is to investigate the effect of the two
different fissure sealant agents applied following different surface pre-treatment methods on the
accuracy of caries detection device. Method and Material: Eigthy molar teeth were randomly
divided into 8 groups (n=10) according to the fissure sealent agent (Opaque sealant or Clear
sealant) and surface treatment method (acid eching alone, ozone + acid etching, Er:Cr;YSGG laser
etching alone, ozone + Er:Cr;YSGG laser etching). Following the sealant procedures, all specimens
were subjected to thermo cycling. The measurements were performed with DIAGNOdent pen
(Kavo, Biberach, Germany) device before sealant application, after sealant application and after
thermal cycling. Values detected by the device were recorded and statistically analyzed. Results:
Between pre and post-sealing measurements, opaque sealant represented higher increase in
DIAGNOdent pen values compared to clear sealant regardless of surface pre-treatment method (p <
0.05). Between post-sealant and post-thermo cycling, ozone groups represented significantly less
increase in values (p < 0.05) compared to ozone-free groups regardless of the agent used. This
implies the contribution of ozone in terms of the adhesion of fissure sealant agents to dental hard
tissues. Conclusion: Ozone increased the adhesion of fissure sealant agents to dental hard tissues
and decreases microleak.
OP 15 INFLUENCE OF RETRACTION AGENTS ON PHYSICAL PROPERTIES OF RESIN

CEMENTS
GULSUM SAYIN OZEL*, OZGÜNÜZ YUSUF OZYILMAZ**, CEYDA AKIN
* Istanbul Medipol University; ** Bezmialem University
Turkey
Background: Retraction agents have been used clinically in dentistry for many years to
control bleeding and retracting the gingiva. And they are in contact with various dental materials like
composite resins, impression materials and resin cements. However, these agents may interact with
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dental materials. The aim of this study was to evaluate the physical properties of self adhesive resin
cements contaminated with different retraction agents. Material and Method: Three different resin
cement - Panavia SA Cement-Kuraray, Rely X U 200- 3MEspe and Nova ResiN Cement-Imıcryl
were used. For each resin cement two groups were prepared; control group (uncontaminated resin
cement) and experimental groups (resin cement contaminated with three different retraction agents-
Viscostat- Ultradent, Viscostat Clear-Ultradent and Astringent retraction Paste-3MEspe) (n=10) and
specimens were prepared in 3 mm diameter and 2 mm thick. Surface Roughness was evaluated
with profilometer (Mitutoyo Surftest SJ-201, Tokyo Japan) and Ra values were recorded, Vickers
microhardness was measured using a Struers Duramin hardness microscope (Struers,
Copenhagen, Denmark) and Color stability were evaluated with CIELAB spectrophotometry for each
froup. Results: There were significantly difference between the Ra values of the groups (p 0.05).
Especially color stability was influenced by storage time. The contents of the retraction agents may
cause the difference. Conclusion: Contamination by retraction agents affected the physical
properties of the self adhesive resin cements.
OP 16 OSSEOINTEGRATION EVALUATION OF A COLLAGEN-BASED MATERIAL AND A

CALCIUM PHOSPHATE CERAMIC
HORIA MANOLEA, MONICA CRAITOIU, L. MOGOANTA, E. OSIAC, F. OBADAN, R.
RICA
Romania
The present study aimed to evaluate the osseointegration in small diameter rat bone
cavities of two socket preservation materials Alveoprotect and Ossceram Nano (Bredent, Selden,
Germany). For the assessment at several levels of these socket preservation materials we decided
to use a protocol consisting of three evaluation methods to provide a comprehensive image about
the behaviour of the used materials. For this study we made three study groups, each of them
consisting of twelve laboratory Whistar rats. For the first study group the cavities were augmented
with the collagen fleece material Alveoprotect (Bredent Medical, Senden, Germany). For the second
study group we used for the augmentation the synthetic bone graft Ossceram nano (Bredent
Medical, Senden, Germany). The third group was the control group to which the experimental
cavities were left unaugmented the healing being achieved without any external intervention. For
each study group, six laboratory rats were sacrificed after two months, and the other six after four
months in order to evaluate the bone wound healing. The first method was a direct macroscopic
examination performed immediately after rats euthanasia during the samples preparation. For
evaluating the surface and subsurface of the new-formed bone tissue we used Optical Coherence
Tomography (OCT). Finally, the obtained samples were submitted to the classical phases
necessary to the histological study. Macroscopic examination of the evolution of augmented bone
wound healing with Alveoprotect offered spectacular results especially in the cavities prepared in
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the calvaria. Thus, two months after inserting the material into cavities from the calvaria, they were
already occupied by a bone tissue, even if it was less dense than neighboring structures. In the
maxilla case, the Alveoprotect integration speed appears to have been lower than in the calvaria.
Macroscopic examination of the evolution of healing bone wounds augmented with OssceramNano
always highlighted the presence of synthetic material residual particles. For the collagen-based
material Alveoprotect, the OCT evaluation highlighted the degree of filling of the defect through the
lack of refractivity of this socket preservation material. The surface and subsurface evaluation by
optical coherence tomography of the new bone formed within the experimental cavities filled with
Ossceram Nano synthetic material allowed some spectacular observations due to the higher
refractive index of the synthetic material than the adjacent bone structures one. On the histological
samples from the first study group, filled with the Alveoprotect material, we generally have
observed the filling of the experimental bone defects with repairing connective tissue with various
bone extensions from the surrounding bone tissue The histological assessment of the Ossceram
nano augmented cavities showed firstly the presence of synthetic material rezidual particles
surrounded by a newly formed connective tissue in early stages or a young bone tissue with many
osteoblasts in the advanced stages of osseointegration.
Keywords: bone graft, histological osseointegration, Optical Coherence Tomography.
OP 17 FINITE ELEMENTE ANALYSIS ON THE INFLUENCE OF THE BRIDGE DESIGN ON

THE SUPPORTING AREA
MONICA SILVIA TATARCIUC, DIANA DIACONU-POPA, ODETTE LUCA, ANCA
MIHAELA VITALARIU
Romania
The aim was to evaluate through FEA analysis the stress induced into the abutments by
three different bridge design and different food consistency. Materials and methods: We surveyed
a bridge with full crowns as retainers on 35, 36. The second situation was represented by a bridge
with occlusal inlays on 35, 36 and the third one was represented by a bridge with onlays applied on
the oral faces of 35, 36. The Young modulus of the food ranged between 0 Mpa and 60000 Mpa.
Results: A 6Mpa force was induced by the first bridge design when the elasticity modulus was
equal to 200 Mpa. For the maximal value of the Young modulus, the stress was 13,68 Mpa. For the
second bridge the stress was 6Mpa for an elasticity modulus of 200Mpa, and for the third bridge the
stress value was 14,26 Mpa. Conclusions: The highest values of stresse are registred for the
maximal values of the elasticity modulus, the retainer design is an important parameter for the
mechanical behaviour, as well.
Keywords: FEA analysis, bridge design, food elasticity modulus.
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OP 18 CROSS-CONTAMINATION IN DENTAL LABORATORY - PRACTICAL ASPECTS

DIANA DIACONU-POPA, MONICA SILVIA TATARCIUC, OVIDIU NICOLAICIUC,
ANCA MIHAELA VITALARIU
Romania
Introduction: Dental practitioners are often exposed to a lot of harmful factors, during their
activities. Powders, fibers, vapours, smoke and biological agents (blood, prosthetic pieces bacteria
and viruses from saliva traces,) can induce air, instruments, devices and surfaces contamination
related to the clinical and technological steps. Their pathogenity is related to the size of the
particles, concentration, composition and longevity of exposure. Material and method: The aim of
this study consist in the determination of the air pollution in dental laboratory, during daily activities.
Few samples were placed in different work areas. The method of collection by sedimentation was
used; we realize a quantitative analysis of the respiratory powders, without determining the nature of
each pathogenic agent. Air samples have been taken over, for 8 hours, along 14 days, from
different spaces of the dental laboratory. Petri dishes with culture medium-based agar were used
and the results were statistically analyzed using the SPSS16 program. Results and discussion:
The registered data are similar to those limits noticed in the literature. In the intense work time we
obtained the highest values of contamination, while the lower values correspond to the end of the
working day, after decontamination, this suggests the necessity for daily air decontamination in
workspaces and specific measures for the personnel protection. Conclusions: The activity in dental
laboratory induce air pollution and the contamination of the prosthetic appliances and surfaces. So
specific protective equipment have to be used in order to prevent cross contamination and
professional diseases.
Keywords: cross–contamination, dental laboratory, sedimentation method.
OP 19 THE INFLUENCE OF SILVER NANOPARTICLES DIMENSIONS AND

CONCENTRATION ON THE PROPERTIES OF ACRYLIC RESINS
ANCA MIHAELA VITALARIU, RADU COMANECI, MONICA SILVIA TATARCIUC,
DIANA DIACONU-POPA
Romania
To induce antibacterial properties to dental resins, more attention has been paid to the
incorporation of silver nanoparticles (AgNps). This method aims to avoid or to decrease the
microbial colonization over dental resins, increasing patient’s oral health level. Even researchers
agree on the antibacterial effect of AgNps, their influence on the mechanical properties of the resins
is still controversy. Our study aimed to investigate the influence of silver nanoparticles (AgNPs)
dimensions and concentration on acrylic resins properties. Materials and Method: Colloidal silver
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nanoparticles (AgNps) of 20 and 60 nm as 5% and 20% volume concentration were incorporated

into two type of acrylic resins (one heat-curing and one self-curing resin). To evaluate the changes
in the surface morphology high resolution scanning electron microscopy (SEM) were performed.
Tensile tests were used to register the tensile strength, yield stress and strain at break. Thermal
characterization of the studied resins was revealed by differential scanning calorimetry (DSC).
Results: Homogenous structures of the enriched resins were revealed through experimental
fractography. AFM analysis showed no surface modifications of AgNPs during polymerization, and
no glass transition was revealed by DSC. Decreasing in tensile strength and yield stress was
revealed by tensile tests. Conclusions: These investigations of the AgNPs-enriched dental resins
revealed a complete integration of colloidal AgNPs and an appropriate stability. The main properties
modifications were induced by the increasing in concentration rather than in particles dimensions.
Keywords: silver nanoparticles size, silver nanoparticles concentration, dental resins,
mechanical properties.
OP 20 STUDY ON THE VARIATION OF SALIVARY AMYLASE BASED ON THE

PATHOLOGY INVOLVED
BOGDAN-PETRU BULANCEA, ROXANA-IONELA VASLUIANU, ELENA-RALUCA
BACIU, LAURA CHECHERITA, MONICA SILVIA TATARCIUC
Romania
Amylase is a protein that cleaves raw starch or dextrose and maltose as well as protects
against dental enamel. The analysis is useful in detecting the risk of cariogenic disease, and this is
the reason why it was taken into account in the studied patients. In our study there is a correlation
between the number and duration of radiotherapy treatment followed by those with HTA and
diabetes and salivary amylase values, total proteins compared to the control group, as changes in
these indicators bring about changes in the degree of protection of the dental structures. Saliva
through compositional changes reflects changes in the homeostasis of oranism caused by diseases
or the treatments prescribed for them. Xerostomia is a particularly disabling sequela of cervico-facial
antitumor radiotherapy, which often produces a sialadenitis, an inflammatory anomaly of the acino-
canalicular parenchyma, possessing a destructive effect on the salivary glands. The rapid decrease
in the amount of saliva results in the change of the oral flora in favor of the Mutans Streptococci and
the cariogenic Lactobacilli and in these conditions acceleration of the evolution of the already
existing caries occurs, the occurrence of new lesions.
Keywords: salivary amylase, cariogenic disease, radiotherapy treatment.
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OP 21 RESEARCH ABOUT DIFFERENT METHODS IN DENTAL ALLOYS CASTING

STRUCTURES
WILLI A. URICIUC*, ARANKA ILEA*, HORATIU VERMESAN**, RADU SEPTIMIU
CAMPIAN*
*Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca
**Technical University, Cluj Napoca
Romania
Introduction: Dental prosthodontics means the rehabilitation of the edentulous patients’
lost function, as the comfort of wearing prosthodontics pieces will be the first thing the patients feel.
It is possible to transform the aesthetics and the functionality into comfort, with a precision support,
in this case, structures and ensemble of structures that fit perfect. This research aim is to eliminate
the errors of the classic casting techniques and to introduce the optimum design for the pieces, as
well as the materials used in the prosthodontics ensembles casting technique. Materials: The base
of casting structure ensemble is the research on quality alloys, Co-Cr alloys, with different
composition of elements like Co, Cr, Mo, W and different characteristics of each material use.
Methods: Dental Co-Cr base alloy are selected from Mo and W percent content in each alloy used.
For research are casted the samples of principal piece and secondary piece. After the join of the
two pieces in one ensemble, the fitting quality is analyzed. Discussion: The casting methods and
the methods of doing the refractory mold in different way than classic style, it is innovative in
technology and also in dental prosthetics field. Results: The precision casting’s advantage is the
precision pieces’ quality and also the high rate of the ensemble’s functionality inside the oral cavity.
Function efficacy of the precision ensemble is supplemented by the alloy’s biocompatibility and
stability in the oral environment.
Keywords: Precision in prosthetics ensembles, casting alloys technique, Co-Cr alloys,
biocompatibility.
OP 22 EFFECT OF LOW LEVEL LASER THERAPY ON POSTOPERATIVE PAIN AFTER

SINGLE VISIT ENDODONTIC TREATMENT
ELIF BAHAR CAKICI, ADEM GUNAYDIN, BUSRA UYSAL, FATIH CAKICI
Turkey
3 - ENDODONTOLOGY
Background: To evaluate the effect of low level laser therapy (LLLT) on post-operative
pain after single visit root canal treatment. Methods and materials: Twenty-four patients who
required root canal treatment, presented irreversible pulpitis were included in the study. All patients
were planned for single visit endodontic treatment accomplished by one operator. After local
anesthesia and rubber dam isolation, access cavity preparation was performed by diamond burs.
Afterward determination of working length, irrigation protocol was applied to all root canal with 10 ml
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2.5% sodium hypochlorite. Irrigation was terminated with 5 ml 2.5% sodium hypochlorite and 5 ml
17% EDTA. Canals were dried with paper points and filled with gutta-percha and AH Plus sealer via
lateral cold condensation technique. After filling procedure, patients were equally allocated in three
groups as laser application, placebo laser application, and control group. Laser was performed to
the buccal mucosae over the apices of the target tooth for 60 seconds. Postoperative pain was
measured and documented via the Visual Analogue Scale (VAS). The data were analysed using the
chi-square test, one-way analysis of variance (ANOVA) and Tukey’s post hoc tests. Result: Of the
24 patients, 12(50%) were women, and 12(50%) were men. No statistically significant differences in
terms of gender and age were found. There were no significant differences on postoperative pain
between the groups at all hours. Conclusion: Within the limitations of the study, there was no
significant difference in the effect of LLLT on postoperative pain of single root teeth with irreversible
pulpitis.
OP 23 CLINICAL AND STATISTICAL STUDY RELATED TO PREVALENCE OF

PERIAPICAL LESIONS TO DIABETES PATIENTS
CRISTIAN LEVENTE GIUROIU, SORIN ANDRIAN
Romania
3 - ENDODONTOLOGY
Background: Diabetes patients with low glycemic control request frequent endodontic and
periodontal treatments, especially if diabetes is associeted with systemic complications. Aim: The
study compare the prevalence of chronic periapical lesions at healthy and diabetes patients.
Material and Methods: The study group included 170 patients, with age between 39-88 years old,
treated in ,,Sf. Spiridon’’ Iassy Hospital. It were recorded data related to general and local analysis
as well a jeun glycemic index and glycated hemoglobine. The periapical status of the recorded teeth
was assessed using periapical index described by Orstavik. To compare the study groups we used
t-Student and ANOVA or non-parametrical tests: Mann Whitney and Kruskal-Wallis. Results: The
study group included 110 diabetes patients and 69 healthy patients. An acceptable correlation was
found also for relation between glycated hemoglobine and the number of untreated teeth without
chronic periapical lesions. For rural patients, PAI score 2 on untreaded teeth was associated to a
mean value of 5,66 for glycated glycemic index, significantly lower comparing to rural patients with
score PAI 3 (mean value 8,79). At rural patients with score PAI 4 on untreated teeth, same mean
value increases to 9,07, and decreases to 7,95 for rural patients with score PAI 5 on untreated
teeth. Conclusions: For the entire study group, the mean values of glicosilated and glycemic index
varies directley to the number of teeth with periapical lesions.
Keywords: periapical lesions, score PAI, glycated hemoglobin, glycemic index.
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OP 24 MATERIALS AND TECHNIQUES USED BY GENERAL DENTISTS IN ENDODONTIC

TREATMENTS: FINDINGS FROM IASSY AREA
MIHAELA SALCEANU, CRISTINA-ANGELA GHIORGHE, CRISTINA ANTOHI, YLLKA
DECOLLI, ANCA MELIAN
Romania
3 - ENDODONTOLOGY
Background: To perform high quality predictable endodontic treatments, general dentists
must align to the acceptable standard of care in clinical endodontics. The objectives of this study
were to quantify the use of root canal preparation procedures and root canal filling techniques by
general dentists in Iassy (Romania) area in order to improve the quality of dental practice. Materials
and methods: 100 general dentists in Iassy area reported in a questionnaire materials and
techniques they use during endodontic treatments. Practitioner characteristics were recorded (age,
gender, years since graduation, training). The general dentists reported the frequency of types of
root canal preparation instruments, solutions for irrigation, sealers, obturation techniques, when
performing endodontic treatments. Results: Most general dentists use rotary endodontic
instruments in combination with manual techniques (hand K files) (67%). The system Protaper is the
most used rotary endodontic instrument. The most commonly used solutions for canal irrigation
were sodium hypochlorite (72%) and EDTA. Most general dentists (44%) used cold lateral
condensation, followed by a carrier-based method (40%). Conclusions: Most practitioners from
Iassy area use a combination of materials, root canal preparation procedures and root canal filling
techniques. Most of the investigated general dentists aim to use the newest endodontic techniques
and procedures.
Keywords: endodontic, root canal preparation, root canal filling, techniques, materials.
OP 25 RADIOGRAPHIC EVALUATION OF PERIAPICAL STATUS IN FAILED

ENDODONTIC TREATED WITH 3 DIFFERENT PERIAPICAL INDEX
LEYLA BENAN AYRANCI, AHMET ÇETINKAYA
Ordu University, Faculty of Dentistry - Turkey
3 - ENDODONTOLOGY
Aim: The purpose of this study was to evaluate periapical status and age sex and tooth
related endodontic retreatment in a Turkish population using a retrospective analysis of
orthopantomograms and periapical radiographs in a group of patients presenting to a major dental
hospital because of discomfort of the endodontically treated teeth. Methods: The sample consisted
of orthopantomographs of 189 patients who had been referred to Ordu University Faculty of
Dentistry Endodontic Department for the first time during the period of 2012-2018.Panoramic
radiographs and periapical radiographs of adult patients 17-79 year old attending were included in
the study. Totally, 189 panoramic radiographs and 428 periapical radiographs were randomly
selected and examined for Periapical status assessed by Strinberg’s Index, Orstavik Periapical
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Index and Reit&Gröndahl Probability Index. The presense of extracted teeth and endodontic
treatment was recorded according to sex and age. These retreatment subjects was related
according to the age sex and tooth number. Result: The study sample comprised 214 teeth
belonging to 189 patients. According to the Orstavik Periapical Index, 21,126% of root canal treated
teeth were healthy and 78,873% of teeth were diseased. 12,105% of teeth were healthy and
87,895% was diseased according to the Reit&Gröndahl Probability Index. For Strinberg Index,
%4,694 healthy %18,309 unsure %76,995 diseased. Gender had no effect on the presence of
apical periodontitis or the frequency of endodontic treatment. The frequency of apical periodontitis
and endodontic treatment increased with age. Conclusion: This study provides epidemiological
data about retreatment and endodontic treatment in a Turkish population.
OP 26 PLACE OF CBCT IN ANALYSE OF ENDODONTIC PATIENT

DANISIA HABA, YLLKA DECOLLI, ANCA MELIAN, MIHAELA ROXANA POPESCU,
CRISTINA ANTOHI
3 - ENDODONTOLOGY
Background: The aim of this study is to prove the importance of using CBCT in diagnostic
and treatment plan of endodontic patient. Methods and materials: Our study included 50 pacients
with endodontically untreated and treated teeth, some of them have a diversified morphology or
periapical lesions symptomatic or not. The examinator wrote down a preliminary diagnostic based
on periapical radiograph, but for a decisive diagnostic we indicated a CBCT cross-sections. For
periapical radiographs we used: X-MIND DC Satelec, 60 Kv , 8mA , 0.25-0.32 sec and for CBCT:
ProMax 3Ds – Planmeca, 90 Kv , 10mA, 12 sec., field of view :5 x 8 cm; slices at an interval of 0.2
mm. Results: From 50 pacients 2 have a diversified morphology , 10 have broken instruments in
the root canals, 20 cases of periapical lesions associated with maxillary sinus mucosal thickening
and 18 periapical lesions at mandible. The results were observed by using cross-sections of CBCT
which modify treatment plan. Conclusion: The periapical radiographs can be used for a preliminary
diagnostic, but if we want a certainty diagnostic for a better treatment plan in endodontology we
must ask for the patients to do CBCT exam when the 2D exam it isn’t decisive.
OP 27 EFFECT OF SEVERAL FINAL IRRIGATION PROCEDURES ON FRACTURE

RESISTANCE OF CANAL PREPARED ROOTS
TUGRUL ASLAN, KONUL NAGHIYEVA
Erciyes University, Kayseri, Faculty of Dentistry - Turkey
3 - ENDODONTOLOGY
Background: The aim of this study was to investigate the effect of different irrigation
procedures on the fracture strength of the tooth roots. Methods and Materials: Seventy human
mandibular premolars were used. The teeth were decoronated from the cemento-enamel junction
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level. Root canals were enlarged by using Revo-S Ni-Ti rotary files to a size of #40/04. According to
the final irrigation procedures, 6 experimental groups and 1 control group (n = 10) were formed.
Group-1: No final irrigation, Group-2: 3-ml 2.5% NaOCl + 3-ml 17% EDTA with conventional
irrigation technique (CIT), Group-3: 3-ml 2.5% NaOCl + 3-ml 10% citric acid (CA) with CIT, Group-4:
3-ml 2.5% NaOCl + 3-ml 1% peracetic acid (PAA) with CIT, Group-5: 3-ml 2.5% NaOCl + 3-ml 17%
EDTA with passive ultrasonic irrigation technique (PUIT) Group-6: 3-ml 2.5% NaOCl + 3-ml 10% CA
with PUIT, Group-7: 3-ml 2.5% NaOCl + 3-ml 1% PAA with PUIT. In all groups, the teeth were
embedded into the acrylic resin blocks and vertical loading was performed on a universal testing
machine until the fracture occurred. The fracture resistances of the teeth were recorded in Newtons
(N). The data were evaluated statistically using One-way ANOVA test (α=0.05). Results: No
statistically significant differences were observed among the tested groups (P>0.05). Conclusion:
According to the results of this study, all the investigated irrigation techniques seem to be safely
selectable as the final irrigation procedure to avoid root weakening.
OP 28 COMPARATIVE EVALUATION OF SOME TECHNIQUES FOR DIRECT

VISUALIZATION OF THE ENDODONTIC MORPHOLOGY
LIANA AMINOV*, MIHAELA SALCEANU*, CRISTINA ANTOHI*, ALEXANDRU A.
ILIESCU**, YLLKA DECOLLI*
**University of Medicine and Pharmacy Craiova
Romania
3 - ENDODONTOLOGY
Introduction: Knowledge of canal and root morphology is an essential condition for an
efficient endodontic treatment, the extremely varied and complex internal architecture of the
endodontic space being the subject of many years of clinical trials and experiments. A variety of
techniques have been proposed to allow the direct visualization of root canal system. The aim of
this study was to compare the efficiency of two techniques for obtaining transparent teeth, fallowing
a specific protocol. Material and methods: Forty five freshly extracted teeth were randomly divided
into three groups as follows: 15 non-treated teeth, 15 teeth were diaphanised by the thaditional
tooth clearing technique and 15 teeth were treated with the new proposed technique. The clearing
technique consisted of three processes: decalcification, dehydration and clearing of the extracted
teeth. The assesment of the endodontic morfology was made by using information from axial,
coronal, and sagittal images, minimizing any chance of false-positive canals. Results: In this study
we found that the second clearing techniques gave a higher level of transparency than the
traditional one, allowing a better identification of fine anatomic structures. Conclusions: The
transparent teeth model is an excellent accessory technique for demonstrating the three-
dimensional image of endodontic space morphology and can be a real teaching aid for both
students and future endodontic specialists.
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OP 29 PERIAPICAL STATUS AND PREVALENCE OF PERIODONTITIS PRIOR TO

SPECIALIST ENDODONTIC RETREATMENT. A RADIOLOGICAL REVIEW
ANAMARIA ZAHARESCU, DAN-CRISTIAN IONEL, GABRIEL-VALERIU POPA,
Dunărea de Jos University of Galați
Romania
3 - ENDODONTOLOGY
Background: The health status of the periapical tissue is an important factor in the
predictability and long term success of an endodontic treatment. Unfortunately, general dentist’s
possibilities and achievement of all armamentarium necessary in performing optimal endodontic
therapy can be be quite difficult to fullfil. The radiological review aimes to verify at a regional level
the extent and frequency of periapical periodontitis after adequate/inadequate endodontic therapy.
Methods and materials: A total of 157 teeth were evaluated in 27 subjects (8 females and 19
males) with a mean age of 42 years. Periapical radiographs were used for analyses, and teeth were
classified as healthy or affected according to the periapical index scoring system. Overall, the
prevalence of apical periodontitis in root canal–treated teeth was 47%. Results: A total of 21 teeth
showed root fillings, of these only 11 (52%) were scored as having adequate quality. Apical
periodontitis was found in 36 teeth (22,9%) in 24 (88.9%) subjects. 47% inadequate root-filled teeth
showed apical periodontitis. Conclusions: There was a significant correlation between the
presence of periapical pathology and inadequate root-filled teeth. Inadequate root-filled teeth were
associated with an increased prevalence of apical periodontitis in these subjects. The results are
consistent with previous studies using similar methodology and re-confirmed that high technical
quality root canal treatment is crucial to ensure a favourable treatment outcome.
OP 30 STUDY REGARDING DETECTION ACCURACY OF ROOT INCIPIENT RESORPTION

BY COMPUTER TOMOGRAPHY
TUDOR HAMBURDA, MIHAELA SALCEANU, CRISTINA ANTOHI, CLAUDIU
TOPOLICEANU, ANCA MELIAN
3 - ENDODONTOLOGY
Background: The detection of root resorption is a major concern issue as this pathology
can have a high speed of progression and can conduct to mobility and early loss of the affected
teeth. The aim of study was to determine the detection accuracy of incipient root resorptions by
computer tomography. Materials and method: The study was performed on 14 extracted teeth. 192
cavities with various diameters (0,4mm, 0,6mm, 0,8mm, 1,2mm, 1,6mm) were prepared on root
surfaces (buccal, mesial, distal) to simulate incipient root resorptions. Computer tomography (GE
Height Speed 2000 Dx/i, 120kV, 150A) was used to assess the detection rate of simulating root
resorption cavities. Results: CT examen can detect 94,4% from incipient root resorptions localized
to anterior teeth, 95,8% from incipient root resorptions localized to premolars, and 85,3% from
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incipient root resorptions localized to molars. All root resorptions with diameter over 1,2mm can be
detected by using computer tomography. Conclusion: Computer tomography is highly
recommended in the detection of incipient root resorptions for all dental groups.
OP 31 DETERMINATION OF REMNANTS WITH DIFFERENT OBTURATION AND GUTTA-

PERCHA REMOVAL TECHNIQUES IN RETREATMENT
ALI TURKYILMAZ, GOZDE AKBAL DINCER, GULSEN ERMIŞ, DILEK
HANCERLIOGULLARI, ALI ERDEMIR
3 - ENDODONTOLOGY
Aim: The aim of this study was to compare the efficacy of XP-endo finisher R and PIPS in
removal of gutta-percha. Material and Methods: The root canals of sixty single-rooted teeth were
prepared with ProTaper Next Rotary instruments (Dentsply, Ballaigues, Switzerland) up to X3.
BioRoot RCS sealer (Setodent, Louisville, USA) was used in all groups as a root canal sealer. Half
of the teeth were filled with cold lateral condensation (group A), and the other half was filled with
System B (Kerr Corporation, CA, USA) (group B). After 1 week, all root canals were then retreated
using Protaper Universal retreatment instruments. Then all root canals were instrumented to
ProTaper Next X5 File at working length. Both groups were divided into 3 subgroups according to
the supplementary cleaning approach: control group without an additional cleaning method (A1,B1),
using XP-endo Finisher R (A2,B2) or Er:YAG laser (A3,B3). Finally, all teeth were split longitudinally
and images are taken using an operation microscope. The images were analyzed by Image J
program. Two-way ANOVA and Tukey tests were used for statistical analysis. Results: There was
significant difference between the Group A and Group B (p=0.01). There was no significant
difference between subgroups in cleanliness effect (p=0.193) but XP Endo Finisher R had the
lowest remnant rates. Conclusion: According to results, cleanliness is more difficult in root canals
used System B obturation method. Use of XP Endo Finisher R or Er:YAG laser was effective as
additional cleaning method of root canals obturated lateral condensation technique.
OP 32 EFFECT OF DIFFERENT IRRIGATION ACTIVATION METHODS ON DENTIN

DEBRIS REMOVAL
ALI TURKYILMAZ, GOZDE AKBAL DINCER, DILEK HANCERLIOGULLARI, GULSEN
ERMIŞ, ALI ERDEMIR
3 - ENDODONTOLOGY
Aim: The aim of this study was to examine the dentin debris removal with using different
irrigation activation methods. Material and Method: Root canal preparation was performed up to X5
on 48 extracted single-rooted teeth using ProTaper Next Rotary instruments (Dentsply, Ballaigues,
Switzerland). The specimens were then split longitudinally, and a standardized groove was
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prepared in the coronal and apical parts of one of two halves. Each groove was filled with dentinal
debris mixed with 5% NaOCl. Each tooth was reassembled. Then the teeth were divided into four
groups of 12 teeth each. %5 NaOCl was used as irrigation solution. Each group was irrigated as
follows: Conventional irrigation technique (G1), irrigation activation with XP endo (G2), Nd-YAG
laser (G3) and Er:YAG laser using PIPS (G4). The root segments were disassembled and the
amount of remaining dentin debris was scored at the end of 60 and 120 seconds activation by two
observers. Independent t-test was used for correlation between observers. Multi-Factor ANOVA and
Tukey tests were used for statistical analysis. Results: There was significant difference between
groups (p<0.05), application times (60-120 seconds) (p<0.05) and coronal and apical debris
cleanliness (p<0.05). PIPS had the lowest debris scores. There was no statistical difference
between the other three groups. Conclusion: In this in vitro investigation PIPS technique improved
the debris removal amount. PIPS removed all remnants in apical groove at the end of the 120
seconds.
OP 33 POSSIBLE ETIOLOGY OF PERIAPICAL LESIONS : A RETROSPECTIVE

RADIOGRAPHIC STUDY
Elif Defne Altıntaş, Gülsüm Ceylan
Istanbul Medipol University, School of Dentistry
Turkey
3 - ENDODONTOLOGY
Background: The aim of this study was evaluated the status of the permanent teeth with
periapical lesions. Materials and Methods: The panaromic radiographs of 200 individuals were
randomly selected. For each teeth without root filling, periapical status and if available, the quality of
coronal restorations were examined. For each root-filled teeth, periapical status and the quality of
root filling and coronal restorations were examined. The periapical status of all teeth (excluding third
molars) was utilized using periapical index scoring system (PAI). Results: 4827 teeth has been
examined and 364 (7.54%) of them were root-filled teeth. Among the examined teeth, 116 teeth
(2.4%) were detected with periapical lesion. PAI scores of the teeth without root canal filling was
determined as 33.87% PAI 2 and 66.12% PAI 3,4,5. 10.48%, 29.03% and 10.48% of these teeth
were restorated with amalgam, crown and composite restoration, respectively; only 50% of them
had no restoration. The quality of the restoration was determined as 40.32% adequate and 59.68%
inadequate. PAI scores of root-filled teeth was determined as 5.77% PAI 2 and 9,34% PAI 3,4,5.
25.45%, 40% and 34.54% of these teeth were restorated with amalgam, crown and composite,
respectively. The quality of the restoration was determined as 18.18% adequate, 30.90%
inadequate and 50.90% loss of restoration. Non-acceptable length of the root filling were
determined as 72.72% short, 7.27% overfilled. Non-hermetic root fillings were observed 56.36%.
Conclusion: Acceptable root canal treatment and coronal restoration were equally important for
healthy periradicular tissues.
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OP 34 INFLUENCE OF DIFFERENT PECKING DEPTH ON AMOUNT OF APICALLY

EXTRUDED DEBRIS DURING ROOT CANAL PREPARATION
ELIF BAHAR CAKICI, BUSRA UYSAL, ADEM GUNAYDIN, FATIH CAKICI
Ordu Univesity, Faculty of Dentistry
Turkey
3 - ENDODONTOLOGY
Background: To evaluate the effect of different pecking depth on the amount of apically
extruded debris by HyFlex EDM and Reciproc systems. Methods and Materials: Seventy-two
extracted human premolar teeth were used. The teeth were randomly divided into 4 experimental
groups (n=18) according to the file used and pecking depths: (1) HyFlex EDM with 2 mm pecking
depth, (2) HyFlex EDM with 4 mm pecking depth, (3) Reciproc with 2 mm pecking depth and (4)
Reciproc with 4 mm pecking depth. Apically extruded debris was collected in pre-weighed
Eppendorf tubes. Tubes were stored in an incubator at 70°C for 5 days to evaporate the distilled
water. The net mass of the extruded debris was calculated by subtracting pre-weighed Eppendorf
tubes from post-weighed Eppendorf tubes. The data were analyzed using one-way analysis of
variance (ANOVA) and Tukey's post hoc tests. Results: Reciproc instrument with 4mm pecking
depth was associated with significantly more apically extruded debris than the other groups (P<
.05). Tukey's post hoc test indicated that there was no significant between Group 1 and Group 2
(p=0,564), Group 1 and Group 3 (p=0,954), Group 2 and Group 3 (p=0,271). Additionally,
instrumentation time was longer group 1 than in Group 2 (p=0,012) and Group 4 (0,017).
Conclusions: Within the limitations of the present study, all groups led to a measurable apical
extrusion of debris. Pecking depth effect on apically extruded debris in reciprocal motion systems
although it ineffective on apically extruded debris in continuous rotary motion systems.
OP 35 ECONOMY? AESTHETIC? WHICH IS MORE IMPORTANT CONSIDERING AGE AND

SEX?
ALI CAN BULUT, İLKER DARICI, SAADET ATSÜ, TÜRKAN SEZEN ERHAMZA
Turkey
Aim: The patients have to pay ten times more money for single full ceramic than metal
support ceramic in our country. Therefore, with respect to choice of dental materials, the patients’
selections at the health-service hospital and university hospitals. This study aims to examine the
preferences of patients regarding dental restorative materials whether age or gender affects with the
single crown. Materials and Methods: Patients with the root canal treatment were analyzed which
had the single crown, at the system of Faculty of Dentistry in the last year. After Patients were
divided into two groups regarding material selection; (n: 300) 150 full ceramic and 150 metal
supported ceramic. The preferences of patients regarding dental restorative materials were
analyzed with SPSS 15 (SPSS Inc, Chicago) to determine whether age or gender affects or not.
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Relation with gender or age was examined for the teeth that needed treatment. Conclusion: A total
of 300 patients including 153 women and 147 men were examined. The average age of the patients
was 45,4. First molars were most frequently treated at the rate of 29.3 %. Full ceramic crowns were
associated with female gender more than male gender. Patients that had metal supported ceramic
were older, and younger patients had more esthetic expectations. Results: Aesthetic expectations
have been increasing recently. The cost of the treatments is much more than before. Gender and
age affect preferences of dental restorative materials. With preventive dentistry programs in
childhood, the cost of treatments may be decreased.
OP 36 THE INVESTIGATION OF REASONS FOR REMOVAL OF FIXED PROSTHETIC

RESTORATIONS
MELEK TASSOKER, ALI RIZA TUNCDEMIR
Necmettin Erbakan Univesity, Konya, Faculty of Dentistry
Turkey
Background: Today, fixed prostheses are preferred more frequently than removable
prostheses in removing tooth deficiencies. The aim of this study was to investigate the type of fixed
prosthesis (crown or bridge), service length of the fixed prosthesis, reason for removal indicated by
clinician, number of units involved, fabrication place (private practice, public hospital, university
hospital) and the type of materials used in fabrication of prosthesis. Method: A questionnaire was
prepared and clinical examination was conducted pertained to the type of fixed prosthesis (crown or
bridge), service length of the fixed prosthesis, reason for removal indicated by clinician, number of
units involved, fabrication place (private practice, public hospital, university hospital) and the type of
materials used in fabrication of prosthesis. Additionally, socio-demographic data (age, gender,
education, and residence place), smoking and tooth brushing habits of the participants were
recorded. Results: The mean service length of fixed prosthesis was 9,28±5,92 years and the
leading reasons for removal of fixed prosthetic restorations: renewal (29,7%), multiple reasons
(23,2%), tooth extraction (11,6%) and, apical pathology (8,4%), respectively. Conclusion: Patients
should be regularly checked at regular intervals to determine the average life span of the prosthetics
and to identify early stage where any problem in the prosthesis can be corrected.
OP 37 EFFECT OF SURFACE ROUGHNESS OF MONOLITHIC ZIRCONIA AND LITHIUM

DISILICATE AFTER GLAZING AND POLISHING
CEYDA AKIN*, OZGUN YUSUF OZYILMAZ**
*Necmettin Erbakan Univesity Konya, Faculty of Dentistry
** Bezmi Alem Vakif University Istanbul, Faculty of Dentistry
Turkey
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Background: This study was aimed to investigate the effect of the different surface
treatments on the surface roughness of monolithic zirconia and lithium disilicate ceramic. Methods
and Materials: Standardized specimens (n=20) were fabricated from monolithic zirconia (Katana
Zirconia) and lithium disilicate (IPS e.max CAD) ceramics. Two groups of each material were
defined according to surface treatments: polished and glazed (n=10). Before and after the applied
the surface treatment methods, roughness measurements were performed with a digital
profilometer. The data were analyzed by Shapiro-Wilk, Mann-Whitney U and Wilcoxon tests using a
significance limit of 5%. Results: This study showed that glazing influenced zirconia and lithium
disilicate roughness after surface treatment (p 0.05). Conclusion: According to the results, glazing
were more effective than diamond-impregnated polishing systems ones in reducing the surface
roughness of ground monolithic zirconia.
OP 38 SHORT-TERM PROSPECTIVE CLINICAL EVALUATION OF MONOLITHIC AND

VENEERED ZIRCONIA SINGLE CROWNS
İNAN ANIL ÖZDEMİR, SUNA TOKSAVUL, MUHİTTİN TOMAN
Ege University Izmir, Faculty of Dentistry
Turkey
Zirconia ceramics, meet the demands of patients and dentists as metal-free, tooth-colored,
and biocompatible restorative materials and are being increasingly used in prosthodontic dentistry.
Clinical success of zirconia-based crowns and fixed dental prostheses has been demonstrated by
several studies. However, up to date the clinical performance of monolithic zirconia crowns and
layered ceramic zirconia crownshas not been comparedhas not been compared. Therefore the aim
of this short-term clinical prospective study is to compare the posterior monolithic zirconia crowns
with layered ceramic zirconia crowns in terms of failure rate, survival rate, biological and mechanical
evaluations follow-up period of 2 years. It is hypothesized that there is no difference in the clinical
performance of the two types of zirconia crowns.
OP 39 COMPARISON OF THE TWO DIFFERENT FIBERS ON LIGHT TRANSMITTANCE OF

THE COMPOSITES
MAKBULE TUGBA TUNCDEMIR, ALI RIZA TUNCDEMIR
Necmettin Erbakan Univesity Konya, Faculty of Dentistry
Turkey
Background: The aim of this study was to determine the effects of glass and polyethylene
fibers on the light transmittance of different composites. Materials and methods: Anterior and bulk-
fill composites were used for this study. Two types of teflon molds were used to fabricate samples
which were 8 mm in diameter and respectively 2mm and 4mm in height. 30 samples from each
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composite groups and totally 60 samples were fabricated (n=10). The first layer of the anterior
composites were prepared using the shallower (2mm) mold to enable using incremental
polymerization technique and then continue with deeper mold (4mm) to complete samples. For bulk-
fill composites only deeper (4mm) mold was used to complete samples. 4 mm polyethylene
(ribbond) and glass fibers (everstick net) were incorporated in the middle of the composite samples.
Light transmittance changes of each composites were evaluated with spectrophotometer and
translucency formula (tp =[(lb* − lw*)2 + (ab* − aw*)2 + (bb* − bw*)2 ]1/2 ) . One way analysis of
variance (anova) and tukey’s hsd statistical analysis were used at significant level 0.05. Results:
There were significant differences among the three groups (polyethylene fiber, glass fiber and
control) (𝑝<0.05) for light transmittance parameters. Conclusions: Fiber reinforcement being to
cause light transmittance change in both composite groups. Polyethylen fibers cause more light
transmittance change than glass fibers after incorporation into the composit resins so that
polyethylene fibers should be chosen more esthetic results for anterior region.
OP 40 COMPLICATIONS AND MANAGEMENT OF SCREW-REATINED IMPLANT

SUPPORTED FDPs
ARZU ATAY, CANSU BAYRAKER, SIBEL DİKİCİER, CUMHUR KORKMAZ
Turkey
Background: The use of implant-supported fixed prothesis has become widespread in
recent years and it appears to be a highly successful treatment alternative for restoration of the
partially edentulous patients. Fixed implant supported prostheses are subdivided into two categories
regarding abutment connection type: cement-retained, screw-retained FDPs. İmplant‐supported
screw-retained fixed dental prostheses are safe and predictable treatment method with high survival
rates. However, biological and technical complications are frequent. The most common
complications are implant loss, framework fractures, resin veneer fracture with FDPs. Case series:
In this case series, presented with framework fracture of implant-supported FDPs after 5-8 years.
After removing of these restorations, definitive impressions were taken with an open custom-tray
with polyether impression material. The abutment and metal framework checked intraorally and
finishing procedures were made. The screw-retained restoration were torqued according to
manufacturers recommendations. The screw access holes of the protheses were covered with
composite-resin. Conclusion: This presentation will discuss reasons of the complications of
implant‐supported screw-retained FDPs; to minimize the incidence of complications and how dental
professionals manage prosthetic procedures for implant‐supported FDPs.
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OP 41 THE ROLE OF THE PROVISIONAL PROSTHETICS IN FIXED PROSTHODONTICS

LAURA CHECHERITA, ELENA LUCA, MIHAELA MITREA, ELENA MIHAELA
CARAUSU, BOGDAN BULANCEA
Romania
The temporary prosthesis will play a key role in the management of the therapeutic
dentIstry. The proper management of the periodontal whose purpose of integration, occlusale and
aesthetics of the definitive fixed prosthesis. It establishes a phase of reflection, temporization,
testing and in the course of which the proposed solutions are tested and adopted in accordance with
the agreement between the practitioner, prosthetist is currently and the patient. The temporary
prosthesis has a developmental function: therapeutic objectives and preparing the ground for the
permanent prosthesis. Time is an important element, it is used to estimate the correctness of the
initially reason but also to wait for time to cure, to cicatrization. The temporary prosthesis is
complete and complex therapeutic act.
OP 42 NEW CROSS-SECTIONAL PONTIC DESIGN FOR MINIMIZING THE FRACTURE

INCIDENCE OF FIBRE-REINFORCED COMPOSITE BRIDGES
OANA TANCULESCU, ALINA APOSTU, ADRIAN DOLOCA, RALUCA MOCANU,
GABRIELA IFTENI
Romania
Two types of cross-sectional pontic design of direct inlay-retained fibre-reinforced
composite bridges were tested for fracture load and stress in the connectors and junctions. A new
fibre disposition was evaluated for two types of composites and one braided polyethylene fibre. The
new tested disposition of the fibres prevented in some extend the delamination of the composite on
buccal and facial aspects of the pontic and increased the load-bearing capacity of the bridges.
OP 43 THE USE OF TWO NEW TEMPORARY RESTORATION SYSTEMS IN PATIENTS

WITH CONGENITAL LATERAL DEFICIENCY
FILIZ YAGCI*, GÖKHAN TURKER**
*Erciyes University Kayseri, Faculty of Dentistry
** Mersin University
Turkey
Background: Treatment of congenitally missing lateral incisors in particular for the
patients, whose growth and development continue, is problematic prosthodontists. For healthy and
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successful implant applications, it is desirable to finish the growth and development. Temporary
restorations are used during the period of growth and development. For this purpose, two new
temporary restorative systems introduced which can be applied directly in mouth. Methods and
Materials: In this study, 2 different types of retainer wires: Retainium which was established by
twisting 10 wires (Reliance Orthodontic Products, USA) and OrthoCare lingual wire with pads for
each of teeth (OrthoCare, UK) will be used for a temporary fixed partial denture. The main property
of these wires is to allow physiological tooth movements. Pre-fabricated acrylic teeth were used for
this restoration. Six patients (mean age:15,56±0,68 years) with bilateral congenital lateral missing
teeth were included in the study. Patients were randomly restored to one side with Retainium and
the other side restored with OrthoCare pads. Radiographic evaluation, QLF (Quantitative Light-
induced Fluorescence), gingival index and restoration failures were evaluated during the 2-year
follow-up period of these patients. Results: Radiographic, gingival and QLF evaluation results were
similar in the two newly introduced systems. Using the Retainium wire, the restoration system was
broken twice in a patient. Conclusion: This new restoration system has advantages such as
decreased clinical time, requiring no laboratory work, no preparation on abutment teeth. But the
most important advantage of that restoration is that it allows physiological tooth movement. Both
newly introduced restoration systems can be used in patients with congenital missing lateral teeth
and waiting for implants.
OP 44 EVALUATION OF INTERNAL FIT OF METAL COPINGS FABRICATED WITH LAZER

SINTERIZATION AND CONVENTIONAL METHODS
GUREL PEKKAN*, SULEYMAN HAKAN TUNA**, HATICE CANAN HEKIMOGLU***,
BANU CUKURLUOZ BAYINDIR*
* Dumlupinar University Kutahya, Faculty of Dentistry
** Suleyman Demirel University, Faculty of Dentistry
*** Hacettepe University, Faculty of Dentistry
Turkey
Background: The aim of this study was to evaluate the internal and marginal fit of
maxillary anterior metal copings fabricated with direct laser metal sinterization (DMLS) and
conventional methods. Methods: Maxillary right lateral incisor with deep champfer margins was
prepared on a polyamid master model. The model were scanned using laboratory type scanner and
a coping was designed using the design software with overall coping thickness of 0.5 mm. The
cement space was set as 70µm starting 0.5mm from the margins. DMLS specimens were fabricated
using EOS M270. In other groups, Co-Cr and Ni-Cr copings were fabricated using lost-wax method.
For generating similar cement space with the digital technique, die spacers with various thicknesses
were used in conventional method. Ten specimens were fabricated for each group. Applying
standardized load of 20 N, silicone indexes were achieved. Overall fit was evaluated in incisal, axial,
champfer, and marginal regions using stereo microscope. Results were statistically evaluated using
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one-way ANOVA and Duncan’s multiple range tests (α=.05). Results: Although, the DMLS group
had lower marginal discrepancy mean values than the other groups, marginal and champfer
discrepancy mean values of the groups were statistically similar (P˃.05). Axial discrepancy mean
values of DMLS group was statistically significantly lower than the other groups (P˂.05). However,
incisal discrepancy values of DMLS were significantly higher than Co-Cr and Ni-Cr groups (P˂.05).
Conclusion: All groups showed clinically acceptable marginal adaptation. DMLS group showed
more variable adaptation in different areas of the tooth, especially high discrepancy in the incisal
area.
OP 45 ZIRCONIA SURFACE TREATMENT FOR IMPROVING BONDING TO VENEERING

CERAMIC – IN VITRO STUDY
ANETA MIJOSKA, NATASHA STAVREVA, EFKA ZABOKOVA BILBILOVA, OLGA
KOKOCEVA IVANOVSKA, VESNA AMBARKOVA
Faculty for Dental Medicine SS Cyril and Methodius, Skopje
Macedonia
Background: The aim of this in-vitro study was to determine shear bond strength of
zirconia to veneering ceramic material. Chemical treatment with coloring liners was used for wetting
the surface and evaluate influence on bonding durability. Materials and methods: For the
investigation two groups of twenty-four zirconia Cercon DEGUDENT specimens were prepared. The
specimens from tested group were sandblasted, abraded with aluminum oxide powder (50 µ with 2,
5 bars) and colored with liner Cercon Ceram Kiss Liner, while control group was baked without liner.
Veneering material Duceram Kiss was placed on top using special bonding clamp. The samples
were positioned in acrylic mold and tested, with the piston positioned as close to the bonded
interface. The piston was moving vertically down until zirconia/ceramic interface fractured. Results:
The results were expressed as the strength of the connection (MPa), and compared with control
samples without liner. According to descriptive statistical analysis in the group of samples without
surface treatment the strength of the adhesion for p > 0.05 (p = 0.25), was slightly lower compared
to the strength of adhesion in the group of samples with surface treatment liner. The resulting values
of the strength of adhesion in first group vary in the interval 36.03 to 15.33 MPa. Conclusions: The
strength of the adhesion zirconium-ceramic veneer is significantly higher than the minimum force
required in conventional metal ceramic restorations. The application of porcelain liners is procedure
that besides coloring has positive impact on shear bond strength.
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OP 46 PROSTHODONTIC REHABILITATION OF CHILDHOOD AND ADULTHOOD

PATIENTS WITH ECTODERMAL DYSPLASIA
ÖZGE PARLAR ÖZ, MAHMUT ERÇIL, NERMIN DEMIRKOL
Turkey
Introduction: Ectodermal dysplasia (ED) is an inherited disorder. Typical clinical signs of
ED include missing teeth, dry skin, hair and nail disorders. Intraoral signs of ED are seen in the
teeth with oligodontia and shape anomalies. Case description: This case report summarizes the
oral rehabilitation treatment of two female patients aged 19 and 12 years with ectodermal dysplasia.
After clinical and radiological examination performed in both patients, oligodontia was observed.
Radiographic examination of our 19-year-old patient revealed that the tooth root had sufficient
length and durability to make a crown. But the teeth of our 12-years-old patient did not have the
number and durability that could still afford a fixed prothesis. A model analysis was performed on
the teeth prepared by our 19 years old patient and the estimated appearance of the patient was
obtained. Zirconia based crowns were placed on the teeth of the patient. The vertical dimension of
our 12-years-old patient is increased and dental supported overdenture prosthesis is designed.
Discussion: Our patients were affected by the same disease but their ages were so different from
our expectation. A zircon based fixed prosthesis is designed to provide aesthetic and oral function to
the patient who is older, while overdenture prostheses have been successful in order to facilitate the
aesthetic nutrition of the patient who is younger. Conclusions: It was determined that two different
treatments applied to the patients with the same disease were very satisfied for both patients.
OP 47 COMPARATIVE STUDY ON DIFFERENT DENTAL IMPRESSION TECHNIQUES

USED IN FIXED PROSTHESIS
CORNELIA BREZULIANU, NICOLETA IOANID, LAURA CHECHERITA, ANTOANELA
BELDIMAN, ELENA LUCA
Romania
This study aims to assess different impression techniques used in making fixed prosthetic
devices in terms of patient comfort, ease of registration and not at least of their fidelity. Material and
method: Implemented techniques were: double mix technique, wash technique, single mix
technique with individually tray and a technique derived from wash technique. The study was done
for twenty pacients for which all the above mentioned techniques have been used. Results: The
most common errors encountered were lack of impression details and marginal discontinuity located
most commonly in the cervical areas of dental preparations and delamination. Conclusion: In terms
of facility and fidelity, double mix technique proved to be easier and superior to the other.
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OP 48 THE RELEVANCE OF COMPUTERIZED AXIOGRAPHY IN THE DIAGNOSIS OF

TEMPOROMANDIBULAR JOINT DYSFUNCTIONS
ANDREI FACHIRA*, OLEG SOLOMON*, MIHAI MOSTOVEI*, DANIELA CHIRITA*,
NORINA FORNA**
*N. Testemitanu State University of Medicine and Pharmacy Chisinau, Rep. Moldova
**Grigore T. Popa University of Medicine and Pharmacy Iasi, Romania
In the context of the ontogenetic and phylogenetic development of the human body, the
temporo-mandibular joint underwent various changes. Pain is the most common symptom in the
population suffering from dysfunctions of the temporomandibular joint. The stability of the articular
system is maintained by the morpho-functional state of the joints, ligament and muscle. Knowing
and observing the principles of examination and diagnosis make it easier for the clinician to set up a
reliable diagnosis and select individualized treatment methods. Aim: Evaluation of computed
axiography markers (Arcus Digma, Germany) in accordance with the clinical examination data and
presetting a veritable diagnosis of temporo-mandibular dysfunction. Materials and methods:
Twelve patients aged 30-55 years, (8W, 4B) with dysfunction of condylar disc assembly were
examined. The clinical examination was performed by palpation, inspection, auscultation, resistance
test, challenge test, articular game control. The computed axiography method (Arcus Digma,
Germany) was used to confirm or refute the presumptive clinical diagnosis. Results and
Discussions: Following the clinical and paraclinical marker evaluation, we discontinued the clinical
form of dysfunction of the Condil-disc assembly. For curativo-diagnostic purposes, we have
identified the role of occlusion in the appearance and development of temporomandibular joint
dysfunction through occlusal guides. The analysis of these data has served as the basis for
establishing a true diagnosis. Conclusions: The concordance of the clinical and paraclinical
examination results, the establishment of reversible occlusal therapy allowed the preset diagnosis of
the dysfunction of the temporomandibular joint dysfunction.
Keywords: temporomandibular joint dysfunction, computed axiography, irreversible
occlusal therapy, paraclinic markers.
OP 49 TECHNOLOGICAL ALTERNATIVES IN THE ACHIEVEMEN OF METALLIC

FRAMEWORK
DANIELA MARIA POP, EMANUELA LIDIA CRĂCIUNESCU, COSMIN SINESCU,
ADRIAN TUDOR STAN, MEDA-LAVINIA NEGRUȚIU
Victor Babes University of Medicine and Pharmacy Timișoara
Romania
Introduction: Nowadays the patient's aesthetic requirements are high, and the tendency is
to remove the metallic framework, however the clinical situations require the use of mixed
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prostheses. Metallic framework obtained by melting-casting process may present mold defects.
SLM technique is an additive method, where the melting of Co-Cr powder results in non-porous
metal substrates. Material and method: For Kennedy Class IV edentation, a mixed metal-ceramic
fixed partial prostheses was made, where the metal framework was obtained using SLM technology.
Subsequently, the metal framework was layered with IPS STYLE (IVOCLAR) feldspar ceramic.
Scanning the model was done with the scanner Fino Scan (Fino). The metal framework design was
made using the Exocad software, while the framework was made using the Sisma Mysint100
System, which is a SLM type system. The support rods of the metallic backbone were removed and
sandblasted with aluminum trioxide. The last stage was ceramic veneering: dentine, enamel,
transpa-neutral, opal effect, incisal and glaze IPS STYLE (IVOCLAR). Results: Obtaining the
metallic framework by the SLM process has advantages represented by appropriate adaptation,
respectively a reduced pollution of the environment. Due to the high accuracy of the system, the
adaptation check was easy, and ceramic veneering was optimal. Conclusions: Making framework
of the Co-Cr alloy machined with SLM techniques is a good technological option for obtaining metal-
ceramic prostheses. The metallic structure obtained by SLM show a high degree of biocompatibility,
the obtained framework doesn’t exhibit porosities and have an adequate density.
Keywords: metallic framework, SLS, biocompatibility, porosity, veneering.
OP 50 TOMOGRAPHIC COMPARATIVE ANALISYS FOR TEMPORO-MANDIBULAR

DISORDERS
GABRIELA IFTENI, ALINA APOSTU, DRAGOS VIRVESCU, OVIDIU AUNGURENCEI,
ZENAIDA SURLARI
Romania
The TMJ is a very big factor in the dynamic behavior of the mandible, because of the
various component elements, genetics and functional works. Purpose: The present study wishes to
show the importance of the CT scan, and also it presents a new method of CT scan, a combination
between the Rickets method and the Zhang Zhen Kang method, that we adapted and modified.
Method and materials: We have a 20 patients lot, 10 males and 10 females, all presenting
dysfunctional syndrome, age between 20 and 42 years. All patients have been clinically investigated
and radiologically investigated in CT scan left-right and open and closed mouth. The CT scans have
been made in the new method. Results: The Rickets analysis can’t be performed in certain clinical
situation – for example, when the Frankfurt plan is high above the maximum depth of the glenoid
cavity. In such cases, the above method is useful. In every case, we discovered differences
between left and right. Only in 7 cases there have been equal start positions of the condyles (left –
right). The difference in height were between -11mm and +7 mm, which is a lot. Conclusions: The
CT scan is indispensable, because we can easily see the damage a dysfunctional syndrome does,
and the method we presented is useful in every case.
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OP 51 EFFECTS OF SURFACE TREATMENTS AND AGING ON TRANSLUCENCY AND

COLOR STABILITY OF MONOLITHIC CERAMICS
MERAL KURT, BİLGE TURHAN BAL
Gazi University, Ankara, Faculty of Dentistry
Turkey
Background: The aim of this study was to evaluate the influence of surface treatments and
aging on the translucency and color stability of monolithic ceramics. Methods and materials: Disc-
shaped specimens from monolithic zirconia (zirkonzahn prettau [zz]) and lithium disilicate glass-
ceramic (ips e.max press lt [ips]) were prepared. The specimens were divided into three groups
according to the surface treatments (n=9, group g: glazing, group r: rubber polishing system and
group p: rubber polishing system followed by polishing paste.) Color measurements were performed
by using a spectrophotometer before and after uv aging process. L, a, b, parameters were recorded
and δe and translucency parameter (tp) values were calculated. The surface topography of a
selected specimen from each subgroup was examined by scanning electron microscopy, (x30000).
Data were statistically analysed using mann whitney u, kruskal-wallis and post-hoc tests (p<0.05).
Results: ∆e values were exceeded the clinically acceptable level for zz (5.03). However, that was
not clinically perceptible for ips (0.41). Δe value of the subgroup p was found to be higher than the
others for zz. ∆e value was not affected by the surface treatment for ips. Group ips showed
significantly greater translucency than zz. Tp values was not affected by the surface treatment in
both materials and decreased after aging. However, these changes were not clinically perceptible.
Conclusion: Lithium disilicate glass-ceramic was considered to be a better choice than monolithic
zirconia for the restorations in the anterior region where the esthetic requirements are high.
OP 52 QUALITY OF A LIFE OF COMPLETE DENTURE WEARERS BEFORE AND AFTER

ADDITIONAL INTERVENTIONS ON DENTURES
SRĐAN D. POŠTIĆ*, ESAD KUČEVIĆ**, VLADIMIR BIOČANIN***, BRANIMIR
STOŠIĆ****, BRANKA TRIFKOVIĆ*, AJDINA HALILOVIĆ***, VLADAN ĐORĐEVIĆ***,
AMINA ASOTIĆ***, MILOŠ MAKSIMOVIĆ*, MAHERA BAKER ALHAYMONID***,
DAMIR DŽANAN***
*University of Beograd;
**Medical Center, Tutin;
***FZF Travnik – Pharmaceutical – Medical – Faculty of Travnik, Federation of BH;
****Faculty of Medicine, Dept. of Dentistry, Novi Sad
Serbia
5 - GERODONTOLOGY
The aim of this study was to use OHIP-EDENT questionnaire for the evaluation of the
quality of a life of complete denture wearers before and after additional manual dental-professional
interventions on acrylic dentures. Translated version of OHIP-EDENT questionnaire were completed
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by 119 interviewed complete denture wearers (average age 72 yrs.) and from specialists of
prosthodontics who provided clinical oral examinations and interventions in determined dental-
health institutions in central Bosnia. Ethic approval (No 03-67-1/14) was provided by FZF Faculty of
University of Travnik, Federation of B&H. Students’ t-test of equality of means pointed to significant
reductions of the indexes in the subjects of functional limitation-0.02, psychological discomfort-0.01,
physical disabilities-0.04 and handicap -0.04, influencing significantly better mark for quality of life of
the patients, and reduction of the value of OHIP-EDENT index - t=2.23; Sig.(2-tailed) = 0.027.
Differences of equality of means after the first and the second assessment Sig. (2-tailed) were for
the general OHIP-EDENT index (t=2.231; p<0.027), for reductions of functional limitations (t=2.319;
p<0.021), for physical disabilities (t=2.174; p<0.031) and for handicap (t=1.780; p<0.046). Dental-
professional interventions on complete dentures improved quality of life of the patients.
OP 53 SARCOMA KAPOSI IN EXTREME APPEARANCE

CHARI CHARIS*, DALAMPIRAS FOIVOS-ANTONIOS-THOMAS**, MARIA
DALAMPIRA***, STYLIANOS DALAMPIRAS
* AHEPA Hospital, Thessaloniki; ** Comenius University of Bratislava;
*** Chemist, MSC in Food Chemistry, 4th Year Dentistry Student;
**** Aristotle University of Thessaloniki
Greece
Sarcoma Kaposi is a manifestation of HIV/AIDS which is a pathognomonic sign, of this fatal
disease. In this paper a very rare case is presented in a male patient 32 years old, with typical oral
lesions in the palate. The most important finding, is that of a second lesion, in the post auricular
area, which is extremely rare as a location. The ambulatory department of the AHEPA Gen. Hospital
in Thessaloniki, Greece is specialized in oral diseases and especially in HIV/AIDS cases, is a center
in Northern Greece, and is examining more than 800 patients, per year. The authors are presenting
the accumulate experience, concerning the manifestations and characteristics, of this disease. A
discussion is also presented for the demographic features and the histology of AIDS.
OP 54 STUDY REGARDING THE ADVANTAGES OF ERBIUM LASERS IN LASER-

ASSISTED FRENECTOMY
STEFAN GHERASIMESCU, DORIANA AGOP-FORNA
Romania
7 - LASER
Background: Laser techniques can be used in mucosal and bone support surgical
proceduresaiming to optimize the prosthetic field. The aim of study is to highlight the advantages of
laser-assisted surgical procedures (frenectomy) in the pro prosthetic stage by comparing the
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postoperative evolution with classic surgical procedures. Materials and method: Er,Cr:YSGG laser
WaterLase (2780nm) (BioLase, USA) (mode Rapid Cut: 3W, 50Hz, MZ5; mode Laser Bandage:
0,5W, 30Hz, non-contact) was used to perform frenectomy on a study group of 10 subjects.
Postoperative VAS indices (pain intensity) and healing time were recorded. The results were
compared with control group (scalpel surgery). Results: The postoperative decreases of VAS
indices and healing time for laser-assisted frenectomy were significantly higher (p<0.005) comparing
with scalpel procedures. Conclusions: The reduced postoperative pain andaccelerated healing
time are factors that recommend Er,Cr:YSGG lasers for frenectomy in thepreprosthetic stage.
Keywords: frenectomy, Er,Cr:YSGG, VAS, healing time.
OP 55 EFFECTS OF ER, CR: YSGG LASER ON CLINICAL PARAMETERS AND CYTOKINE

LEVELS IN AGGRESSIVE PERIODONTITIS
AHMET CEMIL TALMAC*, METIN ÇALIŞIR**
*Van Yuzuncu Yil University, Faculty of Dentistry
** Adiyaman University, Faculty of Dentistry
Turkey
7 - LASER
Background: Since the pathogens have the ability to invade soft tissue, they can persist
even after the mechanical treatment. Thus, new approaches are developed for treatment of
aggressive periodontitis, one of which is laser based therapy. The objective of the current study is to
analyze the presence of a correlation between cytokine levels, and periodontal parameters in
aggressive periodontitis patients before and after periodontal treatment which was performed by
using Er, Cr: YSGG laser. Materials and Methods: Aggressive periodontitis patients were treated
with two different methods (SRP + Saline, and SRP + Er,Cr:YSGG laser) applied to two different
maxillary half-jaws in same patients. Pre- and post-treatment clinical periodontal parameters (PI, GI,
BOP, PPD, and CAL) and GCF cytokine levels were measured. Results: There was a statistically
significant decrease (p <0.05) between pre-treatment and post-treatment clinical periodontal
parameters (PI, GI, BOP, PPD, and CAL) and cytokine levels in both groups. 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 SRP-control group with regard to the changes in clinical periodontal
indices and in biochemical indicators at the end of the treatment (p<0.05). Conclusion: Within the
limits of the present study, the Er,Cr:YSGG laser promises hope for the treatment of GAgP.
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OP 56 THE EFFECTS OF ER,CR:YSGG LASER ETCHING ON SURFACE ROUGHNESS OF

AN INDIRECT COMPOSITE RESIN
AYSEGUL KURT, AYLIN CILINGIR
Trakya University, Faculty of Dentistry Edirne
Turkey
7 - LASER
Background: It is important that the surfaces of the indirect composite resins are properly
prepared for a successful repair. The aim of the present study was to evaluate the effects of
Er,Cr:YSGG laser etching on surface roughness of an indirect composite resin. Methods and
Materials: Fifty disk-shape indirect composite resin (Gradia) specimens (12-mm in diameter and 2-
mm thick) were prepared according to manufacturer’s instructions. Specimens were randomly
assigned to one of the five surface treatment groups (n=10): 1) air abrasion with 50 µm aluminum
oxide (control); 2) laser etching with 2W at 50% water level; 3) laser etching with 2W at 100% water
level; 4) laser etching with 3W at 50% water level and 5) laser etching with 3W at 100% water level.
The surface roughness was measured with a profilometer (Ra values). Six measurements were
taken for each sample. The data were statistically analyzed using analysis of variance (ANOVA) and
Tukey's test (α = 0.05). Results: There were significant differences in surface roughness values
between air abrasion and Er,Cr:YSGG laser groups, with significantly lower values in air abrasion
groups (p<0.05). Furthermore, there were significant differences between group 4 and groups 5
(p0.05). Conclusion: Er,Cr:YSGG laser etching with different parameters can be an alternative
method to increase the surface roughness of indirect composite resins.
OP 57 LASER WELDING TESTS FOR CoCrMo ALLOYS USED IN REMOVABLE PARTIAL

DENTURE TECHNOLOGY
CRISTINA MARIA BORTUN, MEDA LAVINIA NEGRUTIU, DANIELA MARIA POP
Romania
7 - LASER
Introduction: Welding with laser devices, apart from laboratory endowment, can make
metallic framework of removable partial denture optimizations. Aim: The aim of the study was to
share concrete technological welding data and to obtain long-lasting prosthetic pieces. Material and
Method: Co Cr Mo dental alloys were used to realize samples for but joint or addition system
welding. These materials were welded using Orotig Mini-LASER XXS, Italy. The methods used
were: radiography, metallography, microhardness analysis and applied finite elements method for
thermal and static analysis of stress state in welding area. Results: Combining parameters in laser
welding is a very complex operation, which depends on alloys composition, welding procedure,
thickness and profiles of cast samples. Some of macroscopically faultless welding in reality contains
hidden pores or cracks, which compromise the rib in 72% of the cases. Micro hardness analysis
(100 g charges) shows the increase of hardness in the heat affected zone and in the rib. On joints
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chemical composition one observes only a small decrease of mainly chemical components. The
heat flux distribution on a period of 1-6s was evaluated on longitudinal section of welded plates for
the stress areas according to the welding type: on two faces or on one face. Conclusions: A
prosthetic piece welding is a real reoptimization possibility for removable partial dentures. It may
become a constant in dental laboratory, if prefabricate parts could be used.
Keywords: welding, CoCrMo alloys, removable partial denture technology.
OP 58 STUDY REGARDING THE POSTOPERATIVE EVOLUTION FOLLOWING ER:YAG

LASER-ASSISTED ALVEOLAR AUGMENTATION
DORIANA AGOP-FORNA, OANA CIURCANU
Romania
7 - LASER
Aim of study: The aim of this study was to assess the postoperative evolution following
laser-assisted alveolar augmentation in the pre-implant stage. Materials and Method: 20 patients
requiring alveolar augmentation were randomly assigned for treatment with either the conventional
surgical technique or with the laser-assisted technique. Laser procedures were performed using
Er:YAG laser K.E.Y (KaVO). All surgical procedures were performed by the same operator. Laser-
assisted versus conventional surgical procedures were compared in relation to the evolution of the
intraoperative (pain, bleeding) and postoperative (pain, bleeding, discomfort, healing time) clinical
parameters. The postoperative evolution was recorded at 1 day, 3 days, and 7 days. Statistical tests
Mann-Whitney and Wilcoxon were performed to compare the results in the laser-assisted groups
and conventional surgery groups. Results: Patients undergoing laser-assisted alveolar
augmentation experienced less intraoperative need for anesthesia and less bleeding as well as less
postoperative pain, bleeding, discomfort and shorter healing time. Conclusion: The use of Er:YAG
laser supports the minimal invasive approach in the pre-implant surgical procedures.
Keywords: Er:YAG laser, alveolar augmentation, postoperative evolution.
OP 59 USE OF SIMULATORS IN THE EDUCATIONAL PROCESS OF STUDENTS’

TRAINING
DANIEL PAVAL, RAMONA DIANA FEIER, MAGDA ANTOHE, MONICA
ANDRONACHE, NORINA FORNA
Romania
Simulators in dental practice mainly aim to train the professionals in this field and to reduce
the risk of accidents. Simulators used in the teaching process represent an essential phase in
students’ training so that they may practice different maneuvers having a high precision level up to
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the moment when they may start performing these maneuvers in real life. The state-of-the-art
computerized simulators have as their major advantage the fact that they provide information at any
time about the performed maneuver, they show the expected result and assist the practitioner in
each phase of the maneuver performed by warning them when they are wrong. The practitioner
may view at any time everything they achieved in each moment. The use of computerized
simulators in the educational process of students’ training has multiple advantages such as the
carrying out of maneuvers and the viewing of all errors made, the reviewing of previous sessions
and the correction thereof, the gradual evolution of each procedure performed and, above all, the
significant improvement of students’ skills in performing different maneuvers.
OP 60 THE SHORT TERM PREVALENCE OF ORAL MUCOSAL LESİONS IN TURKISH

POPULATION
Turkey
Background: Oral mucosal lesions (OML) are so important that they can not be
overlooked in dentistry. The aim of this study was to investigate the short time period prevalence of
OML. Material and methods: All patients who applied to our clinic for 2 weeks were examineted.
Oral lesion examination was performed in randomized patients. During the 2-week period, 1012
patients were examined. There were no restrictions on the variety of lesions. Results: Lesions were
evaluated for the frequency of diagnoses. In clinical examination, 59 oral mucosal lesions were
detected in 50 of 1012 patients (%4,94). The most common occurrences were fissured tongue (8),
fistula (6), dental tongue impression (6), melanin pigmentation (5) and tongue pus (5). Other oral
mucosal lesions and squamous cell carcinoma (2) were also recorded. Conclusions: This study
has provided information about the epidemiologic aspects of oral mucosal lesions that may prove
valuable in planning of future oral health studies.
Keywords: oral health, oral mucosal lesions, short term prevalence.
OP 61 A CASE OF NICOTINIC STOMATITIS SHOWING A CLEAR IMPROVEMENT WITH

ONLY THE REDUCTION OF SMOKING
Turkey
Introduction: Nicotinic stomatitis (NS), a lesion of the palatal mucosa, has been described
in the literature since 1926. NS is usually diagnosed when the entire palatal mucosa is diffusely
whitish and thickened, and occasional small nodular growths each with a central red dot occur on
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the affected part. NS can be considered as a precancerous lesion in smokers. Case Report: A 45
years old female patient was admitted to our clinic due to dental complaints. She reported that she
had excessive cigarette use and a decrease in taste. During the intraoral examination, there was a
greyish-whitish appearance on the patient's palate. An incisional biopsy was performed from the
palate area. The biopsy’s result supported the clinical definition. It is recommended to stop smoking.
The change was remarkable when the patient came to control 1 month later. The improvement in
subsequent controls was fairly good. Conclusions: The diagnosis of NS, which is considered a
precancerous lesion in smokers, and the cessation of cigarette smoking in identified cases are
important.
Keywords: oral lesion, stomatitis, smoking.
OP 62 DENTAL STUDENTS’ KNOWLEDGE AND ATTITUDES REGARDING RADIATION

RISK ON PREGNANT WOMEN
EDA DİDEM YALÇIN, EMİNE ŞAHIN
Turkey
Background: The safety of diagnostic imaging in pregnancy is an significance for all
clinicians. The key principles of taking radiographs of the pregnant women should be known by
whole dental students. The present study was conducted to evaluate awareness of radiation risks
on pregnant women among dental students’ in Turkey. Materials and Methods: A total of 200
dental students in Gaziantep University Faculty of Dentistry were selected for a questionnaire based
cross sectional study. The questionnaire that comprised of 22 closed-ended questions regarding
radiation risks on pregnant women was answered the dental students. The data was entered by
using SPSS version 20 and analyzed by Mann Whitney U test and chi-square test. Results: 200
students answered the questionnaire, 68.5% were pregraduated and 31.5% postgraduate. The
undergraduate students included 33.5% fourth year students and 35% fifth year students. 53% were
females, 47% were males. No differences were found between responses of male and female
participants for any of the questions. The results showed that 62.6% of all participants knew the
radiographic prevention in pregnant women. There were significant differences in five different
questions according to the education level (p < 0.05). Conclusion: The level of knowledge among
dental students was found to be satisfactory, this outcome shows that continuing dental education
regarding radiation protection principles and its risks on pregnant women is required to ensure
maximum safety both for clinician as well as pregnant women.
Keywords: dental education, pregnancy, dental radiograph.
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OP 63 COMPARING DIAGNOSTIC ACCURACY OF PANORAMIC RADIOGRAPHY AND

ULTRASONOGRAPHY WITH PERIAPICAL RADIOGRAPHY IN DETECTING
PERIAPICAL LESIONS
ZEYNEP BETÜL ARSLAN, HILAL DEMIR, DILA BERKER YILDIZ, FÜSUN YASAR
Turkey
Background: The purpose of this study was to compare the accuracy of imaging
techniques in diagnosing periapical lesions. Materials and Methods: Imaging records of 80
patients (51 women, 29 men, aged between 14-75 years) including periapical and panoramic
radiographs and ultrasonographic images were selected from databases of Selcuk University
Dentistry Faculty. Periapical radiographs were accepted as gold standard and 160 anterior maxillary
and mandibular teeth with or without periapical lesion were included to the study. Three specialist
observers (dental radiologists) evaluated the presence and appearance of periapical lesions on
panoramic radiograph and ultrasonographic images. Sensitivity, specificity, positive predictive value
(PPV), negative predictive value (NPV) and diagnostic value of panoramic radiographs and
ultrasonography were determined. Receiver operating characteristic (ROC) analysis was applied to
estimate the diagnostic accuracy of the panoramic and ultrasonographic images. Results:
Sensitivity was 0.80 and 0.77 for ultrasonographic images and panoramic radiographs, respectively.
Area under the curve (AUC) was 0.883 for ultrasonographic imaging, 0.860 for panoramic
radiography. Conclusion: Periapical and Panoramic radiographs are commonly used to visualize
periapical lesions. Besides, Ultrasonography is an alternative method to digital radiographic
techniques in the diagnosis of anterior teeth with periapical lesions.
OP 64 COMPARATIVE EVALUATION OF PANORAMIC RADIOGRAPHY AND CBCT

IMAGING FOR RADIODIAGNOSTIC PROPERTIES IN THE POSTERIOR MAXILLA
FATMA BÜŞRA DOĞAN, BILGÜN ÇETİN, FARUK AKGÜNLÜ
Turkey
Background: The aim of this study was to evaluate the reliability of panoramic radiography
compared to CBCT which is accepted as the gold standard for three-dimensional imaging in
maxillofacial region by to assessment the relationship between maxillary teeth and the sinus floor.
Methods and Materials: A total of 238 maxillary posterior teeth were analyzed according to their
topographic relationship to the maxillary sinus using panoramic radiographs and CBCT images. It
was also investigated whether the radiodiagnostic success of the panoramic radiographs differs
according to the premolar and molar teeth regions. In addition, the vertical distance between the
apexes of premolar and molar teeth and the sinus floor was measured in 125 teeth and compared
on panoramic radiographs and CBCT images. Data obtained from both imaging methods were
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compared statistically with Chi-Square and the Mann-Whitney U tests. Results: When the
relationship of maxillary posterior teeth to sinus floor was examined, a statistically significant
difference was found between panoramic radiographs and CBCT images (p0,05). Conclusion:
Although the panoramic radiograph is successful in vertical measurements in the posterior region, it
is not sufficient when used alone in determining the relationship between the maxillary sinus and
posterior teeth.
OP 65 COMPARISON OF MASSETER MUSCLE THICKNESS BETWEEN DENTULOUS

AND PARTIALLY POSTERIOR EDENTULOUS PATIENTS
HILAL DEMIR, FÜSUN YAŞAR
Turkey
Background: The aim of this study was to investigate the relationship between thickness
of masseter muscle of dentulous and partially posterior edentulous patients. Material and methods:
90 female patients between the ages of 40 and 60 were divided into two groups: control dentulous
group and posterior edentulous group. The measurements of control group and bilateral posterior
edentulous patients were performed bilaterally and the averages of right and left were obtained.
Only the toothless side of unilateral edentulous patients was measured. Ultrasonography was used
to examine the thickness of the masseter muscle, during rest and maximum voluntary contraction,
twice with five minutes intervals by the same observer. İntraclass correlation coefficient test,
Kolmogorov-Smirnov test, Levene test and Independent sample t-test were used for statistical
analysis by SPSS 15 version. Results: According to the intraclass correlation coefficient test, first
and second measurements of the observer were quite harmonious (p˃0,05) and average
measurements were used for next statistical analyses. Kolmogorov-Smirnov test for normality and
Levene test for homogeneity of variance were performed. Because of the normal distribution and
homogeneity of data, Independent sample t-test was used for statistical analysis. There was no
statistically significant association between masseter muscle thickness and posterior partially
edentulism (bite position p=0,793, relax position p=0,962). Conclusion: Posterior partially
edentulism does not reason a significant decrease of masseter muscle thickness. Ultrasonography
is found to be a reproducible, reliable and accurate tool to examine the thickness of the masseter
muscle.
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OP 66 PREVALENCE OF IDIOPATHIC CORONAL RESORPTION IN IMPACTED

PERMANENT TEETH
FATMA NUR YILDIZ*, UMUT PAMUKCU*, ZUHRE AKARSLAN*, BULENT
Turkey
Aim: The purpose of this study was to evaluate the prevalence of idiopathic coronal
resorption identified among adult patients on digital panoramic radiographs. Materials and
Methods: 3405 digital panoramic radiographs present in the archive of the radiology department
belonging to 1584 males and 1821 females aged 25 and older was assessed by two oral and
maxillofacial radiologists. Patient’s age, gender, number of impacted teeth and number and position
of teeth with idiopathic coronal resorption were recorded on standard forms. Results: A thousand
and nine impacted teeth were observed in 622 patients (304 males and 318 females) with a mean
age of 36,92 (±10,85). Idiopathic coronal resorption was present in 26 of the 622 patients with a
frequency of 4.2%. One patient had two teeth presenting idiopathic coronal resorption; resulting as
27 teeth and a frequency of 2.7% according to tooth number. There were 13 (50%) females and 13
(50%) males presenting idiopathic coronal resorption. There was no significant difference between
genders. (p>0.05) The presence of idiopathic coronal resorption increased with advanced age (v:
0,193, p<0.05). Conclusion: Although having a low prevalence, idiopathic coronal resorption could
be seen among adults; especially with advanced age. This pathology is detected incidentally during
radiographic examination. For this reason, dentists should consider this situation and should
perform periodically radiographic examination of impacted teeth with or without idiopathic coronal
resorption.
OP 67 EVALUATION OF THE FREQUENCY OF THIRD MOLAR AGENESIS

UMUT PAMUKCU*, NEBIHA GOZDE ISPIR*, MERYEM TORAMAN ALKURT*,
BULENT ALTUNKAYNAK**, ILKAY PEKER*
Turkey
Background: The aim of this study was to evaluate the prevalence of third molar (M3)
agenesis in different age groups on digital panoramic radiographs. Methods and Materials: This
study included panoramic radiography images of 1036 patients. The study sample was divided into
two groups. In the first group, radiographs of 518 patients with 12-18 years old were evaluated
retrospectively. In the second group, radiographs of 518 patients aged 25 years and older were
evaluated. These patients were questioned that any of the M3 tooth had previously been extracted
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and based on their response the status of M3 was recorded. Data were analyzed with chi-square
test at the level of 95% confidence interval according to age, gender and localization of the M3
agenesis. Results: M3 agenesis was observed in 258 of 1036 patients (24.9%). The prevalence of
M3 agenesis was 29.3% (n=152) in the first group and 20.5% (n=106) in the second group. The
statistically significant difference was found between two groups (p <0.05). The prevalence of M3
agenesis was 27.3% in females and 21.4% in males. The most common M3 agenesis was
determined in the right maxillary M3 (30.9%; n: 159), followed the left maxillary M3 (27.4%; n: 141),
the left (19.6%; n: 101), and right mandibular M3 (22.1%; n: 114), respectively. Conclusion: The
results of this study showed that M3 agenesis was more common in the patients with 12-18 years
old than the elder age group.
OP 68 TRENDS IN THE ASSESSMENT OF ORAL MANIFESTATIONS OF SYSTEMIC

SCLEROSIS: CBCT RESULTS
CODRINA ANCUTA, CRISTINA POMIRLEANU, MAGDA ECATERINA ANTOHE,
EUGEN ANCUTA, CRISTINA IORDACHE
Romania
Systemic sclerosis (SSc) is an orphan multisystem autoimmune disease characterized by
widespread fibrosis, peripheral vasculopathy and immune abnormalities. Oral manifestations are
commonly reported in different SSc settings and have major impact of quality of life. Objective: We
aimed to evaluate specific oro-facial radiographic manifestations, particularly widening of the
periodontal ligament (PDL), and to identify potential relations with disease variables in SSc.
Material and Methods: We performed a cross-sectional study in 35 consecutive SSc attending at
least once the outpatient rheumatology department (162 EUSTAR center). SSc-related parameters
and oro-facial manifestations were assessed in all cases. A detailed radiologic analysis based on
panoramic radiographs and high resolution computed-tomography (CBCT) highlighting the PDL
space width at mid-root level on axial views and the presence of mandibular erosions was done.
Associations between disease variables and radiologic abnormalities were investigated by
univariate and multivariate analysis (p<0.05). Results: Panoramic reconstructed CBCT revealed
generalized PDL widening in half SSc, with at least one tooth involved. Mean PDL width was
0.25+0.13 mm, about twice as normal (p<0.05), with a wider PDL frequently located in the posterior
region. Interestingly, we depicted mandibular erosions in one out of four patients, although rare
calcifications within PDL space of maxillary teeth. We identified a consistent correlation (p<0.05)
between the number of teeth with PDL widening and disease subtype, activity, severity, RODNAN
skin score, anti-SCL70 positivity. Conclusions: Oral health issues are commonly report among
SSc. Tridimensional CBCT remains a useful approach of the dental pathology, particularly widening
of PDL, in such patient population.
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OP 69 THE UTILITY OF CT SCAN IN EVALUATION OF MAXILLARY SINUSITIS IN YOUNG

AND OLD PACIENTS
ROXANA MIHAELA POPESCU, BOGDAN DOBROVAT, CRISTINA ANTOHI, IOANA
RADU, DANISIA HABA
Background: The aim of this study is to prove the importance of using CT in diagnostic of
odontogenic and non odontogenic sinusitis in young and old patients. Methods and materials: Our
study included 30 pacients aged from 15 to 82 years old (10 women and 20 men), which were
examinated using non contrast CT with multiplanar reconstructions. The noncontrast coronal
computed tomographic (CT) images in bone- window views can define the sinusal anatomy very
precisely. We used Toshiba Aquillion 16 with sinuses protocol (0,5 mm x 16), coronal bone
reconstruction 2 mm, 120 kW, 440 mA, matrix 512 x 512, FOV 16,2 x 16,2. Results: From 30
persons 4 (13,3%) presented normal sinus, in 10 (33.3%) we found maxillary sinusitis related with
peripical leasions of maxillary teeth and in other 16 (53,3%) we found different mucousal thickening,
polyps, other sinus abnormalities and association with ethmoidal, fontal or sphenoidal sinusitis. 6
(20%) pacients presented generalized sinusitis. In youg pacients we found especially non
odontogenic sinusitis and in eldery we found odontogenic sinusitis related with endodontic
treatment, apical lesions, and periodontal disease. Conclusions: Computed tomography (CT)
provides an excellent method for examining maxillary sinuses and it can be used in all ages.
OP 70 EVALUATION OF THE NASOPALATINE CANAL MORPHOLOGY BY USING

DENTAL TOMOGRAPHY IN TURKISH SUBPOPULATION
BILGUN CETIN, FATMA BUSRA DOGAN, FARUK AKGUNLU
Selciuk University, Konya, Faculty of Dentistry - Turkey
Background: The nasopalatine canal (NPC) is a bony connection between the nasal and
oral cavity and contains relative neurovascular bundle. It is one of the important anatomical
structure for implant surgery and morphology of NPC should be well known for getting reliable
distance between the implant and the structure. Aim of the study to determine the NPC morphology
of Turkish subpopulation by using cone beam computed tomography. Methods and Materials: A
total of 134 CBCT images of 54 male 80 female patients whose age range of 18-67 years were
examined. The images were obtained by using 6x8 or 8x8 FOV, 90 kV, 8.4mA and 2.33 sec
exposure time (Instrumentarium, Ortopantomograph OP300). Nasopalatine canal was studied
according to 5 different morphological groups. For the statistical analysis; frequency analysis was
performed for the incidence of each group and chi-square test was performed for the difference
between the sexes. Results: There was no statistically significant difference between male and
female in terms of morphology of nasophalatin canal (p=0,957). The highest incidence was found in
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the 3rd group (37.3%). The lowest incidence was found in the 5th group (9%). Conclusion: The
current study showed that the nasopalatine canal displays some morphological differences. This
and similar studies may be of clinical importance in maxillary surgery and implant surgery in anterior
maxillary region.
OP 71 INCIDENTAL PARANASAL SINUSES FINDINGS ON CRANIO-CEREBRAL MRI

SCANS: A RETROSPECTIVE STUDY
BOGDAN DOBROVAT, ROXANA POPESCU, IOANA RADU, EMILIA MARCIUC,
DANISIA HABA
Background: Different kind of pathology of the paranasal sinuses are ocassional seen on
routine MRI scans of the head. Aim: To study the incidental findings in the MRI scans of the
paranasal sinuses in patients with indications other than sinuses-related diseases. Materials and
methods: Images of patients who underwent MRI scan of the head over one-year period (January
2017 – January 2018) were retrospectively reviewed with the exclusion of those with important
metallic artifacts due to dental prothesis; also, those whose indications for the scan was trauma or
sinus related disease were excluded. Results: A total of 242 MRI scan images were reviewed
comprising 144 females and 98 males with a female to male ratio of 1.5 to 1.0 Their age range was
between 9 and 92 years. In all, 76,8% of patients had normal scan while 23,3% of patients were
observed with sinus pathology. Maxillary mucosal thickening with associated fluid level, maxillary
mucosal thickening only with this occuring bilaterally, polypoid masses with unilateral and bilateral
polyps were found. Conclusion: Incidental paranasal sinus pathologies on cranial MRI scan are not
infrequent. Careful observation and reporting is necessary during routine review of the cranio-
cerebral MRI scans, for an appropriate inclusion and interpretation of these findings towards optimal
patient’s care.
OP 72 THE USE OF FOUR IMPLANTS PLACED IN IMMEDIATE FUNCTION TO SUPPORT

MAKSILLER FIXED PROSTHODONTIC REHABILITATION
RUKIYE DURKAN*, PERIHAN OYAR**, GONCA DESTE*
*University of Afyon Kocatepe, Faculty of Dentistry
** University of Hacettepe, Health Services Vocational School of Dental Technology
Program, Ankara - Turkey
Purpose: The purpose of this study was to report on the clinical outcomes of survival and
bone loss for prosthodontic rehabilitation using 4 implants placed in immediate function to support
maksiller fixed prosthodontic rehabilitations. Material and Methods: An electronic search of
databases and a hand search of relevant journals in maksiller implantology were performed
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according to National Library of Medicine, PubMed/Medline, Web of Science, Cochrane Oral Health
Group Trials, through March, 2018. Totally 34 articles were available for our review study.
Retrospektive or prospektive clinical human studies, either randomized or not, sistematic review and
meta analyses, finite element analyses were searched. Results: As a result of the study, the
advantages and disadvantages of the maksiller all on four concept, the implant brands used and the
data obtained for the results of clinical and biomechanical studies have been collected. According to
the results of this compilation, it was observed that clinical studies were composed of short and
medium term follow-ups and biomechanical studies were limited. Conclusions: The limitations of
this narrative review study, this treatment modality for maksiller completely edentulous jaws is
predictable with a high survival rate. Using computer-aided technology for implants and
proshodontic rehabilitations, and implant tilting are viable treatment modality. Randomized long-term
trials are needed to better elucidate long-term success of maksiller all on four implant concept.
OP 73 IMPLANT REHABILITATION OF EDENTULOUS PATIENT

ERDA QORRI, FABIO DE PROPRIS, ISMAIL KARABUDAK
Albanian University, Tirana - Albania
The purpose of this study is to present an alternative way of rehabilitation of the edentulous
patient. The full arch rehabilitation on six endosseous implants for the upper jaw and four implants
at the lower jaw, loaded following the standard procedure was provide to our patients. Material and
Methods: A retrospective study of edentulous patient rehabilitated according to the all-on six and/or
all-on four protocols on Albanian University from June 2017- March 2018 was performed. The group
of 23 patients (16 women and 7 men), age 48-61 years old, was treated with 18 maxillary and 10
mandibular fixed full arch prosthesis, 182 implants was placed. (112 implants on the maxilla and 60
on the mandibula). Immediate provisional loading with resin screw retained prosthesis was realized
with fully functional occlusion within 24 hours of implant placement. We have analyzed measures
failures of prosthesis and implants, complication and patient satisfaction. Conclusion: We had a
96,36% of succeed in our University Clinic due to a correct diagnoses and accurate implant
planning which are key for success in implant rehabilitation.
Keywords: implant, screw retained, prosthesis.
OP 74 IMPACT OF İMPLANT SUPPORTED MANDİBULAR OVERDENTURES ON ORAL

HEALTH RELATED QUALİTY OF LİFE
MEHMET MUSTAFA OZARSLAN, NELLI YILDIRIMYAN, ALPER SINDEL, MEHMET
ALI ALTAY
Akdeniz University, Antalya - Turkey
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Background: Poor oral health, particularly edentulism, diminishes the quality of life and
mandibular conventional dentures may remain unsatisfactory due to lacking denture retention.
Implant-supported mandibular overdentures (MODS) are shown to provide excellent retention and
stabilization, ease of use and good esthetics. This retrospective study aims to present our findings
on the outcomes of MODS by using oral health impact profile (OHIP-14) questionnaire. Material
and Methods: Seventy-four patients treated with MODS were invited for follow-up and asked to
complete OHIP-14 questionnaire. Total scores were obtained and subcategorized to appropriate
levels of quality of life (QOL). Associations between the level of QOL and various predictors
including age, gender, educational level, oral hygiene routines, type of maxillary reconstruction,
periimplant or denture-related pathologies as well as pain were evaluated. Results: Forty-seven
patients including 28 female and 19 male patients attended to follow-up. An OHIP-14 mean score of
5.81 (SD: 6.89) was obtained, indicating an overall “very high” QOL. No statistically significant
differences were found between QOL and age, gender, education level, oral hygiene routines, type
of maxillary reconstruction or pathologies related to implants or dentures. Periimplant probing
depths and QOL showed no significant association. Pain scores varied among three levels of QOL
(p=0.000) and a strong positive correlation between total OHIP-14 and pain scores (r= 0.753,
p<0.001) was found. Conclusion: Within the limitations of this study, it can be concluded that
patients were satisfied with their MODS and presented a “very high” QOL. Moreover, higher pain
scores were associated with lower QOL.
OP 75 EFFECT OF DIFFERENT DIAMETER ON THE SUCCESS OF FIXED SINGLE-TOOTH

IMPLANT RESTORATIONS: 2 YEAR FOLLOW-UP
ÖZGE PARLAR ÖZ, NERMIN DEMIRKOL, MAHMUT ERÇIL, MEHMET DEMIRKOL
Turkey
Purpose: The purpose of this study was to evaluate the bone loss and patient satisfaction
over long term follow-up of single tooth restorations of different diameters and lengths in the same
jaws. Materıal and Methods: A total of 100 patients with one implant per patient were included in
this study. 50 implants were 4.1 mm diameter and the other 50 implants were 4.5 mm diameter in
similar bone density of maxilla and mandible. The success of implants was evaluated by clinically
and radiographically every year after installation of prosthesis according to the following parameters:
(1) absence of periimplant radiolucency evaluated on panoramic radiographs, (2) pain and absence
of radiological or clinical findings of neural lesion, and (3) the bone resorption on periimplants of
each implant. Visual analoque scale (VAS) was used for clinical evaluation. Results: There was no
statistically significant differences between different diameters according to VAS. Mean bone loss
was found between 0 and 1 and statistically significant difference was not found between the
groups. Conclusion: It can be cocluded that clinical and radiographic success is independent from
the diameter of implant.
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OP 76 IMPLANT SUPPORTED OVERDENTURE: SELECTION OF THE ATTACHMENT

TYPES FOR ATROPHIC MANDIBULA: TWO CASE REPORTS
M.SERTAÇ OZDOGAN, MINE TURAL, K.AYBUKE AYDEMIR, FILIZ AYKENT
Turkey
Background: Beside the increasing retention and stability implant supported overdentures
show further advantages such as increased comfort, chewing activitiy, protection of residual ridge,
developed patient quality of life. The abutment types commonly used for the two implants supported
mandibular overdenture include bars of different designs, balls, locators and magnets. Purpose: In
this article two cases reported which were treated with implant-supported bar attachment systems.
Cases: 68-year-old female and 70-year-old male patients applied to our clinic with complaints the
lower prosthesis had retention, stability and chewing problems. Clinical and radiological evaluations
were performed. Two dental implants were placed into the mandibular lateral regions. Following
suitable healing periods, custom trays were made and border molded with dental compound. The
impression were made with pickup-type (open tray) impression copings. The dolder bar system was
chosen as the attachment system and was oriented that it is perpendicular to the midline and
parallel to the occlusion plane. The clips with their metal housing were connected to the bar and
then the denture was flasked and processed in usual manner. Conclusions: During the follow-up
periods of two cases no complications such as loss of retention of prosthesis, abutment screw
loosening or screw fracture were observed. Bar attachment supported overdenture seems good
option in the rehabilitation of atrophic mandibula with two implant placed very close to each other
into mandibular anterior region.
OP 77 NONINVASIVE EVALUATION OF PERI-IMPLANT BONE LOSS

FRANCISC-FLORIN BARTOK, NORINA CONSUELA FORNA
Romania
Purpose: Peri-implantitis presents inflammatory process that affects soft and hard
supporting tissues of osseointegrated implant. On molecular scale, the balance between bone-
resorbing and bone producing is mediated by receptor activator of nuclear factor kappa B (RANK).
Study aims to investigate the correlations between RANK concentrations in peri-implant crevicular
fluid and clinical parameters that reflect inflammatory nature of peri-implantitis. Materials and
Methods: The study included 62 patients divided into 3 groups: healthy implants (n = 21)
periodontitis (n = 21) and peri-implantitis (n = 20). Patients were divided into groups according to the
criteria for inclusion, and samples of peri-implant/gingival crevicular fluid were collected. A complete
periodontal and peri-implantar evaluation were conduct on every patient. To determine the
concentration of RANK in PICF and GCF was used a commercial ELISA Kit. Determination of
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RANK was obtained by spectrophotometric assessment. Results: RANK concentration was

significantly higher in the group with periodontitis compared with healthy group (P = 0.000) also in
the group with peri-implantitis compared to healthy patient group (P = 0.000). Thus, RANK
concentration is significantly higher in patients with peri – implantitis in comparison with control
group, with a statistical difference between the two values (P<0.001). Conclusion: The
concentration of RANK can be used as a parameter that can be monitored in the diagnosis and
prognosis of peri-implantitis. Also, this determination can be an easy method of tracking the success
of treatment, and a target of future research regarding the mechanisms that occur in the peri-
implantar bone destruction.
Keywords: RANK, periodontitis.
OP 78 THE PRACTICAL APPLICABILITY OF SURGICAL GUIDES IN ORAL

IMPLANTOLOGY
DUMITRU CHELE, NICOLAE CHELE, ANDREI MOSTOVEI, MIHAI MOSTOVEI, ION
DABIJA
Rep. of Moldova
Background: The development of CAD/CAM technology has allowed great improvements
that have enhanced planning and provided transfer accuracy of the virtual plan to the surgical site
that is higher compared to freehand protocols. Aim: To evaluate the practical applicability of
surgical guides in implant-prosthetic rehabilitations of edentulous patients. Materials and Methods:
The study was based on the clinical and paraclinical analysis of 10 patients (4 men and 6 women,
mean age 53 ±2.4) with different types of edentulism rehabilitated by the All-on-4 concept. The
virtual planning and surgical guide printing were made using the Blue Sky Plan software. The
postoperative CBCT was analysed in order to appreciate the accuracy of the obtained position of
implants upon initial treatment plan. Results: All the implants were installed according to the initial
plan. However, in one case, due to a short passive part of the surgical guide and a small number of
teeth supporting it, the drilling process required complementary checking of the implants site due to
the movement of the guide. Another difficulty was observed during the drilling process of the distal
implants caused by the limited mouth opening. Conclusion: The usage of the surgical guides in
implants placement lead to a precise positioning of implants especially in cases with limited bone
offer, avoiding some complications. However, appropriate design of the guide as well as the local
limitations of the mouth should be taken into consideration in order to achieve the desired results.
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OP 79 GUIDED BONE REGENERATION USING ABSORBABLE COLLAGEN MEMBRANE

ASSOCIATED WITH BOVINE BONE SUBSTITUTE IN YOUNG AND ELDERLY
PATIENTS
ONDINE LUCACIU, ALEXANDRU MEȘTER, ROXANA BORDEA, ADINA SÂRBU,
CODRUTA MIRICA, FLORIN ONIȘOR, SIMION BRAN, RADU SEPTIMIU CÂMPIAN
Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca
Romania
Background: Absorbable collagen membrane and anorganic bovine bone substitute is
widely used in guided bone regeneration (GBR) to provide optimal bone support. The objective of
this study was to clinically and radiologically evaluate lateral ridge augmentation and subsequent
implant placement in young and elder patients. Materials and Methods: A number of 4 patients,
have been treated for lateral ridge augmentation with absorbable collagen membranes and a
mixture of anorganic bovine bone, 6 months before implant placement. Implants were inserted and
loaded 3 to 6 months later with a screw retained crown or bridge. Ridge measurements were
obtained before and after GBR, to evaluate height, width and volume change of the alveolar ridge. It
was also recorded implant survival rate, biological and prosthetic complication. Results: At 6
months post-GBR, both clinical and radiological assessments, have revealed that all treated ridges
had sufficient bone gain for implant placement. All ridges healed uneventfully. No implant has failed
during the follow-up. No biological or prosthetic complications were recorded. PI and BOP were on
normal values. No statistical significance was found between young and elderly patients.
Conclusions: Within the limitation of the present study, the treatment of lateral deficient alveolar
ridges with GBR using absorbable collagen membrane and anorganic bovine bone can be
considered a successful method to preserve the alveolar ridge and obtain high implant success rate.
Keywords: guided bone regeneration, implant, absorbable collagen membrane, anorganic
bovine bone substitute.
OP 80 STRESS DISTRIBUTION AROUND DENTAL IMPLANTS IN MANDIBULAR BONE

ANCA SÎNZIANA BUTNARU MOLDOVEANU, DORIANA FORNA AGOP, NORINA
CONSUELA FORNA
Romania
Background: With the recent advancements in materials, design and coating technology
of dental implants it is no longer an issue of implant failure but rather of bone failure. In physiological
loading of the implant, bone tissue is subjected to a large amount of stress, distributed in local
areas, that can cause bone resorption or even fracture. Stress distribution is an essential factor in
assessing implant long term viability regarding various implant dimensions. Materials and Method:
A mandibular bone section, a series of corresponding implants (3.75/5/6 in diameter and 8/11,5/13
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in length) and abutments were modelled using finite element simulations to asses the stress
distribution within the bone until yield. Implants were inserted into the second molar position in the
bone. A linear elastic and homogenous constitutive model was assumed for both the implant and
bone section and appropriate material properties were assigned. A vertical load of 250N and a
horizontal load of 100N were applied on the abutment. Results: Stress in mandibular bone was
concentrated near the neck of the implant on opposite side in vertical loading and at the apex of
implant site in horizontal loading. Distribution of stress was greater in smaller diameter and length
implants. Conclusions: Finite element analysis used in determining the ideal stress formula at the
implant-bone interface can be a useful tool when modeling real clinical situations. Increasing the
diameter of the implants leads to a more favorable surface area of the stress distribution showing a
direct relationship between stress distribution in bone tissue and the implant dimensions.
Keywords: stress distribution, dental implants, dimensions, mandible bone.
OP 81 IMMEDIATE IMPLANT LOADING WITH FIXED DENTAL RESTORATION -

2 CASE REPORT
Serbia
Immediate loading is considered to be the most innovative technique in contemporary
implant dentistry. Recent clinical and experimental findings have demonstrated that only implants
with high primary stability can be subjected to immediate loading protocol with predictable results. It
is generally accepted that the most important prerequsite for successful osseointegration is
achievement and maintenance of implant stability. In present first case report we showed treatment
of 69-year old patient – man where we make metal – ceramic crown/ bridge on implant 12,44,46,47.
In present second case report we showed treatment of 43-year old patient – man where we make
metal – ceramic bridge on implant 24,26,28 & 45,48. After a 6- month loading period all bridges
were in function and all implants occured well osseointegrated.
OP 82 COMPLICATIONS AFTER THIRD MOLAR EXTRACTION

Serbia
The most often reasons for third molar surgery are prophylactic, pericoronitis, periodontitis
and orthodontic reasons. The purpose of this study was to analyse postoperative complications after
third molar extractions in patients between 11 and 65 years of age. The study included 55 patients
who had one or more third molar removed between 2014 and 2015. The third molars were removed
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using the buccal approach under local anesthesia in 25 men and 30 women. The patients were
divided in to the groups by age: A 11 – 20 years, B 21 – 30 years and C 31 years and over. Most
patients were females ( 54,5%). The overall complication rate for extractions conducted under local
anesthesia was 14,1 % for lower third molars and 3,2 % for upper third molars. The most frequent
complication was secondary infection ( 3,9%) and postoperative bleding ( 3,1%) for the lower third
molars and fracture of the tuberosity and bucco- sinus communication for the upper third molars (
1,55%). Complications were more frequent when the patients was older and when the third molar
was deeply embedded.
OP 83 INFECTIOUS PATHOLOGY - SIGNS AND SYMPTOMS IN THE ORO-MAXILO-

FACIAL SPHERE
IOANA FLORINA IORDAN*, DOINA CLEMENTINA COJOCARU**, MIHAELA
CATALINA LUCA**, CARMEN MANCIUC**
*Sf Parascheva Infectious Diseases Hospital, Iasi
Romania
11 - ORAL PATHOLOGY – ORAL MEDICINE
Introduction: Infectious pathology is deeply intricately in both children and adults, with
pathology in the buco-maxillofacial sphere. Material and Methods: We have reviewed the
transmissible infectious pathology of the most common childhood diseases (measles, rubella,
varicella, scarlatina) with signs and symptoms in the oral cavity. Another important aspect of the
presentation was parenteral viral pathology : Hepatitis B, C, as well as HIV infection, with relevant
signs and symptoms of major immunosuppression at the oral and maxillofacial region (Kaposi's
sarcoma, hairy leukoplakia, recurrent oral candidosis or severely responsive to treatment). Knowing
signs and symptoms of infectious disease by the dentist is beneficial for their treatment and
prophylaxis for both the patient and the healthcare professional. Results: It has been observed that
each of these diseases causes the appearance of lesions in the oral cavity. Measles causes the
appearance of the Koplik sign, oral pathognomonic enanthema. Intra-oral vesicles of varicella, when
present, are seen on the tongue, buccal mucosa, gingival, palate and oropharynx. The streptococcal
pharyngitis which is the usual presentation of scarlet fever in combination with the characteristic
rash commonly involves the tonsils. The tonsils will appear swollen and reddened. Conclusions: At
the oral and maxilo-facial area infectious diseases frequently encountered or implicated up to the
level of health policies, it reveals its signs and symptoms. The collaboration between medical
stomatology and the infectious disease specialist is successful in solving these cases.
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OP 84 DESMOPLASTIC NEUROTROPIC MELANOMA OF THE HARD PALATE: A CASE

REPORT OF A RARE ORAL MALIGNANCY
NEDA HASANOĞLU ERBAŞAR, HALIL ANLAR, MUSTAFA RAŞID TOKSÖZ, SINAN
YASIN ERTEM
Turkey
Background: Primary melanoma of the oral cavity is highly rare tumor occuring
approximately 1 - 8 % of all melanoma cases and 0.5% of all oral malignancies. Oral melanoma is
known to exceedingly poor prognosis in which the 5-year survival rate was in the range of 10-20%.
Desmoplastic neurotropic melanoma (DNM) is known as an uncommon variant of melanoma. The
‘neurotropic’ term is used to define the associated nerve infiltration. Case Report: A 67 year-old
female referred to Department of Oral and Maxillofacial Surgery, Ankara Yıldırım Beyazıt University
with a two months history persistent macular lesion in the hard palate. Initially, an incisional biopsy
was performed to establish provisional diagnosis. Histopathological examination showed positive
staining of S100 protein. Besides, tumoral tissue including melanin pigment in the lamina propria.
Subsequently, excisional biopsy was performed. The second histopathologic examination revealed
concentric circle melanocytes which surrounding by nerve section and the histopatholo¬gy
confirmed the diagnosis of DNM. Conclusions: Dentists should be encouraged to include oral
cancer screening as a part of their routine dental examination. Moreover, high risk patients should
be informed regarding the early signs of oral malignancies. Due to locally aggressive characteristic
of DNM, early diagnosis is of the utmost importance for increasing the associated survival rates.
OP 85 ORAL LESIONS SCREENING IN YOUNG AND ELDERLY PATIENTS

LAURA-CRISTINA RUSU, ALEXANDRA ROI, RAMONA AMINA POPOVICI, COSMIN
SINESCU, ANGELA CODRUTA PODARIU
Romania
An early and accurate diagnosis of the oral lesions is crucial for the health of the patient
and can influence the further treatment plan and prognosis. When it comes to the diagnosis of oral
cancer, the survival rate is up to 83% in the case of an early diagnosis, compared to 32% in a late
stage cancer diagnosis. The oral lesions can be divided into benign, premalignant and potentially
malignant lesions, each of them being of a high importance. The aim of this study is to evaluate the
incidence of various oral lesions and the correlations between them and the age of the patients,
knowing the fact that oral cancer is no longer a disease that affects only elderly patients. Material
and Methods: in the study were enrolled 25 patients age 25-60 years old, with identified oral
lesions that afterwards underwent the biopsy procedure for a certain diagnosis. The conclusions
regarding the incidence of the oral lesions that proved to be malignant and the age of the patient
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arises an existing problem associated to this topic. Elderly patients cannot be considered anymore
one of the leading risk factor in developing oral cancer and the prevention and screening programs
need to be extended and to involve all patients, regardless of their age.
Keywords: oral pathology, oral lesions, patients, oral cancer, screening.
OP 86 ACCUMULATION OF N-EPSILON CARBOXYMETHYL LYSINE IN RAT ORAL

CAVITY TISSUES: A BIOMARKER OF AGING
ADINA BIANCA BOȘCA*, MARIAN TĂULESCU**, VIOREL MICLĂUȘ, ANIDA MARIA
BĂBȚAN, ARANKA ILEA
*University of Medicine and Pharmacy Cluj-Napoca
**University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca
Romania
Introduction: Accumulation of advanced glycation end products (AGEs) and glycoxidation
products, such as N-epsilon carboxymethyl lysine (CML), plays a role in various pathologies related
to aging. Our purpose was to assess the correlation between the expression of CML in rat oral
cavity tissues and various organs, associated with aging. Material and Method: Tissue samples
were harvested from twelve-month old Wistar rats, five females and five males. The rat tissues were
microscopically analyzed in hematoxylin and eosin stain and immunohistochemistry using the
monoclonal antibody anti-CML NF-1G (Abcam, ab30917). Results: The intracytoplasmic CML
expression had various intensities for the different organs in the epithelial cells, fibroblasts, collagen,
endothelial cells and inflammatory cells. In the oral mucosa and skin, CML expression was higher in
the epithelium compared with the connective tissue. In the parotid gland, a diffuse distribution of
CML was observed in the glandular acini. In the cerebral hemispheres and cerebellum, CML
expression was more intense in the neurons compared with the neuropil. High levels of CML were
found in hepatocytes, epithelial cells from the proximal renal tubules, and myocardial cells. A diffuse
expression of CML was found in the gonads. There were no differences of CML expression between
males and females. Conclusion: CML had similar distribution in oral cavity and in various organs,
and was correlated with the animals’ age. These findings suggest that CML, a major component of
AGEs, is implicated in the pathophysiology of aging, process which could be detected in oral cavity
tissue samples.
Funding: Salivages Project no 25/1.09.2017.
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OP 87 ORAL LESIONS IN ELDERLY PATIENTS

MIHAELA PAULA TOADER, IRINA MIHAELA ESANU*, STEFAN TOADER*, MIRELA
GRIGOROVICI**, TATIANA TARANU*
Romania
Background: Oral mucosal membranes display changes that are a reflection of either a
local irritant, infectious, precancerous or neoplastic process, or may be the first manifestation of a
more severe systemic autoimmune or inflammatory disease. Patients and Method: Our study
focused on the oral pathological changes in patients aged between 60 and 90 years, during a period
of 2 years, that appeared either seconday to a dermatological disease or in correlation with changes
of the oral or general health status. We aimed to study the prevalence of oral lesions according to
the age group and clinical aspect. Results: Patients aged between 60 and 90 years represented
68.5% of all consultations during the studied period. Oral changes were found in 1342 of the elderly
patients (32.94%) and were represented by lesions of the oral mucosal membranes in 1205 cases
(37%), vermilionar lesions in 353 patients (56,5%) and burning mouth syndrome in 13 cases
(5,09%). Oral conditions were represented by xerostomia in most cases, followed by oral
candidiasis, oral lichen planus, pemfigus vulgaris, and less frequently by Kaposi sarcoma,
angioedema, fixed erythema, erythema multiforme, scleroderma and recurrent aphtous stomatitis.
Actinic cheilitis, angular cheilitis and squamous cell carcinoma predominated on the vermilion.
Conclusions: Oral mucosal manifestations in the elderly reflect the particularities of the local and
general biological status modified by the cummulative action of external factors and/or metabolic
disorders, autoimmune diseases, nutritional deficiencies, psychological and iatrogenic factors.
OP 88 CHEILITIS - ETIOPATOGENIC AND CLINICAL CONSIDERATIONS IN RELATION

TO PATIENTS AGE
TATIANA TARANU*, STEFAN TOADER*, IRINA MIHAELA ESANU*, MIRELA
GRIGOROVICI**, MIHAELA PAULA TOADER*
Romania
Background: Cheilitis represent inflammations of the vermilionar area or of the cutaneous
side of the lips. They are common morbid conditions due to either external or internal factors. Our
study aims to analyze the most common changes in elderly versus young patients in relation to the
etiologic factors. Material and Methods: We studied retrospectively the charts of patients
diagnosed with cheilitis during January 2015 and December 2017 and noted data related to patients
age, occupation, hobbies, general health status, systemic treatments, diagnosis and possible
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causes of cheilitis. Results: During the studied period we found 294 cases diagnosed with cheilitis
of various etiologies. Most patients were elderly (211 patients – 71.76%). In these patients the most
common cheilitis were: actinic cheilitis, angular levuric cheilitis, iatrogenic cheilitis, allergic cheilitis
and erosive cheilitis as a manifestation of other diseases (autoimmune bullous diseases, lichen
planus, lupus erythematosus). In the younger patients infectious viral or bacterial cheilitis
predominated, followed by iatrogenic cheilitis, eczematous cheilitis, glandular cheilitis and erythema
multiforme. Conclusions: Positive diagnosis of cheilitis is based on the clinical aspect and a careful
history to determine the potential etiology. In several cases pathological exam is required. Cheilitis
in elderly is mostly due to the cummulative action of external factors (occupational long-term UV-
exposure), age related disorders, autoimmune disorders and polymedication specific to older age. In
younger patients external infectious factors were mostly responsible for cheilitis, followed by drug-
induced manifestations or allergic reactions.
OP 89 A RETROSPECTIVE ANALYSIS OF SEVEN YEARS OF ORAL BIOPSIES IN

ALBANIA
BRUNILDA CENKOGLU*, MEHDI ALIMEHMETI**, ERISA KOLA**, TEUTA
DIMARELI***, DAJANA COLLAKU***
* Albanian University, Tirana
** Tirana University, Medical Faculty
***Impladental Clinic
Albania
Background: The diseases that affect the oral cavity are wide and diverse, comprising a
broad spectrum of either benign or malignant lesions. Goal: The aim of this study was to carry out
pioneering research, within an albanian population, to determine the frequency and characteristics
of oral malignancies, potential malignant disorders and benign tissues pathologies. Materials and
Method: A retrospective study of oral tissue, oral cavity biopsies, in the histopathology department,
university hospital nene tereza, in tirana between 2010 and 2016 was carried out. Evaluation of
information based on gender, age, location of the lesion and the histopathological diagnosis.
Results: There were examined 1714 oral biopsies of which 704 performed on females and 1010 on
males for an average age of 46. Topographically, the greatest frequency regarding soft tissues
appeared in the labial mucosa region in 296 cases. As type of lesion 914 of them were not
neoplastic, 11 with malignancy potential, 789 neoplasms. The neoplastic lesions were presented
with a prevalence of male sex. The most frequent lesions occurred with a diagnosis of cystic
formation in 451 cases followed by squamous cell carcinomas in 221 cases. Conclusion: The data
obtained in the present sample shows a slight tendency for oral tissue diseases to occur more in
males. This trend is contrary to other studies reported in literature. These results could be explained
by the fact that men tend to seek healthcare providers more often, because of the privilege they
have in albanian society.
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OP 90 ANATOMICAL, PATHOLOGICAL AND IMMUNO-HISTOCHEMICAL

CONSIDERATIONS ON THE TUMORS OF THE ORAL CAVITY AND SALIVARY
GLANDS
ANCA SAVA*, FLORENTA GABRIELA DUMITRESCU**, ALEXANDRU NEMTOI*,
MARIUS HINGANU*, DANISIA HABA*
**Prof. Dr. N. Oblu Emergency Hospital
Romania
Diseases of the head and neck range from the common cold to uncommon neoplasms of
the nose and salivary glands. The diseases are assigned, sometimes arbitrarily to one of the
following anatomic sites: oral cavity, upper airways, ears, neck and salivary glands. Our study
concerns the tumours of the oral cavity and salivary glands. This study was realised on 216 patients
of the "Professor Dr. Nicolae Oblu" Emergency Hospital of Iasi, Romania which presented tumours
of the oral cavity and salivary glands. These patients were examined between first january, 2012
and 31 december 2016. The most common tumour of the oral cavity was the squamous cell
carcinoma, followed by dentigerous cyst, periapical cyst and odontogenic keratocyst. We also
observed some lesions like leukoplakia and erythroplakia, considered like precancerous lesions. We
met also basal cell carcinoma. The salivary glands presented many categories of tumors, from
pleomorphic adenoma and wartin tumor to mucoepidermoid carcinoma and adenoid cystic
carcinoma. These lesions were examined by histo-pathological and imuno-histochemical methods
and staining. The exact diagnosis of these lesions is very important for the prognosis of the clinical
course and the treatment.
OP 91 A GENERAL OVERVIEW OF ORAL MANIFESTATIONS IN HEPATITIS C VIRUS

INFECTION
ALEXANDRU MESTER*, ONDINE LUCACIU*, DAN BUHATEL*, ARANKA ILEA*, LIDIA
CIOBANU**, RADU SEPTIMIU CAMPIAN*
* Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca
** Regional Institute of Gastroenterology and Hepatology “Octavian Fodor”
Romania
Background: Hepatitis C virus (HCV) represents a major health problem. The majority of
infected patients are not able to clear the virus and the chronic phase is established. Besides liver,
HCV may affect other organs, including diverse extrahepatic manifestations. The aim of this study
was to outline the most recent evidence regarding oral manifestations that are possibly associated
with HCV. Methods: A literature search of English language publications was conducted on
Pubmed database, until March 2018, using search terms including “hepatitis C virus”, “oral disease”,
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“oral manifestations”, “extrahepatic manifestation”, “oral aspects”, “oral health”, “oral cancer”. The
relevant articles were evaluated and reviewed. Results: From 1576 entries identified in the search,
a total of 35 articles were considered eligible, comprising 23 systematic reviews, a clinical guide, 5
clinical trials and 6 case-reports. Current literature has stated that oral manifestations such as lichen
planus, gingivitis, periodontal disease, decays, xerostomia, erosion, attrition, deficient oral hygiene,
dental plaque and calculus can reflect liver dysfunction in HCV. However, clinical trials have
indicated that HCV has important implications for patients receiving dental treatment. The most
frequent problem stated are risk of cross-infection, risk of bleeding and risk of toxicity due to the
deficient metabolism of certain drugs. Conclusions: Dental practitioners are likely to face a growing
number of potentially infected patients with HCV. For this reason, it is mandatory for dentists to
diagnose and manage correctly the oral manifestations in HCV patients.
Keywords: hepatitis C virus, oral manifestations, management.
OP 92 INCIDENTAL DISCOVERY OF ORO-PHARYNGEAL CANCERS DURING ROUTINE

UPPER DIGESTIVE TRACT ENDOSCOPY
GHEORGHE G. BALAN, ADRIANA BALAN, VERONICA SERBAN - PINTILICIUC,
ANDRA GAMEN, CARMEN SAVIN
Romania
Background: Upper digestive tract endoscopy is a procedure very frequently performed in
digestive endoscopy laboratories in order to screen and assess luminal lesions of the upper
digestive tract. Despite the fact that video documentation of the oral cavity, pharynx and upper
larynx is possible during upper digestive tract endoscopy, most reports are focused on lesions
below the upper esophageal sphincter. The aim of our study is to highlight that digestive endoscopy
may offer precious information about oro-pharyngeal lesions, specifically malignant or premalignant
ones. Methods and Materials: We present a case series of five patients assessed for digestive
symptoms refractory to first line therapy, with endoscopic diagnoses suggestive for suspect lesions
of the oral cavity and pharynx. Endoscopic assessment using both white light imaging and virtual
chromoendoscopy was performed. Results: All patients were referred to oral surgery evaluation
and diagnoses of either dysplastic or neoplastic lesions were established followed by initiation of
curative oncologic management. Conclusion: Despite the fact that digestive tract endoscopy
procedures have a significant role in the diagnosis and management of luminal digestive mucosal
lesions, endoscopists should always assess the endoscopic aspect of the oral cavity (especially
tongue), pharynx and upper larynx for possible atypical lesions.
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OP 93 PATHOGENESIS OF THE PHLEGMON OF THE MOUTH FLOOR

SIMION LEVCO
Rep. of Moldova
12 - ORAL SURGERY – ORAL MAXILLOFACIAL SURGERY
Introduction: Due to the location of the roots of the lower molars, below the mylohyoid
muscle insertion, the periapical infections diffuse easily to the submandibular space, and from there
it progresses to the sublingual and the submandibular spaces. Inflammation spreads in the
sublingual space, diffusing behind the mylohyoid muscle, between the hyoglossus and genioglossus
muscles. Aim of study: Analysis of the progress of inflammatory processes in the mouth floor
region. Materials and Methods: Analysis of 30 patients who suffered from phlegmon of the mouth
floor, who were hospitalized in the Oral and Maxillo-facial Surgery department of IMSP IMU
Chisinau between the 2016 and 2017 years. Patients were clinically and paraclinically investigated.
Results and Discussion: The infection of the teeth 7 and 8 penetrates the internal cortex of the
mandible, as it is thinner than the buccal cortex. Sometimes the teeth with shorter roots may have
apex above the mylohyoid insertion line and the infection can spread in the sublingual space.
Anaerobic organisms are also isolated when there are necrotic changes in the tissue, due to the
combined effect with interstitial pressure, hypoxia, and bacterial exotoxin effect. Devitalized tissue
serves as a place for the development of anaerobic organisms. The tissue is diffusely infiltrated with
neutrophils and dead histiocytes. Leukocytosis is usually with nuclear polymorphic leukocytes.
Conclusions: 1. In eighty percent of patients, the infection origins from the inferior molars. 2. The
first sign of laryngeal edema is dyspnea. 3. The infection spreads quickly in all the spaces of the
mouth floor.
Keywords: phlegmon, pathogenesis, oral and maxillo-facial surgery.
OP 94 REHABILITATION OF ENDENTULOUS SUPERIOR ARCHES

MIHAELA MITREA, DELIA HINGANU, VALERIU-MARIUS HINGANU, LOREDANA-
LILIANA HURJUI, HORATIU-ALIN NEDELCU
Romania
Background: Implantology allows the restoration of missing or lost teeth by supporting
fixed prostheses or anchoring removable prostheses. This has considerably expanded the
possibilities of treatment and has allowed the patient to gain functional and psychological benefits
and improved comfort, especially compared with conventional removable prostheses. Every
prosthetic rehabilitation aims to restore the stomatognathic apparatus, achieve satisfactory
aesthetics in harmony with the patient’s face and support soft tissue or compensate for loss.
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Material and Methods: In 100 patient (80 women and 20 men) was made the insertion of an
immediate postextraction implant, an immediate temporary reconstruction of the breach and
subsequent realization of a metalceramic crowns on implant. Results and Conclusions: Three
implants was not integrated. Clinical and radiographic parameters were good. One metalceramic
crown was fractured. At the postoperative control carried out at 6 months it was found that implants
were stable without bone loss at radiological exam, the interdental papillae were present. Single
implant placement after extraction in the maxillary aesthetic zone proved to be a procedure with a
high acceptability and satisfaction from the patients. Uploading a single implant in the socket
immediately after extraction shortens the total treatment time, fewer surgical interventions,
preserves the structure of adjacent teeth.
OP 95 BILATERAL ODONTOGENIC MAXILLARY SINUSITIS ASSOCIATED WITH

ORBITAL OSTEITIS – A RARE PATHOLOGICAL ENTITY
HORATIU-ALIN NEDELCU*, IRINA NEDELCU**, VALERIU-MARIUS HINGANU*,
DELIA HINGANU*, MIHAELA MITREA*
** Sf. Spiridon Clinical Emergency Hospital Iasi
Romania
Background: Odontogenic sinusitis is the third cause of acute and chronic mucosal
inflammation of maxillary sinus following rhinogenic and allergic aetiology. Its overall prevalence is
highly variable from 5.5% to 10-15% or even 40-50%, but only 6% is demonstrated to be bilateral.
The predisposing factor for odontogenic sinusitis is the direct contact of molar roots, especially
upper first molar palatal and second mesiobuccal, with maxillary cavity. It could be either periodontal
or endodontic, involving the supporting tissue respectively the dental pulp. One particular etiologic
type is the iatrogenic extrusion of a foreign body during endodontic procedures. Case study: We
report an uncommon case of a 57-year old women diagnosed on multislice computed tomography
scan (MSCT) with chronic bilateral odontogenic sinusitis witch associates left orbital osteitis.
Discussion: The acute maxillary sinusitis is often clinically diagnosed meanwhile the chronic
inflammation is revealed during imagistic exams. The multislice computed tomography and cone
beam computed tomography (CBCT) can differentiate unilateral by bilateral inflammation of sinus
mucosa. Especially CBCT, as a gold-standard imaging technique, shows the odontogenic aetiology
highlighting the apical pathology of the upper molars. Aim: Our case study highlights the
odontogenic aetiology of the maxillary sinusitis, discuss its possible complications and review the
clinical approach.
Keywords: bilateral odontogenic sinusitis, orbital osteitis, CBCT.
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OP 96 AN ANATOMICAL STUDY: THE SEPARATION POINT OF THE LINGUAL AND THE

INFERIOR ALVEOLAR NERVES
ERENGÜL BODUÇ*, OKAN BİLGE**
*Kaskas University, Kars, Medicine Faculty
**Ege Üniversity, Izmir, Medicine Faculty - Turkey
The knowledge of the separation point of lingual nerve (LN) and inferior alveolar nerve
(IAN) from mandibular nerve (MN) should be carefully considered for choosing the best plan for
anesthesia and surgery during oral and maxillofacial procedures. In this study, 20 male cadaver’s
infratemporal fossae were dissected bilaterally. A millimetric scale was placed closely to the
structures to be measured fotogrammetrically by using the Image J 1.49 v software program. The
separation point (Sp) of the MN to the LN and IAN was determined for each side. The mean
perpendicular distances between Sp and intersection point with the inferior border of the zygomatic
arc (Sz) were 17,43±11,17 on the right and 15,95±6,95 on the left. A sagittal line was also drawn
and measured between the inferior rim of the external acoustic meatus and the Sz. The mean
values of this measurements were 35,61±12,09 on the right and 34,81±10,33 on the left. There
were no significant difference between right and left sides statistically (p<0.05). Dentists and oral
maxillofacial surgeons should be suspicious of branching pattern of MN. It is thought that this
cadaveric study may be helpful to locate the nerves in the infratemporal fossa and decrease
possible complications.
Keywords: Mandibular Nerve, Lingual nerve, Inferior alveolar nerve.
OP 97 THE VALUE OF THE STEREOLITHIC MODEL IN ORO-MAXILLOFACIAL

RECONSTRUCTION TREATMENT
DANIELA SULEA, EUGENIA POPESCU, VICTOR VLAD COSTAN
Background: Stereolithic models used for reconstructive purposes are obtained by the
three-dimensional printing of the information resulted from the virtual mirroring of the healthy side on
the defect side by manipulating three-dimensional CT information. The purpose of this study is to
demonstrate our experience regarding the usefulness of stereolithic models in midface and
mandibular defect reconstruction. Material and Methods: We reviewed 8 cases of stereolithic
model use for maxillofacial reconstruction surgery, including 3 midface defects and 5 mandibular
defects. The selected defects were the result of malignant tumor excision in 3 cases and
posttraumatic defects in 5 patients. The stereolithic models were used for the preoperative shaping
of the reconstruction material represented by titanium mesh in three midface defects and in one
mandibular defect, and by a mandibular reconstruction plate in two cases. The model was also
useful for planning and guiding the osteotomy of the fibula flap used for reconstruction in two
mandibular defects. Results: The preoperative shaping of the reconstruction material ensured
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improved results regarding facial symmetry reconstruction for both midface and mandibular defects.
The actual process of modelling was rated easier to perform outside the operating field. The overall
surgery time was decreased. Conclusion: Stereolithic models are useful in achieving more
predictable individualized results regarding facial symmetry restoration. Additionally, they help
reduce surgery time by removing the inconvenience of intraoperative spatial modelling of the
reconstruction material in cases of complex shaped defects.
OP 98 ASSESSING THE ROLE OF THE FACTORS INVOLVED IN THE DEVELOPMENT OF

ORAL CAVITY CANCER
ALEXANDRA CRACANA CARP, ANDREI NICOLAU, EUGENIA POPESCU
Background: Oral cancer is the eighth most frequent type of cancer worldwide determined
by lifestyle and other risk factors. It is associated with severe morbidity, numerous relapses and low
survival rates. Methods and Materials: The study was conducted on a representative sample made
of 811 patients diagnosed with lip and oral cavity carcinomas, admitted to the Oral and Maxillofacial
Surgery Clinic, “Sf. Spiridon” Hospital Iaşi, in a 5 year period. We elaborated a database comprising
the following parameters: demographic data (age, residence, and gender); main favouring factors of
oral cancer (smoking, alcohol consumption, poor oral hygiene). Results: Out of the 811 patients
included in the study, 504 patients (62.14%) identified as smokers or former smokers. 88.28% are
heavy smokers, consuming one or more packs of cigarettes per day; 77.88% smoke for more than
20 years. 399 patients (49.19%) confirmed chronic or occasional alcohol consumption. In addition,
these patients registered a close connection between smoking and chronic alcohol consumption.
From the perspective of oral hygiene, percentages ranged from 54.79% to 78.18%, which stands to
show an increased number of patients with various types of dental and/ or periodontal lesions.
Conclusion: Health education, smoking and alcohol intake control represents a necessary method
to reduce the frequency of this aggressive cancer. The improvement of population screening
methods, the early diagnosis of patients with risk factors, the endowments of units with proper
equipment are mandatory measures that need implementing as soon as possible.
OP 99 BROWN TUMORS OF THE JAWS: AN UNCOMMON EXPRESSION OF

PARATHYROID DISORDERS
ANDRADA RALUCA DOSCAS, MIHAI LIVIU CIOFU, RALUCA DRAGOMIR, VICTOR
VLAD COSTAN
Background: Brown tumors are bony lesions caused by aggressive osteoclastic activity
and trabecular fibrosis due to parathyroid gland dysfunction. The aim of this study is to present the
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development of brown tumors in the jaws as a consequence of primary or secondary

hyperparathyroidism (HPT). Materials and Methods: We analysed 13 cases with brown tumor of
the jaws developed in patients with HPT (3 cases with primary HPT and 10 cases with secondary
HPT), which presented in our Oral and Maxillofacial Clinic for evaluation and treatment of their
lesions. Our patients were 8 females and 5 males, with ages between 13 and 58 years. Results: All
patients were symptomatic and bone deformation was noted in all cases. The brown tumor was
localized in the mandible in 8 cases. The PTH values ranged from 630 pg/ml to 2500 pg/ml. All
patients were referred for parathyroidectomy and in two patients, local excision was performed.
Conclusions: Regression of brown tumors can be achieved by performing parathyroidectomy.
Multidisciplinary follow-up is essential for the control of brown tumors in order to prevent rapid
growth which may lead to severe deformities and functional alterations.
OP STUDY REGARDING THE SUCCESS RATE OF THE PREIMPLANT SURGICAL

100 PROCEDURES USING DIFFERENT XENOGRAFTS MATERIALS
DANA LAZARUC, DORIANA AGOP-FORNA, CLAUDIU TOPOLICEANU, NORINA
FORNA
Background: The improvement of clinical and biological indices of prosthetic fields for
implant candidates is performed frequently by using guided bone regeneration techniques and
xenografts materials. The study aimed to quantify the success rate of preimplant surgical
procedures using various types of xenografts. Materials and Method: The study group included 42
patients candidate to alveolar augmentation performed by Bio-Oss, Cerabone, Smartbone, Hypro-
Oss. The rate of success was investigated by clinical, radiographic and CT exam for 6 months
postoperative. Results: The rate of success for the alveolar augmentation performed by using the
four xenografts materials was between 90% and 94% 6 months postoperative. Conclusions: The
xenografts materials are effective and safe in the bone regeneration techniques performed to
improve the quality of prosthetic fields for implant candidate patients.
OP STUDY REGARDING THE EFFECTIVENESS OF SEDATION TECHNIQUES DURING

101 PREIMPLANT SURGICAL PROCEDURES
MANUEL FLORIN ROSU, DORIANA AGOP-FORNA, CLAUDIU TOPOLICEANU,
NORINA FORNA
Background: The aim of study was to assess the evolution of intra and postoperative
parameters in relation to effectiveness of sedation techniques used during preimplant surgical
procedures. Materials and Method: The study group included 120 patients candidate to preimplant
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surgical procedures to whom sedation techniques were administered by inhalosedation and general
i.v. anesthesia. The effectiveness of the sedation techniques was investigated by using the criteria
as follows: the success of the preimplant/implant surgical procedures; the intraoperative cooperation
level (Venham scale); recovery time. Results: The preimplant surgical procedures are completed in
90% cases treated under inhalosedation, 95% cases treated under sedation by propofol and
fentanyl and in 100% cases under sedation by midazolam i.v. Regarding cooperation, the score 0
(total cooperation) was recorded, at the end of induction stage, in 90% cases treated under
inhalosedation, 81,3% cases treated under sedation by midazolam i.v., and 90% cases under
sedation by propofol and fentanyl. The mean recovery time was 28 minutes for sedation under
midazolam, and 13 minutes for sedation by propofol and fentanyl. Conclusions: The assessment of
intraoperative and postoperative parameters demonstrate that all the investigated sedation
techniques are effective in the performance of the preimplant surgical procedures.
Keywords: sedation, preimplant procedures, safety, effectiveness.
OP SINUS LIFT
102 REFJOLA AHMETAJ
Albanian University, Tirana, Faculty of Medical Sciences
Albania
Pneumatism of sinus due to loss of teeth reduces the ridge height of available bone,
consequently difficulties in gaining a primary stability in implant rehabilitation. The aim of this study
is the assessment of a possible connection between the establishment of small and big sinus lift,
membrane perforation possibilities and implantation in the same session or in a second session.
Material used: Synthetic bone, membrane, X-ray panoramex, CT. Result & Conclusion: The
sinus lift procedure created a bone height suitable for a correct implantation rehabilitation and the
opportunity to perforation of the membranes Schneider are too small.
OP IMAGING IN THE DIAGNOSIS OF MAXILLOFACIAL TRAUMATIC INJURURIES. A

103 COMPLEXE CASE OF MIDFACIAL FRACTURE
CRISTIAN CONSTANTIN BUDACU*, IULIA CHISCOP**, DANISIA HABA*,
Romania
Introduction: Maxillofacial injuries represent asignificant percentage of traumatic lesions,
and they can be solitary lesions or associated with other serious lesions. The conventional imaging
methods such as panoramic radiography in initial evaluation of politraumatized patients has been
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progressively starting to be replaced with modern imagistic investigations, especially computed

tomography exam (CT). The aim of this article is to present the importance of modern radiological
explorations in maxillofacial trauma and its contribution to appropriate medical and surgical
management of the patients. Methods and Materials: We present a complex case of
politraumatized patient that was admitted to MaxilloFacial Surgery Clinic of the „St. Spiridon”
Hospital Iasi for a comminuted midfacial fracture. In this case, modern imagistic explorations had an
important role in the diagnosis and surgical management. Results: Midfacial fracture morphology is
often complex and conventional imaging techniques are not sufficient for diagnosis and treatment
planning. The extensions of the fracture lines and degree of displacement are more accurately
assessed by computed tomography scan. Conclusions: Midfacial fractures are complex injuries
and necessitate accurate and complete disgnosis in order to avoid subsequent disability caused by
inappropriate treatment. CT scan is one of the most important steps in evaluation of complex facial
fractures and is considered to be the Gold Standard in the assesment of politraumatized patients.
Keywords: Midfacial fracture, computed tomography, maxillofacial traumatology.
OP THE MAXILLAR NARROWINGS – FREQUENCY, DIAGNOSIS, TREATMENT

104 SABINA CALFA
Rep. of Moldavia
Aim: To study and to analyze the bibliographic data regarding the maxillar narrowings and
their frequency, diagnosis and treatment. Methods and Materials: We studied bibliographic data to
obtain information about the frequency of maxillar compression, the establishing of full and correct
diagnosis as well as the retrospective analysys of orthodontic treatment methods. Results: The
maxillar compression frequency grows together with the age; this fact can be correlated with the
eruption’s rithm, the long persistence of oral respiration and other factors. The patient’s clinical
examination represents a key factor in diagnosis of maxillar compression, the patients’ clinical
aspect being very specific. The functional examination made to the patients with such a
malocclusion shows the ethiopathogeny and the chronological tactic of treatment. The treatment of
patients with maxillar compression must be correlated with the patient’s age, the compression’s
gravity and the anomalie’s ethiopathogenesis. Conclusions: 1. The analysis of maxillar narrowings
frequency correlated with the childrens’ age shows the incidence’s increasing directly proportional
with the age. 2. The study of diagnosis methods in maxillar narrowings estimates the complexity of
diagnosis methods necessary to confirm the complete and correct diagnosis, in order to evaluate
the treatment tactic. 3. The estimation of orthodontic treatment methods of maxillar narrowings is
correlated with the obtaining of esthetic and functional results, with a minimal risk of recidive.
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OP BRONCHIAL ASTHMA - A CHALLENGE FOR MODERN ORAL SURGERY

105 OANA ELENA CIURCANU, DORIANA AGOP FORNA, MONICA MIHAELA SCUTARIU
Romania
The modern dentistry highlights the conservative and preventive side, redefining its
objectives and priorities, promoting the oral health to populational level, avoiding the risks and
improving the life quality. The literature data highlights the implications of the bronchial asthma in
the dental treatments and especially in the oral surgical procedures. The selction of this issue is due
to the increase of the prevalence and incidence of the bronchial asthma in romanian population as
well as the increase of the number of the patients with this pathology that are treated by dentists.
The study was performed in the Oro-Maxillo-Facial Surgery Clinic Iassy. The study group included
366 patients (aged 13-91; 54% males, 46% females) diagnosed with bronchial asthma from a group
of 549 patients affected by lung, in time interval 1.10.2013-31.06.2017. The study of the personal
medical history found a various associated pathology (heart diseases, kidney disorders,
neurological and mental disorders, digestive disorders, haematological disorders). The knowledge
of the patients condition and interdisciplinary approach by collaboration with other disciplines
(pulmonary, allergology) creates the prerequisite for a complete clinical exam that will guarantee a
proper diagnostic and an individualised therapeutic plan.
OP CONE-BEAM COMPUTED TOMOGRAPHY EVALUATION OF ANGULAR AND

106 LINEAR FEATURES OF MANDIBULAR IMPACTED CANINES
MEHMET AYDIN, RIDVAN OKSAYAN, FATIH KAHRAMAN, IBRAHIM SEVKI
BAYRAKDAR, ILHAN METIN DAGSUYU
Osmangazi University, Eskisehir, Faculty of Dentistry
Turkey
13 - ORTHODONTICS
Objective: The aim of this study was to evaluate the localization, angulation and
descriptive features of mandibular impacted canines through the use of cone-beam computed
tomography (CBCT). Material and Methods: In our study, CBCT scans of 54 mandibular impacted
canines examined among 42 patients (13 male, 29 female; mean age 20.66 +/– 11.56 years). The
following impacted canine related parameters were analyzed in CBCT images: impaction side,
localization, occlusal plane and midline distance to impacted canines, and angulation of impacted
canine to midline and occlusal plane. Results: In all, 27 mandibular impacted canines were located
in the right side and 27 canines in the left side. Bilateral canine impaction was found in 12 subjects,
and 30 subjects had sustained unilateral canine impaction. Even though p value is greater than 0.05
(p=0.07), there were differences between midline distances to impacted canine crown tip on the left
and right side compared to other distance parameters. There were no statistically significant
differences between the angulation of right and left mandibular impacted canines to midline and to
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occlusal plane (p>0.05). Conclusions: Impaction on both sides showed no statistically difference
with regard to both distances and angulations to occlusal plane and to midlines even though
impacted canines on the left side in the mandibula had a tendency to be closer to the midline
relatively. Lineer and angular measurements of impacted teeth examined with CBCT provide more
reliable data than conventional radiographs.
OP DOES ACRYLIC CAPPING MODIFICATION TWIN BLOCK INHIBIT THE

107 PROCLINATION OF LOWER ANTERIOR TEETH
BURCIN AKAN, GOKCENUR GOKCE
Turkey
13 - ORTHODONTICS
Objective: The purpose of this research; to examine and compare the effects of two
different designs of the Twin-Block (TWB) appliance on the position and angle of the lower teeth.
Materials and Methods: A total of 30 individuals during the growth and development period with
Class II Division 1 malocclusions were included in our study. Individuals were randomly divided into
2 groups to apply the TWB apparatus containing acrylic or crochet in the lower cut zone. The
analysis of cephalometric films from individuals were evaluated at pre-treatment (T0) and post-
treatment (T1) to determine the changes of yhe lower teeth. Shapiro Wilk and Bi-directional variance
analysis were used for the analysis of the data. Results: Statistically significant difference was
found in all measures expressing lower teeth positions in T1 in both groups (p <0.005). Among the
groups at T1; IMPA, L1 / NB and Md1 / MdOP angular values were found statistically significant (p
<0.005). Conclusion: It was found that the acrylic capping design of the TWB appliance was
effective on the lower teeth proclination.
Keywords: Twin Block, Lower teeth, Class II treatment.
OP VOLUMETRIC CHANGES IN NASOFARENGEAL AIRWAY WITH COMBINED USE

108 OF RAPID MAXILLARY EXPANSION AND FACEMASK TREATMENT
ERSIN YILDIRIM, SENIZ KARACAY
Turkey
13 - ORTHODONTICS
Objective: To investigate short-term changes in the volume of posterior airway, nasal
airway and maxillary sinuses after rapid maxillary expansion (RME) and facemask (FM) combined
treatment in Class III maxillary-deficiency by using Cone Beam Computed Tomography (CBCT).
Materials and Methods: This study was carried out on CBCT images of twenty eight patients (15
male; mean age 13.74±1.26 years, 13 female; mean age 13.5±1.33 years) that were taken before
(T0) and after treatment (T1). All of the patients were treated with the combined use of banded RME
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appliance and FM. Hyrax screw was activated twice a day until the desired expansion was
achieved. The appliance was left in place during the retention period of three months. The patients
began to use FM on the first day of RME. 800gr force was applied for maxillary protraction by
extraoral elastics attached from hook of first premolar bands to FM. It was used full day except
feeding. CBCT scans were taken before treatment and after retention period to evaluate shortterm
alterations in the posterior airway, nasal airway and maxillary sinuses volume. Results: In the
evaluation of volumetric airway dimensions, statistically significant increases were determined in the
posterior airway space, nasal airway. Comparison of gender differences was insignificant for all
measurements. Conclusion: Combined use of RME and FM has a potential to increase the volume
of posterior airway, nasal airway.
OP COMPUTER AIDED ORTHODONTICS - THE WORKFLOW OF TREATMENT

109 SOLUTIONS
LILIANA-GABRIELA HALITCHI*, DANIELA IVONA TOMITA*, CODRUTA ILIESCU**,
STELIAN CIOBANU*, OANA MARIA DARABA*
*Apollonia University, Iasi
Romania
13 - ORTHODONTICS
The study models used in orthodontic diagnosis and orthodontic treatment planning was
traditionally based on the plastic models that necessitate storage space of 17m3 for 1000 patients
and are disadvantaged by the possibility of loss, fracture or degradation. Digital storage eliminates
inherent physical storage issues and has potential benefits: instant accessibility to 3D information
without the need for classic manual search of the model in storage, ability to correctly and easily
execute a set-up diagnosis to assess and schedule the required extraction balance, virtual images
can be transferred anywhere in the world for interdisciplinary consultation in real time. However, the
potential benefits are negated if linear and virtual measurements are not similar to those realised on
plaster models routinely used in the dental office. Digital models gain interest in front of classical
orthodontic models., but the potential benefits of digital models may be lost if the validity, efficiency
and easy linear and angular measurements on virtual models are not comparable to those that can
be done on classic models. It is most likely that the orthodontists will go behind the computer for
virtual patient diagnosis on virtual models, CBCT, but also for planning and performing treatment.
OP PREVALENCE AND DISTRIBUTION OF ROOT RESORPTIONS AND

110 CALCIFICATIONS AFTER ORTHODONTIC TREATMENT
YASEMIN NUR KORKMAZ, BURAK SARIOGLU, ZELIHA UGUR AYDIN
Abant Izzet Baysal University, Bolu, Faculty of Dentistry
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Turkey
13 - ORTHODONTICS
Objective: The aim of this study was to investigate the prevalence and distribution of root
resorptions and calcifications after orthodontic treatment. Materials and Methods: The pre- and
post-treatment panoramic radiographs of 504 patients (182 males, 312 females) who underwent
orthodontic treatment with fixed appliances were analyzed. The prevalence of root resorptions and
root calcifications of the incisor, canine, premolar and molar teeth were identified. Pearson chi-
square test was used to compare the frequency of root resorption and calcifications between males
and females. Results: There was no significant difference in terms of total root calcification and root
resorption numbers according to gender (p>0,05). The incidence of root resorption in molar teeth
was found to be significantly higher in male patients (p˂0,05). No significant differences were found
in terms of root resorption according to gender in the other tooth groups (p>0,05). 80.1% of females
and 82.4% of males had root resorption following orthodontic treatment. Root resorption was
observed in 75.1% of the incisors, 19.2% of the canines, 20% of the premolars and 14.8% of the
molars. There was no significant difference regarding root calcifications after orthodontic treatment
according to gender (p>0,05). Root calcifications were observed in 6% of the incisors, 0.8% of the
canines, 15.6% of the premolars and 73% of the molars. Conclusion: Total prevalence of root
resorption (80.9%) and calcifications (69%) were relatively higher after orthodontic treatment
compared to pretreatment. While root resorptions were most common in the incisors, calcifications
were most common in the molars after orthodontic treatment.
OP EVALUATION OF STYLOID PROCESS BETWEEN SKELETAL CLASS I AND

111 CLASS II MALOCCLUSION
TURKAN SEZEN ERHAMZA
Turkey
13 - ORTHODONTICS
Aim: The purpose of this study was to investigate the length of styloid process (SP) in
different skeletal patterns. The null hypothesis of this study was that there is no difference between
the length of the SP in skeletal Class I and Class II anomalies. Methods and Materials: Digital
panoramic radiographs of 580 patients were examined. 109 of them (56 female, 53 male, with a
mean age of 12,76±1,94 years, between 8-18 ages), which SP can be visualized, were evaluated
retrospectively. Class I group included 52 subjects (0≤ANB≤4) and Class II group included 57
subjects (ANB˃4). The apparent length of the SP was measured from the base of the tympanic
plate to the tip of the SP. The data were analyzed using Student’s t test. Results: Length of right
and left SP was found difference statistically significant between Class I and Class II group (p˂0,05).
The mean length of the right and left SP was 30,28±9,93 and 31,09±9,93 in Class I group,
34,72±5,75 and 34,55±6,13 in Class II group, respectively. There were no statistical differences in
the values of SP length in both of side between genders. Conclusion: The null hypothesis was
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rejected. Panoramic radiography must be carefully evaluated for SP in patients with Class II skeletal
patterns. It should be taken into consideration that the risk of eagle syndrome in skeletal Class II
malocclusion may be higher. When the patient has a temporomandibular joint disorder, not only the
problem but also the length of SP should be considered.
OP CONTRIBUTION OF TOOTH SIZE AND ARCH DIMENSION TO DENTAL

112 CROWDING
NATASA TOSESKA-SPASOVA*, BILJANA DZIPUNOVA*, LJUBA SIMJANOVSKA*,
ANETA ATANASOVSKA-STOJANOVSKA*, ZORAN SPASOV**
*University "St.Cyril and Methodius",Skopje, Faculty of Dentistry
**Private Practice
FYROM
13 - ORTHODONTICS
Aim: The aim of this study is to examine the extent to which tooth size or arch dimensions
contribute to dental crowding. Material and Methods: Dental casts of 60 patients with an age range
of 14-18 years, divided into two groups were selected.The first group consisted of 30 pairs of study
models with Class I malocclusion without crowding.The second group of 30 pairs of study models
exhibited Class I malocclusion with severe crowding (>5mm).The measurements were made by
calipers calibrated to 0.1mm. The following parameters were measured and used to compare the
two groups: individual and collective mesiodistal tooth width, buccal and lingual inter-canine width,
buccal and lingual inter-mollar width, dental arch length and perimeter of both arches. Results: No
significant differences (p>0.05) were found in tooth size between the non crowded and crowded
group. Statistically significant differences (p<0.05) were found in the arch width measurement of
crowded and non crowded groups, particularly lingual arch width at the inter- canine and inter -molar
area. The arch width of non crowded group was generally larger than crowded group.Significant
differences(p<0.05). were found in the arch length measurement between the crowded and non
crowded. Arch length was also found greater in noncrowded arches as compared to crowded
group.There was no significant differences in arch perimeter between the two groups.
Conclusions: The results of this study suggest that arch width and arch length are associated
factors in contribution of dental crowding.
OP TO EVALUATE THE KNOWLEDGE OF DENTISTRY STUDENTS ABOUT

113 ORTHODONTICS AS A SPECIALTY
MERYEM ESMA AKMAN, AYSEGUL GULEC, MERVE GOYMEN
Turkey
13 - ORTHODONTICS
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Background: Nowadays awareness of orthodontic malocclusions is popular in our society

which in fact waiting to be well directed for treatment. However, the orientation of patients who need
orthodontic treatment is still not done well enough by dentists. Orthodontic knowledge of non-
graduate students is important for future direction of the patients for true treatment options.
Objective: To assess the knowledge and the awareness of the effects of malocclusion among
dental students at the Gaziantep University Faculty of Dentistry. Materials and Methods: This
study was conducted using a self-administered questionnaire. A total of 392 dental students
participated in the study. Frequency counts were generated for all variables and measures.
Results: Majority (71.9%) of participants were in preclinical years, while 28.1% were in clinical
years of their education. 55.8% of the respondents had a previous dental experience. Concerning
the treatment procedures used in orthodontic clinics, all students correctly answered that
rearrangement of teeth. In addition 4.3% of respondents think that orthodontists make fillings, 6.6%
extractions and 4.8% scaling and root planning. When asked to identify the appliances used in
orthodontics, 4.8% selected dentures, 63.5% selected removable appliances, and 82.9% selected
braces. Conclusion: The dental students surveyed that they had limited knowledge of orthodontics
as a specialty. Getting at least a basic orthodontic training in order to make decisions about the
patients’ treatment modalities in their future professional lives is still important.
OP ORTHODONTIC-SURGICAL TREATMENT OF A PATIENT WITH SKELETAL CLASS

114 III MALOCCLUSION AND ANTERIOR OPENBITE - CASE REPORT
LEYLA CIME AKBAYDOGAN, ZELIHA MUGE BAKA
Turkey
13 - ORTHODONTICS
Background: In this case report, we represent the orthodontic treatment combined
bimaxillary orthognathic surgery of a patient with a skeletally Class III malocclusion and anterior
openbite. Methods and Materials: A 18-year-old male patient was referred to our clinic with the
complaints of prognathic mandible. He could not close his teeth and he had lip incompetence due to
his open bite. In the clinical examination, he had concave profile, skeletal openbite, vertical growth
model, mandibular prognathia with maxillary retrognathia and chin asymmetry. Occlusal
examination showed bilateral Class III malocclusion with posterior cross-bite and anterior open-bite.
In the treatment planning of the patient, it was decided to perform bimaxillary orthognathic surgery.
With fixed orthodontic treatment, the teeth were leveled, and the incisor angles were brought to their
ideal location and the patient was prepared for surgery. According to cephalometric and pre-surgical
evaluation, maxilla 4 mm forward and 15° clockwise rotation with LeFort 1 osteotomy, mandibula 9
mm backwards with bilateral sagittal split osteotomy were established. Results and Conclusion:
As a result of orthodontic treatment combined with orthognathic surgery, skeletally Class III
malocclusion and mandibular asymmetry were corrected. Class I molar and canine teeth
relationship and an ideal occlusion was reached with maximum intercuspidation. Orthodontic
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treatment with orthognathic surgery in skeletally Class III cases is a treatment option which gives
functional and aesthetically pleasing results.
OP TREATMENT OF A CLASS III MALOCCLUSION WITH RAPID MAXILLARY

115 EXPANSION AND REVERSE HEADGEAR
EMEL BICAN GEÇGEL, LEYLA ÇİME AKBAYDOĞAN, ZELIHA MÜGE BAKA
Turkey
13 - ORTHODONTICS
Background: Approximately 5% of the white population exhibits skeletal Class III
malocclusion (1), characterized by either mandibular protrusion, maxillary retrusion, or a
combination of the two (2). Protraction headgears are commonly used in the treatment of Class III
malocclusion characterized by maxillary retrognathism. This case report presents the reverse
headgear (RHG) therapy combined with rapid maxillary expansion (RME) in a Class III patient.
Methods and Materials: 12 years old female patient referred to our clinic with the chief complaint of
high vestibule canine. Clinical examination revealed concave profile, chin prominence, Class III
molar relationship, transverse maxillary deficiency and wide buccal corridors. It was decided to
apply RHG combined with RME. First RME appliance was activated twice per day in the first week
to overcome the resistance of the sutures and once per day after the sutures were mobilized. At the
same time RHG was performed with a 800-1000 gram force and used approximately 22 hours/day.
The cooperation of the patient was excellent during treatment. RME-RHG therapy lasted 5 months
and continued with fixed orthodontic treatment. Results and Conclusions: Total treatment time
was 1 year 8 months. At the end of treatment, Class III malocclusion was corrected, ideal overjet
and overbite were obtained, the profile was improved. Satisfactory results were obtained by using
RME-RHG combination and fixed orthodontic therapy. RME+RHG combination can be used as an
effective treatment method in growing Class III patients with transverse maxillary deficiency.
OP CEPHALOMETRIC EVALUATION OF THE EFFECTS OF TWIN-BLOCK APPLIANCE

116 IN SUBJECT WITH CLASS II MALOCCLUSION
OZLEM INCE, BANU KAHRAMAN, RIDVAN OKSAYAN
Turkey
13 - ORTHODONTICS
Objective: This study aims to evaluate the effects of Twin-Block appliance on skeletal,
dentoalveolar and soft tissue variables in Class II division 1 subjects. Material and Methods: Pre
and post-treatment lateral cephalograms of 15 Class II division 1 malocclusion patients (9 males, 6
females (mean age: 11,89 +/- 1,02) were compared to evaluate skeletal, dentoalveolar and soft
tissue changes. All patients used the appliance full time for a period of 6-10 months. Dentoalveolar,
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skeletal and soft tissue cephalometric parameters were evaluated with Dolphin tracing software
programme (v11.9) (Dolphin Imaging and Management Solutions, Chatsworth, CA, USA). Paired
samples t-test were used to compare the differences between pre-treatment (T1) and post-
treatment (T2) measurements. All statistical analyses were performed at the 0.05 significance level
with MedCalc Software for Windows (v17.5) (Broekstraat, Mariakerke, Belgium) statistical
programme. In addition, all appliances incorporated a midline expansion screw which was activated
0.25 mm twice a week by means of slow expansion technique until adequate expansion performed.
Results: When compared results between T1 and T2 measurements, there was a significant
decrease in ANB angle (p < 0.05), wits apprasial (p < 0.05), upper lip to E- plane (p < 0.05). There
was significant increase in SNA angle (p <0.05), SNB angle (p 0.05), FMA (p > 0.05), lower lip to E-
plane (p > 0.05). Conclusions: Twin-Block appliance improves dentoskeletal features and facial
esthetics in Class II Division 1 malocclusion with the aid of functional changes in condylar and
muscular structures.
OP THE EFFECT OF DIFFERENT SURFACE TREATMENTS OF ZIRCONIA CERAMICS

117 FOR SHEAR BOND STRENGTH OF BRACKETS
CANAN GICIR, RIDVAN OKSAYAN, HAKAN ÖZDEMİR
Turkey
13 - ORTHODONTICS
Purpose: The aim of this in vitro study was to compare the shear bond strength of metal
orthodontic brackets bonded to zirconia surfaces with different surface treatments. Materials and
Methods: Zirconia samples were prepared by 3D CAD/CAM then randomly divided into 4 groups
according to surface modifications (Group I: Er: YAG laser, Group II: Nd: YAG laser, Group III: Air
abrasion with silica coated aluminum oxide (CoJet), Group IV: Hydrofluoric acid). After application of
surface modifications, central incisor brackets were bonded to zirconia surface. Then subjected to
thermocycling 2000× between 5°C and 55°C The shear bond strength of each sample was
measured using universal testing machine at crosshead speed of 1mm/min. The non-parametric
Kruskal–Wallis and Mann–Whitney U statistical tests were applied to analyze the significant
differences among and between the groups. Results: The results showed that surface modifications
significantly affected shear bond strength. Shear bond strength of Group III (7,42 MPa) was
significantly higher than those of other groups. Group IV (3,58 MPa) was significantly lower than
those of other groups. (0,05P) Conclusion: Air abrasion with silica coated aluminum oxide group
seems to be the most suitable surface treatment to be applied to zirconium surfaces in terms of high
bond strength and safety. Er: YAG and Nd YAG laser irradiation can be considered as more suitable
alternatives for HF acid etching for zirconium surface treatment before bracket bonding.
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OP CONE-BEAM COMPUTED TOMOGRAPHY EVALUATION OF EFFECTS OF MINI-

118 SCREW AIDED RAPID MAXILLARY EXPANSION ON NASAL STRUCTURES
GAMZE CAGLA URUC, GULSEN KACIRA KESKIN, RIDVAN OKSAYAN, ILHAN
METIN DAGSUYU
Turkey
13 - ORTHODONTICS
Objective: Rapid maxillary expansion (RME) is commonly used to correct maxillary
transverse deficiency. The aim of this study was to evaluate the change of the nasal septum and
nasal structures during the RME procedure with using cone-beam computed tomography (CBCT).
Material and Methods: This retrospective study included 23 patients (12 female, 11 male; mean
age 12,81 +/- 1,68) treated with mini screw assisted RME. The deviation of the nasal septum and
changes of the nasal structures after RME was evaluated by comparing cephalometric and 3D
measurements between pre- and post- treatment computed tomographic images. RME appliance
was activated twice a day until essential maxillary expansion is obtained. The mean active
expansion period was 21,97 days. Posteroanterior cephalometric parameters were evaluated with
Dolphin tracing software program (v11.9) (Dolphin Imaging and Management Solutions, Chatsworth,
CA, USA). Septum deviation was evaluated with Simplant O&O dental software program
(Materialise, Leuven, Belgium). Paired samples t-test were used to compare the differences
between the pre-treatment (T1) and post-treatment (T2) measurements. All statistical analyses were
performed at the 0.05 significance level with MedCalc Software for Windows (v17.5) (Broekstraat,
Mariakerke, Belgium) statistical program. Results: When compared results between T1 and T2
measurements, there was a significant increase in Nasal Width, Maxillary Width, Nasal Height (p
0.05). Conclusions: Our study showed that nasal dimensions were improved significantly after
mini-screw aided RME. In addition to this, there were not significant differences with RME treatment
on nasal septum linear measurements.
OP CLINICAL STUDY OF PERIODONTAL PARAMETERS EVOLUTION DURING

119 ORTHODONTIC TREATMENT
RAZVAN LEATA, CERASELLA DORINA SINCAR, MIOARA DECUSARA, GABRIEL
POPA
Romania
13 - ORTHODONTICS
Introduction: Dento-maxillary abnormalities are an important factor affecting periodontal
health, one of the goals of orthodontic treatment is to promote better dental health. Orthodontic
treatment improves oral hygiene by correcting dental malpositions and reducing occlusal trauma.
The placement of some components of orthodontic appliances (brackets, clasps, labial bows) near
the gingival sulcus and a poor oral hygiene can cause the bacterial plaque to accumulate, affecting
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the periodontal health condition. Aim of the study: The purpose of this study was to clinically assess
the evolution of the relationship between orthodontic therapy and gingival health. Material and
Methods: The study group comprised 31 patients with dento-maxillary abnormalities treated with
orthodontic treatment. In 20 patients, was applied fixed orthodontic treatment and, at 11, functional
mobile device. In these patients a periodontal clinical examination was performed at different times
throughout the orthodontic therapy. Results: In this study, it was observed that plaque index values
and those of gingival inflammation increased in all patients between baseline and end of treatment.
These increases were statistically significant in patients treated with fixed orthodontic appliances.
Conclusions: Regardless of the quality of bacterial plaque control, patients undergoing orthodontic
treatment have an increased risk of developing generalized gingivitis in a short time the most
common cause being the accumulation of bacterial plaque due to poor oral hygiene. The duration
and type of orthodontic treatment significantly influenced the development of this type of pathology.
Keywords: orthodontic treatment, bacterial plaque, gingivitis..
OP DENTAL AGE ESTIMATION BY DEMIRJIAN DURING ORTHODONTIC TREATMENT

120 ON TURKISH CHILDREN
SERKAN ÖZKAN
Ordu University
Turkey
13 - ORTHODONTICS
Aim: The present study aimed to correlate the chronological age (CA), dental age (DA) and
evaluate if the treatment time affects the discrepancies between the CA and DA using Demirjian’
method in orthodontic patients. Methods: A total of 230 panoramic radiographs of orthodontic
patient’ were evaluated and only 75 subjects aged 10-15.99 years were included for this study. All
subjects were divided into three groups, as it will be 25 individuals in each group, considering their
treatment time; G1: 0-1 year orthodontic treatment time G2: 1-2 years orthodontic treatment time
G3: 2-3 years orthodontic treatment time. Dental age was calculated and scored using Demirjian
method. Mean differences between the estimated DA and CA at the end of the treatment were
compared using One Way ANOVA test and also a Spearman’s Correlation was conducted for the
CA and the estimated DA correlations. Results: One way ANOVA results showed there was no
difference between the treatment time groups considering the difference between DA and CA (p =
0.071). Also there was a strong positive correlation between CA and DA in each group with the
lowest rank of rs = .544. Conclusion: Orthodontic treatment doesn’t affect the discrepancies
between the CA and DA which is calculated with Demirjian Method.
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OP EFFECTS OF POSTERIOR INTRUSION WITH ZYGOMATIC ANCHORAGE ON SOFT

121 TISSUE
BURÇIN AKAN, BEYZA KARADEDE, AHMET OGUZ SAHAN, RANA KIZILTEKIN
Izmir Katip Celebi University
Turkey
13 - ORTHODONTICS
Objective: Skeletal anchorage systems were developed for tooth movements and
anchorage in especially adolescents or adults. Anterior open bite treatment in individuals with
growth completion is quite difficult. The posterior intrusion mechanics provided by skeletal anchors
are considered to be able to reach the targeted intrusions. In addition, there is no need for patient
co-operation and the dental side effect is minimal. The aim of this study was to evaluate the effects
of intrusion of the maxillary posterior teeth with zygomatic anchorage on the dentofacial and soft
tissue. Subjects and Methods: The study group was composed of 19 subjects with anterior open-
bite patients who intrusion of the posterior dentoalveolar segment using an acrylic appliance
supported by bilateral zygomatic mini-plates.The study was carried out on lateral cephalograms of
the subjects taken before treatment and after intrusion. Results: Cephalometric changes obtained
with upper molar intrusion were statistically significant (p< 0.05). ANB, Wits, SN-GoGn, PP-MP,
ANS-Me, NA-APo, SN-OP, U1-OP, U6-NF, overjet and overbite values were also found to be
statistically significant. Conclusion: Posterior dentoalveolar intrusion by zygomatic anchorage is an
effectively method for anterior open-bite treatment. Although overbite and vertical skeletal
measurements changed due to posterior dentoalveolar intrusion, soft tissue didn't statictically affect.
Key words: open bite; zygomatic anchorage; posterior dentoalveolar intrusion.
OP EFFECTS OF DIFFERENT BLEACHING METHODS ON SHEAR BOND STRENGTH

122 OF ORTHODONTIC METALLIC BRACKETS
SAHAND GHAFFARI, MEHMET BULBUL, RIDVAN OKSAYAN
13 - ORTHODONTICS
Objective: The aim of this study was to evaluate the effects of different bleaching methods
on the shear bond strength of orthodontic brackets. Materials and Methods: Thirty extracted
human upper permanent premolars were randomly assigned into three groups. The bleaching
procedures were performed using 16 % carbamide peroxide with potassium nitrate and flouride ion
(Opalescence PF, Ultradent, USA) in Group 1 and 40% hydrogen peroxide(Opalescence BOOST,
Ultradent, USA) was used in Group 2. In the control group, no bleaching treatment was performed.
Two weeks later, brackets were bonded to enamel surface. The shear bond strengths of the
brackets to the teeth were measured with universal shear bond strength machine (Esetron,
Moddental, Turkey). Data was analyzed by Kruskall Wallis and Mann-Whitney U statistical tests.
Results: Shear bond strength of the brackets to the teeth were 5.53 +-1.25 in group 1, 3.96 ± 0.96
in group 2, 8.41 ± 1.50 in control group. Significant differences were found between control group
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and all other groups (P < 0.05); and also between groups 1 and 2 (P < 0.05). Conclusions: The
bleaching procedures using 16 % carbamide peroxide and 40% hydrogen peroxide significantly
decreased shear bond strength of brackets to the permanent teeth.
OP COMPARISON OF CEPHALOMETRIC MEASUREMENTS PERFORMED WITH A

123 SMARTPHONE APPLICATION AND A COMPUTER SOFTWARE
NEHIR CANIGÜR BAVBEK, GAMZE METIN GÜRSOY, ERDAL BOZKAYA
Gazi University, Ankara - Turkey
13 - ORTHODONTICS
Background: The aim of this study was to compare the cephalometric measurements
performed with the aid of smartphone application and computer software for cephalometric tracing.
Methods and Materials: Twenty-five digital cephalometric radiographs were randomly selected
from the archives of Gazi University, Department of Orthodontics. The digital radiographs were
saved as JPEG files in the computer and sent as email attachments to be reached via a
smartphone. Eight angular and two linear measurements were performed based on 17
cephalometric landmarks using both the CephNinja Pro application and Dolphin Imaging software.
One researcher performed all cephalometric analyses with a sequence of ten tracings per day over
five days to avoid examiner fatigue. Paired T-test was used for statistical analyses at a significance
level of p<0.05. Results: When compared to the analyses with computer software, the mean values
for ANB (A point-Nasion-B point)(p=0.023), SN/OP (Sella-Nasion/Occlusal plane) (p=0.031), and
U1/L1 (interincisal) (p=0.014), angles were significantly higher whereas U1-NA (Upper
incisor/Nasion-A point) (p=0.003) and L1-NB (Lower incisor/Nasion-B point) (p=0.002) angles were
significantly lower for analyses with smartphone application. Out of ten measurements, only five of
them (50%) were found to be statistically similar between two methods. Conclusion: Fifty percent
accordance was found for cephalometric measurements acquired from the smartphone application
and the computer software and statistically significant differences were observed. Still, the
smartphone technology may be a good alternative for quicker and easier access to cephalometric
analysis.
OP ASSESSMENT OF ORTHODONTIC TREATMENT OUTCOMES. EARLY VERSUS

124 LATE TREATMENT
LOREDANA GOLOVCENCU, GEORGETA ZEGAN, DANIELA ANISTOROAEI
13 - ORTHODONTICS
Background: The timing of orthodontic treatment remains a continuous debate for
orthodontics. Does it worth the effort of beginning the orthodontic treatment in childhood for a better
and easier esthetic or we should wait until permanent dentition completion in order to avoid two
stage treatment? Which are the criteria for this decision to be taken? Materials and Methods: The
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patients presented in our report were divided in two groups: one group is with growing orthodontic
patients with different malocclusions and the other one is with non growing patients treated for
similar malocclusions like the previous ones. All patients have the complete orthodontic file
consisting of specific records: clinical findings, dental casts analysis, orthopantomography, lateral
cephalometrics. A comparative study was performed between two groups. Results: All the patients
taken into study exhibit considerably improvement in dental and facial esthetics and proper
occlusion and oral function. The early orthodontic treatment group benefit from favorable growth
pattern changes with long term dento-skeletal effects and a longer treatment period, while the
patients from non growing orthodontic treatment group were treated with standard orthodontic fixed
appliances and the results were obtained mainly by dento-alveolar changes. In some difficult cases
combined orthodontic and surgical treatment was necessary. Conclusion: The decision of early
versus late orthodontic treatment depends on clinician’s experience, the growth stage at the first
appointment, orthodontic diagnostic and individual choice between different treatment options of
treatment.
Keywords: Early, late orthodontic treatment.
OP COMPARISON THE DIFFERENT TYPES OF BONDING TECHNIQUES EFFECTS ON

125 WHITE SPOT LESION FORMATION
TANER OZTURK*, ONUR AYKAN ATILLA**, MUSTAFA MURAT ERUZ***, AHMET
YAGCI*
*Erciyes University, Kayseri, Faculty of Dentistry; **Osmanli Dental Center, Ministry of
Health; ***Private Practice
Turkey
13 - ORTHODONTICS
Background: White spot lesions (WS) are a frequent side effect of the fixed orthodontic
treatment. This prospective study aimed to evaluate any difference between the formation of white
spot lesion with indirect and direct bonding in patients who treated by fixed orthodontic treatment.
Material and Method: The records of 20 patients evaluated who were randomly distributed among
the groups as indirect bonding group (n:10) and direct bonding group (n:10). All patients were
treated with non-extraction orthodontic treatment throughout a mean of 1,5±0,6 years. The records
were taken by the quantitative light-induced fluorescence (QLF) method to determine enamel
demineralization before and after treatment in the study. The images analyzed and fluorescence
changes (ΔF, ΔFmax, ΔQ and WS area) were recorded. Statistical evaluation of differences
between groups at the end of treatment was made by Mann-Whitney U test. Wilcoxon signed rank
test was used for intra-group comparisons. Results: After treatment, direct bonding group had a
significantly higher value of fluorescence loss compared to indirect bonding group (p<0,05). In the
indirect bonding group, there was only a significant WSL formation in left mandibular canine.
Conclusion: The use of indirect bonding techniques at the beginning of orthodontic treatment can
reduce WSL formation.
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Keywords: white spot lesion, bonding technique, fluorescence loss.
OP 3-DIMENSIONAL SOFT TISSUE ANALYSIS OF PATIENTS TREATED WITH FIXED

126 PALATAL CRIB APPLIANCE
TANER OZTURK, NISA GUL AMUK
Turkey
13 - ORTHODONTICS
Background: The aim of this study was to evaluate the effects of fixed palatal crib
appliance (FPCA), which was used to eliminate bad oral habits in mixed dentition, on soft tissue
structures regarding lips. Material and Method: Eight patients (mean age: 9±1.3 years) included in
this study who had anterior open bite (overbite: -4 mm) accompanying bad habits such as thumb
sucking and tongue thrusting. All patients were treated with a FPCA for a mean duration of 0.5±0.1
year. 3D facial photographs (3dMD) were taken before (T0) and immedietaly after FPCA therapy
(T1). The soft tissue analysis including distances of lip superior and lip inferior to TVL, distance of
subnasale-lip superior, lip inferior-B’ point and 3D length of lips, was carried out using 3dMD Vultus
analysis program. Changes occurring from T0 to T1 were assessed by a paired sample t-test and
the relationship between changes in variables was evaluated by Pearson correlation analysis.
Results: Bad habits were eliminated and statistically significant increase were found in overbite with
a change of 2.69 mm (p<0.01). The upper lip length were increased significantly (p<0.05), while a
slight decrease were observed in lower lip length even there was no statistically significance. There
was a positive correlation between change in overbite and upper lip length; negative correlation
among change in upper lip length and interlabial gap. Conclusion: FPCA is an effective treatment
option for eliminating bad oral habits and correction of anterior open bite by providing positive
changes in overbite and upper lip length.
OP COMPLEX SURGICAL-ORTHODONTIC TREATMENT OF A CLASS II2 ADULT

127 PATIENT
MIHNEA IACOB, GABRIEL MELIAN, IRINA ZETU
Romania
13 - ORTHODONTICS
The article presents the results of a complex interdisciplinary surgical-orthodontic
treatment, which involved a team approach. The severe skeletal discrepancy, associated with poor
aesthetics, leaded to the surgicalorthodontic treatment decision. The patient was treated by the
means of an orthodontic fixed appliance and surgical mandibular advancement. The final treatment
results showed a marked improvement in facial aesthetics and dental occlusion, associated with
patient satisfaction.
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Keywords: surgical-orthodontic treatment, aesthetics, team approach.
OP THE EVALUATION OF THE IMPACTED MAXILLARY CANINES

128 HATICE KOK
Turkey
13 - ORTHODONTICS
Aim: Panoramic radiography(OPG) allows 2D examination while cone beam computed
tomography(CBCT) allows 3D examination. The versatile evaluation of the impacted canines’
frequency, location, inclination, neigboring relation&resorption on OPG and CBCT. Methods: A
retrospective study was conducted.19 patients (15 female, 4 male) with 28 impacted maxillary
canines was performed.18 impacted canine were in palatinal side, 10 impacted canine were in labial
side. According to the relation between the canine cusp and adjacent teeth, 6 regions were
identified on the OPG. The labiopalatal position of the impacted canines was evaluated with CBCT.
For Vertical height of the canine crown, root of lateral incisor was divided three region on the OPG.
1-From the level of the cementoenamel junction to halfway of the root of the lateral incisor, 2-
halfway of the root to the apex of the lateral incisor, 3-up the root of lateral incisor. Root resorption
of permanent incisors were evaluated with CBCT. Results: Labially impacted canines in CBCT
were more frequent in panoramic regions 1,6 and palatally impacted canines were more frequent in
region 4,5. Vertically there were 23 impacted canines in the region 1, three impacted canines in the
region 2 and two impacted canines in the region 3. İmpacted maxillary canines was seen in girls
more than boys. Approximately one third of the impacted maxillary canine teeth are located in labial,
two thirds are located in palatal. In the impacted side distance the mid-palatine raphe to the first
premolar was lower than the non-impacted side. Root resorption of permanent incisors was not
seen. Conclusion: Labiopalatal position of the impacted canines might be estimated according to
region location on OPG.
OP EFFECTIVENESS OF INTERCEPTIVE ORTHODONTIC TREATMENT IN REDUCING

129 MALOCCLUSIONS: REVIEW AND CASE REPORTS
DANIELA ANISTOROAEI, GEORGETA ZEGAN, LOREDANA GOLOVCENCU
Romania
13 - ORTHODONTICS
Background: Beginning treatment early, in the first stage of mixed dentition, it has been
considered as a preventive measure. Today early orthodontic treatment is considered first stage of
orthodontic treatment aiming to reduce its duration in permanent dentition. The aim of this paper
was to presents the role of interceptive orthodontic treatment and to analyze the dental eruption in
relation with growth theories. Materials and Methods: In this report, all presented cases benefited
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from orthodontic interceptive treatment to prevent the occurrence of severe malocclusion and to
help in reducing the difficulty of the second stage of treatment. The report describes for each
presented case a diagnosis, treatment plan, indications, contraindications, problems and benefits of
interceptive orthodontic treatment. Results: The presented cases emphasize the importance of
adequate knowledge of the physiology of dental eruption, of normal occlusal development in the
transition between temporary, mixed and permanent dentition. The presented cases required early
management of deep bite, open-bite, crossbite, early crowding, increased overjet, Class II or Class
III. The results obtained prove that in the first period of mixed dentition by the application of simple
devices (removable, fixed and extra-oral appliances) we have enormous resources to regulate
dental eruption and allow a three-dimensional control of the growth of the jaws. Conclusion: All
presented cased demonstrates that the effect of ortodontic interceptive treatment is a significant
reduction in the need for additional orthodontic treatments.
OP SALIVARY CHANGES AT WEARERS OF ORTHODONTIC APPLIANCES

130 GEORGETA ZEGAN, LOREDANA GOLOVCENCU, CRISTINA GENA DASCALU,
DANIELA ANISTOROAEI, ELENA MIHAELA CARAUSU
Romania
13 - ORTHODONTICS
Background: In orthodontics, metallic brackets, bands, archwires, springs and ligature
wires are made of SS alloy and some fixed orthodontic appliances are archwires of NiTi alloy. Fixed
orthodontic appliances are temporarily applied in the oral cavity of patients with different
malocclusions, for about 1-3 years in order to correct dental malpositions. Our study aims to analyze
unstimulated human saliva, from subjects with/without orthodontic appliances or metal-ceramic
crowns. Materials and Methods: The samples of saliva were collected from 19 subjects (11 males
and 8 females), with ages between 11-26 years old from northeastern Romania, divided into three
groups: the control sample (without orthodontic appliances/metal-ceramic crowns), the study sample
A (with orthodontic appliances/physiognomic metal-ceramic crowns) and the study sample B (former
patients with previous orthodontic appliances). The morphology and the surface elemental chemical
composition of the salivary crystals were analyzed before, during and after the removal of
orthodontic appliances using the SEM-EDS method. The statistical analysis was performed in SPSS
20.0. Results: The photomicrographs showed salivary crystals, with various shapes and sizes,
including rectangular, polyhedral, ovoid, rhomboid and rod-like forms. Three metallic elements (Ni,
Al and Zn) were identified in the chemical composition of salivary crystals. There were found
statistically significant differences for Ni between the study sample B and the control sample
(p<0.05). Conclusion: The influence of orthodontic appliances’ metal components inserted in the
oral cavity on the chemical composition of the saliva was minor and was not the main source of
metallic chemical elements release in saliva.
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OP ORTHODONTIC THERAPY ON THE CRONOLOGICAL AGE AXIS

131 MARIANA PĂCURAR, MANUELA CHIBELEAN, EUGEN BUD
University of Medicine and Pharmacy Tg. Mures, Faculty of Dentistry
Romania
13 - ORTHODONTICS
Orthodontics, as well as other specialties of Dentistry has experienced a permanent
evolution in recent years because of performance in radiological investigation techniques (Cone-
beam CT, computerized teleradiography) and technological progress and materials market (hybrid
arches, autoligatured brackets, anchorage minimplants). Orthodontic therapy is increasingly
requested by a heterogen populational segment, with ages between 5 and 55 years, seeking a
quick and effective treatment, with an emphasis on the improvement of facial aesthetics. The
purpose of this conference is to present a synthesis of the most frequent orthodontic intraoperative
preprosthetic treatment (molar uprighting, calibration of graps, molar intrusion for a correct occlusal
plane), and elements related to the adult patient adherence. Material and Method: The study was
realised on a number of 74 adult patients, aged between 23-35, with different types of preprosthetic
class and orthodontic treated, by fixed appliances, MBT prescription with great anchorage. The
authors have analysed periodontal parameters: IP, IHP, IIG and the distance between the cement-
enamel junction CEJ and the apex in order to determine the risk of root resorption. The patients
were investigated before starting the orthodontic treatment, at 6 months after applying the fixed
apparatus and at the end of orthodontic treatment. Results: In high cases (81%) the orthodontic
treatment doesn’t influence negatively the periodontal parameters. In a few cases (7%), we
observed a gingival resorption and 11% of cases had at the end of orthodontic treatment root
resorption, especially during molar intrusion. Conclusions: The collaboration with the prosthetician,
and currently using light forces, avoiding movement type jiggling at patients, where growth
processes are completed, represents the success factors for decreasing orthodontic risk therapy.
Periodontal analysis and alveolar bone evaluation are very important before orthodontic
preprosthetic treatment, especially in cases with thin gingival tissue and endocrine disorders.
OP MESIODENS: A RADIOGRAPHIC STUDY ON CHILDREN IN TOKAT REGION

132 HALENUR ALTAN, SÜMEYRA AKKOÇ, AHMET ALTAN
Gaziosmanpasa University, Tokat
Turkey
Background: Mesiodens can cause variety of complications such as delayed and ectopic
eruption of adjacent teeth, diestema, axial rotation, cystic change and nasal eruption. The purpose
of the study was to analyze the frequency, characteristic and associated complications of
mesiodens in a group of patients in Black-Sea Region. Methods and Materials: The study was
based on a radiographic review pediatric patient who visited the Tokat Gaziosmanpaşa University in
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Faculty of Pediatric Dentistry during the period 2016-2018 years. A total of 75 children were
diagnosed as having mesiodens from 14.400 samples of the pediatric age group. The age of
patients ranged from 4 to 14 years. The number, shape, direction, development and complication of
the mesiodens and gender and age were collected and analyzed. Results: The ratio of boys to girls
was 2.1:1. Among the 75 children examined 63(84%) had 1 mesiodens and 12 (16%) had 2
mesiodens. 66(75.8%) of the mesiodens were vertical direction, 11(12.6%) were inverted and 10
(11.4%)were horizontal direction. Among the 87 mesiodens, the conical shape was the most
common 62 (71.2%) were conical in shape which was the most commonly seen followed by
supplemental (13 mesiodens, 14.9%) and 9 (%10.3) were tuberculate in shape. The main
complications were ectopic eruption of adjacent teeth 35(%32.1) and 33(30.2%) were
diestema,23(21.1%) were delayed of adjacent teeth,16(14.6%) were axial rotation and 2 (1.8%)
were cystic change. Conclusion: The role of the pedodontist in management of a case of
mesiodens is important because the earlier detection, the minimal are the future complications and
the better is the prognosis.
OP EXTRA AND INTRA ORAL MANIFESTATIONS AND REVIEW OF 20 ECTODERMAL

133 DYSPLASIA CASE
Turkey
Aim: The aim of this study is to review, describe, and show possible cranio-facial
deformities consequences associated with ectodermal dysplasia. Providing awareness raising with
clinical images some of our cases. True diagnosis can help families cope with their situations and
seek proper medical care. Case Report: 20 Ectodermal Dysplasia patients were presented with
their extraoral, intraoral views, findings and radiological views. Sterotypical findings were also
mentioned for making the true diagnosis of Ectodermal Dysplasia. Conclusion: When confronted
with multiple dental ageneses, the clinician should look for an association of ED signs, because of
ED could also be detected. The principal aim of this study is get experiences for dentist to determine
patients who affected by ED. Finally, we believe that this and other similar studies will supply
knowledge and experiences for determine ED patients.
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OP MOLAR INCISOR HYPOMINERALISATIONS RELATION TO PREVALENCE OF

134 DEVELOPMENT DEFECTS OF ENAMEL
AMRA ARSLANAGIC MURATBEGOVIC, NINA MARKOVIC, AMILA ZUKANOVIC
Aim: Impact of molar incisor hypomineralisations (MIH) on Developmental defects of
enamel (DDE) prevalence was studied. Method and Materials: As a part of the oral health study of
12-year-olds, information about DDE and MIH where collected from a random sample of 560
examines. The analyses focused on differences in DDE values between main sample and sub-
sample of participants in which those diagnosed with both MIH and DDE were excluded. Results:
DDE prevalence was 33% with the highest frequency of demarcated opacities. The MIH prevalence
was 12.3%. The most frequent form was demarcated opacity, registered in 52.7% of affected teeth.
Out of all teeth diagnosed with demarcated opacities (n=361), 34.3% (n=124) were result of MIH.
Out of all teeth on which DDE was not registered (n=122), 77.9% (n=95) were on permanent first
lower molars. In lower jaw, 63 first permanent molars were extracted due to MIH or diagnosed with
atypical fillings. Conclusions: Molar incisor hypomineralisations have important impact on DDE
prevalence. Separate registration of these two conditions should be considered.
OP CONSERVATIVE TREATMENT OF DENTIGEROUS CYST IN THE MANDIBLE:

135 REPORT OF 4 CASES INFLAMMATORY DENTIGEROUS CYSTS
YASEMIN DERYA FIDANCIOGLU, ONUR GEZGIN, EMRE KORKUT, YAGMUR
SENER, FATMA DEMIRAY
Turkey
Background: Dentigerous cyst may be inflammatory or developmental in origin. It is
usually prolonged inflamation of a primary tooth and increased persistence time and associated with
the developing tooth. Treatment of inflammatory type of dentigerous cyst in children should be done
with the aim of saving developing permanent teeth as far as possible. Materials and Methods:
These cases reports present treatment of inflammatory type of dentigerous cyst in child patients
with conservative approaches and clinical and radiographical follow-up for six months-two years
period. Results: With initial decompression therapy, the pressure inside the cyst can be reduced
and the size of the cyst can be reduced and new bone formation can be achieved. In this way, the
anatomical structures such as the mandibular canal, N. alveolaris inferior, N. mentalis can be
preserved, the non-ablated teeth can be maintained and a fracture risk that can occur in the
mandible can be prevented. Conclusion: Inflammatory dentigerous cysts of children in mixed
dentition should be treated conservatively taking into consideration developing permanent teeth.
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OP CHARACTERISTIC MANIFESTATIONS OF EPIDERMOLYSIS BULLOSA (EB) : A

136 REVIEW AND 2 CASE REPORTS
TUĞÇE NUR PEKDEMIR, EBRU AKLEYIN, CANSU OSMANOĞULLARI SARIYILDIZ,
İZZET YAVUZ
Turkey
Aim: EB is a genetic skin disease that characterized by tenderness and blisters in the skin
and mucosa against mechanical factors. There are many variants of this disorder, the subtypes are
classified into three groups due to the level of tissue separation. EB may cause painful sores by
affecting the oral and perioral tissues. With early diagnosis, both the patient's family and the patient
will be well prepared for future complications. We aimed to increase the awareness of the EB with
this oral presentation with two case reports and the literature review. Case Report: A 3-year-old
female and a 7-year-old male who admitted to our clinic with complaints of dental decay, bleeding
and pain in their gingiva were found to have EB diagnosis in their anamnesis. We could do the
necessary dental treatments for our 7 year old patient. But our 3 year old patient was unable even to
take oral pictures because her mouth was unable to open due to hemorrhagic and painful sores on
her lips. Conclusion: EB is a life-threatening disease that affects the whole body especially oral
and perioral area. Controlling infection and ensuring wound healing should be the primary treatment
options in such cases. It was noted that oral hygiene is neglected due to fear of new bull formation.
Providing motivation for oral hygiene is important.
OP INTERRELATION FREQUENCY BETWEEN DENTAL CROWDING AND

137 PERIODONTAL STATUS IN A GROUP OF PRIMARY SCHOOL CHILDREN
DAN CRISTIAN IONEL, ROXANA-MĂDĂLINA ONEA, GABRIEL VALERIU POPA,
KAMEL EARAR, MĂDĂLINA NICOLETA MATEI
Romania
Background: Dental crowding is considered inestethic and also exhibits a profund impact
on periodontal tissue through plaque retention and inefficient hygene. Method and Materials: Using
various indexes and scores (incisor sum-IS, score of incisor crowding-SIC, Little’s irregularity index
for both arches-LII, plaque oral health index-OHI, papilar bleeding index_PBI, gingival
hipergrowth_GH) the interrelation between the severity of dental crowding and periodontal impact
was assessed. Results: 108 models (54 pairs) cast models and the corresponding clinical
evaluation were analyzed. Male-female ratio was almost equal (55-45%). Mean age was 8.74±1.21
years. Mean values found for the research criteria were: IS=31.18±2.8, LII_superior=5.35±3.52,
LII_inferior=3.19±2.58, OHI=1.33±0.86, PBI=1.11±0.86, GH=1.50±0.94. Paired samples test
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revealed statistical significant differences (p<0.05) between LII and OHI, PBI and GH. Also LII index
for upper and lower arch varied with a statistical significant difference (p<0.05) between sexes.
Conclusion: Distribution of LII index according to gender and dental arch was similar to other
studies, presenting larger values in the upper than in the lower dental arch. The evidence for an
effect of dental crowding on periodontium was observed through significant results in statistical
analyses between LII and all clinic parameters of periodontal health status (OHI, PBI, GH). These
results indicate a functional impairment and thus have a significant impact on the quality of life.
OP POLYDISPLAZIC ECTODERMAL SYNDROME

138 KAMEL EARAR, MĂDĂLINA NICOLETA MATEI
Dunarea de Jos University, Galati - Romania
The term ectodermal dysplasia includes the group of rare, complex diseases characterized
by the damage of the ectodermal origin tissues Diseases of ectodermal origin can sometimes be
accompanied by diseases that denote the suffering of the mesodermal system. The embryogenic
study shows that the different morphological expressions of ectodermal dysplasia are
chronologically related. As soon as the onset of ectoderm is earlier, the manifestation in the affected
organ is more severe. It is admitted that the ectodermal syndrome etiology prevails in the genetic
aspect. The presence of edentuous fractures causes an alteration of facial expression; the phonetic
and masticatory function will be affected, the occlusion is altered in relation to the headquarters of
anodontia. The clinical and paraclinical study was performed within the Pedodontics-Pediatric
Dentistry Clinic of Galaţi, on a sample of 16 subjects with chronological age ranging from 5 to 17
years, with a gender distribution of 9 subjects (56.25%). male sex, 7 subjects (43.75%) female.
Ectothermal dysplastic syndrome is a disease with genetic etiology, but the role of teratogenic
factors, which in favorable genetic conditions can trigger the disease if their action is exerted during
the first semester of pregnancy, is not neglected. The occurring disorders are very varied and at
different levels, but almost the dento-maxillary device is constantly interested. Orthodontic treatment
will aim at a correct alignment of the teeth present in the arch; prosthetic treatment will take into
account the functional value of the teeth present.
OP NUTRITION AND ORAL HEALTH IN CHILDREN

139 VASILE VALERIU LUPU, MARIN BURLEA, GABRIELA PADURARU, ANCUTA IGNAT
The growth and development of children is influenced by multiple factors like genetics,
general health, physical activity, sedentary, sleep quality and proper nutrition. The disturbance of
these factors during the pre-school period can negatively influence the health of the older child and
later of the adult. Oral health is part of general health and essential to well-being and quality of life.
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Dietary habits and food choices to support both oral health and systemic health are similar. An
essential part of pediatrics is prevention. Pre-school care should provide opportunities for promoting
healthy behaviors for appropriate physical and psychosocial development. As an educational tool,
the pediatric food-based dietary guidelines may play a significant role in nutrition and oral health
interventions. This paper provides information on nutrition in children for a general health including
also oral health.
OP ORTHODONTIC MANAGEMENT OF THE YOUNG VS THE PERIO-PROSTODONTIC

140 PATIENT
MARIA ALEXANDRA MARTU, SORINA SOLOMON, IONUT LUCHIAN, SILVIA
MARTU, NORINA CONSUELA FORNA
Purpose of the study: As the age of the population increases, so does the complexity of
oral rehabilitation required to bring a stare of homeostasis to an ever aging humankind. The study
aimed to assess the treatment outcome in perio-ortho-prosthodontic patients. Materials and
Methods: The study was conducted on 32 patients, with orthodontic and prosthetic treatments, who
were submitted to clinical and radiologic examination, with recordings of the plaque index, the
periodontal tissue loss and bleeding on probing. Results and Discussion: We observed a relatively
high number of incorrect prosthetic treatments (62.5% of the examined patients); also, 43.75% of
the examined patients presented occlusal trauma sites, with clinical attachment loss higher than
4mm. Therefore, the treatment plan must be discussed thoroughly amongst all the members of the
periodontic-orthodontic-prosthetic team in order to achieve the best possible outcome, thus
enhancing the patient comfort, function, health and esthetics. Complex factors should be taken into
account such as design of the prosthesis, preparation, materials used, number, position and status
of the remaining teeth, bone and gingival level, occlusion. Conclusions: Periodontal stability must
be obtained before any orthodontic and prosthodontic therapy commences, and a careful monitoring
of periodontal status must be maintained thought treatment in order to assure a favorable outcome.
Keywords: prosthetic treatment, orthodontic treatment, periodontitis, occlusal trauma.
OP SATISFACTION WITH RESTORATION ON MULTIPLE SURFACE CARIES IN

141 PRIMARY TEETH
ZEYNEP ASLI ÖZKAYA, ZEKIYE HIDAYET
Erciyes University, Kayseri, Faculty of Dentistry - Turkey
Purpose: Loss of multiple surface on crown structure in primary teeth is quite common in
pediatric patients with high caries risk. Severely cavitated primary teeth also has a risk for fracture in
the future. Long lasting treatment options and reduction of repeated tratment is very important in this
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young age group. Esthetic appereance is also important as function and long lasting of these
restorations. Large fillings with composites, resin strip crowns or prefabricated crowns are the
alternatives to restore large cavitated primary teeth. Method and Results: In this study stainless
steel and zirconia crown was performed on 40 primary teeth multiple surface caries with or without
root canal treatment. Parental satisfaciton regarding esthetics appereance, and oral health were
evaluated by questionanaire. The impact of treatment on child measured with Visual analogue scale
asking by kids themselves. Conclusion: Parental satisfaciton about crowns was high even if
zirconia or stainless steel crowns used. The early loss of two zircona crowns was the only complaint
reason. Kids mostly wanted tooth colored material.
OP COMPARATIVE STUDY REGARDING THE MICROBIAL ACCUMULATION ON

142 ZIRCONIA AND STAINLESS STEEL CROWNS IN PEDIATRIC DENTISTRY
LAURA MARIA VASILCA GAVRILA, EUGENIU MIHALAS, ADRIANA BALAN, ANA
The aim of this in vivo study was to assess the accumulation of Streptococcus mutans on
the surface of stainless steel crowns (3-EM) and zirconia crowns (NuSmile). Material and Methods:
The study was carried out on a group of children who were patients at the Clinic of Infantile
Dentistry, to whom, following the clinical and paraclinical examination, diagnosis and treatment plan,
stainless steel crowns and zirconia crowns were applied to the maxillary / mandibular lateral area.
The swabs were collected before, immediately after the cementation of crowns and after 1 week.
Results: There was no statistically significant difference seen in the microbial accumulation
between the surface of stainless steel crowns, zirconia crowns and natural teeth. Conclusion:
There was an increased tendency to accumulate Streptococcus mutans on the surface of stainless
steel crowns, but there was no statistically significant difference between the accumulation of
Streptococcus mutans between the two preformed pedodontic crowns.
Keywords: stainless steel crowns, zirconia crowns, Streptococcus mutans, primary teeth.
OP HOW MUCH INFORMATION DO PARENTS HAVE ABOUT DENTAL AVULSION

143 INJURY?
GULCE COSAR, HUSNIYE GUMUS
Turkey
Introduction: Dental trauma has high prevalence in childhood and adolescent. Crown
fractures and tooth avulsion are the most common injuries. The tooth avulsion is defined as a
complete removal of the tooth from the socket due to trauma. Emergency intervention in
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traumatized teeth should be performed as soon as possible. This aim of this study was to evaluate
the level of knowledge and actions of parents to tooth avulsion injury. Material and Method: All 200
parents of children, who were treated in the Erciyes University Faculty of Dentistry, answered self-
administered questionnaire. The questionnaire contains questions about attitudes towards tooth
avulsion in primary and permanent teeth as well as their experience in dental emergency situations.
The findings were evaluated statistically and the results were expressed as %. Results: Of the 200
parents, 82% reported having no knowledge about avulsion injures and 88% of parents had not
seen cases of acute dental trauma. Regarding the actions of the acute injures to primary and
permanent teeth, parents showed a significant error rate. Conclusion: This study showed that the
parents didn’t have enough information about the avulsion injury. This has led to the conclusion that
necessary and accurate information should be given to parents and other professionals who are
interested in child care, regarding the avulsion injury and first intervention procedures.
Keywords: Dentoalveolar injuries; avulsion; parents; level of knowledge.
OP THE PREVELANCE OF TOOTH AGENESIS IN A GROUP OF TURKISH PATIENTS:

144 A RETROSPECTIVE STUDY
Merve BAYRAM, Nevin Kaptan AKAR
Medipol University, Istanbul, School of Dentistry
Turkey
Background: The aim of this study was to examine the prevalence and distribution of tooth
agenesis in the permanent dentition (excluding third molars) in a group of patients. Methods and
Materials: The study sample included patients who attended the pediatric and orthodontic
departments of Istanbul Medipol University School of Dentistry. The inclusion criteria for this study
were patients with no history of medical problems, no history of any syndrome; and presence of
panoramic radiograph with good quality. A total of 2062 records (40.6% male, 59.4% female) for
dental patients aged 6 to 25 years (mean age, 13 years; SD, 4 years) were surveyed by 2 calibrated
examiners (M.B., N.K.A.) (excluding third molars). Data obtained from panoramic radiographs and
patients’ data were recorded according to gender, subject’s date of birth, age at time of radiography,
number and locations of missing teeth, maxillary versus mandibular agenesis, and right versus left
side. Results: The prevalence of tooth agenesis was 4.6 %. This condition was found more
frequently in females than in males (62% for females and 38% for males); this difference was tested
as statistically significant (p < 0.05). The most common congenitally missing teeth were the
maxillary lateral incisors (42.6%) followed by the mandibular second premolars (27.7%) and
mandibular lateral incisors (8.5%) consecutively. Conclusion: The results of this study observed a
similar prevalence of tooth agenesis, compared to previous studies conducted on the Turkish
population. The results also indicate that tooth agenesis is a more common dental anomaly in
female patients.
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OP THE PREVALENCE OF ORAL FEATURES IN A SAMPLE OF ROMANIAN

145 CHILDREN WITH DOWN SYNDROME
CARMEN SAVIN, ANA PETCU (SIRGHE), LAURA MARIA VASILCA GAVRILA, DANA
BOSANCEANU, ARIS PRISACARIU - RADOS
Romania
In the dental treatment of children with Down Syndrome, a problem of real interest is that of
the occlusion disorders that accompanied this chromosomal abnormality. Aim: To establish the
prevalence of malocclusion and other oro-dento-facial changes in a group of children aged 6 to 12
years old diagnosed with Down Syndrome. Materials and Methods: The study was carried on a
number of 45 institutionalized and non-institutionalized children with down syndrome, with
chronological age limits ranging from 6 to 12 years, from rural and urban environment, Iasi and
Suceava counties. The collected data were processed using the SPSS version 20.0 for Windows
(SPSS Inc., Chicago, IL, USA). Results: The prevalence of occlusion anomalies was 89%. The
most frequent anomalies were the increased positive overjet, the class III angle at molars, the open
bite and the cross-bite. Within the investigated sample, the prevalence of malocclusion did not vary
with children gender. The study of oro-dento-facial changes in patients with Down Syndrome
revealed the presence of deep palatal vault in 52% of children and of the fissure tongue in 41%.
Conclusion: Children with Down Syndrome from the study group are predisposed to oro-dental-
facial abnormalities.
Keywords: Down Syndrome, child, malocclusion.
OP DENTO-PERIODONTAL TRAUMA - A REAL PROBLEM OF PEDIATRIC DENTISTRY

146 ADRIANA BALAN, CARMEN SAVIN, DANA MAXIM, ALEXANDRA MARTU,
GHEORGHE GH. BALAN
Romania
The treatment of dental traumatic injuries in children and adolescents should take into
account the complexity and variety of traumatic entities as well as the psycho-mental and behavioral
particularities of the child or adolescent. The aim of this study was to quantify a broader picture of
oral-maxillo-facial trauma in the child patient from the perspective of pediatric dentist, surgeon and
forensic physician. Material and Methods: In order to illustrate the purpose, statistical criteria were
used to analyze the elements of the oral-maxillo-facial trauma, criteria that are followed when the
forensic expertise is performed. Results: The highest incidence of trauma was among male, urban,
adolescent patients. The most common etiology was accidental fall and aggression, and in terms of
type of lesion, patients mostly suffered soft tissue lesions and dental-periodontal trauma. The
maxillary incisors were the most frequently affected teeth. Conclusions: Traumatic dental injuries
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represent a public interest issue requiring monitoring, identification of susceptible groups and, last
but not least, research to optimize treatment modalities and implement effective prevention
strategies.
OP EARLY FUNCTIONAL REHABILITATION: A PRIVILEGE RESTRICTED TO YOUNG

147 PATIENTS
ARINA VINEREANU
Romania
Influences of functions – either physiologic or altered - on the components of the dento-
maxillary system, as well as possibilities to detect early signs of onsetting malocclusions, are not to
be questioned. However, there still is debate regarding the indications, effectiveness and need for
early management of malocclusions by interceptive therapy. Chronic alteration of one function (e.g.
tongue thrust, mouth breathing), or long-term habits (like non-nutritive sucking or lip biting) may
result in misbalancing the functional muscle matrix, with subsequent anatomic alterations of the
arches, malocclusion and even posture problems, with little or no chance of spontaneous remission.
Severe consequences, not only functional (such as speech disorders or impossibility to bite on
food), but sometimes also psychologic (due to social malice in speech of appearance-altering
malocclusions) may occur. Relapse after orthodontics is also more likely to occur if function-induced
muscle imbalance is not promptly addressed. There is clear evidence that early diagnostic and
therapy of oral dysfunctions can substantially limit unwanted consequences, ease treatment and
enhance final outcome. As the first dental professionals seeing young children, paedodontists can
early detect functional problems and help fix them. Interception of dento-maxillary anomalies by
early detection and correction of altered oral functions (e.g. by myofunctional therapy) can
sometimes help young patients avoid aggravation of malocclusions which would require, at later
stages, more extensive and more expensive orthodontics. Never claiming to be a substitute for
orthodontic treatment, early functional rehabilitation can be a valuable help.
Keywords: interception, dysfunction, functional matrix, functional rehabilitation.
OP COMPARISON OF ANXIETY AND PERCEPTION LEVELS OF PATIENTS

148 UNDERGOING INITIAL PERIODONTAL TREATMENT USING DIFFERENT
INSTRUMENT
AYSAN LEKTEMUR ALPAN
Pamukkale University, Denizli
Turkey
15 - PERIODONTOLOGY
Objective: The aim of this study is to compare perception and anxiety levels of patients
who received different types of anesthesia and instruments prior to periodontal treatment. Material
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and Methods: The study performed in the Periodontology Department of Pamukkale University’s
Faculty of Dentistry (October 2017 - February 2018). 60 periodontitis patients were divided into 6
groups: 1–local piezo, 2–topical piezo, 3– piezo, 4–local hand instrument, 5–topical hand
instrument, 6–hand instrument. Topical groups and local groups received xylocain spray and
jetocain ampoule. Patients were asked to fill out the dental anxiety scale (DAS) before the treatment
and on the 10th day following treatment. The visual analogue scale (VAS) was filled out on the day
of treatment, on the second day and on the 10th day following treatment. Clinical measurements
were taken on the treatment day and on the 30th day. Results: There was a significant decrease in
clinical measurements in all groups. Local anesthesia groups revealed lower VAS pain values
(p00.5). The ultrasonic groups exhibited lower DAS scores than the hand instrument groups
(p>00.5). Conclusion: Local anesthesia provided better patients cooperation and VAS pain scores,
but did not yield good speech and chewing scores. Topical anesthesia and piezo may be more
useful to patients with dental anxiety.
OP THE EFFICACY OF CYANOACRYLATE ON PALATAL WOUND HEALING AND

149 POSTOPERATIVE COMPLAINTS
HILAL SELAMET*, CEREN ERDOĞAN GOKMENOGLU**
*Okan University, Istanbul; **Ordu University
Turkey
15 - PERIODONTOLOGY
Aim: The purpose of this study was to evaluate the effects of cyanoacrylate on the palatal
donor site of autogenous free gingival grafts in terms of primary bleeding, postoperative pain, and
the completion of epithelialization. Materials and Methods: Thirty-five patients treated with free
gingival grafts were divided into two groups. Cyanoacrylate was applied to 19 patients’ palatal
wounds. The remaining 16 patients formed the control group. Grafts with a standard size of 13 × 8
mm in length and 1–1.5 mm in thickness were obtained. Patients were assessed for epithelialization
regularly after the treatment. Primary and secondary bleeding, postoperative pain, and analgesic
use were recorded. Results: The test group showed a significantly shorter (p < 0.001) primary
bleeding time. Only 47.4% of the test group patients experienced secondary bleeding on the first
postoperative day (controls: 81.3%). Control group patients reported significantly higher pain over
the first seven days. Analgesic consumption was significantly lower and epithelialization was
significantly faster in the test group. Full epithelialization was achieved within three and four weeks
in the test and control groups, respectively. Conclusion: The application of cyanoacrylate tissue
adhesive provides faster hemostasis and earlier soft tissue healing. Additionally, it reduces the
postoperative pain experienced by patients.
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OP EVALUATION THE CYTOTOXIC EFFECTS OF DIFFERENT ORAL ANTISEPTICS

150 ON PRIMARY GINGIVAL FIBROBLASTS
NAZLI ZEYNEP ALPASLAN YAYLI*, AHU DIKILITAS**, SERAP KESKIN TUNC*,
BEYZA UNALAN DEGIRMENCI*, MEHMET TASPINAR*
*Van Yuzuncu Yil University; ** Usak University
Turkey
15 - PERIODONTOLOGY
Background: It was aimed to investigate time and dose-dependent possible cytotoxic
effects of different oral antiseptics on the primary gingival fibroblasts. Methods: In this study,
gingival fibroblast cells were obtained by primary cell culture techniques from a patient who had
indication for orthodontic tooth extraction. Three antiseptics which contain chlorhexidine
digluconate, benzydamine hydrochloride and povidone iodine were prepared as 0,5%, 2,5%, 5%,
12,5%, 25%, 50% and 100% concentrations and these concentrated antiseptics were applied to the
cells for 0, 30, 60 and 180 sec. At the end of the incubation, XTT cytotoxicity test was performed.
The Graphad Prism program was used to assess the absorbances that obtained and software
SPSS 22.0 was used for the statistical analysis. Results: In all antiseptics applied groups, when the
antiseptic concentration and application time increased, cell death was increased comparing to the
control group. For the 30 seconds applications of 0,5% concantrated antiseptics, there was no live
cell number difference comparing to the control group (p>0,05). Also statistically significant live cell
number decrease was observed after the all application times of %2,5, %12,5, %25, %50 and %100
concantrated antiseptics (p<0,05). However, when time and dose-dependent effects were evaluated
for all three antiseptics, chlorhexidine digluconate containing solution was the most cytotoxic
antiseptic on gingival fibroblast cells. Conclusions: Based on this study results, we concluded that
antiseptics contents could cause different cell death rates. Application times, concentrations and
contents could be important for the clinical usage of oral antiseptics.
OP GINGIVAL RECESSION – CHOOSING THE RIGHT TREATMENT OPTION

151 BRUNO NIKOLOVSKI*, ANA MINOVSKA**, VERA RADOJKOVA-NIKOLOVSKA***,
DANICA POPOVIK-MONEVSKA***, MIRJANA POPOVSKA***
* Center for Dental Health – ETERNAdent; ** Faculty of Medical Sciences, UGD;
*** Faculty of Dentistry, UKIM
FYROM
15 - PERIODONTOLOGY
Gingival recession is described as an apical migration of the marginal gingival tissue
towards or beyond the cementoenamel junction. One of the main causes of gingival recession is an
irregular or abnormal tooth position, heredity, excessive tooth brushing, traumatic occlusion and
weak periodontal support. The gingival recession can be minor (localized) or continued
(generalized). Treatment modalities vary according to the type and severity of the recession. This
paper reviews etiology, consequences, and the available surgical procedures for the coverage of
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exposed root surfaces, including three case reports. In this article, we will present the most well-
known and easy-to-perform methods for gingival augmentation, with a special accent to the
minimally invasive techniques, as well as a most predictable outcome. However, thus far, evidence
is lacking for new modified techniques which can improve the patient experience undergo micro-
surgical treatments, and will provide long-term aesthetic results at the same time.
Keywords: gingival recession, exposed root, root coverage, gingival tissue, gingival
augmentation.
OP THE EVALUATION OF CHANGES IN PERIODONTAL BACTERIAL CHARGE IN

152 YOUNG/ELDERLY PATIENTS WITH CHRONIC PERIODONTITIS
ALEXANDRA CORNELIA TEODORESCU, LIVIU ZETU, SILVIA TESLARU, IRINA-
GEORGETA SUFARU, SILVIA MARTU
Romania
15 - PERIODONTOLOGY
Background: The aim of this study was to evaluate the changes that happened during the
natural aging process concerning the periodontal bacterial charge in patients with chronic
periodontitis to see if this could bring some changes in the periodontal therapy. Materials and
Methods: The present study was conducted on 25 patients, 13 males and 12 females, with ages
ranging from 22 to 56 years, all of them presenting a form of chronic periodontitis. The patients were
divided into 3 groups regarding their ages: 20 to 30, 31 to 40 and 41 to 56 years. For all the
patients, a clinical and radiographic examination was made in order to establish the periodontal
diagnostic. After this, the bacterial profile of each patient was determined by means of a Real-Time
Polymerase Chain Reaction (RTPCR) test. The testing was made on gingival fluid samples.
Results: Although all 9 periodontal pathogens investigated were less prevalent in the 20-30 age
group, with Aggregatibacter actinomycetemcomitans being absent, and most prevalent in the 41-56
age group, no statistically significant differences were found. Conclusions: Bacterial subgingial
testing supports the fact that chronic periodontitis affects mostly more mature/elderly patients, but
with not much of a difference concerning the periodontal therapy. Bacterial testing is useful for
discovering the cases harboring Aggregatibacter actinomycetemcomitans, which is not a typical
pathogen in chronic periodontitis.
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OP THE METABOLIC EFFECTS OF PERIODONTAL TREATMENT ON SERUM

153 MALONDIALDEHYDE AND MYELOPEROXIDASE LEVELS IN STATIN USERS
OZLEM FENTOGLU*, BURAK DOGAN**, ESRA SINEM KEMER DOGAN**, FATMA
YESIM KIRZIOGLU*
Turkey
15 - PERIODONTOLOGY
Background: It has been well known that there is a strong relationship between
cardiovascular diseases and periodontal disease. The aim of this study was to evaluate the effects
of periodontal treatment on serum malondialdehyde (MDA) and myeloperoxidase (MPO) levels in
patients with hyperlipidemia and periodontal disease. Methods and Materials: Fifty-seven
hyperlipidemic patients suggested to use statin and 68 systemically healthy controls were
incorporated into this study. Subjects were categorized according to their periodontal conditions as
chronic periodontitis, gingivitis, and periodontally healthy. The clinical periodontal parameters
including plaque index, gingival index (GI), probing pocket depth (PPD), the percentage of bleeding
on probing, and clinical attachment level (CAL), and the serum levels of lipids, MPO, and MDA were
measured at baseline and 3 months follow-up after non-surgical periodontal treatment (3 MFU).
Results: At baseline, statin users with gingivitis had higher GI, PPD, and CAL values than
systemically healthy group with gingivitis (p=0.005, p=0.003, and p=0.001, respectively). Although
the periodontal treatment led to decreases in MPO and MDA levels in hyperlipidemic groups (p
>0.05), there was a statistically significant decrease in serum MDA levels in statin users with
gingivitis (p=0.003). Systemically healthy group with gingivitis had higher MDA levels than statin
users with gingivitis at 3 MFU (p=0.014). Conclusion: The control of cardiovascular and periodontal
diseases may provide a robust contribution to the life quality of the patients by decreasing the
metabolic inflammatory parameters.
The authors are very grateful to the Scientific and Technological Research Council of
Turkey (TÜBITAK) for financial support (project number: 107S056).
OP THE EFFECT OF CONVENTIONAL PERIODONTAL TREATMENT ON LIPOXIN A4

154 LEVELS IN PATIENTS WITH PERIODONTAL DISEASE
OZLEM FENTOGLU*, ESRA SINEM KEMER DOGAN**, BURAK DOGAN**, FATMA
YESIM KIRZIOGLU*
Turkey
15 - PERIODONTOLOGY
Background: Arachidonic acid derived lipoxins are endogen proresolving lipid mediators
which have an important role in periodontal disease pathogenesis. The aim of this study was to
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evaluate the effect of conventional periodontal treatment on gingival crevicular fluid (GCF) lipoxin A4
(LXA4) levels in patients with periodontal disease. Methods and Materials: Sixty-eight otherwise
healthy people were included in this study. Patients were categorised as periodontally healthy
(n=20), gingivitis (n=20) or periodontitis (n=28). Clinical periodontal parameters and GCF samples
were obtained and GCF LXA4 levels were analysed at baseline and 3 months after conventional
periodontal treatment. Results: GCF volume was not statistically different between baseline and 3rd
month in all groups. In periodontitis group, GCF volume was higher than gingivitis group at baseline
(p=0.001) and higher than periodontally healthy group at 3rd month (p=0.008). While GCF LXA4
levels were similar among groups at 3rd month, GCF LXA4 concentration and total GCF volume
significantly increased compared to baseline in periodontally healthy (p=0.006, p=0.031), gingivitis
(p=0.000, p=0.000), and periodontitis groups (p=0.000, p=0.001) at 3rd month, respectively.
Conclusion: Significant increases at GCF LXA4 levels after periodontal treatment support that
lipoxins have an important role in periodontal disease pathogenesis. Larger population based
studies, which are needed to clarify the roles of these proresolving lipid mediators in periodontal
disease pathogenesis, will provide a basis to the studies evaluating lipoxins as host modulatory
agents.
The authors are very grateful to the Scientific and Technological Research Council of
Turkey (TÜBITAK) for financial support (project number: 107S056).
OP THE EVALUATION OF BONE DENSITY IN YOUNG / ELDERLY PATIENTS WITH

155 CHRONIC PERIODONTAL DISEASE
SILVIA TESLARU, CORNELIA TEODORESCU, IOANA RUDNIC, IOANA SIOIUSTIS,
LIVIU ZETU
Romania
15 - PERIODONTOLOGY
Aim: The aim of our study was to evaluate the use of dental CT as a diagnostic tool for the
degradation of the deep periodontium and for the evolution prognosis, by monitoring the bone
density of interdental septum. Material and Method: 138 computer tomography were examined in
this study, from patients with different degrees of degradation of the deep periodontium. Although
the CT evaluation did not have the purpose to evaluate the periodontal status of each patient, it
revealed that all the patients included in the present study had a case of chronic periodontitis. The
study group included 70 females and 68 males, with ages between 17 and 73 years. After the
computer storage of the 1mm thickness sections of the CBCT images (130kV, 90mAs), horizontal
sections were selected in order to evaluate the bone density: every 0.5mm, from the tip of the
interdental septum to 8 mm deep, centered on the middle of the bone septum. Results: We
correlated the depth of the interdental septum and the mean of alveolar bone density by age groups.
It can be clearly noticed that this correlation becomes of great interest from a depth of 3mm to
5,5mm. Conclusions: The evaluation of alveolar bone density on dental CT sections is a very
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precise investigation method, being able to obtain its value in Hounsfield units with the help of the
build-in software. Thus, it can give us valuable date on the quality of the bone component of the
deep periodontium.
OP EVALUATION OF IL-6 AND IL-37 LEVELS AND PERIODONTAL STATUS IN

156 PATIENTS WITH HELLP SYNDROME
HACER SAHIN AYDINYURT, ORKUN ÇETIN
Yuzuncu Yil University, Van
Turkey
15 - PERIODONTOLOGY
Background: HELLP syndrome is characterized with hemolysis, elevated liver enzymes,
and low platelet count. HELLP exists in 0.2–0.8% of pregnancies and in 70–80% of cases it coexists
with preeclampsia. HELLP syndrome is a pregnancy specific disease that affects many systems in
the body where the etiopathogenesis is not fully eluciated. In this study, we aimed to compare IL-6,
IL-37 levels gingival crevicular fluid (GCF) and periodontal status of healthy pregnants and
pregnants with HELLP syndrome. Methods and Materials: This study included 16 HELLP patients
and 15 healthy pregnant women. Clinical periodontal parameters (plaque index, gingival index,
bleeding on probing, probing depth, clinical attachment levels) were recorded and GCF samples
were collected. IL-6 and IL-37 levels were measured in GCF samples using ELISA method. Datas of
healthy pregnants and HELLP patients were compared with statistical analysis. Results: There was
no statistically significant difference in terms of periodontal clinical parameters between healthy
pregnant women and pregnant women with HELLP (p>0.05). There was a statistically significant
difference in the levels of IL-6 and IL-37 in DOS between healthy pregnant women and pregnant
women with HELLP (p<0.05). Conclusion: HELLP is a very rare syndrome in pregnancy. A
relationship was found between the pregnant women with HELLP syndrome and the anti-
inflammatory / proinflammatory biomarkers in GCF in current study. This is the first study to
evaluate periodontal status and GCF levels of IL-6, IL-37 in women with HELLP syndrome. More
research is needed to evaluate HELLP syndrome and periodontal disease relationship.
OP COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER COLD

157 ATMOSPHERIC PLASMA AND CONVENTIONAL FRENECTOMY
HAKAN ÖZDEMIR
Turkey
15 - PERIODONTOLOGY
Aim: A frenum is a fold of mucous membrane, generally through enclosed muscle fibers,
that attaches the lips and cheeks to the alveolar mucosa and/or gingiva and underlying periosteum.
Sometimes frenulums have high attachments and these high frenulums may cause functional and
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aesthetic problems. The aim of this study is to evaluate the pain and discomfort in patients treated
with conventional or conventional with Cold Atmospheric Plasma (CAP) through VAS scale.
Material and Method: In this study, 30 patients requiring frenectomy were randomly assigned to
have treatment with either the conventional frenectomy or conventional frenectomy with the CAP.
None of the patients had systemic disease or any prescribed drug use. Postoperative discomforts
(pain, chewing, talking) of the individuals were recorded using a visual analog scale (VAS) on the
postoperative days 1, 3, 7, and 10. All patients were recalled at 10th day and VAS scale forms were
recollected. Results: There were no significant differences in demographic data of the groups
(p>0.05). According to the VAS scores of the pain was statistically higher in the conventional group
than those of the conventional frenectomy with CAP group on the operation all day (p<0.05).
Likewise, discomfort in speaking and chewing was also significantly lower in conventional
frenectomy with CAP group than conventional surgery (p<0.05). Conclusion: CAP and frenectomy
procedure caused lower pain and discomfort in speaking and chewing, and within the limitations of
this study, based on these results it can be concluded that CAP had beneficial results in frenectomy
procedure.
OP EFFECT OF INITIAL PERIODONTAL THERAPY ON CLINICAL AND BIOCHEMICAL

158 PARAMETERS IN SMOKER/NON-SMOKER CHRONIC PERIODONTITIS PATIENTS
MUSTAFA BOGACHAN ILHAN, HATICE SELIN YILDIRIM, BURCIN ALEV TUZUNER,
AYSEN YARAT, LEYLA KURU
Turkey
15 - PERIODONTOLOGY
Aim: The aim of this study was to evaluate the effect of initial periodontal treatment (IPT)
on clinical parameters, cotinine levels and tissue factor (TF) activity in saliva and gingival crevicular
fluid (GCF) in smoker and non-smoker patients with chronic periodontitis (CP). Material and
Method: A total of 40 systemically healthy smokers (n=20) and non-smokers CP patients (n=20)
were included in the study. Clinical measurements including plaque index (PI), gingival index (GI),
bleeding on probing (BOP), probing depth (PD), clinical attachment level (CAL) were recorded
before IPT. Saliva, GCF samples collected from sites with PD≥5mm and intraoral photographs
taken. Then, IPT consisting of scaling and root planning was applied with ultrasonic scaler and
curettes in four sessions. First and 3. Months after treatment clinicial measurements and sample
collections were repeated. Saliva and GCF TF activity were analyzed. Results: Significant
reductions in clinic parameters and GCF volume were detected in both groups at 1 and 3 months
compared to their baseline values (p<0,05). GI, BOP, PD, CAL reductions was higher on non-
smokers compared with smokers (p<0,05). GCF volume of non-smokers was statistically higher
compared with smokers (smokers 0,30±0,07 µl, 0,17 ± 0,06 µl, 0,11 ± 0,05 µl, non-smokers
0,48±0,09 µl, 0,25 ± 0,06 µl, 0,15 ± 0,04 µl, p<0,05). Significant difference were observed for saliva
TF activities between groups (smokers 171,60±73,08, 219,95±48,85, 214,25±47,91 seconds, non-
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smokers 103,25±29,24, 99,40±23,71 98,80±21,53 seconds, p<0,05). Conclusion: Current data

indicate that smoker CP patients have a suppressed inflammatory response, a significantly less
favourable clinical outcome.
OP ORAL HYGIENE PRACTICES IN PATIENTS WITH RHEUMATOID ARTHRITIS

159 BURAK GÖKAY YILDIRIM, ARZU BEKLEN
Eskişehir Osmangazi University, Faculty of Dentistry
Turkey
15 - PERIODONTOLOGY
Background: Periodontal diseases are characterized with inflammation in periodontal
supportive tissues and alveolar bone resorption. They might interfere with systemic health or
systemic disease pattern via local and systemic host response occurred against bacteria. In recent
years, periodontal diseases have been intensified in relation to various systemic diseases such as
diabetes, acute myocardial infarction, osteoporosis, and rheumatoid arthritis has been given special
importance. Methods and Materials: It has been reported that rheumatoid arthritis, which is
characterized by chronic inflammation of the origin of the immune system, may affect pulmonary
fibrosis, cardiac and ocular diseases as a result of microvascular vasculitis and may affect other
organ systems such as hand, wrist, leg and temporomandibular joints. In addition, proinflammatory
cytokines detected at high levels in synovial fluid of patients with rheumatoid arthritis have been
shown to be consistent with periodontal diseases. These patients use immunosuppressive drugs.
Long-term immunosuppressive agents cause adverse effects on the oral flora and cause fungal
infections. Results: In preventive dentistry services, a good dialogue should be established
between the RA doctor and the dentist. Treatment procedures applied by the dentist and oral
hygiene education are also of great importance. Conclusion: It may be useful to increase the
volume of the handle parts of the toothbrush used by the patients in oral hygiene applications or to
recommend the electric toothbrush. In addition to traditional mechanical cleaning procedures, the
use of irrigation devices, chlorhexidine and fluoride mouthwash should also be considered in view of
the needs of the patients.
OP EVALUATION OF TOXIC HEAVY METAL CONTENT OF DIFFERENT TYPES OF

160 BIOMATERIALS: A PILOT ICP-MS STUDY
EMRE YAPRAK
Turkey
15 - PERIODONTOLOGY
Background: Heavy metal toxicity became a conspicuous health issue since they stealthily
contribute various health problems including the cancer. Heavy metals are ubiquitous in the
environment and they enter the body system via mainly inhalation and digestion. Accordingly, they
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accumulate in the tissues of humans and exhibit hazardous effects even at very low concentrations.
They are also encountered in the animal tissues. The aim of this study was to test the hypothesis
whether animal-derived biomaterials exhibit any toxic heavy metals. Methods and Materials:
Porcine-origin bone grafts, membranes and enamel matrix derivatives were purchased and
underwent sample preparation procedures. Accordingly, all materials were subjected to acid
digestion to extract all embedded elements. Finally, the samples were analyzed with inductively
coupled plasma mass spectrometry to detect the concentrations of toxic heavy metals. Results:
Toxic elements including arsenic, cadmium, mercury lead, chromium, cobalt have been detected
within various levels in all of the analyzed biomaterials. The concentrations of toxic heavy metals
differed ppb to ppm levels depending on the investigated materials. Conclusion: To the best of our
knowledge this is the first study investigating the toxic heavy metal content of dental biomaterials.
According to the results of this pilot study, porcine-origin bone grafts, membranes and enamel
matrix derivatives contains various toxic elements within different concentrations. Further studies
are required to reveal whether animal-origin biomaterials may lead an unintentional heavy metal
transfer to applied tissues. Additionally, potential detrimental effects of these identified
concentrations of toxic elements should be investigated by further studies.
OP PERIODONTAL AFFECTION OF SEX HORMONES IN THE REPRODUCTIVE

161 PERIOD IN THE WOMAN
VERA RADOJKOVA NIKOLOVSKA*, MIRJANA POPOVSKA*, ANA MINOVSKA**,
ANETA ATANASOVSKA STOJANOVSKA*, BRUNO NIKOLOVSKI***
*Faculty of Dentistry, UKIM, Skopje; ** Medical Faculty, UGD, Stip;
*** PHO Eternadent, Skopje
FYROM
15 - PERIODONTOLOGY
Introduction: It is generally considered that the menstrual cycle is not followed by
significant gingival disorders, although occasionally an increased exudation from the inflamed
gingiva can be seen or an emphasis on pre-existing gingival inflammation. Aim: To asses the
impact of sex hormone progesterone in the maintenance of periodontal health in women in the
reproductive period of life by determining: - serum and salivary levels of progesterone; - the
influence of progesterone on the periodontal tissue complex, followed by the indices of periodontal
health. Material and Method: A group of 30 patients in the reproductive period, aged 30 to 45, was
formed; assessment of periodontal health was performed through the indexes of: dental plaque,
gingival inflammation, gingival enlargement, clinical attachment loss, and luxation of teeth.
Examination of serum and salivary levels of progesterone was performed with Progesterone RIA-
DSL 3400 Advantage Diagnostics technology. Results: Pearson's coefficient of correlation between
the progesterone values in serum and saliva in the examinees from the reproductive period showed
a strong correlation ratio with an identical value of r = 0.86 in both media. The correlative values
between salivary and serum progesterone levels with periodontal indices indicated a moderate to
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strongly positive correlation (r = 0.46 to 0.83). Conclusion: The obtained results indicate the
pronounced influence of progesterone on gingival and periodontal health, which suggests the role of
dentists in treatment modalities in the reproductive period in women.
OP CONVENTIONAL PERIODONTAL THERAPY FOR PATIENTS WITH

162 ATHEROSCLEROSIS: STUDY REGARDING THE EFFECTS ON IL-1β, IL-6, TNF-α
SILVIA MARTU, IRINA GEORGETA SUFARU, MARIA ALEXANDRA MARTU, IOANA
MARTU, SORINA MIHAELA SOLOMON
15 - PERIODONTOLOGY
Aim of the study: 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. Material and Methods: 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-α in crevicular fluid was conducted at the beginning of
the study and at 3 months after 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. Conclusions: Combining antilipemic treatment with
periodontal therapy can provide beneficial effects on metabolism and control of inflammatory
atherosclerosis by lowering proinflammatory cytokines.
Keywords: periodontal parameters, cytokines, crevicular fluid, chronic periodontitis,
atherosclerosis.
OP GINGIVAL TISSUE’S OPTICAL COHERENCE TOMOGRAPHY ANALYSIS FOR

163 PATIENTS WITH CHRONIC HEPATITIS C AND PERIODONTAL DISEASE
DORIN NICOLAE GHEORGHE, PETRA SURLIN, ELENA HERASCU, EUGEN OSIAC,
ION ROGOVEANU
University of Medicine and Pharmacy Craiova - Romania
15 - PERIODONTOLOGY
Objectives: Optical Coherence Tomography (OCT) is a non-invasive imagistic tool used
for diagnosis. This pilot study was designed to assess the possibility of using this method for the
observation of morphological changes which occur during the association between periodontal
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inflammation and other systemic conditions, in this case chronic hepatitis C. Methods: Gingival
samples from patients suffering from both periodontal disease and hepatitis C were collected and
were analyzed ex-vivo with OCT. Visual comparisons were made on the obtained images and
histological sections in order to determine if relevant morphological features had been captured by
the OCT. Results: The OCT analysis enables the observation of various anatomical periodontal
structures such as the free and attached gingival, as well as the possibility of thickness
measurement of the gingival tissue. The average 3mm penetration of the OCT into gingival tissue
can illustrate histological components such as the gingival epithelium and its features and the
underlying connective tissue. Some changes caused by periodontal inflammation such as increased
capillary permeability and leukocytic infiltrate are also visible. The signs of inflammation seem to be
exacerbated in the case of HCV patients due to their impaired hepatic function. Conclusions: OCT
can deliver useful ex-vivo images of the gingival tissues for the assessment of the periodontal
inflammation activity and could be further developed for its in-vivo use. Nevertheless, this pilot study
needs to be extended in order to obtain more conclusive results.
OP RELIABILITY OF THREE INDICES MEASURING GINGIVAL OVERGROWTH

164 AHMAD SAFA ALKATEB, HAFIZE OZTURK OZENER, LEYLA KURU
Turkey
15 - PERIODONTOLOGY
Background: The aim of this study was to analyze the concordance of indices measuring
gingival overgrowth (GO) and compare their reliability for diagnosing GO and determination the level
of severity. Methods and Materials: Photographic records and plaster models of 10 patients with
generalized inflammatory or drug-induced GO were analyzed. Twelve anterior teeth are required for
including patients in this study. Two examiners performed analysis on plaster models for both
modified Harris and Ewalt index (whole-mouth score between 0 and 5) and Seymour et al. index
(ten gingival units score between 0 and 3 vertically, and between 0 and 2 horizontally). Intraoral
photographs were used to assess Ellis and Seymour index (ten gingival units score between 0 and
3). Concordance inter-examiner analysis of the recorded measurements was carried out for each
index using intraclass correlation coefficient (ICC) method with a confidence interval of 95%.
Results: A total of 1156 measurements were obtained by each examiner for the three indices. To
assess inter-examiner reliability, concordance analysis showed ICC value of 0.492 for the modified
Harris and Ewalt index which is a low degree of reliability. On the other hand, ICC’s values were
0.953 for the Seymour et al. index and 0.851 for Ellis and Seymour index which are considered as
excellent degrees of reliability. Conclusion: Seymour et al. index and Ellis and Seymour index are
considered as reliable and applicable for measuring and detecting severity of GO, but modified
Harris and Ewalt index failed to reach an acceptable degree of reliability.
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OP LIPID STATUS AND HYPERRESPONSIVE PATTERN IN PERIODONTITIS

165 – IS THERE A LINK?
LILIANA FOIA*, ANCUTA GORIUC*, BOGDAN MINEA*, PETRA ȘURLIN**,
ALEXANDRA MÂRȚU*, AMELIA SURDU*, VASILICA TOMA*, LOREDANA HURJUI*
** University of Medicine and Pharmacy Craiova
Romania
15 - PERIODONTOLOGY
Introduction: Major periodontal tissue breakdown results from persistent host
inflammatory immune reaction in response to bacteria, but, although the bacterial biofilm is required,
it is not sufficient, for disease initiation. There are a limited number of studies correlating the benefit
of different types of periodontal therapy upon the management of the immune-inflammatory status in
individuals presenting lipid impairment. Objective: The aim of the study was to evaluate the
correlation of the expression of some proinflammatory markers with the lipid status in patients with
periodontal alteration. Material and Methods: Gingival fluid and serum samples were obtained from
36 individuals with chronic periodontitis, periodontal examination being also performed. Immuno-
enzymatic evaluation was carried out, revealing the levels of both, systemic and local IL-1 and IL-2
levels, C reactive protein (CRP) and lipid profile. Clinical parameters and biological markers were
re-measured twice at three-months interval after treatment. Differences over time were analysed
using the Wilcoxon test and between groups using the Mann-Whitney test. Results: Important
reductions in both proinflammatory cytokines were detected especially in the crevicular fluid, after
therapy, with statistical significance only in the case of IL-1 in the patients with lipid alterations.
Conclusions: The results of the present study showed a promising response to periodontal
therapy, with improvement of clinical parameters, further controlled clinical studies being required in
order to better elucidate the clinical response and patterns involved in the relation between lipid
impairment and periodontal disease.
OP METHODS OF DIAGNOSIS AND SURGICAL TREATMENT OF GINGIVAL

166 RECESSIONS
VIORICA CHETRUS, ROMAN ION
Rep. of Moldova
15 - PERIODONTOLOGY
Aim of the paper: Studying and analyzing the most efficient clinical and paraclinical
diagnostic methods and applying the minimally invasive surgical methods in gingival recessions
(GR). Gingival complaints remain an undiagnosed and untreated problem due to the lack of
knowledge of diagnostic methods as well as those of treatment. Practically from year to year new
diagnostic methods and new treatment techniques of GR appear. The study is based on a group of
191 patients who have been subjected to diagnostic methods of gingival recession according to the
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survey. And for GR treatment we have proposed three minimally invasive surgical techniques.
Following the investigation of each patient, there were obtained enough demonstrative results that
motivated the patient to start surgical treatment as soon as possible and the techniques and
materials studied showed very positive results. In setting an early and accurate diagnosis of gingival
recessions, the parodontologist must carefully collect anamnesis, pay particular attention to the
intraoral clinical examination, know the classification of gingival recessions, know the methods of
clinical measurement of recessions after the three parameters and the tests: “gingival roller" and
coloring. As well as surgical treatment, the parodontologist must know the indications, steps,
advantages and disadvantages of each technique.
OP RECENT CONCEPT OF PERIODONTAL DISEASE AETHIOLOGY- GENETIC TEST

167 FOR SUSCEPTIBILITY
ANETA ATANASOVSKA STOJANOVSKA*, SASKA TODOROSKA**, ILIJANA
MURATOVSKA*, MIRJANA POPOVSKA*, VERA RADOJKOVA NIKOLOVSKA*
**University Dental Clinical Center Ss Pantelejmon Skopje
FYROM
15 - PERIODONTOLOGY
Background: Polymorphisms of cytokine genes and ethnical differences in distribution of
genetic variants affect the concentration of inflammatory mediators in the tissues, modulate the
immune response and determine human susceptibility to periodontal disease. Aim: The aim of the
study to determine presence of polymorphisms of the cytokine genes: IL 1 α, IL-1β, IL-1R, IL-1RA,
IL-2, IL-4, IL 4R α, IL-6, IL-10, IL-12B, IFNy, TGF- β 1 and TNF- α within the Macedonian patients
with periodontal disease and the influence from polymorphisms of cytokine genes on chronic
periodontal disease. Material and Method: Participants in the study were familiarized with genetic
research and signed informative consent and storage of DNA in Macedonian bank of Human
Genetics. Vein blood sample was taken, and DNA was isolated from 132 patients diagnosed with
chronic periodontal diseaseе - test group and 301 individuals without periodontal disease - control
group. Polymorphisms of 13 cytokine genes were detected with commercial kit PCR-SS
(Heidelberg). Results: We found significant correlation (p<0,05) for the following polymorphisms:
protective - with cytokine alleles: TGF- β 1 cdn 10/T, TGF- β 1 cdn 25/G, IL-4-1098/G, IL-4-33/C;
cytokine genotypes: IL-12 β -1188/A:C, TGF- β 1 cdn 10/C:T, TGF- β 1 cdn 25/G:G, IL-2-330/G:T,
IL-4-1098/G:T, IL-4-590/C:T, IL-4-33/C:T, IL-10-1082/A:G; Associated with cytokine alleles: TGF- β
1 cdn 10/C:C, TGF β 1 cdn 25/C:G, IL-2-330/G:G, IL-4-1098/T:T, IL-10-1098/G:G. Conclusion:
Chronic periodontal disease among Macedonian population correlates with polymorphisms of allele
and genotypes with: IL-1 β, TGF- β 1, IL-2, IL-4, IL-10, IL-12 B.
Keywords: chronic periodontal disease, cytokine polymorphism.
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OP BOND STRENGTH BETWEEN DENTIN AND FIBER POST USING DIFFERENT

168 PRETREATMENTS
ILIJANA MURATOVSKA*, ANETA ATANASOVSKA-STOJANOVSKA*, VERA
RADOJKOVA-NIKOLOVSKA*, MIRJANA POPOVSKA*, M. PETKOV, V.
STOJANOVSKA
FYROM
15 - PERIODONTOLOGY
Aim: The aim of the study is presenting the difference in bond strength after pre-tretments
of the fiber posts that are bonding to dentin towards composite materials based on the chemical
interaction between the post surface and the resin material. Material and Method: Two different
types of fiber posts were used in this study: ParaPost Fiber (lux, Coltene, Switzerland) and 3М FRC
(RelyX Fiber post, ESPE, Germany). Single root teeth, 40 in total, were used for puch-out test after
completing endodontic treatment. Pretretmant of the posts was devided into four groups: Group I:
No post surface treatments, considered as a control group. Group II: Post surface treatment by
extra oral sandblasting device using 50 μm alumina particles. Group III: Post surface treatment with
application of silane coupling agent. Group IV: Post surface treatment with Er:Yag laser, Fidelis Plus
II system. Variolink II (Ivoclar, Vivadent AG) was used as aresin based luting cement. Results
measured in Mpa are: Group I: 22,8 ±0.33, Group II: 29,2±0.60, Group III: 28,8±0.36, Group IV: 27,4
±0.48. In the present study, the highest bond strength was obtained in group II where the posts
were sandblasted and then silanated while the lowest bond strength values were obtained in the
control group (group I). Silanisation and laser had a positive effect on the recorded bond strength.
Conclusion: There is an influence on bond strength between the posts and dentin varying from
different post surface treatments.
OP EVALUATION OF CHARACTERISTICS OF DENTAL ALLOYS STRUCTURE THAT

169 MAY INFLUENCE PERIODONTAL TISSUE HOMEOSTASIS
MARIUS ANDREI DINU*, RAMONA IMELDA DINU*, SILVIA MARTU*, HORIA TRAIAN
DUMITRIU**
**Carol Davila University of Medicine and Pharmacy Bucuresti
Romania
15 - PERIODONTOLOGY
Materials used in dental medicine interact with tissues, a material being considered
biocompatible when it does not affect or generate toxic reactions or systemic side effects. The
majority of the dental material's reactions are of the allergic type, with symptoms seen in the oral
mucosa or skin tissues. The saliva and dental tissues with which a prosthetic restoration comes into
contact act on it, so it is extremely important to know the transformations that may occur over time in
the materials used. The saliva and the dental tissues with which a prosthetic restoration comes into
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contact, act on it, so it is extremely important to know the transformations that may occur over time
at the level of the materials used. Changes in restorative treatment methods and the introduction of
new, improved materials and techniques have significantly influenced the longevity and aesthetics
of oral rehabilitation. Conventional fixed prosthetic restorations with metal frame have good results
in the long term, although visibility of metal component due to esthetic component transparency
makes it difficult to imitate natural aspect, especially in situations where space for esthetic material
is reduced. Thus, it is of a great importance to study the characteristics of metallic frame that can
interfere with the marginal periodontium, the analysis by optical microscopy and scanning
electronics being complex and complete evaluation methods. Particular attention will be paid to
metallic materials sectioned from the casting network of mixed metal-ceramic crowns, due to the
fact that they are widely used in prosthetic therapy.
Keywords: metal frame, chemical properties, biocompatibility, marginal periodontium.
OP THE ROLE OF MYELOPEROXIDASE IN EVALUATION OF THE OXIDATIVE

170 STATUS DURING PERIODONTAL IMPAIRMENT
VASILICA TOMA, LILIANA FOIA, GABRIELA GELEȚU, MIOARA TRANDAFIRESCU,
FLORINA FILIP CIUBOTARU
Romania
15 - PERIODONTOLOGY
Introduction: Periodontal disease represents chronic inflammatory disorder induced by
products released from the dental plaque and host immunoinflammatory response. Several
mechanisms have been proposed to explain the periodontal compromise, including a complex
range of factors such as those derived from immune response, direct bacterial influence, host
system, some metabolic harmful species such as reactive oxygen species being also recognized as
having significant impact. The aim of the study: The analysis of myeloperoxidase (MPO) in gingival
crevicular fluid (GCF) as a marker of oxidative stress in periodontal disease in patients affected by
periodontal oral territories alterations, compared to clinically healthy subjects, associated with
evaluation of clinical indicators of the disease. Materials and Methods: For this study, we selected
42 patients, 22 men and 20 women subsequently divided into 3 groups after assessing clinical
indicators of periodontal impairment: patients with chronic periodontitis (n =16), patients with
aggressive periodontitis (n = 11) and the control group represented by periodontal unaffected
individuals (n = 15). From each patient GCF samples were collected using special paper strips of
paper, followed by their discharge in phosphate buffer, centrifuged and analyzed for marker of
oxidative stress through immune-enzymatic technique (ELISA). Results: Analysis of MPO in GCF
recorded statistically significant differences between the two groups of patients with chronic and
aggressive periodontal disease respectively, compared with controls. Moreover, it has been
observed a strong correlation between bleeding index and gingival fluid MPO value in subjects with
periodontal alterations, which demonstrates that reactive species are important mediators of
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inflammatory periodontal damage. Conclusions: Oxidative stress is an important factor in the

development of periodontal breakdown and this can be evidenced through MPO, no statistically
significant differences between groups of patients with aggressive periodontitis and those with
chronic periodontitis being though observed.
Keywords: periodontal disease, oxidative stress, myeloperoxidase, gingival fluid.
OP REGENERATIVE PERIODONTAL TREATMENT WITH THE USE OF

171 BIOMATERIALS: EMDOGAIN® AND BIO-OSS®
SASKA TODOROSKA*, ANETA ATANASOVSKA STOJANOVSKA**, MIRJANA
POPOVSKA**, LINDITA ZENDELI BEXHETI*, NATASA TOSESKA SPASOVSKA**
*University Dental Clinical Center Ss Pantelejmon Skopje
**Faculty of Dentistry, UKIM, Skopje
FYROM
15 - PERIODONTOLOGY
Background: Periodontal regeneration implies rebuilding of cementum, periodontal
ligament and bone. Aim: Our goal was to evaluate clinical and radiographic results from the
treatment of periodontal intrabony defects applying minimally invasive surgical procedure and
biomaterials: Bio-Oss® and Emdogain®. Material and Methods: In "split-mouth", randomized,
clinical study, 194 teeth were treated and followed up to one year. Patients were age: 25-75 years,
with chronic periodontal disease and probing pocket depth ≥4mm. Test group were 95 teeth (Bio-
Oss® and Emdogain®) and control group were 99 teeth (Bio-Oss®). Clinical measurements were
done before operation at 6 and 12 months, radiographs performed before and 12 months
postoperative. Results: After the treatment parameters were significantly reduced in both groups.
For PPD comparison between the groups showed significant difference at 6 (p=0,001) and at 12
months (p=0,028). Average PPD in the test group was 6,9±2,7 mm (baseline) 0,9±0,7 mm (6m),
0,9±0,6 mm (12 months); in the control group 7,1±3,3 mm (baseline), 1,6±0,9 mm (6m) and 1,2±0,7
mm (12 months). For CAL loss, comparison pointed significant difference between the groups at 6
(p=0,002) and at 12 months (p=0,010). Average CAL loss in the test group was 10,1±4 mm
(baseline), 2,5±1,4 mm (6m) and 2,3±1,3 mm (12 months); in the control group 11±5,2 mm
(baseline), 3,2±1,7 mm (6m), 2,7±1,5 mm (12 months). Analysis of the radiographs showed
significant difference between the groups at 12 months postoperative (p=0,025). Conclusion: We
founded that Bio-Oss® combined with Emdogain® in consistence with the regenerative treatment
showed results in favor to periodontal healing.
Keywords: Periodontal disease, periodontal regeneration, intrabony defects, Emdogain®,
Bio-Oss®.
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OP EFFECTS OF PERIODONTAL THERAPY ON CLINICAL PARAMETERS IN

172 PATIENTS WITH RENAL DISORDERS
DORINA-CERASELLA ŞINCAR, KAMEL EARAR, MIOARA DECUSARĂ, GABRIEL
VALERIU-POPA
Dunarea de Jos University of Galati - Romania
15 - PERIODONTOLOGY
Introduction: Chronic renal disease (BRC) is considered worldwide as a public health
problem, mainly due to high morbidity and mortality. Chronic periodontitis (PC) is an immune-
inflammatory disease caused by Gram-negative bacteria that destroy tooth support tissues and
which induce local inflammation associated with an inflammatory systemic response. Recent studies
have shown an association between high levels of reactive protein C PCR) and interleukin-6 (IL-6)
and periodontitis, an association that decreases after periodontal treatment (periodontal therapy).
Because of this association with the systemic inflammatory response, PC has recently been
included as a risk factor for BRC. The purpose of the study: In this study we wanted to evaluate
that often stated in the literature whereby some chronic inflammatory response observed in patients
with chronic periodontitis BRC comes from PC which induces an increase in the expression of
inflammatory markers. Materials and methods: The patients were divided into two groups: the first
group consisted of BRC patients who were conservatively treated with periodontal treatment and the
second group was a control group consisting of patients without any systemic disease who
presented moderate to severe PC, also undergoing conservative periodontal treatment. Results: At
baseline, PC was more severe in BRCgroup than in the control group, as most of the sites with the
periodontal pocket depth PPD ≥ 5mm periodontal (p = 0.03) and loss of attachment CAL (p =
0.003). However, the results of periodontal treatment were noticeably improved only in the group of
patients with periodontal disease but without chronic conditions. Conclusions: Our findings suggest
that periodontal disease is more severe in patients with chronic renal disease and induces a
systemic inflammatory response. Successful periodontal disease reduces systemic inflammatory
response, indicating that it can be a major intervention therapy at patients with chronic kidney
disease.
Keywords: chronic kidney disease, periodontal disease, periodontal treatment.
OP STUDIES ON THE USE OF ERCR:YSGG LASER IN SECONDARY PREVENTION OF

173 DENTAL CARIES
CATALINA IULIA SAVEANU*, IRINA BAMBOI*, OANA DRAGOS**, LIVIA BOBU*,
VLAD DANILA*
Romania
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Prevention of dental caries is the very cheap method of treatment and the main goal
pursued by each practitioner. Our study in oral healthy show that the severity of dental caries is with
very high level and the number of teeth without lesion is in decrease. The aim of this study was to
analyze by scanned electron microscopy (SEM) cavities prepared by ErCr:YSGG Laser (Waterlase
MD-Biolase), and filled with different adhesive materials with are used in situation when the score of
dental caries in European Global Oral Health Indicators Development ( EGOHID) system is 1 to 4
and compared with classical method. Materials: The cavities were filled with adhesive systems
SETM = SchotchbondEtch (3MTM); ASBP=AdperSingleBondPlus (3MESPE) and resin composite,
compomer, giomer and resin modified glass-ionomer materials, ErCr:YSGG setting with peaks
MG6-MZ6. Results: The hybrid layer thickness shows significant statistical variations from group to
group, but also within each given group. The incomplete infiltration present in similar samples may
have numerous causes. Conclusion: The kinetic – laser preparation techniques influence the level
of the material intrication but more studies are needed to test, the power of adhesion of the
materials used and tracking clinical behavior of those method.
OP IN VITRO AND IN VIVO STUDY OF THE CHARACTERISTICS OF SEALING

174 MATERIALS
CATALINA IULIA SAVEANU*, CONSTANTIN ONUTA*, OANA DRAGOS**, IRINA
BAMBOI*, LOREDANA GOLOVCENCU*
Romania
Prevention of dental caries is a desideratum for both dental practitioners and patients, and
dental sealing is one of the main methods recommended by the World Health Organization. The
aim of the study was in vitro and in vivo evaluation of sealing materials. Materials: For the in vitro
study, four sealing materials with and without filler were used and for the in vitro study, a bis-GMA
monomer composite resin material and a 50% filler were used. The study included a total of 17
young patients selected according to certain criteria where 80 preventive seals were performed
following the protocol recommended by the manufacturer. The results of this study were optimal for
all materials but with some morphological differences, and from a clinical point of view, at the 6
month evaluation, 94% sealings were present in 100%. Conclusions: Assessment of the sealing
material characteristics and compliance with the instructions for use improves the final result, which
presents a retention, favorable resistance, preventing adherence of the bacterial plaque, thus
preventing the appearance of carious lesions.
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OP COMPARATIVE ASSESSMENT OF ORO-DENTAL HEALTH AT STUDENTS OF

175 DIFFERENT CULTURAL LEVELS
CATALINA IULIA SAVEANU, MNARKI HAIFA, IRINA BAMBOI
Romania
The motivation of this study was the comparative assessment of the students' health of two
different nationalities, focusing on behaviors, attitudes, level of knowledge, in correlation with the
socio-economic level. In this order, the study objectives were the comparative analysis of the oro-
dental health level assessed by the EGOHID system, their habits, attitudes and risk factors.
Methods: The study was conducted on a group of 260 French, French students divided into two
equal groups. The study was performed on the basis of questionnaire and clinical file data. The
questionnaire included questions about the general data, the frequency of visits to the dentist in the
last 12 months, the reason for the visit and the types of treatment performed, the level of knowledge
and attitudes regarding dental hygiene, sources of information on dental care concerns. The
obtained information was inserted into the database and processed with the SPSS 15 program,
establishing a statistical significance threshold of p ≤0.05%. Results: The study included students
aged 20 to 30, with 57.7% female (150), most of them having an average socio-economic level of
43.1% (112) and a high of 43.8 (114) . The analysis of the assessed factors revealed differences but
these were not always statistically significant. Conclusions: The results of the study indicate that
the socio-economic level that is much higher in French subjects influences the level of oro-dental
hygiene, the contribution of carbon hydrates, the cariogenic risk and the addressability to
specialized services.
OP SHOULDER ISSUES IN DENTISTS: A PILOT STUDY

176 CRISTINA IORDACHE, ANTONELA BELDIMAN, ANA MARIA FATU, CRISTINA
POMIRLEANU, CODRINA ANCUTA
Objectives: Musculoskeletal issues are commonly described in dentists given the risk
factors generated by the specific work-related risk factors. Spine and upper limb are the most
concerned regions due to frequent incorrect and vicious positions, repetitive movements, prolonged
isometric muscle contraction, vibrations. The aim of the study was to highlight the morbidity
indicators of musculoskeletal imbalances in the shoulder and to explore the role of kinetotherapy in
the prevention and treatment of the shoulder issues among dentists. Material and Method: We
evaluated two groups of dentists (15 per each group) engaged in specific professional activities at
least 6 hours daily for more than 10 years and we followed-up clinical and functional impact on
shoulder. Dentists completed a two-step questionnaire focused on clinical symptoms and signs, as
well as imaging procedures. Differences between groups were achieved by individualized kinetic
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programs performed three times per week under specialized guidance. Results: Dentists
presenting with either inflammatory or mechanical shoulder pain significantly improved after the 24-
weeks kinetic program (p<0.05). Conclusions: Musculo-articular imbalances are widely recognized
in dental medicine. The dual relation between ergonomics (correct postures during working hours,
working on four hands, ergonomic instruments) and physical therapy is valuable for maintaining
physical fitness and professional performance.
OP CARIES INHIBITING EFFECT OF PREVENTIVE MEASURES DURING

177 ORTHODONTIC TREATMENT WITH FIXED APPLIANCES
EFKA ZABOKOVA-BILBILOVA, ANA SOTIROVSKA IVKOVSKA, ZLATKO GEORGIEV,
ANETA MIJOSKA, NATASHA STAVREVA
"Ss Cyril and Methodius" University, Skopje, Faculty of Dental Medicine - FYROM
The aim of this clinical study was to detect the effectiveness of chlorhexidine mouthwash
on oral hygiene status and incidence of WSLs in adolescents wearing fixed orthodontic appliance.
Fifty subjects (aged 12 to 18 years) were included in this study. Prior to the beginning of orthodontic
treatment, the patients were given oral hygiene instructions. They were instructed to maintain
regular oral hygiene. After the placement of fixed orthodontic appliance the subjects were provided
with CHX mouth rinse for use during the next weeks. The following parameters were measured: oral
hygiene status - by using the Oral Hygiene Index, Simplified (OHI-S) (the incidence of WSLs - by
using the WSL index. The mean OHI-S and WSL index scores among the groups of adolescents
with orthodontic brackets and used CHX mouth rinse were compared at baseline, 4 weeks, 6
weeks, and 18 weeks after the placement of the appliance. Results: The WSL values between both
groups were comparable at baseline (test: 1.23±0.21; control: 1.19±0.22) and after 4 months (test:
1.26±0.25; control: 1.23±0.23). After 6 months (test: 1.24±0.23; control: 1.27±0.26), and 18 weeks
after the placement of the appliance (1.21± 0.28 vs. 1.32±0.33), the values of WSL were
significantly lower in the test group vs. control group. Conclusion: Usage of CHX-resulted in better
oral hygiene status and reduced the incidence of white spot lesions.
Keywords: chlorhexidin, orthodontic bracket, oral hygiene, white spot lesion.
OP ORAL HEALTH STATUS AND RISK FACTORS OF FIRST GRADE

178 SCHOOLCHILDREN IN IASI, ROMANIA
LIVIA BOBU, LUCIA BARLEAN, CATALINA IULIA SAVEANU, CARINA BALCOS,
MAGDA BARLEAN
Evaluation of oral health is essential for the selection of the most appropriate preventive
strategies. The aim of the present study was to assess oral health status and the risk factors for oral
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health status of first grade schoolchildren in Iasi, Romania. Material and Methods: The study
cross-sectional was conducted within the project entitled "Assessment of oral health and education
for healthy behavior in schoolchildren aged 6 and 12 years in Iasi, Romania". The study sample
included 384 children aged 6-8 years, who were clinically examined using the EGOHID system.
Questionnaires were used to assess oral hygiene and dietary habits. Results: Caries prevalence
was 79.2% for the temporary teeth. The values of caries experience indices were 3.72 for the dmft
and 6.93 for the dmfs, with the d component much higher than the f component. 75% of the subjects
declared a frequent consumption of sugar, with more than half of them eating sweets between
meals. 15% of the children declared they brushed their teeth occasionally. Conclusion: The results
of the study underline the need for effective school-based preventive programs in order to improve
oral health status and reduce the risk factors for oral health of schoolchildren in Iasi.
Keywords: oral health, schoolchildren, risk factors.
OP THE PREDICTIVE POWER OF CARIOGRAM FACTORS FOR THE CARIES

179 LESIONS OF SCHOOLCHILDREN IN IASI, ROMANIA
LIVIA BOBU, ALICE MURARIU
Romania
Caries risk factors assessment is an important stage in the selection of the appropriate
preventive strategy. The aim of the present study was to evaluate the predictive power of the
cariogram factors, caries on temporary teeth and socio-demographic variables for the caries lesions
of permanent teeth. Material and Methods: The study included 415 children aged 7 to 10 years, to
which caries risk was individually assessed using the cariogram. Multiple regression analysis was
used to order the predictive power of each caries risk factor, as well as to compare them. The
predictive model was realized including caries experience indices on temporary teeth (on dental
groups and on dental surfaces) and socio-demographic variables. Results: According to this model,
the significant predictors for the DMFS dependent variable, sort descending by power, are: the
number of Streptococcus mutans on the mesial surface of tooth 1.6, caries indices on the
approximal surfaces of temporary teeth, caries indices on the occlusal surfaces of temporary teeth,
caries indices of lower temporary molars. Conclusion: The density of Streptococcus mutans on the
approximal surfaces of first permanent molars and caries indices on the approximal surfaces of
temporary teeth are the strongest predictors of carious lesions on permanent teeth.
Keywords: cariogram, schoolchildren, predictive.
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OP ENDODONTIC TREATMENT OF TEMPORARY TEETH IN PRIVATE DENTAL

180 OFFICES
ANA ELENA PETCU (SIRGHE), CARMEN SAVIN, LAURA-MARIA VASILCA-
GAVRILA, EUGENIU MIHALAS, ADRIANA BALAN
Romania
One of the most common endodontic treatment of primary teeth are pulpotomy and
pulpectomy, which is used in the treatment of caries, iatrogenic or traumatic injury of the pulp tissue.
Aim: To quantify the endodontic treatment done by general practitioners in temporary teeth and to
identify the methods used. Material and Methods: The endodontic treatments performed between
2015 and 2018, have been documented in 10 dental offices from Iasi, Romania. Results: A total of
89 primary teeth were treated endodontically between 2015 and 2018. Pulpotomies were performed
on 6 primary molars, pulpectomies were performed on 23 primary molars with devitalization agent,
and endodontic root treatments in case on septic pulp necrosis were realized on 60 temporary
molars. Conclusion: The majority of the general practitioner did pulpectomies and pulp necrosis
treatment and complained by the number of young patients who did not return to the dental office
after treatment. It is possible that a large number of patients did not return to the office because of
clinical failures that would have prompted parents to see another dentist, but this is unlikely.
Keywords: pulpotomy, pulpectomy, temporary molars.
OP PREVENTIVE EVALUATION OF RISK FACTORS FOR TOOTH LOSS IN YOUNG

181 ADULTS
LUCIA BARLEAN, CARINA BALCOS, LIVIA BOBU, MAGDA CALINA BARLEAN,
RAMONA DIANA FEIER
Romania
The prevalence of edentations in young adults reflects the efficiency of preventive
measures in childhood. The aim of this study was to evaluate the risk factors for permanent teeth
extraction in young adults in relation to sanogenicbehaviors and socio-economic level in Iasi,
Romania. Materials and Methods: The study included 185young adults agedbetween 22 and 26
years. The EGOHID System was applied in order to evaluate the oral health status. A 10 items
questionnaire was used in order to evaluate the pursued risk factors. The data were analyzed using
SPSS 15.0 system (p<0,05). Results: 44,5% ofsubjects had partial edentations. The dental caries
is the most important cause of tooth extraction (89,5%) followed by traumatic injures (13,2%).
Mandibular first molars were the most frequently lost teeth due to dental caries regardless subjects
gender. More males (68,4%) had lost their teeth because of dental caries.Logistic regression
analysis demonstrated that the extraction due to dental caries is significantly associated with dental
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brushing and carbohydrates intake frequency.The high prevalence of tooth loss was also
significantly associated with the low socio-economic level. Conclusions: The study results reveal
the need to control the risk factors for tooth loss by preventive programs and education for oral
health.
Keywords: risk factors, tooth loss, behaviors, prevention.
OP ASSESSMENT OF THE IMPACT OF DENTAL CARIES TREATMENT ON

182 CHILDREN’S ORAL HEALTH-RELATED QUALITY OF LIFE
EUGENIU MIHALAS, LAURA-MARIA VASILCA-GAVRILA, ADRIANA BALAN, ANA
The concept of oral health-related quality of life (OHRQoL) relates to the impact that oral
conditions have on the individual’s daily functioning, well-being or quality of life. The aim of the
present study was to evaluate the impact of dental caries treatment on OHRQoL among children,
and the responsiveness of the Child Perceptions Questionnaire (CPQ8-10) instrument. Thus,
Romanian children aged from 8 to 10 years, were randomly selected and assigned to dental caries
treatment (DCT) and caries-free (CF) groups based on their values of caries experience index (dmft
for primary and DMFT for secondary teeth). The CPQ8-10 questionnaire was administered before
dental treatment and at 4 weeks, a follow-up of it was performed. In the DCT group increased
CPQ8-10 scores were observed between the before and follow-up results. Longitudinal evaluation
of the CF group demonstrated no statistically significant difference in CPQ8-10 scores.
Responsiveness of the CPQ8-10 instrument (magnitude of change in CPQ8-10 scores) in the DCT
group was greater (effect size > 0.7) than in the CF group. The results of our study revealed that
dental caries treatment has an important impact on children’s OHRQoL. The CPQ8-10 may be used
as an acceptable instrument for longitudinal assessing of changes in children’s OHRQoL. Also, the
questionnaire can be used as an indicator for monitoring social change, for evaluating social
intervention programs and policies and the efficiency of oral health programs, as well as dental
treatment needs for this age group.
OP EFFECT OF SOFT TISSUE THICKNESSES ON RETENTION OF DENTURE

183 ADHESIVES
EMRE TOKAR*, ALEX FOK**
** University of Minnesota, School of Dentistry, USA - Turkey
17 - REMOVABLE PROSTHODONTICS
Background: The effect of soft tissue thickness on retention of denture adhesives has not
been previously investigated. The aim of this study was to evaluate effect of soft tissue thicknesses
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and surface contact areas on retention of denture adhesives. Methods and Materials: Two clear
pmma blocks (25 mm x 75 mm x 12 mm) were fabricated and these were coated with modelling
silicone into 1 mm and 4 mm to imitate edentulous crests. Two rigid discs were milled into 4 mm and
9 mm diameters. These discs were bonded to the elastic slab using two different denture adhesives
(fixodent plus and equate). In this sense, 8 groups were defined in this study. Pull-out test was
performed 12 times using a universal testing machine. (n=12) three-way analysis of variance
(anova) was used to determine significant difference. Results: The highest mean retention value
was found in group f -equate, 1 mm soft tissue, 9 mm disc- (2,86 gf/mm2). The lowest mean
retention was measured in group c -fixodent plus, 4 mm soft tissue, 4 mm disc- (0,71 gf/mm2). 4
mm soft tissue thickness included groups showed that significantly higher retention value than 1 mm
groups. Conclusion: Thin soft tissue model obtained better mean retention values than thick soft
tissue. Bigger surface contact enabled greater retentive forces. In case of thin soft tissue and small
contact area, equate showed that better retention than fixodent plus.
OP DIFFERENT TERMINATIONS AFTER MECHANICAL AGING TENSION

184 FORMATIONS IN VARIOUS CONNECTION SYSTEMS OF IMPLANTED
OVERDENTURE PROSTHESES
MUSTAFA YILDIRIM, MURAT ALKURT, ZEYNEP YEŞİL DUYMUŞ
Recep Tayyip Erdogan University, Rize - Turkey
Aim: This study was carried out to investigate the effect of thermal cycling and mechanical
aging on retention losses after 6 months and 12 months mechanical aging with different number of
thermal cycles on various implant retention systems of implanted overdenture prosthesis. Material
and Method: In our study, the experimental model was made by casting molds of fluidized
polyurethane (PU F16; Axson, Cergy, France) resin prepared in accordance with the instructions of
the silicone mold manufacturer company which simulates the toothless bottom jaw. Four parallel,
11.5 mm deep nests were formed at a distance of 11 mm from each other (center to center). In our
study, overdenture prosthesis models were prepared by applying different types of holders on the
same size and feature implants placed in the anterior region of the affected bone. The prepared
models were subjected to single and double sided tensile forces from four predetermined points and
retention values of different types of holders were examined. The data were analyzed statistically.
Results: In our study, the control group was statistically determined to be a significant difference in
the different connection systems of the overdenture prosthesis after 6 months and 12 months
mechanical aging and 5000 to 10000 cycles thermal cycles (p <0.05). Conclusion: When all other
conditions were appropriate in terms of the holder types in the study,it was determined that the
distal extension bar-supported dentures had higher retentive values than all other overdenture
types,12 months of use period and higher retentive values after thermal cycling than all other
holding types.
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OP CLINICO-STATISTICAL STUDY ON EDENTULOUS SPACES EVOLUTION IN DRUG

185 CONSUMING PATIENTS
ADRIANA BISOC, MIHAELA PAUNA, LIVIA ALICE TANASESCU, OANA CELLA
ANDREI
Carol Davila University of Medicine and Pharmacy, Bucuresti
Romania
Background: Addicted patients are more susceptible to dental affections and have an
increased risk of losing their teeth. The aim of this study is to determine a correlation between the
number of edentulous spaces and their behavior. Material and Method: 35 drug consuming
patients were treated in our clinic for two years and a half. Anamnesis, intraoral photos, panoramic
and periapical radiographs, CBCT images and documentary models were executed. For their
edentulous state situation, we used Kennedy-Applegate classification. Data were analyzed using
statistical methods (SPSS, Student’s T test, ANOVA), corresponding to each category, uniformly
distributed data versus statistical variations. We tested the hypothesis that the number of
edentulous spaces is not significantly influenced by the period of using drugs. Results: Bivariate
correlation between the number of edentulous spaces and month of using drugs resulted in a
moderate positive and statistically significant linear correlation (Pearson coefficient 0.446, p-
stat=0.007). ANOVA method concluded that the type of drug does not determine significant
differences regarding the number of edentulous spaces (P 0.140). The bivariate correlation between
this number and the time passed from the last appointment showed they are weakly positive
correlated, not statistically significant. Applying the regression model, only 9% of the variation of the
number of edentulous spaces appeared in time (F-stat value 3.2, p-stat>0.05), which certifies that
the time passed from the last appointment is not significantly influencing the number of edentulous
spaces. Conclusions: This clinico-statistical study demonstrated the cause-effect relationship
between the consumption of drugs and oro-dental changes (edentulous spaces).
OP FACTORS OF ADAPTATION PERIOD TO REMOVABLE PARTIAL DENTURES AT

186 GERIATRIC PATIENTS IN MACEDONIA
NATASHA STAVREVA, BILJANA KAPUSEVSKA, ANETA MIJOSKA, EFKA
ZABOKOVA BILBILOVA, OLGA KOKOCEVA IVANOVSKA
Faculty of Dental Medicine Skopje
FYROM
Background: Period of adaptation to removable partial dentures (RPD) comes after
prosthetic restoration. Patients often have complaints of different nature related to efficiency of food
mastication, speech articulation or taste. Aim of this study is to identify the factors that influence the
adaptation to RPD. Materials and Methods: The investigation included partially edentulous
geriatric patients with removable partial dentures (RPD) from University Dental Clinic in Skopje. The
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adaptation to 170 RPD has been analyzed, 73 of them for upper jaw and 97 for lower jaw. The
examination of condition was completed by the dentist, while the questionnaire regarding previous
experience with prosthesis, evaluation of comfort, feeding, phonetics and aesthetics was answered
by patients. Results: Most of patients have no problems while feeding, are satisfied with the
comfort, 28% indicate injury to the mucosa, 13% displacement of the dentures while chewing and
54% indicate highest degree of satisfaction. The phonetic tests show that RPD cause greater
difficulty in 43.8% of the persons with upper denture and in 56.3% with lower denture. 76% of
patients are completely satisfied with the aesthetics. Conclusion: The eating discomfort is one of
the major factors influencing the period of adaptation to total dentures. Mucosal injury and
displacement of dentures are main reasons for discomfort, while limitation in the choice of food,
taste disturbances and biting of the soft tissues during meal, difficulties in pronunciation and poor
aesthetics’ recovery influence the adaptation period.
Keywords: factors, adaptation, removable partial denture, geriatric.
OP EFFECTS OF ZrO2 NANOPARTICLE ADDITION ON SOME MECHANICAL

187 PROPERTIES OF VARIOUS DENTURE LINERS
GULFEM ERGUN*, AYSE SEDA ATAOL**, FERHAN EGİLMEZ*, RUKAN GENC***,
ZEYNEP SAHIN**
** Mersin University, Faculty of Dentistry
Turkey
Background: The aim of the present study was to evaluate the shore A hardness, tear
strength and tensile bond strength of zirconium oxide nanoparticles (nano-ZrO2) added tissue
conditioner and soft denture liner. Methods and Materials: Nano-ZrO2 were modified with silane
coupling agent. Then, they were added into an acrylic based tissue conditioner (Viscogel) and a
silicone based soft denture liner (Ufigel P) in two different percentages (0.5% and 1%; respectively)
by weight. The test specimens without any nano-ZrO2 addition was prepared as control (Group 0).
The tear strength, tensile bond strength and shore A hardness tests were applied. The distribution
and morphology of nano-ZrO2 in the matrix were assessed by SEM. Results: In the all test groups
of tissue conditioner and soft denture liner, the highest tear strenght values were obtained in 0.5%
nano ZrO2 added test groups (tissue conditioner; 0.5%; 0.58±0.11 N and soft denture liner; 0.5%;
4.10±0.58 N). 0.5% and 1% of nano-ZrO2 added tissue conditioner test groups showed statistically
significantly lower tensile bond strength values than tissue conditiner without nano-ZrO2 (p<0.001).
However, there was no statistically significant differences between the shore A hardness test results
of all tested groups (p=0.100). Conclusion: Generally, this in vitro study revealed that nano-ZrO2
addition into the tissue conditioner and soft denture liner had no adverse effect on the mechanical
and physical properties of these materials.
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Keywords: zirconium oxide nanoparticles, soft denture liner, tissue conditioner, shore A
hardness, tear strength, tensile bond strength.
OP CURRENT METHODS OF TRAINING FOR DENTAL TECHNICIANS

188 MAGDA-ECATERINA ANTOHE, MONICA ANDRONACHE, RAMONA DIANA FEIER,
OVIDIU STAMATIN, ROXANA VASLUIANU, NORINA CONSUELA FORNA
Romania
Introduction: The dental technique of recent years has made notable progress in terms of
the evolution of technological lines backed up by performing biomaterials. Aesthetics and
functionality are two outstanding parameters of great importance with the clinical purpose of both
fixed and mobile restorations. Our study aims to individualize the methods of training dental
technicians for optimal insertion into the labor market. Material and Method: Analysis of the
implementation of the main trajectories that govern the current dental technique to the students in
dental technique in the context of the individualization of the prosthetic restorations according to the
particularities of the clinical cases.The current lucrative methods are represented by the realization
of wax-ups, mounted in articulators, thus defining the final therapeutical solutions, with the
individualization of the restorative stages corroborated with the specific preparations. Results and
Discussions: The realization of wax-ups in the complex oral rehabilitation is a particularly important
stage in the training of dental technicians, perfecting their practical skills, and especially
individualizing the therapeutic solutions on each clinical case. Another important aspect of the
training methods of dental technicians is the deepening of analog-digital binomial both in fixed
prostheses and in mobilizable prostheses. Conclusions: The importance of the formative aspects
towards the performance in the context of the oral rehabilitation of the various clinical situations in
the dental technical studies is an essential condition for connecting the future dental technicians to
the prosthetic building standards required by the current society.
OP THE SUCCESS OF PROSTHODONTICAL TREATMENT -QUANTIFICABLE

189 BIOMECHANICAL APPLICATION
MONICA ANDRONACHE, MAGDA-ECATERINA ANTOHE, ROXANA VASLUIANU,
RAMONA DIANA FEIER, OVIDIU STAMATIN, NORINA CONSUELA FORNA
Romania
Based on clinical observations on significant percentage of failures in the treatment of
partially edentulous with mobile substitutes we wanted to point out the biomechanical aspects of
each type of edentation. This study intended to point out the specific parts of prothesis in order to
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assure a better stability for them in different clinical situations. According to the biomechanical
aspects of each type of edentation, we tried to made the appropriate dentures’ design. After
applying the forces we conclude that the strain appears next to the second paraaxial premolar, if the
bite is correctly established.
Keywords: partial dentures, biomecanics, stability.
OP DOES SOFT LINING MATERIAL AFFECT ORAL HEALTH IMPACT PROFILE? A

190 PILOT STUDY
ALI CAN BULUT
University of Kirikkale, Faculty of Dentistry
Turkey
Background: Usually, soft linings are used in atrophic or resorbed ridges, unstable or
excess resorbed painful crests. These materials are deformable and flexible so, they can distribute
the pressure evenly over the mucosa and reduce the pain while chewing. Despite the wide use and
acceptance of soft denture liners, it is necessary to evaluate the patient’s response to the use of
these materials with regard to improvement in the Oral Health Impact Profile-14 (OHİP-14).
Objectives: The aim of this study was to evaluate the influence of denture relining in the OHİP-14
of edentulous patients. Materials and Methods: Ten complete denture wearers had their lower
dentures relined with a silicone-based material (Molloplast-b Detax, Karl Huber GmbH & Co.
Germany) according. Ohip-14 was assessed before and after 6 months of relining, and the median
scores were compared by Wilcoxon test (p ≤ 0.05). Results: After 6 months of relining, participants
reported significant improvement of their OHİP-14. Conclusion: Denture relining with a soft liner
may have a positive impact on the perceived oral health of edentulous patients.
OP REHABILITATION OF A PATIENT WITH MAXILLARY DEFECT WITH A

191 PROSTHESIS SIMILAR TO THE OLD OBTURATOR
HATICE ÖZDEMIR
Atatürk University, Erzurum, Faculty of Dentistry
Turkey
Introduction: Patients have defects which damage the mouth integrity as a result of
surgical resection of tumor on jaws. Esthetic, phonetic, functional and psycological problems occur
because of these defects. The prosthetic devices help to separate the mouth and nasal cavity from
each other and to allow the patient to eat and drink comfortably. Case Report: A 70-years-old
woman who applied to Prosthodontic clinic stated that she wanted to have a new obturator because
of poor fitting of the old obturator. The patient expressed that when she ate or drank something with
her old obturator, everything which wrere in her mouth came from her nose. The patient had
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Aramany Class I defect and was edentolous. The reason of the defect was not learned, because the
patient had lost the pathology report after the surgery 30 years ago. The impression was taken with
irreversible hydrocolloid and individual trays were prepared. While the individual impression of the
defect was taken with irreversible hydrocolloid, the individual impression of the lower jaw was taken
with zinc-oxide ogenol. Prosthesis was finished after routine prosthetic procedure. The bulb of the
obturator was designed similar to old obturator, but inside of the bulb was emptied to reduce the
weight of the prosthesis. Conclusions: The most appropriate bulb design should be preferred in
order to overcome the problems seen in patients with maxillary defect. The deficiencies that the
patient noted with old obturator can be eliminated by making different bulb desings.
OP COMPUTERIZED SYSTEMS USED TO QUANTIFY THE SUCCESS OF PROSTHETIC

192 TREATMENT
COSMIN-IONUT CRETU, RAMONA DIANA FEIER, MAGDA-ECATERINA ANTOHE,
OVIDIU STAMATIN, ROXANA VASLUIANU, MONICA ANDRONACHE, NORINA
CONSUELA FORNA
Introduction: The new methodology of using expert systems forces the clinician to make a
decision based on both his own knowledge and the expert system that makes an analysis of the
patient's data more accurate than the one made solely on the basis of human reasoning. Materials
and Methods: The study was conducted on a batch of 47 patients diagnosed with partially
edentulous, subtotal edentulous, or total edentulous in at least one jaw. The patients underwent
clinical and paraclinical examinations. Using the PRODENT application platform, an expert system
for assessing clinical cases and providing a therapeutic solution with a certain degree of plausibility
has been developed. Results: Regarding the prevalence of the score, based on the PRODENT
software developed by Prof. Norina FORNA, we have found the following initial scores S1: favorable
type A 40%, medium type B 30% and clinically unfavorable type C 30%. Concerning the S2 score,
the best therapeutic choice was present in 50% cases, the unfavorable therapeutic solution in 30%
and the intermediate treatment in 20% of the cases. Conclusions: The results show the need for
an algorithm that combines conventional methods with computerized methods in investigating
complex oral rehabilitation cases.
Keywords: computerized, quantify, expert systems.
OP PATHOLOGY SCREENING OF SOCIAL PATIENTS CASES IN MOLDOVA COUNTY

193 OVIDIU STAMATIN, MONICA ANDRONACHE, ROXANA VASLUIANU, RAMONA
DIANA FEIER, NORINA CONSUELA FORNA
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Background: The study presents the elements of heath screening regarding prevalence
and nature of the complications of oral edentations, the role and impact on the health status of the
population in north-eastern Romania. Materials and Methods: The study is based on a total of
4550 patients from rural and urban areas of Moldova counties, over a 6-year period. General health
status, area of origin, complications of partial extended edentation, social-economic indicators, the
number and distribution of the abutments, evaluation of indexes, have been taken into account. The
evaluation of the general and oral status was done on the basis of clinical and paraclinical
assessment, as well as through questionnaires focused on determining the access to medical
services and behavior. Results: During the analyzed period, 27% represented social cases, while
84% had the recommendation for pro-prosthetic treatment. Provisional RPDs are recommended as
treatment in the first stage, with a prediction of positive results after definitive treatment. Rural and
urban origin, such as the degree and number of complications (P <.05), have influenced the
statistical evolution. Conclusion: Continuing screening of general health and in particular of oral
status have to represent a priority of the health policies in order to improve the long-term health of
the population, prioritize resources and increase the quality of medical services.
Keywords: social cases, oral health screening, statistical analysis, Moldova County.
OP EFFECT OF ROOT-CANAL PRETREATMENT AND ADHESIVE STRATEGY ON THE

194 FIBER POST BOND STRENGTH
BATU CAN YAMAN*, FUSUN OZER**, OZGUR IRMAK*, BEGUM YILMAZ*, MARKUS
BLATZ**
*Eskisehir Osmangazi University, Faculty of Dentistry
** University of Pennsylvania, Philadelphia, USA - Turkey
Objective: To evaluate bond strength of a self-adhesive resin cement to a quartz-fiber post
and to dentin after different root canal irrigantion protocols and with or without bonding agent
application. Method: Roots of thirty-six human premolars were endodontically treated and divided
into six groups. All roots were drilled for post spaces in a standardized manner. Before post
cementation,root canals were pretreated with one of three irrigation protocols(5.25% NaOCl,
18%EDTA,2%Chlorhexidine) and with or without a dual-cure adhesive bonding agent (Prime&Bond
NT,Dentsply).Application procedures and groups(G) were: G1-5.25%NaOCl with(w/bonding) and
without bonding agent application(w/o bonding), G2-18% EDTA→5.25%NaOCl w/o bonding and
w/bonding agent, G3-18%EDTA→5.25% NaOCl→2%Chlorhexidine w/o bonding and w/bonding
agent. Afterwards, quartz fiber posts (Unicore, Ultradent) were luted with self-adhesive resin cement
(G-CEM, GC Corporation). The roots were cut into 1 mm thick dentin slabs. The bond strength of
slabs was measured with an hourglass microtensile test method at a cross-head speed of 0.5
mm/minute.Failure modes were assessed with a stereomicroscope and data analyzed with two-way
ANOVA and TukeyHSD test.
Bond Strength [MPa]±SD
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Groups w/o bonding w/ bonding

G1 12.6±4.15a 19.1±3.42b
G2 10.8±1.92a 15.0±4.15ab
G3 12.6±2.52a 18.0±1.89b
Results: The different irrigation procedures did not influence bond strength of a quartz fiber
post to root canal dentin(P>0.05). Bonding application did, in general, increase bond strength
values. The groups with bonding agent application showed mainly adhesive failures between resin
cement and post surface. Conclusion: Dentin bonding agent application significantly increases
bond strength of a self-adhesive resin cement to a fiber post and root canal dentin, independent of
the root canal irrigation protocol.
OP FUNCTIONAL-AESTHETIC DIRECTED OCCLUSION (FADO). INTERDISCIPLINARY

195 ASPECTS OF OCCLUSAL REHABILITATION IN THE COMPLEX IMPLANT
PROSTHETIC TREATMENT
VALERIU FALA, VITALIE GRIBENCO, GHEORGHE BORDENIUC, LILIAN NISTOR
Rep. of Moldova
Introduction: Based on the biomechanical, biofunctional and bioesthetical aspects, there
is proposed the concept of functional-aesthetic directed occlusion (FEDO), that contains diagnosis
and treatment elements from a multidisciplinary approach, in patients with temporomandibular
disorders. Currently, there is an increasing trend of associating direct restorative methods with other
treatment methods. Aim of the study: evaluating the treatment and diagnostic outcomes in regard
to the multidisciplinary approach in implementing the functional-aesthetic-directed occlusion
(FADO), in patients with various clinical forms of temporomandibular dysfunctions. Material and
Methods: There were selected, examined and treated 489 subjects, aged between 24-71 yrs. (347
females, 142 males), with various clinical forms of temporomandibular dysfunction. The research
methodology comprised a prospective and retrospective study, with the application of the following
research methods: cone-beam computer tomography (CBTC), condylography (CADIAX), functional
instrumental diagnosis, static and dynamic cephalometric analysis. Results and Discussions:
Following the complete and complex clinical examination, and after confirming the diagnosis based
on the paraclinical methods, there were pre-selected the individualized treatment procedures for
various clinical forms de temporomandibular disorders. The evaluation of the treatment quality and
efficiency in time, has proved the validity and relevance of the proposed concept – functional-
aesthetic directed occlusion (FADO), which follows the trends regarding modern treatment, in
accordance to the bio-psycho-social model. Conclusion: The proven aspects in regard to the
implementation of the functional-aesthetic directed occlusion (FADO) concept represent a challenge
for the clinicians and dental researchers. The gathered evidences based on the modern research
methodology, support the proposed concept.
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OP PARTIAL PORCELAIN LAMINATE VENEER; A CASE WITH INTRINSIC TOOTH

196 DISCOLORATION
OZLEM KARA, EMEL VJSEL
Turkey
Background: Developments in dentistry leads to new techniques and new mentality.
Patients’ knowledge and dentists’ attitudes are changed in a positive way, therefore in modern
dentistry minimal invasive processes become much popular. Case report: In our case, 21 years old
male patient suffers from a intrinsic tooth discoloration of maxillary left central incisor (#21- fdi
notation system). Maxillary right central incisor (#11) was treated with composite at the vestibular
side before. As mentioned before, to pay regard to minimal invasive treatments, our patient was
treated with a partial porcelain (feldspatic) laminate veneer, instead of full laminate veneer,
composite veneer or full veneer. Therefore, an opportunity to observe differences between
composite laminate veneers and partial porcelain veneers was found. Minimal invasive preparation
was done at the vestibular side, impressions were taken with additional silicons. After laboratory
processes, cementation of partial laminate veneer was done with resin cement. Results: Even
though, porcelain laminate veneers seem more invasive than composite laminate veneers according
to the preparation amount, less preparation than full laminate veneer preparation was done in our
case. Conclusion: This case will sort out a new partial laminate veneers by using cad cam systems
to get more effective results for new age dentistry.
OP DIGITAL EVALUATION OF MOD CAVITY PREPARATION TAPERS DIFFERENCES

197 BETWEEN GRADES OF DENTISTRY FACULTY
ALPEREN DEĞIRMENCI, BEYZA ÜNALAN DEĞIRMENCI
Turkey
Background: Standard dental curricula include preclinical use of phantom-head manikins
with a typodont model of the oral cavity to allow students to develop their procedural skills. Although
these teaching resources have been found effective in improving students’ preparation skills. Such
practice sessions are supervised by clinical tutors, providing oral feedback to the students.
Assessing clinical skills during training can be subjective. PrepCheck programme gives a chance to
tutors evaluate the models objectively. The aim of this study is evaluating the MOD cavity
preparations of the students from grade 3,4 and 5 digitally. Material and Method: 10 students were
included to this study from Van Yuzuncu Yil University Faculty of Dentistry Grade 3, 4 and 5 (n:30).
Same phantom models and the standart cavity bur sets were distributed to each of the students.
According to the black cavity principles, all the students prepared lower left molar teeth MOD cavity.
Then the models were collected and scanned digitally. Virtual models were evaluated with the
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prepCheck programme. Evaluation criterias were defined as cavosurface angle, buccal wall angle,
lingual wall angle, axiopulpal wall angle, margin quality and depth of the cavity. All the
measurements were done by the same operator. Results: Statistical analysis of the datas were
done with SPSS programme. Effects of grades on the cavity preparation were analyzed with One-
Way ANOVA test. Highest success were observed on the 5th grade according to all evaluated
criterias. Conclusions: With the digital dentistry, lecturers could see the progress of each students
according to their grades, exercising times.
OP EFFICACY OF PLASMA ACTIVATION ON BLEACHING

198 FATMA YILMAZ*, ESRA UZER CELIK, UTKU KÜRSAT ERCAN, FATMA IBIS
*Pamukkale University; ** Izmir Katip Celebi University
Turkey
Aims: This in vitro study aimed to evaluate the bleaching efficacy and color stability of
nonthermal atmospheric pressure plasma (NAPP)-activated 40% hydrogen peroxide (HP) and
deionized water (DW). Materials and Methods: Two hundred-forty bovine enamel−dentin samples
were stained with a coffee solution before bleaching. Samples were randomly divided into 12 (n =
20): (1) HP for 5 minute (HP-5), (2) HP-10, (3) HP-20, (4) Plasma (P)-HP-5, (5) P-HP-10, (6) P-HP-
5/HP-15, (7) P-HP-10/HP-10, (8) P-DW-5, (9) P-DW-10, (10) DW-5, (11) DW-10, and (12) DW-20.
After bleaching, the samples were re-stained for 48 h using red wine. The color differences
measured using a dental spectrophotometer after bleaching and after re-staining were reported as
ΔE1 and ΔE2, respectively. The data were analyzed using Kruskal−Wallis and Mann−Whitney U
tests (p < 0.05). Results: All plasma-activated groups revealed higher ΔE1 values than the control
groups and similar or higher ΔE1 values than the nonactivated HP groups (p < 0.05). The HP-5 and
HP-10 groups showed lower ΔE2 value than the other groups (p < 0.05), and ΔE2 value of the HP-
20 group was similar to the plasma-activated groups. Conclusion: Nonthermal atmospheric
pressure plasma treatment increased the bleaching efficacy of HP and gave similar bleaching
efficacy of HP to DW with similar color stability.
OP EFFECT OF IRRADIATION DISTANCE AND TIME ON SURFACE HARDNESS OF

199 SELF-ADHESIVE AND FLOWABLE COMPOSITES
MAKBULE TUGBA TUNCDEMIR, KUBRA KAHRAMAN
Turkey
Background: The aim of the study was to evaluate effect of irradiation distance and time
on the surface hardness of self-adhesive and flowable composites. Methods and Materials: 40
composites for each group and totally 80 specimens were prepared with using 10 mm diameter and
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2 mm deep teflon molds (n=10). Self-adhesive composite (Fusio Liquid Dentin, Pentron) and
traditional flowable composite (Tetric Flow, Ivoclar) were used. The samples were grouped
according to 20 and 40 seconds for irradiation time, 2 mm and 4 mm for irradiation distance. After
the samples were polymerized with the led light device, the microhardness values were measured
from upper surfaces of samples. Statistical analysis was calculated by One Way ANOVA and
Tukey's multivariate comparison tests (p = 0,05). Results: No significant difference was found
among all groups for irradiation distances (2 mm and 4 mm) (p> 0,05). There was significant
difference between Tetric and Fusio Liquid Dentin for curing times (p 0,05). There was no difference
for irradiation time at 2 mm distance neither 20 seconds nor 40 seconds, whereas 4 mm distance
and 40 seconds irradiation time was statistically significant for Fusio Liquid Dentin groups (p <0.05).
Conclusion: It is recommended that for providing higher hardness composite surfaces in deep
cavities, a self-adhesive flowable composites can be used instead of traditional flowable composite
and irradiation time should be 40 seconds.
OP COMPARISON OF TWO DIFFERENT POLISHING SYSTEMS ON SURFACE

200 ROUGHNESS OF BULK-FILL AND ANTERIOR COMPOSITES
MAKBULE TUGBA TUNCDEMIR, MEHMET GOKBERK KAAN DEMIREL
Turkey
Background: The aim of the study was to comparison of the two different polishing
systems on surface roughness of the bulk-fill and anterior composites. Methods and Materials: 20
specimens for each composite group and totaly 40 specimens were prepared with 10 mm diameter
and 4 mm depth teflon molds. Condensable posterior composite (Estelite Posterior, Tokuyama
Dental) and a medium viscous fluid bulk fill composite (Filtek Bulk Fill 3M ESPE) were used for this
study. The composites were polymerized in accordance with the manufacturer's recommendations.
Composite specimens were randomly divided into two groups (n = 10) to apply different polishing
systems (Zenit Flex and Enhance Po-Go). The average surface roughness was measured from 3
different points using the surface profilometer after polishing. Data were statistically analyzed using
t-test (p = 0.05). Results: The average surface roughness (ra, μm) was statistically significant
different in the Zenit Flex disk group (aluminum oxide) (p 0,05). Conclusion: The surface
roughness varies according to the polishing systems, regardless of the composite types. It is
recommended that aluminum oxide containing discs should be used instead of diamond particle
polishing sets in order to achieve a smoother surface of the restorations.
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OP MICROLEAKAGE OF GLASS-IONOMER CEMENT IN PRIMARY DENTITION

201 JELENA KOSTOVIC, TAMARA PERIC
University of Belgrade, School of Dental Medicine - Serbia
Background: Glass-ionomer cements are among most commonly used materials in
pediatric dentistry due to the biocompatibility, fluoride release, anticariogenic/remineralisation
potential, and chemical bonding to enamel and dentin. The aim of the study was to asses
microleakage of different types of glass-ionomer cements in primary teeth. Methods and Materials:
Twenty-five intact primary canine teeth were selected for the study. After the class V cavity
preparation, teeth were divided into five groups (n=5): 1) GC Fuji IX (conventional GIC), 2) GC
Equia (conventional GIC), 3) GC Fuji VIII (resin-modified GIC), 4) GC Fuji II (resin-modified GIC)
and 5) GC Fuјi Triage (sealing material). The teeth were then set to rest in artificial saliva, at the
room temperature for 7 days, and then immersed into methylene-blue for 24 hours. Microleakage
was analyzed under a digital microscope using 400x magnification. Results: Microleakage of
analyzed glass-ionomer cements was: Equia (0.006±0.002mm)˂ Fuji IX (0.010±0.00mm)˂Fuji VIII
(0.070±0.040mm)˂Fuji II (0.017±0.015mm)<Fuji Traige (0.177±0,335mm). Conclusion: GIC
represent an adequate material for primary teeth restoration. Conventional GIC cements have lower
microleakage than resin modified GIC.
Keywords: microleakage, glass-ionomer cement, primary teeth.
OP SURFACE EVALUATION OF A BULK FILL COMPOSITE AFTER FINISHING AND

202 POLISHING PROCEDURE
IRINA NICA, GIANINA IOVAN, SIMONA STOLERIU, CRISTINA-ANGELA GHIORGHE,
SORIN ANDRIAN
Introduction: Obtaining a smooth surface is one of the main objective of composite
restorations, not only for aesthetic reasons but also for maintaining the oral health. The aim of this
study was to evaluate the surface of a bulk fill composite material after finishing and polishing with 3
different systems. Material and Method: The material used was Filtek BulkFill Posterior Restorative
Composite (3M ESPE St. Paul, MN, USA). 20 cylindrical samples of 5 mm diameter and 2 mm
thickness were made using plastic conformers. They were randomly divided into 4 groups, each
consisting in 5 samples. For group 1, the control one, the samples were not subjected to finishing
and polishing. For the studied groups 2-4, samples were firstly finished using two tungsten carbide
burs and then polished as follows: with the Occlubrush (KerrHawe SA, Switzerland) one step
system - group 2, with the Sof-Lex (3M ESPE) two step system - group 3, and with the Super Snap
multi-step system (Shofu, Inc. Kyoto, Japan) - group 4. The surface conditions of all samples were
quantitatively analyzed by profilometry measurements and qualitatively by scanning electron
microscopy. Results: All three finishing and polishing systems determined an increased surface
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roughness comparing with the one of the control group. Conclusions: The most abrasive systems
were Occlubrush (KerrHawe SA, Switzerland) and Sof-Lex (3M ESPE) and the least abrasive was
the Super Snap system (Shofu, Inc. Kyoto, Japan).
Keywords: bulk-fill composite, finishing and polishing systems, profilometry, SEM.
OP THE ASSESSMENT OF CHANGES INDUCED BY BLEACHING SYSTEM

203 OPALUSTRE ON DIRECT RESTORATIVE MATERIALS
GALINA PANCU, SORIN ANDRIAN, IRINA NICA, CLAUDIU TOPOLICEANU, SIMONA
STOLERIU
Background: The widespread of bleaching techniques in dental practice highlights the
importance of researches regarding morphological and structural changes to the direct coronal
restorations following bleaching sessions. The aim of studyis to assess the changes induced by
Opalustre bleaching system on three direct coronal restoration materials. Materials and Method:
40 samples (5 mm diameter, 3 mm thickness) were prepared, respecting the manufacturer’s
indications. The samples were divided in three study groups and a control group (IV). The study
groups were as follows: study group I - (CR) micro-hybrid composite resin (Filtek Z350 XT), study
group II - (RMGC) resin-modified glassionomer cement (Fuji II LC, GC, Japonia), study group III -
(G) Giomer (Beautifil II, Shofu, Japonia). The samples from study groups were submitted to a
bleaching cycle using Opalustre system, with 6.6% hydrochloric acid; control samples were
maintained in artificial saliva (30 ml) Fusayama- Mayer (pH 7) during all study periode. The surface
roughness was analysed by profilometry (Perthometer_M1). Results: Following The analysis of the
results found changes of roughness values for all study groups. Significant statistical differences
were found only for resin-modified glassionomer cement samples. Conclusions: The exposure of
the investigated direct restoration materials to the bleaching system determines changes of surface
roughness for all the investigated materials. The highest changes of surface roughness were found
for resin-modified glassionomer cement, followed by giomer and composite resin.
Keywords: bleaching, restorative materials, roughness.
OP THE ASSESSMENT OF CERVICAL DENTAL WEAR PREVALENCE IN RELATION

204 TO TOOTHBRUSH CHARACTERISTICS
ANTONIA MOLDOVANU, GIANINA IOVAN, NICOLETA TOFAN, CLAUDIU
TOPOLICEANU, GALINA PANCU
Background: Noncariogenic dental wears and gingival recessions are frequent disorders
associated to improper toothbrushing. The aim of studyis to assess the effects of toothbrush on
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cervical hard dental tissues related to characteristics of toothbrush for right-handed and left-handed
adults. Materials and Method: The study was performed on 30 patients aged 18-40, without
systemic diseases, divided in two study groups (related to toothbrush technique and preference for
right or left hand): study group 1(S)– left-hand adults, and study group 2 (D) – right-hand adults. The
data related to toothbrush characteristics were recorded as follows:duration (under 1 minute, 1-3
minutes, >3 minutes), frequency (one time/day, 2-3 times/day, more than 3 times/day ), technique
(horizontal, vertical).It were also assessed and correlated to toothbrush characteristics the plaque
index SL, indice CPITN, indice BEWE. Results: The study found the correlations between the onset
of cervical dental wear and improper toothbrush. The prevalence of cervical dental wear is highest
(87%) to patients reporting a duration of toothbrush more than 3 minutes. Significantly higher
prevalence of cervical wear was found to patients with horizontal toothbrush comparing to vertical
toothbrush (P<0.01). It seems that the dominant hand do not influence the prevalence of cervical
wear. Conclusions: The severity of cervical dental wear is correlated to habits of toothbrush
(technique, frequency, duration). The analysis of the results found better oral hygiene for females.
The study also found the absence of significant statistical differences between right-handed and left-
handed adults.
Keywords: toothbrush, right-hand, left-hand, cervical wear.
OP THE ASSESSMENT OF THE MOUTHWASHES ACTION ON MICROHARDNESS OF

205 THE MATERIALS USED IN DENTAL SEALING
NICOLETA TOFAN, SORIN ANDRIAN, ANTONIA MOLDOVANU, CRISTINA-ANGELA
GHIORGHE, GALINA PANCU
Background: The selection of an optimal sealing material is difficult due tothe various
techniques and materials proposed for the sealing of occlusal fissures. The aim of study is to assess
the influence of antibacterial mouthwashes on surface microhardness for three types of sealants.
Materials and Method: The study groups included 20 samples (5x2 mm) of three sealing materials:
flow composite resin (Premise Flowable, Kerr), glassionomer cement (Fuji TRIAGE, GC),
compomer (Dyract Seal, Densply DeTrey). The samples from each material were divided in 4
groups as follows: control (group IV)- samples immersed in artificial saliva (AFNOR), study group I
(immersion in Listerine), study group II (immersion in Colgate Plax without alcohol), study group III
(immersion in Colgate Plax whitening). The immersion was performed for 1 minute, twice daily, 14
days. Between the immersion cycles all samples were maintained in artificial saliva. The surface
microhardness was assessed using digital device (CV-400DMTM, CV Instruments Namicon).
Results: Significantly higher decreases of microhardness surface was found for all study groups,
comparing to control. The highest decrease was recorded for mouthwash Colgate Plax whitening,
followed by Listerine and Colgate Plax (without alcohol). Regarding materials, highest decrease of
microhardness was found for glassionomer sealant), followed by compomer and composite resin.
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Conclusions: In our study all sealants had significant changes of microhardness surface but the
mouthwash with bleaching effect Colgate Plax Whitening was associated with the highest changes,
as well as the glassionomer cement sealant. Key words: microhardness, sealant, mouthwash.
OP FRACTURE RESISTANCE OF ROOTS RESTORED WITH DIFFERENT POST AND

206 CORES
FATIH SARI, ESRA SARI, SEVGI GÜLMEZ, ZÜBEYDE UÇAR GÜNDOĞAR
Gaziantep University - Turkey
Background: Post-core restorations may lead to fractures of either dental hard tissues and
restorative materials. The aim of the present study is to compare the fracture resistance and failure
modes of roots restored with different post and core materials. Methods and Materials: Roots of 50
mandibular premolar teeth were filled. Root canals were restored with different post and core
materials (n =10);
Group 1: glass fiber post + composite core
Group 2: biological dentine post + composite core
Group 3: composite post and core
Group 4: glass fiber post + biodentine core
Group 5: glass fiber post + resin modified glass ionomer cement core
All samples were subjected to load until fracture occurrence by using a Universal Testing
Machine. Fracture resistance of the roots were recorded in Newtons (N). Failure modes were
considered either re-restorable or non-restorable. Results were statistically analyzed with One-Way
Anova test. Results: Group 4 represented the least fracture resistance (217,13 N) while groups 1, 2
and 3 (853,05 N, 921,38 N and 960,51 N respectively) were superior to others. Re-restorable failure
patterns were observed as 50%, 30%, 40%, 100%, 20% for groups 1, 2, 3, 4 and 5 respectively.
Conclusion: Both glass fiber and biological dentine posts in combination with composite resin
seem advantageous to reduce the risk of fracture. Particularly, biological dentine posts may be
considered because of their cost-effectiveness. Although biodentine is a weak core material, it did
not resulted in non-restorable fractures and may be preferred for teeth which are not under high
occlusal load.
OP REPAIR AND REPLACEMENT DECISIONS BASED ON THE ESTHETIC SCORE OF

207 ANTERIOR COMPOSITE RESTORATIONS
CLAUDIU TOPOLICEANU, CRISTINA-ANGELA GHIORGHE, GALINA PANCU,
ANTONIA MOLDOVANU, ANDREI GEORGESCU
Background: Improper assessment of anterior composite resins coronal restorations can
conduct to failed decisions of repair/replacement. A new assessment system was proposed by FDI
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and literature data found higher sensitivity comparing with previous systems. The study aimed to
assess, based on FDI criteria, the esthetic status of micro-hybrid composite anterior restorations
and to correlate the results with decisions for repair/replacement. Materials and Method: The study
was performed on 92 patients with 150 anterior direct restorations (Z 250, 3M/ESPE) performed by
a single practitioner. All restorations were 1-4 years old. The assessment of esthetic status was
performed using FDI esthetic criteria and esthetic score. Using FDI system, the restorations were
classified as “excellent”, “acceptable”, “satisfactory”, “unsatisfactory”, and “unacceptable”. It was
assessed the influence of some factors (gender, type of cavity, age of restorations) on esthetic
score and repair/replacement decisions. Results: Considering the need for repair/replacement, the
percents of restorations classified as “unsatisfactory” or “unacceptable” were 17% (males) and 15%
(females) related to gender, 8,8% (aged 1-2 years) and 26,6% (aged 3-4 years) related to age,
16,6% (class III), 34,6% (class IV), and 15,3 % (class V) related to cavity type. Conclusions: The
need for repair/replacement of anterior micro-hybrid composite resins restorations was significantly
higher for 3-4 years old restorations comparing with 1-2 years old restorations as well as for class IV
restorations comparing with class III and class V restorations.
Keywords: microhybrid composite, FDI criteria, esthetic score, repair/replacement.
OP EFFECTS OF MATERIAL THICKNESS AND POLYMERIZATION DURATION ON

208 MICROHARDNESS OF INDIRECT COMPOSITE
DILAN KARA, NESLIHAN TEKCE, EMRE OZEL
University of Kocaeli, Department of Restorative Dentistry - Turkey
Short Introduction: This study is about the effects of material-thickness and
polymerization-duration on microhardness of indirect-composite. Purpose: The aim of this study
was to investigate the microhardness-values of the indirect-composite in case of different-material-
thickness and the polymerization-duration on indirect-composite-oven. Method and Materials: In
this study, Gradia-Plus (GC Corporation Tokyo, Japan) was used as an indirect-composite. For
each group, 8 specimen were created. The samples were prepared in two-different-thicknesses (2/4
mm) in a 8-mm diameter stainless-steel-mold. The pre-polymerization process of all samples by
applying pressure with glass under a Mylar-strip. The samples removed from mold and then
polymerized in GC-Labolight-DUO (GC Corporation, Tokyo, Japan) composite-oven at two-different-
time-period, 3 or 6 minutes. The-top-surface of each sample was grinded with 600-grit-SiC-paper for
30-second to provide a standard-surface and then all the top of surfaces were polished with
OptraPol (IvoclarVivadentInc, NY, USA). Measurements were performed from the upper-surface of
the samples using The-Vickers-microhardness-test (Shimadzu HMV-2). Data were analyzed with
One-Way ANOVA and Tukey's Post Hoc (p0.05). From the point of polymerization-duration of
indirect-composite, no significant difference was found between the groups. However, the
microhardness-values of the indirect-composite polymerized for 6-minute (p=0.52) in GC-Labolight-
DUO were found higher than the 3-minute polymerization process (p=0.113). Conclusions: The
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polymerization of indirect-composite for longer than the manufacturer's-recommendations may

cause to enhance the microhardness-values of the indirect-composite. In addition, the thickness of
the indirect-composite during polymerization-process may also have an effect on microhardness-
results.
OP EFFECTS OF DIFFERENT TEAS ON MICROHARDNESS OF ANTERIOR

209 COMPOSITES
SENA KARGI*, EMRE OZEL*, NESLIHAN TEKCE*, CANAN BAYDEMIR**
Turkey
Short Introduction: This study is about effects of different-teas on microhardness of
anterior-composites. Purpose: The aim of this study was to investigate the effects of different-teas
on microhardness of various anterior-composites. Method and Materials: In this study; Gradia-
Direct-Anterior (GC Corporation Tokyo, JAPAN), Clearfil-Majesty-ES-2 (Kuraray, Tokyo, JAPAN),
Tokuyama-Estelite-Quick (Tokuyama Dental Corporation, Japan) and Filtek-Ultimate (3M ESPE,
U.S.A.) were used as composites. The teas used in this study were; Lipton-Rosehip, Lipton-Black-
tea and Lipton-Green-tea. For each tea group, 10 samples of each different composite-material
were prepared (n=120). Samples of 8-mm in diameter and 2-mm in thickness were obtained from
the composite-materials which were placed in stainless steel molds, they were polymerized for 20-
second by applying pressure with glass under a Mylar-strip. After polymerization each sample was
grinded with 600 grit-SiC-paper for 30-second then all surfaces were polished with Sof-Lex-Extra-
Thin (3M ESPE, U.S.A). Measurements were performed at the beginning, 15th day and at the end
of one-month time periods using the Vickers microhardness test (Shimadzu, HMV-2). Each
composite material was kept in 3-different-tea for 30-minute for twice-a-day for one-month during
the morning and evening. Data were statistically analyzed by One-way ANOVA and Tukey’s Post-
Hoc-test (p<0.05). Results: The difference between the microhardness values obtained from the
samples kept in different teas was found to be statistically significant (p<0.05). Filtek-Ultimate is the
composite with the highest microhardness value as a result of 30 day measurements in all teas.
Conclusions: Due to presents the highest microhardness value for all teas tested, nanocomposite
Filtek-Ultimate maybe clinically prefer for anterior-composite-restorations.
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OP EFFECTS OF DIFFERENT POLISHING SYSTEMS ON FLOWABLE COMPOSITES’

210 SURFACE ROUGHNESS
ELIF ILGI SANCAK, NESLIHAN TEKCE, EMRE OZEL
University of Kocaeli, Department of Restorative Dentistry - Turkey
Short Introduction: This study is about the effect of different polishing-systems on
flowable-composites’ surface roughness. Purpose: The aim of this study was to examine the effects
of different finishing and polishing systems on the surface-roughness of flowable nanohybrid-
composite-materials. Method and Materials: In this study, Tokuyama-Estelite-Flow-Quick
(Tokuyama Dental Corporation, Tokyo, Japan), Clearfil-Majesty-Flow (Kuraray Noritake Dental Inc,
Okuyama, Japan), Kerr-SonicFill-2 Composite (Kerr Corporation, Orange, CA, USA), G-Aenial-
Universal-Flow (GC Corporation, Tokyo, Japan) were used as composite-materials. The samples
(8-μm in diameter and 2-μm in thickness disc shaped) were prepared and placed in stainless-steel-
molds (n=8). They were polymerized with a-light-device (EliparTM S10 LED, 3M ESPE, St Paul,
USA), by applying pressure with glass under a-mylar-strip. After polymerization for 20-second,
surfaces of samples were abraded with 1200-SiC-paper for 60-second to provide a standard
surface. The composite-materials were polished with two different polishing-systems: Kerr-OptiDisc
(Kerr Hawe SA, Bioggio, Switzerland) and OptraPol (Ivoclar Vivadent Inc, NY, USA) in accordance
with the manufacturer's-recommendations. Ra and Rz values (μm) were measured by using a
profilometer (Surtronic S128 Taylor Habson Ltd., Leicester, England). Data were statistically
analyzed by One-way ANOVA, Tukey's Post-Hoc and T-Test. Results: In this study, the highest-
surface-roughness values were obtained from Clearfil-Majesty-Flow. No statistically significant
difference was found between the Ra values of the composites that OptraPol polishing-system used
(p>0.05). For OptiDisc, Clearfil-Majesty-Flow exhibited significantly higher surface-roughness values
than G-Aenial-Universal-Flow (p=0.022). No significant difference was found between the other
groups (p>0.05). Conclusion: OptraPol Polishing System produces smoother surfaces on flowable-
composites than OptiDisk Finishing and Polishing System does.
OP THE EFFECTS OF HERBAL TEAS ON DISCOLORATION OF ANTERIOR

211 COMPOSITES
SELEN BOZKAYA*, NESLIHAN TEKCE*, EMRE OZEL*, CANAN BAYDEMIR**
Turkey
Short Introduction: This study is about effects of different-teas on discoloration of
anterior-composites. Purpose: The aim of this study is to investigate the colour change of anterior-
composites after immersing in different herbal-teas for 1-month. Method and Materials: In this
study; Gradia-Direct-Anterior (GC corp., Tokyo, Japan), Clearfil-Majesty-ES-2 (Kuraray, Tokyo,
Japan), Tokuyama-Estelite-Sigma-Quick (Tokuyama Dental Corporation, Tokyo, Japan) and Filtek-
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Ultimate (3M ESPE, St Paul, USA) were used. A total of 120-disc shaped samples were prepared 8-
mm in diameter and 2-mm thickness (n=10). The samples were polymerized (Elipar S10 LED) for
20s by applying pressure with glass under a Mylar-strip-band. Upper surfaces of each specimen
were abraded with 600-grit-SIC-paper for 30s and then all surfaces were polished using Sof-Lex-
Disc. Colour coordinates (L*a*b*, ∆L*, ∆a*, ∆b*, and ∆E*) were measured using a VİTA-Easyshade-
Compact (VİTA Zahnfabrik) after 24hr of storage (baseline) and after 30-day of storage in different-
beverages (black-tea, green-tea and rosehip-tea). The data was analyzed by repeated
measurements of Two-way-Anova and Tukey’s Post-Hoc-Test (p<0.05). Results: For all-composite-
materials, significant difference was found between groups (Filtek-Ultimate p=0,010; Gradia-Direct-
Anterior, Tokuyama-Estelite-Sigma-Quick and Clearfil-Majesty-ES-2 p<0,0001). ∆E values of Filtek-
Ultimate specimens in black-tea and rosehip-tea increased significantly (p=0,009). For Gradia-
Direct-Anterior, a significant difference was found between rosehip and green-tea, green-tea and
black-tea and rosehip and black-tea (p<0.05). There is no difference between black-tea and green-
tea for Tokuyama-Estelite-Sigma-Quick (p=0,935). For Clearfil-Majesty-ES-2 there is a significant
difference between all beverages (p=0,021). Conclusion: Different degrees of colour change were
observed for anterior-composite-materials after immersing in the herbal-teas. Colour change rate
can vary depending on the materials.
OP STUDY ON POST-OPERATIVE SENSITIVITY IN ETCH & RISE ADHESIVE

212 STRATEGY
CRISTINA-ANGELA GHIORGHE, SORIN ANDRIAN, CLAUDIU TOPOLICEANU,
GALINA PANCU, MIHAELA SALCEANU
Romania
Background: Adhesive materials used in minimal invasive operative procedures may
induce postoperative sensitivity due to microleakage, cavity extension, or lack of pulp protection.
The objective of this study was to evaluate how the clinical and technological factors can influence
the evolution of postoperative sensitivity. Materials and Methods: A study group of 57 patients
suffering of postoperative sensitivity were investigated using VAS scale. They were divided into
study groups by age group (aged 25-35, 36-45), sex and type of cavity. The restorative treatments
were performed by the same practitioner using etch & rinse adhesion strategy, on mid-sized cavities
class III by nano-hybrid composite Ceram X One Sphere Tec-Prime and Bond One(Dentsply) and
mid-sized cavities class I Blackby micro-hybrid composite Filtek Z 250 and Adper Single Bond 2
(3M/ESPE). Data were statistically analysed in relation to materials, gender and age, using Mann-
Whitney signed-rank tests. Results: Statistically significant results related to the levels of
postoperative sensitivity were obtained at micro-hybrid Filtek Z 250 restorations and age group “36-
45” (p<0.005). Conclusions: The levels of post-operative sensitivity for direct composite resins
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coronal restorations is related to the type of composite resin and adhesive system as well as age
group.
Keywords: post-operative sensitivity, etch & rise strategy, Visual Analogue Scale.
OP COMPARISON OF THE DMFT INDEX AND ORAL CARE HABITS OF DENTISTRY

213 FACULTY STUDENTS
MAKBULE TUGBA TUNCDEMIR
Turkey
Background: The aim of this study was to compare the DMFT (D = caries, M =
incomplete, F = filled) index and oral care habits of 1 st and 5 th grade of the dentistry faculty
students. Material and Method: Totally 50 students participated in this study. The frequency of
tooth brushing and the use of dental floss was inquired with a questionnaire. Panoramic and
bitewing radiographs were used which were taken during routine examination. The general caries
examination of each individual was determined according to dmft index based on clinical and
radiographic findings. Initial lesions at the enamel level were not considered caries during
radiographic examination. Data were analyzed with One Way Anova and Chi-Square tests.
Results: There was no gender difference for questionnaire participation (p>0,05). The 5 th class
DMFT index is significantly higher than the 1 st class (p0,05). Conclusion: It has been concluded
that dental education is bring about to aware of caries and also decay teeth are treated. Brushing
habit is gained during the dental education period.
OP INVESTIGATION OF COMPOSITE RESIN RESTORATION COLORS BY USING

214 CIELAB (ΔEAB) AND CIEDE2000 (ΔE00) FORMULAS
HAKAN YASİN GÖNDER, ZEYNEP DERELİ, MERVE GÜRSES
Turkey
Objective: The aim of this study is to investigate the coloring of composite resin
restorations with different solutions using Cielab(ΔEab) and Ciede2000(ΔE00) formulas. Material
and Method: In this study,10 composite blocks with a diameter of 13 mm and a thickness of 1.5
mm were used. Five different solutions (tea, nescafe, cola, red wine and water) were used for the
staining procedure. The color changes according to the time they were kept in the sample solutions
were examined using a spectrophotometer(Lovibond). The color values of each sample were
measured in the solutions with baseline,24 hours,48 hours,1 week,3 weeks,1 month and 2 months
intervals and color change values were calculated using CIEDE2000(ΔE00) and CIELAB(ΔEab)
formulations. Statistical analyzes were assessed by one-way ANOVA, Kruskal Wallis, Friedman test
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and Mann Whitney U test. Findings: CIEDE2000(ΔE00) does not show any change with time (p>
0,05). However, there was a statistically significant increase in other materials such as tea, nescafe
and wine over time (p 0,05). The only difference in the tea material was the measurement made two
months later (p> 0,05). There was no statistically significant difference in all other measures except
for baseline and 24-hour scores in Nescafe material (p> 0.05). Differences in all other material and
time measurements were statistically significant and CIEDE2000(ΔE00) had a higher average
score. Conclusion: The mean scores were higher in CIEDE2000(ΔE00) than CIELAB(ΔEab) (p
<0,05). For this reason, it may be considered better to use the CIEDE2000(ΔE00) formulation in
studies using color measurement.
Keywords: coloration, composite, CIEDE2000(ΔE00), CIELAB(ΔEab).
OP PROVIDING A HARMONIOUS SMILE WITH COMPOSITE LAMINATE VENEER IN

215 MISSING CENTRAL INCISOR TOOTH
BEYZA UNALAN DEGIRMENCI, ALPEREN DEGIRMENCI, HABIL BAZYEL
Turkey
Background: The presence of a space between anterior teeth or diastema is a common
esthetic problem. It can be due to a number of reasons including growth deficiencies, tooth-sized
discrepancies, improper tooth angulations, missing anterior teeth. The first option is an orthodontic
treatment, while the second employs a restorative procedure to close the space. In this case, we
present treatment options for missing anterior tooth via restorative approaches. Case Report: A 11-
year-old child visited the Restorative Dentistry Clinic of Dentistry Faculty, Van Yuzuncu Yil
University, due to concern about a space between her front teeth. The patient presented a midline
diastema of 1.5 mm. The radiological examination showed that related missing tooth was impacted.
The primary treatment objective was to restore appearance of lateral tooth to central tooth. A study
model and a diagnostic wax-up were used for esthetic evaluation. In addition, the diagnostic wax-up
and photograph were used to facilitate communication with patient and the dentists. Color selection
was done with button technique. Medium dentin and light enamel colors were choosed. Rubberdam
set was placed. Enamel surfaces were etched with %37 orthophosphoric acid. Clearfil SE-Bond was
prefered as bonding agent. Enamel and dentin composites were applied via silicon guide. Related
tooth form was revised to central tooth. Polishing was done. Conclusion: Esthetic reconstruction
with adhesive tooth-colored restorations to treat midline diastema without orthodontic intervention
was an appropriate treatment option for this patient.
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OP INFLUENCE OF ADDING HYDROPHILIC AMIDE MONOMERS TO SHEAR BOND

216 STRENGTH
MUSTAFA DÜZYOL, SEVIM ATILAN, ZEYNEB MERVE ÖZDEMIR
Turkey
Objective: The aim of this study was to compare the shear bond strength (SBS) dentin
bonding agent containing hydrophilic amide monomers (HMA) and bonding agent containing 10-
Methacryloyloxydecyl dihydrogen phosphate (MDP). Materials and Methods: 20 third molar teeth
were divided into two groups. Teeth were abraded with a SiC disc ( Carbimet, Bisco Inc.,
Schaumburg, USA) to be under 1 mm of enamel-dentin junction. The dentin surface were etched
with %37 phosphoric acid for 15 s and then rinsed with water spray for 10 s and air dried. Cylinders
of composite (Clearfil Majesty Posterior, Kuraray Noritake Inc, Okuyama, Japan) were bonded using
2 dental bonding agents. Group A used bonding agent containing HMA+MDP (Clearfil Universal
Quick bond, Kuraray America, Inc. New York/NY, USA) and Group B used bonding agent containing
only MDP (Clearfil S3 Bond plus, Kuraray America, Inc. New York/NY, USA) applied in accordance
with the manufacturer's instructions. The speciemens were stored for 24 h in 37°C water and
thermocycled between 5 and 55 C water with a 20 s dwell time for 5000 cycles. They were
submitted to a shear bond test with a universal testing machine (AGS-X, Shimadzu, Kyoto, Japan).
The values of SBS were analyzed with ANOVA/Tukey’s test. Results: Group A was 35,96±5,47
MPa and B was 24,25±7,5 MPa There was a statistical difference between two groups. (p<0.05).
Group A was higher than Group B. Conclusions: According to this study when bonding agents with
hydrophilic amide monomers are used, it has showed higher shear bond strength.
OP THERMOGRAPHIC MEASUREMENT OF TEMPERATURE RISE İNDUCED DURING

217 GLASS CARBOMER POLYMERIZATION
MUSTAFA DÜZYOL, ZEYNEB MERVE ÖZDEMIR, SEVIM ATILAN
Turkey
Objective: The purpose of this in vitro study was to measure the pulp chamber and
restoration surface temperature increase induced during glass carbomer (GCC) and resin modified
glass ionomer cement (RMGIC)polymerization with a LED-light-curing-unit. Material and Method:
Twenty caries and restoration-free third molars were prepared with distal slot preparations and were
filled either with a resin modified glass ionomer cement (Fuji II LC, GC Corp, Leuven, Belgium)
(Group 1); a glass carbomer cement (Glass Carbomer, (GCP Dental, Vianen, The Netherlands))
(Group 2). All samples were kept at room temperature (26°C) for 24 h. The cements were applied
cavities. Group 1 were cured for 20 seconds and group 2 were cured for 80 s with a LED-light-cure
(VALO LED, Ultradent, South Jordan, USA) with an intensity of 1,200 mW/cm 2. In the last seconds
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of polymerization, photos of evaluation were taken with an high-resolution infrared camera (Testo
865, Testo Limited, Hampshire, UK). Photos were analyzed with software (IRSoft v4.3, Testo SE,
Lenzkirch, Germany). Restoration surface and pulp chamber temperature were recorded. Results:
Room temperature was recorded approx 26°C with infrared camera during study. In both regions,
GCC showed statistically higher temperature increase than RMGIC. (p<0.05) The restoration
surfaces, GCC was 19,1°C±0,68°C and RMGIC was 13,53°C±1,96°C. The effect of GCC and
RMGIC polymeriaztion on pulpal chamber temprature increase were 7,9°C±0,9°C and
4,33°C±1,23°C respectively. Conclusion: The range of temperature rise measured in study (mean
7,9°C±0,9°C) would suggest that the pulp may be endangered by the temperature rise which occurs
during glass carbomer polymerization.
OP EFFICACY AND COLOUR STABILITY OF TWO DIFFERENT AT-HOME BLEACHING

218 SYSTEMS: TWO YEAR FOLLOW-UP
ESRA UZER ÇELİK*, BETÜL AKA**, BAŞAK YAZKAN***, GÖZDE ÖZTÜRK*
** Bornova Oral Dental Health Centre, İzmir
*** Pamukkale University, Denizli, Faculty of Dentistry
Turkey
Aim: The aim of this randomised controlled clinical trial was to compare the bleaching
efficacy and colour stability of two different at-home bleaching systems on teeth of different shades
after 2-year follow-up. Methods: Ninety-two patients were randomly assigned into three groups: (a)
no bleaching agent (control group), (b) 10% carbamide peroxide (10% CP; Opalescence PF,
Ultradent, South Jordan, USA), and (c) 6% hydrogen peroxide (6% HP; Opalescence Go,
Ultradent). Each group was assigned into three subgroups: (1) light shades (A1-C1), (2) medium
dark shades (C2-B3), and (3) dark shades (A3.5-C4). Bleaching systems were performed in
accordance with manufacturers’ instructions for 14 days. The colour values were measured at the
baseline, 10 days and 14 days of bleaching, 2 weeks, 6 months, 1 year and 2 years after bleaching.
The data were analyzed with three-way ANOVA, one-way ANOVA and Mann-Whitney U tests ( =
0.05). Results: Irrespective of original shade, the ΔE* values were significantly higher in the 10%
CP/PF subgroups than those in the 6% HP/Go subgroups in all evaluation periods (p<0.05). In both
bleaching systems, the dark teeth showed higher ΔE* values than the light teeth (p<0.05). After 2
years, ΔE* values significantly decreased in all subgroups of 10% CP, but a decrease in ΔE* value
was only observed in the dark shade subgroup of 6% HP (p<0.05). Conclusions: Bleaching effect
of 10% CP was more effective immediately after bleaching, whereas relapse of 10% CP was more
remarkable after 2 years.
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OP EFFECT OF EXPERIMENTAL INTRACORONAL BLEACHING AGENTS ON DENTIN

219 MICROHARDNESS
ESRA UZER ÇELİK*, MURAT TÜRKÜN**, ELVAN BODUR*, BURAK ÇELIK***
*** Private Clinic
Turkey
Aim: This in vitro study aimed to examine the effect of experimental intracoronal bleaching
agents consisting of a low-temperature bleaching activator known as tetra acetyl ethylene diamine
(TAED) added to sodium perborate mixtures on dentin microhardness. Materials and Methods: A
hundred and thirty extracted human single-rooted premolars were obturated and assigned into study
groups as follows; 1. sodium perborate-deionized water (SP)/21d, 2. 35% hydrogen peroxide
(HP)/21d, 3. 37% carbamide peroxide (CP)/21d, 4. SP-TAED(2:1)/21d, 5. SP-TAED(1:1)/21d, 6.
SP-TAED(2:1)/5d, 7. SP-TAED(1:1)/5d, 8. SP/3h, 9. 35% HP/3h, 10. 37% CP/3h, 11. SP-
TAED(2:1)/3h, 12. SP-TAED(1:1)/3h, 13. DS/21d (control). After bleaching procedures, 3-mm thick
dentin discs were obtained apical from the cemento enamel junction (n=10). Knoop microhardness
tester was used to measure the inner, middle and outer dentin microhardness. The data were
analyzed using two-way ANOVA, one-way ANOVA and Bonferonni tests (α=0.05). Results: In inner
dentin, the application of SP, HP and CP for 21d (SP/21d, 35% HP/21d, 37% CP/21d) resulted in
lower microhardness compared to control group (p < 0.05). 35% HP/21d group produced lower
microhardness than control group in middle dentin (p < 0.05). In outer dentin all goups produced
similar microhardness value. Conclusion: The addition of TAED to SP did not produce any
detrimental effect on dentin microhardness.
OP BLEACHING EFFICACY AND COLOR STABILITY OF EXPERIMENTAL

220 INTRACORONAL BLEACHING AGENTS
ESRA UZER ÇELİK*, MURAT TÜRKÜN**, EDA KIZILKAYA*, BETÜL AKA***
*** Private Clinic, Bornova Oral Health Center
Turkey
Aim: This in vitro study aimed to examine the bleaching efficacy and color stability of
experimental intracoronal bleaching agents consisting of a low-temperature bleaching activator
known as tetra acetyl ethylene diamine (TAED) added to sodium perborate mixtures. Materials and
Methods: A hundred and thirty extracted human maxillary central incisors were obturated and
assigned into study groups as follows; 1. sodium perborate-deionized water (SP)/21d, 2. 35%
hydrogen peroxide (HP)/21d, 3. 37% carbamide peroxide (CP)/21d, 4. SP-TAED(2:1)/21d, 5. SP-
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TAED(1:1)/21d, 6. SP-TAED(2:1)/5d, 7. SP-TAED(1:1)/5d, 8. SP/3h, 9. 35% HP/3h, 10. 37% CP/3h,

11. SP-TAED(2:1)/3h, 12. SP-TAED(1:1)/3h, 13. DS/21d (control). After artificially staining with
human blood, the bleaching protocols were applied to the stained teeth (n=10). The teeth were
subsequently re-stained using red wine for the evaluation of color stability. The color values
(L*,a*,b*) of the teeth was measured after staining, after each bleaching session and after re-
staining process using a dental spectrophotometer. The color difference values (E) were analyzed
using repeated measures of ANOVA, one-way ANOVA and Bonferonni tests (α=0.05). Results:
35% HP application for 21d (35% HP/21d) and SP-TAED mixtures performed for 5d and 21d (SP-
TAED(2:1)/21d, SP-TAED(1:1)/21d, SP-TAED(2:1)/5d, SP-TAED(1:1)/5d) resulted in higher E
values than the other groups after bleaching (p < 0.05). However, re-staining produced statistically
higher E values in 35% HP/21d, SP-TAED(2:1)/5d, and SP-TAED(1:1)/5d groups compared to the
other groups (p < 0.05). Conclusion: The addition of TAED to SP accelerated the bleaching effect
of this material. More bleached groups tended to show less color stability.
OP THE CLINICAL PERFORMANCE OF CAD/CAM GENERATED DIFFERENT

221 INLAY/ONLAY MATERIALS: A ONE-YEAR FOLLOW UP
GÖKHAN KARADAĞ, SERDAR BAĞLAR
Turkey
Background: The aim of this study is to evaluate the one year clinical performance of
inlay/onlay restorations made in posterior vital teeth using four different CAD/CAM blocks (Lava
Ultimate, IPS e.max CAD, Vita Mark II, Vita Enamic) with different contents and advantages.
Methods and Materials: In this study, a total of 60 inlay/onlay restorations were made with
CAD/CAM system in groups containing 15 teeth. All restorations were applied by the same dentist.
The restorations were checked after one week, six months and one year by two dentists calibrated
with each other (Cohen Kappa index = 0.88). Modified USPHS criteria were utilized in assessing
restorations during the controls. Statistical analysis of the obtained data was performed with the
SPSS 15.0 program. Intra-group comparisons were made using Cochran’s Q, and cross-group
comparisons were made using Chi-square (χ2) test. Results and Conclusion: The follow-up rate of
the patients after one year was found to be 100%. At the end of one year, all restorations were
successful at the clinically acceptable level. There was no statistically significant difference between
the clinical performances of the different CAD/CAM materials used. As a result of this 12-month
clinical trial, inlay/onlay restorations using the CAD/CAM system and four different blocks in the vital
posterior teeth exhibited similar clinical performance.
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OP THE EFFECT OF LIGHT POLYMERIZATION PROCEDURE ON SHEAR BOND

222 STRENGHT OF TWO COMPOSITE MATERIAL
YUSUF BAYRAKTAR, KADIR DEMIR, GÖKHAN KARADAĞ
Turkey
Background: The aim of this study was to evaluate the rapid polymerization effect with
high energy on shear bond strength of two composite material. Materials and Methods: Sixty
bovine incisors were prepared and grinding from labially to obtain uniform flat dentin surfaces. The
teeth were divided four groups randomly. Composite restorations were restored 2.30 mm diameter
and 3 mm height with using Ultradent Bonding Jig as explained below. All restorations were
irradiated with LED curing light (Valo Cordless, Ultradent) Group 1: Clearfill SE bond + Clearfill
Majesty Posterior (3200 mW/cm2 power, 3 sec. irradiation time) Group 2: Adhese Universal + Tetric
Evo Ceram (3200 mW/cm2 power, 3 sec. irradiation time) Group 3: Clearfill SE bond + Clearfill
Majesty Posterior (1000 mW/cm2 power, 20 sec. irradiation time) Group 4: Adhese Universal +
Tetric Evo Ceram (1000 mW/cm2 power, 20 sec. irradiation time). All specimens were thermocycled
for 10.000 times between 5°C and 55°C baths before shear bond strength testing. Finally
specimens were placed in a testing machine and shear bond strength was measured at a
crosshead speed of 1 mm/min. The data were analyzed with One-way ANOVA and Post-hoc Tukey
tests in SPSS 16.00 programme. Results and Conclusion: All groups showed approximately
similar mean scores (Group 1: 51,427 Mpa, Group 2: 53,273 Mpa, Group 3: 53,773 Mpa, Group 4:
52,047 Mpa) and there were no statistically significant differences found between the groups
(p>0.05).
OP THE DIFFERENT VIEW OF ANTERIOR ESTHETIC: PREFABRICATED COMPOSITE

223 VENEERS; FIVE CASES REPORTS
İSMET REZANI TOPTANCI
Dicla University, Diyarbakir, Faculty of Dentistry
Turkey
İntroduction: Maintaining of naturalness aesthetic for anterior region teeth is important at
restorative dentistry. The increasing demand for aesthetic restorative treatments and recent
advances in adhesive dentistry have led to the development of materials and techniques aimed at
restorating the neutral tooth appearance. The new generation of the prefabricated composite resin
veneers has been replaced in dental markets. Composite veneer shells are made of hybrid
composite resins. Because of providing a full structural integrity this laminate veneers are cemented
with same hybrid composite resin. The aim of this five case reports is describe who has anterior
esthetic problems, treated with prefabricated composite laminate veneer Componeer (Coltene;
Altstätten, Switzerland). Case Reports: Three female and two male patients were referred to our
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clinic with aesthetic problems in the anterior maxilla. Prefabricated lamina veneer restoration were
planned at patients. Componeer (Coltene; Altstätten, Switzerland) was used for this purpose. In 1
year follow-up of patients, FDI criteria in clinical trials on direct dental restorations were recorded in
the first, third, sixth and twelfth months. No difference was observed between months in terms of
FDI criteria in clinical trials on direct dental restorations. No structural changes were observed in the
restorations. Conclusion: The prefabricated composite veneer is modern and improved version for
direct composite veneers and so it is more successful in anterior aesthetic applications.
Prefabricated composite restorations can be a solution for problems involving patients and dentist,
such as time and cost in aesthetic applications.
OP IN VITRO BOND STRENGTH EVALUATION OF EXPERIMENTAL ADHESIVE

224 CONTAINING POLY(METHYL VINYL ETHER-CO-MALEIC ANHYDRIDE)
COPOLYMER
OZGE CELIKSOZ*, OZGUR IRMAK**, ZEYNEP DIKMEN**, VURAL BUTUN**
*Private Office; **Eskisehir Osmangazi University
Turkey
Background: The contents of adhesive systems directly affect their bond strength. The
purpose of this in vitro study was to evaluate the bond strength of experimental two-step self-etch
adhesive containing Poly(methyl vinyl ether-co-maleic anhydride) Copolymer (PVM/MA) (Gantrez S-
97 HSU Solution, USA) and to compare its bond strength with those of commercially available self-
etch adhesives and experimental two-step self-etch adhesive free of PVM/MA copolymer. Methods
and Materials: Fifty extracted human molar teeth were randomly divided into 5 equal group as
follows (n=10); Clearfil SE Bond (Kuraray, Japan) (SEB), Clearfil Protect Bond (Kuraray, Japan)
(PrB), Clearfil Universal Bond (Kuraray, Japan) (UniB), experimental adhesive (ExpA), experimental
adhesive containing PVM/MA (ExpA-G). After application of the adhesives to dentin, resin
composites were bonded. Specimens were stored in distilled water for 24 h, and sectioned into
beams followed by subjection to microtensile bond forces. Data were analyzed with ANOVA
followed by Holm-Sidak multiple comparison test (α=0.05). Results: ANOVA results revealed a
significant difference between the mean bond strength values of the adhesives (p<0.0001). Multiple
comparisons showed that mean bond strengths of all of the adhesives were significantly different
from each other (p<0.05). Highest bond strength was obtained in commercially available two-step
self-etch adhesive, SEB (15.93±6.84 MPa); while the lowest bond strength was obtained in the
experimental adhesive containing PVM/MA, ExpA-G (6.08±2.85 MPa). The experimental adhesive
containing PVM/MA (ExpA-G) showed lower bonds strength values than the experimental adhesive
without PVM/MA (ExpA) (p<0.05). Conclusion: Addition of PVM/MA into the experimental two-step
self-etch adhesive led to lower bond strengths.
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OP SEVERE INCISAL EDGE ABRASION CAUSED BY AN UNUSUAL HABIT - CASE

225 REPORT
DORELIA LUCIA CALIN
Romania
Background: Abrasion is the physical wearing of a tooth surface which can involve the
presence of a foreign object repeatedly being in contact with the tooth. The aim of this case report is
to present a clinical case of a patient with severe incisal edge abrasion caused by an unusual habit
and the restoration using composite and a silicone guide realized by wax-up technique. Material
and Method: A 28 years old patiente presented at the Department of Cariology and Restorative
Odontotherapy of the Faculty of Dental Medicine, "Gr. T. Popa "University of Iassy, in order to solve
the aesthetic problems, caused by the incisal edge abrasion of central and lateral incisors. The
clinical examination revealed the generalized severe wear of the upper and lower front teeth,
reduction of the coronary height, the incisal edges turned into incision surfaces with exposed
dentine. A detailed history revealed that she had an unusual habit of making beads fixed with metal
wire and cut the wire with the incisors without using the specific tools. In the present case, the
length of the incisal edges was restored using composite restorations and a silicone guide realized
by wax-up technique. The patient was further cautioned against using the wire between her anterior
teeth. Results: The clinical exams at 6 months showed good aesthetics. Conclusion: The
advantages of using direct composite procedures include the short time of the procedure, ensuring
a good and immediate aesthetic result at a low cost.
OP THE BOND STRENGTH OF ADHESIVE RESINS TO MTA-FILLAPLEX

226 CONTAMINATED DENTIN TREATED BY VARIOUS GUTTA-PERCHA SOLVENTS
HANIFE ALTINIŞIK*, CEMILE KEDICI ALP*, ESRA ÖZYURT**
*Gazi University, Faculty of Dentistry; **Trakya University, Edirne, Faculty of Dentistry
Turkey
Background: The aim of this study was to evaluate the effect of different endodontic
solvents applied to the dentin surfaces contaminated with MTA Fillapex root canal paste on
microtensile bond strength (μTBS) of adhesive resins to pulp chamber dentin. Materials and
Methods: 50 human third molars pulp chamber was perforated and the pulp residues were cleaned.
MTA Fillapex was applied on all dentin surfaces for 5 min, the samples were divided into 5 groups,
the paste was removed with different solutions. (n = 10) (Without solution, Chloroform, Methyl ethyl
ketone, Ethyl acetate, Endosolv R). The samples were divided into two subgroups according to the
adhesive system used. Clearfil Tri-S Universal Bond (Kuraray) applied as self-etch and total-etch
according to the manufacturer's instructions. The teeth were restored with a composite and
sectioned to produce sticks for microtensile bond testing. Data were analysed by ANOVA and Tukey
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test. Results: The mean μTBS values in all total etch adhesive groups was statistically higher than
the all self etch adhesive groups (p<0.05).) μTBS of the group (chloroform+self-etch) was
significantly lower than, whereas μTBS of the group (Endosolv R+self etch) was significantly higher
than the other self etch groups. μTBS of the group (chloroform+ total-etch) was significantly lower
than the other total-etch groups (p<0.05). μTBS of the group (Endosolv R+total-etch) was
significantly higher than the methyl ethyl ketone+total-etch group (p0.05). Conclusion: Treating
methods affect the dentin bonding strength of self etch and total etch adhesives.
OP THE INFLUENCE OF PREHEATING ON MARGINAL ADAPTATION OF RESIN-

227 BASED MATERIALS FOR DIRECT RESTORATION
SIMONA STOLERIU, GALINA PANCU, IRINA NICA, NICOLETA TOFAN, GIANINA
IOVAN
The aim of the study was to compare the marginal adaptation of three different resin-based
materials used for direct restoration: a composite resin, a compomer and a giomer applied with or
without preheating. A nanohybrid composite resin (Filtek Z 250, 3M ESPE), a compomer (Dyract
eXtra, Dentsply Sirona) and a giomer (Beautifil II, Shofu Dental) were chosen for this study. Class II
cavities were prepared on proximal surfaces of extracted teeth and randomly divide in 3 groups
according to the material used for restoration. In each group five cavities were restored using the
material for filling at room temperature, five cavities were restored using preheated materials at
50ºC and five cavities were restored using preheated materials at 60ºC. The teeth were immersed in
artificial saliva for 14 days and then were immersed in 2% methylene blue buffered dye solution
(pH=7) for 4 hours. The sample sections were examined using an optical microscope (Carl- Zeiss
AXIO Imager A1m) at 50x magnification and the dye penetration was evaluated. The
characterisation of tooth-material interface was also performed on the images recorded using a
scanning electron microscope (VEGA II LSH, Czech Republic). Lower microleakage and fewer gap
formation were recorded for all materials for filling after they have been heated at 50ºC or 60ºC. Pre-
warming of resin-based materials improves the adaptation of these materials to tooth structures.
OP MINIMALLY INVASIVE TECHNIQUES OF DISCOLOURED ANTERIOR TEETH – A

228 CASE SERIES
Gul Yildiz Telatar*, Baris Can Telatar**
*RTE University, Rize, Faculty of Dentistry; **Private Orthodontist - Turkey
Background: The appearance and color of the teeth is important for smiling for that reason
discolorations of teeth exhibit major clinical and esthetical challenges. The nature colour of the teeth
is mostly grayish-yellow, grayish-white or yellowish-white and is influenced by a combination of
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presence of any extrinsic stains and their intrinsic color. This case series presents different
conservative techniques to remove or mask discoloured anterior teeth caused by various reasons.
Methods and Materials: First patient with fluorosed teeth who was successfully treated with a
minimally invasive technique including enamel microabrasion (6.6% hydrochloric acid slurry with
silicon carbide micro‐particles, Opalustre, Ultradent Products, South Jordan, USA) followed by in
home bleaching (%10 carbamide peroxide, Opalescence, Ultradent Products, South Jordan, USA).
Direct composite laminate veneer technique (G-ænial Anterior, GC Corporation, Tokyo, JAPAN)
was applied to the second patient with enamel hypoplasia. The walking bleaching technique (35%
hydrogen peroxide, Opalescence Endo, Ultradent Products, South Jordan, USA) used for third
patient with esthetic problem related to discolouration of nonvital tooth. Results: According to these
case reports, using different non-invasive treatments was found to be successful in discolored
anterior teeth. Conclusion: These minimally invasive techniques are better option in treatment of
dental fluorosis, enamel hypoplasia and non vital teeth with intrinsic discoloration.
OP EFFECT OF 40% HYDROGEN PEROXIDE ON THE ADHESIVE INTERFACE

229 BETWEEN COMPOSITE RESIN AND DENTAL TISSUES
GIANINA IOVAN, SORIN ANDRIAN, CRISTINA ANGELA GHIORGHE, IRINA NICA,
SIMONA STOLERIU
Romania
The adhesive joint between the dental tissues and composite resins is subjected to
complex physico-chemical challenges in the oral environment. The free radicals released during the
dental bleaching might influence the sealing ability of the bonding agent. The aim of this study was
to evaluate the postoperative effect of one bleaching agent containing 40% peroxide hydrogen on
the interface between dental tissues and composite resin. Standardized Class V cavities were
prepared in both buccal and lingual surfaces of extracted human molars. The gingival margins were
placed bellow the cement-enamel junction. The teeth were randomly distributed in two groups
restored with a microhybrid composite resin (Gradia Direct) and an universal adhesive system (G-
Premio Bond) applied with and without preliminary acid etching of enamel and dentin. The samples
of each group were bleached on one of the restored surfaces using Opalescence Boost. All the
groups were subjected to a microleakage test by immersion in 1% methylene blue for 24 hours. The
axial sections were examined for dye penetration and marginal gaps. The data were statistically
analyzed. The dye penetration increased after bleaching in both study groups. No statistical
significant differences were recorded between the bleached and control groups. Increased
microleakages were recorded at the gingival margins comparing to enamel margins. The effect of
postoperative bleaching on the marginal qualities of composite resin restorations could be
influenced by the type of adhesive and the characteristics of dental tissues involved in the interface.
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OP DIFFERENCES IN PERCEPTION OF SMILE ESTHETICS

230 MARIA JUSTINA ROXANA VIRLAN, VICTOR NIMIGEAN, SIMONA ANDREEA
MORARU, VANDA ROXANA NIMIGEAN
Romania
People with harmonious smiles have been considered to be more beautiful and intelligent
than their peers. Dental and smile esthetics affect the attractiveness, therefore influencing the
professional and personal lives of patients. The perception of beauty varies depending on ethnicity,
culture and social characteristic, as the idea of a harmonious smile might not always coincide
between dental professionals and patients. Numerous factors have been shown to influence smile
esthetics and results are rather controversial between different research groups. The current review
focuses on the factors that could influence smile and dental esthetics perception. The selection of
data for this study was carried out according to the standard Cochrane systematic review
methodology and several databases were used: PubMed, Google Scholar, Medline and the Google
library. The search strategy included MeSH -Terms and unspecific free-text words relating to dental
esthetics. There is evidence that the profession of an evaluator influences the perception of smile
esthetics. Dentists of different specialities might notice different aspects of a smile. There were also
encountered variations between the evaluation of an esthetic smile by laypersons or individuals with
a dental background. In some aspects the general public might be more tolerant than dentists when
rating a smile, while in other cases more critical. But, some features, for example symmetry, are in
general equally perceived by both patients and dental specialists.
Keywords: smile, dental esthetics, laypersons, dentists, perception.
OP NONCARIOUS CERVICAL LESIONS IN YOUNGER VERSUS ELDERLY PATIENTS

231 SANDA MIHAELA POPESCU, VERONICA MERCUT, MONICA SCRIECIU, IULIA
ROXANA MARINESCU, EMMA CRISTINA DRAGHICI, MELANIA COJOCARU, HORIA
OCTAVIAN MANOLEA, MONICA MIHAELA CRAITOIU
Romania
Noncarious cervical lesions are multifactorial origin lesions, with a complex etiology. The
mechanisms involved are biocorrosion, occlusal stress and friction. Clinical aspects varied between
erosion, abrasion and abfraction. The study evaluated 864 patients aged between 18 and 78 years
old. Each patient completed a questionnaire and was subjected to clinical exam. Etiological factors
and clinical type of NCCL were identified for each patient. Patients were grouped according to age
in 3 groups: young people (18-30 years), adult people (31-64 years) and older people (65-78 years).
Prevalence of NCCL was 22% in young people group, 64% in adult people group and 87% in older
people group. Clinical type of noncarious cervical lesions in young people differed from those of the
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elderly, with young patients predominantly suffering from erosive tooth wear and abrasion lesions
and elderly suffering from abfraction. Adults presented all types of lesions in equal proportions.
Depending on the predominant etiological factors, the treatment was established for each lesion.
Age dictates the therapeutic attitude, because a NCCL in a young patient must be treated,
preventive or curative, to stop the progression of the disorder. In elderly patients, the lesions are
restored if advanced, and their frequent root location complicates the treatment.
Keywords: noncarious cervical lesions, erosion, abrasion, abfraction.
OP CONCEPTS ON AGE AND ASPECTS OF ORAL STATUS IN ELDERLY PATIENTS IN

232 CRAIOVA
MONICA SCRIECIU, VERONICA MERCUȚ, SANDA MIHAELA POPESCU, HORIA
OCTAVIAN MANOLEA, MONICA MIHAELA CRAITOIU, RAZVAN GHITA
Romania
Assessing a person's age could be made from a bio-psychological point of view, but also
from a socio-cultural point of view. Studies showed that sometimes it was difficult to achieve a
concordance between the biological, psychological, social and cultural elements that define a
certain moment in a person's life. Worldwide, mankind is aging as a result of the increase in life
expectancy. Aging is associated with the occurrence of general conditions such as cardiovascular
disease, stroke, diabetes, arthritis, etc. Also, in aging people, the incidence of oro-dental diseases
such as partial and completely edentulism, burning mouth syndrome, cervical lesions, various oral
infections is increasing. There is a bidirectional interrelation between general and oro-dental
conditions. Our studies have shown that many of the elderly which have had subtotal or total
edentulism, exhibited various forms of stomatitis and wear mobile prostheses that were not well
fitted. Examination of the remaining teeth in the subjects included in the study showed multiple
lesions accompanied by loss of dental tissue. Maintaining oral health is an important factor in
maintaining aesthetic facial appearance, in speech, mastication and swallowing. The dentist has an
important role in preventing multiple local and general pathological issues before initiating treatment.
Keywords: oro-dental status, aging, general disorders, oro-dental conditions.
OP EXPRESSION OF NESFATIN-1 IN PERIODONTAL DISEASE ASSOCIATED WITH

233 METABOLIC SYNDROME
LOREDANA LILIANA HURJUI, IONELA LACRAMIOARA SERBAN, ION HURJUI,
LILIANA FOIA, RALUCA JIPU, IRINA GRADINARU
19 - OTHER
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Background: Nesfatin-1 was first identified as an anorexigenic neuropeptide. There are a

number of studies who demonstrated the association between metabolic syndrome (MetS) and
periodontal disease. MetS is associated with an increased risk of the development of atherosclerotic
cardiovascular disease. The aim of this study was to compare the levels of nesfatin-1 in healthy
subjects and those with MetS and periodontal disease patients. Materials and Methods: We
studied 75 subjects divided into 3 groups: healthy control, MetS and MetS with periodontal disease.
Fasting blood samples were collected from each. We designed the study for comparisons between
the mentioned groups regarding blood serum nesfatin-1. Thus we also determined glycemia,
glycated hemoglobin and the blood levels of the following: C reactive protein, fibrinogen, high-
density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides. Blood serum
nesfatin-1 was measured using a commercially available ELISA kit. Results: The nesfatin-1 levels
were lower in patients with MetS and MetS+periodontal disease compared to healthy subjects.
Nesfatin-1 levels were significantly lower and C-reactive protein and fibrinogen levels were higher in
MetS+periodontal disease patients compared to healthy subjects. The present work supports the
idea of a role of insulin resistance in decreased nesfatin-1 levels in patients with MetS and
periodontal disease. Conclusion: Periodontitis and metabolic syndrome are both associated with
systemic inflammation and disturbances in glucose homeostasis. Nesfatin-1 levels were significantly
lower in patients with MetS+periodontal disease compared to healthy subjects. For a specialist in
dental medicine is very important to adapt therapeutical plans for oral systemic relationship.
OP SALIVARY LEVELS EVALUATION OF STRESS MARKERS IN PATIENTS WITH

234 CHRONIC PERIODONTITIS
RALUCA JIPU, IONELA LACRAMIOARA SERBAN, MINELA AIDA MARANDUCA,
IRINA GRADINARU, MIHAELA MITREA, LOREDANA LILIANA HURJUI
Romania
19 - OTHER
Background: Several stress markers are found in blood and saliva of patients with
periodontal diseases and influence the development of periodontal diseases by several
mechanisms including modifications of the inflammatory response and changes in the composition
of the dental biofilm. Salivary cortisol, a biomarker of stress is associated with the activation of the
hypothalamic-pituitary-adrenal axis. Chromogranin A (CgA) can be used as alternative indicator of
adrenergic activity during stress reactions. Objective: The aim of our work is to determine CgA and
cortisole in saliva and serum in periodontal health and disease. Material and Methods: In this study
participated patients with chronic periodontitis (45) and healthy control subjects (40). CgA and
cortisol were determined in saliva and serum with enzyme-linked immunosorbent assay. Clinical
parameters of periodontal disease were evaluated, and their possible correlations with stress-
related biomarkers were assessed. Results: Significantly higher CgA levels were found in the saliva
of patients with chronic periodontitis compared healthy individuals (P <0.001). Salivary cortisol
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levels were higher in the chronic periodontitis group compared with healthy individuals (P <0.05).
Conclusions: Our data suggest an significant association of CgA and cortisol levels in saliva with
periodontitis. Advances in immunology and molecular biology have revealed ways to analyze
salivary biomarkers in stress research. Studies in the field of stress and stress reactions have
certainly been improved by the use of quantitative and qualitative specific salivary tests.
OP DENTAL BLEACHING MATERIALS: CLINICAL REVIEW

235 EMANUELA LIDIA CRACIUNESCU, LAURA IDORASI, MEDA LAVINIA NEGRUTIU,
COSMIN SINESCU, MIHAI ROMINU
Victor Babes University of Medicine and Pharmacy Timisoara - Romania
19 - OTHER
Introduction: Dental aesthetics is dominated by the colour and shape of natural or artificial
teeth. Bleaching agents are used in different concentrations in dental offices or at home due to their
advantages in aesthetics. Along with excellent results, the side effects over enamel and dental
materials need to be investigated. Materials and Methods: The study involves clinical cases in
wich the prosthodontic treatment was associated with dental bleaching. The main goal was to
obtaine the appropriate shade of natural teeth by a minimal invasive treatment. To improve the
aesthetic and conserve the natural teeth the prosthodontic treatment was associated with bleaching.
The shade of natural teeth was evaluated before bleaching with three shade guides: VITA
Easyshade Compact , Vita Classic and Vita 3D Master. The bleaching procedures were made with
hydrogen peroxide in two concentrations and with two different methods: home bleaching was made
with Opalescence 16% hidrogen peroxide and in office bleaching with light activated hydrogen
peroxide 45%. The shade obtained after bleaching was evaluated with all three shade guides. Also
the teeth sensitivity and integrity of marginal gingiva was evaluated. Results: The shade of natural
teeth was appropriate with both bleaching methods. The teeth sensitivity was influenced by the
concentration of the active substance. The gingival tissue presented injuries for both concentrations
and bleaching methods. Conclusions: Dental bleaching is an minimal invasive alternative for dental
aesthetics.
OP CLINICAL ANATOMY OF MOEBIUS SYNDROME

236 DELIA HINGANU, PAUL SALAHORU, MIHAELA MITREA, ALIN HORATIU NEDELCU,
MARIUS VALERIU HINGANU
19 - OTHER
Congenital facial paralysis is a rare medical entity with severe pathological and social
implications for the patient. The purpose of this study is to identify the common clinical signs from
the onset of this syndrome and the evolutionary peculiarities of this pathology. The study is
conducted on a group of 6 patients in the records of the St. Mary's Hospital in Iasi, diagnosed with
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Moebius syndrome. The patients were clinically, paraclinically and radiologically monitored for a
period of 6 years, during which they were called to a regular check every 12 months. Two patients
required reconstructive surgery. The results show that over time, single or bilateral lesions of the
oculomotor, facial and glossopharyngeal nerves lead to direct damage of the masticatory muscles
so that these patients end up unable to feed and speak. The study reveals that the severity of
clinical manifestations of this pathology increases in time and that these patients need permanent
monitoring. We emphasize the need for a protocol for the diagnosis, monitoring and treatment of
this particular category of patient.
Keywords: facial paralysis, congenital disease, treatment protocol.
OP PARTICULAR ASPECTS IN DIFFERENTIAL DIAGNOSIS OF FACIAL PARALYSIS

237 MARIUS VALERIU HINGANU, CRISTINEL IONEL STAN, ALIN HORATIU NEDELCU,
MIHAELA MITREA, DELIA HINGANU
19 - OTHER
Facial paralysis is an acquired or congenital condition that affects the patient both
medically and socially. The purpose of this study is to highlight the difficulties in establishing a
certainty diagnosis of this pathology, since each type of facial paralysis benefits from a different
therapeutic management. The study was conducted on a group of 10 patients at the Surgery Clinic
of St. Spiridon Iasi Hospital and on a group of 6 patients at St. Mary's Hospital in Iasi. Patients were
clinically, paraclinically and imagistically assessed by CT and MRI. The results of the study revealed
that acquired facial paralysis is manifested loco-regional, especially through palpebral ptoza,
unilateral hypersalivation, soft tissue prolapse due to the damage of one specific branch of r facial
nerve. Congenital paralysis is caused by the affection of a group of facial nerve branches with
clinical manifestations throughout the homolateral hemifacial and is accompanied by lesions of other
cranial nerves. These findings show the major differences between therapeutic management of
acquired facial paralysis and congenital paralysis. Congenital facial paralysis requires particular
surgical techniques and a long-lasting effort in re-educating and monitoring patients.
Keywords: congenital facial paralysis, facial nerve, management.
OP THE ROLE OF THE MEDIAL REGION OF THE FACE IN THE STOMATOLOGICAL

238 PRACTICE
CORINA CIUPILAN, STEFAN SELARU, CRISTINEL IONEL STAN, DELIA HINGANU,
MONICA MIHAELA SCUTARIU
19 - OTHER
The medial region of the face is characterized by a high degree of mobility of the superficial
tissues compared to the deep ones. The purpose of this study is to identify the superficial layers of
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this region and their morphological functional relationships with the anatomical elements of the oral
region. The study was conducted by the stratigraphic dissection of this region on a lot of 12
anatomical specimens. Our results demonstrate that this region is a passage, the superficial fascia
making connective tunnels for facial nerve branches, the Stennon duct, and the branches of the
facial blood vessels that run from lateral to the medial or vice versa. Another important role of this
region is to interconnect the median with the lateral region of face, providing additional support for
the actions that take place at this level. Thus, it also actively intervenes in complex facial
expressions, such as making a broad smile. Mimics in this region can only occur to its edges, where
the muscles of facial expression attach and is one of the regions most affected by the aging face
fenomenom. Our results show that the medial region of the face is actively and directly involved in
the oral region's function by making a mechanical connection of this region with the lateral facial
regions and functioning as a true hillum allowing and directing the passage of the vasculo-nervous
and functional elements.
Keywords: medial facial region, facial vessels and nerves, facial superficial fascia.
OP TESTING A NEW AGE ESTIMATING METHOD IN ADULTS

239 STRAHINJA PAVLOVIC, JOVANA MIJUCIC, MILUTIN MICIC, KSENIJA ZELIC
MIHAJLOVIC, DANIJELA DJONIC
University of Belgrade, School of Medicine
Serbia
19 - OTHER
The estimation of an individual’s age at the time of death is very important parameter in
forensics. It is used in the identification of victims and also applied in the demographical analysis of
the ancient population. The aim was to examine the reliability of Cameriere’s pulp/tooth ratio method
based on canines for the age estimation by comparing results obtained by Suchey-Brooks method
based on the remodeling of the pubic symphysis. Skeletal material taken from two medieval
archeological necropoleis were used. The research was done on 30 individuals with preserved
pubic symphysis in which 56 canines were found. Periapical radiographs were used in order to
measure both - tooth and pulp areas using the ImageJ program. According to appropriate formulas
based on pulp/tooth ratio, the age of an individual was calculated. Descriptive analysis of
morphological changes of the pubic symphysis was applied in order to categorize adults in different
age groups. Finally, we conducted a comparison between these two methods. Out of ten
individuals, 14 were female and 16 were male. The results showed that age estimation of 76% and
62% of lower and upper canines respectively fell in range of age category obtained by Suchey-
Brooks method. When two canines from the same jaw were present, the average value of estimated
age was used, which coincided with the age group of the Suchey-Brooks for all of them. Our study
showed that the estimated age of adults obtained by the Cameriere’s method is mostly compatible
with the method routinely used in practice.
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OP EVALUATION OF ACADEMIC MOTIVATIONS OF DENTAL FACULTY STUDENTS: A

240 PILOT STUDY
KUMRU DIDEM ATALAY*, SEMA YÜKSEL**, GÜLIN FERYAL CAN*, ERDAL
BOZKAYA**, EMINE KAYGISIZ**, FATMA DENIZ UZUNER**, BERNA DENGIZ*
*Başkent University, Faculty of Engineering
** Gazi University, Ankara, Faculty of Dentistry
Turkey
19 - OTHER
Background: The aim of this study was to analyse the motivation problems of third and
fourth grade students in dental faculty. Methods and Materials: A survey of academic motivation
scale(AMS) was applied to third(n=117) and fourth(n=128) grade students in Gazi University Dental
Faculty. The AMS is constituted from 28 questions which subdivided into seven sub-scales
assessing three types of intrinsic motivation (intrinsic motivation to know, to accomplish things, and
to experience stimulation), three types of extrinsic motivation (external, introjected, and identified
regulation), and amotivation. After the calculations have been made on the scales of the data,
Kolmogorov Smirnov test was used for distribution of variables and Levene Test for the
homogeneity of group variances. Mann-Whitney U and independent t tests were used to compare
the score averages of the 3rd and 4th grade students. Results: The intrinsic motivation scales of
the 3rd grade students (16.54±4.31) found significantly greater than the 4th grade students
(14.27±4.69) (p<0.05). Additionally extrinsic motivation scales of the 3rd grade (19.92±4.28)
students found significantly greater than the 4th grade (18.40±4.13) students (p<0.05). There was
no statistically significant difference between the two groups in the sub-scale of a motivation. It was
observed that the identified regulation sub-scale of extrinsic motivation (21.26±4.86) was the highest
and the accomplish things sub-scale of intrinsic motivation (12.41±5.27) was the lowest in the 4th
grade students. For the 3rd grade students the identified regulation sub-scale of extrinsic motivation
(22.27±7.39) was the highest and the amotivation sub-scale (13.43±6.31) was the lowest.
Conclusion: The results showed that both motivations decrease gradually in 3rd and 4th grade
students in dental faculty.
OP COMPUTER BASED TRAINING METHODS IN DENTAL PRACTICE

241 ADRIAN DOLOCA, GABRIELA IFTENI, ZENAIDA SURLARI, ARINA PENDEFUNDA,
OANA TANCULESCU
Romania
19 - OTHER
Information technologies have a growing role in medical education, especially in the last
decade, bringing a number of incontestable benefits. New concepts such as eLearning, virtual
patient and active learning are becoming more and more present in the projects of renowned
universities as well as in university curricula. Virtual patients allow the study of clinical scenarios,
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regardless of the availability of a teacher, the place where the student is located or, more
importantly, access to a real patient. The existing limited possibilities for the necessary materials,
equipment and expertise in a certain field open a way of affirmation for virtual patient-based training
platforms. Studies show that these innovative methods have a high degree of acceptance both
among students and teachers and that they can complement traditional training methods so that
together they lead to improved results of the teaching process.
OP BACTERIAL CONJUNCTIVITIS
242 CLAUDIA FLORIDA COSTEA, GABRIELA DIMITRIU, NICOLETA DUMITRESCU,
ANCA SAVA, MIHAELA DANA TURLIUC
Romania
19 - OTHER
Infectious acute conjunctivitis is caused by common bacteria like Haemophilus influenzae
and Streptococcus pneumoniae. The microbiologic diagnosis is necessary in uncomplicated cases,
but it may also be useful in children or adult patients who do not immediately respond to antibiotic
therapy, or in patients with nosocomial infections. Although conjunctivitis is a self-limited disease,
topical therapy reduces its symptoms and provides eye relief. Antibiotics are efficient in most cases,
but a visit to the ophthalmologist is compulsory to set the right diagnosis and therapy.
OP AMNIOTIC MEMBRANE TRANSPLANT – ITS USE IN OPHTHALMOLOGICAL

243 PRACTICE
CLAUDIA FLORIDA COSTEA, GABRIELA DIMITRIU, GABRIELA FLORENTA
DUMITRESCU, MIHAELA DANA TURLIUC, ALEXANDRU CARAULEANU
Romania
19 - OTHER
Amniotic membrane transplant has been used in ophthalmological surgery for almost a
century and has become increasingly popular over time. The histological structure of the amniotic
membrane is special and has anti-inflammatory, anti-bacterial, immunological, antiangiogenic and
anti-apoptotic characteristics. This is the perfect basal membrane substituting the transplant of other
types of mucous membranes, providing excellent therapeutic results in case of cornea infections
and burns, remedying the tissue defect further to benign and malignant conjunctiva tumours
excision.
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OP EYE SOCKET – ANATOMICAL LANDMARKS FROM A SURGICAL POINT OF VIEW

244 CLAUDIA FLORIDA COSTEA, ANCA SAVA, MIHAELA MITREA, ROXANA POPESCU,
MIHAELA DANA TURLIUC
Romania
19 - OTHER
The eye socket is a pyramid-like structure of the upper part of the facial bones, which
makes the connection with the neurocranium. The eye socket walls, margins and fissures, as well
as its soft contents are the place of significant injuries often requiring, in addition to systemic
therapy, a surgical procedure. During surgery, the eye socket contents approach may be
transpalpebral, transconjunctival or endocranial. The surgery needs certain anatomic landmarks to
prevent eye ball and extra-ocular muscle injury.
OP THE ADVANTAGES AND DISADVANTAGES OF NANOTECHNOLOGY

245 CRISTINA-MARIA GAVRILESCU, CRINGUTA PARASCHIV, PALOMA HORJINEC,
DIANA-MARIA SOTROPA, ROXANA-MIHAELA BARBU
Romania
19 - OTHER
Nanomaterials are natural or manufactured objects that have at least one of their external
dimensions in the nanoscale (in the range of 1-100 nm) and a specific surface area by volume
greater than 60 m² cm ̄ ³. They are called nanoparticles when they have all three dimensions in the
nanoscale. Intrinsic properties of engineered nanomaterials, designed for a specific purpose,
provide unique functions to these nano-objects, whose manufacture and use are exponentially
increasing. Nanotechnology offers an explosion of techniques, methods, and products that bring
huge advantages for medicine, industry, information, communication or agriculture. Dentistry
benefits of nanotechnology in disease prevention and diagnosis, in bone regeneration, restaurative
dentistry, dental implants and tissue regeneration. As in every human domain, evidence begins to
point to the fact that along with the positive changes brought by nanotechnologies, they may also
cause toxic effects for human health and for the environment security. The health effects of
nanopollution are not yet completely understood, but toxic effects having been recognized for
pulmonary, reproductive, cardiac, renal, cutaneous and immune levels. Nanomaterials can also
cause air, water and most important a soil persistent form of pollution, which is too small to be
detected easily, making nanopollution another manmade unwanted environmental impact, with
uncertain effects in the long term. Before continuing to develop large-scale producing engineered
nanomaterials, further research is required to determine the human reactivity, ecotoxicity, and
persistence of nanoparticles in the environment.
Keywords: nanotechnology, dentistry, nanotoxicity, ecotoxicity.
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OP PAIN EVALUATION IN YOUNG AND ELDERLY PATIENTS WITH DISORDERS OF

246 THE STOMATOGNATHIC SYSTEM
IRINA ESANU, MIHAELA BOANCA, PAULA TOADER, TATIANA TARANU,
CRINGUTA PARASCHIV
Romania
19 - OTHER
Background: Pain is a complex symptom, with an impact on the quality of life and on the
psychology of the patient with diseases of the stomatognat system. Pain is an individual experience
that includes physical and psychosocial aspects and is always subjective. Aim: The purpose of this
paper is to evaluate the pain in young and elderly patients with diseases of the stomatognat system
in order to obtain the best analgesia. Methods and Materials: The study was conducted in 64
patients (36 young and 28 elderly patients) with stomatological disorders, with pains pain of various
intensities. Pain intensity was assessed using visual analogue scale (VAS), whereby the patient
appreciates the severity of pain with grades from 1 to 10. Results: A proportion of 16.6% of young
patients and 14.3% of the elderly had mild (VAS = 1-3), and 58.3% of young and 64.3% of the
elderly patients had severe pain(VAS ≥ 7). Administration of individualized antalgic treatment led to
pain reduction / disappearance in most cases (88.9% in the young and 92.9% in the elderly).
Conclusions: Using a pain intensity assessment scale leads to better antalgic treatment in elderly
patients with stomatognat diseases.
Keywords: pain, analgesic, young, elderly.
OP MAIN APPLICATIONS OF ROBOTS IN SURGERY – SHORT REVIEW

247 CRISTINA GENA DASCALU, RAMONA DIANA FEIER, GEORGETA ZEGAN, MAGDA-
ECATERINA ANTOHE
Romania
19 - OTHER
The computer applications have an important role in assisting the surgeon to plan the
intervention and to achieve it. Within this wide category, the robotized systems have a special
position, because they can be used to help directly the surgeon during the intervention and to
augment practically his skills; the robot works like a “third arm” for the surgeon, controlled by hand
or by voice, to keep and to manipulate the surgical instruments. The possible tremors and small
errors of the human hand are eliminated (an important advantage, especially in the case of
microsurgery); the surgeon doesn’t have anymore to stand up during the intervention (he can sit on
a chair to control the procedure) and the intervention is accurately guided through images recorded
in real-time (using an endoscope or other sort of video device controlled by the robotic arm and
positioned to visualize directly the surgical area). The great potential of this technology will probably
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bring in the next years a real paradigm change in the field of surgery – the surgeon will not have to
make the intervention with his own hands, but probably will manipulate, directly or by remote, some
robotic arms, which will perform the intervention. We aimed in our paper to make a short review
regarding the principles of this technology, its advantages and possible risks, as well as some
successful applications in particular areas, like: the neurosurgery and the microsurgery of the brain,
the orthopedic surgery (the systems HipNav, OrthoPilot, Praxim), the laparoscopic surgery, the
plastic surgery (the system Vectra M3 – 3D Imaging for Face & Neck), the oral and maxilla-facial
surgery (the systems IGI, X-NavTech 3D) and the radiosurgery (CyberKnife).
OP CLOSTRIDIUM DIFFICILE INFECTION ASSOCIATED TO MEDICAL CARE IN BUCO-

248 MAXI-FACIAL SECTOR
ANDREEA-AMALIA CĂLIN, GEORGIANA ALEXANDRA LĂCĂTUȘU, ALICE
CÎȘLARIU, IRINA MARGARETA NISTOR, G. MUSTEAȚĂ
Sf. Parascheva Clinic Hospital of Infectious Diseases Iasi
Romania
19 - OTHER
The purpose of the study is to present a small number of patients, 3 cases of enterocolitis
with Clostridium difficile emerged after antibiotic therapy during dental interventions. Material and
Method: I studied retrospectively in the Infectious Diseases Hospital "Sf. Parascheva "Iaşi a series
of 3 patients aged between 40 and 55 years with Clostridium difficile colitis developed after
administration of antibiotics. The patiens say they have intervened in the dental system for dental
extractions and the incision of the collections at the level 2 and 3 lower right molars. Antibiotic
therapy consisted of: a patient received Augmentin for 3 days, followed by celaphosporin for 4-5
days, the second patient treated with clindamycin, and the third with third-generation cephalosporin
therapy for 5 days. At 3-5 days after initiation of antibiotic therapy, the patients have diarrhea,
approximately 4-8 chairs a day, showing the presence of Clostridium difficile toxins A and B.
Inflammatory tests were slightly modified. Evolution under treatment with Metronidazole 1.5 g / day,
antidiarrheal, rehydration infusion for correction of fluid losses and probiotic is favorable, with
discharging in 7-10 days. Only one patient in the 3 showed relapse 5 weeks after discharge to
Clostridium difficile colitis, medium clinical form, symptomatology was resolved with Vancomycin
500 mg / day oral administration and symptomatic. Conclusions: Administration, even in
ambulatory, in the context of dental surgery, can lead to recurrent infections with Clostridium difficile
in patients over 40 years of age, with long-term medical and socio-economic implications.
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OP LEADERSHIP IN DENTAL MEDICINE- OPINION SURVEY

249 ELENA MIHAELA CARAUSU, LUCIAN STEFAN BURLEA, LAURA ELISABETA
CHECHERITA, IULIAN COSTIN LUPU, GEORGETA ZEGAN
Romania
19 - OTHER
In present, the dental care delivery system has become increasingly complex. Not only is
there a far greater range of dental medicine specialities, high technology, new treatment modalities,
increased legislation that affecting dental health services but also the greater expectations of
patients. The literature of speciality from the last years reflect the importance of leadership in all
domains of dental medicine, including dental practice, education, research, dental public health and
management. In most dental medicine faculties from Romania the educational programs in
leadership for dental medicine profesionals is a opportunity that is currently less explored. The
purpose of this paper is to know the needs of training programs in leadership for dental medicine
students and residents to become the future leaders of Romania. Just a focus on training programs
in leadership would change the culture of dental medicine professions in a positive way if Romanian
dental medicine faculties will provide the real training opportunities for students and residents to
achieve the necesarly leadership competencies in dental medicine.
Keywords: leadership, dental public health and management, educational programs in
leadership, leadership competencies, dental medicine.
OP CAREER DEVELOPMENT PATHS IN DENTAL MEDICINE – COUNSELLING FOR

250 STUDENTS
RAMONA DIANA FEIER, NORIN FORNA, CRISTINA GENA DASCALU, NORINA
FORNA
Romania
19 - OTHER
Aims & objectives: The aim of this study is to emphasize the important role of career
counselling in choosing the right career path. The dental students have multiple choices in their
future career; the most important thing is to have access at objective tools in order to identify the
most suitable trajectory. Material and Methods: We applied a questionnaire among the dental
students from Iasi, the 6th year of study, during a period of 7 years (2011-2017) in order to identify
their choices for the future career. The statistical processing was made in SPSS 20.0 and we
reported the descriptive and the analytical results. Results: The surveyed students’ top 3
preferences show significant differences between 2011 and 2017 (fig. 9, 10). In 2011 the most
appealing option was considered to be the private practice in dental offices (30.5%), followed by the
idea of practicing abroad (13.6%); the idea of continuing the studies through specialization is on the
last place – only 11.9% students took in consideration this option. Conclusions: The study has
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shown that targeted career counselling has an important and valuable role in establishing the
correct professional trajectory according to the individual skills, competences and aspirations.
STUDENTS AND YOUNG DENTISTS SESSION
OP SALIVA AS A FIRST CHOICE DIAGNOSTIC FLUID. INTRODUCTION TO TOXIC

251 METALS AND THEIR RELATIONSHIP WITH PREGNANCY
MADGDALENA WILCZAK
Poland
OP PRESENTATION OF INTERNATIONAL ASSOCIATION OF DENTAL STUDENTS

252 ANDREY BALTAEV, IADS President
Russia
19 - OTHER
OP USING THE DDS SOFTWARE IN OPTIMIZATION OF THE IMPLANT THERAPY

253 OANA-MARIA BUTNARU*, Coordinator: DORIANA AGOP-FORNA**
**Lecturer, Department of Oral and Maxillofacial Surgery
Romania
10 – ORAL IMPLANTOLOGY
Aim: The purpose of the study was to investigate the possibilities of using the DDS
application in the planning of proimplantation and implantation treatment steps. Material and
Method: We used a study group consisting of 5 patients with a partial extended edentation
scheduled for implanto-prosthetic therapy. The planning of implantation therapy and the surgical
guide were made using the DDS application. Results: The Digital Dental Service Software has
enabled a qualitative analysis of implant sites, the implant selection in the database, the planning of
the preimplantation regeneration techniques and a minimally invasive approach to implant surgery
by planning the surgical guide and manufacturing it using CAD-CAM systems. Conclusions: The
evolution of the virtual planning softwares for implant and prosthetic treatments provides clinicians
with superior diagnostic skills both in the implant surgical phase and in the prosthetic reconstruction
phase on implants.
Keywords: implant sites, CAD-CAM system, virtual planning.
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OP DENTISTRY OUTSIDE OF THE BOX. COME, LISTEN AND FIND YOURSELF

254 MADGDALENA WILCZAK
Poland
19 - OTHER
OP THE INFLUENCE OF PERIODONTAL DISEASE ON THE PREDICTIBIITY OF

255 MOLAR UPRIGHTING. A FEM STUDY
RAZVAN FLORIN CURCA*, Coordinator: SILVIA MARTU**
Romania
15 – PERIODONTOLOGY
Introduction: This study was designed to evaluate the periodontal behavior of the second
mandibular molar when we apply an optimum uprighting force. The uprighting procedure is
performed mainly in adults when it is desired to open a space in order to place an implant or simply
to correct the long axis of the tooth. We intended to evaluate comparatively if there are significant
changes in stress parameters between the patients with periodontitis and the ones with no
periodontal disease.
We also evaluated with the degree of the angulation is potential periodontal hazard during the
uprighting procedure. Material and Methods: Using the Finite Elements Method (Catia and Abaqus
softwares) we created a valid model of a mandibular arch, alveolar bone, PDL and a mandibular
second molar with mesial inclinations of 20 degrees and 30 degrees. We created two situations: one
with no periodontal affection and another one with a 5,5 mm horizontal bone loss (HBL). In both
cases we applied on the mesial surface an optimum force with the magnitude of 1N. We evaluated
the equivalent von Mises tensions inside the complex tooth-PDL-alveolar bone (σ eqv), the tensions
on the direction of the applied force (σc) and tooth movement (f). Results and Discussions: Our
findings emphasized that the the evaluated parameters stay relatively constant both in the case of
healthy peridontium and in the situation of 5,5 mm HBL, regardless the angulation. In the case of
healthy periodontium versus affected one we noticed an increasing tendency of all parameters. This
tendency is exponential with the degree of bone loss. Conclusion: We can state that any the
angulation under 45 degrees is not a restrictive aspect for the molar uprighting and has no different
influence at the periodontal level regardless the periodontal status. The exponential increase of the
evaluated parameters along with the degree of bone loss can be associated with the reduced size of
the PDL.
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OP EFECTELE DEZINFECTIEI PRIN FOTOACTIVARE LED ASUPRA PARAMETRILOR

256 PARODONTALI CLINICI LA PACIENTII CU PARODONTITA CRONICA
MIHAI DUDU*, MATEI VORNICU*,
Coordinators: SILVIA MARTU**, ALEXANDRA MARTU**
*5th year students, Faculty of Dental Medicine
Romania
Terapia parodontala specifica include trei pasi majori : Terapia etiologica, terapia corectiva
si terapia de mentinere. Metodele terapeutice adjuvante pot fi adaugate masurilor standard de
terapie etiologica. O metoda care serveste acestui scop este dezinfectarea fotoactivata (PAD) care
tinteste biofilmul bacterian. PAD este o metoda terapeutica non-invaziva care utilizeaza o substanta
de colorare (rol de fotosensibilizare). Scopul studiului : Scopul studiului este acela de a evalua
efectele terapiei PAD asupra parametrilor parodontali clinici la indivizii cu parodontita cronica.
Metode si materiale : Studiul a fost realizat in cadrul Clinicii de Parodontologie a Universitatii de
Medicina si Farmacia “Gr.T.Popa” din Iasi. Au fost recrutati 66 de pacienti, impartiti in doua grupuri :
grupul de studiu (terapie etiologica urmata de terapie PAD) si grupul control (terapie etiologica
standard, fara dezinfectarea prin fotoactivare). Fiecare grup avea un numar de 33 de subiecti cu
varsta cuprinsa intre 51-75 de ani. Terapia PAD a fost repetata la 7 si la 14 zile de la prima sesiune.
Pacientii au fost rechemati la 3 luni pentru control. Rezultate : A fost observata o descrestere a
valorilor profunzimii sondajului si a sangerarii la sondaj pentru ambele grupuri, imbunatatirile fiind
semnifcativ mai bune la lotul studiu. De asemenea, s-a observat un castig al atasamentului
parodontal pentru grupul cu terapie PAD, subliniind inca o data eficienta acestei metode. Concluzii:
Terapia PAD a determinat o imbunatatire semnificativa statistic a tuturor valorilor clinice parodontale
analizate. Aceste rezultate sustin utilitatea terapiei laser indeosebi la cazurile dificile, refractare la
tratament.
OP AVOIDING PERIODONTAL HAZARDS THROUGH CLINICAL AND

257 TECHNOLOGICAL REQUIREMENTS. A CASE REPORT
ANDREEA MIHAELA IORDAN*, CATALIN SILVIU TIBEICA*,
Coordinators: MONICA TATARCIUC**, IOANA MARTU***, IONUT LUCHIAN***
*5th year students, Faculty of Dental Medicine; **Professor, ***Lecturer
Romania
Introduction: Anterior fixed restorations associated with periodontal and endodontic
complications are one of the most challenging dental treatments due to the high degree of
complexity and interdisciplinary approach. For a predictable result the clinician should master both
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the clinical and the technological dimenssions in such a way that the two components will be
synergetic in the benefit of the patient. Material and Methods: A 38 years old female patient came
to our clinic accusing pain at the level of tooth 2.2. Clinically we could see that the tooth was cover
by a PFM crown which as incorectly adapted at the cervical level. The patient said that during the
last years she had more crowns replaced at the level of the same tooth but the discomfort still
persisted. The treatment plan included: - the ablation of the PFM crown; - removal of the metallic
post; - endodontic retreatement; - placement of provisional acrylic crown; - placement of a zirconia
based ceramic crown. Results and Discussions: The final result was outstanding putting into
evidence a very nice cervical adaptation of the zirconia based ceramic crown and in the same time
an excellent aesthetic outcome. Conclusions: Although the technological procedure of
manufacturing a zirconia based ceramic crown is much more demanding than the one for the PFM
crown, in anterior unidental complex restorations, it is highly indicated because it will provide
superior periodontal stability.
OP VICIOUS HABITS - RISK FACTORS IN THE APPEARANCE OF DENTAL AND

258 MAXILLARY ABNORMALITIES
DIANA SAHLEANU*, LUCIAN VOLOSENIUC*,
Coordinators: MIHAELA MOSCU**, IOANA MARTU***, IONUT LUCHIAN***
*students, Faculty of Dental Medicine; **Professor, Department of Anatomy and Clinical
Anatomy
Romania
11 – ORAL PATHOLOGY
Introduction: The form-function correlation throughout the individuals life may have an
important role in the etiological process of the occlusal anomaly. If function can influence the growth
of jaws, then changing the function may cause dental and maxillary abnormality. The most important
functional disorders are of origin: labial, lingual, sucking habits, infantile swallowing, oral breathing,
which installs and predominates during deciduous and mixed dentition. Oral habits induce
anomalies and are dependent on the frequency, intensity, and duration of action of the habit.
Considering that vicious habits have a very high proportion in the etiology of dental and maxillary
abnormalities, fighting them will result in a 30-40% decrease in dental and maxillary anomalies.
Material and Method: In order to highlight the psychosocial impact of abnormalities at the dental,
facial and somatically level on children and adolescents, we conducted a longitudinal study carried
out between January 2016 and January 2017 in the county of IASI. The number of subjects included
in the study was 275 children and adolescents aged between 5 and 19 years. Results: Following
the study, by examining patients with various dental and maxillary abnormalities produced or
maintained by vicious habits, it was found that the relation between functional disorders and dental
maxillary abnormalities has a double aspect. Functional disorders are the cause of dental maxillary
abnormalities, on the other hand, dental maxillary abnormalities with other etiology cause the
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abnormal functioning of some functions, thus secondary functional disorders, which in their turn are
factors of maintenance or even aggravation for the abnormality. Conclusion: It is also believed that
the elimination of vicious habits is one of the most valuable orthodontic interceptive services.
Keywords: vicious habits, anatomy, deformation, risk factors.
OP Increased cortisol and dental medicine of the younger and elderly patients
259 CRISTINA ZURBA*, Coordinator: ANDREI NEAMTU**
*student, Faculty of Dental Medicine; **Associated Professor, Department of Physiology
Romania
11 – ORAL PATHOLOGY
Cortisol is a hyperglycemic hormone secreted by the adrenal glands, which plays a role in
the body's homeostasis and can be detected in blood, urine and saliva. Its levels are increased in
stressful situations in various pathologies like Cushing's syndrome and tumors of the endocrine
glands, but also in the case of its exogenous administration in various immunosuppressive
treatments, the stigmas that can affect both the young and the elderly. Thus, the functions of the
body are altered, the effects also mirroring the oro-maxilo-facial sphere, influencing dental and
surgical procedures, as well as subsequent treatment. Increased amounts of cortisol depress the
immune system, so the predisposition to infection increases when surgery is performed in the oro-
maxillofacial sphere or even in routine bleeding procedures such as scratching. Imposing an
antibioprophylaxis is necessary in this case. Another important consequence is reflected in the
salivary glands, where there are histological changes, affecting the salivary secretion in terms of
quantity and quality, with the occurrence of specific dental pathologies. One of the effects of cortisol
hypersecretion is increased blood glucose, which causes crevicular fluid to originate this, and in
combination with immune system depression, favors microbial development with the occurrence of
periodontitis. Cortisol plays an important role in maintaining the body's functions within the normal
parasympathetic limits, its excess generating general imbalances, favoring the diseases in oro-
maxilo-facial spheres, inflating bleeding procedures in this territory, and personalizing subsequent
treatment. Hence, detecting and quantifying it in saliva is a test that can guide your doctor to a good
choice of therapeutic course in that territory.
Keywords: Cortisol, infection, saliva, periodontitis, test.
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PP 1 ORAL HEALTH STATUS OF YOUNG PEOPLE IN IASI, ROMANIA

MURARIU ALICE, BOBU LIVIA, VASLUIANU ROXANA, BACIU RALUCA ELENA,
FORNA NORINA
Romania
The aim of the study was to identify oral health risk factors of a group of students from the
“Grigore Ghica Voda”Sanitary School in Iasi town. Material and Methods: The study cross-
sectional was conducted in 2017. The study sample included 132 students, aged 18-23 years, 58%
female and 42% male, who filled in a specially designed questionnaire containing 12 items on:
dietary habits concerning sweet foods, carbonated drinks, fruits and vegetables consumption, oral
hygiene and other risk factors for oral health: smoking, alcohol consumption and dental check-
ups. Results: 75% of the students preferred cariogenic foods instead of fruits, the percentage being
higher for girls and young people over 18 years; 63% of the students declared they consumed
carbonated drinks on a daily basis. The prevalence of smoking was 14.2% and the prevalence of
alcohol consumption was 54.6%.In what concerns oral hygiene behaviors, 79.4% of the students
brushed their teeth twice a day, and the use of most common oral hygiene adjuvant method,
mouthwash, was reported by only 53.7% of them. 67.6% of the respondents declared they visited
the dental office only in case of emergency and 32% of the students did not consider themselves
sufficiently informed on the preventive measures. Conclusions: The results of this study underline
the need for a new strategy at the local community level for all the players involved in oral health
promotion: family, school/university, mass media and local authorities.
PP 2 DIABETES MELLITUS: A CHALLENGE FOR MODERN DENTAL MEDICINE

MIHAELA MONICA SCUTARIU, DRAGOS NICOLAE FRATILA, GEORGIANA
MACOVEI, AMELIA ELENA SURDU, OANA ELENA CIURCANU
Romania
Background: Diabetes mellitus describes a chronic disease recognized by hyperglycemia
secondary to insufficient insulin production by the pancreas or inability of the body to utilize the
insulin it produces effectively. It is widely acknowledged that diabetes mellitus can present itself in a
variety of manifestations within the oral cavity. Xerostomia: A dry mouth is a common complaint of
diabetics, the exact cause of which is unknown. Though often associated with salivary gland
dysfunction. Any change in the quality or quantity of salivary protection will affect oral health.Caries:
There is no clear evidence demonstrating the association between diabetes and caries.Infections:
Diabetics may have an increased susceptibility to oral infections.Candidosis: oral epithelial cells are
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more receptive for Candida in diabetes.Periodontal disease: It is well reported that there exists an
increased incidence of gingival inflammation in poorly controlled diabetics.Dental treatment of
diabetic patients: Patients with well-controlled diabetes are suitable for dental treatment and minor
oral surgery procedures in dental practice. This can be carried out under local anesthesia, inhalation
sedation and intravenous sedation. Those with poor or severe glycaemic control may need to be
referred into hospital. Many dentists debate the use of prophylactic antibiotics for diabetic patients.
There is currently no evidence to support this practice for well-controlled diabetics.
Keywords: diabetes mellitus, xerostomia, periodontal disease, dental medicine.
PP 3 ATRIAL FIBRILLATION AND ITS IMPACT ON DENTAL MANAGEMENT

CRÎNGUTA PARASCHIV, IRINA ESANU, ROXANA MIHAELA BARBU, DIANA
LUCHIAN, CRISTINA MARIA GAVRILESCU
Romania
Background: Atrial fibrillation is the most common rhythm disorder encountered in medical
practice. This arrhythmia may result in serious embolic complications which justifies anticoagulant
treatment with consequences on the management of dental procedures. Objectives: The purpose
of these paper is to discuss various issues raised by the presence of atrial fibrillation and dental
procedures. Material and Methods: Primarily literature was consulted from the medical literature in
the electronic database through PubMed and Medscape. Also we present the case of a 70 years old
female patient with chronic anticoagulation for atrial fibrillation and two episodes of bleeding by
overdose of antivitamin K. Results: Routine discontinuation of oral anticoagulants therapy before
dental procedures is not recommended by scientific literature. However our case suggests the
importance of previous assessment of hemorrhagic risk. In addition, patients may develop
interactions between antiarrhythmic medication and anesthetic drugs or between anticoagulant
medication and nonsteroidal anti-inflammatory drugs. Also patients with atrial fibrillation present
often an increased level of anxiety associated with perioperative rhythm disorders. Conclusion: The
management of dental care in patients with atrial fibrillation must be individualized on the type of
procedure, bleeding and thrombotic risk, type of anticoagulant, antiplatelet, antiarrhythmic and pain
medication.
Keywords: dental procedures, atrial fibrillation, chronic anticoagulation.
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PP 4 USE OF THE INTERNATIONAL CARIES DETECTION AND ASSESSMENT SYSTEM

BY DENTAL STUDENTS
ADINA OANA ARMENCIA, GEORGIANA MACOVEI, SORANA NICOLETA ROSU,
CARMEN STELA HANGANU
Romania
Background: The early diagnosis of a carious lesion and the individual choice of treatment
method for a particular situation, represent one of the most important objectives of contemporary
dentistry. Aim:The aim of this study was to investigate the dental health status of 5th year students,
from Dental Department, using the ICDAS system. Materials and Methods: This study was
performed on a group of 160 students, studying in the 5th year (2016-2017) at the University of
Medicine and Pharmacy in Iasi. The database contains different collections of data representing the
sex, age and the ICDAS coding system for restauration, carious lesions and missing teeth. Results:
The dental caries prevalence among the students of the University of Iasi was 14,8 %, while the
frequency of those who were not exposed was 6,8%. The average value for all the decayed teeth of
the ICDAS system represented 17,10 ± 5,55, while for decayed surfaces was 26,38 ± 10,6. A
number of 46 teeth partially sealed (an average of 1,82) had the code 10 for restaurations. Also, a
set of 13 teeth from those mentioned above, presented carious lesions of different degrees of
damage (code 11 –an average of 0,29 ± 0,28, code 13 - 0,23 ± 0,05, and one tooth with the code
15). Conclusions: Using the ICDAS system for the oral health assessment allowed us to obtain
good results regarding the early diagnosis of dental caries and its treatment options.
Keywords: dental status, ICDAS system.
PP 5 IN VITRO EFFICACY OF SILVER DIAMINE FLUORIDE

LAURA IDORASI, SANDRA ANDREEA SECOSAN, COSMIN SINESCU, ADRIAN
TUDOR STAN, MEDA-LAVINIA NEGRUTIU
Romania
Background: Appearance of white spots lesions are the first steps into a complex,
sometimes neglected pathology; caries pathology. These symptoms occur especially to our young
patients, more often at the orthodontic population, but they also appear to our elderly patients. In
recent years, lots of topical or non-topical, remineralizing solutions (toothpaste, chewing gum,
mouth-rinses,fluoride gels) were used in order to stop enamel demineralization and to initialize a
remineralization; most of them contain fluoride, which is known for its ability to inhibit
demineralization by forming fluorapatite. The purpose of this study is to verify the efficacy of a new
product, containing Silver diamine fluoride, in remineralization. Materials and Methods: Ten
extracted teeth, maintained in physiological serum, were selected for this study. The teeth had no
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colour fading, decay or previous demineralization. Each tooth was manually cut in two equal parts.
Demineralization was induced, with ortho-phosphoric acid (concentration 45 %), for one minute. The
probes were visually and with digital, optical microscope inspected. It was applied Advantage Arrest
(Elevate Oral Care, USA), on the demineralised zones and the probes were again inspected with
digital, optical microscope. Result: It was observed a high improvement in remineralizing the white
marks on plain and occlusal surfaces, the optical microscope having success in detecting both
demineralization and the penetration of the liquid through enamel. Conclusion: Based on our in
vitro study, Silver Diamine Fluoride is capable to enhance enamel remineralization more efficient
than other topical/non-topical products; but further clinical researches are needed to be done.
PP 6 BIOCOMPATIBILITY EVALUATION OF COBALT-CHROMIUM ALLOYS

PROCESSED BY TRADITIONAL CASTING, COMPUTERIZED MILLING, SLS AND
SLM
CRISTINA ELENA SAVENCU, SORIN DANIEL POROJAN, ROXANA DIANA VASILIU,
ADRIAN BOLOȘ, LILIANA POROJAN
Romania
Background: Biocompatibility evaluation of cobalt-chromium alloys processed by
traditional casting, computerized milling, SLS and SLM. New computerized technologies were
developed to process Co-Cr dental alloys. The objective of this study was to investigate
biocompatibility of dental restorations frameworks obtained by alternative manufacturing
technologies compared with traditional ones. Material and Methods: Samples were produced by
melting-casting (CAS), computerized milling (MIL), selective laser melting (SLM) and selective laser
sintering (SLS) and immersed in cell culture medium for 7 days. 1BR3 human skin fibroblasts were
used to investigate cell proliferation rates through indirect exposure. Cells were cultured in native
medium and medium exposed to dental alloy. Viability test and cell count were conducted after 2,4
and 7 days. Results: There was no significant difference in the percentages of the live, early
apoptotic (EA), late apoptotic (LA), dead (D) and total apoptotic (TA) cells between the alloys
treated cells at 48 h after treatment. After 4 days the percentage of death cells in the MIL alloy
treated cells was significantly lower when compared with controls. In the cells treated with SLM
formula a significantly higher proportion of total apoptotic cells was observed when compared with
the other alloys treated cells. In the SLM alloy the percentage of the early apoptotic cells and total
cells is significant decreased at 7 days treatment when compared with 4 days treatment.
Conclusion: It can be concluded that computerized milling produces frameworks with higher
biocompatibility, SLM processed Co-Cr alloy appear to induce an increasing apoptosis process,
while SLS processing appear to produce samples with similar biocompatibility with traditional
casting.
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PP 7 CORROSION ASPECTS OF NITINOL AS ORTHODONTIC WIRE

ELENA-RALUCA BACIU, MARIA BOLAT, MARIA-ANTONELA BELDIMAN, ALICE-
ARINA CIOCAN-PENDEFUNDA, DANA GABRIELA BOSÎNCEANU
Romania
Background: The NiTi alloy with shape memory and superelastic properties, is a subject of
numerous studies directed at improving its biocompatibility. This study investigated the corrosion
behavior of an commercial nickel-titanium (NiTi) orthodontic archwire from 3M, using a cyclic
potentiodynamic test in Afnor artificial saliva. The morphology and chemical structure of the NiTi
wire was characterized before and after the corrosion tests using scanning electron microscope
(SEM) and energy dispersive X-ray analysis (EDX). The reults showed that the corrosion rate is
15.04 µm/year. Analyzing the cyclic diagram can be observed the pitting character of corrosion
having a hysteresis type diagram. The structure of the passive film on the tested NiTi sample was
contained TiO2 and NiO. Corrosion resistance of NiTi Clasic-3M alloy is appreciable as very good in
Afnor artificial saliva with a higher polarization resistance and a lower corrosion rate per year
(nanometer sizes). Keywords: NiTi alloy, corrosion, EDX
PP 8 EVALUATION OF RESIN COMPOSITES ADAPTATION USING MICRO-CT

ADRIAN TUDOR STAN, LAURA IDORAȘI, EMANUELA CRĂCIUNESCU, COSMIN
SINESCU, MIHAI ROMÎNU
Romania
The aim of the paper was to to evaluate the microleakage and internal adaptation of
different composite resin restorations after curing, using a non-destructive X-ray microcomputed
tomography (micro-CT). Material and Methods: Sixteen previously extracted human teeth, kept
prior in 10% formalin to preserve the bonding capabilities of the tooth structures, were divided into 2
groups based upon the restorative system used. Class II (vertical slot) cavities were prepared and
restored, using a Tofflemire matrix, with Solitaire (Heraeus Kulzer) – Gr. I and Filtek LS (3M) – Gr.
II. Micro-CT scanning was performed by using Nikon XTH 225ST after the teeth were submerged in
silver nitrate solution (AgNO3 60%) to reveal any defects in adaptation or gaps at the tooth
restoration interface. The 3D image of the leakages around the restorations were reconstructed
using VGSTUDIO MAX software. Results: All samples from Group I showed the silver nitrate
infiltrating at a mean volume of 1.6 mm3, Solitaire having a higher polymerization shrinkage. In
Group II there were only 3 restorations which displayed penetration at a mean volume of 0.4 mm3.
Conclusions: Micro-CT is a three-dimensional imaging technique that can nondestructively detect
microleakage around the resin composite restorations at every level of the sample.
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PP 9 MODERN OPTOELECTONIC METHOD FOR FIRING TEMPARATURE OF CERAMIC-

FUSED TO-METAL DENTAL PROSTHESES
RALUCA TODOR, COSMIN SINESCU, CAIUS STOIAN, ADRIAN GH. PODOLEANU,
Romania
Background: One of the most common fabrication techniques for dental ceramics is
sintering, a process of heating of the ceramic to ensure densification. This occurs by viscous flow
when the firing temperature is reached. Acceptable restorations require the alloy and ceramic to be
chemically, thermally, mechanically, and aesthet. Metal-ceramic prosthetic construct could reach
internal tensions due to the real temperature variation in the ceramic oven. There is no methods to
monitorize the real temperature inside the dental oven till now. The aim of this study is to emply
optical coherence tomography as such a tool. Material and Method: 15 metal ceramic prostheses
were considered for this study. A swept source (SS) optical coherence tomography (OCT) was
employed, in order to evaluate the modifications induced when using temperatures different from
those prescribed for firing the samples. OCT imaging can allow quick identification of the oven
decalibration, to avoid producing dental prostheses with defects. Conclusion: Optical coherence
tomography could act as a valuable tool for real sintering temperature for metal ceramic crowns.
PP 10 MICRO-MORPHOLOGICAL CHANGES OF PORCELAIN SURFACE AFTER

DIFFERENT SURFACE TREATMENTS
EMILIJA BAJRAKTAROVA VALJAKOVA, VESNA KORUNOSKA STEVKOVSKA,
NIKOLA GIGOVSKI, ANETA MIJOSKA, CVETANKA BAJRAKTAROVA MISEVSKA
University “Ss Cyril and Methodius”, Skopje
FYROM
Background: Intra-oral repair of the fractured porcelain in porcelain-fused-to-metal
restorations in everyday clinical practice, as far, is done with dental composite. The clinical success
and longevity of the repaired restoration in a great deal depend on a surface treatment of the
fractured porcelain. Aim: The aim of this study was to evaluate the effect of different surface
treatments on the micro-morphological structure of the repaired porcelain after conducting shear
bond strength test. Material and Methods: Specimens comprised of metal base (Remanium CS,
Dentaurum) and porcelain (IPS Classic, Ivoclar Vivadent), which bonding surface was polished with
3-9 µm alumina discs (Polishing Discs, 3M ESPE), were prepared. They were randomly divided into
6 groups depending on the surface treatment: left as polished; roughened by a diamond bur (BR);
acid etched with 37% H3PO4 (AE); acid etched followed by silanization (AE+S) (Monobond S,
Ivoclar Vivadent); BR+AE; BR+AE+S. Heliobond (Ivoclar Vivadent) was applied over the porcelain
surface, composite material Tetric Ceram (Ivoclar Vivadent) was built over it and polymerized.
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Before being subjected to a shear load, all specimens were stored in 37ºC distilled water for 24
hours. Representative samples were prepared for the SEM evaluation. Results: The surfaces
appeared relatively smooth after polishing; bur grinding resulted in rough surface; acid etching had
most prominent effect on surface morphology caused by dissolving of the glassy phase; silanization
slightly modified the basic topography obtained with previous treatments. Conclusion: The surface
micro-morphology depends on the treatment of the porcelain surface with the greatest effect having
acid etching.
PP 11 STUDY ON THE ELECTROCHEMICAL CORROSION OF SOME NOBLE AND BASE

METAL DENTAL ALLOYS
ELENA ODETTE LUCA, MONICA TATARCIUC, DIANA DIACONU-POPA , ANCA
VIŢALARIU
Background: The electrochemical methods to study the behaviour of dental alloys in
different environments allow for quick information on the corrosion of a metal immersed in a fluid,
the instant corrosion rate, the type of corrosion and its intensity as well as the corrosion factors. For
this study we used dental alloys with different compositions from dental restorations, after a 5-15
years period of operation in the oral cavity (Dental amalgam, Verasoft, Palliag and gold alloy 77,5%
Au). The corrosion environments were three artificial saliva: AFNOR, FUSAYAMA and RONDELLI.
The corrosion potential was determined and the linear polarization curves was recorded. The
obtained data allow objective conclusions to be drawn on the behaviour of alloys at the simple
immersion in an artificial saliva. The results show that irrespective of the used alloy, the prosthetic
works lose their metallic luster in time and become matte. Incomplete mechanical polishing leaves
pores and striations favouring biofilm retention, with the production of sulphurous chemical
compounds.
Keywords: corrosion, dental alloys, artificial saliva, linear polarization.
PP 12 OCT EVALUATION OF PROSTHETIC METAL FRAMES MADE WITH

CONVENTIONAL METHOD AND SLS/SLM METHOD
CAIUS STOIAN*, RALUCA TODOR*, COSMIN SINESCU*, ADRIAN GH.
PODOLEANU**, MIHAI ROMÎNU*
*Victor Babes University of Medicine and Pharmacy Timisoara
** University of Kent, Canterbury - Romania
Introduction: Prosthetic metal frames made with the conventional method of melting and
pouring could suffer different manufacturing errors that could have a great impact on the final
prosthetic restoration. The aim of this in vitro study was to compare the accuracy of metal frames
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obtained with the conventional method of melting and pouring with the accuracy of those obtained
with SLS/SLM method. Material and Method: Two groups were analyzed in this study, the first
group consisting of 10 conventional made metal frames and the second group consisting of 10
SLS/SLM made metal frames. The evaluation of the metal frames was performed with Time Domain
optical coherence tomography (TD OCT), working at a wavelength of 1300 nm, at 18 degree
scanning angle, with 300 slices per investigation. The slices were used for the 3D reconstruction of
the selected areas. Conclusion: Based on the findings in the present study, one may conclude that
the manufacturing accuracy of the SLS/SLM metal frames was superior compared with the
conventional method of melting and pouring.
PP 13 INTRA RADICULAR RESTORATIONS AND RETROGRADE RETRETMANT OF

TEETH
MAJA DELIC, DZENAD GANJOLA
Clinical Centre of Montenegro - Montenegro
3 - ENDODONTOLOGY
Aim: In this study we analysed the difference of success of retretmant with retrograde filling
of teeth with intra radicular restorations and orto grade filling of teeth with periapicals lesions.
Matherials and Methods: We have two groups (controlled and study groups) and 40 teeth with
periapicals lesions oral surgically treated.Controlled groups compound from 20 teeth with periapical
lesions, and in orto grade way filled included in this study,and second group which is compound
from 20 teeth with periapicalsiesions and with need for retretmant by retrograde way of canal fillings.
Results: After a period of one years by all patients was made the clinical and x -ray examination.In
controlled group we find 10 cases with complete healing,5 cases with the healing process was
uncompleted,3 cases were with unclear healing,and only by 2 cases we have wrong results.Study
group after a same period by 12 cases the healing was complete,by 5 cases the healing was
uncompleted and by 3 cases healing of lesions on X-ray,after a period of one year,there was not a
statistically significant difference between two groups(P=0,59). Conclusions: From this study we
can conclude that application of a retrograde filling with surgical intervention apicotomy could be
considered like a minimal invasive procedure which has a effect on post operative clinical results.
PP 14 THE STUDY OF THE CONCORDANCE BETWEEN HISTOLOGICAL AND CLINICAL-

RADIOLOGICAL ASPECTS IN CHRONIC APICAL PERIODONTITIS
CRISTIANA PETCU, CRISTIAN PETCU, SIMINA GAMAN, ANDREEA CAZAN,
MIHAELA STAN
3 - ENDODONTOLOGY
Background: Chronic apical periodontitis are inflammatory reactions of the apical
periodontium that appear after an endodontic infection, with relatively high incidence and a
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treatment that doesn’t always lead to a solution. The histologic study gives different aspects due to
the many existing forms and is the only one that can confirm or infirm the correctness of the clinical
diagnosis. Materials and Methods: The clinical study has been made on 32 pacients
diagnosticated with chronic apical periodontitis, that were selected between 258 pacients that came
for specialized treatment between november 2012- december 2014. Pacients were clinical
evaluated and divided into several batches, depending on several parameters.The histological study
was made on the material came from the apical resections that was made in therapeutic scope and
after tooth extractions. Results: Clinical aspects may vary from clinical manifestations to
asimpthomatic cases, diagnostics following complementary examinations. Cases with long evolution
were accompanied by general manifestation that draw attention to the possibillity of microbial
dissemination at distance characteristic of the outbreak. Radiologic investigation orientated the
diagnositc, especially at asymptomatic cases, but we found reverse situations that the clinical
simptoms were not accompanied by radiological confirmation. Histological, we found dystrophic
forms, hiperplazic forms, chronic apical periodontits with diffuse forms and condensed
forms. Conclusions: The clinical implication of this interdisciplinary study is the benefit of the
patient regarding the orientation towards the most optimal therapeutic attitude.
PP 15 EVALUATION OF ENDODONTIC LESION ON CBCT AND DIGITAL PERIAPICAL

RADIOGRAPHY A CASE REPORT
MIHAELA-JANA ȚUCULINA, DIANA SILVIA DUȚU, SANDA MIHAELA POPESCU,
IREN MORARU, ANCA GHEORGHE
Romania
3 - ENDODONTOLOGY
Aim: The present study aims to evaluate the extensiveness of a periapical lesion present in an
endodontically treated molar using 2D-classical and 3D-modern radiological methods. Material and
Methods: The assessment of this clinical case required the use of digital periapical radiography.
Identification of endodontic treatment in upper right first molar and the periapical lesion, without
being able to determine its extent, the bone defect and the possible associated maxillary sinus
pathology led to the decision of performing advanced radiological investigations: CBCT (Cone Beam
Computed Tomography). Results: Small field of view CBCT images provided information about the
presence of two periapical lesions on mesiobuccal, distobuccal roots and interradicular bone loss.
Alveolar cortical bone loss was identified in the proximity of buccal roots apex and the actual
imensions of the periapical lesions were measured. The 3D imaging of the right maxillary sinus
helped identify the pathology of the lower wall sinus mucosa. Conclusions: The CBCT evaluation
provides real information on the extent of periapical lesions and associated pathology. Limited
information provided by periapical radiography in complex clinical cases is not sufficient to establish
the appropriate diagnosis and treatment plan.
Keywords – CBCT, endodontic, evaluation periapical, radiography
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PP 16 HISTOLOGICAL STUDY REGARDING STRUCTURAL CHANGES OCCURRED IN

IRREVERSIBLE PULPITIS
ANCA GABRIELA GHEORGHE, VERONICA MERCUT, MIHAELA TUCULINA, SANDA
MIHAELA POPESCU, DORIN GHEORGHE
3 - ENDODONTOLOGY
Background: The dental pulp is an organ mainly constituted of connective tissue, surrounded
by hard, mineralised dental tissues that offer a good sustainability and permanent protection, as
long as the tooth is vital, by constantly creating new layers of subsidiary dentine when aggressive
events are recorded over the tooth itself. It was demonstrated that the dental pulp has different ways
to react when attacked by decay, the most common dental pathology. Somehow, the pulp manages
to protect itself from the aggressor, by means of inflammation. Aim: The main purpose of this study
was to assess the inflammatory changes observed in the dental pulp of vital teeth with painful
symptoms and to correlate some features regarding systemic conditions and the age of the patients.
Materials and Method: Our research used dental pulp sample sections, collected from patients
suffering from ireversible pulpitis who addressed the dental office for endodontic treatment. Under
anesthesia and rubber dam isolation, the access cavity was drilled and then the dental pulp itself
was removed from the pulp chamber. The cropped samples followed the classic stages necessary
for the preparation of the human histological material (fixation, sectioning, staining). Afterwards, the
samples were microscopically assessed for histopathological inflammatory changes. Results and
conclusions: The electron-microscopic study allowed us to highlight details of ultrastructure on the
cells in the dental pulp. A great variability in the number and morphology of fibroblasts, lymphocytes
and plasma cells was observed, partially influenced by the patients’ related aspects such as
systemic disease or age.
PP 17 TREATMENT OF INTERNAL RESORPTION WITH MTA: A CASE REPORT

BEYHAN BAŞKAN, ÖZKAN ADIGÜZEL
Dicle University, Diyarbakır, Faculty of Dentistry - Turkey
3 - ENDODONTOLOGY
Aim: Internal resorption (IR) is defined as the resorption on the inner surface of the dentin
adjacent to the granulation tissue produced in the pulp. Clinically, it is usually asymptomatic and
coincidental. This case report describes the treatment of MTA with a tooth with internal resorption.
Case Report: A 23-year-old male patient was admitted to our clinic with complaints of dental
discoloration and mobility. "Pink Spot" was found in teeth right upper central and left upper central
which were made examination of the mouth. On our radiographs, our patient was found to have
internal resorption of the teeth right upper central and left upper central. Due to high degree of
mobility and internal resorption in the upper left central tooth, a related indication for tooth extraction
was placed. Root canal cavity was opened and intraradicular debris was removed of the right upper
central tooth, irrigation with 5.25% NaOCl. Calcium hydroxide paste was placed first session thread.
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Apical portion was filled with gutta percha and sealapex at the second session (after 10 days). Later
in the resorption zone, MTA was provided with a plug. The aesthetic restoration of the
corresponding tooth has been completed. Conclusion: It is thought that MTA is an effective
material that can be successfully used in the treatment of internal resorption cases.
PP 18 CBCT IN DIAGNOSTIC AND TREATMENT PLAN OF PERIAPICAL LESIONS:

SURGERY OR ENDODONTIC TREATMENT
CRISTINA ANTOHI, TUDOR COSMIN ONICIUC, DANISIA HABA, LIANA AMINOV,
DORIANA AGOP FORNA
3 - ENDODONTOLOGY
Aim: The aim of this study is to provide how important is radiological diagnostic- 2D versus
3D- in treatment planning of periapical lesions. Materials and Method: Our study included 30
pacients with endodontically untreated teeth diagnosed with non-vital pulps. The examinator wrote
down a preliminary diagnostic after a clinical examination based on history, clinical findings,
diagnostic test, periapical radiograph for each tooth which was suspected to have the pathology
mentionated, before the CBCT were made. After the CBCT examination, a new diagnostic was
made by same examiners. For periapical radiographs we used: X-MIND DC Satelec, 60 Kv, 8mA,
0.25-0.32 sec and for CBCT: ProMax 3Ds – Planmeca, 90 Kv, 10mA, 12 sec., field of view: 5 x 8
cm; slices at an interval of 0.2 mm. Results: From 30 pacients with endodontically untreated teeth
diagnosed with non-vital pulps 25 diagnoses were changed after CBCT exams especially for those
which have periapical lesions associated with maxillary sinus mucosal thickening . For 15 cases of
periapical lesions localized at mandible we eighth for endodontic treatment and follow up between 6
months and 4 years by using periapical radiographs. From 10 cases with periapical radiographs
localized at maxillary 5 were extractions and 5 endodontical treatments with follow up like for
mandible. Conclusion: The diagnoses and treatment plans were changed for the tooth which
discovered apical lesion assessed with CBCT examination.
PP 19 FORMING AN APICAL BARRIER WITH BIODENTINE AN IMMATURE TOOTH WITH

PERIAPICAL LESION : CASE REPORT
MERVE YENİÇERİ ÖZATA*, SEDA FALAKALOĞLU**, ÖZKAN ADIGÜZEL*, BEYHAN
BAŞKAN*
*Dicle University, Diyarbakır, Faculty of Dentistry
** Aydın Oral and Dental Health Center, Aydın - Turkey
3 - ENDODONTOLOGY
Aim: Apexification is a treatment method used to induce a mineralized barrier in the root
apex of an immature necrotic tooth. To evaluate the success of apexification treatment in immature
maxillary left incisor clinically and radiologically. Materials and Method: A 17-year-old female
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patient applied to Dicle University, Faculty of Dentistry, Department of Endodontics due to pain of
the left maxillary central incisor. Left maxillary central incisor had an incompletely developed root
with an open apex and apical lesion. In the first appointment, access cavity was prepared and the
root canal length was determined with H-type file(#80). Shaping was made by using peripheral
method with H-type file manually. For irrigation, 2,5% sodium hypochlorite and 17% EDTA
(Odahcam, Dentsply, Petrópolis, RJ, Brezilya) was used. Calcium hydroxide paste (UltraCal XS,
Ultradent, South Jordan, USA) was applied for 1 week as an intracanal medication. An apical plug
of Biodentine (Septodont, St Maur des Fosses, France) was performed in the second appointment.
The root canals were then back-filled with lateral compaction of gutta-percha using AH Plus
(Dentsply DeTrey GmbH, Konstanz, Almanya) root canal sealer. Following, permanent restoration
was made on the left maxillary central incisor. Results: The clinical examination in the 6th and the
12th months showed no clinical signs of pathology. Radiographic examination revealed complete
healing of the periapical lesions in this case. Conclusion: The creation of the apical barrier with the
help of Biodentine in open apices teeth with periapical lesion facilitates the root canal obturation.
Therefore, it is concluded that apexification with Biodentine is an alternative to conventional
apexification technique.
PP 20 MTA REPAIR OF A INTERNAL, EXTERNAL RESORPTION AND APICAL

INFECTION - CASE REPORT
VALBONA DISHA
Albanian University, Tirana - Albania
3 - ENDODONTOLOGY
Background: Internal and external resorption are rare conditions in permanent teeth that
poses difficulties for treatment. If the resorptive process perforates the root, treatment may be more
difficult and is usually performed via surgical approach. Aim: To show the result of treatment of a
mandibular premolar with inflammatory internal and external root resorption, and periapical infection
with MTA. Non-surgical repair of a perforating internal root resorption with MTA was conducted in
this case. MTA was prepared and all canal was filled with it and the crown was restored at the same
time. The symptoms and signs ceased and the result was satisfactory at the 2 years follow-up visit.
Conclusion. The use of mineral trioxide aggregate is effective way to arrest the resorption proces.
Keywords: Mineral Trioxide Aggregate, Perforation, Root Resorption
PP 21 REVASCULARIZATION: CASE REPORT

DAMLA ÇETINKAYA
Ministry of Health – Ordu - Turkey
3 - ENDODONTOLOGY
Aim: Provide revascularization of the devital maxillary right central incisor with incomplete
root development. Case Report: A 32-year-old male patient was referred to the clinic with
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complaints of inflammation of the gingiva in the anterior region of the upper jaw. Clinical
examination; the mouth of the fistula was observed at the apex of teeth 21-22. Radiographic
examination revealed that the development of the root of tooth 22 was incomplete. In the teeth
numbered 21 and 22, wide radiolucency was observed in the apex range. Root canal treatment was
initiated on both tooth of the first seance, and root canals were chemo-mechanically cleaned with
minimal instrumentation (NaOClirrigation + 3 pat medication). After 3 weeks, the fistulae obstruction
and the patient with was seen asymptomatic. Pat was removed with NaOCl irrigation and minimum
instrumentation. The PRP obtained blood from the patient's centrifuge was placed in the root
canals(including the apex of the enamel-cementum) with a fine-tipped placement instruments. After
coloring, intracoronal bleaching was performed on the patient. Results: The patient's 3-month
control radiograph showed a decrease in lesion dimensions. No symptom was observed within two
years following treatment in the patient. But, there was no response to the electric pulp test and
thermal tests on any control exam. 6-month control radiograph showed the thickness of the dentin
wall at theapical third was increased. Conclusions: Revascularization can be performed on teeth
with incomplete periapical lesions.
PP 22 ODONTOGENIC MAXILLARY SINUSITIS OF IATROGENIC ETIOLOGY AND ITS

RELATION TO ENDODONTICS
GEORGIOS GKINIS, LIANA AMINOV, CRISTINA ANTOHI, YLLKA DECOLLI
Romania
3 - ENDODONTOLOGY
Background: Odontogenic maxillary sinusitis (OMS) is an inflammation of the mucosa of the
maxillary sinus deriving from a dental cause. Among common causes are apical periodontitis,
periodontal disease and iatrogenic presence of foreign bodies of dental origin into the sinus. Its high
prevalence indicates the need for further investigation to understand the complexity of its clinical
cases. Materials and Method: Literature review was conducted using the keywords: over
instrumentation, overfilling, odontogenic sinusitis, and endodontics, on Pubmed and Science Direct
resulting in 26 articles published in the last 10 years. 25 articles were selected, reporting cases of
OMS of iatrogenic cause related to endodontic treatment. Results: It was established that CBCT is
the gold standard imaging technique to assess the oro–antral relationship, while the most desirable
treatment outcome is achieved by a multidisciplinary approach of an otolaryngologist and a dentist.
Furthermore antibiotic therapy must be prescribed according to the pathogens’ resistance patterns.
Conclusion: A comprehensive assessment of such complex cases is essential to achieve an
optimal therapeutic outcome and to decrease the incidence of relapses and chronic inflammatory
processes of the maxillary sinus. Additional research is required to eliminate incorrect diagnosis and
improve the quality of life in patients with such pathology.
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PP 23 NON–SURGICAL ENDODONTIC TREATMENT OF EXTENSIVE PERIAPICAL

LESIONS OF ENDODONTIC ORIGIN
AMİNE KÜÇÜKİLHAN, EMİNE DEMİR ŞEREFLİ, EMRE BAYRAM, HÜDA MELİKE
BAYRAM
Turkey
3 - ENDODONTOLOGY
Aim: The purpose of this case report is the non-surgical treatment of periapical lesions with
endodontic origin. Case report 1: A 22-year-old male patient was referred to our clinic for
endodontic treatment. Examinations revealed a radiolucent lesion in upper left lateral tooth. Root
canal treatment (RCT) was started. The root canals were irrigated by using 5.25% NaOCl. Canals
prepared with hand file until #60. Calcium hydroxide paste was applied for 3 weeks as an intracanal
medication. Root canal filling was completed with cold lateral condensation method using 2seal root
canal sealer and gutta percha. The patient was invited to control appointments to following. We
observed radiographically healing in the lesion area in 18 months follow-up. Case report2: 21 year
old male patient presented with pain in the maxillary anterior region. Examinations revealed a
radiolucent lesion in the periapical region of upper right lateral tooth. We had started RCT. Drain
drainage was seen after opening the access cavity. Working length has detected and preparation
has done. Appointments were made at 2 day intervals. İn this appointments irriged with
%5.25NaOCl. After 4 visits Ca(OH)2 used as intracanal medicament for 3 weeks. Root canal filling
was completed like the other case. The tooth was asymptomatic at control appointments and
observed healing in lesion area radiographically. Conclusion: Surgical endodontic therapy should
not be the direct treatment plan with large periapical lesions. After successful endodontic treatment,
it is importance to follow the healing process.
PP 24 THE RETREATMENT OF MOLAR AND PREMOLAR TEETH AND MTA REPAİRİNG

OF PERFORATİON AND FOLLOWİNG-UP
EMİNE DEMİR ŞEREFLİ, AMİNE KÜÇÜKİLHAN, HÜDA MELİKE BAYRAM, EMRE
BAYRAM
Turkey
3 - ENDODONTOLOGY
AİM: This case reports two retreatment cases with periapical lesions and perforation. Case
Report: 21 year old male patient admitted to our clinic with a pain while chewing at right
mandibular, second premolar and first molar teeth. Examinations revealed that short root canal
filling and radiolucent lesion at this teeth. Root canal treatment (RCT) was started in premolar tooth.
The previous root filling removed with hand files and the RCT was finished. %5.25 NaOCl was used
to irrigation. Ca(OH)2 paste was applied for 3 weeks as an intracanal medication. Root canal filling
was completed with cold lateral condensation method using 2seal root canal sealer and gutta-
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percha. The previous root filling at molar tooth removed with hand files. A perforation was made
during removing the filling of mesiolingual canal. Then, the preparation finished with hand files, the
canals were irrigated with %0,2CHX. The Ca(OH)2 paste was applied for 3 weeks. Then, the
perforation area sealed with MTA, and the canal filling was completed like premolar tooth. The
lesions were followed up for two years. The teeth were asymptomatic and the periapical healing was
observed at radiographic examination. Conclusion: Surgical therapy shouldn’t be the first plan. If
the perforations on the root surface seal with a biocompatible material, such as MTA, there isn’t
negative effect on healing. After successful endodontic retreatment, it is importance to follow the
healing process.
PP 25 SIMILARITIES AND DIFFERENCES IN COMPLEX ENDODONTIC THERAPY IN THE

YOUNG/ ELDERLY PATIENT
ALINA-RAMONA DIMOFTE, DAN-CRISTIAN IONEL, GABRIEL-VALERIU POPA,
Dunărea de Jos University Galați
Romania
3 - ENDODONTOLOGY
Background: Though endodontic treatment remains the same as to basic principles, the
individual anatomy and specific pathology require precautions and specificity for different age
groups. Reference guidelines therapy for specific age groups are a worthy challenge for proper and
predictable endodontic success. Materials and Method: Intraoperative clinical evaluation of
individual cases and therapeutic results has been evaluated. PA, 12y.o arrived to the dental practice
for endodontic treatment at tooth 46. GH, age 62y.o. has been treated by the same doctor using a
standard protocol: endodontic treatment under the microscope, manual and rotary instruments:
Reciproc, Protaper Next and Wave One, warm vertical compaction. Diagnostic for PA was chronic
hyperplastic pulpitis. The elderly patient presented symptoms of chronic apical periodontitis.
Results: GH presented calcification and dificult root canal negociation. PA had a large apical
diameter compared to GH, but GH had narrower canals and more severe curvatures. Healing of
periapical lesions was observed at 3 months for PA and 12 months for GH. Conclusions:
Instrumentation in young patients is more difficult: a smaller mouth opening, profuse bleeding,
higher apical diameter and consequent increased number of sessions with shorter appointments. In
the elderly patient, the combined endo-periodontal disease has a more reserved prognosis from the
beginning to the end of the treatment, plus the regenerative potential and the recovery possibilities
are more restricted comparative to the younger organism. Pulpal calcifications and exaggerated
curvatures increase the difficulty in detecting and treating root canals (increased risk of perforations,
thresholds, fracture of the instruments).
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PP 26 FRONTAL TEETH PROPORTIONS ON DIGITAL PHOTOS COMPARED TO GYPSUM

MODELS
GEORGI ILIEV, JANINA PAVLOVA, DIMITAR FILTCHEV, SVETLOZAR RANGELOV
Bulgaria
Aim: To make a comparative analysis of the proportions of the frontal teeth in the
permanent dentition found in gypsum models and digital photos. Materials and Method: 60
students with a preserved natural dentition were examined. A total of 120 upper jaw teeth segments,
each of which includes a central incisor, a lateral incisor and a canine tooth. Alginate impressions
was taken and gypsum models were cast for each. Models was captured with a DSLR camera
under standardized conditions. The photos were processed using the Autocad 2015 program. The
ratios between the widths, heights and areas of the upper frontal teeth were defined. Results:
Characteristics and mean parameters of the proportions of the upper frontal teeth, distinct for
women and men, were defined. A comparative analysis of the proportions found on the digital
photos and the corresponding gypsum models has been made. Conclusion: The established
parameters of the main types of dominance "Low", "Medium" and "High" found in the measurements
on the digital photographs, although not identical, are similar to those found in the gypsum modles,
and the differences are not statistically significant. In order to achieve a precision in the
interpretation of the survey data on digital photos and to be used uncompromisingly in dental
practice, and in particular as a basis for creating a functional digital design software product, it is
necessary to find a suitable method of alignment in accordance with the actual dimensions of the
teeth.
PP 27 COMPERATIVE DIMESNIONS ON DIGITAL PHOTOS AND ON MODLES IN FRONT

FACIAL ASPECT
JANINA PAVLOVA, GEORGI ILIEV, DIMITAR FILTCHEV, SVETLOZAR RANGELOV
Medical University, Sofia, Faculty of Dental Medicine - Bulgaria
Aim: Comparaing the dimensions of upper frontal teeth, measured on models and on
digital photographs to determin the most appropriate method for transforming the data from digital
into real dimensions. Materials and Method: 60 students with a preserved natural dentition were
examined. A total of 120 upper jaw teeth segments, each of which includes a central incisor, a
lateral incisor and a canine tooth. Alginate impressions was taken and gypsum models were cast for
each. Models was captured with a DSLR camera under standardized conditions. The photos were
processed using the Autocad 2015 program. The width and height on models and on photos were
measured of each tooth. Results: The differences in the width of the teeth, measured on models
and on photos, are proportionally increased by central incisors to canine teeth, ranging from 0.23
mm to 2.78 mm. The most significant deviation from the actual size indicates the width of the canine
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tooth - twice as large as the lateral incisors and many times larger than the central incisors.
Differences in tooth height are also proportionally increased, ranging from 0.42 mm to 0.82 mm.
Conclusion: In case of measurements on digital photos in the front facial aspect, adequate data
can be obtained about the visible tooth dimensions and with close approximation of the widths of the
canine teeth. When making a digital smile design and implementing the prosthetic structure, it is
necessary to transform the data from the photo into the real size.
PP 28 REHABILITATION OF TWO PATIENTS WITH CUSTOMIZED ABUTMENTS: 2 CASE

REPORT
SINEM BAYRAM, SERKAN SARIDAĞ
Kocaeli University, Faculty of Dentistry - Turkey
Background: The connection between the implant and restoration is very important for the
success of the implant-supported restorations. Prefabricated abutments have a rotationally
symmetrical basic shape and do not correspond to the passage area of the shape of natural teeth.
Therefore custom-made abutments are required. Recent publications underline the importance of
using original prosthetic components to restore implants. Non-original abutments differ in design of
the connecting surfaces and material and demonstrate higher rotational misfit. In this case report,
two patients with customized abutment prepared by scraping from premill blocks are presented.
Case 1: A 34 year-old male patient was admitted to our clinic with anterior tooth loss after a work-
related accident. Implant planning was done on regions 15, 13, 12, 22. It was decided to use a
custom abutment to provide the patient specific emergence profile. Case 2: A 52-year-old female
patient admitted to our clinic with many tooth missing. Implant planning was done on regions 14, 16,
22, 24, 26, 34, 36, 44, 46. It was decided to use a titanium custom abutment to provide optimized
path of insertion thanks to the design flexibility to adjust angulations and validated long-term
performance due to the original connection. Conclusion: Definitive zirconia porcelain restorations
supported by titanium customized abutments were delivered to the patients. The patients aesthetic
and functional expectations were achieved. Patient controls were performed after 3 months.
Keywords: implant, custom abutment, zirconia.
PP 29 FULL MOUTH REHABILITATION OF COMPLETELY EDENTULOUS PATIENT WITH

FULL ARCH SCREW-RETAINED PROSTHESIS: A CASE REPORT
ZIYA SEFERLI, FATIH MEHMET COŞKUNSES, SERKAN SARIDAĞ
Kocaeli University, Faculty of Dentistry - Turkey
Background: Nowadays dentistry, treatment for full arch defects alternatives are available
options such as total prosthesis, implant supported removable prosthesis, implant supported fixed
prosthesis. İn dentstry with the development of implant technology, both soft tissues and fixed
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prostheses simulating tooth tissues have begun to be applied. Protheses called hybrid prostheses
are particularly preferred in cases where the implants can not be placed in the proper position due
to the insufficient residual bone amount and / or the distance between the arcs is increased due to
the vertical alveolar bone loss. This treatment modality allows patients to have an implant retained
fixed prosthesis without compromising esthetic and function. A 73-years old male was applied to
Kocaeli University Faculty of Dentistry with a complaint of full eduntulism in the maxilla and
manduble and demand a fixed prosthesis. Intra and extra oral examinations revealed incresead
interarch space and inadequate soft tissues. Following clinical and radiographic examinations with
CBCT, 12 dental implants in the maxilla and mandible (maxilla 6 dental implant, mandible 6 dental
implant) were placed with the help of a surgical guide. After 12 weeks for osseointegration, screw-
retained fixed hybrid prosthesis was succesfully performed. After passive fit of the metal framework
was detected, prosthesis was finished with conventional finishing procedures. Occlusion and
aesthetics of the prosthesis were checked and the holes of the screws were closed with a
composite resin. The patient followed for one years with promising result.
PP 30 PATIENT’S SATISFACTION OF FIXED PROSTHODONTIC TREATMENT

NEADA HYSENAJ, EDIT XHAJANKA, MERITA BARDHOSHI
University Dental Clinic, Tirana
Albania
Objectives: The aim of the study was to assess the satisfaction of the patients of fixed
prosthodontic appliances and oral hygiene based on a survey questionnaire. Materials and
Method: Seventy six patients who had fixed dental bridges were examined. After they signed a
consent form to participate in the study, they filled out a questionnaire about the satisfaction of their
bridges regarding: esthetics, function, speech and their attitude toward oral hygiene. Results:
Results showed that 82% of the patients were satisfied with their fixed prosthesis, while only 38% of
patients were satisfied with the chewing ability. In concern, with esthetic outcome, 73% of patients
showed that they were satisfied with the esthetic. The results showed that a high significantly
number of patients did not use any form of interdental aids' to clean their fixed prosthesis (88%).
Conclusion: High percentages of patients were satisfied with their fixed prosthesis. The most
important finding of this study was that most of patients showed a lack of knowledge regarding post
fixed prosthodontics instructions and the significance of maintenance of fixed prosthesis using
dental aids'. Most of patients were unaware of the significance of bleeding around the gingiva of
natural teeth and FPDs.
Keywords: Fixed prosthdontic treatment, oral hygiene, satisfaction, questionnaire.
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PP 31 3 MONTH FOLLOW-UP OF REHABILITATION WITH TELESCOPIC CROWN: CASE

REPORT
BURCU KANPALTA, ABDURRAHMAN ŞAHINBAŞ, DEFNE BURDUROĞLU
Bezmi Alem Vakif University, Istanbul
Turkey
Aim: The presence of mesially tilted molar abutments causes difficulty in achieving a
common path of insertion for fixed partial dentures. The aim of this case report is to present a fixed
restoration of posterior teeth, which are tilted to the edentuluos area, with telescopic crowns and
copings. Case Report: A 45-year-old female patient who was missing her mandibular left first molar
was referred to Bezmialem University, Faculty of Dentistry for prosthetic treatment. During intra-oral
examination, it was observed that second and third molars were tilted to the edentulous area. The
patient accepted a treatment including a bridge restoration with telescopic crowns and copings. The
patient's tilted second and third molars were prepared and telescopic copings were made from base
metal alloy. By using these copings, a corrected path of insertion was obtained in the posterior area.
The premolar was then prepared according to this path and an imppression was taken with primer
copings in place (Zetaplus, Zhermack, Italy). The completed bridge restoration was cemented with
polycarboxylate cement (Poly F Plus, Dentsply). A clinical follow-up examination was made in 3rd
month and no problems were encountered in terms of aesthetic, function, and phonetics.
Conclusions: The patient with excessively tilted abutment teeth was successfully treated without
excessive tooth preperation and therefore root canal treatment was avoided. This treatment
approach can be considered as a conservative method for extremely tilted abutment teeth.
PP 32 CEMENTED-RETAINED VERSUS SCREW-RETAINED FIXED IMPLANT-

SUPPORTED PROSTHESES
OLGA CHEPTANARU, NICOLAE BAJUREA, DIANA UNCUTA, NICOLAE CHELE
N. Testemitanu State University of Medicine and Pharmacy, Chișinau
Republic of Moldova
Background: Prosthetic rehabilitation of partial edentulous patients is today a challenge
for clinicians and dental practitioners. The application of dental implants in order to recover areas of
missing teeth is going to be a predictable technique, however some important points should be well
investigated for having final long term clinical results. There are two different methods of retaining a
fixed implant-supported restoration: screw retention and cement - retention. Aim: To evaluate the
survival and success of screw versus cement-retained implant crowns and to compare their long-
term outcome and complications. Materials and Method: The study included 40 people with single
missing tooth, who received implant prosthetic treatment. Patients were divided into two groups: the
study group with 20 screw retained restorations and the control group with 20 cemented-retained
restorations. The following parameters were evaluated: PES, WES, ceramic fracture, abutment
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screw loosening, metal frame fracture and radiographic bone level. Results: Forty patients were
treated with implant supported crowns, 20 in the cemented group and 20 patients in the screw-
retained group. Significant differences between groups were not found. There were no metal frame
fractures, ceramic fracture or abutment screw loosening in either type of restoration. Conclusions:
Single tooth implants seem to be an achievable treatment option for functional rehabilitation of tooth
loss. There is no significant difference between cement- and screw-retained restorations for major
and minor outcomes with regard to implant survival or crown loss. This is important data, as
clinicians use both methods of restoration.
PP 33 INFLUENCE OF MATERIALS USED FOR FIXED PROSTHESES ON GINGIVAL

MUCOSA
LUMINIŢA DĂGUCI, MONICA MIHAELA CRĂIŢOIU, ALMA MARIA FLORESCU,
ROXANA MARIA PASCU, OANA CELLA ANDREI
University of Medicine and Pharmacy of Craiova
Romania
Background: For protect the gingival mucosa in the treatment of partial edentulous using
fixed denture, three aspects are taken into consideration: the material from which dental fixed
restorations is made, technical execution and the raport between dental bridges and edentuluous
ridge. Ideally, materials used for dental restorations and fixed prostheses must be safe and
harmless for oral tissues. Numerous studies demonstrated in vitro and in vivo that the metallic
dentures or appliances release metal ions, into the surrounding tissues; these ions can spread
locally and systemically and may have a role in the etiopathology of oral and systemic pathological
conditions. The purpose of this study is to highlight biocompatibility of dental alloys used in dental
fixed prostheses. Materials and Method: Our study was performed on 37 cases of which 15 were
wearers of fixed dentures made of nickel-based alloys, 10 with fixed dentures made of copper-
based alloys and 12 with fixed dentures made of ceramics. The gingival mucosa samples were
prelevated through excision after removing fixed denture and extraction one of its affected teeth and
was histological and immunohistochemical examinated. The paraffin-embedded tissue sections at 4
μm were stained with Hematoxylin–Eosin and Goldner- Szekely. For immunohistochemical study we
used anti-CD3, anti-CD68 and anti-CD34 antibodies. Results: Fixed dentures made of ceramics
present lowest side biological effects on the surrounding tissues than fixed dentures made of dental
alloys. Conclusion: Dental ceramic are considered to be inert and biocompatible with oral tissues.
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PP 34 PROSTHETIC REHABILITATION OF MAXILLAR ANTERIOR TEETH WITH

DIFFERENT IPS E-MAX PRESS SYSTEMS; TWO CASES REPORTS
YUNUS EMRE ÖZDEN, GÖZDE AKŞEN, ENDER KAZAZOĞLU
Yeditepe University, Istanbul, Dentistry Faculty
Turkey
Background: Dental procedures performed on maxillary anterior teeth and their aesthetic
and functional results change by the prosthetic procedures and dental materials performed to teeth.
The type of prosthetic restoration planned to be performed to the patients changes depends on
factors such as the occlusion type of the patient, presence of temporamandibular disorders, the
presence of parafunctional habits, coloration of the underlying dentition, amount of preparation
made on the underlying dentition, etc. A 27-year-old male patient was admitted to our clinic with the
complaints of diastema and discoloration of the maxillary anterior teeth due to composite
restorations performed previously, and a 41-year-old woman patient was admitted to our clinic with
the complaints of crossbite on the lateral tooth, aesthetics of the maxillary anterior teeth and hard
tissue loss in the central teeth. The clinical and radiological examination of this patients did not
reveal any obstruction to perform the treatment plan. This report describes the aesthetic results of
two different cases rehabilitated with veneer porcelain using IPS e-max press Ht and IPS e-max
press Lt substructure in the maxillary central and lateral teeth.
PP 35 DENTAL BRIDGES AND THEIR EFFECTS ON ABUTMENT TEETH

ZENOVIA SURLARI, DRAGOS VIRVESCU, DORIANA AGOP FORNA, OANA
DOLOCA TANCULESCU, GABRIELA IFTENI
Romania
Aim: This study was aimed to assess the status of a group of adults who had received
regular oral prophylaxis following the insertion of fixed partial dentures. The study sample included
78 patients who had fixed partial dentures made by students at the Faculty of Dental Medicine in
Iasi, under the supervision of a doctor. Materials and Method: From each study participant, two
paired eligible sites, one for the abutment and one for the matched non-abutment teeth, were
selected. The plaque index, gingival index, probing pocket depth, tooth mobility and locations of the
crown margins were assessed and recorded by one calibrated examiner. Results: The abutment
teeth scored significantly higher plaque and gingival indices and greater probing pocket depth than
non-abutment teeth. Conclusions: The results of this study indicated that in subjects with fixed
partial dentures, the abutment teeth are more prone to periodontal inflammation than the non-
abutment teeth. Additionally, the individual’s age, duration of insertion of fixed part. Keywords:
dental bridges, abutment teeth, periodontal disease.
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PP 36 THE IMPORTANCE OF SCREEN VERIFICATION IN TREATMENT THERAPY OF

COVERAGE
ELENA LUCA, CORNELIA BREZULIANU, NICOLETA IOANID, ARINA ALICE CIOCAN
PENDEPUNDA, MARIA ANTONELA BELDIMAN
Romania
Background: Along the clinical and technological stages for metallo-ceramic crowns, it is
almost impossible to avoid errors. These isolated or summative errors can cause a poorly adapted
metallo-ceramic restoration, with adverse consequences on the balance of the dento-maxillar
system and their rate of survival. The study was conducted over a 2-year period on a study-lot of 47
patients treated in the Prosthetic Department of Faculty of Dental Medicine, who presented partial
edentations, fixed prototype restorations with complications and large coronary lesions requiring
treatment by therapy coating. The patient group consists of 28 women and 19 men aged between
20 and 63 years. The verification of the metallic skeleton was first performed on the model, following
the observation of the therapeutic indications, the technological quality and correctness, the
insertion on the model must be without abrasion of the abutments, the skeleton gauge, the contour,
the adaptation in the end zone. Intraoral verification was performed using the CHECK AND FIT
method following the ratio with the marginal periodontium, the perfect closure of the peripheral joint,
the ratio with the edentuous crest.
PP 37 USE OF PORCELAIN VENEERS IN DENTAL OFFICES IN MACEDONIA

KATERINA ZLATANOVSKA, IVONA KOVACEVSKA, NATASA LONGUROVA, SANJA
NASKOVA, DARKO KOCOVSKI
University “Goce Delcev”, Stip, FACULTY OF MEDICAL SCIENCE – DENTAL
MEDICINE
FYROM
Background: The use of porcelain veneers as permanent restorations combines an
excellent aesthetic with functionality followed by minimal destructive techniques. The goal of this
study was to estimate their use in private dental offices in Macedonia. Materials and Method: Sixty
private dental offices from various parts of Macedonia were comprised in this study. In order to
collect information from the dentists a specific self-reported questionnaire was included in the study.
The data analyses were based on the respondents in the questionnaires and calculated using
Statistical software SPSS for Windows version 23. A p-value <0.05 was considered as statistically
significant. Results: We noticed a minimal use of porcelain veneers through dental offices in our
country. Only 42% of respondents used aesthetic veneers in their practice, from which 70% use
composite and only 30% porcelain veneers. According to the use of the preparation design, most of
the practitioners use incisal overlap – palatal chamfer, followed by window preparation and incisal
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bevel preparation design. Conclusion: With this study we came to the conclusion that porcelain
veneers as aesthetic restoration are rarely used in our country. Although porcelain veneers are
highly esthetic, biocompatible, long-lasting, and minimally invasive therapeutic restoration, they still
cannot find their place on the market in our country.
Keywords: Composite veneers, aesthetic, porcelain veneers, preparation designs.
PP 38 PROVISIONAL RESTORATION IN SOFT TISSUE MANAGEMENT AROUND

ANTERIOR SINGLE-TOOTH DENTAL IMPLANT: A CASE REPORT
YESIM CETIN, ABDURRAHMAN SAHINBAS
Turkey
Aim: For the successful single-tooth implant therapy in the esthetics zone, achieving an
ideal peri-implant soft tissue profile is paramount. It can achieve by the manipulation of the
provisional restorations. This clinical report demonstrates profile of the provisional restorations to
achieve the ideal and stable gingival profile in esthetic single tooth implant restorations. Case
Description: This paper describes 19-years-old female who was missing maxillary left lateral
incisor. The patient presented in our university hospital three months after the implant placement
with a healing abutment in place. The healing abutment was removed. The poly-ether-ether-ketone
(PEEK) temporary abutment was placed and a provisional restoration was fabricated. The
provisional restoration is used to redirect a set volume of mucosa to establish optimal papillary and
sulcular profiles. It was observed periodically during the three-month healing process to monitor
gingival adaptation. The final restoration entailed using a custom abutment and metal-ceramic
restoration. Conclusions/Clinical significance: In the esthetic zones, achieving an esthetically
pleasing and healthy soft tissue profile is one of the crucial factors of the single tooth esthetic
implant treatments. Provisional restorations play an essential role in finalizing the peri-implant soft
tissue architecture and creating a suitable emergence profile to achieve a pleasing and natural
esthetic outcome.
PP 39 ADHESION BETWEEN COMPOSITE AND TITANIUM WITH DIFFERENT METAL

PRIMERS
AYŞE ERZINCANLI, ENDER KAZAZOĞLU
Yeditepe University, Istanbul, Dental School - Turkey
Aim: Evaluate the shear bond strength (SBS) of using four different metal primers between
titanium alloy (Ti6Al4V) and indirect laboratory composite. Materials and Method: Four chemically
different metal primers and one laboratory composite system were bonded on the 80 Ti6Al4V disks
to test SBS. These 80 samples were divided into 2 main groups; first group (a) treated by thermal
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cycle and the other group (b) had no thermal cycle. These 2 groups also divided into 4 subgroups
by metal primers. After sand-blasting of machined Ti6Al4V disk samples, GC Metal Primer II as a
metal primer agent used for Group 1a/b (n=10), selected as a control group. For all groups GC
Gradia laboratory composite and opaquer were used, however, for Group 2a/b, Group 3a/b, Group
4a/b; Shofu ML Link, Ivoclar Vivadent SR Link, Bisco Z prime metal primers were used respectively.
All samples were tested by Instron for SBS. Finally, debonded surfaces are evaluated by Modified
Adhesive Remnant Index (ARI). Results: Before thermal cycle, group 2b; after thermal cycle
application, group 4a showed the highest SBS value (p<0.01). Some groups showed higher mean
of SBS after thermal cycle application (Group 3a/b, Group 4a/b). In all debonded surfaces when
detected by modified-ARI, incidence Score 1 (50) was more frequent followed by Score 0 (10),
Score 2 (9) and Score 3 (1). Conclusion: Different but chemically appropriate metal primers can be
used for preparing or repairing indirect laboratory composite as a superstructure for Ti6Al4V.
Keywords: Shear bond strength, indirect laboratory composite systems, metal primers,
titanium alloy.
PP 40 TREATMENT OF A PATIENT WITH ANTERIOR CROWDING COMPLAINT BY USING

DIGITAL WAX-UP METHOD; A CASE-REPORT
SELEN ERKUL, YUNUS EMRE OZDEN, ENDER KAZAZOGLU
Turkey
Background: Understanding of patients’ expectations and estimation of the final
restoration are essential for prosthetic rehabilitation of anterior region. Therefore wax-up and mock-
up applications are clinically important both for the patients and dentists to see the possible result
before the treatment. However these are costly and time consuming processes. The popularity of
digital applications in dentistry has increased in recent years due to the developments in dental
technology. A 27 years old female patient with a high aesthetic expectation admitted to Yeditepe
University Faculty of Dentistry Prosthodontics Department with an anterior crowding problem. After
the clinical and radiological examinations, any obstracle wasn’t seen for the treatment. Intraoral and
extraoral photographs were taken with calibration scale to prepare the digital wax-up. Adobe
Photoshop CC computer programme was used for digital applications. Then designs were showed
to the patient on the screen. Digital wax-up were reorganized through the patients expectations on
the screen together. After patient’s approval of the digital wax-up, photographs were sent to the
dental technician and 4 anterior laminate veneer crown preparations were made to rehabilitate the
anterior crowding problem. This case report describes the application of digital wax-up to the patient
complained about an anterior crowding problem.
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PP 41 THE EFFECT OF FERRULE PRESENCE ON THE FRACTURE STRENGHT OF

DIFFERENT ENDOCROWNS AND POST-CORE RESTORATIONS
IREM AKSU*, AHMET ATILA ERTAN**, NUR EMEL HERSEK**
*Yeditepe University Istanbul, ** Hacettepe University Istanbul - Turkey
Background: The aim of the study was, to compare the effect of ferrule presence on the
fracture strength of different post-core restorations and endocrown restorations. Materials and
Method: Eighty mandibular molar teeth were divided in two groups; 40 were decoronated with 2
mm ferrule and the other 40 was prepared with no ferrule. After the preparation of the teeth
according to the ferrule condition, endodontic treatment was performed. Subsequently, 4 subgroups
(n = 10) were selected to form these 2 groups, fiber post-core, monoblock zirconia post-core,
standard endocrown restorations and endocrown restorations with intraradicular extension groups.
After all restorations of groups were manufactured from zirconia blocks, they were cemented with
dual cure composite resin cement. Specimens were subjected to fracture resistance testing in a
universal testing machine at a crosshead speed of 0.5 mm/min. The data were analyzed by One-
Way ANNOVA and Tukey’s tests (α=0.05). Results: In the absence of ferrule; the fracture strength
of the monoblock zirconia post-core group was found statistically higher than the standard
endocrown group (p= 0.020). In the presence of ferrule; the fracture strength of the endocrown with
intraradicular extension group was found statistically higher than the standard endocrown group (p=
0.040) and fiber post-core group (p= 0.034). Conclusion: 2 mm circumferential ferrule presence;
increased the fracture strength of all groups significantly, while the most effective was the fracture
strength of the endocrown restorations. When all the study groups were compared, the highest
fracture strength results were evaluated at the endocrown restorations with intraradicular extension.
PP 42 PROSTHETIC REHABILITATION OF A PATIENT WITH ATTRISION AND BRUXISM

USING CAD-CAM TEMPORARY AND PERMANENT RESTORATIONS
GUREL PEKKAN, BANU CUKURLUOZ BAYINDIR, OMER FARUK TEKIN
Dumlupınar University, Kutahya, Faculty of Dentistry - Turkey
Background: The aim of this clinical report is to present the full mouth prosthetic
rehabilitation of a patient with decreased occlusal vertical dimension (OVD) using CAD-CAM
temporary prostheses and porcelain-fused direct laser metal sintering (DMLS) system and zirconia
ceramics. Method and Materials: 55 year-old male patient had extensively worn dentition and also
nocturnal bruxism. Patient’s OVD was decreased. All existing teeth, except upper left and lower
third molar were prepared. New OVD was recorded using a full-arch wax bite registration material.
After impression making, stone models were obtained. Models were scanned using laboratory type
dental scanner. Full-arch design was made using design software. Cement spacing was set to 50
microns and connector diameter thickness was set as approximately 7 mm2. Temporary
restorations were milled from a PMMA block. The patient used temporary restorations for 6 weeks.
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Final restorations were fabricated with CAD-CAM systems using Y-TZP zirconia and DMLS systems
layered with feldspathic porcelain. Restorations were luted with dual polymerizing resin cement. A
night guard was made for the upper jaw. Results: The patient was followed up for six months. At
fourth month, a connector fracture was detected in right upper third molar zirconia supported region
that was replaced with DMLS-ceramic fixed partial denture. And after that no complications were
observed. Conclusion: Today, more resistant temporary restorations are possible with using CAD-
CAM techniques. Also using high density polymer blocks, which polymerized under ideal conditions
(high temperature and pressure) show more superior mechanical properties and less porosity,
surface irregularities and discoloration
PP 43 PROSTHETIC REHABILITATION OF ANGLED IMPLANTS WITH PARTIAL HYBRID

PROSTHESIS. A CASE REPORT
SELEN ERKUL, AYSE ERZINCANLI, CEREN USTUNEL, NURHAN GULER, ENDER
KAZAZOGLU
Yeditepe University Dental Hospital - Turkey
Background: Rehabilitation of edentulous areas with implant supported prosthesis
become prevalent in dental applications recently. Passive fit, occlusion type, number of implants
and implant angle are some of the significant factors that play role in the survival of implant
supported prosthesis. Superstructure of angled implants are produced with the use of angled
abutments, custom abutments or multiunit abutments in prosthetic applications. In situations where
the implants are positioned too angled to each other, prosthetic rehabilitation can be achieved with
the use of screwed systems and hybrid prosthesis over multiunit abutments. 27 years old male
patient admitted to Yeditepe University Dental School Department of Prosthodontics with 2 angled
implants positioned in the maxillary anterior region. After the clinical and radiological examinations,
it was observed that the implants are too angled to rehabilitate with angled or custom made
abutments. Therefore multiunit abutments were used to design a partial hybrid prosthesis. This case
report describes the design of a partial hybrid prosthesis produced for a patient with 2 angled
implants in the edentulous maxillary anterior region.
PP 44 MINIMAL COSMETIC RESTORATION WITH LITHIUM DISILICATE VENEERS IN

PATIENTS WITH PARAFUNCTION, WHILE ACHIEVING OCCLUSAL STABILITY
ANA ALEKSANDROVSKA*, DANIELA CVETANOVSKA-STOJCEVA*, BRUNO
NIKOLOVSKI*, RISTE BRZAKOV*, ANA MINOVSKA**
*ETERNAdent; ** University Goce Delchev Shtip - FYROM
This is a case presentation aiming to suggest a less invasive and predictable approach for
cosmetic restoration of the front teeth in patients with parafunction, when slight to moderate tooth
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wear is present. The background of this approach lies in the fact that moderate wear of teeth rarely
coincides with loss of vertical dimension, which makes the comprehensive treatment unnecessary, if
proper functional protocol is applied. The case represents a 40 year old female patient with
moderate tooth wear due to parafucntion / bruxism. At the very beginning anterior deprogrammer
(Lucia Jig) was used to deprogram the muscles that are guiding the mandible in a forced position.
All the premature contacts were removed, as well as all the interferences in protrusive and lateral
movement. The restoration of the front teeth has followed with lithium disilicate and composite
veneers, also with applied guidelines for myofunctional harmony. The balanced occlusion has been
controlled through a Fonseca questionary (for subjective feeling) and an EMG analysis to prove the
muscular balance.
PP 45 PROSTHETIC REHABILITATION OF MAXILLER ANTERIOR TEETH WITH

ZIRCONIA
LAMIA NAJAFOVA
Turkey
Background: Over the past decade, all ceramic materials, especially yttria-stabilized
tetragonal zirconia polycrystals ( Y-TZP), have facilitated the application of digital technologies in
dentistry (1). The deleterious property of crack propagation can be arrested through development of
specific crystalline phase transformations with the possibility of new and extended clinical
applications (2). A 35-year-old female patient was admitted to the Gazi University faculty of dentistry
department of Prosthodontics. According to the anamnesis, no systematic disease was revealed,
yet an excessive usage of cigarettes and periodontal mobility of 4th grade of the tooth 11 were
identified. The patient had the occlusion type 2.There was grade II mobility of 12, 21, 22 teeth. In
addition, the patient had complaints regarding aesthetic appearance. The implant replacement
therapy of the 11 tooth was introduced to the patient, but was rejected by her.It was decided to
extract maxillary right central incisor and restore anterior teeth with semisintered –YTZP
zirconia(Catana) in order to meet normal periodontal criteria and aesthetic expectations. An
immediate denture was placed right after an extraction and the teeth were prepared after a month
with Chamfer technique, and were then restored with veneered zirconia.(Noritake) The prosthetic
restoration was fabricated with milling system.As a result, the patient was satisfied with the effects
of the applied treatment.
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PP 46 THE BIOMATERIALS IMPACT USED IN FIXED RESTAURATIONS OVER

PERIODONTAL ARHITECTURE: IN VITRO STUDY
ALICE-ARINA CIOCAN-PENDEFUNDA, ALINA MIHAELA APOSTU, ELENA RALUCA
BACIU, NICOLETA IOANID, GABRIELA IFTENI
Romania
Background: Any new class of materials requires a new cutting technology which, unless
complied with properly, may negatively impact on the advantages and performance of the material.
Aim: This study evaluates the impact of biomaterials involved in fixed restorations on the
periodontal architecture, bearing extremely important connotations in the long run. Materials and
Method: The “in vitro” testing was conducted on culture cells for the cytotoxic effect of certain
restorative materials in collaboration with the Virology Laboratory of the Public Health Institute. The
tested materials were metallic alloys, composite materials and acrylic resins used for the
construction of standard sized plates in order to avoid the differences that might arise from the
technological process. Artificial saliva processed to reach a pH=7 was prepared in the Biophysics
Laboratory of UMF Iasi. Material samples and the saliva inoculated with these were tested. Results:
The cytotoxic effect of the tested materials on the cellular cultures takes on extremely diverse forms,
from discrete morphological modifications of the cells with regard to the size, shape, internal
structure up to the partial stripping-off of the cellular film, the modification of density and coloration.
In the case of the witness of non-inoculated culture, the testing results showed the presence of a
continuous film, transparency and colouring, with an unaltered polyhedral contour, with visible
nuclei, an image also kept in the case of the saliva witness. Conclusions. The involvement of
restaurative materials in triggering, maintaining and aggravating a periodontal pathology indicates
the capital role played by the dentist in the identications of lesions during measures by avoiding or
excluding etiological agents before an obvious lesions occurs in the process of active
dispensarization.
Keywords: biocompatibility, dental biomaterials, peryodontium, fixed restaurations
PP 47 ASSESSMENT OF ORAL HEALTH IN ALZHEIMER PATIENTS

ILGIN ASENA CEBECI*, DAMLA ÖZTÜRK**, BEGÜM DOĞAN***, BAŞAK DOĞAN**,
NURAL BEKIROĞLU*
*Marmara University, Istanbul, Department of Biostatistics, Institute of Health Sciences;
** Marmara University, Istanbul, Faculty of Dentistry
*** Saint-Joseph Private French High School, Istanbul - Turkey
5 - GERONDONTOLOGY
Background: Alzheimer disease which accounts for the vast majority of dementia cases, is
a progressive neurodegenerative disease of the central nervous system. The aim of this study was
to assess the oral health in Alzheimer patients. Materials and Method: A total of 19 Alzheimer
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patients administered to Turkish Alzheimer Association Sisli Day Care Center were included in this
study. The cognitive situation was assessed with Mini Mental State Examination (MMSE) test. All
clinical parameters including plaque index (PI), gingival index (GI), bleeding on probing (BOP),
probing depth (PD), clinical attachment loss (CAL), decay-missing-filling tooth indice (DMF-T), and
prosthetic situation were recorded and unstimulated salivary flow rate was calculated. Results: The
mean age of participants were 74.11±11.0. Most of the patients (79%) were suffered from severe
dementia. Most of them (74%) used both anticholiesterase and antidepressant. The mean DMFT
indice was 19.05±9.5, PI 1.83±0.4, GI 1.56±0.5, BOP(%) 30±26.6, PD 2.36±0.5, CAL 2.70±1.0. Nine
subjects had periodontal healthy while 5 patients had periodontitis. High percentage (68.4%) of the
Alzheimer patients used removable prosthesis and the few of them had fixed prosthesis (15.8%).
Nine of the patients were in less salivary flow rate group. Spearman’s rho correlation analysis
showed that AD patients’ age was positively correlated with PI, GI, BOP, PD, CAL, missing teeth
and DMFT indice (p<0.05). Conclusion: Within the limited number of participants, this study
showed that periodontal and DMFT indices increased as patients aged but not related to MMSE
score.
PP 48 PSYCHOLOGICAL IMPLICATIONS IN REMAKING OF THE ESTETICAL FUNCTION

AT THE ELDERLY FULLY TOOTHLESS PATIENTS
GABRIELA CIAVOI, LIGIA VAIDA, IOANA SCROBOTA, IOANA ROMANUL, RALUCA
JUNCAR
University of Oradea - Romania
5 - GERONDONTOLOGY
Our paper’s purpose is to study the modifications that produce in the psychological plan at
a fully toothless aging patient who’s estetical function will be remade. We studied the aging patient’s
problem because this represents the majority of of the fully toothless patients and also presents
psyhical and phisical caracteristiscs that are specific for the third age. Material and Method: Our
study bettewen 15.02.2016-17.06.2017, comprised 84 fully toothless patients, with age around 60-
75 years old, from the urban medium, equally distributed on sexes. They had the anamnesis done
and they talked to a psychologist. After remaking their estetical function (implant or mobile
prothesis) the patients had another talk with the psychologist. Results: Psychologist's results before
and after restoration of aesthetic function - over 86% of the patient have improved their self-esteem,
64% have improved their social lives, 11.6% have given up antidepressants. Conclusion was that
remaking the estetical function of a patient increases some psyhical atributes such as self esteem,
motivation, the wish to prelong life and also decreases anexiety. We can also conclude the fact that,
in the results, we didn’t observe any significant differences between sexes.
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PP 49 ORAL EXFOLIATIVE CITOLOGY AS MONITORING TOOL FOR MUCOSAL

TROPHICITY IN ELDERLY PATIENTS
MIHAELA MOSCU, CATALINA BARBAROSIE, IRINA RUGINA, COSMIN POPA
Romania
5 - GERONDONTOLOGY
Background: Ovarian hormone deficiency syndrome in elderly patients includes systemic
manifestations which affect various structures in the organism. At the level of oral cavity
manifestations are predominantly found at the mucosa and skeletal tissue. To assess the status of
the buccal epithelium trophicity we used the 'Pap smear' exfoliative citology method. We managed
to study a group of 36 patients of third age who had a discontinuous estrogenic treatment for 3
months and we assessed the oral mucosa cytological appearance compared to other locations in
the body. A group of 10 patients aged between 20-40 years was used as controls. Cytological
aspects obtained were suggestive for the changes of oral mucosal trophicity and for monitoring the
effectiveness of therapeutic scheme proposed. In conclusion, oral cytology constitutes an effective
tool for monitoring the status of oral mucosa in elderly menopaused patients.
PP 50 PERIODONTAL STATUS AMONG INSTITUTIONALIZED ELDERLY

MIHAJLO PETROVSKI, OLIVERA TERZIEVA- PETROVSKA, ANA MINOVSKA, KIRO
PAPAKOCA, IVONA KOVACEVSKA
University "Goce Delcev", Stip - FYROM
5 - GERONDONTOLOGY
Background: The interaction of xerostomia and the inability to maintain oral hygiene at a
satisfactory level among elderly leads to an increased occurrence of dental plaque. Because of this,
the elderly have an increased risk of developing periodontitis or other periodontal pathological
changes. The goal was to evaluate the periodontal status among institutionalized elderly. Materials
and Method: This research was conducted in the "Mother Teresa" department, within the PHI
Gerontology Institute "XIII-th of November" Skopje. All 73 institutionalized persons older than 65
years were examined. Ramfjord index was calculated for every subject among the institutionalized
elderly. Results: The average value for the Ramfjord index is 4.57 ± 0.74 (range from 2.5 to 6.00,
with a Confidence interval of 4.33 to 4.82). The mean value for the Ramfjord index in female
respondents is 4.51 ± 0.81, while the mean of the Ramfjord index in the male sex is 4.63 ± 0.69.
After statistical processing, it was found that there is no significant difference in the specified
Ramfjord Index between male and female sex (p <0.001). Only among two (5.26%) from the
subjects there were changes localized only on the gingiva. Most of the subjects have a mild
periodontitis after appropriate calculations of the Ramfjord index (68.42% of the respondents).
Conclusion: According to the results we noted high incidence of periodontal disease, so adequate
program for periodontal health maintenance is needed.
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Keywords: Periodontal health, institutionalized elderly, Ramfjord index, Periodontal

assessment.
PP 51 ASSESSMENT OF THE NEED FOR ASSISTANCE IN MAINTAINING OF ORAL

HYGIENE AMONG INSTITUTIONALIZED ELDERLY
MIHAJLO PETROVSKI, OLIVERA TERZIEVA- PETROVSKA, KIRO PAPAKOCA, ANA
MINOVSKA, IVONA KOVACEVSKA
University "Goce Delcev" Stip
FYROM
5 - GERONDONTOLOGY
Background: The need for help from others in carrying out everyday activities, as well as
maintaining the oral hygiene among institutionalized elderly people is quite high. With the increasing
of the number of elderly, the need for the persons responsible for them to become familiar with the
basic aspects and characteristics of oral hygiene in these persons is increasing as well. The main
aim was to evaluate the subjective need for assistance in maintaining oral hygiene among
institutionalized elderly. Material and Method: The investigation included a total number of 70
subjects older than 65 years. In these institutions, most of the persons are functionally-dependent
individual and have dependence from foreign assistance. We were evaluating the need of
assistance for maintaining adequate oral hygiene. Results: Although most of the subjects (73.97%)
subjectively do not need help in maintaining oral hygiene, the number of people who need help with
tooth brushing are not neglected (26.03%). Of the patients who need help to maintain oral hygiene,
only 10.59% of the subjects subjectively assessed their oral health as good or excellent. However,
the biggest problem is the number of people who do not maintain regular oral hygiene (68.5% of the
examined elderly). Conclusion: We can conclude from this research that there is a great need of
foreign help for every day activities among the institutionalized elderly, especially in carrying out the
activities related to the maintenance of the general as well as for the oral hygiene.
Keywords: oral hygiene, institutionalized elderly, assistance, long-term patients
PP 53 THE LASER BENEFITS FOR ELDERLY PATIENTS

MELANIA COJOCARU, EMMA CRISTINA DRAGHICI, ROXANA IULIA MARINESCU,
SANDA MIHAELA POPESCU, VERONICA MERCUŢ, MONICA SCRIECIU, ALEX
SĂLAN
7 - LASER
The rehabilitation treatment of patients is the first step in changing their lifestyle. The
dentist, can improve both oral health and lifestyle understanding the real needs. Most adults show
signs of periodontal or gingival diseases. 23% percent of 65 to74 year olds have severe periodontal
disease. About 30% of adults 65 years and older are edentulous. periodontal disease especially for
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elderly patients has been associated with a plethora of life threatening systemic health conditions.
Techniques using lasers can control the spread of harmful bacteria and limit tooth loss compared to
standard periodontal treatment options. regeneration of bone and ligament tissues. As compared to
a surgical procedure lasers are advantageous in certain conditions causing less pain, anxiety and
discomfort for the patient, certainly less invasive procedures. Most usually therapy are: Prosthetic
Surgery (Precancerous lesions, Cysts, Benign tumors, Frenectomy), Periodontal (Removing
granulomatous tissue, Subgingival debridement and Curettage, Maintenance of implants), LLLT
(Pain therapy, Biostimulation). The benefits are: elimination of cutting and bleeding, dry surgical field
and better visualization, sterilization of the tissue surface and reduction of the risk of bacteremia,
diminished swelling, edema and scarring, pain reduced, faster response to healing, minimal
postoperative discomfort, minimal recession and thermal sensitivity, quicker healing, reduction in
tooth loss, equally successful results treating dental implants and natural teeth. Laser treatments
with the appropriate wavelength and with the proper settings offers the chance of minimally invasive
therapy for all patient categories, especially for those with complex systemic illnesses.
PP 54 NEW POSSIBILITIES IN DIAGNOSTICS OF CARIOUS LESIONS

PANTELIS MANOLIS
Comenius University Bratislava
Slovak Republic
Background: New possibilities in diagnostics of carious lesions. Dental caries is the most
common disease of the oral cavity and it’s prevalence among the world population is high. Despite
that, most approaches which are used in dental practise focus on detecting carious lesions at a
cavitation stage. Modern dentistry gives priority to preventive methods rather than invasive
treatments. The conventional methods which are mostly used such as dental radiographs and visual
tactile methods are used to detect proximal caries of the posterior teeth. DIAGNOdent is a new
device for detecting caries. This device uses laser with 655nm wavelength on a dental surface and
detects back scattered fluoresence from it. This fluorescence which is reflected is scored on a range
between 0 and 99. Methods such as fiber optic transillumination (FOTI) and digital imaging FOTI are
based on the transillumination of teeth with intense fiber optic light. DIAGNOcam uses DIFOTI
technology and a camera system which records the image of the tooth and displays it on a
computer screen. In closing, the ECM device detects demineralized areas on the tooth which cause
conductivity changes. Conventional methods have an important role in dentistry. Technological
evolution contributes in making new methods more reliable because they detect caries in early
stages. However, they need more time to develop in order to become an integral part of daily
practice. After the analysis of all methods, the dentists must use a combination of the methods so
that they will have a complete diagnostic procedure.
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PP 55 CHAIRSIDE RESTORATION OF A BROKEN CENTRAL INCISOR

ESAD TAHA, DEFNE BURDUROGLU, ABDURRAHMAN ŞAHINBAS
Turkey
Background: Improvements in Dental Technologies make it possible to produce ceramic
restorations in single appointment. With the help of CAD/CAM systems, dentist could produce better
fitting restorations in shorter time periods. Materials and Method: 46-year-old female patient was
applied in Bezmialem Foundation University Department of Prosthodontics. During intraoral
examination (#11) right central incisor with full ceramic restorations was observed fractured
horizontally at apical region with metallic pivot post material. The crown was removed and it was
observed that core material was also fractured at the same level. The patient accepted the
treatment for a new post core and full ceramic restoration. Digital impression was made. A
multilayer crown was designed and milled from zirconia (inCorisZI) as a substructure and a
feldspatic ceramic (CerecBlocs, Sirona) restoration for upperstructure. The zirconia substructure
was designed as an anatomical post-core. The restoration was cemented with a resin cement.
Results: The restoration was aesthetically and functionally compatible. There was no problem in
fitting on periapical images. Conclusions: Chairside restorations can enhance patients satisfaction
and save time in crown production. CAD/CAD systems provides single visit solutions. Zirconia can
provide aesthetic core for full ceramic crowns and also has sufficient strength.
PP 56 DIAGNOSTIC ACCURACY OF DIFFERENT ORAL SCREENING METHODS IN

DETECTION OF POTENTIALLY MALIGNANT DISORDERS
BRUNO NIKOLOVSKI*, VERA RADOJKOVA – NIKOLOVSKA**, ANA MINOVSKA***,
DANIELA CVETANOVSKA-STOJCEVA*, ANA BUNDALEVSKA –
ALEKSANDROVSKA*
* Center for dental health ETERNAdent, Skopje
**UKIM, Skopje, Faculty of Dentistry
***UGD, Stip, Faculty of Medical Sciences
FYROM
Background: Early detection of oral cancer could improve therapeutic results and reduce
morbidity and mortality. The main objective in doing this research was to access the diagnostic
accuracy of conventional oral examination (COE) and light-based detection, used singly or in
combination, for the early detection of potentially malignant disorder (PMD) or oral cancer
development. This manuscript systematically examines the literature data associated with oral
cancer screening methods and case-finding aids in this context. Are all the techniques and methods
available on the market really valuable and evidence-based supported? Can they be used in
everyday dentistry alone or as a supplement to the traditional intra and extraoral head and neck
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exam? Research explains why oral cancer screening in the dental set up is important. We will
present the variety of values of the certain diagnostic methods and their potential implication in the
routine dental visits as the first line of defense with these life-threatening oral diseases.
Keywords: Oral cancer, potentially malignant disorder, screening, diagnosis.
PP 57 RADIOLOGIC FINDINGS OF TWO PALATINAL TONSILLOLITH CASES

Turkey
Background: Tonsilolith is dystrophic calcification that occurs in degenerative and dead
tissues in normal individuals with serum calcium and phosphate levels. Soft tissue calcifications
rarely seen in the jaw-and-palate region are usually found incidentally during routine radiographic
examinations. Clinically, it appear as single or multiple, yellow or white, hard, round masses on
tonsillary crypts. Small calcifications often cause no clinical signs and symptoms, whereas wider
calcifications can cause symptoms such as chronic sore throat, cough, swallowing difficulty, bad
breath, bad taste and foreign substance sensation. Radiographically, the panoramic radiograph is
seen as a superposition of radioopacites on a single or multiple, oropharyngeal airway, mandible
ramus. It can be observed bilaterally even though it is observed one-sidedly with many times.
Density is more intense than bone density, and the most common appearance is multiple, small,
irregularly clustered radiopacities. The differential diagnosis are osteosclerosis and enostoses,
calcific granuloma, sialolith, malignancy, phlebolith, syphilis. Numerous and difficult to reach
tonsillitis are followed, but they may need to be removed if they reach very large sizes and become
symptomatic. In this case report, panoramic and cone-beam computed tomography datas of
bilateral and diffuse tonsilolith which is incidentally detected in the oropharyngeal region of two male
patients with 47 and 58-year-old are presented.
Keywords: tonsillolith, oropharyngeal airway, panoramic radiography, cone-beam
computed tomography.
PP 58 MASSIVE OSTEOSARCOMA OF THE MAXILLA: A RARE CASE REPORT

Turkey
Background: Osteosarcoma is a primary malignant bone tumor resulting into osteoid or
bone and accounts for 23% of craniofacial malignancies. Osteosarcomas of the jaws account for 2-
10% of all sarcomas. It has been observed that osteosarcomas affect more commonly in mandible
than in maxilla. However, there is no difference according to sex, but some authors consider that it
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is more common in females. Nearly 60% of the osteosarcomas are seen in children and
adolescents, and approximately 10% are noted during the third decade of life. The etiology is
unclear. A typical sun ray appearance is seen in the radiograph. The radiographic differential
diagnosis for osteosarcoma of jaws includes fibrous dysplasia, osteomyelitis, osteoma, myositis
ossificans and cement-osseous dysplasias. The usual treatment is radical maxillectomy,
postoperative radiation therapy, and chemotherapy. In this case report, the clinical, radiological and
pathological findings are presented of a 66 years old female patient diagnosed with osteosarcoma
which is massive involved and started with painless swelling in the left maxilla.
Keywords: bone neoplasm, tumor, osteosarcoma, cone beam computed tomography,
maxillectomy.
PP 59 AN EXTENSIVE HEMANGIOMA OF THE ORAL SOFT TISSUES CAUSING

DYSPHAGIA AND DYSPHONIA
Turkey
Background: Hemangiomas are the most common vascular tumors mostly (60%) seen in
the head-neck region. Within the first year of life they show rapid growth by endothelial cell
hyperplasia followed by spontaneous involution. These tumors are more common in females (6:1).
Hemangiomas are very rare in adults but incidence increases after ages of 70 respectively Even
though hemangiomas are the most common soft tissue tumors of the head and neck, they are rarely
seen in the oral cavity. Hemangiomas localized in the tongue present with recurrent bleeding, pain,
difficulty in breathing as a result of enlarged tongue, difficulty in mastication, swallowing and
speaking. In this case report, a 60 years old male patient with an extensive hemangioma of the oral
soft tissues causing dysphagia and dysphonia is presented. Surgery was not prefered by the
clinicians because of the postoperative bleeding problem and lack of aesthetic concern of the
patient, so the lesions have been followed.
Keywords: hemangioma, oral soft tissues, oral cavity
PP 60 GIANT RADICULAR CYST OF THE MANDIBLE: A CASE REPORT

DILA BERKER YILDIZ, ZEYNEP BETÜL ARSLAN, FÜSUN YASAR
Selcuk University, Konya
Turkey
Background: Radicular cysts are the most common odontogenic cysts in the jaws. These
are chronic inflammatory lesions originate from the cystic degeneration of Malassez epithelium
remnant. Chronic inflammations like microbial infections, chronic trauma or chemical injury can
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predispose for radicular cyst. The purpose of this case is to present an unexpectedly large radicular
cyst. Materials and Method: A male patient of age 24 years was referred to our clinic for functional
rehabilition. During the radiographical examination, it was found that there was a big multilocular
radiolucent lesion extending from mandibular right second molar to mandibular left second molar
tooth. In Cone Beam Computed Tomography (CBCT) images there was bucco-lingual expansion of
the cortical bone. Ultrasonographic examination revealed as anechoic cavities surrounded by
smooth bony walls, filled with fluid and expansile lesion with no finding of internal vascularization.
According to the history of the patient, there was trauma to the mandibular anterior region
previously. Results: It was determined that the lesion was histopathologically radicular cyst. CBCT
images provided the three-dimensional evaluation. Ultrasonography (USG) provides information
about content of the lesion. Conclusion: Panoramic radiography, CBCT and USG are important for
examination lesions that have reached large sizes. However, when radiolucent lesions reaching
large sizes are detected, histopathologic examinations must be done to remove the risk of
malignancy.
PP 61 RADICULAR CYST: A CASE REPORT WITH PANORAMIC RADIOGRAPHY AND

COMPUTED TOMOGRAPHY FINDINGS
HILAL DEMIR*, TANSU ÇIMEN**, FÜSUN YAŞAR*
*Selcuk University Konya; **Alanya Alaeddin Keykubat University Antalya
Turkey
Background: Radicular cysts are the most common inflammatory jaw cysts arising from
the Malassez epithelial rests. Following necrosis of the pulp, a chronic inflammation starts in the
periradicular structures and encourages proliferation of the epithelial residues. Then, a cavity lined
by epithelium is created by necrosis and central degeneration. Radicular cysts are always related
with a non-vital tooth. The aim of this study was to report the case of a large radicular cyst and to
describe its panoramic and computed tomography (CT) exam features. Materials and Method: In
this case report, a 52 year old male patient with radicular cyst in the left mandibular corpus and
ramus region was presented. The source of the cyst was left first molar mandibular tooth. An
impacted and displaced tooth was related with the lesion. He wasn’t aware of this lesion and there
was no complaint. In a routine examination, odontogenic lesion was seen on panoramic
radiography. CT examination was preferred to evaluate relationship between cyst and contiguous
tissues. Results: The radiolucent lesion was removed surgically. A part of the impacted tooth was
left with concern for mandibular fracture. Autograft was applied to the operative cavity. It was
decided to follow up the patient with routine controls. Conclusion: Panoramic radiography is useful
for diagnosing the incidental findings and utilized as the initial imaging method for the detection of
jaw lesions. CT can also be preferred to assess the relation of lesion with neighboring anatomical
structures.
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PP 62 RADIOGRAPHIC IMAGES OF SUPERNUMERER TEETH: THREE CASES REPORTS

MEHMET ÇOLAK, HASAN DEMİR, BEYHAN BAŞKAN, İZZET YAVUZ
Dicle University, DİYARBAKIR
Turkey
Aim: Literature contributes to the presence of supernumerer teeth detected as coincidental
findings on radiographs taken from our patients who applied to our clinic for various reasons.
THREE Cases Reports: in the dental arc, teeth that are more than normal are called "surnumerer"
teeth. Surnumerer teeth are found in both deciduous and permanent dentition. Surnumerer teeth are
often seen in the maxilla, the anterior region (mesiodens). Following this, they are seen in the
maxillary molar, mandibulary molar, premolars, blood and lateral teeth. The frequency of abdominal
molar teeth varies between 1-2%. The molar teeth seen in the molar region are called molar teeth.
Dystomeric dentitions located distal to the third molar teeth are called paramolar teeth, which are
buccally or lingually located in the molar tooth region. Although the etiology is not completely known,
it is explained by hereditary, abnormal embryological development, environmental factors, or
overactivity of dental buds after the formation period of dental lamina. In this study, we will share
images of three cases of surnumerer teeth determined on radiographs taken from our patients who
applied to our clinic. Conclusion: The relatively rare mandibular teeth are usually buried or
confronted with randomized radiographic images with the complaint of the patient.
Keywords: supernumerer, rudimenter, teeth
PP 63 DIAGNOSTIC ACCURACY OF LESIONS OF ORAL MUCOSA USING

AUTOFLUORESCENCE TEHNIQUE
ALEXANDRU NEMTOI, DANISIA HABA, ANA NEMTOI, ANCA SAVA
Romania
The purpose of this study was to determine the accuracy of autofluorescence techniques
for diagnosing oral mucosa lesions, using as reference pattern for comparison the visual diagnosis
made by a clinical specialist. A pilot study was conducted with 40 patients divided in a control group
without mucosal pathology and a study group with known clinical history for mucosal pathology.
Both groups were examined by an oral and maxillofacial surgery specialist and by a general dentist
who used VELscope(r) system, which applies tissue fluorescence visualization to identify oral
mucosal abnormalities. Using the VELscope(r) system, the general dentist made overdiagnosis in
two cases and underdiagnosis in one case. The sensitivity for the oral and maxillofacial surgery
specialist was 93%. For the general dentist, the sensitivity did not improve significantly with the use
of VELscope(r) system. A limitation of the study is the small sample size, which does not fully
represent a population and extrapolation of the data should be done carefully. Based on the
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obtained results, no clinical benefits were obtained by the general dentist using this VELscope(r)
system.
PP 64 COMPARATIVE STUDY BETWEEN CBCT AND PR FOR THE DETECTION OF

PERIAPICAL LESIONS ON HYPERTENSIVE PATIENTS
IOANA RADU, ROXANA POPESCU, BOGDAN DOBROVAT, YLLKA DECOLLI,
DANISIA HABA
Romania
Background: The purpose of this study was to compare the prevalence of periapical
lesions on patients with arterial hypertension, on individual roots of endodontically treated teeth,
examined with periapical radiography (PR) and cone beam computed tomography (CBCT).
Materials and Method: Digital periapical radiographs and CBCT scans were taken on 65 teeth from
50 patients with arterial hypertension, who have been diagnosed with asymptomatic periapical
lesions. In this study there have also been included teeth which have received an endodontic
treatment one year ago and which have been reevaluated with the help of PR and CBCT scans.
Three examiners assessed the presence or absence of periapical lesions by analyzing the PR and
the CBCT images. Results: Images of 175 roots which have received an endodontic treatment
have been evaluated through digital periapical radiographs as well as through CBCT scans. PR
images show that periapical lesions are present in 45 cases where the roots have received
endodontic treatment (25,72%), while being absent in 130 cases (74,28%) where the roots have
received endodontic treatment. CBCT scans evaluation of the same roots has shown that periapical
lesions are present in 135 cases (77,14%) and absent in 40 cases (22.86%). The prevalence of the
periapical lesions which have been detected through CBCT scans is significantly higher compared
to the outcome of PR evaluation. Conclusions: This study highlights the advantages of using
CBCT in detecting periapical lesions of endodontically treated teeth at 1 year post-treatment in
hypertensive patients.
PP 65 CBCT USED IN PROSTHODONTIC REHABILITATION OF YOUNG AND OLD AGED

PATIENTS
ANTONIO VALENTIN FALCA*, LIGIA MUNTIANU**
*Târgoviște Dental Clinic;
Romania
Aim: presenting the advantages of CBCT imagistic in elaborating a predictable
personalized best prosthetic treatment. Materials and Method: CBCT soft Kodak 9000 3D was
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used as imagistic tool to assess the anatomic structures involved in prosthetic treatment of both
young and elderly patients, for proper diagnostic, quality assesement of clinical relevant anatomic
structures, 3D visualization of patient’s particular anathomy, best treatment plan elaboration,
maximal fruition of the native bone introducing long tilted and zygomatic implants, checking the final
prosthetic outcome. Results and Conclusions: The use of CBCT in dental medicine has a high
value in all clinical cases of both young and old patients. It offer’s information for all dental
specialties and it reduces risks of treatment failure. Facilitate’s simulation of implant placement of
straight or tilted zygomatic implants and all kind of measurements. Placing zygomatic and tilted
implants reduces overall working time from 18 months to imediate loading avoiding the sinus lift
procedure.
PP 66 LATERAL SINUS LIFT BY PLATELET-RICH FIBRIN ALONE: CLINICAL AND

RADIOLOGICAL EVALUATION. CASE REPORT
IVAN CHENCHEV, VASILENA IVANOVA
Medical University, Plovdiv, Faculty of Dental Medicine
Bulgaria
Background: In the posterior area of the upper jaw insufficient bone volume due to
postextraction bone resorption, presence of the maxillary sinus and decreased quantity of alveolar
bone may limit the possibility of succesful implant placement. To ensure sufficient bone volume
lateral and crestal sinus lift techniques are used. In the lateral sinus lift different bone substitutes are
used alone and in combination. It is clear that PRF can be a source of multiple growth factors and
biologically active substances that promote the rapid recovery of soft and hard tissues. Methods
and Materials: Patient is a 56-year-old male with missing molar teeth on the right side of his upper
jaw and a residual bone height of 2.8 to 5.1 mm. A lateral sinus lift with PRF as a sole graft was
performed and four dental implants were placed. The patient was followed clinically and
radiographically (CBCT) after 4 months and after 1 year. Implants were loaded with a fixed bridge 4
months after the sinus was lifted. The presented clinical case showed rapid and uncomplicated
patient recovery, with very good primary implant stability. The x-ray examination revealed rapid
formation of new bone structure around the implants and good osteointegration as early as 4
months after the procedure. Conclusion: The results from this case report indicate that the use of
PRF as a sole graft material for lifting the sinus floor with simultaneous placement of dental implants
results in very good clinical and radiographical results.
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PP 67 THE GINGIVAL BIOTYPE INFLUENCE UPON CRESTAL BONE LEVEL DURING

OSSEOINTEGRATION PERIODS
ELVIRA TOPALO, VALENTIN TOPALO, GHEORGHE NICOLAU, ANDREI MOSTOVEI,
ROMAN BOICO
Republic of Moldova
Background: The data about the influence of the gingival biotype upon the evolution of
crestal bone during healing period are contradictory. Lots of studies use the periodontal probe for
mucosal thickness appreciation. However, this method has a great level of error. Aim: Evaluation of
periimplant bone changes during healing period in dependence of gingival phenotype and
elaboration of an efficient method of mucosal width and bone changes appreciation. Matherials and
Method: The study was axed on 38 partialy edentulous patients who received 115 two-piece dental
implants (SLA) inserted in the lower jaw using two-steps protocol. Orthopantomograms were made
before, after the surgery and at the end of healing. In order to appreciate the mucosal height as well
as periimplant bone changes, the Photoshop CS3 Program was used for measurements made in
pixels, and then transfered into milimiters using the real length of each implant as a refference.
Statistical analysis was made by calculating mean values, standard errors and Pearson corellation
test. Results: At the end of healing, the periimplant bone loss were: 0.31±0.06mm from mesial and
0.26±0.05mm from distal aspects. The mean height of the mucosa was 2.11±0.07mm. No
signifficant correlation was observed between gingival height and periimplant bone changes (Rxy=-
0,159 and Rxy=-0,036). Conclusions: The gingival thickness seems to have no impact upon
periimplant bone changes in case of two steps protocol. Over factors should be taken into
consideration regarding crestal bone preservation.
PP 68 LATERAL SINUS FLOOR ELEVATION AND IMPLANTS PLACEMENT IN

EXTREMELY ATROPHIC CONDITIONS
ION DABIJA, NICOLAE CHELE, ANDREI MOSTOVEI, VALENTIN TOPALO, DUMITRU
CHELE
Republic of Moldova
Aim: To appreciate the possibility of lateral sinus floor elevation and simultaneous implants
placement where the residual bone height less than 3mm. Materials and Method: The study was
axed on 7 patients (mean-age 47.25±3.78) who received 18 implants in posterior sides of maxilla
with residual bone height less than 3mm. The implants insertion was performed simultaneously with
LSFE. Before implants insertion the sinus cavity was filled only with blood and in several cases,
collagen sponges for increasing the strength of the clot. In 2 cases, titanium mesh and miniplate
were attached to implants using cover screws in order to stabilize the implants. Six months later, the
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second surgical step was performed, and the prosthetic treatment was performed after another 4
weeks. Periimplant bone loss as well as endo- sinus bone gain during healing and 1 year
postprosthetic has been evaluated. Results: All implants integrated. At the end of healing, the
endo-sinus bone gain consisted 7.65±0.3mm (mesial) and 8.2±0.15mm (distal), but radiographically
it had a lower opacity than the native one. One year later, the bone became mature with good
corticalization of the new sinus floor. The cortical periimplant bone loss around implants from mesial
and distal aspects was 0.6±0.1mm and 0.68±0.7mm during all this period. Conclusions: The usage
of stabilization devices can be an option for lateral sinus floor elevation and simultaneous implants
placement even in a very small residual bone height. However, more studies and longer follow-up
periods are necessary in order to appreciate the limits and indications of this method.
PP 69 HOW MANY IMPLANTS, WHERE?

NİLÜFER BÖLÜKBAŞI BALCIOĞLU*, BRUNILDA GASHI CENKOGLU**
*Istanbul University, **Albanian University, Tirana
Turkey - Albania
Background: Esthetic and functional demands of patient are the main two factors for
successful implant treatment. However; hard and soft tissue deficiencies limit to place dental
implants at the intended sites. To achieve ideal esthetic outcome, number of implants are usually
reduced, which may consequently lead to biomechanical complications in long term. Clinical
computation of the direction and magnitude of occlusal loads is difficult. In recent decades, finite
element analysis has been used to analyze occlusal loads and its relation with implant survival in
implant dentistry. Aim: The aim of this presentation is to discuss the different implant placement
alternatives in the esthetic zone. Materials and Method: A totally edentulous maxilla was modeled.
2 to 6 implants were placed in different tooth area. In all of the models one piece cemented metal
fused to porcelain restoration were fabricated. A 100 N force was applied to all crowns. Result: An
increase in stress was observed due to the reduction of implant number. When implants were
planned in the incisive areas, lateral implants sites were lead to less stress. Conclusion: Implant
number, dimension and location have critical importance for the long term success of implants.
Finite element modeling can be used in clinically challenging scenarios.
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PP 70 PREVALENCE OF ORAL LESIONS MODULATED BY PATIENT’S AGE: THE

YOUNG AND THE ELDERLY
CRISTINA POPA, ANA MARIA FILIOREANU, CARMEN STELEA, EUGENIA
POPESCU
Romania
Introduction: Oral mucosa may be affected by various lesions and conditions, some of
them being harmless, while others could have severe complications. Identification and treatment of
these pathologies is an important part of oral care, and this is the reason why correct examination of
oral tissue is vital. Material and Method: Studies on prevalence of oral lesions may provide
important information on the state of oral health and treatment needs of a segment of population.
Consequently, this study reviewed retrospectively cases treated at the Oral Medicine Service of the
Oral and Maxillofacial Clinic (Outpatient) in Iaşi, between 1.01.2011 - 31.12.2017 (last 6 years),
1324 patients. All initial oral consultations were provided by two experts in oral medicine. The
diagnosis was made using a specific protocol based on a specific interview, and differentiated by
disease group. Results and Discussions: Prevalence of one or several oral lesions was recorded
in 52% of patients. The table of discovered oral lesions included: burning mouth syndrome 23%,
traumatic ulcerations 17%, candidiasis 16%, recurrent aphtous stomatitis 13%, herpes simplex virus
infections 11%, lichen planus 9%, frictional keratosis 8%, morsicatio buccarum 4,3%, allergic
stomatitis 4%, acute ulcerative gingivitis 3%, fissured tongue 2,5%, leukoplakia 2%, hairy tongue
1,5%. Both in women and men, prevalence of oral lesions was recorded in senior and the elderly
age groups. Conclusions: Oral mucosa lesions are a serious health issue with high morbidity.
Despite its importance, there are few reports in Romania on the prevalence of these lesions, and
especially on their variations by patient’s age.
Keywords: oral mucosa lesions, prevalence, oral health.
PP 71 THERAPEUTIC EFFECTS OF CHLORHEXIDINE-GEL USE IN INFLAMMATORY

PROCESSES OF PATIENTS WITH CHRONIC PERIODONTITIS
TATJANA DZARIC
Montenegro
Aim: To determine the therapeutical effect of chlorhexsidine-gel in treatment of gingival
inflammation throuth comparative analysis at patients treated with conventional treatment (CT)
versus conventional treatment assisted by chlorhexsidine-gel (CT-G). Materials and Method: To
achieve thepurpose of this study, 45 patients ( both sexes, age ranging from 18-50 years, clinically
diagnosed with periodontitis, pocket depth 3-5 mm), were revaluated. The patients were divided into
two groups, the first treated with (CT) and second treated with (CT-G). All patients were subject to
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determination of the following indexes: plaque index (PI) Silness-Löe, index of gingival inflammation
(GI) Löe –Silness on four occasions (first visit, five days later, 10 and 30 days in the course of the
treatment). The following were determined with the series with numerical markers: Descriptiive
statistics, while the interactive effect on both studied methods, were researched according to
repeated meauseresAnova (F)/ Post-hoc-Bonferroni test (p). Results: The results show reduction of
PI and GI with both groups after the 5th, 10th and 30th day of treatment compared to the state seen
at the first visit, also the comparison of PI and GI between the groups, showed better results with
the (CT-G) group. Conclusion: The patients treated with (CT-G) have much better clinical effects
than the group of patients treated only with (CT), which were noted as reduced gingival
inflammation, conventional therapy, chlorhexsidine gluconate gel.
PP 72 SURGICAL MANAGEMENT OF ODONTOGENIC MYXOMA ASSOCIATED WITH

EMBEDDED TEETH
SENIZ KARACAY, İBRAHIM MUTLU, ESRA TUNALI
University of Health Sciences, Istanbul, Faculty of Dentistry
Turkey
Background: In this case report central odontogenic myxoma in a 13-year-old male patient
is presented. The patient was referred to department of orthodontics for treatment. During routine
panoramic X-ray evaluation, a multilocular radiolucency with two impacted permanent teeth
between the left maxillar first incisor and the left maxillar first premolar was detected. There was no
clinical symptoms. Dental tomography was taken to examine the borders of the lesion and
enucleation of the lesion was decided. After pathological evaluation, it was diagnosed that the lesion
was odontogenic myxoma. Odontogenic myxoma is a rare benign neoplasia. It is locally aggressive,
inducing important facial deformation and tooth displacement. The lesion often grows without
symptoms and presents as a painless swelling. Because of the space deficiency in the maxillary
arch, impacted canine was also extracted, and the impacted lateral central was decided to be
erupted orthodontically.
PP 73 RETROSPECTIVE STUDY OF ORAL INFECTION WITH CANDIDA ALBICANS

INPATIENTS BY DIFFERENT AGE GROUPS
GEORGE ALEXANDRU MAFTEI, ANA MARIA FILIOREANU, CARMEN STELEA,
CRISTINA POPA
Romania
Background: The delicate balance in the complex microenviroment of oral cavity could be
disrupted when a species is favored in growth, be it bacterial or fungal. Candida Albicans is the
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prime fungus normally found in the oral cavity of 20-40% of healthy individuals, and it is the major
pathogen in oral (OC) and systemic candidosis (OS). Aim: The frequency of mucosal and
cutaneous fungal infections has increased worldwide in recent years, furthermore, it predominantly
affects the elderly, infants, users of removable prostheses, patients undergoing the prolonged use of
antibiotics and corticosteroids, chemotherapy or radiotherapy, individuals with xerostomia, and
patients with immunological deficiency, making it a major health issue on a global scale. Materials
and Method: The diagnosis of this disease is complex, the clinician is required to take into
consideration many aspects of clinical variance but also may advocate for prescribing several
complementary tests: direct microscopy, cell culture, genetic tests, such as polymerase chain
reaction and biopsy. Results and discussion: Although it is a common disease, clinical features of
affected patients and their demographic profile are not well documented, since in many cases, the
events remain unnoticed by the physician. Conclussions: With the increase in Candida Albicans
infections due to interaction between virulence factors and host defense mechanisms, resistance
against commonly used antifungal agents has been observed, therefore, alternative strategies
would be beneficial especially for long-term prevention of candidiasis.
PP 74 GINGIVAL FIBROMATOSIS RESULTING FROM OLD PROSTHESES A CASE

REPORT
DZENAD GANJOLA, SNEZANA RAZNATOVIC
Clinical Center of Montenegro
Montenegro
Background: Old removal prostheses with lack of adaption on edentulous ridge could
produce important increases in mucosal volume and generate a lot of functional problems. A 62
year old man presented with two complete dentures. He had been wearing the samo dentures for
the past 10 years. The prostheses presented a high degree of wear with discolorations. They had
produced occlusal modifications, with frontal crossbite and decreased VDO. Due to permanent
moving of prothesis on edentulous ridge, a gingival fybromatosis had developed on both lateral
sides of the ridge. We performed a surgical procedure to remove the entire hyperplasia and the
bone was equalised. Histopatological examination showed a pronounced hyperplasia of the
connective and epitheluim tissue. There was acantosis in rpithelium and parakeratosis. Inccorect
proathdontic treatment could determine benign tumors of edentulous ridge mucosa, with possiblity
of malignant transformations. A proper and correct prosthodontonic treatment will restore dento
maxilar functions offering a pleasant aspect and a good mastication.
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PP 75 UPDATES REGARDING THE TREATMENT OF CHRONIC SUPPURATIVE

ODONTOGENIC MAXILLARY SINUSITIS
DOINA VESA, RAZVAN LEATA, ALEXANDRU IOAN VESA
Dunarea de Jos University Galati
Romania
Background: Since the etiology of chronic suppurative maxillary sinusitis is multiple
(odontogenic, rhinogenic, traumatic, etc.), diagnosis and therapeutic approaches are
interdisciplinary (ENT, dentistry, oro-maxillofacial surgery, endoscopic surgery), therefore a close
collaboration with the dental clinic is necessary. Aim: Updating the methods of diagnosis and
treatment in OCSMS. Materials and Method: The current study was carried out on a period of 2
years (January 1st, 2015 – January 1st, 2018) on a total of 352 patients, of which 291 were
diagnosed in the ENT clinic and 61 in the dental clinic. A statistical study was performed on primary
or secondary diagnosis’ frequency, as 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 both clinics. Results: The
main treatment of the OCSMS was performed only 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 through FESS. Patients with early diagnosis have benefited from a shorter disease
evolution. The most frequent odontogenic etiologies were: apical periodontitis, oro-maxillary
communication, periapical cysts and implants. Conclusions: We have established multiple early
diagnosis rules for the OCSMS, alongside a treatment algorithm, designed from interdisciplinary
approach, and conditions to prevent relapse.
Keywords: chronic suppurative maxillary sinusitis, interdisciplinary treatment, contributing
factors, multifactorial etiology.
PP 76 PROSTHETICS OVER HEMISECTED MOLARS AND THEIR FOLLOW UP (CASE

STUDY)
BOBI MICEVSKI*, BRUNO NIKOLOVSKI*, DANIELA CVETANOVSKA-STOJCEVA*,
ANA ALEKSANDOVSKA*, ANA MINOVSKA**
*ETERNAdent, Skopje; ** Goce Delcev University, Faculty of Medical Sciences, Stip
FYROM
Background: Hemisection is a surgical procedure, where one root of a multi-root tooth is
extracted because it can`t be repaired, and the other is used for further prosthetic reconstruction.
Nevertheless, treatment strategy to retain such teeth involves periodontal, endodontic and
prosthodontic assessment for appropriate selection of the indicated tooth in order to achieve long-
term survival. This abstract describes and illustrates 5 cases, where hemisection of mandibular
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molars was performed. One to 3 months after the intervention, the hemisected teeth were included
into fixed prosthetic reconstruction, either as solo crowns or as a part of a bridge. We noted the
basic periodontal and prosthetic indices in follow up period extended up to 36 months. Hemisected
teeth have proven to be a good solution for making a fixed prosthetic reconstruction, with long-
lasting results and durability of prosthetic crafting. In conclusion, hemisection may be a suitable
alternative to extraction and implant therapy and should be considered as appropriate treatment
option for long term prognosis.
Keywords: Hemisection, molar, root resection, prosthetics.
PP 77 EDS ANALYSIS OF MINERAL LOSS IN DECIDUOUS TEETH WITH CIRCULAR

CARIES
OLGA KOKOCEVA IVANOVSKA, AMBARKOVA VESNA, MIJOSKA ANETA,
NATASHA STAVREVA, LJUBICA SIMJANOVSKA
Faculty For Dental Medicine ”Ss Cyril And Methodius” Skopje
FYROM
Background: Early detection and treatment of the circular caries in initial phase, white
spot - macula Alba enables its total elimination. The aim of this study was an examination of the
changes in the mineral composition in this stage, before and after the application of the local fluoride
remedy. Materials and Methods: Deciduous incisors were extracted, and three groups of teeth
samples were made. First group with untreated teeth, ten maxillary incisors with an initial lesion, the
second control group of 20 healthy mandibular incisors and the third group of samples treated with
fluoride, ten maxillary incisors with an initial lesion – white spot. The laboratory examinations were
completed with Energy Dispersed Spectrometer. Quantitative microanalysis of the mineral
composition in the enamel of teeth samples were made. Results: The analysis of a variance
(ANOVA) confirmed the statistically important differences of the average Ca (%) values between the
untreated teeth and the healthy mandibular incisors (F=84,999 p=00001). The treated teeth and the
healthy mandibular incisors (F=31,054 p=0, 00015). The analysis by Tukey HSD test confirmed that
there was no significant difference only between the treated teeth with an initial lesion in the healthy
surrounding enamel and the control group of teeth. Conclusion: The values of calcium and
phosphate were significantly decreased in the samples with initial lesion in a relation to the control
group healthy teeth. In the samples treated by topical fluoride treatment the values of these two
minerals were much higher, compared to the untreated samples.
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PP 78 THE PARTICULATED ILIAC CREST BONE GRAFT USED IN MAXILLARY

ALVEOLAR BONE RECONSTRUCTION. CASE REPORT
ALEXANDRU GHETIU, DUMITRU SÎRBU, NICOLAE CHELE, VALENTIN TOPALO,
ION DABIJA
Republic of Moldova
Background: The mixture of particulated auto and xenograft is often used for alveolar
bone reconstruction. The autogenic graft material, harvested from various sites, creates quantitative
and procedural difficulties when harvested. Compared to endo-oral sites, minimal-invasively
harvested, the iliac bone crest graft offers a sufficient volume for any alveolar bone crest
reconstruction. Aim: The evaluation of minimal-invasive method of particulated iliac bone crest graft
harvesting in alveolar bone reconstruction of the upper jaw. Material and Methods: Case
presentation. The 37 years old female with diagnosis of a posttraumatic alveolar crest bone defect
of the upper jaw with 4,63 mm vertical deficiency and with 2,24 mm width of the crest, between the
1.4-2.2 teeth. The treatment plan: Alveolar bone crest reconstruction with GBR technique, with
particulated mix of autogenic iliac bone crest graft and xenograft in proportion of 40%/ 60%, a
resorbable barrier membrane being used. Results: An amount of 4 cm3 of autologous iliac crest
bone graft, by the minimal-invasive method, combined with xenograft, 5 cm3. This mixture was
sufficient for the massive alveolar bone defect reconstruction of the upper jaw. The assessment of
this case has proved a low morbidity in donor site which led to early rehabilitation of the patient.
Conclusion: The iliac bone crest graft harvested by minimal-invasive aproach offers a sufficient
material quantity for the massive upper jaw alveolar bone defects reconstruction.
PP 79 SURGICAL DECOMPRESSION IN THE TREATMENT OF JAW CYSTS

LUCIAN CHIRILA*, ALEXANDRU LUPU**, ALEXANDRU ISOP**
*Carol Davila University of Medicine and Pharmacy Bucharest;
**Clinical Hospital of Oral and Maxillo-facial Surgery Dan Theodorescu, Bucharest
Romania
Background: The enucleation of maxillary cysts is an invasive therapeutic option that can
affect vital dental, nerve or cavity structures in the vicinity, and bone regeneration is less predictable
for cysts larger than 3 cm. Purpose: To study the effectiveness of surgical decompression in the
surgical treatment of maxillary bone cysts. Materials and Methods: From a total of 23 patients,
surgical decompression followed by enucleation was performed for 22 patients, and in a patient only
decompression. 1-2 access zones were performed between the oral cavity and the cystic lesion with
the aid of one or two adapted suction catheters (No. 16, 18). Intraoperative material was collected
for histopathological examination.The pre- and postoperative examination of the lesional dimensions
was performed on imaging on panoramic radiography and CBCT. Results: 23 patients, 7 women
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and 16 men aged 6-72 years (mean age 35.5 years) were examined. Treatment duration ranged
from 6-48 months (averaging approximately 13.3 months). The reduction in size of jaw cysts was
accentuated (> 75%) in 4 cases, the lowest (<25%) in 3 cases and 16 cases where the reduction
was moderate (25-75%).Large cysts showed a marked reduction in size in the first 3 months of
treatment compared to smaller cysts. The decrease in cyst volume was more pronounced in
children than in adults. Conclusions: All patients that were conservatively treated by initial surgical
decompression showed. a significant reduction in cyst diameter subsequent enucleation being
greatly facilitated.
PP 80 BUCCAL FAT PAD ADVANCEMENT FLAP FOR CLOSURE OF AN ORO-ANTRAL

COMMUNICATION (A CASE REPORT STUDY)
ALEXANDRU LUPU*, ALEXANDRU ISOP*, LUCIAN CHIRILA**
*Clinical Hospital of Oral and Maxillo-facial Surgery ”Dan Theodorescu” Bucharest,
Romania
Background: Oro-antral communications are complications frequently encountered by the
oral surgeons, it can be managed by: primary closure, buccal advancement flap, palatal rotation
advancement flap or buccal fat pad flap. Aim: To demonstrate the use of buccal fat pad
advancement technique as an option to close oro-antral communications after surgical defects of
bone and mucosa in the posterior maxilla. Materials and methods: A case of a posterior maxillary
surgical defect in which we used pedicled buccal fat pad for closure of the oro-antral
communication. An incision was made and elevation of a full-thickness mucoperiosteal flap with
visualization of bone defect, the necrotic tissue was removed from the bone rims. An incision was
made on the periosteum, the tissue was dissected and the buccal adipose body was rotated to the
defect, covering it fully with no tension, the buccal adipose body was sutured to the palatal bone rim.
The mucosal flap was repositioned over the adipose tissue and sutured. Results: The bone defect
was fully closed and healed without any aesthetic (no differences in the color or texture of the local
mucosa) or masticatory function disadvantages. Height of the vestibule was almost unchanged and
the epithelialization process was completed after 2 to 3 weeks. Conclusions: The reported
advantages of its use have been the easy availability of the flap, the large blood supply, and minimal
donor site morbidity, with good aesthetics. This technique should be kept as a valuable option in
closure of oro-antral communications.
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PP 81 RECURRENT MUCOCELE TREATMENT OF A CHILD PATIENT: A CASE REPORT

M. BAHATTIN BINGÜL, TUĞÇE NUR PEKDEMIR
Turkey
Aim: Mucoceles are cavities filled with mucus and common soft tissue lesions of the oral
cavity. Among the etiologic factors, local trauma takes the first place. Generaly painless,
asymptomatic lesions of varying diameters and sizes that may be blue-violet (superficial) or normal
mucosal (deep), often localized in the lateral of the lower lip, buccal or palatal mucosa. In this case
we aimed to show you that recurrent mucosel can be an avidence of a bad habit as biting lips. Case
Report: We learned that her swelling repeated several times in the same area.and spontaneously
relieved from a 6-year-old female patient who applied to our clinic with complaints of swelling and
pain in the lower lip region. The mucocele was surgically excised and the area was sutured. Father
of the patient would take the sutures in a hospital in his own province because of living in another
far away city and economical problems. The patient's family was warned to constantly appeal to the
child about lip biting habit. During the 1-year follow-up, no mucoceles were observed. Conclusion:
Eliminating the trauma factor is a successful treatment with surgical excision about recurrent
mucocele. Multidisiplinary approach is important to solve problem permanently.
Keywords: Recurrent, mucocele, bad habit.
PP 82 THE MANAGEMENT OF NEW ORAL ANTICOAGULANT THERAPY ON PATIENTS

UNDERGOING DENTOALVEOLAR SURGERY
EMILIA DAMBU, OANA ELENA CIURCANU, CRISTINA BOLOGA, ALEXANDRA
LORINA STELEA, CARMEN GABRIELA STELEA
Romania
Background: Recently, both dentists and dentoalveolar surgeons face dilemmas in patient
management that require dental and/or surgical care and are undergoing chronic oral
anticoagulation. New oral anticoagulants (dabigatran, rivaroxaban and apixaban) have avantages
over coumarin anticoagulants, as they do not require monthly monitoring of the treatment and have
fewer drug interactions. This study was designed to synthesize the lastest information in this area
and to guide the practitioner on the therapeutic attitude of discontinuation or continuation of
anticoagulant therapy during bleeding surgery. Methods and Materials: ScienceDirect, Thomson
ISI-Web of Science, Wiley Online Library and GoogleScholar datebase were searched for English-
language articles published between 2015 and 2018. The most reliable sources were the meta-
analyses and reviews, followed by cohort studies and expert opinion. Results: Twelve articles
respected the inclusion criteria, one being meta-analysis, four reviews, four observational studies
and three expert opinions. Currenrly, there is an international consensus that recommends avoiding,
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as much as possible, the discontinuation of oral anticoagulant therapy in the patient with increased
thromboembolic risk (using CHADVASC risk score), close collaboration between surgeon and
cardiologist, assessing other chronic diseases or medications that might increase the risk of
bleeding, and the bleeding risk (using the bleeding risk score). Conclusions: Depending on all
these steps, the practitioner should balance the benefits of maintaining anticoagulant treatment, to
prevent thromboembolic events, versus interruption, to a better postoperative control of bleeding.
PP 83 ALVEOLAR RIDGE PRESERVATION FOLLOWING TOOTH EXTRACTION USING

PLATELET RICH FIBRIN AND BONE GRAFT
BILJANA EVROSIMOVSKA*, DANIELA VELESKA-STEFKOVSKA**, ADEM ALIU*,
**University “Ss. Cyril and Methodius”, Skopje;
FYROM
Background: The rich source of autogenous growth factors from platelet-rich-fibrin (PRF),
which is the second generation of platelet concentrate, is considered to promote bone tissue
regeneration. The aim of this study was to present the clinical results from alveolar ridge
preservation using PRF and bone graft. Materials and Method: In this study, we reported a 45-
year-old female patient who received PRF as a grafting material together with bone substitute (Bio-
Oss) for preserving the alveolar ridge dimension after tooth extraction for further dental implant
placed in an ideal anatomic position. The PRF protocol was very simple: A blood sample was taken
without anticoagulant in 10-mL tubes which were immediately centrifuged at 3000 rpm
(approximately 400g according to our calculations) for 10 minutes. Prepared “sticky bone” (mixing
the bone graft material with A-PRF cut on pieces) was applied in surgical wound and unsighted with
PRF membrane. A neovascularization forms through the PRF clot and the epithelial covering
developed. In spite of the infectious and inflammatory statement of such sockets, rapid healing of
the wound was observed without pain, dryness, or purulent complications. After six mounts implant
on position 44 was placed. Conclusion: The success of this technique depends entirely on the time
gap from blood collection to its transfer for centrifugation, and immediate centrifugation before
initiation of the clotting cascade is absolutely essential. The clinical experience confirms that PRF
can be considered as a healing biomaterial.
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PP 84 CLINICAL APPLICATION OF PLATELET-RICH FIBRIN IN PERIODONTAL

OSSEOUS DEFECTS
BILJANA EVROSIMOVSKA*, DANIELA VELESKA-STEFKOVSKA**, FILIP KONESKI*,
**University “Ss. Cyril and Methodius”, Faculty of Dentistry, Skopje;
FYROM
Background: Platelet-rich fibrin (PRF) is a second generation platelet concentrate and a
powerful healing biomaterial with inherent regenerative capacity which can enhance both soft and
hard tissue healing. The aim of this study was to present clinical and radiographical results in
periodontal osseous defects treated with PRF. Materials and Method: A 41-year old female patient
presented with sensitivity and elongated appearance of upper front teeth. Intraoral examination and
X-Ray revealed vertical recession and radiolucency around the neck of the teeth. Autologous PRF
and alloplastic bone graft were mixed together at a ratio of 1:1, and the mixture was introduced into
the defect. At 6 months after surgery, the outcomes showed that the periodontal osseous defects
achieved probing depth reduction, clinical attachment gain, and postoperative radiographic density
increase. Conclusion: PRF prepared from the patient’s own blood can decrease or eliminate the
risk of disease transmission. The use of PRF in combination with other biomaterials (such as bone
grafts) provided safe and promising results in the form of improvements in clinical and radiographic
parameters in the management of periodontal osseous defects under correct manipulation.
PP 85 PATIENT AGE - PREDICTION FACTOR OF POSTOPERATIVE DISEASE IN ORAL

SURGERY
CRISTIAN CONSTANTIN BUDACU*, IULIA CHISCOP**, OANA ELENA CIURCANU*,
* Grigore T. Popa University of Medicine and Pharmacy Iasi;
Romania
Background: Clinical manifestations of post-operative disease are dominated by local
phenomena - edema, pain, inflammation which persists for more than 48 hours, and are caused by
local factors or general factors. One question remains still open: Why only certain patients install
post-operative disease under the observation of operative guidelines, aseptic and antiseptic rules,
correct intraoperative techniques and subsequent care? Materials and Method: Our study
comprised an exhaustive group of 3108 patients, surgically resolved at the Oral and Maxillofacial
Surgery Clinic (Ambulatory), Iaşi, between 1.01.2014 - 31.10.2017: 45.87% of them had installed
post-operative disease manifestations. Results: The age of the patient is a prediction factor of post-
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operative disease, the age group of 31-50 years (with a statistical mean of 51%) demonstrating a
higher risk potential in setting post-operative disease type manifestations. Men (with a statistical
average of 62%) also showed a high risk. In particular, impressible patients (DAS-3/ with a statistical
mean of 40% and DAS-4 / with a statistical mean of 27%) demonstrate a high risk of post-operative
disease in oral surgery. Conclusion: We can say that the robot portrait of the “ideal candidate”
patient in triggering postoperative disease is: man, young, apparently healthy, with a high degree of
anxiety in the surgical area and poor oral health. Our research has demonstrated the value of age
as a predictive factor.
Keywords: post-operative disease, edema, pain, inflammation, dental anxiety
PP 86 DENTAL TRAUMA: A CASE REPORT

VEDAT TARI*, ZELAL SEYFIOGLU POLAT**, NUMAN CETINKAYA**, MUHAMMED
CAGLAR BURSA**, HATICE KUBRA DAMAKSIZ**
*Dental Surgery, Mardin; **Dicle University, Diyarbakır, Faculty of Dentistry
Turkey
Background: Dentoalveolar trauma usually occurs in young patients, and the most
affected by trauma are maxillary incisors. In this case report, the repair of the maxillary central
incisor, which is complicated chrono-root fracture after the trauma, is presented after the canal
treatment and its restoration done by using its own tooth piece and 1 year follow up. As a result of 1
year follow-up, no pathology was found clinically and radiographically in dental clinic.
PP 87 IMPACTED CANINES - TO EXTRACT OR NOT?

RISTE BRZAKOV*, BRUNO NIKOLOVSKI*, BOJAN VELKOSKI*, ANA MINOVSKA**,
VERA RADOJKOVA-NIKOLOVSKA***
*ETERNAdent, Skopje;
** UGD, Stip, Faculty of Medical Sciences;
***UKIM, Skopje, Faculty of Dentistry
FYROM
Background: A canine that is prevented from erupting into a normal position, either by
bone, tooth or fibrous tissue, can be described as impacted. Impacted maxillary canines are seen in
about 3% of the population. The majority of impacted canines are palatal (85%), the remaining 15%
are usually buccal. One of the biggest dangers is that they can cause resorption of the roots of the
lateral or central incisors and this is seen in about 12% of the cases. Treatment options: Extraction
of the impacted canine, transplantation, restoration with a dental implant or orthodontic treatment
are the possible treatment plans which can help in restoring into intact dental arches with proper
and unhindered movements. This article brings together the information that general dental
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practitioners need in order to diagnose and deal effectively with impacted teeth. As a conclusion we
can recommend that if there are any doubts about impacted teeth it is better to refer too early than
too late, this latter option may unnecessarily extend the length of treatment as well as the treatment
required.
Keywords: impacted canine, extraction, orthodontic treatment, dental implant.
PP 88 CONTEMPORARY VIEWS of OPEN and CLOSED SURGICAL EXPOSURE OF

ENCLOSED CUSPIDS
KYROS VASILEIOS, PAHOUMIS IOANNIS, MARIA SIDERI, ADAM AL MOCHAMANT,
IOANNIS FOTOPOULOS
Greece
Although, permanent cuspids are normally among the last teeth erupting into the dental
arch, at the average age of 10 to 12, they often remain enclosed at a rate of 2 to 3% in young
people. Causative factors of this enclosure can be a teeth crowding, the predecessor primary canine
stay beyond normal fall time, a permanent tooth ankylosis, relative absence of the upper lateral
incisor, early root fixation of the permanent canine, as well as genetic factors and syndroms. The
purpose of this study is the bibliographic comparison of an open and a closed surgical disclosure
technique with respect to the results on both the enclosed canine and the surrounding tissues.
Material of the presentation are published articles in the international bibliography selected by using
the key words : causative factors of enclosed canines and open-closed surgical technique of
enclosure/advantages-disadvantages. From the available research studies it appears that open
technique provides shorter surgical duration and seems to be associated with a lower probability of
ankylosis, in comparison to the closed technique. Both techniques do not provide significant
differences in their effects on periodontic tissues and aesthetics, as well as of the declared similar
post-operative pain.
PP 89 CLEAR ALIGNERS – INVISALIGN

JASMINKA ANDJELIC
The University of Montenegro, The Faculty of Medicine, Study Program Dentistry,
Podgorica - Montenegro
13 - ORTHODONTICS
Background: Invisalign is a clear aligner that is used when we want the maximum
invisibility of orthodontic devices while correcting the position of the teeth and bite. Unlike fixed
appliances the clear aligners can be put in and remove during the day allowing for patients’ comfort.
They can be removed during meals what cannot be done with fixed appliances and the teeth can be
monitored normally. Clear aligners are usually worn from six to twelve months. The aim of this paper
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is to determine the morphological changes that occurred as a result of this type of orthodontic
treatment. The study included 20 patients of both genders. The number of aligners depended on the
type of the orthodontic abnormalities. The patients wore aligners for 20 to 22 hours a day and
removed them during meals and tooth-brushing. They were replaced every two weeks. The
obtained results showed significant clinical and aesthetic improvements as well as the improvement
of the soft tissue and aesthetic outline relationship. Indications for using clear aligners are not many
and they include mild spacing Class I, reverse bite of a frontal tooth, minor intrusion and extrusion
and cases of orthodontic relapse. They also include rotation of incisors not exceeding 40° and
rotation of canines and premolars not exceeding 20°. They are recommended for patients who need
magnetic resonance imaging of the head. Contraindications for clear aligner are non-treated
dentition, periodontal diseases, mixed dentition, tooth eruption and temporomandibular dysfunction.
They also do not give good results in cases of extraction.
PP 90 TREATMENT OF CLASS III MALOCCLUSION BY REVERSE TWIN FORCE BITE

CORRECTOR AND FIXED APPLIANCES CASE REPORT
FEYZA NUR DÜNDAR, IREM ÇIÇEKLI, ALI IHYA KARAMAN
Kocaeli University
Turkey
13 - ORTHODONTICS
Aim: This case report presents the treatment of skeletal and dental Class III malocclusion
by reverse Twin Force Bite Corrector which is placed in an opposite way that have Class III
component. Materials and Method: A 13-year-old Class III female patient with complaints of
crowded teeth and protrusive mandibulary incisors, refered to our clinic. Initial cephalometric values
were measured ANB: -4,5°, Wits: -7,4mm, Mx1-MxOP: 53,1°, Mx1-Sn: -11,6mm, IMPA:94,9°.
Clinical examination showed overjet and overbite 0mm. Lower first premolars and upper second
premolars were extracted and MBT .022 inch slot type braces were used for 3 years. Spur and
vertikal holding were placed to help overbite correction. Anterior crossbite was occured after 2
months. Class III elastics usage was not enough for achieving appropriate overjet. After .019x.025
SS arch wire tied, Twin Force Bite Corrector was placed in an opposite way that have Class III
component. Results: Total treatment time (9 months reverse The Twin Force Bite Corrector) was 3
years. Final cephalometric radiograph shows that ANB increased to -2°, Wits increased to -4,1mm,
Mx1-MxOP: 57,1°, Mx1-Sn: -11,6mm, IMPA increased to 76,5° dental Class I relationship and
esthetic soft tissue profile achieved. Conclusion: Mild Class III cases can be treated succesfully by
reverse Twin Force Bite Corrector.
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PP 91 INTERDISCIPLINARY TREATMENT OF A CLEFT LIP AND PALATE PATIENT:A

CASE REPORT
ZEYNEP NORCINLI, ESRA MUTLUOL, MEHMET AKIN
Selcuk University, Konya, Faculty of Dentistry - Turkey
13 - ORTHODONTICS
Background: This case report describes an interdisciplinary treatment including
comprehensive orthodontics, oral surgery and restorative treatment approaches for a young female
patient with unilateral left cleft lip and palate (CLP). Materials and Method: The patient is a 9 years-
old-girl with unilateral left cleft lip and palate. She had both skeletal and dental Angle class 2
relationship in the late mixed dentition. The clinical and radiographic examinations showed that left
maxillary lateral tooth is missing due to alveolar cleft.The patient had 1,1 mm overjet and 2,8 mm
overbite. According to model analysis the patient didnt have space requirements, she had extra
spaces 1,2 mm in the upper and 3,2 mm in the lower arches. The patient was treated with fixed
orthodontic appliance in both arches. When the root formation of left upper canine reached to 75
percent, autogenous secondary grafting operation to the cleft area was surgically performed. At the
end of the orthodontic treatment, restorative procedures were performed on the upper maxillary
incisors. Results and Conclusion: The interdisciplinary treatment of an adolescent female patient
with cleft lip and palate resulted with clinically improved facial and dental aesthetics and
radiographically normal structures in the periodontium, root and surrounding tissues.
Comprehensive interdisciplinary treatment should be preferred for the oral rehabilitation of patients
with CLP.
PP 92 TREATMENT OF ANTERIOR MAXILLARY DISCREPANCY WITH FAN-TYPE RAPID

MAXILLARY EXPANSION APPLIANCE: A CASE REPORT
MERVE FIDANBOY, ZELIHA MUGE BAKA
13 - ORTHODONTICS
Background: Fan-type rapid maxillary expansion (RME) is a type of expansion that can be
used in transversal discrepancy of anterior region rather than posterior region in maxilla. Fan-type
RME leads anterior expansion of maxilla while maintaining transversal size of posterior region. The
aim of this case report is to present the treatment efficiency of Fan-type RME for anterior maxillary
narrowness. Materials and Method: An 11 year old male patient referred to our clinic with chief
complaint of esthetic problems. After clinical examination; Class I malocclusion with anterior
discrepancy and V arch form, 0 mm overjet, 0.2 mm overbite, 4.7 mm crowding in maxillary arch,
3.7 mm space in mandibular arch and high vestibule positioned upper right canine were detected.
Cephalometric analysis revealed skeletal Class I malocclusion with SNA:81.9º, SNB:79.4º,
ANB:2.5º, SN-GoGn:42.3º, Mx 1–SN:104.9 º, IMPA:85.6 º. The patient was treated by a Fan-type
rapid maxillary expander. Also he used vertical chin cup because of vertical growth pattern. The
expansion screw was activated twice a day for one week and after sutural opening once a day until
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the expansion completed. After Fan-type RME, fixed orthodontic treatment was applied to finalize
the occlusion without extractions. Results and Conclusion: Final cephalometric measurements
were SNA:81.3°, SNB:78.2°, ANB:3.1°, SN-GoGn:45.9°, Mx 1–SN:102.8 º, IMPA:80.1°. By Fan-type
RME arch discrepancy and arch form problems were solved successfully by expansion of anterior
maxilla and posterior transverse dimension of maxilla was maintained. After the fixed orthodontic
treatment, ideal occlusion and esthetic results were achieved.
PP 93 ORTHODONTIC TREATMENT OF A PATIENT WITH TRANSVERSAL MAXILLARY

DEFICIENCY USING HYBRID EXPANDER: A CASE REPORT
ILKNUR CAGLI KARCI, MEHMET AKIN, ZEYNEP NORCINLI
13 - ORTHODONTICS
Background: This case report describes the treatment of a patient with maxillary
deficiency using hybrid expander. Materials and Method: The patient is a 15-years-old male who
applied to our clinic with dental crowding complaint. He had transversal maxillary deficiency, anterior
dental crowding, and dental Angle Class I and skeletal class 2 relationships, 1,8 mm overjet and 2
mm overbite, space requirements were 9,4 mm in the upper and 6,5 mm in the lower arch. We
started treatment with hybrid expander which is a newly designed bone-anchored expander
consisting of two miniscrews and palatal acrylic plates. Two self-drilling mini-screws were placed
between the first molar and second premolar on the palate under local anesthesia and this
appliance was bonded to the mini-screws. Our expansion protocol was two times a day for a week
and once a day for three weeks. After the expansion period, the brackets were bonded to the teeth
without removing the hybrid expander. Hybrid expander was used during retansion period. Results
and Conclusion: After treatment with hybrid expander and fixed appliance, the dental crowding
decreated. Sufficient maxillary expansion had been achieved without buccal tipping of the posterior
teeth. We gained preferable dental esthetics, Angle class I skeletal and dental relationships. Hybrid
expander has many advantages like being hygienic, comfortable and giving opportunity for fixed
appliance at the same time. Also it is a minimally invasive expansion appliance that protects teeth
by including bone support.
PP 94 TREATMENT OF SKELETAL CLASS III MALOCCLUSION WITH BONDED RAPID

MAXILLARY EXPANSION AND REVERSE HEADGEAR: CASE REPORT
SELDA AKAR, LEYLA CIME AKBAYDOGAN, ZELIHA MUGE BAKA
13 - ORTHODONTICS
Background: Treatment of growing Class III patients is difficult for orthodontic practice. There
are many orthodontic and orthopedic approach in literature. This case report presents treatment of
skeletal Class III malocclusion characterised by retrognatic maxilla with bonded rapid maxillary
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expansion device, reverse headgear and fixed orthodontic treatment. Materials and Method: 12
year 5 month old female patient’s main complaint was esthetistical abnormalities. Concave profile,
Angle Class III molar relationship, anterior cross bite, -2 mm overjet and 2 mm overbite were
observed clinically. Cephalometric evaluation showed; SNA:70,9°, SNB:75,8° ANB:-4,9°,
SN/GoGn:35,7°. The treatment objectives were to obtain Class I molar relationship, normal overbite
and overjet and balanced soft tissue profile. Bonded rapid maxillary expansion was applied and
screw activated 2 times a day. Then from the hooks at canine region, reverse headgear applied with
30 degree inclination and 500 gf on each side. Patient used reverse headgear almost 5 months until
obtaining positive overjet. After that fixed orthodontic treatment without extraction performed.
Average treatment time was 20 months. Results and Conclusion: Class I molar relationship,
normal overbite and overjet and balanced soft tissue profile were obtained. Bonded rapid maxillary
expansion and reverse headgear combination is an efficient treatment for skeletal Class III
malocclusion.
PP 95 MANAGEMENT OF A CLASS II MALOCCLUSION USING CERVICAL HEADGEAR:A

CASE REPORT
MERVE OZTURK, ZEYNEP SEYMAN, ZELIHA MÜGE BAKA
Turkey
13 - ORTHODONTICS
Background: To present the treatment of a patient with a Class II malocclusion by using
cervical headgear. Materials and Methods: The patient, a Turkish boy aged 14 years
10months.The patient who has a skeletal Class II malocclusion and brachyfacial type of growth
pattern. The patient had class II canine and molar relationship. His lips were incompetent and
protrusive relative to the esthetic plane. The facial photographs indicated a convex facial
appearance, He had a Class II Division 1 malocclusion (bilateral full Class II molars and canines)
with a 9-mm overjet and 5 mm overbite. Cervical headgear was used with a fixed appliance.
Results and Conclusions: After active treatment, a normal occlusion with optimal overbite and
overjet was achieved. The patient was satisfied with his facial proile, which had changed from
convex to straight. Lip protrusion was also improved. Class I canine and the molar relationship,
good alignment and levelling of the maxillary andmandibular teeth are achieved. The headgear
theraphy is an effective treatment method for who patient have maxillary protrusion and calss II
malocclusion. Patient cooperation in wearing the headgear for 18-20 h per day can explain the
successful treatment response.
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PP 96 EFFECT OF VIBRATION APPLIED BY MODIFIED ELECTRIC TOOTHBRUSH ON

ORTHODONTIC TREATMENT
OZGE GUNBAY, AHMET YAGCI
Erciyes University, Kayseri
Turkey
13 - ORTHODONTICS
The aim of this study is to determine the changes that will occur during the orthodontic
treatment by transmitting the vibration generated by the electric toothbrush to the teeth with a
special plate. Fixed orthodontic treatment was performed for 18 patients (11 girls, 7 boys) with an
average age of 14.97. Group 1 (5 girls, 4 boys and mean age: 14.83) performed oral hygiene with
electric toothbrushes, plus a plate applied to the brush head of the electric toothbrush to apply
vibration stimulation to the whole dentition. Group 2 (6 girls, 3 boys and mean age: 15.14) was the
control group and they performed oral hygiene with a manual toothbrush. The Little index values
between the groups were revealed that there was a significant difference at p= 0.01 level between
the groups at the end of the first year of treatment. In group 1, Little index values were significantly
lower than control group. Also, it was determined that there was a statistically significant difference
between groups at the level of p=0.01 as a result of comparison of treatment duration. The
treatment duration of patients in group 1 was found to be statistically significantly shorter than
controls. Electrical toothbrush and plaque combination have been shown to reduce the duration of
orthodontic treatment. This research was supported by Erciyes University Department of Scientific
Reseacrh Projects, project number TDH-2016-6781.
PP 97 TREATMENT OF SKELETAL CLASS II WITH MINI-IMPLANT SUPPORTED MOLAR

DISTALIZATION APPLIANCE: CASE REPORT
GULSEN KACIRA KESKIN, GAMZE CAGLA URUC, RIDVAN OKSAYAN
Turkey
13 - ORTHODONTICS
Aim: In this case report, we present dental and skeletal class II case treated with palatal
mini-implant anchorage distalization appliance. Materials and Method: A 14 year-old male patient
with chief complaint about his right maxillary lateral incisor in palatally position. On clinical
examination; class II molar and canine relationship were detected and the right maxillary lateral was
small in shape and palatally positioned and midline shifted to the right. Cephalometric evaluation
showed that SNA: 84.6°, SNB:78.8°, ANB:5.8°, Witts: 7.5mm, FMA: 18.5°, Sn-GoGn: 28.4°, U1-SN:
111.6°, U1-PP: 115.7°, Overjet: 5.1 mm, Overbite: 2.1 mm, U6-FH Perp : 48.1mm, U6-PP Perp
(UPDH): 25.9mm . For the treatment of midline and class II relationship mini-implant anchorage
distalization appliance was placed to bilateral palatal paramedian area of anterior maxilla. The
distalization appliance was activated 3 turns for every 3 weeks until class I molar relation is
obtained. Treatment lasted 12 months. Results: The cephalometric evaluation after distalization
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period was SNA : 81.9°, SNB: 77.4°, ANB: 4.6, Witts: 5.9mm, FMA: 23.6°, SN-GoGn: 29.8°, U1-SN:
105.3°, U1-PP: 110.1° Overjet: 4mm, Overbite: 1.3mm, U6-FH Perp: 37.8mm, U6-PP (UPDH):
26.9mm . Final cephalometric evaluations showed that: SNA : 85.1°, SNB: 79.8°, ANB: 5.3°, FMA:
20.9°, SN-GoGn: 28.2°, U1-SN: 107.0°, U1-PP: 115.9°,Overjet: 3.6 mm, Overbite: 1.5 mm, U6-FH
Perp: 43.2mm, U6-PP (UPDH): 28.2mm. Total treatment duration was 3 years and 6 months.
Conclusion: This method of treatment offers a good alternative because of no need for patient co-
operation and prevents the loss of anchorage seen in other buccal intraoral systems.
PP 98 ASYMMETRICAL RAPID MAXILLARY EXPANSION IN POSTADOLESCENT

PATIENT: CASE REPORT
SAHAND GHAFFARI, RIDVAN OKSAYAN
13 - ORTHODONTICS
Aim: This study was aimed to evaluate the effects of asymmetricalrapid maxillary
expansion appliancein a patientwith narrow maxilla and crowding in upper jaw. Case Report: A
14year-old female referred to our department with a chief complaint of mild crowding in the maxillary
anterior teeth. According to “synthetic ceph” created from initial CBCT data; SNA: 83.6, SNB: 78.4,
ANB: 5.2, Overjet: 5.2 mm, Anterior Face Height (Na-Me): 120.8 mm, ANS-Me: 69.6 mm, Witts
Appraisal: 0.5mm, Upper Lip to E plane: -4.1 mm cephalometric values were evaluated with Dolphin
tracing software program (v11.9) (Dolphin Imaging and Management Solutions, Chatsworth, CA,
USA). And she had Class II molar relationship on the right side and class I on the left side.For the
treatment of unilateral posterior crossbite, acrylic asymmetricalrapid maxillary appliance was
cemented with glass ionomer cement on the maxillary posterior teeth. Results: According to frontal
view of the both initial and progressing CBCT images; intermolar width (upper) changed from 56.7
to 61.6 mm, intercuspid width (upper) 30.7 to 32.0 mm, J-MSR (left) 30.1 to 32mm, J-MSR (right)
30.6 to 31.3 mm and nasal width 22.7 to 23.2 mm. Conclusion: After asymmetrical RME treatment
patient had an improvement on transversal dimensions of maxillary arch. In addition to this,
unilateral RME appliances with an acrylic shield extending to lower lingual part of the
mandibulaprovide equal and balanced expansion of maxillary arch.
PP 99 THE RESULTS OF THE REVERSE PULL HEADGEAR TREATMENT IN PATIENTS

WITH ANGLE CLASS III MALOCCLUSION
VALENTINA TRIFAN, DANIELA TRIFAN
Republic of Moldova
13 - ORTHODONTICS
In this study, extraoral forces and bimaxilar orthodontic appliance were used in 58 patients
with class III malocclusion according to cephalometric parameters which manifests the type of facial
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growth pattern. The subjects were divided into two groups, group 1 - 34 patients with class III
malocclusion, type of facial growth mesofacial, group 2 - 24 patients with class III malocclusion,
dolichofacial type. Depending on the cephalometric parameters, orthodontic treatment was applied.
Dolichofacial subjects were treated with the reverse pull headger during the first 2 years and with a
bimaxilar expansional orthodontic appliance followed by the wearing of the reverse pull headger at
night over the next 3 years, but the patients with mesofacial growth pattern, followed only extraoral
traction with inactive bimaxilar orthodontic appliance. All treated cases showed excellent results with
the acceptable posterior occlusion in contention period as well showed excellent skeletal and soft
tissue profiles. The combination of excessive jaw protraction and palatal expansion is the most
popular and effective orthodontic approach to early treatment in class III dental-maxillary
malocclusions. The use of the reverse pull headger, however, is one of the most effective
approaches to treat patients with class III malocclusion during growth. The dolichofacial category
describes elongated face syndrome with a low posterior facial height, and large angles of the
mandibular and occlusal plane. There was no study which examinated the differences in treatment
outcome in subjects with Angle Class III malocclusion treated with reverse pull headger with
mesofacial growth pattern and with dolichofacial pattern.
PP 100 THE MORBIDITY OF POSTERIOR CROSSBITE IN REPUBLIC OF MOLDOVA

DANIELA TRIFAN, ELENA STEPCO
Republic of Moldova
13 - ORTHODONTICS
Background: Posterior crossbite is the most common problems in orthodontics. The
etiology of posterior crossbite can be any combination of dental, skeletal, and neuromuscular
functional components, but the most frequent cause is reduction in width of the maxillary dental
arch. This reduction can be induced by finger sucking, swallowing habits, obstruction of the upper
airways. Posterior crossbite is transferred from primary to permanent dentition, with an effect on the
development of the stomatognathic system. Posterior crossbite can cause permanent changes in
tooth position, in the bone support, and also at the temporomandibular joint.For the analysis were
accumulated 1710 questionnaires.The research covered three regions of the country: RDD North
(23,2%), RDD Center – 638 (37,3%) și RDD South– 676 (39,5%), of them inhabitants of the urban
area 52,2±1,21% and rural area 47,8±1,21% (t=2,5756, p<0.05). In this research were
(53,3±1.20%) girls and (46,7±1.20%) (t=3.8682, p<0.001) boys. Depending on the age each second
respondent had from 10 to 14 years old, the average age were 12,94±0,064. Patients with posterior
crossbite in Republica of Moldova(28,2±1,09%, t=28,3324, p<0.001), and unilateral posterior
crossbite being more frequent (16,4±0,89% ) than a bilateral crossbite (11,8±0,78%, t=3,8733,
p<0.001).
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PP 101 TREATMENT OF ASYMMETRIC GUMMY SMILE BY ORTHODONTAL AND

PERIODONTAL MEANS
LIGIA VAIDA, GABRIELA CIAVOI, ABEL MOCA, BIANCA NEGRUTIU, BIANCA
TODOR
University of Oradea
Romania
13 - ORTHODONTICS
Background: Facial asymmetries give important disturbances and also induce functional,
masticatory, occlusal, as well as, aesthetic dysfunctions. In addition, therapeutic interventions are
difficult to address and require complex, interdisciplinary treatment. Smile asymmetries can be given
by: upper lip asymmetry (in terms of morphology and asymmetric contraction of upper lip
orbiculum), upper jaw asymmetry, mandible asymmetry, dento-alveolar asymmetry or a combination
of these elements. It is very important for the diagnosis to be correctly set and to include all the
elements involved. Methods and Material: This paper presents the possibilities of orthodontic
correction of asymmetries in the superior dento-alveolar arch in combination with periodontal
surgery to correct the asymmetric smile. The therapeutic means included: reverse curve of spee
archwires, with asymmetric action, orthoimplants, periodontal surgery techniques, in combination
with various elastic tractions. Results: All initial goals were achieved, with good aesthetics and
functionality. Smile and facial symmetry was obtained. Conclusion: The results can be excellent, as
shown, both from the patient's perspective and from the doctor's perspective, if the patient's
compliance is good. It should also be emphasized that one should never treat a complex
dysfunction in a superficial way, but actively try to address it in accordance to its difficulty.
PP 102 ORTHODONTC TREATMENT FOR PROSTHODONTIC REHABILITATION

ZELJKO MILOSAVLJEVIC*, DANKA MILOSAVLJEVIC**, BILJANA NIKOLIC*"*
*School of Dentistry, Belgrade; **Private Practice, Belgrade; ***Health Center, UB
Serbia
13 - ORTHODONTICS
Background: In congenital hypodontia, as well as in loss of tooth due to pathological
causes or trauma, migration of remaining teeth is present. As a result, it is sometimes difficult to
plan adequate prosthodontic rehabilitation that would satisfy functional and aesthetic demands. The
aim of the study was to indicate possibilities of orthodontic treatment that could be helpful to
prosthodontist in planning reconstruction of missing teeth. In the paper are shown patients in whom
we accomplished correct occlusion with orthodontic treatment, repaired tooth malocclusions, gain
spaces for missing tooth, which enabled further eventual surgical (implant) and final prosthodontic
rehabilitation of these patients. Since patients are more and more interested in adequate functional
and especially aesthetic solutions, it is necessary to make team planning regarding their
prosthodontic sanitation. Only after orthodontic treatment on the beginning, eventual surgical
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treatment (implants and parodontological surgery) and prosthodontic treatment at the end, we can
expect valid and long-term stable results, as well as satisfied and smiling patients.
PP 103 RETRACTION OF UPPER INCISORS WITH ORTHODONTIC MINI IMPLANTS

ZELJKO MILOSAVLJEVIC, PREDRAG NIKOLIC
University of Belgrade, School of Dentistry
Serbia
13 - ORTHODONTICS
The aim of this study is to present the usage of orthodontic mini implants in massive
retrusion of canines and incisors in Class II division 1 patients. Sometimes, we need an absolute
anchorage for the retrusion of frontal teeth, to avoid mesial movement of molars. Instead of
Headgear, Nanse, and palatal bar, we can use the mini screws – mini implants. The patients were
adults, with no growth potential, and with severe Class II division 1 malocclusion. After cast and X –
ray analysis we decide to extract first upper premolars, implant the mini screws and retract frontal
teeth. When patients achieve the contact between upper and lower incisors, the implants were
removed, and the extraction spaces, if reminde, were closed. Orthodontic mini implants are very
effective as absolute anchorage, because, there are no mesial movements of posterior teeth. In that
way, we can use the extraction space only for retraction of frontal teeth.
PP 104 ORTOPEDICAL FACIAL MASK

LJILJANA STOJANOVIĆ*, NEDA STEFANOVIĆ*, TINA PAJEVIĆ*, TANJA
ČUTOVIĆ**, SLOBODAN IVIĆ***
*University of Dentistry, Belgrade; **Military Hospital VMA, Belgrade;
Serbia
13 - ORTHODONTICS
Background: The facial mask was conceived by Jaine Delaire of Nantes (1971) and
subsequently refined by Henri Petit (1982). From its initial design the use was related to the
treatment of skeletal class III malocclusion by maxillary retrusion in its early stages of
development.From published studies, it is therefore believed that orthopedic facial mask therapy,
combined with a maxillary anchorage unit, may produce one or more of the following treatment
effects: Correction of discrepancy between centric relation and centric occlusion (usually in patients
with pseudo-III class)- Skeletal protraction of the upper jaw (usually a forward movement of the
maxilla of 1-2 mm is observed); Proclination of the upper teeth; Lingual inclination of the lower
incisors; Redirection of mandibular growth in a more vertical direction (mandibular post-rotation).
The duration of therapy is dependent on the collaboration and age of the patient. It is usually carried
until a 2-4 mm overjet is achieved, at which point the partial or overnight use of the facial mask is
recommended for a further 3-6 months. An early application of the orthopedic postero-anterior force
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on the maxillary sutures – before the eruption of the first permanent tooth and generally as early as
possible, compatible with the patient cooperation is believed to change the growing pattern of the
patient, shifting from a class III pattern to a class I pattern. A more late application is still effective in
achieving the maxillary protraction but it is non able to change the growing pattern of the patient.
PP 105 QUAD HELIX

TANJA ČUTOVIĆ*, LJILJANA STOJANOVIĆ**, NEDA STEFANOVIĆ**, TINA
PAJEVIĆ**, SLOBODAN IVIĆ***
*Military Hospital VMA, Belgrade; **University of Dentistry, Belgrade;
Serbia
13 - ORTHODONTICS
Background: This device has been developed to treat cases of moderate maxillary
contraction in preteen age, with or without the presence of crossbite. The effect of the appliance is a
transversal expansion, which mostly determines dentoalveolar modifications. Given the extent of
transversal dentoalveolar expansion, it is used in all those cases in which the front crowding is not
the main problem, but we want to produce changes in the posterior area.The indication of the Q.H.
are so summarized:• Transverse problems of dentoalveolar origin, where the therapeutic approach
must be performed in the upper arch;• Single or bilateral posterior dental crossbites due to the
contraction of the maxilla;• Association of the posterior crossbite and habit of thumb sucking;•
Bilateral maxillary constriction during deciduous dentition;• Need for superior expansion in mixed
dentition to create a small amount of space for the upper lateral incisors;• Class II patients, where
the upper arch must widen and the upper molars must rotate distally. Most treatments require 2-3
months of active treatment, with activations approximately every 4-6 weeks, and 3 months of
restraint (during which the device is left passively in situ). The expansion should proceed at a rate of
2mm per month (1mm of dental movement per side) until a cross-bite correction or an
hyperexpansion of the upper arch is obtained. That means that the cusps of the upper teeth should
occlude at the level of the lingual sides of the vestibular cusps of the lower molars at the end of the
active treatment.
PP 106 THE INTERDISCIPLINARY MANAGEMENT OF HYPODONTIA

TANJA IVANOVIĆ*, LJILJANA STOJANOVIĆ**, MARINA MILINKOVIĆ*, NEDA
STEFANOVIĆ**, TINA PAJEVIĆ**
*Univ. in the East Sarajevo, University of Medicine Foča, Bosnia and Herzegovina;
**University of Dentistry, Belgrade
Serbia
13 - ORTHODONTICS
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Background: Specific terms to describe a reduction in the number of teeth appear in the
literature are used to describe the nature of tooth agenesis: oligodontia, anodontia, aplasia of teeth,
congenitally missing teeth, absence of teeth, agenesis of teeth and lack of teeth. Hypodontia is most
frequently used when describing the phenomenon of congenitally missing teeth in general, often
affecting the permanent than deciduous dentition. Orthodontic treatment for patients with
congenitally missing teeth is a challenge to effective treatment planning. The functional and
aesthetic changes caused by hypodontia impose the necessity of finding a therapeutic approach of
shaping the permanent dentition in a way that normal occlusal relationships and improved
aesthetics could be achieved. 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. Patients' concerns and attitude to treatment can also vary hugely and, as
always when formulating a treatment plan, these must be taken fully into consideration. However,
there are several issues that commonly arise in the orthodontic management of patients with
hypodontia. These include: Space management; Uprighting and aligning teeth; Management of
deep overbite; Retention and stability. Orthodontists are often confronted with the decision to open
or close spaces. Selecting the appropriate treatment approach is not as simple as it sounds, but
rather depends on the patient’s existing malocclusion, growth pattern, profile, smile line, and the
size, shape, and color of the canines.
PP 107 JAW POSITION IN MACEDONIAN SUBJECTS WITH DISTOOCCLUSION

BILJANA DZIPUNOVA, NATASA TOSESKA SPASOVA, VERA RADOJKOVA
NIKOLOVSKA, ILIJANA MURATOVSKA, MIRJANA POPOVSKA
Faculty of Dentistry, Skopje
FYROM
13 - ORTHODONTICS
Aim: Is to investigate the most frequent jaws position in Macedonian subjects with Class II
Division 1malocclusion. Material and Methods: To accomplish the above stated goal, profile
teleroendgen films of 52 subjects aged 14-19 with Class II Division 1malocclusion have been
examined, which were completely analysed. Results: We establish existence of 4 subgroups in
both sexes. These are: subgroup A with anteposition of both jaws (11,53% in girls and 7,7% in
boys), subgroup B with maxillary anteposition and mandibular retroposition (23,07% and 15,3% in
girls and boys), subgroup C with maxillary normoposition and mandibular retroposition (11,53% in
both sexes) and subgroup D with retroposition of both jaws (53,87% and 65,47% in girls and boys
respectively). The most frequently (88,4% in girls and 92,27% in boys), mandible is in retroposition,
and only 11,6% and 7,73% is in anteposition. The most frequently (53,97% and 65,47%) upper jaw
is in retroposition, rarely in anteposition (34,5% and 23,0%), and unfrequently, maxilla is in
normoposition (11,53% in both sexes). Conclusions: The determined jaw positions on the profile
teleroendgen film, contributed in determination of the nature of this malocclusion and are guidance
for therapy planning and choosing the best therapeutic strategy for each patient with distoocclusion.
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PP 108 PREVENTION OF ORAL DISEASE IN CHILDREN WITH AUTISM

SNEZANA MATIJEVIC
University of Montenegro, Faculty of Medicine, Study Program Dentistry, Podgorica
Montenegro
Background: Autism is a severe neurological developmental disorder of unknown etiology.
It is diagnosed between the ages of one and five years and persists throughout the person’s
lifetime. Children have difficulty interacting with others, even with their parents. It is important to take
preventive measures for this population as early as possible in order to preserve their oral health.
The study included seven preschool and school children with the aim of drawing attention of their
parents to the importance of timely application of measures to prevent oral diseases. The parents
were present during dental examination because it was not possible to communicate with children.
Removal of soft deposits and teeth fluoridation was performed and advice on proper nutrition and
hygiene were given during first dental visits. Dental check-ups were scheduled every seven days.
There has been a significant improvement in oral health condition of children in terms of oral
hygiene and proper diet as a result of very good cooperation with parents. Preventive fissure sealing
of permanent molars was performed in five children. Three children had, on average, three
treatments. The effectiveness of the treatment depends on the stage of the disease and parents
readiness for cooperation. When dental team and parents work hard it is possible to achieve good
results in prevention of oral diseases in children with autism. It is also necessary to have regular
check-ups in order to re-motivate both parents and children so that development and progression of
caries and soft tissue diseases can be prevented.
PP 109 SUPERNUMERARY TEETH IN PRIMARY AND PERMANENT DENTITION

GUNSELI GUVEN POLAT, OZLEM KUZU
Turkey
Background: Supernumerary teeth are the presence of more number of teeth over the
normal dental formula and may occur in permanent as well as early mixed dentition. These
alterations in development may present in any area of dental arch and can affect both primary and
permanent dentitions. Higher incidence of supernumerary teeth is found in permanent dentition and
may be found in syndromic as well as nonsyndromic patients. Root resorption is extremely rare in
these cases. In many cases, supernumerary teeth are not associated with any problem. They may
be accidently detected in dental examination or may be found during routine radiographic
evaluation. None of the patients with this anomaly showed any symptom. Materials and Methods:
An 8 year old girl referred our clinic with a complaint of tooth ache. Her clinical and radiographic
examination showed that she had supernumerary teeth in maxillary left region in both primary and
permanent dentition. Result: We extracted both maxillary left primary lateral and supernumerary
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primary teeth. The patient will be examined periodically during the exfoliation of permanent teeth.
Conclusion: Complications created by supernumerary teeth can cause potential harm to the
developing occlusion, which can be difficult to intervene or may need aggressive treatment at a later
stage. Knowledge about supernumerary teeth may help the dentist in early diagnosis, interventions,
and may prevent possible complications that may develop. The management and treatment protocol
of a supernumerary tooth should be designed as multidiciplinary approach.
PP 110 FUSED PRIMARY MANDIBULAR LATERAL AND CANINE WITH CONGENITAL

MISSING PERMANENT LATERALS
GUNSELI GUVEN POLAT, CAFER ATAS
Turkey
Background: Gemination and fusion are different tooth abnormalities which present almost
the same clinical appearance. Bilateral dental fusion in the primary dentition is a rare dental
anomaly. When it involves the mandibular primary incisors and has no effect on the developing
permanent dentition, the event becomes even more unique. Fusion of teeth is a developmental
anomaly. It occurs at the stage of tooth formation, which determines the shape and size of the tooth
crown, when one or more teeth fuse at the dentin level during the morphodifferentiation of the dental
germs. Such teeth show macrodontia and may cause crowding, as well as esthetic and endodontic
problems. Material and Methods: A 4 year-old female patient was referred to our clinic with the
chief complaint of pain in the mandibulary posterior region. Clinic and radiographic examinations
revealed that mandibulary primary lateral incissor and primary canin were fused and also permanent
lateral incissors were congenitally missing. Result: The patient will be examined periodically during
exfoliation of permanent teeth. Conclusion: In this case according to the patient's age, she was
called periodic controls every 3 months. The management of treatment should be designed with
multidiciplinary approach. As a result, when dentists’ faces a case with fused primary teeth with
congenital missing teeth in children it is important to inform the patient's family that periodic controls
are very important.
PP 111 THE DMFT SCORE AND THE FLUORIDE IN DRINKING WATER FROM THE
VARDAR REGION
VESNA AMBARKOVA *, ILIJANA MURATOVSKA *, ELENA PEJEVA **, ANGELA
STAMENKOVA ***, JOVAN AMBARKOV *
*University Ss.Cyril & Methodius, Skopje; ** Private dental office;
***University Dental Clinic Center - Skopje - FYROM
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The aim of the study was to determine the correlation between the DMFT score of 12-years
old children and the concentration of fluorine in drinking water from the settlements from the Vardar
region of the Republic of Macedonia. This research involved 95 students from 2 Central and 2
Regional Primary Schools and the DMFT score was recorded. The students live in two different
cities and two different villages. The four water samples were taken in the study area to determine
their fluoride concentration by electrochemical method using a special ion Analyser (pH/ISE meter-
Thermo-Orion) with a special F-electrode (Thermo Orion Ion Plus Fluoride Electrode) at the Institute
of Public Health. The Spearman Rank Order Correlations was used for statistical analysis. Results
The total number of children in the sample was 95, comprising 40 (47,1%) females and 45 (52,9%)
males. The mean DMFT was 2.75, with standard deviation (SD) of 2.56. The maximum
concentration of fluorine was determined in drinking water from Vinichani village (0.39 ppmF) and
the minimum concentration (0.17 ppmF) from Veles city. The Correlation between DMFT score of
the permanent teeth of 12-years old children from the Vardar region and the concentration of
fluoride in drinking water was negative, with the value of the Spearman-Conn's rank correlation
coefficient of R = - 0,393, which showed that between these two variables, the correlation was
negative, or indirect. For the value of p<0,01, this relationship was confirmed as a highly stasistically
significant or highly significant.
PP 112 NEW PSYCHOMETRIC SCALE FOR EVALUATION OF DENTAL FEAR AND

ANXIETY PRESENCE IN CHILDREN
ELMEDIN BAJRIC, SEDIN KOBASLIJA, AMINA HUSEINBEGOVIC, MEDIHA
SELIMOVIC-DRAGAS, NINA MARKOVIC
Background: Dental fear and anxiety (DFA) is widespread clinical phenomenon that could
seriously interfere with the dental treatment plan in pediatric dentistry. There are various ways to
evaluate DFA presence in children, and psychometric scales are mostly used due to its
characteristics such as applicability, cost effectiveness, interpretation, etc. Our aim was to design
new psychometric instrument for better evaluation of DFA presence in children compared to
evaluation which the existed scales could offer nowadays. Materials and Methods: Our sample
was consisted from the children of eight cities in Bosnia and Herzegovina, where we determined
DFA presence with the Modified version of Children's Fear Survey Schedule-Dental Subscale
(CFSS-DS-mod scale) in the pupils, in one school per city, within one fourth, fifth, sixth and seventh
grade respectively. There were four larger and four smaller cities, with four urban and four suburban
schools. Reliability and validity of the CFSS-DS-mod scale were analyzed according to the pupils
age and sex, city size and school position. Results: Reliability of the scale was excellent in total,
with Cronbach alpha over 0.9. Construct validity, with exploratory factor analysis conducted, mostly
explained over 60% of total variance of the results. DFA was two-dimensional, with invasive and
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non-invasive dental procedures and situations. Children's age and sex, and school location may had
influence in explanation of DFA presence in children. Conclusion: CFSS-DS-mod scale represents
a new psychometric instrument that could be used for the evaluation of DFA presence in children.
There are still many ways to explore and improve its normative characteristics.
PP 113 ORAL HEALTH CARE FOR CHILDREN WITH SPECIAL NEEDS

DANIJELA SUBOTIC
Montenegro
Background: Children with special needs are those who have or are at increased risk for a
chronic physical, developmental, behavioral or emotional condition and who also require health and
related services of a type or amount beyond that required by children generally. Aim: The aim of
this retrospective study was to determine most usually oral health problems with children with
special needs and dental services that we provided them with in Clinical Centre of Montenegro
during the period from 1.1. 2017 - 31.12. 2017. Material and Methods: 338 children with special
needs, aged 1 to 18 years, where included in this study. They were examined during 2017 year on
Department of preventive and child dentistry in Clinical Centre of Montenegro. Data was received
from the records of patients. Results: Oral health problems: tooth eruption, dental caries,
periodontal disease, malocclusion, damaging oral habits can be a problem for children with
disabilities and special needs. Tooth anomalies, trauma. Often, dental services that we provided
these children with were: Prevention Measures – 87 %. Restorative dental treatments - 31 %,
endodontictreatmens – 3,69 %, tooth extraction – 72 %. Conclusion: A child with special needs are
also responsible to take care of their mouth. A large percentage of teeth extraction refers to the
importance of promoting prevention program for these children.
PP 114 RESTORATION OF FRACTURED TEETH USİNG REATTACHMENT TECHNİQUE:

TWO CASE REPORTS
MESUT ELBAY, ÜLKÜ ŞERMET ELBAY, GÜL UÇAR, SERKAN SARIDAĞ, SÜMEYYE
KOÇ
Kocaeli University
Turkey
Background: Facial trauma that results in fractured teeth can have significant negative
effects on function, esthetics and psycho¬logical well being of children. Prognosis depends not only
on the type of injury, but also on its management. In the literature most of the fractured teeth were
treated with the glass-fiber-post and the broken piece was reattached in the mouth. In these case
reports, differently, the broken piece was attached to the glass-fiber-post out of the mouth and
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applied to the root canal together. It was aimed to decrease the technical sensitivity, to shorten the
chairside period and to increase the treatment prognosis. Case Reports: An 11 and 9-year-old girl
with fractured anterior teeth applied to the Pediatric Dentistry Clinic. Because they brought broken
tooth parts, reattachment was planned to provide the function and esthetics. Fractured teeth of both
of the cases were required root canal treatment because of the large fractures. After 15 days, two-
thirds of the canal filling was removed with the help of the bushes of the post system. A nest was
prepared in the broken tooth piece and the post and broken tooth piece was adhered with the
adhesive cement. Prepared post and broken tooth piece combination applied to the root canal with
an adhesive resin cement according to the the manufacturer's instructions. Conclusion: At the end
of the procedure, the patients were very satisfied with the function and appearance. The patient was
followed for 3 years without any symptoms.
PP 115 TREATMENT OF ERUPTION CYST BY MASSAGE PROCEDURE: CASE REPORT

SÜMEYRA AKKOC, HALENUR ALTAN
Gaziosmanpaşa University, Tokat, Faculty of Dentistry - Turkey
Aim: Eruption cysts are benign lesions that are usually asymptomatic and do not require
treatment. The aim of case was to provide spontan eruption without any surgical intervention in
anterior region. Case Report: An 8-year-old girl along with his parents admit to the Gaziosmanpaşa
University Department of Pedodontics with the chief complaint of swelling on the gums in the front
region of the upper jaw and delayed eruption. History revealed that the lesion started appearing 2
months back as translucent swelling over normal mucosa and it slowly increased to its present size.
Clinically the gingival lesions appeared as translucent-pink in color, circumscribed on the buccal
gingiva over the site of un-erupted 11-21. All the permanent 1st molars had completely erupted and
maxillary central incisors were not erupted. Spontaneous eruption was decided using local massage
by taking into account child age’s and cyst is asymptomatic. The massage treatment protocol was
performed for at least 15 minutes twice in a day (morning and night). Spontan eruption was
observed 4 months after treatment started. Conclusion: As a result, intervention to the eruption
cyst by local massage allow more painless and cooperatively treatment for child.
PP 116 A CASE OF COMPOUND ODONTOMA WITH AN IMPACTED PREMOLAR IN A

YOUNG PATIENT
ÖZLEM KUZU, GÜNSELİ GÜVEN POLAT, MEHMET ZAHİT BAŞ
University of Health Sciences İstanbul - Turkey
Background: Odontomas are odontogenic tumors/hamartomas composed of dental tissue
in a variable proportion. They are non-aggressive and considered as a result of developmental
malformation of odontogenic tissues. As the name suggests, they are composed of mature tooth
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substances. They can be ectodermal, mesodermal or mixed in origin. They are classically divided
into compound or complex types depending upon their radiographical resemblance to the tooth.
Case Report: A 12-year old boy referred to our clinic with a swelling on the left side of the
mandibula. Intra-oral examination revealed that he had a caries affected lower left primary second
molar and the lower right second premolar was erupted. A panoramic radiograph (OPG) showed a
well-developed, unerupted left mandibular second premolar in the correct vertical position covered
with well defined radiopaque masses. The OPG also revealed that the left second primary tooth had
no root resorption. The initial diagnosis based on the radiographic evaluations was a compound
odontoma. Under regional anesthesia, a full thickness mucoperiosteal flap was reflected. A thin
layer of the bone overlying the labial surface was removed, the calcified masses were exposed and
the primary second molar was extracted. Two weeks later the healing process was completed and a
space maintainer was made in order to preserve the space for permanent second premolar. It is
planned to follow the patient periodically until the eruption of second premolar.
PP 117 INDIVIDUALIZED AND COMPLEX PREVENTION OF DENTAL CARIES IN

CHILDREN WITH DISABILITIES
AURELIA SPINEI
Republic of Moldova
Aim. To assess the effectiveness of individualized and complex prevention of dental caries
(DC) in children with disabilities. Material and Methods. The controlled clinical trial was performed
on a sample of 318 children aged 3 to 18 years with marked disabilities (29.87±2.57%) and severe
(70.13±2.57%) and high/extreme risk of dental caries caused by the increased cariogenic activity of
dental biofilm. In the research group (L1=159) professional oral hygiene was performed,
antimicrobial photodynamic therapy, followed by the application of probiotics, deep photoactivated
fluoridation of dental enamel, optimization of anticonvulsant treatment, and individualized complex
preventive treatment (immunomodulators, antioxidants, probiotics, vitamins and mineral
complexes). In the control lot L0=159, professional oral hygiene and deep enamel fluoridation were
performed. The evaluation of the effectiveness of dental caries preventive measures was performed
by estimating DC morbidity indicators and bacteriological examination of the dental biofilm. The
study was conducted in accordance with ethical requirements. Results: The individualized and
complex preventive care of dental caries in children with disabilities for 5.3±0.12 years resulted in a
significant decrease in cariogenic activity of dental biofilm steptococci. The degree of DC damage
was reduced by 76.70±3.36%, p<0.001 in relation to the control group, the method being effective
also in subjects with high / extreme risk of dental caries, providing a high preventive effect of dental
caries, confirmed by increased chances of avoiding new carious cavities up to
59.71±1.904%,p<0.001. Conclusions: Individualized and complex DC prevention offers new
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opportunities for maintaining oral health of children with disabilities and high/extreme risk of dental
caries.
PP 118 RAGYOGRAPHIC FOLLOW-UP OF APEXIFICATION WITH MINERAL TRIOXIDE

AGGREGATE: A CASE REPORT
EZGI EROĞLU, EMINE TATAR, SEMA ÇELENK, TUĞÇE NUR PEKDEMIR
Dicle University, Istanbul
Turkey
Aim: Complicated crown fractures involving pulp are frequently encountered. Prolonged
time after trauma may cause prognosis to be worse. Therefore, the time of arrival of the patient is
one of the most important factors that will affect the success of the treatment. In this case report, the
treatment of complicated crown fractured maxillary right central tooth was tried to be explained.
Case Report: An 11-year-old girl was admitted to our clinic with trauma in her maxillofacial region.
In examination of the patient, it was understood that the maxillary right central (# 11) had
complicated crown fracture. After radiological examination, it was found that the corresponding tooth
apex was open. Infected pulp was removed. After formation of apical plug with Mineral Trioxide
Aggregate and then root canal filling and restoration were completed. Conclusion: Complicated
crown fractured maxillary right central tooth’s (# 11) root canal filling and apexification treatment with
Mineral Trioxide Aggregate, no infection developed.
PP 119 MESIODENSE AS A RISK FACTOR IN TREATMENT OF DENTAL INJURY

MESUT ELBAY*, ÜLKÜ ŞERMET ELBAY*, CEREN UĞURLUEL**, BAHADIR KAN*,
ESER TUTUŞ*
*Kocaeli Universty, Faculty of Dentistry; **Medicana Hospital
Turkey
Background: Children often have traumatic dental injuries and if traumatized teeth was left
untreated; serious complications can occur. Factors such as open bite, increasing overjet with
protrusion of upper incisors, and insuficient lip closure are identified as predisposing factors
associated with trauma cases. In recent years, there is evidence indicating mesiodens as a risk
factor in both the treatment and occurence of trauma but it is limited. Case report: An 11 year old
boy applied to the pediatric dentistry clinic due to the crown fracture of left central tooth.
Radiographic examination showed that there was a apical lesion of the same tooth associated with
impacted mesiodenses. Moreover, as a consequence of trauma, the central incisor’s root
development was prematurely arrested and had open apex. The therapeutic approach included
endodontic treatment of the immature non-vital permanent tooth, providing of apical plug with MTA,
surgical extraction of the two mesiodenses and enucleating of the lesion. Conclusion: The ideal
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treatment time of impacted mesiodenses is controversial. An apical lesion due to the delayed
treatment of a simple traumatic injury make this issue complex. In the present case, treatment
protocol was chosen as the performing the endodontic treatment and surgery of impacted
mesiodens simultaneously. At 1 year follow up, clinical and radiographic finding of case was
satisfactory that indicates the suitability of the treatment protocol.
PP 120 REPLANTATION OF AVULSED TOOTH: A CASE REPORT

HATICE KÜBRA DAMAKSIZ, ELMAS TÜFEK ATICI, EMIN CANER TÜMEN, BUKET
AYNA
Dicle University Istanbul, Faculty of Dentistry
Turkey
Aim: Avulsion is the completely taking out of the tooth from the dental socket by trauma. In
children aged 7-10 years, alveolar bone is highly flexible and minimal in its ability to resist extrusive
forces. The replacement of the tooth, which has been completely removed from the socket after the
traumatic injury, is called replantation. Many factors are effective as a result of replanted dental
treatment, the most important factor being the period of time when the tooth is outside the mouth
and the storage conditions. Replantation has a good prognosis if periodontal ligament vitality is
preserved, cemented continuity is present, and bacterial contamination is minimized. Case Report:
The purpose of this case report, is replantation technique which used in the treatment of an avulsive
tooth case. Case was avulsed left maxillary permanent central incisor of 12 years old female patient
suffering from a traumatic injury who came to the clinic 2 h later from injury and extended dry extra-
alveolar period. Conclusion: Although replantation of avulsed permanent teeth are widely accepted
treatment approach, the long-term prognosis of replanted teeth are still contraversial. Our goal in
permanent dental avulsion is to keep the tooth in place and bone development until the patient has
a permanent prosthesis.
PP 121 THE STATE OF ORAL HYGIENE IN CHILDREN FROM SOCIALLY

DISADVANTAGED FAMILIES
SVETLANA PLAMADEALĂ, SVETLANA GREC, ECATERINA BOCANCEA, DANIELA
GALAI, AURELIA SPINEI
Republic of Moldova
The aim of the study was to appreciation of the state of oral hygiene coming from socially
disadvantaged families. Materials and Methods: in the case-control study, 566 children aged
between 10 and 18 years were clinically examined. In the research group L1 was included 283
children from socially disadvantaged families. The control group was made up of 283 children from
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families with favorable socio-economic status. The oral hygiene status was estimated using the
OHI-S index. The particularitis of oral hygiene care in children were studied by the questionnaire
method. The study was conducted in accordance with ethical requirements, with the written consent
of the parents of children or the legal representatives. Results: in children in group L1 the average
value of the index OHI-S=2,62±0,12, in opposed to 1,12±0,16 in L0. Just 14,13±2,07% children of
L1 had good oral hygiene, 27,92±2,67% children – fair oral hygiene, 57.95±2,93% – poor oral
hygiene. 68.20±2,77% of the children in L1 were practiced a single toothbrush in the day, mostly in
the morning until breakfast, applying an incorrect technique. The majority of children in L1
considerably exceed the terms of use of oral hygiene items and parents do not create the sanogenic
environment required in the family environment. Conclusions: This study established the poor state
of oral hygiene in socially disadvantaged children, lower levels of hygienic culture and lack of
sanogenic behavior in the familiar environment, which must be taken into account when planning
preventive measures in oral health programs.
Keywords: oral hygiene, dental brushing.
PP 122 SALIVA ANTIOXIDANT CAPACITY AND DENTAL CARIES IN CHILDREN BETWEEN

THE AGE 4 TO 6
SANJA NASHKOVA, KATERINA ZLATANOVSKA, VERICA TONEVA, SANDRA
ATANASOVA, NATASHA LONGUROVA
University "Goce Delcev " Shtip
FYROM
Background: The saliva has various defence mechanisms such as the immune and
enzyme systems, defence against bacteria, viruses, fungi and protection of the oral mucosa as it
promotes its curative features. Our research is focused on the correlation of the DMF index and the
antioxidant capacity of saliva. Aim: 100 children from both genders, aged between 4 and 6 from the
local nurseries from the town Shtip were the examinees. The first group of 30 were children with
DMF =0 divided in a control group and 70 children with DMF – experimental group. For the
detection of the DMF we used the Klein – Palmer index, DMFT. Materials and Methods: We used
prepared sets Total Antioxidant Capacity(PAO) Assay, Biomedica Company, USA and the method
is due to the substance 2,2'-azino-bis (3-ethylbenzothiazoline-6-sulphonic acid) or ABTS which we
incubated with peroxidase and hydrogen peroxide whereupon radical cation, АВТЅ+ were formed
with relatively stable blue-green colour and a measured intensity of 600 nm. Results: The tested
ration between the total antioxidants in the saliva of children with first dentition and the presence of
dental caries is R= -0,44(p<0,05), whereupon a medium strong negative relevant correlation was
determined in both tested groups. The increase of the total presence of antioxidants in the saliva of
children is followed with a decreased presence of dental caries of children. Conclusion: The
antioxidant activity of the saliva is related to the increase of the suspension of proteins and
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cariogenic activity, the total antioxidant capacity is increased in children with caries compared to the
caries-free children it showed no statistical importance.
Keywords: DMF, total antioxidant capacity
PP 123 NUTRITION AND ORAL HEALTH IN CHILDREN – PILOT STUDY

MARIANA DIMOVA - GABROVSKA, DESISLAVA DIMITROVA, ANDREEVA -
BORISOVA RADOSVETA
Medical University - Varna
Bulgaria
Background: The intake of nutrients influences the growth and development of oro-facial
structures, oral mucosa and can be a major factor in the occurrence of dental diseases such as
caries, enamel defects, erosions and periodontal diseases. The aim of this study is to investigate
the changes in dietary intake of children with disorders in oral structures and after prosthetic
treatment. Material and Methods: 58 subjects aged 3 to 18 are included in the study. They are
divided into two groups – first is from children with oral disorders and the second is with children
after prosthetic treatments. After examination of the 24-hour diet, the amount and quality of the
ingested micronutrients is established and compared with normal intake rates for the respective
age. Results: There is statistically significant correlation (P = 0.024) between the disorders of the
oral structures and increased fat intake. Children in this group prefer low-molecular carbohydrate
foods, poor in minerals and vitamins, easy for chewing. In the group with prosthetic treatments,
lower fat intake is found compared to the first group (38.9% of total daily energy), but the values are
also above the age limit (from 25% to 35%). Reduced fiber intake is found for both groups
(respectively 11.8 and 13.3 g / per day). Conclusion: To assess the the nutrition and its impact on
oral health, it is necessary to develop and implement a screening system which evaluate the
possibility of balanced nutrition in dental clinical practice.
Keywords: nutrition, dietary intake, micronutrients, oral health, childhood
PP 124 RESTORATION OF COMPLICATED CROWN FRACTURE WITH FIBER POST: A

CASE REPORT
Turkey
Aim: Crown fractures are classified into 2 groups according to whether they contain pulp or
not, complicated and uncomplicated. The types of restorative treatment are evaluated according to
the amount of crown after complicated crown fracture.In this presentation, we aim to present a case
report on restoration with fiber post in this type of trauma. Case report: We evaluated the
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anamnesis and radiographs obtained from the patient who applied to our clinic few minutes after
trauma that complicated crown fracture. Calcium Hydroxide paste was applied 2 times to
complicated crwon factured maxillary lateral incisor tooth. After sufficient apical contraction was
achieved, the root canal was filled with gutta percha and the restoration was completed with
polyethylene fiber post and composite. Conclusion: Through the polyethylene fiber post has similar
elasticity modulus with the dentin and easy application, although it is used in many areas also
commonly used in complicated crown fractures with high loss of dental tissue.
Keywords: Polyether fiber post, crown fracture, dental trauma
PP 125 DEVELOPMENTAL ENAMEL DEFECTS AND DENTAL CARIES IN LOW BIRTH

WEIGHT CHILDREN
OLGA BĂLTEANU, ELENA HRISTEA, IURIE SPINEI, MARIA COSTIOGLU, AURELIA
SPINEI
Republic of Moldova
Aim: To evaluate the relationship between the low birth weight of children and the
prevalence of enamel defects (opacity and hypoplasia) and dental caries in children. Materials and
Method: 216 children aged between 12 and 18 years were clinically examined within the case-
control study. The research group (L1) comprised 108 premature newborns with a birth weight of
less than 2.500 grams. The control group (L0) was composed of 108 newborns with normal weight.
Indices of dental caries prevalence (PI), DMFT and DDE (Index of Developmental Defects of Dental
Enamel, FDI-1982) have been evaluated. The study was conducted in accordance with ethical
requirements, with the written consent of children`s parents or their legal representatives. Statistical
data analysis using parametric and non-parametric tests was performed using Microsoft® Excel®
2013 programs, functions and modules. Results: in group L1, dental caries was detected in 70.37 ±
4.39% of children, DMFT = 6.82 ± 0.21, PI index being 1.55 times higher, and DMFT - 1.89 times
higher compared to children in L0. The frequency of enamel defects is 2.66 times higher in children
with low birth weight (14.81 ± 3.42%, p <0.001) than in those with normal weight (5.56 ± 2.2%).
Conclusions: The presence of developmental enamel defects and dental caries experience is
associated with low birth weight of newborns, which must be considered when planning
individualized preventive measures.
Keywords: dental caries, developmental enamel defects, hypoplasia.
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PP 126 AESTHETIC RESTORATION OF UNCOMPLICATED CROWN FRACTURE: 2 CASE

REPORTS
EMİNE TATAR, EZGİ EROĞLU, İSMET REZANİ TOPTANCI, HATİCE KÜBRA
DAMAKSIZ
Dicle University Diyarbakir, Faculty of Dentistry
Turkey
Background: Orofacial trauma is one of the most dental common problem at child and
adolescent. Prolonged of the time can cause bad prognosis. Early treatment of these teeth is
important because of treatment success. In this case report, uncomplicated crown fracture of
maxillary right central due to trauma in two different patients was tried to be explained. Case report:
An eleven year old boy and a nine year old girl patient were admitted to Dicle University Faculty of
Dentistry Department of Pediatric Dentistry Clinic with trauma. At the clinical examination of both
patients, uncomplicated crown fracture was detected at right maxillary central incisor. Radiographic
abnormalities did not found. Both the patients’ teeth which were uncomplicated crown fracture teeth
were treated with aesthetic restorative material. Conclusion: The success of the trauma
management depends on correct clinical and radiographic examinations, treatment planning and
follow up. The controls of the patient continue with reference to the guideline published by the
Dental Traumatology Association in 2012.
PP 127 MANAGEMENT OF THE DENTIGEROUS CYSTS RELATED TO THE DELAYED

TREATMENT OF INFECTED PRIMARY TEETH
ÜKÜ ŞERMET ELBAY, GÜL UÇAR, FATIH MEHMET COŞKUNSES, DENIZ AKIN
Turkey
Background: Dentigerous cysts are developmental benign lesions of the jaws which
generally occur in association with unerupted teeth. Most of these lesions are asymptomatic and
commonly detected during routine radiological examination. Although removal of the cyst is
necessary in these cases, enucleation of these lesions can bring forth a risk of infection, damage to
important anatomical structures as well as the permanent teeth. To avoid those complications,
decompression is recommended to reduce the size of the cyst, hence making the treatment safe. In
these case reports, It is aimed to demonstrate the treatment of complicated cyst cases in children
and pay attention to the importance of timely treatment of infected primary teeth. Case Reports: A
12-years old male and an 8-years old female patient with pain and swelling in the left cheek area
applied to the pediatric dentistry clinic. The radiographies of both patient showed a well
circumscribed radiolucent zone surrounding the crown of the unerupted premolar teeth. Also
decayed primary molars were seen associated with the lesions. Treatment was started with
extraction of the primary teeth and cystic decompression done with a removable appliance with an
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extending in to the cystic cavity. Conclusion: It was seen that the lesions were completely healed
and the teeth were in eruption after 8 months and 3 months later, in the first and second case,
respectively. Minimal invasive techniques as in this report should be taken in consideration in
younger population.
PP 128 DENTAL REHABILITATION OF A PATIENT WITH AMELOGENEZIS IMPERFECTA:

CASE REPORT
CANSU OSMANOĞULLARI SARIYILDIZ, TUĞÇE NUR PEKDEMIR, İZZET YAVUZ
Dicle University, Faculty of Dentistry
Turkey
Aim: Amelogenesis imperfecta (AI) is a genetic anomaly of enamel development that
shows hereditary transmission and affects the structure, amount and composition of the primary and
permanent teeth enamel. Phenotypically this disease can be classified into four main types;
hipocalcified, hipomature, hypoplastic and taurodontism observed with hipomature-hypoplastic.
Case Report: The diagnosis of amelogenesis imperfecta was made by evaluating the anamnesis
and radiographs taken from a 13 year old male patient who applied to our clinic with sensitivity and
decay. Fluoride gel was applied after filling treatment was completed. Eruption delay was observed.
Orthodontic consultation was started to be applied to the patient in order to relieve the decreased
occlusal height. Follow-up and treatment process is still ongoing. Conclusion: In such patients it is
important to begin treatment as early as possible to prevent increased tissue loss and premature
tooth loss. Enamel losses cause aesthetic problems as well as chewing, occlusion problems and
sensitivity. Therefore, multidisciplinary approach is important. Fluoride gel application once in 3
months was effective both in terms of sensitivity and decay prophylaxis.
PP 129 PARTICULARITIES IN THE SURGICAL APPROACH OF THE PATIENT WITH

HEPATIC PATHOLOGY
DIANA MARIA ANTON, OANA ELENA CIURCANU, IRINA GEORGETA ȘUFARU,
LILIANA PĂSĂRIN, SILVIA MÂRȚU
Romania
15 - PERIODONTOLOGY
Background: The biggest problem in oro-dental surgical interventions on a patient with
hepatic pathology is the fraction between the surgical aggression and the liver`s compensation
ability. Materials and Methods: In the study conducted in the Oral and Maxillofacial Clinic Iasi, we
observed a large number of patients with both dental and hepatic pathologies , with or without
treatment or under the supervision of an internist (635 out of 6734 patients, about 9,42 %). The
most common hepatic disease encountered was the liver cirrhosis (42 % of the cases), due to
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alcohol consumption (59,84 %). The most common dental diagnosis was dental roots (30,55 %),
followed by perimaxillary abscesses (21%). Results: The results showed that the number of
patients with hepatic pathology was in a continuous growth, represented by chronic hepatitis and
liver cirrhosis as well as the number of dental pathology and needed surgical interventions.
Conclusions: The main concern of the surgical team was to ensure the maximum safety of the
patient, which can be done by proper presurgical investigations, the right indication of the
presurgical preparation, the collaboration between doctors of different medical specialities and the
pre and postsurgical evolution until the full recovery of the patient.
Keyword: liver pathology, dento-alveolary surgery.
PP 130 CARDIOVASCULAR INDICATORS IN PATIENTS WITH PERIODONTAL DISEASE:

SERUM MYELOPEROXIDASE AND ANTI-OXIDIZED LOW DENSITY LIPOPROTEIN
ÖZLEM FENTOĞLU*, BURAK DOĞAN**, F. YEŞIM KIRZIOĞLU*, ESRA SINEM
KEMER**
*Süleyman Demirel University, Isparta;
**Mustafa Kemal University, Hatay
Turkey
15 - PERIODONTOLOGY
Background: Cardiovascular and periodontal diseases are important health public
problems in the world. We aimed to evaluate the serum levels of myeloperoxidase (MPO) and anti-
oxidized low density lipoprotein (anti-oxLDL) as cardiovascular indicators in patients with periodontal
disease. Material and Methods: Sixty–eight systemically healthy subjects were included in this
study. Subjects were divided into three groups [(chronic periodontitis (n=28), gingivitis (n= 20), and
periodontally healthy (n=20)] according to their periodontal conditions. The clinical periodontal
parameters including plaque index, gingival index, probing pocket depth (PPD), the percentage of
bleeding on probing (BOP%), and clinical attachment level (CAL), were measured. The fasting
venous blood samples were obtained, and the serum levels of lipids, MPO and anti-oxLDL were
evaluated. Results: Total cholesterol/high density lipoprotein and low density lipoprotein levels were
significantly higher in the gingivitis group compared with the periodontally healthy group (P =0.015
and P =0.005, respectively). Subjects with periodontally healthy and gingivitis had higher serum
anti-oxLDL levels than that of patients with periodontitis (P =0.021 and P =0.015, and respectively).
Serum MPO levels were significantly higher in the periodontitis group than in both gingivitis and
periodontally healthy groups (P =0.002 and P =0.003, respectively). Serum MPO levels were
positively correlated with BOP%, PPD, and CAL (P <0.05). Conclusion: Our findings could lead to
consider that those inflammatory mediators may have an important role in the pathogenesis of both
diseases.
Note: The authors are very grateful to the Scientific and Technological Research Council of
Turkey (TÜBİTAK) for financial support (107S056).
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PP 131 EFFECT OF ORTHODONTIC TREATMENT ON THE PERIODONTIUM IN THE CASE

OF PATIENTS WITH PERIODONTAL DISEASE
IOANA-ANDREEA SIOUSTIS, MARIA ALEXANDRA MARTU, CORNELIA
ALEXANDRA TEODORESCU, IONUT LUCHIAN, SILVIA MARTU
Romania
15 - PERIODONTOLOGY
Background: The orthodontic movements produce the reorientation of the periodontal
support tissue and so, in the case of the orthodontic treatment in pacients with periodontal disease it
is necessary to use orthodontic movements according to the given situation. The aim of this review
is to analize what modifications appear at the affected periodontium, as a consequence of controlled
orthodontic movements. Materials and Methods: In order to select the articles the PubMed
database was used. The search was made with the keywords: orthodontic, periodontitis, effects and
209 results were displayed. Only 36 were published in the last 5 years (from 2014 until present) and
only these were analized for this review. Results: The orthodontic treatment could contibute to bone
loss in the case of periodontal pacients by inducing proinflamator citokines or when the forces used
are not corelated accordind to the patient’s status. Conclusions: The orthodontic treatment could
aggravate periodontitis and so, it is really important to have a good and complet periodontal
management before any orthodontic movement. Furthermore, it would be really usefull to have an
exact protocol for the periodontal-orthodontic managemnt of the patients.
PP 132 TREATMENT OF MILLER II GINGIVAL RECESSION: A CASE REPORT

VOLKAN ARIKAN, HATICE SELIN YILDIRIM , BAŞAK DOĞAN
Marmara University Istanbul - Turkey
15 - PERIODONTOLOGY
Aim: Gingival recession related to periodontal disease or developmental problems can
result in root sensitivity and aesthetically unacceptable root exposures. The aim of this case report
was to obtain the clinical and aesthetic outcomes of surgical approaches for the treatment of deep
gingival recession affecting the mandibular incisors. Material and Methods: A 25-year-old female
patient applied to Marmara University, Department of Periodontology, with the complain of
hypersensitivity in the lower front teeth region was concerned about the aesthetic. The intraoral and
radiographical examinations revealed that she had a Miller II recession with a depth 7 mm on buccal
side of mandibular left central incisor. Six weeks after initial periodontal treatment, free gingival graft
procedure was performed to create keratinized tissue in the recession area. Two months after first
surgery, coronally advanced flap with connective tissue graft procedure was performed for root
coverage. The healing process were uneventful during the overall post operative periods. The root
coverage of the recession was 5 mm (%72) and keratinized tissue gain 7 mm after 3 months follow-
up. Moreover, the patient was quite statisfied with the final aesthetic outcome and had no complain
about hypersensitivity. Conclusion: In surgical treatment of Miller II gingival recession, free gingival
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graft technique and coronally advanced flap with connective tissue graft can result in satisfactory
root coverage and aesthetic outcome.
Keywords: connective tissue graft, free gingival graft, gingival recession, aesthetics.
PP 133 PERIODONTAL AUGMENTATION IN THE TREATMENT OF ORAL PYOGENIC

GRANULOMA
GAMZE KAVUNCU
Marmara University Istanbul - Turkey
15 - PERIODONTOLOGY
Background: Oral pyogenic granuloma (PG) is a tumor-like hyperplasia as a result of
various stimuli such as chronic local irritation, trauma, and hormonal changes. Its prevalence was
reported between 21-39%and recurrence rate was between 5.8–23.3%. The treatment includes
surgical removal of the lesion together with affected bone around to prevent recurrence. The defect
remained after the removal should be augmented to obtain healthy and esthetic contours. This case
report presents the treatment of such a lesion located in the premaksillar region. Material and
Method: A 32-year-old woman referred to the periodontology clinic having swelling and bleeding on
her palate. Intraoral examination revealed exophytic, pedinculated, highly vascular gingival growth
on the palatal of maxillary teeth. After the initial periodontal treatment it was decided to remove the
lesion with periodontal flap and to augment the remaining defect by partially epithelized connective
tissue graft (PECTG). After removal, the lesion was sent for the histopathologic evaluation. The
bone under the lesion was also affected and invasion was observed. Therefore, osteoectomy and
osteoplasty procedures were performed. The region was covered by (PECTG) received from palatal
margin of the palatal flap. Then, flap was closed and primary closure was obtained. Results:
Histological examination revealed pyogenic granuloma. The healing was uneventful and the 6th
month follow up demonstrated stable healthy periodontal tissues and no recurrence. Conclusion: In
the treatment of pyogenic granuloma, well-planned periodontal flap procedure including with
partially epithelized connective tissue graft is dependable procedure to obtained functional, healthy
and esthetic outcome and to prevent the reoccurrence.
PP 134 THE DISTRIBUTION OF PATIENT REFERRAL PROCEDURES TO PERIODONTISTS

FROM DENTISTS
EVREN ÖZEN, HATICE SELIN YILDIRIM, BAŞAK DOĞAN
Marmara University, Istanbul, Faculty of Dentistry - Turkey
15 - PERIODONTOLOGY
Background: A limited data was avaliable regarding the referral procedures between
dentists and periodontists. The aim of this study was to investigate the distribution of patient referral
procedures to periodontists from dentists. Material and Methods: The questionnaire distributed
among 532 dentists who attended to 22th International Congress of Turkish Dental Association in
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İzmir, Turkey; out of them, 257 (48%) were willing to participate to the survey. Results: The most
commonly referred procedure indicated by the dentists was treatment of generalized periodontal
disease (71.6%), followed closely by treatment of localized periodontal disease (67.7%). Over one
third of the respondents (39.3%) indicated that they referred treatment plan consultations and
(37.4%) indicated they referred for implant placement procedures. Comprehensive exam (29.6%)
and soft tissue grafting (27.2%) procedures accounted for the fifth and the sixth most common
referral. The remaining procedures (initial therapy, crown lengthening, cosmetic periodontal plastic
surgery, bone grafting, and second opinion) individually accounted for far fewer responses than the
top six above. Conclusions: This study indicates that treatment of generalized and localized
periodontal disease are the procedures most commonly referred among Turkish dentists, which is in
accordance with literature.
Keywords: Dentistry, periodontist, referrals.
PP 135 HOW TO AVOID EXPLANTATION IN CASES OF PERI-IMPLANTITIS

BOJAN VELKOSKI, BRUNO NIKOLOVSKI, DANIELA CVETANOVSKA-STOJCEVA,
RISTE BRZAKOV, ANA MINOVSKA
Center for dental health – ETERNAdent, Skopje
FYROM
15 - PERIODONTOLOGY
Background: Peri-implantitis is an infectious disease that causes an inflammatory process
around an osseointegrated implant in both soft and hard tissues. The etiology of this occurrence lies
in the bacterial activity conditioned by the tissue status, implant design, and the mechanical load
during implantation and the following prosthetic rehabilitation. What can we do in avoiding the last
and least wanted procedure – the explantation? In this article, we will describe all possibilities that
we are able to do against the infection, such as bacterial infection control, decontamination and
tissue regeneration. We will put a special accent to the laser debridement as one of the newest and
most promising procedures, as well as most biological one.
Keywords: peri-implantitis, implant, infection, decontamination.
PP 136 THE ACTION OF AСЕПТА PARODONTAL MEDICATIONS ON PERIODONTAL

STRUCTURES AT PATIENTS WITH DIABETES MELLITUS
ZINOVIA VACULA-FURTUNA, DIANA MARCU, LIDIA ENI
Republic of Moldova
15 - PERIODONTOLOGY
Background: Periodontal disease was named the 6th complication of Diabetes Mellitus.
Periodontitis in Diabetes Mellitus are often met in Diabetes Mellitus, having a specific evolution with
destructive effects on the elements of the stomatognathic system. Material and Methods: Ten
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patients having periodontal disease in Diabetes Mellitus were subjected to examination and
therapeutical treatment which included scaling, professional brushing, application with the next
medication: a) Mouthwash AСЕПТА Active, b) Mouthwash AСЕПТА Fresh, c) Balm for gums
AСЕПТА Adhesived) Balm for gums AСЕПТА Propolise) Toothpaste AСЕПТА Sensitive. This
medication contains a combination of antiinflammatory, analgetic effect of benzydamine, and the
antimicrobian effect of metronidazole. Some medications contain sage and chamomile, having also
an antiinflammatory and antimicrobial effects. PMA index was determed before and after treatment.
Results: The PMA index at the 3rd of the treatment exceeded 61% in 30% cases, PMA was
between 31-60% in 70% cases. So, the observed post-treatment inflammation is based on elements
like: hyperglycemia, specific vascular changes, alteration of collagen synthesis and dysfunction of
immune cells. Conclusion: Chronical marginal periodontitis is a key chapter in Diabetes Mellitus. It
is met in 60-90%, having an early debut and rapid progression. It was observed a improving of the
local status with a post-treatment inflammation, confirmed by PMA index, in the result of the
effectiveness of local treatment with AСЕПТА Parodontal medications on periodontal structures at
patients with Diabetes Mellitus.
PP 137 NEW ASPECTS IN DENTAL FIXATION AFTER TRAUMA AND PERIODONTITIS

KYROS VASILEIOS, MARIA-ELENI ZOULOUMI, MARIA SIDERI, AGATHI-
PANAGIOTA SPYROPOULOU, LAMPROS ZOULOUMIS
Greece
15 - PERIODONTOLOGY
Background: The term dental fixation means the connection of mobile teeth between them
and the stable teeth, in order to reduce their mobility. Dental fixation after trauma and periodontitis is
considered to be necessary in cases such as: tooth displacement, root fracture, alveolar bone
fracture and replanting after total avulsion. Dental fixation promotes the healing of periodontic
tissues by teeth stabilization, preventing the further damage of periodontal membrane. In addition, it
protects the pulp indirectly during the periodontal healing period. The aim is to present the new
aspects and the importance of dental fixation after trauma and periodontitis. Material and Methods:
Research in international bibliography using the following key-words: dental fixation, splinting of
teeth following trauma, splint types. Conclusions: In coclusion, the dental fixation is necessary after
trauma and periodontitis. There are also different splinting types, that are used according to the
nature of trauma. As a result, dental fixation is a very important clinic procedure after trauma and
periodontitis, and the new trends can help a dentist to promote the healing of periodontic tissues
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PP 138 IBUPROFEN INFLUENCE ON GINGIVAL BLEEDING DURING ETIOLOGICAL

PERIODONTAL TREATMENT
IOANA RUDNIC, VERONICA PINTILICIUC ŞERBAN, LILIANA PĂSĂRIN, SILVIA
TESLARU, SORINA SOLOMON
Romania
15 - PERIODONTOLOGY
Background: Currently widely used due to its antialgic and antiinflammatory properties,
Ibuprofen is one of the drugs that have been shown to increase bleeding during surgical
procedures. Aim: The purpose of this study is to evaluate the effect of ibuprofen on gingival
bleeding during periodontal etiological treatment. Material and Methods: The study group
consisted in 17 patients with chronic periodontitis who were treated by etiological periodontal
treatment, which involved mandatory periodontal curettage. Patients were divided into two groups,
depending on the pretreatment medication used. Thus, a group of 10 patients consumed ibuprofen
prior to therapy, the test group, and another 7 patients did not take any antialgic or anti-inflammatory
drugs, the control group. Bleeding time and gingival bleeding index were measured before, during
and post-treatment. Results: The results obtained showed a statistically significant increase (P
<0.05) of the two parameters evaluated in the group that consumed ibuprofen before periodontal
treatment. Conclusions: The present study showed that this type of medication would have harmful
effects on periodontium, especially on the degree of gingival bleeding. Consequently, during
performing bleeding maneuvers, their administration should be accomplished with caution.
PP 139 OBTAINIG OF GINGIVAL FIBROBLASTS CULTURES BY EXPLANT TECHNIQUE-A

SIMPLE METHOD FOR REASEARCHS
IOANA MARTU, ANCUTA GORIUC, IONUT LUCHIAN, DANA BOSANCEANU,
RALUCA -ELENA BACIU, MONICA TATARCIUC
Romania
15 - PERIODONTOLOGY
Background: We propose to find a suitable and cost-effective technique for isolation and
culture of both, dermic and gingival fibroblasts collected through human dermic biopsy and rats
gingival biopsy, respectively. Material and Methods: To obtain cell cultures of gingival fibroblasts
and dermal fibroblasts we used explant technique. Gingival fibroblasts were obtained from untreated
rat gingiva. Gingival samples were minced and washed six times with PBS, thereafter being placed
in Petri dishes with Dulbecco culture medium supplemented with L-glutamine, glucose, 10% FBS
and 1% antibiotic mixture (penicillin/streptomycin). Samples were left in the incubator 2 to 5 days.
The harvested tissue was transported shortly after, cut into pieces of about 1 cm and placed for
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digestion in a 50 ml tube containing 15 ml of 0.2% trypsin, in incubator at 37°C and 5% CO2. After
24 hours, the trypsin was neutralized and explant samples removed into a petri dish with DMEM
culture medium supplemented with 10% FBS and 1% antibiotic. Results: After about 48-72 hours,
gingival fibroblasts adhered to the vessel wall and the gum has been removed. Fibroblasts obtained
were grown in culture flasks for 3-4 passages and then frozen. We therefore obtained
homogeneous cultures of both gingival and dermal fibroblasts, with subsequent possibility of further
use of the cryopreserved achieved cultures. Conclusions: Our results suggest that tissue explant
method is a suitable and cost-effective technique for isolation and culture of gingival and dermal
fibroblasts.
PP 140 STUDY REGARDING THE IMPACT OF PROSTHETIC IATROGENIES ON THE

PERIODONTAL STATUS
LILIANA PĂSĂRIN, SORINA MIHAELA SOLOMON, IRINA-GEORGETA ȘUFARU,
IONUT LUCHIAN, SILVIA MÂRȚU
Romania
15 - PERIODONTOLOGY
Background: Troubles in conducting a correct dental treatment can interfere with
periodontal tissues homeostasis, including the prosthetic treatment of missing teeth. The aim of the
study was to evaluate the periodontal changes in patients with fixed dental prosthesis. Materials
and Methods: The study was conducted on 58 patients who previously had dental prosthetic
treatments. The evaluation included the periodontal probing depth, bleeding on probing, furcation
involvement and gingival recessions, as well as radiological findings. Results: The data revealed
that a very high percentage of the prosthetic treatments were incorrect (96.55%), with 83.92%
having overhanging margins and 46.42% presenting signs of severe periodontitis. Thus, our results
suggest that the quality of prosthetic treatment can severely affect the periodontal tissues health,
with important effects on the treatment outcome. Conclusion: A good collaboration between the
dental prosthetist, the periodontal specialist and the dental technician being essential.
Keywords: prosthetic iatrogenies, periodontal status, gingival recessions
PP 141 EVALUATION OF THE EFFECTS OF OCCLUSAL TRAUMA IN PERIODONTALLY

IMPAIRED PATIENTS
COSMIN POPA, IONUT LUCHIAN, IOANA MARTU, SORINA - MIHAELA SOLOMON,
SILVIA MÂRȚU
Romania
15 - PERIODONTOLOGY
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Aim : The aim of this study was to evaluate the degree of periodontal lesions in patients with
chronic periodontitis, with or without occlusal trauma. Materials and Methods: In the study, 40
patients with chronic periodontitis were divided into two groups: study group with periodontal
disease and occlusal trauma (n=30) and the control group consisting of patients with periodontal
disease but without occlusal trauma (n=10). Patients were clinically and radiographically examined,
including the bacterial plaque index, absent teeth number, probing depth, recessions, number of
teeth with mobility and furcation lesions. Results: Most patients with mild periodontitis did not show
occlusal trauma sites, while most patients with severe chronic periodontitis had more than three
occlusal trauma sites per patient. The difference between groups was statistically significant (P
<.05). Conclusion: This study has shown that occlusal trauma generates significant periodontal
changes. Thus, the therapy of occlusal trauma becomes an absolute necessity in periodontal
therapy.
Keywords: occlusal trauma, periodontitis.
PP 142 EVALUATION OF THE PERIODONTAL PARAMETERS IN DENTAL PROSTHESIS

PATIENTS WITH RHEUMATOID ARTHRITIS
MADALIN HONCIUC, MARIA-ALEXANDRA MARTU, LILIANA PASARIN, IOANA
RUDNIC, SILVIA MARTU
Romania
15 - PERIODONTOLOGY
Aim: The aim of the study was to analyse the periodontal status and the association
between the wearing of fixed/removable partial dentures and periodontal disease in rheumatoid
arthritis patients. Materials and Method: The study was conducted on 36 patients with rheumatoid
arthritis. Data were obtained by clinical examinations, which included the Community Periodontal
Index and the examination of quality of the dental prosthetic treatment. A descriptive analysis and
the chi-square statistic were performed. Results: In total, 69.44% of the individuals wore fixed
dental prosthesis and 11.11% wore partial dentures. The prevalence of periodontal disease was
100%. A high percentage of the subjects presented calculus (86.11%) but only a small proportion
was recorded as having deep pockets (8.33%). All denture wearer displayed periodontal problem in
the sextant where the denture were recorded. Conclusion: The periodontal status of the study
population can be considered unsatisfactory. The wearing of dental prosthesis was associated with
periodontal disease, with a high importance on the plaque control.
Keywords: periodontal disease, dental prosthesis, oral hygiene, rheumatoid arthritis
patients.
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PP 143 STUDY ON THE ASSOCIATION BETWEEN THE SEVERITY OF CHRONIC

PERIODONTITIS AND CAROTID ATHEROSCLEROSIS
OVIDIU NICOLAICIUC, SORINA MIHAELA SOLOMON, LILIANA PASARIN, BOGDAN
VASILIU, SILVIA MARTU
Romania
15 - PERIODONTOLOGY
Aim of the study: The aim of this study was to evaluate whether there is a correlation
between the severity of chronic periodontitis and atherosclerosis, quantified by intima-media
thickness (IMT). Materials and Method: Fifty adult patients who received consecutive duplex
carotid scans in the lab were included. The study included patients diagnosed with atherosclerosis
and healthy patients. The following periodontal clinical variables were evaluated: plaque index;
bleeding on probing; probing depth (PD); gingival recession; the level of clinical attachment (CAL).
Results: Regarding the magnitude of PD, most sites were found in the test group: 33.9% for IMT> 1
mm without plaque and 47.1% for the atheroma group; differences were statistically significant
between groups (p <0.05). The atheroma plaque group revealed 11.8% of subjects with mild
periodontitis, 17.6% moderate periodontitis and 70.6% severe periodontitis. Approximately 70% of
patients with atheroma plaque experienced severe periodontitis, suggesting at least one association
between the two pathologies. This group had the highest percentage of severe periodontitis, which
means that the more severe periodontitis levels were linked to more advanced forms of
atherosclerosis. Conclusions: This research has shown an association between the most severe
forms of periodontitis and the presence of atheroma plaques in a significant number of patients,
suggesting at least an association between the two pathologies.
Keywords: periodontitis, atherosclerosis, atheroma plaques.
PP 144 RISK FACTORS EVALUATION IN PATIENTS WITH PERIODONTITIS ASSOCIATED

WITH CARDIOVASCULAR DISEASE
BOGDAN VASILIU, ALEXANDRA CORNELIA TEODORESCU, OVIDIU NICOLAICIUC,
NAZIRA SAVA, SILVIA MARTU
Romania
15 - PERIODONTOLOGY
Aim: We aimed to provide insight on the association between periodontitis and
atherosclerosis by determining the plasma levels of a series of risk markers for cardiovascular
disease in cases with periodontitis. Materials and Method: 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
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various substances analyzed in plasma were calculated using a multivariate logistic regression
model, which compensated for age, gender, smoking and body mass index. Results: Regression
analyses revealed a significant association between periodontitis and the high levels of C-reactive
protein (CRP) [odds ratio (OR) 4.0, confidence interval (CI) 1.4–11.4] and fibrinogen (OR 8.7, CI
2.6–28.4). Conclusions: Severe periodontitis was associated with increased levels of CRP, glucose
and fibrinogen.
Keywords: periodontitis, atherosclerosis, inflammation, risk factors.
PP 145 COMPARATIVE THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS OF METAL-

CERAMIC AND ALL CERAM 5-UNIT FPD
NICOLETA IOANID, ARINA ALICE CIOCAN PENDEFUNDA, ELENA LUCA,
ANTONELA BELDIMEN, GABRIELA IFTENI
Romania
15 - PERIODONTOLOGY
Aim: The emergence of restorative materials (all-ceramic systems, reinforced composites,
etc.), performing more aesthetically, has led to the expansion of their use. A better understanding of
bio-mechanical behavior is also mandatory. The purpose of this study is to evaluate the distribution
of the Von Misses tension in the periodontal support of two types of mandibular bridges. Material
and Methods: Two mandibular 3-dimensional models supporting 5-unit fully ceramic and
respectively, metal ceramic FPD were simulated by using Generative Structural Analysis (GSA)
module from CATIA software. The connectors were of rigid type, both models having the second
premolar as pier abutment. The second molar and the canine were used like terminal abutments.
There were used non-precious chromium-cobalt (Cr-Co) casting alloy and Vita MK, for metal-
ceramic bridge and Zircon VITA In-Ceramic, respectively. Both models were stressed in two
different manners, with constant forces. First, by applying an axial load of 110.1 N, an horizontal
load of 15.3 N, acting to vestibular side and an horizontal load of 21,4 N, acting to distal side.
Results: The values of stress concentration were significantly higher in the case of the all- ceramic
bridge, the highest values being recorded in the cervical region for both types of bridges. The
relative influence of the pier abutment on load distribution consisted in a stress reducing on the
cervical periodontal area of the canine, more important in case of metal-ceramic fixed prosthetic
denture. Conclusions: 5-unit all-ceramic bridges with pier abutment significantly increase the
cervical stress.
Keywords: all-ceramic bridges, metal-ceramic bridges, finite element analysis
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PP 146 SEVOFLURAN AND PROPOFOL, THEIR IMPACT ON PERIODONTAL STATUS AT

PEDIATRIC PATIENTS
SAIMIR HETA*, ILMA ROBO**, SPIRO SILLA*, DARIEL THERESKA*, SONILA
ROBO***
*University Hospital Center, Tirana; **Albanian University, Tirana; ***Fier Maternity, Fier
Albania
15 - PERIODONTOLOGY
Aim : Under the analysis of the characteristics of general anesthetics and via side effects,
the goal of the study is to assess the impact of the sevofluran in the dose of produced saliva. This
changing is considering in connection with change in status of gingival health of pediatric patients,
before and after the surgical procedure. Materials and Methods: The study was applied at 28
gingival status measurement and assessment of 14 patients that received treatment, without
limitation of age, who underwent surgical treatment protocol. The selection of children was
conducted on basis of the kind of general anesthetic used and applied in full agreement with the
parents. Results: Difference in ml for 5 minutes, between the mean values, is 0.36ml. Expressed in
datas, the growing is by double of the normal production value per minute. From the table, it
appears that 57% of patients including in the study, are in terms of quantity of produced saliva. 36%
of children suffer from hipersalivacion and 7% suffer from hiposalivacion. About around 25% of
children involved with in the study, suffered from periodontal illnesses. The impact of general
anesthetics on periodontal health of children expressed in calculating the value of p ≤ 0.0001.
Patients were classified according to their change of values by three degrees. Conclusion: The
general anesthetic sevofluran influences on increasing the volumes of produced saliva. Applying
sefovluran affect the aggravation of periodontal status at gingival margo and at fixed gingival.
Keywords: Sevofluran, Propofol, Saliva, PMA
PP 147 APPLICATION OF GS THREE PLAQUE GEL IN DETECTION OF DENTAL PLAQUE

MIRJANA POPOVSKA*, LIDIJA VELOVSKA*, LINDITA ZENDELI BEXHETI**, BILJANA
RUSEVSKA**, MARIJA IVANOVSKA**
*Faculty of Dentistry, Skopje; **University Dental Clinic Skopje
FYROM
15 - PERIODONTOLOGY
Aim. To detect the number of teeth with different plaque accumulates: a newly formed
plaque, matured plaque, and a high-risk plaque. Material and Method: Two groups are included:
First, kept their own brushing habits and the second that used the Bass technique. Each counted 50
patients. Subjects were monitored: at the first visit, after 7, 15 days and 1 month. GS Triple Plaque
Gel is a product of GS America INC.Gel was applied according to the manufacturer's instructions to
the surface of the teethidentifying plaquein three different colors: fresh, mature and those that
produce acids. Clinical examination was performed with an assessment of the oral hygiene: a dental
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plaque index Silness-Lӧe, and a gingival inflammationLӧe-Silness.Results. At the first examination,

the total number of red-pink colored teeth varies in the interval 21,18 ± 3,68 teeth, and after 1 month
it is 13,36 ± 2,96 teeth. At the first examination, number of blue-violet colored teeth varies in the
interval 3.60 ± 1.58 teeth, after 1 month is 2.56 ± 1.81 teeth. At the first examination, the total
number of light-blue colored teeth varies in the 4.66 ± 2.67 interval 4.6 to 2.67 teeth, and after 1
month is 1.08 ± 1.19 teeth. Conclusion: In patients brushing by own habits compared to those
using Bass technique, plaque with light blue and blue-violet staining is more often recorded.
PP 148 PATHOGENIC POTENTIAL EVALUATION OF PERIODONTAL MICROBIAL FLORA

IN PATIENTS WITH DIABETES NON AND INSULIN-DEPENDENT
RAMONA IMELDA DINU*, MARIUS ANDREI DINU*, SILVIA MARTU*, DUMITRIU
HORIA TRAIAN**
Romania
15 - PERIODONTOLOGY
Background: The bacterial community must be understood as a group of microorganisms
that co-exist in a synergistic relationship and are capable of exaggerating their virulent potential as
individual bacterial species. Essential for the successful treatment of periodontal disease is the
understanding of the susceptibility factors of the host to the microbial risk agents. Aim of the
study : The aim of the study was to investigate the prevalence and proportion of major
parodontopathogenic bacteria in order to make a rigorous periodontal diagnosis that will ensure the
success of subsequent therapy applied to patients with diabetes. Material and Methods: The study
consisted of 83 non and insulin-dependent diabetic patients. No patient has received periodontal
treatment in the last 6 months or antimicrobial medication in the last 3 months. For the
determination of pathogens, plaque samples were collected from the periodontal pockets and
identifications were made using Real-Time-PCR techniques. Results: The mean proportion of A.
actinomycetemcomitans is higher in the insulin dependent diabetes group than in the non-insulin
dependent diabetes group and the control group (p <0.002). The mean T. denticola ratio is
increased in the non-insulin dependent diabetes group than in the insulin dependent diabetes group,
respectively the control group (p = 0.004). Conclusions: Metabolic disease widely spread in the
population, diabetes frequently evokes the infection, the systemic and local response of the host
organism. In case of associated oral affections, these pathophysiological phenomena may be
primary responses to the presence of the systemic disease, but may also represent a secondary
response of the host to periodontal pathogens. Identification of the latter may therefore be a useful
and effective method in correctly establishing a specific treatment plan.
Keywords: diabetes, periodontal pathogens, microbial identification.
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PP 149 THE FLUORIDE CONCENTRATION IN TEAS AVAILABLE IN SERBIAN MARKET

ZORAN MANDINIC, MARIJANA CURCIC, JELENA MANDIC, JASMINA TEKIC,
DANIJELA DJUKIC COSIC
University of Belgrade
Serbia
The Aim: The aim of this study was to examine fluoride concentration in filtered teas
available on the Serbian market. Material and Methods: In this study 14 domestic types of tea and
10 kinds of foreign manufacturers were used. All teas were prepared in two different ways, following
manufacturer's instructions on (60-100 °C; 2-8 minutes) in the first group, and using an arbitrary
method of preparation (60-100 °C; 30 minutes) in the second group. Samples were preserved by
the Titriplex® stabilizer. Fluoride concentration was determined by the potentiometric method using
ion- selective electrodes for fluoride. The electrode was calibrated by standard solutions of the
fluoride ion and the draft is a graph of the electromagnetic force from the negative logarithm of the
fluoride concentration. Each sample was weighed in a polyethylene bottle containing a magnetic
stirrer and it contained 20ml of tea and 20ml TISSAB buffer. The electrode was immersed in a
solution and values of potential (mV) were read on a pH-meter. The resulting potentials were used
to read the fluoride concentration in μmol / l using the calibration curve. Results: The analysis
results revealed a statistically significant difference in the concentration of fluoride in black (аverage
- 0.772 ppm) and green teas (аverage- 0.705 ppm) compared to other teas (аverage- 0.171 ppm; p
< 0,01) and water (аverage – 0.02 ppm). Conclusion: Contributing to the fluoride presence in
drinking water, other sources of fluoride, like teas, can also significantly increase the total intake of
fluoride.
PP 150 REASONS FOR EXTRACTION OF PERMANENT TEETH

OLGA DJURIC, DZENAD GANJOLA
JZU KC CG
Montenegro
The aim of this survey was to investigate the primary reason for extraction of permanent
teeth, its correlations with age, gender and education level, as well as identify the important
predictors for dental caries in general dental centers in Podgorica, Montenegro. Material and
Methods: The study was conducted over a period of 6 months; its population consisted of 1,382
patients, aged 9-95 years, who underwent tooth extraction. There were 634 male and 748 female
patients. Results: A total of 2,620 teeth were extracted from the 1,382 patients. The highest rate
(36.9%) of extraction occurred for those 41-60 years old. Males comprised 48.7% of patients but
had more teeth (1,470, 55.3%) extracted than females (1,150, 43.9%). Nine hundred and thirty-six
(67.7%) patients had incomplete secondary education or less. Tooth loss due to caries was 51%;
periodontal disease was 14.4%; supernumerary and tooth impaction 13.9%. There was a significant
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association between patient characteristics (age, gender and education level) and number of teeth
extracted. Conclusion: Dental caries and periodontal disease were the main reasons for tooth
extraction.
PP 151 CORRELATION BETWEEN THE CA AND PHOSPHATES IN THE SALIVA IN

DEPENDENCE CARBONATED BEVERAGES
NATASHA LONGUROVA, IVONA KOVACHEVSKA, KATERINA ZLATANOVSKA,
VERICA TONEVA, DENKOV NIKOLA
Faculty of Medical Science, Shtip
FYROM
Background: The saliva controls the mineral balance and mineral loss in the oral cavity
when there are conditions for erosion. The clinical features of initial stage of dental erosion are: the
loss of the original shine of the tooth that is blurred further, the leveling of convex structures results
and further if there are exposired of acid, the surfaces came from concave to smooth, or changes in
the form of cup that are located on the incisal or occlusal surfaces, which are mostly found on the
crown exactly on the enamel - cement boundary.The purpose of our study is to determinate the
concentration of Ca and phosphates in saliva in the dependence of consumption of carbonated
beverages. The principle of the method for determining calcium and phosphates in saliva will be
determined by ready-made semi-automatic analyzers (Chem-5 Plus v2, Erba Diagnostics Manheim
Gmbh, Germany), that functions on the base of atomic absorption spectrometry. The principle is
based on Ca ions and phosphates from the saliva sample, in an alkaline environment. Further, they
react with the O-cresolphthalein complex, forming a complex with various colors that maximally
absorb light at 530 nm. Benefits of the protective role of saliva are increased when saliva is
stimulated after the input of fermented carbohydrates. This with combination of decreasing of pH in
the plaque, leads to demineralization and increasing the potential for remineralization.
PP 152 DENTAL HEALTH ESTIMATION FOR ADOLESCENTS AGE FIFTEEN

MIRJANA DJURICKOVIC
Faculty of Medical, Podgorica
Montenegro
Background: The aim of this study was to determine the dental status of adolescents age
15 in the capital city (Podgorica) in Montenegro. Methods and Materials: The study included 1369
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. One dental 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
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periodontal probe), under the artificial light on the dry teeth on the dental chair. Results: The
average value of Index DMFT at the 15-years-old in Podgorica, Montenegro was 5.9. On average,
94.1% of the egxamined children from this sample had dental caries. Percentage of non treted
caries was 42.3%, percentage of filled was 54,5% and missing teeth was 3,2%. The SiC Index was
10.9. Conclusions: After these epidemic researches we can conclude that the oral health condition
with the adolescents at the age of 15 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
health.
PP 153 EVALUATION OF INFECTION CONTROL KNOWLEDGE AND ATTITUDES AMONG

DENTAL TECHNICIANS IN IASI
CARINA BALCOS, MAGDA BARLEAN, LIVIA BOBU, DANA BOSINCEANU, LUCIA
BARLEAN
Romania
Background: The dental technicians are exposed to a potential risk for infection
transmission during the professional activity. The aim of this study was to evaluate the knowledge
and attitudes of dental technicians towards the methods used to prevent infection transmission in
the dental laboratories in Iaşi. Material and Methods: A questionnaire based study was initiated
involving 68 technicians aged between 24 and 49 years. The 14 questions were related to infection
control attitudes and implemented specific measures. Data were analyzed using SPSS 14 system
and Chi-Square test (p<0.05). Results: 40,6% of technicians, mainly females (50,0%), consider the
risk of infection transmission in the dental laboratory to be moderate and 37,5% consider this risk to
be low. 47% of respondents always wear protective gloves, most females (50%) and technicians
with 3-5 years of work experience (66,7%). Disinfection of items leaving the dental laboratory is
performed regularly by 81,3% of respondents. Hands hygiene is accomplished before donning
gloves (15,8%) and after removing gloves (22,3%). 84,0% of the study participants reported that
they always wear protective eyeglasses. Surface disinfection is performed regularly by 16,3% of the
subjects. The technicians are vaccinated at a rate of 38% for HBV. Conclusions. The awareness
and knowledge of dental technicians must be increased by educational interventions in order to
prevent infection transmission and to increase the level of safety during the oral health care.
Keywords: Dental technician, infection control, education.
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PP 154 HAND HYGIENE PRACTICES FOR HEALTH CARE ASSOCIATED INFECTIONS

PREVENTION IN THE DENTAL SETTINGS IN IASI
MAGDA CALINA BARLEAN, EUGENIA POPESCU, LIVIA BOBU, CARINA BALCOS,
LUCIA BARLEAN
Romania
Background: Health care associated infections (HAI) are reported to a large extent
worldwide, being an indicator of the quality of patient care and of thesafety of the medical
procedures. Hand hygiene is considered to be the only radical method to decrease the risk of
microorganisms’transmission. Theaim of the study was to assess the dentists’ adherence to hand
hygiene procedures. Material and Method: It was initiated a questionnaire-based study including
101 dentists aged between 25 and 63 in Iasi. Data was analysed using SPSS.15.0 (p <0.05) system
and Chi square test. Results: The importance of hand hygiene protocols is recognized by 83,8% of
dentists regardless age or gender. Overall compliance with hand hygiene was 86,7%. Mainly
women and subjects between 20 and 40 years old have adhered to this procedure (67,8% and
76,5% respectively). The most used hand hygiene technique was simple washing with water and
soap (72,4%). The most commonly used hand hygiene products werethe antibacterial soap (70,2%)
and the alcohol based products (21,3%). Conclusions: The assessment of compliance with hands
hygiene reveals the need for educational actions in order to identify the necessary behavioural
changes for the safety of the medical procedures in the dental practices.
Keywords: hand hygiene, dentistry, IASI.
PP 155 STUDY ON THE ASSOCIATION BETWEEN THE DEGREE OF DENTAL FLUOROSIS

AND THE CARIOUS EXPERIENCE IN THE SCHOOL POPULATION IN IASI COUNTY
ANCA STUPU, MONICA TATARCIUC, OVIDIU NICOLAICIUC, CARINA BALCOȘ
Romania
Background: Dental fluorosis consists in amelogenesis disturbance and mineralization of
the dental enamel as a result of chronic fluoride ingestion, with clinical resonance at the time of
arcade teeth arising. Materials and Methods: The cross-sectional study included 145 students from
class 0 and V from two localities (Gropniţa and Săveni - Iaşi county). Data was obtained by clinical
examination using the ICDAS II assessment system and a questionnaire providing information on
family status. Dental fluorosis was evaluated using the Dean Dental Fluorosis Assessment Index.
Statistical analysis was performed with SPSS 14.0 for Windows. Results: The prevalence of
fluorosis was 67.6%, the highest value, of 69.3%, being recorded at Gropniţa. The highest
percentage of fluorosis was the „light form” - 31%, followed by 20% and 6.2% moderate fluorosis.
More severe forms of fluorosis were associated with greater carious experience and water sources
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with higher concentration (over 0.8 mg F/l). Conclusions: The prevalence of dental fluorosis is high
in the two localities under investigation. Correlations were established between the type of fluorosis
and the carious experience of children, and also between the fluoride concentration of fluor from the
drinking water source.
Keywords: dental fluorosis, caries, children, oral health.
PP 156 ACTUAL TECHNOLOGICAL POSSIBILITIES FOR THE REMOVABLE PROSTHETIC

APPLIANCES
IRINA GRADINARU, RALUCA JIPU, LOREDANA LILIANA HURJUI
Romania
Background. The partial edentation is a pathological entity found in dental practice, that
untreated, can induce imbalances in the stomatognathic system. Due to the progress of biomaterials
and related technologies, partial edentation therapy is possible through a wide variety of removable
appliances. The study aimed to present some modern therapeutic possibilities for solving different
partial edentations. Materials and Methods: Are presented some therapeutic options in partial
edentation, Kennedy first class with different modifications. The algorithm for the prosthetic
appliances (flexible, skeletal) consisted of respecting a number of clinical and technological stages
in a certain succession. Results. The choice of the therapeutic solution was done by the dentist in
agreement with the type and the topography of edentation, the indices of the teeth involved in the
prosthesis, the particularities of the prosthetic field. The flexible dental prostheses were made of a
translucent material that allowed the natural color of the tissues to pass through the prosthesis,
were comfortably adapted around the remaining teeth. The partially skeletal prosthesis has provided
the opportunity to obtain a varied design of the main metal connector with a variable thickness,
depending on its extent. The therapeutic decision took into account the number of outstanding
odonto-periodontal units, their distribution, the muco-bone support architecture, the type of hooks
chosen, the number of secondary connectors. Conclusion. The bio-morpho-functional integration of
the prosthetic appliances in the stomatognathic system balance is conditioned by a correct selection
of biomaterials, best physician-technician collaboration and an accurate performance of all clinical
and technological stages.
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PP 157 CONSIDERATIONS ON ORAL HYGIENE OF ELDERLY DENTURE WEARERS

DANA GABRIELA BOSINCEANU, ELENA RALUCA BACIU, IOANA MARTU, CARINA
BALCOS, DAN NICOLAE BOSINCEANU
Romania
Aim of the study: The study was designed to evaluate the perception of elderly denture
wearers patients on the need for rigorous oral hygiene, taking into account aspects of the pathology
of the elderly dental system. Material and Methods: The study was conducted on 98 patients who
were removable acrylic denture wearers who were examined in Mihail Kogalniceanu Clinic for the
restoration or reoptimization of dentures during 2013-2015. The study group consisted of 37 men
and 61 women aged over 65, the mean age being 77.8. Results: Inadequate hygiene can
contribute to the accumulation of dentures biofilm and colonization on inside surface which can
promote oral opportunistic infections. Conclusions: The correlation between the index of hygiene of
the dentures and age, sex, origin, schedule cleaning and denture wearing habits and their age was
found to be significant in the study group.
Keywords: complete denture wearers, denture hygiene, oral health.
PP 158 FULL ARCH REHABILITATION OF EDENTULOUS PATIENT WITH SUBPERIOSTAL

IMPLANT-SUPPORTED OVERDENTURE PROSTHESIS: A CASE REPORT
OZGUN YUSUF OZYILMAZ, KUBRA ERDEM, OZLEM KARA
Turkey
Background: As a result of the progress made in the area of endoosseus implants in the
last 20 years, the value of the subperiostal implants has been minimized. Yet endoosseus implants
are not appropriate for all patients in need of implants. Of all currently used devices, it is the type of
implant that has had the longest period of the clinical trial. These implants are not anchored inside
the bone as endoosseus devices but are instead shaped to ‘’ride on’’ the residual bony ridge. They
are not claimed to be osseointegrated. Case Description: A woman in her late 70s presented to our
university hospital with her upper and lower complete denture. She complained that her denture was
currently non-retentive and moving around during eating and speaking. Clinical and radiological
examinations revealed the resorbed status of the edentulous maxillary and mandibular alveolar
ridges. In our clinical examinations, oral hygiene is not well and we can see calculus around the
implant areas. After oral cleaning we take impression to fabricate her final restorations. Clinical
Significance: This case report gave a series of developments that can be made in the fabrications
as well as the patient selections for these implants.
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PP 159 IMPORTANCE OF IMAGISTIC EVALUATION OF COMPLETE EDENTULOUS

PATIENTS IN THE MEDICAL DENTAL FACULTY IN IASI
DAN NICOLAE BOSINCEANU, DORIANA AGOP FORNA, CARMEN NICOLETA
SAVIN, MARIA BOLAT, DANA BOSINCEANU
Romania
Aim of the study: The present study was conducted to highlight the significance of the
panoramic radiographic pre-treatment evaluation of edentulous patients prior to any treatment.
Materials and Method: The patients were recruited from the archive of Complete Denture that were
treated here for a 6-year period from 2011-2017. Thus, of the 212 panoramic radiographs examined
only 200 met all criteria, of whom 84 (42%) were men and 116 (58%) women. The selected patients
were between 45 and 85 years of age and the mean age was 63.8 years. Results: The examination
of panoramic radiographs of the 200 patients included in this study showed that 48% of them had
one of the positive signs we sought to identify, as in data obtained by other authors from the
literature. In patients examined in this study remaining roots in the alveolar bone were the most
frequent findings Conclusions: Our results contradict the opinion of those dentists that diminish the
importance of panoramic radiographs for complete edentulous patients and start treatment after a
short clinical examination.
Keywords: complete dentures, panoramic radiographs, imagistic evaluation.
PP 160 CONCEPT OF NEUTRAL ZONE IN IN LOWER COMPLETE DENTURES

MARIA BOLAT, DANA GABRIELA BOSINCEANU, RALUCA BACIU, DORIANA AGOP-
FORNA, DAN NICOLAE BOSINCEANU
Romania
Background: Resorption of mandibular ridges is a multifactorial and biomechanical
disease that is chronic, progressive, irreversible, and cumulative leading to loss of sulcular depth,
vertical dimension loss, and decreased lower facial height. The denture becomes passive due to
complex neuromuscular control and causes difficulties in impression-making, mastication, and
swallowing, which in turn leads to loss of retention and stability in complete dentures. Hence,
residual ridge resorption becomes a challenging scenario for a clinician during fabrication of
complete dentures. The neutral zone concept plays a significant role in overcoming these
challenges. A neutral zone may be defined as the space where, during function, the forces of the
lips and cheeks pressing inward neutralize the forces of the tongue pressing outward. The neutral
zone concept implies acquired muscle control, especially by tongue, lips, and cheeks toward the
denture stability. Advocates of the neutral zone concept agree that a lack of favorable leverage is
observed when teeth are positioned directly over the ridge. By employing the neutral zone concept,
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the dislodging muscle energy can easily become a retentive and stabilizing force. This clinical report
describes a modification of the conventional neutral zone technique using improvised procedures to
minimize chairside visits for a patient with an atrophic mandibular ridge and neuromuscular
incoordination.
Keywords: neutral zone, atrophic ridge, admix material, neuromuscular incoordination,
complete dentures.
PP 161 THE QUALITY OF LIFE FOR ELDERLY PATIENTS WITH REMOVABLE DENTURE
MARIA-ANTONELA BELDIMAN, GEORGIANA MACOVEI, CORNELIA BREZULIANU,
NICOLETA IOANID, ELENA LUCA
Romania
Background: Quality of life for elderly patients with removable dentures is a very important
aspect related to rehabilitation of oral functions, for a better general and oral health status. This
study focused on evaluating the OHIP-20 questionnaires which were completed by a group of 114
patients (average 65.5 years old) with removable prostheses, mainly urban areas provenance
(77%), during 18 months, in 3 private practices. The data recorded according to the questionnaires
were statistically processed using the SPSS 20.0 software. The analysed data generated a series of
results that rated an average quality of life (with a mean variability between 41 and 44, p < 0.05, CI
95%). The main aspects mentioned by the patients in their questionnaires, were the functionality of
removable dentures, emotional and functional well-being, as well as the aesthetic rehabilitation
offered by these prostheses. The results of the study showed a correlation between the physical,
psychological and social factors that contribute equally to the quality of life for removable prostheses
wearers, demonstrating the multidimensional character of OHRQoL.
PP 162 PREVALENCE OF TEMPOROMANDIBULAR DISORDERS IN COMPLETE

DENTURE WEARERS
DARKO KOCOVSKI, KIRO PAPAKOCA, VERICA TONEVA, KATERINA
ZLATANOVSKA, JULIJA ZARKOVA – ATANASOVA
University “Goce Delcev”, Stip, Faculty of Medical Science
FYROM
Background: Occurrence of temporomandibular disorders increases with tooth loss,
people who have over 10 tooth loss may have a higher risk of temporomandibular disorders.
Epidemiological prevalence studies have shown that up to 50-70% of the population may
experience at least one temporomandibular disorders sign. Aim: The aim of the study was to
determine the prevalence of temporomandibular disorders in complete denture wearers. Materials
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and Method: A total of 200 patients were selected from dental outpatient department. Patients was
divided in two groups: group A - patients with complete dentures and group B - dentate patients.
They were subjected to clinical examination and questionnaire for temporomandibular joint. Bilateral
palpation was done to assess joint tenderness. Joint sounds were determined with the stethoscope.
Mouth opening was measured using a digital caliper. Masticatory muscles were palpated for any
signs and tenderness. Results: Results of this study showed that there was a difference between
the two groups about the prevalence of temporomandibular disorders. The prevalence of
temporomandibular disorder signs was 25.2% while it was 10.3% in complete denture wearers.
Conclusion: Dentists and complete denture wearers should be aware of the new situation and
changes in temporomandibular joint resulting from wearing of dentures.
Keywords: complete denture, masticatory muscles, patients, temporomandibular joint,
wearers.
PP 163 REHABILITATION OF A BALL ATTACHMENT RETAINED REMOVABLE

PROTHESIS PATIENT COMPLAINING LACK OF RETENTION: A-CASE REPORT
EMRE OZDEN, ILAYDA ASKAN, ENDER KAZAZOGLU
Turkey
Background: Implant supported removable prosthesis are highly preferred among
edentulous patients due to their low cost, moderate chair time and easy hygiene maintenance. If
additional retention and stability are required, bar attachments can be a suitable choice, especially
for two implants supported overdenture designs. A 65 years old male patient admitted to Yeditepe
University Faculty of Dentistry Prosthodontics Department with the main complaint of “insufficient
retention of implant supported removable overdenture”. After the clinical and radiological
examinations were completed, any obstacle wasn’t found for the treatment. The undesired
movements of the denture were related to the abrasion of ball attachment abutments. Because of
the patient’s inadequate financial capacity for extra implant surgeries; a dolder bar design was
planned for the existing implants. The ball attachments of Astra Tech implants were removed. Then
the prosthetic procedures carried out and the new OD-2 prosthesis design was made. New retentive
prosthesis fitted on the patient. This case report describes the application of a bar attachment
retained prosthesis to the patient who had a ball attachment retained removable prosthesis
complaining lack of retention.
Keywords: masticatory muscles, patients, temporomandibular joint, wearers.
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PP 164 SOME PHYSICAL PROPERTIES OF FLORESCENT CARBON NANOPARTICLE

ADDED DENTURE LINERS
AYSE SEDA ATAOL*, GULFEM ERGUN**, ISIL CEKİC-NAGAS**, RUKAN GENC***
*Mersin University, Faculty of Dentistry
**Gazi University, Ankara, Faculty of Dentistry
Turkey
Background: The aim of this in vitro study was to evaluate effect of fluorescent carbon
nanoparticles (FCN) addition on the surface roughness, color stability and water sorption/solubility
of an acrylic based tissue conditioner and a silicone based soft denture liner. Method and
Materials: FCNs synthesized from hot water extract of Licorice root plant were added into an acrylic
based tissue conditioner (Viscogel) and a silicone based soft denture liner (Ufigel P) in three
different percentages (0.5%, 1% and 10% ; respectively) by weight. In addition, two control groups
(without water and FCN ; with only water) were prepared. Then, each test groups were divided into
three subgroups according to the tests used (n=10). The surface roughness, color stability and
water sorption/solubility were measured. The morphology and dispersion of FCNs were assessed
by SEM. Results: All FCN-added test groups of both denture liners showed statistically significantly
higher color change than control groups. (p<0.0125). The highest surface roughness values were
obtained in 10% FCN added test group (tissue conditioner ; 4.95±1.12µm) and the lowest values
surface roughness were obtained in control group (soft denture liner ; 0.99±0.76 µm). In both types
of denture liners, 0.5% FCN added test groups showed statistically significantly lower water
sorption/solubility values than control (without water addition) and 10% FCN added test groups
(p<0.001). Conclusion: As FCN addition ratio increased, it resulted in deterioration on the surface
roughness and color stability of tested denture liners. However, the water absorption/solubility of
them was affected positively by 0.5% FCN addition.
PP 165 EDENTULOUS PATIENTS: GERBER CONCEPT IN FULL DENTURE FABRICATION

VITALIE PANTEA, NICOLAE COJUHARI, LARISA ROSCA, MARIA TERENTIEVA,
OLEG SOLOMON
N. Testemitanu University of Medicine and Pharmacy Chisinau
Republic of Moldova
Background: Considered a physical impairment that affects more than 158 million people
globally, complete edentulism compromises the oral function and esthetic aspect, negatively
influencing the quality of life. The most common treatment option includes full dentures, still,
conventional prosthesis do not ensure a full rehabilitation, since the comfort and function is
influenced by lots of factors- retention, supporting tissues status, stability. Technical aspects of
complete dentures construction determine the treatment success or failure, one of the main factors
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is the occlusion. According to Gerber concept, lingualised occlusion improves forces distribution on
supporting alveolar bone and denture’s stability. Materials and Method: A total of 18 full edentulous
patients (12 women, 6 men), age between 55-69 years, with medium to severe bone resorbtion,
were treated with full dentures, separated in 2 groups- 9 patients were treated by dentures with
conventional fully balanced occlusion and 9 with lingualised occlusion. The clinical and paraclinical
examination was performed for the entire study group; patients received the dentures, followed by
functional tests and evaluation of patient’s perception after 2 weeks. Results: Of 18 patients, 10
patients reported a high level of satisfaction, 9 of them wore dentures with lingualised occlusion and
1- conventional balanced occlusion. Functional tests showed a significant difference between the
study groups, with better results among dentures with lingualised occlusion, especially during
testing retention and stability. Conclusion: Lingualised occlusion was associated with a higher level
of patient’s satisfaction and ensures an improved stability and retention among patients with
moderate to severe bone resorbtion.
PP 166 USING THERMOPLASTIC MATERIAL DENTURE IN PARTIAL EDENTATION – THE

COMFORT vs THE BIOMECHANICS ASPECTS
ROXANA IONELA VASLUIANU, MONICA ANDRONACHE, MAGDA ECATERINA
ANTOHE, RAMONA FEIER, NORINA CONSUELA FORNA
Romania
Background: Through the dramatical modifications caused to the stomatognat system, the
edentulous – mainly, the extension edentulous involve the oral health condition. This material
generally replaces the metal and the methyl methacrylate denture base material used
conventionally to build the framework for standard removable partial dentures. Materials and
Method: The edentation patients were examined and they presented different pathological aspects
on oral cavity. Within the evaluation, there were included the people that showed class I/II Kennedy.
Our studies related to the components of the thermoplastic material, respectively the attachments,
focus on their biological and biomechanical behavior in time with regard to the subadjacent tissues
on which they are applied. Many brands of thermoplastic or flexible denture materials are available
in the market, but Valplast and Flexite were used in our study. Results and Conclusion: The
masticatory efficiency, the confort condition, the clinical longevity, the aspect and the
biocompatibility define the quality of dentures. The invasive procedures are eliminated and there are
fewer steps in the treatment process because preparation of natural teeth is unnecessary. The
adaptation of the denture to the oral individual environment, through the use of thermoplastic
material remain the permanent objectives of the research. Some authors related to flexible denture
produced better patient satisfaction and comfort, compared to conventional acrylic resin denture
bases.
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PP 167 OSSEOUS RESORPTION IN IMPLANTS SUPPORTING COMPLETE DENTURES BY

MEANS OF ANGLED/STRAIGHT BALL ATTACHMENTS
RALUCA-IULIA JUNCAR*, DANIELE POPA**, GABRIELA CIAVOI*, MIHAI JUNCAR*
*University of Oradea;
**Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca
Romania
Background: The angled ball attachment may affect the long term implant stability, due to
the eccentric forces developed during mastication. This study aimed to research the effect of
angulated ball attachment on the bone surrounding an osseointegrated implant. Material and
Method: twelve osseointegrated implants where included into the study. Six of them where
supporting complete dentures by mean of angled ball attachments whereas the other six are
covered by straight ball attachments and complete dentures. Implant pocket depth was measured
with a silicone periodontal probe (Hu-Friedy) at baseline and six months after loading. All dentures
were properly adapted respecting the principles of balanced occlusion. Results: In regard to the
quantity of bone surrounding the implants supporting the dentures no significant differences could
be reported after the 6 months of denture wear. Periodontal probing did not reveal significant
differences when the two groups where compared. Conclusion: Even though occlusal forces are
not directed parallel to the implant axis the correct adaptation of denture base to the mucosal and
osseous structures can provide a sufficient support for the prostheses so that the eccentric
pressures can be neutralized by muscle tonicity, periphery adaptation and balanced occlusion.
PP 168 BAR ATTACHMENT: A CASE REPORT

ZELAL SEYFIOĞLU POLAT*, VEDAT TARI**, NUMAN CETINKAYA*, MUHAMMED
CAGLAR BURSA*, HATICE KUBRA DAMAKSIZ*
*Dicle University, Diyarbakır, Faculty of Dentistry;
**Dental Surgey, Mardin Tukey
Turkey
Background: Today, dental implant applications are widely used in the treatment of
missing teeth. Prosthetic rehabilitation of full-toothless patients involves an important part of the
prosthetic treatment. Complete dentures planned with traditional methods for toothless lower and
upper jaws; they are still widely used because they are more economical than implant-supported
fixed prostheses. However, disadvantages such as loss of alveolar crest resulting in inadequate
restraint and stability, especially after unbalanced force transmission to the bite for the lower jaw,
make the use of such a prosthesis difficult.In this case report, the application of cover denture with
bar attachments will be explained.
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PP 169 RESTORATIVE APPROACHES TO ANTERIOR TRAUMATISED TOOTH

ALPEREN DEGIRMENCI, BEYZA UNALAN DEGIRMENCI, HABIL BAZYEL
Turkey
Background: Traumatic injuries to anterior teeth are frequently encountered in children
and adults. The direction and severity of impact are the factors determining tooth and surrounding
tissue damage. Dental traumas can cause esthetic problems in addition to functional disorders. In
accordance with increasing esthetic expectations at the present time, many different restorative
treatment options are available for complicated crown fractures of the anterior region. Herein we
aimed to present treatment options for traumatized anterior tooth via restorative approaches. Case
Report: A 29-year-old female patient attended to Van Yuzuncu Yil University Restorative Dentistry
clinic for the fracture on the right upper central incisor. Clinical and radiological evaluations
confirmed that fracture was not related to pulp. First of all, bevel was applied to fracture region.
Then colour match was done. Medium dentin was chosed as a dentin colour, dark enamel was
chosed as a enamel colour. At the same time, enamel and dentin surfaces were etched with 37%
orthophosphoric acid for 30 and 15 seconds. After removing the acid with water, the tooth surfaces
was dried gently. 8th generation universal bonding agent was applied according to the
manufacturer’s instructions. Then composite restoration was done. Conclusion: Recently, with the
improved technology in dentistry, dentists can provide more conservative restorations, while
maintaining tooth integrity at an optimum level.
PP 170 POLYDIASTEMA CLOSURE USING COMPOSITE LAMINATE VENEERS

BEYZA UNALAN DEĞIRMENCI, ALPEREN DEĞIRMENCI, HABIL BAZYEL
Turkey
Background: Presence of diastema between anterior teeth is often considered an onerous
esthetic problem. Various treatment modalities are available for diastema closure. However, not all
diastemas can be treated the same in terms of modality or timing. The extent and the etiology of the
diastema must be properly evaluated. In this case report, we tried to introduce an alternative
treatment option with multiple composite laminate veneers. Case Report: A 27-year-old female
patient reported to the department of Restorative Dentistry, Dentistry Faculty of Van Yuzuncu Yil
University, with a chief complaint of multiple diastemas in her upper front teeth region. A study
model and a diagnostic wax-up were used for esthetic evaluation. Medium dentin and light enamel
colors were chosed by using button technique. Rubberdam isolation was done. All related enamel
surfaces were etched with %37 orthophosphoric acid for 30 seconds. Acid was removed away with
water for 15 seconds and dried gently. Bonding agent was applied and cured. All the composite
layers were applied by using silicon guide. Conclusion: Resin-based composite laminate veneers
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are single-visit procedures and bypass laboratory work which reduces cost of the treatment. In
recent years, due to the advantages of composite veneers making impression of the wax-up model
and fabricating a silicon putty-index are become a common technique for restoring diastemas.
PP 171 COMPOSITE RESTORATIONS OF THE DENTAL TRAUMA CASE

BEYZA UNALAN DEĞIRMENCI, ALPEREN DEĞIRMENCI, HABIL BAZYEL
Turkey
Background: A traumatic injury with the fracture of the front teeth is a dreadful experience
for the patient. This condition requires immediate consideration for both esthetics and functionality.
Dental trauma primarily leads to fracture of the front teeth, specifically the upper incisors, because
of their location in the mouth. In road accidents, domestic violence, and sports injuries, multiple
and/or complicated tooth fractures may be observed. The aim of this case report is presenting
conservative approach to dental trauma fracture cases. Case Report: A 42-year-old male reported
to a dental clinic fracture that localized at his front teeth due to a trauma. Clinical examination
revealed the presence of black 4 fracture at his right and left upper central incisors. Vitality
examination showed that both of that teeth are vital in spite of trauma date was 5 years ago. Color
selection was done with button technique and medium dentin-dark enamel combination was
choosed. Rubberdam was selected as a isolation technique. Teeth surfaces were etched with %37
orthophosphoric acid for 30 seconds and washed away for 15 seconds. All the surfaces were dried
gently. Composite restorations were finished with a silicon index. Conclusion: In the presented
case, immediate and desirable esthetics were obtained in a single visit owing to the patient’s time
constraints, composite restorations served optimum esthetics and stability on the follow-up visit.
PP 172 CLOSURE OF THE MIDLINE DIASTEMA WITH COMPOSITE LAMINATE VENEER

RESTORATIONS
Turkey
Background: Midline diastema, which occurs as spacing between the upper central
incisors. With the advent of time, patient's demand for esthetics has greatly increased. Along with
this, a less time-consuming treatment option is a favorite. Proper diagnosis of the diastema,
unfolding its etiology, helps in devising an adequate treatment plan. This eventually will lead to
stability of the final result. The present case report presents an approach for the esthetic closure of
midline diastema. Case Report: 34-year-old female patient was referred to Van Yuzuncu Yil
University, Faculty of Dentistry, Restorative Dentistry clinic for the midline diastema at the maxillary
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region. Medium dentin and dark enamel color combination was selected for via button technique.
Silicon index were obtained according to wax up technique. Complete isolation was done to ensure
longevity of the restorations made using rubber dam and high vacuum suction. The procedure
consists of etching the tooth with 37% phosphoric acid etchant gel to tooth both facially and lingually
for a period of 30 s. The etchant gel was removed by thorough rinsing and air dried till the frosty
etched surface was achieved. Bonding agent was applied and light-cured for 20 s completely. Then
the composite restorations were builded up layer by layer through the silicon index check.
Conclusion: In this study, composite resin restorations done for midline diastemas between
maxillary incisors exhibited good clinical acceptance and retention when all the protocols be
followed for the proper clinical technique.
PP 173 CLOSURE OF THE POLIDIASTEMAS DUE TO HIGH FRENULUM ATTACHMENT

Turkey
Background: An abnormal upper labial frenum is capable of retracting the gingival margin,
creating a diastema, limiting lip movement. When an abnormal frenum is present, frenectomy is
advised. Patients suffering from an anterior fracture, attrition, diastema and malposition should be
provided with adequate esthetic correction including direct resin based composite restorations.
Recently, with the continuous development of adhesives and RBC technology the state-of-the-art
treatment option in operative dentistry for the esthetic improvements of healthy teeth – especially for
young adults with intact enamel. The aim of this case report is presenting a treatment option for the
patients who have both high frenulum attachmant and diastemas. Case Report: A 24-year-old
female patient reported to the department of Restorative Dentistry, Dentistry Faculty of Van
Yuzuncu Yil University, with a chief complaint of diastemas between 11st and 21st teeth according
to high frenulum attachment and fracture at 12nd teeth. Patient was consultated for the frenectomy
procedure. After the healing procedure, a study model and a diagnostic wax-up were used for
esthetic evaluation. Medium dentin and light enamel colors were chosed by using button technique.
Rubberdam isolation was done. All related enamel surfaces were etched with %37 orthophosphoric
acid for 30 seconds. Acid was removed away with water for 15 seconds and dried gently. Bonding
agent was applied and cured. All the composite layers were applied by using silicon guide.
Conclusion: Single-visit procedures are common preferable treatment options for the diastemas.
Patients are mostly satisfacted for esthetic results and also the long term esthetical success.
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PP 174 HEATED COMPOSITE FOR DENTAL RESTORATIONS

RADU PETCO, LIDIA ENI, DIANA MARCI
Republic of Moldova
Background: The demand for composites have increased a lot during the last decades. In
the requirement of better properties, heated composites were developed and proposed for usage.
The advantages are lower viscosity, enhanced marginal adaptation, reduced microleakage and
increased conversion degree. Flowable composites do also have such properties, but lower filler
content reduces wear resistance, while heated composites keep their filler content at the same level
- so as their mechanical properties. Materials and method: 10 teeth were divided in 2 groups and
treated using 2 different techniques. First group was restored using ”layered” technique with
unheated, high viscosity composite, and second group was restored with ”injection molding”
technique using heated composite. Total treatment time was measured for each restored tooth and
compared each between. Following materials were used:1. Dental composite heater, 2. Bulk fill
composite Tetric N-Ceram (Ivoclar, Vivadent). Results: ”Injection molding” technique resulted with
decreased treatment time. Conclusion: Using heated composites cuts restoring steps, wich leads
to less time needed for treatment.
PP 175 EFFECT OF POLISHING SYSTEMS ON THE SURFACE ROUGHNESS OF

NANOHYBRID COMPOSITES
NAZLI SIRINSUKAN, ESRA CAN
Turkey
Aim: Aim of this in vitro study was to evaluate the effect of four polishing systems; multi-
step disc (Optidisc (OD); Kerr), two-step elastomer spiral (Sof-Lex Spiral (SS); 3M ESPE), a silicon-
coated one-step rubber polishing system (OneGloss (OG); Shofu), a one-step rubber (Opti1Step
(OS); Kerr) on the surface roughness (Ra; µm) and surface morphology of 2 nanohybrid composites
(Harmonize; Kerr and Essentia;GC). Material and Method: 80 composite discs were prepared
using a metal mold in 2mm thickness and 10mm in diameter (n=40 for each composite group) and
polymerized using a LED curing unit (Demi Ultra; Kerr) then stored in distilled water at 37 oC for 24
hours. Specimens were wet finished with 320-grit SIC then each composite group were randomly
divided into 4 subgroups (n=10) and wet polished according to the manufacturer’s instructions.
Surface roughness was determined with a profilometer (Perthometer; Mahr) and surface
morphology was evaluated using scanning electron microscopy (SEM JSM 6335F). Data was
analyzed using two-way ANOVA and post hoc Tukey’s multiple comparison tests, with a probability
level of 0.05. Results: Ra of nanohybrid composites was significantly influenced by the type of the
polishing system (p=0.0001). OD and OS polishing systems showed the lowest roughness values
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(p=0.0001), while OG showed the highest roughness values (p=0.0001). There were no significant
differences between nanohybrid composites with each type of the polishing system except OG
(p=0.005). Conclusion: Regarding the surface characteristics, multi-step disc system, considered
as the gold standard, is more successful than the polishing systems with reduced number of steps.
PP 176 THE MANAGEMENT OF DISC DISLOCATION POST-PROSTHETIC TREATMENT

ALINA APOSTU, GABRIELA IFTENI, OANA TANCULESCU DOLOCA, ARINA CIOCAN
PENDEFUNDA, OVIDIU AUNGURENCEI
Romania
19 - OTHER
Background: Temporomandibular Joint disc dislocation is one of the most frequent
pathology consequence of iatrogenic dental treatment. In the same time, patients and doctors refer
to maxilo-facial surgeons, neurologists, when the dentists can treat such cases with good prognosis.
PURPOSE: The goal of the paper is to popularize this pathology and the treatment protocol for TMJ
disc dislocation. Materials and Method: Consists in few steps to be followed, in order to achieve
long term best results. First step is to formulate diagnosis of disc dislocation (clinical and
complementary examination, plus differential diagnosis). Second step consists in disc reduction
technique, applied correctly and maximum twice. After that patient will receive indication to protect
as much as possible the joint in mastication and opening, associated with miorelaxant medication.
After a few days, the doctor can take impression for relaxation splints and establish the etiology of
disease. In 2-3 days the patient will receive relaxation splint and specific indication for use. In 2
month, the dynamics of TMJ will be almost restored. Conclusion: The steps of diagnosis and
treatment plan must be well known and applied correctly and results will be good for long time.
PP 177 BRUXISM – THE INFLUENCE OF THE CATEHOLAMINES – LITERATURE REVIEW

MARIANA DIMOVA-GABROVSKA*, DESISLAVA DIMITROVA**
*Medical University Sofia; ** Medical University Varna
Bulgaria
19 - OTHER
Background: Bruxism is a condition that is modulated by various neurotransmitters in the
central nervous system (CNS). The impaired balance of these substances influence the
transmission of signals on the direct and indirect pathways of the basal ganglia which are involved
in the coordination of chewing muscles movements. The purpose of this review is to present and
analyze the current data on the influence of catecholamines on the etiology and pathogenesis of
bruxism. Materials and Method: An electronic search was conducted in the following databases:
Google, PubMed, Lilac from December 2017 to March 2018. Data from 32 literary sources were
analysed. Results: According to current scientific researches, the risk and the severity of bruxism is
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increased in the presence of high urinary catecholamines. There is a correlation between abnormal
jaw movements and increased dopamine levels. Increased serotonin transmission results in
worsening extrapyramidal symptoms such as dyskinesia and rhythmic involuntary muscle
contractions. Higher secretion of cortisol and adrenaline significantly increases the tonus of the
chewing muscles. Conclusion: There is a need for more extensive scientific studies, which
investigate the relationship between behavioural factors and the pathogenesis of the bruxism.
Keywords: bruxism, etiology, catecholamines, adrenaline, noradrenaline, serotonin
PP 178 MODERN METHODS OF LABORATORY DIAGNOSIS IN PERIODONTAL DISEASES

ANCUȚA GORIUC, BOGDAN MINEA, MARCEL COSTULEANU, IOANA MÂRȚU,
LILIANA FOIA
Romania
19 - OTHER
Background: In recent years, the periodontal disease has been an intensely studied
condition and its timely diagnosis is a fundamental component in maintaining an optimal oral and
general health. Currently, there are modern techniques for identifying both the pathogens (bacteria
and fungi) responsible for the onset of the disease, and the inflammation markers, which could offer
information regarding the type of periodontal disease and its prognosis. PCR (polymerase chain
reaction) became a standard diagnostic and research tool in periodontology. Various studies
revealed that its sensitivity and specificity make it a rapid and effective method of detecting,
identifying and quantifying periodontal pathogenic microorganisms, because it is based on DNA
identification. MALDI TOF is another modern and increasingly used method of pathogen
identification. This approach consists of a proteomic analysis of crude protein extracts from
pathogen cultures, by comparing the spectrum of the sample with reference spectra. Although
several studies demonstrated the potential relevance of the biological activity of a variety of
cytokines for periodontal destruction processes, such as periodontal attachment loss, collagen
destruction and alveolar bone resorption, cytokines that can be identified by different techniques like
ELISA. Flow cytometry is a very effective method for sorting various types of inflammatory cells,
enzymes and inflammatory mediators from the crevicular fluid, but it is also used to assess viability
cells. The biological mechanisms of periodontitis progression are not yet fully understood and,
although the subject received much attention, it still remains controversial.
Keywords: Periodontal disease, flow cytometry, MALDI TOF, Elisa, Polymerase chain
reaction.
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PP 179 ELEMENTS OF NONVERBAL LANGUAGE IN THE DOCTOR-PATIENT

RELATIONSHIP IN THE DENTAL OFFICE
GEORGIANA MACOVEI, DIANA DIACONU POPA, GALINA PANCU, ANTONELA
MARIA BELDIMAN, ADINA OANA ARMENCIA, ODETTE LUCA, MONICA MIHAELA
SCUTARIU, ALEXANDRA BOLOS
Romania
19 - OTHER
Background: The doctor-patient relationship continues to receive considerable attention
and research in the fields of medicine, social work, psychology, and psychiatry. Communication
involves verbal language 7%, paraverbal 38%, nonverbal 55%. Nonverbal communication is related
to the affective-emotional component, not generally mentally controlled. The aim of the study was to
illustration nonverbal elements that can be seen in the dentist-patient relationship. Materials and
Method: The study was conducted by observing body posture, gestures, facial expressions, a batch
of patients at first consultation and then during visits to the dental office. Results: Interpretation of
nonverbal elements is done in the complex context of verbal and paraverbal communication,
relationship history of communication partners and psychic state. If there is a contradiction between
nonverbal and verbal aspects, it is advisable to consider the nonverbal ones.
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Alphabetical index
429
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A. DIDILESCU, 134 ALINA APOSTU, 185, 190, 426

ABDURRAHMAN SAHINBAS, 343 ALINA MIHAELA APOSTU, 348
ABDURRAHMAN ŞAHINBAS, 353 ALINA-RAMONA DIMOFTE, 335
ABDURRAHMAN ŞAHINBAŞ, 339 ALKETA QAFMOLLA, 155
ABEL MOCA, 381 ALMA MARIA FLORESCU, 340
ADAM AL MOCHAMANT, 373 ALPER SINDEL, 204
ADELA RADULESCU, 152 ALPEREN DEGIRMENCI, 293, 422
ADEM ALIU, 370 ALPEREN DEĞIRMENCI, 164, 281, 422, 423, 424
ADEM GUNAYDIN, 173, 181 AMBARKOVA VESNA, 366
ADINA BIANCA BOȘCA, 212 AMELIA ELENA SURDU, 321
ADINA OANA ARMENCIA, 323, 428 AMELIA SURDU, 261
ADINA SÂRBU, 208 AMILA ZUKANOVIC, 242
ADRIAN BOLOȘ, 324 AMINA ASOTIĆ, 191
ADRIAN DOLOCA, 185, 309 AMINA HUSEINBEGOVIC, 387
ADRIAN GH. PODOLEANU, 326, 327 AMİNE KÜÇÜKİLHAN, 334
ADRIAN TUDOR STAN, 189, 323, 325 AMRA ARSKANAGIC MURATBEGOVIC, 160
ADRIANA BALAN, 216, 246, 248, 271, 272 AMRA ARSLANAGIC MURATBEGOVIC, 242
ADRIANA BISOC, 274 ANA ALEKSANDOVSKA, 365
AGATHI-PANAGIOTA SPYROPOULOU, 402 ANA ALEKSANDROVSKA, 346
AHMAD SAFA ALKATEB, 260 ANA BUNDALEVSKA – ALEKSANDROVSKA, 353
AHMET ALTAN, 240 ANA ELENA PETCU (SIRGHE), 271
AHMET ATILA ERTAN, 345 ANA MARIA FATU, 268
AHMET CEMIL TALMAC, 193 ANA MARIA FILIOREANU, 362, 363
AHMET CEMIL TALMAÇ, 160 ANA MINOVSKA, 137, 251, 258, 346, 350, 351, 353, 365,
AHMET ÇETINKAYA, 175 372, 401
AHMET OGUZ SAHAN, 234 ANA NEMTOI, 357
AHMET YAGCI, 236, 378 ANA PETCU (SIRGHE), 246, 248, 272
AHU DIKILITAS, 251 ANA SOTIROVSKA IVKOVSKA, 269
AJDINA HALILOVIĆ, 162, 191 ANA-MARIA PANGICA, 152
AJDINA HALILOVIĆ-ASOTIĆ, 162 ANAMARIA ZAHARESCU, 178
ALEX FOK, 272 ANCA GABRIELA GHEORGHE, 330
ALEX SĂLAN, 351 ANCA GHEORGHE, 329
ALEXANDRA BOLOS, 428 ANCA MELIAN, 134, 175, 176, 178
ALEXANDRA CORNELIA TEODORESCU, 252, 406 ANCA MESAROS, 150
ALEXANDRA CRACANA CARP, 220 ANCA MIHAELA VITALARIU, 170, 171
ALEXANDRA LORINA STELEA, 369 ANCA SAVA, 215, 310, 311, 357
ALEXANDRA MARTU, 248, 317, 405 ANCA SÎNZIANA BUTNARU MOLDOVEANU, 208
ALEXANDRA MÂRȚU, 261 ANCA STUPU, 413
ALEXANDRA ROI, 211 ANCA VIŢALARIU, 327
ALEXANDRU A. ILIESCU, 177 ANCUTA GORIUC, 261, 403
ALEXANDRU BUCUR, 144 ANCUȚA GORIUC, 427
ALEXANDRU CARAULEANU, 310 ANCUTA IGNAT, 244
ALEXANDRU GHETIU, 367 ANDRA GAMEN, 216
ALEXANDRU IOAN VESA, 365 ANDRADA RALUCA DOSCAS, 220
ALEXANDRU ISOP, 367, 368 ANDREEA CAZAN, 328
ALEXANDRU LUPU, 367, 368 ANDREEA DONA IORDAN DUMITRU, 152
ALEXANDRU MESTER, 215 ANDREEA MIHAELA IORDAN, 317
ALEXANDRU MEȘTER, 208 ANDREEA-AMALIA CĂLIN, 313
ALEXANDRU NEMTOI, 215, 222, 357, 371 ANDREEVA - BORISOVA RADOSVETA, 394
ALI CAN BULUT, 181, 277 ANDREI FACHIRA, 189
ALI ERDEMIR, 179 ANDREI GEORGESCU, 287
ALI IHYA KARAMAN, 374 ANDREI KOZMA, 152
ALI RIZA TUNCDEMIR, 182, 183 ANDREI MOSTOVEI, 207, 360
ALI TURKYILMAZ, 179 ANDREI NEAMTU, 319
ALICE CÎȘLARIU, 313 ANDREI NICOLAU, 220
ALICE MURARIU, 270 ANDREY BALTAEV, 315
ALICE-ARINA CIOCAN-PENDEFUNDA, 325, 348 ANETA ATANASOVSKA STOJANOVSKA, 258, 262, 265
ALIN HORATIU NEDELCU, 306, 307 ANETA ATANASOVSKA-STOJANOVSKA, 228, 263
430
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ANETA MIJOSKA, 187, 269, 274, 326 BILJANA KAPUSEVSKA, 274

ANGELA CODRUTA PODARIU, 211 BILJANA NIKOLIC, 381
ANGELA STAMENKOVA, 386 BILJANA RUSEVSKA, 408
ANIDA MARIA BĂBȚAN, 212 BIRGÜL AKDOĞAN, 164
ANNA LELLA, 136 BOBI MICEVSKI, 365
ANTIGONI DELANTONI, 140 BOBU LIVIA, 321
ANTOANELA BELDIMAN, 188 BOGDAN BUCUR, 144
ANTONELA BELDIMAN, 268 BOGDAN BULANCEA, 185
ANTONELA BELDIMEN, 407 BOGDAN DOBROVAT, 202, 203, 358
ANTONELA MARIA BELDIMAN, 428 BOGDAN GALBINASU, 132
ANTONIA MOLDOVANU, 285, 286, 287 BOGDAN MIHAI GALBINASU, 167
ANTONIO VALENTIN FALCA, 358 BOGDAN MINEA, 261, 427
ARANKA ILEA, 173, 212, 215 BOGDAN VASILIU, 406
ARINA ALICE CIOCAN PENDEFUNDA, 407 BOGDAN-PETRU BULANCEA, 172
ARINA ALICE CIOCAN PENDEPUNDA, 342 BOJAN VELKOSKI, 372, 401
ARINA CIOCAN PENDEFUNDA, 426 BOJANA ĆETENOVIĆ, 163
ARINA PENDEFUNDA, 309 BOŽANA ČOLOVIĆ, 163
ARINA VINEREANU, 249 BRANIMIR STOŠIĆ, 162, 191
ARIS PRISACARIU - RADOS, 248 BRANKA TRIFKOVIĆ, 191
ARTIOM BÎRZOI, 154 BRUNILDA CENKOGLU, 143, 214
ARWED GERNOT LUDWIG, 141 BRUNILDA GASHI CENKOGLU, 361
ARZU ATAY, 184 BRUNO NIKOLOVSKI, 251, 258, 346, 353, 365, 372, 401
ARZU BEKLEN, 257 BUKET AYNA, 392
ATHANASIOS POULOPOULOS, 146 BULENT ALTUNKAYNAK, 200
AURELIA SPINEI, 390, 392, 395 BURAK ÇELIK, 296
AURELIANA CARAIANE, 138 BURAK DOGAN, 253
AYLIN CILINGIR, 194 BURAK DOĞAN, 398
AYSAN LEKTEMUR ALPAN, 249 BURAK GÖKAY YILDIRIM, 257
AYSE ERZINCANLI, 346 BURAK SARIOGLU, 226
AYŞE ERZINCANLI, 343 BURCIN AKAN, 225
AYSE SEDA ATAOL, 275, 419 BURÇIN AKAN, 234
AYSEGUL GULEC, 228 BURCIN ALEV TUZUNER, 256
AYSEGUL KURT, 194 BURCU KANPALTA, 339
AYSEN YARAT, 256 BUSRA UYSAL, 173, 181
AYSENUR BORSOKEN GUNGOR, 168 CAFER ATAS, 386
BACIU RALUCA ELENA, 321 CAIUS STOIAN, 326, 327
BAHADIR KAN, 391 CANAN BAYDEMIR, 289, 290
BANU CUKURLUOZ BAYINDIR, 186, 345 CANAN GICIR, 231
BANU KAHRAMAN, 230 CANSU BAYRAKER, 184
BARIS CAN TELATAR, 301 CANSU OSMANOĞULLARI SARIYILDIZ, 241, 243, 394,
BAŞAK DOĞAN, 348, 399, 400 397
BAŞAK YAZKAN, 295 CARINA BALCOS, 269, 271, 412, 413, 415
BATU CAN YAMAN, 279 CARINA BALCOȘ, 413
BEGÜM DOĞAN, 348 CARMEN DOROBAT, 148
BEGUM YILMAZ, 279 CARMEN GABRIELA STELEA, 369
BERNA DENGIZ, 309 CARMEN MANCIUC, 210
BETÜL AKA, 295, 296 CARMEN NICOLETA SAVIN, 416
BEYHAN BAŞKAN, 330, 331, 357 CARMEN SAVIN, 216, 246, 248, 271, 272
BEYZA KARADEDE, 234 CARMEN STELA HANGANU, 323
BEYZA UNALAN DEGIRMENCI, 251, 293, 422 CARMEN STELEA, 362, 363
BEYZA UNALAN DEĞIRMENCI, 422, 423, 424 CATALIN SILVIU TIBEICA, 317
BEYZA ÜNALAN DEĞIRMENCI, 164, 281 CATALINA BARBAROSIE, 350
BIANCA NEGRUTIU, 381 CATALINA IULIA SAVEANU, 266, 267, 268, 269
BIANCA TODOR, 381 CEMILE KEDICI ALP, 300
BİLGE TURHAN BAL, 191 CENA DIMOVA, 370, 371
BILGUN CETIN, 202 CERASELLA DORINA SINCAR, 232
BILGÜN ÇETİN, 198 CEREN ERDOĞAN GOKMENOGLU, 250
BILJANA DZIPUNOVA, 228, 384 CEREN ÖZEREN, 196
BILJANA EVROSIMOVSKA, 370, 371 CEREN UĞURLUEL, 391
431
23rd BaSS Congress
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CEREN USTUNEL, 346 DANA MAXIM, 248

CEYDA AKIN, 168, 182 DAN-CRISTIAN IONEL, 178, 335
CEYDA BASAK INAL, 165 DANICA POPOVIK-MONEVSKA, 251
CHARI CHARIS, 192 DANIEL PAVAL, 195
CLAUDIA FLORIDA COSTEA, 310, 311 DANIELA ANISTOROAEI, 235, 238, 239
CLAUDIU TOPOLICEANU, 178, 221, 285, 287, 291 DANIELA CHIRITA, 189
CODRINA ANCUTA, 201, 268 DANIELA CVETANOVSKA-STOJCEVA, 346, 353, 365,
CODRUTA ILIESCU, 226 401
CODRUTA MIRICA, 208 DANIELA GALAI, 392
CONSTANTIN MIHAI, 222, 371 DANIELA IVONA TOMITA, 226
CONSTANTIN ONUTA, 267 DANIELA MARIA POP, 189, 194
CORINA CIUPILAN, 307 DANIELA SULEA, 219
CORNELIA ALEXANDRA TEODORESCU, 399 DANIELA TRIFAN, 379, 380
CORNELIA BREZULIANU, 188, 342, 417 DANIELA VELESKA-STEFKOVSKA, 370, 371
CORNELIA TEODORESCU, 254 DANIELE POPA, 421
COSMIN POPA, 350, 404 DANIJELA DJONIC, 308
COSMIN SINESCU, 131, 139, 189, 211, 306, 323, 325, 326, DANIJELA DJUKIC COSIC, 410
327 DANIJELA SUBOTIC, 388
COSMIN-IONUT CRETU, 278 DANISIA HABA, 176, 202, 203, 215, 222, 331, 357, 358
CRINGUTA PARASCHIV, 311, 312 DANKA MILOSAVLJEVIC, 381
CRÎNGUTA PARASCHIV, 322 DARIEL THERESKA, 408
CRISTIAN CONSTANTIN BUDACU, 222, 371 DARKO KOCOVSKI, 342, 417
CRISTIAN GIUROIU, 134 DEFNE BURDUROGLU, 353
CRISTIAN LEVENTE GIUROIU, 174 DEFNE BURDUROĞLU, 339
CRISTIAN PETCU, 328 DEJAN MARKOVIĆ, 163
CRISTIANA PETCU, 328 DELIA HINGANU, 217, 218, 306, 307
CRISTINA ANGELA GHIORGHE, 302 DENIZ AKIN, 396
CRISTINA ANTOHI, 175, 176, 177, 178, 202, 331, 333 DENKOV NIKOLA, 411
CRISTINA BODNAR, 136, 152 DERYA SURMELIOGLU, 168
CRISTINA BOLOGA, 369 DESISLAVA DIMITROVA, 394, 426
CRISTINA CORALIA NISTOR, 132 DIANA DIACONU POPA, 428
CRISTINA ELENA SAVENCU, 324 DIANA DIACONU-POPA, 170, 171, 327
CRISTINA GENA DASCALU, 239, 312 DIANA LUCHIAN, 322
CRISTINA IORDACHE, 201, 268 DIANA MARCI, 425
CRISTINA MARIA BORTUN, 194 DIANA MARCU, 401
CRISTINA MARIA GAVRILESCU, 322 DIANA MARIA ANTON, 397
CRISTINA NICOLAU, 148 DIANA SAHLEANU, 318
CRISTINA POMIRLEANU, 201, 268 DIANA SILVIA DUȚU, 329
CRISTINA POPA, 362, 363 DIANA TATARCIUC, 147
CRISTINA ZURBA, 319 DIANA UNCUTA, 339
CRISTINA-ANGELA GHIORGHE, 175, 284, 286, 287, 291 DIANA-MARIA SOTROPA, 311
CRISTINA-MARIA BORTUN, 131 DIJANA TRIŠIĆ, 163
CRISTINA-MARIA GAVRILESCU, 311 DILA BERKER YILDIZ, 198, 355
CRISTINEL IONEL STAN, 307 DILAN KARA, 288
CUMHUR KORKMAZ, 184 DILEK HANCERLIOGULLARI, 179
CVETANKA BAJRAKTAROVA MISEVSKA, 326 DIMITAR FILTCHEV, 336
DAJANA COLLAKU, 214 DOINA CLEMENTINA COJOCARU, 210
DALAMPIRAS FOIVOS-ANTONIOS-THOMAS, 192 DOINA VESA, 365
DAMIR DŽANAN, 191 DORELIA LUCIA CALIN, 300
DAMLA ÇETINKAYA, 332 DORIANA AGOP FORNA, 224, 331, 341, 416
DAMLA ÖZTÜRK, 348 DORIANA AGOP-FORNA, 149, 192, 195, 221, 315, 416
DAN BUHATEL, 215 DORIANA FORNA AGOP, 208
DAN CRISTIAN IONEL, 243 DORIN GHEORGHE, 330
DAN NICOLAE BOSINCEANU, 415, 416 DORIN NICOLAE GHEORGHE, 259
DANA BOSANCEANU, 248, 403 DORINA-CERASELLA ŞINCAR, 266
DANA BOSINCEANU, 412, 416 DRAGOȘ CUCU, 154
DANA GABRIELA BOSINCEANU, 415, 416 DRAGOS NICOLAE FRATILA, 321
DANA GABRIELA BOSÎNCEANU, 325 DRAGOS POPA, 133
DANA LAZARUC, 221 DRAGOS VIRVESCU, 190, 341
432
23rd BaSS Congress
10 – 12 May 2018
DUMITRIU HORIA TRAIAN, 409 ERDAL BOZKAYA, 235, 309

DUMITRU CHELE, 207, 360 ERENGÜL BODUÇ, 219
DUMITRU SÎRBU, 367 ERISA KOLA, 214
DUSICA BOZOVIC - BEHARA, 209 ERSIN YILDIRIM, 225
DZENAD GANJOLA, 328, 364, 410 ESAD KUČEVIĆ, 162, 191
E. OSIAC, 169 ESAD TAHA, 353
EBRU AKLEYIN, 243 ESER TUTUŞ, 391
ECATERINA BOCANCEA, 392 ESRA CAN, 425
ECATERINA IONESCU, 150 ESRA MUTLUOL, 375
EDA DIDEM YALÇIN, 354, 355 ESRA ÖZYURT, 300
EDA DİDEM YALÇIN, 197 ESRA SARI, 287
EDA KIZILKAYA, 296 ESRA SINEM KEMER, 253, 398
EDIT XHAJANKA, 338 ESRA SINEM KEMER DOGAN, 253
EFKA ZABOKOVA BILBILOVA, 187, 274 ESRA TUNALI, 363
EFKA ZABOKOVA-BILBILOVA, 269 ESRA UZER CELIK, 282
ELENA HERASCU, 259 ESRA UZER ÇELİK, 295, 296
ELENA HRISTEA, 395 EUGEN ANCUTA, 201
ELENA LUCA, 185, 188, 342, 407, 417 EUGEN BUD, 240
ELENA MIHAELA CARAUSU, 185, 239, 314 EUGEN OSIAC, 259
ELENA ODETTE LUCA, 327 EUGENIA POPESCU, 148, 219, 220, 362, 413
ELENA PEJEVA, 386 EUGENIU MIHALAS, 246, 271, 272
ELENA RALUCA BACIU, 348, 415 EVREN ÖZEN, 400
ELENA STEPCO, 380 EZGI EROĞLU, 391
ELENA-RALUCA BACIU, 172, 325 EZGİ EROĞLU, 396
ELIF BAHAR CAKICI, 173, 181 F. OBADAN, 169
ELIF DEFNE ALTINTAŞ, 180 F. YEŞIM KIRZIOĞLU, 398
ELIF ILGI SANCAK, 290 FABIO DE PROPRIS, 204
ELINA TEODORESCU, 150 FAIK TUĞUT, 165
ELMAS TÜFEK ATICI, 392 FARUK AKGUNLU, 202
ELMEDIN BAJRIC, 160, 387 FARUK AKGÜNLÜ, 198
ELVAN BODUR, 296 FATIH CAKICI, 173, 181
ELVIRA TOPALO, 360 FATIH KAHRAMAN, 224
EMANUELA CRĂCIUNESCU, 325 FATIH MEHMET COŞKUNSES, 337, 396
EMANUELA LIDIA CRACIUNESCU, 306 FATIH SARI, 287
EMANUELA LIDIA CRĂCIUNESCU, 139, 189 FATİH SARI, 167
EMANUELA-LIDIA CRACIUNESCU, 131 FATMA BUSRA DOGAN, 202
EMEL BICAN GEÇGEL, 230 FATMA BÜŞRA DOĞAN, 198
EMEL VJSEL, 281 FATMA DEMIRAY, 242
EMILIA DAMBU, 369 FATMA DENIZ UZUNER, 309
EMILIA MARCIUC, 203 FATMA IBIS, 282
EMILIJA BAJRAKTAROVA VALJAKOVA, 326 FATMA NUR YILDIZ, 200
EMIN CANER TÜMEN, 392 FATMA YESIM KIRZIOGLU, 253
EMİNE DEMİR ŞEREFLİ, 334 FATMA YILMAZ, 282
EMINE KAYGISIZ, 309 FERHAN EGİLMEZ, 275
EMINE ŞAHIN, 354, 355 FEYZA NUR DÜNDAR, 374
EMİNE ŞAHIN, 197 FILIP KONESKI, 371
EMINE TATAR, 391 FILIZ AYKENT, 206
EMİNE TATAR, 396 FILIZ YAGCI, 185
EMMA CRISTINA DRAGHICI, 303, 351 FLORENT SONGO BAUKAKA, 137
EMRE AYTUĞAR, 196 FLORENTA GABRIELA DUMITRESCU, 215
EMRE BAYRAM, 334 FLORIN IONEL TOPALA, 139
EMRE KORKUT, 161, 162, 242 FLORIN ONIȘOR, 208
EMRE OZDEN, 418 FLORINA FILIP CIUBOTARU, 264
EMRE OZEL, 288, 289, 290 FORNA NORINA, 321
EMRE TOKAR, 272 FRANCISC-FLORIN BARTOK, 206
EMRE YAPRAK, 257 FUSUN OZER, 279
ENDER KAZAZOGLU, 143, 344, 346, 418 FÜSUN YASAR, 198, 355
ENDER KAZAZOĞLU, 341, 343 FÜSUN YAŞAR, 199, 356
ERDA QORRI, 204 G. MUSTEAȚĂ, 313
433
23rd BaSS Congress
10 – 12 May 2018
G. VOICU, 134 HATICE KUBRA DAMAKSIZ, 372, 421

GABRIEL MELIAN, 237 HATICE KÜBRA DAMAKSIZ, 392
GABRIEL POPA, 232 HATİCE KÜBRA DAMAKSIZ, 396
GABRIEL VALERIU POPA, 243 HATICE ÖZDEMIR, 277
GABRIEL VALERIU-POPA, 266 HATICE SELIN YILDIRIM, 256, 399, 400
GABRIELA CIAVOI, 349, 381, 421 HAZAL OZER, 162
GABRIELA DIMITRIU, 310 HELMUT B. ENGELS, 141
GABRIELA FLORENTA DUMITRESCU, 310 HILAL DEMIR, 198, 199, 356
GABRIELA GELEȚU, 264 HILAL SELAMET, 250
GABRIELA IFTENI, 185, 190, 309, 341, 348, 407, 426 HORATIU VERMESAN, 173
GABRIELA PADURARU, 244 HORATIU-ALIN NEDELCU, 217, 218
GABRIEL-VALERIU POPA, 178, 335 HORIA BARBU, 146
GALINA PANCU, 285, 286, 287, 291, 301, 428 HORIA MANOLEA, 169
GAMZE CAGLA URUC, 232, 378 HORIA OCTAVIAN MANOLEA, 303, 304
GAMZE KAVUNCU, 400 HORIA TRAIAN DUMITRIU, 263
GAMZE METIN GÜRSOY, 235 HÜDA MELİKE BAYRAM, 334
GEORGE ALEXANDRU MAFTEI, 363 HUSNIYE GUMUS, 246
GEORGETA ZEGAN, 235, 238, 239, 312, 314 İBRAHIM MUTLU, 363
GEORGI ILIEV, 336 IBRAHIM SEVKI BAYRAKDAR, 224
GEORGIANA ALEXANDRA LĂCĂTUȘU, 313 ILAYDA ASKAN, 418
GEORGIANA MACOVEI, 321, 323, 417, 428 ILGIN ASENA CEBECI, 348
GEORGIOS GKINIS, 333 ILHAN METIN DAGSUYU, 224, 232
GHEORGHE BORDENIUC, 280 ILIJANA MURATOVSKA, 157, 262, 263, 384, 386
GHEORGHE G. BALAN, 216 ILKAY PEKER, 200
GHEORGHE GH. BALAN, 248 İLKER DARICI, 181
GHEORGHE NICOLAU, 360 ILKNUR CAGLI KARCI, 376
GIANINA IOVAN, 284, 285, 301, 302 ILMA ROBO, 408
GOKCENUR GOKCE, 225 IMMACULEE KAMANZI, 157
GÖKHAN KARADAĞ, 297, 298 İNAN ANIL ÖZDEMİR, 183
GÖKHAN TURKER, 185 IOANA FLORINA IORDAN, 210
GONCA DESTE, 203 IOANA MARTU, 259, 317, 318, 403, 404, 415
GOZDE AKBAL DINCER, 179 IOANA MÂRȚU, 427
GÖZDE AKŞEN, 341 IOANA RADU, 202, 203, 358
GÖZDE ÖZTÜRK, 295 IOANA ROMANUL, 349
GÜL UÇAR, 388, 396 IOANA RUDNIC, 154, 254, 403, 405
GUL YILDIZ TELATAR, 301 IOANA SCROBOTA, 349
GULCE COSAR, 246 IOANA SIOIUSTIS, 254
GULFEM ERGUN, 275, 419 IOANA-ANDREEA SIOUSTIS, 399
GÜLIN FERYAL CAN, 309 IOANA-CODRUTA MIRICA, 166
GULSEN ERMIŞ, 179 IOANNIS FOTOPOULOS, 373
GULSEN KACIRA KESKIN, 232, 378 ION DABIJA, 207, 360, 367
GÜLSÜM CEYLAN, 180 ION PATRASCU, 132, 167
GULSUM SAYIN OZEL, 168 ION ROGOVEANU, 259
GUNSELI GUVEN POLAT, 385, 386 IONELA LACRAMIOARA SERBAN, 304, 305
GÜNSELİ GÜVEN POLAT, 389 IONUT CAZAN, 147
GUREL PEKKAN, 186, 345 IONUT LUCHIAN, 245, 317, 318, 399, 403, 404
HABIL BAZYEL, 293, 422, 423, 424 IREM AKSU, 345
HACER SAHIN AYDINYURT, 255 IREM ÇIÇEKLI, 374
HAFIZE OZTURK OZENER, 260 IREN MORARU, 329
HAKAN ÖZDEMIR, 255 IRINA BAMBOI, 266, 267, 268
HAKAN ÖZDEMİR, 231 IRINA ESANU, 312, 322
HAKAN OZYUVACI, 143 IRINA GEORGETA SUFARU, 259
HAKAN YASİN GÖNDER, 292 IRINA GEORGETA ȘUFARU, 397
HALENUR ALTAN, 240, 389 IRINA GRADINARU, 304, 305, 414
HALIL ANLAR, 211 IRINA MARGARETA NISTOR, 313
HANIFE ALTINIŞIK, 300 IRINA MIHAELA ESANU, 213
HASAN DEMİR, 357 IRINA NECULAE, 144
HATICE CANAN HEKIMOGLU, 186 IRINA NEDELCU, 218
HATICE KOK, 238 IRINA NICA, 284, 285, 301, 302
434
23rd BaSS Congress
10 – 12 May 2018
IRINA NICOLETA ZETU, 151 LIDIJA VELOVSKA, 408

IRINA RUGINA, 350 LIGIA MUNTIANU, 358
IRINA ZETU, 237 LIGIA VAIDA, 349, 381
IRINA-GEORGETA SUFARU, 252 LILIAN NISTOR, 280
IRINA-GEORGETA ȘUFARU, 404 LILIANA FOIA, 261, 264, 304, 427
ISABELA LOGHIN, 148 LILIANA PASARIN, 405, 406
ISIL CEKİC-NAGAS, 419 LILIANA PĂSĂRIN, 397, 403, 404
ISMAIL KARABUDAK, 204 LILIANA POROJAN, 324
İSMET REZANI TOPTANCI, 298 LILIANA-GABRIELA HALITCHI, 226
İSMET REZANİ TOPTANCI, 396 LINDITA ZENDELI BEXHETI, 265, 408
IULIA CHISCOP, 222, 371 LIVIA ALICE TANASESCU, 274
IULIA ROXANA MARINESCU, 303 LIVIA BOBU, 266, 269, 270, 271, 412, 413
IULIAN COSTIN LUPU, 314 LIVIU ZETU, 151, 252, 254
IULIANA BABIUC, 163 LJILJANA STOJANOVIĆ, 382, 383
IURIE SPINEI, 395 LJUBA SIMJANOVSKA, 228
IVAN CHENCHEV, 359 LJUBICA SIMJANOVSKA, 366
IVONA KOVACEVSKA, 342, 350, 351 LOREDANA GOLOVCENCU, 235, 238, 239, 267
IVONA KOVACHEVSKA, 411 LOREDANA HURJUI, 261
İZZET YAVUZ, 241, 243, 357, 394, 397 LOREDANA LILIANA HURJUI, 304, 305, 414
JABBAR HASANOV, 144 LOREDANA-LILIANA HURJUI, 217
JANINA PAVLOVA, 336 LUCIA BARLEAN, 269, 271, 412, 413
JASMINA TEKIC, 410 LUCIAN CHIRILA, 367, 368
JASMINKA ANDJELIC, 373 LUCIAN CIUR, 163
JELENA KOSTOVIC, 284 LUCIAN STEFAN BURLEA, 314
JELENA MANDIC, 410 LUCIAN T. CIOCAN, 132
JOVAN AMBARKOV, 386 LUCIAN TOMA CIOCAN, 167
JOVANA MIJUCIC, 308 LUCIAN VOLOSENIUC, 318
JULIJA ZARKOVA – ATANASOVA, 417 LUMINIŢA DĂGUCI, 340
K.AYBUKE AYDEMIR, 206 M. ANDREI, 134
KADIR DEMIR, 298 M. BAHATTIN BINGÜL, 369
KAMEL EARAR, 135, 152, 178, 243, 244, 266, 335 M. CRISTACHE, 134
KATERINA ZLATANOVSKA, 342, 393, 411, 417 M. PETKOV, 263
KIRO PAPAKOCA, 350, 351, 417 M.SERTAÇ OZDOGAN, 206
KIRO PAPOKOCA, 370, 371 MADALIN HONCIUC, 405
KOFFI YOLANDE, 132 MADALINA NICOLETA MATEI, 152
KONUL NAGHIYEVA, 176 MĂDĂLINA NICOLETA MATEI, 243, 244
KSENIJA ZELIC MIHAJLOVIC, 308 MĂDĂLINA-NICOLETA MATEI, 178, 335
KUBRA ERDEM, 415 MADGDALENA WILCZAK, 315, 316
KUBRA KAHRAMAN, 282 MAGDA ANTOHE, 195
KUMRU DIDEM ATALAY, 309 MAGDA BARLEAN, 269, 412
KYROS VASILEIOS, 373, 402 MAGDA CALINA BARLEAN, 271, 413
L. MOGOANTA, 169 MAGDA ECATERINA ANTOHE, 201, 420
LAMIA NAJAFOVA, 347 MAGDA-ECATERINA ANTOHE, 276, 278, 312
LAMPROS ZOULOUMIS, 402 MAHERA BAKER ALHAYMONID, 191
LARISA ROSCA, 419 MAHMUT ERÇIL, 188, 205
LAURA CHECHERITA, 172, 185, 188 MAIDA GANIBEGOVIC, 156
LAURA ELISABETA CHECHERITA, 314 MAJA DELIC, 328
LAURA IDORASI, 306, 323 MAKBULE TUGBA TUNCDEMIR, 183, 282, 283, 292
LAURA IDORAȘI, 325 MANUEL FLORIN ROSU, 221
LAURA MARIA VASILCA GAVRILA, 246, 248 MANUELA CHIBELEAN, 240
LAURA-CRISTINA RUSU, 211 MARCEL COSTULEANU, 147, 427
LAURA-MARIA VASILCA-GAVRILA, 271, 272 MARIA ALEXANDRA MARTU, 245, 259, 399
LEYLA BENAN AYRANCI, 175 MARIA ANTONELA BELDIMAN, 342
LEYLA CIME AKBAYDOGAN, 229, 376 MARIA BOLAT, 325, 416
LEYLA ÇİME AKBAYDOĞAN, 230 MARIA COSTIOGLU, 395
LEYLA KURU, 256, 260 MARIA DALAMPIRA, 192
LIANA AMINOV, 177, 331, 333 MARIA JUSTINA ROXANA VIRLAN, 303
LIDIA CIOBANU, 215 MARIA SIDERI, 373, 402
LIDIA ENI, 401, 425 MARIA TERENTIEVA, 419
435
23rd BaSS Congress
10 – 12 May 2018
MARIA-ANTONELA BELDIMAN, 325, 417 MIHAELA SALCEANU, 134, 175, 177, 178, 291
MARIA-ELENI ZOULOUMI, 402 MIHAELA STAN, 328
MARIAN TĂULESCU, 212 MIHAELA TANASE, 136
MARIANA DIMOVA - GABROVSKA, 394 MIHAELA TUCULINA, 330
MARIANA DIMOVA-GABROVSKA, 426 MIHAELA VATU, 133
MARIANA PĂCURAR, 240 MIHAELA-JANA ȚUCULINA, 329
MARIJA IVANOVSKA, 408 MIHAI DUDU, 317
MARIJANA CURCIC, 410 MIHAI JUNCAR, 421
MARIN BURLEA, 244 MIHAI LIVIU CIOFU, 220
MARINA MILINKOVIĆ, 383 MIHAI MOSTOVEI, 189, 207
MARIUS ANDREI DINU, 263, 409 MIHAI ROMINU, 131, 139, 306
MARIUS HINGANU, 215 MIHAI ROMÎNU, 325, 327
MARIUS VALERIU HINGANU, 306, 307 MIHAJLO PETROVSKI, 350, 351
MARIUSZ DUDA, 142 MIHNEA IACOB, 237
MARKUS BLATZ, 279 MIJOSKA ANETA, 366
MATEI VORNICU, 317 MILOŠ MAKSIMOVIĆ, 191
MEDA LAVINIA NEGRUTIU, 194, 306, 326 MILUTIN MICIC, 308
MEDA LAVINIA NEGRUȚIU, 139 MINE TURAL, 206
MEDA-LAVINIA NEGRUTIU, 131, 189, 323 MINELA AIDA MARANDUCA, 305
MEDIHA SELIMOVIC-DRAGAS, 387 MIOARA DECUSARA, 232
MEHDI ALIMEHMETI, 214 MIOARA DECUSARĂ, 266
MEHMET AKIN, 375, 376 MIOARA TRANDAFIRESCU, 264
MEHMET ALI ALTAY, 204 MIRELA GRIGOROVICI, 213
MEHMET AYDIN, 224 MIRJANA DJURICKOVIC, 411
MEHMET BULBUL, 234 MIRJANA POPOVSKA, 251, 258, 262, 263, 265, 384, 408
MEHMET ÇOLAK, 357 MLADEN BEHARA, 209
MEHMET DEMIRKOL, 205 MNARKI HAIFA, 268
MEHMET EMRE COŞKUN, 167 MONICA ANDRONACHE, 195, 276, 278, 420
MEHMET GOKBERK KAAN DEMIREL, 283 MONICA CRAITOIU, 169
MEHMET MUSTAFA OZARSLAN, 204 MONICA MIHAELA CRAITOIU, 133, 303, 304
MEHMET TASPINAR, 251 MONICA MIHAELA CRĂIŢOIU, 340
MEHMET ZAHİT BAŞ, 389 MONICA MIHAELA SCUTARIU, 224, 307, 428
MELANIA COJOCARU, 303, 351 MONICA SCRIECIU, 133, 303, 304, 351
MELEK TASSOKER, 182 MONICA SILVIA TATARCIUC, 170, 171, 172
MERAL BAGKUR, 165 MONICA TATARCIUC, 317, 327, 403, 413
MERAL KURT, 191 MUHAMMED CAGLAR BURSA, 372, 421
MERITA BARDHOSHI, 338 MUHİTTİN TOMAN, 183
MERVE BANKOGLU GUNGOR, 165 MURARIU ALICE, 321
MERVE BAYRAM, 247 MURAT ALKURT, 273
MERVE FIDANBOY, 375 MURAT TÜRKÜN, 296
MERVE GOYMEN, 228 MUSTAFA BOGACHAN ILHAN, 256
MERVE GÜRSES, 292 MUSTAFA DÜZYOL, 294
MERVE OZTURK, 377 MUSTAFA MURAT ERUZ, 236
MERVE YENİÇERİ ÖZATA, 331 MUSTAFA RAŞID TOKSÖZ, 211
MERYEM ESMA AKMAN, 228 MUSTAFA YILDIRIM, 273
MERYEM TORAMAN ALKURT, 200 NATASA LONGUROVA, 342
MESUT ELBAY, 388, 391 NATASA TOSESKA SPASOVA, 384
METIN ÇALIŞIR, 160, 193 NATASA TOSESKA SPASOVSKA, 265
MIHAELA BOANCA, 312 NATASA TOSESKA-SPASOVA, 228
MIHAELA CATALINA LUCA, 210 NATASHA LONGUROVA, 393, 411
MIHAELA DANA TURLIUC, 310, 311 NATASHA STAVREVA, 187, 269, 274, 366
MIHAELA MITREA, 185, 217, 218, 305, 306, 307, 311 NAZIRA SAVA, 406
MIHAELA MONICA SCUTARIU, 136, 321 NAZLI SIRINSUKAN, 425
MIHAELA MOSCU, 318, 350 NAZLI ZEYNEP ALPASLAN YAYLI, 251
MIHAELA MOSNEGUTU, 156 NEADA HYSENAJ, 338
MIHAELA PANTEA, 136 NEBIHA GOZDE ISPIR, 200
MIHAELA PAULA TOADER, 213 NEDA HASANOĞLU ERBAŞAR, 211
MIHAELA PAUNA, 163, 274 NEDA STEFANOVIĆ, 382, 383
MIHAELA ROXANA POPESCU, 176 NEHIR CANIGÜR BAVBEK, 235
436
23rd BaSS Congress
10 – 12 May 2018
NELLI YILDIRIMYAN, 204 OZLEM KUZU, 385

NERMIN DEMIRKOL, 188, 205 ÖZLEM KUZU, 389
NESLIHAN TEKCE, 288, 289, 290 P. PERLEA, 134
NEVIN KAPTAN AKAR, 247 PAHOUMIS IOANNIS, 373
NICOLAE BAJUREA, 339 PALOMA HORJINEC, 311
NICOLAE CHELE, 207, 339, 360, 367 PANTELIS MANOLIS, 352
NICOLAE COJUHARI, 419 PATRICK HESCOT, 156
NICOLETA DUMITRESCU, 310 PAUL CORNEL FREIMAN, 144
NICOLETA IOANID, 188, 342, 348, 407, 417 PAUL SALAHORU, 306
NICOLETA TOFAN, 285, 286, 301 PAULA PERLEA, 132
NIKOLA GIGOVSKI, 326 PAULA TOADER, 312
NİLÜFER BÖLÜKBAŞI BALCIOĞLU, 361 PERIHAN OYAR, 203
NINA MARKOVIC, 160, 242, 387 PETRA SURLIN, 259
NISA GUL AMUK, 237 PETRA ȘURLIN, 261
NORINA CONSUELA FORNA, 141, 206, 208, 245, 276, PREDRAG NIKOLIC, 382
278, 420 R. RICA, 169
NORINA FORNA, 189, 195, 221 RADU COMANECI, 171
NUMAN CETINKAYA, 372, 421 RADU PETCO, 425
NUR EMEL HERSEK, 345 RADU SEPTIMIU CAMPIAN, 131, 166, 173, 215
NURAL BEKIROĞLU, 348 RADU SEPTIMIU CÂMPIAN, 208
NURHAN GULER, 346 RAIF ALAN, 162
NURSEL DILSIZ, 165 RALUCA BACIU, 416
OANA CELLA ANDREI, 274, 340 RALUCA DRAGOMIR, 220
OANA CIURCANU, 195 RALUCA -ELENA BACIU, 403
OANA DOLOCA TANCULESCU, 341 RALUCA JIPU, 304, 305, 414
OANA DRAGOS, 266, 267 RALUCA JUNCAR, 349
OANA ELENA CIURCANU, 224, 321, 369, 371, 397 RALUCA MOCANU, 185
OANA MARIA DARABA, 226 RALUCA TODOR, 326, 327
OANA TANCULESCU, 185, 309 RALUCA-IULIA JUNCAR, 421
OANA TANCULESCU DOLOCA, 426 RAMONA AMINA POPOVICI, 211
OANA-MARIA BUTNARU, 315 RAMONA DIANA FEIER, 195, 271, 276, 278, 312
ODETTE LUCA, 170, 428 RAMONA FEIER, 420
OKAN BİLGE, 219 RAMONA IMELDA DINU, 263, 409
OLEG SOLOMON, 189, 419 RANA KIZILTEKIN, 234
OLGA BĂLTEANU, 395 RAZVAN BRANZAN, 134
OLGA CHEPTANARU, 339 RAZVAN FLORIN CURCA, 316
OLGA DJURIC, 410 RAZVAN GHITA, 304
OLGA KOKOCEVA IVANOVSKA, 187, 274, 366 RAZVAN LEATA, 232, 365
OLIVERA TERZIEVA- PETROVSKA, 350, 351 REFJOLA AHMETAJ, 222
OMER FARUK TEKIN, 345 RIDVAN OKSAYAN, 224, 230, 231, 232, 234, 378, 379
ONDINE LUCACIU, 166, 208, 215 RISTE BRZAKOV, 346, 372, 401
ONUR AYKAN ATILLA, 236 ROLAND TÖRÖK, 142
ONUR GEZGIN, 162, 242 ROMAN BOICO, 360
ORKUN ÇETIN, 255 ROMAN ION, 261
OTILIA BOISTEANU, 147 ROXANA BORDEA, 208
OVIDIU AUNGURENCEI, 190, 426 ROXANA DIANA VASILIU, 324
OVIDIU NICOLAICIUC, 171, 406, 413 ROXANA IONELA VASLUIANU, 420
OVIDIU STAMATIN, 276, 278 ROXANA IULIA MARINESCU, 351
OZGE CELIKSOZ, 299 ROXANA MARIA PASCU, 340
OZGE GUNBAY, 378 ROXANA MIHAELA BARBU, 322
ÖZGE PARLAR ÖZ, 188, 205 ROXANA MIHAELA POPESCU, 202
OZGUN YUSUF OZYILMAZ, 182, 415 ROXANA POPESCU, 203, 311, 358
OZGÜNÜZ YUSUF OZYILMAZ, 168 ROXANA VASLUIANU, 276, 278
OZGUR IRMAK, 279, 299 ROXANA-IONELA VASLUIANU, 172
ÖZKAN ADIGÜZEL, 330, 331 ROXANA-MĂDĂLINA ONEA, 243
OZLEM FENTOGLU, 253 ROXANA-MIHAELA BARBU, 311
ÖZLEM FENTOĞLU, 398 RUI AMARAL MENDES, 137
OZLEM INCE, 230 RUKAN GENC, 275, 419
OZLEM KARA, 281, 415 RUKIYE DURKAN, 203
437
23rd BaSS Congress
10 – 12 May 2018
SAADET ATSÜ, 181 STEFAN GHERASIMESCU, 192

SABINA CALFA, 223 STEFAN SELARU, 307
SAHAND GHAFFARI, 234, 379 STEFAN TOADER, 213
SAIMIR HETA, 408 STELIAN CIOBANU, 226
SANDA MIHAELA POPESCU, 133, 303, 304, 329, 330, STRAHINJA PAVLOVIC, 308
351 STYLIANOS DALAMPIRAS, 150, 192
SANDRA ANDREEA SECOSAN, 323 SULEYMAN HAKAN TUNA, 186
SANDRA ATANASOVA, 393 SÜMEYRA AKKOC, 389
SANJA NASHKOVA, 393 SÜMEYRA AKKOÇ, 240
SANJA NASKOVA, 342 SÜMEYYE KOÇ, 388
SASKA TODOROSKA, 262, 265 SUNA TOKSAVUL, 183
SECIL KARAKOCA NEMLI, 165 SVETLANA GREC, 392
SEDA FALAKALOĞLU, 331 SVETLANA PLAMADEALĂ, 392
SEDIN KOBASLIJA, 387 SVETLOZAR RANGELOV, 336
SELDA AKAR, 376 TAMARA PERIC, 138, 284
SELEN BOZKAYA, 290 TANER OZTURK, 236, 237
SELEN ERKUL, 344, 346 TANJA ČUTOVIĆ, 382, 383
SELİN ÜMMÜ ÖZSOY UÇAR, 167 TANJA IVANOVIĆ, 383
SEMA ÇELENK, 391 TANSU ÇIMEN, 356
SEMA YÜKSEL, 309 TATIANA TARANU, 213, 312
SENA KARGI, 289 TATJANA DZARIC, 362
SENIZ KARACAY, 225, 363 TEUTA DIMARELI, 214
SERAP KESKIN TUNC, 251 TINA PAJEVIĆ, 382, 383
SERDAR BAĞLAR, 297 TUDOR COSMIN ONICIUC, 331
SERGIU CIOBANU, 154 TUDOR HAMBURDA, 134, 178
SERGIU ROSCA, 154 TUĞÇE NUR PEKDEMIR, 241, 243, 369, 391, 394, 397
SERKAN ÖZKAN, 233 TUGRUL ASLAN, 176
SERKAN SARIDAĞ, 337, 388 TURKAN SEZEN ERHAMZA, 227
SEVDA MIHAILOVA YANTCHEVA, 157 TÜRKAN SEZEN ERHAMZA, 181
SEVGI GÜLMEZ, 287 ÜKÜ ŞERMET ELBAY, 396
SEVIM ATILAN, 294 ÜLKÜ ŞERMET ELBAY, 388, 391
SIBEL DİKİCİER, 184 ÜMIT GÜNEY, 165
SIDONIA SUSANU, 147 UMUT PAMUKCU, 200
SILVIA MARTU, 154, 245, 252, 259, 263, 316, 317, 399, UTKU KÜRSAT ERCAN, 282
405, 406, 409 V. STOJANOVSKA, 263
SILVIA MÂRȚU, 397, 404 VALBONA DISHA, 332
SILVIA TESLARU, 252, 254, 403 VALENTIN TOPALO, 360, 367
SIMINA GAMAN, 328 VALENTINA TRIFAN, 379
SIMION BRAN, 208 VALERIU FALA, 280
SIMION LEVCO, 217 VALERIU-MARIUS HINGANU, 217, 218
SIMONA ANDREEA MORARU, 303 VANDA ROXANA NIMIGEAN, 303
SIMONA STOLERIU, 158, 284, 285, 301, 302 VASILE VALERIU LUPU, 244
SINAN YASIN ERTEM, 211 VASILENA IVANOVA, 359
SINEM BAYRAM, 337 VASILICA TOMA, 261, 264
SLADJANA TMUSIC, 209 VASLUIANU ROXANA, 321
SLOBODAN IVIĆ, 382, 383 VEDAT TARI, 372, 421
SNEZANA MATIJEVIC, 385 VERA RADOJKOVA – NIKOLOVSKA, 353
SNEZANA RAZNATOVIC, 364 VERA RADOJKOVA NIKOLOVSKA, 258, 262, 384
SONILA ROBO, 408 VERA RADOJKOVA-NIKOLOVSKA, 251, 263, 372
SORANA NICOLETA ROSU, 323 VERICA TONEVA, 393, 411, 417
SORIN ANDRIAN, 158, 174, 284, 285, 286, 291, 302 VERONICA MERCUT, 133, 303, 330
SORIN DANIEL POROJAN, 324 VERONICA MERCUȚ, 304, 351
SORIN MIHALI, 144 VERONICA PINTILICIUC ŞERBAN, 403
SORINA - MIHAELA SOLOMON, 404 VERONICA SERBAN - PINTILICIUC, 216
SORINA MIHAELA SOLOMON, 154, 259, 404, 406 VESNA AMBARKOVA, 187, 386
SORINA SOLOMON, 245, 403 VESNA KORUNOSKA STEVKOVSKA, 326
SPIRO SILLA, 408 VICTOR NIMIGEAN, 303
SRĐAN D. POŠTIĆ, 191 VICTOR VLAD COSTAN, 148, 219, 220
SRĐAN POŠTIĆ, 162 VIOREL IBRIC CIORANU, 145
438
23rd BaSS Congress
10 – 12 May 2018
VIOREL MICLĂUȘ, 212 ZELAL SEYFIOGLU POLAT, 372

VIOREL VACAROV, 154 ZELAL SEYFIOĞLU POLAT, 421
VIORICA CHETRUS, 261 ZELIHA MUGE BAKA, 229, 375, 376
VITALIE GRIBENCO, 280 ZELIHA MÜGE BAKA, 230, 377
VITALIE PANTEA, 419 ZELIHA UGUR AYDIN, 226
VLAD ANGHELESCU, 144 ZELJKO MILOSAVLJEVIC, 381, 382
VLAD DANILA, 266 ZENAIDA SURLARI, 190, 309
VLAD DEAC, 156 ZENOVIA SURLARI, 341
VLADAN ĐORĐEVIĆ, 162, 191 ZEYNEB MERVE ÖZDEMIR, 294
VLADIMIR BIOČANIN, 191 ZEYNEP ASLI ÖZKAYA, 245
VOLKAN ARIKAN, 399 ZEYNEP BETÜL ARSLAN, 198, 355
VOLKAN ARISAN, 143 ZEYNEP DERELİ, 292
VUKOMAN JOKANOVIĆ, 163 ZEYNEP DIKMEN, 299
VURAL BUTUN, 299 ZEYNEP NORCINLI, 375, 376
WILLI A. URICIUC, 173 ZEYNEP SAHIN, 275
WILLIAM PAPAIOANNOU, 153 ZEYNEP SEYMAN, 377
YAGMUR SENER, 242 ZEYNEP YEŞİL DUYMUŞ, 273
YASEMIN DERYA FIDANCIOGLU, 242 ZINOVIA VACULA-FURTUNA, 401
YASEMIN NUR KORKMAZ, 226 ZIYA SEFERLI, 337
YESIM CETIN, 343 ZLATKO GEORGIEV, 269
YLLKA DECOLLI, 134, 175, 176, 177, 333, 358 ZORAN MANDINIC, 410
YUNUS EMRE OZDEN, 344 ZORAN SPASOV, 228
YUNUS EMRE ÖZDEN, 341 ZÜBEYDE UCAR GUNDOGAR, 168
YUSUF BAYRAKTAR, 298 ZÜBEYDE UÇAR GÜNDOĞAR, 287
ZEKIYE HIDAYET, 245 ZUHRE AKARSLAN, 200
439
23rd BaSS Congress
10 – 12 May 2018
Our special thanks go to
440

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Organized by

Romanian Association for Dental

23RD BaSS Congress

Dental Medicine of the Younger

BASS COUNCIL MEMBERS

COUNTRY Councilors Deputy Councilors

President of the Congress

Prof. Dr. Norina Forna ROMANIA

Assoc. Prof. Dr. Elisavet Koulaouzidou GREECE

Prof. Dr. Eugenia Popescu ROMANIA

Dear distinguished members of the Balkan Stomatological Society,

With Kind Regards,

President of BaSS Congress 2018

President of BaSS Congress 2018

BaSS CONGRESS HISTORY

BaSS CONGRESS HISTORY

IASI, THE CULTURAL CAPITAL OF ROMANIA

IASI GENERAL INFORMATION:

THE PALAS ENSEMBLE

Palas includes shopping, shopping street, 5 meeting rooms, offices, a 4 * hotel,

MOZART HALL 120 places

SOCIAL PROGRAM AND EVENTS

FRIDAY, May 11th

Enjoy the charm of the

One day trip to Bucovina and Neamt:

Departure from Iasi

FRIDAY, MAY 11th, 2018

SATURDAY, MAY 12th, 2018

DETAILED SCIENTIFIC PROGRAM

THURSDAY, MAY 10th, 2018 CHOPIN A HALL

14:30 ORAL PRESENTATIONS

THURSDAY, MAY 10th, 2018 CHOPIN B HALL

HORATIU-ALIN NEDELCU*, IRINA NEDELCU**, VALERIU-MARIUS HINGANU*, DELIA

OP 26 PLACE OF CBCT IN ANALYSE OF ENDODONTIC PATIENT

THURSDAY, MAY 10th, 2018 VIVALDI A HALL

DEBATE (30 min):

OP 37 EFFECT OF SURFACE ROUGHNESS OF MONOLITHIC ZIRCONIA AND LITHIUM

THURSDAY, MAY 10th, 2018 VIVALDI B HALL

OP STUDIES ON THE USE OF ERCR:YSGG LASER IN SECONDARY PREVENTION OF

12:00 ORAL PRESENTATIONS

OP DIGITAL EVALUATION OF MOD CAVITY PREPARATION TAPERS DIFFERENCES

OP 62 DENTAL STUDENTS’ KNOWLEDGE AND ATTITUDES REGARDING RADIATION

THURSDAY, MAY 10th, 2018 MOZART HALL

**Professor, Department of Periodontology

Grigore T. Popa University of Medicine and Pharmacy Iasi

PP 67 THE GINGIVAL BIOTYPE INFLUENCE UPON CRESTAL BONE LEVEL DURING

PP 1 ORAL HEALTH STATUS OF YOUNG PEOPLE IN IASI, ROMANIA

THURSDAY, MAY 10th, 2018 ROSSINI A HALL

OP REPAIR AND REPLACEMENT DECISIONS BASED ON THE ESTHETIC SCORE OF

12:00 ORAL PRESENTATIONS

OP COMPARISON OF THE DMFT INDEX AND ORAL CARE HABITS OF DENTISTRY

ERSIN YILDIRIM, SENIZ KARACAY

THURSDAY, MAY 10th, 2018 ROSSINI B HALL

OP THE EFFICACY OF CYANOACRYLATE ON PALATAL WOUND HEALING AND

12:00 POSTER PRESENTATIONS

PP SUPERNUMERARY TEETH IN PRIMARY AND PERMANENT DENTITION

University of Health Sciences İstanbul

PP PARTICULARITIES IN THE SURGICAL APPROACH OF THE PATIENT WITH

PP THE ACTION OF AСЕПТА PARODONTAL MEDICATIONS ON PERIODONTAL

WILLI A. URICIUC, ARANKA ILEA, HORATIU VERMESAN**, RADU SEPTIMIU