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    1-year Results of Molar Incisor Hypomineralization-affected Cases Treated with Silver Modified Atraumatic Restorative Treatment: A Retrospective Study
    (Jaypee Brothers Medical Publishers (P) Ltd, 2024) Bal, Cenkhan; Sozuoz, Melis Arda; Dündar Sarı, Makbule Buse; Aksoy, Merve
    Aim and background: Silver-modified atraumatic restorative treatment (SMART) can be an alternative method for molar incisor hypomineralization (MIH)-affected cases. The purpose of this study was to assess whether tooth location and cavity preparation affect the clinical success of MIHaffected permanent molars treated with the SMART technique. Materials and methods: Modified United States Public Health Service criteria were utilized for the analyzes. The clinical records (3, 6, and 12 months) of 19 MIH-affected cases (6–12 years; no spontaneous pain and percussion/palpation sensitivity) treated with the SMART technique were assessed. The groups were allocated based on tooth location (mandibular-maxillary) and cavity preparation (class 1–2). The Fisher exact the Chi-squared test was utilized, and the p-value < 0.05 was accepted as statistically significant. Results: Overall success rates were 94.7% at 3 and 6 months and 52.63% at 12 months. Clinical success did not differ statistically regarding location (p > 0.05). The class 1 cavity preparation group was found to be significantly more successful at the 12-month assessments (p = 0.033). Conclusion: The class of cavity preparation may affect the success of the treatment in long-term assessments. The SMART technique, especially in class 1 occlusal restorations, can be recommended as a short-term alternative to traditional treatment methods for MIHaffected cases.
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    Comparison of Oral Health Status of Pediatric Patients with Gastroesophageal Reflux and Bile Reflux Disease
    (Karger, 2025) Dundar Sari, Makbule Buse; Sari, Eren; Arslan, Melike; Aksoy, Merve; Bal, Cenkhan; Balamtekin, Necati
    Introduction: Gastroesophageal reflux disease (GERD) and bile reflux disease (BRD) are two distinct conditions that may affect oral health through different mechanisms. This study investigated whether these reflux types lead to differing oral and dental outcomes in pediatric patients, aiming to inform clinical practice and promote interdisciplinary care. Methods: Patients diagnosed with BRD or GERD between 2017 and 2020 were included. Clinical oral examinations, salivary analyses, and questionnaires on potential etiological factors for erosive tooth wear (ETW) were conducted. Oral health was assessed using the Basic Erosive Wear Examination (BEWE), dental caries experience (DMFT), Silness and L & ouml;e plaque index (PI), and gingival index (GI). Salivary pH and flow rates were recorded. Results: Sixty-six patients (33 with BRD, 33 with GERD; 75.8% female; mean age: 14.9 +/- 3.1) were included. BEWE scores were significantly higher in GERD patients (median: 6 vs. 4) (p < 0.001), though both groups were classified as low risk for ETW. GERD patients had higher PI (p = 0.018) and GI scores (p < 0.001), while DMFT scores were similar (p = 0.639). BRD patients exhibited significantly higher median values for unstimulated and stimulated salivary pH (7 vs. 6 and 8 vs. 7, respectively) and flow rates (0.6 vs. 0.36 mL/min and 1.7 vs. 1.22 mL/min, respectively) (all p < 0.001), although stimulated flow in GERD patients remained within normal limits (>= 1 mL/min). Conclusion: GERD was associated with poorer oral health, particularly ETW and gingival status. Early, multidisciplinary intervention may help prevent erosion and promote remineralization. (c) 2025 S. Karger AG, Basel.
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    Effect of post-curing parameters and material thickness on the color stability of 3D-printed dental resins: An in vitro study
    (Elsevier Masson Sas Editeur, 2025) Topsakal, Kübra Gülnur; Aksoy, Merve; Sukut, Yağızalp; Duran, Gökhan Serhat
    Objective > To assess the effect of variations in post-curing temperatures and times on the colour stability of 3D-printed resins used in orthodontics and paediatric dentistry applications and the effect of material thickness on colour properties was also examined. Methods > The two different disk samples (15.00 x 1.0 mm, n = 90; 15.00 x 2.00, n = 90; diameter and height, respectively) were designed and printed from biocompatible resin with SLA technology. These samples were subjected to various post-curing temperatures and times (60 degrees C and 30 min, 60 degrees C and 90 min, 60 degrees C and 120 min, 60 degrees C and 60 min, 40 degrees C and 60 min, 80 degrees C and 60 min). The values of L, a, and b of the 3D-printed resin samples were evaluated under D65 illumination conditions in the centre of the samples using a spectrophotometer. The same researcher recorded the average values after the measurements were performed three times for each sample. Results > The results indicated significant differences in colour stability (L, a, b values) among samples subjected to different post-curing conditions. Variations in post-curing time and temperature significantly affected the colour of the resins. The study found that certain post-curing conditions could lead to acceptable colour values that are similar to natural teeth. Conclusions > The study concluded that the time and temperature of post-curing significantly affected the colour properties of 3D-printed clear resins used in orthodontic applications. It suggests that a 30-minute post-curing time can yield acceptable colour values, highlighting the importance of selecting appropriate post-curing conditions based on clinical requirements. Additionally, an increase in material thickness was found to correlate with increased yellowness in the samples. Clinical significance > The changes in post-curing temperature and time may impact colour properties. Clinicians should consider this situation when manufacturing with 3D printing.
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    Post-curing protocols and dimensional accuracy of 3D-printed resin materials
    (Taylor & Francis Ltd, 2025) Aksoy, Merve; Topsakal, Kubra Gulnur; Sukut, Yagizalp; Duran, Gokhan Serhat
    PurposeThe study aims to evaluate the influence of various post-curing times and temperatures on the dimensional accuracy of 3D-printed resin space maintainers.Materials and MethodsUsing biocompatible printing resins, the study designed band samples of space maintainers, which were 3D printed with the SLA printer. Samples were grouped based on thickness (0.5 mm and 1.0 mm) and post-cured under different conditions of temperature and time (60 degrees C-30 minutes, 60 degrees C-90 minutes, 60 degrees C-120 minutes, 60 degrees C-60 minutes, 40 degrees C-60 minutes, 80 degrees C-60 minutes). The accuracy of the band part of the printed maintainers was analysed using the total and 4 comparison points' arithmetic mean of the surface deviation on the band's surface.ResultsThe study revealed that the post-curing conditions notably influenced the dimensional accuracy of the printed samples. Post-curing temperature and duration variations produced significant differences in dimensional stability between the groups. Particularly, a post-curing period of 60 degrees C for 60 minutes was identified as optimal for achieving better dimensional accuracy, especially for samples with 1.0 mm thickness.ConclusionsDifferent post-curing parameters significantly affect the dimensional accuracy of 3D-printed resin space maintainers. The 1.0 mm band thickness and a 60 degrees C and 60 minutes post-curing protocol optimize the accuracy of the maintainers.
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    Silver-Modified Atraumatic Restorative Treatment (SMART) in Managing Carious Primary Molars: 1-Year Clinical Results
    (Int Soc Fluoride Research, 2025) Aksoy, Merve; Sari, Makbule Buse Dundar; Sozuoz, Melis Arda; Gungor, Erva; Bal, Cenkhan
    Purpose: Silver-modified atraumatic restorative treatment (SMART) is a minimally invasive method that can be utilized for the management of early childhood caries. This study aimed to assess the 12-month clinical success of the SMART technique in the management of carious primary molars. Methods: The analysis (Modified-United States Public Health Service Criteria) was performed on the 3rd, 6th and 12th months clinical records of 53 teeth of uncooperative patients aged between 2-6 years treated with the SMART technique. The included teeth with no spontaneous pain and sensitivity to percussion-palpation, were divided into groups by location (mandibular-maxillary) and carious cavities (occlusal, mesio/disto-occlusal, mesio-occlusal-distal). Fisher Exact Chi-Square test was used to determine the relation between the groups and p-value < 0.05 was accepted as statistically significant. Results: The success rate of SMART for retention, marginal discoloration, and secondary caries in the mandible (84.8%), was higher than the values detected in the maxilla (38.5%) and teeth with occlusal caries were significantly more successful at 12-month assessments (p= 0.038). Mandibular cases and occlusal cavities revealed better results in marginal adaptation assessments (78.8%, and 88.9%, respectively). Conclusions: This paper has the novelty of being the first study assessing the effect of the type of carious cavity and the tooth location in the clinical success of SMART technique. Accordingly, SMART may conclude to be an alternative for the treatment of carious teeth of uncooperative children at least for a period until the child becomes mature to comply with the advanced treatment procedures.
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    The Place of Artificial Intelligence in Pediatric Dentistry: Traditional Review
    (Selçuk Üniversitesi, 2025) Özalan, Zeynep Esma; Sarı, Makbule Buse Dundar; Aksoy, Merve
    Artificial intelligence, which has developed rapidly in recent years and become the focus of attention in different sectors, is also very popular in the field of health. These applications aim to reduce human expertise, cost and medical error, save time and increase efficiency and accuracy. The main area of interest of artificial intelligence in healthcare is the creation of artificial intelligence programs that can perform clinical diagnosis and make treatment recommendations. The development of artificial intelligence in the field of dentistry is remarkable. However, these attempts started after medical applications and are still in the early stages. Considering the connection between dentistry and technology artificial intelligence applications have the potential of developing in dental practices. The main problem of studies regarding artificial intelligence in dentistry is the difficulties experienced in data organization, processing and editing. Studies usually carried out by making data sets ready for artificial intelligence models, and therefore resulted in high accuracy. There are very few studies on artificial intelligence in the field of pediatric dentistry. However, in recent years, the number of studies reported on the application of artificial intelligence models in this field has been increasing rapidly in parallel with the number of studies in general dentistry. As the availability of data increases, artificial intelligence applications have begun to prove their benefits in various pediatric dental practices. This review aimed to enlighten the use of artificial intelligence mainly in the field of pediatric dentistry and highlight the current developments in this field