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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) Dündar Sarı, Makbule Buse; Sarı, 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 Löe 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.
  • Küçük Resim
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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; Dündar Sarı, Makbule Buse; Arda Sözüöz, Melis; Güngör, 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.