Assessing changes in oral health-related quality of life following dental rehabilitation under general anesthesia.

OBJECTIVE: To determine whether dental treatment under general anesthesia (GA) improved oral health-related quality of life (OHRQoL) in pre-school children, to evaluate the sensitivity and responsiveness of the Turkish version of the Early Childhood Oral Health Impact Scale (ECOHIS) and to examine parental satisfaction with the care received. STUDY DESIGN: The parents/caregivers of 120 pre-school children receiving dental treatment under GA, were asked to complete the ECOHIS before and after treatment. Participants were also asked a global transition judgement concerning change in their child's condition after treatment. Global transition judgement and distribution changes in ECOHIS scores were used to assess the sensitivity and responsiveness. RESULTS: 98 children completed the follow-up survey. Between pre- and post-treatment ECOHIS scores, significant reduction was observed (p < 0.001). The effect sizes were moderate and large (0.36 to 1.63). Global transition rating groups were compatible with statistical differences between pre- and posttreatment scores, supporting the responsiveness of the ECOHIS. 91% of parents regarded the experience to be positive. CONCLUSIONS: Children's OHRQoL showed significant improvement after treatment. The majority ofparents reported a high degree of satisfaction. Also, Turkish version of the ECOHIS was sensitive to dental treatment under GA for pre-school children and responsive to treatment-associated changes.

Deproteinization treatment on bond strengths of primary, mature and immature permanent tooth enamel.

OBJECTIVE: The aim of this study was to examine the effect of pre-post deproteinization treatment with 5% sodium hypochloride on shear bond strength (sbs) of adhesive resin to primary, immature and mature permanent teeth enamel. METHOD: 30 teeth were used for each of primary, immature and mature permanent teeth groups. (totally 90). In control groups, enamel was etched for 60s with 37% phosphoric acid (3M) and rinsed for 10s (Procedure A). In experimental groups, deproteinization was applied with 5% NaOCI solution for 120s before (Procedure D+A) and after acid-etching (Procedure A+D). Gluma Comfort Bond (Heraeus-Kulzer) and Charisma (Heraeus-Kulzer) composite resin were applied to etched enamel surfaces. Data were determined with Two-Way ANOVA and LSD Multiple Comparison Test (p < 0.05). RESULTS: SBS was significantly lower in primary and immature permanent teeth than mature permanent teeth (p < 0.05). "Procedure A+D" statistically increased sbs values in primary and immature permanent teeth (p < 0.05). CONCLUSION: Deproteinization after acid etching significantly enhanced the shear bond strength values in primary and immature permanent teeth.

Effect of white cheese and sugarless yoghurt on dental plaque acidogenicity.

White cheese and sugarless yoghurt are frequently consumed traditional Turkish foods. The aim of this study was to assess their acidogenic potential when eaten alone or following a rinse with sucrose solution. Plaque pH was measured by a pH microelectrode at baseline to determine the resting plaque pH and at time intervals of 1-60 min after rinsing with 10% sucrose solution or eating the test food for 1 min. White cheese consumption for 1 min increased the plaque pH. When white cheese was eaten 5 min after rinsing with 10% sucrose solution, the plaque pH rose rapidly. After sugarless yoghurt consumption, the pH fell to a similar minimum as for sucrose after 5 min but returned to baseline levels after 30 instead of 60 min. Consumption of sugarless yoghurt after a sucrose rinse initially reduced the plaque pH further but did not affect the time taken for pH to regain baseline levels.