Objectives: This study aimed to assess awareness of anesthesiologists and neonatologists about oral complications occurring during and after the orotracheal intubation (OTI) in premature infants and their knowledge and behavior regarding protection methods from these complications in clinical practice. Methods: This study included 94 neonatologists and 137 anesthesiologist. The final version of the questionnaire included 15 items in three main parts: (i) personal information; (ii) awareness about oral complications occurring during and after the OTI in premature infants; (iii) knowledge and behavior regarding protection methods from these complications in clinical practice. Results: A total of 95.7% of neonatologists and 83.2% of anesthesiologists were aware of oral complications related to OTI. The most common complications the anesthesiologists encountered were oral, laryngeal, or pharyngeal region injuries (60.7%) and palatal groove (52.2%) for the neonatologists. The most preferred method for stabilization of the orotracheal intubation tube (OTT) was bonding to the perioral region with an adhesive tape (98.3%). The primary determining factor in the choice of OTT stabilization method was the ease of use (28.2%). A total of 23.8% of the participants were aware of the palatal stabilization device (PSD), whereas only 1.3% used it in their routine and 57.1% of them believed it can prevent complications. Conclusions: The results showed that neonatologists were more aware of the OTI-related oral complications than anesthesiologists. The knowledge of the participants regarding prevention of these complications is insufficient. Study participants believe in the efficacy of PSD but do not use it in clinical practice for a number of reasons.

Introduction: Dens invaginatus type 3, a severe form extending beyond the cementoenamel junction and exhibiting a second foramen into the lateral periodontal ligament or periradicular tissue. This anomaly may involve the periradicular tissue and cause pulpal necrosis and periradicular lesions. Case Report: An 11-year-old female patient was presented with slight swelling and periodic pus drainage from buccal gingiva of the maxillary left lateral incisor as her main complaint. Tooth had no pain on percussion or palpation, no color change, no caries and no mobility. Radiographic examination revealed that there was a radiolucent area on the mesial side of the coronal root. It was observed that this radiolucency was associated with apex of dens invaginatus. Because of continuous drainage through the canal, calcium hydroxide was replaced after 1 week with irrigated NaOCl. The drainage was under control after 3 weeks. Root canal treatment was applied to the malformed area by filling only the invaginated canal completely with MTA. Cavity was restored with light-cured resin composite. Results: Main pulp was kept vital and 2 years follow up showed periapical repair and absence of clinical symptoms. The patient was remained asymptomatic and pulp vitality was continued. Conclusion: Dens invaginatus is a dental malformation, which has a complicated treatment because of the complex root canal anatomy. It is very important to be able to identify and treat this dental malformation correctly.

Periodontal hastalıklar ve diş çürükleri oral kavitede karşılaştığımız iki ana hastalıktır. Bu hastalıklar her yaştan bireylerde görülebildiği gibi diş kayıplarının da temel iki nedeni olarak kabul edilir. Pedodonti kliniğine dişetleri ile ilgili akut şikayetlerle gelen pek çok hastayla karşılaşılmaktadır. Karşılaşılan bu akut problemlerle ilgili bilgi sahibi olmak, klinik durumu tanımlayabilmek ve hastaya doğru medikal veya cerrahi tedaviyi uygulamak büyük önem taşımaktadır. Bu makale çocuk ve genç hastalarda sıklıkla karşılaşılan akut periodontal hastalıkların teşhis ve tedavilerini içeren klinik yaklaşımlara dikkat çekmektedir.