Hematolojik bir hastalık olan anemi, kan hemoglobin veya hematokrit değerinin referans aralığının altında bulunması olarak tanımlanır. Hemoglobin miktarının, erişkin erkeklerde 13,5 g/dL ve erişkin kadınlarda ise 12 g/ dL altında olması anemi olarak kabul edilir. Kanda hemoglobin miktarının azalması ile dokulara giden oksijen miktarının da azalması, dokularda fonksiyon bozulmasına neden olan hipoksinin oluşmasına yol açar. Bu nedenle birçok sistemde aneminin yol açtığı semptom ve bulgular görülebilir. Anemi dişleri, mukoz membranları, periodontal dokuları, tükürük bezlerini ve perioral dokuları etkileyebilir. Bu makalede farklı anemi tablolarının oral ve perioral dokular üzerine olan etkisi anlatılarak diş hekimliği açısından öne-mi vurgulanmaktadır. AbstractAnemia is a hematological condition and is defined as having less than the normal number of red blood cells or less than the normal hemoglobin level in the blood. If the hemoglobin level in the blood is <13.5 g/dL in men and <12 g/dL in women, the condition is described as anemia. When hemoglobin levels in the blood decrease, oxygen levels in the tissues decrease, resulting in hypoxia. Functional disturbances may be observed in tissues because of hypoxia. Therefore, clinical symptoms of anemia may affect various systems of the body. Hematological deficiencies can affect teeth, mucous membranes, periodontal tissues, salivary glands, and perioral skin. In this study, the oral and perioral manifestations of anemia are reviewed and the importance of dentistry is emphasized.

Aim: Candida species, although being a member of the oral flora, may exhibit pathological features under certain conditions. The aim of this study was to determine the distribution and biofilm production of Candida species that were isolated from denture related stomatitis (DRS) patients and to compare with healthy subjects. Materials and Methods: The 56 non-smoker, systemically healthy, maxillary removable denture wearer subjects included in this study and diagnosed as DRS(N=27) and healthy(N=29). Samples from the palatal mucosal surface of patients were collected by sterile swabs during 20 seconds. Cultivation and selective isolation of Candida species were performed on CHROMagar (CHROMagar ® Candida, CHROMagar, Paris, France) at 37ºC for 2 days. Isolated Candida species were identified with API ID 32 C (bioMérieux ® , France). Biofilm formation by Candida species were determined by a visual tube method. Results: The prevalence of the yeasts in the healthy group was found to be 37.94%, while in the DRS group it was 100% (p<0.001). The isolation rate of C. albicans in patients with DRS significantly higher (p<0.001). Biofilm formation was observed in a total of 37 oral yeast isolates, 9 isolates from healthy denture wearers and 28 isolates from DRS patients. The number of C. albicans and C. glabrata isolates showing biofilm formation ability in the DRS group was significantly higher than the healthy group (p<0.05). Conclusions: Within the limitations of this study, our results suggest that Candida species play a major role on the development of DRS. While C. albicans was the most isolated species in DRS, C. glabrata was as important as C. albicans on the pathogenesis of DRS.

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Başlangıç sondalama derinliği ile mekanik periodontal tedavi sonrası rezidüel cep oranı arasındaki ilişki Amaç: Bu çalışmanın amacı, kronik periodontitisli (KP) hastalarda başlangıç sondalama derinliği (BSD) ile mekanik periodontal tedavi (MPT) uygulandıktan sonra rezidüel kalan cep oranı arasındaki ilişkiyi araştırmaktır. Yöntem: Onbir KP'li hastanın BSD 4-9 mm olan (her ikisi de dahil) 1102 adet periodontal cep bölgesi diş kök sayısına (tek/çok) ve BSD'ye göre gruplandırıldı. Hastalara ağız hijyeni eğitimi, diş ve kök yüzeyi temizliği ve kök yüzeyi düzleştirmesi işlemlerini içeren MPT bir hafta arayla 2 seans uygulandı. MPT öncesinde ve 8 hafta sonrasında plak indeksi, gingival indeks, sondalama derinliği (SD), klinik ataşman seviyesi ve sondalamada kanama (SK) klinik parametreleri kaydedildi. MPT sonrası SD≥5 mm ve SK (+) olan bölgeler rezidüel cep bölgesi kabul edildi. Bulgular: Çalışmada MPT sonrası tek köklü dişlerde saptanan cep bölgelerinin %10.89'u, çok köklü dişlerde saptanan cep bölgelerinin %26.59'u rezidüel cep olarak kaldı. Ayrıca BSD ile rezidüel cep olarak kalma oranı arasında pozitif yönlü bir ilişkinin varlığı saptandı (p<0.001). Sonuç: Bu çalışmanın sınırları dahilinde bulgularımız, uygulanan tedavinin KP'li hastalarda klinik periodontal parametreleri iyileştirdiğini ve bu hastalarda BSD arttıkça rezidüel cep oranının da arttığını ve çok köklü dişlerde rezidüel cep olarak kalma ihtimalinin yüksek olduğunu göstermektedir. Anahtar sözcükler: Diş yüzeyi temizliği, kök yüzeyi düzleştirmesi, periodontal cep ABS TRACT Relationship between initial probing depth and residual pockets following mechanical periodontal treatmentObjective: The aim of this study was to evaluate the relationship between initial probing depth (IPD) and the ratio of residual periodontal pocket in chronic periodontitis patients following mechanical periodontal therapy (MPT). Methods: A total of 1102 periodontal pockets with IPD 4-9 mm (both included) in 11 chronic periodontitis (CP) patients were included and grouped according to their IPDs and number of roots (single-/multirooted). MPT consisting of oral hygiene instruction, scaling and root planing was applied in 2 sessions with one-week interval. Plaque index, gingival index, probing depth (PD), clinical attachment levels and bleeding on probing (BoP) were measured before and 8 weeks after MPT. Following MPT, periodontal pockets demonstrating PD≥5 mm and BoP (+) were defined as residual periodontal pockets. Results: Our results showed that 10.89% of the sites from single-rooted teeth and 26.59% of the sites from multi-rooted teeth were remained as residual periodontal pockets. Further, positive correlations were found between IPD and residual periodontal pocket ratio for both single-and multi-rooted teeth (p<0.001). Conclusion:Within limitations of this study, our results suggest that applied treatment had improved the periodontal parameters and the periodontal pockets of multi-rooted teeth in CP patients remained as residual pockets in a high percentage and the deeper IPD th...

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