ABSTRACT Background: In our study, we aimed to evaluate the distances between the roots of maxillary incisors and the nasopalatine canal and the floor of the nasal cavity, and the buccal cortical bone thickness at the apices of the roots of these teeth by Cone Beam Computed Tomography (CBCT) in children in the permanent dentition period. Materials and Methods: CBCT images of 49 patients aged 6-14 years were evaluated. In the sagittal plane, the distances of the apices of the maxillary central teeth with the nasopalatine canal and with the floor of the nasal cavity were evaluated. Buccal cortical bone thickness at the apex of the roots of maxillary anterior teeth was examined. These data were compared in terms of gender and whether the teeth had open or closed apices. Results: When the mean distance of the maxillary central teeth (11,21) to the nasopalatine canal was evaluated in terms of the open/closed apex status of the teeth and gender, there was no significant relationship (p>0.05). Among the maxillary anterior teeth (11, 21,12, 22), the root apex of tooth 22 was the farthest from the floor of the nasal cavity and the root apex of tooth 12 was the closest. It was found that the mean buccal cortical bone thickness of maxillary anterior teeth 11 and 21 with open apex was significantly higher than those with closed apex (p

ÖZ Giriş: Bu çalışmanın amacı genel anestezi altında diş tedavisi gören engelli hastaların demografik ve operasyonel verilerinin incelenmesidir. Gereç ve Yöntem: Çalışmamızda 2019 Ocak ile 2020 Nisan ayları arasında Üniversite hastanesinde genel anestezi altında dental tedavi görmüş, ASA 2 ve 3 sınıflamasında olan 149 engelli hastanın demografik ve operasyonel bilgileri incelendi. ASA 1 sınıflamasında olan sağlıklı çocuklar çalışmaya dahil edilmemiştir. Hastaların cinsiyet, yaş, operasyon süresi ve yapılan işlemler incelenmiştir. Hastalarda mevcut bulunan sistemik rahatsızlıklar ve çeşitleri ayrı ayrı hesaplanıp toplam sayı olarak ve yüzde olarak verilmiştir. Bulgular: 149 engelli hastanın 96’sı erkek 53 tanesi kız hastaydı. Hastaların yaş ortalaması 15.69 ± 9.7 idi. Hastaların 136 tanesi ASA 2, 13 tanesi ASA 3 sınıfındaydı. Hasta başına ortalama yapılan işlem sayıları dolgu 8.38 ± 3.933; diş çekimi 4.80 ± 4.165; amputasyon 1.64 ± 0.841; fissür örtücü 4.12 ± 2.307 olarak hesaplandı. Hastaların 65’inde mental retardasyon (% 43.62), 33’ünde otizm (% 22.14), 36’sında epilepsi (% 24.16), 17’sinde down sendromu (% 11.4), 16’sında cerebral palsy (% 10.73), 11’ inde kardiak problem (% 7.38), 4’ünde guatr (% 2.68), 3’ünde hidrosefali (% 2.01) görüldü. Sonuç: Günümüzde giderek yaygınlaşan genel anestezi altında diş tedavisinde, konservatif veya radikal tedavi kararı vermek için hekimlerin önünü aydınlatacak daha fazla çalışmaya ihtiyaç duyulmaktadır. Daha önce uygulanan tedavilerde hangi işlemlerin ne sıklıkta yapıldığını bilmek gelecekte yapılacak tedaviler için hekimlere yol gösterici nitelikte olacaktır. Anahtar Kelimeler: Dental tedavi; engelli hasta; genel anestezi; retrospektif çalışma

Objectives: This clinical study aimed to compare the clinical and radiographic success of CEM and two other pulpotomy materials in total pulpotomy applied to permanent teeth. Materials and Method: In our study, 48 permanent molar teeth with symptomatic irreversible pulpitis of 40 pediatric patients aged 5-12 years were included. Teeth were randomly divided into 3 groups. Total pulpotomy was performed with Calcium Hydroxide (CH), Mineral Trioxide Aggregate (MTA), and Calcium Enriched Material (CEM). Patients were invited for control at 3, 6, 12, 15, and 18 months for clinical and radiographic examination. The clinical and radiographic successes of 3 different materials were compared at all follow-up periods. Results: At the 6th, 12th, and 15th months, the MTA and CEM groups were statistically more successful than the CH group clinically and radiographically (p<0.05). The clinical and radiographic success rates of the CH, MTA, and CEM groups at the 18th month were 60%, 64.7%, and 68.8%, respectively, and there was no statistically significant difference between the 3 groups (p>0.05). Conclusions: We found that CEM was as successful as CH and MTA in the treatment of total pulpotomy applied to permanent molars with symptomatic irreversible pulpitis. Clinical Relevance: CEM is a promising material for different treatment modalities in pediatric dentistry and endodontics, without the major disadvantages of MTA.