Background/Objective: This retrospective comparative analysis evaluates the patterns of dental treatment undertaken on uncooperative healthy and special health care needs patients with respect to different age categories. Study design: This study reviewed the data from 342 patients (205 male and 137 female), between the ages of 1 and 12 at the time of the treatment, who had received comprehensive dental treatment under general anesthesia in the operating rooms of the Faculty of Medicine, Cukurova University from January 2016 through December 2018. Patient records were divided into two groups according to the patient’s medical and mental conditions. SHCN patients (272 patients) with at least one type of mental, medical or physical disability were assigned to Group S and uncooperative healthy patients (70 patients) were assigned to Group H. Treatment modalities of restorative procedures, number of extracted teeth, pulp therapy, and other dental procedures were compared between these groups with respect to eruptional stages in the dentition (<6 years and 6–12 years) Results: There was no significant difference between groups H and S in terms of the mean duration of dental treatment among age categories in both groups. The mean number of extracted teeth was significantly greater in Group S. The mean number of teeth treated by restorative procedures in groups H and S were 4.40 and 4.40, respectively, showing no significant difference. Conclusions: Comparison of two different groups, with patients who have received comprehensive dental treatment in an operating room, revealed that the number of teeth extracted was significantly higher for the SHCN patients. On the basis of our results, it was concluded that medical and mental conditions affect dental treatment modalities. Preventive treatment strategies are particularly required for patients with SHCN and it is important to educate patients and their parents/caregivers on the importance of home dental care.

Introduction Among children with haemophilia and their caregivers; problems arising from the teeth and the surrounding tissues have an important role in the treatment of this disease and it affects the quality of life of children and their parents. Aim Aim of this study is to evaluate the oral health‐related quality of life of children with haemophilia from the perspective of their parents. Methods Paediatric oral health‐related quality of life (POQL) instrument was used in this cross‐sectional study for quality of life measurement. The research data collected by the questionnaire form were coded for scale items and personal information questions and transferred to SPSS, a multivariate statistical analysis program for social sciences. SPSS 23.0 (IBM Corp, Armonk, NY) package program was used for statistical analysis of the data. Results Primary dentition dmft scores of patients with haemophilia are higher than the control group; mean value of haemophilic group is 3.5 vs control group are 2.6, respectively (P = 0.034). In spite of higher dmft scores, the haemophilia and control groups have shown no significant difference in oral health‐related quality of life scores; median scores were 63.9 in haemophilic group and 85.3 in control group (P = 0.336), respectively. Conclusion In spite of lower oral health measures, children with haemophilia and their parents reported no difference in oral health‐related quality of life from their healthy counterparts.

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Lower incisors moved forward and Incisor Mandibular Plane Angle (IMPA°) increased in both treatment groups. Statistically significant differences between the groups were found when comparing pre-treatment and post-treatment arch dimension and position of mandibular molars. Results were better for lingual arches with extraction on one side than with extraction on both sides Conclusions: A lingual arch seems to be an effective tool for maintaining arch length, and was not found to impair mandibular growth.

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Objectives: This study aims to investigate the correlations between clinical features and mouth opening in patients with systemic sclerosis (SSc). Patients and methods: Eighty patients with SSc (13 males, 67 females; mean age 53.4±11.7 years; range, 31 to 76 years) followed in our clinic were enrolled in the study. Skin involvement was assessed using the modified Rodnan skin score (mRSS), joint/tendon involvement with fingertip to palm (FTP) distance and interstitial lung disease (ILD) was evaluated with clinical and radiologic methods. The interincisal distance (ID) measurement was used to assess the maximal mouth opening capacity. We examined associations between the ID and clinical features of SSc. Results: The ID was lower in females compared with males, and in diffuse type compared with the limited type (p<0.001 and p<0.001, respectively). A significant negative correlation was found between the ID with mRSS and FTP distance (p<0.001 and p=0.001, respectively). The ID was lower in patients with ILD than in patients without ILD (p=0.006). A formula was constituted to predict the maximal mouth opening of the patient with regression analysis. According to the formula, being male was associated with an increase of 6.14 mm, the presence of ILD with a decrease of 3.19 mm, every 10 mm increment in mRSS with a decrease of 3.72 mm and FTP distance >0 mm with a decrease of 5.13 mm in mouth opening. Conclusion: Microstomia is associated with low quality of life in patients with SSc. In our study, sex, ILD, mRSS, and FTP distance were observed to be the most important factors that were related with mouth opening in patients with SSc.

Background The causes for intrinsic tooth discoloration can be separated into two categories as systemic and local. Systemic causes are either genetic or drug‐induced effects. The development of dentition can also be affected by a number of systemic factors and metabolic diseases such as porphyria. Congenital erythropoietic porphyria (CEP), also known as Gunther's disease, is a metabolic disease caused by a transformation in the gene that codifies uroporphyrinogen‐3 synthesis, leading to porphyrin aggregation in urine, skin, bone, and dentin. Case Report A 21‐month‐old girl with erythrodontia was referred to Paediatric Dentistry Department in September 2017. A physical examination revealed blisters on her face, nose, hands, and feet. Laboratory findings showed highly elevated urine total uroporphyrin and total coproporphyrin I and III levels. Next‐generation sequencing multigene panel testing for porphyria demonstrated a homozygous c.10C>T (p.L4F) mutation in the UROS gene. For curative therapy, the patient was admitted to the allogeneic bone marrow transplantation program. Conclusion Congenital erythropoietic porphyria most commonly presents in the first few years of life. Manifestations can include reddish‐colored urine, skin blistering, scarring, and erythrodontia. A timely diagnosis can prevent undesirable skin findings of the disease and death due to hematological involvement before a curative allogeneic bone marrow transplantation is performed.

Objectives: This study aims to evaluate the effect of a home-based orofacial exercise program on the oral aperture (OA) of systemic sclerosis (SSc) patients. Patients and methods: This single-blind prospective randomized controlled study performed between March 2017 and January 2019 included 56 SSc patients (3 males, 53 females; mean age 52.9±10.6 years; range, 31 to 70 years) with an OA of <40 mm. Patients were divided into two groups. Group 1 (n=28, mean age 53.8±9.6 years) was given orofacial exercise program twice a day for one month in addition to oral hygiene care advices, followed by no activity for the next month. Group 2 (n=28, mean age 50.0±11 years) received oral hygiene care advices for the first month followed by the same exercise program for the next month. Patients' OA was measured at baseline, and at first and second months. Results: After the first month, OA increased in Group 1 (p<0.001), whereas no change was observed in Group 2 (p=0.579). At the end of two months, there was no additional increase in Group 1 (p=0.352), while there was a significant increase in Group 2 (p<0.001). There was no difference between OAs of the groups at the end of the trial (p=0.564). Conclusion:Our results suggest that home-based orofacial exercise program improves OA of SSc patients.