Remaining Time

Koray Gençay

Prof.Dr. Koray Gençay was graduated from Istanbul University Faculty of Dentistry in 1983 and began working as a PhD student in the Department of Pediatric Dentistry, Istanbul University Faculty of Dentistry in the same year. He completed his PhD degree in 1988. He received the title of Associate Professor in 1994 and became a Professor in 2000. Still, he has been serving as a faculty member at Istanbul University Faculty of Dentistry Department of Pediatric Dentistry. He has authored  over 200 national and international academic articles and two book chapters and has done the Turkish translation of the book “Treatment Planning for Traumatized Teeth”. He serves in the advisory and editorial board of several scientific journals. He is currently a member of Turkish Society of Pediatric Dentistry, European Academy of Paediatric Dentistry, International Association of Paediatric Dentistry, International Association of Dental Research and International Association of Dental Traumatology. 

Early Extraction Decisions: Orthodontics – Pedodontics Interface

Tooth extraction is very common in daily practise of dentistry. Sometimes dentists are obligated to decide extraction due to caries, trauma, congenital anomalies, periodontal disease and general health problems.
Beside these reasons, tooth extractions within orthodontic treatments are also common. Generally, these extractions (for example: serial extraction) which performed by an orthodontist’s advise can be implemented by all dentists, if they are understood sufficiently and will be of great benefit, especially in the name of "managing the development" and "preserving the continuity” of occlusion.
Especially with the early extraction decisions of primary and young permanent teeth, significant gains can be achieved in terms of prevention or reduction of problems that may occur during the developmental stages of occlusion.
In our presentation, we will share cases which may provide the ability to assess in this sense. Multidisciplinary treatment protocols such as severly destructed teeth or eruption problems due to impacted canines and serial extraction will be noticed.
In addition to these, decisions about ‘space protection' or effective 'use of space' after the extraction, which are performed for other than orthodontic purposes in orthodontic class 1, 2, 3 cases, will be explained in various cases.
The main purpose of our presentation is to define that many practice, which are foreseen to be done only by experts, can actually be performed by all dentists in the initial phases.
Success and Solution Methods in Trauma Cases

One of the main topics of pediatric dentistry is to observe the growth and development process and to effectuate treatment protocols in accordance with this. Traumatic dental injuries are known to cause serious consequences such as functional and speech disorders, aesthetic and psychological problems. The long-term prognosis of these cases should be evaluated and complications that may arise should be taken under control.
When the periodontal ligament is traumatically damaged in cases like severe intrusion or replantation after avulsion with a prolonged replantation time, the treatment protocols may cause ankylosis of the permanent teeth. Ankylosis, which develops as a pathological healing after trauma, can also be accepted as a treatment option at the same time.
The main success criteria to be achieved within the diagnosis and treatment protocols is the survival period of the tooth and the assessment between survival time and growth development. Our expectation as a result of treatment is to define possible failures in advance and to direct the process accordingly.
Especially at the point where oral implantology has arrived, not only short term but also medium-long term outcomes of the treatment protocols we use in trauma and management of prognosis are gaining importance.
In this panel, the causes of failures in dental trauma cases will be discussed and failure rates will be emphasized.