Background: Oral and systemic health are strongly associated with individuals’ quality of life and sleep quality, both of which are increasingly recognized as important patient-reported outcomes in dentistry. Aim: This prospective longitudinal observational cohort study aimed to compare changes in oral health related quality of life (Oral Health Impact Profile-14; OHIP-14) and sleep quality (Pittsburgh Sleep Quality Index; PSQI) following endodontic and periodontal treatments. Methods: A total of 74 patients who received endodontic treatment and 90 who underwent periodontal treatment completed the OHIP-14 and PSQI questionnaires before and three weeks after treatment. Data were analyzed using the Wilcoxon signed-rank test for within-group comparisons and the Mann–Whitney U test on change scores (post−pre) for between-group comparisons, with Holm correction applied for multiple subdomain tests. ANCOVA was additionally performed as an exploratory sensitivity analysis because the homogeneity-of-regression-slopes assumption was violated for both outcomes (p < 0.05). Results: Both treatments significantly improved OHIP-14 scores and most PSQI components; however, no significant change was observed in sleep medication use in the periodontal group. Functional limitation improved more in the periodontal group, whereas handicap improved more in the endodontic group. Baseline PSQI scores were significantly higher in the endodontic group. PSQI subdomains improved in both groups, with no significant between-group differences after Holm correction. Similarly, no significant differences were found between groups in overall OHIP-14 and PSQI scores. Conclusions: Endodontic and periodontal treatments were associated with short-term improvements in individuals’ quality of life and sleep quality. While periodontal treatment may provide greater benefits in certain quality-of-life domains, endodontic treatment may offer advantages in others. Both treatments appear to support improvements in sleep-related outcomes. These findings may contribute to patient-centered clinical decision-making.

Endo-perio lesions (EPLs), arising from the close anatomical and pathophysiological relationship between pulpal and periodontal tissues, may markedly impai

Background: To estimate the prevalence of dental self-medication (D-SM), characterize its patterns, and identify associated sociodemographic and care-seeking factors among adults attending a university periodontology clinic in Türkiye. Methods: This cross-sectional study included 253 adult patients who attended the Periodontology Clinic at the Uşak University Faculty of Dentistry. Data were collected using a 27-item structured questionnaire that assessed sociodemographic characteristics, oral health behaviors, D-SM practices, clinical triggers, and disclosure of D-SM to dentists. As participants were recruited consecutively from a single university periodontology clinic, the sample represents a specific clinical population rather than the general adult population. Results: Overall, 24.1% of participants reported D-SM. The most common reason for D-SM was difficulty obtaining a dental appointment (26.2%), with toothache being the main clinical trigger (73.8%). Among those practicing D-SM, 75.4% initially used pharmacological agents, mainly analgesics; among these pharmacological-agent users, antibiotic use was reported by 10.9%. In the multivariable model, employment in a non-health sector (aOR = 3.65, 95% CI: 1.49–8.94), employment in a health-related sector (aOR = 3.30, 95% CI: 1.12–9.75), a non-dentist first point of contact (aOR = 6.82, 95% CI: 2.49–18.72), and non-prescription medication use for dental problems within the previous 6 months (aOR = 2.92, 95% CI: 1.42–6.03) were associated with D-SM. Additionally, 59.0% of self-medicating participants did not disclose this behavior to their dentists. Conclusion: Among adults attending a university periodontology clinic, D-SM was reported by approximately one in four participants and was predominantly symptom-driven. In the adjusted model, occupational status, a non-dentist first point of contact, and recent non-prescription medication use were associated with D-SM. These patterns describe this specific clinic-based population and are not generalizable to the wider adult population. The findings support incorporating questions about non-prescription and herbal product use into routine dental history-taking and strengthening rational medication-use education, including guidance on the cautious use of online health information.

Bu bölüm, dişeti çekilmelerini güncel periodontal yaklaşım doğrultusunda kapsamlı biçimde ele almaktadır. Dişeti çekilmesinin estetik etkilerinin yanı sıra dentin hipersensitivitesi, kök çürüğü riski ve servikal doku kayıpları ile ilişkisi değerlendirilmektedir. Bölümde epidemiyoloji, etiyolojik faktörler, Cairo sınıflaması, periodontal fenotip ve klinik değerlendirme ölçütleri özetlenmekte; tedavi planlamasında risk faktörlerinin kontrolü, non-cerrahi yaklaşımlar ve kök örtüsü cerrahilerinin yeri açıklanmaktadır. Ayrıca güncel cerrahi teknikler, biyolojik ajanlar, özel klinik durumlar ve uzun dönem tedavi başarısı hasta odaklı bir bakış açısıyla sunulmaktadır. This chapter presents a contemporary overview of gingival recession in terms of its etiology, classification, clinical assessment, and treatment. Beyond esthetic concerns, gingival recession is discussed in relation to dentin hypersensitivity, root caries risk, and cervical tissue loss. The chapter summarizes epidemiologic aspects, risk factors, Cairo classification, periodontal phenotype, and clinical evaluation parameters, while also outlining the role of risk control, non-surgical management, and root coverage procedures in treatment planning. Current surgical techniques, biologic adjuncts, special clinical conditions, and long-term treatment outcomes are addressed within a patient-centered perspective.