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Öğe Annelerin Süt Dişlenme İle İlgili Bilgi Ve Deneyimlerinin Değerlendirilmesi(2018) Almaz, Merve ErkmenAmaç: Süt dişlenme ile eşzamanlı olarak birçok semptom ortaya çıkabilmektedir. Bununla birlikte, dişlenmeye spesifik herhangi bir semptom veya belirti olduğuna dair yeterli bilimsel kanıt mevcut değildir. Bu çalışmanın amacı, annelerin süt dişlenme ile ilgili bilgi düzeyini ölçmek, çocuklarının diş sürmesi sırasında yaşadıkları deneyimleri ve bunlarla ilgili uyguladıkları çözümleri değerlendirmektir. Gereç ve Yöntem: Kırıkkale ili merkezinde seçilen ilkokullarda 1. sınıfta okuyan çocukların anneleri çalışmaya dahil edilmiştir. Çalışma verileri anket yardımıyla elde edilmiştir. Veriler tanımlayıcı istatistikler ve ki-kare testi ile analiz edilmiş, p değeri <0.05 olduğunda istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Bu kesitsel çalışmaya toplam 307 anne katılmıştır. Annelerin büyük çoğunluğu, süt dişlerinin 6-7 aylıkken sürmeye başladığını (%81.1) ve ilk olarak alt keser dişlerin sürdüğünü (%84.4) bilmektedir. Cisimleri ısırma isteği (%83), ateş (%79.4), salivasyon artışı (%76.2), iştah kaybı (%71), uyku bozukluğu (%70.3) ve dişeti iritasyonunun (%68) süt dişlenme ile ilişkili olarak en sık görülen belirti ve semptomlar olduğu anneler tarafından bildirilmiştir. Dişin sürmesi sırasında oluşan ağrının giderilmesi için, annelerin %83.7’si çocuğuna sistemik analjezikler verdiğini ve %72.3'ü topikal analjezikleri diş etlerine uyguladığını belirtmiştir. Sonuç: Süt dişlenme ile ilgili eksik bilgi düzeyi ve yanlış inanışlar olduğu tespit edilmiştir. Annelere dişlenme hakkında ve bu dönemde karşılaşabilecekleri problemlere çözüm bulma konusunda eğitim programlarına ihtiyaç vardır.Öğe Antibacterial activity of fluoride varnishes containing different agents in children with severe early childhood caries: a randomised controlled trial(SPRINGER HEIDELBERG, 2020) Almaz, Merve Erkmen; Oba, Aylin AkbayObjectives The aim of this study was to compare the antibacterial activity of fluoride varnishes containing different agents in children with severe early childhood caries (S-ECC). Materials and methods The study was conducted in 92 children with S-ECC. Patients who completed dental treatment under general anaesthesia were included in the study. Patients were divided randomly into four groups: 5% sodium fluoride (SF) control group (n = 23), 5% SF with tricalcium phosphate (TCP) (n = 23), 5% SF with xylitol-coated calcium and phosphate (CXP) (n = 23) and 5% SF with casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) (n = 23). Saliva mutans streptococci (MS) and lactobacilli (LB) levels were evaluated by taking saliva samples at baseline (T-0), 1 month (T-1) and 3 months (T-2) after treatment. Results All groups showed a significant decrease in MS and LB levels at T-1 (P < 0.05) except the CXP group. Only the TCP group exhibited significantly decrease MS and LB levels indicating less than 10(5) CFU at both T-1 and T-2 compared with the other groups (P < 0.05). Conclusion Fluoride varnish with TCP provided significantly more reduction in MS and LB levels than other fluoride varnishes. Clinical Trials registration number NCT03625310Öğe Assessment Of Knowledge And Attitudes Toward Periodontal Health Among Parents Of Pediatric Dentistry Patients(2019) Hendek, Meltem Karşıyaka; Almaz, Merve Erkmen; Bezirci, Didem; Erdemir, Ebru OlgunAim: Family is the most important environment wherechildren acquire knowledge, attitudes, and habitsrelated to oral health. The aim of this study was toevaluate the knowledge and attitudes of parentstoward periodontal health and diseases, and therelationship of their knowledge and attitudes withdemographic data.Materials and Methods: 500 parents, referred forthe treatment of their children were included in thestudy. The knowledge and attitudes of the parentswere assessed using a self-administered and structuredquestionnaire. Data were analyzed by chi-squaretest, with the level of significance set at p0.05.Results: 33.0% parents and 33.6% children brushedtheir teeth twice or more daily. 17% parents and 8.6%children used dental floss/interdental brush, and 77%parents visited a dentist only when they experienceddental complaints. Most parents incorrectly definedthe meaning of dental plaque and did not know itsrole in the etiology of gingival diseases. 47.4% ofthem were aware that bleeding gums indicated thepresence of periodontal disease, while only 11.8%knew that one of the main reasons of tooth loss wasperiodontal disease. It was also evident that the useof dental floss significantly increased with an increasein income level (p0.05), and the knowledge andattitude of the parents regarding periodontal healthsignificantly increased with the educational level(p0.05).Conclusion: The knowledge and attitude of theparents regarding periodontal health were poor. Thus,an improvement in the knowledge and awarenessamong the parents can prevent or reduce the severityof possible periodontal problems in their children.Öğe Bitkisel içerikli bir lolipopun tükürük Streptoccus mutans düzeyleri üzerine etkisinin değerlendirilmesi(Kırıkkale Üniversitesi, 2014) Almaz, Merve Erkmen; Oba, Aylin Akbay; Ökte, ZeynepÇalışmamızda bitkisel (meyan kökü) içerikli bir lolipopun çürüksüz ve yüksek çürük riskli çocuklarda, diş çürüğünden sorumlu esas etken olduğu bilinen Streptoccus mutans'ın tükürükteki düzeyi üzerine etkilerinin plasebo kontrollü olarak değerlendirilmesi amaçlanmıştır. Çalışmamız çeşitli okullarda yapılan taramalarda 5-11 yaş arası çürüksüz ve yüksek çürük riskli (ds/DS ?10 ve tükürük S.mutans düzeyi >105 CFU/ml) olan toplam 108 çocuk üzerinde yürütülmüştür. Gruplar, çürüksüz (Grup A, n=36), yüksek çürük riskli - diş tedavileri lolipop kullanımı öncesi tamamlanan (Grup B, n=36) ve yüksek çürük riskli - koopere olamadığı için diş tedavisi yapılamayan (Grup C, n=36) çocuklardan oluşmaktadır. Gruplar kendi içinde kullanılacak lolipop türüne göre (bitkisel ve plasebo lolipop) iki alt gruba (A-1, A-2, B-1, B-2, C-1, C-2) ayrılmıştır. B grubundaki çocuklardan diş tedavisi öncesi ve A, B ve C gruplarında lolipop kullanmadan önce, sonra ve 3. ay kontrolünde tükürük S. mutans sayısının belirlenmesi için bir dip-slide testi olan 'Dentocult SM Strip Mutans testi' kullanılarak tükürük örneği alınmıştır. Sonuçların değerlendirilmesi için yapılan istatistiksel analizlerde grup içi karşılaştırmalarda Wilcoxon İşaret Testi, gruplar arasındaki karşılaştırmalarda ise Mann-Whitney U testi kullanılmıştır. Çalışma sonuçları değerlendirildiğinde, C-1 grubu hariç tüm gruplarda lolipop öncesi ve sonrası tükürük S. mutans değerleri arasında istatistiksel olarak anlamlı fark olmadığı tespit edilmiştir (p>0,05). Yalnızca bitkisel lolipop kullanan yüksek çürük riskli, diş tedavileri yapılmamış olan çocuklardan oluşan C-1 grubunda, lolipop sonrası tükürük S. mutans değerlerinde istatistiksel olarak anlamlı bir azalma olduğu saptanmıştır (p<0,05). Ayrıca, diş tedavileri tamamlanan grupta (B), tedavi sonrası tükürük S. mutans sayılarının tedavi öncesine oranla istatistiksel olarak anlamlı düzeyde düştüğü belirlenmiştir (p<0,05). 3. ay kontrolünde, plasebo lolipop kullanan çürüksüz grupta (A-2) ve bitkisel lolipop kullanan yüksek çürük riskli, diş tedavileri tamamlanmış grupta (B-1) S. mutans değeri istatistiksel olarak anlamlı derecede daha yüksek bulunmuştur (p<0,05). Diğer gruplarda S. mutans değerlerinde anlamlı bir farklılık görülmediği tespit edilmiştir (p>0,05). Sonuç olarak; çalışmamızda yüksek çürük riskli diş tedavileri yapılmamış çocuklarda, bitkisel lolipopların S. mutans'ın tükürükteki düzeyini düşürmede etkili olduğu belirlenmiştir. Bu nedenle bitkisel lolipopların, küçük yaştaki diş tedavisine uyum göstermeyen, sedasyon ve genel anestezi uygulanamayan ve karyojenik gıdalarla beslenmesi kontrol altına alınamayan çocuklarda, karyojenik şekerlemeler yerine alternatif olarak tavsiye edilebileceği düşüncesindeyiz. Bununla birlikte, meyan kökü ekstresinin, çürük gelişimini önleyici etkisini değerlendirebilmek için daha geniş ve kapsamlı araştırmalara ihtiyaç vardır.Öğe Çocuk Hastalarda Gelişimsel Dental Anomalilerin Görülme Sıklığı ve Dağılımı(2017) Almaz, Merve Erkmen; Şaroğlu, Işıl Sönmez; Oba, Aylin AkbayAmaç: Bu çalışmanın amacı; Kırıkkale Üniversitesi Diş Hekimliği Fakültesi, Pedodonti Kliniği'ne başvuran çocuk hastalarda gelişimsel dental anomali görülme sıklığının değerlendirilmesidir. Gereç ve Yöntemler: Çalışmaya, kliniğimize 1 Ağustos 2011-1 Ağustos 2012 tarihleri arasında başvuran, 0-15 yaşları arasındaki 9173 hasta dahil edilmiş ve bu hastalar klinik ve radyografik muayenede sayı, boyut, şekil, doku ve renk anomalileri açısından değerlendirilmiştir. Bulgular: Değerlendirme sonucu, 166 çocukta (%1,8) gelişimsel dental anomali olduğu saptanmıştır. En sık olarak, diş eksikliği (%0,52), süpernümerer diş (%0,27) gibi sayı anomalileri tespit edilirken; dens invaginatus (%0,03), dilaserasyon (%0,02), dentinogenezis imperfekta (%0,02) gibi anomalilere daha nadir rastlandığı görülmüştür. Sonuç: Çocuklarda görülen dental anomali prevalansının tespiti ve erken teşhisi, tedavi planlaması açısından önem taşımaktadır.Öğe ÇOCUKLARDA ENDODONTİK ENFEKSİYONLARIN TEDAVİSİNDE ANTİBİYOTİK KULLANIMINA İLİŞKİN DİŞ HEKİMLİĞİ ÖĞRENCİLERİNİN BİLGİ DÜZEYLERİ(2021) Almaz, Merve Erkmen; Kocaman, Esma; Bezgin, Tuğba; Yıldız, GözdeAmaç: Bu çalışmada; çocuk hastalarda endodontik enfeksiyonlarda sistemik antibiyotik kullanımına ilişkin, Ankara Üniversitesi ve Kırıkkale Üniversitesi Diş Hekimliği Fakültesi son sınıf öğrencilerine anket uygulanarak, öğrencilerin bilgi düzeyinin ölçülmesi amaçlanmıştır.Gereç ve Yöntemler: Ankara Üniversitesi’nden 155 öğrenci, Kırıkkale Üniversitesi’nden 69 öğrenci olmak üzere toplam 224 öğrenciye; çocuklarda kullanılan antibiyotikler ve endikasyonlarına yönelik sorular içeren anket uygulanmıştır. Anket verileri değerlendirildikten sonra veriler SPSS programı kullanılarak tanımlayıcı istatistikler ile analiz edilmiştir.Bulgular: İki yüz on yedi (%97.7) öğrenci anketi tamamlayarak çalışmaya dahil edilmiştir. Öğrencilerin %98.6’sı medikal alerjisi olmayan çocuk hastada antibiyotik olarak amoksisilini tercih etmiştir. Önerdikleri antibiyotik tedavi süresi ortalama 6.4±1.6 gündür. Penisilin alerjisi olan çocuk hastalar için ilk tercih edilen ilaç klindamisindir (%79.3). Reversible pulpitis ve vital pulpaya sahip irreversible pulpitisli dişlerde sırasıyla öğrencilerin %1.4 ve %11.9’u antibiyotik reçete edeceklerini bildirmiştir. İrreversibl pulpitis vakalarında devital pulpaya sahip dişlerde öğrencilerin %14.3’ü, lokalize dentoalveolar apse tanısı konulan olgularda öğrencilerin %48.8’i antibiyotik reçete etmiştir. Fasial selülit ve hastanın yüzünde etkilenen bölge tarafında diffüz şişlik tanısı konulan olgularda ise öğrencilerin %96.7’si antibiyotik reçete edeceğini belirtmiştir.Sonuç: Diş hekimliği son sınıf öğrencilerinin çocuk hastalarda endodontik enfeksiyonlarla ilgili antibiyotik kullanımında, bilgi düzeylerini geliştirmeleri gerekmektedir. Doğru vakaları teşhis ederek, öğrencilerin pulpa-periapikal patolojide antibiyotik reçeteleme konusunda daha iyi becerilere sahip olmaları eğitim döneminde sağlanmalıdır.Öğe Dental Treatment of a Patient with Treacher Collins Syndrome Under General Anaesthesia: A Case Report(2019) Soğukpınar, Aslı; Almaz, Merve ErkmenThis article reports a case of Treacher Collins syndrome (TCS) in a five-year-old male patient treated in Kırıkkale University, Department of Pediatric Dentistry. We defined the clinic signs and symptoms of the case and suggested a treatment plan. Treatment procedures for malformations caused by the syndrome should be planned and performed specifically for the patient. In our patient with low treatment compliance, dental examination, filling and partial prosthesis treatment was successfully applied under general anesthesia.Öğe Early Prosthetic Management Of Children With Ectodermal Dysplasia: A Report Of Three Cases(2018) Tulumbacı, Fatih; Sert, Tuğba; Almaz, Merve ErkmenEctodermal dysplasia (ED) is a group of congenital anomalies characterized by defects of two or more ectoderm-derived structures, such as hair, teeth and nails. The aim of this paper is to describe the characteristics and prosthodontic treatment of three cases with ED. Case 1: A 6-year-old boy was brought to our clinic with complaint of tooth ageneses. In clinical and radiographical examination, patient presented anodontia of permanent teeth. Medical history revealed that the child has cutaneous dyshidrosis and hypohidrosis. Based on the findings, the patient was diagnosed as Anhydrotic ED. To provide function, fonation and aesthetics, a complete denture for lower jaw and partial denture for upper jaw were made. Case 2-3: Two brothers (aged 8, 9) were broght to our clinic with complaints of dental caries, dental pain and missing teeth. They had a medical history including hypohidrosis and problems with thermoregulation, and both of the patients presented with oligodontia. Based on the findings, brothers were diagnosed as Familial ED. Firstly, extractions and restorations were completed after which partial dentures were made to gain desired function. It is important to note that early prosthetic intervention gives oppurtunity to the child to develop physically, emotionally and socially like other healthy individuals.Öğe Efficacy of a sugar-free herbal lollipop for reducing salivary Streptococcus mutans levels: a randomized controlled trial(Springer Heidelberg, 2017) Almaz, Merve Erkmen; Sonmez, Isil Saroglu; Okte, Zeynep; Oba, Aylin AkbayThe aim of our study was to evaluate the efficacy of an herbal lollipop containing licorice root extract on salivary Streptococcus mutans in caries-free and high-caries-risk children. The study was conducted in caries-free and high-caries-risk children, aged 5-11 years (n = 108). The groups were caries-free children (group A); high-caries-risk children whose dental treatment was completed before lollipop use (group B); and high-caries-risk children who did not comply with dental treatment (group C). The groups were divided into two subgroups: herbal (A-1, B-1, C-1) and placebo lollipops (A-2, B-2, C-2). Saliva samples were taken before dental treatment, before and after consuming lollipops, and at 3 months after consuming lollipops. The results were statistically analyzed with chi-squared test. Only in group C-1 (high-risk, using herbal lollipops) that significant reduction was observed in salivary S. mutans levels after lollipop use (p = 0.033), and only in the same group (C-1), there was significant difference between after lollipop use and third month levels (p = 0.006). Herbal lollipops could be recommended to children with high-caries risk who do not comply with dental treatment in place of high-carbohydrate snacks. The paper provides a perspective on using herbal products in high-risk children for reducing salivary S. mutans counts.Öğe Evaluation of removal efficiency of capping materials used in pulp revascularization in vitro(Bmc, 2023) Yildiz Cebeci, Gozde; Almaz, Merve Erkmen; Orhan, Ekim Onur; Beklen, ArzuBackground This study aimed to evaluate the removal efficiency of different capping materials used in pulp revascularization (PR) in a failure scenario. Methods The apices of freshly extracted 30 maxillary incisors were cut to mimic the immature teeth; then, root canals were shaped up to #6 Peeso reamers. The regeneration steps of the American Association of Endodontists (AAE) were followed to simulate PR treatment in vitro. The canals were dressed with the Ciprofloxacin and Metronidazole medicament mixture for 2 weeks. Then capping material groups were created: BioDentine (BD), ProRootMTA (PMTA), and RetroMTA (RMTA) (n = 10). The sealed specimens were stored for 2 weeks at 37 degrees C in phosphate-buffered saline then the samples were examined by micro-computed tomography (mu-CT) analysis. Set capping materials were retrieved using a specific cement removal kit by a single blind operator. The residue materials were examined again by mu CT. Kruskal-Wallis and Mann-Whitney U tests sought the significance for residue volumes. One-way ANOVA and Tukey post hoc tests with the Bonferroni corrections sought significance for the duration (p = 0.05). Results In the first examined mu CT data, the mean (SD) capping material volumes of the PMTA, BD, and RMTA were 6.447 mu m(3) (1.086), 8.771 mu m(3) (0.491), and 8.114 mu m(3) (2.447), respectively. In the last examined mu CT data, the median (IQR) residual volumes of the PMTA, BD, and RMTA were 0.051 mu m(3) (0.1), 0.313 mu m(3) (0.5), and 0.124 mu m(3) (0.1), respectively. A significant difference was found between BD and PMTA in the residual volumes (p < 0.05). The mean (SD) durations of the retrieving procedures of PMTA, BD, and RMTA were 19.83 min (2.34), 19.24 (3.60), and 22.04 (1.68), respectively (p = 0.063). Conclusions Within the limitations of the presented study, it was concluded that the capping materials were largely removed from the root canals using a non-invasive approach. Nevertheless, this duration of the retrieving could be described as long.Öğe Evaluation of the Efficacy of Erbium, Chromium-doped Yttrium, Scandium, Gallium, and Garnet Laser in Partial Pulpotomy in Permanent Immature Molars: A Randomized Controlled Trial(ELSEVIER SCIENCE INC, 2020) Tozar, Kamile Nur; Almaz, Merve ErkmenIntroduction: The use of the erbium, chromium-doped yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser in vital pulp therapy contributes to the formation of dentin bridges and a sterile zone as well as the maintenance of the vitality of the pulp. However, no prior studies have used the Er,Cr:YSGG laser in partial pulpotomy of immature permanent teeth. The aim of this study was to compare the efficacy of partial pulpotomy treatment using mineral trioxide aggregate (MTA) alone and MTA with the Er,Cr:YSGG laser in permanent immature molars. Methods: A total of 90 caries-exposed permanent immature molar teeth were included and randomly divided into 2 groups: the MTA group (n = 45) and the laser 1 MTA group (n = 45). In the MTA group, MTA was applied to the exposed area on the pulp after bleeding control. In the same session, the tooth was restored with a composite resin. In the laser 1 MTA group, before MTA condensation, the Er,Cr:YSGG laser was applied to the exposure area. Patients were recalled at 1, 3, 6, and 12 months after treatment. The MannWhitney U and chi-Square tests were used for statistical analysis. Results: The success rate (95.5%) of the laser + MTA group was similar to that of the MTA group (88.8%). There was no significant difference between groups in terms of the frequency of at least 1 pathologic clinical or radiographic failure at 12 months (P > .05). Conclusions: Partial pulpotomy treatment showed a high success rate in immature permanent molars; however, the use of the laser did not contribute to the success rate compared with MTA alone.Öğe Evaluation of the push-out bond strength of ProRoot MTA and Biodentine after removal of calcium hydroxide and triple antibiotic paste(2018) Tulumbacı, Fatih; Almaz, Merve Erkmen; Arıkan, Volkan; Mutluay, Merve SafaAim: To evaluate the effect of calcium hydroxide (CH) and triple antibiotic paste (TAP) on the push-out bond strength of ProRoot® MTA and Biodentine®. Methodology: Root canals of 120 human teeth were instrumented using rotary files. To obtain a standard diameter of 1.5 mm, the roots were instrumented with a #6 Peeso reamer. The reamers passed 1 mm beyond the apex point to simulate open apices. The roots were randomly assigned into the following groups: Group 1 was administered calcium hydroxide (CH); Group 2 was administered triple antibiotic paste (TAP); and Group 3 was a control group and had no medicament. The medicaments were removed after 3 weeks. Thereafter, the specimens were divided into two subgroups (n = 20) according to which calcium silicate-based cement, ProRoot MTA (Dentsply Maillefer, Ballaigues, Switzerland) or Biodentine (Septodont, France), was applied. The push-out test was performed, and the data were analyzed statistically using one-way ANOVA and by Tukey’s post hoc test. Results: In both the ProRoot MTA and Biodentine groups, pairwise comparisons between medicaments showed similar values to the control group (p>0.05). Overall, there was a predominance of cohesive failures between root dentin and the cements. Conclusions: ProRoot MTA and Biodentine showed similar bond strength values, and prior application of TAP or CH did not affect the bond strength significantly.Öğe Healing with Incomplete Root Development After Forty Months Following: A Case Report(Galenos Yayincilik, 2017) Almaz, Merve Erkmen; Akyildiz, Melis Bahar; Sonmez, Isil SarogluIn recent years, the concept of revascularization has been developed that employs the use of a mixture of antibacterial drugs for disinfection of infected root canals. The clinical and radiographic examinations showed deep coronal caries, immature root, and periapical radiolucency in mandibular second premolar (#35) of a 13-year-old girl. The exam findings suggested revascularization treatment. Revascularization with triantibiotic mix was administered for 2 weeks. Then, a blood clot was created in the canal, over which mineral trioxide aggregate was placed. Coronal sealing was performed with composite resin. After 40 months follow-up, the tooth was asymptomatic with a positive response to the pulp test and periapical radiolucency was healed. However, no evidence of root development was observed. In spite of numerous reports of revascularization treatment, no incomplete root development was reported after long-term follow-up. Despite incomplete root development, positive response to the pulp test is controversial.Öğe INFLAMMATORY ODONTOGENIC CYST IN A CHILD: CASE REPORT(2021) Tozar, Kamile Nur; Almaz, Merve Erkmen; Önder, Hatice; Atıl, Fethi; Barış, EmreOdontogenic cysts arise from epithelium residuals forming the tooth. When they are infected, they can reach large sizes and cause bone resorption in the surrounding bone.A 9-year-old girl who was brought to Department of Pediatric Dentistry was referred to the Department of Oral and Maxillofacial Surgery due to a suspicion of a cystic lesion in the premolar region of the patient's right lower jaw as a result of clinical and radiographic examinations. Fine needle aspiration biopsy was performed after the patient's cone beam computed tomography was taken, and the specimen was sent to pathology. Histopathologically, cyst with suppurative inflammation was diagnosed. Then, the treatment was planned and marsupialization method was chosen considering the size of the lesion, the age of the patient, and the presence of impacted tooth in the region concerned.As a result of a 14-month follow-up, the radiography of the patient showed that although the cyst was not enucleated, radiolucency in the related region disappeared and the tooth number 45 erupted to the oral cavity. In this way, it was considered that marsupialization treatment was a successful method.Öğe Ozone therapy in the management and prevention of caries(Elsevier Taiwan, 2015) Almaz, Merve Erkmen; Sonmez, Isil SarogluThe purpose of this article was to assess the effectiveness of ozone therapy in the management and prevention of caries, reviewing clinical and in vitro studies. Ozone has proven to be effective against gram-negative and gram-positive bacteria, viruses, and fungi. In dentistry, most of the published articles are based on ozone's antimicrobial effects and the treatment of caries. Most of the clinical studies reported ozone to be a promising alternative to conventional methods for caries management. However, a few studies have shown ozone to be insufficient for preventing caries and reducing microorganisms in open occlusal carious lesions. Ozone might be a useful tool to reduce and control oral infectious microorganisms in dental plaque and dental cavity. However, the results of in vitro studies are controversial; while some researchers reported that ozone therapy had a minimal or no effect on the viability of microorganisms, others suggested ozone to be highly effective in killing both gram-positive and gram-negative oral microorganisms. Therefore, more evidence is required before ozone can be accepted as an alternative to present methods for the management and prevention of caries. Copyright (C) 2013, Elsevier Taiwan LLC & Formosan Medical Association. All rights reserved.Öğe Postoperative morbidity in pediatric patients following dental treatment under general anesthesia(Istanbul Univ Press, Istanbul Univ Rectorate, 2019) Almaz, Merve Erkmen; Oba, Aylin Akbay; Sonmez, Isil SarogluPurpose The aims of this study were to investigate post-operative complications in pediatric patients 24 and 72 hours after general anesthesia (GA) and to identify any associations between dental procedures and complications. Materials and Methods One hundred and thirty three healthy pediatric patients who had undergone dental treatment under GA (age range: two to nine years) were included in this study. The project was designed as a prospective, observational study supported by a questionnaire that collected data on children's post-operative complaints. Preoperative data were obtained from patients' files and included age, gender, medical condition and admission type (inpatient or outpatient) variables. The postoperative complaints were assessed either by phone contact or by face-to-face interviews using a questionnaire 24 and 72 hours after treatment. Results 69.9% of children reported one or more complaints after 24 hours and 35.3% after 72 hours. Coughing and pain (27.1%), inability to eat (24.8%), psychological changes (24.1%) and a sore throat (21.1%) were the most common complaints during the first day. After 72 hours, the severity and rate of the complications decreased significantly (p < 0.05). Conclusion Post-operative complaints following dental treatment under GA tended to be of mild severity and were mainly limited to the first day after the procedure.Öğe Prevalence and Distribution of Developmental Dental Anomalies in Pediatric Patients(Galenos Yayincilik, 2017) Almaz, Merve Erkmen; Sonmez, Isil Saroglu; Oba, Aylin AkbayObjective: The objective of this study was to evaluate the prevalence of dental anomalies in paediatric patients attending the Department of Paediatric Dentistry, Kirikkale University Faculty of Dentistry. Materials and Methods: The study consisted a sample of 9173 patients, aged between 0-15 years, referred to our clinic between 1 August 2011-1 August 2012. The patients were examined clinically and radiographically in terms of the number, size, shape, structure and color anomalies. Results: One hundred sixty six children (1.8%) were found to have developmental dental anomalies. The most frequently observed anomalies were congenitally missing teeth (0.52%) and supernumerary teeth (0.27%). Anomalies such as dens invaginatus (0.03%), dentinogenesis imperfecta (0.02%) and dilaceration (0.02%) were encountered more rarely. Conclusion: Early diagnosis and determination of the prevalence of dental anomalies in children is important in the treatment planning.Öğe A rare case of an immature incisor with horizontal root fracture traumatized at the time of eruption(2018) Almaz, Merve Erkmen; Sönmez, Işıl; Oba, Aylin AkbayDental trauma resulting in root fracture is a rare condition that affects up to 7% of permanent teeth, and injury to immature teeth is even rarer. This case report aimed to show the prognosis of a horizontal root-fractured immature maxillary incisor traumatized at the time of eruption. Because of an accident, a 6-year-old boy was referred to our clinic with horizontal root fracture of the permanent maxillary left central incisor associated with an extrusive luxation. The coronal segment was repositioned, and a dental splint was applied for 7 weeks. After 48 months, clinical examination revealed a positive response to electrical pulp testing and an absence color change of the tooth. Continuation of root development and calcification of the coronal pulp space was observed radiographically. It was concluded that fixation of teeth is a conservative treatment for immature teeth with horizontal root fractures, resulting in the pulp vitality and spontaneous healing with no other treatment.Öğe Relationship Between Body Mass Index and Halitosis Amongst Late Adolescents(2021) Erhamza, Türkan Sezen; Almaz, Merve Erkmen; Tulumbacı, FatihTo the best our knowledge there is no study evaluating relationship between only body mass index (BMI) and halitosis. The aim of our study is to examine whether there is a relationship between BMI and halitosis.For the study population, 200 undergraduate students in the late adolescent period (17-21 years) were evaluated. After the students completed a questionnaire; individuals with good oral hygiene habits (i.e. regular tooth brushing, no caries or filled teeth, no gum bleeding, no systemic diseases, and no drug use) were included in the study. After all the criteria were applied, 61 participants (Male:23, Female:38) were found suitable for the study and BMI of the participants was calculated. Halitosis was determined using organoleptic assessment and a portable sulfur monitor. T-test and simple linear regression model was used for statistical analysis.The average BMI value was 21.71±3.09 for all participants. Linear regression analysis showed that participants’ organoleptic value increases by 0.008 times for each unit increase of BMI, however, the relationship was found not statistically significant (p= 0.829). A one unit increase of BMI value increases the halimeter measurements value by 0.573 times, but this result was not statistically significant (p=0.893).We conclude that halitosis is independent of high BMI in itself. However, high BMI may be still a risk factor for halitosis due to problems associated with high BMI and related to halitosis, such as systemic diseases, increased risk of periodontitis, xerostomia, etc.Öğe Remineralization effect of NaF, NaF with TCP, NaF with CPP-ACP and NaF with CXP varnishes on newly erupted first permanent molars: A randomized controlled trial(Wiley, 2024) Almaz, Merve Erkmen; Ulusoy, Nur Burcu; Oba, Aylin Akbay; Dokumaci, AysunIntroduction: The aim of this study was to evaluate the remineralization effect of NaF, NaF with TCP, NaF with CPP-ACP and NaF with CXP varnishes on newly erupted first permanent molars using laser fluorescence (LF) method. The study was a randomized, double- blind, controlled trial with four parallel groups.Methods: The study was carried out in 48 high caries- risk children (DMFS >8), aged 6- 7 years with newly erupted permanent first molars (initial lesion with 13 < LF value<30). A total of 140 teeth were divided randomly into four groups (n= 35): G1.Duraphat Varnish containing 5% NaF, G2. Clinpro (TM) White Varnish containing 5% NaF with TCP, G3.Embrace (TM) Varnish containing 5% NaF with CXP, G4. MI Varnish containing 5% NaF with CPP-ACP. All dental treatments of the patients were com-pleted before the varnish application. The varnishes were applied to the targeted teeth at baseline, 1 and 3 months. Patients were called for follow-up appointments at 1, 3 and 6 months, and LF scanning was used to monitor mineralization changes. Data were analysed statistically by Wilcoxon signed- rank and Mann-Whitney U- t e s t s .Results: In total, 40 children (122 teeth) completed the trial. At the end of 6 months, the amount of reduction in LF values (indicating remineralization) are as follows: NaF with CXP(6.87 +/- 4.32) < NaF with TCP(7.36 +/- 7.05) < NaF(7.40 +/- 7.03) < NaF with CPP- ACP(8.33 +/- 4.90). All of the varnishes resulted in significant decrease in LF measure-ments and there was no significant difference between control (NaF alone) group and other groups. Only MI varnish had a significantly greater remineralization effect than Embrace (TM) Varnish (p < 0.05).Conclusion: As a non-invasive approach, CPP-ACP, TCP and CXP containing NaF var-nishes have the potential to remineralize initial caries lesions on permanent first mo-lars in high caries- risk children
