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    KNOWLEDGE, ATTITUDES AND PERCEPTIONS OF DENTISTRY PATIENTS AND THEIR RELATIVES ABOUT THE COVID-19 PANDEMIC
    (2021) Erkan, Gözde Nur; Özgül, Özkan; Önder, Mustafa Ercüment
    Objective: The purpose of this cross-sectional survey was to investigate the attitudes, perceptions, awareness, and knowledge of dental patients and their relatives through concrete questions about behavior and prediction patterns among the Coronavirus Disease 2019 (COVID-19) pandemic.Material and Methods: The questionnaire was administered face-to-face to 292 patients and their relatives who applied to the dental hospital during the COVID-19 pandemic. The data were run through univariate and multivariable regression analyses. Survey variables include demographics, comorbidities, compliance with protective measures, prediction of disease severity in case of coronavirus infection, hospital admission behaviors, the presence of coronavirus infection in the relative and the severity of the disease experienced by the relative and the risk of transmission in dentistry interventions during the pandemic.Results: Participants showed high compliance with the use of masks in the proper area (77.4%). Generally, women's attitudes, knowledge, and perception levels were higher than men during the pandemic. Participants in the elderly age group (55-85 years) and with comorbidities predicted that they would get more seriously ill in case of coronavirus infection, but their knowledge, awareness, attitudes, and perception levels were lower than younger age groups. It was revealed that the knowledge, attitudes, and perceptions of the participants with low education levels and existing comorbidities were lower in general than high educated and non-comorbid participants.Conclusion: In order to ensure full compliance with the protective measures, awareness and informative campaigns should primarily aim to inform male, low educated, comorbid, and elderly individuals.
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    Novel Perspective on Sedation with Nasal Continuous Positive Airway Pressure (CPAP) Mask: Deep Sedation for Prolonged Dental Procedure in a Child with Rocuronium Allergy, a Case Report
    (Erciyes Univ Sch Medicine, 2024) Erkan, Gözde Nur
    Background: General anesthesia is preferred when prolonged and multiple dental procedures are required in the pediatric population. In children for whom neuromuscular blockers (NMBs) are contraindicated, dental treatments can be performed under deep sedation, but there is an increased risk of respiratory complications such as hypoxia and foreign body aspiration. Case Report: In this case report, due to a rocuronium allergy detected during the preoperative evaluation process, the application of nasal positive pressure ventilation support allowing prolonged deep sedation with complete immobilization was presented. Conclusion: Prolonged deep sedation using a nasal continuous positive airway pressure (CPAP) mask can be used as an alternative to general anesthesia during dental procedures, especially in patients with contraindications to NMBs. This approach can reduce the risk of hypoxia and hypercarbia with ventilatory support while providing total immobility with deep sedation.
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    Off-label Use of ADO II® in the Closure of Various Congenital Heart Defects
    (2022) Pamukçu, Özge; Sunkak, Süleyman; Tunçay, Aydın; Erkan, Gözde Nur; Baykan, Ali; Narin, Nazmi
    Devices may be used for special purposes different than their production purpose. For instance, Amplatzer Ductal Occluder is actually designed for duct closure and its usage for closing defects other than ductus is named as off-label. The aim of this study is to emphasize off-label use of device: not only for VSD but also for other various defects. This study is designed retrospectively, performed by the evaluation catheterization records of patients in whom ADO II and ADO II-AS devices were used in Erciyes University Medical Faculty Children Hospital, Pediatric Cardiology Department between 2011 and 2018. Patients’ demographic criteria: age, weight at the time of procedure was gathered. The diagnosis, size of device, follow-up period and complications were also noted. From April 2011 to March 2018, a total of 122 patients underwent transcatheter closure by ADO II and 66 patients by ADO II AS. The number of PDA closure with ADO II was 48; with ADO II AS were 62. Rest of the procedures were all off-label. Types of off-label procedures performed were: VSD closure, residual mitral cleft closure, Aorta-Right atrium tunnel closure, pulmonary arteriovenous fistula occlusion, aorta-pulmonary window closure, and occlusion of the artery feeding accessory lobe in scimitar syndrome, Gerbode defect occlusion. Up to our knowledge; this study includes the largest pediatric case series with various different congenital heart defects which were closed with ADO II. Also our ADO-II occluded VSD case series is one of the largest series in the literature with almost 6 years’ follow-up. We believe in that ADO-II device may be an alternative in percutaneous closure of various rare heart defects. It is used successfully for non-ductal defects with low complication and high compliance rates.