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    Children's Primary Dental Treatment Needs According to Their Parents
    (Assoc Apoio Pesquisa & Saude Bucal-Apesb, 2021) Duruk, Gulsum; Akkuc, Sibel; Gumusboga, Zekiye Seyma
    Objective: To determine the children's primary dental treatment needs reported by the parents and pediatric dentists. Material and Methods: 125 children (56 girls and 89 boys) and their parents participated in this study. The children's decayed-missing-filled teeth/teeth surfaces scores were recorded. A questionnaire about their children's primary dental treatment needs was conducted with the parents. Shapiro-Wilk test was used to test the normality of the data. hruskal-Wallis test was used to compare the clinical findings according to the categorical variables. The Chi-Square test was used to compare the categorical data. Also, multiple linear regression analysis was performed to determine the effect of some variables on children's dmft/DNIFT scores. The significance level was accepted as p<0.06. Results: The average age of the children who participated in the study was 7.59 +/- 2.36 years. The main reason for applying to the paedodontics clinic was dental caries (58.4%), followed by dental pain (33.6%). As for the primary dental treatment needs, 28% of the parents said they needed dental filling, while 19.2% said they needed orthodontic treatment. According to the pediatric dentists, while the treatment rate of dental caries was 47.2% as the primary treatment need, it was only 4.8% for the orthodontic treatments. Conclusion: Turkish children who were admitted to paedodontics clinics were too old and dental caries and dental pain were the most common reasons for these visits to the clinics. The children's needs for primary treatment varied according to parents and pediatric dentists. There is a need for more comprehensive studies about the subject.
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    Evaluation of impacted canines' localization and adjacent lateral incisors' root resorption with orthopantomography and cone-beam computed tomography
    (Springer, 2021) Akkuc, Sibel; Duruk, Gulsum; Duman, Sacide
    Objectives In this retrospective study, the frequency and severity of ectopic eruption in the children's permanent canines, changes between the impacted canine parameters on orthopantomography (OPG) taken for routine follow-up were demonstrated. Also, it was aimed to reveal the differences between OPG and cone beam computed tomography (CBCT). Methods Ten thousand (5020 girls, 4980 boys) pediatric patient, were retrospectively investigated for the presence of impacted canine radiographically. OPG and CBCT images of 343 pediatric patients (207 girls, 136 boys) detected impacted canines (n = 432) were evaluated in four steps that the angular and linear measurement, position and status relationships with adjacent anatomical structures were investigated. Results The incidence of impacted canine in children was 3.43% (4.02% girls, 2.73% boys). The percentage of adjacent lateral incisor' resorption was 33%. Although the presence of resorption in lateral incisors in contact with a canine was found to be statistically significant (p = 0.02), there was no statistically significant relationship the follicle size and localization of canine in the transverse plane. When images were compared, it was found that there was a statistically significant difference between CBCT and OPG about the parameter of canine angulation to the midline and parameter of canine angulation to the lateral incisor. Conclusions Pediatric dentists should prefer OPG as the first choice for radiographic imaging for the diagnosis of impacted canine at an early age. Follow-up OPGs should be carefully studied with advancing age. The CBCT should be preferred to prevent complications, to view its relationship with adjacent anatomical structures and canine localization in detail.
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    Evaluation of residual monomer release after polymerization of different restorative materials used in pediatric dentistry
    (Bmc, 2022) Duruk, Gulsum; Akkuc, Sibel; Ugur, Yilmaz
    Background The choice of the restorative resin material to be used in pediatric dentistry is of a great importance due to the cytotoxic effects caused by residual monomers. In this study, it was aimed to investigate the amount of residual monomer released over time from different resin-based restorative materials, which are widely used in pediatric dentistry, by using high performance liquid chromatography with photodiode array detector (HPLC-PDA). Methods The compomers in all colors (Twinky Star and Glasiositte A(2)), two composites with different hybrid properties (Arabesk-GrandioSO), and RMGIC (Ionolux) samples with 2 x 5 mm diameters were prepared. The samples were polymerized with an LED light unit (CELALUX 2, VOCO, Cuxhaven, Germany) and then finishing-polishing procedures were applied. A total of 156 samples were obtained, 13 samples in each of the 12 groups. The amount of residual monomer (BIS-GMA; HEMA, TEGDMA, UDMA) (mu g/mL) released into the 75% ethanol solution was determined at different times, (1st hour, 1st, 7th, 14th, and 21st day) by using HPLC-PDA. Results The residual monomer release continued on day 21 and BIS-GMA was the most released monomer in all groups. HEMA release showed a maximum increase in all the materials at day 7. The highest amount of residual monomer was detected in the gold-colored compomer. HEMA and BIS-GMA release from RMGIC was less than others in all time frames. Conclusions The color and composition of resin-based restorative materials affect the amount of residual monomer. Pediatric dentists should prefer gold-colored compomers less than others as a restorative material, especially in deep cavities. More studies are needed about the subject.
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    Reasons for applying to pediatric dental clinics during coronavirus disease 2019 pandemic
    (Kerman Univ Medical Sciences, 2021) Duruk, Gulsum; Serme, Merve; Akkuc, Sibel
    BACKGROUND AND AIM: The coronavirus disease 2019 (COVID-19) pandemic has caused changes in both patient profile and dental services due to the high risk of COVID-19 transmission in dental clinics. This study aimed to investigate the effect of the COVID-19 pandemic on the reasons for applying to the pediatric dental clinics. METHODS: During the COVID-19 pandemic, a questionnaire was given to the parents of systemically healthy children aged 0-14 years who applied to the paedodontics clinics for oral examinations. The families were asked about their sociodemographic status, reasons for the application, and their opinions about the pandemic. The obtained data were analyzed using chi-square, Kruskal-Wallis, Spearman's rank correlation, and binary logistic regression analysis tests. RESULTS: While the most common reason for presentation was toothache (49.8%), the percentage of the patients who applied to the Pediatric Dental Clinic, School of Dentistry, Inonu University, Malatya, Turkey, with urgent reasons was 58.2%. There was an increase in the urgent application in children with low income and younger children (P < 0.010). A negative correlation was found between the urgent applications and income level (r = -0.100, P = 0.014). CONCLUSION: In the COVID-19 and similar outbreaks that may occur in the future, it is of great importance for pediatric dentists to be able to effectively manage urgent applications in children to protect public health and reduce contamination.
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    Remineralization effect of three different agents on initial caries and erosive lesions: a micro-computed tomography and scanning electron microscopy analysis
    (Bmc, 2023) Akkuc, Sibel; Duruk, Gulsum; Keles, Ali
    BackgroundThis study aimed to investigate the remineralization efficiency of Sensodyne Promine containing Sodium flouride (NaF), GC Tooth Mousse containing CPP-ACP, and Agarta herbal toothpaste on initial caries and erosion using micro-computed tomography (CT) and scanning electron microscopy (SEM).MethodsForty-five third-molar teeth for micro-CT were divided into three main groups after initial scans (T-1) were completed. Artificial caries lesions were created with the demineralization cycle (group 1, n = 15) and artificial erosion lesions were created with orange juice (group 2, n = 15) and Cola (group 3, n = 15), and second scans (T-2) were performed. The groups were divided into three subgroups within themselves. Sensodyne Promine toothpaste (subgroup 1a, 2a, 3a), GC Tooth Mousse topical cream (subgroup 1b, 2b, 3b), and Agarta herbal toothpaste (subgroup 1c, 2c, 3c) were applied using soft-tipped brushes for 2 min, twice per day for 15 days, and then a third scan (T-3) was performed. Mineral density, surface area, and lesion volume and depth were calculated using micro-CT. Changes in the surface morphology of the teeth were examined using SEM in 13 samples representing each group, subgroup, and healthy enamel. In the analysis of the data obtained from the scans performed at three different times (T-1, T-2, T-3), one-way analysis of variance (ANOVA) with the post-hoc Tukey test, repeated measures ANOVA with the post-hoc Bonferroni test, and paired sample t-test analyses were used.ResultsAll three agents caused a statistically significant increase in mineral density, and a decrease in surface area and lesion volume and depth (p < 0.05). There was no statistically significant difference between the groups in remineralization efficiency (p > 0.05). A statistically significant difference was found between the groups regarding the mineral density of the tissue that increased after remineralization (NaF > CPP-ACP > He; p < 0.05).ConclusionThe remineralization efficacy of herbal toothpaste as an alternative to NaF and CPP-ACP was found to be successful.