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Öğe Accuracy of age estimation with Demirjian and Nolla methods in Eastern Turkish children aged 3-17 years old(Istanbul Univ Press, Istanbul Univ Rectorate, 2022) Duruk, Gulsum; Ozdal, Tamara Pelin Gundogdu; Duman, SacidePurpose Dental age assessment is one of the most reliable methods of chronological age estimation used for criminal, forensic and anthropologic purposes. This study aimed to determine how accurate it was to estimate the chronological age by looking at the dental age measured with the Nolla and Demirjian methods in a Turkish sample, based on the variables of gender and age-group. Materials and Methods A retrospective study was performed on panoramic radiographs of 1587 subjects (774 females and 813 males), aged 3-17 years. The mean dental age according to the Demirjian and Nolla methods were compared to the mean chronological age (CA). Also, the percentage value of prediction of CA was determined by using the both methods. Results An under-estimation of the chronological age was observed by using Nolla's method (males-0.003, females-0.32, both-0.16) and an over-estimation of the dental age was observed by using Demirjian's method (males 0.61, females 0.75, both 0.68). Conclusion Nolla's method was more accurate in the CA estimation than Demirjian's method in Eastern Turkish population.Öğe Assessment of Turkish dentists' knowledge about managing avulsed teeth(Wiley, 2020) Duruk, Gulsum; Erel, Zehra BeyzaBackground/Aim The first intervention and clinical experience are important in the treatment of dental avulsions. The aim of this study was to evaluate general dentists' and specialists' knowledge about the management of avulsed teeth. Materials Methods A total of 400 participants were evaluated. The questionnaire consisted of three parts: The first part inquired about personal information. The second part evaluated dentists' knowledge of emergency and clinical management in case of tooth avulsion. The third part was about dentists' perspective on dental trauma education and self-evaluation on dental trauma knowledge. The survey data obtained were analyzed using the Kruskal-Wallis test, Chi-square test, and multiple regression analysis. Results The questionnaires were answered by 155 dental practitioners, 80 pediatric dentists, and 165 other specialists. Pediatric dentists who have seen more trauma cases during their education are more knowledgeable about the management of tooth avulsion (P < .01). More than half of the dentists who participated in this study (58%) had less than 5 years of experience, 21% had between 6 and 10 years, 6.3% had between 11 and 15 years, 6% had between 16 and 20 years, and 8.8% had more than 20 years of experience in clinical practice. Dentists with fewer years of experience were more knowledgeable than dentists with more years of experience (P < .01). Conclusion The knowledge of dentists about the management of dental avulsion was acceptable but inadequate. While the knowledge of dentists was moderate, the knowledge of pediatric dentists was good.Öğe Children's Primary Dental Treatment Needs According to Their Parents(Assoc Apoio Pesquisa & Saude Bucal-Apesb, 2021) Duruk, Gulsum; Akkuc, Sibel; Gumusboga, Zekiye SeymaObjective: 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.Öğe Comparison of effectiveness of different training tools on the level of knowledge about emergency management of avulsed teeth in non-dentists(Sage Publications Ltd, 2023) Gumusboga, Zekiye Seyma; Duruk, GulsumObjectiveTooth avulsion is a type of trauma requiring an emergency response, and the level of knowledge of non-dentists on the emergency management of avulsed teeth is important for the prognosis of affected teeth. This study aimed to compare the effectiveness of training given using different tools on the level of knowledge about the emergency management of avulsed teeth in non-dentists. MethodsA total of 125 individuals (female, 32.8%; male, 67.2%; mean age, 38.5 & PLUSMN; 7.32 years) participated in the study. The participants were randomly assigned to three groups, and the training was offered to these groups using different training tools (group 1, storybook; group 2, poster; group 3, ToothSOS App). A survey was conducted on all participants to measure their knowledge levels before training (T-0), immediately after (T-1), and 1 month later (T-2). The Mann-Whitney U, Kruskal-Wallis, Wilcoxon, and Friedman tests were used for statistical analysis. ResultsThe participants' mean correct answer scores on a scale from 0 to 21 were 7.76 & PLUSMN; 4.00, 5.47 & PLUSMN; 4.71, and 7.38 & PLUSMN; 2.96 at T0 in groups 1, 2, and 3, respectively, and their mean scores increased to 14.68 & PLUSMN; 4.10, 13.74 & PLUSMN; 3.28, and 13.86 & PLUSMN; 3.01 at T-1 and 13.41 & PLUSMN; 3.34, 12.34 & PLUSMN; 3.77, and 13.66 & PLUSMN; 3.56 at T-2. The correct answer scores increased significantly at both T-1 and T-2 in all groups (p < 0.001). ConclusionNone of the training tools used in the study was superior in increasing the level of knowledge. More comprehensive and long-term studies on this subject are needed.Öğe A Comprehensive Survey of Dental Rehabilitation Under General Anaesthesia at a Dental Hospital in Turkey(Amber Publication, 2020) Duruk, Gulsum; Kuru, Raziye; Gorgen, Veli AlperObjective: Although families worry about possible complications of dental rehabilitation under general anaesthesia (DRGA), it is a treatment option for children with dental anxiety or special needs. DRGA, one of the indispensable treatment options of dentistry, is especially common in paediatric dentistry. The purpose of this survey was to describe the characteristics of the children receiving DRGA at a faculty of dentistry in Turkey, and to investigate the complications of DRGA and families' approach to the issue. Methods: 372 children under the age of 16, who underwent DRGA were included. The patients were divided into two groups. Group 1 was formed from healthy children with dental anxiety (n=159), and Group 2 was formed from CSHCN (n=213). The complications during and after DRGA were recorded. A survey was conducted to parents. Results: The mean age of the CSHCN was 7.04 +/- 3.02, while the mean age of the healthy children was 4.87 +/- 1.87. 1798 teeth extractions, 2450 teeth fillings, 225 pulp amputations, 30 root canal treatments, 396 fissure sealants, 280 fluoride varnish applications, and 204 scaling-polishings were performed in patients under GA. Feeling sleepy from post-operative complications was at the highest percentage (40.3%). 72.6% of the parents had concern about the safety of DRGA. Conclusions: Conservative dental treatment methods were mostly preferred in healthy children, while dental extraction was preferred for CSHCN. Parents and caregivers should be briefed on DRGA as a treatment option.Öğe Effect of different doses of radiation on morphogical, mechanical and chemical properties of primary and permanent teeth-an in vitro study(Bmc, 2020) Duruk, Gulsum; Acar, Burcin; Temelli, OztunBackground Radiotherapy, applied to the head and neck region, can cause radiation side effects such as reduction of saliva and radiation caries. The aim of this study was to perform an in vitro assessment of the effects of radiation therapy on the morphological, mechanical, and chemical properties of primary and permanent teeth. Methods One hundred four extracted human teeth (52 impacted wisdom teeth, 52 primary molar teeth) were used. The teeth were divided into two parts in the mesiodistal direction. Of the 98 teeth, the vestibular sections were used for the vickers analysis and lingual sections were used for the Inductively Coupled Plasma-Optical Emission Spectrometry (ICP-OES) analysis. The teeth in the experimental group were fixed to wax models. Each model had an equal number of teeth (n = 7). The doses were applied to the teeth for 6 weeks; 5 week days and 2Gy daily. After the radiotherapy was conducted weekly, a wax model was taken from radiation reception. Along with the elemental contents (Na, K, Mg, P, and Ca) of the teeth, enamel and dentin microhardness was evaluated, and SEM analyzes were performed on 6 teeth. Results Radiation caused a decrease in microhardness of enamel and dentin (p < 0.05). In the elemental analysis by ICP-OES, it was observed that there were decreases in all elements after 60Gy compared to the control group (p < 0.05). In the experimental groups, amorphous structures were encountered in SEM images. Conclusions Radiation has negative effects on the teeth structure and additional studies are needed in this regard. This study indicates that radiotherapy patients are at a higher risk for dental caries.Öğe Effect of Interproximal Caries in Primary Molars on Clinical Parameters and Levels of Some Biochemical Markers in Gingival Crevicular Fluid(Mary Ann Liebert, Inc, 2020) Duruk, Gulsum; Gurbuz, Taskin; Aksoy, HulyaThis study aims to investigate the relationship between dental caries and periodontal health by examining the clinical parameters and levels of some biochemical markers in the gingival crevicular fluid (GCF) of the teeth. In 22 children, 22 maxillary primary canine teeth and a pair of primary molars in a total of 38 quadrants were examined. The control group (C) consisted of children who had at least 1 caries-free primary maxillary canine. The test group (T) consisted of children who had a pair of primary molars where the interproximal contact was lost due to the caries in the same quadrant. Their primary molars were restored with compomer. The teeth were evaluated based on clinical values (plaque index, gingival index, and probing depth) and biochemical values in GCF before (C-0, T-0) and after a 6-month treatment (C-1, T-1). While total amounts of interleukin-1 beta and vascular endothelial growth factor in GCF in T-0 were significantly higher than in C-0 (P<0.001), osteocalcin was statistically insignificant (P>0.05). Clinic parameters in T-0 were significantly higher than in C-0 and T-1. Also these parameters in C-0 were higher than in C-1 (P<0.01). Clinical and biochemical parameters in GCF in the teeth with interproximal caries might show symptoms of periodontitis.Öğe Effectiveness of Different Methods in Removing Dentin Caries of Primary Teeth: Micro-CT and SEM Evaluation(Journal Pedodontics Inc, 2022) Duruk, Gulsum; Kizilci, Esra; Malkoc, Meral ArslanObjectives: With the recent improvements in technology, the expectation of minimal invasion and maximal comfort in caries removal techniques is increasing. This study aims to examine the effectiveness of six caries removal methods in primary teeth. Study design: Sixty primary molars (10 teeth in each groups) were used. floor was examined before and after caries removal. After caries removal, the patency of the dentinal tubules was examined in two teeth from each group on SEM images. Statistical analyses were performed using Kruskal-Wallis, Wilcoxon tests. Results: For six different caries removal methods, tooth mineral (inorganic, total) densities at cavity floors were compared among the groups after the procedures, and no statistically significant difference was found (p>0.05). On the SEM images, it was seen that the dentinal tubules were exposed and no smear layer was formed in the Carisolv group. Significant rough surfaces were exposed in the laser group. Conclusion: It was observed that alternative caries removal methods are at least as effective as the traditional method in primary teeth for clinical applications.Öğe Effectiveness of the ToothSOS App as a training tool for the emergency management of traumatic dental injuries among non-dentists(Wiley, 2022) Duruk, Gulsum; Gumusboga, Zekiye SeymaBackground/Aim Traumatic dental injuries (TDIs) are a major and urgent problem in oral health. Therefore, non-dentists need to be conscious of the emergency management of TDIs. The aim of this study was to assess the effectiveness of the ToothSOS App on the level of knowledge about emergency management of TDIs among people who are not dental professionals. Materials Methods One hundred and five non-dentists, aged 22-57 years, participated in this study and were given training on TDIs. The ToothSOS App launched by the IADT was used as a training tool. A 25-question survey was conducted three times; before the ToothSOS App was downloaded and reviewed (T-0), immediately after (T-1), and one month later (T-2). Results There was a statistically significant difference among the three time periods (p < .001) in terms of the knowledge about the management of TDIs, and the knowledge increased significantly (p < .001) at both T-1 and T-2 after reviewing the ToothSOS App. On a scale from 0 to 10, the mean correct scores increased from 2.85 +/- 2.15 (median [min-max]: 2[0-10]) to 8.23 +/- 2.21 (median [min-max]: 9 [1-10]) (effect size: 2.5) at T-1 and to 7.40 +/- 2.34 (median [min-max]: 8 [1-10]) (effect size: 2.1) at T-2. Conclusion The ToothSOS App as a training tool was effective to increase the knowledge level of individuals about the emergency management of TDIs.Öğe 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, SacideObjectives 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.Öğe Evaluation of Knowledge on Emergency Management of Avulsed Teeth Among Turkish Medical and Dental Students(Assoc Apoio Pesquisa & Saude Bucal-Apesb, 2022) Duruk, Gulsum; Daskiran, Ismail CuneytObjective: To evaluate the knowledge of medical and dental students regarding the emergency management of avulsed teeth. Material and Methods: This cross-sectional survey study was performed on 1841 students. Medical (n=746) and dental (n=845) students from different universities were included in this study. A questionnaire about the emergency management of avulsed teeth was conducted on the students. Also, 250 medical students from 3rd grade were included in the study and trained. The questionnaire was applied twice, before and after the training on the subject. Results: The mean correct answer scores were similar among the medical students in different grades (p>0.05). There were no statistically significant differences between the trained medical students and clinical dental students' correct answer scores, but there was a significant difference between the pre-clinical (1st-2nd-3rd years) and clinical (4th-5th years) dental students (p<0.01). Conclusion: Medical and preclinical dental students had lack of knowledge about the emergency management of avulsed teeth, while clinical dental and trained medical students were very knowledgeable. This result indicates the importance of education.Öğe Evaluation of Residual Monomer Release After Polymerization of Colored Compomer Materials(Assoc Apoio Pesquisa & Saude Bucal-Apesb, 2021) Duruk, Gulsum; Oruc, Emine; Ugur, YilmazObjective: To evaluate the amount of residual monomers released after polymerization by the compomers in different colors and viscosities over time. Material and Methods: The compomer samples of different colors and viscosities (flowable compomers; blue-pink and packable compomers; A2-blue-pink-gold) were prepared in molds with an inner diameter of 5 mm and a height of 2 mm. In polymerization of samples, a LED unit was used. The amount of monomers released from the samples kept in 75% ethanol/water solution was measured by a high-performance liquid chromatography (HPLC) instrument in the 10th minute, in the 1st hour, and in the 1st, 7th, and 14th days. For statistical analyses, the paired sample t-test, independent sample t-test, and one-way ANOVA with Tukey's post hoc test were used. Results: The amount of residual monomers released from all materials increased over time. At the end of the 14th day, the most released monomer from all compomer samples was BisGMA. The total amounts of released monomers from the packable compomers were Gold>A2>blue>pink. The amount of residual monomers released from flowable compomers was higher in blue than in pink. Conclusion: The color and the viscosity are the factors affecting the residual monomer release in compomers.Öğe Evaluation of residual monomer release after polymerization of different restorative materials used in pediatric dentistry(Bmc, 2022) Duruk, Gulsum; Akkuc, Sibel; Ugur, YilmazBackground 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.Öğe The evaluation of the clinical and radiographic records of the first molar teeth in pediatric patients(2019) Duman, Sacide; Duruk, GulsumAim: This study aimed to determine the status, the need for treatment, and the performed treatments in the first permanent molars, together with the general health status, in pediatric patients. Material and Methods: A total of 5996 teeth from 1499 children were included in the study. The first permanent molars were evaluated by panoramic radiography and patient recording system. The teeth were classified according to the following data: age, gender, jaw, side, teeth requiring therapy, preventive and interventional implementations.Results: It was determined that 45.7% of the first permanent molars were healthy and 54.3% were necessitating treatment. The rate of the healthy teeth was determined to decrease with increasing age (p0.001). The rate of healthy teeth in boys was higher than girls and the healthy teeth in maxilla were higher than mandible (p0.001). Applications for preventive treatment were most frequently performed between group 1 (p0.001). Preventive treatments were performed higher in boys than girls (p0.001). Mean age of first restorative treatment, endodontic treatment and extraction on first permanent molars were 10 years 7 months 18 days, 11 years 1 month 8 days and 11 years 5 months 13 days, respectively.Conclusion: Since the awareness of the families on the first permanent molars, which are among the first erupted permanent teeth, is low, and the oral hygiene of children is inadequate, caries and tooth loss are encountered very frequently in these teeth. In spite of developing dentistry technologies and ease of access, dental health is very dramatic in developing countries.Öğe Evaluation of Turkish emergency medicine physicians' knowledge on emergency management of tooth avulsion(Istanbul Univ Press, Istanbul Univ Rectorate, 2023) Kuru, Raziye; Duruk, GulsumPurpose Tooth avulsion is a type of trauma that requires emergency intervention, and a significant number of patients apply to the emergency. The aim of this study is to evaluate the level of knowledge and the awareness about tooth avulsion among emergency medicine physicians throughout Turkiye. Materials and Methods The study was conducted with 545 physicians, working in emergency departments. An online questionnaire about tooth avulsion was applied to the participants. The questionnaire consisted of 3-section which evaluated personal information, the level of knowledge of avulsion cases in primary and permanent dentition, and the level of training on this subject. Results Of the physicians, 61.3% had not previously received education on dentoalveolar traumas, 58.7% would replant an avulsed permanent tooth, 28.3% would prefer replantation to be performed immediately, and 28% would prefer milk as the ideal storage medium. The mean +/- SD and median(min-max) values of the correct answer scores on a scale of 0 to 35 were 16.42 +/- 7.08 and 17(0-32), respectively. 45.6% of the physicians' level of knowledge was below the median score. Conclusion The level of knowledge about tooth avulsion among Turkish emergency medicine physicians is not sufficient and there is a need to improve the knowledge level of physicians with comprehensive educational programs. This study indicates that the training of the physicians about the subject will reflect positively on the treatment of dental trauma patients.Öğe Impact of Dental Rehabilitation Under General Anesthesia on Oral Health-Related Quality-of-Life and Dental Anxiety in Turkish Children(Assoc Apoio Pesquisa & Saude Bucal-Apesb, 2021) Duruk, Gulsum; Kuru, Raziye; Ozkan, Ahmet SelimObjective: To analyze children's and parents' oral health-related quality of life (OHRQoL) and children's dental fears before and after the dental rehabilitation under general anesthesia (DRGA). Material and Methods: 104 parents and their 3 to 13-year-old children (5.90 +/- 2.42) who received DRGA were surveyed before and after DRGA. The children were divided into two groups: Group 1 - healthy children (n=43) and Group 2 - children with medical problems (n=61). After recording their socio-demographic information, parents completed a self-administered questionnaire named Early Childhood Oral Health Impact Scale (ECOHIS), which includes two main parts - Child Impact Section (CIS) and Family Impact Section (FIS). On the other hand, the children received a dentist-administered questionnaire named Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) and Frankle Behavior Scale (FBS). For statistical analyses, Wilcoxon Signed-Rank, Mann Whitney-U, Kruskal-Wallis, and Spearman's Correlation tests were used. Results: A statistically significant decrease in all CIS, FIS, ECOHIS and CFSS-DS scores was observed after DRGA (p<0.01). This decline was greater in healthy children than in children with systemic problems (p<0.01). Conclusion: Children's and parents' OHRQoL showed better results after DRGA. The decreases in dental anxiety in children were observed after DRGA.Öğe Investigation of Turkish dentists' clinical attitudes and behaviors towards the COVID-19 pandemic: a survey study(Sociedade Brasileira De Pesquisa Odontologica, 2020) Duruk, Gulsum; Gumusboga, Zekiye Seyma; Colak, CemilCurrently, the whole world is under the threat of the COVID-19 pandemic, and dentists are at high risk. The aim of this study was to investigate what kind of precautions Turkish dentists take in dental clinics during the COVID-19 pandemic. The study population consisted of dentists in Turkey. An online questionnaire (23 questions-57 items) was sent to a sample of Turkish dentists from March 16 to March 20, 2020. The questionnaire comprised a series of questions about dentists' demographic characteristics, their concerns, and the measures taken in dental clinics against COVID-19. This study included a total of 1,958 Turkish dentists. A total of 1,274 (65.1%) were general dentists, and 684 (34.9%) were specialists. Five hundred twenty-two (26.7%) dentists attended an informational meeting on COVID-19. Of these dentists, 69.8% were aware of COVID-19 according to their self-assessed knowledge scores. More than 90% of the dentists were concerned about themselves and their families. Only 12% of the dentists wore an N95 mask. Although Turkish dentists took some precautionary measures, they did not take enough precautions to protect themselves, the dental staff, and other patients from COVID-19. As the number of COVID-19 cases increased, the measures taken slightly increased in dental clinics as well. Dentists are strongly recommended to take maximum precautions in the clinical setting. The guidelines about the COVID-19 pandemic should be sent to all dentists by the regional and national dental associations.Öğe Knowledge and attitudes about emergency management of avulsed teeth among primary and secondary school teachers in Malatya, Turkey(Kerman Univ Medical Sciences, 2022) Duruk, Gulsum; Ozdal, Tamara Pelin GundogduBackground and Aim: Dental trauma is highly frequent in children during school time and school teachers are often the first witnesses of the incident. This cross-sectional study aimed to assess the knowledge of school teachers about dental avulsion and its management. Methods: This cross-sectional questionnaire study was conducted on 782 primary and secondary school teachers in Malatya, Turkey. The questionnaire included three sections assessing (i) demographic characteristics, (ii), knowledge and attitudes about emergency management of avulsed permanent teeth, and (iii) teachers' perspective on dental trauma education and self-evaluation of dental trauma knowledge. The correct answer scores were calculated according to section 2 (6 questions-17 items). Data were analyzed using Mann-Whitney U test, Kruskal-Wallis test, and multiple linear regression analysis. Results: The correct answer score was calculated out of 17; the highest score was 13 and the mean score was 8.5. The level of knowledge on emergency management of avulsed teeth was higher among the teachers who had previously been trained on the subject. Conclusion: The knowledge of Turkish school teachers about emergency management of avulsed teeth is limited. The findings obtained in this study indicated that an educational strategy for teachers is strongly required.Öğe Oral hygiene in children with epilepsy: Effect of interleukin-1? and VEGF levels in gingival crevicular fluid(Polish Dental Soc, 2017) Duruk, Gulsum; Aksoy, Hulya; Gurbuz, Taskin; Laloglu, Esra; Tan, HuseyinBackground. The biochemical parameters in gingival crevicular fluid (GCF) are affected by some systemic diseases and poor oral hygiene. Objectives. The aim of this study was to evaluate the total amounts of Interleukin-1 beta (IL-1 beta) and vascular endothelial growth factor ( VEGF) in GCF in children with epilepsy. Material and methods. Eighty children with epilepsy in a seizure-free period ( the test group) and 80 healthy children ( the control group) were evaluated. The children with epilepsy were taking valproic acid (VPA), carbamazepine, phenobarbital, and the combinations of these drugs. Gingival index (GI), plaque index (PI), probing depth (PD) and clinical attachment level (CAL) were measured. GCF was collected and its volume was measured. The total amounts of IL-1 beta and VEGF in the GCF were analyzed in the Biochemistry Laboratory at Ataturk University. Results. The biochemical (IL-1 beta and VEGF) and clinical parameters (GI, PI, PD and GCF volume) were significantly higher in children with epilepsy compared to healthy children (p < 0.0001). When the epilepsy patients were divided into groups according to the drug used in this study, there were no significant differences in the GCF levels of IL-1 beta and VEGF among the drug groups. Also, a significant gingival enlargement in the patient population was not recorded. Conclusions. According to these results, it may be suggested that patients need optimal oral care in epilepsy.Öğe Reasons for applying to pediatric dental clinics during coronavirus disease 2019 pandemic(Kerman Univ Medical Sciences, 2021) Duruk, Gulsum; Serme, Merve; Akkuc, SibelBACKGROUND 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.
