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Öğe Anterior Cross-Bite’ın Hareketli Apareylerle Tedavisi: Bir Vaka Serisi(2025) Demir, Pınar; Selen, Merve Bilmez; Aydoğdu, Hatice; Demircan, BerilÖn çapraz kapanış çocuklarda en sık görülen maloklüzyonlardan biridir. Karma dişlenme döneminden daimi dişlenmeye geçişte ark uzunluğu azaldığı için bu problemin çözümü zor olabilir. Ön dişlerinde çapraşıklık şikayetiyle kliniğe başvuran 7-11 yaş aralığındaki (8.6±1.6) 24 hasta çalışmaya dahil edildi. Hastalara hareketli aktif akrilik aparey uygulandı, ayrı cam aksiller darlığı olan 10 hastaya yavaş genişletme uygulandı. Tedaviler ortalama 32±14.6 günde tamamlandı. Çalışmada kullanılan aparey düşük maliyeti, kısa laboratuvar işlemleri ve hasta eğitimine gerek olmaması gibi avantajları nedeniyle tercih edilmiştir. Bu çalışmanın amacı tedavi zamanlamasının önemini vurgulamak ve literature katkıda bulunmaktır.Öğe Evaluation of possible associated factors for early childhood caries: are preterm birth and birth weight related?(Bmc, 2024) Selen, Merve Bilmez; Demir, Pinar; Inceoglu, FeyzaBackgroundThis study aimed to evaluate the oral and dental health of preschool children aged 12-71 months living in the Eastern Anatolia Region of Turkey, and to examine the effects of low birth weight (LBW) and preterm, early term and term birth on dental caries.Methods475 participants were included in the study. Intraoral examinations were performed and evaluated for the presence of early childhood caries (ECC). These values are; Relationships such as age, gender, birth weight, week of birth, tooth brushing frequency, cariogenic nutrition, and parental education levels were examined. The obtained data were analyzed statistically (chi-square, t-test, artificial neural network (ANN)).ResultsOf the 475 participants, whose parents agreed to fill out the questionnaire, 250 were female and 225 were male. While the mean age was 49.78 +/- 14.78 months for those with ECC, it was 38.93 +/- 17.96 months for those without. Higher duration of breastfeeding (p = 0.04), education level of parents (p = 0.001), lower socioeconomic level (p = 0.001), and lower brushing frequency (p = 0.001) were also found to be significantly associated with ECC. ECC was seen in 90% of 77 children with a history of preterm birth. In LBW, this rate was 83%. According to the ANN result, in preterm birth; 12.9% affected ECC by LBW.ConclusionAccording to the results of our study, both LBW and preterm delivery were found to be associated with ECC and S-ECC (severe early childhood caries). An additional study on parents of preterm/LBW infants would be beneficial. In the early period, regular dental examination, implementation of preventive and preventive treatments, and nutrition education to parents can make a significant difference in the prevention of ECC.Öğe Evaluation of the relationship between severe early childhood caries and vitamin D(Elsevier, 2022) Duman, Sacide; Selen, Merve Bilmez; Demir, PinarObjective: To evaluate the relationship between the factors affecting the formation of severe early childhood caries (S-ECC) in preschool children, dental caries and serum 25-hydroxyvitamin D (25(OH)D) and to contribute to the literature on this subject. Methods: ASA I-II children aged <72 months and their volunteer parents who had no apparent learning disability were included in the study. 25(OH)D, calcium and albumin levels were measured from the serum samples taken from the children. Dft, dfs and plaque scores were calculated after the oral examination of the children. Parents were asked to fill out a questionnaire assessing the child's dietary habits and family demographics. Results: Total of 175 children (56% male) participating in the study (n = 98; ECC, n = 77; caries-free). S-ECC was present in 42.8% of children with adequate 25(OH)D levels and 63.4% of children with deficient or insufficient levels. Children with S-ECC had significantly lower mean 25(OH)D levels than those caries-free. A very weak negative correlation was detected between 25(OH)D level and dft score. Conclusions: It was difficult to confirm the relationship between 25(OH)D levels and S-ECC. Again, there was a weak correlation between the dft score and 25(OH)D levels. (C) 2022 Japanese Society of Pediatric Dentistry. Published by Elsevier Ltd. All rights reserved.Öğe Relationship between parental adverse childhood experiences and the prevalence of early childhood caries(Springer Heidelberg, 2024) Selen, Merve Bilmez; Demir, Pinar; Eden, Ece; Inceoglu, FeyzaObjectives The aim of this study was to examine the behavioural health conditions associated with parents' retrospective adverse childhood experiences (ACEs) scores and their children's early childhood caries (ECC) in parent-child dyads. Materials and methods Parents with children younger than 72 months were included in the study. A relational screening model was used. Interaction among ACEs, ECC, nutritional habits and oral hygiene habits were evaluated. Chi-square tests and t-tests were used in the study. Multiple variables were evaluated using the artificial neural network (ANN) model. Results The mean age of the 535 children included in the study was 46.5 months, and 52% were female. Using the ANN model, there was a statistically significant relationship between the educational status of the mothers in both the ECC and severe ECC (S-ECC) groups and the socioeconomic status of the family (p < 0.05). If the number of snacks consumed daily was three or more, the risk of ECC was statistically significantly higher (chi-square test p = 0.034). The parents' ACEs scores had an impact on both ECC and S-ECC formation (p = 0.001, t-test). The higher the ACEs score, the higher the risk of S-ECC. The mean ACEs scores of the parents were also significantly higher in both the ECC and S-ECC groups compared to those of the parents of children without dental caries (p = 0.001, t-test). It was calculated that ACEs scores were effective at a rate of 18.2% on ECC (p = 0.045, ANN). Conclusions The ACEs scores of parents have an impact on the oral health of young children and ECC/S-ECC formation. Clinical relevance The long-term effects of parental ACEs are reflected in their children's oral health. Therefore, reducing the psychosocial determinants ACEs and providing parental support may help in overcoming barriers to the well-being of young children and may facilitate better oral health.Öğe Retrospective evaluation of pulp revascularization treatment in immature permanent teeth(Bayrakol Medical Publisher, 2025) Selen, Merve Bilmez; Demircan, Beril; Duman, Sacide; Demir, Pinar; Aydogdu, HaticeAim: The aim of this study was to investigate the results of regenerative endodontic treatments (RETs) for necrotic immature teeth. Materials and Methods: Data were collected on children who were treated with RETs and were followed up for two years. The American Association of Endodontists protocol for RETs was used to treat all patients. The outcome of RETs was evaluated as complete healing, incomplete healing, and failure. Twenty-four teeth were included in the study. Result: Among these 24 teeth, 10 were anterior, 2 were premolars, and 12 were molars. During the follow-up period, 15 out of 24 teeth (62.5%) healed completely, 8 teeth (33.3%) showed incomplete healing, and one tooth (4.1%) failed and required further treatment. Discussion: Within the limitations of this study, the results indicate that regenerative endodontic treatments (RETs) using calcium hydroxide as an intracanal medicament are effective in promoting periapical healing and root maturation in immature necrotic teeth. The high success rate observed supports RET as a viable alternative to apexification. However, further studies with larger sample sizes and longer follow-up periods are needed to confirm these findings and establish standardized treatment protocols.Öğe Tıp Doktorları ve Hekim Adaylarının Ağız Hijyeni Uygulamalarının Değerlendirilmesi(2025) Demir, Pınar; Selen, Merve Bilmez; Aydoğdu, Hatice; Yakıncı, Mehmet Cengiz; Demircan, BerilAmaç: Ağız hastalıkları, görülme sıklığının yüksek olması nedeniyle bir halk sağlığı sorunu olarak kabul edilmektedir. Toplumun ağız sağlığı hakkında bilinçlendirilmesi ve olumlu hijyen alışkanlıklarının kazandırılması, ağız sağlığı eğitimcilerinin temel hedefidir. Sağlık çalışanlarının ağız sağlığına yönelik bilgi, tutum ve uygulamaları, toplumda ilk sağlık danışmanları olarak önemli bir rol oynar. Bu çalışmanın amacı, sağlık çalışanlarının bilgi, tutum ve uygulamalarını değerlendirmektir. Gereç ve Yöntem: Bu çalışma, sağlık çalışanlarının ağız sağlığı konusundaki bilgi, tutum ve uygulamalarını değerlendirmek amacıyla tasarlanmış tanımlayıcı kesitsel bir araştırmadır. Çalışmaya başlamadan önce tüm katılımcılardan bilgilendirilmiş onam alındı. Veriler, 20 sorudan oluşan, önceden tasarlanmış ve geçerliliği test edilmiş bir anket aracılığıyla toplandı. Katılımcıların yaş, cinsiyet, mesleki unvan, kişisel ağız hijyeni alışkanlıkları ve hastalarına verdikleri ağız sağlığı tavsiyeleri değerlendirildi. Veri analizi SPSS 26 (IBM Corp., Armonk, NY, ABD) kullanılarak gerçekleştirildi. Ki-kare testi ve t-testi kullanılarak istatistiksel analizler yapıldı. Bulgular: Çalışmaya toplam 406 sağlık çalışanı katıldı. Katılımcıların %54,9'u kadın, %45,1'i erkekti ve yaş ortalaması 25 olarak hesaplandı. Rutin kontrol için diş hekimine başvuran tıp hekimi oranı %11,6 olarak belirlendi. Tıp eğitiminde oral hijyenin önemi ile doğru fırçalama yapabilme, doğru diş ipi kullanımı ve tıp hekimlerine oral hijyen konusunda danışan hastaya tavsiye verebilme arasında istatistiksel olarak anlamlı bir ilişki bulundu (p<0,05). Sonuç: Çalışmanın bulguları, tıp fakülteleri müfredatında ağız-diş sağlığının daha fazla vurgulanması gerektiğini ortaya koymaktadır. Ağız sağlığına ilişkin farkındalığın arttırılması hem bireysel hijyen alışkanlıklarını iyileştirecek hem de hastalarına sunacakları sağlık hizmetlerini daha bilinçli hale getirecektir.
