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Öğe Clinical and radiographic outcomes of four pulpotomy agents in primary molars: a prospective randomized controlled trial(Springer, 2025) Vural, Handan; Senem Ozsunkar, Pelin; Duman, Sacide; Syed, Ali Zakir; Tirasci, GizemThis split-mouth randomized controlled clinical trial aimed to assess the 12-month clinical and radiographic outcomes of four different pulpotomy materials in primary molars. The materials evaluated were Mineral Trioxide Aggregate (MTA), Biodentine, Ferric Sulfate (FS), and Sodium Hypochlorite (NaOCl) gel. Healthy children aged 4-7 with four primary molars requiring pulpotomy were included. Coronal pulpotomy was performed, followed by application of one of the four materials, and restoration with stainless steel crowns. Clinical and radiographic assessments were conducted at 6 and 12 months. Success rates were compared using Fisher's Exact and Cochran's Q tests. A total of 22 children (88 teeth) completed the study. At 12 months, clinical success was 100% in the MTA, Ferric sulfate and NaOCl gel groups, and 95.5% in the Biodentine group. Radiographic success was 100% for MTA and NaOCl gel, 95.5% for Biodentine, and 81.8% for FS (p < 0.05). Most failures occurred in first primary molars. MTA and Biodentine demonstrated high clinical and radiographic success, with Biodentine offering a faster procedure. NaOCl gel showed promising outcomes comparable to MTA. However, FS had lower radiographic success, indicating limitations for long-term use.Trial registration number: NCT07120321. Data: 08 August 2025. Retrospectively registered.Öğe Çocuklarda Yeşil Çay Kullanımının Dental ve Periodontal Sağlığa Etkileri(2022) Vural, Handan; Duman, SacideDiş çürüğü ve periodontal hastalıkların önlenmesinde öncelikle iyi oral hijyen gereklidir. Antimikrobiyal, antienflamatuar ve antiplak özellikli gargaralar mekanik temizleme yapılamadığı durumlarda oral hijyen sağlamada büyük öneme sahiptir. Yaygın bulunan bir içecek olan yeşil çayın içeriğindeki polifenollerin iyileştirici etkileri birçok çalışmada bildirilmiştir. Epigallocatechin-3-gallate, yeşil çayda bulunan başlıca polifenoldür. Antioksidan, antienflamatuar, antibakteriyel ve antikanserojenik özellikleriyle biyolojik olarak en aktif olanıdır. Yeşil çayın ağız ve diş sağlığına etkilerine yönelik birçok çalışma yapılmıştır. Bu derlemede yeşil çayın çocuklarda kullanımının dental ve periodontal sağlığa etkileriyle ilgili güncel literatür bilgileri derlenmiştir. Kullanımında yaş aralığının daha geniş olması, çoğunlukla herhangi bir yan etkisinin olmaması, sınırlı kullanım süresinin olmaması, yutulmasında bir sakınca olmaması gibi özellikleri yeşil çayın klorheksidin vb. gargaralara karşı başlıca avantajlarıdır. Sağlıklı bir ağız için kolay bulunabilen, düşük maliyetli bir bitki olan yeşil çay faydalı bir ajan olabilir.Öğe Evaluation of the relationship between malocclusions and sleep-disordered breathing in children(Taylor & Francis Ltd, 2022) Duman, Sacide; Vural, HandanObjective To determine the relationship between dental/skeletal malocclusions and sleep-disordered breathing (SDB) in the early diagnosis and treatment of sleep disorders in children. Methods Patients were evaluated by pedodontists to identify dental, skeletal, and functional malocclusion (n = 240; <15 years). In order to determine the sleep and daytime behavior of the patients, pediatric sleep questionnaires (PSQ) were applied. Per results of the PSQ, patients with a mean of >= 0.33 were defined as the high-risk group. Results A total of 25.8% children were in the high-risk group, with the most convex profile, high-angle growth direction, and mandibular retrognathy. The prevalence of habitual snoring, mouth breathing, and dry mouth was 48.4%, 64.5%, and 87.2% among all high-risk children, respectively. Conclusion Convex profile, high-angle growth direction, and retrognathic mandible were determined as risk factors for SDB. The prevalence of dry mouth, mouth breathing, and snoring was higher in the high-risk group.Öğe Factors influencing restorative treatment decisions for proximal caries of primary and immature permanent teeth: a survey(Mre Press, 2025) Vural, Handan; Duman, SacideBackground: The aim of this study was to determine restoration thresholds and restorative treatment decisions of dentists in T & uuml;rkiye for proximal caries of primary and immature permanent teeth, to investigate factors associated with these decisions. Methods: The study was based on the evaluation of a prepared electronic survey. Participants completed a questionnaire comprising three sections: demographic information, daily clinical practices, hypothetical clinical case scenarios. The case scenarios section utilized diagram based on the Espelid classification (Degrees 1- 6, ranging from outer enamel to inner dentine) to assess treatment thresholds and preferences. The first scenario involved a distal carious lesion on the upper second premolar of 14-year-old patient, while the second depicted a mesial carious lesion on the lower second primary molar of 5-year-old patient. The preference for Degrees 1- 3 lesions were evaluated as early intervention. Statistical analysis was performed to examine the relationship between treatment thresholds, participant characteristics and clinical practices. Results: Total of 345 respondents participated, including general dentists (47.8%), pediatric dentists (26.7%), restorative specialists (8.1%), fifth-year college students (17.4%). In the first scenario, Degree 3 was the most frequently selected threshold (38.9%), with 59.1% favoring early intervention and 20.2% choosing Degrees 1 and 2. The box-only preparation method was preferred by 65% of respondents. In the second scenario, Degree 3 remained the most selected threshold, with 55.6% supporting early intervention and 17.1% opting for enamel-level thresholds. Total of 62.3% preferred the box-only preparation method. Pediatric dentists exhibited higher rates of early intervention compared to others. Composite materials were predominantly chosen for permanent teeth, while compomer materials were preferred for primary teeth. Gender, years of experience, and institution type significantly influenced the choice of restorative treatment and preparation method. Conclusions: Based on the questionnaire study, it was concluded that dentists in T & uuml;rkiye have high tendency to intervene early.Öğe Supernumerary Teeth and Dental Development(Lippincott Williams & Wilkins, 2021) Duman, Sacide; Vural, Handan; Duman, Suayip BurakPurpose: The aims of this study were to compare the radiographic development of permanent teeth in a group of children with and without supernumerary teeth (ST), determine whether using cone-beam computed tomography or panoramic radiography improves the accuracy of dental age (DA) estimation and investigate the effects of factors including the numbers and positions of ST. Methods: One hundred fifty dental radiographs of children with and without ST at the ages of 6.0 to 14.9 years were included in this study. The children in both groups were age and sex-matched. The lower left-side 7 permanent teeth were evaluated according to the Demirjian method, DA was determined. The difference between chronological age (CA) and DA (CA-DA) for the children with and without ST and further based on the number and localization of ST were calculated. Results: For all groups, the mean DA values were higher than the mean CA values. The difference between the CA and DA values in the children with ST was higher than the difference in the children without ST. Supernumerary teeth in posterior localization, multiple ST and among boys were observed to increase the differences between the mean CA and DA values. The mean age difference between radiographies in the children with and without ST was similar. Conclusion: Panoramic radiography was found adequate in determination of dental development with the Demirjian method. Dental development was even more advanced in the children with ST in comparison to the control group. Clinicians should keep in mind that the dental developments of children with supernumerary teeth may be advanced.
