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    Çocuklarda Yeşil Çay Kullanımının Dental ve Periodontal Sağlığa Etkileri
    (2022) Vural, Handan; Duman, Sacide
    Diş 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.
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    Evaluation of the relationship between malocclusions and sleep-disordered breathing in children
    (Taylor & Francis Ltd, 2022) Duman, Sacide; Vural, Handan
    Objective 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.
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    Supernumerary Teeth and Dental Development
    (Lippincott Williams & Wilkins, 2021) Duman, Sacide; Vural, Handan; Duman, Suayip Burak
    Purpose: 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.