Çocuklarda tükürük akım oranı, pH'ı inorganik elementleri (sodyum, potasyum, kalsiyum magnezyum, inorganik fosfat) ile çürük arasındaki ilişkinin karşılaştırmalı incelenmesi

SUMMARY In this study, 92 girls and 97 boys making a total of 189 patients who were between 5-13 years old and having no caries, few caries and multi caries have been participated. Children are divided into three groups of ages of 5-7, 8-10 and 11-13 years and their unstimulated saliva samples are taken two hours after breakfast. The saliva flow rate, pH value and the values of Na, K, Ca, Mg, P04 are measured. In every age group of multi caries children, a negative correlation is observed between saliva Ca, inorganic phosphate and caries. Another negative correlation is found between saliva pH, flow rate and caries in every age group except the 5-7 age group. While measuring a negative correlation between saliva Na, Mg values and caries in only one age group (5-7 years), no such relation has been found in other working groups. However, no relation between K value and the caries is observed in any group. Furthermore, in any group, no particular relation is found between sex and saliva flow rate, pH and inorganic elements (Na, K, Ca, Mg, P04). In every age group, a positive correlation is observed between only saliva Mg value and the increase in ages of children while the same relation do not exist between the other elements. Also, it is found that there is a negative correlation between the frequency of brushing, the education level of mothers and the number of caries. Regarding the results, it is concluded that in saliva, the higher the rate of phosphate and Ca concentration is, the higher the saliva pH value is and therefore this will prevent the dissolution from the teeth.ÖZET Çalışmamıza 5-13 yaşlan arasında 92'si kız 97'si erkek olan çürüksüz, az ve çok çürüklü 189 çocuk hasta katıldı. Çocuklar 5-7, 8-10 ve 11-13 yaş olarak 3 gruba ayrıldı ve tüm çocuklardan tükürük örnekleri kahvaltıdan iki saat sonra herhangi bir uyaran yapılmadan toplandı. Toplanan bu örneklerde tükürük akım oram, pH'ı ve inorganik elementlerden sodyum, potasyum, kalsiyum, magnezyum ve inorganik fosfat değerleri saptandı. Tüm yaş grublarmdaki çok çürüklü çocuklarda tükürük kalsiyum ve inorganik fosfat değeri ile çürük arasında negatif bir ilişki bulunduğu saptandı. 5-7 yaş grubu dışında diğer yaş grubundaki çocuklarda, tükürük pH ve akım oram ile çürük arasında da negatif ilişki bulundu. Tükürük sodyum ve magnezyum değerleri ile çürük arasında yalnızca bir yaş grubunda (5-7) negatif ilişki saptanırken, diğer yaş grublarında aynı bulgu gözlenemedi. Çalışmamızdaki tükürük potasyum değerleri ile çürük arasında bir ilişki hiç bir yaş grubunda saptanamadı. Ayrıca tüm grublarda cinsiyet ile tükürük akım oranı, pil ve inorganik elementler (sodyum, potasyum, kalsiyum, magnezyum, inorganik fosfat) arasında da bir ilişki bulunamadı. Tüm yaş grublarında yaşın artması ile yalnızca tükürük magnezyum değerleri arasında pozitif bir ilişki bulunduğu saptandı, tükürükteki diğer elementler ile yaş arasında bir ilişki bulunamadı. Çalışmamızda fırçalama sıklığı ve anne tahsili ile çürük sayısı arasında da negatif bir ilişki görüldü. Elde edilen sonuçlara göre, tükürükteki inorganik elementlerden kalsiyum ve inorganik fosfat oranının yüksek olmasının, tükürükte tampon görevi gördüğü ve tükürük pH'mı arttırarak dişten çözünmeleri önleyebileceği kanısına varıld

Evaluation of Quality and Readability of Online Information on Treatments of Traumatic Dental Injuries

Background: Traumatic dental injuries is a common public healthissue all over the world. The aim of this study was to investigatethe quality and readability of web based information regardingtreatments of traumatic dental injuries.Methods: An internet search was carried out using Google searchengine with four different keywords (''treatment of broken teeth'',''treatment of tooth trauma'', ''treatment of anterior tooth fracturesin children'', ''fractured teeth treatments'') related to treatments oftraumatic dental injuries. The duplicate websites, links to researchstudies, advertisements, discussion groups, videos and imageswere excluded from the evaluation. The quality of the writteninformation regarding treatments of traumatic dental injuries inwebsites were analyzed with DISCERN toolkit. The readability ofthe written information was evaluated with Flesch-Kincaid gradelevel (FKGL), Flesch-Kincaid Reading Ease (FKRE) and SimpleMeasure of Gobbledygook reading grade level (SMOG) index.Results: A total of 120 webpages were identified but only 42 ofthem were remained after exclusion criterias. Among thesewebsites, 25 (59.5%) of them were belonged to private dentalclinics, 9 (21.4%) of them were belonged to informative pagesabout health and dentistry and 8 (19.1%) of them were belongedto professional organizations' websites. The average DISCERNscore was 42.4 and ranged between 24 to 62. The average FKREwas 50.7 14. which is equivalent to a reading level of 10th to12nd grade. The average FKGL score for was 8.5 2.8 and theaverage SMOG score was 7.3 2.0 for all the websites.Conclusion: : The results of the present study showed that thequality of information on the investigated websites was fairaccording to the DISCERN toolkit and too difficult to read andinterpret for the general population. Healthcare informationproviders should focus on improving the quality and readability ofthe information regarding treatment of traumatic dental injuries.&nbsp;</div

Clinical and morphological evaluation of permanent first molars in Turkey

Aim: The aim of this study was to investigate the pit and fissure morphology ofthe permanent first molars (PFMs) in the dentition of 7‑ to 12‑year‑old patientsin Turkish children. Patients and Methods: The study was conducted on706 patients who attended the Dokuz Eylul University Child Clinic. Examinationsof the patients were carried out with dental unit light, mouth mirror, and probeby two dentists. Age, gender, plaque scores, pit and fissure morphology, caries,restorations, and missing teeth were recorded. Results: Of the 706 patientsincluded in this study, 441 (62.5%) of them have affected PFMs. Intermediatetype fissure morphology (57.5%) was seen as the most common type. A positivecorrelation was observed between the age and the caries experience (p = 0.000).Patients with deep pits and fissure morphology have more caries affected teeththan patients with shallow pit and fissure morphology, and the differencewas statistically significant (p = 0.000). Patients with deep pits and fissuremorphology have significantly more plaque accumulation on PFMs comparedto the patients with shallow and intermediate fissure morphology (p = 0.000).Conclusions: Despite the limitations of the study, we can conclude that the patientswith deep pit‑fissure morphology are more susceptible to caries development andplaque accumulation than the patients with shallow and intermediate type pit andfissure morphology.</p

Kanser ve Diş Hekimliği

Bu bölümde çocukluk çağı kanserlerinin, dişler ve kraniyofasiyal dokular üzerine geç dönemyan etkileri literatür eşliğinde tanımlanmaya çalışılmıştır. Küçük yaş grubu çocuklarda kanser tedavisisırasında kullanılan kemoterapi (KT) ve/veya radyoterapinin (RT) daimi diş gelişimi üzerine geç yan etkiler oluşturduğu ve dental anomalilere neden olduğu bilinmektedir. Dişlerde hipoplazi, mikrodonti, hipodonti, kök şekil bozuklukları (kısa kökler-geniş pulpa odası, V-şeklinde incelen kökler ve apikalbölgede küntleşme), hiperdonti, makrodonti gibi sorunlar tespit edilirken, maksilla ve mandibulada gelişim eksikliği ve vertikal yüz uzunluğunda azalmalar görülmektedir. Özellikle tedavi yaşı beş ve öncesiolan çocuklar ile hematopoetik kök hücre (HKH) nakli geçiren çocuklarda diş ve kraniofasiyal anomaligörülme insidansının daha yüksek olduğu belirlenmiştir. Bunun nedeni beş yaş öncesinde odontojenikmezenşim hücrelerinin gelişim aşamasında olması, HKH nakli öncesinde ise yoğun oranda KT ve/veyaRT uygulanmasıdır.&nbsp;</p

Assessing the Effects of Oral Health Knowledge and Behaviours of Mothers on Oral Health of Preschool 4-6 Years Old Children

Purpose: Pre-school child health has always been one of the most important milestones for lifelong healthresearch. Also, the knowledge and behaviour of the parents, especially mothers, affects children's health.The variable household-related factors and mothers, in particular, are considered to be the main rolemodels that can improve pre-school children behaviour. To determine the knowledge and behaviours ofthe mothers and their impact on pre-school 4-6 years old children oral health status.Material and Methods: A 27 subjects’ questionnaire was prepared using previous questionnairesassessing mothers’ knowledge and behaviours towards oral health. Children's oral and dental health wasexamined by the researcher and scores were calculated using dmft (decayed, missing, filled, tooth) index.Accordingly, the effect of knowledge and behaviour of the mothers on their children dmft score wasanalysed. Chi-Square and logistic regression tests were used in the statistical analysis.Results: The study population consisted of 261 pre-school children and their mothers. Which included126 males (48.3%) males and 135 females (51.7%). The mean mothers’ oral health knowledge score wasfound to be 4.24 ± 1.94. The children oral health examination through dmft scoring showed that 71.3% ofchildren had experienced dental caries. the mean value for dmft score was 2.32 ± 2.39.Our study showed that the mother's cumulative oral health knowledge score has a statistically significantrelationship to the children oral health status. The higher the mother's oral health knowledge scores thelower their children dmft scores (p=0.001).Conclusion: Mothers oral health knowledge and dental health indices in our study are lagging behind thedeveloped countries and the WHO goal for the 21st century showing an urgent need to improve theeffectiveness of preventive care in oral health programmes.</p

Papillon Lefevre syndrome: treatment of two cases with a clinical microbiological and histopathological investigation

Papillon Lefevre syndrome is presented in the cases of two female patients of the ages of 7 and 9, who exhibited all typical symptoms of the disease. Microbiological and histopathological studies were done and treatment provided. Actinobacillus actinomycetemcomitans, which is suspected as a pathogenic factor in the disease was identified as well as some other gram negative microorganisms and an antibiogram was performed in which amoxycillin plus clavulanic acid was most effective. Histopathological investigation also confirmed the presence of gram negative bacteria. Granular cell infiltration was predominant in the surface epithelium. Prosthetic appliances were provided for the patients after mechanical and chemical plaque control. In addition to this, antibiotics (amoxycillin plus clavulanic acid) were prescribed every six months. No tooth loss was observed in both patients after more than two years follow-up period. At the moment only one patient is under review and because she is uncooperative, mild periodontal inflammation is still present around the teeth which erupted before the antibiotic regime, but not in the other teeth.</p

The Impact of Infant Feeding and Oral Hygiene Habits on Early Childhood Caries: A Cross-Sectional Study

Background and Aim: The aim of this study is to evaluate the relationshipbetween the Early Childhood Caries (ECC)/severe-ECC (S-ECC) and prolongedbreast‑feeding (BF), bottle‑feeding, and oral hygiene habits in 0‑year‑old to5-year-old Turkish children. Patients and Methods: Dental examinations wereperformed on 255 patients to determine the prevalence of the ECC and theS‑ECC as per the definition of the American Academy of Pediatric Dentistry.To predict the progress rate of caries, noncavitated and cavitated lesion scoreswere assessed by using the International caries detection and assessmentsystem II criteria. Information on infant feeding practices, oral hygiene habits,maternal characteristics, and demographic features were gathered by means ofa questionnaire. The results were statistically evaluated. Results: There were noassociations between BF duration, night‑time BF, bottle‑feeding, and the ECC. Andthere were also no associations between BF duration, night‑time BF, bottle‑feeding,and the S-ECC. Cavitated lesions were more common in children breastfed at nightfor 18-23 months compared to 12-17 months (P = 0.031). Sweetened bottle wasan impact factor on caries experience (P = 0.042). A significant correlation wasfound for dmft, S-ECC, and the cavitated lesions regarding sugar consumption (P= .001, P = .002, and P = .001, respectively). Early introduction to tooth-brushingand regular dental visits were significantly effective in reducing the ECC (P &lt; .001and P &lt; .001, respectively). Conclusion: BF and bottle‑feeding practices were notassociated with the ECC/S-ECC. Sweetened bottles and sugary foods are strongrisk factors for the ECC/S-ECC.</p

Uzaktan Eğitim Süreçlerinin Fotoses Yöntemi İle İncelenmesi

UZAKTAN EĞİTİM SÜREÇLERİNİN FOTOSES YÖNTEMİ İLE İNCELENMESİ Öğr. Gör. Dr. Serçin Sun İpekeşen, Dokuz Eylül Üniversitesi, Sağlık Hizmetleri MYO, İzmir, Türkiye.&nbsp; [email protected] Orcid: 0000-0002-3391-4226 Doç. Dr. Gülser Kılınç, Dokuz Eylül Üniversitesi, Diş Hekimliği Fakültesi, İzmir, Türkiye. [email protected] Orcid: 0000-0002-7422-0482 Giriş: Yüz yüze eğitim, tüm dünyada en sık kullanılan eğitim modeli olarak kabul görmüştür. Ancak Covid 19 pandemisi nedeniyle 2020 yılının Mart ayından itibaren Dokuz Eylül Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu bünyesindeki tüm programlarda uzaktan eğitim modeline geçilmiştir. Uzaktan eğitim modeli hem yurt içi hem de yurt dışında birçok üniversitede aktif olarak uygulanmaktadır. Bu yöntemin geliştirilmesinde hızlı teknolojik gelişmeler ve internete kolay erişim önemli bir rol oynamıştır.&nbsp; Gereç ve Yöntem: Bu çalışmada, uzaktan eğitim süreçlerinin katılımcı merkezli bir yaklaşımla değerlendirilmesi amaçlanmıştır. Dokuz Eylül Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu 2020-2021 eğitim öğretim yılı güz döneminde uzaktan eğitim yöntemi ile Sunum Teknikleri dersini alan öğrenciler örneklem olarak belirlenmiştir. Çalışmaya 115 öğrenci katılmış toplam 201 fotoğraf elde edilmiştir ve öğrencilere demografik soruların yöneltildiği bir anket uygulanmıştır. Katılımcıların, fotoğrafları ve uzaktan eğitim sürecini yazılı olarak değerlendirmeleri istenmiş ve yorumların analizi neticesinde “Mekânsal sıkışmışlık, teknolojik sorunlar, Covid 19 ve sağlık, yalnızlık” gibi toplam 4 ana kategori belirlenmiştir. Simgesel olarak çalışmanın bütününü temsil etmesi amacıyla 12 adet fotoğraf seçilmiştir.&nbsp; Bulgular: Çalışmanın sonucunda erkek öğrencilerin (45,2%) teknolojik sorunlara odaklanmış görüntülere yer verirken, kız öğrencilerin (54,8%) mekânsal sıkışmışlık kavramını sembolize eden öğeleri paylaştığı gözlemlenmiştir. Katılımcıların virüs ile ilgili gelişmelere duyarlı oldukları belirlenmiştir (82%). Fotoğrafların ve fotoğraf yorumlarının büyük çoğunluğunda yalnızlık betimlemesi ön plana çıkmıştır (67%).&nbsp; Sonuç: Öğrencilerin ortak yorumları değerlendirildiğinde uzaktan eğitim sisteminde kendilerini dezavantajlı hissettiklerini ve yüz yüze eğitimi tercih ettiklerini (68,7%) söylemek mümkündür. Anahtar kelimeler: Uzaktan Eğitim, Fotoses, Pandemi, Koronavirüs 11 Bu PDF kitapçık 54 sayfadır EXAMINATION OF DISTANCE EDUCATION PROCESSES BY PHOTO VOICE METHOD Introduction: Face-to-face education has been recognized as the most commonly used education model all over the world. However, due to the Covid 19 pandemic, the distance education model adopted in all programs within the Dokuz Eylül University Health Services Vocational School since March 2020. The distance education model is actively applied in many universities both in Turkey and abroad. Rapid technological developments and easy access to the internet played an important role in the development of this method. Materials and methods: In this study, it is aimed to evaluate distance education processes with a participant-centered approach. Students who took the "Presentation Techniques" course with distance education method in Dokuz Eylül University Health Services Vocational School 2020-2021 academic year fall semester were determined as the study group. 110 students participated in the study and a total of 201 photographs were obtained. A questionnaire in which demographic questions were asked was applied to the students participating in the study. Students were asked to evaluate their photographs and the distance education process in writing, and as a result of the analysis of the comments, a total of 4 main categories were determined which are spatial congestion, technological problems, Covid 19 and health, and loneliness. Twelve photographs were selected to represent the entire study symbolically. Results: As a result of the study, it was observed that while male students (45,2%) included images focused on technological problems, female students (54,8%) shared elements that symbolize the concept of spatial entrapment. It has been determined that the participants are sensitive to the developments related to the virüs (82%). In most of the photographs and photograph comments, the depiction of loneliness has come to the fore (67%). Conclusion: When the common comments of the students are evaluated, it is possible to conclude that they feel disadvantaged in the distance education system and would prefer (68,7%) face-to-face education model. Keywords: Distance Education, Photovoice, Pandemic, Coronavirus.&nbsp;</p