Sinem Yıldırım

Background: Needle‐free injection systems can contribute to the prevention of needle‐related pain during palatal infiltration anesthesia (PIA) in children. Research on this topic in children is required.Aim: The purpose of this clinical study was to evaluate the effectiveness and patient preference of a needle‐free system versus traditional anesthesia (TA) on pain perception during PIA in children.Design: The study was designed as a randomized, controlled crossover clinical study with 48 children aged 6–12 years requiring dental treatment with PIA in bilateral maxillary primary molars. TA was applied on one side and the Comfort‐in™ injection system (CIS) on the other side in two separate sessions. Then, patient preference was recorded. The pain perception during PIA was evaluated using the Wong–Baker FACES Pain Rating Scale (PRS) and the Face, Legs, Activity, Cry, Consolability (FLACC) Scale. The data were analyzed for statistical significance (p < .05).Results: There were statistically significant differences between the TA and the CIS according to the PRS and FLACC Scale scores. On both scales, significantly higher pain ratings were observed in the TA group during PIA (p < .001). There was a statistically significant difference in terms of patient preference (p < .001). Although 77.1% (n = 37) of the children preferred the CIS, 22.9% (n = 11) preferred the TA. Moreover, patient preference for the CIS was significantly higher in older children (p < .01).Conclusions: The application of a needle‐free system during PIA ensured a decrease in pain perception in children.

Purpose: The aim of the present study was to evaluate the association between perceived stress, mindfulness and coping strategies of undergraduate dental students during the COVID-19. Methods: A cross‐sectional study was conducted among 128 undergraduate dental students in 3rd, 4th and 5th grade. Students completed surveys including the Perceived Stress Scale (PSS), the Mindful Attention and Awareness Scale (MAAS) and the Coping Orientation to Problems Experienced inventory (COPE). Data were analyzed using the Mann–Whitney U-test, Analysis of Variance, Student’s t-test, Kruskal Wallis test and Spearman correlation. Results: A negative association was found between the MAAS and PSS according to the Spearman’s correlation coefficient (rs =-0.823, p<0.001). There were positive relationships between MAAS and COPE inventory subscales of positive reinterpretation and growth (rs = 0.385, p < 0.001); use of instrumental social support (rs = 0.233, p = 0.008); active coping (rs = 0.384, p < 0.001); use of emotional social support (rs = 0.208, p = 0.018); planning (rs = 0.244, p = 0.005). There were negative relationships between MAAS and COPE inventory subscales of behavioral disengagement (rs =-0.245, p = 0.005); alcohol-drug use (rs =-0.233, p = 0.008). Conclusions: Dental students with a high level of mindfulness had a low level of perceived stress. The findings may guide the mindfulness-based stress reduction programs or stress awareness lectures development and implementation within the academic curriculum.

Background/Aim: Although children are frequently exposed to traumatic dental injuries (TDIs), their knowledge and attitude regarding the emergency management of TDIs are largely insufficient. The aim of this study was to determine the knowledge of children about TDIs utilizing a questionnaire before and after watching a custom animated instructional video.Material and Methods: The study was conducted with 332 children aged 8 to 13 years. The children were asked to complete a 3‐part questionnaire that included socio‐demographic data, past experiences related to TDIs, and knowledge of the emergency management of TDIs. An educational video containing evidence‐based information about the management of TDIs was shown to the children. They then completed the questionnaire again immediately after viewing the video and 1 week later. The data were analyzed using Friedman's two‐way ANOVA by ranks test, McNemar's test, and the Mann–Whitney U‐test.Results: The children's scores increased significantly following the viewing of the video (p = .0001). Prior to watching the animation, children who had previously received dental trauma education had considerably higher scores than their peers (p = .004). The animation was considered to be beneficial by 96.7% of the children. Prior to watching the animation, 49.1% of the children believed they could help their friends in the event of dental trauma, and after viewing the animation, this rate increased to 86.4%, but decreased to 77.1% after 1 week (p < .001).Conclusions: After watching the video, the children's scores improved dramatically and their self‐confidence in helping their friends in the event of dental trauma increased.

Amaç: Pediatrist hekimlerin dental ve periodontal hastalıkların teşhisi, tedavisi ve koruyucu ağız sağlığı hakkında bilgi sahibi olması, hastalara bu bilgiyi doğru aktarabilmesi ve hastalarını teşvik edebilmesi çocukların ağız sağlığının dolayısı ile genel sağlıklarının korunmasında önem arz etmektedir. Bu anket esaslı kesitsel çalışmanın amacı pediatrist hekimlerin çocukların ağız sağlığı ve periodontal hastalıklar ile ilgili bilgi ve tutumlarını değerlendirmektir. Gereç ve Yöntem: Bu çalışmaya 129 pediatrist hekim (80 kadın, 49 erkek; yaş ort:37,87 ± 8,21) katıldı. Katılımcılara yaş, cinsiyet, mesleki bilgileri, periodontal hastalıklar ve ağız sağlığına ilişkin bilgileri ve klinik uygulama rutinleri hakkında 20 sorudan oluşan bir anket yönlendirildi. Verilerin değerlendirilmesinde Pearson Ki-Kare, Fisher-Freeman-Halton, Kruskal Wallis ve Dunn-Bonferroni testleri kullanıldı. Bulgular: Çalışma sonuçlarına göre, %62,8 pediatrist dişlerle birlikte periodontal sağlığı değerlendirmektedir ve bu değerlendirmeyi yapan kadın doktor sayısı erkek doktorlardan daha fazladır (p<0,05). Hekimlerin %58,9’u diş fırçalamayı ilk süt dişi çıktığında önermekle beraber; %34,1’i diş fırçalama ile birlikte diş ipi kullanımını tavsiye etmektedir. Hekimlerin %54,3’ü ilk diş hekimine ziyaretini 2,5-3 yaş aralığında önermektedir. Hekimlerin büyük bir kısmı (%88,4) periodontal hastalıklar konusunda daha fazla bilgiye ihtiyaç duymaktadırlar. Sonuç: Pediatrist hekimler için ağız sağlığı bilgilendirme programlarının geliştirilmesi ve böylece periodontal sağlık ve ağız sağlığı konusunda çocuk doktorlarının bilgi ve farkındalıklarının arttırılması periodontal hastalıkların teşhisi, tedavisi ve önlenmesinde önemli bir basamak olacaktır.

Objectives The aim of this study was to evaluate the effectiveness of Mozart’s music on the learning of toothbrushing behavior in children with high and low dental anxiety levels. Materials and methods A randomized, controlled, single-blinded, and observational study was conducted with 60 children, aged 8–12, who were recruited to high dental anxiety level (HDAL) and low dental anxiety level (LDAL) groups. Both groups were divided into two equal subgroups (with or without Mozart’s music). In the Mozart’s music subgroups, children were exposed to Mozart’s Sonata for 7 min and toothbrushing training was given accompanied by music. The training was instructed to the second subgroup without listening to Mozart’s music. The periodontal measurements were repeated after 15 days. Three-factor variance analysis was used to analyze the data. Results There was a statistically significant decrease in plaque index (PI) and gingival index (GI) scores in the follow-up visits for all groups (p < 0.05). A statistically significant decrease was found in PI values between groups with or without music in those with HDAL (p < 0.001). However, no statistically significant differences were found between groups with or without music in those with LDAL (p = 0.07). Conclusions Listening to Mozart’s music before toothbrushing training had a significant effect on plaque removal in children with high dental anxiety, while Mozart’s music did not have a positive effect in the group with low dental anxiety. Clinical relevance The use of Mozart’s music may be beneficial in oral hygiene education for children with high dental anxiety levels.

Akademisyen Yayınevi yöneticileri, yaklaşık 30 yıllık yayın tecrübesini, kendi tüzel kişiliklerine aktararak uzun zamandan beri, ticarî faaliyetlerini sürdürmektedir. Anılan süre içinde, başta sağlık ve sosyal bilimler, kültürel ve sanatsal konular dahil 2000 kitabı yayımlamanın gururu içindedir. Uluslararası yayınevi olmanın alt yapısını tamamlayan Akademisyen, Türkçe ve yabancı dillerde yayın yapmanın yanında, küresel bir marka yaratmanın peşindedir.Bilimsel ve düşünsel çalışmaların kalıcı belgeleri sayılan kitaplar, bilgi kayıt ortamı olarak yüzlerce yılın tanıklarıdır. Matbaanın icadıyla varoluşunu sağlam temellere oturtan kitabın geleceği, her ne kadar yeni buluşların yörüngesine taşınmış olsa da, daha uzun süre hayatımızda yer edineceği muhakkaktır.

Purpose: This study aimed to evaluate the mothers’ knowledge and awareness of primary teeth. Materials & Methods: This cross-sectional study consisted of 323 children and their mothers. A questionnaire form consisting of 10 questions about the definition of primary teeth, their total number and treatment requirements was applied to the mothers. Pearson Chi-Square and Fisher-Freeman-Halton tests were used to analyze the data. Results: The rate of wrong answers given by mothers with low education level to the question "What are primary teeth?" was significantly higher (p <0.001). The rate of correct answer given by mothers with low education level to the question "How many primary teeth are there in a healthy dentition?" was significantly lower (p = 0.002). The answer of "no" given by mothers with a low education level to the question "Do you think it is necessary to treat primary teeth?" was significantly higher (p=0.016). The rate of correct answer given by families with a monthly income above 5000 TL to the questions "What are primary teeth?" and "How many primary teeth are present totally?" were significantly higher (p=<0.001). Conclusion: The superior the education level and the monthly income of the family, the higher the rate of answering questions that require information.

Akademisyen Yayınevi yöneticileri, yaklaşık 30 yıllık yayın tecrübesini, kendi tüzel kişiliklerine aktararak uzun zamandan beri, ticarî faaliyetlerini sürdürmektedir. Anılan süre içinde, başta sağlık ve sosyal bilimler, kültürel ve sanatsal konular dahil 1000 kitabı yayımlamanın gururu içindedir. Uluslararası yayınevi olmanın alt yapısını tamamlayan Akademisyen, Türkçe ve yabancı dillerde yayın yapmanın yanında, küresel bir marka yaratmanın peşindedir.Bilimsel ve düşünsel çalışmaların kalıcı belgeleri sayılan kitaplar, bilgi kayıt ortamı olarak yüzlerce yılın tanıklarıdır. Matbaanın icadıyla varoluşunu sağlam temellere oturtan kitabın geleceği, her ne kadar yeni buluşların yörüngesine taşınmış olsa da, daha uzun süre hayatımızda yer edineceği muhakkaktır.

Purpose The purpose of this study was to evaluate the impact of surface sealants on the stain resistance of restorative materials exposed to iron syrups. Methods Sixty specimens were prepared from each of three restorative materials—compomer (Dyract XP), a microhybrid composite (Filtek Z250), and a nanohybrid composite (G-aenial Anterior). Specimens were divided into three solution groups (n = 20) and immersed in two iron syrups (Ferrum and Ferro Sanol B) and distilled water. Two subgroups, sealed (BisCover ( +)) and unsealed (BisCover (–)), were established for each group (n = 10). Color changes between baseline and measurements at 4, 8, 24, 48, and 72 h were calculated with CIEDE2000 (ΔE₀₀) metrics. Data were analyzed with 4-factor mixed-design ANOVA. Results The first null hypothesis of this study that the use of surface sealant would not mitigate the restorative materials’ susceptibility to staining was rejected: significant differences were found between BisCover ( +) and BisCover (−) groups in ΔE00 values for all restorative materials tested in Ferro Sanol B (p < 0.001) and Ferrum (p = 0.002) solutions. The ΔE₀₀ values in the Ferro Sanol B/BisCover ( +) groups were significantly lower than in Ferrum/BisCover ( +) groups (p = 0.002), the second null hypothesis that different forms of iron syrups would not impact the staining resistance of restorative materials was rejected. ΔE₀₀ values were different for each restorative materials tested, the third null hypothesis that the type of restorative material would not affect staining resistance was rejected. Conclusions The application of surface sealant significantly improved the color stability of restorative materials. The content of iron syrups was also an important factor affecting color change. Nanohybrid composites seem to be more resistant to the staining effects of iron syrups.

Purpose: The purpose of this study was to evaluate the effect of different motivational methods on children's oral hygiene and periodontal health. Methods: A prospective, controlled, single-blinded, randomized clinical trial was conducted with 60 six- to 12-year-olds who were randomly assigned to toothbrushing with an hourglass timer, music video, or control group. All three groups were divided into two equal subgroups: those using a manual toothbrush and those using a powered toothbrush. The plaque index (PI) and gingival index (GI) were measured in each group. The data obtained were analyzed using three-factor variance analysis. Results: A statistically significant decrease was observed in PI and GI values in all groups (P<0.05). The highest decrease in PI values was observed in the group brushing with a music video and a powered toothbrush (51.8 percent), whereas the least decrease was observed in the control group using a powered toothbrush (26.1 percent). The differences were not statistically significant among the groups. Conclusions: A significant decrease in plaque index and gingival index values was obtained in all groups compared to baseline values. Although the additional motivational methods used during toothbrushing contributed to improved plaque removal and toothbrushing efficiency, no statistically significant differences were found among the groups.