Browsing by Author "Bulut, Müge"

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Citation Count: 0
1-12 Yaş Grubu Çocukların Genel Anestezi Altında Yapılan Dental Tedavilerinin İncelenmesi: Bir Retrospektif Çalışma
(2022) Neslihan GÖNENÇ; Müge BULUT; Pedodonti / Pedodontic
Amaç: Bu çalışma, çocuk hastaların genel anestezi altında yapılan dental tedavilerinin değerlendirilmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Dental tedavileri, Ekim 2017 ile Kasım 2019 tarihleri arasında genel anestezi altında tamamlanan 1-12 yaş aralığına sahip (ortalama 5,28±2,11) toplam 111 çocuk hastanın klinik kayıtlarının retrospektif değerlendirilmesi ile gerçekleştirilmiştir. Elde edilen verilerin istatistiksel analizinde, verilerin karşılaştırılması için Fisher’ın gerçeklik testinden yararlanılmıştır. Veriler, ortalama±standart sapma ile gösterilmiştir. Bulgular: Elde edilen verilere göre 864 (%88,5) süt dişi, 112 (%11,5) daimî diş olmak üzere 976 tane dişe dental tedavi uygulanmıştır. Çürük süt dişlerinin diş numaralarına göre sınıflandırılması sonucu; 2. süt azı dişlerinin (%37,15) en fazla etkilendiği belirlenmiştir. Hastaların restoratif işlemlerinin (%47,23), pulpal tedavilerinin (%26,22) ve diş çekimlerinin (%23,67), fissür örtücü (%2,86) gibi koruyucu tedavilere göre daha fazla olduğu görülmüştür. Sistemik hastalığa sahip/engelli ve sağlıklı çocukların genel anestezi altında yapılan dental tedavileri arasında anlamlı bir fark bulunamamıştır. Genel anestezi sonrası kontrollerde, tedavi ihtiyacı duyan hastalardan 3’ünün yeniden genel anestezi ihtiyacı olduğu, diğerlerinin ise gerekli dental işlemlerinin klinik ortamda yapılabildiği görülmüştür. Sonuç: Çocuk diş hekimliğinde genel anestezi, uygun endikasyona sahip hastalarda tek seansta tüm dental işlemlerin bitirilmesine olanak sağlaması, tedavi başarısında kooperasyon etkenini ortadan kaldırması ve yaşam kalitesini yükseltmesi ile tercih edilen bir uygulamadır.
Citation Count: 1
Advancing dentistry: fractal assessment of bone health in pediatric patients with celiac disease using dental images
(Quintessence Publishing Co inc, 2023) Bulut, Muge; Tokuc, Muge; Aydin, Merve Nur; Civan, Hasret Ayyildiz; Polat, Esra; Dogan, Guzide; Beser, Omer Faruk; Pedodonti / Pedodontic
Objectives: To assess the effects of a gluten-free diet on bone structure in children with celiac disease using fractal analysis on panoramic radiographs. Method and materials: A total of 49 patients with celiac disease aged 6 to 13 years, separated into two groups as previously and newly diagnosed, and a control group of 32 healthy individuals were evaluated. In previously and newly diagnosed patients with celiac disease, body mass index Z-scores were calculated, calcium, alkaline phosphatase, vitamin D3, and parathormone levels were measured, and bone mineral density Z-scores were obtained from dual energy x-ray absorpti-ometry. In all patients, the fractal dimensions of the right and left temporomandibular condyles were evaluated with the fractal analysis method on panoramic radiographs. Results: The mean values of serum biomarker levels and the body mass index and bone mineral density Z-scores for both celiac groups were within the normal reference range. No statistically significant difference was determined between right and left condyle fractal dimen-sions values in the three groups examined. In terms of both right and left condyle fractal dimensions values, there was a statis-tically significant difference between groups. The highest fractal dimensions values were determined in the previously diagnosed group. Conclusions: Differences in fractal dimensions values were observed among patients with celiac disease following the glu-ten-free diet. Utilizing fractal analysis on panoramic radiographs can prove valuable for dental practitioners in evaluating bone min-eral density due to its cost-effect iveness, easy accessibility, and reduced radiation exposure for patients, enabling them to provide comprehensive oral health care and potential early interventions for patients with celiac disease. (Quintessence Int 2023;54: 822-831; doi:
Citation Count: 0
Comparative analysis of shear bond strength of MTA and Theracal PT with different restorative materials
(Bmc, 2024) Karaman, Gozde Ece; Bulut, Muge; Sukur, Elif Yazan; Pedodonti / Pedodontic
Background This study aimed to compare the in vitro shear bond strength (SBS) of mineral trioxide aggregate (MTA) and dual-cured, resin-modified calcium silicate material (Theracal PT) to composite resin, compomer, and bulk-fill composite, and to evaluate the bond failure mode under a stereomicroscope. Methods Ninety acrylic specimens, each with a 4 mm diameter and 2 mm height central hole, were prepared. These specimens were randomly divided into two groups based on the capping materials: MTA and Theracal PT. Each group was further subdivided into three subgroups (n = 15) according to the restorative materials: composite resin, compomer, and bulk-fill composite. The specimens were then subjected to shear testing using a universal testing machine at a crosshead speed of 1 mm/min. Post-test, the fracture locations were examined using a stereomicroscope. Data were analyzed using a two-way analysis of variance (ANOVA) and the Tukey test. Results The SBS values for the Theracal PT group were significantly higher than those for the MTA group (p < 0.001). Within the MTA groups, no significant differences were observed in SBS values across the different restorative materials. However, a significant difference was found between the mean SBS values of the Theracal PT + composite resin group and the Theracal PT + compomer group (p < 0.001). Conclusions Theracal PT shows promise in dentistry due to its superior bond strength. Given its bond values, Theracal PT appears capable of forming durable and long-lasting restorations by establishing reliable bonds with various restorative materials commonly used in dentistry.
Citation Count: 17
Epidemiologic and clinical characteristics of neonates with late-onset COVID-19: 1-year data of Turkish Neonatal Society
(Springer, 2022) Akin, Ilke Mungan; Kanburoglu, Mehmet Kenan; Tayman, Cuneyt; Oncel, Mehmet Yekta; Imdadoglu, Timucin; Dilek, Mustafa; Koc, Esin; Pedodonti / Pedodontic
The literature on neonates with SARS-CoV-2 is mainly concerned with perinatal cases, and scanty data are available about environmentally infected neonates. To fill knowledge gaps on the course and prognosis of neonatal cases, we analyzed 1-year data from the Turkish Neonatal Society in this prospective cohort study of neonates with postnatal transmission. Data from 44 neonatal intensive care units (NICUs), of neonates with positive RT-PCR results at days 5-28 of life, were extracted from the online registry system and analyzed. Of 176 cases, most were term infants with normal birth weight. Fever was the most common symptom (64.2%), followed by feeding intolerance (25.6%), and cough (21.6%). The median length of hospitalization was 9 days, with approximately one quarter of infants receiving some type of ventilatory support. Myocarditis (5.7%) was the most common complication during follow-up. Among the clinical findings, cough (odds ratio [OR]: 9.52, 95% confidence interval [CI]: 4.17-21.71), tachypnea (OR: 26.5, 95% CI: 9.59-73.19), and chest retractions (OR: 27.5, 95% CI: 5.96-126.96) were associated with more severe clinical disease. Also, there were significant differences in the C-reactive protein level, prothrombin time (PT), partial thromboplastin time, international normalized ratio, and days in the NICU (p = 0.002, p = 0.012, p = 0.034, p = 0.008, and p < 0.001, respectively) between patients with mild-moderate and severe-critical presentations. A PT above 14 s was a significant predictor of severe/critical cases, with a sensitivity of 64% and specificity of 73%. Conclusions: Our data showed that late-onset COVID-19 infection in neonates who need hospitalization can be severe, showing associations with high rates of ventilatory support and myocarditis. Cough, tachypnea, and retractions on admission suggest a severe disease course.
Citation Count: 0
Evaluation of the relationship between dental anxiety and oral health status of mothers and their children
(Bmc, 2024) Besiroglu-Turgut, Ekin; Kayaalti-Yuksek, Sibel; Bulut, Muge; Pedodonti / Pedodontic; Periodontoloji / Periodontology
BackgroundMothers usually have the primary role in raising children and developing health-related behaviors. This study aims to evaluate the relationship between dental anxiety and oral hygiene status of mothers and children's dental anxiety and gingival health.MethodsThe study included 305 children, aged 4-12 years, who came to the dentist for the first time and their mothers. All the demographic and oral hygiene information were collected through a questionnaire. The dental anxiety of the mothers and children was assessed using the Modified Dental Anxiety Scale (MDAS) and Venham Picture Test (VPT), respectively. The oral examination of the mother and children was performed, and their PI, GI, and DMFT scores were recorded.ResultsWhile the correlation between MDAS and VPT was positive and strong in children aged 8-12, it was positive but weak in the 4-7 age group. A significant relationship was detected between the mother's PI, GI, DMFT, and the child's VPT score. According to the mothers' dental anxiety, there were no statistically significant differences in PI, GI, and dmft values in children aged between 4 to 7. A moderately positive and statistically significant relationship between maternal dental anxiety and children's DMFT was identified in children aged 8-12.ConclusionsChildren's dental anxiety was significantly influenced by maternal dental anxiety, post-treatment complications experienced by the mother, and the oral health status of the mother.Trial registrationClinical Trials-ID: NCT05563532; Registration Date: 17.09.2022.
Citation Count: 4
Evaluation of the Trabecular Structure of Mandibular Condyles in Children Using Fractal Analysis
(MRE Press, 2021) Bulut,M.; Tokuc,M.; Pedodonti / Pedodontic
Objective: To evaluate the trabecular internal structure of the mandibular condyle with fractal analysis on panoramic radiography in children. Study Design: 159 panoramic radiographs were separated into 8 groups according to age and gender. The radiographs were standardized as 8-bit images. Regions of interest, located on both mandibular condyles, were selected as 64x64 pixel squares. Image J v1.50i software was used to obtain the fractal dimension (FD) values by the box-counting method. Results: The data obtained from the right and left condyles were analyzed in terms of gender and age groups. No statistically significant difference was observed between the genders in respect of the mean FD values for both condyles (p>0.05). Mean, standard deviations and the 95% confidence intervals for the FD values of the left and right condyles were obtained according to age. A statistically significant difference was observed in the mean FD values for both left (p= 0.019) and right (p= 0.000) condyles when all groups were compared and no statistically significant difference was found between all groups except the 6-year-old group for both condyles. In both condyles, the significantly lowest mean FD values were determined in the 6 years age group. Conclusions: The FD values of the mandibular condyle trabecular structure changed with age. It will be possible to evaluate these changes from panoramic radiographs by making calculations using the fractal analysis method. © 2021, MRE Press. All rights reserved.
Citation Count: 0
How do parents deal with their children’s teething process problems? A cross-sectional study;
(AVES, 2023) Bulut,M.; Tokuç,M.; Aydin,M.N.; Pedodonti / Pedodontic
Objective: The aim of the study is to determine the methods of parents who have children between 0 and 4 years of age to deal with the problems their children encounter during the eruption process and to examine the effect of sociodemographic factors on the preferred methods. Methods: Parents with children between the ages of 0 and 4 participated in the study by answer-ing a 15-question questionnaire sent over the web, which includes the problems their children encounter during the teething period. Descriptive statistics for the data were calculated and shown as frequency (n) and percentage (%). The distribution of the participants according to gender, age group, and educational status was analyzed with Pearson chi-square and Fisher-Freeman-Halton tests, and P <,05 was considered statistically significant. Results: Of the parents, 78.3% observed symptoms that affect the general state of their children such as fever, restlessness, rash, diarrhea, ear itching, insomnia during the eruption of their primary teeth; 95.2% of them encountered local symptoms such as increased salivation, thumb sucking, gingival redness, and itching in the gingiva. The most effective solution method that was found for the eruption problems by the parents was teething rings (92,1%), cold application and massage to the area where the tooth erupted, and massage with hard vegetables and fruits. Conclusion: Parents refer many methods to solve the problems their children experience during the eruption of teeth. However, families should be informed about which of these methods are beneficial and which ones will cause a risk to their children's health. © 2023, AVES. All rights reserved.
Citation Count: 2
Nutrition and oral health in children with recently and previously diagnosed celiac disease
(Springer Heidelberg, 2023) Bulut, M.; Tokuc, M.; Aydin, M. N.; Ayyildiz Civan, H.; Polat, E.; Dogan, G.; Beser, O. F.; Pedodonti / Pedodontic
ObjectivesTo evaluate the nutritional and oral health status of children with previously diagnosed celiac disease (CD) who follow a gluten-free diet and recently diagnosed CD patients.Materials and methodsPreviously and recently diagnosed groups were formed from children with CD, aged 4 to 15 years. A questionnaire was completed about the children's dental history and nutritional and oral hygiene habits. All the children underwent an oral examination, and dmft-DMFT indices were determined. Dental plaque status, periodontal health, and dental enamel defects were recorded. Oral soft tissues were examined for the presence of lesions. Unstimulated salivary flow rate and pH value were evaluated.ResultsA statistically significant difference was determined between the previously and recently diagnosed patients in terms of toothpaste preference (p=0.003), frequency of going to the dentist (p=0.039), and the types of dental treatment they had received (p=0.001). A statistically significant difference was determined between the previously and recently diagnosed patient groups in terms of dmft values (p=0.005).ConclusionsChildren with CD should be directed to a pediatric dentist to improve oral and dental health, relieve the symptoms of oral mucosal lesions, be informed about enamel defects, and be encouraged to use gluten-free oral care products.
Citation Count: 0
The variability of electric pulp response thresholds in primary molars: a clinical study
(Springer, 2021) Bulut, M.; Ulusoy, A. T.; Pedodonti / Pedodontic
Purpose The variability of the EPT response threshold is the most important part of accurate diagnosis of pulp status of caries-affected resorbing primary teeth. This study evaluated the mean EPT threshold values and appropriate electrode placement sites for primary molar teeth based on their physiological root resorption levels. Methods This study was conducted with 100 primary second molars in 100 children ages 3-12 (mean age: 7.88 years). Teeth were divided into 2 groups according to physiological root resorption levels. EPT response thresholds were recorded at the mesiobuccal cusp, occlusal third, middle third and cervical third of the crown. Data were analyzed according to resorption level using one-way analysis of variance and Duncan tests, with the level of significance set at 0.05. Results Mean threshold values at all placement sites were higher in the group with the higher level of physiological root resorption. In terms of placement, the lowest mean EPT threshold values were obtained at the mesiobuccal cusp regardless of resorption level. Conclusions According to the study results, higher resorption levels were associated with higher physiologocial threshold values for EPT of primary second molars, with the mesiobuccal site identified as the most appropriate electrode placement site, regardless of resorption level.