Browsing by Author "Yildirim, Sinem"

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Citation Count: 0
Effect of a needle-free system versus traditional anesthesia on pain perception during palatal injections in children
(Wiley, 2023) Kaya, Emine; Yildirim, Sinem
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 (TM) 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.
Citation Count: 2
Effect of Mozart's music on the learning of toothbrushing behavior in children with high and low dental anxiety levels
(Springer Heidelberg, 2022) Kayaaltı Yüksek, Sibel; Yildirim, Sinem; Periodontoloji / Periodontology
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.
Citation Count: 6
The effect of pre-anesthesia with a needle-free system versus topical anesthesia on injection pain of the inferior alveolar nerve block: a randomized clinical trial
(Springer Heidelberg, 2020) Yildirim, Sinem; Tokuç, Müge; Aydın, Merve Nur; Pedodonti / Pedodontic
Objective The aim of this study was to compare the effectiveness of pain control between a needle-free system and topical anesthesia applied prior to inferior alveolar nerve block (IANB). Materials and methods The present study was designed as a randomized controlled cross-over clinical study on 60 children (aged 6 to 12 years) requiring dental treatment with IANB in bilateral mandibular molars. As pre-anesthesia, topical anesthesia (TA) was applied on one side and the Comfort-in (TM) injection system (CIS) on the other side in two separate sessions before IANB. The injection pain during IANB, at both the needle insertion and solution deposition phases, was analyzed using the Wong-Baker Faces Pain Rating Scale (PRS) and the Face, Legs, Activity, Cry, Consolability Scale (FLACC). The data were analyzed using the Wilcoxon signed-rank test, Spearman correlation, and Mann-Whitney U test. Results There were statistically significant differences between TA and CIS in subjective and objective pain evaluations during both the needle insertion and solution deposition. The use of a needle-free system in pre-anesthesia yielded a significant decrease in subjective and objective pain scores (p < 0.001). No statistical difference was found between TA and CIS in terms of patient preference, but patient preference for CIS was significantly higher in older patients (p < 0.01). Conclusions It was determined that the use of a needle-free system in pre-anesthesia yielded a decrease in injection pain of IANB.
Citation Count: 1
Effectiveness of an educational cartoon animation on the knowledge of children about traumatic dental injuries
(Wiley, 2022) Ozveren, Neslihan; Yildirim, Sinem
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.
Citation Count: 3
The Effects of Motivational Methods Applied During Toothbrushing on Children's Oral Hygiene and Periodontal Health
(Amer Acad Pediatric dentistry, 2020) Kayaaltı Yüksek, Sibel; Kayaalti-Yuksek, Sibel; Periodontoloji / Periodontology
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.
Citation Count: 2
The effects of pediatric dentifrices with different types of fluoride on the color change of restorative materials
(Istanbul Univ Press, Istanbul Univ Rectorate, 2022) Kaya, Emine; Yildirim, Sinem
Purpose This study aimed to evaluate the effects of dentifrices with different fluoride content on color change of restorative materials commonly used in pediatric dentistry. Materials and Methods Three restorative materials (glass hybrid [Equia Forte (EF)], glass carbomer [GCP Glass Fill (GCP)] and compomer [Dyract XP (DXP)]) were used to prepare 120 disc shaped specimens by using a Teflon ring. Four dentifrice groups were created as Sodium Fluoride (NaF), Amine Fluoride (AmF), Stannous Fluoride (SnF2) and no-fluoride (n=40). Simulated tooth brushing was performed for each specimen by applying 6720 strokes for 6 months. Color changes [CIEDE2000 (Delta E00)] were calculated by using generalized linear model procedure and the data were subjected to two-way analysis of variance. Results The highest color changes for NaF and AmF dentifrice groups were observed in the GCP restorative material (p<0.05). The color changes of restorative materials tested with SnF2 dentifrice group were statistically different (p<0.05) in each restorative material and Delta E-00 values were observed as GCP> EF>DXP. SnF2 dentifrice provided better color stability for all restorative materials when compared to NaF and AmF dentifrices; although, this was not statistically significant. GCP underwent significant discoloration values when brushed with all types of dentifrices. Conclusion Although the glass carbomers caused significant color change, the compomers seem to be more resistant to the color change when brushed with all types of dentifrices. The fluoride content of dentifrices is crucial for the color change of restorative materials.
Citation Count: 0
MINDFULNESS, PERCEIVED STRESS AND COPING STRATEGIES DURING COVID-19 PANDEMIC IN TURKISH DENTISTRY STUDENTS
(Dokuz Eylul Univ inst Health Sciences, 2022) Yildirim, Sinem; Kaya, Emine
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. Material and 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). Conclusion: 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.
Citation Count: 3
Multidisciplinary Treatment Approach for Perforated Internal Root Resorption: Three-Year Follow-Up
(Hindawi Ltd, 2019) Yildirim, Sinem; Elbay, Mesut
Internal root resorption (IRR) is described as a resorptive defect of the internal aspect of the root caused by odontoclastic activity associated chiefly with chronic pulp inflammation and trauma. An important variation to consider is the presence of a root perforation, although it is rare. This paper defines the use of CBCT in the diagnosis and combined nonsurgical and surgical multidisciplinary management and follow-up of a maxillary central incisor with perforating IRR in a 9-year-old female patient. At 3-year follow-up, clinical and radiographic findings of the case were satisfactory.
Citation Count: 1
The Relationship of Dental Anxiety, Behaviour, Temperament and Dental Caries in Children
(Penerbit Univ Sains Malaysia, 2021) Kaya, Emine; Yildirim, Sinem
The first dental examination is a major step that is affected by many factors and determines the dental treatment process. The main objective of this study was to evaluate the association of child temperament with child dental anxiety, parental dental anxiety, dental behaviour and dental caries. The study consisted of 100 children aged 3 to 6 who were attending their first dental examination and their accompanying parents. The Facial Image Scale (FIS), Frankl's Behaviour Scale (FBS), Corah's Dental Anxiety Scale (CDAS) and the Short Temperament Scale for Children (STSC) were used for assessment. The DMFT (decayed, missing and filled teeth) score of each child was recorded. Children who exhibited negative behaviour on the FBS had the highest rhythmicity scores (p = 0.008). The mean DMFT score of children in the rhythmicity temperamental dimension was relatively high (p = 0.008). The parents of children defined as negative on the FBS had high dental anxiety levels on CDAS (p < 0.001). Children whose parents had higher dental anxiety levels showed higher dental anxiety (p = 0.007). The success rate of dental treatment procedures may be increased by improving dentists' knowledge of dental anxiety related to the child's temperament and integrating parental support to reduce dental anxiety.