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Öğe ASSESSMENT OF DENTAL FEAR IN CHILDREN WITH MOLAR-INCISOR HYPOMINERALIZATION(Termedia Publishing House Ltd., 2022) Sezer, Berkant; Tuğcu, Nihan; Çalışkan, Cansu; Durmuş, Başak; Kargül, BetülIntroduction: Dental fear is a common unpleasant emotional response that occurs in situations related to dental treatment. Since children affected by molar-incisor hypomineralization (MIH) receive much more dental treatment than their healthy peers, these children may have more dental fear and behavioral problems. Objectives: The aim of the study was to assess the relation between the presence and severity of MIH and dental fear. Material and methods: Study group involved a sample of 127 children, aged between 8 and 12 years with MIH, showing a high-risk of caries, and 99 children were included into control group. In the wake of intra-oral examination according to the American Academy of Pediatric Dentistry guideline and DMFT/dmft indices, Children’s Fear Survey Schedule – Dental Subscale (CFSS-DS) was applied to each child. Mean value of independent groups for normally distributed data was compared using independent samples t-test. Spearman’s correlation was applied for correlations between DMFT/dmft scores and CFSS-DS scores. P-value of < 0.05 was considered statistically significant. Results: The final number of individuals affected by MIH in this study was 127 with approximately equal numbers for each age group. The mean CFSS-DS scores were 31.41 ± 10.73 for the MIH-group, and 31.60 ± 6.21 for the controls, respectively. The mean values did not differ significantly between children with and without MIH (p = 0.870). There were also no statistically significant differences in severe MIH (31.38 ± 10.93) compared with the control group (31.60 ± 6.21) (p = 0.890). Conclusions: The study’s findings revealed that there is no relation between the existence and severity of MIH and dental fear. © 2022 Polish Dental AssociationÖğe Assessment of the oral health status of children with chronic kidney disease(Springer Science and Business Media Deutschland GmbH, 2023) Sezer, Berkant; Kaya, Remziye; Kodaman Dokumacıgil, Nur; Sıddıkoğlu, Duygu; Güven, Serçin; Yıldız, Nurdan; Alpay, Harika; Kargül, BetülBackground There are various oral symptoms related to the disease and its management in individuals with chronic kidney disease (CKD). The aim of the study was to investigate the oral health status of children with different stages of CKD, kidney transplant recipients (KTR), and healthy children. Methods A total of seventy-one children diagnosed with CKD and fifty-two healthy children were included in the study. Each patient was examined for dental caries by the decayed-missing-filled-teeth (DMFT/dmft) index and the International Caries Detection and Assessment System (ICDAS-II), developmental defects of enamel (DDE) by the DDE index, and oral hygiene by the debris (DI), calculus (CI), and simplified oral hygiene (OHI-S) indices. Results The median number of DMFT/dmft was 1.00 (interquartile range (IQR):1.00-4.00) in children with stage 1-3 CKD, 0.00 (IQR: 0.00-2.50) in stage 4-5 children, 0.00 (IQR: 1.00-3.00) in KTR, and 8.00 (IQR: 1.00-13.00) in healthy children. According to ICDAS-II categories, the percentage of children with severe caries was 53.8% in healthy children, while it was 44.4% in KTR, 25.9% in stage 1-3, and 11.4% in stage 4-5 children. While the percentage of children with DDE was 88.8% in KTR, 80% in stage 4-5, and 66.7% in stage 1-3 children, this rate was 44.2% in healthy children. The highest mean OHI-S score was observed in stage 4-5 children (2.10 +/- 1.08), followed by KTR (1.46 +/- 1.19), stage 1-3 (1.27 +/- 0.61), and healthy children (0.45 +/- 0.44), respectively. Conclusions Compared to healthy children, children with CKD had more debris accumulation, calculus formation, and more DDE but a lower severity of dental caries.Öğe Association between serum biomarkers and oral health status in children with chronic kidney disease: A cross-sectional study(Springer Science and Business Media Deutschland GmbH, 2023) Sezer, Berkant; Kodaman Dokumacıgil, Nur; Kaya, Remziye; Güven, Serçin; Türkkan, Özde Nisa; Çiçek, Neslihan; Alpay, Harika; Kargül, BetülObjectives: The aim of this study was to investigate the association between serum biomarkers and oral health parameters in children with chronic kidney disease (CKD). Materials and methods: Serum hemoglobin, blood urea nitrogen, serum creatinine, calcium, parathormone, magnesium, and phosphorus levels were measured in 62 children with CKD aged between 4 and 17 years. Intraoral examinations of the patients were performed by two different pediatric dentists. Dental caries was assessed using the decayed-missing-filled-teeth (DMFT/dmft) indexes, and oral hygiene was assessed using the debris (DI), calculus (CI), and simplified oral hygiene (OHI-S) indexes. Spearman’s rho coefficient and generalized linear modeling were used to examine the association between serum biomarkers and oral health parameters. Results: The results of the study showed that there were negative and statistically significant correlations between serum hemoglobin and creatinine levels and dmft scores in pediatric patients with CKD (p = 0.021 and p = 0.019, respectively). Furthermore, blood urea nitrogen levels and DI and OHI-S scores (p = 0.047 and p = 0.050, respectively); serum creatinine levels and DI, CI, and OHI-S scores (p = 0.005, p = 0.047, p = 0.043, respectively); and parathormone levels and CI and OHI-S scores (p = 0.001 and p = 0.017, respectively) were found to be positively and statistically significantly related. Conclusions: There are associations between various serum biomarker levels and dental caries and oral hygiene parameters in pediatric patients with CKD. Clinical relevance: The impact of changes in serum biomarkers on oral and dental health is important for dentists’ and medical professionals' approaches to patients' oral and systemic health.Öğe Dental age and tooth development in children with molar-incisor hypomineralization: A case-control study(Elsevier Ltd, 2022) Sezer, Berkant; Çarıkçıoğlu, Burak; Kargül, BetülObjective: The aim of the study was to determine the dental age for the evaluation of tooth development in children with molar-incisor hypomineralization (MIH) by using the Willems method, Cameriere-European formula, and London Atlas. Design: Panoramic radiographs of 308 children between the ages of 6–13 diagnosed with MIH and the same number of sex- and age-matched children without MIH were evaluated by two different examiners using the Willems method, Cameriere-European formula, and London Atlas. The mean difference between chronological age and dental age in both groups was calculated for each sex and age. The mean absolute error was used to determine the accuracies of the Willems method, Cameriere-European formula, and London Atlas. Results: There was a statistically significant difference found only in Willems method in dental age estimation between the groups with and without MIH (P = 0.001). In the evaluation performed with Cameriere-European formula and London Atlas, which are more accurate methods for dental age estimation in both groups, no statistically significant difference was found in dental age estimation between the two groups (P = 0.322, P = 0.290, respectively). There was a statistically significant intense linear correlation for three methods in both groups (P < 0.001). Conclusions: MIH, which is a developmental enamel defect, does not affect dental age and tooth development since there was no significant difference between groups with and without MIH according to the evaluations made with accurate dental age estimation methods.Öğe İstanbul’da yaşayan bir grup çocuğun büyük azı-kesici hipomineralizasyonu gözlenen dişlerinde lezyon dağılım ve karakteristiklerinin değerlendirilmesi(2023) Sezer, Berkant; Tuğcu, Nihan; Çalışkan, Cansu; Durmus, Basak; Kargül, BetülAmaç: Büyük azı-kesici hipomineralizasyonu (BAKH), etkile- nen dişlerde beyaz/krem rengi ve/veya sarı/kahverengi sınırlı opasiteler, sürme sonrası mine yıkımı, atipik çürük ve restoras- yonların izlendiği gelişimsel bir mine defektidir. Bu çalışmanın amacı, BAKH gözlenen dişlerde lezyon dağılım ve karakteris- tiklerinin değerlendirilmesidir. Gereç ve Yöntem: Çalışmaya dahil edilen BAKH tanısı konu- lan 8-12 yaşları arasındaki 70 hastanın 542 adet dişi Avrupa Çocuk Dişhekimliği Akademisi kriterlerine göre değerlendiri- lerek, lezyonların dağılım ve karakteristikleri ile farklı dişlerde kombine biçimde gözlenen defektler belirlenmiştir. Verilerin değerlendirilmesinde tanımlayıcı istatistikler ve ki-kare testi, yaş ile etkilenen diş sayısı arasındaki ilişkinin tespitinde Spe- arman korelasyon analizi kullanılmıştır. Bulgular: Tüm dişlerde %64,2 oranında BAKH’ye bağlı de- fektler gözlenirken, büyük azı dişlerin etkilenme oranı %85,7, kesici dişlerin etkilenme oranı %53,9 olarak bulunmuştur. En çok etkilenen diş %91,4 oranla sol alt birinci büyük azı diş iken, en az etkilenen diş %41,4 oranla sol alt santral kesici diştir. Lez- yon karakteristikleri açısından kesici dişlerde en sık beyaz/ krem rengi opasiteler, büyük azı dişlerde atipik çürükler göz- lenmiştir. Hastaların %67,1’inde tüm büyük azı dişlerde lezyon tespit edilmiştir. Yaş ile etkilenen büyük azı diş sayısı arasın- da istatistiksel olarak anlamlı bir korelasyon gözlenmezken (p=0,686), kesici diş ve toplam etkilenen diş sayısı ile yaş ara- sında anlamlı bir ilişki olduğu gözlenmiştir (sırasıyla, p=0,003 ve p=0,004). Sonuç: BAKH’nin lezyon dağılım ve karakteristikleri bireyler ve etkilenen dişler arasında değişiklik göstermektedir.Öğe Motivations, attitudes for choosing dental profession and preferred dental specialties amongst Turkish dental students(John Wiley & Sons Ltd, 2022) Sezer, Berkant; Kolay, Duygu; Şen Yavuz, Betül; Güneyligil Kazaz, Tanyeli; Kargül, BetülAim: The aim of the study was to investigate the influential factors for choosing dentistry, their thoughts about the profession, their expectations for the future and their thoughts about the specialisation of dental students from all grades in the School of Dentistry, Marmara University. Materials and Methods: Socio-demographic information, influential factors the choice of profession, thoughts and expectations about dentistry, and thoughts about the specialisation were evaluated in the questionnaire that included different question types in four separate sections. Chi-square test was used to assess the relationship between categorical variables, and multiple linear regression was performed to examine the combined effects of variables that influence the always dream of becoming a dentist. Results: 462 of the 471 participants from all grades who agreed to participate in the study completed the questionnaire with a response rate of 98.1%. It was seen that the students' clinical experience made differences in almost half of their motivational sources for choosing dentistry and their views on future opinions and expectations (p <.05). In addition to clinical experience, gender also made a statistically significant differences in almost all answers in the students' opinions about specialisation (p <.05). Conclusion: From the results of the study, the majority of Turkish dental students were self-motivated compared to familial and environmental factors for choosing dentistry as a career. The career motivations of them seemed to be associated with the socioeconomic aspects of dentistry, whereas the perceptions regarding the future of dentistry seemed to be associated with the need for postgraduate education.
