Browsing by Author "Uyar, Didem Sakaryali"

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Attitudes and emotional status of parents regarding traumatic dental injuries
(2023) Uyar, Didem Sakaryali; Uyar, Tansel; Ozgul, Betul Memis; 36264041
Background/Aims Traumatic dental injuries have different effects on children and their parents, depending on the type of trauma and whether it is in primary or permanent teeth. Parents do not always seek immediate intervention for their children after each traumatic dental injury unless accompanied by conditions such as pain or bleeding that will increase emotional stress. The aim of this study was to evaluate the emotional status of parents and parents' attitudes toward urgent intervention for different traumatic dental injuries in both primary and permanent teeth. Material and Methods A questionnaire consisting of two parts was designed with a reliability coefficient of 0.87 according to the results of a pilot study. The questionnaire was sent to parents as a Google Form via online communication methods such as WhatsApp and e-mail. The first part included questions about the demographic data of the parents and children, and the second part consisted of images of traumatic dental injuries of primary and permanent teeth with questions to evaluate the emotional state of the parents and awareness of the necessity for urgent intervention. The Visual Analog Scale (VAS) was used to evaluate the emotional state, and "Absolutely yes;" "Yes;" "I don't have an idea;" "No;" and "Absolutely no" statements were used to evaluate parents' attitudes about urgent intervention. Categorical variables were shown as numbers and percentages and analyzed with Pearson chi-square. Statistical significance was evaluated for p < .05, and correlations between variables were calculated with Pearson correlation. Results The survey was completed by 845 parents. All traumatic injuries except extrusion (p = .202; p >= .05) had statistically different VAS scores for primary and permanent teeth (p < .05). Parents' attitudes for urgent intervention were statistically significant for all traumatic injuries (p < .05) except 4-mm intrusion (p = .062; p >= .05), alveolar fracture (p = .282; p >= .05), complicated crown fracture (p = .136; p >= .05), and non-traumatized healthy teeth (p = .110; p >= .05). Conclusions Traumatic dental injuries with excessive bleeding or tissue loss affect the emotional status of parents more than simple injuries, and they prefer to refer to dentists immediately. Parents responded with higher VAS scores and stronger desires for urgent intervention for permanent teeth injuries compared with primary teeth injuries which shows that parents still do not care about primary teeth as much as permanent teeth.
Efficiency of Fluoride-Free Toothpastes on The Inhibition of Erosive Tooth Wear in Primary And Permanent Teeth
(2021) Uyar, Didem Sakaryali; Ozgul, Betul Memis; Tirali, Resmiye Ebru
The objective of this study was to evaluate inhibition efficiencies of different fluoride-free remineralization agents against erosive challenge of orange juice on primary and permanent teeth samples using optical profilometer and scanning electron microscope. Forty-five non-carious permanent third molar teeth extracted in the orthodontic treatment and 45 non-carious primary teeth extracted at the exfoliation time were included in the study. After surface preparation for each sample, three different toothpastes which included CPP-ACP (Group-1), organic calendula-xylitol (Group-2), and calcium hydroxyapatite-silica (Group-3), were applied during erosion cycle with orange juice. After the cycle, surface depth and roughness for all samples were evaluated by optical profilometer. According to the analysis of exhibited data, significance level was accepted as p<0.05. Linear surface depth values were significantly higher in permanent teeth compared to primary teeth for Group-1. However, volumetric surface roughness values were statistically higher in Group-2 and Group-3 for primary teeth compared to permanent teeth samples. Erosion inhibition efficiency of fluoride is known. However, parents are very concerned about the toxic nature and prefer using fluoride-free toothpastes. Based on the findings, parents should be informed about insufficient erosion inhibition efficiency of these fluoride-free toothpastes and further studies are needed to inform dentists about the remineralization efficiency of ingredients of toothpastes for both primary and permanent teeth.
Evaluation Of Gap Formation For Different Adhesive Agents In Primary Teeth With Optical Coherence Tomography
(EUROPEAN ORAL RESEARCH, 2024-05-23) Uyar, Didem Sakaryali; Asena, Leyla; Tirali, Resmiye Ebru
Purpose This study aimed to evaluate gap formation between the tooth surface and restorative material in terms of microleakage by using optical coherence tomography (OCT) for self-etch and selective-etch applications of two different universal and one self-etch adhesives. Materials and Methods Sixty non-caries, primary molar teeth were divided into six groups; self-etch and selective-etch application ways of two different universal and one self-etch adhesive systems (n:10). After Class-V cavities were prepared, every tooth was distributed randomly in groups to apply adhesion procedure and then, all cavities were restored with polyacid-modified composite resin. Microleakage was evaluated by measuring the gap between the tooth surface and restoration by a blind researcher with Image J Software from OCT images. During statistical analysis, the significance level was accepted as p<0.05. Results According to the statistical analysis of the measurements obtained by Image J Software, selective-etch groups showed less gap formation than self-etch groups for each tested adhesive (p<0.05), and self-etch adhesive without etching showed significantly highest gap formation among all groups (p<0.05). Conclusion Universal adhesives with a selective-etching step might be preferred over self-etch adhesives for long-lasting polyacid-modified composite resin restorations in primary teeth. However, obtained results should be considered with another prospective clinical study for long-term prognosis.