Diş Hekimliği Fakültesi / Faculty of Dentistry
Permanent URI for this collectionhttps://hdl.handle.net/11727/2120
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Item Dental Anxiety and Fear: Relationship with Oral Health Behavior in a Turkish Population(2014) Yozugullu, Bulem; Gulsahi, Ayse; Celik, Cigdem; Bulut, Sule; https://orcid.org/0000-0002-5936-0196; 24392477; AAA-1576-2021; AAC-5448-2020The aim of this study was to assess fear and anxiety in dental patients. Five hundred patients were evaluated using the Modified Dental Anxiety Scale and the Dental Fear Scale, along with a questionnaire. Oral health status was assessed using the Decayed, Missing, and Filled Teeth (DMFT)/Decayed, Missing, and Filled Surfaces (DMFS) index. Statistic al analysis was performed (P <.05). Sex significantly affected dental anxiety (P <.05), and sex, marital status, having children, and time elapsed since last visit to clinician affected dental fear (P <.05). DMFT/DMFS scores were not related to dental anxiety or fear (P >.05). Female sex alone was a significant predictor of dental anxiety; female sex, adulthood, marriage, having children, and time passed since last visit to a clinician are significant predictors of fear.Item Levels of High-Sensitivity C-Reactive Protein in Heart Transplant Patients With and Without Periodontitis(2019) Sezgin, Yasemin; Bulut, Sule; Bozahoglu, Sema; Sezgin, Attila; 30777536; HJA-3287-2022; AAC-5448-2020Objectives: The outcomes of heart transplantation are very favorable, but inflammation still plays a critical role in deterioration of chronic transplants. Periodontal diseases are not limited to supporting the structures of the teeth, but they also cause systemic inflammation. Based on the importance of inflammation in heart transplant recipients and the association between periodontal disease and systemic inflammation, this study explored whether periodontitis may be a modifier of serum high-sensitivity C-reactive protein in heart transplant patients. Materials and Methods: Our study included 33 patients who had heart transplant procedures at the Baskent University Hospital. Clinical periodontal parameters were recorded to assess the periodontal status. On the same day as clinical measurements, blood samples were collected to measure the serum levels of high-sensitivity C-reactive protein. Results: Of the 33 heart transplant patients, 9 patients (27.3%) were diagnosed with periodontitis, 4 (12.1%) were periodontally healthy, and 20 (60.6%) had gingivitis. In the group with periodontitis, serum high-sensitivity C-reactive protein levels were significantly higher than the periodontally healthy and gingivitis groups (P = .006). In addition, Spearman correlation analyses showed that serum high-sensitivity C-reactive protein was positively correlated with probing depth (r = 0.358; P = .041), clinical attachment level (r = 0.352; P = .045), and gingival recession (r = 0.422; P= .014). Conclusions: We found that elevated levels of serum high-sensitivity C-reactive protein in heart transplant patients were associated with periodontitis. Thus, these findings reinforce the need for the inclusion of regular periodontal visits after transplant.Item Assessment of gingival thickness in the maxillary anterior region using different techniques(2022) Yilmaz, Mediha Nur Nisanci; Secgin, Cansu Koseoglu; Ozemre, Mehmet Ozgur; Inonu, Elif; Aslan, Serhat; Bulut, Sule; 35796801Objectives Gingival phenotype is closely related to treatment success and aesthetic results in the maxillary anterior region. Several methods were proposed to measure the dimensions of the gingival tissue. This study aimed to evaluate the gingival thickness using clinical and radiographic techniques and to explore the association between gingival thickness and gingival phenotypes classified by color-coded phenotype probes. Materials and methods The gingival thickness of 86 periodontally healthy maxillary anterior teeth was assessed using transgingival probing (TGP) and cone-beam computed tomography (CBCT). The gingival phenotype was classified as thin, medium, thick, or very thick by transparency of the color-coded probes through the gingival sulcus. The labial alveolar bone thickness was measured on CBCT images. The keratinized tissue width (KTW) was recorded. Results Good to excellent agreement was found between TGP and CBCT regarding the thickness of the gingiva (p<0.001). There was a very high correlation between the phenotypes determined by color-coded probes and the gingival thickness measured by TGP (r=0.953, p<0.001). KTW was significantly higher in thick and very thick phenotype groups compared with thin phenotype group. Conclusion Cone-beam computed tomography images and the probe transparency method with color-coded probes are reliable for identifying the gingival phenotype in the maxillary anterior region, based on comparisons to direct transgingival probing.Item Impact of stage-grade of periodontitis and self-reported symptoms on oral health-related quality of life(2021) Yilmaz, Mediha Nur Nisanci; Bulut, Sule; Bakirarar, Batuhan; 0000-0002-6410-2060; 34478610Objectives The aim of the study was to investigate the impact of stage-grade of periodontitis and self-reported signs and symptoms on oral health-related quality of life. Methods The diagnosis of periodontitis was based on the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. The Turkish version of Oral Health Impact Profile-14 (OHIP-14) was used to assess oral health-related quality of life (OHRQoL) and the participants were requested to state their symptoms associated with periodontal diseases. Results One hundred and sixty-six patients were included in the study with a mean age of 46.54 +/- 9.24 years. The participants with Stage IV and Grade C periodontitis had the highest total OHIP-14 scores (median 20.00 [min.-max, 3.00-35.00] and median 18.50 (min.-max, 0.00-36.00]; respectively). The OHIP-14 scores (mean +/- SD) were significantly associated with the symptoms of bleeding gums (13.64 +/- 9.39), sore gums (18.00 +/- 10.47), swollen gums (17.42 +/- 10.91), bad breath (15.82 +/- 9.44), loose teeth (20.00 +/- 8.66) and drifting teeth (24.56 +/- 8.46). Conclusions This study demonstrates a significant association between OHRQoL and periodontitis. Stage-grade of periodontitis and its symptoms were associated with poor quality of life.Item Dental Anxiety and Fear: Relationship with Oral Health Behavior in a Turkish Population(2014) Yozugullu, Bulem; Gulsahi, Ayse; Celik, Cigdem; Bulut, SuleThe aim of this study was to assess fear and anxiety in dental patients. Five hundred patients were evaluated using the Modified Dental Anxiety Scale and the Dental Fear Scale, along with a questionnaire. Oral health status was assessed using the Decayed, Missing, and Filled Teeth (DMFT)/Decayed, Missing, and Filled Surfaces (DMFS) index. Statistic al analysis was performed (P <.05). Sex significantly affected dental anxiety (P <.05), and sex, marital status, having children, and time elapsed since last visit to clinician affected dental fear (P <.05). DMFT/DMFS scores were not related to dental anxiety or fear (P >.05). Female sex alone was a significant predictor of dental anxiety; female sex, adulthood, marriage, having children, and time passed since last visit to a clinician are significant predictors of fear.