Diş Hekimliği Fakültesi / Faculty of Dentistry
Permanent URI for this collectionhttps://hdl.handle.net/11727/2120
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Item Effect of the COVID-19 Pandemic on Anxiety in Patients with Masticatory Muscle Pain(2023) Arifagaoglu, Ozge; Secgin, Cansu Koseoglu; Yuzugullu, Bulem; 0000-0001-9816-2486; 34702584; GRR-7726-2022Statement of problem. Although psychological disorders have been established as one of the etiological factors for temporomandibular disorders, anxiety levels in individuals with masticatory muscle pain before and during the coronavirus 2019 (COVID-19) pandemic have not previously been compared.Purpose. The purpose of this clinical study was to evaluate anxiety levels in patients with masticatory muscle pain at times before and during the COVID-19 pandemic.Material and methods. Eighty patients (18 to 68 years) with masticatory muscle pain were included in the study. All participants had completed the Generalized Anxiety Disorder 7 questionnaire (GAD-7) before the first COVID-19 infection had been reported in Turkey. After the onset of the COVID-19 pandemic, all participants were contacted by telephone to repeat the GAD-7 to evaluate changes in their psychology during the first lockdown. However, 18 of the 80 patients were unreachable. A statistical analysis was performed by using the Mann-Whitney U test. Proportion comparisons between sociodemographic characteristics and GAD-7 levels were performed by using the Fisher exact test (a=.05).Results. Forty-eight (60%) of the study population were women, and 32 (40%) were men, with a mean age & PLUSMN;standard deviation of 36.63 & PLUSMN;13.85 years. Both before and during the pandemic, GAD-7 scores were statistically similar as was each demographic parameter, including sex, educational status, and occupational status (P>.05). Also, no significant correlation was recorded between age and GAD-7 global scores obtained before and during the pandemic (r=-0.098 and r=-0.052, respectively, P>.05). However, during-pandemic GAD-7 scores were statistically higher than before-pandemic GAD-7 scores (P<.001).Conclusions. Demographic parameters had no connection with anxiety levels in patients with masticatory muscle pain before and during the COVID-19 pandemic. However, the COVID-19 pandemic anxiety levels in the participants were higher than the levels before the pandemic. (J Prosthet Dent 2023;130:74-9)Item Effect of Engraving Speeds of CO2 Laser Irradiation on In-Ceram Alumina Roughness: A Pilot Study(2015) Ersu, Bahadir; Ersoy, Orkun; Yuzugullu, Bulem; Canay, Senay; 0000-0002-4163-8428; 25631361; IZE-2069-2023Objectives. The aim of the study was to determine the effect of CO2 laser on surface roughness of In-Ceram-Alumina-ceramic. Materials and methods. Four aluminum-oxide ceramic disc specimens were prepared of In-Ceram Alumina. Discs received CO2 laser irradiation with different engraving speeds (100, 400, 600 and 800 mm/min) as a surface treatment. The roughness of the surfaces was measured on digital elevation models reconstructed from stereoscopic images acquired by scanning-electron-microscope. Surface roughness data were analyzed with One-Way-Analysis-of-Variance at a significance level of p < 0.05. Results. There was no significant difference between the roughness values (p = 0.82). Due to higher laser durations, partial melting signs were observed on the surfaces. Tearing, smearing and swelling occurred on melted surfaces. Swelling accompanying melting increased the surface roughness, while laser power was fixed and different laser engraving speeds were applied. Conclusion. Although different laser irradiation speeds did not affect the roughness of ceramic surfaces, swelling was observed which led to changes on surfaces.Item The Effect of Different Polishing Sequences on the Adhesion of Streptococcus mutans to Feldspathic Porcelain(2016) Yuzugullu, Bulem; Celik, Cigdem; Ozcelik, Tuncer Burak; Erkut, Selim; Yurdakul, Pinar; Ocal, Yesim; Sener, Burcin; https://orcid.org/0000-0002-5936-0196; AAA-1576-2021The aim of this research was to determine whether extra-oral surface treatments on feldspathic porcelain surfaces influence initial adhesion of Streptococcus mutans. Ninety-six porcelain specimen discs were fabricated and divided into six equal groups according to surface treatment: fine-grit diamond polishing (Group 1); self-glazing (Group 2); overglazing (Group 3); overglazing followed by a finishing procedure and then overglazing (Group 4); Pearl Surface polishing (Group 5); and Diamond Twist SCLTM polishing (Group 6). Surface roughness and hydrophobicity were assessed. An S. mutans suspension was incubated on each specimen group and evaluated. A one-way analysis of variance, post-hoc Tukey honestly significantly different test, Friedman test, and t-test were used for statistical analysis. Group 1 showed the highest surface roughness (p < 0.001) and bacterial adhesion (p < 0.05). Groups 5 and 6 specimen surfaces presented significantly higher contact angles (p < 0.05). Group 1 had the highest S. mutans adhesion, followed by Groups 3, 5, 6, 2, and 4 (p < 0.05). Reglazing after grinding may therefore decrease bacterial adhesion beneficially.Item Efficiency of pivot splints as jaw exercise apparatus in combination with stabilization splints in anterior disc displacement without reduction: a retrospective study(2014) Muhtarogullari, Mehmet; Avci, Mehmet; Yuzugullu, Bulem; 25300939Objective: To evaluate efficiency of pivot splints in jaw exercises, in combination with stabilization splints, in cases of anterior disc displacement without reduction of temporomandibular joint. Subjects and methods: Twenty-three patients who referred to the prosthodontics clinic in 1995-1997 were included in the study, where anterior disc displacement without reduction of temporomandibular joint was diagnosed using magnetic resonance imaging and clinical examination. Pivot splints were used for jaw exercises for five minutes long; five times/day and stabilization splints were used at all other times. The patients were followed for 24 weeks. Lateral and protrusive excursions along with maximum mouth opening and were evaluated at each control. Bilateral palpation of temporal, masseter, sternocleidomastoid muscles and TMJ was assessed for pain perception before and after treatment. Data were statistically analyzed using Paired sample t-test and Independent Samples t-test (p < .05). Results: Mean mandibular range of motion measurements increased from 28.74 mm prior to 49.17 mm on maximum opening; right/left lateral excursion from 7.61 mm to 12.04 mm and 4.09 mm to 7.3 mm on protrusion after treatment. All changes observed before and after treatment were found to be statistically significant. (p < .001) Pain symptoms were eliminated at the end of 24 weeks of treatment in all patients. Conclusion: Using pivot splints as an exercise regimen along with a stabilization splint may be a viable treatment option for patients with anterior disc displacement without reduction; as normal mandibular range of motion was established and pain was eliminated.Item Effect of different denture cleansers on surface roughness and microhardness of artificial denture teeth(2016) Yuzugullu, Bulem; Acar, Ozlem; Cetinsahin, Cem; Celik, Cigdem; 27826382PURPOSE. The aim of this study was to compare the effects of different denture cleansers on the surface roughness and microhardness of various types of posterior denture teeth. MATERIALS AND METHODS. 168 artificial tooth specimens were divided into the following four subgroups (n=42): SR Orthotyp PE (polymethylmethacrylate); SR Orthosit PE (Isosit); SR Postaris DCL (double cross-linked); and SR Phonares II (nanohybrid composite). The specimens were further divided according to the type of.the denture cleanser (Corega Tabs (sodium perborate), sodium hypochlorite (NaOCl), and distilled water (control) (n=14)) and immersed in the cleanser to simulate a 180-day immersion period, after which the surface roughness and microhardness were tested. The data were analyzed using the Kruskal Wallis test, Conover's nonparametric multiple comparison test, and Spearman's rank correlation analysis (P<.05). RESULTS. A comparison among the denture cleanser groups showed that NaOCl caused significantly higher roughness values on SR Orthotyp PE specimens when compared with the other artificial teeth (P<.001). Furthermore, Corega Tabs resulted in higher microhardness values in SR Orthotyp PE specimens than distilled water and NaOCl (P<.005). The microhardness values decreased significantly from distilled water, NaOCl, to Corega Tabs for SR Orthosit PE specimens (P<.001). SR Postaris DLC specimens showed increased microhardness when immersed in distilled water or NaOCl when compared with immersion in Corega Tabs (P<.003). No correlation was found between surface roughness and microhardness (r=0.104, P=.178). CONCLUSION. NaOCl and Corega Tabs affected the surface roughness and microhardness of all artificial denture teeth except for the new generation nanohybrid composite teeth.