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    Effect of the usage of Er,Cr:YSGG laser with and without different remineralization agents on the enamel erosion of primary teeth
    (Springer London Ltd, 2020) Yilmaz, Nagehan; Baltaci, Ezgi; Baygin, Ozgul; Tuzuner, Tamer; Ozkaya, Serdar; Canakci, Aykut
    The aim of the present study was to evaluate the effects of different remineralization agents associated with erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) (0.5 W power, 20 Hz frequency, 60% water, 40% air, 25 mJ pulse energy, 8.84 J/cm(2)fluence, 60 mu s pulse duration, 600 mu m tip diameter, and an approximate 1-1.5 mm distance to the target) laser irradiation on erosion induced by the consumption of carbonated drinks in human primary enamel. There were 8 groups and 10 primary teeth in each g0roup. The distribution was as follows: group 1, casein phosphopeptide-amorphous calcium phosphate with fluoride (CPP-ACPF); group 2, Er,Cr:YSGG laser+CPP-ACPF; group 3, fluor varnish; group 4, Er,Cr:YSGG Laser+fluoride varnish; group 5, ROCS (R) medical mineral gel; group 6, Er,Cr:YSGG laser + ROCS (R) medical mineral gel; group 7, Er,Cr:YSGG laser; and group 8, artificial saliva. The samples in the groups were submerged in artificial saliva and acid twice a day for 6 s at 6-h intervals and were then exposed to an erosion cycle 15 times. In the groups in which the Er,Cr:YSGG laser was applied in combination with the remineralization agents, the laser application was made first, and then the remineralization agents were applied for 4 min in each group. The Friedman and Wilcoxon signed-rank tests and the Bonferroni correction were used in statistical analyses, and the significance level was taken asp < 0.05. According to the results, all agents had a statistically significant difference (groups 1, 2, 3, 4, and 6:p = 0.005,p < 0.017; groups 5 and 7:p = 0.007,p < 0.017) between BL-RM periods. However, all agents had a statistically significant remineralization effect on primary teeth enamel (groups 1, 2, 3, 6, and 7:p = 0.005,p < 0.017; group 4:p = 0.011,p < 0.017) except that group 5 (p = 0.074,p < 0.017) between DM-RM periods. The coadministration of an agent with the laser did not make any difference at a statistical level (p = 0.804,p > 0.05). The results were supported by scanning electron microscopy (SEM) and X-ray diffraction (XRD) analysis. As a result of this study, CPP-ACPF had a notable impact in terms of the remineralization effect on eroded enamel, and the Er,Cr:YSGG laser alone may be an alternative method, which may be related to the modified hydroxyapatite structure, 38.5% H0.56Ca4.56O13P3Y0.44, that was determined in XRD analysis.
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    Evaluation of the knowledge, attitudes and behaviors of pre-school teachers on oral and dental health in the city center of Trabzon
    (Istanbul Univ Press, Istanbul Univ Rectorate, 2019) Baltaci, Ezgi; Baygin, Ozgul; Tuzuner, Tamer; Korkmaz, Fatih Mehmet
    Purpose Educators can also contribute to the prevention of early childhood caries (ECC) by educating children about oral diseases and hygiene practices. The aim of this study was to assess the knowledge, attitudes, and behaviors of pre-school teachers concerning oral and dental health in Trabzon. Subjects and methods The study was carried out with 226 pre-school teachers in the city center using a self-administered questionnaire to evaluate their knowledge, attitudes, and behaviors concerning the oral and dental health of children. Results Only 29.8% of the respondents had a prior dental education. Although 83% of the teachers said that regular visits to the dentist were effective for caries prevention, only 13.2% said that they made regular visits to a dentist. Approximately 65.8% of the teachers agreed that fluoride strengthens tooth enamel and 35.1% of the teachers said that there were oral health activities in their schools. Additionally, 74.6% of teachers said that they would participate in dental education about children's oral health in the future. Conclusion Preventive dental health program could be implemented including the proper behaviors related to the importance and treatability of primary teeth, first tooth cleaning, dental visits, the use of fluoride toothpaste, and oral hygiene into the preschool teachers' undergraduate education programs in the future. This program should be repeated at certain intervals for the prevention of ECC.
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    Increasing the Awareness of the Parents Regarding the Oral Health Status of Their 0-3 Years-Old Children
    (Galenos Publ House, 2022) Tuzuner, Tamer; Karadeniz, Havva; Kahriman, Ilknur; Baygin, Ozgul; Baltaci, Ezgi; Kurt, Ayca
    Objective: This study aimed to: (a) compare nursing students' knowledge about the oral and dental health of children before and after oral health education; (b) evaluate the effectiveness of oral health education of parents with children aged 0-3-year-old by these trained students during home visits. Methods: In this quasiexperimental study, firstly, 60 senior students in the nursing department were trained on infants' and young children's oral and dental health through standartized training modules. Secondly, 180 parents with children aged 0-3 from low socioeconomic status were trained by the nursing students during home visits with face to face interviews. Both nursing students' and parents' pre and post-training knowledge levels and the changes in their awareness after training were measured using standard questions which were administered as pre-test (preT) and post-test (postT) with I week intervals. Wileoxon test was used to assess the differences of correct answers between pre- and post-tests. The significant value was considered as p<0.05. Results: The mean age of the children of the parents was 18.92 +/- 9.96 months. The median values of preT and postT were found to be 28 and 37.5, respectively for the total number of correct answers given to 50 questions related to the education consisting of seven modules. It was determined that the total number of correct answers increased statistically significantly in postT (p<0.001). The median values of preT and postT correct answers to 14 questions in the education given to parents through brochures were found to be 6 and 10, respectively. It was determined that the total number of correct answers increased statistically significantly in postT after the training (p<0.001). Conclusion: The knowledge level of nursing students about the oral and dental health of children can be increased through standardized training programs. Home visits and face-to-face interviews are applicable to increase awareness in parents by non-dental healthcare professionals.