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KARGÜL, BETÜL

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Diş Hekimliği Fakültesi

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KARGÜL

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BETÜL

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Open Access
Association between work-related musculoskeletal symptoms and quality of life among dental students: a cross-sectional study
(BMC, 2022-12) KARGÜL, BETÜL; Sezer, Berkant; Kartal, Sinan; Siddikoglu, Duygu; Kargul, Betul
Background Dental students are frequently affected by work-related musculoskeletal symptoms (WMSs) due to reasons such as working conditions, difficult education process and long work periods. The aim of the study was to investigate the frequency and anatomical distribution of WMSs, and its effect on the quality of life (QoL) in dental students. Methods Sociodemographic and health-related characteristics of one-hundred and five dental students were recorded. WMSs were scored by the participants with the Nordic Musculoskeletal Questionnaire. Then, participants were asked to evaluate their QoL by scoring the World Health Organization Quality of Life-Brief Form. Differences between independent groups for continuous variables were evaluated by Student's t-test and ANOVA as appropriate. Linear regression analysis was performed to determine the effect of demographic and health-related parameters in predicting the QoL subscales. Results The most common painful region in the last 12 months was the neck (66.7%). The body region with the most WMSs in the last 7 days was the upper back (43.8%). Physical health-related QoL of those with diagnosed musculoskeletal symptoms, and general health-related QoL of those using medicine due to any musculoskeletal symptoms were found to be statistically significantly lower (p = 0.018, p = 0.041, respectively). It was observed that the general and physical health, psychological well-being, and social relationship of the participants who reported the presence of neck pain in the last 7 days were statistically significantly lower (p = 0.003, p < 0.001, p = 0.004, p = 0.012; respectively). According to multiple regression analyses, pain occurrence in the body in the last 12 months and/or in the last 7 days had a negative impact on the participants' general and physical health, psychological well-being, social relationship, and environmental status and related QoL (p = 0.026, p = 0.047, p = 0.021, p = 0.001, p = 0.027, respectively). Conclusions The results of this study show that dental students' body regions, especially the neck and the back, are affected by WMSs. These negative changes observed in the body had a negative effect on the QoL of the dental students.
Open Access
Effect of Remineralization Agents on Molar-Incisor Hypomineralization-Affected Incisors: A Randomized Controlled Clinical Trial
(2022-01-01) KARGÜL, BETÜL; SEZER B., KARGÜL B.
Objective: The objective of this study was to evaluate the remineralization effect of two different mineral containing agents on white/creamy and yellow/brown demarcated opacities in incisors in children with molar-incisor hypomineralization (MIH) by using laser fluoresence (LF). Study Design: Fifty-three children (n=401 lesions) with MIH were randomly divided into three groups: (1)calcium glycerophosphate (CaGP), (2)casein phosphopeptide amorphous calcium fluoride phosphate (CPP-ACFP) and, (3)control (1450 ppm fluoride toothpaste). Remineralization was evaluated by means of LF, at baseline, after one and threemonths. Anova Test for Repeated Measurements in intra-group comparisons in evaluating the effectiveness of remineralization agents. One-way Variance Analysis (ANOVA) and Tukey-Kramer Multiple Comparison test were used in the comparisons between groups and, Student Newman Keuls Multpile Comparison Test was used to determine the differences between the measurement averages in case of p<0.05. Results: There was a significant improvement in MIH-lesions over time in all groups (p<0.001), with no differences between groups. The highest percentage of change was observed in CPP-ACFP in lesions LF≤20 scores and the mean percentage of change LF>20 scores, the highest percentage changes in CaGP. There was no significant difference between the groups over the time for all the used outcome measures (p>0.05). Conclusion: The additional use of both mineral containing agents in MIH-affected teeth improved these hypomineralized lesions with mineral deposition. Even if both agents could be used in the hypomineralized teeth with demarcated opacities, future studies are recommended the long-term effect of these mineral containing agents with longer observation and a larger sample size. Keywords: Molar incisor hypomineralization, Calcium glycerophosphate, Casein phosphopeptideamorphous calcium phosphate nanocomplex, Tooth remineralization.
Open Access
Possible Medical Aetiological Factors and Characteristics of Molar Incisor Hypomineralisation in a Group of Turkish Children
(2013-12-15) DURMUŞ, BAŞAK; Durmus, Basak; Abbasoglu, Zerrin; Peker, Sertac; Kargul, Betul
Open Access
Effects of Different Fluoride-containing Toothpastes on In Vitro Enamel Remineralization
(BEZMIALEM VAKIF UNIV, 2019-03-01) KARGÜL, BETÜL; Hatipoglu, Zerrin; Ozbay Yavlal, Gizem; Kargul, Betul
Objective: Fluoride toothpaste is one of the most effective cariostatic product when used as a daily fluoride application. The purpose of this in vitro study was to evaluate the effect of a new fluoride-containing toothpaste on enamel surface microhardness (SMH) under a pH-cycling regimen. Methods: Thirty-five sound human enamel samples were randomly divided into five groups (A-E) each containing seven samples as A (fluoride-free control group), B (1000 ppm NaF), C [KNO3 (5%), 1450 ppm NaF], D (1450 ppm sodium monofluorophosphate), and E (1450 ppm NaF). After inducing caries-like lesions, each group was maintained daily for de- and remineralization cycle for seven days. During this cycle, samples were treated by the selected toothpaste for each group. Enamel mineral loss was assessed by SMH and lesion depth was analyzed by polarized light microscopy (PLM). Surface enamel microhardness was determined on the enamel blocks. SMH recovery (%SMHR) among treatments was analyzed by a two-way ANOVA. Results: The highest values of %SMHR were observed for the 1450 ppm NaF (group C). NaF toothpastes significantly increased the microhardness of the lesions (pc0.001) when compared to control groups. PLM data resealed a mineral precipitation hand on the surface layer of all samples but no difference was found between groups in terms of enamel remineralization layers (p>0.05). The results suggest that all toothpastes with similar sources/concentrations of fluoride, provide different levels of remineralization. Conclusion: It can be concluded that new NaF compounds in toothpaste result in a clearly marked remineralization of caries-like enamel lesions.
Open Access
Caries Preventive Effects of Theobromine Containing Toothpaste on Early Childhood Caries: Preliminary Results
(UNIV ZAGREB, SCH DENTAL MEDICINE, 2021-03-15) KARGÜL, BETÜL; Durhan, Muesser Ahu; Bisel, Seda Ozsalih; Gokkaya, Berna; Yildiz, Pinar Kulan; Kargul, Betul
Objective: Enamel remineralizing effects of theobromine have received much attention from the clinicians. The aim of this study was to investigate the caries preventive effect of theobromine containing toothpaste on children with early childhood caries (ECC). Materials & Methods: Salivary pH, buffering capacity and frequency of Streptococcus mutans (SM) levels were measured. Each child was assigned either fluoridated or theobromine containing toothpaste. The changes were analyzed using Laser Fluorescence system. Statistical analyses were performed. Results: We included 13 children (mean age 4.25) with 145 teeth in the fluoridated toothpaste (Colgate Kids toothpaste) group; 13 children (mean age 4.46) with 115 teeth in theobromine containing toothpaste (Theodent (TM) Kids toothpaste) group. Both toothpastes demonstrated enamel remineralization and were effective in increasing the buffering capacity and pH (p < 0.05). A statistically significant decrease in S. mutans levels was found in both toothpaste groups (p<0.05). Conclusion: Both toothpaste group showed a statistically significant amount of enamel remineralization. Since theobromine had the added benefits of increasing the salivary pH and decreasing the S.mutans levels, theobromine containing toothpastes can be considered effective agents in remineralizing white spot lesions and can be used in prevention of early enamel lesions.
Open Access
Feeding practices and sucking habits in Istanbul children a clinical study of prevalance and effects on dentition
(2003-01-01) KARGÜL, BETÜL; KARGÜL B., ÇAĞLAR E., TANBOĞA Ş. İ.
The purpose of this study was to determine the prevalence of feeding practices and sucking habits and their effect on dentition in Istanbul children. 173 children, aged 5 yr participated in this study. The previous breast-feeding, bottle-feeding, pacifier sucking, finger sucking habits were examined. Paired Sample Student t test and ANOVA were used for analysis. In the present study, breast-fed children exhibited bottle-feeding for mean 25.3 ± 22.4 months, pacifier sucking for mean 19.1 ± 13.3 months and finger sucking for mean 28.4 ± 16.1 months respectively. Nonbreast-fed children exhibited bottle-feeding for mean 29.4 ± 20.5 months, pacifier sucking for mean 30.1 ± 12.7 months. Nonbreast-fed children did not exhibit finger sucking. Breast-feeding, bottle-feeding, pacifier and finger sucking did not have any effect on dentition (p>0.05)
Open Access
Assessment of potential risk factors associated with early childhood caries in a subpopulation of children from Thrace region of Turkey
(2021-01-01) KARGÜL, BETÜL; GÜNER ONUR Ş., KARGÜL B.
Abstract Introduction: Early childhood caries (ECC) is considered a global health concern due to its high prevalence and effect on the overall health of children. Aim: The present study aimed to investigate prevalence of ECC and associated risk factors in a Turkish subpopulation of children. Materials and methods: Five hundred forty-two (299 boys, 243 girls) children were enrolled in this study. Caries experience on primary teeth was measured using decayed or filled teeth (dft) index and the presence of caries was diagnosed if dft >0. A structured questionnaire was employed to mothers through interview. Results: ECC was significantly associated with increased age (OR=1.032; 95% CI, 1.018–1.047; p<0.001), low level of family income (OR=2.91; 95% CI, 1.567–5.404; p=0.001), low educational level of mother (OR=2.602; 95% CI, 1.509–4.485), night-time frequent breastfeeding (OR=1.695; CI, 1.07–2.685; p=0.024) and bottle feeding with sugary beverages (OR=1.689; CI, 1.002–2.847; p=0.049). First dental visit age (OR=1.482; 95% CI, 1.254–1.753; p<0.001) and initial age of tooth brushing (OR=2.062; 95% CI, 1.324–3.209; p=0.001) were found to be protective against ECC development. Conclusions: The current study highlights potential factors that are commonly associated with the risk of developing ECC. From the perspective of public health, a better understanding of socioeconomic, environmental, maternal and behavioural risks factors for ECC will aid improving maternal and child-based health promotion and preventive programmes.
Open Access
The Plaque Removal Effectiveness of Powered and Manual Tooth Brush in Children: A Pilot Study
(2018-12-30) KARGÜL, BETÜL; Durhan, Muesser Ahu; Uluakay, Merve; Kargul, Betul
Open Access
Changes in oral health-related quality of life after treatment of molar incisor hypomineralisation using Glass Hybrid Restorations
(2022-10-01) TUĞCU, NİHAN; SEZER, BERKANT; DURMUŞ, BAŞAK; KARGÜL, BETÜL; TUĞCU N., SEZER B., Caliskan C., DURMUŞ B., KARGÜL B.
Objective: To assess the changes in children\"s oral health-related quality of life following the treatment of severely affected molar-incisor hypomineralisation with Glass Hybrid Restorative System (GH) after selective caries removal. Method: The observational cross-sectional study was conducted at the Marmara University, School of Dentistry, Department of Pediatric Dentistry, Istanbul, Turkey.. Children aged 11-14 years (n = 55) who were diagnosed with MIH and had finished their dental treatment from November 2018 to December 2019, were included. The children\"s MIH-affected teeth were treated with GH after SCR. Participants answered the Child Perceptions Questionnaire (CPQ11?14) prior to their dental treatment and 6 months after the treatment. Results: Of the fifty-five patients, 40 patients (24 girls-16 boys) completed baseline and follow-up data. The mean age of the children was 11.85 +/- 1.02 years. The overall CPQ score ranged from 3-83 (average 33.27 +/- 16.46) at baseline and 0-61 (average 11.67 +/- 11.21) at follow up. The emotional well-being among children was the highest score at baseline. A significant decrease (p < 0.001) in the mean values was observed for both the overall CPQ scores and for the scores of the oral symptoms, functional limitations, and social-emotional well-being limitation. All subdomains showed large effect sizes and oral symptom limitation domain presented the greatest effect. Wilcoxon Rank test was used to determine the statistical significance of the changes and the magnitude of change was determined by calculating and classifying the effect size. Conclusion: Restorative treatment with GH following selective caries removal positively influenced the oral health -related quality of life of children with severe molar-incisor hypomineralisation.
Open Access
Is there an association between molar incisor hypomineralization and developmental dental anomalies? A case-control study
(2023-12-01) ŞEN YAVUZ, BETÜL; KARGÜL, BETÜL; ŞEN YAVUZ B., SEZER B., Kaya R., Tuğcu N., KARGÜL B.
Background: The aim of this study was to determine whether there is any association between molar incisor hypomineralization and developmental dental anomalies. Methods: Two pediatric dentists evaluated panoramic radiographs of 429 children aged 8–14 years with molar incisor hypomineralization (study group) and 437 children without molar incisor hypomineralization (control group) in terms of developmental dental anomalies. Twelve different developmental dental anomalies were categorized into four types: size (microdontia, macrodontia); position (ectopic eruption of maxillary permanent first molars, infraocclusion of primary molars); shape (fusion, gemination, dilaceration, taurodontism, peg-shaped maxillary lateral incisors); and number (hypodontia, oligodontia, hyperdontia) anomalies. Results: No significant difference was observed in the frequencies of developmental dental anomalies between the study and control groups in total, females, and males (p > 0.05). A statistically significant difference was found between the distribution of developmental size, position, shape, and number anomalies between the study and control groups (p = 0.024). The most common anomaly in both groups was hypodontia (6.3% and 5.9%, respectively). There was a significant difference between the study and control groups in terms of subtypes of shape anomaly in all children and females (p = 0.045 and p = 0.05, respectively). Conclusions: While a significant difference was observed between the distributions of types of developmental dental anomalies between individuals with and without molar incisor hypomineralization, there was no difference in terms of the frequency of developmental dental anomalies.