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    Bacteremia incidence in pediatric patients under dental general anesthesia
    (2006) Önçag Ö.; Aydemir Ş.; Ersin N.; Koca H.
    Background. The aim of this study was to assess the incidence of bacteremia from various procedures in children undergoing dental treatment under general anesthesia. Methods. Three blood samples for cultures were obtained from each patient; the first sample (10ml basal) at the onset of the process and the second sample (10ml) within 30 seconds following the nasotracheal intubation. The third blood sample (10ml) was taken 30 seconds after the extraction of a deciduous tooth or a permanent tooth or slow drilling. Following incubation in an automated blood culture system, bacteria were identified by using conventional biochemical methods and commercial identification systems. Chi-square test was used to assess the findings statistically. Results. All blood cultures were negative before intubation (baseline) in every patient. However, the percentage of positive samples in deciduous tooth extraction and permanent tooth extraction groups were 18/26 (69.2%) and 18/25 (72%), respectively. These values were significantly greater than the results of baseline 0/74 (0%), slow drilling 3/23 (13%), and nasotracheal intubation 9/74 (12.3%) (P < .05). Conclusion. Consequently, the patients treated under dental general anesthesia have to be evaluated with detailed physical examination and antibiotic prophylaxis should be given if required in order to prevent further unexpected bacterial endocarditis. © 2006, the Authors; Journal compilation © 2006 Blackwell Publishing, Inc.
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    Comparison of conventional versus colored compomers for class II restorations in primary molars: A 12-month clinical study
    (2010) Ertugrul F.; Cogulu D.; Özdemir Y.; Ersin N.
    Objective: To evaluate the 12-month clinical performance of conventional (Compoglass F) and colored (Twinky Star) compomer restorative materials in class II restorations of primary molars. Materials and Methods: A total of 196 restorations were placed in 98 children aged between 5 and 10 years (mean age: 7.43 ± 1.31 years) who had bilateral matched pairs of carious posterior class II primary molars. A split-mouth design was used in which 2 materials (Compoglass F, Twinky Star) were randomly placed on contralateral sides by 3 dentists. At baseline, after 6 and after 12 months, the restorations were evaluated using modified US Public Health Service criteria for: secondary caries, marginal integrity, marginal discoloration, anatomic form and surface texture. The Alpha and Bravo scores were considered as clinical success. The data were subjected to statistical analysis by the Wilcoxon and McNemar tests (p < 0.05). The Kaplan-Meier survival method was applied to estimate survival percentages. Results: No significant difference was found among the groups at all recalls regarding marginal integrity, marginal discoloration, anatomic form, secondary caries and surface texture. The 12-month mean cumulative survival rate of Compoglass F was 95.7%, while in the Twinky Star group, the survival rate was 93% in class II restorations with no significant difference between the groups for either material. Conclusion: Both conventional and colored compomer materials are suitable restorative materials for primary teeth for at least 12 months. Colored compomers could also be a good alternative to tooth-colored compomers in the restoration of primary molars. © 2010 S. Karger AG, Basel.
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    Comparison of inferior alveolar nerve block and intraligamentary anesthesia on the discomfort of children
    (2012) Tekin U.; Ersin N.; Oncag O.; Bent B.; Menderes M.; Kocanali B.
    Intraligamentary anesthesia(ILA) can be an alternative to inferior alveolar nerve block(IANB) for the extraction of primary molars. To evaluate the effects of ILA and IANB on the discomfort of children during the extraction of mandibulary first primary molars. A single-blind, randomized split mouth study. Twenty-nine healthy children participated in this study. Dental Subscale of Children's Fear Survey Schedule(CFSS-DS) was used to evaluate the dental fear of children. Visual analog scale(VAS) scores of both ILA and IANB groups were recorded during the injection procedure. Heart rate values were recorded during the injection, decollement and extraction periods. Pain perceptions of children were evaluated with sound, eye and motor (SEM) scale by two trained observers during the injection and extraction procedures. The mean CFSS-DS score (22.86±5.829) did not indicate significant dental fear. Altough VAS scores of IANB was higher than ILA, there was no statistically significant difference between them (p>0.05). A significant higher mean SEM score for IANB group was recorded in comparison to ILA during both injection and extraction periods (p<0.05). There were no statistically significant differences in heart rate during different procedures between two groups (p>0.05). Statistical analyses were performed using the SPSS 18.0 for Windows. Chi Square test, variance analysis and Wilcoxon signed ranks tests were used. ILA provides effective local pain control and may be an alternative method especially for children.
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    Does casein phosphopeptid amorphous calcium phosphate provide remineralization on white spot lesions and inhibition of Streptococcus mutans?
    (2014) Aykut-Yetkiner A.; Kara N.; Ateş M.; Ersin N.; Ertuğrul F.
    OBJECTIVE: The aim of this study was to evaluate the remineralization effect of Casein Phosphopeptid Amorphous Calcium Phosphate (CPP-ACP) on white spot lesions (WSL) and its inhibitory effect on Streptococcus mutans colonization.STUDY DESIGN: The study group consisted of 60 children exhibiting at least 1-WSL. Subjects were randomly divided into 2 groups: a test group of using CPP-ACP cream (Tooth Mousse, GC Europe N.V., Leuven, Belgium) and a control group using only fluoride containing toothpaste for a period of 3-months. Baseline WSLs were scored using DIAGNOdent device (KaVo Germany) and the saliva samples were collected to measure S. mutans counts. After the 3-month period the WSLs were again recorded and the saliva sample collection was repeated. Wilcoxon Signed Ranks Test was used for statistical analysis.RESULTS: DIAGNOdent measurements were increased by time (p = 0.002) in control group and no statistically significant diference (p = 0.217) was found in test group by the 3-month period. In both groups, the mutans counts were decreased in 3-month experimental period.CONCLUSIONS: These clinical and laboratory results suggested that CPP-ACP containing cream had a slight remineralization effect on the WSL in the 3-month evaluation period however longer observation is recommended to confirm whether the greater change in WSLs is maintained.
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    Evaluation of high risk university students' knowledge about dental trauma and emergency procedures
    (University of Dicle, 2013) Ersin N.; Ertugrul F.; Oncag O.; Menderes M.; Uzel I.
    Dental trauma is a common consequence of sports practice in individuals competing in all levels of sports. The aim of this study was to evaluate the level of knowledge of dental trauma and emergency procedures among university students attending to School of Physical Education and Sports. A questionnaire was carried on 95 students with a mean age of 23.8 years. The questionnaire surveyed concepts, experiences and behaviors after dental trauma, the knowledge of immediate emergency management and the use of mouthguard. A total of 35.8% students had experienced dental trauma. Most commonly encountered dental trauma was uncomplicated crown fracture (%52.9) and 67.6% of the subjects who experienced dental trauma applied for treatment. Only 34.7% of the students were aware that the avulsed tooth should be reimplanted and 6.3% knew that the avulsed tooth should be maintained in a liquid such as milk, water or mouth. Although most of the students were aware of the possibility of accidents during sports practice, only 8.4% reported to use a mouthguard. This study showed a lack of knowledge in students possesing high risk factors for dental trauma, thus reinforcing the need for educational programmes to improve the knowledge of dental trauma and use of mouthguards.