Browsing by Author "Efe, Nihat"

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Comparison of Knowledge, Awareness, and Behaviors Toward Oral Cancer Among Dental Students and Dentists: an Online Cross-Sectional Questionnaire in Türkiye
(Bmc, 2024) Tunc, Serap Keskin; Toprak, Mehmet Emin; Yuce, Esra; Efe, Nihat; Topbas, Celalettin
Objective This cross-sectional online questionnaire-based study evaluated the knowledge, awareness, and behaviors of dentists and senior dental students regarding oral cancer (OC). Materials and methods This study included 168 dentists and senior dental students who had completed all theoretical educations and clinical practices. An online survey was administered to all participants to assess their awareness of the risk factors for OC, clinical knowledge, and behaviors. The participants' demographic characteristics and knowledge of OC were analyzed. Results Of the participants, 48.8% were female and 51.2% were male. Their mean age was 27.04 +/- 5.56 years (range: 21-51). In addition, 59.5% were dentists, and 40.5% were senior dental students. The dentists' mean time since graduation was 6.38 +/- 5.64 years (range: 1-27). Routine oral mucosa examination for OC was significantly more frequent among the dentists than the senior dental students (p < 0.05). Among all participants, 33% of dentists and 51.5% of senior dental students had poor knowledge of OC-related or possibly predisposing factors. Routine evaluation of OC-related and predisposing risk factors, including human papillomavirus infection, smoking, alcohol use, trauma-related non-healing oral lesions caused by long-term incompatible prostheses, and poor oral hygiene, was significantly more frequent among the dentists than the senior dental students (p < 0.05). Conclusion Educating dental students about a more comprehensive oral examination and early diagnosis of OC would help overcome the current lack of adequate knowledge and attitudes in OC prevention and early detection. A core curriculum compatible with the global standards on OC should be provided to dental students.
Corticosteroid Injection in the Treatment of a Huge-Size Central Giant Cell Granuloma in Children: a Case Report
(Elsevier, 2024) Tunc, Serap Keskin; Efe, Nihat; Ertas, Umit
Central giant cell granulomas (CGCGs) of the jaw are benign intraosseous and osteolytic lesions. Their clinical presentation includes atypical aggressive lesions that cause severe damage early in life, and aggressive treatment is necessary in most cases to prevent recurrence. Curettage is the most preferred therapy, but in recent years, conservative therapy is also commonly used. Corticosteroid injection treatment, a conservative method, was planned for a developing male patient with difficulty in diagnosis and treatment due to the complications of resection. After clinical and radiologic evaluation of the patient, incisional biopsy was performed and the diagnosis of SDHG was made. The patient was treated with intralesional corticosteroids once a week for eight weeks. Since the patient 's treatment was interrupted for 2 months due to the Covid-19 outbreak, 2 doses of intralesional corticosteroid (Sinakort-A 40 mg) were administered and the patient was followed up. At 12 months, clinical and panoramic radiographic examination revealed no pathologic findings related to the lesion. In this article, we report a pediatric case of giant CGCG successfully treated with intralesional corticosteroid injection.
Evaluation of the Effects of Mefenamic Acid and Dexketoprofen on Postoperative Pain, Edema and Trismus in Impacted Wisdom Dental Surgery
(2023) Efe, Nihat; Tunç, Serap Keskin
Gömülü yirmi yaş dişlerin cerrahi çekimi oral cerrahinin en yaygın uygulanan prosedürlerinden biridir. Bu prosedür sıklıkla komplikasyon olarak nitelendirilemeyecek belirgin postoperatif değişikliklere sebep olur. Birçok araştırmacı bu etkileri minimale indirmek için çeşitli çalışmalar yapmışlardır. Bazı çalışmalar postoperatif süreçteki ağrı ve şişliğin yoğunluğunun hastanın memnuniyetiyle doğru orantılı olduğunu göstermiştir. Literatürdeki çeşitli çalışmalar, farklı yönleri entegre ederek veya değiştirerek alt üçüncü molar dişlerinin çekiminden sonra postoperatif dönemi iyileştirmek için; preoperatif antibiyotik kullanımı, farklı flep tasarımları, yüksek veya düşük hızlı aletler kullanan osteotomiler, postoperatif dönemde buz kullanımı ve kortikosteroid kullanımı (hem sistemik hem de oral uygulama yoluyla) gibi farklı terapötik protokolleri kullanmıştır. Oral ve maksillofasiyal cerrahi prosedürlerden kaynaklanan postoperatif ağrı, hemen hemen tüm oral ve maksillofasiyal cerrahilerden sonra ortaya çıkan iyi bilinen bir olgudur. Halihazırda, uygulanan cerrahi işlemden bağımsız olarak optimal analjezi sağlayabilen çeşitli farmakolojik ve farmakolojik olmayan ağrı kesici yöntemler bulunmaktadır. Bir NSAİİ olan Mefenamik asit (MEF), çoğunlukla baş ağrısı, diş ağrısı, ameliyat sonrası ağrı ve doğum sonrası ağrı dahil olmak üzere hafif ila orta şiddette ağrının tedavisinde kullanılır. Kapsüller halinde ticari olarak temin edilebilir. Mefenamik asidin (MEF'in) farmakolojik özellikleri, tipik NSAİİ'lere benzer. Prostaglandin sentezini bloke eden siklo-oksijenazın 2 izoformunu inhibe eder.