Browsing by Author "Feslihan, Erkan"

Now showing 1 - 7 of 7

0-12 Yaş Aralığında Çocuğu Olan Annelerin Antibiyotik Kullanımı Konusunda Bilinç Düzeylerinin Değerlendirilmesi
(2019) Feslihan, Erkan; Tunç, Serap Keskin
Giriş: Antibiyotiklerin yaygın ve uygun olmayan şekilde kullanımıdünya genelinde antibiyotiklere karşı direnç gelişiminin başlıcasebebi olarak görülmektedir. Bu çalışmada; annelerin dentalenfeksiyonlar için reçete edilen antibiyotiklerin kullanımıkonusundaki bilinç düzeylerinin sosyodemografik faktörler ileilişkisini araştırmak amaçlandı.Gereç ve Yöntem: Çocuklarının dental şikâyetleri için kliniğimizebaşvuran annelere antibiyotik kullanımı konusunda bilinc du zeyinio lc meyi amac layan bir deg erlendirme formu uygulandı. Ayrıcaannelerin sosyokültürel seviyeleri, yaşları, eg itim seviyelerini dedeg erlendirmeyi amaçlayan sorular soruldu. Verilerin analizinde,nicel değişkenler için aritmetik ortalama ve standart sapma, niteldeğişkenler için ise frekans ve yu zde dag ılımlar ile ki-kareye dayalıc apraz tablolardan yararlanıldı.Bulgular: Ankete katılan 114 annenin yas ortalaması 35.07±6,49olarak bulundu. Annelerin %74,6’sı ev hanımı %25,4’ü ise çalışananneydi. Annelerin o g renim durumlarının dag ılımı %37,7 ilkokul,%31,6 ortaokul, %18,3 lise ve %12,3 ise u niversite seviyesindeydi.Gereksiz antibiyotik kullanımı konusunda bilgi sahibi olupolmadıklarını o g renmeye yo nelik sorulan soruya annelerin 63’üevet 51’i ise hayır cevabını vermis ti. O g renim du zeyi ile bu ifadearasında istatistiksel olarak anlamlı ilis ki bulundu (p<0.001). İlk veortaokul seviyesindeki annelerde hayır cevabı verenlerin oranlarısırasıyla %65,1 ve %52,8 iken tam tersine lise ve üniversitemezunu anneler sırasıyla %85,7 ve %92,9 oranında evet yanıtınıvermişlerdi. Ayrıca gereksiz antibiyotik kullanımı ile ilgili soruyaçalışan ve çalışmayan annelerin verdiği yanıtlar arasında daistatistiksel olarak anlamlı ilis ki bulundu (p<0.05).Sonuç: Ebeveynlerin ag ız sag lıg ı ve dental enfeksiyonlarkonusunda daha fazla bilgilendirilmesi ve akılcı antibiyotikkullanımına yo nelik bilgi du zeyinin arttırılması ic in o ncelikli olarakannelerin eg itimine o nem verilmesinin gerektig ini du s u nmekteyiz.Hekimlerin çocuklara antibiyotik rec ete ederken annelerin ilaçlarınetkinlig i ve gereksiz antibiyotik kullanımı konusundabilgilendirmeleri, direnc ve yan etki gelişme riskini azaltabilecektir.
Clinical Comparison of the Use of Er,cr:ysgg and Diode Lasers in Second Stage Implant Surgery
(Saudi Med J, 2019) Tunc, Serap K.; Yayli, Nazli Z.; Talmac, Ahmet C.; Feslihan, Erkan; Akbal, Damla
Objectives: To compare the effects of diode and erbium, chromium: yttrium-scandium-gallium-garnet (Er,Cr:YSGG) lasers in second-stage implant surgery applications. Methods: This is a cross-sectional study that was carried out on patients who received implant treatment at the Departments of Oral and Maxillofacial Surgery and Periodontology, Van Yuzuncu Yil University, Van, Turkey between January 2017 and January 2018. Implants of the patients in the first group (n=20) were exposed with 940 nm Ga-Al-As diode laser while the implants of the second group (n=20) were uncovered with 2780 nm Er,Cr:YSGG laser in the second-stage surgery. Visual analogue scale (VAS) values during day 0 and following the operation on days 1, 2, 3 intraoperative bleeding grades, number of analgesics used in the postoperative period, operation time per implant, and postoperative complications were recorded. Results: When gender, smoking, the presence of systemic disease, toothbrushing frequency, analgesic use, bleeding and complications observed at the control session were analyzed, no statistically significant relationship was found between the 2 groups. It was observed that males had statistically significant higher VAS values than females (p<0.05). Conclusion: Since diode lasers are more economical, smaller, and can meet the clinical needs of clinicians, it is likely that these lasers may be the preferred choice of the clinicians in surgical procedures.
Effect of a Single Dose of Deflazacort on Postoperative Pain, Swelling, and Trismus After Impacted Lower Third Molar Surgery: Randomised Clinical Trial
(Mdpi, 2024) Kaplan, Volkan; Cigerim, Levent; Feslihan, Erkan; Cigerim, Saadet Cinarsoy
Background and Objectives: The aim of this study was to investigate the efficacy of a single preoperative dose of deflazacort on pain, swelling, and trismus after impacted lower third molar surgery. Materials and Methods: This randomised, prospective, double-blind, split-mouth clinical study included 26 healthy individuals with bilaterally impacted lower third molars. Group 1 was given a placebo (single-dose vitamin C tablet), and group 2 was given a single 30 mg dose of deflazacort 1 h prior to surgery. Pain was evaluated using the visual analogue scale for 1 week postoperatively. Oedema (in mm) and trismus (in mm) were evaluated preoperatively and on postoperative days 2 and 7. The Mann-Whitney U test was applied for group analyses. p values < 0.05 were considered statistically significant. Results: Postoperative pain scores were significantly lower in the deflazacort group at the 6th and 12th hours after surgery (p < 0.05). There were no significant differences in trismus between the groups at any time point (p > 0.05). There was less oedema in the deflazacort group on postoperative days 2 and 7, without any statistically significant difference (p > 0.05). Conclusions: A single preoperative dose of 30 mg deflazacort was found to be clinically effective in reducing pain and oedema after extraction of impacted lower third molars.
The Effect of Body Mass Index on Blood Pressure and Heart Rate in Patients Undergoing Tooth Extraction
(Kerman Univ Medical Sciences, 2019) Cigerim, Levent; Feslihan, Erkan
BACKGROUND AND AIM: Alterations in blood pressure (BP) and variability of heart rate (HR) throughout dental procedures were not clearly understood. The aim of this study is to evaluate the effects of body mass index (BMI) on BP and HR in patients undergoing tooth extraction. METHODS: Based on BMI, 831 patients who underwent single tooth extraction were divided into two groups; group 1: underweight and normal-weight patients, group 2: overweight and obese patients. BP and HR were monitored before local anesthesia and after tooth extraction. For statistical analysis of the data, Number Cruncher Statistical System (NCSS) 2007 program was used. Mann-Whitney U test and Student's t-test was used for comparing the differences between groups. RESULTS: The initial and final BP measurements of overweight and obese patients were found to be significantly higher than underweight and normal-weight patients (P < 0.01). There was no statistically significant difference between groups in terms of initial and final HR measurements (P > 0.05). CONCLUSION: Overweight and obese patients are more likely to have increased BP; therefore, monitoring of BP and HR during tooth extraction is crucial in this group of patients to prevent possible complications.
Evaluation of the Efficacy of Topical Rifamycin Application on Postoperative Complications After Lower Impacted Wisdom Teeth Surgery
(Elsevier, 2024) Cigerim, Levent; Orhan, Zeynep Dilan; Kaplan, Volkan; Cigerim, Saadet Cinarsoy; Feslihan, Erkan
Purpose: This study aimed to evaluate the efficacy of a single-dose topical rifamycin application on postoperative complications after impacted lower third molar surgery. Materials and methods: This prospective, controlled clinical study consisted of individuals with bilaterally impacted lower third molars that would be extracted for orthodontic reasons. The extraction sockets were irrigated with 3 ml/250 mg of rifamycin solution in Group 1, while in Group 2 (control group) the extraction sockets were irrigated with 20 ml of physiological saline. Pain intensity was measured daily for 7 days by using visual analog scale. Trismus and edema were evaluated preoperatively and on the postoperative days 2 and 7 by calculating the proportional changes in maximum mouth opening and mean distance between reference points of the face, respectively. Paired samples t-test, Wilcoxon signed rank test and Chi-square test were used to analyze the study variables. Results: 35 patients (19 female, 16 male) were included in the study. The mean age of all participants was 22.19 4.98. Alveolitis was observed in 8 patients, (6 in the control group, 2 in the rifamycin group). There was no statistically significant difference between groups in terms of trismus and swelling measurements on the 2nd and 7th postoperative days (p>0.05). VAS scores were significantly low in rifamycin group on postoperative days 1 and 4 (p<0.05). Conclusion: Within the limits of the present study, topical rifamycin application reduced the incidence of alveolitis, prevented infection, and provided analgesic effect after surgical removal of impacted third molars. (c) 2023 Elsevier Masson SAS. All rights reserved.
Temporomandibular Eklem Rahatsızlıklarının Tedavisinde Düşük Seviyeli Lazer Terapi Uygulaması: Literatür Derlemesi
(2017) Feslihan, Erkan; Eroğlu, Cennet Neslihan
Temporomandibular eklem rahatsızlıklarının cerrahi olmayan tedavi seçenekleri arasına son yıllarda düşük seviyeli lazer terapisi de eklenmiştir. Etkinliği konusunda farklı sonuçlara ulaşılırken, farklı uygulama teknikleri, seans sayıları ve lazer parametrelerindeki farklılık literatürde halen standart bir lazer protokolü oluşmadığını göstermektedir. Bu literatür derlemesinde temporomandibular eklem rahatsızlıklarının tedavisinde 2005-2016 yılları arasında yapılan düşük seviyeli lazer terapi uygulamalarının sonuçları sunulmuştur
Treatment of Aphthous Ulcers With Photodynamic Therapy: a Randomized Controlled Clinical Study
(Elsevier, 2024) Eroglu, Cennet Neslihan; Feslihan, Erkan; Karaca, Busra; Elasan, Sadi
Background: This study aims to assess whether photodynamic therapy (PDT) offers a clinically effective alternative for treating oral aphthous ulcers, contributing to the ongoing quest for methods to expedite their treatment process amidst the limited understanding of their etiology. Materials and Method: The study involved thirty volunteers with aphthous ulcers, split equally between a control group and a PDT group. Patients in the PDT group received laser treatment using Indocyanine green upon admission, while the control group received no intervention. Lesion diameter was measured at presentation and on the 3rd, 5th, and 7th days for all patients, with wound healing assessed on the 7th day. Additionally, pain levels were evaluated using the Visual Analog Scale (VAS) preoperatively and on the 1st, 3rd, 5th, and 7th days for the PDT group, and on the corresponding days for the control group. Results: Lesion diameters in the PDT group showed a significant reduction over time (p p = 0.001), particularly from preoperative to final measurements. The control group also exhibited a decrease, albeit slower (p = 0.001). The 7th-day healing scores favored the PDT group significantly (p p = 0.012). VAS scores in the PDT group decreased significantly over time (p p = 0.001), indicating pain reduction. A similar trend was observed in the control group, albeit slower. Between-group differences in healing data and pain data were statistically significant. Conclusion: PDT proves effective in reducing aphthous ulcer diameters and pain intensity, facilitating faster healing than the control group. These results advocate for PDT as a viable treatment option for aphthous lesions.