Browsing by Author "Kaplan, V."
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Article The Effect of Hypertension And/Or Diabetes on Blood Pressure and Heart Rate Changes in Patients Undergoing Oral Surgeries(Yuzuncu Yil Universitesi Tip Fakultesi, 2019) Cigerim, L.; Kaplan, V.The aim of this study was to evaluate the effect of hypertension and/or diabetes on systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) changes of individuals during oral surgeries. This randomized observational study was conducted on patients undergone oral surgical procedures. The individuals were divided into 3 systemic disease groups. The group 1 consisted of only individuals with hypertension, the group 2 included individuals with hypertension and diabetes, and the group 3 consisted of only individuals with diabetes. Initial and final SBP, DBP and HR measurements according to age, gender and body mass index (BMI) between groups were analy zed statistically. The statistical significance level was set at p<0.05. Of the 414 patients aged 18-82 years included in the study, 38.2% were male and 61.8% were female. Outcomes of 271 patients undergone surgical procedures; the DBP change of the patients in the group 3 were significantly lower than that of those in the group 1 (p<0.01). The HR change of the patients in the group 1 was significantly higher than that of the patients in the groups 2 and 3 (p<0.05). The increase in the SBP of the patients in the group 2 was higher than that of the patients in the group 3 in patients under the age of 50 years (p<0.05). In the literature, there was no study that evaluated the change in blood pressure and heart rate during surgery in diabetic patients. Hypertension, diabetes, individual factors like BMI and age were effective in SBP, DBP and HR changes. © 2019, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.Article Evaluation of Dental Anxiety in Patients Undergoing Second-Stage Surgery With Er, Cr: Ysgg Laser Treatment: Randomized Clinical Trial(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Tunç, S.K.; Yayli, N.Z.A.; Talmaç, A.C.; Feslihan, E.; Kaplan, V.Oral surgical procedures cause high-pain expectation and consequent anxiety in patients. The aim of this study is to compare the effects of Er, Cr: YSGG laser and scalpel method on dental anxiety level during second-stage implant surgery. 96 patients with 304 osseointegrated implants were divided into two groups. Implants embedded under the oral mucosa were exposed with scalpel or laser surgery. Before the operation the patients were asked to fill the STAI and DAS while resting in the waiting room. In addition, postoperative daily analgesic use, VAS scores perioperativly and on the postoperative 1st, 2nd and 3rd days and demographic information such as age and gender were also recorded. There was no statistically significant relationship between surgical method and anxiety levels (p>0.05. Also, the differences between the scalpel and laser groups in terms of total DAS and STAI scores were statistically insignificant (p>0.05). But statistically significant difference was found between surgical method and the analgesic consumption (p<0.05). A higher rate of analgesic consumption was observed in the scalpel group. The use of Er,Cr;YSGG laser could reduce pain during minor oral surgical procedures but had no significant effect on dental anxiety. Different modalities that could provide additional benefits in overcoming this situation should be investigated. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.