Evaluation of bone changes on dental panoramic radiography using mandibular indexes and fractal dimension analysis in children with familial Mediterranean fever.

AIM: It was aimed to evaluate the bone microarchitecture of children with FMF in the city of Tokat, where the disease is highly prevalent, in Turkey, one of the countries where familial Mediterranean Fever (FMF) disease is the most common, using mandibular indexes and fractal dimension analysis on panoramic radiography. METHODS: In this retrospective study, the results were evaluated and compared using the mandibular cortical index (MCI), the mental index (MI), the panoramic mandibular index (PMI), and the fractal dimension analysis of six different regions (condyle, angulus, and interdental) on dental panoramic radiographs in 124 children with FMF and 124 healthy children. The data were analyzed using the IBM SPSS V23. RESULTS: The distribution of MCI in children with FMF was similar to the control group (p > 0.05). The mean MI (3.59) values in FMF patients were statistically higher than the control group (p = 0.016). No statistically significant difference was found in PMI between the patients with FMF and the control group (p > 0.05). No statistically significant difference was found between the mean fractal dimension (FD) values according to the groups (p > 0.05). CONCLUSION: Trabecular bone microarchitecture of children with FMF is similar to healthy children. There is no correlation between the duration of colchicine use and bone microarchitecture.

Comperative evaluation of Nolla, Willems and Cameriere methods for age estimation of Turkish children in the Central Black Sea Region: A preliminary study.

PURPOSE: Since dental age estimation methods' accuracy and reliability levels differ in each society, the method should be appropriate for societies. This study aims to evaluate the applicability of Nolla, Willems, and Cameriere methods to Turkish children in the Central Black Sea Region. MATERIAL AND METHOD: This study was conducted based on the panoramic radiographs of 400 children between the ages of 6-14 years admitted to Tokat Gaziosmanpasa University Faculty of Dentistry, Department of Pediatric Dentistry for examination between 2016 and 2020. Nolla, Willems, and Cameriere methods estimated dental age on the selected panoramic radiographs. While 14 teeth in the left mandible and maxilla were evaluated for Nolla method, seven teeth in the left mandible were evaluated for Willems and Cameriere methods. Data were analyzed using IBM SPSS V23. The Pearson correlation coefficient was used to analyze the relationship between the chronological age (CA) and dental age (DA), and the paired sample t-test was used to analyze the difference. RESULTS: A statistically significant difference was found between CA-Nolla dental age (p = 0.002), CA-Willems dental age (p < 0.001), and CA-Cameriere dental age (p = 0.033) in boys. The mean differences between dental age and chronological age in boys were -0.24 years in the Nolla method, +0.49 years in Willems method, and -0.17 years in the Cameriere method. A statistically significant difference was found between CA-Nolla dental age (p = 0.001) and CA-Willems dental age (p < 0.001) in girls. The mean differences between dental age and chronological age in girls were -0.27 years in the Nolla method, +0.76 years in the Willems method, and -0.1 years in the Cameriere method. CONCLUSION: In this study method providing closest estimation for chronological age among children aged 6-14.99 that were examined in Central Black Sea Region, was the Cameriere method in both girls (79.9%) and boys (80.6%), followed by Nolla method and Willems method, respectively.

Comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial.

BACKGROUND: Pain control during dental procedures is one of the most important topics related to behavior management in children. This study aims to compare the pain perception associated with a needle-free system (Comfort-In™) and the dental needle method during filling and pulpotomy treatments in children. METHODS: The study included teeth that required treatment (pulpotomy or filling treatment) in 56 patients aged 4 to 11 years with no systemic problems or history of allergy. Patients were randomly divided into the needle-free system group (filling treatment, n = 13; pulpotomy, n = 15) and dental needle method group (filling treatment, n = 14; pulpotomy, n = 14). For pulpotomy and filling treatment performed with 0.3 mL anesthesia, the active ingredient of which is 2% lidocaine and 1/80000 epinephrine. The patients' behavior before the procedure was evaluated by a pediatric dentist using the Frankl Behavior Scale. The pain intensity was assessed Immediately after injection (induction), during treatment (treatment), and at the end of the treatment (post treatment) by the Wong-Baker Faces Pain Scale. RESULTS: The median (IQR-InterQuartile Range) induction pain value was 6[3-8] and 2[0-4] in dental needle method and needle-free system respectively, p < 0.001). In filling and pulpotomy treatment group, no difference between the needle and needle-free group for treatment and post-treatment pain values. CONCLUSIONS: For pulpotomy and filling treatment, needle-free system performed with 0.3 mL anesthesia was found as effective as infiltrative anesthesia with a dental needle method. TRIAL REGISTRATION: ClinicalTrials.gov , NCT04653974 . Registered 4 December 2020 - Retrospectively registered.

Analysis of tweets on toothache during the COVID-19 pandemic using the CrystalFeel algorithm: a cross-sectional study.

BACKGROUND: Reasons such as the lack of information on the COVID-19 disease, lack of proven treatment for it, uncertainty about the duration of the pandemic, or social isolation affect people's mental health. This study aimed to analyze the emotional type and intensity in tweets on toothache posted during the COVID-19 pandemic. METHODS: Using the Twitter Search API, we collected tweets in English associated with the keywords "Corona, Toothache" "Corona, Tooth, Pain" "Corona, Dental Pain" "Covid-19, Toothache" "Covid-19, Tooth, Pain" and "Covid-19, Dental Pain" posted between March 11, 2020 and June 30, 2020 all around the world. After the relevant inclusion and exclusion criteria were applied, 426 posts were selected and analyzed using the CrystalFeel algorithm, a sensitivity analytical technology with proven accuracy. The chi-square test (SPSS v23, IBM) was used to compare emotions and emotional intensities according to the words used. RESULTS: It was determined that 80.3% of the participants experienced fear and 61.7% had a negative emotional intensity. There was no statistically significant difference between the distributions of emotions according to the words without time distinction (p = 0.136). There was a statistically significant difference between the distributions of emotional intensity according to the words without time distinction (p = 0.006). The keyword "Corona, Toothache" was used the most frequently by 30.8% of the participants. CONCLUSIONS: This study is the first to analyze the emotional reactions of individuals who experienced toothaches during the COVID-19 pandemic using the CrystalFeel algorithm. Monitoring the social media posts of individuals experiencing toothache during the pandemic will help reduce fear and anger emotions and design public information messages that are compatible with the target group's needs.

The pain colour of children with toothache in Turkish population.

BACKGROUND: Toothache is a common consequence of untreated caries, predisposed by poor oral hygiene and high caries risk. Most children expressed their pain through their parents or carers. The aim of this study was to determine the colour of pain presence and absence. METHODS: Patients aged between 4 and 14 and referred to a dentist for the first time due to toothache had a short-term pain of 1 month caused by deep cavities. The children chose paintings from the box of 24 standard colours (Crayola, Spain) and the circles were painted. Pain was rated by children on the Visual Analoge Scale. Normality and variance were tested using the one-sample Kolmogorov-Smirnov test. Associations were performed by using the Pearson correlation coefficient. Analyses were completed by using the Statistical Package for Social Sciences (SPSS Inc., Chicago, IL) version 20.0 program. RESULTS: A total of 147 patients including 78 girls (53.1%) and 69 boys (46.9%) were included in the study. The principal component analysis showed that red has the highest factor loading in children with pain, whereas yellow was the other highest one in children without pain. CONCLUSION: The presence of pain was mainly associated with red, and the absence of pain was associated with yellow in Turkish population. Description of pain with colour can be useful tool to recognize the children and to improve dentist-patient or dentist-parents communication.

Are Environmental Factors Effective in Congenitally Missing Teeth? A Multicenter Study

Abstract Objective: To examine the prevalence of congenital absence of permanent teeth other than third molar teeth in non-syndromic children in the Black Sea and Mediterranean Regions of Turkey, and the correlation between gender and distribution sites in the jaws. Material and Methods: Panoramic radiographs and clinical records of 9831 children (5025 girls, 4806 boys) in the Mediterranean Region and 11372 children (5540 girls, 5832 boys) in the Black Sea region were examined. All panoramic radiographs were evaluated by a dentist. The permanent tooth, which was not seen in radiography, was recorded as a congenitally missing tooth, and the fact that the tooth was not extracted was confirmed by treatment records. The data were statistically evaluated by Chi-Square and t-test Results: The prevalence of congenitally missing permanent teeth was 2.8% (3.52% in girls, 2.5% in boys) in the Mediterranean region and 1.63% (1.82% in girls and 1.45% in boys) in the Black Sea region. Congenitally missing permanent teeth were observed more in the maxilla compared to mandible. The teeth that most frequently have congenitally missing permanent teeth in the Mediterranean Region are mandibular second premolars, maxillary lateral incisors and maxillary second premolars, respectively. The teeth that most frequently have congenitally missing permanent teeth in the Black Sea region are mandibular second premolars, maxillary second premolars and maxillary lateral incisors, respectively. Most of the patients had one or two teeth missing, and the lack of three or more teeth was rare Conclusion: In this study, which is performed in different climatic characteristics of Black Sea and Mediterranean Regions, the frequency of congenitally missing teeth is similar.