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Metaphorical perceptions of dental students toward dental education: a cross-sectional study from Türkiye

Aksu, Seçkin | Erturk-Avunduk, Ayse Tugba

Background Understanding the complex, multifaceted, and often subconscious emotional and cognitive perspectives of undergraduate dental students regarding their education is crucial. Personality types and stress levels are believed to play a significant role in shaping these perceptions. Employing metaphors—using a familiar and concrete concept to explain an unfamiliar or abstract one—is an effective cognitive transfer technique for exploring students’ views on dental education. This cross-sectional study aims to investigate dental students’ perceptions of their education through metaphor analysis. Additionally, it aims to examine the relationship between students’ personality types and stress levels, offering deeper insights into the factors influencing their educational experiences. Methods This cross-sectional study included 1038 undergraduate dental students enrolled in faculties of dentistry at three universities in Türkiye during the 2023–2024 academic year. Data were collected via an electronic survey consisting of four sections. The first section gathered demographic information (gender, age, academic level, and occupational preference). In the second section, participants completed the sentence: “Dental education is similar to … because …” to illustrate their mental r...

Yapay zeka sohbet robotlarının ‘diş hekimliğinde flor’konusu ile ilgili sorulara verdikleri yanıtların değerlendirilmesi

Aksu, Seçkin | Bakır, Fatma Ayça

Amaç: Bu çalışmanın amacı, ‘diş hekimliğindeki flor’ konusuyla ilgili sıkça sorulan sorulara farklı yapay zeka sohbet robotları tarafından sağlanan bilgilerin doğruluk, eksiksizlik, güvenilirlik-kalite ve okunabilirlik yönünden değerlendirilmesidir. Yöntem: Diş hekimliğinde flor uygulamaları hakkında sık sorulan açık uçlu 15 soru ChatGPT 4.0, ChatGPT 4.10, Copilot, Gemini ve Perplexity platformlarına yöneltildi. Tüm sorular yalnızca bir kez, aynı bilgisayar IP adresinden ve aynı sabit fiber internet ağı kullanılarak soruldu. Doğruluk ve eksiksizlik için Likert Ölçekleri, kalite ve güvenilirlik için mDISCERN ölçeği ve okunabilirlik için Ateşman Okunabilirlik İndeksi değerlendirme ölçütü olarak kullanıldı. İstatistiksel analizde Fisher’s Exact Testi, Kruskal Wallis Testi, Dunn Testi ve Mann Whitney U Testi kullanıldı. Bulgular: Likert Doğruluk ve Eksiksizlik Ölçekleri ortanca değerlerine göre; Gemini> Perplexity> ChatGPT 4.10> ChatGPT 4.0> Copilot şeklindedir (p=0.016), (p=0.002). mDISCERN indeksine göre sıralama; Perplexity= Gemini> ChatGPT 4.10> ChatGPT 4.0> Copilot şeklindedir (p=0.008). Tüm yapay zeka sohbet motorlarının verdiği cevaplar ortalama orta zorlukta okunabilirlikte iken; Gemini ile Perplexity arasında istatistiksel anlamlı farklılık vardır (p=0.010). Sonuç: ‘Diş h...

Association between serum cytokine levels with pulp necrosis and apical periodontitis in sickle cell disease

Aksu, Seçkin

This study’s objective was to assess the relationship between serum cytokine levels and the occurrence of pulp necrosis (PN) and apical periodontitis (AP) in adolescents with Sickle Cell Disease (SCD). A total of 52 adolescents, including 29 individuals diagnosed with SCD, participated in the study. Serum cytokine levels including IL-1, IL-2, IL-4, IL-6, IL-1β, IL-8, IL-10, IL-17, and TNF-α were analyzed. Radiological and intraoral dental examinations were conducted on the same day. Electric pulp testing and cold tests were conducted on all intact crowned teeth to assess the presence of PN. Periapical index scores were derived from panoramic and periapical radiographs to identify teeth exhibiting AP. Statistical analyses were carried out using Student’s t-test, Chi-square test, Spearman correlation test, and the Mann–Whitney U test. In the SCD group, the levels of IL-2, IL-4, IL-6, IL-8, IL-17, and TNF-α were significantly higher compared to the control group (p 

Evaluation of pediatric dentists knowledge and approaches to tooth discoloration

Aksu, Seçkin

In recent years, esthetic expectations have come to the fore in pediatric dentistry, as in every field of dentistry. Therefore, to better meet patients’ expectations, the steps taken to determine and improve the current level of knowledge of pediatric dentists on tooth discoloration gain importance. This study aims to measure the knowledge levels of pediatric dentists regarding tooth discoloration. A 33-questioned survey created online was emailed to pediatric dentists between March and December 2021. The first part included four multiple-choice and two open-ended questions regarding demographic characteristics. The second part was to measure the participants’ knowledge of tooth discoloration. The last part was to evaluate the clinical approaches of the participants. Participants who agreed to answer all of the questions were included in the study (n= 129). The knowledge levels of the participants were scored according to the accuracy of their answers. The data were statistically analyzed using descriptive statistics and chi-square tests. Of the pediatric dentists who participated in this study, 16.3% had high knowledge, 79.8% had medium knowledge, and 3.9% had insufficient understanding of tooth discoloration. There was no correlation between time since dental school graduation ...

Shear bond strength of calcium silicate-based cements to glass ionomers

Aksu, Seckin

Background A shear bond strength between the biomaterial and restorative material is crucial for minimizing bacterial microleakage and ensuring a favorable long-term prognosis for vital pulp therapy. This study aimed to conduct a comparative evaluation of the shear bond strength between calcium silicate-based biomaterials utilized in vital pulp treatment and various glass ionomer cement materials, both with and without the application of adhesive agents. Methods A total of 270 acrylic blocks, each featuring cavities measuring 4 mm in diameter and 2 mm in depth, were prepared. Calcium silicate-containing biomaterials (ProRoot MTA, Medcem Pure Portland Cement, and Medcem MTA), following manufacturers' instructions, were placed within the voids in the acrylic blocks and allowed to set for the recommended durations. The biomaterial samples were randomly categorized into three groups based on the restorative material to be applied: conventional glass ionomer cement, resin-modified glass ionomer cement, and bioactive restorative material. Using cylindrical molds with a diameter of 3.2 mm and a height of 3 mm, restorative materials were applied to the biomaterials in two different methods, contingent on whether adhesive was administered. After all samples were incubated in an oven ...

The osteoinductive potential of different root-end filling materials in a rat femur model

Aksu, Seckin | Kucuk, Ayse Ozcan

In pediatric dentistry, the enduring success of root-end filling materials employed for the establishment of apical plugs in immature teeth undergoing endodontic intervention is contingent upon their possessing a robust osteoinductive capacity. Hence, the primary objective of this study was to histologically assess the osteoinductive potential of four distinct dental materials, specifically recommended for retrograde filling applications, utilizing an animal hard tissue model. Within the designed experimental model, two bone defects measuring 2 mm in diameter and 2 mm in depth were created in both femurs of a cohort comprising 21 male Wistar albino rats. The first defect in the right femur was left blank as the control group, and Neo MTA Plus was placed in the second defect. The EndoSequence BCRRM Fast Set Putty was placed in the first of the defects on the left femur, and Endo Repair was placed in the second defect. Subjects were sacrificed after 7, 14, and 28 days of follow-up, and sections were examined to assess the degree of inflammation, connective tissue formation, and new bone formation. The data were statistically evaluated with Kruskal-Wallis and post hoc Dunn's tests using SPSS 12 software. The bone healing levels of the Neo MTA Plus group were significantly highe...

Evaluation of Attitudes and Behaviors of General and Pediatric Dentists in Türkiye Towards Pediatric Patients: A Survey Study

Aksu, Seçkin

Aim: The present study aimed to evaluate general and pediatric dentists' attitudes and behaviors toward pediatric patients in Türkiye. Method: This cross-sectional survey was conducted between October 2019 and February 2020. The questionnaire form consists of multiple-choice and open-ended questions. Standard descriptive statistics were conducted. A chi-square test was used to compare the groups. Findings: General dentists exhibit limited utilization of radiography procedures, tend to prescribe fluoride tablets more frequently, while also demonstrating infrequent application of placeholders and child prostheses (p

Does childhood chemotherapy affect mandibular bone structures in a lifetime?

Aksu, Seckin

Background. Chemotherapy, one of the most important treatment modalities for treating childhood cancers, is a major cause of bone loss in patients and survivors.Objectives.This study aimed to evaluate mandibular bone structures in childhood cancer survivors (CCSs) by means of fractal dimension (FD) analysis and the Klemetti index (KI), and to compare them with regard to the control group.Material and methods. In this retrospective study, the panoramic radiographs of 49 CCSs were included as the study group and the panoramic radiographs of 49 cancer-free volunteers were included as the control group. Based on the panoramic radiographs, FD and KI were determined.Results. No significant differences were observed between the study and control groups in terms of mean FD values for regions of interest (ROIs) ROI_1, ROI_2 and ROI_3 (p = 0.750, p = 0.490 and p = 0.910, respectively). The mean FD values for ROI_1 for the study and control groups were 1.08 +/- 0.18 and 1.07 +/- 0.14, respectively. The mean FD values for ROI_2 for the study and control groups were 1.11 +/- 0.13 and 1.09 +/- 0.13, respectively. The mean FD values for ROI_3 for the study and control groups were 1.15 +/- 0.14 and 1.15 +/- 0.15, respectively. Statistically significant differences between the study and control g...