Sürdürülebilir Kalkınma Amaçları

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• MakaleAçık Erişim2026Scopus SJRQ1/r/kostu/10619
  Nasal sill resection concomitant with maxillary orthognathic surgery for the management of alar base widening

  Timarcioglu, Goksel; Sen Gursoy, Ozge; Gedik, Ecem; Candirli, Celal

  Background: Alar base widening is a common soft tissue change following Le Fort I osteotomy. Although alar cinch sutures are commonly used to limit this change, their long-term stability remains variable. Nasal sill resection may provide a direct resective option for managing horizontal excess at the alar base; however, its use concomitantly with maxillary orthognathic surgery has not been well described. This retrospective clinical series aimed to describe longitudinal nasal base width changes and patient-reported aesthetic outcomes following nasal sill resection performed concomitantly with maxillary orthognathic surgery. Materials and methods: Twenty-three patients who underwent nasal sill resection concomitantly with maxillary orthognathic surgery under submental intubation between 2018 and 2020 were included. Alar base width was measured from the right and left alar curvature points to the subnasale/midcolumellar point, and total nasal base width was calculated as the sum of both measurements. Measurements were recorded preoperatively (T0), following osteotomy and fixation (T1), following nasal sill resection (T2), and at 1, 3, 6, and 12 months postoperatively. The Rhinoplasty Outcome Evaluation (ROE) questionnaire was administered preoperatively and at 6 and 12 months postoperatively. Repeated measures analyses with Bonferroni correction were used for longitudinal comparisons, and intra-observer reliability was assessed using the intraclass correlation coefficient. Results: The mean preoperative total nasal base width was 39.56 ± 3.12 mm. Following osteotomy and fixation, total nasal base width increased to 47.87 ± 3.64 mm, and after nasal sill resection it decreased to 30.78 ± 2.95 mm. Nasal base width gradually increased during follow-up, reaching 36.61 ± 5.96 mm at 12 months. Although the 12-month value was descriptively lower than the preoperative baseline, this difference was not statistically significant after Bonferroni correction (p = 0.693). ROE scores improved from 10.91 ± 2.68 preoperatively to 17.78 ± 2.54 at 6 months and 18.09 ± 2.27 at 12 months (p < 0.001), with no statistically meaningful difference between the 6- and 12-month follow-ups. No major adverse outcomes related to nasal sill resection were documented during the 12-month follow-up period. Conclusion: In this retrospective clinical series, nasal sill resection performed concomitantly with maxillary orthognathic surgery was associated with maintenance of nasal base width close to the preoperative baseline at 12 months, despite an initial postoperative narrowing. Patient-reported nasal aesthetic scores improved during follow-up. However, because of the uncontrolled retrospective design, limited sample size, and absence of objective functional assessment, these findings should be interpreted as descriptive clinical observations and should be further investigated in prospective controlled studies.

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• MakaleAçık Erişim2026Scopus SJRQ1/r/kostu/10499
  Cognitive-level analysis of dentomaxillofacial radiology questions in the Turkish dentistry specialization examination: a Bloom’s revised taxonomy analysis

  Ocbe, Melisa; Akcay, Hulya Cerci; Gumru, Birsay; Yalcinkaya, Sebnem Ercalik

  Background: Bloom’s revised taxonomy is widely used to evaluate the cognitive level of examination questions. With the growing use of large language models (LLMs), interest has increased in their potential to support cognitive classification. However, evidence comparing LLM-based classification with expert consensus in dental specialty examinations remains limited. This study aimed to analyze the cognitive levels of dentomaxillofacial radiology (DMFR) questions in the Turkish Dentistry Specialization Examination (DUS) and to evaluate the agreement between expert consensus and ChatGPT v5.2. Methods: A total of 130 text-based DMFR questions from the DUS were classified according to Bloom’s revised taxonomy using expert consensus and ChatGPT v5.2. Agreement between classifications was assessed using exact agreement and quadratic-weighted Cohen’s kappa. Results: “Analyze” was the most frequent cognitive level in both expert consensus (41.5%) and ChatGPT classification (44.6%), followed by “Remember.” Exact agreement between ChatGPT and expert consensus was 80.0%, with almost perfect ordinal agreement (κw = 0.851; 95% bootstrap CI: 0.769–0.923). Conclusions: ChatGPT v5.2 showed high agreement with expert consensus for Bloom-level classification in this dataset. These findings suggest that LLM-based classification may support Bloom-level mapping as an assistive tool; however, they should be interpreted as preliminary evidence of feasibility rather than practical validation. Expert oversight remains necessary, and further research is needed to assess performance across different models, settings, and educational contexts.

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• MakaleAçık Erişim2026Scopus SJRQ1/r/kostu/10461
  Evaluating the reliability and educational quality of YouTube™ and TikTok™ videos on custom subperiosteal implants: a cross-sectional methodological analysis

  Tımarcıoğlu, Göksel; Kargu, Erdal Cem; Çerçi Akçay, Hülya; Tımarcıoğlu, Başak

  Background: Social media platforms such as YouTube™ and TikTok™ have become increasingly influential sources of oral health information. However, the reliability and educational value of videos on advanced surgical procedures, including custom subperiosteal implants, remain uncertain. This study aimed to evaluate and compare the quality, accuracy, and educational usefulness of YouTube™ and TikTok™ videos related to custom subperiosteal implant procedures. Methods: This cross-sectional methodological study analyzed 38 videos (YouTube = 23, TikTok = 15) identified using English and Turkish keywords. Eligible videos were assessed independently by two calibrated reviewers using the Global Quality Scale (GQS), DISCERN, Journal of the American Medical Association (JAMA) benchmark criteria, and the Video Information and Quality Index (VIQI). A seven-domain content rubric specific to subperiosteal implant education was also applied. Descriptive statistics, Spearman correlation, and Kruskal–Wallis tests were conducted. Interrater agreement was evaluated using Weighted Kappa for GQS and DISCERN, and intraclass correlation coefficients (ICC) for VIQI, JAMA, and total scores. Results: Overall video quality was moderate, with mean scores of GQS = 2.66 ± 1.43, DISCERN = 32.71 ± 21.66, JAMA = 1.70 ± 0.54, and VIQI = 10.83 ± 4.90. Strong positive correlations were observed among GQS and DISCERN (r = 0.933, p < 0.001), GQS and VIQI (r = 0.942, p < 0.001), and DISCERN and VIQI (r = 0.949, p < 0.001), indicating substantial concordance among validated quality instruments. In contrast, total views demonstrated a strong negative correlation with JAMA scores (r = -0.748, p < 0.001), and likes were negatively correlated with JAMA (r = -0.822, p < 0.001), suggesting that higher viewer engagement was not associated with greater transparency or reliability. Interrater agreement was excellent across all tools (ICC > 0.79). No statistically significant differences were observed among uploader categories (p > 0.05), although videos uploaded by academic institutions and dentists demonstrated descriptively higher quality scores. Conclusions: YouTube™ and TikTok™ videos related to custom subperiosteal implants demonstrate moderate reliability and educational value, with substantial variability in content completeness. Video popularity did not reflect scientific accuracy. These findings should be interpreted in light of the limited sample size, the non-validated nature of the topic-specific rubric, and inherent differences between social media platforms. High-quality, evidence-based audiovisual resources created by dentists and academic institutions are needed to support patient education and informed decision-making. Trial registration: Not applicable.

  AtıfScopus3·WoS2

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• MakaleAçık Erişim2025Scopus SJRQ1/r/kostu/10533
  Effects of Covid-19 pandemic on nutritional habits, lifestyle changes and dental trauma frequency of children with autism: a cross-sectional study

  Cerci Akcay, Hulya; Safci, Duygu; Kasimoglu, Yelda; Aren, Gamze; Guloğlu, Recep; Coskun, Murat; Tanir, Yaşar; Oren, Meryem Merve; Erdem, Arzu Pinar

  Background: The Covid-19 pandemic has disrupted daily routines and lifestyle habits, affecting the psychological well-being and dietary habits of individuals, especially children with autism spectrum disorder (ASD). This study aims to evaluate the susceptibility of children with ASD to changes in nutritional habits, lifestyle, and dental trauma during the pandemic related with oral health and compare them with healthy children. Methods: This study, conducted at Istanbul University, involves children aged 3–14 diagnosed with ASD at the Department of Child and Adolescent Psychiatry, and healthy children who visited the Department of Pedodontics. Parents provide written informed consent, and a questionnaire covering various aspects of their child’s health and habits is used. Intraoral examinations are conducted for both groups, recording any trauma history or signs, and evaluating possible causes and risk factors. All data were obtained and analysed by SPSS software program version 23.0 with descriptive statistics calculation, Chi square test, Kolmogorov Smirnov, the Mann-Whitney U test, t test and McNemar test was used with p value fixed at 0.05. Results: The results show significant differences between children with ASD and the control group in terms of dental health. Children with ASD had lower dmft and DMFT indices, indicating better dental health (p = 0.005). However, the frequency of dental trauma was similar between the groups (p = 0.685). Additionally, the control group exhibited more significant changes in dietary habits during the pandemic, with a higher tendency for snacking throughout the day (p = 0.027). During lockdowns, parents of children with ASD were statistically more likely to provide junk food when their child was irritable (p < 0.001). Changes in physical activity levels also differed, with a more pronounced decrease in the control group (p < 0.001). Furthermore, children with ASD experienced a statistically significant higher rate of disruption in daily routines and inability to participate in social activities and courses (p < 0,001). Conclusion: This study sheds light on the unique challenges faced by children with ASD, particularly in terms of dental health and related behaviors. It underscores the importance of interventions to ensure optimal oral health outcomes for this population, especially during periods of disruption like the Covid-19 pandemic.

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• MakaleAçık Erişim2025Scopus SJRQ1/r/kostu/10507
  The relationship between clinical outcomes of untreated dental caries with dental anxiety, health perceptions and Child-OIDP in primary school-aged children

  Akcay, Hulya Cerci; Sahin, Merve; Peker, Kadriye; Erdem, Arzu Pınar

  Introduction: This study aimed to investigate the relationship between the clinical consequences of untreated dental caries and children’s sociodemographic characteristics, behavioral factors, perception of general/oral health, dental anxiety, and oral health-related quality of life (OHRQoL) and to identify the predictors of childrens’ OHRQoL. Methods: This cross-sectional study was conducted in a convenience sample consisted of 200 children aged 8–10 years attending a pediatric dentistry clinic. Data were collected through clinical examinations and self-reported questionnaires. Caries severity was assessed using the dmf(t)/DMF(T) and pufa(t)/PUFA(T) indices. The questionnaire encompassed socio-demographic characteristics, the Modified Child Dental Anxiety Scale, oral health behaviours, self rated oral/general health, treatment need and satistaction with teeth, the Child-Oral Impacts on Daily Performances index. Descriptive, bivariate, and multivariate statistics were performed for data analyses. Results: The sample consisted of 98 girls and 102 boys (mean age 9.1 ± 0.81 years). D component of DMFT was correlated with the dental anxiety (p < 0.05), but the PUFA/pufa and DMFT/dmft scores were not correlated. No significant differences were found in the OHRQoL and all domains regarding gender, age, school type and oral health behaviours. The OHRQoL was associated with dental anxiety, self perceived oral/general health, the number of self- reported oral problems, and satisfaction with teeth. Worse oral health self- rating and dissatisfaction with the appearance of teeth were important predictors of worse OHRQoL. Conclusion: Anxiety and children’s subjective evaluation of oral health affect children’s OHRQoL. As a part of needs assesment, dentists should consider these factors together with clinical parameters when planning treatment.

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  AtıfScopus2·WoS3·OpenAlex3

  İncele
• MakaleAçık Erişim2025Scopus SJRQ1/r/kostu/10449
  An overlooked connection: oral health status in patients with chronic diseases

  Öçbe, Melisa; Çelebi, Elif; Öçbe, Çetin Batuhan

  Background: Oral and systemic health are closely linked. Chronic diseases like diabetes mellitus, cardiovascular diseases, and hypertension increase the risk of dental caries, periodontal disease and tooth loss. Moreover, poor oral health can worsen the status of systemic diseases. Despite this, oral health is often overlooked in chronic disease management. This study aimed to evaluate the oral health status of patients with chronic diseases (PWCD) compared to healthy controls using DIMF-T and DMF-S indices. Methods: This retrospective study included 205 participants (106 PWCD and 99 healthy controls) attending the Oral Diagnosis & Radiology outpatient clinic at Bahçeşehir University Dental Hospital. Comprehensive intraoral and radiological examinations assessed caries lesions, missing teeth, filled teeth, periodontal disease, denture usage, and the prevalence of apical osteitis, soft tissue lesions, and intraosseous lesions. Oral health status was quantified using DIMF-T and DMF-S indices. Statistical analyses were conducted to identify differences between groups. Results: The study group (PWCD) exhibited significantly higher median values for missing teeth (MT), decayed surfaces (DS), missing surfaces (MS), DIMF-T, and DMF-S indices compared to the control group (p < 0.001). Chronic periodontitis was more prevalent in PWCD (76.42%) than in controls (45.45%), while gingivitis was more common in the control group (52.53%, p < 0.001). Medication use for systemic diseases was strongly associated with poor oral health outcomes (p < 0.001). However, no significant differences were observed between the groups for decayed teeth (DT), hopeless teeth (IT), or filled teeth (FT). Conclusions: PWCD demonstrated worse oral health outcomes compared to healthy controls, highlighting the need for integrated oral and systemic healthcare strategies. Dental professionals should be careful in identifying oral conditions that may signal underlying systemic diseases. Future research should explore the integration of oral health evaluations into routine medical screenings and examine the global practices of oral health management in PWCD.

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  AtıfScopus19·WoS15·OpenAlex21

  İncele
• MakaleAçık Erişim2025Scopus SJRQ1/r/kostu/10286
  Exploring the potential of interdental brush in oral cytology: a pilot study on sampling efficiency

  Çelebi, Elif; Öçbe, Melisa; Sinanoğlu, Enver Alper; Tekkeşin, Merva Soluk

  Background: With the renewed interest in brush biopsies, particularly for screening oral potentially malignant disorders and cancers, understanding the efficacy of available brush types in oral cytology is crucial. This study aims to compare the effectiveness of interdental brush sampling with commonly used cytology brushes in oral cytology evaluation. Methods: The study design was an observational clinical study. Brush biopsies were collected from the buccal mucosa of 99 healthy volunteers using an Interdental Brush- TePe Original Interdental Brush (TePe, Malmö, Sweden) (Cell sampling-Interdental Brush (CSIB)), Cytobrush Plus GT (Medscand Medical AB, Sweden) (Cell sampling device 1 (CSD1)), and CervexBrush (Rovers, Oss, Netherlands) (Cell sampling device 2 (CSD2)). Samples were evaluated for cellularity, depth of the epithelial layer, and cellular integrity. Results were compared between brush types using the Friedman test, and multiple comparisons were examined using the Dunn test. The significance level was set at p < 0.05. Results: Of the 99 cases, 59.6% were female and 40.4% were male, with a prevalence of smoking and alcohol consumption at 43.4%. The mean age was 24.3 years (± 4.5). There were no significant differences in cellularity between the brush types (p = 0.205). Mild cellularity was observed at rates of 3%, 9.1%, and 9.1% for CSD1, CSIB, and CSD2, respectively. Parabasal/basal layer cells were detected in 1% of samples collected with CSD1 and 4% with CSD2, while CSIB samples contained only superficial/intermediate cells. CSIB produced an inadequate integrity rate of 30.3%, whereas neither CSD2 nor CSD1 yielded samples with inadequate integrity. Conclusions: Interdental brushes may have potential as accessible and practical tools for chairside cytological screening. The CSIB obtained high-cellularity samples; however, it demonstrated low scores in cellular integrity. Future oral cytological studies may explore the modifications in interdental brush design to improve its potential in sampling for cell preservation and integrity.

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  AtıfOpenAlex1

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