Filtreler
Effects of diamond-like carbon coating on frictional and mechanical properties of orthodontic brackets: An in vitro study

Hikmetnur DANIŞMAN

Makale/Derleme | 2022 | Apos Trends in Orthodontics , pp.13 - 19

Objectives: The aim of this study is to apply a diamond-like carbon (DLC) coating on orthodontic brackets and to examine the effects of the coating on surface properties and friction. Material and Methods: 0.022-inch upper right canine brackets, 0.018-inch stainless steel wires, and 0.019 × 0.025-inch stainless steel wires were used in the study. Half of the brackets were treated with physical vapor deposition technique and coated with DLC. Different binary groups constituted of coated and uncoated brackets and wires were subjected to friction experiments using the Instron universal testing machine (Instron, Norwood, MA, USA). The s . . .urface properties of the coatings were evaluated using Raman, Scanning Electron Microscopy, and non-contact optical profilometer. Results: The friction force values between the DLC-coated brackets and the stainless-steel wires in both dimensions were found to be statistically significantly lower than the friction force between the uncoated brackets and the wires (P < 0.001). The surface roughness value, especially around the slot groove decreased significantly in the coated brackets (P < 0.05). DLC coating layer thickness is approximately 1.0 μm (806 nanometers). Conclusion: DLC coating improves the surface properties of orthodontic brackets, and DLC coating process remarkably reduced the friction force Daha fazlası Daha az

Comparison of skeletal and dental effects of two different tooth-tissue–borne types of rapid maxillary expansion appliances: A CBCT retrospective study

Hikmetnur DANIŞMAN

Makale/Derleme | 2023 | Orthodontics and Craniofacial Research ( 26 ) , pp.123 - 131

Objectives: To compare the skeletal and dental effects of different types of rapid maxillary expansion (RME) appliances using cone-beam computed tomography (CBCT). Materials/methods: This multi-centre study was conducted with a total of 56 patients. The sample consisted of two groups including the McNamara-Type RME (MNR) group with 30 patients (16 females, 14 males, mean age: 13.38 ± 1.16 years) and Full-Coverage RME (FCR) group with 26 patients (10 females, 16 males, mean age:13.78 ± 1.06 years). Twenty-one parameters were measured on CBCT images including 4 maxillary skeletal, 12 maxillary alveolar, and 5 maxillary dental measurem . . .ents, and the data were analysed using the SPSS 20.0 software. Results: The rates of increase in the palatal maxillary width (PMW) (3), PMW(4), and PMW(6) were significantly higher in the MNR group (P < .05). While the rates of increase in the buccal maxillary width (BMW) (3) and BMW(4) were statistically higher in the MNR group, the rate of increase in BMW (6) was higher in the FCR group (P < .05). The increases in HPW (4), HPW (6), PAA4(°), and PAA6(°), which are parameters about hard palate width (HPW) and palatal alveolar angle (PAA), were also significantly higher in the MNR group (P < .05). The increases in PAW (4) and PAW (6), referring to the widths between the palatal root apices were significantly higher in the MNR group (P < .05).The increase in Slope-6(°) was also higher in the MNR group (P < .05). Conclusion: Expansion in the palatal region on the alveolar level was higher in MNR than in FCR, while expansion in FCR was the highest in the posterior. In both appliances, there was tipping in the buccal direction in both alveolar bone and teeth, and the rate of this tipping was higher in MNR Daha fazlası Daha az

Artificial intelligence web-based cephalometric analysis platform: comparison with the computer assisted cephalometric method

Hikmetnur DANIŞMAN

Makale/Derleme | 2023 | CLINICAL AND INVESTIGATIVE ORTHODONTICS 82 ( 4 ) , pp.194 - 203

Purpose: The aim of this investigation was to evaluate the reliability and accuracy of cephalo-metric measurements of the web-based artificial intelligence cephalometric analysis platform in comparison with the computer assisted cephalometric analysis method.Materials and Methods: 60 patients’ pretreatment lateral cephalograms were randomly selected. A total of 21 landmarks were identified by one operator and a total of 20 parameters were measured both AI based platform WebCeph® and Dolphin Imaging®. Measurements of AI landmarking were recorded. Then, the landmarks placed automatically by the AI (AI land-marking) were corrected manu . . .ally (manual landmarking). All the measurements were recorded and performed once more after 4-weeks. Correlation between repeated measurements was evaluated by using the Pearson correlation coefficient. Paired t-test was used for comparisons between groups.Results: Most of the measurements showed statistically significant differences between AI landmarking and manual landmarking 1, except for the angular measurements of the U1-SNº (P = 0.717), interinsizal angle (P = 0.410), and L1-NBº (P = 0,295). Most of the measurements were found to be statistically similar between manual landmarking 1 and manual landmarking 2, except for the angular measurement of the SN-GoGnº, IMPAº, linear measurements ANS-Me. The Pearson correlation coefficients of all cephalometric measurements were above 0.80.Conclusions: All mean differences between the manual landmarking 1 and AI landmarking measurements were less than 2 degrees/2 mm, except for the nasolabial angle. Although WebCeph’s artificial intelligence algorithm is not sufficient to accurately determine the position of soft tissue landmarks, it becomes more suitable for clinical use with the control and manual correction of landmarks by observers Daha fazlası Daha az

Evaluation of temporomandibular disorder and oral health-related quality of life in adolescents with parents’ divorce applying to the orthodontic clinic

Hikmetnur DANIŞMAN

Makale/Derleme | 2022 | Current Research in Dental Sciences32 , pp.208 - 214

Objective: The aim of this study was to evaluate the effects of parents’ divorce on temporomandibular disorders (TMDs) and quality of life in adolescents. Methods: The study was conducted with 200 patients (124 female, 76 male), 98 of whom had married parents, and 102 of whom had divorced parents. The mean age of the patients was 16.17 ± 1.42 years. The study was a questionnaire study, and Fonseca Questionnaire and Oral Health Impact Profile-14 (OHIP-14) forms were used. Results: It was found that patients whose parents were divorced had higher mean Fonseca TMD and OHIP-14 scores than patients whose parents were married. There is no . . . statistically significant difference between the Fonseca and OHIP-14 scores of females and males whose parents were divorced and married. Conclusion: The adolescents whose parents were divorced had statistically significantly higher means of the Fonseca TMD and OHIP-14 scores than those with married parents, and these adolescents had a higher rate of having moderate Fonseca TMD. Amaç: Bu çalışmanın amacı, ebeveyn boşanmasının adölesanlarda temporomandibular bozukluk ve yaşam kalitesi üzerindeki etkilerini değerlendirmektir. Yöntemler: Çalışma 98'i evli anne babaya sahip, 102 ‘si anne babası boşanmış 200 hasta (124 kadın, 76 erkek) ile yapılmıştır. Hastaların yaş ortalaması 16,17 ± 1,42 yıl idi. Çalışma anket çalışması olup, Fonseca Anketi ve Ağız Sağlığı Etki Profili-14 (OHIP-14) formları kullanıldı. Bulgular: Anne-babası boşanmış hastaların Fonseca TMD ve OHIP-14 puan ortalamalarının, anne-babası evli olan hastalara göre daha yüksek olduğu bulunmuştur. Anne-babası boşanmış ve evli olan kadın ve erkeklerin Fonseca ve OHIP-14 puanları arasında istatistiksel olarak anlamlı bir fark yoktur. Sonuç: Anne-babası boşanmış ergenlerin Fonseca TMD ve OHIP-14 puan ortalamaları evli ebeveynlere göre daha yüksek olup bu farklar istatistiksel olarak anlamlıdır ve bu ergenlerin orta düzeyde Fonseca TMD'ye sahip olma oranı daha yüksekti Daha fazlası Daha az

ANNE SÜTÜ VE FİZYOTERAPİ VE REHABİLİTASYON

Neslihan KARABACAK

Kitap Bölümü | 2023 | Fizyoterapi ve Rehabilitasyonda Özel Konular , pp.1 - 11

Emzirme anne ve bebek sağlığı için önemli bir uygulamadır. Meme büyümesi, tıkanmış kanallar, mastit gibi nedenler emzirmeyi engellemektedir. Çeşitli nedenlerden dolayı doğum sonrası yetersiz süt salgılanması nedeniyle emzirmenin devamlılığı sağlanamamaktadır. Meme masajı, elektroterapi, fiziksel aktivite ve egzersiz, kinezyolojik bantlama gibi uygulamalar süt miktarını ve kalitesini arttırmak için kullanılmaktadır. Olumlu sonuçların olduğu çalışmalar, postpartum dönemde anne ve bebek sağlığının korunması için fizyoterapi ve rehabilitasyon uygulamalarının kullanılabileceğini göstermektedir. Breastfeeding is an important practice for . . .maternal and infant health. Causes such as breast engargement, plugged ducts, mastitis prevent breastfeeding. Due to various reasons, the continuity of breastfeeding cannot be ensured due to insufficient milk secretion after childbirth. Applications such as breast massage, electrotherapy, physical activity and exercise, kinesiotaping are used to increase the amount and quality of milk. Studies with positive results show that physiotherapy and rehabilitation practices can be used to protect maternal and infant health in the postpartum period Daha fazlası Daha az

Üriner İnkontinansı Olan Yaşlı Kadınlarda İki Farklı Fizyoterapi Yaklaşımının Etkinliğinin İncelenmesi

Neslihan KARABACAK

Bildiri | 2023 | 9.Ulusal Fizyoterapi Kongresi , pp.1 - 1

Amaç: Bu çalışma ile üriner inkontinansı olan geriatrik kadın bireylerde iki farklı fizyoterapi yaklaşımının (abdominal egzersizler ve elektrik stimülasyonu) etkinliğinin incelenmesi amaçlanmaktadır. Gereç Yöntem: Katılımcılar iki gruba ayrıldı. Grup 1 diyagram egzersizi, mekik, ters mekik, abdobimal germe, kalça kuvvetlendirme, derin squat gibi abdomimal egzersizler ve pelvik taban bölgelerine yönelik egzersizleri aldı. . Grup 2 elektrik stimülasyonunu uyluğun ön ve arka (4 adet), kalça ön ve arka ( 4 adet) kısmına yapıştırılan elektrotlar ile aldı. Her iki grup haftada 2 gün, 30 dakika boyunca seans aldı. Toplamda 8 hafta 16 seans . . . tedavi aldı. Değerlendirme için Ped Testi, İnkontinans Şiddet İndeksi, King Sağlık Anketi kullanıldı. Sonuçlar: 14 katılımcıyla bitirilen çalışmada, her iki grupta tedavi sonrası Wilcoxın İşaretli Sıralar Testi yapıldı. Ped Testi, İnkontinans Şiddet İndeksi ve King Sağlık Anketi skorlarında anlamlı iyileşme gösterdi ( Daha fazlası Daha az

A new device for assessment and training the human balance and coordination: Marmara Balance and Education System (MarBES).

Neslihan KARABACAK

Makale/Derleme | 2023 | Irish Journal of Medical Science (1971-) , pp.1 - 8

Abstract Background: Balance and coordination are important for performing activities of daily living. Balance and coordination assessment and training are used by physiotherapists in many different rehabilitation areas. Marmara Balance and Education System (MarBES) is a device developed to evaluate and improve balance and coordination. Aims: To examine the test-retest reliability of the MarBES device. Methods: Double-leg and single-leg (eyes open-closed) tests were applied to healthy young adult participants for balance testing on the MarBES device. Weight data is estimated from pressure sensors located in 4 different corners and a . . . score is calculated with computer software for the individual's center of gravity (center of pressure X, Y) and the amount of deviation from the center for each axis. Weight transfer to the target surface was measured for assessment of the participants' coordination performance. Participants rested for 10 min and all measurements were repeated by the same evaluator. The obtained data were recorded and the reliability of the measurements was evaluated with Spearman's rho correlation analysis. Results: A total of 40 healthy young individuals (28 female) with a mean age of 21 years were included. The balance assessments with MarBES showed moderate to good reliability (ICC: 0.535-0.903). The coordination assessment results showed moderate to good reliability (ICC: 0.575-0.712). Conclusions: Objective evaluation of balance and coordination parameters is very important in rehabilitation. Results of the study showed that the MarBES device developed by the researchers is a reliable method for the evaluation of balance and coordination in healthy young individuals. Keywords: Balance; Coordination; Rehabilitation; Reliability Daha fazlası Daha az

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