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        The Influence of Type-1 Diabetes Mellitus on Dentition and Oral Health in Children and Adolescents

        Recep Orbak,Sera Simsek,Zerrin Orbak,Fahri Kavrut,Meltem Colak 연세대학교의과대학 2008 Yonsei medical journal Vol.49 No.3

        Purpose: The present study is to investigate the effects of type 1 diabetes mellitus on dentition and oral health for children and adolescents. Materials and Methods: The investigation was carried out on 100 subjects. The first group consisted of 50 subjects with type 1 diabetes mellitus (21 females, 29 males), age 9±0.14 years; In the second group, there were 50 healthy subjects who did not suffer from any systemic disease (25 females, 25 males), age 9±0.11 years. The subjects were evaluated and divided into two groups of 5-9 years old, and 10-14 years old. The dentition of all participants was examined. Besides, the DFS/dfs index, oral hygiene conditions were evaluated, as well as the plaque index (PI), gingival index (GI) and calculus index (CI). The data obtained from each group were compared statistically. Results: When compared to the non-diabetic group, we observed that dental development was accelerated until the age of 10 in the diabetic group, and there was a delay after the age of 10. The edentulous interval was longer in the group with type 1 diabetes mellitus. This was accompanied by a high ratio of gingival inflammation. Gingival inflammation was 69.7% in the group of 5-9 year-old, and 83.7% in the group of 10-14 year-old with type 1 diabetes mellitus. Though there was a greater loss of teeth in the group with type 1 diabetes mellitus, there were more caries in the control group. The PI, GI and CI values showed an increase with aging in favor of the group with type 1 diabetes mellitus. There was statistically significant difference in PI, GI and CI between the control and type 1 diabetes mellitus groups for 10-14 year-old patients (p<0.001). Conclusion: The findings we obtained showed that type 1 diabetes mellitus plays an important part in the dentition and oral health of children and adolescents.

      • SCISCIESCOPUSKCI등재
      • KCI등재

        Body Hair Scores and Total Hair Diameters in Healthy Women in Kirikkale Region, of Turkey

        Nevin Sagsoz,Mansur Kamaci,Zerrin Orbak 연세대학교의과대학 2004 Yonsei medical journal Vol.45 No.SUP

        It was aimed to determine the normal hair scores of women of Kırıkkale region according to the Ferriman- Gallwey scale and to investigate the relationship between the hair shaft diameter and hair scores. Hair scores were calculated in 204 healthy women, and hair shaft diameters were measured from the hair samples collected from 60 patients. Body mass index, waist to hip ratio, insulin resistance and blood androgen levels were determined. Neutral, hormonal and total hair scores were 2.1±1.4, 3.1±2.7 and 5.2±3.6, respectively. The average total hair diameter and hormonal hair diameter were 191.93±90.49μm and 121.8±75.9μm respectively. The correlation between total hair diameter and total hair score was statistically significant (r=0.704 p<0.001). Also, the correlation between hormonal hair diameter and hormonal hair score was statistically significant (r=0.724 p<0.001). While hair scores and diameters show meaningful positive correlation with androgen levels, they show negative correlation with age. In our population, 95% value of total hair score was 11, and for the hormonal score, it was 9. Hair diameters increase with hair score, regardless of total or hormonal of hair scores. Hair scores and hair diameters may be affected by blood androgens in healthy women.

      • KCI등재

        First Turkish Patient with Floating Harbor Syndrome with Additional Findings: Cryptorchidim and Microcephaly

        Mekadder Ayse Selimoglu,Erol Selimoglu,Vildan Ertekin,Ibrahim Caner,Zerrin Orbak 연세대학교의과대학 2004 Yonsei medical journal Vol.45 No.2

        We report the first Turkish patient with Floating Harbor Syndrome (FHS). The 12-year old male patient exhibited classical dysmorphic features of FHS, mental retardation, celiac disease and additional undescribed findings: microcephaly and cryptorchidism.

      • KCI등재

        The Relationship between Psychopathology, Self-esteem, Body Perception and Serum Sex Steroids in Pubertal Gynecomastia

        Semiha Comertoglu Arslan,Ibrahim Selcuk Esin,Atilla Cayır,Zerrin Orbak,Onur Burak Dursun 대한정신약물학회 2021 CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE Vol.19 No.3

        Objective: The current study aimed to investigate the psychopathology behind gynecomastia and potential associated problems regarding self-esteem and body perception, and the relationships of these variables with sex steroid levels in adolescents with pubertal gynecomastia. Methods: The study included 50 normal weight male adolescents aged between 11 and 18 years with gynecomastia but without any chronic organic pathology, and 50 healthy pubertal male adolescents matched for age. The adolescents underwent psychopathology assessment by Development and Well-Being Assessment interviews; self-esteem was assessed using the Rosenberg Self-Esteem Scale; body perception was evaluated using the Body Image Perception Scale, and the relationship between these variables and sex steroid levels were explored. Results: The results of the study revealed that the gynecomastia group had significantly greater internalization disorder (2 = 12.96, p < 0.001), and impairments in self-esteem (z = −1.975, p = 0.024) and body perception (z = −2.286, p = 0.022), and these variables were correlated with the gynecomastia stage. In the study group, cortisol levels were significantly higher (z = −2.330, p = 0.02) in adolescents with internalization disorder compared to those without, and cortisol levels increased in parallel with increased gynecomastia duration (r = 0.386, p = 0.006). Conclusion: In our study, we found that gynecomastia, depending on its stage, may lead to internalization disorder and impair self-esteem and body perception. It was found that there was no direct relationship between these parameters and sex steroids in pubertal gynecomastia, except for high cortisol levels in adolescents with internalization disorder.

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