Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Annelerin Ağız Sağlığına Yönelik Bilgi ve Uygulamalarının Beş Yaş Altındaki Çocukların Diş Sağlığına Etkisi: Karşılaştırmalı Kesitsel bir Çalışma
The Effect of Mothers' Knowledge of and Practice Towards Oral Health on the Dental Health of Children under Five: A Comparative Cross-sectional Study
Hatice PARSa, Hicran ÇAVUŞOĞLUa
aÇocuk Sağlığı ve Hastalıkları Hemşireliği AD, Hacettepe Üniversitesi Hemşirelik Fakültesi, Ankara, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2019;11(2):148-61
doi: 10.5336/nurses.2018-63194
Article Language: TR
Full Text
ÖZET
 Amaç: Annelerin ağız ve diş sağlığına yönelik bilgi ve uygulamalarının beş yaş altındaki çocukların diş sağlığına etkisini incelemektir. Gereç ve Yöntemler: Karşılaştırmalı kesitsel tipte yürütülen araştırma, Mayıs-Haziran 2018 tarihleri arasında Ankara'da bir özel hastanenin ağız ve diş sağlığı polikliniği ve sağlık bakanlığına bağlı bir ağız ve diş sağlığı hastanesinin çocuk diş kliniğinde gerçekleştirilmiştir. Veriler, araştırmacılar tarafından oluşturulan veri toplama formu ile elde edilmiştir. Verilerin değerlendirilmesinde sayı, yüzde, Mann-Whitney U testi, ki-kare testi ve regresyon analizi kullanılmıştır. Bulgular: Çocuklardaki diş cürüğü sayısı ortalama 2,60±2,91 olup; özel hastanede 1,34±2,04, ağız ve diş sağlığı merkezinde ise 3,86±3,12 bulunmuştur. Çocuklarda çürük prevalansı %64'tür. Annenin eğitim durumu, gelir düzeyi, diş hekimine gitme sıklığı, annenin ve çocuğun diş fırçalama alışkanlığı, çocuğun yaşı, çocuğun şekerli gıda tüketme durumu ve sıklığı, emzik ve biberon kullanma durumu, çocuğun dişlerini fırçalamaya başlama yaşı, yemek ve ara öğün sonrası diş fırçalama zamanı ile çocuklarda diş çürüğü görülme durumu arasında anlamlı bir ilişki saptanmıştır (p<0,05). Sonuç: Çocuklarda diş çürüğü prevalansı yüksek olup, annelerin ağız-diş sağlığına yönelik bilgi durumları ve uygulamalarının çocukların diş sağlığını etkilediği görülmektedir. Çocuklukta ağız hijyenine yönelik sağlıklı davranışlarının geliştirilmesinde anne-babanın rol modeli olması ve onlara yönelik ağzı ve diş sağlığı eğitim programlarının oluşturulması, yaygınlaştırılması ve devamlılığı gereklidir. Hemşirelerin ise bu süreçte aktif rol alması ve ekip iş birliği öncelikli hedefler arasında yer almalıdır.

Anahtar Kelimeler: Ağız sağlığı; anne, diş çürükleri; erken çocukluk dönemi; hemşirelik
ABSTRACT
 Objective: The aim of the study is to examine the effects of mothers' knowledge of and behaviours towards oral health on the dental health of children under five. Material and Methods: This comparative and cross-sectional study was conducted between May-June 2018 in Ankara, Turkey in the oral and dental health polyclinic of a private hospital and the pediatric dental clinic of a hospital affiliated to the ministry of health and specialized in oral and dental health. The data was collected through the data collection form designed by the researchers. Number and percentage analysis, Mann-Whitney U test, Chisquare test, and regression analysis were used to analyze the data. Results: The mean number of dental caries in children was 2.60±2.91 and 1.34±2.04 in the private hospital. In the oral and dental health clinic, on the other hand, it was found to be 3.86±3.12. The prevalence of dental caries in children was 64%. A significant relationship (p<0.05) was found between tooth decay in children and mother's educational status and income level, the frequency of going to a dentist, the tooth brushing habits of the mother and the child, the child's age, the frequency of sugary food consumption of the child, the status of using pacifiers and feeding bottles, child's age of starting to brush the teeth, and the habit of brushing teeth after meals and snacks. Conclusion: The prevalence of dental caries in children is high, and it has been observed that mothers? knowledge of and practice towards oral-dental health affect the dental health of children. It is necessary for parents to be a role-model to their children in developing healthy behaviors for oral hygiene and to create, disseminate and maintain oral and dental health education programs for both parents and children. As primary aims, nurses should take an active role in this process and a multidisciplinary team approach should be adopted.

Keywords: Oral health; mother; dental caries; early childhood; nursing
REFERENCES:
  1. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21 st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003;31 Suppl 1:3-23. [Crossref][PubMed]
  2. Bahekar AA, Singh S, Saha S, Molnar J, Arora R. The prevalence and incidence of coronary heart disease is significantly increased in periodontitis: a meta-analysis. Am Heart J. 2007;154(5):830-7. [Crossref] [PubMed]
  3. Li X, Kolltveit KM, Tronstad L, Olsen I. Systemic diseases caused by oral infection. Clin Microbiol Rev. 2000;13(4):547-58. [Crossref][PubMed][PMC]
  4. Jain M, Namdev R, Bodh M, Dutta S, Singhal P, Kumar A. Social and behavioral determinants for early childhood caries among preschool children in India. J Dent Res Dent Clin Dent Prospects. 2015;9(2):115-20. [Crossref][PubMed][PMC]
  5. Kagihara LE, Niederhauser VP, Stark M. Assessment, management, and prevention of early childhood caries. J Am Acad Nurse Pract. 2009;21(1):1-10. [Crossref][PubMed]
  6. Li Y, Zhang Y, Yang R, Zhang Q, Zou J, Kang D. Associations of social and behavioural factors with early childhood caries in Xiamen city in China. Int J Paediatr Dent. 2011;21(2):103-11. [Crossref][PubMed]
  7. Krisdapong S, Somkotra T, Kueakulpipat W. Disparities in early childhood caries and its impact on oral health-related quality of life of preschool children. Asia Pac J Public Health. 2012;26(3):285-94. [Crossref][PubMed]
  8. Çolak H, Dülgergil ÇT, Dalli M, Hamidi MM. Early childhood caries update: a review of causes, diagnoses, and treatments. J Nat Sci Biol Med. 2013;4(1):29-38. [Crossref][PubMed] [PMC]
  9. Kumarihamy SL, Subasinghe LD, Jayasekara P, Kularatna SM, Palipana PD. The prevalence of early childhood caries in 1-2 yrs olds in a semi-urban area of Sri Lanka. BMC Res Notes. 2011;4:936. [Crossref][PubMed][PMC]
  10. Prowse S, Scroth RJ, Wilson A, Edwards JM, Sarson J, Levi JA, et al. Diversity considerations for promoting early childhood oral health: a pilot study. Int J Dent. 2014;2014:1-10. [Crossref][PubMed][PMC]
  11. Australian Institute of Health and Welfare (AIHW). Oral health and dental care in Australia: Key facts and figures trends 2014. Cat. No. DEN 228. Canberra: Australian Insitute of Health & Welfare; 2014. p.44.
  12. Gökalp S, Doğan BG, Tekçiçek M, Berbeoğlu A, Ünlüer Ş. [The oral health profile of 5, 12 and 15 years olds, Turkey-2004]. Hacettepe Üniversitesi Diş hekimliği Fakültesi Dergisi. 2007;31(4):3-10.
  13. Dye BA, Thornton-Evans G, Li X, Iafolla TJ. Dental caries and sealant prevalence in children and adolescents in the United States, 2011-2012. NCHS Data Brief. 2015;(191):18.
  14. Mattila ML, Rautava P, Ojanlatva A, Paunio P, Hyssälä L, Helenius H, et al. Will the role of family influence dental caries among sevenyear-old children? Acta Odontol Scand. 2005;63(2):73-84. [Crossref] [PubMed]
  15. Adair PM, Pine CM, Burnside G, Nicoll AD, Gillett A, Anwar S, et al. Familial and cultural perceptions and beliefs of oral hygiene and dietary practices among ethnically and socioeconomically diverse groups. Community Dent Health. 2004;21(1 Suppl):102-11.
  16. Mattila ML, Rautava P, Sillanpää M, Paunio P. Caries in five-year-old children and associations with family-related factors. J Dent Res. 2000;79(3):875-81. [Crossref][PubMed]
  17. Hausen H, Kärkkäinen S, Seppä L. Application of the high-risk strategy to control dental caries. Community Dent Oral Epidemiol. 2000;28(1):26-34. [Crossref][PubMed]
  18. Amiresmaili M, Amini S, Shahravan A, Goudarzi R, Anari SHS, Anbari Z, et al. Relation between socioeconomic indicators and Children Dental Caries in Iran: a sistematik review and meta-analysis. Int J Prev Med. 2018;9:71. [Crossref][PubMed][PMC]
  19. Hallas D, Fernandez JB, Lim LJ, Catapano P, Dickson SK, Blouin KR, et al. OHEP: an oral health education program for mothers of newborns. J Pediatr Health Care. 2015;29(2):181-90. [Crossref][PubMed]
  20. Dasanayake AP, Gennaro S, HendricksMuñoz KD, Chhun N. Maternal periodontal disease, pregnancy, and neonatal outcomes. MCN Am J Matern Child Nurs. 2008;33(1):45-9. [Crossref][PubMed]
  21. Boggess KA, Edelstein BL. Oral health in women during preconception and pregnancy: implications for birth outcomes and infant oral health. Matern Child Health J. 2006;10(5 Suppl):S169-74. [Crossref][PubMed][PMC]
  22. D?Angelo D, Williams L, Morrow B, Cox S, Harris N, Harrison L, et al. Preconception and inter-conception health status of women who recently gave birth to a live-born infant-pregnancy risk assessment monitoring system (PRAMS), United States, 26 Reporting Areas, 2004. MMWR Surveill Summ. 2007;56(10):1-35. [Crossref]
  23. Silk H, Douglass AB, Douglass JM, Silk L. Oral health during pregnancy. Am Fam Physician. 2008;77(8):1139-44.
  24. Spurr S, Bally J, Ogenchuk M. Integrating oral health into pediatric nursing practice: caring for kids where they live. J Spec Pediatr Nurs. 2015;20(2):105-14. [Crossref] [PubMed]
  25. Vargas CM, Ronzio CR. Disparities in early childhood caries. BMC Oral Health. 2006;6 Suppl 1:S3. [Crossref] [PubMed][PMC]
  26. Horowitz AM, Kleinman DV. Oral health literacy: a pathway to reducing oral health disparities in Maryland. J Public Health Dent. 2012;72 Suppl 1:S26-30. [Crossref][PubMed]
  27. Petersen PE, Kwan S. The 7th WHO Global Conference on Health Promotion-towards integration of oral health (Nairobi, Kenya 2009). Community Dental Health. 2010;27(1):129-36.
  28. Mattila ML, Rautava P, Ojanlatva A, Paunio P, Hyssälä L, Helenius H, et al. Will the role of family influence dental caries among sevenyear-old children? Acta Odontol Scand. 2005;63(2):73-84. [Crossref] [PubMed]
  29. Vozza I, Capasso F, Marrese E, Polimeni A, Ottolenghi L. Infant and child oral health risk status correlated to behavioral habits of parents or caregivers: a survey in central Italy. J Int Soc Prev Community Dent. 2017;7(2):95-9. [Crossref][PubMed][PMC]
  30. Abou El Fadl R, Blair M, Hassounah S. Integrating maternal and children?s oral health promotion into nursing and midwifery practice-a systematic review. PLoS One. 2016;11(11): e0166760. [Crossref][PubMed][PMC]
  31. Douglass AB, Douglass JM, Krol DM. Educating pediatricians and family physicians in children?s oral health. Acad Pediatr. 2009;9(6): 452-6. [Crossref][PubMed]
  32. DiMarco MA, Huff M, Kinion E, Kendra MA. The pediatric nurse practitioner?s role in reducing oral health disparities in homeless children. J Pediatr Health. 2009;23(2):109-16. [Crossref][PubMed]
  33. Soper DS. A-priori Sample Size Calculator for Student t-Tests [Software]; 2018. [Link]
  34. World Health Organization (WHO). Oral health surveys: basic methods. 4th ed. Geneva: World Health Organization; 1997. p.66.
  35. Kılınç G, Koca H, Ellidokuz H. [The oral treatments clinical follow-up for 2 years on the 3-4 years old children at Dokuz Eylül University?s kindergarden]. DEÜ Tıp Fakültesi Dergisi. 2013;27(1):25-31.
  36. Tulunog ̆lu Ö, Bodur H, Ulusu T, C ̆iger R, Oabaş M. [A comparative evaluation of caries prevalence and distribution of tooth surface of preschool (3-6 age) and school children (7-8 age)]. G.Ü. Dis ̧hek Fak Derg. 2003;20(3):11-6.
  37. Doğan GB, Gökalp S. [Caries status and treatment needs in Turkey, 2004]. Hacettepe Dis ̧ Hekimliği Fakültesi Dergisi. 2008;32(2):45-57.
  38. Duane B, McGovern E, Ní Chaollaí A, FitzGerald K. First tooth, first visit, zero cavites: a review of the evidence asit applies to Ireland. J Ir Dent Assoc. 2017;63(2):105-11.
  39. Hockenberg MJ, Wilson D, Raber SCC. Wong?s Essential of Pediatric Nursing. 10th ed. St. Louis, Missouni: Elsevir Inc; 2017. p.1013.
  40. Alaçam A, Tulunoğlu Ö, Bodur H, Çınar Ç, Tüzüner E, Cula S. [Short and long term effects of oral health education programs for patients]. GÜ Diş Hek Fak Derg. 2012;29(3): 139-46.
  41. Rajab LD, Petersen PE, Bakaeen G, Hamdan MA. Oral health behaviour of schoolchildren and parents in Jordan. Int J Paediatr Dent. 2002;12(3):168-76. [Crossref][PubMed]
  42. Williams NJ, Whittle JG, Gatrell AC. The relationship between socio-demographic characteristics and dental health knowledge and attitudes of parents with young children. Br Dent J. 2002;193(11):651-4. [Crossref][PubMed]
  43. Nadazdyova A, Sirotnakova D, Samohyl M. Parents? dental knowledge and oral hygiene habits in Slovak children. Iran J Public Health. 2017;46(7):999-1000.
  44. Retnakumari N, Cyriac G. Childhood caries as influened by maternal and child characteristics in pre-school children of Keralaan an epidemiological study. Contemp Clin Dent. 2012;3(1):2-8. [Crossref] [PubMed][PMC]
  45. Suresh BS, Ravishankar TL, Chaitra TR, Mohapatra AK, Gupta V. Mother?s knowledge about pre-school child?s oral health. J Indian Soc Pedod Prev Dent. 2010;28(4):282-7. [Crossref][PubMed]
  46. Folayan MO, Kolawole KA, Oyedele T, Chukwumah NM, Onyejaka N, Agbaje H, et al. Association between knowledge of caries preventive practices, preventive oral health habits of parents and children and caries experience in children resident in sub-urban Nigeria. BMC Oral Health. 2014;14:156-62. [Crossref][PubMed][PMC]
  47. Saied-Moallemi Z, Virtanen JI, Ghofranipour F, Murtomaa H. Influence of mothers? oral health knowledge and attitudes on their children?s dental health. Eur Arch Paediatr Dent. 2008;9(2):79-83. [Crossref][PubMed]
  48. Adair PM, Pine CM, Burnside G, Nicoll AD, Gillett A, Anwar S, et al. Familial and cultural perceptions and beliefs of oral hygiene and dietary practices among ethnically and socioeconomically diverse groups. Community Dent Health. 2004;21(1 Suppl):102-11.
  49. Abiola Adeniyi A, Eyitope Ogunbodede O, Sonny Jeboda O, Morenike Folayan O. Do maternal factors influence the debtal health status of nigerian pre-school children? Int J Paediatr Dent. 2009;19(6):448-54. [Crossref][PubMed]
  50. Clarke M, Locker D, Berall G, Pencharz P, Kenny DJ, Judd P. Malnourishment in a population of young children with severe early childhood caries. Pediatr Dent. 2006;28(3): 254-9.
  51. Duru P, Örsal Ö, Bostan N, Yaman BC. [Assessment of oral-dental health criteria and determination of related factors in primary school students]. Turkiye Klinikleri J Nurs Sci. 2018; 10(3):197-206. [Crossref]
  52. Paglia L, Scaglioni S, Torchia V, De Cosmi V, Moretti M, Marzo G, et al. Familial and dieatary risk factors in early childhood caries. Eur J Paediatr Dent. 2016;17(2):93-9.
  53. Özen B, Van Strijp AJ, Özer L, Olmus H, Genc A, Cehreli SB. Evaluation of possible associated factors for early childhood caries: a multicenter cross-sectional survey. J Clin Pediatr Dent. 2016;40(2):118-23. [Crossref][PubMed]
  54. American Dental Association Council on Scientific Affirs. Fluoride tootpaste use for young children. J Am Dent Assoc. 2014;145(2):190-1. [Crossref][PubMed]
  55. Seow WK. Early childhood caries. Pediatr Clin North Am. 2018;65(5):941-4. [Crossref][PubMed]
  56. Prakash P, Subramaniam P, Durgesh BH, Konde S. Prevelance of early childhood caries and associated risk factors in preschool children of urban Bangalore, India: a cross-sectional study. Eur J Dent. 2012;6(2):141-52.
  57. Olak J, Nguyen MS, Nguyen TT, Nguyen BBT, Saag M. The influence of mothers? oral health behavior and perception therof on the dental health of their children. EPMA J. 2018;9(2): 187-93. [Crossref][PubMed]
  58. Sheiham A, James WP. Diet and dental caries: the pivotal role of free sugars reemphasized. J Dent Res. 2015;94(10):1341-7. [Crossref][PubMed]
  59. Ugolini A, Salamone S, Agostino P, Sardi E, Silvestrini-Biavati A. Trends in early childhood caries: an Italian perspective. Oral Health Prev Dent. 2018;16(1):87-92.
  60. Iida H, Auinger P, Billings RJ, Weitzman M. Assciation between infant breastfeeding and earl childhood caries in the united states. Pediatrics. 2007;120(4):e940-52. [Crossref][PubMed]
  61. Flores G, Lesley B. Children and U.S. federal policy on health and healt care: seen but not heard. JAMA Pediatr. 2014;168(12):1155-63. [Crossref][PubMed]
  62. American Academy of Pediatric Dentistry. Caries-risk assessment and management for infants, children, and adolescents. Pediatr Dent. 2017;39(6):197-204.
  63. Coll AM, Filipponi T, Richards W. Exploring health professionals? perceptions of promoting oral health in children. Br J Sch Nurs. 2015;10(8):384-91. [Crossref]
  64. DeMattei RR, Allen J, Goss B. A servicelearning project to eliminate barriers to oral care for children with special health care needs. J Sch Nurs. 2012;28(3):168-74. [Crossref][PubMed]
  65. Berger C, Bachman J, Casalone GG, Farberman S, Fish A. An oral health program for children. Nurse Pract. 2014;39(2):48-53. [Crossref][PubMed]

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4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com