Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
The Effect of COVID-19 Pandemic on Tooth Brushing Habits of Pediatric Patients: A Cross-Sectional Study
COVID-19 Pandemisinin Çocuk Hastaların Diş Fırçalama Alışkanlıkları Üzerine Etkisi: Kesitsel Çalışma
Merve AKSOYa, Cenkhan BALa, Sultan İNCEb, Kübra Gülnur TOPSAKALc
aDepartment of Pedodontics, University of Health Sciences Gülhane Faculty of Dental Medicine, Ankara, Türkiye
bDepartment of Endodontics, Afyonkarahisar Oral and Dental Health Center, Afyonkarahisar, Türkiye
cDepartment of Orthodontics, University of Health Sciences Gülhane Faculty of Dental Medicine, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(1):58-65
doi: 10.5336/dentalsci.2022-90802
Article Language: EN
Full Text
ABSTRACT
Objective: Children's tooth brushing habits might have been affected by various factors such as social isolation, restrictions, and homeschooling due to the coronavirus disease-2019 (COVID-19) outbreak. The recent study aimed to determine whether there was a change in the brushing habits of a sample of pediatric patients during the COVID-19 pandemic compared to the pre-pandemic period. Material and Methods: This cross-sectional study was held on the patients referred to the Gülhane Faculty of Dental Medicine. The patients aged 3-15 years and homeschooling since March 2020 up to questionnaire time (March 2021) were included in the study. The exclusion criteria were having a systemic disease in medical history and attending face-to-face education. Informed consent was obtained, and eight questions, including demographic features of parents/children and daily brushing habits, were directed to the participants. Results: The total number of participants was determined as 203. The mean age of the participants was 9.4±3 (years), and 53% of them were girls, and 47% of them were boys. Participants declared that they 'rarely' brushed (31%) in the morning and 'every time' (31%) at night before the pandemic. Individuals' brushing frequency was also mentioned as 'rarely' (27%) in the morning and 'every time' (33%) at night during the pandemic. Regarding the answers, no difference was detected between pandemic and pre-pandemic brushing frequencies of participants (p>0.05). The most mentioned answers were detected as 'rarely-in the morning' and 'everytime-at night' for whole periods. Conclusion: This study revealed that the childrens' brushing frequencies have not been affected by COVID-19 pandemic period.

Keywords: COVID-19; dental hygiene; tooth brushing; survey study
ÖZET
Amaç: Çocukların diş fırçalama alışkanlıkları, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] salgınına bağlı sosyal izolasyon, kısıtlamalar ve evden eğitim gibi çeşitli faktörlerden etkilenmiş olabilir. Bu çalışma, bir grup çocuk hastanın pandemi dönemi diş fırçalama alışkanlıklarında pandemi öncesi döneme göre bir değişiklik olup olmadığını tespit etmeyi amaçlamaktadır. Gereç ve Yöntemler: Bu kesitsel çalışma, Gülhane Diş Hekimliği Fakültesine başvuran hastalar üzerinde gerçekleştirilmiştir. 3-15 (yıl) yaş aralığındaki, Mart 2020 tarihinden anket çalışmasının yapıldığı döneme dek (Mart 2021) evden eğitim gören hastalar çalışmaya dâhil edilmiştir. Yüz yüze eğitime devam etmiş olmak ve sistemik bir rahatsızlık mevcudiyeti dışlanma kriterleri arasındadır. Katılımcılardan bilgilendirilmiş onam formu alınmış ve günlük fırçalama alışkanlıkları ile çocuk ve ailelerinin demografik verilerin sorgulandığı 8 soru katılımcılara yönlendirilmiştir. Bulgular: Çalışmamızın katılımcı sayısı 203 olarak belirlenmiştir. Katılımcıların ortalama yaşı 9,4±3 (yıl) iken %53'ünün kız, %47'sinin erkek olduğu bulgulanmıştır. Çalışma sonuçlarına göre katılımcılar pandemi öncesinde sabahları dişlerini 'nadiren' (%31) ve akşamları dişlerini 'her zaman' fırçaladığını (%31) belirtmiştir. Pandemi sırasında ise katılımcıların %27'si dişlerini sabahları 'nadiren' fırçaladığını, %33'ü ise akşamları dişlerini 'her zaman' fırçaladığını ifade etmiştir. Verilen yanıtlar doğrultusunda pandemi dönemi ve pandemi öncesi dönemde katılımcıların diş fırçalama sıklıkları arasında bir değişiklik olmadığı tespit edilmiştir (p>0,05). Tüm zamanlar için en sık verilen cevaplar 'sabahları-nadiren' ve 'akşamları-her zaman' olarak tespit edilmiştir. Sonuç: Bu çalışma sonuçlarına göre çalışmamıza katılan çocukların diş fırçalama sıklıklarının COVID-19 pandemi döneminden etkilenmediği tespit edilmiştir.

Anahtar Kelimeler: COVID-19; dental hijyen; diş fırçalama; anket çalışması
REFERENCES:
  1. Sampson V, Kamona N, Sampson A. Could there be a link between oral hygiene and the severity of SARS-CoV-2 infections? Br Dent J. 2020;228(12):971-5. [Crossref]  [PubMed]  [PMC] 
  2. Salamone K, Yacoub E, Mahoney AM, Edward KL. Oral care of hospitalised older patients in the acute medical setting. Nurs Res Pract. 2013;2013:827670. [Crossref]  [PubMed]  [PMC] 
  3. Ames NJ. Evidence to support tooth brushing in critically ill patients. Am J Crit Care. 2011;20(3):242-50. [Crossref]  [PubMed]  [PMC] 
  4. Xu R, Cui B, Duan X, Zhang P, Zhou X, Yuan Q. Saliva: potential diagnostic value and transmission of 2019-nCoV. Int J Oral Sci. 2020;12(1):11. [Crossref]  [PubMed]  [PMC] 
  5. Xu H, Zhong L, Deng J, Peng J, Dan H, Zeng X, et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. Int J Oral Sci. 2020;12(1):8. [Crossref]  [PubMed]  [PMC] 
  6. Badran Z, Gaudin A, Struillou X, Amador G, Soueidan A. Periodontal pockets: a potential reservoir for SARS-CoV-2? Med Hypotheses. 2020;143:109907. [Crossref]  [PubMed]  [PMC] 
  7. Liu L, Wei Q, Alvarez X, Wang H, Du Y, Zhu H, et al. Epithelial cells lining salivary gland ducts are early target cells of severe acute respiratory syndrome coronavirus infection in the upper respiratory tracts of rhesus macaques. J Virol. 2011;85(8):4025-30. [Crossref]  [PubMed]  [PMC] 
  8. To KK, Tsang OT, Yip CC, Chan KH, Wu TC, Chan JM, et al. Consistent detection of 2019 novel coronavirus in Saliva. Clin Infect Dis. 2020;71(15):841-3. [Crossref]  [PubMed]  [PMC] 
  9. Baptista AS, Prado IM, Perazzo MF, Pinho T, Paiva SM, Pordeus IA, et al. Can children's oral hygiene and sleep routines be compromised during the COVID-19 pandemic? Int J Paediatr Dent. 2021;31(1):12-9. [Crossref]  [PubMed]  [PMC] 
  10. Faccini M, Ferruzzi F, Mori AA, Santin GC, Oliveira RC, Oliveira RCG, et al. Dental care during COVID-19 outbreak: a web-based survey. Eur J Dent. 2020;14(S 01):S14-S19. [Crossref]  [PubMed]  [PMC] 
  11. İnce S, Aksoy M. COVID-19 pandemisi döneminde Afyonkarahisar Ağız ve Diş Sağlığı merkezine başvuran çocuk ve erişkin hastaların pandemi öncesi ve pandemi sırasındaki diş fırçalama sıklıklarının değerlendirilmesi: kesitsel çalışma [Evaluation of pre-pandemic and pandemic brushing frequencies of children and adults who applied to Afyonkarahisar Oral and Dental Health Center during the COVID-19 pandemic period: cross-sectional study]. Turkiye Klinikleri J Dental Sci. 2021;27(4):622-9. [Crossref] 
  12. Bains VK, Bains R. Is oral hygiene as important as hand hygiene during COVID-19 pandemic? Asian J Oral Health Allied Sci. 2020;10:5. [Crossref] 
  13. Chakraborty S. Metagenome of SARS-Cov2 patients in Shenzhen with travel to Wuhan shows a wide range of species-Lautropia, Cutibacterium, Haemophilus being most abundant-and Campylobacter explaining diarrhoea. 2020. [Crossref] 
  14. Patel J, Sampson V. The role of oral bacteria in COVID-19. Lancet Microbe. 2020;1(3):e105. [Crossref]  [PubMed]  [PMC] 
  15. Xiang Z, Koo H, Chen Q, Zhou X, Liu Y, Simon-Soro A. Potential implications of SARS-CoV-2 oral infection in the host microbiota. J Oral Microbiol. 2020;13(1):1853451. [Crossref]  [PubMed]  [PMC] 
  16. Liu J, Liu Y, Xiang P, Pu L, Xiong H, Li C, et al. Neutrophil-to-lymphocyte ratio predicts critical illness patients with 2019 coronavirus disease in the early stage. J Transl Med. 2020;18(1):206. [Crossref]  [PubMed]  [PMC] 
  17. Gautret P, Lagier JC, Parola P, Hoang VT, Meddeb L, Mailhe M, et al. Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial. Int J Antimicrob Agents. 2020;56(1):105949. [Crossref]  [PubMed]  [PMC] 
  18. Bacharier LB, Guilbert TW, Mauger DT, Boehmer S, Beigelman A, Fitzpatrick AM, et al. Early administration of azithromycin and prevention of severe lower respiratory tract illnesses in preschool children with a history of such illnesses: a randomized clinical trial. JAMA. 2015;314(19):2034-44. Erratum in: JAMA. 2016;315(2):204. Erratum in: JAMA. 2016;315(4):419. [PubMed]  [PMC] 
  19. Addy M. Toothbrushing against coronavirus. Br Dent J. 2020;228(7):487. [Crossref]  [PubMed] 
  20. Vergara-Buenaventura A, Castro-Ruiz C. Use of mouthwashes against COVID-19 in dentistry. Br J Oral Maxillofac Surg. 2020;58(8):924-7. [Crossref]  [PubMed]  [PMC] 
  21. Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus disease 19 (COVID-19): implications for clinical dental care. J Endod. 2020;46(5):584-95. [Crossref]  [PubMed]  [PMC] 
  22. Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res. 2020;99(5):481-7. [Crossref]  [PubMed]  [PMC] 
  23. American Academy of Pediatric Dentistry. Oral Health Policies & Recommendations (The Reference Manual of Pediatric Dentistry), AAPD, 2021-2022. [Link] 
  24. Docimo R, Costacurta M, Gualtieri P, Pujia A, Leggeri C, Attinà A, et al. Cariogenic risk and COVID-19 lockdown in a paediatric population. Int J Environ Res Public Health. 2021;18(14):7558. [Crossref]  [PubMed]  [PMC] 
  25. Gotler M, Oren L, Spierer S, Yarom N, Ashkenazi M. The impact of COVID-19 lockdown on maintenance of children's dental health: a questionnaire-based survey. J Am Dent Assoc. 2022;153(5):440-9. [Crossref]  [PubMed]  [PMC] 
  26. Tada A, Hanada N. Sexual differences in oral health behaviour and factors associated with oral health behaviour in Japanese young adults. Public Health. 2004;118(2):104-9. [Crossref]  [PubMed] 
  27. Macgregor ID, Balding J, Regis D. Toothbrushing schedule, motivation and 'lifestyle' behaviours in 7,770 young adolescents. Community Dent Health. 1996;13(4):232-7. [PubMed] 
  28. Chen L, Hong J, Xiong D, Zhang L, Li Y, Huang S, et al. Are parents' education levels associated with either their oral health knowledge or their children's oral health behaviors? A survey of 8446 families in Wuhan. BMC Oral Health. 2020;20(1):203. [Crossref]  [PubMed]  [PMC] 
  29. Namal N, Vehit HE, Koksal S. Do autistic children have higher levels of caries? A cross-sectional study in Turkish children. J Indian Soc Pedod Prev Dent. 2007;25(2):97-102. [Crossref]  [PubMed] 
  30. Akşit-Bıçak D. Cariogenic dietary and toothbrushing practices of children during the COVID-19 outbreak. Iran Red Crescent Med J. 2021;23(3):e331. [Crossref] 

.: Up To Date

.: Process List

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

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