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    Evaluation of postoperative changes in the course of mandibular canals impacted by cystic lesions
    (2022) Demirsoy, Mustafa Sami; Erdil, Aras; Çolak, Sefa; Maden, Abdülsamed; Tümer, Mehmet Kemal
    Background This study aims to determine the positional alterations in the course of mandibular canal, which were caused by the common cystic lesions in the posterior mandible. Also, the effects of treatment methods on bone formation were evaluated. Methods We designed a retrospective cohort study with patients which were treated due to cystic lesions in the maxillofacial region between the years 2012–2018. Forty eight subjects were included and grouped regarding histopathologic diagnoses (radicular dentigerous and odontogenic keratocyst) and treatment methods (enucleation and marsupialization). The mean (range) of patients’ age was 31.25 (18–66) years, and there were 32 male and 16 female individuals. The displacement of mandibular canals was verified on preoperative cone-beam computed tomographic images. The measurements of displacement and bone formation were performed on panoramic radiographs. In the statistical analysis of the data, descriptive statistics, parametric independent sample t-test, non-parametric Kruskal Wallis test, and one-way analysis of variance test were utilized. Results All the evaluated mandibular canals were replaced by a mean(SD) of 5.46(2.59)?mm after the lesions eliminated, which was significant in the marsupialization group (p?=?0.002). The bone formation was significantly higher in the enucleation group (p?=?0.003). The multiple regression analyses revealed that the treatment methods significantly influenced the replacement of mandibular canal (p?
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    Evaluation of postoperative changes in the course of mandibular canals impacted by cystic lesions
    (Elsevier Masson s.r.l., 2021) Demirsoy, Mustafa Sami; Erdil, Aras; Çolak, Sefa; Maden, Abdulsamed; Tümer, Mehmet Kemal
    Background: This study aims to determine the positional alterations in the course of mandibular canal, which were caused by the common cystic lesions in the posterior mandible. Also, the effects of treatment methods on bone formation were evaluated. Methods: We designed a retrospective cohort study with patients which were treated due to cystic lesions in the maxillofacial region between the years 2012–2018. Forty eight subjects were included and grouped regarding histopathologic diagnoses (radicular dentigerous and odontogenic keratocyst) and treatment methods (enucleation and marsupialization). The mean (range) of patients’ age was 31.25 (18–66) years, and there were 32 male and 16 female individuals. The displacement of mandibular canals was verified on preoperative cone-beam computed tomographic images. The measurements of displacement and bone formation were performed on panoramic radiographs. In the statistical analysis of the data, descriptive statistics, parametric independent sample t-test, non-parametric Kruskal Wallis test, and one-way analysis of variance test were utilized. Results: All the evaluated mandibular canals were replaced by a mean(SD) of 5.46(2.59) mm after the lesions eliminated, which was significant in the marsupialization group (p = 0.002). The bone formation was significantly higher in the enucleation group (p = 0.003). The multiple regression analyses revealed that the treatment methods significantly influenced the replacement of mandibular canal (p < 0.001) and the bone formation (p = 0.026). Conclusion: In cases where there is an adequate distance between the lesion and the mandibular canal, the enucleation technique was found to be superior in terms of bone formation and the amount of bone height obtained. © 2021 Elsevier Masson SAS
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    Evaluation of the Impacts of Surgical Removal of Impacted Teeth on Alterations of the Mood with Beck Depression Inventory
    (2022) Demirsoy, Mustafa Sami; Erdil, Aras; Çolak, Sefa; Tumer, Mehmet Kemal
    Objectives To determine whether the inflammatory complications following impacted third molar surgeries and varying surgical difficulties impact individuals' mood alterations. Materials and Methods A prospective, double-blind, observational study was designed with three study groups (slightly, moderate, and very difficult) constituted with surgical difficulty scores. The participants were evaluated preoperatively and postoperatively on the sixth hour, second and seventh days. The visual analog scale (VAS) and Beck depression scale (BDS) scores, maximal mouth opening, and swelling amounts were recorded. Results A total of 75 patients were enrolled and divided into three study groups with an equal number of participants. The preoperative mean BDS scores of the study groups (slightly, moderate, very difficult) were 9.16, 7.16, and 8.12, and mean VAS scores were 2.86, 1.4, and 1.56, respectively. A significant correlation was observed between the surgical difficulty and the increased BDS scores on the second and seventh postoperative days (p=0.031, p=0.001). Significant correlations were observed between surgical difficulty and VAS scores (p=0.018) and maximum mouth opening amounts (p=0.021) on the second postoperative day. Also, postoperative swelling amounts were significantly affected by surgical difficulty on the postoperative second day (p=0.007). The impact of surgical difficulty and inflammatory complication-related factors on the postoperative BDS scores' increase was also evaluated, and the postoperative pain, trismus, swelling, and operation time correlated. Conclusion The surgical removal of impacted molar teeth has significant effects on alterations in mood. It would be beneficial to consider different aspects of the postoperative term that the patient will experience in third molar surgeries.