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  • Küçük Resim
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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 effects of arthrocentesis combined with occlusal stabilization splint on disc displacement without reduction-induced acute and closed lock. A prospective cohort study
    (Elsevier, 2023) Erdil, Aras; Demirsoy, Mustafa Sami; Tumer, Mehmet Kemal
    Objective:Disc displacement without reduction (DDWoR) of the temporomandibular joint is associated with limited mouth opening and arthralgia. In the natural course of the disorder, there is a tendency to progress to degenerative joint diseases. First-line treatment aims to reduce pain and restore joint function. The current study aims to examine the efficacy of an occlusal stabilization splint applied simultaneously with arthrocentesis as first-line treatment in acute and chronic closed-locks.Materials and methods:The present prospective clinical trial included 40 patients who were diagnosed with DDWoR induced chronic (Group 1, n = 23) and acute (Group 2, n = 17) closed-locks. All participants underwent single session arthrocentesis and were applied occlusal stabilization splints. Maximum mouth opening amounts (MMO), Visual analogue scale (VAS), and McGill pain questionnaire (MPQ) scores were evaluated at baseline, on the operation day, and on seven days after the intervention. The obtained data was analyzed with the Wilcoxon signed-rank, Mann-Whitney U, Fisher's exact, Spearman's correlation tests.Results:According to the baseline data, a significant increase was observed in the amount of MMO in postoperative measurements (p = 0.001 and p < 0.001). A statistically significant decrease in MPQ scores was observed in the postoperative period (p < 0.001 and p < 0.001). While a significant difference was observed between the postoperative VAS scores, the scores of Group 2 were lower (p = 0.018).Conclusion: Although combined arthrocentesis and occlusal stabilization splint provided significant changes for acute and chronic closed-locks in line with first-line treatment goals, acute closed-lock with arthralgia responded better.(c) 2023 Elsevier Masson SAS. All rights reserved.
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    Evaluation of the Efficacy of Auriculotemporal Nerve Block in Temporomandibular Disorders
    (Mre Press, 2021) Demirsoy, Mustafa Sami; Erdil, Aras; Tumer, Mehmet Kemal
    Aims: To investigate the effectiveness of the auriculotemporal nerve block (ATNB) technique in conjunction with noninvasive therapies for the treatment of disc displacement with reduction (DDWR) or without reduction (DDWOR) in addition to arthralgia of the temporomandibular joint (TMJ). Methods: The data of 22 patients diagnosed with DDWR and DDWOR whose clinical conditions did not improve despite noninvasive treatments were analyzed. ATNB was applied to each patient during the first visit and readministered at 1- and 4-week follow-up visits. Pain intensity values (0 to 10 visual analog scale [VAS] scores) were evaluated pre-ATNB and at the 6-month follow-up visit, and the maximal mouth opening values were measured pre-ATNB and at the 1-week, 4-week, and 6-month follow-up visits. Results: Noninvasive therapies did not make a significant difference in the outcomes between the initial visit and first administration of ATNB (VAS P = .913, MMO P = .151). However, there were significant differences in outcomes between pre-ATNB and the 1-week (MMO P = .000), 4-week (MMO P = .000), and 6-month (VAS P = .027, MMO P = .000) follow-ups. Conclusion: ATNB may be considered as a supportive treatment approach in noninvasive TMJ disorder therapies.
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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.
  • Küçük Resim
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    Farklı İçeriklere Sahip Ağız Gargaralarının Gömülü Üçüncü Molar Cerrahileri Sonrası Gözlenen İnflamatuar Komplikasyonlar ve Erken Yara İyileşmesi Üzerine Etkilerinin Karşılaştırılması: Randomize Klinik Çalışma
    (2022) Demirsoy, Mustafa Sami; Erdil, Aras; Tümer, Mehmet Kemal
    Amaç: Bu prospektif randomize klinik çalışmanın amacı, gömülü mandibular 3. molar dişlerin cerrahi çekimleri sonrası oluşan ağrı, ödem, trismus miktarları ve operasyon sahası iyileşmesi üzerine farklı içeriğe sahip gargara kullanımının etkilerini araştırmaktı. Gereç ve Yöntemler: Yaşları 18 ile 47 arasında değişen, Pederson zorluk indeksine göre orta zorlukta gömülü mandibular 3. molar dişlere sahip, 60 katılımcı çalışmaya dâhil edilmiştir. Katılımcılar randomize halde, her birinde 20 kişinin olduğu 3 gruba ayrılmıştır. Postoperatif olarak 1. gruba benzidamin HCl (%0,15)+klorheksidin glukonat (%0,12), 2. gruba çinko klorit (ZnCl2) (%0.02)+borik asit (H3BO3) (%0,01), 3. gruba propolis (%1)+klorheksidin glukonat (%0,02) içerikli gargaralar reçete edilmiştir. Maksimum ağız açıklığı, ödem, ağrı miktarları ve erken iyileşme indeksi skorları ameliyat öncesi ve sonrası 2 ve 7. günlerde ölçülmüştür. Bulgular: Postoperatif 2 ve 7. günde 1, 2 ve 3. grupların ağrı değerleri arasında (p=0,000 ve p=0,022) ve erken iyileşme skorları arasında (p=0,018, p=0,002) istatistiksel olarak anlamlı farklılıklar gözlenmiştir. Ayrıca postoperatif 2 ve 7. günde 1, 2 ve 3. grupların ağız açıklığı değerleri açısından, istatistiksel olarak 2. günde anlam bulunurken (p=0,020), 7. günde anlamlı bir fark görülmemiştir (p=0,425). Çalışma gruplarının ödem ölçümleri arasında ise takip sürecinde anlamlı farklılık tespit edilmemiştir. Sonuç: Gömülü mandibular 3. molar cerrahileri sonrası ortaya çıkan inflamatuar komplikasyonlar ve yara iyileşmesi açısından etkinliği araştırılan farklı içeriklere sahip ağız gargaralarının postoperatif rutin kullanımlarında olumlu etkiler oluşturabilecekleri gözlenmiştir.