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    Airway Dimension Changes in Bilateral Cleft Lip and Palate Patients Under Face Mask Therapy
    (Selcuk University, 2025) Ulusoy Mutluol, Esra; Kök, Hatice; Ileri, Zehra; Akın, Mehmet
    Aim: The aim of this study is to evaluate the effects of face mask (FM) therapy combined with rapid maxillary expansion (RME) on airway dimensions in individuals with bilateral cleft lip and palate (BCLP). Methods: Individuals with BCLP who underwent RME and FM treatment (n=16, mean age: 11.4 ± 1.5 years; 9 females, 7 males) were included in the study. In this study, the archival records of the patients, including routine lateral cephalograms taken at the beginning and end of the treatment, were evaluated. Airway assessment was performed using Quick Ceph software. The results of the Shapiro-Wilk and Kolmogorov-Smirnov tests suggested that the data did not conform to a normal distribution. The significance level for the statistical analysis of the data was set at p ? 0.05, and the Wilcoxon Signed Rank Test was used. Results: After RME and FM therapy, an increase in SNA, ANB, and convexity angles, and a decrease in SNB were observed. In nasopharyngeal parameters, an increase was found in AD1-PNS, AD2-PNS, PNS-Ba, PNS-Ho, and PPS. Except for the increase in PNS-Ep and upper airway length, no statistically significant changes were observed in other oropharyngeal and hypopharyngeal parameters. Conclusion: In individuals with BCLP, RME and FM therapy may lead to an increase in nasopharyngeal airway dimensions. © 2025, Selcuk University. All rights reserved.
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    Alterations in Facial Soft Tissue Thickness Post-Facemask Treatment in Noncleft Skeletal Class III and Bilateral Cleft Lip Palate Class III Patients
    (2022) Ulusoy Mutluol, Esra; Koyuncu, Sema; Ceylan, Rıdvan; Akın, Mehmet
    Objective: The purpose of this retrospective study was to assess the alteration in the facial soft tissue thickness after rapid maxillary expansion with facemask treatment in bilateral cleft lip and palate (BCLP) Class III patients and noncleft Class III patients. Methods: Case records including lateral cephalograms of 30 patients (19 females, 11 males) treated using a rapid maxillary expansion with facemask treatment were analyzed. Group I (age: 11.4 ± 1.02 years) (10 females, 5 males) consisted of noncleft skeletal Class III patients, and group II (age: 10.8 ± 0.84 years) (9 females, 6 males) comprised skeletal Class III patients with bilateral cleft lip and palate. Fifteen hard tissue and 10 soft tissue measurements were made at the beginning and at the end of the treatment to evaluate the change with rapid maxillary expansion combined facemask treatment. Results: The bilateral cleft lip and palate group displayed a statistically significant increase in the thickness of the subnasale, labrale superius, labrale inferius, labiomentale, and pogonion, whereas the thickness of the stomion was found to be significantly decreased. The noncleft group demonstrated a statistically significant decrease in the thickness of the stomion and gnathion. There was a statistically significant difference between the bilateral cleft lip and palate and noncleft groups in the facial soft tissue thickness measurements at labrale superius, gnathion, and subnasale points and in Y axis, U1-SN, U1-NA in the hard tissue measurements. Conclusion: The results of the study indicated that the rapid maxillary expansion with facemask treatment produced diverse alterations in the facial soft tissue thickness of bilateral cleft lip and palate patients and noncleft Class III patients
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    Correction of Persistent in the Lower Anterior Region: A Case Report
    (2021) Akbaydoğan, Leyla Cime; Baka, Zeliha Müge; Ulusoy Mutluol, Esra
    Aim: This case report demonstrates the application of piezocision in correcting persistent crowding in the lower anterior region of dental arch. Methodology: A female aged 14 years and 3 months presented to the Selçuk University, Faculty of Dentistry, Department of Orthodontics due to esthetic complaints. Clinical and radiological examination revealed crowding in the upper and lower dental arches as well as skeletal and dental Class I malocclusion. First, bonding and arch wire were applied to the patient’s upper jaw. The patient then had check-up appointments at 4-week intervals. In the second session, bonding was applied to the lower jaw. As the leveling was completed in the upper jaw, thicker arch wires were used. However, 4 months after the bonding of the lower anterior region, leveling did not occur. Consequently, piezocision was applied to the lower anterior region. Then, two applications of 0.014'' and 0.016'' Ni- Ti wire were carried out, respectively. After the completion of the leveling, intrusion was provided with the utility arch placed on the lower incisor brackets. Orthodontic treatment was concluded with the use of Ni- Ti and steel angle wires. Conclusion: Efficient leveling was achieved in the lower anterior region with piezocision applications.
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    Evaluation of Changes in Extraction and Non-Extraction Treatments after Twin-Block
    (Selcuk University, 2022) Ulusoy Mutluol, Esra; Ileri, Zehra; Akın, Mehmet
    Background: The purpose of this investigation was to evaluate and compare the changes due to extraction and non-extraction treatments after twin-block therapy. Methods: Forty Class II division 1, mandibular retrognathic patients were included in the study. Group I comprised 14 girls and 6 boys who has the indication of mandibular premolar extraction after twin-block therapy. Group II comprised 12 girls and 8 boys treated with twin-block appliance and fixed orthodontic therapy without extraction. Lateral cephalometric radiographs were obtained from the patients at the onset of the treatment (T1), at the end of the use of the twin-block appliance (T2) and at the end of active treatment (T3). The Paired Sample t test and Independent Sample t test was used for statistical analyses. Results: After twin-block therapy, SNB and lower incisor angles increased in both groups while ANB and convexity decreased. In the extraction group, lower lip moved backwards, upper and lower incisors were retracted during the T2-T3 period. In the non-extraction group, only the lower lip vertical length increased. Significant differences were found between the two groups in terms of changes in lower and upper incisor positions/inclinations and lower lip thickness in T2-T3 period (p <0.05). Conclusion: Even though extraction and non-extraction treatments after twin-block make a difference in the final lower and upper incisor positions and inclinations, they do not create a significant difference in terms of their effects on soft tissues. © 2022, Selcuk University. All rights reserved.