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Öğe Acutely infected teeth: to extract or not to extract?(Sociedade Brasileira De Pesquisa Odontologica, 2018) Isik, Bozkurt Kubilay; Gurses, Gokhan; Menziletoglu, DilekNot only laymen but also dentists generally believe that extraction of acutely infected teeth should be avoided until the infection subdues by using systemic antibiotics. The aim of this study was to compare perioperative complications in routine extractions of acutely infected teeth with extractions of asymptomatic teeth. This prospective study was performed with 82 patients. Severe pain on percussion of the relevant tooth was considered as basic criteria for acute infection. The acutely infected teeth were labeled as the study group (n = 35) and the asymptomatic teeth as the control group (n = 47). The extractions were done using standard procedures. The amount of anesthetic solution used and duration of extractions were recorded. Postoperative severe pain and exposed bone with no granulation tissue in the extraction socket were indications of alveolar osteitis (AO). The level of statistical significance was accepted as 0.05. Symptoms that could indicate systemic response, including fever, fatigue, and shivering were not found. There was no statistically significant difference between groups in terms of AO, amount of anesthetic solution used, and duration of extraction. The presence of an acute infection characterized by severe percussion pain is not a contraindication for tooth extraction. Infected teeth should be extracted as soon as possible and the procedure should not be postponed by giving antibiotics.Öğe Acutely infected teeth: to extract or not to extract?(Sociedade Brasileira De Pesquisa Odontologica, 2018) Isik, Bozkurt Kubilay; Gurses, Gokhan; Menziletoglu, DilekNot only laymen but also dentists generally believe that extraction of acutely infected teeth should be avoided until the infection subdues by using systemic antibiotics. The aim of this study was to compare perioperative complications in routine extractions of acutely infected teeth with extractions of asymptomatic teeth. This prospective study was performed with 82 patients. Severe pain on percussion of the relevant tooth was considered as basic criteria for acute infection. The acutely infected teeth were labeled as the study group (n = 35) and the asymptomatic teeth as the control group (n = 47). The extractions were done using standard procedures. The amount of anesthetic solution used and duration of extractions were recorded. Postoperative severe pain and exposed bone with no granulation tissue in the extraction socket were indications of alveolar osteitis (AO). The level of statistical significance was accepted as 0.05. Symptoms that could indicate systemic response, including fever, fatigue, and shivering were not found. There was no statistically significant difference between groups in terms of AO, amount of anesthetic solution used, and duration of extraction. The presence of an acute infection characterized by severe percussion pain is not a contraindication for tooth extraction. Infected teeth should be extracted as soon as possible and the procedure should not be postponed by giving antibiotics.Öğe The assesment of relationship between the angulation of impacted mandibular third molar teeth and the thickness of lingual bone: A prospective clinical study(Medicina Oral S L, 2019) Menziletoglu, Dilek; Tassoker, Melek; Kubilay-Isik, Bozkurt; Esen, AlparslanBackground: Our purpose was to investigate the relationship between the angulation of mandibular third molars and the thickness of the lingual bone, which can affect the risk of lingual nerve damage during lower third molars surgical extraction. Material and Methods: This study consisted of 104 patients (42 males and 62 females). aged between 18-42 years (24.67 +/- 6.11 years). Cone Beam Computed Tomography (CBCT) images were taken for preoperative assessment. The teeth were divided into four groups according to their positions: mesioangular, distoangular, vertical and horizontal. Lingual bone thickness around impacted teeth were measured at three points: cementoenamel junction (CEJ) of the mandibular second molar, mid-root of the impacted third molar, and apex of the impacted third molar root. Two predisposing factors of lingual nerve damage were recorded: lingual bone perforated by the impacted tooth and lingual bone thinner than 1 mm. Additionally, buccolingual angulations of the teeth in each group were measured. Impacted mandibular third molars were removed in usual way. One week after surgery, the patients were evaluated regarding lingual nerve paresthesia. Results: None of the 104 patients experienced paresthesia. including the ones who had teeth with close proximity with lingual nerve. The mean thickness of bone was 1.21 +/- 0.63 mm at CEJ of the second molar; 1.25 +/- 1.02 mm at the mid-root; and 1.06 +/- 1.31 mm at the apex. Horizontally impacted teeth had thinner lingual bone at mid-root level (p=0.016). Buccolingual angulated teeth were more often associated with perforated lingual bone (p=0.002). Buccolingual and mesial/distal angulation had negative correlation with lingual bone thickness (p<0.05). Conclusions: As the buccolingual and mesiodistal angulations increase, lingual bone thickness decreases. Horizontally impacted teeth seemed to compromise the integrity of the lingual bone more than impacted teeth in other positions. During the surgery, thin or perforated lingual bone may result in displacement of the impacted tooth lingually.Öğe Assessment of Alveolar Bone Loss and Buccal Bone Thickness After Surgically Assisted Rapid Maxillary Expansion(Galenos Publ House, 2022) Esen, Cagri; Esen, Alparslan; Guler, Arif Yigit; Menziletoglu, Dilek; Soganci, Ahmet ErtanObjective: The aim of this retrospective study was to evaluate the changes in alveolar bone height (ABH) and buccal bone thickness (BBT) of the maxillary teeth after surgically assisted rapid maxillary expansion (SARME) using cone-beam computed tomography (CBCT). Materials and Methods: A total of 9 patients with preoperative and postoperative CBCT records were included in this study. All patients underwent SARME and all of them received a modified acrylic bonded appliance as a maxillary expander. CBCT images were taken before SARME (T1) and after a consolidation period of 3 to 4 months (T2). ABH was determined by measuring the distance from the cemento-enamel junction to the alveolar crest on CBCT images. To evaluate BBT, two different points were identified along the root surface. Results: Alveolar bone loss (ABL) detected between T1 and T2 ABH measurements was statistically significant at all sites of each tooth. There was a statistically significant decrease in BBT at all measured points of each tooth between the T1 and T2 measurements. Conclusion: SARME with modified acrylic-bonded appliances causes ABL and a decrease in BBT, which increases the risk of tooth loss and gingival recession.Öğe Comparison of Surgical Drain Placement With Use of Kinesiologic Tape on Postoperative Pain, Swelling, and Trismus in Impacted Mandibular Third Molar Surgery(W B Saunders Co-Elsevier Inc, 2020) Menziletoglu, Dilek; Guler, Arif Yigit; Basturk, Funda; Isik, Bozkurt KubilayPurpose: The aim of this prospective study was to compare the effects of a surgical tube drain with kinesiologic tape (KT) application on postoperative complications such as trismus, swelling, and pain after impacted third molar surgery. Patients and Methods: This single-center, randomized study included 90 patients divided into 3 groups. After impacted third molar removal, 30 patients were treated with a tube drain (drain group), 30 patients were treated with KTapplication (KT group), and 30 patients were treated with a routine surgical operation and no extra procedure (control group). Results: A total of 29 male and 61 female patients were included. Mouth opening was greatest in the drain group over a period of 7 days. Patients in the control group had more pain than those in the drain and KT groups. No statistically significant difference was found in terms of pain and swelling between the drain and KT groups over the 7-day period of the study. The tube drain was found to improve patients' quality-of-life compared with the KT and control groups. Conclusions: Although the effects of a tube drain and KT in terms of pain and swelling were similar, the tube drain was more effective in reducing postoperative complications. (C) 2020 American Association of Oral and Maxillofacial SurgeonsÖğe How effective is a thick plate on stabilisation in 10 mm mandibular advancement?(Churchill Livingstone, 2022) Esen, Alparslan; Menziletoglu, Dilek; Erdur, Emire Aybuke; Akkulah, SebnemWe compared the stability and stress analysis of four different fixation methods after sagittal split ramus osteotomy (SSRO) in mandibular models. In the first model (1P1B) we adapted a four-hole, 2.0 mm standard miniplate on the osteotomy line with one bicortical screw at the top. In the second (2P) we placed two four-hole 2.0 mm standard miniplates above and below the osteotomy line. In the third (3B), we applied three inverted L-shaped bicortical screws, and in the last (1RP1B) we used a four-hole miniplate with increased thickness on the osteotomy line with one bicortical screw at the top. A static vertical load of 200 Newtons (N) was then applied to each model from the occlusal of the first molar. The maximum and minimum principal stresses on the bone were observed more in the proximal segment close to the osteotomy line in all groups. Maximum von Mises stresses were 2705.21 Megapascals (MPa), 1633.56 MPa, 1121.4 MPa, and 1734.44 MPa for the 1P1B, 2P, 3B, and 1RP1B groups, respectively. Displacement values were 1.92 mm, 1.15 mm, 0.79 mm, and 1.42 mm for the 1P1B, 2P, 3B, and 1RP1B groups, respectively. The reinforced plate contributed to the stabilisation, but it was not as effective as three bicortical screws and a double plate. (C) 2021 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.Öğe A prospective split-mouth clinical study: comparison of piezosurgery and conventional rotary instruments in impacted third molar surgery(Springer Heidelberg, 2020) Menziletoglu, Dilek; Basturk, Funda; Isik, Bozkurt Kubilay; Esen, AlparslanPurpose Our purpose was to compare the effects of piezosurgery and conventional rotary instruments on postoperative pain, swelling, trismus, and patients' comfort after mandibular third molar surgery. Methods Thirty patients (27 women and 3 men) with bilateral impacted mandibular third molars were included in this split-mouth clinical study. Sixty impacted third molars were divided into a control group (n = 30), in which the osteotomies were performed using a conventional rotary handpiece technique and an experimental group (n = 30), in which the osteotomies were done by piezosurgery technique. Duration of the procedure was recorded. Postoperative pain was assessed using a visual analogue scale (VAS). All the patients were given a form containing verbal rating scale for evaluating the swelling. Trismus was evaluated using a caliper at maximum mouth opening (cm). In postoperative seventh day, patients were asked to fill a global quality of life (QoL) scale as well. Results There was no significant difference in postoperative pain, trismus, and swelling between control and experimental groups (p > 0.05). However, time of the procedure increased in control group (p < 0.05). Conclusion Piezosurgery is a safe way for performing the osteotomies during third molar surgery. However, regarding the postoperative morbidity, it does not have an advantage over conventional rotary instruments. Piezosurgery took longer to complete the osteotomy than the rotary handpiece technique.Öğe Use of Root-end Filling Materials After Root-end Resections Among Oral Surgeons: A National Survey(Galenos Yayincilik, 2020) Akbulut, Makbule Bilge; Yusufoglu, Selen Ince; Menziletoglu, DilekObjective: The placement of a root-end filling material to seal the end of the root canal is one of the most important procedures in apical surgery. In Turkey, root-end surgeries are most often performed by oral surgeons. This national survey aimed to evaluate and describe the use of root-end filling materials after apical resections among oral surgeons. Materials and Methods: A web-based survey consisting of nine questions was prepared using Google forms, and the link to the survey was sent to the oral surgeons. The questionnaire collected information regarding age, gender, level of education, number of years of practice, type of institution, average frequency of root-end resections performed per month, whether root-end filling material was used after apical resections, type of the root-end filling material used and reasons for not placing a root-end filling material. Data was expressed as percentages and frequency rates. Chi-square test was used to identify associations between the usage patterns and surgeons' demographics. Results: A total of 155 questionnaires were returned. Most of the oral surgeons surveyed (82.6%) performed root-end resections at a rate of <20% per month. Our data indicated that 47.7% of the respondents routinely used a root-end filling material after an apical resection, whereas 9% of them never used it. Most of the participants who used root-end filling material preferred a calcium-silicate-based material (95.1%). Conclusion: According to the survey results, a significant number of oral surgeons still do not use a root-end filling material after apical surgery for various reasons. Oral surgeons' knowledge on this topic should be improved.
