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Öğe A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones(Korean Acad Oral & Maxillofacial Radiology, 2018) Tassoker, Melek; Magat, Guldane; Sener, SevgiPurpose: The aim of this study was to compare cone-beam computed tomography (CBCT) and digital panoramic radiography (DPR) for the detection of pulp stones. Materials and Methods: DPR and CBCT images of 202 patients were randomly selected from the database of our department. All teeth were evaluated in sagittal, axial, and coronal sections in CBCT images. The systemic condition of patients, the presence of pulp stones, the location of the tooth, the group of teeth, and the presence and depth of caries and restorations were recorded. The presence of pulp stones in molar teeth was compared between DPR and CBCT images. Results: Pulp stones were identified in 105 (52.0%) of the 202 subjects and in 434 (7.7%) of the 5,656 teeth examined. The prevalence of pulp stones was similar between the sexes and across various tooth locations and groups of teeth (P>.05). A positive correlation was observed between age and the number of pulp stones (rho=0.277, P<.01). Pulp stones were found significantly more often in restored or carious teeth (P<.001). CBCT and DPR showed a significant difference in the detection of pulp stones (P<.001), which were seen more often on DPR than on CBCT. Conclusion: DPR, as a 2D imaging system, has inherent limitations leading to the misinterpretation of pulp stones. Restored and carious teeth should be carefully examined for the presence of pulp stones. CBCT imaging is recommended for a definitive assessment in cases where there is a suspicion of a pulp stone on DPR.Öğe Comparison of cone-beam computed tomography with bitewing radiography for detection of periodontal bone loss and assessment of effects of different voxel resolutions: an in vitro study(Springer, 2019) Cetmili, Hayriye; Tassoker, Melek; Sener, SevgiObjectiveThe aim of the study was to compare intraoral radiographs and CBCT images for detection of horizontal periodontal bone loss, and to investigate the diagnostic effect of different voxel resolutions in CBCT imaging.MethodsA total of 240 sites with horizontal bone loss were measured on the buccal, lingual, mesial, and distal surfaces of 60 posterior teeth in four maxillary and six mandibular bones obtained from cadavers (dry skulls). Direct measurements on the dry skulls were accepted as the gold standard values. Measurements on CBCT images at two different voxel resolutions (0.250 and 0.160 mm(3)) and intraoral bitewing radiographs were compared with one another and with the gold standard values.ResultsThe measurements on the CBCT images at two voxel resolutions and bitewing radiographs did not differ significantly (p>0.05) from the direct measurements on the dry skulls. No significant difference was found between the bitewing radiographs and CBCT images for measurements in the mesial and distal regions (p>0.05). There was no significant difference between the measurements on the buccal and lingual surfaces at the two different voxel resolutions (p>0.05).ConclusionsCBCT scans are recommended for evaluation of buccal and lingual bone loss to avoid intraoral radiographs that exceed routine examination of interproximal alveolar bone loss. Furthermore, instead of basing the voxel size on the required CBCT scans, it is recommended to select the smallest possible field of view to reduce the dose of radiation.Öğe Efficacy of Twisted File Adaptive, Reciproc and ProTaper Universal Retreatment instruments for root-canal-filling removal: A cone-beam computed tomography study(Japanese Soc Dental Materials Devices, 2016) Akbulut, Makbule Bilge; Akman, Melek; Terlemez, Arslan; Magat, Guldane; Sener, Sevgi; Shetty, HeereshThe aim of this study was to evaluate the efficacy of Twisted File (TF) Adaptive, Reciproc, and ProTaper Universal Retreatment (UR) System instruments for removing root-canal-filling. Sixty single rooted teeth were decoronated, instrumented and obturated. Preoperative CBCT scans were taken and the teeth were retreated with TF Adaptive, Reciproc, ProTaper UR, or hand files (n=15). Then, the teeth were rescanned, and the percentage volume of the residual root-canal-filling material was established. The total time for retreatment was recorded, and the data was statistically analyzed. The statistical ranking of the residual filling material volume was as follows: hand file=TF Adaptive>ProTaper UR=Reciproc. The ProTaper UR and Reciproc systems required shorter periods of time for retreatment. Root canal filling was more efficiently removed by using Reciproc and ProTaper UR instruments than TF Adaptive instruments and hand files. The TF Adaptive system was advantageous over hand files with regard to operating time.Öğe Investigation of the Prevalence of Retromolar Canals: A Cone Beam CT Study(Soc Chilena Anatomia, 2017) Tassoker, Melek; Sener, SevgiThe retromolar canal (RMC) is a collateral branch of the mandibular canal. This branch seems to be involved in the innervation of the third molar, retromolar trigon and part of the buccal mucosa and fibres of the buccinator and temporalis muscles. The prevalence of RMC in osseous and CBCT studies was reported between 1.7 %-72 %. This study aims to investigate the prevalence of RMCs in a Turkish population using cone beam CT. 340 CBCT images of hemimandibles of 170 patients, with a mean age of 37 (range, 16-80), that clearly identified the course of the mandibular canal in the posterior mandible were selected retrospectively from the archived records of our Oral and Maxillofacial Radiology Department. The sagittal, coronal, axial and pseudopanoramic images were used for assessing the RMCs. This variant was found in 19 out of 170 patients (11 %). Of the 340 CBCT examinations in 170 patients, 20 showed the presence of a RMC (5 %). It was present unilaterally in 18 patients (95 %) and bilaterally in one patient (5 %). There was no difference in the presence of RMCs with regard to sex and sides of the mandible (p>0.05). Clinicans should be aware of RMC and this anatomical variance should be taken into consideration while planning surgery around this region. When there is any suspicion of the RMC presence CBCT is the best imaging modality to visualize the three-dimensional structure of this variant.Öğe Is There a Possible Association between Skeletal Face Types and Third Molar Impaction? A Retrospective Radiographic Study(Karger, 2019) Tassoker, Melek; Kok, Hatice; Sener, SevgiObjective: Third molar impaction is seen much more than impaction of any other tooth as they are the last teeth to erupt. Inadequate retromolar space and the direction of eruption may be contributing factors. The aim of this study was to investigate the relationship between third molar impaction and different skeletal face types. Subjects and Methods: Panoramic and lateral cephalometric radiographs of 158 orthodontic patients (aged 19-25 years) were retrieved from the archived records of the Necmettin Erbakan University Faculty of Dentistry, Konya, Turkey. Third molar impaction was classified on the basis of Winter's classification. The skeletal facial type was determined by a measure of the angle created by the lines Ba-Na and Pt-Gn. The mean was 90 +/- 2 and this value was regarded as mesofacial. An angle of >93 degrees was regarded as brachyfacial and an angle of < 87 degrees as dolichofacial. Results: The overall presence of mandibular and maxillary third molar impactions was 65.2 and 38.6%, respectively. Although there was a statistically significant difference between different skeletal facial types and mandibular third molar impaction (p < 0.05), no statistically significant differences were observed between different skeletal facial types and maxillary third molar impaction (p >0.05). Brachyfacials demonstrated a lower prevalence of third molar impaction than dolichofacials. Conclusions: Different skeletal face types were associated with mandibular third molar impaction. Brachyfacials, who have a greater horizontal facial growth pattern than dolichofacials, showed a lower prevalence of impacted mandibular third molars. (c) 2018 The Author(s) Published by S. Karger AG, BaselÖğe LAMM syndrome: two new patients with a novel mutation in FGF3 gene and additional clinical findings(Lippincott Williams & Wilkins, 2019) Basdemirci, Muserref; Zamani, Ayse G.; Sener, Sevgi; Tassoker, Melek; Cetmili, Hayriye; Zamani, Adil; Aydogdu, Demet[Abstract Not Availabe]Öğe Treatment of post-orthodontic white spot lesions with CPP-ACP paste: A three year follow up study(Japanese Soc Dental Materials Devices, 2017) Karabekiroolu, Said; Unlu, Nimet; Kucukyilmaz, Ebru; Sener, Sevgi; Botsali, Murat Selim; Malkoc, SiddikTo determine the efficacy of topical applications of 10% casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) paste in reverting white spot lesions (WSLs) after fixed orthodontic treatment. Forty one participants were randomly assigned to either the test group (CPP-ACP) or the control group (only fluoride toothpaste). All patients used regular fluoride-containing toothpaste. CPP-ACP paste or fluoridated toothpaste was applied on to tooth surfaces with WSLs twice a day during 36-month after de-bonding. The labial/buccal surfaces of teeth were assessed by use of DIAGNOdent pen (DD), Gorelick Index and ICDAS II criteria at baseline (T1) and 36-month (T2) follow-up visits. The total counts of Streptococcus mutans and Lactobacillus were obtained at T1 and T2. DMFT, DMFS, stimulated flow rate and buffer capacity were calculated in two appointments. Daily usage of CPP-ACP paste was not better than normal care for improving the appearance of WSLs after 36 months.