Abubekir Eltas

Accidental Displacement of Dental Implants Into Both Maxillary Sinuses During Surgery

I mplant displacement into the maxillary sinus during surgery or after a period of use is a complication recognized in the literature. Foreign objects in the maxillary sinus must be removed because they cause sinus infection via impaired mucociliary flow and tissue reactions. In this article, we present the case of a patient whose dental implants slipped into the maxillary sinuses on both sides during surgery and describe surgical removal of the implants via an intraoral approach. Recently, prostheses supported by dental implants have become an acceptable and common treatment method in the treatment of partial and fully edentulous patients. Implantation into the posterior edentulous maxilla is difficult owing to insufficient and poor quality of the bone arising from pneumatization of the maxillary sinus and resorption of the alveolar crest. The use of short implants in the posterior edentulous maxilla or sinus lift procedures (SLP) has proven to overcome such difficulties. Although these methods make implantation safer, implant displacement into the maxillary sinus during surgery or after a period of use is a recognized complication. The causes of displacement include surgical inexperience, insufficient planning, changes in intranasal sinus pressure, autoimmune reaction, peri-implantitis or bone resorption, improper occlusal forces, and bone deficiencies. Foreign objects in the maxillary sinus must be removed because they cause sinus infection due to impaired mucociliary flow and tissue reactions. Even fungal infections and cancer have been reported in cases of foreign objects slipping into the maxillary sinus. Owing to these complications, displaced dental implants must be removed as early as possible. Preferred methods for the removal of implants include endoscopic sinus surgery (ESS) or the classic Caldwell-Luc (CL) operation with intraoral approach. For some other cases, a combination of both methods can be applied. In this article, we present the case of a patient whose dental implants slipped into the maxillary sinuses on both sides during surgery and describe surgical removal of the implants via an intraoral approach.

Dietary arginine silicate inositol complex inhibits periodontal tissue loss in rats with ligature-induced periodontitis

The purpose of this study was to induce experimental periodontitis in rats previously fed diets containing arginine silicate inositol (ASI) complex and examine the biochemical, immunological, and radiological effects. Fifty two 8-week-old female Sprague Dawley rats were equally divided into four groups. The control group included those fed a standard rat diet with no operation performed during the experiment. The periodontitis, ASI I, and ASI II groups were subjected to experimental periodontitis induction for 11 days after being fed a standard rat diet alone, a diet containing 1.81 g/kg ASI complex, or a diet containing 3.62 g/kg ASI complex, respectively, for 8 weeks. Throughout the 11-day duration of periodontitis induction, all rats were fed standard feed. The rats were euthanized on the eleventh day, and their tissue and blood samples were collected. In the periodontitis group, elevated tissue destruction parameters and reduced tissue formation parameters were found, as compared to the ASI groups. Levels of enzymes, cytokines, and mediators associated with periodontal tissue destruction were lower in rats fed a diet containing ASI complex after experimental periodontitis. These results indicate that ASI complex could be an alternative agent for host modulation.

Effects of diode laser application on inflammation and mpo in periodontal tissues in a rat model

Abstract Objective In this study, we aimed to histologically and immunologically evaluate the effect of diode laser treatment when applied adjunctive to scaling and root planing (SRP) in an experimental periodontitis model. Materials and methods We used Wistar-Albino rats (n=60) with average weight of 230 g. Experimental periodontitis was induced by ligature at the right and left first mandibular molar teeth in all rats. After 11 days, the ligature was removed and rats were divided into two groups. The control group (n=30) received only SRP treatment, while the laser group (n=30) received a diode laser (GaAlAs, 810 nm, 1 W, 10 J, 20 s) treatment adjunctive to SRP. Ten rats in each group were sacrificed after 7, 15, and 30 days. Histopathological examination was performed in the left mandible of rats. Myeloperoxidase (MPO) was evaluated by western blot in the gingival specimens from the right mandible. Results MPO levels in the laser group were statistically significantly lower compared with the control group (p≤0.05). There was no statistically significance at any time between MPO levels in the control group (p>0.05). MPO levels in the laser group at the 7th day were statistically significantly higher compared to the 15th (p≤0.05) and the 30th day (p≤0.05). Inflammatory cell infiltration decreased over time in both groups and was statistically significantly lower in the laser group than in the control group at all times (p≤0.01). Conclusions Within the limits of this study, we suggest that diode laser application is an adjunctive treatment because it reduced inflammation and MPO when applied in addition to SRP. On the other hand, more studies are needed for the assessment of the effects of diode laser application to periodontal tissues.

LOKALİZE DİŞETİ ÇEKİLMESİ TEDAVİSİNDE KORONALE KAYDIRILAN FLEP VE TROMBOSİTTEN ZENGİN FİBRİN İLE KORONALE KAYDIRILAN FLEP VE SUBEPİTELYAL BAĞ DOKUSU GREFTİNİN KARŞILAŞTIRILMASI: BİR OLGU SUNUMU

Bu vakanin amaci olgumuzda maksiller kanin dislerdeki Miller Sinif-I diseti cekilmelerinde koronale kaydirilan flep (KKF) ve subepitelyal bag dokusu grefti (SBDG) tedavisi ile KKF ve trombositten zengin fibrin (TZF) tedavisinin sonuclarini karsilastirmakti. Sistemik acidan saglikli 31 yasinda bayan hasta, klinigimize dislerinde hassasiyet ve estetik sikayeti ile basvurdu. Maksiller sag ve sol kanin disinde Miller Sinif-I diseti cekilmesi mevcuttu. Hastadan alinan kandan TZF elde edildi. Diseti cekilmelerinin tedavisi icin her iki diste once tam kalinlik mukoperiostal flep kaldirildiktan sonra mukogingival birlesimden itibaren yarim kalinli k flep kald irildi. Kok yuzeyi debridmani gerceklestirildikten sonra papil bolgesi deepitelize edildi ve TZF interdental papile suture edildi. Sol kaninde ise SBDG papillere suture edildi. Her iki mukoperiostal flep koronale kaydirilarak kok yuzeyi kapatildi. Operasyon bolgesi ojenolsuz bir pat ile korundu. Hastaya operasyon sonrasi antienflamatuvar ve klorheksidin glukonat iceren gargara recete edildi. Operasyon sonrasi erken d onemde herhangi bir komplikasyon izlenmedi. Pat ve suturlar operasyondan 10 gun sonra alindi. Bir ay sonra sag kaninde %100 kok kapanmasinin saglandigi goruldu. Sol kaninde ise 1.5 mm diseti cekilmesi mevcuttu ve keratinize diseti kalinligi TZF uygulanan dise gore daha fazlaydi . On be s ay sonraki diseti cekilmesi her iki tarafta da 1 mm olarak olculdu. Lokalize Miller S inif-I ve sinif-II diseti cekilmelerinde TZF kullanilarak yapilan tedaviler hakkinda basarili klinik sonuclar bulunmaktadir. Ikinci bir cerrahi mudahalenin olmamasi, daha az zaman almasi , don or saha morbiditesinin ortadan kalkmasi ve post-operatif rahats izligin olmamasi gibi avantajlariyla TZF SBDG ’ ye iyi bir alternatif olarak gorulmektedir. Anaht ar Kelimeler: Bag dokusu grefti, Dis eti cekilmesi, Trombositten zengin fibrin THE COMPARISON OF CORONALLY ADVANCED FLAP WITH PLATELET RICH FIBRIN AND CORONALLY ADVANCED FLAP WITH SUBEPITHELIAL CONNECTIVE TISSUE GRAFT IN THE TREATMENT OF LOCALIZED GINGIVAL RECESSION: A CASE REPORT ABSTRACT The purpose of this case was comparing the efficacy of coronally advanced flap (CAF ) with subepithelial connective tissue graft ( SCTG) treatment and CAF with platelet -rich fibrin ( PRF) in the maxillary canine teeth with Miller Class-I gingival recessions . Systemically healthy 31 year-old female patient was admitted to our clinic with a complaint of aesthetic and hyper sensitivity. Miller Class-I gingival recession was present in maxillary right and left canine teeth. PRF was obtained from the patient ’ s blood. Full thickness mucoperiosteal flap was reflected followed by a partial thickness flap beyond the mucogingival junction for the treatment of gingival recessions at both tooth. The papilla area was deepitelized after root surface debridement and PRF was sutured to the interdental papilla. SCTG was sutured to papilla at left canine. Root surface was closed by sliding the both mucoperiosteal flaps coronally . The surgical area was protected using a non-eugenol dres - sing . After surgery anti-inflammatory and chlorhexidine gluconate mouthwash was prescribed . There were no complications in the early period after the operation . The dressing and sutures were removed 10 days after the operation . 100 % root c overage was maintained at right canine one month later. There was 1.5 mm gingival re - cession at left canine and keratinized gingival thickness was higher according to the PRF applied teeth . The gingi- val recession was 1 mm at both sides fifteen month later. There are successful clinical results​​ in the treatment of localized Miller Class-I and Class - II gingival recessions using PRF. PRF is seen as a good alternative to SCTG with advantages such as the absence of a second surgical intervention , less time consuming , the elimination of donor site morbidity and the lack of post-operative discomfort . Keywords: Connective tissue graft, Gingival recession, Platelet rich fibrin

Multidisciplinary treatment approach for horizontal root fractures

The aim of this case report is to present a multidisciplinary treatment plan for horizontal root fracture of maxillary anterior teeth that resulted from trauma. A 16-year-old male presented a horizontal root fracture in the middle-third of teeth 11 and 21. Dislocated tooth fragments were repositioned using a composite splint technique. Follow-up examinations revealed the teeth lost vitality after trauma. Separated tooth fragments were removed by a surgical operation and then reattached using fiber post and resin cement. Teeth were replanted into the alveolar socket and splinted after root canal treatment. After 1 year of follow-up examinations, this comprehensive treatment was observed to be successful both clinically and radiographically. Horizontal root fractures can be treated successfully by extraoral reattaching of fractured segments and intentional replantation of teeth after root canal treatment.

Malatya Şehir Merkezi ve Yakın Beldelerde 7 - 14 Yaş Arasındaki Çocuklarda Periodontal Durumun Değerlendirilmesi

Malatya Şehir Merkezi ve Yakin Beldelerde 7 - 14 Yas Arasindaki Cocuklarda Periodontal Durumun Degerlendirilmesi