Ebubekir Toy

Three-dimensional imaging techniques: A literature review

Imaging is one of the most important tools for orthodontists to evaluate and record size and form of craniofacial structures. Orthodontists routinely use 2-dimensional (2D) static imaging techniques, but deepness of structures cannot be obtained and localized with 2D imaging. Three-dimensional (3D) imaging has been developed in the early of 1990′s and has gained a precious place in dentistry, especially in orthodontics. The aims of this literature review are to summarize the current state of the 3D imaging techniques and to evaluate the applications in orthodontics.

Comparison of pharyngeal airway volume among different vertical skeletal patterns: a cone-beam computed tomography study.

OBJECTIVE To test the null hypothesis that there are no significant differences in pharyngeal airway volumes among adult patients with different vertical skeletal patterns and a clinically normal sagittal skeletal pattern using cone-beam computed tomography (CBCT). MATERIAL AND METHODS The study sample consisted of 100 adult patients (45 men and 55 women; mean age  =  24.0 ± 5.3 years) with a normal sagittal skeletal pattern divided into three groups according to the vertical skeletal patterns: high angle (32 patients: 15 women and 17 men), low angle (34 patients: 14 women and 20 men), and normal angle (34 patients: 16 women and 18 men) groups. Nasopharyngeal, oropharyngeal, and total airway volumes of patients in all vertical groups were calculated. Group differences were analyzed using one-way analysis of variance and post hoc Tukey tests. RESULTS Nasopharyngeal airway volume in the high-angle group (mean  =  6067.9 ± 1693.9 mm(3)) was significantly lower than that of the low- and normal-angle groups (P < .01). Oropharyngeal airway volume was highest in the low-angle group (mean  =  15,957.6 ± 6817.2 mm(3)) and significantly decreased in the control (mean  =  11,826.1 ± 4831.9 mm(3); P  =  .008) and high angle (mean  =  10,869.1 ± 4084.1 mm(3); P  =  .001) groups. Total airway volume was highest in the low-angle group (mean  =  24,261.6 ± 8470.1 mm(3)) and lowest in the high-angle group (mean  =  16,937.0 ± 5027.4 mm(3); P < .001). CONCLUSION The null hypothesis was rejected. Significant differences were found in pharyngeal airway volumes among different skeletal vertical patterns.

Effects of different rapid maxillary expansion appliances on facial soft tissues using three-dimensional imaging.

OBJECTIVE To determine three-dimensional (3D) effects of three different rapid maxillary expansion (RME) appliances on facial soft tissues. MATERIALS AND METHODS Forty-two children (18 boys, 24 girls) who required RME treatment were included in this study. Patients were randomly divided into three equal groups: banded RME, acrylic splint RME, and modified acrylic splint RME. For each patient, 3D images were obtained before treatment (T1) and at the end of the 3-month retention (T2) with the 3dMD system. RESULTS When three RME appliances were compared in terms of the effects on the facial soft tissues, there were no significant differences among them. The mouth and nasal width showed a significant increase in all groups. Although the effect of the acrylic splint RME appliances on total face height was less than that of the banded RME, there was no significant difference between the appliances. The effect of the modified acrylic splint appliance on the upper lip was significant according to the volumetric measurements (P < .01). CONCLUSIONS There were no significant differences among three RME appliances on the facial soft tissues. The modified acrylic splint RME produced a more protrusive effect on the upper lip.

Evaluation of the genotoxicity and cytotoxicity in the buccal epithelial cells of patients undergoing orthodontic treatment with three light - cured bonding composites by using micronucleus testing

Objective This study evaluated the cytotoxicity and genotoxicity of fixed orthodontic treatment with three different light-cured orthodontic bonding composites by analyzing micronucleus (MN) formation in the buccal mucosa during a 6-month period. Methods Thirty healthy volunteers were selected from consecutive patients referred for orthodontic treatment. Equilibrium 2 brackets and molar tubes (Dentaurum) were bonded with three different light-cured orthodontic bonding composites-Transbond XT (3M Unitek), Kurasper F (Kuraray Europe), or GrenGloo (Ormco Corporation)- to all teeth in both arches. Exfoliated buccal epithelial cells were scraped from the middle part of the inner cheeks with sterile cement spatulas before treatment and at 1, 3, and 6 months after treatment. MNs and nuclear alterations, such as karyorrhexis (KR), karyolysis (KL), and binucleated cells (BNs), were scored under a light microscope. Repeated measure ANOVA was used to calculate statistical differences in degenerative nuclear abnormalities. Results MN rates did not significantly differ among different time points within the same cell type (p > 0.05). In contrast, the number of BNs in buccal epithelial cells significantly increased in all composite groups (p < 0.01, Transbond XT; p < 0.001, Kurasper F and GrenGloo). KL frequency significantly increased between the beginning and end of the study in the Kurasfer F (0.80 ± 0.79 to 1.90 ± 1.10; p < 0.05) and GrenGloo (1.30 ± 1.06 to 2.40 ± 1.08; p < 0.05) groups. Conclusions After 6 months of fixed orthodontic treatment with different light-cured composites, morphological signs of cytotoxicity were observed but genotoxic effects were absent.

Real-time cell analysis of cytotoxicity of orthodontic cements on gingival fibroblasts

Introduction: To evaluate the cytotoxicity of four different orthodontic cement materials using the real-time xCELLigence system. Materials and Methods: Four orthodontic glass ionomer cements (GICs) were selected for this study, namely: GC Fuji (GC Cooperation), Ultra Band Lok (Reliance), Multi Cure (3M Unitek), and Meron (Voco). Ten test cylinders (measuring 5 Χ 2 mm) of each material were fabricated, making a total of 40 cylinders. The samples were incubated in Dulbecco modified Eagle medium (DMEM) culture medium for 72 hours. Human gingival fibroblasts (HGFs) were maintained with DMEM containing 10% fetal bovine serum. A real-time cell analyzer (RT-CES, xCELLigence) was used to evaluate cell survival. After seeding 200 μL of the cell suspensions into the wells (10,000 cells/well), gingival fibroblasts were treated with bioactive components released from cement materials and were monitored every 15 minutes for a period of 88 hours. For proliferation experiments, the statistical analyses used were one-way analysis of variance (ANOVA) and Tukey-Kramer multiple comparisons tests. Results: When the data were evaluated at 24 and 48 hrs, all tested materials showed statistically significant decreases in HGF cell index compared to the control group (P < 0.001). Conclusion: According to the results of this study, all tested cements were found to have cytotoxic effects to the HGFs.

Assessment of hypodontia in the Turkish patients referring to the orthodontic clinic: A retrospective study.

Objective: The aim of this retrospective study was to assess the prevalence and distribution of hypodontia in the permanent dentition in a sample of Turkish patients who referred to the Ankara Dental Hospital for orthodontic treatment. Materials and Methods: The pre-treatment orthodontic records of 2530 patients, 1382 girls (54.62%) and 1148 boys (45.38%) between the chronological ages of 7 and 16 years, were examined for evidence of hypodontia. The third molars were excluded in this study. Results: The prevalence of hypodontia in the inspected population was 5% (3.05% for girls, 1.95% for boys). The average number of the congenitally missing teeth per patient was 2.03 (1.08 for girls, 0.95 for boys). The prevalence of the congenitally missing permanent teeth was 34% for the upper laterals, 30% for the lower second premolars, 12.5% for the upper second premolars and 23.5% for the other teeth. Most patients with hypodontia (84.9%) (57.13% for girls, 27.77% for boys) had got missing either one tooth (45.23%) or two teeth (39.67%). Conclusions: The prevalence of hypodontia in girls was higher than in boys in this sample of the Turkish patients. The upper laterals and lower second premolars were consecutively the most symmetrically absent teeth. The prevalence of advanced hypodontia was lower than single and symmetrical hypodontia.

An alternative choice: Obtaining space for a canine with asymmetric fan type expansion appliance

A 12-year old female patient presented with her unesthetic appearance while smiling. The patient had a vestibule positioned upper-left canine, beside mesofacial face type, flat profile, Class II molar and canine relationships clinically. Dental crowding was 7.8 mm in the upper arch and 4.1 mm in the lower. Treatment plan included to obtain space for the upper-left canine using a modified fan type expansion appliance, followed by comprehensive fixed orthodontic treatment. The aim of this case report is to present a non-extraction treatment of a patient using asymmetric fan type expansion appliance.

Assessment of Reliability of Three Different Computer-Assisted Analysis Programs

ABSTRACT Objective: The aim of this study was to assess the reliability of cephalometric analysis using 3 different digital analysis programs. Methods: For this study, a dry human skull with the entire mandible, maxilla, and teeth was used. Fifteen lateral and 15 posteroanterior cephalometric digital images were taken by rotating the skull from 0° to ±14° at 2° intervals to obtain different images. Two researchers located the landmarks on the digital images independently using 3 computer-assisted analysis programs, Dolphin Image Software (Dolphin Imaging and Management Solutions), Quick Ceph Image (Quick Ceph Systems Inc), and Vistadent OC (GAC Int Inc). Following the first measurements (T1), all landmarks were relocated within a 2-week interval (T2) by each examiner. A paired and the independent Student t tests were used for intraexaminer and interexaminer measurements, and Pearson correlations were obtained. Intraclass correlation coefficients (ICC) were calculated to determine intraexaminer repeatabili...