Mehmet Yaltirik

Orbital pain and headache secondary to overfilling of a root canal.

A 35-yr-old woman was referred to the Istanbul University, Faculty of Dentistry, Oral Surgery Department with complaints of orbital pain and headache. Panoramic radiographs showed overfilling of a maxillary premolar, which caused a perforation in the maxillary sinus floor. The etiology, clinical manifestations, and treatment of this complication are discussed with emphasis on early surgical intervention to decrease the risk of a superimposed aspergillosis infection.

A comparative evaluation of pain and anxiety levels in 2 different anesthesia techniques: locoregional anesthesia using conventional syringe versus intraosseous anesthesia using a computer-controlled system (Quicksleeper)

OBJECTIVE The aim of this study was to compare anxiety and pain levels during anesthesia and efficacy of Quicksleeper intraosseous (IO) injection system, which delivers computer-controlled IO anesthesia and conventional inferior alveolar nerve block (IANB) in impacted mandibular third molars. STUDY DESIGN Forty subjects with bilateral impacted mandibular third molars randomly received IO injection or conventional IANB at 2 successive appointments. The subjects received 1.8 mL 2% articaine. RESULTS IO injection has many advantages, such as enabling painless anesthesia with less soft tissue numbness and quick onset of anesthesia as well as lingual and palatal anesthesia with single needle penetration. CONCLUSIONS Although IO injection is a useful technique commonly used during various treatments in dentistry, the duration of injection takes longer than conventional techniques, there is a possibility of obstruction at the needle tip, and, the duration of the anesthetic effect is inadequate for prolonged surgical procedures.

Investigation of the risk factors associated with the survival rate of dental implants.

Purpose:The propose of this article was to evaluate the risk factors associated with the survival rate of the dental implants. Material and Methods:This retrospective study evaluated the survival rate of 940 implants placed at the Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Istanbul University, from January 2003 to January 2011. The potential risk factors associated with the survival rate of the implants were investigated. Results:Fifteen (1.5%) of the 940 implants failed during the follow-up period. Smoking did not affect the survival rate of the implants (log-rank, 1.5; P = 0.219). The survival rate of the implants placed in the maxilla was lower than that of the implants placed in the mandible (log-rank, 4.81; P = 0.028). The 5-year survival rate of the dental implants was 98.5%. Conclusions:There are still conflicting results about the risk factors associated with the survival rate of the implants. According to the results of this study, it is concluded that only the location of the implants is associated with the survival rates of the implants. All implant systems showed high survival rates.

Congenital Epulis of the Newborn: A Case Report

Background: Congenital epulis (CE) also known as congenital granuler cell tumor is a rarely encountered pathology the majority of which originates from the gingival mucosa, particularly the anterior portion of the maxillary alveolar ridge. CE mostly seen in girls. CE with unclear histogenesis and etiology is seen at birth as a solitary mass in oral cavity. Apart from non-congenital epulis, it contains granular cells. So lesion is named congenital granular cell tumor. CE has a benign histopathology and after surgery there is no recurrence reported in the literature. Aim: The purpose of this case report, is to present, 5 day-old female neonatal girl who was seen CE on the left maxillary alveolar ridge on the region of the future incisors. Case Presentation: The tumoral lesion was well-circumscribed and 10 mm in diameter, smooth surfaced and red in colour much like alveolar mucosal tissue. Tumoral lesion was affecting oral feeding due to obstruction. Excisional biopsy was performed under topical anesthesia. The histopathology was reported as congenital epulis. During the 4 months follow-up, we have seen no complication. Conclusion: CE is a neonatal congenital tumor which is very rare. The treatment of CE is surgical excision. Unless the early treatment is not executed, tumor may cause difficulties in oral feeding and respiration. Therefore it should be excised in an early period.

EFFECTS OF DIFFERENT SUTURE MATERIALS ON TISSUE HEALING

Purpose: The purpose of this study was to investigate the healing differences in between four different widely used suture materials in the oral surgery practice, including silk (Perma- Hand; Ethicon, INC., Somerville, NJ, USA), polypropylene (Prolene; Ethicon, INC., Somerville, NJ, USA), coated polyglactin 910 (Ethicon, INC., Somerville, NJ, USA). and polyglecaprone 25 (Ethicon, INC., Somerville, NJ, USA ). Materials and Methods: 20 male rats were randomly allocated into two groups depending on their sacrification days (post-operative 1st and the 7th days). Four longitudinal incision wounds, each 1cm in size, were created on the dorsum of each animal which were then primarily closed with four different types of sutures. Results: The effects of these suture materials on soft tissue healing were compared histopathologically, by means of density of the cells, necrosis, fibrosis, foreign body reaction, the presence of cells of acute and chronic infection. No statistically significant difference was observed between the groups regarding the density of the cells, necrosis, fibrosis, foreign body reaction, and the presence of the cells of acute and chronic infections. Of note, propylene showed slightly less tissue reaction among the other materials. Conclusion: The results of our study showed that there is no only one ideal suture material for surgical practice. The factors related to the patient, the type of the surgery and the quality of the tissue are important to decide an appropriate suture material.

BİSFOSFONAT KULLANMIŞ VEYA KULLANMAKTA OLAN HASTALARDA DENTAL İMPLANT UYGULAMALARI: LİTERATÜR DERLEMESİ

BISFOSFONAT KULLANMIŞ VEYA KULLANMAKTA OLAN HASTALARDA DENTAL IMPLANT UYGULAMALARI: LITERATUR DERLEMESI

ALZHEIMER HASTALIĞI VE DENTAL YAKLAŞIM ALZHEIMER'S DISEASE AND DENTAL MANAGEMENT

Ozet¬: Alzheimer hastaligi kisinin hafiza, ogrenme, karar verme, iletisim kurma, gunluk aktivitelerini yerine getirme gibi yeteneklerinde yavas ve ilerleyici hasar yaratan kortikal dejeneratif bir beyin hastaligidir. Bilissel ve motor fonksiyonlarda meydana gelen bozulma, kisinin yeterli agiz hijyeni uygulamalarini yerine getirmesine, agri yada disfonksiyon gibi rahatsizliklarini dile getirmesine engel olur. Bu hastalarda yasam boyu agiz sagliginin devamliliginin saglanabilmesi icin duzenli dental bakim sarttir. Hastaliga sahip bireyler icin, her bir bireyin ihtiyaclarina uygun tedavi seceneklerini belirlemek son derece hassas ve uzerinde onemle durulmasi gereken bir konudur. Bu derleme calismasi Alzheimer hastaliginin nedenleri, epidemiyolojisi, teshis ve dental tedavi stratejilerini ozetlemektedir. Anahtar kelimeler: Alzheimer hastaligi, dental, agiz hijyeni. Summary: Alzheimers disease is a cortical, degenerative, progressive brain disorder that gradually destroys a persons memory and ability to learn, make judgments, communicate and carry out daily activities. Cognitive and motor deficits may led difficulties to perform adequate oral hygiene and communicate discomforts such as pain or dysfunction. To maintain lifelong good oral health in this patients, regular dental care is a necessity. The most critical point is to sepecify the individual treatment needs for Alzheimers patients. This review summarizes the causes, epidemiology diagnosis, and dental management of Alzheimers disease. Key words: Alzheimers disease, dental, oral hygiene