Mustafa Cemil Büyükkurt

Transmigrant maxillary canines

OBJECTIVE The objective of this study was to investigate the incidence and pattern of transmigrant maxillary canines. PATIENTS AND METHODS The records of 6000 patients who were presented to our oral and maxillofacial surgery services between January 1998 and January 2007 were reviewed. Observations were made as to the right/left localization and number of transmigrant canines; sex and age of patients; retained deciduous canines; and any other associated pathology. RESULTS A total of 12 patients presented with transmigrated maxillary canines with 6 females (age 15 to 37) and 6 males (age 17 to 57) in 6000 individuals (0.2%). All transmigrant canines were unilateral. The numbers of left and right transmigrant maxillary canines were equal. Ten individuals in 12 patients had not retained deciduous canines. None of these patients had any pathology associated with impacted canines. CONCLUSION The canine transmigration can occur not only in the mandible but also the maxilla. Further studies are necessary to examine this rare phenomenon to allow classification of transmigrant canines in the maxillary arch. Thus, the incidence, demographic factors, and etiology of this phenomenon can be clarified. How transmigrant maxillary canines pass on the contralateral side of the mid palatal suture must be completely clarified.

Prevalence of the pneumatized articular eminence in the temporal bone

OBJECTIVES The pneumatized articular eminence (PAT) of the temporal bone has been identified as an asymptomatic radiolucent appearance defect in the temporal bone. Although it occurs very rarely, when present, it may represent the potential for complications following surgical manipulation of the temporomandibular joint. MATERIALS AND METHODS The record of 8107 patients who presented to our Oral and Maxillofacial Surgery services, between January 1998 and February 2008 was reviewed. Observations were made on the side and radiographic appearance of the PAT; and sex and age of patients. RESULTS Eighty-three of 8107 (1.03%) individuals had PAT with 41 females and 42 males. PATs were located on the right side in 60 individuals and in the left side in 50 individuals. PATs were unilateral in 56 cases and bilateral in 27 (totally 110 PAT). Forty-four of the PATs were unilocular type, and 66 of the PATs were multilocular type. CONCLUSIONS Treatment of PAT is unnecessary. However if a surgeon who is planning to perform eminoplasty or eminectomy on a patient who has PAT, he/she should be aware of the details of PAT. Moreover, fractures of the temporal bone with PAT can occur easier than temporal bone without PAT.

Evaluation of volumetry and density of mandibular symphysis bone grafts by three-dimensional computed tomography

PURPOSE Bone grafting before implant placing can improve the treatment in traumatized or regular implant patients. The aim of this study was to evaluate the density and maximum amount of harvestable bone graft in the mandibular symphysis. MATERIALS AND METHODS Data from 15 CT-scans were obtained from 15 adult patients (10 male/five female) for the purposes of this study. The CT data, in DICOM format, were read into Mimics software from Materialize (Leuven, Belgium), with a slice thickness of 0.5 mm. The volume, density, and dimensions based on Hounsfield units (HU) were measured on the 3D symphyseal bone graft using Mimics software. RESULTS The average bone volume calculated from the mandibular symphysis was 3491.08 +/- 772.12 mm(3). The average sized corticocancellous block that was measured was 38.75 x 11.05 x 7.80 mm. The mean bone density was 958.95 +/- 98.11 HU. CONCLUSION The use of three-dimensional computed tomography (3D CT) in combination with a software program is a reliable means of determining the density of graft, evaluating maximal volume and dimensions of the graft that can be harvested from the mandibular symphysis region.

Simulation of sinus floor augmentation with symphysis bone graft using three-dimensional computerized tomography

The objective of this study was to evaluate the maximum amount of harvestable bone graft in the mandibular symphysis and the augmentation volume needed for different sinus lift levels (from 10 to 18 mm), in addition to calculating which sinus lift level can be acquired using the individuals symphysis bone graft volume with three-dimensional computerized tomography (3D CT) and software. Data from 15 CT scans was obtained from 15 adult patients (10 males, five females). The CT data, in DICOM format, was read into Mimics software from Materialize (Leuven, Belgium), with a slice thickness of 0.5 mm. The mandibular symphysis bone graft volumes and different levels of sinus lift augmentation volumes were calculated on the 3D images using Mimics software. It was determined that the average symphysis bone volume (3491.08+/-772.12 mm(3)) could provide approximately 14 mm of sinus lift height (3167.84+/-1067.65). 3D CT techniques and software can be used to calculate the required graft volume for sinus floor augmentation and symphysis bone graft volume, and the mandibular symphysis region can provide adequate bone volume for sinus lift augmentation.