Objective:The purpose of this retrospective study was to analyze clinic and radiologic features and the prevalence of jaw cysts in southeast region of Turkey.Materials and Methods:This study was carried out in 149 cysts of the jaw diagnosed among 407 individuals who were taken biopsy in our department from October 2008 to December 2012. All cysts were treated by enucleation, marsupialization, or combination, and all cases were histologically examined.Results:One-hundred-and-forty-eight cases were classified odontogenic, one was non-odontogenic. There were 89 cysts (59.7%) in men, 60 (40.3%) in women. The mean age was 32.72 years. We found 80 cysts (35 F, 45 M) in the maxillary and 69 (28 F, 41 M) in mandible. It is observed that 94 were radicular cysts (63%), 40 were dentigerous cysts (26.9%), 9 were odontogenic keratocysts (OKC) (6.1%), 5 were residual radicular cysts (3.4%), and 1 was nasopalatine cyst (0.6%). In radicular cysts, 56 of them (59.5%) were located in the anterior region of the jaws; 18 dentigerous cysts and 2 OKCs were found in the posterior region of mandible. Clinically, the chief complaint of patients was expansion and pain. Radiographically, scalloping of the lesion between the teeth was found in 1 case, root resorption was seen in 3 cases, and displacement of the teeth and follicles was observed in 16 cases.Conclusions:We found similar prevalence of jaw cysts that reported in the literature, in which most odontogenic cysts (OCs) were inflammatory origin.

AimTo establish the effects of submucosal single doses of two medicines on postoperative pain after root canal treatment in mandibular molar teeth with symptomatic irreversible pulpitis.MethodologyIn this randomized controlled, double‐blind clinical trial, 90 patients with the diagnosis of symptomatic irreversible pulpitis in their mandibular first or second molars were included and randomly divided into three groups (n = 30): a control group that received normal saline and two experimental groups that received a single dose of either tramadol (100 mg 2 mL−1) or dexamethasone (8 mg 2 mL−1). After local anaesthesia and before treatment, submucosal injections were administered into the mucobuccal fold adjacent to the mandibular molars, and a routine single‐visit root canal treatment procedure was performed in all groups. After the root canal treatments, the patients were asked to score their pain level using the Heft–Parker visual analogue scale (0–170 mm) at 6, 12, 24, 48 and 72 h. The experimental groups were compared using one‐way anova or Kruskal–Wallis H‐test. The groups that were significantly different were compared pairwise using Student's t‐test or the Mann–Whitney U‐test. The findings were expressed as the mean ± standard deviation or median (min‐max). The categorical variables were tested using the chi‐square test or Fisher's exact chi‐square test, and the results were expressed as counts and percentages.ResultsAt the 6‐h and 48‐h time intervals, the intensity of pain was significantly less in both the dexamethasone and tramadol groups than in the control group (P < 0.0167). At the end of 12 h, the pain level in the dexamethasone group was significantly less compared to the other groups (P < 0.0167).ConclusionsPretreatment submucosal dexamethasone and tramadol injections significantly diminished post‐treatment endodontic pain of patients with symptomatic irreversible pulpitis following single‐visit root canal treatment. However, dexamethasone was more effective than tramadol in pain reduction in the first 12 h.

Aim: To establish the effects of submucosal tramadol, dexamethasone and articaine on the success of inferior alveolar nerve blocks (IANB) during root canal treatment of mandibular molars with symptomatic irreversible pulpitis (SIP). Methodology:In this randomized double-blind, controlled clinical trial, 120 patients with the diagnosis of SIP in their mandibular first or second molars were included and randomly divided into four groups (n = 30). The control group received normal saline and three experimental groups received a single dose of dexamethasone (8 mg/2 mL), or tramadol (100 mg/2 mL) or articaine (4% / 2 mL). The pre-operative pain levels of the patients were measured with the Heft-Parker visual analogue scale (HP VAS). All patients received standard IANB of 4% articaine with 1:200000 epinephrine. Following the observation of lip numbness, submucosal injections were administered into the mucobuccal fold adjacent to the mandibular molars. After 15 min, standard root canal treatment was initiated, and the pain intensity levels recorded from the access cavity preparation to pulp extirpation were measured with HP VAS. The duration of the anaesthesia was also evaluated. The experimental groups were compared using one-way ANOVA or Kruskal-Wallis H-test. The groups that were significantly different were compared pairwise using the Tukey Multiple Comparison test. The Chi-square test was used to compare the categorical variables. Results:The submucosal administration of articaine significantly increased the success rate to 63% in comparison with the control group that received submucosal saline (p < .05). The success rate of pulpal anaesthesia was 37% in the control group, 57% in the tramadol group and 47% in the dexamethasone group, with no significant difference in the success rate among these groups. In the dexamethasone group, the duration of the anaesthetic effect of IANB was significantly longer than those in the other groups (p < .001). Conclusions:In patients with SIP, pre-operative submucosal administration of articaine increased the success rate of IANB, while administration of dexamethasone | 1983 AKSOY ET AL.

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Güneydoğu Anadolu Bölgesi'nde yedi farklı dental anomalinin görülme sıklığı Amaç: Bu çalışmanın amacı, Güneydoğu Anadolu Bölgesinde yaşayan bireylerde yedi farklı dental anomalinin görülme sıklığının ve cinsiyetler arasındaki dental anomali görülme yatkınlıkların değerlendirilmesidir. Gereç ve Yöntemler: Çalışma Adıyaman Üniversitesi Dişhekimliği Fakültesi'ne ve Adıyaman Ağız ve Diş Sağlığı Merkezi'ne çeşitli nedenlerle müracat etmiş hastalardan rastgele seçilen 4256 hastaya ait panoramik radyografi görüntüleri üzerinde retrospektif olarak tasarlandı. Hastalara ait panoramik radyografi görüntüleri dental anomalilerin tespit edilmesi amacıyla 2 araştırmacı tarafından değerlendirildi. Çalışmada hastaların panoramik radyografi görüntüleri üzerinde tespit edilen, alt keser diş eksikliği, sürnümerer diş, ektopi, gömülü kalma, mikrodonti, taurodontism ve dilaserasyon olmak üzere 7 tip dental anomali cinsiyetler arası dağılımına göre istatistiksel olarak analiz edilmiştir Bulgular: En sık görülen anomali %4,2 oranıyla gömülü kalma olarak tespit edildi. Taurodontizm % 0,02 lik oranla en az görülen anomali olarak tespit edildi. Gömülü diş görülme sıklığı erkek bireylerde, kadınlara kıyasla istatistiksel olarak anlamlı derecede daha fazla bulunmuştur. Ektopik diş görülme oranı, erkeklerde kadınlara nazaran istatistiksel olarak anlamı derecede fazla bulunmuştur. Kadınlarda alt keser diş eksikliği görülme oranı, erkeklere göre istatistiksel olarak anlamlı derecede fazla bulunmuştur. Sonuç: Güneydoğu Anadolu Bölgesinde yaşayan bireylerde gömülü kalma, en sık rastlanılan anomali olarak karşımıza çıkmaktadır. Alt keser diş eksikliği kadınlarda daha fazla görülürken, gömülü diş ve ektopiye erkeklerde daha sık rastlanılmıştır. Bunun yanında, sürnümerer diş, dilaserasyon, taurodontizm ve mikrodonti gibi anomalilerin görülme sıklığı bakımından cinsiyetler arasında farklılık tespit edilmemiştir. Taurodontizm en az rastlanılan anomali olarak tespit edilmiştir.