Cleft lip and palate (CLP) patients have various problems with nasal anatomy beyond just oronasal separation. The alar base, concha, and septum are over impressed in these individuals. Additionally, skeletal class III deformity is seen. These conditions may limit nasal function. In our study, 15 unilateral patients with CLP older than 15 years (10 females, 5 males; mean age: 19.13) who had received surgery were included as the study group, and 15 participants with noncleft skeletal class III deformities were included as the control group (10 females, 5 males; mean age: 19.20). The individuals' nasal airway volumes (total/cleft side/noncleft side/control/ nasal passages) were examined and compared statistically. The results showed that the study group had significantly higher values in terms of total airway volume ( P < .05). Additionally, there were significant differences between the cleft side and noncleft side volumes, between the cleft side volumes and the volumes of the control group participants, and between the noncleft side volumes and the volumes of the control group participants ( P < .05). There was no difference between the groups in terms of nasopharyngeal ( P = .39) and nasal passage volumes ( P = .73). The results show there are some problems regarding nasal airway volume in patients with CLP, even when lip, palate, and alveolar cleft operations have been performed. The aim of this study was to evaluate differentiation of nasal airway volumes between unilateral patients with CLP and individuals with noncleft skeletal class III serving as the control group.

BackgroundCollagen membranes have some benefits include promoting wound healing through isolation, clot stabilization, wound stability, and hemostasis, enhancing primary wound coverage through its chemotactic ability to attract fibroblasts, and augmenting flap thickness by providing a collagenous scaffold. The purpose of this study was to compare primary and secondary healing and collagen membrane-based primary healing after surgical removal of partial impacted mandibular third molars, evaluating the incidence of postoperative complications and analyzing the swelling, mouth opening, and pain.MethodsThis was a prospective, randomized controlled study. Patients were randomly assigned to three groups: the SC (Secondary closure) group, the PC (Primary closure) group, and the MBPC (membrane based primary closure) group. Data were collected on pain, mouth opening, swelling, and complications experienced by the patients.ResultsThere was no statistically significant difference between the groups for the pain (p > 0.05), relatively. The swelling recorded on postoperative days 2 and 7 was lower in the SC group than in the PC (p = 0.046 and 0.00) and in MBPC (p = 0.005 and 0.002) groups, respectively. Mouth opening showed a statistically significant difference between the three groups at day 2 (p = 0.00). Wound dehiscence was shown in 6 patients in the PC (20%) group and 2 patients in the MBPC (6.7%) group. Dry socket was observed 3 patients in the SC group (10%), 2 patients in the PC group (6.7%), and no dry socket in the MBPC group. No cases of infection or postoperative bleeding were encountered.ConclusionsThe secondary closure provides a marked advantage over the primary closure in terms of swelling and mouth opening. However, the absence of alveolitis in the primary closure using the collagen membrane and minimal wound dehiscence, suggests that membrane use may support primary healing in terms of wound healing.

ÖZAmaç: Diş hekimliğinin güncel hedefi hastaların fonksiyonel ve estetik beklentilerini karşılayacak şekilde tedavi sunmaktır. Dental implant tedavisi; diş kayıplarının rehabilitasyonu için oldukça etkili bir metottur ve son yıllarda gittikçe artan sayıda uygulanmaktadır. Bu çalışmanın amacı; kliniğimizde dental implant cerrahisi uygulanan hastaların demografik ve klinik durumlarını ve yerleştirilen implantların özelliklerini retrospektif olarak incelemek ve tanımlayıcı istatistiksel yöntemler ile değerlendirmektir. Gereç ve yöntem: Bu çalışmada 2014 ve 2015 yılla-rında çalışma ekibimiz tarafından opere edilmiş hastalar yaş, cinsiyet, dişsizlik durumu, implant uygulanan bölgeler ve yerleştirilen implantların çeşitli özellikleri açısından incelenmiştir ve sonuçlar tanımlayıcı istatistiksel analiz metotları ile değerlendirilmiştir. Bulgular: 20 erkek (%29,9) ve 47 kadın (%70,1) olmak üzere toplam 67 hasta ve toplam 233 dental implant değerlendirilmiştir. Hastaların yaş aralığı incelendiğinde; ortalama yaş 41,1'dir. En sık tedavi edilen yaş aralığı 46-55 yaş arası olup toplam 20 hasta (%29,8) olarak belirlenmiştir. 124 implantın maksillaya (%53,2) ve 109 implantın ise mandibulaya (%46,8) yerleştirildiği görülmüştür. Sonuç: Bu çalışmada; dental implant uygulamalarının demografik ve klinik özelliklerinin değerlendirilmiş ve estetik alanda daha uzun ve daha dar çaplı, posterior alanda daha kısa ve daha geniş çaplı implantların kullanıldığı görülmüştür. En sık implant uygulaması gereksinimi duyulan maksiller ve mandibular birinci molar bölgelerine uygulanan implantların boyları ve çapları benzerlik göstermiştir. Anahtar kelimeler: Retrospektif çalışmalar, dişsiz çene, diş implantları, implant destekli diş protezi ABSTRACT Aim: The contemporary goal of dentistry is to provide both infection control and treatment to satisfy the functional and aesthetic expectations. The dental implant treatment is a highly effective method for rehabilitation of tooth loss and is applied in increasing numbers in recent years. The aims of this study were to analyze retrospectively of the demographic data of patients undergoing dental implant surgery and properties of implants and to evaluate with the descriptive statistical methods. Material and method:In this study, patients had been operated between 2014 and 2015 by our working team were evaluated. Patients studied in terms of age, gender, status of edentulism, implant zones and various features of these implants and datas evaluated with descriptive statistical analysis methods. Results: 67 patients including 20 male (29,9%) and 47 female (70,1%) patients with 233 dental implants were evaluated. When the age range of patients estimated, mean age is 41.1 year and the most treated age range is 46-55 years with 20 patient (29,8%). It was observed that 124 (53.2%) of implants were placed to maxilla and 109 (46.8%) of implants were placed to mandible. Conclusıon: In this study, demographic and clinical features of dental implant applications were evaluated and it's founded that longer and nar...

Bu çalışmanın amacı diş hekimliği fakültesi son sınıf öğrencileri ve mezun diş hekimleri için maksillofasiyal travmalara yaklaşım ile ilgili bilgi düzeylerini değerlendirmektir. Yöntem: Atatürk Üniversitesi Diş Hekimliği Fakültesinde son sınıfta okuyan öğrenciler ve Erzurum ilinde çalışmakta olan diş hekimlerine, maksillofasiyal travma bilgi düzeylerini ve yaklaşımlarını değerlendirmek amacıyla hazırlanan 20 soruluk bir anket formu uygulandı. Çalışmada 91 son sınıf öğrencisi ve 51 mezun diş hekimi yer almıştır. Bulgular: Bilgi düzeyini değerlendiren 13 sorunun 11'inde, doğru cevabın, sadece 2 soruda ise yanlış cevap seçeneğinin daha çok tercih edildiği görülmüştür. Katılımcılara yöneltilen ve klinik yaklaşımı değerlendiren 7 adet subjektif değerlendirme sorularının tamamı için, her iki grup tarafından da negatif sonuçlar elde edilmiştir. Sonuç: Hem son sınıf öğrencisi hem de mezun diş hekimlerinin maksillofasiyal travmalar konusundaki bilgi düzeylerinin kabul edilebilir olmasına rağmen katılımcıların bu konuda yeterli özgüvene sahip olmadıkları görülmüştür. Bu konudaki teorik bilgilerin, klinik olarak güçlendirilmesi gerektiği ve gereken eğitim stratejisinin oluşturulması gerekliliği sonucuna varılmıştır.

Nasal septum (Obwegeser) osteotome is a basic instrument used for separating the nasal septum and maxilla during Le Fort I osteotomy. If this instrument is placed too high or tilted into the nasal cavity, sphenoid sinus and various adjacent vital structures may be damaged and serious bleeding, neurological complications, or blindness or even death may occur. The aim of this study is to determine the margin of safety for damaging the sphenoid sinus and the adjacent structures with nasal septum osteotome in the young adults: 49 male and 51 female patients between 15 and 25 ages who required a Cone Beam Computed Tomography (CBCT) examination as part of their routine examination. In the study sample consisting of CBCT images, the aimed surgical line, the line between spina nasalis anterior and vomer and the base of sphenoid sinus (undesired line), and tilt angle between surgical and undesirable lines were measured. As the primary outcome of this study, margin of safety for damaging the sphenoid sinus and adjacent vital structures with nasal septum osteotome during Le Fort surgeries in young adults recommended as 5 mm and 120. For this reason the importance of planning with preoperative CBCT before Le Fort I osteotomies has been revealed.