Background: The aim of this study is to investigate the relationship of carotid artery calcifications detected in panoramic radiographs of patients aged 60 or older with isolated systemic diseases. Patients and Methods: From October 2018 to December 2019, 867 panoramic radiographs of patients, who applied to Dicle University Faculty of Dentistry for various dental reasons, were collected for examination. Of these 867 panoramic radiographs, 444 panoramic radiographs were included in this study. Medical data were collected from the archival records of the dental school. Results: The study population consisted of 240 female (54.1%) and 204 male (45.9%) patients. Their mean age was 66 ± 7.3 (range: 60-92) years. Only 39 (8.8%) of the 444 patients had atherosclerotic plaques. Of the 39 patients with carotid artery calcification, 13 (33.3%) were male and 26 (66.7%) were female. As a result of statistical analysis, carotid artery calcification compared to other systemic diseases was found to be significantly more common in patients with hypertension (p = 0.009). Conclusion: Carotid artery calcifications detected coincidentally in standard panoramic radiographs of dental patients may be important markers for preventing serious risks such as coronary artery disease, stroke, and death. The relationship between carotid artery calcifications found on dental panoramic radiographs and hypertension was significant. Therefore, it seems that detection of carotid artery calcifications on panoramic images of hypertension patients must be considered by dentists.

AimThe present study aims to employ dental volumetric tomography to examine bone mineral density among men that used antidepressants in the SSRI group for a long time.MethodThe present study was conducted through the utilisation of data related to patients that presented to the Faculty of Dentistry of Dicle University and had a dental volumetric tomography (DVT) scan for any reason. The patients were divided into 2 groups based on the use of antidepressants: Group 1 included 68 patients as the control group, and Group 2 consisted of 68 patients that used antidepressants. Radiomorphometric measurements were performed on DVT data: DVT-Mandibular Index (DVT-MI), DVT-Cortical Index (DVT-CI), Hounsfıeld Unit (HU) CORTICAL, and HU SPONGIOSIS values were calculated.ResultsThe group of patients that used antidepressants exhibited a significant increase in DVT CI and a significant decrease in HU CORTICAL, HU SPONGIOSIS and DVT MI values. These findings were suggestive of osteoporosis.ConclusionLong-term use of antidepressants should be taken into consideration as a risk factor for osteoporosis in men.

Amaç: Bu retrospektif çalışmanın amacı, 2008-2019 yılları arasında Dicle Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş Çene Hastalıkları ve Cerrahisi Anabilim Dalı’na başvuran travmaya bağlı maksillofasiyal kırık izlenen hastaların demografik dağılımını ve tedavi yöntemlerini geriye dönük analiz edip elde edilen bulguları değerlendirmek ve tartışmaktır. Gereç-Yöntem: Kliniğimize başvuran 374 maksillofasiyal travma vakasına ait dosya dokümanları toplanarak incelendi. Elde edilen veriler cinsiyet, yaş, etiyoloji, mevsim, anatomik lokalizasyon ve tedavi seçeneklerine göre analiz edildi. Bulgular: Yapılan istatiksel analiz sonucunda 257’si erkek (% 68,7), 117’si kadın(% 31,3) olan 374 hastada 400 maksillofasiyal kırık tespit edildi. Ortalama yaş 25 (7 - 68) olarak tespit edildi. Etiyolojik nedenler sıralandığında düşme 129 hasta (% 34,5) ile ilk sırada yer aldı. Daha sonra sırasıyla 124 hasta (% 33) darp, 69 hasta (% 18,4) trafik kazası, 21 hasta (% 5,6) spor kazası, 12 hasta (% 3,2) iş kazası, 12 hasta (% 3,2) at tepmesi, 4 hasta(%1) ateşli silah yaralanması ve 3 hasta(% 0,80) diş çekim sonrası oluşan çene kırığı olarak analiz edildi. Tedavisi gerçekleştirilmiş 400 kırığın 334’dü (% 83) mandibulada, 46 (% 11) tanesi maksillada, 3 (% 1) tanesi zigomatik kemikte, 3 tanesi(% 1) orbitada ve son olarak 14 tanesi (% 4) çoklu kırık şeklinde görüldü. Sonuç: Maksillofasiyal kırıkların insidansı, etiyolojisi, hastaların demografik özellikleri bölgelere göre çeşitlilik göstermektedir. Bölgeler arasındaki farklılığın daha detaylı anlaşılabilmesi için coğrafik, sosyal ve ekonomik değişkenlere sahip sahaların katılacağı çok merkezli çalışmaların hem hastaların tedavisine hem de literatüre büyük katkı sağlayacağını düşünmekteyiz.

Bifid mandibular kondil (BMK) diğer ismiyle çift başlı kondil, mandibular kondil başının ikizleşmesi ile karakterize nadir görülen bir durumdur. BMK etiyolojisi tam olarak bilinmemekle beraber gelişimsel ya da travma sonucu oluşabilmektedir. Bu çalışmanın amacı, bifid mandibular kondilin (BMK) Güneydoğu Anadolu popülasyonundaki prevalansının konik ışınlı bilgisayarlı tomografi (KIBT) ile retrospektif olarak değerlendirilmesidir. Gereç ve Yöntemler: Bu retrospektif çalışmada, 2015-2020 yılları arasında Dicle Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi ABD'ye çeşitli nedenlerle başvuran 650 (350 kadın, 300 erkek) hastaya ait KIBT görüntüleri değerlendirildi. BMK tespit edilen vakalara ait yaş, cinsiyet ve yön (sağ-sol) açısından elde edilen tüm veriler kaydedildi ve istatistiksel olarak analiz edilerek, görülme sıklıkları belirlendi. Bulgular: Yaş ortalaması 40 olan 18-65 yaş aralığındaki 650 hastanın 35'inde (21 kadın, 14 erkek) toplam 40 tane BMK tespit edildi. BMK, 5 hastada bilateral; 30 (17 sağ, 13 sol) hastada ise unilateral olarak görüldü. BMK görülme sıklığı kadınlarda %6, erkeklerde %4,6 olarak tespit edildi. Ayrıca yaş gruplarında BMK'nin pozitif veya negatif olması yönünde, görülme sıklıklarında istatistiksel olarak anlamlı bir fark görülmedi. Sonuç: Çalışmamızda BMK prevalansı, Güneydoğu Anadolu popülasyonunun %5,38'inde görülmüş olup; kadınlarda ve sağ tarafta daha sık saptandı. Ayrıca yapılan analizde, kadınlarda ve erkeklerde BMK görülme sıklığında istatistiksel olarak anlamlı fark olduğu tespit edildi. Anah tar Ke li me ler: Konik ışınlı bilgisayarlı tomografi; mandibular kondil; anormallikler; epidemiyoloji ABS TRACT Objective: Bifid mandibular condyle (BMC), also known as double-headed condyle, is a rare condition characterized by twinning of the mandibular condyle head. Although the etiology of BMC is not known exactly, it may occur as a result of developmental or trauma. The aim of this study was to evaluate the prevalence of bifid mandibular condyle (BMC) in Southeastern Anatolia of population by using cone-beam computed tomography (CBCT). Material and Methods: In this retrospective study, CBCT scans of 650 (350 females, 300 males) patients who referred to Dicle University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery between 2015 and 2020 were evaluated. BMC cases were analyzed according to the patients age, gender and direction (right-left) their frequencies were determined statistically. Results: A total of 40 BMCs were detected in 35 (21 female, 14 male) of 650 patients aged 18-65 years, with a mean age of 40. BMC, bilateral in 5 patients; it was seen unilaterally in 30 (17 right, 13 left) patients.The incidence of BMC was 6% in women and 4.6% in men. In addition, there was no statistically significant difference in the incidence of positive or negative BMC in age groups. Conclusion: In our study, the prevalence of BMC was seen in 5.38% of the Southeastern Anatolian population, and it was more common in women and on the right side. In addition, it ...

Summary Background/Aim: Many irrigation solutions are used during root canal treatment. It is unacceptable to confuse irrigation solutions with anesthetic solution and inadvertently inject the patient. After such an error, local and systemic serious complications can be seen in the patient. The purpose of this case report is to show how careless use of etilendiamin tetraacedic acid (EDTA) can result in important complications, and offer some treatment methods for curing symptoms resulting from such complications. Case Report: A 17% EDTA solution, was inadvertently injected in the buccal mucosa of a 20-year-old male during routine root canal treatment. Severe pain, bleeding and mucosal swelling occurred shortly after the injection. Irrigation with saline was performed by sliding the mucoperiosteal flap at the injection site. Then the flap was sutured primary. At the control one week later, there were no areas of necrosis in the patient, but ecchymosis occurred. Decalcified areas were not detected in dental volumetric tomography examination. Conclusions: The dentists must apply the precautions of EDTA irrigation solution during the root canal treatment and manage the treatment of this clinical complication.