Meltem Özden Yüce

Background/Objectives: This retrospective cohort study aimed to evaluate postoperative pain, swelling, and trismus following piezosurgery-assisted minor oral surgical procedures in patients with coronary artery disease and diabetes mellitus (CAD+DM) and to compare the outcomes with those of systemically healthy individuals. Methods: Medical records of 60 patients who underwent piezosurgery-assisted minor oral surgery between 2018 and 2021 were retrospectively reviewed. Patients were allocated into two groups: CAD+DM (n = 30) and healthy controls (n = 30). Postoperative pain was assessed using a visual analog scale (VAS) at 6 h, 12 h, postoperative day 1, day 2, day 3, and day 7. Swelling and trismus were evaluated preoperatively and on postoperative days 2 and 7. Swelling and trismus data were analyzed using repeated-measures ANOVA and two-way repeated-measures ANOVA, whereas VAS scores were analyzed using the Friedman test, Dunn’s post hoc test, and Mann–Whitney U test. Results: Both groups demonstrated significant time-dependent changes in swelling and trismus (all p < 0.001). Swelling increased on postoperative day 2 and decreased by day 7 in both groups; however, swelling values were significantly higher in the CAD+DM group at all evaluation time points (all p < 0.0001). Trismus was greatest on postoperative day 2 and improved significantly by day 7 in both groups (all p < 0.0001). A significant time × group interaction was observed for trismus (p < 0.0001), whereas no significant between-group difference was detected on postoperative day 7 (p = 0.7729). VAS scores decreased significantly over time in both groups (Friedman test, p < 0.0001). Pain scores were significantly lower in the CAD+DM group at 6 h, day 1, day 2, day 3, and day 7 (all p < 0.001), while no difference was observed at 12 h (p = 0.633). Conclusions: Piezosurgery-assisted minor oral surgery was associated with favorable postoperative recovery in both CAD+DM and healthy patients. Although CAD+DM patients exhibited greater postoperative swelling, trismus recovery was comparable between groups, and postoperative pain remained low throughout follow-up. Piezosurgery appears to be a safe and effective surgical approach for medically compromised patients undergoing minor oral surgical procedures.

Implant-supported overdenture prostheses are the preferred treatment option for rehabilitating patients with atrophic edentulous conditions. However, limit

Çocuk hastalarda travma ve çürük kaynaklı aşırı madde kayıpları, uygun olmayan frenulum bağlantıları, dişeti büyümeleri, sürme bozuklukları ve dental anomaliler gibi farklı nedenlerle cerrahi işlemlere gereksinim duyulmaktadır. Özellikle süt dişlerinin değişme zamanına kadar korunması çocuk hastalarda uzun dönemde ağız sağlığı açısından önem taşır. Cerrahi işlemlere gereksinim belirlenirken dişe ve hastaya bağlı faktörler değerlendirilerek gerekli endikasyon belirlenir. Cerrahi endikasyonun belirlenmesinde multidisipliner bakış açısı başarı için son derece önemlidir. Bu nedenle çocuk diş hekimleri, periodontologlar ve çene cerrahisi, uzmanları vakayı beraber ele almalıdır. Sürecin yönetilmesinde çocuk diş hekimi önemli rol oynar. Bu makale çocuk hastalarda en sık uygulanan cerrahi işlemleri endikasyon ve güncel uygulama teknikleri açısından disiplinler arası bakış açısı ile sunmayı amaçlamaktadır.

Introduction: The global elderly population is increasing and becoming more susceptible to oral and systemic diseases. Therefore, comprehensive clinical and histopathological examinations of the oral and maxillofacial area to assess the oral health of this population are crucial. This study aimed to increase the knowledge base regarding the prevalence of biopsied oral and maxillofacial lesions among a sample of the elderly Turkish population (≥ 65 years of age). Materials and Method: The clinical records of geriatric patients ≥ 65 years of age, who underwent biopsy for a pathological formation(s) in the oral region between January 2017 and January 2020 at Ege University School of Dentistry, Department of Oral and Maxillofacial Surgery (İzmir, Türkiye), were reviewed. Clinical follow-up data including demographic information, anatomical localization of the pathological mass, preliminary diagnosis, and biopsy results were evaluated. In order to ascertain the relationship between lesion formation and the independent variables, univariate analysis was employed. Results: Data were collected from 353 of 400 patients over a threeyear period. There was a high prevalence of odontogenic lesions (42.5%), and pathological diagnosis revealed an increased number of cases (43.1%). Pathological lesions were reported mostly in the posterior mandible (33.4%), followed by the anterior maxilla (21%), anterior mandible (13.3%), and posterior maxilla (7.1%). Conclusion: These findings are in accordance with those of previous studies based on histopathological data, emphasizing their importance in guiding public health policies for this patient population. Keywords: Biopsy; Pathology, Oral; Epidemiology; Geriatrics.

PURPOSE: This study aims to determine the incidence of inferior alveolar nerve (IAN) injury following the extraction of the lower third molars (LTMs) and to identify the demographic, radiographic, and intra-operative risk factors associated with this complication. MATERIALS & METHODS: Fifty LTMs from 47 patients were included in this prospective clinical study. Demographic data and intra-operative parameters including operation time, bone removal and duration, excessive bleeding and IAN exposure were recorded. Bone retention, anatomical position of LTMs (Pell&Gregory and Winter classification) and 5 radiographic criteria proposed by Rood and Shehab were evaluated on panoramic images, whereas the distance between roots and the inferior alveolar canal (IAC), the cortication status of IAC, and the buccolingual position of IAC were examined on CBCT images. Chi-square test was used to compare the presence of IAN injury with variables. A p-value < 0.05 was considered as statistically significant. RESULTS: The incidence of temporary IAN injury was 6% among study population. No permanent IAN injury was observed. Excessive bleeding (p=0.007), IAN exposure (p=0.007), the lingual position of IAC (p=0.035) and dumbbell-shaped IAC (p=0.002) were found to be associated with increased risk of temporary IAN injury. CONCLUSION: Identification of high-risk factors is essential for predicting the risk of IAN injury, and determining the most convenient treatment plan for each case. Further studies with larger study samples are needed both to confirm the risk factors that are proposed in the present study and to identify the other potential ones.

Background: The aim of this study was to evaluate physicians’ level of knowledge and awareness regarding the side effects of bisphosphonates (BPs). Methods: A cross-sectional descriptive study was conducted at University Hospital. Data were collected through a self-administered questionnaire given to a group of research assistants all of whom were required to prescribe BPs, including internists (oncologists, endocrinologists and rheumatologists), orthopaedic specialists, physiotherapists, obstetricians and gynaecologists, and urologists. The questionnaire consisted of a range of questions covering such matters as length of time in occupation, how information is given out, whether a dentist is consulted before or in the course of prescribing the medicine, and previous experience of medication-related osteonecrosis of the jaw (MRONJ) and any treatment modifications. Results: Ninety-one out of 106 physicians included in our sample were found to be treating patients with BPs. Although 89% of the physicians informed their patients about the side effects of BPs, only 16.5% advised their patients to consult a dentist for dental treatment before prescribing BPs. When the different specialist groups were ranked in terms of their rate of dental referrals, from highest to lowest, the order was as follows: physiotherapists, internists, obstetricians and gynaecologists, urologists and orthopaedists. A statistically significant correlation was found between knowledge and specialty (p=0.02), but no significant correlation was observed between knowledge and years of experience (p=0.3). Conclusion: There is a lack of awareness among research assistants about the risk of MRONJ when prescribing BPs. Therefore, continuous education programmes and multiple interventions are needed to increase awareness.

Objectives: The aim is to evaluate the contribution of 3D modeling data to the planning of the maxillofacial surgery and to determine the indications of 3D modeling. Materials and Methods: In this preliminary study, CBCT images of 2 patients with the Kodak 9000 3D (Kodak Carestream Health, Trophy, France) system were used. The segmentation procedures of the pathologies were performed manually, and was followed by the construction of the 3D models. A questionnaire was prepared by consensus of the research team, including the parameters which are critical in preoperative maxillofacial surgery planning. Five oral and maxillofacial surgeons independently evaluated both the traditional CBCT data and 3D model assisted data under the same viewing conditions. The extent of their decision change was scored using a 2 point Likert scale. Conventional (pre 3D model) versus 3D model assisted data (post 3D model) scores were analyzed. Pair-wise comparisons were completed using Fisher’s exact test (P < 0.05). Kappa was used to measure inter-observer agreement. Results: In both of the evaluation sessions (pre and post 3D model), operation time, defect size and complication risk factors showed the highest variation for both patients. The difference between the decision change proportions for the variables of pre and post 3D model sessions were not statistically significant (p>0.05). Except 2 observers with excellent agreement for both evaluations (p=0.036), the agreement rates were fair without statistical significance. Conclusions: The results confirmed that personalized 3D modeling constructed by CBCT data may lead to changes in surgical treatment planning protocol of complex cases.