Bilal Ege

Objective The aim of this study is to evaluate the effectiveness of submucosal 8 mg (2 mL) dexamethasone (DEX) on postoperative pain, swelling, chewing efficiency, trismus, healing, and discomfort after periodontal flap surgery (PFS). Methods In this randomized controlled split-mouth study, 25 patients underwent PFS in the mandible, whereby postoperative, submucosal DEX was injected to the surgical field to the test group and submucosal normal saline was applied to the control group. Pain was evaluated using the Visual Analogue Scale (VAS) and the 101-point numeric rate scale in the first 8 h after PFS and on the 2nd, 3rd, 4th, and 7th days, whereas swelling, chewing efficiency, trismus, healing, discomfort and analgesic consumption were evaluated preoperatively on the 1st, 2nd and 7th days. Results In the intergroup evaluation, the VAS-7th hour value of the test group was lower than the control group(p < 0.05). On the 1st day, it was observed that there was less swelling and more chewing efficiency in the test group than in the control group(p < 0.05). When time-dependent changes were examined, the decrease in mouth opening due to trismus in the control group was greater than that in the test group on the 1st and the 2nd days compared to the preoperative period(p < 0.05). Finally, postoperative healing, discomfort, and analgesic consumption were similar between groups. Conclusion Within the limits of this study, the submucosal DEX may be an effective protocol in the management of pain, swelling, and trismus after PFS. Clinical relevance Our findings shed light on the possible effects of DEX after PFS. Trial registration This study was registered on ClinicalTrials.gov (NCT06119893).

Aim: The aim of this study is to evaluate the effect of Ankaferd Blood Stopper (ABS) on the palatal donor site following free gingival graft (FGG) surgery. Materials and Methods: A total of 12 patients (24 palatal sites) were included in the study. In each patient, the donor sites were randomly divided into two groups. ABS+collagen pads were applied to the test group. Only collagen pads were applied to the control group. Donor sites were evaluated in terms of bleeding, complete epithelialization, sensitivity, pain score, analgesic usage, wound size, Landry, Turnbull, and Howley (LTH) index, and tissue thickness (TT). Results: Intraoperative bleeding was observed in significantly more patients (n=9) in the control group, while it was not observed in any of the patients in the test group (p=0.000). Although higher complete epithelialization (33.3%) was detected in the test group on day 14, there was no significant difference in epithelization between the groups. There was no significant difference in pain score, analgesic usage, wound size, LTH index, or TT between the groups. When the amount of change between the times was analyzed, only the change in TT between the 21st day and the 6th week was found to be statistically significant (p=0.028). Conclusion: In our study, it can be said that the use of ABS following FGG surgery has a positive effect on intraoperative bleeding, shortterm complete epithelialization, and long-term TT, but it cannot provide superiority compared to collagen sponge alone in terms of early wound healing, postoperative pain, and analgesic usage.

Objective: The aim of our study is to evaluate the complications that occurred on rabbit tibia bones after implant placement. Material and Method: In our study, 10 adult male white healthy New Zealand rabbits (average weight: 3,000 to 3,500 g) were used. Different numbers of dental implants were placed in the experimental animals. Complications in rabbit tibias were observed and radiological results were reported. Results: Of the 10 rabbits included in the postoperative study, one (10%) died immediately after the operation, eight (80%) within the first 24 hours, and the last one (10%) died within the next 48 hours of the operation. Conclusion: Based on the complications experienced during this study and the data we obtained, we conclude that the rabbit tibia is not suitable for such studies. More comprehensive and multi-center studies are needed to draw more firm conclusions on this subject.

We aimed to compare the effectiveness of panoramic radiography (PR) and cone beam computed tomography (CBCT) in radiographic diagnosis of maxillary sinus (MS) diseases. MS diseases (mucosal thickening, mucus retention cyst, polyp sinusitis, mucocele and tumoral formations) was carried out on both PR and CBCT images belonging to 625 patients. Analyzes were performed separately for right and left maxillary sinus, and total of 1250 PR and CBCT images. While a diagnosis of disease was made in 42.96% of a total of 1250 MS according to CBCT. According to PR, diagnosis was made in 58.72%. The 537 diagnoses where lesion presence was determined on CBCT in our study were compared over PR, and it was observed that, there was the right diagnosis (true positive) in 106 (19.73%) of these including respectively mucus retention cyst (n = 88), polyp (n = 16), 1 sinusitis and 1 tumor, and there was an incorrect diagnosis (false positive) in 221 (41.15%). In 42.92% of the MS that were identified as healthy based on CBCT, the correct diagnosis was also made on PR (true negative). The use of CBCT instead of PR in the diagnosis of pathological or inflammatory diseases contributes to a more accurate radiographic differential diagnosis.