Kısa dental implantların klinik ve radyolojik takibi: retrospektif çalışma

Amaç: Günümüzde kısa dental implantlar, atrofik çenelerde veya anatomik yapıların implant tedavisini sınırladığı olgularda, komplike cerrahi tedavileri uygulamadan, implant yerleştirilmesine olanak sağlamaktadır. Bu makalenin amacı, kliniğimizde uygulanan kısa dental implantların klinik ve radyografik bulgularını, dental implant türü, protez türü ve takip süresi ile ilişkilendirerek sunmaktır.Gereç ve Yöntem: 23 hastaya uygulanan toplam 32 adet kısa dental implant çalışmaya dahil edilmiştir. Klinik takip implant çevresinden periodontal değerlendirmeler ile radyografik takip ise panoramik radyograflar ile yapılmıştır.Bulgular: Çalışmamızın sonuçları marjinal kemik kaybı değerleri ile periodontal parametreler arasında herhangi bir ilişki olmadığını ortaya koymuştur (P> 0.05). Ayrıca implant ve protez türünün kısa dental implantların etrafındaki marjinal kemik kaybı ile ilişkilendirilemediği tespit edilmiştir (P> 0.05). Son olarak, takip süreleri ve marjinal kemik kaybı arasındaki ilişki istatistiksel olarak anlamlı bulunmuştur (P< 0.05).Sonuç: Çalışmamız kısa dental implantların atrofik çenelerde başarı ile kullanılabilecek bir tedavi yöntemi olduğunu göstermiştir

Knowledge and behavior of dentistry patients about the use and misuse of antibiotics: A cross-sectional study

Background: Antibiotics are being used frequently in dental infection and this study focused on the knowledge and behavior on antibiotic use of dentistry patients to reveal major mistakes leading to drug misuse. Methods: This cross-sectional survey was conducted among Trakya University Faculty of Dentistry patients between March and June 2019. The data were collected using a questionnaire and analyzed using IBM SPSS Statistics 22 (IBM SPSS, Turkey) for statistical analysis. Chi-square test, Fisher's Exact test, Fisher Freeman Halton test, and Continuity (Yates) Correction were used for comparison of qualitative data and frequency. Significance was evaluated at the

Removal of a supernumerary tooth displaced into the infratemporal fossa during extraction

Accidental displacement of an impacted tooth into the infratemporal fossa (ITF) is a rare but serious complication because of the vulnerability of the surrounding anatomical structures. Here we present the case of a 40-year-old man who reported pain on the right side of his face. Panoramic radiography and cone-beam computed tomography revealed an impacted third molar and a supernumerary tooth positioned immediately below it. Under local anesthesia, the third molar was easily extracted; however, the supernumerary tooth was inadvertently displaced into the ITF. The position of the tooth was confirmed by radiographic examination, and it was immediately removed intraorally by expanding the flap and carefully dissecting the soft tissues. Clinical aspects of this rare complication were evaluated, with special emphasis on the reliability of imaging modalities and surgical techniques

Surgical management of stage-2 medication-related osteonecrosis of the jaw with transplantation of human amniotic membrane: Preliminary results

Medication-related osteonecrosis of the jaw (MRONJ) is a drug adverse reaction. Seven osteonecrosis areas in 5 cases were treated with stage-2 MRONJ using human amniotic membrane (HAM) transplantation after sequestrectomy. Patients were evaluated in terms of infection (pain, erythema, and pus), mucosal coverage, and pain at 1, 2, 4, 8, and 12 weeks. Patients who showed improvement (total mucosal coverage, no sign of infection and pain) at the end of 12 weeks were followed up every 8 weeks. Also, radiographic examinations (panoramic radiography at every 8 weeks, cone-beam computed tomography at every 6 months) were performed to evaluate bone destruction. Complete mucosal closure was achieved in 6 necrosis sites. In only 1 patient, mucosal coverage was not achieved. No pain and infection relapse were observed during the follow-ups. HAM might be an effective material in terms of soft tissue healing and elimination of pain and infection for stage-2 MRONJ. Clinical Trials Registration Number: NCT04967963 © 2021Trakya Üniversitesi: 2018/275This study was supported financially by Trakya University , Scientific Research Project Department ( 2018/275 )

Accidental benzalkonium chloride (zephiran) injection

We report a case of an accidental injection of benzalkonium chloride (zephiran) instead of a local anesthetic agent during a tooth extraction. The sudden development of chin and neck swelling led to dyspnea and the patient lost consciousness. She was sent to an emergency clinic by her dentist immediately. After medical treatment for 20 days, the necrotic tissue was debrided and a gingival sulcoplasty was performed. Healing was uneventful. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:e103-e105

Is supraperiosteal infiltration anesthesia safe enough to prevent inferior alveolar nerve during posterior mandibular implant surgery?

Objectives: There is no agreement on using inferior alveolar nerve (IAN) block or supraperiosteal infiltration anesthesia during dental implant surgery in the posterior mandibular region. The aim of this study was to evaluate the effectiveness of supraperiosteal infiltration anesthesia on posterior mandibular region during dental implant surgery. Materials and Methods: In this study 52 implants were inserted under supraperiosteal infiltration anesthesia in 29 patients. After the surgery, patients were instructed to note their pain and/or painless dyscomfort on the visual analogue scale (VAS). Their pressure pain threshold (PPT) scores were evaluated by mechanical algometer. The distance between the apical end of the implants and IAN was measured by using calipers on postoperatif panoramic radiographs. Results: 50 implants to 27 patients had been able to place without pain under supraperiosteal infiltration. Implants which were placed at the mandibular second premolar and first molar region had been able to place with free of pain with supraperiosteal infiltration. There was no relationship among the distance between the apical ends of the implants and IAN with intraoperative discomfort of the patients. VAS scores during implant placement at the second premolar region were relatively higher than at the first and second molar region. Conclusion: Supraperiosteal infiltration anesthesia is a safe and effective method for posterior mandibular implant surgery. However the length of the implant should be determined carefully to avoid possible damage to IAN during implant placement under supraperiosteal infiltration anesthesia