Effectiveness of kinesio taping on postoperative morbidity after impacted mandibular third molar surgery: a prospective, randomized, placebo-controlled clinical study

Objective: Our study seeks to investigate the effectiveness of kinesio taping (KT) on postoperative morbidity compared to placebo and control groups after impacted third molar surgery. Methodology: Sixty patients with impacted mandibular third molar were included in this prospective, randomized, placebo-controlled clinical study. After surgical extraction of the impacted tooth, patients were allocated into three groups (20 patients each): group 1 received KT (kinesio), group 2 received placebo taping (placebo), and group 3 received no taping (control). The groups were compared regarding facial swelling, pain and trismus. Swelling was evaluated using a tape measuring method. Pain was assessed by a visual analog scale and the number of analgesic tablets taken. Trismus was determined by measuring maximum mouth opening. Results: In the KT group, all parameters reduced significantly on 2nd and 4th postoperative days compared to other groups; however, placebo and control groups revealed comparable outcomes. On 7th day, all groups showed comparable results. Conclusions: The KT application is an effective method for reducing morbidity after impacted mandibular third molar surgery. However, placebo taping is not as effective as proper taping. Placebo taping shows similar results compared to no taping regarding facial swelling percentage, pain and trismus

EPMA-World Congress 2015: Bonn, Germany. 3-5 September 2015

Table of contents A1 Predictive and prognostic biomarker panel for targeted application of radioembolisation improving individual outcomes in hepatocellular carcinoma Jella-Andrea Abraham, Olga Golubnitschaja A2 Integrated market access approach amplifying value of “Rx-CDx” Ildar Akhmetov A3 Disaster response: an opportunity to improve global healthcare Russell J. Andrews, Leonidas Quintana A4 USA PPPM: proscriptive, profligate, profiteering medicine-good for 1 % wealthy, not for 99 % unhealthy Russell J. Andrews A5 The role of IDO in a murine model of gingivitis: predictive and therapeutic potentials Babak Baban, Jun Yao Liu, Xu Qin, Tailing Wang, Mahmood S. Mozaffari A6 Specific diets for personalised treatment of diabetes type 2 Viktoriia V. Bati, Tamara V. Meleshko, Olga B. Levchuk, Nadiya V. Boyko A7 Towards personalized physiotherapeutic approach Joanna Bauer, Ewa Boerner, Halina Podbielska A8 Cells, animal, SHIME and in silico models for detection and verification of specific biomarkers of non-communicable chronic diseases Alojz Bomba, Viktor O. Petrov, Volodymyr G. Drobnych, Rostyslav V. Bubnov, Oksana M. Bykova, Nadiya V. Boyko A9 INTERACT-chronic care model: Self-treatment by patients with decision support e-Health solution Hans-Peter Brunner-La Rocca, Lutz Fleischhacker, Olga Golubnitschaja, Frank Heemskerk, Thomas Helms, Tiny Jaarsma, Judita Kinkorova, Jan Ramaekers, Peter Ruff, Ivana Schnur, Emilio Vanoli, Jose Verdu A10 PPPM in cardiovascular medicine in 2015 Hans-Peter Brunner-La Rocca A11 Magnetic resonance imaging of nanoparticles in mice, potential for theranostic and contrast media development – pilot results Rostyslav V. Bubnov, Sergiy A. Grabovetskyi, Olena M. Mykhalchenko, Natalia O. Tymoshok, Oleksandr B. Shcherbakov, Igor P. Semeniv, Mykola Y. Spivak A12 Ultrasound diagnosis for diabetic neuropathy - comparative study Rostyslav V. Bubnov, Tetyana V. Ostapenko A13 Ultrasound for stratification patients with diabetic foot ulcers for prevention and personalized treatment - pilot results Rostyslav V. Bubnov, Nazarii M. Kobyliak, Nadiya M. Zholobak, Mykola Ya. Spivak A14 Project ImaGenX – designing and executing a questionnaire on environment and lifestyle risk of breast cancer John Paul Cauchi A15 Genomics – a new structural brand of predictive, preventive and personalized medicine or the new driver as well? Dmitrii Cherepakhin, Marina Bakay, Artem Borovikov, Sergey Suchkov A16 Survey of questionnaires for evaluation of the quality of life in various medical fields Barbara Cieślik, Agnieszka Migasiewicz, Maria-Luiza Podbielska, Markus Pelleter, Agnieszka Giemza, Halina Podbielska A17 Personalized molecular treatment for muscular dystrophies Sebahattin Cirak A18 Secondary mutations in circulating tumour DNA for acquired drug resistance in patients with advanced ALK + NSCLC Marzia Del Re, Paola Bordi, Valentina Citi, Marta Palombi, Carmine Pinto, Marcello Tiseo, Romano Danesi A19 Recombinant species-specific FcεRI alpha proteins for diagnosis of IgE-mediated allergies in dogs, cats and horses Lukas Einhorn, Judit Fazekas, Martina Muhr, Alexandra Schoos, Lucia Panakova, Ina Herrmann, Krisztina Manzano-Szalai, Kumiko Oida, Edda Fiebiger, Josef Singer, Erika Jensen-Jarolim A20 Global methodology for developmental neurotoxicity testing in humans and animals early and chronically exposed to chemical contaminants Arpiné A. Elnar, Nadia Ouamara, Nadiya Boyko, Xavier Coumoul, Jean-Philippe Antignac, Bruno Le Bizec, Gauthier Eppe, Jenny Renaut, Torsten Bonn, Cédric Guignard, Margherita Ferrante, Maria Liusa Chiusano, Salvatore Cuzzocrea, Gerard O'Keeffe, John Cryan, Michelle Bisson, Amina Barakat, Ihsane Hmamouchi, Nasser Zawia, Anumantha Kanthasamy, Glen E. Kisby, Rui Alves, Oscar Villacañas Pérez, Kim Burgard, Peter Spencer, Norbert Bomba, Martin Haranta, Nina Zaitseva, Irina May, Stéphanie Grojean, Mathilde Body-Malapel, Florencia Harari, Raul Harari, Kristina Yeghiazaryan, Olga Golubnitschaja, Vittorio Calabrese, Christophe Nemos, Rachid Soulimani A21 Mental indicators at young people with attributes hypertension and pre-hypertension Maria E. Evsevyeva, Elena A. Mishenko, Zurida V. Kumukova, Evgeniy V. Chudnovsky, Tatyana A. Smirnova A22 On the approaches to the early diagnosis of stress-induced hypertension in young employees of State law enforcement agencies Maria E. Evsevyeva, Ludmila V. Ivanova, Michail V. Eremin, Maria V. Rostovtseva A23 Сentral aortic pressure and indexes of augmentation in young persons in view of risk factors Maria E. Evsevyeva, Michail V. Eremin, Vladimir I. Koshel, Oksana V. Sergeeva, Nadesgda M. Konovalova A24 Breast cancer prediction and prevention: Are reliable biomarkers in horizon? Shantanu Girotra, Olga Golubnitschaja A25 Flammer Syndrome and potential formation of pre-metastatic niches: A multi-centred study on phenotyping, patient stratification, prediction and potential prevention of aggressive breast cancer and metastatic disease Olga Golubnitschaja, Manuel Debald, Walther Kuhn, Kristina Yeghiazaryan, Rostyslav V. Bubnov, Vadym M. Goncharenko, Ulyana Lushchyk, Godfrey Grech, Katarzyna Konieczka A26 Innovative tools for prenatal diagnostics and monitoring: improving individual pregnancy outcomes and health-economy in EU Olga Golubnitschaja, Jan Jaap Erwich, Vincenzo Costigliola, Kristina Yeghiazaryan, Ulrich Gembruch A27 Immunohistochemical assessment of APUD cells in endometriosis Vadym M. Goncharenko, Vasyl O. Beniuk, Olga V. Kalenska, Rostyslav V. Bubnov A28 Updating personalized management algorithm of endometrial hyperplasia in pre-menopause women Vadym M. Goncharenko, Vasyl O. Beniuk, Rostyslav V. Bubnov, Olga Melnychuk A29 The personified treatment approach of polimorbid patients with periodontal inflammatory diseases Irina A. Gorbacheva, Lyudmila Y. Orekhova, Vadim V. Tachalov A30 Ukrainian experience in hybrid war – the challenge to update algorithms for personalized care and early prevention of different military injuries Olena I. Grechanyk, Rizvan Ya. Abdullaiev, Rostyslav V. Bubnov A31 Tear fluid biomarkers: a comparison of tear fluid sampling and storage protocols Suzanne Hagan, Eilidh Martin, Ian Pearce, Katherine Oliver A32 The correlation of dietary habits with gingival problems during menstruation Cenk Haytac, Fariz Salimov, Servin Yoksul, Anatoly A. Kunin, Natalia S. Moiseeva A33 Genomic medicine in a contemporary Spanish population of prostate cancer: our experience Bernardo Herrera-Imbroda, Sergio del Río-González, Maria Fernanda Lara, Antonia Angulo, Francisco Javier Machuca Santa-Cruz A34 Challenges, opportunities and collaborations for personalized medicine applicability in uro-oncological disease Bernardo Herrera-Imbroda, Sergio del Río-González, Maria Fernanda Lara A35 Metabolic hallmarks of cancer as targets for a personalized therapy John Ionescu A36 Influence of genetic polymorphism as a predictor of the development of periodontal disease in patients with gastric ulcer and 12 duodenal ulcer Alfiya Z. Isamulaeva, Anatoly A. Kunin, Shamil Sh. Magomedov, Aida I. Isamulaeva A37 Challenges in diabetic macular edema Tatjana Josifova A38 Overview of the EPMA strategies in laboratory medicine relevant for PPPM Marko Kapalla, Juraj Kubáň, Olga Golubnitschaja, Vincenzo Costigliola A39 EPMA initiative for effective organization of medical travel: European concepts and criteria Vincenzo Costigliola, Marko Kapalla, Juraj Kubáň, Olga Golubnitschaja A40 Design and innovation in e-textiles: implications for PPPM Anthony Kent, Tom Fisher, Tilak Dias A41 Biobank in Pilsen as a member of national node BBMRI_CZ Judita Kinkorová, Ondřej Topolčan A42 Big data in personalized medicine: hype and hope Matthias Kohl A43 The 3P approach as the platform of the European Dentistry Department (DPPPD) Anatoly A. Kunin, Natalia S. Moiseeva A44 The endometrium cytokine patterns for predictive diagnosis of proliferation severity and cancer prevention Andrii I. Kurchenko, Vasyl A. Beniuk, Vadym M. Goncharenko, Rostyslav V. Bubnov, Nadiya V. Boyko, Andriy M. Strokan A45 A monocyte-based in-vitro system for testing individual responses to the implanted material: future for personalized implant construction Julia Kzhyshkowska, Alexandru Gudima, Ksenia S. Stankevich, Victor D. Filimonov4, Harald Klüter, Evgeniya M. Mamontova, Sergei I. Tverdokhlebov A46 Prediction and prevention of adverse health effects by meteorological factors: Biomarker patterns and creation of a device for self-monitoring and integrated care Ulyana B. Lushchyk, Viktor V. Novytskyy, Igor P. Babii, Nadiya G. Lushchyk, Lyudmyla S. Riabets, Ivanna I. Legka A47 Targeting "disease signatures" towards personalized healthcare Mira Marcus-Kalish, Alexis Mitelpunkt, Tal Galili, Neta Shachar, Yoav Benjamini A48 Influence of the skin imperfection on the personal quality of life and possible tools for objective diagnosis Agnieszka Migasiewicz, Markus Pelleter, Joanna Bauer, Ewelina Dereń, Halina Podbielska A49 The new direction in caries prevention based on the ultrastructure of dental hard tissues and filling materials Natalia S. Moiseeva, Anatoly A. Kunin, Dmitry A. Kunin A50 The use of LED radiation in prevention of dental diseases Natalia S. Moiseeva, Yury A. Ippolitov, Dmitry A. Kunin, Alexei N. Morozov, Natalia V. Chirkova, Nakhid T. Aliev A51 Status of endothelial progenitor cells in diabetic nephropathy: predictive and preventive potentials Mahmood S. Mozaffari, Jun Yao Liu, Babak Baban A52 The status of glucocorticoid-induced leucine zipper protein in salivary gland in Sjögren’s syndrome: predictive and personalized treatment potentials Mahmood S. Mozaffari, Jun Yao Liu, Rafik Abdelsayed, Xing-Ming Shi, Babak Baban A53 Maximal aerobic capacity - important quality marker of health Jaroslav Novák, Milan Štork, Václav Zeman A54 The EMPOWER project: laboratory medicine and Horizon 2020 Wytze P. Oosterhuis, Elvar Theodorsson A55 Personality profile manifestations in patient’s attitude to oral care and adherence to doctor’s prescriptions Lyudmila Y. Orekhova, Tatyana V. Kudryavtseva, Elena R. Isaeva, Vadim V. Tachalov, Ekaterina S. Loboda A56 Results of an European survey on personalized medicine addressed to directions of laboratory medicine Mario Pazzagli, Francesca Malentacchi, Irene Mancini, Ivan Brandslund, Pieter Vermeersch, Matthias Schwab, Janja Marc, Ron H.N. van Schaik, Gerard Siest, Elvar Theodorsson, Chiara Di Resta A57 MCI or early dementia predictive speech based diagnosis techniques Matus Pleva, Jozef Juhar A58 Personalized speech based mobile application for eHealth Matus Pleva, Jozef Juhar A59 Circulating tumor cell-free DNA as the biomarker in the management of cancer patients Jiří Polívka jr., Filip Janků, Martin Pešta, Jan Doležal, Milena Králíčková, Jiří Polívka A60 Complex stroke care – educational programme in Stroke Centre University Hospital Plzen Jiří Polívka, Alena Lukešová, Nina Müllerová, Petr Ševčík, Vladimír Rohan A61 Sleep apnea and sleep fragmentation contribute to brain aging Kneginja Richter, Lence Miloseva, Günter Niklewski A62 Personalised approach for sleep disturbances in shift workers Kneginja Richter, Jens Acker, Guenter Niklewski A63 Medical travel and innovative PPPM clusters: new concept of integration Olga Safonicheva, Vincenzo Costigliola A64 Medical travel and women health Olga Safonicheva A65 Continuity of generations in the training of specialists in the field of reconstructive microsurgery Maxim Sautin, Janna Sinelnikova, Sergey Suchkov A66 Telemonitoring of stroke patients – empirical evidence of individual risk management results from an observational study in Germany Songül Secer, Stephan von Bandemer A67 Women’s increasing breast cancer risk with n-6 fatty acid intake explained by estrogen-fatty acid interactive effect on DNA damage: implications for gender-specific nutrition within personalized medicine Niva Shapira A68 Cytobacterioscopy of the gingival crevicular fluid as a method for preventive diagnosis of periodontal diseases Aleksandr Shcherbakov, Anatoly A. Kunin, Natalia S. Moiseeva A69 Use of specially treated composites in dentistry to avoid violations of aesthetics Bogdan R. Shumilovich, Zhanna Lipkind, Yulia Vorobieva, Dmitry A. Kunin, Anastasiia V. Sudareva A70 National eHealth system – platform for preventive, predictive and personalized diabetes care Ivica Smokovski, Tatjana Milenkovic A72 The common energy levels of Prof. Szent-Györgyi, the intrinsic chemistry of melanin, and the muscle physiopathology. Implications in the context of Preventive, Predictive, and Personalized Medicine Arturo Solís-Herrera, María del Carmen Arias-Esparza, Sergey Suchkov A73 Plurality and individuality of hepatocellular carcinoma: PPPM perspectives Krishna Chander Sridhar, Olga Golubnitschaja A74 Strategic aspects of higher medical education reforms to secure newer educational platforms for getting biopharma professionals matures Maria Studneva, Sihong Song, James Creeden, Мark Мandrik, Sergey Suchkov A75 Overview of the strategies and activities of the European Federation of Clinical Chemistry and Laboratory Medicine, (EFLM) Elvar Theodorsson, EFLM A76 New spectroscopic techniques for point of care label free diagnostics Syed A. M. Tofail A77 Tumor markers for personalized medicine and oncology - the role of Laboratory Medicine Ondřej Topolčan, Judita Kinkorová, Ondřej Fiala, Marie Karlíková, Šárka Svobodová, Radek Kučera, Radka Fuchsová, Vladislav Třeška, Václav Šimánek, Ladislav Pecen, Jan Šoupal, Štěpán Svačina2 A78 Modern medical terminology (MMT) as a driver of the global educational reforms Evgeniya Tretyak, Maria Studneva, Sergey Suchkov A79 Juvenile hypertension; the relevance of novel predictive, preventive and personalized assessment of its determinants Francesca M. Trovato, G. Fabio Martines, Daniela Brischetto, Daniela Catalano, Giuseppe Musumeci, Guglielmo M. Trovato A80 Proteomarkers Biotech George Th. Tsangaris, Athanasios K. Anagnostopoulos A81 Proteomics and mass spectrometry based non-invasive prenatal testing of fetal health and pregnancy complications George Th. Tsangaris, Athanasios K. Anagnostopoulos A82 Integrated Ecosystem for an Integrated Care model for Heart Failure (HF) patients including related comorbidities (ZENITH) José Verdú, German Gutiérrez, Jordi Rovira, Marta Martinez, Lutz Fleischhacker, Donna Green, Arthur Garson, Elena Tamburini, Stefano Cuomo, Juan Martinez-Leon, Teresa Abrisqueta, Hans-Peter Brunner-La Rocca, Tiny Jaarsma, Teresa Arredondo, Cecilia Vera, Giuseppe Fico, Olga Golubnitschaja, Fernando Arribas, Martina Onderco, Isabel Vara, on behalf of ZENITH consortium A83 Predictive, preventive and personalized medicine in diabetes onset and complication (MOSAIC project) José Verdú, Francesco Sambo, Barbara Di Camillo, Claudio Cobelli, Andrea Facchinetti, Giuseppe Fico, Riccardo Bellazzi, Lucia Sacchi, Arianna Dagliati, Daniele Segnani, Valentina Tibollo, Manuel Ottaviano, Rafael Gabriel, Leif Groop, Jacqueline Postma, Antonio Martinez, Liisa Hakaste, Tiinamaija Tuomi, Konstantia Zarkogianni, on behalf of MOSAIC consortium A84 Possibilities for personalized therapy of diabetes using in vitro screening of insulin and oral hypoglycemic agents Igor Volchek, Nina Pototskaya, Andrey Petrov A85 The innovative technology for personalized therapy of human diseases based on in vitro drug screening Igor Volchek, Nadezhda Pototskaya, Andrey Petrov A86 Bone destruction and temporomandibular joint: predictive markers, pathogenetic aspects and quality of life Ülle Voog-Oras, Oksana Jagur, Edvitar Leibur, Priit Niibo, Triin Jagomägi, Minh Son Nguyen, Chris Pruunsild, Dagmar Piikov, Mare Saag A87 Sub-optimal health management – global vision for concepts in medical travel Wei Wang A88 Sub-optimal health management: synergic PPPM-TCAM approach Wei Wang A89 Innovative technologies for minimal invasive diagnostics Andreas Weinhäusel, Walter Pulverer, Matthias Wielscher, Manuela Hofner, Christa Noehammer, Regina Soldo, Peter Hettegger, Istvan Gyurjan, Ronald Kulovics, Silvia Schönthaler, Gabriel Beikircher, Albert Kriegner, Stephan Pabinger, Klemens Vierlinger A90 Rare disease diobanks for personalized medicine Ayşe Yüzbaşıoğlu, Meral Özgüç, Member of EuroBioBank - European Network of DNA, Cell and Tissue Banks for Rare Disease

Assessment of Correlation Between Pre-operative Radiologic Bone Density and Subjective Bone Quality Score, Insertion Torque and Resonance Frequency Analysis in Dental Implant Surgery.

TEZ9531Tez (Uzmanlık) -- Çukurova Üniversitesi, Adana, 2014.Kaynakça (s. 44-53) var.xii, 54 s. : res. (bzs. rnk.), tablo ; 29 cm.İmplant tedavisinin başarısı açısından implantın yerleştirileceği bölgedeki kemik boyutlarının yeterli olmasının yanı sıra kemik kalitesinin uygun olması da büyük önem taşımaktadır. Bu sebeple, tedavinin başarısı için, kemik kalitesinin işlem öncesinde değerlendirilmesi gerekmektedir. Dental implantlar, osseointegrasyon tanıtıldıktan sonra dental rehabilitasyonda popüler bir alternatif tedavi yöntemi olmuştur. Dental implantların başarısı ve sağkalım oranı, yerleştirilmiş dental implantların sayısındakı hızlı bir artış ile birlikte giderek daha önemli hale gelmiştir. Dental implant tedavisinin başarısı, implant yerleştirilecek bölgedeki mevcut kemiğin miktarı ve kalitesinden etkilenmektedir. Çalışmalar kalitesiz ve yetersiz kemik miktarı olan vakalarda yerleştirilen implantlar için yüksek başarısızlık oranları göstermiştir1. Bu nedenle, ameliyat öncesi kemik yapısının kesin bir şekilde değerlendirilmesi tedavi planlaması sırasında çok önemlidir. Kemik kalitesi implant stabilitesinin sağlanmasında dikkate alınması gereken önemli bir faktördür. İyi bir stabilite implant kemik entegrasyonuna olumlu etki etmektedir. Bu nedenle, literatürde kemik kalitesi değerlendirilmesi için çeşitli sınıflandırma sistemleri ve prosedürleri tanımlanmıştır. İmplant yerleştirilme işlemi sırasında kemik kalitesi hakkında cerrahın sübjektif değerlendirmesiyle implant stabilitesi tahmin edilebilir. İmplant yerleştime işlemi sırasında ve sonrasında yerleştirme tork testi ve rezonans frekans analizi (RFA) ile implant stabilitesi objektif olarak değerlendirilebilir. Bütün bu yöntemler implant cerrahisi sırasında kemik kalitesi hakkında bilgi vermektedir. Bununla birlikte; bu öngörülebilir tekniklerin, ameliyat sırasında kullanılan yöntemlerle korelasyon göstererek ameliyat öncesinde yeterli implant stabilitesi sağlanabilmesi konusunda bilgi vermesi gerekmektedir. Bu nedenle, son yıllarda preoperatif kemik yoğunluğunun değerlendirilmesinde CT kullanma konsepti daha objektif bir yöntem olarak tanıtılmıştır. Birçok araştırmada CT kemik yoğunluğu ve primer implant stabilitesi arasındaki ilişki bildirilmiştir. Fakat hastaların CT taraması sırasında yüksek radyasyona maruz kalması olumsuz bir durumdur. Son zamanlarda, özel olarak kafa ve boyun bölgesinin görüntülenmesi için tasarlanmış konik ışınlı CT (CBCT) tekniği tanıtıldı. CBCT CT ile karşılaştırıldığında yüksek çözünürlüklü görüntüleme, potansiyel olarak daha düşük radyasyon dozu ve daha düşük maliyetler gibi avantajlar sayılmaktadır. Öte yandan, CBCT’nin dağınık radyasyon da dahil olmak üzere, X-ray detektörlerinin sınırlı dinamik aralığı ve kemik yoğunluğu ile doğrusal bir korelasyonu olmayan yoğunluk değerlerinin olması gibi birçok dezavantajlarıda vardır. Sınırlı kontrastlı çözünürlülük, düşük kontrastlı CBCT görüntülerini tanımlanabilirliği açısından olumsuzluk oluşturmaya devam etmektedir. Fakat, son yıllarda yapılan çalışmalarda CBCT kemik yoğunluk değerleri ve kesitli CT’den alınmış Hounsfield birimi(HU) arasında anlamlı bir korelasyon bildirilmiştir. Yeni yapılmış bir çalışmada, Sonuç olarak, CBCT görüntülerinden alınmış kemik yoğunluğu değerleri tartışmalıdır. Literatürde, CBCT kullanarak tahmin edilen kemik yoğunluğu ve primer implant stabilitesi arasındaki korelasyonla ilgili çalışmalar sınırlıdır. Bu temel bilgileri dikkate alarak, bu çalışmanın amacı CBCT elde edilmiş kemik yoğunluğu değerinin yerleştirme tork değeri (ITV), radyofrekans analizi (RFA) parametreleriyle, kemik kalitesi ve implant boyutları, konumu, hastaların yaş ve cinsiyet dahil olmak üzere farklı klinik değişkenlerle korelasyonunudeğerlendirmektir.Sufficient bone quality as well as sufficient bone dimension is crucial in terms of treatment succes of dental implants. Thus, pre-operative evaluation of bone quality is necessary for treatment success. Dental implants have been a popular alternative in the dental rehabilitation after the introduction of osseointegration. The success and survival of dental implants have become increasingly important along with the rapid increase in the number of dental implants installed. The success of dental implant treatment is influenced by both the quality and quantity of available bone for implant placement. Studies have shown higher failure rates for implants placed in bone of poor quality and quantity. Hence, a precise evaluation of bone structure before surgery is crucial during treatment planning. Bone quality is a key factor to take into account when predicting implant stability. A good stability favors implant osseointegration. Thus, several classification systems and procedures have been defined for assessing bone quality. Implant stability can be predicted subjectively by surgeon’s assumption about bone quality during bone drilling procedure before implant placement. Implant stability can also be evaluated objectively by the insertion torque test and resonance frequency analysis (RFA) after implant placement. All of these methods provide information about bone quality during implant surgery. However; predictable techniques, which correlate with the methods used during surgery, are necessary to predict implant stability before surgery. Thus, the concept of using CT, as a more objective method for preoperative quantitative assessment of bone density, has had increasing popularity during the past few years. A number of studies have shown the relationship between bone density on CT and primary implant stability. However, patients were exposed to high radiation during CT scanning. Recently, cone beam CT (CBCT) technique, specifically designed for head and neck imaging, was introduced. The advantages of CBCT are imaging with high resolution, potentially lower radiation dose, and reduced costs compared with CT. On the other hand, there are several disadvantages of CBCT including scattered radiation, the limited dynamic range of the X-ray detectors, and density values without a linear correlation with bone density. Limited contrast resolution continues to impair low-contrast detectability in CBCT images. However, significant correlations between the density values of CBCT and Hounsfield unit (HU) of multislice CT were also reported in recent studies. Consequently, deriving bone density values from CBCT images seems controversial. In the literature, there are only limited number of studies about the correlation between bone density estimated by CBCT and primary implant stability. With this background, the aim of the present study was to explore the efficacy of bone density value derived from CBCT by evaluating its correlation.Bu çalışma Ç.Ü. Bilimsel Araştırma Projeleri Birimi tarafından desteklenmiştir. Proje No: DHF2011D3

Displacement of dental implants into the maxillary sinus: five cases

Dental implantların maksiller sinüs içine yer değiştirmesi nadir görülen bir komplikasyondur. İmplantların maksiller sinüse yer değiştirmesi genellikle hatalı cerrahi planlama veya yetersiz cerrahi teknik ile ilgilidir. Dental implantlar sıklıkla sinüslerde yabancı cisim reaksiyonlarına neden olur ve sinüs komplikasyonlarının gelişmesinden kaçınmak için çıkarılmalıdır. Bu komplikasyonları önleyebilmek için, preoperatif dikkatli klinik ve radyolojik değerlendirmeler ile anatomik oluşumlarla ilgili cerrahi öngörü doğru bir şekilde yapılmalı ve atravmatik çalışılmalıdır. Bu çalışmada, retrospektif vaka serisini sunarak, sinüste bulunan dental implantın biyouyumlu olmasına rağmen çıkarılma gerekliliği tartışıldı.Dental implant displacement into the maxillary sinus is a rare complication. Maxillary sinus displacement of the implants is often associated with incorrect surgical planning or inadequate surgical technique. Dental implants often result in foreign body reactions in the sinuses and should be removed in order to avoid the development of sinus complications. A careful preoperative clinical and radiological evaluations and surgical foresight regarding anatomical formations should be done correctly and atraumatic technique should be performed in order to prevent these complications. In this study, a retrospective case series was presented to discuss the necessity of removing the sinus dental implant even if it is biocompatibl

Displacement of dental implants into the maxillary sinus: five cases

WOS: 000437950000029Dental implant displacement into the maxillary sinus is a rare complication. Maxillary sinus displacement of the implants is often associated with incorrect surgical planning or inadequate surgical technique. Dental implants often result in foreign body reactions in the sinuses and should be removed in order to avoid the development of sinus complications. A careful preoperative clinical and radiological evaluations and surgical foresight regarding anatomical formations should be done correctly and atraumatic technique should be performed in order to prevent these complications. In this study, a retrospective case series was presented to discuss the necessity of removing the sinus dental implant even if it is biocompatible

Comparison of piezoelectric bone surgery and traditional rotary instruments in impacted third molar surgery

Amaç: Bu çalışmanın amacı, gömülü alt üçüncü molar operasyonunda kullanılan piezoelektrik cerrahisinin ve döner enstrümanların operasyon sonrası enflamatuar yanıt üzerindeki etkilerini değerlendirmek ve karşılaştırmaktır. Bireyler ve Yöntem: Çalışmaya, simetrik olarak gömülü mandibular üçüncü molar dişlere sahip 26 sağlıklı hasta dahil edildi. Birinci operasyonda, bukkal ostetomi rond frez ile gerçekleştirildi (Frez grubu). İkinci operasyonda, kemik kaldırmak için piezoelektrik cerrahi tekniği kullanıldı (Piezo grubu). Cerrahi işlem süresi, ağrı, trismus ve yüzdeki şişlik değerlendirildi. Bulgular: Ortalama cerrahi işlem süresi piezo grubunda anlamlı olarak daha uzun bulundu (p=0,003). Operasyon sonrası ikinci günde, dinlenme (p=0,005) ve çiğneme (p<0,001) anındaki ortalama VAS ağrı skorları ve operasyon sonrası yedinci günde çiğneme anındaki (p<0,001) ortalama VAS ağrı skoru frez grubunda anlamlı olarak daha yüksek tespit edildi. Operasyon sonrası yedinci günde, piezo grubunda alınan analjezik tabletlerin sayısı frez grubundan anlamlı olarak daha az sayıdaydı (p=0,013). Frez grubunda, ortalama yüz şişliği operasyon sonrası ikinci (p<0,001) ve yedinci (p=0,003) günlerde piezo grubundan anlamlı olarak daha fazla tespit edildi. Operasyon sonrası ikinci (p<0,001) ve yedinci (p<0,001) günlerde frez grubunda trismus anlamlı olarak daha yüksek bulundu. Sonuç: Bu çalışmada elde edilen bulgulara göre, piezoelektrik kemik cerrahisi gömülü üçüncü molar diş operasyonu sonrası morbiditeyi azaltmak ve iyileşmeyi hızlandırmak için kullanılabilecek alternatif bir yöntemdir.Purpose: The aim of this study was to evaluate and compare the effects of piezoelectric surgery and rotary instruments on the inflammatory response in the impacted lower third molar surgery. Patients and Methods: Twenty-six healthy patients with symmetrically impacted mandibular third molars were included. In the first operation, buccal osteotomy was performed with a round burr (Rotary group). In the second operation, piezoelectric surgery was used for bone removal (Piezo group). Duration of surgery, pain, trismus and cheek swelling were evaluated. Results: The mean duration of surgery was significantly longer in the piezo group (p=0.003). On the second postoperative day, the mean VAS pain scores during rest (p=0.005) and chewing (<0.001) and on the seventh postoperative day during chewing (<0.001) were significantly higher in the rotary group. On the seventh postoperative day, the number of analgesic tablets taken in the piezo group was significantly lower than the rotary group (p=0.013). The mean facial swelling in the rotary group was significantly higher than the piezo group on the second postoperative day (<0.001) and on the seventh postoperative day (p=0.003). On the second (<0.001) and seventh postoperative days (<0.001) trismus was significantly higher in the rotary group. Conclusion: According to the findings of the present study, piezoelectric bone surgery is an alternative method to reduce morbidity and to improve recovery after impacted third molar surgery

Contemporary Approaches in the Repair of Alveolar Clefts

Cleft lip and palate is one of the most common craniofacial anomalies. The repair of the alveolar clefts is an important part of the treatment for patients with cleft lip and palate. The treatment concepts of alveolar bone grafting are still controversial. The corresponding controversial issues are; timing of alveolar bone grafting, graft materials, and timing of the orthodontic expansion. In the present article, aforementioned controversial issues and contemporary treatment modalities of the maxillary alveolar clefts were reviewed in the light of current literature. In conclusion, the most suitable time for alveolar bone grafting is mixed dentition period. Grafting procedure may be performed in the early or late phases of this period depending on some clinical features. Adjunct orthodontic expansion procedures should be performed before and/or after grafting depending on the patient's current features. [Archives Medical Review Journal 2014; 23(4.000): 563-574