Diş Hekimlerinin Kardiyopulmoner Resüsitasyon ve Mavi Kod Uygulamaları Konusunda Bilgi Düzeylerinin Değerlendirilmesi

ABSTRACT Objective: To evaluate the dentists’ knowledge of cardiopulmonary resuscitation (CPR) and code blue application (CBA). Methods: The study was conducted among 210 dentists working in the public hospitals or dental faculty in Kayseri. The study included 165 dentists who volunteered to respond the survey questions. Participants were asked 19 questions about their demographics, as well as their knowledge and experience of CPR and CBA. The dataset was statistically evaluated. Results: It was determined that 43.6% of the participants had used CBA before, and 70.3% of the participants were capable of giving the code blue. The participants' rates of experiencing cardiac arrest cases anywhere or in their dental practice were 15.2% and 0.6%, respectively. After graduation, 69.7% of the participants received CPR training; however, only 6.7% performed CPR. 61.2%, 55.2%, and 57.6% of participants correctly answered questions about chest compression rate, chest compression/respiration ratio, and application site, respectively. It was found that participants with 1 to 5 years of professional experience answered the questions more accurately. Conclusion: The participants in the study had a lack of knowledge regarding CPR and CBA. As a result, CPR training for dentists should begin in the undergraduate years and continue in the postgraduate years. Keywords: Dentist, Cardiopulmonary resuscitation, Code blue ÖZ Amaç: Diş hekimlerinin kardiyopulmoner resüsitasyon (KPR) ve mavi kod uygulamaları (MKU) hakkındaki bilgi düzeylerini değerlendirmektir. Yöntemler: Anket formları, Kayseri ilindeki çeşitli kamu kurumları veya üniversitede görev yapan 210 diş hekimine ulaştırılmıştır. Soruları yanıtlamayı kabul eden 165 katılımcı çalışmaya dahil edilmiştir. Katılımcılara demografik özelliklerini, KPR ve MKU hakkındaki bilgi ve deneyimlerini değerlendiren 19 adet soru sorulmuştur. Veriler istatistiksel olarak değerlendirilmiştir. Bulgular: Katılımcıların %70,3’ünün mavi kod vermeyi bildiği ve %43,6’sının önceden mavi kod verdiği tespit edilmiştir. Katılımcıların %15,2’si herhangi bir zamanda, %0,6’sı ise diş tedavisi sırasında kardiyak arrest durumu ile karşılaştığını belirtmiştir. Mezuniyet sonrası KPR eğitimi alanların oranı %69,7 ve KPR uygulayanların oranı ise %6,7 idi. Katılımcılar, KPR sırasında göğüs kompresyon hızı, göğüs kompresyonu / solunum oranı ve uygulama yeri ile ilgili sorulara sırasıyla %61,2, %55,2 ve %57,6 oranında doğru cevap vermiştir. Mesleki tecrübe süresi 1-5 yıl arasında olan diş hekimlerinin bu soruları cevaplamada daha başarılı olduğu tespit edilmiştir (p<0,05). Sonuç: Katılımcıların KPR ve MKU konusunda bilgi eksikliklerinin olduğu görülmüştür. Bu nedenle, diş hekimlerine yönelik KPR eğitimleri lisans düzeyinde başlamalı ve mezuniyet sonrası dönemde devam etmelidir. Anahtar Kelimeler : Diş hekimi, Kardiyopulmoner resüsitasyon, Mavi ko

Is panoramic radiograph really safe in the posterior mandibular region for dental implant placement? Is panoramic radiograph safety for dental implant application?

Aim: The aim of the study was to Investigate the probable planning differences in the vertical bone measurements required for dental implant application between panoramic radiographs and the cone-beam computed tomography (CBCT) images due to the posterior mandible lingual concavities

A comparative evaluation of parasymphyseal fracture fixation in edentulous patients performed using dynamic navigation systems and Herbert screws with the conventional two-plate method: A study on models

© 2021 Elsevier Masson SASPurpose: The investigators performed this study to compare the rigidity outcomes for minimally invasive fixation of edentulous mandibular parasymphyseal fractures without flap creation using Herbert screws with a dynamic navigation system and the conventional two-plate method. Methods: The investigators implemented an in-vitro study design, and 20 polyurethane edentulous mandibular models covered with flexible plastic to simulate the gingiva were used. Parasymphyseal fractures were created in all models using a reciprocal saw. In the study group, the fracture segments in each model were planned to be fixed using two 30-mm Herbert screws. The Herbert screws were placed using a screwdriver with the dynamic navigation system guiding the process. In the control group, to simulate open reduction, the fracture fragments were fixed using two 4-hole straight titanium plates and 6-mm titanium screws. All mandibular models on the prepared platform were attached to the biomechanical testing machine. They were subjected to a continuous linear compression until plastic deformation occurred. Displacement resistance was measured once for every model when the displacement reached 1, 3, 5, 10, and 15 mm. Furthermore, the maximum breaking forces that the models could withstand before deformation were measured. Data were analyzed using independent samples t-test. A value of p < .05 was considered statistically significant. Results: Manual examination of the models did not reveal any mobility between the fragments. In all evaluated displacement steps, the models fixed using Herbert screws showed significantly higher resistance to mechanical loading compared to the models fixed using parallel miniplates. Conclusion: In present study, parasymphyseal fracture of edentulous mandible models were fixed successfully using Herbert screws with the dynamic navigation system. The results of this study may encourage future clinical studies

Modification of Closed Reduction Technique to Manage Unilateral Displaced Condylar Fractures: A Case Report

Objective: Mandibular condyle fractures are the most common injures of maxillomandibular trauma.It causes decreased mouth opening, facial asymmetry and interferencases at affected side. Surgical or Non- surgical method is used in this case. The aim of this case was to presentation treatment of medial displaced condylar fracture with closed reduction techniqueCase: The following protocol was used in the Oral and Maxillofacial Surgery Clinic in Erciyes University for treatment, the patient had low interincisal distance and deflection to the affected side after a motorcycle crash. A 17-year-old boy was referred to our clinic about significant facial asymmetry and pain, he had a mouth openning of 29 mm. After cone beam tomography evaluation the author has seen a medial displaced condylar fracture and for treatment a closed reduction with acrylic bite block was chosen. Occlusal appliance has 8 mm premature contact on the affected side. After two weeks intermaxillary fixation application the patient was called three times in a week to eradicate the appliances acrylic area step by step. After 6 weeks of IMF the angle of the fractures has checked and Interincisal mouth opening was 23 mm. The patient was given physiotherapy to prevent ankylosis and was called monthly to check the mouth opening and deviation. The last clinical examination a maximum mouth opening of 41 mm and no deviation was detected.Conclusion: Open reduction isn’t a definite indication treatment for a displaced condyle fracture because it has many complications.This modified technique will manage unilateral displaced condylar fractures successfully.Keywords:&nbsp;condyle fractures, closed reduction, intermaxillary fixation, mouth opening</div

İMPLANT CERRAHİSİ SIRASINDA GELİŞENGASTROİNTESTİNAL YABANCI CİSİMKOMPLİKASYONUN YÖNETİMİ: VAKARAPORLARI

Amaç: Tek ya da çoklu diş eksikliklerinde en ideal ve güncel tedavi implant cerrahisidir.Cerrahide kullanılan aletlerin gastrointestinal sisteme aspirasyonu nadir görülen ciddi birkomplikasyondur. Özellikle erişkin yaşta,gastrointestinal kanamaları takip ederek daha ciddi morbidite ve mortaliteye nedenolabilirler. Bu durumlarda hekimlerin komplikasyonlarla nasıl başa çıkabileceğikonusunda bilinçlendirilmesi amaçlanmaktadır.Olgu Sunumu: Ağız, Diş ve Çene Cerrahisi Kliniği’ne implant tedavisi için başvuran ikihastanın, implant cerrahisi sırasında gösterdikleri şiddetli öğürme refleksi sonucunda,ağızlarında bulunan implant kapak anahtarları gastrointestinal bölgeye doğru yerdeğiştirdi. Her iki hastanın havayolunun açık olduğu belirlendikten sonra kesin tanı içinAcil Servise yönlendirilmesi ve hastalardan batın radyografisi alınması sağlandı.Gastrointestinal yabancı cisim komplikasyonu tanısı kesinleştikten sonra hastalarGastroenteroloji Ana Bilim Dalı’na yönlendirildi. Her iki vakaya da sedasyon altında acilolarak endoskopi yapıldı. Yapılan kontrollerde hastalarda herhangi bir şikayetininolmadığı belirlendi.Sonuç: Sindirim sistemine kaçan yabancı cisimler acil tanı ve tedavi gerektiren durumlararasında yer almaktadır. Erken tanı ve tedavisi hayatı tehdit eden komplikasyonlarınönlenmesi için çok önemlidir.Anahtar Kelimeler: Yabancı cisim, aspirasyon, komplikasyon</p

Closure of Oroantral Communication With Plasma-Rich Fibrin Membrane

Oroantral communication (OAC) is the opening between the maxillary sinus and oral cavity. It may cause oroantral fistula or maxillary sinusitis if left untreated. The surgical closure of the OAC within 48hours was recommended to avoid the complications like sinus infections. The aim of this study is to evaluate the treatment of OACs with plasma-rich fibrin (PRF) which is safe and easy to implement in the OACs