Body Dysmorphic Disorder in Oral and Maxillofacial Surgery

Body dysmorphic disorder (BDD) may be related to the appearance of a body part or may sometimes arise from concerns about a body function. Currently, this disorder was included in contemporary classification systems with DSM-5. The majority of BDD patients first consult dermatologists, surgeons, and more often plastic surgeons, rather than psychiatrists. Therefore, it is difficult to determine the prevalence of this disorder in the psychiatric society. The oral and maxillofacial region is highly associated with face deformities, and the patients with BDD are applying to those clinics even without self-awareness of their disorders. It has been reported that most of the orthognathic surgical patients are associated with the facial appearance of surgical motivations and will have similar psychological motivations to cosmetic surgery patients. Moreover, the orthodontics, prosthetic and restorative dentistry are the branches of dentistry that mostly the patients come with esthetic complaints. Studies on BDD have not yet received the value they deserve concerning the prevalence and severity. Researches in dentistry and oral and maxillofacial surgery are much less, and the individuals suffering from BDD are not well-known among dentists/oral and maxillofacial surgeons; therefore, the frequency of BDD patients is not noticed and treated properly

Diş hekimliği fakültelerinde kullanılan farklı diş ünitlerinin su ünitlerinin su sistemlerinin geri akım kontaminasyonu açısından değerlendirilmesi

Amaç: Farklı diş koltuk sistemlerine bağlı gerikaçış engelleyici sistemlerin etkinliğinin uzun dönem araştırılması ve farklı branşlara göre gerikaçış sonucu ortaya çıkabilecek çapraz enfeksiyon riskinin belirlenmesidir. Gereç ve Yöntemler: Dişhekimliğinin birbirinden farklı üç branşından çalışma grubu oluşturulmuştur. Bu farklı üç gruptan elde edilen materyaller bakteri varlığı açısından değerlendirilerek gruplar arasındaki farklılık mikrobiyolojik açıdan incelenmiştir. Bulgular: Üç grupta da birçok bakteri kolonisinin izole edildiği görülmekle birlikte üreyen mikroorganizmaların çoğunun çevreden ve ağız florasından sıklıkla izole edilen bakteri kolonileri olduğu görülmüştür. Sonuç: Diş ünit sistemlerinin kontaminasyonu engelleyici sistemlerle donatılmasının son derece önemli olduğu görülmüş, bununla birlikte uzun zamandır kullanılan diş ünit sistemlerinin sıklıkla kontrol edilmesi ve gerektiğinde yenilenmesi sonucuna ulaşılmıştır

Difficulties and treatment outcomes of orthodontic therapy of a patient with Williams Syndrome

Williams Syndrome (WS) is a rare congenital and progressive multisystem disorder which is described with specific systemic disorders, skeletal and dental abnormalities and tongue thrusting. A 13-year-old patient applied to our clinic with complaining dental caries, malocclusion and tongue thrusting. The patient was treated with a full fixed standard edgewise appliance named as Mini Master Series from American Orthodontics (Central Islip, N.Y., USA), 0.018 inch bracket slots) for 2 years and 8 months. Despite poor oral hygiene, frequent appointments helped to complete the orthodontic treatment of the patient without caries formation. Also extraction of first molars with uncertain prognosis provided social benefits when it was compared to healthy premolar extractions. This case report presents the successful results of the orthodontic therapy and difficulties of an orthodontic treatment of a patient who was diagnosed with WS

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

The efficiency of ozone therapy and low-level laser therapy in rat facial nerve injury

Purpose: Comparison of low-level laser therapy (LLLT) and ozone therapy (OT) methods for the treatment of facial nerve injury (FNI) in rats, evaluated by histomorphometric measurement analysis. Materials and methods: Thirty rats were randomly divided into control (C), LLLT, and OT groups. The left facial nerves (FNs) of all rats (n ¼ 30) were used in this study. These were held in a surgical clamp for 30 s to create neuropathic damage. The non-injured right FNs of the rats in the control group formed the fourth, sham (S) group in this study (n ¼ 10). Therefore the total number of evaluated samples was 40. The injured FNs of rats in the control group were left to heal spontaneously, whereas LLLT was applied for 21 consecutive days (output 100 mW/cm2 and wavelength 850 nm) and OT (2 ml; 80 mm/ml) once every 2 days for 21 days. Results: After histomorphological evaluation, the OT group revealed statistically significant outcomes following FNI compared with the OT and control groups in terms of branching of nerve fibers (p ¼ 0.003), nerve fiber diameters (p ¼ 0.0398), nerve fiber areas (p ¼ 0.042), and axon numbers (p ¼ 0.0327). Although the LLLT group revealed a better healing process than the control group, the outcome was not statistically significant in terms of branching of nerve fibers (p ¼ 0.6804), nerve fiber diameters (p ¼ 0.7424), nerve fiber areas (p ¼ 0.7048), and axon numbers (p ¼ 0.7588). Conclusions: OT resulted in statistically significant differences in outcome when compared with the LLLT and control groups, and provided a safe and effective treatment for FNI in rats. OT could therefore be considered as an alternative treatment of FNI. Clinical studies should now be performed to establish whether comparable results can be achieved in humans

Histologic and Biomechanical Evaluation of Osseointegrated Miniscrew Implants Treated with Ozone Therapy and Photobiomodulation at Different Loading Times

Purpose: The aim of this study was to evaluate how continuous heavy orthopedic forces affect the stability of sandblasted, large-grit, acid-etched (SLA)-surfaced miniscrew implants and surrounding bone tissue healing at three different loading periods with treatment of photobiomodulation and ozone therapy. Materials and Methods: Miniscrew implants were applied on the tibias of 9-month-old rabbits (n = 18). The animals were randomly divided into three groups: control, photobiomodulation, and ozone therapy. In all groups, miniscrew implants were loaded with 500 gf at 0, 4, and 8 weeks, respectively (G1, G2, and G3). Several biomechanical and histologic analyses were performed in different centers to measure the implant stability quotient level, bone volume, and bone-to-implant contact. Results: According to the results of the Infinite Focus Microscopy, the ozone therapy group revealed significantly higher scores than the control group and photobiomodulation group at the 4-week loading time, whereas the photobiomodulation and ozone therapy groups revealed significantly higher scores than the control group at the 8-week loading time in terms of bone volume measurements in mm(3) (P < .05). According to the histologic analysis, the ozone therapy and photobiomodulation groups revealed significantly higher scores than the control group at the 4-week loading time, whereas the photobiomodulation group showed the highest scores among the 8-week loading groups (P < .05). Conclusion: This is the first study in the literature that reveals a better osseointegration process in miniscrew implants when treated with photobiomodulation and ozone therapy compared with control groups. Although the photobiomodulation and ozone therapy groups did not reveal significantly higher scores in immediately loaded miniscrew implants (G1), these treatments were significantly more effective when loaded after 4 or 8 weeks of osseointegration (G2 and G3). SLA-surfaced miniscrew implants are successful in the orthopedic forces (500 gf) and can be removed without complications