Browsing by Author "Cigerim, Levent"

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Analgesic Efficacy of Naproxen-Codeine, Naproxen Plus Dexamethasone, and Naproxen on Myofascial Pain: a Randomized Double-Blind Controlled Trial
(Taylor & Francis Ltd, 2023) Cigerim, Levent; Kaplan, Volkan
Objective To assess the effects of naproxen sodium-codeine phosphate, naproxen sodium-dexamethasone, and naproxen sodium on myofascial pain. Methods This randomized, double-blind prospective clinical study was conducted with patients who applied with the complaint of pain in the temporomandibular region. A total of 169 patients were randomly divided into four groups and received the following treatments: Group A: naproxen sodium 550 mg; Group B: naproxen sodium 550 mg + codeine phosphate 30 mg; Group C: naproxen sodium 550 mg + single-dose dexamethasone 8 mg, and Group D: paracetamol 500 mg. Results Of the patients, 132 were female, and 37 were male, with a mean age of 27.04 +/- 10.56 (18-69 years). Analgesic efficiency of the naproxen sodium-codeine phosphate group was the most effective at the 2nd week and 4th week (p< 0.05). Conclusion Naproxen sodium-codeine phosphate might be preferred as an analgesic in similar cases with severe myofascial pain.
Comparison of Clinical Efficacies of Preoperatively Initiated Naproxen Sodium-Codeine Phosphate in Combination, Diclofenac Potassium, and Benzydamine Hydrochloride for Pain, Edema, and Trismus After Extraction of Impacted Lower Third Molar: a Randomized Double-Blind Study
(W B Saunders Co-elsevier inc, 2018) Cigerim, Levent; Eroglu, Cennet Neslihan
Purpose: The aim of this study was to compare the clinical efficacies of naproxen sodium-codeine phosphate in combination, benzydamine hydrochloride, and diclofenac potassium for pain, edema, and trismus after lower third molar extraction. Materials and Methods: Ninety healthy volunteers in whom impacted third molar extraction was indicated were randomly distributed into 3 groups. One hour before the tooth-extraction process, patients were administered one of the following drugs: naproxen sodium, 550 mg, and codeine phosphate, 30 mg, in a tablet; diclofenac potassium, 50 mg, in a coated pill; or benzydamine hydrochloride, 50 mg, in a coated pill. Pain assessment was conducted via a visual analog scale; edema assessment, by measuring the distances between predetermined facial landmarks; and trismus assessment, by measuring interincisal distance. Regarding rescue analgesics (paracetamol, 500 mg), the number and time of use by patients were recorded. Results: Naproxen sodium-codeine phosphate was more effective for pain, edema, and trismus than diclofenac potassium and benzydamine hydrochloride (P < .05). Benzydamine hydrochloride yielded similar clinical responses to diclofenac potassium (P > .05). No drug-related side effects were observed. Conclusions: Naproxen sodium-codeine phosphate constitutes the drug of choice after the extraction of a patient's impacted lower third molar. Benzydamine hydrochloride has similar efficacy to diclofenac potassium, and it can be used as a nonsteroidal anti-inflammatory analgesic drug. (C) 2017 American Association of Oral and Maxillofacial Surgeons
Effect of a Single Dose of Deflazacort on Postoperative Pain, Swelling, and Trismus After Impacted Lower Third Molar Surgery: Randomised Clinical Trial
(Mdpi, 2024) Kaplan, Volkan; Cigerim, Levent; Feslihan, Erkan; Cigerim, Saadet Cinarsoy
Background and Objectives: The aim of this study was to investigate the efficacy of a single preoperative dose of deflazacort on pain, swelling, and trismus after impacted lower third molar surgery. Materials and Methods: This randomised, prospective, double-blind, split-mouth clinical study included 26 healthy individuals with bilaterally impacted lower third molars. Group 1 was given a placebo (single-dose vitamin C tablet), and group 2 was given a single 30 mg dose of deflazacort 1 h prior to surgery. Pain was evaluated using the visual analogue scale for 1 week postoperatively. Oedema (in mm) and trismus (in mm) were evaluated preoperatively and on postoperative days 2 and 7. The Mann-Whitney U test was applied for group analyses. p values < 0.05 were considered statistically significant. Results: Postoperative pain scores were significantly lower in the deflazacort group at the 6th and 12th hours after surgery (p < 0.05). There were no significant differences in trismus between the groups at any time point (p > 0.05). There was less oedema in the deflazacort group on postoperative days 2 and 7, without any statistically significant difference (p > 0.05). Conclusions: A single preoperative dose of 30 mg deflazacort was found to be clinically effective in reducing pain and oedema after extraction of impacted lower third molars.
The Effect of Age of Titanium Dental Implants on Implant Survival and Marginal Bone Resorption: a 5-Year Retrospective Follow-Up Study
(Allen Press inc, 2020) Cigerim, Levent; Kaplan, Volkan
It has been demonstrated that the osteoconductivity, hydrophilicity, and biological capacity of titanium decreases over time, and this phenomenon was described as the biological aging of titanium. The aim of this study was to evaluate whether the age of sand-blasted and acid-etched (SLA) titanium dental implants (duration from the production date until the date of dental implant surgery) affects marginal bone resorption and implant survival. This nonrandom convenience-sample retrospective pilot study was carried out in 200 implants of 64 patients. Radiographic measurements were performed on intraoral periapical radiographs. Implants were divided into 2 age groups; group 1 = 0-3 months and group 2 = 36-41 months. A P value < .05 was considered statistically significant. Of the implants, 41% (n = 82) were between 0 and 3 months old, and 59% (n - 118) were between 36 and 41 months old. All (n = 200) of the implants survived and maintained their function. The mean mesial marginal resorption measurement was 0.60 +/- 0.65 mm, and the mean distal marginal resorption was 0.77 +/- 1.07 mm. There was no statistically significant difference between the amount of mesial and distal marginal bone resorption according to implant age (P > .05). In SLA surface titanium implants with adequate initial primary stability and a 3-month osseointegration period before loading, biological aging of titanium did not affect implant survival and marginal bone resorption.
The Effect of Body Mass Index on Blood Pressure and Heart Rate in Patients Undergoing Tooth Extraction
(Kerman Univ Medical Sciences, 2019) Cigerim, Levent; Feslihan, Erkan
BACKGROUND AND AIM: Alterations in blood pressure (BP) and variability of heart rate (HR) throughout dental procedures were not clearly understood. The aim of this study is to evaluate the effects of body mass index (BMI) on BP and HR in patients undergoing tooth extraction. METHODS: Based on BMI, 831 patients who underwent single tooth extraction were divided into two groups; group 1: underweight and normal-weight patients, group 2: overweight and obese patients. BP and HR were monitored before local anesthesia and after tooth extraction. For statistical analysis of the data, Number Cruncher Statistical System (NCSS) 2007 program was used. Mann-Whitney U test and Student's t-test was used for comparing the differences between groups. RESULTS: The initial and final BP measurements of overweight and obese patients were found to be significantly higher than underweight and normal-weight patients (P < 0.01). There was no statistically significant difference between groups in terms of initial and final HR measurements (P > 0.05). CONCLUSION: Overweight and obese patients are more likely to have increased BP; therefore, monitoring of BP and HR during tooth extraction is crucial in this group of patients to prevent possible complications.
Effect of Combined Boric Acid and Chlorhexidine Mouthwashes on Postoperative Complications and Periodontal Healing After Impacted Third Molar Surgery: A-Double Blind Randomized Study
(Springer Heidelberg, 2023) Erbasar, Guzin Neda Hasanoglu; Kaplan, Volkan; Cigerim, Levent; Konarili, Fatma Nur; Sahin, Mukerrem
ObjectivesThis study aimed to evaluate the effects of different concentrations of boric acid (BA) combined with chlorhexidine (CHX) mouthwash on postoperative complications and periodontal healing following impacted third molar surgery.Materials and methodsA total of 80 patients were randomly divided into eight groups. The patients in the study groups received different concentrations of BA ranging from 0.1% to 2.5% combined with CHX or 2% BA mouthwash alone. The control group received CHX mouthwash alone. The scores of self-reported pain and jaw dysfunction, trismus, edema, number of analgesics used, and periodontal parameters were compared between the groups.Results2.5% BA + CHX group had significantly lower pain and facial swelling values during the follow-up period. 2% BA + CHX group reported significantly lower jaw dysfunction scores on the fourth and fifth postoperative days. The control group showed significantly higher values for pain, jaw dysfunction, and facial swelling than other groups. No significant differences were found between the groups regarding trismus, analgesic use, and periodontal variables.ConclusionsThe combination of higher concentrations of BA with CHX was more effective in reducing pain, jaw dysfunction, and swelling following impacted third molar surgery than CHX mouthwash alone.
Effect of St. John's Wort Oil and Olive Oil on the Postoperative Complications After Third Molar Surgery: Randomized, Double-Blind Clinical Trial
(Springer Heidelberg, 2021) Kaplan, Volkan; Hasanoglu Erbasar, Guzin Neda; Cigerim, Levent; Altay Turgut, Hilal; Cerit, Abdullah
Objectives This multicenter study aimed to evaluate the effects of St. John's wort oil and virgin olive oil on the postoperative complications and compare this with chlorhexidine gluconate plus benzydamine hydrochloride mouthwash after the removal of impacted third molar. Methods A total of 90 patients in need of impacted third molar surgery were included in this study. All included patients were randomly divided into 3 groups. The patients in group 1 received St. John's wort oil; the patients in group 2 received virgin olive oil, and those in group 3 received mouthwash containing chlorhexidine gluconate plus benzydamine hydrochloride. The self-reported pain and difficulty during jaw function, trismus, facial swelling, number of analgesics used during first postoperative week, and postoperative periodontal condition including plaque accumulation, bleeding on probing, and periodontal pocket depth were compared between the groups. Results No significant differences were found regarding the study variables. Conclusions The data of the present study supports that the use of essential oils provides efficient alternative to the gold standard chlorhexidine gluconate mouthwash in reducing postoperative complications and improving healing process without adverse effects after surgical removal of impacted third molars.
Evaluation of Changes in the Maxillary Sinus of Orthodontic Patients With Maxillary Molar Distalization Using Cone-Beam Computed Tomography
(Mosby-elsevier, 2023) Cigerim, Saadet Cinarsoy; Kaya, Sema; Cigerim, Levent; Erhamza, Turkan Sezen; Bayzed, Jamil
Introduction: This study aimed to evaluate the possible effects of maxillary molar distalization on maxillary sinus mucosa thickness and sinus volume in 3-dimensions. Methods: The study was conducted with 46 patients: 73.9% (n = 34) females and 26.1% (n = 12) males. The patients had a mean age of 27.89 & PLUSMN; 6.62 years, ranging from 18 to 45 years. The study included patients who were admitted to the Faculty of Dentistry at Van Yueurozueuroncueuro Yil University between 2010 and 2021 and underwent cone-beam computed tomography (CBCT) before and after orthodontic treatment for various reasons. The CBCT scans of patients were divided into 2 groups: the first group underwent orthodontic treatment and maxillary molar distalization with Class II elastic, whereas the second group consisted of patients who did not get orthodontic treatment (control). In CBCTs, sinus mucosa thickness was measured on the anterior, posterior, medial, lateral, superior, and inferior walls of the maxillary right and left sinuses. Three-dimensional volume calculations were made using CBCT images taken before and after the treatment of both orthodontic treatment patients and control patients. Statistical significance was set at P <0.05. Results: The orthodontic treatment group had a mean distalization of 2.86 & PLUSMN; 0.27 mm. The mean distalization time was 8.01 & PLUSMN; 0.64 months. When the differences between the pretreatment and posttreat-ment CBCT scans were examined in terms of sinus mucosa thickness in the anterior, posterior, medial, lateral, and superior walls of the right and left sinuses, there was no statistically significant difference between treatment and control groups (P >0.05). The change in sinus mucosa thickness in the right and left sinus inferior wall from T1 to T2 was significantly higher in the control group than treatment group (P <0.05). In addition, the increase in maxillary sinus volume was statistically significantly higher in the treatment group than in the control group (P <0.05). Conclusions: We observed that maxillary molar distalization caused an increase in maxillary sinus volume. The change in sinus mucosa thickness in the right and left sinus inferior wall was lower in the maxillary molar distalization group. (Am J Orthod Dentofacial Orthop 2023;164:78-88)
Evaluation of Effect of Different Insertion Speeds and Torques on Implant Placement Condition and Removal Torque in Polyurethane Dense D1 Bone Model
(Mdpi, 2024) Orhan, Zeynep Dilan; Cigerim, Levent
The aim of this study was to evaluate the effect of two different insertion speeds at eight different insertion torque values ranging from 25 to 60 during implantation in a dense polyurethane (PU) D1 bone model on the placement condition and removal torque of dental implants. In this study, 50 pcf single-layer PU plates were used. In the study, a total of 320 implant sockets were divided into two groups, Group 1 (30 rpm) and Group 2 (50 rpm), in terms of insertion speed. Group 1 and Group 2 were divided into eight subgroups with 25, 30, 35, 40, 45, 50, 55 and 60 torques. There were 20 implant sockets in each subgroup. During the implantations, the implant placement condition and removal torque values were assessed. There was a statistically significant difference between the 30 and 50 rpm groups in terms of overall implant placement condition (p < 0.01). It was found that the removal torque values at 50 rpm were statistically significantly higher than those at 30 rpm (p < 0.01). This study showed that in dense D1 bone, the minimum parameters at which all implants could be placed at the bone level were 50 torque at 30 rpm and 40 torque at 50 rpm.
Evaluation of the Analgesic Efficacies of Dexketoprofen Trometamol and Dexketoprofen Trometamol Plus Thiocolchicoside Combinations in the Impacted Third Molar Surgery: Randomised Clinical Trial
(Medicina Oral S L, 2019) Cigerim, Levent; Kaplan, Volkan
Background: Postoperative pain is one of the most common complications. The aim of this study is to evaluate the analgesic efficacies of dexketoprofen trometamol and two different dosages of dexketoprofen trometamol + thiocolchicoside combination in the impacted third molar tooth operation. Material and Methods: This randomized, double-blind study included 75 patients who did not have any disease. Patients were assigned to 3 groups. Group 1 received 25 mg dexketoprofen trometamol + 4 mg thiocholchicoside, Group 2 received 25 mg dexketoprofen trometamol +8 mg thiocholchicoside, and Group 3 received 25 mg dexketoprofen trometamol. In each group, the analgesic medication was administered twice a day. starting 1 hour before the operation. The level of pain was assessed with VAS. Results: Patient age varied from 18 to 36 years. Of all patients. 59.2% (n=42) were female and 40.8% (n=29) were male. Drug side effects were observed in 28.17% (n=20) of the patients. Mean 24th hour VAS score was lower in dexketoprofen trometamol + 8 mg thiocolchicoside group compared to dexketoprofen trometamol group (p<0.05). There was no statistically significant difference between the three groups regarding drug side effects (p>0.05). Conclusions: Dexketoprofen trometamol + 8 mg thiocolchicoside combination has higher analgesic efficacy compared to dexketoprofen trometamol. More studies are needed to interpret the analgesic and anti-inflammatory effects of thiocholchicoside + dexketoprofen trometamol combination.
Evaluation of the Effect of Polybutester and Polypropylene Sutures on Complications After Impacted Lower Third Molar Surgery
(Mdpi, 2024) Orhan, Zeynep Dilan; Cigerim, Levent
Complications that can occur in the postoperative period of impacted lower third molar extraction are factors that have an impact on the daily routine of patients. This study aimed to evaluate the efficacy of polybutester and polypropylene sutures on postoperative complications after impacted lower third molar surgery. Two different suture materials were used in the 35 patients with bilateral impacted lower third molars included in the study: polybutester sutures in group 1 and polypropylene sutures in group 2. Measurements were taken to evaluate swelling and trismus before surgery and on the 2nd and 7th days after surgery, and pain was evaluated using a visual analogue scale (VAS), which patients were asked to complete after surgery. Wound healing, suture-related injury and suture-related discomfort in patients were also evaluated. The pain and suture-related discomfort felt on the side where the polybutester suture was used was less on the second postoperative day than on the side where the polypropylene suture was used. These results support the use of polybutester sutures in impacted third molar surgery.
An Evaluation of the Effect of the Guide Socket on the Primary Stability of the Miniscrew in a Polyurethane Cortical Bone Model
(Mdpi, 2025) Cigerim, Levent; Kahraman, Nazli Hilal
Only a few studies in the literature have evaluated the effect of pilot drilling to create a guide socket on the primary stability of miniscrews. The aim of this study was to evaluate the effect of creating a guide socket during miniscrew insertion on the primary stability of the miniscrew in an in vitro polyurethane (PU) cortical bone model. PU blocks with a density of 0.96 g/cm(3) were used for in vitro cortical bone modelling, and 1.8 x 8 mm self-drilling mushroom-head titanium miniscrews were used. A 1 mm diameter surgical fissure drill was used to create the guide sockets in the study groups. A total of 45 miniscrews were included in this study in the no-guide, 2 mm guide, and 4 mm guide groups. The insertion torque values for the miniscrews in the 4 mm guide socket group were significantly lower than in the other groups, and the removal torque values for the miniscrews in the 2 mm guide socket group were significantly higher than in the other groups (p < 0.01). This study demonstrated that a 0.96 g/cm(3) PU block can be used for in vitro cortical bone modelling and that the creation of a 2 mm guide socket increases the primary stability of the 1.8 x 8 mm mushroom-head miniscrew.
Evaluation of the Efficacy of Topical Rifamycin Application on Postoperative Complications After Lower Impacted Wisdom Teeth Surgery
(Elsevier, 2024) Cigerim, Levent; Orhan, Zeynep Dilan; Kaplan, Volkan; Cigerim, Saadet Cinarsoy; Feslihan, Erkan
Purpose: This study aimed to evaluate the efficacy of a single-dose topical rifamycin application on postoperative complications after impacted lower third molar surgery. Materials and methods: This prospective, controlled clinical study consisted of individuals with bilaterally impacted lower third molars that would be extracted for orthodontic reasons. The extraction sockets were irrigated with 3 ml/250 mg of rifamycin solution in Group 1, while in Group 2 (control group) the extraction sockets were irrigated with 20 ml of physiological saline. Pain intensity was measured daily for 7 days by using visual analog scale. Trismus and edema were evaluated preoperatively and on the postoperative days 2 and 7 by calculating the proportional changes in maximum mouth opening and mean distance between reference points of the face, respectively. Paired samples t-test, Wilcoxon signed rank test and Chi-square test were used to analyze the study variables. Results: 35 patients (19 female, 16 male) were included in the study. The mean age of all participants was 22.19 4.98. Alveolitis was observed in 8 patients, (6 in the control group, 2 in the rifamycin group). There was no statistically significant difference between groups in terms of trismus and swelling measurements on the 2nd and 7th postoperative days (p>0.05). VAS scores were significantly low in rifamycin group on postoperative days 1 and 4 (p<0.05). Conclusion: Within the limits of the present study, topical rifamycin application reduced the incidence of alveolitis, prevented infection, and provided analgesic effect after surgical removal of impacted third molars. (c) 2023 Elsevier Masson SAS. All rights reserved.
Evaluation of Waste Knowledge Levels of Staff and Students Working in a School of Dentistry, in Van, Turkey, in 2019
(Kerman Univ Medical Sciences, 2020) Cigerim, Levent; Kaplan, Volkan
BACKGROUND AND AIM: Various types of harmful wastes, which may or may not be contaminated with body fluids, result from health care services. When dental clinics are improperly managed, various environmentally hazardous wastes emerge. This study aims to determine and compare the knowledge levels of academic and dental health personnels and dentistry students and reveal the need for education. METHODS: The study was conducted face-to-face with 90 people, consisting of 4th and 5th-grade students studying at dentistry school, assistant professors, research assistants, nurses, and cleaning staff. The statistical significance level was set at 5% in calculations and SPSS statistical software was used for calculations. RESULTS: No significant difference was found between the study participants when their waste knowledge levels were evaluated by gender and work experience. Significant differences were found between the study participants when their waste knowledge levels were evaluated by their education level and according to their roles (P < 0.05). Waste knowledge levels of individuals with an undergraduate or post-graduate degree were found to be higher than primary or high school graduates. The knowledge level of the cleaning staff was found to be significantly lower than all other groups. CONCLUSION: The results reveal the need to update the medical waste knowledge of all health care occupations, especially the cleaning staff, at regular intervals, regardless of their work experience.
Insertion of Buccally Tilted and Placed Implants in Edentulous Atrophic Posterior Mandibular Sites
(Diagnosis Press Ltd, 2012) Ozkan, Birkan Taha; Eskitascioglu, Gurcan; Cigerim, Levent; Kaplan, Volkan
This paper presents our new methodology and evaluates the feasibility of buccally tilted and placed implant combined with standard abutment placement in patients with insufficient bone height through implant software programme. Forty patients with 62 mandibular sites were measured in computed tomography (CT) imaging. The Buccally tilted and placed implants combined with standard abutment simulation were administered in implant software programme. The different parameters were measured in CT The localization of inferior alveolar nerve and implant, inclination degree of implant, transversal and vertical thickness of local distances etc. were evaluated in order to eliminate the nerve injury with providing interocclusal relationship. The buccal distance at the mandibular canal level was higher than the lingual distance in posterior mandible at lower first molar region. The mean inclination degree of the implant fixtures were 17.85 +/- 8.01. The mean measurement of the acquired length of implant during implant placement simulation was 11.06 +/- 1.73. The mean distance of the vertical gain was 3.81 +/- 1.84. The hypothesis of buccally positioned and tilted implant placement instead of advanced surgical procedures would be preferable in atrophic posterior mandibula.
Management of Bilateral Masseter Muscle Hypertrophy
(Lippincott Williams & Wilkins, 2012) Ozkan, Birkan Taha; Tabrizi, Reza; Cigerim, Levent
Masseter muscle hypertrophy is characterized by unilateral or bilateral enlargement of the masseter muscles affecting both females and males after puberty. Limitations on mouth opening, swollen cheek, and also tension in the region of the hypertrophied muscle are symptoms reported. Also, masseter hypertrophy can cause aesthetic and functional problems. A 40-year old woman was referred to our clinic with the chief complaint of facial appearance with square-face type. To eliminate undesirable facial appearance, surgical intraoral approach compromising reduction of deep masseter muscle with monocortical and bicortical ostectomy of the angle of the mandible was performed. The patient was satisfied with both functional outcomes and aesthetic outcomes on both facial profile and frontal view. No complication was seen intraoperatively and postoperatively after a 12-month follow-up period. This treatment modality would be suggested to gain optimal aesthetic results especially in a square face from the lateral profile.
A New Approach To Implant Stability Using a Flexible Synthetic Silicate-Additive Beta-Tricalcium Phosphate-Poly(d,l Bone Graft: an in Vitro Study
(Mdpi, 2024) Orhan, Zeynep Dilan; Cigerim, Levent
The aim of this study was to evaluate the use of a flexible synthetic polymer bone graft to provide implant stability during implant placement in a dense cortical bone model. In the control group (Group 1), sockets were prepared on polyurethane blocks according to the standard implant socket drilling protocol; both oversizing and deepening were applied in Group 2; and only oversizing was applied in Group 3. In Groups 2 and 3, flexible synthetic polymer bone grafts were placed in the sockets prior to implant placement. The implants were placed at the bone level in all groups. The highest torque value obtained was recorded as the insertion torque. In this study, 75 implant sites were included across three groups. The torque values of the implants in the control group were significantly higher than those of the implants with the oversized and deepened sockets and the oversized-only sockets (p < 0.05; p < 0.01). The torque values of the implants with the oversized and deepened sockets were significantly higher than those of the implants with the oversized-only sockets (p < 0.01). In this study, a flexible synthetic polymer bone graft was shown to be effective in achieving implant stability in the management of implants where there has been a loss of primary stability.
The Relationship Between Abo Blood Types and Survival of Dental Implants
(Kerman Univ Medical Sciences, 2021) Tunc, Serap Keskin; Cigerim, Levent
BACKGROUND AND AIM: Bacteria colonization is the main cause of periodontal diseases and may be effected by ABO blood types. Since implant survival is severely reduced by peri-implant disease, this study aimed to evaluate the marginal bone resorption levels and survival rates of implants which were followed for 1-8 years and analyze these values with respect to demographic data and blood types. METHODS: Patients who had undergone implant treatment and had prosthetic rehabilitation at the School of Dentistry in Van Yuzuncu Yil University, Van, Turkey, between March 2010 and March 2017 were studied in this cross-sectional retrospective study. In this study, 272 individuals were included, and a total of 963 implants were evaluated. Individuals who had implant treatment were called for control visits and clinical and radiological examinations. The effects of blood types were evaluated in terms of implant survival, failing implant, post-operative complications, and mesial-distal marginal bone resorption. Statistical analysis was performed using NCSS 2007 software. The Kruskal-Wallis test, Pearson's chi-square test, Fisher's exact test, and Fisher-Freeman-Halton exact test were used for statistical analysis. Statistical significance level was considered at P < 0.05. RESULTS: The mean age of the participants was 49.49 +/- 11.92 years. The blood types of the participants were O (52.2%), A (30.5%), B (11.1%), and AB (6.3%). The implant survival rate was found to be 98.3%. There was no significant difference between blood types in terms of gender and age (P > 0.05). On the other hand, mesial-distal bone resorption was higher in patients with O blood type older than 50 years (P < 0.05). CONCLUSION: The fact that 52.2% of the patients with implants had O blood type, which is higher than the Turkish general population, may suggest that individuals with O blood type are more prone to tooth loss. To the best of our knowledge, this is the first study that assessed the impact of blood type on the success of dental implants.
Sufficiency of Residual Alveolar Bone in Terms of Regions, Age and Gender in Patients Who Underwent Cbct Evaluation
(Kerman Univ Medical Sciences, 2023) Orhan, Zeynep Dilan; Cigerim, Levent; Talmac, Ayse Gul Oner; Mizrak, Yusuf Rodi; Cigerim, Saadet Cinarsoy; Kahraman, Nazli Fiilal
Background: Alveolar bone resorption may complicate dental implantation of the edentulous area. The quantity of residual bone depends on the region, and it is uncertain which region may present more difficulties before implantation. In this study, the alveolar bones of patients who had cone beam computed tomography (CBCT) before dental implantation were examined, and residual bone was evaluated based on age, gender, and the location of the missing tooth. Methods: In this observational study, the patients with CBCT were divided into two age groups: 18 to 35 and 36 and older. Also, the edentulous regions were divided into incisor, premolar, and molar regions. Radiographic measurements were performed with a cross-sectional aspect in the single-tooth deficiency regions of the patients; bone height and width measurements were made. Results: This study included 164 CBCT scans from individuals (99 females and 65 males). There was no statistically significant difference between the bone heights and between bone widths at the 1st, 3rd, 5th, and 7th mm according to age or gender (P > 0.05). Bone height in the incisor tooth region (ITR) and bone width at the 1st, 3rd, 5th, and 7th mm in the molar tooth region (MTR) were significantly larger (P < 0.01). Conclusion: This study revealed that the bone width at the 1st mm of the ITR was insufficient for dental implant placement and that horizontal bone augmentation was needed.
Treatment of Exposed Bone With Acellular Dermal Matrix in a Smoker Patient After Dental Implant Surgery: a Case Report
(Allen Press inc, 2020) Cigerim, Levent
Acellular dermal matrix is a biocompatible material derived from human and animal connective tissue. This material is created by a chemical process in which all epidermal and dermal cells are removed but the bioactive dermal matrix is left intact. The bioactive dermal matrix has the capability to promote natural revascularization and cell repopulation and to undergo tissue remodeling as it contains elastin, collagen, bioactive proteins, and blood vessel channels. Recently, ADM materials have successfully been used as grafts in numerous surgical procedures to increase the size of the attached gingiva surrounding the teeth and implants, to fill in gingival recession defects to enhance root coverage, to manage soft-tissue ridge deformities, and to repair oronasal fistulae. The aim of this case report is to evaluate the use of the acellular dermal matrix in a 45-year-old patient with an area of exposed bone after the placement of a dental implant.