Browsing by Author "Cigerim, Saadet Cinarsoy"

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Comparison of Ai-Assisted Cephalometric Analysis and Orthodontist-Performed Digital Tracing Analysis
(Springer, 2024) Bor, Sabahattin; Cigerim, Saadet Cinarsoy; Kotan, Seda
Background The aim of this study was to compare and evaluate three AI-assisted cephalometric analysis platforms-CephX, WeDoCeph, and WebCeph-with the traditional digital tracing method using NemoCeph software. Material and method A total of 1500 lateral cephalometric films that met the inclusion criteria were classified as Class I, Class II, and Class III. Subsequently, 40 patients were randomly selected from each class. These selected films were uploaded to 3 AI-assisted cephalometric analysis platforms and analyzed without any manual intervention. The same films were also analyzed by an orthodontist using the NemoCeph program. Results The results revealed significant differences in key angular measurements (ANB, FMA, IMPA, and NLA) across Class I, II, and III patients when comparing the four cephalometric analysis methods (WebCeph, WeDoCeph, CephX, and NemoCeph). Notably, ANB (p < 0.05), FMA (p < 0.001), IMPA (p < 0.001), and NLA (p < 0.001) varied significantly. Linear measurements also differed, with significant differences in U1-NA (p = 0.002) and Co-A (p = 0.002) in certain classes. Repeated measurement analysis revealed variation in SNA (p = 0.011) and FMA (p = 0.030), particularly in the Class II NemoCeph group, suggesting method-dependent variability. Conclusion AI-assisted cephalometric analysis platforms such as WebCeph, WeDoCeph, and CephX give rise to notable variation in accuracy and reliability compared to traditional manual digital tracing, specifically in terms of angular and linear measurements. These results emphasize the importance of meticulous selection and assessment of analysis methods in orthodontic diagnostics and treatment planning.
Comparison of the Effectiveness of Two Different Pain Assessment Methods in Different Orthodontic Procedures
(Kerman Univ Medical Sciences, 2024) Cigerim, Saadet Cinarsoy; Erhamza, Turkan Sezen; Bayzed, Jamil
Background: This study compares two pain ratings that patients use to indicate how uncomfortable they are during bonding and the collection of orthodontic registration material. Methods: Two hundred people, ages eleven to twenty, participated in the study; 125 were female and 75 were male. The participants' discomfort levels were assessed during bonding operations and the initial registration material collection using the visual analog scale (VAS) and the facial pain scale (FPS). During the first registration material collection in oral photography, dental impressions, X-rays, bonding operations, lip retractor insertion, polishing, acid and sealing, and bracket application, pain levels were recorded. The Mann-Whitney U test was used to compare the data between groups, while the Wilcoxon and Friedman tests were used to analyze the data within groups. The gathered data were statistically analyzed with a significance threshold of 5%. Results: There was a statistically significant positive correlation between the VAS and FPS scales when evaluating pain during intraoral photography, the dental impression procedure, X-rays, lip retractor insertion, polishing, acid and sealing, and bracket bonding (0.537< r < 0.734; P = 0.001). A statistically significant positive connection was also discovered when the gender difference was included (0.261 0.42; P= 0.001). Conclusion: Similar information was obtained during the orthodontic initial registration and bonding procedures using two different pain assessment instruments. It is also believed to make it possible to compare research using different pain scales.
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.
Evaluation of Awareness and Knowledge of Orthodontic Treatment Among Primary and Secondary School Students: a Cross-Sectional Epidemiological School Study
(Scientific Scholar Llc, 2021) Cigerim, Saadet Cinarsoy; Erhamza, Turkan Sezen
Objectives: The aim of this cross-sectional research was to compare the knowledge and awareness of students in two different provinces of eastern and western Turkey about orthodontic treatment and to evaluate the awareness of orthodontic treatment among primary and secondary school students. Materials and Methods: A total of 2342 students between the ages of 7 and 15 were included in the study. The questionnaire consisted of a total of 30 questions, including questions about demographics and orthodontic treatment. 3rd, 4th, 5th, 6th, 7th and, 8th-grade students were included in the study. The survey was conducted in selected schools in district centers of Van and Izmir. Results: The number of students participating in the study from Izmir was 855 (452 girls, 403 boys), and 1487 (724 boys, 763 girls) from Van. Female students' orthodontic awareness was higher than male students. There was also a statistically significant difference in the examinations conducted by cities. The students in Izmir were determined to be more conscious about orthodontic awareness in the majority of the questions in the survey. There were statistically significant differences between primary and secondary school students in terms of orthodontic awareness as a result of evaluating the primary and secondary schools separately. Secondary school students had a higher level of orthodontic awareness. Conclusion: Students' orthodontic awareness and deficiencies in this respect were determined. It was concluded that orthodontic awareness was affected by age group, gender, and socio-economic and socio-cultural structure of the city.
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 the Effect of Different Bracket Systems on External Apical Root Resorption Using Cone-Beam Computed Tomography
(Aves, 2021) Cigerim, Saadet Cinarsoy; Ozlek, Esin
Objective: The aim of this study was to evaluate the external apical root resorption (EARR) developed in the maxillary and mandibular teeth of patients undergoing orthodontic treatment with conventional and self-ligating bracket systems. Methods: Cone-beam computed tomography images of patients treated with self-ligating and conventional bracket systems, which were taken at the beginning and end of treatment, were evaluated. The teeth where EARR developed during the treatment period were identified. EARR was evaluated as yes or no. A P value of <.05 was considered statistically significant. Results: Of a total of 300 patients (68.7% female, 31.3% male), 20% were treated with the self-ligating bracket system, while 80% were treated with the conventional bracket system. EARR occurred in 8.3% (n = 25) of the patients after treatment. A statistically significant difference was found when the effect of age, gender, and treatment duration on the incidence of EARR was evaluated. The incidence of EARR was higher in the age group of 18-30 years than in the age group of 12-17 years. Similarly, it was found to be higher in men than in women and higher in the group with a treatment duration of 33-49 months than in the group with a treatment duration of 8-32 months. Conclusion: Treatment duration has been observed to affect the incidence of EARR in patients undergoing fixed orthodontic treatment, and the incidence of EARR increases with increased treatment duration. Furthermore, it has been concluded that EARR during orthodontic treatment is influenced by age and gender. There is no difference between self-ligating and conventional bracket systems in terms of EARR.
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 the Relationship Between Sella Turcica Bridging and Dental Anomalies
(Univ indonesia, Fac dentistry, 2021) Karaman, Ahmet; Cigerim, Saadet Cinarsoy; Kechagia, Nourtzan
Objectives: This study aims to evaluate the relationship between the morphological variations of Sella Turcica (ST) and dental anomalies. Methods: This study included 765 individuals between the ages of 13 and 35. ST morphology was examined in 3 groups as no calcification, partially calcified and completely calcified according to the interclinoid ligament (ICL) on lateral cephalometric films, and it was examined and evaluated in terms of its relationship to impacted canines (unilateral and bilateral), impacted teeth (except 3rd molars), root dilaceration, tooth deficiency (upper incisor lateral - lower and upper second premolar), supernumerary tooth and taurodontism. Results: The rates of supernumerary teeth, lateral and premolar tooth deficiency and root dilaceration in total calcification of ICL were significantly higher than those in ICL with no calcification. The rates of taurodontism, unilateral and bilateral impacted canine teeth and impacted teeth in ICL with no calcification were found to be significantly lower than those in the partial and total calcification of ICL. Conclusion: In this study, a statistically significant relationship was found between ST morphology and dental anomalies. Examination of sella turcica bridging (STB) variations in a large population will be guiding for the early detection of dental anomalies.
Periodontal Health of Unilateral Labially Vs. Palatally Impacted Maxillary Canines Erupted by Closed Eruption Technique
(Urban & Vogel, 2023) Yayli, Nazli Zeynep Alpaslan; Kaya, Yesim; Cigerim, Saadet Cinarsoy
Objective This study's aim was to compare the periodontal health of labially and palatally impacted maxillary canines erupted by closed eruption technique, and to compare them with the contralateral canines that served as control teeth. Materials and methods A total of 32 subjects, 17 with unilateral labially impacted maxillary canines and 15 with palatally impacted maxillary canines were enrolled in this study. Pretreatment maxillary canine variables were evaluated from initial panoramic radiographs using Nolla stage, alpha-angle, d-depth and s-sector. The closed eruption technique was used for surgical exposure of the impacted teeth. Posttreatment periodontal parameters such as plaque index (PI), gingival index (GI), gingival bleeding index (GBI), probing depth (PD), keratinized gingival width (KGW), attached gingival width (AGW), and gingival thickness (GT) were evaluated to compare the periodontal health with the contralateral canines. Results Intergroup comparison results exhibited insignificant differences in all periodontal parameters between the labially and palatally impacted maxillary canines. Intragroup comparison results showed a significant increase in PI, GI, GBI, and PD, and a significant decrease in AGW, KGW, and GT in the impacted teeth compared to the controls, except for PI in the palatally impacted maxillary canines. Conclusion The decrease in KGW, AGW, and GT was not associated with the pre-eruptive position of the impacted teeth. These side effects seen after orthodontic treatment of impacted teeth should be followed carefully in the long term.
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.
Transversal Craniofacial Development Between Skeletal Maturation Stages: a Multi-Center Posteroanterior Cephalometric Study
(Scientific Scholar Llc, 2022) Erhamza, Turkan Sezen; Akan, Burcin; Cigerim, Saadet Cinarsoy; Korkmaz, Yasemin Nur; Unver, Fatma Nazik
Objectives: The aim of this study is to evaluate the dentofacial transversal norms according to the stages of skeletal maturation in growing Turkish individuals and to determine differences between the genders. Material and Methods: In our multi-centered, cross-sectional retrospective study in which transversal measurements were made according to skeletal maturation stages (SMSs), posteroanterior radiographs of 572 individuals (292 female, 280 male) with skeletal and dental Class I relationships and good occlusion were examined at the age range of 7-18 years. SMSs were determined using Bjork, Grave and Brown hand-wrist radiography. A linear regression model was used for changes of transversal measurements between SMSs, and t-test was used to determine transverse changes between the genders. Results: There was no statistically significant difference between females and males in cranial, facial, and nasal width values up to SMSs. In maxillary, mandibular, maxillary intermolar, and mandibular intermolar width measurements, males had higher values in most stages of skeletal maturation compared to females. Apart from nasal width and maxillomandibular ratio values in females, the regression model in which transversal measurements were dependent variables, and SMS were independent variables was found to be significant. According to cumulative growth percentages, the growth completion in transversal measurements occurred earlier in females. Conclusion: Transversal measurements determined according to the stages of skeletal maturation can be a guide for orthodontists in the clinic to determine values that deviate from normal.