Browsing by Author "Kahraman, Nazli Hilal"

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Comparative Evaluation of the Effects of Diclofenac Sodium and Vitamin D Supplementation on Symptoms in Individuals with Myofascial Pain and Vitamin D Deficiency: A Randomized Controlled Clinical Trial
(BMC, 2025) Kahraman, Nazli Hilal; Tunc, Serap Keskin
BackgroundTemporomandibular joint disorders are significant health issues characterized by dysfunctions in the masticatory muscles and the temporomandibular joint. These disorders are often associated with stress, oral parafunctions, and habits such as bruxism. Treating bruxism and other parafunctional habits can reduce symptoms of myofascial pain. While the etiology of bruxism remains unclear, psychological factors like stress and anxiety, along with central nervous system, are thought that it will provoke. Additionally, a significant relationship has been reported between low serum vitamin D levels and bruxism. The aim of this study is to comparatively evaluate the effectiveness of nonsteroidal anti-inflammatory drug treatment and vitamin D supplementation on symptoms in individuals with myofascial pain and vitamin D deficiency.MethodsThis study included patients aged 18-40, diagnosed with myofascial pain (MP) according to DC/TMD criteria, and individuals with vitamin D deficiency. Two different treatment methods were applied to the patients. One group received medical treatment with diclofenac sodium and an occlusal splint. The other group received vitamin D supplementation and an occlusal splint. The patients' mouth opening and pain scores were evaluated at four stages; before treatment, and 1 week, 4 weeks, 12 weeks after the initiation of treatment.ResultsThe study ultimately included 40 participants, with 20 patients per group. Of the participants, 3 (7.5%) were male and 37 (92.5%) were female. At the end of the study, the changes in mouth opening and VAS scores were homogeneous in both groups.ConclusionsVitamin D may serve as an alternative with anti-inflammatory and analgesic effects compared to NSAIDs.Trial registrationThis randomised trial was approved by the Van Y & uuml;z & uuml;nc & uuml; Y & imath;l University Faculty of Medicine Clinical Research Ethics Committee (May 18, 2022, decision no: 05). The trial was registered with the Clinical Trial Registry ( Number and date: NCT06111573, 10/31/2023).
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.