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Öğe Comparison of three pain scales after impacted third molar surgery(MOSBY-ELSEVIER, 2011) Isik, Kubilay; Unsal, Alkim; Kalayci, Abdullah; Durmus, ErcanObjective. Recently, a pain assessment scale called "full cup test" (FCT) has been suggested for pain evaluation. It is claimed to be easier to use for the patient, and it allows using parametric tests for statistical analyses. The aim of this study was to evaluate the validity of the FCT in third molar surgery. Study design. The FCT was compared with 2 well accepted pain scales. Forty-eight patients who had fully impacted lower third molars were included. All patients were asked to fill 3 pain scales-visual analog scale (VAS), verbal rating scale (VRS), and FCT-daily during the first postoperative week. Then the scales were collected and data statistically analyzed. Agreement among VAS, VRS, and FCT was evaluated using the Spearman rank coefficient. Results. Correlations among 3 scales were very high and significant (P < .001). Conclusions. The FCT can be used to assess the postoperative pain after third molar surgery. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:715-718)Öğe Comparison of two different approches to the pterygomaxillary junction in Le Fort I osteotomy(MOSBY-ELSEVIER, 2008) Dolanmaz, Dogan; Esen, Alparslan; Emlik, Dilek; Candirli, Celal; Kalayci, Abdullah; Cicekcibasi, AynurObjective. The purpose of this study was to compare the damage before and after down fracture in Le Fort I osteotomies performed with and without the separation of pterygomaxillary junction using curved osteotomes in a cadaver model. Study design. The study sample comprised 6 cadavers aged between 55 and 70 years (mean age: 63.8 years). Three cadavers were partially edentulous, 2 cadavers still maintained a full complement of teeth and 1 cadaver was edentulous. Le Fort I osteotomy was performed on all cadavers. Pterygomaxillary osteotomies were only performed on the right sides whereas the left sides were left intact. Subsequently, the maxilla was mobilized by applying digital pressure on the anterior maxillary segment. Computed tomography scans of each specimen were obtained before surgery, after surgery-before down fracture and after down fracture to document secondary fractures. Results. Before the down fracture, secondary fractures were found in only 1 specimen (right side), whereas after the down fracture, secondary fractures were found in 5 specimens by CT. After the down fracture, the rate of occurrence of secondary fractures was 62% in the right side and 38% in the left side. Conclusion. With respect to the results of the present study, the use of osteotomes for pterygomaxillary dysjunction increases the incidence of fractures in maxillary osteotomy. However, the occurrence of almost all fractures subsequent to down fracture suggests the presence of possible bony splits that could not be diagnosed by radiographic examination immediately after maxillary osteotomy may have become apparent or transformed into fractures following down fracture.Öğe Complex Midfacial Reconstruction With an Implant-Supported Framework(LIPPINCOTT WILLIAMS & WILKINS, 2011) Akman, Serhan; Kalayci, Abdullah; Ataoglu, Hanife; Aykent, FilizThis clinical report describes the treatment of a patient with osseointegrated extraoral implants supporting a framework retainer and acrylic resin mesostructures and a large silicone mid-facial prosthesis. A metal framework was used to splint the implants together and provided satisfactory retention for the facial prosthesis. A 2-piece prosthesis that composed of an obturator and facial prosthesis was fabricated. Cosmetic improvements as well as the ability to speak, swallow, and, to a lesser degree, chew, were achieved for this patient.Öğe Desmoplastic Ameloblastoma in the Mandible(LIPPINCOTT WILLIAMS & WILKINS, 2003) Durmuş, Ercan; Kalayci, Abdullah; Öztürk, Adnan; Günhan, ÖmerThe desmoplastic variant of ameloblastoma (DA) is characterized by unique histological and radiographic features. It is histologically characterized by an abundance of densely collagenous stroma with small nests and strands of likely compressed odontogenic epithelium. Although radiographic examination of ameloblastomas usually reveals unilocular or multilocular radiolucency, DA may appear as a mixed radiopaque-radiolucent lesion. In this case report, a 68-year-old man who had a complaint of a mass in his right mental region is presented. The patient was unable to wear his prothesis because of an underlying swelling. An incisional biopsy was performed. Microscopic examination of the surgical specimen revealed large epithelial islands of ameloblast-like cells within increased, dense, collagenous desmoplastic stroma. Histopathologically, it was diagnosed as DA. Under local anesthesia, the lesion was enucleated. There was no recurrence after 32 months of follow-up.Öğe Distracted mandible does not reach the same strength as normal mandible in rabbits(ELSEVIER SCIENCE INC, 2012) Bulut, Turker; Durmus, Ercan; Mihmanli, Ahmet; Dolanmaz, Dogan; Kalayci, Abdullah; Saglam, HaciObjective. The aim of this study was to determine the resistance and fracture strength values of the bone with the use of biomechanical tests in different consolidation periods of mandibular distraction osteogenesis. Study Design. In this study, 21 mature male New Zeland rabbits were used. After distraction, rabbits were separated into 3 groups to experience 4, 8, and 12 weeks' consolidation periods. Nonoperated hemimandibles of 6 rabbits were used as a control group. After 5 days' latency period, 0.5-mm distraction was applied twice a day, i.e., 1 mm/d lengthening. After the 5-mm lengthening application, we left the animals for 1, 2, or 3 months of consolidation period. Bending stress and strength values of the bone at fracture point were measured with the use of a 3-point bending test. Results. There were significant differences between the control and 3 study groups regarding bending stress and strength values. In addition, each study group was significantly different from each other. Conclusions. Bending stress and fracture strength of the bone may not reach that of normal bone after completion of 3 months' consolidation. It should be considered to keep in place extraoral appliances or comfortable intraoral distractors for a long period. (Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114(suppl 5): S140-S145)Öğe Treatment of localized langerhans' cell histiocytosis of the mandible with intralesional steroid injection: report of a case(MOSBY-ELSEVIER, 2010) Esen, Alparslan; Dolanmaz, Dogan; Kalayci, Abdullah; Gunhan, Oemer; Avunduk, Mustafa CihatLocalized Langerhans cell histiocytosis (LLCH), formerly known as eosinophilic granuloma, mainly affects the skull, mandible, vertebrae, and ribs in children and the long bones of adults. Symptoms range from none to pain, swelling, and tenderness over the site of the lesion. General malaise and fever occasionally are present. Radiographically, lesions appear as radiolucent areas with well demarcated borders. LLCH may resolve spontaneously after biopsy in a period of months to years. However, if features include continuous pain, decrease of function, pathologic fractures, migration and resorption of teeth, or rapid progression, then active treatment needs to be considered. Treatment approaches include surgery, radiotherapy, chemotherapy, and intralesional injection of corticosteroids. In children with mandibular LLCH, 1 dose of methyprednisolone succinate injection has proven to be adequate. However, injections have not been performed in cases involving pathologic fracture. We report a new case of LLCH of the mandible that caused a pathologic fracture in an adult patient. Repeated intralesional corticosteroid injections resulted in fracture line disappearance within 14 months and lesion healing by the end of the 36-month follow-up. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: e53-e58)
