Purpose: Surgical extraction of third molars can be difficult for many reasons, including increased bone density, which causes bone structures to lose their elastic properties. The aim of this study is to compare the trabecular structure around the impacted mandibular third molar(M3M) and the normal alveolar trabecular pattern using the fractal analysis method. Materials and Methods: Panoramic images of 47 patients were included in the study. ROI1 is the area between the distal root of the second molar and the mesial of the third molar tooth. On the other hand, ROI2 was selected between the distal root of the first molar tooth and the mesial root of the second molar tooth. Fractal Dimension (FD) and Bone Marrow Dimension analyzes were applied to the selected ROIs using the ImageJ software. Results: The mean FD values of 47 patients were found to be 1.135 for ROI1 and 1.105 for ROI2, respectively (p=0,078).The mean Bone Marrow Dimension values were found to be 1.591 for ROI1 and 1.587 for ROI2(p=0.731). There was no significant difference in FD and Bone Marrow Dimension analysis when ROI1 and ROI2 were compared. It is very important to know the pattern of trabecular structure before surgical procedure on M3M. The bone density around the impacted M3M may be higher than the healthy alveolar bone, however, the fact that males have denser bone than females should not be ignored during the operation. Conclusion: The method of FD analysis can be useful for evaluating the trabecular structure of impacted M3M. Key words: fractal dimension; bone structure; panoramic imaging; impacted tooth; third molars

Implant failure may necessitate another surgical procedure to improve implant survival. Photofunctionalization(PF) with UV light is a promising method to enhance dental implant osseointegration. The study evaluates the effect of the PF on bone quality around the implants using Fractal Dimension Analysis (FDA). A total of 42 implants were placed in a split-mouth design and evaluated using FDA on panoramic radiographs taken pre- and post-operatively. Regions of interest (25 × 25 pixels) were analyzed using ImageJ. Statistical analysis used SPSS 26 with a 95% confidence level. Shapiro-Wilk test confirmed non-normal distribution. A statistically significant increase in Fractal dimension(FD) values was observed in the test group between pre- and post-operative images (p = 0.044). The control group showed a non-significant increase (p = 0.794). PF appears to enhance osseointegration by improving bone microstructure as shown by increased FD values. FDA is a reliable imaging-based proxy for evaluating implant-related bone changes. Current Controlled Trials NCT06821932 (Retrospectively registered) ( https://clinicaltrials.gov/study/NCT06821932 /2025-02-11).

Myopericytoma (MPC) is defined as a benign mesenchymal neoplasm consisting mostly of oval spindle-shaped myoid-like cells with perivascular growth. Apart from being a rare lesion in all anatomical regions of the body, it is extremely rare in the oral and maxillofacial region and only a limited number of cases have been reported in the literature. We present here the case of MPC in a 42-year-old female patient who had a painless, enlarging lesion in the anterior mandible. Intraoral examination of the lesion revealed a smooth, nonwhite, pedunculated, fibrotic, painless, and nonbleeding lesion in the lingual aspect of the anterior mandible. Histopathologic examination revealed a tumor consisting of spherical/nodular structures composed of spindle cells and hemangioperistomatous vascular structures in the form of staghorn. These tumor cells showed no signs of malignancy. On immunohistochemical examination, the tumor cells were positive for CD34 and SMA. SMA Protein was also focally positive in nodular structures formed by spindle cells and tumor stroma. S-100 protein was negative in the lesion. To our knowledge, this is the second case of MPC that occurred in the mandibular gingiva.

Objectives: Various artifacts can be encountered when examining Cone-beam computed tomography(CBCT) images. In recent years, no descriptive study has been conducted on CBCT artifacts in the literature. The aim of this study is to identify artifacts in CBCT images with different imaging fields (FOV) taken on the same device, to determine their frequency, and also to reveal artifacts that are little known in the literature. Materials and Methods: In the study, CBCT images of the Faculty of Dentistry between the years 2012-2021 were scanned retrospectively and a total of 359 Cone Beam Computed Tomography images with 50x55, 100x55, 100x90, 130x55, 130x90, 230x170, 230x270 imaging fields (FOV) in the database, which met the exclusion and inclusion criteria, were analyzed by three oral and maxillofacial radiology research assistants and the types of artifacts seen on these images were determined. The incidence of the identified artifact types in the specified imaging areas was evaluated. Results: When looking at all images, the most common errors, regardless of FOV, were inevitable artifacts. Aliasing and motion artifacts were seen at higher rates on CBCT images with a larger field of view. In addition, the ring artifact was encountered in CBCT images with high imaging fields such as 130x90, 230x170 and 230x270. Conclusion: To know the incidence and causes of artifacts in images; it will prevent the patient, the environment and the practitioner from receiving x-rays (radiation) unnecessarily, mixing these errors with different pathological conditions and repetition of the image.

Introduction Increasing use of cone-beam computed tomography (CBCT) has improved the likelihood for all physicians, including dentists, to detect incidental findings (IFs) on scans. Objective This study aimed to evaluate the incidence and clinical significance of incidental calcifications in...