The aim of this study was to compare the efficacy of silk and Polyethylene Terephthalate (PET) sutures on postoperative complications in impacted lower third molar surgery. This prospective, randomized, split-mouth, double-blind clinical study was performed between January 2021 and June 2022 at the Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Van Yüzüncü Yıl University. The patients were categorized into two groups in terms of using suture material. PET suture was used in Group 1, and the silk suture in Group 2 for wound closure following impacted lower third molar surgery. The statistical significance level was accepted as p < 0.05 in the study. Forty patients (21 women, 19 men; mean age: 26.1 ± 7.25 years) were included in the study. When values for swelling and trismus evaluation were analyzed, there was no significant intergroup difference (p > 0.05). However, the VAS values of the silk group patients were higher at the 12th and 24th hours (p < 0.05). In addition, the plaque accumulation value in the silk group was higher than that in the PET group on the second postoperative day (p < 0.05). The results indicated that the plaque accumulation in the PET suture was less on the second postoperative day. Also, PET suture group patients felt less pain during the 12th and 24th hours. These results support to use PET sutures in impacted lower third molar surgery. Graphical Abstract
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30 July 2024 in Journal of Health Sciences and Medicine
Aims: The aims of the study were to evaluate the relationship between pain experienced and dental anxiety in patients presenting to the department of oral and maxillofacial surgery with tootache and TMD pain. Methods: This retrospective, observational study was conducted on patients who applied to the oral and maxillofacial surgery clinic between January and June 2022. Patients were divided into 2 groups according to the reason for visiting the clinic. Patients in group 1 had toothache and patients in group 2 had temporomandibular disorder pain. Pain was assessed by VAS and dental anxiety by MDAS. The statistical significance level was accepted as p
The aim of this study was to compare the effect of using L-PRF in patients undergoing impacted lower third molar surgery with either primary or secondary closure techniques. Methods: This prospective, randomized, double-blind, split-mouth clinical trial was conducted on patients with bilateral impacted lower third molars of a similar position. Primary closure was performed in group 1 and secondary closure in group 2. The group 1 closure technique was applied to one side of the patients, and the group 2 closure technique was applied to the other side at different times. Of the 45 patients evaluated, 9 patients were excluded from the study because of alveolitis and failure to attend regular control visits out. Results: Of the 36 patients included in the study, 23 were female and 13 were male, with a mean age of 22.42 ± 3.36 years. The secondary closure group had lower VAS scores at hour 6 (p < 0.05). Pain decreased more in the primary closure group when comparing changes between the VAS scores at 6 hours and 7 days (p < 0.05). Conclusions: The results of this study, showing that both secondary and primary closure are effective, with similar outcomes in terms of pain, swelling, and trismus, should be supported by future clinical trials.
23 April 2020 in Adıyaman Üniversitesi Sağlık Bilimleri Dergisi
Amaç: Panoramik radyografi (PR), diş hekimliğinde özellikle cerrahi işlemlerden önce sıklıkla kullanılan iki boyutlu görüntüleme tekniğidir. Son zamanlarda ise üç boyutlu görüntülemeye başvurulmaktadır. Bu çalışmanın amacı implantların uzunluk ve çap planlamasında, PR ile birlikte değerlendirilen klinik fotoğraflar ve konik ışınlı bilgisayarlı tomografiler’in (KIBT) yeterliliklerinin tanısal düşünme etkinliği açısından incelenmesidir.Gereç ve Yöntem: Çalışma Grup 1 (KIBT) ve Grup 2 (PR+Klinik Görüntü) olarak gruplandırıldı. İmplant tedavileri yapılmadan önceki klinik fotoğrafları, dijital panoramik radyografileri ve KIBT görüntüleri gibi hasta kayıtları, arşivden temin edildi. Deneyimli ve hastaların demografik bilgileri hakkında bilgisi olmayan 5 klinisyen tarafından, planlanan implantların boy&çapları değerlendirildi.Bulgular: Çalışmaya 13 erkek, 8 kadın toplam 21 hasta dâhil edildi. 60 implant için uygun bölgeler değerlendirildi. Grup 2’de daha uzun implantlar, Grup 1’de ise daha geniş implantlar planlandığı gözlendi. Araştırmada gruplar arasında istatistiksel olarak anlamlı bir farklılığa rastlanmadı.Sonuç: Fotoğraf kayıtlarının alınmasının ve bunların implant planlamasında kullanılmasının daha doğru planlamalar yapılabilmesine olanak sağlayacağını düşünmekteyiz.
Objective: The objective of this study was to ascertain the impact of L-PRF and I-PRF-impregnated type I collagen on postoperative complications (pain, edema, and trismus) following impacted third molar surgery. Material and Method: The study comprised two groups. The sequence of surgical interventions and the allocation of subjects to groups were determined through a randomization process. Subsequent to the surgical procedure, postoperative measurements were obtained from the patients. The first group received L-PRF (2700 rpm, 12 min); the second group received I-PRF (700 rpm, 3 min) impregnated with type I collagen. The statistical analysis of the data was conducted using IBM SPSS V23. Results: When mouth opening and edema measurements were compared between the groups, no statistically significant difference was found between the median values in the evaluations. When VAS scores were examined, a significant difference was observed between the groups on days 5, and 6 (p<0.05). Conclusion: The present study investigates the effects of L-PRF and I-PRF on postoperative pain, swelling, and limited mouth opening in primary closed extraction sockets. The findings indicate that the two treatments have analogous effects.