Background/Objectives: Early childhood caries (ECC) is a chronic inflammatory condition that may impose a systemic burden in pediatric patients. This study aimed to evaluate the association between dental caries severity, classified by dmft (decayed, missing, and filled teeth for primary dentition) scores, and preoperative systemic inflammatory markers derived from routine complete blood counts (CBC). Methods: This retrospective study included 159 children aged 36–71 months. Participants were categorized into three groups based on dmft scores: low (0–3), medium (4–8), and high (≥9). Hematological parameters and inflammatory indices, including neutrophil-to-lymphocyte ratio (NLR) and systemic immune-inflammation index (SII), were analyzed using one-way ANOVA with post hoc comparisons. Results: Significant differences were observed among dmft groups for neutrophil and lymphocyte percentages (p = 0.026 and p = 0.027) and lymphocyte count (p = 0.020). The medium severity group demonstrated higher neutrophil levels and lower lymphocyte values compared to the high severity group (p < 0.05). Although overall group differences for NLR and SII were not statistically significant (p > 0.05), both markers were significantly higher in the medium group than in the high group (p < 0.05). No significant differences were found in hemoglobin, RDW, or platelet parameters. Conclusions: A non-linear trend was observed, with relatively elevated inflammatory markers in the moderate dmft group. These findings suggest that systemic inflammation in ECC is more closely related to disease characteristics than to caries burden alone. CBC-derived parameters may provide supportive but limited value for assessing systemic inflammatory status in pediatric dental patients.
Background: The posterosuperior maxillary region poses a challenge in orthognathic surgery due to its complex three-dimensional anatomy. The pterygomaxillary suture (PMS) is a key landmark for various procedures. Understanding its anatomical relationships is essential to improving surgical precision. Methods: A retrospective analysis of CBCT images from 120 patients aged 18–70 years at Ankara Medipol University was conducted. Patients were categorized into skeletal Classes I, II, and III according to the ANB angle. Linear and angular measurements of the PMS and adjacent structures were performed. The statistical analysis included the Shapiro–Wilk, Independent t-test, Mann–Whitney U test, and regression analysis (p < 0.05). Results: There were clear differences between the skeletal groups. Class II and III patients had a lesser lateral PMS–baseline intersection distance (IV–VI) and Class II had a lesser medial PMS–baseline perpendicular distance (VV′) compared to Class I (p < 0.05). Additionally, the angle V–IV–VI was significantly narrower in Class II and III groups, indicating altered PMS orientation in these skeletal patterns. Conclusions: PMS morphology, including thickness, width, and angulation, is influenced by skeletal pattern. A preoperative CBCT assessment and individualized surgical planning are essential to ensure the safety and accuracy of Le Fort I osteotomies, especially in Class II and III patients.