Amaç: Temporomandibular eklem düzensizliği bulunan hastalarda temporomandibular eklem, çiğneme kasları ve ilişkili olduğu yapılarda çeşitli semptomlara sebep olabilmektedir. Yakın komşulukta olduğu yapılardan olan kulakta kulak ağrısı, kulak çınlaması, kulakta dolgunluk hissi, kulak kaşıntısı, işitmede azalma, baş dönmesi, denge kaybı gibi semptomlara neden olabilmektedir. Bu çalışmanın amacı, Temporomandibular eklem düzensizliğine eşlik eden kulak semptomları prevelansının değerlendirilmesidir. Gereç ve Yöntemler:Retrospektif çalışma Ocak 2017-Aralık 2017 tarihleri arasında Adıyaman Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi AD’na TME bölgesinde ağrı ve/veya disfonksiyon şikayeti ile başvuran 214 hasta ile planlandı. Hastaların seçimi TMD/ATK’ye göre yapıldı. TMD teşhisi konan hastalarda kulak ağrısı, kulak çınlaması, kulakta dolgunluk hissi, kulak kaşıntısı, işitmede azalma, baş dönmesi, denge kaybı semptomlarının varlığı araştırıldı. Hastalara kulak semptomlarını var veya yok şeklinde değerlendirebilecekleri formlar dolduruldu. Semptomların şiddeti ile bilgi edinilmedi. Bulgular:214 TMD hastasının 65’inde kulak semptomuna rastlanmadı. 149 hastada ise en az bir kulak semptomu gözlendi. 149 hastanın 117’sinde kulak ağrısı (%78.5), 77’sinde kulak çınlaması (%51.7), 56’sında kulakta dolgunluk hissi (%37.6), 50’sinde kulak kaşıntısı (%33.6), 3’ünde işitmede azalma (%2), 61’inde baş dönmesi (%40.9) ve 50’sinde denge kaybı (%33.6) tespit edildi. 149 hastanın 120’i kadın (% 80.5), 29’i erkektir. (%19.5)Sonuçlar:TMD’ye kulak semptomları arasında en fazla kulak ağrısı, ikinci sırada kulak çınlaması ve en az ise işitmede azalma eşlik etmektedir. Anahtar Kelimeler:TMD, kulak semptomları, kulak ağrısı, kulak çınlaması

Aim: The aim of this study was to retrospectively evaluate the distribution of histopathologically diagnosed oral soft and hard tissue lesions in patients presenting to the Şanlıurfa Oral and Dental Health Hospital, according to age, sex, and anatomic location.Material and Methods: The histopathological reports of 227 patients who underwent biopsy between 2015 and 2024 were reviewed. Lesions were classified as radicular cysts, dentigerous cysts, giant cell granulomas, pyogenic granulomas, fibrotic lesions, mucoceles, oral lipomas, squamous papillomas, fibro-osseous lesions, and other. Demographic data and locations were statistically evaluated.Results : 59% of the patients were women and 41% were men. The most common lesions were fibrotic lesions (35.7%) and radicular cysts (31.3%). The oral mucosa was the most common site of lesions (42.7%). Radicular cysts were most common in the 3rd decade, dentigerous cysts in the 3rd decade, giant cell granulomas in the 6th decade, and fibrotic lesions in the 5th decade.Conclusion: The study findings indicate that the distribution of oral lesions in the region is largely consistent with the literature, although fibrotic lesions are more prevalent due to chronic irritation and oral hygiene factors. Regional public health programs and early detection mechanisms can play a critical role in reducing the morbidity of these lesions.

Objective: This study aimed to describe the CBCT-based positional measurements and morphological distribution of the mandibular foramen in growing individuals and to compare the M1, M2, and M3 measurements according to chronological age group, sex, and sagittal skeletal class. Materials and Methods: This retrospective cross-sectional study included 120 CBCT images of individuals aged 6–16 years (mean 10.31 ± 2.33 years; 67 male, 53 female) selected from 750 archived scans. Participants were divided into three age groups (6–8, 9–12, and 13–16 years) and classified using the ANB angle (Class I, II, and III). Three measurements were assessed: M1 (foramen to occlusal plane), M2 (to posterior ramus border), and M3 (to anterior ramus border). Foramen morphology was classified into five types: circular-, elliptical-, triangular-, rectangular-, and parallelogram-shaped. The Mann–Whitney U and Kruskal–Wallis tests were used, followed by Bonferroni-adjusted pairwise comparisons where appropriate. Results: Interobserver ICC values ranged from 0.75 to 0.81, indicating good interobserver reliability. In the unadjusted comparisons, no statistically significant differences in M1, M2, or M3 were detected according to sex or sagittal skeletal class (all p > 0.05). Significant age-related differences were identified in M2 between the 6–8 and 9–12 year groups (right p = 0.003; left p = 0.021) and between the 6–8 and 13–16 year groups (right p < 0.001; left p = 0.003). Elliptical morphology was most prevalent bilaterally (right 39.2%; left 40.0%). Conclusions: Statistically significant age-group differences were detected only for M2, whereas no statistically significant differences according to sex or sagittal skeletal class were detected in this sample. Greater M2 values in the older age groups represent a greater absolute linear distance between the fixed mandibular foramen reference point and the posterior ramal reference line and should not be interpreted as evidence of posterior displacement. Elliptical morphology was the most frequently observed form bilaterally. These findings provide anatomical information from clinically indicated CBCT examinations but do not support routine CBCT acquisition solely for mandibular foramen localization.