Ağız ve Diş Sağlığı Programı / Oral and Dental Health Program
Permanent URI for this collectionhttps://acikerisim.antalya.edu.tr/handle/20.500.12566/565
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Item Does the cannula diameter affect outcomes of temporomandibular joint (TMJ) arthrocentesis?(Journal of Oral and Maxillofacial Surgery, 2021) Koçer, Gülperi; Şentürk, Mehmet Fatih; Koçer, Gülperi; 0000-0002-8793-8880 [Koçer, Gülperi]; 105805 [Koçer, Gülperi]Purpose Since its implementation, temporomandibular joint (TMJ) arthrocentesis can be performed with cannulas of different diameters. The aim of this study was to determine the differences in cannula diameter for TMJ arthrocentesis on intraoperative and postoperative parameters. Methods A prospective randomized clinical study was conducted using the documentation of Wilkes stage 3 patients with TMJ disorders. Patients were assigned to 2 groups using a system of computer-assisted randomization. Double puntcure arthrocentesis (DPA) was performed with 21-gauge cannulas (group 1) and 18-gauge cannulas (group 2). The primary predictor variable was cannula diameter. Pain values assessed using a Likert-type (0 to10) visual analog scale (VAS) were selected as primary outcome variable. Mandibular movements including maximum mouth opening (MMO), lateral excursions (LE) and protrusion (P), were selected as secondary outcomes. Mandibular movements and pain values were recorded before treatment and at 1st day and 3rd months intervals. Descriptive, comparative, and bivariate analyses were conducted. Intraoperative complications were also recorded. Results DPA was applied to 33 patients (29 females, 4 males). Although group 1 was found to be significantly more advantageous than group 2 in terms of pain levels (P < .05), no statistically significant difference was discovered in terms of total complication numbers and mandibular movements at the follow-up periods (P >.05). Conclusions Despite the limited sample size cannula thickness affects postoperative pain level significantly in conventional TMJ arthrocentesis.Item Comparison of psychosocial and aesthetic features of class III malocclusion after orthognathic surgery: Conventional approach versus surgery-first approach(Journal of Stomatology Oral and Maxillofacial Surgery, 2021) Fındık, Yavuz; Yazıcı, Tayfun; Büyükçavuş, Muhammed Hilmi; Baykul, Timuçin; Koçer, Gülperi; Koçer, Gülperi; 0000-0002-8793-8880 [Koçer, Gülperi]; 105805 [Koçer, Gülperi]The aim of this study is to investigate and compare the changes in psychosocial status, self-esteem, and quality of life in patients treated with conventional and SF approaches. 14 patients (mean age 23.04§3.36; 9 male and 5 female) who met the inclusion criteria were included in the SF group; 18 patients with class III malocclusion (mean age 29.27§3.78; 9 male and 9 female) were included in the COS group. In the research protocol, the first questionnaires were carried out 2 weeks before surgery (T0); second survey approximately 4 weeks after surgery (T1); and the third one was done to patients after the treatment was completed (debonding) (T2). In our study, Orthognathic Quality of Life Questionnaire (OQLQ), Pyschosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), Oral Health Impact Profile (OHIP-14), Beck Depression Inventory second edition (BDI-II) and Rosenberg Self-Esteem Scale (RSES), surveys were conducted. No statistically significant difference was observed in all of the PIDAQ parameters and most of the OQLQ parameters within the COS and SF groups (P>0.05). When the BDI II results were examined, different trends in scores were observed between the two groups, and this difference was found to be statistically significant (P<0.05). In the SF approach, progressive improvement was detected in the patients in terms of psychosocial and quality of life in the early period of treatment. The greater improvement in psychological and social characteristics in the SF approach compared to conventional orthognathic surgery may also be associated with a shorter treatment time.