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Öğe Analgesic efficacy of naproxen-codeine, naproxen+dexamethasone, and naproxen on myofascial pain: A randomized double-blind controlled trial(Taylor and Francis Ltd., 2020) Ciğerim, L.; Kaplan, VolkanObjective: To assess the effects of naproxen sodium-codeine phosphate, naproxen sodium-dexamethasone, and naproxen sodium on myofascial pain. Methods: This randomized, double-blind prospective clinical study was conducted with patients who applied with the complaint of pain in the temporomandibular region. A total of 169 patients were randomly divided into four groups and received the following treatments: Group A: naproxen sodium 550 mg; Group B: naproxen sodium 550 mg + codeine phosphate 30 mg; Group C: naproxen sodium 550 mg + single-dose dexamethasone 8 mg, and Group D: paracetamol 500 mg. Results: Of the patients, 132 were female, and 37 were male, with a mean age of 27.04 ± 10.56 (18–69 years). Analgesic efficiency of the naproxen sodium-codeine phosphate group was the most effective at the 2nd week and 4th week (p < 0.05). Conclusion: Naproxen sodium-codeine phosphate might be preferred as an analgesic in similar cases with severe myofascial pain. © 2020 Taylor & Francis Group, LLC.Öğe Comparison of Various Measurement Methods in the Evaluation of Swelling After Third Molar Surgery(2021) Kaplan, Volkan; Ciğerim, Levent; Çınarsoy Ciğerim, Saadet; Bazyel, Zeynep Dilan; Dinç, GönülObjective: This study aimed to examine the differences between 12 metric swelling evaluation methods in patients undergoing impacted lower third molar surgery. Material ve Methods: This study was conducted on the patients indicated for the extraction of impacted lower third molar teeth due to orthodontic reasons. Twenty-six patients aged between 18-40 were included in the study. Swelling levels after surgery were measured using anatomic landmarks used for the methods, and the distances between landmarks were measured before the operation, and on days 2 and 7 afterward. The measurements were done using thread and a millimeter ruler while patients were seated. The distances between the anatomical landmarks were evaluated by 12 different methods. Results: According to the results of the measurements performed on twenty-six patients, (15 male and 11 female) with a mean age of 23.85±6.06 years, male had more swelling than female and the difference was statistically significant (p<0.05) although age, and measurement methods had no significant effect on swelling (p>0.05). Conclusion: As a result of the present study; twelve swelling evaluation methods showed significantly similar results and the authors recommended using Method 1 and 5 for convenient clinical evaluation which could be performed with a smaller number of anatomical points.Öğe Effect of a Single Dose of Deflazacort on Postoperative Pain, Swelling, and Trismus after Impacted Lower Third Molar Surgery: Randomised Clinical Trial(Mdpi, 2024) Kaplan, Volkan; Cigerim, Levent; Feslihan, Erkan; Cigerim, Saadet CinarsoyBackground and Objectives: The aim of this study was to investigate the efficacy of a single preoperative dose of deflazacort on pain, swelling, and trismus after impacted lower third molar surgery. Materials and Methods: This randomised, prospective, double-blind, split-mouth clinical study included 26 healthy individuals with bilaterally impacted lower third molars. Group 1 was given a placebo (single-dose vitamin C tablet), and group 2 was given a single 30 mg dose of deflazacort 1 h prior to surgery. Pain was evaluated using the visual analogue scale for 1 week postoperatively. Oedema (in mm) and trismus (in mm) were evaluated preoperatively and on postoperative days 2 and 7. The Mann-Whitney U test was applied for group analyses. p values < 0.05 were considered statistically significant. Results: Postoperative pain scores were significantly lower in the deflazacort group at the 6th and 12th hours after surgery (p < 0.05). There were no significant differences in trismus between the groups at any time point (p > 0.05). There was less oedema in the deflazacort group on postoperative days 2 and 7, without any statistically significant difference (p > 0.05). Conclusions: A single preoperative dose of 30 mg deflazacort was found to be clinically effective in reducing pain and oedema after extraction of impacted lower third molars.Öğe Effect of combined boric acid and chlorhexidine mouthwashes on postoperative complications and periodontal healing after impacted third molar surgery: a-double blind randomized study(Springer Science and Business Media Deutschland GmbH, 2023) Erbaşar, G.N.H.; Kaplan, Volkan; Ciğerim, L.; Konarili, F.N.; Şahin, M.Objectives: This study aimed to evaluate the effects of different concentrations of boric acid (BA) combined with chlorhexidine (CHX) mouthwash on postoperative complications and periodontal healing following impacted third molar surgery. Materials and methods: A total of 80 patients were randomly divided into eight groups. The patients in the study groups received different concentrations of BA ranging from 0.1% to 2.5% combined with CHX or 2% BA mouthwash alone. The control group received CHX mouthwash alone. The scores of self-reported pain and jaw dysfunction, trismus, edema, number of analgesics used, and periodontal parameters were compared between the groups. Results: 2.5% BA + CHX group had significantly lower pain and facial swelling values during the follow-up period. 2% BA + CHX group reported significantly lower jaw dysfunction scores on the fourth and fifth postoperative days. The control group showed significantly higher values for pain, jaw dysfunction, and facial swelling than other groups. No significant differences were found between the groups regarding trismus, analgesic use, and periodontal variables. Conclusions: The combination of higher concentrations of BA with CHX was more effective in reducing pain, jaw dysfunction, and swelling following impacted third molar surgery than CHX mouthwash alone. Clinical relevance: The combination of BA and CHX showed better results than the gold standard CHX mouthwash in reducing postoperative complications related to surgical removal of impacted third molars without any adverse effects. This new combination can be an effective alternative to traditional mouthwashes after impacted third molar surgery to ensure oral hygiene. © 2023, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.Öğe Effect of St. John's wort oil and olive oil on the postoperative complications after third molar surgery: randomized, double-blind clinical trial(Springer Science and Business Media Deutschland GmbH, 2021) Kaplan, Volkan; Hasanoglu Erbasar, G.N.; Ciğerim, L.; Altay Turgut, H.; Cerit, A.Objectives: This multicenter study aimed to evaluate the effects of St. John’s wort oil and virgin olive oil on the postoperative complications and compare this with chlorhexidine gluconate plus benzydamine hydrochloride mouthwash after the removal of impacted third molar. Methods: A total of 90 patients in need of impacted third molar surgery were included in this study. All included patients were randomly divided into 3 groups. The patients in group 1 received St. John’s wort oil; the patients in group 2 received virgin olive oil, and those in group 3 received mouthwash containing chlorhexidine gluconate plus benzydamine hydrochloride. The self-reported pain and difficulty during jaw function, trismus, facial swelling, number of analgesics used during first postoperative week, and postoperative periodontal condition including plaque accumulation, bleeding on probing, and periodontal pocket depth were compared between the groups. Results: No significant differences were found regarding the study variables. Conclusions: The data of the present study supports that the use of essential oils provides efficient alternative to the gold standard chlorhexidine gluconate mouthwash in reducing postoperative complications and improving healing process without adverse effects after surgical removal of impacted third molars. Clinical relevance: The use of essential oils showed similar results as the chlorhexidine gluconate mouthwash regarding swelling, mouth opening, pain, need for rescue medication, infectious complications (i.e., alveolar osteitis), and periodontal healing. Therefore, essential oils can be an alternative to routine mouthwashes to ensure oral hygiene after impacted third molar surgery. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature.Öğe Evaluation of dental anxiety in patients undergoing second-stage surgery with er, cr: YSGG laser treatment: Randomized clinical trial(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Tunç, Serap Keskin; Alpaslan Yaylı, Nazlı Zeynep; Talmaç, Ahmet Cemil; Feslihan, Erkan; Kaplan, VolkanOral surgical procedures cause high-pain expectation and consequent anxiety in patients. The aim of this study is to compare the effects of Er, Cr: YSGG laser and scalpel method on dental anxiety level during second-stage implant surgery. 96 patients with 304 osseointegrated implants were divided into two groups. Implants embedded under the oral mucosa were exposed with scalpel or laser surgery. Before the operation the patients were asked to fill the STAI and DAS while resting in the waiting room. In addition, postoperative daily analgesic use, VAS scores perioperativly and on the postoperative 1st, 2nd and 3rd days and demographic information such as age and gender were also recorded. There was no statistically significant relationship between surgical method and anxiety levels (p>0.05. Also, the differences between the scalpel and laser groups in terms of total DAS and STAI scores were statistically insignificant (p>0.05). But statistically significant difference was found between surgical method and the analgesic consumption (p<0.05). A higher rate of analgesic consumption was observed in the scalpel group. The use of Er,Cr;YSGG laser could reduce pain during minor oral surgical procedures but had no significant effect on dental anxiety. Different modalities that could provide additional benefits in overcoming this situation should be investigated. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.Öğe Evaluation of the efficacy of topical rifamycin application on postoperative complications after lower impacted wisdom teeth surgery(Elsevier, 2024) Cigerim, Levent; Orhan, Zeynep Dilan; Kaplan, Volkan; Cigerim, Saadet Cinarsoy; Feslihan, ErkanPurpose: This study aimed to evaluate the efficacy of a single-dose topical rifamycin application on postoperative complications after impacted lower third molar surgery. Materials and methods: This prospective, controlled clinical study consisted of individuals with bilaterally impacted lower third molars that would be extracted for orthodontic reasons. The extraction sockets were irrigated with 3 ml/250 mg of rifamycin solution in Group 1, while in Group 2 (control group) the extraction sockets were irrigated with 20 ml of physiological saline. Pain intensity was measured daily for 7 days by using visual analog scale. Trismus and edema were evaluated preoperatively and on the postoperative days 2 and 7 by calculating the proportional changes in maximum mouth opening and mean distance between reference points of the face, respectively. Paired samples t-test, Wilcoxon signed rank test and Chi-square test were used to analyze the study variables. Results: 35 patients (19 female, 16 male) were included in the study. The mean age of all participants was 22.19 4.98. Alveolitis was observed in 8 patients, (6 in the control group, 2 in the rifamycin group). There was no statistically significant difference between groups in terms of trismus and swelling measurements on the 2nd and 7th postoperative days (p>0.05). VAS scores were significantly low in rifamycin group on postoperative days 1 and 4 (p<0.05). Conclusion: Within the limits of the present study, topical rifamycin application reduced the incidence of alveolitis, prevented infection, and provided analgesic effect after surgical removal of impacted third molars. (c) 2023 Elsevier Masson SAS. All rights reserved.Öğe Evaluation of waste knowledge levels of staff and students working in a school of dentistry, in Van, Turkey, in 2019(Kerman Univ Medical Sciences, 2020) Ciğerim, Levent; Kaplan, VolkanBACKGROUND AND AIM: Various types of harmful wastes, which may or may not be contaminated with body fluids, result from health care services. When dental clinics are improperly managed, various environmentally hazardous wastes emerge. This study aims to determine and compare the knowledge levels of academic and dental health personnels and dentistry students and reveal the need for education. METHODS: The study was conducted face-to-face with 90 people, consisting of 4th and 5th-grade students studying at dentistry school, assistant professors, research assistants, nurses, and cleaning staff. The statistical significance level was set at 5% in calculations and SPSS statistical software was used for calculations. RESULTS: No significant difference was found between the study participants when their waste knowledge levels were evaluated by gender and work experience. Significant differences were found between the study participants when their waste knowledge levels were evaluated by their education level and according to their roles (P < 0.05). Waste knowledge levels of individuals with an undergraduate or post-graduate degree were found to be higher than primary or high school graduates. The knowledge level of the cleaning staff was found to be significantly lower than all other groups. CONCLUSION: The results reveal the need to update the medical waste knowledge of all health care occupations, especially the cleaning staff, at regular intervals, regardless of their work experience.Öğe Tekirdağ Bölgesindeki Bireylerde Dişlerin Gömülü Kalma Sıklığının Belirlenmesi(2024) Kaplan, Volkan; Duygu, Gonca; Erener, HandeAmaç: Dişler, süremediklerinde veya gelişmediklerinde farklı şekillerde gömülü kalabilirler. Bu çalışmada, gömülü dişlerin pozisyonlarının ve görülme sıklığının değerlendirilmesi amaç- lanmıştır. Gereç ve Yöntem: Tekirdağ Namık Kemal Üniversitesi Ağız ve Diş Sağlığı Uygulama ve Araştırma Merkezi’ne ilk defa baş- vuran 18 yaş ve üzeri 400 hastanın panoramik radyografları incelenmiştir. Hastaların gömülü diş lokalizasyonları ve po- zisyonları belirlenmiştir. Cinsiyet ve yaş değişkenlerine göre çalışmadan elde edilen veriler görülme sıklığı açısından de- ğerlendirilmiştir. Bulgular: Yaşları 18-80 yaş arasında değişen (ortalama: 40,15±15,42) 400 hastanın, 175’i kadın (%43,75), 225’i erkekti (%56,25). Gömülü diş oranı %38 olarak tespit edilmiştir. Gömü- lü dişlerin cinsiyetlere göre dağılımları arasında istatistiksel olarak anlamlı fark bulunmamıştır. Hastalar yaşa göre 4 gru- ba (18-30, 31-40, 41-50 ve 51 yaş ve üzeri olmak üzere) ayrıl- mıştır. Gömülü dişlerin yaşlara göre dağılımı incelendiğinde gruplar arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0,001). Gömülü dişlerin görülme sıklığı sırasıyla mandibu- lar üçüncü molar, maksillar üçüncü molar ve maksillar kanin dişler olarak tespit edilmiştir. Sonuçlar: Bu çalışma sonucunda literatürdeki oranların orta- lamasına uygun olarak gömülü diş insidansı %38 olarak tespit edilmiştir. Bu oran bölgedeki bireylerde gömülü diş varlığının azımsanmayacak oranda yüksek olması sebebiyle yetişkin bireylerin ağız ve diş sağlığı tedavi/kontrollerinde gömülü diş varlığı açısından da değerlendirilmeleri gerektiğini göster- mektedir.Öğe The effect of age of titanium dental implants on implant survival and marginal bone resorption: A 5-year retrospective follow-up study(Allen Press Inc., 2020) Ciğerim, L.; Kaplan, VolkanIt has been demonstrated that the osteoconductivity, hydrophilicity, and biological capacity of titanium decreases over time, and this phenomenon was described as the biological aging of titanium. The aim of this study was to evaluate whether the age of sand-blasted and acid-etched (SLA) titanium dental implants (duration from the production date until the date of dental implant surgery) affects marginal bone resorption and implant survival. This nonrandom convenience-sample retrospective pilot study was carried out in 200 implants of 64 patients. Radiographic measurements were performed on intraoral periapical radiographs. Implants were divided into 2 age groups; group 1 = 0–3 months and group 2 = 36–41 months. A P value, <.05 was considered statistically significant. Of the implants, 41% (n = 82) were between 0 and 3 months old, and 59% (n = 118) were between 36 and 41 months old. All (n = 200) of the implants survived and maintained their function. The mean mesial marginal resorption measurement was 0.60 ± 0.65 mm, and the mean distal marginal resorption was 0.77 ± 1.07 mm. There was no statistically significant difference between the amount of mesial and distal marginal bone resorption according to implant age (P > .05). In SLA surface titanium implants with adequate initial primary stability and a 3-month osseointegration period before loading, biological aging of titanium did not affect implant survival and marginal bone resorption. © 2020 Allen Press Inc.. All rights reserved.Öğe The Effect of Age of Titanium Dental Implants on Implant Survival and Marginal Bone Resorption: A 5-Year Retrospective Follow-Up Study(Allen Press Inc, 2020) Ciğerim, Levent; Kaplan, VolkanIt has been demonstrated that the osteoconductivity, hydrophilicity, and biological capacity of titanium decreases over time, and this phenomenon was described as the biological aging of titanium. The aim of this study was to evaluate whether the age of sand-blasted and acid-etched (SLA) titanium dental implants (duration from the production date until the date of dental implant surgery) affects marginal bone resorption and implant survival. This nonrandom convenience-sample retrospective pilot study was carried out in 200 implants of 64 patients. Radiographic measurements were performed on intraoral periapical radiographs. Implants were divided into 2 age groups; group 1 = 0-3 months and group 2 = 36-41 months. A P value < .05 was considered statistically significant. Of the implants, 41% (n = 82) were between 0 and 3 months old, and 59% (n - 118) were between 36 and 41 months old. All (n = 200) of the implants survived and maintained their function. The mean mesial marginal resorption measurement was 0.60 +/- 0.65 mm, and the mean distal marginal resorption was 0.77 +/- 1.07 mm. There was no statistically significant difference between the amount of mesial and distal marginal bone resorption according to implant age (P > .05). In SLA surface titanium implants with adequate initial primary stability and a 3-month osseointegration period before loading, biological aging of titanium did not affect implant survival and marginal bone resorption.Öğe The relationship between frontal sinus dimensions and skeletal malocclusion(Istanbul Univ Press, Istanbul Univ Rectorate, 2022) Tunca, Murat; Kaplan, Volkan; Kaya, Yeşim; Tunca, YaseminPurposeThe aim of this retrospective research is to compare frontal sinus dimensions in skeletal Class I, skeletal Class II, and skeletal Class III individuals and to evaluate the relationship of these dimensions with anterior skull base length and some cephalometric values.Materials and MethodsIn this research, we used lateral cephalometric radiographs of 60 people aged 17 to 25. In individuals with skeletal Class I malocclusion, skeletal Class II malocclusion due to mandibular insufficiency, and skeletal Class III malocclusion due to mandibular excess, measurements of frontal sinus length and height as well as S-N, Co-A and Co-Gn lengths, ANB0, FMA0, SN-GoGn0 angles values were performed. The length between the highest point and the lowest point of the frontal sinus was calculated as the height of the frontal sinus, and the length between the most anterior and the most posterior points of the frontal sinus was calculated as the length of the frontal sinus.ResultsThe frontal sinus length and height were found to be higher in skeletal Class III individuals than in skeletal Class I and skeletal Class II individuals, however, there was no significant difference between skeletal Class I and Class II individuals.ConclusionThe increase in frontal sinus height and length correlated positively with the decrease in the ANB angle and the increase in the SN and Co-Gn lengths. The dimensions of the frontal sinus may be an indicator for the remaining mandibular growth potential.
