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    Comparison of two different approches to the pterygomaxillary junction in Le Fort I osteotomy
    (MOSBY-ELSEVIER, 2008) Dolanmaz, Dogan; Esen, Alparslan; Emlik, Dilek; Candirli, Celal; Kalayci, Abdullah; Cicekcibasi, Aynur
    Objective. The purpose of this study was to compare the damage before and after down fracture in Le Fort I osteotomies performed with and without the separation of pterygomaxillary junction using curved osteotomes in a cadaver model. Study design. The study sample comprised 6 cadavers aged between 55 and 70 years (mean age: 63.8 years). Three cadavers were partially edentulous, 2 cadavers still maintained a full complement of teeth and 1 cadaver was edentulous. Le Fort I osteotomy was performed on all cadavers. Pterygomaxillary osteotomies were only performed on the right sides whereas the left sides were left intact. Subsequently, the maxilla was mobilized by applying digital pressure on the anterior maxillary segment. Computed tomography scans of each specimen were obtained before surgery, after surgery-before down fracture and after down fracture to document secondary fractures. Results. Before the down fracture, secondary fractures were found in only 1 specimen (right side), whereas after the down fracture, secondary fractures were found in 5 specimens by CT. After the down fracture, the rate of occurrence of secondary fractures was 62% in the right side and 38% in the left side. Conclusion. With respect to the results of the present study, the use of osteotomes for pterygomaxillary dysjunction increases the incidence of fractures in maxillary osteotomy. However, the occurrence of almost all fractures subsequent to down fracture suggests the presence of possible bony splits that could not be diagnosed by radiographic examination immediately after maxillary osteotomy may have become apparent or transformed into fractures following down fracture.
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    Effect of 2 flap designs on postoperative pain and swelling after impacted third molar surgery
    (ELSEVIER SCIENCE INC, 2013) Dolanmaz, Dogan; Esen, Alparslan; Isik, Kubilay; Candirli, Celal
    Objective. The aim of this study was to evaluate 2 flap designs (envelope and modified triangular flap) for postoperative pain and swelling after mandibular impacted third molar surgery. Study Design. Thirty patients who had symmetric bilateral fully impacted mandibular third molars were selected. Left teeth were approached with an envelope flap, and right teeth were removed using a modified triangular flap. Postoperative pain and swelling were evaluated until the seventh day by using 2 verbal rating scales. Results. Statistical analyses showed that there were no significant differences between the 2 incision techniques regarding postoperative pain and swelling (P > .05). Conclusions. There is no significant difference between the envelope and modified triangular flap regarding postoperative pain and swelling after impacted third molar surgery.
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    Routine antibiotic prophylaxis is not necessary during operations to remove third molars
    (CHURCHILL LIVINGSTONE, 2008) Ataoglu, Hanife; Oez, Guelsuen Yildirim; Candirli, Celal; Kiziloglu, Dilek
    The purpose of this study was to evaluate the efficacy of antibiotic prophylaxis during removal of impacted third molars. We studied. 150 patients with impacted mandibular or maxillary third molars who were divided randomly into three groups. The first was given amoxicillin 2 g combined with clavulanic acid, orally daily for 5 days postoperatively; starting at the end of the operation. The second group was given the same drugs but the regimen started 5 days before the operation. The third was given no antibiotics. Pain, infection, swelling, alveolar osteitis, and interincisal mouth opening (mm) were evaluated. There were no significant differences among the groups in the incidence of these complications. We cannot recommend routine oral antibiotic prophylaxis in third molar surgery. (C) 2006 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.