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    Cone-beam computed tomography evaluation of dentoskeletal changes after asymmetric rapid maxillary expansion
    (MOSBY-ELSEVIER, 2015) Baka, Zeliha Muge; Akin, Mehmet; Ucar, Faruk Izzet; Ileri, Zehra
    Introduction: The aims of this study were to quantitatively evaluate the changes in arch widths and buccolingual inclinations of the posterior teeth after asymmetric rapid maxillary expansion (ARME) and to compare the measurements between the crossbite and the noncrossbite sides with cone-beam computed tomography (CBCT). Methods: From our clinic archives, we selected the CBCT records of 30 patients with unilateral skeletal crossbite (13 boys, 14.2 +/- 1.3 years old; 17 girls, 13.8 +/- 1.3 years old) who underwent ARME treatment. A modified acrylic bonded rapid maxillary expansion appliance including an occlusal locking mechanism was used in all patients. CBCT records had been taken before ARME treatment and after a 3-month retention period. Fourteen angular and 80 linear measurements were taken for the maxilla and the mandible. Frontally clipped CBCT images were used for the evaluation. Paired sample and independent sample t tests were used for statistical comparisons. Results: Comparisons of the before-treatment and after-retention measurements showed that the arch widths and buccolingual inclinations of the posterior teeth increased significantly on the crossbite side of the maxilla and on the noncrossbite side of the mandible (P < 0.05). Comparison of the 2 sides showed statistically significant differences in both the maxilla and the mandible (P < 0.05). Conclusions: After ARME treatment, the crossbite side of the maxilla and the noncrossbite side of the mandible were more affected than were the opposite sides.
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    Effects of chincup or facemask therapies on the orofacial airway and hyoid position in Class III subjects
    (URBAN & VOGEL, 2015) Akin, Mehmet; Ucar, Faruk Izzet; Chousein, Chousein; Sari, Zafer
    The purpose of this work was to evaluate orofacial airway dimensions and the position of the hyoid bone related to changes induced by facemask therapy (combined with rapid palatal expansion) or by chincup therapy as compared to an untreated Class III control group. In all, 67 patients with skeletal Class III malocclusion were divided into a facemask group (n = 25; 15 girls and 10 boys), a chincup group (n = 15; 16 girls and 9 boys), and a control group (n = 17; 9 girls and 8 boys). Hard- and soft-tissue parameters were analyzed on lateral cephalograms, which were available for all patients and included a baseline radiograph (T1) obtained before treatment and a follow-up radiograph (T2) taken upon completion of active treatment or, in the control group, after a 6-month interval. Statistical analysis was performed at the p a parts per thousand currency signaEuro parts per thousand 0.05 level and included a paired-sample t-test, a generalized linear mixed model (GLMM), and a post hoc Tukey test. In the chincup group, significant changes in the perpendicular distance from the hyoid (H) to the C3-Me line were found compared to the control group (p < 0.05). The facemask group, by contrast, showed significant anteroposterior width increases of the pharynx-as measured at the level of the soft palate (p < 0.001)-as well as significant area increases of the nasopharynx based on its anterior portion (p < 0.001) and on its total area (p < 0.001). Both the chincup and the facemask (combined with rapid palatal expansion) therapies were found to induce clockwise rotational effects on the mandible. Orofacial airway dimensions were enlarged significantly by facemask treatment in comparison with both chincup treatment and with the control group.
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    Evaluation of temporomandibular fossa and mandibular condyle in adolescent patients affected by bilateral cleft lip and palate using cone beam computed tomography
    (WILEY-HINDAWI, 2016) Ucar, Faruk Izzet; Buyuk, Suleyman Kutalmis; Sekerci, Ahmet Ercan; Celikoglu, Mevlut
    The purposes of this study were to investigate the position of the mandibular condyle and temporomandibular fossa between the adolescent patients affected by bilateral cleft lip and palate (BCLP) and well-matched controls without any cleft by using cone-beam computed tomography (CBCT). The study sample consisted of 17 patients (7 females and 10 males; mean age, 14.27 +/- 2.83 years) affected by BCLP and 17 patients (6 females and 11 males; mean age, 14.27 +/- 2.12 years) as age-and sex-matched control group without any cleft. Using cone-beam computed tomography segmented three-dimensional temporomandibular fossa and mandibular condyle images were reconstructed and angular, linear, and volumetric measurements of the patients in both sides of the groups were examined using Paired and Student's t-tests. Comparison of the sides showed that both sides were found to be similar in BCLP and control groups, except the condylar angulation of the right side was found to be higher compared to that of the left side in both groups (p<0.05). Comparison of the groups showed that the patients affected by BCLP and non-cleft patients had similar values for all parameters, except for the condylar angulation in the right side (BCLP group had less angulation compared to controls; p<0.05). The condylar volume was found to be slightly less in the BCLP group in both sides compared to the controls (p>0.05). The positions of the mandibular condyle and temporomandibular fossa were found to be similar in patients affected by BCLP and control group of without any cleft. SCANNING 38:720-726, 2016. (c) 2016 Wiley Periodicals, Inc.
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    Evaluation of the mandibular volume and correlating variables in patients affected by unilateral and bilateral cleft lip and palate: a cone-beam computed tomography study
    (SPRINGER HEIDELBERG, 2016) Celikoglu, Mevlut; Ucar, Faruk Izzet; Buyuk, Suleyman Kutalmis; Celik, Salih; Sekerci, Ahmet Ercan; Akin, Mehmet
    The aims of the present study were to evaluate the mandibular volume in patients affected by unilateral (UCLP) and bilateral cleft lip and palate (BCLP) and to compare the findings with a well-matched normal occlusion sample without cleft. The study sample consisted of 66 patients divided into UCLP (24 patients; mean age, 14.46 +/- 3.24 years), BCLP (17 patients; mean age, 14.28 +/- 2.85 years), and control (25 patients; mean age, 14.40 +/- 2.81 years) groups. The volume of the mandible including the condyle and the roots of the teeth and craniofacial measurements were performed using cone-beam computed tomography and analyzed using the one-way variance analysis and post hoc Tukey's tests. Regression analyses were used to evaluate the relationships of the measurements and the mandibular volume. Patients affected by UCLP and BCLP had similar craniofacial features (p > 0.05), including decreased SNB, Co-A, Co-Gn, Co-Go, and Go-Gn and increased ANB and SN-MP measurements compared to the control group. Both UCLP and BCLP groups had decreased values of mandibular volume compared to the normal occlusion group, while these differences were found to be statistically insignificant (p > 0.05). Co-Go (Beta = 0.420; p = 0.014) and Co-Gn variables (Beta = 0.708; p = 0.045) were positively correlated with mandibular volume, while SNB (Beta = -0.669; p = 0.044) and SN-MP (Beta = -0.358; p = 0.049) variables were negatively correlated (R (2) = 60.3 and p = 0.000). Mandibular volume insignificantly differs in cleft patients (p > 0.05), and the variables of Co-Go, Co-Gn, SNB, and SN-MP significantly correlate with the volume. This article investigates mandibular volume in patients affected by UCLP and BCLP that has never been investigated in the literature. The present study showed that both UCLP and BCLP groups had insignificantly decreased values of mandibular volume compared to the normal occlusion group.
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    Maxillary sinus volumes of patients with unilateral cleft lip and palate
    (ELSEVIER IRELAND LTD, 2015) Erdur, Omer; Ucar, Faruk Izzet; Sekerci, Ahmet Ercan; Celikoglu, Mevlut; Buyuk, Suleyman Kutalmis
    Background and objective: Studies about maxillary sinuses of cleft lip-palate patients have increased since sinusitis is commonly observed in these patients. It is evident that maxillary sinus will be morphologically affected in these patients. And anatomic differences may be a cause or at least a contributor of sinusitis. The aim of this study was to compare maxillary sinus volumes of the non-syndromic patients with unilateral cleft lip-palate and control group by using Cone-Beam computed tomography. Methods: Tomography scans of 44 unilateral cleft lip-palate patients (18 right and 26 left) with age and gender matched 45 control patients were evaluated for the study. The images used in the study were part of the diagnostic records collected due to dental treatment needs. All tomographs were obtained in supine position by using Cone-Beam computed tomography (NewTom 5G, QR, Verona, Italy). The patient-specific Hounsfield values were set to include the largest amount of voxels in the sinuses volume calculation individually. All data were measured in mm(3). Results: There was no statistically difference between the gender and age distributions of the groups. No statistically significant difference was found on the cleft and non-cleft side, the right and left side of the unilateral cleft lip-palate patients and the control group (P > 0.05). For the inter group comparison, mean maxillary sinus volumes volume of unilateral cleft lip-palate patients (9894.55 +/- 4171.44 mm(3)) was statistically smaller than the control group (11,977.90 +/- 4484.93 mm(3)) (P < 0.05). Conclusion: Maxillary sinus volumes were effected negatively in unilateral cleft lip-palate patients when compared with the healthy control group. No difference was found on the cleft, non-cleft side and the right-left side of the unilateral cleft lip-palate patients. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
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    Three-dimensional evaluation of the pharyngeal airway volumes in patients affected by unilateral cleft lip and palate
    (MOSBY-ELSEVIER, 2014) Celikoglu, Mevlut; Buyuk, Suleyman Kutalmis; Sekerci, Ahmet Ercan; Ucar, Faruk Izzet; Cantekin, Kenan
    Introduction: Patients affected by cleft lip and palate often have complaints of snoring and respiratory difficulties during sleep. The purposes of this study were to evaluate nasopharyngeal, oropharyngeal, and total airway volumes of patients affected by unilateral cleft lip and palate and to compare them with a well-matched control group without unilateral cleft lip and palate using cone-beam computed tomography. Methods: The study sample consisted of 60 patients (26 girls, 34 boys) divided into 2 groups: unilateral cleft lip and palate (20 boys, 10 girls; 8 right sided, 22 left sided; mean age, 14.6 +/- 6 3.2 years) and no cleft (control group; 14 boys, 16 girls; mean age, 14.8 +/- 62.8 years). Nasopharyngeal, oropharyngeal, and total airway volumes of the subjects in both groups were calculated 3 dimensionally with cone-beam computed tomography. Group differences in relation to cleft side, sex, and cleft presence were statistically tested at P <0.05. Results: Patients affected by unilateral cleft lip and palate had similar airway volumes regardless of the side of the cleft. In addition, no statistically significant differences were found between the sexes in the 2 groups. Patients affected by unilateral cleft lip and palate had smaller nasopharyngeal, oropharyngeal, and total airway volumes when compared with the control group. The difference for oropharyngeal airway volume (-4036.7 mm(3)) was statistically significant (P <0.05), whereas nasopharyngeal volume (-21.6 mm(3)) and total airway volume (-4057.3 mm(3)) differences were not significant (P >0.05). Conclusions: Patients affected by unilateral cleft lip and palate had decreased volumes of oropharyngeal (P <0.05) and total (P >0.05) airways compared with the well-matched control group without unilateral cleft lip and palate.