Browsing by Author "Arman-Ozcirpici, Ayca"

Now showing 1 - 9 of 9

Camouflage Treatment of a Severe Open Bite Case
(2014) Yilmaz, Alev; Arman-Ozcirpici, Ayca
Clinical Effectiveness Of Buccally And Palatally Anchored Maxillary Molar Distalization: The Miniscrew-Supported 3-Dimensional Maxillary Bimetric Distalizing Arch Vs The Beneslider
(2022) Tuncer, Nilufer Irem; Arman-Ozcirpici, Ayca; 36457217
Introduction: This study aimed to investigate the dentoalveolar and skeletal changes achieved with a novel miniscrew-supported 3-dimensional maxillary bimetric distalizing arch (3D-MBDA) and the Beneslider. In addition, the study aimed to compare these changes between each other and with an untreated control group. Methods: Sixty-five patients with bilateral Class II molar relationship and fully-erupted maxillary second molars were included in the study. Of these patients, 23 received the miniscrew-supported 3D-MBDA (group 1), 21 received the Beneslider (group 2), and 21 served as untreated control subjects (group 3). Lateral cephalometric films and dental casts, taken at the beginning and the end of maxillary molar distalization, were analyzed to study the differences between the groups. Results: The crown distalization of the first molars was similar between the treatment groups (group 1, 3.1 mm; group 2, 3.3 mm); however, root distalization was significantly more in group 1 (5 mm) when compared with group 2 (1.7 mm). The first molars tipped 6.2 degrees in the mesial direction in group 1 and 8.2 degrees in the distal direction in group 2. The mesiobuccal cusp tip of the first molars extruded for 1.2 mm and increased vertical dimensions in group 2, whereas it intruded for 1.7 mm in group 1. Meanwhile, aforementioned parameters presented insignificant changes throughout the observation period in the control group. Inter-first molar width increased significantly in group 2 (2.7 mm). Distalization time was similar between the groups (group 1, 14 months; group 2, 15 months). The distalization rate was higher in group 2 (0.27 mm/mo) than in group 1 (0.23 mm/mo) measured from the crowns; however, it was similar between the groups (group 1, 0.25 mm/mo; group 2, 0.19 mm/mo) when measured from the trifurcation point. Conclusions: The miniscrew-supported 3D-MBDA was more effective in distalizing molar roots and maintaining vertical parameters and dental arch width while tipping the molars mesially. In contrast, the Beneslider distalized molar crowns faster, resulting in significant distal tipping. (Am J Orthod Dentofacial Orthop 2022;162:e337-e348)
The effect of third molars on maxillary molar distalisation using a miniscrew-supported 3D (R) maxillary bimetric distalising arch
(2022) Tuncer, Nilufer Irem; Arman-Ozcirpici, Ayca
Objectives: The aim of the present study was to investigate the effect of third molars on the efficiency and biomechanics of a novel miniscrew-supported 3D (R) Maxillary Bimetric Distalising Arch (3D-MBDA). Methods: Twenty-three patients, whose third molars were either extracted at the beginning of treatment (Group 1, n=11) or retained (Group 2, n=12), were included in the study. Lateral cephalometric films and dental casts, taken at the beginning (T0) and at the end of upper molar distalisation (T1), were analysed to study the differences between groups. Results: Crown distalisation of the first molars was similar between the groups; however, root distalisation, both at the trifurcation and apex levels, intrusion at the mesiobuccal cusp tip, and the distalisation rate were significantly higher in Group 1. The resultant tipping of the first molars in both groups was mesially-directed, unlike the usual distal tipping. The second molars distalised more, displaced less vestibularly and rotated mesiobuccally in Group 1, whereas they demonstrated a significantly higher vestibular displacement and distobuccal rotation in Group 2. The mean distalisation time was significantly shorter in Group 1 when compared to Group 2. The miniscrew success rate was 95.5% for Group 1 and 91.7% for Group 2. Conclusion: The miniscrew-supported 3D-MBDA was found to have greater effects on root distalisation and the final inclination of the molars. The third molars were associated with limited root movement, unfavourable displacement of the second molars, as well as a slower distalisation rate. Therefore, the extraction of third molars prior to distalisation is recommended, especially when the miniscrew-supported 3D-MBDA is the appliance choice.
Efficiency of piezosurgery technique in miniscrew supported en-masse retraction: a single-centre, randomized controlled trial
(2017) Tuncer, Nilufer Irem; Arman-Ozcirpici, Ayca; Oduncuoglu, Bahar Fusun; Gocmen, Julide Sedef; Kantarci, Alpdogan; 0000-0003-0647-9481; 0000-0002-9250-3689; 28402521; ABG-7526-2020; AAQ-4792-2020; AAF-7291-2021
Piezoelectric surgery is a newly introduced technique for rapid tooth movement. However, the efficiency of this technique has not been investigated on en-masse retraction cases yet. To investigate the efficiency of piezosurgery technique in accelerating miniscrew supported en-masse retraction and study the biological tissue response. In addition, to show if this technique induces a difference in dental, skeletal and soft tissue changes on lateral cephalograms, and in canine and molar rotations, besides intercanine and intermolar widths on dental casts. We conducted a randomized, single-centred, parallel-group, controlled trial, requiring upper right and left first premolar extractions on 30 patients above the minimum age of 14 years at the beginning of retraction. Piezosurgery-assisted versus conventional en-masse retraction anchored from miniscrews placed between second premolars and first molars, bilaterally. The main outcome was the en-masse retraction rate. Secondary outcomes were gingival crevicular fluid (GCF) volume and GCF content of receptor activator of nuclear factor kappa beta ligand (RANKL), changes regarding cephalometric and dental cast variables, and miniscrew success rates. Accomplished with opaque, sealed envelopes. Applicable for data assessment only. Commenced in February 2013 and ended in October 2014. Thirty-one patients were included in the study and divided into 2 groups of piezosurgery (n = 16) and control (n = 15). After 9.3 months of follow-up, no statistically significant difference was observed between groups for neither retraction rates (P = 0.958) nor GCF parameters (P > 0.05). Changes in lateral cephalometric and dental cast variables, and miniscrew success rates did not show significant differences either. Based on the results of this study, piezosurgery technique was found to be ineffective in accelerating en-masse retraction, and promoting a difference in the studied GCF parameters, skeletal and dental variables. The trial was not registered. The full protocol of this PhD thesis study can be accessed from tez.yok.gov.tr.
Maxillary Expansion Via Palatal Mini-Implants: A Preliminary Study
(2014) Arman-Ozcirpici, Ayca; Yilmaz, Alev; Polat-Ozsoy, Omur
Objective: This study evaluates the skeletal and dental effects of a mini-implant supported maxillary expansion (MISME) appliance that applied forces directly to the maxilla. Materials and Method: Records of 9 patients (5 female and 4 male patients; mean age = 12 years 8 months) with indications of maxillary expansion were included in this study. After insertion of four miniscrews (1.6 mm in diameter, 7 mm in length), an acrylic expansion device was bonded on the screws. Two miniscrews were placed in the anterior palate bilaterally, 3-4 mm lateral to the suture and 3-4 mm posterior to the incisive foramen. Two miniscrews were placed bilaterally between the second premolar and first molar roots in the palatal alveolus. The MISME appliance was activated with a semi-rapid protocol until the desired expansion was achieved. The average treatment duration was 97.1 +/- 62.2 days. Measurements from cephalometric, posteroanterior radiographs and dental casts taken before and after expansion were evaluated statistically. The nonparametric Wilcoxon test was used for not normally distributed parameters (i.e., Nperp-A), and the parametric paired t test was performed for normally distributed parameters. A finding of p < 0.05 was considered to be statistically significant. Results: Forward movement of the maxilla (p<0.05) as well as an increase in nasal and maxillary skeletal and dental widths (p<0.001) were observed in the sample group. Maxillary intermolar, intercanine, and palatal widths also increased (p<0.001) without buccal tipping of molars. A slight posterior rotation of the mandible was seen. Dentoalveolar measurements did not show any significant changes. Conclusion: The MISME appliance showed successful expansion of the maxilla without such side effects as buccal tipping of molars and bite opening. This appliance, which provides parallel expansion, can be a simple and economic alternative to transpalatal distraction.
Osseous outgrowth on the buccal maxilla associated with piezosurgery-assisted en-masse retraction: A case series
(2018) Tuncer, Nilufer Irem; Arman-Ozcirpici, Ayca; Oduncuoglu, Bahar Fusun; Kantarci, Alpdogan; 0000-0002-9250-3689; 29291189; AAH-5405-2020; AAQ-4792-2020
Piezoelectric surgery is a novel surgical approach used in orthodontic treatment for rapid tooth movement. This paper presents a case series wherein osseous outgrowths were observed in response to piezosurgery-assisted en-masse retraction. Sixteen patients requiring upper premolar extractions were treated with miniscrew-supported en-masse retraction and received minimally invasive decortication via piezosurgery. Computed tomography (CT) of the maxillary anterior region was performed to investigate the nature of the outgrowths. In 8 of the 16 patients, hemispheric or disc-shaped osseous outgrowths were observed on the sites where piezosurgery was performed during retraction. CT images revealed that these outgrowths were alveolar bone. This case series presents a previously unreported osseous response to piezosurgery-assisted tooth movement during orthodontic treatment. The response is mostly transient and is observed in 50% of the treated patients, suggesting a bone turnover that can be assessed clinically and radiographically.
Short-Term Evaluation of Nasal Changes After Maxillary Surgery
(2014) Yilmaz, Alev; Polat-Ozsoy, Omur; Arman-Ozcirpici, Ayca; Uckan, Sina
Objective: To determine the nasal soft-tissue profile changes in skeletal Class III patients who underwent maxillary or bimaxillary orthognathic surgery. Materials and Method: This clinical retrospective study consists of 40 patients (19 male and 21 female) who had undergone orthognathic surgery. All patients received single jaw maxillary (9 patients) or bimaxillary surgery (31 patients). Standardized lateral cephalograms obtained before operation and at least 6 months after the operation were used. Twelve measurements (4 skeletal and 8 soft-tissue measurements) were made. The distributions of the variables were checked by Shapiro-Wilk test. Paired-samples t test was used for parametric data and Wilcoxon sign rank test for nonparametric data, to analyze the differences between pre- and postoperative measurements. Results: After orthognathic surgery, SNA and ANB increased; SNB decreased significantly. A significant reduction in nasofrontal angle, TH-Prn, and nasal tip projection and a significant increase in nasofacial angle were found. In addition, superior movement of the nasal tip was found, and as a result, the nasal hump decreased. The N-Sn/Pr ratio, nasal tip angle, and nasolabial angle did not show any significant changes. Conclusion: It can be concluded that more vertical nasal changes rather than sagittal nasal changes are observed after maxillary surgery.
Treatment efficiency of activator and skeletal anchored Forsus Fatigue Resistant Device appliances
(2020) Ince-Bingol, Sinem; Kaya, Burcak; Bayram, Burak; Arman-Ozcirpici, Ayca; 0000-0002-7014-0784; 32671559
Objectives The aim of the study was to investigate the treatment efficiency of miniplate anchored Forsus Fatigue Resistant Device (MAF) as compared with the activator appliance. Materials and methods Mandibular retrognathia was treated with two methods, the MAF group (8 girls, 11 boys, mean age 13.03 +/- 0.69 years) and the activator group (7 girls, 12 boys, mean age 12.68 +/- 0.73 years). An untreated control group (9 girls, 10 boys, mean age 12.95 +/- 0.73 years) was constructed to eliminate growth-related changes through the American Association of Orthodontists Foundation Legacy Collection. Data of 114 lateral cephalograms were analyzed. Results The inhibition of the maxillary growth was greater in the MAF group, whereas forward displacement of the mandible was higher in the activator group (P < 0.05). Sagittal maxillomandibular relation was improved similarly in both treatment groups (P < 0.05). Mandibular length was increased in both treatment groups with the highest increase in the activator group (P < 0.05). Retroclination of the incisors was observed in the MAF group (P < 0.05). The upper lip was retruded in the MAF group and lower lip was protruded in the activator group (P < 0.05). Conclusion The activator created greater mandibular changes, whereas the MAF provides somewhat smaller mandibular changes due to the restriction caused by retroclined maxillary incisors
Treatment of an adult skeletal class II patient with a modified surgery-first approac
(2020) Ince-Bingol, Sinem; Arman-Ozcirpici, Ayca; 32354667
This case report presents an 18-year-old female patient who had skeletal Class II relationship due to a mandibular retrognathia, decreased lower anterior facial height and proclined incisors with increased overjet and overbite. Her main complaints were protruding upper incisors and decreased distance between the tip of the nose and chin. A modified surgery-first approach was performed with two months of presurgical orthodontics to achieve 8 mm mandibular advancement. The total treatment time was 11 months. Improved aesthetics, a balanced facial profile and a stable and functional occlusion were obtained in less treatment time due to accelerated tooth movement.