Browsing by Author "Muhtarogullari, Mehmet"

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Effect Of Different Implant Locations And Abutment Types On Stress And Strain Distribution Under Non-Axial Loading: A 3-Dimensional Finite Element Analysis
(JOURNAL OF DENTAL SCIENCES, 2024-02-27) Sakar, Didem; Guncu, Mustafa Baris; Arikan, Hale; Muhtarogullari, Mehmet; Aktas, Guliz; Reiss, Natalia; Turkyilmaz, Ilser
Background/purpose: Dental implants have been a popular treatment for replacing missing teeth. The purpose of this study was to investigate the impact of engaging (hexagonal) and non -engaging (non -hexagonal) abutments in various six -unit fixed prosthesis on the stress distribution and loading located in the implant neck, implant abutment, and surrounding bone. Materials and methods: Three implants were digitally designed and inserted parallel to each other in edentulous sites of the maxillary right canine, maxillary right central incisor, and maxillary left canine. Titanium base engaging abutments, non -engaging abutments and connecting screws were designed. Five distinct models of 6 -unit fixed dental prosthesis were created, each featuring different combinations of various abutments. Forces (45 -degree angle) were applied to the prosthesis, allowing for the analysis of the stress distribution on the implant neck and abutments, and the maximum and minimum principal stress values on the cortical and trabecular bone. Results: Von Mises stress values and stress distributions located in the implant neck region due to the applied loading forces were analyzed. The overall stress values were highest while employing the hexagonal abutments. The maxillary left canine with a hexagonal abutment (model 5) reported the highest von mises value (64.71 MPa) while the maxillary right canine with a non -hexagonal abutment (model 4) presented lowest von mises value (56.69 MPa). Conclusion: The results suggest that both the various abutment combinations (engaging and
Efficiency of pivot splints as jaw exercise apparatus in combination with stabilization splints in anterior disc displacement without reduction: a retrospective study
(2014) Muhtarogullari, Mehmet; Avci, Mehmet; Yuzugullu, Bulem; 25300939
Objective: To evaluate efficiency of pivot splints in jaw exercises, in combination with stabilization splints, in cases of anterior disc displacement without reduction of temporomandibular joint. Subjects and methods: Twenty-three patients who referred to the prosthodontics clinic in 1995-1997 were included in the study, where anterior disc displacement without reduction of temporomandibular joint was diagnosed using magnetic resonance imaging and clinical examination. Pivot splints were used for jaw exercises for five minutes long; five times/day and stabilization splints were used at all other times. The patients were followed for 24 weeks. Lateral and protrusive excursions along with maximum mouth opening and were evaluated at each control. Bilateral palpation of temporal, masseter, sternocleidomastoid muscles and TMJ was assessed for pain perception before and after treatment. Data were statistically analyzed using Paired sample t-test and Independent Samples t-test (p < .05). Results: Mean mandibular range of motion measurements increased from 28.74 mm prior to 49.17 mm on maximum opening; right/left lateral excursion from 7.61 mm to 12.04 mm and 4.09 mm to 7.3 mm on protrusion after treatment. All changes observed before and after treatment were found to be statistically significant. (p < .001) Pain symptoms were eliminated at the end of 24 weeks of treatment in all patients. Conclusion: Using pivot splints as an exercise regimen along with a stabilization splint may be a viable treatment option for patients with anterior disc displacement without reduction; as normal mandibular range of motion was established and pain was eliminated.