Diş Hekimliği Fakültesi / Faculty of Dentistry
Permanent URI for this collectionhttps://hdl.handle.net/11727/2120
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Item Assessment of gingival thickness in the maxillary anterior region using different techniques(2022) Yilmaz, Mediha Nur Nisanci; Secgin, Cansu Koseoglu; Ozemre, Mehmet Ozgur; Inonu, Elif; Aslan, Serhat; Bulut, Sule; 35796801Objectives Gingival phenotype is closely related to treatment success and aesthetic results in the maxillary anterior region. Several methods were proposed to measure the dimensions of the gingival tissue. This study aimed to evaluate the gingival thickness using clinical and radiographic techniques and to explore the association between gingival thickness and gingival phenotypes classified by color-coded phenotype probes. Materials and methods The gingival thickness of 86 periodontally healthy maxillary anterior teeth was assessed using transgingival probing (TGP) and cone-beam computed tomography (CBCT). The gingival phenotype was classified as thin, medium, thick, or very thick by transparency of the color-coded probes through the gingival sulcus. The labial alveolar bone thickness was measured on CBCT images. The keratinized tissue width (KTW) was recorded. Results Good to excellent agreement was found between TGP and CBCT regarding the thickness of the gingiva (p<0.001). There was a very high correlation between the phenotypes determined by color-coded probes and the gingival thickness measured by TGP (r=0.953, p<0.001). KTW was significantly higher in thick and very thick phenotype groups compared with thin phenotype group. Conclusion Cone-beam computed tomography images and the probe transparency method with color-coded probes are reliable for identifying the gingival phenotype in the maxillary anterior region, based on comparisons to direct transgingival probing.Item Retrospective Evaluation of Cone-Beam Computed Tomography Findings of Odontogenic Cysts in Children and Adolescents(2021) Yilmaz, B. B.; Yalcin, E.D.; 0000-0003-0633-5648; 33473032Background: Odontogenic cysts develop from the epithelium of dental structures and generally grow slowly. In children and adolescents, cysts usually grow faster than adults and require much knowledge for diagnoses and treatments. Aims: This study aimed to determine the diagnosis and treatment of odontogenic cysts in different age groups by evaluating the type of lesions, age, gender, and anatomical distribution of odontogenic cysts seen in children and adolescents by cone-beam computed tomography. Materials and Methods: A total of 42 odontogenic cysts (radicular, dentigerous cyst, and odontogenic keratocyst) were determined in children and adolescents aged 7-18 years. Cone-beam computed tomography images of odontogenic cysts were analyzed in terms of types, age, sex, anatomical location, height, width, depth, scalloped borders, lesion shapes, tooth displacement, root resorption, and association with an unerupted tooth. Results: There was a significant correlation between odontogenic cyst types and age groups, scalloped borders, lesion shape, tooth displacement, root resorption, and association with an unerupted tooth. Conclusion: When odontogenic cysts seen in children and adolescents are examined with cone-beam computed tomography, the radicular cyst was the most common form and was predominated in the 13-18 years age group and in boys. Differences in terms of scalloped borders, lesion shape, tooth displacement, root resorption, and association with unerupted teeth were noticed. The knowledge of the distribution and properties of odontogenic cysts in pediatric patients will help diagnose the lesions during clinical and radiological examinations and make appropriate treatment planning.Item Root Canal Length Measurement of Molar Teeth Using Cone- Beam Computed Tomography (CBCT): Comparison of Two-Dimensional Versus Three-Dimensional Methods(2021) Sisli, Selen Nihal; Gulen, Orhan; 34250476Purpose This study aimed to evaluate the validity of 2-dimensional (2D) and 3-dimensional (3D) cone-beam computed tomographic (CBCT) root canal length measurements of molar teeth compared with actual root canal lengths and the influence of canal curvature on the accuracy of CBCT measurements. Materials and Methods Seventy root canals of 24 molar teeth were scanned using CBCT, and the root canals were categorized as; 'straight/curved:'highly curved" and 'multiple curved!The 2D measurements were performed within a suitable slice between the major foramen and the corresponding cusp. The 3D measurements were performed within the slices in regular intervals of axial planes in between the same reference points. The reproducibility and reliability of the methods were analyzed by intraclass correlation coefficient. Differences between the actual and CBCT root canal lengths were evaluated by chi-square and McNemar tests if the measurements were within acceptable limits of +/- 0.5 mm. Results Both methods were found to be reproducible and presented excellent reliability. However, the 3D method was significantly more accurate, with an 85.7% frequency of measurements within accepta ble limits (p<0.05). In 'multiple curved' root canals, the 3D method presented more reliable measurements than the 2D method. For 'straight/curved' root canals, the 2D method gave results significantly closer to the actual root canal length in comparison with 'highly curved' root canals (p<0.05). Conclusion The 3D measurements are more accurate than 2D measurements. If an already existing CBCT is present, it could be an alternative method for predetermination of root canal lengths in molar teeth.Item Gray value measurement for the evaluation of local alveolar bone density around impacted maxillary canine teeth using cone beam computed tomography(2021) Secgin, Cansu Koseoglu; Karslioglu, Hazal; Ozemre, Mehmet Ozgur; Orhan, Kaan; 34162816Background: To investigate whether any relationship between local alveolar bone density and maxillary canine impaction using gray values from cone beam computed tomography. Material and Methods: The cone beam computed tomography images of 151 patients were retrospectively evaluated. Maxillary canine was defined as an impacted tooth when root formation was complete and the patient's age older than 13 or the other side of the maxillary canine has completely erupted. Similarly, complete eruption was defined as the tooth in its expected occlusion and position. Using the cone beam computed tomography software, the region of interest which was 5 mm2 in area, was placed in the trabecular bone on cross sectional cone beam computed tomography images and the gray value measurements were recorded. After measuring the gray values of all the teeth, the images were grouped according to the field of view size. Comparison of the gray values of impacted and non-impacted teeth was made between images with the same field of view size. Results: A total of 151 patients, 101 (66.9%) female and 50 (33.1%) male, were included in the study. The mean age of the patients was 24.94 +/- 13.9. In images with a 40X40 field of view, the gray values of the impacted canine teeth were higher than the gray values of the non-impacted ones and statistically significant difference was found between them (p= 0.003). However no statistically significant difference was found between the gray values of impacted and non-impacted canine teeth in 60x60 and 100x50 field of view (p= 0.197, p= 0.170, respectively). Conclusions: We suggest using the smallest field of view size when evaluating bone density using gray values from cone beam computed tomography images and we support the idea that the local increased bone density may influence on impaction.Item Cone Beam Computed Tomography in Orthodontics(2018) Kaya, Burcak; Coskun, Ipek; 30112468Orthodontists treat malocclusions by applying three-dimensional forces. For years, the diagnosis of this three-dimensional condition and the related treatment plan has been based on two-dimensional imaging. Lateral and anteroposterior cephalometric, panoramic, and periapical radiographs are some of the two-dimensional radiographs routinely used in orthodontics. Despite being highly beneficial in evaluating skeletal and dental relations, these radiographs fail to provide sufficient two-dimensional information in certain cases. The purpose of this compilation is to review the use of cone-beam computed tomography in orthodontics.