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Biomedical subjects

Sina Uckan

Publications and source records attributed to Sina Uckan.

17 recordsLinked to original sources
PubMed2006

Unexpected breakage of mandibular midline distraction device: case report.

Management of the transverse mandibular deficiency and anterior crowding by mandibular midline distraction osteogenesis (MMDO) is an efficient and stable alternative to orthodontic mechanics with minor complications. Although the only major complication reported previously during MMDO is the nonunion of the segments, in the present case report an unexpected breakage of the distractor in MMDO during the consolidation period as a new major complication was presented.

Adolescent↗
PubMed2006

Is permanent maxillary tooth removal without palatal injection possible?

OBJECTIVE: The aim of the present study was to demonstrate if articaine HCl could provide palatal anesthesia in maxillary tooth removal without the need for a second palatal injection. STUDY DESIGN: Of 53 patients, 23 had bilateral and 30 had unilateral extractions. In the study group 2 mL of 4% articaine/HCl with 1:100,000 epinephrine was injected into the buccal vestibule of the tooth. After 5 min the extraction was performed. 27 subjects were controls and subjected to the same protocol with palatal injection. All patients completed a Faces Pain Scale (FPS) and a 100-mm Visual Analogue Scale (VAS) after extraction. RESULTS: According to VAS and FPS scores, when permanent maxillary tooth removal with palatal injection (97.5%) and without palatal injection (96.8%) were compared the difference was not statistically significant (P > .05) [corrected]. CONCLUSION: Permanent removal of maxillary teeth without palatal injection is possible by depositing 2 mL articaine/HCl to the buccal vestibule of the tooth.

Administration, Buccal↗
PubMed2006

Immediate mechanical stability of sagittal split ramus osteotomy fixed with resorbable compared with titanium bicortical screws in mandibles of sheep.

Ten fresh mandibles from adult sheep were stripped of all soft tissues and sectioned in the midline. We did sagittal split osteotomies and 5 mm advancement on all the 20 hemimandibles. Ten hemimandibles were fixed with three 2.0 mm x 13 mm titanium bicortical screws, and the other 10 were fixed with three 2.0 mm x 13 mm poly-l-lactic acid/polyglycolic acid (PLLA/PGA) bicortical screws in an inverted L pattern. All the hemimandibles were then mounted in a servohydraulic testing unit and tested to permanent deformation. Maximum forces that the mandibles resisted before breaking, maximum displacements, and the displacement values under 20, 60, 120, and 150 N were compared using the Mann-Whitney U-test. There were no significant differences in stability between the bones fixed with titanium and those fixed with resorbable screws.

Absorbable Implants↗
PubMed2006

Mandibular midline distraction using a simple device.

OBJECTIVE: Mandibular midline distraction osteogenesis represents a new option for creation of intra-arch space in the mandibular arch. The aim of this paper is to introduce a simple device (hyrax expander) and method for mandibular midline distraction. STUDY DESIGN: The sample consisted of 24 patients (mean age: 18.07 years) treated with mandibular midline distraction. Hyrax expanders were used as symphyseal distractors, and distraction procedure was carried out with a rate of 1 mm and rhythm of twice daily. RESULTS: Mandibular midline distraction was completed successfully in all patients and the distraction amount was 7.01 mm. No major complication other than mild mucosal irritation and gingival recession was observed. CONCLUSION: The presented method is a viable option for mandibular midline distraction osteogenesis.

Adolescent↗
PubMed2006

Vector alignment in maxillary distraction osteogenesis.

Maxillary distraction osteogenesis is an alternative treatment of cleft patients with severe maxillary hypoplasia. The aim of this paper is to present the combined surgical/orthodontic treatment of a cleft lip and palate patient and to evaluate the maxillary distraction procedure and the distraction vector in high Le Fort I osteotomy.

Adult↗
PubMed2005

Mitomycin C effect on fibrous adhesions of rabbit temporomandibular joint.

OBJECTIVE: To evaluate influence of mitomycin C on fibrosis in temporomandibular joints of rabbits with mandibular traction. STUDY DESIGN: Twenty rabbits (8 control, 12 mitomycin C group) were included. Titanium screws were placed in the anterior edge of the right masseter tuberosity and the posterior part of the right zygoma. Elastic bands were placed between 2 screws to initiate posterio-superior displacement of the mandible to the right. Animals in the control group (CG) received intraarticular NaCl (0.9%) on the nondrawing (left) side, and animals in the study group (SG) received mitomycin C weekly (0.4 mg/mL) for 6 weeks. Rabbits were decapitated, temporomandibular joints were removed, and histopathological investigation was performed. RESULTS: Microscopically, 4 of 6 rabbits in the CG had fibrosis in the temporomandibular joint, whereas only 1 of 11 rabbits in the SG had fibrosis (P < 0.05). CONCLUSION: Application of mitomycin C to the temporomandibular joint of rabbits significantly reduces formation of intraarticular fibrous adhesions. SIGNIFICANCE: This is the first study in the literature investigating the use of mitomycin C in the joints. EBM RATING: B-2.

Animals↗
PubMed2005

Mandibular midline distraction using a simple device.

OBJECTIVE: Mandibular midline distraction osteogenesis represents a new option for creation of intra-arch space in the mandibular arch. The aim of this paper is to introduce a simple device (hyrax expander) and method for mandibular midline distraction. STUDY DESIGN: The sample consisted of 24 patients (mean age: 18.07 years) treated with mandibular midline distraction. Hyrax expanders were used as symphyseal distractors, and distraction procedure was carried out with a rate of 1 mm and rhythm of twice daily. RESULTS: Mandibular midline distraction was completed successfully in all patients and the distraction amount was 7.01 mm. No major complication other than mild mucosal irritation and gingival recession was observed. CONCLUSION: The presented method is a viable option for mandibular midline distraction osteogenesis.

Adolescent↗
PubMed2005

Reconstruction of a total maxillectomy defect with a zygomatic implant-retained obturator.

Treatment options of maxillary fibrous dysplasia are surgical recontouring or total or partial maxillectomy depending on the site and behavior of the lesion. Among the reconstruction procedures, which include many surgical options, reconstruction using a maxillary obturator is the least invasive one. This report describes a case of aggressive maxillary fibrous dysplasia that was treated with a total maxillectomy and reconstructed with a malar implant-retained maxillary obturator.

Adolescent↗
PubMed2004

Comparison of stability of absorbable and titanium plate and screw fixation for sagittal split ramus osteotomy.

Six unembalmed adult sheep mandibles were stripped of all soft tissues and sectioned at the midline. Each side had a sagittal split ramus osteotomy (SSRO) and was advanced 5 mm. Six of the hemimandibles were fixed with four-hole extended titanium miniplates and titanium screws, and the other six were fixed with four-hole extended absorbable plates and absorbable screws. All specimens were mounted in a servohydraulic testing unit, and a range of forces (0-140 N) was applied. Displacement of each proximal segment was recorded at 10 N increments from 0 to 140 N. Values for the two groups were compared using the Mann-Whitney U-test, and significant differences in displacement were seen only at loads between 10 and 50 N. The results indicate that when absorbable miniplates are used intermaxillary fixation may be necessary to stabilise the bony fragments in the early postoperative period.

Absorbable Implants↗
PubMed2003

Mandibular symphyseal distraction and its geometrical evaluation: report of a case.

In this report, the case of a patient who has been treated with a different use of a tooth-borne custom-made mandibular symphyseal distraction device is presented. The difference in the application is that the distal arm of the device was sectioned during the retention phase to allow the possible relapse of displaced condyles to their original positions while the labial segment expansion is being maintained. The effect of this procedure was also evaluated on a geometrical model using measurements from the patient's cast. We conclude that symphyseal distraction is an effective and fast method of correcting orthodontic anomalies. The effect of the procedure on the condyle was only 3 degrees of distolateral rotation as calculated using the geometrical model.

Adolescent↗
PubMed2003

Congenital gum synechiae as an isolated anomaly: a case report.

Congenital adhesions between different parts of the oral cavity rarely occur. These adhesions usually present difficulty in feeding and even respiration soon after birth. In the case presented here the mild form of gum synechia without associated congenital anomaly was treated by excision of the anterior and posterior alveolar bands. Potential jaw and temporomandibular joint development was not compromised and functional problems were eliminated with such a noninvasive procedure.

Female↗
PubMed2002

Alveolar distraction: analysis of 10 cases.

OBJECTIVE: The purpose of this study was to evaluate intraoperative and postoperative complications of alveolar distraction and outcome. STUDY DESIGN: Ten patients with alveolar ridge deficiencies were treated with alveolar distraction osteogenesis by means of intraosseous distractors (Lead system, Stryker Leibenger, Kalamazoo, Mich). The deficiencies were caused by atrophy after periodontal disease or atrophy after tooth extraction (n = 6), benign tumor resection (n = 2), trauma (n = l), or oligodontia in a case of ectodermal dysplasia (n = l). The location of the defects was the anterior mandible (7), posterior mandible (1), and anterior maxilla (2). The mean follow-up was 1.8 years, with a range of 10 months to 3 years. RESULTS: The mean alveolar distraction achieved in 10 cases was 8.7 mm (5-15 mm). The intraoperative and postoperative problems encountered were lingual (n = 3) and palatal (n = 2) displacement of the distracted segment, fracture of the distracted segment in a very thin alveolar bone (n = 1), and intraoperative bleeding (n = 1). CONCLUSION: Overall complication rate was 70%. However, most of the complications were minor and eliminated easily. Implant success rate was 85%.

Adult↗