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UĞURLU, FAYSAL

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UĞURLU

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FAYSAL

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  • Publication
    İstanbul Anadolu 5. Tüketici Mahkemesi
    (2023-05-01) YILDIRIM, HATİCE SELİN; GÖKER KAMALI, SELİN; UĞURLU, FAYSAL; Yıldırım H. S., Göker Kamalı S., Uğurlu F.
  • Publication
    Three-dimensional evaluation of surgically assisted asymmetric rapid maxillary expansion
    (MOSBY-ELSEVIER, 2019) UĞURLU, FAYSAL; Karabiber, Gulden; Yilmaz, Hanife Nuray; Nevzatoglu, Sirin; Ugurlu, Faysal; Akdogan, Tuna
    Introduction: Unilateral posterior crossbite is classified as true unilateral posterior crossbite (TUPC) or functional posterior crossbite (FPC). The differential diagnosis between TUPC and FPC is of utmost importance for the decision of expansion protocol because conventional expansion methods have some shortcomings for TUPC. The aim of this retrospective study was to 3-dimensionally evaluate the effects of asymmetric rapid maxillary expansion combined with unilateral osteotomy. Methods: This study sample comprised 16 patients (mean age 18.38 +/- 6 1.45) with TUPC. A Hyrax acrylic cap included the maxillary premolars and molars on the constricted side, and all teeth up to the central incisor were included on the other side to increase anchorage. Unilateral surgically assisted rapid maxillary expansion was performed and included anterior (aperture piriformis), lateral (zygomatic buttress), and posterior (pterygomaxillary junction) osteotomies on the constricted side and separation of the midpalatal suture. Cone-beam computed tomographic scans taken just before the operation and after 6 months of retention were used to assess skeletal, dental, and periodontal changes. Results: Expansion was seen on both sides; however, the amount of expansion and tipping was higher on the osteotomy+ side. Because the canines were not included in the acrylic cap on the osteotomy+ side, they did not present the same amount of tipping as the ipsilateral posterior teeth. More teeth were affected periodontally on the osteotomy- side; however, there were no clinically significant differences between the osteotomy+ and osteotomy+ sides (mean differences range +10.54 to -0.57 mm). The aperture piriformis width increased significantly on the osteotomy+ side. Conclusions: The treatment mechanics had no clinically detrimental effects on the supporting alveolar bone of the maxilla on either side, and it was thought to be effective in cases with TUPC; however, case selection is crucial.
  • PublicationOpen Access
    Rehabilitation of Posterior Maxilla with Zygomatic and Dental Implant after Tumor Resection: A Case Report
    (2013) YILDIZ, COŞKUN; Ugurlu, Faysal; Yıldız, Coskun; Sener, B. C.; Sertgoz, Atilla
    Zygomatic implants have been used for dental rehabilitation in patients with insufficient bone in the posterior upper jaw, due to, for example, tumor resection, trauma, or atrophy. Zygomatic implants are an alternative to complex free or vascularized bone grafting and distraction osteogenesis. A 42-year-old male patient with a severe defect in the right posterior maxilla, starting from the first canine region, which had occurred after tumor resection 3 years earlier, was referred to our department. One zygomatic implant (Brenemark System, Nobel Biocare, Goteborg, Sweden) to the zygoma and one dental implant to the canine region were placed. After a 5-month osseointegration period, a fixed denture was fabricated and adapted to the implants. Although the surgical and prosthetic procedures for zygoma implants are not easy, the final outcomes can be successful with appropriate planning.
  • Publication
    Complications related to surgically assisted rapid palatal expansion
    (ELSEVIER SCIENCE INC, 2015) VAROL, ALTAN; Dergin, Guhan; Aktop, Sertac; Varol, Altan; Ugurlu, Faysal; Garip, Hasan
    Objective. The goals of this retrospective clinical study were to identify surgically assisted rapid palatal expansion (SARPE) complications and assess their incidence, with the aim of informing surgeons and orthodontists of the risks of this widely used procedure before they recommend it to patients. Study Design. Between June 2008 and July 2010, 60 patients (23 women and 37 men) underwent SARPE according to a defined multidisciplinary protocol at the University of Marmara, Istanbul, Turkey. Results. Twelve patients (20%) suffered from nasal bleeding. Of these 12, 2 patients suffered late-onset bleeding beginning on postoperative day 8, and in the other 10, nasal bleeding was insignificant. Three patients reported excessive lacrimation postoperatively. Minor problems related to pain and numbness were all temporary. Conclusions. SARPE procedures have traditionally been reported to be associated with low morbidity, especially in comparison with other orthognathic surgical procedures. However, many complications have been reported.
  • PublicationOpen Access
    Maxillary Tuberosity Reconstruction with Transport Distraction Osteogenesis
    (2012) UĞURLU, FAYSAL; Ugurlu, F.; Basel, B.; Sener, B. Cem; Sertgöz, A.
    Severe bone loss due to pathology in the maxillary tuberosity region is a challenging problem both surgically and prosthetically. Large bone grafts have a poor survival rate due to the delicate bony architecture in this area and presence of the maxillary sinus. Our case presentation describes a new technique for reconstructing severe bony defect in the maxillary tuberosity with horizontal distraction osteogenesis in a 45-year-old man. A 4 × 6 × 3 cm cyst was discovered in the left maxillary molar region and enucleated. Three months postoperatively, the area had a severe bone defect extending to the zygomatic buttress superiorly and hamular notch posteriorly. Three months later, a bone segment including the right upper second premolar was osteotomised and distracted horizontally. The bone segment was distracted 15 mm distally. After consolidation, implants were placed when the distractor was removed. A fixed denture was loaded over the implants after 3 months. Complete alveolar bone loss extending to the cranial base can be reconstructed with transport distraction osteogenesis. Distalisation of the alveolar bone segment adjacent to the bony defect is an easy method for reconstructing such severe defects.
  • Publication
    Effects of Midazolam/Low-Dose Ketamine Conscious Intravenous Sedation on Pain, Swelling, and Trismus After Surgical Extraction of Third Molars
    (W B SAUNDERS CO-ELSEVIER INC, 2011) UĞURLU, FAYSAL; Garip, Hasan; Satilmis, Tulin; Dergin, Guhan; Ugurlu, Faysal; Goker, Kamil
    Purpose: To assess the clinical efficacy of midazolam plus low-dose ketamine conscious intravenous sedation on relief from or prevention of postoperative pain, swelling, and trismus after the surgical extraction of third molars. Patients and Methods: Patients admitted for surgical extraction of mandibular third molars (n = 50) were included. All patients received an initial dose of 0.03 mg/kg intravenous midazolam; then patients in the midazolam-placebo (MP) group received 2 mL of a placebo IV, while patients in the midazolam-ketamine (MK) group received 2 mL of a ketamine + saline combination (0.3 mg/kg ketamine + saline) IV. Results: Facial swelling on postoperative days was significantly lower in the MK group than in the MP group (P = .001). Mouth opening on postoperative days was significantly greater in the MK group than in the MP group (P = .001). Pain scores measured on a visual analog scale at 4, 12, and 24 hours after surgery were significantly higher in the MP group than in the MK group (P = .001). Conclusions: Conscious intravenous sedation with midazolam/low-dose ketamine during surgical extraction of third molars can provide the patient with a comfortable procedure and good postoperative analgesia, with less swelling and significantly less trismus. Intravenous low-dose ketamine may be safe and effective in reducing postoperative pain. (C) 2011 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 69:1023-1030, 2011
  • Publication
    Outcome of Mandibular Dentigerous Cysts 1 to 10 Years After Decompression Using a Custom-Made Appliance
    (W B SAUNDERS CO-ELSEVIER INC, 2021) MENTEŞ, ALİ RECAİ; Ugurlu, Faysal; Akyuz, Serap; Mentes, Ali
    Purpose: The aim of this study was to examine the long-term results of mandibular dentigerous cysts treated with decompression using a custom-made appliance. Patients and Methods: This retrospective study included 34 patients with dentigerous cysts who were treated as outpatients at the Faculty of Dentistry, Marmara University. Medical history, complaints, intraoral and extraoral clinical findings, treatment time, and complications of these patients were collected. Results: The average age of the patients was 7.94 years. Three tooth buds (canine, first permanent premolar [P1], and second permanent premolar) in 2 cases, two tooth buds in 7 cases (P1 and second permanent premolar in 6 cases and P1 and canine in 1 case), and one tooth bud in 25 cases were related to the cyst. The mean decompression time was 5.97 months (range, 3 to 9 months). No major complications occurred during or after decompression. No evidence of infection, breakdown and/or dehiscence of the soft tissue, or inferior alveolar nerve paresthesia was observed. The complications and complaints were minor and straightforward to resolve. Conclusions: Decompression is a very effective and successful method for the treatment of mandibular dentigerous cysts. (C) 2020 American Association of Oral and Maxillofacial Surgeons
  • Publication
    Potential complications and precautions in vertical alveolar distraction osteogenesis: A retrospective study of 40 patients
    (CHURCHILL LIVINGSTONE, 2013) UĞURLU, FAYSAL; Ugurlu, Faysal; Sener, B. Cem; Dergin, Guhan; Garip, Hasan
    The aim of this retrospective study was to analyse the outcome of 44 cases of vertical alveolar distraction osteogenesis (ADO) and to investigate the complications, precautions, and treatment associated with ADO. The 44 alveolar distractions were performed on 40 patients. Extraosseous distraction was used in all cases. Complications associated with the intraoperative, postoperative, distraction, and consolidation periods were recorded and evaluated. Intraoperative complications were noted in two patients (4.5%) where fracture of the basal bone was evident. Three (6.8%) complications were recorded postoperatively, and 12 (273%) complications were recorded during the activation period. During the consolidation period, 4.5% of the patients (n = 2) were affected. The total prevalence of complications was 43.2% (n = 19), and the success rate of the ADO was 95.5%. Most complications occurred in the anterior mandibular region. Although complications associated with vertical ADO were not rare, the use of this procedure for maxillofacial defects results in satisfactory outcomes. Early diagnosis and management of related complications are crucial for increasing the success rate of ADO procedures. Crown Copyright (C) 2012 Published by Elsevier Ltd on behalf of European Association for Cranio-MaxilloFacial Surgery. All rights reserved.
  • Publication
    Estimating the need for dental sedation in pediatric oral surgery procedures
    (2022-05-11) DİRGEN, ŞEVVAL BEYZA; UĞURLU, FAYSAL; BERKEL, GÜLCAN; BAYRAM, FERİT; Dirgen Ş. B., Uğurlu F., Berkel G., Bayram F.
    Objective: The control of pain and dental anxiety is one of the major challenges in dentistry, especially in pediatric patients. Bad experience in dentistry leads high anxiety and dental fear, and it effects the patient’s whole life. European Academy of Pediatric Dentistry (EAPD) have a guideline for pediatric sedation but the guideline is inadequate about the indications of sedation in pediatric patients. Our aim is to develop a tool for sedation need of the pediatric patients in minor oral surgery procedures before they had a bad experience.Materials-Methods: 500 Pediatric patients, ages 2-16 were included in this pilot study who planned to underwent to minor oral surgery procedures in Marmara University Oral and Maxillofacial Surgery Department Clinics. Children’s fear survey schedule- dental subscale (CFSS-DS) is used to assess patients’ level of anxiety. Preoperatively CFSS-DS questionnaire form was filled out by patients and their family members. Patients’ medical status and oral surgical treatment is ranked and recorded by dentist before the procedure. Intraoperative and post-operative all data included, complications, complains, completed or non- completed treatment were recorded and grouped. Statistical analyses was performed by using SPSS version 13 programme.Results: Most of the non-completed procedures were in high anxiety and complex treatment groups.Conclusion: As a conclusion, this study may serve as a tool for dentists and surgeons easily to decide either to perform treatments under sedation or local anesthesia in pediatric patients.
  • PublicationOpen Access
    Retrospective evaluation of traction time for impacted dilacerated maxillary central incisors in mixed dentition
    (2023-04-01) ŞEN YAVUZ, BETÜL; YILMAZ, MÜESSER AHU; HAZNEDAROĞLU, EDA; UĞURLU, FAYSAL; MENTEŞ, ALİ RECAİ; Şen Yavuz B., Yılmaz M. A., Haznedaroğlu E., Sezer B., Okutan A. E., Sezgin B. I., Özçelik M., Sezgin G. İ., Uğurlu F., Menteş A. R.
    PurposesThis study aimed to contribute to understanding the factors affecting the time of traction treatment of impacted dilacerated maxillary central incisors.MethodsThis retrospective study included children aged 8 – 11 years with a history of trauma, who applied to the pediatric dentistry clinics of Marmara University, School of Dentistry, between December 2013 and December 2019, and were treated for unilateral impacted dilacerated maxillary upper central incisors. Children\"s age, sex, digital panoramic radiographs, cone-beam computed tomography, and intraoral photographs were retrieved from electronic dental health records. The effects of children\"s age, sex, the direction of impacted teeth, distance of the teeth to the top of the alveolar crest, and root dilaceration level on traction time were analyzed by Mann-Whitney U test and Spearman\"s rank correlation coefficient test.ResultsThe inverse position of the incisors significantly increased the traction time (P = 0.012). However, the traction time did not differ according to the sex of the children (P = 0.707) or the level of root dilaceration (P = 0.429). No correlation was observed between the traction time and the age of children (P = 0.644) or the distance of the incisors from the top of the alveolar crest (P = 0.397).ConclusionsIn cases of the forced eruption of for the impacted dilacerated maxillary central incisors, the direction of the teeth should be evaluated when deciding on the treatment plan, as it may affect the treatment time.