Yazar "Etoz, Osman A." seçeneğine göre listele

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    Comparison of Pre-Operative Difficulty estimation and Postoperative Morbidity in Third Molar Extraction
    (Bayrakol Medical Publisher, 2019) Soylu, Emrah; Akcay, Huseyin; Canakci, Gulfesan; Etoz, Osman A.; Alkan, Alper
    Aim: The purpose of this study is to evaluate the preexisting factors that affect the surgical difficulty of third molar extractions and Its relationship between postoperative morbidity. Materials and Methods: Fifty patients were enrolled in this study. The Pederson Difficulty Index (PDI) (angulation, ramus distance, depth) was used to evaluate the difficulty of third molar extractions as well as operation time (OT) and general pain thresholds (GPT) of the patients. Postoperative edema (pre-operative, postoperative 1st day and 7th day) and maximum interincisal opening (MIO) of the patients (pre-operative, postoperative 1st day and 7th day) were measured. Also; VAS (Visual Analogue Scale) was filled (each day for one week after extraction) by patients. Results: According to the PDI, eight extractions were slightly difficult while 28 were moderately and 14 were very difficult Fourteen teeth were mesioangular, six were distoangular, 14 were vertical and 16 teeth were horizontal. The shortest OT was 4 minutes while the longest was 55 minutes and the mean time was 11,32 min. On first postoperative day, trismus significantly increased with difficulty (P<0,001). However, there was no relationship between postoperative edema and pain with PDI. OT and 1st postoperative- day edema significantly increased as ramus distance decreased (P<0,05). OT, 1st and 7th day edema significantly increased with tooth depth (P<0,05) Discussion: Postoperative morbidity is strongly related with operation time, extraction technique and ramus distance rather than the Pederson difficulty index and angulation. In addition, general pain perception of the individual is a determining factor for post-operative MIO. As a conclusion, extraction technique and operation time might be considered as determining factors as well as pre-operative demographic findings for postoperative morbidity estimation.
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    Effect of warming of local anesthesia on pain and anesthesia duration before wisdom tooth extraction
    (Cukurova Univ, Fac Medicine, 2019) Ulu, Murat; Etoz, Osman A.; Demirbas, Ahmet E.; Canakci, F. Gulfesan Yildirim; Akcay, Huseyin
    Purpose: Local anesthetic agents have been widely used in dentistry for several decades. Administration of local anesthetics at body temperature has been reported to shorten the onset time and reduce pain during injection. The aim of this study was to compare the effect of the local anesthetic at body temperature and room temperature before wisdom tooth extraction in terms of injection pain and onset of anesthesia. Materials and Methods: Forty-six adult patients, who were undergoing wisdom tooth extraction, participated in this split-mouth study. To the one side of the patient's jaws warmed anesthetic solution and to the other side anesthetic solution at room temperature was injected. Results: There was no statistically significant difference between two groups. Mean onset time of anesthesia and VAS scores during injection were similar for room temperature and warmed anesthetic solution groups. None of the patients exhibited any complications during and after injection. Conclusion: Further studies, which include large number of samples, may indicate the effectiveness of warmed anesthetic especially with regard to reducing pain during injection.