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    An analysis of YouTube videos as educational resources for dental practitioners to prevent the spread of COVID-19
    (Springer London Ltd, 2020) Yuce, Meltem O. den; Adali, Emine; Kanmaz, Burcu
    Background Coronavirus disease (COVID-19) was first reported on 31 December 2019 and has rapidly been spreading day by day. Dental patients and professionals have a high risk of the coronavirus infection and also have a huge responsibility to prevent its spread during emergency dental treatment over the period of the COVID-19 outbreak. Aim Informing patients and dental practitioners about the novel coronavirus in an accurate and effective way is very important. Therefore, this study aimed to evaluate the quality of dentistry-related medical information about COVID-19 on YouTube as educational resources for dental practitioners. Methods YouTube was queried for the search phrases 'COVID-19 and dental practice', 'SARS-Cov-2 and dental practice' and '2019-COV-2 and dental practice'. the first 100 videos for each term were viewed and analysed by 3 independent investigators. the scope was limited to videos in English. Results the search phrases yielded 1102 videos, among which 802 videos were excluded and 300 videos screened. Fifty-five videos were included in the final analysis. of the 55 videos, only 2 videos (3.6%) were found to be of good quality, while 24 videos (43.6%) were found to be of poor quality. Conclusion YouTube is a popular video broadcast site and can provide both relevant educational information and the spreading of misinformation. Health professionals should play a more active role with regard to educative information given on social media, especially YouTube, during global disease outbreaks.
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    Does Concentrated Growth Factor Used With Allografts in Maxillary Sinus Lifting Have Adjunctive Benefits?
    (W B Saunders Co-Elsevier Inc, 2021) Adali, Emine; Yuce, Meltem Ozden; Gunbay, Tayfun; Gunbay, Sevtap
    Purpose: Recent studies have shown that the use of platelet concentration products alone, or in combination with variable graft materials, accelerates the new bone formation associated with sinus augmentation. The aim of this study was to measure the adjunctive effects of concentrated growth factor (CGF) used with allograft on new bone formation and augmentation stability in sinus lifting. Materials and Methods: This randomized controlled study included patients who presented for dental implant placement in atrophic posterior maxilla at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ege University, and who needed maxillary sinus augmentation. All patients were treated with a 2-stage surgical technique using sinus lifting bilaterally and implant placement 6 months later. During sinus lifting surgery, one side was grafted with allograft (group 1) and the other side with allograft mixed CGF (group 2). Cone-beam computed tomography was carried out immediately postoperatively and also 6 months after the augmentation to evaluate vertical bone height and percentage of resorption. Bone specimens were obtained at the time of implant placement and evaluated histomorphometrically to analyze the percentage of new bone formation and residual graft particle. Statistical comparisons were conducted between groups for all these measurements. Results: A total of 10 patients (2 females and 8 males) with a mean age of 57 years (range, 39 to 72) were enrolled in the study. Cone-beam computed tomography analysis revealed a significantly higher percentage of bone height resorption at the sixth month in group 1 (median, 9.32%) compared with group 2 (median, 6.37%) (P < .05). According to the histomorphometric examination, the percentage of new bone formation in group 2 (median, 36.41%) was higher than group 1 (median, 35.49%), but this difference did not reach statistical significance. Conclusions: Using CGF with allografts supports the stabilization of gained vertical bone height after sinus augmentation, but further research is needed to determine the accelerating effects of CGF on new bone formation. (C) 2020 American Association of Oral and Maxillofacial Surgeons
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    The effect of concentrated growth factor (CGF) in the surgical treatment of medication-related osteonecrosis of the jaw (MRONJ) in osteoporosis patients: a randomized controlled study
    (Springer Heidelberg, 2021) Yuce, Meltem Ozden; Adali, Emine; Isik, Gozde
    Objectives The purpose of this present study was to evaluate the efficiency of the growth factors delivered by concentrated growth factor (CGF) on the healing process of osteoporotic patients with medication-related osteonecrosis of the jaws (MRONJ). Methods This randomized controlled study was composed of osteoporotic female patients who were treated with oral bisphosphonates (BPs) and diagnosed with MRONJ. For the CGF group, each patient was treated with a local application of CGF at the surgical site after removing the necrotic bone, while the surgical area was primarily closed as traditional surgical therapy for the control group. The patients underwent clinical examinations for 6 months postoperatively to check the presence of infection and dehiscence. Results Complete healing was achieved in 19 patients of 28 patients (mean age: CGF group, 73.57 +/- 5.1; control group, 73.64 +/- 5.49) diagnosed with MRONJ. There was no significant difference in post-op healing data between groups during healing periods (p > 0.05). in the CGF group (n = 14) in three cases, bone exposure without infection was detected, and one of them showed a recurrent infection. in the control group (n = 14) in six cases, bone exposure without infection was detected, and three of them also showed recurrent infection. Conclusion Although our results were not statistically significant, our findings suggest that the local application of CGF appears to be an effective approach to the surgical treatment of MRONJ in osteoporosis patients by improving tissue regeneration.
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    Effect of Cone beam Computed Tomography on Treatment Decision of Wisdom Tooth
    (Galenos Yayincilik, 2021) Yuce, Meltem Ozden; Sener, Elif; Isik, Gozde; Adali, Emine; Koyuncu, Banu Ozveri; Baksi, Bedriye Guniz; Gurhan, Ceyda
    Objective: This diagnostic accuracy study aimed to evaluate the relationship between mandibular third molars (M3) and mandibular canal (MC) using panoramic radiographs (PR) and cone-beam computed tomography (CBCT) and to assess the effect of CBCT on treatment decision. Materials and Methods: CBCT scans of 150 patients with close association between MC and M3 on PR were included in the study. The degree of superimposition, Buccolingual position (buccal, central and lingual) and physical relationship (separation, contact and involved) were measured on CBCT images. Fisher's Exact test was used to evaluate differences between PR and CBCT. Results: All M3 were directly superimposed on the MC on PR; however, CBCT showed separation from the canal in 10% of M3 roots. Evaluation of CBCT images revealed that the probability to observe an involvement was significantly higher when the MC was in the lingual position (57.6%) than in other positions. Conclusion: Three-dimensional imaging is very useful to clarify the true relationship between M3 and MC relative to two-dimensional panoramic images, and the clinician may decide to change the treatment plan based on CBCT images in patients with high risk. Nevertheless, PR can be considered an acceptable diagnostic method with low radiation dose compare with CBCT.
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    Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons' experience
    (Public Library of Science, 2024) Adali, Emine; Ozden Yuce, Meltem; Isik, Gozde; Sener, Elif; Mert, Ali
    The aim of this study was to analyse the effect of surgeons' experience and the benefit of using cone-beam computed tomography (CBCT) images, compared to the use of panoramic radiography (PAN) images, on their decisions with regard to mandibular third molar treatment modality. Panoramic radiographs and CBCTs from a total of 143 patients who had undergone impacted third molar surgery were randomly evaluated for treatment decision by 10 participants with differing clinical experience (5 novices and 5 experienced surgeons). The degree of agreement between the same type of participants was 'Substantial Agreement' (0.61-0.80) or 'Almost Perfect' (0.81-1.00). When the treatment modality decisions of the experienced and novice surgeons, using PAN and CBCT images, were compared, a statistically significant difference was found (p<0.01) between the variables. In 50 cases, experienced surgeons decided from CBCT images that total extraction was the best treatment method but opted for coronectomy when presented with PAN images of the same cases. In 164 cases novice surgeons decided on total extraction from CBCT images but chose coronectomy when presented with PAN images of the same cases. The results obtained from this study revealed that the degree of professional experience of the surgeon was a significant factor in determining the treatment decision. Moreover, the treatment choice of experienced surgeons was less affected by the change in imaging technique employed, when compared to novice surgeons.