Sevcihan Günen Yılmaz’s research while affiliated with Akdeniz University and other places

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Publications (29)


Evaluation of masticatory muscles in patients with different sagittal direction skeletal anomalies by ultrasonography and ultrasonographic elastography
  • Article

September 2024

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4 Reads

Oral Radiology

Cansu Tüfekçi

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Sevcihan Günen Yılmaz

The aim of this study was to evaluated the masseter, anterior digastric and geniohyoid muscles of individuals with similar growth and developmental periods but different sagittal skeletal malocclusions using ultrasonography and ultrasonographic elastography and to make interclass assessments. In this study, ultrasonography and ultrasonographic elastography records of 30 Class I individuals (17 females, 13 males), 30 Class II individuals (14 females, 16 males), and 27 Class III individuals (12 females, 15 males) in the normodivergent and growth development period were used. The masseter, anterior digastric, and geniohyoid muscles of individuals were examined using ultrasonography and ultrasonographic elastography, and comparisons were made between the classes. Statistical analysis was accomplished by Mann Whitney U, One-way ANOVA, Kruskal Wallis H tests. Interclass differences were found in ultrasonography and elastography measurements of the masseter muscle. However, no differences were observed in ultrasonography measurements of the auxiliary masticatory muscles, whereas differences were seen only in the geniohyoid muscle in elastography measurements among the classes (p < 0.05). Individuals with different sagittal skeletal malocclusions during growth and development exhibited similar muscle sizes and elasticities, approximately close to each other.


Fig. 1. (A-I): A: Axial scan shows mixed type lesion discovered incidentally in the frontal sinus. B-F: Coronal scans of osteomas in the anterior etmoid sinus. G-I: Sphenoid sinus osteomas in pedunculated and mixed structure.
Demographic characteristics according to the presence of osteoma.
Exploring the age and gender-based distribution of paranasal sinus osteomas using cone beam computed tomography: A retrospective cross-sectional study
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July 2024

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8 Reads

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1 Citation

Heliyon

Objective The objective of this study is to explore the prevalence, size, location and radiographic features of osteomas in the paranasal sinuses using cone beam computed tomography imaging. Study design This study was planned as retrospective cross-sectional. 499 consecutive cone beam computed tomography scans obtained in a dentomaxillofacial radiology department for various dental indications. Statistical analysis of all data was done with SPSS version 22. Descriptive statistics and chi-square tests were used to determine the prevalence of categorical parameters. Results Osteoma was detected in 7 % (n = 35) of the 499 images analyzed. The age of the patients ranged from 6 to 96 years (mean 42.03 ± 18.70). No significant difference was found between the genders (p = 0.77). In terms of localization, it was significantly more common in the ethmoid sinuses (p < 0.01). Cortical type osteoma was observed the most frequently in the analyzed images (p < 0.01). The incidence of osteoma was not significant depending on age (p = 0.50). Conclusion Osteomas in the paranasal sinuses show a 7 % prevalence in CBCT images, with the ethmoid sinus being the most common site. The average size of osteomas was 3.43 ± 1.78 mm, predominantly cortical in type. These findings highlight the necessity for thorough examination of CBCT images by dentomaxillofacial radiologists to avoid overlooking osteomas.

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A retrospective study of the prevalence of calcium deposits around the dens axis via cone beam computed tomography

May 2024

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1 Read

Cranio: the Journal of Craniomandibular Practice

Objective: This study aimed to evaluate the relationship between the presence of calcium deposits (CDs) around the dens axis and patients' age, gender, and systemic diseases. Methods: This retrospective study was carried out by examining CBCT. Basic descriptive statistical analyses and normality tests were performed on all variables. The assumption of normality was checked using the Shapiro-Wilk method. The statistical significance level was accepted as a p-value less than 0.05. Results: CDs were observed in a total of 99 (21.9%) individuals. The incidence of CDs statistically significantly increased with age (p < .01),while it didn't statistically significantly differ between genders (p = .47). 13% were systemically healthy, while 55% had hypertension. The incidence of CDs was statistically significantly higher in individuals with hypertension. Conclusions: In the presence of CDs, the patient should be referred to a medical doctor to confirm the diagnosis of CDS and prevent possible complications.


Demographic characteristics in patient and control groups.
The osseous pathologies of the temporomandibular joint in the patient and control groups and the agreement between observers. Numbers 1 and 2 represent Observer-1 and Observer-2 evaluations, respectively.
Cont.
Evaluation of Rheumatic Diseases Affecting the Temporomandibular Joint: A Cone Beam Computed Tomography Study and Literature Review

December 2023

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39 Reads

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1 Citation

Diagnostics

Introduction: Due to the silent manifestation of temporomandibular joint (TMJ), dentists and rheumatologists may neglect treatment for this joint. Aims: The aim of this study was to investigate the TMJ components in patients with various rheumatic diseases and to compare them with a control group based on cone beam computed tomography (CBCT) images. Materials and Methods: This study comprised an assessment of the CBCT images of 65 patients (130 temporomandibular joints) with various rheumatic diseases (mostly rheumatoid arthritis) affecting the TMJ. Moreover, 65 patients (130 temporomandibular joints) with a similar age and gender distribution were examined as the control group. Pathologies were classified into a total of 12 types for the presence of any osseous changes in the condylar head or articular fossa or for joint space narrowing. Statistical analysis of all data was performed with SPSS version 18. The conformity of continuous variables to a normal distribution was examined by the Kolmogorov–Smirnov test. The Mann–Whitney U test was used to compare the means of two independent groups. The Pearson Chi-square test, Yates correction and Fisher’s exact test were used in the analysis of categorical variables. Results: The mean age of the patient and control groups was 50 ± 13 and 48 ± 16, respectively, and no statistically significant difference was found between the patient and control groups in terms of age distribution (p = 0.123). Condylar erosion, condylar flattening, subcondylar sclerosis, osteophytes, subcortical cysts, articular eminence resorption and articular eminence flattening rates were found to be statistically significantly higher in the patient group than in the control group (p < 0.05). Conclusions: Dentomaxillofacial radiologists should examine the bony components of the TMJ in patients with rheumatic diseases, and a multidisciplinary approach involving a dental specialist and rheumatologist is required.



FIGURE 1: Illustrative diagram of Pell and Gregory classifications; a: Level of the 3 rd molar about occlusal plane (level A, level B, level C); b: Mandibular 3 rd molar classification according to along with the distance or width between mandibular ramus and the distal surface of the 2 nd molar (Class I, Class II, Class III).
FIGURE 2: Retromolar space measurements on the panoramic radiographic image; a line: Anterior border of the mandibular ramus; b line: Posterior border of maxillary 2 nd molar; c line: Posterior border of mandibular 2 nd molar; x: Retromolar space for maxilla and y: Retromolar space for mandibula.
FIGURE 3: Illustrative diagram of Winter classification of third molar angulation status.
Pairwise comparisons of the levels of 3 rd molar impactions for retromolar space. Kruskal Wallis; level A: The occlusal plane of the 3 rd molar is at the same level as the 2 nd molar; level B: The occlusal plane of the 3 rd molar is between the occlusal plane and the cervical line of the 2 nd molar; level C: The occlusal plane of the 3 rd molar is below to the cervical line of the 2 nd molar; *p<0.05.
Evaluation of Radiographic Features of Third Molars with Digital Panoramic Radiographic Images: A Retrospective Cross-Sectional Study

January 2023

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528 Reads

Turkiye Klinikleri Journal of Dental Sciences

ABSTRACT Objective: This study aims to evaluate the prevalence of impacted 3rd molar, angulation status, the level of eruption, relationship with the occlusal plane of the 3rd molar teeth, and the rate of pathology in their own and the adjacent tooth of Turkish adult individuals who applied to Akdeniz University Faculty of Dentistry via panoramic radiographic images. Material and Methods: 700 patients were examined for this retrospective study. In addition to the localization, eruption, angulation, and occlusal level of the 3rd molars, the accompanying pathologies and the pathologies in the adjacent 2nd molars were recorded and retromolar spaces were measured. p-value of <0.05 was considered statistically significant. Results: The rate of impaction in a total of 2800 3rd molars was 29%. Impacted 3rd molars were found at a higher rate(54.4%) in the mandible. It was determined that the 3rd molar teeth were mostly in the vertical position (77.8%) and 63.1% of them were at level A. 49.9% of mandibular third molar teeth were in class I. Conclusion: Impacted 3rd molar teeth prevalence was 29 %. The most common angulation status was vertical. According to the level of impaction, it was determined that the occlusal planes of the 3rd molars and the 2nd molars were at the same level most frequently. The location of the 3rd molar completely in front of the anterior ramus was the most common position. The most common pathology in the 3rd molars was caries, and no pathology was found in the 2nd molars except caries.Keywords: Impacted teeth; panoramic radiography;third molarsÖZET Amaç: Bu çalışmada, Akdeniz Üniversitesi Diş Hekimliği Fa-kültesine başvuran Türk erişkin bireylerin gömülü 3. büyük az ı diş-lerinin prevalans ı, açılanma durumu, sürme düzeyi, 3. büyük az ıdişlerinin okluzal düzlemi ile ilişkisi ve kendi ve komşu dişteki patolojioranlarının panoramik radyografik görüntüler ile de ğerlendirilmesiamaçlanmıştır. Gereç ve Yöntemler: Bu retrospektif çalışma için 700hasta incelendi. Üçüncü büyük azı dişlerinin lokalizasyonu, sürme du-rumu, açılanma durumu ve okluzal düzeyine ek olarak e şlik eden patolojiler, komşuluğundaki 2. büyük azı dişlerinde görülen patolojilerkaydedilerek retromolar bo şluklar ölçüldü. İstatistiksel anlamlılığınp<0,05 olduğu varsayıldı. Bulgular: Toplam 2800 3. molar di şte gö-mülü olma oran ı %29 idi. Gömülü 3. molar di şler mandibulada dahayüksek oranda (%54,4) bulundu. Üçüncü molar dişlerinin en çok dikeypozisyonda olduğu (%77,8) ve %63,1’inin A düzeyinde oldu ğu tespitedildi. Mandibular 3. molar dişlerin %49,9’u sınıf I’deydi. Sonuç: Gö-mülü 3. molar di ş prevalansı %29 idi. Üçüncü molarlarda en yayg ıngörülen açılanma durumu dikey aç ılanma idi. İmpaksiyon seviyesinegöre en sık 3. molarların ve 2. molarların okluzal düzlemlerinin aynı seviyede olduğu tespit edildi. Mandibular 3. molar di şlerin anterior ra-musun tamamen önünde yer alması en sık görülen pozisyondu. Üçüncümolarlarda en sık görülen patoloji çürüktü ve 2. molarlarda çürük dışında patolojiye rastlanılmadı.




Is there any relationship between pubertal growth spurt and dental or bone age estimation methods?

February 2022

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46 Reads

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3 Citations

Australian Journal of Forensic Sciences

The aim of this study was to compare the accuracy of the Willems method, Nolla method, Cameriere dental age estimation method(CDM), Greulich-Pyle Atlas(GPA) method, and Cameriere bone age estimation method(CBM) for age estimation in healthy children aged between ten and 14.9 years, according to the pubertal growth stage(PGS). The accuracy was determined as the difference between estimated age(EA) and chronological age(CA) was assessed by analysing orthopantomograms and hand-wrist radiographs. At the onset of the PGS, the Willems method showed the closest value to the CA for both sexes(girls = 0.17 ± 0.78, boys = 0.006 ± 0.96 years). At the peak, the Willems method showed the closest value to the CA for girls(0.005 ± 1.09 years), and the GPA method for boys(0.05 ± 0.68 years). At the end of the PGS, the Willems method showed the closest value to the CA for girls(0.09 ± 1.23 years), and the CBM for boys(0.24 ± 0.74 years). It was observed that all methods concluded with the closest result to the CA at the onset period of the PGS. Our study demonstrates that sex and PGS are effective in over- or under- estimations that are obtained according to the CA.



Citations (12)


... According to the inflammatory theory, the formation of peripheral osteomas is induced by chronic infection and inflammation in close proximity to the bone surface, which initiates the proliferation of osteogenic cells associated with the periosteum and eventually leads to tumor development. These postulates align with the frequent appearance of osteomas in the paranasal sinuses, where they are usually accompanied by chronic sinusitis [35]. ...

Reference:

A Rare Case of Peripheral Osteoma of the Alveolar Bone of the Maxilla in a 13-Year-Old Boy
Exploring the age and gender-based distribution of paranasal sinus osteomas using cone beam computed tomography: A retrospective cross-sectional study

Heliyon

... Despite these results, this study showed that CBCT can be used as an accurate and efficient imaging method for TMJ evaluation. In another study by Semerci et al. [26] has been performed, the TMJ was examined using CBCT. ...

Evaluation of Rheumatic Diseases Affecting the Temporomandibular Joint: A Cone Beam Computed Tomography Study and Literature Review

Diagnostics

... Age estimation is of the utmost importance for forensic use in anthropology and dentistry, in which different dental and skeletal maturity assessment methods are frequently used. Various approaches, such as morphological, histological-biochemical, radiomorphological, and radiometric techniques, have been evaluated in age determination [1][2][3][4]. The radiological method, which is the one most commonly used among all, examines the phases of skeletal maturity and dental development. ...

Is there any relationship between pubertal growth spurt and dental or bone age estimation methods?
  • Citing Article
  • February 2022

Australian Journal of Forensic Sciences

... Ugurlu et al. [20] evaluated the existence and typical of the GC in CBCT images of 231 patients with a mean age of 28.0 ± 0.90 years according to gender, age. While 31% (N:146) of the 471 teeth examined had canals, 69% (N:325) did not have canals. ...

Retrospective Evaluation of the Gubernacular Tract in Impacted/Unerupted Teeth with Cone-Beam Computed Tomography

Tıpta Yenilikçi Yaklaşımlar Dergisi

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Sevcihan Günen Yılmaz

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... Penambahan IDWG dipengaruhi oleh beberapa faktor seperti ketidakpatuhan terhadap asupan cairan dan garam (19). Selain itu, berbagai faktor dapat mempengaruhi kenaikan IDWG, diantaranya intake cairan, rasa haus, dukungan sosial dan keluarga, self-efficacy, stres dan lama HD (20,28). ...

Evaluation of demographic and clinical risk factors for high interdialytic weight gain
  • Citing Article
  • September 2021

Therapeutic apheresis and dialysis: official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy

... Temporomandibular disorders (TMDs) are a group of diseases affecting the masticatory muscles, temporomandibular joint (TMJ), and associated structures [1][2][3]. e overall prevalence of TMDs is approximately 31%, and the occurrence of painful TMDs varied from 3.4% to 12%, with 65% recurrent rate [4][5][6][7]. Pain in the TMJ, sounds of the joint, and disability of mouth opening are the most common symptoms of TMDs [7,8] that affect people's mastication and sleeping, leading to a poor quality of life [9]. According to the Diagnostic Criteria for TMDs, TMDs can be classified into pain-related TMDs (PTs) and intra-articular TMDs (ITs) [10]. ...

The prevalence of temporomandibular disorders in chronic hemodialysis patients: a cross-sectional study

Cranio: the Journal of Craniomandibular Practice

... For every included child, we obtained plain X-rays of the left hand and wrist for assessment of bone development and skeletal age calculation. Observers preferred to assess the left side of each subject as done in previous literatures to avoid any observer bias [16,31,35]. Moreover, an orthopantomogram was conducted to assess teeth development and calculate dental age. ...

Evaluation of the relationship between the Demirjian and Nolla methods and the pubertal growth spurt stage predicted by skeletal maturation indicators in Turkish children aged 10–15: investigation study

Acta odontologica Scandinavica

... Consequently, it needs to be differentiated from other conditions that result in the formation of new bone, such as fibrous dysplasia, Paget's disease, Ewing's sarcoma, Caffey disease, osteosarcoma, and hard, nodular, or pedunculated masses observed in the mandible (peripheral osteomas, torus and exostoses, ossifying subperiosteal hematoma, etc.). 11 Resolving Garre's osteomyelitis effectively necessitates combining surgical and medicinal methods. Antibiotic treatment deals with the underlying illness, whereas surgical debridement helps to remove the sequestrum and lower the bacterial load. ...

Garre’s Osteomyelitis of the Mandible Caused by Infected Tooth

... Oral health issues are commonly reported in patients with SSc (up to 80%) and comprise a broad spectrum of manifestations, from reduced mouth opening (microstomia) with abnormal interincisal distance and decreased salivary flow (xerostomia) to increased number of missing teeth and caries, periodontal diseases with gingival recession or other types of oral infections, and even temporomandibular joint involvement [1][2][3][4][5][6][7]. ...

Maxillofacial Manifestations of Systemic Sclerosis: Case Report

Akdeniz Medical Journal

... 16,17 CBCT not only excels at confirming the existence of anatomical variations such as additional root and missed canals, but it is also invaluable for precisely pinpointing their location and orientation. 2,18 This capability proves especially vital in distinguishing RE from RP. Case #3 serves as a prime example of CBCT's significance in making a definitive diagnosis that categorizes the additional root in the buccal plane as an RP, a task that might be consid-erably more challenging with only conventional periapical radiographs. ...

Cone beam computed tomography imaging of superior semicircular canal morphology: a retrospective comparison of cleft lip/palate patients and normal controls
  • Citing Article
  • December 2017

Acta odontologica Scandinavica