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Aim: In this study, we aim to investigate the effects of supplementary Grape Seed Extract (GSE) and Low-Level Laser Therapy (LLLT) on fracture healing, oxidant and anti-oxidant system in experimental mandible fractures. Materials and Methods: 48 Wistar Albino rats (adult male, n=48) were used in our study. For all the subjects, a vertical fracture line through molar teeth in right mandibles was created and internally fixed using a four-hole microplate and four micro screws. Firstly, these subjects were randomly divided into 4 main groups (Control, GSE, LLLT, GSE+LLLLT) of 12 animals each, and then these were individually separated into two sub-groups of 7th and 21st days. The number of groups (n=6) was 8 in total. GSE of 300 mg/kg/ day were provided to the subjects before they were sacrificed. LLLT of 23 J/cm2 was administered to two different points along with the fracture line at intervals of 48 hours for 7 days in the 7th day sub-groups and for 14 days in the 21st day sub-groups. After the procedure, while biochemical values such as TAS, TOS and OSI are measured; histopathologically it was examined in terms of capillary number and width, inflammatory cell, fibroblast count, collagen fibers, osteoblast count, ossification and mature bone formations. Results: For biochemical analyses, there was statistically significant difference only in TAS values on either the 7th or 21st day for the groups. Histological analyses showed that mandibular fracture healing were significantly better in the GSE and GSE+LLLT groups compared to the control group. The group of only LLLT had limited recovery while the combination of GSE+LLLT was the best for ossification. Conclusions: It is concluded that GSE may be one of the potential methods to accelerate fracture healings in mandibular fractures common in oral and maxillofacial surgery clinic and thus help patients recover in shorter time, and however LLLT can have positive effects on the process of ossification and recovery only when combined with the extract, which may result in better outcomes in clinical use. [ABSTRACT FROM AUTHOR]

Radicular cysts are inflammatory jaw cysts that form in the apices of infected and necrotic pulp teeth. They are usually asymptomatic and tend to grow slowly. However, depending on the progressive size of the lesion and its relation to neighboring tissues, it may cause mobility, root resorption and displacement. In addition, a limited number of studies have been reported in which paresthesia occurs as a result of local pressure caused by periapical pathology and various mandibular intraosseous lesions on nerve tissue. In this study, treatment process of the paresthesia of inferior alveolar nerve caused by radicular cyst which is remained asymptomatic for a long time in the left posterior mandible is presented in a 33 year-old male patient and it is evaluated in the light of current literature. [ABSTRACT FROM AUTHOR]

Aim: To investigate dental problems of Syrian refugees in southeast Turkey and assess the burden of their dental healthcare costs to government. Material and Methods: A retrospective study included dental records of Syrian refugees who applied to Adıyaman Dental Hospital (ADH), were compared with Adıyaman public by years. Results: In 2012, the most common treatments were tooth extraction and complicated tooth extraction, the total dental care cost of such refugee patients was $3,082.14 and the median cost per refugee was $4.43. The most common treatment provided to both the Adıyaman public and Syrian refugees in 2017 was dental filling. In the same year, total dental care cost of refugees was $603,303.69, the median cost per refugee was $22.20. The total dental care cost of the Adıyaman public was $3,869,524.96, the median dental care cost in Adıyaman public was $17.95 for one person in 2017. Conclusions: Dental problems of Syrian refugees and the financial burden of their dental healthcare to the government significantly increased. [ABSTRACT FROM AUTHOR]

Aim: In this retrospective study, it was aimed to evaluate the clinical and pathological features of cases diagnosed with OKC and the recurrence status after treatment options. Material and Methods: 41 patients who were treated with the diagnosis of OKC between December 2015-June 2018 and whose preand post-treatment follow-up data could be reached were included in the study. As the variables examined, age and gender of the patients, localization of cyst and radiographic features, histopathological findings, treatment methods and recurrence status were investigated retrospectively. Results: Of 41 patients with a mean age of 36.68±17.89 (age range 13 to 78) years, 24 (58.5%) were males and 17 (41.5%) were females. It was determined that OKCs were observed most frequently in the third decades (21.9%) followed by the second and fourth decades (19.5%). The incidence of OKC was determined to be higher in the mandible (80.5%) than in the maxilla (19.5%). The recurrence was observed in 7 of 41 cases (17.1%) after the treatment. The recurrence was detected particularly in mandibular posterior and larger lesions. The fact that five of the seven recurrent cases were parakeratotic and likewise five cases were treated with enucleation was noteworthy. Conclusions: The treatment and prognosis of OKC should be determined according to the condition of the case and the treatment protocol should be managed accordingly. [ABSTRACT FROM AUTHOR]

Aim: Health care workers especially dentists are at risk due to the fact that they are in direct contact with the blood and body fluids. In the present study, it was aimed to determine the preoperative seropositivity of HBsAG, anti-HBs, anti-HCV, and anti-HIV in the patients undergoing dental surgical procedure under local anesthesia. Material and Methods: 1598 patients who were admitted to Department of Oral and Maxillofacial Surgery between 2017-2018 and underwent surgical intervention for various reasons were included. Demographic data and serum samples taken preoperatively from patients were retrospectively evaluated in terms of HBsAg, Anti-HBs, Anti-HCV and Anti-HIV seropositivity by using archive records. Furthermore, the vocational and educational status of the HBsAg (+) patients in addition their awareness about hepatitis were investigated. Results: Of the 1598 patients, 591 (37%) were males; 1007 (63%) were females. The total number of patients with HBV carriers was 73 (4.6%), the number of anti-HBs-positive patients was 828 (51.8%), and the number of anti-HCV-positive patients was 3 (0.19%). Anti-HIV positivity has been observed in none of the patients. When evaluated according to the age ranges, HBsAg was mostly detected positive in the age ranges of 21-30 and 30-40; when evaluated according to sex, HBsAg was detected higher in women. Conclusions: Knowing the prevalence of infectious diseases is highly important for both the prevention and early diagnosis of these diseases. Besides, knowing the seropositivity of these diseases before surgical interventions will facilitate for both oral and maxillofacial surgeons and other health care personnel to take necessary safety precautions against disease transmission. For this purpose, although it was observed in our study that the preoperative HBsAg, anti-HBs, anti-HCV and anti-HIV seroprevalence were not higher than those in the population were, all health care workers should be trained in occupational diseases, vaccinated and followed up at regular intervals. [ABSTRACT FROM AUTHOR]