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  • Küçük Resim
    Öğe
    Effects of different local haemostatic agents on facial swelling after the third molar surgery
    (2015) Şener, İsmail; Metin, Murat; Bereket, Mehmet Cihan; Tek, Mustafa; Arıcı, Selim
    It was aimed to investigate the effects of three different local haemostatic agents (oxidized regenerated cellulose, gelatin sponge and collagen sponge) on the facial swelling after surgical removal of impacted the third mandibular molar teeth, in this study. Sixty-six healthy patients (mean age, 21.21±3.14 years) requiring bilateral impacted third molar extractions were included in this double-blind, randomized, controlled clinical study. All teeth were removed bilaterally in the same operation by one surgeon. The left side of the mandible served as the test side for local haemostasis and the right side as the control side in all patients. After removal, the primary closure of surgical wound was provided with silk sutures, in the control side. One of the absorbable haemostatic agents, oxidized regenerated cellulose (ORC), gelatin sponge (GS) and collagen sponge (CS) was placed in the extraction cavities following gauze packing for 5 minutes to prevent bleeding and after that the wound was sutured. Data was collected regarding the operating time, mouth opening, and facial swelling. Facial swelling was measured by "point counting technique" on standard posteroanterior skull radiographs. The comparisons of differences belonging to ORC, GS and CS applications on preoperative and postoperative edema showed that the differences were not statistically significant according to analysis of variance (ANOVA) (p>0.05). This study has shown that the haemostatic local agents do not have any significant effect in the facial edema.
  • Küçük Resim Yok
    Öğe
    Periapikal granulomların aerop ve anaerop mikrobiyolojik incelemesi
    (2012) Tek, Mustafa; Metin, Murat; Şener, İsmail; Bereket, Mehmet Cihan; Karadağ, Adil
    Amaç: Modern laboratuar teknikleri kullanarak periapikal granulomlardaki mikroorganizmaları tespit etmek ve güncel literatür ışığında tartışmaktır. Gereç ve Yöntem: 15’i erkek, 20’si kadın toplam 35 hastadan, apikal küretaj yöntemi ile periapikal granulom örnekleri alındı. Daha sonra, her bir örneğin aerop ve anaerop mikrobiyolojik kültürleri oluşturuldu. Sonuçlar istatistiksel olarak değerlendirildi. Bulgular: 35 klinik materyalin 11 tanesinden (% 31,42) mikroorganizma izole edildi. İzole edilen mikroorganizmaların yüzde sıklık sırası: Streptococcus sanguis (% 20), Streptococcus anginosus (% 13,3), Streptococcus constellatus (% 13,3), Streptococcus milleri (% 13,3), Propionibacterium acnes (% 6,6), Bacteroides capillosus (% 6,6), Staphylococcus xylosus (% 6,6), Actinomyces meyeri (% 6,6), Candida albicans (% 6,6) tır. Sonuç: İzole edilen mikroorganizmalar içerisinde en sık streptokok türü bakteriler olduğu belirlendi. Bu sonuçlara göre periapikal granulomların doğası gereği polimikrobiyal olabileceği gözlemlendi.