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Öğe Buccal cortical bone thickness at miniscrew placement sites in patients with different vertical skeletal patterns(Urban & Vogel, 2014) Veli, Ilknur; Uysal, Tancan; Baysal, Asli; Karadede, IrfanCortical bone thickness plays an important role in the primary stability of miniscrews. The purpose of this study was to evaluate the buccal cortical bone thickness in adolescent subjects with different vertical skeletal patterns using cone-beam computed tomography (CBCT). We examined the CBCT images of 75 patients (30 males, 45 females; mean age 16.5 years; range 15.3-17.7 years) in the present study. High-, average- and low-angle subgroups were generated according to SN-GoMe angle. On volumetric images, we measured the buccal cortical bone thickness from canine to the second molar teeth at heights of 5, 7 and 9 mm from cemento-enamel junction (CEJ). For statistical evaluation, the Wilcoxon signed rank, Kruskal-Wallis and Tukey HSD tests were applied at the p < 0.05 level. Buccal cortical bone was thickest in the low-angle group. We observed statistically significant differences in the maxilla between the high- and low-angle groups at all levels. In the mandible, we noted statistically significant differences between high-angle and low-angle groups in the canine-first premolar regions at heights of 5 and 7 mm, and in the second premolar-first molar region at 7 mm height from CEJ. Significant differences were also present between the first and second premolars at heights of 7 and 9 mm. Average cortical bone thickness ranged from 1.10-1.37 mm in the maxilla and 1.20-3.28 mm in the mandible for all groups. Buccal cortical bone thickness in adolescents varied in different vertical skeletal patterns and was greater in the mandible than in the maxilla, with the distance increasing from the CEJ to the apex. As the buccal cortical bone is thinner in high-angle patients, patient-specific measures should be taken when performing miniscrew treatment.Öğe Changes in mandibular transversal arch dimensions after rapid maxillary expansion procedure assessed through cone-beam computed tomography(Korean Assoc Orthodontists, 2011) Baysal, Asli; Veli, Ilknur; Ucar, Faruk Izzet; Eruz, Murat; Ozer, Torun; Uysal, TancanObjective: This study aimed at evaluating the changes in mandibular arch widths and buccolingual inclinations of mandibular posterior teeth after rapid maxillary expansion (RME). Methods: Baseline and post-expansion cone-beam computed tomographic (CBCT) images of patients who initially had bilateral posterior cross-bite and underwent RME with a banded-type expander were assessed in this study. The patients included 9 boys (mean age: 13.97 +/- 1.17 years) and 11 girls (mean age: 13.53 +/- 2.12 years). Images obtained 6 months after retention were available for 10 of these patients. Eighteen angular and 43 linear measurements were performed for the maxilla and mandible. The measurements were performed on frontally clipped images at the following time points; before expansion (T1), after expansion (T2), and after retention (T3). Statistical significance was assessed with paired sample t-test at p < 0.05. Results: T1-T2 comparisons showed statistically significant post-RME increases for all measurements; similarly, T2-T1 and T3-T1 comparisons showed statistically significant changes. The maxillary linear and angular measurements showed decreases after expansion, and mandibular linear and angular measurements increased after retention. Conclusion: All mandibular arch widths increased and mandibular posterior teeth were uprighted after RME procedure. (Korean J Orthod 2011;41(3)200-210)Öğe Cone-beam computed tomography assessment of mandibular asymmetry in unilateral cleft lip and palate patients(Korean Assoc Orthodontists, 2011) Veli, Ilknur; Uysal, Tancan; Ucar, Faruk Izzet; Eruz, Murat; Ozer, TorunObjective: To determine whether there is any difference between the cleft and non-cleft sides of the mandible in unilateral cleft lip and palate (UCLP) patients, or the right and left sides in control patients; and to determine if there is any difference between the mandibular asymmetry of UCLP patients and that of control patients. Methods: We examined cone-beam computed tomography (CBCT) scans of 15 patients with UCLP and 15 age- and gender-matched control patients. We evaluated 8 linear, 3 surface, and 3 volumetric measurements and compared the cleft/non-cleft sides of UCLP patients and the right/left sides of controls. Results: There were no statistically significant gender differences in any linear, surface, or volumetric measurement. The single significant side-to-side difference in UCLP patients was a longer coronoid unit on the cleft side than on the non-cleft side (p = 0.046). Body volume was significantly lower in the UCLP group than in the control group (p = 0.008). Conclusions: In general, UCLP patients have symmetrical mandibles, although the coronoid unit length is significantly longer on the cleft side than on the non-cleft side. UCLP patients and controls differed only in body volume. (Korean J Orthod 2011;41(6): 431-439)Öğe Cone-beam computed tomography evaluation of relationship between tongue volume and lower incisor irregularity(Oxford Univ Press, 2013) Uysal, Tancan; Yagci, Ahmet; Ucar, Faruk Izzet; Veli, Ilknur; Ozer, TorunThe aim of this study was to evaluate the relationship between the tongue volume and lower incisor irregularity, using cone-beam computed tomography (CBCT), and to identify the possible gender differences. CBCT images of 60 patients between 16 and 36 years of age were selected from 1400 sets of images in the database. Tomography was carried out using iCAT (R) (Imaging Sciences International, Hatfield, Pennsylvania, USA) and segmentation was carried out by using Mimics 10.1 software (Materialise NV, Leuven, Belgium). The tongue volume was calculated by using the volume of the voxels from the scan and the number of voxels selected for a given mask. Lower incisor crowding was measured with the Little's irregularity index and divided into three groups: mild, moderate, and severe. Independent samples t-test, analysis of variance (ANOVA), and Tukey test were used at P < 0.05 level. Pearson correlation coefficients and linear regression model were calculated to determine the correlation between tongue volume and incisor irregularity. No significant gender dimorphism was found for the tongue volume (females: 28.13 +/- 8.54 cm(3) and males: 31.02 +/- 9.75 cm(3)). According to ANOVA, there was statistically significant difference in the tongue volume measurements among subjects with different levels of irregularity. Tukey analysis indicated that mild irregularity group (33.97 cm(3)) showed higher values for tongue volume than severe irregularity group (26.60 cm(3); P = 0.025). The relationship between incisor irregularity and tongue volume was evaluated for both genders and significant inverse correlation (r = -0.429; P = 0.029) was determined between lower incisor irregularity and tongue volume in males. In female group, no signifi cant correlation was determined between tongue volume and incisor irregularity.Öğe Dehiscence and fenestration in patients with different vertical growth patterns assessed with cone-beam computed tomography(E H Angle Education Research Foundation, Inc, 2012) Enhos, Sukru; Uysal, Tancan; Yagci, Ahmet; Veli, Ilknur; Ucar, Faruk Izzet; Ozer, TorunObjective: To test the null hypothesis that the presence of alveolar defects (dehiscence and fenestration) was not different among patients with different vertical growth patterns. Materials and Methods: A total of 1872 teeth in 26 hyper-divergent (mean age: 24.4 +/- 4.8 years), 27 hypo-divergent (mean age: 25.1 +/- 4.5 years), and 25 normo-divergent (mean age: 23.6 +/- 4.1 years) patients with no previous orthodontic treatment were evaluated using cone-beam computed tomography. Axial and cross-sectional views were evaluated with regard to whether dehiscence and/or fenestration on buccal and lingual surfaces existed or not. For statistical analysis, the Pearson chi-square test was used at a P < .05 significance level. Results: According to the statistical analysis, the hypo-divergent group (6.56%) had lower dehiscence prevalence than the hyper-divergent (8.35%) and normo-divergent (8.18%) groups (P = .004). Higher prevalences of dehiscence and fenestration were found on buccal sides in all vertical growth patterns. While fenestration was a common finding for the maxillary alveolar region, dehiscence was a common finding in the mandible in all groups. Conclusion: The null hypothesis was rejected. Although the prevalence of fenestrations was not different, significant differences for dehiscences were found in patients with different vertical growth patterns. (Angle Orthod. 2012;82:868-874.)Öğe Dehiscence and fenestration in skeletal Class I, II, and III malocclusions assessed with cone-beam computed tomography(E H Angle Education Research Foundation, Inc, 2012) Yagci, Ahmet; Veli, Ilknur; Uysal, Tancan; Ucar, Faruk Izzet; Ozer, Torun; Enhos, SukruObjective: To test the null hypothesis that the presence of dehiscence and fenestration was not different among patients with skeletal Class I, II, and III malocclusions. Materials and Methods: In this retrospective study, a total of 123 cone-beam computed tomography (CBCT) images were obtained with an iCAT scanner (Imaging Sciences International, Hatfield, Pa). Patients with normal vertical patterns were classified according to dental malocclusion and ANB angle. Class I comprised 41 patients-21 girls and 20 boys (mean age, 22.4 +/- 4.5 years); Class II comprised 42 patients-22 girls and 20 boys (mean age, 21.5 +/- 4.2 years); and Class III comprised 40 subjects-22 girls and 18 boys (mean age, 22.1 +/- 4.5 years). A total of 3444 teeth were evaluated. Analysis of variance and Tukey's test were used for statistical comparisons at the P <.05 level. Results: Statistical analysis indicated that the Class II group had a greater prevalence of fenestration than the other groups (P <.001). No difference was found in the prevalence of dehiscence among the three groups. Although fenestration had greater prevalence in the maxilla, more dehiscence was found in the mandible for all groups. In Class I, alveolar defects (dehiscence, fenestration) were matched relatively in both jaws. Furthermore, Class II and Class III subjects had more alveolar defects (41.11% and 45.02%, respectively) in the mandible. Dehiscences were seen with greater frequency in the mandibular incisors of all groups. Conclusion: The null hypothesis was rejected. Significant differences in the presence of fenestration were found among subjects with skeletal Class I, Class II, and Class III malocclusions. Fenestrations had greater prevalence in the maxilla, but more dehiscences were found in the mandible. (Angle Orthod. 2012;82:67-74.)Öğe Evaluation of alveolar bone loss following rapid maxillary expansion using cone-beam computed tomography(Korean Assoc Orthodontists, 2013) Baysal, Asli; Uysal, Tancan; Veli, Ilknur; Ozer, Torun; Karadede, Irfan; Hekimoglu, SeyitObjective: To evaluate the changes in cortical bone thickness, alveolar bone height, and the incidence of dehiscence and fenestration in the surrounding alveolar bone of posterior teeth after rapid maxillary expansion (RME) treatment using cone-beam computed tomography (CBCT). Methods: The CBCT records of 20 subjects (9 boys, mean age: 13.97 +/- 1.17 years; 11 girls, mean age: 13.53 +/- 2.12 year) that underwent RME were selected from the archives. CBCT scans had been taken before (T1) and after (T2) the RME. Moreover, 10 of the subjects had 6-month retention (T3) records. We used the CBCT data to evaluate the buccal and palatal aspects of the canines, first and second premolars, and the first molars at 3 vertical levels. The cortical bone thickness and alveolar bone height at T1 and T2 were evaluated with the paired-samples t-test or the Wilcoxon signed-rank test. Repeated measure ANOVA or the Friedman test was used to evaluate the statistical significance at T1, T2, and T3. Statistical significance was set at p < 0.05. Results: The buccal cortical bone thickness decreased gradually from baseline to the end of the retention period. After expansion, the buccal alveolar bone height was reduced significantly; however, this change was not statistically significant after the 6-month retention period. During the course of the treatment, the incidence of dehiscence and fenestration increased and decreased, respectively. Conclusions: RME may have detrimental effects on the supporting alveolar bone, since the thickness and height of the buccal alveolar bone decreased during the retention period.Öğe Evaluation of root resorption following rapid maxillary expansion using cone-beam computed tomography(E H Angle Education Research Foundation, Inc, 2012) Baysal, Asli; Karadede, Irfan; Hekimoglu, Seyit; Ucar, Faruk; Ozer, Torun; Veli, Ilknur; Uysal, TancanObjective: To evaluate the root resorption after rapid maxillary expansion (RME) via cone-beam computed tomography (CBCT). Materials and Methods: Records of 25 patients who had undergone RME with tooth-borne banded expander were obtained from the archive of the orthodontic department. CBCT data were reconstructed with surface and volume rendering, and the volumetric images were manipulated to display the root surfaces from various orientations. On these three-dimensional images, permanent first molars and first and second premolars were segmented, and their roots were isolated. Volumes of roots were calculated. The difference between pre-expansion and postexpansion root volumes was statistically evaluated with a paired-samples t-test. Also, the percentage of root volume loss was calculated for each root and statistically compared with each other with one-way analysis of variance at the P < .05 level. Results: The difference between the pre-expansion and postexpansion root volumes was statistically significant for all roots investigated. Maximum volume decrease was observed for the mesiobuccal root of first molar teeth (18.60 mm(3)). It was determined that the distobuccal root of first molar teeth was less affected from the expansion procedure (9.47 mm(3)). No statistically significant difference was found for the percentage of root volume loss. Conclusion: Following RME treatment, significant root volume loss was observed for all investigated posterior teeth. However, the percentage of volume loss was not statistically different among roots. (Angle Orthod. 2012;82:488-494.)Öğe Mandibular anterior bony support and incisor crowding: Is there a relationship?(Mosby-Elsevier, 2012) Uysal, Tancan; Yagci, Ahmet; Ozer, Torun; Veli, Ilknur; Ozturke, AhmetIntroduction: The aim of this study was to test the null hypothesis that increased irregularity of the mandibular incisors is associated with a reduction in the alveolar support on cone-beam computed tomographic sections. Methods: From a sample of 1100 digital volumetric tomographs, 125 tomographs of subjects with Class I malocclusion (mean age, 21.6 +/- 4.8 years) were selected for this study. An irregularity index was used to categorize these tomographs as having mild, moderate, or severe crowding. All tomographs were taken by using an iCAT (Imaging Sciences International, Hatfield, Pa) imaging device. The following parameters were measured on the sections corresponding to the 4 mandibular incisors with the iCAT software: height, thickness, and area of the entire symphysis; height, thickness, and area of the cancellous bone of the symphysis; and distance between the vestibular and lingual cortices. For the statistical evaluation, independent samples t test, analysis of variance, and the Tukey HSD test were used at an alpha level 0.05. The Pearson correlation coefficient and a simple linear regression were calculated to determine the relationship between mandibular anterior bony support and incisor crowding. Results: Almost all mandibular anterior bone measurements were greater in the male subjects than in the female subjects (height of the mandibular symphysis, P<0.001; cancellous bone height, P<0.001). Female subjects with mild crowding had higher values for cancellous bone height (P=0.025) and vestibular cancellous bone thickness (P=0.004) than did those with severe crowding. However, no differences were detected in the male subjects. Additionally, significant correlations were determined between incisor crowding and thickness of the mandibular symphysis, cancellous bone thickness, and the vestibular part of cancellous bone thickness in female subjects. Conclusions: Significant relationships were found between the measures of mandibular incisor crowding and basal bone dimensions in female subjects. Except for the vestibular part of cancellous bone thickness, all mandibular incisor bone measurements were greater in the male subjects than in the female subjects. (Am J Orthod Dentofacial Orthop 2012; 142: 645-53)Öğe Mandibular asymmetry in unilateral and bilateral posterior crossbite patients using cone-beam computed tomography(E H Angle Education Research Foundation, Inc, 2011) Veli, Ilknur; Uysal, Tancan; Ozer, Torun; Ucar, Faruk Izzet; Eruz, MuratObjective: To test the hypotheses that (1) there is no difference in mandibular asymmetry between the crossbite and normal side in a unilateral crossbite group (UCG) and between the right and left sides in a bilateral crossbite group (BCG) and a control group (CG); and (2) there is no significant difference in mandibular asymmetry among crossbite groups and control group. Materials and Methods: The cone-beam computed tomography scans of three groups were studied: (1) 15 patients (6 male, 9 female; mean age: 13.51 +/- 2.03 years) with unilateral posterior crossbite; (2) 15 patients (8 male, 7 female; mean age: 13.36 +/- 2.12 years) with bilateral posterior crossbite; and (3) 15 patients (8 male, 7 female; mean age: 13.46 +/- 1.53 years) as a control group. Fourteen parameters (eight linear, three surface, and three volumetric) were measured. Side comparisons were analyzed with paired samples t-test, and for the intergroup comparison, analysis of variance (ANOVA) and Tukey tests were used at the P < .05 level. Results: According to side comparisons, no statistically significant difference was found in the UCG. There were statistically significant differences in hemimandibular (P = .008) and ramal (P = .004) volumes for the BCG and in ramal height (P = .024) and body length (P = .021) for the CG. Intergroup comparisons revealed significant differences in hemimandibular (P = .002) and body volume (P < .001) for the normal side of the UCG and left sides of the other groups, and in angular unit length (P = .025) and condylar width (P = .007) for the crossbite side of the UCG and the right sides of the other groups. Conclusions: Contrary to UCG, CG and BCG were found to have side-specific asymmetry. Skeletal components of the mandible have significant asymmetry among the crossbite groups and the CG. (Angle Orthod. 2011;81:966-974.)
