Mandibular Üçüncü Molar Çekiminde Zirkonyum ve Karbid Frezlerin Kullanımının Postoperatif Ödem Üzerine Karşılaştırmalı Değerlendirmesi

Yıl 2025, Cilt: 14 Sayı: 1, 18 - 24, 27.01.2025

Ferit Bayram , Sardar Fattahzade , Gokhan Gocmen

https://doi.org/10.54617/adoklinikbilimler.1471621

Öz

Amaç: Gömülü mandibular üçüncü molar dişlerin çekiminde düşük termal iletkenliğe sahip zirkonya frezlerin kullanılması postoperatif hasta sonuçlarını iyileştirebilir. Bu çalışmanın amacı, gömülü mandibular üçüncü molar dişlerde zirkonya frez kullanımının postoperatif ödem, trismus ve ağrı üzerindeki etkisini değerlendirmektir.

Gereç ve Yöntem: Bu prospektif randomize kontrollü çalışma, Ocak-Temmuz 2023 tarihleri arasında Marmara Üniversitesi Diş Hekimliği Fakültesi Ağız Diş ve Çene Cerrahisi Anabilim Dalı'nda gömülü mandibular üçüncü molar diş çekimi ameliyatı için başvuran katılımcılarla yürütülmüştür. Birincil sonuç ölçütleri, mobil bir 3D tarama uygulaması ile ölçülen yüz hacmi ve yüzey alanı değişimidir. Ameliyat sonrası maksimum interinsizal açıklık (MIA) ve ağrı (VAS skoru ile ölçülen) bu çalışma için ikincil sonuç ölçütleridir. Yaş, cinsiyet, sınıflandırma ve mandibular üçüncü molar dişin pozisyonu demografik özellikleri oluşturmuştur. Yüz hacmi değişiklikleri, MIO ve ağrı, Genel Lineer Model kullanılarak grup içinde ve gruplar arasında karşılaştırılmıştır.

Bulgular: Yaşları 18 ila 45 arasında değişen toplam 40 hasta son analize dahil edilmiştir. Zirkonya grubunda, ameliyat sonrası yüz hacmi, yüzey alanı, MIA ve 3. ve 7. günlerdeki ağrı ölçümleri, karbür bur grubundakilere kıyasla istatistiksel olarak anlamlı farklılıklar göstermemiştir (P < 0.05).

Sonuç: Mandibular yirmi yaş dişi çekiminde kemik çıkarılması için zirkonya frezlerin kullanılması, ameliyat sonrası yüz ödemi, MIA'lar ve ağrı açısından istatistiksel olarak anlamlı bir farka yol açmamıştır.

Anahtar Kelimeler

Gömülü diş, Mandibula, Morbidite, Zirkonyum

Destekleyen Kurum

-

Teşekkür

-

Comparative Evaluation of Postoperative Edema Following Mandibular Third Molar Extraction Using Zirconia versus Carbide Burs

Öz

Aim: The use of zirconia burs with low thermal conductivity in the extraction of impacted mandibular third molars may improve postoperative patient outcomes. The aim of this study was to evaluate the effect of using zirconia burs on postoperative edema, trismus, and pain in impacted mandibular third molars.

Materials and Method: This prospective randomized controlled study was conducted between January and July 2023 with participants who underwent impacted mandibular third molar extraction surgery at the Marmara University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery. The primary outcome measures were facial volume and surface area change measured by a mobile 3D scanning device. Postoperative maximum interincisal opening (MIO) and pain (measured by the VAS) were secondary outcome measures for this study. Age, sex, classification and position of the mandibular third molar were the demographic variables. Facial volume changes, MIO, and pain were compared within and between groups using a general linear model.

Results: A total of 40 patients aged between 18 and 45 years were included in the final analysis. Postoperative facial volume, surface area, MIO, and pain did not significantly differ between the zirconia group and the carbide bur group on days 3 and 7 (P < 0.05).

Conclusion: The use of zirconia burs for bone removal in mandibular wisdom tooth extraction did not result in a statistically significant difference with regard to postoperative facial edema, MIOs or pain.

Anahtar Kelimeler

Impacted Tooth, Mandible, Morbidity, Zirconium

Etik Beyan

Marmara University School of Medicine Ethics Committee; Approval Date: November 29, 2022; IRB Approval No: 09.2022.1029

Destekleyen Kurum

None

Teşekkür

None

Kaynakça

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