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• Postoperative complications and quality of life parameters are independent of the use of modified triangular flap and Berwick flap in third molar surgery. • Possible postoperative complication parameters may depend on the technical sensitivity of the surgeon. • Higher bone trabeculae seen in the modified flap group may suggest the recommendability of the Berwick flap after more comprehensive clinical studies. [ABSTRACT FROM AUTHOR]

The aim of this study is to evaluate the biomechanical efficiency of different miniplates in the treatment of multiple mandibula fractures. Mandible, miniplates, and screws were modeled using the Solid Works v2015 (Dassault Systèmes, France) program, Subsequently two fracture lines were created on the right parasymphysis and angulus mandible. Models were divided into two main groups according to the plates used in the anterior fracture line: group A, 2 piece 4-hole-bar-I plate, and group B, ellipse plate. Each group was divided into five subgroups according to the plates used in the posterior fracture line (I, X, G, 3D, E) and 10 study models were created in total. Under three different biting forces (anterior, right, left), maximum von-Mises stresses seen on miniplates/screws, and Pmax/Pmin stresses seen in the cortically/cancellous bone were analyzed using the Ansys 16.2 software (ANSYS, Inc., USA). Data was visualized using a color distribution scale and interpreted. The highest von-Mises stress, seen in plates, was found in the I plate (353.82 MPa) at the angulus region of model A1. The highest Pmax and Pmin stresses, revealed in cortical bone, were found respectively in model A1 (181.63 MPa) and model B2 (115.01 MPa). The ideal results on plates were seen in models B3 and B5, in which E plates were used in the parasymphysis and G/E plates were used in the angulus region. Grid and ellipse plates provide successful results and plate geometry is more critical than number in terms of stress distribution. [ABSTRACT FROM AUTHOR]

This study aimed to evaluate the effect of systemic/local use of melatonin and glatiramer acetate on regeneration in traumatic nerve injury models. A total of 42 male Wistar albino rats were randomly divided into 6 groups: healthy control (Group 1), injured control (Group 2), local melatonin (Group 3), systemic melatonin (Group 4), local glatiramer acetate (Group 5), and systemic glatiramer acetate (Group 6). In all groups, electromyography recordings of the facial nerve were obtained after surgery and before sacrifice, and the damaged nerve region was histopathologically examined after sacrifice. In the electrophysiological evaluation, the control group had the greatest decrease in amplitude and extension in latency time following surgery than the treatment groups. Furthermore, a significant decrease in the degenerative axon count, edematous areas, and fibrotic areas as well as a significant increase in axonal surface areas was observed in all the treatment groups compared with the damage control group. Although both glatiramer acetate and melatonin are beneficial in regeneration in traumatic facial nerve injuries, it can be concluded that systemic use of melatonin can yield more positive results than glatiramer acetate and local use of both two drugs. [ABSTRACT FROM AUTHOR]

Purpose: Apical resection is a surgical technique that involves removing a tooth's root tip and sealing the apical extent of the root canal system. However, evidence-based information on the biomechanical effects of apically resected tooth determinants is lacking. The aim of the present study was to examine the biomechanical effects of using different graft materials and the effect of different resection quantities on the tooth radix.Materials and Methods: Thirty finite element models of mandibular central incisors with 1-cm defects in their apical regions were constructed using SolidWorks software (SolidWorks, Waltham, MA). Resections of 0, 1, 2, 3, 4, and 5 mm were created at the root tips, and tissue regeneration was simulated in the empty cavity models using the material properties of healed bone, an allograft, a xenograft, and hydroxyapatite to the grafts used to fill the apical sites. A 100-N force was applied to the various groups of teeth in the oblique (45°) direction, and the maximal von Mises stress and displacement values were determined using Ansys, version 16, software (ANSYS, Inc, Canonsburg, PA).Results: The highest of these values was observed in the 5-mm resected and empty model. Increasing the resection amount caused the stress and displacement to increase. The lowest stress and deformation values were seen in the hydroxyapatite group, followed by the xenograft group and the allograft group.Conclusions: The results of the present study have shown that grafting into the apical defect provides biomechanical support for resection of the root structure. [ABSTRACT FROM AUTHOR]