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    Dentist visits of Syrian refugees and the cost of their dental healthcare
    (2019) Koparal, Mahmut; Ege, Bilal; Keskinruzgar, Aydin; Yapici Yavuz, Gunay; Erdogmus, Zozan; Unsal, Mustafa Nafiz
    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.Keywords: Refugee; dental care cost; Syrian; immigrant; treatment; budget
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    Evaluation of the presence of effusion in patients with temporomandibular joint disorder
    (2019) Yapici Yavuz, Gunay; Simsek Kaya, Goksel; Ogul, Hayri; Keskinruzgar, Aydin
    Aim: The aim of this study is to investigate the relationship between effusion and disc displacement that were detected in MRIs of temporomandibular joint disorder (TMD) patients Material and Methods: MRIs of 60 patients who had pain and/or dysfunction in the TMJ region were evaluated for the presence of effusion. TMC disc positions of 60 MRI results were divided into three groups: normal disc position (control group, n: 20), disc displacement with reduction (R group, n: 20) and disc displacement without reduction (NR group, n: 20). When evaluating the presence of effusion, hyperintense thin lines or absence of effusion was evaluated as no effusion; while signal intensity of more than 2 mm at the anterior-posterior length or superior-inferior height at the joint space was evaluated as the presence of effusion. Results: According to MRI findings, effusion was observed in 2 of the 20 joints (10%) in the control group, 8 of the 20 joints (40%) in the R group and 17 of the 20 joints (85%) in the NR group. When the groups were compared with each other, there was a statistically significant difference between the groups (p<0.05). Conclusion: In TMD, where normal disc position deteriorates to disc displacement, the prevalence of effusion also increases. It is thought that changes in effusion levels can be used as a marker for evaluating the prognosis of TMD.
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    Inferior alveolar nerve paresthesia due to radicular cyst: A case and review of literature
    (2019) Ege, Bilal; Koparal, Mahmut; Yapici Yavuz, Gunay; Keskinruzgar, Aydin; Geyik, Abdussamed; Aydin Turk, Bilge
    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.