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Öğe Sürnümerer molar dişlerin retrospektif olarak incelenmesi: Klinik ve radyolojik bir çalışma(Atatürk Üniversitesi, 2010) Bereket, Cihan; Çakır Özkan, Nilüfer; Şener, İsmail; Tek, Mustafa; Çelik, SalihAmaç: Literatürde sürnümerer molar dişler ile ilgiliçalışmalar az sayıdadır. Bu çalışma 31 hastadagözlenen 41 adet sürnümerer molar dişin klinik veradyolojik özelliklerini incelemek amacıyla yapıldı.Gereç ve Yöntem: Bu çalışmada sürnümerer molardişi olan 31 hastada (9 erkek, 22 kadın) saptanan 41adet sürnümerer molar diş incelendi. Olguların yaşı,cinsiyeti, dişlerin unilateral yada bilateral oluşu,lokalizasyonları, şekli, sürme durumları ve ilişkilipatolojiler incelendi.Bulgular: Lokalizasyonlarına göre değerlendirildiğinde, maksillada 37(%90.2), mandibulada ise 4 (%0.8) adet sürnümerer molar diş görüldü. 41 adetsürnümerer dişin 27(%65.8)’sinin distomolar (16(%59.3) simetrik ve bilateral, 11(% 40.7) unilateral),14(% 34.2)’ ünün paramolar diş (4(% 28.6) simetrikve bilateral, 10(% 71.4) unilateral) olduğu bulundu.Sonuç: Sürnümerer molar dişler komşu dişlerdesürme bozukluğu, çürük, kök rezorpsiyonu, kistformasyonu gibi patolojilere neden olabilmektedir. Buyüzden dikkatli bir klinik ve radyolojik inceleme ileerken teşhis edilmeleri, ilişkili komplikasyonlarınönlenmesi bakımından önemlidir.Öğe Temporomandibular disorders in scuba divers during diving certification training programme(Istanbul University, 2012) Öztürk, Özmen; Tek, Mustafa; Seven, HüseyinObjective: The design of a diving regulator's mouth-piece is known to increase the risk of a temporomandibular disorder (TMD) in SCUBA divers. The total weight of a diving regulator is reflected directly on the temporomandibular joint (TMJ) causing articular and periarticular problems. In this study, the prevalence of TMD in SCUBA divers having a training for diving certification is investigated. We also aimed to determine the factors that lead to TMD, and clarify the observation that there is an increased incidence of TMD in inexperienced divers with an anxiety of diving training. Material and methods: The study was held in a period of 5.5 years, between 2006 and 2011. Ninety-seven divers were referred with the complaint of pain around the temporomandibular area. The divers were classified according to their experince levels. Symptoms and signs of TMD were noted and graded. Results: 14 divers were diagnosed with TMD. It was found that TMD was seen more frequently in inexperienced divers than in experienced divers (p=0.0434). The most prevalent symptom was an increased effort spent for holding the mouth-piece during a dive. TMJ tenderness and trigger point activation were the mostly seen physical signs. 13 divers had an improvement with therapy. Conclusion: The effort for stabilizing the mouth-piece of the second stage of a diving regulator is a recognized factor in TMD development. The training for diving certification causes an increase in the prevalence of TMD.Öğe Temporomandibular disorders in scuba divers-an increased risk during diving certification training(Lippincott Williams & Wilkins, 2012) Öztürk, Özmen; Tek, Mustafa; Seven, HüseyinThe design of a diving regulator's mouthpiece increases the risk of a temporomandibular disorder (TMD) in scuba divers. The total weight of a diving regulator is reflected directly on the temporomandibular joint, causing articular and periarticular disorders. In the current study, the prevalence of TMD in scuba divers triggered during diving certification training is investigated. We also aimed to determine the factors that lead to TMD during diving training and clarify the observation that there is an increased incidence of TMD in inexperienced divers. The study was held between 2006 and 2011. Ninety-seven divers were referred with the complaint of pain around temporomandibular area. The divers were classified according to their diving experience. Symptoms and signs of TMD were graded. Fourteen divers were diagnosed with TMD. Temporomandibular disorder was seen more frequently in inexperienced divers than in experienced divers (P = 0.0434). The most prevalent symptom was an increased effort for mouthpiece gripping. Temporomandibular joint tenderness and trigger point activation were the mostly seen physical signs. Thirteen divers had an improvement with therapy. The increased effort for stabilizing the mouthpiece is a recognized factor in TMD development. Attention must be paid to an association of scuba diving with TMDs, especially in inexperienced divers having a scuba certification training.











