Purpose
To explore the feasibility and diagnostic accuracy of the tele-dentistry for the follow-up of different diagnostic groups of Turkish patients in maxillofacial surgery.
Materials and Methods
In this study, follow-up patients were allocated to four groups as dental implant, minor surgical procedure, infection-medication-related osteonecrosis of the jaws (MRONJ) and temporomandibular joint disorder (TMD). In all groups, remote examination via video call and subsequently face-to-face clinic examination were performed. The quality and accuracy of the video call were scored by the same investigator. Also, patient satisfaction regarding the video call was evaluated with a questionnaire.
Results
Twenty-one patients (12 females, 9 males) between 18 and 71 years (38.90 ± 17.88) participated in the study. A strong preference of 71% and 95% toward video call by patients was seen in the questionnaires performed after video call and face-to-face examination, respectively. Regarding the rating of the clinician, no significant differences were found between groups in terms of the quality and accuracy of video call (
p
≥ 0.05).
Conclusion
Remote follow up of diagnostic groups which can benefit from tele-dentistry pose a promising remedy that is reliable as in-person visits and also can reduce the clinical visits in routine clinical practice.
Amaç: Odonotojenik Keratokist çenelerde görülen en
agresif kistlerdendir. Dental lamina artıklarından gelişir, nüks ve dokulara
infiltrasyon özelliği vardır. Dentigeröz kist ikinci en
çok görülen odontojenik kisttir ve çoğu zaman semptom vermez. Bu olgu
sunumunda geniş yerleşimli bu iki kistin marsupyalizasyon vakası sunulmaktadırOlgu Sunumu: Her iki olguda, klinik ve radyolojik muayenesi
sonrası mandibula yerleşimli, ağrısız, intraoral ve ekstraoral ekspansiyon
yapmamış geniş radyolüsent lezyon tespit edildi. Lokal
anestezi altında ilgili bölgelerden tam kalınlık flep kaldırılarak kemikte
kavite açıldı. Kist sıvısı boşaltılarak kist
kavitesi yıkandı ve kavite açıklığı korunacak şekilde gaz iodoform suture
edildi.Sonuçlar: Odontojenik
keratokist ve dentigeröz kist çoğunlukla mandibula posterior bölgede görülen ve
büyük boyutlara ulaşabilen lezyonlardır. Tedavide lezyonun büyüklüğüne göre
enükleasyon ve marsupyalizasyon yapılabilir. Operasyon sonrası histopatolojik
inceleme yapılmalı ve hastalar uzun
dönem takibi edilmelidir.Anahtar Kelimeler: Keratokist, dentigeröz kist, marsupyalizasyon
Objective: Sialolith is one of the most common causes of salivary gland obstruction and often leads to sialadenitis. It usually seen in the submandibular gland around 80-90 percent. In this retrospective study, we aimed to retrospectively evaluate the treatment of sialoliths in different parts of the Wharton duct with transoral approach using minimally invasive techniques. Methods: After the clinical and radiological examination of eight patients, six male and two female patients, transoral removal of sialoliths detected in Wharton duct was decided. All surgical interventions were performed with a transoral approach using minimally invasive surgical techniques. Six patients were treated under general anesthesia and two patients were treated under local anesthesia. Results: 8 patients aged between 29-81 years who were transoral surgically removed Wharton duct stones. During the 20-month follow-up period, no intraoperative or post-operative complications such as bleeding and lingual nerve injury were observed. According to the results of the survey, 75% of the patients were very satisfied, 12.5% were satisfied and 12.5% were dissatisfied with the result. Conclusion: The transoral approach may be considered as a more effective option for the treatment of Wharton duct sialoliths because of the high success rate and the wider use indication compared to noninvasive procedures such as ESWL and sialendoscopy.
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