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ŞEKER, ELIF DILARA

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Author: SUNAL AKTÜRK, EZGİ ×

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    Occlusal plane rotation and orthodontic decompensation: influence on the outcome of surgical correction of class III malocclusion Rotation der Okklusionsebene und kieferorthopädische Dekompensation: Einfluss auf das Ergebnis der chirurgischen Korrektur einer Klasse-III-Malokklusion
    (2022-01-01T00:00:00Z) ŞEKER, Elif Dilara; SUNAL AKTÜRK, EZGİ; YILMAZ, HANİFE NURAY; Kucukkeles, Nazan; ŞEKER, ELIF DILARA; SUNAL AKTÜRK, EZGİ
    © 2022, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.Purpose: The aim of this retrospective multicenter study is to evaluate the influence of surgical manipulation of the upper occlusal plane (UOP) and orthodontic decompensation on the outcome of class III orthognathic surgery. Methods: Incisor inclinations, occlusal plane inclination as well as skeletal and soft tissue changes were assessed in lateral cephalograms of 85 class III patients who had previously undergone orthognathic surgery. Fourteen linear and eight angular measurements were performed on each radiograph at the beginning of treatment (T0), before surgery (T1) and at the end of treatment (T2) using imaging software. After measurement of variables, Mann–Whitney U‑test, repeated-measures analysis of variance (ANOVA) with Bonferroni multiple comparison test, and Spearman’s correlation analysis were performed. Results: A statistically significant improvement was observed in both sagittal skeletal and soft tissue measurements (p < 0.05). Surgical change in UOP was significantly correlated with changes in overbite, upper lip strain and soft tissue B‑point change in the sagittal direction (p < 0.05). Overjet change was significantly correlated with changes in the soft tissue and all sagittal skeletal parameters except for SNA. Changes in the incisor inclinations was significantly correlated with changes in the sagittal skeletal parameters and lower facial height. Significant differences were also observed between the groups with induced clockwise or counterclockwise rotation of the mandible in terms of IMPA (long axis of LI to mandibular plane), overbite, upper lip strain and position of soft tissue B‑point (p < 0.05). Conclusion: Sufficient dental decompensation is crucial for controlling the sagittal as well as the vertical relationship during surgery. Counterclockwise rotation provides an increase in sagittal projection of the mandibular body at the soft tissue B‑point.
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    Evaluation of Anxiety in Turkish Parents of Newborns with Cleft Palate with or Without Cleft Lip
    (2023-01-01) SUNAL AKTÜRK E.; ŞEKER E. D.; ÇAPKIN D.; KÜTÜK M. S.; SUNAL AKTÜRK, EZGİ; ŞEKER, ELIF DILARA; ÇAPKIN, DUYGU; KÜTÜK, MEHMET SERDAR
    © 2023, American Cleft Palate Craniofacial Association.Objective: (1) To compare anxiety between parents of newborns with cleft lip and palate (CLP), isolated cleft palate (CP), and healthy newborns and (2) to evaluate anxiety between parental dyads within these groups. Design: A cross-sectional study. Setting: University Hospital. Participants: Surveys were completed by 20 mothers and 20 fathers of newborns with CLP, 21 mothers and 21 fathers of newborns with CP, and 23 mothers and 23 fathers of healthy newborns (controls). Main Outcome Measure: The State-Trait Anxiety Inventory (STAI) assessed parental anxiety. Mothers of newborns with a cleft reported on concerns regarding cleft-related issues and facial appearance. Results: State and trait anxiety were generally in the moderate range for parents of newborns with a cleft, while control parents had low state anxiety and moderate trait anxiety. Mothers of newborns with CP and CLP had significantly higher state and trait anxiety levels than control mothers (p <.05). Fathers of newborns with CLP had a higher state anxiety level than control fathers. When maternal and paternal anxiety was compared within the groups, only trait anxiety scores were significantly higher in mothers of newborns with CLP than that of fathers (p <.05). More than half of mothers of newborns with a cleft were concerned about their newborn\"s feeding, speech, and palate. Conclusions: Parents of children with a cleft may need psychological support in the early postnatal period. It is important for neonatal cleft team providers to help reduce parental anxiety and educate families about cleft care, with a focus on feeding.
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    Sınıf III Malokluzyonun Tedavisinde Ortodontik Kamuflaj Mı? Ortognatik Cerrahi Mi?
    (2021-03-13T00:00:00Z) Kösen, Ezgi; Şeker, Elif Dilara; Sunal Aktürk, Ezgi; ŞEKER, ELIF DILARA; SUNAL AKTÜRK, EZGİ
    AMAÇ:Bu çalışmada Sınıf III malokluzyona sahip sınır vakalarda uygulanan ortognatik cerrahi veya kamuflaj tedavilerinin dental, iskeletsel ve yumuşak doku üzerindeki etkisinin karşılaştırılarak incelenmesi amaçlanmıştır. GEREÇ-YÖNTEM:Kamuflaj ile tedavi edilen Sınıf III malokluzyona sahip 20 hasta (10 kadın, 10 erkek) ve ortognatik cerrahi ile tedavi edilen Sınıf III malokluzyona sahip 20 hastanın (15 kadın, 5 erkek) lateral sefalometrik filmleri incelenmiştir. Lateral sefalometrik filmler üzerinde dental, sert ve yumuşak doku ölçümleri yapılmıştır. Bu ölçümler kamufulaj hastaları için tedavi öncesi (t0) ve tedavi sonu (t2), cerrahi grubunda ise tedavi öncesi (t0), cerrahi öncesi (t1) ve tedavi sonu (t2) olmak üzere alınmıştır. BULGULAR:Cerrahi grubunda SNA, ANB ve Witts değerlerinde artış, SNB değerinde azalma gözlenirken (p<0.05), GoGn-SN açısındaki değişiklik anlamlı bulunmamıştır (p>0.05). Kamuflaj grubunda ise bu değerlerde istatistiksel olarak anlamlı değişiklikler gözlenmemiştir (p>0.05). Kamuflaj grubunda üst keser proklinasyonu elde edilmiş, alt keserlerde anlamlı bir retroklinasyon gözlenmemiştir. Cerrahi grubunda ise üst keser açıları değişmezken, alt keserler prokline olmuştur. Overjet her iki grup için anlamlı derecede artmıştır ve bu artış cerrahi hastalarında daha fazla gözlenmiştir (p<0.05). Okluzal planda kamuflaj tedavisi ile saat yönünün tersine rotasyon gözlenirken, cerrahi ile okluzal planda değişiklik elde edilmemiştir. Yumuşak doku A noktası kamuflaj grubunda anlamlı derecede öne gelmiş ancak gruplar arasında istatistiksel olarak anlamlı fark bulunmamıştır (p>0.05). Yumuşak doku B noktasında kamuflaj tedavisi ile farklılık oluşmazken (p>0.05), cerrahi grubunda istatistiksel olarak anlamlı düzeyde azalma gözlenmiştir (p<0.05). SONUÇ:Sınıf III malokluzyona sahip hastalarda ortognatik cerrahi ile sert ve yumuşak dokularda kamuflaj tedavisi yapılan gruba göre daha anlamlı değişiklikler elde edilmiştir. Özellikle Sınıf III malokluzyona sahip sınır vakalarda tedavi alternatifleri değerlendirilirken kamuflaj tedavisinin limitleri göz önünde bulundurulmalıdır.
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    Maloklüzyonların Adolesanların Ağız Sağlığı ile İlgili Yaşam Kalitesine Etkisi
    (2022-09-11T00:00:00Z) SUNAL AKTÜRK, EZGİ; YAVUZ, FATMA NUR; ÜNSAL, HÜMEYRA; ŞEKER, ELİF DİLARA; SUNAL AKTÜRK, EZGİ; ŞEKER, ELIF DILARA
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    Şeffaf Plaklar ve Minivida Ankrajıyla Maksiller Dentisyonun Distalizasyonu
    (2022-11-20) KÖSEN E.; ŞEKER E. D.; SUNAL AKTÜRK E.; ŞEKER, ELIF DILARA; SUNAL AKTÜRK, EZGİ
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    Bolton Analizi: Invisalign Sistem ile Dijital ve Konvansiyonel Metodun Karşılaştırılması
    (2022-11-20) SUNAL AKTÜRK E.; ŞEKER E. D.; SUNAL AKTÜRK, EZGİ; ŞEKER, ELIF DILARA
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    Ortognatik Cerrahi Hastalarında Postoporeratif Memnuniyetinin Değerlendirilmesi
    (2021-10-04T00:00:00Z) Şeker, Elif Dilara; Sunal Aktürk, Ezgi; Büyükmumcu, Halit Selim; ŞEKER, ELIF DILARA; SUNAL AKTÜRK, EZGİ
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    The Effects of Occlusal Plane Inclination and Dental Decompensation on the Overall Result of Surgical Correction of Class II Malocclusion.
    (2022-03-09T00:00:00Z) Seker, Elif Dilara; Sunal Akturk, EZGİ; Yerli, Burcu; Coban, Gokhan; Kucukkeles, Nazan; ŞEKER, ELIF DILARA; SUNAL AKTÜRK, EZGİ