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Guler R, Dundar S, Bozoglan A, Ozcan EC, Ozupek MF, Acikan I, Gunes N, Bingul MB. The Biomechanical Investigation of Osseointegration Levels in Titanium Implants Simultaniously Placed with Different Bone Grafts. Niger J Clin Pract 2024; 27:310-316. [PMID: 38528350 DOI: 10.4103/njcp.njcp_529_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 01/23/2024] [Indexed: 03/27/2024]
Abstract
BACKGROUND Dental implant-supported prostheses have been scientifically accepted and have been a common treatment choice in the case reconstructing of partial or total tooth loss. In additon, bone grafts (alloplast, xsenograft, allograft) are frequently used in implant and sinus lift surgical procedures. AIM The aim of this study is to investigate the bone-implant osseointegration levels of titanium implants simultaniously placed with different bone grafts. MATERIALS AND METHODS In the study, 32 female S. Dawley rats were divided into four groups. In the control group (n = 8), turned surface implants with a 2.5 mm diameter and a 4 mm length were placed in the tibia of the rats without the use of a graft material. In the experimental groups, bone cavities were opened in the tibias of the rats and a synthetic (alloplast) graft (n = 8), human allograft (n = 8), and bovine xsenograft (n = 8) were placed simultaniously with a 2.5 mm diameter and a 4 mm length turned surface titanium implants. The cavities in the experimental groups were opened with a 4 mm diameter and a 5 mm length. After 8 weeks of recovery, all rats were sacrificed at the end of the experimental period. The implants and surrounding bone tissue were removed. The removed tissue was subjected to biomechanical analysis in order to evaluate bone-implant osseointegration and peri-implant new bone formation. The Kolmogorov-Smirnov test, Kruskal-Wallis test, and Mann-Whitney U-test were used in the study. Significance was evaluated at the P < 0.05 level. RESULTS In the biomechanical analyses, it was determined that there was no statistically significant difference between the control group and the other three groups in which different graft materials were applied in terms of bone-implant osseointegration (P > 0.05). In other words, in the biomechanical analyses, no statistical difference was found between any of the groups. CONCLUSIONS As a result of this study, it can be thought that different graft materials can be successfully used in peri-implant-guided bone regeneration and may be an alternative to autogenous grafts.
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Affiliation(s)
- R Guler
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Dicle University, Diyarbakir, Turkey
| | - S Dundar
- Department of Periodontology, Faculty of Dnetistry, Firat University, Elazig, Turkey
| | - A Bozoglan
- Department of Periodontology, Faculty of Dnetistry, Firat University, Elazig, Turkey
| | - E C Ozcan
- Department of Esthetic, Plastic and Reconsructive Surgery, Faculty of Medicine, Firat University, Elazig, Turkey
| | - M F Ozupek
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Firat University, Elazig, Turkey
| | - I Acikan
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
| | - N Gunes
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Dicle University, Diyarbakir, Turkey
| | - M B Bingul
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sanliurfa Harran University, Sanliurfa, Turkey
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Yavuz MC, Guler R, Ozcan EC, Bozoglan A, Kirtay M, Kaya CA, Dundar S. The Investigation of Bone-Implant Connection and New Bone Formation in Fasting and High-Fatty Diet Rats. Niger J Clin Pract 2024; 27:95-101. [PMID: 38317041 DOI: 10.4103/njcp.njcp_530_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 12/18/2023] [Indexed: 02/07/2024]
Abstract
BACKGROUND Hyperlipidemia caused by a high-fat diet (HFD) has many adverse effects on the cardiovascular system, including vascular problems. In addition, a HFD also has significant adverse effects on bone health. AIM The aim of this study is to examine bone-implant osteointegration and new bone formation in peri-implant defects in fasting and high-fatty diet applied rats. MATERIALS AND METHODS In this study, 28 female Sprague Dawley rats were used. The rats were divided into four groups, with seven rats in each group: the control group on a normal diet (Group 1) (n = 7), the fasted group (Group 2) (n = 7), the high-fatty diet (HFD) group (Group 3) (n = 7), and the fasted and HFD group (Group 4) (n = 7). Titanium implants with a diameter of 2.5 mm and a length of 4 mm were placed in the right tibia bones of the subjects, and a bone graft corresponding to 2 mm of the implant length was placed in the bone defect applied to the neck region. All rats that continued the administered diet for 12 weeks were sacrificed at the end of the experiment period. The implants and surrounding bone tissue were surgically removed and subjected to biomechanical analysis to assess bone-implant osteointegration and peri-implant new bone formation. RESULTS It was determined that there was no statistically significant difference between the rats in the control group and the other three groups in terms of bone-implant osteointegration and peri-implant new bone formation (P > 0.05). CONCLUSION As a result of this study, it was determined that fasting or maintaining a HFD does not adversely affect bone-implant osteointegration or peri-implant new bone formation in the tibias of rats.
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Affiliation(s)
- M C Yavuz
- Department of Periodontology, Faculty of Dentistry, Medeniyet University, Istanbul, Turkey
| | - R Guler
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Dicle University, Diyarbakir, Turkey
| | - E C Ozcan
- Department of Esthetic, Plastic and Reconstructive Surgery, Faculty of Medicine, Firat University, Elazig, Turkey
| | - A Bozoglan
- Department of Periodontology, Faculty of Dentistry, Firat University, Elazig, Turkey
| | - M Kirtay
- Private Practice, Oral and Maxillofacial Surgery, London, Ontario, Canada
| | - C A Kaya
- Department of Vegetable and Animal Production/Milk and Fattening, Faculty of Diyarbakir Agricultural Vocational School, Dicle University, Diyarbakir, Turkey
| | - S Dundar
- Department of Periodontology, Faculty of Dentistry, Firat University, Elazig, Turkey
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Ozer Balin S, Aşan MA, Ozcan EC, Uğur K, Şenol A. The Course of Diabetic Foot Infection in Elderly Patients: Data of Patients From Turkey. INT J LOW EXTR WOUND 2023:15347346231155584. [PMID: 36740918 DOI: 10.1177/15347346231155584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
With the aging population, it is expected that diabetes and related complications will increase rapidly. The aim of this study was to examine the signs and symptoms of diabetic foot infection in elderly individuals. Patients with diabetic foot infection were grouped as mild, moderate, and severe. Patients aged <65 years and those who did not meet the diagnosis of diabetic foot infection were excluded from the study. Only the first applications of patients who applied to the hospital multiple times with diabetic foot infection diagnosis were evaluated. 314 patients were included in the study. The mean age of the patients was 71.5 (±12). The number of patients aged 75 and over was 125 (39.8%). Of the patients, 25.7% had mild, 61.7% moderate, and 12.4% severe clinical forms. 131 (41.7%) of the patients had osteomyelitis. Amputation was performed in 112 of the patients. Antibiotic treatment was given to 102 patients only. While 89 patients died, a significant correlation was found between all groups between amputation rate and mortality frequency and clinical severity of diabetic foot infection (P < .001). In our study, it was observed that the clinical severity of diabetic foot infection was more severe and the overall mortality rate was higher in geriatric patients. In light of all these data, it can be concluded that an early and comprehensive roadmap should be followed in geriatric patients with diabetic foot infection who have an increased risk of morbidity and mortality.
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Affiliation(s)
- Safak Ozer Balin
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, 64177Firat University, Elazig, Turkey
| | - Mehmet Ali Aşan
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, 64177Firat University, Elazig, Turkey
| | - Erhan Cahit Ozcan
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine, 64177Firat University, Elazig, Turkey
| | - Kader Uğur
- Department of Endocrinology and Metabolic Diseases, Faculty of Medicine, 64177Firat University, Elazig, Turkey
| | - Arzu Şenol
- Department of Infectious Diseases and Clinical Microbiology, 290817University of Health Sciences Fethi Sekin City Hospital, Elazig, Turkey
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Ozer Balin S, Ozcan EC, Uğur K. A New Inflammatory Marker of Clinical and Diagnostic Importance in Diabetic Foot Infection: Systemic Immune-Inflammation Index. INT J LOW EXTR WOUND 2022:15347346221130817. [PMID: 36221931 DOI: 10.1177/15347346221130817] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Diabetes and associated complications still pose an important public health problem. Osteomyelitis as especially seen in patients with diabetes is associated with increased rates of morbidity and mortality. The present study aimed to investigate the clinical and diagnostic significance of inflammatory markers, including the systemic immune-inflammation index (SII) and erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and procalcitonin (PCT) to differentiate osteomyelitis and cellulitis. The present study included 96 patients with osteomyelitis (Group 1) and 151 patients with cellulitis (Group 2). Inflammatory markers were significantly elevated in Group 1 compared to Group 2 patients (p < 0.05). Furthermore, the correlation coefficients (rho) between SII and ESR, CRP, and PCT were 0.466 (p < 0.001), 0.627 (p < 0.001), and 0.501 (p < 0.001), respectively, as a result of Spearman's Rho analysis. Accordingly, a moderately positive relationship was found between the variables. The area under the curve (AUC) values for SII, ESR, CRP, and PCT in diabetic foot infection patients with osteomyelitis were 0.687, 0.722, 0.692, and 0.641, respectively. As a result of the Likelhood Ratio (LR) test, the cut-off values were 2.182 for SII (sensitivity: 39.8% and specificity: 79.8%), 76.5 mm/h for ESR (sensitivity: 59.1% and specificity: 73.1%), 109.5 mg/mL for CRP (sensitivity: 40.9% and specificity: 79.8%), and 0.44 ng/mL for PCT (sensitivity: 26.1% and specificity: 88.2%). In conclusion, given that the patients with osteomyelitis had much higher ESR, CRP, PCT, and SII levels combined with the fact that SII is a low-cost and easy-to-measure index, suggests that the same may serve as an effective and novel marker alternative to other inflammatory markers for predicting diabetic foot osteomyelitis.
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Affiliation(s)
- Safak Ozer Balin
- Department of Infectious Diseases and Clinical Microbiology, 64177Faculty of Medicine, Firat University, Elazig, Turkey
| | - Erhan Cahit Ozcan
- Department of Plastic and Reconstructive Surgery, 64177Faculty of Medicine, Firat University, Elazig, Turkey
| | - Kader Uğur
- Department of Endocrinology and Metabolic Diseases, 64177Faculty of Medicine, Firat University, Elazig, Turkey
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Oztekin F, Gurgenc T, Dundar S, Ozercan IH, Yildirim TT, Eskibaglar M, Ozcan EC, Macit CK. In Vivo Evaluation of the Effects of B-Doped Strontium Apatite Nanoparticles Produced by Hydrothermal Method on Bone Repair. J Funct Biomater 2022; 13:jfb13030110. [PMID: 35997448 PMCID: PMC9397061 DOI: 10.3390/jfb13030110] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 07/20/2022] [Accepted: 07/28/2022] [Indexed: 11/25/2022] Open
Abstract
In the present study, the structural, morphological, and in vivo biocompatibility of un-doped and boron (B)-doped strontium apatite (SrAp) nanoparticles were investigated. Biomaterials were fabricated using the hydrothermal process. The structural and morphological characterizations of the fabricated nanoparticles were performed by XRD, FT-IR, FE-SEM, and EDX. Their biocompatibility was investigated by placing them in defects in rat tibiae in vivo. The un-doped and B-doped SrAp nanoparticles were successfully fabricated. The produced nanoparticles were in the shape of nano-rods, and the dimensions of the nano-rods decreased as the B ratio increased. It was observed that the structural and morphological properties of strontium apatite nanoparticles were affected by the contribution of B. A stoichiometric Sr/P ratio of 1.67 was reached in the 5% B-doped sample (1.68). The average crystallite sizes were 34.94 nm, 39.70 nm, 44.93 nm, and 48.23 nm in un-doped, 1% B-doped, 5% B-doped, and 10% B-doped samples, respectively. The results of the in vivo experiment revealed that the new bone formation and osteoblast density were higher in the groups with SrAp nanoparticles doped with different concentrations of B than in the control group, in which the open defects were untreated. It was observed that this biocompatibility and the new bone formation were especially elevated in the B groups, which added high levels of strontium were added. The osteoblast density was higher in the group in which the strontium element was placed in the opened bone defect compared with the control group. However, although new bone formation was slightly higher in the strontium group than in the control group, the difference was not statistically significant. Furthermore, the strontium group had the highest amount of fibrotic tissue formation. The produced nanoparticles can be used in dental and orthopedic applications as biomaterials.
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Affiliation(s)
- Faruk Oztekin
- Department of Endodontics, Faculty of Dentistry, Firat University, Elazig 23100, Turkey;
- Correspondence:
| | - Turan Gurgenc
- Faculty of Technology, Firat University, Elazig 23100, Turkey;
| | - Serkan Dundar
- Department of Periodontology, Faculty of Dentistry, Firat University, Elazig 23100, Turkey; (S.D.); (T.T.Y.)
| | | | - Tuba Talo Yildirim
- Department of Periodontology, Faculty of Dentistry, Firat University, Elazig 23100, Turkey; (S.D.); (T.T.Y.)
| | - Mehmet Eskibaglar
- Department of Endodontics, Faculty of Dentistry, Firat University, Elazig 23100, Turkey;
| | - Erhan Cahit Ozcan
- Department of Esthetic, Plastic and Reconstructive Surgery, Faculty of Medicine, Firat University, Elazig 23100, Turkey;
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Gul M, Dundar S, Bozoglan A, Ozcan EC, Tekin S, Yildirim TT, Karasu N, Bingul MB. Evaluation of the effects of the systemic proton pump inhibitor-omeprazole on periimplant bone regeneration and osseointegration: An experimental study. J Oral Biol Craniofac Res 2022; 12:381-384. [PMID: 35592026 PMCID: PMC9111997 DOI: 10.1016/j.jobcr.2022.04.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Accepted: 04/17/2022] [Indexed: 12/12/2022] Open
Abstract
Objective Investigations of the effects of proton pump inhibitors (PPIs) on bone healing have revealed that they affect bone regeneration negatively. The exact mechanism by which this adverse effect on bone tissue is not known. The aim of this study is to biomechanic and biochemical investigation of the effects of the PPIs on guided periimplant bone regeneration. Material & methods Spraque dawley rats were divided controls (n = 8): there is no treatment during 8 week experimental period, PPI- Dosage 1 (n = 8) and Dosage 2 (n = 8): 5 mg/kg and 10 mg/kg omeprazol applied 3 times in a week with oral gavage during 8 weeks respectfully. Bone defects created half of the implant length circumferencial after implant insertion and defects filled with bone grafts. After experimental period the rats sacrified and implants with surrounding bone tissues were removed to reverse torque analysis (Newton), blood samples collected to biochemical analysis (glucose, AST, ALT, ALP, urea, creatinin, calcium, P). Results Biomechanic reverse torque values did not revealed any statistical differences between the groups (P > 0,05). Conclusion According the biomechanical and biochemical parameters PPIs does not effect the periimplant guided bone regeneration.
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Affiliation(s)
- Mehmet Gul
- Sanliurfa Harran University, Department of Periodontology, Faculty of Dentistry, Sanliurfa, Turkiye
| | - Serkan Dundar
- Firat University, Department of Periodontology, Faculty of Dentistry, Elazig, Turkiye
| | - Alihan Bozoglan
- Firat University, Department of Periodontology, Faculty of Dentistry, Elazig, Turkiye
| | - Erhan Cahit Ozcan
- Firat University, Department of Esthetic, Plastic and Reconstructive Surgery, Faculty of Medicine, Elazig, Turkiye
| | - Samet Tekin
- Firat University, Department of Protetic Dentistry, Faculty of Dentistry, Elazig, Turkiye
| | - Tuba Talo Yildirim
- Firat University, Department of Periodontology, Faculty of Dentistry, Elazig, Turkiye
| | - Necmettin Karasu
- Afyonkarahisar Health Sciences University, Department of Esthetic, Plastic and Reconstructive Surgery, Faculty of Medicine, Afyonkarahisar, Turkiye
| | - Muhammet Bahattin Bingul
- Sanliurfa Harran University, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sanliurfa, Turkiye
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Ozcan EC, Gul M, Dundar S, Bozoglan A, Karasu N, Bal A, Gunes N, Bingul MB. Effects of local application of the ankaferd blood stopper on osseointegration in three different surface titanium implants. J Oral Biol Craniofac Res 2021; 11:524-528. [PMID: 34377660 DOI: 10.1016/j.jobcr.2021.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 01/14/2021] [Accepted: 07/15/2021] [Indexed: 10/20/2022] Open
Abstract
Objective Researchs of the effects of ankaferd blood stopper (ABS) on bone healing metabolism have revealed that it affects bone regeneration positively. The exact mechanism by which this positive effect on bone tissue metabolism is not known. The aim of this study is to biomechanic and biochemical analysis of the effects of the local ABS application on osseointegration of 3 different surfaced titanium implants. Material & Methods Spraque dawley rats were divided machined surfaced (MS) (n = 10), sandblasted and large acid grid (SLA) (n = 10) and resorbable blast material (RBM) (n = 10) surfaced implants. ABS applied locally during the surgical application of the titanium implant before insertion in bone sockets. After 4 weeks experimental period the rats sacrificed and implants with surrounding bone tissues were removed to reverse torque analysis (Newton), blood samples collected to biochemical analysis (ALP, calcium, P). Results Biomechanic bone implant contact ratio detected higher in SLA surfaced implants compared with the RBM and controls (P < 0,05). Phosphor levels detected lower in RBM implant group compared with the controls and SLA (P < 0,05). Additionally; phosphor levels detected highly in controls compared with the RBM implants. Conclusion According the biomechanical parameters ABS may be more effective in SLA and RBM surfaced implants when locally applied.
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Affiliation(s)
- Erhan Cahit Ozcan
- Firat University, Faculty of Medicine, Department of Esthetic, Plastic and Reconstructive Surgery, Elazig, Turkiye
| | - Mehmet Gul
- Sanliurfa Harran University, Faculty of Dentistry, Department of Periodontology, Sanliurfa, Turkiye
| | - Serkan Dundar
- Firat University, Faculty of Dentistry, Department of Periodontology, Elazig, Turkiye
| | - Alihan Bozoglan
- Firat University, Faculty of Dentistry, Department of Periodontology, Elazig, Turkiye
| | - Necmettin Karasu
- Afyonkarahisar Health Sciences University, Faculty of Medicine, Department of Esthetic, Plastic and Reconstructive Surgery, Afyonkarahisar, Turkiye
| | - Ali Bal
- Private Practice, Department of Esthetic, Plastic and Reconstructive Surgery, Istanbul, Turkiye
| | - Nedim Gunes
- Dicle University, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Diyarbakir, Turkiye
| | - Muhammet Bahattin Bingul
- Sanliurfa Harran University, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sanliurfa, Turkiye
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Tekin S, Dundar S, Demirci F, Bozoglan A, Yildirim TT, Gunes N, Acikan I, Ozcan EC. Biomechanical and biochemical evaluation of the effect of systemic application of omeprazole on the osseointegration of titanium implants. Int J Implant Dent 2021; 7:27. [PMID: 33843027 PMCID: PMC8039067 DOI: 10.1186/s40729-021-00310-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 02/24/2021] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND This study aimed to investigate the effects of systemic omeprazole treatment on the osseointegration of titanium implants. MATERIAL AND METHODS After surgical insertion of titanium implants into the metaphyseal part of rats' both right and left tibial bones, the animals were randomly divided into three equal groups: control (n = 8), omeprazole dosage-1 (n = 8) (OME-1), and omeprazole dosage-2 (n = 8) (OME-2) and totally 48 implants were surgically integrated. The rats in the control group received no treatment during the four-week postoperative experimental period. In the OME-1 and OME-2 groups, the rats received omeprazole in doses of 5 and 10 mg/kg, respectively, every 3 days for 4 weeks. After the experimental period, the rats were euthanized. One rat died in each group and the study was completed with seven rats in each group. Blood serum was collected for biochemical analysis, and the implants and surrounding bone tissue were used for biomechanical reverse-torque analysis. In the biomechanical analysis, implants that were not properly placed and were not osseointegrated were excluded from the evaluation. RESULTS One-way analysis of variance and Tukey's honestly significant difference test and Student's t test were used for statistical analysis. The reverse-torque test (control (n = 9), OME-1 (N = 7), and OME-2 (n = 7)) analysis of biochemical parameters (alkaline phosphatase, calcium, phosphorus, aspartate aminotransferase, alanine amino transferase, urea, and creatinine) revealed no significant differences between the groups (control (n = 7), OME-1 (N = 7), and OME-2 (n = 7)) (P > 0.05). CONCLUSIONS Omeprazole had no biomechanical or biochemical effects on the osseointegration process of titanium implants.
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Affiliation(s)
- Samet Tekin
- Department of Prosthodontics, Faculty of Dentistry, Firat University, 23119, Elazig, Turkey.
| | - Serkan Dundar
- Department of Periodontology, Faculty of Dentistry, Firat University, Elazig, Turkey
| | - Fatih Demirci
- Department of Prosthodontics, Faculty of Dentistry, Inonu University, Malatya, Turkey
| | - Alihan Bozoglan
- Department of Periodontology, Faculty of Dentistry, Firat University, Elazig, Turkey
| | - Tuba Talo Yildirim
- Department of Periodontology, Faculty of Dentistry, Firat University, Elazig, Turkey
| | - Nedim Gunes
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Dicle University, Diyarbakir, Turkey
| | - Izzet Acikan
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sütcü Imam University, Kahramanmaras, Turkey
| | - Erhan Cahit Ozcan
- Department of Plastic-Reconstructive & Esthetic Surgery, Faculty of Medicine, Firat University, Elazig, Turkey
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Kocaman N, Altun S, Bal A, Ozcan EC, Sarac M, Artas G, Demir B, Aydin S, Kuloglu T. Effects of Carnosine, Ankaferd, and Silver Sulfadiazine on an Experimental Burn Model: Roles of Irisin and HSP70. J Burn Care Res 2020; 42:408-414. [PMID: 32910166 DOI: 10.1093/jbcr/iraa156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
In this study, the effects of carnosine, ankaferd, and 1% silver sulfadiazine applied topically on second-degree burns were investigated and the roles of irisin and Heat shock protein 70 (HSP70) in this healing process were evaluated. Ninety male albino rats were used and divided into five groups. The groups were classified as control, burn, burn + carnosine (CAR), burn + ankaferd (ABS), and burn + silver sulfadiazine (SS). It was found that level of irisin increased in the first week and decreased in the second week in the burn and CAR groups. In the ABS and SS groups, the level of irisin was determined that started to increase in the first week and continued to increase in the second week. The level of HSP70 was found to increased in the first week in burn and CAR groups and decreased in the second week, but started to increase in the second week in ABS and SS groups. Both levels of irisin and HSP70 were observed to decreased in all treatment groups in the third week. In this study, it was shown that ankaferd and silver sülfadiazine treatments cause an increase in the irisin levels in the early period and a gradually increase in HSP70 levels in the later period in burns. The inflammatory response was observed to be limited in the early period in the ankaferd and sulfadiazin groups. It was concluded that these findings were effective in early wound healing in burns.
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Affiliation(s)
- Nevin Kocaman
- Department of Histology and Embryology, Firat University School of Medicine, Elazig, Turkey
| | - Serdar Altun
- Department of Plastic and Reconstructive Surgery, Firat University School of Medicine, Elazig, Turkey
| | - Ali Bal
- Caddebostan, Istanbul, Turkey
| | - Erhan Cahit Ozcan
- Department of Plastic and Reconstructive Surgery, 18 Mart University School of Medicine, Canakkale, Turkey
| | - Mehmet Sarac
- Department of Pediatric Surgery, Firat University Hospital, Elazig, Turkey
| | - Gokhan Artas
- Department of Pathology, Firat University Hospital, Elazig, Turkey
| | - Betul Demir
- Department of Dermatology, Firat University Hospital, Elazig, Turkey
| | - Suleyman Aydin
- Department of Biochemistry, Firat University School of Medicine, Elazig, Turkey
| | - Tuncay Kuloglu
- Department of Histology and Embryology, Firat University School of Medicine, Elazig, Turkey
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