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Selçuk Tunalı

Dr. Selcuk Tunali is currently Vice Dean at the TOBB University of Economics and Technology Faculty of Medicine, Ankara, Turkey. He received MD degree from Hacettepe University Faculty of Medicine in 2000 and held his PhD degree on Human Anatomy from the same university in 2005. He had been in the University of Hawaii School of Medicine as a visiting professor, and has been appointed as adjunct assistant professor since 2008. He promoted to associate professorship in 2012, in Hacettepe University. In 2013, he has been transferred to his current institution as a founding faculty member, where he has been appointed as Associate Professor of Anatomy. He set up the only whole body plastination laboratory in Turkey. He is the secretary of the International Society for Plastination since 2013. His research focused on head and neck anatomy, plastination, and surgical anatomy. He is the anatomy coordinator and faculty of the cadaver courses held in TOBB ETÜ.

Clinical Anatomy For Dental Practice

In dental practice, the physician usually works alone and has to cope with possible complications by himself. It is of great importance to know the anatomy and variations of the oral neurovascular structures, so that the interventions are done correctly and possible problems are eliminated. For a successful nerve block and to prevent any complications, mandibular, infraorbital, greater palatine, lesser palatine, lingual, inferior alveolar and mental nerves should be localized correctly. By ensuring bone contact during incisions for tooth extraction, damage to lingual nerve may be prevented. Especially during implant application, avoiding trauma to the inferior alveolar and mental nerves is only possible with the use of correct technique as well as a sound knowledge of anatomy.
 
Avoiding Complications in Oral Surgery: An Anatomist’s Perspective
 
A sound knowledge on the surgical anatomy and possible variations of the neurovascular structures bears great importance to avoid complications during oral surgery. Maximum care must be taken to protect vessels and nerves, especially during incisions, and the procedures should be proceeded via safe zones. It should be always kept in mind that nerves, in particular, may be damaged without incision or direct trauma. The anatomy of the listed important structures should be known very well: maxillary, mandibular, infraorbital, greater palatine, lesser palatine, lingual, mylohyoid, inferior alveolar, mental, medial pterygoid, buccal and hypoglossal nerves; facial, lingual, deep lingual, greater palatine, lesser palatine and inferior alveolar arteries; submandibular duct, submandibular ganglion, and veins accompanying the arteries of the region. Frequently variant anatomical structures are mandibular foramen, mental foramen, inferior alveolar, mental, lingual and buccal nerves; maxillary sinus and its ostium.
Although it is not located within the surgical area, the parotid duct may be traumatized during long-lasting retractions, and may cause to edema and parotitis. In the interventions to maxillary sinus, the preservation of the vessels and nerves, as well as the mucosa, will bring a better surgical outcome.