Kondiler değişikliklerin panoramik radyografi ile incelenmesi
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Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Temporomandibular eklem (TME) değerlendirilmesinde klinik ve radyolojik muayene birlikte yapılmalıdır. Bu çalışmanın amacı panoramik radyograf üzerinde izlenebilen kondiler değişikliklerin prevalansını incelemektir. Gereç ve Yöntemler: Bu çalışmada kliniğe çeşitli şikayetlerle başvurmuş olan toplam 100 hastanın (200 kondil) panoramik radyografları tesadüfi olarak seçildi ve incelendi. Hastaların yaş ve cinsiyet bilgileri kaydedildi. Hastalar 20-40, 41-64, 65 yaş ve üzeri olmak üzere 3 alt gruba ayrıldı. 20-40 yaş grubu Grup 1, 41-64 yaş grubu Grup 2, 65 yaş ve üzeri yaş grubu Grup 3 olarak isimlendirildi. Data analizi için tanımlayıcı istatistik kullanıldı. Bulgular: İncelenen 100 hastanın 57’si kadın, 43’ü erkekti. 76 hasta (ortalama yaş: 41.1) ve 110 kondilde kondiler değişiklik tespit edildi. Patoloji görülen 76 hastanın 43’ü kadın 33’ü erkekti. Kondiler değişiklik en sık Grup 3’de görüldü (% 84.6). En sık görülen kondiler değişiklik düzleşme (% 60.9) olduğu belirlendi. Bunu skleroz (% 17.3) ve erozyon (% 11.8) takip etti. Sadece 1 hastada (% 0.9) subkortikal kiste rastlanıldı. Kondiler değişiklikler en sık bilateral olarak takiben sağ tarafta görüldü. Sonuç: Panoramik radyografi tekniği hastanın ilk değerlendirilmesinde rutin olarak başvurulan ve TME kemik yapıları değerlendirmeye olanak sağlayan önemli bir tekniktir. TME kondilinde oluşabilecek değişikliklere yaş ilerledikçe daha sık rastlanıldığı rapor edilmiştir. Bu durum ileriki yaşlarda artan diş kayıpları neticesinde kapanış bozuklukları ile ilişkilendirilebilir.
Background: Clinical and radiological examination should be performed together for the evaluation of temporomandibular joint. The aim of this study was to examine the prevalence of condylar changes that can be observed on a panoramic radiograph. Methods: In this study, panoramic radiographs of 100 patients (200 condyles) who presented to our clinic with various complaints were randomly selected and examined. Age and gender information of the patients were recorded. The patients were divided into three subgroups: 20-40, 41-64, 65 and over. The age group 20-40 were classified as Group 1, 41-64 age group was Group 2, and the age group of 65 and above were named Group 3. Descriptive statistics were used for data analysis. Results: Of the 100 patients examined, 57 were female and 43 were male. Condylar changes were detected in 76 patients (mean age: 41.1) and 110 condyles. Of the 76 patients with pathology, 43 were female and 33 were male. Condylar change was most frequently seen in Group 3 (84.6 %). The most common condylar change was flattening (60.9 %). This was followed by sclerosis (17.3 %) and erosion (11.8 %). Subcortical cysts were found in only one patient (0.9 %). The condylar changes were most frequently seen bilaterally following on the right side. Conclusion: Panoramic radiography is an important technique which is used routinely in the patient's first evaluation and allows evaluation of temporomandibular joint bone structures. It was reported that condylar changes increase with age. This may be associated with malocclusion as a result of increased tooth loss in the old age.
Background: Clinical and radiological examination should be performed together for the evaluation of temporomandibular joint. The aim of this study was to examine the prevalence of condylar changes that can be observed on a panoramic radiograph. Methods: In this study, panoramic radiographs of 100 patients (200 condyles) who presented to our clinic with various complaints were randomly selected and examined. Age and gender information of the patients were recorded. The patients were divided into three subgroups: 20-40, 41-64, 65 and over. The age group 20-40 were classified as Group 1, 41-64 age group was Group 2, and the age group of 65 and above were named Group 3. Descriptive statistics were used for data analysis. Results: Of the 100 patients examined, 57 were female and 43 were male. Condylar changes were detected in 76 patients (mean age: 41.1) and 110 condyles. Of the 76 patients with pathology, 43 were female and 33 were male. Condylar change was most frequently seen in Group 3 (84.6 %). The most common condylar change was flattening (60.9 %). This was followed by sclerosis (17.3 %) and erosion (11.8 %). Subcortical cysts were found in only one patient (0.9 %). The condylar changes were most frequently seen bilaterally following on the right side. Conclusion: Panoramic radiography is an important technique which is used routinely in the patient's first evaluation and allows evaluation of temporomandibular joint bone structures. It was reported that condylar changes increase with age. This may be associated with malocclusion as a result of increased tooth loss in the old age.
Açıklama
Anahtar Kelimeler
Kemik hastalıkları, panoramik, radyografi, temporomandibular eklem, Bone diseases, panoramic, radiography, temporomandibular joint
Kaynak
Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
4
Künye
Serindere, G., Belgin, C. A., (2019). Kondiler değişikliklerin panoramik radyografi ile incelenmesi. Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 6 (4), 173-177.
