Vertikal İnterproksimal Kemik İçi Defektlerin Topografisinin Klinik ve Dijital Ölçüm Arasındaki İlişkinin Belirlenmesi

Year 2019, Volume: 3 Issue: 2, 135 - 142, 29.08.2019

Hakan Ozdemir , Alkan Bulduklu

https://doi.org/10.34084/bshr.600460

Abstract

Amaç: Bu çalışmanın amacı, periodontal kemikiçi defektlerin belirlenmesinde klinik ölçümler ile ortopantomograf görüntüleme (OPG) ve konik ışınlı bilgisayarlı tomografi (KIBT) ile tanı değerini değerlendirmek ve sonuçları karşılaştırarak klinikte rutin olarak teşhis ve tedaviye yardımcı olan dijital radyografilerin güvenilirliğini sorgulamaktır.

Materyal ve Metod: Eskişehir Osmangazi Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Anabilim Dalına Ekim 2015 - Nisan 2016 tarihleri arasında başvuran hastalardan kronik periodontitis ve agresif periodontitis teşhisi konulmuş bireyler çalışmaya dahil edilmiştir. Radyografik ölçümlerde Alveoler kret (AK) projeksiyonunun kök yüzeyine temas ettiği en üst nokta defektin tavanı, periodontal ligamentin kök yüzeyinde izlendiği en apikal kontur defektin tabanı olarak belirlenmiştir. Mine-sement birleşimi (MSB) bu ölçümler için sabit koronal referans olarak alınmıştır. Radyografik ölçümler yukarıda belirtilen çizgiler çizildikten sonra yapılmıştır. Radyografik ölçümlerden sonra, klinik ölçümler flep ameliyatı esnasında ölçülmüştür. 

Bulgular: Bu çalışmanın bulgularına göre anterior bölgede OPG ve KIBT iyi düzeyde klinik bulguları temsil ederken, posterior bölgede ise KIBT ile yapılan ölçümler klinik ölçümlerde mükemmel oranda korelasyon bulunmuştur. Ayrıca tüm verilerin değerlendirilmesinde KIBT klinik ölçümleri OPG’ye oranla daha iyi temsil etmektedir.

Sonuç: Klinik olarak tespit edilmiş kritik kemik içi defektlerde daha kesin yargıya varabilmek ve daha radikal tedavi planlaması yapabilmek amaçlandığında KIBT’den yararlanmak daha avantajlıdır.

Keywords

Konik ışınlı bilgisayarlı tomografi, ortopantomograf görüntüleme, vertikal interproksimal kemik içi defekt

Supporting Institution

Eskişehir Osmangazi Üniversitesi Bilimsel Araştırma Projeleri Komisyonu

Project Number

61690618-604-99/1929

Thanks

Çalışmamız Eskişehir Osmangazi Üniversitesi Bilimsel Araştırma Projeleri Komisyonu tarafından 16 Ekim 2015 tarihli ve 61690618-604-99/1929 sayılı proje desteği ile gerçekleştirilmiştir.

Determination Of Vertical Interproximal Bone Loss Topography: Correlation Between Digital Measurement And Clinıcal Measurement

Abstract

Objectives: The aim
of this study is to evaluate the clinical value of periodontal bone defects
determined by Orthopanthomograph (OPG) and Cone Beam Computed Tomography
(CBMT). And to question the reliability of digital radiographs that routinely
aid diagnosis and treatment in the clinic by comparing the results.

Materials
and Methods: Eskişehir Osmangazi University Faculty of Dentistry Department of
Periodontology October 2015 - April 2016 to date of patients who were placed
among individuals diagnosed with chronic periodontitis and aggressive
periodontitis were included in the study. Radiographic measurements the peak of
the defect at the root of the alveolar crest (AC) projection was determined as
the base of the apical contour (BD) defect at the root surface of the
periodontal ligament. The enamel cementation (CEJ) is taken as a fixed coronal
reference for these measurements. Radiographic measurements were made after the
above lines were drawn. After radiographic measurements, clinical measurements
were made correctly during flap surgery.

Results: According to the findings of
this study, OPG and CBCT in the anterior region represented good clinical
findings, whereas in the posterior region, measurements with CBCT were found to
have excellent correlation in clinical measurements. In addition, CBCT
represents better clinical measurements than OPG in evaluating all data.
Conclusion: It is more advantageous to use CBCT when it is aimed to make a more
accurate judgment in clinically determined critical intrabony defects and to
plan more radical treatment.

Keywords

cone beam computed tomography, orthopanthomograph, vertical interproximal bone loss

Project Number

61690618-604-99/1929

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