Evaluation of Soft Tissue Calcifications in the Head and Neck Region on Panoramic Radiography of Edentulous Patients

Year 2024, Volume: 6 Issue: 2, 208 - 215, 30.08.2024

Merve Hacer Duran , Sümeyye Coşgun Baybars

https://doi.org/10.51122/neudentj.2024.104

Abstract

Aim: The aim of this study is to determine the types and incidence of soft tissue calcifications observed on panoramic radiographs of edentulous patients.
Material and methods: A total of 1297 panoramic radiographs of edentulous patients who applied to Fırat University School of Dentistry for different reasons between 2013 and 2022 and had a consent form were evaluated retrospectively. 131 radiographs with magnification and positioning errors were not included. Calcifications were classified according to localization, number, structure, shape and appearance. IBM SPSS Statistics 22 program was used for statistical analysis. Compatibility of the parameters with normal distribution was evaluated with the Kolmogorov-Smirnov test. In addition to descriptive statistical methods; Mann-Whitney U, Chi-Square, Fisher's Exact Chi-Square, Kruskal Wallis tests and Continuity (Yates) Correction were used. Significance was evaluated at p<0.05.
Results: A total of 1166 panoramic radiographs (539 female, 627 male) were examined and soft tissue calcifications were detected in 274 patients (23.5%). The ages of patients with calcification range from 36 to 88; 146 (53.3%) were male and 128 (46.8%) were female. The mean age was 64.45±9.06 years. Tonsillolith in 17.5%, carotid artery calcification in 10.6%, lymph node calcification in 4.8%, triticeous cartilage calcification in 2.1%, antrolith in 0.9%, rhinolith in 0.7%, sialolith in 0.4% and phleboliths were detected in only one patient (0.08%) of all cases.
Conclusion: The diagnosis of soft tissue calcifications by dentists and their differentiation from anatomical structures and pathologies are very crucial. In this way, it is possible to prevent unnecessary examinations and treatments and also to refer patients for further examinations when necessary.

Keywords

Calcification, Edentulism, Panoramic radiography

Total Dişsizlik Durumunda Baş ve Boyun Bölgesindeki Yumuşak Doku Kalsifikasyonlarının Panoramik Radyografi Aracılığıyla Değerlendirilmesi

Abstract

Amaç: Bu çalışmanın amacı dişsiz hastaların panoramik radyografilerinde görülen yumuşak doku kalsifikasyonlarının tipini ve görülme sıklığını belirlemektir.
Gereç ve yöntemler: 2013-2022 yılları arasında Fırat Üniversitesi Diş Hekimliği Fakültesi'ne farklı nedenlerle başvuran ve onam formu bulunan dişsiz hastalara ait toplam 1297 panoramik radyografi retrospektif olarak değerlendirildi. Magnifikasyon ve pozisyonlandırma hatası olan 131 radyografi çalışmaya dahil edilmedi. Kalsifikasyonlar lokalizasyon, sayı, yapı, şekil ve görünümlerine göre sınıflandırıldı. İstatistiksel analiz için IBM SPSS İstatistik 22 programı kullanıldı. Kolmogorov-Smirnov testi ile parametrelerin normal dağılıma uygunluğu değerlendirildi. Tanımlayıcı istatistiksel yöntemlerin yanı sıra Kruskal Wallis, Mann-Whitney U, Ki-Kare, Fisher's Exact Ki-Kare testleri ve Süreklilik (Yates) Düzeltmesi kullanıldı. P<0,05 anlamlı olarak kabul edildi.
Bulgular: Toplam 1166 panoramik radyografi (539 kadın, 627 erkek) incelendi ve 274 hastada (%23,5) yumuşak doku kalsifikasyonu tespit edildi. Kalsifikasyonu bulunan hastaların yaşları 36 ile 88 arasında değişmekte olup 146'sı (%53,3) erkek, 128'i (%46,8) kadındı. Ortalama yaş 64,45±9,06 olarak bulundu. Tonsillolit %17,5, karotid arter kalsifikasyonu %10,6, lenf nodu kalsifikasyonu %4,8, tritiseöz kıkırdak kalsifikasyonu %2,1, antrolit %0,9, rinolit %0,7, sialolit %0,4 ve sadece bir hastada (%0,08) flebolit tespit edildi.
Sonuç: Diş hekimleri tarafından yumuşak doku kalsifikasyonlarının teşhisi ve anatomik yapı ve patolojiler ile ayırıcı tanısının yapılması oldukça önemlidir. Bu sayede gereksiz tetkik ve tedavilerin önüne geçilebileceği gibi gerekli durumlarda da hastaların ileri tetkikler için yönlendirilmesi mümkün olacaktır.

Keywords

Kalsifikasyon, Dişsizlik, Panoramik radyografi

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