Panoramik Radyografik Parametreler ile Üst Gömülü Kanin Dişlerin Konumları ve Komşu Dişlerde Meydana Getirdiği Rezorpsiyonların Değerlendirilmesi

Yıl 2023, Cilt: 12 Sayı: 1, 53 - 62, 18.01.2023

Gizem Çolakoğlu , Müge Yiğit

https://doi.org/10.54617/adoklinikbilimler.1129456

Öz

Amaç:
Panoramik radyografide (OPG) belirlenen parametrelerle, üst gömülü kaninlerin labio-palatal konumlarının ve komşuluğundaki dişlerdeki rezorpsiyonların tespit edilip edilemeyeceğini değerlendirmek, gömülü kanine ait lokal faktörlerin rezorpsiyonlarla ilişkisini belirlemektir.
Gereç ve Yöntem:
Bu retrospektif çalışmada 65 adet üst gömülü kanin diş, OPG ve konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleriyle değerlendirilmiştir. OPG’de gömülü kaninlerin transversal ve vertikal konumları belirlenmiş, alfa ile beta açıları ölçülmüştür. Sonrasında KIBT’ta bu dişlerin labio-palatal konumlarıyla komşu dişlerdeki rezorpsiyon varlığı, derecesi tespit edilmiştir. Ayrıca üst gömülü kaninlerin dental folikül durumu (şekli, genişliği) ile komşu dişlerle teması kaydedilmiştir. Veriler istatistiksel olarak değerlendirilmiştir (p<0.05).
Bulgular:
OPG’de transversal olarak bölge 4 ve 5’te, vertikal olarak koronalde yer alan üst gömülü kaninler çoğunlukla palataldedir (p<0.05, p<0.01). Ciddi rezorpsiyon gösteren üst santrallerin hepsinde gömülü kaninler bölge 6’dadır (p=0.001). Komşu dişlerde rezorpsiyona yol açmayan gömülü kaninler genellikle bu dişlerin koronal bölgesindedir (p>0.05). Ayrıca dental folikül şekli, genişliği ve komşu dişlerle temasının rezorpsiyonla ilişkisi yoktur (p>0.05).
Sonuç:
Üst gömülü kaninlerin, OPG’de transversal ve vertikal konumları belirlenerek, labio-palatal konumlarıyla ilişkide olduğu keser ve birinci premolar dişlerdeki rezorpsiyonlar hakkında fikir sahibi olunabilir. OPG’nin yetersiz olduğu durumlarda ise KIBT’a başvurulmalıdır.

Anahtar Kelimeler

Gömülü diş, Kanin, Konik ışınlı bilgisayarlı tomografi, Panoramik radyografi

Assessment of the Labio-Palatal Positions of Impacted Maxillary Canines and the Resorptions of Adjacent Teeth Using Panoramic Radiographic Parameters

Öz

Aim:
To evaluate whether labio-palatal positions of impacted maxillary canines and resorptions of adjacent teeth can be detected with panoramic radiographic parameters and to correlate resorptions with local factors of impacted canines.
Material and Methods:
Panoramic radiography (OPG) and cone-beam computed tomography (CBCT) images of 65 impacted maxillary canines were evaluated retrospectively. Transversal and vertical positions, angles alfa and beta of impacted canines were determined on OPG. Labio-palatal positions of impacted canines, resorptions of adjacent teeth (presence, severity) were investigated on CBCT. Dental follicule of impacted canines (shape, width), proximity to adjacent teeth were also recorded. Data were statistically analyzed (p<0.05).
Results:
Maxillary impacted canines in sector 4, 5 and in coronal zone on OPG were mostly located palatally (p<0.05, p<0.01). All impacted canines related with severe resorption of maxillary centrals were in sector 6 (p=0.001). Impacted canines without resorption of adjacent teeth were mostly detected in coronal zone (p>0.05). Also neither width, shape of dental follicule, nor proximity to adjacent teeth showed relationship with resorption (p>0.05).
Conclusion:
Labio-palatal position of impacted maxillary canines, resorption of adjacent teeth may be predicted by determining transversal and vertical positions on OPG. CBCT must be the choice of imaging when OPG was insufficient.

Anahtar Kelimeler

Cone-beam computed tomography, Cuspid, Panoramic radiography, Tooth impacted

Kaynakça

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