Radiographic Assessment of Pulp Stone Prevalence in Patients Undergoing Head and Neck Radiotherapy

Yıl 2024, Cilt: 13 Sayı: 3, 490 - 495, 24.09.2024

Fatma Tunç , Kemal Yılan

https://doi.org/10.54617/adoklinikbilimler.1501702

Öz

ABSTRACT
Aim: To evaluate the prevalence of pulp stones in patients undergoing head and neck radiotherapy in comparison to healthy subjects.
Materials and Methods: Patient records retrieved from the XXXXXX University Dentistry Faculty between the years 2014 and 2022 were selected. Panoramic images of oncologic patients exposed to head and neck radiation, as well as healthy subjects, were included in the study. Radiographies of patients with complicated systemic conditions, edentulous patients, and patients with full-mouth fixed bridges were excluded. The groups were arranged as equivalent to each other in terms of age and gender. The presence of pulp stones in the first and second molar teeth of 124 (Group Radiotherapy (n=62) and Group Control (n=62)) patients was radiographically assessed by two observers. The Chi-square test was employed for statistical analysis of the data.
Results: The ratio of pulp stones was found to be significantly higher in the radiotherapy group (50%) (31) as compared to the control group (19.5%) (12) (p<0.05).
Conclusion: Pulp stones are more common in patients exposed to head and neck radiotherapy. Ionized radiation therapy may have induced calcification in the pulp space.

Anahtar Kelimeler

Head and neck cancer, Panoramic radiograph, Pulp calcification

Baş ve Boyun Radyoterapisi Uygulanan Hastalarda Pulpa Taşı Prevalansının Radyografik Olarak İncelenmesi

Öz

ÖZET
Amaç: Baş-boyun radyoterapisi uygulanan hastalarda pulpa taşı prevalansını sağlıklı bireylerle karşılaştırmalı olarak değerlendirmek.
Gereç ve Yöntem: XXXXXX Üniversitesi Diş Hekimliği Fakültesi'nden 2014-2022 yılları arasında alınan hasta kayıtları seçildi. Çalışmaya baş ve boyun radyasyonuna maruz kalan onkolojik hastaların yanı sıra sağlıklı bireylerin panoramik görüntüleri de dahil edildi. Sistemik rahatsızlıkları olan hastaların, dişsiz hastaların ve tam ağız sabit köprülü hastaların radyografileri çalışma dışı bırakıldı. Gruplar yaş ve cinsiyet açısından birbirine denk olacak şekilde düzenlendi. 124 (Grup Radyoterapi (n=62) ve Grup Kontrol (n=62)) hastanın birinci ve ikinci büyük azı dişlerindeki pulpa taşlarının varlığı iki gözlemci tarafından radyografik olarak değerlendirildi. Verilerin istatistiksel analizinde ki-kare testi kullanıldı.
Bulgular: Pulpa taşı oranı radyoterapi grubunda (%50) (%31) kontrol grubuna (%19,5) (12) göre anlamlı olarak yüksek bulundu (p<0,05).
Sonuç: Pulpa taşları baş boyun radyoterapisine maruz kalan hastalarda daha sık görülmektedir. İyonize radyasyon tedavisi pulpa boşluğunda kalsifikasyona neden olmuş olabilir.

Anahtar Kelimeler

Baş ve boyun kanser;, Panoramik radyograf;, Pulpa kalsifikasyonu

Kaynakça

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