Renita CASTELİNO, Subhas BABU, Shishir SHETTY, Anusha LAXMANA, Preethi BALAN, Fazıl KA

İntra Oral Periapikal Dental Radyografiler Altta Yatan Sistematik Hastalıkların Tespitinde Yardımcı Diagonostik Markerlar Olarak Kullanılabilir mi?- Randomize Edilmiş Vaka Kontrol Çalışması

Amaç: Periapikal dental radyografi , iki boyutlu ve boyutun sınırlı olmasına rağmen, alt çenenin ön bölgesindeki besin kanallarını belirlemek için en iyi projeksiyon tipi olarak görülür. Çalışma; hipertansiyona , diabetes mellitus a, tamamen ve kısmen dişsiz alt çeneye sahip kişilerde, periodontal olarak risk taşıyan hastalarda ve menopoz sonrası kadınlarda intraoral periapikal filmler kullanılarak ön bölgedeki mandibular besin kanallarının varlığını ölçmeyi hedeflemiştir ve sonuçlar kontrollerle kıyaslanmıştır. Materyal ve metod: Çalışma her biri 50 deneği içeren 7 gruptan oluşmuştur. Anterior mandibulanın radyografik analizi intra oral periapikal radyografiler kullanılarak yapıldı ve besin kanalların varlığı veya yokluğu değerlendirildi . Bulgular: Besin kanalların prevalansındaki istatistiksel artış , tüm çalışma gruplarında gözlendi. Besin kanalları kontrol grubunun % 8' inde , hipertansif grubun % 34' ünde , diyabet grubu'nun % 60'ında , hem diyabeti hem de hipertansiyonu olan hastaların % 72'sinde, tamamen ya da kısmen dişsiz hastaların % 70'inde , periodontitis grubun % 62'sinde ve menopoz sonrası kadınların % 50'sinde bulunmaktadır. Sonuç: Besin kanallarının varlığı, altta yatan sistematik hastalıkların tespiti için yardımcı tanı belirteci olarak kullanılabilir.

Anahtar Kelimeler:

Besin, Diyabet, Diş

Can Intra Oral Periapical Radiographs be Used as an Adjunct Diagnostic Marker in Detecting Underlying Systemic Diseases? A Randomised Case Control Study

Purpose: Periapical dental radiography, despite being two dimensional and limited in size appears to be the best projection to identify the nutrient canals in the mandibular anterior region. A study was undertaken to evaluate the presence of mandibular nutrient canals in the anterior region using intra oral periapical films in subjects with hypertension, diabetes mellitus, completely and partially edentulous mandible, periodontally compromised subjects and in post menopausal women and was compared with controls. Material and Method: The study consisted of seven groups each with 50 subjects. The radiographic analysis of the anterior mandible was done using the intra oral periapical radiographs and the presence or absence of nutrient canals was evaluated. Results: A statistical increase in the prevalence of nutrient canals was observed in all the study groups. The nutrient canals were present in 8% in the control group, 34 % in the hypertensive group, 60% in the diabetes group, 72% in subjects with both diabetes and hypertension, 70% in completely and partially edentulous patients, 62 % in the periodontitis group and 50% in the post menopausal women. Conclusion: The presence of nutrient canals can be used as an adjunct diagnostic marker for detection of underlying systemic diseases.

Keywords:

Nutrient, diabetes, dental,

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