Zeliha UĞUR AYDIN, Sevim KOŞUMCU, Gülbahar USTAOĞLU, Seval BAYRAK, Hasan ORUÇOĞLU

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Agresif periodontitis teşhisi konulan hastalarda pulpa taşı varlığının radyografik olarak değerlendirilmesi

Amaç: Bu çalışmanın amacı agresif periodontitis (AP) ile pulpa taşı arasındaki ilişkinin radyografik olarak araştırılmasıdır.Gereç ve Yöntem: Çalışmaya AP grubunda 116 bireye (67 kadın ve 49 erkek; yaş ortalaması 26.2 ± 5.3) ve kontrol grubunda 127 periodontal olarak sağlıklı bireye (72 kadın, 55 erkek; yaş ortalaması 29.8 ± 3.6) ait toplam 243 panoramik radyograf dahil edildi. Maksiller ve mandibular 1. ve 2. premolar dişler ile 1. ve 2. molar dişlerdeki pulpa taşı varlığı tek bir gözlemci tarafından değerlendirildi. Değerlendirme sonucunda elde edilen veriler ki-kare testi kullanılarak analiz edildi.Bulgular: AP grubunda, hasta bazında pulpa taşı görülme sıklığı (29/116 birey; %25) kontrol grubuna göre (12/127 birey; %9.4) anlamlı derecede fazla bulundu (p<0.05). Diş bazında, pulpa taşı görülme insidansı AP grubundaki molar dişlerde (60/251; %23.9) ve premolar dişlerde (10/344; %2.9) kontrol grubundaki molar dişlere (11/457; %2.4) ve premolar dişlere (2/499; %0.4) göre anlamlı derecede daha fazla bulundu (p<0.05). Her iki grupta da cinsiyete göre pulpa taşı görülme sıklığında anlamlı fark bulunmadı (p>0.05). Sonuç: Bu çalışmanın sınırları dahilinde, AP'ye sahip bireylerde pulpa taşı görülme sıklığı sağlıklı periodontal dokuya sahip bireylere göre daha yüksek bulundu. Klinik açıdan, AP'li bireylerde endodontik tedavide kök kanallarına erişimde güçlük oluşturma riski taşıyan pulpa taşı varlığı kapsamlı şekilde değerlendirilmelidir.
Anahtar Kelimeler:

Agresif periodontit, pulpa taşı, diş, radyografi

Radiographic evaluation of the presence of pulp stone in aggressive periodontitis patients

Objective: The aim of this study was to investigate the association between aggressive periodontitis (AP) and pulp stone by radiography.Materials and Method: A total of 243 panoramic radiographs of 116 patients (67 female and 49 male; mean age: 26.2 ± 5.3 years) in the AP group and 127 periodontally healthy subjects (72 female and 55 male; mean age: 29.8 ± 3.6 years) in the control group were included to the study. The presence of the pulp stones on the 1st and 2nd premolar teeth and the 1st and 2nd molar teeth in the maxilla and mandible were evaluated by a single observer. The data were analyzed using the chi-square test.Results: Considering the findings on patient basis, the presence of pulp stone in the AP group (29/116 subject; 25%) was more frequent than the control group (12/127 subject; 9.4%) (p<0.05). As for the findings on tooth basis, the incidence of pulp stone was more frequent in the molar teeth (60/251; 23.9%) and premolar teeth (10/344; 2.9%) of the AP group compared with the molar teeth (11/457; 2.4%) and premolar teeth (2/499; 0.4%) of the control group (p<0.05). Regarding the gender, there was no statistically significant difference in the frequency of the pulp stone presence in both groups (p>0.05). Conclusion: Within the limitations of this study, the frequency of pulp stone was greater in the subjects with AP compared to the subjects with healthy periodontal tissues. From a clinical standpoint, in the subjects with AP, the presence of pulp stones should be evaluated comprehensively before commencing endodontic treatment as they may lead to difficulties during access to root canals.
Keywords:

Aggressive periodontitis, pulp stone, dental, radiography,

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Acta Odontologica Turcica-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1984
  • Yayıncı: Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi
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