Sigara Kullanımı ve Diabetes Mellitus’un Periapikal Durum ile İlişkisinin Panoramik Radyografi Kullanılarak Değerlendirilmesi

Amaç: Bu retrospektif vaka-kontrol çalışmasının amacı sigara kullanımı veradyografik olarak tanısı konulmuş apikal periodontitis arasındaki ilişkininpanoramik radyografi kullanılarak Periapikal İndeks skorlama sistemi (PAI) iledeğerlendirilmesidir.Yöntemler: Çalışmada 75 vaka ve 75 kontrol hastalarına ait kayıtlar MarmaraÜniversitesi Oral Diagnoz ve Radyoloji bölümüne ait arşivden elde edilmiştir.Çalışmaya alınma kriterleri arasında hastaların 20 yaşından büyük olmaları, enaz 8 dişe sahip olmaları ve tam bir klinik ve radyografik muayeneyi kabul etmeleri bulunmaktadır. Vaka grubunu en az bir dişinde radyografik olarak tespitedilebilen periapikal lezyona sahip hastalar oluşturmaktadır. Kontrol grubundaise hastaların hiçbir dişinde periapikal lezyon tespit edilmemiştir.Bulgular: Bu çalışmada periapikal lezyon varlığı ve sigara kullanımı arasındaistatistiksel olarak anlamlı bir ilişki bulunmamaktadır (p>0,05). Ayrıca diabetesmellitus ve periapikal lezyon mevcudiyeti açısından her iki grup arasında anlamlı bir ilişki görülmemiştir (p>0,05).Sonuç: Sonuç olarak çalışmada sigara kullanımı ve diabetes mellitus ile radyografikolarak tespit edilen periapikal lezyonlar arasında anlamlı bir ilişki saptanmamıştır

Anahtar Kelimeler:

Sigara kullanımı, panoramik radyografi, periapikal lezyon, diabetes mellitus

Assessing the Association Among Smoking, Diabetes Mellitus, and Periapical Status Using Panoramic Radiography

Objective: This retrospective case-control study aimed to investigate the association between smoking and radiographically diagnosed apical periodontitisusing panoramic radiographs and periapical index (PAI) scoring system.Methods: The records of 75 controls and 75 patients from the Departmentof Oral Diagnosis and Radiology at Marmara University Dental Faculty, Turkeywere selected and studied. Inclusion criteria were as follows: patients who wereaged >20 years, had at least eight remaining teeth, and agreed to a completeclinical and radiographic examination. The case group comprised patients whohad at least one periapical lesion, which was radiographically detectable in atooth. The control group included patients who had no radiographically defined periapical lesion in any teeth.Results: In this retrospective case-control study, no statistically significant association was observed between smoking and periapical status (p>0.05). Inaddition, there was no significant association between diabetes mellitus andapical periodontitis in both control and case groups (p>0.05).Conclusion: As a result, no significant association was found among smoking,diabetes mellitus, and the presence of radiographically detected periapical lesions in this study

Keywords:

Smoking, panoramic radiography, periapical lesion, diabetes mellitus,

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