Temporomandibular eklem osteoartrit bulguları üzerinde ilerleyen yaşın etkisi

Giriş: Bu çalışmanın amacı, yaşlı hastalarda konik ışınlı bilgisayarlı tomografi görüntülerinde temporomandibular eklem osteoartrit (TME OA) bulgularını değerlendirmektir. Gereç ve yöntem: Çalışmaya 167 hasta (136 kadın, 31 erkek) dahil edildi. Çalışmada toplam 334 TME değerlendirildi. OA'nın varlığına göre, eklemler “OA ile” ve “OA olmadan” olarak iki gruba ayrıldı. Herhangi bir osteoartrit bulgusu mevcut olduğunda, eklem “OA ile” grubuna dahil edildi. OA bulguları osteofit, erozyon, düzleşme, skleroz ve psödokist olarak sıralandı. Ayrıca TME iki yaş grubuna ayrıldı: Grup 1 (50-64 yaş) ve grup 2 (65-81 yaş) İstatistiksel analiz için SPSS v20 kullanıldı. OA varlığı açısından cinsiyetler arasında anlamlı fark bulunmadı (p> 0,005). Erozyon, düzleşme ve skleroz için grup 1 ile grup 2 arasında anlamlı fark vardı (p <0.005). Grup 1 ile grup 2 arasında osteofit, ve psödokist için anlamlı fark bulunmadı (p> 0.005). Sonuçlar: Yaşlı hastalarda, ilerleyen yaşla birlikte erozyon, düzleşme ve skleroz gibi osteoartrit radyolojik bulguları daha sık görülebilir.

Anahtar Kelimeler:

temporomandibular eklem, osteoartrit, geriyatri

The Effect Of Advancing Age On The Temporomandibular Joint Osteoarthritis Findings

Aim: The aim of this study is to evaluate temporomandibular joint osteoarthritis (TMJ OA) findings in elder patients with cone beam computed tomography. Materials and methods: One hundred and sixty-seven patients (136 women, 31 men) participated in the study. Three hundred and thirty-four joints were evaluated in the study. According to the presence of OA, TMJs were divided into two groups as “with osteoarthritis” and “without osteoarthritis”. When any of the osteoarthritis findings were present, the joint was included in the “with osteoarthritis” group. OA findings were listed as osteophyte, erosion, flattening, sclerosis and pseudocyst. Also, TMJs were divided into two age groups: Group 1 (50-64 years old) and group 2(65-81 years old) For statistical analysis, SPSS v20 were used. Results: There was no significant difference between genders for the presence of OA (p>0.005). There were significant differences between group 1 and group 2 for erosion, flattening and sclerosis (p<0.005). There was no significant difference between group 1 and group 2 for osteophyte and pseudocyst (p>0.005). Conclusion: Radiological findings like erosion, flattening and sclerosis can be seen more common with advancing age.

Keywords:

temporomandibular joint, osteoarthritis, geriatrics,

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