Farklı maloklüzyon gruplarında ortodontik tedavinin mandibular kondil kemik kalitesine etkisi

Amaç: Bu çalışmada, ortodontik tedavinin mandibular kondil başı kemik oluşumu üzerine etkilerinin farklı ortodontik maloklüzyon gruplarına göre araştırılması amaçlanmıştır. Gereç ve Yöntem: Çalışmada kırk sekiz hasta incelendi. Çalışmaya dahil edilen kişiler maloklüzyon gruplarına göre gruplandırıldı. Çalışmamız geriye dönük olarak yapıldı. Hastaların ortodontik tedavi öncesi ve sonrası panoramik görüntülerinde çene kondil kemiğinin kalitesi retrospektif olarak karşılaştırıldı. Bu inceleme fraktal analiz yöntemi ile yapılmıştır. Bulgular: Çalışmamızdan elde ettiğimiz bulgulara göre; yaşa ve cinsiyete göre ortodontik tedavi öncesi ve sonrasında mandibular kondil kemik kalitesindeki değişim istatistiksel olarak farklı bulunmadı. Sınıf I ve III maloklüzyonlu bireylerde ortodontik tedavi sonrası mandibular kondil kemiğinin trabeküler yapısında densite azalması olmuştur. Sınıf II maloklüzyonlu bireylerde mandibular kondil kemiğinin trabeküler yapısı densite artması olmuştur. Maloklüzyon gruplarına göre ortodontik tedavi öncesi ve sonrası mandibular kondil kemik kalitesindeki değişim istatistiksel olarak farklı bulundu. Sonuç: Fraktal analiz yöntemi, ortodontik tedavi gören hastaların radyografilerinde oluşan minimal değişikliklerin teşhisini kolaylaştıran ve hastalığın seyrini değerlendiren bir tekniktir. Farklı maloklüzyon gruplarına uygulanan ortodontik tedavi ile mandibular kondil başı kemik oluşumu arasında ilişki bulunabileceği belirlenmiştir. Ortodontik tedavileri değerlendirirken mandibular kondil başı kemik oluşumu göz önünde bulundurulmalıdır.

Anahtar Kelimeler:

Fraktal analiz, Ortodontik tedavi, ortodontik maloklüzyon

Effect of fixed orthodontic treatment on mandibular condyle bone quality in different malocclusion groups

Purpose: The aim of this study was to investigate the effects of orthodontic treatment on the mandibular condyle head bone formation according to different orthodontic malocclusion groups. Materials and Methods: In the study, forty-eight patients were examined. Individuals included in the study were grouped according to malocclusion groups. Our study was carried out retrospectively. The quality of mandibular condyle bone in panoramic images of patients before and after orthodontic treatment were compared retrospectively. This examination was carried out by a fractal analysis method. Results: According to the findings we obtained from our study; the change in mandibular condyle bone quality before and after orthodontic treatment by age and gender was not found to be statistically different. After orthodontic treatment in individuals with Class I and III malocclusions, the trabecular density structure of the mandibular condyle bone increased and decreased in individuals with Class II malocclusion. The change in mandibular condyle bone quality before and after orthodontic treatment by malocclusion groups was found to be statistically different. Conclusion: The fractal analysis method is a technique that facilitates the diagnosis of minimal changes occurring on the radiographs of orthodontic treatment patients and to evaluate the prognosis of the disease. A relationship was found between orthodontic treatment applied to different malocclusion groups and mandibular condyle head bone formation. When evaluating orthodontic treatments, mandibular condyle head bone formation should be taken into consideration.

Keywords:

Fractal analysis, orthodontic treatment, orthodontic malocclusion,

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