Yrd. Doç. Dr.u. Şebnem BÜYÜKKAPLAN, Prof. Dr. M. Üstün GÜLDAĞ, Doç. Dr. S.hakan TUNA, Arş..gör.dt.çağrı TURNA

Tam dişsiz kadın ve erkek bireylerde alt çene alveolar residüel kret rezorbsiyonlarının karşılaştırılması

Amaç: Bu çalışmanın amacı tam dişsiz kadın ve erkek bireylerde, alt çene alveoler rezidüel kret rezorbsiyon oranlarının karşılaştırılması ve yaş, dişsizlik süresi, vücut kitle indeksi ve alveoler residüel kret rezorbsiyonu arasındaki ilişkinin incelenmesidir. Gereç ve yöntem: Çalışmaya 23 kadın, 23 erkek olmak üzere tam dişsiz 46 hasta dahil edildi. Araştırmaya osteoporoza sahip kadın ve erkek bireyler dahil edilmedi. Alveoler rezidüel kret rezorbsiyonu dental panoramik filmler üzerinde alt çene kemiği alt sınırının kret tepesine olan mesafesi ile alt çene kemiği alt sınırının mental foramenin alt sınırına olan mesafesi arasındaki oran kullanılarak belirlendi. Veriler SPSS 13.0 kullanılarak istatistiksel olarak analiz edildi. Bulgular: Kadın ve erkek bireylerin yaş, dişsizlik süreleri ve vücut kitle indeksleri arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0.05). Kadın bireylerin alveoler rezidüel kret rezorbsiyon oranı (1,87±0,32 mm) erkek bireylerde belirlenen alveoler rezidüel kret rezorbsiyon oranından (1,96±0,37) daha fazla olmasına rağmen, bu sonuç istatistiksel olarak anlamlı değildi (p=0.3). Sonuç: Bu araştırmada, osteoporoza sahip olmayan kadın ve erkek bireylerin alveolar rezidüel kret rezorbsiyon oranları arasında farklılık bulunmadığı belirlenmiştir

Anahtar Kelimeler:

alt çene, tam dişsizlik, rezidüel kret rezorbsiyon

Comparison of mandibular alveolar residual ridge resorption in edentulous men and women

Keywords:

-,

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Kribbs PJ. Comparison of mandibular bone in normal and osteoporotic women. J Prosthet Dent. 1990; 63: 218-22.
Kribbs PJ, Smith DE, Chesnut CH. Oral findings in osteoporosis. Part II: Relationship between residuel ridge and alveolar bone resorption and generalized skeletal osteopenia. J Prosthet Dent. 1983; 50: 719-24.
Kribbs PJ, Smith DE, Chestnut CH. Oral findings in osteoporosis. Part I: Measurement of mandibular bone density. J Prosthet Dent. 1983; 50: 576-579.
Hirai T, Ishijima T, Hashikawa Y. Osteoporosis and reduction of residuel ridge in edentulous patients. J Prosthet Dent. 1993; 69: 49-56.
Klemetti E, Vainio P, Lassila V. Cortical bone mineral density in the mandible and osteoporosis status in postmenopausal women. Scand J Dent Res. 1993; 101: 219-223.
Klemetti E, Vainio P, Lassila V. Trabecular bone mineral density of mandible and alveolar height in postmenopausal women. Scand J Dent Res. 1993; 101: 166-70.
Slagter KW, Raghoebar GM, Vissink A. Osteoporosis and edentulous jaws. Int J Prosthodont. 2008; 21: 19-26.
Atwood DA, Coy WA. Clinical, cephalometric and densitometric study of reduction of residuel ridges. J Prosthet Dent. 1971; 26: 280-295.
Tallgren A, Lang BR, Walker GF. Roentgen cephalometric analysis of ridge resorption and changes in jaw and occlusal relationships in immediate complete denture wearers. J Oral Rehabil. 1980; 7: 77-94.
Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. J Prosthet Dent. 1972; 27: 120-132.
von Wowern N, Stoltze K. Pattern of age related bone loss in mandibles. Scand J Dent Res. 1980; 88: 134-146.
Klemetti E, Kröger H, Lassila V. Relationship between body mass index and the remaining alveolar ridge. J Oral Rehabil. 1997; 24: 808-812.
Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. 1972. J Prosthet Dent. 2003; 89: 427-435.
Beer A, Gahleitner A, Holm A. Correlation of insertion torques with BMD from dental quantitative CT in the mandible. Clin Oral Implants Res. 2003; 14: 616-620.
Seong WJ, Kim UK, Swift JQ. Correlations between physical properties of jawbone and dental implant initial stability. J Prosthet Dent. 2009; 101: 306- 318.
Wical KE, Swoope CC. Studies of residuel ridge resorption. Part I. Use of panoramic radiographs for evaluation and classification of mandibular resorption. J Prosthet Dent. 1974; 32: 7-12.
Ortman LF, Hausmann E, Dunford RG. Skeletal osteopenia and residual ridge resorption. J Prosthet Dent. 1989; 61: 321-325.
Felton DA. Edentulism and comorbid factors. J Prosthodont. 2009; 18: 88-96.
Bollen AM, Taguchi A, Hujoel PP. Number of teeth and residual alveolar ridge height in subjects with a history of self-reported osteoporotic fractures. Osteoporos Int. 2004; 15: 970-974.
Sanfilippo F, Bianchi AE. Osteoporosis: the effect on maxillary bone resorption and therapeutic possibilities by means of implant prostheses--a literature review and clinical considerations. Int J Periodontics Restorative Dent. 2003; 23: 447-457.
Jahangiri L, Kim A, Nishimura I. Effect of ovariectomy on the local residual ridge remodeling. J Prosthet Dent. 1997; 77: 435-443.
Solar P, Ulm CW, Thornton B. Sex-related differences in the bone mineral density of atrophic mandibles. J Prosthet Dent. 1994; 71: 345-349.
Devlin H, Ferguson MW. Alveolar ridge resorption and mandibular atrophy. A review of the role of local and systemic factors. Br Dent J. 1991; 170: 101-104.
Yüzügüllü B, Gulsahi A, Imirzalioglu P. Radiomorphometric indices and their relation to alveolar bone loss in completely edentulous Turkish patients: a retrospective study. J Prosthet Dent. 2009; 101: 160-165.
Rawlinson SC, Boyde A, Davis GR. Ovariectomy vs. hypofunction: their effects on rat mandibular bone. J Dent Res. 2009; 88: 615-620.
Jonasson G. Bone mass and trabecular pattern in the mandible as an indicator of skeletal osteopenia: a 10-year follow-up study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108: 284-291.
Sheiham A, Steele JG, Marcenes W. The relationship between oral health status and Body Mass Index among older people: a national survey of older people in Great Britain. Br Dent J. 2002; 192: 703-706.
Nowjack-Raymer RE, Sheiham A. Numbers of natural teeth, diet, and nutritional status in US adults. J Dent Res. 2007; 86: 1171-1175.
Zarb GA, Bolender CL, Carlsson GE. Biomechanics of the edentulous state, 11th ed. Boucher’s prosthodontic treatment for edentulous patients. St. Louis; CV Mosby: 1997. p. 8-29.
Wandera M, Engebretsen IM, Okullo I, Tumwine JK, Astrİm AN; Promıse-Ebf Study Group. Socio- demographic factors related to periodontal status and tooth loss of pregnant women in Mbale district, Uganda. BMC Oral Health. 2009;18:9-18.
Klemetti E, Vainio P. Effect of bone mineral density in skeleton and mandible on extraction of teeth and clinical alveolar height. J Prosthet Dent. 1993;70:21-5.
Casado PL, Duarte ME, Carvalho W, Esmeraldo da Silva L, Barboza EP. Ridge bone maintenance in human 2010;19:314-22. Implant Dent.
Takaishi Y, Okamoto Y, Ikeo T et al. Correlations between periodontitis and loss of mandibular bone in relation to systemic bone changes in postmenopausal Japanese women. Osteoporos Int. 2005;16:1875-82.
von Wovern N, Kollerup G. Symptomatic osteoporosis: a risk factor for residual ridge reduction of the jaws. J Prosthet Dent. 1992;67:656-60.
Matsumaru Y. Influence of mandibular residual ridge resorption on objective masticatory measures of lingualized and fully bilateral balanced denture articulation. J Prosthodont Res. 2010; 54: 112-118.