TY - JOUR T1 - Evaluation of Gubernaculum Dentis Characteristics in Impacted and Unerupted Permanent Teeth: A CBCT-Based Study TT - Gömülü ve Sürmemiş Daimi Dişlerde Gubernakulum Dentis Özelliklerinin Değerlendirilmesi: KIBT Tabanlı Bir Çalışma AU - Doğan, Özlem Büşra AU - Ovuz, Zuhal PY - 2025 DA - September Y2 - 2025 DO - 10.69601/meandrosmdj.1664841 JF - Meandros Medical And Dental Journal JO - Meandros Med. Den. j. PB - Aydin Adnan Menderes University WT - DergiPark SN - 2149-9063 SP - 295 EP - 302 VL - 26 IS - 3 LA - en AB - ObjectiveThis study aims to characterize the imaging features of the gubernaculum dentis in impacted or unerupted permanent teeth. It also investigates whether these features differ between individuals with eruption-related pathologies and those without associated pathological conditions.Materials and MethodsA case-control design was employed, comprising 110 individuals in the study group (pathology-associated impacted/unerupted teeth) and 112 individuals in the control group (impacted/unerupted teeth without pathology). Categorical variables were analyzed using Pearson’s Chi-Square test, which is appropriate for evaluating associations between categorical variables. In instances where multiple group comparisons were necessary, the Bonferroni-corrected Z-test was applied to adjust for the increased risk of Type I error due to multiple testing, thereby maintaining the overall statistical validity.ResultsA statistically significant association was observed between GD status (absent, present, or enlarged) and group classification (pathology vs. control; p < 0.001). Specifically, GD absence was more prevalent in the pathology group (53.6%) compared to controls (26.1%). No significant age-related differences were detected between genders (p = 0.307).ConclusionThe findings demonstrate an inverse relationship between GD presence and pathological conditions associated with impacted or unerupted teeth. This suggests that GD absence or enlargement may serve as a radiographic marker for underlying odontogenic pathologies. Further studies are warranted to elucidate the mechanistic role of GD in eruption disturbances. KW - pathology KW - gubernaculum tract KW - impacted tooth KW - gubernaculum canal N2 - GirişBu çalışmanın amacı, gömülü veya sürmemiş daimi dişlerde gubernaculum dentisin görüntüleme özelliklerini tanımlamayı amaçlamaktadır. Ayrıca, bu özelliklerin sürme ile ilişkili patolojileri olan ve ilişkili patolojik durumları olmayan bireyler arasında farklılık gösterip göstermediğini araştırmaktadır.Materyal ve MetotÇalışma, vaka-kontrol tasarımı ile gerçekleştirildi. Çalışma grubunu patoloji ile ilişkili gömülü/sürmemiş dişlere sahip 110 birey, kontrol grubunu ise patolojiye bağlı olmadan gömülü/sürmemiş dişlere sahip 112 birey oluşturdu. Kategorik değişkenler, kategorik değişkenler arasındaki ilişkileri değerlendirmek için uygun olan Pearson Ki-Kare testi ile analiz edilmiştir. Birden fazla grup karşılaştırmasının gerekli olduğu durumlarda, çoklu testlerin neden olabileceği Tip I hata riskini azaltmak ve genel istatistiksel geçerliliği korumak amacıyla Bonferroni düzeltmeli Z testi uygulanmıştır.BulgularGD durumu (yok, mevcut veya genişlemiş) ile grup sınıflandırması (patoloji vs. kontrol) arasında istatistiksel olarak anlamlı bir ilişki bulundu (p < 0.001). GD’nin yokluğu, patoloji grubunda (%53,6) kontrol grubuna (%26,1) kıyasla daha yaygındı. Cinsiyetler arasında yaşa bağlı anlamlı bir fark gözlenmedi (p = 0.307).SonuçBulgular, GD varlığı ile gömülü veya sürmemiş dişlerle ilişkili patolojik durumlar arasında ters ilişki olduğunu göstermektedir. Bu durum, GD yokluğunun veya genişlemesinin, altta yatan odontojenik patolojiler için radyografik bir belirteç olarak kullanılabileceğini düşündürmektedir. GD’nin erüpsiyon bozukluklarındaki mekanik rolünü açıklamak için daha ileri çalışmalara ihtiyaç vardır. CR - 1. Almufleh l, Ghorı s, vyas r, Vagısha k, Mupparapu m, Creanga ag, et al. Gubernaculum Dentıs ın a Transmıgratıng Canıne: Case Report and Literature Revıew. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019 Jan;127(1):45. CR - 2. Chaudhry A, Sobti G. Imaging characteristics of Gubernacular Tract on CBCT- A pictorial review. Oral Radiol. 2021 Jul 1;37(3):355–65. CR - 3. 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