Kadın TMD Hastalarında Kondil Şeklinin ve Artiküler Eminens Morfolojisi ile Yaşa Bağlı Değişikliklerin İlişkisinin KIBT ile Değerlendirilmesi

Abstract

Amaç: Bu çalışmanın amacı temporomandibular eklem rahatsızlığı (TMR) olan bir grup kadın hastada kondil şeklinin ve artiküler eminens eğimi ile yaşa bağlı değişikliklerin ilişkisinin değerlendirilmesidir. Metot: TMR’si bulunan yaşları 18-45 arasında değişen 32 kadın hastanın 64 adet temporomandibular ekleminin KIBT görüntüleri sagittal ve koronal kesitlerde değerlendirildi. Kondil şekli görsel olarak değerlendirildi ve artiküler eminens eğimi “best-fit” ve “top-roof” metotları ile belirlendi. Ayrıca artiküler eminens yüksekliği de ölçüldü. Hastalar 18-30 ve 31-45 olarak iki yaş grubuna ayrıldı. Verilerin kıyaslanmasının istatistiksel analizi için SPSS yazılımı ile uygulanan “Mann-Whitney-U test” kullanıldı. Bulgular: Sagittal düzlemde en sık görülen kondil şekli düz (% 39.1) iken koronal düzlemde üçgen (% 43.8) olarak tespit edildi. Koronal kesitte üçgen kondil başı şeklinin görülme oranı % 31.3 olarak belirlendi. İki yaş grubu arasında artiküler eminens eğimi ve yüksekliği açısından istatistiksel olarak anlamlı bir fark bulunamadı. Sonuç: Kadın TMR hastalarında üçgen ve düz kondil başı tipleri en sık görülen kondil başı tipleri olarak saptanmıştır. AE eğiminin 18-30 yaş grubunda daha yüksek bulunmasına rağmen diğer grup ile arasında istatistiksel olarak anlamlı bir fark belirlenememiştir.

Keywords

• Temporomandibular eklem rahatsızlıkları,konik ışınlı bilgisayarlı tomografi,artiküler eminens eğimi ve yüksekliği,kondil şekli

Cone Beam CT Evaluations of Condyle Shape and Age-Related Associations of Articular Eminence Morphology in Female TMD Patients

Abstract

Aim: The aim of this study was to assess condyle shape and the relationship between age-related associations and articular eminence (AE) inclination in a group of female patients with temporomandibular disorder (TMD). Methods: CBCT images of 64 temporomandibular joints (TMJs) of 32 female TMD patients (18-45-year-old) were evaluated sagittally and coronally. Condyle shape was assessed visually and the inclination of AE was analyzed using with best-fit and top-roof methods. AE heights were also measured. The patients were grouped into two age groups: 18 to 30- and 31 to 45-year-old. Data were statistically analyzed with SPSS software using Mann-Whitney-U test. Results: The most frequently observed condyle shape was flattened (39,1 %) in sagittal plane and triangular (43,8 %) in coronal plane. Triangular condyle shape was seen in 31.3% of condyles on coronal sections. No statistically significant differences were seen in two different age groups comparing AE inclination and height. Conclusion: Triangular and flattened condyles were the most frequent condyle shape in female TMD patients. Although AE inclination was highest between the ages of 18-30, there was no statistical significance.

Keywords

• Temporomandibular joint disorders,cone beam computed tomography,articular eminence inclination and height,condyle shape

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