Süpernümerer Dişlerle İlişkili Komplikasyonların Konik Işınlı Bilgisayarlı Tomografi ile Değerlendirilmesi

Year 2024, Volume: 8 Issue: 3, 110 - 115, 31.12.2024

Yeliz Güneş , Mehmet Oğuz Borahan

https://doi.org/10.29228/erd.80

Abstract

Amaç: Bu retrospektif çalışmanın amacı, süpernümerer dişlerle (SD) ilişkili komplikasyonları konik ışınlı bilgisayarlı tomografi (KIBT) ile değerlendirmektir.
Gereç ve Yöntemler: 2018-2023 yılları arasında Marmara Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Radyolojisi Anabilim Dalı'na başvuran tüm yaş gruplarındaki hastaların KIBT görüntüleri retrospektif olarak değerlendirildi. SD içeren görüntüler tespit edildi ve SD ile ilişkili komplikasyonlar; komşu dişlerde rezorpsiyon, malpozisyon, gömülü kalma ve patolojik oluşumların (kist, tümör gibi) varlığına göre değerlendirildi. SD ile ilişkili komplikasyonlar ve SD morfolojisi arasındaki ilişki değerlendirildi. Verilerin istatistiksel analizleri SPSS programı kullanılarak değerlendirildi. İstatistiksel anlamlılık p<0,05 olarak kabul edildi.
Bulgular: SD’nin komşu dişlerde farklı oranlarda malpozisyona (%39,3), gömülü kalmaya (%13), rezorpsiyona (%3,8) ve patolojik oluşumlara (%1,3) neden olduğu bulundu. Morfoloji ile komplikasyonlar arasında istatistiksel olarak anlamlı bir ilişki bulundu (p<0,001).
Sonuçlar: Tüberkülat ve suplemental morfolojideki dişlerde komplikasyon riski daha yüksektir, diş hekimleri bu SD morfolojilerine prognoz ve tedavi planlamasında dikkat etmelidir. SD ile ilgili en yaygın komplikasyonlar, malpozisyon ve komşu dişte gömülü kalmadır. Bu durum SD’li hastalarda ortodontik tedavi ihtiyacının yüksek olduğunu gösterir.

Keywords

süpernümerer dişler, konik ışınlı bilgisayarlı tomografi, komplikasyonlar, morfoloji, radyoloji

Evaluation of Complications Related to Supernumerary Teeth with Cone Beam Computer Tomography

Abstract

Objectives: The aim of this retrospective study was to evaluate the complications associated with supernumerary teeth (ST) using cone beam computed tomography (CBCT).
Materials and Methods: CBCT images of patients in all age groups who applied to Marmara University Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, between 2018-2023, were retrospectively evaluated. Images with ST were detected and complications related to ST were evaluated based on the presence of resorption, malposition, impaction of the adjacent teeth and pathological formations (such as cysts or tumors). The relationship between ST-related complications and ST morphology was evaluated. Statistical analyzes of the data were evaluated using the SPSS package program. Statistical significance was accepted as p<0.05.
Results: SD were found to cause malposition (%39.3), impaction (%13), resorption (%3.8) and pathological formations (%1.3) of adjacent teeth at different rates. A statistically significant relationship was found between the morphology and complications (p<0.001).
Conclusions: The risk of complications was higher in tuberculate and supplemental morphologies, dentists should pay attention in prognosis and treatment planning in these morphologies of ST. The most common complications associated with ST were malposition and impaction of adjacent teeth. This indicates a high need for orthodontic treatment in patients with ST.

Keywords

supernumerary teeth, cone beam computer tomography, complications, morphology, radiology

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