Agresif periodontitis teşhisi konulan hastalarda pulpa taşı varlığının radyografik olarak değerlendirilmesi

Year 2019, , 1 - 6, 02.01.2019

Zeliha Uğur Aydın , Sevim Koşumcu Gülbahar Ustaoğlu , Seval Bayrak , Hasan Oruçoğlu

https://doi.org/10.17214/gaziaot.427182

Cited By: 1

Abstract

Amaç: Bu çalışmanın amacı
agresif periodontitis (AP) ile pulpa taşı arasındaki ilişkinin radyografik
olarak araştırılmasıdır.

Gereç ve Yöntem: Çalışmaya
AP grubunda 116 bireye (67 kadın ve 49 erkek; yaş ortalaması
26.2 ± 5.3) ve kontrol grubunda 127 periodontal
olarak sağlıklı bireye (72 kadın, 55 erkek; yaş ortalaması 29.8 ± 3.6) ait toplam 243 panoramik radyograf dahil edildi. Maksiller
ve mandibular 1. ve 2. premolar dişler ile 1. ve 2. molar dişlerdeki pulpa taşı
varlığı tek bir gözlemci tarafından değerlendirildi. Değerlendirme sonucunda
elde edilen veriler ki-kare testi kullanılarak analiz edildi.

Bulgular: AP grubunda,
hasta bazında pulpa taşı görülme sıklığı (29/116 birey; %25) kontrol grubuna
göre (12/127 birey; %9.4) anlamlı derecede fazla bulundu (p<0.05). Diş bazında, pulpa taşı görülme insidansı AP grubundaki
molar dişlerde (60/251; %23.9) ve premolar dişlerde (10/344; %2.9) kontrol
grubundaki molar dişlere (11/457; %2.4) ve premolar dişlere (2/499; %0.4) göre
anlamlı derecede
daha fazla bulundu (p<0.05). Her iki grupta da
cinsiyete göre pulpa taşı görülme sıklığında anlamlı fark bulunmadı
(p>0.05).

Sonuç: Bu çalışmanın sınırları
dahilinde, AP'ye sahip bireylerde pulpa taşı görülme sıklığı sağlıklı
periodontal dokuya sahip bireylere göre daha yüksek bulundu. Klinik açıdan, AP'li
bireylerde endodontik tedavide kök kanallarına erişimde güçlük oluşturma riski
taşıyan pulpa taşı varlığı kapsamlı şekilde değerlendirilmelidir.

Keywords

Agresif periodontit, pulpa taşı, diş, radyografi

Radiographic evaluation of the presence of pulp stone in aggressive periodontitis patients

Abstract

Objective: The aim of this study was to investigate
the association between aggressive periodontitis (AP) and pulp stone by
radiography.

Materials and Method: A total of 243
panoramic radiographs of 116 patients (67 female and 49 male;
mean
age: 26.2 ± 5.3 years) in the AP group and 127
periodontally healthy subjects (72 female and 55 male;
mean
age: 29.8 ± 3.6 years) in the control group were included to the study. The
presence of the pulp stones on the 1st and 2nd premolar teeth and the 1st and
2nd molar teeth in the maxilla and mandible were evaluated by a single
observer. The data were analyzed using the chi-square test.

Results: Considering the findings on patient basis,
the presence of pulp stone in the AP group (29/116 subject; 25%) was more
frequent than the control group (12/127 subject; 9.4%) (p<0.05). As for the findings on tooth basis,
the incidence of pulp stone was more frequent in the molar teeth (60/251;
23.9%) and premolar teeth (10/344; 2.9%) of the AP group compared with the molar
teeth (11/457; 2.4%) and premolar teeth (2/499; 0.4%) of the control group (p<0.05). Regarding the gender, there was no statistically
significant difference in the frequency of the pulp stone presence in both
groups (p>0.05).

Conclusion: Within the limitations of
this study, the frequency of pulp stone was greater in the subjects with AP
compared to the subjects with healthy periodontal tissues. From a clinical
standpoint, in the subjects with AP, the presence of pulp stones should be evaluated
comprehensively before commencing endodontic treatment as they may lead to
difficulties during access to root canals.

Keywords

Aggressive periodontitis, pulp stone, dental, radiography

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