MANDİBULAR ÜÇÜNCÜ MOLAR DİŞLERİN GÖMÜLÜ KALMA SIKLIĞI İLE MORFOMETRİK FAKTÖRLER ARASINDAKİ KORELASYON

Abstract

AMAÇ: Bu retrospektif çalışmanın amacı, mandibular morfometrik parametreler (ramus uzunluğu, korpus uzunluğu, alveolar kret yüksekliği ve retromolar boşluk) ile mandibular üçüncü molar dişlerin gömülü kalma durumu arasındaki ilişkiyi konik ışınlı bilgisayarlı tomografi (KIBT) kullanarak değerlendirmektir.
GEREÇ VE YÖNTEM: 2019–2023 yılları arasında çekilmiş, mandibulada diş eksikliği veya patolojisi bulunmayan 17-34 yaş aralığındaki 215 hastaya ait KIBT görüntüleri retrospektif olarak incelendi. Hastalar, mandibular üçüncü molar dişlerin sürme durumuna göre gömülü ve kontrol gruplarına ayrıldı. Morfometrik ölçümler ve bu ölçümler arasındaki oranlar gruplar arasında karşılaştırıldı.
BULGULAR: Ramus (A) ve korpus (B) uzunlukları, alveolar kret yüksekliği (X) ve retromolar boşluk (Y) değerleri gömülü grupta kontrol grubuna kıyasla anlamlı derecede daha düşük bulundu (p < 0,05). Korpus uzunluğunun retromolar boşluğa oranının (B/Y), gömülülük açısından prediktif bir değere sahip olduğu saptandı. Ayrıca, cinsiyete bağlı morfometrik farklılıklar gözlendi ve kadınlarda gömülülük oranının daha yüksek olduğu belirlendi.
SONUÇ: Mandibular morfometrik parametreler ve bu parametreler arasındaki oransal ilişkiler, üçüncü molar dişlerin gömülü kalma riskinin öngörülmesinde önemli olabilir. KIBT kullanılarak yapılan detaylı morfometrik analizlerin, gömülü dişlerin etiyolojisinin daha iyi anlaşılmasına ve klinik öngörüye katkı sağlayabileceği düşünülmektedir.

Keywords

• Gömülü
• Molar
• Mandibula.

CORRELATION BETWEEN THE FREQUENCY OF MANDIBULAR THIRD MOLAR IMPACTION AND MORPHOMETRIC FACTORS

Abstract

OBJECTIVE: This retrospective study aimed to evaluate the correlation between mandibular morphometric parameters (ramus length, corpus length, alveolar crest height, and retromolar space) and the impaction status of mandibular third molars using cone-beam computed tomography (CBCT).
MATERIAL AND METHODS: The CBCT images of 215 patients aged 17-34 years, with no missing teeth or pathology in the mandible, obtained between 2019 and 2023, were examined. The patients were categorized into impacted and control groups based on the eruption status of the mandibular third molars. The morphometric measurements and the ratios between these measurements were compared.
RESULTS: The ramus (A) and corpus (B) lengths, alveolar crest height (X), and retromolar space (Y) were significantly lower in the impacted group compared with the control group (p < 0.05). The ratio of corpus length to retromolar space (B/Y) showed predictive value for impaction. Moreover, sex-related morphometric differences were detected, with a higher impaction rate in females.
CONCLUSIONS: Mandibular morphometric parameters and their proportional relationships may be significant in predicting the risk of third molar impaction. The findings suggest that detailed morphometric analyses performed using CBCT can contribute to a better understanding of the etiology of impacted teeth and to clinical prediction.

Keywords

• Third
• Molar
• Mandible.

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