ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER

Dilek Ergün; Recai Ergün; Ender Evcik; Türkan Nadir Öziş; İbrahim Akkurt

ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER

Year 2016, Volume: 16 Issue: 60, 39 - 48, 01.07.2016

Dilek Ergün Recai Ergün Ender Evcik Türkan Nadir Öziş İbrahim Akkurt

Abstract

Giriş: Diş teknisyenlerinde tozun neden olduğu parankimal değişiklikler pulmoner fonksiyonları etkilemektedir. Bu çalışmada, Ankara’da görev yapan diş teknisyenlerinde pulmoner tutulumun derecesini gösteren radyolojik skorlar Akciğer grafiği / YRBT ile fonksiyonel bulguların etkilenme derecesi arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Ankara ilinde görev yapan 440 diş, teknisyeni akciğer grafisi, solunum fonksiyon testleri, yüksek çözünürlüklü bilgisayarlı tomografi ile değerlendirildi. Radyolojik görüntülerdeki pulmoner tutulum derecesi; opasitelerin yoğunluğu, amfizem, buzlu cam, bal peteği, plevral anormalliklerin genişliği temel alınarak kategorize edildi. Bulgular: Çalışmaya katılanların ortalama yaşı 34,7±8,5 idi ve ortalama çalışma süresi 16,5±7,9 yıl idi. Diş teknisyeni pnömokonyozu DTP prevalansı %11,1 idi. YRBT’de en yaygın opasite %89,7 ile round opasite idi. Büyük opasite oranı ise %14,3 idi. ILO International Labor Organization skoru ve YRBT skoru arasında pozitif korelasyon vardı. ILO ve YRBT skorları ile tüm solunum foksiyon testleri FEV1/FVC dışında arasında negatif korelasyon saptanırken, yaş total maruziyet süresi, sigara, işe başlama yaşı arasında bir ilişki saptanmadı. İleri istatistiksel analizde; pulmoner tutulumun derecesi YRBT skoru fonksiyonel bozukluğun bağımsız belirleyicisi olmuştur. Pulmoner tutulumun derecesini en iyi yansıtan fonksiyonel parametre ise %FEV1 idi.Sonuç: Biz diş teknisyenlerinde mix toz maruziyeti ile ilişkili fonsiyonel bozuklukların gösterilmesinde radyolojik ve fonksiyonel ölçümlerin birlikte kullanılması gerektiğini düşünüyoruz. Anahtar kelimeler: Pnömokonyoz, diş teknisyeni, mesleki akciğer hastalığı.

Keywords

Pnömokonyoz, diş teknisyeni, mesleki akciğer hastalığı

References

Sivakumar I, Arunachalam KS, Solomon EGR. Occupational heallth hazards in prosthodontic practice: review of risk factors and management strategies. J Adv Prosthodont 2012;4:259-65.
Choudat D. Occupational lung disease among dental technicians. Tuber Lung Dis 1994;75:99-104.
Selden AI, Persson B, Bornberger-Dankvardt SI, Winström LE, Bodin LS. Exposure to cobalt chromium dust and lung disorders in dental technicians. Thorax 1995;50:769-72.
Thorette C, Grigoriu B, Canut E, Sobaszek A, Tonnel AB, Tillie-Leblond I. Pulmonary disease in dental laboratory technicians. Rev Mal Respir 2006;23 (Suppl ):4S7-4S16.
Torbica N, Krstev S. World at work: Dental laboratory technicians. Occup Environ Med 2006;63:145-8.
Rom WN. Role of oxidants in interstitial lung diseases: pneumoconioses, constrictive bronchiolitis, and chronic tropical pulmonary eosinophilia. Mediators Inflamm ;2011:407657.
Wells AU, King AD, Rubens MB, Cramer D, du Bois RM, Hansell DM. Lone cryptogenic fibrosing alveolitis: a functional-morphologic correlation based on extent of disease on thin-section computed tomography. Am J Respir Crit Care Med 1997;155:1367-75.
Akira M. High-resolution CT in the evaluation of occupational and environmental disease Radiol Clin North Am 2002;40: 43-59.
Miller A, Warshaw R, Nezamis J. Diffusing capacity and forced vital capacity in 5.003 asbestos-exposed workers: relationships to interstitial fibrosis (ILO profusion score) and pleural thickening. Am J Ind Med. 2013;56:1383
Wells AU, Hansell DM, Rubens MB, King AD, Cramer D, Black CM, et al. Fibrosing alveolitis in systemic sclerosis: indices of lung function in relation to extent of disease on computed tomography. Arthritis Rheum ;40:1229-36.
Kahraman H, Koksal N, Cinkara M, Ozkan F, Sucakli MH, Ekerbicer H. Pneumoconiosis in dental technicians: HRCT and pulmonary function findings. Occup Med (Lond) 2014;64:442-7.
Ergün D, Ergün R, Ozdemir C, Oziş TN, Yilmaz H, Akkurt I. Pneumoconiosis and respiratory problems in dental laboratory technicians: analysis of 893 dental technicians. Int J Occup Med Environ Health ;27:785-96. Yurdasal B, Bozkurt N, Bozkurt Aİ, Yilmaz Ö. The evaluation of the dust-related occupational respiratory disorders of dental laboratory technicians working in Denizli Province. Ann Thorac Med 2015;10:249-55.
International Labour Office (ILO): Guidelines for the use of the ILO International Classification of Radiographs of Pneumoconioses. Occupational Safety and Health Series No. 22 (Rev 2000) Geneva: p.1-38.
Muir DC, Bernholz CD, Morgan WK, Roos JO, Chan J, Maehle W, et al. Classification of chest radiographs for pneumoconiosis: a comparison of two methods of reading. Br J Ind Med 1992;49:869-71.
Guidelines for the use of the ILO International Classification of Radiographs of Pneumoconioses. Revised Edition. ILO occupational safety and health series. No. 22 (rev 80). Geneva 1980.
Hering K, Kraus T. Coding CT-classification in occupational and environmental respiratory disease. In: Kusaka Y, Hering K, Parker J (eds). International classification of HRCT for occupational and environmental respiratory diseases. Tokyo, Japan, Springer 2005:15-23.
Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. ATS/ERS Task Force. Standardisation of spirometry. Eur Respir J ;26:319-38. Radi S, Dalphin JC, Manzoni P, Pernet D, Leboube MP, Viel JF. Respiratory morbidity in a population of French dental technicians. Occup Environ Med 2002;59:398
Sherson D, Maltbaek N, Olsen O. Small opacities among dental laboratory technicians in Copenhagen. Br J Ind Med 1988;45:320-4.
Alavi A, Shakiba M, Nejad AT, Massahnia S, Shiari A. Respiratory findings in dental laboratory technicians in Rasht (North of Iran). Tanaffos 2011;10:44-9.
Froudarakis ME, Voloudaki A, Bouros D, Drakonakis G, Hatzakis K, Siafakas NM. Pneumoconiosis among cretan dental technicians. Respiration 1999;66:338
Berk S, Dogan DO, Gumus C, Akkurt I. Relationship between radiological (X-ray/HRCT), spirometric and clinical findings in dental technicians’ pneumoconiosis. Clin Respir J 2016;10:67-73.
Ooi GC, Tsang KW, Cheung TF, Khong PL, Ho IW, Ip MS, et al. Silicosis in 76 men: qualitative and quantitative CT evaluation-clinical-radiologic correlation study. Radiology 2003;228:816-25.
Hertzberg VS, Rosenman KD, Reilly MJ, Rice CH. Effect of occupational silica exposure on pulmonary function. Chest 2002;122:721-28.
Lopes AJ, Mogami R, Capone D, Tessarollo B, de Melo PL, Jansen JM. High-resolution computed tomography in silicosis: correlation with chest radiography and pulmonary function tests. J Bras Pneumol ;34:264-72. Rosenstock L, Barnhart S, Heyer NJ, Pierson DJ, Hudson LD. The relation among pulmonary function, chest roentgenographic abnormalities and smoking status in an asbestos-exposed cohort. Am Rev Respir Dis 1988;138:272-7.
Lee YC, Singh B, Pang SC, de Klerk NH, Hillman DR, Musk AW. Radiographic (ILO) readings predict arterial oxygen desaturation during exercise in subjects with asbestosis Occup Environ Med 2003;60:201-6.l

Year 2016, Volume: 16 Issue: 60, 39 - 48, 01.07.2016

Dilek Ergün Recai Ergün Ender Evcik Türkan Nadir Öziş İbrahim Akkurt

Abstract

References

Sivakumar I, Arunachalam KS, Solomon EGR. Occupational heallth hazards in prosthodontic practice: review of risk factors and management strategies. J Adv Prosthodont 2012;4:259-65.
Choudat D. Occupational lung disease among dental technicians. Tuber Lung Dis 1994;75:99-104.
Selden AI, Persson B, Bornberger-Dankvardt SI, Winström LE, Bodin LS. Exposure to cobalt chromium dust and lung disorders in dental technicians. Thorax 1995;50:769-72.
Thorette C, Grigoriu B, Canut E, Sobaszek A, Tonnel AB, Tillie-Leblond I. Pulmonary disease in dental laboratory technicians. Rev Mal Respir 2006;23 (Suppl ):4S7-4S16.
Torbica N, Krstev S. World at work: Dental laboratory technicians. Occup Environ Med 2006;63:145-8.
Rom WN. Role of oxidants in interstitial lung diseases: pneumoconioses, constrictive bronchiolitis, and chronic tropical pulmonary eosinophilia. Mediators Inflamm ;2011:407657.
Wells AU, King AD, Rubens MB, Cramer D, du Bois RM, Hansell DM. Lone cryptogenic fibrosing alveolitis: a functional-morphologic correlation based on extent of disease on thin-section computed tomography. Am J Respir Crit Care Med 1997;155:1367-75.
Akira M. High-resolution CT in the evaluation of occupational and environmental disease Radiol Clin North Am 2002;40: 43-59.
Miller A, Warshaw R, Nezamis J. Diffusing capacity and forced vital capacity in 5.003 asbestos-exposed workers: relationships to interstitial fibrosis (ILO profusion score) and pleural thickening. Am J Ind Med. 2013;56:1383
Wells AU, Hansell DM, Rubens MB, King AD, Cramer D, Black CM, et al. Fibrosing alveolitis in systemic sclerosis: indices of lung function in relation to extent of disease on computed tomography. Arthritis Rheum ;40:1229-36.
Kahraman H, Koksal N, Cinkara M, Ozkan F, Sucakli MH, Ekerbicer H. Pneumoconiosis in dental technicians: HRCT and pulmonary function findings. Occup Med (Lond) 2014;64:442-7.
Ergün D, Ergün R, Ozdemir C, Oziş TN, Yilmaz H, Akkurt I. Pneumoconiosis and respiratory problems in dental laboratory technicians: analysis of 893 dental technicians. Int J Occup Med Environ Health ;27:785-96. Yurdasal B, Bozkurt N, Bozkurt Aİ, Yilmaz Ö. The evaluation of the dust-related occupational respiratory disorders of dental laboratory technicians working in Denizli Province. Ann Thorac Med 2015;10:249-55.
International Labour Office (ILO): Guidelines for the use of the ILO International Classification of Radiographs of Pneumoconioses. Occupational Safety and Health Series No. 22 (Rev 2000) Geneva: p.1-38.
Muir DC, Bernholz CD, Morgan WK, Roos JO, Chan J, Maehle W, et al. Classification of chest radiographs for pneumoconiosis: a comparison of two methods of reading. Br J Ind Med 1992;49:869-71.
Guidelines for the use of the ILO International Classification of Radiographs of Pneumoconioses. Revised Edition. ILO occupational safety and health series. No. 22 (rev 80). Geneva 1980.
Hering K, Kraus T. Coding CT-classification in occupational and environmental respiratory disease. In: Kusaka Y, Hering K, Parker J (eds). International classification of HRCT for occupational and environmental respiratory diseases. Tokyo, Japan, Springer 2005:15-23.
Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. ATS/ERS Task Force. Standardisation of spirometry. Eur Respir J ;26:319-38. Radi S, Dalphin JC, Manzoni P, Pernet D, Leboube MP, Viel JF. Respiratory morbidity in a population of French dental technicians. Occup Environ Med 2002;59:398
Sherson D, Maltbaek N, Olsen O. Small opacities among dental laboratory technicians in Copenhagen. Br J Ind Med 1988;45:320-4.
Alavi A, Shakiba M, Nejad AT, Massahnia S, Shiari A. Respiratory findings in dental laboratory technicians in Rasht (North of Iran). Tanaffos 2011;10:44-9.
Froudarakis ME, Voloudaki A, Bouros D, Drakonakis G, Hatzakis K, Siafakas NM. Pneumoconiosis among cretan dental technicians. Respiration 1999;66:338
Berk S, Dogan DO, Gumus C, Akkurt I. Relationship between radiological (X-ray/HRCT), spirometric and clinical findings in dental technicians’ pneumoconiosis. Clin Respir J 2016;10:67-73.
Ooi GC, Tsang KW, Cheung TF, Khong PL, Ho IW, Ip MS, et al. Silicosis in 76 men: qualitative and quantitative CT evaluation-clinical-radiologic correlation study. Radiology 2003;228:816-25.
Hertzberg VS, Rosenman KD, Reilly MJ, Rice CH. Effect of occupational silica exposure on pulmonary function. Chest 2002;122:721-28.
Lopes AJ, Mogami R, Capone D, Tessarollo B, de Melo PL, Jansen JM. High-resolution computed tomography in silicosis: correlation with chest radiography and pulmonary function tests. J Bras Pneumol ;34:264-72. Rosenstock L, Barnhart S, Heyer NJ, Pierson DJ, Hudson LD. The relation among pulmonary function, chest roentgenographic abnormalities and smoking status in an asbestos-exposed cohort. Am Rev Respir Dis 1988;138:272-7.
Lee YC, Singh B, Pang SC, de Klerk NH, Hillman DR, Musk AW. Radiographic (ILO) readings predict arterial oxygen desaturation during exercise in subjects with asbestosis Occup Environ Med 2003;60:201-6.l

There are 25 citations in total.

Details

Primary Language	Turkish
Journal Section	Research Article
Authors	Dilek Ergün This is me Recai Ergün This is me Ender Evcik This is me Türkan Nadir Öziş This is me İbrahim Akkurt This is me
Publication Date	July 1, 2016
Published in Issue	Year 2016 Volume: 16 Issue: 60

Cite

APA	Ergün, D., Ergün, R., Evcik, E., Öziş, T. N., et al. (2016). ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER. TTB Mesleki Sağlık Ve Güvenlik Dergisi, 16(60), 39-48.
AMA	Ergün D, Ergün R, Evcik E, Öziş TN, Akkurt İ. ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER. MSG. July 2016;16(60):39-48.
Chicago	Ergün, Dilek, Recai Ergün, Ender Evcik, Türkan Nadir Öziş, and İbrahim Akkurt. “ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER”. TTB Mesleki Sağlık Ve Güvenlik Dergisi 16, no. 60 (July 2016): 39-48.
EndNote	Ergün D, Ergün R, Evcik E, Öziş TN, Akkurt İ (July 1, 2016) ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER. TTB Mesleki Sağlık ve Güvenlik Dergisi 16 60 39–48.
IEEE	D. Ergün, R. Ergün, E. Evcik, T. N. Öziş, and İ. Akkurt, “ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER”, MSG, vol. 16, no. 60, pp. 39–48, 2016.
ISNAD	Ergün, Dilek et al. “ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER”. TTB Mesleki Sağlık ve Güvenlik Dergisi 16/60 (July 2016), 39-48.
JAMA	Ergün D, Ergün R, Evcik E, Öziş TN, Akkurt İ. ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER. MSG. 2016;16:39–48.
MLA	Ergün, Dilek et al. “ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER”. TTB Mesleki Sağlık Ve Güvenlik Dergisi, vol. 16, no. 60, 2016, pp. 39-48.
Vancouver	Ergün D, Ergün R, Evcik E, Öziş TN, Akkurt İ. ANKARA’DA DİŞ TEKNİSYENİ PNOMOKONYOZU SIKLIĞI VE İLİŞKİLİ OLDUĞU FAKTÖRLER. MSG. 2016;16(60):39-48.

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