Research Article
BibTex RIS Cite

Hızlı Üst Çene Genişletmesi Tedavisinde Palatal Rugaların Transversal Yöndeki Değişimlerinin İncelenmesi

Year 2020, Volume: 2 Issue: 3, 94 - 97, 31.12.2020

Abstract

Amaç: Adli tıp kayıtlarında, erişkinlerde hayat boyu stabil kabul edilen palatal rugaların hızlı üst çene genişletmesi (HÜÇG) tedavisi sonrasındaki transversal stabilitesinin dental model üzerinde değerlendirilmesidir.
Gereç ve yöntemler: Kliniğimizde üst çene transversal darlığı teşhis edilen, HÜÇG tedavisi uygulanan 20 hastanın (8 kız,12 erkek yaş 14.2 +-1.7 yıl) genişletme öncesi ve retansiyon sonrası kayıtlarından oluşmaktadır. Palatal rugalar 1. rugadan 3. rugaya kadar dental modeller üzerinde kurşun kalemle işaretlendi. İnter-medial ve inter-lateral ruga mesafeleri ve rugaların transversal pozisyon değişiklikleri dijital kumpas ile ölçülerek kaydedildi.
Bulgular: Yapılan ölçümler neticesinde genişletme sonrası rugaların inter-lateral ve inter-medial transversal mesafe ölçümlerinde istatistiksel olarak anlamlı artış bulunmuştur (p<.001).
Sonuç: Bu çalışmada HÜÇG ile tedavi edilen bireylerde rugaların kimlik belirlenmesinde stabil olmadığı bulunmuştur. Buna göre palatal ruga incelemesi ile kimlik tespiti yapılan hastaların ortodontik tedavi geçmişlerinin sorgulanması gerekmektedir.

References

  • 1. Jain A, Chowdhary R. Palatal rugae and their role in forensic odontology. J Investig Clin Dent. 2014;5:171-8. Sweet D, Pretty IA.
  • 2. Patil MS, Patil SB, Acharya AB. Palatine rugae and their significance in clinical dentistry: a review of the literature. J Am Dent Assoc. 2008;139:1471- 8.
  • 3. Ohtani M, Nishida N, Chiba T, Fukuda M, Miyamoto Y, Yoshioka N. Indication and limitations of using palatal rugae for personal identification in edentulous cases. Forensic Sci Int. 2008;176:178-82.
  • 4. Keiser and Neilsen S. Person Identification by Means of Teeth. Bristol: John Wright and Sons; 1980.
  • 5. English WR, Robison SF, Summitt JB, Oesterle LJ, Brannon RB, Morlang WM. Individuality of human palatal rugae. J Forensic Sci 1988;33:718-26.
  • 6. van der Linden FP. Changes in the position of posterior teeth in relation to ruga points. Am J Orthod 1978;74:142-61. 7. Lysell L. Plicae palatinae transversae and papilla incisiva in man; a morphologic and genetic study. Acta Odontol Scand 1955;13:5-137.
  • 8. Muthusubramanian M, Limson KS, Julian R. Analysis of rugae in burn victims and cadavers to simulate rugae identification in cases of incineration and decomposition. J Forensic Odontostomatol 2005;23:26-9.
  • 9. Levine S. Forensic odontology–Identification by dental means. Aust Dent J 1977;22:481-7.
  • 10. Peavy DC Jr, Kendrick GS. The effects of tooth movement on the palatine rugae. J Prosthet Dent 1967;18:536-42.
  • 11. Shukla D, Chowdhry A, Bablani D, Jain P, Thapar R. Establishing the reliability of palatal rugae pattern in individual identification (following orthodontic treatment). J Forensic Odontostomatol 2011;29:20-9.
  • 12. Hass AJ. Rapid expansion of maxillary dental arch and nasal cavity by opening the mid palatal suture. Angle Orthod 1961;31:73-90.
  • 13. Leonardi R, Sicurezza E, Cutrera A, Barbato E. Early post‑treatment changes of circumaxillary sutures in young patients treated with rapid maxillary expansion. Angle Orthod 2011;81:36-41.
  • 14. Weissheimer A, de Menezes LM, Mezomo M, Dias DM, de Lima EM, Rizzatto SM. Immediate effects of rapid maxillary expansion with Haas-type and hyrax-type expanders: A randomized clinical trial. Am J Orthod Dentofacial Orthop 2011;140:366-76.
  • 15. Caldas IM, Magalhães T, Afonso A. Establishing identity using cheiloscopy and palatoscopy. Forensic Sci Int 2007;165:1-9.
  • 16. Almeida MA, Phillips C, Kula K, Tulloch C. Stability of the palatal rugae as landmarks for analysis of dental casts. Angle Orthod 1995;65:43-8.
  • 17. Kapoor and Miglani: Transverse changes in palatal rugae after mid palatal expansion Journal of Forensic Dental Sciences.2015;1:7

Examination of Transversal Changes of Palatal Ruga in the Treatment of Rapid Maxillary Expansion

Year 2020, Volume: 2 Issue: 3, 94 - 97, 31.12.2020

Abstract

Aim: Evaluation of the transversal stability of palatal rugaes after rapid maxillary expansion (RME) treatment on a dental model, which remain stable throughout the life of the adult in the records of forensic medicine.
Materials and Methods: It consists of the pre-expansion and post-retention records of 20 patients (8 girls, 12 boys, 14.2 + -1.7 years) diagnosed with maxillary transversal deficiency and treated with RME in our clinic. Palatal rugae were marked simultaneously with pencil on dental models from the 1st to the 3rd ruga. Inter-medial and inter-lateral ruga distances and transversal position changes of rugae were measured with digital caliper and recorded.
ResultsAs a result of the measurements , a statistically significant increase was found between the inter-medial and inter-lateral points of the 1st, 2nd and 3rd ruga after expansion (p <.001).
Conclusion: : In this study, it was found that rugaes were not stable in determining the identity in individuals treated with RME. Accordingly, the orthodontic treatment histories of the patients who are identified with palatal ruga examination should be questioned.

References

  • 1. Jain A, Chowdhary R. Palatal rugae and their role in forensic odontology. J Investig Clin Dent. 2014;5:171-8. Sweet D, Pretty IA.
  • 2. Patil MS, Patil SB, Acharya AB. Palatine rugae and their significance in clinical dentistry: a review of the literature. J Am Dent Assoc. 2008;139:1471- 8.
  • 3. Ohtani M, Nishida N, Chiba T, Fukuda M, Miyamoto Y, Yoshioka N. Indication and limitations of using palatal rugae for personal identification in edentulous cases. Forensic Sci Int. 2008;176:178-82.
  • 4. Keiser and Neilsen S. Person Identification by Means of Teeth. Bristol: John Wright and Sons; 1980.
  • 5. English WR, Robison SF, Summitt JB, Oesterle LJ, Brannon RB, Morlang WM. Individuality of human palatal rugae. J Forensic Sci 1988;33:718-26.
  • 6. van der Linden FP. Changes in the position of posterior teeth in relation to ruga points. Am J Orthod 1978;74:142-61. 7. Lysell L. Plicae palatinae transversae and papilla incisiva in man; a morphologic and genetic study. Acta Odontol Scand 1955;13:5-137.
  • 8. Muthusubramanian M, Limson KS, Julian R. Analysis of rugae in burn victims and cadavers to simulate rugae identification in cases of incineration and decomposition. J Forensic Odontostomatol 2005;23:26-9.
  • 9. Levine S. Forensic odontology–Identification by dental means. Aust Dent J 1977;22:481-7.
  • 10. Peavy DC Jr, Kendrick GS. The effects of tooth movement on the palatine rugae. J Prosthet Dent 1967;18:536-42.
  • 11. Shukla D, Chowdhry A, Bablani D, Jain P, Thapar R. Establishing the reliability of palatal rugae pattern in individual identification (following orthodontic treatment). J Forensic Odontostomatol 2011;29:20-9.
  • 12. Hass AJ. Rapid expansion of maxillary dental arch and nasal cavity by opening the mid palatal suture. Angle Orthod 1961;31:73-90.
  • 13. Leonardi R, Sicurezza E, Cutrera A, Barbato E. Early post‑treatment changes of circumaxillary sutures in young patients treated with rapid maxillary expansion. Angle Orthod 2011;81:36-41.
  • 14. Weissheimer A, de Menezes LM, Mezomo M, Dias DM, de Lima EM, Rizzatto SM. Immediate effects of rapid maxillary expansion with Haas-type and hyrax-type expanders: A randomized clinical trial. Am J Orthod Dentofacial Orthop 2011;140:366-76.
  • 15. Caldas IM, Magalhães T, Afonso A. Establishing identity using cheiloscopy and palatoscopy. Forensic Sci Int 2007;165:1-9.
  • 16. Almeida MA, Phillips C, Kula K, Tulloch C. Stability of the palatal rugae as landmarks for analysis of dental casts. Angle Orthod 1995;65:43-8.
  • 17. Kapoor and Miglani: Transverse changes in palatal rugae after mid palatal expansion Journal of Forensic Dental Sciences.2015;1:7
There are 16 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section RESEARCH ARTICLE
Authors

Mücahid Yıldırım 0000-0003-0939-3675

Veli Şahin This is me 0000-0002-9667-3802

Emire Aybüke Erdur 0000-0002-1887-8474

Publication Date December 31, 2020
Submission Date November 23, 2020
Acceptance Date December 15, 2020
Published in Issue Year 2020 Volume: 2 Issue: 3

Cite

Vancouver Yıldırım M, Şahin V, Erdur EA. Hızlı Üst Çene Genişletmesi Tedavisinde Palatal Rugaların Transversal Yöndeki Değişimlerinin İncelenmesi. NEU Dent J. 2020;2(3):94-7.