İdiyopatik Osteosklerozis Bruksizm ile İlişkili Midir? Kliniko-Radyolojik Değerlendirme

Year 2022, Volume: 4 Issue: 2, 62 - 66, 31.08.2022

Melek Tassoker Büşra Öztürk

https://doi.org/10.51122/neudentj.2022.42

Abstract

Amaç Çenelerin idiyopatik osteosklerozu (IO), non-ekspansif lokalize radyopasitelerdir. Bu lezyonlar genellikle asemptomatiktir ve başka nedenlerle çekilen radyografilerde tesadüfen saptanır. IO'nun etiyolojisi net olmamakla birlikte oklüzal kuvvetlerin kemik birikimine yol açabileceği bildirilmiştir. Bu çalışmanın amacı, çene kemiklerindeki IO’nun bruksist ve bruksist olmayan bireylerdeki dağılımını araştırmaktır.
Gereç ve Yöntemler Bu çalışmada, Ağız, Diş ve Çene Radyolojisi kliniğine tanı ve tedavi ihtiyaçları için başvuran ve bu amaçla panoramik radyografileri çekilen çalışmaya katılmaya gönüllü olan kişiler incelenmiştir. Çalışmaya sadece IO'lu bireyler dahil edilmiştir. Klinik muayenede bruksizm tanısı kaydedilmiştir. Verilerin analizinde SPSS v.21 (IBM Corp., Armonk, NY, USA) programı kullanılmıştır.
Bulgular Çenesinde IO bulunan 91 hasta (52 kadın ve 39 erkek) incelendi. Yaş aralığı 16-71 ve ortalama yaşları 34±14 idi. IO'su olan 37 hasta (%41) bruksist iken 54 hasta (%59) bruksist değildi.
Sonuç IO hem bruksist hem de bruksist olmayan hastalarda görülebilmekte ve IO, bruksist olmayan hastalarda daha sık görülmektedir. Tek taraflı çiğneme veya erken diş teması gibi bireysel farklılıkları değerlendirmek için longitudinal çalışmalara ihtiyaç vardır.

Keywords

Bruksizm, İdiyopatik Osteoskleroz, Çene

Is Idioptahic Osteosclerosis Associated with Bruxism? Clinico-Radiological Evaluation

Abstract

Aim: Idiopathic osteosclerosis (IO) of the jaws are non-expansive localized radiopacities. These lesions are usually asymptomatic and are detected incidentally on radiographs taken for other reasons. Although the etiology of IO is unclear, it has been reported that occlusal forces may lead to bone deposition. The aim of this study is to investigate the distribution of IO in the jaw bones in bruxist and non-bruxist individuals.
Material and Methods: In this study, who applied to the Dentomaxillofacial Radiology clinic for diagnosis and treatment needs and volunteered to participate in the study, whose panoramic radiographs were taken for these purposes, were examined. Only individuals with IO were included in the study. The diagnosis of bruxism in clinical examination was recorded. SPSS v.21 (IBM Corp., Armonk, NY, USA) program was used in the analysis of the data.
Results: 91 patients with IO (52 females and 39 males) in the jaw were studied. The age range was 16-71 and the mean age was 34±14 years. While 37 patients with IO (41%) were bruxist, 54 patients (59%) were non-bruxists.
Conclusion: IO can be seen in both bruxist and non-bruxist patients, and IO is more common in non-bruxist patients. Longitudinal studies are needed to evaluate individual differences such as unilateral chewing or premature tooth contact.

Keywords

Bruxism, Idiopathic osteosclerosis, Jaw

References

• 1. Firestone A. Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. Eur J Orthod. 1997;19(1):103-104.
• 2. Okeson JP. Management of temporomandibular disorders and occlusion-E-book: Elsevier Health Sciences; 2019.
• 3. White SC, Pharoah MJ. Oral radiology-E-Book: Principles and interpretation: Elsevier Health Sciences; 2014.
• 4. Geist JR, Katz JO. The frequency and distribution of idiopathic osteosclerosis. Oral surgery, oral medicine, oral pathology. 1990;69(3):388-393.
• 5. Kalyoncu Z, Arslan A, Kurtuluş B, Sofiyev N, Onur Ö. Çene Kemiklerinde Görülen İdiopatik Osteosklerozisin Türk Popülasyonundaki Sıklığının Belirlenmesi (Pilot Çalışma). Journal of Istanbul University Faculty of Dentistry. 2012;46(1):1-10.
• 6. Williams T, Brooks S. A longitudinal study of idiopathic osteosclerosis and condensing osteitis. Dentomaxillofacial Radiology. 1998;27(5):275-278.
• 7. Miloglu O, Yalcin E, Buyukkurt MC, Acemoglu H. The frequency and characteristics of idiopathic osteosclerosis and condensing osteitis lesions in a Turkish patient population. 2009.
• 8. Greenspan A. Bone island (enostosis): current concept—a review. Skeletal radiology. 1995;24(2):111-115.
• 9. Petrikowski CG, Peters E. Longitudinal radiographic assessment of dense bone islands of the jaws. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, Endodontology. 1997;83(5):627-634.
• 10. Sisman Y, Ertas ET, Ertas H, Sekerci AE. The frequency and distribution of idiopathic osteosclerosis of the jaw. European Journal of Dentistry. 2011;5(04):409-414.
• 11. Eversole L, Stone C, Strub D. Focal sclerosing osteomyelitis/focal periapical osteopetrosis: radiographic patterns. Oral Surgery, Oral Medicine, Oral Pathology. 1984;58(4):456-460.
• 12. Eselman JC. A roentgenographic investigation of enostosis. Oral Surgery, Oral Medicine, Oral Pathology. 1961;14(11):1331-1338.
• 13. Gamba TO, Maciel NAP, Rados PV, da Silveira HLD, Arús NA, Flores IL. The imaging role for diagnosis of idiopathic osteosclerosis: a retrospective approach based on records of 33,550 cases. Clinical Oral Investigations. 2021;25(4):1755-1765.
• 14. Halse A, Molven O. Idiopathic osteosclerosis of the jaws followed through a period of 20-27 years. International Endodontic Journal. 2002;35(9):747-751.
• 15. Sjöholm T, Lehtinen I, Helenius H. Masseter muscle activity in diagnosed sleep bruxists compared with non‐symptomatic controls. Journal of sleep research. 1995;4(1):48-55.
• 16. Bader GG, Kampe T, Tagdae T, Karlsson S, Blomqvist M. Descriptive physiological data on a sleep bruxism population. Sleep. 1997;20(11):982-990.
• 17. Boyne P. Incidence of osteosclerotic areas in the mandible and maxilla. J. Oral Surg. Anesth. Hosp. Dent. 1960;18:486-491.
• 18. Bauer WH, Main L. Osteosclerosis of jaws. Journal of Dental Research. 1941;20(5):399-409.
• 19. Lobbezoo F, Ahlberg J, Glaros AG, et al. Bruxism defined and graded: an international consensus. J Oral Rehabil. Jan 2013;40(1):2-4.
• 20. Manfredini D, Cantini E, Romagnoli M, Bosco M. Prevalence of bruxism in patients with different research diagnostic criteria for temporomandibular disorders (RDC/TMD) diagnoses. Cranio. Oct 2003;21(4):279-285.
• 21. MacDonald-Jankowski DS. Idiopathic osteosclerosis in the jaws of Britons and of the Hong Kong Chinese: radiology and systematic review. Dentomaxillofac Radiol. Nov 1999;28(6):357-363.
• 22. Araki M, Hashimoto K, Kawashima S, Matsumoto K, Akiyama Y. Radiographic features of enostosis determined with limited cone-beam computed tomography in comparison with rotational panoramic radiography. Oral Radiology. 2006/06/01 2006;22(1):27-33.
• 23. Misirlioglu M, Nalcaci R, Baran I, Adisen MZ, Yilmaz S. A possible association of idiopathic osteosclerosis with excessive occlusal forces. Quintessence Int. Mar 2014;45(3):251-258.
• 24. Todić JT, Mitić A, Lazić D, Radosavljević R, Staletović M. Effects of bruxism on the maximum bite force. Vojnosanitetski pregled. 2017;74(2):138-144.
• 25. Gulec M, Tassoker M, Ozcan S, Orhan K. Evaluation of the mandibular trabecular bone in patients with bruxism using fractal analysis. Oral Radiol. Jan 2021;37(1):36-45.
• 26. Calderon Pdos S, Kogawa EM, Corpas Ldos S, Lauris JR, Conti PC. The influence of gender and bruxism on human minimum interdental threshold ability. J Appl Oral Sci. May-Jun 2009;17(3):224-228.
• 27. Rawlinson SC, Boyde A, Davis GR, Howell PG, Hughes FJ, Kingsmill VJ. Ovariectomy vs. hypofunction: their effects on rat mandibular bone. J Dent Res. Jul 2009;88(7):615-620.