PEDİATRİK HASTALARDA KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ KULLANIMI: RETROSPEKTİF GÖZLEMSEL BİR ÇALIŞMA

Year 2023, Volume: 6 Issue: 2, 173 - 178, 26.06.2023

Sevde Göksel , Ahmet Faruk Erturk , Gulsevim Oda , Hülya Çakır Karabaş , İlknur Özcan

https://doi.org/10.26650/JARHS2023-1229205

Abstract

Amaç: Bu çalışmada diş hekimliği fakültemizde konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleme isteklerinin nedenlerinin belirlenmesi, sınıflandırılması ve hangi nedenlerin daha sık KIBT görüntüleme gerektirdiğinin incelenmesi amaçlanmıştır.
Gereç ve Yöntem: KIBT veri tabanından 956 pediatrik hasta incelenmiştir. Daha sonra yaş, cinsiyet, sevk nedeni, görüş alanı (FOV) ve sevk departmanları toplanmıştır. Hastalar yaş dağılımına göre 1-6 yaş, 7-12 yaş ve 13-17 yaş olarak gruplandırılmıştır. Tanımlayıcı ve karşılaştırmalı istatistiksel analiz yapılmıştır.
Bulgular: KIBT sevk nedenleri incelendiğinde en sık başvurulan istekler sırasıyla kemik patolojisi (%26,25), gömülü dişler (%19,87), diş anomalileri (%14,12), yarık dudak ve damak (%13,91) idi. Sevk nedenleri yaş gruplarına göre değerlendirildiğinde, dentoalveolar travma (p=0,049), gömülü dişler (p=0,000), diş anomalileri (p=0,000), cerrahi uygulamalar (p=0,021), kemik patolojisi (p=0,004), dudak damak yarığı, endikasyonlar ve yaş grupları arasında (p=0,000) istatistiksel olarak anlamlı fark bulundu.
Sonuç: Bu çalışma, diş hekimlerine üç boyutlu görüntüleme için çocuk hastaları sevk etmede rehberlik edebilir.

Keywords

Konik ışınlı bilgisayarlı tomografi, FOV, endikasyon, pediatrik diş hekimliği, radyasyonun etkileri

USE OF CONE-BEAM COMPUTED TOMOGRAPHY IN PEDIATRIC PATIENTS: A RETROSPECTIVE OBSERVATIONAL STUDY

Abstract

Objectives: This study aimed to determine and classify the reasons for cone-beam computed tomography (CBCT) imaging requests in the Oral and Maxillofacial Radiology Department, Istanbul University Faculty of Dentistry, and to examine which reasons more commonly require CBCT imaging.
Material and methods: From the local CBCT database, 956 pediatric patients gave their consent. Subsequently, age, gender, the reason for referral, a field of view (FOV), and referral departments were collected. Patients were grouped according to age distribution as 1-6 years, 7-12 years, and 13-17 years. Descriptive and comparative statistical analysis was performed.
Results: When CBCT referral reasons were analyzed, some of the most common requests were bone pathology (26.25%), impacted teeth (19.87%), dental anomalies (14.12%), cleft lip, and palate (13.91%), respectively. When referral reasons are evaluated according to age groups, dentoalveolar trauma (p=0.049), impacted teeth (p=0.000), dental anomalies, surgical applications (p=0.021), bone pathology (p=0.004), cleft lip and palate statistically significant differences were found between the (p=0.000) indications and age groups (p=0.000).
Conclusion: This study can guide dental practitioners in referring pediatric patients for three-dimensional imaging

Keywords

Cone-beam computed tomography, field of view, indication, pediatric dentistry, radiation effects

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