EPİLEPSİ HASTALARINDA KÖK REZORPSİYON PREVALANSININ VE LOKASYONUNUN RADYOLOJİK DEĞERLENDİRMESİ–GÖZLEMSEL BİR ÇALIŞMA

Year 2024, , 111 - 118, 18.03.2024

Katibe Tuğçe Temur , Fatma Pertek Hatipoğlu , Güldane Mağat

https://doi.org/10.17343/sdutfd.1334887

Abstract

Amaç
Epilepsi hastalarının tedavisinde kullanılan antiepileptik
ilaçlar kemik dokusu üzerinde olumsuz etki yapmaktadır
ancak bildiğimiz kadarı ile bu hastalarda diş
kökü rezorpsiyonu araştırılmamıştır. Bu çalışmanın
amacı, antiepileptik ilaç kullanan epilepsi hastalarında
eksternal ve internal kök rezorpsiyon prevalansını
ve rezorpsiyon bölgelerine göre dağılımını değerlendirmektir.
Gereç ve Yöntem
Diş tedavisi öncesi elde edilen panoramik radyografiler
değerlendirildi. Vaka grubu sadece epilepsili bireylerden
oluşurken, kontrol grubu sağlıklı bireylerden
oluştu. Tüm dişlerde (üçüncü azı dişleri hariç) dış ve
iç rezorpsiyon varlığı/yokluğu, rezorpsiyon bölgesi
(kökün servikal, orta ve apikal bölgesi), yaşı ve cinsiyeti
bir excel dosyasına kaydedildi. Dağılımın normalliğine
göre bağımsız örneklem t-testi veya Mann-Whitney
U testi ve kategorik değişkenleri karşılaştırmak
için ki-kare testi kullanıldı.
Bulgular
424 hastanın (236 sağlıklı birey ve 188 epileptik hasta)
93'ünde (%21,9) rezorpsiyon olduğunu gösterse
de gruplar arasında eksternal ve internal rezorpsiyon
varlığı açısından anlamlı farklılık yoktu (p = 0,089 ve
0,746). Rezorpsiyon 30 yaş üstü ve erkeklerde daha
sıktı (p=0,018 ve 0,013).
Sonuç
Epilepsi hastalarında rezorpsiyon varlığının sağlıklı
deneklerden farklı olmadığı sonucuna vardık. Ancak
epilepsili hastalarda rezorpsiyon en çok alt azı dişleri
ve orta 1/3 bölgede görüldü. Klinisyenler bu hastalarda
diş tedavisi yaparken sonuçlarımızı dikkate almalıdır.

Keywords

Antiepileptik İlaç, Epilepsi, Panoramik Radyografi, Rezorpsiyon

Project Number

none

RADIOLOGICAL ASSESSMENT OF THE PREVALENCE AND LOCATION OF ROOT RESORPTION IN EPILEPTIC PATIENTS: AN OBSERVATIONAL STUDY

Abstract

Objective
Antiepileptic drugs used in the treatment of epilepsy
patients have a negative effect on bone tissue, but as far as we know, tooth root resorption has not been
investigated in these patients. The aim of this study was
to evaluate the prevalence of external and internal root
resorption and its distribution according to resorption
sites in epilepsy patients using antiepileptic drugs.
Material and Method
Panoramic radiographs obtained before dental
treatment were evaluated. While the case group
consisted of only those with epilepsy, the control group
included healthy subjects. The presence/absence of
external and internal resorption of all teeth (except the
third molars), region of resorption (cervical, middle, and
apical region of the root), age, and sex were recorded
in an excel file. Independent sample t-test or Mann-
Whitney U test according to normality of distribution
and a chi-square test to compare categorical variables
were used.
Results
The resorption in 93 (21.9%) of 424 patients (236
healthy subjects and 188 epileptic patients), the groups
did not significantly differ by the presence of external
and internal resorption (p = 0.089 and 0.746). It was
more common in those over 30 years and males (p =
0.018 and 0.013).
Conclusion
We concluded that the presence of resorption in
epilepsy patients was not different from healthy
subjects. However, in patients with epilepsy, resorption
was mostly seen in the lower molars and middle 1/3
regions. Clinicians should consider our results when
treating these patients.

Keywords

Antiepileptic Drug, Epilepsy, Panoramic Radiography, Resorption

Supporting Institution

none

Project Number

none

Thanks

none

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