Research Article
BibTex RIS Cite

Panoramik Radyografide Yumuşak Doku Kalsifikasyon/ossifikasyonlarının Görülme Sıklığı

Year 2020, Volume: 7 Issue: 2, 226 - 232, 01.08.2020
https://doi.org/10.15311/selcukdentj.539152

Abstract

Amaç: Panoramik radyografide yumuşak doku kalsifikasyon/ossifikasyon
prevelansını saptamak ve tiplere göre dağılımını belirlemek amaçlanmıştır.
 

Gereç ve Yöntemler:Farklı sebeplerle alınan 1024 panoramik radyografide yumuşak doku kalsifikasyon/ossifikasyon varlığı incelendi. Kalsifikasyon/ossifikasyon görüldüğünde lokalizasyon ve şekline göre tipi belirlendi. Hastaların yaş ve cinsiyetleri ile kalsifiye aterosklerotik plak varlığında sistemik durumu kayıt edildi.

Bulgular: Yumuşak doku kalsifikasyon/ossifikasyon tespit edilen hastaların % 31.45’i stilohyoid ligament ossifikasyonu, % 26,15’i kalsifiye aterosklerotik plak, % 14.84’ü tonsillolit, % 13.43’ü birden fazla yumuşak doku kalsifikasyon/ossifikasyonu, % 12.72’si tritiseöz kartilaj kalsifikasyonu, % 1.06’sı lenf nodu kalsifikasyonu ve % 0.35’i submandibular sialolit olarak dağılım gösterdi. Kalsifiye aterosklerotik plak görülen hastaların % 29.3’ünde hipertansiyon, % 10.1’inde ise Tip II diyabet mevcuttu. Kalsifikasyon/ossifikasyon sıklığı ile cinsiyet arası ilişkiyi belirlemek için ki-kare testi kullanıldı (p<0.05).

Sonuçlar: En fazla stilohyoid ligament ossifikasyonu izlendi. Yumuşak doku kalsifikasyon/ossifikasyonları kadınlarda daha fazla görüldü ve görülme sıklığı yaşla birlikte arttı.

Anahtar Kelimeler: kalsifikasyonpanoramik radyografi, prevelans

References

  • 1.de Moura MD, Madureira DF, Noman-Ferreira LC, Abdo EN, de Aguiar EG, Freire AR. Tonsillolith: A report of three clinical cases. Med Oral P atol Oral Cir Bucal 2007;12:E130-3.
  • 2. White SC, Pharoah MJ. Soft tissue calcification and ossification. Oral Radiology Principles and Interpretation 7.ed, 2014, Elsevier, Kanada s; 524-541.
  • 3. Kanlı A, Özkan G. Yumuşak dokuda radyoopak görüntü veren lezyonlar. Turkiye Klinikleri J Dental Sci-Special Topics 2010;1(2):58-65.
  • 4. Noffke CEE, Raubenheimer EJ, Chabikuli NJ. Radiopacities in soft tissue on dental radiographs: Diagnostic considerations. SADJ 2015;70(2):53-9.
  • 5. Harorlı A. Ağız, Diş ve Çene Radyolojisi. 1. Baskı. İstanbul: Nobel; 2014. p.416-20.
  • 6. Özemre MÖ, Seçgin CK, Gülşahı A. Yumuşak doku kalsifikasyonları ve ossifikasyonları: derleme. Acta Odontol Turc 2016;33(3):166-75.
  • 7. Mansour PA, Romanuik K, Hutchings RD. Soft tissue calcifications in the differential diagnosis of opacities superimposed over the mandible by dental panoramic radiography. Aust Dent J 1991;36:94-101.
  • 8. Vengalath J, Puttabuddi JH, Rajkumar B, Shivakumar GC. Prevalence of soft tissue calcifications on digital panoramic radiographs: A retrospective study. Journal of Indian Academy of Oral Medicine & Radiology. 2014;26(4):385-9.
  • 9. Garay I, Netto HD, Olate S. Soft Tissue Calcified in Mandibular Angle Area Observed by means of Panoramic radiography. Int J Clin Exp Med 2014;15;7:51-6.
  • 10. Sutter W, Berger S, Meier M, Kropp A, Kielbassa AM, Turhani D. Cross-sectional study on the prevalence of carotid artery calcifications, tonsilloliths, calcified submandibular lymph nodes, sialoliths of the submandibular gland, and idiopathic osteosclerosis using digital panoramic radiography in a Lower Austrian subpopulation. Quintessence Int. 2018 Jan 22:231-242.
  • 11. Babu BB, Tejasvi MLA, Avinash CK, Tonsillolith BC. A panoramic radiograph presentation. J Clin Diagn Res 2013;7(10):2378-9.
  • 12. Levy C, Mandel L. Calcified carotid artery imaged by computed tomography. Int J Oral Maxillofac Surg. 2010;68:218–220.
  • 13. Sezer B, Tugsel Z, Bilgen C. An Unusual Tonsillolith. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:471-3.
  • 14. Carter LC. Soft tissue calcifications and ossifications. White SC, Pharoah MJ, eds. Oral Radiology: Principles and Interpretation. St. Louis, MO: Mosby Elsevier; 2014. p.524-41.
  • 15. Silvestre-Donat FJ, Pla-Mocholi A, Estelles-Ferriol E, Martinez-Mihi V. Giant tonsillolith: report of a case. Med Oral Patol Oral Cir Bucal. 2005;10(3):239-242.
  • 16. Nasseh I, Sokhn S, Noujeim M, Aoun G. Considerations in detecting soft tissue calcifications on panoramic radiography. J Int Oral Health. 2016;8(6):742-746.
  • 17. Yousef HO, Yousef HA, Omar MK, Ahmed MK, Farghaly TM. Tonsillar calcification, computed tomography and clinical findings, a case study. Med J Cairo Univ. 2012;80(1):427.
  • 18. Scarfe WC, Farman AG. Soft tissue calcifications in the neck: Maxillofacial CBCT presentation and significance. AADMRT Currrents 2010;2:1-15.
  • 19. Carter LC. Discrimination between calcified triticeous cartilage and calcified carotid atheroma on panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90(1):108-10.
  • 20. Keur JJ, Campbell JP, McCarthy JF, Ralph WJ. The clinical significance of the elongated styloid process. Oral Surg Oral Med Oral Pathol. 1986; 61(4):399–404.
  • 21. Centurion BS, Imada TS, Pagin O, Capelozza AL, Lauris JR, Rubira-Bullen IR. How to assess tonsilloliths and styloid chain ossifications on cone beam computed tomography images. Oral Dis 2013;19:473-8.
  • 22. Gokce C, Sisman Y, Sipahioglu M. Styloid process elongation or Eagle’s Syndrome: is there any role for ectopic calcification. Eur J Dent 2008;2:224-8.
  • 23. Kaufman SM, Elzay RP, Irish EF. Styloid process variation. Radiologic and clinical study. Arch Otolaryngol 1970;91:460-3.
  • 24. More CB, Aarani MK. Evaluation of the styloid process on digital panoramic radiograph. Indian J Radiol Imaging. 2010;20(4):261–265.
  • 25. Ferrario VF, Sigurta D, Daddona A, Dalloca L, Miani A, Tafuro F, et al. Calcification of the stylohyoid ligament: Incidence and morphoquantative evaluation. Oral Surg Oral Med Oral Pathol 1990;69:524-9.
  • 26. Roopashri G, Vaishali MR, David MP, Baig M, Shankar U. Evaluation of elongated styloid process on digital panoramic radiograph. J Contemp Dent Pract. 2012;13(5):618–622.
  • 27. Phulambrikar T, Rajeshwari A, Rao BB, Warhekar AM, Reddy P. Incidence of elongated styloid process: a radiographic study. J Indian Acad Oral Med Radiol. 2011;23(3):344–346.
  • 28. AlZarea BK. Prevalence and pattern of the elongated styloid process among geriatric patients in saudi Arabia. Clinical Interventions in Aging 2017:12; 611–617.
  • 29. Bozkir MG, Boga H, Dere F. The evaluation of styloid process in panoramic radiographs in edentulous patients. Tr J Med Sci 1999;29:481-5.
  • 30. Elliott RJ, McGrath LT. Calcification of the human thoracic aorta during aging. Calcif Tissue Int 1994;54:268–273.
  • 31. Atalay Y, Asutay F, Agacayak KS, Koparal M, Adali F, Gulsun B. Evaluation of calcified carotid atheroma on panoramic radiographs and Doppler ultrasonography in an older population. Clinical Interventions in Aging 2015;10:1121-9.
  • 32. Tohno S, Tohno Y. Age-related differences in calcium accumulation in human arteries. Cell Mol Biol 1998;44:1253–1263.
  • 33. Ohba T, Takata Y, Ansai T, Morimoto Y, Tanaka T, Kito S, et al. Evaluation of calcified carotid artery atheromas detected by panoramic radiograph among 80-year-olds. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:647-50.
  • 34. Bayer S, Helfgen EH, Bös C, Kraus D, Enkling N, Mues S. Prevalence of findings compatible with carotid artery calcifications on dental panoramic radiographs. Clin Oral Invest 2011; 15:563–569.
  • 35. Taguchi A, Suei Y, Sanada M, Higashi Y, Ohtsuka M, Nakamoto T, et al. Detection of vascular disease risk in women by panoramic radiography. J Dent Res 2003;82:838-43.
  • 36. Friedlander AH, Maeder LA. The prevalence of calcified carotid artery atheromas on the panoramic radiographs of patients with type 2 diabetes mellitus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:420–424.
  • 37. Baumann-Bhalla S, Meier R, Burow A, et al. Recognizing calcifications of the carotid artery on panoramic radiographs to prevent strokes. Schweiz Monatsschr Zahnmed. 2012;122(11):1016–1029.
  • 38. Almog DM, Horev T, Illig KA, Green RM, Carter LC. Correlating carotid artery stenosis detected by panoramic radiography with clinically relevant carotid artery stenosis determined by duplex ultrasound. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94: 768–773.
  • 39. Kauffmann GW, Moser E, Sauer R. Radiologie. Urban & Fischer, München.2001;91–96.
  • 40. Jahromi AS, Cina CS, Liu Y, Clase CM. Sensitivity and specificity of color duplex ultrasound measurement in the estimation of internal carotid artery stenosis: a systematic review and meta-analysis. J Vasc Surg 2005; 41:962–972.
  • 41. de Oliveira Cde N, Amaral TM, Abdo EN, Mesquita RA. Bilateral tonsilloliths and calcified carotid atheromas: case report and literature review. J Craniomaxillofac Surg 2013;41(2):179-82.
  • 42. Aoun G, Nasseh I, Diab HA, Bacho R. Palatine Tonsilloliths: A Retrospective Study on 500 Digital Panoramic Radiographs. The Journal of Contemporary Dental Practice, October 2018;19(10):1284-1287.
  • 43. Bamgbose BO, Ruprecht A, Hellstein J, Timmons S, Qian F. The prevalence of tonsilloliths and other soft tissue calcifications in patients attending oral and maxillofacial radiology clinic of the University of Iowa. ISRN Dent. 2014;839635.
  • 44. Oda M, Kito S, Tanaka T, Nishida I, Awano S, Fujita Y, et al. Prevalence and imaging characteristics of detectable tonsilloliths on 482 pairs of consecutive CT and panoramic radiographs. BMC Oral Health. 2013;13:54.
  • 45. Fauroux MA, Mas C, Tramini P, Torres JH. Prevalence of palatine tonsilloliths: a retrospective study on 150 consecutive CT examinations. Dentomaxillofac Radiol. 2013;42(7): 20120429.
  • 46. Laurie C. Soft tissue calcification and ossification In: White Sc, Pharoah MJ. Oral radiology Principles and interpretation. 2004, Mosby: St. Louis, p. 599-600.47. Cooper MM, Steinberg JJ, Lastra M, Antopol S. Tonsillar calculi. Report of a case and review of the literature. Oral Surg Oral Med Oral Pathol. 1983,55(3):239-243.
  • 48. Ahmad M, Madden R, Perez L. Triticeous cartilage: Prevalence on panoramic radiographs and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2005;99:225-30.
  • 49. Ajmani ML, Jain SP, Saxena SK. A metrical study of laryngeal cartilages and their ossification. Anat Anz 1980;148:42-8.
  • 50. O’Bannon RP, Grunow OH. The larynx and pharynx radiologically considered. South Med J 1954;47:310-6.
  • 51. Williams H. On the edge of the film... Chilaiditi’s sign. Arch Dis Child Educ Pract Ed 2014;99(1):15-6, 41.
  • 52. Lee JS, Kang BC. Screening panoramic radiographs in a group of patients visiting a Health Promotion Center. Korean J Oral Maxillofac Radiol 2005;35:199-202.
Year 2020, Volume: 7 Issue: 2, 226 - 232, 01.08.2020
https://doi.org/10.15311/selcukdentj.539152

Abstract

References

  • 1.de Moura MD, Madureira DF, Noman-Ferreira LC, Abdo EN, de Aguiar EG, Freire AR. Tonsillolith: A report of three clinical cases. Med Oral P atol Oral Cir Bucal 2007;12:E130-3.
  • 2. White SC, Pharoah MJ. Soft tissue calcification and ossification. Oral Radiology Principles and Interpretation 7.ed, 2014, Elsevier, Kanada s; 524-541.
  • 3. Kanlı A, Özkan G. Yumuşak dokuda radyoopak görüntü veren lezyonlar. Turkiye Klinikleri J Dental Sci-Special Topics 2010;1(2):58-65.
  • 4. Noffke CEE, Raubenheimer EJ, Chabikuli NJ. Radiopacities in soft tissue on dental radiographs: Diagnostic considerations. SADJ 2015;70(2):53-9.
  • 5. Harorlı A. Ağız, Diş ve Çene Radyolojisi. 1. Baskı. İstanbul: Nobel; 2014. p.416-20.
  • 6. Özemre MÖ, Seçgin CK, Gülşahı A. Yumuşak doku kalsifikasyonları ve ossifikasyonları: derleme. Acta Odontol Turc 2016;33(3):166-75.
  • 7. Mansour PA, Romanuik K, Hutchings RD. Soft tissue calcifications in the differential diagnosis of opacities superimposed over the mandible by dental panoramic radiography. Aust Dent J 1991;36:94-101.
  • 8. Vengalath J, Puttabuddi JH, Rajkumar B, Shivakumar GC. Prevalence of soft tissue calcifications on digital panoramic radiographs: A retrospective study. Journal of Indian Academy of Oral Medicine & Radiology. 2014;26(4):385-9.
  • 9. Garay I, Netto HD, Olate S. Soft Tissue Calcified in Mandibular Angle Area Observed by means of Panoramic radiography. Int J Clin Exp Med 2014;15;7:51-6.
  • 10. Sutter W, Berger S, Meier M, Kropp A, Kielbassa AM, Turhani D. Cross-sectional study on the prevalence of carotid artery calcifications, tonsilloliths, calcified submandibular lymph nodes, sialoliths of the submandibular gland, and idiopathic osteosclerosis using digital panoramic radiography in a Lower Austrian subpopulation. Quintessence Int. 2018 Jan 22:231-242.
  • 11. Babu BB, Tejasvi MLA, Avinash CK, Tonsillolith BC. A panoramic radiograph presentation. J Clin Diagn Res 2013;7(10):2378-9.
  • 12. Levy C, Mandel L. Calcified carotid artery imaged by computed tomography. Int J Oral Maxillofac Surg. 2010;68:218–220.
  • 13. Sezer B, Tugsel Z, Bilgen C. An Unusual Tonsillolith. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:471-3.
  • 14. Carter LC. Soft tissue calcifications and ossifications. White SC, Pharoah MJ, eds. Oral Radiology: Principles and Interpretation. St. Louis, MO: Mosby Elsevier; 2014. p.524-41.
  • 15. Silvestre-Donat FJ, Pla-Mocholi A, Estelles-Ferriol E, Martinez-Mihi V. Giant tonsillolith: report of a case. Med Oral Patol Oral Cir Bucal. 2005;10(3):239-242.
  • 16. Nasseh I, Sokhn S, Noujeim M, Aoun G. Considerations in detecting soft tissue calcifications on panoramic radiography. J Int Oral Health. 2016;8(6):742-746.
  • 17. Yousef HO, Yousef HA, Omar MK, Ahmed MK, Farghaly TM. Tonsillar calcification, computed tomography and clinical findings, a case study. Med J Cairo Univ. 2012;80(1):427.
  • 18. Scarfe WC, Farman AG. Soft tissue calcifications in the neck: Maxillofacial CBCT presentation and significance. AADMRT Currrents 2010;2:1-15.
  • 19. Carter LC. Discrimination between calcified triticeous cartilage and calcified carotid atheroma on panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90(1):108-10.
  • 20. Keur JJ, Campbell JP, McCarthy JF, Ralph WJ. The clinical significance of the elongated styloid process. Oral Surg Oral Med Oral Pathol. 1986; 61(4):399–404.
  • 21. Centurion BS, Imada TS, Pagin O, Capelozza AL, Lauris JR, Rubira-Bullen IR. How to assess tonsilloliths and styloid chain ossifications on cone beam computed tomography images. Oral Dis 2013;19:473-8.
  • 22. Gokce C, Sisman Y, Sipahioglu M. Styloid process elongation or Eagle’s Syndrome: is there any role for ectopic calcification. Eur J Dent 2008;2:224-8.
  • 23. Kaufman SM, Elzay RP, Irish EF. Styloid process variation. Radiologic and clinical study. Arch Otolaryngol 1970;91:460-3.
  • 24. More CB, Aarani MK. Evaluation of the styloid process on digital panoramic radiograph. Indian J Radiol Imaging. 2010;20(4):261–265.
  • 25. Ferrario VF, Sigurta D, Daddona A, Dalloca L, Miani A, Tafuro F, et al. Calcification of the stylohyoid ligament: Incidence and morphoquantative evaluation. Oral Surg Oral Med Oral Pathol 1990;69:524-9.
  • 26. Roopashri G, Vaishali MR, David MP, Baig M, Shankar U. Evaluation of elongated styloid process on digital panoramic radiograph. J Contemp Dent Pract. 2012;13(5):618–622.
  • 27. Phulambrikar T, Rajeshwari A, Rao BB, Warhekar AM, Reddy P. Incidence of elongated styloid process: a radiographic study. J Indian Acad Oral Med Radiol. 2011;23(3):344–346.
  • 28. AlZarea BK. Prevalence and pattern of the elongated styloid process among geriatric patients in saudi Arabia. Clinical Interventions in Aging 2017:12; 611–617.
  • 29. Bozkir MG, Boga H, Dere F. The evaluation of styloid process in panoramic radiographs in edentulous patients. Tr J Med Sci 1999;29:481-5.
  • 30. Elliott RJ, McGrath LT. Calcification of the human thoracic aorta during aging. Calcif Tissue Int 1994;54:268–273.
  • 31. Atalay Y, Asutay F, Agacayak KS, Koparal M, Adali F, Gulsun B. Evaluation of calcified carotid atheroma on panoramic radiographs and Doppler ultrasonography in an older population. Clinical Interventions in Aging 2015;10:1121-9.
  • 32. Tohno S, Tohno Y. Age-related differences in calcium accumulation in human arteries. Cell Mol Biol 1998;44:1253–1263.
  • 33. Ohba T, Takata Y, Ansai T, Morimoto Y, Tanaka T, Kito S, et al. Evaluation of calcified carotid artery atheromas detected by panoramic radiograph among 80-year-olds. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:647-50.
  • 34. Bayer S, Helfgen EH, Bös C, Kraus D, Enkling N, Mues S. Prevalence of findings compatible with carotid artery calcifications on dental panoramic radiographs. Clin Oral Invest 2011; 15:563–569.
  • 35. Taguchi A, Suei Y, Sanada M, Higashi Y, Ohtsuka M, Nakamoto T, et al. Detection of vascular disease risk in women by panoramic radiography. J Dent Res 2003;82:838-43.
  • 36. Friedlander AH, Maeder LA. The prevalence of calcified carotid artery atheromas on the panoramic radiographs of patients with type 2 diabetes mellitus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:420–424.
  • 37. Baumann-Bhalla S, Meier R, Burow A, et al. Recognizing calcifications of the carotid artery on panoramic radiographs to prevent strokes. Schweiz Monatsschr Zahnmed. 2012;122(11):1016–1029.
  • 38. Almog DM, Horev T, Illig KA, Green RM, Carter LC. Correlating carotid artery stenosis detected by panoramic radiography with clinically relevant carotid artery stenosis determined by duplex ultrasound. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94: 768–773.
  • 39. Kauffmann GW, Moser E, Sauer R. Radiologie. Urban & Fischer, München.2001;91–96.
  • 40. Jahromi AS, Cina CS, Liu Y, Clase CM. Sensitivity and specificity of color duplex ultrasound measurement in the estimation of internal carotid artery stenosis: a systematic review and meta-analysis. J Vasc Surg 2005; 41:962–972.
  • 41. de Oliveira Cde N, Amaral TM, Abdo EN, Mesquita RA. Bilateral tonsilloliths and calcified carotid atheromas: case report and literature review. J Craniomaxillofac Surg 2013;41(2):179-82.
  • 42. Aoun G, Nasseh I, Diab HA, Bacho R. Palatine Tonsilloliths: A Retrospective Study on 500 Digital Panoramic Radiographs. The Journal of Contemporary Dental Practice, October 2018;19(10):1284-1287.
  • 43. Bamgbose BO, Ruprecht A, Hellstein J, Timmons S, Qian F. The prevalence of tonsilloliths and other soft tissue calcifications in patients attending oral and maxillofacial radiology clinic of the University of Iowa. ISRN Dent. 2014;839635.
  • 44. Oda M, Kito S, Tanaka T, Nishida I, Awano S, Fujita Y, et al. Prevalence and imaging characteristics of detectable tonsilloliths on 482 pairs of consecutive CT and panoramic radiographs. BMC Oral Health. 2013;13:54.
  • 45. Fauroux MA, Mas C, Tramini P, Torres JH. Prevalence of palatine tonsilloliths: a retrospective study on 150 consecutive CT examinations. Dentomaxillofac Radiol. 2013;42(7): 20120429.
  • 46. Laurie C. Soft tissue calcification and ossification In: White Sc, Pharoah MJ. Oral radiology Principles and interpretation. 2004, Mosby: St. Louis, p. 599-600.47. Cooper MM, Steinberg JJ, Lastra M, Antopol S. Tonsillar calculi. Report of a case and review of the literature. Oral Surg Oral Med Oral Pathol. 1983,55(3):239-243.
  • 48. Ahmad M, Madden R, Perez L. Triticeous cartilage: Prevalence on panoramic radiographs and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 2005;99:225-30.
  • 49. Ajmani ML, Jain SP, Saxena SK. A metrical study of laryngeal cartilages and their ossification. Anat Anz 1980;148:42-8.
  • 50. O’Bannon RP, Grunow OH. The larynx and pharynx radiologically considered. South Med J 1954;47:310-6.
  • 51. Williams H. On the edge of the film... Chilaiditi’s sign. Arch Dis Child Educ Pract Ed 2014;99(1):15-6, 41.
  • 52. Lee JS, Kang BC. Screening panoramic radiographs in a group of patients visiting a Health Promotion Center. Korean J Oral Maxillofac Radiol 2005;35:199-202.
There are 51 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Mesude Çitir 0000-0003-2015-8879

Kaan Gündüz This is me 0000-0002-0464-1978

Publication Date August 1, 2020
Submission Date March 13, 2019
Published in Issue Year 2020 Volume: 7 Issue: 2

Cite

Vancouver Çitir M, Gündüz K. Panoramik Radyografide Yumuşak Doku Kalsifikasyon/ossifikasyonlarının Görülme Sıklığı. Selcuk Dent J. 2020;7(2):226-32.