Farklı Dik Yön Yüz Gelişimine Sahip Erişkin Bireylerde Pterygomaksiller Fissür ile İlişkisini İncelenmesi

Year 2020, Volume: 13 Issue: 2, 1 - 8, 28.08.2020

Sanaz Sadry , Ufuk Ok

Abstract

Amaç: Bu çalışmanın amacı iskeletsel anomaliye sahip bireylerde uygulanacak tedavi için sıklıkla kullanılan sefalometrik görüntülerde pterygomaksiller fissürle dik yön paterni ile ilişkisinin değerlendirilmesidir.
Gereç ve Yöntem: Çalışmamıza İstanbul Aydin Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı'na tedaviye başvurmuş dengeli yüz oranlarına ve iskeletsel Sınıf I olan bireyler dâhil edilmiştir. Bu kapsamda 115’i kız (20.65±1.83 yıl), 135’i erkek (20.54±1.33 yıl) olmak üzere 250 bireyin sefalometrik radyografları kullanıldı. Sekizi çizgisel, ikisi açısal olmak üzere toplam 10 ölçüm Nemoceph NemoCeph NX (Nemotech, Madrid, Spain) programı kullanılarak bilgisayar ortamında yapıldı. Yapılan retrospektif çalışmada; sefalometrik görüntüler üzerinde pterygomaksiller fissürle iskeletsel dik yön gelişimi ililşkisi ayrıntılı olarak incelendi.
Bulgular: Elde edilen veriler SPSS (22.0) paket programı ile değerlendirilmiştir. Verilere ilişkin analizler, İki değişkenli verilerin analizi için ‘Mann-Whitney U Test İstatistiği kullanılmıştır. Grupların değerlendirilmesinde One-Way ANOVA ve Tukey çoklu karşılaştırma testleri kullanılmıştır. Değişkenler Kolmogorov simirnov testine göre normal dağılım göstermediği için, iki bağımsız grubun karşılaştırılmasında kullanılan non parametrik test Mann whitney u testi kullanılmıştır. Yapılan ki-kare analiz sonucuna göre cinsiyet ile pterygomaksiller fissür değişkeni arasındaki ilişki istatistiksel olarak anlamlı bulunmamıştır (p>0,05). Yapılan Mann whitney U test sonucuna göre molar durumuna göre hiçbir değişken istatistiksel olarak anlamlı bulunmamıştır (p>0,05).
Sonuç: Fossa pterygo palatina anatomisinin iyi bilinmesi; yüz oranların pterygomaksiller fissür ile ilişkisi ortodonti ve radyologlar için oluşacak maloklüzyonun daha önce teşhisi ve yapılacak tedavi planlaması açısından önemlidir.

Keywords

Sefalometri, Vertikal gelişim, , Pterygomaksiller fissür

Supporting Institution

yok

Project Number

-

Thanks

teşekkürler

Investigation of The Relationship Between Pterygomaxillary Fissure in Adult Individuals with Different Vertical Growth Pattern of Face Development

Abstract

Objective: The aim of this study was to evaluate the relationship between pterygomaxillary fissure and cephalometric images that are frequently used for treatment of skeletal anomalies.
Background: Patients with balanced facial ratios and skeletal Class I occlusion who were admitted to the Department of Orthodontics, Faculty of Dentistry, Istanbul Aydin University were included in the study. In this context, cephalometric radiographs of 250 individuals (115 female (20.65 ± 1.83 years) and 135 male (20.54 ± 1.33 years)) were used. A total of 10 measurements, eight linear and two angular, were made on computer using Nemoceph NemoCeph NX (Nemotech, Madrid, Spain). In the retrospective study; The relationship of skeletal vertical development with pterygomaxillary fissure on cephalometric images was examined in detail.
Results: The obtained data were evaluated using SPSS (22.0) package program. Regarding the data analysis, Mann-Whitney U Test Statistics was used for the analysis of two-variable data. One-Way ANOVA and Tukey multiple comparison tests were used to evaluate the groups. Since the variables did not display normal distribution according to Kolmogorov Simirnov test, non-parametric Mann Whitney U test was utilized to compare the two independent groups. According to the chi-square analysis, the correlation between gender and fissure variable was found to be statistically insignificant (p> 0.05). According to Mann Whitney U test results, no variable was found to be statistically significant based on the molar status (p> 0.05).
Conclusion: A thorough knowledge of the fossa pterygo palatina anatomy as well as the relationship between facial proportions and pterygomaxillary fissure are crucial for orthodontics and radiologists with regard to early diagnosis and the treatment planning.

Keywords

, Cephalometry, , Vertical development, , Pterygomaxillary fissure

Project Number

-

References

• 1. Tweed CH. Indications for the extraction of teeth in orthodontic procedure. American journal of orthodontics and oral surgery. 1944;30(8):405-28. 2. Williams S, Melsen B. Condylar development and mandibular rotation and displacement during activator treatment: an implant study. American journal of orthodontics. 1982;81(4):322-6. 3. Isaacson JR, ISAACSON RJ, SPEIDEL TM, WORMS FW. Extreme variation in vertical facial growth and associated variation in skeletal and dental relations. The Angle Orthodontist. 1971;41(3):219-29. 4. Arat ZM, Rübendüz M. Changes in dentoalveolar and facial heights during early and late growth periods: a longitudinal study. The Angle Orthodontist. 2005;75(1):69-74. 5. Fields HW, Proffit WR, Nixon WL, Phillips C, Stanek E. Facial pattern differences in long-faced children and adults. Am J Orthod 1984;85: 217-223. 6. Cangialosi TJ. Additional criteria for sample division suggested. Am J Orthod Dentofacial Orthop 1989; 96: 24A. 7. Opdebeeck H, Bell WH. The short face syndrome. Am J Orthod 1978;73: 499-511. 8. Nanda SK. Growth patterns in subjects with long and short faces. American Journal of Orthodontics and Dentofacial Orthopedics. 1990;98(3):247-58. 9. Muller G. Growth and development of the middle face. Journal of Dental Research. 1963;42(1):385-99. 10. Sassouni V, Nanda S. Analysis of dentofacial vertical proportions. American Journal of Orthodontics. 1964;50(11):801-23. 11. Choi, J. ve Park, H.S. Topography of the third portion of the maxillary artery via the transantral approach in Asians. The Journal of Craniofacial Surgery, 2010; 21(4), 1284-1289. 12. Standring, S. Gray's Anatomy. 39th Edition - The Anatomical Basis of Clinical Practice. Elsevier 2008; pp:197-489. 13. Daniels, D.L., Mark, L.P., Ulmer, J.L., Mafee, M.F., McDaniel, J., Shah, N.C. ve diğerleri. Osseous anatomy of the pterygopalatine fossa. American Journal of Neuroradiology, 1998;19 (8), 1423-1432. 14. Vacher, C., Onolfo, J.P. ve Barbet, J.P. Is the pterygopalatomaxillary suture (sutura sphenomaxillaris) a growing suture in the fetus? Surgical and Radiologic Anatomy, 2010; 32, 689–692. 15. Williams RP, Rinchuse DJ, Zullo TG. Perceptions of midline deviations among different facial types. Am J Orthod Dentofacial Orthop 2014;145: 249-255. 16. Hwang, S.H., Seo, J.H., Joo, Y.H., Kim, B.G., Cho, J.H. ve Kang, J.M. An Anatomic Study Using Three-dimensional Reconstruction for Pterygopalatine Fossa Infiltration Via the Greater Palatine Canal. Clinical Anatomy, 2011;24, 576-582. 17. Nielsen IL. Vertical malocclusions: etiology, development, diagnosis and some aspects of treatment. Angle Orthod 1991;61: 247-260. 18. Isaacson JR, Isaacson RJ, Speidel TM, Worms FW. Extreme variation in vertical facial growth and associated variation in skeletal and dental relations. Angle Orthod 1971; 41: 219-229. 19. Schendel SA, Eisenfeld J, Bell WH, Epker BN, Mishelevich DJ. The long face syndrome: vertical maxillary excess. Am J Orthod 1976;70: 398-408. 20. Burstone CJ. Charles J. Burstone, DDS, MS. Part 1 facial esthetics. Interview by Ravindra Nanda. J Clin Orthod 2007; 41: 79-87; quiz 71. 21. Tsunori M, Mashita M, Kasai K. Relationship between facial types and tooth and bone characteristics of the mandible obtained by CT scanning. Angle Orthod 1998; 68: 557-562. 22. Macari AT, Hanna AE. Comparisons of soft tissue chin thickness in adult patients with various mandibular divergence patterns. Angle Orthod 2014; 84: 708-714. 23. Celikoglu M, Buyuk SK, Ekizer A, Sekerci AE, Sisman Y. Assessment of the soft tissue thickness at the lower anterior face in adult patients with different skeletal vertical patterns using cone-beam computed tomography. Angle Orthod 2015; 85: 211-217. 24. Moiseiwitsch J, Irvine T. Clinical significance of the length of the pterygopalatine fissure in dental anesthesia. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2001; 92(3):325-8. 25. Andria, L.M., Reagin, K.B., Leiter, L.P. ve King, L.B. (2004). Statistical evaluation of possible factors affecting the sagittal position of the first permanent molar in the maxilla. The Professional Geographer, 74(2), 220-225. 26. Piva, L.M., Brito, H.H., Leite, H.R. ve O'Reilly, M. (2005). Effects of cervical headgear and fixed appliances on the space available for maxillary second molars. American Journal of Orthodontics and Dentofacial Orthopedics, 128(3), 366-371. 27. Cevidanes, L.H., Franco, A.A., Gerig, G., Proffit, W.R., Slice, D.E., Enlow, D.H. ve diğerleri. (2005). Comparison of relative mandibular growth vectors with high-resolution 3-dimensional imaging. American Journal of Orthodontics and Dentofacial Orthopedics, 128(1), 27-34. 28. Wieslander, L. (1963). The affect of orthodontic treatment on the concurrent development of the craniofacial complex. American Journal of Orthodontics, 49, 15–27. 29. Wieslander, L. (1975). Early or late cervical traction therapy of Class II malocclusion in the mixed dentition. American Journal of Orthodontics, 67, 432–439. 30. Iseri, H. ve Solow, B. (1995). Average surface remodeling of the maxillary base and the orbital floor in female subjects from 8 to 25 years. An implant study. American Journal of Orthodontics and Dentofacial Orthopedics, 107(1), 48-57. 31. Albert, A.M., Ricanek, K. ve Patterson, E. (2007). A review of the literature on the aging adult skull and face: implications for forensic science research and applications. Forensic Science International, 2, 172(1), 1-9. 32. Triftshauser, R. ve Walters, R.D. (1976). Cervical retraction of the maxillae in the Macaca mulatta monkey using heavy orthopedic force. The Angle Orthodontist, 1976, 46(1), 37-46.