TEMPOROMANDİBULAR EKLEM DİSFONKSİYONLU BİREYLERDE KONDİLE AİT KEMİK DEĞİŞİKLİKLERİNİN DENTAL VOLUMETRİK TOMOGRAFİ İLE DEĞERLENDİRİLMESİ

Yıl 2020, Cilt: 30 Sayı: 3, 351 - 359, 15.07.2020

Doğan Durna Ahmet Berhan Yılmaz

https://doi.org/10.17567/ataunidfd.757797

Öz

Diş hekimliği radyolojisinde kullanılan cone-beam computed tomography (CBCT) veya dental volumetrik tomografi (DVT) sistemleri ile maksillofasiyal bölgenin sert dokularının her üç düzlemde de incelenmesi mümkün hâle gelmiştir. TME disfonksiyon şikâyeti olan genç ve erişkin bireylerdeki kondile ait kemik değişikliklerinin DVT ile semptomatik ve etiyolojik yönden incelemek, bu çalışmanın amacıdır.
Çalışmada, TME disfonksiyonlu 50 hastanın 100 eklemindeki sert dokular ve kondile ait kemik değişiklikleri yaş, cinsiyet ve parafonksiyonel aktivite gibi etiyolojik; ağrı, ses ve hareket değişikliği gibi semptomatik bulguları dental volumetrik tomografi ile incelendi. CBCT görüntülerinde 62 kondilde herhangi bir kemik değişikliği mevcut değilken; 38 kondilde kemik değişikliği tespit edildi. İnceleme neticesi 14 kondilde düzleşme, 19 kondilde osteofit ve 5 kondilde ise erozyon formasyonu görünümündeydi. Araştırma sonuçlarına göre kondiler kemik değişikliği ile cinsiyet, ses ve hareket değişikliği arasında istatistiksel olarak anlamlı bir ilişki bulunmamışken; ağrı, yaş ve parafonksiyonel aktivitenin (diş sıkma ve gıcırdatma) varlığı açısından anlamlı ilişki tespit edilmiştir.
Anahtar kelimeler: Dental volümetrik tomografi, Disfonksiyon, Temporomandibular Eklem, Kondiler kemik.

Evaluation of Condyle Bone Changes by Dental Volumetric Tomography in Individuals with Temporomandibular Joint Dysfunction
Abstract
With cone-beam computed tomography (CBCT) or dental volumetric tomography (DVT) systems used in dental radiology, it has become possible to examine the hard tissues of maxillofacial region in all three planes. The aim of this study is to investigate the symptomatic and etiological aspects of condyle bone changes in young and adult individuals with TMJ dysfunction with DVT.
Hard tissue and condyle changes in 100 joints of 50 patients with TMJ dysfunction were evaluated as etiological factors such as age, sex and parafunctional activity. Symptomatic findings such as pain, voice and movement changes were examined by dental volumetric tomography. CBCT images showed no bone changes in 62 condyles; Bone changes were detected in 38 condyles. As a result of the examination, flattening was observed in 14 condyles, osteophyte in 19 condyles and erosion formation in 5 condyles. According to the results of the study, no statistically significant relationship was found between condylar bone change and sex, voice and movement changes; pain, age and presence of parafunctional activity (squeezing and grinding).
Key words: Dental volumetric tomography, Dysfunction, Temporomandibular Joint, Condylar bone.

Anahtar Kelimeler

Dental volümetrik tomografi, Disfonksiyon, Temporomandibular Eklem

Kaynakça

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