KONDİLLERDEKİ DEJENERATİF DEĞİŞİKLİKLERİN İNCELENMESİNDE PANORAMİK RADYOGRAFİ ETKİNLİĞİNİN KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ

Yıl 2020, Cilt: 47 Sayı: 1-3, 1 - 8, 31.12.2020

Umut Seki , Enver Alper Sinanoğlu

Öz

Amaç: Bu çalışmanın amacı temporomandibular disfonkisyona sahip hastaların kondiler dejeneratif değişikliklerinin tespitinde panoramik radyografi (OPG) etkinliğinin araştırılmasıdır.
Gereç ve Yöntem: Temporomandibular eklem (TME) şikayetine yönelik konik ışınlı bilgisayarlı tomografi (KIBT) alınmış 40 hastaya ait OPG ve KIBT görüntüleri bu çalışmaya dahil edilmiş ve 5 olası kondiler dejeneratif değişiklik açısından değerlendirilmiştir.
Bulgular: Sık gözlenen değişiklikler arasında yer alan erozyon, düzleşme ve osteofit tespitinde OPG ve KIBT skorları arasında belirgin farklılık olduğu, KIBT ile daha çok değişiklik tespit edildiği görülmüştür.
Sonuç: Bu bilgiler ışığında, TME muayenesi sürecinde özellikle dejeneratif değişikliklerin tespitinde klinik muayene bulgularının dikkatlice irdelenmesi, OPG bulgularının tek başına yetersiz olabileceği ve gerekli durumlarda ileri görüntülemeden faydalanılması erken tanı açısından dikkate alınması gereken önemli noktalardır.

Anahtar Kelimeler

Temporomandibular Disfonkisyonu, Panoramik Radyografi, Konik Işınlı Bilgisayarlı Tomografi

Evaluation of the Efficiency of Panoramic Radiography with Cone Beam Computed Tomography in the Assessment of Condylar Degenerative Changes

Öz

Aim: The aim of this study is to evaluate the efficiency of panoramic radiography (OPG) in the assessment of condylar degenerative changes in patients of temporomandibular dysfunction.
Materials and Methods: OPG and cone beam computed tomography (CBCT) images of 40 patients with temporomandibular dysfunction were included for this study. All images were evaluated for 5 possible condylar degenerative alterations.
Results: There was a significant difference between OPG and KIBT scores in the detection of erosion, flattening and osteophyte, which were among the common changes.
Conclusion: At this point, considering the fact that OPG findings may alone be insufficient, careful examination of clinical examination findings and appropriate use of advanced imaging are important points to be considered in early diagnosis of condylar degenerative changes during the TMJ examination.

Anahtar Kelimeler

Panoramic Radigoraphy, Cone Beam Computed Tomography, Temporomandibular Dysfunction

Kaynakça

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