Rate of incidental findings of pathology and dental anomalies in paediatric patients: a radiographic study

Yıl 2011, Cilt: 1 Sayı: 2, 117 - 123, 31.01.2014

Tamer Kuzucuoglu Aysegul Ozer Ozok Sezer Yakupoglu Izzet Alatlı Ilker Ital

Öz

Objective: The goal of the present retrospective study to assess the rate of pathology and dental anomalies and to examine the value of panoramic radiographs in detecting these anomalies in paediatric patients.
Method: We retrospectively reviewed 500 pediatric patients who had visited the department of Oral Diagnosis and Radiology at Dentistry Faculty and had a panoramic radiograph taken between 2008 and 2009. The following information was obtained from the patients’ files and panoramic radiographs: gender, age and the presence or absence of lesions. Panoramic radiographs were evaluated by four oral and maxillofacial radiologists.
Results: The lesions were observed in 72 (14.4%) of the 500 panoramic radiographs. The lesions were discovered in patients ranging from 2 years to 14 years old, with most of them in the 6- to 8-year–old range. Among the 72 radiographs with lesions, there were 27 apical ostitis, 12 impacted teeth, 9 missing teeth, 7 follicular cyst, 8 fractured tooth, 3 mesiodens, 3 supernumerary teeth, 2 taurodontism, 1 deformed tooth.
Conclusion: The dentists should be aware for pathology and dental anomalies in their paediatric’s patients treatments on panoramic radiographs. Early treatment of this type of findings could help patients avoid subsequent complications.

Key words: Panoramic radiography, dental anomalies, prevalence, rate incidentally 

Anahtar Kelimeler

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Hasta kontrollü analjezide diklofenak ve parasetamol kullanımının morfin tüketimi ve analjezi kalitesi üzerine etkilerinin karşılaştırılması

Öz

Amaç: Çalışmamızda, elektif histerektomilerde hasta kontrollü analjezi (HKA) yöntemi ile morfin kullanımına ilave, im diklofenak ve iv parasetamol’ün analjezi kalitesi ve morfin tüketimi üzerine etkilerini karşılaştırmayı amaçladık.
Yöntemler: Çalışmamız, etik kurul onayı ve hasta onamları alınarak elektif abdominal histerektomi planlanan ASAI-II grubu 25-65 yaş arası 50 olgu üzerinde gerçekleştirildi. Olgular rastgele parasetamol (P) ve diklofenak (D) grubu olarak ikiye ayrıldı. Operasyon bitimine 15 dk kala P grubuna 1 gr parasetamol iv ve D grubuna 75 mg diklofenak im uygulandı. Her iki gruba operasyon bitiminde HKA cihazı ile bolus 0.02 mg kg-1, kilit süresi 5dk., 4 saatlik maksimal doz 0.1 mg kg-1 olacak şekilde iv morfin başlandı. Operasyon bitiminden 12 saat sonra D grubuna im Diklofenak, P grubuna 6 saat ara ile Parasetamol iv 4x1 gr/gün olacak şekilde uygulandı. Hastaların ortalama arteryal basınç (OAB), kalp tepe atımı (KTA), periferik oksijen satürasyonu (SpO2),vizüel analog skalası (VAS), Ramsay sedasyon skalası (RSS), operasyon öncesi, ilacının ilk enjeksiyonu öncesi, ekstübasyon sonu, postoperatif 30.dk, 1.,2.,3.,4.,6.,8.,10.,12.,18.,24. saatlerde kaydedildi. İlk morfin istem süresi (İMİS) ve 24. saatlik total tüketilen morfin miktarına (TTMM) bakıldı. Yan etkiler kaydedildi.
Bulgular: Postoperatif İMİS ve TTMM arasındaki fark anlamlı değildi (p>0.05). VAS, RSS de ilerleyen zaman aralıklarında anlamlı düşmelere rastlandı (p<0.05).
Sonuç: Parasetamol ve diklofenakın benzer analjezik etkiye sahip oldukları ve morfin kombinasyonu ile rahatlıkla kullanılabileceğine karar verildi.

Anahtar Kelimeler : Diklofenak, parasetamol, postoperatif analjezi

Anahtar Kelimeler

Diklofenak, parasetamol, postoperatif analjezi

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