Kadın TMD Hastalarında Kondil Şeklinin ve Artiküler Eminens Morfolojisi ile Yaşa Bağlı Değişikliklerin İlişkisinin KIBT ile Değerlendirilmesi

Yıl 2019, , 69 - 73, 30.12.2019

Berceste Polat Akmansoy , Şebnem Erçalık Yalçınkaya

https://doi.org/10.35333/ERD.2019.107

Öz

Amaç: Bu çalışmanın amacı temporomandibular eklem rahatsızlığı (TMR) olan bir grup kadın hastada kondil şeklinin ve artiküler eminens eğimi ile yaşa bağlı değişikliklerin ilişkisinin değerlendirilmesidir.

Metot: TMR’si bulunan yaşları 18-45 arasında değişen 32 kadın hastanın 64 adet temporomandibular ekleminin KIBT görüntüleri sagittal ve koronal kesitlerde değerlendirildi. Kondil şekli görsel olarak değerlendirildi ve artiküler eminens eğimi “best-fit” ve “top-roof” metotları ile belirlendi. Ayrıca artiküler eminens yüksekliği de ölçüldü. Hastalar 18-30 ve 31-45 olarak iki yaş grubuna ayrıldı. Verilerin kıyaslanmasının istatistiksel analizi için SPSS yazılımı ile uygulanan “Mann-Whitney-U test” kullanıldı.

Bulgular: Sagittal düzlemde en sık görülen kondil şekli düz (% 39.1) iken koronal düzlemde üçgen (% 43.8) olarak tespit edildi. Koronal kesitte üçgen kondil başı şeklinin görülme oranı % 31.3 olarak belirlendi. İki yaş grubu arasında artiküler eminens eğimi ve yüksekliği açısından istatistiksel olarak anlamlı bir fark bulunamadı.

Sonuç: Kadın TMR hastalarında üçgen ve düz kondil başı tipleri en sık görülen kondil başı tipleri olarak saptanmıştır. AE eğiminin 18-30 yaş grubunda daha yüksek bulunmasına rağmen diğer grup ile arasında istatistiksel olarak anlamlı bir fark belirlenememiştir.

Anahtar Kelimeler

Temporomandibular eklem rahatsızlıkları, konik ışınlı bilgisayarlı tomografi, artiküler eminens eğimi ve yüksekliği, kondil şekli

Cone Beam CT Evaluations of Condyle Shape and Age-Related Associations of Articular Eminence Morphology in Female TMD Patients

Öz

Aim: The aim of this study was to assess condyle shape and the relationship between age-related associations and articular eminence (AE) inclination in a group of female patients with temporomandibular disorder (TMD).

Methods: CBCT images of 64 temporomandibular joints (TMJs) of 32 female TMD patients (18-45-year-old) were evaluated sagittally and coronally. Condyle shape was assessed visually and the inclination of AE was analyzed using with best-fit and top-roof methods. AE heights were also measured. The patients were grouped into two age groups: 18 to 30- and 31 to 45-year-old. Data were statistically analyzed with SPSS software using Mann-Whitney-U test.
Results: The most frequently observed condyle shape was flattened (39,1 %) in sagittal plane and triangular (43,8 %) in coronal plane. Triangular condyle shape was seen in 31.3% of condyles on coronal sections. No statistically significant differences were seen in two different age groups comparing AE inclination and height.

Conclusion: Triangular and flattened condyles were the most frequent condyle shape in female TMD patients. Although AE inclination was highest between the ages of 18-30, there was no statistical significance.

Anahtar Kelimeler

Temporomandibular joint disorders, cone beam computed tomography, articular eminence inclination and height, condyle shape

Kaynakça

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