Prevalence of Root Dilaceration in an inner part of the Aegean Region Endodontic Patient Population

Yıl 2024, Cilt: 9 Sayı: 1, 25 - 37, 31.03.2024

Safa Kurnaz , Gülsen Kiraz

https://doi.org/10.25279/sak.766464

Bu makale için 1 Nisan 2022 tarihinde bir düzeltme yayımlandı. https://dergipark.org.tr/tr/pub/sak/issue/54262/1115910

Öz

Aim: The aim of this study was to investigate the distribution and frequency of root dilaceration with respect to gender and tooth types in a sample of the endodontic patient population. Material and Methods: A retrospective study was performed using digital panoramic radiographs of 500 patients who applied to the Kutahya Health Sciences University Faculty of Dentistry Department of Endodontics between 2016 and 2018. All permanent teeth were examined. The gender of the patients with dilacerated teeth, the type of tooth, and the jaw where the dilaceration was observed was recorded. Statistical analysis of the data was performed using Pearson chi-square and Z-ratio tests. Results: A total of 500 panoramic radiographs were evaluated. Dilaceration was detected in 68 (13.6%) of these radiographs, and 74 of the 13,014 (0.57%) teeth examined. It was observed that 20 (27.0%) of these dilacerated teeth were in the maxilla, and 54 (73.0%) were in the mandible. Eight of these dilacerated teeth (10.8%) were in incisors, six (8.1%) were in premolar teeth, and 60 (81%) were in molar teeth. The frequency of root dilaceration was significantly different in the mandible than in the maxilla (p<0.001), but there was no statistically significant difference between the genders (p>0.05). Conclusion and Suggestions: Biomechanical preparation of root canals and effective eradication of microorganisms from the root canal system is important for the success of endodontic treatment. Therefore, it is critically important to diagnose root dilaceration prior to endodontic treatment, both to prevent complications during endodontic treatment and to provide successful treatment.

Anahtar Kelimeler

Dilaceration, Panoramic Radiography, Prevalence, Tooth Anomalies

İç Ege Bölgesi Endodontik Hasta Popülasyonunda Kök Dilaserasyonu Yaygınlığı

Bu makale için 1 Nisan 2022 tarihinde bir düzeltme yayımlandı. https://dergipark.org.tr/tr/pub/sak/issue/54262/1115910

Öz

Amaç: Bu çalışmanın amacı, bir endodontik hasta popülasyon örneğinde cinsiyet ve diş tiplerine göre kök dilaserasyonu sıklığını ve dağılımını belirlemektir. Gereç ve Yöntemler: 2016 ile 2018 tarihleri arasında Kütahya Sağlık Bilimleri Üniversitesi Diş Hekimliği Fakültesi Endodonti Ana Bilim Dalı’na başvuran 500 hastanın dijital panoramik radyografileri kullanılarak retrospektif bir çalışma gerçekleştirildi. Tüm daimi dişler incelendi. Dilaserasyon gözlenen hastaların cinsiyeti ve dilaserasyon görülen dişin tipi ve bulunduğu çene kaydedildi. Elde edilen verilerin istatistiksel analizi Pearson ki-kare ve Z-oran testi ile yapıldı. Bulgular: Çalışmada toplam 500 adet panoramik radyografi değerlendirildi. Bu radyografların 68 (%13.6)’inde ve incelenen 13014 dişin 74 (%0.57)’ünde dilaserasyon saptandı. Bu dilasere dişlerin 20 (%27.0)’sinin maksillada, 54 (%73.0)’ünün ise mandibulada olduğu görüldü. Bu dilasere dişlerin 8 tanesi (%10.8) kesici dişlerde, 6 tanesi (%8.1) premolar dişlerde ve 60 tanesi (%81) ise molar dişlerdeydi. Kök dilaserasyonunun sıklığı mandibulada, maksilladan anlamlı derecede farklı bulundu (p<0.001), ancak cinsiyetler arasında istatistiksel olarak anlamlı bir farklılık gözlenmedi (p>0.05). Sonuç ve Öneriler: Endodontik tedavinin başarısında kök kanalların biyomekanik preperasyonu ve mikroorganizmaların kök kanal sisteminden etkili bir şekilde uzaklaştırılması önemlidir. Bu nedenle endodontik tedaviden önce kök dilaserasyonunu teşhis etmek hem tedavi sırasındaki komplikasyonları önlemek hem de iyi bir tedavi yapabilmek için kritik önem taşımaktadır.

Anahtar Kelimeler

Diş Anomalileri, Panoramik Radyografi, Kök diselerasyon, Endodonti

Kaynakça

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