Comparison of facial scanning system and plethysmographic technique in measurement of edema

Öz

Objective: The extraction of impacted teeth is one of the most common procedures in the field of oral surgery, and trismus, pain, and edema may occur after the procedure. The aim of this study was to compare the three dimensional facial screening system and plethysmographic technique in the measurement of edema after third molar teeth extraction.

Material and method: Sixty patients aged 18 years and older were included in the study with indication of bilateral, impacted tooth extraction in the lower jaw. The patients were divided into two different groups, a group with the kinesio tape (KT) was adhered on one side of the face after extraction (KT group, n: 60); no application after the tooth extraction on the opposite side (control group, n: 60). Immediately before the operation (T0), after the 2nd (T1) and 7 (T2) days, edema measurements were performed separately by 3DMD and plethysmographic methods.

Results: According to the results, there was no statistically significant correlation between 3dMD measurement method and pletismographic measurement method in the evaluation of T0-T1, T0-T2 time interval edema (p> 0.05).

Conclusion: In the evaluation of the volumetric changes in the soft tissue after surgical interventions in the maxillofacial region, it is thought that 3D scanning systems give more reliable results because it allows measurement without direct contact with the tissue.

Anahtar Kelimeler

• impacted teeth,edema,kinesiology,three-dimensional image

Ödemin Değerlendirilmesinde Yüz Tarama Sistemi ile Pletismografik Ölçüm Yönteminin Karşılaştırılması

Öz

Amaç: Gömülü dişlerin çekimi çene cerrahisi alanında en sık yapılan işlemlerden biridir ve işlem sonrası trismus, ağrı ve ödem meydana gelebilmektedir. Bu çalışmada gömülü üçüncü molar dişlerin çekimi sonrasında oluşan ödemin değerlendirilmesinde 3 boyutlu ölçüm yöntemi ile konvansiyonel yöntemlerden biri olan esnek cetvelle yapılan pletismografik ölçüm yönteminin  kıyaslanarak değerlendirilmesi amaçlanmıştır.

Materyal ve metot: Çalışmaya alt çenesinde bilateral, gömülü diş çekimi endikasyonu koyulmuş 18 yaş ve üzerinde 60 hasta dahil edildi. Hastalar iki farklı gruba ayrıldı, çekim sonrası hastaların yüzünün bir tarafına kinesio bant yapıştırılırken (KB grubu, n:60) ;  karşıt tarafta yapılan diş çekimi sonrası hastalara herhangi bir uygulama yapılmadı (kontrol grubu, n:60). Ameliyattan hemen önce (T0), sonrası 2.(T1) ve 7.(T2) günlerde ödem ölçümleri 3dMD ve pletismografik yöntemlerle ayrı ayrı gerçekleştirildi.

Bulgular: Elde edilen sonuçlara göre; T0-T1; T0-T2 zaman aralığında meydana gelen ödemin değerlendirilmesinde 3dMD ölçüm yötemi ile pletismografik ölçüm yöntemi arasında istatistiksel olarak anlamlı bir korelasyon tespit edilmemişir (p>0,05).

Sonuç: Maksillofasiyal bölgede yapılan cerrahi müdahalelerden sonra yumuşak dokuda meydana gelen hacimsel değişikliklerin değerlendirilmesinde, dokuya doğrudan temas etmeden ölçüm yapılabilmesine olanak tanıdığı için 3D tarama sistemlerinin daha güvenilir sonuçlar verdiği düşünülmektedir.

Anahtar Kelimeler

• gömülü diş,ödem,kinezioloji,üç boyutlu görüntüleme

Kaynakça

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