Findings from panoramic radiographs on the edentulous elderly patients

Yıl 2010, Cilt: 1 Sayı: 2, 82 - 87, 05.01.2011

Esin Haştar , Hasan Yılmaz Hikmet Orhan

Öz

Aim: The aim of this study was to evaluate the frequency of positive radiographic findings in panoramic radiographs of edentulous arches.
Material and Methods: It was examined panoramic radiographies of 106 patients who had edentulous arches and 60 years and over , attending to the Oral Diagnosis and Radiology Clinic of the Dental School of the University of Süleyman Demirel. The radiographs were evaluated for the following clinically significant radiographic findings: retained root fragments, impacted teeth, radiolucencies associated with cysts, radiopacities associated with localized sclerotic bone formation, location of the mental foramen on the crest, and location of the maxillary sinus close to the crest of the ridge. The data were analyzed using descriptive statistics.
Results: The most frequent finding was mental foramen situated at the top of the residual ridge. In 51 patients, the mental foramen was situated at the top of the residual ridge. Of these patients, 38 patients had a bilateral mental foramen close to the crest of the ridge. Twenty-seven subjects had 31 submucosal or intrabony root remains, 20 of which were located in the maxilla.
Conclusions: Routine panoramic examination of the jaws is necessary to detect impacted teeth, retained root fragments, and other radiographic findings that may require treatment before construction of complete dentures.
Key words: Panoramic radiography; tooth impacted; maxillary sinus; tooth root.

Anahtar Kelimeler

-

Dişsiz Yaşlı Hastalarda Panoramik Radyografi Bulguları

Öz

Özet
Amaç: Bu çalışmanın amacı dişsiz yaşlı hastaların panoramik radyograflarında pozitif radyografik bulguları değerlendirmektir.
Yöntem ve Gereç: Süleyman Demirel Üniversitesi Diş Hekimliği Fakültesi Oral Diagnoz ve Radyoloji Ana Bilim Dalı'na çeşitli şikayetlerle muayene olmak için başvuran 60 yaş ve üzerinde 106 dişsiz hastadan alınan panoramik radyograflar incelendi. Radyograflar; kök artıkları, gömülü diş, kist-tümör, yabancı cisimler, kret tepesine yakın mental foremen, maksiller sinüs patolojileri, yumuşak doku kalsifikasyonlar gibi klinik olarak önemli radyografik bulgular açısından değerlendirildi. Veriler tanımlayıcı istatistik kullanılarak analiz edildi.
Bulgular: En sık rastlanan bulgu kret tepesine yakın mental foremen varlığıydı. 51 hastada kret tepesine yakın mental foremen mevcuttu ve bu hastaların 38'inde bu durum bilateraldi. 38 hastada kret tepesine yakın maksiller sinüs tespit edildi. 27 kişide (18 kadın, 9 erkek) 31 tane mukoza yada kemik içinde gömülü kök artığı tespit edildi. Bu köklerin 20'si maksillada 11'i mandibuladaydı.
Sonuç: Protez yapımından önce gömülü diş, mukoza ya da kemik içerisinde gömülü kök gibi tedavinin gerekli olabileceği radyografik bulguları belirlemek için çenelerin rutin panoramik muayenesi gereklidir.

Anahtar kelimeler: Panoramik radyografi; gömülü dişler; maksiller sinüs; diş kökü

Abstract
Aim: The aim of this study was to evaluate the frequency of positive radiographic findings in panoramic radiographs of edentulous arches.
Material and Methods: It was examined panoramic radiographies of 106 patients who had edentulous arches and 60 years and over , attending to the Oral Diagnosis and Radiology Clinic of the Dental School of the University of Süleyman Demirel. The radiographs were evaluated for the following clinically significant radiographic findings: retained root fragments, impacted teeth, radiolucencies associated with cysts, radiopacities associated with localized sclerotic bone formation, location of the mental foramen on the crest, and location of the maxillary sinus close to the crest of the ridge. The data were analyzed using descriptive statistics.
Results: The most frequent finding was mental foramen situated at the top of the residual ridge. In 51 patients, the mental foramen was situated at the top of the residual ridge. Of these patients, 38 patients had a bilateral mental foramen close to the crest of the ridge. Twenty-seven subjects had 31 submucosal or intrabony root remains, 20 of which were located in the maxilla.
Conclusions: Routine panoramic examination of the jaws is necessary to detect impacted teeth, retained root fragments, and other radiographic findings that may require treatment before construction of complete dentures.

Key words: Panoramic radiography; tooth impacted; maxillary sinus; tooth root.

Anahtar Kelimeler

Panoramik radyografi, gömülü dişler, maksiller sinüs, diş kökü

Kaynakça

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