RADIOLOGICAL ASSESSMENT OF THE PREVALENCE AND LOCATION OF ROOT RESORPTION IN EPILEPTIC PATIENTS: AN OBSERVATIONAL STUDY

Öz

Objective Antiepileptic drugs used in the treatment of epilepsy patients have a negative effect on bone tissue, but as far as we know, tooth root resorption has not been investigated in these patients. The aim of this study was to evaluate the prevalence of external and internal root resorption and its distribution according to resorption sites in epilepsy patients using antiepileptic drugs. Material and Method Panoramic radiographs obtained before dental treatment were evaluated. While the case group consisted of only those with epilepsy, the control group included healthy subjects. The presence/absence of external and internal resorption of all teeth (except the third molars), region of resorption (cervical, middle, and apical region of the root), age, and sex were recorded in an excel file. Independent sample t-test or Mann- Whitney U test according to normality of distribution and a chi-square test to compare categorical variables were used. Results The resorption in 93 (21.9%) of 424 patients (236 healthy subjects and 188 epileptic patients), the groups did not significantly differ by the presence of external and internal resorption (p = 0.089 and 0.746). It was more common in those over 30 years and males (p = 0.018 and 0.013). Conclusion We concluded that the presence of resorption in epilepsy patients was not different from healthy subjects. However, in patients with epilepsy, resorption was mostly seen in the lower molars and middle 1/3 regions. Clinicians should consider our results when treating these patients.

Anahtar Kelimeler

• Antiepileptic Drug
• Epilepsy
• Panoramic Radiography
• Resorption

EPİLEPSİ HASTALARINDA KÖK REZORPSİYON PREVALANSININ VE LOKASYONUNUN RADYOLOJİK DEĞERLENDİRMESİ–GÖZLEMSEL BİR ÇALIŞMA

Öz

Amaç Epilepsi hastalarının tedavisinde kullanılan antiepileptik ilaçlar kemik dokusu üzerinde olumsuz etki yapmaktadır ancak bildiğimiz kadarı ile bu hastalarda diş kökü rezorpsiyonu araştırılmamıştır. Bu çalışmanın amacı, antiepileptik ilaç kullanan epilepsi hastalarında eksternal ve internal kök rezorpsiyon prevalansını ve rezorpsiyon bölgelerine göre dağılımını değerlendirmektir. Gereç ve Yöntem Diş tedavisi öncesi elde edilen panoramik radyografiler değerlendirildi. Vaka grubu sadece epilepsili bireylerden oluşurken, kontrol grubu sağlıklı bireylerden oluştu. Tüm dişlerde (üçüncü azı dişleri hariç) dış ve iç rezorpsiyon varlığı/yokluğu, rezorpsiyon bölgesi (kökün servikal, orta ve apikal bölgesi), yaşı ve cinsiyeti bir excel dosyasına kaydedildi. Dağılımın normalliğine göre bağımsız örneklem t-testi veya Mann-Whitney U testi ve kategorik değişkenleri karşılaştırmak için ki-kare testi kullanıldı. Bulgular 424 hastanın (236 sağlıklı birey ve 188 epileptik hasta) 93'ünde (%21,9) rezorpsiyon olduğunu gösterse de gruplar arasında eksternal ve internal rezorpsiyon varlığı açısından anlamlı farklılık yoktu (p = 0,089 ve 0,746). Rezorpsiyon 30 yaş üstü ve erkeklerde daha sıktı (p=0,018 ve 0,013). Sonuç Epilepsi hastalarında rezorpsiyon varlığının sağlıklı deneklerden farklı olmadığı sonucuna vardık. Ancak epilepsili hastalarda rezorpsiyon en çok alt azı dişleri ve orta 1/3 bölgede görüldü. Klinisyenler bu hastalarda diş tedavisi yaparken sonuçlarımızı dikkate almalıdır.

Anahtar Kelimeler

• Antiepileptik İlaç
• Epilepsi
• Panoramik Radyografi
• Rezorpsiyon

Kaynakça

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