Kronik Periodontitisli Bireylerde Mandibular Kemik Mimarisinin Fraktal Analiz Yöntemiyle Değerlendirilmesi

Yıl 2024, Cilt: 4 Sayı: 3, 889 - 896, 23.12.2024

Fatih Karayürek , Adem Pekince , Kader Azlağ Pekince , Ertan Taşkınsel

Öz

Amaç: Fraktal analiz tıpta ve diş hekimliğinde çeşitli radyografik görüntüler üzerinde kemik dokusunun mikro mimarisinin incelenmesi için kullanılan, çeşitli görüntü işleme teknikleri ve matematiksel işlemlere dayanan bir metottur. Periodontal hastalıklarda, kemik dokusunun klinik ve radyolojik değerlendirilmesinin hastalığın teşhisinde önemli bir yeri vardır. Bu çalışmada kronik periodontitisli bireylere ait mandibula kemiğinin, panoramik röntgen görüntüleri üzerinde, fraktal analiz yöntemi ile incelenmesi amaçlandı. Gereç ve Yöntem: Bu çalışmada 50 sağlıklı birey ile uzman periodontolog tarafından kronik periodontitis teşhisi konmuş 50 hastaya ait panoramik görüntüler üzerinde mandibular kemiğin angulus bölgesi, premolar/molar bölgesi ve incisiv bölgesi fraktal analizde kullanılacak ilgili bölgeler olarak belirlendi. Böylece toplam 100 görüntü üzerinde 300 adet ilgili bölge üzerinde fraktal boyut hesaplandı. Fraktal analiz White ve Rudolph yöntemi kullanılarak ücretsiz bir yazılım olan image j programı ile gerçekleştirildi. Hasta ve kontrol gruplarında mandibulada fraktal boyutun değerlendirildiği 3 adet bölgede ölçülen fraktal boyut Python programı kullanılarak bağımsız gruplar t-testi kullanılarak istatistiksel olarak analiz edildi. Bulgular: Yapılan istatistiksel testlere göre angulus ve molar bölgede hasta ve kontrol grubu arasında fraktal boyutlar açısından anlamlı fark görülmezken (p>0.05), incisiv bölgede gruplar arasında fark olduğu saptanmıştır (p<0.05). Sonuç: Mandibuladaki kemik dokunun mikromimarisi periodontal hastalıkta olumsuz yönde etkilenmektedir. Fraktal analiz periodontoloji alanında kemiğin değerlendirilmesi için ek bilgi sağlayabilir.

Anahtar Kelimeler

Kronik periodontitis, fraktal analiz, kemik kaybı

Evaluation of Mandibular Mone Architecture in Individuals with Chronic Periodontitis Using Fractal Analysis

Öz

Objectives: Fractal analysis is a method employed in the medical and dental fields to examine the microarchitecture of bone tissue on a range of radiographic images. This is achieved through the utilization of diverse image-processing techniques and mathematical operations. In the context of periodontal diseases, the evaluation of bone tissue plays a pivotal role in the diagnosis of the disease. The objective of this study was to analyze the mandibular bone of individuals with chronic periodontitis on panoramic X-ray images using the fractal analysis method. Methods: In this study, the angulus region, the premolar/molar region, and the incisive region of the mandibular bone were identified as relevant regions for fractal analysis on panoramic images of 50 healthy individuals and 50 patients diagnosed with chronic periodontitis by a specialist periodontologist. Consequently, fractal dimensions were calculated for 300 regions of interest across a total of 100 images. Fractal analysis was conducted using the Image J program, a freely available software, with the White and Rudolph method. The fractal dimension was measured in three regions of the mandible, and the results were statistically analyzed with Python using the independent groups’ t-test. This was done to evaluate the fractal dimension in the patient and control groups. Results: The statistical tests revealed no significant difference between the patient and control groups in terms of fractal dimensions in the angulus and molar regions (p > 0.05). However, a difference was observed between the groups in the incisive region (p < 0.05). Conclusion: The microarchitecture of bone tissue in the mandible is adversely affected by periodontal disease. Fractal analysis can provide supplementary data for evaluating bone in the field of periodontology

Anahtar Kelimeler

Chronic periodontitis, fractal analysis, bone loss.

Etik Beyan

This study was approved by the Karabuk University Non-Interventional Clinical Research Ethics Committee (20 May 2020, 2020/206).

Destekleyen Kurum

None

Teşekkür

None

Kaynakça

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