Tek Diş Eksikliğinin Maksiler Sinüs Mukoza Kalınlığı Üzerindeki Etkisinin Konik Işınlı Bilgisayarlı Tomografi ile Değerlendirilmesi

Yıl 2024, Cilt: 17 Sayı: 2, 81 - 88, 30.08.2024

Levent Ciğerim , Ayşe Gül Öner Talmaç , Alaettin Koç

https://doi.org/10.52976/vansaglik.1415469

Öz

Amaç: Bu çalışmanın amacı tek diş eksikliğinin maksiller sinüs mukozal kalınlaşması için bir risk faktörü olup olmadığını belirlemektir.
Materyal ve Metot: Bu retrospektif, gözlemsel, radyografik çalışma, Ocak 2012 ile Ocak 2019 tarihleri arasında Ağız Diş ve Çene Cerrahisi Anabilim Dalı'na implant tedavisi için başvuran bireylerden alınan konik ışınlı bilgisayarlı tomografi görüntüsü kullanılarak gerçekleştirildi. Hastaların dişsiz tarafları çalışma grubu, simetrik olarak dişli tarafları ise kontrol grubu olarak belirlendi. Sinüs tabanı, medial sinüs duvarı ve lateral sinüs duvarından elde edilen maksiller sinüs mukoza kalınlığı (MSMK) iki grup arasında karşılaştırıldı.
Bulgular: Çalışmaya dahil edilen 105 hastanın 51'i erkek, 54'ü kadındı. Hastaların yaşları 15 ile 65 arasında değişmekte olup ortalama yaş 32.92 ± 9.73 idi. Dişli taraftaki lateral sinüs duvarının MSMK'si erkek hastalarda kadın hastalara göre anlamlı olarak daha yüksekti (sırasıyla p = 0.001 ve p < 0.01). Dişsiz tarafta, erkeklerin lateral sinüs duvarının MSMK'si kadınlarınkinden anlamlı derecede düşüktü (p = 0.001 vs. p < 0.01).
Sonuç: Dişsiz tarafta sinüs tabanında implant ve kemik augmentasyonu planlaması maksiller sinüs komplikasyonları ve implant başarısızlığı açısından dikkate alınmalıdır. Sonuç olarak, lokal odontojenik bir faktör olarak tek diş eksikliği maksiller sinüs mukozal kalınlaşması için bir risk faktörü değildir.

Anahtar Kelimeler

maksiller sinüs mukoza kalınlığı, konik ışınlı bilgisayarlı tomografi, diş eksikliği, dental implant

Etik Beyan

Çalışma Helsinki Deklarasyonu'na uygun olarak yürütülmüş ve Van Yüzüncü Yıl Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu tarafından onaylanmıştır (karar no: 2019/02-04).

Cone Beam Computed Tomography Evaluation of The Effect of Single Tooth Loss On Maxillary Sinus Mucosa Thickness

Öz

Aim: The aim of this study was to determine whether the loss of a single tooth is a risk factor for maxillary sinus mucosal thickening.
Materials and Methods: This retrospective, observational, radiographic study was performed on individuals using cone beam computer tomography who applied to Department of Oral and Maxillofacial Surgery for implantation between January 2012 and January 2019. The edentulous sides of the patients were determined as the study group and the symmetrically toothed sides of the patients were determined as the control group. Maxillary sinus mucosa thickness (MSMT) obtained at the sinus floor, medial sinus wall, and lateral sinus wall were compared between the two groups.
Results: Of the 105 patients included in the study, 51 were male and 54 were female. The ages of the patients ranged between 15 and 65 years, with a mean age of 32.92 ± 9.73 years. The MSMT of the lateral sinus wall on the toothed side were significantly higher in male patients than in female patients (p = 0.001 vs. p < 0.01, respectively). On the edentulous side, the MSMT of lateral sinus wall of men was significantly lower than that of women (p = 0.001 vs. p < 0.01).
Conclusion: Implant and bone augmentation planning at the sinus floor on the edentulous side should be considered in terms of maxillary sinus complications and implant failure. In conclusion, the absence of a single tooth as a local odontogenic factor is not a risk factor for maxillary sinus mucosal thickening.

Anahtar Kelimeler

maxillary sinus mucosa thickness, cone beam computed tomography, tooth loss, dental implant

Etik Beyan

The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of Van Yüzüncü Yıl University for Non-Interventional Clinical Research (decision no: 2019/02-04).

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