Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Antalya Bölgesinde Gömülü Diş ve İlişkili Patolojilerin Prevalansının Panoramik Radyografiler Üzerinden Retrospektif Olarak İncelenmesi
A Retrospective Study of the Prevalence of Impacted Teeth and Related Pathologies in Antalya Region Using Panoramic Radiographs
Mustan Barış SİVRİa , Gülperi KOÇERb
aBahçeşehir Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi, İstanbul, Türkiye
bAntalya Bilim Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Ağız, Diş Sağlığı Programı, Antalya, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(1):1-7
doi: 10.5336/dentalsci.2023-98049
Article Language: TR
Full Text
ÖZET
 Amaç: Gömülü dişler ve ilişkili patolojiler farklı popülasyonlarda farklı oranlardadır. Bu çalışmanın amacı; Antalya bölgesinde panoramik radyografiler üzerinde tespit edilen gömülü diş ve ilişkili patolojilerin prevalansını değerlendirmektir. Gereç ve Yöntemler: Bu çalışmada; 2015-2020 tarihleri arasında Antalya Ağız, Diş Sağlığı Hastanesine tedavi amacıyla başvurmuş 11.896 hastanın panoramik röntgen görüntüsü retrospektif olarak değerlendirildi. Gömülü dişlerin cinsiyete ve yaş gruplarına göre dağılımı tespit edildi. Gömülü diş ve ilişkili patolojilerin gömülü dişlere ve cinsiyete göre dağılımları değerlendirildi. Bulgular: Cinsiyet ile gömülü diş dağılımı arasındaki ilişki incelendiğinde, gömülü diş oranı kadınlarda %25,4 ve erkeklerde %25,34 bulundu. Gömülü diş oranları ile yaş arasında negatif yönlü ve istatistiksel olarak anlamlı bir ilişki bulundu (p<0,001). Dişlere göre gömülü olma oranlarına bakıldığında en fazla sağ alt üçüncü molar dişin gömülü kaldığı görüldü. Gömülü diş ile ilişkili patolojiler incelendiğinde, gömülü dişi olan kişilerin %0,33'ünde komşu dişlerde rezorpsiyon, %4,11'inde yirmi yaş dişinde çürük, %0,33'ünde koronal radyolüsensi, %0,20'sinde odontom ve %1,33'ünde periodontal kemik kaybı gözlendi. Sonuç: Gömülü dişlerin görülme sıklığı yaşa, cinsiyete, genetik ve çevresel faktörlere bağlı değişebilmektedir. Bu çalışma, rutin ağız içi muayenede eksik olan dişlerin radyolojik değerlendirme gerekliliğini desteklemektedir. İleri yaşlarda gömülü diş sayısındaki azalma ve gömülü dişlerle ilgili patoloji varlığı nedeniyle çalışmamız gömülü dişlerin profilaktik olarak çekimini destekler niteliktedir.

Anahtar Kelimeler: Gömülü diş; patoloji; prevalans
ABSTRACT
 Objective: Impacted teeth and associated pathologies have different rates in different populations. The aim of this study was to evaluate the prevalence of impacted teeth and associated pathologies detected on panoramic radiographs in Antalya region. Material and Methods: In this study, panoramic radiographs of 11,896 patients who applied to Antalya Oral and Dental Health Hospital for treatment between 2015 and 2020 were retrospectively evaluated. The distribution of impacted teeth according to gender and age groups was determined. The distribution of impacted teeth and associated pathologies were evaluated according to impacted teeth and gender. Results: When relationship between gender and distribution of impacted teeth was analyzed, rate of impacted teeth was 25.4% in females and 25.34% in males. A negative and statistically significant correlation was found between impacted tooth rates and age (p<0.001). When the rates of impacted teeth were analyzed according to the teeth, it was seen that right lower third molar was the most impacted tooth. When the pathologies associated with impacted teeth were examined, resorption of adjacent teeth was observed in 0.33%, caries in 4.11%, coronal radiolucency in 0.33%, odontoma in 0.20% and periodontal bone loss in 1.33%. Conclusion: The incidence of impacted teeth may vary depending on age, gender, genetic and environmental factors. This study supports the necessity of radiologic evaluation of missing teeth in routine intraoral examination. Due to decrease in number of impacted teeth at older ages and the presence of pathology related to impacted teeth, our study supports the prophylactic extraction of impacted teeth.

Keywords: Impacted tooth; pathology; prevalence
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