Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Clinical Significance of Panoramic Radiography Before Edentulous Patients Rehabilitation with Removable Complete Denture: A Retrospective Study
Dişsiz Hastaların Tam Protez ile Tedavisi Öncesi Alınan Panoramik Radyografilerin Klinik Öneminin Değerlendirilmesi: Bir Retrospektif Çalışma
Bengisu YILDIRIMa, Halil Tolga YÜKSELb, Gamze PAKENa, Duygu RECENc
aDepartment of Prosthetic Dentistry, Uşak University Faculty of Dentistry, Uşak, TURKEY
bDepartment of Dentomaxillofacial Radiology, Uşak University Faculty of Dentistry, Uşak, TURKEY
cDepartment of Restorative Dentistry, İzmir Demokrasi University Faculty of Dentistry, İzmir, TURKEY
Turkiye Klinikleri J Dental Sci. 2021;27(3):420-5
doi: 10.5336/dentalsci.2020-77646
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to assess the necessity of digital panoramic radiographs before patients' rehabilitation with removable complete denture and the rate of significant radiographic findings. Material and Methods: A total of 162 digital panoramic radiographs of edentulous patients were recorded over two years. The inclusion criteria were being edentulous and over 18- year old. The exclusion criterion was the insufficient quality of radiographs. All radiographs were analyzed by an oral and maxillofacial radiologist and a prosthodontist. Radiographic findings were classified as a radiopaque lesion, radiolucent lesion, mixed lesion, and extragnathic lesion. Radiographic findings were recorded and evaluate for requiring a pre-treatment before removable complete denture fabrication. The data were analyzed using SPSS v22.0 software (IBM Corp.). The level of significance was set at α=0.05. Descriptive data were calculated. Results: Panoramic radiographs of 86 (53%) female and 76 (47%) male were evaluated. 177 radiographic findings were identified at 107 (66%) panoramic radiographs. Radiopaque findings (46.5%) are the most frequent ones, among which root(s) or root fragment(s) (27%) are the most common. The percentage of radiographic findings which influence the treatment was 8.5%. Conclusion: Requesting routine panoramic radiography may not be provide great benefit to the patient. However, a detail anamnesis and examination should provide to decide the necessary of the panoramic radiography.

Keywords: Ağız, dişsiz; tanısal görüntüleme; protez, tam; radyografi, panoramik
ÖZET
 Amaç: Bu çalışmanın amacı, hastaların hareketli tam protez ile rehabilitasyonundan önce dijital panoramik radyografilerin gerekliliğini ve önemli radyografik bulguların oranını değerlendirmektir. Gereç ve Yöntemler: Toplam 162 dişsiz hastanın iki yıl boyunca panoramik radyografi kayıtları değerlendirildi. Dahil edilme kriterleri 18 yaş üstü ve tam dişsiz olmaktı. Tüm radyografiler bir ağız, diş ve çene radyoloji uzmanı ve bir protetik diş tedavisi uzmanı tarafından incelendi. Radyografik bulgular radyoopak lezyon, radyolusent lezyon, karışık lezyon ve ekstragnatik lezyon olarak sınıflandırıldı. Dışlama kriteri radyografilerin yetersiz kalitede olmasıydı. Tüm radyografik bulgular kayıt edildi ve tam protez yapımından önce gerekebilecek ön tedaviler açısından değerlendirildi. Veriler SPSS v22.0 yazılımı (IBM Corp.) kullanılarak analiz edildi. Anlamlılık düzeyi α =0,05 olarak belirlendi. Betimsel veriler hesaplandı. Bulgular: Çalışmada panoramik radyografileri değerlendirilen hastaların 86'sı (%53) kadın, 76'sı ise (%47) erkekti. Yüz yedi (%66) panoramik radyografide toplam 177 bulgu saptandı. Bunların çoğunluğu radyoopak bulgular (%46,5) idi. Radyoopak bulguların çoğunluğunu da kök ve kök parçaları (%27) oluşturmaktaydı. Tedavi gerektiren bulgu yüzdesi ise %8,5 idi. Sonuç: Tam dişsiz hastalarda rutin panoramik radyografi istemek hastaya büyük bir fayda sağlamayabilir. Panoramik radyografinin gerekli olduğuna karar vermek için ayrıntılı bir anamnez ve inceleme yapılmalıdır.

Anahtar Kelimeler: Mouth, edentulous; diagnostic imaging; denture, complete; radiography, panoramic
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