Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Uşak Üniversitesi Diş Hekimliği Fakültesine Başvuran Hastalarda 'Kissing Molars' Sıklığının Araştırılması
The Study of Kissing Molars in Patients Admıtted to Uşak University Faculty of Dentistry
Şehrazat EVİRGENa, Ayşegül TÜRKMENOĞLUa, Halil Tolga YÜKSELa
aUşak Üniversitesi Diş Hekimliği Fakültesi, Ağız Diş ve Çene Radyolojisi ABD, Uşak, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2020;26(1):16-20
doi: 10.5336/dentalsci.2019-65044
Article Language: TR
Full Text
ÖZET
 Amaç: 'Kissing molars (KMs)' veya 'rosette formasyonu', tek bir foliküler torba içerisinde gömülü daimi molar dişlerin oklüzal yüzeylerinin birbiriyle temas etmesini ve köklerinin zıt yönlere uzanmasını ifade eder. Nadir görülen bir durumdur. Bu çalışmanın amacı, Uşak Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Radyolojisi Kliniğine Kasım 2016-Ağustos 2018 tarihleri arasında başvuran hastalarda KMs vakalarını prevalans, yaş, cinsiyet, sınıflandırma ve ilişkili olabilecek patoloji açısından değerlendirmektir. Gereç ve Yöntemler: Toplam 28984 panoramik radyografi ve 892 konik ışınlı bilgisayarlı tomografi görüntüsü retrospektif olarak incelendi. Radyolojik ve klinik veriler yaş, cinsiyet, medikal anamnez, prevalans, sınıflama ve ilişkili patolojiye göre değerlendirildi. Bulgular: Çalışmaya toplamda 18.792 erkek, 11.084 kadın hasta dâhil edilmiştir. İncelenen 29.876 radyolojik tetkik sonucunda toplam 7 hastada KMs tespit edildi (%0,023). KMs tespit edilen 7 hastanın 4'ü erkek, 3'ü kadındı ve yaş ortalaması 28,2 olarak saptandı. 7 hastada tespit edilen toplam 13 KMs olgusunun 4 tanesi unilateral, 3 tanesi bilateral olarak tespit edildi. Sonuç: KMs vakalarının görülme sıklığı çok düşüktür ve radyolojik tanısında herhangi bir zorluk yaşanmaz. Panoramik radyografi üzerinde KMs'ler görüldüğünde, çevre dokular üzerindeki potansiyel etkiler dikkatle incelenmelidir. KMs, mandibular fraktür, perikoronit, lokal ağrı, kistik değişiklik ve komşu dişlerde kök rezorpsiyonu gibi bazı komplikasyonlara neden olabilir. KMs vakalarının herhangi bir sistemik durumla ilişkisini belirlemek adına daha fazla çalışmaya ihtiyaç duyulmaktadır.

Anahtar Kelimeler: Gömülü dişler; kissing molars; prevalans; mukopolisakkaridoz
ABSTRACT
 Objective: Kissing molars (KM) or rosette formation refers to contacting occlusal surfaces of impacted permanent molars in a single follicular space and their roots pointing in opposite directions. It is a rare phenomenon. The aim of present study was to assess the incidence, age, sex, classification and associated pathologies of kissing molars in all patients who presented to Oral and Maxillofacial Radiology Department at Uşak University Faculty of Dentistry between November 2016 and August 2018. Material and Methods: A total of 28,984 panoramic radiograph and 892 cone-beam computed tomography images were inspected retrospectively. The radiological and clinical data of KMs were evaluated according to age, gender, medical history, prevalence, classification and associated pathology. Results: A total of 18,792 male and 11,084 female patients were included in the study. As a result of 29,876 radiological examinations, KMs were detected in 7 patients (%0.023). Of the 7 patients, 4 were male and 3 were female, and the mean age was 28.2. Thirteen KMs were detected in 7 patients, 4 were detected unilaterally and 3 were bilaterally. Conclusion: The incidence of CMS cases is very low and there is no difficulty in the radiological diagnosis. The potential effects on the surrounding tissues should be examined carefully when KMs are seen on panoramic radiography. KMs can cause complications such as mandibular fracture, pericoronitis, local pain, cystic changes and root resorption in neighboring teeth. Further studies are needed to determine the association of KMs cases with any systemic condition.

Keywords: Impacted teeth; kissing molars; prevalence; mucopolysaccharidosis
REFERENCES:
  1. Türker M, Yücetaş Ş. Ağız, Diş, Çene Hastalıkları ve Cerrahisi. [Gömülü Dişler] 3. Baskı. Ankara: Özyurt Matbacılık; 2008. p.221-5.
  2. Al-Khateeb TH, Bataineh AB. Pathology associated with impacted mandibular third molars in a group of Jordanians. J Oral Maxillofac Surg. 2006;64(11):1598-602. [Crossref]  [PubMed] 
  3. Van Hoof R. Four kissing molars. Oral Surg Oral Med Oral Pathol Oral Radiol. 1973;35(2): 284. [Crossref] 
  4. Robinson JA, Gaffney W Jr, Soni NN. Bilateral 'kissing' molars. Oral Surg Oral Med Oral Pathol. 1991;72(6):760. [Crossref] 
  5. Kiran HY, Bharani KS, Kamath RA, Manimangalath G, Madhushankar GS. Kissing molars and hyperplastic dental follicles: report of a case and literature review. Chin J Dent Res. 2014;17(1):57-63.
  6. Gulses A, Varol A, Sencimen M, Dumlu A. A study of impacted love: kissing molars. Oral Health Dent Manag. 2012;11(4):185-8.
  7. Yanik S, Ayranci F, İşman Ö, Büyükçikrikci Ş, Aras M. Study of kissing molars in Turkish population sample. Niger J Clin Pract. 2017;20(6):659-64. [Crossref]  [PubMed] 
  8. Akbulut N, Tatidze M, Kolsuz ME, Sindel A, Çölok G. [Kissing molars: a rare condition of two cases]. A Ü Diş Hek Fak Derg. 2009;36(3):169-72. [Crossref] 
  9. Fortes RZS, Júnior VS, Modolo F, Mackowiecky E. Kissing molars: report of a case. J Oraland Maxillofac Surg Med Pathol. 2014;26(1):48-51. [Crossref] 
  10. Nedjat‐Shokouhi B, Webb R. Bilateral kissing molars involving a dentigerous cyst: report of a case and discussion of terminology. Oral Surgery. 2014;7(Suppl 1):107-10. [Crossref] 
  11. Bakaeen G, Baqain ZH. Interesting case: kissing molars. Br J Oral Maxillofac Surg. 2005;43(6):534. [Crossref]  [PubMed] 
  12. Nakamura T, Miwa K, Kanda S, Nonaka K, Anan H, Higash S, et al. Rosette formation of impacted molar teeth in mucopolysaccharidoses and related disorders. Dentomaxillofac Radiol. 1992;21(1):45-9. [Crossref]  [PubMed] 
  13. Shahista P, Mascarenhas R, Shetty S, Husain A. Kissing molars: an unusual unexpected impaction. Arch Med Health Sci. 2013;1(1):52-3. [Crossref] 
  14. Nishikawa S, Cheng J, Koyano Y, Irié T, Nomura T, Kato T. Dentigerous cyst involving two impacted molars; report of a case. Oral Med Pathol. 1996;1(1):60-2. [Crossref] 
  15. Goaz PW, White SC. Oral Radiology: Principles and Interpretation. 3rd ed. St. Louis Missouri: Mosby; 1994. p.735.
  16. Sands T, Tocchio C. Multiple dentigerous cysts in a child. Oral Health. 1998;88(5):27-9.
  17. Maxymiw WG, Wood RE. Carcinoma arising in a dentigerous cyst: a case report and review of the literature. J Oral Maxillofacial Surg. 1991;49(6):639-43. [Crossref] 
  18. Cawson RA. The oral changes in gargoylism. Proc R Soc Med. 1962;55:1066-70. [Crossref]  [PubMed]  [PMC] 
  19. Graupman P, Pan D, Konair B, Hartung S, McIvor S, Whitley C, et al. Craniofacial abnormalities in a murine knock-out model of mucopolysaccharidosis I H: a computed tomography and anatomic study. J Craniofacial Surg. 2004;15(3):392-8. [Crossref]  [PubMed] 
  20. Hall RK. Pediatric Orofacial Medicine and Pathology. 1st ed. London; New York: Chapman & Hall Medical; 1994. p.413.
  21. McIntyre G. Kissing molars: an unexpected finding. Dent Update. 1997;24(9): 373-4.
  22. McCoy JM. Complications of retention: pathology associated with retained third molars. Atlas Oral Maxillofac Surg Clin North Am. 2012;20(2):177-95. [Crossref]  [PubMed] 
  23. Neto FG, Júnior HR, Júnior WM, Duarte BG, Salgueiro DG, Sant'Ana E. Interesting cases of kissing molars. Report of two cases. Rev Odontol UNESP. 2012;41(4):292-5.
  24. Zerener T, Bayar GR, Altug HA, Kiran S. Extremely rare form of impaction bilateral kissing molars: report of a case and review of the literature. Case Rep Dent. 2016;2016: 2560792. [Crossref]  [PubMed]  [PMC] 

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