Amaç: Kalsifiye dişlerde kanal tedavisi yapmak zordur. Kalsifikasyon tam veya kısmi olabilir. Genellikle Pulpa kalsifikasyonu 200 μm'den küçük olduğunda ve yeterli mineralizasyon göstermediğinde radyolojik olarak tespit etmek mümkün değildir. Bu çalışmada, retrospektif konik ışınlı bilgisayarlı tomografi görüntülerinin değerlendirilmesiyle alt ve üst çene kesici dişlerde pulpa kalsifikasyon sıklığının saptanması ve kalsifikasyon ile yaş, cinsiyet, diş grubu ve yer aldığı çeneye göre aralarındaki ilişkinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Dicle Üniversitesi Oral Diagnoz ve Radyoloji Ana Bilim Dalına başvuran rastgele seçilmiş 501 hastanın tomografisi incelendi. Değerlendirme 2 tekrarlı olarak 2 endodontist tarafından bağımsız olarak yapıldı ve ortak fikir birliğine göre sınıflandırıldı. Hastaların demografik bilgilerini içermeyen, artefaktlı ve görüntü kalitesi düşük tomografiler çalışmaya dâhil edilmedi. Değerlendirmeye alınan hastaların yaş aralığı Grup 1: 16-30, Grup 2: 31-50 ve Grup 3: 51 ve üzeri olarak sınıflandırıldı. Gruplar arasındaki farklar incelenirken değişkenler normal dağılımdan gelmiyorsa grupların ikili karşılaştırmalarında Mann-Whitney U testi uygulandı. Nominal değişkenlerin grupları arasındaki ilişkileri incelenirken ki-kare analizi uygulandı. Bulgular: 501 hastanın 26'sında kalsifiye dişe rastlandı. Diş bazında ise incelenen 3.228 dişten 57'sinde kalsifikasyon görüldü. Kalsifikasyon görülme sıklığı bakımından çene ve yaş grubu arasında anlamlı fark bulunurken (p0,05). Sonuç: Dişler arasında kalsifikasyon en çok mandibular santral kesici dişlerde saptandı.
Anahtar Kelimeler: Pulpa kalsifikasyonu; kesici dişler; konik ışınlı bilgisayarlı tomografi
Objective: Root canal treatment in calcified teeth is difficult. Calcification can be complete or partial. Generally, it is not possible to detect radiologically when pulp calcification is less than 200 μm and does not show sufficient mineralization. In this retrospective study, it was aimed to determine the frequency of pulp calcification in the lower and upper incisors by evaluating cone beam computed tomography images and to examine the relationship between calcification and age, gender, tooth group and jaw. Material and Methods: The tomography of 501 randomly selected patients who applied to Dicle University Oral Diagnosis and Radiology Department were analyzed. Evaluation was carried out in 2 replicates independently by 2 endodontists and classified according to common consensus. Artifacts and low image quality tomographies that did not include the demographic information of the patients were not included in the study. The age range of the patients included in the evaluation was classified as Group 1: 16-30, Group 2: 31-50, and Group 3: 51 and above. MannWhitney U test was used for pairwise comparisons of the groups. Chisquare analysis was applied when examining the relationships between groups of nominal variables. Results: Calcified teeth were found in 26 of 501 patients. On the basis of teeth, calcification was observed in 57 of 3,228 teeth examined. While there was a significant difference between the jaws and age groups in terms of the incidence of calcification (p0.05). Conclusion: Among the teeth, calcification was found mostly in the mandibular central incisors.
Keywords: Pulp calcification; incisor teeth; cone beam computed tomography
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