Farklı dental anomalilerde servikal vertebra, el-bilek ve dental maturasyon ilişkisinin değerlendirilmesi
Yükleniyor...
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Üniversitesi, Diş Hekimliği Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı sınıf 1, sınıf 2 ve sınıf 3 dental anomalilere sahip genç kız ve erkek bireylerin maturasyon indikatörlerinin el-bilek kemiklerinden yapılacak yaş tayinine göre servikal vertebra, Demirjian ve cinsiyete göre farklılıklarının karşılaştırmalı olarak değerlendirilmesidir. Gereç ve Yöntem: Bu çalışmanın materyali Dicle Üniversitesi Diş Hekimliği Fakültesi Ortodonti kliniğine başvuran hastaların panoramik, sefalometrik ve el-bilek radyografilerinden seçilerek oluşturulmuştur. Araştırmamıza dahil edilen görüntüler aşağıdaki kriterlere göre *Ortodontik tedavi geçmişi olmayan, * Aynı tarihte çekilmiş el-bilek, lateral sefalometrik ve panoramik filmi olan, * Kraniyofasiyal deformitesi ve fasiyal dismorfolojisi olmayan, * Dudak-damak yarığı bulunmayan, * Konjenital diş eksikliği olmayan, * Büyüme hormonu takviyesi kullanmayan, * Dicle Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalına tedavi amacıyla başvurmuş 9-14 yaş aralığındaki hasta kayıtları arasından seçilmiştir. Bireylerin el-bilek röntgenlerinden Greulich-Pyle (GPA) atlasına göre yaş tayini yapılmıştır. Panoramik röntgenler üzerinde Demirjian metodu kullanılarak dental gelişim evreleri belirlenmiştir. Lateral sefalometrik filmlerden Lamparski metodu ile servikal vertebraların gelişim evreleri belirlenmiştir. Farklı dental malokluzyona sahip kız ve erkek bireylerde bu maturasyon indikatörlerinin ilişkisi değerlendirilirken Pearson Chi-Square analizi ve Spearman's Korelasyon Katsayısından ve/veya Pearson Korelasyon Katsayısından yararlanılmıştır. Bulgular: Sınıf I, sınıf II ve sınıf III dental maloklüzyon gruplarında, el-bilek ile cinsiyet, servikal vertebral maturasyon ve dental maturasyon arasında istatiksel olarak anlamlı bir ilişki bulunmuştur (p<0,001). Kız bireylerde büyüme gelişim dönemleri, erkek bireylere göre daha ileride seyretmektedir. Tüm gruplarda, el- bilek gelişimi pubertal atılım döneminde iken servikal vertebral gelişim CVS4 safhasındadır. Diş ve el-bilek gelişim safhaları arasındaki korelasyon ilişkisinde; en yüksek korelasyon katsayısı, sınıf III grubu kadınlardaki birinci premolar dişlerdedir. Servikal vertebral gelişim ile diş gelişim safhaları arasındaki korelasyon ilişkisinde; en yüksek korelasyon katsayısı, sınıf III grubu kadınlardaki ikinci premolar dişlerdedir. İkinci molar haricindeki tüm dişlerde kök gelişimleri, pubertal atılım sonrası dönemde çoğunlukla tamamlanmışken; ikinci molar dişlerin tüm el-bilek gelişim safhalarında kök gelişiminin çoğunlukla devam ettiği görülmüştür. Sonuç: Büyüme gelişim dönemi belirlenirken; tüm dental maloklüzyonlarda, el- bilek ve servikal vertebral maturasyon indikatörleri birbirlerine alternatif olarak kullanılabilir; ancak sadece dişlerin gelişim safhalarına bakılarak değerlendirme önerilmemektedir.
Aim: The aim of this study is to comparatively evaluate the differences of maturation indicators of young girls and boys with class 1, class 2 and class 3 dental anomalies according to cervical vertebra, Demirjian and gender, according to age determination from hand-wrist bones. Materials and Methods: The material of this study was created by selecting from the panoramic, cephalometric and hand-wrist radiographs of the patients who applied to the Dicle University Faculty of Dentistry Orthodontic clinic. The images included in our research were selected according to the following criteria; • No orthodontic treatment history, • Having hand-wrist, lateral cephalometric and panoramic films taken on the same date, • Without craniofacial deformity and facial dysmorphology, • No cleft lip and palate, • No congenital tooth deficiency, • Not using growth hormone supplements, • Patients aged 9-14 years who applied to Dicle University Faculty of Dentistry Department of Orthodontics for treatment were selected from the records. Age determination was made according to the Greulich-Pyle (GPA) atlas from the hand-wrist X-rays of the individuals. Dental developmental stages were determined using the Demirjian method on panoramic x-rays. Developmental stages of cervical vertebrae were determined by Lamparski method from lateral cephalometric films. Pearson Chi-Square analysis, Spearman's Correlation Coefficient and/or Pearson Correlation Coefficient were used to evaluate the relationship of these maturation indicators in male and female individuals with different dental malocclusions. Results: A statistically significant relationship was found between hand-wrist and gender, cervical vertebral maturation and dental maturation in class I, class II and class III dental malocclusion groups (p<0.001). Growth and development periods in girls are more advanced than in boys. In all groups, hand-wrist development is in the pubertal breakthrough stage, while cervical vertebral development is in the CVS4 stage. In the correlation relationship between tooth and hand-wrist development stages; The highest correlation coefficient is in the first premolar teeth in class III group women. In the correlation relationship between cervical vertebral development and tooth development stages; The highest correlation coefficient is in the second premolars in women of class III group. In all teeth except the second molar, root development was mostly completed in the post-pubertal period; it was observed that root development mostly continued in all hand-wrist development stages of second molars. Conclusion: While determining the growth and development period; In all dental malocclusions, hand-wrist and cervical vertebral maturation indicators can be used as alternatives to each other; however, evaluation based on the developmental stages of the teeth is not recommended.
Aim: The aim of this study is to comparatively evaluate the differences of maturation indicators of young girls and boys with class 1, class 2 and class 3 dental anomalies according to cervical vertebra, Demirjian and gender, according to age determination from hand-wrist bones. Materials and Methods: The material of this study was created by selecting from the panoramic, cephalometric and hand-wrist radiographs of the patients who applied to the Dicle University Faculty of Dentistry Orthodontic clinic. The images included in our research were selected according to the following criteria; • No orthodontic treatment history, • Having hand-wrist, lateral cephalometric and panoramic films taken on the same date, • Without craniofacial deformity and facial dysmorphology, • No cleft lip and palate, • No congenital tooth deficiency, • Not using growth hormone supplements, • Patients aged 9-14 years who applied to Dicle University Faculty of Dentistry Department of Orthodontics for treatment were selected from the records. Age determination was made according to the Greulich-Pyle (GPA) atlas from the hand-wrist X-rays of the individuals. Dental developmental stages were determined using the Demirjian method on panoramic x-rays. Developmental stages of cervical vertebrae were determined by Lamparski method from lateral cephalometric films. Pearson Chi-Square analysis, Spearman's Correlation Coefficient and/or Pearson Correlation Coefficient were used to evaluate the relationship of these maturation indicators in male and female individuals with different dental malocclusions. Results: A statistically significant relationship was found between hand-wrist and gender, cervical vertebral maturation and dental maturation in class I, class II and class III dental malocclusion groups (p<0.001). Growth and development periods in girls are more advanced than in boys. In all groups, hand-wrist development is in the pubertal breakthrough stage, while cervical vertebral development is in the CVS4 stage. In the correlation relationship between tooth and hand-wrist development stages; The highest correlation coefficient is in the first premolar teeth in class III group women. In the correlation relationship between cervical vertebral development and tooth development stages; The highest correlation coefficient is in the second premolars in women of class III group. In all teeth except the second molar, root development was mostly completed in the post-pubertal period; it was observed that root development mostly continued in all hand-wrist development stages of second molars. Conclusion: While determining the growth and development period; In all dental malocclusions, hand-wrist and cervical vertebral maturation indicators can be used as alternatives to each other; however, evaluation based on the developmental stages of the teeth is not recommended.
Açıklama
Anahtar Kelimeler
El-bilek, Servikal vertebra, Dental maturasyon, Hand-wrist, Cervical vertebra, Dental maturation
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Bozkurt, M. (2023). Farklı dental anomalilerde servikal vertebra, el-bilek ve dental maturasyon ilişkisinin değerlendirilmesi. Yayımlanmamış uzmanlık tezi, Dicle Üniversitesi, Diyarbakır.
