ABSTRACT
PURPOSE: Third molars (M3s) are the most common congenitally missing teeth. The aim of this study was to compare the frequency of M3 agenesis in two different age groups. METHODS: This study examined the panoramic radiographic images of 1036 patients. Two groups, each consisting of 518 patients, were arranged based on age ranges. The patients aged 12 to 19 years were in the first group and those 20 years and older were in the second group. The frequency of M3 agenesis was examined in both age groups. The distribution of M3 agenesis by sex and jaw was also recorded, along with the number of M3s affected by agenesis. Chi-square tests were used to examine the relationships between categorical variables. RESULTS: M3 agenesis was observed in 29.3% and 20.5% in the first and second groups, respectively; the difference was statistically significant (P < .01). It was more common in female (27.3%) than in male patients (21.4%), and in the maxilla (11.2%) than in the mandible (5.8%), and the differences were statistically significant (P < .05). It was mostly observed forthemaxilla right M3 (18) (30.9%) and in the single quadrant of the jaws (9.7%). CONCLUSIONS: The frequency of M3 agenesis was more common in patients aged 12 to 19 years than in those aged 20 years and older. Additionally, M3 agenesis was more common in females and in the maxilla.
Subject(s)
Anodontia/epidemiology , Molar, Third/abnormalities , Adolescent , Adult , Age Factors , Aged , Aged, 80 and over , Child , Cohort Studies , Female , Humans , Male , Middle Aged , Time Factors , Turkey/epidemiology , Young AdultABSTRACT
Melkersson-Rosenthal Syndrome (MRS) is a rare disorder consisting of a triad of persistent or recurrent orofacial edema, relapsing facial paralysis and fissured tongue. It is rarely possible to observe all aspects of the classical triad at the same time, since these symptoms may appear in different times of life cycle. The most common symptom is orofacial edema. Although etiology of MRS is unclear, various factors such as infections, genetic predisposition, immune deficiency, food intolerance and stress have been held responsible. MRS is diagnosed based on clinical features. This case report describes a 39 years old male patient with recurrent swelling of the upper lip. Clinical examinations showed classical triad of MRS. The diagnosis and treatment procedures were presented with special emphasis to the clinical features of this rare condition.
ABSTRACT
PURPOSE: The purpose of this retrospective study was to compare the performance of cone-beam computed tomography (CBCT) and panoramic radiography in detecting the presence and location of maxillary sinus septa. MATERIALS AND METHODS: This study included radiographic examination of 104 maxillary sinuses of 52 individuals (26 females, 50% and 26 males, 50%) whose panoramic radiographs and CBCT images were obtained for several dental causes which were examined by the consensus of four dentomaxillofacial radiologists. The posterior maxillary segments in proximity of maxillary sinus were classified as edentulous and dentate maxillary segments. The location of maxillary sinus septa was classified as primary septa and secondary septa according to the presence of maxillary tooth at the affected site. The maxillary sinus septa were divided into three categories (anterior, middle and posterior) according to its relation with posterior maxillary teeth. Data were statistically analyzed with chi-square and Fisher's exact tests. RESULTS: The septa were found in 23.1% and 29.8% of the maxillary sinuses on panoramic radiography and CBCT images, respectively. The majority of maxillary sinus septa were observed in dentate posterior maxillary segments on both panoramic (45.8%) radiography and CBCT (64.5%) images. Statistically significant differences (p<0.001) were found between panoramic radiography and CBCT images for presence, location and neighborhood with the posterior maxillary teeth of maxillary sinus septa. CONCLUSION: The results of this study demonstrated the low reliability of panoramic radiography images in the detection of maxillary sinus septa. CBCT images can provide valuable information to the clinicians about the presence and location of maxillary sinus septa.
ABSTRACT
PURPOSE: The aim of this retrospective study is to determine the radiological features of keratocystic odontogenic tumors (KCOT) using cone-beam computed tomography (CBCT). MATERIALS AND METHODS: CBCT images of 28 patients who had histopathologically-confirmed KCOT were retrospectively reviewed from the archives of the Department of Dentomaxillofacial Radiology, Gazi University Faculty of Dentistry. The location and size of KCOT, cortical expansion, cortical perforation, relation with the impacted teeth, and the impact on the mandibular canal were evaluated. RESULTS: The mean age of patients at initial diagnosis was 34.5 years. Patients with an impacted tooth were significantly younger than those without an impacted tooth (p<0.05). Among KCOTs, 21% were localized in the maxilla whereas 79% were found in the mandible. The lesions localized in the mandible were mostly found in the retromolar-ramus region. Of these patients, 93% had cortical expansion and 75% had bone perforation. Of the 22 mandibular lesions, 20 were in close proximity of the mandibular canal and 18 (90%) of these lesions had caused destruction in the mandibular canal. CONCLUSION: KCOTs exhibit their aggressive nature in the jaw bone. CBCT is a useful radiological imaging method to examine the radiologic characteristics of KCOTs such as bone destruction and their spatial relations with the neighboring anatomic structures.
ABSTRACT
Objective. The purpose of this study was to evaluate the efficiency of operating microscope compared with unaided visual examination, conventional and digital intraoral radiography for proximal caries detection. Materialsand Methods. The study was based on 48 extracted human posterior permanent teeth. The teeth were examined with unaided visual examination, operating microscope, conventional bitewing and digital intraoral radiographs. Then, true caries depth was determined by histological examination. The extent of the carious lesions was assessed by three examiners independently. One way variance of analysis (ANOVA) and Scheffe test were performed for comparison of observers, and the diagnostic accuracies of all systems were assessed from the area under the ROC curve (A(z)). Results. Statistically significant difference was found between observers (P < .01). There was a statistically significant difference between operating microscope-film radiography, operating microscope-RVG, unaided visual examination-film radiography, and unaided visual examination-RVG according to pairwise comparison (P < .05). Conclusion. The efficiency of operating microscope was found statistically equal with unaided visual examination and lower than radiographic systems for proximal caries detection.
ABSTRACT
The purpose of this study was to evaluate the efficiency of the laser fluorescence (LF) (DIAGNOdent) measurements comparing with visual examination and conventional bitewing radiography for occlusal caries detection. The study comprised 44 occlusal surfaces. Three examiners independently evaluated the teeth by visual examination, LF measurements, and bitewing radiographs. After the evaluations, the teeth were opened, and the clinical lesion depth was determined. One-way variance analysis (ANOVA) was performed for comparison of observers. The diagnostic performance of three methods was assessed by using non-parametric tests (Kruskal-Wallis, Mann-Whitney U, and Spearman rank correlation). No statistically significant difference was found between observers (p > 0.05), and statistically significant difference was found between diagnostic systems (p < 0.01). The correlation of LF measurements with the clinical lesion depth was better than visual examination and bitewing radiography. This result concluded that LF may be a useful adjunct to visual examination, and the diagnostic performance of this device seems to be good for occlusal caries detection.
