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6-18 Yaş Arası Sendromik Olmayan Türk Çocuklarında Süpernumere Premolarların Prevalansı ve Özellikleri: Retrospektif Bir KIBT Çalışması

Yıl 2022, Cilt: 9 Sayı: 2, 471 - 478, 24.08.2022
https://doi.org/10.15311/selcukdentj.991041

Öz

Amaç: Bu retrospektif çalışmada 6-18 yaş arası sendromik olmayan Türk çocuklarında süpernümere premolarların prevalansı ve özellikleri KIBT (konik ışınlı bilgisayarlı tomografi) analizi ile araştırılmıştır.

Gereç ve Yöntem: 2015 ve 2020 yılları arasında sevk edilen 1012 hasta görüntülerinden en az bir süpernümere premoları olan 48 hastanın KIBT görüntüleri değerlendirilmiştir. Süpernümere premoların bölgesi, sayısı, sürme durumu, şekli, konumu, eşlik eden diğer dental anomaliler, ilişkili komplikasyonlar ve en yakın komşu dişlerde rezorbsiyon varlığı kaydedilmiştir. Rezorbsiyonla ilişkili olası faktörlerin istatistiksel analizi, Ki-kare testi ve Lojistik regresyon ile yapılmıştır.

Bulgular: Süpernümere premolarların prevalansı %4,7’dir. Ortalama yaşı 15.02 ± 2.24 olan 48 hastada toplam 107 süpernümere premolar diş analiz edilmiştir. Tek sayıda süpernümere premolar ile karşılaştırıldığında, çoklu süpernümere premolarlar daha yaygındır (%62,5). Süpernümere premoları olan on beş hastada (%31,2), eşlik eden pulpa taşı, mesiodens gibi dental anomaliler görülmüştür. Süpernümere premolarların çoğu gömülü, suplemental şekilli ve dikey konumdadır. Süpernümere premolarlarla ilişkili en yaygın komplikasyonlar kök rezorbsiyonudur (%56,4). Olgunlaşmamış köklere sahip süpernümere küçük azılar, yalnızca kron kısmı olanlara göre önemli ölçüde daha fazla rezorbsiyon yüzdelerine neden olmuştur (P = 0,002). Ayrıca, süpernümere küçük azı dişleri nedeniyle gelişen komşu dişlerde kök rezorbsiyonu 13 yaşın üzerindeki çocuklarda önemli ölçüde daha yüksektir (P < 0,001).

Sonuç: Sendromik olmayan Türk çocuklarında süpernümere premolarların prevalansı ve üç boyutlu radyografik özellikleri literatüre değerli bilgiler sağlamakta ve olası komplikasyonları vurgulamaktadır.

Kaynakça

  • 1. Garvey MT, Barry HJ, Blake M. Supernumerary teeth-an overview of classification, diagnosis and management. J Can Dent Assoc 1999; 65: 612-616.
  • 2. Solares R, Romero MI. Supernumerary premolars: a literature review. Pediatr Dent 2004; 26: 450-458.
  • 3. Mossaz J, Kloukos D, Pandis N, Suter VG, Katsaros C, Bornstein MM. Morphologic characteristics, location, and associated complications of maxillary and mandibular supernumerary teeth as evaluated using cone beam computed tomography. Eur J Orthod 2014; 36: 708-718.
  • 4. Celikoglu M, Kamak H, Oktay H. Prevalence and characteristics of supernumerary teeth in a non-syndrome Turkish population: associated pathologies and proposed treatment. Med Oral Patol Oral Cir Bucal 2010; 15: 575-8.
  • 5. Öztaş B, Bardak Ç, Kurşun EŞ, Akbulut N. Clinical characteristics of non-syndromic supernumerary teeth in a cohort of Turkish patients. Oral Radiol 2011; 27: 108-113.
  • 6. Jiang Y, Ma X, Wu Y, et al. Epidemiological, clinical, and 3-dimentional CBCT radiographic characterizations of supernumerary teeth in a non-syndromic adult population: a single-institutional study from 60,104 Chinese subjects. Clin Oral Investig 2020; 24: 4271-4281.
  • 7. Paduano S, Rongo R, Lucchese A, Aiello D, Michelotti A, Grippaudo C. Late-developing supernumerary premolars: analysis of different therapeutic approaches. Case Rep Dent 2016; 2016: 1-8.
  • 8. Gupta S, Goswami M. Asymptomatic nonsyndromic multiple supernumerary premolars. Int J Clin Pediatr Dent 2012; 5: 84-6.
  • 9. Park S-Y, Jang H-J, Hwang D-S, et al. Complications associated with specific characteristics of supernumerary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 130: 150-155.
  • 10. Amarlal D, Muthu M. Supernumerary teeth: Review of literature and decision support system. Indian J Dent Res 2013; 24: 117-122.
  • 11. Kapila S, Conley R, Harrell Jr W. The current status of cone beam computed tomography imaging in orthodontics. Dentomaxillofac Radiol 2011; 40: 24-34.
  • 12. Bereket C, Çakır‑Özkan N, Şener İ, Bulut E, Baştan A. Analyses of 1100 supernumerary teeth in a nonsyndromic Turkish population: A retrospective multicenter study. Niger J Clin Pract 2015; 18: 731-738.
  • 13. Esenlik E, Sayın MÖ, Atilla AO, Özen T, Altun C, Başak F. Supernumerary teeth in a Turkish population. Am J Orthod Dentofacial Orthop 2009; 136: 848-852.
  • 14. Martiánez-Gonzaález JM, Brinkmann JC-B, Calvo-Guirado JL, Arias-Irimia O, Barona-Dorado C. A clinical epidemiologic analysis of a sample of 73 supernumerary premolars. J Am Dent Assoc 2010; 141: 1435-1441.
  • 15. De Oliveira Gomes C, Drummond SN, Jham BC, Abdo EN, Mesquita RA. A survey of 460 supernumerary teeth in Brazilian children and adolescents. Int J Clin Pediatr Dent 2008; 18: 98-106.
  • 16. Bidwell JP, Fey EG, Marks Jr SC. Nuclear matrix-intermediate filament proteins of the dental follicle/enamel epithelium and their changes during tooth eruption in dogs. Arch Oral Biol 1995; 40: 1047-1051.
  • 17. Ericson S, Bjerklin K, Falahat B. Does the canine dental follicle cause resorption of permanent incisor roots? A computed tomographic study of erupting maxillary canines. Angle Orthod 2002; 72: 95-104.
  • 18. Létourneau Y, Pérusse R, Buithieu H. Oral manifestations of Ehlers-Danlos syndrome. J Can Dent Assoc 2001; 67: 330-334.

Prevalence and Characteristics of Supernumerary Premolars in a Non-Syndromic Turkish Children Between 6-18 Years of Age: A Retrospective CBCT Study

Yıl 2022, Cilt: 9 Sayı: 2, 471 - 478, 24.08.2022
https://doi.org/10.15311/selcukdentj.991041

Öz

Background: The prevalence and characteristics of supernumerary premolars in non-syndromic Turkish children between 6-18 years of age was investigated in this retrospective study through CBCT (cone beam computed tomography) analysis.

Methods: CBCT images of 48 patients with at least one supernumerary premolar were evaluated in 1012 images of patients referred between 2015 and 2020. The localization, number, eruption state, shape, the position of supernumerary premolar, concomitant other dental anomalies, associated complications, and the presence of resorption on the nearest adjacent teeth were recorded. The statistical analysis of possible associated factors with resorption was performed by the Chi-square test and Logistic regression.

Results: The prevalence of supernumerary premolars was 4.7%. A total of 107 supernumerary premolars in 48 patients with mean age of 15.02  2.24 were analyzed. Compared to single supernumerary premolar, multiple supernumerary premolars were more prevalent (62.5%). The concomitant dental anomalies such as pulp stones, mesiodens were observed in fifteen patients (31.2%). Most of the supernumerary premolars were impacted, supplemental shaped and vertical position. The most common complication associated with supernumerary premolars was root resorption (56.4%) of neighborhood teeth. Supernumerary premolars with immature roots induced significantly higher resorption percentages than only crown ones (P = 0.002). Also, the root resorption of adjacent teeth due to supernumerary premolars was significantly higher in children over 13 years of age (P < 0.001).

Conclusions: The prevalence and three-dimensional radiographic characteristics of supernumerary premolars in non-syndromic Turkish children offer valuable information to the literature and highlight the possible complications.

Kaynakça

  • 1. Garvey MT, Barry HJ, Blake M. Supernumerary teeth-an overview of classification, diagnosis and management. J Can Dent Assoc 1999; 65: 612-616.
  • 2. Solares R, Romero MI. Supernumerary premolars: a literature review. Pediatr Dent 2004; 26: 450-458.
  • 3. Mossaz J, Kloukos D, Pandis N, Suter VG, Katsaros C, Bornstein MM. Morphologic characteristics, location, and associated complications of maxillary and mandibular supernumerary teeth as evaluated using cone beam computed tomography. Eur J Orthod 2014; 36: 708-718.
  • 4. Celikoglu M, Kamak H, Oktay H. Prevalence and characteristics of supernumerary teeth in a non-syndrome Turkish population: associated pathologies and proposed treatment. Med Oral Patol Oral Cir Bucal 2010; 15: 575-8.
  • 5. Öztaş B, Bardak Ç, Kurşun EŞ, Akbulut N. Clinical characteristics of non-syndromic supernumerary teeth in a cohort of Turkish patients. Oral Radiol 2011; 27: 108-113.
  • 6. Jiang Y, Ma X, Wu Y, et al. Epidemiological, clinical, and 3-dimentional CBCT radiographic characterizations of supernumerary teeth in a non-syndromic adult population: a single-institutional study from 60,104 Chinese subjects. Clin Oral Investig 2020; 24: 4271-4281.
  • 7. Paduano S, Rongo R, Lucchese A, Aiello D, Michelotti A, Grippaudo C. Late-developing supernumerary premolars: analysis of different therapeutic approaches. Case Rep Dent 2016; 2016: 1-8.
  • 8. Gupta S, Goswami M. Asymptomatic nonsyndromic multiple supernumerary premolars. Int J Clin Pediatr Dent 2012; 5: 84-6.
  • 9. Park S-Y, Jang H-J, Hwang D-S, et al. Complications associated with specific characteristics of supernumerary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 130: 150-155.
  • 10. Amarlal D, Muthu M. Supernumerary teeth: Review of literature and decision support system. Indian J Dent Res 2013; 24: 117-122.
  • 11. Kapila S, Conley R, Harrell Jr W. The current status of cone beam computed tomography imaging in orthodontics. Dentomaxillofac Radiol 2011; 40: 24-34.
  • 12. Bereket C, Çakır‑Özkan N, Şener İ, Bulut E, Baştan A. Analyses of 1100 supernumerary teeth in a nonsyndromic Turkish population: A retrospective multicenter study. Niger J Clin Pract 2015; 18: 731-738.
  • 13. Esenlik E, Sayın MÖ, Atilla AO, Özen T, Altun C, Başak F. Supernumerary teeth in a Turkish population. Am J Orthod Dentofacial Orthop 2009; 136: 848-852.
  • 14. Martiánez-Gonzaález JM, Brinkmann JC-B, Calvo-Guirado JL, Arias-Irimia O, Barona-Dorado C. A clinical epidemiologic analysis of a sample of 73 supernumerary premolars. J Am Dent Assoc 2010; 141: 1435-1441.
  • 15. De Oliveira Gomes C, Drummond SN, Jham BC, Abdo EN, Mesquita RA. A survey of 460 supernumerary teeth in Brazilian children and adolescents. Int J Clin Pediatr Dent 2008; 18: 98-106.
  • 16. Bidwell JP, Fey EG, Marks Jr SC. Nuclear matrix-intermediate filament proteins of the dental follicle/enamel epithelium and their changes during tooth eruption in dogs. Arch Oral Biol 1995; 40: 1047-1051.
  • 17. Ericson S, Bjerklin K, Falahat B. Does the canine dental follicle cause resorption of permanent incisor roots? A computed tomographic study of erupting maxillary canines. Angle Orthod 2002; 72: 95-104.
  • 18. Létourneau Y, Pérusse R, Buithieu H. Oral manifestations of Ehlers-Danlos syndrome. J Can Dent Assoc 2001; 67: 330-334.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Diş Hekimliği
Bölüm Araştırma
Yazarlar

Elif Ballıkaya 0000-0002-1743-1881

Nagihan Koç 0000-0002-3339-7783

Merve Kaşıkcı 0000-0003-3211-2093

Yayımlanma Tarihi 24 Ağustos 2022
Gönderilme Tarihi 4 Eylül 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 9 Sayı: 2

Kaynak Göster

Vancouver Ballıkaya E, Koç N, Kaşıkcı M. Prevalence and Characteristics of Supernumerary Premolars in a Non-Syndromic Turkish Children Between 6-18 Years of Age: A Retrospective CBCT Study. Selcuk Dent J. 2022;9(2):471-8.