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1.
J Korean Assoc Oral Maxillofac Surg ; 48(4): 207-218, 2022 Aug 31.
Artículo en Inglés | MEDLINE | ID: mdl-36043251

RESUMEN

Objectives: This study aimed to define the prevalence and characteristics of skull base anomalies and the features of sphenoid sinus pneumatization (SSP). Materials and Methods: Five hundred cone-beam computed tomography scans were evaluated retrospectively for the presence of fossa navicularis magna (FNM), canalis basilaris medianus (CBM), sphenoid emissary foramen (SEF), and/or Onodi cells (OC). Patterns of the SSP and sphenoid sinus mucosa dimensions (SSMD) were also recorded. Results: The prevalence of FNM, CBM, SEF, and OC was 26.0%, 22.4%, 47.4%, and 18.4%, respectively. Two hundred sixty-two (52.4%) sellartype SSP were defined, followed by post-sellar 191 (38.2%), pre-sellar 31 (6.2%), and conchal 16 (3.2%) types. The frequency of SSMD less than 1 mm, 1-3 mm, and greater than 3 mm was 40.6%, 38.4%, and 21.0%, respectively. An SEF was detected more frequently in females, while SSMD greater than 3 mm was more frequent in males. An FNM was more prevalent in the 18-29 and 30-39 age groups and SEF was significantly less frequent in patients over 60 years of age compared to other age groups. A sinus mucosa larger than 3 mm was more common in the younger than 18 year group. The frequency of post-sellar-type pneumatization was lower in patients younger than 18 years. Conclusion: Skull-base anomalies are common and may be detected incidentally during imaging procedures. The sphenoid sinus, its variations, and pneumatization patterns should also be taken into consideration in imaging procedures performed for various purposes.

2.
Cranio ; : 1-10, 2022 Jan 31.
Artículo en Inglés | MEDLINE | ID: mdl-35094666

RESUMEN

OBJECTIVE: The aim of the study is to verify the impact of anxiety on temporomandibular disorders (TMD) by using specific questionnaires in a Turkish sample. METHODS: This survey was conducted on 292 patients with a mean age of 38.59 ± 10.38 using Helkimo index, Oral Health Impact Profile (OHIP-14), and State Trait Anxiety Inventory (STAI). Spearman Correlation and Fisher Freeman Halton analyses were used for the statistical analysis. RESULTS: There was no statistically significant difference between the Helkimo anamnestic dysfunction (HAD) levels in terms of OHIP-14 total scores or STAI state scores. There was, however, a statistically positive correlation between STAI state and OHIP-14 total values at 18.4%, a positive correlation between the STAI trait and OHIP-14 total values at 29.8%. CONCLUSION: No significant correlation was observed between OHIP-14 total scores, STAI state scores, and HAD levels. Therefore, this study did not find a significant relationship between TMDs and anxiety.

3.
Anat Sci Int ; 95(1): 134-142, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31701372

RESUMEN

Mandibular third molar teeth have the highest impaction frequency for several reasons such as lack of space which may be related to the direction of facial growth. Gonial angle is used for the definition of facial growth pattern with some other measures such as mandibular plane angle. Winter and Pell-Gregory classifications are used for defining the level and pattern of mandibular third molar impaction. The aim of this study is to define the relationship between mandibular third molar impaction pattern and gonial angle; also to evaluate relationship between mandibular third molar roots and inferior alveolar canal. Study included 90 patients who had undergone cone beam computed tomography assessment for mandibular third molar impaction. Impacted teeth were grouped according to Pell-Gregory depth (A, B, C) and ramus (1, 2, 3) classification and sub-groups were composed. Winter classification was used for angulation of third molars and their relationship between with inferior alveolar canal was recorded. Gonial angle was measured on panoramic radiographs. Of the evaluated 90 impacted third molars, mesioangular position was the most frequent (34.4%), followed by vertical, horizontal and distoangular positions. Nearly 77% of the impacted third molar roots were related to inferior alveolar canal. While no correlation was determined between gender, age, third molar angulation and gonial angle, C2 sub-group of Pell-Gregory classification showed statistically significant higher gonial angle values. Although no significance was found, gonial angle was higher in level C group. In conclusion, gonial angle is higher in patients with C2 impaction level. Also, although statistically insignificant, Pell-Gregory C group had higher gonial angle averages.


Asunto(s)
Mandíbula , Tercer Molar/patología , Diente Impactado/etiología , Diente Impactado/patología , Tomografía Computarizada de Haz Cónico , Femenino , Humanos , Masculino , Diente Impactado/clasificación , Diente Impactado/diagnóstico por imagen
4.
Oral Radiol ; 35(1): 43-50, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30484184

RESUMEN

OBJECTIVES: This study was performed to compare the positions of the right and left condyles between male and female patients with different Angle malocclusions using cone-beam computed tomography (CBCT) panoramic reconstructions. METHODS: The CBCT images of 60 patients (age of 18-37 years) were retrospectively evaluated. The patients were divided according to their Angle malocclusion classifications (Angle Classes I, II, and III). The condyle-to-eminence, condyle-to-fossa, and condyle-to-meatus distances were measured digitally using i-CAT software. RESULTS: The left and right condyle-to-fossa distances were the most variable parameters among the Angle classes. The right condyle-to-eminence and right condyle-to-fossa distances were significantly different among the classes. Male patients seemed to have a greater condyle-to-fossa distance on the right side in both the Class I and III groups. The mean distance from the condyle to eminence, condyle to fossa, and condyle to meatus on the right side was the greatest in the Angle Class II group. CONCLUSIONS: In all three types of malocclusion (Angle Classes I, II, and III), the condyles on both the right and left sides were not exactly symmetric or centrally located within the glenoid fossa. This work emphasizes the differences in the condyle position between male and female patients. Furthermore, the symmetry and centricity of the condyles are not dependent on the patient's sex or type of malocclusion.


Asunto(s)
Maloclusión de Angle Clase III/diagnóstico por imagen , Maloclusión Clase II de Angle/diagnóstico por imagen , Maloclusión Clase I de Angle , Adolescente , Adulto , Tomografía Computarizada de Haz Cónico , Femenino , Humanos , Masculino , Maloclusión Clase I de Angle/diagnóstico por imagen , Cóndilo Mandibular , Estudios Retrospectivos , Articulación Temporomandibular , Adulto Joven
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