对癫痫患者牙根吸收的发生率和位置进行放射学评估:观察研究

Katibe Tuğçe Temur, Fatma Pertek Hatipoğlu, G. Magat
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摘要

目的:用于治疗癫痫患者的抗癫痫药物对骨组织有负面影响,但据我们所知,尚未对这些患者的牙根吸收情况进行调查。本研究旨在评估使用抗癫痫药物的癫痫患者牙根内外吸收的发生率及其根据吸收部位的分布情况。材料和方法:对牙科治疗前获得的全景 X 光片进行评估。病例组仅包括癫痫患者,对照组包括健康人。所有牙齿(第三磨牙除外)有无内外吸收、吸收区域(牙根颈部、中部和根尖)、年龄和性别均记录在 excel 文件中。根据正态分布采用独立样本 t 检验或 Mann-Whitney U 检验,比较分类变量时采用卡方检验。结果在 424 名患者(236 名健康受试者和 188 名癫痫患者)中,有 93 人(21.9%)存在牙槽骨吸收,各组在是否存在外部和内部牙槽骨吸收方面没有显著差异(P = 0.089 和 0.746)。这种情况在 30 岁以上和男性中更为常见(p = 0.018 和 0.013)。结论我们得出结论,癫痫患者的牙槽骨吸收与健康人没有区别。然而,癫痫患者的牙齿吸收主要出现在下臼齿和中间 1/3 区域。临床医生在治疗这些患者时应考虑我们的结果。
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RADIOLOGICAL ASSESSMENT OF THE PREVALENCE AND LOCATION OF ROOT RESORPTION IN EPILEPTIC PATIENTS: AN OBSERVATIONAL STUDY
Objective: Antiepileptic drugs used in the treatment of epilepsy patients have a negative effect on bone tissue, but as far as we know, tooth root resorption has not been investigated in these patients. The aim of this study was to evaluate the prevalence of external and internal root resorption and its distribution according to resorption sites in epilepsy patients using antiepileptic drugs. Material and Methods: Panoramic radiographs obtained before dental treatment were evaluated. While the case group consisted of only those with epilepsy, the control group included healthy subjects. The presence/absence of external and internal resorption of all teeth (except the third molars), region of resorption (cervical, middle, and apical region of the root), age, and sex were recorded in an excel file. Independent sample t-test or Mann-Whitney U test according to normality of distribution and a chi-square test to compare categorical variables were used. Results: The resorption in 93 (21.9%) of 424 patients (236 healthy subjects and 188 epileptic patients), the groups did not significantly differ by the presence of external and internal resorption (p = 0.089 and 0.746). It was more common in those over 30 years and males (p = 0.018 and 0.013). Conclusion: We concluded that the presence of resorption in epilepsy patients was not different from healthy subjects. However, in patients with epilepsy, resorption was mostly seen in the lower molars and middle 1/3 regions. Clinicians should consider our results when treating these patients.
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