应用吸入性糖皮质激素结合口腔全景x线片下颌放射形态测量指标评价哮喘患者颌骨变化。

S Günen-Yılmaz, Z Aytekin
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引用次数: 1

摘要

背景:吸入性皮质类固醇(ICSs)是一种常用的治疗哮喘的有效药物。众所周知,骨质疏松症的改变可继发于类固醇的使用,这取决于剂量和持续时间。本研究的目的是比较使用ICSs和健康对照的哮喘患者全景图像的放射形态指数和分形维数。材料与方法:回顾性分析32例使用ICSs的哮喘患者和34例健康个体的66张牙科全景x线片(DPRs)。在ddprs上测量下颌下颌全景指数(PMI-i,PMI-s)、下颌皮质宽度(MCW)、下颌皮质指数(GI)、下颌皮质指数(MCI)和分形维数分析(FDA)。结果:PMI-s (p=0.02), MCW (p=0.02)。结论:哮喘患者使用ICSs可影响骨质量。评价PMI-s、MCW、GI、AI对DPR的影响,有助于早期确定该药对颌骨的影响,选择合适的牙外科治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Evaluation of jaw bone changes in patients with asthma using inhaled corticosteroids with mandibular radiomorphometric indices on dental panoramic radiographs.

Background: Inhaled corticosteroids (ICSs) are an effective drug commonly used in asthma treatment. It is known that osteoporotic changes can occur secondary to steroid usage, depending on dosage and duration. The aim of this study was to compare radiomorphometric indices and fractal dimension on panoramic images of patients with asthma using ICSs and healthy controls.

Material and methods: A total of 66 dental panoramic radiographs (DPRs) taken from 32 patients with asthma using ICSs and 34 healthy individuals were evaluated in this retrospective study. Panoramic mandibular index inferior and superior (PMI-i,PMI-s), mandibular cortical width (MCW), gonial index (GI), antegonial index (AI), mandibular cortical index (MCI), and fractal dimension analysis (FDA) were measured on DPRs.

Results: PMI-s (p=0.02), MCW (p<0.001), GI (p<0.001) and AI (p<0.001) values were significantly lower in the group of the asthma using ICSs than control group. However, the PMI-i (p ˃0.05) measurement, the MCI (p ˃0.05) and FDA values distribution were similar in both groups.

Conclusions: The use of ICSs in asthma patients can affect bone quality. The evaluation of PMI-s, MCW, GI, and AI on DPR can help determine the effect of this drug on the jawbones in the early period and select dental and surgical treatment plans appropriately.

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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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