بررسی شیوع آنومالی‌های دندانی در رادیوگرافی‌های پانورامیک دریک نمونه از جمعیت ایرانی طی سالهای 1399-1395

ﻣﻘﺪﻣﻪ: آﻧﻮﻣﺎﻟﯽﻫﺎی دﻧﺪاﻧﯽ ﻣﯽﺗﻮاﻧﻨﺪ ﺳﺒﺐ ﻣﺎل اﮐﻠﻮژن، ﻣﺸﮑﻼت زﯾﺒﺎﯾﯽ، ﻣﺸﮑﻼت در ﮐﺸﯿﺪن دﻧﺪان، درﻣﺎن رﯾﺸﻪ و ﺳﺎﯾﺮ ﺑﯿﻤﺎریﻫﺎی دﻫﺎن دﻧﺪان ﺷﻮﻧﺪ. ﻫﺪف از ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ، ﺑﺮرﺳﯽ ﺷﯿﻮع آﻧﻮﻣﺎﻟﯽﻫﺎی دﻧﺪاﻧﯽ در رادﯾﻮﮔﺮاﻓﯽﻫﺎی ﭘﺎﻧﻮراﻣﯿﮏ ﯾﮏ ﻣﺮﮐﺰ ﺧﺼﻮﺻﯽ رادﯾﻮﻟﻮژی در ﺷﻬﺮ ﺑﻮﺷﻬﺮ ﻃﯽ ﺳﺎﻟﻬﺎی 1395 اﻟﯽ 1399 ﺑﻮد. ﻣﻮاد و روشﻫﺎ: در اﯾﻦ ﻣﻄﺎﻟﻌﻪی ﻣﻘﻄﻌﯽ، 4962 رادﯾﻮﮔﺮاﻓﯽ ﺑﺎﯾﮕﺎﻧﯽ ﺷﺪه از اﻓﺮاد ﺑﺎ ﺳﯿﺴﺘﻢ دﻧﺪاﻧﯽ داﺋﻤﯽ ﺑﻪ روش ﻧﻤﻮﻧﻪ ﮔﯿﺮی ﻏﯿﺮ ﺗﺼﺎدﻓﯽ ﻃﺒﻘﻪای اﻧﺘﺨﺎب و از ﻧﻈﺮ ﺷﯿﻮع آﻧﻮﻣﺎﻟﯽﻫﺎی دﻧﺪاﻧﯽ ﻣﻮرد ﺑﺮرﺳﯽ ﻗﺮار ﮔﺮﻓﺘﻨﺪ. دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﺷﺎﺧﺺﻫﺎی آﻣﺎری ﻓﺮاواﻧﯽ، ﻣﯿﺎﻧﮕﯿﻦ و اﻧﺤﺮاف ﻣﻌﯿﺎر ارزﯾﺎﺑﯽ ﺷﺪﻧﺪ . آزﻣﻮنﻫﺎی chi square در ﺳﻄﺢ ﻣﻌﻨﯽ داری 0/05 ﻣﻮرد اﺳﺘﻔﺎده ﻗﺮار ﮔﺮﻓﺖ. ﯾﺎﻓﺘﻪﻫﺎ: در اﻓﺮاد دارای ﺳﯿﺴﺘﻢ دﻧﺪاﻧﯽ داﺋﻤﯽ، 913 ﻣﻮرد 40 / 18 %دارای ﺣﺪاﻗﻞ ﯾﮏ آﻧﻮﻣﺎﻟﯽ دﻧﺪاﻧﯽ ﺑﻮدﻧﺪ. آﻧﻮﻣﺎﻟﯽﻫﺎی dens in dent 10/3% ، ﻏﯿﺒﺖ دﻧﺪاﻧﯽ 3/35% و ﻧﻬﻔﺘﮕﯽ 2/64% ﺑﻪ ﺗﺮﺗﯿﺐ ﺑﯿﺸﺘﺮﯾﻦ ﺷﯿﻮع را داﺷﺘﻨﺪ. دﻧﺪان ﺛﻨﺎﯾﺎی ﮐﻨﺎری ﻧﯿﻢ ﻓﮏ ﭼﭗ ﻣﺎﮔﺰﯾﻼ ﺷﺎﯾﻊﺗﺮﯾﻦ دﻧﺪان از ﻧﻈﺮ ﺷﯿﻮع آﻧﻮﻣﺎﻟﯽ دﻧﺪاﻧﯽ ﺑﻮد و ﺷﯿﻮع آﻧﻮﻣﺎﻟﯽﻫﺎ در اﻓﺮاد ﻣﺬﮐﺮ ﺑﻪ ﻃﻮر ﻣﻌﻨﺎ داری ﺑﯿﺸﺘﺮ از اﻓﺮاد ﻣﺆﻧﺚ ﺑﻮد 0/03=p ﻧﺘﯿﺠﻪﮔﯿﺮی: آﻧﻮﻣﺎﻟﯽ در ﻣﻮرﻓﻮﻟﻮژی و ﺗﻌﺪاد ﺑﻪ ﺧﺼﻮص dens in dente وﻏﯿﺒﺖ دﻧﺪاﻧﯽ از ﺷﺎﯾﻊﺗﺮﯾﻦ آﻧﻮﻣﺎﻟﯽﻫﺎ ﺑﻮدﻧﺪ. ﻫﻤﭽﻨﯿﻦ در ﻣﺎﮔﺰﯾﻼ و دﻧﺪانﻫﺎی ﺛﻨﺎﯾﺎی ﮐﻨﺎری ﺷﯿﻮع آﻧﻮﻣﺎﻟﯽﻫﺎ ﺑﻪ ﻃﺮز ﻣﻌﻨﯽ داری ﺑﯿﺸﺘﺮ ﺑﻮد. ﺑﻨﺎﺑﺮاﯾﻦ، ﺑﻤﻨﻈﻮر ﺟﻠﻮﮔﯿﺮی از ﻋﻮارض ﻧﺎﺷﯽ آﻧﻮﻣﺎﻟﯽﻫﺎ، ﺗﺸﺨﯿﺺ و درﻣﺎن زود ﻫﻨﮕﺎم ﺗﻮﺻﯿﻪ ﻣﯽﺷﻮد.

evaluating the prevalence of dental anomalies through panoramic radiographs in a sample of iranian population during 2016 to 2020

dental anomalies can lead to malocclusions, compromise aesthetics, complicate endodontic procedures and tooth extraction. the presence of dental anomalies can predispose the individual to other oral and dental diseases. the aim of this study was to investigate the prevalence of dental anomalies of permanent dentition in a sample of iranian population.material and methods: through this cross-sectional study, panoramic radiographs which were taken from september 2016-2020 were retrieved form the archived files of a private radiographic center in bushehr, iran. radiographs of individuals with permanent dentition were selected, and a random sample was obtained using a non-randomized cluster sampling method. radiographs were evaluated by a single oral and maxillofacial radiologist, and dental anomalies were identified and categorized. descriptive statistics were presented as frequency, mean and standard deviation. chi-square test was used and significance level was set at 0.05.results: a total of 4962 radiographs were evaluated; 913 cases (18. 40%) had at least one dental anomaly. abnormalities such as dens in dent (10. 3%), congenital missing (3. 35%) and impaction (2. 64%) were the most prevalent. the permanent left maxillary lateral incisor was the most common tooth in terms of prevalence of dental anomalies. the prevalence of dental anomalies in males was significantly higher than females (p= 0.03)conclusion: anomalies in morphology, number especially dens in dente and missing were the most common anomalies in the investigated population. the prevalence of dental anomalies was significantly higher in the maxilla and especially in the lateral incisors. therefore, early identification and treatment is necessary in order to prevent the complications caused by these anomalies.