The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1402
9
1
gregorian
2023
12
1
31
9
online
1
fulltext
fa
بررسی فراوانی کانال Canalis Sinuosus در ناحیه قدام ماگزیلا توسط رادیوگرافی CBCT در بیماران مراجعه کننده به یک مرکز رادیولوژی خصوصی در2 سال اخیر
Frequency of Canalis Sinuosus Canal in the Anterior Region of the Maxilla by CBCT Radiography in Patients Referred to a Private Radiology Center in the Last 2 Years in Yazd City
دندانپزشکی
Dental
پژوهشي
Original article
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b><span dir="LTR" new="" roman="" style="font-family:" times="">Canalis Sinuosus (CS) </span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> کانالی استخوانی در فک بالا است. این کانال دارای انشعاباتی به سمت قدام ریج ودندانها می­باشد که در پروسجرهای دندانپزشکی مانند ایمپلنت می­تواند آسیب دیده و موجب پاراستزی شود. هدف این مطالعه تعیین فراوانی </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">CS</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در ناحیه قدامی ماگزیلا توسط رادیوگرافی </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">CBCT</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در بیماران یک مرکز رادیولوژی خصوصی در یزد در 2 سال اخیر، برای آشنایی دندانپزشکان و جلوگیری از عوارض می­باشد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در این مطالعه توصیفی مقطعی تعداد </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">218 تصویر </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">CBCT</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> انتخاب شدند.</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تصاویر مربوط به بیماران در رنج سنی 80-24 سال هستند. مقاطع اگزیال، کرونال و ساژیتال توسط یک رادیولوژیست فک و صورت بازسازی می­شوند. بررسی تصاویر توسط دو رادیولوژیست انجام شد.</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سپس سن، جنس، فراوانی، محل انتهای کانال، دو یا یک طرفه بودن و شاخه­های فرعی و محل کانال در بعد ورتیکالی و بعد قدامی- خلفی بررسی و نتایج توسط نرمافزار</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">version 16 </span> <span dir="LTR" new="" roman="" style="font-family:" times="">SPSS </span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> با آزمون­­های آماری </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">Chi squared</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">T-test</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> بررسی شدند.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تصاویر بررسی شده متعلق به 112 نفر (51/4%) زن و 106 نفر (48/6%) مرد بود. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">فراوانی </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">CS</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 96/3% بود. بیشترین فراوانی در خانم­های بازه سنی 44-24 (62/8%) یافت شد. 95/4% بهصورت دو طرفه گزارش شد.</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در بررسی</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">Accessory canals (AC)</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">، آن­ها در 141 نفر (64/7%) دیده نشدند. بیشترین فراوانی در </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">AC</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> بین دندان­های سانترال</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">و لترال گزارش شد.</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در این مطالعه با استفاده از تست </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">chi-square</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ارتباط معنی­داری بین حضور </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">CS</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و سن (</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P=0.188</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) و جنس (</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P=0.162</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) دیده نشد.</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">با توجه به فراوانی بالای </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">CS</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و شاخه</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""></span><span b="" nazanin="" style="font-family:">های فرعی آن در ناحیه قدام ماگزیلا، برای جلوگیری از عواقب ناخواسته حین جراحی، ناحیه ی مورد نظر بهتر است مورد ارزیابی قرار گیرد.</span></span></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction:</span></b> <span new="" roman="" style="font-family:" times="">Canalis Sinuosus (CS) is a bony canal in the upper jaw. </span> <span new="" roman="" style="font-family:" times="">This canal has branches towards the anterior ridge and the teeth, which can be exposed to damage during dental procedures such as implants, resulting in paranesthesia. The purpose of this study was to determine the frequency of CS in the anterior region of the maxilla by CBCT radiography in a private radiology center in Yazd City in the last 2 years, to familiarize dentists with this anatomical variety and prevent complications</span><span new="" roman="" style="font-family:" times="">.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b> <span new="" roman="" style="font-family:" times="">In this cross-sectional study, 218 CBCT images were</span> <span new="" roman="" style="font-family:" times="">selected. Images are related to the patients in the age range of 24 to 80 years. Axial, coronal and sagittal sections are reconstructed by an oral and maxillofacial radiologist. The images reviewed by two radiologists. Then, age, sex, frequency, location of the canal ending, bilateral or unilateral, sub-branches and the location of the canal in the vertical and anteroposterior dimension were checked</span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span> <span new="" roman="" style="font-family:" times="">The results were investigated by SPSS version 16 software with Chi squared and T-test statistical tests.</span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">The reviewed images belonged to 112 (51.4%) women and 106 (48.6%) men<b>.</b> The frequency of CS was 96.3%</span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span><span new="" roman="" style="font-family:" times=""> The most frequency was found in women in the age of 24-44 years (62.8%). The 95.4% was reported bilaterally. In the examination of the Accessory canals, they were not seen in 141 people (64.7%). The accessory canal (AC) was reported more frequent between central and lateral incisor. In this study, using the Chi-Square test, there was no statistically significant relationship between the presence of CS and age (P=0.188) and gender (P=0.162).</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><span new="" roman="" style="font-family:" times=""> Due to the high frequency of CS and its branches in the anterior region of the maxilla, in order to avoid unwanted consequences during surgery, the desired area should be examined.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
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تنوعات آناتومیکی, عصب ماگزیلاری, توموگرافی با اشعه ی مخروطی
Anatomic Variation, Maxillary nerve, Cone beam tomography.
7013
7021
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4950-3&slc_lang=fa&sid=1
Seyed Hossein
Razavi
سید حسین
رضوی
h.razavi6147@gmail.com