Öz
It is very significant to know the bone quality of the jaws and structural changes in bone for treatment planning and prognosis in dental practice. It is also important to have detailed information about the bone structure (density, trabeculation, quality, volume) for avoiding surprises during dental surgical procedures including dental implant surgery, graft applications, endodontic surgery, periodontal surgery. Osteoporosis is one of the diseases that cause low bone quality. It is a chronic, systemic, metabolic bone disease that affects the individual's quality of life. The earliest suggestion of an association between osteoporosis and oral bone loss was made in 1960. Osteoporosis-related changes in the jaw-bones are not different from the other bones of the body. It was known that oral bone loss to be a part of common skeletal osteoporosis and planned osteoporosis therapy to be effective in the prevention of oral bone loss. The effects of osteoporosis on the jaw-bones can be summarized as, decrease in bone mineral content and density, deterioration of trabecular structure, increased remodelation rate and osteoblastic activity, reduction in residual bone volume and cortical bone thickness.
Anahtar Kelimeler
Kaynakça
- Beikler T, Flemmig TF. Implants in the medically compromised patient. Crit Rev Oral Biol Med. 2003; 14:305-16.
- Drozdzowska B, Pluskiewicz W, Tarnawska B. Panoramic-based mandibular indices in relation to mandibular bone mineral density and skeletal status assessed by dual energy X-ray absorptiometry and quantitative ultrasound. Dentomaxillofac Radiol. 2002; 31:361–7.
- Ishii K, Taguchi A, Nakamoto T, Ohtsuka M, Sutthiprapaporn P, Tsuda M. Diagnostic efficacy of alveolar bone loss of the mandible for identifying postmenopausal women with femoral osteoporosis. Dentomaxillofac Radiol. 2007; 36:28–33.
- Aleksandre C. Diagnosis and treatment of osteoporosis. Curr Opin Rheumatol. 1995; 7:240-2.
- Bennett JC, Plum F. Cecil Textbook of Medicine, 20th edition, W.B. Saunders Company, 1996.
- American Association of Clinical Endocrinologist Osteoporosis Guidelines, Endocr Pract. 2001; 7:294-312.
- Fauci AS. Harrison's Principles of Internal Medicine, 14th edition, CD Edition 1998.
- Tosun T, Keleş A, Erverdi N. Method for the placement of palatal implants. Int J Oral Maxillofac Implants. 2002; 17:95-100.
- Dubrul EL. Sichers Oral Anatomy. St. Louis, CV Mosby, 1982.
- Clemente C. Anatomy-A Regional Atlas of the Human Body. Baltimore, Urban & Sharzenberg, 19 Lekholm U, Zarb GA. Patient selection and preparation. In: Branemark PI, Zarb GA, Albreksson T, editors. Tissue integrated prostheses: osseointegration in clinical dentistry. Chicago: Quintessence. 1985; 199-209.
- Misch CE. Bone character: second vital implant criterion. Dent Today. 1988; 7:39-49.
- Misch CE. Density of bone: effect on treatment plans, surgical approach, healing, and progressive bone loading. Int J Oral Implantol. 1990; 6:23-31.
- Ledgerton D, Horner K, Devlin H, Worthington H. Panoramic mandibular index as a radiomorphometric tool an assessment of precision. Dentomaxillofac Radiol. 1997; 26:95–100. Mohajery M, Brooks SL. Oral radiographs in the detection of early signs of osteoporosis. Oral Surg Oral Med Oral Pathol. 1992; 73:112–7.
Öz
Diş hekimliğinde yapılacak tedavi planlaması ve prognoz açısından çene kemiklerinin kalitesinin ve kemikteki yapısal değişikliklerin bilinmesi son derece önemlidir. Diş hekimliğinde çene kemiklerine yönelik yapılan dental implant cerrahisi, greft uygulamaları, endodontik cerrahi, periodontal cerrahi gibi cerrahi müdahaleler esnasında sürprizlerle karşılaşmamak için kemik yapısıyla (yoğunluk, trabekülasyon, kalite, hacim) ilgili ayrıntılı bilgi sahibi olmak önem taşımaktadır. Düşük kemik kalitesine yol açan hastalıklardan biri olan osteoporoz; bireyin yaşam kalitesini etkileyen, kronik, sistemik bir metabolik kemik hastalığıdır. Osteoporoz ve oral kemik kaybı arasındaki ilişki ilk olarak 1960\\\'larda gösterilmiştir. Çene kemiklerinde görülen osteoporoza bağlı değişiklikler vücudun diğer kemiklerinden farklı değildir. Oral kemik kaybının yaygın iskeletsel osteoporozun bir parçası olduğu ve planlanacak osteoporoz tedavisinin oral kemik kaybının önlenmesinde etkili olacağı bilinmektedir. Osteoporozun çene kemikleri üzerindeki etkileri kemik mineral içeriğinde ve yoğunluğunda azalma, trabeküler yapıda bozulma, artmış osteoblastik aktivite ve remodelasyon hızı, rezidüyel kemik hacminde ve kortikal kemik kalınlığında azalma şeklinde özetlenebilir.
Anahtar Kelimeler
Kaynakça
- Beikler T, Flemmig TF. Implants in the medically compromised patient. Crit Rev Oral Biol Med. 2003; 14:305-16.
- Drozdzowska B, Pluskiewicz W, Tarnawska B. Panoramic-based mandibular indices in relation to mandibular bone mineral density and skeletal status assessed by dual energy X-ray absorptiometry and quantitative ultrasound. Dentomaxillofac Radiol. 2002; 31:361–7.
- Ishii K, Taguchi A, Nakamoto T, Ohtsuka M, Sutthiprapaporn P, Tsuda M. Diagnostic efficacy of alveolar bone loss of the mandible for identifying postmenopausal women with femoral osteoporosis. Dentomaxillofac Radiol. 2007; 36:28–33.
- Aleksandre C. Diagnosis and treatment of osteoporosis. Curr Opin Rheumatol. 1995; 7:240-2.
- Bennett JC, Plum F. Cecil Textbook of Medicine, 20th edition, W.B. Saunders Company, 1996.
- American Association of Clinical Endocrinologist Osteoporosis Guidelines, Endocr Pract. 2001; 7:294-312.
- Fauci AS. Harrison's Principles of Internal Medicine, 14th edition, CD Edition 1998.
- Tosun T, Keleş A, Erverdi N. Method for the placement of palatal implants. Int J Oral Maxillofac Implants. 2002; 17:95-100.
- Dubrul EL. Sichers Oral Anatomy. St. Louis, CV Mosby, 1982.
- Clemente C. Anatomy-A Regional Atlas of the Human Body. Baltimore, Urban & Sharzenberg, 19 Lekholm U, Zarb GA. Patient selection and preparation. In: Branemark PI, Zarb GA, Albreksson T, editors. Tissue integrated prostheses: osseointegration in clinical dentistry. Chicago: Quintessence. 1985; 199-209.
- Misch CE. Bone character: second vital implant criterion. Dent Today. 1988; 7:39-49.
- Misch CE. Density of bone: effect on treatment plans, surgical approach, healing, and progressive bone loading. Int J Oral Implantol. 1990; 6:23-31.
- Ledgerton D, Horner K, Devlin H, Worthington H. Panoramic mandibular index as a radiomorphometric tool an assessment of precision. Dentomaxillofac Radiol. 1997; 26:95–100. Mohajery M, Brooks SL. Oral radiographs in the detection of early signs of osteoporosis. Oral Surg Oral Med Oral Pathol. 1992; 73:112–7.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Derleme |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2013 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 22 Sayı: 3 |
