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Morphological evaluation of gonial and antegonial regions in bruxers on panoramic radiographic images

BACKGROUND: This is the first study to report both cortical and trabecular bone evaluation of mandibles in bruxers, within the knowledge of the authors. The purpose of this study was to evaluate the effects of bruxism on both the cortical and the trabecular bone in antegonial and gonial regions of t...

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Autores principales: Unal Erzurumlu, Zerrin, Sadik, Elif, Gokkurt, Busra Nur, Ozbey, Furkan, Erzurumlu, Kerem, Kasko Arici, Yeliz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10327333/
https://www.ncbi.nlm.nih.gov/pubmed/37420199
http://dx.doi.org/10.1186/s12903-023-03162-0
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author Unal Erzurumlu, Zerrin
Sadik, Elif
Gokkurt, Busra Nur
Ozbey, Furkan
Erzurumlu, Kerem
Kasko Arici, Yeliz
author_facet Unal Erzurumlu, Zerrin
Sadik, Elif
Gokkurt, Busra Nur
Ozbey, Furkan
Erzurumlu, Kerem
Kasko Arici, Yeliz
author_sort Unal Erzurumlu, Zerrin
collection PubMed
description BACKGROUND: This is the first study to report both cortical and trabecular bone evaluation of mandibles in bruxers, within the knowledge of the authors. The purpose of this study was to evaluate the effects of bruxism on both the cortical and the trabecular bone in antegonial and gonial regions of the mandible, which is the attachment of the masticatory muscles, by using panoramic radiographic images. METHODS: In this study, the data of 65 bruxer (31 female, 34 male) and 71 non-bruxer (37 female, 34 male) young adult patients (20–30 years) were evaluated. Antegonial Notch Depth (AND), Antegonial-Index (AI), Gonial-Index, Fractal Dimension (FD) and Bone Peaks (BP) were evaluated on panoramic radiographic images. The effects of the bruxism, gender and side factors were investigated according to these findings. The statistical significance level was set atP ≤ 0.05. RESULTS: The mean AND of bruxers (2.03 ± 0.91) was significantly higher than non-bruxers (1.57 ± 0.71; P < 0.001). The mean AND of males was significantly higher than females on both sides (P < 0.05). The mean AI of bruxers (2.95 ± 0.50) was significantly higher than non-bruxers (2.77 ± 0.43; P = 0.019). The mean FD on each side was significantly lower in bruxers than in non-bruxers (P < 0.05). The mean FD of males (1.39 ± 0.06) was significantly higher than females (1.37 ± 0.06; P = 0.049). BP were observed in 72.5% of bruxers and 27.5% of non-bruxers. The probability of existing BP, in bruxers was approximately 3.4 times higher than in non-bruxers (P = 0.003), in males was approximately 5.5 times higher than in females (P < 0.001). CONCLUSION: According to the findings of this study, the morphological differences seen in cortical and trabecular bone in the antegonial and gonial regions of the mandible in bruxers can be emphasized as deeper AND, higher AI, increased of existing BPs, and lower FD, respectively. The appearance of these morphological changes on radiographs may be useful for indication and follow-up of bruxism. Gender is an effective factor on AND, existing BP and FD.
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spelling pubmed-103273332023-07-08 Morphological evaluation of gonial and antegonial regions in bruxers on panoramic radiographic images Unal Erzurumlu, Zerrin Sadik, Elif Gokkurt, Busra Nur Ozbey, Furkan Erzurumlu, Kerem Kasko Arici, Yeliz BMC Oral Health Research BACKGROUND: This is the first study to report both cortical and trabecular bone evaluation of mandibles in bruxers, within the knowledge of the authors. The purpose of this study was to evaluate the effects of bruxism on both the cortical and the trabecular bone in antegonial and gonial regions of the mandible, which is the attachment of the masticatory muscles, by using panoramic radiographic images. METHODS: In this study, the data of 65 bruxer (31 female, 34 male) and 71 non-bruxer (37 female, 34 male) young adult patients (20–30 years) were evaluated. Antegonial Notch Depth (AND), Antegonial-Index (AI), Gonial-Index, Fractal Dimension (FD) and Bone Peaks (BP) were evaluated on panoramic radiographic images. The effects of the bruxism, gender and side factors were investigated according to these findings. The statistical significance level was set atP ≤ 0.05. RESULTS: The mean AND of bruxers (2.03 ± 0.91) was significantly higher than non-bruxers (1.57 ± 0.71; P < 0.001). The mean AND of males was significantly higher than females on both sides (P < 0.05). The mean AI of bruxers (2.95 ± 0.50) was significantly higher than non-bruxers (2.77 ± 0.43; P = 0.019). The mean FD on each side was significantly lower in bruxers than in non-bruxers (P < 0.05). The mean FD of males (1.39 ± 0.06) was significantly higher than females (1.37 ± 0.06; P = 0.049). BP were observed in 72.5% of bruxers and 27.5% of non-bruxers. The probability of existing BP, in bruxers was approximately 3.4 times higher than in non-bruxers (P = 0.003), in males was approximately 5.5 times higher than in females (P < 0.001). CONCLUSION: According to the findings of this study, the morphological differences seen in cortical and trabecular bone in the antegonial and gonial regions of the mandible in bruxers can be emphasized as deeper AND, higher AI, increased of existing BPs, and lower FD, respectively. The appearance of these morphological changes on radiographs may be useful for indication and follow-up of bruxism. Gender is an effective factor on AND, existing BP and FD. BioMed Central 2023-07-07 /pmc/articles/PMC10327333/ /pubmed/37420199 http://dx.doi.org/10.1186/s12903-023-03162-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Unal Erzurumlu, Zerrin
Sadik, Elif
Gokkurt, Busra Nur
Ozbey, Furkan
Erzurumlu, Kerem
Kasko Arici, Yeliz
Morphological evaluation of gonial and antegonial regions in bruxers on panoramic radiographic images
title Morphological evaluation of gonial and antegonial regions in bruxers on panoramic radiographic images
title_full Morphological evaluation of gonial and antegonial regions in bruxers on panoramic radiographic images
title_fullStr Morphological evaluation of gonial and antegonial regions in bruxers on panoramic radiographic images
title_full_unstemmed Morphological evaluation of gonial and antegonial regions in bruxers on panoramic radiographic images
title_short Morphological evaluation of gonial and antegonial regions in bruxers on panoramic radiographic images
title_sort morphological evaluation of gonial and antegonial regions in bruxers on panoramic radiographic images
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10327333/
https://www.ncbi.nlm.nih.gov/pubmed/37420199
http://dx.doi.org/10.1186/s12903-023-03162-0
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