Kist Enükleasyonu Sonrası Oluşan Kemik Rejenerasyonunun Radyolojik Değerlendirmesinde Konik Işınlı Bilgisayarlı Tomografi ile Panoramik Radyografinin Karşılaştırmalı Olarak İncelenmesi

Abstract

Objective: The aim of this study is to compare the panoramic radiography and cone-beam computed tomography (CBCT) in the evaluation of bone healing after the enucleation of odontogenic cysts. Methods: Pre-operative and post-operative clinical and radiological data of patients who were successfully treated with enucleation between 01/01/2013 and 01/03/2017 with 1-year follow-up were retrieved from the archives and evaluated retrospectively. The panoramic radiographs and CBCT sections were transferred into a computer program and pre-operative and post-operative measurements were performed on the computer program. The manual segmentation method was used in the volume measurement in CBCT sections. An area index was calculated by multiplying the highest vertical and widest horizontal dimension of the cystic lesion on the panoramic radiography. Results: Twelve patients included in the study. Eight patients were male and 4 of them were female. The mean age was 45. The volume of the defect at post-operative 1-year control decreased by 83.05% on average. The area measurement showed a decrease of 38.79% at postoperative 1-year control. The volume of the cystic cavities in tomographic sections and cystic area on panoramic radiographs were significantly reduced at the end of 1-year follow-up (p<0.05). There was a significant and moderate positive relationship between the post-operative measurement values of CBCT and OPG (p=0.021, r=0.655). Conclusion: Panoramic radiography can be used as effective as CBCT to monitor spontaneous bone regeneration after the enucleation of jaw cysts.