A study on the radiographic features of jaws and teeth in patients with thalassemia major using orthopantomograph

Autor: Neera Ohri; Mubeen Khan; Nikita Gupta; Garima Bhatt; Parul Malhotra; Abhishek Ranjanpati
Sprache: Englisch
Veröffentlicht: 2015
Quelle: Directory of Open Access Journals: DOAJ Articles
Online Zugang: http://www.jiaomr.in/article.asp?issn=0972-1363;year=2015;volume=27;issue=3;spage=343;epage=348;aulast=Ohri
https://doaj.org/toc/0972-1363
https://doaj.org/toc/0975-1572
0972-1363
0975-1572
doi:10.4103/0972-1363.170442
https://doaj.org/article/8196459266b241fa8f9ed9de02c9d262
https://doi.org/10.4103/0972-1363.170442
https://doaj.org/article/8196459266b241fa8f9ed9de02c9d262
Erfassungsnummer: ftdoajarticles:oai:doaj.org/article:8196459266b241fa8f9ed9de02c9d262

Zusammenfassung

Aims and Objectives: Thalassemia is the most common gene disorder caused by mutations that decrease the rate of synthesis of α- or β-globin chains. Every year approximately 100,000 children with thalassemia major are born the world over, of which 10,000 are born in India. This study aimed to compare the radiographic findings of jaws and teeth, as well as crown body and root lengths of the mandibular first permanent molar in thalassemia major patients. Materials and Methods: Panoramic radiographs of 50 thalassemia major patients and 50 controls were made. The radiological changes in the jaws and teeth and the dimensional changes in the teeth were evaluated and compared between the two groups. Two observers were involved in evaluating the specific changes and findings were subjected to statistical analysis using chi-square test (χ2 ) test. Differences in crown body height, root length, and crown:root (C:R) ratio were found using independent t-test. Results: A significant difference was found between the two groups in the occurrence of short spiky roots, taurodontism, faint lamina dura, large bone marrow spaces, obliteration of maxillary sinus (haziness), indistinct inferior alveolar canal, thin mandibular cortex (P < 0.001), nutrient canals (P < 0.02), and between mean crown body and root values of the two groups (P < 0.05). However, there was no statistically significant difference in prominent antegonial notch (P = 0.860) and C:R ratio (P = 0.989). Conclusion: Taurodonts, short spiky roots, thin mandibular cortex, enlarged bone marrow spaces, and obliterated maxillary sinuses were found to occur with high frequency in thalassemia major, followed by indistinct inferior alveolar canal and attenuated lamina dura.