Saraç Fatma, Şengül Fatih, Çelikel Periş, Saraç İbrahim, Baş Aybike, Derelioğlu Sera Şimşek
Department of Pedodontics, Faculty of Dentistry, Ataturk University, 25240 Yakutiye, Turkey.
Department of Cardiology, Erzurum Education and Research Hospital, University of Health Sciences, 25240 Erzurum, Turkey.
Children (Basel). 2023 Jan 27;10(2):227. doi: 10.3390/children10020227.
Congenital heart disease (CHD) has effects on growth and development. However, information on how the structure of the mandibular bone is affected is limited. In the present study, we aim to compare mandibular bone structures of children affected with CHD and healthy ones through the fractal analysis method and radiomorphometric indices based on panoramic radiographs. The study consisted of 80 children (20 with cyanotic CHD, 20 with acyanotic CHD, 40 control) who were diagnosed with CHD and were treated through interventional therapy or followed up through medical therapy. Fractal dimension (FD) was performed in three different areas (angulus, corpus, and interdental bone) on 80 panoramic radiographs. Additionally, we assessed various radiomorphometric indices: mandibular cortical width (MCW), panoramic mandibular index (PMI), mandibular cortical index (MCI), and simple visual estimation (SVE). < 0.05 was accepted as statistically significant in the analysis. Values of mean MCW, PMI, MCI, SVE, and FD measurements in children affected with CHD were found to be similar to the control group, regardless of whether they were cyanotic or acyanotic ( > 0.05). In this study, fractal analysis and radiomorphometric indices revealed no trabecular structure and mineral density changes in mandibular bone of children and adolescents with CHD compared to healthy subjects.
先天性心脏病（CHD）会影响生长发育。然而，关于下颌骨结构如何受到影响的信息有限。在本研究中，我们旨在通过基于全景X线片的分形分析方法和放射形态计量学指标，比较患有CHD的儿童和健康儿童的下颌骨结构。该研究包括80名儿童（20名患有青紫型CHD，20名患有非青紫型CHD，40名对照），他们被诊断患有CHD，并通过介入治疗或药物治疗进行随访。在80张全景X线片的三个不同区域（角部、体部和牙间骨）进行分形维数（FD）测量。此外，我们评估了各种放射形态计量学指标：下颌骨皮质宽度（MCW）、全景下颌指数（PMI）、下颌骨皮质指数（MCI）和简单视觉估计（SVE）。分析中以<0.05为具有统计学意义。发现患有CHD的儿童的平均MCW、PMI、MCI、SVE和FD测量值与对照组相似，无论他们是青紫型还是非青紫型（>0.05）。在本研究中，分形分析和放射形态计量学指标显示，与健康受试者相比，患有CHD的儿童和青少年的下颌骨小梁结构和矿物质密度没有变化。
