Bagheri, Fatemeh

Eslami Panah, Sepideh

Simorgh Research Repository

        داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﻛﺮﻣﺎن                                                      داﻧﺸﻜﺪه دﻧﺪاﻧﭙﺰﺷﻜﻲ ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﺑﻴﻤﺎرﻳﻬﺎي دﻫﺎن و دﻧﺪان   ﻣﻮﻟﻔﻪ ﻫﺎي اﺟﺘﻤﺎﻋﻲ ﻣﻮﺛﺮ ﺑﺮ ﺳﻼﻣﺖ دﻫﺎن و دﻧﺪانﻣﺮﻛﺰ    ﭘﺎﻳﺎن ﻧﺎﻣﻪ :     دﻧﺪاﻧﭙﺰﺷﻜﻲ  ﺟﻬﺖ درﻳﺎﻓﺖ درﺟﻪ دﻛﺘﺮاي                                                ﻋﻨﻮان : ﻛﻠﻴﻨﻴﻜﻮﭘﺎﺗﻮﻟﻮژﻳﻚ ﺑﻴﻤﺎران داراي ﺿﺎﻳﻌﺎت واﻛﻨﺸﻲ ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﺑﺨﺶ ﺑﻴﻤﺎرﻳﻬﺎي دﻫﺎن داﻧﺸﻜﺪه ﺑﺮرﺳﻲ   7931ﺗﺎ  4731ﻛﺮﻣﺎن از ﺳﺎل  دﻧﺪاﻧﭙﺰﺷﻜﻲ   راﻫﻨﻤﺎ :  ﺳﺎﺗﻴﺪا   ﻣﻬﺴﺎ ﻛﻼﻧﺘﺮيدﻛﺘﺮ   ﻲدﻛﺘﺮ ﻣﺤﻤﺪرﺿﺎ زارﻋ    د ﻣﺸﺎور:اﺳﺘﺎ  دﻛﺘﺮ ﻣﺮﻳﻢ اﻟﺴﺎدات ﻫﺎﺷﻤﻲ ﭘﻮر       ﭘﮋوﻫﺶ و ﻧﮕﺎرش :                                                          ﺳﭙﻴﺪه اﺳﻼﻣﻲ ﭘﻨﺎه  ﻓﺎﻃﻤﻪ ﺑﺎﻗﺮي    8901 :ﺷﻤﺎره ﭘﺎﻳﺎن ﻧﺎﻣﻪ                                                        7931-89ﺳﺎل ﺗﺤﺼﻴﻠﻲ       ﭼﻜﻴﺪه:اﺛﺮ ﺗﺤﺮﻳﻚ ﻣﺨﺎط اﻳﺠﺎد ﻣﻲ ﺷﻮﻧﺪ.  ﺿﺎﻳﻌﺎت واﻛﻨﺸﻲ ﺿﺎﻳﻌﺎت ﺷﺎﻳﻌﻲ در ﻣﺨﺎط دﻫﺎن ﻫﺴﺘﻨﺪ ﻛﻪ در :ﻣﻘﺪﻣﻪدرﺻﻮرﺗﻴﻜﻪ دﻧﺪاﻧﭙﺰﺷﻜﺎن از ﺷﻴﻮع و ﻋﻼﺋﻢ ﺑﺎﻟﻴﻨﻲ اﻳﻦ ﺿﺎﻳﻌﺎت آﮔﺎه ﻧﺒﺎﺷﻨﺪ ﺗﺸﺨﻴﺺ و اراﺋﻪ ﻃﺮح درﻣﺎن دﺷﻮار اﺳﺖ. ﻫﺪف از اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﻲ ﺗﻈﺎﻫﺮات ﻛﻠﻴﻨﻴﻜﻮﭘﺎﺗﻮﻟﻮژﻳﻚ ﺿﺎﻳﻌﺎت واﻛﻨﺸﻲ ﻫﻴﭙﺮﭘﻼﺳﺘﻴﻚ در ﺑﻴﻤﺎران   (.7931-4731ﺳﺎﻟﻪ ﺑﻮد ) 32اﻧﺸﻜﺪه دﻧﺪاﻧﭙﺰﺷﻜﻲ ﻛﺮﻣﺎن در ﻳﻚ دوره ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﺑﺨﺶ ﺑﻴﻤﺎرﻳﻬﺎي دﻫﺎن ددر اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﮔﺬﺷﺘﻪ ﻧﮕﺮ، ﺗﻤﺎم ﭘﺮوﻧﺪه ﻫﺎي ﻣﻮﺟﻮد در ﺑﺎﻳﮕﺎﻧﻲ ﺑﺨﺶ ﺑﻴﻤﺎرﻳﻬﺎي دﻫﺎن ﺗﺤﺖ ﺑﺮرﺳﻲ  :روش ﻛﺎرﻗﺮار ﮔﺮﻓﺘﻨﺪ. اﻃﻼﻋﺎت ﻣﺮﺑﻮط ﺑﻪ ﺳﻦ، ﺟﻨﺲ، ﻣﺤﻞ، ﺗﺸﺨﻴﺺ ﻫﻴﺴﺘﻮﭘﺎﺗﻮﻟﻮژﻳﻚ و ﺗﻈﺎﻫﺮات ﺑﺎﻟﻴﻨﻲ ﺿﺎﻳﻌﺎت و ﺑﺎ  02ﻧﺴﺨﻪ  SSPSﺮاج و در ﻓﺮم اﻃﻼﻋﺎت ﺛﺒﺖ ﺷﺪ. داده ﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﻧﺮم اﻓﺰار آﻣﺎري واﻛﻨﺸﻲ اﺳﺘﺨ  .)50.0<p(اﺳﺘﻔﺎده از آزﻣﻮن ﻛﺎي دو ﻣﻮرد ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ ﻗﺮار ﮔﺮﻓﺘﻨﺪ( ﺿﺎﻳﻌﺎت ﻫﻴﭙﺮﭘﻼﺳﺘﻴﻚ واﻛﻨﺸﻲ ﺑﻮدﻧﺪ. ﺷﺎﻳﻌﺘﺮﻳﻦ %41/17ﻣﻮرد ) 064ﺿﺎﻳﻌﻪ دﻫﺎﻧﻲ،  6213از  :ﻳﺎﻓﺘﻪ ﻫﺎﭘﻴﻮژﻧﻴﻚ ﮔﺮاﻧﻮﻟﻮﻣﺎ و ﻓﻴﺒﺮوم ﺗﺤﺮﻳﻜﻲ ﺑﻮدﻧﺪ. ﺗﻤﺎﻣﻲ ﺿﺎﻳﻌﺎت در زﻧﺎن ﺑﻄﻮر ﻏﺎﻟﺐ ﻣﺸﺎﻫﺪه ﺿﺎﻳﻌﺎت ﺑﻪ ﺗﺮﺗﻴﺐ  (50.0<p)ﺷﺎﻳﻌﺘﺮﻳﻦ ﻣﺤﻞ درﮔﻴﺮي ﻟﺜﻪ ﺑﻮد و ﺿﺎﻳﻌﺎت در دﻫﻪ ﭘﻨﺠﻢ زﻧﺪﮔﻲ ﺷﺎﻳﻌﺘﺮ ﺑﻮدﻧﺪ. (50.0<p)ﺷﺪﻧﺪ.ﺑﻴﺸﺘﺮ ﺿﺎﻳﻌﺎت ﺳﻄﺢ ﺻﺎف داﺷﺘﻨﺪ. ﺗﻤﺎﻳﻞ ﺑﻪ ﺧﻮﻧﺮﻳﺰي ﺗﻘﺮﻳﺒﺎ در ﻳﻚ ﺳﻮم ﺿﺎﻳﻌﺎت ﻣﺸﺎﻫﺪه ﺷﺪ در ﺣﺎﻟﻲ ﻛﻪ ﺿﺎﻳﻌﺎت ﻋﻮد  %5/7ﻣﻮارد ﻣﺸﺨﺺ ﺷﺪ.% 01/2و % 51ﻟﻘﻲ دﻧﺪان ﻣﺠﺎور و ﺗﺤﻠﻴﻞ اﺳﺘﺨﻮان زﻳﺮﻳﻦ ﺑﻪ ﺗﺮﺗﻴﺐ در   ﻛﺮده ﺑﻮدﻧﺪ.ت ﻗﺒﻠﻲ ﺑﻮد. آﮔﺎﻫﻲ از ﻓﺮاواﻧﻲ و ﺗﻈﺎﻫﺮات ﺑﺎﻟﻴﻨﻲ اﻛﺜﺮ ﻳﺎﻓﺘﻪ ﻫﺎ در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻣﺸﺎﺑﻪ ﻧﺘﺎﻳﺞ ﻣﻄﺎﻟﻌﺎ : :ﻧﺘﻴﺠﻪ ﮔﻴﺮي  ﺿﺎﻳﻌﺎت واﻛﻨﺸﻲ ﺑﺮاي ﺗﺸﺨﻴﺺ و ﻃﺮح درﻣﺎن در ﻛﺎرﻫﺎي ﺑﺎﻟﻴﻨﻲ ﺳﻮدﻣﻨﺪ ﻣﻲ ﺑﺎﺷﺪ.ﭘﻴﻮژﻧﻴﻚ ﮔﺮاﻧﻮﻟﻮﻣﺎ، ﻓﻴﺒﺮوﻣﺎي ﺗﺤﺮﻳﻜﻲ، ژاﻧﺖ ﺳﻞ ﮔﺮاﻧﻮﻟﻮﻣﺎي ﻣﺤﻴﻄﻲ، اﺳﻴﻔﺎﻳﻨﮓ ﻓﻴﺒﺮوﻣﺎي : ﻛﻠﻤﺎت ﻛﻠﻴﺪي ﻣﺤﻴﻄﻲ، ﺿﺎﻳﻌﺎت واﻛﻨﺸﻲ.     Abstract Introduction:  Reactive lesions are common oral mucosal lesions caused by irritation of the mucosa. Diagnosis and development of a treatment plan is difficult if dentists are not aware of the prevalence and clinical symptoms of these lesions. The aim of this study was to review the clinicopathologic features of reactive hyperplastic lesions in patients referring to Oral Medicine Department of Kerman Dental School over a period of 23 years (1996-2018). Methods: In this retrospective study, all records from the archives of the Oral Medicine Department were reviewed. Information relating to the age, gender, location, histopathologic diagnosis and clinical features of reactive lesions was extracted and recorded on data forms. Data were analyzed using SPSS statistical software (V.20) using the chi-square test (p<0.05).  Result: Of 3126 oral lesions, 460 cases (14.71%) were reactive hyperplastic lesions. The most common lesions were pyogenic granuloma and irritation fibroma, respectively. Female predominance was noted in all lesions. The most common location of involvement was the gingiva, and lesions were more common in the fifth decade of life. Most lesions had smooth surface. The tendency of bleeding was seen among almost one third of the lesions while mobility of the adjacent tooth and underlying bone loss were noted in 15% and 10.2% of the cases, respectively. 5.7% of the lesions were recurred.    Conclusion: The major findings in this study were broadly similar to the results of previous studies . Knowledge of the frequency and clinical features of reactive lesions is beneficial when establishing a diagnosis and treatment plan in clinical practice.  Keywords: Pyogenic granuloma, Irritation fibroma, Peripheral giant cell granuloma, Peripheral ossifying fibroma, Reactive lesions.    

بررسی کلینیکوپاتولوژیک بیماران دارای ضایعات واکنشی مراجعه کننده به بخش بیماریهای دهان دانشکده دندانپزشکی کرمان از سال 1374 تا 1397

http://eprints.kmu.ac.ir/31463/1/7261.pdf

بررسی کلینیکوپاتولوژیک بیماران دارای ضایعات واکنشی مراجعه کننده به بخش بیماریهای دهان دانشکده دندانپزشکی کرمان از سال 1374 تا 1397

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