PREVALENCE OF CALCIUM DEPOSITS AROUND THE DENS AXIS AS A POSSIBLE CAUSE OF CROWDED DENS SYNDROME IN CONE BEAM COMPUTED TOMOGRAPHY IMAGES


Stevanovıc Sancar B., Günen Yılmaz S.

XVIII European Congress of Dentomaxillofacial Radiology, Lublin, Poland, 8 - 10 June 2022, pp.78

  • Publication Type: Conference Paper / Summary Text
  • City: Lublin
  • Country: Poland
  • Page Numbers: pp.78
  • Akdeniz University Affiliated: Yes

Abstract

Aim: Crowded Dens Syndrome is the result of the deposition of calcium crystals around the dens axis of C2 vertebra. İt is

an important cause of acute neck pain and decreased neck mobility. The diagnosis is difficult because clinicians have

limited awareness of the symptoms of the disease.The aim of this study is to evaluate the relationship between the

presence of calcification around dens axis and the patient's age, gender and systemic disease and to analyze the factors

related to the progression of this calcification to Crowded dens syndrome.

Material and methods: CBCT images of 452 patients admitted to Akdeniz University, Faculty of Dentistry, Department of

Oral and Maxillofacial Radiology were retrospectively evaluated for the calcification around dens axis. Age, gender and

systemic disease were also recorded. The data were analyzed using SPSS and statistical significance was assumed at

p < .05.

Results: 21,9 % of patiens had calcification around dens axis. While there was no significant differences between

prevalence of calcification and gender, there was significant difference between prevalence of this calcification and age

(p< 0.01).Also, the significant number of hypertensive individuals had this calcification.

Conclusion: CT is the gold standard for identifying calcification around the dens axis and confirming the diagnosis, since

patients with this calcification may develop Crowded dens syndrome even if they are asymptomatic. When incidentally

detected in CBCT, it is important that the patient is informed and referred to the rheumatology department in order to

prevent possible complications.