Sunum, ss.78, 2022
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.