Sabit Ortodontik Tedavi ve Beslenme

Year 2020, Volume: 6 Issue: 2, 25 - 33, 26.08.2020

Can Tat Alev Aksoy Hatice Baygut

Abstract

Bu çalışmanın amacı ortodontik tedavi gören hastalarda beslenmenin periodontal dokuların sağlığı üzerindeki etkisini araştırmaktır. Çalışma Isparta'da yaşayan 13-19 yaşları arasındaki 118 yetişkinde prospektif tek merkezli bir çalışma olarak yapıldı. Katılımcılar altı aydır sabit ortodontik tedavi ile tedavi edilen hastalardı. Hastaların demografik özellikleri anket ile kaydedildi. Tüm besinler 52 maddelik bir Besin Tüketim Sıklığı (FFQ) ile sorgulandı. Periodontal durumun değerlendirilmesi Kanama İndeksi (BI), Ortodontik Plak İndeksi (OPI), Topluluk Periodontal Tedavi İhtiyaç İndeksi (CPITN) ile ölçüldü. İki bağımsız grup arasında fark olup olmadığını belirlemek için bağımsız örnek T testi kullanıldı ve tüm değerlerde p <0.05 anlamlı kabul edildi. Besin tüketimin sıklığı açısından, BI ve OPI’ye göre yarım yağlı/yağsız süt, probiyotik, tahıl, kolalı içecekler ve patatesler arasında aynı şekilde CPITN'e göre taze sıkılmış meyve suyu içeceklerinde istatistiksel olarak anlamlı bir fark olduğu görülmüştür. Bu çalışma sonuçları, özellikle uzun ortodontik tedavilerden önce, ergenlerin beslenme alışkanlıklarını ve peridontal durumunu iyileştirmek için program geliştirme ihtiyacını vurgulamaktadır. Sağlıklı beslenme uygulamalarına önem veren multidisipliner yaklaşım, ortodontik tedavinin başarısı için faydalı olacaktır

Keywords

Besin tüketim sıklığı, Beslenme, Periodontal durum, Sabit ortodontik tedavi

Fixed Orthodontic Treatment and Nutrition

Abstract

The aim of this study is to investigate the effect of nutrition on the health of periodontal tissues in patients under going orthodontic treatment. A prospective single-center study was conducted in 118 adults, aged between 13-19 years, living in Isparta, Turkey. Participants who had been treated with fixed orthodontic treatment for six months were included. Demographic features of the patients were recorded with a questionnaire. All the nutrients were asked via a 52-item Food Frequency Questionnaire (FFQ). Bleeding Index (BI), Orthodontic Plaque Index (OPI), Community Periodontal Index of Treatment Needs (CPITN) were measured for the evaluation of periodontal status. The independent sample T test was used to determine whether there were any differences between the two independent groups and p<0.05 was considered significant in all values. In terms of the frequency of food consumption, it was seen that there was a statistically significant difference between semi-fat/non-fat milk, probiotic, cereal, cola drinks and potatoes according to BI and OPI likewise freshly squeezed juice drinks according to CPITN. These study results emphasize the need to develop programs to improve the dietary habits and periodontal status of adolescents, particularly before long orthodontic treatments. Multidisciplinary approach giving importance to healthy nutrition applications will be useful for the success of the orthodontic treatment

Keywords

Food consumption frequency, Nutrition, Periodontal status, Fixed orthodontic treatment

References

• 1. Proffit WR. FH. Contemporaryorthodontics. 3rd ed. St. Louis: Mosby; 2000. 296-347 p.
• 2. Acar Tek N, Yildiran H, Akbulut G, Bilici S, Koksal E, Gezmen Karadag M, et al. Evaluation of dietary quality of adolescents using Healthy Eating Index. Nutrition research and practice. 2011;5(4):322-8.
• 3. Liu Y, Zhang Y, Wang L, Guo Y, Xiao S. Prevalence of Porphyromonas gingivalis four rag locus genotypes in patients of orthodontic gingivitis and periodontitis. PloS one. 2013;8(4):61028.
• 4. Atack NE, Sandy JR, Addy M. Periodontal and microbiological changes associated with the placement of orthodontic appliances. A review. J Clin Periodontol. 1996;67(2):78-85.
• 5. Paolantonio M, Festa F, di Placido G, D’Attilio M, Catamo G, Piccolomini R. Site-specific subgingival colonization by Actinobacillus actinomycetemcomitans in orthodontic patients. Am J Orthod Dentofacial Orthop. 1999;115(4):423-8.
• 6. Singh N, Tripathi T, Rai P and Gupta P. Nutrition and orthodontics-interdependence and interrelationship. Res Rev J Dent Sci. 2017;5(3):18-22.
• 7. Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza's Clinical Periodontology. 11rd ed Elsevier Health Sciences; 2011.
• 8. Touger-Decker R, Mobley C. Position of the Academy of Nutrition and Dietetics: oral health and nutrition. J Acad Nutr Diet. 2013;113(5):693-701.
• 9. Alvarez JO. Nutrition, tooth development, and dental caries. Am J Clin Nutr. 1995;61(2):410-16.
• 10. Chapple IL. Potential mechanisms underpinning the nutritional modulation of periodontal inflammation. J Am Dent Ass. 2009;140(2):178-184.
• 11. Wolf H, Rateitschak-Pluss E, Rateitschak K. Color atlas of dental medicine: periodontology. Georg Thieme Verlag Stuttgart. Germany. 2005. 67-76 p.
• 12. Lindhe J KT, Lang NP. Clinical Periodontology and Implant Dentistry. 5th ed. Blackwell Munksgaard: Oxford; 2008. p. 130-32.
• 13. Beberhold K, Sachse-Kulp A, Schwestka-Polly R, Hornecker E, Ziebolz D. The Orthodontic Plaque Index: an oral hygiene index for patients with multibracket appliances. ORTHODONTICS: The Art & Practice of Dentofacial Enhancement. 2012;13(1):94-9.
• 14. Schürch JE, Minder C, Lang N, Geering A. Comparison of clinical periodontal parameters with the Community Periodontal Index for Treatment Needs (CPITN) data. Schweizer Monatsschrift fur Zahnmedizin= Revue mensuelle suisse d'odonto-stomatologie= Rivista mensile svizzera di odontologia e stomatologia. 1990;100(4):408-11.
• 15. Humphrey LT, De Groote I, Morales J, Barton N, Collcutt S, Ramsey CB, et al. Earliest evidence for caries and exploitation of starchy plant foods in Pleistocene hunter-gatherers from Morocco. Proc Natl Acad Sci. 2014;111(3):954-989.
• 16. Reynolds EC, Johnson IH. Effect of milk on caries incidence and bacterial composition of dental plaque in the rat. Arch Oral Biol. 1981;26(5):445-451.
• 17. Oktay C. Periodontal hastalıkların Erzurum yöresindeki prevalansları ve bunlara tesir eden faktörler. Atatürk Üniversitesi Diş Hekimligi Fakültesi Dergisi. 1975;9(1):5-26.
• 18. Al-Zahrani MS. Increased intake of dairy products is related to lower periodontitis prevalence. J Periodontol. 2006;77(2):289-94.
• 19. Yip HH, Wong RW, Hagg U. Complications of orthodontic treatment: are soft drinks a risk factor? World J Orthod. 2009;10(1):33-40.
• 20. Willershausen B, Callaway A, Azrak B, Duschner H. Influence of apple juice on human enamel surfaces of the first and second dentition - an in vitro study. Eur J Med Res. 2008;13(7):349-54.
• 21. Noble J, Cassolato S, Karaikos N, Wiltshire WA. Point of care. Preventive and interceptive measures for improving and maintaining good oral hygiene and cariogenic control in orthodontic patients. J Can Dent Assoc. 2009;75(6):441-443.
• 22. Horrigan LA, Kelly JP, Connor TJ. Immunomodulatory effects of caffeine: friend or foe? Pharmacol Ther. 2006;111(3):877-92.
• 23. Gökçe C, Öztürk Tonguç M. Antioksidan Besinlerin Periodontal Sağlıktaki Rolü. Ege Üniversitesi Dişhekimliği Fakültesi Dergisi. 2018;39(1):19-31.
• 24. Ng N, Kaye EK, Garcia RI. Coffee consumption and periodontal disease in males. J Periodontol. 2014;85(8):1042-1049.
• 25. Machida T, Tomofuji T, Ekuni D, Azuma T, Takeuchi N, Maruyama T, et al. Severe periodontitis is inversely associated with coffee consumption in the maintenance phase of periodontal treatment. Nutrients. 2014;6(10):4476-90.
• 26. Han K, Hwang E, Park J-B. Association between consumption of coffee and the prevalence of periodontitis: the 2008–2010 Korea National Health and Nutrition Examination Survey. PloS one. 2016;11(7):e0158845.
• 27. Durmuş T. Diş Hekimliği Fakültesi Öğrencilerinde Beslenme Özellikleri ve Ağız-Diş Sağlığı Yüksek Lisans Tezi. Kayseri: Erciyes Üniversitesi. 2013.
• 28. Kosikowski F, Mistry VV. Cheese and fermented milk foods. 2nd ed. Edwards Bros; 1977. 5 p.
• 29. Öztürk Özener H, Kuru BE. Probiyotiklerin periodontal tedavideki yeri. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2015;5:53-54.
• 30. Kragen H. The treatment of inflammatory affections of the oral mucosa with a lactic acid bacterial culture preparation. Zahnarztliche Welt. 1954;9(11):306-308.
• 31. Herod EL. The effect of cheese on dental caries: A review of the literature. Aust Dent J. 1991;36(2):120-125.
• 32. Näse L, Hatakka K, Savilahti E, Saxelin M, Pönkä A, Poussa T, et al. Effect of Long–Term Consumption of a Probiotic Bacterium, ''Lactobacillus rhamnosus'' GG, in Milk on Dental Caries and Caries Risk in Children. Caries Res. 2001;35(6):412-20.
• 33. Iwamoto T, Suzuki N, Tanabe K, Takeshita T, Hirofuji T. Effects of probiotic Lactobacillus salivarius WB21 on halitosis and oral health: an open-label pilot trial. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2010;110(2):201-8.
• 34. Hatakka K, Ahola AJ, Yli-Knuuttila H, Richardson M, Poussa T, Meurman JH, et al. Probiotics Reduce the Prevalence of Oral Candida in the Elderly-a Randomized Controlled Trial. J Dent Res. 2007;86(2):125-30.
• 35. Harini PM, Anegundi RT. Efficacy of a probiotic and chlorhexidine mouth rinses: a short-term clinical study. J Indian Soc Pedod Prev Dent. 2010;28(3):179-82.
• 36. Kang MS, Chung J, Kim SM, Yang KH, Oh JS. Effect of Weissella cibaria Isolates on the Formation of Streptococcus mutans Biofilm. Caries Res. 2006;40(5):418-25.
• 37. Krasse P, Carlsson B, Dahl C, Paulsson A, Nilsson A, Sinkiewicz G. Decreased gum bleeding and reduced gingivitis by the probiotic Lactobacillus reuteri. Swed Dent J. 2006;30(2):55-60.
• 38. Riccia DD, Bizzini F, Perilli M, Polimeni A, Trinchieri V, Amicosante G, et al. Anti-inflammatory effects of Lactobacillus brevis (CD2) on periodontal disease. Oral Dis. 2007;13(4):376-85.
• 39. Shimauchi H, Mayanagi G, Nakaya S, Minamibuchi M, Ito Y, Yamaki K, et al. Improvement of periodontal condition by probiotics with Lactobacillus salivarius WB21: a randomized, double-blind, placebo-controlled study. J Clin Periodontol. 2008;35(10):897-905.
• 40. Twetman S, Derawi B, Keller M, Ekstrand K, Yucel-Lindberg T, Stecksén-Blicks C. Short-term effect of chewing gums containing probiotic Lactobacillus reuteri on the levels of inflammatory mediators in gingival crevicular fluid. Acta Odontol Scand. 2009;67(1):19-24.
• 41. Vicario M, Santos A, Violant D, Nart J, Giner L. Clinical changes in periodontal subjects with the probiotic Lactobacillus reuteri Prodentis: A preliminary randomized clinical trial. Acta Odontol Scand. 2013;71(3-4):813-19.
• 42. Hojo K, Nagaoka S, Murata S, Taketomo N, Ohshima T, Maeda N. Reduction of vitamin K concentration by salivary Bifidobacterium strains and their possible nutritional competition with Porphyromonas gingivalis. J Appl Microbiol. 2007;103(5):1969-74.
• 43. Ishikawa H, Aiba Y, Nakanishi M, Oh-hashi Y, Koga Y. Suppression of Periodontal Pathogenic Bacteria in the Saliva of Humans by the Administration of Lactobacillus salivarius TI 2711. Journal of the Japanese Society of Periodontology. 2003;45(1):105-12.
• 44. Kõll-Klais P, Mändar R, Leibur E, Marcotte H, Hammarström L, Mikelsaar M. Oral lactobacilli in chronic periodontitis and periodontal health: species composition and antimicrobial activity. Oral Microbiol Immunol. 2005;20(6):354-61.
• 45. Zahradnik RT, Magnusson I, Walker C, McDonell E, Hillman CH, Hillman JD. Preliminary assessment of safety and effectiveness in humans of ProBiora3 ™, a probiotic mouthwash. J Appl Microbiol. 2009;107(2):682-90.
• 46. Zhu Y, Xiao L, Shen D, Hao Y. Competition between yogurt probiotics and periodontal pathogens in vitro. Acta Odontol Scand. 2010;68(5):261-68.