Protetik diş tedavisi ve ortodonti bölümleri arasındaki disiplinlerarası iletişimin değerlendirilmesi

Year 2021, Volume: 8 Issue: 1, 186 - 192, 30.04.2021

Filiz Yağcı Taner Öztürk

https://doi.org/10.15311/selcukdentj.747822

Abstract

Amaç: Protetik diş tedavisi ve ortodonti, tedavileri sıırasında sıklıkla iletişime ihtiyaç duyan disiplinlerdir. Bu çalışmanın amacı, bir diş hekimliği fakültesindeki Protetik Diş Tedavisi ve Ortodonti bölümleri arasında en çok konsülte edilen konuları ortaya koymak için disiplinler arası ilişkiyi konsültasyon notlarını inceleyerek değerlendirmektir.
Gereç ve Yöntemler: XXX Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi ve Ortodonti Anabilim Dalları’nda tedavi edilen 900 hastanın konsültasyon notları değerlendirildi. 377 hastanın protetik diş tedavisi kliniğinden ortodonti kliniğine; 523 hastanın da ortodonti kliniğinden protetik diş tedavisi kliniğine olan konsültasyon nedenleri araştırıldı. Ayrıca, uzman diş hekimi ve yüksek lisans öğrencileri tarafından istenilen konsültasyon sıklığı da belirlendi. Elde edilen veriler, Pearson Chi-Square ve Fisher Exact testleri ile analiz edildi.
Bulgular: Konsültasyon istenmesinin en yaygın nedeni, implant tedavisi için bulunan/gereken alanın değerlendirilmesiydi (Prostodonti’den Ortodonti bölümüne; n = 161, % 42.7 ve Ortodonti’den Prostodonti bölümüne; n = 255, % 48.8). Yüksek lisans öğrencilerinin bir uzmandan çok daha fazla farklı nedenden dolayı konsültasyon istedikleri belirlenmiştir (p <0.05).
Sonuçlar: Protetik diş tedavisi ve ortodonti klinikleri arasındaki disiplinlerarası ilişkiler, konsültasyon notları ile belirlenmiştir. Bu çalışmanın sonuçlarına göre, iki bölüm arasındaki disiplinlerarası ilişkinin temel konularının implant yerleştirilecek bölgenin değerlendirilmesi ve estetik restorasyonların olduğu görülmüştür. Ayrıca çalışmadan elde edilen bilgilerin yüksek lisans öğrencilerinin eğitimi için de yararlı olabileceği düşünülmektedir.

Keywords

protetik diş tedavisi, ortodonti, konsültasyon, disiplinlerarası tedavi, estetik

Evaluation of interdisciplinary communications between departments of prosthodontics and orthodontics

Abstract

Objectives: Prosthodontics and Orthodontics are the disciplines which frequently needs communication during treatments. The aim of this study was to evaluate the interdisciplinary relationship to reveal the mostly consulted subjects between departments of prosthodontics and orthodontics in a faculty of dentistry by examining the consultation notes.
Materials and Methods: Consultation notes of 900 patients who were treated at XXX University Faculty of Dentistry, Departments of Prosthodontics and Orthodontics were evaluated. The reasons for referral of 377 patients from prosthodontics clinic to the orthodontics clinic; and the reasons for referral of 523 patients from orthodontics clinic to prosthodontics were investigated. Furthermore, the frequency of the consultations that were required by a specialist and a post-graduate student were determined. The data were analyzed Pearson Chi-Square and Fisher's Exact tests.
Results: The most common reason for consulting was the assessment of the space for implant treatment (prosthodontics to orthodontics: n=161, 42.7 % and orthodontics to prosthodontics: n=255, 48.8 %). It was determined that the post-graduate students ask for a consultation for many more reasons than a specialist (p<0.05).
Conclusions: Interdisciplinary relationships were determined from the consultation notes between prosthodontics and orthodontics clinics. According to the results of the present study, it was seen that implant placement site and esthetic restorations were the basic issues of the interdisciplinary relationship between the two departments. Furthermore, the information provided by the study is thought to be useful for the education of the post-graduate students.

Keywords

prosthodontic, orthodontic, consultation, multidisciplinary treatment, esthetic

References

• Referans 1. Dunn WJ, Murchison DF, Broome JC. Esthetics: patients' perceptions of dental attractiveness. J Prosthodont 1996;5:166-71.
• Referans 2. Sriphadungporn C, Chamnannidiadha N. Perception of smile esthetics by laypeople of different ages. Prog Orthod 2017;18:8.
• Referans 3. Pithon MM, Bastos GW, Miranda NS, et al. Esthetic perception of black spaces between maxillary central incisors by different age groups. Am J Ortod Dentofacial Orthop 2013;143:371-75.
• Referans 4. Soares CJ, Fonseca RB, Martins LR, Giannini M. Esthetic rehabilitation of anterior teeth affected by enamel hypoplasia: a case report. J Esthet Restor Dent 2002;14:340-348.
• Referans 5. Cronin RJ, Cagna DR. An update on fixed prosthodontics. J Am Dent Assoc 1997;128:425-36.
• Referans 6. Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett S. Esthetic Considerations. In: Shillingburg HT (ed). Fundamentals of fixed prosthodontics. 3rd Edition. North Kimberly Drive, Carol Stream, USA: Quintessence Publishing Company 1997:419-32. Referans 7. Priest G. The treatment dilemma of missing maxillary lateral incisors‐Part II: Implant restoration J Esthet Restor Dent 2019;31:319-26.
• Referans 8. Gelgör İ, Koca Ö. Ortodontide Protetik Yaklaşımlar. Cumhuriyet Dent J 2002;5:107-110.
• Referans 9. Rondeau B. Ortho-Esthetics. In: Freedman G (ed). Contemporary Esthetic Dentistry. St. Louis, Missouri, USA: Elsevier Mosby 2012:685-718.
• Referans 10. Sharma PK, Sharma P. Interdisciplinary management of congenitally absent maxillary lateral incisors: Orthodontic/prosthodontic perspectives. Sem Orthod 2015;21:27-37.
• Referans 11. Abu-Hussein M, Watted N, Abdulgani A, Kontoes N. Prosthodontic-Orthodontic Treatment Plan with Two-Unit Cantilevered Resin-Bonded Fixed Partial Denture. IOSR-JDMS 2015;14:131-6.
• Referans 12. Avila G, Galindo-Moreno P, Soehren S, et al. A novel decision-making process for tooth retention or extraction. J Periodontol 2009;80:476-91.
• Referans 13. Proffit WR, Sarver DM. Special Considerations in Treatment for Adults. In: Proffit WR, Fields HW, Sarver DM (eds). Contemporary of Orthodontics. 6th Edition. Philadelphia, PA, USA: Elsevier; 2019:599-654.
• Referans 14. Becker A, Chaushu S. Management of Impactions. In: Graber L, Vanarsdall R, Vig K, Huang G (eds). Orthodontics-E-Book: current principles and techniques. 6th Edition. St. Louis, Missouri, USA: Elsevier Health Sciences; 2016:569-620.
• Referans 15. Vanarsdall RL, Musich DR. Adult Interdisciplinary Therapy: Diagnosis and Treatment. In: Graber LW, Vanarsdall RL, Vig KW, Huang GJ (eds). Orthodontics-E-Book: current principles and techniques. 6th Edition. St. Louis, Missouri, USA: Elsevier Health Sciences; 2016:569-620.
• Referans 16. Altan A, Çolak S, Akbulut N, H. A. Radiographic Features and Treatment Strategies of Impacted Maxillary Canines. Cumhuriyet Dent J 2020;23:32-37.
• Referans 17. Strub JR, Türb JC. Esthetics in dental prosthetics: Fundamentals and treatment concept. In: Fischer J (ed). Esthetics and prosthetics: An interdisciplinary Consideration of the State of The Art. Chicago: Quintessence 1999:1-30.
• Referans 18. Kocadereli I, Tasman F, Guner SB. Combined endodontic-orthodontic and prosthodontic treatment of fractured teeth. Case report. Aust Dent J 1998;43:28-31.
• Referans 19. Pişkin B, Akin H, Şentut F. Usage of oral appliances in obstructive sleep apnea. Cumhuriyet Dent J 2012;15:264-278.
• Referans 20. Schultze-Mosgau S, Nkenke E, Schlegel AK, Hirschfelder U, Wiltfang J. Analysis of bone resorption after secondary alveolar cleft bone grafts before and after canine eruption in connection with orthodontic gap closure or prosthodontic treatment. J Oral Maxillofac Surg 2003;61:1245-8.
• Referans 21. Demarosi F, Varoni E, Rimondini L, Carrassi A, Leghissa GC. Immediate Implant Placement After Removal of Maxillary Impacted Canine Teeth: A Technical Note. Int J Oral Maxillofac Implants 2016;31:191-4.
• Referans 22. Abdelkarim A, Jerrold L. Strategies for improved interdisciplinary care and communication in orthodontics. Am J Orthod Dentofacial Orthop 2017;152:717-21.
• Referans 23. Mechanic E. Smile Design. In: Freedman G (ed). Contemporary Esthetic Dentistry. St. Louis, Missouri, USA: Elsevier Mosby; 2012:99-131.
• Referans 24. Kuliš A, Kopač I. Prosthodontic treatment of an Angle III Class malocclusion: A case report. Quintessence Int 2017;48:625-31.
• Referans 25. Al-Habahbeh R, Al-Shammout R, Al-Jabrah O, Al-Omari F. The effect of gender on tooth and gingival display in the anterior region at rest and during smiling. Eur J Esthet Dent 2009;4:382-95.
• Referans 26. Eduarda Assad Duarte M, Martins Machado R, Fonseca Jardim da Motta A, Nelson Mucha J, Trindade Motta A. Morphological simulation of different incisal embrasures: perception of laypersons, orthodontic patients, general dentists and orthodontists. J Esthet Restor Dent 2017;29:68-78.
• Referans 27. Celikoglu M, Kazanci F, Miloglu O, et al. Frequency and characteristics of tooth agenesis among an orthodontic patient population. Med Oral Patol Oral Cir Bucal 2010;15:e797-801.
• Referans 28. Dogan E, Dogan E, Dogan S. Interdisciplinary treatment approaches for cleft lip and palate patients to obtain esthetic and functional results. J Dent Oral Hyg 2019;11:1-5.
• Referans 29. Abreu A, Levy-Bercowski D, Yu J, et al. Interdisciplinary treatment of an adult with bilateral cleft lip and palate with missing premaxilla: The prosthodontic perspective. J Prosthet Dent 2015;114:609-13.
• Referans 30. Singla S, Pandher PK, Lehl G, Talwar M. Orthodontic and prosthodontic management of an adult patient with unilateral cleft lip and palate. Indian J Dent Sci 2016;8:159-162.
• Referans 31. Guerrero CA. Cleft lip and palate surgery: 30 years follow-up. Ann Maxillofac Surg 2012;2:153-7.
• Referans 32. Kalia S, Melsen B. Interdisciplinary approaches to adult orthodontic care. J Orthod 2001;28:191-6.