SABİT ORTODONTİK TEDAVİSİ TAMAMLANAN HASTALARDA DİŞETİ BÜYÜME MİKTARININ VE CERRAHİ GEREKSİNİMİN DEĞERLENDİRİLMESİ

Yıl 2020, Cilt: 30 Sayı: 2, 202 - 211, 15.04.2020

Mustafa Özay Uslu , Semih Akgül Merve Bayel Akgül Filiz Uslu

https://doi.org/10.17567/ataunidfd.678707

Öz

Amaç: Bu çalışmanın amacı sabit ortodontik tedavisi tamamlanan hastalardaki tedavinin tamamlandığı gün ile 3 ay sonraki kontroldeki dişeti büyüme miktarının, cerrahi gereksinimin ve periodontal parametrelerdeki değişimleri değerlendirmektir.
Gereç ve yöntem: Sabit ortodontik tedavisi tamamlanan 69 hastanın (26 erkek, 43 kadın, ortalama yaş: 16.58±3.12 yıl) braketlerinin söküldüğü gün plak indeksi (Pİ), gingival indeks (Gİ), sondlamada kanama (SK) ve sondlama cep derinliği (SCD) ölçümleri kaydedildi. Dişeti büyümeleri vertikal olarak dişeti büyüme (DB) indeksi ve horizontal olarak da Miranda ve Brunet (MB) indeksi kullanılarak değerlendirildi. Aynı ölçümler 3 ay sonraki klinik kontrolde tekrarlandı ve istatistiksel olarak değerlendirildi.
Bulgular: Başlangıca göre 3. aydaki kontrolde Pİ, Gİ, SK ve SCD gibi klinik periodontal parametreler ile DB ve MB indeks skorlarında anlamlı azalma gözlendi (p<0.05). Cinsiyet, fırçalama sıklığı, diş ipi kullanımı, ortodontik tedavi süresi, hastanın annesinin eğitim düzeyi ve tedavi öncesi hareketli aparey kullanımına göre başlangıç DB ve MB indeks düzeyleri arasında istatistiksel olarak anlamlı bir farklılık bulunmadı (p>0.05). Hastanın babasının eğitim seviyesi ve ailesinin gelir düzeyine göre başlangıç DB ve MB indeks düzeyleri arasında istatistiksel olarak anlamlı farklılık bulundu (p<0.05).
Sonuç: Sabit ortodontik tedavisi tamamlanan hastalarda cerrahi olmayan periodontal tedavi ile birlikte oral hijyen motivasyonu sağlanarak dişeti büyümelerinde ve klinik periodontal parametrelerde azalma gözlendi.
Anahtar Kelimeler: cerrahi olmayan periodontal tedavi, dişeti büyümesi, oral hijyen eğitimi, sabit ortodontik tedavi
EVALUATION OF THE LEVEL AND SURGICAL REQUIREMENT OF GINGIVAL OVERGROWTH IN PATIENTS WITH COMPLETED FIXED ORTHODONTIC TREATMENT

ABSTRACT

Aim: The aim of this study is to evaluate the level of gingival overgrowth, need for surgery and changes in periodontal parameters in patients who completed fixed orthodontic treatment on the day of removing the orthodontic appliances and 3 months later.
Material and Methods: Sixty-nine patients (43 female, 26 male, mean age: 16.58±3.12 years), all of whose fixed orthodontic treatments were completed, were included in this study. Plaque index, (PI), gingival index (GI), bleeding on probing (BOP) and probing depth (PD) measurements were recorded immediately after removing the orthodontic appliances. Gingival overgrowth was assessed using vertical gingival overgrowth (GO) index and horizontal Miranda and Brunet (MB) index. The number of regions with gingival overgrowth was calculated. Measurements were evaluated both as full mouth and molar, premolar, anterior regions separately. Periodontal parameters were measured again after three months and compared with the baseline measurements.
Results: Significant decrease was observed in clinical periodontal parameters such as PI, GI, BOP, PD and GO and MB index scores at the 3rd month control compared to baseline (p<0.05). There was no statistically significant difference between initial GO and MB index levels according to sex, brushing frequency, flossing, duration of orthodontic treatment, education of patient’s mother and use of removable orthodontic appliance before fixed orthodontic treatment (p>0.05). A significant difference was observed between initial GO and MB index levels according to the education level of the patient’s father and economic level of income of the family (p<0.05).
Conclusion: Non-surgical periodontal treatment and oral hygiene motivation should be provided in patients upon the completion of the fixed orthodontic treatment. Thus, gingival overgrowth and clinical periodontal parameters were decreased.
Keywords: fixed orthodontic treatment, gingival overgrowths, non-surgical periodontal treatment, oral hygiene motivation

Anahtar Kelimeler

cerrahi olmayan periodontal tedavi, dişeti büyümesi, oral hijyen eğitimi

Kaynakça

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