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

Authors : Mustafa Özay USLU, Semih AKGÜL, Merve BAYEL AKGÜL, Filiz USLU

Pages : 202-211

Doi:10.17567/ataunidfd.678707

View : 15 | Download : 6

Publication Date : 2020-04-15

Article Type : Research Paper

Abstract :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 insert ignore into journalissuearticles values(26 erkek, 43 kadın, ortalama yaş: 16.58±3.12 yıl); braketlerinin söküldüğü gün plak indeksi insert ignore into journalissuearticles values(Pİ);, gingival indeks insert ignore into journalissuearticles values(Gİ);, sondlamada kanama insert ignore into journalissuearticles values(SK); ve sondlama cep derinliği insert ignore into journalissuearticles values(SCD); ölçümleri kaydedildi. Dişeti büyümeleri vertikal olarak dişeti büyüme insert ignore into journalissuearticles values(DB); indeksi ve horizontal olarak da Miranda ve Brunet insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(p>0.05);. Hastanın babasının eğitim seviyesi ve ailesinin gelir düzeyine göre başlangıç DB ve MB indeks düzeyleri arasında istatistiksel olarak anlamlı farklılık bulundu insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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, insert ignore into journalissuearticles values(PI);, gingival index insert ignore into journalissuearticles values(GI);, bleeding on probing insert ignore into journalissuearticles values(BOP); and probing depth insert ignore into journalissuearticles values(PD); measurements were recorded immediately after removing the orthodontic appliances. Gingival overgrowth was assessed using vertical gingival overgrowth insert ignore into journalissuearticles values(GO); index and horizontal Miranda and Brunet insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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
Keywords : cerrahi olmayan periodontal tedavi, dişeti büyümesi, oral hijyen eğitimi