Termoplastik Pekiştirme Apareylerini Temizleme Yöntemleri ve Etkileri

Yıl 2024, Cilt: 41 Sayı: 1, 35 - 43, 03.01.2024

Demet Kaya Banu Saglam Aydinatay

https://doi.org/10.17214/gaziaot.1178820

Öz

Estetik ve şeffaf olması sebebiyle termoplastik pekiştirme apareylerine ilgi giderek artmaktadır. Pekiştirme tedavisi sırasında hastalardan bu apareyleri yemek dışında tam zamanlı kullanmaları, apareyler ağızdayken su dışında bir şey yiyip içmemeleri ve apareylerini iyi temizlemeleri istenmektedir. Ortodontistler bu apareylerin hijyeninin sağlanması için farklı yöntemler önermektedirler. Bilimsel literatür fırçalama ve kimyasal ajanlarla temizliğin en popüler yöntemler olduğunu göstermektedir. Uzun süreli kullanım ve tekrarlayan temizleme siklusları termoplastik pekiştirme apareylerinin mekanik ve fiziksel özelliklerini bozabilmektedir. Apareyler nem, ısı ve tükürük enzimlerine maruz kaldığında değişikliğe yatkındır. Etkili bir temizleme yöntemi kullanım ömrünü uzatır ve hastanın tedaviye uyumunu artırır. Termoplastik pekiştirme apareylerinin hijyeninin sağlanmasında herhangi bir yaklaşımın hastaya tavsiye edilebilmesi için kullanılan yöntemlerin avantaj ve dezavantajlarının iyi bilinmesi önemlidir. Bu nedenle derlemenin amacı; termoplastik pekiştirme apareylerinin temizliğinde kullanılan yöntemleri ve etkilerini araştırmaktır.

Anahtar Kelimeler

Hijyen, Pekiştirme apareyi, Temizleme yöntemi, Termoplastik

Cleaning Methods of Thermoplastic Retention Appliances and Their Effects

Öz

Interest in thermoplastic retention appliances has increased due to their aesthetic and transparent nature. During retention, patients are told to use these appliances full-time except for meals, not to eat or drink anything other than water while the appliances are in place, and to clean their appliances well. Orthodontists suggest different methods to ensure the hygiene of these appliances. The scientific literature shows that brushing and cleaning with chemical agents are the most popular methods. Long-term use and repetitive cleaning cycles can deteriorate the mechanical and physical properties of thermoplastic retention appliances. These appliances are prone to change when exposed to moisture, heat and salivary enzymes. An effective cleaning method prolongs the life of these appliances and could increase compliance with the treatment. In order to be able to recommend a specific method to the patient in ensuring the hygiene of thermoplastic retention appliances, it is important to know the advantages and disadvantages of various cleaning methods. Therefore, the purpose of the review is to investigate these methods and their effects over time.

Anahtar Kelimeler

Cleaning method, Hygien, Retention appliance, Thermoplastic

Kaynakça

• 1. Manzon L, Fratto G, Rossi E, Buccheri A. Periodontal health and compliance: A comparison between Essix and Hawley retainers. Am J Orthod Dentofacial Orthop 2018;153:852-60.
• 2. Türköz C, Canigür Bavbek N, Kale Varlik S, Akça G. Influence of thermoplastic retainers on Streptococcus mutans and Lactobacillus adhesion. Am J Orthod Dentofacial Orthop 2012;141:598-603.
• 3. Hichens L, Rowland H, Williams A, Hollinghurst S, Ewings P, Clark S, et al. Cost-effectiveness and patient satisfaction: Hawley and vacuum-formed retainers. Eur J Orthod 2007;29:372-8.
• 4. Mai W, He J, Meng H, Jiang Y, Huang C, Li M, et al. Comparison of vacuum-formed and Hawley retainers: a systematic review. Am J Orthod Dentofacial Orthop 2014;145:720-7.
• 5. Ponitz RJ. Invisible retainers. Am J Orthod 1971;59:266-72.
• 6. Chang CS, Al-Awadi S, Ready D, Noar J. An assessment of the effectiveness of mechanical and chemical cleaning of Essix orthodontic retainer. J Orthod 2014;41:110-7.
• 7. Agarwal M, Wible E, Ramir T, Altun S, Viana G, Evans C, et al. Long-term effects of seven cleaning methods on light transmittance, surface roughness, and flexural modulus of polyurethane retainer material. Angle Orthod 2018;88:355-62.
• 8. Wible E, Agarwal M, Altun S, Ramir T, Viana G, Evans C, et al. Long-term effects of different cleaning methods on copolyester retainer properties. Angle Orthod 2019;89:221-7.
• 9. Wible E, Agarwal M, Altun S, Ramir T, Viana G, Evans C, et al. Long-term effects of various cleaning methods on polypropylene/ethylene copolymer retainer material. Angle Orthod 2019;89:432-7.
• 10. Raja TA, Littlewood SJ, Munyombwe T, Bubb NL. Wear resistance of four types of vacuum-formed retainer materials: a laboratory study. Angle Orthod 2014;84:656-64.
• 11. Aydoğan F, Şenışık NE. Hareketli ortodontik ağıtları temizleme yöntemleri. Sdü Sağlık Bilimleri Enstitüsü Dergisi 2018;9:45-53.
• 12. Shpack N, Greenstein RB, Gazit D, Sarig R, Vardimon AD. Efficacy of three hygienic protocols in reducing biofilm adherence to removable thermoplastic appliance. Angle Orthod 2014;84:161-70.
• 13. Akgün FA, Şenışık NE, Çetin ES. Evaluation of the efficacy of diffrent cleaning methods for orthodontic termoplastic retainers in terms of bacterial colonization. Turk J Orthod 2019;32:219-28.
• 14. Eichenauer J, Serbesis C, Ruf S. Cleaning removable orthodontic appliances: a survey. J Orofac Orthop 2011;72:389-95.
• 15. Albanna RH, Farawanah HM, Aldress AM. Microbial evaluation of the effectiveness of different methods for cleansing clear orthodontic retainers. Angle Orthod 2017;87:460-5.
• 16. Sheridan JJ, LeDoux W, McMinn R. Essix retainers: fabrication and supervision for permanent retention. J Clin Orthod 1993;27:37-45.
• 17. Zafeiriadis AA, Karamouzos A, Athanasiou AE, Eliades T, Palaghias G. In vitro spectrophotometric evaluation of Vivera clear thermoplastic retainer discolouration. Aust Orthod J 2014;30:192-200.
• 18. Gardner GD, Dunn WJ, Taloumis L. Wear comparison of thermoplastic materials used for orthodontic retainers. Am J Orthod Dentofacial Orthop 2003;124:294-7.
• 19. Lindauer SJ, Shoff RC. Comparison of Essix and Hawley retainers. J Clin Orthod 1998;32:95-7.
• 20. Al Groosh D, Roudsari GB, Moles DR, Ready D, Noar JH, Pratten J. The prevalence of opportunistic pathogens associated with intraoral implants. Lett Appl Microbiol 2011;52:501-5.
• 21. Glass RT, Bullard JW, Hadley CS, Mix EW, Conrad RS. Partial spectrum of microorganisms found in dentures and possible disease implications. J Am Osteopath Assoc 2001;101:92-4.
• 22. Coulthwaite L, Verran J. Potential pathogenic aspects of denture plaque. Br J Biomed Sci 2007;64:180-9.
• 23. Glass RT, Conrad RS, Bullard JW, Goodson LB, Mehta N, Lech SJ, et al. Evaluation of cleansing methods for previously worn prostheses. Compend Contin Educ Dent 2011;32:68-73.
• 24. Kholy KE, Genco RJ, Van Dyke TE. Oral infections and cardiovascular disease. Trends Endocrinol Metab 2015;26:315-21.
• 25. Sheridan JJ, Armbruster P, Moskowitz E, Nguyen P. Avoiding demineralization and bite alteration from full-coverage plastic appliances. J Clin Orthod 2001;35:444-8.
• 26. Low B, Lee W, Seneviratne CJ, Samaranayake LP, Hägg U. Ultrastructure and morphology of biofilms on thermoplastic orthodontic appliances in ‘fast’ and ‘slow’ plaque formers. Eur J Orthod 2011;33:577-83.
• 27. Shay K. Denture hygiene: a review and update. J Contemp Dent Pract 2000;1:28-41.
• 28. Imsand M, Janssens JP, Auckenthaler R, Mojon P, Budtz-Jørgensen E. Bronchopneumonia and oral health in hospitalized older patients. A pilot study. Gerodontology 2002;19:66-72.
• 29. Dills SS, Olshan AM, Goldner S, Brogdon C. Comparison of the antimicrobial capability of an abrasive paste and chemical-soak denture cleaners. J Prosthet Dent 1988;60:467-70.
• 30. Paranhos HF, Silva-Lovato CH, Souza RF, Cruz PC, Freitas KM, Peracini A. Effects of mechanical and chemical methods on denture biofilm accumulation. J Oral Rehabil 2007;34:606-12.
• 31. Levrini L, Novara F, Margherini S, Tenconi C, Raspanti M. Scanning electron microscopy analysis of the growth of dental plaque on the surfaces of removable orthodontic aligners after the use of different cleaning methods. Clin Cosmet Investig Dent 2015;7:125-31.
• 32. de Souza RF, de Freitas Oliveira Paranhos H, Lovato da Silva CH, Abu-Naba'a L, Fedorowicz Z, Gurgan CA. Interventions for cleaning dentures in adults. Cochrane Database Syst Rev 2009;(4):CD007395.
• 33. Webb BC, Thomas CJ, Willcox MD, Harty DW, Knox KW. Candida-associated denture stomatitis. Aetiology and management: a review. Part 3. Treatment of oral candidosis. Aust Dent J 1998;43:244-9.
• 34. Ryokawa H, Miyazaki Y, Akihiro F, Takashi M, Koutaro M. The mechanical properties of dental thermoplastic materials in a stimulated intraoral enviroment. Orthod Waves 2006;65:64-72.
• 35. Ryu JH, Kwon JS, Jiang HB, Cha JY, Kim KM. Effects of thermoforming on the physical and mechanical properties of thermoplastic materials for transparent orthodontic aligners. Korean J Orthod 2018;48:316-25.
• 36. Gracco A, Mazzoli A, Favoni O, Conti C, Ferraris P, Tosi G, et al. Short-term chemical and physical changes in invisalign appliances. Aust Orthod J 2009;25:34-40.
• 37. Peixoto IT, Enoki C, Ito IY, Matsumoto MA, Nelson-Filho P. Evaluation of home disinfection protocols for acrylic baseplates of removable orthodontic appliances: A randomized clinical investigation. Am J Orthod Dentofacial Orthop 2011;140:51-7.
• 38. Nikawa H, Hamada T, Yamashiro H, Kumagai H. A review of in vitro and in vivo methods to evaluate the efficacy of denture cleansers. Int J Prosthodont 1999;12:153-9.
• 39. Kiesow A, Sarembe S, Pizzey RL, Axe AS, Bradshaw DJ. Material compatibility and antimicrobial activity of consumer products commonly used to clean dentures. J Prosthet Dent 2016;115:189-98.
• 40. Nakamoto K, Tamamoto M, Hamada T. Evaluation of denture cleansers with and without enzymes against Candida albicans. J Prosthet Dent 1991;66:792-5.
• 41. Akşit K, Nakipoğlu Y, Mandalı G, Günel G, Gürler B. Diş protez temizlik ürünlerinin bakteriyolojik aktivitelerinin araştırılması. Atatürk Üniv Diş Hek Fak Derg 2015;25:47-53.
• 42. Porojan L, Vasiliu RD, Porojan SD, Bîrdeanu MI. Surface Quality Evaluation of Removable Thermoplastic Dental Appliances Related to Staining Beverages and Cleaning Agents. Polymers (Basel) 2020;12:1736.
• 43. Rossato MB, Unfer B, May LG, Braun KO. Analysis of the effectiveness of different hygiene procedures used in dental prostheses. Oral Health Prev Dent 2011;9:221-7.
• 44. Beyari MM. Tissue inflamatory response and salivary Streptococcus mutans count with three different denture cleansers. Afr J Microbiol Res 2011;5:965-74.
• 45. Lima EM, Moura JS, Del Bel Cury AA, Garcia RC, Cury JA. Effect of enzymatic and NaOCl treatments on acrylic roughness and on biofilm accumulation. J Oral Rehabil 2006;33:356-62.
• 46. Pavarina AC, Pizzolitto AC, Machado AL, Vergani CE, Giampaolo ET. An infection control protocol: effectiveness of immersion solutions to reduce the microbial growth on dental prostheses. J Oral Rehabil 2003;30:532-6.
• 47. Eryılmaz M, Akın A. Dezenfeksiyon ve Antisepsi. Ankara Ecz. Fak. Derg. 2008;37:311-31.
• 48. Rathee M, Hooda A, Ghalaut P. Denture hygiene in geriatric persons. Int J Geriatr Gerontol 2009;6:1-5.
• 49. Unlu A, Altay OT, Sahmali S. The role of denture cleansers on the whitening of acrylic resins. Int J Prosthodont 1996;9:266-70.
• 50. Fernandes FH, Orsi IA, Villabona CA. Effects of the peracetic acid and sodium hypochlorite on the colour stability and surface roughness of the denture base acrylic resins polymerised by microwave and water bath methods. Gerodontology 2013;30:18-25.
• 51. Felton D, Cooper L, Duqum I, Minsley G, Guckes A, Haug S, et al. Evidence-based guidelines for the care and maintenance of complete dentures: a publication of the American College of Prosthodontists. J Am Dent Assoc 2011;142:1-20.
• 52. Söğüt MÜ. Jermisid ajanlardan katyonik deterjanlar. J Exp Clin Med 2013;30:75-9.
• 53. Aktaş A, Giray B. Diş Hekimliğinde Klorheksidin: Özellikleri ve Güncel Kullanım Alanları. Türkiye Klinikleri J Dental Sci 2010;16:51-8.
• 54. Salvia AC, Matilde Fdos S, Rosa FC, Kimpara ET, Jorge AO, Balducci I, et al. Disinfection protocols to prevent cross-contamination between dental offices and prosthetic laboratories. J Infect Public Health 2013;6:377-82.
• 55. Yildirim-Bicer AZ, Peker I, Akca G, Celik I. In vitro antifungal evaluation of seven different disinfectants on acrylic resins. Biomed Res Int 2014;2014:519098.
• 56. Da Silva FC, Kimpara ET, Mancini MNG, Balducci I, Jorge AOC, Koga-Ito CY. Effectiveness of Six Different Disinfectants on RemovingFive Microbial Species and Effects on the TopographicCharacteristics of Acrylic Resin. J Prosthodont 2008;17:627-33.
• 57. Bernard G, Rompré P, Tavares JR, Montpetit A. Colorimetric and spectrophotometric measurements of orthodontic thermoplastic aligners exposed to various staining sources and cleaning methods. Head Face Med 2020:18;16:2.
• 58. Tarbet WJ, Axelrod S, Minkoff S, Fratarcangelo PA. Denture cleansing: a comparison of two methods. J Prosthet Dent 1984;51:322-5.
• 59. Kulak-Ozkan Y, Kazazoglu E, Arikan A. Oral hygiene habits, denture cleanliness, presence of yeasts and stomatitis in elderly people. J Oral Rehabil 2002;29:300-4.