Sabit Ortodontik Tedavide Ortodontistlerin Diş Çekimi Kararını Etkileyen Faktörler

Öz

Ortodontide tedavi amacıyla diş çekimi kararı, tedavi planlama aşamasında ortodontistlerin sık karşılaştığı ve ayrıntılı düşünülmesi gereken konulardan birisidir. Zamanla gelişen tanı yöntemleri, hasta ve hekimlerin değişen estetik algısı ve bunların etkisi ile farklılaşan tedavi hedefleri ortodontik amaçlı diş çekimi kararını etkileyen temel etmenleri oluşturmaktadır. Ortodontide tanı ve tedavi planlama süreci; maloklüzyon ve dentofasiyal anomalilerin tanımlanması, problemin etiyolojisinin tespiti, tedavi hedeflerinin belirlenmesi ve bu hedeflere ulaşmak için bir tedavi planı tasarlanmasını kapsamaktadır. Ortodontik tedavi sürecindeki ilk düşünce, hekimin dişleri hangi konuma yerleştirmek istediğine karar vermek olmalıdır. Bu aşamada, çekimli veya çekimsiz ortodontik tedavi bir tedavi hedefi değil, sadece tedavi hedefini gerçekleştirmek için bir araçtır. Tedaviye başlamadan önce anatomik, fizyolojik ve fonksiyonel sınırlamalar, biyomekanik prensipler, hasta iş birliği ve memnuniyeti ile tedavi süresi gibi çeşitli faktörlere dayanan gereklilikler incelenmelidir. Bir terapötik tedavi yaklaşımını diğer tedavi seçeneğine tercih etmeyi açıklayan değişkenlerin bulunması karar verme aşamasının hızlanmasına yardımcı olur ve tedavi öngörülerinin oluşmasına hizmet eder. Bu yaklaşımlar temelinde hazırlanan bu derlemenin amacı; sabit ortodontik tedavilerde ortodontistlerin diş çekimi kararını etkileyen faktörleri incelemektir.

Anahtar Kelimeler

• Ortodontist
• sabit ortodontik tedavi
• diş çekimi

Factors Affecting Orthodontists Decision on Tooth Extraction in Fixed Orthodontic Treatment

Abstract

The decision to extract teeth for orthodontic treatment is one of the issues that orthodontists frequently encounter and need to consider in detail during the treatment planning phase. Diagnostic methods that have evolved over time, changing aesthetic perceptions, and the treatment goals that have been influenced by these factors constitute the main factors affecting the orthodontic extraction decision. The process of diagnosis and treatment planning in orthodontics involves identifying malocclusion and dentofacial anomalies, determining the etiology of the problem, setting treatment goals, and designing a treatment plan to achieve these goals. In orthodontic treatment, the primary consideration should be where the dentist wants to place the teeth. At this point, extraction or non-extraction orthodontic treatment is not a treatment goal; it is merely a way to achieve the treatment goal. Before starting the treatment, various factors such as anatomical, physiological, and functional limitations, biomechanical principles, patient cooperation and satisfaction, and treatment duration should be examined. Finding variables that explain the preference of one therapeutic approach over another helps accelerate the decision-making process and serves to form treatment forecasts. The aim of this review, prepared based on these approaches, is to examine the factors that influence orthodontists' decisions regarding extraction in fixed orthodontic treatments.

Keywords

• Orthodontist
• fixed orthodontic treatment
• tooth extraction

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