PEDODONTİDE GÜNCEL KORUYUCU YAKLAŞIMLAR

Year 2010, Volume: 2010 Issue: 3, 28 - 37, 01.03.2010

Yrd. Doç. Dr. Ayça Tuba Ulusoy

Abstract

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Keywords

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PEDODONTİDE GÜNCEL KORUYUCU YAKLAŞIMLAR

Abstract

Diş çürüğü birçok epidemiyolojik nedene dayalı oluşabilen ancak kontrol edilebilir bir hastalıktır. Buna rağmen, diş çürükleri ve periodontal hastalıklar, dünyanın birçok ülkesinde en önemli halk sağlığı problemlerinin başında gelmektedir. Koruyucu diş hekimiği uygulamaları, 1930’lu yıllardan itibaren başlayarak, özellikle 6-11 yaş grubu çocuklara yönelik ağız ve diş sağlığı hizmetleriyle ön plana çıkmıştır. Özellikle Türkiye gibi gelişmekte olan ve koruyucu diş hekimliği uygulamalarının henüz yaygınlaşmadığı ülkelerde, restoratif dental tedavilerin çeşitliliğine rağmen çocuklarda bakteriyel dental plağa bağlı olarak gelişen çürük ve periodontal hastalıkların önlenememesi koruyucu dental tedavilerin önemini daha çok vurgulamaktadır. Bununla birlikte ağız ve diş sağlığı problemleri, ciddi ekonomik ve sosyal sorunları da beraberinde getirmektedir. Bu nedenle, ağız ve diş sağlığının bozulmasından önce, koruyucu ve önleyici önlemlerin alınması ve tedavi hizmetlerinin konservatif yöntemlere doğru kaydırılması görüşü önem kazanmıştır. Bu nedenlerden dolayı bu derlemede çocuklarda evde ve klinikte uygulanan koruyucu dental tedavi seçeneklerinin ekinliklerinin güncel klinik çalışmaların ışığı altında gözden geçirilmesi amaçlanmıştır

Keywords

Güncel koruyucu dişhekimliği, çocuklar, ağız sağlığı

References

• Locker D. Measuring Oral Health: A Conceptual Framework. Community Dent Health 1988;5: 3–18.
• Petersen PE. The World Oral Health Report 2003.
• Continuous Improvement Of Oral Health In The st Century — The Approach Of The WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003;31 Suppl 1: 3–24.
• Drewnowski A, Popkin B. The Nutrition Transition: New Trends In The Global Diet. Nutr Rev 1997;55: –43.
• Yee R, Sheiham A. The Burden Of Restorative Dental Treatment For Children In Third World Countries. Int Dent J 2002;52: 1–9.
• Watt RG. Strategies And Approches In Oral Disease Prevention And Health Promotion. Bull World Health Organ 2005 Sep; 83(9): 711–718.
• US Department Of Health And Human Service: Oral Health In America: A Report Of The Surgeon General. J Calif Dent Assoc 2000 Sep;28(9):685–
• Caufield PW, Griffen AL. Dental Caries: An İnfection And Transmissible Disease. Pediatr Clin North Am. 2000 Oct;47(5):1001–1019.
• Edelstein BL, Douglass CW. Dispelling The Myth That 50 Percent Of U.S. Schoolchildren Have Never Had A Cavity, Public Health Rep 1995 Sep- Oct;110(5):522–530.
• Norman O. Harris. Introduction to Primary Preventive Dentstry. Norman O. Harris, Franklin Garcia- Godoy. Primary Preventive Dentistry, New Jersey, Pearson Mc Donald, Avery, Dean. Dentistry For The Child and Adolescent, 2004, Indiana, Mosby.
• Updyke JR, Terrell ME. Toothbrush Selection Of a Young Child. J Pedod. 1980 Summer;4(4):295–
• Kerlinger FN Foundations Of Behavioral Research, Educational And Psychological İnjury, New York, , Holt, Rinehart and Winston. Ho HP, Niederman R. Effectiveness Of The Sonicare Toothbrush On Reduction Of Plaque, Gingivitis, Probing Pockect Depth And Subgingival Bacteria İn Adolescent Orthodontic Patients. J Clin Dent 1997; 8: 15–19.
• Nowak AJ, Skotowski MC, Cugini M, Warren PR. A Practice Based Study Of A Children's Power Toothbrush: Efficacy And Acceptance. Compend Contin Educ Dent. 2002 Mar;23(3 Suppl 2): 25–32.
• Bass CC. An Effective Method Of Personal Oral Hygiene. Part 2, J La State Med Soc; 106:100. Carr MP, Rice GL, Horton JE. Evaluation Of Floss Types For Interproximal Plaque Removal. Am J Dent 2000; 13(4): 212–214.
• Gaffar A, Afflitto J, Nabi N. Chemical Agents For The Control Of Plaque And Plaque Microflora. Eur J Oral Sci 1997;105:502–507.
• Hawley GM, Hamilton FA, Worthington HV, Davies RM, Holloway PJ, Davies TG, Blinkhom AS. A 30- Month Study Investigating The Effect Of Adding Triclosan/Copolymer To A Fluoride Dentifrice. Caries Res 1995; 29: 163–167.
• Lopez L, Berkowitz R, Spiekerman C, Weinstein P. Topical Antimicrobial Therapy In The Prevention Of Early Childhood Caries. Pediatr Dent. 1999; 21(1): –11.
• Ikinci G, Senel S, Akincibay H, Kas S, Erciş S, Wilson CG, Hincal AA. Effect Of Chitosan On A Periodontal Pathogen Porphyromonas Gingivalis. Int J Pharm. 2002; 235:121–127.
• Tarsi R, Muzzarelli RA, Guzman CA, Pruzzo C. Inhibition Of Streptococcus Mutans Adsorption To Hydroxyapatite Chitosans. J Dent Res 1997; 76: 665–672.
• Tarsi R, Corbin B, Pruzzo C, Muzzarelli RA. Effect Of Low-Molecular-Weight Chitosans On The Adhesive Properties Of Oral Streptococci. Oral Microbiol Immunol 1998; 13: 217–224.
• Decker EM, Von Ohle C, Weiger R, Wiech I, Brecx M. Combination For Improved Antiplaque Strategies. J Periodontal Res 2005; 40: 373–377.
• Holme KR, Perlin AS. Chitosan N-Sulfate. A Watersoluble Polyelectrolyte. Carbohydr Res 1997; :7–12.
• Sugimoto M. Preperation And Characterization Of Water Soluble Chitin And Chitosan Derivatives. Carbohydr Polym 1998; 36: 49–59.
• Tsai GJ, Zhang SL, Shieh PL. Antimicrobial Activity Of Alow-Molecular-Weight Chitosan Obtained From Cellulase Digestion Of Chitosan. J Food Prot 2004; : 396–398.
• Stookey GK. Critical Evaluation Of The Composition And Use Of Topical Fluorides. J Dent Res 1990, (Spec Iss):805–812.
• Hargreaves JA, Thompson GW, Wagg BJ. Changes In Caries Prevalence Of Isle Of Lewis Children Between 1971 And 1981. Caries Res 1983; 17: –559
• Jenkins G.N. Recent Changes In Dental Caries. Br Med J 1985; 291:1297–1298.
• Marinho VC, Higgins JP, Logan S, Sheiham A. Fluoride Toothpastes For Preventing Dental Caries In Children And Adolescents. Evid Based Dent ; 5 (2): 36-37. Adair SM, Piscitelli WP, McKnight-Hanes C. Comparison Of The Use Of A Child And An Adult Dentifrice By A Sample Of Preschool Children. Pediatr Dent 1997; 19: 99–103.
• Simard PL, Naccache H, Lachapelle D, Brodeur JM. Ingestion Of Fluoride From Dentifrices By Children Aged 12 To 24 Months. Clin Pediatr 1991; 30: –617.
• Burke FJ. From Extension For Prevention To Prevention Of Extension: (Minimal Intervention Dentistry). Dental Update 2003;30: 492–498.
• Rahiotis C, Vougiouklakis G. Effect Of A CPP-ACP Agent Remineralization Of Dentine In Vitro. J Dent 2007; (35): 695–698.
• Reynolds EC. Remineralization Of Enamel Subsurface Lesionsby Casein Phosphopeptide- Stabilized Calcium Phosphate Solutions. J Dent Res Sep;76(9):1587–1595.
• Reynolds EC, Cai F, Shen P, Walker GD. Retention In Plaque And Remineralization Of Enamel Lesions By Various Forms Of Calcium In A Mouthrinse Or Sugar-Free Chewing Gum. J Dent Res. 2003;82: –211.
• Yamaguchi K, Miyazaki M, Takamizawa T, Inage H, Moore BK. Effect Of CPP-ACP Paste On Mechanical Properties Of Bovine Enamel As Determined By An Ultrasonic Device. J Dent. 2006; 34, 230–236.
• Reynolds EC, Chain CJ, Webber FL, Black CL, Riley PF, Johnson IH, Perich JW. Anticariogenicity Of Calcium Phosphate Complexes Of Tryptic Casein Phosphopeptides In The Rat. J Dent Res 1995;74: –1279.
• Reynolds EC. Casein Phosphopeptide Amorphous Calcium Phosphate: The Scientific Evidence. Adv Dent Res 2009;21(1):25-9.
• Çubukcu ÇE. Çocuklarda Diş Çürüğünden Korunmada Flor Uygulamalarının Yeri. Güncel Pediatri 2005; 4: 115–117.
• Axelsson (1999). Other Caries-Preventive Factors.
• An Introduction To Risk Prediction And Preventive Dentistry, Ed(s), Cherly Anderson, Wiedenbeck, –102. Amin MS, Harrison RL, Benton TS, Roberts M, Weinstein P. Effect Of Povidone- Iodine On Streptococcus Mutans In Children With Extensive Dental Caries. Pediatr Dent 2004; Jan-Feb; 26(1): 10.
• Zhan L, Featherstone JD, Gansky SA, Hoover CI, Fujino T, Berkowitz RJ, Den Besten PK. Antibacterial Treatment Needed For Severe Early Childhood Caries. J Public Health Dent 2006; (3): 174–179.
• Choi BK, Kim KY, Yoo YJ, Oh SJ, Choi JH, Kim CY. In Chitooligosaccharide Mixture Against Actinobacillus Actinomycetemcomitans Mutans. Int J Antimicrob Agents. 2001; 18: 553–
• Fujiwara M, Hayashi Y, Ohara N. Inhibitory Effect Of Water-Soluble Chitosan On Growth Of Streptococcus Mutans. New Microbiol 2004; 27: –86.
• Cobb HB, Rozier RG, Bawden JW. A Clinical Study Of The Caries Preventive Effects Of An APF Solution And An APF Thixotropic Gel. Pediatr Dent ; 2: 263–266. Miller EK, Vann WF Jr. An Audit Of Dentine Hypersensitivity Treatments In Six General Dental Practices In Scotland. Prim Dent Care. 2008 Oct;15(4):129–134.
• Greenstein G, Berman C, Jaffin R. Chlorhexidine: An Adjunct To Periodontal Therapy. J Periodontol ; 57(6): 370–377. Anderson MH. A Review Of The Efficacy Of Chlorhexidine On Dental Caries And The Caries Infection. J Calif Dent Assoc 2003 Mar;31(3):211– Activity Of A And Streptococcus
• Wyatt CCL, MacEntee MI. Caries Management For Institutionalized Chlorhexidine Mouthrinses. Community Dent Oral Epidemiol 2004; 32: 322–328. Fluoride And Mulberrry G, Snyder AT, Heilman J, Pyrek J, Stahl A
• Chlorhexidine Gluconate/Ethanol Surgical Scrub For Antimicrobial. Am J Infect Control 2001 Dec; (6): 377–382. Waterless, Scrubless for
• Therapeutic Effects? Caries Res 2004; 38: 286–
• Mäkinen KK, Bennett CA, Hujoel PP, Isokangas PJ, Isotupa KP, Pape HR Jr, Mäkinen PL. Xylitol Chewing Gums And Caries Rates: A 40-Month Cohort Study. J Dent Res 1995; 74(12):1904– and Caries
• Makinen KK, Makinen PL, Pape HR Jr, Allen P, Bennett CA, Isokangas PJ, Isotupa KP. Stabilsation Of Rampant Caries: Polyol Gums And Arrest Of Dentine Caries In Two Long-Term Cohort Studies In Young Subjects. Int Dent J 1995; 45(1 Suppl ):93–107.
• Mandel ID. The Role Of Saliva In Maintaining Oral Homeostasis. J Am Dent Assoc 1989;119: 298–
• Meyer-Lueckel H, Kielbassa AM. Use Of Saliva Substitutes In Patients With Xerostomia. Schweiz Monatsschr Zahmed 2002; 112: 1037-1058
• Russell MW, Childers NK, Michalek SM, Smith DJ, Taubman MA. A Caries Vaccine? The State Of The Science Of Immunization Against Dental Caries. Caries Res 2004; 38(3):230–235.
• Smith DJ. Dental Caries Vaccines: Prospects And Concerns. Crit Rev Oral Biol Med 2002;13(4):335–
• Smith DJ. Caries Vaccines For The Twenty-First Century. J Dent Educ. 2003;67(10):1130–1139.
• Yılmaz M. Prebiyotik Ve Probiyotikler. Güncel Pediatri. 2004; 2: 142–145.
• Caglar E, Kuscu OO, Cildir SK, Kuvvetli SS, Sandallı N. A Probiotic Lozenge Administered Medical Device And Its Effect On Salivary Mutans Streptococci And Lactobacilli. Int J Paediatr Dent Jan;18(1): 35–39. Anderson MH, Shi W. A Probiotic Approach To Caries Management. Pediatr Dent. 2006 Mar- Apr;28(2):151–153.
• Hillman JD. Genetically Modified Streptococcus Mu- tans For The Prevention Of Dental Caries 2002; : 361–366.
• Eckert R, Qi F, Yarbrough DK, He J, Anderson MH, Shi W. Adding Selectivity To Antimicrobial Peptides: Rational Design Of A Multi-Domain Peptide Against Pseudomonas Spp. Antimicrob Agents Chemother 2006 Apr;50(4):1480-1488.
• Galgany A, Querioz MC, Leite AJM. The Efectiveness Of A Novel Infant Tooth Wipe In High Caries-Risk Babies 8 To 15 Months Old. Pediatr Dent 2007; 29: 337–342.
• Burleson GR, Murray TM, Pollard M. Inactivation Of Viruses And Bacteria By Ozone, With And Without Sonication. Appl Microbiol 1975;29(3): 340–344.
• Dyas A, Boughton BJ, Das BC. Ozone Killing Action Against Bacterial Microbiological Testing Of A Domestic Ozone Generator. J Clin Pathol 1983; 36(10): 1102–1104.
• Oizumi M, Suzuki T, Uchida M, Furuya J, Okamoto Y. In Vitro Testing Of A Denture Cleaning Method Using Ozone. J Med Dent Sci 1998; 45(2): 135– Fungal Species; Evidence
• Sealents. J Am Dent Assoc 2008; 139(3): 257- ). Based Clinical
• Palmer G, Jones FH, Billington RW, Pearson GJ. Chlorhexidine Release From An Experimental Glass Ionomer Cement. Biomaterials 2004; 25: 5423–
• Botelho M.G. Inhibitory Effects On Selected Oral Bacteria Of Antibacterial Agents Incorporated In A Glass Ionomer Cement. Caries Res. 2003;37: 108–
• Sanders BJ, Gregory RL, Moore K, Avery DR. Andphysical Properties Of Resin Modified Glass- İonomers Combined With Chlorhexidine. J Oral Rehabil 2002; 29: 553–558.
• Hoszek A, Pierreville F, Schittek M, Ericson D. Fissure Penetration And Antibacterial Effect In Vitro Of A Glass Ionomer Cement Containing Chlorhexidine Gluconate. Swed Dent J 1998; 22: –141.
• Leung D, Spratt DA, Pratten J, Gulabivala K, Mordan NJ, Young AM. Chlorhexidine-Releasing Methacrylate Biomaterials 2005; 26: 7145–7153. Composite Materials.