ORTODONTİK TEDAVİ GÖREN BİREYLERDE FARKLI GARGARALARIN AĞIZ

Year 2005, Volume: 2005 Issue: 1, 12 - 21, 01.01.2005

Doç. Dr. Bülent Baydaş Ar.gör. Dt. Fahri Kavrut

Abstract

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Keywords

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ORTODONTİK TEDAVİ GÖREN BİREYLERDE FARKLI GARGARALARIN AĞIZ

Abstract

Bu çal# mada, farkl# kimyasal etkinli-e sahip üç a-#z gargaras#n#n k#sa süreli kullan#m#n#n(chlorhexidine gluconate, benzydamine hydrochloride (HCI) ve polyvinylpyrrolidone-iodine) ortodontik tedavi gören bireylerin a-#z sa-l#klar# üzerindeki etkileri de-erlendirilmi tir. Ya ortalamas# 14.5±2.4 y#l olan 60 birey 15'er ki ilik üç tedavi grubuna (%0.2 chlorhexidine gluconate, %0.15 benzydamine HCI ve %7.5 polyvinylpyrrolidone-iodine) ve bir kontrol grubuna (%0.9 sodium chloride içeren steril izotonic saline) ayr#lm# t#r. Bireylerin tedavi ba lang#c# ve tedaviden bir ay sonraki gingival indeks (GI), plak indeks (PI) ve di eti kanama indeksi (GBI) skorlar#ayn# periodontolog taraf#ndan de-erlendirilmi tir. Tedavi ba #nda, gingival indeks skorlar# “1” den yüksek olanlar tedavi grubunu, “1” den dü ük olanlar kontrol grubunu olu turmu tur. Cndeks de-eri “2” nin üzerinde olanlar çal# maya al#nmam# t#r. Gruplar aras#ndaki farkl#l#klar Varyans analizi kullan#larak de-erlendirilmi tir. GI skorlar#, PI skorlar#, ve GBI skorlar# incelendi-inde bir ayl#k gargara kullan#m#sonucunda a-#z hijyeninde olumlu de-i imlerin oldu-u belirlenmi tir. GI skorlar#, tedavi sonunda her üç gargara grubunda kontrol grubuna göre anlaml#düzeyde azal#rken, gargara gruplar# aras#nda herhangi bir fark bulunmam# t#r. Plak olu umunda ve di eti kanamas#n#nchlorhexidine gargaralar#n#nbelirlenmi tir. Sonuç olarak, ortodontik tedavi gören bireylerde a-#zsa-l#-#n#n iyile tirilmesinde etkili olmu tur

Keywords

Gargara, a-#z sa-l#-#

References

• Yüksel S, Üçem TT, Meral O, Unsal B. Sabit tedavi tekniklerinde farkl# ba-lama sistemlerinin a-#z hijyenine etkilerinin de-erlendirilmesi. Türk Ortodonti Dergisi.1997;10: 16-9.
• Lunstrom F, Krasse B. Streptococcus mutans and Lactobacilli frequently in orthodontic patients, the effect of chlorhexidine treatments. Eur J Orthod. 1987;9:109-16.
• Svanberg, M, Ljunglof S, Thilander B. Streptococcus mutans and Streptococcus sanguis in plaque from orthodontic bands and brackets. Eur J Orthod.1984; 6:132-6.
• Balenseifen JW, Madonia JV. Study of dental plaque in orthodontic patients. J Dent Res. 1970; 49:320-4.
• Corbett JA. Comparison of Streptococcus mutans concentrations in nonbanded and banded orthodontic patients. J Dent Res.1981;60:1936-42.
• Sakamaki ST, Bahn AN. Effect of orthodontic banding on localized oral lactobacilli. J Dent Res. 1968; 47:275-9.
• Huser MC, Baehni PC, Lang R. Effects of orthodontic bands on microbiologic and clinical parameters. Am J Orthod Dentofac Orthop. 1990;97: 213-8.
• Zachrisson S, Zachrisson BU. Gingival condition associated with orthodontic treatment. Angle Orthod. 1972; 42: 26-34.
• Sinclair PM. Changes in gingiva and gingival flora with bonding and banding. Angle Orthod. 1987;47:271-8
• Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod.1982; 81:92-8.
• White L. A new oral strategy. Am J Orthod. 1984; 86: 507-515.
• Bringhtman LJ, Terezhalmy GT, et al. The effects of a 0.12% chlorhexidine gluconat mouthrinse on orthodontic patients aged 11 through 17 with established gingivitis. Am J Orthod Dentofac Orthop.1991;100:324-9.
• Anderson GB, Bowden J, Morrison EC, Caffesse RG. Clinical effects of chlorhexidine mouthwashes on patients undergoing orthodontic treatment. Am J Orthod Dentofac Orthop. 1997;111:606-612.
• Babay NA, Jasser NA. Subgingival irrigation effects of chlorhexidine or sanguinarine on gingivitis in orthodontic patients. J Clin Pediatr Dent.1996;20: 225-8.
• Eaton KA, Rimini FM, Zak E, Brookman DJ, Hopkins LMA, Cannell PJ, Yates LG, Morrice CA, Lall BA, Newman HN. The effects of a 0.12% chlorhexidine-digluconate-containing mouthrinse versus a placebo on plaque and gingival inflamation over a 3-month. J Clin Periodontol. 1997; 24: 189-197.
• Overholser CD, Meilier TF, De Paula LG, Minah GE, Niehaus C. Comparative effects of 2 chemotherapeutic mouthrinses on the development of supragingival dental plaque and gingivitis. J Clin Periodontol. 1990;17: 575-9.
• Gusberti FA, Sampathkumar P, Siegrist BE, Lang NP. Microbiological and clinical effects of chlorhexidine digluconate and hydrogen peroxide mouthrinses on developing plague and gingivitis. J Clin Periodontol. 1988;15: 60-7.
• Landry RG, Turnbull RS, Howley T. Efectiveness of benzydamine HCI in treatment of periodontal postsurgical patients. Research and Clinical Forums. 1992;10(8):105-7.
• Kocadereli C, Baykara M, Aksoy A, Alpar R. Sabit ortodontik tedavi s#ras#nda klorheksidin glukonat kullan#m#n#n a-#z sa-l#-#na etkileri. Türk Ortodonti Dergisi 8; 247-250, 1995.
• Toro-lu S, Hanc#o-lu B, Azakl# A, Haytaç MC. Farkl# kimyasal içeri-e sahip a-#z gargaralar#n#n ortodontik tedavi gören bireylerin a-#z sa-l#-#na olan etkileri. Türk Ortodonti Dergisi. 2002;15(1):15-21.
• Silness J, Löe H. Periodontal diseases in pregnancy. Acta Odontol Scand. 1964;22:121-135.
• Quigley GA, Hein JW. Comparative cleansing efficiency of manual and power brushing. The journal of the American Dental Association. 1962; 65: 26-9.
• Lange DE. Parodontologie in der täglichen Praxis.Quintessenz, Berlin,1981.
• Clifton OD, Deryl DS, Dale KE. A new antiplaque agent for orthodontic patients. J Clin Orthod 1985;19: 205-212.
• Twetman S, Grindeford M. Mutans streptococci suppression by chlorhexidine gel in toddlers. Am J Dent.1999;12: 89-91.
• Achong RA, Briskie DM, Hitdebrandt GH, Feigal RJ, Loesche WJ. Effect of chlorhexidine varnish mouthguards on the levels of selected oral microorganisms in pediatric patients. Pediatr Dent. 1999; 21: 169-175.
• Bowden GH. Mutans streptococci caries and chlorhexidine. J Can Dent Assoc 1996; 62: 703-7.
• Morrow D, Wood DP, Speechley M. Clinical effect of subgingival chlorhexidine irrigation on gingivitis in adolescent orthodontic patients. Am J Orthod Dentofac Orthop.1992; 101: 408-413.
• Strripus DR, Laes EA, Honigman JL. The effect of chlorhexidine gluconate mouthrinse on oral health during fixed appliance orthodontic treatment. Br Dent J. 1981;151: 84-6.
• Gjermo P, Röiia G. The plaque inhibiting effect of chlorhexidine containing dentifrice. Scand J Dent Res. 1971;79: 129-132
• Ribeiro DA, Bazo AP, da Silva Franci CA, Masques MEA, Salvadori DMF. Chorhexidine induces DNA damage in rat peripheral leukocytes and oral mucosal cells. J Periodont Res. 2004;39:358-61.
• Gabler WL, Bullock WW, Creamer HR. Chlhexidine: Not a drug for all reasons. JADA. 1987; Summer: 24-7.
• Pucher JJ, Daniel JC. The effects of chlorhexidine digluconate on human fibroblasts in vitro. J Periodontol. 1993; 62: 526-32
• Asher C, Shaw WC. Benzydamine hydrochloride in the treatment of ulceration associated with recently placed fixed orthodontic appliances. Eur J Orthod. 1986; 8(1): 61- 4.
• Samaranayake LP, Robertson AG, MacFarlane TW, Hunter IP, MacFarlane G, Soutar DS, Ferguson MM.. The effect of chlorhexidine and benzydamine mouthwashes on mucositis induced by therapeutic irradiation. Clinical Radiology.1988; 39: 291-4.
• Jorgensen MG, Aalam A, Slots J. Periodontal antimicrobials--finding the right solutions. Int Dent J. 2005;55(1):3-12.
• Lang NP, Cumming BR, Löe H. Toothbrush frequency as it is related to plaque development and gingival health. J Periodontol 1973; 44: 396-412.
• Kornman KS. The role of antimicrobials in prevention and treatment of periodontal disease: perspectives on oral antimicrobial therapeutics. American Academy of Periodontology. 1987, pp:37-46.
• Carranza FA. Murphy NC. Orthodontic consideration in periodontal therapy, In: Glickman's Clinical Periodontology, 7 th ed.,Philadelphia, W.B. Saunders Company, 1990, pp: 750-58.
• Lang NP, Siegrist BE. Mechanical plaque retention factors. In: Contemporary periodontics, eds. Genco JR, Goldman HM, Cohen DW, St. Louis, The C.V. Mosby Company, 1990, pp:170-183.
• Boyd RL, Baumrind S. Periodontal considerations in the use of bonds or bands on molars in adolescents and adults. Angle Orthod. 1992; 62:117-26.
• Yeung SCH, Howell S, Fahey P, Oral hygiene program for orthodontic patients. 1989; 96: 208-213.
• Ciancio SG. Chemotherapeutic agents and periodontal therapy. Their impact on clinical practice. J Periodontol. 1986; 57: 375-8.
• Hull PS. Chemical inhibition of plaque. J Clin Periodontol.1980; 7: 431-2.
• Fardal O, Tumbull RS. A rewiew of the literature on use of chlorhexidin in dentistry. JADA. 1986;112: 863-9.
• Caton JG, Blieden TM, Lowenguth RA, Lang NP, Raber K. Use of oral irrigators as vehicle for the application of antimicrobial agents in chemical plaque control. J Periodontol.1993; 20:172-8.