TAM PROTEZ KULLANMAYA BAŞLAYAN HASTALARIN HAYAT KALİTESİNİN VE ÇİĞNEME ETKİNLİĞİNİN İNCELENMESİ

Year 2018, Volume: 28 Issue: 4, 504 - 510, 14.10.2018

Ayşe Koçak Büyükdere Kübra Değirmenci Bahar Odabaşı Özgür

https://doi.org/10.17567/ataunidfd.473864

Abstract

Amaç: Tam
protezler ile kaybedilen çiğneme fonksi- yonun kazanılması amaçlanır. Tam
protezlere adaptas- yon kişiden kişiye değişir ve hastaların yaşam kalitelerini
etkilemektedir. Ağız
sağlığı önemi profili [Oral Health Impact Profile (OHIP)], genel ağız sağlığı
değerlendirme indeksi [General Oral Health Assessmnet Index (GOHAI)], ve günlük
aktivitede ağız sağlığının önemi [Oral Impact on Daily Performance (OIDP)]
anketleri yaşam kalitesini belirlemede sıklıkla kullanılmaktadırlar. Çiğneme etkinliği de tam protezlerin
başarısında ve protezlere alışılmasında önemli bir değerlendirmedir. Bu
çalışmada hastaların tam protezlere alışma döneminde yaşam kalitesinin, çiğneme
etkinliği ile beraber değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: Bu pilot çalışma 2015 yılında Kocaeli
Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi kliniğinde tam
protez yaptıran 42 hasta üzerinde gerçekleştirildi. Yeni tam protez yapılan
hastalara OHIP, GOHAI, OIDP anket soruları ilk gün, 24 saat, 1 hafta, 1 ay ve 3
ay sonraki kontrollerde sorulmuştur. Çiğneme etkinliğini belirlemek için de her
seansta 20 ve 50 siklustan olmak üzere çift renk sakız çiğneme testi yapılmıştır.
İstatiksel analiz bilgisayar destekli SPSS programında anketler Repeated Measure
Anova ve Bonferroni testleri ile değerlendirilmiştir. Çiğneme testi için
Ki-Kare testi kullanılmıştır.

Bulgular: OHIP, GOHAI, OIDP sonuçlarında ilk takıl- dıklarında,
1. günde, 1. haftada, 1. ay arasında anlamlı fark bulunmuştur. Birinci ay ve 3.
ay arasında sadece OHIP’te anlamlı fark varken. GOHAI ve ODIP arasında anlamlı
fark yoktur. Çiğneme etkinliği her seansta ista- tistiksel olarak artmıştır.
Sadece ilk takıldığı an ve 1. gün arasında anlamlı fark yoktur.

Sonuç:
Hastaların gelirleri ve eğitim
durumları protez seçimini etkiler. Fiziksel olarak tam proteze adaptas- yonları
bir ay içinde çoğunlukla gerçekleşmektedir. Psi- kolojik adaptasyonu üç aya
kadar sürmektedir. Çiğne- me etkinliği kullanımla beraber artmaktadır.

Anahtar
Kelimeler: Tam protezler, ağız sağlığı, çiğneme

ASSESMENTS
OF LIFE QUALITY AND CHEWING EFFICIENCY OF PATIENTS USING NEW COMPLETE
PROSTHESIS

ABSTRACT

 Aim: Complete dentures’ aim is to gain the chewing
function. Adaptation to complete dentures varies from person to person and also
influence the patinent’s life quality. The importance of oral health profile
(OHIP), general oral health assessment index (GOHAI) and the importance of oral
health in daily activities (OIDP) surveys are widely used to determine the
quality of life. Chewing efficience is important assesment for prosthetic
success and adaptation for the prosthesis. The aim of the study is to determine
the relation between the quality of life and chewing effectiveness for the
adaptation period with new complete dentures.

Material and Methods: This study was performed on 42
patients in Kocaeli Univercity Dental Faculty Prosthodontict Department in 2015
who are made new complete dentures. OHIP, GOHAI, OIDP surveys were asked to the
new complete denture patients in first application, 24 hour, 1 week, 1 month, 3
months control. Chewing activity were measured by two colored gums in 20 and 50
siklus in the same control session.

Result: There are statistically meaningful differences were
found between first insertion, 1. day, 1. week,1. month OHIP, GOHAI, OIDP
surveys results. There is statistically difference between 1. and 3. months in
OHIP. But there are no statistically differences in GOHAI and OIDP. Chewing
activity increased in every sessions. On the other hand there are no
statistically differences between the inserting day and 1. day.

Conclusion: Patient’s income and education effect the prosthesis
choices. Physical adaptation for complete dentures are nearly 1 month.
Psychological adaptation takes nearly three months. Chewing activity is rising
by using the dentures.

Keywords: Complete
dentures, oral health, chewing

Keywords

Tam protezler, ağız sağlığı

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