ORTODONTİ ALANINDA KLORHEKSİDİN KULLANIMI: DERLEME

Year 2019, Volume: 2 Issue: 2, 49 - 54, 01.05.2019

Alev Aksoy Müge Gülçelik

Abstract

Sabit ortodontik tedaviler hastaların konuşma ve çiğneme fonksiyonlarını düzelterek hastalara fonksiyonel ve estetik
memnuniyet kazandıran tedavilerdir. Sabit ortodontik tedavi gören hastalarda en sık rastlanan sorunlar ise diş
etlerinde kanama, ödem ve büyümeye neden olan diş eti iltihabı ile mine yüzeylerinde görülen beyaz nokta
lezyonlarıdır. Bu durum, tedavi sürecinde kullanılan braket, bant, ark teli gibi materyallerin dental plak birikimine
ortam hazırlamasından kaynaklanmaktadır. Ayrıca araştırmalar, sabit ortodontik ataçmanların yapıştırılması
sonrasında ağız florasında çürük yapıcı patojenlerin sayısında artış olduğunu göstermektedir. Ortodontik tedavi ile
hastanın kapanış bozukluğu düzeltilirken, ağız hijyeninin bozulmasını ve çürük veya periodontal problemlerin
oluşmasını engellemek için çeşitli önlemler alınmalıdır. Bu bireylerde ağız hijyeninin sağlanmasında özel olarak
tasarlanmış diş fırçaları, arayüz fırçaları, teller arasından geçebilen diş iplerinin kullanımı önerilmektedir. Bunun
yanısıra, mikrobiyal dental plak kimyasal antimikrobiyal ajanlar yardımıyla kontrol altında tutulmalıdır. Bu
derlemede bu ajanlardan biri olan klorheksidinin özelliklerinden ve ortodonti alanında kullanımından
bahsedilecektir.

Keywords

Ortodonti, Klorheksidin, Oral flora

Use Of Chlorhexidine In Orthodontics: Review

Abstract

Fixed orthodontic treatments improve the speech and chewing functions of the patients and give the
patients functional and aesthetic satisfaction.The most common problems in patients undergoing fixed orthodontic
treatment are inflammation of the gingiva causing bleeding, edema and growth in the gums and white spot lesions on
the surface of the enamel. In patients with fixed orthodontic treatment, devices such as bracket, band and arch wire
create difficult-to-clean areas, resulting in increased microbial dental plaque. Research also shows that there is an
increase in the number of caries-causing pathogens in the oral flora after bonding of fixed orthodontic appliances.
Various preventions should be taken to prevent oral hygiene deterioration and the development of dental caries and
periodontal diseases while orthodontic treatment improves the patient’s malocclusion. In these individuals, usage of
orthodontic toothbrushes, interdental toothbrushes and dental floss is suggested. In addition, microbial dental plaque
should be controlled with the help of chemical antimicrobial agents. This review will discuss the properties of
chlorhexidine and its usage for the orthodontics.

Keywords

Orthodontics, Chlorhexidine

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