Tooth Discoloration and Treatment Options in Children

Abstract

Esthetic problems in childhood and adolescence have a significant impact on psychosocial development and peer relationships. Therefore abnormalities in the shape, size, color and structure of all or some of the anterior teeth of children cause such psychological problems. According to studies, children in the age group of 4-5 may have negative social perceptions and self-perceptions regarding changing dental esthetics. Today tooth discoloration is a common esthetic problem and it’s known that the population of young patients who want teeth whitening treatment has increased in modern day dentistry. Tooth color is determined by the combination of colors in the inner layers and the presence of stains on the outer surface of the tooth. Inner tooth color is related to the light scattering and absorption properties of enamel and dentin. The translucent nature of enamel causes the color of the dentin layer to be reflected on the tooth surface. Today, with the developing technology, the variety of materials has increased and there have been updates in the contents of the agents used in tooth whitening. In this study, current literature information on the use of teeth whitening treatments in pediatric dentistry will be presented by compiling.

Keywords

• Bleaching
• Discoloration
• Paediatric Dentistry

Çocuklarda Diş Renklenmeleri ve Tedavi Seçenekleri

Abstract

Çocukluk ve ergenlik döneminde var olan estetik sorunlar psikososyal gelişim ile akran ilişkileri üzerinde önemli bir etkiye sahiptir. Çocukların ön dişlerinin tamamının veya bir kısmının şekil, boyut, renk ve yapısındaki anormalliklerin ise sorunlara yol açtığı bilinmektedir. Çalışmalarda 4-5 yaş grubundaki çocukların, değişen diş estetiğine ilişkin olumsuz sosyal algılara ve özlük algılarına sahip olabilecekleri belirtilmiştir. Diş renklenmeleri ise diş hekimliğinde sık görülen bir estetik sorundur ve son yıllarda diş beyazlatma isteğinde bulunan genç hasta popülasyonunun arttığı bildirilmektedir. Diş rengini, iç tabakalardaki renklerin kombinasyonu ve dişin dış yüzeyinde oluşan lekelerin varlığı belirlemektedir. İç tabakalardaki diş rengi, mine ile dentinin ışığı dağıtma ve absorbsiyon özelliklerine bağlı değişmektedir. Minenin translusent yapıda oluşu dentin tabakasının renginin diş yüzeyinde yansımasına neden olur ve dentinin optik özellikleri diş rengini belirlemede önemli rol oynar. Beyazlatma işlemi, lekenin fiziksel olarak çıkarılması veya diş renk tonun açılması için kimyasal bir reaksiyon gerçekleştirilmesidir. Beyazlatma kromojenlerin kimyasal yapısının bozulması olarak da tanımlanmaktadır. Diş beyazlatma tedavileri ile ilgili ilk uygulamaların tarihi çok eski yıllara dayanmaktadır. Ancak günümüzde gelişen teknoloji ile materyal çeşitliliği artmış, beyazlatma tedavilerinde kullanılan ajan içeriklerinde güncellemeler olmuştur. Bu makalede çocuklarda dişlerde renklenme nedenleri ve diş beyazlatma tedavilerinin çocuk diş hekimliğinde kullanım alanları güncel literatür bilgileri derlenerek sunulmuştur.

Keywords

• Beyazlatma;
• Renklenme;
• Çocuk Diş Hekimliği

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