KLORHEKSİDİN GLUKONATIN DEBONDİNG SONRASI BAKTERİYEMİ OLUŞUMUNA ETKİSİ

Year 2020, Volume: 7 Issue: 2, 280 - 285, 01.08.2020

Yasin Akbulut

https://doi.org/10.15311/selcukdentj.620873

Abstract

Amaç:
Bu
çalışmanın amacı ortodontik tedavi bitiminde yapılan debonding işlemi
sonrasında kullanılan % 0.12 klorheksidin glukonat içerikli gargaranın bakteriyemi
oluşumuna etkisinin araştırılmasıdır.

Gereçler ve Yöntemler: Sabit
ortodontik tedavi gören ve debonding endikasyonu olan hastalar arasından her
grup için 15 hasta olmak üzere, hiç gargara kullanmayan (kontrol grubu) ve % 0.12
klorheksidin glukonat içerikli gargara kullanan (deney grubu) hastalar
arasından toplamda 30 hasta çalışma için seçilerek 2 grup oluşturuldu.

Debonding
işlemi öncesinde (T₀) ve debonding işleminin hemen sonrasında (T₁)
hastaların antekübital venlerinden kan örnekleri alındı. Alınan kan
örneklerinin kan kültür şişesine ekimi yapılarak bakteri üremesi olup olmadığı
araştırıldı.

Bulgular:
Sonuçlara göre, T₀’da alınan kan örneklerinin hiçbirinde bakteri
üremesi olmazken T₁’de alınan kan örnekleri arasında kontrol
grubundaki farklı hastalarda sırasıyla Streptococcus oralis, Streptococcus
mutans, Streptococcus salivarius ve Streptococcus mitis üremesi
olmuştur. Deney grubunda ise herhangi bir üreme tespit edilmemiştir.
Kontrol grubu ile deney grubu arasındaki sonuçlar istatistiksel olarak anlamlı
(p<.001) bulunmuştur.

Sonuçlar: Sonuç
olarak kontrol grubuyla kıyaslandığında % 0.12 klorheksidin glukonat içerikli
gargara istatistiksel olarak anlamlı (p<.001)
bulunmuş olup, risk grubundaki hastalarda debonding işlemleri öncesinde ağız florasındaki bakteri yoğunluğunu azaltmak amacıyla
kullanılabilir.

Anahtar
kelimeler: Debonding, Bakteriyemi, Klorheksidin glukonat

Keywords

Debonding, Bakteriyemi, Klorheksidin glukonat

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