Titreşimin Ortodontik Diş Hareketi Hızına Etkisi : Literatür Derlemesi

Year 2021, Volume: 8 Issue: 1, 245 - 254, 30.04.2021

Zeynep Norçinli , Zeliha Müge Baka

https://doi.org/10.15311/selcukdentj.551107

Cited By: 1

Abstract

Ortodontik diş hareketi periodonsiyuma iletilen dış
kuvvetlerin ve bu kuvvetlerin etkilediği alana nüfuz etmiş enflamatuvar
mediyatörlerin alveol kemiğinde başlattığı yeniden şekillenme olayının bir
sonucu olarak meydana gelmektedir. Günümüzde her yaşta ortodontik tedavi görmek
isteyen hasta sayısının artmış olmasıyla birlikte kısa süre içerisinde
sonuçlanan ortodontik tedavi talebinin de artması, ayrıca uzun süreli
ortodontik tedavilerin beyaz nokta lezyonları, diş çürükleri, periodontal
sorunlar ve kök rezorpsiyonu gibi yan etkilerinin bulunması nedeniyle diş
hareketini hızlandırmaya yönelik yöntemler önem kazanmaktadır. Bu yöntemler;
girişimsel olan cerrahi yöntemler, girişimsel olmayan
farmakolojik uygulamalar ve mekanik-fiziksel uygulamalardır. Girişimsel olan
cerrahi uygulamalar her ne kadar etkili ve öngörülebilir olsa da post-operatif
ağrı, periodontal doku hasarına sebep olabilmeleri ve hasta kabul
edilebilirliğinin düşük olması araştırmacıları girişimsel olmayan yöntemlerin
etkilerinin araştırılmasına yöneltmiştir. Titreşim uygulamaları yakın
zamanda ortodontide diş hareketinin hızlandırılması amacıyla kullanılmakta olan
girişimsel olmayan uygulamalardan birisidir. Titreşim uygulamasının girişimsel
bir yöntem olmaması, periodontal dokulara zarar vermemesi, ortodontik tedavi
kaynaklı diş ağrılarını azaltabilmesi, hasta açısından kolay uygulanabilmesi ve
rahatsızlık vermemesi gibi özellikleri ortodonti açısından önemini artırmıştır.
Literatürdeki çalışmalara bakıldığında genel olarak titreşimin diş hareketi
hızını artırdığına yönelik bulgular olduğu gibi diş hareketi üzerinde etkili
olmadığını belirten çalışmalar da bulunmaktadır. Optimal bir vibrasyon
protokülün belirlenebilmesi, vibrasyonun diş hareketi üzerindeki etkisinin
moleküler ve hücresel mekanizmalarının aydınlatılabilmesi amacıyla gelecekte
daha çok çalışmaya ihtiyaç duyulmaktadır.

Anahtar Kelimeler:
ortodontik diş hareketi, titreşim, enflamatuar mediyatör

Keywords

ortodontik diş hareketi, titreşim, enflamatuar mediyatör

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