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Ortodontik Tedavi Sonrası Ektopik Maksiller Kaninlerin Keratinize Dişeti Genişliğindeki Değişim

Year 2022, Volume: 9 Issue: 2, 465 - 470, 24.08.2022
https://doi.org/10.15311/selcukdentj.991699

Abstract

Amaç: Vestibülde ve infraoklüzyonda bulunan ektopik kaninlerin ortodontik tedavisi amacıyla birinci premolar çekimi uygulanmış vakalarda, üst kaninlerin keratinize dişeti genişliğindeki değişimleri incelemektir.
Gereç ve Yöntemler: Bu kontrollü klinik çalışmada, üst kanin dişleri vestibülde ektopik bulunan (>2 mm) ve birinci premolar çekimli ortodontik tedavi uygulanmış 50 bireye (ortalama yaş: 18.1 yıl) ait 63 maksiller kanin diş çalışma grubunu oluşturmuştur. Kontrol grubu olarak, çekimsiz ortodontik tedavi uygulanmış ve tedavi sırasında üst kanin dişlerinde klinik olarak belirgin bir dikey hareket olmayan (≤2 mm) 20 bireye (ortalama yaş: 15.8 yıl) ait 20 maksiller kanin diş kullanılmıştır. Tedavi öncesi (T1) ve tedavi sonrası (T2) ağız içi fotoğraflar, geleneksel alçı modeller ve panaromik radyografi kayıtları kullanılmıştır. Ağız içi frontal fotoğraflarda kanin dişin keratinize dişeti genişliği ölçülmüştür. Kanin dişlerin dikey yöndeki yer değişimi sert damak düzlemi referans alınarak panoramik röntgenler üzerinde ölçülmüştür.
Bulgular: Çalışma ve kontrol gruplarında kanin dişin dikey yer değişimi oklüzal yönde ve istatistiksel olarak anlamlı (sırasıyla 3.45 mm, p=0.000; 0.73 mm, p=0.013) bulunurken; keratinize dişeti genişliğinde anlamlı artış (sırasıyla 1.23 mm, p=0.000; 0.25 mm, p=0.016) bulunmuştur. Çalışma grubunda ölçülen değişimler cinsiyet ve yaştan bağımsız (p>0.05) ve kontrol grubuna göre anlamlı olarak daha yüksektir (p=0.000). Dikey yer değişimi ile dişeti genişliğindeki artışın ilişkisi incelendiğinde, dikey hareketin 2-4 mm olduğu örneklemde anlamlı korelasyon bulunamazken (r=0.01); ≥4 mm olduğu örneklemde yüksek korelasyon (r=0.563) bulunmuştur.
Sonuç: Ektopik kaninlerin ortodontik tedavisi sonrasında ağız içinde gerçekleşen klinik dişeti artışını ve bu artışın dikey hareket miktarı ile pozitif yönlü ilişkisini gösteren kontrollü bir klinik çalışma olması sebebiyle sonuçlar anlamlıdır.

References

  • Thilander B, Pena L, Infante C, Parada SS, de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. An epidemiological study related to different stages of dental development. Eur J Orthod 2001; 23:153-167.
  • Fleming PS, Scott P, Heidari N, Dibiase AT. Influence of radiographic position of ectopic canines on the duration of orthodontic treatment. Angle Orthod 2009;79:442-446.
  • Bedoya MM, Park JH. A review of the diagnosis and management of impacted maxillary canines. J Am Dent Assoc 2009; 140:1485-493.
  • Paquette DE, Beattie JR, Johnston LE Jr. A long-term comparison of nonextraction and premolar extraction edgewise therapy in "borderline" Class II patients. Am J Orthod Dentofacial Orthop 1992;102:1-14.
  • Vaden JL, Kiser HE. Straight talk about extraction and nonextraction: a differential diagnostic decision. Am J Orthod Dentofacial Orthop 1996;109:445-452.
  • Travess H, Roberts-Harry D, Sandy J. Orthodontics, Part 8: Extractions in orthodontics. Br Dent J 2004;196:195-203.
  • Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc 2003;134:220-225.
  • Lang NP, Löe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol. 1972;43:623-627.
  • Busschop JL, Van Vlierberghe M, De Boever J, Dermaut L. The width of the attached gingiva during orthodontic treatment: a clinical study in human patients. Am J Orthod 1985;87:224-229.
  • Orban B. Clinical and histologic study of the surface characteristics of the gingiva. Oral Surg, Oral Med, Oral Pathol 1948;1:827-841.
  • Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015; 86:56-72.
  • Becker A. The orthodontic treatment of impacted teeth, 2nd edn. London: Informa Healtcare UK Ltd, 2007.
  • Sachan A, Chaturvedi T. Orthodontic management of buccally erupted ectopic canine with two case reports. Contemp Clin Dent 2012;3:123.
  • Buschang PH, Shulman JD. Incisor crowding in untreated persons 15-50 years of age: United States, 1988-1994. Angle Orthod 2003;73: 502-508.
  • Lang NP, Lindhe J. Clinical periodontology and implant dentistry. John New York: Wiley & Sons, 2015.
  • Ingber JS. Forced eruption: Part I. A method of treating isolated one and two wall infrabony osseous defects‐rationale and case report, J Periodontol, 1974;45:199-206.
  • Ingber JS. Forced eruption: Part II. A method of treating nonrestorable teeth—periodontal and restorative considerations, J Periodontol, 1976;47:203-216.
  • Coatoam GW, Behrents RG, Bissada NF. The width of keratinized gingiva during orthodontic treatment: its significance and impact on periodontal status. J Periodontol, 1981;52:307-313.
  • Kohavi D, Zilberman Y, Becker A. Periodontal status following the alignment of buccally ectopic maxillary canine teeth. Am J Orthod 1984;85:78-82.
  • Al-Jundi A, Sabbagh BA, Baskaradoss JK. Evaluation of Periodontal Changes Adjacent to Extraction Sites During Upper Canine Retraction. J Contemp Dent Pract 2017;18:117-125.
Year 2022, Volume: 9 Issue: 2, 465 - 470, 24.08.2022
https://doi.org/10.15311/selcukdentj.991699

Abstract

References

  • Thilander B, Pena L, Infante C, Parada SS, de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. An epidemiological study related to different stages of dental development. Eur J Orthod 2001; 23:153-167.
  • Fleming PS, Scott P, Heidari N, Dibiase AT. Influence of radiographic position of ectopic canines on the duration of orthodontic treatment. Angle Orthod 2009;79:442-446.
  • Bedoya MM, Park JH. A review of the diagnosis and management of impacted maxillary canines. J Am Dent Assoc 2009; 140:1485-493.
  • Paquette DE, Beattie JR, Johnston LE Jr. A long-term comparison of nonextraction and premolar extraction edgewise therapy in "borderline" Class II patients. Am J Orthod Dentofacial Orthop 1992;102:1-14.
  • Vaden JL, Kiser HE. Straight talk about extraction and nonextraction: a differential diagnostic decision. Am J Orthod Dentofacial Orthop 1996;109:445-452.
  • Travess H, Roberts-Harry D, Sandy J. Orthodontics, Part 8: Extractions in orthodontics. Br Dent J 2004;196:195-203.
  • Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc 2003;134:220-225.
  • Lang NP, Löe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol. 1972;43:623-627.
  • Busschop JL, Van Vlierberghe M, De Boever J, Dermaut L. The width of the attached gingiva during orthodontic treatment: a clinical study in human patients. Am J Orthod 1985;87:224-229.
  • Orban B. Clinical and histologic study of the surface characteristics of the gingiva. Oral Surg, Oral Med, Oral Pathol 1948;1:827-841.
  • Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015; 86:56-72.
  • Becker A. The orthodontic treatment of impacted teeth, 2nd edn. London: Informa Healtcare UK Ltd, 2007.
  • Sachan A, Chaturvedi T. Orthodontic management of buccally erupted ectopic canine with two case reports. Contemp Clin Dent 2012;3:123.
  • Buschang PH, Shulman JD. Incisor crowding in untreated persons 15-50 years of age: United States, 1988-1994. Angle Orthod 2003;73: 502-508.
  • Lang NP, Lindhe J. Clinical periodontology and implant dentistry. John New York: Wiley & Sons, 2015.
  • Ingber JS. Forced eruption: Part I. A method of treating isolated one and two wall infrabony osseous defects‐rationale and case report, J Periodontol, 1974;45:199-206.
  • Ingber JS. Forced eruption: Part II. A method of treating nonrestorable teeth—periodontal and restorative considerations, J Periodontol, 1976;47:203-216.
  • Coatoam GW, Behrents RG, Bissada NF. The width of keratinized gingiva during orthodontic treatment: its significance and impact on periodontal status. J Periodontol, 1981;52:307-313.
  • Kohavi D, Zilberman Y, Becker A. Periodontal status following the alignment of buccally ectopic maxillary canine teeth. Am J Orthod 1984;85:78-82.
  • Al-Jundi A, Sabbagh BA, Baskaradoss JK. Evaluation of Periodontal Changes Adjacent to Extraction Sites During Upper Canine Retraction. J Contemp Dent Pract 2017;18:117-125.
There are 20 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Hüseyin Egemen Kılıç 0000-0001-8083-1135

Yasemin Bahar Acar 0000-0002-2243-7217

Publication Date August 24, 2022
Submission Date September 6, 2021
Published in Issue Year 2022 Volume: 9 Issue: 2

Cite

Vancouver Kılıç HE, Acar YB. Ortodontik Tedavi Sonrası Ektopik Maksiller Kaninlerin Keratinize Dişeti Genişliğindeki Değişim. Selcuk Dent J. 2022;9(2):465-70.