Farklı oral hijyen motivasyon yöntemlerinin sabit ortodontik tedavi gören bireylerin

Yıl 2013, Cilt: 23 Sayı: 3, 307 - 312, 01.03.2013

Doç. Dr. Zuhal Yetkin Ay Dr.elçin Esenlik Dr.fethiye Çağlar

Öz

Purpose: Various oral hygiene motivation methods were proposed to prevent periodontal diseases and caries before and during the orthodontic therapy. In this study, it was aimed to compare the effects of two different oral hygiene motivation methods on halitosis level in patients treated by fixed orthodontic therapy. Materials and Methods: Forty subjects (21 male, 19 female) were included in this study. The subjects were divided into two groups as verbal (V) and demonstration with models and application under clinician’s guidance (M). The gingival index (GI), plaque index (PI), percentage of bleeding sites (%BOP) and halitosis levels were recorded at baseline and 1 month after the orthodontic therapy began. The comparisons between the groups were analyzed by using Mann Whitney U test and intra-group differences were determined by using the Wilcoxon signed ranks test. The correlations were investigated by using the Spearman correlation test. Results: Baseline values of the recorded parameters were not found to be different significantly between the groups (P>0.05). All of the parameters in the V group have decreased significantly after 1 month (P<0.025). The M group has not presented significant difference between the time interval (P>0.025). Except the halitosis values, the decrease amount of the clinical parameters were different significantly between the groups (P<0.05). The correlations between GI and PI, and GI and % BOP; and between PI and %BOP in the M group were found statistically significant (P<0.05). Conclusion: The oral hygiene motivation methods used in the present study were not found significantly different from each other, in terms of the halitosis levels. However, the decrease in the clinical parameters has marked the critical importance of the oral hygiene motivation for the patients undergoing fixed orthodontic therapy.

Anahtar Kelimeler

Orthodontic therapy, halitosis, oral hygiene motİvation

Farklı oral hijyen motivasyon yöntemlerinin sabit ortodontik tedavi gören bireylerin

Öz

Amaç: Ortodontik tedavi öncesinde ve sırasında plak birikimine bağlı olan periodontal hastalıkların ve çürüklerin önlenebilmesi için bireylere oral hijyen motivasyonu yapılmaktadır. Bu çalışma ile sabit ortodontik tedavi gören bireylerde iki farklı motivasyon yönteminin halitozis düzeyine etkilerinin karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Çalışmaya 40 birey (21 erkek, 19 kadın) katıldı. Sabit ortodontik tedavilerine başlanmadan önce bireyler oral hijyen motivasyon yöntemlerine göre sözel (S) ve model üzerinde gösterim ve hekim rehberliğinde uygulama (M) şeklinde iki gruba ayrıldı. Başlangıçta ve sabit ortodontik tedavinin başlamasından bir ay sonra gingival indeks (Gİ), plak indeksi (Pİ), sondlamada kanama yüzdesi (SK%) ve halitozis düzeyleri kaydedildi. Gruplar arasındaki farklılıklar Mann Whitney U testi ile analiz edildi ve grup içi farklılıklar her bir grupta Wilcoxon sıralı işaretler testi ile belirlendi. Korelasyonlar Spearman korelasyon testi kulanılarak araştırıldı. Bulgular: Başlangıç ölçümlerinde herhangi bir parametrede gruplar arası anlamlı farklılık belirlenmedi (P>0,05). S grubunda kaydedilen parametrelerin hepsi 1. ayda başlangıç ölçümlerinden anlamlı derecede azalma gösterdi (P<0,025); M grubunda ise başlangıç ve 1. ay ölçümleri arasında anlamlı farklılık belirlenmedi (P>0,025). Halitozis haricinde iki grupta klinik parametrelerde oluşan azalma miktarları birbirinden anlamlı derecede farklıydı (P<0,05). M grubunda Gİ, Pİ ve SK% ile; Pİ ise SK% ile anlamlı korelasyon gösterdi (P<0,05). Sonuç: Sabit ortodontik tedavi gören bireylerde çalışmamızda uygulanan oral hijyen motivasyon yöntemleri halitozis değerleri açısından birbirinden farklı bulunmadı. Ancak klinik parametrelerdeki düşüşler sabit ortodontik tedavi gören bireylerin oral hijyen yönünden motive edilmesinin kritik önem taşıdığını vurgulamaktadır.

Anahtar Kelimeler

ortodontik tedavi; halitozis, oral hijyen motivasyonu

Kaynakça

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• Süleyman Demirel Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Anabilim Dalı, Isparta. Telefon: [phone] Faks: 02462370607 e-posta: [e-mail]