ORTHODONTIC APPROACHES IN MEDICALLY COMPROMISED PATIENTS

Yıl 2005, Cilt: 2005 Sayı: 3, 40 - 51, 01.03.2005

Dr. Burcu Baloş Tuncer

Öz

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Anahtar Kelimeler

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MEDİKAL SORUNLU BİREYLERDE ORTODONTİK YAKLAŞIMLAR

Öz

Baþarýlý bir tedavi; fiziksel, estetik ve emosyonel olarak iyileþtirmeyi kapsamaktadýr. Sistemikhastalýðý olan bireyler, saðlýklý bireylere oranla bazýtedavi yaklaþýmlarýnda daha fazla risk ve komplikasyonlara maruz kalabilirler. Bu zorluklarýn teþhis vetedavi planlamasýnda etkisi olacaðý bir gerçektir. Diþhekimleri aðýz içi ve diþlere yönelik þikayetleri derlerken, mevcut tüm sistemik rahatsýzlýklarý, bunlarýnözelliklerini de irdelemeli ve bu doðrultuda tedaviplanlamasýný oluþturmalýdýr. Ortodontik tedavilersýrasýnda da bireylerin sistemik durumlarý ve psikolojiksaðlýklarý dikkat edilmesi gereken unsurlardýr.Bu derlemede; sýklýkla karþýlaþýlabilen sistemikhastalýklarýn tanýmlarý, klinik belirtileri, aðýz içi bulgularý, tedavileri ve ortodontik tedavilerde göz önünealýnmasý gereken unsurlar özetlenmiþtir

Anahtar Kelimeler

Ortodontik tedavi, sistemik hastalýklar, komplikasyonlar

Kaynakça

• Terci A. Dahili hastalýklarda diþ hekimliði. Ýzmir, 1994; 10-50.
• Evans CA. Orthodontic treatment for the medical- ly compromised patient.In: Graber TM, Eliades T, Athanasiou AE. Risk management in Orthodontics:Experts guide to malpractice. Quitessence Publ.Co,Inc. Chicago, 2004; chapter 11: 165-181.
• Weiland S, Pless I, Roghmann K. Chronic illness and mental health problems in paediatric prac- tice:results from a survey of primary care providers. Paediatrics 1992; 89: 445-449.
• Vessey JA, Swanson MN, Hagedon M. Teasing:who says names can never hurt you. Pediatric Nursing 1995; 21: 297-299.
• Burden D, Mullaly B, Sandler J. Orthodontic treat- ment of patients with medical disorders. Eur J Orthod. 2001; 23:363-372.
• Erverdi N, Kadir T, Ozkan H, Acar A. Investigation of bacteremias following orthodon- tic banding. Am J Orthod Dentofac Orthoped. 1999; 116: 687-690.
• Erverdi N, Biren S, Kadir T, Acar A. Investigation of bacteremia following orthodontic debanding. Angle Orthodontist 2000; 70: 11-14.
• McLaughlin JO, Coulter WA, Coffey A,et al. The incidence of bacteremia after orthodontic banding. Am J Orthod Dentofac Orthoped. 1996; 109: 639- 644.
• Khurana M, Martin MV. Orthodontics and infec- tive endocarditis. Br J Orthod. 1999; 26: 295-298.
• Dajani AS. Prevention of bacterial endocarditis:Recommendations by the American Hearth Association. Clin Infect Dis. 1997; 25:1448-1458.
• Sonis ST. Orthodontic management of selected medically compromised patients:cardiac disease, bleeding disorders, and asthma. Semin Orthod. 2004; 10:277-280.
• Biancaniello TM, Romero JR. Bacterial endo- cardititis after adjustment of orthodontic appli- ances. J of Pediatrics 1991; 118: 248-249.
• Hobson RS, Clark JD. Infective endocarditis asso- ciated with orthodontic treatment:a case report. British J of Orthod. 1993; 20:241-244.
• Açýkalýn Ý. Ýç Hastalýklarý. 1.baský, Hacettepeliler Yayýn Birliði, 1988; 182-497.
• Simon PA, Zeng, Wold CM,et al. Prevalence of childhood asthma and associated morbidity in Los Angeles Country:ýmpacts of race/ethnicity and income. J Asthma. 2003; 40:535-543.
• McNab S, Battistutta D, Tavernea A,et al. External apical root resorption of posterior teeth in asth- matics after orthodontic treatment. Am J Orthod Dentofac Orthoped. 1999; 116: 545-561.
• Meyle J, Gonzales J. Influences of systemic dis- eases on periodontitis in children and adolescents. Periodontol. 2000; 26: 92-112.
• Baþkal N. Diabetes mellitus taným, klasifikasyon, taný,klinik labaratuar ve patogenez. In: Erdoðan G. Klinik Endokrinoloji. Anýtýp A.Þ.yayýnlarý, Ankara, 2003; 207-233.
• Bensch L, Braem M, Willems G. Orthodontic con- siderations in the diabetic patient. Semin Orthod. 2004; 10:252-258.
• Amos AF, McCarty DJ, Zimmet P. The rising global burden of diabetes and its complications:estimates and projections to the year 2010. Diabet Med. 1997; 14(Suppl 5):11-85.
• Finney LS, Finney MO, Gonzalez-Campoy JM. What the mouth has to say about diabetes. Diabetes 1997; 102: 117-126.
• Harris MI, Flegal KM, Cowie CC,et al. Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolarence in US adults:the third National Health and Nutrititional Examination Survey 1988-1994. Diabetes Care 1998; 21:518
• Fajans S. Scope and heterogeneous nature of MODY(review). Diabetes Care 1990; 13:49-64.
• Owada M, Hanaoka Y, Tanimoto Y,et al. Descriptive epidemiology of non-insulin depend- ent diabetes mellitus detected by urine glucose screening in school children in Japan. Acta Pediatr Jpn 1990; 32: 716-724.
• Pinhas-Hamiel O, Dolan L, Daniels S,et al. Increased incidence of non-insulin-dependent dia- betes mellitus among adolescents. J Pediatr 1996; 128:608-615.
• Scott C, Smith J, Cradock M,et al. Characteristics of youth-onset non-insulin-dependent diabetes mellitus and insulin-dependent diabetes mellitus at diagnosis. Pediatrics 1997; 100: 84-91.
• Roosenbloom A, Joe JR, Young RS,et al. Emerging epidemic of type 2 diabetes in youth. Diabetes Care 1999; 22: 345-354.
• Satman I, Yilmaz T, Sengul A, Salman S, Salman F, Uygur S, Bastar I, Tutuncu Y, Sargin M, Dinccag N, Karsidag K, Kalaca S, Ozcan C, King H. Population-based study of diabetes and risk characteristics in Turkey: results of the turkish dia- betes epidemiology study (TURDEP). Diabetes Care. 2002 Sep;25(9):1551-1556.
• Col M, Ocaktan E, Ozdemir O, Yalcin A, Tuncbilek A. Microalbuminuria: prevalence in hypertensives and diabetics. Acta Med Austriaca. 2004 Feb;31(1):23-29.
• Gokcel A, Baltali M, Tarim E, Bagis T, Gumurdulu Y, Karakose H, Yalcin F, Akbaba M, Guvener N. Detection of insulin resistance in Turkish adults: a hospital-based study. Diabetes Obes Metab. 2003 Mar;5(2):126-130.
• Erem C, Yildiz R, Kavgaci H, Karahan C, Deger O, Can G, Telatar M. Prevalence of diabetes, obe- sity and hypertension in a Turkish population (Trabzon city). Diabetes Res Clin Pract. 2001 Dec;54(3):203-8.
• Davis E, Keating B, Byrne G,et al. Hypoglisemia: incidence and clinical predictors in a large popula- tion-based sample of children and adolescents with IDDM. Diabetes Care 1997; 20:22-25.
• Tervonen T, Oliver RC. Long term control of dia- betes mellitus and periodontitis. J Clin Periodontol. 1993; 20:431-435.
• Sastrowijoto SH, vander Velden U, van Steenbergen TJM,et al. Improved metabolic con- trol, clinical periodontal status and subgingival microbiology in insulin-dependent diabetes melli- tus. J Clin Periodontol. 1990; 17:233-242.
• Twetman S, Johansson I, Birkheld D,et al. Caries incidence in young type 1 diabetes mellitus patients in relation to metabolic control and caries associated risk factors. Caries Res 2002; 36:31-35.
• Loe H. Periodontal disease:the sixth complication of diabetes mellitus. Diabetes Care 1993; 16: 329- 334.
• Barkvoll P, Rolla G, Svendson AK. Interaction between chlorhexidine digluconate and sodium lauryl sulfate in vivo. J Clin Periodontol. 1989; 16: 593-595.
• Owens J, Addy M, Faulkner J,et al. A short term clinical study design to investigate the chemical plaque inhibitory properties of mouthrinses when used as adjuncts to toothpastes:applied to chlor- hexidine. J Clin Periodontol. 1997; 24: 732-737.
• Holtgrave EA, Donath K. Periodontal reactions to orthodontic forces in the diabetic metabolic state. Fortschr Kieferorthop 1989; 50:326-337.
• Sheller B, Williams B. Orthodontic management of patients with hematological malignancies. Am J Orthod Dentofac Orthoped. 1996; 109: 575-580.
• Goho C. Chemoradiation therapy:effect on dental development. J of Paediatric Dentistry 1993; 15:6- 12.
• Leite LP, Bell RA. Adverse hypersensitivity reac- tions in orthodontics. Semin Orthod. 2004; 10:240-243.
• ADA Council on scientific affairs. The dental team and latex hypersensitivity. J Am Dent Assoc. 1999; 130:2, 257-264.
• Slater JE. Allergic reactions to natural rubber. Ann Allergy. 1992; 68:203-209.
• Smart ER, Macleod RI, Lawrence CM. Allergic reactions to rubber gloves in dental patients:report of three cases. Br Dent J. 1992; 172:445-447.
• Wrangsjo K, Osterman K, Van Hage-Hamsten M. Glove-related skin symptoms among operating theatre and dental care unit personnel(II).Clinical examination,tests and laboratory findings indicat- ing latex allergy. Contact Dermatitis. 1994; 30: 139-143.
• Beezhold D, Beck W.Surgical glove powders bind latex antigens. Arch Surg. 1992; 127:1354-1357.
• Hammann CP, Rodgers PA, Sullivan K. Management of dental patients with allergies to natural rubber latex. Gen Dentistry. 2002; 526- 536.
• Liss GM, Sussman GL. Latex sensitization: Occupational versus general population preva- lence rates. Am J Int Med. 1999; 35: 196-200.
• Hammann CP, Turjanmaa K, Rietschel R, et al. Natural rubber latex hypersensitivity:Incidence and prevalence of type 1 allergy in the dental pro- fessional. J Am Dent Assoc. 1998; 129:43-54.
• Safadi GS, Safadi TJ, Terezhalmy GT, et al. Latex hypersensitivity:ýts prevalence among dental proffesionals. J Am Dent Assoc. 1996; 127:83-88.
• Synder HA, Settel S. The rise in latex allergy- implications for the dentist. J Am Dent Assoc. 1994; 125:1089-1097.
• Garcia Ortiz JC, Moyano JC, Alvarez M, et al. Latex allergy in fruit-allergic patients. Allergy 1998; 53: 532-536.
• Brehler R, Theissen U, Mohr C, et al. Latex-fruit syndrome:frequency of cross-reacting Ig E anti- bodies. Allergy 1997; 52: 404-410.
• Hamilton RG, Brown RH. Impact of personal avoidance practices on health care workers sensi- tized to natural rubber latex. J Allergy Clin Immunol. 2000; 105: 839-841.
• Shubert H, Berova N, Czernielewski A,et al. Epidemiology of nickel allergy. Contact Dermatitis 1987; 16:122-128.
• Jacobsen N, Hensten-Pattersen A. Occupational health problems and adverse patient reactions in orthodontics. Eur J Orthod. 1989; 11: 254-264.
• Park HY, Shearer TR. In vitro release of nickel and chromium from simulated orthodontic appliances. Am J Orthod Dentofac Orthoped. 1983; 84: 156- 159.
• Grimsdottir MR, Gjerdet NR, Hensten-Patterson A. Composition and in vitro corrosion of ortho- dontic appliances. Am J Orthod Dentofac Orthoped. 1992; 101: 525-532.
• Barret RD, Bishara SE, Quinn JK. Biodegradation of orthodontic appliances:part 1,biodegradation of nickel and chromium in vitro. Am J Orthod Dentofac Orthoped. 1993; 103: 8-14.
• Maijer R, Smith DC. Corrosion of orthodontic bracket bases. Am J Orthod Dentofac Orthoped. 1982; 81: 43-48.
• Bass JK, Fine H, Cisneros GJ. Nickel sensitivity in the orthodontic patient.Am J Orthod Dentofac Orthoped. 1993; 103:280-285.
• Starkjaer L, Menne T. Nickel allergy and ortho- dontic treatment.Eur J Orthod. 1990;12:284-289.
• Dunlap CL, Vincent SK, Barker BF. Allergic reac- tion to orthodontic wire:report of a case. J Am Dent Assoc. 1989; 118:449-450.
• De Silva BD, Doherty VR. Nickel allergy from orthodontic appliances. Contact Dermatitis. 2000; 42: 102-103.
• Mancuso G, Berdondini RM. Eyelid dermatitis and conjuctivitis as sole manifestations of allergy to nickel in an orthodontic appliance. Contact Dermatitis. 2002; 46: 245.
• Tyldesley WR. Oral Medicine, 3rd ed. ELBS, Oxford 1989; 65-69.
• Tanyeri H. Oral Mukozanýn Ýmmunolojik Hastalýklarý ve Tedavileri. Nobel Týp Kitabevleri, Ýstanbul 2000; 47-53.
• Walton AG, Welbury RR, Foster HE, Thomason JM. Juvenile chronic arthritis:a dental review. Oral Diseases 1999; 5: 68-75.
• Van Venrooy JR, Profitt WR. Orthodontic care for medically compromised patients:possibilities and limitations. J of American Dental Assoc. 1985; 111: 262-266.
• Sheller B. Orthodontic management of patients with seizure disorders. Semin Orthod. 2004; 10:247-251.
• Sanders BJ, Weddell JA, Dodge NN. Managing patients who have seizure disorders:dental and medical issues. J Am Dent Assoc 1995; 126: 1641- 1647.
• McEwan MJ, Espire CA, Metcalfe J. A systematic review of the contribution of qualitative research to the study of quality of life in children and ado- lescents with epilepsy. Seizure 2004; 13:15-31.
• Nguyen DK, Spencer SS. Recent advances in the treatment of epilepsy. Arch Neurol 2003; 60: 929- 935.
• Nordli D. The ketogenic diet:uses and abuses. Neurology 2002; 12: S21-24.
• Buchhalter JR, Jarrar RG. Therapeutics in pedi- atric epilepsy,part2 :Epilepsy surgery and vagus nerve stimulation. Mayo Clin Proc. 2003; 78: 371
• Spinella M. Herbal medicines and epilepsy:the potential benefit and adverse effects. Epilepsy Behav 2001; 2:524-532.
• Sadowsky PL, Bernreuter W, Lakshminarayana AV,et al. Orthodontic appliances and magnetic res- onance imaging of the brain and temporomandibu- lar joint. Angle Orthod. 1988; 1: 9-20.
• Goldman SJ. Practical approaches to psychiatric issues in the orthodontic patient. Semin Orthod. 2004; 10: 259-265.
• Waldman HB, Perlman SP, Swerdloff M. Orthodontics and the population with special needs. Am J Orthod Dentofac Orthoped. 2000; 118:14-17.
• Becker A, Chaushu S, Shapira J. Orthodontic treatment for the special needs child. Semin Orthod. 2004; 10: 281-292.
• Lew KK. Attitudes and perceptions of adults towards orthodontic treatment in Asian communi- ty. Community Dent Oral Epidemiol. 1993; 21:31- 35.
• Shaw WC, Addy M, Ray C. Dental and social effects of malocclusion and effectiveness of ortho- dontic treatment.A review. Community Dent Oral Epidemiol. 1980; 8:36-45.
• Franklin DL, Luther F, Curzon MEJ. The preva- lence of malocclusion in children with cerebral palsy. Eur J Orthod. 1996; 18: 637-643.
• Chaushu S, Becker A. Behaviour management needs for the orthodontic treatment of children with disabilities. Eur J Orthod. 2000; 22: 143-149.
• Becker A, Shapira J, Chaushu S. Orthodontic treatment for disabled children:part 1-A survey of parents pre-treatment motivation and expectations. Eur J Orthod 2000; 22:151-158. Adres: Dr.Burcu BALOÞ TUNCER Gazi Üniversitesi Diþ Hekimliði Fakültesi Ortodonti ABD 82.sokak EMEK-ANKARA Tel: [phone] Faks: 0312 212 16 46 e-mail: [e-mail]