HAREKETLİ PROTEZ KULLANIMI İLE İLİŞKİLİ ORAL MUKOZA LEZYONLARI VE RİSK FAKTÖRLERİ

Yıl 2019, Cilt: 29 Sayı: 4, 667 - 675, 15.10.2019

Nursel Akkaya , Berna Çağırankaya Sema Dural

https://doi.org/10.17567/ataunidfd.290810

Cited By: 1

Öz

Hareketli protez kullanımı ile ilişkili
oral mukoza lezyonlarına protez kullanan hastaların yaklaşık %50’sinde rastlanmaktadır.
Bu lezyonlardan bazıları enfeksiyöz orijinlidir. Çeşitli lokal ve sistemik risk
faktörleri bu lezyonların gelişimine katkıda bulunabilmektedir. Risk faktörleri;
hatalı ya da doku uyumu bozuk protezlerin oral mukozada yol açtığı travmatik
yaralanma, kötü ağız ve protez hijyeni, protezlerin devamlı kullanılması,
protezlerin uzun yıllar kullanılmasını içerir. İlaç tedavileri, sistemik
hastalıklar ve beslenme bozuklukları gibi diğer risk faktörleri de lezyonların
gelişimini ve şiddetini etkileyebilir. Yaşlı hastalar bu lezyonların ortaya
çıkmasına daha yatkındırlar. Lezyonlar genellikle asemptomatik olduğu için,
intraoral muayene sırasında tesadüfi bir bulgu olarak saptanır.

Hareketli protez kullanımına bağlı oral
mukoza lezyonları; protez stomatiti, angular şelitis, mesnetsiz kret, epulis
fissuratum, fibroepitelyal polip, travmatik ülser, travmatik fibrom,
friksiyonel keratozis ve oral karsinomdur. Protezlerin oral mukozada
oluşturduğu kronik travmanın mukozayı oral ve orofaringeal karsinom gelişimine
yatkın hale getirebildiğine dair kanıtlar vardır. Bu lezyonların önlenmesi için
hastaların protezlerin hijyeninin önemi, protez kullanımına ilişkin önerilere
uyulması konularında bilgilendirilmeleri gereklidir. Protez kullanan hastalar
oral mukoza lezyonları ve protezlerin değerlendirilmesi için düzenli olarak
kontrollere çağırılmalıdırlar.   

Anahtar
Kelimeler: Hareketli protez, oral mukoza lezyonları, protez stomatiti,
travmatik ülser, oral karsinoma

  Removable denture-related oral mucosal
lesions and risk factors

Removable
denture-related oral mucosal lesions are encountered in almost half of the denture
wearers. Some of these lesions have an infectious origin. Several local and
systemic risk factors may contribute to development of the lesions. Predisposing
factors include chronic traumatic injury of oral mucosa caused by defective or
ill-fitting dentures, poor oral and denture hygiene, continual wearing of
dentures, increasing age of the denture. Other risk factors such as medications,
systemic diseases, malnutrition may also effect the development and severity of
the lesions. Elderly patients are more prone to occurrence of these
lesions.  Since the lesions are usually
asymptomatic, they are discovered as an incidental finding in intraoral
examination.

Removable denture-related oral mucosal lesions
include denture stomatis angular cheilits flabby ridge epulis fissuratum fibroepithelial polyp, traumatic ulcers tratumatic fibroma fractional keratosis and oral carcinoma here are evidences that
chronic trauma of the oral  mucosa by denture may predispose mucosa to the development of
oral and oropharenyngeal carcinomas. In order to prevent of these lesions, patients
should be informed about the importance of denture hygiene and to follow the
instructions related to denture usage. Denture wearers should be recalled
regularly for the evaluation of oral mucosal lesions and dentures.

Key
Words: Removable denture, oral mucosal lesions, denture stomatitis, traumatic
ulcer, oral carcinoma

Anahtar Kelimeler

Hareketli protez, oral mukoza lezyonları, protez stomatiti, travmatik ülser

Kaynakça

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