EDGE-WISE TEKNİK VE CHİN-CAP TEDAVİSİNE BAĞLI STRES HORMONLARINDAKİ DEĞİŞİMİN PERYODİK ARALIKLARLA İNCELENMESİ

Yıl 2020, Cilt: 30 Sayı: 3, 464 - 475, 15.07.2020

Nurhan Bayındır Durna Abdulvahit Erdem

https://doi.org/10.17567/ataunidfd.774610

Öz

ÖZ
Bu çalışma, pubertal büyüme atılımı başlamamış bireylerde chin-cap ve edge-wise tedavi tekniklerinin, stres hormonlarına olan etkilerini incelemek amacıyla yapılmıştır.
Edge-wise mekaniklerinin uygulandığı tedavi grubu, 4 adet premolar dişin çekimi dışında başka bir yöntemle yer ihtiyacının karşılanamayacağı, şiddetli çapraşıklık gösteren 19 bireyden oluşmaktadır.
Chin-cap ile tedavi edilenler ise, alt çenenin kapanış anında üst çeneye göre daha önde konumlanmasına bağlı, iskeletsel Sınıf III ilişki gösteren 20 bireyden oluşan yalancı prognatili vakalardır.
Araştırma kapsamına alınan bireylerden, tedaviye başlamadan 1 gün önce, tedaviye başladıktan 1 hafta, 2 hafta, 1 ay, 2 ay, 4 ay ve 6 ay sonra olmak üzere toplam 7 kez kan alınmıştır. Araştırmamızın materyalini, alınan kan örneklerinde kortizol, ACTH, büyüme hormonu ve prolaktin için yapılan, biyokimyasal ölçümler oluşturmaktadır.
Çalışmamızda, uygulanan ortodontik ve ortopedik kuvvetin vücutta bir strese yol açıp açmayacağı araştırılmak istendiğinden, bu strese karışabilecek psikolojik stresleri ayırt etmek amacıyla, bireyler kan alınan her seansta psikolojik testlere tabi tutulmuştur.
İstatistiksel analizler sonucunda; gerek ortodontik gerekse ortopedik tedavi gören bireylerin stres hormonlarında istatistiksel olarak anlamlı değişiklikler gözlenmemiştir. Her iki grupta da kortizol, ACTH, büyüme hormonu ve prolaktinin 1., 2., 3., 4., 5., 6., ve 7. ölçümleri arasında istatistiksel olarak önemli farklar bulunamamıştır.
Anahtar Kelimeler: Stres hormonu, Ortodontik tedavi, kronik stres

PERIODICAL EXAMINATION OF THE CHANGES IN THE STRES HORMONES DEPENDENT UPON EDGE-WISE TECHNIQUE AND CHIN-CAP TREATMENT
ABSTRACT
This study investigated the effects of the chin-cap and edge-wise treatment techniques on the stress hormones in individuals whose pubertal growth has not started.
The treatment group in which the edge-wise mechanics are applied basically consists of 19 individuals representing severe crowding in which the need for space can only be met with the extraction of 4 premolar teeth.
The patients treated with the chin-cap have the cases of pseudo-prognathie consisting of 20 individuals with a skeletal Class III relationship due to the jaw as it positions ahead of the maxilla at the time of occlusion.
As for the patients in this research, the blood drawing process was as follows: a day before, a week after, two weeks after, a month after, two months after, four months after and six months after the whole treatment, making a total of 7. The material of this study consists of biochemical measurements for cortisol, ACTH, growth hormone and the prolactin in the blood samples.
Individuals were subjected to the psychological tests in each session of blood taking to differentiate the psychological stresses interfering with this stress as this study investigated whether the orthodontic and orthopedic forces cause stress in the body.
Statistically significant changes were not observed in the stress hormones of individuals undergoing the orthodontic or orthopedic treatment as a result of the statistical analysis. In both groups, there were no statistically significant differences between the 1st,2nd,3rd,4th,5th,6th and 7th measurements of the cortisol, ACTH, growth hormone and the prolactin.
Keywords: stress hormone, orthodontic treatment, chronic stress

Anahtar Kelimeler

Stres hormonu,, Ortodontik tedavi,, kronik stres

Kaynakça

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