YER TUTUCU APAREYLERİN ORAL BİYOFİLM OLUŞUMUNA ETKİSİ –DERLEME

Yıl 2016, Cilt: 5 Sayı: 2, 94 - 98, 31.08.2016

Begüm Gök , Zuhal Kırzıoğlu

Öz

Diş çürüğü en önemli ağız hastalığı olarak kabul edilmektedir. Uygulanan birçok koruyucu tedavi sonucunda diş çürüğü görülme oranı gün geçtikçe düşüş gösterse de, özellikle gelişmekte olan ülkelerde önemli bir sağlık problemi oluşturmaktadır. Diş çürüğünün oluşumu birçok etkene bağlıdır. En önemli sebep mikroorganizmalar, özellikle de S. mutans’dır. Yetişkin hastalarda oral mikroflora hakkında detaylı araştırmalar yapılmış ve çocuk hastalarda da benzer oral mikroflora görüldüğüne dair yayınlar bulunmaktadır. Buna karşın, çocuk hastalarda bu konuda hala eksiklikler vardır. Çocuklarda çalışmanın güçlüğü, büyüme gelişime bağlı olarak görülen değişimler bu eksikliğin sebepleri olarak görülebilir.

Pedodontide süt dişlerinin düşme zamanlarından önce kaybedildiği durumlarda çekim boşluğunun korunması için yer tutucu apareyler kullanılır. Yer tutucuların çapraşıklı ektopik eripsüyon ve maloklüzyon gibi geç dönem oluşan çekim komplikasyonalarını önlemesine rağmen plak akümülasyonunu artırmasına bağlı olarak diş çürüğü ve periodontal hastalıkları artırdığı bilinmektedir. Yapılan çalışmalarda, yer tutucu kullanan çocuk hastalarda Streptococcus mutans (S. mutans) sayısında artış olduğu saptanmıştır.

Anahtar Kelimeler

Yer tutucu, Biyofilm, Mikroorganizma

EFFECT OF SPACE MAINTAINERS TO FORMATION OF ORAL BIOFILM-REVIEW

Öz

Dental caries is accepted the most important oral disease. Although the incidence of dental caries decreases day by day as a result of the many preventive treatments, it is stil an important health problem especially in developing countries. The formation of dental caries depends on several factors and the most important microorganism, S. mutans. Detailed oral microflora studies for adults have been performed and there are publications that indicate similar oral microflora on pediatric patients. However, there are still some deficiencies with regard to this subject in children. Difficulties on studying on children and changes depending on growth and development may regard as reasons for the deficiencies.

Space maintainers are typically used in pediatric dentistry to preserve the spaces left by primary teeth requiring extraction prior to their exfoliation time. Although, it is well known that the maintenance of these spaces prevents later complications such as crowding, ectopic eruption, impaction of successor teeth and malocclusion, the use of space maintainers has also been shown to result in an increased plaque accumulation, which can lead to dental caries and periodontal disease. In the studies, an increase in the incidence of S. mutans in children using space maintainer has been detected.

Anahtar Kelimeler

Space maintainers, Oral Biofilm, Microorganism

Kaynakça

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