Farklı braket ve ligasyon tiplerinin streptococcus mutans adezyonu üzerine etkilerinin in vitro olarak incelenmesi

Yıl 2019, Cilt: 26 Sayı: 2, 189 - 194, 01.06.2019

Mine Geçgelen Cesur Murat Telli Törün Özer

https://doi.org/10.17343/sdutfd.456908

Öz

Amaç: Bu çalışmanın amacı metal ve seramik kendinden bağlamalı
braket sistemleri ile paslanmaz çelik tel ya da elastik ligatür ile bağlanmış
klasik braket sistemlerinin Streptococcus
mutans adezyonu üzerine etkilerini
değerlendirmektir.

Gereç
ve yöntem: Çalışmamızda 40 adet metal klasik, 40
adet seramik klasik, 20 adet metal kendinden bağlamalı ve 20 adet seramik
kendinden bağlamalı premolar braketleri kullanılmıştır. Metal ve seramik
braketlerin 20 adeti paslanmaz çelik tel ligatür ile, diğer 20 adeti de elastik
ligatür ile bağlanmıştır. S. mutans adezyonu
mikrobiyolojik kültür tekniği ile değerlendirilmiştir.           

Bulgular: S. mutans bakteri sayıları bakımından braket grupları arasında
istatistiksel olarak anlamlı farklılılar bulunmaktadır (p<0.001). En yüksek S. mutans bakteri sayısı elastik ligatür ile bağlanmış seramik braket
grubunda, en düşük S.
mutans bakteri sayısı ise paslanmaz çelik tel
ligatür ile bağlanmış metal braket ve kendinden bağlamalı metal braket
gruplarında ölçülmüştür.

Sonuç: Daha az plak retansiyon alanına
sahip braket tasarımlarının kullanılması ya da plak birikimininin artmasına
neden olan elastik ligatürler yerine paslanmaz çelik tel ligatürlerin tercih
edilmesi mikrobiyal kolonizasyonu azaltarak ağız hijyeninin korunmasına katkı
sağlayacaktır.

Anahtar Kelimeler

Ortodontik braket, Ligatür telleri, Mikrobiyal kolonizasyon

Kaynakça

• 1.Chhibber A, Agarwal S, Yadav S, Kuo CL, Upadhyay M. Which orthodontic appliance is best for oral hygiene? A randomized clinical trial. Am J Orthod Dentofacial Orthop 2018; 153: 175-83. 2.Sawhney R, Sharma R, Sharma K. Microbial colonization on elastomeric ligatures during orthodontic therapeutics: An overview. Turk J Orthod 2018; 31: 21-25.3.Salman HA, Senthilkumar R, Imran K, Selvam KP. Isolation and typing of Streptococcus mutans and Streptococcus sobrinus from caries-active subjects. Contemp Clin Dent 2017; 8: 587-93.4.Shirozaki MU, Ferreira JTL, Küchler EC, Matsumoto MAN, Aires CP, Nelson-Filho P, et al. Quantification of Streptococcus mutans in different types of ligature wires and elastomeric chains. Braz Dent J 2017; 28: 498-503.5.Sharma R, Sharma K, Sawhney R. Evidence of variable bacterial colonization on coloured elastomeric ligatures during orthodontic treatment: An intermodular comparative study. J Clin Exp Dent 2018; 10: e271-8.6.do Nascimento LE, Pithon MM, dos Santos RL, Freitas AO, Alviano DS, Nojima LI, et al. Colonization of Streptococus mutans on esthetic brackets: self-ligating vs conventional. Am J Orthod Dentofacial Orthop 2013; 143: S72-7.7.Moolya NN, Shetty A, Gupta N, Gupta A, Jalan V, Sharma R. Orthodontic bracket design and their impact on microbial profile and periodontal disease: A clinical trial. J Orthod Sci 2014; 3: 125-31.8.Forsberg CM, Brattström V, Malmberg E, Nord CE. Ligature wires and elastomeric rings: two methods of ligation, and their association with microbial colonization of Streptococcus mutans and lactobacilli. Eur J Orthod 1991; 13: 416-20.9.Bednar JR, Gruendeman GW, Sandrik JL. A comparative study of frictional forces between orthodontic brackets and arch wires. Am J Orthod Dentofacial Orthop 1991; 100: 513-22. 10.Berger J, Byloff FK. The clinical efficiency of self-ligated brackets. J Clin Orthod 2001; 35: 304-8. 11.Turkkahraman H, Sayin MO, Bozkurt FY, Yetkin Z, Kaya S, Onal S. Archwire ligation techniques, microbial colonization, and periodontal status in orthodontically treated patients. Angle Orthod 2005; 75: 231-6.12.Huang J, Li CY, Jiang JH. Effects of fixed orthodontic brackets on oral malodor: A systematic review and meta-analysis according to the preferred reporting items for systematic reviews and meta-analyses guidelines. Medicine (Baltimore) 2018; 97: e0233. 13.Yang X, Su N, Shi Z, Xiang Z, He Y, Han X, et al. Effects of self-ligating brackets on oral hygiene and discomfort: a systematic review and meta-analysis of randomized controlled clinical trials. Int J Dent Hyg 2017; 15: 16-22. 14.Ogaard B, 1989. Prevalence of white spot lesions in 19-year olds: a study on untreated and orthodontically treated persons 5 years after treatment. Am J Orthod Dentofacial Orthop 1989; 96: 423-7.15.Lovrov S, Hertrich K, Hirschfelder U. Enamel demineralization during fixed orthodontic treatment-incidence and correlation to various oral-hygiene parameters. J Orofac Orthop 2007; 68: 353-63.16.Van Gastel J, Quirynen M, Teughels W, Carels C. The relationships between malocclusion, fixed orthodontic appliances and periodontal disease. A review of the literature. Aust Orthod J 2007; 23: 121-9.17.Baka ZM, Basciftci FA, Arslan U. Effects of 2 bracket and ligation types on plaque retention: a quantitative microbiologic analysis with real-time polymerase chain reaction, Am. J. Orthod. Dentofac. Orthop 2013; 144: 260-7.18. Kaygisiz E, Uzuner FD, Yuksel S, Taner L, Culhaoglu R, Sezgin Y, et al. Effects of self-ligating and conventional brackets on halitosis and periodontal conditions. Angle Orthod 2015; 85: 468-73.19.Papaioannou W, Panagopoulos A, Koletsi-Kounari H, Kontou E, Makou M. Adhesion of Porphyromonas gingivalis and biofilm formation on different types of orthodontic brackets. Int J Dent 2012; 471380.20.Uzuner FD, Kaygısız E, Cankaya ZT. Effect of the bracket types on microbial colonization and periodontal status. Angle Orthod 2014; 84: 1062-7. 21. Garcez AS, Suzuki SS, Ribeiro MS, Mada EY, Freitas AZ, Suzuki H. Biofilm retention by 3 methods of ligation on orthodontic brackets: a microbiologic and optical coherence tomography analysis. Am J Orthod Dentofac Orthop 2011; 140: 193-8.22. Alves de Souza R, Borges de Araujo Magnani MB, Nouer DF, Oliveira da Silva C, Klein MI, Sallum EA, et al. Periodontal and microbiologic evaluation of 2 methods of archwire ligation: ligature wires and elastomeric rings. Am J Orthod Dentofac Orthop 2008; 134: 506-12.23.Bretas SM, Macari S, Elias AM, Ito IY, Matsumoto MA. Effect of 0.4% stannous fluoride gel on Streptococci mutans in relation to elastomeric rings and steel ligatures in orthodontic patients. Am J Orthod Dentofacial Orthop 2005; 127: 428-33. 24.Pandis N, Papaioannou W, Kontou E, Nakou M, Makou M, Eliades T. Salivary Streptococcus mutans levels in patients with conventional and self-ligating brackets. Eur J Orthod 2010; 32: 94-9.25.Sukontapatipark W, el-Agroudi MA, Selliseth NJ, Thunold K, Selvig KA. Bacterial colonization associated with fixed orthodontic appliances. A scanning electron microscopy study. Eur J Orthod 2001; 23: 475-84. 26.Eliades T, Eliades G, Brantley WA. Microbial attachment on orthodontic appliances: I. Wettability and early pellicle formation on bracket materials. Am J Orthod Dentofacial Orthop 1995; 108: 351–60. 27.Lindel ID, Elter C, Heuer W, Heidenblut T, Stiesch M, Schwestka-Polly R, et al. Comparative analysis of long-term biofilm formation on metal and ceramic brackets. Angle Orthod 2011; 81: 907-14.28.Anhoury P, Nathanson D, Hughes CV, Socransky S, Feres M, Chou LL. Microbial profile on metallic and ceramic bracket materials. Angle Orthod 2002; 72: 338-43.29.Brusca MI, Chara O, Sterin-Borda L, Rosa AC. Influence of different orthodontic brackets on the adherence of microorganisms in vitro. Angle Orthod 2007; 77: 331-6.30.Jurela A, Repic D, Pejda S, Juric H, Vidakovic R, Matic I, et al. The effect of two different bracket types on the salivary levels of S mutans and S sobrinus in the early phase of orthodontic treatment. Angle Orthod 2013; 83: 140-5.31.Rammohan SN, Juvvadi SR, Gandikota CS, Challa P, Manne R, Mathur A. Adherence of Streptococcus mutans and Candida albicans to different bracket materials. J Pharm Bioallied Sci 2012; 4: 212-6.