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Titreşimin Ortodontik Diş Hareketi Hızına Etkisi : Literatür Derlemesi

Yıl 2021, Cilt: 8 Sayı: 1, 245 - 254, 30.04.2021
https://doi.org/10.15311/selcukdentj.551107

Öz

Ortodontik diş hareketi periodonsiyuma iletilen dış
kuvvetlerin ve bu kuvvetlerin etkilediği alana nüfuz etmiş enflamatuvar
mediyatörlerin alveol kemiğinde başlattığı yeniden şekillenme olayının bir
sonucu olarak meydana gelmektedir. Günümüzde her yaşta ortodontik tedavi görmek
isteyen hasta sayısının artmış olmasıyla birlikte kısa süre içerisinde
sonuçlanan ortodontik tedavi talebinin de artması, ayrıca uzun süreli
ortodontik tedavilerin beyaz nokta lezyonları, diş çürükleri, periodontal
sorunlar ve kök rezorpsiyonu gibi yan etkilerinin bulunması nedeniyle diş
hareketini hızlandırmaya yönelik yöntemler önem kazanmaktadır. Bu yöntemler;
girişimsel olan cerrahi yöntemler, girişimsel olmayan
farmakolojik uygulamalar ve mekanik-fiziksel uygulamalardır. Girişimsel olan
cerrahi uygulamalar her ne kadar etkili ve öngörülebilir olsa da post-operatif
ağrı, periodontal doku hasarına sebep olabilmeleri ve hasta kabul
edilebilirliğinin düşük olması araştırmacıları girişimsel olmayan yöntemlerin
etkilerinin araştırılmasına yöneltmiştir. Titreşim uygulamaları yakın
zamanda ortodontide diş hareketinin hızlandırılması amacıyla kullanılmakta olan
girişimsel olmayan uygulamalardan birisidir. Titreşim uygulamasının girişimsel
bir yöntem olmaması, periodontal dokulara zarar vermemesi, ortodontik tedavi
kaynaklı diş ağrılarını azaltabilmesi, hasta açısından kolay uygulanabilmesi ve
rahatsızlık vermemesi gibi özellikleri ortodonti açısından önemini artırmıştır.
Literatürdeki çalışmalara bakıldığında genel olarak titreşimin diş hareketi
hızını artırdığına yönelik bulgular olduğu gibi diş hareketi üzerinde etkili
olmadığını belirten çalışmalar da bulunmaktadır. Optimal bir vibrasyon
protokülün belirlenebilmesi, vibrasyonun diş hareketi üzerindeki etkisinin
moleküler ve hücresel mekanizmalarının aydınlatılabilmesi amacıyla gelecekte
daha çok çalışmaya ihtiyaç duyulmaktadır.

Anahtar Kelimeler:
ortodontik diş hareketi, titreşim, enflamatuar mediyatör

Kaynakça

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Toplam 63 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Derleme
Yazarlar

Zeynep Norçinli 0000-0002-0496-526X

Zeliha Müge Baka Bu kişi benim 0000-0002-4433-2459

Yayımlanma Tarihi 30 Nisan 2021
Gönderilme Tarihi 8 Nisan 2019
Yayımlandığı Sayı Yıl 2021 Cilt: 8 Sayı: 1

Kaynak Göster

Vancouver Norçinli Z, Baka ZM. Titreşimin Ortodontik Diş Hareketi Hızına Etkisi : Literatür Derlemesi. Selcuk Dent J. 2021;8(1):245-54.