Turkiye Klinikleri Journal of Dental Sciences

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Diş Hekimlerinin Meslek Hayatlarında Sıklıkla Karşılaştığı Tükürük Bezi Hastalıkları
Salivary Gland Diseases Often Encountered by Dentists in Their Careers
Özgün YILDIRIMa, Mustafa ÖZTÜRKa
aGazi Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2020;26(2):255-67
doi: 10.5336/dentalsci.2019-65360
Article Language: TR
Full Text
ÖZET
 Diş hekimleri, mesleklerini icra ettikleri ağız ve çevre dokuları ile ilgili her türlü uygulamaları esnasında, tükürük salgısı ile oldukça yakın bir ilişki içerisindedirler. Tükürüğün; sindirim, tat alma, dişlerin çürükten korunması, antimikrobiyal özellikleri ve bolus formasyonu gibi birçok önemli fonksiyonu vardır. Diş hekimlerinin, ağız ve diş sağlığı için oldukça sıkıntılı durumlara yol açabilen tükürük eksikliği ve salgılandığı tükürük bezlerinin primer hastalıkları ile tükürük bezi tutulumu olan otoimmün ve inflamatuar hastalıklarla karşılaşma ihtimalleri oldukça yüksektir. Oral kanser vakalarının diş hekimleri tarafından erken fark edilmesi çok önemli olup, bunun yanında, tükürük bezi hastalıklarının da tedavisi ve ileri vakaların ilgili bölümlere yönlendirilebilmesi açısından çok iyi bilinmesi gerekmektedir. Diş hekimleri, meslek hayatlarında sıklıkla inflamatuar, inflamatuar olmayan ve tümöral kökenli birçok tükürük bezi hastalığı ile karşılaşmaktadır. Örneğin; hastalarda ekstraoral şişliğe neden olan birçok tükürük bezi hastalığı, odontojenik enfeksiyonlarla karıştırılabilmektedir. Bu hastalıkların tanısı çoğu zaman oldukça zor olmakla beraber, multidisipliner çalışmalar ile konabilmektedir. Bu çalışmada, tükürük bezi tutulumu olan otoimmün hastalıklardan neoplazilere kadar diş hekimlerinin sıklıkla karşılaştıkları birçok tükürük bezi hastalığı, diş hekimlerinin bilgilerini güncellemesi maksadıyla güncel literatür referans alınarak anlatılmıştır.

Anahtar Kelimeler: Diş hekimliği; tükürük bezi hastalıkları; ağız sağlığı
ABSTRACT
 Dentists are involved in an interaction with saliva while they perform all kinds of operations on the mouth and surrounding tissues. The saliva has many important functions such as digestion, taste, protection of the teeth from caries, antimicrobial properties and bolus formation. For dentists, it is a high probility to encounter with primer disease caused by lack of saliva, which can lead to serious conditions for both oral and dental health, and autoimmune and inflammatory diseases which shows salivary gland involvement. Just as noticing of oral cancer cases by the early dentists is very important, salivary gland diseases should be known well by dentists additionally for directing patients to relevant departments in order to treatment of advanced cases. Dentists frequently encounter many salivary gland diseases of inflammatory, non-inflammatory and tumoral origin in their Professional lives. For example; many salivary gland diseases causing extraoral swelling in patients may be confused with odontogenic infections. The diagnosis of these diseases is often very difficult, but can be made by a multidisciplinary approach with many physicians. In this review, many salivary gland diseases, frequently encountered by dentists, from autoimmune diseases to neoplasms with salivary gland involvement, have been explained with reference to the current literature in order to update the knowledge of dentists.

Keywords: Dentistry; salivary gland illnesses; oral health
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