Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Sabit Ortodontik Tedavi Gören Hastalarda Plak Temizleme Etkinliğinin Değerlendirilmesi
Evaluation of Plaque Cleaning Efficacy in Patients During Fixed Orthodontic Treatment
Ufuk OKa, Sanaz SADRYa
aİstanbul Aydın Üniversitesi Diş Hekimliği Fakültesi, Ortodonti ABD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(1):42-8
doi: 10.5336/dentalsci.2019-72892
Article Language: TR
Full Text
ÖZET
 Amaç: Ortodontik tedavi gören hastalarda plak temizleme etkinliğinin, manuel fırça, elektrikli fırça ve ağız duşu ile kıyaslanması ve plak temizleme etkinliğinin değerlendirilmesidir. Gereç ve Yöntemler: Çalışmaya, yaş aralığı 12-26 yıl olan ve herhangi bir sağlık problemi bulunmayan 60 ortodontik tedavi gören hasta dâhil edilmiştir. Birbirine benzer olacak şekilde 3 gruba ayrılan hastalar çalışma ile bilgilendirilmiş ve seans öncesi başlangıç ve seans sonrası bitim plak indeksi (Pİ) değerleri kaydedilmiştir. Hastalara etkin diş fırçalama yöntemi ve uygun prosedürler birebir gösterilmiş ve seans öncesi plak boyama yöntemi (CURAPROX plaquefinder, CURAGEN AG, Germany) ile ağızda bulunan plak (Pİbaşlangıç) tespit edilmiştir. Grup I'deki hastalara manuel diş fırçası (Oral-B Ortho model, Procter & Gamble, Newbridge, İngiltere), Grup II'deki hastalara ise elektrikli diş fırçası (Oral-B Genius 8000 Professional Care Procter & Gamble, Marktheidenfeld, Almanya), Grup III'deki hastalarda ise ağız duşu (Oral-B Professional Care 8500 DLX OxyJett Center and EB17 brush head, Procter & Gamble, Marktheidenfeld, Almanya) uygulanmıştır. Fırçalama sonrası plak boyama yapılmış ve Pİson değerleri kaydedilmiştir. Bulgular: Elde edilen veriler değerlendirildiğinde, manuel fırçalarla kıyaslandığında çalışma grubu sonuçları daha etkili bulunmuştur ve istatistiksel olarak anlamlıdır (p=0,002). En düşük Pİson değerleri Grup II'de elde edilmiş olup, Grup III ile kıyaslandığında bu fark anlamlı değildir (p=0,560). Tüm gruplar PI değerleri açısından farklılıkları belirlemek için yapılan Friedman testi sonucunda, ortalama değerleri arasındaki farklar istatistiksel olarak anlamlı bulundu. Sonuç: Çalışmamızda her üç grupta da plak boyama ile eğitimler sonucu yaratılan farkındalık sayesinde, Pİ değerlerinde anlamlı farklılıklar sağlanmıştır. Bununla birlikte, ortodontik tedavi gören hastalarda elektrikli diş fırçasının ve ağız duşunun plak temizleme etkinliği, manuel fırçalara üstün bulunmuştur.

Anahtar Kelimeler: Ağız hijyeni; diş plağı; diş fırçalama etkinliği; ağız duşu; elektrikli diş fırçası
ABSTRACT
 Objective: Orthodontic appliances promote dental plaque retention and make tooth-brushing less easy. They result in both quantitative and qualitative changes in dental plaque, exposing orthodontic patients to dental caries and periodontal diseases. To compare plaque cleaning efficacy in patients receiving orthodontic treatment with manual brush, electric brush and mouth shower and to evaluate plaque cleaning efficacy. Material and Methods: Sixty orthodontic patients aged between 12-26 years and without any health problems were included in the study. The patients were divided into three groups, similar to each other, and informed by the study and pre- and post-session modified plaque index (PI) values were recorded. Effective tooth brushing and appropriate procedures were shown to the patients and plaque accumulated in the mouth was determined by plaque staining method (CURAPROX plaquefinder, CURAGEN AG, Germany) before the session. Group I (Group I) patients had a manual toothbrush (Oral-B Ortho model, Procter & Gamble, Newbridge, UK), Group II patients had a 3D toothbrush (Oral-B Genius 7500 Professional Care Procter & Gamble, Marktheidenfeld, Germany), and in Group III, oral shower (Oral-B Professional Care 8500 DLX OxyJett Center and EB17 brush head, Procter & Gamble, Marktheidenfeld, Germany). After brushing, plaque stained PI values were recorded. Results: When the obtained data was evaluated, electric toothbrushes and mouth shower were found superior to manual brushes in plaque cleaning (p=0.020). The lowest PI values were obtained in Group II and this difference was found to be significant when compared with Group I (p=0.560). As a result of Friedman test to determine the differences between time in terms of PI values in all groups, differences between rank mean values of time were found to be statistically significant. Conclusion: In our study, significant differences were obtained in modified PI values due to awareness created by training with plaque staining in all three groups. However, in patients receiving orthodontic treatment, the plaque cleaning efficacy of the electric toothbrush and mouth shower was superior to manual brushes.

Keywords: Oral hygiene; dental plaque; tooth brushing effectiveness; mouth shower; electric toothbrush
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