.: ORİJİNAL ARAŞTIRMA
Farklı Braket Sistemleri ile Yapılan Ortodontik Tedavinin Çürük Lezyonu Oluşumu Üzerine Etkisi: Kesitsel Çalışma
The Effect of Orthodontic Treatment with Different Bracket Systems on the Formation of Caries Lesion: Cross-sectional Study
Turkiye Klinikleri J Dental Sci. 2021;27(4):638-44
doi: 10.5336/dentalsci.2021-82677
Makale Dili: TR
Tam Metin
Ücretsiz Erişim
ÖZET
Amaç: Bu çalışmanın amacı, kapaklı ve standart braket sistemleri ile ortodontik tedavi gören hastalarda çürük lezyonu oluşumu gözlenen diş sıklığının değerlendirilmesidir. Gereç ve Yöntemler: Çalışmaya Van Yüzüncü Yıl Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı Kliniği'nde tedavi gören ve takibi yapılan yaşları 12-30 yaş arasında değişen, herhangi bir sistemik hastalığı olmayan toplam 300 hasta dâhil edilmiştir. Kapaklı ve standart braket sistemleri ile tedavi olan hastaların, tedavi başında ve sonunda alınan panoramik röntgenleri ile ağız içi fotoğrafları değerlendirilerek, tedavi sürecinde çürük lezyonu oluşumu gözlenen dişler tespit edilmiştir. Verilerin normal dağılıma uygunlukları Shapiro-Wilk testi ile değerlendirilmiştir. Normal dağılım gösteren değişkenlerin 2 grup arası karşılaştırmalarında bağımsız gruplar t-testi kullanılmıştır. Niteliksel verilerin karşılaştırılmasında ise Pearson ki-kare testi ve Fisher's exact test kullanılmıştır. İstatistiksel anlamlılık p0,05). Sonuç: Sabit ortodontik tedavi gören hastalarda yaş ilerledikçe çürük oluşumu gözlenen diş sayısının arttığı ancak cinsiyet, braket sistemi ve tedavi süresinin çürük oluşumu gözlenen diş sayısını etkilemediği belirlendi.
Anahtar Kelimeler: Ortodontik braketler; diş çürükleri
Amaç: Bu çalışmanın amacı, kapaklı ve standart braket sistemleri ile ortodontik tedavi gören hastalarda çürük lezyonu oluşumu gözlenen diş sıklığının değerlendirilmesidir. Gereç ve Yöntemler: Çalışmaya Van Yüzüncü Yıl Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı Kliniği'nde tedavi gören ve takibi yapılan yaşları 12-30 yaş arasında değişen, herhangi bir sistemik hastalığı olmayan toplam 300 hasta dâhil edilmiştir. Kapaklı ve standart braket sistemleri ile tedavi olan hastaların, tedavi başında ve sonunda alınan panoramik röntgenleri ile ağız içi fotoğrafları değerlendirilerek, tedavi sürecinde çürük lezyonu oluşumu gözlenen dişler tespit edilmiştir. Verilerin normal dağılıma uygunlukları Shapiro-Wilk testi ile değerlendirilmiştir. Normal dağılım gösteren değişkenlerin 2 grup arası karşılaştırmalarında bağımsız gruplar t-testi kullanılmıştır. Niteliksel verilerin karşılaştırılmasında ise Pearson ki-kare testi ve Fisher's exact test kullanılmıştır. İstatistiksel anlamlılık p0,05). Sonuç: Sabit ortodontik tedavi gören hastalarda yaş ilerledikçe çürük oluşumu gözlenen diş sayısının arttığı ancak cinsiyet, braket sistemi ve tedavi süresinin çürük oluşumu gözlenen diş sayısını etkilemediği belirlendi.
Anahtar Kelimeler: Ortodontik braketler; diş çürükleri
ABSTRACT
Objective: The aim of this study was to evaluate the incidence of dental caries lesions in patients receiving orthodontic treatment with selfligating and standard bracket systems. Material and Methods: A total of 300 patients aged between 12-30 years who were treated at Van Yüzüncü Yıl University, Faculty of Dentistry Department of Orthodontics were included in the study. Panoramic x-rays and intra-oral photographs of the patients treated with selfligating and standard bracket systems were evaluated at the beginning and at the end of the treatment and the teeth with caries lesion formation were identified. The suitability of the data for normal distribution was evaluated by Shapiro-Wilk test. Independent groups t-test was used to compare the variables with normal distribution between two groups. Pearson chisquare test and Fisher's exact test were used to compare qualitative data. Statistical significance was accepted as p0.05). Conclusion: It was determined that the number of teeth with caries formation increased with age, but the gender, bracket system and duration of treatment did not affect the number of teeth with caries formation in patients undergoing fixed orthodontic treatment.
Keywords: Orthodontic brackets; dental caries
Objective: The aim of this study was to evaluate the incidence of dental caries lesions in patients receiving orthodontic treatment with selfligating and standard bracket systems. Material and Methods: A total of 300 patients aged between 12-30 years who were treated at Van Yüzüncü Yıl University, Faculty of Dentistry Department of Orthodontics were included in the study. Panoramic x-rays and intra-oral photographs of the patients treated with selfligating and standard bracket systems were evaluated at the beginning and at the end of the treatment and the teeth with caries lesion formation were identified. The suitability of the data for normal distribution was evaluated by Shapiro-Wilk test. Independent groups t-test was used to compare the variables with normal distribution between two groups. Pearson chisquare test and Fisher's exact test were used to compare qualitative data. Statistical significance was accepted as p0.05). Conclusion: It was determined that the number of teeth with caries formation increased with age, but the gender, bracket system and duration of treatment did not affect the number of teeth with caries formation in patients undergoing fixed orthodontic treatment.
Keywords: Orthodontic brackets; dental caries
REFERANSLAR:
- 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(2):175-83. [Crossref] [PubMed]
- Sawhney R, Sharma R, Sharma K. Microbial colonization on elastomeric ligatures during orthodontic therapeutics: an overview. Turk J Orthod. 2018;31(1):21-5. [PubMed] [PMC]
- 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(1):140-5. [Crossref] [PubMed]
- 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(5):353-63. [Crossref] [PubMed]
- 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(2):121-9. [PubMed]
- 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(4):587-93. [Crossref] [PubMed] [PMC]
- 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(4):498- 503. [Crossref] [PubMed]
- 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(3):e271-e8. [PubMed] [PMC]
- do Nascimento LE, Pithon MM, dos Santos RL, Freitas AO, Alviano DS, Nojima LI, et al. Colonization of Streptococcus mutans on esthetic brackets: self-ligating vs conventional. Am J Orthod Dentofacial Orthop. 2013;143(4 Suppl):S72-7. [Crossref] [PubMed]
- Moolya NN, Shetty A, Gupta N, Gupta A, Jalan V, Sharma R. Orthodontic bracket designs and their impact on microbial profile and periodontal disease: A clinical trial. J Orthod Sci. 2014;3(4): 125-31. [PubMed] [PMC]
- Lara-Carrillo E, Montiel-Bastida NM, Sánchez-Pérez L, Alanís-Tavira J. Effect of orthodontic treatment on saliva, plaque and the levels of Streptococcus mutans and Lactobacillus. Med Oral Patol Oral Cir Bucal. 2010;15(6):e924-9. [Crossref] [PubMed]
- Pellegrini P, Sauerwein R, Finlayson T, McLeod J, Covell DA Jr, Maier T, et al. Plaque retention by self-ligating vs elastomeric orthodontic brackets: quantitative comparison of oral bacteria and detection with adenosine triphosphate-driven bioluminescence. Am J Orthod Dentofacial Orthop. 2009;135(4): 426.e1-9; discussion 426-7. [Crossref] [PubMed]
- Türkkahraman 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(2):231-6. [PubMed]
- Babacan H, Sokucu O, Marakoglu I, Ozdemir H, Nalcaci R. Effect of fixed appliances on oral malodor. Am J Orthod Dentofacial Orthop. 2011;139(3):351-5. [Crossref] [PubMed]
- 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(14):e0233. [Crossref] [PubMed] [PMC]
- Yang X, Su N, Shi Z, Xiang Z, He Y, Han X, Bai D. 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(1):16-22. [Crossref] [PubMed]
- Pandis N, Vlachopoulos K, Polychronopoulou A, Madianos P, Eliades T. Periodontal condition of the mandibular anterior dentition in patients with conventional and self-ligating brackets. Orthod Craniofac Res. 2008;11(4): 211-5. [Crossref] [PubMed]
- 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(5): 416-20. [Crossref] [PubMed]
- 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 Dentofacial Orthop. 2011;140(4):e193-8. [Crossref] [PubMed]
- Alves de Souza R, Borges de Araújo 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 Dentofacial Orthop. 2008;134(4): 506-12. [Crossref] [PubMed]
- Brêtas 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(4):428-33. [Crossref] [PubMed]
- 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(1):94-9. [Crossref] [PubMed]
- 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(5):475-84. [Crossref] [PubMed]
- Geçgelen Cesur M, Telli M, Özer T. Farklı braket ve ligasyon tiplerinin streptococcus mutans adezyonu üzerine etkilerinin in vitro olarak incelenmesi [In vitro evaluation of the adhesion of Streptococcus mutans to different bracket and ligation types]. Med J SDU. 2019; 26(2):189-94. [Crossref]
- 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(4):351-60. [Crossref] [PubMed]
- 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(5):907-14. [Crossref] [PubMed]
- do Nascimento LE, de Souza MM, Azevedo AR, Maia LC. Are self-ligating brackets related to less formation of Streptococcus mutans colonies? A systematic review. Dental Press J Orthod. 2014;19(1):60-8. [Crossref] [PubMed] [PMC]
- Logan TP, Cutress TW, Garrett N, Trengrove HG. Dental treatment profile of New Zealand Defence Force personnel. N Z Dent J. 2009;105(3):77-81. [PubMed]
- al-Banyan RA, Echeverri EA, Narendran S, Keene HJ. Oral health survey of 5-12-year-old children of National Guard employees in Riyadh, Saudi Arabia. Int J Paediatr Dent. 2000;10(1):39-45. [Crossref] [PubMed]
- Varenne B, Petersen PE, Ouattara S. Oral health status of children and adults in urban and rural areas of Burkina Faso, Africa. Int Dent J. 2004;54(2):83-9. [Crossref] [PubMed]
.: İşlem Listesi