Öz
Orthodontic therapy is not only performed on healty patients but also on medically compromised patients. Patients’ siystemic conditions can sometimes indicate compromising factors that should be taken into consideration in the orthodontic treatment plan. With earlier diagnose, a better medical care and noninvasive, spesific orthodontic procedures these patients can proceed a more life quality. Orthodontist should be aware of the oral symptoms of common medical conditions in order to early diagnose and prevent the potential risks and should consult the patient to the medical specialist. This rewiev discusses most common medical problems and focusses on the special considerations to be taken into account when planning orthodontic treatment of patients who have systemic diseases.
ÖZET
Ortodontik tedavi yalnızca sağlıklı hastalara değil tıbbi sorunu bulunan hastalara da uygulanmaktadır. Bazen hastaların sistemik durumları ortodontik tedavi planında göz önünde bulundurulması gereken tehlikeli faktörleri gösterebilmektedir. Erken teşhis, iyi bir tıbbi bakım ve invasiv olmayan özel ortodontik yaklaşımlarla bu hastalar daha kaliteli bir hayat sürebilmektedir. Ortodontistler erken teşhis ve potansiyel risklerden korunmak için sık rastlanan sistemik hastalıkların oral semptomlarını bilmeli ve hasta konuda uzman bir hekimle konsülte edilmelidir. Bu derleme en sık rastlanan medikal problemleri ve sistemik rahatsızlığı bulunan bireylerde ortodontik tedavi planı yapılırken göz önünde tutulması gereken özel durumları tartışmaktadır.
Anahtar kelimeler: ortodonti, sistemik hastalıklar, diabetes mellitus, infektif endokardit, romatoid artrit.
Anahtar Kelimeler
orthodontics; systemic diseases; diabetes mellitus; infective endocardititis; rhomatoid artrit.
Kaynakça
- Weilland S, Pless I, Roghmann K. Chronic Ilness and mental health problems in paediatric practic: results from a survey of primary care providers. Paediatrics 1992;89.445–449
- Hobson R S, Clark J D.Infective endocarditis assotiated with orthodontic treatment:a case report. British Journal of Orthodontics ;20: 241–244 Hobson RS, Clark JD. Management of the orthodontic patient 'at risk' from infective endocarditis.Br Dent J. 1995 Apr 22;178(8):289-95.
- McLaughlin JO, Coulter WA, Coffey A, Burden DJ. The incidence of bacteremia after orthodontic banding.Am J Orthod Dentofacial Orthop. 1996 Jun;109(6):639–44.
- Erverdi N, Kadir T, Ozkan H, Acar A. Investigation of bacteremia after orthodontic banding.Am J Orthod Dentofacial Orthop. 1999 Dec;116(6):687–90.
- Erverdi N, Biren S, Kadir T, Acar A. Investigation of bacteremia following orthodontic debanding.Angle Orthod. 2000 Feb;70(1):11– ; discussion 15.
- Dajani AS, Taubert KA, Wilson W, Bolger AF, Bayer A, Ferrieri P, Gewitz MH, Shulman ST, Nouri S, Newburger JW, Hutto C, Pallasch TJ, Gage TW, Levison ME, Peter G, Zuccaro G Jr. Prevention of bacterial endocarditis: recommendations by the American Heart Association.Clin Infect Dis. 1997 Dec;25(6):1448–58.
- Burden D, Mullally B, Sandler J. Orthodontic treatment of patients with medical disorders.Eur J Orthod. 2001 Aug;23(4):363–72.
- Khurana M, Martin MV. Orthodontics and infective endocarditis. Br J Orthod. 1999 Dec;26(4):295–8.
- Degling TE. Orthodontics, bacteremia, and the heart damaged patient. Angle Orthod. 1972 Oct;42(4):399–402.
- Bensch L, Braem M, Van Acker K, Willems G. Orthodontic treatment considerations in patients with diabetes mellitus.Am J Orthod Dentofacial Orthop. 2003 Jan;123(1):74–8.
- Dokheel TM. An epidemic of childhood diabetes in the United States? Evidence from Allegheny County, Pennsylvania. Pittsburgh Diabetes Epidemiology Research Group.Diabetes Care. 1993 Dec;16(12):1606–11.
- Holtgrave EA, Donath K. [Periodontal reactions to orthodontic forces in the diabetic metabolic state]Fortschr Kieferorthop. 1989 Aug;50(4):326–37.
- Bensch L.,Bream M, Willems G. Orthodontic Consideration in the diabetic patient.Semin Orthod 2004:10:252-258
- Pithon MM, Ruellas CV, Ruellas AC. Orthodontic treatment of a patient with Type 1 diabetes mellitus.J Clin Orthod. 2005 Jul;39(7):435–9
- Van Venrooy JR, Proffit WR. Orthodontic care for medically compromised patients: possibilities and limitations.J Am Dent Assoc. Aug;111(2):262–6. Sonis S T. Orthodontic menagement of the selected medically compromised Patients:Cardiac disease, bleeding isorders, and asthma. Semin Orthod.2004 10.277–280 Bergmann O. immunocompromised patients with Hematologic malignancies.
- Journal of Clinical Microbiology 1988; 26:2105–2109
- Dahllöff G.Huggare J. Orthodontic consşderation in the pediatric cancer patient:Semin Ortho. 2004 10: 266–276
- Davidovitch Z Etiologic factors induced root resorption in Davidovich Z, NortonLA eds. Biological mechanism of tooth movement and Craniofacial adaptation. Boston Mass:Harward Society for the advaencement of orthodontics; 1996;349-350
- McNab S, Battistutta D, Taverne A, Symons AL. External apical root resorption of posterior teeth in asthmatics after orthodontic treatment.Am J Orthod Dentofacial Orthop. 1999 Nov;116(5):545–51.
- Pedersen TK. Clinical aspects of orthodontic treatment for children with juvenile chronic arthritis.Acta Odontol Scand. 1998 Dec;56(6):366–8.
- Profitt W R. Contemporary Orthod. Mossby 2000:285
- Kjellberg H, Kiliaridis S, Thilander B. Dentofacial growth in orthodontically treated and untreated children with juvenile chronic arthritis (JCA). A comparison with Angle Class II division 1 subjects.Eur J Orthod. 1995 Oct;17(5):357–73.
- Kale S. Ortodontik Tedaviye Bağlı Kök Rezorpsiyonları. Hacettepe Üniversitesi Diş Hekimliği Fakültesi Dergisi 2005,29– 94–103
- Shirazi M, Khosrowshahi M, Dehpour AR. The effect of chronic renal insufficiency on orthodontic tooth movement in rats. Angle Orthod. 2001 Dec;71(6):494–8.
- Goldie RS, King GJ. Root resorption and tooth movement in orthodontically treated, calcium-deficient, and lactating rats. Am J Orthod. 1984 May;85(5):424–30.
- Loleberg Eric L. Engsröm C. Thyroid adminstration to reduce root resorption. The Angle Orthod.1994;64(5)
- Tyrovola JB, Spyropoulos MN. Effects of drugs and systemic factors on orthodontic treatment. Quintessence Int. 2001 May;32(5):365–71.
- Poumpros E, Loberg E, Engstrom C. Thyroid function and root resorption. Angle Orthod. 1994;64(5):389–93; discussion 394.
- Gisondi JG, Kronman JH. Thyroid influence on bone histology during tooth movement in hamsters.Angle Orthod. 1972 Oct;42(4):310–8.
- Verna C, Dalstra M, Melsen B. Bone turnover rate in rats does not influence root resorption induced by orthodontic treatment. Eur J Orthod. 2003 Aug;25(4):359–63.
Öz
Ortodontik tedavi yalnızca sağlıklı hastalara değil tıbbi sorunu bulunan hastalara da uygulanmaktadır. Bazen hastaların sistemik durumları ortodontik tedavi planında göz önünde bulundurulması gereken tehlikeli faktörleri gösterebilmektedir. Erken teşhis, iyi bir tıbbi bakım ve invasiv olmayan özel ortodontik yaklaşımlarla bu hastalar daha kaliteli bir hayat sürebilmektedir. Ortodontistler erken teşhis ve potansiyel risklerden korunmak için sık rastlanan sistemik hastalıkların oral semptomlarını bilmeli ve hasta konuda uzman bir hekimle konsülte edilmelidir. Bu derleme en sık rastlanan medikal problemleri ve sistemik rahatsızlığı bulunan bireylerde ortodontik tedavi planı yapılırken göz önünde tutulması gereken özel durumları tartışmaktadır
Anahtar Kelimeler
ortodonti sistemik hastalıklar diabetes mellitus infektif endokardit romatoid artrit
Kaynakça
- Weilland S, Pless I, Roghmann K. Chronic Ilness and mental health problems in paediatric practic: results from a survey of primary care providers. Paediatrics 1992;89.445–449
- Hobson R S, Clark J D.Infective endocarditis assotiated with orthodontic treatment:a case report. British Journal of Orthodontics ;20: 241–244 Hobson RS, Clark JD. Management of the orthodontic patient 'at risk' from infective endocarditis.Br Dent J. 1995 Apr 22;178(8):289-95.
- McLaughlin JO, Coulter WA, Coffey A, Burden DJ. The incidence of bacteremia after orthodontic banding.Am J Orthod Dentofacial Orthop. 1996 Jun;109(6):639–44.
- Erverdi N, Kadir T, Ozkan H, Acar A. Investigation of bacteremia after orthodontic banding.Am J Orthod Dentofacial Orthop. 1999 Dec;116(6):687–90.
- Erverdi N, Biren S, Kadir T, Acar A. Investigation of bacteremia following orthodontic debanding.Angle Orthod. 2000 Feb;70(1):11– ; discussion 15.
- Dajani AS, Taubert KA, Wilson W, Bolger AF, Bayer A, Ferrieri P, Gewitz MH, Shulman ST, Nouri S, Newburger JW, Hutto C, Pallasch TJ, Gage TW, Levison ME, Peter G, Zuccaro G Jr. Prevention of bacterial endocarditis: recommendations by the American Heart Association.Clin Infect Dis. 1997 Dec;25(6):1448–58.
- Burden D, Mullally B, Sandler J. Orthodontic treatment of patients with medical disorders.Eur J Orthod. 2001 Aug;23(4):363–72.
- Khurana M, Martin MV. Orthodontics and infective endocarditis. Br J Orthod. 1999 Dec;26(4):295–8.
- Degling TE. Orthodontics, bacteremia, and the heart damaged patient. Angle Orthod. 1972 Oct;42(4):399–402.
- Bensch L, Braem M, Van Acker K, Willems G. Orthodontic treatment considerations in patients with diabetes mellitus.Am J Orthod Dentofacial Orthop. 2003 Jan;123(1):74–8.
- Dokheel TM. An epidemic of childhood diabetes in the United States? Evidence from Allegheny County, Pennsylvania. Pittsburgh Diabetes Epidemiology Research Group.Diabetes Care. 1993 Dec;16(12):1606–11.
- Holtgrave EA, Donath K. [Periodontal reactions to orthodontic forces in the diabetic metabolic state]Fortschr Kieferorthop. 1989 Aug;50(4):326–37.
- Bensch L.,Bream M, Willems G. Orthodontic Consideration in the diabetic patient.Semin Orthod 2004:10:252-258
- Pithon MM, Ruellas CV, Ruellas AC. Orthodontic treatment of a patient with Type 1 diabetes mellitus.J Clin Orthod. 2005 Jul;39(7):435–9
- Van Venrooy JR, Proffit WR. Orthodontic care for medically compromised patients: possibilities and limitations.J Am Dent Assoc. Aug;111(2):262–6. Sonis S T. Orthodontic menagement of the selected medically compromised Patients:Cardiac disease, bleeding isorders, and asthma. Semin Orthod.2004 10.277–280 Bergmann O. immunocompromised patients with Hematologic malignancies.
- Journal of Clinical Microbiology 1988; 26:2105–2109
- Dahllöff G.Huggare J. Orthodontic consşderation in the pediatric cancer patient:Semin Ortho. 2004 10: 266–276
- Davidovitch Z Etiologic factors induced root resorption in Davidovich Z, NortonLA eds. Biological mechanism of tooth movement and Craniofacial adaptation. Boston Mass:Harward Society for the advaencement of orthodontics; 1996;349-350
- McNab S, Battistutta D, Taverne A, Symons AL. External apical root resorption of posterior teeth in asthmatics after orthodontic treatment.Am J Orthod Dentofacial Orthop. 1999 Nov;116(5):545–51.
- Pedersen TK. Clinical aspects of orthodontic treatment for children with juvenile chronic arthritis.Acta Odontol Scand. 1998 Dec;56(6):366–8.
- Profitt W R. Contemporary Orthod. Mossby 2000:285
- Kjellberg H, Kiliaridis S, Thilander B. Dentofacial growth in orthodontically treated and untreated children with juvenile chronic arthritis (JCA). A comparison with Angle Class II division 1 subjects.Eur J Orthod. 1995 Oct;17(5):357–73.
- Kale S. Ortodontik Tedaviye Bağlı Kök Rezorpsiyonları. Hacettepe Üniversitesi Diş Hekimliği Fakültesi Dergisi 2005,29– 94–103
- Shirazi M, Khosrowshahi M, Dehpour AR. The effect of chronic renal insufficiency on orthodontic tooth movement in rats. Angle Orthod. 2001 Dec;71(6):494–8.
- Goldie RS, King GJ. Root resorption and tooth movement in orthodontically treated, calcium-deficient, and lactating rats. Am J Orthod. 1984 May;85(5):424–30.
- Loleberg Eric L. Engsröm C. Thyroid adminstration to reduce root resorption. The Angle Orthod.1994;64(5)
- Tyrovola JB, Spyropoulos MN. Effects of drugs and systemic factors on orthodontic treatment. Quintessence Int. 2001 May;32(5):365–71.
- Poumpros E, Loberg E, Engstrom C. Thyroid function and root resorption. Angle Orthod. 1994;64(5):389–93; discussion 394.
- Gisondi JG, Kronman JH. Thyroid influence on bone histology during tooth movement in hamsters.Angle Orthod. 1972 Oct;42(4):310–8.
- Verna C, Dalstra M, Melsen B. Bone turnover rate in rats does not influence root resorption induced by orthodontic treatment. Eur J Orthod. 2003 Aug;25(4):359–63.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Review |
| Yazarlar | |
| Yayımlanma Tarihi | 11 Kasım 2011 |
| Gönderilme Tarihi | 11 Kasım 2011 |
| Yayımlandığı Sayı | Yıl 2008Cilt: 11 Sayı: 1 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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