Öz
Amaç: Çürük ve plak retansiyonu, multibraketsabit ortodontik tedavinin en çok karşılaşılan yanetkilerindendir. Bu vaka raporunda, ortodontiktedavi sonrası oluşabilecek çürükler ve buçürüklerin tedavilerinden bahsedilmiştir.Olgu Sunumu: Yirmi yaşında erkek hasta,braketleri etrafındaki çürükler nedeniylekliniğimize başvurmuştur. Hasta 13 yaşındaortodontik tedaviye başlamış, 1 sene ortodontiktedavi görmüş ve sonrasında kendi isteğiyletedaviyi bırakmıştır. Altı sene boyunca braketleriağız içinde kalmıştır. Yapılan klinik muayenedemaksillar keser dişleri ve sağ mandibular kanindişinde kole çürükleri, sağ ve sol mandibular birincipremolar dişlerinin lingual pozisyonda olduğugörülmüştür. Ekstraoral muayenede, sol submandibuler bölgedelenfadenopati ve ağızaçıklığında azalma saptandı. Lenfadenopatiye sebepolan ve aşırı harabiyeti bulunan sol alt ikinci molardiş çekildi. Lingual pozisyonda olan sağ ve solmandibular birinci premolar dişler çekildi.Maksillar santral ve lateral dişlerin endodontikliniğinde kök kanal tedavisi yapıldı. Tüm dolgularve kök kanal tedavileri bittikten sonra, sol maksillarkanin diş boşluğuna 22 ve 23 no.lu dişlerinpalatinalinden destek alınarak, fiber köprü yapıldı.Ağız hijyeni motivasyonu yapılarak hastanıntedavisi bitirildi.Sonuç: Hastanın 1 yıllık takibi sonucunda,dişlerdeki çürük kontrolünün sağlandığı, ağızhijyeninin devam ettiği görülmüştür. Hasta artıkortodontik tedavi görmek istemediği için tedavi buşekilde bitirilmiştir.
Anahtar Kelimeler
Kaynakça
- Roberson TM, Heymann HO, Swift EJ. , Sturdevant’s Art and Science of Operative Dentistry. Cariology: The Lesion, Etiology, Prevention and Control, ed. Y.C.F. Gürgan S. 2010, Ankara: Güneş Tıp Kitabevleri.
- Arpak MN, Çağlar G, Bilgin Z. 7-9 Yaş grubu çoçuklarda oral hijyen eğitimi ve oral hijyen performansı. AÜ Diş Hek Fak Derg 1989;16:2272
- Loesche WJ. Clinical and microbiological aspects of chemotherapeutic agents used according to the specific plaque hypothesis. J Dent Res 1979;58:2404-2412.
- Al Mulla AH, Kharsa SA, Kjellberg H, Birkhed D. Caries risk profiles in orthodontic patients at follow-up using Cariogram. Angle Orthod 2009;79:323-330.
- Derks A, Kuijpers-Jagtman AM, Frencken JE, Van't Hof MA, Katsaros C. Caries preventive measures used in orthodontic practices: an evidence-based decision? Am J Orthod Dentofacial Orthop 2007;132:165-170.
- Ahmed I, Saif ul H, Nazir R. Carious lesions in patients undergoing orthodontic treatment. J Pak Med Assoc 2011;61:1176-1179.
- Øgaard B. White spot lesions during orthodontic treatment: mechanisms and fluoride preventive aspects. Seminars in Orthodontics 2008;14:183-193.
- Hadler-Olsen S, Sandvik K, ElAgroudi MA, Ogaard B. The incidence of caries and white spot lesions in orthodontically treated adolescents with a comprehensive caries prophylactic regimen--a prospective study. Eur J Orthod 2012;34:633-639.
- O'Reilly MM, Featherstone JD. Demineralization and remineralization around orthodontic appliances: an in vivo study. Am J Orthod Dentofacial Orthop 1987;92:33-40.
- Ashcraft DB, Staley RN, Jakobsen JR. Fluoride release and shear bond strengths of three light-cured glass ionomer cements. Am J Orthod Dentofacial Orthop 1997;111:26026
- Mitchell L. An investigation into the effect of a fluoride releasing adhesive on the prevalence of enamel surface changes associated with directly bonded orthodontic attachments. Br J Orthod 1992;19:207-214.
- Fox NA, McCabe JF, Gordon PH. Bond strengths of orthodontic bonding materials: an in-vitro study. Br J Orthod 1991;18:125-130.
- Wiltshire WA. Determination of fluoride from fluoride-releasing elastomeric ligature ties. Am J Orthod Dentofacial Orthop 1996;110:383-387.
- Scheie AA, Arneberg P, Krogstad O. Effect of orthodontic treatment on prevalence of Streptococcus mutans in plaque and saliva. Scand J Dent Res 1984;92:211-217.
- Blunden RE, Oliver RG, O'Kane CO. Microbial growth on the surfaces of various orthodontic bonding cements. Br J Orthod 1994;21:1251
- Fournier A, Payant L, Bouclin R. Adherence of Streptococcus mutans to orthodontic brackets. Am J Orthod Dentofacial Orthop 1998;114:4144
- Matasa CG. Microbial attack of orthodontic adhesives. Am J Orthod Dentofacial Orthop 1995;108:1321
- Benson PE, Parkin N, Millett DT, Dyer FE, Vine S, Shah A. Fluorides for the prevention of white spots on teeth during fixed brace treatment. Cochrane Database Syst Rev 2004;3:CD003809.
- Geiger AM, Gorelick L, Gwinnett AJ, Griswold PG. The effect of a fluoride program on white spot formation during orthodontic treatment. Am J Orthod Dentofacial Orthop 1988;93:29-37.
- Chatterjee R, Kleinberg I. Effect of orthodontic band placement on the chemical composition of human incisor tooth plaque. Arch Oral Biol 1979;24:97-100.
- Ogaard B, Rolla G, Arends J. Orthodontic appliances and enamel demineralization. Part 1. Lesion development. Am J Orthod Dentofacial Orthop 1988;94:68-73.
- Bourzqui F, Sebbar, M., Hamza, M. Orthodontics and Caries, Principles in Contemporary Orthodontics. 1st ed2011, China: In Tech
- Zachrisson BU, Zachrisson S. Caries incidence and oral hygiene during orthodontic treatment. Scand J Dent Res 1971;79:394-401.
Öz
Objectives: Caries and plaque retention are the most common side effects of multi-bracket fixed orthodontic treatment. In this case report, therapies of caries that may occur after orthodontic treatment are discussed.
Case Report: Twenty-year-old male patient admitted to our clinic because of caries around his brackets. The patient began orthodontic treatment at age 13, had been treated for 1 year and after orthodontic treatment has left voluntarily. Brackets has remained in the mouth for six years. During the clinical examination, cervical caries was seemed on maxillary incisors and canine tooth of the right mandibular; right and left mandibular first premolar teeth were lingual positioned. Extraoral examination revealed left submandibular lymphadenopathy and reduced mouth opening. Lower left second molar tooth was extracted because of its excessive damage and caused lymphadenopathy. Root canal treatment was performed to maxillary central and lateral incisors in the Endodontics clinic. After all fillings and root canal treatments was finished; the fiber bridge was applied to tooth cavity of left maxillary canine teeth by the support of palatal surface of teeth 22 and 23. Dental treatment was finished with the motivation of oral hygiene.
Results: As a result of a 1-year follow-up of the patient, control of the decayed teeth were provided and oral hygiene continued. The patient does not want to see anymore of orthodontic treatment, so treatment was completed in this way.
ÖZET
Amaç: Çürük ve plak retansiyonu, multibraket sabit ortodontik tedavinin en çok karşılaşılan yan etkilerindendir. Bu vaka raporunda, ortodontik tedavi sonrası oluşabilecek çürükler ve bu çürüklerin tedavilerinden bahsedilmiştir.
Olgu Sunumu: Yirmi yaşında erkek hasta, braketleri etrafındaki çürükler nedeniyle kliniğimize başvurmuştur. Hasta 13 yaşında ortodontik tedaviye başlamış, 1 sene ortodontik tedavi görmüş ve sonrasında kendi isteğiyle tedaviyi bırakmıştır. Altı sene boyunca braketleri ağız içinde kalmıştır. Yapılan klinik muayenede maksillar keser dişleri ve sağ mandibular kanin dişinde kole çürükleri, sağ ve sol mandibular birinci premolar dişlerinin lingual pozisyonda olduğu görülmüştür. Ekstraoral muayenede, sol submandibuler bölgede lenfadenopati ve ağız açıklığında azalma saptandı. Lenfadenopatiye sebep olan ve aşırı harabiyeti bulunan sol alt ikinci molar diş çekildi. Lingual pozisyonda olan sağ ve sol mandibular birinci premolar dişler çekildi. Maksillar santral ve lateral dişlerin endodonti kliniğinde kök kanal tedavisi yapıldı. Tüm dolgular ve kök kanal tedavileri bittikten sonra, sol maksillar kanin diş boşluğuna 22 ve 23 no.lu dişlerin palatinalinden destek alınarak, fiber köprü yapıldı. Ağız hijyeni motivasyonu yapılarak hastanın tedavisi bitirildi.
Sonuç: Hastanın 1 yıllık takibi sonucunda, dişlerdeki çürük kontrolünün sağlandığı, ağız hijyeninin devam ettiği görülmüştür. Hasta artık ortodontik tedavi görmek istemediği için tedavi bu şekilde bitirilmiştir.
Anahtar Kelimeler
Kaynakça
- Roberson TM, Heymann HO, Swift EJ. , Sturdevant’s Art and Science of Operative Dentistry. Cariology: The Lesion, Etiology, Prevention and Control, ed. Y.C.F. Gürgan S. 2010, Ankara: Güneş Tıp Kitabevleri.
- Arpak MN, Çağlar G, Bilgin Z. 7-9 Yaş grubu çoçuklarda oral hijyen eğitimi ve oral hijyen performansı. AÜ Diş Hek Fak Derg 1989;16:2272
- Loesche WJ. Clinical and microbiological aspects of chemotherapeutic agents used according to the specific plaque hypothesis. J Dent Res 1979;58:2404-2412.
- Al Mulla AH, Kharsa SA, Kjellberg H, Birkhed D. Caries risk profiles in orthodontic patients at follow-up using Cariogram. Angle Orthod 2009;79:323-330.
- Derks A, Kuijpers-Jagtman AM, Frencken JE, Van't Hof MA, Katsaros C. Caries preventive measures used in orthodontic practices: an evidence-based decision? Am J Orthod Dentofacial Orthop 2007;132:165-170.
- Ahmed I, Saif ul H, Nazir R. Carious lesions in patients undergoing orthodontic treatment. J Pak Med Assoc 2011;61:1176-1179.
- Øgaard B. White spot lesions during orthodontic treatment: mechanisms and fluoride preventive aspects. Seminars in Orthodontics 2008;14:183-193.
- Hadler-Olsen S, Sandvik K, ElAgroudi MA, Ogaard B. The incidence of caries and white spot lesions in orthodontically treated adolescents with a comprehensive caries prophylactic regimen--a prospective study. Eur J Orthod 2012;34:633-639.
- O'Reilly MM, Featherstone JD. Demineralization and remineralization around orthodontic appliances: an in vivo study. Am J Orthod Dentofacial Orthop 1987;92:33-40.
- Ashcraft DB, Staley RN, Jakobsen JR. Fluoride release and shear bond strengths of three light-cured glass ionomer cements. Am J Orthod Dentofacial Orthop 1997;111:26026
- Mitchell L. An investigation into the effect of a fluoride releasing adhesive on the prevalence of enamel surface changes associated with directly bonded orthodontic attachments. Br J Orthod 1992;19:207-214.
- Fox NA, McCabe JF, Gordon PH. Bond strengths of orthodontic bonding materials: an in-vitro study. Br J Orthod 1991;18:125-130.
- Wiltshire WA. Determination of fluoride from fluoride-releasing elastomeric ligature ties. Am J Orthod Dentofacial Orthop 1996;110:383-387.
- Scheie AA, Arneberg P, Krogstad O. Effect of orthodontic treatment on prevalence of Streptococcus mutans in plaque and saliva. Scand J Dent Res 1984;92:211-217.
- Blunden RE, Oliver RG, O'Kane CO. Microbial growth on the surfaces of various orthodontic bonding cements. Br J Orthod 1994;21:1251
- Fournier A, Payant L, Bouclin R. Adherence of Streptococcus mutans to orthodontic brackets. Am J Orthod Dentofacial Orthop 1998;114:4144
- Matasa CG. Microbial attack of orthodontic adhesives. Am J Orthod Dentofacial Orthop 1995;108:1321
- Benson PE, Parkin N, Millett DT, Dyer FE, Vine S, Shah A. Fluorides for the prevention of white spots on teeth during fixed brace treatment. Cochrane Database Syst Rev 2004;3:CD003809.
- Geiger AM, Gorelick L, Gwinnett AJ, Griswold PG. The effect of a fluoride program on white spot formation during orthodontic treatment. Am J Orthod Dentofacial Orthop 1988;93:29-37.
- Chatterjee R, Kleinberg I. Effect of orthodontic band placement on the chemical composition of human incisor tooth plaque. Arch Oral Biol 1979;24:97-100.
- Ogaard B, Rolla G, Arends J. Orthodontic appliances and enamel demineralization. Part 1. Lesion development. Am J Orthod Dentofacial Orthop 1988;94:68-73.
- Bourzqui F, Sebbar, M., Hamza, M. Orthodontics and Caries, Principles in Contemporary Orthodontics. 1st ed2011, China: In Tech
- Zachrisson BU, Zachrisson S. Caries incidence and oral hygiene during orthodontic treatment. Scand J Dent Res 1971;79:394-401.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Case Reports |
| Yazarlar | |
| Yayımlanma Tarihi | 2 Mayıs 2014 |
| Gönderilme Tarihi | 17 Nisan 2013 |
| Yayımlandığı Sayı | Yıl 2014Cilt: 17 Sayı: 2 |
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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