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Ortognatik Cerrahinin Periodontal Durum Üzerine Etkileri

Yıl 2022, Cilt: 9 Sayı: 1, 162 - 166, 27.04.2022
https://doi.org/10.15311/selcukdentj.984351

Öz

Amaç: Bu çalışmanın amacı ortognatik cerrahinin periodonsiyum üzerine etkilerini ameliyattan sonraki 3. ve 6. aylarda araştırmaktır.
Gereç ve Yöntemler: Toplam 10 ortognatik cerrahi hastasında (7 kadın, 3 erkek, ortalama yaş 23.2 ± 4.83) üçüncü azı dişler hariç tüm dişlerin plak indeksi (Pİ), dişeti indeksi (Gİ), sondalama derinliği (SD), sondalamada kanama (SK), klinik ataşman seviyesi (KAS) ve mobilite (M) cerrahi işlemden önce (T0) 6 bölgede (mezio-bukkal, mid-bukkal, disto-bukkal, mezio-lingual, mid-lingual ve disto-lingual) gerçekleştirildi. Bu hastalardan 6 tanesine çift çene ortognatik cerrahi, 2 tanesine sagittal split osteotomisi ve 2 tanesine de Lefort 1 cerrahi uygulandı. Ameliyat sonrası 3. (T1) ve 6. (T2) aylarda aynı tüm ağız klinik periodontal ölçümler tekrarlandı.
Bulgular: Ölçülen bölgelerin hiçbirinde (maksiller dişler, mandibular dişler veya tam ağız) parametrelerin hiçbirinde (PI, GI, PD, BOP, CAL ve M) T0 ile T1 ve T2 değerleri arasında istatistiksel olarak anlamlı bir fark yoktu.
Sonuç: Bu çalışmanın sınırları dahilinde ortognatik cerrahi tedavilerin periodontal durum üzerine anlamlı bir etkisinin olmadığı görülmüştür.

Kaynakça

  • 1. Kiyak HA, McNeill RW, West RA, Hohl T, Bucher F, Sherrick P. Predicting psychologic responses to orthognathic surgery. J Oral Maxillofac Surg 1982; 40: 150-155.
  • 2. Socransky SS, Haffajee AD, Cugini MA, Smith C, Kent RL Jr. Microbial complexes in subgingival plaque. J Clin Periodontol 1998; 25: 134-144.
  • 3. Schultes G, Gaggl A, Kärcher H. Periodontal disease associated with interdental osteotomies after orthognathic surgery. J Oral Maxillofac Surg 1998; 56: 414-419.
  • 4. Weinspach K, Staufenbiel I, Günay H, Geurtsen W, Schwestka-Polly R, Demling AP. Influence of orthognathic surgery on periodontal tissues: short-term results. J Orofac Orthop 2011; 72: 279-289.
  • 5. Weinspach K, Demling A, Günay H, Geurtsen W, Schwestka-Polly R, Staufenbiel I. Short-term periodontal and microbiological changes following orthognathic surgery. J Craniomaxillofac Surg 2012; 40: 467-472.
  • 6. Buckley LA. The relationships between malocclusion, gingival inflammation, plaque and calculus. J Periodontol 1981; 52: 35-40.
  • 7. Paunio K. The role of malocclusion and crowding in the development of periodontal disease. Int Dent J 1973; 23: 470-475.
  • 8. Zhou SY, Mahmood H, Cao CF, Jin LJ. Teeth under High Occlusal Force May Reflect Occlusal Trauma-associated Periodontal Conditions in Subjects with Untreated Chronic Periodontitis. Chin J Dent Res 2017; 20: 19-26.
  • 9. Nakatsu S, Yoshinaga Y, Kuramoto A, Nagano F, Ichimura I, Oshino K, et al. Occlusal trauma accelerates attachment loss at the onset of experimental periodontitis in rats. J Periodontal Res 2014; 49: 314-322.
  • 10. Bhatia A, Sharma RK, Tewari S, Narula SC. A randomized clinical trial of salivary substitute as an adjunct to scaling and root planing for management of periodontal inflammation in mouth breathing patients. J Oral Sci 2015; 57: 241-247.
  • 11. Marcussen L, Stokbro K, Aagaard E, Torkov P, Thygesen T. Changes in Upper Airway Volume Following Orthognathic Surgery. J Craniofac Surg 2017; 28: 66-70.
  • 12. de Sousa Miranda W, Álvares de Castro Rocha V, Lara Dos Santos Marques K, Trindade Neto AI, do Prado CJ, Zanetta-Barbosa D. Three-dimensional evaluation of superior airway space after orthognathic surgery with counterclockwise rotation and advancement of the maxillomandibular complex in Class II patients. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 120: 453-458.
  • 13. Silness J, Loe H. Periodontal Disease in Pregnancy. II. Correlation Between Oral Hygiene and Periodontal Condition. Acta Odontol Scand 1964; 22: 121-135.
  • 14. Loe H, Silness J. Periodontal Disease in Pregnancy. I. Prevalence and Severity. Acta Odontol Scand 1963; 21: 533-551.
  • 15. Hernández-Alfaro F, Nieto MJ, Ruiz-Magaz V, Valls-Ontañón A, Méndez-Manjón I, Guijarro-Martínez R. Inferior subapical osteotomy for dentoalveolar decompensation of class III malocclusion in 'surgery-first' and 'surgery-early' orthognathic treatment. Int J Oral Maxillofac Surg 2017; 46: 80-85.
  • 16. Ari-Demirkaya A, Ilhan I. Effects of relapse forces on periodontal status of mandibular incisors following orthognathic surgery. J Periodontol 2008; 79: 2069-2077.
  • 17. Carroll WJ, Haug RH, Bissada NF, Goldberg J, Hans M. The effects of the Le Fort I osteotomy on the periodontium. J Oral Maxillofac Surg 1992; 50: 128-132.
  • 18. Phelps-Sandall BA, Oxford SJ. Effectiveness of oral hygiene techniques on plaque and gingivitis in patients placed in intermaxillary fixation. Oral Surg Oral Med Oral Pathol 1983; 56: 487-490.
  • 19. Goyal CR, Lyle DM, Qaqish JG, Schuller R. Comparison of Water Flosser and Interdental Brush on Reduction of Gingival Bleeding and Plaque: A Randomized Controlled Pilot Study. J Clin Dent 2016; 27: 61-65.
  • 20. Goyal CR, Lyle DM, Qaqish JG, Schuller R. Evaluation of the plaque removal efficacy of a water flosser compared to string floss in adults after a single use. J Clin Dent 2013; 24: 37-42.

The Effects of Orthognathic Surgery on Periodontal Status

Yıl 2022, Cilt: 9 Sayı: 1, 162 - 166, 27.04.2022
https://doi.org/10.15311/selcukdentj.984351

Öz

Background: The aim of this study was to investigate the effects of orthognathic surgery on periodontium in the 3rd and 6th months after the operation.
Methods: In a total of 10 orthognathic surgery patients (7 females, 3 males, mean age 23.2 ± 4.83), full mouth clinical periodontal measurements as plaque index (PI), gingival index (GI), probing depth (PD), bleeding on probing (BOP), clinical attachment level (CAL), and mobility (M) were performed before the surgical procedure (T0) at 6 sites (mesio-buccal, mid-buccal, disto-buccal, mesio-lingual, mid-lingual, and disto-lingual) of all teeth except the third molars. Six of these patients underwent double jaw orthognathic surgery, 2 patients sagittal split osteotomy, and 2 patients Lefort 1 surgery. The same full mouth clinical periodontal measurements were repeated in the 3rd (T1) and 6th (T2) months after surgery.
Results: There was no statistically significant difference between the T0 and T1 and T2 values in any of the parameters (PI, GI, PD, BOP, CAL, and M) at any of the regions measured (maxillary teeth, mandibular teeth, or full mouth).
Conclusion: Within the limits of this study, it has been observed that orthognathic surgical treatments do not have a significant effect on periodontal status.

Kaynakça

  • 1. Kiyak HA, McNeill RW, West RA, Hohl T, Bucher F, Sherrick P. Predicting psychologic responses to orthognathic surgery. J Oral Maxillofac Surg 1982; 40: 150-155.
  • 2. Socransky SS, Haffajee AD, Cugini MA, Smith C, Kent RL Jr. Microbial complexes in subgingival plaque. J Clin Periodontol 1998; 25: 134-144.
  • 3. Schultes G, Gaggl A, Kärcher H. Periodontal disease associated with interdental osteotomies after orthognathic surgery. J Oral Maxillofac Surg 1998; 56: 414-419.
  • 4. Weinspach K, Staufenbiel I, Günay H, Geurtsen W, Schwestka-Polly R, Demling AP. Influence of orthognathic surgery on periodontal tissues: short-term results. J Orofac Orthop 2011; 72: 279-289.
  • 5. Weinspach K, Demling A, Günay H, Geurtsen W, Schwestka-Polly R, Staufenbiel I. Short-term periodontal and microbiological changes following orthognathic surgery. J Craniomaxillofac Surg 2012; 40: 467-472.
  • 6. Buckley LA. The relationships between malocclusion, gingival inflammation, plaque and calculus. J Periodontol 1981; 52: 35-40.
  • 7. Paunio K. The role of malocclusion and crowding in the development of periodontal disease. Int Dent J 1973; 23: 470-475.
  • 8. Zhou SY, Mahmood H, Cao CF, Jin LJ. Teeth under High Occlusal Force May Reflect Occlusal Trauma-associated Periodontal Conditions in Subjects with Untreated Chronic Periodontitis. Chin J Dent Res 2017; 20: 19-26.
  • 9. Nakatsu S, Yoshinaga Y, Kuramoto A, Nagano F, Ichimura I, Oshino K, et al. Occlusal trauma accelerates attachment loss at the onset of experimental periodontitis in rats. J Periodontal Res 2014; 49: 314-322.
  • 10. Bhatia A, Sharma RK, Tewari S, Narula SC. A randomized clinical trial of salivary substitute as an adjunct to scaling and root planing for management of periodontal inflammation in mouth breathing patients. J Oral Sci 2015; 57: 241-247.
  • 11. Marcussen L, Stokbro K, Aagaard E, Torkov P, Thygesen T. Changes in Upper Airway Volume Following Orthognathic Surgery. J Craniofac Surg 2017; 28: 66-70.
  • 12. de Sousa Miranda W, Álvares de Castro Rocha V, Lara Dos Santos Marques K, Trindade Neto AI, do Prado CJ, Zanetta-Barbosa D. Three-dimensional evaluation of superior airway space after orthognathic surgery with counterclockwise rotation and advancement of the maxillomandibular complex in Class II patients. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 120: 453-458.
  • 13. Silness J, Loe H. Periodontal Disease in Pregnancy. II. Correlation Between Oral Hygiene and Periodontal Condition. Acta Odontol Scand 1964; 22: 121-135.
  • 14. Loe H, Silness J. Periodontal Disease in Pregnancy. I. Prevalence and Severity. Acta Odontol Scand 1963; 21: 533-551.
  • 15. Hernández-Alfaro F, Nieto MJ, Ruiz-Magaz V, Valls-Ontañón A, Méndez-Manjón I, Guijarro-Martínez R. Inferior subapical osteotomy for dentoalveolar decompensation of class III malocclusion in 'surgery-first' and 'surgery-early' orthognathic treatment. Int J Oral Maxillofac Surg 2017; 46: 80-85.
  • 16. Ari-Demirkaya A, Ilhan I. Effects of relapse forces on periodontal status of mandibular incisors following orthognathic surgery. J Periodontol 2008; 79: 2069-2077.
  • 17. Carroll WJ, Haug RH, Bissada NF, Goldberg J, Hans M. The effects of the Le Fort I osteotomy on the periodontium. J Oral Maxillofac Surg 1992; 50: 128-132.
  • 18. Phelps-Sandall BA, Oxford SJ. Effectiveness of oral hygiene techniques on plaque and gingivitis in patients placed in intermaxillary fixation. Oral Surg Oral Med Oral Pathol 1983; 56: 487-490.
  • 19. Goyal CR, Lyle DM, Qaqish JG, Schuller R. Comparison of Water Flosser and Interdental Brush on Reduction of Gingival Bleeding and Plaque: A Randomized Controlled Pilot Study. J Clin Dent 2016; 27: 61-65.
  • 20. Goyal CR, Lyle DM, Qaqish JG, Schuller R. Evaluation of the plaque removal efficacy of a water flosser compared to string floss in adults after a single use. J Clin Dent 2013; 24: 37-42.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Diş Hekimliği
Bölüm Araştırma
Yazarlar

Çağrı Esen 0000-0002-4358-1293

Alparslan Esen 0000-0001-7419-3210

Ahmet Ertan Soğancı 0000-0002-9438-0061

Emire Aybüke Erdur 0000-0002-1887-8474

Yayımlanma Tarihi 27 Nisan 2022
Gönderilme Tarihi 18 Ağustos 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 9 Sayı: 1

Kaynak Göster

Vancouver Esen Ç, Esen A, Soğancı AE, Erdur EA. The Effects of Orthognathic Surgery on Periodontal Status. Selcuk Dent J. 2022;9(1):162-6.