Hijyenik Köprü Gövdeleri ile Veneer Köprü Gövdelerinin Gingival Bakteri Plağının Oluşumundaki Etkileri
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Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press
Erişim Hakkı
info:eu-repo/semantics/openAccess
Attribution-NonCommercial-NoDerivs 3.0 United States
Attribution-NonCommercial-NoDerivs 3.0 United States
Özet
Amaç: Yaşam boyunca yenilen ve içilenden kaynaklı ağızda ciddi farklılıklar yaşanır ve talihsiz olarak da diş kayıplarıyla karşı karşıya kalma ihtimalimiz yükselir. Diş çekimi tüm insanlar için psikolojik bir travma olabilirken, tek bir diş eksikliğinin neden olabileceği kötü estetik görüntü bile özgüveni zedelemeye yeter. Dişlerin kolelerini ve çene kemiklerinin alveol kısmını saran, ilk ve sağlam yapılı doku diş etidir. Periodonsiyumun bir kısmını teşkil eden diş eti dokusu, ağız mukozasının dişlere yakın olan bölümünü meydana getirir. Bu çalışmada ise, köprü gövde şekillerinin gingiva ve marginal periodonsiyum tesirlerinin ne olduğuna bakılmıştır. İlk olarak, yan grup dişlerde kullanılacak olan farklı köprü gövdeleri çeşitlerinden, hangisinin ilgili kısma uygun olduğu da, periodonsiyum hijyenine bağlı kalınarak uygulanmıştır. Fakat, bu hususta yapılan kapsamlı literatür çalışmalarında, farklı köprü gövde türlerinin, birbirleriyle periodontal ve histopatolojik açılardan irdelenirken hijyenik gövdeli köprününde incelemelere alınmadığını da tespit edilmiştir. Yöntem: Kavramsal değerlendirme sonucunca ulusal ve uluslararası literatür çerçevesinde değerlendirmeler yapılan çalışmada hastaların ilk randevularında ağız içi ve ağız dışı kontrollerin yanında, tüm ağız radyografileri çekilmiş ve periodontal yönden klinik ve radyolojik incelemeleri yapılmıştır. Çalışmada kontrol grubu ve deney grubu olarak işlem yapılmıştır. Birinci grupta, 10 hastanın sağ alt yarım çene tarafına Veneer gövdeli köprü, sol alt tarafına da hijyenik gövdeli köprü (Massif gövdeli) yapılmıştır. İkinci grupta, toplam 10 hastanın alt sağ yarım çene tarafına hijyenik gövdeli köprü (Massif gövdeli köprü), sol alt tarafına Veneer gövdeli köprü yapılmıştır. İkinci grupta köprü sayısı yirmi olup, tüm hastalara toplam 40 adet köprü yapılmış ve analizler yapılmıştır. Bulgular: Çalışma kapsamında, A. 1. (Sağ Veneer-Sol Hijyenik) 2. (Sağ Hijyenik-Sol Veneer) Grup hastalarının sadece köprülerin Buccal ve Oral yüzeylerinde ortaya çıkan bakteri plaklarının değerlerini ele alarak, bunların Q.H indeksine göre hesaplamalar yapılmıştır. B. 1. (Sağ Veneer-Sol Hijyenik), 2. (Sağ Hijyenik-Sol Veneer) gruptaki hastaların köprülerin buccal yüzeyleri ile oral yüzeylerindeki ortaya çıkan, bakteri plaklarının değerlerini ele alarak bunların Q.H indekslerine göre hesaplamalar yapılmıştır. C- 1. (Sağ Veneer-Sol Hijyenik), 2. Sağ Hijyenik-So l Veneer) gruptaki hastaların kartlarından, alt ve üst yarım çenedeki, köprülerin dışında alt ve üst çenedeki köprülerin dışında alt ve üst çenedeki dişleri kapsayan bölgelerin Q.H değerlerine göre plak indeksi 3-7 ve 30'uncu günler için hesaplanmıştır. Sonuç: Veneer köprülerde, hijyenik köprüyle oranla daha çok plak birikimi olduğu, köprü gövdesinin şekliyle, plak birikimi arasında bir ilişki olduğu tespit edilmiştir. Veneer köprü gövdelerinde yapılan interproksimal yüzeyler, plak birikiminin artış olmasına neden olmaktadırlar. Köprü gövdesinin şekli, konum yeriyle plak birikimi arasında ilişki olduğu, Buccal yüzde, oral yüze oranla, daha fazla plak birikimi olmaktadır.
Aim: Throughout our lives, there are serious differences in our mouth due to what we eat and drink, and we are unfortunate enough to face losing our teeth. While tooth extraction can be a psychological trauma for all people, even a bad aesthetic appearance caused by a single tooth deficiency is enough to damage our self-confidence. It is a luminous and strong tissue gum covering the arms of the teeth and the alveolar part of the jawbones. Gingival tissue, which forms part of the periodontium, forms the part of the mouth mucosa close to the teeth. In this study, the effects of bridge body shapes on gingiva and marginal periodontium are investigated. Firstly, it was applied depending on periodontium hygiene, which of the different types of bridge bodies to be used in the side group teeth, which one is suitable for the relevant part. However, in the comprehensive literature studies conducted on this matter, it was also determined that different bridge body types were not examined in the hygienic body bridge while examining each other in terms of periodontal and histopathological aspects. Method: A descriptive scan will be made in this research. As a result of the conceptual evaluation, evaluations will be made within the framework of national and international literature. In addition, in the first appointments of the patients, all oral radiographs were taken in addition to the intraoral and extraoral controls, and clinical and radiological examinations were performed periodontally. The study was carried out as a control group and experimental group. In the first group, Veneer trunk bridge was made on the right lower half-jaw side of 10 patients and a hygienic trunk bridge (Massif trunk) on the lower left side. In the second group, a hygienic body bridge (Massif body bridge) was made on the lower right half-chin side of a total of 10 patients, and a bridge with a Veneer body on the lower left side. In the second group, the number of bridges is twenty, a total of 40 bridges were made to all patients and analyzes were performed. Results: Within the scope of the study, A. 1. (Right Veneer-Left Hygienic) 2. (Right Hygienic-Left Veneer) Group patients were evaluated only according to the QH index of the bacterial plaques on the Buccal and Oral surfaces of the bridges. B. Calculations were made according to the Q.H indices of the patients in the 1st (Right Veneer-Left Hygienic), 2nd (Right Hygienic-Left Veneer) group, by examining the bacterial surfaces of bridges and oral surfaces of bridges. C- According to the QH values of the patients in the 1st (Right Veneer-Left Hygienic), 2. Right Hygienic-So l Veneer) groups, the areas in the lower and upper half jaw, outside the bridges, outside the bridges in the lower and upper jaw, covering the teeth in the lower and upper jaw. index was calculated for days 3-7 and 30. Conclusion: It was determined that there is more plaque accumulation in the veneer bridges compared to the hygienic bridge, there is a relationship between the shape of the bridge body and the plaque accumulation. Interproximal surfaces made in the veneer bridge bodies cause an increase in plaque accumulation. The shape of the bridge body is more plaque accumulation than Buccal face, where there is a relationship between location and plaque accumulation.
Aim: Throughout our lives, there are serious differences in our mouth due to what we eat and drink, and we are unfortunate enough to face losing our teeth. While tooth extraction can be a psychological trauma for all people, even a bad aesthetic appearance caused by a single tooth deficiency is enough to damage our self-confidence. It is a luminous and strong tissue gum covering the arms of the teeth and the alveolar part of the jawbones. Gingival tissue, which forms part of the periodontium, forms the part of the mouth mucosa close to the teeth. In this study, the effects of bridge body shapes on gingiva and marginal periodontium are investigated. Firstly, it was applied depending on periodontium hygiene, which of the different types of bridge bodies to be used in the side group teeth, which one is suitable for the relevant part. However, in the comprehensive literature studies conducted on this matter, it was also determined that different bridge body types were not examined in the hygienic body bridge while examining each other in terms of periodontal and histopathological aspects. Method: A descriptive scan will be made in this research. As a result of the conceptual evaluation, evaluations will be made within the framework of national and international literature. In addition, in the first appointments of the patients, all oral radiographs were taken in addition to the intraoral and extraoral controls, and clinical and radiological examinations were performed periodontally. The study was carried out as a control group and experimental group. In the first group, Veneer trunk bridge was made on the right lower half-jaw side of 10 patients and a hygienic trunk bridge (Massif trunk) on the lower left side. In the second group, a hygienic body bridge (Massif body bridge) was made on the lower right half-chin side of a total of 10 patients, and a bridge with a Veneer body on the lower left side. In the second group, the number of bridges is twenty, a total of 40 bridges were made to all patients and analyzes were performed. Results: Within the scope of the study, A. 1. (Right Veneer-Left Hygienic) 2. (Right Hygienic-Left Veneer) Group patients were evaluated only according to the QH index of the bacterial plaques on the Buccal and Oral surfaces of the bridges. B. Calculations were made according to the Q.H indices of the patients in the 1st (Right Veneer-Left Hygienic), 2nd (Right Hygienic-Left Veneer) group, by examining the bacterial surfaces of bridges and oral surfaces of bridges. C- According to the QH values of the patients in the 1st (Right Veneer-Left Hygienic), 2. Right Hygienic-So l Veneer) groups, the areas in the lower and upper half jaw, outside the bridges, outside the bridges in the lower and upper jaw, covering the teeth in the lower and upper jaw. index was calculated for days 3-7 and 30. Conclusion: It was determined that there is more plaque accumulation in the veneer bridges compared to the hygienic bridge, there is a relationship between the shape of the bridge body and the plaque accumulation. Interproximal surfaces made in the veneer bridge bodies cause an increase in plaque accumulation. The shape of the bridge body is more plaque accumulation than Buccal face, where there is a relationship between location and plaque accumulation.
Açıklama
Anahtar Kelimeler
Periodonsiyum, Hijyenik gövdeli köprü, Massif gövdeli, Veneer köprü, Periodontium, hygienic body bridge, massif body, veneer bridge
Kaynak
İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
11
