Publication: Ortodontik Tedavi Sonrası Ektopik Maksiller Kaninlerin Keratinize Dişeti Genişliğindeki Değişim
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Date
2022-08-01
Authors
ACAR, YASEMİN BAHAR
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Abstract
Amaç: Vestibülde ve infraoklüzyonda bulunan ektopik kaninlerin
ortodontik tedavisi amacıyla birinci premolar çekimi uygulanmış
vakalarda, üst kaninlerin keratinize dişeti genişliğindeki değişimleri
incelemektir.
Gereç ve Yöntemler: Bu kontrollü klinik çalışmada, üst kanin dişleri
vestibülde ektopik bulunan (>2 mm) ve birinci premolar çekimli
ortodontik tedavi uygulanmış 50 bireye (ortalama yaş: 18.1 yıl) ait 63
maksiller kanin diş çalışma grubunu oluşturmuştur. Kontrol grubu
olarak, çekimsiz ortodontik tedavi uygulanmış ve tedavi sırasında üst
kanin dişlerinde klinik olarak belirgin bir dikey hareket olmayan (≤2
mm) 20 bireye (ortalama yaş: 15.8 yıl) ait 20 maksiller kanin diş
kullanılmıştır. Tedavi öncesi (T1) ve tedavi sonrası (T2) ağız içi
fotoğraflar, geleneksel alçı modeller ve panaromik radyografi kayıtları
kullanılmıştır. Ağız içi frontal fotoğraflarda kanin dişin keratinize dişeti
genişliği ölçülmüştür. Kanin dişlerin dikey yöndeki yer değişimi sert
damak düzlemi referans alınarak panoramik röntgenler üzerinde
ölçülmüştür.
Bulgular: Çalışma ve kontrol gruplarında kanin dişin dikey yer
değişimi oklüzal yönde ve istatistiksel olarak anlamlı (sırasıyla 3.45
mm, p=0.000; 0.73 mm, p=0.013) bulunurken; keratinize dişeti
genişliğinde anlamlı artış (sırasıyla 1.23 mm, p=0.000; 0.25 mm,
p=0.016) bulunmuştur. Çalışma grubunda ölçülen değişimler
cinsiyet ve yaştan bağımsız (p>0.05) ve kontrol grubuna göre
anlamlı olarak daha yüksektir (p=0.000). Dikey yer değişimi ile dişeti
genişliğindeki artışın ilişkisi incelendiğinde, dikey hareketin 2-4 mm
olduğu örneklemde anlamlı korelasyon bulunamazken (r=0.01); ≥4
mm olduğu örneklemde yüksek korelasyon (r=0.563) bulunmuştur.
Sonuç: Ektopik kaninlerin ortodontik tedavisi sonrasında ağız içinde
gerçekleşen klinik dişeti artışını ve bu artışın dikey hareket miktarı ile
pozitif yönlü ilişkisini gösteren kontrollü bir klinik çalışma olması
sebebiyle sonuçlar anlamlıdır.
Diş Eti, Düzeltici Ortodonti, Ektopik Diş Çıkması
Background: To examine the changes in keratinized gingival width in cases where first premolar extraction was applied for the orthodontic treatment of ectopic canines. Methods: In this controlled clinical study, 63 maxillary canine teeth of 50 individuals (mean age: 18.1 years), who had undergone orthodontic treatment with first premolar extraction due to ectopic canines, constituted the study group. The control group included 20 maxillary canines of 20 individuals (mean age: 15.8 years) who were treated with nonextraction protocol and had no clinically significant vertical movement (≤2mm) in the upper canine during treatment. Pre-treatment (T1) and post-treatment (T2) intraoral photographs, plaster models and panoramic radiographs were used. Keratinized gingival width of the canine was measured in intraoral frontal photographs. Vertical displacement of canine was measured on panoramic x-rays with reference to the palatal plane. Results: Vertical displacement of the canine in study and control groups was occlusally and significant (3.45 mm, p=0.000; 0.73 mm, p=0.013, respectively). The increase in keratinized gingival width was significant (1.23 mm, p=0.000; 0.25 mm, p=0.016, respectively). Changes were independent of gender and age (p>0.05). When the relationship between vertical displacement and increase in gingival width was examined, no significant correlation was found in the sample with vertical movement of 2-4 mm (r=0.01); High correlation (r=0.563) was found in the sample with ≥4 mm displacement. Conclusion: This controlled clinical study showed the clinical increase in keratinized gingival width after orthodontic treatment of ectopic canines and the positive relationship of this increase with the amount of vertical movement. Corrective Orthodontics, Ectopic Tooth Eruption, Gingiva
Background: To examine the changes in keratinized gingival width in cases where first premolar extraction was applied for the orthodontic treatment of ectopic canines. Methods: In this controlled clinical study, 63 maxillary canine teeth of 50 individuals (mean age: 18.1 years), who had undergone orthodontic treatment with first premolar extraction due to ectopic canines, constituted the study group. The control group included 20 maxillary canines of 20 individuals (mean age: 15.8 years) who were treated with nonextraction protocol and had no clinically significant vertical movement (≤2mm) in the upper canine during treatment. Pre-treatment (T1) and post-treatment (T2) intraoral photographs, plaster models and panoramic radiographs were used. Keratinized gingival width of the canine was measured in intraoral frontal photographs. Vertical displacement of canine was measured on panoramic x-rays with reference to the palatal plane. Results: Vertical displacement of the canine in study and control groups was occlusally and significant (3.45 mm, p=0.000; 0.73 mm, p=0.013, respectively). The increase in keratinized gingival width was significant (1.23 mm, p=0.000; 0.25 mm, p=0.016, respectively). Changes were independent of gender and age (p>0.05). When the relationship between vertical displacement and increase in gingival width was examined, no significant correlation was found in the sample with vertical movement of 2-4 mm (r=0.01); High correlation (r=0.563) was found in the sample with ≥4 mm displacement. Conclusion: This controlled clinical study showed the clinical increase in keratinized gingival width after orthodontic treatment of ectopic canines and the positive relationship of this increase with the amount of vertical movement. Corrective Orthodontics, Ectopic Tooth Eruption, Gingiva
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Keywords
Corrective Orthodontics, Ectopic Tooth Eruption, Gingiva, Diş Eti, Düzeltici Ortodonti, Ektopik Diş Çıkması
Citation
ACAR Y. B., Kılıç H. E., "Ortodontik Tedavi Sonrası Ektopik Maksiller Kaninlerin Keratinize Dişeti Genişliğindeki Değişim", Selcuk Dental Journal, cilt.9, sa.2, ss.465-470, 2022