Fluorid Kullanımı, Dental Fluorozis ve Tedavisinde Güncel Yaklaşımlar

Dental fluorozis dişlerin, gelişim sırasında yüksek konsantrasyonlarda fluoride maruz kalması sonucu minenin mineral içeriğinin azalması ve pörözitesinin artmasına yol açan gelişimsel mine defektidir. Dental fluorozisin çeşitliliği diş dokularının ne zaman ve ne kadar süre yüksek konsantrasyonda fluoride maruz kaldığına, bireysel faktörlere, kiloya, fiziksel aktivite derecesine, beslenme faktörlerine ve kemik gelişimine bağlı olarak bireyden bireye farklılık gösterebilir. Dental fluorozis için en iyi koruyucu mekanizma, fluorid alınımının kontrolü olsa da, fluorozis ortaya çıkmış ve hastaya estetik problemler yaratmakta ise literatürde hastanın durumuna uygun tedavi seçenekleri mevcuttur. Bu derlemede fluorid kullanımı, dental fluorozis ve tedavisinde kullanılan güncel yaklaşımlardan bahsedilmektedir

Anahtar Kelimeler:

Fluorid, Dental fluorozis, Güncel yaklaşımlar

Fluoride Administration, Dental Fluorosis and the New Treatment Approaches in Fluorosis

Dental fluorosis is a developmental enamel defect which occurs as a result of exposure to fluoride at high concentrations during teeth development that leads to decreased mineral content of enamel and an increase in porosity. Dental fluorosis may vary due to the time, period and fluoride concentration exposal, individual factors such as weight, physical activity, dietary habits and bone development. Even if the best protective mechanisim against dental fluorosis is the control of fluor intake, once fluorosis is observed and patient feels discomfort due to the estheteic problems, the treatment options should be considered as in literature. In this manner, this review reports the fluoride usage, dental fluorosis and the new treatment approaches

Keywords:

fluoride, dental fluorosis, new approaches,

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Atabey E. Tıbbi Jeoloji. Jeoloji Mühendisleri Oda- sı Yayınları 216-217,2005.
Venkateswarlu P. Evaluation of analytical met- hods for fluorine in biological and related materi- als. J. Dent. Res. 69 514-521,1990.
Oruc N. Occurence and Problems of High Fluori- de Waters in Turkey: an Overview. Environmen- tal geochemistry and health 30: 315-323,2008.
Ergun HS, Russel-Sinn HA, Baysu N, Dundar Y. Studies on the fluoride contents in water and soil, urine, bone and teeth of sleep, and urine of human from eastern and western parts of Turkey. Dtsch. Tierarztl. Wochenschr. 94: 416-420,1987.
Kaminsky LS, Mahoney MC, Leach J, Melius J, Miller MJ. Fluoride: benefits and risks of exposu- re. Crit. Rev. Oral. Biol. Med.1: 261-281,1990.
WHO. Guidelines for Drinking- Water Quality. Geneva ,221-459,1990.
Caglar M, Cengiz A. Pediatride Flor ve Önemi. Türkiye Klinikleri Pediatri 5:1-9,1996.
Pinkham J CP, Fields HW, McTigue DJ, Nowak A. Pediatric Dentistry: Infancy Through Adoles- cence.Tulunoğlu Ö, Tortop T (Çev), 4. Baskı, An- kara, Atlas Kitapçılık, 2009.
Richards LF, Westmoreland WW, Tashiro M, McKay CH, Morrison JT. Determining optimum fluoride levels for community water supplies in relation to temperature. J. Am. Dent. Assoc. 74: 389-397,1967.
Avcı B, Baysal SU, Gökçay G. Çocuklarda Flor Kullanımının Yarar ve Zararlarının Değerlendiril- mesi. Çocuk Dergisi 9: 8-15,2009.
McDonagh MS, Whiting PF, Wilson PM, Sutton AJ, Chestnutt I, Cooper J, et al. Systematic review of water fluoridation. BMJ 321: 855-859,2000.
Ankara Su ve Kanalizasyon İdaresi Başkanlığı. 01-30 Haziran 2013 tarihleri arasında Anka- ra halkına sunulan içme suyu analizi (online) 2013: URL:http://www.ankara.bel.tr/haberler/ ankaranin-icme-suyu-tertemiz-piril-piril/#.UrNp- fRdVQE.
T.C Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü. Türkiyenin Su Flor Haritası, Ankara.2003.
Kahama RW, Damen JJ, ten Cate JM. The ef- fect of intrinsic fluoride in cows’ milk on in vitro enamel demineralization. Caries Res. 32: 200- 203,1998.
Küçükeşmen Ç, Sönmez, H. Diş hekimliğinde flo- run, insan vücudu ve dişler üzerindeki etkilerinin değerlendirilmesi.Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 15: 43-53,2008.
Villena RS. An investigation of the transverse technique of dentifrice application to reduce the amount of fluoride dentifrice for young children. Pediatr. Dent. 22: 312-317, 2000.
Negri HM, Cury JA. [Dose-response effect of a dentifrice formulation with low fluoride concent- ration - an in vitro study]. Pesqui Odontol. Bras. 16: 361-365,2002.
Stookey GK, Mau MS, Isaacs RL, Gonzalez- Gierbolini C, Bartizek RD, Biesbrock AR. The relative anticaries effectiveness of three fluoride- containing dentifrices in Puerto Rico. Caries Res. 38: 542-550, 2004.
Steiner M, Helfenstein U, Menghini G. Effect of 1000 ppm relative to 250 ppm fluoride tooth- paste. A meta-analysis. Am. J. Dent. 17: 85- 88,2004.
Nagpal DI, Damle SG. Comparison of salivary fluoride levels following use of dentifrices contai- ning different concentrations of fluoride. J Indian Soc. Pedod. Prev. Dent. 25: 20-22,2007.
Sonju Clasen AB, Ogaard B, Duschner H, Ruben J, Arends J, Sonju T. Caries development in fluo- ridated and non-fluoridated deciduous and per- manent enamel in situ examined by microradiog- raphy and confocal laser scanning microscopy. Adv. Dent. Res. 11: 442-447,1997.
Do LG, Spencer AJ. Risk-benefit balance in the use of fluoride among young children. J. Dent. Res. 86: 723-728,2007.
Evans D. APF foam does reduce caries in primary teeth. Evid. Based Dent. 8: 7, 2007.
Jiang H, Tai B, Du M, Peng B. Effect of professio- nal application of APF foam on caries reduction in permanent first molars in 6-7-year-old child- ren: 24-month clinical trial. J. Dent. 33: 469- 473,2005.
Alvarez JA, Rezende KM, Marocho SM, Alves FB, Celiberti P, Ciamponi AL. Dental fluorosis: ex- posure, prevention and management. Med. Oral Patol. Oral Cir. Bucal 14:103-107,2009.
Den Besten PK. Dental fluorosis: its use as a bi- omarker. Advances in dental research 8: 105- 110,1994.
Burt BA. The changing patterns of systemic fluori- de intake. J. Dent. Res. 71: 1228-1237,1992.
Tabari ED, Ellwood R, Rugg-Gunn AJ, Evans DJ, Davies RM. Dental fluorosis in permanent incisor teeth in relation to water fluoridation, social dep- rivation and toothpaste use in infancy. Br. Dent. J. 189: 216-220,2000.
Catani DB, Hugo FN, Cypriano S, Sousa Mda L, Cury JA.Relationship between fluoride levels in the public water supply and dental fluorosis. Rev. Saude Publica 41: 732-739, 2007.
An epidemiological index of developmental de- fects of dental enamel (DDE Index). Commission on Oral Health, Research and Epidemiology. Int. Dent. J. 32: 159-167, 1982.
Seale NS, Thrash WJ. Systematic assessment of color removal following vital bleaching of intrinsically stained teeth. J. Dent. Res. 64: 457- 461,1985.
Ekstrand J FO, Silverstone LM. Fluoride in Den- tistry. 1. Copenhagen, Munksgaard.: 1988.
Thylstrup A, Fejerskov O. Clinical appearance of dental fluorosis in permanent teeth in relation to histologic changes. Community Dent. Oral Epide- miol. 6: 315-328, 1978.
Loguercio AD, Correia LD, Zago C, Tagliari D, Neumann E, Gomes OM, et al. Clinical effecti- veness of two microabrasion materials for the re- moval of enamel fluorosis stains. Oper. Dent. 32: 531-538, 2007.
Younger HB. Bleaching Mottled Enamel. Texas Dental Journal 60: 467-470, 1942.
Ames JW. Removing Stains From Mottled Ena- mel. JADA 24: 1674-1677,1937.
Akpata ES. Occurrence and management of den- tal fluorosis. Int. Dent. J. 51: 325-333, 2001.
Wray A, Welbury R. UK National Clinical Gui- delines in Paediatric Dentistry: Treatment of int- rinsic discoloration in permanent anterior teeth in children and adolescents. Int. J. Paediatr. Dent. 11: 309-315, 2001.
Premier Dental Products. Prema Enamel Microab- rasion System. [online]2010: URL : http://www. premusa.com/dental/whitening.asp#prema
Allen K, Agosta C, Estafan D. Using microabra- sive material to remove fluorosis stains. J. Am. Dent. Assoc. 135: 319-323, 2004.
Peneva M. Treatment of Dental Fluorosis. Journal of IMAB Annual Proceeding;2008.
Price RB, Loney RW, Doyle MG, Moulding MB. An evaluation of a technique to remove stains from teeth using microabrasion. J. Am. Dent. As- soc. 134: 1066-1071, 2003.
Loyola-Rodriguez JP, Pozos-Guillen Ade J, Hernandez-Hernandez F, Berumen-Maldonado R, Patino-Marin N. Effectiveness of treatment with carbamide peroxide and hydrogen peroxide in subjects affected by dental fluorosis: a clinical tri- al. J. Clin. Pediatr. Dent. 28: 63-67, 2003.
Sarrett DC. Tooth whitening today. J Am Dent As- soc 133: 1535-1541, 2002.
Segura A, Donly KJ, Wefel JS. The effects of microabrasion on demineralization inhibition of enamel surfaces. Quintessence Int. 28: 463-466, 1997.