Sühan GÜRBÜZ, Zeynep TURGUT ÇANKAYA, Mazlum Bülent KURTİŞ

Sigara Kullanımının Palatal Çiğneme Mukozasının Mikrosirkülasyonu ve Kalınlığı Üzerine Etkisinin Değerlendirilmesi

Amaç: Bu çalışmada sigara kullanımının yumuşak doku ogmentasyonunda alıcı saha olarak kullanılan palatal çiğneme mukozasındaki mikrosirkülasyona ve kalınlığa etkisinin değerlendirilmesi ve mukoza kalınlığı ile mikrosirkülasyon arasındaki ilişkinin belirlenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmamıza yaşları 28-48 arasında değişen sigara kullanan (n=16) ve kullanmayan (n=15) diş eti çekilmesi nedeniyle kliniğe başvurmuş olan hastalar dahil edildi. Bu hastalardaki palatal mukoza kalınlığı anterior ve posterior bölgede transgingival sondlama yöntemi ile kaydedildi. Mukozanın mikrokanlanması ise laser Doppler flowmetri (LDF) aracılığı ile siyanoakrilat ile sabitlenerek perfuzyon ünitesi (PU) cinsinden veriler kaydedildi. Verilerin istatistiksel analizleri bağımsız iki örnek t-testi veya Mann Whitney U testi ile yapıldı. Bulgular: Palatal mukoza kalınlığı ve LDF ölçümlerinin ortalaması sırasıyla anterior bölgede 3.5 mm ve 183 PU iken, posterior bölgede ise 2.7 mm ve 218 PU bulundu. Sigara kullanan hastalarda, kullanmayanlara göre perfüzyon ünit ve palatal mukoza kalınlıkları yönünden aralarında istatistiksel farklılık görülmedi. Palatal mukoza kalınlığının anteriorda posteriora göre istatistiksel olarak daha yüksek olduğu, LDF’nin ise daha düşük olduğu bulgulandı (p<0.05). Sonuç: Bu çalışma, sigara tüketiminin palatal mukozanın LDF değeri ve kalınlığını değiştirmediğini göstermiştir. Ayrıca, palatal mukozadaki bölgesel değişikliklerin olabileceği, bu nedenle yumuşak doku alırken damağın kalınlığının yanında damağın kan akışının da göz önünde bulundurulması önerilmektedir.

Anahtar Kelimeler:

Damak, lazer Doppler flowmetri, mikrosirkülasyon, sigara içenler

Assessment of the Effect of Smoking on Microcirculation and Thickness in Palatal Mucosa

Objective: This study was aimed to evaluate the effect of smoking on the microcirculation and thickness of the palatal masticatory mucosa, which is widely used as a receptive field for soft tissue augmentation, and to determine the relationship between mucosal thickness and perfusion. Materials and Methods: Smoker (n=16) and non-smoker (n=15) patients aged between 28-48 who applied to the clinic due to gingival recession were included in our study. Palatal mucosal thickness in these patients was recorded in the anterior and posterior regions by transgingival probing method. Microcirculation of the palatal mucosa was fixed with cyanoacrylate by means of a laser Doppler flowmeter (LDF), and data in perfusion units (PU) were recorded. Statistical analyzes of the data were performed with an independent two-sample t-test or the Mann Whitney U test. Results: The mean palatal mucosal thickness and LDF measurements were 3.5 mm and 183 PU in the anterior region, and 2.7 mm and 218 PU in the posterior region, respectively. There was no statistical difference between smokers and non-smokers in terms of perfusion unit and palatal mucosal thicknesses. It was found that the palatal mucosa thickness was statistically higher in the anterior compared to the posterior, and the PU was lower (p<0.05). Conclusion: This study showed that tobacco use did not change the LDF value and thickness of the palatal mucosa. In addition, there may be regional changes in the palatal mucosa, therefore it is recommended to evaluate the blood flow of the palate as well as the thickness of the palate while soft tissue augmentation.

Keywords:

Laser doppler flowmetry, microcirculation, palate, smokers,

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