Ayşe KOÇAK, Şebnem Begüm TÜRKER, Yasemin ÖZKAN, Elif COŞKUN

Tam Protez Hastalarında Palatal Sağlık: Doku Düzenleyiciler ve Klorheksidin Glukonat Ağız Gargaraları Ne Kadar Süre Kullanılmalıdır?

Amaç: Tam protez kullanımı sonucu damak bölgesinde eritema olan hastaların tedavisinde rutin olarak kullanılan klorheksidin glukonat ağız gargarasının ve doku düzenleyicilerin etkisini retrospektif olarak değerlendirmektir. Yöntemler: Kliniğimize başvuran tam protez kullanan ve palatal bölgesinde eritem bulunan hastaların klinik tedavisi süresince palatinal orta hattından alınan fotoğraflar incelendi ve Butz Jorgensen Indeksine göre değerlendiridi. Hastalar 3 gruba ayrıldı (n=8). Birinci gruba doku düzenleyici, ikinci gruba sadece % 0,2’lik klorheksidin glukonat ağız gargarası verildi üçüncü gruba her iki yöntem birlikte uygulandı. Tüm gruplar için değerlendirme süresi iki hafta olarak belirlendi. Hastaların palatal orta hat bölgesinden başlangıç, tedaviden 1. hafta ve 2. hafta sonrasında ağız içi fotoğraflar çekildi. Niteliksel verilerin karşılaştırılmasında Ki-Kare testi, parametrelerin grup içi karşılaştırmalarında ise Wilcoxon işaret testi kullanıldı. Anlamlılık p<0,05 düzeyinde değerlendirildi. Bulgular: Başlangıçta tüm grupların enflamasyon seviyeleri arasında istatistiksel olarak anlamlı bir farklılık bulunmadı. Tüm enflamasyon seviyeleri ciddi olarak skorlandı (p>0,05).Doku düzenleyici ve %0,2’lik klorheksidin glukonat ağız gargarasının birlikte kullanımının palatal enflamasyonun azalmasında etkili olduğu görüldü. Sonuç: Tam protez kullanımı sonucu meydana gelen palatal enflamasyon tedavisinde 2 haftalık doku düzenleyici ve %0,2’lik klorheksidin glukonat ağız gargarasının kullanımı etkilidir.

Anahtar Kelimeler:

Palatal enflamasyon, tam protez, doku düzenleyici, klorheksidin glukonat ağız gargarası

Palatal Health of Those Wearing Complete Dentures: For How Long Must a Tissue Conditioner and Chlorhexidine Gluconate Mouthrinse be Used?

Objective: Palatal inflammation is usually observed in poorly cleaned dentures. The aim of this study was to retrospectively evaluate the time for which a chlorhexidine gluconate mouthrinse (CGM) and tissue conditioner (TC), which are routinely used in daily clinical practice, should be used on palatal erythema patients wearing complete dentures. Methods: Intraoral pictures taken during the clinical treatment of palatal erythemic patients were evaluated using the Budtz-Jorgensen index. Twenty-four patients wearing complete dentures who had palatal erythema were divided into three groups (n=8): Group 1 patients applied the TC only, group 2 patients, used a 0.2% CGM only, and group 3 patients used the 0.2% CGM and denture relines with the TC. The treatment duration in all groups was 14 days. Intraoral pictures were taken from the palatal area at the baseline and at 1 and 2 weeks after treatment and were evaluated using the Budtz-Jorgensen index. The chi-square test and Wilcoxon signed-Ranks test were used to compare data (p<0.05). Results: There was no statistically significant difference in inflammation levels among all groups at the baseline. All inflammation levels were severe (p>0.05). The group with the combined use of the TC and 0.2% CGM was found to be effective in reducing palatal inflammation. Conclusion: The combined use of the TC and 0.2% CGM for 2 weeks is effective in the treatment of palatal inflammation due to complete dentures.

Keywords:

Palatal inflammation, complete denture, tissue conditioner, chlorhexidine gluconate mouthrinse,

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