Nursel AKKAYA, Berna ÇAĞIRANKAYA, Sema DURAL

HAREKETLİ PROTEZ KULLANIMI İLE İLİŞKİLİ ORAL MUKOZA LEZYONLARI VE RİSK FAKTÖRLERİ

Hareketli protez kullanımı ile ilişkili oral mukoza lezyonlarına protez kullanan hastaların yaklaşık %50’sinde rastlanmaktadır. Bu lezyonlardan bazıları enfeksiyöz orijinlidir. Çeşitli lokal ve sistemik risk faktörleri bu lezyonların gelişimine katkıda bulunabilmektedir. Risk faktörleri; hatalı ya da doku uyumu bozuk protezlerin oral mukozada yol açtığı travmatik yaralanma, kötü ağız ve protez hijyeni, protezlerin devamlı kullanılması, protezlerin uzun yıllar kullanılmasını içerir. İlaç tedavileri, sistemik hastalıklar ve beslenme bozuklukları gibi diğer risk faktörleri de lezyonların gelişimini ve şiddetini etkileyebilir. Yaşlı hastalar bu lezyonların ortaya çıkmasına daha yatkındırlar. Lezyonlar genellikle asemptomatik olduğu için, intraoral muayene sırasında tesadüfi bir bulgu olarak saptanır. Hareketli protez kullanımına bağlı oral mukoza lezyonları; protez stomatiti, angular şelitis, mesnetsiz kret, epulis fissuratum, fibroepitelyal polip, travmatik ülser, travmatik fibrom, friksiyonel keratozis ve oral karsinomdur. Protezlerin oral mukozada oluşturduğu kronik travmanın mukozayı oral ve orofaringeal karsinom gelişimine yatkın hale getirebildiğine dair kanıtlar vardır. Bu lezyonların önlenmesi için hastaların protezlerin hijyeninin önemi, protez kullanımına ilişkin önerilere uyulması konularında bilgilendirilmeleri gereklidir. Protez kullanan hastalar oral mukoza lezyonları ve protezlerin değerlendirilmesi için düzenli olarak kontrollere çağırılmalıdırlar. Anahtar Kelimeler: Hareketli protez, oral mukoza lezyonları, protez stomatiti, travmatik ülser, oral karsinoma Removable denture-related oral mucosal lesions and risk factorsRemovable denture-related oral mucosal lesions are encountered in almost half of the denture wearers. Some of these lesions have an infectious origin. Several local and systemic risk factors may contribute to development of the lesions. Predisposing factors include chronic traumatic injury of oral mucosa caused by defective or ill-fitting dentures, poor oral and denture hygiene, continual wearing of dentures, increasing age of the denture. Other risk factors such as medications, systemic diseases, malnutrition may also effect the development and severity of the lesions. Elderly patients are more prone to occurrence of these lesions. Since the lesions are usually asymptomatic, they are discovered as an incidental finding in intraoral examination. Removable denture-related oral mucosal lesions include denture stomatis angular cheilits flabby ridge epulis fissuratum fibroepithelial polyp, traumatic ulcers tratumatic fibroma fractional keratosis and oral carcinoma here are evidences that chronic trauma of the oral mucosa by denture may predispose mucosa to the development of oral and oropharenyngeal carcinomas. In order to prevent of these lesions, patients should be informed about the importance of denture hygiene and to follow the instructions related to denture usage. Denture wearers should be recalled regularly for the evaluation of oral mucosal lesions and dentures. Key Words: Removable denture, oral mucosal lesions, denture stomatitis, traumatic ulcer, oral carcinoma

Anahtar Kelimeler:

Hareketli protez, oral mukoza lezyonları, protez stomatiti, travmatik ülser

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