İNTRAORAL TEDAVİLERİ TAMAMLAYICI PERİORAL BÖLGEDEKİ ESTETİK ÇALIŞMALAR

Günümüzde diş hekimliğindeki gelişmelere paralel olarak hastaların estetik beklentileri artmıştır. Temelde diş hekimleri mikroestetikten sorumlu olmasına rağmen, son yıllarda hastalar makroestetik olarak adlandırılan ve fasiyal bölgeyi içeren uygulamaları da talep etmek- tedirler. Makroestetik sağlamak amacıyla günümüze kadar sıklıkla kullanılan cerrahi yöntemlere alternatif olarak dermal dolgular geliştirilmiştir. Dermal dolgu- larla yumuşak doku ogmentasyonu yapılarak fasiyal bölgedeki kırışıklıkların, ince dudak görünümü- nün, fasiyal asimetrinin, bukkal bölgedeki depresy- onların tedavileri gerçekleştirilebilir. Diş hekimleri için yüzün alt 1/3 bölgesindeki makroestetik sorunlar büyük önem taşımaktadır. Bu bölgelerdeki sorunların giderilmesi için diş hekimleri üzerine düşen görevleri yapmalıdır. Ancak bu uygulamalar için gerekli temel eğitimi alma- lıdırlar. Bu makalede intraoral tedavileri tamamlayıcı perioral bölgedeki makroestetik tedavi alternatifleri gözden geçirilmiş olup, diş hekimlerinin görev ve sorumlulukları litaratürler ışığında tartışılmıştır.

Anahtar Kelimeler:

Diş hekimliği, enjeksiyon, estetik, perioral

ESTHTETİC APPLICATIONS AT PERIORAL REGION THAT FULFILL INTRAORAL TREATMENTS

Patients’ esthetic expectations have increased with the improvements at dentistry field. Dentists are responsible of microesthetics by the applications which are held intraorally. However, patients demand the facial applications which are called macroesthetics. For removing the wrinkles, dermal fillers have been developed as an alternative to the surgery methods. With the treatment of soft tissue augmentation dermal fillers can eradicate the wrinkles, thin lips, asymmetrical facial appearance and buccal depressions. The wrinkles are localized mostly at the 1/3 inferior facial region at face that cause most of the problems to the dentists. For the treatment of these problems, dentists should be educated andthey should do their duty. In this article, the esthtetic applications at perioral region that fulfill intraoral treatments alternatively are reviewed and discussed the mission and responsibility of dentists

Keywords:

Dentistry, esthetics, injection, perioral,

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Lemperle G, Romano JJ, Busso M. Soft tissue augmentation with artecoll: 10-year history, indications, Dermatol Surg2003; 29: 573–87. and complications.
Lombardi T, Samson J, Plantier F, Husson C, Kuffer R. Orofacial granulomas after injection of cosmetic fillers. Histopathologic and clinical study of 11 cases. J Oral Pathol Med 2004; 33: 115–20.
Narins RS, Bowman PH. Injectable skin fillers. Clin Plast Surg 2005; 32: 151–62.
Anderson GBB, Beernink KJ, Thornton RL, Emanuel MA. Hidrogen-induced platelets in disordered silicon. Solid State Commun 1996; 6: 421–31.
Alster TS, West TB. Human-derived and new synthetic injectable materials for soft-tissue augmentation: current status and role in cosmetic surgery. Plast Reconstr Surg 2000; 105: 2515–25.
Klein AW, Elson ML. The history of substances for soft tissue augmentation. Dermatol Surg 2000; 26:1096–105.
Scaflani AP, Romo T. Injectable fillers for facial soft tissue enhancement. Facial Plast Surg 2000; 16:28–34.
Haneke E. Polymethyl methacrylate microspheres in collagen. Semin Cutan Med Surg 2004; 23: 227– 32.
Nair LS, Laurencin CT. Biodegradable polymers as biomaterials. Prog Polym Sci 2007; 9: 762–98.
Eppley BL. Biomechanical testing of alloplastic PMMA cranioplasty materials. J Craniofac Surg 2005;16: 140–13.
Owens JM. Soft tissue implants and fillers. Otolaryngol Clin North Am 2005; 38: 361.
Buck DW, Alam M, Kim JYS. Injectable fillers for facial rejuvenation: a review. J Plast Reconstr Aesthet Surg 2009; 62: 11–8.
Zimmermann US, Clerici TJ. The histological aspects of fillers complications. Semin Cutan Med Surg 2004; 23: 241–50.
Lemperle G, Gauthier-Hazan N, Wolters M. Complications after dermal fillers and their treatment.Handchir Mikrochir Plast Chir 2006; 38: 354–69.
Athre RS, Park J, Leach JL. The effect of a hydrogen peroxide wound care regimen on tensile strength of suture. Arch Facial Plast Surg 2007; 9: 281–4.
Smith KC. Reversible vs. nonreversible fillers in facial aesthetics: concerns and considerations. Dermatol Online J 2008; 14: 3.
Thioly-Bensoussan D.
Non-hyaluronic acid
fillers.Clin Dermatol 2008; 26: 160–76.
Baumann L. Soft tissue augmentation. Turkiye Klinikleri J Cosm Dermatol-Special Topics 2003; 4: 186-204.
Klein AW. Soft tissue augmentation 2006: filler fantasy. Dermatol Ther 2006;19:129-33.
Smith L. Histopathologic characteristics and ultrastructure of aging skin. Cutis 1989;43:414–24.
Fenske NA, Lober CW. Structural and functional changes of normal aging skin. J Am Acad Dermatol
Uitto J. Connective tissue biochemistry of the aging dermis. Age-related alterations in collagen and elastin. Dermatol Clin 1986; 4:433–46.
Stegman SJ. Zyderm collagen. Clinical efficacy and tolerance. Rev Laryngol Otol Rhinol (Bord) 1987; 108:23–6.
Cohen SR, Holmes RE. Artecoll: a long-lasting injectable wrinkle filler material. Report of a controlled, randomized, multicenter clinical trial of 251 subjects. Plast Reconstr Surg 2004;114:964– 77.
Carruthers J, Klein AW, Carruthers A, Glogau RG, Canfield D. Safety and efficacy of nonanimal stabilized hyaluronic acid for improvement of mouth corners. Dermatol Surg 2005;31:276–80.
Narins RS, Brandt F, Leyden J, Lorenc ZP, Rubin M, Smith S. A randomized, double-blind, multicenter comparison of the efficacy and tolerability of Restylane versus Zyplast for the correction of nasolabial folds. Dermatol Surg 2003;29:588–95.
Duranti F, Salti G, Bovani B, Calandra M, Rosati ML. Injectable hyaluronic acid gel for soft tissue augmentation. A clinical and histological study. Dermatol Surg 1998;24:1317–25.
Naumann M, Jankovic J. Safety of botulinum toxin type A:a systematic review and meta-analysis. Curr Med Res Opin 2004;20:981–90.
Patel MP, Talmor M, Nolan WB. Botox and collagen for glabellar furrows: advantages of combination therapy. Ann Plast Surg 2004;52:442–7.
Neuber F. Fettransplantation [in German]. Deutsche Kongressband/ Chirurgie. 1893;22:66. Gesellschaft fu¨r
Gersuny JS. Hard-paraffin prosthesis. Zentralblatt für Chirurgie 1903;1:86–8.
Maas CS, Papel ID, Greene D, Stoker DA. Complications of injectable synthetic polymers in facial augmentation. Dermatol Surg 1997;23:871– 7.
Millikan L, Banks K, Purkait B, Chungi V. A 5-year safety and efficacy evaluation with fibrel in the correction of cutaneous scars following one or two treatments. J Dermatol Surg Oncol 1991;17:223–9.
Weigel PH, Frost SJ, LeBoeuf RD, et al. The specific interaction between fibrin(ogen) and hyaluronan: haemostasis, inflammation and wound healing. Ciba Found Symp 1989;143:248. in
Schiller S. Synthesis of hyaluronic acid by a soluble enzyme system from mammalian tissue. Biochem Biophys Res Commun 1964;15:250e5.
Friedman PM, Mafong EA, Kauvar ANB, et al. Safety data of injectable nonanimal stabilized hyaluronic acid gel for soft tissue augmentation. Dermatol Surg 2002;28:491e4.
al Sacco D, Cozzani E, Parodi A, et al. Scar sarcoidosis after hyaluronic acid injection. Int J Dermatol 2005;44:411e2.
Sommer B, Sattler G. Current concepts of fat graft survival: histology of aspirated adipose tissue and review of the literature. Dermatol Surg 2000;26:1159–66.
Moody BR, Sengelmann RD. Self-limited adverse reaction to human-derived collagen injectable product. Dermatol Surg 2000;26:936-8.
Tzikas TL. Evaluation of the radiance FN soft tissue filler for facial soft tissue augmentation. Arch Facial Plast Surg 2004;6:234-9.
Sklar JA, White SM. Radiance FN: a new soft tissue filler. Dermatol Surg 2004;30:764–8.
Soyer T, Lempinen M, Cooper P, Norton L, Eiseman B. A new venous prosthesis. Surgery 1972; 72: 864–72.
Berger RA. Use of silicone injections in facial defects. Arch Otolaryngol 1975;101:525–7.
Ellenbogen R, Rubin L. Injectable fluid silicone therapy. Human morbidity and mortality. JAMA 1975;234:308–9.
Rapaport MJ, Vinnik C, Zarem H. Injectable silicone: cause of facial nodules, cellulitis, ulceration, and migration. Aesthet Plast Surg
Ashley FL, Thompson DP, Henderson T. Augmentation of surface contour by subcutaneous injections of silicone fluid. A current report. Plast Reconstr Surg 1973;51:8–13.
Achauer BM. A serious complication following medicalgrade silicone injection of the face. Plast Reconstr Surg 1983;71:251–4.
Lowe NJ, Maxwell CA, Patnaik R. Adverse reactions to dermal fillers: review. Dermatol Surg 2005; 31: 1616e25.