Ayşe KOÇAK BÜYÜKDERE, Kübra DEĞİRMENCİ, Bahar ODABAŞI ÖZGÜR

TAM PROTEZ KULLANMAYA BAŞLAYAN HASTALARIN HAYAT KALİTESİNİN VE ÇİĞNEME ETKİNLİĞİNİN İNCELENMESİ

Amaç: Tam protezler ile kaybedilen çiğneme fonksi- yonun kazanılması amaçlanır. Tam protezlere adaptas- yon kişiden kişiye değişir ve hastaların yaşam kalitelerini etkilemektedir. Ağız sağlığı önemi profili [Oral Health Impact Profile (OHIP)], genel ağız sağlığı değerlendirme indeksi [General Oral Health Assessmnet Index (GOHAI)], ve günlük aktivitede ağız sağlığının önemi [Oral Impact on Daily Performance (OIDP)] anketleri yaşam kalitesini belirlemede sıklıkla kullanılmaktadırlar. Çiğneme etkinliği de tam protezlerin başarısında ve protezlere alışılmasında önemli bir değerlendirmedir. Bu çalışmada hastaların tam protezlere alışma döneminde yaşam kalitesinin, çiğneme etkinliği ile beraber değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Bu pilot çalışma 2015 yılında Kocaeli Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi kliniğinde tam protez yaptıran 42 hasta üzerinde gerçekleştirildi. Yeni tam protez yapılan hastalara OHIP, GOHAI, OIDP anket soruları ilk gün, 24 saat, 1 hafta, 1 ay ve 3 ay sonraki kontrollerde sorulmuştur. Çiğneme etkinliğini belirlemek için de her seansta 20 ve 50 siklustan olmak üzere çift renk sakız çiğneme testi yapılmıştır. İstatiksel analiz bilgisayar destekli SPSS programında anketler Repeated Measure Anova ve Bonferroni testleri ile değerlendirilmiştir. Çiğneme testi için Ki-Kare testi kullanılmıştır. Bulgular: OHIP, GOHAI, OIDP sonuçlarında ilk takıl- dıklarında, 1. günde, 1. haftada, 1. ay arasında anlamlı fark bulunmuştur. Birinci ay ve 3. ay arasında sadece OHIP’te anlamlı fark varken. GOHAI ve ODIP arasında anlamlı fark yoktur. Çiğneme etkinliği her seansta ista- tistiksel olarak artmıştır. Sadece ilk takıldığı an ve 1. gün arasında anlamlı fark yoktur. Sonuç: Hastaların gelirleri ve eğitim durumları protez seçimini etkiler. Fiziksel olarak tam proteze adaptas- yonları bir ay içinde çoğunlukla gerçekleşmektedir. Psi- kolojik adaptasyonu üç aya kadar sürmektedir. Çiğne- me etkinliği kullanımla beraber artmaktadır. Anahtar Kelimeler: Tam protezler, ağız sağlığı, çiğneme ASSESMENTS OF LIFE QUALITY AND CHEWING EFFICIENCY OF PATIENTS USING NEW COMPLETE PROSTHESIS ABSTRACT Aim: Complete dentures’ aim is to gain the chewing function. Adaptation to complete dentures varies from person to person and also influence the patinent’s life quality. The importance of oral health profile (OHIP), general oral health assessment index (GOHAI) and the importance of oral health in daily activities (OIDP) surveys are widely used to determine the quality of life. Chewing efficience is important assesment for prosthetic success and adaptation for the prosthesis. The aim of the study is to determine the relation between the quality of life and chewing effectiveness for the adaptation period with new complete dentures. Material and Methods: This study was performed on 42 patients in Kocaeli Univercity Dental Faculty Prosthodontict Department in 2015 who are made new complete dentures. OHIP, GOHAI, OIDP surveys were asked to the new complete denture patients in first application, 24 hour, 1 week, 1 month, 3 months control. Chewing activity were measured by two colored gums in 20 and 50 siklus in the same control session. Result: There are statistically meaningful differences were found between first insertion, 1. day, 1. week,1. month OHIP, GOHAI, OIDP surveys results. There is statistically difference between 1. and 3. months in OHIP. But there are no statistically differences in GOHAI and OIDP. Chewing activity increased in every sessions. On the other hand there are no statistically differences between the inserting day and 1. day. Conclusion: Patient’s income and education effect the prosthesis choices. Physical adaptation for complete dentures are nearly 1 month. Psychological adaptation takes nearly three months. Chewing activity is rising by using the dentures. Keywords: Complete dentures, oral health, chewing

Anahtar Kelimeler:

Tam protezler, ağız sağlığı

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