ORTODONTİDE ARAYÜZ AŞINDIRMA YÖNTEMLERİ

Arayüz aşındırması, dişin mesial veya distal yüzeyinden minenin aşındırılmasını içermektedir. Ortodontide yaygın kullanılan bir işlemdir. Arayüz aşındırmasının endikasyon-ları yer darlığı, Bolton diş-boyut uyumsuzluğu, diş formlarının düzeltilmesi, dental arkın stabilizasyonun sağlanması, morfolojik anomalilerin ve üçgen alanların düzeltilmesidir. 1944’te Ballard'ın anterior bölgede ilk kez arayüz aşındırması uygulamasından beri, bunun için birçok farklı teknik geliştirilmiştir. Günümüzde ortodonti alanında arayüz aşındırması, birçok yöntem kullanılarak tedavi planlamasına dahil edilmektedir. Bu yöntemler stripping zımparaları, stripping diskleri, air rotor stripping, segmental diskler, Profin stripping uçları ve sonik stripping uçlarıdır. Arayüz aşındırmasının klinik uygulamalar sonucu yan etkileri değerlendirildiğinde, arayüz aşındırmasının uzun dönem sonuçlarında herhangi bir iyatrojenik hasara, dental çürüğe, gingival problemlere yada alveolar kemik kaybında artışa rastlanmamıştır. Ancak birçok çalışma, minenin aşındırılması sonrası diş yüzeyinde olukların ve çizgilerin kaldığını göstermiştir. Arayüz aşındırması sonrası aşındırılmış mine yüzeyinin parlatılması ise yüzey pürüzlülüğünü azaltabilmektedir. Bu derlemede arayüz aşındırma tekniklerinin özellikleri, çalışma prensipleri, etkileri ve yan etkilerinin güncellenerek değerlendirilmesi hedeflenmiştir.

Anahtar Kelimeler:

interdental stripping, interproksimal redüksiyon, ortodonti, yer kazanma

Interdental Stripping Techniques in Orthodontics

Interdental stripping involves removal of enamel from the mesial or distal surfaces of the teeth. It is a common procedure in orthodontics. The indications for interdental stripping are lack of space, Bolton tooth-size discrepancy, tooth reshaping, maintenance of dental arch stabilization, correction of morphologic anomalies and black triangles. Since 1944, when Ballard first used interdental stripping for the anterior segment, there have been many different techniques created for it. Several procedures are used in daily orthodontics to perform precise interdental stripping as part of the treatment plan. These procedures are metal strip, stripping disks, air rotor stripping, segmental disks, Profin stripping tips and sonic stripping tips. When side effects of interdental stripping in clinical indications are assessed, long-term results of interdental stripping show no iatrogenic damage, dental caries, gingival problems, or increased alveolar bone loss. However, numerous studies show that removal of this outer enamel leaves many grooves and furrows on the surfaces of the teeth. Polishing the stripped enamel surface after interdental stripping can decrease surface roughness. In this review, it is aimed to evaluate the clinical indications, properties, working principles, effects and side effects of the interdental stripping techniques recently used in the orthodontic treatment.

Keywords:

interdental stripping, interproximal reduction, orthodontics, space gaining,

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