Hızlı Maksiller Genişletme ile Tedavi Edilen Hastalarda Oral Candida Albicans Kolonizasyonunun Araştırılması

Amaç: Bu çalışmanın amacı rapid maksiller ekspansiyon (RME) ile ağız mikroflorasındaki Candida albicans kolonizasyonunda, değişiklik meydana gelip gelmediğini saptamaktır.Gereç ve Yöntemler: Çalışmamıza dahil edilen 54 hastadan, 27'si RME ile tedavi edilirken, geri kalan 27 hastaya ortodontik tedavi uygulanmamıştır. Maksiller darlık ve posterior cross-bite şikayeti bulunan 27 hasta (14 kız, 13 erkek) çalışma grubunu oluşturmaktadır. Maksiller genişletme amacı ile akrilik destekli sabit hızlı maksiller ekspansiyon aygıtı uygulanan çalışma grubu hastalarından, tedavi başlangıcında (T0) ve RME tedavisinin 1. ayında (T1) alınan oral yıkama sıvı örnekleri incelendi. Kontrol grubuna ortodontik tedavi uygulanmamıştır. Elde edilen veriler, ki-kare ve Fisher'in kesin ki-kare testi ile analiz edildi.Bulgular: RME aygıtı ile palatal genişletme elde edildikten sonra, T0 ve T1 zaman aralıklarında elde edilen C. albicans varlığını gösteren veriler arasında istatistiksel açıdan anlamlı bir fark olmadığı saptanmıştır (p=1,964).Sonuç: Çalışmamızın sonucunda, RME aygıtının ve tedavi sonunda elde edilen palatal genişletmenin, hastaların oral C. albicans kolonizasyonunda anlamlı bir değişikliğe sebep olmadığını saptadık.

Investigation of Oral Candida Albicans Colonization in Patients Treated with Rapid Maxillary Expansion

Objective: The purpose of this study was to investigate Candida albicans colonies in the oral microflora of patients treated with rapid maxillary expansion (RME).MaterialsandMethods: Totally 54 male and female subjects, including 27 using bonded rapid maxillary expander and 27 patients without orthodontic treatment, were entered in the present study. The study group consisted of 27 patients (14 females and 13 males) suffering from both maxillary constriction and posterior cross-bite. Patients treated with a rigid acrylic, bonded rapid maxillary expander were evaluated two times using oral rinses: one at baseline (T0) and 2 after palatal spreading out (T1). The data were analyzed using a chi-square test and a Fisher's exact test.Results: After the use of RME, no significant changes were found between the data showing C. albicans colonies at T0 and at T1 (p=1.964).Conclusion: Our data suggest that the RME therapy and appliance did not cause a significant change in oral C. albicans colonization.

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