Kübra Gülnur TOPSAKAL, Kevser SOLAK KOLCAKOGLU, Merve AKSOY

ÇOCUKLARDA BRUKSİZM İLE İSKELETSEL ANOMALİLER ARASINDAKİ İLİŞKİNİN SEFALOMETRİK ANALİZLER KULLANILARAK DEĞERLENDİRİLMESİ

Bruksizm çocuklarda uyku veya uyanıklık halinde görülen, çiğneme kaslarındaki aşırı kontraksiyona bağlı olarak temporo mandibular eklem disfonksiyonuna ve dişlerde aşınmaya neden olabilecek parafonksiyonel bir alışkanlıktır. Bu çalışmanın amacı, bruksizmli çocukların iskeletsel ve dişsel malokluzyonları ile bruksizm arasındaki ilişkinin değerlendirilmesidir. Çalışmaya Erciyes Üniversitesi Diş Hekimliği Fakültesi’ne başvuran ve bruksizm tanısı alan yaşları 5 ile 14 arasında değişen toplam 25 hasta (10 erkek ve 15 kız) dahil edilmiştir. Çalışmaya katılan bruksizmli bireylerin yaş ortalaması 11.6±5.5 ay iken bu değerler erkekler için 10.5±4.9, kızlar için ise 11.3±2.9 dur. Temporomandibular eklem rahatsızlığı olanlar, sistemik rahatsızlığı olanlar, fasiyalasimetrisi bulunanlar, kraniofasiyal travma, cerrahi operasyon geçirenler ile medical ilaç tedavisi alanlar ise çalışmaya dahil edilmemiştir. Hastaların ağız içi muayenesi yapılarak over jet, over bite vemalokluzyon sınıflamaları yapılmıştır. Sefalometrik radyograflar kullanılarak yapılan açısal ve doğrusal ölçümler ise aynı araştırmacı tarafından bir ay ara ile iki kere ölçülmüş ve tanımlayıcı istatistikler yapılarak her bir parameter için ortalama ve standart sapma hesaplanmıştır. Çalışmanın sonucuna göre, mevcut limitasyonlar dahilinde, çalışmaya dahil olan bruksizmli hastaların Angle Sınıf I maloklüzyon gösterdiği, sagital ve vertical anomalileri ifade eden açısal ölçümlerin normal değer aralığında olduğu fakat alt yüz yüksekliği dışındaki diğer doğrusal ölçümlerin normal sınırların altında kaldığı tespit edilmiştir.

Anahtar Kelimeler:

Bruksizm, Ortodonti, Sefalometri, Çocuk Diş Hekimliği

EVALUATION OF THE RELATIONSHIP BETWEEN BRUXISM AND SKELETAL MALOCCLUSION IN PEDIATRIC PATIENTS WITH CEPHALOMETRIC ANALYSIS

Bruxism is a parafunctional habit that can cause temporomandibular joint dysfunction and tooth wear due to excessive contraction of chewing muscles in children during sleep or awake. The aim of this study is to evaluate the relationship between skeletal and dental malocclusions and bruxism in children with bruxism. A total of 25 patients (10 boys and 15 girls) aged between five and 14 who applied to Erciyes University Faculty of Dentistry and were diagnosed with bruxism were included in the study. While the mean age of participants with bruxism was 11.6±5.5 months, these values were 10.5±4.9 for boys and 11.3±2.9 for girls. The patients with temporomandibular joint disease, systemic disease, facial asymmetry, craniofacial trauma, surgical operation, and those receiving medical drug therapies were not included in the study. Overjet, overbite, and malocclusion classifications were made by intraoral examinations. Angular and linear measurements with cephalometric radiographs were taken twice by the same researcher with an interval of one month, and the mean and standard deviation were calculated for each parameter with descriptive statistical analysis. According to the results of the study, within the current limitations, it was determined that the patients with bruxism included in the study showed Angle Class I malocclusion, the angular measurements expressing the sagittal and vertical anomalies were within the normal range, but the other linear measurements except the lower face height were below the normal limits.

Keywords:

Bruxism, Orthodontics, Cephalometry, Pediatric Dentistry.,

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