Oğuzhan SARİ, Nuran YANIKOĞLU, Mehmetcan UYTUN

OKLUZAL SPLİNTLERİN AĞIZ HİJYENİ VE DİŞ ETİ ÜZERİNE ETKİSİNİN İNCELENMESİ

Amaç: Özellikle bruksizim tedavisinde kullanılan okluzal splintler hastaların ağız bakımını ve tükürüğün yıkama etkisini değiştirebilmektedir. Yaptığımız çalışmanın amacı ise, bu değişikliklerin diş ve çevre gingival dokulara etkisini incelemektir. Gereç ve Yöntem: Çalışma bruksizm şikayeti olan 50 hasta üzerinde yapılmıştır. 43 hasta takip randevularına gelmiştir. Hastanın plak kullanımına başlamadan hemen önce, plak kullanımına başladıktan sonra ise 1. ve 3. aylarda diş eti ölçümleri yapılmıştır. Çalışmada plak indeksi, gingival indeksi ve kanama indeksleri değerlendirilmiştir. Veriler IBM SPSS V23 programı ile analiz edilmişitir. Bulgular: Çalışma sonuçlarına göre plak kullanımı sonrası plak indeksinde azalma olduğu görülmüştür. Gingival indeks ve kanama indeksinde anlamlı bir farklılık görülmemiştir. Çalışma sonuçları farklı dişlere göre değerlendirildiğinde ise sadece maksiller sağ birinci molar dişin plak indeksinde bir azalma görülmüştür. Diğer dişlerde plak, gingival ve kanama indekslerinde anlamlı fark bulunamamıştır. Sonuç: Okluzal splint kullanımı, oral hijyen eğitimi, klinik takipler hastanın ağız bakımında olumlu alışkanlıklar kazandırarak ağız hijyenini olumlu yönde etkilemiştir.

Anahtar Kelimeler:

Okluzal splint, ağız hijyeni, tükürük

PDF

___

1. Okeson JP. Orofacial Pains. Vol 5. Chicago: Quintessence Publishing Co. Inc.; 1995.
2. Kataoka K, Ekuni D, Mizutani S, et al. Association between self-reported bruxism and malocclusion in university students: a cross-sectional study. Journal of epidemiology. 2015;25(6):423-430.
3. Lobbezoo F, Naeije M. Bruxism is mainly regulated centrally, not peripherally. Journal of oral rehabilitation. 2001;28(12):1085-1091.
4. Lobbezoo F, van der Zaag J, Naeije M. Bruxism: its multiple causes and its effects on dental implants–an updated review. Journal of oral rehabilitation. 2006;33(4):293-300.
5. Lobbezoo F, Ahlberg J, Manfredini D, Winocur E. Are bruxism and the bite causally related? Journal of Oral Rehabilitation. 2012;39(7):489-501.
6. Pierce CJ, Chrisman K, Bennett ME, Close JM. Stress, anticipatory stress, and psychologic measures related to sleep bruxism. Journal of orofacial pain. 1995;9(1).
7. Manfredini D, Lobbezoo F. Role of psychosocial factors in the etiology of bruxism. J Orofac pain. 2009;23(2):153-166.
8. Lobbezoo F, Soucy J-P, Montplaisir J, Lavigne G. Striatal D2 receptor binding in sleep bruxism: a controlled study with iodine-123-iodobenzamide and single-photon-emission computed tomography. Journal of dental research. 1996;75(10):1804-1810.
9. Lobbezoo F, Lavigne G, Tanguay R, Montplaisir J. The effect of the catecholamine precursor L‐dopa on sleep bruxism: a controlled clinical trial. Movement disorders: official journal of the Movement Disorder Society. 1997;12(1):73-78.
10. Lobbezoo F, Soucy J-P, Hartman N, Montplaisir J, Lavigne G. Effects of the D2 receptor agonist bromocriptine on sleep bruxism: report of two single-patient clinical trials. Journal of dental research. 1997;76(9):1610-1614.
11. Hublin C, Kaprio J, Partinen M, Koskenvuo M. Sleep bruxism based on self‐report in a nationwide twin cohort. Journal of sleep research. 1998;7(1):61-67.
12. Lavigne GJ, Lobbezoo F, Rompré PH, Nielsen TA, Montplaisir J. Cigarette smoking as a risk factor or an exacerbating factor for restless legs syndrome and sleep bruxism. Sleep. 1997;20(4):290-293.
13. Johansson A, Omar R, Carlsson GE. Bruxism and prosthetic treatment: a critical review. Journal of prosthodontic research. 2011;55(3):127-136.
14. Paesani DA. Bruxism theory and practice. Chicago: Quintessence Publishing Co, Inc.; 2010.
15. Dylina TJ. A common-sense approach to splint therapy. The Journal of prosthetic dentistry. 2001;86(5):539-545.
16. Wali GM. Asymmetrical awake bruxism associated with multiple system atrophy. Movement Disorders: Official Journal of the Movement Disorder Society. 2004;19(3):352-355.
17. Lobbezoo F, Aarab G, Van Der Zaag J. Definitions, epidemiology, and etiology of sleep bruxism. 2009.
18. Seligman D, Pullinger A, Solberg W. The prevalence of dental attrition and its association with factors of age, gender, occlusion, and TMJ symptomatology. Journal of dental research. 1988;67(10):1323-1333.
19. Machado E, Dal-Fabbro C, Cunali PA, Kaizer OB. Prevalence of sleep bruxism in children: a systematic review. Dental press journal of orthodontics. 2014;19:54-61.
20. Lavigne G, Montplaisir J. Restless legs syndrome and sleep bruxism: prevalence and association among Canadians. Sleep. 1994;17(8):739-743.
21. van Selms MK, Visscher CM, Naeije M, Lobbezoo F. Bruxism and associated factors among D utch adolescents. Community dentistry and oral epidemiology. 2013;41(4):353-363.
22. Strausz T, Ahlberg J, Lobbezoo F, et al. Awareness of tooth grinding and clenching from adolescence to young adulthood: a nine‐year follow‐up. Journal of oral rehabilitation. 2010;37(7):497-500.
23. Klasser GD, Rei N, Lavigne GJ. Sleep bruxism etiology: the evolution of a changing paradigm. J Can Dent Assoc. 2015;81(2).
24. Afrashtehfar KI, Afrashtehfar CD, Huynh N. Managing a patient with sleep bruxism. Journal (Canadian Dental Association). 2014;80:e48.
25. LOBBEZOO F, Van Der Zaag J, Van Selms M, Hamburger H, Naeije M. Principles for the management of bruxism. Journal of oral rehabilitation. 2008;35(7):509-523.
26. Schneyer LH, Pigman W, Hanahan L, Gilmore RW. Rate of flow of human parotid, sublingual, and submaxillary secretions during sleep. Journal of dental research. 1956;35(1):109-114.
27. Okeson JP. Management of temporomandibular disorders and occlusion-E-book. Elsevier Health Sciences; 2019.
28. Diedrich P. Keimbesiedlung und verschiedene Reinigungsverfahren kieferorthopädischer Geräte. Fortschritte der Kieferorthopädie. 1989;50(3):231-239.
29. Botelho J, Machado V, Proença L, et al. Relationship between self‐reported bruxism and periodontal status: Findings from a cross‐sectional study. Journal of periodontology. 2020;91(8):1049-1056.
30. Leonard Jr RH, Bentley C, Eagle JC, Garland GE. Nightguard vital bleaching: a long-term study on efficacy, shade retention, side effects, and patients' perceptions. Journal of Esthetic and Restorative Dentistry. 2001;13(6):357.
31. Yamamoto K, Nagashima H, Yamachika S, et al. The application of a night guard for sleep-related xerostomia. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2008;106(3):e11-e14.
32. Quirynen M, Dekeyser C, van Steenberghe D. The influence of gingival inflammation, tooth type, and timing on the rate of plaque formation. Journal of periodontology. 1991;62(3):219-222.