Çağrı ESEN, Alparslan ESEN, Ahmet Ertan SOĞANCI, Emire Aybüke ERDUR

Ortognatik Cerrahinin Periodontal Durum Üzerine Etkileri

Amaç: Bu çalışmanın amacı ortognatik cerrahinin periodonsiyum üzerine etkilerini ameliyattan sonraki 3. ve 6. aylarda araştırmaktır. Gereç ve Yöntemler: Toplam 10 ortognatik cerrahi hastasında (7 kadın, 3 erkek, ortalama yaş 23.2 ± 4.83) üçüncü azı dişler hariç tüm dişlerin plak indeksi (Pİ), dişeti indeksi (Gİ), sondalama derinliği (SD), sondalamada kanama (SK), klinik ataşman seviyesi (KAS) ve mobilite (M) cerrahi işlemden önce (T0) 6 bölgede (mezio-bukkal, mid-bukkal, disto-bukkal, mezio-lingual, mid-lingual ve disto-lingual) gerçekleştirildi. Bu hastalardan 6 tanesine çift çene ortognatik cerrahi, 2 tanesine sagittal split osteotomisi ve 2 tanesine de Lefort 1 cerrahi uygulandı. Ameliyat sonrası 3. (T1) ve 6. (T2) aylarda aynı tüm ağız klinik periodontal ölçümler tekrarlandı. Bulgular: Ölçülen bölgelerin hiçbirinde (maksiller dişler, mandibular dişler veya tam ağız) parametrelerin hiçbirinde (PI, GI, PD, BOP, CAL ve M) T0 ile T1 ve T2 değerleri arasında istatistiksel olarak anlamlı bir fark yoktu. Sonuç: Bu çalışmanın sınırları dahilinde ortognatik cerrahi tedavilerin periodontal durum üzerine anlamlı bir etkisinin olmadığı görülmüştür.

Anahtar Kelimeler:

Maloklüzyon, ortognatik cerrahi, periodontal ataşman kaybı, periodontal indeks

The Effects of Orthognathic Surgery on Periodontal Status

Background: The aim of this study was to investigate the effects of orthognathic surgery on periodontium in the 3rd and 6th months after the operation. Methods: In a total of 10 orthognathic surgery patients (7 females, 3 males, mean age 23.2 ± 4.83), full mouth clinical periodontal measurements as plaque index (PI), gingival index (GI), probing depth (PD), bleeding on probing (BOP), clinical attachment level (CAL), and mobility (M) were performed before the surgical procedure (T0) at 6 sites (mesio-buccal, mid-buccal, disto-buccal, mesio-lingual, mid-lingual, and disto-lingual) of all teeth except the third molars. Six of these patients underwent double jaw orthognathic surgery, 2 patients sagittal split osteotomy, and 2 patients Lefort 1 surgery. The same full mouth clinical periodontal measurements were repeated in the 3rd (T1) and 6th (T2) months after surgery. Results: There was no statistically significant difference between the T0 and T1 and T2 values in any of the parameters (PI, GI, PD, BOP, CAL, and M) at any of the regions measured (maxillary teeth, mandibular teeth, or full mouth). Conclusion: Within the limits of this study, it has been observed that orthognathic surgical treatments do not have a significant effect on periodontal status.

Keywords:

Malocclusion, orthognathic surgery, periodontal attachment loss, periodontal index,

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