Lingual ve Labial Sabit Ortodontik Aygıtların Etkilerinin Karşılaştırılması: Retrospektif Çalışma

Amaç: Bu çalışmanın amacı, lingual ve labial sabit ortodontik aygıtların hasta konforu ve günlük yaşam üzerindeki etkilerini karşılaştırmaktır. Gereç ve Yöntem: Toplam 30 hasta, aygıt tipine göre iki grup olarak değerlendirildi. Grup 1’de 9 kadın, 6 erkek toplam 15 hastaya lingual braket, Grup 2’de 8 kadın ve 7 erkek toplam 15 hastaya labial braket uygulandı. Tüm hastaların 1. gün (T0) 7. gün (T1) ve 14. günlerde oldurulan anket formları değerlendirildi. Ağrı düzeyi, konuşma güçlüğü, dil travması, yeme güçlüğü, fırçalama üçlüğü, dişlerdeki düzelmenin ilk farkedilme zamanı, sosyal çevre tepkisi, tedavi memnuniyeti ve tedavi gerekliliği parametreleri anket formlarındaki 1’den 10’a kadar puanlanan değerlere göre incelendi. Verilerin istatistiksel analizleri tek yönlü Anova, Welch’in t-testi ve eşleştirilmiş örneklem t-testi ile yapıldı. Bulgular: T0 döneminde ağrı düzeyi ve fırçalama güçlüğü açısından gruplar arasında anlamlı fark bulunmazken (p>0,05), Grup 1’in konuşma güçlüğü, dil travması ve yeme güçlüğü değerleri Grup 2’ye göre daha yüksek bulundu (p<0,05). Ağrı düzeyi ve konuşma güçlüğü açısından T0-T1, T0-T2 ve T1-T2 dönemleri arasında anlamlı düşüşler gözlendi (p<0,05). Sonuç: Lingual braketler özellikle tedavinin ilk günlerinde daha fazla dil travmasına, konuşma ve yeme güçlüğüne neden oldu. Her iki apareyde de rahatsızlıkların zamanla azaldığı görüldü.

Comparison the Effects of Lingual and Labial Fixed Orthodontic Appliances: A Retrospective Study

Objective: The aim of this study is to compare the effects of lingual and labial orthodontic appliances on patient comfort and daily life. Materials and Methods: A total of 30 patients, according to appliance type, two groups were considered. Lingual brackets were used with respect to total of 15 patients including 9 girls and 6 boys for Group 1 and labial brackets were taken into account for 15 patients with 8 girls and 7 boys for Group 2. Questionnaire forms filled in the T0(1st day), T1(7th day) and T2(14th day) periods of all patients were evaluated. Parameters related to pain level, speech difficulty, tongue trauma, eating difficulty, brushing difficulty, time to first notice of aligning in teeth, social environment reaction, treatment satisfaction and necessity of treatment were examined according to the values marked on a scale from 1 to 10 in the questionnaire forms. Statistical analyzes were performed with one-way Anova, Welch's t-test and paired-sample t-test. Results: While there was no significant difference in pain level and brushing difficulty in T0 between the groups(p> 0.05), speech difficulties, tongue trauma and eating difficulties were significantly higher in Group 1 than Group 2(p< 0.05). Significant decrease were observed in pain level, and difficulty in speaking, eating and brushing at T0-T1, T0-T2 and T1-T2 periods(p< 0.05). Conclusion: Lingual brackets caused more speech, tongue trauma and eating difficulties, especially in the first days of treatment. It was observed that the discomforts caused by both appliances were decreased over time.

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