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CERRAHİSİZ VE CERRAHİ TEDAVİYE KLİNİK VE RADYOGRAFIK YANIT

CUINICAU AND RADIOGRAPHIC RESPONSES TO NON-SURGICAL AN» SURGICAL THERAPY

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 1999

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The purpose of this study was to evaluate the clinical and radiographic response to teeth which have been treated with nun-surgical and surgical method, nnd to compare these teeth with untreated teeth. 24 patients (613 teeth) with advanced periodontitis were taken into this study, Hy having plaster models of each patient, the individual biting blocks and reference point were prepared for standard parallel radiography. Probing Pocket Depth (PPD), Clinical Attachment Level (CAI.) and FTV values (perioleslR) were performed fur each tooth. Standard parallel intraoral radiographs were taken bv Radiovisiography (RVG). Horizontal Alvcolcr Crestal Height (HACK), Vertical Marginal Crestal Height (VMCH) and Vertical Defect Depth (VDD) were counted through the 'rncasurc'Tunetion of the system. After 4-5 weeks or giving the patient oral hygen intrusion and having their teeth scaled. 36 of quadrants (238 teeth) which have the similar features were treated with the Root Planning (RP) under local anesthesia, and other 36 (231 teeth) were treated with the Modified Widman Flap Prosedüre (MWF). The patients were recalled to the periodical controls mothly for professional tooth cleaning. All clinical and radiographic measures achived at baseline were repcrformed in the i2.th month following therapy. 6 of patients whose clinical and radiographic measures were counted at the bnsaline. did not come to therapy for various reasons, applied to the dini que later. The clinical and radiographic measures of these patients were re-pcrformed in the I2.1h month. They " ere taken into the untreated patient group and were included lu the study. The clinical and radiographic measures achived through the 3 group ol' the patients were compared by using varience analysis. According to results, in I he PPD and CAI., values of the three group teeth was seen a statistically significant difference (p<0.0!). While a reduction was seen in 1'1'D on the teeth treated with Rp and MWH (1 mm, I -30 mm respectively), 0.26 mm increase was seen on the untreated teeth. It was also observed that the untreated teeth reflected 017 mm, attachment loss while there was a gain in CAL (0.67 mm, 032 mm, respectively) in treated with Rp and MWF, There was a decrease in PTV values in both of the treated groups (-5 PTV, -4 1TV respectively), but -i-3 FI'V increase was determined in the untreated group (1x0.05). The mean overal differences among three group teeth in terms of radiographic measures was seen statistically important (p<0.05). The mean overall miltmclric changes the teeth treated with Rp, MWP and untreated teeth groups was counted as: HACI I; -0,03 mm, -0.14mm, -0.2.Cnun respectively. VMCTh -O.üS mm. -0.50 mm, -1.2 mm, respectively and'VDD: 0.07 mm. 0.40 mm, -0.70 mm. respectively.
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Abstract (Original Language): 
Bu çalışmanın amacı ccrrahisız ve cerrahi tedavi uygulanan dişlerin tedaviye verdiği yanıtı klinik vc radvûgrafık olarak değerlendirmek vc Ledavi edilmeyen dişlerle karşılaştırmaktı, ilerlemiş periodontitisli 24 hasta (613 diş) çalışmada yer aidi. Her hastanın alçı modelleri alınarak standart paralel radyografi için bireysel ısırma blokları vc referans noktalan hazırlandı. Her diş için Sondlanabilen Cep derinliği (SCD), Klinik Alaşman Seviyesi (KAS) ve PTV değerleri (Penotest) alındı. Paralel ağız içi radyogramlar Radiovisiography (RVG) sistemi kullanılarak al indi.Horizontal Alveol Kret Yüksekliği (HAKY), Vertical Marginal Kret Yüksekliği (VMKY) ve Vertikal Dcfckt Derinliği (VDD) sistemin "measure" fonksiyonu ile hesaplandı. Hastalara oral hijyen eğitimi ve dış yüzeyi temizliği yapıldıktan 4-5 hatta sonra benzer özellik gösteren 36 segment (238 dis) kök yüzeyi düzleştirmesi (KYD), 36 segment (231 diş) Modi live Widman Flap (MWF) operasyonu ile tedavi edildi. Tedaviyi takiben hastalar diş temizliği için her ay peryodik kontrollere çağrıldı. Yine başlangıçta klinik ve radyogralık ölçümleri alınan ancak çeşitli nedenlerle tedaviye gelmeyen hastalardan 6'sı (144 diş) I2,ayda kliniğimize tekrar başvurdular. Bu hastaların klinik ve radyografik ölçümleri tekrarlandı. Tedavi edilmeyen hastalar grubuna alındı ve araştırmaya dahil edildiler. Üç grup hastadan elde edilen klinik ve radyografik bulgular varyans analizi kullanılarak karşılattırıldı. Sonuçlara güre üç grup dişin ortalama SCD ve KAS değerlerinde istatistiksel, olarak farklılıklar görüldü (p<CI-01). KYD ve MWF ile tedavi edilen dişlerde SCD de azalma görülürken {sırayla 1 mm, 1.30 mm), tedavi edilmeyen dişlerde 0.26 mmJik bir artış gözlendi. KYD ve MWF ile tedavi edilen iki grup dişte KAS'da kazanç görülürken "sırayla 0.67 mm, 0.32 mm), tedavi edilmeyen dişlerde 0.17 mmiik kayıp gözlendi. Tedavi edilen her iki diş grubunda ortalama FI V değerlerinde bir azalma varken (sırayla 5PTV, - 4TTV) tedavi edilmeyen grupta +3 PTVTik bir artış saptandı (p<0.05). Radyografik olarak HAKY, VMKY ve VÜD'deki orLalama değişiklikler istatistiksel olarak önemli görüldü (p<0.05). KYD, MWh' ve tedavi edilmemiş diş gruplarında oluşan mm.lik değişiklikler HAKY vdc sırayla -0.03. -0.14 mm, - 0.23 mm, VMKY'deki sırayla -0.3 S mm, -0.5 Om m, 1.2 mm vc VDD'de ise sırayla 0.07mm, 0,40mm, -0-70 mm olarak hesaplandı.
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  • 2
13-18
  • Turkish

REFERENCES

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Atnlurk
Univ.Di
ş Hek.Fak.Dcrg. Ci!t:9, Sayı;2, Sayfa: 13-18.1999
ÇA NAKÇI, TEZEL, AKG ÜIÇİÇEK, ERCİ YAS
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