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KISALMIŞ DENTAL ARK: ORAL FONKSİYON VE ESTETİK KAYGILAR AÇISINDAN DEĞERLENDİRİLMESİ

SHORTENED DENTAL ARCH: AN EVALUATION OF AESTHETICS AND ORAL FUNCTION

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The aim of this study was to evaluate the patients wtth Shortened Dental Arches (SDA) and compare for oral function and aesthetics wtth or wtthout Removable Partial Dentures (RPD). The patients of this study were 258 patients; 123 males (mean age: 60.52±7.98) and 135 females (mean age: 61.44±8.06), wtth posterior tooth loss. The study group evaluated in two groups; with RPD (n=106) and wtthout RPD (n= 152). In addition subjects were reported age, gender, duration of SDA and duration of wearing the RPD. Statistical analysis included Kruskall-Wallis test and chi-square tests. There were significant statistical differences between the subjects with SDA and RPD wtth ati the symptoms; TMJ pain (p=0.008), TMJ sounds (p<0.001), mobility (p<0.05), difficutty in opening mouth (p<0.001), chewing time (p<0.05), other compiications (unllateral and/or anterior chewing) (p=0.002), avoiding conversation (p<0.001) and laughing (p<0.05). TMJ pain also was found to be statistically signffcant for female patients (p<0.001) and younger age group (50-60 age, p< 0.001). Female patients were found to be statisticaly signifcant for the symptoms; avoiding conversation (p<0.001) and laughing (p<0.001), dffficutty in opening mouth and other compiications (p<0.05). The results of our study suggested that the prevalence of the symptoms of TMJ disorders were higher for the patients who have SDA without PRD. Regarding female patients reported having TMJ pain and anxiety for aesthetics. Age was found to be positively correlated wtth TMJ sounds but negatively correlated wtth TMJ pain. Planning prosthetic treatment for the patients with posterior tooth loss, the practitioner should regard the symptoms of TMJ disorders.
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Abstract (Original Language): 
Bu çalışmanın amacı; Hareketi Parsiyel Protez (HPP) kullanan ve kullanmayan bireylerde, K/salmış Dental Arkın (KDA) oral fonksiyon ve estetik kaygılar açısından değerlendirmesidir. Araştırmamızda posterior diş eksikliği şikayeti bulunan 135 kadın (yaş ortalaması 61.44±8.06) ve 123 erkek (yaş ortalaması 60.52± 7.98) olmak üzere toplam 258 birey (yaş ortalaması 60.52±8.02) nncelenmiştri. Çahşmaya katılan bireyler HPP kullanan (n=106) ve HPP kullanmayan (n= 152) olmak üzere iki grup altında oral fonksiyon ve estetik kaygtiar açısından değerlendirilmiştir. İstatistiksel analiz iç/n Kruskall-Wallis ve ki kare testi kullanllmıştrr. KDA'a sahip, HPP kullanan ve kullan- mayan bireyler, oral fonksiyon ve estetik kaygılar aç-- sndan değerlendirildiğinde HPP kullanan bireylerde tüm bulgular için istatistiksel olarak anlamı sonuçlar elde edllmşştir; TME de ağrı (p=0.008), eklem sesi (p<0.001), mobiiite (p<0.05), açmada zorluk (p<0.001), çiğnemenin uzun sürmesi (p<0.05), diğer komplikasyonlar (bilateral ve/veya ön dişlerle çiğne- me) (p=0.002), gülmen/n (p<0.05) ve konuşman/n kısttlanması (p<0.001) bulgularda en çok HPP kullanmayan bireylerde rastlanmıştrr. TME'de ağrı en fazla kadınlarda (p< 0.001) ve daha genç bireylerde (50-60 yaş) (p<0.05)gözlenmiştri. 61 yaş ve üzeri brreylerde sağlığın etkilenmesi (p<0.001) ve eklem sesleri(p<0.001) bulguları istatistiksel olarak anlamlı olarak bulunmuştur. Kadın hastalarda açmada zorluk ve diğer komplikasyonlar (tek tarafı ve/veya ön grup dişlerle çiğneme) daha fazla görülmektedir ve ista- tistiksel olarak anlamlıdır (p<0.05). Gülmenin kısıtlan- ması lle konuşmanın kısıtlanması ve sağlığın etkilen- mesi bulguları da kadınlarda daha fazla görülmektedir ve istatistiksel olarak anlamıdır (sırasıyla; p<0.001, p<0.001, p<0.05). TME düzensizliklerine ait semptomların, HPP kullanan bireylerden çok HPP kullanmayan bireylerde görüldüğü saptanmıştır. Kadın hastalarda eklemde ağrı semptomları ve estetik kaygtiar erkeklerden daha fazla oranda saptanmıştır. Eklem sesi ve genel sağığın etkilenmesi ile yaş arasında doğru orantı, ancak ağrı lle ters orantı saptanmştrr. Hasta yaşı ile diğer TME bulguları arasında; görülme oranları arasında önemli bir ilişki saptanmamıştır. Posterior d/ş eksikliği görülen hastalarda protetik tedavi düşünüldüğünde; TME düzensizliği semptomları göz önünde bulundurularak tedavi planlaması yapılmaııdır.
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  • 2
13-19
  • Turkish

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