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SİGARA İÇEN VE İÇMEYEN PERÎODONTİTİSLİ BİREYLERİN BAŞLANGİÇ VE TEDAVİ SONRASI BULGULARININ KARŞILAŞTIRILMASI

THE COMPARISION I HE INITIAL AND POST-TREATMENT FINDINGS OF SMOKERS AND NON-SMOKERS WITH PERIODONTITIS

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Abstract (2. Language): 
The purpose of this study was to determine the initial periodontal disease .severity of Lhe smokers and non-smokers adults with periodontitis, and respose to non-surgical treatment. This study was carried out on 34 subjects 17 of whom were smokers and the rest, of whom were non-smokers. They were selected from the university staff and ranged from 40 to 49 years old. Bach patient's initial Pak Index (PI), Gingival Index (OT) Probing Pocket Depth (PPD) and Clinical Attachment l^evel (CAP) were taken from four surface of every tooth. By having plaster models of each patient, the individual biting block and reference point were prepared Cor standart parallel radiography. Standart Parallel intraoral radiographs were taken by Radiovisiography (RVG) system. The alveolar bone height was counted through tpc "measure" function of the system. After 4-5 week of giving the patient oral plgen intruction and having their teeth scaled, the patients were treated with the Root Planing (RP) under oral anesthesia and recoiled to the periodical controls ninthly .In the 12th mouth following therapy all measures at the baseline were re-performcd. The dala achived were compared by using student t test among the groups and by using paired t test within a group. According to the results, periodontal dearuction was more in the smokers; the smokers responded less to the perioontal treatment than lhe non-smokers in term of their number through not statistically, and/or they showed less recovery than expected.
Abstract (Original Language): 
Bu çalışmanın amacı sigara içen ve içmeyen erişktin pcrlodontitisli hastaların hem başlangıç periodontal hastalık şiddetini hem de ccırahisiz tedaviye verdikleri yanıtı saptamaktı. Çalışma üniversite personeli arasından yaşlan 42 ile 47 arasında değişen 17 sığam içen, 17 sigara içmeyen bireyde gerçekleştirildi. Her hastanınbaşlangıç Plak İndeksi (PI), Gingival İndüks (Gİ), Sondlanabılen Cep Derinliği (SCD), Klinik Ataşman Seviyesi (KAS) her dişin 4 yüzeyinden alındı. Yine her hastanın ölçü modelleri alınarak standart |Taralel radyografi için bireysel j&ırma blokları ve rei'erens noktalan hazırlandı. Paralel ağız içi radyogramla! Radiovisıografi (RVG) sistemi kullanarak elde edildi. Alvcol kemik yüksekliği sistemin "measure" fonksiyonu ile hesaplandı. Hastalara oral hijyen eğitimi ve diş yüzeyi temizliği yapıldıktan 4-5 hafta sonra, lokal anestezi âkında Kök Yüzeyi Düzleşlırmesi (KYD) yapıldı. Hasalar her ay peryodik kontrollere çağrıldı. Tedaviyi takiben 12.:ıyda başlangıçta alınan tüm ölçümler yenilendi. Hide edilen veriler grup içi karşılaştırmalarında eşleştirilmiş t testi, gruplar arast ise student t testi kullanılarak karşı! aştırıldı. Sonuçlara göre sigara içen bireylerde periodontal yıkımın daha fazla olduğu, periodontal tedaviye sigara içmeyenlere oranla istatistiksel olmsısada rakamsal olarak daha az yanıt verdiği vc/veya beklenen iyileşmeden daha az iyileşme gösterdiği saptanmıştır.
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Atatürk Tfniv.Diş Hek.FakDerg. Cilt:9, Sayı:2, Sayfa:37-42,1999
ÇANAKÇI, TEZEL, AKGÜL
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