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Sabit ortodontik tedavi gören adölesanlarda tekrarlı oral hijyen motivasyon yöntemlerinin plak ve inflamasyon belirteçlerine etkisi

The effects of the repetitive and reinforced oral hygiene motivation methods on plaque and inflammation markers of adolescents with fixed appliances

Journal Name:

  • Süleyman Demirel Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: High standard of oral hygiene is essential for patients undergoing fixed orthodontic treatment. The aim of this study is to investigate whether the repetitive and reinforced oral hygiene motivation methods (OHMM) will result in lower plaque index (PI), gingival index (GI) and bleeding on probing (BOP) scores in adolescents with fixed orthodontic appliances. Method: The study group, composed of 90 patients, was divided into three groups; Group I: Only verbal information (n=30), Group II: Verbal information with demonstration on model and self application by the patient under supervision (n=30), Group III: Verbal information using the illustration catalogue and self application by the patient under supervision (n=30). The periodontal parameters (PI, GI and BOP) were recorded at the baseline, first and fourth week after. The patients received the same OHMM repetitively on the first and fourth weeks. Results: All of the groups have shown significant decreases in parameters when compared to the baseline values at the fourth week (P<0.05). The GI, PI and BOP values were significantly lower in Group III than the other groups (P<0.05) at the fourth week. Discussion: We suggest that the repetitive and reinforced OHMM in this study with the application under the supervision of the dentists/orthodontists can be realized easily in adolescents. These OHMM should be applied with tool(s) and equipment(s) which is (are) familiar to the adolescents and other target groups.
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Abstract (Original Language): 
Amaç: Sabit ortodontik tedavi gören hastalarda oral hijyen girişimlerinin yüksek standartta olması vazgeçilmezdir. Bu çalışmanın amacı, tekrarlı oral hijyen motivasyon (OHM) yöntemlerinin sabit ortodontik tedavi gören adölesanlarda plak indeksi (Pİ), gingival indeks (Gİ) ve sondlamada kanama (SK) skorlarında azalmayla sonuçlanıp sonuçlanmadığının araştırılmasıdır. Yöntem: Çalışma grubu 90 kişiden oluşmaktaydı ve üç alt gruba ayrıldı: Grup I: yalnız sözel bilgilendirme (n=30), Grup II: Model üzerinde OHM yönteminin demonstrasyonu ve hastaya gözetim altında uygulatılması (n=30), Grup III: Katalog üzerinde bilgilendirme ve hastaya gözetim altında uygulatılması (n=30). Periodontal parametreler (Pİ, Gİ ve SK) başlangıç, motivasyon sonrası 1. ve 4. haftalarda kaydedilmiş ve OHM yöntemleri bu seanslarda kaydedildi ve tekrarlandı. Sonuçlar: Dördüncü hafta bulguları başlangıç ile karşılaştırıldığında tüm gruplarda tüm parametrelerde anlamlı düşüş bulundu (P<0.05). Ayrıca 4. haftada Grup III’ te Pİ, Gİ ve SK değerlerinde diğer gruplardan anlamlı düzeyde fazla bir azalma belirlendi (P<0.05). Tartışma: Bu çalışmanın bulgularına gore hekim gözetiminde öğretilen tekrarlı OHM yöntemlerinin adölesanlarda uygun bir yaklaşım olduğu ileri sürülebilir.Uygulamaların adölesanın veya başka bir topluluk hedef alınıyorsa bu grubun genellikle kullandığı, tanıdığı veya başka bir deyişle aşina olduğu gereçlerle yapılması gereklidir.
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  • Turkish

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