.: DERLEME
Vibrasyon Cihazları Ortodontik Diş Hareketini Hızlandırmakta ve Ağrıyı Azaltmakta Ne Kadar Etkili?
How Effective are the Vibration Devices for Accelerating Orthodontic Tooth Movement and Reducing Pain?
Turkiye Klinikleri J Dental Sci. 2019;25(1):98-103
doi: 10.5336/dentalsci.2017-57213
Makale Dili: TR
Tam Metin
ÖZET
Uzun tedavi süresi ve ortodontik diş hareketi sırasında ortaya çıkan ağrı, ortodontik tedavinin hastalar tarafından kabulünü zorlaştıran problemlerin başında gelmektedir. Araştırmacılar; uzun süren ortodontik tedavinin yol açtığı beyaz nokta lezyonları, kök rezorpsiyonu, kötü oral hijyeni, zayıf kooperasyon gibi sorunları ortadan kaldırmak için ortodontik diş hareketini hızlandırma teknikleri geliştirmişlerdir. Ancak, bu amaçla uygulanan (kortikotomi, farmakolojik ajan enjeksiyonu vb.) tekniklerin çoğu invazivdir ve uygulama sonrası ağrı gibi yan etkilere neden olur. Ortodontik diş hareketini hızlandırmak için kullanılan ve noninvaziv olan diğer bir yöntem ise vibrasyon uygulamasıdır. İlk kez 2008 yılında, günlük kullanıma uygun olacak şekilde geliştirilen vibrasyon cihazları ile bu tekniğin etkinliği araştırmacılar tarafından tekrar tartışılmaya başlanmıştır. Cihazları tasarlayan firmalar tarafından, ortodontik diş hareketini %50 oranında artırdığı ve ortodontik ağrıyı azalttığı iddia edilen bu aygıtlar birçok araştırmaya konu olmuştur. Hem ortodontik diş hareketini hızlandırabilmesi hem de ağrı kontrolüne olanak tanıyabilmesi fikri bu cihazları cazip hâle getirmiştir. Yapılan çalışmalarda, cihazların diş hareket miktarındaki ve ağrı kontrolündeki etkinliği ve kök rezorpsiyonu ile ilişkisi değerlendirilmiştir. Ancak elde edilen sonuçlara göre vibrasyon cihazlarının etkinliği hâlâ tartışmalıdır. Bu çalışmada, ortodontistlere ortodontik diş hareketini hızlandırma teknikleri, hızlı ortodontik diş hareketinin biyolojik mekanizması, ağrı kontrolü, vibrasyon cihazlarının kullanımı ve etki mekanizması gibi başlıklar altında bu cihazların etkinliği hakkında fikir verecek bilgilerin sunulması amaçlanmıştır.
Anahtar Kelimeler: Titreşim; diş hareketi; ağrı yönetimi
Uzun tedavi süresi ve ortodontik diş hareketi sırasında ortaya çıkan ağrı, ortodontik tedavinin hastalar tarafından kabulünü zorlaştıran problemlerin başında gelmektedir. Araştırmacılar; uzun süren ortodontik tedavinin yol açtığı beyaz nokta lezyonları, kök rezorpsiyonu, kötü oral hijyeni, zayıf kooperasyon gibi sorunları ortadan kaldırmak için ortodontik diş hareketini hızlandırma teknikleri geliştirmişlerdir. Ancak, bu amaçla uygulanan (kortikotomi, farmakolojik ajan enjeksiyonu vb.) tekniklerin çoğu invazivdir ve uygulama sonrası ağrı gibi yan etkilere neden olur. Ortodontik diş hareketini hızlandırmak için kullanılan ve noninvaziv olan diğer bir yöntem ise vibrasyon uygulamasıdır. İlk kez 2008 yılında, günlük kullanıma uygun olacak şekilde geliştirilen vibrasyon cihazları ile bu tekniğin etkinliği araştırmacılar tarafından tekrar tartışılmaya başlanmıştır. Cihazları tasarlayan firmalar tarafından, ortodontik diş hareketini %50 oranında artırdığı ve ortodontik ağrıyı azalttığı iddia edilen bu aygıtlar birçok araştırmaya konu olmuştur. Hem ortodontik diş hareketini hızlandırabilmesi hem de ağrı kontrolüne olanak tanıyabilmesi fikri bu cihazları cazip hâle getirmiştir. Yapılan çalışmalarda, cihazların diş hareket miktarındaki ve ağrı kontrolündeki etkinliği ve kök rezorpsiyonu ile ilişkisi değerlendirilmiştir. Ancak elde edilen sonuçlara göre vibrasyon cihazlarının etkinliği hâlâ tartışmalıdır. Bu çalışmada, ortodontistlere ortodontik diş hareketini hızlandırma teknikleri, hızlı ortodontik diş hareketinin biyolojik mekanizması, ağrı kontrolü, vibrasyon cihazlarının kullanımı ve etki mekanizması gibi başlıklar altında bu cihazların etkinliği hakkında fikir verecek bilgilerin sunulması amaçlanmıştır.
Anahtar Kelimeler: Titreşim; diş hareketi; ağrı yönetimi
ABSTRACT
Long treatment duration and pain that occurs during orthodontic tooth movements are among the main problems that make it difficult for the patients to accept orthodontic treatment. In order to eliminate the problems such as white spot lesions that prolonged orthodontic treatment causes, root resorption, bad oral hygiene, poor co-operation, researchers have developed the techniques for accelerating orthodontic tooth movement. However, most of these techniques used for this purpose (corticotomy, pharmacological agent injection etc.) are invasive and cause side effects such as pain after the application. Another method which is used for accelerating orthodontic tooth movement and which is non-invasive is vibration application. With the vibration devices which were developed appropriately for daily usage firstly in 2008, the effectiveness of this technique has been started to be discussed again by the researchers. These devices which are claimed to accelerate orthodontic tooth movement by 50% and reduce orthodontic pain by the producer companies have been subjects to many researches. The idea that they can both accelerate orthodontic tooth movement and enable pain control has made these devices popular. In the studies performed, the effectiveness of the devices on accelerating orthodontic tooth movement and of the pain control with its relation with root resorption have been evaluated. However, according to the results obtained, the effectiveness of vibration devices is still controversial. In this review, under the titles such as the techniques for accelerating orthodontic tooth movement, biological mechanism of rapid orthodontic tooth movement, pain control, the usage of vibration devices and mechanism of effect, some information that will give an idea about effectiveness of these devices has been presented for orthodontists.
Keywords: Vibration; tooth movement; pain management
Long treatment duration and pain that occurs during orthodontic tooth movements are among the main problems that make it difficult for the patients to accept orthodontic treatment. In order to eliminate the problems such as white spot lesions that prolonged orthodontic treatment causes, root resorption, bad oral hygiene, poor co-operation, researchers have developed the techniques for accelerating orthodontic tooth movement. However, most of these techniques used for this purpose (corticotomy, pharmacological agent injection etc.) are invasive and cause side effects such as pain after the application. Another method which is used for accelerating orthodontic tooth movement and which is non-invasive is vibration application. With the vibration devices which were developed appropriately for daily usage firstly in 2008, the effectiveness of this technique has been started to be discussed again by the researchers. These devices which are claimed to accelerate orthodontic tooth movement by 50% and reduce orthodontic pain by the producer companies have been subjects to many researches. The idea that they can both accelerate orthodontic tooth movement and enable pain control has made these devices popular. In the studies performed, the effectiveness of the devices on accelerating orthodontic tooth movement and of the pain control with its relation with root resorption have been evaluated. However, according to the results obtained, the effectiveness of vibration devices is still controversial. In this review, under the titles such as the techniques for accelerating orthodontic tooth movement, biological mechanism of rapid orthodontic tooth movement, pain control, the usage of vibration devices and mechanism of effect, some information that will give an idea about effectiveness of these devices has been presented for orthodontists.
Keywords: Vibration; tooth movement; pain management
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