Epidermolizis bülloza vakalarından elde edilen klinik bulguların değerlendirilmesi, oral hijyen rehberliği ve dental yaklaşımın belirlenmesi
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Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Üniversitesi, Diş Hekimliği Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmamızda epidermolizis bülloza vakalarından elde edilen klinik bulguların değerlendirilerek vakalarda görülen insidanslarının ortaya çıkarılması, bulguların literatürler ile karşılaştırılması, bu vakalara diş hekimi yaklaşımının belirlenmesi, vakalar ile iş birliği yapılarak yaşam kalitelerinin arttırılmasına yönelik dental rehberliğin sağlanması ve diş hekimleri arasında farkındalık oluşturulması amaçlanmıştır. Gereç ve Yöntem: Bu çalışma 2018- 2020 yılları arasında Diyarbakır, Batman ve Şanlıurfa'da yaşayan 15'i kadın, 15'i erkek toplam 30 epidermolizis bülloza vakasının klinik bulguları, anamnezleri ve aile geçmişleri değerlendirilerek yapıldı. Elde edilen veriler istatistiksel olarak değerlendirildi. Bulgular: Çalışmamızda incelediğimiz toplam 30 vakamızın %66,7'sinde malnütrisyon-sık enfeksiyon hikayesi, %73,3'ünde anemi-gastrointestinal sistem komplikasyonları-ellerde kontraktür, %30'unda kalp problemi ve covid-19 hikayesi, %86,7'sinde büyüme geriliği, %60'ında gözlerde komplikasyon, %96,7'sinde tırnaklarda deformite, %76,7'sinde ayaklarda kontraktür, %96,7'sinde anne-baba arasında akrabalık ilişkisi olduğu ve %33,3'ünde etkilenmiş 3.dereceden akrabası olduğu öğrenildi. Çalışmamızdaki vakalarımızın intraoral bulgularına bakıldığında %80'inde intraoral bül ve lezyonlar, %73,3'ünde ankiloglossi ve yaygın çürük, %70'inde mikrostomi ve maxiller atrofi, %66,7'sinde vestibül sulkus obliterasyonu, %6,7'sinde mine hipoplazisi, %60'ında dişlerde çapraşıklık görüldü. Ayrıca vakalarımızın sadece %13,3'ünde oral hijyen alışkanlığının olduğu belirlendi. Sonuç: Epidermolizis bülloza vakalarına tıp ve dis? hekimlerinin dahil oldug?u multidisipliner bir yaklas?ımın gereklilig?i du?s?u?nu?ldu?. Dental tedavi yaklas?ımları ise estetik, fonksiyon ve fonasyonun iadesi ile birlikte normal bu?yu?me ve gelis?meyi de desteklemektedir. Diş hekimleri ve epidermolizis bülloza vakaları ile ebeveynleri oral hijyenin ve dental stabilitenin sağlanmasının öneminin farkında olmalıdır. Ayrıca diş hekimleri EB'li vakalarda, mikrostomi bulunduğu için gerekli dental tedavileri uygun anestezi şeklini belirleyerek, atravmatik olarak genel veya lokal anestezi altında gereken çalışma yöntemlerine hakim olmalıdır. Epidermolizis büllozanın diş hekimleri tarafından daha iyi anlaşılması için çalışmaların devam etmesi gerektiği düşünüldü.
Aim: In this study, we aimed to evaluate the clinical findings obtained from epidermolysis bullosa cases and to reveal the incidence of the cases, to compare the findings with the literature, to determine the dentist approach to these cases, to provide dental guidance to increase the quality of life by collaborating with the cases, and to create awareness among dentists. Material and Method: This study was conducted by evaluating the clinical findings, anamnesis and family histories of 30 epidermolysis bullosa cases, 15 of them women and 15 of them men, living in Diyarbakır, Batman and Şanlıurfa between 2018 and 2020. The data obtained were evaluated statistically. Results: Of the 30 cases we examined in our study, 66.7% had a history of malnutrition-frequent infection, 73.3% had anemia-gastrointestinal system complications-contracture in the hands, 30% had a heart problem and a history of covid-19, 86.7% had growth retardation, complications in the eyes in 60%, deformity in the nails in 96.7%, contractures in the feet in 76.7%, kinship between parents in 96.7% and affected in 33.3% 3. It was learned that he was a relative of. Considering the intraoral findings of our cases, 80% had intraoral bullae and lesions, 73.3% had ankyloglossi and diffuse caries, 70% had microstomy and maxillary atrophy, 66.7% had vestibular sulcus obliteration, 6.7% had enamel hypoplasia, crooked teeth were seen in 60% of them. In addition, it was determined that only 13.3% of our cases had oral hygiene habits. Conclusion: The necessity of a multidisciplinary approach involving medicine and dentists was considered in cases of epidermolysis bullosa. Dental treatment approaches, on the other hand, support normal growth and development along with the return of aesthetics, function and phonation. Dentists and their parents with cases of epidermolysis bullosa should be aware of the importance of maintaining oral hygiene and dental stability. In addition, dentists should be able to master the required dental treatments, atraumatically, under general or local anesthesia, by determining the appropriate form of anesthesia in cases with EB, since microstomy is available. It was thought that studies should continue in order for the epidermolysis bullosa to be understood better by dentists.
Aim: In this study, we aimed to evaluate the clinical findings obtained from epidermolysis bullosa cases and to reveal the incidence of the cases, to compare the findings with the literature, to determine the dentist approach to these cases, to provide dental guidance to increase the quality of life by collaborating with the cases, and to create awareness among dentists. Material and Method: This study was conducted by evaluating the clinical findings, anamnesis and family histories of 30 epidermolysis bullosa cases, 15 of them women and 15 of them men, living in Diyarbakır, Batman and Şanlıurfa between 2018 and 2020. The data obtained were evaluated statistically. Results: Of the 30 cases we examined in our study, 66.7% had a history of malnutrition-frequent infection, 73.3% had anemia-gastrointestinal system complications-contracture in the hands, 30% had a heart problem and a history of covid-19, 86.7% had growth retardation, complications in the eyes in 60%, deformity in the nails in 96.7%, contractures in the feet in 76.7%, kinship between parents in 96.7% and affected in 33.3% 3. It was learned that he was a relative of. Considering the intraoral findings of our cases, 80% had intraoral bullae and lesions, 73.3% had ankyloglossi and diffuse caries, 70% had microstomy and maxillary atrophy, 66.7% had vestibular sulcus obliteration, 6.7% had enamel hypoplasia, crooked teeth were seen in 60% of them. In addition, it was determined that only 13.3% of our cases had oral hygiene habits. Conclusion: The necessity of a multidisciplinary approach involving medicine and dentists was considered in cases of epidermolysis bullosa. Dental treatment approaches, on the other hand, support normal growth and development along with the return of aesthetics, function and phonation. Dentists and their parents with cases of epidermolysis bullosa should be aware of the importance of maintaining oral hygiene and dental stability. In addition, dentists should be able to master the required dental treatments, atraumatically, under general or local anesthesia, by determining the appropriate form of anesthesia in cases with EB, since microstomy is available. It was thought that studies should continue in order for the epidermolysis bullosa to be understood better by dentists.
Açıklama
Anahtar Kelimeler
Epidermolizis bülloza, Çocuk diş hekimliği, Genetik, Oral hijyen rehberliği, Dental yaklaşım, Epidermolysis bullosa, Pediatric dentistry, Genetics, Oral hygiene guidance, Dental approach
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Gülşen, E. (2021). Epidermolizis bülloza vakalarından elde edilen klinik bulguların değerlendirilmesi, oral hijyen rehberliği ve dental yaklaşımın belirlenmesi. Yayımlanmamış uzmanlık tezi, Dicle Üniversitesi, Diyarbakır.
