{"id":56,"date":"2017-03-18T16:41:13","date_gmt":"2017-03-18T14:41:13","guid":{"rendered":"http:\/\/www.sidident.com\/?p=56"},"modified":"2017-03-18T16:41:13","modified_gmt":"2017-03-18T14:41:13","slug":"pedodonti-cocuk-dis-hekimligi","status":"publish","type":"post","link":"https:\/\/www.sidident.com\/tr\/pedodonti-cocuk-dis-hekimligi\/","title":{"rendered":"Pedodonti (\u00c7ocuk Di\u015f Hekimli\u011fi)"},"content":{"rendered":"<h2>\u00c7ocuklar\u0131n di\u015fleri niye \u00e7\u00fcr\u00fcyor?<\/p>\n<p><img decoding=\"async\" class=\"alignleft\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/pgi0005.jpg\" alt=\"\" align=\"left\" border=\"1\" hspace=\"2\" vspace=\"2\" \/><\/h2>\n<p>S\u00fct di\u015fleri normal di\u015flere oranla daha \u00e7ok organik madde i\u00e7erirler, bu nedenle <strong>\u00e7\u00fcr\u00fcmeye<\/strong> daha yatk\u0131nlard\u0131r, daha kolay ve h\u0131zl\u0131 \u00e7\u00fcr\u00fcrler.<\/p>\n<p>\u00c7ocuklar, \u00e7\u00fcr\u00fc\u011f\u00fcn erken d\u00f6neminde g\u00f6r\u00fclebilen <strong>so\u011fuk s\u0131cak hassasiyeti<\/strong> ve hafif a\u011fr\u0131 gibi sinyalleri zaman\u0131nda yorumlayamazlar. Olay\u0131 ancak dayan\u0131lamayacak kadar a\u011fr\u0131 olmas\u0131nda fark ederler ki bu durumda \u00e7ok ge\u00e7 kal\u0131nm\u0131\u015f olabilir.<\/p>\n<p>\u00c7ocuklar a\u011f\u0131z bak\u0131m\u0131na yeti\u015fkinler kadar dikkat edemezler. \u00c7ocu\u011fun el becerisi, merak\u0131 ve ebeveynin tutumu <strong>di\u015f f\u0131r\u00e7alama<\/strong> al\u0131\u015fkanl\u0131\u011f\u0131n\u0131 belirler.<\/p>\n<p>\u00d6zellikle annelerin s\u0131kl\u0131kla yapt\u0131\u011f\u0131 bir hata da emzik ya da biberonu \u015feker, re\u00e7el vb. gibi g\u0131dalara bat\u0131rarak \u00e7ocuklara vermeleri veya uyku aralar\u0131nda \u015fekerli s\u00fct, meyve suyu gibi g\u0131dalara al\u0131\u015ft\u0131rmalar\u0131d\u0131r. B\u00f6ylece beslenme d\u00fczensizli\u011finden dolay\u0131 di\u015fler \u00e7\u00fcr\u00fcmeye yatk\u0131n hale gelir.<\/p>\n<h3>\u00c7\u00fcr\u00fck olu\u015fumu engellenebilir mi?<\/h3>\n<p><img decoding=\"async\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/dis_fircalama.jpg\" alt=\"\" align=\"right\" border=\"1\" hspace=\"2\" vspace=\"2\" \/>\u00c7\u00fcr\u00fc\u011f\u00fc tamamen engelleyebilecek bir a\u015f\u0131 yada ila\u00e7 hen\u00fcz geli\u015ftirilemedi. Ancak, \u00e7\u00fcr\u00fck say\u0131s\u0131n\u0131 azaltmaya y\u00f6nelik baz\u0131 malzemeler g\u00fcn\u00fcm\u00fczde kullan\u0131lmaktad\u0131r, bunlardan birisi; &#8220;<strong>fiss\u00fcr \u00f6rt\u00fcc\u00fc<\/strong>&#8221; dedi\u011fimiz malzemedir. <strong>Di\u015f \u00e7\u00fcr\u00fckleri<\/strong> genellikle az\u0131 ve k\u00fc\u00e7\u00fck az\u0131 di\u015flerinin, \u00e7i\u011fneyici y\u00fczlerinde bulunan &#8220;fiss\u00fcr&#8221; ad\u0131 verilen oluklarda ba\u015flar. Bahsetti\u011fimiz malzemeyle oluklar\u0131n \u00fczeri kapat\u0131l\u0131p, o b\u00f6lgeye mikrop, yemek art\u0131\u011f\u0131 vs. nin s\u0131zmas\u0131 engellenerek \u00e7\u00fcr\u00fck ba\u015flamas\u0131 \u00f6nlenir. Bu i\u015flem, 6 ya\u015f\u0131ndan itibaren \u00e7\u0131kan kal\u0131c\u0131 az\u0131 ve k\u00fc\u00e7\u00fck az\u0131 di\u015flerine de uygulanabilir.<\/p>\n<p>\u00c7\u00fcr\u00fc\u011f\u00fc engellemenin ba\u015fka bir yolu da di\u015flerin \u00e7\u00fcr\u00fc\u011fe kar\u015f\u0131 direncini art\u0131rmakt\u0131r. Di\u015flere y\u00fczeysel flor\u00fcr uygulanmas\u0131 suretiyle bu diren\u00e7 kazand\u0131r\u0131l\u0131r.<\/p>\n<h3>S\u00fct di\u015flerindeki \u00e7\u00fcr\u00fckler tedavi edilmeli mi?<\/h3>\n<p>Tedavi edilmeyen s\u00fct di\u015fi <strong>\u00e7\u00fcr\u00fckleri<\/strong>, a\u011fr\u0131, <strong>k\u00f6t\u00fc koku<\/strong>, \u00e7i\u011fneme zorlu\u011fu, beslenme bozuklu\u011fu ve \u00e7irkin g\u00f6r\u00fcnt\u00fcye yol a\u00e7ar. Bu d\u00f6nemdeki tedavi edilmeyen di\u015f bozukluklar\u0131, ileride <strong>di\u015f \u00e7arp\u0131kl\u0131\u011f\u0131<\/strong>, \u00e7ene geli\u015fiminde bozukluk ve genel sa\u011fl\u0131k problemlerine (romatizmadan kalp rahats\u0131zl\u0131klar\u0131na kadar) sebep olabilecektir. Dolay\u0131s\u0131yla s\u00fct di\u015flerindeki \u00e7\u00fcr\u00fckler, <strong>&#8220;<em>nas\u0131l olsa yerine yenileri gelecek<\/em>&#8221; yan\u0131lg\u0131s\u0131na d\u00fc\u015fmeden tedavi edilmelidir<\/strong>.<\/p>\n<h3>\u00c7ocuk di\u015f hekimli\u011finde 2 temel yakla\u015f\u0131m vard\u0131r:<\/h3>\n<ol>\n<li>Tedavi edici yakla\u015f\u0131mlar<\/li>\n<li>\u00d6nleyici yakla\u015f\u0131mlar<\/li>\n<\/ol>\n<h4>I. Tedavi edici yakla\u015f\u0131mlar<\/h4>\n<h5><strong>\u00c7\u00fcr\u00fck<\/strong><\/h5>\n<p><img decoding=\"async\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/3D305003.jpg\" alt=\"\" align=\"right\" border=\"0\" hspace=\"2\" vspace=\"2\" \/>\u00c7ocuklarda \u00e7\u00fcr\u00fck \u00e7ok yayg\u0131n olarak kar\u015f\u0131la\u015f\u0131lan problemlerdendir. \u00c7ocukluk \u00e7a\u011flar\u0131nda edinilememi\u015f di\u015f f\u0131r\u00e7alama al\u0131\u015fkanl\u0131klar\u0131,uzakla\u015ft\u0131r\u0131lmayan bakteri plaklar\u0131 \u00e7ocuklarda \u00e7\u00fcr\u00fcklere neden olur. Bunlar kimi zaman ge\u00e7ici kimi zaman kal\u0131c\u0131 dolgular ile restore edilir. A\u011f\u0131r harabiyet g\u00f6steren di\u015fler de \u00e7ekim yerine di\u015flere uygulanan birer s\u00fct di\u015fi kaplamas\u0131 yolu ile erken \u00e7ekimi \u00f6nleme ama\u00e7l\u0131 bir s\u00fcre daha a\u011f\u0131zda tutulur.<\/p>\n<h5><strong>K\u0131r\u0131k<\/strong><\/h5>\n<p><img decoding=\"async\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/teens_OP_3D_05.gif\" alt=\"\" align=\"left\" border=\"0\" hspace=\"2\" \/>\u00c7ocuklarda di\u015flerin zarar g\u00f6rd\u00fc\u011f\u00fc kazalarda zaman kaybetmeden m\u00fcdahalede bulunulmal\u0131d\u0131r. \u00c7ocuklar s\u0131kl\u0131kla d\u00fc\u015fer yada \u00e7arparlar. Bunlar\u0131n sonucunda \u00f6n di\u015flerine zarar vererek y\u0131llar boyunca rahats\u0131z olacaklar\u0131 yada s\u0131k s\u0131k di\u015f hekimine gitmelerini gerektirecek problemlerle kar\u015f\u0131la\u015f\u0131rlar. Do\u011fru tan\u0131 konmas\u0131 \u00e7ok \u00f6nemlidir. Bunun i\u00e7in hekiminiz size, kazan\u0131n ne zaman ve nerede oldu\u011funu, darbenin ne taraftan geldi\u011fini, kaza sonras\u0131 bayg\u0131nl\u0131k, kusma, haf\u0131za kayb\u0131 vb. olup olmad\u0131\u011f\u0131n\u0131 soracakt\u0131r. Verilen bilgiler do\u011frultusunda en do\u011fru tedavi uygulanabilecektir.<\/p>\n<p>Bu kazalarda en \u00e7ok s\u0131k rastlananlar\u0131 di\u015fsel yaralanmalard\u0131r. Kimi spor aktiviteleri s\u0131ras\u0131nda veya d\u00fc\u015fmeler s\u0131ras\u0131nda a\u011f\u0131z b\u00f6lgesine gelen darbeler sonucu di\u015f k\u0131r\u0131klar\u0131 olu\u015fur. Darbenin \u015fiddetine g\u00f6re di\u015f ya k\u0131smen ya da tamamen k\u0131r\u0131labilece\u011fi gibi di\u015fin yuvas\u0131ndan \u00e7\u0131kt\u0131\u011f\u0131 da olur.<\/p>\n<p>Bunun neticesi olarak di\u015fin \u00f6z\u00fcnde (<strong>pulpa<\/strong>) hasar meydana gelebilir ve pulpa \u00f6lebilir. O zaman di\u015fte uzun vadede renkle\u015fme meydana gelebilir.<\/p>\n<p>Bu gibi durumlar\u0131 \u00f6nleme ama\u00e7l\u0131 \u00f6zellikle spor yapan \u00e7ocuklarda a\u011fza uygun haz\u0131rlanm\u0131\u015f bir a\u011f\u0131zl\u0131k (<strong>mouth guard<\/strong>) \u00e7o\u011fu kez di\u015f k\u0131r\u0131k ve travmalar\u0131n\u0131 \u00f6nlemede yard\u0131mc\u0131 olur. Bu <strong>\u015feffaf k\u0131l\u0131flar\u0131<\/strong> spor \u00f6ncesi a\u011f\u0131zlar\u0131na takan \u00e7ocuklarda di\u015fsel travma sonucu k\u0131r\u0131klar daha az g\u00f6r\u00fclmektedir.<\/p>\n<h5><strong>Darbe<\/strong><\/h5>\n<p><strong>E\u011fer \u00f6n di\u015f ve\/veya di\u015fler tamamen yerinden f\u0131rlad\u0131ysa, yahut k\u0131r\u0131ld\u0131ysa<\/strong><\/p>\n<p>Di\u015fi veya k\u0131r\u0131lm\u0131\u015f par\u00e7alar\u0131 temiz bir gazl\u0131 bez aras\u0131na koyup, t\u00fck\u00fcr\u00fck ile \u0131slatarak hemen di\u015f hekiminize gidin. Di\u015f hekiminize hemen ula\u015fam\u0131yacaksan\u0131z gazl\u0131 bezi eczaneden alaca\u011f\u0131n\u0131z serum fizyolojik ile \u0131slat\u0131n ve en k\u0131sa zamanda ula\u015fmaya \u00e7al\u0131\u015f\u0131n. En ideali 1 saat i\u00e7inde tedaviye ba\u015flanm\u0131\u015f olmas\u0131d\u0131r. E\u011fer \u015fartlar uygunsa ya di\u015f hekiminiz f\u0131rlayan di\u015fi yerine yerle\u015ftirecektir (reimplantasyon) ya da k\u0131r\u0131lan par\u00e7a bonding metodu ile yerine pa\u0131\u015ft\u0131r\u0131lacakt\u0131r. Titiz bir uygulama ve sonras\u0131nda iyi bir bak\u0131m ile di\u015f y\u0131llarca \u00e7ocu\u011funuzun a\u011fz\u0131nda kalacakt\u0131r.<\/p>\n<p><strong>E\u011fer k\u0131r\u0131k par\u00e7a bulunmazsa ne olur?<\/strong><\/p>\n<p><strong>K\u0131r\u0131k k\u00fc\u00e7\u00fckse<\/strong>, di\u015fle ayn\u0131 renk ve formda bir beyaz (kompozit) dolgu yap\u0131l\u0131r. Kompozit dolgular\u0131n a\u011f\u0131z i\u00e7i dayan\u0131kl\u0131l\u0131klar\u0131 s\u0131n\u0131rl\u0131d\u0131r. \u00c7ay, kahve kola gibi g\u0131dalarla boyanarak renk de\u011fi\u015ftirirler. Bunlar\u0131n beslenme al\u0131\u015fkanl\u0131klar\u0131na ve a\u011f\u0131z hijyenine ba\u011fl\u0131 olarak belli s\u00fcrelerde yenilenmeleri gerekir.<\/p>\n<p><strong>K\u0131r\u0131k b\u00fcy\u00fckse<\/strong>, di\u015fin yar\u0131s\u0131n\u0131 ya da daha fazlas\u0131n\u0131 kaps\u0131yorsa ortalama 17 ya\u015f\u0131ndan b\u00fcy\u00fcklerde porselen laminate veneerler uygulan\u0131r. Porselen laminate veneerler hem \u00e7ok dayan\u0131kl\u0131 hemde \u00e7ok estetiktir. Di\u015fin \u00f6n y\u00fczeyine yap\u0131\u015fan ve k\u0131r\u0131k b\u00f6l\u00fcm\u00fcde kaplayan porselen yapraklar \u015feklinde a\u00e7\u0131klanabilirler.<\/p>\n<p><strong>17 ya\u015f\u0131ndan k\u00fc\u00e7\u00fcklerde<\/strong> ise di\u015f ve \u00e7ene geli\u015fimi tamamlanmad\u0131\u011f\u0131ndan porselen laminate veneerlerin uygulanmas\u0131 do\u011fru de\u011fildir. Yine di\u015fin t\u00fcm \u00f6n y\u00fczeyini ve k\u0131r\u0131k b\u00f6l\u00fcm\u00fc i\u00e7ine alan kompozit laminalar yap\u0131l\u0131r. Fakat malzemeden kaynaklanan problemler vard\u0131r, renkle\u015fecekleri i\u00e7in bir s\u00fcre sonra yenilenmeleri gerekebilir.<\/p>\n<p><strong>Darbeden sonra her \u015fey normal g\u00f6r\u00fcn\u00fcyorsa ne yap\u0131lmal\u0131?<\/strong><\/p>\n<p>Mutlaka di\u015f hekimi taraf\u0131ndan detayl\u0131 muayene yap\u0131lmal\u0131 ve ilgili b\u00f6lgeden r\u00f6ntgen \u00e7ekilmelidir. Muayene ve r\u00f6ntgenden sonra herhangi bir bulgu olmasa bile belirli aral\u0131klarla tekrar periapikal r\u00f6ntgen al\u0131n\u0131r ve eski filmlerle kar\u015f\u0131la\u015ft\u0131r\u0131l\u0131r. Burada ama\u00e7 di\u015fin canl\u0131 bol\u00fcm\u00fcnde uzun vadede bir problem olup olmad\u0131\u011f\u0131n\u0131n tespitidir. Di\u015f y\u0131llar sonra bile renk de\u011fi\u015ftirerek canl\u0131l\u0131\u011f\u0131n\u0131 kaybeder. B\u00f6yle bir durum tespit edilirse kanal tedavisi uygulanarak di\u015f kayb\u0131na yol a\u00e7abilecek komplikasyonlar \u00f6nlenir.<\/p>\n<h5><strong><img decoding=\"async\" class=\"alignleft\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/missing_teeth_girl_291x233.jpg\" alt=\"\" align=\"left\" border=\"0\" hspace=\"2\" vspace=\"2\" \/>\u00c7ekim<\/strong><\/h5>\n<p>Baz\u0131 durumlarda \u00e7\u00fcr\u00fck, di\u015fin i\u00e7 k\u0131sm\u0131ndaki canl\u0131 (sinir-pulpa) b\u00f6l\u00fcme kadar ilerler. Di\u015fin k\u00f6klerinden \u00e7ene kemi\u011fine ula\u015fan iltihabi bir durum meydana gelir. \u00c7ocu\u011fun y\u00fcz\u00fc \u015fi\u015fer, \u015fiddetli a\u011fr\u0131s\u0131 vard\u0131r ve bu di\u015fi a\u011f\u0131zda tutmak \u00e7ocu\u011fun sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan do\u011fru de\u011fildir. Bu durumda di\u015f buradan \u00e7\u0131kart\u0131l\u0131r. \u00d6zellikle bu bir s\u00fct di\u015fi ise ve alttan gelen daimi di\u015fin s\u00fcrme zaman\u0131 \u00e7ok yak\u0131nsa hi\u00e7 bir mahsuru olmayan bir i\u015flemdir. Daimi di\u015fin s\u00fcrme zaman\u0131 yak\u0131n de\u011filse mutlaka \u00e7ekilen di\u015fin yerine bir yer tutucu aparey yap\u0131lmal\u0131d\u0131r.<\/p>\n<p>Kal\u0131c\u0131 bir di\u015fte ise \u00e7ekim i\u015fleminden \u00f6nce bu karar defalarca g\u00f6zden ge\u00e7irilmeli ve ger\u00e7ekten yap\u0131lacak hi\u00e7bir \u015fey kalmad\u0131\u011f\u0131 durumlarda \u00e7ekim d\u00fc\u015f\u00fcn\u00fclmelidir. Daimi di\u015fler \u00e7ekildikten sonra, \u00e7ocu\u011fun ya\u015f\u0131 uygun ise hemen ortodontik tedaviye ba\u015flanarak bu bo\u015fluk di\u011fer di\u015flerle kapat\u0131lmal\u0131 ve alt-\u00fcst di\u015fler aras\u0131nda do\u011fru bir kapan\u0131\u015f ili\u015fkisi sa\u011flanmal\u0131d\u0131r. \u00c7ekilmi\u015f bir daimi di\u015fin yeri \u00f6ylece b\u0131rak\u0131ld\u0131\u011f\u0131nda yandaki di\u015fler bu bo\u015flu\u011fa do\u011fru e\u011filirler. Bo\u015flu\u011fun kar\u015f\u0131s\u0131ndaki di\u015f bo\u015flu\u011fa uzar ve bir di\u015f y\u00fcz\u00fcnden a\u011fz\u0131n b\u00fct\u00fcn dengesi bozulabilir.<\/p>\n<h5><strong>Temizlik<\/strong><\/h5>\n<p>Di\u015flerin \u00fczerinde olu\u015fan bakteri pla\u011f\u0131 (yiyecek art\u0131klar\u0131 ve mikroorganizmalardan olu\u015fan beyaz\u0131ms\u0131, yap\u0131\u015fkan tabaka) e\u011fer normal f\u0131r\u00e7alama ile uzakla\u015ft\u0131r\u0131lam\u0131yacak kadar birikti ise di\u015f hekimi taraf\u0131ndan temizlenerek uzakla\u015ft\u0131r\u0131lmal\u0131d\u0131r. Bu i\u015flem bakteri plaklar\u0131n\u0131n uzun vadede meydana getirece\u011fi di\u015f ta\u015f\u0131 ve \u00e7\u00fcr\u00fck gibi problemlerin de olu\u015fumunu engelleyecektir. Ayn\u0131 seansta \u00e7ocu\u011fa, di\u015f f\u0131r\u00e7alama e\u011fitimi ve \u00e7\u00fcr\u00fcklerden korunma hakk\u0131nda bilgilendirme de yap\u0131larak tekrar kontrole \u00e7a\u011fr\u0131l\u0131r.<\/p>\n<h4>II. \u00d6nleyici yakla\u015f\u0131mlar<\/h4>\n<p>G\u00fcn\u00fcm\u00fczde t\u0131bb\u0131n her alan\u0131nda oldu\u011fu gibi di\u015f hekimli\u011finde de, problemi olu\u015fmadan durdurma diyebilece\u011fimiz koruyucu hekimlik \u00f6nem kazanm\u0131\u015ft\u0131r. Koruyucu di\u015f hekimli\u011fi \u00f6zellikle \u00e7ocuklarda b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r. Zahmetsiz, ucuz ve ac\u0131s\u0131z uygulamalar oldu\u011fundan \u00e7ocuklar\u0131n di\u015f hekimi ile ilk kar\u015f\u0131la\u015fmalar\u0131n\u0131n koruyucu di\u015f hekimli\u011fi ile ilgili olmas\u0131 tercih edilir.<\/p>\n<h5><strong>1. Hijyen E\u011fitimi<\/strong><\/h5>\n<p><img decoding=\"async\" class=\"alignright\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/totalcare.jpg\" alt=\"\" align=\"right\" border=\"0\" hspace=\"2\" vspace=\"2\" \/>A\u011f\u0131z di\u015f bak\u0131m\u0131n\u0131 eksiksiz yapmak ancak eksiksiz bilgi ile m\u00fcmk\u00fcn olur. Di\u015f f\u0131r\u00e7alama ve di\u015f ipi kullan\u0131m\u0131n\u0131n \u00f6\u011fretilmesi, beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n g\u00f6zden ge\u00e7irilmesi ve a\u011f\u0131z di\u015f sa\u011fl\u0131\u011f\u0131n\u0131n \u00f6neminin anlat\u0131lmas\u0131n\u0131 i\u00e7eren hijyen e\u011fitimi, eksik bilgi kalmamas\u0131n\u0131 sa\u011flar. Bu e\u011fitim \u00e7ocuklar i\u00e7in oldu\u011fu kadar b\u00fcy\u00fckler i\u00e7in de \u00f6nem ta\u015f\u0131r.<\/p>\n<h5><strong>2. Y\u00fczeysel Flor Uygulamas\u0131<\/strong><\/h5>\n<p>Florid sudan veya yedi\u011fimiz pek \u00e7ok g\u0131dadan alabildi\u011fimiz do\u011fal bir mineraldir. \u00c7ok eskiden beri sular\u0131ndaki florid oran\u0131 fazla olan b\u00f6lgelerde ya\u015fayanlar\u0131n daha az di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcyle kar\u015f\u0131la\u015ft\u0131\u011f\u0131 farkedilmi\u015f ve nedeni ara\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda floridin di\u015fin minesini \u00e7\u00fcr\u00fc\u011fe diren\u00e7li hale getirdi\u011fi saptanm\u0131\u015ft\u0131r. \u00d6nceleri \u015fehir sular\u0131n\u0131n optimal dozda floridlenmesi d\u00fc\u015f\u00fcn\u00fclm\u00fc\u015f ve baz\u0131 b\u00f6lgelerde uygulanm\u0131\u015f, daha sonra ise birtak\u0131m yan etkiler g\u00f6r\u00fclerek bu doz azalt\u0131lm\u0131\u015ft\u0131r.<\/p>\n<p><img decoding=\"async\" class=\"alignleft\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/varnish.jpg\" alt=\"\" align=\"left\" border=\"1\" hspace=\"2\" vspace=\"2\" \/>Son y\u0131llarda yap\u0131lan ara\u015ft\u0131rmalar ise y\u00fczeyel flor uygulamalar\u0131n\u0131n daha \u00f6nemli oldu\u011funu g\u00f6stermi\u015ftir.Annenin hamileli\u011fi esnas\u0131nda ald\u0131\u011f\u0131 yada 6. aydan itibaren \u00e7ocu\u011fa verilen flor tabletlerinin etkisinin tahmin edilenden \u00e7ok az oldu\u011fu bulunmu\u015ftur. Mineyi olu\u015fturan kristal yap\u0131, y\u00fczeye uygulanan floridin etkisiyle aside daha diren\u00e7li hale gelmektedir. B\u00f6ylece daha zor p\u00fcr\u00fczlenmekte ve \u00e7\u00fcr\u00fc\u011f\u00fcn olu\u015fmas\u0131 zorla\u015fmaktad\u0131r.<\/p>\n<p>Y\u00fczeyel florid uygulamalar\u0131 3 ya\u015f\u0131ndan itibaren ba\u015flanabilen ve her 6 ayda bir tekrarlanmas\u0131 gereken basit, ac\u0131s\u0131z bir i\u015flemdir. \u00c7ocu\u011fun di\u015fhekimi ile ilk kar\u015f\u0131la\u015fmas\u0131 ve 6 ayl\u0131k periodlarla kontrola gelmesi a\u00e7\u0131s\u0131ndan idealdir. Birka\u00e7 dakika s\u00fcren bu i\u015flem sonras\u0131nda \u00e7ocu\u011funuzun di\u015flerinin y\u00fczeyinde depolanan florid, di\u015fleri \u00e7ok daha sa\u011fl\u0131kl\u0131 ve g\u00fc\u00e7l\u00fc yapacakt\u0131r.<\/p>\n<h5><strong>3. Fiss\u00fcr Sealant<\/strong><\/h5>\n<p style=\"text-align: center;\"><img decoding=\"async\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/tooth-before-dental-sealants.jpg\" \/>\u00a0<img decoding=\"async\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/tooth-after-dental-sealants.jpg\" \/><\/p>\n<p style=\"text-align: left;\">Di\u015flerin \u00e7i\u011fneyici y\u00fczeyleri girintili \u00e7\u0131k\u0131nt\u0131l\u0131d\u0131r. Bu \u00e7ukurcuk ve tepecikler pit ve fiss\u00fcrler olarak adland\u0131r\u0131l\u0131r. Bu b\u00f6lgeler olduk\u00e7a dard\u0131r ve g\u0131dalar\u0131n s\u0131k\u0131\u015f\u0131 temizlenememesi nedeniyle genellikle \u00e7\u00fcr\u00fcklerin ba\u015flad\u0131\u011f\u0131 yerlerdir. Bu b\u00f6lgelerdeki g\u0131da ve mikroorganizma birikimini ve buna ba\u011fl\u0131 olarak \u00e7\u00fcr\u00fc\u011f\u00fc \u00f6nlemek amac\u0131yla \u00f6zel ak\u0131c\u0131 bir dolgu malzemesi kullan\u0131l\u0131r.\u00d6ncelikle bu b\u00f6lge tam olarak temizlenir ve fissur sealant dedi\u011fimiz ak\u0131c\u0131 dolgu bu b\u00f6lgeye uygulan\u0131r. I\u015f\u0131k ile sertle\u015ftirilir ve fazlal\u0131klar\u0131 d\u00fczeltilerek cilalan\u0131r. Bu i\u015flem sayesinde t\u00fcm \u00e7\u00fcr\u00fcklerin yakla\u015f\u0131k %70 ini olu\u015fturan \u00e7i\u011fneyici y\u00fczey \u00e7\u00fcr\u00fcklerinden korunmak m\u00fcmk\u00fcn olur. Normal \u015fartlarda uzun y\u0131llar kullan\u0131labilmekle birlikte \u00f6zellikle buz \u00e7i\u011fneme yada di\u015f g\u0131c\u0131rdatma gibi al\u0131\u015fkanl\u0131klar\u0131 olanlarda s\u0131k s\u0131k kontrol edilmelerinde fayda vard\u0131r. A\u011f\u0131zda ilk kal\u0131c\u0131 di\u015flerin \u00e7\u0131kt\u0131\u011f\u0131 d\u00f6nem uygulama i\u00e7in idealdir. Bu da 6 ya\u015f civar\u0131d\u0131r. Di\u011fer az\u0131 di\u015flerinin s\u00fcrme zamanlar\u0131nda di\u011ferlerine de uygulan\u0131r. \u00d6nemli bir nokta kal\u0131c\u0131 di\u015fler s\u00fcrmeye ba\u015flad\u0131ktan k\u0131sa bir s\u00fcre sonra yapt\u0131rman\u0131n (1-2 sene i\u00e7inde)daha iyi olaca\u011f\u0131d\u0131r. \u00c7\u00fcnk\u00fc s\u00fcre uzad\u0131k\u00e7a \u00e7\u00fcr\u00fck olu\u015fma ihtimali artar ve fissur sealant yerine dolgu yapmak gerekebilir.<\/p>\n<p>\u00c7\u00fcr\u00fcks\u00fcz b\u00fcy\u00fcklerde de uygulanabilmekle beraber, \u00e7ocuklarda kullan\u0131m\u0131 daha faydal\u0131 ve \u00f6nemlidir. Kesinlikle ac\u0131s\u0131z ve \u00e7ok kolay bir i\u015flemdir.<\/p>\n<p><strong><em>Nas\u0131l yap\u0131l\u0131r?<\/em><\/strong><\/p>\n<p>Bu ac\u0131s\u0131z i\u015fleme ba\u015flamadan \u00f6nce sealent uygulanacak y\u00fczeydeki girintiler tamamen temiz ve bakterilerin uzakla\u015ft\u0131r\u0131lm\u0131\u015f oldu\u011fundan emin olmak gerekir. Bu ama\u00e7la \u00f6zel bir sol\u00fcsyonla di\u015fleriniz hekiminiz taraf\u0131ndan f\u0131r\u00e7alanarak temizlenir ve kurutulur. Di\u015fin en \u00fcst\u00fcnde bulunan mine tabakas\u0131 bir jel yard\u0131m\u0131 ile p\u00fcr\u00fczlendirilir ve yap\u0131\u015ft\u0131r\u0131c\u0131 (bonding) s\u00fcr\u00fcl\u00fcr, \u0131\u015f\u0131k ile sertle\u015ftirildikten sonra f\u00fcss\u00fcr sealentin bir f\u0131r\u00e7a yard\u0131m\u0131 ile girintileri doldurmas\u0131 sa\u011flan\u0131r, tekrar \u0131\u015f\u0131kla sertle\u015ftirilir. Y\u00fckseklik olup olmad\u0131\u011f\u0131 kontrol edilip \u00fczerine koruyucu cilas\u0131 s\u00fcr\u00fcl\u00fcr. \u00c7ok basit, ucuz. Ac\u0131s\u0131z ve etkin bir koruyucu prosed\u00fcrd\u00fcr.<\/p>\n<h4><strong>4. Yer Tutucu<\/strong><\/h4>\n<p><img decoding=\"async\" class=\"alignright\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/bandloop1.jpg\" alt=\"\" align=\"right\" border=\"1\" hspace=\"2\" vspace=\"2\" \/>S\u00fct di\u015fi \u00e7e\u015fitli sebeplerle (\u00e7\u00fcr\u00fck veya kaza) erken kaybedilir. B\u00f6yle durumlarda alttan gelen kal\u0131c\u0131 di\u015f haz\u0131r olup s\u00fcrene kadar, yandaki di\u015fler e\u011filerek, d\u00f6nerek kaybedilmi\u015f s\u00fct di\u015finin kal\u0131c\u0131 di\u015f i\u00e7in korumas\u0131 gereken yeri kapatabilirler. Hatta bo\u015flu\u011fun kar\u015f\u0131 \u00e7enesinde bulunan di\u015f uzamaya ba\u015flar. E\u011fer erken s\u00fct di\u015fi \u00e7ekiminden sonra geli\u015fim kendi haline b\u0131rak\u0131l\u0131rsa meydana gelen bu haraketler gelecek s\u00fcrekli di\u015fe yer kalmamas\u0131na sebep olacakt\u0131r. B\u00f6ylece kal\u0131c\u0131 di\u015f ya hi\u00e7 s\u00fcremeyecek yada normal yerinin d\u0131\u015f\u0131nda geli\u015fecektir.<\/p>\n<p>Sadece bir s\u00fct di\u015fini bile erken kaybetmenin yarataca\u011f\u0131 problemler:<\/p>\n<ul>\n<li>Di\u015fler yer de\u011fi\u015ftirece\u011finden \u00e7apra\u015f\u0131kl\u0131k olu\u015facak, bu b\u00f6lgeler rahat temizlenemeyip \u00e7\u00fcr\u00fc\u011fe e\u011filim artacakt\u0131r.<\/li>\n<li>\u00c7i\u011fneme zorla\u015facakt\u0131r.<\/li>\n<li>Daha ciddi ortodontik problemler ulu\u015facakt\u0131r.<\/li>\n<\/ul>\n<p>Baz\u0131 s\u00fct di\u015fleri 12 ya\u015f\u0131na kadar a\u011f\u0131zda durmal\u0131d\u0131rlar.Ancak bu ya\u015fta kal\u0131c\u0131 di\u015fler haz\u0131r olur ve s\u00fct di\u015fleri de\u011fi\u015fir. Bebekken \u00e7\u0131km\u0131\u015f ve \u00e7ok \u00f6zenli korunmam\u0131\u015f di\u015flerin bu ya\u015fa kadar problemsiz gelmesi olduk\u00e7a zordur. \u0130\u015fte yer tutucu denilen bu k\u00fc\u00e7\u00fck metal aparey \u00e7ocu\u011fun a\u011fz\u0131na g\u00f6re \u00f6zel olarak haz\u0131rlan\u0131r ve s\u00fct di\u015finin erken kaybedildi\u011fi durumlarda kal\u0131c\u0131 di\u015f gelene kadar bu yeri muhafaza eder. Sabit yada girip \u00e7\u0131kmal\u0131 olarak haz\u0131rlan\u0131rlar (kaybedilen di\u015fin yerine g\u00f6re). \u00c7ok basit fakat \u00e7ocu\u011fun gelecekteki a\u011f\u0131z di\u015f sa\u011fl\u0131\u011f\u0131n\u0131n temeli a\u00e7\u0131s\u0131ndan \u00e7ok \u00f6nemli bir apareydir.<\/p>\n<h5><em><strong>Yer tutucunun bak\u0131m\u0131 ve korunmas\u0131<\/strong><\/em><\/h5>\n<ul>\n<li>Yap\u0131\u015fkan g\u0131dalardan ve \u00e7iklet \u00e7i\u011fnemekten ka\u00e7\u0131n\u0131n\u0131z.<\/li>\n<li>Diliniz yada parmaklar\u0131n\u0131zla yer tutucuyu itip b\u00fckmeye \u00e7al\u0131\u015fmay\u0131n\u0131z.<\/li>\n<li>D\u00fczenli f\u0131r\u00e7a ve ip kullanarak temiz tutunuz.<\/li>\n<li>6 ayda bir mutlaka kontrole gidiniz.<\/li>\n<\/ul>\n<h3>Bebeklerde a\u011f\u0131z bak\u0131m\u0131<\/h3>\n<p><img decoding=\"async\" class=\"alignleft\" src=\"http:\/\/www.sidident.com\/dentist-in-bodrum-site-images\/biberonlubebek.jpg\" alt=\"\" align=\"left\" border=\"1\" hspace=\"2\" vspace=\"2\" \/>Bebeklerin, en az\u0131ndan ilk d\u00f6rt ay anne s\u00fct\u00fc ile beslenmeleri a\u011f\u0131z \u00e7evresindeki yumu\u015fak doku ve kas fonksiyonlar\u0131n\u0131n normal geli\u015fimini sa\u011flayacakt\u0131r. Anne s\u00fct\u00fcn\u00fcn yetersiz oldu\u011fu durumlarda fizyolojik ba\u015fl\u0131kl\u0131 (damakl\u0131, kesik u\u00e7lu) biberon kullan\u0131m\u0131 gerekir.<\/p>\n<p>Bebekler 1 ya\u015f\u0131ndan itibaren bardak ve ka\u015f\u0131kla beslenmeye al\u0131\u015ft\u0131r\u0131lmal\u0131d\u0131r.<\/p>\n<p>Biberonla beslenme en fazla 2 ya\u015f\u0131na kadar devam edebilir. <strong>Parmak emme<\/strong>, yalanc\u0131 <strong>emzik<\/strong> kullanma gibi al\u0131\u015fkanl\u0131klara 2 \u2013 2,5 ya\u015f\u0131na kadar izin verilebilir. E\u011fer parmak emme al\u0131\u015fkanl\u0131\u011f\u0131 mevcutsa, bunun sebebi ara\u015ft\u0131r\u0131larak 3 \u2013 6 ya\u015f aras\u0131nda bu al\u0131\u015fkanl\u0131k mutlaka giderilmelidir.<\/p>\n<p>Solunum problemleri, \u00e7ene geli\u015fmesi \u00fczerine olumsuz etki eder. Burundan de\u011fil de, sadece a\u011f\u0131zdan soluma durumu mevcutsa (bu durum uykuda daha iyi anla\u015f\u0131l\u0131r) muhakkak kulak burun bo\u011faz uzman\u0131na dan\u0131\u015f\u0131lmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7ocuklar\u0131n di\u015fleri niye \u00e7\u00fcr\u00fcyor? S\u00fct di\u015fleri normal di\u015flere oranla daha \u00e7ok organik madde i\u00e7erirler, bu nedenle \u00e7\u00fcr\u00fcmeye daha yatk\u0131nlard\u0131r, daha kolay ve h\u0131zl\u0131 \u00e7\u00fcr\u00fcrler. \u00c7ocuklar, \u00e7\u00fcr\u00fc\u011f\u00fcn erken d\u00f6neminde g\u00f6r\u00fclebilen so\u011fuk s\u0131cak hassasiyeti ve hafif a\u011fr\u0131 gibi sinyalleri zaman\u0131nda yorumlayamazlar. Olay\u0131&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"post_series":[],"_links":{"self":[{"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/posts\/56"}],"collection":[{"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/comments?post=56"}],"version-history":[{"count":2,"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/posts\/56\/revisions"}],"predecessor-version":[{"id":58,"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/posts\/56\/revisions\/58"}],"wp:attachment":[{"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/media?parent=56"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/categories?post=56"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/tags?post=56"},{"taxonomy":"post_series","embeddable":true,"href":"https:\/\/www.sidident.com\/tr\/wp-json\/wp\/v2\/post_series?post=56"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}