\u00c7ocuklarda \u00e7\u00fcr\u00fck \u00e7o\u011fu zaman g\u00f6zle g\u00f6r\u00fcl\u00fcr bir delik olu\u015fmadan, az\u0131 di\u015flerinin \u00e7i\u011fneme y\u00fczeyindeki derin oluklarda sessizce ba\u015flar. Fiss\u00fcr \u00f6rt\u00fcc\u00fc, tam da bu riskli b\u00f6lgeleri kapatarak \u00e7\u00fcr\u00fc\u011f\u00fc hen\u00fcz ba\u015flamadan durduran, a\u011fr\u0131s\u0131z ve kesme gerektirmeyen koruyucu bir uygulamad\u0131r. Kemerburgaz’daki klini\u011fimizde \u00f6zellikle okul \u00e7a\u011f\u0131ndaki \u00e7ocuklarda bu y\u00f6ntemi d\u00fczenli olarak \u00f6neriyoruz; \u00e7\u00fcnk\u00fc do\u011fru zamanda yap\u0131lan basit bir i\u015flem, ileride dolgu ya da kanal tedavisi ihtiyac\u0131n\u0131 b\u00fcy\u00fck \u00f6l\u00e7\u00fcde azaltabiliyor.<\/p>\n
Fiss\u00fcr \u00f6rt\u00fcc\u00fc, di\u015f hekimli\u011finde “sealant” olarak da bilinen, az\u0131 di\u015flerinin \u00e7i\u011fneme y\u00fczeyindeki ince oluk ve \u00e7ukurlar\u0131 (fiss\u00fcrleri) kapatan ak\u0131\u015fkan bir koruyucu malzemedir. Di\u015f y\u00fczeyine ince bir tabaka halinde s\u00fcr\u00fcl\u00fcr ve \u00f6zel bir \u0131\u015f\u0131kla sertle\u015ftirilerek yerine sabitlenir. Ama\u00e7, g\u0131da art\u0131klar\u0131 ve bakterilerin yerle\u015fti\u011fi bu derin girintileri d\u00fczle\u015ftirerek f\u0131r\u00e7an\u0131n ula\u015famad\u0131\u011f\u0131 b\u00f6lgeleri korumakt\u0131r.<\/p>\n
Fiss\u00fcr \u00f6rt\u00fcc\u00fc bir dolgu de\u011fildir. Dolgu, \u00e7\u00fcr\u00fcm\u00fc\u015f dokunun temizlenip yerine malzeme konulmas\u0131yla yap\u0131lan bir onar\u0131md\u0131r; fiss\u00fcr \u00f6rt\u00fcc\u00fc ise hen\u00fcz sa\u011flam olan di\u015fi \u00e7\u00fcr\u00fckten \u00f6nce koruyan bir bariyerdir. Bu ayr\u0131m \u00f6nemlidir: \u00f6rt\u00fcc\u00fc, hasar olu\u015fmadan \u00f6nce devreye giren bir \u00f6nlemdir, sonradan yap\u0131lan bir tamir de\u011fildir.<\/p>\n
A\u011fz\u0131m\u0131z\u0131n arka b\u00f6lgesindeki b\u00fcy\u00fck ve k\u00fc\u00e7\u00fck az\u0131 di\u015fleri, \u00e7i\u011fneme i\u015finin \u00e7o\u011funu \u00fcstlenir. Bu di\u015flerin \u00fcst y\u00fczeyi d\u00fcz de\u011fildir; tepe ve vadilerden olu\u015fan, g\u00f6zle bak\u0131ld\u0131\u011f\u0131nda bile derinli\u011fi fark edilen fiss\u00fcrler i\u00e7erir. Baz\u0131 \u00e7ocuklarda bu oluklar o kadar dar ve derindir ki, bir di\u015f f\u0131r\u00e7as\u0131 k\u0131l\u0131n\u0131n bile i\u00e7ine girmesi m\u00fcmk\u00fcn de\u011fildir.<\/p>\n
Bunun sonucu \u015fudur: \u00e7ocuk di\u015flerini d\u00fczenli f\u0131r\u00e7alasa bile, fiss\u00fcrlerin dibinde kalan bakteri pla\u011f\u0131 temizlenemez. Bu b\u00f6lgelerde \u015fekerle beslenen bakteriler asit \u00fcretir, asit de mine y\u00fczeyini \u00e7\u00f6zerek \u00e7\u00fcr\u00fc\u011f\u00fcn ba\u015flamas\u0131na yol a\u00e7ar. \u00d6n di\u015flerin d\u00fcz y\u00fczeyleri f\u0131r\u00e7a ve t\u00fck\u00fcr\u00fckle nispeten kolay korunurken, az\u0131 di\u015flerinin \u00e7i\u011fneme y\u00fczeyleri \u00e7ocukluk d\u00f6nemi \u00e7\u00fcr\u00fcklerinin en s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc b\u00f6lge olmaya devam eder. Fiss\u00fcr \u00f6rt\u00fcc\u00fc tam olarak bu anatomik dezavantaj\u0131 ortadan kald\u0131rmay\u0131 hedefler.<\/p>\n
Fiss\u00fcr \u00f6rt\u00fcc\u00fcn\u00fcn zamanlamas\u0131, di\u015fin a\u011f\u0131zda s\u00fcrmesiyle do\u011frudan ili\u015fkilidir. Bir di\u015f a\u011fza tam olarak s\u00fcrd\u00fckten sonra, \u00e7i\u011fneme y\u00fczeyi t\u00fck\u00fcr\u00fck ve g\u0131dayla temas etmeye ba\u015flar; ideal koruma, di\u015fin s\u00fcrmesini takip eden ilk aylarda, \u00e7\u00fcr\u00fck hen\u00fcz ba\u015flamadan sa\u011flan\u0131r.<\/p>\n
Karar her \u00e7ocu\u011fa g\u00f6re bireysel verilir. Di\u015f hekiminin muayenede fiss\u00fcrlerin derinli\u011fini, \u00e7ocu\u011fun genel \u00e7\u00fcr\u00fck riskini ve a\u011f\u0131z bak\u0131m al\u0131\u015fkanl\u0131klar\u0131n\u0131 de\u011ferlendirmesi gerekir. Y\u00fczeyinde \u00e7\u00fcr\u00fck belirtisi ta\u015f\u0131mayan, sa\u011flam ve derin fiss\u00fcrl\u00fc di\u015fler \u00f6rt\u00fcc\u00fc i\u00e7in en uygun adaylard\u0131r.<\/p>\n
Fiss\u00fcr \u00f6rt\u00fcc\u00fc uygulamas\u0131, \u00e7ocuklar i\u00e7in en rahat di\u015f hekimi i\u015flemlerinden biridir. Di\u015f kesilmez, uyu\u015fturma yap\u0131lmaz ve genellikle birka\u00e7 dakikada tamamlan\u0131r. Ad\u0131mlar \u015fu \u015fekildedir:<\/p>\n
Uyu\u015fturma ve delme i\u00e7ermedi\u011fi i\u00e7in \u00e7ocuklar bu i\u015fleme genellikle kayg\u0131s\u0131z yakla\u015f\u0131r. Bu, ayn\u0131 zamanda di\u015f hekimiyle olumlu bir ilk deneyim kurmak a\u00e7\u0131s\u0131ndan da de\u011ferlidir.<\/p>\n
Fiss\u00fcr \u00f6rt\u00fcc\u00fcler kal\u0131c\u0131 de\u011fildir; \u00e7i\u011fneme kuvveti alt\u0131nda zamanla a\u015f\u0131nabilir, kenarlar\u0131ndan ayr\u0131labilir ya da k\u0131smen k\u0131r\u0131labilir. Bu nedenle \u00f6rt\u00fcc\u00fc, bir kez yap\u0131l\u0131p unutulacak bir i\u015flem de\u011fildir. D\u00fczenli kontroller s\u0131ras\u0131nda hekim \u00f6rt\u00fcc\u00fcn\u00fcn b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc de\u011ferlendirir; a\u015f\u0131nan veya eksilen b\u00f6lgeler gerekti\u011finde yenilenir. Alt\u0131 ayda bir yap\u0131lan rutin muayeneler, hem \u00f6rt\u00fcc\u00fcn\u00fcn hem de di\u015fin genel sa\u011fl\u0131\u011f\u0131n\u0131n takibi i\u00e7in uygun bir ritim sa\u011flar.<\/p>\n
Fiss\u00fcr \u00f6rt\u00fcc\u00fcn\u00fcn korumas\u0131, \u00e7i\u011fneme y\u00fczeyindeki oluklarla s\u0131n\u0131rl\u0131d\u0131r. Di\u015fin di\u015f etine yak\u0131n kenarlar\u0131, di\u015fler aras\u0131 b\u00f6lgeler ve di\u011fer y\u00fczeyler yine d\u00fczenli f\u0131r\u00e7alama ve di\u015f ipiyle korunmal\u0131d\u0131r. Bu noktada flor\u00fcr \u00f6nemli bir tamamlay\u0131c\u0131d\u0131r: \u00f6rt\u00fcc\u00fc fiss\u00fcrlerdeki fiziksel bariyeri sa\u011flarken, flor\u00fcr mineyi g\u00fc\u00e7lendirerek di\u015fin t\u00fcm y\u00fczeylerinde asit direncini art\u0131r\u0131r. Flor\u00fcrl\u00fc di\u015f macunu, hekim \u00f6nerisiyle uygulanan flor\u00fcr ve fiss\u00fcr \u00f6rt\u00fcc\u00fc bir arada kullan\u0131ld\u0131\u011f\u0131nda, \u00e7ocukluk \u00e7a\u011f\u0131 \u00e7\u00fcr\u00fcklerine kar\u015f\u0131 \u00e7ok y\u00f6nl\u00fc ve etkili bir koruma olu\u015fur.<\/p>\n
Kemerburgaz, G\u00f6kt\u00fcrk, Sar\u0131yer, Arnavutk\u00f6y, Bah\u00e7ek\u00f6y ve Zekeriyak\u00f6y’den klini\u011fimize gelen ailelere, \u00e7ocuklar\u0131n\u0131n az\u0131 di\u015fleri s\u00fcrer s\u00fcrmez bir de\u011ferlendirme i\u00e7in ba\u015fvurmalar\u0131n\u0131 \u00f6neriyoruz. Erken ve do\u011fru zamanlanm\u0131\u015f bir fiss\u00fcr \u00f6rt\u00fcc\u00fc, ileride \u00e7ok daha kapsaml\u0131 tedavilere gerek kalmadan di\u015flerin sa\u011fl\u0131kl\u0131 kalmas\u0131na yard\u0131mc\u0131 olur.<\/p>\n
Fiss\u00fcr \u00f6rt\u00fcc\u00fc i\u015flemi a\u011fr\u0131l\u0131 m\u0131d\u0131r?<\/strong> Fiss\u00fcr \u00f6rt\u00fcc\u00fc ne kadar dayan\u0131r?<\/strong> Fiss\u00fcr \u00f6rt\u00fcc\u00fc varsa di\u015f f\u0131r\u00e7alamaya gerek kal\u0131r m\u0131?<\/strong> S\u00fct di\u015flerine de fiss\u00fcr \u00f6rt\u00fcc\u00fc yap\u0131l\u0131r m\u0131?<\/strong> \u00c7ocu\u011funuzun koruyucu di\u015f bak\u0131m\u0131 i\u00e7in G\u00f6kt\u00fcrk ve \u00e7evresindeki<\/a> klini\u011fimizde sizi de\u011ferlendirebiliriz. \u00c7ocuk di\u015f hekimli\u011fi<\/a> hakk\u0131nda bilgi alabilir veya randevu i\u00e7in bize ula\u015fabilirsiniz<\/a>.<\/p>\n
Hay\u0131r. Di\u015f kesilmedi\u011fi ve uyu\u015fturma yap\u0131lmad\u0131\u011f\u0131 i\u00e7in i\u015flem a\u011fr\u0131s\u0131zd\u0131r; \u00e7o\u011fu \u00e7ocuk i\u00e7in birka\u00e7 dakikada tamamlanan rahat bir uygulamad\u0131r.<\/p>\n
\u00d6rt\u00fcc\u00fcler \u00e7i\u011fneme kuvvetiyle zamanla a\u015f\u0131nabilir. Bu nedenle d\u00fczenli kontrollerde b\u00fct\u00fcnl\u00fc\u011f\u00fc de\u011ferlendirilir ve gerekti\u011finde yenilenir.<\/p>\n
Kesinlikle gerekir. \u00d6rt\u00fcc\u00fc yaln\u0131zca \u00e7i\u011fneme y\u00fczeyindeki oluklar\u0131 korur; di\u015fin di\u011fer y\u00fczeyleri i\u00e7in f\u0131r\u00e7alama, di\u015f ipi ve flor\u00fcr \u015fartt\u0131r.<\/p>\n
Evet. S\u00fct az\u0131lar\u0131 derin fiss\u00fcrlere sahipse ve \u00e7\u00fcr\u00fck riski y\u00fcksekse, bu di\u015flere de koruyucu ama\u00e7la \u00f6rt\u00fcc\u00fc uygulanabilir.<\/p>\n