{"id":565,"date":"2012-07-15T11:22:01","date_gmt":"2012-07-15T08:22:01","guid":{"rendered":"http:\/\/www.hvtd.org\/?p=565"},"modified":"2012-07-15T11:22:01","modified_gmt":"2012-07-15T08:22:01","slug":"askeri-pilotlar-ve-pilot-olmayan-kisilerde-bruksizm","status":"publish","type":"post","link":"https:\/\/www.hvtd.org\/?p=565","title":{"rendered":"Askeri Pilotlar ve pilot olmayan ki\u015filerde BRUKS\u0130ZM"},"content":{"rendered":"
\n

\"\"<\/a>Bruksizm, masseter ve di\u011fer \u00e7ene kaslar\u0131n\u0131n ritmik kas\u0131lmalar\u0131 sonucu di\u015ferin s\u0131k\u0131lmas\u0131 ya da g\u0131c\u0131rdat\u0131lmas\u0131 \u015feklinde olu\u015fan, gece ve\/veya g\u00fcnd\u00fcz meydana gelen al\u0131\u015fkanl\u0131ksal ve s\u0131k g\u00f6r\u00fclen bir fenomendir. Bruksizmin en s\u0131k g\u00f6r\u00fclen klinik belirtisi di\u015flerin a\u015f\u0131nmas\u0131d\u0131r. Ancak kronik bruksizm di\u015fi destekleyen dokulara ve \u00e7ene eklemine hasar verebilmektedir. Bu nedenle bruksizmin uzun d\u00f6nem etkileri, di\u015flerin yer ve \u015fekil de\u011fi\u015ftirmesi, a\u015f\u0131r\u0131 di\u015f sallanmas\u0131, \u00e7ene ekleminin disfonksiyonu ve buna e\u015flik edebilen \u00f6zellikle de sabahlar\u0131 g\u00f6r\u00fclen ba\u015f a\u011fr\u0131s\u0131 ve y\u00fcz kaslar\u0131n\u0131n a\u011fr\u0131s\u0131d\u0131r. Bruksizm en fazla 30-60 ya\u015flar aras\u0131nda ve e\u011fitimli ki\u015filerde g\u00f6r\u00fcl\u00fcr.<\/p>\n

Stres seviyeleri ve ki\u015filik \u00f6zellikleri, baz\u0131 hastal\u0131klarda ba\u015flat\u0131c\u0131, altta yatan ve devaml\u0131l\u0131k sa\u011flayan fakt\u00f6rler olarak de\u011ferlendirilir. Stresi tamponlayan \u00f6zelliklerden en belirgin olanlar\u0131 A tipi, kontroll\u00fc ki\u015filik, dayan\u0131kl\u0131l\u0131k ve ba\u015fa \u00e7\u0131kabilme yetene\u011fidir ve bu \u00f6zellikler stresin g\u00f6r\u00fcn\u00fcr etkilerini azaltabilmektedir. \u00c7al\u0131\u015fma ortam\u0131 \u00f6zel bir \u00e7evre yarat\u0131r ve burada stres ve ki\u015filik performansta b\u00fcy\u00fck rol oynar. Bu y\u00fczden, i\u015fle ilgili belirsizlikler, \u00e7at\u0131\u015fmalar ve i\u015f y\u00fck\u00fc ile i\u015fin gereklilikleri d\u0131\u015f\u0131nda ortaya \u00e7\u0131kan ani i\u015f y\u00fck\u00fc art\u0131\u015flar\u0131 stres ile ba\u011flant\u0131l\u0131d\u0131r.<\/p>\n

Ordu \u00e7al\u0131\u015fanlar\u0131nda, g\u00f6revlerinin gere\u011fi olan kronik stres yan\u0131nda sa\u011fl\u0131k sorunlar\u0131 da ya\u015farlar. \u00d6zellikle de askeri u\u00e7u\u015f ekibi, bar\u0131\u015f zaman\u0131nda bile s\u00fcrekli olarak sterse maruz kald\u0131klar\u0131 i\u00e7in baz\u0131 dental patolojilerine kar\u015f\u0131 daha hassast\u0131rlar. Barometrik bas\u0131n\u00e7 de\u011fi\u015fiklikleriyle olu\u015fan di\u015f a\u011fr\u0131s\u0131 ve y\u00fcksek irtifa ko\u015fullar\u0131nda olu\u015fabilecek di\u015f k\u0131r\u0131lmalar\u0131n\u0131n yan\u0131 s\u0131ra, genel pop\u00fclasyona k\u0131yasla pilotlarda daha fazla periodontal hastal\u0131k g\u00f6zlenir. Goldhush ve ark, 2. D\u00fcnya Sava\u015f\u0131 d\u00f6neminde sava\u015f pilotlar\u0131n\u0131n %60-70\u2032inde bruksizm oldu\u011funu belirtmi\u015ftir.<\/p>\n

Bu \u00e7al\u0131\u015fmada, pilotlarda (%69) pilot olmayanlara (%27) g\u00f6re belirgin \u015fekilde daha fazla bruksizm oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Ki\u015fiye kar\u015f\u0131 \u00e7evresel dayatmalar ve ki\u015finin bunlarla ba\u015fa \u00e7\u0131kabilme yetene\u011fi aras\u0131ndaki ba\u011f olan stres, istenmeyen fiziksel sonu\u00e7larla ba\u011flant\u0131l\u0131d\u0131r. D\u00fc\u015f\u00fck miktarlarda bile olsa s\u0131k kar\u015f\u0131la\u015f\u0131lan ya da do\u011fas\u0131 gere\u011fi kronik olan stres hastal\u0131klar\u0131 tetikleyebilir. K\u0131s\u0131tl\u0131 s\u00fcrede olu\u015fun akut stres, fiziksel sistemin kendini onarmas\u0131na izin verir, ancak kronik stres fakt\u00f6r\u00fc ki\u015finin kaynaklar\u0131n\u0131 t\u00fcketerek iyile\u015fme s\u00fcrecini bozabilir. Baz\u0131 insanlar sterse kar\u015f\u0131 daha az dayan\u0131kl\u0131 olduklar\u0131ndan stresin fiziksel ve psikolojik sonu\u00e7lar\u0131ndan daha fazla etkilenirler. Bruksizmi olan pilotlar, ayn\u0131 sosyoekonomik d\u00fczeydeki pilot olmayan ki\u015filere g\u00f6re, daha etkisiz ba\u015fa \u00e7\u0131kabilme stratejileri kullanmaktad\u0131rlar ve daha \u00e7ok daha duygusal y\u00f6ntemlere ve inkara y\u00f6nelmektedirler. Ek olarak, d\u00fczensiz vardiyal\u0131 \u00e7al\u0131\u015fma ko\u015fullar\u0131 gibi meslek \u00f6zellikleri de daha fazla bruksizme yol a\u00e7maktad\u0131r. Pilot olmayan ki\u015filerde bile %27 oran\u0131nda bruksizm g\u00f6r\u00fcld\u00fc\u011f\u00fcnden, askeri ortam \u00f6zellikle de askeri havac\u0131l\u0131k, dental hastal\u0131klarla ili\u015fkilendirilebilecek di\u011fer bir patojen oldu\u011fu s\u00f6ylenebilir. Bu gen\u00e7 pop\u00fclasyondaki h\u0131zl\u0131 di\u015f a\u015f\u0131nmas\u0131, dental ve psikolojik koruyucu \u00f6nlemler al\u0131nmas\u0131 gerekti\u011fini g\u00f6stermektedir.<\/p>\n

Kaynak :<\/strong> Lurie O, Zadik Y, Einy S, Tarrasch R, Raviv G, Goldstein L. Bruxism in Military Pilots and Non-Pilots: Tooth Wear and Psychological Stress. Aviat Space Environ Med 2007; 78:137-139<\/p>\n

\u00c7eviri :<\/strong> Dt. Berkay Adal\u0131\u011f (Eski\u015fehir)<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Bruksizm, masseter ve di\u011fer \u00e7ene kaslar\u0131n\u0131n ritmik kas\u0131lmalar\u0131 sonucu di\u015ferin s\u0131k\u0131lmas\u0131 ya da g\u0131c\u0131rdat\u0131lmas\u0131 \u015feklinde olu\u015fan, gece ve\/veya g\u00fcnd\u00fcz meydana gelen al\u0131\u015fkanl\u0131ksal ve s\u0131k g\u00f6r\u00fclen bir fenomendir. Bruksizmin en s\u0131k g\u00f6r\u00fclen klinik belirtisi di\u015flerin a\u015f\u0131nmas\u0131d\u0131r. Ancak kronik bruksizm di\u015fi destekleyen dokulara ve \u00e7ene eklemine hasar verebilmektedir. Bu nedenle bruksizmin uzun d\u00f6nem etkileri, di\u015flerin yer ve \u015fekil de\u011fi\u015ftirmesi, a\u015f\u0131r\u0131 di\u015f sallanmas\u0131, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-565","post","type-post","status-publish","format-standard","hentry","category-bulten"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/565","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=565"}],"version-history":[{"count":1,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/565\/revisions"}],"predecessor-version":[{"id":567,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/565\/revisions\/567"}],"wp:attachment":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=565"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=565"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}