Cerrahi Olmayan Periodontal Tedavide Cep Kapanması

Abstract

Amaç: Bu çalışma, evre III derece C periodontitis teşhisi konmuş hastalarda cerrahi olmayan periodontal tedavi (COPT) sonrası farklı diş tiplerinde ve sondalama derinliği (SD) aralıklarında cep kapanma (CK) değerlerini incelemeyi amaçlamıştır. Gereç ve Yöntemler: 12 sigara içmeyen, sistemik olarak sağlıklı hastaya COPT uygulanmış ve 3 ay sonra yeniden değerlendirilmiştir. SD, sondalamada kanama ve CK gibi klinik parametreler hesaplanmıştır. Farklı diş tiplerinde (kesici dişler, premolarlar ve molarlar) ve SD aralıklarında (1-3 mm, 4-6 mm, >6 mm) CK yüzdelerini ve SD verilerini karşılaştırmak için uygun istatistiksel analizler gerçekleştirilmiştir. İstatistiksel anlamlılık değeri 0.05 olarak belirlenmiştir. Bulgular: COPT'den sonra, SD'de anlamlı azalma gözlenmiştir (1.29±0.41 mm, p<0.05). Bu azalma özellikle >6 mm ceplerde daha fazla bulunmuştur (2.63±0.76 mm, p<0.05). CK oranları diş tipleri arasında değişiklik göstermiş olup, molarların; kesiciler ve premolarlara göre daha düşük orana sahip olduğu saptanmıştır (p<0.05). CK yüzdesi, kesici dişler için 74.07±18.90, premolarlar için 74.21±16.97 ve molarlar için 57.52±12.48 olarak belirlenmiştir. Kesici dişlerde, 4-6 mm SD’de CK yüzdesi, >6 mm SD’deki CK yüzdesine göre anlamlı yüksektir (77.74±21.03 vs. 46.91±25.02, p<0.05). Benzer eğilim premolar ve molar dişlerde de gözlenmiştir (p<0.05). Sonuç: COPT, periodontal sağlık göstergelerini etkili bir şekilde iyileştirmesiyle birlikte derin periodontal ceplere sahip dişlerde, özellikle molar, cep kapanma başarısının düşük olduğu tespit edilmiştir. Diş tipi ve SD aralıkları gibi bölgesel faktörlere göre özelleştirilmiş tedavi yaklaşımları, evre III derece C periodontitiste tedavi sonuçlarını optimize etmek için önemli olacağı düşünülmektedir.

Keywords

• Periodontitis
• Periodontal cep
• Kök yüzeyi diştaşı temizliği

Pocket Closure in Non-Surgical Periodontal Treatment

Abstract

Objectives: This study assesses the efficacy of pocket closure (PC) following non-surgical periodontal treatment (NSPT) in patients diagnosed with stage III grade C periodontitis, examining various tooth types and probing depth (PD) ranges. Materials and Methods: 12 non-smoker, systemically healthy patients underwent NSPT and were reassessed after 3 months. Clinical parameters, including PD, bleeding on probing, and PC, were evaluated. Statistical analyses were conducted to assess changes in clinical measurements and PC rates among tooth types (incisors, premolars, and molars) and PD ranges (1-3 mm, 4-6 mm, >6 mm). Statistical significance was set at α=0.05. Results: Following NSPT, significant reductions in PD were observed (1.29±0.41 mm, p<0.05), particularly in PD >6 mm (2.63±0.76 mm, p<0.05). PC rates varied among tooth types, with molars exhibiting lower rates compared to incisors and premolars (p<0.05). The percentage of PC was 74.07±18.90 for incisors, 74.21±16.97 for premolars, and 57.52±12.48 for molars. For incisors, the percentage of PC was significantly higher for PD of 4-6 mm compared to PD>6 mm (77.74±21.03 vs. 46.91±25.02, p<0.05). Similar trends were observed in premolars and molars (p<0.05). Conclusion: NSPT effectively improves periodontal health indicators, but achieving complete closure of deep pockets remains challenging, particularly in molars. Tailored treatment approaches based on site-specific factors including tooth type and PD ranges, are crucial for optimizing treatment outcomes in stage III grade C periodontitis.

Keywords

• Periodontitis
• Periodontal pocket
• Root scaling

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