NİKEL ALLERJİSİYLE İLİŞKİLİ PERİODONTİTİS: BİR OLGU SUNUMU

Year 2018, Volume: 28 Issue: 4, 557 - 560, 14.10.2018

Pedram Nemati Attar Fatma Karacaoğlu

https://doi.org/10.17567/ataunidfd.473971

Abstract

Nikel alerjisi, kadınlarda daha sık olmakla
birlikte, toplumlarda yaygın olarak görülmektedir. Nikel alerjisi Ağızda
yanma hissi, gingival hiperplazi, dilde uyuşukluk, tat kaybı gibi bulgularla
ortaya çıkabilir. Ayrıca nikel, alerjik hastalarda periodontal değişikliklere de
yol açabilir.

35 yaşında kadın hasta dişetinde kanama
şikayeti ile Ankara Üniversitesi Diş Hekimliği Fakültesi Periodon- toloji
Anabilim Dalı’na başvurmuştur. Hastanın sistemik bir hastalığı olmadığı ve  sigara kullanmadığı öğrenil- miştir. Alınan
anamnezde hastanın protetik restoras- yonlarının 8 ay önce yapıldığı ve
şikayetlerinin bu tarihten sonra ortaya çıkmaya başladığı öğrenilmiştir.
Yapılan ağız içi muayenede hastanın restorasyonlu dişlerinde derin patolojik
cepler saptanmış, radyografik muayenede de bu bölgelerde kemik kayıpları
izlenmiştir. Hastaya herhangi bir metal alerjisi olup olmadığı sorulmuş ve
takılara karşı alerjisi olduğunu söyleyen hasta Ni alerjisi şüphesi ile alerji
bölümüne konsülte edilmiştir. Ni alerjisi olduğu ortaya çıkan hastanın
öncelikle restorasyonları çıkarılmış, prognozu kötü olan dişleri çekilmiş
periodontal tedavisi tamam- lanmıştır. Daha sonra diş eksikliği olan bölgelerde
implant uygulaması yapılmış ve hastanın tüm protetik restorasyonlarında
zirkonyum kullanılmıştır. Restorasyonlar tamamlandıktan 1 yıl sonra yapılan
klinik muayenede periodontal patoloji izlenmeyen hastaya daha ileri takipleri
için randevu verilmiştir.

Anahtar kelimeler: Nikel, alerji, periodontitis

PERIODONTITIS
ASSOCIATED WITH NICKEL ALLERGY: A CASE REPORT

ABSTRACT

An allergy to nickel is commonly seen in
the population, more frequently in women. The clinical signs and symptoms of
nickel allergy include burning sensation, gingival hyperplasia, numbness on
sides of tongue, loss of taste etc. And
also nickel can promote periodontal
changes in allergic patients. A 35 year old woman referred to Ankara University
Faculty of Dentistry Department of Periodontology with a complaint of gingival
bleeding. It was learned that the prosthetic restorations were made 8 months
ago and her complaints have been commenced after  this date.  The patient was in good general health and
non smoker. Intraoral examination revealed deep probing depth on teeth with
prosthetic restoration and radiographic examination revealed severe bone loss
these teeth. The patient was asked as to whether she are allergic to any metal,
and was learned to be allergic to the jewelry. She was consulted immunology and
allergy department. The patient was found to be allergic to nickel and than
firstly prosthetic restoration was removed. Teeth which poor diagnosis was
extracted and her periodontal treatment was finished. Dental implants was
performed at edentulous site and zirconium was used for patients prosthetic
restorations. 1 year after the restorations have been completed any clinical
pathology was observed.  The patient was
given further follow-up appointments inside

Keywords: Nickel, allergy, periodontitis

Keywords

Nikel, alerji

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