PERİ-İMPLANT DEFEKTİN TEDAVİSİNDE ALTERNATİF BİR METOD OLARAK BUKKAL YAĞ DOKUNUN KULLANIMI: BİR OLGU RAPORU
Abstract
Giriş: Peri-implant
defektler, dental implant yerleştirilmesinden sonra protetik yükleme yapılmadan
hastaya veya cerrahi uygulamalara bağlı nedenlerle oluşabilmektedir. Son
zamanlarda bukkal yağ dokunun fibröz iyileşme potansiyeli nedeniyle peri-implant
defektlerin iyileştirilmesine katkıda bulunduğu ve tatmin edici klinik ataçman
seviyesi sağladığı belirtilmiştir. Bu olgu raporunda peri-implant defektin,
otojen kemik grefti ve membran olarak bukkal yağ dokusu ile yapılan tedavisi gösterilmektedir.
Olgu raporu: 60 yaşındaki
erkek hastanın sol alt çene birinci molar bölgesine yerleştirilen implant
etrafında klinik ve radyografik muayene esnasında alveoler kemik kaybı ve
dişeti inflamasyon varlığı tespit edildi. Öncelikle lokal anestezi altında flep
kaldırıldıktan sonra titanyum küretlerle implant çevresindeki granülasyon
dokuları uzaklaştırıldı ve %3’lük H2O2 ile implant
yüzeyine muamele yapıldı. İmplant etrafındaki defekt otojen kemik grefti ile
dolduruldu ve üzeri bukkal yağ dokudan elde edilen serbest bukkal yağ grefti
ile kapatıldı. 2 yıllık takip dönemi boyunca klinik ve radyografik olarak
implant ve etrafındaki periodontal dokuların sağlıklı bir şekilde korundukları
gözlendi.
Sonuç: Bukkal yağ
dokusu, implant etrafındaki defekte doldurulan kemik greft partiküllerini
koruyarak yumuşak dokuya kolayca adapte olmuştur. Ancak bukkal yağ dokusunun,
peri-implant defektlerin tedavisinde etkisinin değerlendirilebilmesi için
in-vivo çalışmalarla desteklenmesine ihtiyaç vardır.
Anahtar
Kelimeler:
Peri-implant defekt, bukkal yağ dokusu, yumuşak doku grefti
THE USE OF THE
BUCCAL FAT PAD AS AN ALTERNATİVE METHOD TO REPAİR PERİ-İMPLANT DEFECT: A CASE
REPORT
ABSTRACT
Aim:
Peri-implant defects may occur due to reasons
related to the patient or surgical applications without prosthetic loading
after dental implant placement. Recently, it has been reported that buccal fat pad
contributes to the improvement of peri-implant defect because of the potential
of fibrous healing and provides satisfactory clinical attachment level. In this
case report, treatment of peri-implant defect with an autogenous bone graft and
buccal fat pad as a barrier membrane is presented.
Case
Report: A 60-year-old male patient was
determined to have alveolar bone loss and gingival inflammation during clinical
and radiographic examination around the implant placed in the first molar
region of the left mandible. The periodontal flap was removed under local
anesthesia, then the granulation tissue around the implant was removed with
titanium curettes and the implant surface was treated with 3% H2O2.
The defect around the implant was filled with autogenous bone graft and covered
with free buccal fat graft from the buccal fat pad. Regarding the clinical and
radiological examination, it was observed that the implant and surrounding
periodontal tissues were maintained healthy during 2-year follow-up period.
Conclusions:
Buccal fat pad, improves the protection of the bone
graft particles and is also easily adaptable to soft tissue. However, there is
a need to be supported by in-vivo studies to evaluate the effect of the use of
buccal fat pad for treatment of peri-implant defects.
Key
Words: Peri-implant defect, buccal fat pad,
soft tissue graft
Keywords
References
- 1. Misch CE. Günümüz Diş Hekimliğinde İmplantoloji (Türkçe Çeviri Editörü: Tulunoğlu İF). 3.Baskı. Ankara:2011. p. 72-73.
- 2. Renvert S, Polyzois I. Treatment of pathologic peri-implant pockets. Periodontol 2000. 2018;76(1):180-190.
- 3. Karaaslan F, Terzi M. Association between peri-implant diseases and cement-retained prosthesis: A review. J Dent Fac Atatürk Uni. 2016;16:80-84
- 4. Tostevin PMJ, Ellis H. The buccal pad of fat: A review. Clinical Anatomy 1995; 8: 403-406.
- 5. Stuzin JM, Wagstrom L, Kawamoto HK, Baker TJ, Wolfe SA. The anatomy and clinical applications of the buccal fat pad. Plastic and Reconstructive Surgery 1990; 85:29-37.
- 6. Bradley P. Buccal pad of fat and its applications in oral and maxillofacial surgery: a review of published literature (February) 2004 to (July) 2009. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(2):146.
- 7. Abad-Gallegos M, Figueiredo R, Rodríguez-Baeza A, Gay- Escoda C. Use of Bichat’s buccal fat pad for the sealing of orosinusal communications. A presentation of 8 cases. Med Oral Patol Oral Cir Bucal. 2011;16:e215-9.
- 8. Nezafati S, Vafaii A, Ghojazadeh M. Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication. Int J Oral Maxillofac Surg. 2012;41:624-8.
- 9. Ferrari S, Ferri A, Bianchi B, Copelli C, Magri AS, Sesenna E. A novel technique for cheek mucosa defect reconstruction using a pedicled buccal fat pad and buccinator myomucosal island flap. Oral Oncol. 2009;45:59-62.
- 10. Alkan A, Dolanmaz D, Uzun E, Erdem E. The reconstruction of oral defects with buccal fat pad. Swiss Med Wkly. 2003;133:465-70.
- 11. Riu GD, Meloni SM, Bozzo C, Meloni F, Tullio A. A double buccal fat pad flap for middle palate defect closure-a new technique for palate closure. Int J Oral Maxillofac Surg. 2006;35:1057-9.
- 12. Hassani A, Khojasteh A, Alikhasi M. Repair of the perforated sinus membrane with buccal fat pad during sinus augmentation. J Oral Implantol. 2008;34:330-3.
- 13. Kablan F, Laster Z. The use of free fat tissue transfer from the buccal fat pad to obtain and maintain primary closure and to improve soft tissue thickness at bone‑augmented sites: Technique presentation and report of case series. Int J Oral Maxillofac Implants 2014;29:e220‑31.
- 14. Kablan F. The use of Buccal fat pad free graft in regenerative treatment of peri-implantitis: A new and predictable technique. Ann Maxillofac Surg 2015;5:179-84
- 15. Peñarrocha-Diago M, Alonso-González R, Aloy-Prósper A, Peñarrocha-Oltra D, Camacho F, Peñarrocha-Diago M. Use of buccal fat pad to repair post-extraction peri-implant bone defects in the posterior maxilla. A preliminary prospective study. Med Oral Patol Oral Cir Bucal. 2015:1;20(6):e699-706.
- 16. Renvert S, Giovannoli JL. Peri-implantitis. (Türkçe Çeviri Editörü: Soytürk AS). 1.Baskı. İstanbul: 2016. p.150.
- 17. Samman N, Cheung LK, Tideman H. The buccal fat pad in oral reconstruction. Int J Oral Maxillofac Surg 1993; 22: 2- 6.
Abstract
References
- 1. Misch CE. Günümüz Diş Hekimliğinde İmplantoloji (Türkçe Çeviri Editörü: Tulunoğlu İF). 3.Baskı. Ankara:2011. p. 72-73.
- 2. Renvert S, Polyzois I. Treatment of pathologic peri-implant pockets. Periodontol 2000. 2018;76(1):180-190.
- 3. Karaaslan F, Terzi M. Association between peri-implant diseases and cement-retained prosthesis: A review. J Dent Fac Atatürk Uni. 2016;16:80-84
- 4. Tostevin PMJ, Ellis H. The buccal pad of fat: A review. Clinical Anatomy 1995; 8: 403-406.
- 5. Stuzin JM, Wagstrom L, Kawamoto HK, Baker TJ, Wolfe SA. The anatomy and clinical applications of the buccal fat pad. Plastic and Reconstructive Surgery 1990; 85:29-37.
- 6. Bradley P. Buccal pad of fat and its applications in oral and maxillofacial surgery: a review of published literature (February) 2004 to (July) 2009. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(2):146.
- 7. Abad-Gallegos M, Figueiredo R, Rodríguez-Baeza A, Gay- Escoda C. Use of Bichat’s buccal fat pad for the sealing of orosinusal communications. A presentation of 8 cases. Med Oral Patol Oral Cir Bucal. 2011;16:e215-9.
- 8. Nezafati S, Vafaii A, Ghojazadeh M. Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication. Int J Oral Maxillofac Surg. 2012;41:624-8.
- 9. Ferrari S, Ferri A, Bianchi B, Copelli C, Magri AS, Sesenna E. A novel technique for cheek mucosa defect reconstruction using a pedicled buccal fat pad and buccinator myomucosal island flap. Oral Oncol. 2009;45:59-62.
- 10. Alkan A, Dolanmaz D, Uzun E, Erdem E. The reconstruction of oral defects with buccal fat pad. Swiss Med Wkly. 2003;133:465-70.
- 11. Riu GD, Meloni SM, Bozzo C, Meloni F, Tullio A. A double buccal fat pad flap for middle palate defect closure-a new technique for palate closure. Int J Oral Maxillofac Surg. 2006;35:1057-9.
- 12. Hassani A, Khojasteh A, Alikhasi M. Repair of the perforated sinus membrane with buccal fat pad during sinus augmentation. J Oral Implantol. 2008;34:330-3.
- 13. Kablan F, Laster Z. The use of free fat tissue transfer from the buccal fat pad to obtain and maintain primary closure and to improve soft tissue thickness at bone‑augmented sites: Technique presentation and report of case series. Int J Oral Maxillofac Implants 2014;29:e220‑31.
- 14. Kablan F. The use of Buccal fat pad free graft in regenerative treatment of peri-implantitis: A new and predictable technique. Ann Maxillofac Surg 2015;5:179-84
- 15. Peñarrocha-Diago M, Alonso-González R, Aloy-Prósper A, Peñarrocha-Oltra D, Camacho F, Peñarrocha-Diago M. Use of buccal fat pad to repair post-extraction peri-implant bone defects in the posterior maxilla. A preliminary prospective study. Med Oral Patol Oral Cir Bucal. 2015:1;20(6):e699-706.
- 16. Renvert S, Giovannoli JL. Peri-implantitis. (Türkçe Çeviri Editörü: Soytürk AS). 1.Baskı. İstanbul: 2016. p.150.
- 17. Samman N, Cheung LK, Tideman H. The buccal fat pad in oral reconstruction. Int J Oral Maxillofac Surg 1993; 22: 2- 6.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Dentistry |
| Journal Section | Olgu Sunumu |
| Authors | |
| Publication Date | April 15, 2020 |
| Published in Issue | Year 2020 Volume: 30 Issue: 2 |
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