PERİODONTİTİS HİKAYESİ PERİ-İMPLANTİTİS GELİŞİMİ AÇISINDAN BİR RİSK FAKTÖRÜ MÜDÜR ? 3 YIL TAKİPLİ OLGU SUNUMU
Abstract
Amaç: Periodontitis
kaynaklı diş kaybı olan ve mevcut implantlarında peri-implantitis gelişen
olgunun, cerrahi tedavi aşamaları ve 3 yıllık takip sürecinin sunulması
amaçlanmıştır.
Olgu:
Sistemik olarak sağlıklı ve sigara kullanmayan 43 yaşındaki kadın hasta
kliniğimize peri-implant bölgede ağrı ve ciddi kanama şikayetiyle başvurdu.
Hastanın dişlerini periodontal nedenlerle kaybettiği ve sonrasında dental
implantların yapıldığı; mandibuler implantların 6 yıl içerisinde kaybedildiği
öğrenildi. Klinik muayenede 7 peri-implant bölgede yumuşak dokuda ödem, ≥10 mm
sondlama derinliği ve sondlamada kanama bulundu. Radyografik incelemede ise
ileri düzeyde peri-implant kemik kaybı saptandı. Tüm değerlendirmeler sonucunda
7 adet implantın çıkarılmasına karar verildi. Operasyonlara hazırlık aşamasında
implant üzeri sabit protezlerin sökümü planlandı ve bu sırada 3 implant kaybedildi.
İlk operasyonda, 13-14 bölgesindeki implantlar çıkarılarak bölgeye rejeneratif
tedavi uygulandı. Takip eden operasyonda, 23-27 bölgesindeki implantlar
çıkarıldı. Bu operasyon sırasında molar bölgede maksiller sinüs membranının,
alveoler kret üzerinde ağız içine açık olduğu görüldü. Bu bölge kolajen
membranla kapatılıp, tüm bölgelere rejeneratif tedavi uygulandı. Üçüncü
operasyonda, sağ molar bölgedeki implant çevresi tam kalınlık flep
kaldırılarak, peri-implantitis tedavisi uygulandı.
Sonuç:
Periodontitis hikayesi olan hasta, 2008-2016 yılları arasında 13 implantını
kaybetti. Bu da, periodontitis hikayesine sahip bireylerin, peri-implantitis
açısından artmış risk altında olduğu fikrini desteklemektedir.
Anahtar kelimeler:
periodontitis, peri-implantitis, dental implantlar.
IS PERIODONTITIS HISTORY A HIGHER
RISK FOR PERI-IMPLANTITIS PROGRESSION ? A CASE REPORT WITH 3 YEARS FOLLOW-UP
ABSTRACT
Aim:
The aim of this case report is to present the surgical treatment stages and 3
years follow-up period of a case who has peri-implantitis lesions and tooth
loss due to periodontitis history.
Case: 43-year-old
woman who was systemically healthy and non-smoker, referred to our department
with peri-implant problems. It was learned that she had lost her teeth because
of the periodontal reasons, then dental implants had been placed and then she
lost mandibular implants in 6 years. In the clinical examination, peri-implant
soft tissue edema and ≥10mm probing depth measurements with bleeding on probing
were observed. Advanced peri-implant bone loss was detected on radiographs.
After the examination, removal of implants was decided. In the curse of removal
of fixed denture, 3 implants were lost. Firstly, implants 13-14 were extracted
and regenerative treatment was performed. Later, implants 23-27 were extracted.
In molar region, it was observed that maxillary sinus membrane was exposed to
the oral cavity on the alveolar crest. This site was covered with resorbable
collagen membrane; regenerative treatment was performed in all regions.
Finally, peri-implantitis treatment was performed on implant 16.
Result:
The patient with a history of periodontitis lost 13 implants between 2008-2016.
This supports the idea that individuals with a history of periodontitis are at
greater risk for peri-implantitis.
Key Words : periodontitis,
peri-implantitis, dental implants.
Keywords
References
- 1. Maruyama N, Maruyama F, Takeuchi Y, Aikawa C, Izumi Y, Nakagawa I. Intraindividual variation in core microbiota in peri-implantitis and periodontitis. Sci Rep. 2014;4:6602.
- 2. Gatti C, Gatti F, Chiapasco M, Esposito M. Outcome of dental implants in partially edentulous patients with and without a history of periodontitis: a 5-year interim analysis of a cohort study. Eur J Oral Implantol. 2008;1:45-51.
- 3. Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Periodontitis, implant loss and peri-implantitis. A meta-analysis. Clin Oral Implants Res. 2015;26:8-16.
- 4. Peker E, Karaca İE. İmplant Tedavisinin Prognozunu Etkileyen Lokal Risk Faktörleri. J Dent Fac Atatürk Uni. 2015;10:105-111.
- 5. Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, Mealey BL, Papapanou PN, Sanz M, Tonetti MS. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Periodontol. 2018;1:1-8.
- 6. Dalago HR, Schuldt Filho G, Rodrigues MA, Renvert S, Bianchini MA. Risk indicators for Peri-implantitis. A cross-sectional study with 916 implants. Clin Oral Implants Res. 2017;2:144-150.
- 7. Roccuzzo M, Bonino F, Aglietta M, Dalmasso P. Ten-year results of a three arms prospective cohort study on implants in periodontally compromised patients. Part 2: clinical results. Clin Oral Implants Res. 2012;4:389-395.
- 8. Chrcanovic BR, Albrektsson T, Wennerberg A. Periodontally compromised vs. periodontally healthy patients and dental implants: a systematic review and meta-analysis. J Dent. 2014;42:1509-1527.
- 9. Swierkot K, Lottholz P, Flores-de-Jacoby L, Mengel R. Mucositis, peri-implantitis, implant success, and survival of implants in patients with treated generalized aggressive periodontitis: 3- to 16-year results of a prospective long-term cohort study. J Periodontol. 2012;83:1213-1225.
- 10. Zangrando MS, Damante CA, Sant'Ana AC, Rubo de Rezende ML, Greghi SL, Chambrone L. Long-term evaluation of periodontal parameters and implant outcomes in periodontally compromised patients: a systematic review. J Periodontol. 2015;86:201-221.
- 11. Saaby M, Karring E, Schou S, Isidor F. Factors influencing severity of peri-implantitis. Clin Oral Implants Res. 2016;27:7-12.
- 12. Apatzidou D, Lappin DF, Hamilton G, Papadopoulos CA, Konstantinidis A, Riggio MP. Microbiome of peri-implantitis affected and healthy dental sites in patients with a history of chronic periodontitis. Arch Oral Biol. 2017;83:145-152.
- 13. Lang NP, Wilson TG, Corbet EF. Biological complications with dental implants: their prevention, diagnosis and treatment. Clin Oral Implants Res. 2000;11:146-55.
- 14. Robertson K, Shahbazian T, MacLeod S. Treatment of peri-implantitis and the failing implant. Dent Clin North Am. 2015;59:329-343.
Abstract
References
- 1. Maruyama N, Maruyama F, Takeuchi Y, Aikawa C, Izumi Y, Nakagawa I. Intraindividual variation in core microbiota in peri-implantitis and periodontitis. Sci Rep. 2014;4:6602.
- 2. Gatti C, Gatti F, Chiapasco M, Esposito M. Outcome of dental implants in partially edentulous patients with and without a history of periodontitis: a 5-year interim analysis of a cohort study. Eur J Oral Implantol. 2008;1:45-51.
- 3. Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Periodontitis, implant loss and peri-implantitis. A meta-analysis. Clin Oral Implants Res. 2015;26:8-16.
- 4. Peker E, Karaca İE. İmplant Tedavisinin Prognozunu Etkileyen Lokal Risk Faktörleri. J Dent Fac Atatürk Uni. 2015;10:105-111.
- 5. Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, Mealey BL, Papapanou PN, Sanz M, Tonetti MS. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Periodontol. 2018;1:1-8.
- 6. Dalago HR, Schuldt Filho G, Rodrigues MA, Renvert S, Bianchini MA. Risk indicators for Peri-implantitis. A cross-sectional study with 916 implants. Clin Oral Implants Res. 2017;2:144-150.
- 7. Roccuzzo M, Bonino F, Aglietta M, Dalmasso P. Ten-year results of a three arms prospective cohort study on implants in periodontally compromised patients. Part 2: clinical results. Clin Oral Implants Res. 2012;4:389-395.
- 8. Chrcanovic BR, Albrektsson T, Wennerberg A. Periodontally compromised vs. periodontally healthy patients and dental implants: a systematic review and meta-analysis. J Dent. 2014;42:1509-1527.
- 9. Swierkot K, Lottholz P, Flores-de-Jacoby L, Mengel R. Mucositis, peri-implantitis, implant success, and survival of implants in patients with treated generalized aggressive periodontitis: 3- to 16-year results of a prospective long-term cohort study. J Periodontol. 2012;83:1213-1225.
- 10. Zangrando MS, Damante CA, Sant'Ana AC, Rubo de Rezende ML, Greghi SL, Chambrone L. Long-term evaluation of periodontal parameters and implant outcomes in periodontally compromised patients: a systematic review. J Periodontol. 2015;86:201-221.
- 11. Saaby M, Karring E, Schou S, Isidor F. Factors influencing severity of peri-implantitis. Clin Oral Implants Res. 2016;27:7-12.
- 12. Apatzidou D, Lappin DF, Hamilton G, Papadopoulos CA, Konstantinidis A, Riggio MP. Microbiome of peri-implantitis affected and healthy dental sites in patients with a history of chronic periodontitis. Arch Oral Biol. 2017;83:145-152.
- 13. Lang NP, Wilson TG, Corbet EF. Biological complications with dental implants: their prevention, diagnosis and treatment. Clin Oral Implants Res. 2000;11:146-55.
- 14. Robertson K, Shahbazian T, MacLeod S. Treatment of peri-implantitis and the failing implant. Dent Clin North Am. 2015;59:329-343.
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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