PERİ-İMPLANT HASTALIKLARIN TANI VE TEDAVİSİ

Year 2012, Volume: 21 Issue: 1, 61 - 66, 01.03.2012

M.Vehbi Bal Feridun Dişçioğlu

Abstract

Dental implant uygulamaları; diş çürüğü, periodontal hastalık ve travmaya bağlı doğal diş kaybı sonucu ortaya çıkan tam veya kısmi dişsizliklerin tedavisinde büyük bir ilerleme sağlamıştır. Ancak implant oluşmaktadır. Elde edilen veriler uzun dönem implant başarısızlığında bakteriyel enfeksiyonların önemli rol oynadığını periodontitis hikayesi, diabet, genetik özellikler, kötü oral hijyen, sigara kullanımı, alkol tüketimi, keratinize dokunun yetersizliği gibi hasta ile ilişkili faktörler ile seçilen implant sistemi ve tipi, implantın yüzey özellikleri, implanta ve çevre dokulara gelen kuvvetler, implant durumların peri-implant hastalık için risk faktörü olduğu tespit edilmiştir. Bu risk faktörleri; klinik olarak peri-implant enflamasyondan, yıkımla karakterize olan peri-implantitise ve implant kayıplarıyla sonuçlanan durumların oluşmasına neden olmaktadır. Peri-implant hastalıkların teşhisi hastalığın doğru tedavisi için önemlidir. engelleyici destekleyici tedavi (KEDT) olarak tanımlanan bir protokol dahilinde tedavi edilir. Her ne kadar peri-implant hastalıklar ve bu hastalıklara bağlı implant kayıpları görülüyor olsa da, implant tedavisinin, öngörülebilir ve yüksek başarıya sahip bir tedavi seçeneği olduğu, bununla birlikte peri-implant hastalıkların unutulmamalıdır

Keywords

Peri-implant mukozitis, periimplantitis, tedavi

Diagnosis and Treatment of Peri-Implant Disease

Abstract

Treatment of total or partial edentulous subjects, caused by dental caries, periodontal disease and tooth loss associated with trauma, has greatly improved dental implants. However, some biological complications have occurred in implant treatment. Obtained data show that bacterial infections have an important role in long term implant failure. In some studies chosen implant system and type, implant surface characteristics, increased forces applied to implant encountered during implant placement and patientrelated factors such as history of periodontitis, diabet, genetic traits, poor oral hygiene, smoking, alcohol consumption and lack of keratinized tissue are shown as risk factors for peri-implant diseases. Clinically, these risk factors cause peri-implant mucositis, periimplantitis and even loss of implant. Diagnosis of periimplant disease is important for right treatment. Periimplant diseases are treated by a protocol described as cumulative interceptive supportive therapy (CIST). Although peri-implant diseases and implant losses are experienced, it should be noted that implant treatment is an alternative that is predictable and highly successful and also peri-implant diseases can be treated

Keywords

Peri-implant mucositis, peri-implantitis, treatment

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