PERİ-İMPLANT DEFEKTİN TEDAVİSİNDE ALTERNATİF BİR METOD OLARAK BUKKAL YAĞ DOKUNUN KULLANIMI: BİR OLGU RAPORU

Yıl 2020, Cilt: 30 Sayı: 2, 295 - 299, 15.04.2020

Figen Öngöz Dede , Selman Çelen Şeyma Bozkurt Doğan Varol Çanakçı

https://doi.org/10.17567/ataunidfd.527005

Öz

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

Anahtar Kelimeler

Peri-implant defekt, bukkal yağ dokusu

Kaynakça

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