Periodontal ve Peri-implant Hastalıklarının Tedavisi ve Korunmasında Güncel bir Tedavi Protokolü: Rehberli Biyofilm Tedavisi

Öz

Dişler ve implant yüzeylerine sıkı şekilde bağlanan ve zaman içerisinde yoğun bir şekilde tabakalar halinde çoğalan dental biyofilm, içerisindeki çok sayıdaki patojen mikroorganizmalar nedeniyle periodontal ve peri-implant hastalıkların etiyopatogenezinde önemli rol oynamaktadır. Periodontal ve peri-implant hastalıkların tedavisindeki ilk ve en önemli işlem cerrahi olmayan mekanik debridman olarak da adlandırılan biyofilmin tümüyle elimine edilmesi ve kontrol altına alınmasıdır. Böylece periodontal ve peri-implant hastalıklardan diş çürüklerine ve periapikal inflamasyonlara kadar birçok ağız içi hastalık ve sorun mikrobiyal yükün ve inflamatuvar sitokinlerin azaltılmasıyla sağlıklı durumuna dönebilmektedir. Son yıllarda biyofilmin diş ve implant yüzeylerinde görünür hale getirildikten sonra yüksek teknoloji cihazlar vasıtasıyla tümüyle temizlenmesi ve elimine edilmesini içeren ve Rehberli Biyofilm Tedavisi (Guided Biofilm Therapy) (GBT) olarak adlandırılan yeni bir tedavi protokolü uygulanmaya başlanmıştır. Bilimsel çalışmalarda GBT’nin tedavi sonuçlarının yıllardır altın standart olarak düşünülen diş yüzeyi temizliği ve kök düzeltmesi işlemlerinden daha iyi veya ona eşit düzeyde olduğu tespit edilmiştir. Bu derleme makalesinde periodontal ve peri-implant hastalıkların tedavisinde uygulanan GBT protokolü birçok yönüyle detaylı olarak anlatılacaktır

Anahtar Kelimeler

• periodontoloji
• dental biyofilm
• peri-impant hastalıklar
• rehberli biyofilm tedavisi

A Current Treatment Protocol for the Treatment and Prevention of Periodontal and Peri-implant Diseases: Guided Biofilm Therapy

Öz

Dental biofilm, which is tightly bound to teeth and implant surfaces and proliferates intensively in layers over time, plays an important role in the etiopathogenesis of periodontal and peri-implant diseases due to the large number of pathogenic microorganisms it contains. The first and most important procedure in the treatment of periodontal and peri-implant diseases is the complete elimination and control of the biofilm, also called non-surgical mechanical debridement. Thus, many oral diseases and problems, from periodontal and peri-implant diseases to dental caries and periapical inflammations, can be returned to a healthy state by reducing the microbial load and inflammatory cytokines. In recent years, a new treatment protocol called Guided Biofilm Therapy (GBT) has begun to be implemented, which involves completely cleaning and eliminating the biofilm by means of high-tech devices after making it visible on the tooth and implant surfaces. In scientific studies, it has been determined that the treatment results of GBT are better or equal to tooth surface cleaning and root planing procedures, which have been considered the gold standard for years. In this review article, the GBT protocol applied in the treatment of periodontal and peri-implant diseases will be explained in detail in many aspects

Anahtar Kelimeler

• periodontology
• dental biofilm
• peri-implant diseases
• guided biofilm therapy

Kaynakça

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