PERİODONTAL KEMİK İÇİ DEFEKTLERİN TEDAVİSİNDE CERRAHİ VE CERRAHİ OLMAYAN PERİODONTAL TEDAVİ UYGULAMASI: VAKA SERİSİ

Year 2025, Volume: 5 Issue: 2, 105 - 108, 29.08.2025

Özge Demir , Emine Pirim Görgün

https://doi.org/10.61139/ijdor.1597509

Abstract

Periodontitis primer etyolojik ajanın mikrobiyal dental plak olduğu kronik, enflamatuvar bir hastalıktır. Alveolar kemik yıkımı bu duruma eşlik eder ve ileri durumlarda diş kaybına neden olabilir. Periodontal cep idamesi ve kemik rejenerasyonu için kemik içi defektin ve hastanın durumuna göre uygun bir yöntem seçilir. Periodontal kemik içi defektlerin tedavisi için cerrahi ve cerrahi olmayan birçok tedavi yöntemi önerilmiştir. Bu yaklaşımların hepsi kendi içinde etkili olsa da kemik içi defektlerin tedavisinde öncelikle cerrahi olmayan periodontal tedavi ve etkili plak kontrolü oldukça önemlidir. Bu olgu sunumunda üç kemik içi defektin cerrahi ve cerrahi olmayan periodontal tedavi ile idamesi sunulmaktadır. Kemik içi defektlerde cerrahi ve cerrahi olmayan tedaviler ile klinik ve radyografik olarak iyileşme gözlenmiştir.

Keywords

periodontal cep , kemik içi defekt , cerrahi olmayan periodontal tedavi

Non Surgical and Surgical Periodontal Treatment of Intrabony Defects

Abstract

Periodontitis is a chronic, inflammatory disease in which the primary etiological agent is microbial dental plaque. Alveolar bone destruction accompanies this condition and in advanced cases, it may lead to tooth loss. An appropriate method is selected for periodontal pocket maintenance and bone regeneration according to the condition of the intrabony defect and the patient. Many surgical and nonsurgical treatment methods have been proposed for the treatment of intrabony periodontal defects. Although all of these approaches are effective in themselves, nonsurgical periodontal treatment and effective plaque control are very important in the treatment of intrabony defects. In this case report, the maintenance of three intrabony defects with surgical and nonsurgical periodontal treatment is presented. Clinical and radiographic improvement was observed in intrabony defects with surgical and nonsurgical treatments.

Keywords

periodontal pocket , intrabony defect , nonsurgical periodontal treatment , surgical treatment

References

• 1. Chen FM, Gao LN, Tian BM, Zhang XY, Zhang YJ, Dong GY, et al. Treatment of periodontal intrabony defects using autologous periodontal ligament stem cells: A randomized clinical trial. Stem Cell Res Ther. 2016 Feb 19;7(1).
• 2. Kao RT, Nares S, Reynolds MA. Periodontal Regeneration – Intrabony Defects: A Systematic Review From the AAP Regeneration Workshop. J Periodontol. 2015 Feb;86(2S).
• 3. Cortellini P, Tonetti MS. Clinical concepts for regenerative therapy in intrabony defects. Periodontol 2000. 2015 Jun 1;68(1):282–307.
• 4. Nibali L, Yeh YC, Pometti D, Tu YK. Long-term stability of intrabony defects treated with minimally invasive non-surgical therapy. J Clin Periodontol. 2018 Dec 1;45(12):1458–64.
• 5. Ren C, McGrath C, Jin L, Zhang C, Yang Y. The effectiveness of low-level laser therapy as an adjunct to non-surgical periodontal treatment: a meta-analysis. J Periodontal Res. 2017 Feb 1;52(1):8–20.
• 6. Reynolds MA, Kao RT, Camargo PM, Caton JG, Clem DS, Fiorellini JP, et al. Periodontal Regeneration – Intrabony Defects: A Consensus Report From the AAP Regeneration Workshop. J Periodontol. 2015 Feb;86(2S).
• 7. Miron RJ, Moraschini V, Fujioka-Kobayashi M, Zhang Y, Kawase T, Cosgarea R, et al. Use of platelet-rich fibrin for the treatment of periodontal intrabony defects: a systematic review and meta-analysis. Available from: https://doi.org/10.1007/s00784-021-03825-8
• 8. Kwon TH, Lamster IB, Levin L. Current Concepts in the Management of Periodontitis. Vol. 71, International Dental Journal. Elsevier Inc.; 2021. p. 462–76.
• 9. Van der Weijden GA, Dekkers GJ, Slot DE. Success of non-surgical periodontal therapy in adult periodontitis patients: A retrospective analysis. Int J Dent Hyg. 2019 Nov 1;17(4):309–17.
• 10. Adriaens PA, Adriaens LM. Effects of nonsurgical periodontal therapy on hard and soft tissues. Periodontol 2000. 2004;36:121-45. doi: 10.1111/j.1600-0757.2004.03676.x. PMID: 15330946.
• 11. Chung WC, Huang CF, Feng SW. Clinical Benefits of Minimally Invasive Non-Surgical Periodontal Therapy as an Alternative of Conventional Non-Surgical Periodontal Therapy—A Pilot Study. Int J Environ Res Public Health. 2022 Jun 1;19(12).
• 12. Heitz-Mayfield LJA, Trombelli L, Heitz F, Needleman I, Moles D. A systematic review of the effect of surgical debridement vs. non-surgical debridement for the treatment of chronic periodontitis. Vol. 29, J Clin Periodontol. # Blackwell Munksgaard; 2002.
• 13. Silva FFV e., Chauca-Bajaña L, Caponio VCA, Cueva KAS, Velasquez-Ron B, Padín-Iruegas ME, et al. Regeneration of periodontal intrabony defects using platelet-rich fibrin (PRF): a systematic review and network meta-analysis. Odontology. Springer; 2024.
• 14. Reynolds MA, Aichelmann-Reidy ME, Branch-Mays GL, Gunsolley JC. The efficacy of bone replacement grafts in the treatment of periodontal osseous defects. A systematic review. Ann Periodontol. 2003 Dec;8(1):227-65. doi: 10.1902/annals.2003.8.1.227. PMID: 14971256.
• 15. Reynolds MA, Aichelmann-Reidy ME, Branch-Mays GL. Regeneration of Periodontal Tissue: Bone Replacement Grafts. Vol. 54, Dental Clinics of North America. 2010. p. 55–71.
• 16. Mathur A, Bains VK, Gupta V, Jhingran R, Singh GP. Evaluation of intrabony defects treated with platelet-rich fibrin or autogenous bone graft: A comparative analysis. Eur J Dent. 2015 Jan-Mar;9(1):100-108.
• 17. Shah M, Patel J, Dave D, Shah S. Comparative evaluation of platelet-rich fibrin with demineralized freeze-dried bone allograft in periodontal infrabony defects: A randomized controlled clinical study. J Indian Soc Periodontol. 2015 Jan-Feb;19(1):56-60.
• 18.Ye L, Mashrah MA, Ge L, Fang Y, Guo X, Ge Q, Wang L. Network meta-analysis of platelet-rich fibrin in periodontal intrabony defects. J Oral Pathol Med. 2023 Mar;52(3):206-215.