Farklı Seviyelerdeki Nekrotizan Periodontal Hastalıkların Yönetimi: Olgu Serisi

Yıl 2024, Cilt: 6 Sayı: 3, 344 - 353, 30.12.2024

Mert Kutsal , Demet Efe , Sema Çınar Becerik

https://doi.org/10.51122/neudentj.2025.134

Öz

Nekrotizan periodontal hastalıklar (NPH) bakteri plağı kökenli akut seyirli hastalıklardır ve etkilediği dokulara göre dört gruba ayrılırlar: Nekrotizan Gingivitis, Nekrotizan Periodontitis, Nekrotizan Stomatitis, Noma. Yapılan çalışmalara göre, bu hastalıklar sanayileşmiş ülkelerin pratiğinde nadiren görülür (0,19% ila 0,5%) ancak görüldüğü zaman, etyolojik faktörlerine uygun olarak genç bireyleri daha sık etkiler. Hastalığın zımba deliği görünümlü nekrotik papillalar, şiddetli ağrı, psödomembran formasyonu gibi spesifik klinik bulguları mevcuttur ve tanısı klinik bulgular doğrultusunda alınmaktadır. Hastalığın gelişiminde konak cevabı ve sistemik durum, HIV enfeksiyonu, stres gibi hazırlayıcı faktörler etkili olmakla birlikte tedavisi birbirini takip eden aşamalardan oluşmaktadır. Bunlar sırasıyla akut faz tedavisi ve destekleyici/idame fazı tedavisidir. Bu iki ana aşama arasında ise hazırlayıcı faktörlerin kontrolü ve hastalık sonucu oluşan sekellerin düzeltilmesi aşamaları yer almaktadır. Bu olgu serimizde Ege Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Anabilim Dalına yönlendirilen ve NPH teşhisi konulan 3 hastanın klinik muayene, tanı, tedavi ve tedavi sonrası 3-6 aylık takibi ve idame dönemindeki sosyal ve ağız bakımı alışkanlıkları açısından ne tür değişiklerin olduğu aktarılmıştır.

Anahtar Kelimeler

Nekrotizan Ülseratif Gingivitis, Periodontitis, Olgu Yönetimi, Olgu Raporu

Management Of Necrotizing Periodontal Diseases At Different Stages: A Case Series

Öz

Necrotizing periodontal diseases (NPD) are acute diseases of bacterial dental plaque origin and they are divided into four categories based on the affected tissues: Necrotizing Gingivitis, Necrotizing Periodontitis, Necrotizing Stomatitis and Noma. According to studies, these diseases are rarely seen in the practice of industrialized countries (0,19% to 0,5%) when it does occur, it tends to affect young individuals more frequently in accordance with its etiological factors. The disease presents specific clinical features such as necrotic papillae resembling punched-out lesions, severe pain and the formation of pseudomembrane. Diagnosis is typically based on clinical findings. The development of the disease is influenced by host response and along with predisposing factors such as systemic conditions, HIV infection and stress. The treatment of the disease consists of the acute phase treatment and the supportive/maintenance phase treatment. Between these two main stages, there are stages for controlling the predisposing factors and correcting the sequelae resulting from the disease. In this case series, we have reported on the clinical examination, diagnosis, treatment, and follow-up of three patients referred to the Department of Periodontology Ege University Faculty of Dentistry, diagnosed with Necrotizing Periodontal Diseases (NPD). The changes in terms of social and oral care habits during the 3-6 month post-treatment period and maintenance phase were also documented.

Anahtar Kelimeler

Necrotizing Ulcerative Gingivitis, Periodontitis, Case Management, Case Report

Kaynakça

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