Peri-implant hastalıklar
Abstract
The treatment of partially or totally edentulous subjects with oral implants is a common procedure. Biological complications are occur around implants which are peri-implant mucositis and periimplantitis.
Peri-implant mucositis is pathological condition which is normally localized in the soft tissues surrounding an oral implant. Peri-implantitis surrounding oral implants is an inflammatory process affecting the soft and hard tissues resulting in rapid loss of supporting bone associated with bleeding and suppuration. The diagnosis of peri-implant diseases is usually established by assessing probing depth, gingival index, bleeding on probing and radiographic bone resorption examinations. The etiopathogenesis of peri-implant diseases is related to the periimplant environment and to the soft tissues/implant interface, to patient-related factors (smoke, systemic diseases, plaque control) and to host-parasite equilibrium.
Peri-implant diseases can be controlled successfully by providing mechanical, antiseptic, antibiotic and surgical supportive therapy, individually or combined.
ÖZET
Tam veya kısmi dişsiz hastaların tedavisinde yaygın prosedürlerden biride oral implantlardır. İmplantların etrafında peri-implant mukositis ve peri-implantitis diye biyolojik komplikasyonlar meydana gelir. Peri-implant mukositis bir oral implantın etrafındaki normalde yumuşak dokuda lokalize patolojik bir durumdur. Oral implantların çevresindeki peri-implantitis süpürasyon ve kanama ile ilişkili destek kemiğin hızlı kaybı ile sonuçlanan, sert ve yumuşak dokuları etkileyen inflamatuar bir süreçtir.
Peri-implant hastalıkların teşhisi genellikle sondalama cep derinliği, gingival indeks, sondalamada kanama ve radyografik kemik rezorbsiyon muayenesi ile kanıtlanır. Peri-implant hastalıkların etiyopatogenezi, peri-implant çevre ve yumuşak doku-implant yüzleşmesi, hasta ile ilişkili faktörler (sigara içme, sistemik hastalıklar, plak kontrolü) ve konak-parazit dengesi ile ilişkilidir. Peri-implant hastalıklar, tek tek veya kombine olarak mekanik, antiseptik, antibiyotik ve cerrahi destekleyici tedavi ile engellenerek başarılı olarak tedavi edilebilir.
Anahtar kelimeler: İmplant, peri-implant hastalıklar, peri-implant mukositis, peri-implantitis ve tedavileri.
Keywords
References
- Albrektsson T, Isidor F. Consensus report of session IV. In Proceedings of the First European Workshop on Periodontology, eds. Lang NP & Karring T. London: Quintessence 1994: 365-369.
- Hammerle CH, Glauser R. Clinical evaluation of dental implant treatment. Periodontol 2000 2004, 34: 230-239
- Roos-Jansaker AM, Renvert S, Egelberg J. Treatment of peri- implant infections: a literature review. J Clin Periodontol. 2003, Jun;30(6):467-485.
- Mombelli A, Lang NP. Clinical parameters for the evaluation of dental implants. Periodontol 2000 1994, 4: 81–86.
- Gristina AG. Biomaterial-centered infection: microbial adhesion versus tissue integration. Science 1987, 237: 1595-1598.
- Romeo E, Ghisolfi M, Carmagnola D. Peri-implant diseases. A systematic review of the literature. Minerva Stomatol. 2004 May;53(5):215-30.
- Mombelli A ve ark. The microbiota of osseointegrated implants in patients with a history of periodontal disease. J Clin Periodontol , 22: 124–30. Porras R ve ark. Clinical response to 2 different therapeutic regimens to treat peri-implant mucositis. J Periodontol. 2002, Oct;73(10):1118-25.
- Berglundh T ve ark. Soft tissue reaction to de novo plaque formation on implants and teeth. An experimental study in the dog. Clin Oral Implants Research 1992, 3: 1–8.
Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
November 11, 2011
Submission Date
November 11, 2011
Acceptance Date
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Published in Issue
Year 1970 Volume: 11 Number: 1