Lignöz periodontitis : Olgu sunumu
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Tarih
2015
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info:eu-repo/semantics/openAccess
Özet
Öz: Amaç: Plazminojen eksikliğiyle birlikte görülen lignöz periodontitis, periodontal dokularda yaygın enflamasyon ve alveoler kemik kaybıyla karakterize bir hastalıktır. Bu olgu sunumunda lignöz periodontitisli bir hastanın tedavisi ve takibi gösterilmektedir. Olgu Sunumu: Periodontoloji kliniğine başvuran lignöz periodontitisli 15 yaşındaki erkek hastanın klinik ve radyografik incelemeleri sonucunda tüm dişlerin etrafında ileri düzeyde periodontal doku yıkımı saptandı. Hasta dişetlerindeki kızarıklık, şişlik, cep içerisinden pü gelmesinden, dişlerin sallamasından ve şiddetli ağrıdan yakınmaktaydı. Diş yüzeylerinin %58? inde 7 mm den daha derin sondlama cep derinlikleri ve panoramik radyografide dişlerin çevresinde kemik rezorbsiyonlarının mevcut olduğu görüldü. Hastanın tüm dişlerine lokal anestezi altında diş yüzeyi temizliği ve kök yüzeyi düzleştirmesi işlemleri yapıldı ve Gracey küretlerle d işeti cebinden drenaj sağlanmaya çalışıldı. Hastaya ilaveten sistemik amoksisilin ve klavulanik asit verildi. Sonuç : Uygulanan tedaviler dişlerin mümkün olduğunca uzun süreli olarak ağızda tutulabilmesi amacıyla yapıldı ancak alveoler kemik kaybı çok iler i düzeyde idi. Plazminojen eksikliği gibi sistemik sorunlar bireyin periodontal sorunlara yatkınlığını arttırmakla birlikte periodontal hastalığın gelişmesinde ve ilerlemesinde etkili olabilmektedirler.
Abstract: Aim: Ligneous periodontitis is an infectious disease characterized by the inflammation of the supporting periodontal tissues, resulting in attachment and alveolar bone loss with plasminogen deficiency. This case report shows the treatment and follow - up of patient who have ligneous periodontitis. Case Report: Fifteen years old boy who had ligneous periodontitis applied to our periodontology clinic. Clinical and radiographic ev aluation revealed severe periodontal breakdown around all teeth . Intraoral soft tissues were characterized by gingival reddening and swelling and the patient complained of periodic discharge of pus from the periodontal pockets, mobility, and severe pain. The probing depths were more than 7 mm %58 percent probing areas and there were radiolucent lesions around the teeth in panoramic radiograph. Full -mouth subgingival scaling and root planing under local anesthesia was performed and the pocket wall is gently retracted with a periodontal curette in an attempt to initiate drainage through the pocket entrance. Systemic amoxicillin and clavulanic acid applied for antibiotic therapy. Result: The goal of treatment was to create a clinical condition that is conduci ve to retaining as many teeth as possible for as long as possible but alveolar bone loss around the teeth was too severe. Systemic disorders such as plasminogen deficiency increase a patient's susceptibility to destructive periodontitis and have impacts on periodontal disease progression and severity.
Abstract: Aim: Ligneous periodontitis is an infectious disease characterized by the inflammation of the supporting periodontal tissues, resulting in attachment and alveolar bone loss with plasminogen deficiency. This case report shows the treatment and follow - up of patient who have ligneous periodontitis. Case Report: Fifteen years old boy who had ligneous periodontitis applied to our periodontology clinic. Clinical and radiographic ev aluation revealed severe periodontal breakdown around all teeth . Intraoral soft tissues were characterized by gingival reddening and swelling and the patient complained of periodic discharge of pus from the periodontal pockets, mobility, and severe pain. The probing depths were more than 7 mm %58 percent probing areas and there were radiolucent lesions around the teeth in panoramic radiograph. Full -mouth subgingival scaling and root planing under local anesthesia was performed and the pocket wall is gently retracted with a periodontal curette in an attempt to initiate drainage through the pocket entrance. Systemic amoxicillin and clavulanic acid applied for antibiotic therapy. Result: The goal of treatment was to create a clinical condition that is conduci ve to retaining as many teeth as possible for as long as possible but alveolar bone loss around the teeth was too severe. Systemic disorders such as plasminogen deficiency increase a patient's susceptibility to destructive periodontitis and have impacts on periodontal disease progression and severity.
Açıklama
Anahtar Kelimeler
Kaynak
Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
25
Sayı
1
Künye
AYTEKİN Z,HATİPOĞLU M,ÖZGÖZ M,ELTAS A (2015). Lignöz periodontitis : Olgu sunumu. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 25(1), 77 - 80.
