PERİODONTİTİS HİKAYESİ PERİ-İMPLANTİTİS GELİŞİMİ AÇISINDAN BİR RİSK FAKTÖRÜ MÜDÜR ? 3 YIL TAKİPLİ OLGU SUNUMU

Amac: Periodontitis kaynakli dis kaybi olan ve mevcut implantlarinda peri-implantitis gelisen olgunun, cerrahi tedavi asamalari ve 3 yillik takip surecinin sunulmasi amaclanmistir. Olgu: Sistemik olarak saglikli ve sigara kullanmayan 43 yasindaki kadin hasta klinigimize peri-implant bolgede agri ve ciddi kanama sikayetiyle basvurdu. Hastanin dislerini periodontal nedenlerle kaybettigi ve sonrasinda dental implantlarin yapildigi; mandibuler implantlarin 6 yil icerisinde kaybedildigi ogrenildi. Klinik muayenede 7 peri-implant bolgede yumusak dokuda odem, ≥10 mm sondlama derinligi ve sondlamada kanama bulundu. Radyografik incelemede ise ileri duzeyde peri-implant kemik kaybi saptandi. Tum degerlendirmeler sonucunda 7 adet implantin cikarilmasina karar verildi. Operasyonlara hazirlik asamasinda implant uzeri sabit protezlerin sokumu planlandi ve bu sirada 3 implant kaybedildi. Ilk operasyonda, 13-14 bolgesindeki implantlar cikarilarak bolgeye rejeneratif tedavi uygulandi. Takip eden operasyonda, 23-27 bolgesindeki implantlar cikarildi. Bu operasyon sirasinda molar bolgede maksiller sinus membraninin, alveoler kret uzerinde agiz icine acik oldugu goruldu. Bu bolge kolajen membranla kapatilip, tum bolgelere rejeneratif tedavi uygulandi. Ucuncu operasyonda, sag molar bolgedeki implant cevresi tam kalinlik flep kaldirilarak, peri-implantitis tedavisi uygulandi. Sonuc: Periodontitis hikayesi olan hasta, 2008-2016 yillari arasinda 13 implantini kaybetti. Bu da, periodontitis hikayesine sahip bireylerin, peri-implantitis acisindan artmis risk altinda oldugu fikrini desteklemektedir. Anahtar kelimeler : periodontitis, peri-implantitis, dental implantlar. IS PERIODONTITIS HISTORY A HIGHER RISK FOR PERI-IMPLANTITIS PROGRESSION ? A CASE REPORT WITH 3 YEARS FOLLOW-UP ABSTRACT Aim: The aim of this case report is to present the surgical treatment stages and 3 years follow-up period of a case who has peri-implantitis lesions and tooth loss due to periodontitis history. Case: 43-year-old woman who was systemically healthy and non-smoker, referred to our department with peri-implant problems. It was learned that she had lost her teeth because of the periodontal reasons, then dental implants had been placed and then she lost mandibular implants in 6 years. In the clinical examination, peri-implant soft tissue edema and ≥10mm probing depth measurements with bleeding on probing were observed. Advanced peri-implant bone loss was detected on radiographs. After the examination, removal of implants was decided. In the curse of removal of fixed denture, 3 implants were lost. Firstly, implants 13-14 were extracted and regenerative treatment was performed. Later, implants 23-27 were extracted. In molar region, it was observed that maxillary sinus membrane was exposed to the oral cavity on the alveolar crest. This site was covered with resorbable collagen membrane; regenerative treatment was performed in all regions. Finally, peri-implantitis treatment was performed on implant 16. Result: The patient with a history of periodontitis lost 13 implants between 2008-2016. This supports the idea that individuals with a history of periodontitis are at greater risk for peri-implantitis. Key Words : periodontitis, peri-implantitis, dental implants.