Keratinize Doku Bandı Genişliğinin İmplant Çevresi Dişeti Sağlığı Üzerine Etkisi

GİRİŞ ve AMAÇ: Çalışmanın amacı, keratinize doku bandı genişliği (KDG) ile implant çevresi yumuşak doku sağlığı arasındaki ilişkiyi değerlendirmektir. YÖNTEM ve GEREÇLER: Çalışmaya 52 hastada, fonksiyonel yüklemesi üzerinden en az 1 yıl geçmiş 176 implant dahil edildi. Bukkal yüzeylerde keratinize mukozanın genişliğine dayanarak, implantlar iki gruba ayrıldı: KDG 2mm. Plak skoru (PS), sondalama derinliği (SD), klinik ataşman kaybı (KAK), sondalamada kanama (KS) ve süpürasyonun klinik ölçümleri yapıldı. Yapılan klinik ölçümler ve radyolojik değerlendirmeler sonucunda implant çevresi dişeti sağlıklı, mukozitis ve peri-implantitis olarak sınıflandırıldı. BULGULAR: KDG > 2mm olan grupta 86 implant, KDG 2mm olan grupta SD, KAK, PS ve KS anlamlı şekilde daha az olduğu belirlenmiştir (p 0,05), periimplantitis prevelansı KDG 0,05). TARTIŞMA ve SONUÇ: İmplant çevresi keratinize doku genişliğinin, implant çevresi yumuşak doku sağlığı üzerine etkisi olduğu görülmüştür

The Impact of Keratinized Mucosa Width on Peri-implanter Soft Tissue Health

INTRODUCTION: The aim of this investigation was to evaluate the association between keratinized mucosa width (KMW) and peri-implant soft tissue health. METHODS: In fifty-two patients, 176 implants with at least 1 year of function were included in the study. Based on the width of keratinized mucosa on buccal surfaces, implants were divided into two groups: KMW≤ 2 mm and KMW> 2 mm. Clinical measurements of plaque index (PS), probing depths (PD), clinical attachment loss (CAL), bleeding on probing (BOP), and supuration were performed. According to the clinical measurements and radiological evaluations, peri-implant soft tissue around the implants were classified as healthy, mucositis and peri-implantitis. RESULTS: There were 86 implants in the group with KMW> 2 mm and 90 implants in the group with KMW ≤ 2 mm. PD, CAL, PS, and BOP were found to be significantly lower in the group with KMW> 2 mm (p 0.05). Prevalence of periimplantitis was found significantly higher in the group with KDG ≤ 2mm (p> 0.05). DISCUSSION AND CONCLUSION: It has been observed that the keratinized tissue width around the implant effects the peri-implanter soft tissue health

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