Peri-implant doku sağlığı üzerinde keratinize mukoza genişliğinin etkisinin değerlendirilmesi
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Date
2021
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Trakya Üniversitesi
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info:eu-repo/semantics/openAccess
Abstract
Bu kesitsel araştırmanın amacı, KMG'nin peri-implant doku sağlığı üzerindeki etkisini değerlendirmektir. Çalışmaya yaşları 22-75 arasında değişen 196 hasta ve 683 dental implant dahil edildi. Tüm implantların CD, GI, SK, GI-SK, mSKI, PI, MÇ, süpürasyon, KKK, KMG ölçümleri kaydedildi. İmplantlar; yetersiz KMG olan (<2 mm) ve yeterli KMG olan (?2 mm) implantlar olarak kategorize edildi. Klinik ve radyolojik veriler, Mann-Whitney U, Kruskal Wallis, Ki- Kare ve Pearson korelasyon testi kullanılarak istatistiksel olarak analiz edildi. Peri-implant parametreler ile KMG arasındaki potansiyel ilişkileri test etmek için tek değişkenli regresyon analizi yapıldı. 459 implantta (% 67,2) yeterli KMG olduğu, 224 implantta (%32,8) yetersiz KMG bulundu. KMG CD ile pozitif, diğer parametreler ile (hasta seviyesinde mSKI hariç) negatif şekilde korele olduğu tespit edildi (p<0.05). KMG <2 mm olan implantlarda daha az CD saptandı (p<0,05). GI, SK, GI-SK, PI, MÇ, KKK değerleri KMG <2 mm olan grupta daha yüksek bulundu (p>0,05). Süpürasyon varlığında ve mSKI'nde gruplar arası fark bulunmadı (p>0,05). Hasta seviyesi değerlendirmelerde sağlıklı implantların KMG ?2 mm olan grupta daha fazla olduğu tespit edildi (p<0,05). KMG'nin peri-implant mukozitis oluşması üzerinde etkisi bulunmazken (p>0,05), peri-implantitis oluşması için risk faktörü olduğu bulundu (p<0,05). Keratinize mukoza eksikliği peri-implant doku inflamasyonu, MÇ ve KKK'yla ilişkili bulunmuştur. Peri-implant doku sağlığının sürdürülebilmesi için keratinize mukoza varlığı şart olmamakla birlikte, en az 2 mm KMG bulunması önerilmektedir. Anahtar kelimeler: Keratinize mukoza, Dental implant, Peri-implant hastalıklar
The aim of this cross-sectional study was to evaluate the effect of KMW on peri-implant tissue health. A total of 196 patients aged between 22-75 and 683 dental implants were included in the study. PD, GI, BOP, GI-BOP, mSBI, PI, MR, suppuration, CBL, KMW measurements of all implants were recorded. Implants; were categorized as implants with inadequate KMW (<2 mm) and implants with adequate KMW (?2 mm). Clinical and radiological data were statistically analyzed using Mann-Whitney U, Kruskal Wallis, Chi-Square and Pearson correlation tests. Univariate regression analysis was performed to test for potential associations between peri-implant parameters and KMW. Adequate KMW was found in 459 implants (67.2%), and inadequate KMW was found in 224 implants (32.8%). KMW was positively correlated with PD and negatively correlated with other parameters (except for mSBI at patient level) (p<0.05). Less PD was detected in implants with KMW <2 mm (p<0.05). GI, BOP, GI-BOP, PI, MR, CBL values were found to be higher in the group with KMW <2 mm (p>0.05). There was no significant difference between the groups in the presence of suppuration and mSBI (p>0.05). In patient-level evaluations, it was determined that healthy implants were more common in the group with KMW ?2 mm (p<0.05). While KMW had no effect on the occurrence of peri implant mucositis (p>0.05), it was found to be a risk factor for the occurrence of peri-implantitis (p<0.05). Keratinized mucosa deficiency was found to be correlated with peri-implant tissue inflammation, MR and CBL. Although the presence of keratinized mucosa isn't necessary to maintain peri-implant tissue health, it is recommended to have at least 2 mm KMW. Keywords: Keratinized mucosa, Dental implant, Peri-implant diseases
The aim of this cross-sectional study was to evaluate the effect of KMW on peri-implant tissue health. A total of 196 patients aged between 22-75 and 683 dental implants were included in the study. PD, GI, BOP, GI-BOP, mSBI, PI, MR, suppuration, CBL, KMW measurements of all implants were recorded. Implants; were categorized as implants with inadequate KMW (<2 mm) and implants with adequate KMW (?2 mm). Clinical and radiological data were statistically analyzed using Mann-Whitney U, Kruskal Wallis, Chi-Square and Pearson correlation tests. Univariate regression analysis was performed to test for potential associations between peri-implant parameters and KMW. Adequate KMW was found in 459 implants (67.2%), and inadequate KMW was found in 224 implants (32.8%). KMW was positively correlated with PD and negatively correlated with other parameters (except for mSBI at patient level) (p<0.05). Less PD was detected in implants with KMW <2 mm (p<0.05). GI, BOP, GI-BOP, PI, MR, CBL values were found to be higher in the group with KMW <2 mm (p>0.05). There was no significant difference between the groups in the presence of suppuration and mSBI (p>0.05). In patient-level evaluations, it was determined that healthy implants were more common in the group with KMW ?2 mm (p<0.05). While KMW had no effect on the occurrence of peri implant mucositis (p>0.05), it was found to be a risk factor for the occurrence of peri-implantitis (p<0.05). Keratinized mucosa deficiency was found to be correlated with peri-implant tissue inflammation, MR and CBL. Although the presence of keratinized mucosa isn't necessary to maintain peri-implant tissue health, it is recommended to have at least 2 mm KMW. Keywords: Keratinized mucosa, Dental implant, Peri-implant diseases
Description
Diş Hekimliği Uzmanlık
Keywords
Diş Hekimliği, Dentistry
