Papillon LeFèvre Sendromlu Hastalarda Alveoler Soket Koruma Yöntemi Olarak İmplant Yerleştirilmesi; İki Olgu Sunumu

Yıl 2021, Cilt: 8 Sayı: 1, 205 - 210, 30.04.2021

Emine Elif Mutafcilar , Elif İnönü , Recep Dursun , Sema Sezgin Hakkı

https://doi.org/10.15311/selcukdentj.654068

Öz

Papillon-Lefèvre sendromu, süt ve daimî dentisyonda erken diş kaybı ve palmaplantar hiperkeratoz ile karakterize otozomal resesif geçişli genetik bir hastalıktır. Bu olgu raporunda, Papillon-Lefèvre sendromlu (PLS) iki hastada, alveolar kemiği korumak için diş köklerinin dişeti altında bırakılması ve çekimlerini takiben çekim soketinin implant ile korunması sunuldu. PLS tanısı konmuş 18 yaşında erkek ve 29 yaşında kadın hasta Selçuk Üniversitesi Periodontoloji Anabilim Dalı kliniğinde 11-12 yaşlarından itibaren takip edilerek periodontal tedavi ile dişlerin ağızda tutulmasına çalışılmıştır. Şiddetli mobilitesi olan dişler çekildikten sonra birçok kez protezleri yenilenmiştir. 43 ve 33 nolu diş köklerinin diş eti altında bırakılmasının ardından kökler yaklaşık 5 yıl boyunca ağızda tutulabilmiştir. Dişlerin ağız ortamına açıldıktan sonra kaybedilmesinin ardından alveolar kemiğin korunması amacıyla aynı bölgelere dental implant yerleştirilerek alveolar kemik rezorpsiyonu riski nedeniyle dişeti altında bırakılmıştır. Klinik ve radyografik olarak kontrol edilen hastalarda yumuşak doku komplikasyonu gözlenmeksizin ve dişsiz sahalara kıyasla kemik seviyesi korunabilmiştir.

Anahtar Kelimeler

implant, Papillon- Lefèvre Sendromu, Peridontitis

Kaynakça

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