Evre III Derece C Periodontitisli Bireylerde Periodontal Ýnflame Yüzey Alanýna Cerrahi Olmayan Periodontal Tedavinin Etkisi

GÝRÝÞ ve AMAÇ: Bu çalýþmada evre III derece C periodontitisli bireylerde cerrahi olmayan periodontal tedavinin periodontal inflame yüzey alaný (PÝYA) skoruna ve periodontal klinik parametrelere etkisinin deðerlendirilmesi amaçlandý.
YÖNTEM ve GEREÇLER: Bu çalýþmaya sistemik olarak saðlýklý ve sigara içmeyen 10 periodontal saðlýklý (saðlýklý grup) ve 10 evre III derece C periodontitis (periodontitis grup) teþhisi konmuþ toplam 20 kiþi dahil edildi. Plak indeks, gingival indeks, sondalamada kanama (SK), sondalama derinliði (SD) ve klinik ataþman seviyesi baþlangýç deðerleri kaydedildi. PÝYA skoru, SD ve SK verileri kullanýlarak Excel tablosunda hesaplandý. Periodontitis hastalarýna aðýz hijyeni eðitimi, diþ yüzeyi temizliði ve kök yüzeyi düzleþtirmesini içeren cerrahi olmayan periodontal tedavi uygulandý. Birinci ve 3. ayda periodontitis grubunda klinik ölçümler tekrarlandý. Rezidüel cep bölgesi olarak SD≥5 mm ve SK (+) olan bölgeler kabul edildi. Verilerin istatistiksel analizleri SPSS paket programýnda deðerlendirildi. Ýstatistiksel anlamlýlýk p<0.05 olarak kabul edildi.
BULGULAR: Baþlangýçta PÝYA skoru ve klinik parametre deðerleri periodontitis grubunda saðlýklý grubundan istatistiksel olarak anlamlý yüksekti (p<0.001). Periodontitis grubunda 1. ve 3. ayda tüm klinik parametrelerde baþlangýca göre anlamlý azalma gözlendi (p<0.001). Ortalama PÝYA skoru, baþlangýçta saðlýklý grubunda 57.65±27.72 mm2, periodontitis grubunda 1271.32±522.95 mm2, 1. ayda 294.86±113.61 mm2 ve 3. ayda 166.60±73.09 mm2 olarak tespit edildi. Tüm deðerlendirme zamanlarýnda PÝYA skoru ve rezidüel cepler arasýnda pozitif korelasyon tespit edildi.
TARTIÞMA ve SONUÇ: Bu çalýþmanýn sýnýrlarý dahilinde, periodontitis varlýðýnda yüksek olan PÝYA skorunun cerrahi olmayan periodontal tedavi ile azaldýðý görülmektedir. Ayrýca, PÝYA skorunun rezidüel cepler ile yakýndan iliþkili olduðu ortaya konmuþtur.

Effect of Non-Surgical Periodontal Treatment on Periodontal Inflamed Surface Area in Patients with Stage III Grade C Periodontitis

INTRODUCTION: It was aimed to evaluate the effect of non-surgical periodontal treatment (NSPT) on periodontal inflamed surface area (PISA) and periodontal clinical parameters in patients with stage III grade C periodontitis
METHODS: Total of non-smoker and systemically healthy 20 patients, 10 periodontal healthy (healthy group), 10 stage III grade C periodontitis (periodontitis group) were included in this study. Plaque index, gingival index, bleeding on probing (BoP), probing depth (PD), and clinical attachment level were recorded at baseline. PISA scores were calculated in an Excel spreadsheet using PD and BoP. NSPT was applied to periodontitis patients. In group Periodontitis, all periodontal parameters were reevaluated at 1 and 3 months following NSPT. Periodontal pockets with PD≥5 mm and BoP(+) defined as residual pockets. Data were evaluated in the SPSS program. Statistical significance was accepted as p< 0.05.
RESULTS: At baseline, PISA and periodontal clinical parameters were significantly higher in periodontitis group than in healthy group (p<0.001). In periodontitis group a significant decreases were observed at 1 and 3 months following NSPT in all clinical parameters compared to baseline. The mean PISA score was 57.65±27.72 mm2 in the healthy group at baseline, 1271.32±522.95 mm2 in the periodontitis group, 294.86±113.61 mm2 at 1 month, and 166.60±73.09 mm2 at 3 months. A positive correlation was detected between PISA score and residual pockets.
DISCUSSION AND CONCLUSION: Within the limits of this study, it was concluded that PISA score, which was increased in the presence of periodontitis, decreases with NSPT. In addition, PISA score was closely related to residuel pockets.