Etyoloji Patogenez Snflama Sonular

Dieti ekilmeleri

renim ktlar
Dieti ekilmelerinin etyolojilerini anlamak
Engelleyebilecek nlemleri renmek Doru snflandrabilmek Tedavileri hakknda n bilgi sahibi olmak

Etyoloji
Yalanma

18-29 20-40 41-65

43% 70% 81%

Khoctht A 1993

6-25 26-35 36-45 46-86

62% 90% 92% 100%

Gorman 1967

Etyoloji
Az bakm

Dieti ekilmeleri ile az bakm dzeyi arasnda

Az bakm ve yapk dieti genilii arasnda

Dieti sal ve yapk dieti genilii arasnda iliki bulunamamtr
A clinical study comparing the width of attached gingiva and the prevalence of gingival recessions H. Tennenbaum JCP1982

Etyoloji
Di Fralama

Dieti ekilmeleri ile di fralama arasnda olumlu veya

olumsuz bir etkileim bulunamamtr
Does tooth brushing influence the development and progression of non-inflammatory gingival recession? A systematic review Rajapakse PS, McCracken GI, Gwynnett E, Steen ND, Guentsch A, Heasman PA. J Clin Periodontol 2007

Dieti eer salkl olarak tutulabilirse az miktarda

keratinize doku varln uzun sre koruyabilir

Etyoloji
Az bakm

Vestibl yzeyde ekilmelere daha sk rastlanmaktadr Skl ve iddeti ya ile artmaktadr ekilmelerle ara yz periodontal doku kayb birlikte ilerlemektedir
The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene Serino G. Wennstrom J. Lindhe J and Eneroth L J Clin Periodontol 1994

Etyoloji

Konum Bozukluu

Etyoloji

6 mnts

Gingival recession in smokers and non-smokers with minimal periodontal disease Mller HP, Stadermann S, Heinecke A J Clin Periodontol 2002

Sigara

Etyoloji
N=80 NS LS HS P 1stQ -0,05 0,17 0,08 0,21 0,22 0,27 0,0001 2ndQ -0,04 0,21 0,002 0,30 0,15 0,26 0,005 3rdQ 0,08 0,20 0,18 0,17 0,15 0,30 0,244 4thQ 0,05 0,15 0,13 0,21 0,09 0,22 0,418

Dihekimlii rencilerinde sigarann etkileri Vural F, Demirel K

Sigara

Etyoloji

Gingival recession and its association with calculus in subjects deprived of prophylactic dental care van Palensiein Hehiennan WH. Lcmhariti BS. van der Weijden GA. van Y Hof MA J Clin Periodontol 1998

MDP ve dita

Etyoloji

<1.5 mm ince

1.6-1.9 mm orta

2 mm kaln

Relationship of gingival thickness and bleeding to loss of probing attachment in shallow sites following nonsurgical periodontal therapy. Claffey N, Shanley D. 1986

nce Biyotip

Etyoloji
Thick gingival biotype Inflammation (Chronic mechanical or microbiological irritation) Soft tissues: marginal inflammation with pocket formation, bleeding on probing, oedema Hard tissues: formation of infrabony Defects Thin gingival biotype Soft tissues: gingival recession without pocket formation Hard tissues: loss of the thin vestibular bone plate

Surgery

Predictable hard and soft tissue healing Minimal ridge resorption

Delicate and unpredictable tissue healing (recession) Extensive ridge resorption in the apical and lingual direction

Tooth extraction

Thick vs. thin gingival biotypes: a key determinant in treatment planning for dental implants. Kao, Fagan and Conte J. California Dent. Assoc. 2008

nce Biyotip

Etyoloji
Thick gingival biotype Inflammation (Chronic mechanical or microbiological irritation) Soft tissues: marginal inflammation with pocket formation, bleeding on probing, oedema Hard tissues: formation of infrabony Defects Thin gingival biotype Soft tissues: gingival recession without pocket formation Hard tissues: loss of the thin vestibular bone plate

Surgery

Predictable hard and soft tissue healing Minimal ridge resorption

Delicate and unpredictable tissue healing (recession) Extensive ridge resorption in the apical and lingual direction

Tooth extraction

Thick vs. thin gingival biotypes: a key determinant in treatment planning for dental implants. Kao, Fagan and Conte J. California Dent. Assoc. 2008

nce Biyotip

Patogenez

Etyoloji

Uygulama kusurlar

Etyoloji

Yksek frenum

Etyoloji
Yalanma Sert fralama Konum bozukluu Sigara MDP ve dita Biyotip Kusurlu uygulamalar Yksek frenum

Etyoloji
Yalanma Sert fralama Konum bozukluu Sigara MDP ve dita Biyotip Kusurlu uygulamalar Yksek frenum

Patogenez

Etyoloji
Yalanma Sert fralama Konum bozukluu Sigara MDP ve dita Biyotip Kusurlu uygulamalar Yksek frenum

Etyoloji
Hazrlayc etmenler

Ya Konum bozukluu Biyotip Kusurlu uygulama Yksek frenum

Kronik inflamasyonun seyrini etkileyen etmenler Sert fralama Sigara MDP ve dita

Snflama
Periodontitis
Kkene gre

Sadece ekilme

Kusurlu uygulama

Snflama
Etkiledii alana gre

Tekli

oklu

Snflama

Miller I

Snflama

Miller II

Snflama

Miller III

Snflama

Miller IV

Dieti ekilmesi

ekilme keleri etkiliyor mu?

Snflama
% 100 rtlme beklenebilir

rtlme miktar snrlayc etmenlere baldr

Sonular

Kk aa kmas

Sonular

Kk anmas

Sonular

Dentine hypersensitivity in a private practice patient population in Australia Amarasena N, Spenser J, Ou Y, Brennan Y Journal of Oral Rehabilitation 2011

Kk hassasiyeti

Sonular

The prevalence of dentine hypersensitivity in general dental practice in the UK Rees JS: J Clin Periodontol 2000

Kk hassasiyeti

Sonular

S vestibl

Sonular

Kk rkleri

Sonular
Kk almas Kk hassasiyeti Kk r Kk anmas S vestibl