{"id":1478,"date":"2023-04-06T12:08:48","date_gmt":"2023-04-06T09:08:48","guid":{"rendered":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/?p=1478"},"modified":"2023-04-06T21:00:45","modified_gmt":"2023-04-06T18:00:45","slug":"periodontitis","status":"publish","type":"post","link":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/periodontitis\/","title":{"rendered":"Periodontitis"},"content":{"rendered":"\n<p style=\"text-align: justify;\"><em>&#8221; Sapasa\u011flam di\u015flerim \u00e7\u00fcr\u00fcmeden sallanmaya ba\u015flad\u0131, \u00e7ektirmek zorunda kald\u0131m. A\u011f\u0131z kokum artt\u0131. Di\u015f etlerim \u00e7ekiliyor, f\u0131r\u00e7alarken kan\u0131yor. Sabah kalkt\u0131\u011f\u0131mda yast\u0131kta kan buluyorum. Elma bile \u0131s\u0131ram\u0131yorum&#8230;&#8221;<\/em><\/p>\n<p style=\"text-align: justify;\">Yukar\u0131da anlat\u0131lanlar\u0131 ya\u015fam\u0131\u015f olmasan\u0131z bile bir \u00e7o\u011funuz yak\u0131nlar\u0131n\u0131zdan duymu\u015fsunuzdur. Periodontitis bu al\u0131nt\u0131lanan s\u00f6zlerden anla\u015f\u0131ld\u0131\u011f\u0131 gibi di\u015f kay\u0131plar\u0131yla sonlanabilecek y\u0131k\u0131c\u0131 bir iltihabi hastal\u0131kt\u0131r. De\u011fi\u015fip tipleri olan periodontitis, temelde di\u015f etlerinde ba\u015flayan iltihab\u0131n zaman i\u00e7ersinde ilerleyerek di\u015fleri \u00e7evreleyen kemikleri y\u0131kt\u0131\u011f\u0131 bir hastal\u0131kt\u0131r.<\/p>\n<p style=\"text-align: justify;\">Kronik (uzun s\u00fcreli \u2013 s\u00fcregelen) bir hastal\u0131k olan periodontitis baz\u0131 y\u00f6nleriyle di\u011fer iltihabi hastal\u0131klardan farkl\u0131d\u0131r. \u0130ltihap ile tarif edilse herhangi bir antibiyotik ya da k\u0131sa s\u00fcreli bir tedavi ile tamamen ortadan kaybolacak bir hastal\u0131k de\u011fildir. Erken te\u015fhis edilip hekim ve hastan\u0131n i\u015fbirli\u011fi ile kontrol alt\u0131nda tutulmas\u0131 gereken bir durumdur. Hastan\u0131n bir \u00e7ok \u015fikayeti etkin bir tedavi plan\u0131 ile azalt\u0131labilir fakat ihmal edilirse \u00e7ok kolay tekrarlar.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Belirtileri<\/h3>\n\n\n\n<p style=\"text-align: justify;\">Di\u015f etlerinde k\u0131zar\u0131kl\u0131k, \u015fi\u015flik, parlakl\u0131k, f\u0131r\u00e7alarken ya da kendili\u011finden di\u015feti kanamas\u0131 ve a\u011f\u0131z kokusu gibi gingivitis benzeri \u015fikayetler. Not: Bu belirtilerin olmamas\u0131 hastal\u0131\u011f\u0131n olmad\u0131\u011f\u0131 anlam\u0131na gelmez. Baz\u0131 vakalarda bu belirtiler az ya da hi\u00e7 g\u00f6zlenmezken di\u015f destek kay\u0131plar\u0131 geli\u015febilir. Bu sebeple erken &#8211; periyodik di\u015f hekimi kontrol\u00fc \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"2560\" height=\"1319\" src=\"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-content\/uploads\/2023\/04\/Periodontal-hastaliklar-1-scaled.jpg\" alt=\"\" class=\"wp-image-1496\" srcset=\"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-content\/uploads\/2023\/04\/Periodontal-hastaliklar-1-scaled.jpg 2560w, https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-content\/uploads\/2023\/04\/Periodontal-hastaliklar-1-300x155.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Di\u011fer di\u015f problemlerine k\u0131yasla a\u011fr\u0131 az g\u00f6zlenir. Abseli durumlarda a\u011fr\u0131 \u015fiddetlenebilir.<\/li>\n\n\n\n<li>R\u00f6ntgende g\u00f6zlenen di\u015f \u00e7evresi kemik y\u0131k\u0131m\u0131<\/li>\n\n\n\n<li>Di\u015f \u00e7evresi kemi\u011fin erimesi ile di\u015f ve di\u015f eti aras\u0131nda derin ceplerin olu\u015fumu.<\/li>\n\n\n\n<li>Di\u015f etlerinin di\u015flerden ayr\u0131lmas\u0131, sallanmas\u0131.<\/li>\n\n\n\n<li>Di\u015feti \u00e7ekilmesi<\/li>\n\n\n\n<li>Di\u015flerin sallanmas\u0131 ya da yer de\u011fi\u015ftirmesi.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"500\" height=\"334\" data-id=\"1499\" src=\"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-content\/uploads\/2023\/04\/dis-eti-cekilmesi.jpg\" alt=\"\" class=\"wp-image-1499\" srcset=\"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-content\/uploads\/2023\/04\/dis-eti-cekilmesi.jpg 500w, https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-content\/uploads\/2023\/04\/dis-eti-cekilmesi-300x200.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"250\" height=\"140\" data-id=\"1498\" src=\"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-content\/uploads\/2023\/04\/siddetli-periodontitis.jpg\" alt=\"\" class=\"wp-image-1498\"\/><\/figure>\n<\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Nedenleri<\/h3>\n\n\n\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"text-align: justify;\">Hastal\u0131\u011f\u0131n birincil etkeni di\u015f y\u00fczeyinde biriken mikrobiyal plakt\u0131r. Hastal\u0131k, mikrobiyal plaktaki bakterilerin di\u015f eti dokular\u0131na devaml\u0131 sald\u0131r\u0131s\u0131, doku savunmas\u0131n\u0131n buna bazen yetersiz bazen de a\u015f\u0131r\u0131 cevab\u0131 sonucu kronik (uzun s\u00fcreli \u2013 s\u00fcregelen) iltihap ile geli\u015fir. Bu iltihap zaman\u0131nda tedavi ve v\u00fccut savunmas\u0131 ile uzakla\u015ft\u0131ramazsa di\u015fi \u00e7everleyen kemiklere yay\u0131l\u0131r ve kemikleri eriterek ilerler.<\/li>\n \n<li style=\"text-align: justify;\">Mikrobiyal dental pla\u011f\u0131n yan\u0131nda ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131n\u0131 bozan baz\u0131 hastal\u0131k ya da durumlar hastal\u0131\u011f\u0131n geli\u015fimini ya da \u015fiddetlenmesini kolayla\u015ft\u0131rabilir.<\/li>\n \n<li style=\"text-align: justify;\">Hastan\u0131n mikrobiyal pla\u011f\u0131 etkin bir \u015fekilde uzakla\u015ft\u0131rmas\u0131n\u0131 g\u00fc\u00e7le\u015ftiren di\u015flere ve eski tedavilere ba\u011fl\u0131 d\u00fczensizlikler hastal\u0131\u011f\u0131n geli\u015fimini kolayla\u015ft\u0131r\u0131r, tedaviyi g\u00fc\u00e7le\u015ftirir.<\/li>\n<\/ul>\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Tedavisi<\/h3>\n\n\n\n<p>Bir \u00e7ok tedavide oldu\u011fu gibi hasta ile hekim aras\u0131ndaki ileti\u015fim ve i\u015f birli\u011fi \u00e7ok \u00f6nemlidir. Do\u011fru tedavi ile hastal\u0131\u011fa ba\u011fl\u0131 \u015fikayetler azal\u0131r fakat ihmal edilirse hastal\u0131k tekrar alevlenir.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" data-id=\"1485\" src=\"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-content\/uploads\/2023\/04\/dis-eti-koruma-1.svg\" alt=\"\" class=\"wp-image-1485\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" data-id=\"1486\" src=\"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-content\/uploads\/2023\/04\/dis-eti-tedavi-1.svg\" alt=\"\" class=\"wp-image-1486\"\/><\/figure>\n<\/figure>\n\n\n\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li style=\"text-align: justify;\">Hasta mevcut durum hakk\u0131nda bilgilendirilir, hastal\u0131\u011f\u0131n nedeni ve iyile\u015fmenin \u015fartlar\u0131 a\u00e7\u0131klan\u0131r.<\/li>\n \n<li style=\"text-align: justify;\">Hastaya uygun olan a\u011f\u0131z hijyen uygulamar\u0131 model, resim vb. \u00e7e\u015fitli ara\u00e7larla anlat\u0131l\u0131r.<\/li>\n \n<li style=\"text-align: justify;\">Tedavi ile iyile\u015fme umudu olmayan ya da tedavi plan\u0131n\u0131 olumsuz etkileyen di\u015fler \u00e7ekilir.<\/li>\n \n<li style=\"text-align: justify;\">Ba\u015fta di\u015f ta\u015flar\u0131 olmak \u00fczere di\u015fler \u00fczerindeki zararl\u0131 eklentiler di\u015f y\u00fczey temizli\u011fi (detartraj) ile kald\u0131r\u0131l\u0131r.<\/li>\n \n<li style=\"text-align: justify;\">Di\u015f \u00e7evresi ceplerin i\u00e7ersinde, k\u00f6k y\u00fczeylerindeki di\u015f ta\u015f\u0131 gibi zararl\u0131 etkenler uzakla\u015ft\u0131r\u0131l\u0131r. kronik iltihaptan etkilenmi\u015f, iyile\u015fmeye engel olan doku art\u0131klar\u0131 uzakla\u015ft\u0131r\u0131l\u0131r. K\u00f6k y\u00fczeyleri ve di\u015f etleri iyile\u015fmeye ve tamire uygun hale getirilir.<\/li>\n \n<li style=\"text-align: justify;\">Periodontitisin tedavisi temelde cerrahi olmayan tedavi ve cerrahi tedavi olarak s\u0131n\u0131fland\u0131r\u0131labilir. Cerrahi olmayan tedavi uzun y\u0131llard\u0131r hastalara di\u015f ta\u015f\u0131 demizli\u011fi (detartraj) ve k\u00fcretaj olarak anlat\u0131lm\u0131\u015ft\u0131r. Her ne kadar bu kavramlar bilimsel literat\u00fcr ile tam uyumlu olmasa da g\u00fcn\u00fcm\u00fczde kliniklerde hala kullan\u0131lmaktad\u0131rlar. Tedavilerin ad\u0131 de\u011fi\u015fse de yap\u0131lan mekanik tedavi ve kullan\u0131lan aletler \u00e7ok fazla de\u011fi\u015fmemi\u015ftir.<\/li>\n \n<li style=\"text-align: justify;\">Cerrahi olmayan tedavi s\u00fcreci tamamland\u0131ktan sonra yeterince iyile\u015fmeyen b\u00f6lgelerde cerrahi tedavi planlan\u0131r. Flep operasyonu olarak da adland\u0131r\u0131lan bu tedavi ile ula\u015f\u0131lmas\u0131 g\u00fc\u00e7 olan hastal\u0131kl\u0131 di\u015f k\u00f6k\u00fc ve kemik y\u00fczeylerine kesi yap\u0131larak ula\u015f\u0131l\u0131r. Hastal\u0131k etkenleri ve iltihapl\u0131 doku art\u0131klar\u0131 uzakla\u015ft\u0131r\u0131l\u0131r. Di\u015f k\u00f6kleri, di\u015f etleri ve kemik y\u00fczeyleri iyile\u015fmeye ve tamire uygun hale getirilir. Gerekli ve faydal\u0131 ise baz\u0131 y\u0131k\u0131m sahalara kemik grefti (kemik tozu) ya da di\u011fer doku olu\u015fturucu materyaller uygulan\u0131r.<\/li>\n \n<li style=\"text-align: justify;\">Etkin a\u011f\u0131z hijyenini g\u00fc\u00e7le\u015ftiren di\u015flere ba\u011fl\u0131 durumlar (di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc, k\u00f6t\u00fc-uyumsuz dolgu ya da protezler, \u00e7apra\u015f\u0131kl\u0131k vb.) giderilir.<\/li>\n \n<li style=\"text-align: justify;\">Kaybedilen di\u015flerin yerine yap\u0131lacak protezler hastal\u0131\u011f\u0131n kontrol alt\u0131na al\u0131nmas\u0131 ve proteze zemin olacak dokular\u0131n sa\u011fl\u0131\u011f\u0131na kavu\u015fmas\u0131 sonras\u0131 planlan\u0131r.<\/li>\n \n<li style=\"text-align: justify;\">Tedavi ve kontrol seanslar\u0131n\u0131n say\u0131s\u0131 ve s\u0131kl\u0131\u011f\u0131 hastaya \u00f6zel durumlar de\u011ferlendirilerek belirlenir. Hastan\u0131n di\u015f eti sa\u011fl\u0131\u011f\u0131 ile ilgili fark\u0131ndal\u0131\u011f\u0131, tedaviye uyumu ve a\u011f\u0131z hijyen uygulamas\u0131n\u0131n etkinli\u011fi her seansta de\u011ferlendirilir. Bilgilendirmeler tekrarlan\u0131r.<\/li>\n<\/ul>\n<p><\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><em>Foto\u011fraflar, Avrupa Periodontoloji Federasyonunun web sitesinden al\u0131nm\u0131\u015ft\u0131r.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8221; Sapasa\u011flam di\u015flerim \u00e7\u00fcr\u00fcmeden sallanmaya ba\u015flad\u0131, \u00e7ektirmek zorunda kald\u0131m. A\u011f\u0131z kokum artt\u0131. Di\u015f etlerim \u00e7ekiliyor, f\u0131r\u00e7alarken kan\u0131yor. Sabah kalkt\u0131\u011f\u0131mda yast\u0131kta kan buluyorum. Elma bile \u0131s\u0131ram\u0131yorum&#8230;&#8221; Yukar\u0131da anlat\u0131lanlar\u0131 ya\u015fam\u0131\u015f olmasan\u0131z bile bir \u00e7o\u011funuz yak\u0131nlar\u0131n\u0131zdan duymu\u015fsunuzdur. Periodontitis bu al\u0131nt\u0131lanan s\u00f6zlerden anla\u015f\u0131ld\u0131\u011f\u0131 gibi di\u015f kay\u0131plar\u0131yla sonlanabilecek y\u0131k\u0131c\u0131 bir iltihabi hastal\u0131kt\u0131r. De\u011fi\u015fip tipleri olan periodontitis, temelde di\u015f etlerinde ba\u015flayan [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[8,36],"tags":[34,35,33,9],"class_list":["post-1478","post","type-post","status-publish","format-standard","hentry","category-genelbilgi","category-periodontoloji","tag-dis-eti-hastaligi","tag-periodontal-hastalik","tag-periodontitis","tag-perio"],"blocksy_meta":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-json\/wp\/v2\/posts\/1478"}],"collection":[{"href":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-json\/wp\/v2\/comments?post=1478"}],"version-history":[{"count":21,"href":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-json\/wp\/v2\/posts\/1478\/revisions"}],"predecessor-version":[{"id":1540,"href":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-json\/wp\/v2\/posts\/1478\/revisions\/1540"}],"wp:attachment":[{"href":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-json\/wp\/v2\/media?parent=1478"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-json\/wp\/v2\/categories?post=1478"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ahmetaltin.dr.tr\/agiz-ve-dis-sagligi\/wp-json\/wp\/v2\/tags?post=1478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}