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SİGARA KULLANIMI İLE İMPLANT BAŞARISIZLIĞI ARASINDA BAĞLANTI VAR MIDIR?

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Smoking has been shown to be a primary etiologic factor in many serious and potentially fatal diseases. It has been determinated that smoking clinically and macroscopicalSy comprimases soft and hard tissues, human immun system and their cells (neutrophil, phagositor cell, etc.), mediators (IL-1, IL-6, TNF-«, TNF-J3). There is a widespread of usage implants in the field of modem dentistry.Smoking has a negative affect on the success rate of dental implants and some studies suggested that the protocol of smoking cessation effect osseintegration positively. Additional data about patients under implant therapy with smoking habits has been reviewed. It has been suggested that smoking habits and cessation protocols must be considered for succesful osseointegration.
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Abstract (Original Language): 
Çağımızın önemli hastalık oluşturan etkenlerinden biri, sigara kullanımıdır. Yapılan çalışmalarda sigaranın olumsuz etkileri ve çok sayıda ölümcül hastalığın oluşmasında başlıca etyolojik faktör olduğu gösterilmiştir. Sigara kullanımının ağız dokularını oluşturan yumuşak ve sert dokular üzerine çeşitli olumsuz etkileri belirlenmiştir. Konağın klinik cevabına etkileri (yara iyileşmesi, plak birikimi, cep derinliği), mikroskopik olarak konak cevabında rol oynayan hücre (nötrofiî, fibroblast, trombosüt, lökosit) gruplarına ve bunların salgıladıkları mediatörlere (IL-1, IL-2, IL-4) karşı negatif etkileri, yapılan çalışmalarda ortaya konmuştur. Bu derlemede yapılan çalışmaların ışığı altında modern diş hekimliğinde yaygın olarak kullanılan implant uygulamalarında sigaranın olumsuz etkileri belirtilmiştir. Literatürde implant uygulamalarında sigara kullanan hasılalarda daha düşük başarı oranlan bildirilmektedir. Implant tedavisinde sigara bırakma protokolünün implant osseointegrasyonunu olumlu yönde etkilediği literatürde bu konuda yapılmış çalışmalarla gösterilmiştir. Ayrıca sigara kullanan hastalarda implant uygulamaları yapılırken, dikkate alınması gereken kriterler (kullanım miktarı ve süresi, nikotin miktarı) konusunda ve önerilen tedavi protokolleri hakkında literatürdeki çalışmalar desteğinde sonuçlar bildirilmiştir.
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