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Diagnosing Periodontal Disease

To date, the most widely accepted method for diagnosing periodontal disease or peri-implant status is based on clinical judgement after inspection of the gingival inflammation by observing bleeding upon probing of the target tissues and measuring the pocket depth.

However, emerging trends in oral and periodontal diagnostic research are moving toward methods by which risk can be identified and quantified by objective measures, such as radiologic measurements. Radiologic plannings plays a fundamental role in oral surgery.

Since dental implants emerge from the bone toward the septic oral environment, the interactions between bacteria and host cells in the peri-implant tissues result in the release of several cytokines, depending on the nature of the bacterium and idiosyncratic host immune response. Several authors have found a close relationship between the degree of inflammation in peri-implant tissues and the various components collected from the peri-implant sulcus fluid (PISF), such as interleukin-1β, prostaglandin E2, matrix metalloproteinases, myeloperoxidase (MPO) and products of nitric oxide metabolism.

In addition, the level of MPO has been shown to be a good indicator of neutrophil activity in failed periimplant sites as compared to successful endosseous dental implant sites. Thus, MPO may be a good marker of the inflammatory process and of implant failure. Some authors have suggested that MPO production is not confined to the inflamed sites, but also extends to sites that otherwise appear healthy.

The toothless patients leave Dental clinics in Turkey happy and comfortable after having successful and reliable implant operations by the specialist dental surgeons…

It is analyzed that the inflammatory response of the soft tissues surrounding dental implants subjected to several unfavorable conditions (ie, nonsubmerged implants inserted into fresh sockets, previously confirmed by trephine, with circumferential bone defects and without using membranes, in beagle dogs not receiving any measure of oral hygiene or soft diet)

First, an increase in bone resorption in immediate implants in beagle dog studies has been demonstrated. In addition, the peri- implant defects created in fresh sockets generate higher marginal bone resorption. The ensuing inflammatory response of this additional trauma, added to the damage generated by the trephination per se, may be considered an additional risk factor leading to bone loss and periimplant inflammation.

İnflammation is a trigger  for many implant complication. Patient factor to avoid inflammation is good oral hygiene and non- smoking.

Although there is no convincing causal relation between compression and bone loss, a clear relationship between high-stressed bones and bone resorption has been found. İmplants on softer bones are especially vulanreble to high- stress. On the planning session of an implant treatment All these complications must be evaluated.

The İmplantologist crew at Dental clinics Turkey in Istanbul are highly sensitive about dental implant plannings and are use the most reliable implant treatments technique with very high percentage of success.

Please do not hesitate to reach us for further information.