Cerrahi Olmayan Periodontitis Tedavilerinde Kullanılan Lokal Ajanlar ve Diğer Yardımcı Tedaviler
Özet
Periodontal tedavi, enfeksiyonu kontrol altına alma ve iltihabı durdurma amacıyla aşamalı bir yaklaşımla uygulanan geniş bir müdahale yelpazesini içerir. Dikkatli tanı, nedenlerin ortadan kaldırılması ve değiştirilebilir risk faktörlerinin azaltılması, periodontitisin başarılı bir şekilde önlenmesi ve tedavisi için son derece önemlidir. Cerrahi olmayan periodontal tedavi, tedavinin ikinci adımı sırasında gerçekleştirilen subgingival mekanik enstrümantasyonu tanımlamak için kullanılan terimdir. Cerrahi olmayan tedavi, subgingival enstrümantasyon, ek lokal/sistemik antimikrobiyal veya anti-inflamatuar ilaçları içerebileceği gibi konak probiyotik kullanımı, antimikrobiyal fotodinamik terapi, ozon tedavisi ve epigenetik tedavi gibi yardımcı tedavilerle prognoz daha olumlu sonuçlanabilir.
Periodontal treatment includes a wide range of interventions applied in a stepwise approach with the aim of controlling infection and stopping inflammation. Careful diagnosis, elimination of causes and reduction of modifiable risk factors are crucial for successful prevention and treatment of periodontitis. Nonsurgical periodontal treatment is the term used to describe subgingival mechanical instrumentation performed during the second step of treatment. Nonsurgical treatment may include subgingival instrumentation, additional local/systemic antimicrobial or anti-inflammatory drugs, and prognosis may be more favorable with adjunctive treatments such as host probiotic use, antimicrobial photodynamic therapy, ozone therapy and epigenetic therapy.
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