An Evaluation of Success Factors in Dental Implant Treatment

Yıl 2019, Cilt: 24 Sayı: 1, 26 - 31, 30.01.2019

Mustafa Hayati Atala Gülbahar Ustaoğlu Hülya Çetin

https://doi.org/10.21673/anadoluklin.466020

Cited By: 1

Öz

Aim: The aim of this study is to prevent failures that may occur by examining
implant treatment success rate in relation to age, gender, systemic condition, type
of prosthetic treatment and applied surgical technique.

Materials and Methods: A total of 877 patients who had undergone dental implant
treatment between 2011-2017 were evaluated retrospectively by reviewing 3033
dental implant archive records and radiographs of patients at Abant Izzet
Baysal University Faculty of Dentistry.

Results: There was statistically significant difference in implant
loss rates according to age distribution (p = 0,000) but not between genders (p
= 0,157). When patients are evaluated for systemic condition, the
most common diseases are; hypertension, diabetes mellitus, cardiovascular
diseases, thyroid diseases and osteoporosis. 2905 were bone level, 128 were
tissue level, 952 were in maxilla posterior, 398 maxilla anterior, 1042
mandibular posterior and 641 mandibular anterior of the 3033 implants placed in
the jawbone. Dental implants were restored
with 513 single crown, 700 crown-bridge restoration and 260 removable
prosthesis planning. Overdenture prostheses
were as 50 bar connected and 210 locator attachments.
According to the analysis result, there was a statistically significant
difference between prosthesis type and implant loss rates (p = 0.007) Spss (18 vers.) Program and Pearson Chi-Square
test were used to analyze statistical data in the study.

Conclusion: Careful assessment of the systemic and local factors of the patient and
correct prosthetic planning are crucial in the success of the implant
treatment.

Anahtar Kelimeler

dental implants, implant-supported denture, osseointegration, peri-implantitis

Dental İmplant Tedavisinde Başarı Faktörlerinin Değerlendirilmesi

Öz

Amaç

Bu çalışmanın amacı, implant tedavisinde başarının, yaş, cinsiyet, sistemik durum, protetik tedavi çeşidi ve cerrahi teknik ile ilişkisini inceleyerek oluşabilecek başarısızlıkların önüne geçilmesini sağlamaktır.

Gereç ve Yöntemler:

Çalışmaya 2011–2017 döneminde Bolu Abant İzzet Baysal Üniversitesi Diş Hekimliği Fakültesi’nde dental implant tedavisi görmüş toplam 877 hasta dahil edildi. Toplam 3033 adet dental implanta dair arşiv kayıtları ve radyografiler retrospektif olarak değerlendirildi.

Bulgular

Yaşa göre implant kaybetme oranları arasında istatistiksel olarak anlamlı fark bulunurken (p=0,0001), implant kaybı açısından iki cinsiyet arasında anlamlı fark bulunmadı (p=0,157). Hastalar sistemik rahatsızlıkları açısından değerlendirildiğinde en yaygın görülen hastalıklar hipertansiyon, diyabet, kardiyovasküler hastalıklar, tiroit hastalıkları ve osteoporoz idi. 3033 implantın 2905’i kemik-seviyesi, 128’i doku-seviyesi implant olup, 952’si posteriyor maksilla, 398’i anteriyor maksilla, 1042’si posteriyor mandibula, 641’i anteriyor mandibulaya yerleştirilmişti. İmplant lokasyonu ile kaybedilen implant sayısı arasındaki fark istatistiksel olarak anlamlı bulunmadı. Dental implantlar 513 adet tek kron, 700 köprü ve 260 hareketli protez ile restore edildi. Overdenture protezlerin 50 adeti bar bağlantılı, 210 adeti de Locator ataçman şeklindeydi. Protez tipi ve implant kayıp oranları arasında istatistiksel olarak anlamlı farkbulundu (p=0,007).

Tartışma ve Sonuç:

İmplant tedavisinin başarısında hastanın sistemik ve lokal açıdan dikkatlice değerlendirilmesi ve doğru bir protetik planlama büyük önem taşımaktadır.

Anahtar Kelimeler

dental implantlar, mplant destekli protez;, osseointegrasyon, peri-implantitis

Kaynakça

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