AN ASSESSMENT OF SUCCESS OF DENTAL IMPLANTS PLACED WITH IMMEDIATE AND STANDARD METHODS IN PERIODONTALLY COMPROMISED PATIENTS

Yıl 2018, Cilt: 28 Sayı: 2, 216 - 221, 22.04.2018

Adnan Kılınç Mustafa Gündoğdu Tuba Aydın Mehmet Zahit Baş Ümit Ertaş Ertunç Dayı

https://doi.org/10.17567/ataunidfd.418998

Öz

ABSTRACT

 

Aim: The aim of this study
was to evaluate the success rates of implants placed in alveolar sockets
immediately after the extraction of teeth or with a standard approach in normal
alveolar bone in periodontally compromised patients.

Material
and Methods:
In this study, patients who had implant placement both into healed bone after
previous extraction and into the alveolar sockets in the same surgical session
after extraction of periodontally hopeless teeth that had inadequate attachment
and bone loss who could not be treated were selected for inclusion. Implant
success, complications, and failures were recorded during follow-up.

Results: Twelve patients
(four female and eight male) ranging in age from 27 to 62 years (mean 48.6
years) were studied; the mean duration of follow-up was 27 months (range 18–36
months).. A total of 152 implants were placed (89 in the maxilla, 63 in the
mandible). Of these, 83 (54.6%) were placed immediately into alveolar sockets
following extraction and 69 (45.4%) into normal alveolar bone. The success rate
for all immediately placed implants was 97.6%, and the success rate for all
implants placed as non-immediate was 98.6 %.

Conclusion: The study findings
show that both imme- diate implant placement and non-immediate implant pla- cement
in periodontally compromised patients receiving treatment of implant-supported
fixed full or partial prostheses are safe and preferable treatment modalities.

* Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ataturk University, Erzurum ** Department of Prosthodontics, Faculty of Dentistry, Ataturk University, Erzurum ***Department of Periodontology, Faculty of Dentistry, Ataturk University, Erzurum

Keywords: Immediate dental implant, implant survival, periodontitis, immediate implantation, non-immediate
implantation, implant survival, periodontally compromised sites

 

PERIODONTAL OLARAK
PROBLEMLİ HASTALARDA İMMEDİYAT VE STANDART YÖNTEMLERLE YERLEŞTİRİLEN DENTAL
İMPLANTLARIN BAŞARISININ DEĞERLENDİRİLMESİ

ÖZ

 

Amaç: Bu çalışmanın amacı, periodontal problemli
hastalarda diş çekiminin ardından alveoler soketlere immediyat olarak
yerleştirilen ya da normal alveoler kemiğe standart yaklaşım ile yerleştirilen
implantların başarı oranlarını değerlendirmektir.

Gereç ve Yöntem: Bu çalışmaya, hem daha
önceden yapılmış diş çekimleri sonrası iyileşmiş kemiklere hem de uygun olmayan
ataçman ve kemik kaybı sebebiyle tedavi edilemeyecek olan periodontal açıdan
umutsuz dişlerin çekimi ile aynı cerrahi işlemde alveoler soketlere implant
yerleştirilen hastalar dahil edilmiştir. Takip süresi boyunca implant başarısı,
komplikasyonlar ve kayıplar kaydedilmiştir.

Bulgular: Yaşları 27 ile 62 arasında on iki hasta (4 bayan ve 8 erkek)  çalışmaya alınmıştır; ortalama takip süresi
27 aydır (18-36 arası). Toplam 152 implant yerleştirilmiştir ( 89 adet
maksillaya, 63 adet mandibulaya). Bunların 83 tanesi (%54,6) diş çekimini
takiben immediate olarak ve 69 tanesi (%45,4)normal alveoler kemiğe
yerleştirilmiştir. İmmediayat olarak yerleştirilen implantların başarı oranı %97,6
ve immediyat olarak yerleştirilmeyen implantların başarısı %98,6 olarak
gösterilmiştir.

Sonuç: Çalışma sonuçları göstermektedir ki;
periodontal problemli hastalara hem immediayat hem de immediayat olmayan
prosedürlerle yerleştirilen implantlar ile uygulanan implant destekli sabit tam
ve bölümlü protezler güvenli ve tercih edilebilir bir tedavi seçeneğidir.

Anahtar Kelimeler: Acil dental implant, İmplant sağkalımı, İmmediayat implantasyon, implant
sağkalımı,  periodontal problemli bölge

Anahtar Kelimeler

Immediate dental implant, implant survival, periodontitis, immediate implantation, non-immediate implantation

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