İmplant Destekli Sabit Protezlerde Çiğneme Performansının Değerlendirilmesi

Abstract

Amaç: Diş tedavisinin ana amaçlarından biri, diş kaybı nedeniyle oluşan çiğneme performansının rehabilitasyonudur. Tam dişsiz hastalara sunulan tedavi yöntemleri arasında en çok tercih edilen yaklaşımlardan biri, hastaya implant destekli tam ark sabit protezlerin (ISCAFp) uygulanmasıdır. Gereç ve Yöntemler: Çalışmamızda protetik diş tedavisi kliniğinde ISCAFDp (implant destekli tam ark sabit proteze sahip bireyler) ve TBCAFDp (Diş destekli tam ark sabit restorasyona sahip bireyler) ile rehabilite edilen hastalar çalışmaya dahil edildi. Ayrıca kontrol grubu olarak ND’li (doğal dentisyona sahip bireyler) bireyler seçildi. Her grup 12 kişiden oluşuyordu. Çiğneme performanslarını değerlendirmek için elek yöntemi ve yüzey EMG yöntemi kullanıldı. Bulgular: Çiğneme yönü ve çiğneme siklusları sırasında elde edilen EMG sonuçları açısından hasta grupları arasında istatistiksel olarak anlamlı fark yoktu (p<0.05). Bununla birlikte, elek-hasta grubunun etkileşimi istatistiksel olarak anlamlı bulundu (p<0.05). Sonuç: ISCAFp kullanan hastalar, kontrol mekanizmasının kısıtlılıkları nedeniyle çiğneme kuvvetlerini çekinmeden uygulayabilirler. Dolayısıyla; ISCAFp için, kuvveti eşit olarak dağıtmamızı sağlayan üretim prosedürleri izlenmelidir. İmplant destekli sabit protezlerde çiğneme fonksiyonunun ve performansının objektif değerlendirmeleri, klinisyenlerin has- taları için en iyi tedavi planlamasını yapmasına yardımcı olacaktır.

Keywords

• çiğneme performansı
• implant destekli sabit protezler
• emg

Evaluation of Chewing Performance in Implant Supported Fixed Prosthesis

Abstract

Objectives: A major aim of dental treatment amongst others is the restoration of function when masticatory performance is impaired due to tooth loss. The most promising and preferred approach among treatment methods offered to totally edentulous patients is to provide the patient with implant-supported complete arch-fixed prostheses (ISCAFp). Material and Method: patients rehabilitated in the prosthetic dental clinic with ISCAF- Dp and TBCAFDp were included in the study. In addition, individuals with ND were selected as the control group. Each group consisted of 12 individuals. The sieving analysis and surface EMG method was used to evaluate the chewing performances. Results: There was no statistically significant difference in the chewing direction and the EMG results obtained during chewing cycles between patient groups (p<0.05). However, the interaction of the sieve-patient group was found to be statistically significant (p<0.05). Conclusion: patients using ISCAFp can apply chewing forces without hesitation due to the limitations of the control mechanism. Therefore; for ISCAFp, the fabricating procedures should be followed to distribute the force evenly. Objective evaluations of the mas- ticatory function and the performance of implant-supported dentures will help clinicians for the best treatment planning for their patients.

Keywords

• masticatory performance
• implant-supported fixed prostheses
• chewing performance
• emg

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