DENTAL İMPLANTIN PRİMER STABİLİTESİNDE OSSEODENSİFİKASYON KAVRAMI

Abstract

Osteointegrasyon, canlı kemik doku ile dental implantın yüzeyi arasında kurulan yapısal ve işlevsel bir bağlantı olarak tanımlanır. Dental implantın stabilitesi, osteointegrasyonun sağlanmasında etkili bir faktördür. Dental implantın mekanik bağlantısı olarak tanımlanan primer stabilite ve hücresel aktivite sonucu oluşan sekonder stabilite, birbirini takip eden süreçlerdir. Primer stabilite kaybı veya bu mekanik stabilitenin sağlanamaması, sekonder stabilite için gerekli olan kemik tamir mekanizmasının bozulmasına neden olur ve bu durum, dental implant kaybına yol açabilir. Son dönemde, tedavi başarısında etkili bir faktör olan primer stabilitenin arttırılması için dental implant yuvasının hazırlanmasında, yeni bir frezleme tekniği tanıtılmıştır. Bu sayede, dental implant yuvası hazırlanırken kemik dokunun korunduğu ve yoğunluğunun arttırıldığı belirtilmiştir. Bu derleme, osseodensifikasyon tekniği ve bu tekniğin konvansiyonel osteotomiye avantajları üzerine odaklanmıştır. Anahtar Kelimeler: İmplantlar, osteotomi, teknikler, derleme OSSEODENSIFICATION CONCEPT IN PRIMARY STABILITY OF DENTAL IMPLANT SUMMARY Osseointegration is defined as a structural and functional connection between the bone tissue and the surface of the dental implant. Dental implant stability is an effective factor in achieving osseointegration. Primary stability which defined as the mechanical connection of the dental implant, and secondary stability as a result of cellular activity, are consecutive processes. The primary stability loss or failure results in degradation of the bone repair mechanism that required for secondary stability and this situation may lead to dental implant loss. Recently, a new drilling technique has been introduced in the preparation of dental implant bed to increase primary stability, which is an effective factor in treatment success. It is stated that density of the bone tissue is increased and protected while preparing dental implant bed. This review focuses on the osteodensification technique and its advantages over conventional osteotomy. Key words: Implants; osteotomy; techniques; review

Keywords

• İmplantlar
• osteotomi
• teknikler

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