SİMAN ARTIĞININ NEDEN OLDUĞU PERİ-İMPLANTİTİS:

Year 2014, 2014: Supplement 9, 10 - 14, 11.02.2015

Fatih Karaaslan Mithat Terzi

https://doi.org/10.17567/dfd.51772

Abstract

Diş eksikliklerinin implantlar ile restore edilmesi gelişen teknolojiyle beraber diş hekimlerinin sıkça başvurduğu bir tedavi haline gelmiştir. Ancak implantlarda veya implant üstü protezlerde farklı problemler gelişebilmektedir. Peri-implantitis bu problemlerin başında gelmekte ve implant restorasyonlarının başarısının değerlendirilmesinde geleneksel olarak kullanılmaktadır. Peri-implantitis; implant uygulamalarından sonra ortaya çıkan ve kemik kaybı görülen yaygın bir komplikasyondur.

İmplant destekli sabit restorasyonlar vida veya siman tutuculu olmak üzere ikiye ayrılırlar. Protezin retansiyon biçimi genellikle hekimin kararına bağlıdır. Simante edilen implant üstü protezler; kullanım kolaylığı, oklüzyonu kontrol etmenin kolay olması, protezi adapte etmenin kolay olması, estetik olması ve vida tutuculu implant üstü protezlere nazaran ekonomik olması nedeniyle geniş kullanım alanı bulmaktadır. Tüm bu avantajlara rağmen restorasyonların implant abutmentlarına simante edilmesi ileride birtakım sorunlara neden olabilmektedir. Bu sorunlardan en önemlisi simanın tamamen temizlenememesi sonucu, dişeti oluğu içerisinde kalan artık simandır. Bakterilerin kolayca tutunmasına neden olan siman artığı peri-implant hastalıklara neden olmaktadır. Bu olgu sunumunda artık simanın neden olduğu peri-implantitis ele alındı.

Anahtar Kelimeler: Dental implantlar, peri-implantitis, simantasyon.

Keywords

Dental implantlar, periimplantitis, simantasyon

RESİDUEL CEMENT CAUSES PERİ-IMPLANTİTİS : A CASE REPORT

Abstract

Implant-supported restorations have become commonly used by physicians in developing technology. However, different problems may occur in implant-supported prosthesis or implant. Periimplantitis is at the forefront of these problems and has been traditionally used in the evaluation of implant restorations. Peri-implantitis is a common complication and occurs with bone loss after the implant application. Implant-supported fixed restorations are divided into screw or cement retained. The form of prosthesis retention depends on the physician's decision. Cement-retained prosthesis are used with wide range due to ease of use, easy to check the occlusion, easy to adaptation, aesthetic and economic than screw-retained implant prosthesis. Despite all these advantages, abutment-cemented implant restorations can cause problems in the future. The most important result of these problems is the residual cement in gingival crevicular. Residual cement allows accumulation of bacteria and causes peri-implant diseases. Peri-implantitis due to residual cement was discussed in this case report

Keywords

Dental implants, peri-implantitis, cementation

References

• Berglundh T, Persson L, Klinge B. A Systematic Review of the Incidence of Biological and Technical Complications in Implant Dentistry Reported in Prospective Longitudinal Studies of at Least 5 Years. J Clin Periodontol 2002; 29:197-212.
• Pjetursson BE, Tan K, Lang NP, Bragger U, Egger M, Zwahlen M. A Systematic Review of the Survival and Complication Rates of Fixed Partial Dentures (FPDs) After an Observation Period of at Least 5 Years. Clin Oral Implants Res 2004;15: 667-76.
• Squier RS, Agar JR, Duncan JP, Taylor TD. Retentiveness of Dental Cements Used with Metallic Implant Components. Int J Oral Maxillofac Implants 2001;16: 793-8.
• Heitz‐Mayfield LJ, Lang NP. Comparative Biology of Aggressive Chronic Peri‐Implantitis. Periodontology 2000 2010;53:167- 81. Periodontitis vs.
• Mombelli A, van Oosten MA, Schurch E Jr, Land NP. The Microbiota Associated with Successful or Failing Osseointegrated Titanium Implants. Oral Microbiol Immunol 1987;2:145-51.
• Karoussis IK, Salvi GE, Heitz‐Mayfield LJ, Brägger U, Hämmerle CH, Lang NP. Long‐Term Implant Prognosis in Patients with and without a History of Chronic Periodontitis: A 10‐Year Prospective Cohort Study of the ITI® Dental Implant System. Clin Oral Implants Res 2003;14:329-39.
• Gruica B, Wang HY, Lang NP, Buser D. Impact of IL-1 Genotype and Smoking Status on the Prognosis of Osseointegrated Implants. Clin Oral Implants Res 2004;15:393-400.
• Serino G, Ström C. Peri‐Implantitis in Partially Edentulous Patients Association with inadequate Plaque Control. Clin Oral Implants Res 2009;20:169-74.
• Wilson TG Jr. The Positive Relationship Between Excess Cement and Peri-Implant Disease: A Prospective Periodontol 2009;80:1388-92. Endoscopic Study. J
• İmplants. A Physiologically Formed and Stable
• Dimension Over Time. Clin Oral Implants Res 2000;11:1-11.
• Weber HP, Kim DM, Ng MW, Hwang JW, Fiorellini JP. Peri‐Implant Soft‐Tissue Health Surrounding Cement‐and Screw‐Retained Implant Restorations: A Multi‐Center, 3‐Year Prospective Study. Clin Oral Implants Res 2006;17:375-9.
• Keith SE, Miller BH, Woody RD, Higginbottom FL. Marginal Discrepancy of Screw-Retained and Cemented Metal-Ceramic Crowns on Implant Abutments. Int J Oral Maxillofac Implants 1999;14:369-78.
• Guichet DL, Caputo AA, Choi H, Sorensen JA. Passivity of Fit and Marginal Opening in Screw-or Cement-Retained Implant Fixed Partial Denture Designs. Int J Oral Maxillofac Implants 2000;15:239-46.