OSTEOPETROZİSLİ BİR HASTANIN PROTETİK REHABİLİTASYONU: OLGU SUNUMU

Year 2018, Volume: 28 Issue: 1, 76 - 80, 28.03.2018

İmran Koçak Gözlem Ceylan Göknil Ergün Kunt

https://doi.org/10.17567/ataunidfd.410417

Abstract

Bu olgu
sunumunda osteopetrozis vakası olan bir has- tanın maksiller tam protezinin
manyetik ataşman sis- temi ile oral rehabilitasyonu sunulmuştur. 35 yaşında
osteopetrozis sendromu olan bayan hasta, maksiller tam protezindeki estetik
problem nedeniyle kliniğimize başvurmuştur. Klinik ve radyografik muayene
sonrası hasta değerlendirilmiştir. Yapılan klinik muayenede hastanın manyetik
ataşman sistemine sahip maksiller protezini 15 yıldır kullandığı görülmüştür.
Bu olguda hasta erken yaşta dişlerinin hepsini kaybetmiştir. Yalnızca sol üst
2. premolar dişi bulunmaktadır ve ağız içi muayenesi değerlendirildiğinde o diş
kökü üzerinde mevcut bulunan manyetik ataşman desteği ile tam protezini uzun
dönem kullandığı görülmüştür. Hastanın tam protezinin benzer manyetik sistem
kullanılarak ye- nilenmesine karar verilmiştir. Hastaya mandibular bölgede
bulunan osteosklerozis ve skar dokusu nede- niyle mandibular tam protez
yapılamamıştır. Tedavi sonrasını takiben hasta birinci hafta, birinci ay ve
üçüncü aylarda kontrol edilmiştir. Manyetik ataş- manların retansiyonu zamanla
azalsa da, bu vakada hasta herhangi bir problem yaşamamıştır. Manyetik
ataşmanlı sistemler diğer ataşman sistemleriyle kar- şılaştırıldığında
retansiyon özelliği olarak yetersiz olduğu görülebilir.

Anahtar Kelimeler: Osteopetrozis, protetik
rehabilitasyon, manyetik ataşman

PROSTHETIC REHABILITATION OF A PATIENT WITH OSTEOPETROSIS: A CASE REPORT

ABSTRACT

This
clinical report describes the oral rehabilitation of a osteopetrosis patient
with maxillary prosthesis with magnetic attachment system. A-35-year old female patient, who suffered from osteopetrosis,
came to our clinic due to the esthetic problem of the maxillary complete denture.
After clinical and radiographic examination, the patient’s demands were
evaluated. In the clinical examination it was seen that the patient was still
using the maxillary complete denture with the magnetic attachment system for 15
years. The patient had no problems in terms of magnetic retention but she had
complaints about her prosthesis aesthetic. We decided to make a new prosthesis
to the patient with the same magnetic attachment system. Mandibular complete
denture couldn’t be constructed due to osteosclerosis and scar tissue in the
mandibular area. Patient was clinically controlled during the first week, first
month and third month following denture insertion. Inspite the decrease in
retention of magnetic attachments, the patient had used the prosthesis for a
long time with no complaints. In
terms of retention characteristics compared to other attachment systems,
magnetic systems may be found insufficient in retention.

Keywords: Osteopetrosis, prosthetic rehabilitation, magnetic attachments

Keywords

Osteopetrozis, protetik rehabilitasyon

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