İMPLANT TEDAVİSİNDE DİAGNOSTİK GÖRÜNTÜLEME TEKNİKLERİNE BAĞLI KOMPLİKASYONLAR

Year 2018, Volume: 28 Issue: 3, 429 - 442, 11.07.2018

Gülfem Ergün Zeynep Şahin

https://doi.org/10.17567/ataunidfd.473436

Abstract

İmplant
başarısının en önemli faktörlerinden birisi doğ- ru tedavi planlamasıdır.
Diagnostik görüntüleme, bu hedefin gerçekleştirilmesinde önemli bir rol oynar.
Gö- rüntüleme tekniği hem anatomiyi dikkate almalı hem de boyutsal doğruluğu
sağlamalıdır. Film boyutlarının kısıtlı olması, görüntüdeki distorsiyon, büyüme
ve iki boyutlu görüntü bazı olgularda radyografinin kulanı- mını sınırlar. Geleneksel
radyografi ile ilgili dezavan- tajlar nedeniyle bilgisayarlı tomografi ve konik
ışınlı bil- gisayarlı tomografi gibi ileri teknolojiler daha çok tercih
edilmektedir. İmplant cerrahi uygulamasında kaçınıl- ması gereken
başarısızlıklardan birisi komşu yapıların zarar görmesidir. Bu
komplikasyonların arasında en önemlileri paranasal sinüsün perfore olması,
komşu dişin kökünün zarar görmesi, kortikal tabakanın, damarların, kanalın ve
daha da önemlisi sinirlerin perfore edilmesidir. Cerrahi bölgeye implant planla-
masının transfer edilmesindeki en güncel yaklaşım, interaktif bilgisayar
yazılım programları yardımı ile bilgisayar destekli tasarım ve bilgisayar
destekli üretim tekniğinin kullanılmasıdır. Bu güncel gelişmeler ve ileri
görüntüleme teknikleri, implant tedavisinin başarısını artırmada ve önemli
komplikasyonların önlenmesinde rol oynamaktadır.

Anahtar Kelimeler: Tanısal görüntüleme, komplikas- yonlar, bilgisayar yardımlı tasarım,
konik ışınlı bilgisayarlı tomografi, diş implantı

 COMPLICATIONS RELATED TO DIAGNOSTIC IMAGING TECHNIQUES
IN IMPLANT TREATMENT

ABSTRACT

One of
the most important factors in implant success is proper treatment planning.
Diagnostic imaging is an important tool to accomplish this task. On imaging,
the modality should not only consider the anatomy but should also provide
dimensional accuracy. Limited film size, image distortion, magnification and a
two-dimensional view restrict their use in some cases. Because of the drawbacks
associated with traditional radiographs, higher technologies such as computed
tomography and cone-beam computed tomography are
better preferred. Injury to adjacent structures is an avoidable outcome of oral
implant placement surgery. Paramount among these is perforation into paranasal
sinüs; into neighboring tooth root; through cortical plate and into vessels,
canals and most importantly, nerves. The most actual approach for the transfer
of implant planning to the surgical site is to use computer-aided design/
computer-aided manufacturing technique. These actual developments and advanced
imaging techniques; improving the success of the implant treatment, and plays
an important role in the prevention of complications.

Keyswords: Diagnostic imaging, complications,
Computer-Aided Design, Cone-Beam Computed Tomography, dental implant

Keywords

Tanısal görüntüleme, komplikas- yonlar, bilgisayar yardımlı tasarım, konik ışınlı bilgisayarlı tomografi

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