MAKSİLLADA AÇILI İMPLANTLAR KULLANILARAK YAPILAN İMMEDİAT YÜKLEMENİN KISA DÖNEM SONUÇLARI

Year 2020, Volume: 30 Issue: 1, 75 - 82, 15.01.2020

Muzaffer Aslan

https://doi.org/10.17567/ataunidfd.636943

Cited By: 1

Abstract

Amaç: Bu çalışmada,
dişsiz maksillaya uygulanan doğrusal ve eğik implantlar üzerine
immediat yüklemenin orta dönem komplikasyonlarını
değerlendirmektir.

Gereç ve Yöntem: 18 hasta (8 kadın ve 10
erkek) çalışmaya
alındı. Her hastaya iki doğrusal ve iki açılı implant ile desteklenen bir
immediat sabit protez
takıldı. Toplam 72 implant yerleştirildi. Ameliyattan 24 saat sonra yükleme
yapıldı ve 6 ay sonra daimi
protezler yapıldı.
Hastalar 6, 12, 24, 36. aylarda olmak üzere takip edildi. Her takipte ağız
hijyeni kontrol edildi ve her komplikasyon kaydedildi.

Bulgular: Hiçbir
implant kaybı görülmezken
(%100 sağkalım oranı), bazı hastalarda
mukozitis (%22,2) ve periimplantitis (%11,1) kaydedildi. En sık görülen
protetik komplikasyonlar, %33,3 oranında görülen geçici protez fraktürü idi.
Hijyenik problemler
% 44,4 hastada görüldü
ve bunun yanısıra hiçbir
hasta memnuniyetsizliği kaydedilmedi.

Sonuç: İmplant sağkalım
oranının yüksek olması, açılı implantların kullanımının iyi bir seçenek
olabileceğini göstermektedir.
Bu sayede greft maliyeti olmamakta ve augmentasyon operasyonlarına da gerek
duyulmamaktadır. Çalışmamızda ayrıca, implant ve protez ile ilgili sorunları
önlemek için
hastaların rutin kontrolünün ve sorunun
erken tespitinin önemli
olduğu görülmektedir.

Anahtar
Kelimeler: Açılı implantlar, immediat implantasyon,
immediat yükleme

 

THE MIDDLE PRELIMINARY RESULTS OF IMMEDIATE
LOADING USING

TILTED IMPLANTS IN MAXILLA

SUMMARY

Aim: The aim of this study was to evaluate the mid-term
complications of immediate loading on axial and tilted implants placed to edentulous maxilla.

Materials and Methods: Eighteen patients (8 females and 10
males) were included in the study. Immediately loaded fixed prosthesis supported
by two axial and two tilted implants were performed for each patient. A total of 72
implants were placed. Loading was performed 24 hours after the operation and final prosthesis was performed after 6
months. Patients were followed up at 6, 12, 24 and 36 months. Oral hygiene was
checked at each follow-up and all complications were recorded.

Results: No implant loss (100% survival rate), mucositis
(22.2%) and periimplantitis (11.1%) were recorded in some patients. The most
common prosthetic complication was temporary prosthetic fracture with a
rate of 33.3%. Hygienic problems were seen in 44.4% of patients and no patient
dissatisfaction was recorded.

Conclusion: According the results of the study, use of angled
implants may be a good option. In this method, there is no graft cost and augmentation is not required. In our study, it is seen that routine
control of the patients and early detection of the problem are important in
order to prevent problems related to the implant and prosthesis.

Key Words: tilted implants, immediate implantation, immediate loading

Keywords

Açılı implantlar, immediat implantasyon

References

• 1- R. Adell, B. Eriksson, U. Lekholm, P. I. Bra ̊nemark, and T. Jemt. Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. The Interna-tional Journal of Oral & Maxillofacial Implants 1990; 5, 347– 359. 2- T. Jemt and J. Johansson. Implant treatment in the edentulous maxillae: a 15-year fol-low-up study on 76 consecutive patients provided with fixed prostheses. Clinical Implant Dentistry and Related Research 2006; 8, 61-69.
• 3- S. S. Wallace and S. J. Froum. Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Annals of Periodontology 2003; 8: 328-343.
• 4- M. Del Fabbro, G. Rosano, and S. Taschieri. Implant survival rates after maxillary sinus augmentation. European Journal of Oral Sciences 2008; 116: 497-506.
• 5- A. Katranji, P. Fotek, and H. L. Wang. Sinus augmentation complications: etiology and treatment. Implant Dentistry 2008; 17: 339-349.
• 6- L. Krekmanov, M. Kahn, B. Rangert, and H. Lindstro ̈m. Tilting of posterior mandibular and maxillary implants for improved prosthesis support. International Journal of Oral and Maxillofacial Implants 2000; 15: 405-414.
• 7- C. M. Bellini, D. Romeo, F. Galbusera et al. A finite element analysis of tilted versus nontilted implant configurations in the edentulous Maxilla. International Journal of Prosthodontics 2009; 22: 155-157.
• 8- L. Francetti, D. Romeo, S. Corbella, S. Taschieri, and M. Del Fabbro. Bone level changes around axial and tilted implants in full-arch fixed immediate restorations. Interim results of a prospective study. Clinical Implant Dentistry and Related Research 2012; 14: 646-654.
• 9- P. Malo, B. Rangert, and M. Nobre. All-on-4 immediate-function concept with Brane-mark system implants for completely edentulous maxillae: a 1-year retrospective clinical study. Clinical Implant Dentistry and Related Research 2005; 7 supp: 88-94.
• 10- P. Malo, M. de Araujo Nobre, A. Lopes, C. Francischone, and M. Rigolizzo. “All-on-4” immediate-function concept for completely edentulous maxillae: a clinical report on the medium (3 years) and long-term (5 years) outcomes. Clinical Implant Dentistry and Re-lated Research 2012; 14: 139-150.
• 11- O. T. Jensen, M. W. Adams, J. R. Cottam, S. M. Parel, and W. R. Phillips. The all-on-4 shelf: maxilla. Journal of Oral and Maxillofacial Surgery 2010; 68: 2520-2527.
• 12- L. Francetti, E. Agliardi, T. Testori, D. Romeo, S. Taschieri, and M. D. Fabbro. Imme-diate rehabilitation of the mandible with fixed full prosthesis supported by axial and tilted implants: interim results of a single cohort prospective study. Clinical Implant Dentistry and Related Research 2008; 10: 255-263.
• 13- C. A. Babbush, G. T. Kutsko, and J. Brokloff. The all-on- four immediate function treatment concept with NobelActive implants: a retrospective study. The Journal of Oral Implantology 2011; 37: 431-445.
• 14- D.S.Penalosa, R.Z.Alonso, M.P.Diago, M.P.Diago. The all-on-four treatment concept: Systematic review. J Clin Exp Dent. 2017;9(3): 474-488.
• 15- T. Albrektsson, G. Zarb, P. Worthington, and A. R. Eriksson. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. The International Journal of Oral & Maxillofacial Implants 1986; 1: 11-25.
• 16- C. E. Misch, M. L. Perel, H. L. Wang et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) pisa consensus conference. Implant Dentistry 2008; 17: 5-15.
• 17- I. Kürkçüoğlu, A. Köroğlu, S.E. Özkır. Dental implantlarda başarı kriterleri ve başarı değerlendirme yöntemleri. Atatürk Üniv. Diş Hek. Fak. Derg. 2010; 20:3:221-229.
• 18- T.Testori, F.Galli, L.Fumagalli, M.Capelli, F.Zufetti, M.Deflorian, A.Parenti, M.DelFabbro. Assessment of long-term survival of immediately loaded tilted implants sup-porting a maxillary full-arch fixed prosthesis. Int J Oral Maxillofac Implants. 2017; 32(4): 904-911.
• 19- Z.Gümrükçü, Y.T. Korkmaz, F.M.Korkmaz. Biomechanical evaluation of implant-supported prosthesis with various tilting implant angles and bone types in atrophic maxilla: A finite element study. Comput Biol Med. 2017; 1(86):47-54.
• 20- Hamed HA, Marzook HA, Ghoneem NE, El-Anwar MI. Angulated dental implants in posterior maxilla FEA and experimental verification. Open Access Maced J Med Sci. 2018 Feb 14; 6(2) : 397-401.
• 21- K.A.A.Alccayhuaman, D.S.Penalosa, Y.Nakajima, S.N.Papagergiou, D.Boticelli, N.P.Lang. Biological and technical complications of tilted implants in comparison with straight implants supporting fixed dental prosthesis. A systematic review and meta-analysis. Clin Oral Implants Res. 2018;29 Suppl118: 295-308.
• 22- R. Crespi, R. Vinci, P. Cappare ́, G. E. Romanos, and E. Gher- lone. A clinical study of edentulous patients rehabilitated according to the “all on four” immediate function protocol. The International Journal of Oral & Maxillofacial Implants 2012; 27: 428-434.
• 23- S.Graves, B.A.Mahler, B.Javid, D.Armellini and O.T.Jensen. Maxillary all-on-four ther-apy using angled implants: a 16- month clinical study of 1110 implants in 276 jaws. Dental Clinics of North America 2011; 55: 779-794.
• 24- J.C.C.Epinosa, R.C.Oyagüe, M.A.S.Figallo, R.G.Serrano, C.D.Lynch, M.M.Collar, D.T.Lagares, J.L.G.Perez. Combination of straight and tilted implants for supporting screw-retained dental prostheses in atrophic posterior maxillae: A 2-year prospective study. J Dent 2017;63:85-93.
• 25- Apaza Alccayhuaman KA, Soto-Penaloza D, Nakajima Y, Papageorgiou SN, Boticelli D, Lang NP. Biological and technical complications of tilted implants in comparison with straight implants supporting fixed dental prostheses. A systematic review and meta-analysis. Clin Oral Implants Res. 2018 Oct; 29 Suppl 18: 295-308.
• 26- Testori T, Galli F, Fumagalli L, Capelli M, Zufetti F, Deflorian M, Parenti A, Del Fabbro M. Assessment of long-term survival of immediately loaded tilted implants supporting a maxillary full-arch fixed prosthesis. Int J Oral Maxillofac Implants 2017 Jul / Aug; 32 (4): 904-911.
• 27- Gintatue A, Papatriantafyllou N, Aljehani M, Att W. Accuracy of computerized and conventional impression-making procedures for multiple straight and tilted dental implants. Int J Esthet Dent 2018; 13 (4): 550-565.
• 28- Malo P, de Araujo Nobre M, Lopes A, Ferro A, Nunes M. The All-on-4 concept for full-arch rehabilitation of the edentulous maxillae: A longitudinal study with 5-13 years of fol-low-up. Clin Implant Dent Relat Res 2019 Mar 28 (Epub ahead of print).
• 29- Soto-Penaloza D, Zaragozi -Alonso R, Penarrocha-Diago M. The all-on-four treatment concept: Systematic review. J Clin Exp Dent 2017 Mar 1; 9(3): 474-488.
• 30- S. Corbella, M. Del Fabbro, S. Taschieri, F. De Siena, and L. Francetti. Clinical evaluation of an implant maintenance protocol for the prevention of peri-implant diseases in patients treated with immediately loaded full-arch rehabilitations. International Journal of Dental Hygiene 2011; 9: 216-222.
• 31- S.Ergun, A.Çekici, A.Saruhanoğlu, O.Kazancıoğlu, A.Uzman, G.Ak, H.Tanyeri. Dental implantlar ile rehabilite edilmiş hastaların memnuniyet derecelerinin değerlendirilmesi. Atatürk Üniv. Diş Tek. Fak. Derg. 2009; 19:3:181-186.