KISA İMPLANTLARIN 19 AYLIK GERİYE DÖNÜK KLİNİK BAŞARILARININ DEĞERLENDİRİLMESİ

Year 2020, Volume: 30 Issue: 1, 66 - 74, 15.01.2020

İşıl Damla Şener Yamaner

https://doi.org/10.17567/ataunidfd.637076

Abstract

Amaç: Bu
çalışmanın amacı 10 mm’nin altında kemik yüksekliğine sahip bölgelerde
yerleştirilen kısa implantların ortalama 19 aylık takip süresinde, implant
klinik başarısının araştırılması ve marjinal kemik kaybının, implantın;
lokasyonuna, kron/ implant oranına ve hastanın; cinsiyeti, yaşı ve sigara
kullanımı gibi parametrelere göre değerlendirilmesidir.

Gereç ve
Yöntem: Bu çalışmada; yaşları 20-82 arasında değişen 64 hastaya toplamda
101 adet implant yerleştirildi. İmplantlar 10 hafta iyileşme sürecini takiben
yüklendiler. Marjinal kemik kayıpları başlangıç ve ortalama 19 ay sonrasında
ölçüldü. Hastaların implant çevre kemik doku kaybı; implant ve hastaya bağlı
parametrelere göre değerlendirildi. Ayrıca klinik takip süresi sonundaki yaşam
ömürleri hesaplandı.

Bulgular: Çalışmamızda
19 aylık takip süresinde implantlarda ki başarı oranı %98 dir. İmplantların takip süresi içerisindeki ortalama
marjinal kemik kaybı 0,33 ± 0,19 mm olarak bulundu. Kısa implantlarda kron/implant
oranının marjinal kemik kaybına etkisi istatistiksel olarak anlamlı bulundu.
Ayrıca hastanın yaşı ve sigara kullanımın da marjinal kemik kaybına etkisi
istatiksel olarak anlamlı bulundu. Buna
karşın hastanın cinsiyetinin marjinal kemik kaybına etkisi istatiksel olarak
anlamlı tespit edilmedi.

Sonuç:
Bu kısa dönem takip çalışması standart uzun dental implantların uygulanamadığı
vakalarda kısa dental implantlantların kullanımının ortalama 19 aylık dönemde
başarılı olduğunu tespit etmiştir. Ancak daha kesin verilere ulaşabilmek için
uzun dönem takip çalışmaları gerekmektedir.

Anahtar
Kelimeler: dental implant, panoramik radyografi, başarı.

 THE SUCCESS
RATES OF SHORT IMPLANTS IN A 19 MONTHS RETROSPECTIVE EVALUATİON

ABSTRACT

Aim: The
aim of this study is the evaluation of the success rate of short implants in
patients who have less than 10 mm alveolar bone in posterior regions of maxilla
and mandible in average 19 months follow-up time. And evaluation of the
marginal bone loss around implants according to patient related parameters as
smoking, age, gender and implant related parameters as location and
crown/implant ratio.

Materials
and Methods: One hundred and one implants were placed in 64 patients and
loaded with final restorations after 10 weeks of healing time. Marginal bone
loss around implants was determined radiographically at initial and after a
mean observation time average of 19 months. The effect of smoking habit, age,
gender, implant location and crown/implant ratio on the marginal bone loss was
evaluated. The survival rate of the implants was determined.

Results: The
overall cumulative survival rate of short implants in 19 months was 98%. The
mean marginal bone loss value for the short implants was 0,33 ±
0,19 mm. Marginal
bone loss was affected by the crown/implant ratio, location, patients’ smoking habit and
age but
not the gender of the patient.

 Conclusion: With
short dental implants, successful clinical results could be achieved in
patients who have less than 10 mm alveolar bone in posterior regions of maxilla
and mandible up to 19 months of short follow-up time. Long term studies are
needed for short dental implants.

 Key words: dental
implant, panoramic radiograph, success.

Keywords

dental implant, panoramik radyografi

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