ZIGOMATIK IMPLANTLARDA BAŞARI VE PERIODONTAL PARAMETRELERIN KLINIK DEĞERLENDIRILMESI

Year 2021, Volume: 31 Issue: 2, 263 - 270, 15.04.2021

Funda Göker

https://doi.org/10.17567/ataunidfd.806390

Abstract

Amaç: Bu retrospektif çalışmanın amacı, zigomatik implantların uzun dönem klinik başarısının ve periodontal parametrelerinin değerlendirilmesidir.
Materyal ve Method: İleri derecede atrofik maksillaya sahip ve zigomatik implant uygulanmış hastalar çalışmaya dahil edilmiştir. Bu çalışmada zigomatik implantların sağkalım oranları, komplikasyonları ve periimplant parametreleri (palatinal, vestibuler, mezial ve distal olmak üzere dört bölgede) değerlendirilmiştir. Cep sondalama derinliği (PPD) ≤5 mm, sondalamada kanama (BOP) olmaması ve modifiye plak indeksinin (PI) ≤1 olması başarılı olarak değerlendirilmiştir. Bu değerler zigomatik implantların yerleştirmelerini takiben en az bir yıl sonra ölçülmüştür.
Bulgular: Çalışmaya, yaşları 51-76 arasında değişen (ortalama 59.08 yaş, SD 7.82) toplam 69 zigomatik implant yerleştirilmiş 25 hasta dahil edilmiştir. Hastaların takip süresi 65-88 ay arasıdır. Sonuçlara göre zigomatik implant sağkalım oranı %98.6 ve başarı oranı %91.3 olarak bulunmuştur. Bir subkutan fistül ve bir oroantal komunikasyon olmak üzere toplam iki hastada post-operatif komplikasyon görülmüştür. Sondalamada kanama %92.7 bölgede yoktur, plak indeksi % 94.2 bölgede sıfır değerde ve sondalama derinliği % 91.3 bölgede ≤ 5 mmdir. Hiçbir zigomatik implantta lüksasyon görülmemiştir.
Sonuç: Çalışmadan elde edilen sonuçlara göre, ileri derecede atrofik posterior maksillaya sahip vakalarda, oral rehabilitasyon amaçlı zigomatik implant cerrahisi, geleneksel implantlara ve kemik greftleme işlemlerine etkili ve güvenli bir alternatif olarak kabul edilebilir.
Anahtar kelimeler: Zigomatik implant, maksiller atrofi, oral rehabilitasyon, dental implant, periodontal parametre

Keywords

Zigomatik implant, maksiller atrofi, oral rehabilitasyon, dental implant, periodontal parametre

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