İMPLANT DESTEKLİ PROTEZLER, KOMPLİKASYONLAR VE İMPLANT KAYIPLARI: 24 AYLIK KLİNİK SONUÇLAR

Abstract

Amaç: Bu retrospektif çalışmada implant destekli sabit ve hareketli protezlerde protetik komplikasyonlar ve implant kayıpları değerlendirilmiştir. Gereç ve Yöntem: Çalışmada 89 hastaya 278 dental implant yerleştirilmiştir. Hareketli protez dayanağı olarak 148 adet, sabit restorasyon dayanağı olarak 130 adet dental implant üzerine hazırlanan implant destekli protezlerde yüklemeden itibaren 6., 12. ve 24. aydaki komplikasyonlar değerlendirilmiştir. Verilerin istatistiksel değerlendirilmesinde Ki-Kare, Fisher's Exact Ki-Kare ve Mc Nemar testleri kullanılmıştır (p < 0.05). Bulgular: Dental implant kayıpları implantasyondan sonra ilk 6 ay içinde gerçekleşmiştir. İmp¬ lant kayıplarının %66'sı yükleme öncesinde, %34'ü ise yüklemeden sonra gerçekleşmiştir. Hareketli protezlerde 6., 12. ve 24. ayda giderek artan komplikasyon oranları arasında anlamlı farklılıklar be¬ lirlenirken (p < 0.05); sabit protezlerde bu farklılıklar anlamlı değildir (p > 0.05). Genel olarak, 24 aylık takip süresinde sabit protezlerde en sık vida gevşemesi görülürken; hareketli protezlerde ise astarlama işlemi gereksinimine en sık rastlanmıştır. Sonuç: İmplant destekli hareketli protezlerle tedavi planlamasında hastaların önceden aydınlatılması ve tedavi tamamlandıktan sonra protezlerin rutin olarak kontrolü önem taşımaktadır.

Keywords

• İmplant komplikasyonları, vida gevşemesi, implant kaybı, protetik kompli­kasyonlar, tutuculuk kaybı

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