Düşük Devirli İrrigasyonsuz Frezlemenin Dental İmplant Başarısına Etkisinin Değerlendirilmesi

Abstract

Bu çalışmanın amacı; implant yuvasının preparasyonunda düşük devirli irrigasyonsuz frezlemenin implant etrafındaki marjinal kemik kaybına ve implantların kaybedilme oranına etkilerinin değerlendirilmesidir. Çalışmaya parsiyel ve total dişsizliğe sahip toplam 23 hasta dahil edildi. Çalışma grubundaki 44 implantın frezlemesi 50rpm düşük devirli irrigasyonsuz şekilde yapılırken, kontrol grubundaki 30 implantın frezlemesi 600rpm devirli ve irrigasyonlu bir şekilde yapıldı. Marjinal kemik seviyelerini belirlemek için tüm implantlardan, yerleştirildikten hemen sonra ve postoperatif 3. ayda periapikal radyografiler alındı. Ayrıca, çalışmada implantların kaybedilme oranı, yerleştirme tork değerleri, implant yerleştirilen bölgedeki kemik kalitesi, frezleme ve toplam ameliyat süreleri kaydedildi. Bu çalışmada; düşük devirli irrigasyonsuz frezleme (DDİF) ile standart frezleme (SF) protokolü arasında mesial, distal ve ortalama marjinal kemik kaybı düzeyleri açısından istatistiksel olarak anlamlı bir farklılık görülmedi (p>0.05). İmplantların kaybedilme oranları da gruplar arasında benzerdi (p>0.05). Ayrıca, implant yerleştirme tork değerleri, frezleme ve toplam ameliyat sürelerinde de gruplar arasında farklılık gözlenmedi (p>0.05). Bu çalışmanın bulguları, DDİF’nin cerrahi sonrası iyileşme dönemindeki marjinal kemik kaybı, implant kaybı ve başlangıç tork değerlerine etkilerinin SF ile benzer olduğunu işaret etmektedir. Ancak, tekniğin güvenilirliği açısından daha ileri ve uzun hasta takipli çalışmalara ihtiyaç vardır.

Keywords

• dental implant
• low-speed drilling without irrigation
• autogenous bone graft

Impact of Low-speed Drilling without Irrigation on Dental Implant Success

Abstract

References

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