İMPLANT DESTEKLİ SABİT VE HAREKETLİ PROTETİK RESTORASYONLAR

Abstract

Günümüzde kısmi ya da tam dişsiz hastaların protetik açıdan tedavisinde birçok yöntem kullanılmasına rağmen, hasta memnuniyeti ve protezin adaptasyonu aşamasında sorunlarla karşılaşılabilmektedir. Bazen, yapılan optimal protezler dahi bu sorunların çözümünde yeterli olamamaktadır. Bu yaşanılan sorunlardan dolayı uygulanan tüm bu klasik tedavi yöntemlerinin kullanımı her geçen gün azalmakta ve yerini implant destekli protetik tedavilere bırakmaktadır. Dental implantlar, hastaların kaybettiği dişlerinin eksikliğini gidermeye ve kemik rezorbsiyonunu önlemeye yönelik, çene kemiği içerisine yerleştirilen yapılardır. Başlangıçta sadece tam dişsiz hastaların protetik rehabilitasyonunda kullanılan dental implantlar, daha sonraları birçok durumda alternatif tedavi seçeneği olarak kullanılmıştır. Günümüzde birçok implant sistemi ve bu sistemlerle uygulanacak birçok tedavi seçeneği mevcuttur ve başarıyla uygulanmaktadır. Bu çalışmada, implant destekli protetik restorasyon çeşitleri, uygulama alanları ve uygulama prensipleri anlatılmış, klasik protetik restorasyonlarla aralarındaki hasta memnuniyeti, kullanım kolaylığı klinik uygulamadaki farklardan bahsedilmiş ve derleme olarak sunulmuştur.  

Keywords

• İMPLANT
• DESTEKLİ
• RESTORASYONLAR

FIXED AND MOVING PROSTHETIC RESTORATIONS BY SUPPORTED IMPLANT

Abstract

Although there are different prosthetic treatment methods for edentulous and partial edentulous patients, there can be some problems patients satisfaction and prosthetic adaptation level. Sometimes even optimal prosthesis can not be problem solving. For this reason, conventional prosthetic methods are abondoned and implant treatment methods are selected. Dental implants are used for the restorating of the extracting teeth places and prevent from the bone rezortion and they fit in the jawbone. Initially implants were used for only edentulous patients and than they used for alternative treatment methods for many condition. Today many implant systems are available and applied successfully. Restoration type of the implant supported restorations, application area, principles of the applications and differences between patient who use conventional prosthesis satisfaction, convenience of the using and differences in clinical applications are mentioned in this study as a review. 

Keywords

• FIXED
• MOVING
• RESTORATIONS

References

1. Yıldırım M, Edelholff D, Hanisch O, Spiekermann H. Ceramic abutments-a new era in
2. achieving optimal esthetics in implant dentistry. Int J Periodontics Restorative Dent.
3. ; 20: 81-91.
4. Chatman R. Implantology: History and rewiev. Bull Painfield Dent Soc. 1970; 2: 15-9
5. Granat J. Was there implantology 7000 years ago Inf Dent 1990; 72: 1959-61
6. Anıl A, Tosun T, Sandallı P. Rutin kontrollerdeki implantların değerlendirilmesi. Oral
7. İmplantoloji Der. 1995; 2: 1-5.
8. Parel SM, Schow SR. Early clinical experience with a new one piece implant system in

9. single tooth sites. J Oral Maxillofac Surg. 2005; 63: 2-10.
10. Ferrera A, Galli C, Mauro G, Macaluso GM. İmmediate provisional restoration of post
11. extraction implants for maxillary single tooth replacement. Int J Periodontics Restorative
12. Dent. 2006; 26: 371-7
13. Kemppainen P, Eskola S, Ylipaavalniemi P. A comparative prospective clinical study of
14. two single-tooth implants: A preliminiary report of 102 implants. J Prosthet Dent. 1997;
15. : 382-7.
16. Salinas TJ, Block MS, Sadan A. Fixed partial denture or single tooth implant restoration
17. Statistical considerations for squencing and treatment J Oral Maxillofac Surg. 2004; 62:
18. -16.
19. Priest GF. Failure rates of restorations for single tooth replacements Int J Prosthodont
20. ; 9: 38-45.
21. Sato Y, Shindoi N,Hosokawa R, Tsuga K, Akagawa Y. Biomechanical effects of double
22. or wide implants for single molar replacement in the posterior mandibular region. J Oral
23. Rehabil. 2000; 27: 842-5.
24. Scalar AG. Strategies for management of single tooth extraction sites in aesthetic implant
25. therapy. J Oral Maxillofac Surg. 2004; 62: 90-105. Erratum in: J Oral Maxillofac Surg.
26. ; 63: 158.
27. Del Castillo R, Drago C. Indexing and provisional restoration of single implants. J Oral
28. Maxiilofac Surg 2005; 63: 11-1.
29. Peker Sandallı. Oral İmplantoloji. İstanbul 2000;149-50.
30. Abrahamson I, Berglundh T, Glantz PO, Lindhe J. The mucosal attachment at different
31. abutments. An experimental study in dogs J Clin periodontol 1998; 25: 721-7.
32. Rasperini G, Maglione M, Cocconcelli A, Simon M. In vivo early plaque formation on
33. pure titanium and ceramic abutments: A comperative microbiological and SEM analysis.
34. Clin Oral Implants Res 1998; 9: 357-64.
35. Henrikson K, Jemt T. Evaluation of custom made procera ceramic abutments for single
36. implant tooth replacement: A prospective 1-year follow-up study. Int J Prosthodont 2003;
37. : 626-30.
38. Holst S, Blatz MB, Hegenbarth E, Wichmann M, Eitner S. Prosthodontic considerations
39. for predictable single-implant esthetics in anterior maxilla. J Oral Maxiilofac Surg 2005;
40. : 89-96.
41. Neyman S, Ericsson I. The capacity of reduced periodontal tissues to support fized
42. bridgework. J Clin Periodontol. 1982; 9: 409-414.
43. Neyman S, Lindhe J. A longitudunal study of combined periodontal and prosthetic
44. treatment of patient with advanced periodontal disease. J Periodontal 1979; 50: 163-9.
45. Jemt T, Lekholm U. Oral implant treatment in posterior partially edentulous jaws: A 5-
46. year flow-up study. Int J of Maxillofac Implants. 1993; 8: 635-40.
47. Van Steenberghe D. A retrospective multi center evaluation of the survival rate of
48. osseointegrated fistures sporting fixed partial protheses in the treatment of partial
49. edentulism. J Prosthet Dent 1989; 61: 217-23.
50. Lekholhm U, Van Stenberghe D, Hermann I, Bolender C, Folmer T, Gunne J, Henrick P,
51. Higuchi K, Laney WR, Linden U. Osseointegrated implants in the treatment of partially
52. edentulous jaws: A prospective 5-year multi center study. 1994; 9: 627-635
53. Babbush CA,Shimura M. Five year statistical and clinical observations with the IMZ two
54. stage osteointegrated implant system. Int J Maxillofac İmplants. 1993; 8: 245-253
55. Rangert B, Sulliva R. Preventing Prosthetic overload induced by bending. Nobelpharma
56. News 1993; 7: 4-5
57. Misch CE: Contemporary Implant Dentistry. 2nd ed. Tokyo, Mosby, Inc. 1999; 151
58. Breeding LC, Dixon DL, Sadler JP, Mckay ML: Mechanical considerations for the
59. implant tooth-supported fixed partial denture. J Prosthet Dent. 1995; 74: 487.
60. Becker CM, Kaiser DA: Implant-retained cantilever fixed prosthesis: Where and when. J
61. Prosthet Dent. 2000, 84: 432.
62. Kayacan R, Ballarini R, Mullen RL: Theoritical study of the effect of tooth and implant
63. mobility differences on occlusal force transmission in tooth/implant supported partial
64. prostheses. J Prosthet Dent. 1997, 78: 391.
65. Bechelli AH: The osseointegrated prosthesis-combination of osseointegrated implants
66. and natural teeth in fixed prostheses. J Oral Implantol. 1992; 18: 62.
67. Naert I, Duyck JA, Hosny M, Van Steenberghe D: Freestanding and tooth-implant
68. connected prostheses in the treatment of partially edentulous patients. Clin Oral Implants
69. Res. 2001; 12: 234.
70. Romeo E, Lops D, Margutti E, Ghisolfi M, Chiapasco M, Vogel G: Implant-supported
71. fixed cantilever prostheses in partially edentulous arches. A seven-year prospective study.
72. Clin Oral Implants Res. 2003; 14: 303.
73. Çalıkkocalıoglu S: Tam protezler Cilt 1. 3. baskı. İstanbul: Teknoğrafik Matbaacılık
74. ;45.
75. Fitzpatrick B: Standard of care for the edentulous mandible: A systematic review. J
76. Prosthet Dent. 2006; 95: 71.
77. DeBoer J: Edentulous implants: overdenture versus fixed. J Prosthet Dent. 1993; 69: 386.
78. Branemark P-I, Hansson B, Adell R, Brain U et al: Osseointegrated implants in the
79. treatments of edentulous jaw, Exprience from a 10 years period. Scand J Plast Reconstr
80. Surg 1977; 16: 125-32.
81. Kirsch A Ackermann KL: The IMZ osseointegrated implant system. Dental Clinic of
82. North America 1989, 33: 733-91.
83. Rosenstiel SF, Land MF, Fujimoto JF: Contemporary Fixed Prosthodontics. 3rd ed. USA:
84. Mosby Co. Inc. 2001; 655: 341.
85. Stevens PJ, Fredrickson EJ, Gres ML: Implant prosthodontics: Clinical and laboratory
86. procedures. 2nd ed. USA: Mosby Co. Inc. 1994; 35: 11.
87. Misch CE: Contemporary implant dentistry. 1st ed. St. Louis: Mosby Co. Inc. 2005; 166:
88. -