Abstract
Maksillofasiyal travma geçirmiş hastaların tedavisi
başarı sağlamakta en çok zorlanılan vakaların
başında gelmekte ve genellikle multidisipliner
yaklaşım ile vakaya özel bir planlama
gerektirmektedir. Bu olgu sunumunun amacı
geçirdiği maksillofasiyal travma nedeniyle sert ve
yumuşak doku kaybı şikayeti olan bir hastanın
implant destekli sabit parsiyel protezler ile
gerçekleştirilen multidisipliner tedavisini
sunmaktır.
47 yaşında erkek hasta geçirdiği maksillofasiyal
travma nedeniyle diş, kemik ve yumuşak doku
kaybı şikayeti ile kliniğimize başvurdu. Mandibular
sol bölgede daha önce cerrahi plaklarla stabilize
edilmiş bir fraktür gözlendi. İyileşme sonrasında
her bir çeneye beşer adet dental implant
yerleştirildi. Kişisel abutmentlar ile entegre olan
tek parça metal altyapılar üretildi ve okluzyon
kontrolü sonrasında metal-seramik ve metalkompozit
rezin restorasyonlar hastaya teslim
edildi.
Hastanın estetik ve fonksiyonel beklentileri tedavi
sonrasında başarılı bir şekilde karşılandı. 1 yıllık
takip sonucunda herhangi bir estetik, biyolojik,
fonksiyonel ya da biyomekanik komplikasyon
gözlenmedi.
Keywords
Dental implant maksillofasiyal yaralanma sabit parsiyel restorasyon implantüstü sabit protez
References
- Block MS1, Gardiner D, Almerico B, Neal C, 2000. Loaded hydroxylapatite-coated implants and uncoated titanium-threaded implants in distracted dog alveolar ridges. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 89, 676-685.
- Chiapasco M, Zaniboni M, Rimondini L, 2007. Autogenous onlay bone grafts vs. alveolar distraction osteogenesis for the correction of vertically deficient edentulous ridges: a 2–4-year prospective study on humans. Clin. Oral Implant Res, 18, 432-440.
- Ericsson I, Lekholm U, Brånemark PI, Lindhe J, Glantz PO, Nyman S, 1986. A clinical evaluation of fixed bridge restoration supported by the combination of teeth and osseointegrated titanium implants. J Clin Periodontol, 13, 307-312.
- Juodzbalys G, Kubilius R, Eidukynas V, Raustia AM, 2005. Stress distribution in bone: single-unit ımplant prostheses veneered with porcelain or a new composite material. Implant Dent, 14, 166-175.
- Kim JW, Cho MH, Kim SJ, Kim MR, 2013. Alveolar distraction osteogenesis versus autogenous onlay bone graft for vertical augmentation of severely atrophied alveolar ridges after 12 years of long-term follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol, 116; 540-549.
- Mampilly MO, Rao LP, Sequiera J, Rao BH, Chandra J, Rai G, 2014. Rehabilitation of edentulous atrophic anterior mandible - the role of vertical alveolar distraction osteogenesis. J Clin Diagn Res, 8, ZR01-3.
Abstract
Treatment of maxillofacial trauma patients is the most challenging cases and mostly these kinds of cases require multidisciplinary approach and individual treatment planning. The aim of this case report is to present the multidisciplinary treatment of a patient with the complaint of hard and soft tissue loss caused by maxillofacial trauma using implant supported fixed partial dentures.A 47-year-old male patient was referred to our clinic with the complaint of tooth, bone and soft tissue loss caused by maxillofacial trauma. There was a fracture at the left mandibular region that was stabilized by surgical plates before. After healing, 5 dental implants for each jaw were placed. Metal frameworks that supported by custom abutments were fabricated and the definitive metal-ceramic and metal-composite resin restorations were inserted after verification of occlusion.The patient’s aesthetic and functional expectations were achieved immediately. At one-year follow-up no aesthetic, biological, functional and biomechanical complications were observed.
Keywords
Dental implant fixed partial dentures maxillofacial injury screw retained implant supported prosthesis
References
- Block MS1, Gardiner D, Almerico B, Neal C, 2000. Loaded hydroxylapatite-coated implants and uncoated titanium-threaded implants in distracted dog alveolar ridges. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 89, 676-685.
- Chiapasco M, Zaniboni M, Rimondini L, 2007. Autogenous onlay bone grafts vs. alveolar distraction osteogenesis for the correction of vertically deficient edentulous ridges: a 2–4-year prospective study on humans. Clin. Oral Implant Res, 18, 432-440.
- Ericsson I, Lekholm U, Brånemark PI, Lindhe J, Glantz PO, Nyman S, 1986. A clinical evaluation of fixed bridge restoration supported by the combination of teeth and osseointegrated titanium implants. J Clin Periodontol, 13, 307-312.
- Juodzbalys G, Kubilius R, Eidukynas V, Raustia AM, 2005. Stress distribution in bone: single-unit ımplant prostheses veneered with porcelain or a new composite material. Implant Dent, 14, 166-175.
- Kim JW, Cho MH, Kim SJ, Kim MR, 2013. Alveolar distraction osteogenesis versus autogenous onlay bone graft for vertical augmentation of severely atrophied alveolar ridges after 12 years of long-term follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol, 116; 540-549.
- Mampilly MO, Rao LP, Sequiera J, Rao BH, Chandra J, Rai G, 2014. Rehabilitation of edentulous atrophic anterior mandible - the role of vertical alveolar distraction osteogenesis. J Clin Diagn Res, 8, ZR01-3.
Details
| Other ID | JA53FE35KH |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 1, 2015 |
| Submission Date | December 1, 2015 |
| Published in Issue | Year 2015 |
Selcuk Dental Journal Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.