Lateral Pencere Yöntemi Uygulanarak Gerçekleştirilen Maksiller Sinüs Yükseltme Prosedüründe Membran Kullanması Gerçekten Gerekli midir?

Year 2022, , 568 - 573, 24.08.2022

Hakan Ocak , Umut Demetoğlu , Burcu Gürsoytrak , Halis Ali Çolpak , Gülsün Yıldırım

https://doi.org/10.15311/selcukdentj.887681

Abstract

Amaç
Sinüs tabanı yükseltme operasyonlarında lateral pencere üzerine membran yerleştirilmesi kemik formasyonunu hızlı bir şekilde başlatsa da membran kullanılmadan gerçekleştirilen sinus yükseltme işlemlerininde başarılı ve öngürülebilir sonuçlanacağı ile ilgili literatürde kanıtlar bulunmaktadır. Bu çalışmamızın amacı lateral pencerede membran uygulaması kullanılan veya kullanılmayan iki grupta antrostomi alanında yumuşak doku invazyonuna bağlı oluşabilecek defektlerin varlığını araştırarak gerçekten membran kullanımına gerek olup olmadığını kanıtlamaktır.

Gereç ve Yöntem
Çalışma için 40 hasta seçildi ve membran uygulaması kullanılan (çalışma grubu) veya kullanılmayan (kontrol grubu) iki gruba randomize edildi. İşlemden 12 ay sonra Konik Işınlı Volümetrik Bilgisayarlı Tomografi kullanılarak bölgenin görüntüleri çekildi. Gruplarda implant sağkalımı ve kemik oluşum miktarları karşılaştırmaları araştırıldı.

Bulgular
Kemik çapı açısından gruplar arasındaki fark bağımsız t testi ile değerlendirildi. Gruplarda lateral pencere bölgesinde radyografik olarak defektli alan bulunmadı. Kontrol grubunun ortalama kemik çapı 13.063 mm (± 2.4 mm) ve çalışma grubunun kemik çapı 14.10 mm (± 5.8 mm) olarak ölçüldü. Kemik çapı açısından gruplar arasında anlamlı bir fark yoktu. Her iki gruba da yerleştirilen implantların hiçbirinde kayıp olmadı.

Sonuç
Lateral pencere açılarak gerçekleştirilen sinüs yükseltme işlemlerinde lateral pencere üzerine kapatmak için bir membran kullanılması, kemik kusurlarının oluşumunda önemli bir rol oynamamıştır. Membran kullanılmadan da sinüs yükseltme işlemleri başarılı olabilmektedir.

Keywords

Maksiller Sinüs, Membranlar, Dental İmplant

Supporting Institution

Destekleyici herhangi bir kurum bulunmamaktadır.

IS MEMBRANE USAGE REALY NECESSARY FOR SINUS LIFTING OPERATION IN LATERAL WINDOW TECHNIQUE

Abstract

Background
Although the placement of a membrane after sinus floor augmentation promotes faster initialization of bone formation, there is evidence that these procedures may be successful and predictable without membrane barriers. The aim of this study was to investigate the presence of defects that might occur due to soft tissue invasion in the antrostomy area in two groups where membrane application was used or not used on the lateral window.

Methods
Comparisons of implant survival in the groups and the amounts of bone generation were also investigated. Forty patients were selected for the study, and they were randomized into two groups in which membrane application was used (study group) or not used (control group). Twelve months following the procedure, images of the region were taken with computerized dental volumetric tomography.

Results
The difference between the groups in terms of bone diameter was evaluated with an independent t test. No defect areas were found radiographically in the lateral window region in the groups. The mean bone diameter of the control group was 13.063 mm (±2.4 mm) and that of the study group was 14.10 mm (±5.8 mm). There was no significant difference between the groups in bone diameter. There were no losses in any of the implants that were placed in either group.

Conclusion
The use of a membrane to close the lateral window did not play any important role in the formation of bone defects.

Keywords

Maxillary sinus, Membranes, Dental Implants

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