İmplant Destekli Protezlerde Komplikasyonların ve Hasta Memnuniyetinin Değerlendirmesi

Year 2025, Volume: 12 Issue: 1, 42 - 47, 21.04.2025

Nuran Yanıkoglu , Derya Aslan , Merve Köseoğlu

https://doi.org/10.15311/selcukdentj.1456288

Abstract

Amaç: Çalışmanın amacı, 2 yıllık gözlemin ardından implant ve implant üstü protezlerdeki başarısızlık oranlarını ve hastaların memnuniyet oranlarını değerlendirmektir.
Gereç ve Yöntemler: Çalışma 110 hasta (60 erkek, 50 kadın) üzerinde yürütülmüştür. Protezler hasta ağzına takıldıktan bir ve iki yıl sınra yapılan kontrol ziyaretleri sırasında araştırmacılar klinik muayeneleri gerçekleştirmiştir. Hastaların protez memnuniyetlerini değerlendirmek için de bir anket kullanılmıştır. Elde edilen veriler tanımlayıcı istatistikler, Ki-Kare, Mann-Witney ve Kruskal-Wallis analizleri ile analiz edilmiştir (α<0.05).
Bulgular: Maksilla ve mandibulada en sık kullanılan protez siman tutuculu sabit protezler (sırasıyla %31,4 ve %29,6) iken, en az kullanılan tip tam ark vida tutuculu protezlerdir (sırasıyla %2,9 ve %3,5). En yaygın kullanılan materyal metal-seramiktir (%64,2). İmplantların sağkalım oranları maksilla (%94,7) ve mandibulada (%95,2) benzerdir (P=0,544). Protez sağkalım oranları da benzerdir (P=0.094). Maksilladaki protezlerin 76,2%'si ve mandibuldaki protezlerin %78,3'ü sağ kalmıştır. En yüksek teknik ve mekanik komplikasyon oranları maksilla ve mandibulaya yerleştirilen sabit protezlerde gözlenmiştir (sırasıyla %26,8 ve %25,6). Maksilla ve mandibulada en sık görülen komplikasyon seramikte çatlak oluşumu (sırasıyla %16,2 ve %15,6) ve bunu takiben oklüzal vida gevşemesi (sırasıyla %3,8 ve %2,6) olmuştur. Hastaların memnuniyet oranları fonksiyon, estetik ve kullanım kolaylığı açısından %91-%95 arasında değişmektedir.
Sonuç: İki yıllık kullanım süresinin ardından, yüksek sağkalım oranları ve hasta memnuniyet dereceleri elde edilmiştir. İmplant başarısızlıklarında anlamlı bir fark görülmezken, protez başarısızlıkları sabit protezlerde daha yüksek bulunmuştur.
Anahtar Kelimeler: Dental implant, diş hekimi, maksilla, mandibula

Keywords

Dental implant, diş hekimi, maksilla, mandibula

Ethical Statement

İlgili makale için Atatürk Üniversitesi Diş Hekimliği Fakültesi Etik Kurulu'ndan onay alınmıştır.

Supporting Institution

Yoktur

Project Number

Çalışma proje ile desteklenmemiştir

Thanks

Yoktur

Complication Rates and Patient Satisfaction Evaluation of Implant-Supported Prostheses

Abstract

Background: The aim of the study was to assess implant and prosthetic failure rates and patients’ evaluations following 2-year observation.
Methods: The study was conducted among 110 patients (60 male, 50 female). During recall visits during the first and second year of prosthesis insertion, researchers conducted the clinical examination. A questionnaire was used to evaluate the patient’s satisfaction with the prostheses'. The obtained data were analyzed by descriptive statistics, Chi-Square, Mann-Witney, and Kruskal-Wallis analysis (α<0.05).
Results: In the maxilla and the mandible, the most commonly used prosthesis was cement-retained fixed partial dentures (31.4% and 29.6%, respectively), while the least common procedures were full arch screw retained attachments (2.9% and 3.5%, respectively). The most commonly used material was metal-ceramic (64.2%). Survival rates of implants were similar in the maxilla (94.7%) and the mandible (95.2%) (P=0.544). Prosthesis survival rates were also similar (P=0.094): 76.2% were in the maxilla, and 78.3% were in the mandible. The highest technical and mechanical complication rates were observed in partial fixed denture prostheses inserted in the maxilla and the mandible (26.8% and 25.6%, respectively). In the maxilla and mandible, the most frequent complication was ceramic chipping (16.2% and 15.6%, respectively), followed by occlusal screw loosening (3.8% and 2.6%, respectively). Patients’ satisfaction rates ranged between 91%-95% in terms of function, aesthetics, and convenience.
Conclusion: After a use time of 2 years, high survival rates and patient satisfaction ratings were obtained. There was no significant difference in implant failures, while prosthetic failures were higher in fixed partial dentures.
Keywords: Dental implants, dentist, mandible, maxilla

Keywords

Dental implants, dentist, mandible, maxilla

Project Number

Çalışma proje ile desteklenmemiştir

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