Comparison of Single-Tooth Dental Implants with Contralateral Teeth in Terms of Clinical, Radiographic, Aesthetic and Patient Satisfaction

Yıl 2023, Cilt: 2 Sayı: 2, 179 - 190, 19.10.2023

Merve Küçükoglu Çolak , Murat İnanç Cengiz

https://doi.org/10.58711/turkishjdentres.vi.1280078

Öz

Aim: The aim of this study is to compare dental implants
applied in single tooth deficiencies in the maxilla anterior
region with contralateral teeth clinically, radiographically,
aesthetically and evaluate patient satisfaction
Materials and Methods: In our study, 40 patients with
contralateral teeth who underwent dental implant application
in a single missing tooth between 2010-2020 were included.
During the routine controls of the patients, peri-implant and
periodontal probing depth (PD), plaque index (PI) and gingival
index (GI), the presence of bleeding (BOP) on probing, and
the amount of gingival recession (GR) were recorded. Patient
satisfaction and aesthetic evaluation were performed by asking
each patient questions on the Visual Analog Scale (VAS).
The Complex aesthetic index (CEİ) was used to evaluate the
aesthetics of the implant-supported restoration.
Results: There was no significant difference in clinical
parameters tooth and implant regions. Statistically significant
excess probing depth was detected in the implant area. The
amount of keratinized gingiva was statistically significantly
higher in the tooth region.. In the evaluation of implant
restorations with CEİ, it was mostly observed as risky but
clinically acceptable. The mean satisfaction score was
8.44±1.11. It was observed that the majority of the patients had
a significantly higher treatment satisfaction score.
Conclusion: There was no significant difference in
periodonal indices between both region. There are differences
in the two regions in terms of the amount of keratinized gingiva
and the probing depth of the pocket. Aesthetically, implantsupported
prostheses are acceptable. Patients are satisfied with
the procedure and recommend it.

Anahtar Kelimeler

Dental Implant;, Aesthetics, KEI, Patient Satisfaction;, VAS

Tek Diş İmplantların Klinik, Radyografik, Estetik ve Hasta Memnuniyeti Açısından Kontralateral Dişler ile Karşılaştırılması

Öz

Amaç: Çalışmamızın amacı; maksilla anterior bölge tek
diş eksikliklerinde uygulanan dental implantları kontralateral
dişlerle klinik, radyografik ve estetik olarak karşılaştırmak ve
hasta memnuniyetini değerlendirmektedir.
Gereç ve Yöntem: Çalışmamıza fakültemizde 2010-2020
yılları arasında tek diş eksikliğinde dental implant uygulaması
yapılmış ve kontralateral dişi mevcut olan 40 hasta dahil
edilmiştir. Hastaların rutin kontrolleri sırasında peri-implant
ve periodontal sondlama derinliği (PD), plak indeksi (PI)
ve gingival indeks (GI) değerleri, sondlamada kanama (SK)
varlığı, dişeti çekilmesi (DÇ) miktarı kaydedilmiştir. Her
hastaya görsel analog skala (VAS, Visual Analog Scale)
soruları yönelterek hasta memnuniyeti ve estetik değerlendirme
gerçekleştirilmiştir. İmplant destekli restorasyonun estetiğini
değerlendirmek içinde de Komplex estetik indeks (KEİ)
kullanılmıştır.
Bulgular: Diş ve implant bölgelerinde klinik parametreler
açısından anlamlı fark görülmemiştir. İmplant bölgesinde
istatiksel olarak anlamlı olarak fazla sondalama derinliği
tespit edilmiştir. Keratinize diş eti miktarı ise diş bölgesinde
istatiksel olarak anlamlı derecede daha fazla olduğu
gözlemlenmiştir. İmplant üstü restorasyonların KEİ ile
değerlendirilmesinde ise çoğunlukla riskli ama klinik olarak
kabul edilebilir olarak gözlenmiştir. Hastaların ortalama
memnuniyet skoru 8,44±1.11’dir. Hastaların büyük çoğunluğu
tedaviden memnuniyet skorunun anlamlı olarak yüksek olduğu
görülmüştür.
Sonuç: İmplant ve diş bölgesi arasında periodonal
indekslerde anlamlı farklılık bulunamıştır. Keratinize diş eti
miktarı ve cep derinliği açısından iki bölgede farklılıklar
mevcuttur. Estetik olarak implant üstü protezler kabul edilebilir
düzeydedir. Hastalar uygulanan tedaviden memnun ve tedaviyi
tavsiye etmektedirler.

Anahtar Kelimeler

Dental İmplant, estetik, KEİ, hasta memnuniyeti, VAS

Kaynakça

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