TY - JOUR T1 - Adli Tıp Kurumuna İntikal Etmiş Oral İmplantoloji ile İlgili Vakaların Değerlendirilmesi TT - Evaluation of Forensic Dental Cases Related with Oral Implantology AU - Çinar, İhsan Çağlar PY - 2024 DA - August Y2 - 2024 DO - 10.61970/adlitip.1482182 JF - Adli Tıp Dergisi JO - ATD PB - Adli Tıp Kurumu WT - DergiPark SN - 1018-5275 SP - 143 EP - 152 VL - 38 IS - 2 LA - tr AB - Amaç: Oral implantoloji, hastaların diş eksikliklerinin dental implantlarla rehabilitasyonunu hedefleyen, cerrahi ve protetik fazları içerisinde barındıran multidisipliner bir bilim dalıdır. İmplantların uzun yıllardır başarıyla uygulandığına dair literatürde birçok çalışma olmakla birlikte son dönemde implant uygulamalarındaki büyük artış beraberinde başarısızlıkları da getirmektedir. Bu çalışmanın amacı oral implantoloji uygulamalarında meydana gelen başarısızlıkların incelenmesidir. Yöntem: Çalışmada Adli Tıp Kurumu diş hekimliği bölümüne Şubat 2018-Aralık 2023 tarihlerinde intikal etmiş oral implantoloji ile ilişkili 235 vaka geriye dönük olarak incelenmiştir. Vakalar cerrahi ve protetik başarısızlıklar olarak iki ana grup ve her grup da kendi içerisinde alt sınıflara ayrılarak değerlendirilmiştir. Çalışmaya dahil edilen hastaların ve işlemi uygulayan hekimlerin demografik özellikleri, tedavinin uygulandığı merkezlerin statüsü (kamu/özel) ve ortaya çıkan başarısızlıklara kurul tarafından verilen komplikasyon/malpraktis kararları değerlendirilmiştir.Bulgular: İncelenen toplam 235 vakanın %75,3’ü kadın iken erkek hastaların oranı %24,7’dir. Hastaların yaş ortalaması 45,59 ± 13,02 olarak belirlenmiştir. Kadın hekimlerin oranı %38,3 erkek hekimlerin oranı ise %61,7, hekimlerin yaş ortalaması ise 39,79 ± 11,21’dir. Davaya konu olan merkezlerin %28,5'i kamu kurumu, %71,5'i ise özel kliniklerdir. Başarısızlık tipleri arasında cerrahi vakaların oranı %70,2 iken protetik vakaların oranı %29,8 olarak belirlenmiştir (p KW - Oral implantoloji KW - komplikasyon KW - malpraktis N2 - Objective: Oral implantology is a multidisciplinary field aimed at rehabilitating patients' missing teeth using dental implants, which includes surgical and prosthetic phases. Although numerous studies in the literature have demonstrated the successful application of implants over the years, the recent surge in implant procedures has also led to an increase in failures. The purpose of this study is to examine the failures occurring in oral implantology practices.Methods: 235 cases were examined related to oral implantology that were referred to XXX between February 2018 and December 2023 retrospectively. Cases were evaluated by dividing them into two main groups: surgical and prosthetic failures, with each group further subdivided into subcategories. The demographic characteristics of the patients included in the study, as well as the demographic characteristics of the treating physicians, the status of the centers where the treatment was applied (public/private), and the complications/malpractice decisions made by the board regarding the failures were also evaluated.Results: Out of the total 235 cases examined, 75.3% were female, while the proportion of male patients was 24.7%. The average age of the patients was determined to be 45.59 ± 13.02 years. The ratio of female physicians was 38.3%, while the ratio of male physicians was 61.7%, with a mean age of 39.79 ± 11.21 years. Regarding the centers involved in the cases, 28.5% were public institutions, while 71.5% were private clinics. The rate of surgical cases among failure types was 70.2%, while the rate of prosthetic cases was 29.8%. The board ruled complications in 62.1% of cases and malpractice in 37.9% of cases (p CR - Schwartz-Arad D, Laviv A, Levin L. 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Dentists' attitudes toward frustrating patient visits: relationship to satisfaction and malpractice complaints. Community Dent Oral Epidemiol 1995 Feb;23(1):15-9. UR - https://doi.org/10.61970/adlitip.1482182 L1 - https://dergipark.org.tr/tr/download/article-file/3921983 ER -