İMPLANT ÜSTÜ OVERDENTURE PROTEZLERDE TEK ATAŞMAN SİSTEMLERİ

Öz

Tam dişsiz hastalarda kullanılan implant destekli overdenture protezler, geleneksel tam protezlere göre uzun dönemde daha başarılı sonuçlar vermektedirler. Retansiyon, stabilite, çiğneme performansı ve estetik açılardan geleneksel tam protezlere göre daha üstün özelliklere sahiptir. Bu da hasta memnuniyeti ve yaşam kalitesini arttırmaktadır. İmplant destekli overdenture protezlerde retansiyonu sağlamak için çeşitli tutucu sistemler kullanılmaktadır. Bu sistemlerde implantlar birbirine splintlenerek veya tek tek ataşman olarak kullanılır. Splintlenen tutucular, bar tutucular yardımıyla birbirlerine bağlanarak oval kretlerde, yumuşak dokularda veya kemikte rezeksiyon yapıldığı durumlarda, aşırı rezorbe kretlerde retansiyon ve stabilitenin fazla olması gerektiği durumlarda kullanılır. Splintlenmeyen tutucular ise implantlar üzerindeki birbirlerinden bağımsız tek ataşmanlardır. Tutucu sistemleri seçerken hastanın vertikal kemik kaybı, beklentisi, ağız hijyeni, protezin retansiyon değeri, implantların arktaki konumları dikkate alınmalıdır. Bu derlemede günümüzde kullanılan tek ataşman sistemlerinin özellikleri, kullanım alanları, avantajları ve dezavantajları özetlenmektedir.

Anahtar Kelimeler

• Overdenture
• implant attachment
• locator

SINGLE ATTACHMENT SYSTEMS IN IMPLANT SUPPORTED OVERDENTURE PROSTHESES

Öz

Compared to conventional complete dentures implant-supported overdenture prostheses used in completely edentulous patients give more successful results in the long term. Compared to conventional complete dentures, it has superior features in terms of retention, stability, chewing performance and aesthetics. This situation increases patient satisfaction and quality of life. Various retention systems are used to provide retention in implant-supported overdenture prostheses. In these systems, implants are splinted to each other or used as individual attachments. Splinted attachments are used in cases where resection is made in soft tissues or bone, oval crests and in cases where retention and stability are required in excessively resorbed crests by connecting to each other with the help of bar attachment. Non-splinting attachments are independent attachments on implants. The patient’s vertical bone loss, expectation, oral hygiene, retention value of the prosthesis, and the position of the implants in the arch should be considered when choosing retention systems. The purpose of this review is to summarize the features, usage areas, advantages and disadvantages of single attachment systems used today.

Anahtar Kelimeler

• Overdenture
• implant attachment
• locator

Kaynakça

1. 1. Beumer J, 3rd, Hamada MO, Lewis S. A prosthodontic overview. The International journal of prosthodontics. 1993; 6, 2, 126-30.
2. 2. Bueno-Samper A, Hernandez-Aliaga M, Calvo-Guirado JL. The implant-supported milled bar overdenture: a literature review. Medicina oral, patologia oral y cirugia bucal. 2010; 15, 2, e375-8.
3. 3. Shafıe Hr. Clinical & Laboratory Manual of Implant overdentures. İmplant Destekli Overdenture Klinik ve Laboratuvar Uygulama El Kitabı. 1th ed. Çeviren: Kılıçarslan MA, Palme Yayıncılık, Ankara. 2007; s: 3-5, 31-32, 69-73.
4. 4. Merıcske-Stern R. Prosthodontic management of maxillary and mandibular overdentures. In: Feine JS, Carlsson GE. (Eds.), Implant Overdentures as the Standard of Care for Edentulous Patients. Quintessence, Chicago. 2003; 83–96.
5. 5. Trakas T, Michalakis K, Kang K, Hirayama H. Attachment systems for implant retained overdentures: a literature review. Implant dentistry. 2006;15, 1, 24-34.
6. 6. Vere J, Bhakta S, Patel R. Implant-retained overdentures: a review. Dent Update. 2012;39:370-375.
7. 7. Aktaş G, Güncü BM, Canay Ş. Two patients using implant-retained dentures locator: oneyear clinical follow-up. Cumhuriyet Dent J. 2015;18:351-358.
8. 8. Misch CE. Dental İmplant Protezler. Birinci baskı. İstanbul, Nobel Tıp Kitabevleri. 2009

9. 9. Gonuldas F, Tokar E, Ozturk C. Evaluation of the retention characteristics of various stud attachment systems for implant retained overdenture. Acta of bioengineering and biomechanics. 2018; 20, 4, 135-41.
10. 10. Spiekermann H, Donath K, Hassell T, Jovanovic S, Richter J. Color atlas of dental medicine-implantology, 1st edition, New York, Thieme Medical Pub. Inc. 1995; p.151220.
11. 11. Aktaş G, Canay Ş. İmplant üstü overdenture protezlerde tutucu alternatifleri. Acta Odontol Turc. 2015;32:158-164.
12. 12. Warreth A, Alkadhımı Af, Sultan A, Byrne C, Woods E. Mandibular implant-supported overdentures: attachment systems, and number and locations of implants Part I-II. J Ir Dent Assoc. 2015;61:93-97,144-148.
13. 13. Daou Ee. Biomaterial aspects: a key factor in the longevity of implant overdenture attachment systems. J Int Soc Prev Community Dent. 2015;5:255-262.
14. 14. Heckmann Sm, Heckmann Jg, Weber Hp. Clinical outcomes of three parkinson’s disease patients treated with mandibular implant overdentures. Clin Oral Implants Res.. 2000;11:566-571.
15. 15. Geçkili O, Bural C, Bilmenoğlu Ç. İmplant destekli tam protezlerde kullanılan tutucu sistemler. EÜ Dişhek Fak Derg, 2010;31:9-18.
16. 16.https://www.straumann.com/content/ dam/mediacenter/straumann/en/documents/ brochure/technical-information/152.252-en_ low.pdf (02.05.2020)
17. 17. Zest Anchors LLC. (2019) Locator Implant Attachment System. Erişim: [https:// www.zestdent.com/index.php/locator-implantattachment- system.html], (29.06.2019)
18. 18. https://www.biohorizons.com/Prosthetics/ ODSecureAbutments (02.05.2020)
19. 19. Shah K, Yılmaz B, Mcglumphy E. Fabrication of a mandibular implant supported overdenture with a new attachment system: a review of current attachment systems. Int J Prosthodont. 2017;30:245–247.
20. 20. https://www.zestdent.com/media/pdf/Brochures/Zest-anchors/za-l9148-rev-c-locator-r-tx-us-retaıl-product-catalog-and-prıce-lıst.pdf (02.05.2020)
21. 21. https://www.straumann.com/medentika/dk/en/dentistry/mps-multi-platform-systems/optiloc.html (02.05.2020)
22. 22. https://www.zestdent.com/locator-f-tx-fixed-attachment-system-fixed-full-arch-restorations (02.05.2020)
23. 23. https://www.cmsa.ch/en/medtech/products/prostheticline/implantology/cm-locr/ (02.05.2020)
24. 24. https://www.zestdent.com/locator-root (02.05.2020)
25. 25. http://www.valoc.ch/en/products/novaloc/novaloc.php (03 Mart 2019)
26. 26. https://www.zestdent.com/media/pdf/Brochures/Zest-anchors/za-narrow-diameter-L9702-saturno-order-guide-br.pdf (02.05.2020)
27. 27. https://www.zestdent.com/media/pdf/Brochures/Zest-anchors/L7010%20REV%20F%20LODI%20extended%20line%20brochure.pdf (02.05.2020)
28. 28. Seo Yh, Bae Eb, Kim Jw, Lee Sh, Yun Mj, Jeong Cm, Jeon Yc, Huh Jb. Clinical evaluation of mandibular implant overdentures via Locator implant attachment and Locator bar attachment. J Adv Prosthodont. 2016;8:313-320.