Ramus blok grefti ile geç ve eş zamanlı implant yerleştirme prosedürlerinin karşılaştırılması: Retrospektif kohort çalışması

Yıl 2024, Cilt: 29 Sayı: 3, 318 - 328, 23.09.2024

Senem Askın Ekıncı , Ceren Küçük , Gokhan Gocmen

https://doi.org/10.21673/anadoluklin.1453783

Öz

Amaç: Bu çalışmada, otojen greftlerle eş zamanlı ve geç yerleştirilen implantlarda greft stabilitesi ve implant başarısı karşılaştırılmıştır.

Yöntemler: Çalışma örneklemi, mandibula ramusu kullanılarak otojen blok kemik grefti uygulanan hasta popülasyonundan oluşmuştur. Bir yıllık takip verilerine sahip hastalar implantasyon yaklaşımına göre iki gruba ayrılmıştır: geç implantasyon ve eş zamanlı implantasyon. Sonuç değişkenleri 3B hacim değişiklikleri (implantasyon sonrası ve 1 yıllık takipteki kemik grefti hacimleri, rezorpsiyon hacmi ve kemik greftinin rezorpsiyon oranı), 2B lineer değişiklikler (implantasyon sonrası ve 1 yıllık takipteki kemik grefti genişliği, 2B rezorpsiyon miktarı ve kemik greftinin rezorpsiyon oranı), marjinal kemik kaybı ve implant başarısı idi.

Bulgular: Nihai örneklem 21 denekten oluşmuş ve 33 implant incelenmiştir. Toplamda, %51,5’i (n=17) eşzamanlı ve %48,5’i (n=16) geç implantasyon yaklaşımla yerleştirilmiştir. Eş zamanlı yaklaşım, geç implantasyona kıyasla hem 3B hem de 2B ölçümlerde daha yüksek greft rezorpsiyonu oranıyla sonuçlanmıştır (sırasıyla p=0,001 ve p=0,014). İki grup arasında 1 yıllık takipte greft hacmi, greft genişliği, marjinal kemik kaybı veya implant başarısı açısından fark yoktu (sırasıyla p=0.958, p=0.039, p=0.168 ve p=1.000).

Sonuç: Eş zamanlı implantasyon, geç implantasyona göre daha yüksek rezorpsiyon oranıyla sonuçlansa da, 1 yıllık takipte greft hacmi ve genişliği, marjinal kemik kaybı ve implant başarısı benzerdi.

Anahtar Kelimeler

Alveolar kemik grefti, alveoler bombe ögmentasyonu, diş implantasyonu, üç boyutlu görüntü

Delayed versus simultaneous implant placement with ramus block grafts: A retrospective cohort study

Öz

Aim: This study compared the graft stability and implant success of delayed implantation versus simultaneous implantation with autogenous grafts.

Methods: The study sample comprised a population of patients who underwent autogenous block bone grafting using the ramus of the mandible. Patients with data from 1 year of follow-up were divided into two groups according to implantation approach: delayed implantation and simultaneous implantation. Outcome variables were 3D volume changes (the bone graft volumes at post-implantation and 1-year follow-up, resorption volume, and resorption rate of the bone graft), 2D linear changes (the bone graft width at post-implantation and 1-year follow-up, 2D resorption amount, and resorption rate of the bone graft), marginal bone loss, and implant success.

Results: The final sample comprised 21 subjects, and 33 implants were investigated. In total, 51.5% (n=17) were placed with a simultaneous approach and 48.5% (n=16) with a delayed approach. The simultaneous approach resulted in a higher rate of graft resorption in both the 3D and 2D measurements compared to the delayed implantation (p=0.001 and p=0.014, respectively). There was no difference between the two groups in terms of graft volume, graft width, marginal bone loss, or implant success at the 1-year follow-up (p=0.958, p=0.039, p=0.168, and p=1.000, respectively).

Conclusion: Although simultaneous implantation resulted in a higher resorption rate than delayed implantation, the graft volume and width, marginal bone loss, and implant success were similar at the 1-year follow-up.

Anahtar Kelimeler

Alveolar bone grafting, alveolar ridge augmentation, dental implantation, three-dimensional image

Kaynakça

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