CAD/CAM İLE ÜRETİLEN TİTANYUM ALTYAPILI HİBRİT PROTEZ UYGULAMASI: OLGU SUNUMU

Öz

Tam dişsiz hastaların protetik tedavisinde geleneksel yöntemle yapılan hareketli protezlerde yetersiz tutu- culuk ve stabilite problemleri, protezin hasta tarafın- dan benimsenememesi ve dengesiz yük iletimiyle destek kemiğin kaybı gibi sorunlara yol açmaktadır. Bu nedenle günümüzde tam dişsiz hastaların protetik tedavisinde implant destekli protezlerin kullanımı yaygınlaşmaktadır. Hibrit protezler implant destekli hareketli protezlerin üstün özelliklerini taşıyan, rijit yapıya sahip en az 4 adet implant üzerine vidalanan bir altyapı üzerine dizilen yapay dişler ve akrilik rezin içeren protez türüdür. İmplantların sayısı ve dağılımı, ağız hijyeni, estetik, alt yapı materyalinin pasif uyumu, biyolojik ve teknik komplikasyonlar gibi faktörler hibrit protezlerin prognozunu etkileyebilmektedir. Bu vaka raporunda 63 yaşındaki kadın hastanın multidisipliner yaklaşımla titanyum altyapılı destekli hibrit protezle ile tedavisi anlatılmaktadır.

Anahtar Kelimeler: Protetik Diş Tedavisi, İmplant destekli protezler, Hibrit protezler, Titanyum         

PROCESSING OF HYBRID DENTURE FABRICATED WITH CAD/CAM TITANIUM FRAMEWORK: CASE REPORT

ABSTRACT

Conventional treatment options in edentulous patients may lead to insufficient retention and stabilization, failure in adaptation of the patient and bone resorption due to unstable force transmission. Hence, the option of implant supported prosthesis in edentulous patients has been developed. Hybrid prosthesis are the type of prosthetic treatment with the superior properties of implant supported removable dentures with acrylic resin flanges and artificial teeth, consisting a rigid framework fixed on at least 4 implants. Factors such as the number of implants and distribution, oral hygiene, esthetics, passive fit of the framework and biological and technical complications can affect the prognosis of hybrid prosthesis. The treatment of a 63 year-old female patient with titanium framework supported hybrid dentures in a multidisciplinary approach was presented.

Key Words: Prosthodontic treatment, Implant supported prosthesis, Hybrid prosthesis, Titanium 

Anahtar Kelimeler

• Protetik Diş Tedavisi,İmplant destekli protezler,Hibrit protezler

Kaynakça

1. Doundoulakis JH, Eckert SE, Lindquist CC, Jeffcoat MK. The implant-supported overdenture as an alternative to the complete mandibular denture. J Am Dent Assoc 2003;134:1455-8.
2. 2. Ganz SD. The replacement of a unilateral partial denture with an implant-supported fixed prosthesis: a clinical report. Implant Dent 1998;7:159-65.
3. 3. Attard NJ, Zarb GA. Long-term treatment outcomes in edentulous patients with implant-fixed prostheses: the Toronto study. Int J Prosthodont 2004;17:417-24.
4. 4. Real-Osuna J, Almendros-Marques N, Gay-Escoda C. Prevalence of complications after the oral rehabilitation with implant-supported hybrid prostheses. Med Oral Patol Oral Cir Bucal 2012;17:e116-21.
5. 5. Gonzalez J. The evolution of dental materials for hybrid prosthesis. Open Dent J 2014;8:85-94.
6. 6. Bural C, Geçkili O. Hybrid Dentures. Turkiye Klinikleri J Prosthodont-Special Topics 2015;1:45-52.
7. 7. Hobo S, Ichida E, Garcia LT. Fully bone anchored prostheses. Osseointegration and Occlusal Rehabilitation. Tokyo: Quintessence; 1989. p.163-86.
8. 8. Zitzmann NU, Marinello CP. A review of clinical and technical considerations for fixed and removable implant prostheses in the edentulous mandible. Int J Prosthodont 2002;15:65-72.

9. 9. Cho Y, Raigrodski AJ. The rehabilitation of an edentulous mandible with a CAD/CAM zirconia framework and heat-pressed lithium disilicate ceramic crowns: a clinical report. J Prosthet Dent 2014;111:443-7.
10. 10. Preciado A, Del Rio J, Lynch CD, Castillo-Oyague R. A new, short, specific questionnaire (QoLIP-10) for evaluating the oral health-related quality of life of implant-retained overdenture and hybrid prosthesis wearers. J Dent 2013;41:753-63
11. . Peker E, Karaca İR. İmplant tedavisinin prognozunu etkileyen lokal risk faktörleri. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 2015;10:105-11.
12. 20. Kling JM, Clarke BL, Sandhu NP. Osteoporosis prevention, screening, and treatment: a review. J Womens Health (Larchmt) 2014;23:563-72.
13. 21. Bayraktar M. Osteoporosis: Epidemiology and Pathogenesis. Turkiye Klinikleri Journal of Endocrinology 2004;2:90-8.
14. 22. Monje A, Aranda L, Diaz KT, Alarcon MA, Bagramian RA, Wang HL, Catena A. Impact of Maintenance Therapy for the Prevention of Peri-implant Diseases: A Systematic Review and Meta-analysis. J Dent Res 2016;95:372-9.