DENTAL İMPLANT UYGULAMALARINDA KARŞILAŞILAN İNTRAOPERATİF VE ERKEN DÖNEM KOMPLİKASYONLARIN PREVALANSI VE TEDAVİ YÖNTEMLERİ: RETROSPEKTİF KLİNİK ÇALIŞMA

Yıl 2019, Cilt: 29 Sayı: 2, 259 - 267, 22.03.2019

Gelengül Urvasızoğlu Tuğrul Türen

https://doi.org/10.17567/ataunidfd.498763

Cited By: 2

Öz

Amaç: Bu çalışmanın amacı;
rutin implant uygulamalarında kliniğimizde karşılaşılan intraoperatif ve erken
dönem komplikasyon türlerinin, sayı ve oranlarının araştırılması ve
komplikasyon yönetiminde uygulanan tedavilerin değerlendirilip akademisyenler
ve klinisyenler için aydınlatıcı ve yol gösterici olmaktır.

Gereç ve Yöntem: Bu çalışmada; Atatürk
Üniversitesi Diş Hekimliği Fakültesi Ağız Diş ve Çene Cerrahisi Anabilim
Dalında 2015-2018 yılları arasında 138 hastada uygulanan 498 adet implant
retrospektif olarak değerlendirildi. Çalışma süresince implant tedavisi
uygulanan hastaların arşiv kayıtları ve ameliyat notları incelendi. Aralarından
kayıtları eksiksiz tutulan ve takip seanslarına düzenli olarak devam eden
hastalar seçilerek, intraoperatif ve erken dönem komplikasyonları ve prevelansları
belirlenip uygulanmış olan tedavi yöntemleri araştırıldı.

Bulgular: Çalışma kapsamında dental
implant cerrahilerinde intraoperatif ve erken dönem postoperatif komplikasyonlar
belirlenmiştir. İnceleme sonucunda komplikasyon oranlarının %0 ile %34 arasında
değiştiği izlenmiştir. Karşılaşılan intraoperatif komplikasyon oranları ve
türleri sırasıyla; yumuşak doku
yaralanmaları(%4,3), alveoler kemikte dehissens/fenestrasyon(%2), nasal
kavite/sinüs perforasyonları(%1,1), sinir yaralanmaları(%0,8), komşu diş
hasarı(%0,4), damar yaralanmaları(%0,2)  ve primer stabilite kaybıdır(%0,2). Erken
dönem post operatif komplikasyonlar ise; ödem(%34), ekimoz/hematom(%10,1), his
kaybı(%3,06), enfeksiyon(%1,6), yara yerinin açılması(%1,1), kanama(%0,7)
olarak izlenmiştir.

Sonuç: Dental implant
cerrahileri her zaman komplikasyona açık, küçümsenmemesi gereken cerrahilerdir.
Karşılaşılan komplikasyonlar dikkatle değerlendirilmeli ve anında müdahale
edilmelidir. Başarılı bir implant tedavisi için; iyi bir anamnez, doğru tedavi
planlaması, uygun hasta seçimi ve yeterli komplikasyon yönetebilme bilgisi ve
becerisi gerekmektedir.

Anahtar Kelimeler: Diş implantı,
intraoperatif komplikasyonlar, postoperatif komplikasyonlar

Prevalence and Treatment Methods of
Intraoperative and Early Complications in Dental Implant Surgery: A
Retrospective Clinical Study

ABSTRACT

Aim: The aim of this study; evaluation
of the types, quantities and rates of intraoperative and early complications
encountered in our clinic during routine implant surgeries and investigating
the treatments used in complication management, also for academicians and
clinicians to be illuminating and guiding in terms of complications.

Material and Metods: This study was carried
out retrospectively in Atatürk University Faculty of Dentistry Department of
Oral and Maxillofacial Surgery on 498 implants operated on 138 patients between
2015 and 2018. Archival records and operative notes of patients undergoing
implant therapy during the study period were reviewed. Patients with thorough
records and continuing follow-up sessions were selected and their
intraoperative and early complications and incidences were determined and
evaluated.

Results: In this study,
intraoperative and early postoperative complications were determined in dental
implant surgeries. The complication rates in this study ranged from %0 to %34.
The rates of intraoperative complications encountered are as follows;
soft-tissue injuries(%4,3), dehiscence/fenestration in the alveolar bone(%2), nasal
cavity/sinus perforations(%1,1), nerve injuries(%0,8), neighbor tooth damage(%0,4),
vascular injuries(%0.2) and lack of prime stability(%0.2). Early postoperative
complication rates are; edema(%34), ecchymosis/hematomes(%10.1), sensory
disorders(%3.06), infection(%1.6), flep dehiscence(%1.1), bleeding(%0.7).

Conclusion: Dental implant surgeries
are always open to complications that should not be underestimated. Complications should be carefully
evaluated and intervened with immediately. For a successful implant treatment; a
detailed anamnesis, proper treatment planning, appropriate patient selection
and sufficient knowledge and skill to manage complications are required.

Keywords: Dental implant, intraoperative complications,
postoperative complications

Anahtar Kelimeler

Diş implantı, intraoperatif komplikasyonlar

Kaynakça

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