HEMEN İMPLANT YERLEŞTİRİLMESİNDE SOKET ZIRHI UYGULAMASI: VAKA RAPORU

Yıl 2019, Cilt: 29 Sayı: 4, 652 - 656, 15.10.2019

Nil Yakar H. Burak Kutlu

https://doi.org/10.17567/ataunidfd.425900

Öz

Anterior veya premolar bölgedeki diş kayıplarının
implant destekli restorasyonlarında, doğal diş görünümüne benzer görünüm elde
etmek için yeterli sert ve yumuşak doku hacmine ihtiyaç duyulmaktadır. Çekim
sonrası gerçekleşen demet kemik rezorpsiyonunun sebep olduğu boyutsal
değişiklikleri önlemek veya gidermek amacıyla sert ve yumuşak dokuyu korumaya
ve artırmaya yönelik tanımlanmış birçok yöntem mevcuttur.

Bu makalede sunulan üst premolar diş
eksikliği vakası, çekim sonrası gerçekleşen alveol kemik rezorpsiyonunu
sınırlamak amacıyla bukkal kök parçasının sokette bırakılması prensibine
dayanan 'soket zırhı' yöntemi ile beraber, aynı seans implant uygulaması ile
rehabilite edilmiştir.

Vakanın protetik yükleme sonrası 6 aylık
takibinde bölgede inflamasyonun olmadığı, optimal estetik sonucun elde edildiği
stabil durum elde edilmiş, soket zırhı yönteminin estetik gereksinimin yüksek
olduğu bölgelerde uygulanabilecek bir tedavi seçeneği olduğu sonucuna
ulaşılmıştır.

Anahtar
kelimeler: İmplant, soket
koruma

SOCKET
SHIELD TECHNIQUE WITH IMMEDIATE IMPLANT PLACEMENT: A CASE REPORT

ABSTRACT

To achieve optimal esthetic results with
implant rehabilitation of anterior and premolar regions, sufficient amounts of
bone and soft tissue are requisite.  This
may be compramised as a result of alveolar bone remodelling following tooth
extraction. One of the identified techniques that aim to preserve bundle bone
resorption following extraction is 'socket shield'. This is a technique which
is characterized by the retention of buccal fragment of the root in the socket.

In this clinical case report, implant
rehabilitation of an upper first premolar tooth deficiency with socket shield
technique is presented.

After 6 months follow-up period,
stabilized results without inflammation and with optimal esthetics were
achieved. Consequently, socket shield technique may be a reliable technique to
perform with simultaneous implant placement in anterior region to obtain better
esthetic results.

Anahtar Kelimeler

İmplant

Kaynakça

• Gotfredsen K. A 10-year prospective study of single tooth implants placed in the anterior maxilla. Clinical implant dentistry and related research 2012;14:80-87.
• 2. Klages U, Bruckner A, Zentner A. Dental aesthetics, self-awareness, and oral health-related quality of life in young adults. European journal of orthodontics 2004;26:507-514.
• 3. Chen ST, Buser D. Esthetic outcomes following immediate and early implant placement in the anterior maxilla--a systematic review. The International journal of oral & maxillofacial implants 2014;29 Suppl:186-215.
• 4. Dawson A, Chen S, Buser D, Cordaro L, Martin W, Belser U. The SAC classification in implant dentistry: Quintessenz Verlag; 2010.
• 5. Morton D, Chen ST, Martin WC, Levine RA, Buser D. Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry. International journal of oral & maxillofacial implants 2014;29:216-220.
• 6. El Nahass H, N Naiem S. Analysis of the dimensions of the labial bone wall in the anterior maxilla: a cone‐beam computed tomography study. Clinical oral implants research 2015;26.
• 7. Januário AL, Duarte WR, Barriviera M, Mesti JC, Araújo MG, Lindhe J. Dimension of the facial bone wall in the anterior maxilla: a cone‐beam computed tomography study. Clinical oral implants research 2011;22:1168-1171.
• 8. Nowzari H, Molayem S, Chiu CHK, Rich SK. Cone beam computed tomographic measurement of maxillary central incisors to determine prevalence of facial alveolar bone width≥ 2 mm. Clinical implant dentistry and related research 2012;14:595-602.
• 9. Van der Weijden F, Dell'Acqua F, Slot DE. Alveolar bone dimensional changes of post‐extraction sockets in humans: a systematic review. Journal of clinical periodontology 2009;36:1048-1058.
• 10. Çakir M, Karaca İR. İmplant Uygulamalari İçin Kret Koruma Teknikleri. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 2015;25.
• 11. Hürzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S. The socket‐shield technique: a proof‐of‐principle report. Journal of clinical periodontology 2010;37:855-862.
• 12. Filippi A, Pohl Y, Von Arx T. Decoronation of an ankylosed tooth for preservation of alveolar bone prior to implant placement. Dental Traumatology 2001;17:93-95.
• 13. Parlar A, Bosshardt DD, Ünsal B, Çetiner D, Haytaç C, Lang NP. New formation of periodontal tissues around titanium implants in a novel dentin chamber model. Clinical oral implants research 2005;16:259-267.
• 14. Bäumer D, Zuhr O, Rebele S, Schneider D, Schupbach P, Hürzeler M. The Socket‐Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment–A Pilot Study. Clinical implant dentistry and related research 2015;17:71-82.
• 15. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. International Journal of Periodontics & Restorative Dentistry 2003;23.
• 16. Vignoletti F, De Sanctis M, Berglundh T, Abrahamsson I, Sanz M. Early healing of implants placed into fresh extraction sockets: an experimental study in the beagle dog. II: ridge alterations. Journal of clinical periodontology 2009;36:688-697.
• 17. Malmgren B, Cvek M, Lundberg M, Frykholm A. Surgical treatment of ankylosed and infrapositioned reimplanted incisors in adolescents. European Journal of Oral Sciences 1984;92:391-399.
• 18. Abadzhiev MN PV. Conventional immediate implant placement and immediate placement with socket-shield technique – Which is better. Int J Clin Med Res 2014;1:176-180.
• 19. Sculean A, Chiantella GC, Windisch P, Donos N. Clinical and Histologic Evaluation of Human lntrabony Defects Treated with an Enamel Matrix Protein Derivative (Emdogain). International Journal of Periodontics & Restorative Dentistry 2000;20.
• 20. Bosshardt DD. Biological mediators and periodontal regeneration: a review of enamel matrix proteins at the cellular and molecular levels. Journal of clinical periodontology 2008;35:87-105.
• 21. Cherel F, Etienne D. Papilla preservation between two implants: a modified socket-shield technique to maintain the scalloped anatomy? A case report. Quintessence International 2014;45