MAKSİLLADA AÇILI İMPLANTLAR KULLANILARAK YAPILAN İMMEDİAT YÜKLEMENİN KISA DÖNEM SONUÇLARI

Yıl 2020, Cilt: 30 Sayı: 1, 75 - 82, 15.01.2020

Muzaffer Aslan

https://doi.org/10.17567/ataunidfd.636943

Cited By: 1

Öz

Amaç: Bu çalışmada,
dişsiz maksillaya uygulanan doğrusal ve eğik implantlar üzerine
immediat yüklemenin orta dönem komplikasyonlarını
değerlendirmektir.

Gereç ve Yöntem: 18 hasta (8 kadın ve 10
erkek) çalışmaya
alındı. Her hastaya iki doğrusal ve iki açılı implant ile desteklenen bir
immediat sabit protez
takıldı. Toplam 72 implant yerleştirildi. Ameliyattan 24 saat sonra yükleme
yapıldı ve 6 ay sonra daimi
protezler yapıldı.
Hastalar 6, 12, 24, 36. aylarda olmak üzere takip edildi. Her takipte ağız
hijyeni kontrol edildi ve her komplikasyon kaydedildi.

Bulgular: Hiçbir
implant kaybı görülmezken
(%100 sağkalım oranı), bazı hastalarda
mukozitis (%22,2) ve periimplantitis (%11,1) kaydedildi. En sık görülen
protetik komplikasyonlar, %33,3 oranında görülen geçici protez fraktürü idi.
Hijyenik problemler
% 44,4 hastada görüldü
ve bunun yanısıra hiçbir
hasta memnuniyetsizliği kaydedilmedi.

Sonuç: İmplant sağkalım
oranının yüksek olması, açılı implantların kullanımının iyi bir seçenek
olabileceğini göstermektedir.
Bu sayede greft maliyeti olmamakta ve augmentasyon operasyonlarına da gerek
duyulmamaktadır. Çalışmamızda ayrıca, implant ve protez ile ilgili sorunları
önlemek için
hastaların rutin kontrolünün ve sorunun
erken tespitinin önemli
olduğu görülmektedir.

Anahtar
Kelimeler: Açılı implantlar, immediat implantasyon,
immediat yükleme

 

THE MIDDLE PRELIMINARY RESULTS OF IMMEDIATE
LOADING USING

TILTED IMPLANTS IN MAXILLA

SUMMARY

Aim: The aim of this study was to evaluate the mid-term
complications of immediate loading on axial and tilted implants placed to edentulous maxilla.

Materials and Methods: Eighteen patients (8 females and 10
males) were included in the study. Immediately loaded fixed prosthesis supported
by two axial and two tilted implants were performed for each patient. A total of 72
implants were placed. Loading was performed 24 hours after the operation and final prosthesis was performed after 6
months. Patients were followed up at 6, 12, 24 and 36 months. Oral hygiene was
checked at each follow-up and all complications were recorded.

Results: No implant loss (100% survival rate), mucositis
(22.2%) and periimplantitis (11.1%) were recorded in some patients. The most
common prosthetic complication was temporary prosthetic fracture with a
rate of 33.3%. Hygienic problems were seen in 44.4% of patients and no patient
dissatisfaction was recorded.

Conclusion: According the results of the study, use of angled
implants may be a good option. In this method, there is no graft cost and augmentation is not required. In our study, it is seen that routine
control of the patients and early detection of the problem are important in
order to prevent problems related to the implant and prosthesis.

Key Words: tilted implants, immediate implantation, immediate loading

Anahtar Kelimeler

Açılı implantlar, immediat implantasyon

Kaynakça

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