İki implant üstü locator tutuculu tam protez kullanan hastalar: Bir yıllık klinik takip

Yıl 2015, Cilt: 18 Sayı: 4, 351 - 358, 20.06.2015

Güliz Aktaş Mustafa Güncü Şenay Canay

Öz

Amaç: Bu klinik çalışmanın amacı alt iki implant üstü locator tutuculu ve üst konvansiyonel tam protez kullanan hastaların bir yıl boyunca klinik değerlendirmesinin yapılmasıdır.

Gereç ve Yöntem: Toplam 18 dental implant 9 tam dişsiz hastada alt çene ön bölgeye yerleştirildi. İyileşme sürecini takiben erken yükleme protokolü uygulanarak alt çene implant üstü locator tutuculu ve üst çene konvansiyonel tam protezler üretildi.  Bir yıl süre içinde üç ayda bir kontrol randevuları yapıldı. İmplant başarı oranı, protezde görülen mekanik komplikasyonlar, periimplant dokular (marjinal kemik kaybı, diş taşı mevcudiyeti) ve hasta memnuniyeti değerlendirildi.

Bulgular: İki implant üstü locator tutuculu tam protez kullanan hastaların memnuniyeti, daha önce kullandıkları konvansiyonel total protezlerden belirgin olarak daha yüksektir. İmplant başarı oranı %100’dür. Ancak 7 implant üstü locator tutuculu alt tam protezde herhangi bir mekanik komplikasyon görülmezken, 6. Ay kontrolde iki protezde locator patrikslerinde deformasyon görüldü. Patriksler daha az tutuculuğa sahip farklı renkteki plastik parçalar ile değiştirildi.  

Sonuç: İki implant üstü alt çene tam protezlerde locator tutucular başarılı bir tedavi seçeneğidir. 

Anahtar Kelimeler

İmplant üstü protez, mekanik komplikasyon, locator tutucu

Kaynakça

• MacEntee MI, Walton JN, Glick N. A clinical trial of patient satisfaction and prosthodontic needs with ball and bar attachments for implant-retained complete overdentures: Three-year results. J Prosthet Dent 2005;93:28-37.
• Boven GC, Raghoebar GM, Vissink A, Meijer HJA. Improving masticatory performance, bite force, nutritional state and patient's satisfaction with implant overdentures: a systematic review of the literature. J Oral Rehabil 2015;42:220-33.
• Kimoto K, Garrett NR. Effect of mandibular ridge height on masticatory performance with mandibular conventional and implant-assisted overdentures. Int J Oral Maxillofac Implants 2003;18:523-30.
• Thomason JM, Kelly SAM, Bendkowski A, Ellis JS. Two implant retained overdentures-A review of the literature supporting the McGill and York consensus statements. J Dent 2012;40:22-34.
• Trakas T, Michalakis K, Kang K, Hirayama H. Attachment systems for implant retained overdentures: a literature review. Implant Dent 2006;15:24-34.
• Alsabeeha NHM, Payne AGT, Swain MV. Attachment Systems for Mandibular Two-Implant Overdentures: A Review of In Vitro Investigations on Retention and Wear Features. Int J Prosthodont 2009;22:429-40.
• Cune M, Burgers M, van Kampen F, de Putter C, van der Bilt A. Mandibular Overdentures Retained by Two Implants: 10-Year Results from a Crossover Clinical Trial Comparing Ball-Socket and Bar-Clip Attachments. Int J Prosthodont 2010;23:310-17.
• Krennmair G, Seemann R, Weinlander M, Piehslinger E. Comparison of Ball and Telescopic Crown Attachments in Implant-Retained Mandibular Overdentures: A 5-year Prospective Study. Int J Oral Maxillofac Implants 2011;26:598-606.
• Elsyad MA, Al-Mahdy YF, Fouad MM. Marginal bone loss adjacent to conventional and immediate loaded two implants supporting a ball-retained mandibular overdenture: a 3-year randomized clinical trial. Clin Oral Implants Res 2012;23:496-503.
• Cehreli MC, Karasoy D, Kokat AM, Akca K, Eckert S. A Systematic Review of Marginal Bone Loss Around Implants Retaining or Supporting Overdentures. Int J Oral Maxillofac Implants 2010;25:266-77.
• Bilhan H, Mumcu E, Arat S. The comparison of marginal bone loss around mandibular overdenture-supporting implants with two different attachment types in a loading period of 36 months. Gerodontology 2011;28:49-57.
• Cehreli MC, Uysal S, Akca K. Marginal Bone Level Changes and Prosthetic Maintenance of Mandibular Overdentures Supported by 2 Implants: A 5-Year Randomized Clinical Trial. Clin Implant Dent Relat Res 2010;12:114-21.
• Ellis JS, Burawi G, Walls A, Thomason JM. Patient satisfaction with two designs of implant supported removable overdentures; ball attachment and magnets. Clin Oral Implants Res 2009;20:1293-98.
• Geckili O, Bilhan H, Bilgin T. Impact of mandibular two-implant retained overdentures on life quality in a group of elderly Turkish edentulous patients. Arch Gerontol Geriatr 2011;53:233-36.
• Balaguer J, Garcia B, Penarrocha M, Penarrocha M. Satisfaction of patients fitted with implant-retained overdentures. Med Oral Patol Oral Cir Bucal 2011;16:E204-E09.
• Assuncao WG, Barao VAR, Delben JA, Gomes EA, Tabata LF. A comparison of patient satisfaction between treatment with conventional complete dentures and overdentures in the elderly: a literature review. Gerodontology 2010;27:154-62.
• Troeltzsch M, Troeltzsch V, Brodine AH, et al. Clinical Performance and Peri-implant Parameters of 132 Implants Supporting Locator-Retained Overdentures: A Case Series of 33 Patients. Int J Oral Maxillofac Implants 2013;28:1132-39.
• Elsyad MA, Elsaih EA, Khairallah AS. Marginal bone resorption around immediate and delayed loaded implants supporting a locator-retained mandibular overdenture. A 1-year randomised controlled trial. J Oral Rehabil 2014;41:608-18.
• Cakarer S, Can T, Yaltirik M, Keskin C. Complications associated with the ball, bar and Locator attachments for implant-supported overdentures. Med Oral Patol Oral Cir Bucal 2011;16:C953-C59.
• Kleis WK, Kammerer PW, Hartmann S, Al-Nawas B, Wagner W. A Comparison of Three Different Attachment Systems for Mandibular Two-Implant Overdentures: One-Year Report. Clin Implant Dent Relat Res 2010;12:209-18.
• Turkyilmaz I. Clinical and radiological results of patients treated with two loading protocols for mandibular overdentures on Branemark implants. J Clin Periodontol 2006;33:233-38.
• Geckili O, Mumcu E, Bilhan H. The Effect of Maximum Bite Force, Implant Number, and Attachment Type on Marginal Bone Loss around Implants Supporting Mandibular Overdentures: A Retrospective Study. Clin Implant Dent Relat Res 2012;14:e91-e97.
• Ma SY, Tawse-Smith A, Thomson WM, Payne AGT. Marginal Bone Loss with Mandibular Two-Implant Overdentures Using Different Loading Protocols and Attachment Systems: 10-Year Outcomes. Int J Prosthodont 2010;23:321-32.
• Hobkirk JA, Abdel-Latif HH, Howlett J, Welfare R, Moles DR. Prosthetic Treatment Time and Satisfaction of Edentulous Patients Treated with Conventional or Implant-Stabilized Complete Mandibular Dentures: A Case-Control Study (Part 2). Int J Prosthodont 2009;22:13-19.
• Payne AGT, Tawse-Smith A, Duncan WD, Kumara R. Conventional and early loading of unsplinted ITI implants supporting mandibular overdentures - Two-year results of a prospective randomized clinical trial. Clin Oral Implants Res 2002;13:603-09.
• Meijer HJA, Raghoebar GM, Batenburg RHK, Visser A, Vissink A. Mandibular overdentures supported by two or four endosseous implants: a 10-year clinical trial. Clin Oral Implants Res 2009;20:722-28.