FARKLI TUTUCU SİSTEMLERİNE SAHİP İMPLANT DESTEKLİ PARMAK PROTEZLERİ: 4 OLGU SUNUMU

Yıl 2022, Cilt: 8 Sayı: 1, 24 - 28, 21.11.2022

Seçil Karakoca Nemli , Bilge Turhan Bal , Merve Bankoğlu Güngör , Ceyda Başak İnal

Öz

Konjenital veya travmaya bağlı parmak kaybında cerrahi tedavinin başarısız olduğu veya kontrendike olduğu vakalar parmak protezleri ile tedavi edilebilmektedir. Parmak protezleri geride kalan parmak dokusunun yeterli olduğu durumlarda kemik içine yerleştirilen implantlardan destek alabilmektedir. İmplant destekli protezler hastaya estetik ve psikolojik desteğin yanında kavrama fonksiyonu ve bir miktar dokunma hissi de kazandırmaktadır. Protezlerin implant dayanağına bağlanması sırasında kullanılabilecek çeşitli tutucu sistemleri bulunmaktadır. Bu olgu sunumu, implant destekli parmak protezlerinde kullanılabilecek 4 farklı tutucu sistemini incelemeyi amaçlamaktadır. Protezlere retansiyon sağlamak için döküm metal teleskobik tutucu, zirkonya teleskobik tutucu, hassas tutucu ve manyetik tutuculu silikon protezler hazırlanmıştır. Kontrol seanslarında implantlar stabil ve kemik doku normal trabeküler yapıda gözlenmiştir. Hastalar estetik olarak memnun kalmışlardır. En uygun tutucu tipinin hangisi olduğu konusunda fikir birliği bulunmamaktadır ancak bu olgu sunumunda anlatılan tüm tutucu tiplerinde gerekli retansiyon sağlanmıştır. İmplant destekli parmak protezleri, estetik ve fonksiyon sağlamak amacıyla ampute parmaklarda iyi bir tedavi seçeneğidir.

Anahtar Kelimeler

Ampütasyon, dental implant, silikon, hassas tutucu, zirkonyum

IMPLANT-RETAINED FINGER PROSTHESES WITH DIFFERENT ATTACHMENT SYSTEMS: REPORT of 4 CASES

Öz

The loss of fingers due to congenital deficiencies can be treated with a finger prostheses where surgical treatments failed or contraindicated. Finger prostheses can be supported by implants placed into bone where the stump is sufficient. Implant-retained finger prostheses provide some tactile sensation and grasping ability to the patient in addition to the aesthetic and psychological support. There are several attachment systems that can be used to unit the prostheses and implants. Aim of this study is to evaluate the 4 different attachment systems used in implant retained finger prosthesis. Implants were placed into residual bone structures using two-stage surgical procedure. After osseointegration of implants, impressions of implants and stumps were taken. Four different attachments including magnetic attachment, metal telescopic attachment, zirconia telescopic attachment, and dental precision attachment were applied to patients for retention of prosthesis. Silicone prostheses were fabricated and delivered to the patients. Treatment outcomes of different attachment types were observed during patient recalls. The implants are stable in follow-up appointment and the bone tissue has normal trabecular structure. Patients were esthetically satisfied. The adequate retention is provided in all attachment types. While telescopic and precision attachments have more retention, magnetic attachments provide ease of use. Advantages of implant-retained finger prostheses including restoration of the natural appearance of the hand and providing some tactile sensation are well known. The choice of the optimal attachment for the finger prosthesis is not clear. Reconstruction of fingers with implant-supported prosthesis is a viable option for amputed fingers by providing aesthetic and functional improvements.

Anahtar Kelimeler

Amputation, dental implant, silicone, denture precision attachment, zirconium

Kaynakça

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