Evaluation of Demographic and Clinical Characteristics of Dental Implant Applications

Öz

Aim:Dental implant application is a successful treatment for single or multiple tooth missing. The aim of this study was to investigate the demographic and clinical conditions of the patients who underwent implant surgery retrospectively. Materials and Methods:In this retrospective study, a total of 1651 dental implants (514 patients aged between 18-79 years and administered to Inönü University, Faculty of Dentistry, Department of Periondotology between March 2016 and December 2018) were evaluated. Patient’s age, gender, systemic health, condition of edentulous, time of loading, additional surgical procedures, areas where implant was applied, type of retoration after treatment and various characteristics of implants such as size, brand and type were examined retrospectively. Results:55.3% of patients (n=284) were female and 44.7%(n=230) were male. The highest number of patients constituted the 40-49 age group with 29.8%(n=153). The most frequently implanted tooth was mandibular 1.molar. 15,16,25,35,36,37,46,47 teeth were preferred in the 40-49 age group (p<0.05). The number of implants performed on teeth 16 and 43 in females was higher than males(p<0.05). It was found that the most implanted area was the posterior mandible. Augmentation was performed in 18% of implant applications and it was found that 9-12mm long implants were used most frequently. Bridge restoration was the most common implant prosthesis and most of the restorations were performed according to the late loading protocol. Conclusion:Implant supported prosthesis is a successful, effective and predictable treatment for the replacement of missing teeth. Retrospective evaluation of the properties of implants for clinical applications is very valuable in guiding dentists.

Anahtar Kelimeler

• dental implant
• edentulous
• implant-supported dental prosthesis
• success

Dental İmplant Uygulamalarının Demografik ve Klinik Özelliklerinin Değerlendirilmesi

Öz

Amaç: Dental implant uygulamaları, çoklu veya tek diş kayıplarında sık olarak uygulanmakta olan yüksek başarı oranlarına sahip bir tedavi yöntemidir. Bu çalışmanın amacı, kliniğimizde dental implant cerrahisi uygulanan hastaların demografik ve klinik durumlarını ve yerleştirilen implantların özelliklerini retrospektif olarak incelemektir. Gereç ve Yöntemler: Bu retrospektif çalışmada 2016 Mart ayı ile 2018 Aralık ayı tarihleri arasında İnönü Üniversitesi Diş Hekimliği Fakültesi Periondotoloji anabilim dalına implant tedavisi için başvuran, yaşları 18-79 arasında değişen toplam 514 hastaya uygulanan 1651 implant değerlendirildi. Hastaların yaş, cinsiyet, sistemik durumu, dişsizlik durumu, yükleme zamanı, ek cerrahi işlemler, implant uygulanan bölgeler, tedavi sonrası restorasyon tipi ve yerleştirilen implantların boyut, marka ve tip gibi çeşitli özellikleri retrospektif olarak incelendi. Bulgular: Hastaların, %55,3’ü (n=284) kadın, %44,7’si (n=230) ise erkekti. En yüksek hasta sayısını, %29,8 (n=153) ile 40-49 yaş grubu oluşturmuştur. En sık implant uygulanan diş bölgesinin mandibular 1.molar diş olduğu bulunmuştur. 40-49 yaş grubunda 15, 16, 25, 35, 36, 37, 46, 47 numaralı diş bölgelerine implant yapılması istatistiksel olarak anlamlıdır (p<0,05). Kadınlarda sağ üst 1.molar ve sağ alt kanin dişlerine yapılan implant sayısının erkeklerden yüksek bulunmuştur (p<0,05). En fazla implant uygulanan bölgenin posterior mandibula olduğu saptanmıştır. İmplant uygulamalarının %18’inde augmentasyon yapılmış olup en sık 9-12 mm uzunluğunda implantların kullanıldığı saptanmıştır. İmplant üstü protez olarak en sık köprü uygulaması yapılmış ve restorasyonların çoğu geç yükleme protokolüne göre yapılmıştır. Sonuç: İmplant destekli protezler, kayıp dişlerin yerine konması amacıyla kullanılacak başarılı, etkili ve sonuçları tahmin edilebilir bir tedavi şeklidir. İmplantların klinik uygulamalarına ait özelliklerinin retrospektif olarak değerlendirilmesi hekimlere yol göstermesi açısından oldukça değerlidir.

Anahtar Kelimeler

• başarı
• dental implant
• dişsizlik
• implant destekli protez

Kaynakça

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