İMPLANT DESTEKLİ PROTEZLER, KOMPLİKASYONLAR VE İMPLANT KAYIPLARI: 24 AYLIK KLİNİK SONUÇLAR

Year 2012, Volume: 46 Issue: 2, 40 - 46, 04.09.2012

Hakan Bilhan Hakan Bilhan Canan Bural Altuğ Çilingir Altuğ Çilingir Onur Geçkili Onur Geçkili

Abstract

Amaç: Bu retrospektif çalışmada implant destekli sabit ve hareketli protezlerde protetik komplikasyonlar
ve implant kayıpları değerlendirilmiştir.
Gereç ve Yöntem: Çalışmada 89 hastaya 278 dental implant yerleştirilmiştir. Hareketli protez
dayanağı olarak 148 adet, sabit restorasyon dayanağı olarak 130 adet dental implant üzerine hazırlanan
implant destekli protezlerde yüklemeden itibaren 6., 12. ve 24. aydaki komplikasyonlar değerlendirilmiştir.
Verilerin istatistiksel değerlendirilmesinde Ki-Kare, Fisher's Exact Ki-Kare ve Mc Nemar
testleri kullanılmıştır (p < 0.05).
Bulgular: Dental implant kayıpları implantasyondan sonra ilk 6 ay içinde gerçekleşmiştir. İmp¬
lant kayıplarının %66'sı yükleme öncesinde, %34'ü ise yüklemeden sonra gerçekleşmiştir. Hareketli
protezlerde 6., 12. ve 24. ayda giderek artan komplikasyon oranları arasında anlamlı farklılıklar be¬
lirlenirken (p < 0.05); sabit protezlerde bu farklılıklar anlamlı değildir (p > 0.05). Genel olarak, 24 aylık
takip süresinde sabit protezlerde en sık vida gevşemesi görülürken; hareketli protezlerde ise astarlama
işlemi gereksinimine en sık rastlanmıştır.
Sonuç: İmplant destekli hareketli protezlerle tedavi planlamasında hastaların önceden aydınlatılması
ve tedavi tamamlandıktan sonra protezlerin rutin olarak kontrolü önem taşımaktadır.

Keywords

İmplant komplikasyonları, vida gevşemesi, implant kaybı, protetik kompli­kasyonlar, tutuculuk kaybı

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