Retrospective Radiographic Evaluation of Implant Complications: CBCT-Based Study

Yıl 2024, Sayı: 3, 9 - 17, 15.10.2024

Didem Dumanlı , Çiğdem Şeker , Gediz Geduk

https://doi.org/10.51122/neudentj.2024.110

Öz

Aim: Dental implants are a popular treatment option for patients with one or more missing teeth. With the increase in dental implant treatments, the complications encountered have increased. Therefore, it is very important to plan the implant by evaluating the anatomy of the area where the implant will be placed in three dimensions with cone beam computed tomography (CBCT). The aim of this study is to evaluate the prevalence of implant complications seen in CBCT after implant applications.
Material and Methods: CBCT images of 500 patients obtained for different dental reasons were examined; among these, 300 dental implant images were evaluated retrospectively in terms of complications. The number, location and type of identified complications (perforation in the maxillary sinus, mandibular canal, cortical bone, nasal cavity, and mental canal; contact with the adjacent tooth root) were recorded. The data obtained were analyzed statistically using chi-square tests.
Results: At least one complication was detected in 65% of the 300 dental implants evaluated. A total of 272 complications (1,4 complications per implant) were observed in 195 dental implants with complications. The number of implants with complications per patient was found to be 3,9. The most observed complication was found to be vertical bone resorption around the implant (45%). Complications were most frequently detected in the maxillary posterior region (40%).
Conclusion: Three-dimensional CBCT evaluation of the area where the implant will be applied before and after treatment is very important to prevent possible complications.

Anahtar Kelimeler

implant, complication, cortical bone, maxillary sinus

İmplant Komplikasyonlarının Retrospektif Olarak Radyografik Değerlendirilmesi: KIBT Tabanlı Çalışma

Öz

Amaç: Dental implantlar, bir veya daha fazla diş eksikliği olan hastalar için popüler bir tedavi seçeneğidir. Dental implant tedavilerinin artmasıyla birlikte karşılaşılan komplikasyonlarda artmıştır. Bu yüzden implantın yerleştirileceği bölgenin anatomisini üç boyutlu olarak konik ışınlı bilgisayarlı tomografi (KIBT) ile değerlendirerek implant planlaması yapmak çok önemlidir. Bu çalışmanın amacı, implant uygulamaları sonrası KIBT’da görülen implant komplikasyonlarının prevalansının değerlendirilmesidir.
Gereç ve Yöntemler: Farklı dental nedenlerden dolayı elde edilmiş 500 hastaya ait KIBT görüntüleri incelendi; bunların içinden 300 dental implant tespit edilen görüntüler komplikasyonlar açısından retrospektif olarak değerlendirildi. Belirlenen komplikasyonların sayısı, lokalizasyonu ve tipi (maksiller sinüs, mandibular kanal, kortikal kemik, nazal kavite, ve mental kanalda perforasyon; komşu diş kökü ile temas) kaydedildi. Elde edilen veriler ki-kare testleriyle istatistiksel olarak analiz edildi.
Bulgular: Değerlendirilen 300 dental implantın % 65’inde en az bir komplikasyon tespit edildi. Komplikasyonlu 195 dental implantta toplam 272 komplikasyon (implant başına 1,4 komplikasyon) gözlendi. Hasta başına düşen komplikasyonlu implant sayısı 3,9 olarak bulundu. En fazla gözlenen komplikasyon implant çevresindeki vertikal kemik rezorpsiyonu (%45) olarak bulundu . En sık maksiller posterior bölgede (%40) komplikasyon tespit edildi.
Sonuç: İmplantın uygulanacağı bölgenin KIBT ile üç boyutlu olarak tedavi öncesi ve sonrası değerlendirilmesi meydana gelebilecek komplikasyonların önlenmesi açısından çok önemlidir.

Anahtar Kelimeler

implant, komplikasyon, kortikal kemik, maksiller sinüs

Kaynakça

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