CLINICAL EVALUATION OF PATIENTS TREATED WITH DENTAL IMPLANTS

Öz

Objective: The present article describes the preliminary results of a short-term follow up retrospective study of 255 dental implants that were consecutively implanted in 75 patients. Material and Methods: Two-hundred and fifty-five consecutive Astra implants were performed on seventy-five patients. The implants used between 2010 and 2012 and the constructed restorations were retrospectively analyzed. Results: The implants were followed up at least 2 years. 139 implants were placed in the maxilla and 116 were in the mandible. The success rate of the implants was (%99.6) as one of the implants were failed in the first year after insertion. The prosthetic restorations were fixed partial denture (196 implants), single crown (49) and lower complete overdenture (5). Within the evaluation period five desimantation and six retentive screw loosening determined among all prosthetic restorations. Conclusion: This short-term follow up report has shown that the success rate of Astra implants is similar to the success rate reported other clinical studies. However, long-term follow up is required to verify more precise success rates.

Anahtar Kelimeler

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DENTAL İMPLANTLAR İLE TEDAVİ EDİLEN HASTALARIN KLİNİK OLARAK DEĞERLENDİRİLMESİ

Öz

Amaç: Bu çalışmanın amacı 75 hastaya yer¬leştirilen ve kısa dönemde incelenen 255 adet dental implantın (Astra TECH, Dentsply, A.B.D.) erken dönem sonuçlarını göstermektir. Gereç ve Yöntemler. 2010-2012 yılları arasında yetmiş beş hastaya uy¬gulanan 255 adet OsseoSpeed Astra implant ve protelik restorasyonlar geriye dönük olarak incelendi. Bulgular: İmplantlar en az 2 yıl takip edildi. 139 implant maksillaya ve 116 implant da mandibulaya yerleştirildi, implant cerrahisini takiben 2 hafta içerisinde 1 adet implant kaybedildi. Yerleştirilen implantların iki yıllık başarı yüzdesi %99.6 olarak belirlendi. Protetik restorasyonlar sabit köprü (196 implant), tek kron (49) ve mandibulada implant destek¬li hareketli protez (5) olarak uygulandı. Uygulanan protetik restorasyonlarda değerlen¬dirme süresi içinde beş adet implant üstü kronda desimantasyon ve altı adet tutucu vidada gevşeme tespit edildi. Sonuç: Çalışmamızın erten dönemleri sonuçları, Astra implant sistem¬leriyle yapılan diğer çalışmaların sonuçlarıyla uyum sağlamaktadır. Ancak, daha doğru başarı oranını belirlemek için uzun dönemli takip gerekmektedir.

Anahtar Kelimeler

• Dental İmplant, İmplant Destekli Protezler, Başarı Oranı

Kaynakça

1. Shafie H.R. Clinical & Laboratory Manual of Implant Overdentures. 2007;1-3.
2. The Glossary of Prosthetic Terms. J Prosthet Dent 1999,81:39- 110.
3. Carlsson GE, Lindquist LW. Ten-year longitudinal study of masticatory Junction in edentulous patients treated with fixed complete dentures on osseointegrated implants. Int ] Prosthodont 1994;7(5):448-453.
4. Branemark PI. Introduction to osseointegration. Tissue- Integrated Prostheses. Chicago, IL Quintessence 1985:11-76.
5. El Askary AS, Meffert RM. Griffin T. Why do dental implants fail? Pan I. Implant Dent 1999;8:173-185.
6. Buser D, Weber HP, Bragger V, Balsiger C. Tissue integration of one-stage implants: three-year results of a prospective longitudinal study with hollow cylinder and hollow screw implants. Quintessence Int 1994;25:679-686.
7. Zarb GA, Schmitt A. The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part I: Surgical results. J Prosthet Dent 1990;63(4):451-457.
8. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac. Implants 1986;1:11-25.

9. Adell R, Eriksson B, Lefeholm J, Br&nemark Pl.Jemt T. Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants 1990;5(4):347-359.
10. Albrektsson T, Zarb GA. The Branemark Osseointegrated Implant. Quisntessence Pub 1989;25-32.
11. Lemmerman KJ, Lemmerman NE Osseointegrated dental implants in private practice: a long-term case series study. J Periodontol 2005, 76Q):310-9.
12. Berglundh T, Persson L, Klinge B. A systemic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin. Periodontol 2002;29(2):197-212
13. Wennstrdm JL, Ekestubbe A.Grdndahl K, Karlsson S, Lindhe J. Implant supported single tooth restorations: a 5 year prospective study. J Clin Periodontol 2005;32(6):567-574.
14. Kemppainen P, Eskola S, Ylipaavalniemi P. A comparative prospective clinical study of two single-tooth implants: a preliminary report of 102 implants. J Prosthet Dent 1997;77(4):382-387.
15. Fugazzotto PA, Vlassis J, Butler B. ITI implant use in private practice: clinical results with 5,526 implants followed up to 72+ months in function. Int ] Oral Maxillofac Implants 2004;19(3):408-412.
16. Romeo E, Lops D, Margutti E, Ghisolfi M, Chiapasco M, Vogel G. Longterm survival and success of oral implants in the treatment of full and partial arches: a 7- year prospective study with the ITI dental implant system. Int J Oral Maxillofac Implants 2004;19(2):247-259.
17. Blanes RJ, Bernard JP, Blanes ZM, Belser L/C. A 10-year prospective study of ITI dental implants placed in the posterior region. I: Clinical and radiographic results. Clin Oral Implants Res 2007;18(6):699-706.
18. Jebreen SE, Khraisat A. Multicenter retrospective study of ITI implant-supported posterior partial prosthesis in Jordan. Clin Implant Dent Relat Res 2007;9(2):89-93.
19. Cardaropoli G, Lekholm U, Wennstrdm JL. Tissue alterations at implant-supported single-tooth replacements: a 1-year prospective clinical study. Clin Oral Implants Res 2006:17(2):165-171.
20. Goodacre CJ, Bernal GB, Rungcharassaeng K. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003;90:121-132.
21. Geertman ME, van Waas MA, van’t HoJ MA, Kalk W. Denture satisfaction in a comparative study of implant-retained mandibular overdentures: a randomized clinical trial. Int J Oral Maxillojac Implants 1996;11(2):194-200.
22. Misch CE; Dental Implant Prosthetics: Occlusal Considerations for Implant-Supported Prostheses: Implant- Protected Occlusion Mosby Co. St. Louis 2005;472-511.
23. Jemt T, Book K, Linden, Urde G. Failures and complications in 92 consecutively inserted overdentures supported by Branemark implants in severely resorbed edentulous maxillae: a study from prosthetic treatment to first annual check-up. Int J Oral Maxillofac Implants 1992;7:162-167.
24. Zarb G. A., Hobkirk J., Eckert S., Jacob R. Prosthodontic treatment for edentulous patients: Complete dentures and Implant-supported prostheses. Elsevier, Mosby ISBN: 978-0- 323-07844-3 2013;8-43