ALVEOLER YARIK ONARIMINDA TERSİYER GREFTLEMENİN VOLÜMETRİK ANALİZ YÖNTEMİYLE DEĞERLENDİRİLMESİ

Year 2018, Volume: 25 Issue: 1, 33 - 41, 01.03.2018

Nesrin Saruhan , Ümit Ertaş

https://doi.org/10.17343/sdutfd.315069

Abstract

Amaç:
Bu
çalışmanın amacı, alveoler yarık onarımında anterior iliak krestten alınan kortikokansellöz
kemik greftiyle tersiyer greftlemenin volümetrik analiz yöntemiyle
değerlendirilmesidir. Gereç ve yöntem: Bu
çalışmada; 7’sinde tek taraflı, 4’ünde çift taraflı alveol yarığı bulunan 11
hastanın anterior iliak krestten alınan kortikokansellöz kemik greftiyle
tedavisi yapıldı. Hastaların hepsinde tersiyer greftleme yapıldı. Preoperatif
ve postoperatif 6 ay sonunda konik ışınlı bilgisayarlı tomografi alındı.
Preoperatif alveoler yarık hacmi ve postoperatif elde edilen yeni kemik hacmi Mimics
yazılımı kullanılarak volümetrik olarak hesaplandı. Bulgular: Preoperatif alveoler yarık hacmi 0.83-2.15 cm³
(ortalama 1.16±0.38 cm³), postoperatif elde edilen yeni kemik hacmi %63.49-%75.84
(ortalama %70.12±%4.76) olarak bulunmuştur. Sonuç: Alveoler yarık onarımında tersiyer greftleme postoperatif
elde edilen yeni kemik hacmi açısından başarı bulunmuştur.

Keywords

Alveol yarığı, iliak kemik grefti, tersiyer greftleme, volümetrik analiz

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