Implant etrafı defektlerin kapatılmasında bistüri tekniğiyle elde edilen otojen kemik tabakaları güvenilir mi?

Yıl 2020, Cilt: 7 Sayı: 1, 34 - 38, 01.04.2020

Burak Bayram

https://doi.org/10.15311/selcukdentj.519320

Öz

Amaç: 

Bu çalışmanın amacı, keskin bir busturi yardımıyla en yakın kemik kaynağından dental implantların etrafındaki dehisens ve fenestrasyon defektinin kapatılmasındaki basit bir tekniği ve bunun klinik sonuçlarının analizini sunmaktır.

Gereç ve Yöntemler:

Aynı cerrah tarafından 750 vidalı dental implant yerleştirildi. İmplantların 112 sinde dehiscence tarzında defekt ve 23'ünde ise (% 3) fenestrasyon tarzında defekt bulunuyordu. 

15 nolu bustüri kullanılarak en yakın kortikal kemikten elde edilen kemik tabaka implant etrafındaki defecktleri kapatmak için kullanıldı. Sağ kalım oranları değerlendirildi.

Bulgular: 

135 adet implantın açıkta kalan yüzeyi, bustüri tekniği kullanılarak alınan otojen kemik ile kapatlmıştır. İmplantlar klinik bir bulgu göstermemiş ve sağkalım oranı% 100 dur.

Sonuç: 

Dental implantların dehisens veya fenestrasyon defektlerinin tedavisinde kullanılan bustüri tekniği kolay, etkili ve güvenilirdir.

Anahtar Kelimeler

otojen kemik grefti, dental implant etrafı defektler, dental implantlar

Is Autogenous cortical bone sheet reliable for the management of defects around dental implants by using scalpel technique?

Öz

Background: The aim of this study is to present a very easy technique for coverage of dehiscence and fenestration defects around the dental implantsfrom the nearest bone source by using a sharp scalpel and the analysis of its clinical results.

Materials and Methods:750 screw dental implants were inserted by the same surgeon. Exactly 112 of the (15%) implants had dehiscence defects and 23 of them (3 %) had fenestration defects. A bone sheet was obtained from the nearest available cortical bone for covering a bone defect around an implant by using a new no: 15 scalpel. Survival rates of implants were evaluated.

Results:One hundred and thirty-five exposed implant surfaces were augmented with autogenous bone, harvested by scalpel technique. The survival rate of these implants was 100% with no significant clinical finding.

Conclusion:The scalpel technique described in the present study is easy, effective and reliable for the management of dehiscence or fenestration defects of dental implants.

Key words: Autogenous bone grafting, defects around dental implants, dental implants

Anahtar Kelimeler

Autogenous bone grafting, defects around dental implants, dental implants

Kaynakça

• REFERENCES1. Schwarz F, Herten M, Ferrari D, Wieland M, Schmitz L, Engelhardt E, Becker J. Guided bone regeneration at dehiscence-type defects using biphasic hydroxyapatite + beta tricalcium phosphate (Bone Ceramic) or a collagen-coated natural bone mineral (BioOss Collagen): an immunohistochemical study in dogs. Int J Oral Maxillofac Surg 2007;36:1198-206.2. Kawai T, Matsui K, Ezoe Y, Kajii F, Suzuki O, Takahashi T, Kamakura S. Efficacy of Octacalcium Phosphate Collagen Composite for Titanium Dental Implants in Dogs Materials 2018;2:11.3. Haga-Tsujimura M, Nakahara K, Kobayashi E, Igarashi K, Schaller B, Saulacic N.Single-staged implant placement using bone ring technique with and without membrane placement: An experimental study in the Beagle dog. Clin Oral Implants Res 2018;29:263-276.4. Moses O, Pitaru S, Artzi Z, Nemcovsky CE. Healing of dehiscence-type defects in implants placed together with different barrier membranes: a comparative clinical study. Clinical Oral Implants Research 2005;16:210-9.5. Peng W, Kim IK, Cho HY, Seo JH, Lee DH, Jang JM, Park SH. The healing effect of platelet-rich plasma on xenograft in peri-implant bone defects in rabbits. Maxillofac Plast Reconstr Surg. 2016;24:38:16.6. Abushahba F, Renvert S, Polyzois I, Claffey N. Effect of grafting materials on osseointegration of dental implants surrounded by circumferential bone defects. An experimental study in the dog. Clin Oral Implants Res 2008;19:329-34. 7. Janner SFM, Bosshardt DD, Cochran DL, Chappuis V, Huynh-Ba G, Jones AA, Buser D. The influence of collagen membrane and autogenous bone chips on bone augmentation in the anterior maxilla: a preclinical study. Clin Oral Implants Res 2017;28:1368-1380.8. Widmark G, Ivanoff CJ. Augmentation of exposed implant threads with autogenous bone chips: prospective study. Clin Oral Implants Res 2000;2:178-83.9. Mayfield L, Nobreus N, Attstorm R, Linde A. Guided bone regeneration in dental implant treatment using bioabsorbable membrane. Clin Oral Implants Res 1997;8:10-7.10. Simion M, Misitano U, Gionso L, Salvato A. Treatment of dehiscences and fenestrations around dental implants using resorbable and non resorbable membranes associated with bone autografts: a comparative clinical study. Int J Oral Maxillofac Implants 1997;12:159-67.11. Jung RE, Herzog M, Wolleb K, Ramel CF, Thoma DS, Hämmerle CH. A randomized controlled clinical trial comparing small buccal dehiscence defects around dental implants treated with guided bone regeneration or left for spontaneous healing. Clin Oral Implants Res. 2017;28:348-354.12. Schwarz F, Herten M, Sager M, Wieland M, Dard M, Becker J. Histological and immunohistochemical analysis of initial and early osseous integration at chemically modified and conventional SLA titanium implants: preliminary results of a pilot study in dogs. Clin Oral Implants Res 2007;18:481-8.