Çocuklarda İmplant Uygulamaları ve Büyüme-Gelişim Faktörü

Yıl 2021, Cilt: 8 Sayı: 1, 272 - 279, 30.04.2021

Emre Bakır Nurhan Oztas

https://doi.org/10.15311/selcukdentj.692495

Öz

Öz
Çocuk hastalarda konjenital parsiyel dişsizlik ve travmaya. bağlı diş kayıpları oldukça sık gözlenir. Birçok vaka da bu diş kayıpları çocukların. iskeletsel ve dişsel büyüme ve gelişimleri tamamlanmadan gerçekleşmektedir. Hareketli parsiyel protezler bu tür vakalarda en çok tercih edilen tedavi seçeneğidir ancak bu protezler çürük oluşumunun artmasına, periodontal komplikasyonlara ve alveoler. kemik kayıplarına neden olabilmektedir. Hareketli parsiyel protezlerin kullanımındaki bazı zorluklar. nedeniyle de aileler ve çocuk hastalar implant uygulamaları ile sabit protez kullanımına bir an önce başlamak istemektedirler. Çocuklarda ve adölasanlarda implant uygulamalarına karar vermek için en önemli faktör hastanın büyüme. gelişiminin hangi periyodunda olduğunun belirlenmesidir. İmplant uygulamalarında uygulanacak implantın lokasyonu, hastanın yaşı, cinsiyeti, hastanın iskeletsel büyüme ve gelişiminin hangi aşamasında olduğu en önemli faktörlerdir. Bazı ektodermal displazi. (ED) hastaları hariç implant uygulaması için büyüme ve gelişimin tamamlanması gerektiği önerilmektedir. Çocuk diş hekimleri olarak diş eksikliği şikayeti ile başvuran hastaların çene büyüme ve gelişimini. doğru analiz etmek ve hastalara en fonksiyonel, en estetik tedaviyi uygulayabilmek için cerrahi branşlarla koordine olarak hangi bölgelere, nasıl implantlar uygulanabileceğine karar verebilecek bilgi düzeyine sahip olmamız gerekmektedir. Çocuk hastalar da büyüme gelişim devam ettiği için implant uygulamalarından sonra implantın çene kemikleri ve periodontal doku ile olan uyumunun nasıl devam edeceği her zaman öngörülemeyebilir. Bu nedenle çocuk hastaların düzenli olarak kontrole çağırılarak, protezlerin çene büyüme ve gelişimine uyumunun ve implantların bakımını yeterince yapıp yapmadığının kontrol edilmesi implant uygulamalarının başarısında önemli bir faktördür.
Abstract
Congenital partial toothlessness. and traumatic tooth loss are frequently observed in pediatric patients. In many cases, these tooth losses occur before the skeletal and dental growth and development of children are completed. Removable partial dentures are the most preferred treatment option in such cases, but these. can cause increased caries formation, periodontal complications and alveolar bone loss. Due to some difficulties in the use of removable partial dentures, families and pediatric patients. want to start using fixed implants as soon as possible with implant applications. The most important factor to decide implant applications in children and adolescents is to. determine the period of growth of the patient. In addition, in implant applications, the location of the implant to be applied, the age and gender of the patient must be evaluated. It is suggested. that growth and development should be completed for implant application, except for some patients with ectodermal dysplasia (ED). As pediatric dentists, we need to have the level of knowledge to determine which regions and how to apply implants in coordination with surgical branches in order to correctly analyze the jaw growth and development of patients presenting with dental deficiency and to apply the most functional and aesthetic treatment to patients. As growth in the pediatric patients continues, how the implant's compliance with the jaw bones and periodontal tissue will continue is not always predicted after implant applications. For this reason, it is an important. factor in the success of the implant applications by calling the pediatric patients regularly to check the compliance of the prostheses to the growth and development of the jaw and whether the implants are adequately maintained.

Anahtar Kelimeler

büyüme-gelişme, implant, çocuk diş hekimliği

Kaynakça

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