MAKSİLLER DEFEKTLERDE DENTAL İMPLANT UYGULAMALARI VE YAŞAM KALİTESİNE OLAN ETKİSİ : LİTERATÜR DERLEMESİ

Yıl 2022, Cilt: 9 Sayı: 1, 315 - 325, 27.04.2022

Nurcan Kaya , Serdar Kılıç

https://doi.org/10.15311/selcukdentj.928026

Öz

Maksillektomi uygulanan hastalar estetik, fonksiyonel, psikolojik ve sosyal açıdan birçok sorunla karşı karşıya kalırlar ve bu hastaların tedavisi oldukça zor ve zahmetlidir. Karşılaşılan problemlerin çok faktörlü olmasına bağlı olarak defekt bölgesinin rehabilitasyonu için çeşitli tedavi alternatifleri mevcuttur. Son yıllarda standart, zigomatik ve mini dental implantların kullanımı geniş maksiller defekte sahip hastalarda giderek yaygınlaşmaktadır. Defekt bölgesindeki kemik dokuya uygulanan dental implantlar ile destek dişlere gelen yükler azaltılıp karşıt ark stabilizasyonu sağlanarak yer değiştirici kuvvetlere karşı etkili bir direnç elde edilebildiği ve bu tip protetik rehabilitasyonun sağladığı retansiyon ve stabilite ile hastalarda psikososyal hayatın olumlu etkilenmesiyle birlikte yaşam kalitesinin arttığı bilinmektedir. Bununla beraber maksiller defektlerin çeşitliliğine bağlı olarak hastaların öznel faktörler doğrultusunda kişisel talep ve beklentileri de farklılık göstermektedir. Dolayısıyla maksiller defekt hastalarının karşılaştıkları problemlerin önem derecesi, tercih edilecek tedavi yöntemine yön verebilmektedir. Bu doğrultuda maksiller defektin rekonstrüksiyon ve/veya rehabilitasyonu sonrasında uygulanan protetik tedavinin başarısı hasta memnuniyetini ve dolayısıyla yaşam kalitesini doğrudan etkilemektedir. Bu literatür derlemesinde maksiller defekte sahip hastalarda dental implant destekli protezlerin yaşam kalitesine olan etkisi incelenmektedir.

Anahtar Kelimeler

Maksiller Defekt, İmplant Destekli Protez, Obturatör, Yaşam Kalitesi

DENTAL IMPLANT APPLICATIONS IN MAXILLARY DEFECTS AND ITS EFFECT OF QUALITY OF LIFE : LITERATURE COMPILATION

Öz

Patients with maxillary defect have many aesthetic, functional, psychological and social problems, and the treatment of these patients is very difficult and demanding. Depending on the multifactorial problems encountered, various treatment alternatives are available for the rehabilitation of the defect area. In recent years, the use of standard, zygomatic and mini dental implants have become increasingly common in patients with large maxillary defects. With dental implants applied to the bone tissue in the defect area, it is known that an effective resistance against displacement forces can be achieved by reducing the loads on the supporting teeth and providing counter arc stabilization, and with the retention and stability provided by this type of prosthetic rehabilitation, the quality of life increases with the positive effect of psychosocial life in patients. However, depending on the many types of maxillary defects, the personal demands and expectations of the patients in line with subjective factors also differ. Therefore, the importance of the problems of patients with maxillary defect can direct the treatment method to be preferred. In this direction, the success of the prosthetic treatment applied after the reconstruction and / or rehabilitation of the maxillary defect directly affects the patient satisfaction and thus the quality of life. In this review of the literature, the effect of dental implant-supported prostheses on quality of life in patients with maxillary defects is examined.

Anahtar Kelimeler

Obturator, Implant Supported Prosthesis, Quality of Life, Maxillary Defect

Kaynakça

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