Sabit Protetik Restorasyonlarda Marjinal Adaptasyonun In Vitro Ölçüm Yöntemleri

Yıl 2023, , 288 - 293, 26.01.2024

Ferruh Semir Smail , Emir Yüzbaşıoğlu

https://doi.org/10.58711/turkishjdentres.vi.1351881

Öz

Hastalara uygulanan sabit restorasyonların temel amacı, hastanın oral dokularına zarar vermeden, eksik dokuların; fonksiyonunu, fonasyonunu ve estetiğini sağlamaktır. Sabit protezlerdeki temel başarı kriterlerinden biri marjinal uyumdur. Marjinal uyumun kabul edilebilir olması, restorasyonun klinik
başarısını direkt olarak artırmaktadır. Uyumun ideal olmadığı restorasyonlarda dental plak birikimi oluşmakta, bağlantıyı sağlayan siman çözülmekte ve mikro sızıntılar meydana gelmektedir. Bu durum sonucunda destek dişlerin periodontal dokuları hasar görmekte, klinik ataçman kaybı yaşanmakta ve
kemik kayıpları gerçekleşmektedir. Bu derleme çalışmasında, marjinal uyumu ölçme teknikleri değerlendirilmiştir. Bu teknikler içinde; fotoğraflama ile doğrudan görüş tekniği, kesit alma tekniği, replika yöntemi, profilometri, silikon ağırlığın ölcülmesi, spesifik yazılım ve üç boyutlu tarama ile kontrol
etme, mikro- CT ve 3 boyutlu dijital değerlendirme yöntemleri bulunmaktadır. Bu çalışmanın amacı, bu ölçüm yöntemlerini hakkında bilgi vermek, vakaya özgü uygulanabilen ölçüm yöntemleri arasındaki kombinasyonları, yöntemlerin güvenirliğini değerlendirmek, yöntemler arasındaki doğruluğu
etkileyebilecek potansiyel faktörleri belirlemektir.

Anahtar Kelimeler

Marjinal Uyum, Ölçüm Yöntemleri, İn Vitro, Sabit Restorasyonlar

In Vitro Measurement Methods of Marginal Adaptation in Fixed Prosthetic Restorations

Öz

The main purpose of fixed restorations is to provide function, phonation and aesthetics of the missing tissues without damaging the patient’s oral tissues. One of the main success criteria for fixed prostheses is marginal fit. An acceptable marginal fit directly increases the clinical success of the restoration. In restorations where the fit is not ideal, dental plaque accumulation occurs, the cement that provides the connection dissolves and microleakages occur. As a result, periodontal tissues of the supporting teeth are damaged, clinical attachment is lost and bone loss occurs. In this review study, techniques for measuring marginal fit were evaluated. These techniques include; direct vision technique with photography, cross-sectioning technique, replica method, profilometry, measurement of silicone weight, checking with specific software and three-dimensional scanning, micro-CT and 3D digital evaluation methods. The aim of this study is to provide information about these measurement methods, to
evaluate the combinations between measurement methods that can be applied case-specifically, to evaluate the reliability of the methods, and to identify potential factors that may affect the accuracy between methods.

Anahtar Kelimeler

Marginal fitting;, Measurement Methods;, In vitro;, Fixed Restorations

Kaynakça

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