Banu ÇUKURLUÖZ BAYINDIR, Canan AKAY, Hüsnü YAVUZYILMAZ, Özgül KARACAER

Radyoterapi ve kemoterapi görmüş hastanın diş üstü protezle rehabilitasyonu: olgu bildirimi

TANITIM: Bu olgu bildiriminin amacı radyoterapi ve kemoterapi görmüş hastalarda kaybedilen fonksiyon, fonasyon ve estetiğin diş üstü protez uygulaması ile yeniden kazandırılmasıdır.OLGU BİLDİRİMİ: Nazofarenks kanseri nedeniyle radyoterapi ve kemoterapi görmüş 52 yaşındaki erkek hasta, kaybedilen dişlerinin rehabilitasyonu amacıyla kliniğimize başvurdu. Mevcut dişlere (13, 23, 27, 33, 43 no’lu dişler) endodontik tedavi yapıldıktan sonra hastaya diş eksikliklerinin giderilmesi amacıyla diş üstü tam protez yapıldı. Özet olarak, diş preparasyonu sonrası döküm post uygulaması için hazırlanan kanalın ölçüsü alındı. İlk aşamada birincil başlıkla birlikte post yapı tek parça halinde hazırlandı, simante edilen birincil başlığa uygun dökümü yapılan ikincil başlık iskelete lehimlendi, provalar tamamlandıktan sonra protez hastaya teslim edildi. İki yıllık klinik takip sonucunda herhangi bir komplikasyona rastlanmadı (diş veya protez kırılması, ağrı, eklem problemi, fonasyon eksikliği, vs). Protezin retansiyon ve stabilitesinin iyi olduğu saptandı. Protez, hasta memnuniyeti açısından da olumlu sonuç sağladı.SONUÇ: Diş üstü protezler radyoterapi ve kemoterapi görmüş hastalarda iyi bir retansiyon ve stabilite sağlayarak kaybedilen fonksiyon, fonasyon ve estetiği iade eden bir tedavi alternatifidir.

Anahtar Kelimeler:

Dişüstü protezi, kemoterapi, radyoterapi

Prosthetic rehabilitation with overdenture of a patient undergone radiotherapy and chemotherapy: case report

INTRODUCTION: The purpose of this clinical report was to describe the restoration of function, phonation and esthetics in a patient that have received radiotherapy and chemotherapy through an application of a tooth-supported overdenture prosthesis.CASE REPORT: A 52-yr-old man undergone radiotherapy and chemotheraphy was referred to the Prosthetic Department for the restoration of his lost teeth. All remaining teeth were endodontically treated (tooth number 13, 23, 27, 33, 43) and a tooth-supported overdenture prosthesis was made for both jaws. Briefly, post spaces were prepared and impression of the spaces were taken. Single-unit post and the primary crown for each tooth were prepared and cemented onto the teeth. Secondary crowns adapting the primary crowns were prepared and soldered to the denture framework. After a try-on, the prostheses were given to the patient. No complication (including pain, fracture of the prosthesis or the teeth, joint problem, lack of phonation, etc) was found at a 2-yr clinical follow-up. The prostheses exhibited good retention and stability and the patient was satisfied with the prostheses.CONCLUSION: Tooth-supported overdenture prosthesis, providing good retention and stability, is a useful alternative in the restoration of the lost function, phonation and esthetics in patients receiving chemotheraphy and radiotherapy.

Keywords:

Chemotheraphy, overdenture, radiotherapy,

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