Ortodontide İskeletsel Ankraj Yöntemlerinin Risk ve Komplikasyonları

Kemiğe yerleştirilen iskeletsel ankraj sistemlerinin kullanımı konvansiyonel ortodontik yöntemlerde görülen yan etkileri ortadan kaldırabilmekte ve hasta kooperasyonuna olan ihtiyacı azaltabilmektedir. Bununla birlikte mini vidaların yerleştirilmesi sırasında ve sonrasında bazı komplikasyonlar ortaya çıkabilmektedir. Diş köklerinde travma sonucu dişte vitalite kaybı, osteoskleroz veya dentoalveolar ankiloz oluşabilmektedir. Ayrıca, mini vidada sürüklenme, sinir hasarı, nazal kavite ve maksiller sinüs perforasyonu, mini vidada kırılma gibi komplikasyonlar da gelişebilmektedir. Bu nedenle, klinisyenlerin doğru endikasyon koyarak, uygun lokalizasyonda uygun mini vida ve mini plakları tercih etmeleri, yerleştirme ve yükleme protokollerine uymaları gerekmektedir. Lokalizasyonun doğru belirlenmesi komplikasyonların birçoğunu minimalize edecektir

Anahtar Kelimeler:

Ortodontik mini vida, mini plak, komplikasyonlar

Risks and Complications of Orthodontic Skeletal Anchorage Methods

The use of skeletal anchorage devices applied to bone eliminates the undesirable effects of the conventional orthodontic methods and reduces the need for patient compliance. However, some complications may occur during or after the insertion of the mini screws. Vitality loss of the tooth, osteosclerosis or dentoalveolar ankylosis may be seen as a result of root trauma. Migration of the mini implant, nerve damage, perforation of the nasal cavity or maxillary sinus and mini implant fracture are also among the complications. Correct indication, selecting the suitable mini implant type for the proper location, appropriate insertion and loading protocols are the important considerations in the use of skeletal anchorage devices. Correct determination of the localization of mini screw can minimalize most of the complications

Keywords:

Orthodontic mini screw, mini plate, complications,

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Süleyman Demirel Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı
Doğu Kampüsü Çünür/Isparta
e-posta: elcinesenlik@gmail.com • Tel: 0246 211 88 07 • Faks: 0246 237 06 07