Nurten BAYSAL, Barış Filiz EROL, Simel AYYILDIZ, Cumhur SİPAHİ

PARSIYEL AŞIRI REZORBE KRETE SAHIP HASTANIN TEK TARAFLI HIBRIT PROTEZ ILE TEDAVISI: OLGU SUNUMU

Dişsiz kret fazla büyük ve aşırı derecede rezorbe ise dişsiz bir hastanın tedavisi oldukça karmaşık bir hal almaktadır. Bu vaka raporunda, aşırı rezorbe maksillaya sahip olan 49 yaşındaki erkek hastanın hibrit portezle tedavisi anlatılmaktadır. İntermaksiller vertikal oklüzal mesafe, alveoler sırt ve tuber maxillanın rezorpsiyonu nedeniyle önemli ölçüde artmıştır. Artan dikey mesafeyi telafi etmek ve protezin ağırlığını azaltmak için akrilik rezin bazlı implant tutuculu hibrit protez planlanmıştır. 5 yıllık bir takip süresinden sonra hastanın protezin fonksiyonel ve estetik fonksiyonlarından memnun olduğu görülmüştür.

Anahtar Kelimeler:

Alveoler Kemik Kaybı, Defekt, Metal Sinterleme

UNILATERAL HYBRID PROSTHESIS FOR THE REHABILITATION OF EXTENSIVELY RESORBED MAXILLARY PARTIAL ALVEOLAR RIDGE: CASE REPORT

The rehabilitation of an edentulous patient is getting complicated if the edentulous ridge is large and excessively defective. This clinical report describes the restoration of a severely resorbed maxilla of a 49-year-old male patient with a hybrid denture. The intermaxillary vertical occlusal distance was considerably increased due to resorption of alveolar ridge and tuber maxilla. An acrylic resin based implant retained hybrid denture was fabricated to compensate the increased vertical distance and decrease the weight of the prosthesis. After a follow-up period of 5 year it was noticed that the patient was satisfied with the functional and esthetic functions of the denture.

Keywords:

Alveoler Bone Lose, Defect, Metal Sintering,

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Referans1. Adell R, Lekholm U, Rockler B, Brånemark P-I. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387–416
Referans2. Saboury A, Asli HN. Fabrication of a Hybrid Screw-Retained and Cement-Retained Implant Prosthesis : A Case Report Introduction. J Dent Sch 2012;30:198–202.
Referans3. Ozen J, Erol B, Dikicier S, Alp G. Rehabilitation With an Implant-Supported Metal-Acrylic Fixed Prosthesis After Ameloblastoma Resection in Mandible: Clinical Case Letter. J Oral Implantol 2017;43:365–9.
Referans4. Egilmez F, Ergun G, Cekic-Nagas I, Bozkaya S. Implant-supported hybrid prosthesis: Conventional treatment method for borderline cases. Eur J Dent 2015;9:442–8.
Referans5. Slot W, Raghoebar GM, Vissink A, Huddleston Slater JJ, Meijer HJA. A systematic review of implant-supported maxillary overdentures after a mean observation period of at least 1 year. J Clin Periodontol 2010;37:98–110.
Referans6. Simon H, Yanase RT. Terminology for implant prostheses. Int J Oral Maxillofac Implants 2003;18:539–43.
Referans7. Gonzalez J. The Evolution of Dental Materials for Hybrid Prosthesis. Open Dent J 2014;8:85–94.
Referans8. Kurt M, Bal BT, Uraz A, Kahraman S. Multidisciplinary rehabilitation of eosinophilic granuloma with bone graft surgery and a modified implant-supported hybrid prosthesis: A case report with a 6-year follow-up. Spec Care Dent 2019;39:45–50.
Referans9. Real-Osuna J, Almendros-Marques N, Gay-Escoda C. Prevalence of complications after the oral rehabilitation with implant-supported hybrid prostheses. Med Oral Patol Oral Cir Bucal 2012;1:116–121.
Referans10. Drago C, Gurney L. Maintenance of Implant Hybrid Prostheses: Clinical and Laboratory Procedures. J Prosthodont 2013;22:28–35.
Referans11. Oğuz Ahmet BS, Sayın Özel G, Uslu Toygar H. Fabrication of a screw-retained hybrid prosthesis following treatment of peri-implant defects: A case report. J Istanbul Univ Fac Dent 2016;50:57-61.
Referans12. Norton MR, Ferber C. The nonresilient hybrid removable prosthesis: treatment of choice for the atrophic maxilla. Int J Periodontics Restorative Dent 1999;19:189–97.
Referans13. Eliasson A, Wennerberg A, Johansson A, Örtorp A, Jemt T. The Precision of Fit of Milled Titanium Implant Frameworks (I-Bridge®) in the Edentulous Jaw. Clin Implant Dent Relat Res 2008;12:81–90.
Referans14. Almasri R, Drago CJ, Siegel SC, Hardigan PC. Volumetric Misfit in CAD/CAM and Cast Implant Frameworks: A University Laboratory Study. J Prosthodont 2011;20:267–74.
Referans15. Cobb GW, Metcalf AM, Parsell D, Reeves GW. An alternate treatment method for a fixed-detachable hybrid prosthesis: A clinical report. J Prosthet Dent 2003;89:239–43.