İMPLANT ÜSTÜ OVERDENTURE PROTEZLERDE TEK ATAŞMAN SİSTEMLERİ

Tam dişsiz hastalarda kullanılan implant destekli overdenture protezler, geleneksel tam protezlere göre uzun dönemde daha başarılı sonuçlar vermektedirler. Retansiyon, stabilite, çiğneme performansı ve estetik açılardan geleneksel tam protezlere göre daha üstün özelliklere sahiptir. Bu da hasta memnuniyeti ve yaşam kalitesini arttırmaktadır. İmplant destekli overdenture protezlerde retansiyonu sağlamak için çeşitli tutucu sistemler kullanılmaktadır. Bu sistemlerde implantlar birbirine splintlenerek veya tek tek ataşman olarak kullanılır. Splintlenen tutucular, bar tutucular yardımıyla birbirlerine bağlanarak oval kretlerde, yumuşak dokularda veya kemikte rezeksiyon yapıldığı durumlarda, aşırı rezorbe kretlerde retansiyon ve stabilitenin fazla olması gerektiği durumlarda kullanılır. Splintlenmeyen tutucular ise implantlar üzerindeki birbirlerinden bağımsız tek ataşmanlardır. Tutucu sistemleri seçerken hastanın vertikal kemik kaybı, beklentisi, ağız hijyeni, protezin retansiyon değeri, implantların arktaki konumları dikkate alınmalıdır. Bu derlemede günümüzde kullanılan tek ataşman sistemlerinin özellikleri, kullanım alanları, avantajları ve dezavantajları özetlenmektedir.

Anahtar Kelimeler:

Overdenture, implant attachment, locator

SINGLE ATTACHMENT SYSTEMS IN IMPLANT SUPPORTED OVERDENTURE PROSTHESES

Compared to conventional complete dentures implant-supported overdenture prostheses used in completely edentulous patients give more successful results in the long term. Compared to conventional complete dentures, it has superior features in terms of retention, stability, chewing performance and aesthetics. This situation increases patient satisfaction and quality of life. Various retention systems are used to provide retention in implant-supported overdenture prostheses. In these systems, implants are splinted to each other or used as individual attachments. Splinted attachments are used in cases where resection is made in soft tissues or bone, oval crests and in cases where retention and stability are required in excessively resorbed crests by connecting to each other with the help of bar attachment. Non-splinting attachments are independent attachments on implants. The patient’s vertical bone loss, expectation, oral hygiene, retention value of the prosthesis, and the position of the implants in the arch should be considered when choosing retention systems. The purpose of this review is to summarize the features, usage areas, advantages and disadvantages of single attachment systems used today.

Keywords:

Overdenture, implant attachment, locator,

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