Dr. Duygu BOYNUEĞRİ, Arş Gör. Dr. Seçil Karakoca NEMLİ, Prof. Dr. Mehmet YALIM

Dental implantlar çevresindeki kemik yıkımında mikro boşluğun önemi

Günümüzde kemik içi implantların uygulanmasında tek aşamalı ve iki aşamalı olmak üzere başlıca iki temel yaklaşım vardır. İki aşamalı sistemlerde implant gövdesi ve abutment arasında, alveoler kret seviyesinde ya da onun altında konumlanan bir mikro boşluk oluşmaktadır. Tek aşamalı sistemlerde ise implant gövdesi kemik seviyesinin üzerine doğru uzandığı için kret seviyesinde ya da altında böyle bir mikro boşluk oluşmamaktadır. Çeşitli çalışmalarda çift aşamalı implantların çevresindeki marjinal kemik kaybının; mikro boşlukta kolonize olan mikro organizmalara ve bunların ürünlerine bağlı olarak tek aşamalı implantlara kıyasla daha fazla olduğunu gösterilmişse de literatüre bakıldığında bu konuda oldukça çelişkili bilgiler mevcuttur

Anahtar Kelimeler:

dental implant, mikro boşluk

The effect of microgap on peri implant bone loss around dental implants

Keywords:

-,

PDF

___

Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, et al. The McGill Consensus Statement on Overdentures. Montreal, Quebec, Canada. May 24-25, 2002. Int J Prosthodont
Davis DM, Rogers JO, Packer ME. The extent of maintenance required by implant-retained mandibular overdentures: a 3-year report. Int J Oral Maxillofac Implants 1996;11 (6):767-774.
Keskin A. Oral-Dental İmplantlar üzerine bir araştırma. Doktora tezi. Ağız-Diş ve Çene Hastalıkları ve Cerrahisi. Ankara Ankara Üniversitesi, 1990.
Heijdenrijk K, Raghoebar GM, Meijer HJ, Stegenga B, van der Reijden WA. Feasibility and influence of the microgap of two implants placed in a non- submerged procedure: a five-year follow-up clinical trial. J Periodontol 2006;77 (6):1051-1060.
Hess D, Buser D, Dietschi D, Grossen G, Schonenberger A, Belzer UC. Esthetic single-tooth replacement with implants: a team approach. Quintessence Int 1998;29 (2):77-86.
Özkan MK. İmplant Destekli Overdenture Protezlerde Bar Yapımında Kullanılan İki Değişik Metal Alaşımının, Bar Şeklinin Ve Barlı Sisteme Destek Veren İmplant Sayısının Statik Yükleme Altında Oluşan Kuvvet Dağılımına Etkilerinin Sonlu Elemanlar Gerilme Analizi Yöntemi (FEM) İle İncelenmesi. Doktora Tezi. Oral İmplantoloji Anabilim Dalı. İstanbul: İstanbul Ünversitesi, 1997.
Piattelli A, Vrespa G, Petrone G, Iezzi G, Annibali S, Scarano A. Role of the microgap between implant and abutment: a retrospective histologic evaluation in monkeys. J Periodontol 2003;74 (3):346-352.
Branemark PI, Adell R, Breine U, Hansson BO, Lindstrom J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg 1969;3 (2):81-100.
Broggini N, McManus LM, Hermann JS, Medina RU, Oates TW, Schenk RK, et al. Persistent acute inflammation at the implant-abutment interface. J Dent Res 2003;82 (3):232-237.
Hermann JS, Buser D, Schenk RK, Higginbottom FL, Cochran DL. Biologic width around titanium implants. A physiologically formed and stable dimension over time. Clin Oral Implants Res 2000;11 (1):1-11.
Hermann JS, Cochran DL, Nummikoski PV, Buser D. Crestal bone changes around titanium implants. A radiographic evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. J Periodontol 1997;68 (11):1117- 1130.
Timmerman R, Stoker GT, Wismeijer D, Oosterveld P, Vermeeren JI, van Waas MA. An eight-year follow-up to a randomized clinical trial of participant satisfaction with three types of mandibular implant-retained overdentures. J Dent Res 2004;83 (8):630-633.
Todescan FF, Pustiglioni FE, Imbronito AV, Albrektsson T, Gioso M. Influence of the microgap in the peri-implant hard and soft tissues: a histomorphometric study in dogs. Int J Oral Maxillofac Implants 2002;17 (4):467-472.
Lindquist LW, Carlsson GE, Jemt T. A prospective 15-year follow-up study of mandibular fixed prostheses supported by osseointegrated implants. Clinical results and marginal bone loss. Clin Oral Implants Res 1996;7 (4):329-336.
Buser D, Mericske-Stern R, Dula K, Lang NP. Clinical experience with one-stage, non-submerged dental implants. Adv Dent Res 1999;13 153-161.
Heydenrijk K, Raghoebar GM, Meijer HJ, van der Reijden WA, van Winkelhoff AJ, Stegenga B. Two- stage IMZ implants and ITI implants inserted in a single-stage procedure. A prospective comparative study. Clin Oral Implants Res 2002;13 (4):371- 380.
Becker W, Becker BE, Israelson H, Lucchini JP, Handelsman M, Ammons W, et al. One-step surgical placement of Branemark implants: a prospective multicenter clinical study. Int J Oral Maxillofac Implants 1997;12 (4):454-462. Gould TR, Westbury L, Brunette DM. Ultrastructural study of the attachment of human gingiva to titanium in vivo. J Prosthet Dent 1984;52 (3):418-420.
Berglundh T, Lindhe J. Dimension of the 30. King GN, Hermann JS, Schoolfield JD, Buser D, periimplant mucosa. Biological width revisited. J Clin Periodontol 1996;23 (10):971-973.
Quirynen M, van Steenberghe D. Bacterial colonization of the internal part of two-stage implants. An in vivo study. Clin Oral Implants Res
Persson LG, Lekholm U, Leonhardt A, Dahlen G, Lindhe J. Bacterial colonization on internal surfaces of Branemark system implant components. Clin Oral Implants Res 1996;7 (2):90-95.
Berglundh T, Lindhe J, Ericsson I, Marinello CP, Liljenberg B, Thomsen P. The soft tissue barrier at implants and teeth. Clin Oral Implants Res 1991;2 (2):81-90.
Berglundh T, Lindhe J, Marinello C, Ericsson I, Liljenberg B. Soft tissue reaction to de novo plaque formation on implants and teeth. An experimental study in the dog. Clin Oral Implants Res 1992;3 (1):1-8.
Ericsson I, Berglundh T, Marinello C, Liljenberg B, Lindhe J. Long-standing plaque and gingivitis at implants and teeth in the dog. Clin Oral Implants Res 1992;3 (3):99-103.
Buser D, Weber HP, Lang NP. Tissue integration of non-submerged implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. Clin Oral Implants Res 1990;1 (1):33-40.
Weber HP, Buser D, Fiorellini JP, Williams RC. Radiographic evaluation of crestal bone levels adjacent to nonsubmerged titanium implants. Clin Oral Implants Res 1992;3 (4):181-188.
Hermann JS, Buser D, Schenk RK, Cochran DL. Crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged and submerged implants in the canine mandible. J Periodontol 2000;71 (9):1412-1424.
Hermann JS, Buser D, Schenk RK, Schoolfield JD, Cochran DL. Biologic Width around one- and two- piece titanium implants. Clin Oral Implants Res 2001;12 (6):559-571.
Hermann JS, Schoolfield JD, Schenk RK, Buser D, Cochran DL. Influence of the size of the microgap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non- submerged implants in the canine mandible. J Periodontol 2001;72 (10):1372-1383. Cochran DL. Influence of the size of the microgap on crestal bone levels in non-submerged dental implants: a radiographic study in the canine mandible. J Periodontol 2002;73 (10):1111-1117.
Lazzara RJ, Porter SS. Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels. Int J Periodontics Restorative Dent 2006;26 (1):9-17.
Lopez-Mari L, Calvo-Guirado JL, Martin-Castellote B, Gomez-Moreno G, Lopez-Mari M. Implant platform switching concept: an updated review. Med Oral Patol Oral Cir Bucal 2009;14 (9):e450- 454.