Prof Dr Emrah AYNA, Prof Dr Gülten ÜNLÜ, Yrd Doç Dr Eylem ÖZDEMİR, Yrd Doç Dr Emine Göncü BAŞARAN, Dr Derya Toprak GÜNDÜZ

Esthetic and functional reconstruction of patient with maxillary and mandibular bone loss

Diş kaybından sonra kemik ve yumuşak doku kaybı en sık görülen sorunlardan biridir ve yapay dişlerin boyunun normalden uzun yapılmasına neden olur. Büyük miktarda kemik kaybında, implantı uygun poziyonda yerleştirmek için vertikal ve horizontal sırtların yükseltilmesinde bir miktar greft kullanılabilir. Ağız içi ve ağız dışı bölgelerden alınan otojen blok greftler olumlu sonuçlar vermektedir. Allogreftler ise genellikle, kemik sırtı yükseltme amacı ile kullanılır. Bu vakada trafik kazası sonucu maksiller ve mandibular kemik kaydına uğramış 21 yaşında erkek hastanın tedavisi anlatılmaktadır. Maksilla ve mandibulayı yükseltmek için bir allograft kullanılmıştır. 5 aylık iyileşme sürecinden sonra kemikte yeterli oluşum sağlanmış ve implantlar yerleştirilmiştir. 4 ay sonrada implant üstü protezler yapılmıştır.

Anahtar Kelimeler:

İmplant, trafik kazası, kemik kaybı

Esthetic and functional reconstruction of patient with maxillary and mandibular bone loss

Bone and soft tissue loss are common problems after lose of tooth and that can lead to excessive length of clinical crowns. In large amount of bone loss, a number of graft materials have been used in vertical and horizontal ridge augmentation to enable implantplacement in optimal positions. Autogenous block grafts from intraoral or extraoral regions have been used with positive results. Allograft blocks with cortical bone are also used for ridge augmentation. In this case report a 21-year-old male patient with maxillary and mandibular bone loss due to traffic accident was rehabilated. An allograft block was used for horizontal and vertical augmentation of the maxilla and mandibula. The observed increase in ridge width allowed subsequent implant placement after a 5 month healing period. After 4 months from placement of the implants, implant-retained fixed prosthesis was performed

Keywords:

Implant, traffic acccident, bone loss,

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Yrd. Doç. Dr. Emine Göncü Başaran Dicle Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi Anabilim Dalı DİYARBAKIR Telefon: +04122488101
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