HEMEN İMPLANT YERLEŞTİRİLMESİNDE SOKET ZIRHI UYGULAMASI: VAKA RAPORU

Anterior veya premolar bölgedeki diş kayıplarının implant destekli restorasyonlarında, doğal diş görünümüne benzer görünüm elde etmek için yeterli sert ve yumuşak doku hacmine ihtiyaç duyulmaktadır. Çekim sonrası gerçekleşen demet kemik rezorpsiyonunun sebep olduğu boyutsal değişiklikleri önlemek veya gidermek amacıyla sert ve yumuşak dokuyu korumaya ve artırmaya yönelik tanımlanmış birçok yöntem mevcuttur. Bu makalede sunulan üst premolar diş eksikliği vakası, çekim sonrası gerçekleşen alveol kemik rezorpsiyonunu sınırlamak amacıyla bukkal kök parçasının sokette bırakılması prensibine dayanan 'soket zırhı' yöntemi ile beraber, aynı seans implant uygulaması ile rehabilite edilmiştir. Vakanın protetik yükleme sonrası 6 aylık takibinde bölgede inflamasyonun olmadığı, optimal estetik sonucun elde edildiği stabil durum elde edilmiş, soket zırhı yönteminin estetik gereksinimin yüksek olduğu bölgelerde uygulanabilecek bir tedavi seçeneği olduğu sonucuna ulaşılmıştır. Anahtar kelimeler: İmplant, soket koruma SOCKET SHIELD TECHNIQUE WITH IMMEDIATE IMPLANT PLACEMENT: A CASE REPORT ABSTRACTTo achieve optimal esthetic results with implant rehabilitation of anterior and premolar regions, sufficient amounts of bone and soft tissue are requisite. This may be compramised as a result of alveolar bone remodelling following tooth extraction. One of the identified techniques that aim to preserve bundle bone resorption following extraction is 'socket shield'. This is a technique which is characterized by the retention of buccal fragment of the root in the socket. In this clinical case report, implant rehabilitation of an upper first premolar tooth deficiency with socket shield technique is presented. After 6 months follow-up period, stabilized results without inflammation and with optimal esthetics were achieved. Consequently, socket shield technique may be a reliable technique to perform with simultaneous implant placement in anterior region to obtain better esthetic results.

Anahtar Kelimeler:

İmplant

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