Bilge TURHAN BAL, Meralf KURT, Sevil KAHRAMAN

İLERİ SEVİYEDE REZORBE KRETLERE SAHİP TAM DİŞSİZ HASTANIN BAR TUTUCULU OVERDENTURE PROTEZLE REHABİLİTASYONU- OLGU SUNUMU

Uzun süre total protez kullanan hastaların alveoler kretlerinde ileri rezorpsiyon gözlenebilmektedir. Bu hastalarda sorunların giderilmesi için implant destekli overdenturelar iyi bir alternatiftir İmplant overdenture protezlerde bar, ball (topuz), ve teleskopik tutucular gibi çeşitli tutucu sistemleri kullanılmaktadır. Bu sistemler arasında en retantif olan bar tutuculardır. Bar tutucularla implantların splintlenmesi çiğneme kuvvetlerin dağıtılması açısından yararlıdır. Bu vaka raporunda mevcut total protezinden şikayetle başvuran tam dişsiz erkek hastanın bar tutuculu implant overdenture ile tedavisi anlatılmıştır. Anahtar Kelimeler: Diş implantı; çene, dişsiz; implant-destekli protez REHABİLİTATİON OF AN EDENTULOUS PATİENT WİTH SEVERELY RESORBED RİDGES USİNG BAR RETAİNED IMPLANT OVERDENTURES- A CASE REPORTABSTRACT Severe resorbtion of alveolar ridges can be observed in patients using complete dentures for a long time. To overcome these problems implant supported overdentures are good alternative. Various attachments systems are used for implant overdentures such as; bar, ball, magnetic and telescopic attachment systems. Among these, bar attachment system has the greatest retention. Splinting implants with bar attachments is beneficial regarding distrubution of the bite forces. In this case report an edentulous man with complaints concerning his conventional complete dentures was treated with dental implants and bar retained overdentures. Keywords: Dental implant; jaw, edentulous; implant-supported denture

Anahtar Kelimeler:

Diş implantı; çene

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Ha SR, Kim SH, Song SI, Hong ST, Kim GY. Implant-supported overdenture with prefabricated bar attachment system in mandibular edentulous patient. J Adv Prosthodont 2012;4:254-8.
2. Slot W, Raghoebar, G. M., van Dijk, G., & Meijer, H. J. Attachment of clips in a bar-retained maxillary implant overdenture: a clinical report. J Prosthet Dent 2012;107;353-7.
3. Galindo DF. The implant-supported milled-bar mandibular overdenture. J Prosthodont 2001;10:46-51.
4. Zarb GA, Schmitt A: The longitudinal clinical effectiveness of osseointegrated dental
implants: The Toronto Study. Part II: The prosthetic results. J Prosthet Dent 1990;64:53-61
5. Thomason JM, Kelly SA, Benkowski A, Ellis JS. Two implant retained overdentures-A review of the literature supporting the McGill and York Consensus Statements. J Dent 2012;40:22-34.
6. Thomason JM, Feine J, Exley C, Moynihan P, Müller F, et al Mandibular two implant supported overdentures as the first choice standard of care for edentulous patients--the York Consensus Statement. Br Dent J 2009;207:185-6.
7. Feine JS, Carlsson GE, Awad MA et al. The McGill Consensus Statement on Overdentures. Montreal, Quebec, Canada. May 24-25, 2002. Int J Prosthodont 2002;15:413-4.
8. Shafie H. Principles of attachment selection. Clinical and Laboratory Manual of Implant Overdentures. 1st ed. Oxford: Blackwell; 2007. p.31-6
9. Aktaş G, Canay Ş. İmplant üstü overdenture protezlerde tutucu alternatifleri. Acta Odontol Turcica 2015;32:156-64
Zins, JE & Whittacker LA. Membranous versus endochondral bone autografts: implications for craniofacial reconstruction. Plast Reconstr Surg 1983;72:778–86.
21. Misch CM. Comparison of intraoral donor sites for onlay grafting prior to implant placement. Int J Oral Maxillofac Implants 1997;12: 767–76.
22. Stoumpis C, Kohal RJ. To splint or not to splint oral implants in the implant-supported overdenture therapy? A systematic literature review. J Oral Rehabil 2011;38:857-69.
23. Gotfredsen K, Holm B. Implant-supported mandibular overdentures retained with ball or bar attachments: a randomized prospective 5-year study. Int J Prosthodont 2000;13:125-30.
24. Bilhan H, Mumcu E, Arat S. The comparison of marginal bone loss around mandibular overdenture-supporting implants with two different attachment types in a loading period of 36 months. Gerodontology 2011;28:49-57.
25. Visser A, Raghoebar GM, Meijer HJ, Vissink A. Implant-retained maxillary overdentures on milled bar suprastructures: a 10-year follow-up of surgical and prosthetic care and aftercare. Int J Prosthodont 2009;22:181-92.
26. Fontijn-Tekamp FA, Slagter AP, Van Der Bilt A, Van ‘T Hof MA, Witter DJ, Kalk W et al. Biting and chewing in overdentures, full dentures, and natural dentitions. J Dent Res 2000;79:1519-24.
27. Stoker GT, Wismeijer D, van Waas MA. An eight-year follow-up to a randomized clinical trial of aftercare and cost-analysis with three types of mandibular implant-retained overdentures. J Dent Res 2007;86:276-80.
28. Slot W, Raghoebar GM, Vissink A, Huddleston Slater JJ, Meijer HJ. 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
. Gonda T, Ikebe K, Dong J, Nokubi T. Effect of reinforcement on overdenture strain. J Dent Res 2007;86:667-71.
30. MacEntee MI, Walton JN, Glick N. A clinical trial of patient satisfaction and prosthodontic needs with ball and bar attachments for implant-retained complete overdentures: three-year results. J Prosthet Dent 2005;93:28-37.
31. Korkmaz C, Atay A. Maksiller Overdenturelarda Kullanılan İki Farklı Bağlantı Sisteminin Değerlendirilmesi: İki Olgu Sunumu. Atatürk Üniv Diş Hek Fak Derg 2014;9:33-7
32. Lewis S, Sharma A, Nishimura R. Treatment of edentulous maxillae with osseointegrated implants. J Prosthet Dent 1992;68:503-8