OSTEOPETROZİSLİ BİR HASTANIN PROTETİK REHABİLİTASYONU: OLGU SUNUMU

Bu olgu sunumunda osteopetrozis vakası olan bir has- tanın maksiller tam protezinin manyetik ataşman sis- temi ile oral rehabilitasyonu sunulmuştur. 35 yaşında osteopetrozis sendromu olan bayan hasta, maksiller tam protezindeki estetik problem nedeniyle kliniğimize başvurmuştur. Klinik ve radyografik muayene sonrası hasta değerlendirilmiştir. Yapılan klinik muayenede hastanın manyetik ataşman sistemine sahip maksiller protezini 15 yıldır kullandığı görülmüştür. Bu olguda hasta erken yaşta dişlerinin hepsini kaybetmiştir. Yalnızca sol üst 2. premolar dişi bulunmaktadır ve ağız içi muayenesi değerlendirildiğinde o diş kökü üzerinde mevcut bulunan manyetik ataşman desteği ile tam protezini uzun dönem kullandığı görülmüştür. Hastanın tam protezinin benzer manyetik sistem kullanılarak ye- nilenmesine karar verilmiştir. Hastaya mandibular bölgede bulunan osteosklerozis ve skar dokusu nede- niyle mandibular tam protez yapılamamıştır. Tedavi sonrasını takiben hasta birinci hafta, birinci ay ve üçüncü aylarda kontrol edilmiştir. Manyetik ataş- manların retansiyonu zamanla azalsa da, bu vakada hasta herhangi bir problem yaşamamıştır. Manyetik ataşmanlı sistemler diğer ataşman sistemleriyle kar- şılaştırıldığında retansiyon özelliği olarak yetersiz olduğu görülebilir. Anahtar Kelimeler: Osteopetrozis, protetik rehabilitasyon, manyetik ataşman PROSTHETIC REHABILITATION OF A PATIENT WITH OSTEOPETROSIS: A CASE REPORTABSTRACTThis clinical report describes the oral rehabilitation of a osteopetrosis patient with maxillary prosthesis with magnetic attachment system. A-35-year old female patient, who suffered from osteopetrosis, came to our clinic due to the esthetic problem of the maxillary complete denture. After clinical and radiographic examination, the patient’s demands were evaluated. In the clinical examination it was seen that the patient was still using the maxillary complete denture with the magnetic attachment system for 15 years. The patient had no problems in terms of magnetic retention but she had complaints about her prosthesis aesthetic. We decided to make a new prosthesis to the patient with the same magnetic attachment system. Mandibular complete denture couldn’t be constructed due to osteosclerosis and scar tissue in the mandibular area. Patient was clinically controlled during the first week, first month and third month following denture insertion. Inspite the decrease in retention of magnetic attachments, the patient had used the prosthesis for a long time with no complaints. In terms of retention characteristics compared to other attachment systems, magnetic systems may be found insufficient in retention. Keywords: Osteopetrosis, prosthetic rehabilitation, magnetic attachments

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