PREMAKSİLLA İLE TEK TARAFLI MAKSİLLER DEFEKTLİ REZEKSİYON OBTURATÖRLERİNİN ÜÇ BOYUTLU SONLU ELEMANLAR STRES ANALİZ YÖNTEMİYLE DEĞERLENDİRİLMESİ

Amaç: Bu çalışmanın amacı; Aramany sınıf IV maksiller defektlerde zigomatik implant kullanılarak yapılmış obturatör protezlerin biyomekanik özelliklerini, zigomatik implant içermeyen obturatör protezlerin işlevsel yük dağılım değerlerini analiz etmektir.Gereç ve yöntem: Maksiller rezeksiyon yapılmış Aramany sınıf IV obturatör protezin ve rezeksiyon yapılan bölgenin üç boyutlu katı modeli elde edildi. Oluşturulan modellere 150 N kuvvet protezin birinci molar diş hizasından oklüzyon düzlemine vertikal olarak uygulandı. İlk yükleme defektin bulunduğu taraftan, ikincisi sağlam kemiğin bulunduğu bölgeden, üçüncü yükleme ise her iki taraftan uygulandı. Kantitatif analizlere dayanan sıkışma ve gerilme değerleri Algor (Fempro, USA) programında incelendi.Bulgular: Kuvvetlerin kemikte oluşturduğu stresler şekiller ve renk skalaları ile gösterildi. Elde edilen sayısal veriler ise grafiklerle belirtildi. Sonuç: Zigomatik implant uygulamasının kemiğe iletilen kuvvetleri azalttığı ve Aramany sınıf IV obturatör protezlerde zigomatik implant kullanımının alternatif bir tedavi seçeneği olduğu görüldü.

Anahtar Kelimeler:

Zigomatik implant, obturatör protez, Aramany IV, sonlu elemanlar analizi

THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS OF REZECTION OBTURATORS IN PREMAXILLA AND UNILATERAL MAXILLARY DEFECTS

Purpose: The objective of this study is to analyze comperatively the properties of functional load and stres distribution by using Aramany Class IV obturator protheses with/without zygomatic implants. Material and Methods: A 3-D solid model of an Aramany Class IV maxillary resection case and it’s prosthesis was constructed. 150 N vertical force was loaded by first molar teeth. Simulated occlusal loading was applied on three different points. First loading was applied to the defected side, second was applied to the contralateral side and third one was applied to both. Qualitative analysis was based on the scale of maximum and minimum principle stress in the bone were investigated in Algor(Fempro, USA) programme Results: Maximum and minimum principal stresses in bone under different loading were illustrated with figures and color scales. Obtained numerical datas was represented in graphics. Conclusion: Placing a zygomatic implant to the defected area decreased the stresses occured in the bone. Zygomatic implant is an alternative treatment option for Aramany class IV obturator protheses

Keywords:

Zygomatic implant, obturator prostheses, Aramany IV, finite element analysis,

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