Tooth-implant-supported fixed prostheses

İmplant destekli sabit protezler kısmi dişsiz hastaların tedavisinde rutin olarak uygulanan tedavi yöntemleridir. Anatomik, protetik veya hastaya bağlı faktörler nedeniyle sadece implantlardan destek alan sabit protezlerin uygulanamadığı vakalar, minimal düzeyde invaziv olan diş-implant destekli protezlerle tedavi edilebilir. Oklüzal kuvvetler altında diş ve implant desteklerinin hare- ket özelliklerinin birbirinden farklı olması klinikte protezlerin başarısızlığıyla sonuçlanacak tek- nik ve biyolojik komplikasyonların oluşması olasılığını arttırdığı için diş-implant destekli protez uygulamaları klinisyenler arasında tartışmaya neden olmuştur. Diş-implant destekli protezlerin uzun süreli başarısı için endikasyonları, biyomekanik özellikleri, protez tasarımları, bağlantı tipinin yapısı, uygulama prensipleri, teknik ve biyolojik komplikasyonları ile bunların sebepleri hakkında bilgi sahibi olunması son derece önemlidir. Bu derleme çalışmasının amacı, bu alanda yapılan çalışmaların ışığında, diş-implant destekli protezler için uygun tedavi planlanmasının yapılma- sında ve klinik uygulamada klinisyenlere yardımcı olabilecek detaylı ve kapsamlı bilgi sunmaktır. Anahtar Kelimeler: Diş implantları, diş protezi, implant destekli, protez, kısmi, sabit ABSTRACT Implant-supported prostheses are the treatment modalities, which are routinely used to reha- bilitate partially edentulous patients. The patients who cannot be treated with fixed prostheses solely supported by implants due to anatomical, prosthodontic, or patient-related factors can be rehabilitated with tooth-implant-supported fixed prostheses that are minimally invasive. Since the differences in mobility patterns between tooth and implant supports under occlusal load- ing have increased the possibility of the occurence of technical and biological complications that can result into failure in clinic, clinical applications of tooth-implant-supported fixed prostheses have led to debate among clinicians. In order to achieve long-term success for tooth-implant- supported prostheses, having knowledge regarding the indications, the biomechanical charac- teristics, the types of prostheses, the nature of connection, the guidelines, and the technical and biological complications and their causes is of vital importance. The purpose of this review is to provide detailed and comprehensive knowledge that may help clinicans in establishing appropri- ate treatment planning and in clinical applications for tooth-implant-supported prostheses in the light of the studies carried out in this field. Keywords: Dental implants, dental prosthesis, implant-supported, denture, partial, fixed

Keywords:

Dental implants, dental prosthesis, implant-supported denture, partial,

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