Dental İmplant Uygulamalarının Demografik ve Klinik Özelliklerinin Değerlendirilmesi

Amaç: Dental implant uygulamaları, çoklu veya tek diş kayıplarında sık olarak uygulanmakta olan yüksek başarı oranlarına sahip bir tedavi yöntemidir. Bu çalışmanın amacı, kliniğimizde dental implant cerrahisi uygulanan hastaların demografik ve klinik durumlarını ve yerleştirilen implantların özelliklerini retrospektif olarak incelemektir.Gereç ve Yöntemler: Bu retrospektif çalışmada 2016 Mart ayı ile 2018 Aralık ayı tarihleri arasında İnönü Üniversitesi Diş Hekimliği Fakültesi Periondotoloji anabilim dalına implant tedavisi için başvuran, yaşları 18-79 arasında değişen toplam 514 hastaya uygulanan 1651 implant değerlendirildi. Hastaların yaş, cinsiyet, sistemik durumu, dişsizlik durumu, yükleme zamanı, ek cerrahi işlemler, implant uygulanan bölgeler, tedavi sonrası restorasyon tipi ve yerleştirilen implantların boyut, marka ve tip gibi çeşitli özellikleri retrospektif olarak incelendi. Bulgular: Hastaların, %55,3’ü (n=284) kadın, %44,7’si (n=230) ise erkekti. En yüksek hasta sayısını, %29,8 (n=153) ile 40-49 yaş grubu oluşturmuştur. En sık implant uygulanan diş bölgesinin mandibular 1.molar diş olduğu bulunmuştur. 40-49 yaş grubunda 15, 16, 25, 35, 36, 37, 46, 47 numaralı diş bölgelerine implant yapılması istatistiksel olarak anlamlıdır (p

Evaluation of Demographic and Clinical Characteristics of Dental Implant Applications

Aim:Dental implant application is a successful treatment for single or multiple tooth missing. The aim of this study was to investigate the demographic and clinical conditions of the patients who underwent implant surgery retrospectively. Materials and Methods:In this retrospective study, a total of 1651 dental implants (514 patients aged between 18-79 years and administered to Inönü University, Faculty of Dentistry, Department of Periondotology between March 2016 and December 2018) were evaluated. Patient’s age, gender, systemic health, condition of edentulous, time of loading, additional surgical procedures, areas where implant was applied, type of retoration after treatment and various characteristics of implants such as size, brand and type were examined retrospectively.Results:55.3% of patients (n=284) were female and 44.7%(n=230) were male. The highest number of patients constituted the 40-49 age group with 29.8%(n=153). The most frequently implanted tooth was mandibular 1.molar. 15,16,25,35,36,37,46,47 teeth were preferred in the 40-49 age group (p

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1. Wang HL, Shotwell JL, Itose T, Neiva RF. Multidisciplinary treatment approach for enhancement of implant esthetics. Implant Dent. 2005; 14(1): 21-9.
2. Tsirlis AT. Clinical evaluation of immediate loaded upper anterior single implants. Implant Dent. 2005; 14(1): 94-103.
3. Stanford CM. Application of oral implants to the general dental practice. J Am Dent Assoc. 2005; 136(8): 1092-100
4. Klokkevold PR. Implant education in the dental curriculum. J Calif Dent Assoc. 2001; 29(11): 747- 55.
5. Taş DB, Önal DL, Kömerik N. Diş hekimlerinin implant tedavisine yaklaşımı. Turkiye Klinikleri J Dental Sci. 2012; 18(1): 17-22.
6. Mattheos N, Ucer C, Van de Velde T, Nattestad A. Assessment of knowledge and competencies related to implant dentistry in undergraduate and postgraduate university education. Eur J Dent Educ. 2009; 13 Suppl 1: 55-65.
7. Faggion CM Jr, Apaza K, Ariza-Fritas T, Malaga L, Giannakopoulos NN, Alarcon MA. Correction: Methodological quality of consensus guidelines in implant dentistry. PLoS One. 2017; 12(3): e0173437.
8. Wolfinger GJ, Balshi TJ, Rangert B. Immediate functional loading of Branemark system implants in edentulous mandibles: Clinical report of the results of developmental and simplified protocols. Int J Oral Maxillofac Implants. 2003; 18(2): 250-7.
9. Shalabi MM, Gortemaker A, Van't Hof MA, Jansen JA, Creugers NH. Implant surface roughness and bone healing: a systematic review. J Dent Res. 2006; 85(6): 496-500.
10. Aglietta M, Siciliano VI, Zwahlen M, Bragger U, Pjetursson BE, Lang NP, et al. A systematic review of the survival and complication rates of implant supported fixed dental prostheses with cantilever extensions after an observation period of at least 5 years. Clin Oral Implants Res. 2009; 20(5): 441-51
11.Barewal RM, Oates TW, Meredith N, Cochran DL. Resonance frequency measurement of implant stability in vivo on implants with a sandblasted and acid-etched surface. Int J Oral Maxillofac Implants. 2003; 18(5): 641-51.
12. Sollazzo V, Pezzetti F, Scarano A, Piattelli A, Bignozzi CA, Massari L, et al. Zirconium oxide coating improves implant osseointegration in vivo. Dent Mater. 2008; 24(3): 357-61.
13.Blay A, Blay CC, Tunchel S, Gehrke SA, Shibli JA, Groth EB, et al. Effects of a low-intensity laser on dental implant osseointegration: Removal torque and resonance frequency analysis in rabbits. J Oral Implantol. 2016; 42(4): 316-20.
14. Tarnow D, Cho S, Wallace S. The effect of interimplant distance on the height of inter-implant bone crest. J Periodontol. 2000; 71(4): 546-9.
15.Jemt T, Book K. Prosthesis misfit and marginal bone loss in edentulous implant patients. Int J Oral Maxillofac Implants. 1996; 11(5): 620-5.
16. Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, et al. Implant success, survival, and failure: The International Congress of Oral Implantologists (ICOI) pisa consensus conference. Implant Dent. 2008; 17(1): 5-15.
17. Lekholm U, Gunne J, Henry P, Higuchi K, Linden U, Bergström C, et al. Survival of the Branemark implant in partially edentulous jaws: A 10-year prospective multicenter study. Int J Oral Maxillofac Implants. 1999; 14(5): 639-45.
18. Simonis P, Dufour T, Tenenbaum H. Long-term implant survival and success: A 10-16-year follow-up of non-submerged dental implants. Clin Oral Implants Res. 2010; 21(7): 772-7.
19. Levin L, Sadet P, Grossmann Y. A retrospective evaluation of 1,387 single-tooth implants: A 6-year follow-up. J Periodontol. 2006; 77(12): 2080-3.
20. Eckert SE, Wollan PC. Retrospective review of 1170 endosseous implants placed in partially edentulous jaws. Prosthet Dent. 1998; 79(4): 415-21.
21. Lazzara R, Siddiqui A, Binon P, Feldman S, Weiner R, Phillips R, et al. Retrospective multicenter analysis of 3i endosseous dental implants placed over a fiveyear period. Clin Oral Implants Res. 1996; 7(1): 73- 83.
22. Lee JH, Frias V, Lee KW, Wright RF. Effect of implant size and shape on implant success rates: a literature review. J Prosthet Dent. 2005; 94(4): 377- 81.
23. Hong SJ, Paik JW, Kim CS, Choi SH, Lee KW, Chai JK, et al. The study of implant patient's type and implant distribution. J Periodontal Implant Sci. 2002; 32(3): 539-54.
24.Bornstein MM, Halbritter S, Harnisch H, Weber HP, Buser D. A retrospective analysis of patients referred for implant placement to a specialty clinic: indications, surgical procedures, and early failures. Int J Oral Maxillofac Implants. 2008; 23(6): 1109-16.
25. Van der Zee E, Van Waas M, Broek M, Opmeer V, Van der Mieden R. Changes in the provision of implant-supported prostheses at the Academic Centre for Dentistry Amsterdam (ACTA) from 1989 to 1995. Int J Prosthodont. 2000; 13(4): 316-20.
26.Buser D, Mericske-Stern R, Pierre Bernard JP, Behneke A, Behneke N, Hirt HP, et al. Long-term evaluation of non-submerged ITI implants. Part 1: 8- year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res. 1997; 8(3): 161-72.
27.Bural C, Bilhan H, Çilingir A, Geçkili O. Assessment of demographic and clinical data related to dental implants in a group of Turkish patients treated at a university clinic. J Adv Prosthodont. 2013; 5(3): 351- 8.
28. Eltas A, Dündar DS, Uzun İH, Malkoç MA. Dental implant başarısının ve hasta profilinin değerlendirilmesi: Retrospektif bir çalışma. Atatürk Üniv. Diş Hek. Fak. Derg. 2013; 23(1): 1-8.
29. Urvasizoğlu GG, Saruhan N, Ataol M. Dental implant uygulamalarinin demografik ve klinik özelliklerinin değerlendirilmesi. Atatürk Üniv. Diş Hek. Fak. Derg. 2016; 26(3): 394-8.
30. Vehemente VA, Chuang SK, Daher S, Muftu A, Dodson TB. Risk factors affecting dental implant survival. J Oral Implantol. 2002; 28(2): 74-81.
31. Fernandez-Estevan L, Selva-Otaolaurruchi EJ, Montero J, Sola-Ruiz F. Oral health-related quality of life of implant-supported overdentures versus conventional complete prostheses: retrospective study of a cohort of edentulous patients. Med Oral Patol Oral Cir Bucal. 2015; 20(4): e450-8.
32. Thomason JM, Lund JP, Chehade A, Feine JS. Patient satisfaction with mandibular implant overdentures and conventional dentures 6 months after delivery. Int J Prosthodont. 2003; 16(5): 467-73.
33. Yildirim G, Aktas C, Polat NT, Aygun EBG. Demographic evaluation of implant locations among 1000 adult patients in Turkey. Avicenna J Dent Res. 2018; 10(1): 22-7.
34. Sonoyama W, Kuboki T, Okamoto S, Suzuki H, Arakawa H, Kanyama M, et al. Quality of life assessment in patients with implant-supported and resin-bonded fixed prosthesis for bounded edentulous spaces. Clin Oral Implants Res. 2002; 13(4): 359-64.
35. Hogenius S, Berggren U, Blomberg S, Jemt T, Öhman SC. Demographical, odontological, and psychological variables in individuals referred for osseointegrated dental implants. Community Dent Oral Epidemiol. 1992; 20(4): 224-8.
36. Kim JS, Sohn JY, Park JC, Jung UW, Kim CS, Lee JH, et al. Cumulative survival rate of Astra Tech implants: a retrospective analysis. J Periodontal Implant Sci. 2011; 41(2): 86-91.
37. Froum SJ, Cho SC, Cho YS, Elian N, Tarnow D. Narrow-diameter implants: A restorative option for limited interdental space. Int J Periodontics Restorative Dent. 2007; 27(5): 449-55.
38. Davarpanah M, Martinez H, Tecucianu JF, Celletti R, Lazzara R. Small-diameter implants: Indications and contraindications. J Esthet Dent. 2000; 12(4): 186-94.
39.Razavi R, Zena RB, Khan Z, Gould AR. Anatomic site evaluation of edentulous maxillae for dental implant placement. J Prosthodont. 1995; 4(2): 90-4.
40. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003; 23(4): 313-23.
41. Woo I, Le B. Maxillary sinus floor elevation: Review of anatomy and two techniques. mplant Dent. 2004; 13(1): 28-32.
42. Klinge B, Petersson A, Maly P. Location of the mandibular canal: comparison of macroscopic findings, conventional radiography, and computed tomography. Int J Oral Maxillofac Implants. 1989; 4(4): 327-32.