Bireyselleştirilmiş iyileşme başlığının immediyat implantasyon sonrası implant çevreleyen sert ve yumuşak dokular üzerine etkisinin değerlendirilmesi

Amaç: İmmediyat implant uygulaması ile birlikte yerleştirilen bireysel iyileşme başlığının, implant çevresindeki sert ve yumuşak dokuların boyutsal değişimine etkisinin değerlendirilmesi hedeflenmiştir. Gereç ve Yöntem: Çalışmaya yaşları 20 ile 58 arasında değişen (ort ± ss: 32,78 ± 11,51), 16 kadın, 10 erkek toplam 26 hasta dahil edildi. 28 ümitsiz prognoza sahip premolar diş test ve kontrol gruplarına eşit sayıda olacak şekilde rasgele dağıtıldı. Diş çekimi sonrası implant yerleştirilmesini takiben kontrol grubunda standart iyileşme başlığı kullanılırken test grubunda bireysel iyileşme başlığı kullanıldı. İmplantın boyun seviyesindeki vestibül kemik kalınlığı (KK) ve dişeti kalınlığında (DK) meydana gelen değişimler operasyondan 1 hafta sonra ve 6. ayda alınan konik ışın hüzmeli volümetrik tomografi (CBCT) ile değerlendirildi. İnterdental papil yüksekliğindeki değişim miktarları ise operasyondan önce ve 6. ayda alınan standart fotoğraflar ile değerlendirildi. Grup içi ve gruplar arası değerlendirmelerin yapılmasında ve değişkenler arasındaki korelasyonların saptanmasında parametrik testler kullanıldı. Bulgular: Çalışma 27 implant ile tamamlandı. CBCT ölçümlerinde her iki grupta da KK’da anlamlı seviyede azalma saptandı (p

Purpose: The aim of the present study was to evaluate the effect of customized healing abutment on dimensional changes of periimplant soft and hard tissues after immediate implantation. Materials and Methods: A total of 26 patients (16 females and 10 males, aged between 20 and 58 years) (mean ± SD 32.78 ± 11.51) were included in this study. 28 premolar teeth with a hopeless prognosis were randomly distributed to the test and control groups in equal numbers. Following tooth extraction, implants were placed, custom and standard healing cap placed in test and control group. Cone beam volumetric tomography (CBCT) was obtained after 1 week and 6 months to evaluate changes in vestibular bone thickness and gingival thickness at the neck level of the implant. Vertical dimensional changes of interdental papillas were evaluated using standard photographs that taken at baseline and after 6 months. Parametric tests were used to evaluate intra- and inter-group coefficient and to determine correlations between variables. Results: Twenty-seven implants completed the study protocol. CBCT measurements showed significant bone resorption at the crestal point of the implant in both groups (p

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