DOLDER BAR DESTEKLİ MAKSİLLER OVERDENTURE: OLGU SUNUMU

Tam dişsiz hastaların protetik tedavisi diş hekimleri için her zaman zorlayıcı olmuştur. Klasik tam protezlerin retansiyon ve stabilite yetersizliği gibi problemler, hastalarda memnuniyetsizlik oluşturmaktadır. Tam dişsiz, aşırı kemik rezorpsiyonu görülen hastalarda, doğal bir estetik oluşturmak, yüz görünümünü düzenlemek ve kaybedilen sert ve yumuşak dokuları telafi etmek, sabit protezlere oranla implant destekli overdenture protezlerle çok daha kolaydır. Bu olgu sunumunda, tam dişsiz ön maksillaya yerleştirilen dört adet implant üzerine uygulanan dolder bar tutuculu overdenture protez yapım aşamaları sunulmaktadır. Protez, yüz estetiğinin düzelmesini sağlamış, tutuculuk ve stabilite açısından tatmin edici sonuç ortaya koymuştur.

Anahtar Kelimeler:

implant, maksiller overdenture, dolder bar

Dolder Bar Retained Maxillary Overdenture: A Case Report

The prosthetic rehabilitation of edentulous patients has always been a challenge for dentists. Problems such as lack of retention and stability of the conventional dentures constitute dissatisfaction of patients. Rehabilitation of edentulous patients with severe bone resorption, is much easier with overdenture prostheses than implantsupported fixed prostheses due to the chance to create a natural aesthetic appearance, to provide facial support and compensation for lacking soft and hard tissues. In this case report, a dolder bar retained overdenture which is supported by four implants located in edentulous anterior maxilla is presented. The denture, which allowed the improvement of facial aesthetics, showed satisfactory results in terms of retention and stability

Keywords:

implant, maxillary overdenture, dolder bar,

PDF

___

1- Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2005; 33: 81-92.
2- Çalıkkocaoğlu S, Dişsiz Hastaların Protetik Tedavisi: Klasik Tam Protezler, Genişletilmiş 5. Baskı, Quintessense Yayıncılık, İstanbul, 2010
3- Assunção WG, Barão VAR, Delben JA, Gomes EA, Tabata LF. A comparison of patient satisfaction between treatment with conventional complete dentures and overdentures in the elderly: a literature review. Gerodontology 2010; 27: 154-162.
4- Tomruk CÖ, Özkurt Z, Şençift K, Kazazoğlu E. İmplant destekli overdenture ve klasik tam protezlerin hasta memnuniyeti açısından karşılaştırılması. Cumhuriyet Dent J 2013; 16: 8-19.
5- Narhi TO, Hevinga M, Voorsmit RA, Kalk W. Maxillary overdentures retained by splinted and unsplinted implants: a retrospective study. Int J Oral Maxillofac Implants 2001;16: 259-266
6- Sadowsky SJ. The implant-supported prosthesis for the edentulous arch: design considerations. J Prosthet Dent 1997; 78: 28- 33.
7- Mericske-Stern R. Treatment outcomes with implant-supported overdentures: clinical considerations. J Prosthet Dent 1998; 79: 66-73.
8- Visser A, Raghoebar GM, Meijer HJ, Vissink A. Implant-retained maxillary overdentures on milled bar suprastructures: a 10-year follow-up of surgical and prosthetic care and aftercare. Int J Prosthodont 2008; 22:181-192.
9- Naert I, Gizan S, Van Steenberghe D. Rigidly splinted implants in the resorbed maxilla to retain a hinging overdenture: a series of clinical reports for up to 4 years. J Prosthet dent 1998; 79: 156-164.
10- Allen PF, Mcmillan AS. A longitudinal study of quality of life outcomes in older adults requesting implant prostheses and complete removable dentures. Clin Oral Impl Res 2003; 14: 173-179.
11- Sadowsky SJ. Treatment considerations for maxillary implant overdentures: a systematic review. J Prosthet Dent 2007; 97: 340-348.
12- Slot W, Raghoebar GM, Vissink A, Huddleston Slater JJ, Meijer HJ. A systematic review of implant‐supported maxillary overdentures after a mean observation period of at least 1 year. J Clin Periodontol 2010; 37: 98-110.
13 - Balaguer J, Ata -Ali J, Peñarrocha -Oltra D, García B, Peñarrocha -Diago M. Long -term survival rates of implants supporting overdentures. J Oral Implantol 2015; 41: 173- 177.
14 - Misch CE. Dental İmplant Protezler. Nobel
15 - Tıp Kitabevleri, 2009, S: 208 -209
16 - Boven GC, Raghoebar GM, Vissink A, Meijer HJA Improving masticatory performance, bite force, nutritional state and patient's satisfaction with implant overdentures: a systematic review of the literature. J Oral Rehabil 2015; 42: 220 -233.
17 - Chang HS, Hsieh YD, Hsu ML. Long -term survival rate of implant -supported overdentures with various attachment systems: A 20 -year retrospective study. J Dent Sci 2015; 10: 55 -60