Mustafa AYDINBELGE, Emine ÇİFCİBAŞI², Cenker Zeki KOYUNCUOĞLU¹, Ferda PAMUK¹, Mustafa TUNALI³

İMMEDİYAT İMPLANTASYONDA KEMİK KAYBI VE REJENERATİF YÖNTEMLER BONE LOSS AND REGENERATIVE METHODS IN IMMEDIATE IMPLANTATION

Diş çekiminden hemen sonra çekim boşluklarına implantların immediyat olarak yerleştirilmesinin hem hastalar hem de hekimler açısından bir çok avantajının olduğu ortaya konmuştur. Toplam tedavi süresinin ve cerrahi işlem sayısının azaltılmasının yanında implantın doğru pozisyon ve açı ile yerleştirilmesi sonucu ideal estetik sonuç elde edilmesi bu yöntemin önemli avantajlarıdır. Ancak, bu tedavi seçeneğinin dezavantajları da bulunmaktadır. Bunlar; çekim boşluğunun enfekte olmasıyla implantın kaybedilme riskinin artması, artı cerrahiler gerektirebilen hassas bir teknik olması, kemik morfolojisinin ideal yerleşim ve primer stabilizasyon açısından problem oluşturabilmesi, dişeti çekilmesi riskinin artması ve çekim sonrası kemiğin iyileşmesi sırasında ortaya çıkabilecek sonuçların tahmin edilememesi olarak belirtilmiştir. Bu derlemenin amacı daha başarılı ve daha estetik sonuçlar almak için immediyat implantasyon işlemlerinde başarıya etki eden faktörleri değerlendirmektir.

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Placement of immediate implants into fresh extraction sockets have a lot of advantages to both patients and clinicians. The main advantages of the immediate approach are reduced overall treatment time and the number of surgical procedures. In addition, this method provides an optimal implant position and angulation that results in a esthetic outcome. However, there are also some disadvantages of this approach: extraction socket infection leading to an increased risk of implant lost, technique sensitive extra surgery, difficulty in achieving ideal location and initial stabilization, the increased risk of gingival recession and unpredictable future bone healing results after tooth extraction. The aim of the present review is to assess the factors affecting success in immediate implantation procedure to get more successful and aesthetic results.

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