Emrah DİLAVER, Sina UCKAN, Kıvanç Berke AK, Muazzez SUZEN

Dental İmplant Cerrahisi ile İlgili Cerrahi KomplikasyonlarınClavien-Dindo Sınıflandırması kullanılarak Değerlendirilmesi

Amaç: Bu çalışmanın amacı cerrahi komplikasyonların ciddiyetiniderecelendirmede kullanılan Clavien-Dindo sınıflamasınıkullanarak, 2016-2019 yılları arasında aynı cerrah tarafındanyapılan implantlarda karşılaşılan cerrahi komplikasyonlarıdeğerlendirmektir. Gereç ve Yöntemler: Bu retrospektif araştırma, dental implantameliyatı geçiren 368 vakada yapılan toplam 1171 implantıiçermektedir. Ameliyatla ilgili karşılaşılan komplikasyonlarkaydedildi ve bu komplikasyonlar Clavien-Dindo Sınıflandırmasistemine göre değerlendirildi. Yaş, cinsiyet, sigara içme, Diabetesmellitus ve immediat implant yerleştirilmesi gibi diğer faktörlerin dekomplikasyonlar üzerinde olası etkileri ayrıca değerlendirildi. Bulgular: Flep dehisensi, hissizlik, enfeksiyon, dental implantınapikal kısmının maksiller sinüs içinde olması , primer stabiliteeksikliği ve kortikal kemik perforasyonu dahil toplam 98komplikasyonla karşılaşılmıştır. Sigara içmenin ve immediateimplantasyonun, flep dehisensi meydana gelmesi açısından riskfaktörü olduğu bulundu (p 0.05). Sonuç: Clavien-Dindo sınıflandırması dental implant cerrahisindehem komplikasyonların standardizasyonu hem de klinisyenlerinkomplikasyonların sonuçlarını anlamalarına yardımcı olmak içinyararlı olabilir. Clavien-Dindo sınıflandırma sisteminin geniş biryelpazede kullanılması, implant cerrahisinde farklı tekniklerdekarşılaşılan komplikasyonların farklı cerrahlar ve merkezlerarasında karşılaştırılmasına olanak sağlayacaktır.

Assessment of surgical complications related to dentalimplant surgery using Clavien-Dindo Classification

Background: The aim of this study is to evaluate the surgicalcomplications encountered in the implants performed by the same surgeon between 2016-2019 using the Clavien-Dindoclassification used to grade the severity of surgicalcomplications. Methods: This retrospective study includes a total of 1171implants performed in 368 cases undergoing dental implantsurgery. Complications related to the operation were recordedand these complications were evaluated according to theClavien-Dindo Classification system. Possible effects of otherfactors such as age, gender, smoking, Diabetes mellitus andimmediate implant placement on complications were alsoevaluated. Results: A total of 98 complications have been reported,including flap dehiscence, numbness, infection, the apical part ofthe dental implant in the maxillary sinus, lack of primary stability,and cortical bone perforation. Smoking and immediateimplantation were found to be risk factors for flap dehiscence (p

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