Osman Fatih ARPAĞ, Ahmet ALTAN, İbrahim DAMLAR

Dental implantasyondan önce sert doku hazırlığı: dört yıllık retrospektif bir çalışma

Amaç: Bu çalışmanın amacı dental implant yerleştirmeden önce sert doku hazırlığı gereksinimlerini araştırmaktır. Gereç ve yöntem: Çalışmamızda Mustafa Kemal Üniversitesi Diş Hekimliği Fakültesi’ne 2011-2015 yılları arasında başvuran 1086 hasta incelendi. Dental implantasyon öncesi veya sırasında yapılan onlay greftleme, otojen blok greftleme, soket koruma, yönlendirilmiş doku rejenerasyonu, eksternal sinus tabanı yükseltme girişimi, ridge-split osteotomisi, alveolar distraksiyon osteogenezi, inferior alveolar sinir repozisyonu işlemleri her bir implant için ayrı ayrı kaydedildi. Bulgular: 1086 hastada 3186 implant değerlendirildi. 295 hastada (% 27.1) 655 implantın herhangi bir augmentasyon prosedürü ile yerleştirildiği saptandı. Augmentasyon prosedürlerinden en az birini alan 295 hastanın 144’ü erkek iken 151’i kadındı. Erkeklerde 309 implant kadınlarda ise 346 adet implantın augmente edildiği saptandı. Augmentasyon prosedürleri genel olarak sayıları ile birlikte şöyle sıralanmaktadır. 286 implant için onlay greftleme, 23’ü için soket koruma, 9’u için yönlendirilmiş kemik rejenerasyonu, 271’i için eksternal sinus tabanı yükseltme girişimi, 62’si için ridge-split osteotomisi, 2’si için inferior alveolar sinir repozisyonu, 2’si için distraksiyon osteogenezi. Sonuç: Dental implant cerrahisindeki gelişmelerin artmaya devam etmesiyle birlikte, implant yerleştirme işlemi öncesi veya sırasında farklı greftleme prosedürlerinin gerçekleştirilebilmesi kaçınılmazdır. Anahtar kelimeler: Kemik augmentasyonu, dental implant, retrospektif

Anahtar Kelimeler:

Kemik augmentasyonu, dental implant, retrospektif

Hard tissue preparation prior to dental implant placement: a four-year retrospective study

Aim: The purpose of this study is to investigate the requirements of hard tissue preparation prior to dental implant placement.Methods: In this retrospective study, the records of 1086 patients who referred to Mustafa Kemal University, Faculty of Dentistry, for dental implant between 2011 and 2015 were investigated. The received frequency of patients’ onlay grafting, autogenous block grafting, socket preservation, guided bone regeneration, open sinus lifting, ridge split osteotomy, alveolar distraction osteogenesis, inferior alveolar nerve repositioning were evaluated in any process of the dental implant. Findings: 3186 dental implants in 1086 patients were included to the study. Among 295 patients, it was observed that the number of men was 144 (48.8%) and number of implants was totally 309 (47.2%) implants, while the number of grafted implants in women of 151 (51.2%) was 346 (52.8%). The numbers of grafting procedures for augmentation are as follows; 286 (43.7%) onlay grafting, 23 (3.5%) socket preservation, 9 (1.4%) guided bone regeneration, 271 (41.3%) open sinus lifting, 62 (9.5%) alveolar ridge splitting, 2 (0.3%) alveolar nerve repositioning and 2 (0.3%) distraction osteogenesis. Conclusion: With ongoing the increasing of developments in dental implant surgery, it will be inevitable that the different grafting procedures can be carried out before and during the implantation.

Keywords:

Bone augmentation, dental implant, retrospective,

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