İki Farklı Frez Hızının Diş İmplantının Primer Stabilitesine Etkisinin Kıyaslanması: ex Vivo Çalışma

Amaç: Bu çalışmanın amacı düşük devir ve yüksek devir ile hazırlanmış yuvalara yerleştirilmiş diş implantlarının primer stabilite değerlerinin karşılaştırılmasıdır. Gereç ve Yöntemler: Bu ex vivo çalışmada taze sığır kemiğine 20 adet implant yerleştirilmiştir. İmplant yuvalarının 10 tanesi 800 rpm ile 10 tanesi ise 50 rpm ile hazırlanmıştır. Çalışmada kullanılan tüm implantlar 3.7 mm çap ve 10 mm boya sahiptir. İmplantlara PenguinRFA cihazının ölçüm ucu (multipeg) bağlanmış ve ölçümler kemiğin uzun eksenine paralel ve dik olacak şekilde yapılmıştır. Ölçümler her yön için üçer defa tekrarlanmış ve ortalama bir ISQ değeri hesaplanmıştır. Sonuçların ortalaması alınmış ve verilerin iki grup arası karşılaştırmalarında Student t test kullanılmıştır. Bulgular: 800 rpm protokolünün ISQ ortalaması, 50 rpm protokolünden istatistiksel olarak anlamlı düzeyde düşük bulunmuştur (p<0.05). Sonuç: Bu çalışmanın sınırları dahilinde düşük devir ile hazırlanan yuvalara yerleştirilen implantların ISQ ortalaması, geleneksel yöntemle (800 rpm) hazırlanan yuvalara yerleştirilen implantların ISQ ortalamasından istatistiksel olarak anlamlı düzeyde yüksek bulunmuştur. Bununla birlikte bu sonuçların doğrulanması için randomize kontrollü çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

Diş implantları, kemikle bütünleşim, rezonans frekans analizi, primer stabilite, düşük devirli frezleme

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