Firdevs ORAL, Emine Hülya DEMİR SEVİNÇ, Arzu Zeynep YILDIRIM

İMPLANT DESTEKLİ PROTEZLERİN BAŞARISINDA OKLÜZYONUN YERİ

Kaybedilen dişlerin protetik rehabilitasyonu için dental implantların kullanımı, günümüz diş hekimliğinde oldıukça sık kullanılan bir tedavi seçeneğidir. Ancak, bu tedavi protokolü uygulanırken oklüzyon prensiplerine dikkat edilmediğinde komplikasyonlar ve hatta implant kayıpları görülebilmektedir. İmplant destekli protezlerin başarısızlığında rol alan ana nedenlerden biri olan aşırı oklüzal kuvvetler, krestal kemik kaybıyla birlikte implant çevresinde anaerobik sulkus derinliğini arttırarak peri-implantitise neden olabilmektedir. Mekanik prensiplere uygun bir oklüzyon elde edilmesi, kuvvetlerin ağırlıklı olarak implant gövdesinin uzun ekseni boyunca yönlendirilmesi anlamına gelmektedir. Bu derlemede, oklüzal kuvvetlerin, dental implantları ve etrafındaki kemiği nasıl etkileyebileceği açıklanacak ve oluşabilecek komplikasyonlar hakkında bilgi verilerek, implant üstü protezlerin okluzal uyumlamaları hakkında klinik önerilerde bulunulacaktır.

Anahtar Kelimeler:

implant destekli protez, oklüzyon, oklüzal kuvvetler

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