İmplant Destekli Sabit Protezlerde Simantasyon

Günümüzde implant destekli sabit protezler eksik dişlerin yerine koyulması için yaygın olarak uygulanan tedavi seçeneklerindendir. İmplant destekli sabit protezlerde uygulanan restorasyonlar, siman ve vida retansiyonlu olmak üzere iki tiptedir. 1990’lı yıllardan sonra implant firmalarının siman retansiyonlu üst yapılara uygun abutment üretmesi ile bu tip üst yapılar vidalı sistemlere göre daha fazla kullanılmaktadır. Siman retansiyonlu üst yapılarda retansiyonun sağlanması, implant destekli protezlerin uzun süreli fonksiyonunda önemli rol oynar. Yapıştırıcı ajanlar, sabit protezlerin simantasyonunda kullanılan ve restorasyonun retansiyonunu geçici veya daimi olarak sağlayan dental materyallerdir. Bu materyaller, hem diş destekli hem de implant destekli protezlerde rutin olarak kullanılmasına rağmen her iki protez tipi arasında siman seçimi ve simantasyon prensipleri açısından çeşitli farklar mevcuttur. Bu farkların hekim tarafından bilinmesi ve implant destekli sabit protezlerin yapıştırılması esnasında dikkate alınması restorasyonların biyolojik ve mekanik komplikasyonlar oluşmadan başarılı şekilde kullanılmalarını sağlar. Bu nedenle çalışmamızda, implant destekli sabit protez uygulamalarında kullanılan simanlar ve simantasyon prensipleri ile ilgili güncel ve kapsamlı bilgi verilmesi amaçlanmıştır

Anahtar Kelimeler:

İmplant, Sabit protez, Simanlar, Simantasyon.

Cementation in Implant Supported Fixed Prostheses

Contemporarily, implant supported applications are one of the commonly used treatment options in order to replace the missing teeth. The restorations used in implant supported fixed prostheses have two types, such as cement-retained and screw-retained restorations. Since 1990’s, as the implant manufacturer’s has introduced abutments that are compatible with the cement-retained restorations, these restorations are used more than the screw-retained restorations. Obtaining retention in cement-retained restoration plays significant role in the long-term service of the implant supported prostheses. Luting agents are dental materials that provide retention of the restoration temporarily or permanently. Although these materials are used for both the cementation of tooth and implant supported fixed restorations, there are somennm differences between them in terms of the luting agent selection and cementation principles. It is of utmost importance that clinician should be aware of these differences and consider them important during cementation in order to provide long-term success without any biological and mechanical complications. Therefore, the purpose of our study is to provide contemporary and comprehensive knowledge about the luting agents and cementation procedures of implant supported fixed prostheses

Keywords:

Implant, Fixed prosthesis, Cements, Cementation,

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