Mustafa Hayati ATALA
(Bolu Abant İzzet Baysal Üniversitesi, Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Anabilim Dalı, Bolu, Türkiye)
Gülbahar USTAOĞLU
(Bolu Abant İzzet Baysal Üniversitesi, Diş Hekimliği Fakültesi, Periodontoloji Anabilim Dalı, Bolu, Türkiye)
Hülya Çetin SORKUN
(Bolu Abant İzzet Baysal Üniversitesi, Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Anabilim Dalı, Bolu, Türkiye)
Yıl: 2019Cilt: 24Sayı: 1ISSN: 2149-5254 / 2458-8849Sayfa Aralığı: 26 - 31Türkçe

57 0
Dental İmplant Tedavisinde Başarı Faktörlerinin Değerlendirilmesi
Amaç: Bu çalışmanın amacı, implant tedavisinde başarının, yaş, cinsiyet, sistemik durum, protetik tedavi çeşidi ve cerrahi teknik ile ilişkisini inceleyerek oluşabilecek başarısızlıkların önüne geçilmesini sağlamaktır. Gereç ve Yöntemler: Çalışmaya 2011–2017 döneminde Bolu Abant İzzet Baysal Üniversitesi Diş Hekimliği Fakültesi’nde dental implant tedavisi görmüş toplam 877 hasta dahil edildi. Toplam 3033 adet dental implanta dair arşiv kayıtları ve radyografiler retrospektif olarak değerlendirildi. Bulgular: Yaşa göre implant kaybetme oranları arasında istatistiksel olarak anlamlı fark bulunurken (p=0,0001), implant kaybı açısından iki cinsiyet arasında anlamlı fark bulunmadı (p=0,157). Hastalar sistemik rahatsızlıkları açısından değerlendirildiğinde en yaygın görülen hastalıklar hipertansiyon, diyabet, kardiyovasküler hastalıklar, tiroit hastalıkları ve osteoporoz idi. 3033 implantın 2905’i kemik-seviyesi, 128’i doku-seviyesi implant olup, 952’si posteriyor maksilla, 398’i anteriyor maksilla, 1042’si posteriyor mandibula, 641’i anteriyor mandibulaya yerleştirilmişti. İmplant lokasyonu ile kaybedilen implant sayısı arasındaki fark istatistiksel olarak anlamlı bulunmadı. Dental implantlar 513 adet tek kron, 700 köprü ve 260 hareketli protez ile restore edildi. Overdenture protezlerin 50 adeti bar bağlantılı, 210 adeti de Locator ataçman şeklindeydi. Protez tipi ve implant kayıp oranları arasında istatistiksel olarak anlamlı fark bulundu (p=0,007). Tartışma ve Sonuç: İmplant tedavisinin başarısında hastanın sistemik ve lokal açıdan dikkatlice değerlendirilmesi ve doğru bir protetik planlama büyük önem taşımaktadır.
DergiAraştırma MakalesiErişime Açık
  • 1. Branemark PI, Adell R, Breine U, Hansson BO, Lindstrom J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969;3(2):81–100.
  • 2. Linder L, Albrektsson T, Branemark PI, Hansson HA, Ivarsson B, Jonsson U ve ark. Electron microscopic analysis of the bone-titanium interface. Acta Orthop Scand. 1983;54(1):45–52.
  • 3. Weber HP, Cochran DL. The soft tissue response to osseointegrated dental implants. J Prosthet Dent. 1998;79(1):79–89.
  • 4. Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T. Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants. 1990;5(4):347–59.
  • 5. Albrektsson T, Wennerberg A. The impact of oral implants - past and future, 1966-2042. J Can Dent Assoc. 2005;71(5):327.
  • 6. Sennerby L, Roos J. Surgical determinants of clinical success of osseointegrated oral implants: a review of the literature. Int J Prosthodont. 1998;11(5):408–20.
  • 7. Davarpanah M, Martinez H, Etienne D, Zabalegui I, Mattout P, Chiche F ve ark. A prospective multicenter evaluation of 1,583 3i implants: 1- to 5-year data. Int J Oral Maxillofac Implants. 2002;17(6):820–8.
  • 8. Olmedo-Gaya MV, Manzano-Moreno FJ, CanaveralCavero E, de Dios Luna-del Castillo J, Vallecillo-Capilla M. Risk factors associated with early implant failure: a 5-year retrospective clinical study. J Prosthet Dent. 2016;115(2):150–5.
  • 9. Bornstein MM, Halbritter S, Harnisch H, Weber HP, Buser D. A retrospective analysis of patients referred for implant placement to a specialty clinic: indications, surgical procedures, and early failures. Int J Oral Maxillofac Implants. 2008;23(6):1109–16.
  • 10. Haas R, Mensdorff-Pouilly N, Mailath G, Watzek G. Survival of 1,920 IMZ implants followed for up to 100 months. Int J Oral Maxillofac Implants. 1996;11(5):581–8.
  • 11. Cune MS, de Putter C, Hoogstraten J. Treatment outcome with implant-retained overdentures: Part II--Patient satisfaction and predictability of subjective treatment outcome. J Prosthet Dent. 1994;72(2):152–8.
  • 12. Herrmann I, Lekholm U, Holm S, Kultje C. Evaluation of patient and implant characteristics as potential prognostic factors for oral implant failures. Int J Oral Max Impl. 2005;20(2):220–30.
  • 13. Garg AK, Winkler S, Bakaeen LG, Mekayarajjananonth T. Dental implants and the geriatric patient. Implant Dent. 1997;6(3):168–73.
  • 14. Raikar S, Talukdar P, Kumari S, Panda SK, Oommen VM, Prasad A. Factors affecting the survival rate of dental implants: a retrospective study. J Int Soc Prev Community Dent. 2017;7(6):351–5.
  • 15. Cappuccio FP, Meilahn E, Zmuda JM, Cauley JA. High blood pressure and bone-mineral loss in elderly white women: a prospective study. Study of Osteoporotic Fractures Research Group. Lancet. 1999;354(9183):971–5.
  • 16. Strazzullo P, Nunziata V, Cirillo M, Giannattasio R, Ferrara LA, Mattioli PL ve ark. Abnormalities of calcium metabolism in essential hypertension. Clin Sci. 1983;65(2):137–41.
  • 17. Wu X, Al-Abedalla K, Eimar H, Arekunnath Madathil S, Abi-Nader S, Daniel NG ve ark. Antihypertensive medications and the survival rate of osseointegrated dental implants: a cohort study. Clin Implant Dent Relat Res. 2016;18(6):1171–82.
  • 18. Pierroz DD, Bonnet N, Bianchi EN, Bouxsein ML, Baldock PA, Rizzoli R ve ark. Deletion of beta-adrenergic receptor 1, 2, or both leads to different bone phenotypes and response to mechanical stimulation. J Bone Miner Res. 2012;27(6):1252–62.
  • 19. Alsaadi G, Quirynen M, Komarek A, van Steenberghe D. Impact of local and systemic factors on the incidence of oral implant failures, up to abutment connection. J Clin Periodontol. 2007;34(7):610–7.
  • 20. Anner R, Grossmann Y, Anner Y, Levin L. Smoking, diabetes mellitus, periodontitis, and supportive periodontal treatment as factors associated with dental implant survival: a long-term retrospective evaluation of patients followed for up to 10 years. Implant Dent. 2010;19(1):57–64.
  • 21. Dowell S, Oates TW, Robinson M. Implant success in people with type 2 diabetes mellitus with varying glycemic control: a pilot study. J Am Dent Assoc. 2007;138(3):355–61.
  • 22. Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants. 2005;20(4):569–77.
  • 23. Zupnik J, Kim SW, Ravens D, Karimbux N, Guze K. Factors associated with dental implant survival: a 4-year retrospective analysis. J Periodontol. 2011;82(10):1390–5.
  • 24. Daubert DM, Weinstein BF, Bordin S, Leroux BG, Flemming TF. Prevalence and predictive factors for peri-implant disease and implant failure: a cross-sectional analysis. J Periodontol. 2015;86(3):337–47.
  • 25. Ferreira SD, Silva GL, Cortelli JR, Costa JE, Costa FO. Prevalence and risk variables for peri-implant disease in Brazilian subjects. J. Clin Periodontol. 2006;33(12):929– 35.
  • 26. Oates TW Jr., Galloway P, Alexander P, Vargas Green A, Huynh-Ba G, Feine J ve ark. The effects of elevated hemoglobin A(1c) in patients with type 2 diabetes mellitus on dental implants: survival and stability at one year. J Am Dent Assoc. 2014;145(12):1218–26.
  • 27. Oates TW, Dowell S, Robinson M, McMahan CA. Glycemic control and implant stabilization in type 2 diabetes mellitus. J Dent Res. 2009;88(4):367–71.
  • 28. Tallarico M, Meloni SM. Retrospective analysis on survival rate, template-related complications, and prevalence of peri-implantitis of 694 anodized implants placed using computer-guided surgery: results between 1 and 10 years of follow-up. Int J Oral Maxillofac Implants. 2017;32(5):1162–71.
  • 29. Geckili O, Bilhan H, Geckili E, Cilingir A, Mumcu E, Bural C. Evaluation of possible prognostic factors for the success, survival, and failure of dental implants. Implant Dent. 2014;23(1):44–50.
  • 30. Jang HW, Kang JK, Lee K, Lee YS, Park PK. A retrospective study on related factors affecting the survival rate of dental implants. J Adv Prosthodont. 2011;3(4):204–15.

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © 2019 Tüm Hakları Saklıdır.