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Otojen iliak kemikle greftlenen atrofik maksillanın 4 implant üstü zirkonyum sabit protezle rekonstrüksiyonu: Olgu sunumu

Year 2017, Volume: 4 Issue: 2, 84 - 88, 28.07.2017
https://doi.org/10.15311/1441.330625

Abstract


Otojen iliak kemikle greftlenen atrofik maksillanın 4 implant üstü zirkonyum sabit protezle rekonstrüksiyonu: Olgu sunumu

Pek çok vakada kemik rezorpsiyonunun fazla olması veya anatomik sınırlar nedeniyle ileri cerrahi uygulamadan implant destekli protezle sabit restorasyon yapmak zor olmaktadır. Bu olgu sunumunun amacı aşırı maksiller alveoler kret kaybı şikayeti olan ve sabit protetik restorasyon isteyen bir hastanın implant destekli sabit zirkon üst yapılı protez ile gerçekleştirilen tedavisini sunmaktır. Kliniğimize sabit protez ihtiyacı ile başvuran sistemik herhangi rahatsızlığı bulunmayan 61 yaşındaki hastanın klinik muayenesinde, maksillada sadece tek dişin olduğu ve mandibulada bilateral posterior dişsizlik olduğu görülmüştür. Genel anestezi altında iliak kemikten alınan kortikokansellöz kemik grefti ile maksillada alveoler kemik augmentasyonu ve bilateral maksiller sinüs greftleme yapıldı. Greft iyileşmesini takiben, maksillaya 4, sağ mandibula posterior bölgeye 2 ve sol mandibuler posterior bölgeye 1 adet olacak şekilde kemikiçi implantlar uygulandı.4 ay sonra maksilla ve mandibuladan alınan ölçüler sonrası zirkonyum üst yapılarla sabit protez uygulandı. Hastanın estetik ve fonksiyonel beklentileri tedavi sonrasında başarılı bir şekilde karşılandı. 1 yıllık takip sonucunda herhangi bir, biyolojik, estetik, fonksiyonel ya da biyomekanik komplikasyon gözlenmedi.

References

  • 1. Stellingsma C, Vissink A, Meijer HJ, Kuiper C, Raghoebar GM. Implantology and the severely resorbed edentulous mandible. Crit Rev Oral Biol Med 2004; 15(4): 240-8. 2. Raghoebar GM, Meijer HJ, Stellingsma K, Vissink A. Addressing the atrophied mandible: a proposal for a treatment approach involving endosseous implants. Int J Oral Maxillofac Implants 2011; 26: 607–17. 3. Sjöström M , Sennerby L, Nilson H, Lundgren S,. Reconstruction of the Atrophic Edentulous Maxilla with Free Iliac Crest Grafts and Implants: A 3-Year Report of a Prospective Clinical Study. Clin Implant Dent Relat Res 2007; 9(1): 46-59. 4. Chiapasco M, Zaniboni M, Rimondini L. Autogenous onlay bone grafts vs. alveolar distraction osteogenesis for the correction of vertically deficient edentulous ridges: a 2-4-year prospective study on humans. Clin Oral Implants Res 2007; 18(4):432-40. 5. Moses O, Nemcovsky CE, Langer Y, Tal H. Severely resorbed mandible treated with iliac crest autogenous bone graft and dental implants: 17-year follow-up. Int J Oral Maxillofac Implants 2007; 22(6): 1017-121. 6. Sbordone C, Toti P, Guidetti F, Califano L, Pannone G, Sbordone L. Volumetric changes after sınus augmentation using blocks of autogenous iliac bone or freeze-dried allogeneic bone. A nonrandomized study. J Craniomaxillofac Surg. 2014; 42(2), 113-118. 7. Vagkopoulou T, Koutayas SO, Koidis P, Strub JR. Zirconia in dentistry: part 1. Discovering the nature of an upcoming bioceramic. Eur J Esthet Dent 2009; 4(2): 130-51. 8. Manicone PF, Iommetti PR, Raffaelli L. An overview of zirconia ceramics: basic properties and clinical applications. J Dent 2007; 35(11): 819-26. 9. Cricchio G, Lundgren S. Donor site morbidity in two different approaches to anterior iliac crest bone harvesting. Clin Implants Dent Relat Res. 2003; 5(3): 161–9. 10.Bayram B, Çubuk S, Güven MA, Pektaş ZÖ, Uçkan S. Donör saha olarak kullanılan anterior iliak kretin morbiditesinin değerlendirilmesi. Atatürk Üniv Diş Hek Fak Der 2012; 22(1): 52-6.

Reconstruction of severely atrophic maxilla with autogenous iliac crest bone graft and subsequent 4 implant supported fixed zirconia dental prosthesis: A case report

Year 2017, Volume: 4 Issue: 2, 84 - 88, 28.07.2017
https://doi.org/10.15311/1441.330625

Abstract

Severe alveolar atrophy and anatomic limitations make the construction of an implant supported fixed prosthesis impossible without advanced surgical procedures. The purpose of this case report is to present the reconstruction of severely atrophic maxilla with autogenous iliac crest bone graft and subsequent 4 implant supported fixed zirconia dental prosthesis. The clinical examination of an otherwise healthy 61-year-old woman, referred with the requirement of a fixed prosthesis, revealed an edentulous maxilla except a single tooth and bilateral posterior edentulous mandible. Total maxillary alveolar crestal augmentation and bilateral maxillary sinus grafting were performed with autogenous corticocancellous iliac bone graft harvested under generla anaesthesia. Following the graft consolidation period, 4 implants were inserted in the maxilla while 2 and 1 implants in the mandible to the right and left respectively. After 4 months, implant supported fixed zirconia prosthesis were reconstructed for the maxilla and mandible. The patient’s aesthetic and functional expectations were achieved immediately. At one-year follow-up no aesthetic, biological, functional and biomechanical complications were observed.

References

  • 1. Stellingsma C, Vissink A, Meijer HJ, Kuiper C, Raghoebar GM. Implantology and the severely resorbed edentulous mandible. Crit Rev Oral Biol Med 2004; 15(4): 240-8. 2. Raghoebar GM, Meijer HJ, Stellingsma K, Vissink A. Addressing the atrophied mandible: a proposal for a treatment approach involving endosseous implants. Int J Oral Maxillofac Implants 2011; 26: 607–17. 3. Sjöström M , Sennerby L, Nilson H, Lundgren S,. Reconstruction of the Atrophic Edentulous Maxilla with Free Iliac Crest Grafts and Implants: A 3-Year Report of a Prospective Clinical Study. Clin Implant Dent Relat Res 2007; 9(1): 46-59. 4. Chiapasco M, Zaniboni M, Rimondini L. Autogenous onlay bone grafts vs. alveolar distraction osteogenesis for the correction of vertically deficient edentulous ridges: a 2-4-year prospective study on humans. Clin Oral Implants Res 2007; 18(4):432-40. 5. Moses O, Nemcovsky CE, Langer Y, Tal H. Severely resorbed mandible treated with iliac crest autogenous bone graft and dental implants: 17-year follow-up. Int J Oral Maxillofac Implants 2007; 22(6): 1017-121. 6. Sbordone C, Toti P, Guidetti F, Califano L, Pannone G, Sbordone L. Volumetric changes after sınus augmentation using blocks of autogenous iliac bone or freeze-dried allogeneic bone. A nonrandomized study. J Craniomaxillofac Surg. 2014; 42(2), 113-118. 7. Vagkopoulou T, Koutayas SO, Koidis P, Strub JR. Zirconia in dentistry: part 1. Discovering the nature of an upcoming bioceramic. Eur J Esthet Dent 2009; 4(2): 130-51. 8. Manicone PF, Iommetti PR, Raffaelli L. An overview of zirconia ceramics: basic properties and clinical applications. J Dent 2007; 35(11): 819-26. 9. Cricchio G, Lundgren S. Donor site morbidity in two different approaches to anterior iliac crest bone harvesting. Clin Implants Dent Relat Res. 2003; 5(3): 161–9. 10.Bayram B, Çubuk S, Güven MA, Pektaş ZÖ, Uçkan S. Donör saha olarak kullanılan anterior iliak kretin morbiditesinin değerlendirilmesi. Atatürk Üniv Diş Hek Fak Der 2012; 22(1): 52-6.
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Details

Primary Language Turkish
Subjects Dentistry
Journal Section Case Report
Authors

Yusuf Tamer

Deniz Somay This is me

Zafer Özgür Pektaş This is me

Publication Date July 28, 2017
Submission Date December 24, 2016
Published in Issue Year 2017 Volume: 4 Issue: 2

Cite

Vancouver Tamer Y, Somay D, Pektaş ZÖ. Otojen iliak kemikle greftlenen atrofik maksillanın 4 implant üstü zirkonyum sabit protezle rekonstrüksiyonu: Olgu sunumu. Selcuk Dent J. 2017;4(2):84-8.