Olgu Sunumu
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İMPLANT DESTEKLİ PROTEZLERDE İMMEDİAT YÜKLEME, YUMUŞAK DOKU ŞEKİLLENDİRMESİ VE BİREYSEL ÖLÇÜ POSTU ÜRETİLMESİ; OLGU SUNUMU

Yıl 2022, Cilt: 8 Sayı: 1, 95 - 105, 28.04.2022

Öz

İmplant destekli protezlerin uzun dönem başarısını etkileyen en önemli faktörlerden biri sert ve yumuşak dokunun yeterli miktarda ve uygun şekilde olmasıdır. İmmediat yükleme protokolü, hastanın kaybettiği estetik ve fonksiyonu en hızlı şekilde geri kazandırmayı amaçlamaktadır. Restorasyonların çıkış profili, implant üstü protezlerin estetiğini ve uzun dönem başarısını etkileyen önemli faktörlerden biridir. Günümüzde uygun bir çıkış profili yakalamak amacıyla kişiye özel iyileşme başlıkları ve geçici restorasyonlar sıklıkla kullanılmaktadır. Çıkış profilinin düzgün bir şekilde ölçüye aktarılması daimi protezin uyumlu olması için son derece önemlidir. Ancak standart ölçü postlarının silindirik yapısı çıkış profilini ölçüye yansıtmak için tam olarak yeterli değildir. Bu olgu sunumunda, hastanın diş eksikliği bulunan bölgesine implant uygulanmasını takiben immediat yükleme protokolü ile geçici restorasyon uygulanmıştır. Bu işlemden 4 ay sonra geçici restorasyon kopyalanıp bireysel ölçü postu üretilmiştir. Bu bireysel ölçü postu, daimi restorasyonun üretimi için kullanılmıştır. Birbirinden farklı çalışmalarda farklı tedavi protokolleri uygulanabilse de asıl amaç implant destekli protezlerde doğal dişlere yakın bir çıkış profili oluşturmak ve daimi protezleri bu çıkış profiline uygun şekilde üretebilmektir.

Kaynakça

  • 1. Attard N, Barzilay I. A modified impression technique for accurate registration of peri-implant soft tissues. J Can Dent Assoc. 2003;69(2):80-83.
  • 2. Lee EA, Dent C•, Huan S, González-Martín O. MODIFIED DRILLING SEQUENCE FOR IMMEDIATE LOADING OF NON-CONICAL SINGLE IMPLANTS PLACED IN EXTRACTION SOCKETS. Dent. 2009;21(4):207-214.
  • 3. Kan JYK, Rungcharassaeng K, Deflorian M, Weinstein T, Wang HL, Testori T. Immediate implant placement and provisionalization of maxillary anterior single implants. Periodontol 2000. 2018;77(1):197-212. doi:10.1111/prd.12212
  • 4. Slagter KW, den Hartog L, Bakker NA, Vissink A, Meijer HJA, Raghoebar GM. Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis. J Periodontol. 2014;85(7):e241-e250. doi:10.1902/JOP.2014.130632
  • 5. Cosyn J, Eghbali A, De Bruyn H, Collys K, Cleymaet R, De Rouck T. Immediate single-tooth implants in the anterior maxilla: 3-year results of a case series on hard and soft tissue response and aesthetics. J Clin Periodontol. 2011;38(8):746-753. doi:10.1111/J.1600-051X.2011.01748.X
  • 6. Block MS, Mercante DE, Lirette D, Mohamed W, Ryser M, Castellon P. Prospective evaluation of immediate and delayed provisional single tooth restorations. J Oral Maxillofac Surg. 2009;67(11 Suppl):89-107. doi:10.1016/J.JOMS.2009.07.009
  • 7. Goldberg P V., Higginbottom FL, Wilson TG. Periodontal considerations in restorative and implant therapy. Periodontol 2000. 2001;25(1):100-109. doi:10.1034/J.1600-0757.2001.22250108.X
  • 8. D’Addona A, Ghassemian M, Raffaelli L, Manicone PF. Soft and Hard Tissue Management in Implant Therapy—Part I: Surgical Concepts. Int J Biomater. 2012;2012. doi:10.1155/2012/531202
  • 9. Manicone PF, Raffaelli L, Ghassemian M, D’Addona A. Soft and hard tissue management in implant therapy - Part II: Prosthetic concepts. Int J Biomater. Published online 2012. doi:10.1155/2012/356817
  • 10. Cosyn J, Hooghe N, De Bruyn H. A systematic review on the frequency of advanced recession following single immediate implant treatment. J Clin Periodontol. 2012;39(6):582-589. doi:10.1111/j.1600-051X.2012.01888.x
  • 11. Wittneben J-G, Buser D, Belser UC, Brägger U. Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique. Int J Periodontics Restor Dent. 2013;33(4):447-455. doi:10.11607/prd.1268
  • 12. Papadopoulos I, Pozidi G, Goussias H, Kourtis S. Transferring the emergence profile from the provisional to the final restoration. J Esthet Restor Dent. 2014;26(3):154-161. doi:10.1111/jerd.12068
  • 13. Parpaiola A, Sbricoli L, Guazzo R, Bressan E, Lops D. Managing the peri-implant mucosa: A clinically reliable method for optimizing soft tissue contours and emergence profile. J Esthet Restor Dent. 2013;25(5):317-323. doi:10.1111/jerd.12046
  • 14. Ganddini MR, Tallents RH, Ercoli C, Ganddini R. Technique for fabricating a cement-retained single-unit implant-supported provisional restoration in the esthetic zone. doi:10.1016/j.prosdent.2005.06.010
  • 15. Shor A, Schuler R, Goto Y. Indirect implant-supported fixed provisional restoration in the esthetic zone: Fabrication technique and treatment workflow. J Esthet Restor Dent. 2008;20(2):82-95. doi:10.1111/j.1708-8240.2008.00156.x
  • 16. Levin BP. Immediate temporization of immediate implants in the esthetic zone: evaluating survival and bone maintenance. Compend Contin Educ Dent. 2011;32(4).

IMMEDIATE LOADING, SOFT TISSUE MANIPULATION AND MANUFACTURE OF INDIVIDUAL IMPRESSION POSTS IN IMPLANT SUPPORTED PROSTHESES: CASE REPORT

Yıl 2022, Cilt: 8 Sayı: 1, 95 - 105, 28.04.2022

Öz

One of the most important factors affecting the long-term success of implant-supported prostheses is the adequate and appropriate form of hard and soft tissue. The immediate loading protocol aims to restore the lost aesthetics and function of the patient as quickly as possible. The emergence profile of the restorations is one of the important factors affecting the esthetics and long- term success of implant-supported prostheses. Today, individual healing caps and provisional restorations are frequently used in order to achieve an appropriate emergence profile. Proper transfer of the emergence profile to the impression is extremely important for the compatibility of the final restorations. However, the cylindrical structure of standard impression posts is not fully sufficient to reflect the emergence profile to the impression. In this case report, a provisional restoration was performed with an immediate loading protocol following the application of an implant to the patient’s missing tooth area. After 4 months of this procedure, the provisional restoration was copied and an individual impression post was produced. This individual impression post was used for the fabrication of the final restoration. Although different treatment protocols can be applied in different studies, the main purpose is to create an emergence profile close to natural teeth in implant supported prostheses and to produce final restorations in accordance with this emergence profile.

Kaynakça

  • 1. Attard N, Barzilay I. A modified impression technique for accurate registration of peri-implant soft tissues. J Can Dent Assoc. 2003;69(2):80-83.
  • 2. Lee EA, Dent C•, Huan S, González-Martín O. MODIFIED DRILLING SEQUENCE FOR IMMEDIATE LOADING OF NON-CONICAL SINGLE IMPLANTS PLACED IN EXTRACTION SOCKETS. Dent. 2009;21(4):207-214.
  • 3. Kan JYK, Rungcharassaeng K, Deflorian M, Weinstein T, Wang HL, Testori T. Immediate implant placement and provisionalization of maxillary anterior single implants. Periodontol 2000. 2018;77(1):197-212. doi:10.1111/prd.12212
  • 4. Slagter KW, den Hartog L, Bakker NA, Vissink A, Meijer HJA, Raghoebar GM. Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis. J Periodontol. 2014;85(7):e241-e250. doi:10.1902/JOP.2014.130632
  • 5. Cosyn J, Eghbali A, De Bruyn H, Collys K, Cleymaet R, De Rouck T. Immediate single-tooth implants in the anterior maxilla: 3-year results of a case series on hard and soft tissue response and aesthetics. J Clin Periodontol. 2011;38(8):746-753. doi:10.1111/J.1600-051X.2011.01748.X
  • 6. Block MS, Mercante DE, Lirette D, Mohamed W, Ryser M, Castellon P. Prospective evaluation of immediate and delayed provisional single tooth restorations. J Oral Maxillofac Surg. 2009;67(11 Suppl):89-107. doi:10.1016/J.JOMS.2009.07.009
  • 7. Goldberg P V., Higginbottom FL, Wilson TG. Periodontal considerations in restorative and implant therapy. Periodontol 2000. 2001;25(1):100-109. doi:10.1034/J.1600-0757.2001.22250108.X
  • 8. D’Addona A, Ghassemian M, Raffaelli L, Manicone PF. Soft and Hard Tissue Management in Implant Therapy—Part I: Surgical Concepts. Int J Biomater. 2012;2012. doi:10.1155/2012/531202
  • 9. Manicone PF, Raffaelli L, Ghassemian M, D’Addona A. Soft and hard tissue management in implant therapy - Part II: Prosthetic concepts. Int J Biomater. Published online 2012. doi:10.1155/2012/356817
  • 10. Cosyn J, Hooghe N, De Bruyn H. A systematic review on the frequency of advanced recession following single immediate implant treatment. J Clin Periodontol. 2012;39(6):582-589. doi:10.1111/j.1600-051X.2012.01888.x
  • 11. Wittneben J-G, Buser D, Belser UC, Brägger U. Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique. Int J Periodontics Restor Dent. 2013;33(4):447-455. doi:10.11607/prd.1268
  • 12. Papadopoulos I, Pozidi G, Goussias H, Kourtis S. Transferring the emergence profile from the provisional to the final restoration. J Esthet Restor Dent. 2014;26(3):154-161. doi:10.1111/jerd.12068
  • 13. Parpaiola A, Sbricoli L, Guazzo R, Bressan E, Lops D. Managing the peri-implant mucosa: A clinically reliable method for optimizing soft tissue contours and emergence profile. J Esthet Restor Dent. 2013;25(5):317-323. doi:10.1111/jerd.12046
  • 14. Ganddini MR, Tallents RH, Ercoli C, Ganddini R. Technique for fabricating a cement-retained single-unit implant-supported provisional restoration in the esthetic zone. doi:10.1016/j.prosdent.2005.06.010
  • 15. Shor A, Schuler R, Goto Y. Indirect implant-supported fixed provisional restoration in the esthetic zone: Fabrication technique and treatment workflow. J Esthet Restor Dent. 2008;20(2):82-95. doi:10.1111/j.1708-8240.2008.00156.x
  • 16. Levin BP. Immediate temporization of immediate implants in the esthetic zone: evaluating survival and bone maintenance. Compend Contin Educ Dent. 2011;32(4).
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm OLGU BİLDİRİMİ
Yazarlar

Metehan Yılmaz 0000-0002-9156-8333

Esra Özge Aydın 0000-0001-8166-560X

Berkay Enes Güngör 0000-0001-5239-6164

Ongun Çelikkol 0000-0002-9401-4133

Umut Yiğit 0000-0001-8080-2932

Yayımlanma Tarihi 28 Nisan 2022
Gönderilme Tarihi 1 Şubat 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 8 Sayı: 1

Kaynak Göster

Vancouver Yılmaz M, Aydın EÖ, Güngör BE, Çelikkol O, Yiğit U. İMPLANT DESTEKLİ PROTEZLERDE İMMEDİAT YÜKLEME, YUMUŞAK DOKU ŞEKİLLENDİRMESİ VE BİREYSEL ÖLÇÜ POSTU ÜRETİLMESİ; OLGU SUNUMU. Aydin Dental Journal. 2022;8(1):95-105.

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