Yıl: 2022 | Cilt: 25 | Sayı: 95 | Sayfa: 10-14
Özet
Çalışmada Ti-base abutmentlara bağlanan implant destekli sabit restorasyonlarda implant etrafındaki marjinal kemik kayıplarının digital panoramik röntgenler ile değerlendirilmesi amaçlanmıştır. Ayrıca bu değerlendirmede; kuron boyu/implant boyu, implantın bulunduğu çene, yiv yapısına göre implantların kemik kaybı miktarına etkileri incelenmiştir. Çalışmaya 41 hasta ve 125 adet Mode Rapid ve Mode Level implant dahil edilmiştir. Hastaların çekilmiş olan yükleme sonrası ve 1. yıl kontrol röntgenleri karşılaştırılarak marjinal kemik kayıpları ve kuron boyu/implant boyu ölçülmüştür. Ti-base abutmenta bağlanan agresif yivli implantlarda 1 yıl sonunda saptanan marjinal kemik kaybı miktarı 0,0118 mm iken, regular yivli implantlarda 0,0456 mm olarak belirlenmiştir. Çalışmada Ti-base abutmentlara bağlanan implant destekli sabit restorasyonlar değerlendirildiğinde, 1 yıl sonra saptanan marjinal kemik kaybı incelenen tüm parametrelerde her iki başarı kriterini sağlamaktadır.
Anahtar Kelimeler
İmplant, Ti-Base Abutment, Sabit Protez, Marjinal Kemik Kaybı, Sağ KalımAbstract
The aim of this study was to evaluate the marginal bone loss of implant with Ti-base abutments. The effects of crown/ implant size, implant localization, active and regular threads on the amount of bone loss were investigated. In this retrospective trial, the data belonging to 125 Mode Rapid and Mode Level implants that were inserted to 41 patients 1 year ago were used. Marginal bone loss and crown/implant length were measured on the post-loading and 1st year control x-rays of the patients. The marginal bone loss values were obtained as 0.0118 mm in active threaded implants and 0.0456 mm in regular threaded implants. In the study, marginal bone loss measured of fixed prosthesis bonded to Ti-base abutments provides the success criterion in all parameters examined.
Keywords
Implant, Ti-Base Abutment, Fixed Prosthesis, Marginal Bone Loss, SurvivalReferanslar | References
1. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1(1):11-25.
2. Becker W, Goldstein M, Becker BE, Sennerby L. Minimally invasive flapless implant surgery: A prospective multicenter study. Clin Implant Dent Relat Res. 2005;7(1): 21-7.
3. Bilhan H, Bilmenoglu C, Urgun AC, Ates G, Bural C, Cilingir A, Geckili O. Comparison of the Primary Stability of Two Implant Designs in Two Different Bone Types: An In Vitro Study. Int J Oral Maxillofac Implants. 2015;30(5):1036-40.
4. Branemark P-I. Tissueintegrated prostheses. Osseointegration Clin Dent. 1985;11-76.
5. Brodbeck U. The ZiReal post: A new ceramic implant abutment. J Esthet Restor Dent. 2003;15(1):10-23.
6. Broggini N, McManus LM, Hermann JS, et al. Peri-implant inflammation defined by the implant-abutment interface. J Dent Res. 2006;85(5): 473-8.
7. Fu JH, Hsu YT, Wang HL. Identifying occlusal overload and how to deal with it to avoid marginal bone loss around implants. Eur J Oral Implantol. 2012;5:91-103.
8. Gapski R, Neugeboren N, Pomeranz AZ RM. Endosseous Implant Failure Influenced by Crown Cementation: A Clinical Case Report. Int J Oral Maxillofac Implant. 2008;23:943-6.
9. Heitz-Mayfield LJA, Lang NP. Comparative biology of chronic and aggressive periodontitis vs. peri-implantitis. Periodontol 2000. 2010;53:167-81.
10. Hermann JS, Buser D, Schenk RK, Cochran DL. Crestal Bone Changes Around Titanium Implants. A Histometric Evaluation of Unloaded Non-Submerged and Submerged Implants in the Canine Mandible. J Periodontol. 2000;71(9):1412-24.
11. Hermann JS, Schoolfield JD, Schenk RK, Buser D, Cochran DL. Influence of the Size of the Microgap on Crestal Bone Changes Around Titanium Implants. A Histometric Evaluation of Unloaded Non-Submerged Implants in the Canine Mandible. J Periodontol. 2001;72(10):1372-83.
12. Karoussis IK, Salvi GE, Heitz-Mayfield LJA, Brägger U, Hämmerle CHF, Lang NP. Long-term implant prognosis in patients with and without a history of chronic periodontitis: A 10-year prospective cohort study of the ITI® Dental Implant System. Clin Oral Implants Res. 2003;14:329-39
13. Kim Y, Oh TJ, Misch CE, Wang HL. Occlusal considerations in implant therapy: Clinical guidelines with biomechanical rationale. Clin Oral Implants Res. 2005;16(1):26-35.
14. Korsch M, Obst U, Walther W. Cement-associated peri-implantitis: A retrospective clinical observational study of fixed implant-supported restorations using a methacrylate cement. Clin Oral Implants Res. 2014;25(7):797-802.
15. Kumar, A., R.A. Jaffin and CB. The effect of smoking on achieving osseointegration of surface-modified implants: a clinical report. Int J Oral Maxillofac Implants. 2002;17(6):816-9.
16. Kurbad A, Kurbad S. CAD/CAM-based implant abutments. Int J Comput Dent. 2013;16(2):125-41.
17. Lemos CA, de Souza Batista VE, Almeida DA, Santiago Júnior JF, Verri FR PE. Evaluation of cement-retained versus screwretained implant-supported restorations for marginal bone loss: a systematic review and meta-analysis. J Prosthet Dent. 2016;115(4):419-427.
18. Mangano C, Iaculli F, Piattelli A, Mangano F. Fixed restorations supported by Morse-taper connection implants: A retrospective clinical study with 10-20 years of follow-up. Clin Oral Implants Res. 2015;26(10):1229-36.
19. Misch CE. Early crestal bone loss etiology and its effect on treatment planning for implants. Post Gr Dent. 1995:3-17.
20. Misch CE, Perel ML, Wang HL, et al. Implant success, survival, and failure: The International Congress of Oral Implantologists (ICOI) pisa consensus conference. Implant Dent. 2008;17(1):5-15.
21. de Moraes SLD, Verri FR, Junior JFS, de Faria DAA, de Mello CC, Pellizzer EP. A 3-D finite element study of the influence of crown-implant ratio on stress distribution. Braz Dent J. 2013;24(6):635-41.
22. Negri M, Galli C, Smerieri A, et al. The effect of age, gender, and insertion site on marginal bone loss around endosseous implants: Results from a 3-year trial with premium implant system. Biomed Res Int. 2014;2014:369051.
23. Nissan J, Ghelfan O, Gross O, Priel I, Gross M, Chaushu G. The effect of crown/implant ratio and crown height space on stress distribution in unsplinted implant supporting restorations. J Oral Maxillofac Surg. 2011;69(7):1934-39.
24. Peñarrocha, M. et al. Radiologic study of marginal bone loss around 108 dental implants and its relationship to smoking, implant location, and morphology. Int J Oral Maxillofac Implants. 2004;19(6).
25. Randow K, Ericsson I, Nilner K, Petersson A, Glantz PO. Immediate functional loading of Brånemark dental implants: An 18-month clinical follow-up study. Clin Oral Implants Res. 1999;10(1):8-15.
26. Silva GC, Cornacchia TM, de Magalhães CS, Bueno AC MA. Biomechanical evaluation of screw- and cement-retained implantsupported prostheses: a nonlinear finite element analysis. J Prosthet Dent. 2014;112(6):1479-1488.
27. Squier RS, Agar JR, Duncan JP TT. Retentiveness of Dental Cements Used with Metallic Implant Components. Int J Oral Maxillofac Implant. 2001;16:793-8.
28. Tamizi, M. et al. Comparison of bone healing around nonsubmerged and submerged implants in Maestro system of Biohorizon technology. Shahid Beheshti Uni Dent Sch J. 2005;23(1):18-27.
29. Weng D, Nagata MJH, Bell M, Bosco AF, De Melo LGN, Richter EJ. Influence of microgap location and configuration on the periimplant bone morphology in submerged implants. An experimental study in dogs. Clin Oral Implants Res. 2008;19(11):1141-7.
30. Wilson Jr. TG. The positive relationship between excess cement and peri-implant disease: A prospective clinical endoscopic study. J Periodontol. 2009;80(9):1388-92.
31. Wittneben JG, Millen C, Bragger U. Clinical performance of screw- versus cement-retained fixed implant-supported reconstructions— A systematic review. Int J Oral Maxillofac Implant. 2014;29(1):84-98.
32. Zitzmann NU, Berglundh T. Definition and prevalence of peri-implant diseases. In: Journal of Clinical Periodontology. ; 2008;35(8):286-91.