Özet

Bu çalışmanın amacı; alt çene tam dişsiz bireylere hemen yükleme protokolüyle yerleştirilen iki implant destekli bar veya locator tutuculu protezlerdeki implantların marjinal kemik kayıpları ile kemik içi stabilite değerlerinin karşılaştırılmasıdır. 28 tam dişsiz hastanın alt çenesine 2 adet aynı boy ve çapta implant (Nobel Biocare, Göteborg, İsveç) uygulanmış ve hastalar bar veya locator tutuculu protezler uygulanmak üzere 2 gruba ayrılmıştır. Hastaların klinik ve radyografik bulguları yüklemeyi takip eden 6. ay ve 12. ayda değerlendirilmiştir. Locator ve bar tipi tutucuların cerrahi operasyon esnasındaki Periotest düzeyleri arasında anlamlı bir farklılık bulunurken (p=0.01); altıncı ay ve 12. aylardaki Periotest değerleri arasında istatistiksel olarak anlamlı bir farklılık bulunmamıştır.

Anahtar Kelimeler

Hemen Yükleme, Marjinal Kemik Kaybı, Primer Stabilite, İmplant Destekli Hareketli Protez

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Abstract

The objective of this study is to assess the primary stability values, marginal bone loss rates of two implant-retained overdentures with bar or locator attachment placed in mandibular complete edentulous patients used an immediate-loding protocol. Two implants with same size and diaemeter (Nobel Biocare, Göteborg, Sweden) were placed in 28 patients with complete edentulous mandible and the patients were divided into two groups according to the overdentures with bar or locator attachment to be applied. Clinical and radiographic findings of the patients were evaluated at the 6th and 12th months following the loading procedure. No statistically significant difference between the implants of both groups at 6th and 12th months (p>0.05).

Keywords

Immediate Loading, Marginal Bone Loss, Primer Stability, Implant Supported Overdenture

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Referanslar | References

1. Rasmusson L, Roos J, Bystedt H. A 10-year follow-up study of titanium dioxide-blasted implants. Clin Implant Dent Relat Res. 2005;7(1):36-42.
2. Visser A, Raghoebar GM, Meijer HJ, Batenburg RH, Vissink A. Mandibular overdentures supported by two or four endosseous implants. A 5-year prospective study. Clin Oral Implants Res. 2005;16(1):19-25.
3. British Society for the Study of Prosthetic D. The York consensus statement on implant-supported overdentures. Eur J Prosthodont Restor Dent. 2009;17(4):164-5.
4. Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, et al. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Montreal, Quebec, May 24-25, 2002. Int J Oral Maxillofac Implants. 2002;17(4):601-2.
5. Branemark PI, Zarb G, Albrektsson T. Tissue-Integrated Prostheses. Chicago, IL: Quintessence Publishing; 1985.
6. Meredith N. Assessment of implant stability as a prognostic determinant. Int J Prosthodont. 1998;11(5):491-501.
7. Geckili O, Bilhan H, Cilingir A, Mumcu E, Bural C. A comparative in vitro evaluation of two different magnetic devices detecting the stability of osseo-integrated implants. Journal of periodontal research. 2012;47(4):508-13.
8. Rabel A, Kohler SG, Schmidt-Westhausen AM. Clinical study on the primary stability of two dental implant systems with resonance frequency analysis. Clin Oral Investig. 2007;11(3):257-65.
9. Payne AG, Solomons YF. The prosthodontic maintenance requirements of mandibular mucosa- and implant-supported overdentures: a review of the literature. Int J Prosthodont. 2000;13(3):238-43.
10. Lachmann S, Jager B, Axmann D, Gomez-Roman G, Groten M, Weber H. Resonance frequency analysis and damping capacity assessment. Part I: an in vitro study on measurement reliability and a method of comparison in the determination of primary dental implant stability. Clin Oral Implants Res. 2006;17(1):75-9.
11. Magno Filho LC, Cirano FR, Hayashi F, Hsu FS, Alexandre C, Dib L, et al. Assessment of the Correlation between Insertion Torque and Resonance Frequency Analysis of Implants placed in Bone Tissue of Different Densities. The Journal of oral implantology. 2012;16.
12. Cochran DL, Buser D, ten Bruggenkate CM, Weingart D, Taylor TM, Bernard JP, et al. The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results from clinical trials on ITI SLA implants. Clin Oral Implants Res. 2002;13(2):144-53.
13. Esposito M, Grusovin MG, Chew YS, Coulthard P, Worthington HV. One-stage versus two-stage implant placement. A Cochrane systematic review of randomised controlled clinical trials. Eur J Oral Implantol. 2009;2(2):91-9.
14. Akca K, Akkocaoglu M, Comert A, Tekdemir I, Cehreli MC. Bone strains around immediately loaded implants supporting mandibular overdentures in human cadavers. Int J Oral Maxillofac Implants. 2007;22(1):101-9.
15. Alfadda SA, Attard NJ, David LA. Five-year clinical results of immediately loaded dental implants using mandibular overdentures. Int J Prosthodont. 2009;22(4):368-73.
16. Attard NJ, David LA, Zarb GA. Immediate loading of implants with mandibular overdentures: one-year clinical results of a prospective study. Int J Prosthodont. 2005;18(6):463-70.
17. Grandi T, Guazzi P, Samarani R, Garuti G, Grandi G. Immediate loading of two unsplinted implants retaining the existing complete mandibular denture in elderly edentulous patients: 1-year results from a multicentre prospective cohort study. Eur J Oral Implantol. 2012;5(1):61-8.
18. Stoker GT, Wismeijer D. Immediate loading of two implants with a mandibular implant-retained overdenture: a new treatment protocol. Clin Implant Dent Relat Res. 2011;13(4):255-61.
19. Stricker A, Gutwald R, Schmelzeisen R, Gellrich NG. Immediate loading of 2 interforaminal dental implants supporting an overdenture: clinical and radiographic results after 24 months. Int J Oral Maxillofac Implants. 2004;19(6):868-72.
20. Turkyilmaz I, Sennerby L, Tumer C, Yenigul M, Avci M. Stability and marginal bone level measurements of unsplinted implants used for mandibular overdentures: a 1‐year randomized prospective clinical study comparing early and conventional loading protocols. Clinical oral implants research. 2006;17(5):501-5.
21. Kappel S, Giannakopoulos NN, Eberhard L, Rammelsberg P, Eiffler C. Immediate Loading of Dental Implants in Edentulous Mandibles by Use of Locator(R) Attachments or Dolder(R) Bars: Two-Year Results from a Prospective Randomized Clinical Study. Clin Implant Dent Relat Res. 2016;18(4):752-61.
22. Alsabeeha NH, Payne AG, De Silva RK, Thomson WM. Mandibular single-implant overdentures: preliminary results of a randomised-control trial on early loading with different implant diameters and attachment systems. Clin Oral Implants Res. 2011;22(3):330-7.
23. Schincaglia GP, Rubin S, Thacker S, Dhingra A, Trombelli L, Ioannidou E. Marginal Bone Response Around Immediate- and Delayed-Loading Implants Supporting a Locator-Retained Mandibular Overdenture: A Randomized Controlled Study. Int J Oral Maxillofac Implants. 2016;31(2):448-58.
24. Thacker SR. Immediate Versus Delayed Loading of Two Implants Supporting A Locator Retained Mandibular Overdenture. A Randomized Controlled Study [Master's Thesis]: University of Connecticut; 2012.
25. De Smet E, Jacobs R, Gijbels F, Naert I. The accuracy and reliability of radiographic methods for the assessment of marginal bone level around oral implants. Dentomaxillofac Radiol. 2002;31(3):176-81.
26. Meredith N, Shafie HR. Clinical applications for the measurement of implant stability using Osstell™ Mentor. In: In: Shafie HR, editor. Clinical and Laboratory manual of implant overdentures. Oxford: Blackwell; 2007. p. 206-9.
27. Albrektsson T, Isidor F. Consensus report of session IV. In: In: Lang N, Karring T, editors. Proceedings of the 1st European Workshop on Periodontology. London, UK: Quintessence Publishing Co Ltd; 1994. p. 365-69.
28. 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.
29. Nedir R, Bischof M, Szmukler-Moncler S, Bernard JP, Samson J. Predicting osseointegration by means of implant primary stability. Clin Oral Implants Res. 2004;15(5):520-8.
30. Geckili E, Geckili O, Bilhan H, Kutay O, Bilgin T. Clinical Comparison of Screw-Retained and Screwless Morse Taper Implant-Abutment Connections: One-year Postloading Results. Int J Oral Maxillofac Implants. 2017;32(5):1123-31.
31. Olive J, Aparicio C. Periotest method as a measure of osseointegrated oral implant stability. Int J Oral Maxillofac Implants. 1990;5(4):390-400.
32. Aparicio C. The use of the periotest value as the initial success criteria of an implant: 8-year report. Int J Periodont Rest. 1997;17(2):151
33. Krennmair G, Seemann R, Weinlander M, Wegscheider W, Piehslinger E. Implant-prosthodontic rehabilitation of anterior partial edentulism: a clinical review. Int J Oral Maxillofac Implants. 2011;26(5):1043-50.
34. Krennmair G, Seemann R, Weinlander M, Wegscheider W, Piehslinger E. Implant-prosthodontic rehabilitation of anterior partial edentulism: a clinical review. Int J Oral Maxillofac Implants. 2011;26(5):1043-50.
35. Elsyad MA, Elsaih EA, Khairallah AS. Marginal bone resorption around immediate and delayed loaded implants supporting a locator-retained mandibular overdenture. A 1-year randomised controlled trial. J Oral Rehabil. 2014;41(8):608-18.
36. Meredith N, Shafie HR. Clinical applications for the measurement of implant stability using Osstell™ Mentor. In: In: Shafie HR, editor. Clinical and Laboratory manual of implant overdentures. Oxford: Blackwell; 2007. p. 206-9.
37. 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.