ABUTMENT VİDA KIRIĞI VAKALARINA ALTERNATİF BİR TEDAVİ YÖNTEMİ: OLGU RAPORU

Yıl 2015, Cilt: 4 Sayı: 1, 46 - 50, 30.04.2012

Serhat Ramoğlu , Oğuz Ozan Sevcan Kurtulmuş Yılmaz Abdullah Oğuz Hamis Hüseyin Aktore

Öz

Abutment vida kırığı, implantlarda en sık karşılaşılan komplikasyonlardan biri olup, kırık vidanın çıkartılması bazı durumlarda mümkün olmamakta, bu yüzden alternatif çözüm arayışına gidilebilmektedir. Yakın Doğu Üniversitesi Diş Hekimliği Fakültesi’ne 55 yaşındaki hasta 2 adet implant üzerine uygulanmış sabit protezindeki sallanma şikayeti ile başvurmuştur. Hastaya yapılan detaylı klinik ve radyografik muayene sonucunda, sağ maksiller premolar bölgedesindeki implantta vida kırığı tespit edilmiştir. Kırık vida parçası çıkartılmaya çalışmış ancak, çıkartılamamıştır. Bu nedenle mevcut olan implant kullanılarak alternatif bir tedavi planı oluşturulmuştur. Uygulanmış olan tedavi, klinisyen ve hasta açısından tatmin edici sonuçlar vermiş olup, 15 aylık takip sürecinde herhangi bir şikayetle karşılaşılmamış, alt yapı, implant ve üstyapı arasında herhangi bir stabilizasyon problemine rastlanmamıştır.

Anahtar Kelimeler

Abutment Vida Kırığı, İmplant

AN ALTERNATIVE TREATMENT OPTION FOR A SCREW-FRACTURED IMPLANT: A CLINICAL REPORT

Öz

Abutment screw fracture is one of the common complications encountered in implants. In some cases removal of the fractured screw may not possible and alternative solutions should be considered.

A 55-year-old patient presented to NEU Faculty of Dentistry with a complaint of screw loosening in his two-implant supported FPD. After the clinical and radiographic examinations a screw fracture was detected in the implant placed in maxillary right premolar region. The fractured screw was tried to retrieve; however the attempt was resulted unsuccessfully. Therefore an alternative treatment with using the current implant was planned. The result was found to be satisfactory for both patient and the clinician. After a 15-mounth follow-up, continued stabilization of the dowel, implant and superstructure was observed.

Anahtar Kelimeler

Abutment Screw Fracture, Implant

Kaynakça

• 1. Akin H, Coskun ME, Sari F, Tugut F, Ozdemir H, Ozdemir AK. Farklı tipteki dental implantların mekanik yönden başarı ve başarısızlığı: iki yıllık takip çalışması. Cumhuriyet Dent J. 2011;12:121-4.
• 2. Canpolat C, Ozkurt-Kayahan Z, Kazazoglu E. Management of a Fractured Implant Abutment Screw: A Clinical Report. J Prosthodont. 2014.
• 3. Büyükkaplan UŞ, Çataltepe M, Kömerik N, Şanlı Koçer G. Farklı dental implantların başarı ve sağ kalım oranlarının değerlendirilmesi. S. D.Ü. Sağlık Bilimleri Enstitüsü Dergisi. 2011;2:77-82.
• 4. Zarb GA, Schmitt A. The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part I: Surgical results. J Prosthet Dent. 1990;63:451-7.
• 5. Ekelund J-A, Lindquist LW, Carlsson GE, Jemt T. Implant treatment in the edentulous mandible: a prospective study on Brånemark system implants over more than 20 years. Int J Prosthodont. 2003;16(6):602-8.
• 6. Brägger U, Aeschlimann S, Bürgin W, Hämmerle CH, Lang NP. Biological and technical complications and failures with fixed partial dentures (FPD) on implants and teeth after four to five years of function. Clin Oral Implants Res. 2001;12:26-34.
• 7. Goodacre CJ, Kan JY, Rungcharassaeng K. Clinical complications of osseointegrated implants. J Prosthet Dent. 1999;81:537-52.
• 8. Walia MS, Arora S, Luthra R, Walia PK. Removal of Fractured Dental Implant Screw Using a New Technique: A Case Report. J Oral Implantol. 2012;38:747-50.
• 9. Bakaeen LG, Winkler S, Neff PA. The effect of implant diameter, restoration design, and occlusal table variations on screw loosening of posterior single-tooth implant restorations. J Oral Implantol. 2001;27:63-72.
• 10. Patil PG. A technique for repairing a loosening abutment screw for a cement-retained implant prosthesis. J Prosthodont. 2011;20:652-5.
• 11. Nergiz I, Schmage P, Shahin R. Removal of a fractured implant abutment screw: a clinical report. J Prosthet Dent. 2004;91:513-7.
• 12. Pow EH, Wat PY. A technique for salvaging an implant-supported crown with a fractured abutment screw. J Prosthet Dent. 2006;95:169-70.
• 13. Rinke S, Roediger M, Eickholz P, Lange K, Ziebolz D. Technical and biological complications of single-molar implant restorations. Clin Oral Implants Res. 2014.doi: 10.1111/clr.12382.
• 14. Gupta V, DR P, Muley N. A new restorative technique for the perishing implant due to abutment screw fracture. J Oral Implantol. 2012.doi:10.1563/AAID-JOI-D-12-00231.1
• 15. Satterthwaite J, Rickman L. Retrieval of a fractured abutment screw thread from an implant: a case report. Br Dent J. 2008;204:177-80.
• 16. Satwalekar P, Chander KS, Reddy BA, Sandeep N, Sandeep N, Satwalekar T. A Simple and Cost Effective Method used for Removal of a Fractured Implant Abutment Screw: A Case Report. J Int Oral Health. 2013;5:120-3.
• 17. Schwarz MS. Mechanical complications of dental implants. Clin Oral Implants Res. 2000;11:156-8.
• 18. Taira Y, Sawase T. A modified technique for removing a failed abutment screw from an implant with a custom guide tube. J Oral Implantol. 2012;38:165-9.