Tip 2 Diabetik ve Nondiabetik Hastalarda Uygulanan Tek Diş İmplantların Çevresindeki Marjinal Kemik Kaybının Klinik ve Radyolojik Olarak Kıyaslanması

Yıl 2023, Cilt: 24 Sayı: 3, 84 - 89, 31.12.2023

Belgin Gülsün , Fatma Eriş Derkuş , Utku Nezih Yılmaz , Ufuk Bakay , Ersin Uysal

Öz

Amaç: Kemik metabolizmasını etkileyen lokal ve sistemik durumlar, osseointegrasyon için risk faktörüdür. Bu risk faktörlerinde en çok tartışılan hastalıklardan birisi de diabetes mellitustur. Bu çalışmanın amacı; diabetik ve nondiabetik hastalarda uygulanacak olan 60 dental implantın, belli aralıklarla alınmış kontrol radyografilerinde ve cep derinliği ölçümlerinde implant çevresindeki marjinal kemik kayıplarının ilişkilendirilmesi ve tip 2 diabetin dental implant çevresindeki marjinal kemik kaybına etkisinin araştırılmasıdır.
Gereç ve Yöntem: Dental implant cerrahisi görmüş hastalardan iyileşme başlığı takılmasını takiben, protezin yapılıp dişler çiğneme fonksiyonuna girdikten sonra 3. ay ve 6. aylarda ring holder kullanılarak, paralel teknikle periapikal filmler alındı ve implant çevresindeki kemik ölçümleri radyolojik olarak yapıldı.
Bulgular: Tip 2 diabetik ve nondiabetik hasta grupları cep derinlikleri bakımından incelendiğinde; tüm zamanlarda cep derinliklerinin ve marjinal kemik kayıplarının tip 2 diabetli hastalarda daha yüksek olduğu görülmüştür.
Sonuç: Tip 2 diabetin cep derinliği ve kemik kaybına doğrudan bir etkisi olduğu gözlenmiştir.

Anahtar Kelimeler

Dental i̇mplant, marjinal kemik kaybı, osseointegrasyon, tip 2 diabet

Clinical and Radiological Comparison of Marginal Bone Loss Around of Single Dental Implants Applied in Type 2 Diabetic and Nondiabetic Patients

Öz

Aim: Local and systemic conditions affecting bone metabolism are risk factors for osseointegration. One of the most discussed treatments for those at risk is diabetes mellitus. The purpose of this process is; the permanence of marginal bone loss of the implant in radiographs and pocket depth measurements in which certain fractures were checked in 60 dental implants with diabetic and non-diabetic spread, and the effects of marginal bone loss of the dental implant in type 2 diabetes.
Material and Method: Following the installation of a healing cap in patients who had undergone dental implant surgery, periapical films were taken with a parallel technique using a ring holder at the 3rd and 6th months after the prosthesis was made and the teeth entered chewing function, and bone measurements around the implant were made radiologically.
Results: When type 2 diabetic and nondiabetic patient groups are examined in terms of pocket depths; It has been observed that pocket depths and marginal bone losses are always higher in patients with type 2 diabetes.
Conclusion: It has been observed that type 2 diabetes has a direct effect on pocket depth and bone loss.

Anahtar Kelimeler

Dental implants, marginal bone loss, type 2 diabetes, osseointegration

Kaynakça

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