Düşük Devirli İrrigasyonsuz Frezlemenin Dental İmplant Başarısına Etkisinin Değerlendirilmesi

Yıl 2021, Cilt: 9 Sayı: 2, 10 - 22, 31.08.2021

Mustafa Karaca , Abubekir Eltas

https://doi.org/10.24998/maeusabed.950439

Öz

Bu çalışmanın amacı; implant yuvasının preparasyonunda düşük devirli irrigasyonsuz frezlemenin implant etrafındaki marjinal kemik kaybına ve implantların kaybedilme oranına etkilerinin değerlendirilmesidir. Çalışmaya parsiyel ve total dişsizliğe sahip toplam 23 hasta dahil edildi. Çalışma grubundaki 44 implantın frezlemesi 50rpm düşük devirli irrigasyonsuz şekilde yapılırken, kontrol grubundaki 30 implantın frezlemesi 600rpm devirli ve irrigasyonlu bir şekilde yapıldı. Marjinal kemik seviyelerini belirlemek için tüm implantlardan, yerleştirildikten hemen sonra ve postoperatif 3. ayda periapikal radyografiler alındı. Ayrıca, çalışmada implantların kaybedilme oranı, yerleştirme tork değerleri, implant yerleştirilen bölgedeki kemik kalitesi, frezleme ve toplam ameliyat süreleri kaydedildi. Bu çalışmada; düşük devirli irrigasyonsuz frezleme (DDİF) ile standart frezleme (SF) protokolü arasında mesial, distal ve ortalama marjinal kemik kaybı düzeyleri açısından istatistiksel olarak anlamlı bir farklılık görülmedi (p>0.05). İmplantların kaybedilme oranları da gruplar arasında benzerdi (p>0.05). Ayrıca, implant yerleştirme tork değerleri, frezleme ve toplam ameliyat sürelerinde de gruplar arasında farklılık gözlenmedi (p>0.05). Bu çalışmanın bulguları, DDİF’nin cerrahi sonrası iyileşme dönemindeki marjinal kemik kaybı, implant kaybı ve başlangıç tork değerlerine etkilerinin SF ile benzer olduğunu işaret etmektedir. Ancak, tekniğin güvenilirliği açısından daha ileri ve uzun hasta takipli çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

dental implant, low-speed drilling without irrigation, autogenous bone graft

Impact of Low-speed Drilling without Irrigation on Dental Implant Success

Öz

Kaynakça

• Åkesson Louise, Jan Håkansson, and Madeleine Rohlin. 1992. 'Comparison of panoramic and intraoral radiography and pocket probing for the measurement of the marginal bone level', Journal of Clinical Periodontology, 19: 326-32.
• Albrektsson T., George Zarb, P. Worthington, and A. R. Eriksson. 1986. 'The long-term efficacy of currently used dental implants: A review and proposed criteria of success', The International journal of oral & maxillofacial implants, 1: 11-25.
• Anitua, Eduardo, Carmen Carda, and Isabel Andia. 2007. 'A novel drilling procedure and subsequent bone autograft preparation: a technical note', International Journal of Oral and Maxillofacial Implants, 22: 138.
• Åstrand, Per, Hartmut Feldmann, Bo Engquist, Simon Dahlgren, Eva Engquist, and Kerstin Gröndahl. 2002. 'Marginal bone reaction to oral implants: a prospective comparative study of Astra Tech and Brånemark System implants', Clinical oral implants research, 13: 30-37.
• Berardini, M., P. Trisi, B. Sinjari, A. Rutjes, and S. Caputi. 2016. 'The Effects of High Insertion Torque Versus Low Insertion Torque on Marginal Bone Resorption and Implant Failure Rates: A Systematic Review With Meta-Analyses', Implant Dentistry, 25: 53R 540.
• Brunski, John B. 1992. 'Biomechanical factors affecting the bone-dental implant interface', Clinical Materials, 10: 153-201.
• Buser D., R. Mericske-Stern, J. Bernard, A. Behneke, N. Behneke, H. Hirt, U. Belser, and N. Lang. 1997. 'Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants', Clinical oral implants research, 8 3: 161-72.
• Campos, Felipe E., Julio B. Gomes, Charles Marin, Hellen S. Teixeira, Marcelo Suzuki, Lukasz Witek, Darceny Zanetta-Barbosa, and Paulo G. Coelho. 2012. 'Effect of Drilling Dimension on Implant Placement Torque and Early Osseointegration Stages: An Experimental Study in Dogs', Journal of Oral and Maxillofacial Surgery, 70: e43-e50.
• Chrcanovic, Bruno R., Jenö Kisch, Tomas Albrektsson, and Ann Wennerberg. 2017. 'Survival of dental implants placed in sites of previously failed implants', Clinical oral implants research, 28: 1348-53.
• Çetiner S, Zor F. 2007. 'Dental implantolojide başarıyı etkileyen faktörler', GÜ Diş Hek. Fak. Dergisi, 24: 51-56.
• Delgado Ruiz, Rafael, E. Ortega, Georgios Romanos, Sergio Gehrke, I. Newen, and Jose calvo guirado. 2018. 'Slow drilling speeds for single-drill implant bed preparation. Experimental in vitro study', Clinical Oral Investigations, 22.
• Dinato, Thiago R., Márcio L. Grossi, Eduardo R. Teixeira, José C. Dinato, Fábio S.C. Sczepanik, and Sergio A. Gehrke. 2016. 'Marginal Bone Loss in Implants Placed in the Maxillary Sinus Grafted With Anorganic Bovine Bone: A Prospective Clinical and Radiographic Study', Journal of Periodontology, 87: 880-87.
• Eriksson, RA, and R Adell. 1986. 'Temperatures during drilling for the placement of implants using the osseointegration technique', Journal of Oral and Maxillofacial Surgery, 44: 4-7.
• Fiorellini, Joseph P., Gianluca Martuscelli, and Hans Peter Weber. 1998. 'Longitudinal studies of implant systems', Periodontology 2000, 17: 125-31.
• Friberg B., T. Jemt, and U. Lekholm. 1991. 'Early failures in 4,641 consecutively placed Brånemark dental implants: a study from stage 1 surgery to the connection of completed prostheses', The International journal of oral & maxillofacial implants, 6 2: 142-6.
• Gaspar, João, Gonçalo Borrecho, Pedro Oliveira, Francisco Salvado, and José Martins dos Santos. 2013. 'Osteotomy at low-speed drilling without irrigation versus high-speed drilling with irrigation: an experimental study', Acta medica portuguesa, 26: 231-36.
• Gil Luiz Fernando, Alvin Sarendranath, Rodrigo Neiva, Heloisa F Marão, Nick Tovar, Estevam A Bonfante, Malvin N Janal, Arthur Castellano, and Paulo G Coelho. 2017. 'Bone Healing Around Dental Implants: Simplified vs Conventional Drilling Protocols at Speed of 400 rpm', International Journal of Oral & Maxillofacial Implants, 32.
• Giro Gabriela, Nick Tovar, Charles Marin, Estevam A. Bonfante, Ryo Jimbo, Marcelo Suzuki, Malvin N. Janal, and Paulo G. Coelho. 2013. 'The Effect of Simplifying Dental Implant Drilling Sequence on Osseointegration: An Experimental Study in Dogs', International Journal of Biomaterials, 2013: 230310.
• Kılıç K, Kandemir B, Kılınç H, and Kesim B. 2013. 'İmplant üstü kron restorasyonlarda marjinal kemik kaybının incelenmesi', Cumhuriyet Dental Journal, 16: 188-96.
• Kim Sun-Jong, Jaeyoung Yoo, Young-Soo Kim, and Sang-Wan Shin. 2010. 'Temperature change in pig rib bone during implant site preparation by low-speed drilling', Journal of applied oral science : revista FOB, 18: 522-27.
• Lee Jeong-Yol, Hyo-Jin Park, Jong-Eun Kim, Yong-Geun Choi, Young-Soo Kim, Jung-Bo Huh, and Sang-Wan Shin. 2011. 'A 5-year retrospective clinical study of the Dentium implants', The journal of advanced prosthodontics, 3: 229-35.
• Leimola-Virtanen, R., J. Peltola, E. Oksala, H. Helenius, and R. Happonen. 1995. ITI Titanium Plasma-Sprayed Screw Implants in the Treatment of Edentulous Mandibles: A Follow-up Study of 39 Patients.
• Lekholm U BP, Zarb GA, Albrektsson T,Strid K. 1985. 'Tissue-integrated prostheses: Osseointegration in clinical dentistry.', Quintessence,
• Lin G., S. Ye, Fengjia Liu, and F. He. 2018. 'A retrospective study of 30,959 implants: Risk factors associated with early and late implant loss', Journal of Clinical Periodontology, 45: 73S 743.
• Lioubavina-Hack, Natalia, Niklaus Lang, and Thorkild Karring. 2006. 'Significance of primary stability for osseointegration of dental implants', Clinical oral implants research, 17: 244-50.
• Misch C., F. Dietsh-Misch, J. Hoar, G. Beck, and R. Hazen. 1999. 'A bone quality-based implant system: first year of prosthetic loading', The Journal of oral implantology, 25 3: 185-97.
• Moberg, Lars-erik, Per-åke Köndell, Leif Kullman, Anders Heimdahl, and Göran W. Gynther. 1999. 'Evaluation of single-tooth restorations on ITI dental implants. A prospective study of 29 patients', Clinical oral implants research, 10: 45-53.
• Möhlhenrich, SC, A Modabber, T Steiner, DA Mitchell, and F Hölzle. 2015. 'Heat generation and drill wear during dental implant site preparation: systematic review', British Journal of Oral and Maxillofacial Surgery, 53: 679-89.
• Oh Ji-Hyeon, Yiqin Fang, Seung-Mi Jeong, and Byung-Ho Choi. 2016. 'The effect of low-speed drilling without irrigation on heat generation: an experimental study', Journal of the Korean Association of Oral and Maxillofacial Surgeons, 42: 9.
• Oh T., Joongkyo Yoon, C. Misch, and H. Wang. 2002. 'The causes of early implant bone loss: myth or science?', Journal of Periodontology, 73 3: 322-33.
• Ottoni, Judith, Zilda Fagundes, Roberto Mansini, and Antonio Cabral. 2005. 'Correlation between placement torque and survival of single-tooth implants', The International journal of oral & maxillofacial implants, 20: 769-76.
• Pham A., J. Fiorellini, D. Paquette, R. Williams, and H. Weber. 1994. 'Longitudinal radiographic study of crestal bone levels adjacent to non-submerged dental implants', The Journal of oral implantology, 20 1: 26-34.
• Rashad Ashkan, Anja Kaiser, Nora Prochnow, Inge Schmitz, Eike Hoffmann, and Peter Maurer. 2011. 'Heat production during different ultrasonic and conventional osteotomy preparations for dental implants', Clinical oral implants research, 22: 1361-5.
• Reingewirtz Y, S Szmukler‐Moncler, and B Senger. 1997. 'Influence of different parameters on bone heating and drilling time in implantology', Clinical oral implants research, 8: 189-97.
• Romeo Eugenio, Matteo Chiapasco, Andrea Lazza, Paolo Casentini, Marco Ghisolfi, Marco Iorio, and Giorgio Vogel. 2002. 'Implant-retained mandibular overdentures with ITI implants', Clinical oral implants research, 13: 495-501.
• Sesma Newton, Carlos Garaicoa-Pazmino, Piero Zanardi, Eliseo Chun, and Dalva Laganá. 2016. 'Assessment of Marginal Bone Loss around Platform-Matched and Platform-Switched Implants - A Prospective Study', Brazilian Dental Journal, 27: 712-16.
• Sharawy Mohamed, Carl E Misch, Norman Weller, and Sherif Tehemar. 2002. 'Heat generation during implant drilling: the significance of motor speed', Journal of Oral and Maxillofacial Surgery, 60: 1160-69.
• Spiekermann H., V. Jansen, and E. Richter. 1995. 'A 10-year follow-up study of IMZ and TPS implants in the edentulous mandible using bar-retained overdentures', The International journal of oral & maxillofacial implants, 10 2: 231-43.
• Stelzle Florian, Carsten Frenkel, Max Riemann, Christian Knipfer, Philipp Stockmann, and Emeka Nkenke. 2012. 'The effect of load on heat production, thermal effects and expenditure of time during implant site preparation - an experimental ex vivo comparison between piezosurgery and conventional drilling', Clinical oral implants research, 25.
• Tehemar Sherif H. 1999. 'Factors affecting heat generation during implant site preparation: a review of biologic observations and future considerations', Int J Oral Maxillofac Implants, 14: 127-36.
• Thompson HC. 1958. 'Effect of drilling into bone.', Journal of oral surgery, 16: 22-30.
• Wyatt Chris, Stephen Bryant, Limor Avivi-Arber, Douglas Chaytor, and George Zarb. 2001. 'A computer-assisted measurement technique to assess bone proximal to oral implants on intraoral radiographs', Clinical oral implants research, 12: 225-9.