Hard tissue preparation prior to dental implant placement: a four-year retrospective study

Yıl 2020, Cilt: 7 Sayı: 2, 240 - 245, 01.08.2020

Osman Fatih Arpağ , Ahmet Altan , İbrahim Damlar

https://doi.org/10.15311/selcukdentj.440902

Öz

Aim: The purpose
of this study is to investigate the requirements of hard tissue preparation prior
to dental implant placement.

Methods: In this
retrospective study, the records of 1086 patients who referred to Mustafa Kemal
University, Faculty of Dentistry, for dental implant between 2011 and 2015 were
investigated. The received frequency of patients’ onlay grafting, autogenous block
grafting, socket preservation, guided bone regeneration, open sinus lifting,
ridge split osteotomy, alveolar distraction osteogenesis, inferior alveolar
nerve repositioning were evaluated in any process of the dental implant.

Findings: 3186 dental
implants in 1086 patients were included to the study. Among 295 patients, it was observed that the number of
men was 144 (48.8%) and number of implants was totally 309 (47.2%) implants,
while the number of grafted implants in women of 151 (51.2%) was 346 (52.8%). The numbers of grafting procedures for augmentation
are as follows; 286 (43.7%) onlay grafting, 23 (3.5%) socket preservation, 9
(1.4%) guided bone regeneration, 271 (41.3%) open sinus lifting, 62 (9.5%)
alveolar ridge splitting, 2 (0.3%) alveolar nerve repositioning and 2 (0.3%)
distraction osteogenesis.

Conclusion: With
ongoing the increasing of developments in dental implant surgery, it will be inevitable
that the different grafting procedures can be carried out before and during the
implantation.

Anahtar Kelimeler

Bone augmentation, dental implant, retrospective

Dental implantasyondan önce sert doku hazırlığı: dört yıllık retrospektif bir çalışma

Öz

Amaç: Bu çalışmanın amacı dental implant yerleştirmeden önce sert doku
hazırlığı gereksinimlerini araştırmaktır.

Gereç ve yöntem: Çalışmamızda Mustafa Kemal Üniversitesi Diş Hekimliği
Fakültesi’ne 2011-2015 yılları arasında başvuran 1086 hasta incelendi. Dental
implantasyon öncesi veya sırasında yapılan onlay greftleme, otojen blok
greftleme, soket koruma, yönlendirilmiş doku rejenerasyonu, eksternal sinus tabanı
yükseltme girişimi, ridge-split osteotomisi, alveolar distraksiyon osteogenezi,
inferior alveolar sinir repozisyonu işlemleri her bir implant için ayrı ayrı
kaydedildi.

Bulgular: 1086 hastada 3186 implant değerlendirildi. 295 hastada (% 27.1) 655
implantın herhangi bir augmentasyon prosedürü ile yerleştirildiği saptandı.
Augmentasyon prosedürlerinden en az birini alan 295 hastanın 144’ü erkek iken
151’i kadındı. Erkeklerde 309 implant kadınlarda ise 346 adet implantın
augmente edildiği saptandı. Augmentasyon prosedürleri genel olarak sayıları ile
birlikte şöyle sıralanmaktadır. 286 implant için onlay greftleme, 23’ü için
soket koruma, 9’u için yönlendirilmiş kemik rejenerasyonu, 271’i için eksternal
sinus tabanı yükseltme girişimi, 62’si için ridge-split osteotomisi, 2’si için
inferior alveolar sinir repozisyonu, 2’si için distraksiyon osteogenezi.

Sonuç: Dental implant cerrahisindeki gelişmelerin artmaya devam etmesiyle
birlikte, implant yerleştirme işlemi öncesi veya sırasında farklı greftleme prosedürlerinin
gerçekleştirilebilmesi kaçınılmazdır.

Anahtar
kelimeler: Kemik
augmentasyonu, dental implant, retrospektif

Anahtar Kelimeler

Kemik augmentasyonu, dental implant, retrospektif

Kaynakça

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