İmplant Destekli Hibrit Protezler
Özet
Bu bölüm, tam veya kısmi diş eksikliklerinin rehabilitasyonunda önemli bir tedavi alternatifi olan implant destekli hibrit protezleri kapsamlı bir şekilde incelemektedir. Çalışmada, klinik ve radyolojik teşhis yaklaşımlarının, özellikle üç boyutlu görüntüleme tekniklerinin önemi vurgulanmaktadır. Hibrit protezlerin endikasyonları, kontrendikasyonları ve sınıflandırmaları detaylandırılarak klinik karar süreçlerine rehberlik edilmektedir. Ayrıca, vida ve siman tutuculu protez tasarımlarının biyomekanik özellikleri, avantaj ve dezavantajları ile oklüzyon prensipleri karşılaştırmalı olarak ele alınmaktadır. Protezlerin fonksiyonel ve estetik artılarının yanı sıra, mukozitis, peri-implantitis, vida gevşemesi ve materyal kırıkları gibi olası uzun dönem komplikasyonları da irdelenmektedir. Sonuç olarak, ileri derecede kemik rezorpsiyonu olan vakalarda bu protezlerin, doğru cerrahi ve protetik planlama ile yüksek memnuniyet sağlayan güvenilir bir "cankurtaran" tedavi modeli olduğu ortaya konmaktadır.
This chapter comprehensively examines implant-supported hybrid prostheses, a significant treatment alternative for the rehabilitation of fully or partially edentulous patients. The study emphasizes the importance of clinical and radiological diagnostic approaches, particularly advanced three-dimensional imaging techniques. By detailing the indications, contraindications, and classifications of hybrid prostheses, it provides guidance for clinical decision-making processes. Furthermore, the biomechanical properties, advantages, and disadvantages of screw-retained versus cement-retained designs, along with occlusal principles, are comparatively discussed. Alongside the functional and aesthetic benefits, potential long-term complications such as mucositis, peri-implantitis, screw loosening, and material fractures are also addressed. Conclusively, the chapter demonstrates that with accurate surgical and prosthetic planning, hybrid prostheses serve as a highly satisfying and reliable "lifesaver" treatment model in cases with severe bone resorption
Referanslar
Block, M.S. and J.S. Kent, Endosseous implants for maxillofacial reconstruction. (No Title), 1995.
İnan, Ö., İmplant destekli köprü uygulamalarında okluzal yüzeylerde kullanılan restoratif materyallerin kuvvet dağılımına etkisinin incelenmesi, in Protetik Diş Tedavisi Anabilim Dalı. 1997, Selçuk Üniversitesi: Konya. p. 75.
Pi, B., Tissue-integrated prostheses; osseointegration in clinical dentistry. Quintessence, Chicago, 1985.
Branemark, P., Osseointegrated implants in the treatment of the edentulous jaw; experience from a 10-year period. Scand J Plast Reconstr Surg, 1967. 16: p. 95-102.
Schroeder, A., O. Pohler, and F. Sutter, Tissue reaction to an implant of a titanium hollow cylinder with a titanium surface spray layer. Schweizerische Monatsschrift fur Zahnheilkunde= Revue mensuelle suisse d'odonto-stomatologie, 1976. 86(7): p. 713-727.
Branemark, P.-I., Osseointegration and its experimental background. The Journal of prosthetic dentistry, 1983. 50(3): p. 399-410.
Adell, R., et al., A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. International journal of oral surgery, 1981. 10(6): p. 387-416.
Albrektsson, T., et al., The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int j oral maxillofac implants, 1986. 1(1): p. 11-25.
Cooper, L.F., Biologic determinants of bone formation for osseointegration: clues for future clinical improvements. The Journal of prosthetic dentistry, 1998. 80(4): p. 439-449.
Hobkirk, J.A., R.M. Watson, and L.J. Searson, Introducing dental implants. Churchill Livingstone, 2003; 29-41.
Spear, F.M., The use of implants and ovate pontics in the esthetic zone. Compendium of Continuing Education in Dentistry (Jamesburg, NJ: 1995), 2008. 29(2): p. 72-4, 76.
Gahleitner, A., G. Watzek, and H. Imhof, Dental CT: imaging technique, anatomy, and pathologic conditions of the jaws. European radiology, 2003. 13: p. 366-376.
Loubele, M., et al., Comparison between effective radiation dose of CBCT and MSCT scanners for dentomaxillofacial applications. European journal of radiology, 2009. 71(3): p. 461-468.
Scarfe, W.C., A.G. Farman, and P. Sukovic, Clinical applications of cone-beam computed tomography in dental practice. Journal-Canadian Dental Association, 2006. 72(1): p. 75.
Turbush, S.K. and I. Turkyilmaz, Accuracy of three different types of stereolithographic surgical guide in implant placement: an in vitro study. The Journal of prosthetic dentistry, 2012. 108(3): p. 181-188.
Dede, D.Ö., et al., Telescopic overdenture and implant supported fixed partial denture: a pragmatic treatment approach. Case Reports in Dentistry, 2015. 2015(1): p. 392397.
Misch, C.E., Contemporary implant dentistry. Implant Dentistry, 1999. 8(1): p. 90.
Sipahi, C. and Y.S. Aydıntuğ, Mandibular defektin protetik rehabilitasyonu: olgu sunumu. Gülhane Tıp Derg, 2011. 53: p. 56-9.
Zarb, G.A. and J.M. Symington, Osseointegrated dental implants: preliminary report on a replication study. The Journal of prosthetic dentistry, 1983. 50(2): p. 271-276.
Pjetursson, B.E., et al., A systematic review of the survival and complication rates of implant‐supported fixed dental prostheses (FDP s) after a mean observation period of at least 5 years. Clinical oral implants research, 2012. 23: p. 22-38.
Attard, N.J. and G.A. Zarb, Long-term treatment outcomes in edentulous patients with implant overdentures: the Toronto study. The Journal of Prosthetic Dentistry, 2005. 93(2): p. 170.
Priest, G., J. Smith, and M.G. Wilson, Implant survival and prosthetic complications of mandibular metal-acrylic resin implant complete fixed dental prostheses. The Journal of prosthetic dentistry, 2014. 111(6): p. 466-475.
Thalji, G., et al., Prosthodontic management of implant therapy. Dental Clinics, 2014. 58(1): p. 207-225.
Meijer, H.J., G.M. Raghoebar, and M.A. Van‘t Hof, Comparison of implant-retained mandibular overdentures and conventional complete dentures: a 10-year prospective study of clinical aspects and patient satisfaction. International Journal of Oral & Maxillofacial Implants, 2003. 18(6).
Gonzalez, J., The evolution of dental materials for hybrid prosthesis. The Open Dentistry Journal, 2014. 8: p. 85.
Egilmez, F., et al., Implant-supported hybrid prosthesis: Conventional treatment method for borderline cases. European journal of dentistry, 2015. 9(03): p. 442-448.
Bilhan, H., Hibrit Protezler: Hekimler İçin Cankurtaran Bir Tedavi Çözümü. İstanbul Dişhekimleri Odası Dergisi, 2011: p. 48-50.
ÇEKİÇ, D.I., G. ERGÜN, and D. YILMAZ, Aşırı Rezorbe Alt ve Üst Dişsiz Arkların İmplant Destekli Protetik Rehabilitasyonu. Turkiye Klinikleri Journal of Dental Sciences, 2007. 13(2): p. 71-77.
Edition, N., The glossary of prosthodontic terms. The Journal of prosthetic dentistry, 2017. 117: p. e1-e105.
Lekholm, U., Surgical considerations and possible shortcomings of host sites. The Journal of prosthetic dentistry, 1998. 79(1): p. 43-48.
Turkyilmaz, I., Use of distal implants to support and increase retention of a removable partial denture: a case report. J Can Dent Assoc, 2009. 75(9): p. 655-8.
Misch, C.E. and Ö. Kutay, Dental implant protezler. 2009: Nobel Tıp Kitabevleri.
Şahin, G., İmplant Destekli Protezlerde Biyomekanik Yaklaşımlar,, in Protetik Diş Tedavisi Anabilim Dalı. 2006, E.Ü. Diş Hekimliği Fakültesi: İzmir.
Hobo, T., Occlusion for Osseointegrated İmplants:Oral Rehabilitation Clinical Determination of Occlusion. Quintessence Publishing Co, 1997, 119-140, Tokyo
Real-Osuna, J., N. Almendros-Marqués, and C. Gay-Escoda, Prevalence of complications after the oral rehabilitation with implant-supported hybrid prostheses. Medicina oral, patologia oral y cirugia bucal, 2011. 17(1): p. e116.
Bilhan, H., et al., Implant Retained Prosthesis, Complications and Implant Failures: 24 Month Clinical Results. European Oral Research, 2012. 46(2): p. 40.
S Yalçın, T.Ö., K Özkan, S Sandallı, İmplant-Doku Destekli Protez Komplikasyonları. Oral İmp. Der., 1994. Ekim: p. 36-40.
B Pişkin, H.A., K Gündüz, Ü Karaçaylı, Oral İmplantolojide Protetik Başarısızlık: Mekanik Riskler. Oral İmplantoloji Dergisi, 2009.
Referanslar
Block, M.S. and J.S. Kent, Endosseous implants for maxillofacial reconstruction. (No Title), 1995.
İnan, Ö., İmplant destekli köprü uygulamalarında okluzal yüzeylerde kullanılan restoratif materyallerin kuvvet dağılımına etkisinin incelenmesi, in Protetik Diş Tedavisi Anabilim Dalı. 1997, Selçuk Üniversitesi: Konya. p. 75.
Pi, B., Tissue-integrated prostheses; osseointegration in clinical dentistry. Quintessence, Chicago, 1985.
Branemark, P., Osseointegrated implants in the treatment of the edentulous jaw; experience from a 10-year period. Scand J Plast Reconstr Surg, 1967. 16: p. 95-102.
Schroeder, A., O. Pohler, and F. Sutter, Tissue reaction to an implant of a titanium hollow cylinder with a titanium surface spray layer. Schweizerische Monatsschrift fur Zahnheilkunde= Revue mensuelle suisse d'odonto-stomatologie, 1976. 86(7): p. 713-727.
Branemark, P.-I., Osseointegration and its experimental background. The Journal of prosthetic dentistry, 1983. 50(3): p. 399-410.
Adell, R., et al., A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. International journal of oral surgery, 1981. 10(6): p. 387-416.
Albrektsson, T., et al., The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int j oral maxillofac implants, 1986. 1(1): p. 11-25.
Cooper, L.F., Biologic determinants of bone formation for osseointegration: clues for future clinical improvements. The Journal of prosthetic dentistry, 1998. 80(4): p. 439-449.
Hobkirk, J.A., R.M. Watson, and L.J. Searson, Introducing dental implants. Churchill Livingstone, 2003; 29-41.
Spear, F.M., The use of implants and ovate pontics in the esthetic zone. Compendium of Continuing Education in Dentistry (Jamesburg, NJ: 1995), 2008. 29(2): p. 72-4, 76.
Gahleitner, A., G. Watzek, and H. Imhof, Dental CT: imaging technique, anatomy, and pathologic conditions of the jaws. European radiology, 2003. 13: p. 366-376.
Loubele, M., et al., Comparison between effective radiation dose of CBCT and MSCT scanners for dentomaxillofacial applications. European journal of radiology, 2009. 71(3): p. 461-468.
Scarfe, W.C., A.G. Farman, and P. Sukovic, Clinical applications of cone-beam computed tomography in dental practice. Journal-Canadian Dental Association, 2006. 72(1): p. 75.
Turbush, S.K. and I. Turkyilmaz, Accuracy of three different types of stereolithographic surgical guide in implant placement: an in vitro study. The Journal of prosthetic dentistry, 2012. 108(3): p. 181-188.
Dede, D.Ö., et al., Telescopic overdenture and implant supported fixed partial denture: a pragmatic treatment approach. Case Reports in Dentistry, 2015. 2015(1): p. 392397.
Misch, C.E., Contemporary implant dentistry. Implant Dentistry, 1999. 8(1): p. 90.
Sipahi, C. and Y.S. Aydıntuğ, Mandibular defektin protetik rehabilitasyonu: olgu sunumu. Gülhane Tıp Derg, 2011. 53: p. 56-9.
Zarb, G.A. and J.M. Symington, Osseointegrated dental implants: preliminary report on a replication study. The Journal of prosthetic dentistry, 1983. 50(2): p. 271-276.
Pjetursson, B.E., et al., A systematic review of the survival and complication rates of implant‐supported fixed dental prostheses (FDP s) after a mean observation period of at least 5 years. Clinical oral implants research, 2012. 23: p. 22-38.
Attard, N.J. and G.A. Zarb, Long-term treatment outcomes in edentulous patients with implant overdentures: the Toronto study. The Journal of Prosthetic Dentistry, 2005. 93(2): p. 170.
Priest, G., J. Smith, and M.G. Wilson, Implant survival and prosthetic complications of mandibular metal-acrylic resin implant complete fixed dental prostheses. The Journal of prosthetic dentistry, 2014. 111(6): p. 466-475.
Thalji, G., et al., Prosthodontic management of implant therapy. Dental Clinics, 2014. 58(1): p. 207-225.
Meijer, H.J., G.M. Raghoebar, and M.A. Van‘t Hof, Comparison of implant-retained mandibular overdentures and conventional complete dentures: a 10-year prospective study of clinical aspects and patient satisfaction. International Journal of Oral & Maxillofacial Implants, 2003. 18(6).
Gonzalez, J., The evolution of dental materials for hybrid prosthesis. The Open Dentistry Journal, 2014. 8: p. 85.
Egilmez, F., et al., Implant-supported hybrid prosthesis: Conventional treatment method for borderline cases. European journal of dentistry, 2015. 9(03): p. 442-448.
Bilhan, H., Hibrit Protezler: Hekimler İçin Cankurtaran Bir Tedavi Çözümü. İstanbul Dişhekimleri Odası Dergisi, 2011: p. 48-50.
ÇEKİÇ, D.I., G. ERGÜN, and D. YILMAZ, Aşırı Rezorbe Alt ve Üst Dişsiz Arkların İmplant Destekli Protetik Rehabilitasyonu. Turkiye Klinikleri Journal of Dental Sciences, 2007. 13(2): p. 71-77.
Edition, N., The glossary of prosthodontic terms. The Journal of prosthetic dentistry, 2017. 117: p. e1-e105.
Lekholm, U., Surgical considerations and possible shortcomings of host sites. The Journal of prosthetic dentistry, 1998. 79(1): p. 43-48.
Turkyilmaz, I., Use of distal implants to support and increase retention of a removable partial denture: a case report. J Can Dent Assoc, 2009. 75(9): p. 655-8.
Misch, C.E. and Ö. Kutay, Dental implant protezler. 2009: Nobel Tıp Kitabevleri.
Şahin, G., İmplant Destekli Protezlerde Biyomekanik Yaklaşımlar,, in Protetik Diş Tedavisi Anabilim Dalı. 2006, E.Ü. Diş Hekimliği Fakültesi: İzmir.
Hobo, T., Occlusion for Osseointegrated İmplants:Oral Rehabilitation Clinical Determination of Occlusion. Quintessence Publishing Co, 1997, 119-140, Tokyo
Real-Osuna, J., N. Almendros-Marqués, and C. Gay-Escoda, Prevalence of complications after the oral rehabilitation with implant-supported hybrid prostheses. Medicina oral, patologia oral y cirugia bucal, 2011. 17(1): p. e116.
Bilhan, H., et al., Implant Retained Prosthesis, Complications and Implant Failures: 24 Month Clinical Results. European Oral Research, 2012. 46(2): p. 40.
S Yalçın, T.Ö., K Özkan, S Sandallı, İmplant-Doku Destekli Protez Komplikasyonları. Oral İmp. Der., 1994. Ekim: p. 36-40.
B Pişkin, H.A., K Gündüz, Ü Karaçaylı, Oral İmplantolojide Protetik Başarısızlık: Mekanik Riskler. Oral İmplantoloji Dergisi, 2009.
