Markasý bilinmeyen dental implantlarýn protetik rehabilitasyonu: Olgu sunumu

Günümüzde dental implantlarýn kýsmi ya da total diþ eksikliði bulunan vakalarda sabit protetik restorasyonlar ile rehabilitasyonu, protezin stabilizasyonunu ve fonksiyonunu artýrmak, hastanýn rahatsýzlýðýný azaltmak ve dolayýsýyla hasta memnuniyetini ve yaþam kalitesini arttýrmak amacýyla baþarýlý bir þekilde kullanýlmaktadýr. Bu olgu sunumunda Yeditepe Üniversitesi Diþ Hekimliði Fakültesi Protetik Diþ Tedavisi Anabilim Dalý’na, implant destekli köprü protezlerinin devamlý düþmesi þikayeti ile baþvuran bir hastanýn protetik tedavisi anlatýlmaktadýr. Hastanýn aðýz içi muayenesi ve radyografik incelemesi tamamlandýktan sonra, alt ve üst çenede var olan köprü protezlerinin yenilenmesine karar verilmiþtir. Hastadan alýnan bilgiler, eski tedavilerini gerçekleþtiren diþ hekimi ile yapýlan görüþmeler, aðýz içi fotoðraflar ve radyografideki implant görüntüleri ile birlikte implantlarýn hangi markaya ait olduðu arayýþýna girilmiþ, ancak bir sonuç elde edilememiþtir. Bu nedenle hastaya farklý tedavi seçenekleri sunulmuþ, bunlarýn avantaj ve dezavantajlarý anlatýlmýþtýr. Sonuç olarak markasý bilinmeyen implant abutmentlarýnýn deðiþtirilme þansý olmadýðýndan, var olan abutmentlarýn aðýz içerisinde revize edilerek kullanýmýnýn devamýna, abutmentlarýn aðýz içerisinde prepare edilerek üzerlerinden ölçü alýnmasýna ve devamýnda sabit metal destekli porselen köprülerin yapýlmasýna karar verilmiþtir. Konvansiyonel yöntemle tamamlanan restorasyonlar abutmentlar üzerine simante edilmiþ, hastanýn estetik, fonksiyon ve memnuniyet beklentileri karþýlanmýþtýr. Hastanýn 8 aylýk takibinde herhangi bir komplikasyona rastlanmamýþtýr.
Anahtar kelimeler: Kuron, sabit protez, markasý bilinmeyen implantlar.

Prosthetic rehabilition of unknown dental implants: A case report

Nowadays, rehabilitation of dental implants with fixed prosthetic restorations in cases with partial or total tooth deficiency has been successfully used to increase the stabilization and function of the prosthesis, reduce patient discomfort and thus improve patient satisfaction and quality of life. In this case, the prosthetic rehabilitation of a patient, attended to Yeditepe University Faculty of Dentistry Department of Prosthodontics, with complaints of implant-retained crown looseness, was reported. After oral and radiographic examinations were completed, it was decided to renew the existing bridges both in the lower and upper jaws. The information obtained from the patient, interviews with the dentist performed the previous treatments, intraoral photographs and radiographic images of the implants were searched for which brand the implants belong to, but no results were obtained. Therefore, different treatment options were offered to the patient and their advantages and disadvantages were explained. Since there was no chance of changing the implant abutments of unknown brand, it was decided to reuse the existing abutments by revising and preparing them in the mouth, taking impressions and constructing new porcelain-fused to metal crowns. The restorations were completed by conventional methods, cemented on the abutments and aesthetic, function and satisfaction of the patient were met. No complications were observed during the 8-month follow-up.
Key words: Crown, fixed prosthesis, unknown dental implants.