Turkiye Klinikleri Journal of Dental Sciences

.: CASE REPORTS
Dinamik Protokolle Rehabilite Edilen İmplant Destekli Overdenture
Implant-Supported Overdenture Rehabilitated with Dynamic Protocol
Taner TÜRKAYa, Necla DEMİRa, İsa YÖNDEMa
aSelçuk Üniversitesi Diş Hekimliği Fakültesi, Protetik Diş Tedavisi ABD, Konya, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(3):723-30
doi: 10.5336/dentalsci.2021-87324
Article Language: TR
Full Text
ÖZET
 Tam dişsiz hastaların protetik tedavilerinde sıklıkla tam protezler kullanılmaktadır ancak retansiyon ve stabilite eksikliği, devam eden alveolar kemik rezorpsiyonu, yetersiz çiğneme fonksiyonu, konuşma güçlüğü ve sosyal ortamlarda özgüven eksikliği gibi dezavantajları vardır. Gelişen teknolojiyle beraber dental implantların değişen tasarım ve klinik uygulanabilirlikleri klinisyenlerin rutin protetik protokollerini değiştirmiştir. Yıllardır tam dişsiz hastaların tek tedavi seçeneği olan total protezlerin yerini olguların çoğunda implant destekli protetik uygulamalar almıştır. İmplant destekli protetik uygulamaların uzun dönem klinik başarısı birçok kritere bağlıdır. Protetik açıdan bu başarının sırrı birçok otore göre okluzyonla yakından ilişkilidir. Bu olgu sunumunda, kırmızı ve beyaz estetiğin kişisel karakterizasyonu ve ekleme ait dinamik verilerin eldesi ile dinamik rekonstrüksiyon protokolü adımlar hâlinde anlatılacaktır. Oluşturulan kırmızı ve beyaz estetik hastanın protezlere adaptasyon sürecini kısaltmış, kondil yolu eğimi rehberliğinde tasarlanan oryantasyon düzlemi bilateral balanslı okluzyonun eldesini mümkün kılmıştır. Elde edilen dinamik denge locator plastiklerinin deformasyon süreçlerini uzatmıştır. Bu olgu sunumunun amacı, literatüre katkı sağlamaktır.

Anahtar Kelimeler: Overdenture; dinamik veri; bilateral balanslı okluzyon
ABSTRACT
 Complete dentures are often used in the prosthetic treatment of edentulous patients. However, it has disadvantages such as lack of retention and stability, continued alveolar bone resorption, inadequate chewing function, speech difficulties and lack of self-confidence in social situations. With the developing technology, the changing design and clinical applicability of dental implants have changed the routine prosthetic protocols of clinicians. Total dentures, which have been the only treatment option for edentulous patients for years, have been replaced by implant-supported prosthetic applications in most of the cases. The long-term clinical success of implant-supported prosthetic applications depends on many criteria. In terms of prosthetics, the secret of this success is closely related to occlusion, according to many authorities. In this case report, individual characterization of red and white aesthetics and dynamic reconstruction protocol with the acquisition of dynamic data of the joint will be explained step by step. The red and white aesthetics created shortened the adaptation period of the patient to the prosthesis, and the orientation plane designed with the guidance of the condylar path slope made it possible to obtain bilaterally balanced occlusion. The obtained dynamic equilibrium prolonged the deformation processes of the locator plastics. The purpose of this case report is to contribute to the literature.

Keywords: Overdenture; dynamic data; bilateral balanced occlusion
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