Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Farklı Dental İmplantların Klinik Takiplerinin Retrospektif Değerlendirmesi Retrospective
Evaluation of Clinical Follow-Up of the Different Dental Implants
Başak KESKİN YALÇINa, Erol CANSIZa, Sırmahan ÇAKARERa
aİstanbul Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi ABD, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(2):411-7
doi: 10.5336/dentalsci.2021-84495
Article Language: TR
Full Text
ÖZET
 Amaç: Dental implantlar, dişsiz alanların estetik ve fonksiyonunun sağlanması amacıyla dişleri taklit eden biyouyumlu materyallerdir. Günümüzde çeşitli implantlar, oral ve maksillofasiyal cerrahi pratiğinde kullanılmaktadır. Bu çalışmanın amacı, farklı dental implantların başarısını cinsiyet, implant uygulanan bölge, implant çap, uzunluğu ve implant markası açısından retrospektif olarak değerlendirmek ve sağkalım oranlarını karşılaştırmaktır. Gereç ve Yöntemler: 2010-2017 yılları arasında İstanbul Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi ABD'de aynı cerrahi ekip tarafından uygulanan kemik içi implantların başarı ve sağkalımı retrospektif olarak değerlendirilmiştir. Klinik ve radyolojik kontrollerin uygulandığı hastalar çalışmaya alınmıştır. Bulgular: Çalışma kriterlerine uyan 77 kadın ve 17 erkekten oluşan 94 hastaya 349 adet dental implant uygulanmıştır. Doksan dört (%26,93) adet Camlog®, 73 (%20,91) adet Straumann® ve 182 (%52,14) adet Ziacom® implant uygulanmıştır. Değerlendirilen 349 implantın 9'u (%2,57) kaybedilmiştir. Genel implant başarı oranı %97,42 olarak bulunmuştur. Camlog®, Straumann® ve Ziacom® gruplarının kayıp varlığı dağılımları arasında istatistiksel olarak anlamlı farklılık gözlenmemiştir (p=0,205). Camlog® grubunun 1 yıllık sağkalım oranı %97,9; Ziacom® grubunun 1 yıllık sağkalımı %96,2; Straumann® grubunun sağkalım oranı %100 olarak bulunmuş; grupların sağkalım süreleri arasında istatistiksel olarak anlamlı farklılık gözlenmemiştir (Logrank: 0,52 p=0,470). Sonuç: Çalışmada uygulanan 3 farklı implantın başarı ve sağkalım oranı yüksek bulunmuştur. Doğru cerrahi teknik ve tedavi prosedürü uygulandığında, dental implantların başarısı ve hayatta kalma oranı yüksektir. Sonuçlar, literatürle uyumludur.

Anahtar Kelimeler: Diş implantları; oral cerrahi; sağkalım analizi
ABSTRACT
 Objective: Dental implants are biocompatible materials that imitate teeth in order to provide the aesthetics and function of toothless areas. Various type of dental implants have been used in oral and maxillofacial surgery practice. The aim of this study was to evaluate the success rate of different dental implants regarding to to the location of the implants, implant diameter and length and the type of the implants and also to compare the survival rate of these implants. Material and Methods: In the present study; the survival and the success of the dental implants applied by the same surgical team at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, İstanbul University, from 2010 through 2017, was retrospectively evaluated. The patients who had the clinical and radiological records were included to this study. Results: The clinical success of 349 implants applied to 94 patients (77 female, 17 male) was evaluated. Ninety four (26.93%) Camlog®, 73 (20.91%) Straumann® and 182 (52.14%) Ziacom® implants were placed. Nine (2.57%) implants were lost from 349 implants included in the study. Implant success rate was found as 97.42%. No statistically significant difference was observed between the distribution of failed implant associated with Camlog®, Straumann® and Ziacom® groups (p=0.205). One year survival rate of Camlog®, Ziacom® and Straumann® implants was found as 97.9%, 96.2%; and 100% respectively. No statistically significant difference was found between the implant groups regarding the survival rate (Logrank: 0.52 p=0.470). Conclusion: The success and survival rates of 3 different implants used in the study were found to be high. The success and survival rate of the dental implants are high when the correct surgical technique and treatment procedure is applied. The results are compatible with literature.

Keywords: Dental implants; oral surgery; survival analysis
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