Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Konvansiyonel ve Greftsiz Sinüs Yükseltme İşlemleriyle Beraber Uygulanan Dental İmplantların Sağkalım Oranlarının Karşılaştırılması: Retrospektif Çalışma
Comparison of Survival Rates of Dental Implants Placed with Conventional and Graftless Sinus Floor Elevation: A Retrospective Study
Nurettin DİKERa , Ali Törel SAYGIb , Atahan ÜNALDIb , Sena Nur ATMACAc
aSağlık Bilimleri Üniversitesi Hamidiye Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi AD, İstanbul, Türkiye
bBezmialem Vakıf Ünivesitesi, Sağlık Bilimleri Enstitüsü, Ağız, Diş ve Çene Cerrahisi AD, Doktora Programı, İstanbul, Türkiye
cSerbest Diş Hekimi, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(3):357-63
doi: 10.5336/dentalsci.2023-100951
Article Language: TR
Full Text
ÖZET
 Amaç: Uzun süreli dişsizlik sonucu alveolar kemikte rezorpsiyon meydana gelmekte ve sinüs pnömatizasyonu oluşmaktadır. Sinüs yükseltme, maksiller sinüs tabanında daha fazla kemik hacmini oluşturmayı amaçlayan cerrahi bir prosedürdür. Tek aşamalı sinüs yükseltme işlemleri uzun bir süre çeşitli greft materyalleri kullanılarak uygulanmış, diş hekimliğindeki gelişmelerle greftsiz sinüs yükseltme tekniği tanımlanmıştır. Bu çalışmanın amacı, konvansiyonel ve greftsiz sinüs yükseltme işlemleriyle beraber uygulanan dental implantların sağkalım oranlarının karşılaştırılmasıdır. Gereç ve Yöntemler: Çalışmaya Kasım 2014-Kasım 2019 tarihleri arasında sinüs yükseltme ile eş zamanlı implant yerleştirilme ihtiyacı olan hastalar çalışmaya dâhil edilmiştir. İncelenen 80 hastada 97 sinüs yükseltme operasyonu ile 128 implant uygulanmıştır. Lokal anestezi altında, lateral pencere yöntemi ile yapılan sinüs yükseltme işlemleri çalışmaya dâhil edilmiştir. Greftsiz sinüs yükseltme grubunda oluşturulan sinüs boşluğuna herhangi bir biyomateryal yerleştirilmezken, konvansiyonel sinüs yükseltme grubunda sığır kaynaklı kemik greftleri uygulandıktan sonra implantlar yerleştirilmiştir. Bulgular: Greft materyali kullanılarak yapılan konvansiyonel sinüs yükseltme işlemleriyle beraber yerleştirilen implant sayısı 66, başarısız olan implant sayısı 3 adettir. Greftsiz sinüs yükseltme işlemleriyle beraber yerleştirilen implant sayısı 62, başarısız olan implant sayısı 4 adettir. İki grup arasındaki sağkalım oranları karşılaştırıldığında istatistiksel anlamlı bir fark bulunmamıştır (p=0,712). Sonuç: Çalışmamız sonuçları değerlendirildiğinde greftsiz sinüs yükseltme işlemi ile beraber yerleştirilen implantların konvansiyonel sinüs yükseltme ile beraber yerleştirilen implantlara benzer oranda başarılı olduğu tespit edilmiştir.

Anahtar Kelimeler: Sinüs taban yükseltmesi; alveolar kemik ögmentasyonu; diş implantları
ABSTRACT
 Objective: Long-term edentulism leads to resorption of alveolar bone and sinus pneumatisation. Sinus elevation is a surgical procedure that aims to increase bone volume in the maxillary sinus floor. Single-stage sinus elevation procedures have been performed for a long time using various graft materials. With the advances in dentistry, the technique of graftless sinus floor elevation has been defined. The aim of this study was to compare the survival rates of dental implants with conventional and graftless sinus floor elevation procedures. Material and Methods: Patients admitted for simultaneous implant placement with sinus elevation between November 2014 and November 2019 were included in the present study. In 80 patients, 97 sinus elevation operations performed and 128 implants were placed. Sinus elevation procedures performed under local anaesthesia with the lateral window technique were included in the study. No biomaterial was applied in the graftless sinus elevation group, while in the conventional sinus elevation group, implants were placed after bovine derived xenografts were applied. Results: The number of implants placed with conventional sinus augmentation procedures was 66 and the number of failed implants was 3. The number of implants placed with graftless sinus augmentation was 62 and the number of failed implants was 4. There was no statistically significant difference in survival rates between the two groups (p=0.712). Conclusion: According to the results of the present study, it can be concluded that the implants placed with graftless sinus floor elevation were similarly success rates with implants placed with conventional sinus floor elevation.

Keywords: Sinus floor augmentation; alveolar ridge augmentation; dental implants
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