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REZİN BAĞLI PROTEZLER VE UYGULAMA YÖNTEMLERİ

RESIN BONDED PROSTHESIS AND APPLICATION

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Resin-bonded prosthesis (RBP) are conservative restorations that require minimal tooth preparation and are used to restore short-span edentulous space. Restorations can be prepared with a metal framework and porcelain suprastructure as well as an all-ceramic system or fiber reinforced composite (FRC) framework and particulate filler composite suprastructure. The success of the restoration depends on the restoration material and bonding agent as well as tooth preparation design. The earliest, RBP with a metal framework was prepared with flared perforations on the metal. However in the following years, macro retention concept has been replaced to micro retention and chemical retention concepts, respectively. While esthetic dentistry is becoming increasingly popular, all-ceramic RBP have been widely used in dentistry. In the recent years, FRC fixed partial dentures have been used because of relatively low cost, their good esthetic properties and their favorable flexural modulus. However, the benefit of fiber-reinforced constructions is questionable because the fiber framework is anisotropic and does not strengthen the construction in all directions. RBP applications have been improved due to the laboratory and clinical studies and developed techniques. However long-term clinical studies showed that there was a need for more comprehensive studies.
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Abstract (Original Language): 
Rezin bağlı protezler (RBP), kısa dişsiz boşluklarda uygulanabilen, boşluğa komşu dişerde çok az preparasyon gerektiren konservatif restorasyonlardır. Metal bir alt yapı ve porselen üst yapıdan hazırlanabildikleri gibi tam seramik sistemlerle veya fiberle güçlendirilmiş kompozit (FRC) bir alt yapı ve dolduruculu kompozit materyali ile hazırlanan bir üst yapıdan da hazırlanabilirler. Restorasyonun başarısında kullanılan materyal ve yapıştırıcı ajan kadar, diş preparasyonunun şekli de önem taşır. İlk yıllarda metal destekli RBP'ler perfore bir metal alt yapı ile hazırlanırken, zamanla makroretansiyon yerini mikroretansiyon ve kimyasal retansiyona bırakmıştır. Estetiğin dişhekimliğinde ön plana çıkmasıyla birlikte tam seramik RBP'ler uygun vakalarda başarıyla uygulanmaya başlanmıştır. Son dönemde fiberle güçlendirilmiş kompozit (FRC) RBP'ler ekonomik, estetik ve diş dokularıyla uyumlu elastikiyet modülleri nedeniyle kullanılmaya başlanmıştır. Ancak her yönde aynı özellikte olmamaları ve restorasyonu metal alt yapıda olduğu gibi tüm yönlerde eşit derecede güçlendirmediği için, bu tür restorasyonların uzun dönem başarısı ile ilgili çeşitli soru işaretleri bulunmaktadır. RBP uygulamaları, yapılan laboratuar ve klinik çalışmalar ile, yeni geliştirilen teknikler sayesinde yıllar içerisinde sürekli gelişmiş ve bugünkü halini almıştır. Ancak halen daha RBP'lerin uzun dönem klinik incelemesi ile ilgili yapılan çalışmalar, bize başarıyı arttırma yönünde daha fazla çalışmaya ihtiyaç olduğunu göstermektedir.
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  • 2
131-136
  • Turkish

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