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GENİŞ KEMİK DEFEKTİ OLAN KRETLERDE KEMİK İÇİ İMPLANTLARIN YÖNLENDİRİLMİŞ DOKU REJENERASYONU MEMBRANI VE BİOMATERYAL İLE BİRLİKTE KULLANIMI (Olgu Bildirimi)

THE USE OF ENDOSSEOUS İMPIANTS WITH GTR MEMBRANE AND BİOMA TERİ AL FOR CREST. WHICH HAVE LARGE BONE DEFECTS (A cafe report)

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 1996

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In some cases, where local bone defects are present the volume oftJie bone con be improved and tlie defect area can be regenerated by the use of GTR membranes. By this method the light volume and the riglit quality of bone can be obtained. For Hie G TR technique, two kinds of membranes can be utilized: I - Non-resorbable GTR membranes, 2- Resorbable GTR membranes. In our cases, the implant fixtures were placed at the same visit together with resorbable GTR membranes to tlw defect areas. In 4 cases, Biofix GTR membrane and Boneftt implants were used in combination during, the sae surgery visit. At the and of 6 months regeneration period, it was observed radiographically that the bone improved volumetrically and osseointeeration of the implant vas completed. In 3 cases, Biofix GTR membrane, Biocoral biomaterial and Bo-nefit implantfixtures were placed at the same visit to the defect area. At tiie end of the 6 months Period, it was seen ra-diograbhicalh Hie defect was regenerated tie volume of the bone was satisfacto and tlieosseointe&ation oftheimto-lantfixture was complated.
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Abstract (Original Language): 
İmplant yerleştirilmesi düşünülen bölgelerdeki yeterli kemik kalınlığı üstyapı protezlerinin uzun ömürlü olmasını sağlayan en önemli faktördür. Bu ilkeden hareket eden implant ekibi radyolojik teşhis safhasında genellikle kemik defekti ve rezorbisyonunım hiç olmadığı bölereleri seçmek yolunda hareket ederler. Ancak balı vakalarda lokal kemik defektlerinin olduğu bökelerde yönlendirilmiş doku reeenerasyonu (GTR) membranları kullanılarak kemik hacminin arttırılması ve defektli kısmın regenere edilmesi yoluna gidilir. Bu şekilde imrtlant verlestirmeve uvpun kemik hacmi ve osseointegrasyon için uygun spon|ioz kemik elde edilir. GTR tekniği ismi verilen bu metotta iki tür membran kullanılır: 1 - Rezorh e olmayan GTR membranları, 2 - Rezorb e olabilen GTR membranları. Rezorbe olabilen GTR membranlarmın avantajı yerleştirilen membranm regenerasyon bittikten sonra yeniden çıkarılmasına ihtiyaç olmamasıdır. Sunducumuz bu oleuda implant uygulamaya karar verdiğimi! lokal kemik defekti bulunan bölgeye tam rezorbe olabilen GTR membranlarmın yerleştirildiği seansta implantı da yerleştirmeyi amaçladık. Biofix GTR membram ile Bone Fit implantı tek operasyonda kombine olarak kullanıldı. 6 aylık reeenerasyon süresinin bitiminde kemiğin hacmsal olaraL büyüme gösterdiği, implant osseointeerasyonunun da tamamlandıı radi-ografİk olarak tesbit edildi. Bazı vakalarda, kemik defekti olan bölgeye Biofix GTR membranı-biocoral biomateryali ve Bone Fit implantı fixturu tek bir operasyonla yerleştirildi. 6 aylık iyileşme periyodunun sonunda alman radyografilerde, kemik defektinin regenere olduğu, bu böllede-ki kemik hacminin yeterinle büyüdüğü, implant fixtu-rıınıın osseointegrasyonunun da aynı zamanda tamamlandığı radyografik olarak tesbit edildi, aynı yöntem kullanılarak yapdan 7 vakanın 3 tanesi 3 yıllık 4 tanesi 1 yıllık takip sürecindedir.
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