Dişeti Çıkış Profilini Etkileyen Faktörler
Özet
Estetik kavramı hakkında birçok kaynak yayınlanmasına rağmen implant tedavisinde estetik kavramı kron restorasyonu (beyaz estetik) ile dişetinden (pembe estetik) oluşmaktadır. Papil, dişeti yüzeyi, dişeti konturu, rengi ve düzeyi pembe estetiğin kazanılabilmesinde önemli bir yere sahiptir(1). Bu sebeple diş hekimleri uyumlu yumuşak doku profili oluşturmak için bu konuya odaklı çalışmalara yönelmiştir. İmplant tedavisinde belirli tedavi aşamaları izlenmezse tedavi sonlandığında yumuşak doku kaybının tekrar geri kazanılması ve istenilen neticenin alınması oldukça zordur.(2)
Bu çalışmada dişeti çıkış profilini etkileyen faktörler ve dişeti çıkış profinin oluşturulması aşamasında dikkat edilmesi gereken durumların açıklanması amaçlanmaktadır.
Although many sources have been published about the concept of aesthetics, the concept of aesthetics in implant treatment consists of crown restoration (white aesthetics) and gingiva (pink aesthetics). Papilla, gingival surface, gingival contour, color and level have an important place in achieving pink aesthetics.(1) For this reason, dentists have focused on studies focused on this subject to create a compatible soft tissue profile. If certain treatment stages are not followed in implant treatment, it is very difficult to regain soft tissue loss and achieve the desired result when the treatment is completed. (2)
This study aims to explain the factors affecting the gingival emergence profile and the situations to be considered during the creation of the gingival emergence profile.
Referanslar
Grunder U. Estetik bölgede implant uygulamaları : adım adım tedavi stratejileri. (çeviri editörü Korkud Demirel Çev. Ed.). İstanbul : Quintessence Yayıncılık; 2018.
Hermann JS, Buser D, Schenk RK, et al. Biologic width around titanium implants. A physiologically formed and stable dimension over time. Clin Oral Implants Res. 2000; 11: 1-11.
Grunder U, Gracis S, Capelli M. Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodontics Restorative Dent. 2005; 25: 113-119.
Berglundh T, Abrahamsson I, Lindhe J. Bone reactions to longstanding functional load at implants: an experimental study in dogs. J Clin Periodontol. 2005;32:925-932.
Kois JC. Altering gingival levels: The restorative connection. I.Biologic variables. J Esthet Dent. 1994;6:3-9
Berglundh T, et al. The soft tissue barrier at implants and teeths. Clin Oral İmplants Res.1991;2:81-90.
Tarnow DP, Magner AW, Fletscher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol. 1992;63:995-996.
Berlundh T, Lindhe J, Jonsson K, et al. The topography of the vascular system in the periodontal and peri-implant tissues in the dog. J Clin Periodontal. 1994; 21:189-193.
Tarnow D, et al. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol.2003; 74:1785-1788.
Yu YC, Alamri A, Francisco H, et al. Interdental papilla length and the perception of aesthetics in asymmetric situations. Int J Dent. 2015; 125146.
Esposito M, Ekestubbe A, Gröndahl K. Radiological evaluation of marginal bone loss at tooth surfaces facing single Branemark implants. Clin Oral İmplants Res. 1993;4:151-157.
Van der Velden U. Regeneration of the interdental soft tissues following denudation procedures. J Clin Periodontal. 1982;9:455-459.
Tarnow DP, Cho SC, Wallace SS. The effect of inter-implant distance on the height of inter-implant bone crest. J Periodontal. 2000;71:546-549.
Novaes AB Jr, Papalexiou V, Muglia V, et al. İnfluence of interimplant distance on gingival papilla formation and bone resorption: clinica- radiographic study in dogs. İnt J Oral Maxillofac İmplants. 2006;21:45-51.
Buser D, Chen ST, Weber HP, Belser UC. Early implant placement following single-tooth extraction in the esthetic zone: biologic rationale and surgical procedures. Int J Periodontics Restorative Dent. 2008;28(5):441-51.
Hermann JS, Buser D, Schenk RK, et al. Crestal bone changes around titanium implants. A histometric evaluation of unloaded non- submerged and submerged implants in canine mandibule. J Periodontol. 2000; 71:1412-1424.
Atieh MA, İbrahim HM, Atieh AH. Platform switching for marginal bone preservation around dental implants: a systematic review and meta-analysis. J Periodontol. 2010;81:1350-1366.
Zitzmann NU, Marinello CP, Berglundh T. The ovate pontic design: a histologic observation in humans. J Prosthet Dent. 2002;88:375-380.
Pjetursson BE, et al. A systematic review of the survival and complication rates of resin-bonded bridges after an observation period of at least 5 years. Clin Oral İmplants Res. 2008;19:131-141
Dylina TJ. Contour determination for ovate pontics. J Prosthet Dent. 1999; 82:136-42.
Stein RS. Pontic-residual ridge relationship: A research report. J Prosthet Dent. 1966;16:251-285.
Martin WC, Pollini A, Morton D. The influence of restorative procedures on esthetic outcomes in implant dentistry: a systematic review. Int J Oral Maxillofac Implants. 2014;29(l):142-54.
De Rouck T, Collys K, Wyn I, et al. Instant provisionalization of immediate single-tooth implants is essential to optimize esthetic treatment outcome. Clin Oral Implants Res. 2009;20(6):566-570. doi:10.1111/J.1600-0501.2008.01674.X
Parpaiola A, Sbricoli L, Guazzo R, et al. Managing the peri-implant mucosa: A clinically reliable method for optimizing soft tissue contours and emergence profile. J Esthet Restor Dent. 2013;25(5):317-323. doi:10.1111/jerd.12046
Abrahamsson I, Berglundh T, Lindhe J.The mucosal barrier following abutment dis/reconnection. An experimental study in dogs. J Clin Periodontol. 1997;24:568-572.
Hartog L, Slater JJ, Vissink A, et al. Treatment outcome of immediate, early and conventional single-tooth implants in the aesthetic zone: a systematic review of survival, bone level, soft-tissue, aesthetics and patient satisfaction. J Clin Periodontol. 2008; 35: 1073–1086.
Bilhan E, Sönmez E, Mumcu E, et al. Immediate loading: three cases with up to 38 months of clinical follow-up. Journal of Oral Implantology. 2009; 35( 2): 75-81.
Slagter KW, den Hartog L, Bakker NA, Vissink A, Meijer HJ, Raghoebar GM. Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis. J Periodontol . 2014;85(7):241-250.
Wittneben JG, Buser D, Belser UC, et al. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique. Int J Periodontics Restorative Dent. 2013;33(4):447- 455.
Cosyn J, De Bruyn H, Cleymaet R. Soft tissue preservation and pink aesthetics around single immediate implant restorations: a 1 year prospective study. Clin Implant Dent Relat Res. 2013;15(6):847-857.
