{"id":8,"date":"2026-10-12T17:04:54","date_gmt":"2026-10-12T17:04:54","guid":{"rendered":"http:\/\/www.kuzeysehirdis.com.tr\/?tedavi=implant-tedavisi"},"modified":"2026-11-11T11:58:47","modified_gmt":"2026-11-11T08:58:47","slug":"implant-tedavisi","status":"publish","type":"tedavi","link":"https:\/\/www.kuzeysehirdis.com.tr\/tedaviler\/implant-tedavisi\/","title":{"rendered":"\u0130mplant tedavisi"},"content":{"rendered":"<p>Dental implant, kaybedilen di\u015fin k\u00f6k\u00fc yerine \u00e7ene kemi\u011fine yerle\u015ftirilen vida bi\u00e7imli yapay k\u00f6kt\u00fcr. \u00c7o\u011funlukla saf titanyum ya da titanyum ala\u015f\u0131m\u0131ndan (Ti-6Al-4V) \u00fcretilir. Titanyumun y\u00fczeyinde kendili\u011finden olu\u015fan ince oksit tabakas\u0131, kemik h\u00fccrelerinin implant y\u00fczeyine do\u011frudan tutunmas\u0131na olanak verir. Kemik ile implant y\u00fczeyi aras\u0131nda, araya yumu\u015fak doku girmeden kurulan bu ba\u011flant\u0131ya <strong>osseointegrasyon<\/strong> denir. G\u00fcn\u00fcm\u00fcz implantlar\u0131n\u0131n y\u00fczeyi kumlama ve asitle p\u00fcr\u00fczlendirilerek kemik temas alan\u0131 art\u0131r\u0131l\u0131r.<\/p>\n<h3>Planlama<\/h3>\n<p>Planlama klinik muayene ve konik \u0131\u015f\u0131nl\u0131 bilgisayarl\u0131 tomografi (CBCT) ile yap\u0131l\u0131r. Tomografide kemi\u011fin y\u00fcksekli\u011fi, geni\u015fli\u011fi ve yo\u011funlu\u011fu \u00f6l\u00e7\u00fcl\u00fcr. Alt \u00e7enede mandibular kanala, \u00fcst \u00e7enede maksiller sin\u00fcse olan mesafe belirlenir. \u0130mplant\u0131n \u00e7ap\u0131, boyu ve a\u00e7\u0131s\u0131 bu \u00f6l\u00e7\u00fcmlere g\u00f6re se\u00e7ilir.<\/p>\n<p>Kemik hacmi yeterli de\u011filse implantla ayn\u0131 seansta ya da \u00f6ncesinde kemik grefti uygulanabilir. \u00dcst \u00e7ene arka b\u00f6lgede sin\u00fcs taban\u0131na kadar olan kemik y\u00fcksekli\u011fi azsa sin\u00fcs taban\u0131 y\u00fckseltme (sin\u00fcs lift) gerekebilir.<\/p>\n<h3>Uygulama a\u015famalar\u0131<\/h3>\n<ol>\n<li><strong>Cerrahi a\u015fama:<\/strong> Lokal anestezi alt\u0131nda di\u015f eti a\u00e7\u0131l\u0131r, kemikte implant boyutuna uygun bir yuva haz\u0131rlan\u0131r ve implant yerle\u015ftirilir.<\/li>\n<li><strong>Osseointegrasyon:<\/strong> Kemi\u011fin implant y\u00fczeyinde yeniden \u015fekillenmesi alt \u00e7enede genellikle 2\u20133 ay, kemik yo\u011funlu\u011fu daha d\u00fc\u015f\u00fck olan \u00fcst \u00e7enede 3\u20136 ay s\u00fcrer. Bu d\u00f6nemde gerekirse ge\u00e7ici protez kullan\u0131l\u0131r.<\/li>\n<li><strong>Abutment:<\/strong> \u0130mplant\u0131n \u00fczerine, kronu ta\u015f\u0131yacak ba\u011flant\u0131 par\u00e7as\u0131 (abutment) tak\u0131l\u0131r.<\/li>\n<li><strong>Kron:<\/strong> \u00d6l\u00e7\u00fc ya da a\u011f\u0131z i\u00e7i tarama ile haz\u0131rlanan zirkonyum veya metal destekli seramik kron yerine sabitlenir.<\/li>\n<\/ol>\n<p>Kemik kalitesi ve implant\u0131n ilk yerle\u015ftirmedeki sabitli\u011fi (primer stabilite) yeterliyse baz\u0131 vakalarda k\u0131sa s\u00fcre i\u00e7inde ge\u00e7ici di\u015f tak\u0131labilir. Buna erken ya da immediat y\u00fckleme denir.<\/p>\n<h3>Dikkatli planlama gerektiren durumlar<\/h3>\n<p>Kemik geli\u015fimi tamamlanmam\u0131\u015f \u00e7ocuk ve ergenlere implant uygulanmaz. Kontrols\u00fcz diyabet, yo\u011fun sigara kullan\u0131m\u0131, osteoporoz tedavisinde kullan\u0131lan bifosfonat ve benzeri ila\u00e7lar ile ba\u015f-boyun b\u00f6lgesine radyoterapi \u00f6yk\u00fcs\u00fc iyile\u015fmeyi ve osseointegrasyonu olumsuz etkileyebilir. Bu durumlarda tedavi, gerekirse hastan\u0131n di\u011fer hekimleriyle birlikte planlan\u0131r.<\/p>\n<h3>Uzun d\u00f6nem bak\u0131m<\/h3>\n<p>\u0130mplant \u00e7evresindeki dokular da bakteri pla\u011f\u0131ndan etkilenir. Plak birikimi \u00f6nce implant \u00e7evresindeki di\u015f etinde iltihaba (periimplant mukozit), tedavi edilmezse implant\u0131 \u00e7evreleyen kemi\u011fin kayb\u0131na (periimplantitis) yol a\u00e7abilir. G\u00fcnl\u00fck f\u0131r\u00e7alama, ara y\u00fcz f\u0131r\u00e7as\u0131 ya da a\u011f\u0131z du\u015fu kullan\u0131m\u0131 ve alt\u0131 ayda bir kontrol bu riski azalt\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Di\u015f eksikli\u011fi olan b\u00f6lgede \u00e7ene kemi\u011fine titanyum bir yapay k\u00f6k yerle\u015ftirilir, kemikle kayna\u015ft\u0131ktan sonra \u00fczerine kron yap\u0131l\u0131r. Kom\u015fu di\u015fler kesilmez.<\/p>\n","protected":false},"featured_media":0,"menu_order":0,"template":"","class_list":["post-8","tedavi","type-tedavi","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.kuzeysehirdis.com.tr\/wp-json\/wp\/v2\/tedavi\/8","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kuzeysehirdis.com.tr\/wp-json\/wp\/v2\/tedavi"}],"about":[{"href":"https:\/\/www.kuzeysehirdis.com.tr\/wp-json\/wp\/v2\/types\/tedavi"}],"wp:attachment":[{"href":"https:\/\/www.kuzeysehirdis.com.tr\/wp-json\/wp\/v2\/media?parent=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}