{"id":1067,"date":"2024-03-22T15:56:34","date_gmt":"2024-03-22T15:56:34","guid":{"rendered":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/?post_type=chapter&p=1067"},"modified":"2025-06-10T08:58:49","modified_gmt":"2025-06-10T08:58:49","slug":"kron-restorasyonlarinda-yapilan-hazirliklar","status":"publish","type":"chapter","link":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/chapter\/kron-restorasyonlarinda-yapilan-hazirliklar\/","title":{"raw":"Kron Restorasyonlar\u0131nda Yap\u0131lan Haz\u0131rl\u0131klar","rendered":"Kron Restorasyonlar\u0131nda Yap\u0131lan Haz\u0131rl\u0131klar"},"content":{"raw":"\u00c7\u00fcr\u00fck lezyonlar\u0131, defektler, k\u0131r\u0131k veya endodontik tedavi nedeniyle kron restorasyonu gerekebilir. Destek di\u015fler uygun konturlara veya yeterli mine kal\u0131nl\u0131\u011f\u0131na sahip olmad\u0131\u011f\u0131nda da di\u015f haz\u0131rl\u0131\u011f\u0131 i\u00e7in tam veya parsiyel kron yap\u0131labilir. Ayr\u0131ca k\u0131sa di\u015fsiz sahalara sahip anterior ve premolar b\u00f6lgedeki modifikasyon bo\u015fluklar\u0131n\u0131n k\u00f6pr\u00fc restorasyonu ile kapat\u0131lmas\u0131 da planlamada bir se\u00e7enek olarak de\u011ferlendirilmelidir.\r\n\r\nKron veya k\u00f6pr\u00fc gibi sabit restorasyonlarda yap\u0131lacak haz\u0131rl\u0131klar preparasyona da yans\u0131t\u0131larak, kronda yap\u0131lacak haz\u0131rl\u0131klara yeterli yer temin edilir. Linguale e\u011fimli bir di\u015fin preparasyonu yap\u0131l\u0131rken, vestib\u00fcl y\u00fczeye g\u00f6re lingual y\u00fczeyden daha fazla preparasyon yap\u0131lmal\u0131d\u0131r.\r\n\r\nAyn\u0131 \u015fekilde, kron restorasyonu \u00fczerinde yap\u0131lacak t\u0131rnak yuvas\u0131 i\u00e7in, t\u0131rna\u011f\u0131n bulundu\u011fu tarafta daha fazla preparasyon yap\u0131lmal\u0131d\u0131r; aksi halde kron \u00fczerindeki t\u0131rnak yuvas\u0131n\u0131n derinli\u011fi yetersiz olur.\r\n\r\nFull kronun mum modelinin \u015fekillendirilmesi:<\/strong> Mum modelaj\u0131 tamamlanm\u0131\u015f kron restorasyonunu i\u00e7eren model, giri\u015f yoluna uygun \u015fekilde analiz\u00f6re yerle\u015ftirilir (\u015eekil 10-53).\r\n\r\n[caption id=\"attachment_1118\" align=\"alignnone\" width=\"300\"]\"\u015eekil<\/a> \u015eekil 10-53.<\/strong> Mum modelaj\u0131 tamamlanm\u0131\u015f kron restoras\u00adyonlar\u0131n\u0131 i\u00e7eren model, giri\u015f yoluna uygun \u015fekilde analiz\u00f6re yerle\u015ftirilir.[\/caption]\r\n\r\nKontur y\u00fcksekli\u011finin belirlenmesi, ekvator hatt\u0131n\u0131n \u00e7izilmesi i\u00e7in karbon u\u00e7 kullan\u0131l\u0131r (\u015eekil 10-54).\r\n\r\n[caption id=\"attachment_1120\" align=\"alignnone\" width=\"300\"]\"\u015eekil<\/a> \u015eekil 10-54.<\/strong> Ekvator hatt\u0131n\u0131n \u00e7izilmesi i\u00e7in karbon u\u00e7 kullan\u0131l\u0131r.[\/caption]\r\n\r\nKonturlar\u0131n de\u011ferlendirilmesini takiben, gerekli g\u00f6r\u00fcld\u00fc\u011f\u00fcnde mum model mum spat\u00fcl\u00fc ile yeniden \u015fekillendirilir.\r\n\r\nPlanlanan kro\u015feye uygun and\u0131rkat \u00f6l\u00e7er kullan\u0131larak, mum modelin vestib\u00fcl y\u00fczeyinde, yeterli miktarda ve gereken konumda (meziobukkal veya distobukkal) and\u0131rkat olu\u015fturulur (\u015eekil 10-55).\r\n\r\n[caption id=\"attachment_1121\" align=\"alignnone\" width=\"300\"]\"\u015eekil<\/a> \u015eekil 10-55.<\/strong> Kron \u00fczerinde planlanan Akers kro\u015feye uygun and\u0131rkat \u00f6l\u00e7er (0.25 mm) kullan\u0131larak, mum modelin distobukkal y\u00fczeyinde, yeterli miktarda and\u0131rkat olu\u015fturulur.[\/caption]\r\n\r\nMum model \u00fczerinde rehber d\u00fczlemler de haz\u0131rlan\u0131r. Bu i\u015flem i\u00e7in analiz\u00f6r b\u0131\u00e7a\u011f\u0131 kullan\u0131l\u0131r (\u015eekil 10-56).\r\n\r\n\r\n\r\n\r\n
\u015eekil 10-56. Mum model \u00fczerinde, analiz\u00f6r b\u0131\u00e7a\u011f\u0131n\u0131n a) yan y\u00fczeyi b) u\u00e7 k\u0131sm\u0131 kullan\u0131larak rehber d\u00fczlem haz\u0131rlan\u0131r. c) Lingual rehber d\u00fczlem<\/caption>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\nRehber d\u00fczlem y\u00fczeylerinin birbirlerine ve giri\u015f yoluna paralel olarak haz\u0131rlanmas\u0131 son derece \u00f6nemlidir.\r\n\r\nAksiyal y\u00fczeyler \u015fekillendirildikten sonra, 4 veya 6 no\u2019lu rond frezle t\u0131rnak yuvas\u0131 \u015fekillendirilir. Frez \u0131s\u0131t\u0131larak mum model \u00fczerine dikkatlice bast\u0131r\u0131l\u0131r veya \u00e7ok d\u00fc\u015f\u00fck h\u0131zla mikromotor yard\u0131m\u0131yla kullan\u0131l\u0131r. Daha sonra yuvarlak u\u00e7lu bir el aleti kullan\u0131larak son \u015fekli verilir (\u015eekil 10-57).\r\n\r\n[caption id=\"attachment_1125\" align=\"alignnone\" width=\"300\"]\"\u015eekil<\/a> \u015eekil 10-57.<\/strong> Yuvarlak u\u00e7lu bir el aleti kullan\u0131larak, mum model \u00fczerindeki t\u0131rnak yuvas\u0131na son \u015fekli verilir.[\/caption]\r\n\r\nMum modeller bilinen \u015fekilde d\u00f6k\u00fcme sevkedilir ve sonras\u0131nda yine model analiz\u00f6r\u00fcnde de\u011ferlendirilir (\u015eekil 10-58).\r\n\r\n\r\n\r\n\r\n
\u015eekil 10-58. D\u00f6k\u00fcme sevkedilen kronun a) konturu b) and\u0131rkat\u0131 model analiz\u00f6r\u00fcnde yeniden de\u011ferlendirilir. (c) T\u0131rnak yuvas\u0131 ve rehber d\u00fczlemler<\/caption>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\nGerekti\u011finde, model analiz\u00f6r\u00fcne adapte edilen mikromotor u\u00e7lar\u0131yla gereken d\u00fczeltmeler yap\u0131l\u0131r.\r\n\r\nMetal destekli porselen kronda yap\u0131lan haz\u0131rl\u0131klar:<\/strong> HBP deste\u011fi olarak kullan\u0131lacak di\u015fte metal destekli porselen kron restorasyonu yap\u0131laca\u011f\u0131nda, \u00fczerinde yap\u0131lacak haz\u0131rl\u0131klar a\u00e7\u0131s\u0131ndan planlanmal\u0131 ve kuvvetler do\u011frudan metal porselen birle\u015fim b\u00f6lgelerine veya porselen y\u00fczeye gelmemelidir. Tam seramik restorasyonlar HBP deste\u011fi olarak kullan\u0131lacak di\u015flerde \u00f6nerilmez.\r\n\r\nMetal destekli porselen kronlardaki t\u0131rnak yuvas\u0131 (\u015eekil 10-59a) ve rehber d\u00fczlemler (\u015eekil 10-59 b ve c) metal y\u00fczeyde haz\u0131rlan\u0131r; bu b\u00f6lgeler mum modelde haz\u0131rlanmal\u0131 ve d\u00f6k\u00fcm i\u015fleminden sonra yeniden kontrol edilmelidir (\u015eekil 10-60).\r\n\r\n\r\n\r\n\r\n
\u015eekil 10-59. Metal destekli anterior ve posterior porselen kronlar\u0131n mum modelaj haz\u0131rl\u0131klar\u0131: a) T\u0131rnak yuvalar\u0131, b) Proksimal ve c) Lingual rehber d\u00fczlemler metal y\u00fczeyde haz\u0131rlan\u0131r.<\/caption>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n\r\n\r\n\r\n
\u015eekil 10-60. Metal destekli anterior ve posterior porselen kronlar\u0131n metal alt yap\u0131da \u015fekillendirilen t\u0131rnak yuvalar\u0131, proksimal ve lingual rehber d\u00fczlemlerinin a) lingual b) okluzal y\u00fczden g\u00f6r\u00fcn\u00fcmleri<\/caption>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\nPorselen ilavesinden ve f\u0131r\u0131nlanmas\u0131ndan sonra model yeniden analiz\u00f6re yerle\u015ftirilerek, kronun uygun kontur y\u00fcksekli\u011fi (\u015eekil 10-61a) ve and\u0131rkata sahip olmas\u0131 sa\u011flan\u0131r (\u015eekil 10- 61b).\r\n\r\n\r\n\r\n
\u015eekil 10-61. Metal destekli porselen kronun uygun kontur y\u00fcksekli\u011fi (a) ve and\u0131rkata (b) sahip olmas\u0131 sa\u011flan\u0131r.<\/caption>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\nMetal destekli porselen kronun haz\u0131rl\u0131klar\u0131 \u201cveneer\u201d \u015feklinde yap\u0131lan kronlarda da benzer \u015fekilde yap\u0131l\u0131r (\u015eekil 10-62).\r\n\r\n\r\n\r\n\r\n
\u015eekil 10-62. Veneer formunda yap\u0131lan metal destekli porselen kron \u00fczerinde yap\u0131lan a) t\u0131rnak yuvas\u0131, b) rehber d\u00fczlem ile c) ekvator hatt\u0131 ve and\u0131rkat haz\u0131rl\u0131klar\u0131.<\/caption>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n
\"\u015eekil<\/a><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>","rendered":"

\u00c7\u00fcr\u00fck lezyonlar\u0131, defektler, k\u0131r\u0131k veya endodontik tedavi nedeniyle kron restorasyonu gerekebilir. Destek di\u015fler uygun konturlara veya yeterli mine kal\u0131nl\u0131\u011f\u0131na sahip olmad\u0131\u011f\u0131nda da di\u015f haz\u0131rl\u0131\u011f\u0131 i\u00e7in tam veya parsiyel kron yap\u0131labilir. Ayr\u0131ca k\u0131sa di\u015fsiz sahalara sahip anterior ve premolar b\u00f6lgedeki modifikasyon bo\u015fluklar\u0131n\u0131n k\u00f6pr\u00fc restorasyonu ile kapat\u0131lmas\u0131 da planlamada bir se\u00e7enek olarak de\u011ferlendirilmelidir.<\/p>\n

Kron veya k\u00f6pr\u00fc gibi sabit restorasyonlarda yap\u0131lacak haz\u0131rl\u0131klar preparasyona da yans\u0131t\u0131larak, kronda yap\u0131lacak haz\u0131rl\u0131klara yeterli yer temin edilir. Linguale e\u011fimli bir di\u015fin preparasyonu yap\u0131l\u0131rken, vestib\u00fcl y\u00fczeye g\u00f6re lingual y\u00fczeyden daha fazla preparasyon yap\u0131lmal\u0131d\u0131r.<\/p>\n

Ayn\u0131 \u015fekilde, kron restorasyonu \u00fczerinde yap\u0131lacak t\u0131rnak yuvas\u0131 i\u00e7in, t\u0131rna\u011f\u0131n bulundu\u011fu tarafta daha fazla preparasyon yap\u0131lmal\u0131d\u0131r; aksi halde kron \u00fczerindeki t\u0131rnak yuvas\u0131n\u0131n derinli\u011fi yetersiz olur.<\/p>\n

Full kronun mum modelinin \u015fekillendirilmesi:<\/strong> Mum modelaj\u0131 tamamlanm\u0131\u015f kron restorasyonunu i\u00e7eren model, giri\u015f yoluna uygun \u015fekilde analiz\u00f6re yerle\u015ftirilir (\u015eekil 10-53).<\/p>\n

\"\u015eekil<\/a>
\u015eekil 10-53.<\/strong> Mum modelaj\u0131 tamamlanm\u0131\u015f kron restoras\u00adyonlar\u0131n\u0131 i\u00e7eren model, giri\u015f yoluna uygun \u015fekilde analiz\u00f6re yerle\u015ftirilir.<\/figcaption><\/figure>\n

Kontur y\u00fcksekli\u011finin belirlenmesi, ekvator hatt\u0131n\u0131n \u00e7izilmesi i\u00e7in karbon u\u00e7 kullan\u0131l\u0131r (\u015eekil 10-54).<\/p>\n

\"\u015eekil<\/a>
\u015eekil 10-54.<\/strong> Ekvator hatt\u0131n\u0131n \u00e7izilmesi i\u00e7in karbon u\u00e7 kullan\u0131l\u0131r.<\/figcaption><\/figure>\n

Konturlar\u0131n de\u011ferlendirilmesini takiben, gerekli g\u00f6r\u00fcld\u00fc\u011f\u00fcnde mum model mum spat\u00fcl\u00fc ile yeniden \u015fekillendirilir.<\/p>\n

Planlanan kro\u015feye uygun and\u0131rkat \u00f6l\u00e7er kullan\u0131larak, mum modelin vestib\u00fcl y\u00fczeyinde, yeterli miktarda ve gereken konumda (meziobukkal veya distobukkal) and\u0131rkat olu\u015fturulur (\u015eekil 10-55).<\/p>\n

\"\u015eekil<\/a>
\u015eekil 10-55.<\/strong> Kron \u00fczerinde planlanan Akers kro\u015feye uygun and\u0131rkat \u00f6l\u00e7er (0.25 mm) kullan\u0131larak, mum modelin distobukkal y\u00fczeyinde, yeterli miktarda and\u0131rkat olu\u015fturulur.<\/figcaption><\/figure>\n

Mum model \u00fczerinde rehber d\u00fczlemler de haz\u0131rlan\u0131r. Bu i\u015flem i\u00e7in analiz\u00f6r b\u0131\u00e7a\u011f\u0131 kullan\u0131l\u0131r (\u015eekil 10-56).<\/p>\n\n\n\n\n\n
\u015eekil 10-56. Mum model \u00fczerinde, analiz\u00f6r b\u0131\u00e7a\u011f\u0131n\u0131n a) yan y\u00fczeyi b) u\u00e7 k\u0131sm\u0131 kullan\u0131larak rehber d\u00fczlem haz\u0131rlan\u0131r. c) Lingual rehber d\u00fczlem<\/caption>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Rehber d\u00fczlem y\u00fczeylerinin birbirlerine ve giri\u015f yoluna paralel olarak haz\u0131rlanmas\u0131 son derece \u00f6nemlidir.<\/p>\n

Aksiyal y\u00fczeyler \u015fekillendirildikten sonra, 4 veya 6 no\u2019lu rond frezle t\u0131rnak yuvas\u0131 \u015fekillendirilir. Frez \u0131s\u0131t\u0131larak mum model \u00fczerine dikkatlice bast\u0131r\u0131l\u0131r veya \u00e7ok d\u00fc\u015f\u00fck h\u0131zla mikromotor yard\u0131m\u0131yla kullan\u0131l\u0131r. Daha sonra yuvarlak u\u00e7lu bir el aleti kullan\u0131larak son \u015fekli verilir (\u015eekil 10-57).<\/p>\n

\"\u015eekil<\/a>
\u015eekil 10-57.<\/strong> Yuvarlak u\u00e7lu bir el aleti kullan\u0131larak, mum model \u00fczerindeki t\u0131rnak yuvas\u0131na son \u015fekli verilir.<\/figcaption><\/figure>\n

Mum modeller bilinen \u015fekilde d\u00f6k\u00fcme sevkedilir ve sonras\u0131nda yine model analiz\u00f6r\u00fcnde de\u011ferlendirilir (\u015eekil 10-58).<\/p>\n\n\n\n\n\n
\u015eekil 10-58. D\u00f6k\u00fcme sevkedilen kronun a) konturu b) and\u0131rkat\u0131 model analiz\u00f6r\u00fcnde yeniden de\u011ferlendirilir. (c) T\u0131rnak yuvas\u0131 ve rehber d\u00fczlemler<\/caption>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Gerekti\u011finde, model analiz\u00f6r\u00fcne adapte edilen mikromotor u\u00e7lar\u0131yla gereken d\u00fczeltmeler yap\u0131l\u0131r.<\/p>\n

Metal destekli porselen kronda yap\u0131lan haz\u0131rl\u0131klar:<\/strong> HBP deste\u011fi olarak kullan\u0131lacak di\u015fte metal destekli porselen kron restorasyonu yap\u0131laca\u011f\u0131nda, \u00fczerinde yap\u0131lacak haz\u0131rl\u0131klar a\u00e7\u0131s\u0131ndan planlanmal\u0131 ve kuvvetler do\u011frudan metal porselen birle\u015fim b\u00f6lgelerine veya porselen y\u00fczeye gelmemelidir. Tam seramik restorasyonlar HBP deste\u011fi olarak kullan\u0131lacak di\u015flerde \u00f6nerilmez.<\/p>\n

Metal destekli porselen kronlardaki t\u0131rnak yuvas\u0131 (\u015eekil 10-59a) ve rehber d\u00fczlemler (\u015eekil 10-59 b ve c) metal y\u00fczeyde haz\u0131rlan\u0131r; bu b\u00f6lgeler mum modelde haz\u0131rlanmal\u0131 ve d\u00f6k\u00fcm i\u015fleminden sonra yeniden kontrol edilmelidir (\u015eekil 10-60).<\/p>\n\n\n\n\n\n
\u015eekil 10-59. Metal destekli anterior ve posterior porselen kronlar\u0131n mum modelaj haz\u0131rl\u0131klar\u0131: a) T\u0131rnak yuvalar\u0131, b) Proksimal ve c) Lingual rehber d\u00fczlemler metal y\u00fczeyde haz\u0131rlan\u0131r.<\/caption>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n\n
\u015eekil 10-60. Metal destekli anterior ve posterior porselen kronlar\u0131n metal alt yap\u0131da \u015fekillendirilen t\u0131rnak yuvalar\u0131, proksimal ve lingual rehber d\u00fczlemlerinin a) lingual b) okluzal y\u00fczden g\u00f6r\u00fcn\u00fcmleri<\/caption>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Porselen ilavesinden ve f\u0131r\u0131nlanmas\u0131ndan sonra model yeniden analiz\u00f6re yerle\u015ftirilerek, kronun uygun kontur y\u00fcksekli\u011fi (\u015eekil 10-61a) ve and\u0131rkata sahip olmas\u0131 sa\u011flan\u0131r (\u015eekil 10- 61b).<\/p>\n\n\n\n\n
\u015eekil 10-61. Metal destekli porselen kronun uygun kontur y\u00fcksekli\u011fi (a) ve and\u0131rkata (b) sahip olmas\u0131 sa\u011flan\u0131r.<\/caption>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Metal destekli porselen kronun haz\u0131rl\u0131klar\u0131 \u201cveneer\u201d \u015feklinde yap\u0131lan kronlarda da benzer \u015fekilde yap\u0131l\u0131r (\u015eekil 10-62).<\/p>\n\n\n\n\n\n
\u015eekil 10-62. Veneer formunda yap\u0131lan metal destekli porselen kron \u00fczerinde yap\u0131lan a) t\u0131rnak yuvas\u0131, b) rehber d\u00fczlem ile c) ekvator hatt\u0131 ve and\u0131rkat haz\u0131rl\u0131klar\u0131.<\/caption>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n
\"\u015eekil<\/a><\/td>\n<\/tr>\n
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