{"id":273,"date":"2024-03-02T21:04:32","date_gmt":"2024-03-02T21:04:32","guid":{"rendered":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/?post_type=chapter&#038;p=273"},"modified":"2024-03-26T07:39:18","modified_gmt":"2024-03-26T07:39:18","slug":"singulum-tirnagi","status":"publish","type":"chapter","link":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/chapter\/singulum-tirnagi\/","title":{"raw":"Singulum T\u0131rna\u011f\u0131","rendered":"Singulum T\u0131rna\u011f\u0131"},"content":{"raw":"<h2>S\u0130NGULUM TIRNA\u011eI<\/h2>\r\nAnterior di\u015flerin lingual (singulum) y\u00fczeyleri \u00fczerine yerle\u015ftirilen t\u0131rnak tipleridir. Bu di\u015f\u00adlerin lingual y\u00fczeyleri e\u011fimli olup, santral fossa veya marjinal kenar gibi anatomik olu\u015fumlara sahip olmad\u0131klar\u0131ndan, t\u0131rnaklar\u0131n yerle\u015fti\u00adrilmesi zordur. En b\u00fcy\u00fck dezavantaj\u0131, t\u0131rna\u00ad\u011f\u0131n e\u011fimli bir y\u00fczey \u00fczerine yerle\u015ftirilmesi\u00addir. \u00c7\u00fcnk\u00fc e\u011fimli y\u00fczey \u00fczerindeki kuvvetler destek di\u015f \u00fczerinde lateral kuvvetler olu\u015ftu\u00adrarak, di\u015fin kayb\u0131na neden olurlar (Video 2-7).\r\n\r\n[h5p id=\"25\"]\r\n\r\n<strong>Video 2-7.<\/strong> Anterior di\u015flerin lingual y\u00fczeyleri e\u011fimli oldu\u00ad\u011fundan, t\u0131rnak yerle\u015fimi zordur; \u00e7\u00fcnk\u00fc kuvvetler e\u011fimli y\u00fczeylerde lateral kuvvetler olu\u015fturur.\r\n\r\n&nbsp;\r\n\r\nKesiciler \u00fczerine yerle\u015fen t\u0131rnaklar\u0131n \u015fekli ve boyutunu tayin etmede k\u00f6k \u015fekli, k\u00f6k uzunlu\u011fu, di\u015fin e\u011fimi ve klinik kron-k\u00f6k oran\u0131 de\u011ferlendirilmelidir. Santral ve laterale g\u00f6re, kanin di\u015fi t\u0131rnak yerle\u015fimi i\u00e7in daha uygun\u00addur; ancak mevcut olmad\u0131\u011f\u0131 zaman, tek bir kesicinin kullan\u0131m\u0131 yerine, birka\u00e7 kesici di\u015f \u00fczerinde birden fazla t\u0131rnak kullan\u0131lmas\u0131 ter\u00adcih edilir.\r\n\r\nAnterior di\u015flerin morfolojileri nedeniyle mine \u00fczerinde singulum t\u0131rnak yuvas\u0131 ha\u00adz\u0131rlamak zordur. Di\u015fetine yak\u0131n b\u00f6lgelerdeki mine incedir ve gereken derinlikte bir t\u0131rnak yuvas\u0131 haz\u0131rlan\u0131rken, dentinin a\u00e7\u0131\u011fa \u00e7\u0131kma riski vard\u0131r. Maksiller kanin di\u015flerinde yeterli mineye sahip belirgin bir singulumun varl\u0131\u00ad\u011f\u0131nda, uygun konturlu t\u0131rnak yuvalar\u0131 haz\u0131rla\u00admak m\u00fcmk\u00fcn olabilir (\u015eekil 2-8).\r\n\r\n[caption id=\"attachment_265\" align=\"alignnone\" width=\"287\"]<a href=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-8.jpg\"><img class=\"wp-image-265 size-medium\" src=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-8-287x300.jpg\" alt=\"\u015eekil 2-8\" width=\"287\" height=\"300\" \/><\/a> <strong>\u015eekil 2-8.<\/strong> Maksiller kanin di\u015flerinin morfolojik yap\u0131s\u0131 lingual (singulum) t\u0131rnak yerle\u015fimi i\u00e7in daha uygundur. <br \/><strong>a)<\/strong> T\u0131rnak yuvas\u0131 haz\u0131rlanmad\u0131\u011f\u0131 durumdaki ba\u015far\u0131s\u0131zl\u0131k. <br \/><strong>b)<\/strong> Uygun di\u015f preparasyonu yap\u0131ld\u0131\u011f\u0131nda, kuvvetler di\u015fin uzun aks\u0131 boyunca iletilir.[\/caption]\r\n\r\nAncak \u00e7o\u011funlukla restoratif bir i\u015flemin uygulanmas\u0131 zorunlu hale gelir. Bunun d\u0131\u00ad\u015f\u0131nda, kar\u015f\u0131t arkla olan okluzyonu da dikkate al\u0131nmal\u0131d\u0131r. Antagonist di\u015fler singulum veya palatinal y\u00fczeyine temas etti\u011finde, t\u0131rna\u011fa yer temin etmek amac\u0131yla, singulumun a\u015f\u0131r\u0131 kesimi yerine kar\u015f\u0131t di\u015fin y\u00fcksekli\u011finin azal\u00adt\u0131lmas\u0131 tercih edilir.\r\n\r\nMandibular kanin ve keserlerin lingual y\u00fczeyleri, k\u00fc\u00e7\u00fck veya \u00e7o\u011fu zaman hi\u00e7 olma\u00adyan singulumuyla, e\u011fimli bir yap\u0131ya sahiptir. Bu durum singulum t\u0131rnak yuvas\u0131 haz\u0131rl\u0131\u011f\u0131n\u0131 imkans\u0131z hale getirir.\r\n\r\nSingulum t\u0131rna\u011f\u0131n\u0131 destekleyecek morfo\u00adlojik \u00f6zelliklere sahip olmayan anterior di\u015f\u00adlerin lingual y\u00fczeyleri kron restorasyonuyla de\u011fi\u015ftirilerek, t\u0131rnak yuvas\u0131 uygun \u015fekilde haz\u0131rlanabilir. Bu y\u00f6ntem mandibular kanin di\u015flerinde daha s\u0131kl\u0131kla kullan\u0131l\u0131r (\u015eekil 2-9).\r\n\r\n[caption id=\"attachment_269\" align=\"alignnone\" width=\"177\"]<a href=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-9.jpg\"><img class=\"size-medium wp-image-269\" src=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-9-177x300.jpg\" alt=\"\u015eekil 2-9\" width=\"177\" height=\"300\" \/><\/a> <strong>\u015eekil 2-9.<\/strong> Anterior di\u015fin lingual y\u00fczeyinde haz\u0131rlanan yuva \u00fczerindeki singulum t\u0131rna\u011f\u0131.[\/caption]","rendered":"<h2>S\u0130NGULUM TIRNA\u011eI<\/h2>\n<p>Anterior di\u015flerin lingual (singulum) y\u00fczeyleri \u00fczerine yerle\u015ftirilen t\u0131rnak tipleridir. Bu di\u015f\u00adlerin lingual y\u00fczeyleri e\u011fimli olup, santral fossa veya marjinal kenar gibi anatomik olu\u015fumlara sahip olmad\u0131klar\u0131ndan, t\u0131rnaklar\u0131n yerle\u015fti\u00adrilmesi zordur. En b\u00fcy\u00fck dezavantaj\u0131, t\u0131rna\u00ad\u011f\u0131n e\u011fimli bir y\u00fczey \u00fczerine yerle\u015ftirilmesi\u00addir. \u00c7\u00fcnk\u00fc e\u011fimli y\u00fczey \u00fczerindeki kuvvetler destek di\u015f \u00fczerinde lateral kuvvetler olu\u015ftu\u00adrarak, di\u015fin kayb\u0131na neden olurlar (Video 2-7).<\/p>\n<div id=\"h5p-25\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-25\" class=\"h5p-iframe\" data-content-id=\"25\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"EK.HBP.B02.ei02.7_video\"><\/iframe><\/div>\n<\/div>\n<p><strong>Video 2-7.<\/strong> Anterior di\u015flerin lingual y\u00fczeyleri e\u011fimli oldu\u00ad\u011fundan, t\u0131rnak yerle\u015fimi zordur; \u00e7\u00fcnk\u00fc kuvvetler e\u011fimli y\u00fczeylerde lateral kuvvetler olu\u015fturur.<\/p>\n<p>&nbsp;<\/p>\n<p>Kesiciler \u00fczerine yerle\u015fen t\u0131rnaklar\u0131n \u015fekli ve boyutunu tayin etmede k\u00f6k \u015fekli, k\u00f6k uzunlu\u011fu, di\u015fin e\u011fimi ve klinik kron-k\u00f6k oran\u0131 de\u011ferlendirilmelidir. Santral ve laterale g\u00f6re, kanin di\u015fi t\u0131rnak yerle\u015fimi i\u00e7in daha uygun\u00addur; ancak mevcut olmad\u0131\u011f\u0131 zaman, tek bir kesicinin kullan\u0131m\u0131 yerine, birka\u00e7 kesici di\u015f \u00fczerinde birden fazla t\u0131rnak kullan\u0131lmas\u0131 ter\u00adcih edilir.<\/p>\n<p>Anterior di\u015flerin morfolojileri nedeniyle mine \u00fczerinde singulum t\u0131rnak yuvas\u0131 ha\u00adz\u0131rlamak zordur. Di\u015fetine yak\u0131n b\u00f6lgelerdeki mine incedir ve gereken derinlikte bir t\u0131rnak yuvas\u0131 haz\u0131rlan\u0131rken, dentinin a\u00e7\u0131\u011fa \u00e7\u0131kma riski vard\u0131r. Maksiller kanin di\u015flerinde yeterli mineye sahip belirgin bir singulumun varl\u0131\u00ad\u011f\u0131nda, uygun konturlu t\u0131rnak yuvalar\u0131 haz\u0131rla\u00admak m\u00fcmk\u00fcn olabilir (\u015eekil 2-8).<\/p>\n<figure id=\"attachment_265\" aria-describedby=\"caption-attachment-265\" style=\"width: 287px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-265 size-medium\" src=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-8-287x300.jpg\" alt=\"\u015eekil 2-8\" width=\"287\" height=\"300\" srcset=\"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-8-287x300.jpg 287w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-8-65x68.jpg 65w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-8-225x235.jpg 225w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-8-350x366.jpg 350w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-8.jpg 622w\" sizes=\"auto, (max-width: 287px) 100vw, 287px\" \/><\/a><figcaption id=\"caption-attachment-265\" class=\"wp-caption-text\"><strong>\u015eekil 2-8.<\/strong> Maksiller kanin di\u015flerinin morfolojik yap\u0131s\u0131 lingual (singulum) t\u0131rnak yerle\u015fimi i\u00e7in daha uygundur. <br \/><strong>a)<\/strong> T\u0131rnak yuvas\u0131 haz\u0131rlanmad\u0131\u011f\u0131 durumdaki ba\u015far\u0131s\u0131zl\u0131k. <br \/><strong>b)<\/strong> Uygun di\u015f preparasyonu yap\u0131ld\u0131\u011f\u0131nda, kuvvetler di\u015fin uzun aks\u0131 boyunca iletilir.<\/figcaption><\/figure>\n<p>Ancak \u00e7o\u011funlukla restoratif bir i\u015flemin uygulanmas\u0131 zorunlu hale gelir. Bunun d\u0131\u00ad\u015f\u0131nda, kar\u015f\u0131t arkla olan okluzyonu da dikkate al\u0131nmal\u0131d\u0131r. Antagonist di\u015fler singulum veya palatinal y\u00fczeyine temas etti\u011finde, t\u0131rna\u011fa yer temin etmek amac\u0131yla, singulumun a\u015f\u0131r\u0131 kesimi yerine kar\u015f\u0131t di\u015fin y\u00fcksekli\u011finin azal\u00adt\u0131lmas\u0131 tercih edilir.<\/p>\n<p>Mandibular kanin ve keserlerin lingual y\u00fczeyleri, k\u00fc\u00e7\u00fck veya \u00e7o\u011fu zaman hi\u00e7 olma\u00adyan singulumuyla, e\u011fimli bir yap\u0131ya sahiptir. Bu durum singulum t\u0131rnak yuvas\u0131 haz\u0131rl\u0131\u011f\u0131n\u0131 imkans\u0131z hale getirir.<\/p>\n<p>Singulum t\u0131rna\u011f\u0131n\u0131 destekleyecek morfo\u00adlojik \u00f6zelliklere sahip olmayan anterior di\u015f\u00adlerin lingual y\u00fczeyleri kron restorasyonuyla de\u011fi\u015ftirilerek, t\u0131rnak yuvas\u0131 uygun \u015fekilde haz\u0131rlanabilir. Bu y\u00f6ntem mandibular kanin di\u015flerinde daha s\u0131kl\u0131kla kullan\u0131l\u0131r (\u015eekil 2-9).<\/p>\n<figure id=\"attachment_269\" aria-describedby=\"caption-attachment-269\" style=\"width: 177px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-269\" src=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-9-177x300.jpg\" alt=\"\u015eekil 2-9\" width=\"177\" height=\"300\" srcset=\"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-9-177x300.jpg 177w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-9-65x110.jpg 65w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-9-225x381.jpg 225w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-9-350x593.jpg 350w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/2-9.jpg 500w\" sizes=\"auto, (max-width: 177px) 100vw, 177px\" \/><\/a><figcaption id=\"caption-attachment-269\" class=\"wp-caption-text\"><strong>\u015eekil 2-9.<\/strong> Anterior di\u015fin lingual y\u00fczeyinde haz\u0131rlanan yuva \u00fczerindeki singulum t\u0131rna\u011f\u0131.<\/figcaption><\/figure>\n","protected":false},"author":3,"menu_order":2,"template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-273","chapter","type-chapter","status-publish","hentry"],"part":192,"_links":{"self":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/273","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/users\/3"}],"version-history":[{"count":4,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/273\/revisions"}],"predecessor-version":[{"id":1193,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/273\/revisions\/1193"}],"part":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/parts\/192"}],"metadata":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/273\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/media?parent=273"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapter-type?post=273"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/contributor?post=273"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/license?post=273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}