{"id":276,"date":"2024-03-02T21:05:42","date_gmt":"2024-03-02T21:05:42","guid":{"rendered":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/?post_type=chapter&p=276"},"modified":"2024-03-02T21:06:30","modified_gmt":"2024-03-02T21:06:30","slug":"insizal-tirnak","status":"publish","type":"chapter","link":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/chapter\/insizal-tirnak\/","title":{"raw":"\u0130nsizal T\u0131rnak","rendered":"\u0130nsizal T\u0131rnak"},"content":{"raw":"

\u0130NS\u0130ZAL TIRNAK<\/h2>\r\nAnterior di\u015fler \u00fczerinde, kar\u015f\u0131t okluzyonla \u00e7at\u0131\u015fmayacak \u015fekilde ve estetik a\u00e7\u0131dan distal insizal k\u00f6\u015felere yerle\u015ftirilen t\u0131rnak tipleridir. \u0130nsizal t\u0131rnak esasen alt \u00e7ene kanin di\u015fleri ve baz\u0131 vakalarda da santral ve lateral di\u015flerde kullan\u0131l\u0131r (\u015eekil 2-10).\r\n\r\n[caption id=\"attachment_270\" align=\"alignnone\" width=\"300\"]\"\u015eekil<\/a> \u015eekil 2-10. Mandibular kesici di\u015fler ve sa\u011f kanin di\u015f \u00fczerindeki insizal t\u0131rnaklar\u0131n labial y\u00fczden g\u00f6r\u00fcn\u00fcm\u00fc.[\/caption]\r\n\r\nMandibular kanin di\u015fler \u00fczerinde kullan\u0131lmas\u0131 gereken do\u011fru konum di\u015fin a\u015f\u0131nma \u015fekline g\u00f6re belirlenir. Abrazyon insizal kenar\u0131n \u015feklini de\u011fi\u015ftirmi\u015f olabilir; t\u0131rna\u011f\u0131n kar\u015f\u0131t okluzyonla \u00e7at\u0131\u015fmamas\u0131 gerekir. Okluzyonun bu b\u00f6lgede \u00e7ok s\u0131k\u0131 olmas\u0131na \u00e7ok s\u0131k rastlanmad\u0131\u011f\u0131ndan, mevcut interinsizal mesafeye g\u00f6re t\u0131rnak yeri belirlenir.\r\n\u0130nsizal t\u0131rnak estetik sak\u0131nca yaratmas\u0131 ve mandibular anterior di\u015flerde okluzal \u00e7at\u0131\u015fmaya yol a\u00e7mas\u0131 nedeniyle maksiller anterior di\u015flerde nadiren kullan\u0131l\u0131r.\r\n\u0130nsizal t\u0131rnaklar\u0131n en \u00f6nemli dezavantajlar\u0131 estetik olmay\u0131\u015flar\u0131d\u0131r. Ba\u015fka se\u00e7enekler oldu\u00ad\u011funda, anterior di\u015f \u00fczerinde metalin g\u00f6r\u00fcnmesine neden olan insizal t\u0131rnak tercih edilmez. Di\u015fin rotasyon merkeziyle ili\u015fkili olan konumu nedeniyle kro\u015fenin destek di\u015fe daha fazla tork etkisi olu\u015fturmas\u0131na neden olur. Di\u015f y\u00fczeyini daha fazla kaplad\u0131\u011f\u0131ndan dile verdi\u011fi rahats\u0131zl\u0131k da fazlad\u0131r.\r\n\u0130nsizal t\u0131rnaklar anterior di\u015flerin insizal a\u00e7\u0131lar\u0131nda haz\u0131rlanan t\u0131rnak yuvalar\u0131na yerle\u015ftiri\u00adlir (Bkz. A\u011f\u0131z Haz\u0131rl\u0131\u011f\u0131; B\u00f6l\u00fcm 10<\/a>).","rendered":"

\u0130NS\u0130ZAL TIRNAK<\/h2>\n

Anterior di\u015fler \u00fczerinde, kar\u015f\u0131t okluzyonla \u00e7at\u0131\u015fmayacak \u015fekilde ve estetik a\u00e7\u0131dan distal insizal k\u00f6\u015felere yerle\u015ftirilen t\u0131rnak tipleridir. \u0130nsizal t\u0131rnak esasen alt \u00e7ene kanin di\u015fleri ve baz\u0131 vakalarda da santral ve lateral di\u015flerde kullan\u0131l\u0131r (\u015eekil 2-10).<\/p>\n

\"\u015eekil<\/a>
\u015eekil 2-10. Mandibular kesici di\u015fler ve sa\u011f kanin di\u015f \u00fczerindeki insizal t\u0131rnaklar\u0131n labial y\u00fczden g\u00f6r\u00fcn\u00fcm\u00fc.<\/figcaption><\/figure>\n

Mandibular kanin di\u015fler \u00fczerinde kullan\u0131lmas\u0131 gereken do\u011fru konum di\u015fin a\u015f\u0131nma \u015fekline g\u00f6re belirlenir. Abrazyon insizal kenar\u0131n \u015feklini de\u011fi\u015ftirmi\u015f olabilir; t\u0131rna\u011f\u0131n kar\u015f\u0131t okluzyonla \u00e7at\u0131\u015fmamas\u0131 gerekir. Okluzyonun bu b\u00f6lgede \u00e7ok s\u0131k\u0131 olmas\u0131na \u00e7ok s\u0131k rastlanmad\u0131\u011f\u0131ndan, mevcut interinsizal mesafeye g\u00f6re t\u0131rnak yeri belirlenir.
\n\u0130nsizal t\u0131rnak estetik sak\u0131nca yaratmas\u0131 ve mandibular anterior di\u015flerde okluzal \u00e7at\u0131\u015fmaya yol a\u00e7mas\u0131 nedeniyle maksiller anterior di\u015flerde nadiren kullan\u0131l\u0131r.
\n\u0130nsizal t\u0131rnaklar\u0131n en \u00f6nemli dezavantajlar\u0131 estetik olmay\u0131\u015flar\u0131d\u0131r. Ba\u015fka se\u00e7enekler oldu\u00ad\u011funda, anterior di\u015f \u00fczerinde metalin g\u00f6r\u00fcnmesine neden olan insizal t\u0131rnak tercih edilmez. Di\u015fin rotasyon merkeziyle ili\u015fkili olan konumu nedeniyle kro\u015fenin destek di\u015fe daha fazla tork etkisi olu\u015fturmas\u0131na neden olur. Di\u015f y\u00fczeyini daha fazla kaplad\u0131\u011f\u0131ndan dile verdi\u011fi rahats\u0131zl\u0131k da fazlad\u0131r.
\n\u0130nsizal t\u0131rnaklar anterior di\u015flerin insizal a\u00e7\u0131lar\u0131nda haz\u0131rlanan t\u0131rnak yuvalar\u0131na yerle\u015ftiri\u00adlir (Bkz. A\u011f\u0131z Haz\u0131rl\u0131\u011f\u0131; B\u00f6l\u00fcm 10<\/a>).<\/p>\n","protected":false},"author":3,"menu_order":3,"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-276","chapter","type-chapter","status-publish","hentry"],"part":192,"_links":{"self":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/276","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":1,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/276\/revisions"}],"predecessor-version":[{"id":277,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/276\/revisions\/277"}],"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\/276\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/media?parent=276"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapter-type?post=276"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/contributor?post=276"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/license?post=276"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}