{"id":838,"date":"2024-03-18T14:17:38","date_gmt":"2024-03-18T14:17:38","guid":{"rendered":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/?post_type=chapter&#038;p=838"},"modified":"2024-03-20T15:25:21","modified_gmt":"2024-03-20T15:25:21","slug":"ana-model-uzerinde-yapilan-analiz","status":"publish","type":"chapter","link":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/chapter\/ana-model-uzerinde-yapilan-analiz\/","title":{"raw":"Ana Model \u00dczerinde Yap\u0131lan Analiz","rendered":"Ana Model \u00dczerinde Yap\u0131lan Analiz"},"content":{"raw":"Te\u015fhis modeli \u00fczerinde planlanan a\u011f\u0131z haz\u0131rl\u0131\u011f\u0131n\u0131 takiben elde edilen ana model, yeni bir model gibi analiz edilmelidir; ancak \u00f6nceden haz\u0131rlanm\u0131\u015f olan rehber d\u00fczlemler modelin \u201canteroposterior\u201d y\u00f6nde do\u011fru bir \u015fekilde konumland\u0131r\u0131lmas\u0131na yard\u0131mc\u0131 olur.\r\n\r\nModelin \u201clateral\u201d e\u011fimi, planlanan kro\u015fe \u015fekli ile ili\u015fkili olarak t\u00fcm primer destek di\u015fler \u00fczerinde e\u015fit tutucu alan olu\u015fturan pozisyondur. Destek di\u015fler \u00fczerinde e\u015fit tutucu alanlar olu\u015fturulmas\u0131na karar verilirken, serbest sonlu vakalar\u0131 destekleyen di\u015fler \u00fczerinde esnekli\u011fi artt\u0131racak olan durumlar g\u00f6z \u00f6n\u00fcnde tutulmal\u0131d\u0131r. Destek di\u015fler i\u00e7in gereken kro\u015felerde e\u015fit uzunluk, \u00e7ap, \u015fekil ve materyal kullan\u0131ld\u0131\u011f\u0131 zaman and\u0131rkat\u0131n derecesi e\u015fitlenir; aksi halde vakan\u0131n gerektirdi\u011fi de\u011fi\u015fiklikler model e\u011fimine yans\u0131t\u0131lmal\u0131d\u0131r.\r\n\r\nA\u011f\u0131z haz\u0131rl\u0131\u011f\u0131 esnas\u0131nda, a\u015f\u0131r\u0131 miktardaki engellemeler giderilmi\u015f olacakt\u0131r. Rehber d\u00fczlemler ve dengeli tutuculuk i\u00e7in giri\u015f yolunun belirlenmesini takiben, geriye kalan az miktardaki engel b\u00f6lgeleri doldurma i\u015flemiyle d\u00fczeltilir.\r\n\r\nYap\u0131lan a\u011f\u0131z haz\u0131rl\u0131\u011f\u0131 istenen sonuca ula\u015fmam\u0131\u015f oldu\u011funda, a\u011f\u0131z haz\u0131rl\u0131\u011f\u0131 tekrarland\u0131ktan sonra yeni bir \u00f6l\u00e7\u00fc al\u0131n\u0131r veya modelin e\u011fimi hafif miktarda de\u011fi\u015ftirilerek giri\u015f yolu uyumland\u0131r\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r.\r\n\r\n<strong>Doldurma i\u015flemi<\/strong> protezin yerle\u015ftirilmesi ve \u00e7\u0131kar\u0131lmas\u0131 esnas\u0131nda sadece rijit k\u0131s\u0131mlar\u0131n\u0131n ge\u00e7ece\u011fi alanlar\u0131 de\u011fil;\r\n<ul>\r\n \t<li>Hastan\u0131n rahatl\u0131\u011f\u0131 i\u00e7in gereken alanlar\u0131,<\/li>\r\n \t<li>Kro\u015felerin yerle\u015ftirilece\u011fi kenarlar\u0131,<\/li>\r\n \t<li>Doku yaralanmalar\u0131n\u0131 \u00f6nlemek i\u00e7in ba\u011flay\u0131c\u0131lar alt\u0131ndaki rahatlat\u0131lacak alanlar\u0131 ve<\/li>\r\n \t<li>Protez kaidesinin daha sonra metal alt yap\u0131ya ba\u011flanmas\u0131 i\u00e7in olu\u015fturulan rahatlatma b\u00f6lgelerini de i\u00e7erir.<\/li>\r\n<\/ul>\r\nDoldurma materyalleri mum ve kilin kar\u0131\u015f\u0131m\u0131ndan olu\u015fur; sert inley mumlar\u0131 da bu ama\u00e7la kullan\u0131labilir. Mumla doldurduktan sonra yap\u0131lan kaz\u0131ma i\u015flemini kolayla\u015ft\u0131rmak i\u00e7in, analiz\u00f6r\u00fcn b\u0131\u00e7a\u011f\u0131 hafif\u00e7e \u0131s\u0131t\u0131labilir.\r\n\r\nRehber d\u00fczlem y\u00fczeylerinin servikali ile major ve min\u00f6r ba\u011flay\u0131c\u0131lar\u0131n ge\u00e7ece\u011fi t\u00fcm and\u0131rkat alanlar\u0131 \u00fczerinde paralelle\u015ftirilmi\u015f doldurma i\u015fleminin yap\u0131lmas\u0131 gerekir. Hastan\u0131n rahatl\u0131\u011f\u0131 veya dublikasyon i\u015fleminin kolayla\u015ft\u0131r\u0131lmas\u0131 i\u00e7in gereken di\u011fer and\u0131rkat alanlar\u0131 modelaj mumuyla bloke edilebilir. Bu b\u00f6lgeler, protez planlamas\u0131nda yer almayan labial y\u00fczeyler ve labial and\u0131rkatlar ile protez d\u0131\u015f\u0131nda kalan sublingual ve distolingual alanlard\u0131r. Bu alanlar\u0131n giri\u015f yoluyla ili\u015fkisi olmad\u0131\u011f\u0131ndan, model analiz\u00f6r\u00fcn\u00fcn kullan\u0131m\u0131n\u0131 gerektirmezler.\r\n\r\nDoldurma i\u015flemi, uyguland\u0131\u011f\u0131 b\u00f6lgeler a\u00e7\u0131s\u0131ndan farkl\u0131l\u0131k g\u00f6sterir:\r\n\r\n<strong>\u015eekillendirilmi\u015f doldurma i\u015flemi,<\/strong> kro\u015fe kollar\u0131n\u0131 olu\u015fturan mum modellerin veya plastiklerin yerle\u015ftirilmesi i\u00e7in bukkal ve lingual y\u00fczeylerde uygulan\u0131r.\r\n\r\n<strong>Paralelle\u015ftirilmi\u015f doldurma i\u015flemi<\/strong> uygulanan b\u00f6lgeler;\r\n<ul>\r\n \t<li>Rehber d\u00fczlem olarak kullan\u0131lan proksimal di\u015f y\u00fczeyleri,<\/li>\r\n \t<li>Min\u00f6r ba\u011flay\u0131c\u0131lar\u0131n alt k\u0131s\u0131mlar\u0131,<\/li>\r\n \t<li>Rijit ba\u011flay\u0131c\u0131lar\u0131n ge\u00e7ece\u011fi and\u0131rkat b\u00f6lgeleri,<\/li>\r\n \t<li>Bar kro\u015fe kollar\u0131n\u0131n u\u00e7 k\u0131s\u0131mlar\u0131n\u0131n ge\u00e7ece\u011fi and\u0131rkat b\u00f6lgeleri,<\/li>\r\n \t<li>Min\u00f6r ba\u011flay\u0131c\u0131lar veya lingual plak ile kaplanacak olan derin interproksimal bo\u015fluklar,<\/li>\r\n \t<li>Bar kro\u015fe kollar\u0131n\u0131n gingival marjine denk gelen y\u00fczeylerinin alt k\u0131s\u0131mlar\u0131d\u0131r.<\/li>\r\n<\/ul>\r\n<strong>Kuramsal doldurma i\u015flemi<\/strong> uygulanan b\u00f6lgeler;\r\n<ul>\r\n \t<li>T\u00fcm gingival marjinler,<\/li>\r\n \t<li>Metal alt yap\u0131 planlamas\u0131nda yer alan alanlar\u0131n alt\u0131ndan ba\u015flayan a\u015f\u0131r\u0131 doku d\u0131rkatlar\u0131,<\/li>\r\n \t<li>Metal alt yap\u0131n\u0131n distalinde kalan doku and\u0131rkatlar\u0131,<\/li>\r\n \t<li>Protez planlamas\u0131nda yer almayan labial ve bukkal di\u015f ve doku and\u0131rkatlar\u0131d\u0131r.<\/li>\r\n<\/ul>\r\nDoldurma ve r\u00f6lyef i\u015flemleri aras\u0131ndaki fark\u0131n iyi anla\u015f\u0131lmas\u0131 gerekir. \u201cR\u00f6lyef\u201d i\u015flemi; doldurma sonras\u0131nda, protezin yerle\u015ftirilmesi veya kullan\u0131m\u0131 s\u0131ras\u0131nda, dokular\u0131n zedelenmemesi istenilen b\u00f6lgelerdeki bas\u0131nc\u0131n hafifletilmesidir. \u00d6r; lingual bar\u0131n yerle\u015ftirilmesine engel olacak doku and\u0131rkatlar\u0131 doldurma materyaliyle doldurulduktan sonra, giri\u015f yoluna paralel olacak \u015fekilde kaz\u0131n\u0131r. Bu durum tek ba\u015f\u0131na, doku yaralanmalar\u0131n\u0131 \u00f6nlemek i\u00e7in r\u00f6lyef yap\u0131lmas\u0131n\u0131 gerektirmez. Ancak ba\u011flay\u0131c\u0131n\u0131n konumu, alveoler kretin e\u011fimi ve protez rotasyonunun miktar\u0131na ba\u011fl\u0131 olarak, doldurma i\u015flemine ilaveten, farkl\u0131 kal\u0131nl\u0131klarda r\u00f6lyef yap\u0131labilir. Lingual alveoler kretin a\u015fa\u011f\u0131 ve posterior y\u00f6nde e\u011fimli olmas\u0131, protezin arka b\u00f6l\u00fcm\u00fcne y\u00fck uyguland\u0131\u011f\u0131nda, lingual b\u00f6lgede rahats\u0131zl\u0131k olu\u015fturmayabilir. B\u00f6yle vakalarda lingual bar\u0131n alt y\u00fczeyinin iyi bir \u015fekilde cilalanmas\u0131 doku yaralanmalar\u0131n\u0131 \u00f6nler (\u015eekil 7-15).\r\n\r\n[caption id=\"attachment_839\" align=\"alignnone\" width=\"300\"]<a href=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a.jpg\"><img class=\"size-medium wp-image-839\" src=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a-300x127.jpg\" alt=\"\u015eekil 7-15. a) Lingual alveoler kret inferior ve posterior y\u00f6nde e\u011fime sahip oldu\u011funda, lingual bar\u0131n alt\u0131na r\u00f6lyef uygulanmas\u0131 gerekmeyebilir.\" width=\"300\" height=\"127\" \/><\/a> <strong>\u015eekil 7-15. a)<\/strong> Lingual alveoler kret inferior ve posterior y\u00f6nde e\u011fime sahip oldu\u011funda, lingual bar\u0131n alt\u0131na r\u00f6lyef uygulanmas\u0131 gerekmeyebilir.[\/caption]\r\n\r\n[caption id=\"attachment_840\" align=\"alignnone\" width=\"300\"]<a href=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b.jpg\"><img class=\"size-medium wp-image-840\" src=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b-300x134.jpg\" alt=\"\u015eekil 7-15. b) Protezi a\u015fa\u011f\u0131 y\u00f6nde hareket ettiren bir kuvvet uyguland\u0131\u011f\u0131nda, lingual bar yukar\u0131 do\u011fru hareket eder; ancak kret \u00fczerindeki yumu\u015fak doku etkilenmez.\" width=\"300\" height=\"134\" \/><\/a> <strong>\u015eekil 7-15. b)<\/strong> Protezi a\u015fa\u011f\u0131 y\u00f6nde hareket ettiren bir kuvvet uyguland\u0131\u011f\u0131nda, lingual bar yukar\u0131 do\u011fru hareket eder; ancak kret \u00fczerindeki yumu\u015fak doku etkilenmez.[\/caption]\r\n\r\nProtezin yap\u0131m a\u015famalar\u0131nda, bir sonraki protez materyaline yer temin etmek amac\u0131yla da r\u00f6lyef i\u015flemi yap\u0131l\u0131r.\r\n<strong>R\u00f6lyef i\u015flemi<\/strong> uygulanan b\u00f6lgeler;\r\n<ul>\r\n \t<li>Lingual barlar\u0131n alt\u0131 veya gingival marjinin a\u00e7\u0131lmas\u0131 istenen b\u00f6lgelere uygulanan, ngual plaklar\u0131n bar k\u0131s\u0131mlar\u0131,<\/li>\r\n \t<li>Mandibular kretlerin lingualinde ve a\u015f\u0131r\u0131 \u00e7\u0131k\u0131nt\u0131l\u0131 palatal median rafelerde s\u0131kl\u0131kla r\u00fclen sert alanlar\u0131n \u00fczerindeki ince mukozaya temas edecek olan major ba\u011flay\u0131c\u0131lar\u0131n alt\u0131,<\/li>\r\n \t<li>Akrilik rezin kaidelerin tutunmas\u0131 i\u00e7in, kret \u00fczerinde yer alan metal alt yap\u0131 uzant\u0131lar\u0131n\u0131n (min\u00f6r ba\u011flay\u0131c\u0131) alt k\u0131s\u0131mlar\u0131d\u0131r.<\/li>\r\n<\/ul>\r\n&nbsp;","rendered":"<p>Te\u015fhis modeli \u00fczerinde planlanan a\u011f\u0131z haz\u0131rl\u0131\u011f\u0131n\u0131 takiben elde edilen ana model, yeni bir model gibi analiz edilmelidir; ancak \u00f6nceden haz\u0131rlanm\u0131\u015f olan rehber d\u00fczlemler modelin \u201canteroposterior\u201d y\u00f6nde do\u011fru bir \u015fekilde konumland\u0131r\u0131lmas\u0131na yard\u0131mc\u0131 olur.<\/p>\n<p>Modelin \u201clateral\u201d e\u011fimi, planlanan kro\u015fe \u015fekli ile ili\u015fkili olarak t\u00fcm primer destek di\u015fler \u00fczerinde e\u015fit tutucu alan olu\u015fturan pozisyondur. Destek di\u015fler \u00fczerinde e\u015fit tutucu alanlar olu\u015fturulmas\u0131na karar verilirken, serbest sonlu vakalar\u0131 destekleyen di\u015fler \u00fczerinde esnekli\u011fi artt\u0131racak olan durumlar g\u00f6z \u00f6n\u00fcnde tutulmal\u0131d\u0131r. Destek di\u015fler i\u00e7in gereken kro\u015felerde e\u015fit uzunluk, \u00e7ap, \u015fekil ve materyal kullan\u0131ld\u0131\u011f\u0131 zaman and\u0131rkat\u0131n derecesi e\u015fitlenir; aksi halde vakan\u0131n gerektirdi\u011fi de\u011fi\u015fiklikler model e\u011fimine yans\u0131t\u0131lmal\u0131d\u0131r.<\/p>\n<p>A\u011f\u0131z haz\u0131rl\u0131\u011f\u0131 esnas\u0131nda, a\u015f\u0131r\u0131 miktardaki engellemeler giderilmi\u015f olacakt\u0131r. Rehber d\u00fczlemler ve dengeli tutuculuk i\u00e7in giri\u015f yolunun belirlenmesini takiben, geriye kalan az miktardaki engel b\u00f6lgeleri doldurma i\u015flemiyle d\u00fczeltilir.<\/p>\n<p>Yap\u0131lan a\u011f\u0131z haz\u0131rl\u0131\u011f\u0131 istenen sonuca ula\u015fmam\u0131\u015f oldu\u011funda, a\u011f\u0131z haz\u0131rl\u0131\u011f\u0131 tekrarland\u0131ktan sonra yeni bir \u00f6l\u00e7\u00fc al\u0131n\u0131r veya modelin e\u011fimi hafif miktarda de\u011fi\u015ftirilerek giri\u015f yolu uyumland\u0131r\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r.<\/p>\n<p><strong>Doldurma i\u015flemi<\/strong> protezin yerle\u015ftirilmesi ve \u00e7\u0131kar\u0131lmas\u0131 esnas\u0131nda sadece rijit k\u0131s\u0131mlar\u0131n\u0131n ge\u00e7ece\u011fi alanlar\u0131 de\u011fil;<\/p>\n<ul>\n<li>Hastan\u0131n rahatl\u0131\u011f\u0131 i\u00e7in gereken alanlar\u0131,<\/li>\n<li>Kro\u015felerin yerle\u015ftirilece\u011fi kenarlar\u0131,<\/li>\n<li>Doku yaralanmalar\u0131n\u0131 \u00f6nlemek i\u00e7in ba\u011flay\u0131c\u0131lar alt\u0131ndaki rahatlat\u0131lacak alanlar\u0131 ve<\/li>\n<li>Protez kaidesinin daha sonra metal alt yap\u0131ya ba\u011flanmas\u0131 i\u00e7in olu\u015fturulan rahatlatma b\u00f6lgelerini de i\u00e7erir.<\/li>\n<\/ul>\n<p>Doldurma materyalleri mum ve kilin kar\u0131\u015f\u0131m\u0131ndan olu\u015fur; sert inley mumlar\u0131 da bu ama\u00e7la kullan\u0131labilir. Mumla doldurduktan sonra yap\u0131lan kaz\u0131ma i\u015flemini kolayla\u015ft\u0131rmak i\u00e7in, analiz\u00f6r\u00fcn b\u0131\u00e7a\u011f\u0131 hafif\u00e7e \u0131s\u0131t\u0131labilir.<\/p>\n<p>Rehber d\u00fczlem y\u00fczeylerinin servikali ile major ve min\u00f6r ba\u011flay\u0131c\u0131lar\u0131n ge\u00e7ece\u011fi t\u00fcm and\u0131rkat alanlar\u0131 \u00fczerinde paralelle\u015ftirilmi\u015f doldurma i\u015fleminin yap\u0131lmas\u0131 gerekir. Hastan\u0131n rahatl\u0131\u011f\u0131 veya dublikasyon i\u015fleminin kolayla\u015ft\u0131r\u0131lmas\u0131 i\u00e7in gereken di\u011fer and\u0131rkat alanlar\u0131 modelaj mumuyla bloke edilebilir. Bu b\u00f6lgeler, protez planlamas\u0131nda yer almayan labial y\u00fczeyler ve labial and\u0131rkatlar ile protez d\u0131\u015f\u0131nda kalan sublingual ve distolingual alanlard\u0131r. Bu alanlar\u0131n giri\u015f yoluyla ili\u015fkisi olmad\u0131\u011f\u0131ndan, model analiz\u00f6r\u00fcn\u00fcn kullan\u0131m\u0131n\u0131 gerektirmezler.<\/p>\n<p>Doldurma i\u015flemi, uyguland\u0131\u011f\u0131 b\u00f6lgeler a\u00e7\u0131s\u0131ndan farkl\u0131l\u0131k g\u00f6sterir:<\/p>\n<p><strong>\u015eekillendirilmi\u015f doldurma i\u015flemi,<\/strong> kro\u015fe kollar\u0131n\u0131 olu\u015fturan mum modellerin veya plastiklerin yerle\u015ftirilmesi i\u00e7in bukkal ve lingual y\u00fczeylerde uygulan\u0131r.<\/p>\n<p><strong>Paralelle\u015ftirilmi\u015f doldurma i\u015flemi<\/strong> uygulanan b\u00f6lgeler;<\/p>\n<ul>\n<li>Rehber d\u00fczlem olarak kullan\u0131lan proksimal di\u015f y\u00fczeyleri,<\/li>\n<li>Min\u00f6r ba\u011flay\u0131c\u0131lar\u0131n alt k\u0131s\u0131mlar\u0131,<\/li>\n<li>Rijit ba\u011flay\u0131c\u0131lar\u0131n ge\u00e7ece\u011fi and\u0131rkat b\u00f6lgeleri,<\/li>\n<li>Bar kro\u015fe kollar\u0131n\u0131n u\u00e7 k\u0131s\u0131mlar\u0131n\u0131n ge\u00e7ece\u011fi and\u0131rkat b\u00f6lgeleri,<\/li>\n<li>Min\u00f6r ba\u011flay\u0131c\u0131lar veya lingual plak ile kaplanacak olan derin interproksimal bo\u015fluklar,<\/li>\n<li>Bar kro\u015fe kollar\u0131n\u0131n gingival marjine denk gelen y\u00fczeylerinin alt k\u0131s\u0131mlar\u0131d\u0131r.<\/li>\n<\/ul>\n<p><strong>Kuramsal doldurma i\u015flemi<\/strong> uygulanan b\u00f6lgeler;<\/p>\n<ul>\n<li>T\u00fcm gingival marjinler,<\/li>\n<li>Metal alt yap\u0131 planlamas\u0131nda yer alan alanlar\u0131n alt\u0131ndan ba\u015flayan a\u015f\u0131r\u0131 doku d\u0131rkatlar\u0131,<\/li>\n<li>Metal alt yap\u0131n\u0131n distalinde kalan doku and\u0131rkatlar\u0131,<\/li>\n<li>Protez planlamas\u0131nda yer almayan labial ve bukkal di\u015f ve doku and\u0131rkatlar\u0131d\u0131r.<\/li>\n<\/ul>\n<p>Doldurma ve r\u00f6lyef i\u015flemleri aras\u0131ndaki fark\u0131n iyi anla\u015f\u0131lmas\u0131 gerekir. \u201cR\u00f6lyef\u201d i\u015flemi; doldurma sonras\u0131nda, protezin yerle\u015ftirilmesi veya kullan\u0131m\u0131 s\u0131ras\u0131nda, dokular\u0131n zedelenmemesi istenilen b\u00f6lgelerdeki bas\u0131nc\u0131n hafifletilmesidir. \u00d6r; lingual bar\u0131n yerle\u015ftirilmesine engel olacak doku and\u0131rkatlar\u0131 doldurma materyaliyle doldurulduktan sonra, giri\u015f yoluna paralel olacak \u015fekilde kaz\u0131n\u0131r. Bu durum tek ba\u015f\u0131na, doku yaralanmalar\u0131n\u0131 \u00f6nlemek i\u00e7in r\u00f6lyef yap\u0131lmas\u0131n\u0131 gerektirmez. Ancak ba\u011flay\u0131c\u0131n\u0131n konumu, alveoler kretin e\u011fimi ve protez rotasyonunun miktar\u0131na ba\u011fl\u0131 olarak, doldurma i\u015flemine ilaveten, farkl\u0131 kal\u0131nl\u0131klarda r\u00f6lyef yap\u0131labilir. Lingual alveoler kretin a\u015fa\u011f\u0131 ve posterior y\u00f6nde e\u011fimli olmas\u0131, protezin arka b\u00f6l\u00fcm\u00fcne y\u00fck uyguland\u0131\u011f\u0131nda, lingual b\u00f6lgede rahats\u0131zl\u0131k olu\u015fturmayabilir. B\u00f6yle vakalarda lingual bar\u0131n alt y\u00fczeyinin iyi bir \u015fekilde cilalanmas\u0131 doku yaralanmalar\u0131n\u0131 \u00f6nler (\u015eekil 7-15).<\/p>\n<figure id=\"attachment_839\" aria-describedby=\"caption-attachment-839\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-839\" src=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a-300x127.jpg\" alt=\"\u015eekil 7-15. a) Lingual alveoler kret inferior ve posterior y\u00f6nde e\u011fime sahip oldu\u011funda, lingual bar\u0131n alt\u0131na r\u00f6lyef uygulanmas\u0131 gerekmeyebilir.\" width=\"300\" height=\"127\" srcset=\"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a-300x127.jpg 300w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a-1024x434.jpg 1024w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a-768x326.jpg 768w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a-1536x651.jpg 1536w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a-2048x868.jpg 2048w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a-65x28.jpg 65w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a-225x95.jpg 225w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15a-350x148.jpg 350w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-839\" class=\"wp-caption-text\"><strong>\u015eekil 7-15. a)<\/strong> Lingual alveoler kret inferior ve posterior y\u00f6nde e\u011fime sahip oldu\u011funda, lingual bar\u0131n alt\u0131na r\u00f6lyef uygulanmas\u0131 gerekmeyebilir.<\/figcaption><\/figure>\n<figure id=\"attachment_840\" aria-describedby=\"caption-attachment-840\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-840\" src=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b-300x134.jpg\" alt=\"\u015eekil 7-15. b) Protezi a\u015fa\u011f\u0131 y\u00f6nde hareket ettiren bir kuvvet uyguland\u0131\u011f\u0131nda, lingual bar yukar\u0131 do\u011fru hareket eder; ancak kret \u00fczerindeki yumu\u015fak doku etkilenmez.\" width=\"300\" height=\"134\" srcset=\"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b-300x134.jpg 300w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b-1024x458.jpg 1024w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b-768x344.jpg 768w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b-1536x688.jpg 1536w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b-2048x917.jpg 2048w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b-65x29.jpg 65w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b-225x101.jpg 225w, https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/7-15b-350x157.jpg 350w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-840\" class=\"wp-caption-text\"><strong>\u015eekil 7-15. b)<\/strong> Protezi a\u015fa\u011f\u0131 y\u00f6nde hareket ettiren bir kuvvet uyguland\u0131\u011f\u0131nda, lingual bar yukar\u0131 do\u011fru hareket eder; ancak kret \u00fczerindeki yumu\u015fak doku etkilenmez.<\/figcaption><\/figure>\n<p>Protezin yap\u0131m a\u015famalar\u0131nda, bir sonraki protez materyaline yer temin etmek amac\u0131yla da r\u00f6lyef i\u015flemi yap\u0131l\u0131r.<br \/>\n<strong>R\u00f6lyef i\u015flemi<\/strong> uygulanan b\u00f6lgeler;<\/p>\n<ul>\n<li>Lingual barlar\u0131n alt\u0131 veya gingival marjinin a\u00e7\u0131lmas\u0131 istenen b\u00f6lgelere uygulanan, ngual plaklar\u0131n bar k\u0131s\u0131mlar\u0131,<\/li>\n<li>Mandibular kretlerin lingualinde ve a\u015f\u0131r\u0131 \u00e7\u0131k\u0131nt\u0131l\u0131 palatal median rafelerde s\u0131kl\u0131kla r\u00fclen sert alanlar\u0131n \u00fczerindeki ince mukozaya temas edecek olan major ba\u011flay\u0131c\u0131lar\u0131n alt\u0131,<\/li>\n<li>Akrilik rezin kaidelerin tutunmas\u0131 i\u00e7in, kret \u00fczerinde yer alan metal alt yap\u0131 uzant\u0131lar\u0131n\u0131n (min\u00f6r ba\u011flay\u0131c\u0131) alt k\u0131s\u0131mlar\u0131d\u0131r.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"author":3,"menu_order":8,"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-838","chapter","type-chapter","status-publish","hentry"],"part":217,"_links":{"self":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/838","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":3,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/838\/revisions"}],"predecessor-version":[{"id":842,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/838\/revisions\/842"}],"part":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/parts\/217"}],"metadata":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapters\/838\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/media?parent=838"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/pressbooks\/v2\/chapter-type?post=838"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/contributor?post=838"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-json\/wp\/v2\/license?post=838"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}