Pregled parodontoloških komplikacija u tijeku i nakon ortodontske terapije

master's thesis

• Title (english): Review of periodontal complications during and after orthodontic therapy
• Author: Višnja Šljivac
• Mentor: Domagoj Vražić (mentor)
• Committee member: Domagoj Vražić (predsjednik povjerenstva)
• Committee member: Ivan Puhar (član povjerenstva)
• Committee member: Larisa Musić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Periodontology); Zagreb
• Defense date and country: 2022-09-21, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

Cilj je ortodontske terapije postići funkcionalnu i estetski pravilnu okluziju, a da pri tome promatramo lice kao cjelinu. Osnova ortodontskog pomaka leži u procesu remodelacije potpornih tkiva zuba, stoga se zdravlje parodonta može koristiti kao procjena ishoda terapije. Iako su mnoga istraživanja pokazala kako ortodontski pomak može pozitivno utjecati na zdravlje parodonta,
postoje i dokazi koji ukazuju kako su parodontološke komplikacije najčešće nuspojave ortodontske terapije. One uglavnom nastaju ako ortodont primijeni prejake sile ili pacijent ne održava oralnu higijenu. Kao komplikacije najčešće se javljaju hiperplazija, urastanje, recesije te gubitak interdentalne papile čija je posljedica stvaranje crnih trokuta između zuba. Isto tako može doći do
pojave gingivitisa, parodontitisa, resorpcije alveolarne kosti i džepa što ugrožava zub te tako dovodi do njegove desenzibilizacije. Kako bi terapija pacijenata sa zdravim parodontom ili parodontološkim komplikacijama bila uspješna, iznimno je važna dobra suradnja te dvije specijalističke grane. To je jedini način da se osigura uspješan ishod terapije, dobra prognoza zuba i parodontnog sustava te minimalna pojava komplikacija i nezadovoljstva pacijenta.

Abstract (english)

The goal of orthodontic therapy is to achieve a functional and aesthetically correct occlusion, while observing the face as a whole. The basis of the orthodontic movement lies in the process of remodeling the supporting tissue of a tooth, therefore the health of the periodontium can be used as an assessment of the therapy outcomes. Although many studies have shown that orthodontic movement can have a positive effect on the periodontium’s health, there is also evidence indicating that periodontal complications are the most common side effects of orthodontic therapy. They mostly occur if the orthodontist applies too much force, or the patient does not maintain oral hygiene. The most common complications are hyperplasia, ingrowth, recessions, and loss of the interdental papilla, resulting in the formation of black triangles between the teeth. Likewise, gingivitis, periodontitis, resorption of the alveolar bone and pocket may occur, which endangers the tooth and leads to its desensitization. For the therapy to be successful among the patients with healthy periodontium or periodontal complications, good cooperation between those two specialist branches is extremely important. That is the only way to ensure a successful therapy outcome, a favorable prognosis for the teeth and the periodontal system, and minimal occurrence of
complications and patient dissatisfaction.

• Keywords: bolesti gingive; hiperplaija gingive; povlačenje gingive; ortodoncija
• Keywords (english): Gingival Diseases; Gingival Hyperplasia; Gingival Recession; Orthodontics
• Language: croatian
• URN:NBN: urn:nbn:hr:127:249374
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Access restricted to students and staff of home institution
• Created on: 2022-10-25 08:30:39