Procjena rizika za nastanak karijes u djece

master's thesis

• Title (english): Caries-risk Assessment among children
• Author: Renata Bogdan
• Mentor: Tomislav Škrinjarić (mentor)
• Committee member: Tomislav Škrinjarić (predsjednik povjerenstva)
• Committee member: Domagoj Vražić (član povjerenstva)
• Committee member: Marko Granić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Paediatric and Preventive Dentistry); Zagreb
• Defense date and country: 2017-09-26, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Children's and Preventive Dental Medicine

Abstract

Prema definiciji Svjetske zdravstvene organizacije (SZO) dentalni karijes je lokalni posteruptivni patološki proces egzogenog podrijetla, progredijentnog toka, ireverzibilne prirode i nedovoljno razjašnjene etiologije (1).
Karijes je bolest multifaktorijalne etiologije zbog čega prepoznavanje karijesa predstavlja veliki problem za kliničare. Multifaktorijalna etiologija onemogućuje provedbu učinkovitog modela koji bi se mogao jednostavno primjenjivati s ciljem točnog prepoznavanja pacijenata s povećanim rizikom za nastanak karijesa. Za procjenu rizika nastanka karijesa potrebno je uzeti detaljnu anamnezu koja uključuje podatke o: prehrambenim navikama pacijenta, provođenju oralne higijene te uzimanju fluoridiranih pripravaka.
Klinički je potrebno procijeniti stupanj oralne higijene, svojstva sline i postojanje karijesnih lezija te provesti raspoložive testove. Temeljem dobivenih podataka, pacijenti se razvrstavaju u grupe minimalnog, srednjeg i visokog rizika za nastanak karijesa. Za svaku grupu rizika od nastanka karijesa postoji protokol preventivnih postupaka, terapije i praćenja pacijenta. Protokol određuje učestalost i vrstu preparata koji se koriste za prevenciju nastanka karijesa, vrstu terapije te broj kontrolnih pregleda u godini dana.
Pravodobna identifikacija pacijenata s visokim rizikom za nastanak karijesa i provedba pojačanih preventivnih mjera od izuzetne su važnosti za odabir primjerenih terapijskih postupaka i uspješnost ishoda liječenja karijesa.

Abstract (english)

The World Health Organization (WHO) defines dental caries as a locally manifested pathological process of exogenous origin, with progressive flow, irreversible nature and insufficiently clarified etiology (1). Caries is a disease of multifactorial etiology, which is why it's identification is a major problem for clinicians. Furthermore, the implementation of an effective, easily applicable model with the aim of accurately identifying patients with increased risk for caries is impossible, because of this multifactorial etiology. To assess the risk of caries occurring, it is necessary to take a detailed medical history that includes information on: dietary habits of the patient, oral hygiene and the intake of fluoridated preparations. It is clinically necessary to assess the degree of oral hygiene, saliva characteristics and the existence of carious lesions and carry out the available tests.
Based on the data obtained, patients are classified into groups of minimal, medium and high risk for developing caries. For each group of assesed caries risk there is a protocol of preventative procedures, therapies and monitoring of the patient. The protocol determines the frequency and type of preparations used to prevent caries, the type of therapy and the number of check-ups in the period of one year.
Timely identification of patients with high risk of developing caries and the implementation of enhanced preventive measures are of exceptional importance for the selection of appropriate therapeutic procedures and the success rate of the outcomes of the treatments.

• Keywords: zubni karijes; procjena rizika nastanka karijesa; prevencija dentalnog karijesa
• Keywords (english): dental caries; caries - risk assessment; dental caries prevention
• Language: croatian
• URN:NBN: urn:nbn:hr:127:174937
• 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: Open access
• Created on: 2018-01-17 11:23:15