Proširenje keratinizirane sluznice oko implantata kao prevencija nastanka periimplantitisa

professional thesis

• Title (english): Keratinized mucosa augmentation around implants as prevention periimplantitis formation
• Author: Dario Lipkovac
• Mentor: Darko Božić (mentor)
• Committee member: Darije Plančak (predsjednik povjerenstva)
• Committee member: Darko Božić (član povjerenstva)
• Committee member: Domagoj Vražić (član povjerenstva)
• Committee member: Ivan Puhar (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Periodontology); Zagreb
• Defense date and country: 2022-03-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

loga određene širine keratinizirane sluznice (KM) u očuvanju periimplantatnog zdravlja u literaturi je najčešće predstavljena kao kontroverzna tema. Dok jedan dio autora izvješćuje o održanju stabilnosti implantata i bez KM, drugi preporučuje augmentaciju
KM oko implantata. U ovaj su pregledni rad ušli najnoviji sustavni pregledi i izvorna istraživanja kako bi se procijenilo sadašnje razumijevanje teme u struci i trenutačno prihvaćene standarde u procedurama nadomještanja KM ili njezina proširenja.. Procedure
i tehnike proširenja keratinizirane sluznice standarno obuhvaćaju apikalno pomaknuti režanj u kombinaciji sa slobodnim gingivnim transplantatom, odnosno vezivnotkivnim transplantatom ili ksenogenim materijalom, kao trenutačno najuspješnije. Konkretni će
rezultati uvećanja KM ovisiti o tehnikama i nadomjesnom materijalu, ali i o drugim faktorima, poput razlika u izboru transplantata i tehnike s obzirom na mjesto intervencije ili stanje u čeljusti. Dalja će istraživanja produbiti razumijevanje odnosa širine
keratinizirane sluznice i očuvanja periimplantatnog zdravlja pa se u budućnosti može očekivati lakše donošenje kliničkih odluka i procjena u izboru procedura, tehnika, materijala i njihovih ishoda.

Abstract (english)

The role of a certain width of keratinized mucosa in peri-implant health maintenance is mostly seen as a controversial subject in literature. While some authors claim that implant stability can be maintained even without keratinized mucosa, others recommend keratinized mucosa augmentation around implants. This review took into consideration recent systematical reviews and original researchers to assess understanding of the subject today as well as current standards in keratinized mucose replacement or augmentation treatments. Mostly used procedures and techniques of keratinized mucosa augmentation are apically positioned partial-thickness flap combined with free gingival graft, or connective tissue graft or xenogeneic graft material, as the most successful. Results will depend on technics, graft material, but other factors as well,
like differences in the graft choice or technique choice depending on the place of intervention or situation in the mouth. Further researches will deepen the understanding of the relationship between keratinized mucosa width and peri-implant health maintenance, so more ease can be expected in the process of making clinical decisions and assessments of procedures, techniques, materials and outcomes in the future.

• Keywords: parodontne bolesti; periimplantitis; dentalna implantologija; presađivanje tkiva
• Keywords (english): Periodontal Diseases; Per-Implantitis; Dental Implantation; Tissue Regeneration
• Language: croatian
• URN:NBN: urn:nbn:hr:127:144569
• Study programme: Title: dental medicine; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra dentalne medicine (sveučilišni/a magistar/magistra dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Access restricted to students and staff of home institution
• Created on: 2022-03-18 10:20:28