Terapija i prevencija periimplantnih bolesti

master's thesis

• Author: Luka Marković
• Mentor: Darije Plančak (mentor)
• Committee member: Darije Plančak (predsjednik povjerenstva)
• Committee member: Darko Božić (član povjerenstva)
• Committee member: Dragana Gabrić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Periodontology); Zagreb
• Defense date and country: 2016-07-07, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

Kao alternativa klasičnoj protetskoj terapiji, predstavljeni su dentalni oseointegrirajući implantati. Uspješenost terapije uvelike ovisi o funkciji i estetici koja može biti narušena periimplantatnim bolestima. Periimplantatni mukozitis smatra se reverzibilnom promjenom, a periimplantitis ireverzibilnom promjenom. Periimplantitis je definiran kao upala potpornog tkiva (kosti) oko implantata i rezultira gubitkom implantata. Često se uspoređuje s parodontitisom, ali periimplantitis se, za razliku od parodontitisa, puno brže širi i teže liječi. Loša oralna higijena, pušenje, sistemske bolesti i ranije dijagnosticirani parodontitis rizični su faktori za njegov razvoj. Očituje se kliničkom slikom krvarenja nakon sondiranja, prisutnošću gnoja, stvaranjem džepova, upalom mekih tkiva i oteklinama, gubitkom kosti vidljivome na RTG-u i, u konačnici, pomičnošću implantata. Glavna tema novijih istraživanja je izbjegnuće gubitka implantata. Ovisno o defektu oko implantata, provodi se nekirurška, odnosno kirurška terapija. Mehaničko čišćenje supra i subgingivnog plaka i kamenca, ispiranje džepova antisepticima uz antibiotsku potporu spadaju u nekiruršku terapiju. Kirurška terapija je indicirana kod opsežnijih defekata koji zahtjevaju odizanje mukoperiostalnog režnja kako bi se što bolje uklonilo upalno i granulacijsko tkivo, remodelirala kost i ispunio defekt koštanim nadomjesnim materijalom. Liječenje laserom te PRF-om novije su metode liječenja periimplantitisa. Još uvijek se traga za metodom liječenja koja će u potpunosti dovesti do izliječenja periimplantitisa.

Abstract (english)

As an alternative to traditional prosthetic therapy, osseointegrated implants have been presented. The success of dental implant therapy depends largely on function and aesthetics, which may be spoiled by following peri-implant diseases. Periimplant mucositis is considered to be reversibile condition while peri-implantitis is seen as irreversibile condition. Peri-implantitis is defined as inflammation of supporting tissue (bone) in periimplant area and results in the loss of an implant. It is often compared to periodontitis but unlike periodontitis, it expands faster and is more difficult to treat. Poor oral hygiene, smoking, systemic diseases and early diagnosis of periodontal disease are risk factors for its development. It is manifested by clinical signs like bleeding after probing, pus formation and formation of pockets, swelling and inflammation of soft tisues, bone loss visible on X-ray, and ultimately implant mobility. The main topic of recent reserches is how to avoid implant loss. Depending on a defect around the implant, non surgical or surgical treatment is carried out. Mechanical cleaning of supra and subgingival plaque as well as antiseptic and antibiotic pocket rinse include non surgical treatment. Surgical treatment is indicated in extensive defects requiring mucoperiostal flap to remove inflammatory and granulation tissue, remodeling of the bone and filling defect with bone substitutes. Laser therapy and PRF are new methods of peri-implantitis treatment. We are still searching for a method of treatment that would enable complete healing of peri-implatitis.

• Keywords: parodontalne bolesti; periimplantatne bolesti; zubni implantati
• Keywords (english): periodontal diseases; peri-implantitis; dental implants
• Language: croatian
• URN:NBN: urn:nbn:hr:127:351683
• 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: 2016-09-19 10:23:19