Suvremeni pristup rehabilitaciji potpune bezubosti

master's thesis

• Title (english): Contemporary approach in treatment of completely edentulous patients
• Author: Luka Begonja
• Mentor: Ines Kovačić (mentor)
• Committee member: Ines Kovačić (predsjednik povjerenstva)
• Committee member: Nikola Petričević (član povjerenstva)
• Committee member: Ivan Puhar (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Removable Prosthodontics); Zagreb
• Defense date and country: 2022-09-30, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Karijesi, traume i parodontne bolesti najčešći su uzrok potpune bezubosti. Resorpcija
alveolarnog grebena proces je koji se odvija nakon gubitka zuba i dovodi do smanjenja
volumena kosti, što otežava protetsku sanaciju. Smanjenim volumenom kosti pacijent gubi
potrebnu koštanu potporu za retenciju i stabilizaciju konvencionalnih potpunih proteza.
Ugradnja dentalnih implantata standardnih dimenzija ili mini dentalnih implantata (MDI)
omogućuje adekvatnu retenciju proteze. Procjenom visine i širine kosti te gustoće kosti na
CBCT snimci donosi se odluka je li pacijent kandidat za ugradnju implantata. Suvremene
implantoprotetske mogućnosti za potpunu bezubost nude rješenja poput proteza retiniranih
implantatima te fiksnih mostova na četiri implantata (all on 4) ili na šest implantata (all on 6).
Minimalni broj implantata za retenciju pokrovne proteze u mandibuli je dva, dok je za maksilu
četiri. Sustav veznih elemenata LOCATOR® ili sustav prečki najčešće se primjenjuju za
povezivanje proteze s implantatima u obje čeljusti. Fiksni most na četiri implantata smatra se
najboljim rješenjem za mandibulu zbog njezine veće gustoće kosti od maksile, dok fiksni most
na šest implantata predstavlja najbolje rješenje za maksilu. Ako je postignuta primarna
stabilnost, implantati se mogu imedijatno opteretiti privremenim protetskim radom i pacijent
će odmah dobiti privremeni rad.

Abstract (english)

Caries, trauma and periodontal diseases are among the most common causes of complete
edentulism. Resorption of the alveolar ridge is a process that takes place after tooth loss and
leads to a decrease in bone volume, which makes prosthetic rehabilitation difficult. With
reduced bone volume, the patient loses the necessary bone support for the retention and
stabilization of conventional complete dentures. The insertion of standard-sized dental
implants of standard dimensions or mini dental implants (MDI) enables adequate retention of
the prosthesis. By evaluating the height and width of the bone, as well as the bone density on
the CBCT image, a decision is made whether the patient is a candidate for implant placement.
Modern implant-prosthetic options for complete edentulism offer solutions such as implantretained dentures and implant-supported fixed bridges that sit on four (All-on-4) or on six
implants (All-on-6). The minimum number of implants for the retention of mandibular
overdenture is two, while for the retention of maxillary overdenture it is four. The LOCATOR®
attachment system and the bar attachment system are frequently used to connect prostheses
with implants in both jaws. A fixed bridge on four implants is considered the best solution for
the mandible, due to its higher bone density than the maxilla, while a fixed bridge on six
implants is the best solution for the maxilla. If primary stability is achieved, immediate implant
loading can take place, and the patient will receive temporary prosthetic work momentarily.

• Keywords: bezuba čeljust; pokrovna zubna proteza; zubni implantati; gubitak zuba
• Keywords (english): Edentulous Jaw; Overlay Denture; Dental Implants; Tooth Loss
• Language: croatian
• URN:NBN: urn:nbn:hr:127:586967
• 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: 2022-12-06 10:14:29