Primjena digitalnih tehnologija prilikom izrade okluzijskih udlaga

master's thesis

• Title (english): Application of digital technology for manufacturing occlusal splint
• Author: Petar Ilić
• Mentor: Ema Vrbanović (mentor)
• Committee member: Ema Vrbanović (predsjednik povjerenstva)
• Committee member: Iva Alajbeg (član povjerenstva)
• Committee member: Sonja Kraljević-Šimunković (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

Temporomandibularni poremećaji i bruksizam predstavljaju dvije najčešće indikacije za izradu
okluzijskih udlaga. Okluzijsku udlagu možemo definirati kao bilo koju mobilnu, umjetnu,
okluzijsku površinu koja mijenja odnos donje čeljusti prema gornjoj i upotrebljava se za
dijagnostiku ili terapiju. Za izradu okluzijske udlage mogu se primijeniti konvencionalne metode:
izrada postupkom kivetiranja i izrada nanošenjem akrilata na foliju. Razvojem digitalne
tehnologije u stomatologiji okluzijske udlage danas se sve više izrađuju putem procesa glodanja i
3D ispisa. U potpuno digitaliziranom tijeku rada, klinički i laboratorijski postupci mogu se
podijeliti u nekoliko koraka: intraoralno skeniranje i određivanje međučeljusnih odnosa,
računalom potpomognuto oblikovanje (CAD – Computer Aided Design), računalom
potpomognutu izradu (CAM – Computer Aided Manufacturing), završna obrada i u konačnici
predaja. Prednosti primjene digitalnih tehnologija u izradi okluzijskih udlaga očituju se u bržoj
izradi, uštedi materijala. Osim toga izrada je standardizirana i pouzdana, izbjegavaju se
dimenzijske i druge pogreške vezane uz nesavršenost materijala. U konačnici takve udlage imaju
bolji dosjed i veću ugodnost nošenja. Iako trenutna literatura ukazuje na brojne prednosti
korištenja digitalne tehnologije za izradu okluzijskih udlaga, potrebne su daljnje studije visoke
kvalitete i dobre metodologije kako bi se testirali i usporedili dosadašnji protokoli izrade.

Abstract (english)

Temporomandibular disorders and bruxism are the two most common indications for making
occlusal splints. An occlusal splint can be defined as any mobile, artificial, occlusal surface that
changes the relationship of the lower jaw to the upper jaw and is used for diagnosis or therapy. In
manufacturing an occlusal splint, conventional methods, such as the heat-cured method and
applying acrylate to foil, can be used. With the development of digital technology in dentistry,
occlusal splints are now increasingly being made through milling and 3D printing. In a fully
digitalized workflow, clinical and laboratory procedures can be divided into several steps: intraoral
scanning and determination of inter-jaw relationships, Computer Aided Design (CAD), Computer
Aided Manufacturing (CAM), finishing and finally handover. The advantages of using digital
technologies in the production of occlusion splints are manifested in faster production and material
savings. Furthermore, the production is standardized and reliable while dimensional and other
errors related to material imperfections are avoided. In the end, such splints have a better fit and
are more comfortable to wear. Although the current literature indicates numerous advantages of
using digital technology for the fabrication of occlusal splints, further studies of high quality and
good methodology are needed to test and compare existing fabrication protocols.

• Keywords: poremećaji čeljusnog zgloba; okluzijske udlage; računalom vođeno oblikovanje
• Keywords (english): Temporomandibular Joint Disorders; Occlusal Splints; Computer-Aided Design
• Language: croatian
• URN:NBN: urn:nbn:hr:127:180496
• 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: 2022-12-12 11:53:30