Suvremeni materijali u endodontskoj kirurgiji

master's thesis

• Title (english): Modern materials in endodontic surgery
• Author: Lea Budak
• Mentor: Zoran Karlović (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2023-06-26, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Endodonics and Restorative Dentistry

Abstract

Endodontska kirurgija podrazumijeva kiruršku terapiju periapeksa zuba te je indicirana pri
perzistirajućim upalama periapeksa ili ako bi ortogradnim endodontskim liječenjem bila
kompromitirana struktura zuba zbog opsežnijeg uklanjanja tvrdog zubnog tkiva, a kirurškim se
putem mogu ispraviti i eventualne pogreške prilikom provođenja ortogradne endodoncije.
Razvojem dentalne medicine, pa tako i endodontske kirurgije, na tržištu se pojavljuju
suvremeni, biokompatibilni materijali na bazi kalcijevih silikata, to jest biokeramika. Prvi
patentirani materijal bio je MTA, a unaprijeđeni hidraulički kalcijevi silikati uključuju
Biodentine, BioAgreggate, EndoSequence, Generex A i mnoge druge. Ti materijali imaju
široku terapijsku primjenu u endodontskoj kirurgiji uključujući retrogradna punjenja, terapije
perforacija i resorpcija korijena te terapiju širokih apikalnih foramena. Zahvati u endodontskoj
kirurgiji odvijaju se u bliskom kontaktu periapikalnih tkiva zbog čega zahtijevaju upotrebu
biokompatibilnih i netoksičnih materijala koji bi trebali poticati formiranje kosti i bolje
cijeljenje periapeksa, dok istovremeno ne smiju iritirati vitalna tkiva. Uz povoljna biološka i
fizikalna svojstva, suvremeni materijali u endodontskoj kirurgiji moraju doktorima dentalne
medicine omogućiti lako rukovanje materijalom u svakodnevnom kliničkom radu. Suvremeni
endodontski materijali temeljeni na biokeramici zbog svojih izvanrednih svojstava
predstavljaju jedan od najvažnijih napredaka u restaurativnoj dentalnoj medicini.

Abstract (english)

Endodontic surgery entails surgical treatment of periapical tissues. It is indicated for treating
persistent inflammation of the periapex or if orthograde endodontic treatment would
compromise the tooth structure due to extensive removal of hard tooth tissue. Possible errors
during orthograde endodontics can also be corrected surgically. With the development of dental
medicine, including endodontic surgery, modern, biocompatible materials based on calcium
silicates, i.e., bioceramics, were produced. The first patented materijal was MTA, and advanced
hydraulic calcium silicates include Biodentine, BioAgreggate, EndoSequence, Generex A, and
many others. These materials have broad therapeutic applications in endodontic surgery,
including retrograde fillings, perforation and root resorption therapies, and comprehensive
apical foramen therapy. Procedures in endodontic surgery take place in close contact with
periapical tissues, which is why they require biocompatible and non-toxic materials that
promote bone formation and better healing of the periapex. At the same time, they must not
irritate vital tissues. In addition to advantageous biological and physical properties, modern
materials in endodontic surgery must enable dental doctors to manage the materijal in daily
clinical work efficiently. Modern endodontic materials based on bioceramics represent one of
the most critical advances in restorative dental medicine due to their outstanding properties.

• Keywords: endodontska kirurgija; biokeramika; kalcijevi silikati; retrogradno punjenje
• Keywords (english): endodontic surgery; bioceramics; calcium silicate; retrograde filling
• Language: croatian
• URN:NBN: urn:nbn:hr:127:159954
• 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: 2023-06-14 10:42:46