Komplicirane frakture krune zuba: hitni postupci i konačno liječenje

master's thesis

• Title (english): Complicated fractures of tooth crown: emergent procedures and final treatment
• Author: Tomislav Škrinjarić
• Mentor: Domagoj Glavina (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2006, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Children's and Preventive Dental Medicine

Abstract

Dentalna trauma u trajnoj denticiji čest je razlog stomatološkog liječenja. Ovaj rad je pregled različitih terapijskih postupaka i sredstava za liječenje kompliciranih fraktura kruna u trajnoj denticiji. Na frakture krune otpada najveći broj dentalnih trauma u trajnoj denticiji. Odgovor pulpe na traumatsku frakturu krune ovisi o opsegu traumatske ozljede, strukturama zahvaćenim traumom, vrsti postupka liječenja i sredstvu koje se koristi za liječenje. Frakture krune s otvorenom pulpom mogu se uspješno liječiti ako se primjeni odgovarajući postupak i sredstvo za prekrivanje pulpe. U radu su prikazani i raspravljani razlozi za indikacije, klinički postupak i prognoza kod tri tipa vitalnog liječenja pulpe – direktnog prekrivanja (DPP), parcijalne pulpotomije (PP) i cervikalne pulpotomije kod trajnih zuba nakon traumatske ekspozicije. Izgledi za preživljavanje pulpe nakon traumatske ekspozicije su dobri do odlični. Kad se radi o ekspoziciji pulpe, direktno prekrivanje ili parcijalna pulpotomija po Cveku smatraju se postupcima izbora liječenja. Preživljavanje pulpe kreće se između 88% za DPP i 94 do 100% za PP. Za prekrivanje pulpnog tkiva treba preferirati kalcijev hidroksid kao standardno sredstvo s predvidivim rezultatom. Efikasno zatvaranje dentina nakon prekrivanja pulpe je ključno za prevenciju budućeg prodora bakterija i ishod liječenja. Vitalne metode liječenja pulpe daju najpouzdanije rezultate liječenja kod mladih zuba s traumatskom ekspozicijom pulpe.

Abstract (english)

Dental trauma to the permanent dentition represents the frequent reason for dental treatment. This paper represents the review of different therapeutic procedures and agents for treatment of the complicated crown fractures in permanent
dentition. The crown fractures account for the largest majority of dental injuries in the permanent dentition. Pulp response to traumatic crown fractures depends on the extent of traumatic injury, structures involved by trauma, the type of therapeutic
procedure and agents used for treatment. Crown fractures with pulp exposure could be successfully treated if proper procedure and agents for pulp dressing are used. The indications, clinical techniques, and prognosis of three types of vital pulp therapy – direct pulp capping (DPP), partial pulpotomy (PP), and cervical pulpotomy in the permanent teeth after traumatic pulp exposure are presented and discussed. Chances for the pulp survival after traumatic exposure are good to excellent. When the pulp exposure is present, the direct pulp capping or partial pulpotomy according to Cvek are procedures of choice. The pulp survival ranges between 88% for the DPP and 94 to 100% for PP. The calcium hydroxide for pulp capping should be preferred as a standard agent with predictable results. Efficient sealing of dentin after pulp capping is crucial for prevention of future bacterial invasion and outcome of treatment. The vital pulp therapies are most predictable in young teeth with traumatic pulp exposure.

• Keywords: ozljede zuba; lom zuba
• Keywords (english): Tooth Injuries; Tooth Fractures
• Language: croatian
• URN:NBN: urn:nbn:hr:127:215962
• Study programme: Title: Integrated undergraduate and graduate university study of Dental Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor dentalne medicine (doktor dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Closed access
• Created on: 2024-06-18 11:03:50