Oralna rehabilitacija pacijenata - prikaz slučaja

postgraduate specialist thesis

• Title (english): Oral rehabilitation of patient with bruxism-case report
• Author: Lucija Zonjić
• Mentor: Nikša Dulčić (mentor)
• Committee member: Robert Ćelić (predsjednik povjerenstva)
• Committee member: Nikša Dulčić (član povjerenstva)
• Committee member: Dubravka Knezović Zlatarić (član povjerenstva)
• Committee member: Nikola Petričević (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2024-06-19, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Bruksizam je dnevni ili noćni poremećaj lokomotornog sustava koji karakterizira mljevenje, stiskanje, lupanje ili škrgutanje zubima. Pri tome dolazi do pojačane funkcije žvačnih mišića i posljedinih abnormalnih kretnji donje čeljusti te unutar temporomandibularnog zgloba. Gubitak tvrdih zubnih tkiva i smanjena vertikalna dimenzija okluzije kao posljedice bruksizma predstavljaju izazov u kliničkom radu. Svrha ovog rada je prikazati suvremene mogućnosti oralne rehabilitacije pacijenata s bruksizmom. Opisan je detaljan tijek terapijskog postupka kod spomenutih pacijenata. Uporabom analognih i digitalnih tehnologija pacijentu je najprije izrađena okluzijska udlaga kao priprema žvačnog sustava na protetsku terapiju. Zatim je protetski rad planiran navoštavanjem i mock-upom, izrađeni su ordinacijski i laboratorijski privremeni protetski radovi te naposljetku definitivni protetski rad iz monolitne cirkonijoksidne keramike. Potpuna rehabilitacija pacijenata s bruksizmom liječenih fasetiranim i nefasetiranim cirkonijskim nadomjestcima s povećanim VDO-om vrlo je malo istražena stoga su potrebne daljnje studije. Nakon cementiranja definitivnog protetskog rada, pacijentu je napravljena nova okluzijska udlaga u svrhu simptomatske terapije bruksizma.

Abstract (english)

Bruxism is a daytime or nighttime locomotor system disorder characterized by clenching, pounding, or grinding of the teeth. This leads to increased activity in the masticatory muscles, resulting in abnormal movements of the lower jaw and within the temporomandibular joint. The loss of hard dental tissues and reduced vertical dimension of occlusion, as a consequence of bruxism, represent a challenge in clinical work. The purpose of this paper is to present the modern possibilities of oral rehabilitation of patients with bruxism. A detailed course of the therapeutic procedure for the patients mentioned above is described. First, using analog and digital technologies, an occlusal splint was fabricated for the patient to prepare the masticatory system for prosthetic therapy. Then, the prosthetic work was planned with a mock-up, office and laboratory temporary prosthetic works were made, and finally, a definitive prosthetic work was created using monolithic zirconium oxide ceramics. The complete rehabilitation of bruxism patients treated with faceted and non-faceted zirconia restorations with increased VDO has been scarcely investigated, therefore, further studies are needed. After cementing the definitive prosthetic work, the patient received a new occlusal splint for the purpose of symptomatic treatment of bruxism.

• Keywords: bruksizam povezan sa spavanjem; oralna rehabilitacija; protetika; okluzijska udlaga
• Keywords (english): Sleep Bruxism; Mouth Rehabilitation; Prosthodontics; Occlusal Splints
• Language: croatian
• URN:NBN: urn:nbn:hr:127:576126
• Study programme: Title: Dental prosthetics; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni specijalist dentalne medicine (sveučilišni specijalist dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-06-20 10:27:05