Primjena kompozitnih materijala u estetskoj rekonstrukciji dijastema - prikaz slučaja

master's thesis

• Title (english): Application of composite materials in aestetic reconstruction of diastemas - case report
• Author: Marta Smok
• Mentor: Danijela Marović (mentor)
• Committee member: Danijela Marović (predsjednik povjerenstva)
• Committee member: Vlatko Pandurić (član povjerenstva)
• Committee member: Ana Badovinac (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2024-07-10, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Endodonics and Restorative Dentistry

Abstract

Sve češće u stomatološku ordinaciju dolaze mladi ljudi s intaktnim zubima, koji zbog odstupanja u položaju, obliku ili boji zuba zahtijevaju novi, ljepši osmijeh. Pacijenti s razmakom između prednjih zuba, dijastemom, mogu osjećati nezadovoljstvo svojim izgledom, a zadaća je stomatologa vratiti im osmijeh na lice. Najčešće se uz ljepotu lica veže matematička formula odnosa, zlatni rez. Zlatni rez te analiza makro-, mini- i mikroestetike može terapeutu poslužiti kao nit vodilja pri dizajniranju harmoničnog osmijeha uz uzimanje u obzir kulturoloških razlika i želja pacijenta. Postoji veliki broj različitih terapijskih zahvata za zatvaranje dijastema. Moguće su opcije: ortodontska, kirurška, protetska ili restaurativna terapija. Etiologija dijastema i dobro postavljena dijagnoza pomažu stomatologu u odabiru terapije i rješavanju pacijentovih problema. Kod mladih pacijenata s intaktnom caklinom i dijastemama preporučuje se minimalno invazivna rekonstrukcija uporabom kompozitnih materijala. Estetska rekonstrukcija dijastema do 2 mm može se napraviti monokromatskom metodom, višeslojnim nanošenjem jedne boje kompozitnog materijala, dok je za dijasteme većeg opsega potrebna rekonstrukcija uporabom caklinske i dentinske boje kako bi kompozitni materijal što vjernije oponašao prirodnu strukturu zuba, tzv. polikromatska metoda. U radu se prikazuje kako se uz detaljnu analizu estetskih odstupanja kod pacijenata s dijastemama može jednoposjetno provesti estetska rekonstrukcija kompozitnim materijalom te u konačnici postići vrhunski estetski rezultat na obostrano zadovoljstvo i pacijenta i terapeuta. Odlučeno je front wing i fingertip tehnikom napraviti estetsku rekonstrukciju dijastema. Obje tehnike su aditivne, direktne i ekonomičnije u odnosu na protetska rješenja.

Abstract (english)

An increasing number of young people with intact teeth visit a dental practice to improve their smiles due to problems with their teeth's position, shape, or colour. Patients with a gap between their front teeth, known as a diastema, are often dissatisfied with their appearance, and it is the dentist's job to restore their smile. The mathematical formula of proportions, the golden ratio, is most often associated with facial beauty. The golden ratio and the analysis of macro, mini and micro aesthetics can guide the therapist to create a harmonious smile, considering cultural differences and the patient's wishes.
Various therapeutic procedures can be used to close diastemas, including orthodontic, surgical, prosthetic or restorative treatments. By understanding the cause of the diastema and making an accurate diagnosis, the dentist can choose the proper treatment. In young patients with intact enamel and diastemas, minimally invasive reconstruction with composite materials is recommended. The aesthetic reconstruction of diastemas up to 2 mm can be achieved with monochromatic layering with a single shade of composite material. Larger diastemas require reconstruction with both enamel and dentin shades to closely mimic the natural tooth structure, referred to as the polychromatic method. Through detailed analysis of aesthetic deviations in patients with diastemas, excellent aesthetic results can be achieved in a single visit using composite materials, satisfying both the patient and the dentist. The front wing and fingertip techniques were chosen for aesthetic reconstruction of diastemas, which are additive, direct, and more economical than prosthetic solutions.

• Keywords: dijastema; osmijeh; dentalna estetika; stomatološki materiijali; restorativna stomatologija
• Keywords (english): Diastema; Smile; Dental Esthetics; Dental Materials; Operative Dentistry
• Language: croatian
• URN:NBN: urn:nbn:hr:127:031871
• 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/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-07-08 08:17:09