Neinvazivni i minimalno invazivni postupci u liječenju karijesa

master's thesis

• Title (english): Non-invasive and minimally invasive procedures in caries treatment
• Author: Mirta Karaman
• Mentor: Hrvoje Jurić (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

Abstract

Razvoj znanosti i tehnologije doveo je do boljeg razumijevanja etiologije i mehanizma nastanka karijesne lezije. Karijes je infektivna bolest koju uzrokuju bakterije. Tijekom njihova metabolizma ugljikohitrata, nastaju kiseli nusprodukti koji demineraliziraju kristale koji izgrađuju caklinu i dentin. Te nove spoznaje i bolja tehnologije promijenile su i način terapije karijesa.
Najvažnija je dobra i pravovremena dijagnoza. Karijes se dijagnosticira klasičnim metodama: inspekcijom, palpacijom i rendgenskom slikom, ali sve se više koriste nove sofisticirane metode kao što su: fibro–optička transluminacija, električna kondukcija, digitalna radiologija i laserska fluorescencija, koje omogućuju dijagnozu lezije u njenoj ranoj fazi, kad postoji inicijalna lezija bez formiranog kaviteta. U ranoj fazi lezija se može tretirati neinvazivnim metodama.U neinvazivne metode ubrajamo preventivne postupke kao što su: opća savjetovanja o pravilnoj prehrani i oralnoj higijeni, terapija antisepticima i pečaćenje fisura te remineralizaciju ranih karijesnih lezija. Remineralizacija se provodi tretiranjem takvih lezija preparatima temeljenim na ionima fluora, kalcija i fosfata, a sve sa ciljem da se osiguraju uvjeti u kojima će doći do zaustavljanja ili cijeljenja lezije. Ako je, međutim lezija već u toj fazi da je došlo do njene kavitacije i da se mora kirurški tretirati, tada se koristimo principima minimalno invazivne
stomatologije. Uklanja se samo bolesno tkivo, štedi se zdravo, a defekt se zatvara adhezivnim materijalima, koji se vežu za tvrda zubna tkiva.

Abstract (english)

The development of science and technology has brought us bettter understanding of etiology and mechanism of developing caries lesion. Caries is infectious disease caused by the bacteria and its acid by-products causing a demineralisation of tooth tissue. The new technology and insights of caries have also changed the way caries is cured. To make an accurate and in time diagnosis is of great importance. Caries can be diagnosed with classic metods like inspection, palpation, and X-ray, or new metods like: fibro-optical translumination, electrical conduction, digital radiology and laser, which make possible to discover caries lesion in its early stage. In an early stage of caries lesion preventive and non invasive techniques can be used: dietary consulting, instruction of oral hygiene techniques, sealing of fissures and remineralisation with fluoride, calcium and phosphat which will heal or definitely stop the lesion progressione. If the disease has progressed to cavitation, the leasion must be surgically treated. The infected tissue must be removed by performing minimal invasiv surgical procedure and replaced with adhesive restorative material.

• Keywords: zubna njega za djecu; zubni karijes
• Keywords (english): Dental care for Children; Dental Caries
• Language: croatian
• URN:NBN: urn:nbn:hr:127:613853
• 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: 2024-09-11 10:41:41