Utjecaj različitih čimbenika na ishod endodontskog liječenja zuba

master's thesis

• Title (english): Influence of different factors on the outcome of endodontic treatment of the teeth
• Author: Bose Antonia Šodan
• Mentor: Ivona Bago (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2024-09-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Cilj je endodontskog liječenja sprječavanje razvoja periapikalnog parodontitisa ili postizanje odgovarajućih uvjeta za uspješno cijeljenje već postojećih lezija. Kako bi se postigli prethodno navedeni ciljevi, važno je pravilno provesti sve korake liječenja: kemo-mehaničku obradu kanala, trodimenzionalno brtvljenje kanala i izradu koronarne restauracije. Tijekom izvođenja ovih koraka, brojni čimbenici potencijalno mogu ugroziti i izostaviti uspjeh endodontske terapije. Čimbenici koji mogu utjecati na ishod endodontske terapije klasificiraju se u tri skupine : biološki čimbenici, čimbenici vezani za postupak endodontskog liječenja i postoperacijski čimbenici. Dokazano je da, od navedenih čimbenika, prisutnost preoperativne periapikalne lezije, kvaliteta punjenja i kvaliteta koronarne restauracije znatno utječu na uspješnost provedenog liječenja. Utjecaj je ostalih čimbenika manje značajan, no nije zanemariv. Uspješnim se endodontskim liječenjem smatra ono kod kojeg izostaju klinički znakovi upale te se radiološki uočava normalna parodontna pukotina. Obraćanjem pažnje na sve čimbenike, točnom dijagnostikom i ispravnim provođenjem liječenja može doći do pomaka ravnoteže u korist imunološkog odgovora domaćina i suzbijanja infekcije.

Abstract (english)

The goal of endodontic treatment is to prevent the development of periapical periodontitis or to achieve appropriate conditions for successful healing of already existing lesions. In order to achieve previously stated goals, it is important to properly carry out all treatment steps: chemo-mechanical canal treatment, three-dimensional canal obturation and coronary restoration. During the execution of these steps, a number of factors can potentially compromise and negate the success of endodontic therapy. Factors that can affect the outcome of endodontic therapy are classified into three groups: biological factors, factors related to the endodontic treatment procedure, and postoperative factors. It is proven that the presence of a preoperative periapical lesion, the quality of the filling and the quality of the coronary restoration significantly affect the success of the treatment. The influence of other factors is less significant, but not negligible. A successful endodontic treatment is considered to be one in which there are no clinical signs of inflammation and a normal periodontal crack is observed radiologically. Paying attention to all of factors, precise diagnosis and correct execution of the treatment can lead to a shift in the balance in the favor of the host's immune response and suppression of infection.

• Keywords: endodoncija; liječenje korijenskog kanala; periapikalno cijeljenje
• Keywords (english): endodontics; root canal treatment; periapical healing
• Language: croatian
• URN:NBN: urn:nbn:hr:127:175342
• 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: 2024-09-13 07:10:18