Parodontna kirurgija u estetskoj zoni

master's thesis

• Author: Marijan Talakić
• Mentor: Andrej Aurer (mentor)
• Committee member: Andrej Aurer
• Committee member: Darije Plančak
• Committee member: Darko Božić
• Granter: University of Zagreb; School of Dental Medicine; (Department of Periodontology); Zagreb
• Defense date and country: 2015-07-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

Statistički najvažnija mjera uspjeha prekrivanja recesije je količina prekrivenog pojedinačnog korijena u milimetrima ili u postotcima. Međutim s estetskog stajališta puno je važniji postotak zubi s potpunim prekrivanjem korijenova i trebalo bi ga smatrati preduvjetom uspjeha. Osim toga podatci za usporedbu se baziraju na centralnoj vertikalno linearnoj mjeri u milimetrima uzetoj s područja recesije. Ta mjera ne može uspješno procijeniti estetski uspjeh prekrivanja iz dva razloga: prvo, jedna mjera ne označava precizno oblik i veličinu rezidualne recesije te drugo, vizualni aspekt transplantata i okolnih tkiva nije uzet u obzir. Prema tome, kriteriji za uspjeh ne bi smjeli biti bazirani samo na količini prekrivenog korijena nego i na kozmetičkoj integraciji operirane zone unutar usta. Pozornost mora biti posvećena dodatnim faktorima. U komparativnoj studiji o prekrivanju recesija pokušali smo procijeniti estetske ishode (71). Otisci i fotografije recesija su napravljene prijeoperativno i 6 mjeseci nakon operacije, svaka fotografija je uvećana na ekranu. Dva nezavisna promatrača koji nisu bili upoznati sa oblikom terapije, su uspoređivala fotografije i otiske prije i poslije. Procjena estetskih rezultata je vrednovana trostepenom skalom s ocjenama dobro, osrednje i loše. Slaganje između ocijenjivača je procijenjeno kappa testom. Promatrači su zamoljeni da ocijene ukupni dojam okolnog tkiva, a ne samo količine korijena koja je prekrivena. Tablica 7. identificira četiri važna faktora uzeta u obzir od strane ispitivača da bi se procijenio ukupni estetski dojam, Nadajmo se da će uskoro postojati neki univerzalni sistem ocijenjivanja ukupnog estetskog dojma poput ovoga koji će biti opće prihvaćen. Prekrivanje defekta mekim tkivom u milimetrima i postotcima su dosad bile glavne ishodne varijable u kliničkim studijama.

Abstract (english)

Statistically most important factor in success assessment in root coverage is the amount of single root coverage in millimeters or percentages. However, in terms of aesthetics, the percentage of teeth with complete root coverage seems more important and should be considered as a prerequisite for success. Furthermore, comparative data have been based on a central vertical linear measurement taken in mm in the area of recession. This measurement cannot fully estimate the aesthetic success of the procedure because of two reasons: a single measurement does not accurately reflect the shape and the area of residual recession; the visual aspect of the graft and surrounding tissues is not taken into account. Thus, success criteria should not only be based upon the amount of root coverage but also upon the cosmetic integration of the operated zone within the mouth. Attention needs to be paid to additional factors. In a comparative study on root coverage, we attempted to evaluate aesthetic results (71). Impressions and photographs of the recessions were made preoperatively and 6 months later. Each photograph was magnified on a screen. The photographs and the impressions were examined and compared by two independent examiners who were not familiar with the given treatment. The evaluation of the aesthetic results was scored by using a three-step scale: good, moderate or poor. The agreement among examiners was assessed by a kappa test. The examiners were asked to score an overall impression of the surrounding tissues, not just the amount of root surface that was covered. Table 7 indicates the four relevant factors taken into account by the panel of examiners to score a global aesthetic impression. Hopefully, a system like this, one and the same and universally used, can soon be agreed upon and regularly included in clinical studies.

• Keywords: gingivalna recesija; plastična kirurgija; estetska stomatologija
• Keywords (english): gingival recession; plastic surgery; dental esthetics
• Language: croatian
• URN:NBN: urn:nbn:hr:127:953761
• 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: 2015-10-30 11:18:50