Usporedba kvalitativnih i kvantitativnih tehnika u analizi okluzije

master's thesis

• Title (english): Comparison of qualitative and quantitative techniques in occlusal analysis
• Author: Nika Zrnčić
• Mentor: Robert Ćelić (mentor)
• Committee member: Larisa Musić (član povjerenstva)
• Committee member: Petra Bučević Sojčić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2025-02-26, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Planiranju okluzije treba posvetiti dovoljno pozornosti uzevši u obzir da u svakom polju stomatologije uspjeh terapije itekako ovisi o njoj. U literaturi ne postoje dogovorne na znanstvenom dokazu utemeljene smjernice za odabir koncepta okluzije za svaku pojedinu situaciju, ali je poznato da je uzajamno zaštićena okluzija uvijek poželjna s obzirom na to da se u njoj prednji zubi štite stražnjima prilikom maksimalne interkuspidacije, a stražnji prednjima u kliznim kretnjama. Dobrim planom okluzije izbjegavaju se rizični faktori koji dovode do okluzijskog preopterećenja. Njih moramo na vrijeme prepoznati jer okluzijsko preopterećenje dovodi do brojnih komplikacija kao što su popuštanje i lom zuba, implantata, nadogradnje, nadomjestka ili obložnoga materijala te bioloških komplikacija u vidu resorpcije krestalne kosti, pogotovo u prisutnosti periimplantne upale. Postoji niz smjernica koje stomatologu pomažu prilikom planiranja okluzijskih koncepata, ali svakoga pacijenta treba promatrati kao zaseban slučaj čijoj se situaciji treba u najvećoj mjeri posvetiti kako bi se uz zadovoljavajuću funkciju mogućnost komplikacija svela na najmanju razinu. Analiza okluzije danas je moguća s nekoliko kvalitativnih i kvantitativnih (digitalnih) metoda. Među malim brojem kvantitativnih metoda najpoznatiji je već godinama T-Scan uređaj, koji je ujedno i zlatni standard. Od kvalitativnih metoda najčešće se koriste raznobojni artikulacijski papiri, trake ili folije uz čije korištenje dolazi i neizbježna subjektivna interpretacija stomatologa ili dentalnog tehničara. U ovom radu bit će prikazan niz znanstveno potkrijepljenih činjenica koje kliničaru daju uvid u nedostatke dosadašnje kvalitativne metode, prednosti suvremene digitalne analize okluzije T- Scanom i nove mogućnosti koje mogu nadograditi postojeće protokole registriranja pacijentove kliničke situacije kako bi se što vjernije i preciznije reproducirala pacijentova okluzija.

Abstract (english)

Sufficient attention should be paid to occlusion planning, taking into account that in every field of dentistry, the success of therapy depends on it. In the literature, there are no agreed guidelines based on scientific evidence for choosing an occlusion concept for each individual situation, but it is known that a mutually protected occlusion is always preferable, given that in it the front teeth are protected by the back teeth during maximum intercuspidation, and the back teeth by the front teeth in sliding movements. A good occlusion plan avoids risk factors that lead to occlusal overload. We must recognize them in time because occlusal overload leads to numerous complications such as loosening and breakage of implants, extensions, substitutes or covering material and biological complications in the form of crestal bone resorption, especially in the presence of peri-implant inflammation. There are a number of guidelines that help the doctor when planning occlusal concepts, but each patient should be viewed as an individual case whose situation should be given the utmost attention in order to minimize the possibility of complications while maintaining satisfactory function. Occlusion analysis is possible today with several qualitative and quantitative (digital) methods. Among the small number of quantitative methods, the T-Scan has been the most famous for years, which is also the gold standard. Of the qualitative methods, the most commonly used are multicolored articulation papers, tapes or foils, the use of which comes with the inevitable subjective interpretation of the dentist or dental technician. This paper will present a number of scientifically supported facts which give the clinician insight into the shortcomings of the current qualitative method, the advantages of modern digital occlusion analysis with T-Scan, and new possibilities that can upgrade existing protocols for recording the patient's clinical situation in order to reproduce the patient's occlusion as faithfully and precisely as possible.

• Keywords: zubna okluzija; kvalitativna i kvantitativna tehnika; statički i dinamički okluzijski kontakti; poremećaj okluzije; T-Scan uređaj
• Keywords (english): Dental Occlusion; qualitative and quantitative techniques; static and dynamic occlusal contacts; occlusal disorder; T-Scan device
• Language: croatian
• URN:NBN: urn:nbn:hr:127:347289
• 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: 2025-02-22 15:44:58