Kako ublažiti komplikacije kod pacijenta nakon alveotomije donjeg umnjaka

master's thesis

• Title (english): How to minimaze patient complications after alveotomy of the lower molar
• Author: Ana-Marija Košutić
• Mentor: Ana Kotarac Knežević (mentor)
• Committee member: Ana Kotarac Knežević (predsjednik povjerenstva)
• Committee member: Mato Sušić (član povjerenstva)
• Committee member: Anja Baraba (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Surgery); Zagreb
• Defense date and country: 2017-09-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Surgery

Abstract

Komplikacija nakon alveotomije donjeg trećeg molara ima mnogo, a javljaju se zbog njegovog specifičnog položaja iz kojeg se infekcija može širiti. Alveotomija je kirurško uklanjanje zuba, a podrazumijeva ciljno odstranjivanje kosti koja inkludira umnjak i onemogućava njegovo izvlačenje. Najčešće indikacije za alveotomiju su impaktirani i retinirani zubi. U predoperativnoj procjeni važno je uzeti detaljnu anamnezu, obaviti klinički pregled i snimiti rendgentski operativno područje. Nakon završenog zahvata, pacijentu trebamo dati postoperativne upute. Postoperativne komplikacije najvećim su dijelom vezane uz zacjeljivanje rane. Daljnje komplikacije nakon ekstrakcije zuba su krvarenje, postoperativni edem, trizmus, infekcija, bol, temporomandibularni poremećaji i frakture mandibule. Literatura obiluje metodama i postupcima za kontrolu upalnog odgovora nakon ekstrakcije donjeg umnjaka. To uključuje različite tehnike zatvaranja rane s ili bez drena, upotrebu analgetika, kortikosteroida i antibiotika. U kontroli infekcije koriste se antibiotici. Profilaktička primjena temelji se na prijeoperativnome davanju antibiotika s ciljem da se spriječi razvoj bakterijske infekcije. U kontroli postoperativnih komplikacija koriste se i brojne druge metode kao što su: krioterapija, upotreba lasera, ozona, PRGF-a i PRF-a. PRGF-tehnologija je prekretnica u stimulaciji i regeneraciji različitih tkiva. PRGF je autologno sredstvo i omogućuje interakciju s raznim biomaterijalima. Primjena PRGF-a smanjuje upalu, bol, ubrzava epitelizaciju mekog tkiva te pospješuje regeneraciju kosti.

Abstract (english)

There are a lot of possible complications after extraction of a lower third molar. They occur because of its specific position from which an infection can spread. Alveotomy is a surgical removal of a tooth that implies a targeted removal of bone which prevents the tooth from growing and therefore makes its extraction possible. Most common indications for alveotomy are impacted and retained tooth. During a preoperative mostly evaluation it is important to take detailed amnesias, make an clinical examination and x-ray of the area in question. After a finished procedure a patients has to be given postoperative instructions. Postoperative complications are mostly related to wound healing which may be normal or an alveolar osteitis can be developed. Further complications after a tooth extraction include bleeding, postoperative edema, trimus, infection, pain, temporomandibular disorder and mandibular fractures. Literature is filled with numerous method for infection control after extraction of a lower wisdom tooth. They include various methods for a wound closure with or without drainage, use of analgesic, corticosteroids and antibiotic. Profilactic use is based on preoperative ordination of antibiotics with the purpose of prevention of bacterial infection. Other methods like: criotherapy, usage of lasers, ozone, PRGF and PRF, are also used in control of postoperative complications. PRGF tehnology is a turning point in stimulation and regeneration of different tissues. PRGF is an autologous device and it enables an interaction with various biomaterials in a great deal of pathological cases. PRGF-Endoret usage reduces inflammation, pain and speeds up the process of epitalisation of soft tissue and increases bone regeneration. PRF is a biomaterial which is in wide use in oral surgery because he enables and increases the regeneration of soft, hard and bone tissue.

• Keywords: alveotomija; impaktirani zubi; retinirani zubi; komplikacije; profilaksa; PRGF
• Keywords (english): alveotomy; impacted tooth; retained tooth; complications; prophylaxis; PRGF
• Language: croatian
• URN:NBN: urn:nbn:hr:127:728601
• 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: 2018-01-17 12:04:21