Učinak protetskih konstrukcija nošenih implantatima na nastanak periimplantitisa

professional thesis

• Title (english): The effect of implant supported prosthetics on the occurence of peri-implantitis
• Author: Zvonimir Svalina
• Mentor: Ivica Pelivan (mentor)
• Committee member: Joško Viskić (predsjednik povjerenstva)
• Committee member: Ivan Puhar (član povjerenstva)
• Committee member: Ivica Pelivan (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Removable Prosthodontics); Zagreb
• Defense date and country: 2019-06-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Kako sve veći broj bolesnika želi liječenje implantatima, očekuje se da će se i povećati broj periimplantitisa. Ovisno o stupnju zahvaćenost kosti upalnim procesom, kliničar odlučuje može li uspjeti zaustaviti napredovanje upale u kosti i pokušati regenerirati tkiva, ili je potrebna eksplantacija. Ključni čimbenici u odluci su: pacjentove želje, medicinsko stanje pacjenata, opseg defekta, estetika i mogućnost kontrole plaka nakon liječenja. Cilj je ovog preglednog rada bio ustanoviti čimbenike koji dovode do nastanka periimplantitisa, dijagnosticiranje i liječenje periimplantitisa. Pretražena je recentno publicirana znanstvena i stručna literatura na PubMed na temelju korištenih ključnih riječi. Pronađeno je 97 radova. Rezultati istraživanja pokazuju kako su pušenje i prijašnji podatci o parodontalnoj bolesti važan čimbenik koji dovodi do neuspjeha. Kod pacjenata čija se osteoporoza liječi intravenskim bisfosfonatima postoji veća učestalost komplikacija. Dijabetes, kardiovaskularne bolesti, zračenje glave i vrata i kemoterapija navode se kao rizični čimbenici za nastanak periimplantitisa. Nema podataka o tome da su neki promjer, tip i duljina implantata bolji u odnosu na druge. Većina istraživanja pokazuje kako je maksila nepovoljnije mjesto za postavu implantata u odnosu na mandibulu. Pojedinačne krune na implantatima u usporedbi sa spojenima su bolje rješenje. Iako nema definitivnih dokaza o načinu retiniranja suprastrukture, ipak se čini da periimplantitis rjeđe nastaje kod radova retiniranih vijkom. Jedan od glavnih lokalnih čimbenika u nastanku periimplantitisa je zaostali cement. Dugotrajno dobri rezultati mogu postići sa svim tipovima umjereno hrapavih površina implantata.

Abstract (english)

As the number of patients requesting implant treatment continuously grows, it is expected that the number of patients affected by periimplantitis will also increase. Depending on the inflammatory process level affecting the bone, the clinician decides whether the development of the inflammation inside the bone can be stopped, and tissues can be regenerated, or the explantation is needed. The key factors in the decision are: patient’s wishes, medical condition of the patient, extent of the defect, aesthetics and the possibility of plaque control following treatment. The aim of this review article was to define the factors leading to the occurrence of periimplantitis, diagnosing and treatment of peri-implantitis. Recently published scientific and professional literature on PubMed has been found using keywords and therefore reviewed. 97 papers have been found. Research results show that smoking and previous records of periodontal disease are an important factor leading to failure. In patients treated with intravenous bisphosphonates for osteoporosis, the incidence of complications is higher. Diabetes, cardiovascular diseases, head and neck radiotherapy and chemotherapy are listed as risk factors for the occurrence of periimplantitis. There is no data reporting that a certain diameter, type or length of the implant is better than the others. Most of the research papers report that the maxilla is less favorable for the placement of implants, than the mandible. Single tooth implants are a better solution than the bridges. Although there is no definite evidence on superstructure retaining modality, it seems that peri-implantitis occurs less frequently in screw-retained implants. One of the main local factors for the occurrence of peri-implantitis is cement residue. Long lasting positive results can be achieved with all types of moderately rough implant surfaces.

• Keywords: implantoprotetika; dentalna implantologija; protetski radovi nošeni implantatima; periimplantitis
• Keywords (english): implant prosthetics; dental implantology; implant supported prosthetics; periimplantitis
• Language: croatian
• URN:NBN: urn:nbn:hr:127:552207
• Study programme: Title: dental medicine; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra dentalne medicine (sveučilišni/a magistar/magistra dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-10-07 08:41:23