Kruna prirodnog zuba kao privremeni protetski rad imedijatno opterećenog implantata

professional thesis

• Title: Kruna prirodnog zuba kao privremeni protetski rad imedijatno opterećenog implantata : prikaz slučaja
• Title (english): Natural crown as provisional restoration immediately loaded implant : a case report
• Author: Nastja Asanović
• Mentor: Marko Jakovac (mentor)
• Committee member: Josip Kranjčić (predsjednik povjerenstva)
• Committee member: Marko Jakovac (član povjerenstva)
• Committee member: Domagoj Vražić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Fixed Prosthodontics); Zagreb
• Defense date and country: 2020, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Gubitak jednog zuba indikacija je za implantološku terapiju. Sam zahvat zahtijeva dobro
planiranje i promišljanje. Kriteriji odlučivanja trebaju biti strogi te ih se potrebno pridržavati
ako želimo dobar implantoprotetski rezultat. Implantati u prednjem segmentu podliježu još
strožim kriterijima nego oni smješteni u stražnjim dijelovima usne šupljine. Postizanje
vrhunske estetike podrazumijeva ne samo oseointegraciju nego i maksimalno imitiranje oblika
izlaznog profila gingive prirodnog zuba. Kako je meko tkivo jednostavnije zadržati nego
nanovo stvoriti, u prednjem segmentu težimo imedijatnoj implantaciji s imedijatnom izradom
privremenog protetskog rada. Ako su ispunjeni uvjeti odabira slučaja, može se odmah po
ekstrakciji pristupiti implantiranju u alveolu izvađenog zuba. Dovoljna primarna stabilnost
omogućava nam imedijatno opterećenje provizorijem koji će vršiti potporu mekom tkivu za
vrijeme perioda oseointegracije. Ako je kruna prirodnog zuba dobro očuvana, može nam ista
poslužiti kao privremeni rad na implantatu i tako oblik gingive ostaje nepromijenjen. Pacijentu
je omogućena tranzicija od prirodnog zuba do implantata na manje primjetan način čime je i
njegovo zadovoljstvo veće. Konačni rezultat je implantatom nošena restoracija s vjernom
imitacijom oblika mekog tkiva.

Abstract (english)

A tooth lossis an indication for implant therapy. The intervention itself requires good planning
and through thinking. The decision criteria should be rigorous and must be adhered to if we
want a good implant prostodontic resultat. Implants in the anterior segment are subject to even
stricter criteria then those located in the posterior parts of the oral cavity. Achiving superior
aesthetics implies not only osseointegration, but also maximum imitation of the shape of the
emergence profile of the natural tooth gingiva. As it is easier to retain the soft tissue than to recreate
it, we tend toward an immediate implant with immediate production of a temporary
crown in the anterior segment. If the case selection conditions have been met, the implantation
in the alveolus of the extracted tooth can be performed immediately after extraction. Sufficient
primary stability allows for immediate load with a provisional soft tissue support during the
osseointegration period. If the crown of a natural tooth is well preserved, it can serve us as
temporary implant crown and thus the shape of the gingiva remains unchanged. Thus, the
transition from the natural tooth to the implant is possible in a less noticeable way, wich
provides for patient's greater satisfaction. The final result is implant-supported restoration with
faithful imitation of soft tissue shape.

• Keywords: djelomična privremena zubna proteza; zubni implantat; estetika; dentalna
• Keywords (english): Denture; Partial; Immediate; Dental Implants; Esthetics; Dental
• Language: croatian
• URN:NBN: urn:nbn:hr:127:578027
• 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: 2020-11-17 13:53:46