Oblikovanje izlaznog profilsa mekih tkiva privremenom i trajnom krunicom

professional thesis

• Title: Oblikovanje izlaznog profilsa mekih tkiva privremenom i trajnom krunicom : prikaz slučaja
• Title (english): Emergence profile design with temporary and definitive crown : case report
• Author: Dario Žujić; VIAF: 67146634287241930412
• Mentor: Marko Jakovac (mentor)
• Committee member: Andreja Carek (predsjednik povjerenstva)
• Committee member: Marko Jakovac (član povjerenstva)
• Committee member: Slađana Milardović Ortolan (član povjerenstva)
• Committee member: Lana Bergman (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; Prosthetic Dentistry

Abstract

Rehabilitacija dentalnim implantatima svojom predvidivošću i visokim postotkom uspješnosti postaje terapija izbora prilikom nadoknade izgubljenog zuba. Gubitak zuba predstavlja velik problem, ne samo zbog narušene estetske, fonetske i funkcijske komponente stomatognatnog sustava već uzrokuje i duševne traume osobito kada se radi o nedostatku zuba u interkaninom segmentu. Slijedom navedenog, nedostatak zuba u prednjoj estetskoj zoni predstavlja jedan od najzahtjevnijih zadataka za kliničara zbog važnosti postizanja optimalnog estetskog rezultata. Predvidivo oblikovanje mekih tkiva uokolo implantata stvarajući idealni izlazni profil pomoću privremene i trajne krunice te postizanje stabilnosti i harmonije mekih i tvrdih tkiva jedan su od ključnih faktora estetike na implantatima. Bitan faktor uspješnosti su i implantatne nadogradnje te izbor materijala od kojeg su građene. U prednjem segmentu je iz estetskih razloga materijal izbora za implantatnu nadogradnju cirkonij-oksid zbog postizanja ljepšeg završnog protetskog rezultata. Ovaj rad opisuje tehniku postizanja optimalnog izgleda mekih tkiva nakon imedijatne ugradnje dentalnog implantata u estetskoj zoni. Prikazuje se atramuatska tehnika ekstrakcije zuba uz očuvanje okolnih tkiva, postava dentalnog implantata te postava imedijatne privremene krunice. Nakon perioda oseointegracije prikazuje se faza prijenosa postignutog rezultata pomoću individualno prilagođenog otisnog prijenosnika, odabir optimalne implantatne nadogradnje te završni rezultat trajne krunice.

Abstract (english)

Dental implant rehabilitation, with its predictability and a high success rate, becomes the therapy of choice for the replacement of a lost tooth. Tooth loss is a major problem because not only does it cause the disturbed aesthetic, phonetic, and functional components of the stomatognathic system, but it can also afflict emotional trauma, especially when it comes to missing teeth in the intercanine segment. Consequently, the lack of teeth in the anterior aesthetic zone is one of the most challenging tasks for the clinician due to the importance of achieving optimum aesthetic outcome. Predicting the soft tissue profile changes around implants, creating an ideal emergence profile using temporary and permanent crown, and achieving stability and harmony of soft and hard tissues are key factors in implant aesthetics. Important success factors are implant abutments and the choice of material they are made of. In the anterior segment, the material of choice for implant abutments is zirconium oxide due to the improved aesthetic appearance. This paper describes a technique for achieving an optimum soft tissue appearance after the immediate implantation of a dental implant in the aesthetic zone. The atraumatic tooth extraction with the preservation of surrounding tissues, the placement of a dental implant, and the placement of an immediate temporary crown are presented. After a period of osseointegration, impression phase of the achieved result is shown using individually tailored implant impression coping, a proper abutment selection, and definitive crown placement results are also shown.

• Keywords: krunice; zubni implantati; dentalna estetika
• Keywords (english): Crowns; Dental Implants; Dental Esthetics
• Language: croatian
• URN:NBN: urn:nbn:hr:127:571674
• 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: 2020-11-19 12:25:44