Planiranje fiksnoprotetičkih nadomjestaka

master's thesis

• Title (english): Planning of fixed prosthetic restorations
• Author: Marina Alvir
• Mentor: Josip Kranjčić (mentor)
• Committee member: Josip Kranjčić (predsjednik povjerenstva)
• Committee member: Dubravka Knezović-Zlatarić (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: 2020-07-10, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Planiranje fiksnoprotetiĉke terapije neizostavno je bilo da se radi o nadomjestku jednoga zuba ili o potpunoj oralnoj rehabilitaciji. Protetiĉki nadomjestci trebaju zadovoljiti funkcijske i estetske zahtjeve pacijenta. Danas je stavljen naglasak na estetiku te pacijenti pri dolasku u ordinaciju doktora dentalne medicine imaju već predodţbu budućeg osmijeha. MeĊutim, ponekad nije moguće ispuniti pacijentova oĉekivanja zbog ograniĉenja struke i materijala, a do te spoznaje bitno je doći prije poĉetka ikakve terapije. Plan terapije kreće iscrpnom anamnezom. Nuţno je ostvariti kvalitetnu komunikaciju kako bi se doktor dentalne medicine i pacijent što bolje razumjeli. Slijedi kliniĉki pregled i analiza rendgenskih snimaka kako bi se procijenilo stanje usne šupljine. Potrebno je pacijentu što više pribliţiti izgled budućeg nadomjestka, a to se moţe uĉiniti konvencionalno, pomoću navoštenog modela (wax-up) i privremenog predloška (mock-up). Terapija se moţe planirati i digitalno, i to dvodimenzionalno u softveru kao što je Digital Smile Design ili trodimenzionalno u CAD/CAM programu. Odluku o planu terapije donose zajedno pacijent i doktor dentalne medicine. Ĉesto prije poĉetka protetiĉke terapije treba sanirati postojeće stanje usne šupljine, što zahtijeva interdisciplinarni pristup svakom pacijentu. Nakon sanacije usne šupljine slijedi procjena potencijalnog zuba nosaĉa za fiksnoprotetiĉki nadomjestak. Terapijsko sredstvo odabira s obzirom na situaciju u usnoj šupljini mogu biti kruti ispuni, ljuske, nadogradnje, krunice ili mostovi.

Abstract (english)

The planning of fixed prosthodontic therapy is inevitable, whether it is a single tooth replacement or a complete oral rehabilitation. Prosthodontic appliances should meet both functional and aesthetic requirements of the patient. Today, the emphasis is on the aesthetics, and patients already have an idea of their future smile when they come to the dentist’s office. However, sometimes it is not possible to meet the patient’s expectations due to the limitations of the profession and materials, and it is important the patient realizes this before starting any therapy. The treatment plan starts with a thorough medical history. It is necessary to achieve a quality communication so that the dentist and the patient could understand each other better. This is followed by a clinical examination and X-ray analysis to assess the condition of the oral cavity. It is necessary to bring the patient as close as possible to the appearance of the ensuing prosthodontic appliance, which can be done conventionally, using a model (wax-up) and a provisional template (mock-up). Therapy can also be planned digitally, twodimensionally in softwares such as Digital Smile Design or three-dimensionally in a CAD/CAM program. The decision on the treatment plan is made cooperatively by both the patient and the dentist. Often the existing condition of the oral cavity needs to be treated before starting the prosthodontic therapy, which requires a interdisciplinary approach to each patient. After treating the oral cavity, the assessment of the potential tooth o for a fixed prosthodontic appliance follows. The therapeutic agent of choice, depending on the situation in the oral cavity, can be rigid dental fillings (inlays/onlays/overlays), veneers, posts and cores, crowns or bridges (fixed partial dentures).

• Keywords: zubne proteze; parcijalne; fiksne; terapija uz pomoć računala; klinički protokoli
• Keywords (english): Denture; Partial; Fixed; Therapy; Computer-Assisted; Clinical Protocols
• Language: croatian
• URN:NBN: urn:nbn:hr:127:589933
• 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: 2020-11-27 08:51:39