Nadoknada maksilarnog inciziva protetski vođenom implantologijom s unaprijed izrađenim privremenim nadomjestkom - prikaz slučaja

professional thesis

• Title (english): Supplementation of a maxilar incisive prosthetically guided implantology with preliminary temporary substitution - case report
• Author: Davor Vučinić
• Mentor: Domagoj Vražić (mentor)
• Committee member: Darije Plančak (predsjednik povjerenstva)
• Committee member: Domagoj Vražić (član povjerenstva)
• Committee member: Darko Božić (član povjerenstva)
• Committee member: Ana Badovinac (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Periodontology); Zagreb
• Defense date and country: 2021-06-10, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

Implantoprotetska terapija u estetskoj zoni složen je i dugotrajan terapijski proces koji zahtijeva multidisciplinarni pristup u analizi, dijagnostici, izradi plana terapije i njenom provođenju. Kombinacijom znanja protetičara i oralnog kirurga u suradnji s dentalnim tehničarom postiže se estetski i funkcionalno optimalni rezultat. Postoji više mogućnosti opterećivanja implantata: imedijatno, rano i odgođeno. Imedijatno opterećenje podrazumijeva postavljanje protetskog rada neposredno po ugradnji implantata.
Kako bi se to uspješno izvelo, koriste se kirurške vodilice koje omogućavaju navođenu ugradnju implantata i mogućnost izrade privremenog protetskog nadomjestka prije ugradnje implantata. Prednost ovakvog jednofaznog postupka je kraće ukupno vrijeme potrebno za implantoprotetsku rehabilitaciju. Imedijatno postavljanje privremenog protetskog nadomjestka rezultira pozitivnim psihološkim i socijalnim učincima kod pacijenta. Prikaz slučaja predstavlja postupak izrade računalno navođene ugradnje implantata i izrade privremenog nadomjestka kroz sve faze terapije: od planiranja, laboratorijske izrade privremenog nadomjestka, kirurškog postupka do laboratorijske izrade definitivnog nadomjestka. Kako bi se postigao optimalni izlazni profil, potrebna je pažljiva i detaljno planirana izrada privremenog nadomjestka neposredno nakon ugradnje implantata, a ponekad je potrebna i dodatna augmentacija volumena mekih tkiva tehnikama mekotkivnih transplantata ili njihovim nadomjestcima.

Abstract (english)

Implant prosthetic therapy in the aesthetic zone is a complex and long-lasting therapeutic process that requires a multidisciplinary approach in the analysis, diagnosis, development of a treatment plan and its implementation. By combining the knowledge of a prosthetist and an oral surgeon in collaboration with a dental technician, an aesthetically and functionally satisfactory result is achieved. There are several possibilities for implant loading: immediate, early and delayed. Immediate loading means placing prosthetic work on the patient immediately after implant placement, and in order to perform this, surgical guides are needed, which enable the guided implant placement and the possibility of making a temporary prosthetic replacement before implant placement. The advantage of this method of implant prosthesis is that there is only one procedure and the duration is the same with the placement of a temporary prosthetic replacement, which results in positive psychological and sociological effects on the patient. The case report presents the process of making a computer-guided implant placement and making a temporary replacement through all phases of therapy from planning, laboratory making and surgical procedure. Choosing between a mobile or fixed temporary replacement in practice has shown that there are minimal differences between them. When satisfactory conditions exist, a fixed temporary replacement is recommended for easier oral hygiene, prosthetic replacement repairs, and the ability to control and model the output profile upon initiation of therapy. In order to achieve the optimal output profile, careful and detailed planning of temporary
replacement immediately after implant placement is required, and sometimes additional soft tissue volume augmentation by soft tissue transplant techniques or their replacements.

• Keywords: dentalna implantologija; privremena zubna restauracija; računalom vođeno oblikovanje
• Keywords (english): Dental Implantation; Permanent Dental Restauration; Computer-Aided Design
• Language: croatian
• URN:NBN: urn:nbn:hr:127:221781
• 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: 2021-08-25 08:53:36