Kriterij odlučivanja: Implantat ili zub?

master's thesis

• Title (english): Criteria of decision making in compromised cases: is an implant preferred to a tooth
• Author: Filip Blažević
• Mentor: Andreja Carek (mentor)
• Committee member: Andreja Carek (predsjednik povjerenstva)
• Committee member: Hrvoje Brkić (član povjerenstva)
• Committee member: Jurica Matijević (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Fixed Prosthodontics); Zagreb
• Defense date and country: 2021-09-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Karijesi, parodontne bolesti i traume najčešće dovode do narušavanja biološke stabilnosti zuba. Narušavanjem biološke stabilnosti zuba može doći do njegova gubitka. Na doktoru dentalne medicine je da učini sve kako bi zub opstao što duže. Kriteriji odlučivanja opstanka zuba ili ugradnje implantata izrazito su složeni. Za uspješnost obje terapije izrazito su važni klinički
pregled, radiološka analiza te razgovor s pacijentom. Doktor dentalne medicine na temelju prikupljenih podataka iz anamneze i kliničkog pregleda treba procijeniti koji zub ima dugoročnu šansu preživljavanja u usnoj šupljini, a koji je indiciran za ekstrakciju te posljedičnu ugradnju dentalnog implantata. Iako je dentalna implantologija postala glavni terapijski postupak u nadoknađivanju izgubljenih zubi, ona nije uvijek indicirana. Zubi s dovoljnom količinom potporne kosti, povoljnim omjerom kliničke krune i korijena, dovoljnim tvrdim zubnim tkivom imaju veliku mogućnost opstanka u usnoj šupljini nakon pravilno provedenih
endodontskih i parodontoloških zahvata. Istraživanja pokazuju da je dugoročni uspjeh implantata i kompromitiranog zuba sličan te se pravilno isplaniranom terapijom uvelike može povećati uspješnost obje terapije. Kada se govori o implantoprotetskoj terapiji, na umu treba imati da nisu svi pacijenti kandidati za ugradnju implantata. Postoje lokalne i sistemske kontraindikacije koje bi se trebale poštovati te utjecati na odluku o ugradnji implantata. Za koju god se terapiju terapeut odlučio, ona mora biti napravljeno propisno i u skladu s etičkim načelima.

Abstract (english)

Caries, periodontal diseases and trauma most often lead to impaired biological stability of teeth. Disruption of the biological stability of the tooth can lead to its loss. The dentist should do all he can to preserve the tooth as long as possible. The criteria for deciding on tooth survival or implant placement are extremely complex. Clinical examination, radiological analysis and a conversation with the patient are extremely important for the success of both therapies. Based on the collected data from the anamnesis and clinical examination, the dentist should assess which tooth has a long-term chance of survival in the oral cavity, and which one is indicated for extraction and subsequent implant placement. Although dental implantology has become the main therapeutic procedure in compensating for lost teeth, it is not always indicated. Teeth with a sufficient amount of supporting bone, a favourable ratio of clinical crown and root, sufficiently hard dental tissue have a high possibility of survival in the oral cavity after properly performed endodontic and periodontal procedures. Researches show that the long-term success of an implant and a compromised tooth is similar, so properly planned therapy can greatly increase the success of both therapies. When it comes to implant prosthetic therapy, one should keep in mind that not all patients are candidates for an implant placement. There are local and systemic contraindications that should be respected and influence the decision to opt for an implant placement. Whatever therapy the therapist chooses, it has to be done properly and in accordance with ethical principles.

• Keywords: protetika; zubni implantati; uloga stomatologa
• Keywords (english): Prosthodontics; Dental Implants; Dentist's Role
• Language: croatian
• URN:NBN: urn:nbn:hr:127:654482
• 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: 2021-11-26 08:45:55