Estetika i dizajn u restaurativnim postupcima

master's thesis

• Title (english): Aesthetic and design of restorative procedures
• Author: Dina Ivanović
• Mentor: Valentina Rajić (mentor)
• Committee member: Valentina Rajić (predsjednik povjerenstva)
• Committee member: Tomislav Škrinjarić (član povjerenstva)
• Committee member: Marko Vuletić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Endodontics and Restorative Dentistry); Zagreb
• Defense date and country: 2021-09-07, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Endodonics and Restorative Dentistry

Abstract

Estetska dentalna medicina ranije je bila usmjerena isključivo na zbrinjavanje patoloških stanja tvrdih i mekih zubnih tkiva. Doktori dentalne medicine u novije vrijeme postaju dizajneri nadomjestka čime osiguravaju njegov oblik i funkciju, ali istovremeno trebaju udovoljiti visokim estetskim zahtjevima. U ovom radu prikazana su dva klinička slučaja iz područja restaurativne dentalne medicine. U prvom slučaju prikazano je izbjeljivanje zuba profesionalnim gelom za izbjeljivanje na bazi 38% vodikovog peroksida. Nakon provedene anamneze u kojoj su potvrđene indikacije za izbjeljivanje, pristupilo se restaurativnom postupku. Postignuta je promjena boje iz B2 u B1 po Vita ključu boja. Pacijentu je objašnjen postoperativni tijek te su dane upute o mogućoj
privremenoj dentinskoj preosjetljivosti. U drugom slučaju rađena je direktna kompozitna faseta na gornjem desnom incizivu koji je s vremenom potamnio. Postupak je započet minimalno invazivnim brušenjem vestibularne plohe, a korištena je freehand tehnika nadogradnje zuba nanohibridnim VOCO kompozitima koji imaju izrazitu biokompatibilnost i otpornost na diskoloraciju. Nakon rehidracije zuba i kontrolnog pregleda, učinjene su manje korekcije te je postignut zadovoljavajući estetski rezultat i usklađenost zubnog luka na zadovoljstvo pacijentice. U novoj eri estetske dentalne medicine dominiraju konzervativni postupci i minimalno invazivni zahvati. Težište je na očuvanju intaktnih prirodnih zubi te maksimalnom očuvanju tvrdih zubnih tkiva. Cilj je uskladiti kompoziciju lica te što bolje oponašati prirodnu konturu i strukturu zuba.

Abstract (english)

Aesthetic dental medicine was previously focused exclusively on the management of pathological conditions of hard and soft dental tissues. Dentists have recently become replacement designers to ensure its shape and function, but at the same time they need to meet high aesthetic requirements. In this paper, two clinical cases from the field of restorative dental medicine are presented. In the first case, tooth whitening with a professional whitening gel based on 38% hydrogen peroxide is shown. After an anamnesis in which the indications for whitening were confirmed, the restoration procedure was started. A color change was achieved from B2 to B1 per Vita color key. The patient obtained information regarding the postoperative period and was given instructions on possible temporary dentinal hypersensitivity. In the second case, a direct composite veneer was made on the upper right incisor, which darkened over time. The procedure began with minimally invasive grinding of the vestibular surface, and the freehand technique of tooth extension with nanohybrid VOCO composites that have extensive biocompatibility and discoloration resistance was used. After rehydration of the tooth and control examination, a few corrections were made and a satisfactory aesthetic result was achieved, as well as compliance of the dental arch to the satisfaction of patient. The new era of aesthetic dental medicine is dominated by conservative procedures and minimally invasive procedures. The focus is on the preservation of intact natural teeth and the maximum preservation of hard dental tissues. The goal is to adjust the composition of the face as much as possible to mimic the natural contour and structure of the teeth.

• Keywords: stomatološka estetika; ; izbjeljivanje zuba; kompozitne smole; zubne ljuskice
• Keywords (english): Dental Esthetics; Tooth Bleaching; Composite Resins; Dental Veneers
• Language: croatian
• URN:NBN: urn:nbn:hr:127:505128
• 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: Access restricted to students and staff of home institution
• Created on: 2021-12-29 09:26:50