Klinička analiza materijala u vitalnom liječenju pulpe mladih trajnih zuba

master's thesis

• Title (english): Clinical analysis of materials for vital pulp therapy in young permanent teeth
• Author: Ana Lipovac
• Mentor: Walter Dukić (mentor)
• Committee member: Walter Dukić (predsjednik povjerenstva)
• Committee member: Kristina Goršeta (član povjerenstva)
• Committee member: Nada Galić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Paediatric and Preventive Dentistry); Zagreb
• Defense date and country: 2022-09-30, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Children's and Preventive Dental Medicine

Abstract

Fiziološka je pojava da zubi i nakon nicanja u usnu šupljinu nastavljaju rast i razvoj te se u tom stadiju mogu svrstati u skupinu mladih trajnih zuba. Oni su podložni djelovanju vanjskih čimbenika – karijesu ili traumi, što može te procese usporiti i/ili zaustaviti. No, čak i u slučajevima dubokog karijesa ili komplicirane traume, ako je pulpa još u stanju pulpnog zdravlja ili ireverzibilnog pulpitisa, moguće je njezino održanje – vitalnim liječenjem pulpe. To je koncept u kojem će prekrivanjem pulpe određenim materijalom doći do nastanka kalcificiranog mosta, održanja vitaliteta tkiva te posljedično nastavka fizioloških procesa –
apeksogeneze i maturogeneze. Cilj ovoga rada je ispitati klinički uspjeh određenih materijala u terapijskim postupcima –
direktnom prekrivanju pulpe, indirektnom prekrivanju pulpe i pulpotomiji u mladih trajnih zuba. Literatura je pretraživana na stranici PubMed Medline gdje je od 1484 rada na temu vitalnog liječenja pulpe probrano 14 radova koji su ušli u detaljnu analizu. Iz istraživanja isključeni su svi radovi koji se tiču primarne denticije ili zrelih trajnih zuba. Također su isključene sve histološke i mikrobiološke analize. Bibliometrijskom analizom dobiveni su podaci o zastupljenosti vrste istraživanja (najčešća je klinička analiza), godini izdavanja (porast broja istraživanja nakon 2019. godine), materijalu (najviše puta istraživan je mineralni trioksidni agregat) te terapijskom postupku (najviše puta istraživana je pulpotomija). Analizom kliničkog uspjeha, svi materijali pokazuju održanje vitaliteta od 72,2 do 100 % i nema statistički značajne razlike između istraživanih materijala. Apeksogeneza je nastavljena u svih uspješnih slučajeva, a završena u 40 do 100 %. Vitalno liječenje pulpe u mladih trajnih zuba ima visoku kliničku uspješnost ako su indikacije dobro postavljene te klinički postupak prati preporuke. No, potrebno je još istraživanja na
mladim trajnim zubima.

Abstract (english)

It is a physiological phenomenon that teeth after eruption continue to grow and develop and, at that stage, can be classified as immature permanent teeth. These teeth are prone to external factors – caries or trauma, which can slow down and/or terminate these processes. Nonetheless, even in cases with deep cavities or complicated fractures, if the pulp is still healthy or reversibly inflamed, it is possible to keep its vitality – with vital pulp therapy. It is a concept in which dressing the pulp with a material leads to formation of a calcified bridge, maintenance of vitality and consequently to continuation of physiological processes of apexogenesis and maturogenesis. The aim of this study is to investigate clinical success of given materials used in treatments – direct pulp capping, indirect pulp capping and pulpotomy in immature permanent teeth. Literature was searched on PubMed Medline, and 14 out of the 1484 resarch papers were selected for detailed analysis. Papers dealing with primary dentition and mature permanent teeth were excluded, as were all histologic and microbiologic studies.
Information about the type of research (the most common being clinical analysis), the year of issue (with the increase after 2019), the material (the most common being mineral trioxide aggregate), treatment (the most common being pulpotomy). Clinical analysis showed that all materials showed succes from 72,2% up to 100%. There is no statistical significance between the materials. All of the successful cases showed continued apexogenesis, which was finished in 40 to 100% of cases. Vital pulp therapy has a high percentage of clinical success, if the indications are set correctly and the clinical protocol follows recommendations. Nevertheless, there should be more research including only immature permanent teeth.

• Keywords: stomatološka skrb za djecu; trajna denticija; zubna pulpa; agregat mineralnog trioksida
• Keywords (english): Dental Care for Children; Permanent Dentition; Dental Pulp; Mineral Trioxide Aggregate
• Language: croatian
• URN:NBN: urn:nbn:hr:127:065046
• 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: 2022-10-25 10:19:45