Hibridni mostovi u terapiji skraćenog zubnog niza - prikaz slučaja

professional thesis

• Title (english): Tooth implant supported fixed prosthesis in the therapy of shortened dental arch - case study
• Author: Krešimir Matoš
• Mentor: Ketij Mehulić (mentor)
• Committee member: Dubravka Knezović Zlatarić (predsjednik povjerenstva)
• Committee member: Ketij Mehulić (član povjerenstva)
• Committee member: Joško Viskić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2023-07-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Zadatak stomatološke protetike jest uspostava funkcije i estetike u ustima pacijenta. Izrada kompleksnih radova zahtijeva poznavanje tehnika i materijala koji će se primijeniti u svim fazama protetske sanacije. Faze rada su brojne: brušenje zubi, otiskivanje, određivanje međučeljusnih odnosa, probe protetskih konstrukcija u ustima pacijenata, cementiranje i kontrole. Brušenje zahtijeva znanje, spretnost i iskustvo stomatologa. Bitno je odlučiti koja će se tehnika brušenja upotrijebiti s obzirom na budući nadomjestak i gradivni materijal. Potrebno je poznavati i znati dobro procijeniti biološke čimbenike preostalih zubi i okolnih tkiva. Znanje o otisnim materijalima i otisnim tehnikama važno je radi izrade radnog modela na kojemu će zubni tehničar napraviti
budući nadomjestak. Potrebno je napraviti točnu registraciju međučeljusnih odnosa, inače će protetski nadomjestak smetati pacijentu i uzrokovati mu višestruke i dugoročne probleme. Protetska terapija završava u ovoj radnoj fazi s cementiranjem fiksnog nadomjeska, dok skrb o protetskom pacijentu traje doživotno. U ovome radu prikazana je protetska sanacija djelomično bezubog pacijenta primjenom hibridnog mosta. U kliničkoj praksi česte su situacije kada se ugradnjom jednog implantata (najčešće u
distalnoj regiji) pacijent opskrbljuje fiksnim nadomjeskom koji je pacijentu ugodniji od mobilnog. Ujedno se želi ukazati na moguće komplikacije i poteškoće u terapiji s hibridnim mostom. Prikazom slučaja demonstrirane su sve terapijske faze te ishod protetske rehabilitacije.

Abstract (english)

The task of prosthodontics is to establish function and aesthetics in the patient's mouth. Making complex prosthodontic constructions requires knowledge of techniques and materials that will be used in all phases of prosthodontic treatment. The treatment phases are many; teeth preparation, impression taking, determination of intermaxillary relations, testing of prosthetic structures in the patient's mouth, cementation and dental checkups. Tooth preparation requires skill and experience. It is important to decide which preparation technique will be used with regard to future replacements and material. Knowledge of impression materials and impression techniques is essential to create a working model on which the dental technician will make the future restoration. It is necessary to make an accurate registration of intermaxillary relations, otherwise the prosthetic replacement will cause the patient discomfort and long-term problems in the temporomandibular joint. Knowledge of the biological aspects of teeth and surrounding tissues is significant as well. Prosthetic therapy ends in
this working phase with the cementation of the fixed restoration, but the patient requires lifetime care. This paper presents the prosthetic restoration of a partially edentulous patient using a tooth implant supported fixed prosthesis. In clinical practice, there are frequent situations in which the installation of one implant, usually in the distal region, provides the patient with a fixed restoration that is undoubtedly more comfortable for the patient compared to a mobile one. At the same time, possible complications and difficulties in therapy with a tooth implant supported fixed prosthesis need to be pointed out. The case study demonstrates all therapeutic phases, as well as the outcome of the prosthetic rehabilitation.

• Keywords: zubna proteza podržana implantatima; zubni implantati; cirkonij oksid
• Keywords (english): Dental Prosthesis Implant-Supported; Dental Implants; Zirconium Oxide
• Language: croatian
• URN:NBN: urn:nbn:hr:127:835846
• 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: 2023-08-25 09:02:53