Protetska rehabilitacija pokrovnim protezama na implantatima

professional thesis

• Title (english): Prosthetic rehabilitation with implant-retained overdentures
• Author: Ante Kujundžić
• Mentor: Joško Viskić (mentor)
• Committee member: Slađana Milardović Ortolan (predsjednik povjerenstva)
• Committee member: Joško Viskić (član povjerenstva)
• Committee member: Lana Bergman (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2023-07-21, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Pitanje potpunog nedostatka zubi kompleksan je biomehanički problem koji se uobičajeno rješava izradom totalnih proteza. Međutim, takve proteze se oslanjaju samo na učinak ventila kako bi se zadržale na svom ležištu te često ne pružaju adekvatnu retenciju i stabilizaciju, što rezultira nezadovoljnim pacijentom kad je funkcija žvakanja u pitanju. Suvremena dentalna medicina nudi rješenje u obliku fiksnih ili mobilnih nadomjestaka koje se pričvršćuju na implantate. Pokrovne proteze na implantatima predstavljaju mobilni nadomjestak koji može nadoknaditi čak i iznimno resorbirane alveolarne grebene. Niz je studija pokazalo da su pokrovne proteze na implantatima izvanredna terapijska opcija za bezube pacijente, jer u usporedbi s tradicionalnim potpunim protezama značajno poboljšavaju žvačnu funkciju, retenciju i stabilizaciju proteza, a time i kvalitete životu pacijenta povezanu s zdravljem usne šupljine. Najčešće se u retiniranju koriste implantati standardnih dimenzija, međutim, postoje situacije kada je alveolarni greben toliko zahvaćen resorpcijom da ne posjeduje dostatnu širinu za ugradnju takvih implantata, a tad su jedina opcija „mini“ dentalni implantati manjeg promjera od 2,5mm. Njihova je ugradnja minimalno invazivan postupak te cjenovno prihvatljiviji u odnosu na standardne implantate. Zbog niza prednosti te objavljenih studija koja kritički procijenjuju njihovu upotrebu, očekuje se preciznije definiranje (kontra)indikacija za njihovu primjenu.

Abstract (english)

The issue of complete tooth loss represents a complex biomechanical problem that is commonly addressed by fabricating complete dentures. However, such dentures rely solely on the seal effect to maintain their position and often do not provide adequate retention and stability, resulting in patient dissatisfaction with regard to chewing function. Modern dental medicine offers a solution in the form of fixed or removable implant-retained restorations. Implant-retained overdentures represent a removable prosthetic solution that can compensate for even severely resorbed alveolar ridges. Numerous studies have shown that implant-retained overdentures are an excellent therapeutic option for edentulous patients, as they significantly improve chewing function, denture retention, stability, and enhancing oral health-related quality of life. Standard-sized implants are commonly used for retention; however, there are situations where the alveolar ridge is so severely resorbed that it lacks sufficient width for the placement of such implants, and “mini” dental implants with a diameter, smaller than 2.5mm, become the only option. The insertion of mini dental implants is a minimally invasive procedure and more cost-effective than standard implants. Due to their numerous advantages and the growing body of published studies critically assessing their use, a more precise definition of indications and contraindications for their application is expected.

• Keywords: pokrovna zubna proteza; zubna proteza podržana implantatima; zubni implantati; bezuba čeljust
• Keywords (english): Denture Overlay; Dental Prosthesis Implant-Supported; Dental Implants; Jaw Edentulous
• Language: croatian
• URN:NBN: urn:nbn:hr:127:431030
• 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: 2023-08-29 10:59:55