Koliko je uspješna regenerativna parodontološka kirurgija na temelju varijable zatvaranja džepa?

master's thesis

• Title (english): How successful is regenerative periodontal therapy based on pocket closure results?
• Author: Nikolina Jukić
• Mentor: Darko Božić (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2023-09-22, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

Parodontitis je kronična multifaktorijalna upalna bolest karakterizirana progresivnom destrukcijom pričvrsnog aparata zuba uključujući periodontalni ligament i alveolarnu kost. Progresijom parodontitisa dolazi do nastanka parodontnih intrakoštanih defekata, koji povećavaju rizik za progresiju bolesti i uglavnom zahtijevaju dodatnu kiruršku terapiju. U regenerativnu parodontološku kirurgiju spadaju postupci koji za cilj imaju obnovu izgubljene parodontne potpore, to jest, stvaranje novog cementa s urastajućim kolagenim vlaknima, novog periodontalnog ligamenta i nove alveolarne kosti. Različitim istraživanjima te dugoročnim praćenjima parodontoloških pacijenata pokazalo se kako je regenerativna parodontološka terapija izrazito djelotvorna u očuvanju zuba. Regenerativnom terapijom intrakoštanih defekata postignuta je veća redukcija dubine sondiranja (PPD) i veći dobitak razine kliničkog pričvrska u odnosu na otvoreno struganje i poliranje korijena. Primjenom metoda očuvanja papile te minimalno invazivnih zahvata značajno su poboljšani klinički i radiološki rezultati regenerativne terapije. Različiti su načini procjene regeneracije parodonta, a u kliničkoj praksi najčešće se koriste postoperativne vrijednosti PPD-a i CAL-a. Jedan od načina prikazivanja rezultata je varijabla zatvaranja džepa (eng. pocket resolution), definirana kao PPD ≤ 4 mm te PPD ≤ 3 mm. Promatranjem uspješnosti na temelju varijable zatvaranja džepova može se zaključiti kako EMD i GTR predstavljaju održive kirurške pristupe u postizanju zatvaranja džepa.

Abstract (english)

Periodontitis is a chronic multifactorial inflammatory disease characterized by progressive destruction of the tooth-supporting apparatus including the periodontal ligament and alveolar bone. The progression of periodontitis leads to the formation of periodontal intraosseous defects, which increase the risk of disease progression and generally require additional surgical therapy. Regenerative periodontal therapy includes procedures aimed at restoring lost periodontal support, that is, creating new cement with growing collagen fibers, new periodontal ligament and new alveolar bone. Various researches and long-term monitoring of periodontal patients have shown that regenerative periodontal therapy is extremely effective in preserving teeth. Regenerative therapy of intraosseous defects achieved a greater reduction in pocket probing depth (PPD) and a greater gain in the level of clinical attachment compared to open flap debridement. Application of papilla preservation methods and minimally invasive procedures significantly improved the clinical and radiological results. There are different ways of assessing periodontal regeneration, and in clinical practice, postoperative PPD and CAL values are most often used. One way of displaying the results is the pocket resolution variable, defined as PPD ≤ 4 mm and PPD ≤ 3 mm. By observing the success rate based on the pocket closure variable, it can be concluded that EMD and GTR represent viable surgical approaches in achieving pocket closure.

• Keywords: parodontitis; regenerativna parodontološka kirurgija; zatvaranje džepa
• Keywords (english): periodontitis; regenerative periodontal therapy; pocket closure
• Language: croatian
• URN:NBN: urn:nbn:hr:127:114357
• 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: 2023-09-18 14:02:11