Klinička usporedba slobodne i računalno vođene implantacije - prikaz slučaja

postgraduate specialist thesis

• Title (english): Clinical comparsion of free-hand and computer-guided implantation - case report
• Author: Frane Anzulović
• Mentor: Amir Ćatić (mentor)
• Committee member: Andreja Carek (predsjednik povjerenstva)
• Committee member: Amir Ćatić (član povjerenstva)
• Committee member: Josip Biočić (član povjerenstva)
• Committee member: Lana Bergman (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2024-05-08, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Gubitak zuba u ustima uzrokuje negativne posljedice na stomatognati sustav, estetski izgled lica te remeti funkciju žvakanja. Zbog toga je izrazito bitno izgubljene zube što prije nadoknaditi. Nadoknaditi ih se može konvencionalnim protetskim ili implantoprotetskim nadomjeskom. Kako bi implantoprotetska terapija bila uspješna bitno je provesti detaljne dijagnostičke postupke i precizno planiranje terapije. Položaj postavljenog implantata igra veliku ulogu u uspješnosti implantacije i funkcijskoj trajnosti implantoprotetske terapije. Upravo zbog toga sve češće se pri implantaciji koriste kirurške vodilice. Pri njihovom
planiranju prvo se odredi dizajn i oblik proteteskog nadomjeska, a zatim položaj implantata u kosti. Takav koncept planiranja unatrag (eng. „backward planing“) osigurava smještaj implantata u protetski idealnu poziciju. Navođena implantacija pokazala se preciznijom tehnikom u odnosu na slobodnu implantaciju. U ovom radu prikazan je slučaj ugradnje dva implantata na pozicije 36 i 46. Ležište za implantat na poziciji 36 pripremljeno je tehnikom navođene implantacije, a za implantat 46 tehnikom slobodne implantacije. Pomoću intraoralnog skena te CBCT snimke isplanirane su protetski idealne pozicije za smještaj implantata. Nakon
postavljenih implantata usporedio se njihov položaj u odnosu na isplaniranu poziciju. Mjerenjima je potvrđeno da je implantat 36 u protetski boljoj poziciji u odnosu na implantat 46. Nakon završenog perioda oseointegracije izrađene su cirkonij oksidne krunice.

Abstract (english)

The loss of teeth in the mouth causes negative consequences for the stomatognathic system, the aesthetic appearance of the face and disrupts the function of chewing. This is why it is important to replace lost teeth as soon as possible. They can be replaced with a conventional prosthetic or implantoprosthetic prosthesis. For successful implantoprosthetic therapy it is essential to carry out diagnostic procedures and precise therapy planning. The position of the placed implant plays a big role in the success of the implantation and the functional durability of implantoprosthetic therapy. Because of that surgical guides are increasingly in use. In the process of planning surgical guides, the design and the shape of the prosthetic is determined first, and the position of the implant in bone second. Such backward planning concept ensures the placement of the implant in an ideal prosthetic position. Guided implant surgery proved to be a more precise technique compared to free-hand implantation. This paper presents the case of implantation of two implants at position 36 and 46. The socket for the implant at position 36 was prepared using the guided implant surgery, and for the implant 46 using the free-hand implant surgery. Using an intraoral scan and a CBCT image, prosthetically driven positions for implant placement were planned. The measurements made after the implants were placed confirmed that implant 36 was in a prosthetically better position compared to the implant 46.
After the completion of the osseointegration period, zirconium oxide crowns were made.

• Keywords: dentalna implantacija; konična računalna tomografija; krunice; cirkonij oksid
• Keywords (english): Dental Implantation; Cone-Beam Computed Tomography; Crowns; Zirconium Oxide
• Language: croatian
• URN:NBN: urn:nbn:hr:127:127720
• Study programme: Title: Dental implantology; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni specijalist dentalne medicine (sveučilišni specijalist dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Access restricted to students and staff of home institution
• Created on: 2024-05-16 10:43:58