Biokompatibilnost materijala korištenih u stomatološkoj protetici i njihov utjecaj na parodontno zdravlje

master's thesis

• Title (english): Biocompatibility of materials used in prosthetic dentistry and their influence on periodontal health
• Author: Katja Kasač
• Mentor: Domagoj Vražić (mentor)
• Committee member: Domagoj Vražić (predsjednik povjerenstva)
• Committee member: Marko Granić (član povjerenstva)
• Committee member: Samir Čimić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Periodontology); Zagreb
• Defense date and country: 2024-07-10, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

Pri izradi protetskog nadomjestka bitno je osigurati funkcionalnost, estetiku, zdravlje okolnog tkiva i dugotrajnost rada. Da bi do toga došlo, potreban je multidisciplinarni pristup i suradnja protetičara i parodontologa kako bi se pacijent pripremio za protetsku rehabilitaciju i kako bi se odabrao najbolji materijal i vrsta nadomjestka za pacijentovu situaciju. Biokompatibilnost je sposobnost materijala da bude u kontaktu sa živim tkivom bez uzrokovanja štetnog učinka. Materijal koji se koristi u protetske svrhe je predviđen da ostane dugo u usnoj šupljini i bitno je da je biokompatibilan. Također dugoročnost protetskih nadomjestaka ovisi o tkivu koje ga okružuje, stoga je bitno održavati parodontno i periimplantatno zdravlje kako nebi došlo do nepovoljnih posljedica. Parodontno i periimplantatno zdravlje je odsutnost kliničkih znakova upale. Rad je baziran na pregledu literature i usporedbi biokompatibilnosti i utjecaja na parodontno zdravlje različitih materijala u dentalnoj protetici. Materijali koji su proučavani su
materijali za izradu krunica i mostova: cirkonij-oksidna keramika, litijdisilikatna staklo-keramika i metal-keramika i materijali za izradu implantata: titanij i cirkonij-oksid. Uz izbor materijala važna je preparacija zuba prije protetske rehabilitacije i njena lokacija. Supragingivna preparacija je parodontološki povoljnija od subgingivne i, ako estetski zahtjevi dopuštaju, trebala bi se koristiti. Pregledom relevantne literature zaključeno je da je cirkonij-oksid materijal izbora za krunice i mostove zbog njegovih superiornih biokompatibilnih svojstava i bez štetnih učinaka na parodontno zdravlje. Također je zaključeno da je titanij materijal izbora za dentalne implantate zbog dobre oseointegracije, bioinertnosti i male štetnosti za periimplantatno tkivo.

Abstract (english)

When making a prosthetic replacement, it is important to ensure functionality, aesthetics, health of the surrounding tissue and longevity of work. In order to achieve this, a multidisciplinary approach and cooperation between prosthetists and periodontists is needed in order to prepare the patient for prosthetic rehabilitation, and to choose the best material and type of prosthesis for the patient's situation. Biocompatibility is the ability of a material to be in contact with living tissue without harmful effects. The material used for prosthetic purposes is intended to remain in the oral cavity for a long time, thus it is important that it is biocompatible. Another important factor is the fact that the long-term durability of prosthetic replacements depends on the surrounding tissue, so it is important to maintain periodontal and peri-implant health in order to avoid adverse consequences. Periodontal and peri-implant health is the absence of clinical signs of inflammation. This paper is based on a review of literature and a comparison of the biocompatibility of different materials in dental prosthetics and their impact on periodontal health. The materials studied are materials for making crowns and dental bridges, namely zirconium oxide ceramics, lithium disilicate glass-ceramics and metal-ceramics, and materials for making implants - titanium and zirconium oxide. In addition to the choice of material, tooth preparation before prosthetic rehabilitation and its location are important. Supragingival preparation is periodontologically more favorable than subgingival and, if aesthetic requirements
allow, it should be used. A review of relevant literature concluded that zirconium oxide is the material of choice for crowns and bridges due to its superior biocompatible properties, as well as the fact that it had no adverse effects on periodontal health. It was also concluded that choosing titanium materials for dental implants is due to good osseointegration, bioinertness and low damage to peri-implant tissue.

• Keywords: biokompatibilnost; parodontno zdravlje; ispitivanje materijala; periimplantatno zdravlje; parodontne bolesti; dentalni materijali; protetski nadomjestak
• Keywords (english): Biocompatibility; Materials Testing; Periodontal Health; Peri-Implant Health; Periodontal Diseases; Dental Materials; Prosthetic Restoration
• Language: croatian
• URN:NBN: urn:nbn:hr:127:821113
• Study programme: Title: Integrated undergraduate and graduate university study of Dental Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor dentalne medicine (doktor dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-07-03 10:51:25