Terapija oštećenja račvališta višekorijenskih zuba

master's thesis

• Title (english): Therapy of damage to the forks of multi-rooted teeth
• Author: Tomislav Domić
• Mentor: Darije Plančak (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2006, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Parodontologija je stomatološka klinička disciplina koja proučava parodont kao dio funkcijske cjeline žvačnog sustava i utjecaj parodontnih bolesti na gubitak zuba. Kao poseban problem u parodontologiji javlja se problem oštećenja parodonta u području račvališta korijena. Od primarnih čimbenika u etiologiji oštećenja račvališta ističe se zubni kamenac, te bakterijski plak koji čini organski matriks zubnog kamenca. U predisponirajuće čimbenike ubrojani su anatomija korijena, caklinski produljak, caklinske perle, grebeni u račvalištu korijena, akcesorni pulpni kanalić te okluzalna trauma. Za odabir određene terapijske metode potrebno je znati stupanj oštećenja račvališta. Konzervativna terapija indicirana je u slučajevima početnog parodontitisa i može se rabiti kao potpuno samostalna metoda. Uključuje zatvoreno čišćenje parodontnih džepova. Pacijent mora najprije imati demonstriranu odgovarajuću motivaciju i kućnu njegu. Najčešća metoda za odstranjivanje subgingivnog zubnog kamenca je struganje i poliranje korijena. Na mjestima gdje konzervativna terapija nije bila dostatna, poduzima se parodontno kirurško liječenje. Unutar tog liječenja razlikujemo tri metode: gingivektomiju i gingivoplastiku, zahvat na kosti, operaciju režnja i mukogingivni kirurški zahvat. Sukladno ciljevima regenerativne parodontne terapije u osamdesetim godinama prošlog stoljeća u praksu se uvodi GTR- tehnika.
Za vrijeme cijeljenja tim se postupkom dopušta jedino stanicama parodontnog ligamenta naseljavanje površine korijena i sprječava postavljanjem membrane apikalna migracija oralnog epitela duž korijena zuba. Postupak tuneliranja kao terapijska mogućnost za liječenje zubi s jakim furkacijskim defektima do danas je najmanje istražen. Tim se postupkom omogućuje kontrola
plaka i pristup interdentalnih četkica kanalu radi održavanja higijene. Separacija zuba kod oštećenog račvališta je postupak podjele zuba na dva dijela, čime se povećava kontrola plaka.

Abstract (english)

Parodontology is a stomatological clinical discipline which studies periodont as a part of functional whole of masticatory system and the influence of periodontal disease on tooth loss. As a specific problem in parodontology appears the problem
of periodontal damage in the area of root furcations. Some of the primary factors in the etiology of furcations damage are tooth plaque and bacterial plaque which makes up the organic matrix of tooth plaque. Predisposition factors include root anatomy enamel extension, enamel perls, ridges on root furcations, accessary pulp channel and occlusal trauma. To choose the adequate therapeutical method, is necessary to know the level of furcation damage. Conservative therapy is indicated in the casis of initial periodontitis and can be used as a completely independent method. It includes the subgingival cleaning of periodontal pockets. The patient first must demonstrate certain motivation and degree of house care. The most often used method of subgingival tooth plaque removal is root scaling and planing. On places where non-surgical therapy proved insufficient periodontal surgical treatment must be performed. We distinguish among 3 different surgical methods: gingivectomy and gingivoplastic, bone operation, flap operation and the muccoginigival surgery. In accordance with the aims of regenerative periodontal therapy the eighties have brought the introduction of GTR techinque into practice. During the period of healing this procedure allows only the cells of the periodontal ligament to plant on the root surface and prevents by placing a membrane the apical migration of oral epitel along the tooth root. Root resection includes cutting or removing the root with the supporting part of the crown and the pulp tissue or without them. The tunneling procedure is until today the least studied therapeutical possibility in the treatment of teeth with strong furcational defects. This procedure ensures plaque control and access for interdental brushes for means of hygiene maintanence.
Tooth separation in the case of furcation damage is a procedure where the tooth is devided into two parts which increases plaque control.

• Keywords: parodont; korijen zuba; kiretaža
• Keywords (english): Periodontium; Tooth Root; Dental Scaling
• Language: croatian
• URN:NBN: urn:nbn:hr:127:675305
• 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: Closed access
• Created on: 2024-08-30 09:30:47