Autotransplantacija zubi - prikaz slučaja

master's thesis

• Title (english): Autotransplantation of teeth - case report
• Author: Matea Tomac
• Mentor: Ivan Zajc (mentor)
• Committee member: Ivan Zajc (predsjednik povjerenstva)
• Committee member: Silvana Jukić Krmek (član povjerenstva)
• Committee member: Marko Granić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Surgery); Zagreb
• Defense date and country: 2024-09-18, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Surgery

Abstract

Autotransplantacija zuba je kirurški postupak premještanja zuba s jednog mjesta na drugo unutar usne šupljine istog pojedinca. Ova je metoda indicirana u slučajevima nedostatka zuba uslijed kongenitalnih anomalija, ektopičnog nicanja, traume te ekstenzivnih karijesnih i endodontskih lezija. U usporedbi s ostalim metodama nadoknade zuba, kao što su protetski nadomjestci i dentalni implantati, autotransplantacija je posebno prikladna za djecu i adolescente jer ne ometa rast i razvoj čeljusti te... More omogućava očuvanje funkcionalnog parodonta, propriocepcije i volumena alveolarne kosti. Kod zuba s nezavršenim rastom i razvojem korijena moguća je revaskularizacija, dok zubi sa završenim rastom i razvojem korijena zahtijevaju endodontsko liječenje radi sprječavanja nekroze pulpe i resorpcije korijena. Donorski zub mora morfološki odgovarati primateljskom mjestu te biti jednostavan za ekstrakciju kako bi se izbjeglo oštećenje parodontnog ligamenta. Očuvanje stanica parodontnog ligamenta tijekom kirurškog zahvata od presudne je važnosti za uspjeh autotransplantacije, zbog čega je važno pažljivo rukovanje zubom, minimalno ekstraoralno vrijeme te čuvanje zuba u njegovoj originalnoj alveoli ili prikladnoj otopini. Komplikacije poput nekroze pulpe, resorpcije korijena i ankiloze predstavljaju najčešće uzroke neuspjeha autotransplantacije, no njihova se pojavnost može značajno smanjiti pažljivim odabirom pacijenata, primjenom odgovarajuće kirurške tehnike i redovitim postoperativnim praćenjem. U ovom radu prikazan je slučaj uspješne autotransplantacije donjeg lijevog trećeg molara s nezavršenim rastom i razvojem korijena na mjesto donjeg lijevog prvog molara indiciranog za ekstrakciju zbog ekstenzivne periapikalne lezije. Less

Abstract (english)

Tooth autotransplantation is the surgical transfer of a tooth from one site to another within the oral cavity of the same individual. This method is indicated in cases of tooth loss due to congenital anomalies, ectopic eruption, trauma, and extensive carious or endodontic lesions. Compared to other tooth replacement methods, such as prosthetic appliances and dental implants, autotransplantation is particularly suitable for children and adolescents, as it does not interfere with the growth... More and development of the jaw, while preserving functional periodontal tissues, proprioception, and alveolar bone volume. In teeth with incomplete root development, revascularization is possible, while teeth with fully developed roots require endodontic treatment to prevent pulp necrosis and root resorption. The donor tooth must morphologically match the recipient site and be easy to extract to avoid damage to the periodontal ligament. Preservation of periodontal ligament cells during the surgical procedure is crucial for the success of autotransplantation, necessitating careful handling of the tooth, minimal extraoral time, and storage in its original socket or an appropriate solution. Complications such as pulp necrosis, root resorption, and ankylosis are the most common causes of autotransplantation failure, but can be significantly reduced through careful patient selection, the application of proper surgical techniques, and regular postoperative monitoring. This paper presents a case of a successful autotransplantation of a lower left third molar with incomplete root development to the site of a lower left first molar, which was indicated for extraction due to an extensive periapical lesion. Less

• Keywords: autotransplantacija zuba; donorski zub; parodontni ligament; oralnokirurški postupci
• Keywords (english): Tooth Autotransplantation; Donor Tooth; Periodontal Ligament; Oral Surgical Procedures
• Language: croatian
• URN:NBN: urn:nbn:hr:127:120971
• 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/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-09-16 16:12:19