Čimbenici uspjeha endodontskog liječenja

master's thesis

• Title (english): Success factors of endodontic treatment
• Author: Nikolina Kolarić
• Mentor: Eva Klarić (mentor)
• Committee member: Samir Čimić (član povjerenstva)
• Committee member: Ana Ivanišević (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2024-09-26, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Endodonics and Restorative Dentistry

Abstract

Temeljni je cilj endodontskog liječenja osiguravanje dugotrajne žvačne i estetske funkcije zuba, čije je ireverzibilno i patološki promijenjeno pulpno tkivo moralo biti odstranjeno iz endodontskog prostora uslijed štetnog djelovanja različitih agensa. Uvjet za opstanak takvog zuba u usnoj šupljini uspješna je provedba endodontskog liječenja, čija je uloga spriječiti širenje upale u periapikalna tkiva ili omogućiti uvjete za cijeljenje periapikalne lezije u zubi u kojih je upala već dosegla periapikalna tkiva. Čimbenici koji utječu na ishod endodontskog liječenja dijele se na preoperativne, intraoperativne i postoperativne. Preoperativni čimbenici obuhvaćaju dob i sistemsko zdravlje pacijenta, varijabilnost anatomije endodontskog prostora te preoperativno stanje pulpe i periapeksa. Intraoperativni čimbenici odnose se na kvalitetu provedbe postupaka endodontskog zahvata i podrazumijevaju znanje i iskustvo operatera, adekvatnu izradu pristupnog kaviteta, izolaciju zuba i postizanje suhog radnog polja, kontrolu radne duljine, dostatnu kemomehaničku obradu kanala te adekvatno punjenje korijenskih kanala koje jamči dobro apikalno brtvljenje. Postoperativni čimbenici tiču se postendodontske opskrbe liječenog zuba i odnose se na količinu i kvalitetu preostalog zubnog tkiva, vrstu trajne restauracije, vrijeme proteklo od punjenja kanala do izrade trajne restauracije, kvalitetu koronarnog brtvljenja trajne restauracije te okluziju. Endodontsko liječenje postupak je koji uključuje mnogo koraka, gdje svaki sljedeći korak ovisi o kvaliteti izvedbe prethodnog. Za optimalan uspjeh u obzir se moraju uzeti ne samo pojedinačni čimbenici, već i svaka interakcija među njima.

Abstract (english)

The primary goal of endodontic treatment is to ensure the long-term masticatory and aesthetic function of the tooth, whose irreversible and pathologically changed pulp tissue had to be removed from the endodontic space due to the harmful effects of various agents. A condition for the survival of such a tooth in the oral cavity is the successful implementation of root canal treatment, the role of which is to prevent the spread of inflammation into the periapical tissues or to provide conditions for the healing of the periapical lesion in teeth in which the inflammation has already reached the periapical tissues. Factors affecting the outcome of endodontic treatment are divided into preoperative, intraoperative and postoperative. Preoperative factors include the patient's age and systemic health, the variability of the anatomy of the endodontic space, and the preoperative condition of the pulp and periapex. Intraoperative factors refer to the quality of endodontic procedure implementation and include the knowledge and experience of the operator, adequate access cavity preparation, isolation of the teeth and achievement of a dry working field, control of the working length, sufficient chemomechanical preparation of the canals and adequate filling of the root canals which guarantees good apical sealing. Postoperative factors concern the postendodontic supply of the treated tooth and refer to the quantity and quality of the remaining tooth tissue, the type of permanent restoration, the time elapsed from the filling of the canal to the fabrication of the permanent restoration, the quality of the coronary sealing of the permanent restoration, and the occlusion. Endodontic treatment is a procedure that involves many interdependent steps. For optimal success, not only individual factors must be considered, but also any interaction between them.

• Keywords: endodontsko liječenje; periapikalna lezija; čimbenici uspjeha; trajna restauracija; uspjeh endodontskog liječenja
• Keywords (english): endodontic treatment; periapical lesion; success factors; permanent restoration; success of root canal treatment
• Language: croatian
• URN:NBN: urn:nbn:hr:127:641846
• 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: 2024-09-20 07:14:05