Imedijatna implantacija u premolarnoj regiji gornje čeljusti-prikaz slučaja

postgraduate specialist thesis

• Title (english): Immediate implantation in the premolar region of the upper jaw-case report
• Author: Muamer Kovačević
• Mentor: Marko Vuletić (mentor)
• Committee member: Anja Baraba (predsjednik povjerenstva)
• Committee member: Marko Vuletić (član povjerenstva)
• Committee member: Marko Granić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2024-11-25, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Imedijatna implantacija predstavlja postavljanje implantata odmah nakon ekstrakcije zuba kada se implantat postavlja u zubnu alveolu ekstrahiranog zuba. Imedijatni protokol mo~e se koristiti kao terapija za zamjenu jednoga zuba, djelominu bezubost ili potpunu bezubost. Imedijatna implantacija, definirana kao ugradnja dentalnog implantata odmah u svje~u ekstrakcijsku alveolu, smatra se predvidljivim i prihvatljivim postupkom. Kod imedijatne implantacije nema potrebe ekati formiranje kosti nakon ekstrakcije zuba. Mnoga istra~ivanja pokazala su da je gubitak krestalne kosti manji kod imedijatno ugrađenih implantata iz razloga bto e smanjena kirurbka trauma imedijatne implantacije smanjiti rizik od nekroze kosti i omoguiti proces pregradnje kosti, odnosno da je razdoblje cijeljenja br~e i omoguuje transformaciju trabekularne kosti u lamelarnu kost. Prirodna alveola je bogata parodontnim stanicama i matriksom te ini cijeljenje br~im i predvidljivijim. U radu je prikazan kliniki sluaj oralne rehabilitacije u podruju gornjeg desnog prvog premolara u 28-godibnje pacijentice. Pacijentica je dobla u ordinaciju ~alei se na estetski problem zbog horizontalne frakture premolara. Radiolobkom analizom utvrđen je opse~ni sekundarni karijes ispod razine okolne krestalne kosti koji nije bilo mogue adekvatno sanirati klasinim konzervativnim i protetskim zbrinjavanjem. Pacijentici je predlo~ena ekstrakcija zuba i ugradnja implantata u ekstrahiranu alveolu. Prilikom implantacije implantat s promjenom platforme i koninom vezom polo~en je subkrestalno s ciljem poveanja vertikalne debljine mekih tkiva.

Abstract (english)

Immediate implantation is the placement of an implant that is done immediately after tooth extraction, during which the implant is placed in the dental alveolus of the extracted tooth. The immediate protocol can be used as a therapy for replacing one tooth, partial toothlessness or complete toothlessness. Immediate implantation, defined as the installation of a dental implant immediately into a fresh extraction alveolus, is considered a predictable and acceptable procedure. There is no need to wait for bone formation after tooth extraction with immediate implantation. Many studies have shown that crestal bone loss is less with immediately implanted implants for the reason that the reduced surgical trauma of immediate implantation will reduce the risk of bone necrosis and enable the bone remodeling process, that is healing period is fast and allows trabecular bone to transform into lamellar bone. The natural alveolus is rich in periodontal cells and matrix and makes healing faster and more predictable. The case report presents a clinical case of oral rehabilitation in the area of the upper first premolar in a 28-year-old female patient. The patient came to the office complaining of an aesthetic problem due to a horizontal premolar fracture. Radiological analysis revealed extensive secondary caries that goes below the level of the surrounding crestal bone, which could not be adequately treated with classic conservative and prosthetic treatment. The patient was offered the extraction of the mentioned tooth and the installation of the implant in the extracted alveolus. During implantation, the implant with a wide conical connection is placed subcrestally with the aim of increasing the vertical thickness of the soft tissues.

• Keywords: zubni implantati; presađivanje kosti; gubitak alveolarne kosti; zubna alveola
• Keywords (english): Dental Implants; Bone Transplantation; Alveolar Bone Loss; Tooth Socket
• Language: croatian
• URN:NBN: urn:nbn:hr:127:187798
• 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: Open access
• Created on: 2024-11-26 09:41:56