Pokrovna proteza poduprta s dva implantata u terapiji resorbiranog koštanog grebena donje čeljisti - prikaz slučaja

postgraduate specialist thesis

• Title (english): Overdenture supported by two implants in therapy of resorbed bone ridge of the lower jaw - case report
• Author: Tena Stilinović
• Mentor: Ketij Mehulić (mentor)
• Committee member: Andreja Carek (predsjednik povjerenstva)
• Committee member: Sonja Kraljević-Šimunković (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2025-04-22, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Razvoj tehnologije u društvu uvelike je imao utjecaj u području dentalne medicine, posebice dentalne implantologije. Iako se dentalni implantati najčešće primjenjuju u opskrbi pacijenata u fiksno-protetskim radovima, odličan su izbor i kao mobilno protetsko terapijsko rješenje. Naizgled i očuvanost bezubih čeljusti utječu brojni čimbenici kao što su količina, kvaliteta kosti, redoslijed i način vađenja zuba te opće stanje pacijenta. Posljedice dugotrajne bezubosti u donjoj čeljusti dovode do centrifugalne resorpcije mandibule, a samim time ne osigurava se dobro koštano ležište proteze. Potpune pokrovne proteze sidrene implantatima trokomponentni su sustav sastavljen od implantata, proteze i veze između njih. Baza takve proteze seže do granice pomične i nepomične sluznice, čime se sile u funkciji raspoređuju bolje i time smanjuje opterećenje na same implantate. Zlatni standard za pokrovne proteze sidrene implantatima jesu četiri implantata u gornjoj i dva u donjoj čeljusti. Pokrovna proteza poduprta implantatima i sidrena retencijskim elementima smanjuje nestabilnost potpune proteze kod resorpcije koštanog fundamenta te čini protezu stabilnijom, a kvalitetu života i žvačnu funkciju većom.

Abstract (english)

The development of technology has greatly influenced the field of dental medicine, particularly dental implantology. Although dental implants are most commonly used in fixed implantoprosthetic restorations, they are also an excellent choice as a mobile prosthetic solution. The appearance and maintenance of edentulous jaws is influenced by various factors, including bone size and consistency, the sequence of tooth extraction and the patient’s overall health condition. Long-term edentulism in the lower jaw results in centrifugal resorption of the mandible, making it difficult to establish a good bone bed for a prosthesis. A complete overdenture with anchored implants is a three-component system composed of implants, prostheses, and the connection between them. The base of such a prosthesis reaches the border of the movable and immovable mucosa, which better distributes the force in function and reduces the load on the implants themselves. The gold standard for overdentures supported by implants consists of four implants in the upper jaw and two in the lower jaw. An overdenture supported by implants and anchored with retention elements on the implants reduces denture instability during bone foundation resorption. As a result, chewing efficiency improves, denture retention is increased, and overall quality of life is enhanced.

• Keywords: pokrovna proteza; bezuba čeljust; zubni implantati; razgradnja kosti
• Keywords (english): Overlay Denture; Jaw Edentulous; Dental Implants; Bone Resorption
• Language: croatian
• URN:NBN: urn:nbn:hr:127:620442
• 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: 2025-04-24 10:23:43