Suvremene biološke metode liječenja mladih trajnih zubi

master's thesis

• Title (english): Contemporary biological methods of treating young permanent teeth
• Author: Nikolina Tomas
• Mentor: Željko Verzak (mentor)
• Committee member: Željko Verzak (predsjednik povjerenstva)
• Committee member: Goranka Prpić-Mehičić (član povjerenstva)
• Committee member: Tomislav Škrinjarić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Paediatric and Preventive Dentistry); Zagreb
• Defense date and country: 2017-09-29, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Children's and Preventive Dental Medicine

Abstract

Biološke metode liječenja zuba imaju za cilj očuvanje vitaliteta zuba. U biološke metode liječenja spada zaštitna podloga, direktno prekrivanje pulpe, indirektno prekrivanje pulpe, djelomična i vitalna pulpotomija te apeksogeneza.
Preparati kalcij hidroksida već dugi niz godina su materijal izbora za ovakvu vrstu liječenja.
Napretkom tehnologije i novim znanstvenim spoznajama otkriveni su i proizvedeni novi, bioaktivni materijali među kojima se najviše ističu mineral trioksid agregat (MTA), Biodentin, trombocitima obogaćeni fibrin (PRF metoda), te plazma bogata faktorima rasta (PRGF metoda).
Osnova djelovanja navedenih materijala je poticanje obrambenog odgovora pulpe, odnosno stimulacija diferencijacije odontoblasta (nerijetko i cementoblasta i osteoblasta), stvaranja reparatornog dentina i nastavka rasta i razvoja korijena.
Indikacije za biološko liječenje zuba i primjenu navedenih materijala su jatrogeno ili traumom uzrokovano otvaranje pulpe, infekcija dijela ili cijele pulpe u koronarnom dijelu zuba uz očuvanje zdrave radikularne pulpe, te zubi s nezavršenim rastom i razvojem korijena.
Navedeni materijali međusobno se razlikuju po složenosti rukovanja njima, dugotrajnosti i uspješnosti rezultata liječenja, radioopaknosti te cijeni. Upravo zbog tih kriterija još ne postoji jedan univerzalni materijal kojim se provodi biološko liječenje zuba.

Abstract (english)

The biological tooth treatment methods have a goal to preserve the vitality of the teeth. Biological treatment methods are the following: protective base, direct pulp capping, indirect pulp capping, partial and vital pulpotomy, and apexogenesis.
Calcium hydroxide preparations have been the material of choice for this type of treatment for many years.
With the advancement of technology and science, new and bioactive materials have been discovered and produced. Mineral trioxide aggregate (MTA), Biodentin, platelet rich fibrin (PRF method) and plasma rich in growth factor (PRGF method) are some of the most recognized contemporary biomaterials.
The action mechanism of the above-mentioned materials enable to stimulate the defensive pulp response, stimulate of odontoblast (often even cementoblast and osteoblast) differentiation, enable the creation of reparative dentine and the further development of the root.
Indications for biological tooth treatment and application of the above-mentioned materials are the following: iatrogenic or traumatic dental pulp exposure, partial or completely infected coronary part of the pulp (but with healthy radicular part of the pulp) and teeth with unfinished growth and root development.
These materials differ from one another in the complexity of handling, longevity and success of the treatment results, radiopacity and price. Because of these differences, a universal gold-standard material for biological treatment of teeth still does not exist.

• Keywords: vitalitet zuba; indirektno prekrivanje pulpe; direktno prekrivanje pulpe; pulpotomija; apeksogeneza
• Keywords (english): tooth vitality; indirect pulp capping; direct pulp capping; pulpotomy; apexogenesis
• Language: croatian
• URN:NBN: urn:nbn:hr:127:626332
• Study programme: Title: 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: 2018-01-17 12:52:00