Utjecaj ortodontskih sila na parodont

professional thesis

• Title (english): Influence of orthodontic forces on the periodontal
• Author: Vanja Delladio Hadžović
• Mentor: Darije Plančak (mentor)
• Committee member: Darije Plančak (predsjednik povjerenstva)
• Committee member: Darko Božić (član povjerenstva)
• Committee member: Senka Meštrović (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Periodontology); Zagreb
• Defense date and country: 2018-10-11, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

Pacijenti s insuficijentnim parodontnim tkivom sve su češća pojava u ortodontskoj terapiji. Njihov najčešći razlog uključivanja u ortodontsku terapiju je estetski. Ortodontska terapija kod takvih pacijenata pred ortodonta stavlja mnogobrojne izazove. Cilj je takve terapije dobiti zadovoljavajući estetski rezultat uz očuvanje zdravlja parodonta.
Ortodontski bi se pomaci kod takvih pacijenata trebali provoditi laganim, isprekidanim silama. Prije, tijekom i poslije ortodontske terapije neophodna je parodontološka terapija. Također je važna edukacija i motivacija samog pacijenta u svrhu održavanja dobre oralne higijene.
Ukoliko dođe do nepridržavanja od strane ortodonta ili pacijenta te ukoliko ortodont aplicira prejake ortodontske sile ili pacijent ne održava dobro oralnu higijenu, može doći do negativnih promjena na mekom i tvrdom tkivu parodonta. Među njima su najčešće hiperplazija, invaginacija i recesija gingive, gubitak interdentalne papile i posljedično stvaranje "crnih trokuta". Također može doći do produbljenja parodontoloških džepova, resorpcije alveolarne kosti i korijena, što zajedno može dovesti do destabilizacije zuba i mogućnosti njegovog gubitka.
Kako bi terapija u takvih pacijenata bila uspješna, tj. kako bi se negativne promjene minimalizirale, potrebna je izrazito dobra suradnja parodontologa i ortodonta. Jedino ona omogućava uspješan ishod terapije, dugoročno dobru prognozu i minimalnu pojavu komplikacija.

Abstract (english)

There is an increasing number of patients with insuffixient periodontal tissue in orthodontic therapy. The most common reason for their inclusion in orthodontic therapy is aesthetic. Orthodontists dealing with such a therapy face many challenges. The aim of such therapy is to obtain a satisfactory aesthetic result while preserving the health of the periodontal.
Orthodontic moves in such patients should be conducted with lightly interrupted forces. Before, during and after orthodontic therapy, periodontal therapy is necessary. It is also important to educate and motivate the patient to maintain a good oral hygiene.
If either the orthodontist or the patient does not comply, if the orthodontist applied too strong orthodontic forces or the patient does not maintain good oral hygiene, negative changes may occur on the soft and hard tissue of the periodontal. The most common amongst them are hyperplasia, the invagination and recession of gingiva, the loss of interdental papilla and consequently the creation of "black triangles". It may also result in deepening of periodontal pockets, alveolar bone resorption and root resorption, which together can lead to dental destabilization and the possibility of tooth loss.
A very good co-operation between periodontologists and orthodontists is needed to make the therapy of such patients successful and to minimize negative changes. Only this allows a successful outcome of therapy, a long-term good prognosis and minimal occurrence of complications.

• Keywords: ortodontska terapija; parodontološka terapija; oralna higijena
• Keywords (english): orthodontic therapy; periodontal therapy; oral hygiene
• Language: croatian
• URN:NBN: urn:nbn:hr:127:716908
• Study programme: Title: dental medicine; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra dentalne medicine (sveučilišni/a magistar/magistra dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-11-28 11:08:14