Promjena visine zagriza pacijenata pri protetskoj rehabilitaciji

master's thesis

• Title (english): Change of bite height of patients at prosthetic rehabilitation
• Author: Tea Kocijan
• Mentor: Marko Jakovac (mentor)
• Committee member: Marko Jakovac (predsjednik povjerenstva)
• Committee member: Dubravka Negovetić-Vranić (član povjerenstva)
• Committee member: Andreja Carek (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Fixed Prosthodontics); Zagreb
• Defense date and country: 2018-09-21, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Gubitak visine zagriza odnosno vertikalne dimenzije okluzije narušava funkciju i estetiku svakog pacijenta. Njezina rekonstrukcija uspješno se provodi pomoću niza metoda koje nam olakšavaju određivanje nove vertikalne dimenzije okluzije. Potrebna je detaljna dijagnostika i oprez pri provođenju same rekonstrukcije kako bi ona bila uspješna.
Kolaps vertikalne dimenzije okluzije nastaje iz dva razloga. Prvi razlog jest generalizirana abrazija svih zubi zbog bruksizma. Drugi razlog jest gubitak zubi stražnje regije bez njihove nadoknade.
Metode kojima se služimo su brojne te se koriste u kombinaciji jedna s drugom jer svaka zasebno nije dovoljno precizna. Svaki terapeut odlučuje prema svojem iskustvu kojim će se metodama služiti.
Uz vertikalnu dimenziju okluzije bitno je poznavati i odrediti vertikalnu dimenziju položaja fiziološkog mirovanja kao i horizontalne odnose maksile i mandibule, to jest centričnu relaciju i maksimalnu interkuspidaciju.
Sam postupak rekonstrukcije moguće je izvesti pomoću zagriznih šablona ili pomoću wax-upa i mock-upa.
Pri svakoj promjeni vertikalne dimenzije okluzije bitno je uzeti u obzir određene kriterije, mogućnosti pogreške i moguće neželjene posljedice uslijed promjene vertikalne dimenzije okluzije.

Abstract (english)

Losing the bite height or the vertical dimension of occlusion disturbs the function and aesthetics of each patient. Its reconstruction is successfully carried out through series of methods which make it easier to determine the new vertical dimension of occlusion. Detailed diagnosis and caution are needed while carrying out the reconstruction for it to be successful.
The collapse of the vertical dimension of occlusion is due to two reasons. The first reason is the general abrasion of all teeth due to bruxism. The second reason is the loss of the back region's teeth without their compensation.
The methods we use are numerous and are used in combination with each other because each one is not sufficiently precise on its own. According to one’s experience, each practitioner decides which methods he will be using.
Beside the vertical dimension of occlusion it is essential to know and determine the vertical dimension of physiological rest position, as well as the horizontal relationship of the maxilla and the mandible, that is, the centric relation and the maximum intercuspidation.
The reconstruction procedure can be performed by occlusal rims bumper or wax-up and mock-up.
When changing vertical dimension of occlusion, it is important to take into account certain criteria, the possibility of errors and possible unwanted consequences due to the change of vertical dimension of occlusion.

• Keywords: vertikalna dimenzije okluzije; metode određivanja vertikalne dimenzije okluzije; rekonstrukcija; centrična relacija; maksimalna interkuspidacija
• Keywords (english): vertical dimension of occlusion; methods of determining the vertical dimension of occlusion; reconstruction; centric relation; maximum intercuspidation
• Language: croatian
• URN:NBN: urn:nbn:hr:127:878134
• 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: 2019-01-08 10:23:41