UČINAK PROTETSKIH KONSTRUKCIJA NOŠENIH IMPLANTATIMA NA NASTANAK PERIIMPLANTITISA

professional thesis

• Title (english): THE EFFECT OF IMPLANT SUPPORTED PROSTHETICS ON THE OCCURENCE OF PERI-IMPLANTITIS
• Author: Zvonimir Svalina
• Mentor: Ivica Pelivan (mentor)
• Committee member: Joško Viskić (predsjednik povjerenstva)
• Committee member: Ivan Puhar (član povjerenstva)
• Committee member: Ivica Pelivan (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Removable Prosthodontics); Zagreb
• Defense date and country: 2019-06-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Kako sve veći broj bolesnika želi liječenje implantatima, očekuje se da će se i povećati broj
periimplantitisa. Ovisno o stupnju zahvaćenost kosti upalnim procesom, kliničar odlučuje može
li uspjeti zaustaviti napredovanje upale u kosti i pokušati regenerirati tkiva, ili je potrebna
eksplantacija. Ključni čimbenici u odluci su: pacjentove želje, medicinsko stanje pacjenata,
opseg defekta, estetika i mogućnost kontrole plaka nakon liječenja.
Cilj je ovog preglednog rada bio ustanoviti čimbenike koji dovode do nastanka periimplantitisa,
dijagnosticiranje i liječenje periimplantitisa. Pretražena je recentno publicirana znanstvena i
stručna literatura na PubMed na temelju korištenih ključnih riječi. Pronađeno je 97 radova.
Rezultati istraživanja pokazuju kako su pušenje i prijašnji podatci o parodontalnoj bolesti važan
čimbenik koji dovodi do neuspjeha. Kod pacjenata čija se osteoporoza liječi intravenskim
bisfosfonatima postoji veća učestalost komplikacija. Dijabetes, kardiovaskularne bolesti,
zračenje glave i vrata i kemoterapija navode se kao rizični čimbenici za nastanak
periimplantitisa. Nema podataka o tome da su neki promjer, tip i duljina implantata bolji u
odnosu na druge. Većina istraživanja pokazuje kako je maksila nepovoljnije mjesto za postavu
implantata u odnosu na mandibulu. Pojedinačne krune na implantatima u usporedbi sa
spojenima su bolje rješenje. Iako nema definitivnih dokaza o načinu retiniranja suprastrukture,
ipak se čini da periimplantitis rjeđe nastaje kod radova retiniranih vijkom. Jedan od glavnih
lokalnih čimbenika u nastanku periimplantitisa je zaostali cement. Dugotrajno dobri rezultati
mogu postići sa svim tipovima umjereno hrapavih površina implantata.

Abstract (english)

As the number of patients requesting implant treatment continuously grows, it is expected that
the number of patients affected by periimplantitis will also increase. Depending on the
inflammatory process level affecting the bone, the clinician decides whether the development
of the inflammation inside the bone can be stopped, and tissues can be regenerated, or the
explantation is needed. The key factors in the decision are: patient’s wishes, medical condition
of the patient, extent of the defect, aesthetics and the possibility of plaque control following
treatment.
The aim of this review article was to define the factors leading to the occurrence of periimplantitis,
diagnosing and treatment of peri-implantitis. Recently published scientific and
professional literature on PubMed has been found using keywords and therefore reviewed. 97
papers have been found.
Research results show that smoking and previous records of periodontal disease are an
important factor leading to failure. In patients treated with intravenous bisphosphonates for
osteoporosis, the incidence of complications is higher. Diabetes, cardiovascular diseases, head
and neck radiotherapy and chemotherapy are listed as risk factors for the occurrence of periimplantitis.
There is no data reporting that a certain diameter, type or length of the implant is
better than the others. Most of the research papers report that the maxilla is less favorable for
the placement of implants, than the mandible. Single tooth implants are a better solution than
the bridges. Although there is no definite evidence on superstructure retaining modality, it
seems that peri-implantitis occurs less frequently in screw-retained implants. One of the main
local factors for the occurrence of peri-implantitis is cement residue. Long lasting positive
results can be achieved with all types of moderately rough implant surfaces.

• Keywords: implantoprotetika; dentalna implantologija; protetski radovi nošeni implantatima; periimplantitis
• Keywords (english): implant prosthetics; dental implantology; implant supported prosthetics; periimplantitis
• Language: croatian
• URN:NBN: urn:nbn:hr:127:552207
• 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: 2019-10-07 08:41:23