Indikacije i tehnike koštanih augmentacija kod implanto-protetske terapije u estetskoj zoni

professional thesis

• Title (english): Indications and techniques of bone augmentation in implant-prosthetic therapy in the aesthetic zone
• Author: Tomislav Krhen
• Mentor: Tihomir Kuna (mentor)
• Committee member: Tihomir Kuna (predsjednik povjerenstva)
• Committee member: Irina Filipović-Zore (član povjerenstva)
• Committee member: Nikola Petričević (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Surgery); Zagreb
• Defense date and country: 2015-06-11, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Surgery

Abstract

Koštana augmentacija u estetskoj zoni složeni je i osjetljivi kirurški zahvat, no nužno potreban ako se žele ostvariti dobri i predvidivi rezultati u daljnjoj implanto-protetskoj terapiji. U ovom radu su opisane tehnike koštanih augmentacija i kirurške tehnike uzimanja autologne kosti od pacijenta te su određene indikacije za vrstu augmentativnog zahvata potrebnog u svakom pojedinom slučaju. Uz tehnike, navedene su i moguće komplikacije koje prate te zahvate te stope preživljavanja implantata ovisno o korištenoj tehnici augmentacije grebena. Također, dan je osvrt kroz svojstva biomaterijala dostupnih na tržištu te su određene indikacije za odabir biomaterijala kojima se ostvaruju optimalni rezultati.
Iz praktičnih razloga i ovisno o indikaciji zahvati su podijeljeni u dvije vremenske kategorije:
1. Augmentacija alveolarnog grebena prije postave implantata
2. Augmentacija alveolarnog grebena za vrijeme postave implantata
U prvu kategoriju spadaju slijedeci kirurski zahvati:
1. GBR (Guided Bone Regeneration)
2. Horizontalna blok augmentacija
3. Vertikalna blok augmentacija
4. Prezervacija alveole
5. Distrakcijska osteogeneza
6. Le Fort I osteotomija

U drugu kategoriju spadaju kirurški zahvati:
1. GBR sa istovremenom postavom implantata
2. Ridge-split tehnika
3. Imedijatna implantacija u postekstrakcijsku alveolu

Abstract (english)

Bone augmentation in the aesthetic zone is a complex and delicate surgical procedure, but necessary if one wishes to obtain good and predictable results in subsequent implant-prosthetic therapy. This paper describes the techniques of bone augmentation and surgical bone grafting techniques for grafting autologous bone from a patient, as well as specific indications for the augmentative procedures required in each case. Apart from the techniques, the paper also discusses possible complications associated with the listed procedures, and survival rates of implants, depending on the ridge augmentation technique applied.
Furthermore, this paper examines the properties of biomaterials available on the market and provides indications for the choice of biomaterials resulting in the optimal outcome.
For practical reasons, the procedures are divided into two time categories, in accordance with the indication:
1. Alveolar ridge augmentation prior to the implant placement
2. Alveolar ridge augmentation during the implant placement
The first category includes the following surgical procedures:
1. GBR (Guided Bone Regeneration)
2. Horizontal block augmentation
3. Vertical block augmentation
4. Socket preservation
5. Distraction osteogenesis
6. Le Fort I osteotomy

The second category includes the following surgical procedures:
1. GBR with simultaneous implant placement
2. Ridge-split technique
3. Immediate implant placement

• Keywords: povećanje alveolarnog grebena; zubni implantati
• Keywords (english): alveolar ridge augmentation; dental implants
• Language: croatian
• URN:NBN: urn:nbn:hr:127:486511
• 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: 2016-03-24 12:43:48