Konfekcijski pričvrsni sustavi pokrovnih proteza nošenih implantatima

professional thesis

• Title (english): Prefabricated attachment systems of implant supported overdentures
• Author: Božo Lončar
• Mentor: Nikša Dulčić (mentor)
• Committee member: Irina Filipović-Zore
• Committee member: Nikša Dulčić
• Committee member: Ketij Mehulić
• Granter: University of Zagreb; School of Dental Medicine; (Department of Removable Prosthodontics); Zagreb
• Defense date and country: 2015-04-29, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Uvođenje terapije implantatima poboljšalo je kakvoću života bezubim
pacijentima. Terapija je izvorno bila zamišljena kao potpora mostovima na
skidanje kod bezubih pacijenata. Međutim, nadomjesne upotrebe su se razvile
za liječenje pacijenata s upitnim stanjem kosti i za posebne potrebe. Takva
planiranja terapije imaju utjecaja na biomehaniku, održavanje i uspjeh samih
implantata. Preoperativno vrednovanje strukture i kakvoće zaostatnih bezubih
grebena te međučeljusnih odnosa će nam određivati ograničenja i terapijski put.
Estetika, govor, higijena i troškovi će nam također pomoći u razlučivanju pravog
puta liječenja. Prikazani trenutno dostupni konfekcijski pričvrsni sustavi za
pokrovne proteze na implantatima omogućuju uz točno poznavanje zdravstvene
situacije podupiranje liječničke mjere, a da se ne djeluje štetno na zdravlje
pacijenta. Također kliničari mogu na istraživanjima i iskustvenim temeljima
drugih donositi odluke o izboru pričvrstka ovisno o željenom svojstvu pričvrstka i
posebnosti kliničkog slučaja. Terapijski ciljevi moraju se detaljno procijeniti, a
prednosti i nedostaci dostupnih terapijskih mogućnosti pažljivo raščlaniti s
obzirom na individualni optimum pacijenta. Usprkos raširenom mišljenju da će
fiksna implanto-protetska terapija pružiti bolju funkciju i zadovoljstvo pacijenta,
implantatima poduprta pokrovna proteza može biti prihvaćena kao jednako
dobra zamjena ili u određenim indikacijama čak i prikladniji način liječenja.

Abstract (english)

The introduction of implant treatment improved the quality of life of edentulous
patients. Implant treatment was originally designed as support for removable
bridges of edentulous patients. However, a need for replacement appeared in
treatment of patients with questionable bone condition and for special needs.
Such treatment plans have an impact on biomechanics, maintenance and
success of implants themselves. Preoperative evaluation of structure and quality
of the residual edentulous ridges and interjaw relationships will determine
limitations and treatment plan. Aesthetics, speech, hygiene and costs will also
help in determination of the right treatment plan.
The herewith presented currently available prefabricated attachment systems for
implant supported overdentures enable, beside accurate knowledge of health
status, support of medial measure in the way that is not harmful to patients’
health. Furthermore, based on research and experience of others clinicians can
make decisions on the choice of attachment depending on the desired
attachment quality and special characteristics of the clinical case. Treatment
goals should be carefully analyzed with respect to the patient’s individual
optimum state. Despite the widespread opinion that fixed implant-prosthetic
treatment can provide better function and patient satisfaction, implant supported
overdenture can be accepted as equally good replacement or for certain
indications even as a more appropriate treatment method.

• Keywords: zubni implantati; pokrovne proteze
• Keywords (english): dental implants; overdentures
• Language: croatian
• URN:NBN: urn:nbn:hr:127:961946
• 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 13:23:50