Luksacijske ozljede mliječnih i trajnih zuba

master's thesis

• Title (english): LUXATION OF PRIMARY AND PERMANENT TEETH
• Author: Ana Krvavica
• Mentor: Kristina Goršeta (mentor)
• Committee member: Kristina Goršeta (predsjednik povjerenstva)
• Committee member: Dubravka Negovetić-Vranić (član povjerenstva)
• Committee member: Ana Andabak Rogulj (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Paediatric and Preventive Dentistry); Zagreb
• Defense date and country: 2019-09-27, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Children's and Preventive Dental Medicine

Abstract

Ozljede zuba su jedne od najčešćih ozljeda orofacijalne regije tijekom djetinjstva. Luksacijske ozljede mliječnih i trajnih zuba predstavljaju indikaciju za hitno liječenje. Mnoge od tih ozljeda nastaju iz predvidivih aktivnosti i na njih se moţe preventivno djelovati. Bitan podatak iz anamneze je i mehanizam ozljede te kod ozljeda izazvanih velikim silama treba misliti na ozljedu glave i/ili vrata.
Luksacijske ozljede su luksacija, subluksacija, ekstruzija, lateralna luksacija, intruzija i avulzija. Kod većine dolazi do ozljede periodontalnog ligamenta (PDL-a). Cilj je liječenja omogućiti cijeljenje PDL-a i očuvati vitalitet pulpe kad god je to moguće. Prekid vaskularne opskrbe pulpe i bakterije mogu negativno utjecati na ishod liječenja. Nekrotično tkivo pulpe u korijenu kanala moţe aktivirati upalne resorpcijske procese koji uništavaju korijen.
Nakon ozljeda mliječnih zuba treba uvijek misliti na sigurnost trajne denticije, a uspjeh terapije ovisi i o suradnji djeteta i roditelja, ali i znanju i vještini stomatologa. Još uvijek se rjeĎe traţi stomatološko liječenje za luksacijske ozljede mliječnih zuba jer roditelji misle kako je njihova funkcija prolazna. Roditelje treba upoznati o ozljedi i njenom utjecaju na trajne zube i potrebi kontinuiranog nadzora.

Abstract (english)

Tooth injuries are one of the most common injuries of the orofacial region in childhood. Luxation injuries of primary and permanent teeth are an indication for emergency treatment. Many of these injuries arise from foreseeable activities and can be prevented. Important information from the anamnesis is the mechanism of the injury and in the case of injuries caused by high forces one should bear in mind the injury to the head and/or neck.
Luxation injuries are luxation, subluxation, extrusion, lateral luxation, intrusion and avulsion. Most of them have a periodontal ligament (PDL) injury. The goal of the treatment is to enable the healing of PDL and to preserve pulp vitality whenever possible. Disruption of the vascular supply of the pulp and bacteria can adversely affect the outcome of the treatment. Necrotic pulp tissue in the root canal can activate inflammatory resorption processes which destroy the root.
After injuries of the primary teeth, the safety of permanent dentition should always be considered, and the success of the therapy depends on the cooperation of the child and the parents, as well as the knowledge and skills of the dentist. Dental treatment for luxation injuries of primary teeth is still rarely sought because parents think their function is transient. Parents should be informed of the injury and its possible effect on the permanent teeth as well as the need for ongoing monitoring.

• Keywords: luksacijske ozljede; mliječni zubi; trajni zubi
• Keywords (english): luxation injuries; primary teeth; permanent teeth
• Language: croatian
• URN:NBN: urn:nbn:hr:127:470578
• 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: 2020-01-16 12:13:36