Dugoročni rezultati nekirurške terapije parodontitisa

master's thesis

• Title (english): LONG-TERM RESULTS OF NON-SURGICAL PARIODONTITIS THERAPY
• Author: Irena Jurišić
• Mentor: Ivan Puhar (mentor)
• Committee member: Ivan Puhar (predsjednik povjerenstva)
• Committee member: Domagoj Vražić (član povjerenstva)
• Committee member: Davor Illeš (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Periodontology); Zagreb
• Defense date and country: 2019-09-27, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

Parodontna je bolest uz karijes najčešće patološko stanje u stomatološkoj kliničkoj praksi. Učestalost pojavnosti visoka je kako u nerazvijenim, tako i u razvijenim zemljama te se procjenjuje da oko 20-50% svjetske populacije pati od nekog oblika ove bolesti.
Etiologija parodontitisa nije do kraja poznata, ali se zna da je multifaktorskog karaktera. Uz utvrđene parodontopatogene bakterijske vrste zrelog subgingivnog biofilma, u patogenezi sudjeluju i nasljeđe, mjere provođenja oralne higijene, pušenje te neke sistemske bolesti (npr. dijabetes melitus 1 i 2, kardiovaskularna bolest).
Mehaničko uklanjanje biofilma i smanjenje koncentracije subgingivih patogena ključan je korak u etiološkoj terapiji. Kombinacijom poznatih terapijskih postupaka i individualizacijom liječenja osiguravaju se najbolji izgledi za zadovoljavajući ishod. Terapijski cilj nije izlječenje, već postizanje i održavanje ravnoteže između parodontne destrukcije i reaktivnog imunološkog odgovora domaćina. Iako je terapijski ishod teško predvidjeti, najbolji uvjeti postižu se kvalitetnom i kontinuiranom suradnjom između stomatologa i pacijenta. Na kontrolnim pregledima stomatolog nadzire napredak bolesti, vrši profilaktičke terapijske postupke, a također ima mogućnost povećati educiranost i motiviranost svojih pacijenata. Dugoročna održivost terapijskog uspjeha najvećim djelom ovisi o pacijentu te od njega iziskuje temeljito i uporno provođenje kućnih mjera oralne higijene, ali i redovitost u dolascima na kontrolne preglede.

Abstract (english)

Along with caries, periodontal disease is the most common pathological condition seen in dental clinical practice. It is frequently found in both underdeveloped and developed countries, with an estimated 20-50% of the world's population suffering from some form of the disease.
The etiology of periodontitis is not fully understood, but it is known to be of multifactorial origin. In addition to the identified periodontopathogenic bacterial species of mature subgingival biofilm, pathogenesis also includes genetics, oral hygiene measures, smoking, and some systemic diseases (eg. diabetes mellitus 1 and 2, cardiovascular disease).
The mechanical removal of the biofilm and the reduction of subgingival pathogens is a key step in etiologic therapy. The combination of known therapeutic procedures and individualization of treatment is the best path to a satisfactory outcome. The therapeutic goal is not to cure in a standard sense, but to achieve and maintain a balance between periodontal destruction and the host's reactive immune response. Although the therapeutic outcome is difficult to predict, a high-quality and continuous collaboration between the dentist and the patient provides the best conditions for success. At the check-ups, the dentist monitors the progress of the disease, performs prophylactic therapeutic procedures and is able to educate and motivate his patients. The long-term sustainability of therapeutic success largely depends on the patient, who is required to persistently maintain oral hygiene at home, as well as attend his chek-ups regularly.

• Keywords: parodontna bolest; etiologija; liječenje
• Keywords (english): periodontal disease; ethiology; treatment
• Language: croatian
• URN:NBN: urn:nbn:hr:127:019966
• 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: 2020-01-21 10:41:27