Okluzijske načela za pojedine vrste protetskih radova

master's thesis

• Title (english): OCCLUSAL CONCEPTS FOR VARIOUS TYPES OF PROSTHESES
• Author: Ivana Jularić
• Mentor: Domagoj Žabarović (mentor)
• Committee member: Domagoj Žabarović (predsjednik povjerenstva)
• Committee member: Josip Kranjčić (član povjerenstva)
• Committee member: Ivan Zajc (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Removable Prosthodontics); Zagreb
• Defense date and country: 2019-09-27, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

U izradi svih protetskih radova okluzija zauzima važno mjesto i čini neizostavni segment u uspostavi fiziološkog odnosa između svih komponenata stomatognatog sustava. Pri tome nije dovoljno ostvariti dobre odnose među zubima samo u statičnom položaju, nego je to nužno i pri funkcijskim kretnjama mandibule. Pregledom literature navedene su smjernice za odabir okluzijskog načela pri izradi pojedinih vrsta protetskih radova. U fiksnoj i mobilnoj protetici načela koja dolaze u obzir su uzajamno zaštićena okluzija, grupno vođenje, bilateralna uravnotežena okluzija, lingvalizirana i monoplane okluzija. U implantoprotetici razvilo se načelo implantat-zaštićene okluzije koje poštiva različitosti u povezanosti zuba i implantata s kosti te nastoji smanjiti preopterećenje marginalne kosti implantata i mehaničke posljedice kao što su otpuštanje vijka, lom vijka, odcementiravanje protetskoga rada, lom konstrukcije, lom gradivnoga materijala. Treba biti svjestan da se, iako postoje smjernice za odabir adekvatnog okluzijskog načela, u stomatologiji ne može svakom pacijentu pristupiti na isti način i terapiju je često potrebno individualizirati i prilagoditi kliničkoj situaciji. Okluzija je kompleksno područje i u nekim je segmentima teško provoditi istraživanja da se ne naruši etički kodeks. Dobivanje odgovora bi značilo da na ljudima treba ekperimentirati i stvarati nepovoljne uvjete da bi se teorijska razmišljanja potvrdila ili opovrgnula. Stoga je, primjerice u implantoprotetici, još nepotvrđena povezanost okluzije, periimplantitisa i gubitka kosti oko implantata. Zainteresiranost za područje okluzije sve je veće i brojna istraživanja, koja se spominju i u ovome radu, provedena su da bi se razjasnio njezin značaj, utjecaj na stomatognati sustav te da bi ih stomatolog integrirao u rad s pacijentom.
Ključne

Abstract (english)

Occlusion plays an important role in the making of all prosthetic appliances and it is an indispensable part in establishing a physiologic relationship between all the components of the stomatognathic system. It is necessary to achieve both a proper static as well as dynamic occlusion. A literature overview had proposed guidelines for the selection of occlusal concepts of various types of prostheses. Mutually protected occlusion, group guidance, bilateral balanced occlusion, lingualized occlusion and monoplane occlusion are used in fixed and removable prosthodontics. Implant-protected occlusion scheme was designed in implant prosthodontics considering the varieties between dental implants and teeth and their attachment to the surrounding bone. The idea behind this concept is to reduce the overload of the marginal bone of the implant and to minimize the mechanical complications of dental implants, such as screw loosening and/or fracture, decementation of prosthetic suprastructure, fracture of the framework, fracture of restorative materials. One should be aware that even though there are guidelines for choosing an adequate occlusal concept, not every patient can be treated the same and treatment should be individualized and adapted to a specific clinical case. Occlusion is a complex field and sometimes it is difficult to conduct research without ethics violation. Answering certain questions would have to include performing experiments on people and inducing harmful conditions just to confirm or to refute theoretical considerations. Therefore, the relationship between occlusion, peri-implantitis and bone loss around the implant has not yet been confirmed in implant prosthodontics. The interest in occlusion is on the rise and a lot of research has been conducted to clarify its importance and its influence on the stomatognathic system, as well as to allow the dentist to include it in their work with the patient.

• Keywords: uzajamno zaštićena okluzija; grupno vođenje; bilateralna uravnotežena okluzija; implantat-zaštićena okluzija; protetski radovi
• Keywords (english): mutually protected occlusion; group guidance; bilateral balanced occlusion; implant-protected occlusion; prostheses
• Language: croatian
• URN:NBN: urn:nbn:hr:127:304406
• 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 13:03:46