Multidisciplinarni pristup terapiji hipodoncije gornjih lateralnih sjekutića - prikaz slučaja

professional thesis

• Title (english): A multidisciplinary approach to the treatment of hypodontia in upper lateral incisors - case report
• Author: Zrinka Šarc; VIAF: 36160242866852432113
• Mentor: Amir Ćatić (mentor)
• Committee member: Ketij Mehulić (predsjednik povjerenstva)
• Committee member: Amir Ćatić (član povjerenstva)
• Committee member: Martina Šlaj (član povjerenstva)
• Committee member: Joško Viskić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2020-05-29, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Hipodoncija predstavlja kongenitalni nedostatak od jednog do šest zuba. U njezinoj etiologiji spominju se genetika, okolišni čimbenici te kombinacija jednog i drugog. Može se javiti u sklopu određenih sindroma (ektodermalna displazija, Downov sindrom, Van der Woudeov sindrom), ali i nesindromski. Njena pojavnost je moguća i u mliječnoj i u trajnoj denticiji te je jedna od najučestalijih kraniofacijalnih anomalija kod ljudi. Ova anomalija češće zahvaća trajnu denticiju, a najčešće su zahvaćeni gornji lateralni sjekutići, donji drugi pretkutnjaci te treći kutnjaci. Većina oblika hipodoncija su obostrano simetrične. Dijagnoza se postavlja kliničkim pregledom te radiografskom potvrdom odsutnosti zuba. Rehabilitacija hipodoncije zahtijeva multidisciplinarni pristup, pogotovo u terapiji gornjih lateralnih sjekutića, čiji nedostatak predstavlja pacijentu veliki estetski, funkcijski te psihosocijalni problem. Terapija može uključivati ortodontsko otvaranje ili zatvaranje prostora te kasniju implantoprotetsku, protetsku ili restaurativnu sanaciju. U ovom radu bit će prikazan slučaj rehabilitacije hipodoncije gornjih lateralnih sjekutića, kod muškarca u kasni dvadesetim godinama, ortodontskim otvaranjem prostora te kasnijom implantoprotetskom opskrbom, čime se uveliko poboljšala kvaliteta pacijentovog života. Naglasiti će se potreba za individaualnim pristupom u terapiji pacijenata s hipodoncijom jer odabir pravilne terapije ovisi o profilu lica, položaju inciziva, prisutnosi malokluzije, dimenziji i boji očnjaka te duljini gornje usne. Uspješna terapija podrazumijeva multidisciplinarni pristup, a krajnji rezultat mora, osim funkcijske i estetske trajnosti, biti i eliminacija negativnog psihološkog utjecaja hipodoncije na svakodnevni život pacijenta.

Abstract (english)

Hypodontia is defined as a congenital absence of one or up to six teeth. Its etiology is comprised of genetics, environmental factors, and different combinations of the two. Occurrences can be parts of various syndromes (Ectodermal dysplasia, Down syndrome, Van Der Woude syndrome), or they can be non-sydromatic. Occurrences are possible both in deciduous and permanent dentition and are one of the most frequent craniofacial anomalies in people. The anomaly is more frequent in permanent teeth, with upper lateral incisors, second lower premolars and third molars being the most frequent. Most forms of hypodontia are symmetrical. A diagnose is set after a clinical examination and a radiographic confirmation of tooth absence. Hypodontia rehabilitation requires a multidisciplinary approach, especially in the treatment of upper lateral incisors, the lack of which poses an aesthetic, functional and psychosocial problem for the patient. Therapy may include orthodontic space opening or closing, and consequential implant-prosthodontic, prosthodontic or restorative treatment. This work will demonstrate a case of hypodontia rehabilitation on upper lateral incisors, the patient being a male in his late twenties. The treatment included orthodontic space opening followed by implant-prosthodontic therapy which greatly increased the patient's quality of life. This work will emphasize the need for an individual approach to therapy with patients suffering from hypodontia, since the right choice of therapy will depend on facial features, incisor location, malocclusion presence, size and color of canines and the length of the upper lip. A successful therapy implies a multidisciplinary approach, and the final result must be the elimination of negative psychological impact of hypodontia on the patient's everyday life.

• Keywords: anodoncija; zubni implantanti; ortodoncija; sjekutić; implantologija; implantoprotetika
• Keywords (english): Anodontia; Dental Implants; Orthodontics; Incisor
• Language: croatian
• URN:NBN: urn:nbn:hr:127:934222
• 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: 2020-11-11 15:50:26