Sistemni i lokalni čimbenici u odabiru pacijenata za implantoprotetsku terapiju

professional thesis

• Title (english): Systemic and local factors relevant for choosing patients for implant-prosthetic therapy
• Author: Marija Čevizović; VIAF: 308784185
• Mentor: Domagoj Vražić (mentor)
• Committee member: Ana Badovinac (predsjednik povjerenstva)
• Committee member: Domagoj Vražić (član povjerenstva)
• Committee member: Ivan Puhar (član povjerenstva)
• Committee member: Joško Viskić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Periodontology); Zagreb
• Defense date and country: 2020-06-30, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

Dentalni implantati, s odgovarajućom suprastrukturom, postaju sve popularniji izbor liječenja djelomične i/ili potpune bezubosti. Mnogi čimbenici mogu utjecati na oseointegraciju i uspjeh terapije, a ovaj rad navodi najnovija istraživanja o utjecaju sistemnih i lokalnih stanja na uspjeh terapije te nudi smjernice u rješavanju tih stanja. Ispravni kriteriji u odabiru pacijenta za implantoprotetsku terapiju trebali bi u velikoj mjeri uključivati pacijente s izvrsnom oralnom higijenom, bez podloge određenih parodontnih oboljenja te pacijente bez značajnih sistemnih bolesti i kroničnih bolesnika na sistemnoj terapiji. Detaljnom medicinskom anamnezom saznat ćemo sve relevantne čimbenike koji mogu utjecati na liječenje. Sistemno zdravlje treba biti dovoljno dobro da se podnese i kirurški dio i protetska terapija. Poseban oprez treba postojati kod pacijenata s dijabetesom jer ti pacijenti imaju veći rizik za razvoj periimplantatnih oboljenja, zatim kod pacijenata na bisfosfonatima zbog rizika od uspjeha oseointegracije te kod pacijenata koji su primali radioterapiju ili kemoterapiju. Pušači imaju dvostruko veće šanse za neuspjeh implantata, slično kao i pacijenti s parodontitisom. Dobra oralna higijena i debeli fenotip gingive te dovoljna količina raspoložive kosti neki su od lokalnih faktora koji mogu pozitivno utjecati na uspjeh terapije. Detaljnim ekstraoralnim i intraoralnim pregledima te detaljnom analizom trodimenzionalne rendgenske snimke moguće je razraditi plan koji će dati optimalne rezultate, provesti terapiju na predvidljiv i uspješan način te time pružiti zadovoljstvo i terapeutu i pacijentu.

Abstract (english)

Dental implants, with the appropriate suprastructure, are becoming an increasingly popular treatment option for partial and / or complete edentulousness. Many factors can influence osseointegration and therapy success, and this paper lists the latest research on the impact of systemic and local conditions on therapy success and offers guidelines in addressing these conditions. The correct criteria in selecting a patient for implant-prosthetic therapy should largely include patients with excellent oral hygiene, without a background of certain periodontal diseases, and patients without significant systemic diseases and chronic patients on systemic therapy. By collecting detailed medical history, we will find out all the relevant factors that may affect treatment. Systemic health should be good enough to withstand both the surgical part and prosthetic therapy. Special care should be taken in patients with diabetes because these patients have a higher risk of developing periimplant diseases, as well as in patients on bisphosphonates due to the risk of unsuccessful osseointegration and in patients receiving radiotherapy or chemotherapy. Smokers are twice as likely to have implant failure, similar with patients diagnosed with periodontitis. Good oral hygiene and a thick gingival phenotype with a sufficient amount of available bone are some of the local factors that can positively affect the success of therapy. By detailed extraoral and intraoral examinations and detailed analysis of three-dimensional X-rays, it is possible to develop a plan that will give optimal results, conduct therapy in a predictable and successful way and thus provide satisfaction to both therapist and patient.

• Keywords: zubni implantanti; bezuba čeljust; oralna higijena
• Keywords (english): Dental Implants; Edentulous Jaw; Oral Hygiene
• Language: croatian
• URN:NBN: urn:nbn:hr:127:743901
• 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: 2020-11-19 11:43:49