Regenerativna endodoncija - mogućnosti i ograničenja

master's thesis

• Title (english): Regenerative endodontics - possibilities and limitations
• Author: Mia Mrse
• Mentor: Hrvoje Jurić (mentor)
• Committee member: Hrvoje Jurić (predsjednik povjerenstva)
• Committee member: Martina Majstorović (član povjerenstva)
• Committee member: Kristina Goršeta (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Paediatric and Preventive Dentistry); Zagreb
• Defense date and country: 2020-09-18, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Children's and Preventive Dental Medicine

Abstract

Regenerativna endodoncija definira se kao biološki utemeljen postupak s ciljem obnove
oštećenih zubnih struktura, uključujući dentin, korijen zuba te stanice pulpo-dentinskog
kompleksa. Indicirana je u liječenju mladih trajnih zuba s nekrozom pulpe i apikalnim
parodontitisom uz uvjet da pacijent nije alergičan na antibiotike koji se koriste u terapiji te da
postoji mogućost restauracije tvrdog zubnog tkiva bez upotrebe kolčića ili intrakanalnih
nadogradnji.
Klinički postupak moţe se podijeliti u dva ili tri posjeta, a podrazumijeva temeljito ispiranje
korijenskih kanala, primjenu antibiotika u korijenskom kanalu, provocirano krvarenje iz
periapeksa te prekrivanje krvnog ugruška biološkim materijalom.
Terapija pokazuje veliki postotak uspješnosti koji se očituje povlačenjem kliničkih znakova
upale, cijeljenjem periapikalne lezije te nastavkom rasta i razvoja korijena. Za razliku od
apeksifikacije trajanje terapije je kraće, smanjena je mogućnost frakture korijena, a korijenski
kanal ispunjen je domaćinovim vitalnim tkivom.

Abstract (english)

Regenerative endodontics is defined as a “biologically based procedure designed to replace
damaged tooth structures, including dentin, root structures, and cells of the pulp-dentine
complex”. It is indicated in the treatment of young permanent teeth with pulp necrosis and
apical periodontitis, provided that the patient is not allergic to antibiotics used in the therapy
and if there is a possibility of restoration of hard dental tissue without the use of posts or
intracanal core build-up.
The clinical procedure could be divided into two or three sessions and involves thorough
rinsing of the root canals, use of antibiotics in the root canal, provoked bleeding from the
periapex and covering the blood clot with biological material.
The therapy shows a high success rate manifested by the withdrawal of clinical signs of
inflammation, healing of the periapical lesion and increased root wall thickness and/or root
length. Unlike apexification, the duration of therapy is shorter, the possibility of a root
fracture is reduced, and the root canal is filled with the host’s vital tissue.

• Keywords: endodoncija; nekroza zubne pulpe; periapeksni parodontitis; antibiotici
• Keywords (english): Endodontics; Dental Pulp; Necrosis; Periapical Periodontitis; Anti-bacterial Agents
• Language: croatian
• URN:NBN: urn:nbn:hr:127:145991
• 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: 2021-01-20 11:05:44