Parodontološki potpomognuta osteogena ortodontska terapija

master's thesis

• Title (english): Periodontally accelerated osteogenic orthodontics
• Author: Ana Perica
• Mentor: Darije Plančak (mentor)
• Committee member: Darije Plančak (predsjednik povjerenstva)
• Committee member: Domagoj Vražić (član povjerenstva)
• Committee member: Ivan Puhar (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Periodontology); Zagreb
• Defense date and country: 2020-07-07, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Periodontology

Abstract

Razvojem stomatologije i svijesti pacijenata o stanju oralne šupljine, postavljaju se novi
izazovi pred doktore dentalne medicine. Sve više odraslih pacijenata dolazi u ordinaciju
dentalne medicine s ciljem ortodontske terapije u što kraćem vremenskom periodu, uz
dobivanje što boljeg konačnog rezultata. Upravo u takvim situacijama nužna je dobra
interdisciplinarna suradnja između specijalista ortodonta i parodontologa, koja pruža neke
nove, kvalitetnije načine rješavanja zahtjevnih slučajeva i tako povećava broj pacijenata
koji su prikladni kandidati za ortodontsku terapiju.
Parodontološki potpomognuta osteogena ortodontska terapija sve se više prepoznaje kao
pomoćna metoda u tijeku ortodontske terapije različitih slučajeva, od malog stupnja
zbijenosti do zahtjevnijih pomaka poput ortodontskog izvlačenja retiniranih očnjaka.
Tehnika kombinira kirurški postupak dekortikacije i dodatka koštanog nadomjestka sa
standardnom ortodontskom terapijom pomoću fiksnog aparata. Kroz prošlost su se javljale
različite inačice postupka temeljene na teorijama pojedinaca, bez dostatne razine
znanstvenog pokrića. Kako su se otkrivali novi biološki principi i mehanizmi, tako je i sam
postupak modificiran do oblika u kojem se izvodi i danas. Novija istraživanja potvrđuju da
parodontološki potpomognuta osteogena terapija, osim skraćenog vremena cjelokupne
terapije, donosi niz prednosti, poput veće postortodontske stabilnosti i smanjene
mogućnosti apikalne resorpcije korijena uz istovremeno očuvanje parodontog zdravlja.

Abstract (english)

As dentistry as a discipline progresses, as well as patients' awareness of their oral health,
doctors face new challenges every day. The number of adult patients seeking faster and
more efficient orthodontic treatment is rapidly growing. Cases like these require great
interdisciplinary collaboration between the orthodontists and periodontists, which in turn
offers a new, better way of solving more difficult cases and increases the number of patients
suited for orthodontic treatment.
Periodontally accelerated osteogenic orthodontic therapy is used as a subsidiary method
during orthodontic treatment in different cases, ranging from mild crowding to managing
impacted canines. The technique combines surgical procedure of decortication and alveolar
bone grafting with the use of standard orthodontic therapy through fixed appliance.
Throughout history there have been different variations of the procedure based on
individual authors’ theories, which lacked sufficient scientific evidence. The procedure
today is a result of its development based on the discovery of new biological principles and
mechanisms. Newer data shows that periodontally accelerated osteogenic orthodontics,
other than offering a shorter treatment time, offers other benefits, such as an increased posttreatment stability and decreased amount of apical root resorption with better overall
periodontal health.

• Keywords: parodontologija; ortodoncija; terapija; očnjak
• Keywords (english): Periodontics; Orthodontics; Corrective; Cuspid
• Language: croatian
• URN:NBN: urn:nbn:hr:127:167773
• 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 11:35:56