Odrasli pacijenti u ortodontskoj terapiji

master's thesis

• Title (english): Adult patients in orthodontic treatment
• Author: Marija Žužul
• Mentor: Sandra Anić-Milošević (mentor)
• Committee member: Sandra Anić-Milošević (predsjednik povjerenstva)
• Committee member: Senka Meštrović (član povjerenstva)
• Committee member: Jelena Dumančić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Orthodontics); Zagreb
• Defense date and country: 2021-07-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Orthodontics

Abstract

Sve se više odraslih pacijenata odlučuje na ortodontsku terapiju. Oni zahtijevaju poseban pristup i iskusnog ortodonta, ali i suradnju s ostalim specijalistima dentalne medicine. Razlog tome je već postojeće stanje usne šupljine. Kod odraslih pacijenata nalazimo restaurativne nadomjestke, istrošene zube, protetske radove, gubitak zubnog tkiva i parodontološke probleme. Oni najčešće pristupaju samoj terapiji zbog nedostataka koji im smetaju još od adolescentske dobi, ali nisu ranije imali priliku za terapiju ili u sklopu šireg dentalnog plana. Nedostatak prostora u području prerano izgubljenog prvog molara i mezijalizacije drugog molara, cervikalni defekti u fronti koji narušavaju estetiku, dijastema medijana te zbijeni i rotirani sjekutići razlozi su pristupanja ortodontskoj terapiji prije one protetske. Poželjno je napraviti dijagnostički set up kako ne bi došlo do razočaranja na kraju terapije. Parodontološki problemi često prate odrasle pacijente pa je potrebno provesti inicijalnu parodontološku terapiju prije ortodontske. Neestetski izgled gingive također spada u parodontološku terapiju, a njega podrazumijevaju prekomjerna vidljivost gingive, gubitak interdentalne papile te nejednaka vertikalna pozicija ruba gingive. Restaurativna terapija je opcija kojoj su pacijenti skloniji zbog pristupačnije cijene i trajanja, za razliku od protetike. Temporomandibularni poremećaji se često povezuju s lošim okluzijskim odnosima i mogu biti razlog posjeta pacijenta ortodontu, međutim ta uzročno-posljedična veza nije još potvrđena.

Abstract (english)

More and more adult patients are opting for orthodontic treatment. They require a special approach and an experienced orthodontist, but also cooperation with other dental specialists. The reason for this are different conditions in the oral cavity. In adult patients we find restorations, worn teeth, prosthetics, loss of tooth tissue and periodontal problems. They usually go into treatment because of the shortcomings that have plagued them since adolescence, but they have not previously had the opportunity for treatment, or as part of a broader dental plan. Lack of space in the area of prematurely lost first molar and mesialization of the second molar, anterior cervical defects that impair aesthetics, middle diastema, and crowded and rotated incisors are the reasons for initial orthodontic treatment before prosthodontic treatment. It is advisable to make a diagnostic setting to avoid disappointment at the end of treatment. Periodontal problems often accompany adult patients, so it is necessary to perform initial periodontal therapy before orthodontic. The unaesthetic appearance of the gingiva is usually part of periodontal therapy, such as excessive visibility of the gingiva, loss of the interdental papilla, and uneven vertical position of the gingival margin. Restorative treatment is often an option that patients are prone to because of the more affordable price and duration of the treatment itself as opposed to prosthetics. Temporomandibular disorders are often associated with poor occlusal relations and may be the reason for an orthodontic refferal, however this cause-and-effect relationship has not yet been confirmed.

• Keywords: ortodontska terapija; odrasla osoba; poremećaji temporomandibularnog zgloba; parodontne bolesti
• Keywords (english): Corrective Orthodontics; Adult; Temporomandibular Joint Disorders; Periodontal Diseases
• Language: croatian
• URN:NBN: urn:nbn:hr:127:246558
• 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: Access restricted to students and staff of home institution
• Created on: 2021-09-14 07:59:12