Rehabilitacija bezubog pacijenta hibridnim mostovima "all on four" i "all on six" metodom izrađenih CAD/CAM tehnologijom

professional thesis

• Title (english): Rehabilitation of edentulous patient using method with hybrid bridges "all on fous" and "all on six" made by the CAD/CAM technology
• Author: Marko Galeković
• Mentor: Ivica Pelivan (mentor)
• Committee member: Andreja Carek (predsjednik povjerenstva)
• Committee member: Ivica Pelivan (član povjerenstva)
• Committee member: Davor Brajdić (član povjerenstva)
• Committee member: Marko Granić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Removable Prosthodontics); Zagreb
• Defense date and country: 2021-09-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Gubitkom svih zubi dolazi do poremećaja u funkciji stomatognatog sustava i do potpune bezubosti pacijenta. Dugotrajna potpuna bezubost rezultira velikom atrofijom čeljusti što dovodi do poteškoća u izradi potpunih proteza, ali i ograničavanja u implantoprotetskoj terapiji. Kao alternativno rješenje kod teških atrofija kosti prepoznata je imedijatna fiksna implantoprotetska opskrba prema konceptu All on four / All on six, koju je uveo Paulo Malo (1,2), a registrirala je tvrtka Nobel Biocare. Brojne su prednosti takvog terapijskog pristupa u liječenju potpune bezubosti kod pacijenata, a najvažnije su: ugradnja manjeg broja implantata kod pacijenata s ograničenom količinom preostale kosti; ugradnja implantata pod kutom u stražnjem području, a time i zaobilaženje kritičnih anatomskih struktura; mogućnost izbjegavanja dodatnih augmentacijskih postupaka, a time i dugotrajnog liječenja; stvaranje uvjeta za imedijatno opterećenje; izrada privremenog fiksnog protetskog rada retiniranog vijcima u jednom danu; kraći postoperativni tijek; poboljšanje kvalitete života; predvidljivost i sigurnost terapije. Zbog preciznosti u izradi implantoprotetskih radova i njihovoj dugovječnosti, današnja, moderna implantoprotetika je gotovo nezamisliva bez upotrebe CAD/CAM tehnologije.
Cilj ovog specijalističkog rada je, kroz klinički slučaj, sistematično prikazati planiranje terapije, te kirurški i protetski protokol izrade privremenih i trajnih fiksnoprotetskih nadomjestaka retiniranih vijcima s imedijatnim opterećenjem CAD/CAM tehnologijom.

Abstract (english)

Tooth loss causes a disruption in the functioning of the stomatognathic system as well as complete edentulism of the patient. Long-lasting complete edentulism results in a major atrophy of the jaw, which significantly complicates the making of the complete denture, but also limits the implant-prosthodontics therapy. The immediate fixed implant-prosthodontics therapy, the All on four or All on six concept, introduced by Paulo Malo (1,2), was recognized as an alternative solution for
severe bone atrophies and registered by the company Nobel Biocare. There are numerous advantages of this therapeutic approach in the treatment of edentulism, however the most significant ones are: a minimal number of dental implants
for patients with a limited amount of remaining alveolar bone; insertion of dental implants in the back area around a dental critical anatomic structure; the possibility of avoiding other augmentation procedures and thereby a long-term treatment; establishing conditions for immediate loading; creating a temporary fixed prosthetic screw connection in one day; a shorter postoperative recovery period; improved quality of life; predictability and safety of therapy. Today’s modern implant-prosthodontics cannot be imagined without the use of CAD/CAM technology due to its precision in making the implant-prosthodontics works and their durability. The aim of this paper is to systematically present through a medical case the therapy planning-, as well as the surgical and prosthetic protocols for the production of temporary and permanent screw retained fixed with immediate loading using CAD/CAM technology.

• Keywords: protetika; bezuba čeljust; računalom vođeno oblikovanje; zubna implantologija
• Keywords (english): Prosthodontics; Edentulous Jaw; Computer Aided-Design; Dental Implantation
• Language: croatian
• URN:NBN: urn:nbn:hr:127:683506
• 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: 2021-09-29 07:51:42