prikaz prve stranice dokumenta Produbljenje vestibuluma distalne mandibule uz slobodni gingivni transplantat kao priprema za implantoprotetsku terapiju - prikaz slučaja
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postgraduate specialist thesis
Produbljenje vestibuluma distalne mandibule uz slobodni gingivni transplantat kao priprema za implantoprotetsku terapiju - prikaz slučaja
Zagreb: University of Zagreb, School of Dental Medicine, 2024. urn:nbn:hr:127:090787
Lešić, Stjepanka
University of Zagreb
School of Dental Medicine

Institutional repository: University of Zagreb School of Dental Medicine Repository

Cite this document

Lešić, S. (2024). Produbljenje vestibuluma distalne mandibule uz slobodni gingivni transplantat kao priprema za implantoprotetsku terapiju - prikaz slučaja (Postgraduate specialist thesis). Zagreb: University of Zagreb, School of Dental Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:127:090787

Lešić, Stjepanka. "Produbljenje vestibuluma distalne mandibule uz slobodni gingivni transplantat kao priprema za implantoprotetsku terapiju - prikaz slučaja." Postgraduate specialist thesis, University of Zagreb, School of Dental Medicine, 2024. https://urn.nsk.hr/urn:nbn:hr:127:090787

Lešić, Stjepanka. "Produbljenje vestibuluma distalne mandibule uz slobodni gingivni transplantat kao priprema za implantoprotetsku terapiju - prikaz slučaja." Postgraduate specialist thesis, University of Zagreb, School of Dental Medicine, 2024. https://urn.nsk.hr/urn:nbn:hr:127:090787

Lešić, S. (2024). 'Produbljenje vestibuluma distalne mandibule uz slobodni gingivni transplantat kao priprema za implantoprotetsku terapiju - prikaz slučaja', Postgraduate specialist thesis, University of Zagreb, School of Dental Medicine, accessed 16 March 2025, https://urn.nsk.hr/urn:nbn:hr:127:090787

Lešić S. Produbljenje vestibuluma distalne mandibule uz slobodni gingivni transplantat kao priprema za implantoprotetsku terapiju - prikaz slučaja [Postgraduate specialist thesis]. Zagreb: University of Zagreb, School of Dental Medicine; 2024 [cited 2025 March 16] Available at: https://urn.nsk.hr/urn:nbn:hr:127:090787

S. Lešić, "Produbljenje vestibuluma distalne mandibule uz slobodni gingivni transplantat kao priprema za implantoprotetsku terapiju - prikaz slučaja", Postgraduate specialist thesis, University of Zagreb, School of Dental Medicine, Zagreb, 2024. Available at: https://urn.nsk.hr/urn:nbn:hr:127:090787

Metadata
TitleProdubljenje vestibuluma distalne mandibule uz slobodni gingivni transplantat kao priprema za implantoprotetsku terapiju - prikaz slučaja
Title (english)Deepening of the vestibule of the distal mandible with a free gingival graft as preparation for implant-prosthetic therapy - case report
AuthorStjepanka Lešić
MentorDomagoj Vražić (mentor)
Committee memberDarko Božić (predsjednik povjerenstva)
Committee memberDomagoj Vražić (član povjerenstva)
Committee memberIvan Puhar (član povjerenstva)
GranterUniversity of Zagreb
School of Dental Medicine
Zagreb
Defense date and country2024-03-13, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Dental Medicine
Abstract
Implantoprotetska terapija zahtijeva detaljno i precizno planiranje kako bi se postigla optimalna funkcija, estetika i prirodnost budućeg protetskog nadomjestka. Svaka terapija započinje anamnezom i kliničkim pregledom s analizom fotografija, cone beam kompjutoriziranom tomografijom ili ortopantomografske snimke. Slijedi pozicioniranje implantata u točno određenoj orofacijalnoj, meziodistalnoj i apikokoronalnoj dimenziji gdje je ključno sačuvati dovoljnu debljinu bukalne stjenke radi postizanja... More optimalne razine periimplantatne mukoze. Prilikom terapije pacijenata važno je preoperativno ispitati čimbenike rizika, kontrolu hiperglikemije, razinu oralne higijene, širinu i debljinu keratinizirane periimplantatne mukoze, čime se mogu spriječiti određena stanja koja mogu ugroziti dentalni implantat. Uloga pričvrsne gingive u održavanju parodontnog i periimplantatnog zdravlja do sada je opsežno istraživana, ali su dokazi bili dvosmisleni. Postoji opći konsenzus da se augmentacija gingive oko dentalnog implantata treba izvesti u slučajevima kada pacijent ne može održavati odgovarajuću kontrolu plaka, kada postoji recesija mekog tkiva i u pretprotetske svrhe. Postojeća literatura zagovara ≥2 mm širine keratiniziranog tkiva oko implantata, jer je njegova prisutnost povezana sa smanjenjem upale sluznice, nelagodom pri četkanju i količinom plaka. Augmentacija gingive s pomoću slobodnog gingivnog transplantata je postupak „zlatnog standarda“ za povećanje količine keratiniziranog tkiva. Svrha je ovoga rada kroz prikaz slučaja prikazati primjenu tehnike slobodnog gingivnog transplantata u kirurškoj terapiji nedostatka pričvrsne gingive u lateralnom dijelu mandibule kao pripremu za implantoprotetsku terapiju bezubosti uz istovremeni kirurški zahvat produbljenja vestibluma, te kroz pregled recentne literature na tu temu prikazati trenutačne preporuke u liječenju. Less
Abstract (english)
Implant-prosthetic therapy requires detailed and precise planning to achieve optimal function, aesthetics, and naturalness of the future prosthetic replacement. Each therapy starts with anamnesis and clinical examination with the analysis of photographs, Cone Beam Computed Tomography, or orthopantomographic images. This is followed by the positioning of the implant in a precisely determined orofacial, mesiodistal, and apicocoronal dimension where it is crucial to maintain sufficient thickness... More of the buccal wall to achieve optimal levels of peri-implant mucosa. When treating patients, it is important to preoperatively examine risk factors, control of hyperglycemia, level of oral hygiene, width, and thickness of the keratinized peri-implant mucosa, thereby preventing certain conditions that can endanger the dental implant. The role of the attached gingiva in maintaining periodontal and peri-implant health has been extensively researched, but the evidence has been ambiguous. There is a general consensus that gingival augmentation around a dental implant should be performed in cases where the patient cannot maintain adequate plaque control, when there is soft tissue recession, and for pre-prosthetic purposes. The existing literature advocates for ≥2 mm width of keratinized tissue around the implant, as its presence is associated with reduced mucosal inflammation, discomfort during brushing, and the amount of plaque. Augmentation of the gingiva using a free gingival graft is the “gold standard” procedure for increasing the amount of keratinized tissue. The purpose of this paper is to present the application of the free gingival graft technique in surgical therapy for the deficiency of the attached gingiva in the lateral part of the mandible as a preparation for implant-prosthetic therapy for edentulism with a simultaneous surgical procedure of deepening the vestibule, and to present current recommendations in treatment through a review of recent literature on the subject. Less
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:127:090787
Study programmeTitle: Dental implantology
Study programme type: university
Study level: postgraduate specialist
Academic / professional title: sveučilišni specijalist dentalne medicine (sveučilišni specijalist dentalne medicine)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2024-08-28 10:40:48
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