Title Infiltracijska tehnika terapije tvrdih zubnih tkiva
Title (english) Infiltration technique in therapy of hard dental tissues
Author Petra Kociper
Mentor Katica Prskalo (mentor)
Committee member Katica Prskalo (predsjednik povjerenstva)
Committee member Zrinka Tarle (član povjerenstva)
Committee member Paris Simeon (član povjerenstva)
Granter University of Zagreb School of Dental Medicine (Department of Endodontics and Restorative Dentistry) Zagreb
Defense date and country 2018-09-26, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Dental Medicine Endodonics and Restorative Dentistry
Abstract Razvojem moderne stomatologije, poboljšavanjem svojstava materijala i tehnika korištenih u kliničkoj praksi, mijenjao se i pristup terapiji tvrdih zubnih tkiva. Osnovni postulat i cilj kojem bi svaki doktor dentalne medicine dvadeset i prvog stoljeća trebao težiti jest izbjegavanje invazivnih zahvata, očuvanje tvrdog zubnog tkiva, prirodne anatomije i morfologije zuba u najvećoj mogućoj mjeri. Jedna od suvremenih metoda koja nam omogućuje ostvarenje ovoga cilja, a na čijem se istraživanju i uvođenju u širu kliničku primjenu još uvijek radi jest infiltracijska tehnika. Riječ je o mikroinvazivnoj metodi koja je prvotno zamišljena za liječenje inicijalnih karijesnih lezija, osobito onih lokaliziranih na aproksimalnim plohama zuba, ali se u novije vrijeme češće koristi u terapiji obojenja različite etiologije na glatkim, vestibularnim površinama. Princip djelovanja infiltracijske tehnike temelji se na prodiranju niskoviskozne smole, visokog penetracijskog koeficijenta, u pore unutar cakline koje su nastale kao rezultat demineralizacije, odnosno poremećaja u mineralizaciji cakline za vrijeme razvoja zuba. Na taj način povećava se mehanička čvrstoća zuba i omogućava remineralizacija demineraliziranog područja, ali i ispravljaju estetski nedostatci budući da se prodiranjem smole refraktorni indeks demineraliziranog zubnog tkiva približno izjednačava s onim zdrave cakline. Najbolji rezultati dobiveni su u terapiji diskoloracija nastalih kao posljedica dentalne fluoroze dok su u slučaju diskoloracija drugačije etiologije rezultati bili nešto skromniji, a maskiranje nepotpuno. Ukoliko je riječ o karijesnoj indikaciji, ICON se može koristiti kod lezija koje radiografski sežu do unutarnjeg caklinskog sloja, odnosno do vanjske trećine dentina dok u slučaju dubljih lezija njegova primjena nije indicirana.
Abstract (english) The development of modern dentistry, by improving the properties of materials and techniques used in clinical practice, also changed the approach to the treatment of hard dental tissue. The basic postulate and goal to which every dental practitioner of the twenty-first century should strive is to avoid invasive procedures, to preserve hard dental tissue, natural anatomy and tooth morphology to the greatest extent possible. One of the modern methods that allows us to achieve this goal and whose research and introduction into wider clinical application is still being done is infiltration technique. It is a microinvasive method that was originally intended for the treatment of initial carious lesions, especially those located on the proximal tooth surfaces but has been more frequently used in the treatment of aesthetically unsatisfying discolorations on vestibular, smooth surfaces. The principle of action of infiltration technique is based on penetration of low-viscosity resin, with high penetration coefficient into the pores caused by demineralization or disorder in the mineralization of enamel during tooth development. This increases mechanical tooth strength and allows remineralization of the demineralized area, but also corrects aesthetic defects as the refractory index of demineralized dental tissue approximates with the one of healthy enamel by penetrating the resin. It was the most efficient in therapy of discolorations caused by dental fluorosis, while in the cases of discolorations of different etiology the results were somewhat modest and the masking was incomplete. If we are talking about carious indication, ICON can be used in lesions that radiographically reach the inner enamel layer, or up to the outer third of the dentine, while in the case of deeper lesions its application is not indicated.
Keywords
mikroinvazivno
infiltracija
niskoviskozna
smola
Keywords (english)
microinvasive
infiltration
low-visocity
resin
Language croatian
URN:NBN urn:nbn:hr:127:979761
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
Terms of use
Created on 2019-01-11 09:44:46