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master's thesis
Individualizirani koštani blokovi za augmentaciju alveolarnih grebena
Zagreb: University of Zagreb, School of Dental Medicine, 2020. urn:nbn:hr:127:063184
Babić, Elvira
University of Zagreb
School of Dental Medicine
Department of Oral Surgery

Institutional repository: University of Zagreb School of Dental Medicine Repository

Cite this document

Babić, E. (2020). Individualizirani koštani blokovi za augmentaciju alveolarnih grebena (Master's thesis). Zagreb: University of Zagreb, School of Dental Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:127:063184

Babić, Elvira. "Individualizirani koštani blokovi za augmentaciju alveolarnih grebena." Master's thesis, University of Zagreb, School of Dental Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:127:063184

Babić, Elvira. "Individualizirani koštani blokovi za augmentaciju alveolarnih grebena." Master's thesis, University of Zagreb, School of Dental Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:127:063184

Babić, E. (2020). 'Individualizirani koštani blokovi za augmentaciju alveolarnih grebena', Master's thesis, University of Zagreb, School of Dental Medicine, accessed 02 May 2024, https://urn.nsk.hr/urn:nbn:hr:127:063184

Babić E. Individualizirani koštani blokovi za augmentaciju alveolarnih grebena [Master's thesis]. Zagreb: University of Zagreb, School of Dental Medicine; 2020 [cited 2024 May 02] Available at: https://urn.nsk.hr/urn:nbn:hr:127:063184

E. Babić, "Individualizirani koštani blokovi za augmentaciju alveolarnih grebena", Master's thesis, University of Zagreb, School of Dental Medicine, Zagreb, 2020. Available at: https://urn.nsk.hr/urn:nbn:hr:127:063184

Metadata
TitleIndividualizirani koštani blokovi za augmentaciju alveolarnih grebena
Title (english)Individualized bone blocks for the alveolar ridge augmentation
AuthorElvira Babić
MentorIvan Zajc (mentor)
Committee memberIvan Zajc (predsjednik povjerenstva)
Committee memberMarko Granić (član povjerenstva)
Committee memberDavor Illeš (član povjerenstva)
GranterUniversity of Zagreb
School of Dental Medicine
(Department of Oral Surgery)
Zagreb
Defense date and country2020-09-11, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Dental Medicine
Oral Surgery
Abstract
Gubitak volumena alveolarnoga grebena koji može biti uzrokovan razvojnim defektima, bolestima parodonta, gubitkom zuba, traumom ili infekcijom otežava protetsku sanaciju te iziskuje potrebu za nadomještavanjem resorbirane kosti. Autologna kost i dalje predstavlja zlatni standard u augmentaciji alveolarnoga grebena, ali nosi potrebu za drugim operacijskim mjestom te rizik od njegovog morbiditeta kao i dugo trajanje operacije koje može uzrokovati nelagodu pacijentu. Posljednjih godina se, uz autologne koštane presatke, počinju koristiti individualizirani alogeni koštani blokovi uzeti iz glava femura provjerenih donora. Na temelju CBCT snimka pacijenta, izradi se 3D model čeljusti te se u CAD sustavu dizajnira budući koštani nadomjestak. Kada liječnik odobri dizajn odobren, digitalni podatci učitaju se u CAM sustav te se iz suhosmrznutoga alogenoga koštanoga bloka izgloda koštani blok oblika koji točno odgovara koštanome defektu pacijenta. Korištenjem individualiziranih koštanih blokova izostaje potreba za dodatnim pripasavanjem koštanoga presatka tijekom zahvata, što smanjuje trajanje istoga te rizik od infekcije. Komplikacije koje se javljaju gotovo su isključivo povezane s kontaminacijom do koje može doći kliničarevim nestručnim baratanjem koštanim blokom i mekim tkivom tijekom operacije. Nakon razdoblja cijeljenja prisutna je novonastala kost, koštani presadak djelomično se resorbira, ali ostaje dovoljno kosti za ugradnju dentalnih implantata.
Abstract (english)
The loss of alveolar ridge volume that is caused by developmental defects, periodontal disease, tooth loss, trauma or infection aggravates the prosthetic rehabilitation and demands the replacement of the resorbed bone. Autologous bone is still considered the golden standard in the alveolar ridge augmentation, but it requires an additional surgical site and the risk of its morbidity as well as longer operating time that can lead to patient’s discomfort. In recent years, individualized allogenic bone blocks harvested from the femur heads of tested donors are used instead of autologous bone grafts. A 3D model of the jaw is made based on the patient's CBCT scan and using the CAD software the future graft is designed. When the design is approved by the clinician, the digital data is uploaded into the CAM system where the freeze-dried allogenic bone block gets milled into the shape that precisely fits the patient’s bone defect. Manual adaptation of the block graft can be avoided by the application of the individualized bone blocks, which also saves time and reduces the risk of infection. The reported complications are almost exclusively related to contamination, which can occur due to the clinician’s improper manipulation of the bone block and soft tissue during the surgery. After the healing period, a newly formed bone is observable and a limited resorption of the bone graft with enough bone volume for a successful dental implant placement.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:127:063184
Study programmeTitle: 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 resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) icon
Created on2021-01-15 12:47:28