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master's thesis
Autologni koštani graft u estetskoj zoni gornje čeljusti
Zagreb: University of Zagreb, School of Dental Medicine, 2020. urn:nbn:hr:127:912956
Atelj, Alenka
University of Zagreb
School of Dental Medicine
Department of Oral Surgery

Institutional repository: University of Zagreb School of Dental Medicine Repository

Cite this document

Atelj, A. (2020). Autologni koštani graft u estetskoj zoni gornje čeljusti (Master's thesis). Zagreb: University of Zagreb, School of Dental Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:127:912956

Atelj, Alenka. "Autologni koštani graft u estetskoj zoni gornje čeljusti." Master's thesis, University of Zagreb, School of Dental Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:127:912956

Atelj, Alenka. "Autologni koštani graft u estetskoj zoni gornje čeljusti." Master's thesis, University of Zagreb, School of Dental Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:127:912956

Atelj, A. (2020). 'Autologni koštani graft u estetskoj zoni gornje čeljusti', Master's thesis, University of Zagreb, School of Dental Medicine, accessed 26 November 2024, https://urn.nsk.hr/urn:nbn:hr:127:912956

Atelj A. Autologni koštani graft u estetskoj zoni gornje čeljusti [Master's thesis]. Zagreb: University of Zagreb, School of Dental Medicine; 2020 [cited 2024 November 26] Available at: https://urn.nsk.hr/urn:nbn:hr:127:912956

A. Atelj, "Autologni koštani graft u estetskoj zoni gornje čeljusti", Master's thesis, University of Zagreb, School of Dental Medicine, Zagreb, 2020. Available at: https://urn.nsk.hr/urn:nbn:hr:127:912956

Metadata
TitleAutologni koštani graft u estetskoj zoni gornje čeljusti
Title (english)Autologous bone graft in aesthetic area of the upper jaw
AuthorAlenka Atelj
MentorBerislav Perić (mentor)
Committee memberBerislav Perić (predsjednik povjerenstva)
Committee memberMarko Granić (član povjerenstva)
Committee memberJosip Biočić (član povjerenstva)
GranterUniversity of Zagreb
School of Dental Medicine
(Department of Oral Surgery)
Zagreb
Defense date and country2020-09-17, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Dental Medicine
Abstract
Fiziološka ili patološka resorpcija kosti stvara nepovoljne uvjete kod implantoprotetske rehabilitacije pacijenata. Ukoliko je potrebno rehabilitirati estetsko područje maksile, moraju se zadovoljiti određeni estetski parametri u svrhu postizanja uspješne terapije. Osim očuvanja visine mekih tkiva i konveksnosti kontura alveolarnog grebena, prilikom terapije potrebno je i poštovati estetske zahtjeve pacijenata. Koštanom augmentacijom moguće je ispraviti koštane defekte i stvoriti povoljnu strukturu i volumen kosti, stabilnu estetiku i razinu periimplantnog tkiva. Obnovu koštanih deficita moguće je postići autolognim, alogenim, ksenogenim ili aloplastičnim koštanim biomaterijalima. Takvi materijali mogu biti osteogenetski, osteoinduktivni ili ostekonduktivni. Zbog vrlo dobrih rezultata autologni koštani transplantat predstavlja zlatni standard u izboru za augmentativne tehnike u estetskoj zoni. Donorska mjesta za takav transplantat mogu biti intraoralna (simfiza ili ramus mandibule, tuber maksile i zigomatikomaksilarni greben) ili ekstraoralna (ilijačna kost, tibija, fibula i kalvarija lubanje). Estetska zona određuje se individualno prema svakom pacijentu. S obzirom da svaki pacijent ima specifični deficit kosti, postoji više tehnika u kojima se uporaba autolognog koštanog grafta pokazala zadovoljavajućom. GBR – vođena koštana regeneracija, augmentacija koštanim blokom (horizontalna i vertikalna), trodimenzionalna ring augmentacija i modificirana shell tehnika kirurške su tehnike kojima je moguće rekonstruirati deficite estetskog područja u svrhu daljnje terapije. U svrhu postizanja boljih konačnih rezultata, različite tehnike mogu se upotpuniti korištenjem membrana i faktora rasta. Uspješnost pojedine tehnike moguće je procijeniti klinički i radiološki prema količini resorpcije augmentiranog područja prije i nakon postave implantata.
Abstract (english)
Physiological or pathological bone resorption creates unfavorable conditions for implant-prosthetic rehabilitation of patients. Certain aesthetic parameters must be met when treating the aesthetic region of the maxilla in order to successfully rehabilitate the patient. During therapy, it is important to respect the aesthetic requirements of patients, as well as to manage shape, volume and height of soft and hard tissues of the alveolar ridge. Using bone augmentation techniques, it is possible to reverse bone defects and create a favorable bone structure and volume, appropriate aesthetics and periimplant tissue levels. Restoration of bone deficits can be achieved using autologous, allogenic, xenogeneic or alloplastic biomaterials.Such materials may be either osteogenic, osteoinductive or osteoconductive. Due to very good results, autologous bone transplant is the therapy of choice for augmentative techniques in the aesthetic area. Donor sites for such a transplant may be located either intraorally (symphysis or ramus of the mandibula) or extraorally (iliac bone, tibia, fibula or skull calvary). The aesthetic area is determined individually for each patient. Given the broad range of bone defects there are many techniques which use the autologous bone graft. These include GBR-guided bone regeneration, bone block augmentation, (horizontal and vertical) three-dimensional ring augmentation and the modified Shell technique, which all offer a predictable reconstruction of the aesthetic deficits for further therapy. For improved results, these techniques can be modified with usage of membranes and growth factors. The success of a particular technique can be assessed clinically and radiologically by the amount of resorption of the augmented area before and after implant placement.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:127:912956
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 on2021-01-22 12:10:57