master's thesis
Procjena uspješnosti endodontske terapije

Niko Matešić (2012)
Sveučilište u Rijeci
Medicinski fakultet
Katedra za endodonciju i restorativnu stomatologiju
Metadata
TitleProcjena uspješnosti endodontske terapije
AuthorNiko Matešić
Mentor(s)Ivana Brekalo-Pršo (thesis advisor)
Abstract
Svrha endodontskog liječenja je ukloniti inficirano tkivo iz korijenskih kanala, dezinficirati njihove stijenke, oblikovati i hermetički zatvoriti kanale te restaurirati zubnu krunu trajnim materijalom kako bi se osigurala funkcija, dugovječnost i estetika zuba. To se postiže trepanacijom i uklanjanjem koronarnog dijela pulpnog tkiva, određivanjem duljine korijenskog kanala te njegovim čišćenjem, oblikovanjem i punjenjem. Endodontska terapija može se pokazati neuspješnom zbog čitavog niza čimbenika. Terapeut može pogriješiti u dijagnostičkim postupcima kao što su uzimanje anamneze ili provođenje kliničkih testiranja, no i sama morfologija zuba i pulpnog prostora mogu bitno utjecati na ishod terapije. Pri čišćenju i oblikovanju korijenskih kanala do pogreške može doći zbog oblikovanja stube, stvaranja umjetnog kanala, perforacije stijenke korijena ili loma instrumenta u kanalu. Nadalje, pri punjenju kanala može se javiti nedovoljno apikalno, koronarno ili lateralno brtvljenje, može se krivo odrediti duljina punjenja, previdjeti postojanje lateralnih kanala, a pri kondenzaciji punila može doći i do vertikalne frakture korijena. Čimbenici koji ugrožavaju uspješnost endodontskog liječenja su intra ili ekstraradikularne infekcije te prisutstvo stranih materijala, kristala kolesterola, ožiljaka ili cista u periapeksu. Endodontsko liječenje mora se procijeniti na redovnim kontrolnim pregledima koji obuhvaćaju klinički pregled i radiološki nalaz.
Keywordsperiapical lesion infection root canal morphology tests in endodontics canal cleaning and shaping canal filling root perforation canal transportation zipping instrument separation canal leakage filling length vertical fracture.
Committee MembersIvana Brekalo-Pršo
Alen Braut
Sonja Pezelj-Ribarić
GranterSveučilište u Rijeci
Medicinski fakultet
Lower level organizational unitsKatedra za endodonciju i restorativnu stomatologiju
PlaceRijeka
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Dental Medicine
Endodonics and Restorative Dentistry
Study programme typeuniversity
Study levelintegrated undergraduate and graduate
Study programmeDental Medicine
Academic title abbreviationdr. med. dent.
Genremaster's thesis
Language Croatian
Defense date2012-04-04
Parallel abstract (English)
The main goal of the endodontic treatment is to remove the infected tissue from the root canals, to disinfect their walls, to shape and hermetically seal them and to restore the tooth crown with a permanent material in order to maintain the functionality, the longevity and the aesthetics of the tooth. This is achieved by trepanating the tooth, removing the coronal part of the pulp, determining the length of the canal and by cleaning, shaping and filling the root canal. The endodontic therapy can be unsuccessful for various reasons. The therapist can make errors during diagnostic procedures such as the gathering of the anamnestic information or the conducting of clinical tests. However, the morphology of the tooth and its pulp space can also greatly affect the outcome of the therapy. During the cleaning and shaping of the root canal the following errors can occour: zipping of the root canal, canal transportation, stripping or lateral wall perforation and instrument separation. Furthermore, the errors that can happen during the filling of the root canals include: apical, coronal or lateral leakage, the determination of a wrong filling length, the existance of lateral accessory canals or the vertical root fracture during lateral condensation. Factors that can compromise the outcome of the endodontic treatment include intra and extraradicular infections and the presence of alien materials, cholesterol crystals, cysts and scar tissue in the periapical area. The endodontic treatment must be evaluated during regular recalls that must include a clinical check-up and a radiological overview.
Parallel keywords (Croatian)periapikalna lezija infekcija morfologija korijenskog kanala ispitivanja u endodonciji čišćenje i oblikovanje kanala punjenje kanala perforacija korijena umjetni kanal stuba slomljeni instrument brtvljenje punila dužina punjenja vertikalna fraktura.
Resource typetext
Access conditionAccess restricted to students and staff of home institution
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:311580
CommitterBosa Licul