Access restricted to higher education institution's students and staff
master's thesis
Occlusal trauma and periodontium

Nika Bandera (2016)
Metadata
TitleOkluzalna trauma i parodont
AuthorNika Bandera
Mentor(s)Jelena Prpić (thesis advisor)
Abstract
Okluzalna trauma je ozljeda parodontnog tkiva koja nastaje kao rezultat prejakih okluzalnih sila i/ili sila koje djeluju na zub(e) pod nepovoljnim kutom, odnosno kada parodont ne može podnijeti preveliko opterećenje. Patološke ili adaptivne promjene na parodontnom tkivu mogu nastati na zdravom parodontu kao rezultat prejakih sila (primarna okluzalna trauma) ili na reduciranom parodontnom tkivu kao posljedica normalnih ili prejakih sila (sekundarna okluzalna trauma) (1,2). Promjene koje nastaju na parodontnom tkivu kao rezultat neadekvatnih sila dovode do karakterističnih promjena (hipermobilnost zuba, fremitus), a te promjene narušavaju normalnu funkciju stomatognatog sustava (4,13,17). Kod sumnje na okluzalnu traumu osim kliničke slike u dijagnostici se mogu koristiti i radiološke snimke i Periotest. Na radiološkim snimkama vidljiv je diskontinuitet i zadebljanje lamine dure, proširenje parodontne pukotine te radiolucencija i kondenzacija alveolarne kosti, a kod zuba sa sekundarnom okluzalnom traumom još se uočava smanjena visina alveolarne kosti. Periotest je električni uređaj koji detektira odgovor parodontnog tkiva na perkusiju i na objektivan način mjeri pomičnost zuba (6,17-19). U terapiji okluzalne traume koriste se splintovi za stabilizaciju pomičnih zuba, ali koriste se i udlage koje smanjuju parafunkcijske aktivnosti i utjecaj prejakih sila na zube. Ortodontskom terapijom postiže se aksijalni smjer djelovanja sila na zube. Ukoliko postoji prekontakt, zub ili zubi koji su uzrok prekontakta mogu se modificirati selektivnim ubrušavanjem, a ako je uzrok prekontakta neadekvatan ispun ili krunica, oni se zbrinjavaju konzervativno ili protetski (4,23).
Keywordsfremitus hypermobility Periotest primary occlusal trauma secondary occlusal trauma splinting
Parallel title (English)Occlusal trauma and periodontium
Committee MembersIrena Glažar (committee member)
Daniela Kovačević Pavičić (committee member)
GranterSveučilište u Rijeci
Medicinski fakultet
Lower level organizational unitsKatedra za oralnu medicinu i parodontologiju
PlaceRijeka
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Dental Medicine
Periodontology
Study programme typeuniversity
Study levelintegrated undergraduate and graduate
Study programmeDental Medicine
Academic title abbreviationdr. med. dent.
Genremaster's thesis
Language Croatian
Defense date2016-09-19
Parallel abstract (English)
Trauma from occlusion is a periodontal tissue injury which occurs as a result of inadequate occlusal forces, when attachment apparatus can not submit excessive forces. Adaptive or pathological changes appear on teeth with normal support (primary occlusal trauma) or on teeth with reduced support (secondary occlusal trauma) (1,2). As a result of excessive forces, characteristic changes on teeth appear, such as teeth hypermobility and fremitus. These changes can disturb normal masticatory function (4,13,17). To diagnose occlusal trauma, clinical and radiographic signs and sypmtoms and Periotest are used. Radiographic signs that can be present are widened PDL space, alveolar bone transparency and thickening, and reduced alveolar bone in secondary occlusal trauma. Periotest is an electronic device used to measure tooth mobility in a way to evaluate the damping capacity of the periodontium (6,17-19). Treatment goal should be to maintain the periodontium in function, and splinting can be used to stabilize teeth with increasing mobility. Occlusal adjustment is also used in therapy of trauma from occlusion. If the tooth filling or tooth crown are the major cause of trauma from occlusion, conservative or prosthetic access are considered (4,23).
Parallel keywords (Croatian)fremitus hipermobilnost Periotest primarna okluzalna trauma sekundarna okluzalna trauma splintovi udlage
Resource typetext
Access conditionAccess restricted to higher education institution's students and staff
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:075034
CommitterBosa Licul