Title KONCEPCIJE OKLUZIJE KOD POTPUNIH PROTEZA
Title (english) CONCEPTS OF COMPLETE DENTURE OCCLUSION
Author Ivana Galac
Mentor Daniela Kovačević Pavičić (mentor)
Committee member Daniela Kovačević Pavičić (predsjednik povjerenstva)
Committee member Zoran Kovač (član povjerenstva)
Committee member Davor Kuiš (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Prosthodontics) Rijeka
Defense date and country 2020-07-10, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Dental Medicine Prosthetic Dentistry
Abstract Bezubost kod starijih osoba najčešće se rješava izradom potpune proteze. Pri postavi zuba u protezu, bira se vrsta koncepcije okluzije pojedinačno za svakog pacijenta. Ovisi o rezidualnom alveolarnom grebenu, tipu resorpcije, odnosu između gornje i donje čeljusti, skeletne klase pacijenta, neuromuskularnoj kontroli, estetskoj i žvačnoj funkciji te parafunkcijskim kretnjama mandibule. Prilikom kretnji, mandibula može zauzimati centrične i ekscentrične položaje. Najbitnije je poznavati položaje centrične relacije i maksimalne interkuspidacije kod potpunih proteza. Kretnje mogu utjecati na okluzalnu morfologiju zuba pa je potrebno znati čimbenike koji utječu na te kretnje. Oni se dijele na prednje i stražnje čimbenike kontrole. Koncepcije okluzije definiraju se kao specifični dodiri zuba tijekom svih mandibularnih kretnji. U njih spadaju: bilateralna uravnotežena okluzija, unilateralna uravnotežena okluzija, okluzija vođena očnjakom, lingvalizirana okluzija i nebalansirana okluzija. Postoje određene indikacije, prednosti i nedostaci za pojedinu koncepciju. Nakon odabira koncepcije okluzije biraju se i vrste zuba ovisno o obliku i nagibu kvržica. Razlikuju se: anatomski, poluanatomski i neanatomski zubi. Na okluzalnih plohama bočnih zuba postoje potporne kvržice i kvržice vodilje koje služe za održavanje vertikalne i horizontalne dimenzije okluzije, sprečavaju sudaranje tkiva te za stabilnost proteze pri žvakanju. Pri postavi zuba poštuju se osnovna i specijalna pravila. Odabirom odgovarajuće koncepcije okluzije, oblika zuba i kvržica prema indikaciji, uspostavlja se dobra stabilnost i retencija, ugodnost nošenja proteze za pacijenta te zadovoljavajuća estetika i funkcija.
Abstract (english) Nowadays complete denture is the most common solution in prosthodontic rehabilitation of edentulous patients. Occlusal concepts have to be chosen individually for each patient before teeth setting in complete denture is done. Selection of each occlusal concept depends on: residual alveolar ridge, type of ridge resorption, relationship between the upper and lower jaws, skeletal class of the patient, neuromuscular control, estethic and mastication function and parafunctional movements of the mandible. During the movements, mandible can take centric and eccentric positions. In complete dentures, mandible positions that are necessary to define are centric relation and maximal intercuspidation. Also, morphology of oclussal surface of the teeth can be changed by the factors that are affecting mandibular movements. Generally, those factors are divided into frontal and posterior control factors. Occlusal concepts are defined as specific tooth touches during mandibular movements. There are five types of occlusal concepts: bilateral balanced occlusion, unilateral balanced occlusion, canine guided occlusion, lingualized occlusion and unbalanced occlusion. For each occlusal conception there are certain indications, advantages and disadvantages. Teeth are chosen according to their shape and inclitation of the cusps, after selecting the occlusal concept. We distinguish three types of teeth: anatomical, semi-anatomical and nonanatomical. On occlusal surface of the tooth two types of cusps can be determinated: supporting and non-supporting cusps. Their main role is to detain the vertical and horizontal dimension of occlusion, prevent tissue collision and establish denture stability while mastication. Adequate choice of occlusal concept, tooth and cusp morphology by indication can establish good stability and retention, comfort while wearing complete dentures and satisfying aesthetic and function.
Keywords
koncepcije okluzije
okluzija
potpuna proteza
Keywords (english)
complete dentures
occlusion
occlusal concepts
Language croatian
URN:NBN urn:nbn:hr:184:853991
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 Access restricted to students and staff of home institution
Terms of use
Created on 2020-11-05 16:13:20