Implantoprosthetic therapy of a missing front tooth/Implantantno-proteticka terapija manjka prednjeg zuba

• Published in: Acta stomatologica croatica Vol. 43; no. 3; p. 234
• Main Authors: Zivko-Babic, Jasenka, Jakovac, Marko, Carek, Andreja, Lovric, Zeljka
• Format: Journal Article
• Language: English
• Published: Sveuciliste U Zagrebu 01.09.2009
• Subjects: Care and treatment; Methods; Oral surgery; Prosthodontics; Tooth loss; Croatia
• ISSN: 0001-7019; 1846-0410

In the recent decade, implant-prosthetic therapy in partially edentulous patients is more and more suggested therapy. Implant placement in front region is very demanding and technically sensitive. Growing patients' demands for natural look of prosthetic appliances in visible region of oral cavity forces clinicians for education, knowledge and capabilities. The aim of the study is clinical evaluation of prosthetic-implant therapy in patients with missing front tooth at the Department of Prosthodontics, School of Dental Medicine Zagreb. Total of 23 patients had implant therapy during the last decade. The reasons for tooth loss were: caries and fracture of endodontic treated tooth, trauma, anodontia and periodontal disease. Upper medial incisor was replaced in most cases, than upper lateral incisor, upper canine and lower medial incisor. The implants are approximately 5 years in function. No implant failure was reported. Functional durability and esthetic of prosthetic/ implant therapy depends on biomechanical factors and lack of infection. Cooperation of patients in this study for regular check-ups was minimal but nevertheless success of therapy was satisfactory. Key words Dental Implantation, Endosseous; Dental Implants, Single-Tooth; Jaw, Edentulous, Partially Posljednjih nekoliko desetljeca implantantno-proteticka terapija sve se cesce predlaze kod djelomice ozubljene celjusti. Ugradnja implantata u prednjem dijelu usta vrlo je zahtjevna i tehnicki osjetljiva. Pacijenti danas zahtijevaju da proteticki radovi izgledaju potpuno prirodno, a to od klinicara trazi edukaciju, znanje i sposobnost. Svrha ovoga rada jest predstaviti rezultate implatatno-proteticke terapije manjka prednjeg zuba kod pacijenata Katedre za fiksnu proteticke Stomatoloskog fakulteta u Zagrebu. Posljednjih desetak godina ukupno su sanirana 23 pacijenta. Razlozi za manjak zuba bili su sljedeci: karijes nakon endodontskog lijecenja ili pucanje devitaliziranog zuba, trauma, anodoncija te parodontni proces. Najcesce su bili nadomjesteni gornji srednji sjekutici, zatim bocni sjekutici, ocnjaci i jedan donji srednji sjekutic. Implantati su prosjecno u funkciji oko 5 godina. Nije zabiljezen njihov gubitak. Funkcijska i estetska trajnost implantantno-proteticke terapije ovise o biomehanickim cimbenicima, no ne smije buknuti ni infekcija. lako su pacijenti neredovito dolazili na kontrole, implantantno-protetickom terapijom postigli smo zadovoljavajuci uspjeh. Kljucne rijeci Implantologija, dentalna, endoosealna; zubni implantati, jedan zub; celjust, djelomicno bezuba