Title Endodontska kirurgija - indikacije i terapijski postupci : diplomski rad Title (english) Endodontic surgery - indications and therapeutic procedures : graduate thesis Author Ana Baričević Mentor Damir Šnjarić (mentor)Committee member Damir Šnjarić (predsjednik povjerenstva)Committee member Ivana Brekalo Pršo (član povjerenstva)Committee member Tomislav Ćabov (član povjerenstva)Granter University of Rijeka Defense date and country 2024, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Endodontska kirurgija obuhvaća niz terapijskih postupaka za kirurško liječenje bolesti zubne pulpe i lezija u periradikularnom području. Primarne indikacije uključuju perzistirajuće periapikalne infekcije, anatomske složenosti i proceduralne pogreške koje sprječavaju uspješno nekirurško liječenje. Ključni kirurški postupci uključuju kiruršku drenažu, periradikularnu, nadomjesnu i implantacijsku kirurgiju. Prije svakog zahvata potrebno je uzeti medicinsku i dentalnu anamnezu, napraviti klinički
... More pregled i slikovnu dijagnostiku. Zahvatu prethodi učinkovita anestezija i odabir odgovarajućeg režnja za pristup kirurškom polju.
Kirurška drenaža, putem incizije i drenaže ili kortikalne trefinacije, evakuira gnojni eksudat, smanjujući pritisak na okolna tkiva i infekciju. Periradikularna kirurgija uključuje kiretažu upaljeno promijenjenog tkiva, resekciju apeksa korijena i preparaciju i retrogradno punjenje. Korektivne tehnike poput zatvaranja perforacija, amputacije korijena, bisekcije i hemisekcije bitne su za rješavanje složenih patologija ili endodontskih neuspjeha. Nadomjesna kirurgija uključuje namjernu ekstrakciju i replantaciju zuba te danas daje uspješne rezultate, dok implantacijska kirurgija endodontskim implantatima gubi na svojem značaju. Razvoj oseointegrirajućih implantata prati trend porasta te time se dokazuje njihova uspješnost.
Napredak tehnologije značajno je poboljšao ishode endodontske kirurgije. Korištenje optičkih pomagala, poput kirurških mikroskopa, i preciznih mikroinstrumenata povećalo je točnost i sigurnost postupaka. Ovi napretci, u kombinaciji s usavršenim kirurškim tehnikama, rezultirali su visokom stopom uspjeha i niskim rizikom od komplikacija, čineći endodontsku kirurgiju pouzdanim izborom za očuvanje zubi koji bi inače bili izgubljen. Less Abstract (english) Endodontic surgery encompasses a range of therapeutic procedures for the surgical treatment of diseases of the dental pulp and lesions in the periradicular area. Primary indications include persistent periapical infections, anatomical complexities, and procedural errors that prevent successful non-surgical treatment. Key surgical procedures include surgical drainage, periradicular surgery, replacement, and implant surgery. Before any procedure, it is necessary to take a medical and dental
... More history, perform a clinical examination, and obtain imaging diagnostics. The procedure is preceded by effective anesthesia and the selection of an appropriate flap to access the surgical field.
Surgical drainage, through incision and drainage or cortical trephination, evacuates purulent exudate, reducing pressure on surrounding tissues and infection. Periradicular surgery includes curettage to remove inflamed tissue, root apex resection, preparation, and retrograde filling. Corrective techniques such as perforation closure, root amputation, bisection, and hemisection are essential for addressing complex endodontic failures. Replacement surgery involves intentional extraction and replantation of the tooth, which has shown successful results, while implant surgery with endodontic implants is declining in significance. The development of osseointegrated implants follows the increasing trend, demonstrating their success.
Advancements in technology have significantly improved the outcomes of endodontic surgery. The use of optical aids, such as surgical microscopes, and precise microinstruments has increased the accuracy and safety of procedures. These advancements, combined with refined surgical techniques, have resulted in high success rates and low risk of complications, making endodontic surgery a reliable choice for preserving teeth that would otherwise be lost. Less Keywords
Apikotomija
Endodoncija
Mikrokirurgija
Terapija korijenskog kanala
Ponovno liječenje
Keywords (english)
Apicoectomy
Endodontics
Microsurgery
Retreatment
Root Canal Therapy
Language croatian URN:NBN urn:nbn:hr:271:282553 Study programme Title: Dental 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 2024-06-03 10:12:09
