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master's thesis
TRAUMATSKE OZLJEDE KORIJENA ZUBA
diplomski rad
2024. urn:nbn:hr:271:302697
Petek, Sara
University of Rijeka
Faculty of Dental Medicine

Cite this document

Petek, S. (2024). TRAUMATSKE OZLJEDE KORIJENA ZUBA : diplomski rad (Master's thesis). Rijeka: University of Rijeka. Retrieved from https://urn.nsk.hr/urn:nbn:hr:271:302697

Petek, Sara. "TRAUMATSKE OZLJEDE KORIJENA ZUBA : diplomski rad." Master's thesis, University of Rijeka, 2024. https://urn.nsk.hr/urn:nbn:hr:271:302697

Petek, Sara. "TRAUMATSKE OZLJEDE KORIJENA ZUBA : diplomski rad." Master's thesis, University of Rijeka, 2024. https://urn.nsk.hr/urn:nbn:hr:271:302697

Petek, S. (2024). 'TRAUMATSKE OZLJEDE KORIJENA ZUBA : diplomski rad', Master's thesis, University of Rijeka, accessed 22 April 2025, https://urn.nsk.hr/urn:nbn:hr:271:302697

Petek S. TRAUMATSKE OZLJEDE KORIJENA ZUBA : diplomski rad [Master's thesis]. Rijeka: University of Rijeka; 2024 [cited 2025 April 22] Available at: https://urn.nsk.hr/urn:nbn:hr:271:302697

S. Petek, "TRAUMATSKE OZLJEDE KORIJENA ZUBA : diplomski rad", Master's thesis, University of Rijeka, Rijeka, 2024. Available at: https://urn.nsk.hr/urn:nbn:hr:271:302697

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Metadata
TitleTRAUMATSKE OZLJEDE KORIJENA ZUBA : diplomski rad
Title (english)TRAUMATIC INJURIES TO THE ROOT OF THE TOOTH : graduate thesis
AuthorSara Petek
MentorNataša Ivančić Jokić (mentor)
Committee memberNataša Ivančić Jokić (predsjednik povjerenstva)
Committee memberDanko Bakarčić (član povjerenstva)
Committee memberTomislav Ćabov (član povjerenstva)
GranterUniversity of Rijeka
(Faculty of Dental Medicine)
Rijeka
Defense date and country2024, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Dental Medicine
Abstract
Prijelomi korijena su relativno rijetki, čineći do 7% dentalnih traumatskih ozljeda. Dijele se s obzirom na smjer na horizontalne i vertikalne, a s obzirom na lokaciju na prijelome apikalne, srednje i cervikalne trećine korijena. Dijagnostika obuhvaća anamnezu, klinički pregled cjelokupnog područja te radiološku dijagnostiku. Zubi mogu biti dislocirani, ekstrudirani ili asimptomatski. Prisutna je osjetljivost na perkusiju, prolazna diskoloracija krune te krvarenje iz gingivnog sulkusa. Osnovni... More principi liječenja podrazumijevaju repoziciju dislociranog fragmenta i imobilizaciju. Prijelomi u apikalnoj trećini najčešće ne zahtijevaju intervenciju. Prijelomi u srednjoj trećini te subkrestalni prijelomi cervikalne trećine najčešće zahtijevaju redukciju i imobilizaciju. Suprakrestalni prijelomi cervikalne trećine vrlo često zahtijevaju uklanjanje koronarnog fragmenta te protetsku rehabilitaciju. Endodontsko liječenje korijenskih kanala ne provodi se na hitnom prijemu već tek nakon 3-4 mjeseca ukoliko zub pokazuje znakove nekroze ili infekcije. Vertikalni prijelomi korijena najčešće su povezani uz endodontski liječene, intenzivno restaurirane zube. Liječenje jednokorijenskih zuba vrlo često podrazumijeva ekstrakciju zuba, dok kod višekorijenskih zuba opcija može biti hemisekcija ili amputacija. Opcije liječenja prijeloma korijena mliječnog zuba uključuju uklanjanje koronarnog fragmenta, dok apikalni ostaje, ili repozicija koronarnog uz postavu fleksibilnog splinta. Zub se također može ostaviti neliječen ukoliko nije pretjerano pomičan. Dugotrajno praćenje pacijenta jedan je od glavnih čimbenika uspjeha. Pacijent se prati minimalno 5 godina od ozljede. Postoje četiri vrste cijeljenja prijeloma korijena koje uključuju cijeljenje tvrdim zubnim tkivom, koje se smatra najpovoljnijim ishodom, cijeljenje vezivnim tkivom, cijeljenje vezivnim tkivom i kosti te stvaranje granulacijskog tkiva u prijelomnoj liniji. Less
Abstract (english)
Root fractures are relatively rare, accounting for up to 7% of dental traumatic injuries. They are classified based on the direction into horizontal and vertical fractures, and based on location into apical, middle and cervical third root fractures. Diagnosis involves patient history, clinical examination of the entire area and radiological assessment. Teeth may be displaced, extruded or asymptomatic. Sensitivity to percussion, transient discoloration of the crown and bleeding from the... More gingival sulcus may be present. Basic treatment principles involve repositioning of the displaced fragment and immobilization. Fractures in the apical third usually do not require intervention. Fractures in the middle third and subcrestal fractures of the cervical third often require reduction and immobilization. Supracrestal fractures of the cervical third often require removal of the coronal fragment and prosthetic rehabilitation. Endodontic treatment of root canals is not performed on emergency admission but after 3-4 months if the tooth shows signs of necrosis or infection. Vertical root fractures are most commonly associated with endodontically treated, extensively restored teeth. Treatment of single-root teeth often involves tooth extraction, while for multi-rooted teeth, options may include hemisection or amputation. Treatment options for root fractures of primary teeth include removal of the coronal fragment while leaving the apical fragment, or repositioning the coronal fragment with the placement of a flexible splint. The tooth may also be left untreated if not excessively mobile. Long-term patient follow-up is one of the main success factors. Patients should be monitored for a minimum of 5 years after the injury. There are four types of root fracture healing, including healing with hard dental tissue, healing with connective tissue, healing with connective tissue and bone, and the formation of granulation tissue in the fracture line. Less
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:271:302697
Study programmeTitle: 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 resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2024-06-28 13:24:40
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