Brušenje zuba u fiksnoj protetici

master's thesis

• Title (english): Tooth preparation in fixed prosthodontics
• Author: Annamaria Đaković
• Mentor: Lana Bergman (mentor)
• Committee member: Lana Bergman (predsjednik povjerenstva)
• Committee member: Ketij Mehulić (član povjerenstva)
• Committee member: Slađana Milardović (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Fixed Prosthodontics); Zagreb
• Defense date and country: 2022-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Brušenje zuba zahtjevan je i ključan segment fiksnoprotetske terapije. Nužni su pažljiv pristup i
dobar plan terapije te poznavanje općih načela brušenja. U suvremenoj protetici fokus je na
minimalnoj invazivnosti, no s druge strane brušenjem se mora omogućiti dovoljno mjesta za
materijal fiksnoprotetskog rada kako bi se osigurala funkcijska trajnost nadomjeska. Postupak je
ireverzibilan, stoga su neophodne detaljna dijagnostika i precizna izvedba. Na brušenje utječu
vrsta i materijal budućeg fiksnoprotetskog rada te položaj i broj raspoloživih zuba u zubnome
luku. Optimalni instrumentarij za brušenje čine crveni kolječnik i dijamantna svrdla. Velik je
oprez potreban prilikom preparacije vratnog dijela zuba kako se ne bi oštetila parodontna tkiva i
ugrozila biološka širina. Horizontalna preparacija sa zaobljenom stepenicom zadovoljava uvjete
za većinu fiksnoprotetskih radova te je još uvijek preferirana tehnika preparacije. Biološki
orijentirana preparacija pripada novijim tehnikama vertikalne preparacije zuba. Omogućava
postizanje iznimne estetike, ali je tehnički kompleksnija.

Abstract (english)

Tooth preparation is a demanding and crucial part of fixed prosthodontics. A careful approach,
concise treatment plan, and knowledge of the general principles of tooth preparation are
necessary. In modern prosthodontics, the focus is on minimal invasiveness, but on the other hand,
preparation must allow enough space for the material of the restoration in order not to jeopardize
the success of the therapy and its functional longevity. The procedure is irreversible, therefore
detailed diagnostics and precise performance are necessary. Type of preparation is influenced by
the type and material of future fixed prosthodontic restoration and is defined by the position and
number of remaining teeth in the dental arch. The instruments used for tooth preparation are a red
micromotor handpiece and diamond burs. Special attention should be paid while preparing the
cervical part of the tooth in order not to damage the periodontal tissues and endanger the
biological width. Horizontal preparation with a chamfer meets the requirements for most fixed
prosthodontic restorations and is still the preferred technique of preparation. Biologically oriented
preparation is a newer technique of vertical tooth preparation. It enables the achievement of
exceptional aesthetics, but it is technically more complex.

• Keywords: djelomična fiksna zubna proteza; protetička priprema zuba
• Keywords (english): partial fixed denture; tooth preparation; prosthodontics
• Language: croatian
• URN:NBN: urn:nbn:hr:127:389869
• 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: Open access
• Repository: University of Zagreb School of Dental Medicine Repository
• Created on: 2022-10-11 12:00:44