Izdelava mostovne konstrukcije vijačene na štirih implantatih : diplomsko delo

Šenk, Lovro (avtor), Bohinc, Peter (mentor), Levec, Tina (recenzent)

Uvod: Obraz predstavlja le majhen del telesa, vendar je eden izmed glavnih dejavnikov za socialno identiteto in eno glavnih orodij za medosebno komunikacijo. Izguba zob močno vpliva na anatomske in estetske spremembe obraza oz. ustne votline. Dolgo časa se je protetika tovrstnega problema lotevala le z izdelavo totalnih protez. Kadar anatomija pacientove resorbirane čeljusti ne zagotavlja stabilizacije proteze, pa se je pravilno odločiti za implantate. Glavna cilja reševanja popolne brezzobosti z implantati sta nadomestitev snemne proteze s fiksno konstrukcijo na implantatih ali stabilizacija snemne proteze na implantatih. Namen: Namen diplomskega dela je pregledati obstoječo literaturo o problemu brezzobosti, opisati mogoče rešitve in se usmeriti predvsem na protetične rešitve na zobnih implantatih ter podrobneje opisati fiksno konstrukcijo, vijačeno na štirih zobnih implantatih. V rezultatih diplomskega dela je opisan potek izdelave kovinsko-kompozitne konstrukcije all-on-four, izdelane s kombiniranjem digitalne in analogne tehnologije. Metode dela: V teoretičnem delu je metoda deskriptivna. Glavni vir informacij so članki v različnih znanstvenih revijah in strokovne knjige. Za izbiro literature smo uporabili različne knjižnice in bibliografskih baze, kot so Google Učenjak, Cobiss, PubMed. V praktičnem delu diplomskega dela smo v laboratoriju izdelali kompozitno-kovinsko vijačeno mostovno konstrukcijo in s tem prikazali potek izdelave tovrstnega nadomestka z digitalno in analogno tehnologijo. Rezultati: Izdelali smo kovinsko-kompozitno fiksno mostovno konstrukcijo, vijačeno na štirih implantatih. Postopek temelji na prenosu digitalno izdelanega prototipa v končni izdelek, ki smo ga dokončali s tehniko brizganja kompozita na digitalno izdelano CoCr-konstrukcijo. Izdelava vključuje tako digitalne kot klasične postopke. Razprava in zaključek: Vijačena mostovna konstrukcija na štirih implantatih (ang. all-on-four) je zelo uspešna metoda zdravljenja brezzobih pacientov z odličnimi kliničnimi rezultati. Zaradi zmanjšanja števila implantatov in komponent omogoča znižanje stroškov v primerjavi s tradicionalnimi rekonstrukcijami na implantatih.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, laboratorijska zobna protetika, brezzobost, reševanje brezzobosti, implantati, all-on-four
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [L. Šenk]
• Leto izida: 2024
• Št. strani: 40 str., [1] str. pril.
• PID: 20.500.12556/RUL-162857
• UDK: 616.31
• COBISS.SI-ID: 209395203
• Datum objave v RUL: 28.09.2024

ŠENK, Lovro, 2024, Izdelava mostovne konstrukcije vijačene na štirih implantatih : diplomsko delo [na spletu]. Diplomsko delo. Ljubljana : L. Šenk. [Dostopano 26 april 2025]. Pridobljeno s: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=slv&id=162857

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Production of screw retained prosthesis on four implants : diploma work

Izvleček

Introduction: The face proportionally represents only a small part of the body. It is one of the main factors of social identity and one of the main tools for interpersonal communication. The loss of teeth significantly affects the anatomical and aesthetic changes of the face/oral cavity. For a long time, prosthetics addressed this issue mainly by making complete dentures. In cases where the anatomy of the patient's resorbed jaw does not provide stabilization of the prosthesis, we can decide for implant prosthetics. The main goals of resolving complete edentulism with implants are either replacing removable dentures with a fixed prosthesis on implants or stabilizing the removable denture on implants. Purpose: The purpose of the diploma work is to review the existing literature on the problem of edentulism and to describe possible solutions to this problem, focusing mainly on implant prosthetic and to describe in more detail a fixed screw retained construction on four dental implants. The results of the thesis describe the process of manufacturing a metal-composite all-on-four construction, made by combining digital and analogue technology. Methods: A descriptive research method was used in the theoretical part of the diploma work. The main sources of information were the articles in scientific journals and professional books. The literature was searched in libraries and bibliographic databases Google Scholar, Cobiss, PubMed, and other. In the practical part of the diploma work, we made a metal-composite screw retained bridge prosthesis in the laboratory by using digital and analogue technology. Results: A metal-composite fixed screw bridge structure on four implants was made. The process itself is based on the transfer of a digitally produced prototype to the final product, which was produced using the injection composite technique on a digitally produced CoCr construction. The manufacturing process varies between digital and analogue techniques. Discussion and conclusion: The concept of a screw retained bridge construction on four implants, or in other words, all-on-four, is a very successful method of treating edentulous patients with excellent clinical results. Due to the reduction in the number of implants and components, this type of construction enables a reduction in costs compared to traditional reconstructions on implants.

• Ključne besede: diploma theses, laboratory dental prosthetics, edentulousness, treatment of edentulousness, implants, all-on-four