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Mehko podlaganje protez : diplomsko delo
ID Strižič Gajser, Špela (Author), ID Rojko, Franc (Mentor) More about this mentor... This link opens in a new window, ID Fošnarič, Miha (Reviewer)

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Abstract
Uvod: Z vse daljšo življenjsko dobo prebivalstva je vse več ljudi, ki potrebujejo protetično oskrbo. Klinike so vse bolj obremenjene s starejšimi pacienti, ki jim manjka en ali več zob, lahko pa so tudi popolnoma brezzobi. Če takim pacientom zaradi različnih dejavnikov ne moremo zagotoviti fiksnoprotetične oskrbe, se odločimo za izdelavo delne ali totalne proteze, ki ponovno vzpostavi lep videz, ustrezen govor, dihanje, funkcijo žvečenja, izboljša pa tudi pacientovo počutje in mu olajša vključevanje v družbo. Čeprav je proteza ustrezno izdelana ter se zobem in preostalim podpornim tkivom pravilno prilega, je resorpcija grebenske alveolne kosti ireverzibilen proces, ki ga ne moremo zaustaviti. V času nošenja proteze pride do posedanja, ki lahko povzroči žuljenje, neprileganje in premikanje proteze. Pacienti, ki se jim to zgodi, snemnega protetičnega nadomestka velikokrat ne uporabljajo več. Ker želimo paciente zadovoljiti in jim izkušnjo nošenja proteze izboljšati, je protezo v določenem časovnem obdobju treba podložiti z ustreznim materialom, ki ponovno vzpostavi funkcijo proteze in prileganje podpornim tkivom. Ker pa je pri nekaterih pacientih sluznica tako tanka, da je trdi akrilat na bazi boleč in neustrezen za nošenje, lahko uporabimo mehki podložni material, ki je po lastnostih zelo podoben sluznici. Namen: Namen diplomskega dela je pregled mehkih podložnih materialov in njihovih lastnosti ter laboratorijski opis tehnik mehkega podlaganja, pa tudi slabosti, do katerih lahko pride zaradi uporabe proteze, ki je podložena s tovrstnimi materiali. Na podlagi ugotovitev želimo opredeliti, ali je uporaba mehkega podložnega materiala ustrezna in smiselna za zadovoljitev pacientov ter dobro izkušnjo nošenja proteze. Metode dela: Metoda dela v teoretičnem delu diplome je deskriptivna. Za glavni vir informacij smo uporabili strokovne knjige, članke iz strokovnih glasil in strokovne članke s spleta. Za iskanje literature smo uporabili knjižnice in strokovne baze, kot so Google Učenjak, Cobiss, Mdpi, PubMed in ScienceDirect. V laboratoriju smo nato pod nadzorom mentorja izvedli postopek mehkega podlaganja proteze z materialom Molloplast® B, in sicer s tehniko podlaganja v kiveti. Rezultati: Rezultati kažejo, da se pri pacientih, ki se soočajo z bolečino pod bazo proteze, s podlaganjem z mehkim podložnim materialom kakovost življenja in funkcionalnost proteze izboljšata. Ker imajo mehki podložni materiali lastnosti, podobne sluznici, se sile žvečenja porazdelijo ter posledično zmanjšajo bolečino in poškodbe podpornih tkiv pod protezo. Uporaba in higiena mehko podložene proteze pa sta zahtevni, kar pomeni, da moramo uporabnike o tem dobro poučiti. Razprava in zaključek: Raziskave potrjujejo, da lahko mehko podložene totalne in delne proteze izboljšajo govor, žvečenje in druge funkcionalne vidike, za kar sta potrebna tudi ustrezna higiena in poučitev pacientov. Kljub temu ima večina trenutno razpoložljivih materialov več pomanjkljivosti in napredek v tehnologiji teži k temu, da se jih čim bolj odpravi. Zaželene lastnosti mehkih podložnih materialov vključujejo: dobre viskoelastične lastnosti, visoko trdnost vezi z osnovnim materialom na bazi proteze, dimenzijsko stabilnost, trajno mehkobo ali prožnost, nizko absorpcijo vode, barvno stabilnost, odpornost proti nastankom kolonij mikroorganizmov ter preprostost uporabe in predelave. S stalnimi izboljšavami želimo pacientom omogočiti čim boljšo kakovost življenja in izkušnjo nošenja zobne proteze.

Language:Slovenian
Keywords:diplomska dela, laboratorijska zobna protetika, mehki podložni materiali, mehko podlaganje protez, totalna proteza, delna proteza, resorpcija grebena, viskoelastične lastnosti, absorpcija vode, obstojnost barve, trdota mehkih podložnih materialov, Candida albicans
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[Š. Strižič Gajser]
Year:2024
Number of pages:40 str., [1] str. pril.
PID:20.500.12556/RUL-164807 This link opens in a new window
UDC:616.31
COBISS.SI-ID:214760707 This link opens in a new window
Publication date in RUL:13.11.2024
Views:55
Downloads:3
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Secondary language

Language:English
Title:Soft relining of dentures : diploma work
Abstract:
Introduction: With the increasing longevity of the population, we are meeting more and more people who need prosthetic care. Clinics are increasingly overburdened with elderly patients who are missing one or more teeth, or may be completely toothless. In the event that it is not possible to provide fixed prosthetic care to such patients due to various factors, we use the production of partial or total prostheses, which restore the patient’s appearance, proper speech, breathing, chewing function, and thus improve their well-being and social integration. Despite the fact that the prosthesis is properly made and fits properly on the teeth and other supporting tissues, the resorption of the ridge alveolar bone is an irreversible process that cannot be stopped. While wearing the prosthesis, a pressure occurs, which can cause pain, non-fitting and movement of the prosthesis, and patients who experience this often no longer use the removable prosthetic replacement. Because we want to satisfy patients and improve their experience of wearing the prosthesis, the prosthesis must be lined with appropriate material for a certain period of time, which restores the function of the prosthesis and the fit to the supporting tissues, but because in some patients the mucous membrane is so thin that hard acrylate on the base is painful and unsuitable for wearing, we can use a soft relining material. which is very similar in characteristics to the mucousa. Purpose: The purpose of the thesis is to review soft relining materials, their properties and the laboratory description of soft underlay techniques, as well as the disadvantages that can occur with the time of wearing a prosthesis that is relined with these types of materials. Based on the findings, we want to determine whether the use of a soft relining material is appropriate and reasonable for patient satisfaction and a good prosthesis wearing experience. Methods: The method of work in the theoretical part of the diploma is descriptive. As the main source of information, we used professional books, articles from professional journals and professional articles on the Internet. For literature search we used libraries and professional databases such as Google Scholar, Cobiss, Mdpi, PubMed and Science Direct. In the laboratory, under the supervision of a mentor, we carried out the procedure of soft relining of the prosthesis with Molloplast® B material, using the technique of relining with a flask. Results: The results show that in patients who face pain under the base of the prosthesis, the quality of life and the functionality of the prosthesis itself are improved by underlining with a soft backing material. Since soft underlay materials have mucosal-like properties, chewing forces are distributed and, as a result, reduce pain and damage to the supporting tissues under the prosthesis. However, the use and hygiene of a softly lined prosthesis is demanding, which means that we must teach users about them well. Discussion and conclusion: Research confirms that softly relined total and partial dentures can improve speech, chewing and other functional aspects, which also require proper hygiene and patient education. Nevertheless, most of the currently available materials have several drawbacks, and advances in technology tend to eliminate them as much as possible. Desirable properties of soft backing materials include: good viscoelastic properties, high bond strength with the base material based on the prosthesis, dimensional stability, permanent softness or flexibility, low water absorption, color stability, resistance to the formation of microbial colonies, and ease of use and processing. With continuous improvements, we want to provide patients with the best possible quality of life and good experience of wearing dentures.

Keywords:diploma theses, laboratory dental prosthetics, soft relining material, soft denture lining, total denture, partial denture, ridge resorption, viscoelastic properties, water absorption, colour stability, hardness of soft relining materials, Candida albicans

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