Vloga laboratorijskega zobnega protetika pri multidisciplinarni obravnavi otroka s shizo : diplomsko delo

Ščurek, Hana (avtor), Kansky, Andrej (mentor), Eberlinc, Andreja (komentor), Hren, Doroteja (komentor), Gomišček, Gregor (recenzent)

Uvod: Heilognatopalatoshiza (orofacialni razcep, shiza), znana tudi kot zajčja ustnica in volčje žrelo, predstavlja najpogostejšo kongenitalno nepravilnost na obrazu in ustih ter ima velik vpliv na življenje otroka. Pojavnost shiz v Sloveniji je približno 1 na 600 živorojenih otrok, pri čemer se razcepi delijo na razcepe ustnice, čeljustnega grebena, trdega in mehkega neba. Razcepi so lahko popolni, nepopolni, enostranski in obojestranski. Razvoj obraza se odvija med 4. in 12. tednom nosečnosti, ko se klične plošče združujejo; v primeru shize ta proces ne poteka pravilno, posledica nepopolnega združevanja izboklin je razcep. Uspešna obravnava otrok s shizo zahteva multidisciplinarno obravnavo, v zdravljenje so vključeni neonatolog, pediater, maksilofacialni kirurg, ortodont, laboratorijski zobni protetik, logoped, otorinolaringolog in po potrebi še drugi strokovnjaki. Zdravljenje v Sloveniji je dobro urejeno in poteka po natančno izdelanem protokolu. Namen: Namen diplomskega dela je predstaviti zdravljenje otroka s shizo v Sloveniji, opisati vlogo laboratorijskega zobnega protetika in tehnično izdelati palatinalno ploščo z nosnim podpornikom. Metode dela: Diplomsko delo smo začeli s pregledom literature o shizah, pri čemer smo uporabili vire v slovenščini in angleščini. Literaturo smo večinoma iskali na platformah PubMed, COBISS, Science Direct in Google Scholar, iskanje pa je bilo omejeno na zadnjih 10 let. Zaradi relevantnosti smo uporabili tudi starejše članke. Postopki izdelave so bili dokumentirani s telefonom iPhone 12 in obdelani v programu Pixlr. Rezultati: Opisali smo postopek izdelave nebne plošče z nosnim podpornikom. V laboratoriju v UKC Ljubljana smo izdelali nebno ploščo za otroka s heilognatopalatoshizo. Opisan in predstavljen je bil postopke izdelave. Razprava in zaključek: V diplomskem delu smo predstavili zdravljenje otroka s heilognatopalatoshizo v Sloveniji in opisali izdelavo palatinalne plošče z nosnim podpornikom. V delu je poudarjena vloga laboratorijskega zobnega protetika pri dojenčkovi predoperativni pripravi. Protokoli za zdravljenje shiz po svetu so različni, v Sloveniji se shize operirajo po ljubljanskem protokolu. Zaradi dobrih rezultatov je postala predoperativna priprava standardni postopek pri zdravljenju heilognatopalatoshiz v Sloveniji.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, laboratorijska zobna protetika, shiza, heilognatopalatoshiza, multidisciplinarna oskrba, nebna plošča, nosni podpornik, orofacialni razcepi
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [H. Ščurek]
• Leto izida: 2025
• Št. strani: 33 str., [1] str. pril.
• PID: 20.500.12556/RUL-169253
• UDK: 616.31
• COBISS.SI-ID: 236592643
• Datum objave v RUL: 21.05.2025

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Role of laboratory dental technician in the multidisciplinary treatment of a child with a cleft palate : diploma work

Izvleček

Introduction: Cheilognatopalatoschisis (orofacial cleft), also known as cleft lip and cleft palate, is the most common congenital facial abnormality, significantly impacting a child's life. The incidence of clefts in Slovenia is approximately 1 in 600 live births, with clefts classified into lip clefts, alveolar ridge clefts, and hard and soft palate clefts. Clefts can be complete or incomplete, unilateral or bilateral. Facial development occurs between the 4th and 12th week of pregnancy when processes fuse; in cases of clefts, this process does not occur properly, leading to incomplete fusion and resulting in a cleft. Successful treatment of children with clefts requires a multidisciplinary approach, involving a neonatologist, pediatrician, maxillofacial surgeon, orthodontist, dental prosthetist, speech therapist, otorhinolaryngologist, and other specialists as needed. Treatment in Slovenia is well-organized and follows a carefully developed protocol. Purpose: The objective of this diploma work is to present the treatment of a child with cleft lip and palate in Slovenia, to describe and technically fabricate a palatal plate with a nasal molding, and to discuss the challenges faced by patients after surgical treatment. Methods: We began the thesis with a literature review on clefts, utilizing sources in both Slovenian and English. Most of the literature was sourced from the platforms PubMed, COBISS, Science Direct and Google Scholar, with a focus on the past 10 years. However, due to the relevance of certain articles, some older sources were also included. The process of making the NAM device was documented using Iphone 12 and edited with Pixlr. Results: in the laboratory at the University Medical Centre Ljubljana a nasoalveolar molding device was made for a child with cheilognatopalatoschisis. The process of making the NAM device was described and presented in detail. Discussion and conclusion: In the thesis, we presented the treatment of a child with cleft lip and palate in Slovenia and described the fabrication of a palatal plate with a nasal support. The role of the laboratory dental prosthetist in the infant's preoperative preparation was emphasized. Treatment protocols for clefts vary around the world, and in Slovenia they are treated according to the Ljubljana protocol. Due to the good results, preoperative preparation has become a standard procedure in the treatment of cleft lip and palate in Slovenia.

• Ključne besede: diploma theses, laboratory dental prosthetics, cleft lip and palate, multidisciplinary care, palatal plate, orofacial clefts