Hallova tehnika za zdravljenje kariesa pri mlečnih zobeh : diplomsko delo

Ahmetaj, Luadona (avtor), Jan, Janja (mentor), Bohinc, Peter (komentor), Bohinc, Klemen (recenzent)

Uvod: Zobna gniloba ali zobni karies je velik povzročitelj raznih težav in bolečin pri pacientih v obdobju mlečnega zobovja in kasneje tudi pri stalnih zobeh. Dandanes poznamo veliko različnih načinov zdravljenja zobnega kariesa. Eden od njih je Hallova tehnika, ki se je glede na študije izkazala za zelo uspešno in priljubljeno med otroki ter starši. Študija, narejena v Združenem kraljestvu, je za obdobje 5 let pokazala 97-odstotno uspešnost tehnike, zato ta danes velja za zlati standard. Tehnika uporablja prefabricirane kovinske krone, ki se cementirajo direktno na mlečni kočnik, brez potrebe po anesteziji in večjem odstranjevanju karioznega tkiva. Namen: Namen diplomskega dela je bil ugotoviti poznavanje osnov zobnega kariesa med zobotehniki in zobnimi protetiki ter predstaviti metodo zdravljenja kariesa na mlečnih kočnikih s tehniko Hall preko ankete. Hkrati smo s tem želeli ugotoviti, koliko je metoda v Sloveniji poznana. Prav tako smo želeli pridobiti mnenje zobotehnikov in zobnih protetikov o smiselnosti in izvedljivosti individualiziranja do sedaj prefabriciranih kovinskih kron za zdravljenje kariesa na mlečnih zobeh s tehniko Hall. Metode dela: Za diplomsko delo smo uporabili deskriptivno- -kavzalno metodo, torej pregled strokovne in znanstvene literature v slovenskem in angleškem jeziku, ter izvedli neeksperimentalno empirično raziskavo. S kavzalno metodo smo zbrali podatke s pomočjo ankete mešanega tipa, ki so jo reševali zobotehniki in zobni protetiki na spletu. Za preverjanje slovenskega trga s prefabriciranimi kovinskimi kronami smo poklicali vsa podjetja, ki se ukvarjajo s prodajo medicinskih pripomočkov in materiala. Za analizo virov smo uporabili Google Scholar, Scopus, ResearchGate, Wiley Online Library, Science Direct in PubMed. Ostali viri so bili predlogi mentorja in ti so bili pridobljeni iz Medicinske knjižnice Univerze Ljubljana (fizično). Viri so bili pridobljeni v obdobju od junija do decembra 2024. V sklopu diplomskega dela je bila narejena celotna proteza za spodnjo čeljust za pacientko. Proteza je bila narejena v laboratoriju Aničić v Velenju v sodelovanju z ordinacijo Mirjane Stojanović iz Šoštanja. Rezultati: Anketo je rešilo 133 anketirancev in tako smo lahko podatke analizirali in jih uredili v grafe. S tem smo imeli boljši pregled nad odgovori. Razprava in zaključek: Po odgovorih anketirancev smo ugotovili, da dobro poznajo osnove zobnega kariesa, povzročitelje nastanka kariesa in načine zdravljenja le-tega. Iz njihovih odgovorov je bilo mogoče ugotoviti, da je Hallova tehnika v Sloveniji zelo slabo poznana metoda. O prefabriciranih kovinskih kronah so se anketiranci zavedali njenih možnih slabosti, zato je kar 38 % anketirancev menilo, da je individualizacija kron smiselna in izvedljiva. 44 % jih je menilo, da je individualizacija nesmiselna, a izvedljiva, ostali so menili, da je to neizvedljivo in tudi nesmiselno. Za slovenski trg pa smo ugotovili, da v Sloveniji nimamo ponudbe prefabriciranih kovinskih kron.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, laboratorijska zobna protetika, zobna gniloba, primarni zobje, tehnike zdravljenja, prefabricirane kovinske krone, neinvazivno zdravljenje
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [L. Ahmetaj]
• Leto izida: 2025
• Št. strani: 33 str., [7] str. pril.
• PID: 20.500.12556/RUL-170032
• UDK: 616.31
• COBISS.SI-ID: 241219075
• Datum objave v RUL: 02.07.2025

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Hall technique for the treatment of caries in deciduous teeth : diploma work

Izvleček

Introduction: Tooth decay or dental caries is a major cause of various problems and pain in patients during the period of deciduous teeth and then in permanent teeth. Nowadays, there are many different ways of treating it, one of which is the Hall technique, which, according to studies, has proved to be very successful and popular among children and parents. A study carried out in the United Kingdom showed a 97% success rate over a period of 5 years, and today this technique is considered the gold standard there. The technique uses prefabricated metal crowns that are cemented directly to the deciduous molar, without the need for anaesthesia and removal of the carious tissue. Purpose: The purpose of this thesis was to determine the knowledge of the basics of dental caries among dental technicians and dental prosthetists and to present a method of treating caries on the deciduous molars with the Hall technique via a survey. At the same time, we wanted to find out how much the method is known in Slovenia. I also wanted to obtain the opinion of dental technicians and dental prosthetists on the feasibility of individualising the prefabricated metal crowns for the treatment of caries on deciduous teeth using the Hall technique. Methods: Using the descriptive - causal method, we collected data through a mixed-type survey, which was administered online to dental technicians dental prosthetists. To check the Slovenian market for prefabricated metal crowns, we called all companies involved in the sale of medical devices and supplies. For the resource analysis itself, we used Google Scholar, Scopus, ResearchGate, Wiley Online Library, Science Direct and PubMed. Other sources were suggestions from the tutor and only these were obtained in physical form from the Medical Library of the University of Ljubljana. The sources were obtained in the period from June 2024 to December 2024. As part of the diploma thesis, a total denture for the mandible was made for the patient. The prosthesis was made in the Aničić laboratory in Velenje in cooperation with the office of Mirjana Stojanović in Šoštanj. Results: 133 respondents completed the survey, which allowed us to analyse the data and organise it into graphs. This gave us a better overview of the responses. Discussion and conclusion: Based on the respondents' answers, we found that they had a good understanding of the basics of dental caries, the causes of caries and how to treat it. From their answers it was possible to conclude that the Hall technique is a very poorly known method in Slovenia. With regard to the prefabricated metal crowns themselves, the respondents were aware of the possible disadvantages of these crowns, and therefore 38% of the respondents thought that individualisation of the crowns was reasonable and feasible. 44% of the respondents thought that individualisation of the crowns was unreasonable but feasible. The rest thought it was both unfeasible and pointless. For the Slovenian market itself, we found that there is no supply of prefabricated metal crowns in Slovenia.

• Ključne besede: diploma theses, laboratory dental prosthetics, dental caries, primary teeth, treatment techniques, prefabricated metal crowns, non-invasive treatment