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Gredni sistemi v fiksno-snemni zobni protetiki : diplomsko delo
ID Mikl, Tine (Author), ID Rojko, Franc (Mentor) More about this mentor... This link opens in a new window, ID Trebše, Polonca (Reviewer)

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Abstract
Uvod: Uporaba grednih sistemov v sodobni fiksno-snemni zobni protetiki je ključna za izboljšanje retencije, stabilnosti in funkcionalnosti zobnih protez. Še posebej se uveljavljajo pri implantno podprtih protezah, kjer omogočajo enakomerno porazdelitev sil in večje udobje pacientov. Napredek v materialih, kot sta polietereterketon in polieterketonketon, ter vključitev digitalnih tehnologij (CAD/CAM, 3D-tiskanje) sta izboljšala mehanske lastnosti, estetskost in natančnost izdelave grednih sistemov. Gredi so na voljo v različnih oblikah, kar omogoča prilagoditev anatomskim in kliničnim potrebam. Materiali, kot so titan, cirkonijeva oksidna keramika, kompoziti in kovinske zlitine, se izbirajo glede na mehanske lastnosti, biokompatibilnost in estetske zahteve. Biomehanično gredi zmanjšujejo mikrogibe med implantati ter izboljšujejo stabilnost in dolgotrajnost protez. Posebno vlogo ima tudi galvanotehnika, ki z natančno izdelavo kovinskih komponent vpliva na frikcijske sile in retencijo. S tem prispeva k boljši stabilnosti in daljši življenjski dobi protetičnih rešitev. Namen: Namen diplomskega dela je bil prikazati laboratorijski postopek izdelave zgornje in spodnje delne proteze z ulito bazo na gredeh ter ovrednotiti izbrane klasične in digitalne delovne postopke. Teoretični del je podal osnovna izhodišča grednih sistemov fiksno-snemni zobni protetiki, praktični del pa je temeljil na izdelavi protetičnih konstrukcij. Na podlagi praktičnega dela sta bili preverjeni hipotezi, da digitalni postopki omogočajo časovno učinkovitejšo izdelavo ter da je natančna postavitev konfekcijskih gredi ključna za pravilno delovanje grednega sistema. Metode dela: Diplomsko delo temelji na deskriptivni metodi. Opravljena je bila analiza strokovne in znanstvene literature o grednih sistemih v fiksno-snemni zobni protetiki. Viri so bili pridobljeni v DiKUL-u in podatkovni zbirki Google Učenjak z uporabo angleških ključnih besed. Upoštevana so bila predvsem znanstvena dela iz zadnjega desetletja. Empirični del je temeljil na laboratorijski izdelavi zgornje in spodnje delne proteze z ulito bazo na gredeh z uporabo klasičnih in digitalnih postopkov, pri čemer je bil poudarek na natančnosti ter funkcionalni ustreznosti končnega izdelka. Rezultati: V praktičnem delu sta bili izdelani zgornja in spodnja delna proteza z ulito bazo na gredeh z ustreznim prileganjem, stabilnostjo ter funkcionalno in estetsko sprejemljivostjo. Digitalni postopki so omogočili časovno učinkovitejšo in natančnejšo izdelavo v primerjavi s klasičnimi, prav tako pa se je potrdil pomen natančne postavitve konfekcijskih gredi v paralelometru. Razprava in zaključek: V diplomskem delu predstavljamo izdelavo delne proteze z ulito bazo, podprto na zobeh, brez implantatov. Delo je večinoma temeljilo na klasičnih analognih tehnikah z omejeno vključitvijo digitalnih postopkov. Med izdelavo smo se soočili s številnimi praktičnimi izzivi, ki so nam kljub začetni neizkušenosti omogočili dragoceno učenje. Napake, kot so pomanjkanje diagnostične postavitve ali neustrezno zaporedje faz, so poudarile pomen načrtovanja, natančnosti in tehnične doslednosti. Gredni sistemi imajo pomembno vlogo pri stabilnosti in funkcionalnosti protetičnih rešitev. V procesu smo pridobili pomembne praktične izkušnje, ki nam bodo v prihodnje pomagale do boljše in premišljene izvedbe podobnih primerov, obenem pa smo poglobili razumevanje zahtevnosti poklica zobnega protetika.

Language:Slovenian
Keywords:diplomska dela, laboratorijska zobna protetika, delna proteza, implantno podprta proteza, polzila za gredi, gredni materiali, galvansko oblikovanje
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[T. Mikl]
Year:2026
Number of pages:VIII, 38 str., [1] str. pril.
PID:20.500.12556/RUL-179731 This link opens in a new window
UDC:616.31
COBISS.SI-ID:269243395 This link opens in a new window
Publication date in RUL:22.02.2026
Views:13
Downloads:4
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Secondary language

Language:English
Title:Bar systems in fixed-removable dental prosthetics : diploma work
Abstract:
Introduction: The use of bar attachment systems in modern fixed_removable dental prosthetics plays a key role in enhancing the retention, stability and functionality of dentures. They are particulary prominent in implant-supported overdentures, where they provide even load distribution and grater patient comfort. Advances in materials such as PEEK and PEKK, along with the integration of digital technologies (CAD/CAM, 3D printing), have significantly improved the mechanical propreties, aestheticcs and precision of bar systems fabrication. Bars are available in various designs, allowing for adaptation to anatomical and clinical requirements. Materials such as titanium, zirconia oxide ceramica, composites and metal alloys are selected based on mechanical strenght, biocompatibility and aesthetic criteria. Biomechanicallly bar systems reduce micromovements between implants and enhance the overall stability and longevity of prosthetic restorations. Galvanoforming also plays a significant role by enabling the precise fabrication of metal components, thus improving frictional retention and contributing to the overall durability and stability of the prosthesis. Purpose: Purpuse of this thesis was to present the laboratory procedure for the fabrication of maxillary an mandibular removable partial dentures with cast bases supported by bar attachment systems in fixed-removable dental prosthetics, while the practical part is based on the fabrication of prosthetic constructions. Based on practical work, two hypotheses were tested: digital procedures enable more time-efficient fabrication process, and that precise placement of fabricated bars is essential for the proper function of bar attachment system. Methods: The thesis is based on descriptive research method, involving the analysis of professional and scientific literature on bar systems in fixed-removable dental prosthetics. Sources were obtained through the Digital Library of the University of Ljubljana (DiKUL) and Google Scholar, using English keywords. The review focused mainly on scientific publications from the last decade. Empirical part involved the laboratory fabrication of maxillary and mandibular removable partial dentures with cast bases supported by bar attachments using both conventional and digital procedures, with emphasis on accuracy and functional suitability of the final product. Results: In the practical part, maxillary and mandibular removable partial dentures with cast bases supported by bar attachments were successfully fabricated, demonstrating appropriate fit, stability, and functional and aesthetic acceptability. Digital procedures enabled a more time-efficient and preciste fabrication compared to conventional methods, and the importance of accurate placement of prefabricated bars using a dental surveyor was confirmed. Discussion and conclusion: In this thesis, I presented the fabrication of partial denture with cast metal base, supported by natural teeth, without the use of implants. The work was primarily carried out using conventional analog techniques, with limited digital integration. During the process, I encountered several practical challenges which, despite my initial experience, provided valuable learning opportunities. Errors such as the lack of diagnostic setu pand improper sequencing emhasized the importance of planing, precision and technical consistency. Bar attachment systems play a crucial role in the stability and functionality of prosthetic solutions. Through this project, I gained practical experience that will help improve my future execution of similar cases, while also deepening my understanding of the responsibilities and complexity of the dental technician's profession.

Keywords:diploma theses, laboratory dental prosthetics, overdenture, implant-supported prosthesis, bar attachment systems, bar materials, galvanoforming

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