Imedijatna implantacija nakon enukleacije odontogene ciste: opis slučaja Immediate Implant Placement Following Odontogenic Cyst Enucleation: a Case Report
نویسندگان
چکیده
Adresa za dopisivanje Dragana Gabrić Pandurić Sveučilište u Zagrebu Stomatološki fakultet Gundulićeva 5, 10000 Zagreb Tel: +385 1 4899210 Fax: +385 1 4802159 [email protected] Sažetak Svrha ovog prikaza jest opisati restauraciju koštanog defekta nakon enukleacije radikularne ciste koristeći se vođenom koštanom regeneracijom uz imedijatnu implantaciju. Pacijentica je bila u dobi od 50 godina i imala je odontogenu cistu na prvom desnom maksilarnom premolaru i na istoj strani resorpciju korjenova drugog molara uzrokovanu impaktiranim umnjakom. Kirurškim zahvatom enukleirana je cista, a zatim je slijedila vođena koštana regeneracija, imedijatna implantacija te kirurško uklanjanje impaktiranog umnjaka. Pacijentica je nakon toga tijekom osteointegracijskog razdoblja dobila privremeni mobilni protetički nadomjestak. Šest mjeseci nakon zahvata stabilnost implantata provjerena je analizom rezonantne frekvencije. Srednja vrijednost za prvi premolar iznosila je 74, a za prvi molar 78. Oba implantata šest su mjeseci promatrana klinički i radiografski. Njihova stabilnost ocijenjena je umjerenom. U tom postoperativnom razdoblju nije bilo nikakvih kliničkih ili radioloških komplikacija. Implantati su iskorišteni kao sidra za fiksni proteički nadomjestak. Imedijatne implantacije nakon enukleacije odontogene ciste daju zadovoljavajuće rezultate te su smanjile broj kirurških zahvata. Ključne riječi odontogene ciste; gornja čeljust; zubni implantati; koštani nadomjesci; umnjak, cista, radikularna 1 Privatna stomatološka ordinacija Private Dental Office 2 Zavod za oralnu kirurgiju Stomatološkog fakulteta Sveučilišta u Zagrebu Department of Oral Surgery School of Dental Medicine University of Zagreb 3 Zavod za stomatološku protetiku Stomatološkog fakulteta Sveučilišta u Zagrebu Department of Prosthodontics School of Dental Medicine University of Zagreb
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