Possibility of implantoprosthotic treatment in the therapy of partial edentulism of the jaw lateral segment - a case report

Dugotrajan nedostatak zubi i promjene nastale zbog tog nedostatka otežavaju funkcioniranje stomatognatog sustava. Dugoročan nedostatak zubi utječe ne samo na žvačnu funkciju nego i na fonaciju i estetiku, a posljedično i na druge sustave izravno i neizravno povezane s usnom šupljinom. Koliko je rehabilitacija djelomične ili potpune bezubosti složena, ovisi o dinamici gubitka zubi, vremenu proteklom od zadnje ekstrakcije, različitim lokalnim ili sustavnim čimbenicima te eventualnim prethodno nošenim protetskim nadomjestcima, duljini njihova nošenja te prilagodbi nadomjestaka u ustima i pacijentovoj prilagodbi na njih. Nedostatak distalnog segmenta, odnosno nedostatak stražnjih nosača mostnih konstrukcija nekada je indicirao mobilnoprotetski nadomjestak, no napredak implantoprotetske terapije, razvoj implantologije kao znanosti, dostupnost ne samo u kirurškim nego sve češće i u polivalentnim stomatološkim ordinacijama te jednostavnost protokola dovela je do ekspanzije primjene implantata u terapiji nedostatka zubi. Unatoč gotovo rutinskom zahvatu postavljanja implantata i suprastrukture, nipošto ne smijemo umanjiti potrebu za iscrpnom anamnezom, analizom situacije, kvalitetnim planom terapije, uključivanjem protetičara i zubnog tehničara u konačnu odluku o planu terapije. Iako su informacije sve dostupnije pacijentima, nužno je uskladiti pacijentova očekivanja s objektivnom procjenom ishoda terapije.Long-term edentulism and the changes caused by this deficiency obstruct the functioning of the stomatognathic system. Lasting edentulism affects not only the masticatory function but also phonation and aesthetics, and consequently other systems that are more or less directly linked to the oral cavity. The complexity of the rehabilitation related to the partial or complete edentulism depends on the dynamics of tooth loss, the time elapsed since the last extraction, various local or systemic factors, possible previously worn prosthetic replacements, the duration of their use, the adjustments of those mouthpieces, as well as the patient's adjustment to them. The lack of the distal segment, i.e., the lack of posterior abutments of bridge structures used to indicate a mobile prosthetic replacement, but the progress of implantprosthetic therapy, the scientific development of implantology, availability not only in surgeries but also in polyvalent dental offices, and the simplicity of protocol led to the increase of implant use in edentulism treatments. The inclusion of prosthetists and dental technician, comprehensive medical history, an analysis of the situation, and a high-quality treatment plan shall lead us in the process of reaching the final decision. Although patients might obtain all the information, it is necessary to reconcile the patient's expectations with an objective assessment of the therapy outcome