Povezanost prebojene gingive pored zuba nosača sa prisustvom livene nadogradnje

  • Ljubiša Ristić Military Medical Academy, Dental Clinic, Belgrade, Serbia
  • Vojkan Lazić University of Belgrade, Faculty of Dental Medicine, Department of Prosthodontics, Belgrade, Serbia
  • Srdjan Postić University of Belgrade, Faculty of Dental Medicine, Department of Prosthodontics, Belgrade, Serbia
  • Nenad Jelić Military Medical Academy, Dental Clinic, Belgrade, Serbia
  • Igor Djordjević University of Belgrade, Faculty of Dental Medicine, Department of Prosthodontics, Belgrade, Serbia
  • Raša Mladenović Univerzitet u Prištini, Medicinski fakultet, Odsek za stomatologiju, Dečja i preventivna stomatologija
Ključne reči: legure, stomatološke, amalgam, stomatološki, zubna proteza, parcijalna, fiksna, gingiva

Sažetak


Uvod/Cilj. Uzrok promene boje gingive (discolored gingiva – DG) je prisustvo metala u gingivalnom tkivu. DG je relativno česta pojava, a izazvana je taloženjem amalgamskog materijala u gingivalnom tkivu tokom stomatološke primene ili oralne hirurgije. Cilj rada bio je da se utvrdi značaj prisustva livene nadogradnje za pojavu DG kod zuba nosača u odnosu na vrstu legure od koje su proizvedene fiksne zubne nadoknade (FZN). Metode. U studiju je bilo uključeno 327 ispitanika sa ugrađenim FZN. Ispitivano je ukupno 1 585 zuba nosača FZN. U zavisnosti od vrste legure od kojih su bile izrađene FZN (srebro-paladijum, zlato, metal-keramika ili njihova kombinacija), ispitanici su bili razvrstani u četiri grupe. Prisustvo livene nadogradnje potvrđivano je rendgenskim snimkom ili uvidom u stomatološki karton. Ispitivanje je vršeno u periodu od jedne godine. Rezultati. Kod više od trećine (37,7%) ispitanika uočena je DG, od kojih je 57,3% imalo  izrađenu livenu nadogradnju. Kod zuba nosača, FZN prebojenost se javila kod 14,6% ispitanika. Livena nadogradnja bila je prisutna kod 92,7% zuba nosača kod kojih se javila DG. Zaključak. Prebojena gingiva pojavila se u svim grupama ispitanika, bez obzira na vrstu legure od koje je FZN bila izrađena. Prisustvo livene nadogradnje je od velikog značaja za pojavu sivo-plavičaste prebojenosti gingive.

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2023/09/29
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