Fiksnoproteski tretman pacijenata sa heilognatopalatoshizom

Jagoda Bajevska; Jana Bajevska; Biljana Bajevska Stefanovska

doi:10.2298/VSP141114161B

Jagoda Bajevska Department of Prosthodontics, Faculty of Dentistry, Skopje, Former Yugoslav Republic of Macedonia; †Clinic for Fixed Dental Prosthetics, University Dental Clinical Centre “St Pantelejmon”, Skopje, Former Yugoslav Republic of Macedonia
Jana Bajevska Private Healthcare Institution, Skopje, Former Yugoslav Republic of Macedonia
Biljana Bajevska Stefanovska Private Healthcare Institution, Skopje, Former Yugoslav Republic of Macedonia

DOI: https://doi.org/10.2298/VSP141114161B

Ključne reči: cleft lip||, ||usna, rascep, cleft palate||, ||nepce, prosthodontics||, ||protetika, dental prosthesis||, ||zubna proteza, denture, partial, fixed||, parcijalna, fiksna, treatment outcome||, ||lečenje, ishod,

Sažetak

Uvod. Protetsko lečenje pacijenata sa rascepom nepca uključuje različite opcije kao što su fiksne parcijalne proteze, parcijalne pokretne proteze i tako dalje. Tip protetskog aparata zavisi od oralnog zdravlja svake osobe pojedinačno, kao i od okolnosti. Prikazana su tri odrasla pacijenta sa heilognatopalatoshizom koji su zbrinuti protetski. Prikaz bole-snika. Od mogućih protetskih rešenja, u zavisnosti od uslova u usnoj duplji, izabrano je da se urade mostovne konstrukcije, fasetirane sa kompozitom ili keramikom. Sa mostovnom konstrukcijom uspostavljeni su međusobni odnosi zuba, postignuta je pravilna funkcija, poboljašala se fonetika, omogućena je zadovoljavajuća estetika i postignut je zadovoljavajući profilni izgled lica pacijenata. Usledila je plastična operacija nosa. Zaključak. Za povoljan dugoročni ishod lečenja bolesnika sa rascepom nepca i usne neophodan je multidisciplinarni pristup.

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