List of Articles by Author
- Cikač E, Kobler P, Kuštelega R. Implantoprosthetic Rehabilitation: Result of a Team Work. Acta Stomatol Croat. 2008;42(1):97.
[details]
[close]
Full Text
| Title in English: |
Implantoprosthetic Rehabilitation: Result of a Team Work |
| Title in Croatian: |
Implantoprotetski nadomjestak: rezultat timskoga rada |
| Type of Article: |
congress abstract |
| MeSH: |
DENTAL IMPLANTATION, ENDOSSEOUS DENTAL IMPLANTS DENTAL PROSTHESIS, IMPLANT-SUPPORTED |
| Abstract: |
The number of patients wishing implant therapy is increasing every day. Unfortunately, many patients do not have the indications, or there are no anatomical prerequisites on alveolar ridges and soft tissues. When we consider that some patients even have general medical contraindications, and some other have limited financial resources, the number of potential patients is greatly reduced. Main patient wish is to replace total or partial dentures with fixed restorations. Implantoprosthetic rehabilitation in completely edentulous patients represents the most challenging procedure, but a change from combined prosthetic work to fixed prosthesis has its own problems. Here we represent a patient with unsatisfactory combined prosthetic work in the maxilla and impacted third molars, but high motivation for implant therapy. He had unilateral shortened arch, and on the other side there was a lack of abutments. Four ITI (Straumann, Switzerland) implants were placed in the maxilla, and the remaining teeth were treated with post and core therapy. After osseointegration the implants received massive abutments of different lengths. After parallelization the impression was taken with polyether material and the color was determined (Vitalshade Eye spectrometer). A semicircular fixed bridge was produced. A good cooperation of the oral surgeon, prosthetic doctor and a lab technician yielded a good esthetic and functional result. |
- Kobler P, Cikač E. Are Our Patients in Favour of Implantoprosthetic Rehabilitation?. Acta Stomatol Croat. 2005;39(3):251-2.
[details]
[close]
Full Text
| Title in English: |
Are Our Patients in Favour of Implantoprosthetic Rehabilitation? |
| Title in Croatian: |
Jesu li naši bolesnici skloni implantoprotetičkoj rehabilitaciji? |
| Type of Article: |
congress abstract |
| MeSH: |
DENTAL IMPLANTATION |
| Abstract: |
Based on 12-year experience we can answer affirmatively. Another question is whether patients, in spite of the daily promotions in the media by some dental surgeries, are sufficiently familiarised with the realistic possibilities of such rehabilitation. If we compare data on the number of examined patients referred for construction of an implant with the number of those in whom implants had been constructed, it can be concluded that only 30% of the cases showed indication for such rehabilitation. As a number of our patients give up because of financial reasons, the duration of the procedure, or because of local and general contraindications, the aforementioned percentage is considerably smaller. In Europe today there are 253 different implantological systems on the market, and in German dental surgeries 250 000 implantations are performed each year, regardless of the fact that the public health insurance does not cover the costs of such treatment. Although we shall never be able to compare ourselves with such countries, we have to aspire to educate our students, dentists and specialists in order to enable them to define indications and participate in the various phases of such rehabilitation, and later in the maintenance of implants and prosthetic restorations. We must not give unrealistic promises to patients, and compromising solutions should be avoided, often in spite of the patient’s contrary insistence. The basis of success is in the planning and teamwork, in which the dental technician is also included. On the other hand, our patients are not sufficiently conscientious regarding the maintenance of oral cavity hygiene, and still less the habit of regular check-ups after implantoprosthetic rehabilitation.We will present several patients motivated for implantoprosthetic rehabilitation, in whom, because of different contraindications, implantation was not carried out, and the patients were supplied with classical prosthetic devices. We will also demonstrate that occasionally implantoprosthetic rehabilitation leads to good results in patients with worn out prosthetic devices and periodontopathy. |
- Cikač E. A Clinical Report of the Shaping of a Lateral Metal-Free Bridge Made of Vita In-Ceram Zirconia. Acta Stomatol Croat. 2002;36(3):343.
[details]
[close]
Full Text
| Title in English: |
A Clinical Report of the Shaping of a Lateral Metal-Free Bridge Made of Vita In-Ceram Zirconia |
| Title in Croatian: |
nema |
| Type of Article: |
congress abstract |
| MeSH: |
DENTURE, PARTIAL |
| Abstract: |
Because of some aesthetic imperfections and because metal is unsuitable for some patients, metal-free ceramic has been developed. A patient, 50 years old, is presented with a 6 year old faceted bridge on teeth 24, 25, 26, 27. The patient complained of thermal irritation in the cervical region. A clinical examination showed gingivitis and lack of hygiene. Between the toothsegment 26 and thecrown on 27 was a fracture, and the patient decided to have a new bridge made. A metal-free ceramic bridge made of Vita In-ceram zirconium was suggested as well as treatment of the periodontium by the Durr Vektor method. The teeth region 24 and 27 were anesthetized with local infiltration anesthetic. Silicone impression fora temporary bridge was taken. Using the separatory bur in the red contra angle Titan TE 200 crowns 24 and 27 were separated and pulled with special dental forceps. Before beginning the preparation it is necessary to put the retraction thread in two levels circularly round the stump in the gingival sulcus to prevent bleeding. The 2 mm ofthe tooth crown depth is marked by a diamond bur. Labial and palatal it is done with a special grooved diamond point LVS-1 with 1.2 mm grooves. The tooth is treated in the following order - occlusally, labially, approximately and palatally. At the same time a 0.5 mm rectangular step inside the sulcus is prepared. Finally the rims of thestep and the stump are treated with Titan Eva-head TK 14 with 0,4 working amplitude and a maximum of 6000 r.p.m. The final treatment with Arkansas stone follows. The thread is removed and the impression in the additional silicone or polyether is taken. The relation between the jaws is estimated with the silicone key. The acrylic temporary bridge is made directly in the mouth and is cemented with temporary cement. The ceramic-free constructionis cemented by adhesional technique. |
|