Title PUŠENJE I PARODONTITIS Title (english) SMOKING AND PERIODONTITIS Author Dominik Popović Mentor Jelena Prpić (mentor)Committee member Jelena Prpić (predsjednik povjerenstva)Committee member Irena Glažar (član povjerenstva)Committee member Daniela Kovačević Pavičić (član povjerenstva)Granter University of Rijeka Defense date and country 2019-07-17, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Pušenje predstavlja modificirajući faktor u razvoju parodontitisa. Ono uzrokuje vazokonstrikciju krvnih žila u tkivima oralne šupljine, te slabi učinak neutrofila, IL-1, IL-8 i kemotaksije (1). U klasifikaciji parodontnih bolesti i stanja objavljenoj 2017. godine, pušenje je navedeno kao faktor koji doprinosi određivanju uznapredovanja bolesti i utječe na dugoročnu prognozu uspjeha terapije. Terapija parodontitisa u pušača temelji se na dobroj kontroli bolesti putem sistemske, inicijalne terapije te faze praćenja sustavima „recall“-a svaka 3 mjeseca u ordinaciji dentalne medicine. Kao dopuna konvencionalnoj terapiji, u zavisnosti od slučaja, mogu se primijeniti neke od modernih regenerativnih zahvata u cilju dodatnog poboljšanja funkcije i estetike usne šupljine. Istraživanja pokazuju kako se dopunom incijalne terapije nekim od regenerativnih kirurških metoda (derivati caklinskog matriksa, ksenogeni koštani nadomjesci, resorbirajuće i neresorbirajuće membrane) znatno povećava preživljenje zuba u oralnoj šupljini (26, 27). Samo ovakvim sveobuhvatnim prisupom liječenju parodontitisa (naročito u pušača) stvaraju se uvjeti za postizanje zadovoljavajuće razine zdravlja, funkcije i estetike oralne šupljine. Na prognozu zuba uvelike utječe sam pacijent odnosno njegove životne navike. Pacijenti koji uz zadovoljavajuće provedenu terapiju prestanu pušiti, imaju veću vjerojatnost postizanja boljih krajnjih rezultata no u onih koji su nastavili s konzumacijom cigareta uz provedenu terapiju. Istraživanja su pokazala kako se bolji uspjeh regenerativnih kirurških tehnika ostvario ako je osoba prestala pušiti nakon ulaska u terapiju. Iz tog razloga terapeut prilikom planiranja i provedbe terapije poseban značaj treba staviti na važnost prestanka pušenja. Prestanku mogu doprinijeti osjećaj povjerenja u terapeuta koji razvija pacijent, ako terapeut pristupi prijateljski te s punim razumijevanjem pacijentovih potreba. Pacijentu se osim psihološkom potporom mogu preporučiti i neki od nadomjesnih proizvoda nikotina u obliku žvakaćih guma, transdermalnih flastera, nazalnih sprejeva, koji smanjuju potrebnu za cigaretama (28).
Abstract (english) Cigarette smoking is a modifying factor in progression of the periodontitis. It causes vasoconstriction of the blood vessels in tissues of oral cavity, lowers the effect of neutrophils, IL-1, IL-8 and chemotaxis. In the New classification of Periodonatl Diseases that has been published in 2017, cigarett smoking has been listed as a factor that upgrades the stage of the disease and predicts the outcome of the therapy. Therapy of the periodontitis in people who smoke, should be based on good control of the disease by systematic, initial therapy as well as recall visits every three months. In addition to conventional therapy, depending on a particular case, some of the modern regenerative approaches may be used with the aim of improving function and esthetics of the oral cavity. Research shows that some of the regenerative surgical methods (enamel matrix derivatives, xenogenic bone grafts, resorbable and non-resorbable membranes) in addition to initial therapy, greatly increase tooth survival in the oral cavity. Only with this comprehensive approach to periodontitis treatment (especially in smokers), can we form a basis for satisfactory health, function and aesthetics of the oral cavity. The patient and his everyday habits greatly impact the tooth prognosis. Patients who quit smoking in addition to satisfactory treatment have a higher chance of achieving better treatment results than people who didn't quit smoking and still received treatment. Research shows that an improved outcome is possible with regenerative surgery if patient stops smoking during the therapy. This is why the doctor must put an emphasis on the importance of smoking cessation. Feelings of trust in the doctor from the patient's side can help, especially if the doctor takes a friendly approach and is full of understanding for the patient's needs. In addition to psychological support, the patient can take advantage of some of the nicotine supplements in the form of chewing gum, transdermal patches and nasal sprays which all reduce cravings for cigarettes.
Keywords
cigareta
cijeljenje
parodontitis
prestanak
pušenje
terapija
Keywords (english)
cessation
cigarette
healing
periodontitis
smoking
therapy
Language croatian URN:NBN urn:nbn:hr:184:334975 Study programme Title: Dental Medicine Type of resource Text File origin Born digital Access conditions Access restricted to students and staff of home institution Terms of use Repository Repository of the University of Rijeka, Faculty of Medicine Created on 2019-10-11 10:19:38
