Změny kefalometrických hodnot se zaměřením na změnu tloušťky vestibulární kortikální kosti

• Název práce v češtině: Změny kefalometrických hodnot se zaměřením na změnu tloušťky vestibulární kortikální kosti
• Název v anglickém jazyce: Change of Cephalometric Values Focused on Labial Bone Thickness
• Klíčová slova: 3D zobrazovací metody, CBCT, kefalometrie, ortodoncie, stomatologie
• Klíčová slova anglicky: 3D imaging, CBCT, cephalometry, orthodontics, dentistry
• Akademický rok vypsání: 2012/2013
• Typ práce: disertační práce
• Jazyk práce: čeština
• Ústav: Stomatologická klinika dětí a dospělých (13-413)
• Vedoucí / školitel: prof. MUDr. Taťjana Dostálová, DrSc.
• Řešitel: skrytý - zadáno a potvrzeno stud. odd.
• Datum přihlášení: 25.09.2014
• Datum zadání: 25.09.2014
• Datum potvrzení stud. oddělením: 25.09.2014
• Datum a čas obhajoby: 18.06.2020 10:30
• Datum odevzdání elektronické podoby: 23.05.2020
• Datum odevzdání tištěné podoby: 24.05.2020
• Datum proběhlé obhajoby: 18.06.2020
• Oponenti: prof. MUDr. Jaroslav Racek, DrSc.

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Předběžná náplň práce

Morfologie kraniofaciálního komplexu se mění v důsledku různých externích sil. V první části předkládané teze jsme analyzovali vliv pomalých dlouhodobých změn prostředí a populačního genomu srovnáním historických (11.–12. století n.l.) a soudobých lebek pomocí kefalometrických snímků. Část druhá se zaměřuje na účinky ortodontické léčby na tloušťku kosti v relevantních oblastech, přičemž analýza je založena na Cone Beam počítačové tomografii.
Srovnání palatálního úhlu 115 historických a 75 soudobých lebek odhalilo statisticky významný pokles tohoto parametru. Srovnáním trojrozměrného zobrazení před zahájením léčby a po jejím ukončení u 58 pacientů jsme odhalili statisticky významný pokles tloušťky vestibulární kosti, bez změn celkové šířky alveolu.
Naše analýzy odhalily významnou odezvu kosti na působící síly, s relevantními klinickými dopady – dosažení optimálních výsledků je podmíněno respektováním anatomických hranic rozsahu pohybu, aby nedošlo k vzniku alveolárních defektů.

Předběžná náplň práce v anglickém jazyce

The morphology of the craniofacial complex is prone to alterations resulting from a wide range of external factors. In the first part of the presented thesis, we analysed the influence of slow long-term changes of the environment and population genome by comparing historical (11-12th century AD) and contemporary skulls using cephalometric X-ray images. The second part focuses on the effects of orthodontic treatment on bone thickness in relevant areas, with the analysis being based on Cone Beam computed tomography.
A comparison of the palatal angle of 115 historical and 75 contemporary skulls revealed a statistically significant decrease of this parameter. The follow-up of 58 patients utilizing three-dimensional diagnostic imaging measurements before and after treatment revealed a statistically significant decrease in vestibular bone thickness, without changes of total alveolar width.
Our analysis revealed a substantial bone response to respective forces, with relevant clinical implications – respecting the anatomical limits of the range of motion is essential to achieve therapeutic success and to avoid alveolar defects.