Z. Tambur, E. Aleksić, J. Milutinović, A. Malesevic, Dejana Subotic, V. Biočanin
Gram-negative bacteria include more than 20 genera. The most commonly isolated genera are: Bacteriodes spp., Porphiromonas spp., Fusobacterium spp. and Prevotella spp. The following genera were isolated somewhat less frequently: Tanerella spp., Leptotricha spp., Veilonella spp.,Wollinela spp., Selenomonas spp. and Treponema spp. Anaerobic bacteria have an anaerobic type of metabolism and therefore their incubation is significantly longer and more demanding than aerobic bacteria. The genera Prevotella spp., Porphyromonas spp. and Fusobacterium spp. are part of the resident flora of the oral cavity and in unfavorable conditions cause periodontal diseases, and sometimes dentogenic infections and systemic diseases, such as Alzheimer?s disease, cardiovascular diseases, metabolic diseases and inflammatory bowel diseases. The three most important steps for the successful diagnosis of anaerobic bacteria are: proper sampling with avoiding sample contamination, rapid transport of samples to the microbiological laboratory and proper handling of samples. A combination of beta-lactam with the addition of beta-lactamase inhibitors, metronidazole, clindamycin and moxifloxacin is used for treatment for infections caused by anaerobic Gram-negative bacteria. It is important to note that antibiotics should be used only with a clear indication and to choose the right antibiotic in the optimal dose. The aim of this review is to point out the role of Gram-negative anaerobic bacteria in periodontal diseases, and its isolation, identification and antibiotic susceptibility.
{"title":"Isolation, identification and antibiotic susceptibility of gram-negative anaerobic bacteria in oral cavity","authors":"Z. Tambur, E. Aleksić, J. Milutinović, A. Malesevic, Dejana Subotic, V. Biočanin","doi":"10.2298/sgs2302087t","DOIUrl":"https://doi.org/10.2298/sgs2302087t","url":null,"abstract":"Gram-negative bacteria include more than 20 genera. The most commonly\u0000 isolated genera are: Bacteriodes spp., Porphiromonas spp., Fusobacterium\u0000 spp. and Prevotella spp. The following genera were isolated somewhat less\u0000 frequently: Tanerella spp., Leptotricha spp., Veilonella spp.,Wollinela\u0000 spp., Selenomonas spp. and Treponema spp. Anaerobic bacteria have an\u0000 anaerobic type of metabolism and therefore their incubation is significantly\u0000 longer and more demanding than aerobic bacteria. The genera Prevotella spp.,\u0000 Porphyromonas spp. and Fusobacterium spp. are part of the resident flora of\u0000 the oral cavity and in unfavorable conditions cause periodontal diseases,\u0000 and sometimes dentogenic infections and systemic diseases, such as\u0000 Alzheimer?s disease, cardiovascular diseases, metabolic diseases and\u0000 inflammatory bowel diseases. The three most important steps for the\u0000 successful diagnosis of anaerobic bacteria are: proper sampling with\u0000 avoiding sample contamination, rapid transport of samples to the\u0000 microbiological laboratory and proper handling of samples. A combination of\u0000 beta-lactam with the addition of beta-lactamase inhibitors, metronidazole,\u0000 clindamycin and moxifloxacin is used for treatment for infections caused by\u0000 anaerobic Gram-negative bacteria. It is important to note that antibiotics\u0000 should be used only with a clear indication and to choose the right\u0000 antibiotic in the optimal dose. The aim of this review is to point out the\u0000 role of Gram-negative anaerobic bacteria in periodontal diseases, and its\u0000 isolation, identification and antibiotic susceptibility.","PeriodicalId":180624,"journal":{"name":"Serbian Dental Journal","volume":"217 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124284669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aleksandra Djeri, Irena Radman-Kuzmanović, Nikola Moravac, Milan Tejic, Renata Josipović, Adriana Arbutina, Saša Marin, N. Trtić, V. Veselinović
Introduction. The aim of this work was to check the average thickness of dentinal wall of the mesio-buccal root of the first lower molar using CBCT axial sections of intact teeth. Material and method. In this cross-sectional study, 100 CBCT images of mandibular first molars from the Promax 3Dent radiology center in Banja Luka, Bosnia and Herzegovina were evaluated. A Planmeca Promax3D Max apparatus (Planmeca, Helsinki, Finland) was used, with a field of view (FOV) of 8 ? 8 cm and a resolution of 0.1 mm. Analysis was performed using Romexis Viewer software version 3.1.1 (Planmeca, Helsinki, Finland). At an axial thickness of 0.1 mm, transverse sections with a distance of 1 mm were made below the furcation area (at a magnification ?10) at a distance of 1, 2, 3, 4, 5 mm from the furcation. The data were then analyzed by paired t-test. Results. The thickness of dentinal wall of the mesio-buccal root of the lower first molar was significantly smaller at 2 mm and 3 mm than when measured at 1, 4 and 5 mm (p < 0.05). There was no significant difference between measurements at 1, 4 and 5 mm below the furcation area (p = 0.001). Conclusion. Due to the small thickness of dentinal wall at 2-3 mm below the furcation in the root canal, caution is required when instrumenting mesio-buccal canal of the lower first molar and correct selection of the instrumentation technique in order to avoid transportation or stripping perforation that may lead to root fracture.
{"title":"Dentin thickness of the mesio-buccal root wall of the lower first molar using cone beam computerized tomography (CBCT)","authors":"Aleksandra Djeri, Irena Radman-Kuzmanović, Nikola Moravac, Milan Tejic, Renata Josipović, Adriana Arbutina, Saša Marin, N. Trtić, V. Veselinović","doi":"10.2298/sgs2302071d","DOIUrl":"https://doi.org/10.2298/sgs2302071d","url":null,"abstract":"Introduction. The aim of this work was to check the average thickness of\u0000 dentinal wall of the mesio-buccal root of the first lower molar using CBCT\u0000 axial sections of intact teeth. Material and method. In this cross-sectional\u0000 study, 100 CBCT images of mandibular first molars from the Promax 3Dent\u0000 radiology center in Banja Luka, Bosnia and Herzegovina were evaluated. A\u0000 Planmeca Promax3D Max apparatus (Planmeca, Helsinki, Finland) was used, with\u0000 a field of view (FOV) of 8 ? 8 cm and a resolution of 0.1 mm. Analysis was\u0000 performed using Romexis Viewer software version 3.1.1 (Planmeca, Helsinki,\u0000 Finland). At an axial thickness of 0.1 mm, transverse sections with a\u0000 distance of 1 mm were made below the furcation area (at a magnification ?10)\u0000 at a distance of 1, 2, 3, 4, 5 mm from the furcation. The data were then\u0000 analyzed by paired t-test. Results. The thickness of dentinal wall of the\u0000 mesio-buccal root of the lower first molar was significantly smaller at 2 mm\u0000 and 3 mm than when measured at 1, 4 and 5 mm (p < 0.05). There was no\u0000 significant difference between measurements at 1, 4 and 5 mm below the\u0000 furcation area (p = 0.001). Conclusion. Due to the small thickness of\u0000 dentinal wall at 2-3 mm below the furcation in the root canal, caution is\u0000 required when instrumenting mesio-buccal canal of the lower first molar and\u0000 correct selection of the instrumentation technique in order to avoid\u0000 transportation or stripping perforation that may lead to root fracture.","PeriodicalId":180624,"journal":{"name":"Serbian Dental Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126581553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aleksandra Djeri, Natasa Brestovac, S. Subotić, Irena Radman-Kuzmanović, Adriana Arbutina, Saša Marin
Introduction. Mandibular canal with the associated neurovascular bundle may be closely related to the apices of mandibular teeth. In order to avoid injuries and damages to the inferior alveolar nerve during invasive dental procedures, it is important to know its localization. The aim of this study was to determine the average vertical distances of the root apices of second premolars, first molars and second molars mesially and distally from the upper projection of the mandibular canal on the sagittal section of CBCT images, and determine if there were statistically significant differences between the age and gender groups. Material and methods. The research was conducted at the Faculty of Medicine of the University of Banja Luka, and the sample consisted of 146 CBCT images of patients. CBCT images were obtained using Planmeca ProMax 3D Mid instrument (Planmeca, Helsinki, Finland) and analyzed using Planmeca Romexis Viewer software. In the sagittal section, the vertical distance from the root apex to the upper projection of the mandibular canal was measured for each examined tooth. Results. The distal root of the first molar (4.88 mm) had the greatest average vertical distance of the root apex from the mandibular canal, and the distal root of the second molar had the smallest average vertical distance (2.76 mm). There was statistically significant difference between certain age groups in the values of individual roots, for the second molar mesially and distally (p < 0.05), while for the first molar mesially the value of p was at the limit of significance (p = 0.05). Conclusion. The results of this study showed that distal root of the mandibular second molar had the smallest vertical distance from mandibular canal, therefore an extra caution during a root canal treatment and careful planning of oral surgery in this region is recommended.
{"title":"Cbct analysis of apical distance between second lower premolars, first and second lower molars and mandibular canal","authors":"Aleksandra Djeri, Natasa Brestovac, S. Subotić, Irena Radman-Kuzmanović, Adriana Arbutina, Saša Marin","doi":"10.2298/sgs2103122d","DOIUrl":"https://doi.org/10.2298/sgs2103122d","url":null,"abstract":"Introduction. Mandibular canal with the associated neurovascular bundle may\u0000 be closely related to the apices of mandibular teeth. In order to avoid\u0000 injuries and damages to the inferior alveolar nerve during invasive dental\u0000 procedures, it is important to know its localization. The aim of this study\u0000 was to determine the average vertical distances of the root apices of second\u0000 premolars, first molars and second molars mesially and distally from the\u0000 upper projection of the mandibular canal on the sagittal section of CBCT\u0000 images, and determine if there were statistically significant differences\u0000 between the age and gender groups. Material and methods. The research was\u0000 conducted at the Faculty of Medicine of the University of Banja Luka, and\u0000 the sample consisted of 146 CBCT images of patients. CBCT images were\u0000 obtained using Planmeca ProMax 3D Mid instrument (Planmeca, Helsinki,\u0000 Finland) and analyzed using Planmeca Romexis Viewer software. In the\u0000 sagittal section, the vertical distance from the root apex to the upper\u0000 projection of the mandibular canal was measured for each examined tooth.\u0000 Results. The distal root of the first molar (4.88 mm) had the greatest\u0000 average vertical distance of the root apex from the mandibular canal, and\u0000 the distal root of the second molar had the smallest average vertical\u0000 distance (2.76 mm). There was statistically significant difference between\u0000 certain age groups in the values of individual roots, for the second molar\u0000 mesially and distally (p < 0.05), while for the first molar mesially the\u0000 value of p was at the limit of significance (p = 0.05). Conclusion. The\u0000 results of this study showed that distal root of the mandibular second molar\u0000 had the smallest vertical distance from mandibular canal, therefore an extra\u0000 caution during a root canal treatment and careful planning of oral surgery\u0000 in this region is recommended.","PeriodicalId":180624,"journal":{"name":"Serbian Dental Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127839693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction. A risk of transmission of infectious diseases has always been an inherent part of dental practice. Easily communicable respiratory and blood borne diseases have prompted dental communities to establish, evaluate, update and monitor infection prevention and control (IPAC) protocols and strategies (guidelines). The aim of this paper was to present Canadian standard protocols of infection prevention and control in dental offices, and compare them with similar guidelines available to dentists in Serbia. Method. A detailed overview of the most current IPAC guidelines and protocols provided by the College of Dental Surgeons of British Columbia in Canada has been summarized. In addition, the effect of the most recent Covid-19 pandemic on the current infection prevention and control measures in dental offices and future perspectives has been reviewed. Conclusion. Implementing infection prevention and control guidelines is essential part of practicing dentistry. Regulatory authorities have responsibility to establish and provide dentist with the most current IPAC protocols while dentists need to adopt up-to-date procedures and appropriately and consistently use them in everyday practice.
{"title":"Infection prevention and control protocols in dentistry - Canadian guidelines","authors":"S. Stojičić, Vladimir Obrenović","doi":"10.2298/sgs2202072s","DOIUrl":"https://doi.org/10.2298/sgs2202072s","url":null,"abstract":"Introduction. A risk of transmission of infectious diseases has always been\u0000 an inherent part of dental practice. Easily communicable respiratory and\u0000 blood borne diseases have prompted dental communities to establish,\u0000 evaluate, update and monitor infection prevention and control (IPAC)\u0000 protocols and strategies (guidelines). The aim of this paper was to present\u0000 Canadian standard protocols of infection prevention and control in dental\u0000 offices, and compare them with similar guidelines available to dentists in\u0000 Serbia. Method. A detailed overview of the most current IPAC guidelines and\u0000 protocols provided by the College of Dental Surgeons of British Columbia in\u0000 Canada has been summarized. In addition, the effect of the most recent\u0000 Covid-19 pandemic on the current infection prevention and control measures\u0000 in dental offices and future perspectives has been reviewed. Conclusion.\u0000 Implementing infection prevention and control guidelines is essential part\u0000 of practicing dentistry. Regulatory authorities have responsibility to\u0000 establish and provide dentist with the most current IPAC protocols while\u0000 dentists need to adopt up-to-date procedures and appropriately and\u0000 consistently use them in everyday practice.","PeriodicalId":180624,"journal":{"name":"Serbian Dental Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115118368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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