Karijes u ranom detinjstvu ima epitet najčešćeg infektivnog i hroničnog pedijatrijskog oboljenja, koje podrazumeva prisustvo karijesa na bilo kom mlečnom zubu kod dece starosti do šest godina, a nastaje kompleksnim procesom, koji uključuje transmisiju infektivnih bakterija, navike u ishrani i oralnu higijenu. Često nastaje kao posledica prolongiranog dojenja ili učestalog konzumiranja zaslađenih napitaka putem flašice. Danas se smatra aktuelnim problemom javnog zdravlja ne samo u zemljama koje su u razvoju nego i u razvijenim zemljama širom sveta usled visokog stepena zastupljenosti. Rezultati mnogobrojnih studija ukazuju na postojanje vodećih faktora rizika koji su zajednički za sva podneblja, poput socio-ekonomskih, kulturoloških i faktora vezanih za higijensko-dijetetske navike. Ipak, najvećim pojedinačnim faktorom rizika smatra se siromaštvo. Ovo oboljenje je često praćeno komplikacijama, kao što su pulpitisi i hronični apikalni parodontitisi i može izazvati jak bol, koji remeti svakodnevne aktivnosti deteta, ishranu i spavanje. Takođe, utiče na rast i razvoj dece. Neophodni ekstenzivni i skupi stomatološki tretmani se nekada moraju obaviti u opštoj anesteziji, a krajnji rezultati nisu zadovoljavajući. Međutim, donošenjem, evaluacijom i kontinuiranim sprovođenjem programa prevencije i strateških mera, mogu se postići dobri rezultati. Veoma je važna uloga države i zajednice u donošenju odluka o usmeravanju resursa na prevenciju, kao najekonomičniju meru i podizanju svesti građana o značaju oralnog zdravlja. Uloga profesionalaca i roditelja u prenošenju znanja, o veštinama i navikama u održavanju oralne higijene, neophodna je mera u cilju očuvanja zdravlja čitave populacije.
在儿童早期，Carrie患有一种最常见的传染性和慢性儿科疾病，这意味着六岁以下儿童的任何乳牙都有职业生涯，这导致了一个复杂的过程，包括感染细菌的传播、饮食习惯和口腔卫生。它通常是由于长时间母乳喂养或经常用奶瓶喝胃饮料而引起的。今天，它不仅在发展中国家，而且在世界各地的发达国家都被认为是当前的公共卫生问题，因为它的代表性很高。许多研究表明，所有郊区都存在共同的主要风险因素，如社会经济、文化和健康相关因素。然而，最大的个人风险因素被认为是贫困。这种疾病经常受到牙髓炎和慢性根尖周炎等并发症的监测，并可能导致严重疼痛，扰乱儿童的日常活动、饮食和睡眠。Takoře，utiče na rast i razvoj dece。Neophodni ekstenzivni i i skupi portološki tretmani se nekada moraju obaviti u opštoj anesteziji，一个krajnji rezultati nisu zadovoljavajući。然而，预防和战略措施的实施、评估和持续执行可以取得良好的结果。重要的是，国家和社区决定将资源集中在预防上，例如最经济的措施，并提高对口腔健康重要性的认识。专业人员和家长在掌握保持口腔卫生的知识、技能和习惯方面的作用对于确保全体人口的健康是必要的。
{"title":"Socioeconomic significance and prevention of early childhood caries","authors":"Danijela Jakšić-Gvozdić, J. Milovanović","doi":"10.5937/asn1469362J","DOIUrl":"https://doi.org/10.5937/asn1469362J","url":null,"abstract":"Karijes u ranom detinjstvu ima epitet najčešćeg infektivnog i hroničnog pedijatrijskog oboljenja, koje podrazumeva prisustvo karijesa na bilo kom mlečnom zubu kod dece starosti do šest godina, a nastaje kompleksnim procesom, koji uključuje transmisiju infektivnih bakterija, navike u ishrani i oralnu higijenu. Često nastaje kao posledica prolongiranog dojenja ili učestalog konzumiranja zaslađenih napitaka putem flašice. Danas se smatra aktuelnim problemom javnog zdravlja ne samo u zemljama koje su u razvoju nego i u razvijenim zemljama širom sveta usled visokog stepena zastupljenosti. Rezultati mnogobrojnih studija ukazuju na postojanje vodećih faktora rizika koji su zajednički za sva podneblja, poput socio-ekonomskih, kulturoloških i faktora vezanih za higijensko-dijetetske navike. Ipak, najvećim pojedinačnim faktorom rizika smatra se siromaštvo. Ovo oboljenje je često praćeno komplikacijama, kao što su pulpitisi i hronični apikalni parodontitisi i može izazvati jak bol, koji remeti svakodnevne aktivnosti deteta, ishranu i spavanje. Takođe, utiče na rast i razvoj dece. Neophodni ekstenzivni i skupi stomatološki tretmani se nekada moraju obaviti u opštoj anesteziji, a krajnji rezultati nisu zadovoljavajući. Međutim, donošenjem, evaluacijom i kontinuiranim sprovođenjem programa prevencije i strateških mera, mogu se postići dobri rezultati. Veoma je važna uloga države i zajednice u donošenju odluka o usmeravanju resursa na prevenciju, kao najekonomičniju meru i podizanju svesti građana o značaju oralnog zdravlja. Uloga profesionalaca i roditelja u prenošenju znanja, o veštinama i navikama u održavanju oralne higijene, neophodna je mera u cilju očuvanja zdravlja čitave populacije.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"30 1","pages":"1362-1372"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200855","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}
Marija Bojović, L. Kesic, G. Jovanović, N. Burić, Zvezdan Savić, R. Obradović, M. Petrović
Uvod: Zbog pozitivnih biostimulativnih efekata, meki laser se koristi za lečenje brojnih bolnih stanja u usnoj duplji. Jedna od njih je herpes labialis. Cilj: Cilj ovog rada bio je ispitati efikasnost mekih lasera u terapiji herpes labialisa. Materijal i metod rada: U ispitivanju je učestvovalo 43 pacijenta. Kod 23 pacijenta primenjena je laseroterapija, a kod preostalih 20 standardna terapija Aciclovirom u obliku masti. Rezultati: Nivo statističke značajnosti razlika srednjih vrednosti bola između grupa bio je maksimalan (p<0,001). Pacijenti sa herpesnim lezijama imali su koristi od laseroterapije u smislu skraćenja progresije oboljenja, simptomi u vidu bola, peckanja, žarenja svedeni su na minimum. Ispitanici tretirani laserom imali su statistički značajno manju srednju vrednost bola u odnosu na ispitanike tretirane Aciclovirom (p<0,05). Zaključak: Na osnovu dobijenih rezultata može se zaključiti da se meki laser pokazao kao efikasna terapijska metoda u lečenju herpes labialisa, pa se preporučuje u tretmanima.
输入：由于具有积极的生物刺激作用，软激光可用于治疗口腔中的多种疼痛状况。其中之一是唇疱疹。目的：本研究的目的是检验软激光在唇疱疹治疗中的有效性。材料和工作方法：43名患者参与了这项研究。23名患者接受了激光治疗，其余20名患者接受标准阿昔洛韦治疗。结果：两组患者的平均疼痛差异具有最大的统计学意义（p＜0.001）。疱疹性白血病患者从激光治疗中受益，可以减少疾病进展，将疼痛相关症状、啄痛和发烧降至最低。Ispitanici tretirani laserom imali su statistički značajno manju srednju vrednost bola u odnosu na ispitanike tretirane Aciclovom（p<0.05）。结论：软激光治疗唇疱疹疗效确切，值得推荐。
{"title":"Application of soft laser in the treatment of Herpes labialis: Pilot study","authors":"Marija Bojović, L. Kesic, G. Jovanović, N. Burić, Zvezdan Savić, R. Obradović, M. Petrović","doi":"10.5937/ASN1469342B","DOIUrl":"https://doi.org/10.5937/ASN1469342B","url":null,"abstract":"Uvod: Zbog pozitivnih biostimulativnih efekata, meki laser se koristi za lečenje brojnih bolnih stanja u usnoj duplji. Jedna od njih je herpes labialis. Cilj: Cilj ovog rada bio je ispitati efikasnost mekih lasera u terapiji herpes labialisa. Materijal i metod rada: U ispitivanju je učestvovalo 43 pacijenta. Kod 23 pacijenta primenjena je laseroterapija, a kod preostalih 20 standardna terapija Aciclovirom u obliku masti. Rezultati: Nivo statističke značajnosti razlika srednjih vrednosti bola između grupa bio je maksimalan (p<0,001). Pacijenti sa herpesnim lezijama imali su koristi od laseroterapije u smislu skraćenja progresije oboljenja, simptomi u vidu bola, peckanja, žarenja svedeni su na minimum. Ispitanici tretirani laserom imali su statistički značajno manju srednju vrednost bola u odnosu na ispitanike tretirane Aciclovirom (p<0,05). Zaključak: Na osnovu dobijenih rezultata može se zaključiti da se meki laser pokazao kao efikasna terapijska metoda u lečenju herpes labialisa, pa se preporučuje u tretmanima.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"102 1","pages":"1342-1347"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200676","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}
Tamara Bukvic, Tatjana Čutović, A. Djokovic, I. Mileusnić
Introduction: Hypodontia is a condition where one to six teeth are missing during teeth development. Its etiology is unknown but it can be connected with congenital factor and abnormalities during initiation phase. The aims of this study were to analyse prevalence of hypodontiain ortodontically patients by orthopantomography radiology and the choice of therapy method in.patients with hypodontia by analysing medical documentation. Methods: A ltogether 525 patients from one Dental Office in Belgrade, were included in this research. This epidemic retrospective study was conducted by analyzing orthopantomography radiologies well as with collecting certain data from patients' medical files. All data were classified according to age, gender, jaw, jaw side, missing tooth, class according to Angle and method of therapy. Results: The prevalence of hypodontia was 6.28% and it was more often registered in women population. The most common therapy methods was closing space between the teeth (61%) and opening space in (33%). There was statistically significant correlation between treatment modality (opening and closing of the space) and tooth region with hypodontia (frontal and premolar) (p< 0.05). The occurrence of hypodontia was more obvious in lower jaw, lower second premolars were more often missing. Conclusion: The prevalence of hypodontia was 6.28%. There was statistically significant correlation between treatment modality (opening and closing of the space) and tooth region with hypodontia (frontal and premolar). In the frontal region were more used opening space but in the premolar region were more used closing space.
{"title":"The choice of therapeutic methods in patients with hypodontia","authors":"Tamara Bukvic, Tatjana Čutović, A. Djokovic, I. Mileusnić","doi":"10.5937/asn1470432b","DOIUrl":"https://doi.org/10.5937/asn1470432b","url":null,"abstract":"Introduction: Hypodontia is a condition where one to six teeth are missing during teeth development. Its etiology is unknown but it can be connected with congenital factor and abnormalities during initiation phase. The aims of this study were to analyse prevalence of hypodontiain ortodontically patients by orthopantomography radiology and the choice of therapy method in.patients with hypodontia by analysing medical documentation. Methods: A ltogether 525 patients from one Dental Office in Belgrade, were included in this research. This epidemic retrospective study was conducted by analyzing orthopantomography radiologies well as with collecting certain data from patients' medical files. All data were classified according to age, gender, jaw, jaw side, missing tooth, class according to Angle and method of therapy. Results: The prevalence of hypodontia was 6.28% and it was more often registered in women population. The most common therapy methods was closing space between the teeth (61%) and opening space in (33%). There was statistically significant correlation between treatment modality (opening and closing of the space) and tooth region with hypodontia (frontal and premolar) (p< 0.05). The occurrence of hypodontia was more obvious in lower jaw, lower second premolars were more often missing. Conclusion: The prevalence of hypodontia was 6.28%. There was statistically significant correlation between treatment modality (opening and closing of the space) and tooth region with hypodontia (frontal and premolar). In the frontal region were more used opening space but in the premolar region were more used closing space.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"30 1","pages":"1432-1441"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200754","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}
I. Stančić, Aleksandra Popovac, T. Rodić, Milena Palamarevic, M. Petrović, M. Vasovic
Uvod. Povećanje broja starih institucionalizovanih osoba u svetu iziskuje dobru opštu zdravstvenu i stomatološku zaštitu ove grupe ljudi. Cilj rada bio je ispitati nivo oralne higijene, zatim dentalni, parodontalni i protetski status institucionalizovanih osoba starosti preko 65 godina, u tri staračka doma u Beogradu. Materijal i metod. Anketirana je i pregledana 301 osoba. Anketa je obuhvatala sociodemografske podatke, navike u održavanju oralne higijene, subjektivnu procenu opšteg zdravstvenog stanja i stomatoprotetskog statusa. Kliničkim pregledom utvrđen je status zuba i parodontalnih tkiva korištenjem DFMT i CPITN indeksa. Evidentirano je i zdravlje mekih tkiva usta. Postojeće proteze ocenjene su u pogledu retencije, stabilizacije, abradiranosti, higijene i neophodnosti reparature. Rezultati. Od ukupnog broja pregledanih, 16,6% nije održavalo oralnu higijenu. Pomoć u održavanju oralne higijene dobijalo je 2,3% ispitanika, iako je 36,5% bilo zavisno od tuđe nege. Prosečan DMFT iznosio je 26,36. CPITN indeks prosečno je iznosio 2,23. Protetski nije bilo zbrinuto 45,1% pregledanih osoba koje su imale potrebu za protezom. Reparaturu je zahtevalo 55,2% proteza, a higijena proteze bila je loša u 50,0% slučajeva. Od ukupnog broja pregledanih osoba, 11,9% bilo je bezubo i nije imalo totalne proteze. Zaključak. Može se zaključiti da stare institucionalizovane osobe ne dobijaju pomoć u održavanju oralne higijene, iako su u velikom broju zavisne od tuđe nege. Takođe, prisutan je veliki broj nedostajućih zuba i potreba za kompletnom parodontološkom i protetskom terapijom većine osoba. Neophodno je poboljšati stomatološku zdravstvenu zaštitu pacijenata u staračkim domovima. Klјučne reči: oralno zdravlje, stare osobe, institucionalizovani Abstract
输入世界上被收容的老年人数量的增加要求这一群体有良好的整体健康和牙齿保护。这项工作的目的是检查贝尔格莱德三所养老院中一名65岁以上住院人员的口腔卫生水平，以及牙齿、口腔和蛋白质状况。材料和方法。301人被检测和审查。该调查包括社会人口学数据、口腔卫生习惯、总体健康状况和口腔蛋白状况的主观评估。临床检查使用DFMT和CPITN指数确定牙齿和牙痛组织状态。口腔软组织的健康也很明显。Postojeće proteze ocenejene su u pogledu retencije，stabilizazie，abradiranosi，higijene i neophodnosti reparation。后果在研究总数中，16.6%的人没有保持口腔卫生。口腔卫生辅助占受试者的2.3%，尽管36.5%的受试者依赖他人。DMFT平均值为26.36。CPITN指数平均为2.23。45.1%的受试者需要这种蛋白质，但这种蛋白质并不能满足他们的需要。回收率需要55.2%的蛋白质，50.0%的病例蛋白质卫生不好。在接受检查的受试者总数中，11.9%不安全，没有完全的假肢。锁可以得出的结论是，被收容的老年人没有得到口腔卫生援助，尽管他们在很大程度上依赖他人。对于大多数人来说，还有大量的牙齿缺失，需要进行完整的口腔医学和蛋白质治疗。Neophodno je poboljšati portološku zdravstvenu zaštitu pacijenata u staračkim domovima。关键词：口腔健康，老年人，制度化摘要
{"title":"Oral health of institutionalized elderly in Belgrade","authors":"I. Stančić, Aleksandra Popovac, T. Rodić, Milena Palamarevic, M. Petrović, M. Vasovic","doi":"10.5937/asn1470408s","DOIUrl":"https://doi.org/10.5937/asn1470408s","url":null,"abstract":"Uvod. Povećanje broja starih institucionalizovanih osoba u svetu iziskuje dobru opštu zdravstvenu i stomatološku zaštitu ove grupe ljudi. Cilj rada bio je ispitati nivo oralne higijene, zatim dentalni, parodontalni i protetski status institucionalizovanih osoba starosti preko 65 godina, u tri staračka doma u Beogradu. Materijal i metod. Anketirana je i pregledana 301 osoba. Anketa je obuhvatala sociodemografske podatke, navike u održavanju oralne higijene, subjektivnu procenu opšteg zdravstvenog stanja i stomatoprotetskog statusa. Kliničkim pregledom utvrđen je status zuba i parodontalnih tkiva korištenjem DFMT i CPITN indeksa. Evidentirano je i zdravlje mekih tkiva usta. Postojeće proteze ocenjene su u pogledu retencije, stabilizacije, abradiranosti, higijene i neophodnosti reparature. Rezultati. Od ukupnog broja pregledanih, 16,6% nije održavalo oralnu higijenu. Pomoć u održavanju oralne higijene dobijalo je 2,3% ispitanika, iako je 36,5% bilo zavisno od tuđe nege. Prosečan DMFT iznosio je 26,36. CPITN indeks prosečno je iznosio 2,23. Protetski nije bilo zbrinuto 45,1% pregledanih osoba koje su imale potrebu za protezom. Reparaturu je zahtevalo 55,2% proteza, a higijena proteze bila je loša u 50,0% slučajeva. Od ukupnog broja pregledanih osoba, 11,9% bilo je bezubo i nije imalo totalne proteze. Zaključak. Može se zaključiti da stare institucionalizovane osobe ne dobijaju pomoć u održavanju oralne higijene, iako su u velikom broju zavisne od tuđe nege. Takođe, prisutan je veliki broj nedostajućih zuba i potreba za kompletnom parodontološkom i protetskom terapijom većine osoba. Neophodno je poboljšati stomatološku zdravstvenu zaštitu pacijenata u staračkim domovima. Klјučne reči: oralno zdravlje, stare osobe, institucionalizovani Abstract","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"30 1","pages":"1408-1419"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200892","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}
Uvod: U rečniku protetičkih termina bruksizam je definisan kako nesvesna, oralna navika ritmičkog nefunkcionalnog pritiskanja na zube pri izvođenju nemastikatornih kretnji. Horizontalni oblik bruksizma dijagnostikuje se ozbilјnim trošenjem incizalnih ivica na prednjim i kvržica na bočnim zubima i temporomandibularne disfunkcije, a vertikalni bruksizam, kao nesvesna centralna rotacija donje vilice, dijagnostikuje se gublјenjem zubne supstance u predelu okluzalnih fisura izazvano kontaktom sa funkcionalnim kvržicama i mišićno-skeletnim bolom. Cilј: Cilј ovog ispitivanja bio je da se prikaže svrha upotrebe bruksoanalizatora kod pacijenata sa različitim oblicima bruksizama, kao i koristi ranog otkrivanja ove pojave. Materijal i metode: Klinički metod dijagnostikovanja bruksizma izvodi se bruksoanalizatorom (Bruxchecker), individualno izrađenim za svakog pacijenta. Izrada aparata se vrši termičkim presovanjem polivinilske folije. Bruksoanalizator se nosi svake noći za vreme spavanja. Rezultati: Pri analizi bruksoanalizatorom (Bruxchecker) 140 pacijenata, došlo se do saznanja da 60% njih ima horizontalan bruksizam (20% pri centralnim kretnjama, a 80% pri lateralnim kretnjama) i 40% vertikalni oblik bruksizma. Pored oblika i šeme kretnji pri bruksizmu, preduzeta je odgovarajuća terapija. Ona se izvodi repozicijskim šinama kod horizontalnog i stabilizacijskim okluzalnim šinama kod vertikalnog bruksizma. Zaključak: Horizontalni tip bruksizma je češći i izraženiji od vertikalnog bruksizma. Pacijenti sa horizontalnim bruksizmom imaju izraženije morfološke defekte zubnog niza i potrebe za protetičkom restauracijom, a kod vertikalnog bruksizma nema izraženih morfoloških defekata, ali su bolnije reakcije kod pacijenata češće i izraženije.
引言：在多变的术语中，bruksizam被定义为一种无意识的口腔习惯，在进行非静态运动时，对牙齿施加有节奏的非功能性压力。Horizontalni oblik bruksizma dijagnostikuje se ozbilŞnim trošenjem incizalnih ivica na prednjim i kvržica na bočnim zubima i temporaminandibularne dispunkcije，一个vertkalni bruksizam，kao nesvesna centralna rotacija donje vilice，dijagnotikuje segublßenjemzubne supstance u predlu okluzalnih fisura izazvano kontaktom sa funkconalnim kvrŽicama išićno skeletne im bolom。本研究的目的是证明在不同用途的患者中使用用户分析仪的目的，以及早期发现这一现象的用途。材料和方法：诊断使用者的临床方法由Bruxchecker执行，为每位患者单独制作。该装置的制造是通过聚乙烯箔的热传递来进行的。Bruxoanalyzer每晚睡觉时都会穿。结果：Bruxchecker 140名患者发现，其中60%的患者使用水平运动（20%用于中心运动，80%用于横向运动），40%用于垂直运动。除了锻炼的形式和计划外，还进行了适当的治疗。它是由水平方向的重新定位字符串和垂直方向用户的稳定线执行的。关键：水平类型的用户比垂直类型的用户更频繁、更容易表达。水平brukers患者有形态牙齿缺陷和保护性修复要求，垂直brukers没有形态缺陷，但在患者中更常见、更明显。
{"title":"Use of bruxchecker in patients with different types of bruxism","authors":"B. Kapusevska, Vera Stojanovska, A. Mijoska","doi":"10.5937/ASN1469325K","DOIUrl":"https://doi.org/10.5937/ASN1469325K","url":null,"abstract":"Uvod: U rečniku protetičkih termina bruksizam je definisan kako nesvesna, oralna navika ritmičkog nefunkcionalnog pritiskanja na zube pri izvođenju nemastikatornih kretnji. Horizontalni oblik bruksizma dijagnostikuje se ozbilјnim trošenjem incizalnih ivica na prednjim i kvržica na bočnim zubima i temporomandibularne disfunkcije, a vertikalni bruksizam, kao nesvesna centralna rotacija donje vilice, dijagnostikuje se gublјenjem zubne supstance u predelu okluzalnih fisura izazvano kontaktom sa funkcionalnim kvržicama i mišićno-skeletnim bolom. Cilј: Cilј ovog ispitivanja bio je da se prikaže svrha upotrebe bruksoanalizatora kod pacijenata sa različitim oblicima bruksizama, kao i koristi ranog otkrivanja ove pojave. Materijal i metode: Klinički metod dijagnostikovanja bruksizma izvodi se bruksoanalizatorom (Bruxchecker), individualno izrađenim za svakog pacijenta. Izrada aparata se vrši termičkim presovanjem polivinilske folije. Bruksoanalizator se nosi svake noći za vreme spavanja. Rezultati: Pri analizi bruksoanalizatorom (Bruxchecker) 140 pacijenata, došlo se do saznanja da 60% njih ima horizontalan bruksizam (20% pri centralnim kretnjama, a 80% pri lateralnim kretnjama) i 40% vertikalni oblik bruksizma. Pored oblika i šeme kretnji pri bruksizmu, preduzeta je odgovarajuća terapija. Ona se izvodi repozicijskim šinama kod horizontalnog i stabilizacijskim okluzalnim šinama kod vertikalnog bruksizma. Zaključak: Horizontalni tip bruksizma je češći i izraženiji od vertikalnog bruksizma. Pacijenti sa horizontalnim bruksizmom imaju izraženije morfološke defekte zubnog niza i potrebe za protetičkom restauracijom, a kod vertikalnog bruksizma nema izraženih morfoloških defekata, ali su bolnije reakcije kod pacijenata češće i izraženije.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"70 1","pages":"1325-1331"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200627","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}
P. Janošević, M. Janošević, G. Filipović, M. Stosic, M. Burić, D. Stojanović, M. Kostić, M. Spasić
Introduction: Class II malocclusion is characterized by distoclusion and is divided into two divisions depending on the inclination of the upper front teeth. The first division is characterized by protrusion of the upper front teeth. Treatment possibilities of class II/1 malocclusion depend on the skeletal form. Therapy of dentoalveolar types of class II/1 malocclusion is exclusively orthodontic. More emphasized skeletal forms of class II/1 malocclusion may require surgery apart from orthodontic therapy. Casse raport: In this paper, the extraction and nonextraction treatment of 13 years old patients - M.P.(boy) and I.T. (girl) was shown, respectively. The diagnosis was based on clinical and functional intraoral findings, analysis of dental casts, face photos, orthopatomogram and profile x-ray. Nonextraction therapy was suggested for a boy and extraction therapy for a girl, combined with the use of upper and lower fixed appliances. In the treatment, technique of straight arch, Dentaurum brackets, root prescriptions, slot 22 were used. In the male patient, there was a slight maxillary prognathism, mandibular retrognathism, anterior type of growth, protrusion of the upper incisors and retrusion of the lower ones. The body of maxilla was shorter by 4 mm with regard to the cranial base. In the female patient the extraction of the upper first premolars was performed because of maxillary prognathism, mandibular retrognathism, increased length of the body of maxilla, decreased length of the body of maxilla and severe protrusion of the upper frontal teeth. After the treatment, functional occlusion and improvement in facial aesthetics was achieved in both patients. Facial changes were more apparent in the patient who underwent the extraction treatment. After completion of treatment, it is necessary to maintain the obtained results.
{"title":"Extraction and non-extraction therapy in class II/1 patients","authors":"P. Janošević, M. Janošević, G. Filipović, M. Stosic, M. Burić, D. Stojanović, M. Kostić, M. Spasić","doi":"10.5937/asn1469348J","DOIUrl":"https://doi.org/10.5937/asn1469348J","url":null,"abstract":"Introduction: Class II malocclusion is characterized by distoclusion and is divided into two divisions depending on the inclination of the upper front teeth. The first division is characterized by protrusion of the upper front teeth. Treatment possibilities of class II/1 malocclusion depend on the skeletal form. Therapy of dentoalveolar types of class II/1 malocclusion is exclusively orthodontic. More emphasized skeletal forms of class II/1 malocclusion may require surgery apart from orthodontic therapy. Casse raport: In this paper, the extraction and nonextraction treatment of 13 years old patients - M.P.(boy) and I.T. (girl) was shown, respectively. The diagnosis was based on clinical and functional intraoral findings, analysis of dental casts, face photos, orthopatomogram and profile x-ray. Nonextraction therapy was suggested for a boy and extraction therapy for a girl, combined with the use of upper and lower fixed appliances. In the treatment, technique of straight arch, Dentaurum brackets, root prescriptions, slot 22 were used. In the male patient, there was a slight maxillary prognathism, mandibular retrognathism, anterior type of growth, protrusion of the upper incisors and retrusion of the lower ones. The body of maxilla was shorter by 4 mm with regard to the cranial base. In the female patient the extraction of the upper first premolars was performed because of maxillary prognathism, mandibular retrognathism, increased length of the body of maxilla, decreased length of the body of maxilla and severe protrusion of the upper frontal teeth. After the treatment, functional occlusion and improvement in facial aesthetics was achieved in both patients. Facial changes were more apparent in the patient who underwent the extraction treatment. After completion of treatment, it is necessary to maintain the obtained results.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"30 1","pages":"1348-1361"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200692","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. Legionella is frequently detected in Dental Unit Waterlines (DUWLs). Although such a high occurrence is not necessarily associated with high risk for Legionnaire’s disease among patients and staff, it is prudent to monitor DUWLs for Legionella periodically. Since this procedure is long and expensive, surrogate markers are frequently used. Aim. To investigate whether surrogate markers are predictive of Legionella detection in DUWLs in a highly colonized dental hospital. Material and methods. DUWLs from a dental hospital where legionellae were detected intermittently throughout a period of ten years was considered. The investigated predictors were total viable flora (TVF) at 37°C and at 22°C, Pseudomonas (legionellae competitor) occurrence and season. Multivariate analysis was made and, using the best fitting logistic regression model, the probability to detect legionellae in water from DUWLs was estimated. Results. Legionellae were detected in 52% water samples collected in summertime and never detected in wintertime at levels ranging between 0 and 200 colony forming units(CFU)/L. The odds ratio of legionellae occurrence were 25.0 for Pseudomonas undetected vs. detected, 108.3 for summertime vs. wintertime, 2.2-2.3 for TVF levels at 37°C and 22°C >200 CFU/mL vs. ≤200 CFU/mL. A 29% probability to detect legionellae from DUWLs, where Pseudomonas was undetected, TVF levels were >200 CFU/mL and in summertime, was estimated. Conclusion. Despite legionellae were ubiquitous in the dental hospital during the study period, in the most favourable conditions for Legionella growth (lack of competitor, high biofilm and hot weather), legio nellae were detected in almost one third of DUWLs.
{"title":"PREDICTORS OF LEGIONELLA OCCURRENCE IN DENTAL UNIT WATERLINES OF A HIGHLY COLONIZED DENTAL HOSPITAL","authors":"G. A. Messano, M. Masood, P. Palermo, S. Petti","doi":"10.5937/ASN1367236M","DOIUrl":"https://doi.org/10.5937/ASN1367236M","url":null,"abstract":"Introduction. Legionella is frequently detected in Dental Unit Waterlines (DUWLs). Although such a high occurrence is not necessarily associated with high risk for Legionnaire’s disease among patients and staff, it is prudent to monitor DUWLs for Legionella periodically. Since this procedure is long and expensive, surrogate markers are frequently used. Aim. To investigate whether surrogate markers are predictive of Legionella detection in DUWLs in a highly colonized dental hospital. Material and methods. DUWLs from a dental hospital where legionellae were detected intermittently throughout a period of ten years was considered. The investigated predictors were total viable flora (TVF) at 37°C and at 22°C, Pseudomonas (legionellae competitor) occurrence and season. Multivariate analysis was made and, using the best fitting logistic regression model, the probability to detect legionellae in water from DUWLs was estimated. Results. Legionellae were detected in 52% water samples collected in summertime and never detected in wintertime at levels ranging between 0 and 200 colony forming units(CFU)/L. The odds ratio of legionellae occurrence were 25.0 for Pseudomonas undetected vs. detected, 108.3 for summertime vs. wintertime, 2.2-2.3 for TVF levels at 37°C and 22°C >200 CFU/mL vs. ≤200 CFU/mL. A 29% probability to detect legionellae from DUWLs, where Pseudomonas was undetected, TVF levels were >200 CFU/mL and in summertime, was estimated. Conclusion. Despite legionellae were ubiquitous in the dental hospital during the study period, in the most favourable conditions for Legionella growth (lack of competitor, high biofilm and hot weather), legio nellae were detected in almost one third of DUWLs.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"29 1","pages":"1236-1241"},"PeriodicalIF":0.0,"publicationDate":"2013-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200785","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. The risk for active tuberculosis (TB) infection among dental healthcare workers (DHCWs) is controversial. Specifically, TB incidence is generally low among general dental practitioners, but it is higher than in the general population among hospital/prison dentists, DHCWs who work in endemic areas, students during clinical training with direct patient contact. Aim. To investigate prevalence of reactive tuberculin skin test (TST) among dental students and DHCWs in an Italian dental university hospital. Material and methods. DHCWs (n=76), dental (n=92) and dental hygienist (n=13) students, administrative staff (n=15, reference group), who were not previously vaccinated against TB, provided their consent to undergo the Mantoux test, the standard recommended TST. Unadjusted and adjusted odds ratios (ORs) of reactive TST for working categories and for years of practice in the dental hospital were assessed through logistic regression analysis. Results. Prevalence of reactive TST estimates were 0.0%, 17% (95% confidence interval, 95CI, 11-26%), 20% (95CI, 12-30%) and 7% (95CI, 1-30%) among dental hygienist students, dental students, dental healthcare workers and administrative staff, respectively. The adjusted ORs for working categories were non-significant, but they were significant at 95% level for the years of exposure (OR, 1.09 for each year of practice at the hospital; 95CI, 1.01-1.19). Conclusion. High prevalence values could be due to cross immunization from non-tubercular mycobacteria, frequently found in dental unit waterlines, or boosting from repeated TST occasions. However, these data suggest that the risk for TST conversion is associated with the years of practice in dental hospitals.
{"title":"PREVALENCE OF REACTIVE TUBERCULIN SKIN TEST IN DENTAL HEALTHCARE WORKERS AND STUDENTS","authors":"G. A. Messano, M. Masood, P. Palermo, S. Petti","doi":"10.5937/ASN1367242M","DOIUrl":"https://doi.org/10.5937/ASN1367242M","url":null,"abstract":"Introduction. The risk for active tuberculosis (TB) infection among dental healthcare workers (DHCWs) is controversial. Specifically, TB incidence is generally low among general dental practitioners, but it is higher than in the general population among hospital/prison dentists, DHCWs who work in endemic areas, students during clinical training with direct patient contact. Aim. To investigate prevalence of reactive tuberculin skin test (TST) among dental students and DHCWs in an Italian dental university hospital. Material and methods. DHCWs (n=76), dental (n=92) and dental hygienist (n=13) students, administrative staff (n=15, reference group), who were not previously vaccinated against TB, provided their consent to undergo the Mantoux test, the standard recommended TST. Unadjusted and adjusted odds ratios (ORs) of reactive TST for working categories and for years of practice in the dental hospital were assessed through logistic regression analysis. Results. Prevalence of reactive TST estimates were 0.0%, 17% (95% confidence interval, 95CI, 11-26%), 20% (95CI, 12-30%) and 7% (95CI, 1-30%) among dental hygienist students, dental students, dental healthcare workers and administrative staff, respectively. The adjusted ORs for working categories were non-significant, but they were significant at 95% level for the years of exposure (OR, 1.09 for each year of practice at the hospital; 95CI, 1.01-1.19). Conclusion. High prevalence values could be due to cross immunization from non-tubercular mycobacteria, frequently found in dental unit waterlines, or boosting from repeated TST occasions. However, these data suggest that the risk for TST conversion is associated with the years of practice in dental hospitals.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"29 1","pages":"1242-1248"},"PeriodicalIF":0.0,"publicationDate":"2013-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200404","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}
G. A. Messano, Virgilio De Bono, R. Architrave, S. Petti, Acta Stomatologica Naissi
Introduction. Each year, 37,000 people in Europe die as direct consequence of healthcare-associated infections. Staphylococcus aureus (especially methicillin-resistant -MRSA) and coagulase-negative staphylococci (CNS) are frequently isolated in these episodes. Environmental contamination by S. aureus, MRSA and CNS in dental healthcare settings is reported moderately frequently, although the associated risk for infection is not clear. Aim. To investigate contamination of disposal gloves and of clinical contact surfaces by several types of staphylococci in dental offices soon after dental therapy. Material and methods. 136 general dental practitioners (GDPs) voluntarily participated. At each sampling occasion, environmental samples were collected from the tray and from the gloved dominant hand, soon after dental therapy of the second or third patient of the working session. Contact plates containing Mannitol Salt Agar were used. Overall staphylococci, S. aureus, CNS and Staphylococcus epidermidis (member of CNS group) were presumptively identified and resistance to oxacillin was tested to identify methicillin-resistant (MR) strains. Results. Staphylococci were detected in 41% and 57% samples from trays and from gloves, respectively; S. aureus in 5% and 5%, CNS in 36% and 52%, S. epidermidis in 18% and 44%, methicillin-resistant S. aureus (MRSA) in 1.5% and 1.5%, MRCNS in 1.5% and 2.2%, MR-S. epidermidis in 1.5% and 1.5%. The samples collected from the trays were correlated with those collected from hands for all these types of staphylococci. Conclusion. Although it was not possible to ascertain the main source of staphylococci contamination -patient or GDP, dominant hands and clinical contact surfaces were frequently contaminated.
{"title":"ENVIRONMENTAL AND GLOVES' CONTAMINATION BY STA- PHYLOCOCCI IN DENTAL HEALTHCARE SETTINGS","authors":"G. A. Messano, Virgilio De Bono, R. Architrave, S. Petti, Acta Stomatologica Naissi","doi":"10.5937/ASN1367255M","DOIUrl":"https://doi.org/10.5937/ASN1367255M","url":null,"abstract":"Introduction. Each year, 37,000 people in Europe die as direct consequence of healthcare-associated infections. Staphylococcus aureus (especially methicillin-resistant -MRSA) and coagulase-negative staphylococci (CNS) are frequently isolated in these episodes. Environmental contamination by S. aureus, MRSA and CNS in dental healthcare settings is reported moderately frequently, although the associated risk for infection is not clear. Aim. To investigate contamination of disposal gloves and of clinical contact surfaces by several types of staphylococci in dental offices soon after dental therapy. Material and methods. 136 general dental practitioners (GDPs) voluntarily participated. At each sampling occasion, environmental samples were collected from the tray and from the gloved dominant hand, soon after dental therapy of the second or third patient of the working session. Contact plates containing Mannitol Salt Agar were used. Overall staphylococci, S. aureus, CNS and Staphylococcus epidermidis (member of CNS group) were presumptively identified and resistance to oxacillin was tested to identify methicillin-resistant (MR) strains. Results. Staphylococci were detected in 41% and 57% samples from trays and from gloves, respectively; S. aureus in 5% and 5%, CNS in 36% and 52%, S. epidermidis in 18% and 44%, methicillin-resistant S. aureus (MRSA) in 1.5% and 1.5%, MRCNS in 1.5% and 2.2%, MR-S. epidermidis in 1.5% and 1.5%. The samples collected from the trays were correlated with those collected from hands for all these types of staphylococci. Conclusion. Although it was not possible to ascertain the main source of staphylococci contamination -patient or GDP, dominant hands and clinical contact surfaces were frequently contaminated.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"29 1","pages":"1255-1259"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200464","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}
Uvod/Cilj Naučni i zdravstveni temelji u prevenciji karijesa zasnivaju se na stavu da je prepoznavanje karijesa na nivou kavitacije prekasno da bi se zadovoljila savremena načela struke. Međutim, kod nas još ne postoji dovoljno razvijena svijest o važnosti oralnog zdravlja za cjelokupno zdravlje pojedinca, a još manje o važnosti sprovođenja oralne higijene. Materijal i metod Istraživanje je sprovedeno po tipu studije presjeka, od maja do septembra 2009. godine u stomatološkim ordinacijama Doma zdravlja Tivat. Istraživanje su radili stomatološki timovi sa pacijentima starosti do petanaest godina. Instrument istraživanja bio je upitnik i stomatološki pregled usta i zuba. Pregled je izvršen prema metodologiji i kriterijima SZO. Odgovori dobijeni tokom intervjua upoređivani su sa podacima kliničkog pregleda. Rezultati Analizirajući dobijene odgovore ustanovljeno je da najviše ispitanika pere zube dva puta dnevno, a stomatologa najčešće posjećuju jednom u šest mjeseci. Istraživanje je pokazalo da je kod 57% ispitanika pregledom uočeno postojanje karioznih mliječnih zuba. Kod više od 63% ispitanika nađeni su stalni kariozni zubi. Kod 14% ispitanika nađen je gingivitis, a kod 44,7% ispitanika uočena je ortodontska anomalija. Polovina ispitanika koja rijetko pere zube ima problema sa gingivitisom. Postoji statistički visoko značajna razlika u pojavi gingivitisom u vezi sa učestalošću pranja zuba. Zaključak Postoji značajna razlika u održavanju higijene usta i zuba prema polu, kao i prema nekim drugim socio-demografskim karakteristikama ispitanikla. Studija je pokazala povezanost karijesa i gingivitisa sa učestalošću pranja zuba i frekvencije posjeta stomatologu.
在职业预防中引入科学和健康是基于这样一个事实，即在职业层面对职业的认可为时已晚，无法满足当前的技能规则。然而，人们仍然没有充分意识到口腔健康对个人健康的重要性，更没有意识到口腔卫生的重要性。研究的材料和方法是通过2009年5月至9月的一种剖面研究进行的。在蒂瓦特健康之家的石器时代办公室。这项研究是由口腔医生团队对15岁的患者进行的。仪器istraživanja bio je upitnik i portološki preged usta i zuba。审查是根据ICO的方法和标准进行的。将访谈期间收到的回复与临床检查数据进行比较。因此，通过分析收到的回复，可以确定大多数牙医每天刷牙两次，牙医经常在六个月内每月就诊一次。研究表明，在57%的受试者中，观察到存在旋转式乳牙。超过63%的受试者被诊断出患有永久性旋转木马牙。14%的受试者发现牙龈炎，44.7%的受试人观察到正统异常。很少刷牙的患者中有一半有牙龈炎问题。牙龈炎的存在与刷牙频率有很大的统计差异。结论是，受试者在口腔和牙齿卫生的维持方面与性别以及其他一些社会人口学特征存在显著差异。Studija je pokazala povezanot karijesa i guginitisa sa učestalošću pranja zuba i frekvencije posjeta口腔医学。
{"title":"Oral hygiene as the dominat determinat of health","authors":"Snežana Matijević","doi":"10.5937/ASN1368298M","DOIUrl":"https://doi.org/10.5937/ASN1368298M","url":null,"abstract":"Uvod/Cilj Naučni i zdravstveni temelji u prevenciji karijesa zasnivaju se na stavu da je prepoznavanje karijesa na nivou kavitacije prekasno da bi se zadovoljila savremena načela struke. Međutim, kod nas još ne postoji dovoljno razvijena svijest o važnosti oralnog zdravlja za cjelokupno zdravlje pojedinca, a još manje o važnosti sprovođenja oralne higijene. Materijal i metod Istraživanje je sprovedeno po tipu studije presjeka, od maja do septembra 2009. godine u stomatološkim ordinacijama Doma zdravlja Tivat. Istraživanje su radili stomatološki timovi sa pacijentima starosti do petanaest godina. Instrument istraživanja bio je upitnik i stomatološki pregled usta i zuba. Pregled je izvršen prema metodologiji i kriterijima SZO. Odgovori dobijeni tokom intervjua upoređivani su sa podacima kliničkog pregleda. Rezultati Analizirajući dobijene odgovore ustanovljeno je da najviše ispitanika pere zube dva puta dnevno, a stomatologa najčešće posjećuju jednom u šest mjeseci. Istraživanje je pokazalo da je kod 57% ispitanika pregledom uočeno postojanje karioznih mliječnih zuba. Kod više od 63% ispitanika nađeni su stalni kariozni zubi. Kod 14% ispitanika nađen je gingivitis, a kod 44,7% ispitanika uočena je ortodontska anomalija. Polovina ispitanika koja rijetko pere zube ima problema sa gingivitisom. Postoji statistički visoko značajna razlika u pojavi gingivitisom u vezi sa učestalošću pranja zuba. Zaključak Postoji značajna razlika u održavanju higijene usta i zuba prema polu, kao i prema nekim drugim socio-demografskim karakteristikama ispitanikla. Studija je pokazala povezanost karijesa i gingivitisa sa učestalošću pranja zuba i frekvencije posjeta stomatologu.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"29 1","pages":"1298-1305"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200601","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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