B. Mroczek, Małgorzata Lichota, G. Trybek, A. Grzywacz
{"title":"Change in Patients’ Self-Reported Quality of Life before and after Dental Implantation","authors":"B. Mroczek, Małgorzata Lichota, G. Trybek, A. Grzywacz","doi":"10.2478/BJDM-2019-0003","DOIUrl":"https://doi.org/10.2478/BJDM-2019-0003","url":null,"abstract":"Background/Aim: The loss of teeth and its consequences for health, as well as the psychological discomfort it entails, have a negative impact on both self-reported health state and quality of life (QoL). Dental implantation aims to increase patients’ health and satisfaction and to improve all aspects of QoL. The purpose of this cross-sectional correlational study was to compare the patients’ QoL before and after dental implantation.Material and Methods: The study comprised 62 patients aged between 24 and 77, including 28 (45.16%) women and 34 (54.84%) men, who reported to a private dental clinic in Szczecin, Poland to replace missing teeth with implants. The survey was carried out twice: prior to the treatment, when the decision to use implants had been made, and three months after implantation, during the first check-up. QoL was measured using the 36-Item Short Form Health Survey (SF-36), and sociodemographic data were collected using a questionnaire of the author.Results: There were statistically significant differences between the assessment of health and QoL before and after implantation treatment. Both the patients’ health and comfort of life improved after therapy.Conclusions: Replacement of missing teeth with dental implants brought overall improvement in patients’ QoL, social comfort, and general health. Dental implantation should be recommended in the early phase of edentulism, after tooth loss.","PeriodicalId":161469,"journal":{"name":"Balkan Journal of Dental Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131728617","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}
A. Đorđević, Mirko Mikic, J. Stanišić, Filip Đorđević
{"title":"Modern Trends in Prosthetic Implant Rehabilitation of Patients: Case Report with 5-Year Follow-Up","authors":"A. Đorđević, Mirko Mikic, J. Stanišić, Filip Đorđević","doi":"10.2478/BJDM-2019-0008","DOIUrl":"https://doi.org/10.2478/BJDM-2019-0008","url":null,"abstract":"Background/Aim: Implant treatment expands extensively the possibilities of prosthetic treatment, which provide benefits, bigger comfort as well as general improvement of the patient’s life quality. In cases with no possibility of implantation, it is possible to improve conditions by using modern methods for bone tissue repair. One of factors important for the long-term success is proper oral hygiene, as well as raising awareness of its importance to patients. The aim of the paper is to present a patient rehabilitated with multiple implants and followed-up for a five-year period, and to point out the importance of raising patient’s awareness and motivation in order to preserve the results of the treatment.Case Report: A 31-year-old patient was admitted to the oral surgery clinic for rehabilitation of a poor oral health status. After taking history, clinical examination and additional analysis, the following treatment plan was suggested: to remove impacted upper canines and to put an implant supported by fixed prosthesis in the upper jaw, to make two implants supported by bridges laterally and one dental supported by bridge in the inter-canine sector in the lower jaw. The treatment was carried out in several stages that involved extraction of residual roots and impacted teeth, augmentation of bone defects with bone substitutes and bio-absorbable membranes, placing implant, and prosthetic rehabilitation. By verbal communication with the patient, we pointed out the importance of proper oral hygiene and regular check-ups. The five year follow-up showed the absence of factors that could adversely affect the success of the treatment, and the patient was still highly motivated to maintain proper oral hygiene.Conclusions: It is possible to achieve predictable results in complex cases by using a multiphase prosthetic treatment supported by implants. Concerning a long-term success, motivation, proper information and patient’s willingness to cooperate play an important role.","PeriodicalId":161469,"journal":{"name":"Balkan Journal of Dental Medicine","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131787221","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}
{"title":"Electromyographic Activity Changes of Jaw-Closing Muscles in Patients with Different Occlusion Schemes after Fixed Prosthetic Restoration","authors":"Evangelos Ximinis, D. Tortopidis","doi":"10.2478/bjdm-2018-0027","DOIUrl":"https://doi.org/10.2478/bjdm-2018-0027","url":null,"abstract":"Summary Background/Aim: To investigate the electromyographic (EMG) activity changes of jaw-closing muscles in patients with different occlusion schemes and posterior edentulous span, after the placement of teeth-supported fixed partial denture (FPD). Material and Methods: The study sample consisted of 20 patients (10 men and 10 women, the mean age being 50 years) with a posterior edentulous area that includes two missing premolars or one premolar and one molar. The participants were divided into two groups with different occlusion schemes: canine-guided occlusion (CGO) and group function occlusion (GFO). The metal-ceramic FPD were fabricated according to the clinic-standardized protocol. EMG activities of masseter and anterior temporalis patients’ muscles were recorded with bipolar surface electrodes during maximal voluntary clenching. EMG evaluation was repeated twice: (T1) before the fabrication of FPD (T2) after eight weeks of FPD cementation and intraoral functioning of restoration. The data were subjected to Analysis of Variance–ANOVA within the methodological framework of the General Linear Models with Repeated Measures. The Bonferroni test was used to compare multiple mean measures. Statistical analysis was conducted with SPSS ver. 11.5. The level of significance was predefined at a=0.05. Results: Group 1 with CGO presented significantly higher levels of masseter (mean maximum EMG average before 79.36μV and 139.68μV after) and temporalis (mean maximum EMG average before 79.07μV and 149.37μV after) EMG activity after FPD placement. Group 2 with GFO also showed significantly higher levels of masseter (mean maximum EMG average before 61.57μV and 165.30μV after) and temporalis (mean maximum EMG average before 56.94μV and 133.08μV after) EMG activity after the prosthetic restoration. Conclusions: It may be concluded that fixed prosthetic restoration, in both patients with canine-guided and group function occlusion, results in increased EMG jaw-muscle activity.","PeriodicalId":161469,"journal":{"name":"Balkan Journal of Dental Medicine","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131859314","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}
Triantafyllia Vouzara, Maryam el Chares, K. Lyroudia
{"title":"Separated Instrument in Endodontics: Frequency, Treatment and Prognosis","authors":"Triantafyllia Vouzara, Maryam el Chares, K. Lyroudia","doi":"10.2478/bjdm-2018-0022","DOIUrl":"https://doi.org/10.2478/bjdm-2018-0022","url":null,"abstract":"Summary Instrument separation during endodontic therapy is a frequent accident with rotary instruments being more likely to separate than manual ones. The treatment of cases with a separated instrument can be either conservative or surgical. A conservative approach involves the following treatment choices: a) bypass of the fragment, b) removal of the fragment, c) instrumentation and obturation coronally to the fragment. Concerning the removal of a separated instrument, a variety of techniques and systems have been developed. Ultrasonics, in combination with the operative microscope constitute the most effective and reliable tools for removing a separated endodontic instrument from a root canal. The likelihood of successful removal depends on: the level of separation (coronal, middle or apical third); location in relation to the root canal curvature; the type of separated instrument; its length; the degree of canal curvature and the tooth type. Several complications may occur during the management of a separated instrument: separation of the ultrasonic tip or file used for bypassing or removing the instrument; further separation of the fragment; perforation; ledge; extrusion of the file into periapical tissues; tooth weakening due to dentin removal, as well as excessive temperature rise in periodontal tissues. Prognosis for a tooth retaining a separated instrument depends on the presence of a periapical lesion, the microbial load of the root canal during the time of separation and the quality of the obturation.","PeriodicalId":161469,"journal":{"name":"Balkan Journal of Dental Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126347031","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}
Melih Özdede, Elif Yıldızer Keriş, B. Altunkaynak, I. Peker
{"title":"Morphometric Analysis of Greater Palatine Canal via Cone-Beam Computed Tomography","authors":"Melih Özdede, Elif Yıldızer Keriş, B. Altunkaynak, I. Peker","doi":"10.2478/bjdm-2018-0026","DOIUrl":"https://doi.org/10.2478/bjdm-2018-0026","url":null,"abstract":"Summary Background/Aim: The morphology of the greater palatine canal (GPC) should be determined preoperatively to prevent possible complications in surgical procedures required maxillary nerve block anesthesia and reduction of descending palatine artery bleeding. The purpose of this investigation was to evaluate the GPC morphology. Material and Methods: In this retrospective cross-sectional study, cone-beam computed tomography images obtained for various causes of 200 patients (females, 55%; males, 45%) age ranged between 18 and 86 (mean age±standard deviation=47±13.6) were examined. The mean length, mean angles of the GPC and anatomic routes of the GPC were evaluated. Results: The mean length of the GPC was found to be 31.07 mm and 32.01 mm in sagittal and coronal sections, respectively. The mean angle of the GPC was measured as 156.16° and 169.23° in sagittal and coronal sections. The mean angle of the GPC with horizontal plane was measured as 113.76° in the sagittal sections and 92.94° in the coronal sections. The mean GPC length was longer in males than in females. Conclusions: The results of this study showed that the most common pathway of the GPC was “first inferior, and then anterior-inferior direction” in sagittal plane and “first medial-inferior, then inferior direction” in coronal plane.","PeriodicalId":161469,"journal":{"name":"Balkan Journal of Dental Medicine","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124649193","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}
{"title":"Stafne Bone Defect in Anterior Mandible","authors":"Gulay Altan, S. Işler, İ. Özcan","doi":"10.2478/bjdm-2018-0028","DOIUrl":"https://doi.org/10.2478/bjdm-2018-0028","url":null,"abstract":"Summary Backround/Aim: Stafne bone cavity which is also known as lingual mandibular bone defect is generally seen in the posterior region of the mandible. Stafne bone defects of the anterior mandible are very rare, with around 50 cases reported in the English literature. They are generally asymptomatic and incidental lesion findings may be diagnosed during a radiographic examination. Case Report: A 59 year-old female patient was examined for dental complaints. Panoramic radiography revealed a unilocular lesion at the left incisor- premolar area. Dental volumetric tomography scans showed a concavity at the lingual side of the related area. Magnetic resonance imaging was suggested for possible soft tissue pathology and, depending on MRI finding, the cavity was initially diagnosed as Stafne bone defect. Conclusion: The aim of this case report is to describe an unusually located Stafne bone cavity with special emphasis to the need of using special imaging modalities.","PeriodicalId":161469,"journal":{"name":"Balkan Journal of Dental Medicine","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121704224","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}
{"title":"Conservative Management of Displaced Horizontal Root Fracture in Vital Maxillary Premolar: a Case Report","authors":"S. Badar, Robia Ghafoor, M. Hameed, N. Anwer","doi":"10.2478/bjdm-2018-0029","DOIUrl":"https://doi.org/10.2478/bjdm-2018-0029","url":null,"abstract":"Summary Background/Aim: The management of horizontal root fracture is not straight forward. It depends upon the location of the fracture, mobility and vitality of fractured tooth segment. The goal of treatment is to restore the shape and function of affected tooth. Case report: This following case report described the conservative management of horizontal root fracture which was also displaced but somehow maintained its vitality. The affected tooth was initially stabilized and followed up in the subsequent appointments for evaluation of vitality that turned out to be vital, thus, preventing any unnecessary intervention. Conclusions: Horizontal root fractures in the vital teeth should be initially managed conservatively and every effort should be made to preserve the vitality of tooth.","PeriodicalId":161469,"journal":{"name":"Balkan Journal of Dental Medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129857677","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}
S. Kamalakidis, V. Anastassiadou, A. Sofou, A. Pissiotis
{"title":"Success of Complete Denture Treatment, Detailed Investigation of Construction Protocols, Occlusal Schemes and Evaluation Questionnaires","authors":"S. Kamalakidis, V. Anastassiadou, A. Sofou, A. Pissiotis","doi":"10.2478/bjdm-2018-0021","DOIUrl":"https://doi.org/10.2478/bjdm-2018-0021","url":null,"abstract":"Summary Background/Aim: The successful outcome of conventional complete denture treatment can be defined with the use of both subjective and objective criteria. Denture satisfaction determinants may include denture quality, oral tissue condition, patient-dentist relationship, patient’s attitude toward dentures, patient’s personality and socioeconomic factors. Purpose: The aim of the current review was to identify and analyze the different construction protocols and occlusal schemes that contribute to the success of complete denture rehabilitation through the use of evaluation questionnaires. Material and Methods: A comprehensive literature search was performed through electronic databases (MEDLINE via PubMed) using the appropriate key words (complete denture construction, complete denture fabrication, complete denture occlusion and complete denture occlusal scheme). The related to the subject scientific papers were selected and evaluated for eligibility utilizing a predefined review process (English, full text articles, published from January 2000 up to April 2017). Results: None of the analyzed studies identified significant differences between dentures constructed with simplified, CAD/CAM and traditional protocols in terms of general satisfaction and Oral Health Related Quality of Life scales. The same condition applied to the studies which compared complete dentures with bilateral balanced, lingualized, monoplane and canine guided occlusion. Conclusions: Current scientific evidence suggested that patients could adapt comfortably to any type of bilateral balanced occlusal scheme and to complete dentures been fabricated with all types of complete denture construction protocol. Disease-specific questionnaires could be considered valuable tools and should be used to assess the outcome of any treatment modality.","PeriodicalId":161469,"journal":{"name":"Balkan Journal of Dental Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127061359","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}
{"title":"Evaluation of Mandibular Anatomical Formation for Gender Determination in Turkish Population","authors":"B. Apaydin, Derya Icoz, F. Yaşar, F. Akgunlu","doi":"10.2478/bjdm-2018-0023","DOIUrl":"https://doi.org/10.2478/bjdm-2018-0023","url":null,"abstract":"Summary Background/Aim: Gender determination is one of the most challenging tasks in medico-legal research and forensic dentistry. Several skeletal components are investigated for this purpose and the mandible is one of them. The mandible has several specific anatomical features. The purpose of this study was to analyze the effects of measurements related to the mental foramen, gonial angle and antegonial angle on gender determination using digital panoramic radiographs. Material and Methods: A retrospective study was planned with 150 digital panoramic radiographs (75 males and 75 females, aged between 20 to 49 years). The radiographs were analyzed by dividing them into two equal gender groups (male and female). Several parameters were compared to determine the gender. The distances from the superior and inferior border of the mental foramen to the basis of the mandible on the right side were measured. Gonial and antegonial angles were evaluated bilaterally. The difference between the males and females were analyzed with independent samples t-test (p<0.05). Results: There was statistically significant difference between the males and females in terms of all the evaluated parameters (p<0.05). The distances related to mental foramen is higher in the males however gonial and antegonial angles are larger in the females. Conclusions: The mental foramen position, gonial and antegonial angles can be used to predict the gender in Turkish population.","PeriodicalId":161469,"journal":{"name":"Balkan Journal of Dental Medicine","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129570570","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}
M. Kalaitzoglou, C. Beltes, Eleni Kantilieraki, P. Beltes
{"title":"Study of Internal Morphology of Root-Canal Treated Single-Rooted Mandibular Second Molars in a Greek Population","authors":"M. Kalaitzoglou, C. Beltes, Eleni Kantilieraki, P. Beltes","doi":"10.2478/bjdm-2018-0025","DOIUrl":"https://doi.org/10.2478/bjdm-2018-0025","url":null,"abstract":"Summary Background/Aim: To determine the prevalence of single-rooted mandibular second molars in a Greek population and examine their internal morphology with the aid of intraoral periapical radiography. Material and Methods: Clinical records of 531 root-canal treated permanent single-rooted mandibular second molars were collected from the Postgraduate Clinic of the Department of Endodontology, Dental School, Aristotle University of Thessaloniki, Greece and from private dental clinics in the same city. The clinical records, along with the radiographic examination, were evaluated to determine the overall frequency of single-rooted mandibular second molars together with the number of root canals and their course. The root canals were categorized using Vertucci’s classification with the addition of 3 further types where appropriate. Results: Out of 531 mandibular second molars; 102 (19.2%) presented a single root; 427 (80.4%) presented two roots; 2 (0.4%) presented three roots. In a total of 102 single-rooted mandibular second molars 31 (30.3%) presented with Type I, 18 (17.6%) with Type II, 14 (13.7%) with Type IV, 7 (7%) with 3 additional root canal types and 32 (31.4%) with a C-shaped root canal system. Conclusions: One out five mandibular second molars was single-rooted in a Greek population. The internal morphology of these teeth can be very complex with regard to the numbers and courses of root canals.","PeriodicalId":161469,"journal":{"name":"Balkan Journal of Dental Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125218055","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}