Acta Stomatologica Croatica最新文献

{"title":"Anatomical and Pathological Assessment of the Maxillary Sinus Using CBCT Imaging: A Retrospective Descriptive Study.","authors":"Naida Hadžiabdić, Azra Imamović, Aida Džanković, Samra Korać, Irmina Tahmiščija","doi":"10.15644/asc59/1/6","DOIUrl":"https://doi.org/10.15644/asc59/1/6","url":null,"abstract":"<p><strong>Background: </strong>A comprehensive understanding of the anatomy and pathology of the maxillary sinus is paramount for precise diagnosis and effective planning of dental interventions. Cone Beam Computed Tomography (CBCT) offers enhanced visualization of sinus structures, thus facilitating the identification of anatomical variations and pathological conditions which are critical for surgical and dental treatment strategies.</p><p><strong>Materials and methods: </strong>This retrospective descriptive study analyzed 200 CBCT scans, comprising 400 maxillary sinuses from patients treated at the Faculty of Dentistry University of Sarajevo. The study assessed sinus dimensions, volumes, anatomical features, their relationships with adjacent anatomical structures, and the occurrence of pathological alterations. Furthermore, the patient's gender and dental status were studied in relation to these features. The sinus measurements were performed with Sidexis 4 software (Dentsply Sirona, Germany), which is intended for precise linear measurements in three orthogonal planes.</p><p><strong>Results: </strong>Significant differences were found in sinus width between patients with full dentition and those with partial or complete edentulism (p<0.01). Male participants exhibited larger mean sinus dimensions compared to females in all dimensions. The maxillary sinus floor was inferior to the nasal floor in 91.5% of cases. Various types of sinus membrane abnormalities were observed, with normal membrane thickness in 53.75% of cases. Sinus septa were most frequently located on the roof of the sinus, and their frequency varied significantly among patients with different dentition statuses. The study also identified 274 Haller cells and documented several pathological changes, with mucosal thickening exceeding 3 mm being the most common alteration.</p><p><strong>Conclusion: </strong>This radiographic study of Bosnian and Herzegovian population revealed significant anatomical variations and pathological changes in maxillary sinuses, thus emphasizing the importance of careful preoperative evaluation using CBCT for surgical planning in the posterior maxillary area. The findings highlight gender-based differences in sinus volumes, the impact of dentition status on sinus anatomy, and the prevalence of various pathological conditions, thus contributing to valuable insights in the field of maxillofacial radiology.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"59 1","pages":"53-67"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Root Canal Filling Capacity and Quality of the Root Canal Pastes.","authors":"Melike Kurt, Ebru Hazar Bodrumlu","doi":"10.15644/asc59/1/2","DOIUrl":"https://doi.org/10.15644/asc59/1/2","url":null,"abstract":"<p><strong>Background: </strong>The complex anatomy of root canals in primary teeth makes root canal treatment and canal filling difficult. Root canal filling materials should meet the basic requirements for hermetic filling in terms of their physicochemical properties, such as radiopacity and viscosity, which might be affected by heat.</p><p><strong>Objectives: </strong>The aim of this study was to investigate the effect of different temperatures on the filling quality and hermetic obturation ability of primary root canal filling pastes.</p><p><strong>Materials and methods: </strong>Primary root canal filling pastes containing calcium hydroxide with barium sulphate and calcium hydroxide with iodoform were heated to four different temperatures (4°C, 23°C, 39°C and 55°C). After instrumentation, 80 endodontic blocks were filled with the heat-treated sealers. Digital radiographs were taken and analysed. The results were analyzed using Tukey's HSD, two-way Robust ANOVA, and the Bonferroni test for multiple comparisons.</p><p><strong>Results: </strong>The results of this study, the obturation radiopacity values of calcium hydroxide paste containing barium sulphate showed significant differences at different temperature values. Paste at 4°C showed significantly higher radiopacity (p<0.001). Paste at 55°C showed both significantly higher radiopacity (p<0.001), and the total unfilled area values obtained at 55°C was found to be significantly lower than the other temperatures (p=0.025).</p><p><strong>Conclusion: </strong>It was observed that the preheating process had a positive effect both on the filling quality and hermetic obturation capacity of primary root canal sealants at high temperatures.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"59 1","pages":"15-25"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temporomandibular Internal Derangements Denote Activity of Axial Spondyloarthritis.","authors":"Ana-Marija Laškarin, Stjepan Špalj, Gordana Laskarin, Antonija Ružić Baršić, Jasmina Grđan, Emina Babarović, Tatjana Kehler, Viktor Peršić, Nikša Dulčić","doi":"10.15644/asc59/1/1","DOIUrl":"https://doi.org/10.15644/asc59/1/1","url":null,"abstract":"<p><strong>Objectives: </strong>The group of spondyloarthritis (SpA) disorders shares common clinical manifestations, including internal derangement (ID) of temporomandibular joint (TMJ). This study aimed to investigate SpA activity in patients with ID of TMJ.</p><p><strong>Materials and methods: </strong>We assessed 200 patients with neck pain using the Assessment of Spondyloarthritis International Society (ASAS) criteria. TMJ was examined using Diagnostic Criteria for Temporomandibular Disorders (DC/TMD protocol). Patients with SpA were divided into three groups: symptomatic ID of TMJ, asymptomatic ID of TMJ, or healthy TMJ (controls). Activity of SpA was evaluated using the Ankylosing Spondylitis Disease Activity Score (ASDAS), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Disease Activity Index in Psoriatic Arthritis (DAPSA), patients' self-estimated SpA activity, difficulties in performing daily activities, pain intensity (visual analogue scale) and laboratory parameters.</p><p><strong>Results: </strong>Patients with symptomatic and asymptomatic ID showed statistically significantly increased ASDAS, anti-streptolysin titer, patients' self-estimated axial pain and activity of SpA, and decreased hematocrit than the control. Patients with symptomatic ID also had statistically significant earlier onset of SpA, along with increased BASDAI and DAPSA, total body pain, difficulties in performing daily activities, platelet count, and serum alpha-amylase but lower hemoglobin concentration than controls. Patients with asymptomatic ID had higher frequencies of exacerbated axial SpA and sacroiliac joint ankylosis compared to the control.</p><p><strong>Conclusion: </strong>All patients with SpA and ID showed increased axial disease activity.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"59 1","pages":"2-14"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective Evaluation of Tooth Agenesis in Different Regions of Turkey with Panoramic Radiography.","authors":"Neşe Oral, Şükran Ayran, Aslıhan Aslan Balci, Gülay Özdoğan, Selma Ece Karabiyikoğlu, Hilal Peker Öztürk, Hüseyin Aykut Özyiğit, Ercan Türerer, Gürdoğan Aydin","doi":"10.15644/asc59/1/5","DOIUrl":"https://doi.org/10.15644/asc59/1/5","url":null,"abstract":"<p><strong>Objectives: </strong>Dental agenesis refers to the absence of one or more teeth, occurring in both primary and permanent dentitions. It can result in several complications, impacting functional aspects of the dentition, such as chewing and speech. This study aimed to evaluate the prevalence of agenesis of permanent incisors, premolars, and third molars in patients aged 8-18. The prevalences were compared according to age, gender, and the regions they live in.</p><p><strong>Material and methods: </strong>This study was conducted in the Central Anatolia and Mediterranean regions of Turkey. It included data from 593 patients, 304 females and 289 males. The study involved a retrospective evaluation of the patients' orthopantomographic images. Descriptive statistics were employed for the analysis.</p><p><strong>Results: </strong>In the study, the prevalence of incisor agenesis among all patients was 2.4%. Premolar agenesis was found in 3.9% of patients, with the mandibular second premolar being the most commonly missing premolar (missing in 19 patients). The prevalence of third molar agenesis was 19.9% (118 patients). Incisor and premolar agenesis were more common in the Central Anatolia region than the Mediterranean region, whereas third molar agenesis was more prevalent in the Mediterranean region. In both regions, the left mandibular premolar was the most frequently missing premolar tooth, and the left maxillary third molar was the most frequently missing third molar tooth.</p><p><strong>Conclusion: </strong>This study presents a thorough analysis of the prevalence and distribution of tooth agenesis, with a particular focus on incisors, premolars, and third molars. The results emphasize the necessity of considering gender differences and specific tooth locations in the diagnostic and therapeutic approaches to tooth agenesis.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"59 1","pages":"44-52"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Transoral Endoscopic Assisted Minimally Invasive Method for Mandibular Condyle Fractures in Croatia: A Case Presentation and Literature Review.","authors":"Igor Čvrljević, Marko Tarle, Ivica Lukšić","doi":"10.15644/asc59/1/8","DOIUrl":"https://doi.org/10.15644/asc59/1/8","url":null,"abstract":"<p><strong>Background: </strong>Mandibular fractures, particularly condylar process fractures, are common in maxillofacial surgery and require effective treatment methods that minimize complications while ensuring functional and esthetic recovery.</p><p><strong>Objectives: </strong>This paper presents two cases of mandibular condylar process fractures treated using a transoral endoscopically assisted technique (EATA), thus marking the first documented application of this approach in Croatia. The aim was to evaluate the efficacy of this minimally invasive method compared to traditional extraoral approaches, which often carry risks such as visible scarring, facial nerve injury, and prolonged postoperative recovery.</p><p><strong>Methods: </strong>A 30° rigid endoscope and specialized angled instruments were utilized in both cases to achieve precise visualization, reduction, and fixation of the fractures. The first case involved a young male with a double mandibular fracture, while the second case addressed an isolated condylar fracture in an older female with comorbidities.</p><p><strong>Results: </strong>Both patients were successfully treated without complications, including facial nerve injury, hematomas, or salivary fistulas. Hospitalization periods were shorter compared to traditional approaches, and recovery included restored temporomandibular joint function (TMJ), stable occlusion, and the absence of visible scars. The EATA method proved to be safe and effective, offering numerous advantages such as reduced morbidity, minimal soft tissue trauma, and superior aesthetic outcomes. Despite requiring specialized equipment and additional surgical training, EATA has significant potential to become a standard treatment modality for mandibular fractures.</p><p><strong>Conclusion: </strong>The findings of this study contribute to the growing body of evidence supporting the clinical benefits of this minimally invasive technique.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"59 1","pages":"79-90"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Apical Irrigant Extrusion Using Two Er: YAG Laser Irrigation Modes with Three Types of Laser Tips.","authors":"Damir Šnjarić, Jelena Vidas Hrstić, Ivana Brekalo Pršo, Roeland De Moor, Ivona Bago","doi":"10.15644/asc59/1/3","DOIUrl":"https://doi.org/10.15644/asc59/1/3","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the amounts of apically extruded 3% sodium hypochlorite using two modes of Er:YAG laser-activated irrigation (LAI), super short pulse (SSP) and shock wave enhanced emission photoacoustic streaming (SWEEPS®) by combining three types of laser tips (FT) and conventional syringe needle irrigation (SNI).</p><p><strong>Methods: </strong>Twenty extracted human maxillary central incisors were prepared using Reciproc® instruments (size 40, taper 0.06). The irrigant volumetric flow (IVF) was accurately standardized using a precision syringe pump with constant irrigant delivery through the 27G needle. The tested irrigation protocols (60 s) were groups 1: 27-G SNI with 0.05 ml/s constant IVF; group 2: SSP (10 mJ, 15 Hz, pulse duration 50 μs) + Radial SWEEPS FT; group 3: SSP + photon-induced photoacoustic streaming (PIPS) FT; group 4: SSP+SWEEPS FT; group 5: AutoSWEEPS (20 mJ, 15 Hz, pulse duration 25 µs) + Radial SWEEPS FT; group 6: AutoSWEEPS+PIPS FT; group 7: AutoSWEEPS+SWEEPS FT. Each protocol was evaluated in 10 repetitions each. Apically extruded irrigant was collected, and net weighted.</p><p><strong>Results: </strong>There were significantly lower amounts of extruded irrigant with SNI and SSP using radial SWEEPS and PIPS FTs compared to the other tested laser protocols (p<0.05). In the AutoSWEEPS groups, all three FTs had similar amounts of extruded irrigant (p>0.05).</p><p><strong>Conclusion: </strong>In straight root canals, the use of various fiber FTs in the AutoSWEEPS mode exhibited a higher potential for irrigant extrusion.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"59 1","pages":"26-35"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of Zagreb 82 MOD Cephalometric Assessment in Determining the Facial Growth Pattern.","authors":"Ivana Parčina Amižić, Luka Šimunović, Marina Lapter Varga","doi":"10.15644/asc59/1/4","DOIUrl":"https://doi.org/10.15644/asc59/1/4","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to investigate accuracy and reliability of the existing cephalometric analysis Zagreb82 MOD in determining the facial growth pattern.</p><p><strong>Materials and methods: </strong>Of all patients aged 10-17 years without missing teeth, craniofacial anomalies and previous orthodontic medical history, who were attending Department of Orthodontics, University Hospital Centre Zagreb in years 2021 and 2022, lateral cephalograms were examined. Subsequently, subjects were collected and divided into two groups: eugnathic group (N=50, SNA 81°±3.5°, SNB 78.5°±3°, ANB 2.5°±2°, Wits -1±2mm, Angle class. I, overbite 1-3.5mm, overjet 1-3.5mm, dystopia<3mm, total crowding<3mm, total diastemas<3mm) and test group (N=129, overbite>4mm for deep bite and overbite<-0.1mm for open bite). In the eugnathic group, reference values were calculated for ten skeletal parameters and a corrected analysis was created. In the test group, facial growth patterns (horizontal, neutral or vertical) were determined, within the corrected and Zagreb82 MOD analysis. The T-test was used to examine the differences between the corrected and the Zagreb82 MOD analysis. The McNemar test was performed to compare the distribution of facial growth patterns between the tested parameters within and between analyses.</p><p><strong>Results: </strong>Differences were observed in the reference values of saddle angle, Y-axis, articular angle, mandibular angle, Björk's Sum and upper section of mandibular angle (p<.05). The distribution of facial growth patterns according to Y-axis, intermaxillary angle, mandibular angle, Bjork's Sum also differed between the two analyzes (p<.001). In the corrected values analysis, there was no significant difference in the distribution of facial growth patterns between Björk's Sum, mandibular inclination, and intermaxillary angle (p>.05).</p><p><strong>Conclusion: </strong>The reliability of Zagreb82 MOD analysis in defining facial growth pattern should be taken with caution. Björk's Sum, intermaxillary angle and inclination of mandible are equitable parameters in determining the facial growth pattern within the corrected analysis.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"59 1","pages":"36-43"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Articular Eminence Inclination between Croatian and American Skulls.","authors":"Josip Kranjčić, Josip Vukšić, Andreja Carek, Mario Šlaus, David Hunt, Denis Vojvodić","doi":"10.15644/asc59/1/7","DOIUrl":"https://doi.org/10.15644/asc59/1/7","url":null,"abstract":"<p><strong>Objectives: </strong>To determine and compare articular eminence inclination (AEI) values between Croatian and American skulls.</p><p><strong>Materials and methods: </strong>The study was carried out on 210 human dry skulls divided into Croatian (early medieval, late medieval and contemporary), and American (Illinois, Kentucky, contemporary African Americans and American Caucasians) groups. AEI was measured by two methods (M1 and M2) on 5 sagittal sections through virtual silicone impressions of articular eminence. The obtained results were analyzed at the significance level of p<0.05.</p><p><strong>Results: </strong>No statistically significant differences of AEI values were obtained with regard to the group of skulls, body side, sex and age (p>0.05). AEI M2 values were statistically significantly higher than AEI M1 values (p<0.05).</p><p><strong>Conclusions: </strong>Comparing the AEI values between different group of skulls can reveal insights into TMJ morphology, and can also shed light on possible evolutionary adaptations, dietary influences, and genetic diversity across cultures. According to the results of this study, AEI values were not affected by group of skulls, body side, sex and age or at least not as much as needed for significant changes. However, a measurement method significantly influences AEI values, with higher AEI M2 values compared to AEI M1 values.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"59 1","pages":"68-78"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing a Standard Transverse Maxillary Dimension on Study Casts Using the Intermolar-to-Intercanine Width Ratio: A Pan-India Study.","authors":"Alka Banker, Dolly Patel, Wasundhara Bhad, Sarala Manjappa Laxmikanth, Priyanka Kapoor, Aman Chowdhry, Jayasankar Purushothaman Pillai","doi":"10.15644/asc58/4/2","DOIUrl":"10.15644/asc58/4/2","url":null,"abstract":"<p><strong>Background: </strong>Evaluation of maxillary width holds significant clinical importance in identifying developmental abnormalities, aiding in orthodontic diagnosis and treatment planning, providing ethnicity-specific data, and supporting forensic applications. Still, research on maxillary growth in transverse dimension is limited due to a lack of standardized diagnostic criteria and methods for defining normalcy. Addressing these gaps, this study aimed to establish a standard transverse maxillary dimension using the intermolar (IMW)-to-intercanine (ICW) width ratio determined on a large, homogeneous sample of dental Class I well-aligned arches with Little's irregularity index 1 or 2 across India.</p><p><strong>Methods: </strong>A pan-India, cross-sectional, model-based study of 1575 maxillary arch models with normal occlusion was conducted to define the transverse dimension of the maxillary arch. The IMW and the ICW linear dimensions and their ratio were measured and statistically analyzed. These parameters were also compared for sex-based differences.</p><p><strong>Results: </strong>The results revealed a mean IMW and ICW of 36.87mm and 35.44 mm, respectively. The mean ratio of IMW to ICW was 1.04. Sexual differentiation revealed a significantly higher mean values of IMW (37.54) and ICW (36.10) in males compared to females for IMW (35.84) and ICW (34.92), respectively, at p=0.000.</p><p><strong>Conclusion: </strong>In normal and well-aligned dentition, the ratio between IMW and ICW in the transverse dimension is 1.04:1. It provides a clinically easy visual evaluation chairside method to identify normal arches, even without radiographs. This norm can be further explored in diverse ethnic populations and explored for applications in orthodontic diagnosis and treatment planning, forensic odontology, and anthropological studies.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 4","pages":"329-338"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opioid Prescribing Trends by Croatian Dentists - Is there a Reason for Concern?","authors":"Lara Vranić, Krešimir Bašić, Ivana Šutej","doi":"10.15644/asc58/4/6","DOIUrl":"10.15644/asc58/4/6","url":null,"abstract":"<p><strong>Objective: </strong>Prescription opioid abuse, associated with numerous opioids, is a well-established public health problem in developed countries such as the UK, US and Australia. Opioids have a limited role in general dental practice; hence the aim of this study was to assess prescribing rates of opioids in dentistry from 2013 to 2023 in Croatia.</p><p><strong>Materials and methods: </strong>Data on opioid prescribing practices for this study were provided by the Croatian Health Insurance Fund. The analysis included the number of prescriptions, cost, and the number of packages prescribed.</p><p><strong>Results: </strong>Over the 11 years, dentists in Croatia have prescribed a total of 9132 opioid prescriptions, representing annually on average 1,1% of all analgesic prescriptions, and 0,2% of all dental prescriptions. The number of opioid prescriptions per 1,000 dental patients was on average 0, 19. Tramadol/paracetamol and tramadol were the most prescribed opioids, with average annual number of prescriptions amounting to 622, 7 (64% of opioids prescriptions) and 114, 5 (1, 1% of analgesic prescriptions), respectively. Trends in opioid prescription varied, especially during pandemic years (2020-2022), when tramadol rates decreased while fixed combination medications tramadol/paracetamol and tramadol/dexketoprofen increased. But an overall increasing trend was observed during that period.</p><p><strong>Conclusion: </strong>Dentists in Croatia are restrictive and conservative in prescribing opioids, and there is no need for intervention, but because of increasing trends, observing the prescribing pattern in the future is highly recommended.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 4","pages":"373-381"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}