List of Articles by MeSH

ALVEOLAR BONE LOSS

NOTES:

*Articles are cited according to Uniform Requirements by International Committee of Medical Journal Editors - ICMJE and NLM Style Guide for Authors, Editors and Publishers

Kovač Z, Ćabov T, Uhač I, Šimunović-Šoškić M, Muhvić-Urek M, Kocijan W. Implantoprosthetic Rehabilitation of a Patient On Anticoagulation Therapy. Acta Stomatol Croat. 2008;42(1):109-10.

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Bubalo V. Lower Partial Denture Retention by Means of Dental Implants. Acta Stomatol Croat. 2008;42(1):108.

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Božić D, Sever L, Plančak D. Successful Regenerative Therapy of a Periimplant Defect: One Year Result. Acta Stomatol Croat. 2008;42(1):104.

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Title in English:	Successful Regenerative Therapy of a Periimplant Defect: One Year Result
Title in Croatian:	Uspješna regenerativna terapija periimplantatnog defekta: rezultat nakon jedne godine
Type of Article:	congress abstract
MeSH:	DENTAL IMPLANTATION, ENDOSSEOUS ALVEOLAR BONE LOSS TRANSPLANTATION, AUTOLOGOUS BONE SUBSTITUTES
Abstract:	Two implants were inserted in patient’s region 24 and 25. After six months of healing, before implant uncovering, a fistula was observed above implant 24. Radiographic imaging showed great bone loss around the implant, and the reason for the infection was vertical fracture of tooth 23. It was decided to be treated by a regenerative procedure. After applying local anesthetic the incision was performed vertically 10 mm behind the implant 25 and 5-6 mm palatally from the alveolar crest, finishing with the vertical incision mesially from 23. After flap reflection tooth 23 was extracted and granulation tissue was removed so that the 5 mm depth circumferential defect could be displayed. Palatally, the defect was 3 mm vertically. After implant surface was cleansed with cotton pellet soaked in chlorhexidine, implant surface was covered with autogenous bone, and over it xenogenous material (Biogen-mix, Bioteck, Italy) was placed in a manner that the volume of the transplanted material was 30 % greater than the alveolar crest to compensate for the material resorption. A collagen membrane was placed in two layers over the material (Bio-Gide® - Geistlich Biomaterials, Switzerland). After a periostal incision and repositioning the flap, it was sutured by horizontal mattress and interrupted sutures. Two weeks after operation the sutures were removed, and there was no membrane exposure during the healing period. Six months postoperatively a control radiograph showed healing of the periimplant defect. The implants were uncovered and in 6 weeks the impression was taken and zirconia crowns were cemented. One year after functional loading radiographs showed stable regenerated bone around the implant.

Gorjanc M. Guided Implant Surgery in Cleft Lip and Palate (CLP) Patient: a Promising Way in Overcoming Morphologic Problems in Implantology. Acta Stomatol Croat. 2008;42(1):102.

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Title in English:	Guided Implant Surgery in Cleft Lip and Palate (CLP) Patient: a Promising Way in Overcoming Morphologic Problems in Implantology
Title in Croatian:	Navođena implantacija kod pacijenta s rascjepom usnice i nepca (CLP): obećavajući način svladavanja morfoloških problema u dentalnoj implantologiji
Type of Article:	congress abstract
MeSH:	DENTAL IMPLANTATION, ENDOSSEOUS CLEF LIP CLEF PALATE TRANSPLANTATION, AUTOLOGOUS BONE SUBSTITUTES ALVEOLAR BONE LOSS
Abstract:	Bilateral cleft lip and palate is a congenital malformation characterized by morphologic changes and deficiencies of soft and hard tissues in oral and maxillofacial region. Surgical correction usually takes place in childhood, but some problems can show up later. Beside the essential hypodontia in the cleft region, tooth loss due to other etiologic factors can contribute to edentoulism in adult patients. We present a case of 52-years old male patient with bilateral CLP. After surgical correction in the childhood, patient led a normal life with compensated function of the stomatognathic system. Problems arised, when he lost his last four maxillary teeth that supported his denture. Due to particular morphology of the ridges, removable prosthetic solution was only partly satisfying his needs. After consultation with the prosthodontist, we decided for implant supported solution. Preliminary dental CT showed atrophic bony ridges that excluded the possibility of orthotopic implant placement. As the patients resources were limited and extensive sinus lifts were out of his range, we decided for a compromise: autologous retromolar bone graft to the left premolar region, where we were facing the least bone quantity, was performed first. The gained bone volume was established on an additional dental CT and computer aided planning, was performed for placement of four maxillary implants. Planning culminated in fabrication of mucosa supported surgical guide (Simplant, Materialise) and was followed by successful placement of the implants. We conclude that computer aided planning and guided implant surgery make the extreme surgical precision possible and predictable. This is of utmost importance in situations with scarce bone quantity, where every millimeter of residual bone can be a landmark between failure and success.

Perić B, Ćabov T, Filipović-Zore I, Biočić J. Reconstruction of Atrophic Maxilla in Implantoprosthetic Rehabilitation. Acta Stomatol Croat. 2008;42(1):99.

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Cerović R, Juretić M, Ćabov T, Belušić-Gobić M. Alveolar Augmentation by Autotransplanted Bone. Acta Stomatol Croat. 2008;42(1):99.

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Brajdić D, Macan D. Alveolar Bone Reconstruction for Implant Placement in Anterior Maxilla. Acta Stomatol Croat. 2008;42(1):99-100.

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Title in English:	Alveolar Bone Reconstruction for Implant Placement in Anterior Maxilla
Title in Croatian:	Rekonstrukcija dijela alveolarnog grebena za postavu dentalnih implantata u prednjoj maksili
Type of Article:	congress abstract
MeSH:	DENTAL IMPLANTATION, ENDOSSEOUS DENTAL IMPLANTS MAXILLA ALVEOLAR BONE LOSS TRANSPLANTATION, AUTOLOGOUS BONE REGENERATION
Abstract:	Reconstruction of demanding areas represent a particular clinical challenge in implant dentistry. These are mostly atrophic regions with sinus recesses, as well as the region close to the nasal cavity in the anterior part of the maxilla. In mandible, the vertical atrophy laterally leads to the inability to place implants to the proximity of the alveolar nerve in one procedure. Horizontal atrophy can cause inability to place implants, even when the vertical dimension is satisfactory. A combination of these findings is especially demanding in the anterior parts of maxilla, due to the functional and esthetic requirements of prosthetic reconstructions. We show three cases of extreme resorption in anterior maxilla, where one teeth was missing. First is a case of horizontal resorption with two cortical plates joined together and the crest width of 3 mm. By expanding the crest we were able to place an implant (Ankylos®, Friadent, Germany) in the same procedure. Second case was extensive resorption of the vestibular socket wall, where we were able to regain bone by combining xenogene (Bio- Oss® - Geistlich Biomaterials, Switzerland) and autologous bone material and by covering it with a resorbable membrane (Bio-Gide® - Geistlich Biomaterials, Switzerland). After 4 months of healing an implant was placed in the regenerated bone (Ankylos), with satisfactory primary stability. Third case was a situation of extenstive horizontal and vertical resorption, similar to the first case. By using resorbable membrane on both sides of the defect and a mixture of xenogenous and autologous bone material, and a block transplant fixated with a screw, we obtained acceptable bakterijbone dimension for implant placement after 4 months of healing.

Žabarović D, Macan D, Vojvodić D. Telescopic Crowns as Retentive Elements of an Overdenture on Implants in the Edentoulous Mandible: Case Report. Acta Stomatol Croat. 2008;42(1):98.

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Gorjanc J, Gorjanc M. Immediate Versus Late Restoration With Conical Crowns on Implants in Edentulous Mandible. Acta Stomatol Croat. 2008;42(1):98.

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Title in English:	Immediate Versus Late Restoration With Conical Crowns on Implants in Edentulous Mandible
Title in Croatian:	Imedijatna nasuprot kasnoj opskrbi koničnim krunicama na implantatima u bezuboj donjoj čeljusti
Type of Article:	congress abstract
MeSH:	DENTAL IMPLANTATION, ENDOSSEOUS DENTAL IMPLANTS MANDIBLE ALVEOLAR BONE LOSS JAW, EDENTULOUS
Abstract:	The conical crown was introduced more than twenty years ago, as a development of the well-known telescopic crown. It can be a very useful solution for immediate implant retained prosthodontic rehabilitation in the mandible. It is one of the standard treatment concepts that offers immediate stabilization of pre-existing denture and is regarded far from experimental today. It enhances comfort to the patient and reduces the number of surgical steps. Although more and more patients ask for an accelerated implant treatment, sometimes additional costs or presumed safety hazards can discourage them. In such situations, late restoration is also viable option. In the last two years, we have been treating 8 patients (5 male, 3 female) with complete mandibular edentoulism by placing four interforaminal implants. In 5 patients, immediate restoration on prefabricated conical crowns was delivered by the use of preexisting dentures that were replaced by a new, metal reinforced denture 3 months later. In 3 patients implants have been loaded 3 months after implantation, after a period of submerged healing. Both groups were similar regarding bone quality, implant length and width, age of the patient, but immediately placement of implants was more common in immediate loading group. The implant success and survival rate was the same in both groups (100%). No postoperative discomfort was reported by patients with immediate loading and bone resorption rate did not differ between the groups. With this retrospective study, we have proved same results with immediate and late loading of implants that supported mandibular dentures on conical crowns. It seems that such a solution splints the implants in the healing period perfectly and it does not interfere with oral hygiene. We believe that such a way of immediate loading can be recommended without limited safety for the patient.

Lorenzoni M. Bone Substitutes: Success and Challenges. Acta Stomatol Croat. 2008;42(1):95.

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Krenkel C. Bony Reconstruction and Implantology for Full Rehabilitation of the Masticatory Apparatus. Acta Stomatol Croat. 2008;42(1):94.

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Title in English:	Bony Reconstruction and Implantology for Full Rehabilitation of the Masticatory Apparatus
Title in Croatian:	Koštana rekonstrukcija i implantologija u potpunoj rehabilitaciji žvačnog sustava
Type of Article:	congress abstract
MeSH:	DENTAL IMPLANTATION, ENDOSSEOUS ALVEOLAR BONE LOSS TRANSPLANTATION, AUTOLOGOUS BONE SUBSTITUTES ALVEOLAR RIDGE AUGMENTATION
Abstract:	The introduction of implant-prosthetic rehabilitation of our patients in everyday dental practice has notably improved the quality of living. Such procedures can successfully resolve many functional and esthetic problems; however, some difficult cases, which require long-term and extensive intervention, still remain. First and foremost being severe jaw atrophy, where the alveolar process is no longer present. Such conditions are more frequent in the lower jaw where the stability and retention of lower complete dentures represent a leading problem in dentistry. The main cause of severe atrophies is early tooth loss, which was not prosthetically substituted. In such patients it is necessary to increase the mass of and build up the jawbone (augmentation). In those cases artificial bone is used (inorganic parts of animal bones or synthetic materials) or even bone autotransplantation. Autologus bone has shown to be successful, but it requires the opening of yet another operative field in the lower jaw (chin, retromolar area), crista iliaca or parietal bone (calvaria graft). Sometimes, depending on indications, simultaneous implant setting is performed. In more difficult cases, it is necessary to first increase the bone mass, wait 4 to 6 weeks for the integration of the autologus bone and only then perform the implantation. After the implant is fixated with small screws, we must carefully fixate the periosteal layer with resorbing sutures to ensure the operative field is covered with a double layer. The patients should not wear dentures during this time.In the lateral segment of the upper jaw, sinus lifting is performed in cases with severe atrophies and alveolar resorption of the maxillary sinus. At times simultaneously with implantation, where as in more difficult cases only sinus lifting is performed and implantation follows 4 to 6 months after.Nowadays, severe atrophies of the lower jaw (classes 5 and 6 according to Watzek) are solved with bone endo-distraction. For that purpose, special instruments were constructed and hollow implants (distractors) which after osteotomy of the lower jaw, are embedded in the osteotomised section of the lower jaw. We use one or two distractors. Gradually turning the distraction screw which passes through the hollow implant, we way we stimulate callus formation or bone growth between the described sections. With the described procedure, we can noticeably increase and heighten the front of the lower jaw. We often insert 4 implants after 3 to 4 months and make a prosthetic suprastructure with an extended bar onto which the cover denture is attached. Thus, good functional and esthetic results are achieved. In the described procedure, so far there has not been any secondary implant loss or development of periimplantitis.

Ivić-Kardum M, Živko-Babić J, Tomljenović A. The Effect of Anticorrosive Chemical Factors on Periodontal Health. Acta Stomatol Croat. 2007;41(3):241-50.

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Title in English:	The Effect of Anticorrosive Chemical Factors on Periodontal Health
Title in Croatian:	Utjecaj antikorozivnih kemijskih čimbenika na zdravlje parodonta
Type of Article:	preliminary report
MeSH:	PERIODONTITIS ALVEOLAR BONE LOSS SPECIALTY USES OF CHEMICALS DENTAL PLAQUE
Abstract:	The object/purpose of this investigation was to examine the condition of the periodontium in employees working in the Chemistry Department of the Shipyard in Rijeka. Thirty-four employees participated in the examination, aged 25 to 55 years, the majority of which work in direct contact with chemicals. The control group consisted of 90 examinees/subjects of the same age, not employed in the Chemistry Department of the Shipyard. The presence of periodontal changes in the examinees were based on a finding of gingival bleeding, dental plaque and tartar, probing depth of 3 mm and more and loss of attachment. Non-parametric Mann-Whitney U test was used for comparison of two independent groups, the examinees and a control group. The results of the examination showed inflammatory gingival changes in 85% of the employees. In the examined group the greatest probing depth of periodontal pockets was in the lower central incisors, 3.06 ± 1.51 mm and 3.09 ± 1.58 mm, which was statistically significantly different in relation to the control group (p < 0.001). The greatest loss of attachment in the examined group was also in the lower central incisors, and amounted to 3.56 ± 2.67 mm and 3.53 ± 2.62, which differed significantly from the findings in examinees in the control group (p < 0.001). On the basis of the findings of inflammatory changes in the periodontium and the presence of probing depth and loss of attachment, indicating chronic periodontitis in the majority of examinees compared to the control group, it can be said that the specific environment has a negative effect on the periodontal condition of employees in the Chemistry Department of the Shipyard, which requires regular control of the periodontal condition of these employees.

Krmpotić M. Medical and Financial Aspects of Surgical-Prosthetic Therapy of the Atrophic Mandible-Vestibuloplastics vs. Implantology. Acta Stomatol Croat. 2004;38(4):281.

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Knezović-Zlatarić D, Čelebić A, Brujić S. Alveolar Bone Loss on Abutment and Non-Abutment Teeth as Related to Removable Partial Denture Wearing. A Six Month Follow up Study. Acta Stomatol Croat. 2003;37(2):179-88.

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Title in English:	Alveolar Bone Loss on Abutment and Non-Abutment Teeth as Related to Removable Partial Denture Wearing. A Six Month Follow up Study
Title in Croatian:	Gubitak alveolarne kosti na zubima nosačima i nenosačima u nositelja djelomičnih proteza. šestomjesečno istraživanje
Type of Article:	original scientific paper
MeSH:	ALVEOLAR BONE LOSS DENTAL ABUTMENTS DENTURE, PARTIAL, REMOVABLE DENTAL PLAQUE INDEX
Abstract:	Loss of interdental alveolar bony septum can be determined directly from a radiograph as the relation between the length of the interdental bony crest of the alveolus to the tooth apex and the distance from the cemento-enamel junction of the tooth to the tooth apex. The aim of this study was to measure the height of the interdental alveolar bone around the abutment and non-abutment teeth in removable partial denture wearers (RPD) on dental panoramic radiographs (DPR) over a period of six months. Twenty RPD patients (5 male, 15 female) participated in the study. The alveolar bone loss measurement was performed on DPRs, using Schei index, on each mandibular abutment and nonabutment tooth on its mesial and distal side, after the RPD delivery and six months later. Recordings of plaque index (PlI) were made at the mid-buccal, mid-palatal, mesio- and disto-palatal surfaces of all abutment and non-abutment teeth in the mandible after the RPD delivery and six months later. The results revealed a decrease in Schei index values, on both abutment and non-abutment teeth, which reached a statistically significant level for distal Schei index values of the abutment teeth and mesial and distal Schei index values of the non abutment teeth (p<0.05) in the 6 month period. There was no statistically significant difference in PlI values between the first and the second measurement (p>0.05). We concluded that the decrease in bone support on both abutment and non-abutment teeth was attributed to the high levels of PlI and probable low level of oral hygiene than to the RPD loading.

Krmpotić I. Functional and aesthetic rehabilitation of patients with oncologic defects of lower oral cavity.Part one:Preprosthetic surgery. Acta Stomatol Croat. 1994;28(3):171-5.

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