List of Articles by Author

NOTES:

*This author has been accepted with these names:

Božić, Darko
Božić, D

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

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.

Božić D, Plančak D, Jelušić D. Therapy of Advanced Periimplantitis - Case Presentation Clinical and Microbial Results after 10 Months. Acta Stomatol Croat. 2005;39(3):268-9.

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Title in English:	Therapy of Advanced Periimplantitis - Case Presentation Clinical and Microbial Results after 10 Months
Title in Croatian:	Terapija uznapredovala periimplantitisa - prikaz slučaja. Klinički i mikrobiološki rezultati nakon 10 mjeseci.
Type of Article:	congress abstract
MeSH:	DENTAL IMPLANTATION + adverse effects
Abstract:	With the ever increasing number of placed implants it is inevitable that the number of complications connected with such therapeutic procedure will also increase. One of the complications which is hardest to treat and which consequently can lead to loss of the implant, is bacterial caused periimplantitis. This case presentation describes the successful therapy of advanced periimplantitis. The male patient, aged 58 years, was referred to the periodontist because of problems in the oral cavity in the form of unpleasant breath and suppuration around the tooth and implant. During the periodontal examination it was observed that both implants on places 22 and 25 were affected by periimplantic mucositis and bleeding and suppuration occurred during probing. With regard to the implant in area 25 the problem of complete loss of keratinised gingiva was also present. On the basis of the clinical and X-ray findings, and positive microbial test for periodontopathogens, periimplantitis was diagnosed around both implants. Initial periodontological therapy was carried out in four visits. The patient received instructions on the maintenance of oral hygiene and antiseptic therapy was included, rinsing with chlorhexidine and application of chlorhexidine gel directly into the pockets around the implants. As after this therapy the suppuration did not stop antibiotic therapy was included, with rinsing of the pockets with iodine. After successful control of the infective process, further therapy involved a periodontological surgical operation in order to correct the loss of keratinised gingiva around implant 25 and to obtain new attachment. After lifting the flap the surface of the implant was cleaned with sterile cotton wool soaked in chlorhexidine, and from the palate a connective transplant was taken and placed on the bone and the exposed thread of the implant. Gengigel (hyaluronic acid) was placed over the transplant for better healing of the wound. Five months after the operation microbial analysis was repeated. Periodontal pathogens were no longer present and clinical measurements showed reduced probing depth, absence of bleeding and suppuration, and the occurrence of zones of keratinised gingiva of 2 mm around implant 25.

Plančak D, Božić D, Jelušić D. Radiographic and Prosthetic Assessment Prior to Implantoprosthetic Therapy. Acta Stomatol Croat. 2005;39(3):254-5.

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Title in English:	Radiographic and Prosthetic Assessment Prior to Implantoprosthetic Therapy
Title in Croatian:	Radiološka i protetička procjena prije implantoprotetičke terapije
Type of Article:	congress abstract
MeSH:	DENTAL IMPLANTATION
Abstract:	One of the fundamental pre-conditions for successful therapy by osseo-integrating implants is good pre-surgical planning. The aim of this work is to present the possibilities of radiographic and prosthetic evaluation prior to surgical treatment in the case of partial edentulousness.in the distal part of the mandibula. Diagnostic wax-up is done on a model of the jaw. After which a pattern is made of vacuum thermoplastic foil. Metal pellets of known diameter are placed in the positions of the waxed-up teeth to enable radiographic evaluation of the possibility of implantation in the planned positions. Classical orthopantomography is performed on the basis of which a multi-layer tomogram is done with exact cross-sections of the mandibula in the positions of future implants. On the basis of radiographic findings the position and length of the implants are determined. The classical two-phase surgical protocol is described and surgical technique with intraoral pre-prosthetic patterns. Astratech microthread implants of conical profile are used to ensure that the implant diameter is as close as possible to the diameter of the future tooth. The length of an implant is determined in accordance with the cited radiographic analysis, so that the implant in position 35 is shorter in relation to implants 34 and 37, due to the anatomic position of the foramen mentale. During surgical positioning of implants, apart from the position which is defined by the pattern, in the vertical direction the implants are positioned in accordance with the biological width of the mucous membrane and finally with periodontal aesthetic requirements. The results show the success of the therapy following good planning and preparation. The advantage is shown of multi-layer tomography in planning and determining the anatomical-morphological characteristics of the lower jaw, which provides assurance in the choice of length and particularly the width of the implant. Pre-surgical planning is a procedure by which it is possible to foresee the position of an implant and aesthetics of future prosthetic work, and thus to facilitate the surgical intervention.

Šutej I, Plančak D, Božić D, Jorgić-Srdjak K, Bošnjak A. Influence of Smoking on the Periodontal Status of Adolescents. Acta Stomatol Croat. 2003;37(3):380-1.

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Title in English:	Influence of Smoking on the Periodontal Status of Adolescents
Title in Croatian:	Utjecaj pušenja na parodontalni status adolescenata
Type of Article:	congress abstract
MeSH:	PERIODONTAL DISEASES + etiology SMOKING + adverse effects
Abstract:	Different studies have proven that smoking is one of the most important risk factors for the occurrence, progression and successual therapy of periodontal disease. However, only few studies have been conducted to prove the influence of smoking in a younger population. As we know that the severity of periodontal disease is directlyassociated with the amount of daily smoked cigarettes and also with the duration of smoking, it is important to find out when the first signs of negative influence appear so that we can act appropriately.The aim of this study was to determine if the periodontal status of smokers and non-smokers has differences, and to establish the influence of smoking habits on loss of attachment.The study was conducted on 517 highschool students. For each examinee data was taken concerning their age, place of residence, social status, smokinghabits, smoking habits of their parents, oral hygiene habits and attendance to a dentist. The periodontal status was measured by the CPI and LA indices. Among the examines 34.6% were regular smokers. Students who are now 16 started to smoke when they were 14, but students who are now 14 and 15 started at age of 12. Children whose parents smoke had a two-fold increase of becoming smokers themselves, compared to children whose parents didnot smoke. Bleeding was more frequent in non-smokers (4.61), than in smokers (4.19) (p=0,001). Smokers had significantly more sextants with calculus (1.47) than nonsmokers (0.88) (p<0,001). Loss of attachment was significantly greater in smokers (1.68) than in non-smokers (1.59) (p<0.001). The amount of smoked cigarettes had a great influence on loss of attachment. The annual loss of attachment in regular and intensive smokers measured 0.07 mm. Oral hygiene habits did not differ between smokers and non-smokers, but students with poor oral hygiene habits had greater attachment loss. Smoking has an influence on periodontal health evenin this young age population, therefore it is necessary to inform young smokers about the negative cosequencese that smoking has.

Grgurević J, Sokler K, Sandev S, Kuna T, Ivasović Z, Božić D. Comparison of the Bond Strengths of Zinc Phosphate, Glass-Ionomer, and Compomere Cement for Dowel Cementation. Acta Stomatol Croat. 2002;36(2):179-89.

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Grgurević J, Sokler K, Sandev S, Božić D, Srzentić I, Jovanović N. The Effect of Root Canal Preparation Depth on Retention of Endodontic Dowels. Acta Stomatol Croat. 2001;35(4):459-68.

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