List of Articles by Author
- Ćelić R, Dulčić N, Pandurić J. Occlusal Schemes for Implant Supported Reconstructions. Acta Stomatol Croat. 2008;42(1):107-8.
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| Title in English: |
Occlusal Schemes for Implant Supported Reconstructions |
| Title in Croatian: |
Okluzijske sheme za protetske radove nošene implantatima |
| Type of Article: |
congress abstract |
| MeSH: |
DENTAL IMPLANTATION, ENDOSSEOUS DENTAL OCCLUSION BITE FORCE BIOMECHANICS |
| Abstract: |
The aim of prosthetic therapy is to create an illusion of natural health, to establish the physiology and esthetics of the masticatory system and psychological calamity and security of the patient. These goals should always be in focus. Each dentist that uses implant treatment must pose a question whether implant placement is the best treatment choice, or could the situation be resolved with conventional means. Dental implants and implant-borne prosthetics are today accepted as long-term predictable prosthetic-restaurative solution with advantages and disadvantages on scientific and professional levels. Implant-borne prosthetics represent a challenge since a clinician has a possibility to decide on the size and shape of the occlusal surface (scheme); to decide on the number, position, size and orientation of the implants; to modify the quantity and architecture of the bone. Two main etiological reasons that lead to implant failure are bacterial infection and local biomechanical factors that are correlated to implant overload. The role of the occlusion is, therefore, of great importance for different types of prosthetic constructions, especially since it is often disregarded in the clinical work. Natural teeth have periodontal proprioceptors that protect the teeth and their periodontia from the overload that causes trauma of the supporting bone. Although there are many factors included in neuromuscular activities in the natural dentition, there are no specific defense mechanisms to occlusal forces in implant-supported occlusion. Therefore, a poor occlusal scheme on dental implants can lead to failures, but when known prosthetic postulates are used, implants serve with high success rates. The aim of this presentation was to review the occlusal concepts (bilateral, unilateral, canine guidance and “implant occlusion”) that can be used in different prosthetic reconstructions on implants (from single tooth replacement to complete oral rehabilitation). The accent was on biomechanical postulates of the occlusion that are complementing the systematic, individualized treatment plan and precise surgical procedures. |
- Ćelić R, Jerolimov V, Pandurić J, Haban V. Depression and Somatization in Patients with Temporomandibular Disorders. Acta Stomatol Croat. 2006;40(1):35-45.
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| Title in English: |
Depression and Somatization in Patients with Temporomandibular Disorders |
| Title in Croatian: |
Depresija i somatizacija u pacijenata s temporomandibularnim poremećajima |
| Type of Article: |
original scientific paper |
| MeSH: |
TEMPOROMANDIBULAR JOINT DISORDERS + therapy DEPRESSION SOMATOFORM DISORDERS |
| Abstract: |
Studies have indicated that patients with TMD demonstrate increased somatization, stress, anxiety, depression.A consistent relationship has been demonstrated among anxiety, general somatic complaints, and TMD-related pain. The aims of this study were to determine the differences in depression and somatization scores in patients in different RDC/TMD axis I diagnostic groups and to investigate the role of psychological factors (depression and somatization) in TMD. One hundred fifty- four patients (37 male and 117 female; mean age, 39.0 ± 14.5 years) with RDC/ TMD-defined clinical TMD were selected. Patients were subsequently classified into 7 groups based on the presence of the various RDC/TMD axis I diagnostic groups. Differences in mean SCL-90 depression and somatization scores between the diagnostic groups were compared by one-way analysis of variance and Scheffé post hoc tests at a significance level of 0.05. The frequencies of the different diagnostic groups were as follows: group 1 (muscle disorders, MD), 35.7%; group 2 (disc displacement, DD), 18.2%; group 3 (arthralgia, arthritis, arthrosis, AAA), 7.8%; group 4 (MD+DD), 9.1%; group 5 (MD+AAA), 13.0%; group 6 (DD+AAA), 9.1%; group 7 (MD+DD+AAA), 7.1%. The majority of patients had one diagnosis (61.7%) while the remaining patients experienced two or more diagnoses (38.3%). About 19.5% of TMD clinical patients yielded severe depression scores, and 27.3% experienced severe levels of non-specific physical symptoms scores. Only 6 patients (21.4%) had high disability with moderate and severe limitations (psychosocially dysfunctional patients). Patients diagnosed with myofascial pain and arthralgia (group 5 and 7) had significantly higher levels of depression and somatization than patients diagnosed with only disc displacements (group 2). These data mandate that screening and treatment for depression and somatization should be an integral part of the evaluation and management of patients with TMD. |
- Hodžić E, Ćelić R, Nedoklan S, Komljenović D, Senzel S. Implantoprosthetic Treatment of Complete and Partial Edentulousness - Case Presentation. Acta Stomatol Croat. 2005;39(3):278-9.
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| Title in English: |
Implantoprosthetic Treatment of Complete and Partial Edentulousness - Case Presentation |
| Title in Croatian: |
Implantoprotetička opskrba potpune i djelomične bezubosti - prikaz slučaja |
| Type of Article: |
congress abstract |
| MeSH: |
DENTAL IMPLANTATION JAW, EDENTULOUS + therapy |
| Abstract: |
Today osseointegrated implants and prosthetic superstructures represent a form of standard care for patients in whom there is the loss of one or all teeth in both jaws. Slowly but surely prosthetic devices, supported by osseointegrated implants, have taken prevailed over the advantages of conventional prosthetic techniques of treatment of complete or partial edentulousness. Indications for prosthetic devices supported by osseointegrated implants are: a) edentulous patients, b) patients with prostheses who cannot, or refuse to, wear mobile prosthesis, c) patients with unilateral edentulousness where it is impos-sible to construct fixed bridges of longer span, d) patients with poor muscular coordination and low tissue tolerance (simple term for attachment gingiva in the lower jaw), e) patients with periofunctional habits which destabilise conventional prostheses, f) patients with marked reflex to vomiting, g) unsatisfactory number and position of natural teeth as possible abutments, and f) loss of one tooth in order to avoid grinding of adjacent intact teeth. Absolute contraindications for placement of implants are: a) patients radiated with high doses, b) patients with mental problems, c) haematological system disorders. Relative contraindications are: a) pathology of soft and hard oral tissues, b) the area of fresh extractive wounds, c) patients using drugs, alcohol or tobacco (smoking or chewing of tobacco). Initial information received from each patient must include medical and dental history, radiographic finding (orthopantomograph or CT), analysis of study models and photographs, or with the purpose of achieving optimal treatment plan. The patient must understand the plan of treatment and be motivated for such treatment, while the clinician during diagnostic and therapeutic procedures learns about the mental - physical condition of the patient and acquires his/her confidence. The object of this presentation was to show the clinical laboratory course of the insertion of implants and construction of prosthetic devices in clinical situations of complete and partial edentulousness. Emphasis is placed on prosthetic systems such as a combination of telescope crown and attachment (CEKA type attachment) and individually milled bars, which optimise retention and stabilisation of the prosthetic device with the object of obtaining maximal function, aesthetics and patient satisfaction. |
- Pandurić J, Ćelić R, Kobler P. Implantoprosthetic Therapy in the Lower Edenulous Jaw - Case Presentation. Acta Stomatol Croat. 2005;39(3):276-7.
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| Title in English: |
Implantoprosthetic Therapy in the Lower Edenulous Jaw - Case Presentation |
| Title in Croatian: |
Implantoprotetička terapija u donjoj bezuboj čeljusti - prikaz slučaja |
| Type of Article: |
congress abstract |
| MeSH: |
DENTAL IMPLANTATION JAW, EDENTULOUS + therapy |
| Abstract: |
Complete loss of teeth means interruption of the physiological, mental and aesthetic harmony of the stomatognathic system. Attempts are made by prosthetic therapy to compensate for the functional inability by complete prostheses. Apart from the renewal of the ability to masticate, natural appearance and normal speech, the intention is to retain for as long as possible the tissue of the stomatognathic system. At the same time to create biological and mental preconditions for maximal acceptance of full prostheses. A full prosthesis is a restoration and does not enable optimal function of all components. Whether the patient will accept the prosthesis depends on the possibilities and desire to adapt to the new situation. Success of therapy with full prostheses depends on the shape, appearance and resorption of the alveolar ridge, muscular action and their influence on the mucus membrane, which is in direct connection with the full prosthesis. In therapy with full prostheses, a lower full prosthesis represents a particular problem, which is a challenge for every prosthodontist. Fabrication of a lower full prosthesis greatly depends on morphological characteristics, which arise in the lower jaw with the loss of teeth. The basis of successful fabrication of a lower full prosthesis, apart from correct use of clinical-technological methods, is knowledge of the anatomy of the lower jaw and surrounding structures, their relationship to the base of the lower full prosthesis and the prosthesis itself. In conclusion, each form of therapy has its advantages and disadvantages. The advantages of the implant borne restoration, are clearly increased retention and stability, contact with the mucous membrane is not primary, and the anticipated stimulation of the bone is periimplantary. The disadvantages are the feasibility with regard to the mental state of the patients, position ion the mucous membrane (control of base stability and essential underlaying) and the strength and efficacy of mastication (is comparatively reduced). Clinical advice. Never work with “unknown” patients. Get to know the patient first through diagnostic protocol, assess his/her cooperation, acquaint yourself with indications and general medical, intraoral, time restricted and mentally conditioned contraindications, in order to successfully carry out implantoprosthetic therapy. |
- Ćelić R, Dworkin S, Jerolimov V, Maver-Biščanin M, Bago MJ. Prevalence of Temporomancibular Disorders Diagnosis and Psychologic Status in Croatian Patients. Acta Stomatol Croat. 2004;38(4):323-39.
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| Title in English: |
Prevalence of Temporomancibular Disorders Diagnosis and Psychologic Status in Croatian Patients |
| Title in Croatian: |
Pojavnost dijagnoza temporomandibularnih disfunkcija i psihološkog statusa u hrvatskih pacijenata. |
| Type of Article: |
original scientific paper |
| MeSH: |
TEMPOROMANDIBULAR JOINT DISORDERS + epidemiology |
| Abstract: |
The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) uses a dual axis system for diagnosing and classifying TMD patients. The objective of the study was to explore the prevalence of different types of TMD, psychologic distress, and psychosocial dysfunction in Croatian TMD patients and to compare data between Croatian and Swedish, American and Asian TMD patients. One hundred and fifty-four consecutive patients (117 female and 37 male) referred to the Department of Prosthodontics and Department of Oral Surgery, School of Dental Medicine in Zagreb, Croatia, were included in the study. The mean age of the Croatian population was 39 ± 14.5 years. Frequency distributions and descriptive statistics were obtained through the use of SPSS statistical programe (version 10), and chisquare statistical analyses were performed (P < 0.05) to evaluate gender differences. Group I (muscle) disorder was found in 64.9% of the patients; Group II (disc displacement) disorder was found in 31.8% and 27.3% of the patients in the right and left joints, respectively; Group III (arthralgia, arthritis, arthrosis) disorder was found in 21.4% and 26% of the patients in the right and left joints, respectively. Axis II assessment of psychologic status showed that 19.5% of patients yielded severe depression scores and 27.3% yielded high nonspecific physical symptom scores (somatization). Psychosocial dysfunction was observed in 21.4% of patients based on graded chronic pain scores (Grade III and IV). Axis I and II findings of Croatian TMD patients were generally similar to their Swedish, American and Asian cohorts. In all 4 populations, women of child-bearing age represented the majority of patients. The most common type of RDC/TMD diagnoses was muscle disorders. A considerable portion of TMD patients were clinically depressed, withelevated levels of nonspecific physical symptoms. These results suggest that the RDC guidelines are valuable in helping to classify TMD patients, support the usefulness of the RDC/TMD for gathering research and clinically relevant data, allowing international and cross-cultural comparison of clinical findings. |
- Knezović-Zlatarić D, Čelebić A, Ćelić R. Evaluation of the Mandibular Bone Quality in Complete and Removable Partial Denture Wearers. Acta Stomatol Croat. 2003;37(3):342-3.
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| Title in English: |
Evaluation of the Mandibular Bone Quality in Complete and Removable Partial Denture Wearers |
| Title in Croatian: |
Procjena kakvoće mandibularne kosti u nositelja potpunih i djelomičnih proteza |
| Type of Article: |
congress abstract |
| MeSH: |
BONE AND BONES DENTURE + adverse effects |
| Abstract: |
Success of prosthodontic treatment depends on the state of bone tissue in the jaws and requires a certain amount of bone under the denture to provide stability in function. The aim of the study was to determine whether the bone mineral density (BMD) of the mandible and some linear radiomorphometric indices measured on panoramic radiographs are correlated with different removable denture wearing. 136 removable denture wearers (72 complete removable denture wearers, 64 partial removable denture wearers) participated in this study. All the patients were screened using panoramic radiographs standardized with copper stepwedge. BMD measurements were expressed in equivalents of the actual stepwedge thicknesses. Linear radiomorphometric indices were measured on each panoramic radiograph. Results revealed statistically significant differences in measured indices between complete and removable partial denture wearers (p < 0.05). Statistically significant differences in measured BMD values between different type of the dentures worn were found under the denture bases on the superior border of the mandible (p < 0.05). It seems that the different types of denture loading influences BMD changes as well as the thickness of cortical parts of the mandible. |
- Dulčić N, Pandurić J, Kraljević S, Badel T, Ćelić R. Fabrication of Complete Dentures in a Patients With Mandibular Resection - a Case Rreport. Acta Stomatol Croat. 2003;37(3):322.
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| Title in English: |
Fabrication of Complete Dentures in a Patients With Mandibular Resection - a Case Rreport |
| Title in Croatian: |
Izradba potpunih proteza u pacijenata s resekcijom čeljusti - prikaz slučaja |
| Type of Article: |
congress abstract |
| MeSH: |
DENTURE, COMPLETE |
| Abstract: |
Loss of mandibular continuity creates great problems in prosthetic rehabilitation of edentulous patients. The problems resulting from resection of the mandible comprise difficulty in mastication on other mandibular movements due to loss of physiological funcion and coordination of masticatory muscles, as well as decrease in the lower denture foundation. This report presents fabrication procedures of complete dentures in a patient with unilateral partial resection of the mandible. Two functional impressions secured correct impression of the denture foundation and maximum extension of the denture borders. The function of prostheses in static and dynamic conditions was achieved by correctly defined interarch relationships, arrangement of anterior teeth in accordance with aesthetics, phonation and function and arrangment of posterior teeth in accordance with the ligual area, intercuspidation, static occlusion and articulation. After handing in the dentures to the patient, both static and dynamic occlusion were corrected by a remount procedure. A check-up six months after denture fabrication showed that the patient had normal swallowing and speech, control of salivation and satisfactory masticatory function. |
- Ćelić R, Jerolimov V, Knezović-Zlatarić D, Dulčić N, Pandurić J. Prevalence of Temporomandibular Disorders Subtypes in Croatian Patients. Acta Stomatol Croat. 2003;37(3):318-9.
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| Title in English: |
Prevalence of Temporomandibular Disorders Subtypes in Croatian Patients |
| Title in Croatian: |
Pojavnost podtipova temporomandibularnih poremećaja u hrvatskih pacijenata |
| Type of Article: |
congress abstract |
| MeSH: |
TEMPOROMANDIBULAR JOINT DISORDERS + epidemiology |
| Abstract: |
The Research Diagnostic Criteria for Temporomandibular Discorders (RDC/TMD) guidelines, originally developed in the United States, were translated and used to classify TMD patients on physical diagnosis (Axis I) and pain-related disability an psychological status (Axis II) in Croatiana TMD patients. The RDC/TMD Axis I and II findings were compared to those of Swedish , American and Asian TMD patients.One hundred and fifty-gour consecutive patients (117 female and 37 male) referred to the Department of Prosthodontics and Department of Oral Surgery in Zagreb, Croatia, were enrolled in the study. The mean age of the Croatian population was 39 ± 14,5 years. Frequency distributions and descriptive statistics were obtained through the use of SPSS version 10 for Windows (SPSS, Chicago, IL), and chi-square (2-sided) statistical analyses were performed (P < 0,05) to evaluate gender differences.Group I (muscle) disorder was found in 64,9% of the patients; Group II (disc displacement) disorder was found in 31,8% and 27,3% of the patients in the right and left joints, respectively; Group III (arthralgia, arthritis, arthrosis) disorder was found in 21,4% and 26% of the patients in teh right and left joints, respectively. Axis II assessment of psychological status showed that 19,5% of patients yielded severe depression scores and 27,3% yielded high nonspecific physical symptom scores (somatization). Psychosocial dysfunction was observed in 21,4% of patients based on graded chronic pain scores.Axis I and II findings of Croatian TMD patients were generally similar to their Swedich, American and Asian cohorts. In all 4 populations, women of child-bearing age represented the majority of patients. Muscle disorders were the most prevalent type of TMD. A substantial portion of TMD patients were depressed and experienced severe somatization. These rezults suggest that the RDC/RMD guidelines are valuable in helping to classify TMD patients and allowing multicenter and cross-cultural comparison of clinical findings. |
- Knezović-Zlatarić D, Ćelić R, Kovačić I, Krstulović L. Setting Procedure of the Fully Adjustable SAM 3 Articulator. Acta Stomatol Croat. 2003;37(3):275-86.
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| Title in English: |
Setting Procedure of the Fully Adjustable SAM 3 Articulator |
| Title in Croatian: |
Postupci individualizacije SAM 3 artikulatora |
| Type of Article: |
professional paper |
| MeSH: |
DENTAL ARTICULATORS CENTRIC RELATION JAW RELATION RECORD + methods |
| Abstract: |
There are various different diagnostic and reconstructive procedures that require visualization and analysis of mandibular movements, dental arch relationship and teeth contact outside the patient’s mouth. Therefore, there is an indispensable need for a mechanical device that can provide mandibular movements and different jaw relations. One of the major applications of the articulator is the fixation of jaw relations and to ensure their movements so that diagnostic and reconstructive procedures can be obtained. |
- Ćelić R, Sutherland SE. Evidence-Based Dentistry: Do We Know What It Means?. Acta Stomatol Croat. 2003;37(2):189-98.
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| Title in English: |
Evidence-Based Dentistry: Do We Know What It Means? |
| Title in Croatian: |
Stomatologija zasnovana na dokazu - znamo li što to znači? |
| Type of Article: |
professional paper |
| MeSH: |
EVIDENCE BASED MEDICINE EDUCATION, DENTAL |
| Abstract: |
To practice in an evidence-based dentistry manner, practitioners must be able to formulate a clear question, find the best available evidence efficiently, evaluate the evidence systematically and, if it is relevant and credible, apply the results of the appraisal to their practice. Materials, instruments, techniques, and therapies change so fast that most of us have difficulty keeping up with their names, much less the details of their use. As electronic technology (Internet, CD-ROM, and DVD) expands, information retrieval is increasingly easy. Patients have access to the same data that doctors do in many cases, and as their knowledge levels increase, so do their expectations and demands. Evidence-based dentistry closes the gap between clinical research and real world dental practice and provides dentists with powerful tools to interpret and apply research findings. Evidence-based dentistry process is not a rigid methodological evaluation of scientific evidence that dictates what practitioners should or should not do. Rather, the evidencebased dentistry process is based on integrating the scientific basis for clinical care, using thorough, unbiased reviews and the best available scientific evidence at any one time, with clinical and patient factors to make the best possible decision(s) about appropriate health care for specific clinical circumstances. Evidence-based dentistry relies on the role of individual professional judgment in this process. |
- Ćelić R, Jerolimov V, Knezović-Zlatarić D. The Relationship between Occlusal Interferences and Temporomandibular Disorders. Acta Stomatol Croat. 2003;37(1):41-50.
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| Title in English: |
The Relationship between Occlusal Interferences and Temporomandibular Disorders |
| Title in Croatian: |
Odnos između okluzijskih preranih dodira i temporomandibularnih poremećaja |
| Type of Article: |
original scientific paper |
| MeSH: |
TEMPOROMANDIBULAR JOINT DISORDERS + etiology DENTAL OCCLUSION |
| Abstract: |
The significance of occlusal interferences in the aetiology of temporomandibular disorders (TMD) has been questioned in numerous past and recent articles of dental literature. The aim of this study was to analyze the relationship between clinical diagnoses of TMD and different types of occlusal intereferences (centric interferences (retruded contact position (RCP) - intercuspal position (ICP) slide greater than 1 mm), working interferences, and nonworking interferences during lateral and protrusive mandibular movements) in a young adult nonpatient population. A questionnaire including data from history and clinical functional examination was used in the study. All subjects (a total of 230) were male (conscripts), from 19 to 28 years of age (mean 21.3 ± 2.1). The prevalence of occlusal interferences in percentage in 230 young adult non-patients, 65% had no occlusal interferences during examination of the functional state of occlusion, while 14% of subjects had centric interferences (RCP-ICP slide greater than 1 mm), 5% of subjects had working interferences and 16% of subjects had nonworking interferences during lateral and protrusive mandibular movements. Statistical analysis (Chi square test) did not show any significant differences in the distrubution of occlusal interferences between the group of subjects with the clinical diagnoses of TMD and the group of asymptomatic subjects. We concluded that clinical diagnoses of TMD (muscle and temporomandibular joint disorders) were not associated with different types of occlusal interferences. This study focused on a non-patient population of young adult males and the results may not be applicable for the general population. |
- Senzel S, Pehar G, Ćelić R. Relationship Between Non-Alignment and Incisal Wear of the Anterior Teeth. Acta Stomatol Croat. 2002;36(4):415-24.
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| Title in English: |
Relationship Between Non-Alignment and Incisal Wear of the Anterior Teeth |
| Title in Croatian: |
Odnos između nepravilnog položaja i incizalnog trošenja prednjih zuba |
| Type of Article: |
original scientific paper |
| MeSH: |
MALOCCLUSION + complications |
| Abstract: |
The purpose of this work was to examine the prevalence of non-alignment and incisal wear of upper and lower anterior teeth in an examined population of dental students as well as to analyze the relation between alignment and incisal wear of the anterior teeth. The subjects chosen for this study were dental students (40 female, 40 male) of the School of Dental Medicine in Zagreb. The age of the subjects ranged from 20 to 26 years, mean 22.8 ± 1.8 years. Alignment of the teeth and incisal wear were assessed on the basis of stone casts in accordance with two index systems (NONAS and IwI). By testing the methods it was shown that the reproducibility of assessments of teeth alignment and incisal wear was satisfactory. In the upper jaw, one or more teeth were non-aligned in 48% of cases (most frequently the upper lateral incisors), while in the lower jaw there were 47% cases of non-alignment teeth (most frequently the lower central incisors). The prevalence of incisal wear of the anterior teeth in the population of dental students was 95%. By Pearson’s chi-square test, the relationship between the condition of alignment and incisal wear of anterior teeth was determined. The highest degree of tooth wear was registered on the right and left upper central incisor as well as on the right lower canine. |
- Badel T, Pandurić J, Ćelić R, Kraljević S, Dulčić N. Control and Correction of Occlusal Relations of Complete Dentures. Acta Stomatol Croat. 2002;36(3):355.
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| Title in English: |
Control and Correction of Occlusal Relations of Complete Dentures |
| Title in Croatian: |
nema |
| Type of Article: |
congress abstract |
| MeSH: |
DENTAL OCCLUSION JAW RELATION RECORD DENTURE, COMPLETE |
| Abstract: |
Control and correction of occlusal relations are a constituent part of clinical and laboratory procedures of complete denture fabrication. Denture materials and fabrication procedures cannot ensure dimensionally correct complete dentures, and therefore it is necessary to check the occlusion. A remount procedure is carried out in order to establish correct occlusal contacts of denture teeth bymounting the finished dentures back on the articulator. There are several reasons for remounting: changed volume of the acrylic resin during polymerisation, dimensional changes in the early days of wearing due to water absorption in the acrylic base and placement of denture bases to the denture foundation area. Remounting startswith fabrication of transfer casts, determination and transfer of interarch relations to the articulator. When the dynamic concept of occlusion is chosen, priority is given to incisor or canine teeth guided occlusion. Remounting should be a constituent part of complete denture fabrication. Supported by Ministry of Science and Technology.Republic of Croatia, Project No. 065010. |
- Ćelić R, Pandurić J, Badel T, Kraljević S, Dulčić N. Influence of Occlusal Interference on the Prevalence of Temporomandibular Disorders. Acta Stomatol Croat. 2002;36(3):332.
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| Title in English: |
Influence of Occlusal Interference on the Prevalence of Temporomandibular Disorders |
| Title in Croatian: |
nema |
| Type of Article: |
congress abstract |
| MeSH: |
DENTAL OCCLUSION TEMPOROMANDIBULAR JOINT DISORDERS + epidemiology |
| Abstract: |
The significance of occlusal interference in the etiology of temporomandibular disorders has been questioned in numerous recent articles. The aim of this study was to determine the prevalence of the clinical signs and symptoms of temporomandibular disorders in a young male nonpatient population and to investigate a possible association between the signs and symptoms of temporomandibular disorders and occlusal interference. A questionnaire including data from history and clinical functionalexamination was used in the study. All subjects (a total of 230) were male (army recruits), of 19 to 28 years of age (mean 21.3). Temporomandibular joint clicking was reported in 91 subjects, temporomandibular joint pain on palpation and functional loading in 78 subjects, masticatory muscle pain on palpation and functional loading in 58 subjects, tension type headache in 30 subjects, andmandibular deviation on opening and closing movements greater than 2 mm in 43 subjects. The prevalence of occlusal interference in percentage in 230 young adults, 65% had no occlusal interference during examination of the functional state of occlusion, while 14%subjects had centric slide between centric relation and maximum intercuspation, 5% subjects had working side interference and16% subjects had non-working side interference during lateral and protrusive mandibular movements. Clinical signs and symptoms were correlated with occlusal interference, although their correlation cannot be considered unique or dominant in definition of a temporomandibular disorder population. |
- Ćelić R, Hadžihasanović B, Ćelić S. Magnetic Resonance in Diagnosis Temporomandibular Joint Disorders. Acta Stomatol Croat. 2001;35(3):389-401.
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| Title in English: |
Magnetic Resonance in Diagnosis Temporomandibular Joint Disorders |
| Title in Croatian: |
Magnetska rezonancija u dijagnostici poremećaja čeljusnih zglobova |
| Type of Article: |
case report |
| MeSH: |
TEMPOROMANDIBULAR JOINT + pathology MAGNETIC RESONANCE SPECTROSCOPY |
| Abstract: |
The purpose of the paper is to present magnetic resonance imaging as a useful technique in establishing a diagnosis of functional disorders of the temporomandibular joint, on the basis of case studies, as this technique is not yet widely used in this country. The MR images were used for assessment of normal functional anatomy, as well as forms of functional disorders of the temporomandibular joints (disc displacement with and without reduction). Standard oblique sagittal planes with T1 sequences obtained using Magneton Impact (Siemens) apparatus at 1.0 T with surface coil of 10 cm diameter were used. The MR images were taken in the open mouth and closed mouth positions in the oblique sagittal plane vertical to the longitudinal axis of the condyle.Magnetic resonance imaging is a non-invasive technique using magneticfield and radio frequency pulses instead of ionising radiation for image creation. Of all known radiologic techniques, magnetic resonance imaging proved to be the best technique of choice for visualization of soft and hard tissues of the temporomandibular joints. In general, the magnetic resonance technique is used in cases of doubtful diagnosis and therapeutic failure of temporomandibular disorders. Apart from diagnostics, the technique can also be used in assessment of various methods of treatment of temporomandibular disorders (where conditions before and after treatment are assessed). It is also used for better understanding of the pathophysiology and biomechanics of temporomandibular joints, which has been shown in numerous scientific studies. |
- Badel T, Ćelić R, Kraljević S, Pandurić J, Dulčić N. Complete Denture Remounting. Acta Stomatol Croat. 2001;35(3):371-87.
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| Title in English: |
Complete Denture Remounting |
| Title in Croatian: |
Remontaža potpunih proteza |
| Type of Article: |
professional paper |
| MeSH: |
DENTAL OCCLUSION DENTURE, COMPLETE |
| Abstract: |
Correct occlusal relationships on complete dentures are part of the success in prosthetic treatment of edentulous patients. As denture base materials and fabrication procedures cannot provide dimensionally accurate complete dentures, it is necessary to check the occlusion. The relation between artificial teeth on complete dentures has a significant impact on even loading of denture foundations and optimum stabilisation of dentures during wearing. A remount procedure begins with fabrication of remount casts, determination and transfer of interarch relationships into the articulator. Deflective contacts on dentures are eliminated by selective grinding carried out in the articulator in the intercuspal position and by excursive tooth guided movements. The purpose is to represent a remount procedure as a constituent part of complete denture fabrication procedures in everyday practice. When selecting a dynamic concept of occlusion, priority is given to unbalanced dentures, i.e. to canine guided occlusion and/or to the concept of unilateral occlusal balance. |
- Ćelić R, Jerolimov V, Filipović-Zore I, Knezović-Zlatarić D. The Prevalence of Temporomandibular Disorders in a Non-Patient Population. Acta Stomatol Croat. 2001;35(3):319-30.
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| Title in English: |
The Prevalence of Temporomandibular Disorders in a Non-Patient Population |
| Title in Croatian: |
Pojavnost temporomandibularnih poremećaja u populaciji nepacijenata. |
| Type of Article: |
original scientific paper |
| MeSH: |
TEMPOROMANDIBULAR JOINT + pathology DENTAL OCCLUSION |
| Abstract: |
The purpose of the study was to determine the prevalence of clinical signs and symptoms of temporomandibular disorders (TMD) in a young adult non-patient population and to investigate the possibility of an association between TMD and occlusal factors. A questionnaire including data from history and clinical functional examination was used in the study. All subjects (a total of 230) were male (army recruits), from 19 to 28 years of age (mean 21.3 ± 2.1). The study indicated that 38% of subjects had at least one symptom (subjects with slight, moderate and severe discomfort), while 45% of subjects had at least one sign of TMD. Spearman's rank correlation test showed weak but statistically significant correlation (p < 0.05 and p < 0.01) between occlusal factors and TMD in a young adult non-patient population. Clinical signs and symptoms of TMD were weakly correlated with some occlusal factors (malocclusion traits (Angle classes II/1, II/2, III, and crossbite), slide between RCP and ICP ≥ 1 mm, midline discrepancy ≥ 2 mm, nonworking side interferences, horizontal overlap ≥ 5 mm) and parafunctional habits (teeth clenching and teeth grinding). However, the importance of association between TMD, occlusal factors and parafunctional habits should not be overstated (weak correlation), since this may lead to neglect of the many other causes of orofacial pain and dysfunction in a biologically multifactorial system. |
- Kraljević S, Pandurić J, Badel T, Ćelić R. Immediate Complete denture. Acta Stomatol Croat. 2001;35(2):273-85.
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| Title in English: |
Immediate Complete denture |
| Title in Croatian: |
Imedijatna proteza |
| Type of Article: |
case report |
| MeSH: |
DENTURE, COMPLETE, IMMEDIATE |
| Abstract: |
An immediate complete denture is a restoration for lost natural teeth and associated tissues, which is inserted into the patient's mouth immediately following the extraction of the remaining teeth.The purpose of the paper is to draw the dentist/practitioner's attention to the need for immediate complete denture fabrication. The aims, advantages and disadvantages of immediate dentures as well as contraindications are described in detail.Modern procedures for immediate complete denture fabrication as well as instructions to patients about wearing the denture and mouth and denture hygiene are given.A need for a timely rebasing of immediate dentures and adjustment of the occlusion is also pointed out. The functional, aesthetic and psychological success of immediate dentures depends on correct indication, diagnosis, treatment planning and precisely executed fabrication procedures. |
- Knezović-Zlatarić D, Čelebić A, Valentić-Peruzović M, Pandurić J, Ćelić R, Poljak-Guberina R. The Influence of Kennedys Classification, Partial Denture Material and Construction on Patients Satisfaction. Acta Stomatol Croat. 2001;35(1):69-81.
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| Title in English: |
The Influence of Kennedys Classification, Partial Denture Material and Construction on Patients Satisfaction |
| Title in Croatian: |
Utjecaj klasifikacije djelomične bezubosti po Kennedyju, materijala i konstrukcije na zadovoljstvo pacijenata djelomičnim protezama |
| Type of Article: |
original scientific paper |
| MeSH: |
DENTURE, PARTIAL DENTURE DESIGN PATIENT SATISFACTION DENTAL MATERIALS |
| Abstract: |
The aim of the study was to evaluate patients’ general satisfaction with their removable partial dentures of different classification, construction, material, denture base shape (major connectors), denture support and the number of missing teeth. The aim was also to evaluate patients’ satisfaction with denture retention, speech, aesthetics, chewing ability and the comfort of wearing dentures, depending on the construction. A total of 165 patients with partial dentures took part in this study. There were 59 males and 106 females aged from 38 to 87 years. Patients graded satisfaction with their partial dentures in total and also with aesthetics, speech and retention, chewing ability and the comfort of wearing dentures by means of a scale from 1 to 5. The dentist determined Kennedy classification and their modifications, material and denture support, denture base shape and the number of missing teeth. The dentist also evaluated the denture construction. On the basis of the statistical analysis the following conclusions were made: 1. Patients were on the whole satisfied with their partial dentures (distribution of the scores of the patients’ assessments was asymmetrical towards the highest scores in all examined categories). 2. Kennedy classification and their modifications, material, denture base shape and denture support do not have an influence on patients’ satisfaction with denture retention, speech, mastication, aesthetics and comfort of wearing dentures (p>0.05). 3. The number of lower missing teeth influence the comfort of wearing lower dentures (p<0.05). 4. Construction of lower dentures have an influence on patients’ satisfaction with speech with lower partial denture (p<0.05). |
- Knezović-Zlatarić D, Čelebić A, Valentić-Peruzović M, Jerolimov V, Ćelić R, Filipović-Zore I, Alajbeg I [Iva]. Patients Satisfaction with Partial Denture Therapy. Acta Stomatol Croat. 2000;34(4):365-72.
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| Title in English: |
Patients Satisfaction with Partial Denture Therapy |
| Title in Croatian: |
Pacijentova procjena uspješnosti protetske terapije djelomičnim protezama |
| Type of Article: |
original scientific paper |
| MeSH: |
DENTURE, PARTIAL PATIENT SATISFACTION SOCIOECONOMIC FACTORS |
| Abstract: |
The aim of this study was to evaluate patients' satisfaction with their partial dentures in relation to some socio-economic variables. The aim was also to evaluate patients' satisfaction with denture retention, speech, aesthetics, chewing ability and comfort while wearing dentures. The influence of some factors, such as age, sex, marital status, level of education, smoking, chronic diseases, socio-economic status, ordinal number and age of thepresent dentures, on patients' satisfaction with partial dentures was also evaluated. A total of 165 patients with partial dentures took part in the study. There were 59 males and 106 females aged between 38 and 87 years. Patients graded their satisfaction with their partial dentures in total and then graded aesthetics, speech and retention, chewing ability and comfort while wearing dentures by using a scale from 1 to 5. Following a statistical analysis the following conclusions were made: 1. Patients were mostly satisfied with their partial dentures (the distribution of the scores of the patients' assessments was asymmetrical towards the highest scores in all examined categories). Only 3.2% of the patients were not absolutely satisfied with their partial dentures, 2. More then half of the examined patients scored all the examined variables in the best score category (5), 3. Patients of a higher level of education had higher criteria for the aesthetic appearance, as they assessed their partial denture aesthetics with a lower grades than patients with lower level of education. Males were less satisfied with the chewing ability of lower partial dentures (p<0.05) than females, 4. There was no significant difference in patients' assessments of the quality of their partial dentures between different age groups, ability of self-supporting life, socio-economic and economic status, marital status, smoking, presence of chronic diseases, number of previous dentures and age of present dentures (p>0.05). |
- Ćelić R, Kraljević K, Kraljević S, Badel T, Pandurić J. The correlation between temporomandibular disorders and morphological occlusion. Acta Stomatol Croat. 2000;34(1):25-40.
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| Title in English: |
The correlation between temporomandibular disorders and morphological occlusion |
| Title in Croatian: |
Povezanost temporomandibularnih poremećaja i morfološke okluzije |
| Type of Article: |
original scientific paper |
| MeSH: |
TEMPOROMANDIBULAR JOINT DISORDERS + etiology DENTAL OCCLUSION MALOCCLUSION + physiopathology |
| Abstract: |
Contradictions in the field of epidemiology, etiology, diagnosis and treatment of temporomandibular disorders continue, especially because such disorders rarely appear as individual entities, but as multiple problems with overlapping signs and symptoms. The purpose of this study was to establish the prevalence of temporomandibular disorders in a population of younger male subjects (nonpatients) in relation to interarch relationships in the intercuspal position, to establish a correlation between signs and symptoms and morphological occlusion(Angle classification) and to compare results with known clinical studies. The study comprised 230 male subjects aged from 19 to 28 years, who were examined based on a questionnaire (clinical functional analysis according to Gutowski).From the total number of subjects, 44.3% of subjects had at least one sign, and 38% of subjects had at least one symptom of a temporomandibular disorder. Analysing signs and symptoms of temporomandibular disorders individually, 91 subjects (39.6%) had jaw joint clicking, 3 subjects (1.3%) had crepitation in jaw joints, a total of 78 subjects (33.9%) had pain in jaw joints at palpation and functional loading, a total of 58 subjects (25.2%) had pain in the muscles of mastication at palpation and functional examination, 43 subjects (18.7%) had a lower jaw deviation exceeding 2 mm and 30 subjects (13%) had tension-type headache. By the calculation of Spearman’s correlation rank, a correlation between signs and symptoms of temporomandibular disorders and interarch relationships in the intercuspal position, especially in the group with disturbed interarch relationships (class II/1, class II/2, class III and crossbite), wasestablished. |
- Kraljević S, Kraljević K, Pandurić J, Čelić R, Dulčić N. Recording lower jaw movements and positions by means of electronic axiography. Acta Stomatol Croat. 1999;33(2):155-64.
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- Kraljević K, Kraljević S, Ćelić R, Badel T. Imedijatna potpuna proteza [in Croatian]. Acta Stomatol Croat. 1998;32(Suppl):172.
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| Title in English: |
nema |
| Title in Croatian: |
Imedijatna potpuna proteza |
| Type of Article: |
congress abstract |
| MeSH: |
DENTURE, COMPLETE, IMMEDIATE |
| Abstract: |
(not available) |
- Kraljević S, Kraljević K, Pandurić J, Ćelić R, Badel T. Bilježenje i mjerenje kretnji donje čeljusti metodom elektronske aksiografije [in Croatian]. Acta Stomatol Croat. 1998;32(Suppl):172.
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| Title in English: |
nema |
| Title in Croatian: |
Bilježenje i mjerenje kretnji donje čeljusti metodom elektronske aksiografije |
| Type of Article: |
congress abstract |
| MeSH: |
MANDIBLE + physiology PROSTHODONTICS + methods |
| Abstract: |
(not available) |
- Guljaš K, Pandurić J, Kraljević S, Knezović D, Čelić R, Badel T. Analysis of the incidence of removable denture fractures in an adult population. Acta Stomatol Croat. 1998;32(1):59-69.
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| Title in English: |
Analysis of the incidence of removable denture fractures in an adult population |
| Title in Croatian: |
Raščlamba pojavnosti lomova mobilnih proteza u odrasloj populaciji |
| Type of Article: |
original scientific paper |
| MeSH: |
DENTURES DENTURE REPAIR PROSTHESIS FAILURE DENTURE BASES |
| Abstract: |
(not available) |
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