List of Articles by Author

NOTES:

*This author has been accepted with these names:

Gržić, Renata
Grzić, R
Gržić, R
Gržić-Perinić, R.

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

Gržić R, Vukovojac S, Delić Z, Uhač I, Foško-Glavaš L, Braut Z. Effect of Oral Parafunction on the Occurrenced of Clinical Signs and Symptoms of Temporomandibular Dysfunction in a Rijeka Population. Acta Stomatol Croat. 2004;38(3):171-80.

[details]

Full Text

Title in English:	Effect of Oral Parafunction on the Occurrenced of Clinical Signs and Symptoms of Temporomandibular Dysfunction in a Rijeka Population
Title in Croatian:	Utjecaj oralnih parafunkcija na pojavu kliničkih znakova i simptoma temporomandibularne disfunkcije u riječkoj populaciji
Type of Article:	original scientific paper
MeSH:	TEMPOROMANDIBULAR JOINT DISORDERS + etiology
Abstract:	The aim of this investigation was to obtain data on the incidence of clinical signs and symptoms of temporomandibular dysfunction in the Rijeka population and to ascertain possible mutual correlation between particular signs and symptoms.The investigation included 408 subjects, 164 men and 242 women aged 18-85 years. After completing a questionnaire a clinical examination was performed of all subjects.The following frequency of particular signs and symptoms were determined:• Bruxism during the night in 17% women and 14% men.• Bruxism during the day in 34% women and 30% men.• Sounds in the temporomandibular joint (TMJ) during movementin 26% women and 25% men.• Headaches more often than once in a month in 34% womenand 19% men. Of the patients with bruxism 37% experience headaches more frequently than once in a month, 35% pain in neck muscles and 33% sounds in the TMJ during mandibular movement.Of the patients without bruxism 41% experience headaches, 28% pain in neck muscles and 24% sounds in the TMJ.For statistical analysis χ2 test and odds ratio (OR) were used. Data were analysed by computer programmes Med Calc and Statistics for Windows. Statistically significant difference was found for the frequency of certain signs and symptoms of temporomandibular dysfunction (TMD) in the group of women. No statistically significant difference was found between oral parafunction and signs and symptoms of TMD.It can be concluded that day and night bruxism caused increased pain in the neck muscles and that the increased occurrence of sounds in the TMJ during mandibular movement was more frequent in women, although this was not statistically significant.

Uhač I, Kovač Z, Muhvić M, Blečić N, Gržić R, Kovačević D. Function of the Stomatognathic System in Patients with Posttraumatic Stress Disorders. Acta Stomatol Croat. 2004;38(3):151-60.

[details]

Full Text

Title in English:	Function of the Stomatognathic System in Patients with Posttraumatic Stress Disorders
Title in Croatian:	Funkcija stomatognatog sustava u oboljelih od posttraumatskog stresnog poremećaja
Type of Article:	original scientific paper
MeSH:	STRESS DISORDERS, POST TRAUMATIC TEMPOROMANDIBULAR JOINT DISORDERS + etiology FACIAL PAIN + etiology
Abstract:	The aim of this study was to determine the incidence of temporomandibular dysfunction (TMD) in veterans of the War for Independence, who suffer from posttraumatic stress disorder (PTSD. The examined group consisted of 100 male subjects with a diagnosis of PTSD, who had participated in the war, and a control group of 94 subjects of the same age and sex who had not participated in the war and in whom psychiatric diagnosis excluded PTSD. The study consisted of case history data and a medical examination. The examination included a questionnaire in which subjects answered questions with yes−no answers. During the medical examination the condition of the jaw joints (sounds, sensitivity and pain during palpation of the jaw joint) and mastication muscles (sensitivity and pain during palpation of the masticatory muscles) was assessed and the functional ability of the stomatognathic system determined (maximal opening, maximal laterotrusion movement left and right and maximal protrusion with registration of eventual occurrence of pain or sound). Statistically significant difference was determined in almost all measured parameters. The subjects with PTSD had subjective symptoms and clinical signs of temporomandibular disfunction (TMD) significantly more frequently. Eighty-two percent (82%) of those with PTSD had at least one symptom and 98% at least one sign of dysfunction, compared with 23.91% and 50% respectively of the subjects in the control group. The most frequent sign in both groups was sound in the temporomandibular joint (TMJ), which occurred in 64% of subjects with PTSD and 17.3% of subjects in the control group. Statistically significant difference was also found in the limitation of maximal possible movements, i.e. the subjects with PTSD had significantly more often restricted movements in opening, left and right laterality and protrusion. The greatest differences between the groups related to parameters of pain. Namely, 52% of subjects with PTSD had painful TMJ and 91% had at least one painful muscular location. It can be concluded that correlation exists between PTSD and TMJ.

Gržić R. Study of Dentisry in Rijeka Today and Tomorrow. Acta Stomatol Croat. 2004;38(3):131-42.

[details]

Full Text

Uhač I, Kovač Z, Gržić R, Kovačević D, Girotto M, Blečić N, Šimunović-Šoškić M. The Relation Between Occlusion and Temporomandibular Disorders. Acta Stomatol Croat. 2003;37(3):384-5.

[details]

Full Text

Title in English:	The Relation Between Occlusion and Temporomandibular Disorders
Title in Croatian:	Odnos između okluzije i temporomandibularnih poremećaja
Type of Article:	congress abstract
MeSH:	TEMPOROMANDIBULAR JOINT DISORDERS DENTAL OCCLUSION
Abstract:	The etiology of temporomandibular disorders and the role of occlusion, has still not been entirely clarified.The objective of this investigation was to determine the effect of occlusal relationship on the function of the stomatognathic system.A group of subjects, aged from 24-52 years (x = 35.03 ± 6.92) was examined. The number of teeth, the number of teeth in occlusion, type of occlusion (canine guided occlusion, group function and balanced occlusion) was determined by clinical examination. Overbite and overjet were measured. RCP position was determined by chinpoint technique and fixing by Lucia-jig. The sliding from RCP to IKP position was determined in the anteroposterior, vertical and lateral direction. A precise calliper was used to measure maximal jaw movement. Pain and sounds were registred. Temporomandibular joints, masticatory and neck muscles were palpated. Helkimo Occlusal, Anamnestic and Clinical Dysfunction Indexes (Index ofmandibular movement, index of TMJ function, Index of painful mandibular movements, index of muscular and TMJ pain) were calculated.3.21% of the subjects were without occlusal disorders (Oi0), 58.32% had moderate occlusal problems (OiI) and 38.56% had severe occlusal problems (OiII). When compared to Anamnestic and Clinical Dysfunction Index the Pearson ?2 test analysis shows that severe occlusal problems are not correlated to severe dysfunction. The difference between the groups is not statistically significant(p > 0.05).The results of this study suggest that occlusion does not have an influence on the occurrence of TMD.

Kovač Z, Uhač I, Girotto M, Kovačević D, Gržić R, Muhvić-Urek M, Borčić J. The relationship between type of occlusion and TMJ sounds. Acta Stomatol Croat. 2003;37(3):349.

[details]

Full Text

Kovačević D, Kovač Z, Uhač I, Gržić R, Delić Z, Blečić N. Influence of smoking on stomatognathic system in women with diabetes. Acta Stomatol Croat. 2003;37(3):349-50.

[details]

Full Text

Title in English:	Influence of smoking on stomatognathic system in women with diabetes
Title in Croatian:	Utjecaj pušenja na stomatognati sustav žena oboljelih od šećerne bolesti
Type of Article:	congress abstract
MeSH:	SMOKING + adverse effects STOMATOGNATHIC SYSTEM ORAL HEALTH DIABETES COMPLICATIONS
Abstract:	The aim of the study was to check the influence of smoking on the stomatognathic system in women with diabetes. Diabetes is metabolic disease that occurs as a result of disorders in creation or secretion of insulin, or its effect. On a weakened organism smoking will probably do more harm on the stomatognathic system then on a healthy one.Women with confirmed diagnosis of diabetes (N = 90) were divided into 2 groups: fertile women (N = 51) and women in the menopause and postmenopause (N = 39). All women completed the given paper forms on general data and their smoking habits. A clinical examination was performed using a stomatological mirror and parodontal probe. Clinical findings of the dental status, gingiva, parodontal tissue (bleeding sulcus index and depth of parodontal pockets) and the status of oral muscosa were evalued.Smoking did not show statistically significant influence on the dental status either on fertile women or on women in the menopause and postmenopause (p > 0.05). Clinical findings of the gingiva and parodontal tissue showed statistically significant difference in women in the menopause and postmenopause (p < 0.05) who smoke in relation to women who do not. In fertile women no statistically significant defference was found (p > 0.05). Clinical findings of oral muscosa were only analyzed in the age group of menopausal and postmenopausal women. The difference was statistically significant (p < 0.05). In the group of fertile women analysis was not performed due to the small number of specimens.Weakened immunological system due to the synergistic influence of diabetes, smoking and the lack of feminine sex hormones (in the menopause and postmenopause) significantly damages oral muscosa, gingiva and parodontal tissue. The probable explanation was their firm correlation especially throughtout the blood circulation with the other parts of the organism. Smoking did not significantly influence the hard dental tissue, probably because of its inorganic origin and compact structure.

Gržić R, Kovač Z, Delić Z, Uhač I, Kovačević D, Blečić D, Šimunović-Šoškić M. Prevalence of Self-Reported Symptoms of TMD in a Population of Rijeka, Croatia. Acta Stomatol Croat. 2003;37(3):328.

[details]

Full Text

Kovačević D, Delić Z, Kovač Z, Gržić R, Uhač I, Braut Z. Prosthetic Therapy of a Seven Year Old Patient with Oligodontia. Acta Stomatol Croat. 2002;36(3):349-50.

[details]

Full Text

Title in English:	Prosthetic Therapy of a Seven Year Old Patient with Oligodontia
Title in Croatian:	nema
Type of Article:	congress abstract
MeSH:	PROSTHODONTICS CHILD TOOTH ABNORMALITIES
Abstract:	A seven year old male patient was referred by his dentist to a specialist in dental prothetics with a diagnosis of oligodontia. Examination of the orthopantomogram showed germs of only eight teeth. No teeth were present in the oral cavity. The first permanent molars had been esctracted because of caries. From the case history and a clinical examination, it was established that the boy had craniofacial dysmorphosis/ dysostosis and hypertelorizm with lower positioned and poorly formed ears. He had diagnosis of thickeningof the right ventriculus. Kariotype normal. Also presented adactyly of digits II and III manus et pedis, clinodactyly of digit I, and syndactyly of digits IV and V was surgically treated. By examining the oral cavity, angulus infectiosus oris was diagnosed caused by lowered vertical dimension of occlusion and candidiasis lingue, and consequently the boy was referred to an oral pathologist for appropriate therapy. Special attention is required when fabricating a complete denture in a child's mouth in orded not to compromeany prosthetic principle. Thus, we were faced with several problems including how to find impression trays of adequate size, and how to explain to the patient the procedure of functional movements, achievement of rest position, and the artificial teeth selection.Because of the small and narrow dental arches we decided for the smallest size of artificial teeth (D28) and reduced occlusion. The artificial teeth were modified and reduced. The second molar took the place of the first molar. With color and shape we tried to imitate deciduous teeth. After insertion of the complete dentures and controlexamination, the patient was given an appointment for making new dentures in six months, because of the growth and development of the maxilla and mandible.

Gržić R, Uhač I, Jonjić L, Delić Z, Borčić J, Muhvić-Urek M. An Evaluation of the Quality of Tooth Preparation with Intraoral Parallometer-Axisgraph - Pilot Study. Acta Stomatol Croat. 2002;36(3):346.

[details]

Full Text

Uhač I, Kovač Z, Šimunović M, Delić Z, Kovačević D, Gržić R. The Relation Between Occlusion and Temporomandibular Joint Sounds. Acta Stomatol Croat. 2002;36(3):333.

[details]

Full Text

Title in English:	The Relation Between Occlusion and Temporomandibular Joint Sounds
Title in Croatian:	nema
Type of Article:	congress abstract
MeSH:	DENTAL OCCLUSION TEMPOROMANDIBULAR JOINT + physiology TEMPOROMANDIBULAR JOINT DISORDERS + etiology
Abstract:	The etiology of the occurrence of sounds and the role of occlusion, has not yet been entirely clarified.OBJECTIVE OF INVESTIGATION: The objective of this investigation was to determine the effect of occlusal relationships on the occurrence of sounds in the TMJ.METHODS: A group of 100 subjects, aged from 24 to 52 years (X=35.03) was examined. The existence of sounds was registered by means of a clinical examination and auscultation by stethoscope and classified according to character in click or crepitation. The number ofteeth, the number of teeth in occlusion, type of occlusion (canine guided occlusion, group function and balanced occlusion) was determined by clinical examination. Overbite and overjet were measured. RCP position was determined by chin-point technique, and fixing by Lucia-jig.The sliding from RCP to IKP position was determined in the anteroposterior, vertical and latero-lateral direction. A precise calliper was used to measure movement.RESULTS: 29% of the subjects had a clinically determined sound, in 27% it was click, and in 2% it was crepitation. The Pearson test analysis showed statistically significant difference (p<0.05) only for the occurence of crepitation in relation to the number of teeth, number ofteeth in occlusion and overjet. The same was confirmedby analysi s of variance (ANOVA).CONCLUSION: Overjet, difference in the position of RCP-ICP sliding from RCP into ICP, and type of occlusion, i.e. mediotrusion interference, do not have an influence on the occurrence of sound in the TMJ. A reduction in the number of teeth and the number of teeth in occlusion, have an influence on the occurrence.

Kovač Z, Kovačević I, Grzić R, Delić Z, Borčić J. Anterior Tooth Relationship in Cuspid Protected and Group Function Occlusion. Acta Stomatol Croat. 2002;36(3):331.

[details]

Full Text

Gržić-Perinić R, Uhač-Špiler I. Poredbena raščlamba simptoma temporomandibularne disfunkcije riječke populacije i prognanika na istome području [in Croatian]. Acta Stomatol Croat. 1998;32(Suppl):166.

[details]