List of Articles by Author

NOTES:

*This author has been accepted with these names:

Ivić-Kardum, Marija
Ivić, M
Ivić-Kardum, M.
Kardum-Ivić, Marija

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

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.

Haban V, Aurer A, Ivić-Kardum M, Mravak-Stipetić M, Gall-Trošelj K, Aurer-Koželj J. Post-Traumatic Stress Disorders Patients and Periodontal Health. Acta Stomatol Croat. 2003;37(3):328-9.

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Title in English:	Post-Traumatic Stress Disorders Patients and Periodontal Health
Title in Croatian:	Pacijenti s posttraumatskim stres poremećajem i parodontno zdravlje
Type of Article:	congress abstract
MeSH:	STRESS DISORDERS, POST TRAUMATIC ORAL HEALTH PERIODONTAL DISEASES + etiology
Abstract:	Progression of periodontitis depends on simultaneous occurrence of several factors of the disease. Besides subgingival plaque microorganisms, stress, through modifying host response, has been shown to contribute to tissue destruction seen in periodontal disease. War stress can cause permanent effects, including post-traumatic stress dosorder (PTSD). We wanted to study the prevalence of periodontal pathogens, association of these microorganisms with the clinical parameters of periodontitis and the influence of war stress on periodontal health in patients with PTSD. The investigation was conducted on 130 subjects: 50 war veterans diagnosed and treated for PTSD, 50 subjects with progressive periodontitis (PP) and 30 periodontally healthy subjects. The progressive periodontitis group included subjects with chronic (CP) and agressive peiodontitis (AP). Only the war veterans group has been exposed directly to war stress. Detailed periodontal examination and subgingival microbial ampling were conducted for each participant. Clinical examination included assessment of plaque index (PI), sulcus bleeding index (SBI), probing depth (PD) and clinical attachment loss (CAL). Polymerase chain reaction (PCR) was used for microbial identification of the following bacteria: Actinobacillus actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg) and Eikenella corrodens (Ec). The prevalence in all groups for Ec was 81%, for Aa 36% and for Pg 19%. Prevalence for Ec was 74% in PTSD group, 80% in PP group and 93% in periodontally healthy subjects. Prevalence for Aa was 30% in PTSD group, 46% in PP group and 30% in periodontally healthy subjects. Prevalence of Pg was 16% in PTSD group, 16% in PP group and 26% in the control gorup. Considering the periodontal diagnosis, the prevalence of bacteria was : for Ec 74% in CP and 83% in AP patients; for Aa 37% in CP and 39% in AP patients; for Pg 16% in CP and 18% in AP patients. Subjects harbouring Ec had lower PI, SBI and CAL values. PTSD patients had the highest PI and SBI values, and concerning PD an CAL were similar to PP patients. The similar prevalence of periodontal pathogens in PTSD and PP subjects indicates PTSD subjects as a risk group for periodontal disease initiation or progression.

Aurer A, Haban V, Ivić-Kardum M, Mravak-Stipetić M, Gall-Trošelj K, Aurer-Koželj J. Influence of Tabacco Use on Periodontal Health in PTSD Patients. Acta Stomatol Croat. 2003;37(3):300-1.

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Title in English:	Influence of Tabacco Use on Periodontal Health in PTSD Patients
Title in Croatian:	Utjecaj upotrebe duhana na parodontno zdravlje oboljelih od posttraumatskog stresnog poremećaja (PTSP)
Type of Article:	congress abstract
MeSH:	SMOKING + adverse effects PERIODONTAL DISEASES + etiology STRESS DISORDERS, POST TRAUMATIC
Abstract:	Numerous epidemiological and clinical studies have identified tobacco smoking as a risk factor for periodontal disease progression. Positive correlation between lower socioeconimic status and periodontal disease severity has also been found. We wanted to study the influence of smoking on clinical periodontal status and the subgingival microbial profile in post-traumatic stress disorder (PTSD) patients and patients with progressive periodontal disease. The investigation included 130 subjects divided in to three groups. The first group comprised 50 persons diagnosed with PTSD, who has actively participated in the Croatian liberation war. The second group were 50 patients treated for advanced periodontitis, and the control group were 30 periodontally healthy subjects. Subjects from the latter two groups were not directly subjected to war-related stress. Clinical periodontal examination included recording of plaque index (PI), sulcus bleeding index (SBI), probing depth (PD) and clinical attachment loss (CAL). Periodontal pathogens Actinobacillus actinomycetemcomitans (Aa),Porphyromonas gingivalis (Pg) and Eikenella corrodens (Ec) were identified using poymerase chain reaction (PCR) method. Smoking and socioeconomic status, evaluated by the level od education, were also assessed. The group of subjects with PTSD, compared to the other groups, had most cigarette smokers. In the PTSD group, 78% were smokers, wile only 33% of control subjects smoked. In the PTSD group, 34% smoked less than 20 cigarettes per day, and 30% smoked more than 40 cigarettes per day. In this respect PTSD group differs greatly from the other group. The results show that, of all participiants, smokers had more periodontal inflammation and destruction than non-smokers, although only PI and SBI values were significantly higher. This relationship is similar for each of the studied groups. No statistically significant difference was observed between bacterial prevalence of Aa, Pg and Ec between smokers and nonsmokers. PTSD group had the lowest education level. Smoking habits and lower socioeconimic status are contributing factors influencing the periodontal status of PTSD patients.

Ibrahimagić L, Čelebić A, Jerolimov V, Seifert D, Kardum-Ivić M, Filipović I. Correlation between the Size of Maxillary Frontal Teeth, the Width between Alae Nasi and the Width between Corners of the Lips. Acta Stomatol Croat. 2001;35(2):169-79.

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Title in English:	Correlation between the Size of Maxillary Frontal Teeth, the Width between Alae Nasi and the Width between Corners of the Lips
Title in Croatian:	Odnos između veličine prednjih gornjih zuba, širine nosa i širine rime oris
Type of Article:	original scientific paper
MeSH:	ODONTOMETRY CEPHALOMETRY
Abstract:	The aim of this study was to determine correlation between the width of upper incisors (WUI) or the width between the tips of the upper canines (WTC), or the width between distoaproximal surfaces of upper canines (WDaC) with the width of the alae of the nose (WAN) or the width between the corners of the mouth (WCM) on a representative sample. The aim was also to calculate the ratio between the measured variables, which could be helpful in clinical practice.For this purpose two thousand individuals aged from 18 to 24 years, with intact frontal teeth were measured. There were 920 males and 1080 females.According to statistical analysis of the results it was concluded: 1. Statistically significant difference between males and females existed for all the measured variables (WAN, WCM, WUI, WTC and WDaC), i.e. males had bigger dimensions. 2.There was no significant difference between sexes for all the calculated ratios: WCM/WAN, WAN/WUI, WCM/WDaC, WAN/WTC, WDaC/WAN (p>0.05). 3. The width of the nose approximates to the width between the tips of the cusps of upper canines (1.08:1). The other calculated ratios are: WAN/WUI = 1.206:1; WCM:WDaC = 1.228:1, WDac:WAN = 1.158:1 and these ratios together with the measured mean values: WUI, WCT, WDaC in the examined population, both for men and women, could be helpful for the choice of the proper size of upper frontal artificial teeth and for their setting in the wax of the denture.

Ivić-Kardum M, Beader N, Štaudt-Škaljac G. Diagnostic Methods for Evaluation of Microbial Flora in Periodontitis. Acta Stomatol Croat. 2001;35(1):133-40.

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Katanec D, Filipović-Zore I, Sušić M, Ivasović Z, Ivić-Kardum M, Škaljac-Staudt G. Evaluation of the Successfulness of Applying Polyglycol Compolymer Bone Replacements in the Tratment of Bone Defects of Odontogenetic Aetiology. Acta Stomatol Croat. 2001;35(1):59-68.

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Ivić-Kardum M, Jurak I, Gall-Trošelj K, Pavelić K, Aurer A, Ibrahimagić L. The Effect of Scaling and Root Planing on the Clinical and Microbilogical Parameters of Periodontal Diseases. Acta Stomatol Croat. 2001;35(1):33-42.

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Title in English:	The Effect of Scaling and Root Planing on the Clinical and Microbilogical Parameters of Periodontal Diseases
Title in Croatian:	Učinak struganja i poliranja korijena na kliničke i mikrobiloške čimbenike parodontnih bolesti
Type of Article:	original scientific paper
MeSH:	DENTAL SCALING ROOT PLANING PERIODONTITIS + microbiology
Abstract:	The occurence of periodontal pathogens in subgingival flora in periodontitis is a risk for periodontal disease progression. Therefore microbiologic diagnostic procedures are justifiably indicated in the detection of pathogens, monitoring of therapy success and outcome of the disease. The aim of this study was to show the effect of scaling and root planing on clinical and microbiological factors in 28 patients with chronic and aggressive periodontitis. Clinical assessment and microbiological testing were performed prior to, and three months after mechanical therapy. The presence or absence of bacterial plaque, gingival bleeding, pocket depth and attachment loss were assessed before and three months after scaling and root planing. Samples of subgingival plaque taken from periodontal pockets, were analysed by polymerase chain reaction technique for the presence of seven bacterial pathogens. Results of clinical parameters and bacterial prevalence were analysed before and after therapy by Wilcoxon Rank test. The mean pocket depth significantly decreased from 3.9 to 3.0 mm. Clinical attachment level decreased moderately from 4.1 to 3.8 mm. Mean plaque and gingival bleeding values also decreased after therapy. The prevalence of subgingival pathogens in relation to subjects was as follows: only one pathogenic species was found in 28.6%, two were found in 46.4% and three in 14.3% of subjects. The most prevalent pathogens were bacteroides forsythus in 85.7%, Porphyromonas gingivalis in 32.1%, Actinobacillus actinomycetemcomitans and Fusobacterium in 32.1% of subjects. After therapy the prevalence of pathogens decreased moderately. The total number of tested pathogens decreased in 12 subjects and this result was statistically significant. (p=0.001). In 16 subjects the number of pathogens was the same, and did not increase in any of the subjects. The results indicate that the effect of scaling and root planing in the treatment of periodontitis was effective in achieving clinical and microbiological improvement by decreasing the prevalence of pathogens responsible for disease progression.

Škaljac-Staudt G, Katunarić M, Ivić-Kardum M. Internal Resorption, Therapy and Filling. Acta Stomatol Croat. 2000;34(4):425-33.

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Title in English:	Internal Resorption, Therapy and Filling
Title in Croatian:	Interna resorpcija, terapija i opskrba
Type of Article:	professional paper
MeSH:	TOOTH RESORPTION GRANULATION TISSUE + etiology
Abstract:	Internal resorption is the resorption of dentin which starts in the pulpal cavity either in the pulpal chamber or in the root canal. The autors describe many etiological factor but agree that its most frequent cause is either infection or trauma. These disorders initiative inflammatory response in the pulpal tissue. Disorders in vascularization can be seen in the production of granulation tissue and transformation of macrofagus similar cells from the mesenchymal tissue into multinuclear odontoclasts. With the formation of odontoclasts, which are similaar to osteoclasts, the resorption process can begin. Resorption process is diagnosed either during routine Rtg photography or if there is extensive resorption present and the perforation has been formed. Internal resorption can be fasr accelerating, and in some case slow accelerating and it can last for years. After diagnosis, the endodontic treatment is essential in all forms of internal resorption. Therapy of the internal resorption is divided in: 1. non surgical; 2. recalcification with calcium hydroxide; 3. surgical therapy. The choice of therapy is determined by the inclination of stomatologist and the extension and position of the pathological defect.The internal resorption therapy relates to final filling of root canal and the filling of resorption defect. Defect of the internal resorption is filled by method of lateral and vertical condensation and in the combination with a method of heated vertical condensation.The further rocess of internal resorption is interrupted if the filling is properly done, and therapy itself is considered successful when Rtg photography control taken after one year does not show any progression of the resorption process.

Ivić-Kardum M, Škunca-Ograjšek D, Katanec D, Sušić M. Application of polyglycolic-polylactic synthetic co-polymer in periodontal intrabony defects. Acta Stomatol Croat. 2000;34(2):207-17.

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Title in English:	Application of polyglycolic-polylactic synthetic co-polymer in periodontal intrabony defects
Title in Croatian:	Uporaba poliglikolno-polilaktičnoga sintetskog kopolimera u parodontnim intrakoštanim defektima
Type of Article:	case report
MeSH:	BIOCOMPATIBLE MATERIALS POLYMERS ALVEOLAR BONE LOSS + therapy BONE REGENERATION
Abstract:	The paper presents two cases of clinical application of polyglycolicpolylactic co-polymer Fisiograft. In the first case periodontal abscess and damaged interradicular alveolar bone of tooth 46 was diagnosed. Interradicular damage to the bone was visible after opening the mucoperiosteal flap. Scaling of the root and careful elimination of the inflamed tissue was performed and the defect filled with Fisiograft implant (Ghimas S.p.A - Italy) in the form of gel and powder, moistened with blood and covered with a coronally positioned flap. Postoperatively the patient was advised to rinse her mouth with 0.2% chlorhexidine digluconate solution. The results of the treatment were monitored clinically and radiographically six months after the procedure. Probing the periodontal pockets before the procedure revealed a depth of 8 mm and loss of the level of periodontal attachment of 10 mm on tooth 46. Clinical evaluation six months after the procedure showed a reduction in the depth of the periodontal pocket from 8 to 4 mm and attachment level gain of 5 mm, which amounts to 50% of the original defect. In the second case, after raising the mucoperiosteal flap of tooth 21, an extensive intrabony defect was revealed, which involved several bony walls. After scaling and planing the root we filled the defect with a Fisiograft implant in the form of gel and powder, moistened with blood. Because of the activity of the periodontal pocket we prescribed Amoxicilin tablets 500 mg, 3 times daily for 5 days. Postoperatively, the patient was advised to rinse his mouth with 0.2% chlorhexidine digluconate solution. Six months after the procedure the clinical finding showed reduced depth of the periodontal pocket and gain of attachment level 4 mm, i.e. 44.5% of the original clinical defect. The radiograph showed reduced radiolucency of the alveolar bone of tooth 21, indicating the formation of new supporting alveolar bone. Thus, it can be said that the application of Fisiograft proved to be successful in regeneration of the alveolar intrabony defect. Six months after the procedure the radiograph showed considerably reduced radiolucency and depth of the periodontal pocket was reduced by around 50%.In the presented two cases the application of Fisiograft proved successful in the process of healing alveolar bone, damaged by periodontitis, and it is therefore proposed that this implant is applied in a larger number of subjects and further investigation carried out.

Ivić-Kardum M. Prevalence of progressive periodontal disease in the population of Zagreb. Acta Stomatol Croat. 2000;34(2):149-61.

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Title in English:	Prevalence of progressive periodontal disease in the population of Zagreb
Title in Croatian:	Prevalencija progresivnih parodontnih bolesti zagrebačkog stanovništva
Type of Article:	original scientific paper
MeSH:	PERIODONTAL DISEASES + epidemiology PERIODONTITIS + epidemiology URBAN POPULATION
Abstract:	Epidemiological research of periodontal disease indicates the prevalence of special forms of progressive periodontal diseases, juvenile and rapidly progressive periodontitis. These diseases start in early adolescence, therefore need to be diagnosed early and adequately treated.We examined by CPITN the prevalence of juvenile and rapidly progressive periodontitis in 1202 subjects (who were adequate for our purpose). They were all residents of the city of Zagreb. Also we compared the relationship of progressive forms of periodontal destruction with some other forms of periodontal disease. The subjects were school children, workers and clerks, divided in to age groups 15- 19, 20-24, 25-29, 30-34, 35-44, 45-54 and >55. For periodontal status evaluation we used the CPITN-community periodontal index of treatment requirements. The index consisted of the mean number of sextants of the population with sulcus bleeding, calculus, shallow and deep pockets. Additional criteria for evaluation of progressive forms of periodontal disease by use of CPITN was based upon more intensive inflammatory symptoms on the gingiva, active and deep periodontal pockets and removable dentures.After statistical analysis the results of the STATJOB programme revealed that the prevalence of progressive periodontitis in Zagreb was 4.1% ( 0.6% for the juvenile form and 3.5% for the rapid form). The incidence of gingivitis, the initial form of the periodontal disease, was much greater, in youngsters 82%, and the incidence of periodontal disease in adults was also high, 80%.Furthermore, the incidence of some forms of periodontal destruction was also tested. The percentage of subjects with deep periodontal pockets in juvenile and rapid periodontitis was 87.7%, and in adults periodontitis 9.5%, which indicates more severe forms of periodontal destruction in the group with juvenile and rapidly progressive periodontits.The use of CPITN was an orientational method that showed us the prevalence of the tested forms and the treatment needs. In this way we separated from the population cases with progressive periodontitis that need further clinical tests and adequate therapy.

Ivić-Kardum M, Haban V, Aurer-Koželj J. Aspartat aminotransferaza-dijagnostički test aktivnosti parodontitisa [in Croatian]. Acta Stomatol Croat. 1998;32(Suppl):166-7.

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Aurer-Koželj J, Aurer A, Haban V, Ivić-Kardum M. Psihosocijalni stres i progresija parodontitisa [in Croatian]. Acta Stomatol Croat. 1998;32(Suppl):156.

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Aurer-Kozelj J, Jorgić-Srdak K, Ivić M, Tomić D, Zagar Z, Baucić A. [The effect of a medicinal herb mouthwash on inflamed gingival tissue]. Acta Stomatol Croat. 1984;18(4):279-84.

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