List of Articles by Author
- Aurer A, Jorgić-Srdjak K. Membranes for Periodontal Regeneration. Acta Stomatol Croat. 2005;39(1):95-112.
[details]
[close]
Full Text
| Title in English: |
Membranes for Periodontal Regeneration |
| Title in Croatian: |
Membrane za parodontnu regeneraciju |
| Type of Article: |
review |
| MeSH: |
GUIDED TISSUE REGENERATION, PERIODONTAL + methods |
| Abstract: |
This article reviews different types of membranes for guided tissue regeneration. They are used to cover defects and stimulate regeneration of osseous defects in periodontal pockets. A membrane should be biocompatible, enable cell exclusion separating the gingival flap from the fibrine clot and guard space for the new alveolar bone and the periodontal ligament.Membrane can be non-resorbable and resorbable. When non resorbable membranes are used, another surgical procedure for their extraction is needed. They are therefore used less frequently today. The majority of these membranes are made of polytetrafluoretylene, e.g. Gore-Tex membrane.Resorbable membranes shorten the treatment since there is no need for their removal. They can be made from natural materials like collagen, laminar bone, dura mater or connective tissue transplants and from synthetic resorbable materials, most frequently derivatives of organic aliphatic thermoplastic polymers. Polyglycolic and polylactic acids are mostly used. This group includes the Atrisorb membrane that has to be prepared intraoperatively. The use of polyurethane membranes is presently being tested.So far the perfect membrane has not been discovered. Collagen membranes are most popular due to their optimal biocompatibility, although their rate of resorption is difficult to predict. |
- Aurer A, Roguljić M, Jorgić-Srdjak K. Comparison of Initial Periodontal Therapy Outome in Aggressive and Chronic Periodontitis. Acta Stomatol Croat. 2005;39(1):29-38.
[details]
[close]
Full Text
| Title in English: |
Comparison of Initial Periodontal Therapy Outome in Aggressive and Chronic Periodontitis |
| Title in Croatian: |
Usporedba uspjeha inicijalne terapije oboljelih od agresivnog i kroničnog parodontitisa |
| Type of Article: |
original scientific paper |
| MeSH: |
PERIODONTITIS + therapy |
| Abstract: |
Inflammatory periodontal diseases present a global health care problem and are one of the main reasons for tooth loss. We investigated success of the initial periodontal therapy in patients with chronic (CP) and aggressive (AgP) periodontitis, and compared clinical outcome between these groups. We used periodontal pockets probing depth before and after the therapy, being the most important clinical index for prediction of further disease progression. Investigation included 35 patients with AgP, and 71 patients with CP. In the AgP group the therapy included systemic antibiotics and local irrigation with chlorhexidine solution. Subjects with AgP had significantly deeper pockets than subjects with CP (4.49 ± 0.93 mm AgP group, 3.87 ± 0.78 mm CP group). The initial therapy significantly reduced periodontal pocket depth in both groups (p < 0.001). AgP subjects showed significantly higher probing depth reduction than CP subjects (1.05 ± 0.80 za AgP i 0.55 ± 0.69 za CP). When deep and shallow pockets were separated, the difference between the groups was not significant. The combination of mechanical and antimicrobial therapy in the AgP subjects improved clinical periodontal findings, provided good clinical results, and can therefore be used as a clinical protocol for the initial periodontal therapy of these patients. |
- Aurer A, Plančak D. Antimicrobial Treatment of Periodontal Diseases. Acta Stomatol Croat. 2004;38(1):57-72.
[details]
[close]
Full Text
| Title in English: |
Antimicrobial Treatment of Periodontal Diseases |
| Title in Croatian: |
Sustavna protumikrobna terapija parodontnih bolesti |
| Type of Article: |
review |
| MeSH: |
PERIODONTAL DISEASES + microbiology |
| Abstract: |
This paper presents a critical evaluation of the use of systemic antimicrobial treatment in periodontal disease. Recognizing specific types of periodontal infections can significantly influence the choice of antimicrobial treatment. Therapy should be tailored to differences in antibiotic susceptibility between various periodontal pathogens. Many different antibiotic regimens have been described in the literature, making the choice in clinical practice difficult. Numerous studies have examined the impact of systemic antibiotic treatment in stopping the progression of periodontal diseases. Major candidates for antibiotic therapy are patients whose disease continues to progress despite conventional mechanical treatment. Antibiotics can also be used in patients with localized aggressive or other early developed forms of periodontitis, as well as in patients with systemic diseases affecting the course of periodontitis. They have proven to be beneficial as an adjunct to standard therapy. Serious side-effects of systemic antibiotic treatment, such as development of resistance and increase in opportunistic microorganisms, do not justify their use in the treatment of chronic, slowly-progressive forms of periodontal diseases. |
- 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.
[details]
[close]
Full Text
| 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.
[details]
[close]
Full Text
| 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. |
- 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.
[details]
[close]
Full Text
| 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. |
- Aurer-Koželj J, Aurer A, Haban V, Ivić-Kardum M. Psihosocijalni stres i progresija parodontitisa [in Croatian]. Acta Stomatol Croat. 1998;32(Suppl):156.
[details]
[close]
| Title in English: |
nema |
| Title in Croatian: |
Psihosocijalni stres i progresija parodontitisa |
| Type of Article: |
congress abstract |
| MeSH: |
PERIODONTITIS + pathology |
| Abstract: |
(not available) |
|