List of Articles by Author
- Borčić J, Petričević I, Sušić M, Kraljević S. Prosthodontic or Implantoprosthetic Treatment of Edentulous Areas. Acta Stomatol Croat. 2005;39(3):252.
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Title in English: |
Prosthodontic or Implantoprosthetic Treatment of Edentulous Areas |
Title in Croatian: |
Protetička ili implantološka sanacija bezubih prostora |
Type of Article: |
congress abstract |
MeSH: |
DENTAL IMPLANTATION JAW, EDENTULOUS + therapy |
Abstract: |
Loss of teeth not only leads to aesthetic but also to functional impairment of the stomatognathic system. Solving edentulousness still presents a great challenge in contemporary dentistry. Various approaches are possible depending on the type and number of lost teeth, and also the condition of surrounding tissue. Regardless of whether it is a case of a single tooth or several, it is necessary to know the function of the masticatory organ and therapeutic procedures in order to correctly carry out treatment. Lack of teeth can be dealt with orthodontically, prosthetically or implanto prosthetically. Which method is chosen depends on the case itself, choice of therapist and on the practicability and cooperation of the patient. This study presents several cases which were treated by classical prosthetic restorations, as opposed to several similar cases which treated by intra-osseous implants and prosthetic constructions on the implants.The purpose of this presentation is to show different methods of treatment of the same or similar cases, and to give guidelines to clinicians, when and in which cases a particular treatment should be opted for. It is important to mention that the information acquired by the therapist, as well as the patient, represents the key role in the choice of the most suitable therapeutic procedure. |
- 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. |
- Badel T, Pandurić J, Kraljević-Šimunković S, Marotti M, Kocijan Lovko S, Šutalo J. Temporomandibular Disorders in a Patient With Anxiety. Acta Stomatol Croat. 2003;37(3):306-7.
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Title in English: |
Temporomandibular Disorders in a Patient With Anxiety |
Title in Croatian: |
Temporomandibularna disfunkcija u pacijentice s anksioznošću |
Type of Article: |
congress abstract |
MeSH: |
TEMPOROMANDIBULAR JOINT DISORDERS + therapy ANXIETY |
Abstract: |
A patient (28 yrs. old) during the last year has noticed wear facets on the teeth and also symptoms of temporomandibular disorders (TMD) - pain, limitation of mandibular movements, and also clicking in the right temporomandibular joint (TMJ). The pain was evaluated with analog-visual scale (0 - 10) = 7. Case history revealed the presence of mental trauma four years ago, which had caused the increase of anxiety and occurrence of panic attacks. By means of manual functional analysis myofacial pain and anterior disc displacement without reduction in the right TMJ was determined and confirmed with electronic axiography and magnetic resonance imaging (MRI). As a consequence of excessive teeth wear the interfering contacts in laterotrusive movements of mandibule were established. Anxiety was confirmed with psychological measuring instrument State-Trait Anxiety Inventory. For the initial treatment the fabrication of Michigan splint was indicated. After 2 months improvement in clinical condition was achieved. Stronger pain was only during larger mouth opening. In the right TMJ crepitation was found. In the last few months she took irregularly prescribed anxiolytic drugs. She still feels anxious, tense and insecure. After 9 months the anterior disc dislocation without reduction and with present signs of subchondral degeneration and condylar aplation in the right TMJ was established with controlling MRI. Orthopedic stability of TMJs was established with definitive occlusal treatment (restoration of wear teeth tissues with composite fillings). Because of accompanying osteoarthritis and better stabilisation of TMJs as well as teeth protection from bruxism a stabilisation splint was fabricated. Bruxism is a pathophysiological disorder of unclear aetiology. The most noticeable sign of bruxism is excessive teeth wear which can cause pathological occlusal relationships. The mechanism of aetiopathogenesis of TMD is insufficiently explained and occlusion is considered to be a secondary aetiological factor. Anxiety can be a pathophysiological factor of bruxism and can lead to persistence of chronic temporomandibular pain. |
- Badel T, Pandurić J, Kraljević S, Dulčić N. Initial Treatment of Prosthetic Patients with a Michigan Splint. Acta Stomatol Croat. 2003;37(2):199-210.
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Title in English: |
Initial Treatment of Prosthetic Patients with a Michigan Splint |
Title in Croatian: |
Inicijalno liječenje protetskih pacijenata michiganskom udlagom |
Type of Article: |
professional paper |
MeSH: |
PROSTHODONTICS + methods SPLINTS |
Abstract: |
The Michigan splint covers all occlusal surfaces of the dental arch and is used in initial prosthetic treatment during the diagnosis and treatment of temporomandibular disorders. The most frequent indication is myalgia of the masticatory muscles and arthralgia of the temporomandibular joint. The splint eliminates symptoms and realises self-positioning of the mandible into a new position, which is acceptable for the patient. It can be worn for a longer period with the object of protecting the hard dental tissue due to bruxism. Because of stability and retention on the base the upper dental arch is more frequently chosen. The occlusal surface of the splint is fabricated in the form of flat surfaces on which equal contacts of the working cusps of the antagonistic jaws are achieved in the area of freedom in the centric. In excursive movements of the mandible disocclusion of the remaining teeth is realised, guided by the canine. Interrupted wearing of the splint follows during an interval of gradual disuse and reduction in the period of wearing. Success of the treatment is conditioned by careful fabrication of the splint in the articulator, regular check-ups while wearing the splint and occlusal relations. |
- 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. |
- Kraljević S, Pandurić J, Badel T, Dulčić N. Regisration and Measurement of Right and Left Mediotrusion by Using the Method of Electronic Axiography. Acta Stomatol Croat. 2002;36(3):337.
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Title in English: |
Regisration and Measurement of Right and Left Mediotrusion by Using the Method of Electronic Axiography |
Title in Croatian: |
nema |
Type of Article: |
congress abstract |
MeSH: |
JAW RELATION RECORD |
Abstract: |
PURPOSE. The aim of this study was to register and measure lower jaw movements and to analyse the measured length of maximal right and left mediotrusion movement in asymptomatic and symptomatic subjects.MATERIALS AND METHODS. A symptomatic group consisted of 51 subjects with temporomandibular disorders. A control group consisted of 43 subjects without signs and symptoms of temporomandibular joint disorders. In the symptomatic group of subjects signs and symptoms of temporomandibular disorders were crepitation, bruxism, sensitivity, pain in the temporomandibularjoint and muscles, as well as pain and sensitivity in the region surround and anterior to the ear, together with difficulties while opening the mouth. Each subject was registered by the GAMMA CADIAX system for registration of positions and movement of the lower jaw, which consist of a convetional SAM axiograph, electronic device for drawing of curves with a computer.RESULTS. No significant differences were found between the groups of subject for the measured variables. CONCLUSION. The results of the length of the mandibular and condyle movements are important, alhough unreliable indicators of temporomandibular join function. Description analysis of a graphic recording of mandibular and TMJ movement remains a precise evaluation method for determination of TMJ dysfunction. |
- 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. |
- 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. |
- 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. |
- 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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- Pandurić J, Kraljević K, Dodig D, Kraljević S. Ispitivanje gustoće kosti mandibule u protetskih pacijenata denzitometrijskom metodom [in Croatian]. Acta Stomatol Croat. 1998;32(Suppl):179.
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Title in English: |
nema |
Title in Croatian: |
Ispitivanje gustoće kosti mandibule u protetskih pacijenata denzitometrijskom metodom |
Type of Article: |
congress abstract |
MeSH: |
DENSITOMETRY BONE DENSITY |
Abstract: |
(not available) |
- 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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