List of Articles by Author

NOTES:

*This author has been accepted with these names:

Badel, Tomislav
Badel, T.

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

Badel T, Stražanac J, Marotti M, Krapac L. Treatment of myogenic temporomandibular disorder by occlusal splint and physical therapy: a case report. Acta Stomatol Croat. 2010;44(3):202-10.

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Title in English:	Treatment of myogenic temporomandibular disorder by occlusal splint and physical therapy: a case report
Title in Croatian:	Liječenje miogenog temporomandibularnog poremećaja okluzijskom udlagom i fizioterapijom: prikaz slučaja
Type of Article:	case report
MeSH:	MALOCCLUSION + therapy MASSETER MUSCLE + pathology MYOFUNCTIONAL THERAPY + utilization SPLINTS + utilization TEMPOROMANDIBULAR JOINT DISORDERS + therapy
Abstract:	Diagnostics of a patient suffering from masseter tendomyopathy as well as the 18-month followup of Michigan split treatment and kinesiotherapy by Schulte are described. Techniques of manual functional analysis and the diagnostically differential magnetic resonance were used for diagnostics since the patient had pathologic habitual occlusion caused by a previous inadequate splint. However, apart from the physiological disc position, there were only visible subchondral changes in terms of osteoarthritis with preserved contours of cortical bone and without additional clinical symptomatology. Diagnostics and treatment require a multidisciplinary cooperation which will enable treatment success. The goal of initial and palliative treatment is to manage, reduce and remove temporomandibular pain as well as to improve the functioning of the entire stomatognathic system. While there is an agreed gold standard in clinical diagnostics of temporomandibular disorders (clinical examination, manual examination techniques, magnetic resonance), there is no such gold standard for the choice of treatment methods. The pathophysiological and neuromuscular component of the myogenic temporomandibular disorder has not been completely explained. Recent systematic review papers confirm the value of the Michigan splint and physical therapy as successful treatment methods of temporomandibular disorders. However, there is a lack of randomized, comparable research.

Badel T, Alajbeg I [Iva], Marotti M, Kocijan Lovko S. Temporomandibular Joint Disorder Therapy by Occlusal Splint: A Case Report. Acta Stomatol Croat. 2008;42(3):283-91.

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Badel T, Keros J, Šegović S, Komar D. Clinical and Tribological View on Tooth Wear. Acta Stomatol Croat. 2007;41(4):355-65.

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Badel T, Pandurić J, Marotti M, Kocijan Lovko S. Temporomandibular Joint Disorder in an Otalgia Patient. Acta Stomatol Croat. 2006;40(2):175-81.

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Badel T, Pandurić J, Marotti M, Krolo I. Clinical Investigation of Temporomandibular Joint Arthrosis Frequency in Young Males. Acta Stomatol Croat. 2006;40(1):45-55.

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Kraljević M, Šegović S, Badel T, Simeon P. Periapical Status of Endodontically Treated Teeth in Relations to the Quality of the Coronal Restoration. Acta Stomatol Croat. 2005;39(4):387-98.

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Title in English:	Periapical Status of Endodontically Treated Teeth in Relations to the Quality of the Coronal Restoration
Title in Croatian:	Periapeksni status endodontski liječenih zubi s obzirom na kakvoću poslijeendodontskoga restaurativnog nadomjestka
Type of Article:	original scientific paper
MeSH:	ROOT CANAL THERAPY ROOT CANAL OBTURATION RADIOGRAPHY, PANORAMIC
Abstract:	The purpose of this study was to evaluate the relationship of the quality of the postendodontic restoration and root canal obturation on the radiographic periapical status of endodontically treated teeth. Panoramic adiographs of randomly selected patients from the Department of Endodontics and Restorative Dentistry and the Department of Periodontology, School of Dental Medicine in Zagreb, were examined. Six hundred and ninety-six endodontically treated teeth from 265 panoramic radiographs were evaluated independently by two examiners. According to a predetermined radiographic set of criteria, the technical quality of the root filling of each tooth was scored as either good or poor, and the quality of the postendodontic restoration similarly good or poor. The apical one-third of the root and surrounding structures were then evaluated radiographically and the periapical status categorized as absence (API) or presence (PPI) of periradicular inflammation. The rate of API for all endodontically treated teeth was 45%. Good endodontic filling (GE) resulted in significantly more API cases than good postendodontic restoration (GR), 89% versus 68%. Poor endodontic filling (PE) resulted in slightly more PPI cases than poor postendodontically restoration (PR), 81% versus 79%. The combination of GE and GR had the highest API rate of 94%, significantly higher than PE and PR, with API rate of 14%. Differences among groups regarding the technical quality of the root filling, and the quality of the postendodontic restoration were statistically significant (p< 0.05).

Mehulić K, Schauperl Z, Čvrljak-Tomić I, Badel T. A Method for Testing Abrasive Weare of Aesthetic Prosthetic Materials. Acta Stomatol Croat. 2005;39(2):171-80.

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Badel T, Jerolimov V, Pandurić J, Perenčević K. Role and Fabrication Method of Custom-made Mouthguards for the Prevention of Athletic Injuries. Acta Stomatol Croat. 2004;38(2):197-207.

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Title in English:	Role and Fabrication Method of Custom-made Mouthguards for the Prevention of Athletic Injuries
Title in Croatian:	Uloga i način izradbe individualnog štitnika za zube u prevenciji športskih ozljeda
Type of Article:	professional paper
MeSH:	TOOTH INJURIES ATHLETIC INJURIES SPORTS MEDICINE
Abstract:	Orofacial injuries are athletic injuries which are specific according to place and way of occurence. Sports dentistry is a dental discipline associated with the prevention and treatment of the consequences of orofacial injuries during sport activities. Orofacial, and particularly dental athletic injuries, differentiate according to way of occurence from other dental injuries and can be easily prevented. By using an adequate mouthguard a number of dental and periodontal injuries can be considerably reduced. There are different intraoral mouthguards: stock, mouth-formed and custom-made mouthguards. Even though with the stock and mouthformed mouthguards a visit to the dentist is avoided, only custom-made mouthguards offer maximum prevention from orofacial injuries. By its construction and technological features it is the most comfortable for athletes during training and competition. Preconditions for wearing mouthguards are good oral prophylaxis and restoration of all teeth (without caries and periodontopathy). The motherguard is commonly fabricated on the upper dental arch. Mouthguards are manufactured from materials that should satisfy numerous physical, mechanical, biological and functional requirement. Fabrication method of a mouthguard by means of vacuum lamination is presented. The role of the mouthguard is to prevent laceration of the tongue, lips and cheeks by the sharp edges of anterior maxillary teeth, to reduce the risk of injuries to the anterior teeth, to reduce the risk of mandibular or maxillary fractures as well as damage to the posterior teeth and temporomandibular joints, after blows to the interior aspect of the mandible. Athletes should be informed of the possibilities of prevention of their oral health as well as of the existence of slight difficulties which are inevitable during wear of a mouthguard.

Badel T, Azinović Z, Keros J, Dulčić N, Mehulić K. Caries of Croatian Army Recruits. Acta Stomatol Croat. 2003;37(4):433-41.

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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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Badel T, Restek-Despotušić S, Keros J, Azinović Z, Dulčić N. Oral Health of Croatian Army Recruits. Acta Stomatol Croat. 2003;37(3):307-8.

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Title in English:	Oral Health of Croatian Army Recruits
Title in Croatian:	Oralno zdravlje novaka Hrvatske vojske
Type of Article:	congress abstract
MeSH:	ORAL HEALTH MILITARY PERSONNEL
Abstract:	DMFT index and FST index were used to determine the oral health and oral health care habits of Croatian Army recruits. In 2001 505 19- year-old recruits in the barracks in Koprivnica were clinically examined and asked about their health care habits. Oral status of all teeth (except wisdom teeth) was described by DMFT index (decayed, filled, and missing teeth) and compared withFST index (filled and sound teeth). The number of tooth brushing per day and the reason and number of visits to the dentist each year were determined. The dependence of results in the specific urban and rural community was tested. The level of teeth sanation of the recruits was calculated by the formula FT x 100/DFT. The study showed average DMFT index 7.32 (DT: 3.15, MT: 1.29 and FT: 2.88). The average value of FST index was 23.56 and teeth sanation 47.8 %. Statistically significant difference according to domicile in DT, MT, FT and FST index was determined. Subjects from the rural environment had more teeth affected by caries, and those from urban environment had better teeth sanation (66 %). Subjects who brushed their teeth three or more times per day and who regularly visited the dentist had significantlly higher values of FT and FST index. Health condition of subjects from urban environment, was better (higher values of FT index and slower cumulative distribution and statistical significance of FST index). There was no statistically significant difference in values of DMFT index in relation to subjects from rural environment. High values of DMFT index were determined in Croatian Army recruits. FST index is more adequate than DMFT index for application in a population with a higher level of dental caries. The conducted research contributes to determination of the dental health of Croatian Army recruits as well as to the organisation of optimal preventive programs.

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, Jerolimov V, Pandurić J, Perenčević K. Individual Mouthguard in Prevention of Sports Trauma. Acta Stomatol Croat. 2003;37(3):305.

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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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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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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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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, Pandurić J, Marotti M. Initial Therapy by Stabilization Splint in Patient with Complete Dentures. Acta Stomatol Croat. 2002;36(2):267-78.

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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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Kraljević S, Pandurić J, Badel T, Ćelić R. Immediate Complete denture. Acta Stomatol Croat. 2001;35(2):273-85.

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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 K, Kraljević S, Ćelić R, Badel T. Imedijatna potpuna proteza [in Croatian]. Acta Stomatol Croat. 1998;32(Suppl):172.

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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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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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