List of Articles by Author

1. Gašparović S, Milić M, Goranović T, Butorac-Rakvin L. Anaesthesia in Dental Medicine. Acta Stomatol Croat. 2004;38(4):284-5.
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   Title in English:	Anaesthesia in Dental Medicine
   Title in Croatian:	Anestezija u stomatologiji
   Type of Article:	congress abstract
   MeSH:	ANESTHESIA, DENTAL
   Abstract:	Introduction. The majority of dental procedures are carried out under local anaesthesia (90%). Reasons for this are the simple preparation of the patient, out-patient treatment and rare complications. However, there are patients and conditions for which such procedures are impossible to perform under local anaesthesia.Aim. The aim of this study was to determine the indications and complications of general anaesthesia in dental patients.Materials and methods. We analysed 864 patients during a period from 2001 to 2004 in the University Hospital Dubrava, in whom dental operations were performed. In preoperative preparation patients require laboratory findings, ECG, case history and paediatric or internist examination. They are premedicated with atropine and midazola intramuscularly, and the type of anaesthesia determined according to the type of operation, age and general condition of the patient.Results. During the period from 2001 to 2004 864 patients were analysed in the University Hospital Dubrava, in whom an operation was performed. Indications for general anaesthesia were children, mentally retarded persons and those with inflamed soft tissues of the oral cavity. Teeth extractions were performed under inhalation anaesthesia on a mask (692), and patients with multiple dental repairs were intubated (172). During anaesthesia blood pressure, ECG, peripheral saturation with oxygen and CO2 concentration was measured. The patients were monitored for 6 hours after the operation, after which they were released from hospital if there were no complications.Complications were rare: laryngo and bronchospasm in 3 patients, arrhythmia in 5, nausea and vomiting in 6, and postoperational excitation occurred in 3 patients.Conclusion. Children and mentally retarded persons were the most frequent indications for general anaesthesia in dental medicine. Complications occurred in 17 patients (1.8%) which is an acceptable risk for this type of operation.

2. Uglešić V, Jokić D, Knežević P, Grgurević J, Milić M. Orthognathic Surgery - Our Concept. Acta Stomatol Croat. 2003;37(3):384.
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   Title in English:	Orthognathic Surgery - Our Concept
   Title in Croatian:	Ortognatska kirurgija - kako mi to radimo
   Type of Article:	congress abstract
   MeSH:	ORTHODONTICS
   Abstract:	Orthognathic surgical treatment is both functional and esthetic. For most of our patients the reason for the first visit is esthetics. The first appointment is made in the combined maxillofacial and orthodontics clinic. During the first appointment we talk to the patient to get a general idea of his/her wishes and medical photographs, jawmodels and X-rays are taken. After collecting all data a general plan for the treatment is made. During the second appointment we discuss our treatment plan together with details of both orthodontic and surgical therapy with the patient. In this discussion we use photographs from our data base and computer simulation.After the final patient’s decision is made, we start with the treatment. Depending on the treatment plan, it starts with either oral surgery or orthodontics. For most of the patients we do not start with treatment before seventeen years of age. After presurgical treatment is finished, we again discuss details of the operation with the patient anda hospital appointment is made. The operation is usually performed on the day of admission, and the hospital stay is 3 to 5 days. We discuss our treatment concept based on patients with the different types of skeletal deformities.

3. Jokić D, Uglešić V, Knežević P, Milić M. Orthodontic treatment of crowding in adult patients (extraction case). Acta Stomatol Croat. 2003;37(3):337-8.
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   Title in English:	Orthodontic treatment of crowding in adult patients (extraction case)
   Title in Croatian:	Ortodontsko liječenje dentofacijalnih deformiteta
   Type of Article:	congress abstract
   MeSH:	CROWDING MALOCCLUSION + therapy ORTHODONTICS, CORRECTIVE
   Abstract:	Disharmony of the jaws presents a great aesthetic and functional problem for patients. The reason for reporting to a clinic is mainly of an aesthetic nature, since most commonly young people are involved, while functional disturbances remain secondary. Such persons have difficulty eating, speaking and breathing. We will present one case of combined dentofacial deformity:PROGNATHISMUS ET LATEROGNATHISMUS MANDIBULARIS.Female patient, 34 years old. From anamnestic data we did not find out whether there were similar problems in the family. The motive for reporting to the clinic was aesthetics, although the patient complained of pain in both temporomandibular joints, difficulty eating and somewhat more difficult pronunciation of certain vocals.A treatment plan was based on:• Analysis of the face, based on profile and en face photographs.• Analysis of occlusion, based on study models.• Roentgen-cephalometry of the profile and AP craniogram, performed on a computer as well as manually, confirmed the above mentioned diagnosis.The treatment was performed exclusively with intraoral and extraoral orthodontic appliances, and we therefore believe that it would be useful to present our experience with such a treatment method.The appearance of the patient after treatment can be seen on the photographs. Repeated cephalometric analyses were performed after completion of the treatment. All parameters were within normal limits, as can be seen from the table presenting pre- and post treatment values. Analysis of the soft tissues also shows significant changes, and relations between the nose, upper lip, lower lip and chin are very good. Today dentofacial deformities are successfully solved. Good study analyses, which serve as the base for planning treatment, guarantee successful treatment. There are very few secrets in ortognatic treatment, but it still requires high professionalism and effectivness.

4. Gašparović S, Milić M, Čabov T. Anaesthesia in Oral Surgery. Acta Stomatol Croat. 2003;37(3):324.
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   Title in English:	Anaesthesia in Oral Surgery
   Title in Croatian:	Anestezija u oralnoj kirurgiji
   Type of Article:	congress abstract
   MeSH:	SURGERY, ORAL + methods ANESTHESIA
   Abstract:	The majority of procedures in oral surgery are performed in the local anaesthesia. Only 5-10% are performed in general anaesthesia. Indications and complications of anaesthesia were examined in our study. In a retrospective study, during 2002, we analysed patients with procedures in oral surgery in the University Hospital Dubrava. 528 patients were divided according to anaesthesia and procedure. We performed these procedures in anaesthesia: dental extractions 306, dental treatment 65, alveotomy 121, incision in the oral cavity 36. Most of them were children and persons with mental retardation. Inhalation anaesthesia was performed in 298 patients, balanced anaesthesia in 197 pts and TIVA in 33. The basic indications for anaesthesia in our hospital were: persons with mental retardation 231, children under 5 years of age 140, adult 121, inflammation of the oral cavity with complications 36. We had the following complications: bronchospasm in two cases, arrhythmia three cases, vomiting two cases and in one case lost tooth (it was found in oesophagi). Our results show that 5,8% of all procedures in oral surgery were in general anaesthesia and complications occured in 1.6 %.