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Article ; Online: Assessment of dental students' knowledge of infection control and prevention during the COVID-19 pandemic.

Budak, Lea / Negovetić Vranić, Dubravka / Vranić, Lara

European journal of dental education : official journal of the Association for Dental Education in Europe

2024 Volume 28, Issue 2, Page(s) 679–688

Abstract: Introduction: Since the start of the COVID-19 pandemic, new guidelines for dental practice were published. This research aims to examine the knowledge of dental students and their attitudes towards current guidelines.: Materials and methods: The ... ...

Abstract	Introduction: Since the start of the COVID-19 pandemic, new guidelines for dental practice were published. This research aims to examine the knowledge of dental students and their attitudes towards current guidelines. Materials and methods: The study involved 76 fourth-year dental medicine students from three public universities in Croatia. A survey questionnaire was developed based on in-depth interviews and a pilot pretesting. The online questionnaire consisting of 36 questions was published using Google Forms. The survey data were analysed using Microsoft Excel and presented with descriptive statistics. Results: Survey data showed the dental students' knowledge of the guidelines for dental practices is at an insufficient level (average score of 67% correct answers). Students who have come across the guidelines outside the faculty environment through assistantships have demonstrated lesser knowledge (65%) of the guidelines than the ones who do not (68%). A similar trend is observed with dental students who grew up in a family of doctors of dental medicine (61%) and ones who did not (68%). Students also independently assessed their knowledge of the guidelines as moderate (3.15 out of 5), while evaluating the application of current guidelines as very important (4.38 out of 5). Conclusion: Awareness of dental students should be improved by adapting the curriculum of dental studies and increasing the availability of information on current guidelines. Dental students need to be motivated to independently inform themselves about the current guidelines for dental practices, thus improving their clinical work.
MeSH term(s)	Humans ; COVID-19 ; Students, Dental ; Pandemics ; Health Knowledge, Attitudes, Practice ; Education, Dental ; Infection Control ; Surveys and Questionnaires
Language	English
Publishing date	2024-02-20
Publishing country	England
Document type	Journal Article
ZDB-ID	1386587-0
ISSN	1600-0579 ; 1396-5883
ISSN (online)	1600-0579
ISSN	1396-5883
DOI	10.1111/eje.12995
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Article ; Online: Treatment priorities and arrival time of traumatic dental injuries-An 8-year retrospective study.

Šimunović, Luka / Špiljak, Bruno / Vranić, Lara / Negovetić Vranić, Dubravka

Dental traumatology : official publication of International Association for Dental Traumatology

2023 Volume 40, Issue 1, Page(s) 11–21

Abstract: Background/aim: Most of the previous studies in the available literature discussed the time of arrival in general to the healthcare system, while a minority studied the relationship between the type of trauma and arrival. The aim of this retrospective ... ...

Abstract	Background/aim: Most of the previous studies in the available literature discussed the time of arrival in general to the healthcare system, while a minority studied the relationship between the type of trauma and arrival. The aim of this retrospective study is to assess the arrival time of traumatic dental injuries (TDIs) depending on the urgency of treatment according to Andreasen. Materials and methods: This 8-year retrospective study was carried out at the Department of Pediatric Dentistry at the University Dental Clinic in Zagreb, Croatia. Andreasen's classification was used to define the kind of TDI as well as to divide them by the need for urgent treatment or treatment priorities in three groups: acute, subacute, and delayed. Results: The sample consisted of 1040 children (59% male and 41% female) with a median age of 7. Each year, the age group most affected by TDIs was 6-12 years old. While there is a general increase in the prevalence of TDIs overall, there is a decline in TDIs among children aged 6-12 and an increase among preschoolers and adolescents (below 6 and above 12 years old). Throughout the years, 52.73% red/acute and 41.16% yellow/subacute TDIs were not treated on time due to delayed arrival. More patients from Zagreb come in the first 24 h, while more patients from outside Zagreb come to the clinic a month or more after their injuries. Patients which suffered TDI accompanied with soft-tissue injury arrived sooner. Conclusions: It is necessary to introduce monitoring and education of patients under the age of 6 and over 12, as well as their parents/caregivers. New programs should be implemented and new referent centers that specialize in treating TDIs outside of Zagreb should be established.
MeSH term(s)	Child ; Adolescent ; Humans ; Male ; Female ; Tooth Injuries/therapy ; Tooth Injuries/epidemiology ; Retrospective Studies ; Tooth Fractures/epidemiology ; Soft Tissue Injuries ; Prevalence
Language	English
Publishing date	2023-09-25
Publishing country	Denmark
Document type	Journal Article
ZDB-ID	2030722-6
ISSN	1600-9657 ; 1600-4469
ISSN (online)	1600-9657
ISSN	1600-4469
DOI	10.1111/edt.12889
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Article ; Online: Retention and caries-preventive effect of four different sealant materials: A 2-year prospective split-mouth study.

Reić, Tihana / Galić, Tea / Negovetić Vranić, Dubravka

International journal of paediatric dentistry

2022 Volume 32, Issue 4, Page(s) 449–457

Abstract: Aim: The aim of this observational split-mouth study was to compare the retention and caries protective effect of four different sealant materials in children aged 6-13 years during a 2-year follow-up period.: Design: Eighty children were included in ...

Abstract	Aim: The aim of this observational split-mouth study was to compare the retention and caries protective effect of four different sealant materials in children aged 6-13 years during a 2-year follow-up period. Design: Eighty children were included in this study, which was conducted in Blato (Korčula island), Croatia. Each participant received at least two different sealant materials on caries-free permanent molars in two different quadrants. Sealant materials (M1 - glass-ionomer cement; M2, M4 - resin-based filled sealants; M3 - resin-based unfilled sealant) were delivered in a random order. Results: The results of this study showed that M2 (30 teeth, 46.2%) and M4 (27 teeth, 46.6%) showed statistically significantly higher number of teeth with total retention after 2-year follow-up period, in comparison with M1 (10 teeth, 19.2%) or M3 (12 teeth, 20.7%) (p < .001). There was no statistically significant difference in caries occurrence between different groups in which the sealant material was totally retained. Conclusions: According to the results of this study, filled resin-based sealant materials showed better retention during the 2-year follow-up period while both resin-based and glass-ionomer sealants demonstrated protection against dental caries if totally retained on the occlusal surface.
MeSH term(s)	Child ; Dental Caries/prevention & control ; Dental Caries Susceptibility ; Glass Ionomer Cements/therapeutic use ; Humans ; Molar ; Pit and Fissure Sealants/therapeutic use ; Prospective Studies
Chemical Substances	Glass Ionomer Cements ; Pit and Fissure Sealants
Language	English
Publishing date	2022-04-07
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	1070942-3
ISSN	1365-263X ; 0960-7439
ISSN (online)	1365-263X
ISSN	0960-7439
DOI	10.1111/ipd.12924
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Article: Relationship between COMT Gene Polymorphism, Anxiety, and Pain Perception during Labour.

Šanjug, Jadranka / Kuna, Krunoslav / Goldštajn, Marina Šprem / Dunkić, Lidija Fumić / Carek, Andreja / Negovetić Vranić, Dubravka

Journal of clinical medicine

2023 Volume 12, Issue 19

Abstract: Background: The COMT gene polymorphism is associated with neurological and psychiatric disorders and pain perception. The present study investigates the existence of anxiety and pain perception in relation to the COMT (catechol-O-methyltransferase) gene ...

Abstract	Background: The COMT gene polymorphism is associated with neurological and psychiatric disorders and pain perception. The present study investigates the existence of anxiety and pain perception in relation to the COMT (catechol-O-methyltransferase) gene polymorphism in labouring women (during "natural" childbirth) with or without inhaled analgesia. Methods: A total of 181 women who chose vaginal birth were enrolled in this study. To present the difference in pain perception, the parturients were divided into one group ( Results: In the 181 pregnant women, there were 40 women (22%) of wild homozygotes (GG) of COMT, 95 women (53%) of mutant heterozygotes (GA), and 46 women (25%) of mutant homozygotes (AA). A negative association of pain perception with the GA (mutant heterozygote) polymorphism of the COMT gene versus the wild-type (GG polymorphism) was observed. The GA polymorphism of the COMT gene was associated with 0.46 units lower pain perception compared to the wild type (GG). The anxiety trait score in group AA was lower than in groups GA and GG. The difference reached statistical significance only when comparing AA versus GA ( Conclusions: The COMT gene polymorphism was associated with pain perception and anxiety among parturients. The COMT gene polymorphism GA was associated with negative pain perception among labouring women. Nitrous oxide showed statistical significance in anxiolytic efficacy during labour in women with mild anxiety as a personality trait. Anxiolytic efficacy of nitrous oxide has shown better efficacy in parturients with the COMT gene polymorphism AA.
Language	English
Publishing date	2023-09-29
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm12196298
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Article: The Effect of Transcutaneous Electric Nerve Stimulation (TENS) on Anxiety and Fear in Children Aged 9-14 Years.

Cebalo, Nina / Negovetić Vranić, Dubravka / Bašić Kes, Vanja

Acta stomatologica Croatica

2021 Volume 54, Issue 4, Page(s) 412–419

Abstract: Introduction: Dental fear or dental phobia is caused by previous unpleasant dental experiences and pain. It can result in delaying or avoiding dental visits. Most often it leads to individuals avoiding visiting the dentist until physical pain completely ...

Abstract	Introduction: Dental fear or dental phobia is caused by previous unpleasant dental experiences and pain. It can result in delaying or avoiding dental visits. Most often it leads to individuals avoiding visiting the dentist until physical pain completely impairs the quality of life. Objectives: Transcutaneous electrical nerve stimulation (TENS) is a method of pain relief involving the use of a mild electrical current. The main aim of this study was to examine whether the TENS device affects the reduction of anxiety and fear during dental procedures. Material and methods: The study was conducted on a sample of 125 respondents, aged 9-14 years. Statistical significance of differences between pre- and post-treatment results on all applied measuring instruments was verified by the t-test for dependent samples. The calculation was performed for all respondents and individually for the three observed groups. The Children`s Fear Survey Schedule - Dental Subscale test was used to assess anxiety and fear. Results: The results on the CFSS-DS scale in all subjects did not differ statistically significantly before and after treatment (p > 0.05). The results on the CFSS-DS scale in subjects who received TENS were statistically significantly different before and after treatment (p < 0.01). The results on the CFSS-DS scale in subjects who received local anesthesia were statistically significantly different before and after treatment (p < 0.05). Conclusion: The TENS device had an anxiolytic effect after the first visit.
Language	English
Publishing date	2021-03-01
Publishing country	Croatia
Document type	Journal Article
ZDB-ID	603047-6
ISSN	0001-7019
ISSN	0001-7019
DOI	10.15644/asc54/4/8
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Article ; Online: Influence of nutritional and oral hygiene habits on oral health in Croatian island children of school age.

Reic, T / Galic, T / Milatic, K / Negovetic Vranic, D

European journal of paediatric dentistry

2019 Volume 20, Issue 3, Page(s) 183–188

Abstract: Aim: The aim of this cross-sectional (analytical) study was to investigate the influence of nutritional and hygienic habits on oral health in children.: Materials and methods: There were 143 children aged six to thirteen years attending primary ... ...

Abstract	Aim: The aim of this cross-sectional (analytical) study was to investigate the influence of nutritional and hygienic habits on oral health in children. Materials and methods: There were 143 children aged six to thirteen years attending primary school Blato, Blato, Croatia who participated in this study. Children were divided into groups according to age in younger primary school children (6-9 years old, n=82) and older primary school children (10-13 years old, n=61): according to gender in males (n=53) and females (n=90). The study was conducted by using a questionnaire of nutritional and hygienic habits and clinical dental examination. Decayed-missed-filled tooth index (DMFT) and plaque index were calculated. DIAGNOdent pen was used to assess caries presence on the first permanent molars. Results: There are no statistically significant differences in the consumption of sugar and sweetened beverages among the tested groups. There were 124 (86.71%) children brushing their teeth one or more times a day. The DMFT index for older children (10-13 years, DMFT=2.66±2.45) was significantly higher (p <0.001) than the DMFT index in younger children (6-9 years, DMFT=1.08±1.36). There is no statistically significant difference in the DMFT index between the sexes (p = 0.405). Results obtained by comparing the plaque index value among children of different ages and sexes show that there are no statistically significant differences among the comparable groups as well as the values obtained with the device KaVo DIAGNodent Pen in both groups (age and gender). Statistics: Statistical analysis was carried out using the MedCalc for Windows software version 11.5.1.0 (MedCalc software, Mariakerke, Belgium). For comparison of continuous variables, the Mann-Whitney U test was used, and a ?2-test was used to compare the category variables. The level of statistical significance was set at p <0.05. Conclusion: Results of this study showed that DMFT index is higher in older children than in younger children although their nutritional and oral hygiene habits are similar. Oral health in children of different sexes was the same as well as their nutritional and oral hygiene habits.
MeSH term(s)	Adolescent ; Aged ; Belgium ; Child ; Croatia ; Cross-Sectional Studies ; DMF Index ; Dental Caries ; Female ; Habits ; Humans ; Male ; Oral Health ; Oral Hygiene
Language	English
Publishing date	2019-09-05
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2035588-9
ISSN	2035-648X ; 1591-996X
ISSN (online)	2035-648X
ISSN	1591-996X
DOI	10.23804/ejpd.2019.20.03.03
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Article: The Effect of Transcoutaneous Electrical Nerve Stimulation on Pain Control during Dental Procedure in Children 9-14 Years Old.

Cebalo, Nina / Bašić Kes, Vanja / Urlić, Iris / Karlović, Zoran / Negovetić Vranić, Dubravka

Psychiatria Danubina

2022 Volume 33, Issue Suppl 4, Page(s) 1316–1319

Abstract: Introduction: Transcutaneous electrical nerve stimulation (TENS) is a non-pharmacological method widely used by medical specialists to manage acute and chronic pain in different circumstances. It can be used to manage pain during many dental procedures, ...

Abstract	Introduction: Transcutaneous electrical nerve stimulation (TENS) is a non-pharmacological method widely used by medical specialists to manage acute and chronic pain in different circumstances. It can be used to manage pain during many dental procedures, as well as pain due to various conditions affecting the maxillofacial region. The aim of this study was to provide insight into the clinical research evidence for the analgetic application of TENS in pediatric patients. The hypothesis was that TENS device will achieve analgetic effect on teeth during dental procedure. Methods: This study included 125 patients treated at the School of Dental Medicine, University of Zagreb clinic during two-year period. After diagnosis of caries and need for restorative treatment, patients were randomly selected in three groups. Group 1 received local anesthesia, group 2 had no anesthesia and group 3 used TENS device. Level of pain was measured with Visual Analogue Scale (VAS). Research was conducted by one therapist that was calibrated. Results: We found no statistically significant difference between TENS group and group without anesthesia(p>0.05). Conclusion: TENS device is not as efficient in achieving analgetic impact during dental procedure as local anesthesia.
MeSH term(s)	Adolescent ; Child ; Chronic Pain ; Dentistry ; Humans ; Pain Management ; Pain Measurement ; Transcutaneous Electric Nerve Stimulation/methods
Language	English
Publishing date	2022-05-03
Publishing country	Croatia
Document type	Journal Article
ZDB-ID	1067580-2
ISSN	0353-5053
ISSN	0353-5053
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Article ; Online: Exposure to Phosphates and Nitrites through Meat Products: Estimation of the Potential Risk to Pregnant Women.

Vranić, Danijela / Milešević, Jelena / Trbović, Dejana / Gurinović, Mirjana / Korićanac, Vladimir / Zeković, Milica / Petrović, Zoran / Ranković, Slavica / Milićević, Dragan

Nutrients

2023 Volume 15, Issue 12

Abstract: Diet during pregnancy is one of the most important nutritional challenges associated with some risks for the mother and the fetus. For the first time, the study aims to estimate long-term (2018-2022) exposure to nitrate and phosphates in Serbian pregnant ...

Abstract	Diet during pregnancy is one of the most important nutritional challenges associated with some risks for the mother and the fetus. For the first time, the study aims to estimate long-term (2018-2022) exposure to nitrate and phosphates in Serbian pregnant women, based on individual consumption data and accurate values measured in frequently consumed meat products. For this purpose, seven types of meat products, consisting of 3047 and 1943 samples, were collected from retail markets across Serbia, to analyze nitrites and phosphorus content, respectively. These data were combined with meat product consumption data from the Serbian National Food Consumption Survey to assess dietary intake of nitrites and phosphate. The results were compared with the acceptable daily intake (ADI) proposed by the European Food Safety Authority. The average dietary exposure (EDI) to phosphorus ranged from 0.733 mg/kg bw/day (liver sausage and pate) to 2.441 mg/kg bw/day (finely minced cooked sausages). Considering nitrite intake, the major sources were bacon (0.030 mg/kg bw/day) and coarsely minced cooked sausages (0.0189 mg/kg bw/day). In our study, average nitrite and phosphorus exposure in the Serbian pregnant women population are far below the EFSA recommendations (ADI 0.07 mg/kg bw/day and 40 mg/kg bw/day, respectively).
MeSH term(s)	Pregnancy ; Female ; Humans ; Nitrites ; Meat Products/analysis ; Pregnant Women ; Phosphates ; Diet ; Phosphorus ; Meat/analysis
Chemical Substances	Nitrites ; Phosphates ; Phosphorus (27YLU75U4W)
Language	English
Publishing date	2023-06-16
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu15122777
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Article: Understanding and Practices of Oral Hygiene in the Intensive Care Units: Perspectives of Medical Staff at Two University Hospital Centers.

Vucelić, Vesna / Bratić, Vesna / Negovetić Vranić, Dubravka / Tambić Andrašević, Arjana / Degoricija, Vesna / Mihaljević, Zlatan / Ramić, Snježana / Piteša Košutić, Ivana / Šimunović, Luka / Špiljak, Bruno / Brailo, Vlaho

Acta stomatologica Croatica

2024 Volume 58, Issue 1, Page(s) 85–93

Abstract: Objective: This study assesses the knowledge, practices, and attitudes of medical staff in intensive care units (ICUs) regarding oral hygiene care for critically ill, bedridden patients.: Material and methods: A cross-sectional study included 65 ... ...

Abstract	Objective: This study assesses the knowledge, practices, and attitudes of medical staff in intensive care units (ICUs) regarding oral hygiene care for critically ill, bedridden patients. Material and methods: A cross-sectional study included 65 employees from the Intensive Care Units of the Sestre Milosrdnice Clinical Hospital Centre (CHC SM) and the Clinic for Anesthesiology and Intensive Care at the University Clinical Hospital Centre Zagreb (CHC ZG). A self-administered questionnaire was used to assess knowledge, methods, frequency, and attitudes towards oral care for mechanically ventilated patients. The data were examined through descriptive statistical methods, presented in terms of proportions (percentages). For the purpose of comparing the feedback across the two hospital centers and different educational backgrounds, the Chi-square and Fisher's exact tests were employed. Results: Results of a survey of 65 participants (18 from CHC SM and 47 from CHC ZG) revealed a notable disparity in oral hygiene knowledge, with graduate nurses displaying the highest proportion of adequate knowledge (100%) and regular nurses showing the least (30.3%) (p<.001). Although the execution of oral care practices did not vary significantly among the groups, graduate nurses performed oral care more frequently (80% vs. baccalaureate technicians 33.33% and nurses 57.6%, three or more times a day) and demonstrated better proficiency in both mechanical (p=.005) and chemical (p<.001) biofilm management compared to their counterparts. No significant difference was observed in the delivery of oral care to orotracheally intubated patients across different educational levels (p=.127). However, a marked difference was noted in the perception of being adequately trained for such care, with nurses feeling less prepared (12.1%, p<.001). Despite these variances, all respondents recognized the importance of oral hygiene, thus showing a strong dedication to oral health care.
Language	English
Publishing date	2024-03-16
Publishing country	Croatia
Document type	Journal Article
ZDB-ID	603047-6
ISSN	0001-7019
ISSN	0001-7019
DOI	10.15644/asc58/1/8
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Article ; Online: The Best Dentistry Professional Visual Acuity Measured under Simulated Clinical Conditions Provides Keplerian Magnification Loupe: A Cross-Sectional Study.

Urlic, Iris / Pavan, Josip / Verzak, Zeljko / Karlovic, Zoran / Negovetic Vranic, Dubravka

Dentistry journal

2021 Volume 9, Issue 6

Abstract: Visual acuity plays an important role in dentists' vision in their daily clinical routine. This study aimed to determine dental students' visual acuity without optical aids and when using magnification devices in simulated clinical conditions. The ... ...

Abstract	Visual acuity plays an important role in dentists' vision in their daily clinical routine. This study aimed to determine dental students' visual acuity without optical aids and when using magnification devices in simulated clinical conditions. The participants were forty-six students at the School of Dental Medicine with a visual acuity of 1.0 in decimal values or 100% in percentage. The central visual acuity was tested using a miniature Snellen eye chart placed in the molar cavity of a dental phantom, in simulated clinical conditions under five different settings (natural visual acuity, by applying head magnifying glasses x1,5 and binocular magnifying devices using Galileo's x2,5/350 mm, Keplerx3,3/450 mm and Keplerx4,5/350 mm optical system). The Wilcoxon Signed Rank test shows that the distribution of measurements of the visual acuity undertaken by the application of magnifying devices (VNL, VGA2,5, VKP3,3, VKP4,5) contained higher values of visual acuity than those received by the use of natural vision (VSC) (
Language	English
Publishing date	2021-06-11
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2681351-8
ISSN	2304-6767 ; 2304-6767
ISSN (online)	2304-6767
ISSN	2304-6767
DOI	10.3390/dj9060069
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