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  1. Article ; Online: Patient-related outcome measures and clinical evaluation of dental implant therapy in the elderly population-a cross - sectional study

    Dragović Svetlana / Lazić Zoran / Dragović Miroslav / Vukadinović Miroslav / Miličić Biljana / Špadijer-Gostović Aleksandra

    Vojnosanitetski Pregled, Vol 78, Iss 7, Pp 723-

    2021  Volume 729

    Abstract: Background/Aim. Oral health disorders are crucial regarding general health and quality of life of the elders. The aim of this cross-sectional study was to evaluate the long-term clinical and patient-centered outcomes of dental implants, placed in ... ...

    Abstract Background/Aim. Oral health disorders are crucial regarding general health and quality of life of the elders. The aim of this cross-sectional study was to evaluate the long-term clinical and patient-centered outcomes of dental implants, placed in partially and fully edentulous people older than 65 years. Methods. A total of 38 participants with an overall number of 168 implants were selected and underwent clinical and radiological examination. The implant survival rate, implant failure rate and other complications were recorded and analyzed. All participants agreed to respond to the Oral Health Impact Profile-14 (OHIP-14) questionnaire and another questionnaires on the Visual Analog Scale (VAS) related to their experiences and satisfaction with the overall implant treatment. Univariate and multivariate regression models were used to verify the relation between the OHIP score and the VAS questionnaires’ items. Results. The implant survival rate was 94.3%. The number of implants without any complication was 73.2% (123), while biological and technical ones occurred in 17.3% (29) and 9.5% (16) implants, respectively. Regarding quality of life, significant difference was found only between those who wear fixed and removable restauration (p = 0.001). The multivariate regression model showed that the degree of satisfaction with shape and size of dentures was significantly associated with lower OHIP scores, indicating a better quality of life. Conclusion. Ac-cording to the results obtained, it can be concluded that dental implant therapy in elderly people can be considered as predictable long-term treatment option regarding high implant survival rate, minimal complications and significantly better quality of life found in the group with fixed dentures.
    Keywords dental implants ; aged ; surveys and questionnaires ; quality of life ; patient satisfaction ; Medicine (General) ; R5-920
    Subject code 616
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Military Health Department, Ministry of Defance, Serbia
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: The effects of orthognathic surgery on mandibular movements in patients with mandibular prognathism

    Sinobad Vladimir / Dodić Slobodan / Strajnić Ljiljana / Vukadinović Miroslav

    Srpski Arhiv za Celokupno Lekarstvo, Vol 140, Iss 11-12, Pp 704-

    2012  Volume 710

    Abstract: Introduction. Mandibular prognathism, one of the most severe dentofacial deformities, affects the person’s appearance, psychological health and the quality of life in the most sensitive age period. Objective. The aim of this study was to evaluate the ... ...

    Abstract Introduction. Mandibular prognathism, one of the most severe dentofacial deformities, affects the person’s appearance, psychological health and the quality of life in the most sensitive age period. Objective. The aim of this study was to evaluate the effects of sagittal split ramus osteotomy on the range of mandibular border movements in the early postoperative period. Methods. The study was conducted on 20 patients, of mean age 20.8 years, with mandibular prognathism. All patients included in this study were operated on by bilateral sagittal spliting ramus osteotomy according to Obwegeser and Dal Pont followed by mandibular immobilization during eight weeks. In all patients mandibular border movements were recorded before and six months after surgery using the computerized pantograph Arcus-Digma (KaVo EWL GmbH, Leutkirch, Germany). Results. The analysis of the chosen kinematic parameters revealed that sagittal split ramus osteotomy followed by eight weeks of mandibular immobilization had severe effects on the mouth opening. Six months after surgery the range of maximal mouth opening decreased for approximately 13.9 mm in relation to the preoperative stage. On the contrary, the ranges of maximal protrusion and the border of laterotrusive excursions increased significantly after surgery. Conclusion. In patients with mandibular prognathism where enormous mandibular growth was the main causal factor of the deformity, the sagittal split ramus osteotomy yielded good results. The rigid fixation of bone fragments and reduced period of mandibular immobilization followed by appropriate physical therapy could considerably contribute to a more rapid recovery of mandibular kinematics in the postoperative period.
    Keywords mandibular prognathism ; mandibular movements ; orthognathic surgery ; Medicine ; R
    Subject code 796
    Language English
    Publishing date 2012-01-01T00:00:00Z
    Publisher Serbian Medical Society
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: [The effects of orthognathic surgery on mandibular movements in patients with mandibular prognathism].

    Sinobad, Vladimir / Dodić, Slobodan / Strajnić, Ljiljana / Vukadinović, Miroslav

    Srpski arhiv za celokupno lekarstvo

    2013  Volume 140, Issue 11-12, Page(s) 704–710

    Abstract: Introduction: Mandibular prognathism, one of the most severe dentofacial deformities, affects the person's appearance, psychological health and the quality of life in the most sensitive age period.: Objective: The aim of this study was to evaluate ... ...

    Abstract Introduction: Mandibular prognathism, one of the most severe dentofacial deformities, affects the person's appearance, psychological health and the quality of life in the most sensitive age period.
    Objective: The aim of this study was to evaluate the effects of sagittal split ramus osteotomy on the range of mandibular border movements in the early postoperative period.
    Methods: The study was conducted on 20 patients, of mean age 20.8 years, with mandibular prognathism. All patients included in this study were operated on by bilateral sagittal spliting ramus osteotomy according to Obwegeser and Dal Pont followed by mandibular immobilization during eight weeks. In all patients mandibular border movements were recorded before and six months after surgery using the computerized pantograph Arcus-Digma (KaVo EWL GmbH, Leutkirch, Germany).
    Results: The analysis of the chosen kinematic parameters revealed that sagittal split ramus osteotomy followed by eight weeks of mandibular immobilization had severe effects on the mouth opening. Six months after surgery the range of maximal mouth opening decreased for approximately 13.9 mm in relation to the preoperative stage. On the contrary, the ranges of maximal protrusion and the border of laterotrusive excursions increased significantly after surgery.
    Conclusion: In patients with mandibular prognathism where enormous mandibular growth was the main causal factor of the deformity, the sagittal split ramus osteotomy yielded good results. The rigid fixation of bone fragments and reduced period of mandibular immobilization followed by appropriate physical therapy could considerably contribute to a more rapid recovery of mandibular kinematics in the postoperative period.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Mandible/surgery ; Orthognathic Surgery/methods ; Osteotomy ; Prognathism/surgery ; Young Adult
    Language Serbian
    Publishing date 2013-01-23
    Publishing country Serbia
    Document type English Abstract ; Journal Article
    ZDB-ID 128567-1
    ISSN 0370-8179 ; 0354-2793 ; 0049-0210
    ISSN 0370-8179 ; 0354-2793 ; 0049-0210
    DOI 10.2298/sarh1212704s
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Analysis of sagittal condyl inclination in subjects with temporomandibular disorders

    Dodić Slobodan / Sinobad Vladimir / Vukadinović Miroslav

    Vojnosanitetski Pregled, Vol 67, Iss 5, Pp 391-

    2010  Volume 396

    Abstract: Bacground/Aim. Disturbances of mandibular border movements is considered to be one of the major signs of temporomandibular disorders (TMD). The purpose of this study was to evaluate the possible association between disturbances of mandibular border ... ...

    Abstract Bacground/Aim. Disturbances of mandibular border movements is considered to be one of the major signs of temporomandibular disorders (TMD). The purpose of this study was to evaluate the possible association between disturbances of mandibular border movements and the presence of symptoms of TMD in the young. Methods. This study included two groups of volunteers between 18 and 26 years of age. The study group included 30 examineers with signs (symptoms) of TMD, and the control group also included 30 persons without any signs (symptoms) of TMD. The presence of TMD was confirmed according to the craniomandibular index (Helkimo). The functional analysis of mandibular movements was performed in each subject using the computer pantograph. Results. The results of this study did not confirm any significant differences between the values of the condylar variables/sagittal condylar inclination, length of the sagital condylar guidance, in the control and in the study group. Conclusion. The study did not confirm significant differences in the length and inclination of the protrusive condylar guidance, as well as in the values of the sagittal condylar inclination between the subjects with the signs and symptoms of TMD and the normal asymptomatic subjects.
    Keywords temporomandibular joint disorders ; temporomandibular joint dysfunction syndrome ; jawrelation record ; mandibular diseases ; adolescent ; Medicine (General) ; R5-920
    Subject code 796
    Language English
    Publishing date 2010-01-01T00:00:00Z
    Publisher Military Health Department, Ministry of Defance, Serbia
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Analysis of polymorphism in the survivin gene promoter as a potential risk factor for head and neck cancers development

    Kostić Marija / Nikolić Nađa / Ilić Branislav / Čarkić Jelena / Milenković Sanja / Vukadinović Miroslav

    Srpski Arhiv za Celokupno Lekarstvo, Vol 141, Iss 5-6, Pp 304-

    2013  Volume 307

    Abstract: Introduction. Association studies have shown that gene polymorphisms in various classes of genes can modulate cancer risk. The -31G/C polymorphism in the promoter of survivin gene, affects the expression of the anti-apoptotic protein survivin which in ... ...

    Abstract Introduction. Association studies have shown that gene polymorphisms in various classes of genes can modulate cancer risk. The -31G/C polymorphism in the promoter of survivin gene, affects the expression of the anti-apoptotic protein survivin which in turn may predispose an individual to some types of cancer. Objective. The aim of the study was to determine whether the survivin promoter -31G/C polymorphism could be a susceptibility factor for squamous cell carcinoma (SCC) of the oral cavity and basal cell carcinoma (BCC) of the skin. Methods. The DNA obtained from 88 patients with SCC, 60 patients with BCC and 111 healthy individuals was subjected to polymerase chain reaction-restriction fragment length polymorphism analysis (PCR- RFLP) in order to determine genotype and allele frequencies in patients and control groups. Logistic regression was used for cancer risk assessment. Results. The following distribution of genotypes was obtained: CC genotype 15% in the SCC group, 13% in the BCC group and 12% in controls; CG genotype 41% in SCCs, 35% in BCCs, 48% in controls; GG genotype 44% in SCCs, 52% in BCCs and 40% in controls. Allelic frequencies were as follows: G allele 0.65 in SCCs, 0.69 in BCCs and 0.64 in the control group; C allele 0.35 in SCCs, 0.31 in BCCs and 0.36 in the control group. There was no statistically significant difference in allele or genotype frequencies between the patients and controls (p>0.05). Conclusion. In Serbian population, -31G/C polymorphism in the promoter of the survivin gene cannot be considered as a risk factor for oral squamous cell carcinoma and skin basal cell carcinoma. [Projekat Ministarstva nauke Republike Srbije, br. 175075]
    Keywords polymorphism ; survivin ; promoter ; head and neck cancers ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2013-01-01T00:00:00Z
    Publisher Serbian Medical Society
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: [Analysis of sagittal condyle inclination in subjects with temporomandibular disorders].

    Dodić, Slobodan / Sinobad, Vladimir / Vukadinović, Miroslav

    Vojnosanitetski pregled

    2010  Volume 67, Issue 5, Page(s) 391–396

    Abstract: Background/aim: Disturbances of mandibular border movements is considered to be one of the major signs of temporomandibular disorders (TMD). The purpose of this study was to evaluate the possible association between disturbances of mandibular border ... ...

    Abstract Background/aim: Disturbances of mandibular border movements is considered to be one of the major signs of temporomandibular disorders (TMD). The purpose of this study was to evaluate the possible association between disturbances of mandibular border movements and the presence of symptoms of TMD in the young.
    Methods: This study included two groups of volunteers between 18 and 26 years of age. The study group included 30 examineers with signs (symptoms) of TMD, and the control group also included 30 persons without any signs (symptoms) of TMD. The presence of TMD was confirmed according to the craniomandibular index (Helkimo). The functional analysis of mandibular movements was performed in each subject using the computer pantograph.
    Results: The results of this study did not confirm any significant differences between the values of the condylar variables/sagittal condylar inclination, length of the sagital condylar guidance, in the control and in the study group.
    Conclusion: The study did not confirm significant differences in the length and inclination of the protrusive condylar guidance, as well as in the values of the sagittal condylar inclination between the subjects with the signs and symptoms of TMD and the normal asymptomatic subjects.
    MeSH term(s) Adolescent ; Adult ; Humans ; Mandibular Condyle/pathology ; Mandibular Condyle/physiopathology ; Temporomandibular Joint Disorders/pathology ; Temporomandibular Joint Disorders/physiopathology ; Young Adult
    Language Serbian
    Publishing date 2010-05-20
    Publishing country Serbia
    Document type English Abstract ; Journal Article
    ZDB-ID 123795-0
    ISSN 0042-8450
    ISSN 0042-8450
    DOI 10.2298/vsp1005391d
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Roentgencraniometric analysis of the angular craniofacial dimensions in subjects with temporomandibular disorders

    Dodić Slobodan / Vukadinović Miroslav / Sinobad Vladimir

    Srpski Arhiv za Celokupno Lekarstvo, Vol 135, Iss 5-6, Pp 269-

    2007  Volume 274

    Abstract: Introduction: Anomalies in growth and development of the craniofacial skeleton, particularly of vertical dysplasia, may be accompanied by distinct signs and symptoms of temporomandibular disorders. Vertical dysplasia followed by numerous occlusal ... ...

    Abstract Introduction: Anomalies in growth and development of the craniofacial skeleton, particularly of vertical dysplasia, may be accompanied by distinct signs and symptoms of temporomandibular disorders. Vertical dysplasia followed by numerous occlusal disturbances alters muscular activity resulting in non-physiological strain on articular structures and their remodelling. Objective. The purpose of this study was to evaluate a possible assocciation between certain morphologic features of the craniofacial skeleton and the presence of signs and symptoms of temporomandibular disorders in young adults with preserved natural dentition. Method. The investigation was carried out on 30 lateral cephalometric radiographs made of 30 subjects with signs and symptoms of temporomandibular disorders. According to the values of the ANB angle (Steiner cephalometric analysis), all subjects were classified in the skeletal class 1.The control group consisted of 50 lateral cephalometric radiographs made of subjects with the skeletal class 1 without signs and symptoms of temporomandibular disorders. The roentgencraniometric analysis of lateral cephalometric radiographs included the evaluation of 20 angular dimensions. Results. The result of this study points at significant differences between the Bolton standards and the following angular dimensions in subjects with temoromandibular disorders:(S-Na)-Pg, (B-Na)-Pg, (Pns-Ans)-(Go-Gn), Occl-i, (S-Na)-i, (S-Na)-(Go-Me), (Go-Me)-i, SNB. The comparative analysis between the subjects of the experimental and the control group revealed significant differences in the values of the following angular dimensions: OccP-(Go-Po) i (S-N)-(Go-Me) at the level of p<0.001. Conclusion. The values of the analyzed angular dimensions in both subjects of the experimental and the control group show significant differences when related to the same angular dimensions in the Bolton standards. This can be explained by specific morphologic features of the craniofacial skeleton in subjects of our population. Small ...
    Keywords temporomandibular disorders ; roentgencraniometry ; Bolton standards ; Medicine ; R
    Subject code 150
    Language English
    Publishing date 2007-01-01T00:00:00Z
    Publisher Serbian Medical Society
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Roentgencraniometric evaluation of the craniofacial dimensions in subjects with symptoms of temporomandibular disorders

    Sinobad Vladimir / Vukadinović Miroslav / Dodić Slobodan

    Vojnosanitetski Pregled, Vol 63, Iss 9, Pp 793-

    2006  Volume 799

    Abstract: Background/aim: The aim of this study was to evaluate the possible association between certain morphologic features of the craniofacial skeleton and the presence of symptoms of temporomandibular disorders in young subjects with natural dentitions. ... ...

    Abstract Background/aim: The aim of this study was to evaluate the possible association between certain morphologic features of the craniofacial skeleton and the presence of symptoms of temporomandibular disorders in young subjects with natural dentitions. Methods. The investigation was carried out on 80 lateral cephalometric radiographs of two groups of male and female subjects between 18 and 25 years of age with natural dentitions. The analysed group consisted of 30 subjects with symptoms of temporomandibular disorders, and the control group of 50 subjects without such symptoms. According to the values of the ANB angle (position of the maxilla with the mandible- Steiner cephalometric analysis) all subjects were classified in the skeletal class 1. The roentgen craniometric analysis of cephalometric radiographs included the evaluation of 25 linear dimensions which values were compared between the examined groups and with the values of the same dimensions in the Bolton standards for 18 years of age. Results. The results of this study confirmed the presence of significant differences between the examined linear dimensions in the Bolton standards and the same dimensions measured in the subjects of the analyzed and the control group. The comparative analysis of these values between the groups confirmed the presence of significant differences in following linear dimensions at the level of p<0,00: S - Cs(Go), Mol - PP, Mol - MP and Ar - Go. Conclusion. Significant differences between the examined linear dimensions measured in the subjects included in this study and the same dimensions in the Bolton standards can be explained by specific morphologic features of the craniofacial skeleton in people of our population. Within the limitation of this study, the minor differences in the values of the examined linear variables between the subjects of the experimental and the control group can not be accepted as indicators of disturbed function of the orofacial system.
    Keywords temporomandibular joint disorders ; cephalometry ; radiography ; dental occlusion ; Medicine (General) ; R5-920
    Subject code 796
    Language English
    Publishing date 2006-01-01T00:00:00Z
    Publisher Military Health Department, Ministry of Defance, Serbia
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: The relationship of occlusal disharmonies and symptoms of temporomandibular disorders

    Dodić Slobodan / Stanišić-Sinobad Darinka / Vukadinović Miroslav

    Srpski Arhiv za Celokupno Lekarstvo, Vol 134, Iss 9-10, Pp 380-

    2006  Volume 385

    Abstract: Introduction: The influence of occlusal condition on the onset of temporomandibular disorder (TMD) has been strongly debated for many years and is still the source of controversy. Until 1980s, the occlusal factors such as the presence of uncured ... ...

    Abstract Introduction: The influence of occlusal condition on the onset of temporomandibular disorder (TMD) has been strongly debated for many years and is still the source of controversy. Until 1980s, the occlusal factors such as the presence of uncured malocclusions, discrepancies between intercuspal position (ICP) and retruded contact position (RCP) greater than two millimeters, occlusal abnormality, particularly mediotrusion and retrusion, and loss of posterior teeth were considered the primary causes of TMD. Objective: The objective of our study was to find correlation of occlusion disharmonies (difference between ICP and RCP) and present sings and symptoms of TMD. Method: The study involved 60 subjects between 18 and 26 years of age who were divided in two groups. The study group consisted of 30 subjects between 18 and 26 years of age with sings and symptoms of temporomandibular disorders (TMD). TMD was confirmed according to Helkimo index. An average value of Helkimo index in this group was 1. The control group included 30 subjects between 20 and 25 years of age without TMD sings and symptoms. An average value of Helkimo index in this group was 0. The function analysis of cinematic centers position in RCP and ICP was performed in each subject using the computer pantograph Arcus-Digma (KaVo EWL GmbH, Leutkirch, Germany). Results: The results of our study showed that the translation tracing of cinematic points from RCP to ICP was significantly different in TMD subjects and asymptomatic group (p>0.16). In addition, the study revealed that 53.4 % of subjects with sings and symptoms of temporomandibular disorders had marked translation in the lower temporomandibular joint (0.61-1.2 mm) what directed to intracapsular disorders. Conclusion: The results of our study suggested significant difference of RCP and ICP between subjects with sings and symptoms of the temporomandibular disorders and subjects without sings and symptoms.
    Keywords temporomandibular disorders ; occlusion ; occlusal factors ; Medicine ; R
    Subject code 150
    Language English
    Publishing date 2006-01-01T00:00:00Z
    Publisher Serbian Medical Society
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Use of the modified fries technique in the reconstruction of the lower lip after the removal of a malignant tumor

    Jezdić Zoran / Petrović Milan / Vukadinović Miroslav

    Vojnosanitetski Pregled, Vol 63, Iss 9, Pp 801-

    2006  Volume 806

    Abstract: Background/aim: Lip carcinoma makes about 1/4 of all oral carcinomas. Primary treatment of the lower lip carcinoma means radical excision of the full thickness of the lower lip tissue together with the tumor. The reconstruction of the defect accomplished ...

    Abstract Background/aim: Lip carcinoma makes about 1/4 of all oral carcinomas. Primary treatment of the lower lip carcinoma means radical excision of the full thickness of the lower lip tissue together with the tumor. The reconstruction of the defect accomplished after the removal of the lower lip tumor is a challenge for the surgeon and requires a detailed preoperative planning, the right choice of the method for reconstruction and the knowledge of the adequate surgical techniques needed. The aim of this study was to present a ten-year clinical results and experience concerning the reconstruction of lower lip defects longer than 4 cm by means of the modified Fries method in patients treated for the lower lip carcinoma. Methods. The reconstruction of the lower lip by means of the modified Fries method was performed in 37 patients. The following parameters were analyzed: sex, age, the time elapsed from the occurrence of the first symptoms until the first consultation with the doctor, the size of tumors, the size of the postexcision defect, TNM classification, the application of side diagnostic procedures, pathohistological diagnosis of postoperative complications. The sensibility of the lower lip region was monitored, as well as the obtained esthetic effects. Results. The results classified according to the mentioned parameters were processed, analyzed and displayed in detail. Clinical experience concerning the application of this reconstruction technique was presented and analyzed. Conclusion. The modified Fries technique can successfully be applied in the reconstruction of the lower lip defects longer than 4 cm because its application leads to satisfactory functional and acceptable esthetic results.
    Keywords lip neoplasms ; carcinoma ; squamous cell ; oral surgicalprocedures ; reconstructive surgical procedures ; treatment outcome ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2006-01-01T00:00:00Z
    Publisher Military Health Department, Ministry of Defance, Serbia
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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