Todorović, Vladimir S.

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  • Todorović, Vladimir S. (7)
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Peri-implant soft and hard tissue condition after alveolar ridge preservation with beta-tricalcium phosphate/type I collagen in the maxillary esthetic zone: A 1-year follow-up study

Jurišić, Tamara; Milić, Marija; Todorović, Vladimir S.; Živković, Marko; Jurišić, Milan; Milić-Lemić, Aleksandra; Tihaček-Šojić, Ljiljana; Brković, Božidar

(Vojnomedicinska akademija - Institut za naučne informacije, Beograd, 2020)

TY  - JOUR
AU  - Jurišić, Tamara
AU  - Milić, Marija
AU  - Todorović, Vladimir S.
AU  - Živković, Marko
AU  - Jurišić, Milan
AU  - Milić-Lemić, Aleksandra
AU  - Tihaček-Šojić, Ljiljana
AU  - Brković, Božidar
PY  - 2020
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2497
AB  - Background/Aim. Alveolar ridge dimensional alterations following tooth extraction in the anterior maxilla often result in an inadequate bone volume for a correct implant placement. In order to obtain optimal bone volume various bone graft substitutes have become commercially available and widely used for socket grafting. The aim of this study was to examine and compare long-term clinical outcomes of dental implant therapy in the maxillary esthetic zone, after socket grafting with beta-tricalcium phosphate (TCP) combined with collagen type I, either with or without barrier membrane and flap surgery, after a 12-month follow-up. Methods. Twenty healthy patients were allocated to either C group (beta-TCP and type I collagen without mucoperiosteal flap coverage) or C+M group (beta-TCP and type I collagen barrier membrane with mucoperiosteal flap coverage). Following clinical parameters were assessed: implant stability (evaluated by a resonance frequency analysis - RFA), periimplant soft tissue stability (sulcus bleeding index - SBI, Mombelli sulcus bleeding index - MBI, periimplant sulcus depth, keratinized gingiva width, gingival level) and marginal bone level at the retroalveolar radiograms. Results. Within C+M group, RFA values significantly increased 12 weeks after implant installation compared to primary RFA values. Comparison between investigated groups showed a significantly reduced keratinized gingiva width in the C+M group compared to the C group after 3, 6, 9 and 12 months. Comparison between groups revealed significantly lower gingival level values in the C+M group at 9th and 12th month when compared to the C group. Conclusion. Implant treatment in the anterior maxilla could be effective when using a 9 months alveolar ridge preservation healing with combined treatment with beta-tricalcium phosphate and type I collagen, with regard to the peri-implant soft and hard tissue stability.
AB  - Uvod/Cilj. Posle ekstrakcije zuba, dimenzionalne promene alveolarnog grebena u estetskoj regiji gornje vilice za posledicu često imaju nedovoljnu količinu kosti za ugradnju zubnih implanata. U vezi sa tim, primenjuju se različiti koštani zamenici sa ciljem očuvanja dimenzija alveolarnog grebena posle ekstrakcije zuba. Cilj rada bio je da se, posle prezervacije alveolarnog grebena beta-trikalcijum fosfatom (TCP) sa kolagenom tip 1, sa barijernom membranom i mukoperiostalnim režnjem i bez nje, ispitaju i uporede klinički ishodi zarastanja posle ugradnje zubnih implanata u estetskoj regiji gornje vilice, tokom jednogodišnjeg perioda praćenja. Metode. Dvadeset zdravih bolesnika podeljeno je u dve grupe: C (beta TCP/kolagen tip 1 bez barijerne membrane i mukoperiostalnog režnja) i C+M (beta TCP/kolagen tip 1 sa barijernom membranom i mukoperiostalnim režnjem). Praćeni su uobičajeni klinički parametri ishoda terapije: implantna stabilnost (analiza rezonantne frekvence), stanje mekih tkiva (indeks krvarenja, plak indeks, širina pripojne mukoze, recesija gingive) i nivo periimplantnog koštanog tkiva na retroalveolarnom radiogramu. Rezultati. U C+M grupi, implantna stabilnost posle 12 nedelja bila je značajno veća u odnosu na primarnu stabilnost. U C+M grupi, širina keratinizovane gingive bila je značajno manja posle 3, 6, 9 i 12 meseci u odnosu na C grupu. Recesija gingive bila je značajno veća u C+M grupi u odnosu na C grupu posle 9 i 12 meseci. Zaključak. Razmatrajući stabilnost mekog i tvrdog periimplantnog tkiva, terapija zubnim implantima može biti uspešna prilikom ugradnje u estetskoj regiji gornje vilice.
PB  - Vojnomedicinska akademija - Institut za naučne informacije, Beograd
T2  - Vojnosanitetski pregled
T1  - Peri-implant soft and hard tissue condition after alveolar ridge preservation with beta-tricalcium phosphate/type I collagen in the maxillary esthetic zone: A 1-year follow-up study
T1  - Stanje tvrdog i mekog periimplantnog tkiva u estetskoj regiji gornje vilice posle prezervacije alveolarnog grebena beta-trikalcijum fosfatom sa kolagenom tip I - studija sa jednogodišnjim periodom praćenja
VL  - 77
IS  - 1
SP  - 22
EP  - 28
DO  - 10.2298/VSP180128047J
ER  - 
@article{
author = "Jurišić, Tamara and Milić, Marija and Todorović, Vladimir S. and Živković, Marko and Jurišić, Milan and Milić-Lemić, Aleksandra and Tihaček-Šojić, Ljiljana and Brković, Božidar",
year = "2020",
abstract = "Background/Aim. Alveolar ridge dimensional alterations following tooth extraction in the anterior maxilla often result in an inadequate bone volume for a correct implant placement. In order to obtain optimal bone volume various bone graft substitutes have become commercially available and widely used for socket grafting. The aim of this study was to examine and compare long-term clinical outcomes of dental implant therapy in the maxillary esthetic zone, after socket grafting with beta-tricalcium phosphate (TCP) combined with collagen type I, either with or without barrier membrane and flap surgery, after a 12-month follow-up. Methods. Twenty healthy patients were allocated to either C group (beta-TCP and type I collagen without mucoperiosteal flap coverage) or C+M group (beta-TCP and type I collagen barrier membrane with mucoperiosteal flap coverage). Following clinical parameters were assessed: implant stability (evaluated by a resonance frequency analysis - RFA), periimplant soft tissue stability (sulcus bleeding index - SBI, Mombelli sulcus bleeding index - MBI, periimplant sulcus depth, keratinized gingiva width, gingival level) and marginal bone level at the retroalveolar radiograms. Results. Within C+M group, RFA values significantly increased 12 weeks after implant installation compared to primary RFA values. Comparison between investigated groups showed a significantly reduced keratinized gingiva width in the C+M group compared to the C group after 3, 6, 9 and 12 months. Comparison between groups revealed significantly lower gingival level values in the C+M group at 9th and 12th month when compared to the C group. Conclusion. Implant treatment in the anterior maxilla could be effective when using a 9 months alveolar ridge preservation healing with combined treatment with beta-tricalcium phosphate and type I collagen, with regard to the peri-implant soft and hard tissue stability., Uvod/Cilj. Posle ekstrakcije zuba, dimenzionalne promene alveolarnog grebena u estetskoj regiji gornje vilice za posledicu često imaju nedovoljnu količinu kosti za ugradnju zubnih implanata. U vezi sa tim, primenjuju se različiti koštani zamenici sa ciljem očuvanja dimenzija alveolarnog grebena posle ekstrakcije zuba. Cilj rada bio je da se, posle prezervacije alveolarnog grebena beta-trikalcijum fosfatom (TCP) sa kolagenom tip 1, sa barijernom membranom i mukoperiostalnim režnjem i bez nje, ispitaju i uporede klinički ishodi zarastanja posle ugradnje zubnih implanata u estetskoj regiji gornje vilice, tokom jednogodišnjeg perioda praćenja. Metode. Dvadeset zdravih bolesnika podeljeno je u dve grupe: C (beta TCP/kolagen tip 1 bez barijerne membrane i mukoperiostalnog režnja) i C+M (beta TCP/kolagen tip 1 sa barijernom membranom i mukoperiostalnim režnjem). Praćeni su uobičajeni klinički parametri ishoda terapije: implantna stabilnost (analiza rezonantne frekvence), stanje mekih tkiva (indeks krvarenja, plak indeks, širina pripojne mukoze, recesija gingive) i nivo periimplantnog koštanog tkiva na retroalveolarnom radiogramu. Rezultati. U C+M grupi, implantna stabilnost posle 12 nedelja bila je značajno veća u odnosu na primarnu stabilnost. U C+M grupi, širina keratinizovane gingive bila je značajno manja posle 3, 6, 9 i 12 meseci u odnosu na C grupu. Recesija gingive bila je značajno veća u C+M grupi u odnosu na C grupu posle 9 i 12 meseci. Zaključak. Razmatrajući stabilnost mekog i tvrdog periimplantnog tkiva, terapija zubnim implantima može biti uspešna prilikom ugradnje u estetskoj regiji gornje vilice.",
publisher = "Vojnomedicinska akademija - Institut za naučne informacije, Beograd",
journal = "Vojnosanitetski pregled",
title = "Peri-implant soft and hard tissue condition after alveolar ridge preservation with beta-tricalcium phosphate/type I collagen in the maxillary esthetic zone: A 1-year follow-up study, Stanje tvrdog i mekog periimplantnog tkiva u estetskoj regiji gornje vilice posle prezervacije alveolarnog grebena beta-trikalcijum fosfatom sa kolagenom tip I - studija sa jednogodišnjim periodom praćenja",
volume = "77",
number = "1",
pages = "22-28",
doi = "10.2298/VSP180128047J"
}
Jurišić, T., Milić, M., Todorović, V. S., Živković, M., Jurišić, M., Milić-Lemić, A., Tihaček-Šojić, L.,& Brković, B.. (2020). Peri-implant soft and hard tissue condition after alveolar ridge preservation with beta-tricalcium phosphate/type I collagen in the maxillary esthetic zone: A 1-year follow-up study. in Vojnosanitetski pregled
Vojnomedicinska akademija - Institut za naučne informacije, Beograd., 77(1), 22-28.
https://doi.org/10.2298/VSP180128047J
Jurišić T, Milić M, Todorović VS, Živković M, Jurišić M, Milić-Lemić A, Tihaček-Šojić L, Brković B. Peri-implant soft and hard tissue condition after alveolar ridge preservation with beta-tricalcium phosphate/type I collagen in the maxillary esthetic zone: A 1-year follow-up study. in Vojnosanitetski pregled. 2020;77(1):22-28.
doi:10.2298/VSP180128047J .
Jurišić, Tamara, Milić, Marija, Todorović, Vladimir S., Živković, Marko, Jurišić, Milan, Milić-Lemić, Aleksandra, Tihaček-Šojić, Ljiljana, Brković, Božidar, "Peri-implant soft and hard tissue condition after alveolar ridge preservation with beta-tricalcium phosphate/type I collagen in the maxillary esthetic zone: A 1-year follow-up study" in Vojnosanitetski pregled, 77, no. 1 (2020):22-28,
https://doi.org/10.2298/VSP180128047J . .
1
1

Oral rehabilitation of a patient with systemic lupus erythematosus using implant-supported fixed dentures: A case report with review of important considerations

Todorović, Vladimir S.; Milić, Marija; Vasović, Miroslav; Nikolić, Živorad

(Srpsko lekarsko društvo, Beograd, 2018)

TY  - JOUR
AU  - Todorović, Vladimir S.
AU  - Milić, Marija
AU  - Vasović, Miroslav
AU  - Nikolić, Živorad
PY  - 2018
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2349
AB  - Introduction Systemic lupus erythematosus (SLE) is a chronic autoimmune inflammatory disease with a variety of oral manifestations (dry mouth, reduced salivary flow, painful mucosal lesions and restricted mouth opening, impaired oral hygiene maintenance), as well as possible far-reaching systemic implications. In the context of SLE, oral rehabilitation with dental implants might be the most appropriate solution. However, a lack of available literature, as well as the absence of treatment protocols, often leads to unsatisfactory management of these patients. The aim of this paper was to describe oral rehabilitation of a patient with SLE using dental implants and fixed dentures in both jaws. Case outline A 66-year-old female patient, who had suffered from SLE for over 30 years, was referred for oral rehabilitation as her chief complaints related to the existing mobile partial dentures in the jaws and poor chewing ability. Proposed oral rehabilitation with fixed dentures supported by six dental implants in the maxilla and four dental implants in the mandible, as well as prosthetic restoration of the mandibular teeth, was accepted by the patient. During the follow-up period of three years, no biological complications were observed related to the performed treatment. Conclusion Dental implants might be the most suitable treatment modality for oral rehabilitation of patients suffering from SLE.
AB  - Uvod Sistemski eritematozni lupus (SLE) jeste hronično autoimuno oboljenje sa različitim sistemskim i oralnim manifestacijama (kserostomija, bolne sluzokožne lezije i bolno otvaranje usta, otežano sprovođenje adekvatne oralne higijene), kao i mogućim sistemskim komplikacijama. Oralna rehabilitacija bolesnika sa SLE fiksnim zubnim nadoknadama nošenim zubnim implantatima može predstavljati najprikladniji vid terapije. Međutim, usled ograničenih informacija iz dostupne literature, kao i nedostatka terapijskih protokola, i danas se u praksi ovi bolesnici neadekvatno protetski zbrinjavaju mobilnim nadoknadama. Cilj ovog rada je bio da prikaže bolesnicu obolelu od SLE koja je zbrinuta fiksnim zubnim nadoknadama nošenim zubnim implantatima u obe vilice. Prikaz bolesnika Žena, 66 godina stara, sa evolucijom SLE od 30 godina, upućena je na oralnu rehabilitaciju zbog problema sa mobilnim parcijalnim protezama obe vilice i nemogućnosti žvakanja. Prihvatila je preporučenu oralnu rehabilitaciju sa šest dentalnih implantata u gornjoj i četiri u donjoj vilici. Tokom perioda praćenja od tri godine nisu uočene biološke komplikacije. Zaključak Terapija zubnim implantatima se može smatrati najboljim terapijskim modalitetom u oralnoj rehabilitaciji bolesnika obolelih od SLE.
PB  - Srpsko lekarsko društvo, Beograd
T2  - Srpski arhiv za celokupno lekarstvo
T1  - Oral rehabilitation of a patient with systemic lupus erythematosus using implant-supported fixed dentures: A case report with review of important considerations
T1  - Oralna rehabilitacija bolesnika sa sistemskim eritematoznim lupusom fiksnim zubnim nadoknadama na zubnim implantatima - prikaz slučaja i pregled značajnih saznanja
VL  - 146
IS  - 9-10
SP  - 567
EP  - 571
DO  - 10.2298/SARH170912209T
ER  - 
@article{
author = "Todorović, Vladimir S. and Milić, Marija and Vasović, Miroslav and Nikolić, Živorad",
year = "2018",
abstract = "Introduction Systemic lupus erythematosus (SLE) is a chronic autoimmune inflammatory disease with a variety of oral manifestations (dry mouth, reduced salivary flow, painful mucosal lesions and restricted mouth opening, impaired oral hygiene maintenance), as well as possible far-reaching systemic implications. In the context of SLE, oral rehabilitation with dental implants might be the most appropriate solution. However, a lack of available literature, as well as the absence of treatment protocols, often leads to unsatisfactory management of these patients. The aim of this paper was to describe oral rehabilitation of a patient with SLE using dental implants and fixed dentures in both jaws. Case outline A 66-year-old female patient, who had suffered from SLE for over 30 years, was referred for oral rehabilitation as her chief complaints related to the existing mobile partial dentures in the jaws and poor chewing ability. Proposed oral rehabilitation with fixed dentures supported by six dental implants in the maxilla and four dental implants in the mandible, as well as prosthetic restoration of the mandibular teeth, was accepted by the patient. During the follow-up period of three years, no biological complications were observed related to the performed treatment. Conclusion Dental implants might be the most suitable treatment modality for oral rehabilitation of patients suffering from SLE., Uvod Sistemski eritematozni lupus (SLE) jeste hronično autoimuno oboljenje sa različitim sistemskim i oralnim manifestacijama (kserostomija, bolne sluzokožne lezije i bolno otvaranje usta, otežano sprovođenje adekvatne oralne higijene), kao i mogućim sistemskim komplikacijama. Oralna rehabilitacija bolesnika sa SLE fiksnim zubnim nadoknadama nošenim zubnim implantatima može predstavljati najprikladniji vid terapije. Međutim, usled ograničenih informacija iz dostupne literature, kao i nedostatka terapijskih protokola, i danas se u praksi ovi bolesnici neadekvatno protetski zbrinjavaju mobilnim nadoknadama. Cilj ovog rada je bio da prikaže bolesnicu obolelu od SLE koja je zbrinuta fiksnim zubnim nadoknadama nošenim zubnim implantatima u obe vilice. Prikaz bolesnika Žena, 66 godina stara, sa evolucijom SLE od 30 godina, upućena je na oralnu rehabilitaciju zbog problema sa mobilnim parcijalnim protezama obe vilice i nemogućnosti žvakanja. Prihvatila je preporučenu oralnu rehabilitaciju sa šest dentalnih implantata u gornjoj i četiri u donjoj vilici. Tokom perioda praćenja od tri godine nisu uočene biološke komplikacije. Zaključak Terapija zubnim implantatima se može smatrati najboljim terapijskim modalitetom u oralnoj rehabilitaciji bolesnika obolelih od SLE.",
publisher = "Srpsko lekarsko društvo, Beograd",
journal = "Srpski arhiv za celokupno lekarstvo",
title = "Oral rehabilitation of a patient with systemic lupus erythematosus using implant-supported fixed dentures: A case report with review of important considerations, Oralna rehabilitacija bolesnika sa sistemskim eritematoznim lupusom fiksnim zubnim nadoknadama na zubnim implantatima - prikaz slučaja i pregled značajnih saznanja",
volume = "146",
number = "9-10",
pages = "567-571",
doi = "10.2298/SARH170912209T"
}
Todorović, V. S., Milić, M., Vasović, M.,& Nikolić, Ž.. (2018). Oral rehabilitation of a patient with systemic lupus erythematosus using implant-supported fixed dentures: A case report with review of important considerations. in Srpski arhiv za celokupno lekarstvo
Srpsko lekarsko društvo, Beograd., 146(9-10), 567-571.
https://doi.org/10.2298/SARH170912209T
Todorović VS, Milić M, Vasović M, Nikolić Ž. Oral rehabilitation of a patient with systemic lupus erythematosus using implant-supported fixed dentures: A case report with review of important considerations. in Srpski arhiv za celokupno lekarstvo. 2018;146(9-10):567-571.
doi:10.2298/SARH170912209T .
Todorović, Vladimir S., Milić, Marija, Vasović, Miroslav, Nikolić, Živorad, "Oral rehabilitation of a patient with systemic lupus erythematosus using implant-supported fixed dentures: A case report with review of important considerations" in Srpski arhiv za celokupno lekarstvo, 146, no. 9-10 (2018):567-571,
https://doi.org/10.2298/SARH170912209T . .
1
1

Clinical evaluation of immediately loaded short hybrid self-tapping implants inserted in the posterior maxilla

Todorović, Vladimir S.

(Univerzitet u Beogradu, Stomatološki fakultet, 2017)

TY  - THES
AU  - Todorović, Vladimir S.
PY  - 2017
UR  - http://eteze.bg.ac.rs/application/showtheses?thesesId=6045
UR  - https://fedorabg.bg.ac.rs/fedora/get/o:18379/bdef:Content/download
UR  - http://vbs.rs/scripts/cobiss?command=DISPLAY&base=70036&RID=49918223
UR  - http://nardus.mpn.gov.rs/123456789/10086
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1017
AB  - INTRODUCTION: The placement of endoseous dental implants to replace lost teeth has become a routine and predictable treatment modality. Dental implant macro- and microdesign, materials, as well as loading protocols have improved over time. The aim of shortening the overall treatment time has led to the introduction of immediate or early loading protocols that replaced the conventional (i.e. two-phase or Branemark`s) loading protocol, which required 3 to 6 months of undisturbed healing prior to implant loading. Several clinical trials have analysed immediate or early loading protocols using different implant designs. In most of these studies implants were inserted predominantly in sites with good bone quality in order to achieve adequate primary stability, which is one of the prerequisites for implant treatment success, but even more important when implants are loaded immediately. The posterior maxilla has been considered an anatomical region not suitable for immediate or early loading protocols, due to poor bone quality, and few studies on this could be found in the literature. AIM: The aim of the present study was to evaluate the overall success rate of immediately and early loaded short, hybrid self-tapping implants inserted in the posterior maxilla by analysing clinical parameters such as primary implant stability, implant stability changes during observation period, peri-implant crestal bone loss, peri-implant soft tissue healing and criteria for implant treatment success. MATERIAL AND METHOD: The present prospective, randomized controlled (splitmouth) clinical trial included eight patients with bilateral posterior edentulism in the maxilla. After meticulous planning and preoperative procedures done, each patient received 6 implants in total (split-mouth design) in the first and second premolar and first molar sites. Both sides of the maxilla were assigned randomly to either immediate (IL) or early (EL) loading group. Total of 48 implants were analyzed, 24 implants in both investigated groups...
AB  - UVOD: Ugradnja zubnih implanata danas predstavlja rutinsku terapiju parcijalne i totalne bezubosti, sa predvidljivim ishodom. Period razvoja oralne implantologije obeležio je konstantan rad na unapređenju makro- i mikro-dizajna implanta, materijala za implantaciju, kao i protokola opterećenja. Sa ciljem skraćenja sveukupnog vremena implantne terapije došlo je do predstavljanja protokola imedijatnog ili ranog opterećenja, koji su zamenili inicijalno preporučeni konvencionalni (tzv. dvofazni ili Branemarkov) protokol opterećenja, koji je podrazumevao period mirovanja od 3 do 6 meseci nakon ugradnje implanata. Analiza uspešnosti implantne terapije primenom implanata različitog makro- i mikro-dizajna, uz primenu protokola imedijatnog ili ranog opterećenja, sprovedena je u brojnim kliničkim studijama. Adekvatna primarna stabilnost implanta jedan je od osnovnih preduslova za uspeh implantne terapije, posebno kod primene protokola imedijatnog i ranog opterećenja, te su u pomenutim studijama implanti uglavnom ugrađivani u regije vilica sa dobrim kvalitetom kosti. Bočna regija gornje vilice, u kojoj preovlađuje slabiji kvalitet kosti, smatrana je nepovoljnom za primenu protokola imedijatnog ili ranog opterećenja, što je rezultiralo malim brojem studija na tu temu, kao i potrebom za dodatnom naučnom vrerifikacijom primene protokola imedijatnog opterećenja u pomenutoj anatomskog regiji. CILJ: Cilj ovog kliničkog istraživanja je bio da se ispita i uporedi uspešnost imedijatno i rano opterećenih kratkih, samourezujućih implanata ugrađenih u bočnu regiju gornje vilice, praćenjem i poređenjem odgovarajućih kliničkih parametara (vrednost primarne stabilnosti, promena vrednosti implantne stabilnosti u različitim vremenskim tačkama tokom perioda praćenja, vrednosti peri-implantne koštane resorpcije i vrednosti modifikovanog indeksa krvarenja (MBI) i modifikovanog plak indeksa (MPI)) i vrednosti kriterijuma uspešnosti. MATERIJAL I METOD: U ovu prospektivnu randomizovanu kliničku studiju, sa «splithmouth » dizajnom, bilo je uključeno osam pacijenata sa obostranom terminalnom bezubosti u gornjoj vilici...
PB  - Univerzitet u Beogradu, Stomatološki fakultet
T1  - Clinical evaluation of immediately loaded short hybrid self-tapping implants inserted in the posterior maxilla
T1  - Klinička procena uspešnosti imedijatno opterećenih kratkih samourezujućih implantata ugrađenih u bočnu regiju gornje vilice
UR  - https://hdl.handle.net/21.15107/rcub_nardus_10086
ER  - 
@phdthesis{
author = "Todorović, Vladimir S.",
year = "2017",
abstract = "INTRODUCTION: The placement of endoseous dental implants to replace lost teeth has become a routine and predictable treatment modality. Dental implant macro- and microdesign, materials, as well as loading protocols have improved over time. The aim of shortening the overall treatment time has led to the introduction of immediate or early loading protocols that replaced the conventional (i.e. two-phase or Branemark`s) loading protocol, which required 3 to 6 months of undisturbed healing prior to implant loading. Several clinical trials have analysed immediate or early loading protocols using different implant designs. In most of these studies implants were inserted predominantly in sites with good bone quality in order to achieve adequate primary stability, which is one of the prerequisites for implant treatment success, but even more important when implants are loaded immediately. The posterior maxilla has been considered an anatomical region not suitable for immediate or early loading protocols, due to poor bone quality, and few studies on this could be found in the literature. AIM: The aim of the present study was to evaluate the overall success rate of immediately and early loaded short, hybrid self-tapping implants inserted in the posterior maxilla by analysing clinical parameters such as primary implant stability, implant stability changes during observation period, peri-implant crestal bone loss, peri-implant soft tissue healing and criteria for implant treatment success. MATERIAL AND METHOD: The present prospective, randomized controlled (splitmouth) clinical trial included eight patients with bilateral posterior edentulism in the maxilla. After meticulous planning and preoperative procedures done, each patient received 6 implants in total (split-mouth design) in the first and second premolar and first molar sites. Both sides of the maxilla were assigned randomly to either immediate (IL) or early (EL) loading group. Total of 48 implants were analyzed, 24 implants in both investigated groups..., UVOD: Ugradnja zubnih implanata danas predstavlja rutinsku terapiju parcijalne i totalne bezubosti, sa predvidljivim ishodom. Period razvoja oralne implantologije obeležio je konstantan rad na unapređenju makro- i mikro-dizajna implanta, materijala za implantaciju, kao i protokola opterećenja. Sa ciljem skraćenja sveukupnog vremena implantne terapije došlo je do predstavljanja protokola imedijatnog ili ranog opterećenja, koji su zamenili inicijalno preporučeni konvencionalni (tzv. dvofazni ili Branemarkov) protokol opterećenja, koji je podrazumevao period mirovanja od 3 do 6 meseci nakon ugradnje implanata. Analiza uspešnosti implantne terapije primenom implanata različitog makro- i mikro-dizajna, uz primenu protokola imedijatnog ili ranog opterećenja, sprovedena je u brojnim kliničkim studijama. Adekvatna primarna stabilnost implanta jedan je od osnovnih preduslova za uspeh implantne terapije, posebno kod primene protokola imedijatnog i ranog opterećenja, te su u pomenutim studijama implanti uglavnom ugrađivani u regije vilica sa dobrim kvalitetom kosti. Bočna regija gornje vilice, u kojoj preovlađuje slabiji kvalitet kosti, smatrana je nepovoljnom za primenu protokola imedijatnog ili ranog opterećenja, što je rezultiralo malim brojem studija na tu temu, kao i potrebom za dodatnom naučnom vrerifikacijom primene protokola imedijatnog opterećenja u pomenutoj anatomskog regiji. CILJ: Cilj ovog kliničkog istraživanja je bio da se ispita i uporedi uspešnost imedijatno i rano opterećenih kratkih, samourezujućih implanata ugrađenih u bočnu regiju gornje vilice, praćenjem i poređenjem odgovarajućih kliničkih parametara (vrednost primarne stabilnosti, promena vrednosti implantne stabilnosti u različitim vremenskim tačkama tokom perioda praćenja, vrednosti peri-implantne koštane resorpcije i vrednosti modifikovanog indeksa krvarenja (MBI) i modifikovanog plak indeksa (MPI)) i vrednosti kriterijuma uspešnosti. MATERIJAL I METOD: U ovu prospektivnu randomizovanu kliničku studiju, sa «splithmouth » dizajnom, bilo je uključeno osam pacijenata sa obostranom terminalnom bezubosti u gornjoj vilici...",
publisher = "Univerzitet u Beogradu, Stomatološki fakultet",
title = "Clinical evaluation of immediately loaded short hybrid self-tapping implants inserted in the posterior maxilla, Klinička procena uspešnosti imedijatno opterećenih kratkih samourezujućih implantata ugrađenih u bočnu regiju gornje vilice",
url = "https://hdl.handle.net/21.15107/rcub_nardus_10086"
}
Todorović, V. S.. (2017). Clinical evaluation of immediately loaded short hybrid self-tapping implants inserted in the posterior maxilla. 
Univerzitet u Beogradu, Stomatološki fakultet..
https://hdl.handle.net/21.15107/rcub_nardus_10086
Todorović VS. Clinical evaluation of immediately loaded short hybrid self-tapping implants inserted in the posterior maxilla. 2017;.
https://hdl.handle.net/21.15107/rcub_nardus_10086 .
Todorović, Vladimir S., "Clinical evaluation of immediately loaded short hybrid self-tapping implants inserted in the posterior maxilla" (2017),
https://hdl.handle.net/21.15107/rcub_nardus_10086 .

Assessment of bone vascularity in the posterior maxilla during dental implant insertion by laser Doppler flowmetry.

Vasović, Miroslav; Todorović, Vladimir S.; Kršljak, Elena; Kanjevac, Tatjana; Koković, Vladimir

(Scientific Publishers India, Aligarh, 2017)

TY  - JOUR
AU  - Vasović, Miroslav
AU  - Todorović, Vladimir S.
AU  - Kršljak, Elena
AU  - Kanjevac, Tatjana
AU  - Koković, Vladimir
PY  - 2017
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2188
AB  - Bone quality is an important factor that may determine implant success. In addition to the other parameters that define bone quality, vascularity plays a vital role in the process of osseointegration of dental implants. Laser Doppler flowmetry (LDF) is an appropriate method for assessment of tissue vascularity at the level of microcirculation. It is non-invasive, painless and well accepted by the patients. The results are expressed in Perfusion Units (PU). The aim of this study was to estimate bone vascularity in the human posterior maxilla during implant insertion using LDF. Nine patients, three females and six males, mean age 57.56 +/- 8.83 years, consecutively treated with 54 implants were enrolled in this study. Implants were inserted in the posterior maxilla, in positions of first premolar, second premolar and first molar bilaterally in each patient. After implant site preparation with a drill of diameter 2.8 mm, bone vascularity was measured using LDF. Mean LDF value for 54 osteotomy sites was 43.39 +/- 14.65 PU. Results of the present study showed there wasn't statistically significant difference in LDF values between implant site positions and genders. It was also revealed that the proximity from the apical part of the implant site to the maxillary sinus floor had no influence on LDF values. Therefore, bone vascularity in the posterior maxilla could be measured by LDF during implant insertion, and those results might be considered as a standard data for this part of the upper jaw.
PB  - Scientific Publishers India, Aligarh
T2  - Biomedical Research - India
T1  - Assessment of bone vascularity in the posterior maxilla during dental implant insertion by laser Doppler flowmetry.
VL  - 28
IS  - 9
SP  - 4228
EP  - 4232
UR  - https://hdl.handle.net/21.15107/rcub_smile_2188
ER  - 
@article{
author = "Vasović, Miroslav and Todorović, Vladimir S. and Kršljak, Elena and Kanjevac, Tatjana and Koković, Vladimir",
year = "2017",
abstract = "Bone quality is an important factor that may determine implant success. In addition to the other parameters that define bone quality, vascularity plays a vital role in the process of osseointegration of dental implants. Laser Doppler flowmetry (LDF) is an appropriate method for assessment of tissue vascularity at the level of microcirculation. It is non-invasive, painless and well accepted by the patients. The results are expressed in Perfusion Units (PU). The aim of this study was to estimate bone vascularity in the human posterior maxilla during implant insertion using LDF. Nine patients, three females and six males, mean age 57.56 +/- 8.83 years, consecutively treated with 54 implants were enrolled in this study. Implants were inserted in the posterior maxilla, in positions of first premolar, second premolar and first molar bilaterally in each patient. After implant site preparation with a drill of diameter 2.8 mm, bone vascularity was measured using LDF. Mean LDF value for 54 osteotomy sites was 43.39 +/- 14.65 PU. Results of the present study showed there wasn't statistically significant difference in LDF values between implant site positions and genders. It was also revealed that the proximity from the apical part of the implant site to the maxillary sinus floor had no influence on LDF values. Therefore, bone vascularity in the posterior maxilla could be measured by LDF during implant insertion, and those results might be considered as a standard data for this part of the upper jaw.",
publisher = "Scientific Publishers India, Aligarh",
journal = "Biomedical Research - India",
title = "Assessment of bone vascularity in the posterior maxilla during dental implant insertion by laser Doppler flowmetry.",
volume = "28",
number = "9",
pages = "4228-4232",
url = "https://hdl.handle.net/21.15107/rcub_smile_2188"
}
Vasović, M., Todorović, V. S., Kršljak, E., Kanjevac, T.,& Koković, V.. (2017). Assessment of bone vascularity in the posterior maxilla during dental implant insertion by laser Doppler flowmetry.. in Biomedical Research - India
Scientific Publishers India, Aligarh., 28(9), 4228-4232.
https://hdl.handle.net/21.15107/rcub_smile_2188
Vasović M, Todorović VS, Kršljak E, Kanjevac T, Koković V. Assessment of bone vascularity in the posterior maxilla during dental implant insertion by laser Doppler flowmetry.. in Biomedical Research - India. 2017;28(9):4228-4232.
https://hdl.handle.net/21.15107/rcub_smile_2188 .
Vasović, Miroslav, Todorović, Vladimir S., Kršljak, Elena, Kanjevac, Tatjana, Koković, Vladimir, "Assessment of bone vascularity in the posterior maxilla during dental implant insertion by laser Doppler flowmetry." in Biomedical Research - India, 28, no. 9 (2017):4228-4232,
https://hdl.handle.net/21.15107/rcub_smile_2188 .
1

Efficacy of fentanyl transdermal patch in pain control after lower third molar surgery: A preliminary study

Todorović, Vladimir S.; Vasović, Miroslav; Andrić, Miroslav; Todorović, Ljubomir; Koković, Vladimir

(Medicina Oral S L, Valencia, 2016)

TY  - JOUR
AU  - Todorović, Vladimir S.
AU  - Vasović, Miroslav
AU  - Andrić, Miroslav
AU  - Todorović, Ljubomir
AU  - Koković, Vladimir
PY  - 2016
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2121
AB  - Background: Surgical removal of impacted lower third molars is a common oral surgical procedure, generally followed by moderate to severe postoperative pain. Transdermal drug delivery as a concept offers interesting possibilities for postoperative pain control. The aim of this study was to evaluate the efficacy of transdermal system with fentanyl in relieving pain following impacted lower third molar surgery. Material and Methods: Seventeen patients with bilateral impacted lower third molars were included in this preliminary study. For postoperative pain control, patients randomly received a fentanyl patch plus placebo tablet after the first operation and regular (placebo) patch and an analgesic, after the second operation. Analgesia was evaluated during first 24 hours postoperatively according to patients' reports about time of first pain appearance and additional analgesic consumption. Pain severity was rated using a 10 cm long visual analogue scale (VAS). Results: Intensity of postoperative pain and postoperative analgesic consumption were significantly lower after the Fentanyl Transdermal System (FTS) was applied (p lt 0.05). Duration of postoperative analgesia was significantly higher with FTS when compared to control treatment (p lt 0.05). Conclusions: Based on the results of this preliminary study, transdermal system with fentanyl significantly reduced postoperative pain after third molar surgery.
PB  - Medicina Oral S L, Valencia
T2  - Medicina Oral Patologia Oral Y Cirugia Bucal
T1  - Efficacy of fentanyl transdermal patch in pain control after lower third molar surgery: A preliminary study
VL  - 21
IS  - 5
SP  - E621
EP  - E625
DO  - 10.4317/medoral.21161
ER  - 
@article{
author = "Todorović, Vladimir S. and Vasović, Miroslav and Andrić, Miroslav and Todorović, Ljubomir and Koković, Vladimir",
year = "2016",
abstract = "Background: Surgical removal of impacted lower third molars is a common oral surgical procedure, generally followed by moderate to severe postoperative pain. Transdermal drug delivery as a concept offers interesting possibilities for postoperative pain control. The aim of this study was to evaluate the efficacy of transdermal system with fentanyl in relieving pain following impacted lower third molar surgery. Material and Methods: Seventeen patients with bilateral impacted lower third molars were included in this preliminary study. For postoperative pain control, patients randomly received a fentanyl patch plus placebo tablet after the first operation and regular (placebo) patch and an analgesic, after the second operation. Analgesia was evaluated during first 24 hours postoperatively according to patients' reports about time of first pain appearance and additional analgesic consumption. Pain severity was rated using a 10 cm long visual analogue scale (VAS). Results: Intensity of postoperative pain and postoperative analgesic consumption were significantly lower after the Fentanyl Transdermal System (FTS) was applied (p lt 0.05). Duration of postoperative analgesia was significantly higher with FTS when compared to control treatment (p lt 0.05). Conclusions: Based on the results of this preliminary study, transdermal system with fentanyl significantly reduced postoperative pain after third molar surgery.",
publisher = "Medicina Oral S L, Valencia",
journal = "Medicina Oral Patologia Oral Y Cirugia Bucal",
title = "Efficacy of fentanyl transdermal patch in pain control after lower third molar surgery: A preliminary study",
volume = "21",
number = "5",
pages = "E621-E625",
doi = "10.4317/medoral.21161"
}
Todorović, V. S., Vasović, M., Andrić, M., Todorović, L.,& Koković, V.. (2016). Efficacy of fentanyl transdermal patch in pain control after lower third molar surgery: A preliminary study. in Medicina Oral Patologia Oral Y Cirugia Bucal
Medicina Oral S L, Valencia., 21(5), E621-E625.
https://doi.org/10.4317/medoral.21161
Todorović VS, Vasović M, Andrić M, Todorović L, Koković V. Efficacy of fentanyl transdermal patch in pain control after lower third molar surgery: A preliminary study. in Medicina Oral Patologia Oral Y Cirugia Bucal. 2016;21(5):E621-E625.
doi:10.4317/medoral.21161 .
Todorović, Vladimir S., Vasović, Miroslav, Andrić, Miroslav, Todorović, Ljubomir, Koković, Vladimir, "Efficacy of fentanyl transdermal patch in pain control after lower third molar surgery: A preliminary study" in Medicina Oral Patologia Oral Y Cirugia Bucal, 21, no. 5 (2016):E621-E625,
https://doi.org/10.4317/medoral.21161 . .
1
10
2
8

Immediate vs. early loading of SLA implants in the posterior mandible: 5-year results of randomized controlled clinical trial

Koković, Vladimir; Jung, Ronald; Feloutzis, Andreas; Todorović, Vladimir S.; Jurišić, Milan; Haemmerle, Christoph H. F.

(Wiley, Hoboken, 2014)

TY  - JOUR
AU  - Koković, Vladimir
AU  - Jung, Ronald
AU  - Feloutzis, Andreas
AU  - Todorović, Vladimir S.
AU  - Jurišić, Milan
AU  - Haemmerle, Christoph H. F.
PY  - 2014
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1957
AB  - ObjectivesThe aim of this study was to compare clinical results of immediate and early loading (EL) self-tapping implants placed in posterior mandibles. Material and methodsTwelve patients with bilateral edentulous posterior mandibular were randomly assigned to treatment either with immediate (test) or early loaded implants (control). Seventy-two self-tapping implants with SLA surface (O 4, 1/4, 8mm; length 8 and 10mm) were analyzed in this study. Test implants (36) were loaded on the day of surgery and control implants 6weeks later. The measuring of implant stability quotient (ISQ) was performed on 0, 6th, 12th, and 52nd week after implant insertion. The bone resorption, modified plaque, and bleeding index were notified at 1 and 5years later. ResultsAfter 5years, survival in the both groups was 100%. The mean value of primary implant stability was 76.920.79 ISQ. In the first 6weeks, ISQ values significantly increased in the test group (77.92 +/- 1.16 vs. 79.61 +/- 0.90) as well as in the control group (7.92 +/- 1.05 vs. 77.55 +/- 0.99). A significant longitudinal increase in ISQ value was recorded in test and control group. The differences between immediate and early loaded implants were statistically insignificant (P>0.05). At the 5years, no statistically significant differences were found between immediate and early loaded implants with respect to mean crestal bone loss measurements (0.4 +/- 0.24 vs. 0.8 +/- 0.15mm), mean bleeding index (0.22 +/- 0.11 vs. 0.25 +/- 0.11), and mean plaque index (0.17 +/- 0.15 vs. 0.19 +/- 0.20). ConclusionBased on these results, the self-tapping implants inserted in posterior mandible can provide adequate primary stability value as the main factor for immediate and EL protocol.
PB  - Wiley, Hoboken
T2  - Clinical Oral Implants Research
T1  - Immediate vs. early loading of SLA implants in the posterior mandible: 5-year results of randomized controlled clinical trial
VL  - 25
IS  - 2
SP  - E114
EP  - E119
DO  - 10.1111/clr.12072
ER  - 
@article{
author = "Koković, Vladimir and Jung, Ronald and Feloutzis, Andreas and Todorović, Vladimir S. and Jurišić, Milan and Haemmerle, Christoph H. F.",
year = "2014",
abstract = "ObjectivesThe aim of this study was to compare clinical results of immediate and early loading (EL) self-tapping implants placed in posterior mandibles. Material and methodsTwelve patients with bilateral edentulous posterior mandibular were randomly assigned to treatment either with immediate (test) or early loaded implants (control). Seventy-two self-tapping implants with SLA surface (O 4, 1/4, 8mm; length 8 and 10mm) were analyzed in this study. Test implants (36) were loaded on the day of surgery and control implants 6weeks later. The measuring of implant stability quotient (ISQ) was performed on 0, 6th, 12th, and 52nd week after implant insertion. The bone resorption, modified plaque, and bleeding index were notified at 1 and 5years later. ResultsAfter 5years, survival in the both groups was 100%. The mean value of primary implant stability was 76.920.79 ISQ. In the first 6weeks, ISQ values significantly increased in the test group (77.92 +/- 1.16 vs. 79.61 +/- 0.90) as well as in the control group (7.92 +/- 1.05 vs. 77.55 +/- 0.99). A significant longitudinal increase in ISQ value was recorded in test and control group. The differences between immediate and early loaded implants were statistically insignificant (P>0.05). At the 5years, no statistically significant differences were found between immediate and early loaded implants with respect to mean crestal bone loss measurements (0.4 +/- 0.24 vs. 0.8 +/- 0.15mm), mean bleeding index (0.22 +/- 0.11 vs. 0.25 +/- 0.11), and mean plaque index (0.17 +/- 0.15 vs. 0.19 +/- 0.20). ConclusionBased on these results, the self-tapping implants inserted in posterior mandible can provide adequate primary stability value as the main factor for immediate and EL protocol.",
publisher = "Wiley, Hoboken",
journal = "Clinical Oral Implants Research",
title = "Immediate vs. early loading of SLA implants in the posterior mandible: 5-year results of randomized controlled clinical trial",
volume = "25",
number = "2",
pages = "E114-E119",
doi = "10.1111/clr.12072"
}
Koković, V., Jung, R., Feloutzis, A., Todorović, V. S., Jurišić, M.,& Haemmerle, C. H. F.. (2014). Immediate vs. early loading of SLA implants in the posterior mandible: 5-year results of randomized controlled clinical trial. in Clinical Oral Implants Research
Wiley, Hoboken., 25(2), E114-E119.
https://doi.org/10.1111/clr.12072
Koković V, Jung R, Feloutzis A, Todorović VS, Jurišić M, Haemmerle CHF. Immediate vs. early loading of SLA implants in the posterior mandible: 5-year results of randomized controlled clinical trial. in Clinical Oral Implants Research. 2014;25(2):E114-E119.
doi:10.1111/clr.12072 .
Koković, Vladimir, Jung, Ronald, Feloutzis, Andreas, Todorović, Vladimir S., Jurišić, Milan, Haemmerle, Christoph H. F., "Immediate vs. early loading of SLA implants in the posterior mandible: 5-year results of randomized controlled clinical trial" in Clinical Oral Implants Research, 25, no. 2 (2014):E114-E119,
https://doi.org/10.1111/clr.12072 . .
52
46
54

Possibilities of reconstruction and implant-prosthetic rehabilitation following mandible resection

Konstantinović, Vitomir; Todorović, Vladimir S.; Lazić, Vojkan

(Vojnomedicinska akademija - Institut za naučne informacije, Beograd, 2013)

TY  - JOUR
AU  - Konstantinović, Vitomir
AU  - Todorović, Vladimir S.
AU  - Lazić, Vojkan
PY  - 2013
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1771
AB  - Introduction. Mandible reconstruction is still very challenging for surgeons. Mandible defects could be the consequence of ablative surgery for malignancies, huge jaw cysts, infection and trauma. Segmental resection of the mandible may compromise orofacial function and often lead to patients psychological disorders. Despite very frequent use of microvascular flaps, autogenous bone grafts are still very reliable technique for mandible reconstruction. Comprehensive therapy means not only mandible reconstruction, but prosthodontic rehabilitation supported by dental implants, which can significantly improve patients quality of life. The aim of this paper was to evaluate possible techniques of mandible reconstruction and to present a patient who had been submitted to mandible resection and reconstruction with autogenous iliac bone graft and prosthodontic rehabilitation with fixed denture anchoraged by disc-shaped implants in early loading protocol. Case report. Mandible reconstruction was performed simultaneously with resection. Autogenous iliac bone graft was taken, reshaped and placed in two parts, to the required optimal contour of the mandible. After graft consolidation, decision was made for prosthodontics rehabilitation with fixed dentures supported by implants. In addition to the standard preoperative procedures, planning was done based on a biomodel gained by rapid prototyping after CT scan. It offered a real 3D planning to obtain a proper shape, dimension and the position of implants. Conclusion. If bone dimensions of a reconstructed mandible are insufficient, like in the presented case, the use of basal osseointegrated implants may be a method of choice. Avoiding bone augmentation procedures, as well as early loading protocol for this type of implants, shorten the total rehabilitation time, which is very convenient for patients. Fixed denture supported by dental implants is the best solution for comprehensive rehabilitation after mandible resection.
AB  - Uvod. Rekonstrukcija mandibule još uvek predstavlja izazov za hirurga. Defekti mandibule mogu biti posledica radikalnog hirurškog tretmana malignih tumora, velikih vili- čnih cista, infekcija i povreda. Nedostatak dela vilične kosti kompromituje sve orofacijalne funkcije, a česti su i psihološki poremećaji. Pored sve učestalije primene mikrovaskularnih režnjeva, slobodni koštani graftovi su još uvek veoma pouzdan metod rekonstrukcije mandibule. Sveobuhvatna terapija pored rekonstrukcije mandibule podrazumeva i implantološko-protetičku rehabilitaciju, kojom se znatno poboljšava kvalitet života bolesnika. Cilj ovog rada bio je da se kroz pregled literature ocene metode rekonstrukcije mandibule i da se prikaže bolesnica kod koje je nakon segmentalne resekcije mandibule izvršena rehabilitacija fiksnom zubnom nadokanadom nošenom implantatima oblika diska. Prikaz bolesnika. U istom aktu sa resekcijom izvršena je i rekonstrukcija slobodnim koštanim ilijačnim graftom, koji je preoblikovan i postavljen iz dva dela, kako bi se uspostavio optimalan kontinuitet i forma mandibule. Po konsolidaciji grafta, postavljena je indikacija za izradu fiksne zubne nadoknade nošene implantatima. Pored standardnih preoperativnih procedura, izvršeno je realno trodimenzionalno planiranje na biomodelu dobijenim softverskom analizom CT podataka. Na taj način određen je oblik, veličina i najpovoljniji položaj implantata. Zaključak. Ukoliko su koštane dimenzije rekonstruisane mandibule nedovoljne, kao kod prikazane bolesnice, primena bazalnih oseointegrišućih implantata oblika diska može biti metoda izbora. Njihovom upotrebom izbegava se dodatna nadoknada kosti što uz rano opterećenje predstavlja pogodnost za bolesnike, jer se znatno skraćuje vreme rehabilitacije. Izrada fiksne zubne nadoknade nošene implantatima je najbolji način definitivne rehabilitacije bolesnika sa rekonstruisanom mandibulom.
PB  - Vojnomedicinska akademija - Institut za naučne informacije, Beograd
T2  - Vojnosanitetski pregled
T1  - Possibilities of reconstruction and implant-prosthetic rehabilitation following mandible resection
T1  - Mogućnosti rekonstrukcije i implantološko-protetičke rehabilitacije nakon resekcije mandibule
VL  - 70
IS  - 1
SP  - 80
EP  - 85
DO  - 10.2298/VSP1301080K
ER  - 
@article{
author = "Konstantinović, Vitomir and Todorović, Vladimir S. and Lazić, Vojkan",
year = "2013",
abstract = "Introduction. Mandible reconstruction is still very challenging for surgeons. Mandible defects could be the consequence of ablative surgery for malignancies, huge jaw cysts, infection and trauma. Segmental resection of the mandible may compromise orofacial function and often lead to patients psychological disorders. Despite very frequent use of microvascular flaps, autogenous bone grafts are still very reliable technique for mandible reconstruction. Comprehensive therapy means not only mandible reconstruction, but prosthodontic rehabilitation supported by dental implants, which can significantly improve patients quality of life. The aim of this paper was to evaluate possible techniques of mandible reconstruction and to present a patient who had been submitted to mandible resection and reconstruction with autogenous iliac bone graft and prosthodontic rehabilitation with fixed denture anchoraged by disc-shaped implants in early loading protocol. Case report. Mandible reconstruction was performed simultaneously with resection. Autogenous iliac bone graft was taken, reshaped and placed in two parts, to the required optimal contour of the mandible. After graft consolidation, decision was made for prosthodontics rehabilitation with fixed dentures supported by implants. In addition to the standard preoperative procedures, planning was done based on a biomodel gained by rapid prototyping after CT scan. It offered a real 3D planning to obtain a proper shape, dimension and the position of implants. Conclusion. If bone dimensions of a reconstructed mandible are insufficient, like in the presented case, the use of basal osseointegrated implants may be a method of choice. Avoiding bone augmentation procedures, as well as early loading protocol for this type of implants, shorten the total rehabilitation time, which is very convenient for patients. Fixed denture supported by dental implants is the best solution for comprehensive rehabilitation after mandible resection., Uvod. Rekonstrukcija mandibule još uvek predstavlja izazov za hirurga. Defekti mandibule mogu biti posledica radikalnog hirurškog tretmana malignih tumora, velikih vili- čnih cista, infekcija i povreda. Nedostatak dela vilične kosti kompromituje sve orofacijalne funkcije, a česti su i psihološki poremećaji. Pored sve učestalije primene mikrovaskularnih režnjeva, slobodni koštani graftovi su još uvek veoma pouzdan metod rekonstrukcije mandibule. Sveobuhvatna terapija pored rekonstrukcije mandibule podrazumeva i implantološko-protetičku rehabilitaciju, kojom se znatno poboljšava kvalitet života bolesnika. Cilj ovog rada bio je da se kroz pregled literature ocene metode rekonstrukcije mandibule i da se prikaže bolesnica kod koje je nakon segmentalne resekcije mandibule izvršena rehabilitacija fiksnom zubnom nadokanadom nošenom implantatima oblika diska. Prikaz bolesnika. U istom aktu sa resekcijom izvršena je i rekonstrukcija slobodnim koštanim ilijačnim graftom, koji je preoblikovan i postavljen iz dva dela, kako bi se uspostavio optimalan kontinuitet i forma mandibule. Po konsolidaciji grafta, postavljena je indikacija za izradu fiksne zubne nadoknade nošene implantatima. Pored standardnih preoperativnih procedura, izvršeno je realno trodimenzionalno planiranje na biomodelu dobijenim softverskom analizom CT podataka. Na taj način određen je oblik, veličina i najpovoljniji položaj implantata. Zaključak. Ukoliko su koštane dimenzije rekonstruisane mandibule nedovoljne, kao kod prikazane bolesnice, primena bazalnih oseointegrišućih implantata oblika diska može biti metoda izbora. Njihovom upotrebom izbegava se dodatna nadoknada kosti što uz rano opterećenje predstavlja pogodnost za bolesnike, jer se znatno skraćuje vreme rehabilitacije. Izrada fiksne zubne nadoknade nošene implantatima je najbolji način definitivne rehabilitacije bolesnika sa rekonstruisanom mandibulom.",
publisher = "Vojnomedicinska akademija - Institut za naučne informacije, Beograd",
journal = "Vojnosanitetski pregled",
title = "Possibilities of reconstruction and implant-prosthetic rehabilitation following mandible resection, Mogućnosti rekonstrukcije i implantološko-protetičke rehabilitacije nakon resekcije mandibule",
volume = "70",
number = "1",
pages = "80-85",
doi = "10.2298/VSP1301080K"
}
Konstantinović, V., Todorović, V. S.,& Lazić, V.. (2013). Possibilities of reconstruction and implant-prosthetic rehabilitation following mandible resection. in Vojnosanitetski pregled
Vojnomedicinska akademija - Institut za naučne informacije, Beograd., 70(1), 80-85.
https://doi.org/10.2298/VSP1301080K
Konstantinović V, Todorović VS, Lazić V. Possibilities of reconstruction and implant-prosthetic rehabilitation following mandible resection. in Vojnosanitetski pregled. 2013;70(1):80-85.
doi:10.2298/VSP1301080K .
Konstantinović, Vitomir, Todorović, Vladimir S., Lazić, Vojkan, "Possibilities of reconstruction and implant-prosthetic rehabilitation following mandible resection" in Vojnosanitetski pregled, 70, no. 1 (2013):80-85,
https://doi.org/10.2298/VSP1301080K . .
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