[Periodontal conditions in insulin-dependent diabetics with and without complications].
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Biomedical subjects
Publications and source records attributed to M Starcević.
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A series of 3456 patients with malignant tumours of the maxillofacial region have been treated at the Clinic for Maxillofacial and Oral Surgery of the Military Medical Academy, Stomatological Clinic of the M.M.A. and Radiological Institute of Medical Faculty in Belgrade. The most frequent localization was lips and mucosa of the oral cavity, 77,9%. The irradiation therapy was applied in 42,3% of the patients and combined surgery and irradiation therapy in 28,6% Postirradiation changes of the oral cavity mucosa were found in 25% of the patients, teeth changes in 50% and Candida albicans was found in 56% of the patients. In order to prevent irradiation and postirradiation complications, all the patients with malignant tumours foressen for irradiation therapy should undergo a detailed stomatological examination and sanation of the oral cavity and teeth. The authors advocate team work in establishing the diagnosis and treating in which an important place should have stomatologist.
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The incidence of cervical defects was epidemilogically studied on a sample of 60 teeth with periodonatl disease and cervical defects which were classified in three groups. Also, the control clinical prospective study comprised 44 esthetic external restorations made of monocomponent resin (Heliosit and Visio-Disperse) and bicomponent resin (Silar and Dentosit) in the cervico-radical region of the vestibular surface od teeth with periodontal disease. Enamel-dentin adhesive was used as a bonding agent. Two parameters were followed up: 1. restoration margin staining, and 2. retentional state of restoration. The studies have shown that: a) the cervico-radical defects affecting both the dentin-coronary third of the root and the dentin-cervical third of the crown were found in 64% of subjects with periodontal disease and cervical defects requiring application of monocomposite resin in the same percentage, b) enamel-dentin adhesive+ composite restorations made of monocomposite resin showed changes in both mentioned parameters in a significantly lower percentage being of markedly smaller intensity than those made of bicomposite resins, and c) bonding capacity of enamel-dentin adhesives is an important additional factor of retention of esthetic restorations made in the cervico-radial dental region.
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