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Conference Proceedings South Eur J Orthod Dentofac Res Conference proceedings 2nd International CONGRESS OF Corresponding Author: Croatian SOCIETY OF Orthodontics Cvetanka Bajraktarova Misevska “ExcelLENCE IN Orthodontics”, PHO University Dental Clinical Centre St. Pantelejmon, th th Zagreb, SEPTEMBER 24 -27 , 2014 Clinic Of Orthodontics, Skopje, FYR of Macedonia e-mail: [email protected] Abstract TEMPOROMANDIBULAR DISORDERS - TRUTHS AND MISCONCEPTIONS Turner syndrome is one of the most frequent genetic anomalies affects approximately 1 in 2500 live female births worldwide. Iva Alajbeg* With different clinical expression, this syndrome is a challenge for monitoring and research, both from medical and dental aspect. *Department of Prosthodontics, School of Dental Medicine, The developmental specifics in 40 Turner syndrome children were University of Zagreb, Zagreb, Croatia studied over analysis of craniofacial and dental morphology, Corresponding Author: assessing the prevalence of malocclusion, skeletal and dental matu- Iva Alajbeg rity, and compared with 40 healthy female controls. The results Department of Prosthodontics, School of Dental Medicine, showed that the craniofacial complex was reduced in size and University of Zagreb, Croatia was characterized by an altered morphology. The curvature of the e-mail: [email protected] frontal bone was significantly increased, the diameters of the head were reduced while the flexion of the cranial base was increased. Abstract Both the maxilla and mandible were retrognathic, posteriorly Recognition and treatment of temporomandibular disorders rotated and reduced in antero-posterior length in the study group. (TMD) is still a problem, mainly because the term encompasses The most frequent oral findings were small teeth, early eruption of many symptoms of different etiology. Classification on joint and the secondary teeth and short roots. The prevalence of malocclu- muscle disorders facilitated the diagnosis and treatment of TMD. sion was high and comprised distal molar occlusion, teeth crow- However, in the absence of a validated pathophysiological model, ding, lateral crossbite and deep bite. Skeletal maturity was retarded there is still a need for acquiring new knowledge. Furthermore, but dental maturity was accelerated. Early diagnosis of dental mani- the diagnosis and treatment of TMD usually require a festations is of utmost importance in Turner syndrome patients multidisciplinary approach. Orthodontic treatment is sometimes and should be accompanied by an early treatment of dental abnor- associated with the occurrence of signs and symptoms of TMD. malities. Orthodontic treatment plans must take into consideration The recent scientific literature, however, considers such association the physiological and morphological characteristics, to achieve unfounded, and some clinical studies even show reduction in optimal results. Orthodontist needs to know the clinical expression TMD symptoms subsequent to orthodontic treatment. Besides of this condition and understand the skeletal characteristics of the causing confusion in scientific world, such contradictory craniofacial complex before beginning with orthodontic treatment. information creates problems to practitioners in their daily work Skeletal, dental and chronological ages must be determined to when treating patients suffering from orofacial pain. Through the make the correct diagnosis and treatment plan. presentation of clinical cases, this lecture will try to answer how to clearly recognize the signs of TMD as well as patients who are at increased risk of their occurrence. It will describe the procedures THE “MANDIBULAR RESPONSE” AND HOW THE and guidelines recommended for treating these disorders in a TWEED DIAGNOSIS, TREATMENT PLAN AND simple manner, comprehensible to the practitioner, with an MECHANICS CAN INFLUENCE IT emphasis on the description of occlusal splints fabrication. Giovanni Biondi* *C.H. Tweed Foundation for Orthodontic Research and Education, Italy TURNER SYNDROME - CHALLENGE FOR EARLY DIAGNOSIS AND ORTHODONTIC TREATMENT Corresponding Author: Giovanni Biondi Cvetanka Bajraktarova Misevska* C.H. Tweed Foundation for Orthodontic Research and *PHO University Dental Clinical Centre St. Pantelejmon, Education, Italy Clinic Of Orthodontics, Skopje, FYR of Macedonia e-mail: [email protected] 27 South Eur J Orthod Dentofac Res Abstract the sensitivity of the inferior alveolar nerve was significantly better (P<0.0001) in the piezo group than the control group. The “Mandibular Response” consists in the repositioning of the mandible along the occlusal plane due both to the skeletal Conclusion: In our clinical experience piezoosteotomies appears growth and to the change in position caused by the change in very useful in orthognathic surgery. Using a piezoelectric device the occlusal plane. A reviewing of the Gebeck - Merrifield’s we have observed a reduction of postoperative pain, improved article “Analysis: concepts and values” gives us a chance to point sensitivity of the inferior alveolar nerve after 30 days and less up the importance of the control of the occlusal plane and of the blood loss during surgery. In conclusion, the piezosurgery verticality to stimulate the mandibular response in Class II cases. is an excellent substitute for conventional osteotomies in orthognathic surgery with less morbidity for the patient. ORTHOGNATHIC SURGERY: PIEZOOSTEOTOMY VERSUS CONVENTIONAL OSTEOTOMY COMMUNICATION SKILLS AND PSYCHOLOGICAL APPROACH IN DENTAL PATIENT CARE Paolo Biondi* Gordana Buljan Flander* *GVM Care and Research group Maria Cecilia Hospital, Cotignola, Ravenna, Italy *Psychologist and psychotherapist, Child Protection Center of Zagreb, Zagreb, Croatia Corresponding Author: Paolo Biondi Corresponding Author: GVM Care and Research group Gordana Buljan Flander Maria Cecilia Hospital, Cotignola, Ravenna, Italy Child Protection Center of Zagreb, Zagreb, Croatia e-mail: [email protected] e-mail: [email protected] Abstract Abstract Introduction: In recent years piezoelectric devices are suggested Contemporary science supports the biopsychosocial approach as an alternative to rotary drilling instruments in oral and to health problems and treatment, as well as the importance of maxillofacial surgery. Piezoelectric waves for orthognathic multidisciplinary approach in health care. Working in dental surgery are used only in recent years. Piezoosteotomy was practice inevitably implies engaging with patients and therefore assessed as alternative osteotomy method in orthognathic comprises numerous psychological aspects of relating and surgery regarding handling, post-operative pain, nerve and communicating with them, as well as the difficulties that can vessel impairment. arise within. The main goal of the lecture is to introduce the Patients and Methods: In our comparative clinical experience basic skills in approaching and communicating with patients eighty-two patients are included in our study, Le Fort I and from a psychological perspective. The content comprises the bilateral split osteotomies were performed in all the patients. importance of establishing a good initial contact with patients, In thirty-eight patients osteotomies were performed by aspects of informing patients about their dental problems, as piezoelectric device and in the control group, forty-four well as communication skills, with an emphasis on practical patients, the conventional saw and bur were used. The blood suggestions aiming to make the communication more lost was measured directly in ml during surgery. The integrity intelligible. Part of the lecture refers to specific communication of the inferior alveolar nerve was examined by the sensitivity with patients of different age groups (children, adolescents, of the lower lip and chin in three ways: a light touch test, a elderly) and different communication capabilities. The lecture pin prick test and a test of discrimination between two points. covers the basic psychological principles of dental anxiety and The post-operative pain was analyzed by VAS scale. Statistical phobias, as well as the fundamental principles of the psychology analysis was performed. of pain. Good communication in dental patient care can not Results: The blood loss, a continuous variable with a normal only improve treatment, but can also make both parties feel distribution, was analyzed by a T Student test. We calculated more comfortable. In the context of multidisciplinary approach, mean and standard deviation, t=7.441 and P<0.0001. Blood emphasis will be made on understanding the psychological loss was significantly lower in the piezo group. For the alveolar aspects of successful communication that can contribute to the inferior nerve sensitivity and for the pain we used a non- quality of work in dental patient care. parametric test. Pain was significantly lower (P<0.0001) and 28 South Eur J Orthod Dentofac Res (NON)ACCIDENTAL DENTOFACIAL INJURIES IN ORTHODONTIC-SURGEON COLLABORATION IN CHILDREN – HOW TO MANAGE IT CORRECTLY? THE TREATMENT OF SKELETAL ANOMALIES Ivana Čuković Bagić* Benjamin Bejtović1, Enita Nakaš2 *Department of Paediatric and Preventive Dentistry, School of 1 Maxillofacial Surgery Department, Clinical Center University Dental Medicine, University of Zagreb, Zagreb, Croatia of Sarajevo, Sarajevo, Bosnia and Herzegovina 2 School of Dentistry, University of Sarajevo, Sarajevo, Bosnia Corresponding Author: and Herzegovina Ivana Čuković Bagić Corresponding Author: Department of Paediatric and Preventive Dentistry,
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