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The first issue of the Balkan Journal of Dental Medicine was published in 2014 The Journal continues the tradition of the Balkan Journal of Stomatology which was published between 1997 and 2013 Publisher: DE GRUYTER OPEN Editor-in-Chief Editorial Board Prof. Dejan Marković, DDS, PhD Assoc. Prof. Dorjan Hysi, DDS, PhD School of Dental Medicine Faculty of Dentistry, University of Medicine-Tirana, Albania University of Belgrade, Serbia Prof. Virgjini Mulo, DDS, PhD [email protected] Faculty of Dentistry, University of Medicine-Tirana, Albania Associate Editors Assoc. Prof. Naida Hadžiabdić, DDS, PhD Ruzhdie Qafmolla, DDS, PhD Faculty of Dentistry Faculty of Dentistry University of Sarajevo, Bosnia and Herzegovina University of Medicine-Tirana, Albania Dr. Mihael Stanojević, DDS, MSc [email protected] Medical Faculty Foca, Bosnia and Herzegovina Maida Ganibegović, DDS, PhD Prof. Andon Filtchev, DDS, PhD Faculty of Dentistry, University of Sarajevo Faculty of Dental Medicine, Medical University, Bulgaria Bosnia and Herzegovina Prof. Georgi Todorov, DDS, PhD [email protected] Faculty of Dental Medicine, Medical University, Bulgaria Assoc. Prof. Nikolai Sharkov, DDS, PhD Dr. Huseyn Biçak, DDS Faculty of Dental Medicine General Hospital Nicosia, Cyprus Medical University, Sofia, Bulgaria [email protected] Dr. Aikaterine Kostea, DDS General Hospital Nicosia, Cyprus Assoc. Prof. George Pantelas, DDS, PhD The School of Medicine Assoc. Prof. Ilijana Muratovska, DDS, PhD European University Cyprus, Cyprus Department of Dentistry, Goce Delcev UN of Štip, FYROM [email protected] Assoc. Prof. Vera R. Nikolovska, DDS, PhD Prof. Ana Minovska, DDS, PhD Department of Dentistry, Goce Delcev UN of Štip, FYROM Department of Dentistry Prof. Lambros Zouloumis, DDS, PhD Goce Delcev University of Štip, FYROM School of Dentistry, Aristotle University, Greece [email protected] Prof. Athanasios Poulopoulos, DDS, PhD Prof. Anastasios Markopoulos, DDS, PhD School of Dentistry, Aristotle University, Greece School of Dentistry, Aristotle University, Greece Assoc. Prof. Zoran Vlahović, DDS, PhD [email protected] V Dental Centar, Montenegro Assoc. Prof. Mirjana Đuričković Prof. Andrei Iliescu, DDS, PhD Faculty of Medicine Faculty of Dentistry, Grigore T. Popa U. M. Ph. Iasi, Romania University of Montenegro, Montenegro [email protected] Assoc. Prof. Paula Perlea, DDS, PhD Faculty of Dentistry Prof. Forna Norina Consuela, DDS, PhD Carol Davila University of Medicine and Pharmacy, Romania Faculty of Dentistry Grigore T. Popa U. M. Ph. Iasi, Romania Assoc. Prof. Tamara Perić, DDS, PhD [email protected] School of Dental Medicine, University of Belgrade, Serbia Prof. Slavoljub Živković, DDS, PhD Dr. Slobodan Anđelković, DDS School of Dental Medicine, University of Belgrade, Serbia Private Dental Practice- Belgrade, Serbia [email protected] Prof. Gül Işik Özkol, DDS, PhD Prof. Ender Kazazoglu, DDS, PhD Istanbul University, Turkey Dental School, University of Yeditepe, Turkey Assoc. Prof. Zeynep Ozkurt Kayahan, DDS, PhD [email protected] Dental School, University of Yeditepe, Turkey Balk J Dent Med, Vol 21, 2017 International Editorial Board Publications Committee Prof. Nitzan Bichacho, DDS, PhD Chair The Hebrew University Prof. Ljubomir Todorović, DDS, PhD Hadassah School of Dental Medicine, Israel Academy of Medical Sciences Dr. Borko Čudović, DDS Serbian Medical Society, Serbia Angle Society of Europe, Germany [email protected] Prof. George Freedman, DDS, PhD BPP University School of Health, Faculty of Dentistry, Editorial Medical Staff United Kingdom Assoc. Prof. Elizabeta Gjorgievska, DDS, PhD Assoc. Prof. Alex Grumezescu, PhD Faculty of Dentistry Polytechnic University of Bucharest, Romania Ss. Cyril and Methodius UN, FYROM Prof. James Gutmann, DDS, PhD Prof. Bojan Petrović, DDS, PhD Texas A&M University Baylor College of Dentistry, USA Faculty of Medicine Prof. Christoph Hämmerle, DDS, PhD University of Novi Sad, Serbia Center of Dental Medicine, University of Zurich, Germany Dr. Marijan Denkovski, DDS, FYROM Dr. Chris Ivanoff College of Dentistry Dr. Georgios Tsiogas, DDS, Greece University of Tennessee Health Science Center, USA Dr. Ana Jotić, DDS Dr. Barrie Kenney, DDS Private Dental Practice Private practice- Los Angeles, USA Belgrade, Serbia Dr. Predrag Charles Lekic, DDS, PhD Translations supervisor University of Manitoba, Canada Gordana Todorović Prof. Joshua Moshonov, DDS, PhD The Hebrew University Technical Editing Hadassah School of Dental Medicine, Israel Dr. Milica Cindrić, DDS John Nicholson, PhD, DSc Bluefield Centre for Biomaterials, United Kingdom Publishing Managers Prof. Kyösti Oikarinen, DDS, PhD Jelena Jaćimović, PhD University of Oulu, Finland School of Dental Medicine Assoc. Prof. Sangwon Park, DDS, PhD University of Belgrade, Serbia Chonnam National University, South Korea [email protected] Prof. George Sandor, PhD Res. Asst. Bojana Ćetenović, DDS, PhD University of British Columbia, Canada Institute for Nuclear Sciences „Vinca“ Prof. Ario Santini, DDS, PhD [email protected] Faculty of General Dental Practice, United Kingdom Statistical Advisor Prof. Riitta Suuronen, DDS, PhD Institute for Regenerative Medicine Prof. Biljana Miličić, MD, PhD University of Tampere, Finland School of Dental Medicine Dr. Michael Weinlaender, DDS University of Belgrade, Serbia Private Practice- Vienna, Austria [email protected] Editorial Office: School of Dental Medicine, Clinic for Paediatric and Preventive Dentistry, Dr. Subotića 11, 11000 Belgrade, Serbia e-mail: [email protected], Tel: +381641149773, Fax: +381112685361 Papers published in the Balkan Journal of Dental Medicine are indexed in: Baidu Scholar, Case, Celdes, CNKI Scholar (China National Knowledge Infrastructure), CNPIEC, EBSCO Discovery Service, Google Scholar, J-Gate, JournalTOCs, KESLI-NDSL (Korean National Discovery for Science Leaders), Naviga (Softweco), Primo Central (ExLibris), ReadCube, Sherpa/RoMEO, Summon (Serials Solutions/ProQuest), TDOne (TDNet), WorldCat (OCLC). Y T E I C O S L BALKAN JOURNAL OF DENTAL MEDICINE A ISSN 2335-0245 IC G LO TO STOMA VOLUME 21 NUMBER 1 MARCH 2017 PAGES 1-68 Contents RP A. Harutyunyan Biomechanical Outcomes of Tooth-Implant-Supported 1 A. Pissiotis Fixed Partial Prostheses (FPPs) in Periodontally Healthy Patients using Root Shape Dental Implants RP A. Dalopoulou Extrusion of Root Canal Sealer in Periapical Tissues - 12 N. Economides Report of Two Cases with Different Treatment Management and V. Evangelidis Literature Review OP K. Veneti Demographic Characteristics, Referrals and Patients’ Accessibility to an 19 S. Stafylidis Oral and Maxillofacial Surgery Clinic T. Kafkia M. Kourakos K. Antoniades C. Zilides S. Dalampiras OP A. Synarellis In Vitro Microleakage of class V Composite Restorations prepared by 24 P. Kouros Er,Cr:YSGG Laser and Carbide BUR E. Koulaouzidou D. Strakas E. Koliniotou-Koumpia OP N. Majstorović Examination of Scanner Precision by Analysing Orthodontic Parameters 32 L. Čerče D. Kramar M. Soković B. Glišić V. Majstorović S. Živković OP Sasho Jovanovski The Influence of Crown Ferrule on Fracture Resistance of 44 Julie Popovski Endodontically Treated Maxillary Central Incisors Alesh Dakskobler Ljubo Marion Peter Jevnikar OP A. Cicmil Oral Symptoms and Mucosal Lesions in 50 O. Govedarica Patients with Diabetes Mellitus Type 2 J. Lečić S. Mališ S. Cicmil S. Čakić Balk J Dent Med, Vol 21, 2017 CR E. Anitua Treatment of Biphosphonate-Related Osteonecrosis of the Jaw (BRONJ) 55 Combining Surgical Resection and PRGF-Endoret® and Rehabilitation with Dental Implants: Case Report CR F. Demiray Adams-Olıver Syndrome: a Case Report 60 E. Korkut O. Gezgin Y. Şener B. Bostancı CR Z. Vlahović 3D Printing Guide Implant Placement: A Case Report 65 M. Mikić 10.1515/bjdm-2017-0001 Y T E I C O S L BALKAN JOURNAL OF DENTAL MEDICINE A ISSN 2335-0245 IC G LO TO STOMA Biomechanical Outcomes of Tooth-Implant-Supported Fixed Partial Prostheses (FPPs) in Periodontally Healthy Patients using Root Shape Dental Implants SUMMARY Argine Harutyunyan1, Argirios Pissiotis2 Background: Connecting an osseointegrated implant and a natural 1Postgraduate student, Yerevan State Medical tooth is a treatment alternative for partially edentulous patients in some University after Mkhitar Heratsi (YSMU) clinical situations. The main issue of a connected tooth-implant system is Armenia derived from the dissimilar mobility patterns of the osseointegrated fixtures 2School of Dentistry and natural abutments causing potential biomechanical problems within the Aristotle University of Thessaloniki Thessaloniki, Greece entire system. Purpose: The aim of this review was to multilaterally analyze and discuss the main biomechanical factors that may question the reliability of splinted tooth-implant system and the long-term success of fixed partial prostheses (FPPs) supported by both teeth and implants with an emphasis on the disparity of mobility of these two different abutments. Material and methods: An electronic MEDLINE (PubMed) search supplemented by manual searching was performed to retrieve relevant articles. An assessment of the identified studies was performed, the most valuable articles were selected and biomechanical outcomes of tooth-implant splinting system were analyzed. Results: 3D FEM stress analyses and photoelastic studies show uneven load distribution between the tooth and the implant and stress concentration in the crestal bone around the implant neck when connected