Caie Trez Um Ate 2012

Comitet de Organizare
Preedinte
Prof. Dr. Alexandru Petre
Vicepreedini
Prof. Dr. Traian Augustin Mihai
Prof. Dr. Vasile Burlui
Prof. Dr. Alexandru Bucur
Prof. Dr. Teodor Traistaru
Secretari Congres
Prof. Dr. Horia Traian Dumitriu
Prof. Dr. Ion Ptracu
Dr. Alexandru Dumitru Brezoescu
Dr. Horia eorgescu
Dr. Ion Berciu
Comisia tiinific
Prof.Dr !odica "uca
#onf. Dr. Anca $il%ia Dumitriu
#onf. Dr. Dana #ristina Bodnar
&ef lucr. Dr. $tana Punic
Dr. "i%iu Daniel #minescu
Comisia Tehnic
Dr. Ioan #ostea
#onf. Dr. Mihai Burli'aa
Asist. Dr. Antonius Valentin #laudiu #oca
Dr. Marius Dinu
&ef lucr. Dr. #inel Mali(a
Dr. Alexandru eorgescu
Dr. $il%iu $toicescu
Dr. #ristian Do'reci
Mass-media
Dr. !adu Anton Marinescu
Dr. &tefan #orneliu Toma
&ef lucr. Dr. &tefan Milicescu
Dr. #ristina #tlina #oca
Comisia de Protocol
Prof. Dr. $il%ia Dumitriu
Dr. #armen Marcu
Dr. Alina Diculescu Burz
Dr. #ristina !izea
Prof. Dr. $il%ia M)r(u
Asist. Dr. Magdalena #ureu
Dr. Ines Budan
Dr. Alina Dragomir
Comisia de nregistrare
Dr. Vasile hioca
Dr. Marius Adrian #minescu
&ef lucr. Dr. rigore Ion "zrescu
Dr. heorghe #otaie
epartament Tineret
Pre*. Dr. Aurora +laru
Dr. &tefni( #tlin $asu
Dr. Monica Predoiu
Dr. #ristofor Derioiu
Dr. a'riela ligore
Asist. Dr. #ristina Teodora Preoteasa
Dr. #ristian #omnescu
epartament St!deni
$tud. Alin Poenaru $tud. Andreea Moraru
$tud. Ana Maria Mitran
P"O#"$M
,
Program
MI-!#.!I /,.0/.1/01
Sala Mare a Palat!l!i
/2
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3 Deschiderea oficial a ex*ozi(iei
Secretariat Congres % &ta' (
/2
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405
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3 6nregistrarea *artici*an(ilor
Sala $
Prezidi!) Dr. Alexandru Dumitru Brezoescu
Prof. Dr. Ptru 7iru
Prof. Dr. Maria Voroneanu
$ecretar8 Dr. Marius Adrian #minescu
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3 #onferin(8 $emnifica(ia antro*ologic a 9esteticului: ;n
e%olu(ia uman
Prof. Dr. Ptru 7iru< Prof. Dr. =orina #onsuela 7orna
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400
//
3 #onferin(8 $eniori %ersus >uniori ;n medicina dentar
00
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400
,/
3 #onferin(8 !eflexii *e diagnostic 3 decizii i rs*undere %is4
a4%is de tratamentul ortodontic
Prof. Dr. Drago $tanciu
00
,/
401
//
3 #onferin(8 Partici*area zonei medii la instalarea malocluziilor
i im*ortan(a ei ;n ela'orarea *lanului de tratament
Prof. Dr. Drago $tanciu
01
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401
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3 #onferin(8 Tratamentul stomatologic al a*neelor o'structi%e
de somn
Dr. iuse**e Burlon
01
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40,
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3 #onferin(8 4 He*atita B ;n *ractica medicilor dentiti
Dr. Adriana Mo(oc
Prezidi!) Prof. Dr. Drago $tanciu
Prof. Dr. !odica "uca
#onf. Dr. Aurelia $*inei
$ecretar8 Asist. Dr. Aneta Munteanu
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3 #onferin(8 Medicina dentar 3 dialog ;ntre genera(ii.
Instruirea de 'az 3 doar< un ;nce*ut
Prof. Dr. Ion #oca
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3 #onferin(8 Defectele de structur de ti* MIH 3 tem de
cercetare a ultimelor decenii
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40A
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3 "ucrri tiin(ifice
(* &+al!area stat!s!l!i dentar la copiii c! diza,iliti ne!romotorii
#onf. Dr. Aurelia $*inei< #onf. Dr. Iurie $*inei< alina Piro>anschi
-* &ficacitatea pre+enirii cariei dentare la copiii c! diza,iliti
.* Patologia carioas a premolar!l!i sec!nd la !n lot de copii de /-(0
ani din Clinica de Pedodon ie
Asist. Dr. Aneta Munteanu< Prof. Dr. !odica "uca< Asist. Dr. Alexandru4Titus
7arca iu< Asist. Dr. #tlina 7arca iu< Asist. Dr. Ioana4Andreea $tanciu
0* St!di! epidemiologic pri+ind afectarea prin carie la copiii de 1-2
ani din 3!c!reti
Pre*. Dr. Daciana Bmarandache< Prof. Dr. !odica "uca
Salon Protocol
01
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40,
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3 #onferin( de Pres
0,
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40@
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3 &edin( #omitet Director .=A$
Cerc!l Militar 4aional
02
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3 Deschiderea oficial
Decernarea *remiilor de excelen( ;n Medicina Dentar
Tom'ol
#oncert #orul Madrigal
#ocCtail
@
Program
D+I /?.0/.1/01
/2
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405
//
Sala $
Prezidi!) Prof. Dr. =orina 7orna
Prof. Dr. !odica Mihaela Puna
$ecretar8 Asist. Dr. #ristina Teodora Preoteasa
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4/2
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3 #onferin(8 As*ecte *articulare ale rea'ilitrii orale
Prof. Dr. !adu #)m*ian
/2
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3 #onferin(8 !ea'ilitarea oral im*lanto4*rotetic ;n cazuri
*articulare de edenta(ie
Prof. Dr. =orina 7orna
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1/
400
1/
3 #onferin(8 nathologE 4 neF sEstem of face4'oF and
articulator
Prof. Dr. Anton 7iltche%
00
1/
401
1/
3 #onferin(8 =eF *orcelains in dentistrE
Prof. Dr. -milio DimGnez4#astellanos Ballesteros
01
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3 #onferin(8 #orela(ii anatomo4clinice ;n conformarea 'azei
*rotezei totale mandi'ulare
Prof. Dr. !odica Mihaela Puna
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40,
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3 #onferin(8 =oi considera(ii *ri%ind rea'ilitri orale com*lexe
*e im*lanturi
Prof. Dr. Ion Ptracu< Dr. #hristian Marmandiu
Prezidi!) Prof. Dr. $orin Po*or
Prof. Dr. Mariana #onstantiniuc
#onf. Dr. Monica $crieciu
$ecretar8 Asist. Dr. Tudor $*;nu
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3 #onferin(8 Technological strategies to control the 'iofilm
formation on im*lants and *rosthtetic materials
Prof. Dr. "ia !imondini
0?
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40@
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3 #onferin(8 Princi*ii i tehnici neuromusculare ;n *rotetica
dentar
Prof. Dr. $orin Po*or
A
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40A
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3 #onferin(8 Denture4induced fi'rous hE*er*lasia 3 !e%ieF of
literature and oFn cases re*ort
Assoc. Prof. #ena Dimo%a< Asist. Dr. Hiro Pa*aCoca
0A
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40A
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3 #onferin(8 Im*lica(ii func(ionale i disfunc(ionale ale
*rotezrii edenta(iei totale
#onf. Dr. Mariana #onstantiniuc
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405
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3 "ucrri tiin(ifice
(* Plan-paralelometr! c! laser
Dr. Drago $mrndescu
-* 5tilizarea laser!l!i 6n implantologia oral
&ef lucr. Dr. a'riela Tnase< Drd. -lena Manoloiu< Dr. Tatiana Do'ro%olschi<
Prof. Dr. Augustin Mihai< &ef lucr. Dr. !z%an #hi%u< #*t. Dr. $imion h.
Dumitru
.* "ol!l echipei medicale 6n rea,ilitarea implanto-protetic
#onf. Dr. Mihai Burli'aa< Dr. #orina Marilena #ristache< Dr. Mihai Da%id<
Asist Dr. Mdlina Mali(a< &ef lucr. Dr. !z%an #hi%u< &ef lucr. Dr. !uxandra
$featcu
0* "ol!l medic!l!i i pacient!l!i 6n mentenana rez!ltatelor
tratament!l!i implanto-protetic
&er lucr. Dr. !uxandra $featcu< Dr. #orina #ristache< #onf. Dr. Mihai Burli'aa<
#onf. Dr. Dana #ristina Bodnar< Prof. Dr. Petru Armean< Dr. +leg Do'ro%olschi
7* Tratament!l nechir!rgical al !n!i dinte st8lp de p!nte c! lezi!ne
periapical e9tins
Asist. Dr. !uxandra Mrgrit< &ef lucr. Dr. +ana #ella Andrei< &ef lucr. Dr. #risti
Dguci
1* $rg!mentarea deciziilor 6n rea,ilitarea protetic pe implant!ri
dentare 6n edentaia total
#onf. Dr. "igia Muntianu< Dr. #orina #ristache< &ef lucr. Dr. !uxandra $featcu<
#onf. Dr. Mihai Burli'aa< Asist. Dr. Traian Bodnar
:* ;nseria 6ntr-!n timp chir!rgical +ers!s inseria 6n doi timpi
chir!rgicali a implant!rilor dentare
Dr. #orina Marilena #ristache< #onf. Dr. Mihai Burli'aa< &ef lucr. Dr. Andreea
Didilescu< #onf. Dr. "igia Muntianu< Dr. heorghe #ristache< #onf. Dr. Dana
#ristina Bodnar
2* "ol!l epitezelor ancorate c! a'!tor!l implant!rilor endoosoase 6n
reconstr!cia defectelor faciale
Dr. #orina Marilena #ristache< #onf. Dr. Mihai Burli'aa< &ef lucr. Dr. Andreea
Didilescu< #onf. Dr. "igia Muntianu< Dr. heorghe #ristache< #onf. Dr. Dana
#ristina Bodnar
/* Sntate oral< internet< com!nicare< management stomatologic
Dr. #osmin4Marian #;rcu< Dr. Adriana &er'an< Dr. !adu Tarhon< Dr. "aura Pan<
Dr. Andrei Trandafir< Dr. Anca Al'in< Dr. Ana rigoroiu
I
Program
Sala 3
Prezidi!) Prof. Dr. Ion #oca
Prof. Dr. Veronica Mercu(
#onf. Dr. Ileana Ionescu
$ecretar8 Asist. Dr. !oxana Ilici
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4/2
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3 #onferin(8 Pun(ile cu extensie 3 o modalitate %eche de
tratament ;n contextul actual
Prof. Dr. Veronica Mercu(< Asist. Dr. Monica #ri(oiu< Asist.
Dr. "umini(a Dguci< Drd. !oxana Marinescu< Drd. $imina
man
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3 #onferin(8 #onsiderente clinico4statistice ;n edenta(ia total
#onf. Dr. Monica $crieciu< Asist. Dr. Monica #ri(oiu< Asist.
Dr. "umini(a Dguci< Drd. $imina man
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3 #onferin(8 $tomatitele *rotetice 3 as*ecte tera*eutice
#onf. Dr. $anda Mihaela Po*escu< Asist. Dr. -mma #ristina
Drghici< Drd. !oxana Marinescu< Asist. Dr. Monica #ri(oiu<
Asist. Dr. "umini(a Dguci
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400
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3 #onferin(8 Pro%ocri %echi 3 solu(ii noi ;n *ractica dentar.
-denta(ia terminal molar 3 cea mai seductoare *ro%ocare
Prof. Dr. Ion #oca
00
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3 "ucrri tiin(ifice
(* Proced!ri de e+al!are estetic pentr! optimizarea rez!ltatelor
protetice
Drd. !aluca Drghici< Asist. Dr. #ristina Teodora Preoteasa< Prof. Dr. -lena
Preoteasa
-* $port!l medic!l!i specialist ortodont 6n rea,ilitarea implanto-
protetic
#onf. Dr. Ileana Ionescu< &ef lucr. Dr. !uxandra $featcu< Dr. Anda =ichifor<
Prof. Dr. Petru Armean< Dr. +leg Do'ro%olschi< Dr. "orelai $farghiu
.* ;mpact!l tratament!l!i endodontic as!pra meninerii
s!praprotezelor
&ef lucr. Dr. +ana #ella Andrei< Asist. !uxandra Mrgrit< &ef lucr. Dr. #risti
Dguci
0* Pre+alena afeci!nilor inflamatorii p!lpare i ale parodoni!l!i
apical
&ef lucr. Dr. Paula Perlea< Asist. Dr. #ristina =istor< $tud. 7a'ian Dumitrescu
7* "etratament!l endodontic ortograd % o pro,lem de act!alitate 6n
stomatologia modern
&ef lucr. Dr. Paula Perlea< Asist. Dr. #ristina =istor< Prof. Dr. Bogdan Dimitriu
1* "esta!rarea c! a'!tor!l pi+o ilor din fi,r de sticl a din ilor c!
distr!c ie coronar 6ntins
5
Asist. Dr. Monica Mihaela #ri oiu < Prof. Dr. Veronica Mercu < #onf. Dr.
Mihaela Po*escu< #onf. Dr. Monica $crieciu
:* Consideraii clinice pri+ind !tilizarea materialelor compozite
acti+ate sonic
Asist. Dr. !oxana Ilici< &ef lucr. Dr. !uxandra $featcu< $tud. "aura Dima< "ector
-duard )tin< Prof. Dr. Ion PJtracu
2* "ea,ilitarea oral la pacient!l c! egresi!ne marcat* Caz clinic
#onf. $imona Andreea $andu
Prezidi!) Prof. Dr. Ioan $)r'u
Prof. Dr. Da%id Vincen(iu Dumitru
#onf. Dr. #ristina Ioni(
$ecretar8 Asist. Dr. "ucian Toma #iocan
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3 #onferin(8 The functional aesthetic in fixed *rothesis
Prof. Dr. $andro $an%enero< Dr. $tefano !efosco< Dr. 7lorin
-ugen #onstantinescu< Dr. Marian Vladimir #onstantinescu
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3 "ucrri tiin(ifice
(* 3iofilm!l micro,ian 6n sfera stomatologic % organizare i
com!nicare
Drd. 7la%ius $t. $tnescu< Profesor Dr. $il%ia Dumitriu< #onf. Dr. a'riela
Bncescu< Dr. Biol. #armen Defta
-* iagnostic!l +ir!sologic al V=C prin metode minim in+azi+e 6n
medicina dentar
#ercet. r. I Dr. a'riela Anton< Pre*. Dr. #ristian #omnescu< Prof. Dr. Ion
Ptracu
.* St!di!l interaci!nii materialelor polimerice moderne c! str!ct!rile
d!re dentare
Asist. Dr. Bogdan Mihai l'inau< Dr. Dan Hersch'ach< Dr. Ing. 7lorin
Miculescu< Dr. !aluca rigoriu< Prof. Dr. Ion Ptracu
0* Condiionarea resta!rrilor protetice din o9id de zirconi! 6n
+ederea fi9rii pe preparaiile dentare
Asist. Dr. Daniela P;r%u< Asist. Dr. #ristina P;r%u< #onf. Ing. Dan =i(oi< $tud. Dr.
Ilona $uciu< $tud. Tehn. Dent. Marcello !icca< Prof. Dr. Ion Ptracu
7* Caracteristici retenti+e ale sistemelor speciale 6n s!praprotezarea
mandi,!lar pe implant!ri % St!di! comparati+ in +itro
Dr. #amelia Ionescu< Prof. Dr. Ion Ptracu
1* &+al!area ,iomecanicii resta!rrilor dentare pe implant!ri
Asist. Dr. "ucian Toma #iocan< Asist. Dr. Bogdan Iordache< Asist. Dr. Bogdan
l'inau< Asist. Dr. Daniela P)r%u< Asist. Dr. #ristina P)r%u< Prof. Dr. Ion
Ptracu
:* m,!ntirea meninerii i sta,ilitii protezei mandi,!lare la !n
pacient c! 3oal Par>inson c! a'!tor!l miniimplant!rilor
Dr. Ioana #resneac
2
Program
2* Caz clinic % ?=ipoplazia radic!lar i tratament!l implanto-
protetic@
Dr. Irina +(elea< Dr. Andreas Buzoiu
/* St!di! de caz pri+ind tratament!l !nei edenta ii par iale 6nso ite de
scderea VO
Dr. Alexandru Da%id
(A* "esta!rrile fi9e c! e9tensie % o sol!ie +ia,ilB
Dr. Ioana $tan< Dr. Delia rigore
((* &9ploatarea factor!l!i m!sc!lar 6n rea,ilitarea f!ncional a
edentat!l!i total prin aport!l fonaiei
Dr. Voichi(a #azacu< Asist. Dr. =icolae -ugen #ristian #azacu< Asist. Dr. #tlin
Andrei< Asist. Dr. Daniela P;r%u< Asist. Dr. #amelia Ionescu< Prof. Dr. Ion
Ptracu
(-* "econstr!cia proces!l!i al+eolar 6n +ederea protezrii fi9e
Dr. Alexandra Melania Moraru
(.* Tratament!l de !rgen al !nor complicaii protetico-implantare
Dr. #ristina #rciun
(0* O,ser+aii clinice i rele+ana acestora 6n sta,ilirea plan!l!i de
tratament protetic la pacienii cons!matori de st!pefiante
Dr. Adriana Bisoc< Dr. #ristina Bitica
(7* &9plorarea anatomiei radiologice a mandi,!lei !tiliz8nd comp!ter-
tomograf!l c! fascic!l conic
Dr. Iuliana Ba'iuc
(1* 5n trio 6n ergonomia dentar) post!r de l!cr!< poziie i
+izi,ilitate
Asist. Dr. #ristina P;r%u< Prof. Dr. Ion Ptracu< Asist. Dr. Daniela P;r%u< &ef
lucr. Dr. Mona4#orina Buzea< Pre*. Dr. Anca Axante
(:* &+al!area c!notinelor pacienilor edentai total i protezai mo,il
pri+ind igiena protezelor totale acrilice
Dr. #ristina !izea< Dr. Andreea Talam'a
=ol &ta' ;
Prezidi!) Prof. Dr. Maria rea'u
#onf. Dr. Mihai Burli'aa
&ef lucr. Dr. Andreea Didilescu
$ecretar8 Asist. Dr. Daniela Miricescu
00
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3 Prezentri Poster
(* Testarea ,iochimic a +ir!lenei i patogenitii ,iofilmelor
,acteriene 6n periimplantite
"ector. Dr. "iliana Burli'aa< Dr. #ristian Bratu< Dr. Adela Ioana Bratu< #onf. Dr.
Mihai Burli'aa< #*t. Dr. $imion heorghe Dumitru
-* 3iomar>erii sali+ari % o no! modalitate de diagnostic 6n ,oala
parodontal
Asist. Dr. Daniela Miricescu< &ef lucr. Dr. Alexandra Totan< Asist. Dr. Br)ndua
Mocanu< &ef lucr. Dr. Andreea Didilescu< Asist. Dr. Tudor $*;nu< Prof. Dr. Maria
Mohora< Asist. Dr. Bogdan #alenic< Prof. Dr. Maria rea'u
0/
.* $naliza statistic as!pra apariiei dinilor s!pran!merari
Drd. #ristina Mihai< #onf. Dr. -lena a'riela Des*a< Asist. Dr. !aluca Anca
iurescu< ef lucr. Dr. Anca Iulia Po*escu< ef lucr. Dr. Ana Maria Pangic
0* istomolar!l % frec+en< manifestri clinice i etiologie
Dr. !z%an Purcrea< Dr. #renguKa Al'u< Dr. Dinu 7. Al'u< Dr. -milia $e%erin
7* ;nfl!en a factor!l!i ,ioeconomic 6n alegerea materialelor dentare
!tilizate 6n protetica dentar fi9
Drd. Vi%Eiana +*ri an < Drd. #tlin $orin Dumitrescu< ef lucr. Dr. Anca Iuliana
Po*escu< Asist. Dr. !aluca Anca iurescu< #onf. Dr. -lena a'riela Des*a
1* $naliza statistic as!pra elementelor c8mp!l!i protetic edentat
total ma9ilar
#onf. Dr. -lena a'riela Des*a< Asist. Dr. !aluca Anca iurescu< Drd. #ristina
Mihai< ef lucr. Dr. Anca Iulia Po*escu< Prof. Dr. #ornelia B;cleanu
:* "ezol+area edentaiei de canin ma9ilar permanent % prezentare de
caz
Asist. Dr. Irina4Maria heorghiu< Asist. Dr. Magdalena Mironiuc4#ureu
2* St!di! comparati+ pri+ind atit!dinile i comportament!l fa de
sntatea oral la st!den ii de medicin dentar i cei de medicin
general din 3!c!re ti
ef lucr. Dr. #orina4Mona Buzea < #onf. Dr. Marian #uculescu< Asist. Dr.
#ristina P;r%u
/* St!di! comparati+ pri+ind !tilizarea a do! tip!ri de artic!latoare
6n tratament!l edentaiei totale
Dr. Anca P;rnog
(A* "esta!rarea protetic a dinilor c! amp!taie radic!lar - re+ieC
din literat!ra de specialitate
Dr. a'riela $ocoteanu< Dr. +tilia Po*a
((* Tratament!l implanto-protetic la o pacient t8nr c! edentaie
terminal cls ;; DennedE
Dr. "aura Maria Mrgrit< Dr. $ergiu Alexandru !dulescu
(-* Terapia implanto-protetic 6n edentaiile terminale
Dr. #ristian Ba'u
(.* Consideraii ortodontice pe marginea !n!i caz protetic
Dr .Ana $*taru< Dr. eorge Ion
Salon Protocol
01
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3 Mas rotund
00
Program
VI=-!I /@.0/.1/01
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405
//
Sala $
Prezidi!) Prof. Dr. Vasile Burlui
Prof. Dr. &er'an Petru !adu Lo%aru
$ecretar8 Asist. Dr. Daniel Ptroi
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//
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3 #onferin(8 -%olu(ia rea'ilitrilor *rotetice i dinamica
*rinci*iilor tera*eutice fundamentale
Prof. Dr. Vasile Burlui
/2
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3 #onferin(8 Modificm sau nu DV+K 6ntre'are %eche< a%em
rs*unsuri noiK
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1/
400
1/
3 #onferin(8 #ontem*orarE %ieF on con%entional and im*lant
su**orted o%er4dentures
Prof. Dr. $c. As>a Mele'iN
00
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401
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3 #onferin(8 "eziuni ale mucoasei orale la *acien(ii *urttori de
lucrri *rotetice
Prof. Dr. &er'an Petru !adu Lo%aru
01
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401
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3 #onferin(8 Mini dental im*lants in e%erEdaE *ractice
Prof. Dr. $c. Denis Vo>%odiN
01
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3 #onferin(8 Modele tera*eutice ;n tul'urrile tem*oro4
mandi'ulare din *ers*ecti%a antro*ologic
Prof. Dr. Teodor Tristaru
Prezidi!) Prof. Dr. Augustin Mihai
Prof. Dr. Teodor Tristaru
Prof. Dr. -lena Preoteasa
$ecretar8 Asist. Dr. Andrei Mcri
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3 #onferin(8 Im*lantologia oral 3 *rezent i %iitor
Prof. Dr. Augustin Mihai
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3 #onferin(8 $u*ra*rotezarea *e im*lanturi cu diametru redus
;n edenta(ia total
01
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40A
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3 #onferin(8 Maintenance and After4care treatment for
Mandi'ular im*lant4su**orted +%erdenture
Prof. Dose*h =issan
0A
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40I
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3 #onferin(8 -%aluarea clinic a unei metode noi *entru
o' inerea ada*trii *asi%e *entru su*rastructurile unice fixe *e
mai multe im*lanturi 3 un studiu *ros*ecti% de @ ani
Dr. !adu Baston< Dr. #ristina Ilea4Peltecu< Dr. Mihaela a*ar
0I
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40I
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3 #onferin(8 !olul Prof. Dr. Dan Theodorescu ;n formarea i
dez%oltarea stomatologiei ;n !om)nia
#onf. Dr. Mihai Burli'aa< Dr. #orina Marilena #ristache<
Prof. Dr. Petru Armean
Sala 3
A/
AA
-(2
AA
% Conferina 4aional de Parodontologie
Premize concept!ale si atit!dini practice in monitorizarea
si tratament!l gingi+itelor si parodontitelor marginale
Prezidi!) Prof. Dr. Prof. Dr. Horia Traian Dumitriu
Dr. A%igdor Hlinger
Prof. Dr. Doina +nisei
$ecretar8 Pre*. Dr. #ristian #omnescu
/2
//
4/2
?/
3 PeriodontallE Assisted +rthodontics for Treatment of the
Multidisci*linarE Adult Patient. A #linical and a
#om*uterized Tomogra*hE ,D AnalEsis
A%igdor Hlinger DMD PhD
/2
?/
40/
1/
3 #onferin(8 Managementul gingi%itelor cronice i gingi%o4
stomatitelor acuteO sanogeneza gingi%o4*arodontal4conce*t
original
0/
1/
400
//
3 #onferin(8 Interrela(ia 'oal *arodontal 4 afec(iunile
sistemice
00
//
400
?/
3 #onferin(8 Dia'etul zaharat 4 interrela(ii cu 'oala *arodontal
#onf. Dr. Petra &urlin< Dr. Mdlina +lteanu
00
?/
401
1/
3 #onferin(8 .tilizarea acidului hialuronic ;n medicina dentar
0,
//
40?
//
$d!narea #eneral a Asocia(iei 9$ocietatea de Parodontologie
din !om)nia:
0,
Program
Prezidi!) Prof. Dr. $il%ia M)r(u
&ef lucr. Dr. #inel Mali(a
$ecretar8 Asist. Dr. Magdalena Mironiuc4#ureu
0?
,/
40@
0/
3 #onferin(8 Terenul *arodonto*at i decizia de im*lantare
0@
0/
40A
1/
3 "ucrri tiin(ifice
(* Fezi!nile com,inate endo-parodontale din perspecti+a
parodontologiei
Bahtiar Ismail< Brandua Mocanu< Anca $il%ia Dumitriu
-* Poliartrita re!matoid ca factor fa+orizant al parodontitei
marginale % aspecte clinice
Dr. Andeea 7lorescu< Dr. #ristian Arsenie< Dr. Alexandra #iuc< Dr. Alexandra
=egoescu< Dr. $il%iu Tnsescu< Asist. Dr. Melania #o>ocaru< #onf. Dr. Petra
&urlin
.* $fectarea parodontal 6n ocl!zia in+ers frontal % aspecte clinice
Dr. Ana Maria !;c< Dr. $toica Delia< Dr. Alexandra "icu< Asist. Dr. Dora
Po*escu< &ef lucr. Dr. Anne Marie !auten< #onf. Dr. Victoria Andrei< #onf. Dr.
Petra &urlin
0* espre !nele manifestri parodontale 6n sindrom!l!i MarfanG
prezentare de caz clinic
ef lucr. Dr. #inel Mali a < #onf. Dr. Anca $il%ia Dumitriu< ef lucr. Dr. $tana
Punic
7* Corelaia 6ntre indicii parodontali ;P i ;S i parametrii sali+ari
Hp=< sistem!l tamponI la pacienii c! parodontit marginal
cronic prof!nd
Asist. Dr. Marina iurgiu< &ef lucr. Dr. $tana Punic< #onf. Dr. Anca Dumitriu<
1* $ntio9idani sali+ari i ,iomar>eri ai pero9idrii lipidice 6n ,oala
parodontal
Asist. Dr. Br;ndua Mocanu< Asist. Dr. Daniela Miricescu< Asist. Dr. Bahtiar
Ismail< &ef lucr. Dr. Alexandra Totan< &ef lucr. Andreea Didilescu< #onf. Dr.
Anca $il%ia Dumitriu< Prof. Dr. Maria rea'u
0A
1/
40I
//
3 #onferin(8 Posi'ilit i i limite actuale de refacere tera*eutic
tisular a defectelor *arodontale *rofunde i osoase ;n
*arodontitele marginale cronice *rofundeO argumenta ii i
etalri cu cazuri clinice
ef lucr. Dr. #inel Mali a
0?
0I
//
40I
,/
3 "ucrri tiin(ifice
(* $specte interdisciplinare 6n tratament!l comple9 al pacient!l!i
parodontopat
&ef lucr. Dr. $tana Punic< #onf. Dr. Anca Dumitriu< Asist. Dr. Marina4#ristina
iurgiu< &ef lucr. Dr. #inel Mali(a< Prof. Dr. Horia Traian Dumitriu
-* &+idenierea Tannerellei forsEthia la !n lot de pacieni c! ,oal
parodontal i efectele terapiei anti,iotice e+ideniate prin tehnica
$4-ST";P
Asist. Dr. Magdalena Mironiuc4#ureu< Asist. Dr. Bog'an Da'u< Asist. Dr. Irina4
Maria heorghiu< #onf. Dr. Anca $il%ia Dumitriu
.* Posi,ilit i i limite ale remediilor homeopate 6n inflama ia
gingi+al
&ef lucr. Dr. #ristina a'riela Pucau
Salon Protocol
00
//
401
//
3 #urs Hands4on 3 Partea teoretic
$olu(ii *rotetice *entru restaurri agregate *e im*lanturi cu
sisteme !hein
MTD Marco Vaninni
Demonstra(ia *ractic %a a%ea loc ;n du*4amiaza aceleiai
zile< ;n cadrul #linicii de Protetic Dentar din $trada Ionel
Perlea< nr. 01.
0@
Program
$PMBQTQ /A.0/.1/01
Sala $
Prezidi!) Prof. Dr. Andrei Iliescu
#onf. Dr. Ioana $uciu
&ef lucr. Dr. Paula Perlea
$ecretar8 Mdlina Perieanu
0/
,/
400
,/
3 #onferin(8 #onser%area *ul*ei dentare8 *rogres sau statu4RuoK
Prof. Dr. Andrei Iliescu< #onf. Dr. Mihaela Luculina< Asist. Dr.
Alexandru Andrei Iliescu
00
,/
401
,/
3 #onferin(8 Tehnici de restaurare du* tratamentul endodontic.
#once*tul unei noi genera(ii de materiale *entru restaurrile
*osterioare definiti%e
Prof. Dr. I%ana Miletic
01
,/
40,
//
3 6nchiderea #ongresului
6n contextul Primului #ongres Interna(ional al $ociet(ii !om)ne de
Protetic Dentar i Maxilo47acial %or a%ea loc i
urmtoarele cursuri 9hands4on:8
(* Montarea modelelor 6ntr-!n artic!lator semiadapta,il
Prof* r* $le9andr! Petre
-* Prepararea dinilor pentr! faete integral ceramice
$sist* r* aniel Ptroi
.* Tehnici de s!t!r pentr! inter+eniile chir!rgicale preprotetice
r* $ndrei $le9andr! Ton>o
0* Sol!ii protetice pentr! resta!rri agregate pe implant!ri c!
sisteme "hein
MT Marco Vaninni
Detalii *ri%ind condi(iile de organizare i *artici*are *ute(i *rimi la $ediul
.=A$ *recum i la $ecretariatul #ongresului.
0A
0I
Program
"&J5M$T&
05
"ez!mate
$K&CT$"&$ P$"OO4T$FL 4 OCF5J;$ ;4V&"SL
K"O4T$FL % $SP&CT& CF;4;C&
P&";OO4T$F $M$#& ;4 $4T&";O" C"OSS 3;T& %
CF;4;C$F $SP&CTS
Dr. Ana Maria !;c< Dr. $toica Delia< Dr. Alexandra "icu< Asist. Dr. Dora
Po*escu< &ef lucr. Dr. Anne Marie !auten< #onf. Dr. Victoria Andrei<
#onf. Dr. Petra &urlin
7acultatea de Medicin Dentar< .M7 #raio%a
Introducere. Anomaliile dento4maxilare duc la conformarea %icioas a
*arodon(iului marginal< oferind condi(ii anatomo4morfologice *ro*ice acumulrii de
*lac 'acterian i afectrii *arodontale.
Material i Metode. .n numr de 05 co*ii cu %)rste cu*rinse ;ntre 540/ ani
diagnostica(i ortodontic cu ocluzie in%ers frontal *rin modificare de ax au fost
examina(i din *unct de %edere *arodontal i s4a notat *rezen(a *lcii 'acteriene cu
indicele de *lac $ilness i "oe IP< a recesiunilor gingi%ale !< inflama(iei gingi%ale
realiz)ndu4se indicele I< mo'ilit(ii dentare< *ungilor *arodontale ;ncerc)ndu4se
sta'ilirea de corela(ii ;ntre acestea i *rezen(a anomaliei ;nainte i du* corectarea ei.
!ezultate. 6n *rezen(a *lcii 'acteriene< modificrile *arodontale *ersist i
du* corectarea anomaliei ortodontice ;n tim* ce la *acien(ii cu igien dentar 'un<
modificrile *arodontale retrocedeaz.
#oncluzii. -ste im*ortant monitorizarea *arodontal a *acien(ilor
ortodontici i cola'orarea medic ortodont4*arodontolog *entru a reduce riscul afectrii
*arodontale la *acien(ii cu ocluzie in%ers frontal.
#u%inte cheie8 *arodontal< ocluzie in%ers
Introduction8 Dento4maxillarE a'normalities lead to %icious conformation of
the marginal *eriodontium< creating fa%ora'le anatomic and mor*hological conditions
for *laRue accumulation and *eriodontal damage.
Materials and Methods8 A num'er of 05 children Fith age 'etFeen 540/
Eears< Fith orthodontic diagnose of anterior cross 'ite 'E ax modification< Fere
*eriodontal examined. It Fas noted the *resence of 'acterial *laRue Fith "oe and
$ilness index SPIT< gingi%al recessions S!T< gingi%al inflammation Fith I index<
dental mo'ilitE< *eriodontal *ocCets trEing to esta'lish connections 'etFeen these and
the *resence of the a'normalitE 'efore and after itUs correction.
!esults8 In the *resence of dental *laRue< the *eriodontal modifications
*ersist e%en after the correction of the orthodontic a'normalitE meanFhile at the
*atients Fith good oral hEgiene< the *eriodontal modifications regress.
#onclusions8 The *eriodontal screening of orthodontic *atients and the
colla'oration 'etFeen orthodontist and *eriodontologist is im*ortant to reduce the risC
of *eriodontal disease on *atients Fith anterior cross 'ite.
HeEFords8anterior cross 'ite< *eriodontitis
1/
$l MV;-lea Congres 4aional al 54$S
$4$F;J$ ST$T;ST;CL $S5P"$ $P$"; ;&; ;4 ;FO"
S5P"$45M&"$";
ST$T;ST;C$F $4$FNS;S O4 T=& OCC5""&4C& OK
S5P&"45M&"$"N T&&T=
Drd. #ristina Mihai< #onf. Dr. -lena a'riela Des*a< Asist. Dr. !aluca
Anca iurescu< ef lucr. Dr. Anca Iulia Po*escu< ef lucr. Dr. Ana Maria
Pangic
7acultatea de Medicin i Medicin Dentar< .ni%ersitatea Titu Maiorescu<
Bucureti
$co*ul lucrrii8 Anomaliile dentare de numr au o frec%en mai sczut fa
de alte anomalii dento4maxilare< cu toate acestea *ot determina modificri care fac
necesar inter%en ia tera*eutic datorit tul'urrilor fizionomice i *ertur'rilor
secundare la ni%elul arcadelor dentare i ra*oartelor de ocluzie.
Material i metod8 $tudiul clinic i statistic a fost realizat *e un lot de ?A@
*acien i cu %)rste cu*rinse ;ntre @405 ani din cazuistica clinicii ;n inter%alul de tim*
1/0/41/00.
7iecrui *acient i s4a ;ntocmit o fi de o'ser%a ie< iar ;n urma examenului
clinic i a examenelor com*lementare Sfotografii exo i endo'ucale<
orto*antomografie< teleradiografieT am formulat un diagnostic com*let i com*lex<
sta'ilind astfel conduita tera*eutic.
!ezultate i concluzii8Din lotul de *acien i au fost diagnostica i cu din i
su*ranumerari ,, de *acien i< re*rezent)nd ,<5V din totalul de *acien i.
!a*ortul *e sexe a fost de 1W0 ;n fa%oarea 'ie ilor. "a cei ,, de *acien i
diagnostica i au fost gsi i ?I de din i su*ranumerari< at)t la maxilar c)t i la
mandi'ul< to i fiind din i *ermanen i.
Din cele ,, de cazuri I1<IV *rezentau i anomalii dento4maxilare< ra*ortul
*e sexe fiind de 1W0 ;n fa%oarea 'ie ilor.
#u%inte cheie8 din i su*ranumerari< analiza statistic< frec%en a anomaliilor
dento4maxilare
Aim8 Dental anomalies of num'er ha%e a loFer freRuencE than other
malocclusions< hoFe%er< cause changes that reRuire thera*eutic inter%ention 'ecause of
esthetic disorders and secondarE distur'ances to the dental arches and 'ite re*orts.
Methods8 #linical and statistical studE Fas conducted on a sam*le of ?A@
*atients aged @405 Eears old of the clinicXs casuistrE in the *eriod 1/0/41/00. -ach
*atient Fas issued Fith Fas issued an summarE o'ser%ation sheet and from clinical
and com*lementarE examinations Sexo and endo oral *hotos< ortho*antomogra*hE<
lateral ce*halometricT ha%e formulated a com*lete and com*rehensi%e diagnostic<
there'E esta'lishing thera*eutic setting such conduct.
!esults and conclusions8 7rom the grou*< ,, *atients Fere diagnosed Fith
su*ernumerarE teeth< re*resenting ,.5V of all *atients. $ex ratio Fas 1W0 in fa%or of
'oEs. In the ,, *atients diagnosed Fith su*ernumerarE teeth< Fere found ?I
su*ernumerarE teeth< 'oth maxillarE and mandi'ular as all the *ermanent teeth. +f the
,, cases< I1.IV *resented also malocclusions< the sex ratio of 1W0 in fa%or of 'oEs.
HeEFords8su*ernumerarE teeth< statistical analEsis< freRuencE of dento4
maxillarE anomalies Sa'normalitiesT
10
"ez!mate
$4$F;J$ ST$T;ST;CL $S5P"$ &F&M&4T&FO" COMP5F5;
P"OT&T;C &&4T$T TOT$F M$M;F$"
ST$T;ST;C$F $4$FNS;S OK T=& TOT$F &&4T5FO5S
M$M;FF$ P"OST=&T;C K;&F
#onf. Dr. -lena a'riela Des*a< Asist. Dr. !aluca Anca iurescu< Drd.
#ristina Mihai< ef lucr. Dr. Anca Iulia Po*escu< Prof. Dr. #ornelia
B;cleanu
7acultatea de Medicin i Medicin Dentar< .ni%ersitatea Titu Maiorescu<
Bucureti
$co*ul lucrrii8 #)m*ul *rotetic edentat total maxilar *rezint o mare
%aria'ilitate morfo4clinic. As*ectele lui sunt de*endente de mul(i factori care
*artici* la a*ari(ia strii de edenta(ie total< ceea ce determin ca din toate *unctele de
%edere *rognosticul s fie foarte dificil de sta'ilit.
Material i metod8 Analiza statistic a c)m*ului *rotetic edentat total a fost
realizat *e dou loturi de *acien i diferi i ca statut socio4economic< astfel *rimul lot
S050 de c)m*uriT a fost re*rezentat de c)m*uri *ro%enite de la *acien i cu situa(ie
socio4economic 'un< cu o educa(ie stomatologic. Al doilea lot S1AI de c)m*uriT a
fost re*rezentat de c)m*uri ale *acien ilor cu condi(ii materiale deose'it de modeste i
tratamente realizate incorect. #ele dou elemente ale c)m*ului analizate au fost8 'olta
*alatin i tu'erozitatea maxilar.
!ezultate i concluzii8 "a am'ele loturi analiza statistic a dimensiunii
antero4*osterioare a 'ol(ii *alatine< arat o distri'u(ie de ti* normal< aussian<
deoarece dimensiunea antero4*osterioar a 'ol(ii *alatine este singurul *arametru al
c)m*ului *rotetic edentat total maxilar care nu sufer modificri ;n urma edenta(iei<
*str)ndu4se morfologia normal.
#u%inte cheie8 analiz statistic< tu'erozitate maxilar< dimensiunea antero4
*osterioar a 'ol ii *alatine
Aim8 Total edentulous maxilla *rosthetic field shoFs a large mor*hological
and clinical %aria'ilitE. Its as*ects are de*endent on manE factors in%ol%ed in the
occurrence of total edentulous status< Fhich leads to all *oints of %ieFs the *rognosis
to 'e %erE difficult to determine.
Material and methods8 $tatistical analEsis of total edentulous *rosthetic field
Fas *erformed on tFo grou*s of *atients different in socio4economic status. The first
'atch S050 fieldsT Fas re*resented 'E fields from *atients Fith 'etter socio4economic
situation< Fith dental education. The second grou* S1AI fieldsT Fas the fields of
*atients Fith *articularlE *oor material conditions and treatments *erformed
incorrectlE. The tFo field elements analEzed Fere8 *alate S*alatal %aultT and maxillarE
tu'erositE.
!esults and conclusions8 In 'oth grou*s< statistical analEsis of anterior4
*osterior dimension of the %ault *alate S*alatal %aultT shoFs a normal distri'ution<
aussian< 'ecause the size of the anterior4*osterior *alatal %ault is the onlE *arameter
of total edentulous maxilla *rosthetic field that does not change from edentulous<
maintaining the normal mor*hologE.
HeEFords8statistical analEsis< maxillarE tu'erositE< anterior4*osterior
dimension of the %ault *alate S*alatal %aultT
11
$4T;OM;$4P; S$F;V$"; ; 3;OM$"D&"; $; P&"OM;L";;
F;P;;C& 4 3O$F$ P$"OO4T$FL
S$F;V$"N $4T;OM;$4TS $4 F;P; P&"OM;$T;O4
3;OM$"D&"S ;4 P&";OO4T$F ;S&$S&
Asist. Dr. Br;ndua Mocanu< Asist. Dr. Daniela Miricescu< Asist. Dr.
Bahtiar Ismail< &ef lucr. Dr. Alexandra Totan< &ef lucr. Andreea Didilescu<
#onf. Dr. Anca $il%ia Dumitriu< Prof. Dr. Maria rea'u
.ni%ersitatea de Medicin i 7armacie 9#arol Da%ila: 3 Bucureti
$co*ul lucrrii este de a determina ca*acitatea antioxidant a sali%ei i de a
in%estiga *rocesul *eroxidrii li*idice ;n sali%a *acien(ilor cu 'oal *arodontal.
$ali%a a fost folosit ;n ultimii 1/ de ani *entru identificarea i
monitorizarea diferitelor afec(iuni inclusi% afec(iuni ale ca%it(ii orale. #on(ine
*roteine< electroli(i< hormoni< alte molecule *ro%enite din s)nge i antioxidan(i.
Antioxidan(ii sunt unul dintre mecanismele de a*rare ;m*otri%a stresului
oxidati% S+$T.
+$ re*rezint dezechili'rul dintre *roduc(ia de s*ecii moleculare ;nalt
reacti%e Ys*ecii oxigen reacti%e S!+$T i s*ecii nitrogen reacti%eZ i sistemele
antioxidante de a*rare. Distruc(iile tisulare datorate radicalilor li'eri i !+$ sunt
crescute ;n 'oala *arodontal datorit unei a*rri antioxidante deficitare.
Material i metod8 ca*acitatea antioxidant i *eroxidarea li*idic a sali%ei
au fost com*arate la 1/ *acien(i sntoi i 1/ *acien(i cu 'oal *arodontal folosind
sali%a nestimulat.
Am e%aluat urmtorii 'iomarCeri sali%ari8 acid uric< ca*acitatea antioxidant
total STA#T i malondialdehida SMDAT ca *rodus rezultat ;n urma atacului radicalilor
li'eri asu*ra acizilor grai. Acidul uric i TA# au fost testate la un analizor automat.
Hiturile test folosite *ro%in de la BiosEstems Diagnostics S$*ainT i !andox S.HT.
MDA a fost dozat s*ectofotometric.
!ezultate8 am o'(inut ni%ele statistic sczute ale acidului uric i TA# i
ni%ele statistic crescute ale MDA S*[/<///0T ;n sali%a *acien(ilor cu 'oal *arodontal
com*arati% cu lotul de *acien(i sntoi.
#oncluzii8 studiul nostru demonstreaz la *acien(ii cu 'oal *arodontal
a*are un ni%el crescut de +$. Acidul uric< TA# si MDA sunt 'iomarCeri sali%ari
im*ortan(i *entru monitorizarea +$ al ca%it(ii orale.
#u%inte cheie8 stres oxidati%< 'iomarCeri sali%ari< antioxidan(i< *eroxidare
li*idic< 'oal *arodontal
The aim of the studE is to determine the antioxidant ca*acitE of sali%a and to
in%estigate the *rocess of li*id *eroxidation in *atientXs sali%a Fith *eriodontal disease.
$ali%a has 'een used Fithin the *ast 1/ Eears for identification and
monitoring of %arious diseases including oral diseases. It contains *roteins<
electrolEtes< hormones< other molecules deri%ed from the 'lood and antioxidants.
Antioxidants are one of the defense mechanism against oxidati%e stress
S+$T.
+$ re*resents the im'alance 'etFeen *roduction of highlE reacti%e
molecular s*ecies Sreacti%e oxEgen s*ecies and reacti%e nitrogen s*ecies Y!+$< !=$ZT
and antioxidant defense sEstems. Tissue in>urE due to free radical *roduction and !+$
1,
"ez!mate
has 'een demonstrated to 'e enhanced in indi%iduals Fith PD due to a lacC of adeRuate
antioxidant defense.
Materials and methods8 antioxidant acti%itE of sali%a and the li*id
*eroxidation *rocess Fas com*ared in 1/ healthE indi%iduals and 1/ *atients Fith PD
in a sam*le of Fhole unstimulated sali%a.
The folloFing sali%arE 'iomarCers Fere e%aluated8 uric acid< total
antioxidant ca*acitE STA#T and malondialdehEde SMDAT as the *roduct resulted from
free radicals attacC o%er the fattE acids. .ric acid and TA# Fere tested using analEsis
Cits on automatic analEzer. AnalEsis Cits Fere *ro%ided 'E BiosEstems Diagnostics
S$*ainT and 'E !andox S.HT. $ali%arE MDA Fas tested using s*ecto*hotometrE.
!esults8 our studE re%ealed statisticallE decreased le%els of uric acid and
TA# in *atientXs sali%a %ersus controls. $ali%arE MDA Fas statisticallE increased in
*atientXs sali%a %ersus controls S*[/<///0T.
#onclusions8 the result of our studE suggest that a significant +$ occurs in
the case of *atients Fith PD. .ric acid< TA# and MDA are %erE im*ortant and
*romising sali%arE 'iomarCers for monitoring the oral +$.
HeEFords8oxidati%e stress< sali%arE 'iomarCers< antioxidants< li*id
*eroxidation< *eriodontal disease
$PO"T5F M&;C5F5; SP&C;$F;ST O"TOO4T 4
"&$3;F;T$"&$ ;MPF$4TO-P"OT&T;CL
T=& O"T=OO4T;ST CO4T";35T;O4 ;4 ;MPF$4T-
P"OST=&T;C "&=$3;F;T$T;O4
#onf. Dr. Ileana Ionescu\< &ef lucr. Dr. !uxandra $featcu\< Dr. Anda
=ichifor\< Prof. Dr. Petru Armean\\< Dr. +leg Do'ro%olschi\\\< Dr.
"orelai $farghiu\\\
\7acultatea de Medicin Dentar< ..M.7. 9#arol Da%ila:< Bucureti< $ocietatea
!om)n de +steointegrare
\\7.M.A.M.< ..M.7. 9#arol Da%ila:< Bucureti
\\\$.#. D-=TA"M-D #+M $.!.". Brao%< $ocietatea !om)n de +steointegrare
$co*8 6n cadrul tratamentului ortodontic< tratamentul ad>u%ant< cu o durat
mai mic< se a*lic ;n general adultului de orice %)rst< ;n sco*ul ameliorrii
condi iilor 'iomecanice< estetice< *arodontale< etc. $co*ul lucrrii este de a e%iden ia
*osi'ilit ile i mi>loacele *rin care medicul s*ecialist ortodont *oate contri'ui la
;m'unt irea condi iilor de realizare a unei restaurri im*lanto4*rotetice.
Material i metod8 $4au studiat diferite modalit(i de realizare a
tratamentului ortodontic *reim*lantar< e%iden(iindu4se care sunt *acien ii crora li se
*oate a*lica un asemenea ti* de tratament< o'iecti%ele acestuia< ti*urile de de*lasare
dentar< dis*oziti%ele care se *ot utiliza< *recum i factorii de care de*inde reu ita
acestui ti* de tratament.
!ezultate8 .tiliz)ndu4se exem*lul a doi *acien i< s4a demonstrat utilitatea
unui asemenea ti* de tratament< ;n dou categorii diferite de cazuri8 un *acient cu
anodon ii i un *acient cu *ierderea incisi%ului central st)ng i reducerea s*a(iului *e
arcad.
1?
#oncluzii8 $e *oate conchide ca tratamentul ortodontic *reim*lantar este un
ad>u%ant *re ios a unei restaurri im*lanto4*rotetice< uneori fiind chiar indis*ensa'il
realizrii acesteia.
#u%inte cheie8 tratament ortodontic< rea'ilitare im*lanto4*rotetic
+'>ecti%e8 The ad>uncti%e orthodontic treatment means the tooth mo%ement
carried out to facilitate other dental *roceduresO it generallE a**lies to adults of all
ages< in order to im*ro%e the 'iomechanical conditions< esthetics< *eriodontal status<
etc. The *ur*ose of this *a*er is to highlight the o**ortunities and means for the
orthodontist in order to im*ro%e the conditions for achie%ing a *rosthetic im*lant
restoration.
Material and method8 ]ere studied different FaEs to achie%e the
*reim*lantation orthodontic treatment< re%ealing to Fhich *atients could a**lE this
tE*e of treatment< its o'>ecti%es< tE*es of tooth mo%ement< orthodontic de%ices that can
'e used< and factors res*onsi'le for the success of this tE*e of treatment.
!esults8 ]e *ro%ed< using tFo clinical cases Sone Fith congenitallE missing
teeth and other Fith earlE loss of a central incisor and s*ace lossT< the utilitE of that
Cind of orthodontic treatment< in hel*ing a good im*lant restoration.
#onclusions8 It can 'e concluded that orthodontic treatment is a %alua'le
ad>u%ant 'efore im*lantation for the im*lant4*rosthetic restorations< sometimes e%en
indis*ensa'le.
HeEFords8orthodontic treatment< im*lant4*rosthetic reha'ilitation
$"#5M&4T$"&$ &C;J;;FO" 4 "&$3;F;T$"&$
P"OT&T;CL P& ;MPF$4T5"; &4T$"& 4 &&4T$P;$
TOT$FL
$"#5M&4TS ;4 &C;S;O4S O4 ;MPF$4T P"OST=&T;C
"&=$3;F;T$T;O4 KO" &&4T5FO5S P$T;&4TS
#onf. Dr. "igia Muntianu\< Dr. #orina #ristache\\< &ef lucr. Dr. !uxandra
$featcu\< #onf. Dr. Mihai Burli'aa\\\< Asist. Dr. Traian Bodnar\
\7acultatea de Medicin Dentar< ..M.7. 9#arol Da%ila: Bucureti< $ocietatea
\\$.#. #+=#+!DIA D-=T $.!.". Bucureti< $ocietatea !om)n de
+steointegrare
\\\7.M.A.M.< ..M.7. 9#arol Da%ila: Bucureti< $ocietatea !om)n de
+steointegrare
Scop) Tendin(ele actuale de rea'ilitare *rotetic *e im*lanturi a edentatului
total *un *ro'lema modalit(ii de *rotezare8 fix sau mo'il *e im*lanturi.
Material i metode) Am utilizat analiza re*erelor 'iometrice *rezente *e
modele< machetarea diagnostic i no(iunile legate de DV+ ca elemente indis*ensa'ile
;n analiza s*a(iului *rotetic %ertical dis*oni'il< din *unct de %edere estetic i
func(ional.
"ez!ltate i disc!ii) 6n urma analizei modelelor montate ;n articulator< un
*rim *unct de discu(ie este c im*lanturile nu *ot fi *lasate exact ;n *ozi(ia fotilor
din(i naturali< datorit atrofiei crestelor al%eolare. De asemenea< decala>ul ;ntre crestele
1@
"ez!mate
edentate este diferit ;n func(ie de clasa scheletal< ceea ce *une dificult(i ;n montarea
din(ilor< recrearea s*a(iilor func(ionale i func(ionalitatea fona(iei i a esteticii dorite.
Concl!zii) 6nainte de a rea'ilita *rotetic cu im*lanturi un edentat total<
*racticianul tre'uie s fie familiarizat cu no(iunile *rotezrii totale. Pentru a *utea
decide ce ti* de lucrare *rotetic *oate fi realizat< este necesar *arcurgerea mai multor
eta*e< dintre care< analiza s*a(iului *rotetic %ertical< machetarea diagnostic i
sta'ilirea corect a DV+ sunt indis*ensa'ile. =u to(i *acien(ii edenta(i total *ot fi
*roteza(i fix< deoarece nu to(i *acien(ii *rezint acelai ti* de anomalie scheletal
Angle.
#u%inte cheie8 rea'ilitare *rotetic *e im*lanturi< edenta(ie total
Pur*ose8 #urrent trends in im*lant *rosthetic reha'ilitation of edentulous
raise the Ruestion a'out *rosthetic modalitE8 fixed or mo'ile on im*lants.
Material and methods8 Fe used the analEsis of 'iometric marCers *resent on
models< the diagnostic laEout *atterns and the notions a'out DV+ as essential
elements in the analEsis of *rosthetic %ertical s*ace a%aila'le in aesthetical and
functional terms.
!esults and discussions8 In the analEsis of models mounted in articulator< a
first *oint of discussion is that im*lants cannot 'e *laced exactlE in the *osition of
natural teeth due to atro*hE of the ridges. Also< the ga* 'etFeen edentulous ridges is
different according to sCeletal class< Fhich raises difficulties in mounting teeth<
recreation of functional areas and desired functionalitE of *honetic and aesthetics.
#onclusions8 Before *rosthetic reha'ilitation Fith im*lants of edentulous
*atient< the *ractitioner must 'e familiar Fith notions on total *rosthetics. To decide
Fhat tE*e of *rosthetic can 'e done< se%eral ste*s are necessarE to analEze the
edentulous area of the %ertical s*ace< the diagnostic laEout and the correct diagnosis of
DV+< are indis*ensa'le. =ot all the total edentulous *atients can 'e treated Fith fixed
*rostheses< 'ecause not all *atients ha%e the same tE*e of Angle sCeletal a'normalitE.
HeEFords8 im*lant *rosthetic reha'ilitation< edentulous *atients
$SP&CT& ;4T&";SC;PF;4$"& 4 T"$T$M&4T5F
COMPF&M $F P$C;&4T5F5; P$"OO4TOP$T
;4T&";SC;PF;4$"N $SP&CTS ;4 T=& COMPF&M
T"&$TM&4T OK P&";OO4T$F P$T;&4T
&ef lucr. Dr. $tana Punic< #onf. Dr. Anca Dumitriu< Asist. Dr. Marina4
#ristina iurgiu< &ef lucr. Dr. #inel Mali(a< Prof. Dr. Horia Traian
Dumitriu
.ni%ersitatea de Medicin i 7armacie 9#arol Da%ila: 3 Bucure ti
#a urmare a e%olu(iei 'olii *arodontale din(ii ;i modific *ozi(ia cu a*ari(ia<
du* caz< a tremelor i diastemei *atologice.
$co*8 ;n tratamentul com*lex al 'olii *arodontale tratamentul ortodontic
urmrete reducerea modificrilor de *ozi(ie a din(ilor migra(i i imo'ilizarea acestora.
Material i metod8 *acien(i cu *arodontit marginal cronic *rofund
crora li s4a efectuat tratament antimicro'ian< chirurgical i concomitent tratament
ortodontic.
!ezultate8 msurtorile clinice au artat reducerea ad)ncimii *ungilor
*arodontale odat cu resta'ilirea *ozi(iei normale i conten(ia din(ilor res*ecti%i.
1A
#oncluzii. Asocierea tratamentului ortodontic cu cel *arodontal este
deose'it *entru ;m'unt(irea statusului dento4*arodontal i aducerea acestuia c)t mai
a*ro*iat de normal.
#u%inte cheie8 tratament ortodontic< treme i diasteme *atologice< *ungi
*arodontale
As a conseRuence of the *rogression of *eriodontal disease< teeth change
their *osition Fith the a**arition< as a**ro*riate< of tremes and *athological diastema.
Pur*ose8 during the com*lex treatment of *eriodontal disease the
orthodontic treatment aims to reduce differences of teethUs *osition Fhich are alreadE
migrated and immo'ilize them.
Material and methods8 *atients Fith marginal *eriodontitis Fho ha%e
undergone antimicro'ial and surgical thera*E and orthodontic treatment
simultaneouslE.
!esults8 clinical measurements shoFed a reduction of the *eriodontal
*ocCetUs de*th together Fith the a**roach of normal *arameters of the teethUs *osition
and content.
#onclusions8 the ad>unction 'etFeen the orthodontic and the *eriodontal
treatment is significant for the im*ro%ement of dental4*eriodontal status and 'ringing
it close to normal.
HeEFords8the orthodontic treatment< tremes and *athological diasteme<
*eriodontal *ocCets
3;OK;FM5F M;C"O3;$4 4 SK&"$ STOM$TOFO#;CL %
O"#$4;J$"& ; COM54;C$"&
M;C"O3;$F 3;OK;FM ;4 O"$F C$V;TN
Drd. 7la%ius $t. $tnescu< Profesor Dr. $il%ia Dumitriu< #onf. Dr. a'riela
Bncescu< Dr. Biol. #armen Defta
7acultatea de Medicin Dentar< .M7 9#arol Da%ila:< Bucure ti
Biofilmul micro'ian este un com*lex de microorganisme care se formeaz
*e su*rafe e %ii sau ne%ii in anumite condi(ii< i *oate fi rs*)ndit *retutindeni ;n
natur.
Procesele infec(ioase comune ;n care au fost im*licate 'iofilme includ
formarea *lcii dentare< a gingi%itei< *e su*rafe(ele inerte ale dis*oziti%elor im*lantate
Scatetere< %al%e cardiace *rotetice< im*lanturi dentare i dis*oziti%e intrauterineT< ;n
infec(iile tractului urinar< infec(ii la ni%elul urechii medii.
6n *rezenta lucrare< autorii fac o aducere la zi asu*ra cuno tin elor actuale
*ri%ind as*ectele teoretice ale mecanismelor celulare care afecteaz fiziologia i
*atologia micro'ian< iar 'una ;n(elegere a *roceselor din 'iofilmul micro'ian ar tre'ui
s conduc la strategii eficiente asu*ra controlului 'iofilmului i la ;m'unt(irea
managementului *acientului.
#u%inte cheie8 'iofilm micro'ian< formarea 'iofilmului< anti'iorezisten <
*rofilaxia infec iilor< managementul *acientului
1I
"ez!mate
Micro'ial 'iofilm is an aggregate of microorganisms Fhich can 'e formed
on li%ing or non4li%ing surfaces in some conditions and can 'e s*read e%erEFhere in
nature.
#ommon infectious *rocesses in%ol%ing 'iofilms include dental *laRue<
gingi%itis< inert surfaces of im*lanted de%ices Scatheters< *rosthetic heart %al%es< dental
im*lants and intrauterine de%icesT< urinarE tract infections< middle ear infections.
In this *a*er the authors ha%e done an u*date of the current CnoFledge of
the theoretical as*ects of cellular mechanisms that affect micro'ial *hEsiologE and
*athologEO hence a 'etter understanding of the micro'ial 'iofilm *rocesses resulting in
effecti%e strategies of the control of 'iofilm and im*ro%ement of *atient management.
HeEFords8micro'ial 'iofilm< 'iofilm formation< anti'iotic resistant 'acteria<
infection *re%ention< *atient management
3;OM$"D&";; S$F;V$";- O 4O5L MO$F;T$T& &
;$#4OST;C 4 3O$F$ P$"OO4T$FL
S$F;V$"N 3;OM$"D&"S % $ 4&Q ;$#4OST;C TOOF KO"
P&";OO4T$F ;S&$S&
Asist. Dr. Daniela Miricescu< &ef lucr. Dr. Alexandra Totan< Asist. Dr.
Br)ndua Mocanu< &ef lucr. Dr. Andreea Didilescu< Asist. Dr. Tudor
$*;nu< Prof. Dr. Maria Mohora< Asist. Dr. Bogdan #alenic< Prof. Dr. Maria
rea'u
$co*ul studiului nostru a fost determinarea unor 'iomarCeri sali%ari cu
%aloare diagnostic ;n 'oala *arodontal.
Materiale8 6n studiul nostru am inclus 1/ de *acien(i diagnostica(i cu 'oal
*arodontal i 1/ de su'iec(i sntoi.
Metode8 BiomarCerii studia(i< osteocalcina< 1@4hidroxi%itamina DS1@4+H
DT< au fost determina(i ;n sali%a total nestimulat *rin metoda -"I$A iar fosfataza
alcalin S7AT sali%ar a fost e%aluat cu un analizor automat de 'iochimie.
!ezultate8 !ezultatele studiului nostru au e%iden(iat creteri statistic
semnificati%e S*[ /./@T ale osteocalcinei i 1@4+H D i diminuarea statistic
semnificati% a 7A S*[ /.//0T.
#oncluzii8 BiomarCerii sali%ari determina(i< osteocalcina< 1@4+H D i 7A<
*ot re*rezenta o modalitate util< ra*id i nein%azi% de diagnostic al 'olii
*arodontale. $ali%a< datorit com*ozi(iei sale este considerat 9oglinda organismului:
fluidul 'iologic *erfect *entru 'iochimia clinic.
#u%inte cheie8 'oal *arodontal< sali%< diagnostic< resor'(ie osoas
The aim of our research Fas to studE sali%arE 'iomarCers as a**lica'le to
the diagnostics of *eriodontal disease.
Materials8 ]e ha%e included in our studE 1/ *atients Fith chronic
*eriodontitis %ersus 1/ controls.
Methods8 The un4stimulated Fhole sali%a Fas used to detect the folloFing
'iomarCers< osteocalcin< 1@4hEdroxE%itamin D S1@4+H DT and alCaline *hos*hatase
SA"PT. The sali%arE osteocalcin and 1@4+H D Fere *erformed using -"I$A method
15
and A"P Fas tested using analEsis Cits on 'iochemistrE automatic analEzer from
BiosEstems< $*ain.
!esults8 +ur studE re%ealed statisticallE significant changes for all
*arameters in *atientUs sali%a %ersus controls. +steocalcin< 1@4+H D in *atientUs sali%a
Fere significantlE increased S*[ /./@T %ersus controls.
In contrast< sali%arE A"P Fas significantlE decreased S*[ /.//0T.
#onclusions8 These sali%arE 'iomarCers are *otential candidates for
diagnostics of 'one resor*tion or turno%er in *eriodontal disease. $ali%a< often
regarded as the ^mirror of the 'odE:< is a *erfect surrogate medium to 'e a**lied for
clinical diagnostics 'ecause contains locallE and sEstemicallE deri%ed mediators of
*eriodontal disease.
HeEFords8*eriodontal disease< sali%a< diagnosis< 'one resor*tion
C$"$CT&";ST;C; "&T&4T;V& $F& S;ST&M&FO" SP&C;$F&
4 S5P"$P"OT&J$"&$ M$4;35F$"L P& ;MPF$4T5"; %
ST5;5 COMP$"$T;V ;4 V;T"O
"&T&4T;O4 C=$"$CT&";ST;CS OK $TT$C=M&4T
SNST&MS KO" M$4;35F$" ;MPF$4T OV&"&4T5"&S - $
COMP$"$T;V& ;4 V;T"O ST5N
Dr. #amelia Ionescu< Prof. Dr. Ion Ptracu
+'iecti%e. +'iecti%ul acestui studiu a fost de a in%estiga %aloarea maxim a
for(ei retenti%e a trei sisteme s*eciale de reten(ie utilizate ;n su*ra*rotezarea *e
im*lanturi dentare la edentatul total mandi'ular.
Material i Metod. 6ntr4un model de edentat total mandi'ular s4au
incor*orat ;n regiunea canin< dou im*lanturi dentare standard cu diametrul de ?<0mm
i ;nl(imea de 0/ mm. Distan(a dintre im*lanturile dentare a fost de 05 mm. Prin
fixarea rigid a im*lanturilor ;n modelul de rin s4au simulat condi(iile de
osteointegrare.
$istemele de reten(ie au fost incor*orate ;ntr4o armtur metalic fiind
dislocate de *e modelul de rin cu a>utorul unui dis*oziti% de testare ce a fost s*ecial
realizat *entru acest ex*eriment.
#ele trei sisteme de reten(ie comerciale au fost8 0T #a*se sec(ionate 3
-lli*tical Matrix S$traumannT< 1T "ocator_ SBest Anchors< Inc< -scondido< #A< .$AT
i magne(i TITA=MA=-TI#$_ S$teco4sEstem4techniC m'H ` #o. H<
Ham'urg< ermanET.
Pentru dis*oziti%ul de testare au fost im*use urmtoarele cerin(e
func(ionale8 rigiditatea cadrului< *osi'ilitatea de a a>usta *ozi(ia *ro'ei ;n toate
direc(iile< un dis*oziti% de izolare i msurare a for(ei retenti%e< %iteza de de*lasare
constant *e direc(ie %ertical la @/mmWmin. Viteza de @/mmWmin. a fost ra*ortat ca
fiind momentul de dislocare al *rotezei de *e creasta edentat.
!ezultate i concluzii. Analiza statistic a scos ;n e%iden( diferen(e
semnificati%e *ri%ind for(a de reten(ie a celor trei sisteme. !ezultatele au artat c
sistemul "ocator ofer *osi'ilitatea de a o'(ine cea mai mare for( retenti%
com*arati% cu sistemele de reten(ie ti* ca*se sec(ionate urmate de magne(i.
12
"ez!mate
$istemele reten(ie ti* ca*se sec(ionate i magne(i sunt foarte sensi'ile la
erorile de *ozi(ionare a im*lanturilor *e direc(ie %ertical i nu *ot fi utilizate solu(ii cu
mai mult de dou im*lanturi dec)t ;n cazuri exce*(ionale i numai c)nd im*lanturile
sunt *er*endiculare *e *lanul ocluzal.
$istemul "+#AT+!_ este foarte *ermisi% i *ermite di%ergen(e ale
im*lanturilor de la %ertical *)n la %alori de ?/ grade ;ntre 1 im*lanturi.
7or(a retenti% oferit de aceste sisteme de reten(ie este *ro*or(ional cu
numrul im*lanturilor utilizate ;n su*ra*rotezare dac acestea sunt corect aliniate.
#u%inte cheie8 im*lanturi< su*ra*rotezare mandi'ular< reten(ie< sisteme
retenti%e
+'>ecti%es8 The aim of this studE Fas to in%estigate the magnitude of the
retenti%e force of three commerciallE a%aila'le attachment sEstems used to retain
o%erdentures to mandi'ular dental im*lants.
Materials and methods8 An edentulous mandi'ular model Fas constructed
incor*orating tFo *arallel standard ?<0mm diameterW0/mm height im*lants SInstitute
$traumann A< Basel< $FitzerlandT *laced in the canine regions. The distance 'etFeen
the tFo canine im*lants Fas 05mm. The rigid fixation of the im*lants in the resin
model simulated the condition of osseointegration.
Attachments Fere em'edded in a metal4reinforced ex*erimental mandi'ular
o%erdenture design to 'e dislodged from the model 'E a custom testing rig 'uilt u* for
the ex*eriment.
The three commerciallE a%aila'le attachment sEstems Fere8 0T !etenti%e
Anchors 3 -lli*tical Matrix S$traumannT< 1T "ocator_ SBest Anchors< Inc< -scondido<
#A< .$AT and magnetic connectors TITA=MA=-TI#$_ S$teco4sEstem4techniC
m'H ` #o. H< Ham'urg< ermanET.
The functional reRuirements for the testing rig Fere8 frame rigiditE<
*ossi'ilitE to ad>ust the *ro'e *osition in all directions< a sEstem to isolate and measure
the retention force< a load cell ada*ted to the maximum estimated retention force< a
%ertical s*eed of @/ mmWmin for the model remo%al. The s*eed of @/ mmWmin Fas
re*orted to 'e a clinicallE rele%ant mo%ement of the denture aFaE from the edentulous
ridge.
!esults and conclusions8 $tatistical analEsis re%ealed significant differences
in the retention of the three connectors. The results *ro%ed that the "+#AT+!_
attachment sEstem offers the *ossi'ilitE to o'tain a highest retention force than the
retenti%e anchors used in con>unction Fith lamella insertion folloFed 'E magnetic
connectors TITA=MA=-TI#$_.
The retenti%e anchor sEstem and magnetic connectors
TITA=MA=-TI#$_ Fere %erE sensiti%e to geometric misalignments and cannot 'e
used in cases that reRuire more than tFo im*lants< or if the im*lants are not %ertical to
the occlusal *lane.
The "+#AT+!_ attachment sEstem Fas %erE *ermissi%e Fith the
geometric misalignments Sa di%ergence of u* to ?/ degrees 'etFeen the im*lants and
connector sEstemT.
The retention force offered 'E these attachment sEstems is *ro*ortional Fith
the num'er of im*lants used to su**ort the o%erdenture.
HeEFords8im*lant< mandi'ular o%erdenture< retention< attachment sEstems
,/
C$J CF;4;C % ?=;POPF$J;$ "$;C5F$"L ;
T"$T$M&4T5F ;MPF$4TO-P"OT&T;C@
Dr. Irina +(elea< Dr. Andreas Buzoiu
+'iecti%8 Identificarea i rezol%area unui caz com*lex *rin rea'ilitarea
estetic i func(ional oro4dentar a unei *aciente tinere
Material i metod8 #azul clinic este tratat multidisci*linar8 medic chirurg
Dr. Andreas Buzoiu< medic *rotetician Dr. Irina +(elea.
Documentarea cazului a fost realizat cu fotografii< modele de studiu<
orto*antomogram i com*uter tomograf.
#oncluzii8 Anomaliile dento4maxilare com*lexe 3 hi*o*lazia radicular 3 se
*ot trata cu succes multidisci*linar< urm)nd cu rigurozitate un *lan de tratament c)t
mai com*let i eta*izat.
CO4;P;O4$"&$ "&ST$5"L";FO" P"OT&T;C& ;4 OM;
& J;"CO4;5 4 V&&"&$ K;ML";; P& P"&P$"$P;;F&
&4T$"&
CO4;T;O4;4# T=& J;"CO4;$ P"OST=&T;C
"&STO"$T;O4S KOFFOQ;4# $=&S;V& K;M$T;O4 O4
&4T$F P"&P$"$T;O4
Asist. Dr. Daniela P;r%u< Asist. Dr. #ristina P;r%u< #onf. Ing. Dan =i(oi<
$tud. Dr. Ilona $uciu< $tud. Tehn. Dent. Marcello !icca< Prof. Dr. Ion
Ptracu
7acultatea de Medicin Dentar< ..M.7. <<#arol Da%ila:< Bucureti
7ixarea restaurrilor total ceramice *e *re*ara(iile dentare este o eta*
clinic< creia dac nu i se acord o im*ortan( deose'it *oate com*romite toate
eforturile de*use anterior *entru realizarea unui tratament *rotetic de calitate.
!estaurrile cu su*ort de oxid de zirconiu sunt tot mai folosite ;n *ractica
dentar curent datorit a%anta>elor *e care le ofer8 estetic i rezisten( mecanic.
Testrile mecanice i studiile de microsco*ie electronic arat %alori mici ale legturii
adezi%e dintre oxidul de zirconiu i ciment.
Prezentarea de fa( ;i *ro*une s aduc ;n discu(ie as*ecte legate de
condi(ionarea zirconei ;n %ederea fixrii adezi%e. ra%a>ul acid este ineficient *e
ceramicele *olicristaline. $a'larea este contro%ersat8 *roductorii nu o recomand dar
testele de s*ecialitate arat rezultate ;m'unt(ite ale adeziunii. +'(inerea unor legturi
cu cimentul *rin *rimeri s*ecifici este *us su' semnul ;ntre'rii de ctre s*ecialitii
chimiti.
Aceste *ro'leme tre'uie 'ine cunoscute de medicii dentiti i luate ;n
considerare c)nd se conce*e un *lan de tratament care include restaurri *rotetice cu
su*ort de oxid de zirconiu.
#u%inte cheie8 adeziune< oxid de zirconiu< condi(ionare
7ixing all4 ceramic restorations on dental *re*aration is a clinical stage<
Fhich if not gi%en the utmost im*ortance might com*romise all *re%ious efforts
engaged in the RualitE of the *rosthetic treatment.
,0
"ez!mate
!estorations 'ased on zirconia media are increasinglE used in current dental
*ractice< 'ecause of the offered ad%antages8 aesthetic and mechanical strength.
Mechanical testing and electron microsco*E studies indicate decreased %alues of
adhesi%e 'ond 'etFeen zirconium oxide and cement.
The *resent document aims to raise the issues of zirconia conditioning
folloFing the adhesi%e fixing. -tching is ineffecti%e on *olEcrEstalline ceramics.
$and'lasting is contro%ersial8 not recommended 'E manufacturers< ne%ertheless the
s*ecialized tests ha%e shoFn im*ro%ed adhesion results. Achie%ing cement 'onding
Fith the aid of s*ecific *rimers is Ruestioned 'E chemists researchers.
Therefore< these issues should 'e Fell CnoFn 'E dentists and taCen into
account Fhen de%ising a treatment *lan that includes *rosthetic restorations Fith
zirconia su**ort.
HeEFords8adhesion< zirconium oxide< surface conditioning
CO4S&"V$"&$ P5FP&; &4T$"&)
P"O#"&S S$5 ST$T5-R5OB
Prof. Dr. Andrei Iliescu< #onf. Dr. Mihaela Luculina< Asist. Dr. Alexandru
Andrei Iliescu
6n urm cu @/ de ani tratamentele 'iologice conser%atoare ale *ul*ei dentare
constituiau *laca turnant a endodon(iei. "i*sa controlului asu*ra rs*unsului *ul*ar ;n
cursul *rocesului de %indecare tisular tradus *rin e%olu(ia *osto*eratorie
im*redicti'il a condus firesc la scderea entuziasmului fa( de aceast modalitate
tera*eutic< iar din *unct de %edere *ragmatic la limitarea net a indica(iilor clinice.
6n *rezent *strarea %italit(ii *ul*ei dentare ;n caz de deschidere
accidental a camerei *ul*are< traumatic sau o*eratorie< este *ractic necesar la din(ii
*ermanen(i imaturi i acolo doar tem*orar *)n la finalizarea formrii rdcinii.
#reterea *rognosticului de succes ;n actualele circumstan(e urmrete *e de
o *arte o*timizarea mi>loacelor de diagnostic a statusului *ul*ar iar *e de alt *arte
gsirea altor materiale de coafa> cu caracter histofil care s reduc sau s elimine
riscurile e%olu(iei *osto*eratorii nefa%ora'ile.
#)t *ri%ete cunoaterea real a statusului< *ul*ar medicina dentar 'azat
*e do%ezi nu *oate confirma %reun rol determinant al testelor de %italitate termice i
electrice i nici %reo corela(ie semnificati% ;ntre caracterul i durata *ul*algiei cu
*osi'ilitatea re%ersi'ilit(ii sau ire%ersi'ilit(ii inflama(iei *ul*are acute.
Din aceast *ers*ecti%< com*letarea hidroxidului de calciu cu un arsenal
tera*eutic mai recent de materiale histofile de coafa> *ul*ar ;ncearc men(inerea unui
echili'ru ;ntre amurgul tehnicilor con%en(ionale de *strare< dei mai *u(in reuite< a
unei *ul*e %ii i zorii noilor tehnologii de regenerare tisular.
,1
CO4S;&"$P;; CF;4;C& P";V;4 "&$3;F;TL";F& O"$F&
COMPF&M& P& ;MPF$4T5";
CF;4;C$F O3S&"V$T;O4S ;4 COMPF&M O"$F
"&=$3;F;T$T;O4 Q;T= ;MPF$4T-S5PPO"T&
P"OST=&S&S
Prof. Dr. Ion Ptracu< Dr. #hr. Marmandiu
7acultatea de Medicin Dentar< .M7 9#arol Da%ila:< Bucureti
#azurile clinice edentate *ar(ial extins sau 'imaxilar necesit frec%ent
rea'ilitri orale *e im*lanturi care ;n eta*a final de *rotezare creeaz clinicianului
mari dificult(i ;n *rotezarea corect.
6n clinica noastr *entru cazurile clinice com*lexe utilizm metoda *rotetic
cu articulator mediu a>usta'il i arc facial.
Metoda a fost a*licat ;ntru4un studiu com*arati% *e ?0 cazuri clinice<
semnificati%e ca solu(ii *rotetice i com*lexitate a rea'ilitrii func(iilor sistemului
stomatognat. 6n lucrarea noastr ex*unem *rinci*iile *rotetice a*licate< simulatoarele
mecanice utilizate< a%anta>ele metodei cu articulator ;n rea'ilitarea func(iei ocluzale i
a homeostaziei sistemului stomatognat.
#u%inte cheie8 sistem stomatognat< rea'ilitare< im*lanturi< *roteze<
articulator
PartiallE extended or 'imaxillar edentulous clinical cases reRuire freRuentlE
oral reha'ilitation Fith im*lant4su**orted *rostheses Fhat maCes the clinicians to
encounter difficultE during the final *rosthetic stage for a *ro*er restoration.
In our dental clinic< for com*lex clinical cases Fe use the *rosthetic method
Fith medium ad>usta'le articulator and face'oF. In a com*arati%e studE this method
has 'een a**lied on ?0 clinical cases re*resentati%e 'oth as *rosthetic solutions and as
le%el of com*lexitE for functional reha'ilitation of stomatognathic sEstem.
In our studE Fe shoF the *rosthetic *rinci*les a**lied< mechanical
simulators in%ol%ed and the ad%antages of using the articulator for occlusal
reha'ilitation and reco%erE of stomatognathic sEstem homeostasis.
HeEFords8stomatognathic sEstem< reha'ilitation< im*lants< *rostheses<
articulator
CO4S;&"$P;; CF;4;C& P";V;4 5T;F;J$"&$
M$T&";$F&FO" COMPOJ;T& $CT;V$T& SO4;C
CF;4;C$F CO4S;&"$T;O4S "&#$";4# SO4;C-
$CT;V$T& "&S;4 COMPOS;T&S
Asist. Dr. !oxana Ilici\< &ef lucr. Dr. !uxandra $featcu\< $tud. "aura
Dima\< "ector -duard )tin\\< Prof. Dr. Ion PJtracu\
\7acultatea de Medicin Dentar< .M7 9#arol Da%ila:< Bucureti
\\7acultatea de 7izic< .ni%ersitatea Bucureti
Introducere8 $istemul $onic7ill SHerrWHa%oT este re*rezentant de un
material com*ozit recent a*rut ce *ermite o o'turare ra*id mono'loc a din(ilor
,,
"ez!mate
laterali< gra(ie acti%rii sonice cu efecte semnificati%e asu*ra com*ozitului< de reducere
a %)scozit(ii i de o*timizare a ada*trii la *ere(ii ca%it(ii.
$co*8 -xem*lificarea *rin cazuri clinice a indica(iilor de restaurare cu
sistemul $onic7ill.
Material i Metod8 $e %or *rezenta cazuri clinice de restaurare mono'loc
cu $istemul $onic7ill *entru toate clasele de ca%it(i *re*arate la ni%elul din(ilor
laterali. !estaurrile au fost e%aluate la 0 zi de la o'turare< du* ,< A i 2 luni< conform
Modified .nited $tates Pu'lic Health $er%ice S.$PH$T #riteria. $4au realizat i
radiografii 'iteFing de control< *recum i fotografii digitale la fiecare eta* din
*rotocolul restaurati%.
!ezultate8 !estaurrile realizate au *rimit calificati%ul Al*ha *entru toate
criteriile e%aluate< at)t la momentul ini(ial c)t i la controlul de ,< A< 2 luni.
#oncluzii8 Modalitatea unic de a*licare a com*ozitului c)t i
caracteristicile acestuia ;i asigur clinicianului at)t o tehnic ra*id de o'turare< c)t i
rezultate clinice imediate foarte 'une.
#u%inte cheie8 com*ozit< acti%are sonic< mono'loc< din(i laterali
Introduction8 $onic7ill $Estem SHerrWHa%oT is a neF 'ulC fill com*osite for
*osterior restorations that is clinicallE *laced using sonic acti%ation< Fhich radicallE
loFers the %iscositE for effortless *lacement and su*erior ada*tation.
+'>ecti%e8 To demonstrate through clinical cases the restorati%e indications
for $onic7ill $Estem.
Materials and Methods8 All tE*es of *osterior ca%itE restorations Fere
*re*ared and restored using $onic7ill com*osite in one 'ulC increment. The Modified
.nited $tates Pu'lic Health $er%ice S.$PH$T criteria and 'iteFing radiogra*hs Fere
used to e%aluate the restorations at the 'aseline S0 daET and , months later. Digital
*hotogra*hs Fere taCen at each ste* of the restorati%e *rotocol.
!esults8 Al*ha scores Fere gi%en for all the criteria 'oth at the 'aseline and
after ,< A and 2 months.
#onclusions8 $onic7illXs uniRue deli%erE sEstem and com*osite Rualities
assures the clinician that the restoration Fill 'e filled in the most ex*edient manner<
Fith excellent immediate results.
HeEFords8resin com*osite< sonic4acti%ated< 'ulC4fill< *osterior teeth
CO4S;&"$P;; O"TOO4T;C& P& M$"#;4&$ 545; C$J
P"OT&T;C
Dr .Ana $*ataru< Dr. eorge Ion
Medici reziden(i< 7acultatea de Medicin Dentar< .M7 9#arol Da%ilaa< Bucureti
!ezumat8 Tratamentul *re*rotetic ortodontic a de%enit din ce ;n ce mai
accesi'il< ;n %ederea recu*errii anumitor din(i. 6n *osterul realizat< se *rezint un caz
;n care< un dinte< ini(ial g)ndit ca i irecu*era'il i cu indica(ie de extrac(ie< este
recu*erat ;n ;ntregime i folosit ;n sco* *rotetic.
,?
CO4S;&"&4T& CF;4;CO-ST$T;ST;C& 4 &&4T$P;$
TOT$FL
CF;4;C$F $4 ST$T;ST;C$F CO4S;&"$T;O4S O4
COMPF&T& &&4T5F;SM
#onf. Dr. Monica $crieciu\< Asist. Dr. Monica #ri(oiu\< Asist. Dr.
"umini(a Dguci\< Drd. $imina man\\
\..M.7. #raio%a
\\ ..M.7. 9Victor Ba'e: Timioara
-denta(ia total re*rezint o afec(iune gra% a a*aratului dento4maxilar< care
altereaz *rofund toate func(iile sistemului8 mastica(ie< fona(ie< fizionomie< ocluzie<
auto;ntre(inere.
Princi*alul o'iecti% al acestui studiu a fost re*rezentat de analiza inciden(ei
edenta(iei totale ;n func(ie de urmtorii *arametri8 categorii de %)rst< sex< *rezen(a
afec(iunilor generale< etiologie< durata de utilizare a *rotezelor totale< starea de
func(ionalitate a *rotezelor< starea de igien a ca%it(ii orale i a *rotezelor i as*ecte
morfologice ale c)m*ului *rotetic edentat total.
Materialul studiat8 din ,1A de *acien(i am selec(ionat ,A de *acien(i care au
fost diagnostica(i cu di%erse forme de edenta(ii totale< maxilare i mandi'ulare<
*rezenta(i ;n *erioada 1//?41//5 *entru a fi *roteza(i *entru *rima dat cu o *rotez
total< *entru recondi(ionarea *rotezei %echi sau *entru ;nlocuirea acesteia.
Metoda de studiu8 in%estigarea clinic a *acien(ilor lua(i ;n studiu conform
fiei de o'ser%a(ie clinic care a cu*rins urmtoarele date8 anamneza< examenul clinic
facial< examenul clinic intraoral< in%estiga(ii *araclinice nein%azi%e< diagnosticul
edenta(iei totale i *rognosticul *rotezrii.
!ezultatele studiului8 din cei ,A de *acien(i edenta(i total8 5,<?V au
*rezentat edenta(ie total unimaxilarO ,5<5V au a*ar(inut gru*ei de %)rst @@4A? aniO
@1<IV au fost *acien(i de sex femininO 5/<@V au fost *acien(i *ro%eni(i din mediul
ruralO 1I<IV au fost *acien(i cu afec(iuni ale a*aratului cardio4%ascularO I@V din
*acien(i au *rezentat igien oral i a *rotezelor deficitarO 1@V dintre *acien(i
utilizeaz *rotezele totale tim* de I45 ani< 11<1V le4au utilizat 240/ ani i 1<IV *este
0/ ani< A2<@V *rezentau *roteze totale incorect ada*tate.
#u%inte cheie8 inciden(a edenta(iei totale< *arametri de studiu< igien oral<
*roteze totale
#om*lete edentulism is a serious disease of the dento4maxillarE sEstem
Fhich *rofoundlE alters all sEstem functions8 mastication< *honation< *hEsiognomE<
and occlusion.
The main o'>ecti%e of this studE Fas the analEsis of the incidence of the
com*lete edentulism according to the folloFing *arameters8 gender< age< *resence of
general diseases< etiologE< and duration of use of com*lete denture< functional status of
com*lete dentures< oral ca%itE hEgiene condition and mor*hological as*ects of the
*rosthetic field.
Material studied8 of ,1A *atients ha%e selected ,A *atients Fho Fere
diagnosed Fith %arious forms of com*lete edentulism< maxillarE and mandi'ularE<
*resent in the *eriod 1//?41//5 for *rosthesis for the first time Fith com*lete denture<
for reconditioning the old denture or to re*lace it.
,@
"ez!mate
Method8 #linical in%estigation of *atients in the studE according to clinical
o'ser%ation form Fhich included the folloFing data8 historE< facial examination<
intraoral examination< non4in%asi%e la'oratorE in%estigations< diagnosis and *rognosis
of thera*E Fith com*lete denture.
$tudE results8 of the ,A total edentulous *atients< 5,.?V had com*lete
edentulism on one >aF< ,5.5V 'elonged to age grou* @@4A? Eears< @1.IV Fere female
*atients< 5/.@V Fere *atients from rural areas< 1I.IV Fere *atients Fith cardio4
%ascular disease< I@V of *atients had *oor oral hEgiene and also theE used untidE
com*lete dentures< 1@V of *atients using com*lete dentures for I45 Eears< 11.1V used
them 240/ Eears and 1.IV o%er 0/ Eears< A2.@V had dentures ad>usted incorrectlE.
#onclusion8 Total num'er of com*letelE edentulous *atients has increased<
es*eciallE in countrEside areas< 'ut the *rognosis is unfa%ora'le 'E the a'sence of
*eriodic checCs of *atients and *oor oral hEgiene.
HeEFords8com*lete edentulism incidence< *arameters studE< oral hEgiene<
com*lete dentures
CO4T&MPO"$"N V;&Q O4 CO4V&4T;O4$F $4 ;MPF$4T
S5PPO"T& OV&"-&4T5"&S
Prof. Dr. $c. As>a Mele'iN
$chool of Dental Medicine< .ni%ersitE of Bagre'< #!+ATIA
+%er4dentures S+DsT are *artial or com*lete dentures co%ering altered
occlusal surfaces of teeth< roots or im*lants. +%er4dentures are su**orted 'oth 'E
mucosa and 'E a feF remaining natural resha*ed teeth or im*lants Fhich *ermit the
denture to fit o%er them thus *ro%iding im*ro%ed su**ort< sta'ilitE< and tactile and
*ro*rioce*ti%e sensation Sosseo*erce*tion on im*lantsT and a significant reduction of
'one resor*tion in com*arison to mucosa 'orne full dentures. +%er4dentures maE >ust
rest o%er tooth roots or co*ings< or maE 'e retained 'E 'all attachments on co*ings or
'E similar *recise attachments< 'E 'ar attachment< 'E magnets or 'E cones croFns. A
num'er of remaining tooth roots or teeth necessarE for an +D construction and
*ossi'ilities of attachment mechanisms Fill 'e discussed. 7urther< *ossi'ilities of
im*lant4o%er4denture SI+DT constructions Fill 'e discussed together Fith a num'er of
im*lants necessarE for such construction Sone< tFo< three< four or e%en more im*lantsT.
HoFe%er< different mechanisms of attachment of I+D ha%e 'een a%aila'le< such as 'all
attachments< 'ars< conus croFns< locator attachments< magnets< etc. Different num'ers
of im*lants offer different loading mechanisms< so occlusal loads maE 'e transmitted
mostlE to mucosa< to mucosa and im*lants< or mostlE to im*lants. This Fill 'e
discussed in terms of forces and denture motions. There ha%e also 'een *ossi'ilities to
construct an +D to co%er 'oth tooth roots and im*lants. The contem*orarE literature
re%ieF and attitudes toFards im*lant loading Simmediate %s. lateT< re%ieF of different
retention mechanisms and num'er of im*lants used< and *rosthodontics com*lications
'e *resented.
,A
CO"&F$P;$ 4T"& ;4;C;; P$"OO4T$F; ;P ; ;S ;
P$"$M&T";; S$F;V$"; HP=< S;ST&M5F T$MPO4I F$
P$C;&4P;; C5 P$"OO4T;TL M$"#;4$FL C"O4;CL
P"OK54L
T=& CO""&F$T;O4 3&TQ&&4 P; $4 3; P&";OO4T$F
;4;C&S $4 S$F;V$"N P$"$M&T&"S HP=< 35KK&"
SNST&MI ;4 P$T;&4TS Q;T= P&";OO4T;T;S
Asist. Dr. Marina iurgiu< &ef lucr. Dr. $tana Punic< #onf. Dr. Anca
Dumitriu< Prof. Dr. Horia Traian Dumitriu
$co*ul lucrrii a fost acela de a sta'ili dac *rezen(a 'olii *arodontale
determin modificarea *arametrilor sali%ari *recum *H i sistem tam*on.
Material i metod8 Am selectat 02 *acien(i adul(i Smedia %)rstei a fost ?5
aniT cu *arodontit marginal cronic *rofund< care *rezentau cel *u(in ? *ungi
*arodontale *este A mm ;n cadrane diferite. Dintre indicii *arodontali am folosit
indicele de *lac SIPT i indicele de s)ngeare SI$T< ;nregistra(i du* recoltarea *ro'ei
sali%are. Analiza sali%ei s4a realizat *e sali%a nestimulat< folosind testul sali%ar #
$ali%a4#hecC Buffer.
!ezultate8 6n urma analizei indicilor *arodontali< s4a o'ser%at o corela(ie
direct IP4I$ S?1<0V *acien(i cu IPb?/V a%eau I$b?/VT< *recum i ;ntre %alorile *H3
sistem tam*on sali%ar SA,V *acien(i cu *H YA<54I<5Z a%eau sistemul tam*on normal
sau 'azicT. "a ,IV *acien(i *H4ul era YA4A<AZ< iar dintre acetia ma>oritatea a%eau i IP
i I$b?/V. #ei mai mul(i *acien(i au *rezentat sistemul tam*on cu %alori 'azice
corelate i cu %alori crescute ale indicilor de *lac i s)ngerare.
#oncluzii8 "a *acien(ii studia(i %alorile *H4ului s4au ;ncadrat la limita
inferioar a normalului< iar sistemul tam*on la %alori 'azice.
#u%inte cheie8 *eriodontitis< sali%arE *H< 'uffer sEstem
Aim of the studE Fas to esta'lish Fhether the *resence of *eriodontal
disease changes the *arameters of sali%a such as *H and 'uffering ca*acitE of sali%a.
Material and Methods8 02 adult *atients Sa%erage age Fas ?5 EearsT Fith
chronic *eriodontitis SFith at least ? *eriodontal *ocCets o%er A mm in different
RuadrantsT Fere selected. PlaRue index SPIT and 'leeding index SBIT Fere recorded
after the sali%arE sam*le collection. $ali%a analEsis Fas *erformed on unstimulated
sali%a using # $ali%a4#hecC Buffer Test.
!esults8 After analEzing the *eriodontal indices< there Fas a direct
correlation PI4BI S?1.0V of *atients Fith PIb ?/V had BIb ?/VT and 'etFeen *H 3
sali%arE 'uffer sEstem SA,V of *atients Fith *H YA.5 4 I.5Z had normal or alCaline
sali%arE 'uffer sEstemT. ,IV of the cases had *H YA 4 A.AZ< and most of them also had
PI and BIb ?/V. Most *atients ha%e *resented the 'asic %alues of 'uffer sEstem
correlated Fith ele%ated *laRue and 'leeding indices.
#onclusions8 The *H %alues Fere Fithin the loFer limit of normal and the
sEstem 'uffer Fas alCaline.
HeEFords8*eriodontitis< sali%arE *H< 'uffer sEstem
,I
"ez!mate
CO"&F$P;; $4$TOMO-CF;4;C& 4 CO4KO"M$"&$ 3$J&;
P"OT&J&; TOT$F& M$4;35F$"&
$4$TOM;C$F $4 CF;4;C$F CO""&F$T;O4S ;4 KO"M;4#
T=& 3$S& OK T=& FOQ&" COMPF&T& &4T5"&
Prof. Dr. Mihaela Puna
!ealitatea clinic a demonstrat c ;n edenta(ia total< mai mult dec)t ;n alte
sfere ale *roteticii< *articularit(ile indi%iduale anatomice i mai ales func(ionale ale
*acientului au un cu%)nt greu de s*us. De aceea< 9de la su'lim la ridicol nu e dec)t un
*as:< uneori un milimetru. .tilizarea la maxim a s*a(iului *oten(ial de *rotezare *oate
ameliora considera'il succesul *rotezrii.
Pentru medic i *acientul su< *rotezarea total mandi'ular *rezint< de
o'icei< dificult(i mai mari dec)t *rotezarea maxilar. Acest lucru *oate fi ;n(eles dac
ne referim la elementele care tre'uie folosite ;n realizarea men(inerii i sta'ilit(ii
*rotezei. =umeroi autori au adus contri'u(ii concrete la gestionarea *ro'lemelor
legate de extinderea *rotezei mandi'ulare. Ma>oritatea o*iniilor con%erg s*re ideea c
su'extinderea 'azelor este cea mai comun greeal.
"i*sa examinrii atente< necunoaterea direc(iei fi'relor musculare i a
func(ionalit(ii lor< neo'ser%area limitelor func(ionale reale ;n diferitele segmente ale
zonei de ;nchidere marginal< re*rezint de cele mai multe ori cauza eecului ;n
*rotezare.
6n ciuda dez%oltrii unor noi tehnici de am*rentare i a noi materiale *entru
*roteza total mandi'ular< o'(inerea unui s*ri>in< a unei sta'ilit(i i a unei men(ineri
adec%ate rm)ne ;nc o *ro'lem *entru mul(i *acien(i.
The clinical ex*erience demonstrated that in com*lete edentulous *atients<
more than in other areas of *rosthetics< the anatomical indi%idualities and most of
functional %ariations and *articularities ha%e a great im*ortance. This is FhE ^from the
su'lime to the ridiculous is onlE a ste*:< sometimes one millimeter. Maximizing the
use of the *otential *rosthetic s*ace can considera'lE im*ro%e the success of the
*rosthetic treatment.
7or 'oth clinician and *atient< the construction of the loFer com*lete
denture in%ol%es usuallE greater difficulties than of the u**er one. ]e can easilE
understand that< if Fe CnoF elements that should 'e considered in order to o'tain
denture retention and sta'ilitE. ManE authors ha%e contri'uted to the management of
the *ro'lems related to the extension of the 'ase of the loFer denture. The ma>oritE of
o*inions are focusing on the idea that the most common error is the less extension of
the 'ases.
"acC of a cautious examination and the *oor CnoFledge of the muscular
fi'ers direction and of the real functional limits in different areas of the *eri*heral seal
are the most common causes for the *rosthetic failure.
Des*ite the de%elo*ing of neF im*ression techniRues and materials for the
loFer com*lete denture< o'taining adeRuate su**ort< sta'ilitE and retention is still a
*ro'lem for manE *atients.
,5
&K&CT&F& & ST"5CT5"L & T;P M;= % T&ML &
C&"C&T$"& $ 5FT;M;FO" &C&4;;
M;= TOOT= ST"5CT5"& $4OM$F;&S % $ "&S&$"C= ;SS5&
OK T=& P$ST &C$&S
6n >urul anilor U2/< aten(ia medicilor stomatologi< ;n s*ecial a celor
scandina%i< a fost atras de existen(a unor defecte de structur de ti* hi*omineralizare<
de culoare al'4gl'uie S9danish cheese:T< la ni%elul *rimilor molari *ermanen(i.
Totodat s4a o'ser%at c leziuni asemntoare se *ot ;nt)lni i la ni%elul incisi%ilor
*ermanen(i. Din anul 1//,< aceste defecte de dez%oltare de la ni%elul *rimilor molari
*ermanen(i cu sau far afectarea incisi%ilor au fost denumite MIH S9Molar Incisor
HE*omineralization:T. "a congresele interna(ionale de Pedodon(ie i ;n cadrul unor
ForCsho*4uri dedicate s*ecial MIH SAtena 1//,< HelsinCi 1//5T s4a discutat des*re
frec%en(a< etiologia< im*lica(iile clinice i tratamentul acestor defecte de structur. #u
toate acestea< dei se admite c *roducerea MIH este rezultatul ac(iunii *e cale
general a unor factori de mediu< etiologia este incom*let elucidat. Din acest moti%< ;n
lucrare se *rezint stadiul cercetrilor *ri%ind MIH< *recum i rezultatele unor studii
efectuate ;n !om)nia ;n acest domeniu.
#u%inte cheie8 defecte dentare de dez%oltare< hi*omineralizare< molari< MIH
During the U2/ decade< dentistsU attention Ses*eciallE $candina%iansUT Fas
caught 'E a certain tE*e of enamel structure defects< localized on the first *ermanent
molars and ha%ing a hE*omineralized Fhite4EelloFish a**earance< liCe ^danish
cheese:. $imilar defects Fere also noticed on the *ermanent incisors. $ince 1//,< such
de%elo*ment defects of the first *ermanent molars Fith or Fithout incisorsU
in%ol%ement Fere called MIH S^Molar Incisor HE*omineralization:T. In International
Pedodontics congresses and ForCsho*s es*eciallE dedicated to MIH SAthens 1//,<
HelsinCi 1//5T< issues liCe freRuencE< etiologE< clinical features< conseRuences and
treatment of these structure a'normalities Fere discussed. Although it is noF admitted
that MIH occurs as a conseRuence of en%ironmental factors< its etiologE is still
uncertain. Therefore< the *a*er *resents a to4date re%ieF of research on MIH< as Fell
as the results of some studies conducted in !omania on the same su'>ect.
HeEFords8structure dental de%elo*ment a'normalities< hE*omineralization<
molars< MIH
&4T5"&-;45C& K;3"O5S =NP&"PF$S;$ % "&V;&Q OK
F;T&"$T5"& $4 OQ4 C$S&S "&PO"T
Assoc. Prof. #ena Dimo%a< Asist. Dr. Hiro Pa*aCoca
7acultE of Medical $ciences< $tudies for eneral $tomatologE< .ni%ersitE ôce
Delce%: 3 $ti*< Macedonia
AIM8 to demonstrate the contem*orarE a**roach and the interdisci*linarE
management of denture4induced fi'rous hE*er*lasia. Various names ha%e 'een gi%en 4
e*ulis fissuratum< reacti%e fi'rous hE*er*lasia< inflammatorE fi'rous hE*er*lasiaO
denture in>urE tumorO denture e*ulis. -tiologE is chronic irritation re*eating trauma
,2
"ez!mate
from denture flange maCing lesion as reacti%e hE*er*lasia. Most cases occur in the
*resence of an ill4fitting denture in Fhich tissue res*onds hE*er*lasticallE from
mo%ement of denture. MaE 'e localized or Fides*read and hE*er*lastic tissue *arallels
al%eolar ridge. It is more common in middle4aged and older females.
MAT-!IA"< M-T+D A=D !-$."T$8 4 se%eral *atients Fith fi'rous
hE*er*lasia are *resented Fith lessons in the frontal and *osterior area of maxilla.
Treatment consists conser%ati%e surgical excision S*rocedure of remo%ing the excess
tissueT and re*laceWre*air denture. The hE*er*lastic tissue usuallE re*resents onlE
result of an inflammatorE *rocess< 'ut other *athologic conditions maE exist. It is
therefore im*erati%e that re*resentati%e tissue sam*les alFaEs 'e su'mitted for
*athologic examination after remo%al. The *oorlE fitting denture should 'e remade or
relined.
#+=#".$I+=$8 4 *recise diagnosis is essential for the 'est treatment *lanO
it %alidates the treatment time and alloFs reduces *ossi'le com*lications. "esion Fill
recur Sor remainT if ill4fitting denture is not remade or relined.
&SP"& 54&F& M$4;K&STL"; P$"OO4T$F& 4
S;4"OM5F5; M$"K$4G
P"&J&4T$"& & C$J CF;4;C
$3O5T SOM& &V&4TS ;4 P&";OO4T$F M$"K$4
SN4"OM&G
CF;4;C$F C$S& P"&S&4T$T;O4
ef lucr. Dr. #inel Mali a< #onf. Dr. Anca $il%ia Dumitriu< ef lucr. Dr.
$tana Punic
$indromul Marfan este o 'oal ereditar care afecteaz esuturile colagene.
Tul'urrile structurale ale colagenului se manifest asu*ra tuturor sistemelor i
organelor cor*ului uman. $unt astfel afectate8 sistemul osos< ochii< a*aratul
cardio%ascular< sistemul ner%os< mucoasele i tegumentele.
$indromul Marfan afecteaz ;n mod egal at)t 'r'a ii< femeile< c)t i co*iii<
ne in)nd cont de rasa uman< sau caracteristicile sale etnice. $e estimeaz c ;n $.A<
un *acient din @/// sufer de acest sindrom. -%ident c ;ntr4o asemenea situa ie<
tul'urrile morfo4func ionale ale structurilor tisulare *arodontale de%in e%idente i se
manifest relati% *recoce. Moti%a ia cunoa terii *articularit ilor acestei suferin e
genetice i mai ales a modului de a'ordare tera*eutic Scu tot cortegiul de necesit i<
dar mai ales de restric iiT este *e de*lin >ustificat i moti%at< chiar dac un medic
curant< de medicin dentar< sau s*ecialist de *arodontologie nu se ;nt)lne te foarte
frec%ent cu o asemenea situa ie clinic.
De aceea< descrierea detaliat a manifestrilor sistemice i local4*arodontale
este *e de*lin argumentat. $unt analizate *articularit ile morfo*atologice ale
*arodon iului su*erficial i *rofund< e%olu iile i riscurile de com*lica ii secundare ce
*ot a*rea. Toate acestea sunt argumentate *rin imagini succesi%e ale unui caz clinic
*rezentat ;n ser%iciul de s*ecialitate< insist)ndu4se asu*ra limitelor de a'ordare
tera*eutic i cola'orrilor cu medicii din celelalte ser%icii.
#u%inte cheie8 sindromul Marfan< 'oal genetic< rece*torii antagoni ti de
angiotensin
?/
Marfan sEndrome is a hereditarE disease of collagen tissues. $tructural
a'normalities of collagen occur on all 'odE sEstems and organs. There are so affected8
'ones< eEes< cardio%ascular sEstem< ner%ous sEstem< mucous mem'ranes and sCin.
Marfan sEndrome affects eRuallE men< Fomen and children< regardless of
the human race< ethnic or its securitE features. It is estimated that in the ..$.< a *atient
in @/// is suffering from this sEndrome. +'%iouslE in such a case< mor*ho4functional
disorders of *eriodontal tissue structures are e%ident and manifests relati%elE earlE.
Moti%ation CnoFledge and genetic features of this suffering< es*eciallE the FaE
thera*eutic a**roach SFith all reRuired *rocession< es*eciallE restrictionsT is fullE
>ustified and su**orted< e%en if a *hEsician< dental or *eriodontal s*ecialist is not
meets freRuentlE Fith such a clinical situation.
Therefore< detailed descri*tion of *eriodontal manifestations of sEstemic
and local4is fullE >ustified. Mor*hological features are considered su*erficial and dee*
*eriodontal de%elo*ments and risCs of secondarE com*lications that maE occur. All are
moti%ated 'E successi%e images of a clinical case *resented in the s*ecialized ser%ice<
stressing the limits of thera*eutic a**roach and colla'oration Fith *hEsicians from
other ser%ices.
HeEFords8Marfan sEndrome< genetic disorder< angiotensin rece*tor
antagonist
;$#4OST;C5F V;"5SOFO#;C $F V=C P";4 M&TO&
M;4;M ;4V$J;V& 4 M&;C;4$ &4T$"L
V;"$F ;$#4OS;S OK =CV % M;4;M$FFN ;4V$S;V&
M&T=OS ;4 &4T;ST"N
#ercet. r. I Dr. a'riela Anton< Pre*. Dr. #ristian #omnescu< Prof. Dr.
Ion Ptracu
$co*ul lucrrii8 determinarea %ia'ilit(ii unei metode de recoltare minim
in%azi%e S*ractic nein%azi%eT *entru diagnosticarea He*atitei # din lichidul an(ului
gingi%al Scre%icularT.
Material i metode8 este cunoscut fa*tul c ;n lichidul cre%icular sunt
*rezente anumite %irusuri her*etice ;n concentra(ie mult mai mare dec)t ;n orice alt
*arte a ca%it(ii 'ucale. Acest lucru m4a fcut sa m g)ndesc la *osi'ilitatea detectrii
;n lichidul cre%icular i a VH#< *)n ;n momentul de fa( studiile fiind *romi(toare.
Am recoltat lichidul cre%icular *e conuri sterile de h)rtie< fiind trans*ortate
la Institut *entru analize ;n cel mai scurt tim*< ;n ser fiziologic i e*ru'ete ;nchise
etan.
Pentru control am recoltat s)nge intra%enos Se*ru'et %idat< cu
anticoagulantT s*re a fi analizat *rin metode cunoscute de diagnosticare i a %erifica
%ia'ilitatea metodei mai sus men(ionate.
!ezultate i concluzii8 $tudiul se afl ;ntr4o eta* de ;nce*ut< *)n ;n *rezent
analiz)nd , *ersoane. Dintre acestea 1 sunt *urttoare de VH#< iar una nu. !ezultatele
analizei s)ngelui au confirmat rezultatele o'(inute *rin analizarea lichidului cre%icular<
ceea ce arat *oten(ialul acestei metode i ne ;ncura>eaz ;n continuarea studiului.
?0
"ez!mate
Pur*ose8 to determine the %ia'ilitE of a minimallE in%asi%e sam*ling
method S%irtuallE non4in%asi%eT for the diagnosis of he*atitis # in the cre%icular fluid.
Material and methods8 It is CnoFn that in cre%icular fluid are *resent some
her*etic %iruses in much higher concentration than in anE other *art of the mouth. This
made me thinC a'out the *ossi'ilitE of H#V detection in the cre%icular fluidO u* to
noF the studies are *romising.
I collected cre%icular fluid on sterile *a*er cones 'eing trans*orted to the
Institute for analEsis in the shortest time< and saline tu'e tightlE closed.
]e collected 'lood intra%enouslE for control S%acuum tu'e Fith
anticoagulantT to 'e analEzed 'E CnoFn methods of diagnosis and to checC the
%ia'ilitE of the method mentioned a'o%e.
!esults and conclusions8 The studE is in an earlE stage< so far analEzing ,
*eo*le. +f these 1 are carriers of H#V< and one not. The results of 'lood analEsis
confirmed the results o'tained 'E analEzing cre%icular fluid< Fhich shoFs the *otential
of this method and encourage us to continue the studE.
;STOMOF$"5F % K"&CV&4 L< M$4;K&STL"; CF;4;C& ;
&T;OFO#;&
;STOMOF$" % K"&R5&4CN< CF;4;C$F KO"MS $4
&T;OFO#N
Dr. !z%an Purcrea< Dr. #rengu a Al'u< Dr. Dinu 7. Al'u< Dr. -milia
$e%erin
$#+P8 $4a realizat un screening *o*ula ional *entru determinarea
frec%en ei< descrierea formelor clinice i detectarea cazurilor cu distomolar familial
;ntre *acien(ii adul i aronda(i unui ca'inet stomatologic ur'an din %estul !om)niei.
M-T+D-8 $tudiul a fost realizat *e un lot de 11AI su'iec i caucazieni<
adul i< de sexe diferite. $4a fcut o e%aluare ini ial a *acien ilor urmat de anamneza
*ersonal i familial< examen clinic i radiologic.
!-B."TAT-8 Prezen a distomolarului ;n denti ia definiti% a fost o'ser%at
cu o frec%en de /<1AV SncAT la *acien ii examina i. $4au ;nregistrat cazuri cu
distomolar unic at)t *e arcada su*erioar Snc,T c)t i *e cea inferioar Snc0T.
Distomolarul 'ilateral maxilar a fost o'ser%at ;n dou cazuri Snc1T. Din totalul de 5
distomolari detecta i la cei A *acien i doar unul singur nu a eru*t *e arcad i a rmas
inclus. Toate cazurile in%estigate au *rezentat distomolar non4sindromic. .n singur
*acient a *rezentat istorie familial *oziti% identific)ndu4se o transmitere ereditar a
din ilor su*ranumerari.
#+=#".BII8 Distomolarul a fost o'ser%at ;ntr4o di%ersitate de forme
clinice8 unic sau du'lu< unilateral sau 'ilateral< maxilar sau mandi'ular< eru*t sau
inclus. Distomolarul este un defect de dez%oltare determinat multifactorial.
#u%inte cheie8 distomolar< din i su*ranumerari< etiologie genetic
+BD-#TIV-$ A *o*ulation screening Fas carried out to determine the
freRuencE< to descri'e the clinical forms and to detect the clinical cases of familial
distomolar among the *atients assigned to an ur'an dental clinic in the Festern
!omania.
?1
M-TH+D$ The studE Fas carried out on a lot of 11AI su'>ects< #aucasian
adults< of 'oth sexes. An initial examination Fas undertaCen< folloFed 'E a *ersonal
and familial anamnesis< clinical and radiological examinations.
!-$."T$ The *resence of the distomolar in the *ermanent dentition
occurred at a rate of /.1AV SncAT among the examined *atients. !ecordings shoF
cases of uniRue distomolar 'oth on the u**er >aF Snc,T and on the loFer >aF Snc0T.
Bilateral u**er distomolar Fas found in tFo cases. 7rom the total of 5 distomolars
analEzed< onlE one failed to eru*t on the dental arch. The in%estigated cases shoFed
non4sEndromic distomolars. +ne single *atient *resented *ositi%e familE historE<
ena'ling to identifE a hereditarE su*ernumerarE tooth transmission.
#+=#".$I+=$ The distomolar Fas o'ser%ed in a %arietE of clinical
forms8 solitarE or dou'le< one4sided or 'ilateral< in the maxillarE and the mandi'ula<
eru*ted or im*acted. The distomolar is a de%elo*ment defect Fith a multifactorial
determination.
HeEFords8distomolar< su*ernumerarE tooth< genetic etiologE
&K;C$C;T$T&$ P"&V&4;";; C$";&; &4T$"& F$ COP;;; C5
;J$3;F;TLP;
&KK&CT;V&4&SS OK P"&V&4T;4# &4T$F C$";&S ;4
C=;F"&4 Q;T= ;S$3;F;T;&S
.$M7 9=icolae Testemi anu:< !e*u'lica Moldo%a< #hi inu
$co*ul lucrrii8 e%aluarea eficien(ei metodelor de *re%enire a cariei dentare
la co*iii cu diza'ilit(i. Material i metod. 6n studiu au fost lua i 0,2 co*ii
institu ionaliza i cu %)rste ;ntre I i 0@ ani cu diza'ilit(i intelectuale i neuromotorii.
"a to(i co*iii a fost efectuat igienizarea regulat a ca%it(ii orale. "a ,? co*ii din
gru*ul 0 cu sco* *re%enti% au fost a*licate succesi% *re*aratele Bio! i luftored< la
,I co*ii din gru*ul 1 s4au iradiat su*rafe(ele dentare cu lumin laser< iar la ,@ co*ii din
gru*ul , au fost a*licate *re*aratele Bio! i luftored cu iradierea concomitent a
su*rafe(elor dentare cu lumin laser. ru*ul de referin( l4au constituit ,, co*ii.
-ficien(a msurilor cario*re%enti%e a fost e%aluat *rin estimarea indicelor DM7T i
DM7$. !ezultate. Du* 1 ani s4a constatat reducerea ratei indicilor cariei dentare la
co*iii din gru*urile 04,< com*arati% cu gru*ul de referin(. #oncluzie8 s4a constatat
eficacitatea ;nalt a a*licrii *re*aratelor Bio! i luftored cu iradierea concomitent
a su*rafe(elor dentare cu lumin laser ;n *re%enirea cariei dentare la co*iii cu
diza'ilit(i intelectuale i neuromotorii.
#u%inte cheie8 caria dentar< co*ii cu diza'ilit(i< lumin laser
Pur*ose of ForC8 e%aluation of effecti%eness of methods for *re%enting
dental caries in children Fith disa'ilities. Material and methods8 The studE co%ered
0,2 institutionalized children aged I to 0@ Eears Fith intellectual and neuromotor
disa'ilities. All children Fere su'>ect to regular cleaning of the oral ca%itE. Bio! and
luftored Fere a**lied successi%elE to ,? children in grou* 0 for *re%enti%e reasonsO
tooth surfaces of ,I children in grou* 1 Fere irradiated Fith laser light< and Bio! and
?,
"ez!mate
luftored Fere a**lied to ,@ children in grou* , Fith simultaneous irradiation of tooth
surfaces Fith laser light. The reference grou* Fas made u* of ,, children. The
effecti%eness of cario*re%enti%e measures Fas assessed 'E estimating the DM7T and
DM7$ indices. !esults8 After 1 Eears Fe ha%e seen reduction of caries indices in
children from grou*s 04,< com*ared Fith the reference grou*. #onclusion8 Fe found
high efficiencE in Bio! and luftored a**lication Fith simultaneous irradiation Fith
laser light of tooth surfaces in *re%enting dental caries in children Fith intellectual and
neuromotor disa'ilities.
HeEFords8dental caries< children Fith disa'ilities< laser light
&V$F5$"&$ 3;OM&C$4;C;; "&ST$5"L";FO" &4T$"& P&
;MPF$4T5";
3;OM&C=$4;C &V$F5$T;O4 OK &4T$F ;MPF$4TS
"&STO"$T;O4S
Asist. Dr. "ucian Toma #iocan< Asist. Dr. Bogdan Iordache< Asist. Dr.
Bogdan l'inau< Asist. Dr. Daniela P)r%u< Asist. Dr. #ristina P)r%u<
$co*ul cercetrii8 Aceast *rezentare ;i *ro*une s analizeze i s
inter*reteze din *unct de %edere 'iodinamic *osi'ilele cauze ale succesului i res*ecti%
eecurilor restaurrilor dentare *e im*lanturi.
Material i Metod8 Pe 'aza cazuisticii *ersonale i a unui studiu
'i'liografic amnun it au fost analizate macro i micromorfologic esuturile
rece*toare< im*lantele dentare endoosoase< mezostructurile i restaurrile *rotetice at)t
din *unct de %edere al com*ortamentului 'iomecanic indi%idual c)t i la interfa .
Metodele de ex*eriment au fost at)t 9in %itro: c)t i 9in %i%o: *e animale i *e
im*lante e ec recoltate de la su'iec i umani.
Discutie. #oncluzii. esutul osos are ca *articularitate 'iomecanic
rezisten a redus la o'oseal< rata de a*ari ie a microfisurilor fiind de* it de
*osi'ilit ile re*aratorii la tensiuni mai mari de ?/=Wcm. 7orma im*lantului< chiar i
du* osteointegrare< *oate fi factorul determinant al unor tensiuni limit la ni%elul
esutului osos *eriim*lantar cu a*ari ia osteolizei i secundar a *eriim*lantitei. radul
de rugozitate de la su*rafa a im*lantului determin o osteoconduc(ie *an la o mrime
critic de @microni. Tratamentul de su*rafa al unor im*lanturi dentare fa%orizeaz
chemotactismul osteo'lastic cu *osi'ilit i re*aratorii accelerate i osteointegrare ;ntr4
un tim* redus 3 , luni. 7orma im*lantului la ni%el cer%ical este corelat direct cu
men inerea ni%elului esutului osos cortical crestal. Ti*ul de conexiune 'ont4im*lant
SconicWhexagonal< externWinternT< materialele de restaurare< modela>ul i echili'rarea
ocluzal influen eaz at)t rata de e ec mecanic al restaurrilor c)t i sta'ilitatea ;n tim*
a esutului osos *eriim*lantar. =u ;n ultimul r)nd *lanificarea tratamentului< distri'u ia
im*lantelor i alegerea ti*ului de restaurare fixat ScimentareW;n uru'areT sau ancorat
*e im*lanturi tre'uie s res*ecte *rinci*ii de 'iomecanic *entru a *utea asigura
succesul unui tratament *e termen lung.
??
Aim of the studE8 This *resentation is *ro*osing to analEze and to inter*ret
from 'iomechanical *oint of %ieF the *ossi'le causes of success and failures of dental
im*lant restorations.
Materials and Methods8 .*on *ersonal clinical ex*erience and after a
detailed 'i'liogra*hical studE it ha%e 'een macro4 and micro4mor*hological analEzed
rece*tion tissues< endoseous dental im*lants< midstructures and *rosthetic dental
restorations< 'oth from indi%idual 'iomechanical 'eha%ior and at the interface le%el.
-x*erimental methods Fere în %itro: and în %i%o: u*on animal model and
failed im*lants from humans.
Discussion< #onclusions8 Bone has an extremelE loF fatigue resistance< the
rate of micro cracCs a**earance 'eing o%erdone 'E the natural re*airing *ossi'ilities of
the human 'odE Fhen tension has %alues u* to ?/=Wcm. Im*lant sha*e< e%en after
osteointegration< can 'e the determining factor of u*4limit tension %alues of the 'one
around dental im*lant *roducing osteolisEs and secondarE *eriim*lantitis. !oughness
from the surface of dental im*lant is determining osteoconduction Fhen it has a
critical %alue of @ microns. $urface treatment of some of the dental im*lant *roducts
stimulates the chemotactic acti%itE of osteo'last Fith *ossi'ilitE of accelerating re*air
and osteointegration in shorter time 3 , month. Im*lant sha*e in the cer%ical area is
direct correlated Fith the maintenance of the crestal 'one le%el. Im*lant4a'utment
connection SconicalWhexagonal< externalWinternalT< restoration materials< oclusal sha*e
and 'alancing are influencing 'oth mechanic failure rate of restorations and crestal
'one sta'ilitE in time. =ot least< treatment *lanning< im*lant distri'ution on the arch
and tE*e of *rosthetic solution chosen< fixed ScementedWscreFedT or remo%a'le must
com*lE Fith 'iomechanics *rinci*les for 'eing *ossi'le to assure a long term
treatment success.
&V$F5$"&$ CF;4;CL $ 54&; M&TO& 4O; P&4T"5
O3 ;4&"&$ $$PTL";; P$S;V& P&4T"5
S5P"$ST"5CT5";F& 54;C& K;M& P& M$; M5FT&
;MPF$4T5"; % 54 ST5;5 P"OSP&CT;V & 7 $4;
$SS&SSM&4T OK $ 4&Q M&T=O KO" $C=;&V;4# P$SS;V&
K;T KO" M5FT;PF& ;MPF$4T-3O"4& O4&-P;&C& C$ST&
M&T$F K"$M&S) $ 7-N&$" P"OSP&CT;V& CF;4;C$F ST5N
Dr. !adu Baston< Dr. #ristina Ilea4Peltecu< Dr. Mihaela a*ar
Peltecu Medical $!"< Bucureti
$#+P." ".#!Q!II8 *rezentarea unei metode sim*le a crei eficacitate
este 'azat *e date statistice *entru o' inerea unei ada*tri *asi%e *entru o su*ra4
structur unic turnat cimentat sau ;nuru'at *e mai multe im*lanturi.
MAT-!IA"." folosit este re*rezentat de extrase din cazurile noastre din
*erioada ianuarie 1//A4octom'rie 1/00.
M-T+DA8 ;ntre ianuarie 1//A i octom'rie 1/00 am inserat ;n ca'inetul
nostru la maxilar I, de su*rastructuri Scoroane solidarizate i *un iT *e mai multe
im*lanturi< iar la mandi'ul 0?1 de su*rastructuri de acelai ti*. 1/V au fost
su*rastructuri cimentate i 5/V au fost ;nuru'ate. "a toate am*rentele am solidarizat
'onturile de transfer cu $4Pattern !esin i am *ro'at intraoral macheta %iitorului
schelet metalic turnat. "a *ro'a intraoral a machetelor cei trei autori au %erificat
?@
"ez!mate
ada*tarea marginal *asi% a machetelor *e *ragul 'onturilor *rotetice lucr)nd
inde*endent. Toate machetele neada*tate sau tensionate au fost sec ionate i
solidarizate endo'ucal. Ada*tarea *asi% a scheletelor metalice a fost %erificat *rin
radiografii *eria*icale.
!-B."TAT-8
4 0@2 de machete ;nuru'ate S2,VT din 0I1 s4au ada*tat *erfect i *asi% iar
0, machete ;nuru'ate SIVT nu s4au ada*tat.
4 ,? de machete cimentate SIIVT din ?, s4au ada*tat *erfect i *asi% iar 2
machele cimentate S1,VT nu s4au ada*tat
4 toate cele 0I1 de schelete metalice ;nuru'ate S0//VT s4au ada*tat *asi%
4 numai ,I de scheletele metalice cimentate S5AVT s4au ada*tat *erfect i
*asi% iar 2 schelete metalice cimentate S0?VT nu s4au ada*tat.
#+=#".BII8
Pro'a intra'ucal a machetei este o eta* de lucru eficient *entru o' inerea
unei ada*tri *asi%e *erfecte *entru o su*rastructur unic fix *e mai multe
im*lanturi.
Machetele rea'ilitrilor ;nuru'ate s4au ada*tat mai 'ine dec)t machetele
rea'ilitrilor cimentate.
$cheletele metalice ;nuru'ate s4au ada*tat mai 'ine dec)t scheletele
metalice turnate.
Pro'a intra'ucal a machetei are urmtoarele a%anta>e8 se e%it o turnatur
ce nu *oate fi utilizat< se e%it sudura scheletului metalic< se urmrete consec%ent i
se o'(ine ada*tarea *asi%< exist o ocazie su*limentar *entru %erificarea s*a(iului
%ertical *entru ceramic< se confirm sau se infirm ;ntr4un stadiu inci*ient dac
rea'ilitarea *oate fi ;nuru'at dac axele im*lanturilor sunt foarte di%ergente.
#u%inte cheie8 ada*tare *asi%< su*rastructur unic< *ro' intraoral<
machete din $4Pattern !esin< rea'ilitare cimentat< rea'ilitare ;nuru'at
P.!P+$-8 The aim of this lecture is to *resent a sim*le e%idence4'ased
method for achie%ing *assi%e *rosthetic fit for multi*le im*lant4'orne one4*iece casted
metal frames.
MAT-!IA"$8 excer*ts from our im*lant case re*orts 'etFeen DanuarE
1//A and +cto'er 1/00.
M-TH+D8 'etFeen DanuarE 1//A and +cto'er 1/00 Fe inserted in the
u**er >aF I, *orcelain4fused4to4metal multi*le im*lant4'orne su*erstructures. In the
mandi'le Fe inserted 0?1 *orcelain4fused4to4metal multi*le im*lant4'orne
su*erstructures as Fell. 1/V Fere cemented and 5/V Fere screF4retained. All transfer
co*ings Fere locCed Fith $4Patten !esin. -%erE 'urn4outW$4Pattern !esin *attern
Fas checCed 'E each author for *assi%e fit and ga**ing. The three authors made their
assessments se*aratelE. All misfitting *atterns Fere trimmed and re4locCed intraorallE.
-%erE resulting metal cast Fas checCed for ga**ing 'E intraoral d4raEs.
!-$."T$8
4 0@2 S2,VT of the 0I1 screF4retained *atterns Eielded *erfect *rosthetic fits
Fhile 0, SIVT Fere assessed as misfitting.
4 ,? SIIVT of the ?, *atterns for the future cemented frames ScastingsT
Eielded *erfect *rosthetic fits Fhile 2 S1,VT Fere assessed as misfitting.
4 all 0I1 S0//VT screF4retained castings Eielded *rosthetic fits.
?A
4 onlE ,I S5AVT of the ?, cemented castings Eielded *rosthetic fits Fhile A
S0?VT Fere assessed as misfitting
#+=#".$I+=$8
The intraoral trE4in of the *attern is a highlE efficient method for achie%ing
*assi%e *rosthetic fit for multi*le im*lant4'orne one4*iece casted metal frames.
Patterns of screF4retained castings exhi'ited 'etter *assi%e fits than *atterns
of cemented castings.
$creF4retained casted metal frames exhi'ited 'etter *assi%e fits than
cemented ones.
The intraoral trE4in of the *attern has the folloFing ad%antages8 it a%oids
casting misfitting frames< it a%oids soldering misfitting frames< it efficientlE seeCs and
achie%es *assi%e *rosthetic fits< it is a second chance for assessing the %ertical
clearance for the future ceramic laEer< if Fe are dealing Fith extremelE di%ergent
im*lant axes it confirms or refutes at an earlE stage if the future casting can 'e screF4
retained.
HeEFords8Passi%e 7it< +ne4Piece 7rame< Intraoral TrE4in< $4Pattern !esin
Pattern< #emented !eha'ilitation< $creF4retained !eha'ilitation
&V$F5$"&$ C54OT;4P&FO" P$C;&4P;FO" &&4T$P;
TOT$F ; P"OT&J$P; MO3;F P";V;4 ;#;&4$
P"OT&J&FO" TOT$F& $C";F;C&
Dr. #ristina !izea< Dr. Andreea Talam'a
+BI-#TIV8 -%aluarea gradului de educa(ie al *acien(ilor edenta(i total i
*roteza(i *rin *roteze totale acrilice legat de utilizarea i igienizarea corect a acestor
lucrri *rotetice i identificarea metodei o*time de li%rare a acestor informa(ii ctre
*acien(i.
MAT-!IA" $I M-T+DA8 Am utilizat un chestionar cu 0/ ;ntre'ri cu
rs*uns multi*lu *ri%ind o'iceiurile legate de *urtarea i igienizarea *rotezelor totale
acrilice. #hestionarul a fost com*letat de A1 *acien(i cu %)rsta cu*rins ;ntre @A i 5I
ani. !ezultatele chestionarelor au fost coro'orate cu informa(iile o'(inute ;n urma
analizei a 1 cazuri clinice.
!-B."TAT-8 6n urma analizei rezultatelor chestionarelor< s4a o'ser%at c
ma>oritatea *acien(ilor de(in informa(ii legate de igienizarea *rotezelor totale acrilice<
;ns ;n cele mai multe cazuri aceste informa(ii sunt fie *ar(iale< fie incorecte.
Ma>oritatea *acien(ilor ar *refera s *rimeasc aceste informa(ii scrise sau desenate.
#+=#".BII8 #unoaterea limitat a regulilor de igien a *rotezelor totale
acrilice are adesea consecin(e nefaste at)t asu*ra *rotezelor acrilice< c)t i asu*ra
structurilor ca%it(ii orale. Astfel< considerm o'ligatorie ex*licarea acestor reguli
tuturor *acien(ilor *roteza(i *rin *roze totale acrilice.
?I
"ez!mate
&V$F5$"&$ ST$T5S5F5; &4T$" F$ COP;;; C5
;J$3;F;TLP; 4&5"OMOTO";;S&V$F5$"&$ ST$T5S5F5;
&4T$" F$ COP;;; C5 ;J$3;F;TLP; 4&5"OMOTO";;
&V$F5$T;O4 OK &4T$F ST$T5S OK C=;F"&4 Q;T=
4&5"OMOTO" ;S$3;F;T;&S
#onf. Dr. Aurelia $*inei\< #onf. Dr. Iurie $*inei\< alina Piro>anschi\\
\.$M7 9=icolae Testemi anu:< !e*u'lica Moldo%a< #hi inu
\\#asa *entru co*ii cu deficien(e mintale +rhei< !e*u'lica Moldo%a
$co*ul lucrrii8 e%aluarea statusului dentar la co*iii cu diza'ilit(i
neuromotorii.
Material i metod. 6n studiu au fost lua i 1/5 co*ii institu ionaliza i cu
*aralizie cere'ral cu %)rste de ?405 ani. ru*ul I l4au constituit 00I co*ii cu dereglri
neuromotorii moderate< iar gru*ul II 3 20 co*ii cu dereglri neuromotorii se%ere i
diza'ilit(i asociate. $tatusul dentar a fost a*reciat ;n conformitate cu criteriile +M$.
-x*erien a carioas a fost e%aluat *rin a*recierea indicelui DM7T. $tarea igienei
orale a fost estimat folosind Indicele de Igien +ral +HI4$. !ezultate. $tudiul a
constatat un ni%el *recar de igien orala la @,V co*ii din gru*ul I i 0//V co*ii din
gru*ul II. Valorile indicelui DM7T au constituit ?<,, e /<,I gru*ul I i A<?I e 0<02 ;n
gru*ul II. #oncluzii8 0. $4a constatat un ni%el s*orit al indicatorilor de carie dentar la
co*iii cu diza'ilit(i neuromotorii< ma>oritatea co*iilor *rezent)nd carii netratate sau
din(i extrai. 1. #o*iii cu diza'ilit(i neuromotorii necesit a*licarea sistematic a
msurilor *re%enti%e.
#u%inte cheie8 status dentar< caria dentar< diza'ilit(i neuromotorii
Pur*ose of ForC8 e%aluation of dental status of children Fith neuromotor
disa'ilities.
Material and methods8 The studE included 1/5 institutionalized children
Fith cere'ral *alsE aged ?405 Eears. rou* I Fas formed of 00I children Fith
moderate neuromotor disorders< and grou* II 3 20 children Fith se%ere neuromotor
disorders and associated disa'ilities. Dental status Fas assessed according to ]H+
criteria. #arious ex*erience Fas e%aluated 'E using the DM7T index. +ral hEgiene
status Fas estimated 'E using oral hEgiene index +HI4$. !esults. The studE re%ealed a
*oor le%el of oral hEgiene in @,V children in grou* I and 0//V children in grou* II.
DM7T index %alues Fere ?.,, e /.,I in grou* I and A.?I e 0.02 in grou* II.
#onclusions8 0. ]e found high indicators of dental caries in children Fith neuromotor
disa'ilities< most children ha%ing untreated decaE or extracted teeth. 1. #hildren Fith
neuromotor disa'ilities need sEstematic *re%enti%e measures.
HeEFords8dental status< dental caries< neuromotor disa'ilities
?5
&V;&4P;&"&$ T$44&"&FF&; KO"SNT=;$ F$ 54 FOT &
P$C;&4P; C5 3O$FL P$"OO4T$FL ; &K&CT&F&
T&"$P;&; $4T;3;OT;C& &V;&4P;$T& P";4 T&=4;C$ $4-
ST";P
T=& P"&S&4C& OK T$44&"&FF$ KO"SNT=;$ ;4 $ #"O5P
OK S53T&CTS Q;T= P&";OO4T$F ;S&$S& $4
$4T;3;OT;CS T"&$TM&4T &K&CTS =;#=F;#=T& 3N
5S;4# 4$-ST";P T&C=4;R5&
Asist. Dr. Magdalena Mironiuc4#ureu< Asist. Dr. Bog'an Da'u< Asist. Dr.
Irina4Maria heorghiu< #onf. Dr. Anca $il%ia Dumitriu
$co*ul studiului a fost determinarea calitati% i cantitati% a Tannerellei
forsEthia ;nainte i du* tratamentul cu anti'iotice *e cale sistemic< la un lot de
*acien(i cu 'oal *arodontal cronic.
Material i Metod. $tudiul a fost fcut *e un lot de I/ *acien(i cu %)rste
;ntre 1/ i 5? ani S%)rsta medie @1 aniT dintre care 11 sntoi *arodontal i ? cu
gingi%it i ?? cu *arodontit marginal cronic *rofund. Pentru identificarea
*rezen(ei T. forsEthia *rin tehnica P#! *ro'ele de *lac su'gingi%al au fost o'(inute
la fiecare *acient din @ situsuri. Prima recoltare s4a fcut la *rezentarea *acientului< iar
a doua recoltare la 1 luni de la detartra> i administrare de anti'iotice. $4au folosit8
AmoxicilinfMetronidazol< #lindamicin sau Doxicilin< ;n , scheme de tratament ;n
func(ie de s)ngerarea la *al*are< ad)ncimea *ungilor i as*ectul radiologic.
!ezultate. "a *rima consulta(ie Tf a fost *rezent ;n 2A<A V din cazuri.
Du* tratamentul cu anti'iotice Tf a a*rut ;n @1<0IV din cazuri cu scderea
concentra(iei 'acteriene. "a @ *acien(i nu s4au mai gsit 'acterii.
#oncluzii. Administrarea anti'ioticelor este o necesitate ;n tratamentul 'olii
*arodontale. Dis*ari(ia total sau reducerea concentra(iei 'acteriilor s4a o'(inut ;n
situa(ia administrrii mai multor anti'iotice< *e termen lung.
#u%inte cheie8 'oal *arodontal< Tannerella forsEthia< tehnica P#!<
anti'iotice
The aim of this studE is tannerella forsEthia detection 'efore and after
sEstemic anti'iotic administration to a grou* of *atients Fith chronic *eriodontitis.
Material and Methods8 I/ *atients aged from 1/ to 5? Eears old Smean age
@1T Fere selected from this studE. 11 of them Fere Fithout *eriodontal disease< ? Fith
gingi%itis and ?? Fith chronic *eriodontitis. $u'gingi%al *laRue sam*les Fere o'tained
from @ sites for Tannerella forsEthiaSTfT identification through P#! techniRue. The
first *rele%ation Fas made at *resentation and the second 1 months after the end of the
treatment Sincluding cleaning and sEstemic anti'ioticsT. ]e used
AmoxicilinfMeetronidazole< #lEndamicin or DooxEcEclin in , schemes de*ending on
'leeding on *ro'ing< *ro'ing de*th and radiological as*ects.
!esults8 Tf Fas found in 2A<AV of the *atients at first *rezentation. After
anti'iotic treatment Tf *re%alence Fas @1<0IV Fith decreased 'acteria concentration.
In @ cases Fe didnUt find anE 'acteria.
?2
"ez!mate
#onclusions8 Anti'iotics administration is a necessitE in *eriodontal disease
treatment. Decreasing or total a'sence of 'acteria has 'een o'tained in multi*le
anti'iotics administration< for a long *eriod.
HeEFords8*eriodontal disease< tannerella forsEthia< P#! techniRue<
anti'iotics
&MPFO$T$"&$ K$CTO"5F5; M5SC5F$" 4 "&$3;F;T$"&$
K54CP;O4$FL $ &&4T$T5F5; TOT$F P";4 $PO"T5F
KO4$P;&;
Dr. Voichi(a #azacu< Asist. Dr. =icolae -ugen #ristian #azacu< Asist. Dr.
#tlin Andrei< Asist. Dr. Daniela P;r%u< Asist. Dr. #amelia Ionescu< Prof.
Dr. Ion Ptracu
"ucrarea dez%olt o metodologie de *rotezare total i se adreseaz cu
*recdere cazurilor clinice com*lexe< cu *rezen(a unor c)m*uri *rotetice nefa%ora'ile
cu atrofie a%ansat sau chiar creste negati%e.
Ideea de la care am *lecat se 'azeaz *e realitatea c dintre func(iile
esen(iale ale A.D.M.< fona(ia este a*reciat ca fiind cea mai com*lex func(ie< a*t s
antreneze musculatura *eri*rotetic ;ntr4o acti%itate fiziologic< s*ecific fiecrui
indi%id.
7olosirea unui *rotocol ortofonetic< >udicios ales< ;n eta*ele de am*rentare
func(ional< determinare a rela(iilor intermaxilare i de *rotez finit< *ermite
;ncadrarea *rotezei finale ;n *erimetrul o*tim al s*a(iului *oten(ial de *rotezare cu
im*lica(ii ;n rea'ilitare func(ional< estetic i fonetic a *acientului *rotezat.
&MPFO"$"&$ $4$TOM;&; "$;OFO#;C& $ M$4;35F&;
5T;F;JO4 COMP5T&"-TOMO#"$K5F C5 K$SC;C5F
CO4;C
Dr. Iuliana Ba'iuc
In%estiga(ia com*uter4tomografic re*rezint un instrument util ;n analiza
cazului clinic i ;n *lanificarea tratamentului cu im*lanturi dentare.
$co*ul studiului8 In%estigarea detaliilor anatomice ale mandi'ulei cu
rele%an( ;n im*lantologie cu a>utorul tomografului com*uterizat cu fascicul conic.
Material i metod8 "otul a inclus ,A de *acien(i< 1/ de 'r'a(i i 0A femei<
crora li s4au efectuat tomografii com*uterizate du* un *rotocol standardizat. Analiza
%olumelor tomografice s4a realizat de ctre un singur o*erator cu a>utorul *rogramului
-zIm*lant4Plus. $4au efectuat multi*le msurtori i au fost descrise diferite structuri
anatomice i detalii morfologice ale mandi'ulei.
!ezultate i discu(ii8 Au fost identificate canalele incisi%e i canalele
linguale %asculare mediane ;n toate cazurile in%estigate. #analele linguale %asculare
laterale au fost *rezente ;ntr4un *rocent de AA<AV. aura mentonier s4a situat cel mai
frec%ent ;ntre cei doi *remolari S@@<@VT< ;n dre*tul Pm1 ;n ,5<2V din cazuri i distal
de Pm1 ;n @<@V din cazuri. Doi su'iec(i au *rezentat unilateral guri mentoniere
@/
accesorii. 6n zona molar< o fos su'mandi'ular 'ine ex*rimat a fost identificat
;ntr4un *rocent de 11<1V. #analul mandi'ular a a%ut fie un traiect singular SI1<1VT< fie
'ifid S@<AVT< fie a *rezentat un canal accesoriu S11<1VT.
#oncluzii8 -x*lorarea atent a anatomiei sitului chirugical *ermite
conce*erea unui *lan de tratament care e%it com*lica(iile intrao*eratorii. Analiza
#B#T *oate oferi o e%aluare morfologic detaliat i exact a anatomiei mandi'ulare.
#4$T=OFO#N - 4&Q SNST&M OK K$C&-3OQ $4
$"T;C5F$TO"
Prof. Dr. Anton 7iltche%
7acultE of Dental Medicine< Medical .ni%ersitE< $ofia< Bulgaria
In the *resentation there Fill 'e re*orted8
4 the *ossi'ilities of the face4'oFs noFadaEsO
4 the 'asic methods for determination of the terminal hinge axisO
4 analEsis of the indi%idual s*ecial features of the tem*oromandi'ular >ointsO
4 analEsis of the *rinci*le of ForC Fith all the face4'oFs used u* to noFO
4 neF *rinci*le of ForC Fith a neF generation face4'oF and articulator Fill
'e re*orted for the first time in Bucharest< ?4@ +cto'er< 1/01.
;MP$CT5F T"$T$M&4T5F5; &4OO4T;C $S5P"$
M&4P;4&";; S5P"$P"OT&J&FO"
T=& ;MP$CT OK T=& &4OO4T;C T"&$TM&4T O4 T=&
"&T&4T;O4 OK T=& OV&"&4T5"&S
&ef lucr. Dr. +ana #ella Andrei\< Asist. !uxandra Mrgrit\< &ef lucr. Dr.
#risti Dguci\\
\\7acultatea de Medicin Dentar< .M7 #raio%a
!ealizarea su*ra*rotezelor *e din(i naturali a dat rezultate fa%ora'ile de mai
multe decenii. Aceast metod de tratament ofer o sum de a%anta>e de la 'eneficiul
*sihologic *entru *acien(i< s*ri>in< *ro*rioce*(ie< un ra*ort mai 'un coroan4rdcin<
conser%area osului al%eolar care ofer o mai 'un sta'ilitate *rotezelor< utilizarea
rdcinilor restante ca ghid *entru montarea din(ilor artificiali< *osi'ilitatea de a utiliza
sisteme s*eciale de men(inere< transformarea facil a su*ra*rotezei ;n *rotez total i
o acomodare mai uoar cu *roteza.
!dcinile care sunt *strate de regul ca din(i st)l*i tre'uie tratate
endodontic i de aceea succesul tratamentului de canal este foarte im*ortant *entru
*rognosticul *e termen lung al su*ra*rotezei. Am studiat imaginile radiografice din
stadiile ini(iale ale tratamentului com*arati%e cu cele de la edin(ele de monitorizare.
Tratamentele de canal au fost fcute fie dincolo de a*ex< fie la 041 mm de a*ex< fie
*)n la ni%elul cur'urii rdcinii sau al unui o'stacol iatrogenic fie la ni%elul
constric(iei a*icale. #hiar ;n situa(iile ;n care o'tura(iile de canal nu se terminau la
ni%elul a*exului radiologic din(ii erau func(ionali *e arcad la un inter%al de cel *u(in @
ani du* a*licare su*ra*rotezei. =umai unii dintre din(ii cu o'tura(ii de canal realizate
@0
"ez!mate
dincolo de a*ex *rezentau inflama(ie cronic cu *roliferare e*itelial i formare de
chist.
$u*ra*roteza este o o*(iune de tratament %aloroas i o alternati%
im*ortant la extrac(ie cu toate consecin(ele *e care aceasta le are asu*ra %iitorului
*rotetic al *acientului edentat. $uccesul tratamentului endodontic *e termen lung este
esen(ial *entru *rinci*iul de tratament *rotetic *rin su*ra*rotezare.
#u%inte cheie8 su*ra*rotez< tratament endodontic< men(inere
7a'ricating dentures o%er retained natural roots ha%e 'een gi%en fa%ora'le
results from se%eral decades. This method of treatment offers a lot of ad%antages
ranging from *sEchological 'enefit for the *atients to dento4*arodontal su**ort<
*ro*rioce*tion< 'etter croFn4to4tooth ratio< *reser%ation of the al%eolar 'one offering a
'etter denture sta'ilitE< use of remaining roots as guides for the *lacement of the
artificial teeth< *ossi'ilitE to use attachments< easE con%erti'ilitE to a con%entional
denture and easier *ostinsertion accommodation.
!oots that are usuallE Ce*t as a'utments must 'e endodonticallE treated and
so the endodontic treatment success is %erE im*ortant for the long term sur%i%al of the
o%erdenture. ]e studied the radiogra*hic images taCen from the initial stages to the
later recall a**ointments. The root canal treatments Fere made either 'eEond the
radiogra*hic a*ex< at 0 to 1 mm Fithin the a*ex< at the le%el of the root cur%ature or
iatrogenic o'struction< or at the a*ical constriction. -%en if the endodontic fillings did
not terminate at the radiogra*hic a*ex the teeth did not fail at least at @ Eears after the
insertion of the denture. +nlE some of the teeth Fith endodontic fillings made o%er the
a*ex exhi'ited chronic inflammatorE res*onse Fith e*ithelial tissue *roliferation and
cEst formation.
+%erdenture is a %alua'le o*tion of treatment and an im*ortant alternati%e to
extraction Fith all its conseRuences for the *rosthetic future of the edentulous *atient.
The long lasting success of the endodontic treatment is mandatorE for the conce*t of
the o%erdenture.
HeEFords8o%erdenture< endodontic treatment< retention
;MPF;C$P;; K54CP;O4$F& ; ;SK54CP;O4$F& $F&
P"OT&JL";; &&4T$P;&; TOT$F&
K54CT;O4$F $4 NSK54CT;O4$F ;MPF;C$T;O4S OK
TOOT= FOSS P"OST=&T;C T=&"$PN
#onf. Dr. Mariana #onstantiniuc
.M7 9Iuliu Ha(ieganu:< #lu>4=a*oca
+dat cu creterea s*eran(ei de %ia(< concomitent cu a calit(ii %ie(ii< se
*oate constata la *o*ula(ia %)rstnic *strarea din(ilor naturali *)n t)rziu ;n decursul
%ie(ii.
#u toate acestea< instalarea edenta(iei totale< la o %)rst mai ;naintat sau nu<
rm)ne o realitate creia tre'uie s i se ofere un remediu *rin care s se restaureze ;n
cele mai 'une condi(ii morfologia i func(iile *ertur'ate ale a*aratului dento4maxilar<
*recum i starea de 'ine *siho4somatic.
6n consecin(< tratamentul *rotetic al edenta(iei totale se im*une ca o
necesitate< a%)nd rolul du'lu de rea'ilitare oral i de *re%enire a comor'idit(ii la care
@1
este ex*us *acientul edentat total< ;n condi(iile im*osi'ilit(ii realizrii mastica(iei<
alimenta(iei incom*lete< malnutri(iei.
6naintarea ;n %)rst *oate face uneori asimilarea *rotezei deose'it de
dificil< (in)nd cont de condi(iile anatomice nefa%ora'ile< gradul a%ansat de resor'(ie a
crestelor al%eolare< *ierderea elasticit(ii i rezisten(ei mucoaselor< de%enite sensi'ile la
*resiune< xerostomia i ;ncetinirea reflexelor.
6n aceste condi(ii *recare< *rotezele tre'uie conce*ute cu res*onsa'ilitate<
*entru a satisface cerin(ele indi%iduale ;n ceea ce *ri%ete confortul< men(inerea i
sta'ilitatea< mastica(ia< mani*ularea< igienizarea< ;ntre(inerea i< nu ;n ultimul r)nd<
estetica.
Aceste as*ecte ne4au determinat s analizm im*lica(iile func(ionale i
disfunc(ionale care *ot sur%eni ;n cursul tera*iei *rotetice a edentatului total.
Totodat< alegerea i a*licarea metodelor de tratament tre'uie s ai' ;n
%edere consecin(ele inter%en(iei noastre< care *ot *re>udicia tem*orar sau *ermanent
morfo4func(ia a*aratului dento4maxilar sau de*i ca*acit(ile ada*tati%e ale
*acientului.
#u%inte cheie8 a'sen(a din(ilor< *roteze totale< men(inere i sta'ilitate<
ocluzie< estetic
]ith increasing life ex*ectancE< together Fith life RualitE< *reser%ation of
natural dentition can 'e found during late life in elderlE *o*ulation.
HoFe%er< tooth loss settlement< at an older age or not< remains a realitE that
must 'e gi%en a remedE 'E Fhich the distur'ed mor*hologE and functions of the
stomatognathic sEstem and the *sEchosomatic Fell'eing should 'e restored under the
'est conditions.
#onseRuentlE< the restorati%e treatment of tooth loss is a necessitE< Fith the
dual role of oral reha'ilitation and *re%ention of the comor'iditE that the edentulous
*atient is ex*osed to< gi%en the ina'ilitE to achie%e cheFing< the incom*lete eating<
and malnutrition.
Aging can sometimes maCe *rosthesis assimilation %erE difficult<
considering the unfa%ora'le anatomical conditions< the high degree of al%eolar ridge
resor*tion< the loss of elasticitE and mucosa resistance< 'ecome sensiti%e to *ressure<
the xerostomia and sloFing doFn of reflexes.
.nder these *recarious conditions< dentures should 'e designed res*onsi'lE<
in order to meet indi%idual reRuirements in terms of comfort< retention and sta'ilitE<
cheFing efficiencE< handling< cleaning< retention and< last 'ut not least< aesthetics.
These issues ha%e led us to analEze the functional and dEsfunctional
im*lications that maE occur during the *rosthetic treatment of the fullE edentulous
*atient.
Also< the choice and a**lication of treatment methods must consider the
conseRuences of our inter%ention that can tem*orarilE or *ermanentlE damage the
mor*ho4function of the dento4maxillarE sEstem or exceed the ada*ti%e ca*acities of
the *atient.
HeEFords8tooth loss< com*lete dentures< denture retention and sta'ilitE<
cheFing efficiencE< occlusion< aesthetics
@,
"ez!mate
;4KF5&4 $ K$CTO"5F5; 3;O&CO4OM;C 4 $F&#&"&$
M$T&";$F&FO" &4T$"& 5T;F;J$T& 4 P"OT&T;C$
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P"OST=&T;CS K;M&
Drd. Vi%Eiana +*ri an< Drd. #tlin $orin Dumitrescu< ef lucr. Dr. Anca
Iuliana Po*escu< Asist. Dr. !aluca Anca iurescu< #onf. Dr. -lena
a'riela Des*a
7acultatea de Medicin Dentar< .ni%ersitatea 9Titu Maiorescu:< Bucure ti
6nc din sec. dVIII i ;n *rimele decenii ale sec. dId< odat cu *rocesul
tehnic com*lex *rin care munca manual a fost ;nlocuit cu ma inismul< mi care
cunoscut ca i re%olu ia industrial< a fost adus ;n *rim *lan ne%oia *regnant de
rezol%are a *ro'lemelor decisi%e ale mediului.
Printele 'ioeconomiei< =icolae eorgescu 3 !oegen< a reliefat contradic ia
dintre degradarea de nee%itat a resurselor naturale folosite de omenire< ca urmare a
utilizrii lor< i cre terea material nelimitat.
$co*ul acestei lucrri %ine ;n ;nt)m*inarea eforturilor medicinii dentare< ce
se doresc a sus ine societatea aflat ;n *lin *roces de coe%olu ie< desf urat *rin
interac iunea reci*roc a e%olu iei 'iologice i a schim'rilor mediului *lanetar< fc)nd
legtura ;ntre *rocesul de *rote>are a mediului ;ncon>urtor *rin materialele utilizate ;n
*rotetica dentar i mediul economic ;n *lin ex*ansiune.
6n *rocesul selectrii materialelor necesare realizrii lucrrilor *rotetice
fixe< a%)nd la 'az *uternice considerente 'ioeconomice< materialele dentare se ;m*art
;n8 materiale ce im*lic nu consum ridicat de resurse naturale< fiind dis*oni'ile ca *re
3 materiale din care se confec ioneaz lucrrile *rotetice metalo4ceramice 3 i
materiale cu un consum sczut de resurse naturale< dar la un *re ridicat 3 zirconiu<
sistemele integral ceramice.
Men iuni8 Aceast lucrare a fost cofinan(at din 7ondul $ocial -uro*ean
*rin Programul +*era(ional $ectorial !esurselor .mane 1//I41/0,< numrul de
*roiecte P+$D!. W #PP0/IWDMI 0.@W$WII/51< 9Burse doctorale *entru eco4economie
i com*lexul de instruire 'io4economic *entru asigurarea alimentelor < siguran(a hranei
*entru animale i de securitate a ecosistemelor antro*ice:
#u%inte cheie8 'ioeconomie< materiale dentare< lucrri *rotetice fixe
$ince of the eighteenth centurE and the first decades of the centurE< Fith
com*lex technical *rocess 'E Fhich manual la'or Fas re*laced 'E< the machinist
mo%ement CnoFn as the industrial re%olution< Fas 'rought into focus the need for
striCing the decisi%e *ro'lem sol%ing en%ironment.
The father of 'io4economE< =icholas eorgescu 4 !oegen< highlighted the
contradiction 'etFeen the una%oida'le degradation of natural resources used 'E
humanitE< as a result of their use< and unlimited material groFth.
The *ur*ose of this *a*er meets dentistrE efforts< the com*anE is Filling to
su**ort the de%elo*ment noF 'eing held 'E the mutual interaction of 'iological
e%olution and en%ironmental changes *lanetarE linCing *rotecting the en%ironment 'E
materials used in *rosthetic Dental and 'ooming economic en%ironment.
@?
In selecting the material for dentures fixed< 'ased on strong considerations <
'io4economics dental materials are di%ided into8 material in%ol%es high consum*tion
of natural resources not 'eing a%aila'le *rice 4 materials that are manufactured metal4
ceramic *rostheses 4 and materials Fith a loF consum*tion of natural resources< 'ut at
a high *rice 4 zirconium< full ceramic sEstems.
AcCnoFledgments. This ForC Fas cofinanced from the -uro*ean $ocial
7und through $ectoral +*erational Programme Human !esources De%elo*ment 1//I4
1/0,< *ro>ect num'er P+$D!.W #PP0/IWDMI 0.@W$WII/51< ^Doctoral $cholarshi*s
for eco4economE and 'io4economic com*lex training to ensure the food and feed
safetE and securitE of anthro*ogenic ecosEstemsa
$ince of the eighteenth centurE and the first decades of the centurE< Fith
com*lex technical *rocess 'E Fhich manual la'or Fas re*laced 'E< the machinist
mo%ement CnoFn as the industrial re%olution< Fas 'rought into focus the need for
striCing the decisi%e *ro'lem sol%ing en%ironment.
The father of 'io4economE< =icholas eorgescu 4 !oegen< highlighted the
contradiction 'etFeen the una%oida'le degradation of natural resources used 'E
humanitE< as a result of their use< and unlimited material groFth.
The *ur*ose of this *a*er meets dentistrE efforts< the com*anE is Filling to
su**ort the de%elo*ment noF 'eing held 'E the mutual interaction of 'iological
e%olution and en%ironmental changes *lanetarE linCing *rotecting the en%ironment 'E
materials used in *rosthetic Dental and 'ooming economic en%ironment.
In selecting the material for dentures fixed< 'ased on strong considerations <
'io4economics dental materials are di%ided into8 material in%ol%es high consum*tion
of natural resources not 'eing a%aila'le *rice 4 materials that are manufactured metal4
ceramic *rostheses 4 and materials Fith a loF consum*tion of natural resources< 'ut at
a high *rice 4 zirconium< full ceramic sEstems.
AcCnoFledgments. This ForC Fas cofinanced from the -uro*ean $ocial
7und through $ectoral +*erational Programme Human !esources De%elo*ment 1//I4
1/0,< *ro>ect num'er P+$D!.W #PP0/IWDMI 0.@W$WII/51< ^Doctoral $cholarshi*s
for eco4economE and 'io4economic com*lex training to ensure the food and feed
safetE and securitE of anthro*ogenic ecosEstemsa
HeEFords8'io4economic< dental< fixed *rostheses
;4S&"P;$ 4T"-54 T;MP C=;"5"#;C$F V&"S5S ;4S&"P;$
4 O; T;MP; C=;"5"#;C$F; $ ;MPF$4T5";FO" &4T$"&
O4& S5"#;C$F ST$#& V&"S5S TQO S5"#;C$F ST$#&
T&C=4;R5& KO" &4T$F ;MPF$4T ;4S&"T;O4
Dr. #orina Marilena #ristache\< #onf. Dr. Mihai Burli'aa\\< &ef lucr. Dr.
Andreea Didilescu\\\< #onf. Dr. "igia Muntianu
\
< Dr. heorghe
#ristache\< #onf. Dr. Dana #ristina Bodnar\\\
\$.#. #+=#+!DIA D-=T $.!.". Bucureti< $ocietatea !om)n de +steointegrare
\\7.M.A.M.< ..M.7. 9#arol Da%ila: Bucureti< $ocietatea !om)n de
+steointegrare
\\\7acultatea de Medicin Dentar< ..M.7. 9#arol Da%ila: Bucureti< $ocietatea
@@
"ez!mate
;ntrod!cere) Pentru o *redicti'ilitate a osteointegrrii< BranemarC a *ro*us
ini(ial aco*erirea du* inser(ie a im*lantului cu (esut gingi%al< iar ;ntr4o eta*
ulterioar im*lantul era ex*us ;n ca%itatea 'ucal i inserat 'ontul *rotetic Sinser(ia ;n
9doi tim*i chirurgicali:T. $tudii mai recente au do%edit c im*lanturile *ot fi cu succes
osteointegrate i ;n situa(ia ;n care gingia este suturat ;n >urul g)tului im*lantului sau
al 'ontului de %indecare< tehnica numit 9;ntr4un tim* chirurgical:.
Scop!l studiului const ;n com*ararea *ierderii osoase crestale ;n tehnica ;n
doi tim*i< c)t i cea ;ntr4un tim* chirurgical.
Materiale si metod) $4a efectuat un studiu clinic *e , ani< *e 1@
im*lanturi $traumann S0@ intr4un tim* i 0/ ;n doi tim*i chirurgicaliT. =i%elul osului
al%eolar mezial i distal s4a msurat cu a>utorul radiografiilor standardizate8 la inser(ia
im*lantului ST/T< la un an du* inser(ia lucrrii *rotetice ST0T i la , ani *ostinser(ie
ST,T.
"ez!ltate) Pierderea osoas medie a fost de T08 /.?0 mm< T,8 /.?? mm ;n
gru*ul ;n doi tim*i chirurgicali i T08 /.?, mm< T,8 /.?@ mm ;n gru*ul ;ntr4un tim*
chirurgical. =u s4au ;nregistrat diferen(e statistic semnificati%e ;ntre cele dou gru*uri.
Concl!zii) !ezultatele studiului arat c am'ele metode de inser(ie a
im*lanturilor dentare *ot fi utilizate cu succes< lu)nd ;n considerare gradul de resor'(ie
al osului al%eolar marginal.
C!+inte cheie) im*lant dentar< inser(ie ;ntr4un tim* chirurgical< inser(ie ;n
doi tim*i chirurgicali.
;ntrod!ction) BranemarC Fas originallE *ostulated that im*lants had to 'e
su'merged 'eloF the soft tissues in order for *redicta'le osseointegration to occur. At
a later stage a'utment connection had to 'e *erformed to ex*ose the im*lant in the oral
ca%itE for the fixation of the dental reconstruction S^tFo surgical stages:T. More recent
studies ha%e re*orted data demonstrating that im*lants can successfullE osseointegrate
Fith the soft tissues sutured around the necC of the im*lant or the healing ca*<
techniRue so4called in ône surgical stage:.
The aim of our studE is to com*are the amounts of crestal 'one loss for
su'merged and non4su'merged im*lants.
Material and methods) A clinical three4Eear studE Fas conducted on 1@4
$traumann dental im*lants S0@4non4su'merged and 0/4su'merged im*lantsT.
$tandardized *eri4a*ical radiogra*hs Fere taCen to measure changes in mesial and
distal crestal 'one le%els at the time of surgerE ST/T< one4Eear *ost a'utment
insertionST0T and three4Eear *ost a'utment insertion ST,T.
"es!lts) Mean crestal 'one loss T08/.?0mm< T,8 /.??mm in the su'merged
grou* and T08 /.?,mm< T,8 /.?@mm in the non4su'merged grou*. =o statisticallE
significant difference Fas o'ser%ed 'etFeen the tFo grou*s.
Concl!sions) The data demonstrate that the su'merged and non4su'merged
im*lants are relia'le treatment o*tions taCing into consideration the al%eolar 'one loss.
DeECords) dental im*lant< su'merged techniRue< non4su'merged techniRue
@A
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.ni%ersitatea de Medicin i 7armacie 9Victor Ba'e: 3 Timioara
Placa dentar este unul dintre cele mai studiate 'iofilme< fiind res*onsa'il
de a*ari(ia 'olii *arodontale. A*roximati% A@V din toate afec(iunile sistemice sunt
induse de ctre 'iofilm. 6n literatura medical sunt descrise legturile directe
*erioWsistemice< una dintre 'olile cele mai frec%ente fiind re*rezentat de endocardita
'acterian su'acut.
Bacteriile 'iofilmului se de*laseaz de la ni%elul an(ului gingi%al ;n
sistemul circulator< 'acteriemia a*r)nd ;n tim*ul mastica(iei i al *eria>ului.
Bacteriemia const ;n celulele 'acteriene %ii i toxine< care stimuleaz e%enimente
osteoclastice. #a urmare a 'acteriemiei< organismul mo'ilizeaz un rs*uns inflamator<
rs*uns care *roduce enzime< toxine i meta'oli i. !s*unsul imun *oate fi
autodistructi%< duc)nd la lezarea (esuturilor *arodontale.
Parodontita re*rezint un factor im*ortant de risc *entru 'oala coronarian.
Infec(ii cauzate de P. gingi%alis crete riscul de accident %ascular cere'ral sau infarct.
Placa aterosclerotic con(ine 'acterii in%azi%e %ia'ile de A. ActinomEcetemcomitans i
P. ingi%alis. Aceleai 'acterii *arodonto*atogene sunt gsite *e cateterele
coronariene. Alte studii arat asocierea ;ntre *arodontit i anomaliile
electrocardiogramei< care re*rezint *redictori im*ortan(i ai afec(iunilor
cardio%asculare. + alt asociere exist ;ntre 'oala *arodontal i e%enimente negati%e
din sarcin< cum ar fi naterea *rematur< greutate mic la natere< infec(ia co*ilului de
la *lacent< natere *rematur.
-xist o rela(ie e%ident ;ntre 'oala *arodontal i condi(iile res*iratorii<
cum ar fi *neumonie< 'oli cronice o'structi%e Semfizem< 'ronitT.
#ea mai im*ortant corela(ie 'idirec(ional este ;ntre dia'etul zaharat i
*arodontit. Dia'eticii sunt *redis*ui la *arodontit< iar *arodontita *roduce un
control glicemic neadec%at. Tratamentul *arodontitei *oate ;m'unt(i controlul
glicemic al *acientului.
Dental *laRue is a 'iofilm< one of the most studied 'iofilms< res*onsi'le for
*eriodontal disease. It is a li%ing film< A@Vof all diseases maE 'e 'iofilm induced.
"iterature has descri'ed manE of the direct *erioWsEstemic linCs< one of the most
im*ortant disease 'eing re*resented 'E $u'acute Bacterial -ndocarditis.
The 'acteria of the 'iofilm are mo%ing from the gingi%al cre%ice into the
circulatorE sEstem< 'acteremia a**ears during cheFing and 'rushing. The 'acteremia
consists of li%e 'acterial cells and toxins< Fho stimulates osteoclastic e%ents. As a
result of the 'acteremia< the 'odE mo'ilises the inflammatorE res*onse< *roducing
enzEmes< toxines and meta'olites. The 'odE res*onse is autodamagging the
*eriodontal tissues< causing *eriodontal 'reaCdoFn.
Periodontitis Fas re%ealed to 'e a significant risC factor for coronarE arterE
disease S#ADT< Fith the le%el of association increasing Fith the extent of *eriodontal
lesion. Infections caused 'E the *erio*ahogen P.gingi%alis increases the risC of stroCe
and heart attacC. Atherosclerotic *laRue contains %ia'le in%asi%e
@I
"ez!mate
A.ActinomEcetemcomitans and P.ingi%alis. The same *erio*athogenes 'acteria are
found on coronarE 'alloon catheters. +ther studies shoF association 'etFeen
*eriodontitis and electrocardiograms a'normalities< Fich are im*ortant *redictors of
cardio%ascular disease. Another linC is 'etFeen *eriodontal disease and ad%erse
*regnancE e%ents liCe *remature< loF 'irth Feight 'a'E< infection of the 'a'E from the
*lacenta< *reterm 'irth.
There is an e%ident relationshi* 'etFeen *eriodontal disese and res*iratorE
conditions< such as *neumonia< chronic o'structi% diseases Sem*hEsem< 'ronchitisT.
He most im*ortant linC is 'etFeen dia'etes and *eriodontal disease. It is a
'idirectional relationshi*< dia'etics 'eing *redis*osed to *eriodontitis and *eriodisease
*redis*oses to *oor glEcemic control. Treatment of *eriodontal disese maE im*ro%e the
glEcemic control of the *atient.
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M$4;35F$"& F$ 54 P$C;&4T C5 3O$FL P$"D;4SO4 C5
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Dr. Ioana #resneac
Medic rezident< 7acultatea de Medicin Dentar< .M7 9#arol Da%ilaa< Bucureti
+'iecti%8 Prezentare de caz a unui *acient edentat total 'imaxilar cu atrofie
mandi'ular accentuat. Pacientul are ca factor agra%ant *rezenta Bolii ParCinson.
Material si metoda8 Du* efectuarea *rotezelor maxilar i mandi'ular s4a
*rocedat la inserarea a dou miniim*lanturi< mandi'ular< interforaminal. Du* I zile de
la inter%en(ia chirurgical s4a *rocedat la a*licarea *rotezei *e c)m* du* o *reala'il
c*tuire cu material moale de ti*ul Mollosil. Pacientul a fost sftuit s *oarte
*rotezele tim* de , luni astfel c*tuite i s re%in *eriodic Sla 1 s*tm)niT la
control.
!ezultate8 Pacientul a *rimit tratamentul cores*unztor i du* o *erioad
de , luni de la inserarea minim*lanturilor i odat cu ;ncheierea *erioadei de
osteointegrare< *rotezei mandi'ulare i s4au adugat matricele cores*unztoare
sistemelor s*eciale angrenate de miniim*lanturi. $4a constatat ;m'unt(irea men(inerii
i sta'ilit(ii *rotezei mandi'ulare datorit *rezen(ei celor dou miniim*lanturi cu
sisteme s*eciale.
#oncluzii8 Miniim*lanturile cu sisteme s*eciale sunt un mi>loc eficient de
;m'unt(ire a men(inerii i sta'ilit(ii *rotezei mandi'ulare mai ales ;n cazurile dificil
de *rotezat datorit *atologiei asociate S'oala ParCinsonT ce duce la o necoordonare a
micrilor mandi'ulare i o li*s a ac(iunii a>uttoare a musculaturii faciale. #onfortul
i eficien(a masticatorie au fost net ;m'unt(ite *entru *acient.
@5
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P&"SP&CT;V$ P$"OO4TOFO#;&;
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Bahtiar Ismail< Brandua Mocanu< Anca $il%ia Dumitriu
Premiza8 "eziunile endo4*arodontale re*rezint o *ro%ocare *entru clinician
at)t din *unct de %edere al diagnosticului< tratamentului c)t i al *rognosticului
dinteluiWdin(ilor afecta(i. 6n etiologia acestor afec(iuni sunt im*licate 'acterii< %irusuri<
fungi *recum i o serie de factori S*recum traumatismele< resor'(iile radiculare<
*erfora(iile< malforma(ii dentareT care fa%orizeaz a*ari(ia i *rogresiunea acestora.
$co*8 A%)nd ;n %edere c leziunile endodontice i cele *arodontale
re*rezint mai mult de @/V din cauzele care duc la *ierderea din(ilor S#hen et al.<
022IT dorim s *rezentm no(iuni 'iologice i clinice semnificati%e *entru diagnosticul
corect i alegerea adec%at a tratamentului afec(iunilor dento4*arodontale deoarece
*rognosticul dinteluiWdin(ilor afecta(i de*inde de acestea.
Material i metod8 "ucrarea *rezint c)te%a cazuri de leziuni endo4
*arodontale diagnosticate i tratate ;n #linica de Parodontologie< ..M.7. 9#arol
Da%ila:< Bucureti.
#oncluzii i discu(ii8 Anamneza< examenul clinic atent i examenele
*araclinice sunt esen(iale *entru diagnosticarea corect a leziunilor com'inate endo4
*arodontale. #ei mai im*ortan(i factori care tre'uie lua(i ;n considerare ;n alegerea
metodei tera*eutice sunt %italitatea *ul*ar i gradul de afectare a *arodon(iului
marginal. #a o concluzie general< *resu*un)nd c tratamentul endodontic este corect
efectuat< *rognosticul leziunilor endo4*arodontale ade%rate de*inde doar de
eficacitatea tratamentului *arodontal.
BacCground8 -ndo4*erio lesions *resent a challenge to clinicians regarding
'oth the diagnosis and the *rognosis of the in%ol%ed teeth. -tiologE of these lesions
com*rises of 'acteria< fungi< %iruses and of some contri'uting factors such as trauma<
root resor*tions< *erforations< dental malformations Fhich are in%ol%ed in the
de%elo*ment and *rogression of such lesions.
Aim8 #onsidering that endodontic and *eriodontal lesions are res*onsi'le
for more than @/V of tooth mortalitE S#hen et al. <022IT< Fe Fish to *resent 'iological
and clinical data significant for diagnosis< *rognosis and decision4maCing in the
treatment of these conditions.
Material and method8 The *a*er *resents some clinical cases of endo4*erio
lesions diagnosed and treated in the De*artment of PeriodontologE.
Discussions8 A thoroughlE *erformed historE of the disease< clinical
examination and clinical tests are of utmost im*ortance in o'taining a correct diagnosis
and differentiating 'etFeen endodontic and *eriodontal disease. The most im*ortant
factors to consider Fhen maCing a treatment decision are *ul* %italitE and the extent of
*eriodontal defect. As a general rule< assuming that root canal thera*E Fas *erformed
*ro*erlE< the *rognosis of the toothWteeth de*ends onlE on the efficacE of *eriodontal
treatment.
@2
"ez!mate
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S$4O#&4&S;S* O";#;4$F CO4C&PT
Atitudinea teoretic actual *ri%ind *rofilaxia gingi%itelor i *arodontitelor
marginale este *romo%at ;n %iziune modern *rin ealonarea ra(ional a eta*elor
eficiente de constituire i rea'ilitare a snt(ii gingi%o4*arodontale.
$tudiul este realizat *e 'aza unei ex*erien(e *ersonale conce*tuale i
*ractice de4a lungul a *este *atru decenii.
#u%inte cheie8 management< gingi%ite< sanogenez
The current theoretical *osition to the *re%ention of the gingi%itis and
marginal *eriodontitis is *romoted Fithin a modern %ieF *oint 'E rational *lanned
ste*s to effecti%e esta'lishment and reha'ilitation of *eriodontal and gingi%al health.
The studE is 'ased on *ersonal conce*tual ex*erience and *ractice o%er the
*ast four decades.
HeEFords8management< gingi%itis< sanogenesis
M&;C;4$ &4T$"L % ;$FO# 4T"& #&4&"$P;;
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3$S;C T"$;4;4# % O4FN< $ 3&#;44;4#
Prof. Dr. Ion #oca
$e *oate ;n%(a i de la cei SfoarteT %)rstniciK Merit a4i solicita a4i ex*une
ex*erien(aK Merit ei oferta de a4i ex*une *ro*ria ex*erien(K Mai are interes SmaiT
t)nra genera(ie Sstuden(i i a'sol%en(iT ;n a4i audio4%izualizaK +are n4au *ierdut
9'tr)nii: conectarea la *rogresele actuale ale medicinii dentareK Mai sunt ei SmentalT
ca*a'ili a se face ;n(eleiK Mai *ot de%eni ei exem*le SmagitriT *entru cei care nu i i4
au gsit *)n ;n *rezentK Merit< oare< a *ri%i i dincolo de ograda *ro*rie< ;n s*eran(a
de a *utea deschide i mai mult ochiiK $*re a deschide noi *or(i< s*re noi drumuri< s*re
alte finalit(i i noi *ro%ocriK Prin conferin(a noastr< % asigurm< c % %om
rs*unde S*oziti%< constructi%< in%it)ndT la toate aceste ;ntre'ri.
MaE Fe learn and from those S%erE oldT olderK Too asC them to ex*ose their
ex*erienceK Do theE deser%e the offer to ex*ose their oFn ex*erienceK There is
interest Sno moreT Eoung generation Sstudents and dentistsT in to audio4%ieFK
I Fonder FouldnXt ha%e lost aoldsa connecting the *rogress of current dental
medicineK There are noF SmentalT a'lE maCe understanda'lEK MaE 'ecome her
exam*les SmastersT for those Fho donXt and theE found till in *resentK
A/
Too< I Fonder< has he looCed at her then< and the 'acCEard its oFn< in ho*e
to 'e a'le to o*en eEesK To o*en neF doors< to neF roads< to other o'>ecti%e and neF
*ro%ocationsK
Through our conference< Eou *rotect< I Fill I get her S*ositi%e< constructi%e<
in%itingT on all these Ruestions.
M;4; &4T$F ;MPF$4TS ;4 &V&"N$N P"$CT;C&
Prof. Dr. $c. Denis Vo>%odiN
$chool of Dental Medicine< .ni%ersitE of Bagre'< #!+ATIA
Mini dental im*lants SMDIsT Fith diameters ranging from >ust 0.5 to 1.?
mm are todaE freRuentlE used in the cases of limited 'one %olume as a su**ort of
different *rosthetic constructions.
The ad%antage of MDIs is their minimallE in%asi%e Sconsists of turning of
the im*lant into the 'one through a starting o*ening< 'ut not a *re*ared 'one siteT<
single4stage *lacement *rocedure. #om*ared Fith MDIs< the insertion *rocedure for
con%entional im*lants Sdiameter ,.@ mm and FiderT is an aggressi%e surgical
*rocedure< Fhich reRuires muco*eriosteal fla* o*eration and full4de*th 'one
*re*aration SosteotomET.
The MDIs do not *retend to 'e su'stitute for con%entional im*lants< 'ecause
Fider diameter im*lants *resent se%eral ad%antages< 'ut MDIs are suita'le for use in
conditions Fith lacC of adeRuate 'one tissue for con%entional im*lant *lacement.
-s*eciallE in *atients Fith narroF al%eolar ridges as there is no need for relEing on
grafting techniRues. TheE are also %erE suita'le for single4tooth re*lacement Fith
restricted s*ace SloFer incisorsT< 'ut the most effecti%e *rosthodontics use of MDIs is
definitelE for retention and sta'ilization of com*lete dentures< es*eciallE mandi'ular
ones. Also< classical im*lant thera*E is %erE ex*ensi%e< so it is another reason that
Fould often deter *atients from acce*ting im*lant treatment< and MDIs are
significantlE more afforda'le Fhen com*ared Fith con%entional im*lants costs.
Therefore< this tE*e of im*lant *resents the o**ortunitE to *ro%ide *atients Fith
chea*er< less com*licated< and less surgicallE intensi%e treatment in a high num'er of
cases thus *ro%iding *redicta'le and financiallE feasi'le *rosthetic treatment solutions.
MO;K;CLM S$5 45 VOB 4T"&3$"& V&C=&< $V&M
"LSP54S5"; 4O;B
+BI-#TIV8 sinteza literaturii de s*ecialitate i ex*erien(a *ersonal legat
de creterea dimensiunii %erticale de ocluzie
MAT-!IA" &I M-T+DQ8 #utare manual i electronic ;n re%iste cu
sistem de e%aluare critic a*eer re%ieFa du* termenii8 aocclusal %ertical dimension:<
aincreasing %ertical dimension:< a'ite raising:< aocclusal s*acea< aresting %ertical
dimension:< arest *ositiona< aaltered %ertical dimensiona< amandi'ular *osturea<
atem*oromandi'ular >ointa< i amasticatorE musclesa *u'licate *)n ;n se*tem'rie
1/01 coro'orat cu o'ser%a(ii clinice 'azate *e cazuistica *ro*rie.
A0
"ez!mate
!-B."TAT-8 Dintr4un total de 2,I de studii< doar 2 au ;nde*linit criteriile
de includere *entru sintez< identific)ndu4se ? %aria'ile semnificati%e 3 mrimea
creterii DV+< metoda de cretere a DV+< schema ocluzal i *erioada de testare.
#+=#".BII8 6n limitele acestei sinteze< se *oate concluziona c atunci
c)nd este im*erios necesar< creterea *ermanent a DV+ este o *rocedur acce*ta'il
i *redicti'il. -fectele ad%erse sunt adesea autolimitati%e. "i*sesc totui studii
sistematice< *e termen lung i un numr im*ortant de *acien(i.
4&Q PO"C&F$;4S ;4 &4T;ST"N
Prof. Dr. -milio DimGnez4#astellanos Ballesteros
$chool of DentistrE< .ni%ersitE of $e%illa
The de%elo*ment of neF *orcelains in recent decades has led out of date
some of the conce*ts Fe had a'out the dental ceramics< therefore< In this lecture IXll trE
starting from the conce*ts Fe had a'out dental ceramics and through a 'rief historical
re%ieF< to analEze the com*osition< classification and indications of the neF ceramic
materials.
]ith this *ur*ose I Fill dedicate the first *art of this s*eech to 'asic
#once*ts necessarE to understand the neF *orcelains and their *ro*erties< such as the
differences 'etFeen ceramic and *orcelain or glass and crEstal.
I Fill dedicate the second *art to descri'e the situation of dental ceramics in
the decades A/4I/ and 5/< such as a 'rief historical e%olution< the 'asic com*osition of
the felds*ar and aluminous *orcelain or their classification.
And at last in the third *art I Fill descri'e< classifE and esta'lish the
indications according to the scientific literature of the *orcelains< from the *orcelain
*recursor< #erestore< Magnesia< Dicor< etc< to the actual neF felds*ar< Aluminous and
Birconium *orcelains.
O3S&"V$P;; CF;4;C& ; "&F&V$4P$ $C&STO"$ 4
ST$3;F;"&$ PF$45F5; & T"$T$M&4T P"OT&T;C F$
P$C;&4P;; CO4S5M$TO"; & ST5P&K;$4T&
Dr. Adriana Bisoc< Dr. #ristina Bitica
!-B.MAT8 Particularit(ile mediului oral i ale (esuturilor dentare la
*acien(ii consumatori de stu*efiante au o im*lica(ie ma>or ;n sta'ilirea *lanului de
tratament *rotetic. "eziunile dentare la *acien(ii ;n cauz sunt im*ortante i au o
extindere am*l< ceea ce uneori face im*osi'il *strarea din(ilor *e arcade i dre*t
urmare orienteaz solu(iile de tratament ;ntr4o direc(ie radical< neuzual categoriei de
%)rst t)nr. $unt *rezentate trei cazuri clinice 3 anamnez< examen clinic< fotografic
i radiologic i orientarea *lanului de tratament *rotetic< c)t i as*ecte rele%ante din
datele o'(inute din literatura de s*ecialitate.
P$TOFO#;$ C$";O$SL $ P"&MOF$"5F5; S&C54 F$ 54
FOT & COP;; & /-(0 $4; ;4 CF;4;C$ & P&OO4 ;&
A1
C$";&S &MP&";&4C& ;4 S&CO4 P"&MOF$"S ;4 $ /-(0
N&$"S OF S$MPF& K"OM T=& P&;$T";C &4T;ST"N
&P$"TM&4T
Asist. Dr. Aneta Munteanu< Prof. Dr. !odica "uca< Asist. Dr. Alexandru4
Titus 7arca iu< Asist. Dr. #tlina 7arca iu< Asist. Dr. Ioana4Andreea
$tanciu
6n ultimii ani s4au fcut numeroase studii asu*ra *atologiei molarului *rim
*ermanent< ;n tim* ce *remolarii< de i im*ortan i ;n fizionomie i mastica ie< au *rimit
mai *u in aten ie din *artea cercettorilor. $co*. De a analiza afectarea *rin carie a
*remolarului secund SPM1T ;n *erioada imediat urmtoare eru* iei. Material i metod.
"otul de studiu a cu*rins @5@ *acien i S,/0 'ie i< 15? feteT< cu %)rste cu*rinse ;ntre 2
i 0? ani S%)rsta mediec00<A@e0<@5 aniT examina i ;n #linica de Pedodon ie< 7acultatea
de Medicin Dentar .M7 9#arol Da%ila: ;n *erioada 1//241/00. $4a fcut analiza
com*arati% a afectrii PM1 ;n func ie de %)rst i sex< *recum i de to*ografie.
!ezultate. 0T 11<?5V dintre PM1 maxilari i 0I<I0V dintre cei mandi'ulari *rezentau
de>a leziuni carioase S*[/</@T. Partea drea*t este mai afectat dec)t *artea st)ng
Sra*ort 0<0@80TO 1T la gru*a de %)rst 2400 ani *rocentul afectrii *rin carie al PM1 era
de 0?</@V< *entru ca la gru*a de %)rst 0140? ani acesta s creasc la 11<A/V.
#oncluzii. 0T PM1 maxilari sunt mai %ulnera'ili la atacul carios dec)t omologii lor de
la mandi'ul *entru am'ele sexeO 1T Afectarea *rin carie a PM1 la scurt tim* de la
eru* ia sa im*une msuri de *re%enire a cariei ;n %ederea e%itrii *ierderii *recoce a
acestui dinte im*ortant.
#u%inte cheie8 *remolarul doi< ex*erien a carioas< *erioada *osteru*ti%
In recent Eears< manE studies Fere focused on the first *ermanent molar<
meanFhile the *remolars< although estheticallE and functionallE im*ortant< recei%ed
little attention from researchers. +'>ecti%e8 to assess the second *remolars caries
*re%alence in immediate *osteru*ti%e *eriod. Material and method8 The studE sam*le
consisted of @5@ *atients S,/0 'oEs< 15? girlsT aged 240? Eears Smean agec00<A@e0<@5
EearsT examined at the Pediatric De*artment< 7acultE of DentistrE< .ni%ersitE of
Medicine and PharmacE ^#arol Da%ila: Bucharest< 'etFeen 1//2 and 1/00. Age<
gender and to*ogra*hic com*arati%e analEsis Fere *erformed. !esults8 0T 11.?5V of
the second u**er *remolars Fere affected 'E decaE shortlE after the eru*tion and onlE
0I.I0V of the second loFer *remolars Sss< *g/./@TO the right side of the mouth Fas
more affected than the left one. 1T Pre%alence index increased Fith age. I* at 2400
Eears grou* is 0?./@V and 11.A/V at 0140? Eears grou*. #onclusions8 0T In 'oth
genders< the *re%alence index %alues Fere higher for the maxillarE second *remolars
than the mandi'ularE onesO 1T +ur results underline the need to esta'lish *re%enti%e
measures regarding earlE loss of these im*ortant teeth.
HeEFords8second *remolar< caries ex*erience< *osteru*ti%e *eriod
P&";OO4T$FFN $SS;ST& O"T=OO4T;CS KO"
T"&$TM&4T OK T=& M5FT;;SC;PF;4$"N $5FT P$T;&4T*
A,
"ez!mate
$ CF;4;C$F $4 $ COMP5T&";J& TOMO#"$P=N .
$4$FNS;S
A%igdor Hlinger DMD PhD
7acultE of Dental Medicine of the He'reF .ni%ersitE and Hadassah< Derusalem<
Israel
PeriodontallE assisted orthodontics SPA+T is a relati%elE neF techniRue
Fhich ena'les decroFding of dental arches in A/4I/V shorter acti%e orthodontic
treatment time.
The surgical techniRue in%ol%es decortication< Fhich induces an increase in
turno%er of the al%eolar 'one. The addition of *articulated 'one graft alloFs for the
Fidening of the 'ucco4lingual al%eolar 'onE dimension< thus creating s*ace for the
mo%ement of teeth< Fithout the creation of dehiscence or 'one fenestrations< usuallE a
negati%e seRuel of the orthodontic treatment.
This neF modalitE of shortened orthodontic treatment Fas selecti%elE used
for the treatment of adults< including multidisci*linarE cases Fere soft or hard tissue
augmentation Fas indicated as *art of the treatment *lan and Fill 'e *resented.
PF$4-P$"$F&FOM&T"5 C5 F$S&"
F$S&" PF$4&-P$"$FF&FOM&T&"
Dr. Drago $mrndescu
Prezenta in%en(ie ;i gsete a*lica(ii ;n domeniul medicinii dentare.
Analiza modelelor arcadelor dentare la *aralelograf se face exclusi% axial<
cu ti>e< unele con(in)nd i discuri retenti%ometrice. Prin urmare este im*osi'il analiza
direct a ;nclina(iei coroanelor clinice fa( de un *lan de referin( dat.
In%en(ia *rezentat *resu*une generarea unui *lan "A$-! S*erdea de
luminaT de ctre dou module de "A$-! liniarO cele dou module sunt dis*use astfel
;nc)t s emit co*lanar. Astfel< *e modelul diagnostic se %or *roiecta liniile ce
re*rezint intersec(ia *lanului de referin( S*lanul "A$-!T cu coroana fiecrui dinte de
*e model. Modelul este aezat *e o mas cu ;nclina(ie %aria'il< cu*lat *rintr4o nuc
sferic< 'loca'il cu a>utorul uru'ului la un soclu metalic.
6ntreg sistemul este dis*us *e o *lac 'azal *e care *oate glisa li'er soclul
i ;n care sunt fixate ti>ele de *rindere ale modulelor "A$-!.
Plan *aralelometrul cu "A$-! faciliteaz analiza angula(iei dintre *lanul de
referin( i *lanul %esti'ulo4oral median i meziodistal median al coroanelor dentare.
A*aratul *ermite8
aT alegerea axei de inser(ieW*re*ara(ieO
'T marcarea cu creion a intersec(iei dintre %iitoarele fe(e axiale ale 'ontului
dentar i fa(a ocluzalWsu*racingular a dintelui analizat.
Transferarea acestor marca>e ;n ca%itatea 'ucal a>ut medicul s *re*are
corect i *aralel 'onturile dentare.
cT Analiza modelelor ;n ortodon(ie
!ealizarea *ractic a a*aratului *resu*une montarea *e un su*ort comun a
doua module "A$-! liniar. Pe su*ortul 'az se aeaz o mas cu ;nclina(ie %aria'il<
identic cu cea a *aralelografelor clasice.
A?
The sur%eE of diagnostic casts is done onlE axiallE< using *ins< some of them
ha%ing retenti%ometric discs at one end. .sing such tools it is im*ossi'le to directlE
sur%eE the angle 'etFeen a croFn and a gi%en reference *lane.
The "A$-! *lane4*arallelometer generates a "A$-! *lane Slight curtainT
using tFo "A$-! modulesO The tFo modules are *laced so as to o'tain one "A$-!
curtain. +n the diagnostic cast "A$-! marCs are *ro>ected Fhich re*resent the
intersection 'etFeen the "A$-! *lane Sreference *laneT and the croFn on the cast.
The model is *laced on a tE*ical *arallelometer ta'le that alloFs the choice of the
*re*aration axis.
The Fhole sEstem is *laced on a 'ase *late on Fhich the ta'le can freelE
mo%eO the "A$-! modules are fixed 'E tFo *illars to the 'ase *late.
"A$-! *lane4*arallelometer facilitates the direct sur%eE of croFn
angulations using a gi%en reference *lane< %isi'le at the surface of the cast.
The de%ice is useful for8
aT choosing the insertion axisO
'T marCing SFith a *enT the intersection 'etFeen the future mesial and distal
surfaces of the a'utment and the occlusalWo%ercincular surface of each croFn to 'e
*re*ared.
The transfer of these marCings in the oral ca%itE hel*s the dentist to *re*are
*arallel a'utments.
cT AnalEsis of cast for orthodontic *ur*oses.
POF;$"T";T$ "&5M$TO;L C$ K$CTO" K$VO";J$4T $F
P$"OO4T;T&; M$"#;4$F& % $SP&CT& CF;4;C&
"=&5M$TO; $"T=";T;S $S $ CO4T";35T;4# K$CTO"
KO" P&";OO4T;T;S % CF;4;C$F $SP&CTS
Dr. Andeea 7lorescu< Dr. #ristian Arsenie< Dr. Alexandra #iuc< Dr.
Alexandra =egoescu< Dr. $il%iu Tnsescu< Asist. Dr. Melania #o>ocaru<
#onf. Dr. Petra &urlin
Introducere. Poliartrita reumatoid SP!T si *arodontita marginal SPMT sunt
'oli cu sim*tomatologie inflamatorie dar cu etiologie diferit. $tudiile clinice au artat
o *osi'il interde*enden( dar nici as*ectele clinice nici mecanismele comune de
*atogenitate nu se cunosc ;nc.
Material i Metode. Au fost inclu i ;n studiu 1? de *acien(i ;m*r(i(i ;n
gru*ul PM 3 *acien(i cu *arodontit marginal i gru*ul PMfP! 3 *acien(i cu
*arodontit marginal i *oliartrit reumatoid. $4au ;nregistrat B+P i #A" i s4au
realizat teste statistice *entru com*ararea datelor o' inute i corelarea lor.
!ezultate. Datele clinice au artat un numr mai mare de din i afecta i
*arodontal ;n gru*ul PMfP! *recum i se%eritate crescut a afectrii *arodontale ;n
acest gru*.
#oncluzii. =ecesitatea extinderii studiului clinic *e un numr mai mare de
*acien i *recum i realizarea de cercetri fundamentale care s sus in interrela ia
*arodontit marginal 3*oliartrit reumatoid.
#u%inte cheie8 *oliartrita reumatoid< *arodontit
A@
"ez!mate
Introduction8 !heumatoid arthritis S!AT and *eriodontitis are diseases Fith
inflammatorE sEm*tomatologE< 'ut Fith different etiologE. #linical studies ha%e
shoFn a *ossi'le connection< 'ut the clinical as*ects and *athogenic mechanisms are
still not elucidated.
Materials and Methods8 The studE included 1? *atients di%ided in tFo
grou*s 8 grou* P 3 *atients Fith *eriodontitis and grou* P f !A 3 *atients Fith
*eriodontitis and rheumatoid arthritis. ]ere recorded B+P and #A" and Fere
*erformed statistic tests for com*aring the o'tained data and their association.
!esults8 #linical data had shoFn higher num'er of *eriodontal affected
teeth in P f !A grou* as Fell as a higher risC of *eriodontitis in this grou*.
#onclusions8 =ecessitE to extend the clinical trial on a higher num'er of
*atients as Fell as the fundamental research to su**ort the *eriodontitis and
rheumatoid arthritis relationshi*.
HeEFords8*eriodontitis< rheumatoid arthritis
POS;3;F;TL ; ; F;M;T& $CT5$F& & "&K$C&"&
T&"$P&5T;CL T;S5F$"L $ &K&CT&FO" P$"OO4T$F&
P"OK54& ; OSO$S& 4 P$"OO4T;T&F& M$"#;4$F&
C"O4;C& P"OK54&G $"#5M&4T$ ;; ; &T$FL"; C5
C$J5"; CF;4;C&
POSS;3;F;T;&S $4 T=&"$P&5T;C F;M;TS OK "&COV&"N
C5""&4T &&P P&";OO4T$F T;SS5&< $4 3O4& &K&CTS
$KT&" C="O4;C M$"#;4$F P&";OO4T;T;SG
MOT;V$T;O4S $4 S=OQ OK CF;4;C$F C$S&S
ef lucr. Dr. #inel Mali a
Parodontitele marginale cronice sunt afec iuni trenante i care *rin modul de
a*ari ie i e%olu ie trimit cel mai adesea< destul de tardi%< *acientul la medic. 6n
asemenea situa ii clinice< modalit ile de a'ordri tera*eutice tre'uie c)t mai corect
*articularizate. -le urmresc ;n *rinci*al s refac c)t mai o*tim morofologic i
func ional structuri *arodontale i osoase distruse< a*arent ire%ersi'il.
A*ari ia i dez%oltarea unor tehnici de adi ie tisular< de induc ie i
conduc ie a regenerrilor *rofunde< ghidate *rin di%erse mem'rane de inter*ozi ie Sde
di%erse ti*uriT< a determinat o schim'are fundamental asu*ra limitelor de a'ordare
tera*eutic. Totodat< rezultatele actuale< mai mult dec)t *romi toare< im*un o
cunoa tere c)t mai *ertinent i o'iecti% a tehnicilor chirurgicale. Descrierea detaliat
a di%erselor metode de a'ordri chirurgicale face o'iectul de 'az a *rezentei
comunicri. Acestea la r)ndul lor sunt sus inute *rin etalarea unor cazuri clinice<
*reluate i tratate ;ntr4un inter%al de tim* suficient s*re a o' ine rezultate concludente
i demne de *rezentat. $unt analizate situa iile limit< cele care *rin gra%itatea lor au
*retins a'ordri tera*eutice com*lexe i neli*site de riscurile unor e ecuri ma>ore.
De aceea< aceast comunicare se dore te a fi o *unere c)t mai o'iecti% ;n
tem a *racticilor curente i s*ecifice ale metodelor actuale din chirurgia
*erioim*lantar.
AA
#u%inte cheie8 regenerare tisular ghidat S!TT< adi ii osoase< mem'rane
de inter*ozi ie
#hronic marginal *eriodontitis are diseases that train and the FaE of
de%elo*ing and e%ol%ing send often Ruite late< *atient to doctor. In such clinical
situations< thera*eutic a**roaches should 'e customized as correct. TheE are intended
*rimarilE to restore functional and o*timallE mor*hologic *eriodontal and 'one
structures destroEed< a**arentlE irre%ersi'le.
-mergence and groFth of tissue addition techniRues for induction and
conduction regenerations dee* inter*osition guided through %arious mem'ranes
S%arious tE*esT< caused a fundamental change in the limits of thera*eutic a**roach.
HoFe%er< the current results< more than *romising< reRuire as rele%ant and o'>ecti%e
CnoFledge of surgical techniRues. Detailed descri*tion of %arious methods of surgical
a**roach is the main su'>ect of this notice. These in turn are su**orted 'E dis*laEing
some clinical cases< taCen and treated in a time sufficient to o'tain conclusi%e results
*resented and ForthE. "imit cases are considered< those Fhich 'E their gra%itE claimed
thera*eutic a**roaches com*lex and de%oid of risCs of ma>or failures.
Therefore< this communication is intended as a formal o'>ecti%e as the
theme of current *ractices and methods s*ecific current *erioim*lant surgerE.
HeEFords8guided tissue regeneration ST!T< 'one additions< inter*osition
mem'rane
POS;3;F;TL ; ; F;M;T& $F& "&M&;;FO" =OM&OP$T& 4
;4KF$M$ ;$ #;4#;V$FL
POSS;3;F;T;&S $4 F;M;TS OK =OM&OP$T=;C "&M&;&S
;4 #;4#;V;T;S
&ef lucr. Dr. #ristina a'riela Pucau
.ni%ersitatea +%idius #onstan a
Introducere. Homeo*atia re*rezint o a'ordare holistic a indi%idului i
trateaz tul'urrile *acientului la ni%el emo(ional< mental i fizic< ;n mod integrat. +
e%aluare a 'eneficiilor i limitelor remediilor homeo*ate ca ad>u%ant ;n tratamentul
inflama iei gingi%ale am ;ncercat ;n studiul de fa .
Material i metod. A fost testat clinic o com'ina ie de remedii homeo*ate
*e un lot de su'iec i cu inflama ie gingi%al *ersistent du* ;nde*rtarea factorilor
locali cu ;ncrctur micro'ian. Dintre cei 5? de su'iec i *ro*u i ini ial *entru a fi
inclu i ;n studiu< AA au fost de acord s urmeze tratamentul< semn)nd un acord scris.
"a finalul tratamentului< *acien ii au fost examina i clinic din nou i au com*letat un
chestionar. $tudiul a fost sim*lu4or'< o *arte dintre *acien i *rimind remedii
homeo*ate neim*regnate S*lace'oT.
!ezultate i discu ii. "otul de studiu are o distri'u ie normal SPc/<??@T i
include ;n s*ecial tineri< cu o medie de %)rst de ,? ani Se01T. A*roa*e >umtate dintre
su'iec i S?IVT declar c sunt la curent cu tratamentele homeo*ate i cu 'eneficiile
acestora< dar 55V nu au mai urmat tratamente homeo*ate. Ma>oritatea de 5,V declar
c au sim it ameliorarea sim*tomatologiei du* 0? zile de tratamentO dintre ace tia<
25V au *rimit remedii homeo*ate< 1V *lace'o. + limit a studiului const ;n
AI
"ez!mate
im*osi'ilitatea eliminrii contri'u iei celorlal i factori care *ot modifica caracterul
s)ngerrii gingi%ale< anume8 igiena oral a fiecrui *acient< terenul indi%idual< fumatul<
flora micro'ian s*ecific fiecrui indi%id< i nu ;n ultimul r)nd *redis*ozi ia genetic.
.n alt as*ect ;l constituie durata administrrii remediilor homeo*ate. -%aluarea s4a
realizat la finalul celor dou s*tm)niO nu tim ce efect a a%ut ;n tim* tratamentul< sau
dac rezultatele s4au men inut ;n tim*< deoarece o alt limit a studiului a constat ;n
dificultatea urmririi *acien ilor.
#oncluzii. !ezultatele fa%ora'ile autora*ortate< *recum i dorin a
*acien ilor *entru astfel de tratamente non4in%azi%e ;ncura>eaz *entru %iitoare
cercetri.
#u%inte cheie8 homeo*atie< gingi%it< remedii homeo*ate
Introduction. Homeo*athE is a holistic a**roach of the *atient< treating the
totalitE of sEm*toms of a gi%en case. An e%aluation of 'enefits and limits of the
remedies in case of gingi%al inflammation Fas the aim of this studE.
Method. A com'ination of remedies Fas tested on a grou* of *atients
exhi'iting gingi%al inflammation recurrent after remo%al of local irritating factors.
7rom 5? su'>ects selected to *artici*ate a final AA su'>ects grou* Fas considered for
the studE. $u'>ects signed an informed consent for the *artici*ation in the sim*le4
'linded studE. At the end of the thera*E *atients Fere clinical examined and com*leted
a Ruestionnaire.
!esults and discussion. The studE grou* has normal distri'ution SPc/<??@T
including mostlE Eoung *atients a%erage age ,? Eears Se01T. Almost half of them
S?IVT declare that CnoF the 'enefits of homeo*athic treatments< 'ut 55V did not ha%e
anE *re%ious homeo*athic *rescri*tion. After our 0?4daEs *rescri*tion< 5,V declare
that ha%e felt the im*ro%ement of the gingi%al status< decreasing the gingi%al 'leeding
rate. Among them< 25V recei%ed homeo*athic remedies and 1V *lace'o. +ne studE
limit is the im*ossi'ilitE to eliminate the contri'ution of other local and general factors
such as8 oral hEgiene< sEstemic 'acCground< smoCing< s*ecific micro'ial flora of each
*atient< as Fell as the genetic factor. The length of treatment is also influencing the
results. The assessment Fas done after the tFo FeeCs treatmentO Fe do not CnoF if the
results Fere the same after a longer time 'ecause it Fas difficult to o'ser%e those
*atients for a longer time.
#onclusion. The fa%ora'le self4re*orted results and the addressa'ilitE of the
*atients to this Cind of non4in%asi%e thera*E encourage for future research.
HeEFords8homeo*athE< gingi%itis< homeo*athic remedE
A5
P"&V$F&4P$ $K&CP;54;FO" ;4KF$M$TO";; P5FP$"& ;
$F& P$"OO4P;5F5; $P;C$F
P"&V$F&4C& OK ;4KF$MM$TO"N ;S&$S&S OK T=& P5FP
$4 $P;C$F P&";OO4T;5M
&ef lucr. Dr. Paula Perlea< Asist. Dr. #ristina =istor< $tud. 7a'ian
Dumitrescu
$co*ul studiului8 analiza retros*ecti% *ri%ind *re%alen a afec iunilor
inflamatorii *ul*are i ale *arodon iului a*ical corelate cu %)rsta< sexul i gradul de
e%olu ie al afec iunilor inflamatorii. Material si metod8 a fost studiat un lot de 0@@ de
*acien i cu %)rsta cu*rins intre 05 i 5@ de ani lu)ndu4se ;n considerare diagnosticul
de certitudine al afec iunilor inflamatorii *ul*are i ale *arodon iului a*ical sta'ilit *e
'aza examenului clinic i al examenelor com*lementare. $tudiul realizat este de ti*
trans%ersal retros*ecti%. !ezultate8 frec%en a maxim a afec iunilor inflamatorii se
regse te ;n inter%alul de %)rsta cu*rins ;ntre 10 si ,/ de ani S?,<5IVT si este dat de
*arodontita a*ical cronic fi'roas S,/<,1V din toate afec iunile studiateT< urmat de
*ul*ita acut seroas *ar ial S1/VT i *ul*ita acut seroas total S0@<?5VT< molarii
unu mandi'ulari fiind cei mai afecta i< a*oi *remolarii su*eriori. #oncluzii8 rezultatele
*ot fi *use *e seama alimenta iei neadec%ate i a igienei insuficiente la %)rsta t)nr i
a *rezentrii ;n ser%iciul stomatologic datorit durerii din cadrul *ul*itelor acute
seroase i *urulente. Parodontita a*ical cronic fi'roas este rezultatul negli>rii
afec iunilor acute sau a tratamentelor endodontice incorecte i afecteaz foarte frec%ent
*acien ii.
#u%inte cheie8 endodon(ie< inflama(ia *ul*ar
Aim of the studE8 !etros*ecti%e analEsis of *re%alence of inflammatorE
diseases of the *ul* and a*ical *eriodontium correlated Fith age< gender and degree of
de%elo*ment of inflammatorE diseases. Materials and method8 It has 'een studied a
grou* of 0@@ *atient aged 05 to 5@ Eears< taCing into account accurate diagnosis of
inflammatorE diseases of the *ul* and a*ical *eriodontium< 'ased on the clinical and
com*lementarE examination. The studE is cross4sectional retros*ecti%e. !esults8 The
maximum freRuencE of inflammatorE diseases Fas found in the age range 'etFeen 10
and ,/ Eears S?,.5 VT and is on fi'rous chronic a*ical *eriodontitis S,/.1 VT of all
studied diseases< folloFed 'E acute serous *artial *ul*itis S1/VT and total acute serous
*ul*itis S0@.?5VT. 7irst loFer molars Fere the most affected< then the maxillarE
*remolars. #onclusions8 !esults can 'e attri'uted to im*ro*er nutrition< *oor oral
hEgiene at Eoung age and *resentation in dental ser%ice due to *ain Fithin acute serous
and *urulent *ul*itis. 7i'rous a*ical *eriodontitis is the result of neglecting acute
diseases or im*ro*er endodontic treatments and affects *atients Ruite freRuentlE.
HeEFords8endodontologE< *ul* inflammation
A2
"ez!mate
P"OC&5"; & &V$F5$"& &ST&T;CL P&4T"5
OPT;M;J$"&$ "&J5FT$T&FO" P"OT&T;C&
&ST=&T;C &V$F5$T;O4 P"OC&5"&S KO" T=&
OPT;M;J$T;O4 OK P"OST=&T;C "&CO4ST"5CT;O4
Drd. !aluca Drghici< Asist. Dr. #ristina Teodora Preoteasa< Prof. Dr.
-lena Preoteasa
+'iecti%. $co*ul studiului este de a *une ;n %aloare unii *arametri estetici
cuantifica'ili *rin mi>loace clinice i su*ortul oferit de echi*amente tehnice im*ortan(i
*entru reconstruc(iile *rotetice. Material i metod. Au fost utilizate , modalit(i de
e%aluare8 chestionare< *relucrri fotografice i softFare s*ecifice. #hestionarele au fost
a*licate la AI de studen(i i 11 edenta(i total *entru a constata *erce*(ia *ri%ind
estetica. #u a>utorul fotografiei< au fost e%alua(i 1/ de edenta(i total i 25 de tineri
denta(i< a*reciind *arametrii faciali Ssimetria facial< eta>ele fe(ei< lungimea 'uzei
su*erioare< *rofilul facialT i as*ecte legate de com*onenta dento4gingi%al ;n z)m'et<
*relucrri realizate i cu a>utorul unui softFare dedicat< exem*lific)nd *rintr4o serie de
as*ecte dentare i faciale. !ezultate. Prelucrarea statistic a datelor o'(inute din
chestionare a demonstrat diferen(e ;ntre tineri i edenta(ii total. Msurtorile fcute *e
fotografii standardizate au artat diferen(e faciale S*rofil< ra*ortul eta>elor fe(eiT i ;n
%izi'ilitatea com*onentelor dento4al%eolare ;n z)m'et. .tilizarea softFare4ului *oate
ghida medicul ;n a*recierea aran>amentului dentar i *re%izualizarea rezultatului final.
#oncluzii. Prin *relucrri dento4faciale rezultatele estetice ;n tratamentele *rotetice *ot
fi mult ;m'unt(ite. -ste recomandat s se foloseasc ;nregistrri standardizate i
ghiduri< utiliz)nd *arametrii estetici semnificati%i i 'ine defini(i *entru reconstruc(iile
*rotetice< *entru ;n(elegerea *articularit(ilor (i cerin(elor estetice ale *acien(ilor.
#u%inte cheie8 *arametrii estetici< chestionare< *relucrri fotografice<
softFare s*ecific
+'>ecti%e8 The *ur*ose of this studE is to highlight some Ruantifia'le
esthetic *arameters that can 'e measured %ia clinical methods and Fith the su**ort of
technical eRui*ments for *rosthetic reconstructions. Material and methods8 Three
e%aluation methods Fere used8 Ruestionnaires< *hoto *rocessing and softFare analEsis.
huestionnaires Fere gi%en to a num'er of AI students and 11 edentulous *atients to
determine the *erce*tion of esthetics. 7or the *hoto *rocessing e%aluation<
measurements Fere carried out on 1/ com*lete edentulous *atients and 25 Eoung
dentate *atients focusing on the facial *arameters Sfacial sEmmetrE< dimensions of the
u**er and loFer third of the face< u**er li* length< facial *rofile a**earanceT and
issues concerning the dento4gingi%al smile com*onent and esthetic *rocessing
*erformed 'E dedicated softFare< exem*lifEing a range of dental and facial as*ects.
!esults8 $tatistical *rocessing of the o'tained data from the Ruestionnaires re%ealed
differences in the dental esthetic *erce*tion 'etFeen the Eoung and edentulous grou*s.
Measurements made on standardized *hotogra*hE shoFed facial differences Sfacial
*rofile< dimensions of the u**er and loFer third faceT and dento4al%eolar com*onents
%isi'ilitE in smile. $oftFare analEsis can guide the *hEsician in the assessment of the
dental arrangement and create digital smile design. #onclusions8 Due to dento4facial
analEsis the esthetics results in *rosthetic treatments can 'e significantlE im*ro%ed. It
I/
is recommended to use standardized recordings and guidelines< using Fell4designed
esthetic *arameters significant to *rosthetic reconstructions< to understand the
*articular and esthetics reRuirements of *atients.
HeEFords8esthetic *arameters< Ruestionnaires< *hoto *rocessing< softFare
analEsis
P"OVOCL"; V&C=; % SOF5P;; 4O; 4 P"$CT;C$ &4T$"L
&&4T$P;$ T&"M;4$FL MOF$"L % C&$ M$;
S&5CLTO$"& P"OVOC$"&
T&"M;4$F MOF$" TOOT= FOSS - T=& MOST C=$FF&4#&
Prof. Dr. Ion #oca
=ici4o alt form de edenta(ie *ar(ial n4a *ro%ocat at)tea g)nduri
conce*tuale< curiozit(i *ractice i< ;n acelai tim*< eecuri restaurati%e. "a nici4o alt
form de edenta(ie nu s4a a*elat la un e%antai mai 9deschis: de solu(ii restaurati%e<
nici4o alt *ierdere dentar n4a solicitat mai mult mintea celor ce s4au dedicat
construc(iilor ;nlocuitoare ale molarilor *ierdu(i. -%antaiul ofertelor de restaurri
merge de la *untea cu extensie distal Scu unul sau mai mul(i intermediariT< trece la o
*rotezare mo'iliza'il scheletat ancorat contra4lateral< la o *rotez uniterminal
sim*l Sancorat *e cei doi *remolariT cu un croet 'identar de ti* BonFillT< mai
de*arte la o *rotezare uniterminal ancorat *rin dou coroane du'le *e cei doi
*remolari Scoroane sta'ilizate su*limentar *rin 9sna*aratisme: ori z%oareT< *roteze
limitate ancorate la denta(ia restant anterioar *rin di%erii 9ru*tori de for(:< iar mai
modern< a*el)ndu4se la im*lanturi< s se a>ung la cea mai eficient restaurare a mult
contro%ersatei edenta(ii S*rin a*elarea la dou im*lanturi< ori la unul singur< care %a
im*lementa ;n restaurarea con>unct a edenta(iei terminale i *remolarul secund< dac
acesta are o indica(ie a tera*iei de aco*erire.
BeFitched as anE other sha*e of *artial tooth loss hasnXt caused as manE
thoughts conce*tual< *ractical curiositE< in same time restorati%e failures.
In anE other sha*e of tooth loss has not a**ealed to a range more ao*ena
solutions restorati%e< no other denture loss has reRuested more than minds of those
theE ha%e 'een dedicated to 'uilding the molar restorations lost. #ommission admits
tenders of restorations go on to the 'ridges Fith extension distal *art SFith one or more
intermediariesT< change to a *oor mo'ile *artial denture em'odies counter4side< to a
terminal sim*le denture Sem'odied on the tFo *remolarsT Fith a cli* from tE*e
BonFillT< on to a terminal denture em'odies 'E tFo croFns on the second *remolar
ScroFns ha%e sta'ilized in addition to ha%ing asna*aratismsa or latch *lateT< limited
anchored *rostheses to remained tooth ha%e draF on the %arious aforce crusher a< and
more modern< out using the im*lants<
To get to the most effecti%e restoration of more contro%ersial tooth loss S'E
calling the tFo im*lants< or to a single one< Fhich Fill im*lement in 'ridges
restorations of terminal tooth loss and *remolar mate< if it is an indication of thera*E
of co%erageT.
I0
"ez!mate
P54P;F& C5 &MT&4S;& % O MO$F;T$T& V&C=& &
T"$T$M&4T 4 CO4T&MT5F $CT5$F
C$4T;F&V&" 3";#&S % $4 OF Q$N OK T"&$TM&4T ;4
T=& C5""&4T CO4T&MT
Prof. Dr. Veronica Mercu(< Asist. Dr. Monica #ri(oiu< Asist. Dr. "umini(a
Dguci< Drd. !oxana Marinescu< Drd. $imina man
.M7 #raio%a
.ltimii ani ai existen(ei noastre se caracterizeaz *rin cele mai noi
desco*eriri din domeniul tiin(ei i tehnologiei cu im*lica(ii ;n toate domeniile %ie(ii.
Medicina dentar este domeniul ;n care multe din aceste desco*eriri i4au gsit
a*lica'ilitatea. -ste %or'a ;n s*ecial des*re im*lantologie< care a re%olu(ionat *rotetica
dentar< cele mai multe cazuri clinice *ut)nd fi rezol%ate *rin aceast metod de
tratament.
Dac lucrurile stau aa< ;n contextul actual *rotetica con%en(ional i4a
*ierdut im*ortan(aK Pun(ile cu extensie< care constituie o solu(ie tera*eutic des
;nt)lnit ;n *ractica curent mai tre'uie luate ;n considerareK
Aceast conferin( %a *rezenta situa(iile clinice ;n care sunt indicate aceste
*un(i< com*ortamentul lor 'iomecanic< referin(ele din literatura de s*ecialitate des*re
aceste *un(i i o serie de cazuri clinice mai semnificati%e rezol%ate *rin *un(i ;n
extensie.
#oncluzia care rezult este c ;n contextul actual social< (in)nd cont i de
statusul general i local al *acientului< *un(ile cu extensie constituie ;nc o solu(ie
tera*eutic.
#u%inte cheie8 *un(ile ;n extensie<
'iomecanic
"ast Eears of our existence are characterized 'E the latest disco%eries in
science and technologE Fith im*lications in all areas of life. DentistrE is a domain
Fhere manE of these disco%eries ha%e found a**lica'ilitE. These include im*lantologE<
Fhich re%olutionized dental *rosthetics< since most clinical cases could 'e sol%ed 'E
this method of treatment.
If so< does con%entional *rosthetic lost its im*ortance in actual contextK
Does cantile%er 'ridge< Fhich is a common thera*eutic solution in *ractice< still need
to 'e consideredK
This conference Fill *resent clinical situations in Fhich these 'ridges are
indicated< their 'iomechanical 'eha%ior< references in the literature a'out these 'ridges
and a num'er of significant clinical cases sol%ed 'E cantile%er 'ridges.
The conclusion is that cantile%er 'ridges remains thera*eutic solutions in the
current social context< taCing into account the *atientXs general and local status.
HeEFords8cantile%er 'ridges< 'iomechanics
I1
"&$3;F;T$"&$ O"$FL ;MPF$4TO-P"OT&T;CL 4 C$J5";
P$"T;C5F$"& & &&4T$P;&
T=& ;MPF$4T-P"OST=&T;CS "&=$3;F;T$T;O4 ;4
P$"T;C5F$" &&4T5FO5S C$S&S
Prof. Dr. =orina 7orna
7acultatea de Medicin Dentar< .M7 9r. T. Po*aa< Iai
!ea'ilitarea oral re*rezint acel conce*t integrati% ce resta'ilete fiecare
segment al a*aratului dento4maxilar afectat de edenta(ie cu di%ersele forme clinice<
fr a eluda com*lica(iile induse i influen(a *e care o are starea general ;n cadrul
algoritmului tera*eutic ales.
Tera*ia de rea'ilitare oral im*lanto4*rotetic< latur com*let i com*lex
a medicinii dentare reunete tehnicile de *regtire s*ecific a c)m*ului *rotetic edentat
*ar(ial c)t i metodele i tehnologiile de a%angard ce %izeaz *rotezarea final<
traiectorii certe ale unei finalit(i clinice de succes.
$co*ul studiului este re*rezentat de a'ordarea modern a edenta(iei *rin
intermediul %ariantelor im*lanto4*rotetice< alternati%e net su*erioare metodelor clasice
ce recurg la *rotezarea amo%i'il< su'liniind i trans*un)nd *ractic exigen(ele eta*elor
de derulare a algoritmului unei tera*ii de excelen(.
Dintr4un lot de *acien(i diagnostica(i cu diferite forme de edenta(ie au fost
selectate cazuri re*rezentati%e< la care restaurrile *rotetice s4au 'azat *e utilizarea
di%erselor ti*uri de im*lante ;n acord cu *articularitatea *atului im*lantar i a'ordarea
di%erselor metode de augmentare.
-sen(iale *entru reuita tera*eutic sunt tehnicile de *regtire s*ecific<
asociate cu utilizarea a *atru ti*uri de materiale de augmentare8rafton< Bio4+ss<
MB#P< #erasor' ce au fcut o'iectul unui studiu *reliminar de testare a
'iocom*ati'ilit(ii ;n di%erse situa(ii clinice.
Protezrile *e im*lante Sfixe< o%erdentureT re*rezint o solu(ie tera*eutic
actual cu rezultate nota'ile ;n resta'ilirea echili'rului morfo4func(ional al edenta(iilor.
The oral reha'ilitation re*resents that integrati%e conce*t Fhich
reesta'lishes each segment of the stomatognat sEstem< affected 'E edentation Fith
different clinical forms< Fithout eluding the induced com*lications and the influence
Fhich such a general state has Fithin the selected thera*E algorithm.
The aim of this studE is to e%aluate the election thera*eutic solution during
the im*lant4*rosthetics reha'ilitation of edentulous< identifEing the causes Fhich laE at
the 'asis of failure< as Fell as the reRuired su**ort< multi*le factorial Fhich lies at the
'asis of the successful clinical %erdict.
The clinical cases< selected from the im*lant4*rosthetics field< a reRuirement
ste* in the area of the thera*eutic solutions for the *resent dental medicine< offer clear
images starting from the sim*lest solutions and ending Fith the ideal and com*lex
ones< o%er the success4failure 'alance.
The *ossi'ilitE of reconstructing the natural *arameters of the edentulous
al%eolar ridge areas is %arious< starting Fith augmentation materials of the autogenous
and heterograft tE*e 'iomaterials< including the mixing of these tFo tE*es of
'iomaterials< and going to e*itheses< Fhich are the 'est choice for com*lex su'stance
loss.
I,
"ez!mate
The *ro*ortion of one or the other of the tFo notions< thera*eutic success or
its re%erse< is dictated 'E all factors< Fhich include the features of the clinical case< the
correct *ro>ection of the treatment solution< a Fell4esta'lished role 'eing attri'uted to
the use of *resent e%aluation methods< the diagnosis and treatment< the used 'io4
materials< the social4economic criteria< mal*raxis.
"&$3;F;T$"&$ O"$FL F$ P$C;&4T5F C5 &#"&S;54&
M$"C$TL* C$J CF;4;C
O"$F "&=$3;F;T$T;O4 ;4 P$T;&4S Q;T= P"O4O54C&
V&"T;C$F M;#"$T;O4* CF;4;C$F C$S&
#onf. $imona Andreea $andu
Tratamentul edentatului *ar(ial im*lic ;n anumite cazuri clinice com'inarea
metodelor restaurati%e. 6n *ractica curent< tratamentul edentatului *ar(ial im*une
;m'inarea solu(iilor clasice de micro*roteze indi%iduale *e din(i< cu cele moderne< de
coroane indi%iduale sau solidarizate *e im*lante< cu o'(inerea unui efect estetic
maxim. !euita tratamentului *rotetic *e im*lante *ermite resta'ilirea func(ional i
estetic a *acientului. !estaurrile *rotetice de*ind de o ocluzie corect. Parametrii
clinici care influen(eaz sta'ilitatea ocluziei tre'uie determina(i i considera(i ;n
designul restaurrii finale. !estaurrile com*lexe 'imaxilare necesit corelarea
ocluziei cu as*ectul estetic.
#u%inte cheie8 edentat *ar(ial< coroane indi%iduale< estetic< ocluzie
The *artiallE edentuluos treatment in%ol%es< in feF cases< a com'ination of
restoration methods. In current *ractice< the *artiallE edentulous treatment in%ol%es a
com'ination of classical solutions of indi%iduallE croFns on teeth Fith modern
restoration methods Sim*lant4su**orted croFnsT. $uccessful im*lant osseointegration
*ermitted the reesta'lishment of function and aesthetics in the *artiallE edentulous
*atient. The *rosthetic restorations de*end on *ro*er management of the occlusion.
The clinical %aria'les influencing occlusal sta'ilitE must 'e determined and considered
in the design of the final restoration. The com*lex 'imaxillarE restorations in%ol%e the
correlation 'etFeen occlusion and aesthetic as*ect.
HeEFords8*artiallE edentulous< indi%iduallE croFns< aesthetic< occlusion
"&CO4ST"5CP;$ P"OC&S5F5; $FV&OF$" 4 V&&"&$
P"OT&JL";; K;M&
#5;& 3O4& "&#&4&"$T;O4 KOFFOQ& 3N K;M&
P"OST=&T;C "&STO"$T;O4 ;4 K"O4T$F $"&$
Dr. Alexandra Melania Moraru
!estaurrile *rotetice ;n zona frontal sunt o *ro%ocare *entru medicii
stomatologi< a%)nd de cele mai multe ori un caracter interdisci*linar. De asemenea
tre'uie luat ;n considerare im*actul *sihologic asu*ra *acientului.
I?
6n aceast *rezentare a%em o edenta(ie unidentar S10T< consecin( a unui
traumatism frontal. #linic i radiologic se rele% un defect osos se%er ;n situsul lui 10.
$co*8 6n urma e%alurii de ctre o echi* format din chirurg< endodont i
*rotetician se ela'oreaz , *lanuri de tratament care ;i sunt *rezentate *acientului. $e
%a (ine cont de situa(ia material< tim*ul alocat< *rerile *reconce*ute ale acestuia.
Material i metod8 $e %or efectua regenerare osoas ghidat< ulterior
restaurare *rotetic fix 0041, ceramic *e zirconiu.
#oncluzii8 6n managementul *rotezrii edenta(iilor din zona frontal unde
cerin(ele sunt maxime iar oferta defa%ora'il< este necesar o e%aluare riguroas a
tuturor factorilor locali Soferta osoas< alegerea din(ilor st)l*iT< generali Sstarea de
sntate oral i general a *acientuluiT *sihologici Sdolean(ele *acientuluiT.
#u%inte cheie8 edenta(ie zona frontal< regenerare osoas ghidat< *rotezare
*ro%izorie< factori *sihologici
The *rosthetic restoration in the frontal area re*resents a challenge for
dentists< the ma>oritE of cases 'eing treated in a multidisci*linarE a**roach. ]e must
alFaEs consider the *sEchological im*act it has o%er the *atient.
This *atient has an edentulous s*ace region 10 Fhich Fas the conseRuence
of a childhood facial trauma. A se%ere 'one defect is seen in the 10 situs.
Pur*ose8 after the initial e%aluation from a team formed 'E a surgeon< an
endodontist and a *rosthodontist a treatment *lan Fith , o*tions is ela'orated. +ne
must consider the socio economic status of the *atient and the amount of time
necessarE for sol%ing the case.
Materials and methods8 guided 'one regeneration and fixed *rosthesis
zirconium ceramic 00O 1,.
#onclusions8 In the management of frontal fixed *rosthodontics the
demands are %erE high 'ut the tissue offer is Cind of *oor. ]e must e%aluate rigorouslE
the local< general and *sEchological factors.
HeEFords8anterior edentulous s*ace< guided 'one regenerationi zirconia<
tem*orarE *rosthesis< *sEchological factors
"&ST$5"$"&$ C5 $T5TO"5F P;VO ;FO" ;4 K;3"L &
ST;CFL $ ;4 ;FO" C5 ;ST"5C ;& CO"O4$"L 4T;4SL
"&STO"$T;O4 OK S&V&"&FN $M$#& T&&T= 5S;4#
K;3&"-"&;4KO"C& COMPOS;T& POSTS
Asist. Dr. Monica Mihaela #ri oiu< Prof. Dr. Veronica Mercu < #onf. Dr.
Mihaela Po*escu< #onf. Dr. Monica $crieciu
Din ii cu distruc ie coronar care au 'eneficiat de tratament endodontic
necesit ulterior restaurare *rotetic func ional i estetic. 6n func ie de gradul de
distuc ie coronar a dintelui ;n cauz< se alege metoda de reconstituire a acestuia. 6n
cazurile de distruc ii coronare mari a*are necesitatea utilizrii unei reconstituiri
*rotetice ancorate la ni%elul lca ului radicular< acest lucru conferind restaurrii un
*lus de reten ie.
Din multitudinea de *osi'ilit i existente de realizare a restaurrilor
*rotetice corono4radiculare am o*tat< ;n situa iile clinice care au *ermis acest lucru<
I@
"ez!mate
*entru utilizarea *i%o ilor *refa'rica i din fi'r de sticl cimenta i adezi% i *entru
refacerea cu materiale com*ozite a 'onturilor coronare. $olu ia tera*eutic *ro*us a
fost folosit ;n cazurile ;n care cantitatea de esuturi dentare sntoase restant
su*ragingi%al a fost suficient< sau ;n cazurile ;n care aceasta a *utut fi o' inut *rin
alungire coronar. Din ii astfel reconstitui i au fost aco*eri(i cu coroane de ;n%eli <
toate *r ile com*onente ale restaurrii *rotetice tre'uind s reziste for elor func ionale
ce se exercit asu*ra lor.
"ucrarea *rezint cazurile clinice restaurate *rin aceast metod< e%iden iind
a%anta>ele oferite de o astfel de solu ie tera*eutic< cum ar fi inciden a mai sczut a
fracturilor radiculare i gradul mai redus de *ercolare datorat cimentrii adezi%e a
*i%o ilor< com*arati% cu metodele ce utilizeaz *i%o ii metalici turna i cimenta i
con%en ional< i accentu)nd indica iile acestui ti* de tratament.
#u%inte cheie8 distruc ie coronar< *i%ot din fi'r de sticl< restaurare
*rotetic< materiale com*ozite< reten ie< cimentare adezi%
$e%erelE damaged teeth that recei%ed endodontic treatment reRuire further
functional and aesthetic *rosthetic restoration. De*ending on the degree of croFn
damage of the tooth in Ruestion< the method of reconstruction is chosen. In cases of
ma>or croFn destruction the need for a *ost a**ears.
7rom manE existing *ost tE*es< Fe chose to use adhesi%elE lute fi'er4
reinforced com*osite *osts for the clinical situations that alloFed this. This thera*eutic
solution Fas used for the cases Fhere enough su*ragingi%al tooth structure Fas *resent
or it could 'e o'tained through croFn lengthening. Teeth that Fere restored Fith a
fi'er*ost and core Fere co%ered Fith a croFn< in order to Fithstand the functional
forces exerted on them.
This *a*er *resents clinical cases restored using this method< em*hasizing
the indications of this treatment and highlighting the ad%antages of this thera*eutic
solution< such as loFer incidence of root fractures and loFer leaCage grade due to
adhesi%elE lute *osts< %ersus the use of con%entionallE lute cast metal *osts.
HeEFords8se%erelE damaged teeth< fi'er4reinforced com*osite *osts<
retention< adhesi%e luting
"&ST$5"$"&$ P"OT&T;CL $ ;4P;FO" C5 $MP5T$P;&
"$;C5F$"L - "&V;&Q ;4 F;T&"$T5"$ &
SP&C;$F;T$T&
Dr. a'riela $ocoteanu< Dr. +tilia Po*a
"ucrarea res*ecti% *rezint o sintez a literaturii de s*ecialitate cu *ri%ire
la modalit(ile de am*uta(ie radicular a din(ilor cu afectare *arodontal< *recum i
ti*urile de *re*ara(ii i *osi'ilit(ile de restaurare a din(ilor res*ecti%i.
IA
"&ST$5"L";F& K;M& C5 &MT&4S;& % O SOF5P;& V;$3;FLB
Dr. Ioana $tan< Dr. Delia rigore
+BI-#TIV8 sinteza literaturii de s*ecialitate.
MAT-!IA" &I M-T+DQ8 #utare manual i electronic du* termenii8
9cantile%er fixed *artial denturea< as*ring cantile%er designa< acantile%ered resin4
'onded fixed *artial denturesa< aresin4'onded *rosthesisa< arestoration of shortened
mandi'ular dental archa< aim*lant4retained cantile%er fixed *rosthesisa< astrength for
cantile%ered *rosthesesa< *u'licate *)n ;n noiem'rie 1/00.
!-B."TAT-8 Din totalul de @? de studii doar 5 au ;nde*linit criteriile de
includere *entru sintez< identific)ndu4se %aria'ilele urmtoare 3 numrul din(ilor
st)l*i< localizarea extensiei Smezial sau distalT< for(ele ocluzale i agregarea dentar
sau im*lantar.
#+=#".BII8 6n limita acestei sinteze< se *oate concluziona c exist *u(ine
situa(ii clinice c)nd realizarea unei restaurri *rotetice fixe cu extensie este de *referat.
"i*sesc totui studii sistematice< *e termen lung i un numr im*ortant de *acien(i.
"&T"$T$M&4T5F &4OO4T;C O"TO#"$ % O
P"O3F&ML & $CT5$F;T$T& 4 STOM$TOFO#;$
MO&"4L
T=& O"T=O#"$& &4OO4T;C "&T"&$TM&4T % $
TOP;C$F P"O3F&M ;4 MO&"4 &4T;ST"N
&ef lucr. Dr. Paula Perlea< Asist. Dr. #ristina =istor< Prof. Dr. Bogdan
Dimitriu
!etratamentul endodontic corecteaz erorile ce a*ar ;n tim*ul mano*erelor
endodontice. Perfora(iile coroanelor< cile false situate ;n treimea coronar< medie sau
a*ical< se*ararea instrumentelor< canalele neidentificate< 'locate sau care *rezint
*raguri< canalele cu o'tura(ii incorecte 3 incom*lete sau neomogene 3 'eneficiaz de
tratamente endodontice moderne i s*ecifice< care rezol% *ro'lema men(inerii dintelui
afectat *e arcad. Aceast lucrare *rezint cazuri clinice ;n care utiliz)nd tehnici i
materiale actuale 3 microsco*ul o*erator dentar< ultrasunetele i #B#T4ul 3 au fost
retrata(i din(i com*romii din *unct de %edere endodontic. Autorii reliefeaz modul de
rezol%are a acestor situa(ii ;n care *rin reluarea tratamentului endodontic s4a remis
sim*tomatologia clinic i dintele i4a reluat func(ionalitatea. #unoaterea modului de
rezol%are a iatrogeniilor transform erorile ;ntr4un succes< e%it)ndu4se extrac(iile
dentare.
#u%inte cheie8 erori< retratament< endodon(ie
The endodontic retreatment corrects the errors Fhich occur during
endodontic *rocedures. #roFn *erforations< false *aths in the coronal< middle or a*ical
third< se*arated instruments< missed< 'locCed or ledged canals< incorrect root canal
o'turations 3 underfilled< underextended 3 ha%e a modern and s*ecific endodontic
a**roach< Fhich hel* in maintaining the affected tooth on the maxillarE arch. This
ForC *resents clinical cases Fith endodonticallE damaged teeth< Fhich Fere treated
II
"ez!mate
using current materials and techniRues 3 dental o*erating microsco*e< ultrasounds<
#B#T. The authors outline hoF to address these situations< in Fhich 'E endodontic
retreatment< the clinical sEm*toms resol%ed and the tooth 'ecame functionallE.
HnoFing hoF to sol%e the iatrogenic errors turns them in success< a%oiding dental
extractions.
HeEFords8errors< retreatment< endodontologE
"&JOFV$"&$ &&4T$P;&; & C$4;4 M$M;F$"
P&"M$4&4T % P"&J&4T$"& & C$J
MO&"4 T"&$TM&4T OK 5PP&" P&"M$4&4T C$4;4&
$3S&4C& % C$S& "&PO"T
Aist. Dr. Irina4Maria heorghiu< Asist. Dr. Magdalena Mironiuc4#ureu
Introducere8 #aninii maxilari sunt din(i ce *rezint o %aloare deose'it ;n
cadrul arcadei dentare maxilare. -denta(ia caninului *ermanent maxilar este o situa(ie
;nt)lnit nu de *u(ine ori ;n clinica medical. -a este datorat< cel mai frec%ent<
incluziei caninilor. Atunci c)nd nu este *osi'il su' nici o form redresarea
chirurgical4ortodontic a caninilor su*eriori inclui i se recurge la extrac(ie< edenta(ia
rezultat *une *ro'leme de rezol%are *rotetic.
Prezentare de caz8 + *acient ;n %)rst de ,2 ani s4a *rezentat la tratament
stomatologic. -a acuza mo'ilitate la ni%elul caninului su*erior drea*ta< *recum i un
as*ect inestetic al acestuia< ;n sensul modificrii coloristice. -xamenul clinic a do%edit
existen(a unui canin tem*orar. "a examenul radiologic s4a confirmat i a'sen(a
caninului *ermanent.
-xtrac(ia caninului tem*orar a *rodus o 're edentat. $4a hotr)t
;nchiderea acesteia *rin inserarea unui im*lant dentar< *e care s fie a*licat ulterior o
coroan metalo4ceramic. Du* *erioada de , luni de osteointegrare< 'rea edentat a
fost ;nchis *rin a*licarea 'ontului *rotetic i a coroanei ceramice res*ecti%e.
As*ectul restaurrii< la , ani de la inter%en(ie este cores*unztor< at)t din
*unct de %edere clinic< c)t i radiologic.
#oncluzii8 Tehnica de rezol%are a edenta(iei de canin *ermanent maxilar
*rin inserarea unui im*lant dentar este o metod modern. -a este uor acce*tat de
*acient i este minim in%azi% ;n ra*ort cu metodele clasice de *rotezare *rintr4o *unte
dentar. -xecu(ia cu rigurozitate a eta*elor de tratament< at)t ;n faza de inter%en(ie
chirurgical< c)t i ;n cea *rotetic< asigur un succes garantat.
#u%inte cheie8 canin tem*orar maxilar< canin *ermanent maxilar< edenta(ie<
im*lant dentar
Introduction8 The u**er *ermanent canines are teeth Fith a %erE im*ortant
%alue in the u**er >aF. The a'sence of u**er definiti%e canine is relati%elE common in
clinic. This is a result of im*action of *ermanent canine. In that situation Fhen it is not
*ossi'le in anE FaE to 'ring the *ermanent canine on the >aF< using orthodontic
a**liance and surgical methods< the onlE solution is to extract the tooth. The
edentulous area is *ro'lematic regarding the *rosthetic treatment.
#ase re*ort8 A *atient< ,2 Eears old< has *resented in our dental *ractice for
dental treatment. $he Fas unha**E 'ecause of the mo'ilitE in her u**er right canine
I5
and 'ecause of the discoloration of that tooth. The clinical exam re%ealed the *resence
of a deciduous u**er canine. !adiogra*hicallE Fe disco%ered the a'sence of the right
*ermanent u**er canine.
The extraction of the deciduous canine *roduced an edentulous area. ]e
decided to treat that using a dental im*lant and a ceramic croFn. After the three
months *eriod of osteo4integration of the im*lant< the ceramic restoration has 'een *ut
into *lace.
After a *eriod of three Eears the clinical as*ect of the restoration and the
radiological one are excellent.
#onclusions8 The method of treatment the a'sence of u**er definiti%e
canine using a dental im*lant is %erE modern. It is easilE acce*ted 'E the *atient and it
is %erE conser%ati%e thinCing the old *rosthetic methods. The com*lete success is
guaranteed 'E the *recise execution 'oth of the surgical and *rosthetic stages.
HeEFords8deciduous u**er canine< *ermanent u**er canine< edentulous
area< dental im*lant
"OF5F &C=;P&; M&;C$F& 4 "&$3;F;T$"&$ ;MPF$4TO-
P"OT&T;CL
T=& M&;C$F T&$M "OF& ;4 ;MPF$4T-P"OST=&T;C
"&=$3;F;T$T;O4
#onf. Dr. Mihai Burli'aa\< Dr. #orina Marilena #ristache\\< Dr. Mihai
Da%id\\\< Asist Dr. Mdlina Mali(a\< &ef lucr. Dr. !z%an #hi%u\< &ef
lucr. Dr. !uxandra $featcu\\\\
\7.M.A.M.< ..M.7. 9#arol Da%ila: Bucureti< $ocietatea !om)n de +steointegrare
\\$.#. #+=#+!DIA D-=T $.!.".< $ocietatea !om)n de +steointegrare
\\\$ocietatea !om)n de +steointegrare
\\\\7acultatea de Medicin Dentar< ..M.7. 9#arol Da%ila: Bucureti< $
Introducere8 $e tie c rea'ilitarea im*lanto4*rotetica re*rezint o metod de
tratament modern< dar ;n acelai tim* i extrem de contro%ersat. Totui< aceast
solu(ie de tratament ar tre'ui s im*lice un consult interdisci*linar extrem de riguros<
at)t din medicina general< c)t i din medicina dentar.
$co*ul acestui studiu este re*rezentat de necesitatea consultului
interdisci*linar ;n !om)nia< *entru aceast solu(ie de tratament< si anume rea'ilitarea
im*lanto4*rotetic.
Material i metod8 Pe 'aza studiului literaturii de s*ecialitate< at)t din
!om)nia< c)t si din strintate< a fost ela'orat o succesiune ideal a unor eta*e de
tratament ;n rea'ilitarea im*lanto4*rotetic. A fost e%iden(iat extrem de succint rolul
fiecrui s*ecialist Smedicin general< medicin dentar< tehnic dentarT ;n cadrul
acestor succesiuni de eta*e< care alctuiesc *lanul ideal al unui tratament de rea'ilitare
im*lanto4*rotetic. Totodat< utiliz)nd metoda inter%iului i a chestionarului< a fost
realizat un studiu clinico4statistic ;n r)ndul unor s*ecialiti im*lantologi din !om)nia<
care s res*ecte foarte ferm aceast succesiune de eta*e ale unui tratament de
rea'ilitare im*lanto4*rotetic< ;n concordan( cu consultul interdisci*linar.
!ezultate i concluzii8 Din *cate< ;n !om)nia este ;nc extrem de 'ine
im*lementat conce*tul medicului stomatolog multi*ractician. Astfel< mai *u(in de ?/V
dintre medicii inclui ;n acest studiu realizeaz un consult interdisci*linar *reliminar
I2
"ez!mate
corect< restul de medici a*eleaz la consultul interdisci*linar< doar ;n cazul a*ari(iilor
unor com*lica(ii< i atunci s4ar *utea s fie tardi%.
Discu(ii8 Pornind de la rezultatele acestui studiu clinico4statistic< considerm
ca fiind extrem de im*ortant un consult interdisci*linar *reliminar Smedicin general<
medicin dentar< tehnic dentarT< ;naintea a'ordrii unei solu(ii de tratament de
rea'ilitare im*lanto4*rotetic.
Introduction8 It is CnoFn that im*lant4*rosthetic reha'ilitation is a modern
method of treatment< 'ut< at the same time< extremelE contro%ersial. HoFe%er< this
treatment solution should in%ol%e a rigorous interdisci*linarE consultation< 'oth in
general medicine and dentistrE.
The *ur*ose of this studE is the need for interdisci*linarE consultation in
!omania< for this treatment solution< namelE im*lant4*rosthetic reha'ilitation.
Material and method8 Based on the literature studE< 'oth in !omania and
a'road< has 'een de%elo*ed an ideal seRuence of ste*s for im*lant4*rosthetic
reha'ilitation treatment. It Fas shoFn< %erE 'rieflE< the role of each s*ecialist Smedical<
dentistrE< dental la'oratorET Fithin this seRuence of ste*s that maCe u* the ideal *lan
of treatment for im*lant4*rosthetic reha'ilitation. HoFe%er< using inter%ieF and
Ruestionnaire< Fas conducted a clinical4statistical studE among im*lant s*ecialists in
!omania< Fhich firmlE folloF this seRuence of ste*s of an im*lant4*rosthetic
reha'ilitation treatment< in accordance Fith the interdisci*linarE consultation.
!esults and conclusions8 .nfortunatelE< in !omania< there is still extremelE
Fell im*lemented the conce*t of the multi*le s*ecialties *racticing dentist. 7eFer than
?/V of *hEsicians included in this studE maCes a *reliminarE interdisci*linarE consult
*ro*erlE< the rest turn to interdisci*linarE consultation< >ust in case of com*lications<
Fhen it might 'e too late.
Discussion8 Based on the results of this clinical and statistical studE< Fe
consider the *reliminarE interdisci*linarE consultation Smedical< dentistrE< dental
la'oratorET 'eing extremelE im*ortant 'efore addressing an im*lant4*rosthetic
reha'ilitation treatment solution.
"OF5F &P;T&J&FO" $4CO"$T& C5 $T5TO"5F
;MPF$4T5";FO" &4OOSO$S& 4 "&CO4ST"5CP;$
&K&CT&FO" K$C;$F&
T=& "OF& OK ;MPF$4T-$4C=O"& &P;T=&S;S ;4 T=&
"&CO4ST"5CT;O4 OK T=& K$C;$F &K&CTS
Dr. #orina Marilena #ristache\< #onf. Dr. Mihai Burli'aa\\< &ef lucr. Dr.
Andreea Didilescu\\\< #onf. Dr. "igia Muntianu\\\< Dr. heorghe
#ristache\< #onf. Dr. Dana #ristina Bodnar\\\
\$.#. #oncordia D-=T $.!.". Bucureti< $ocietatea !om)n de +steointegrare
\\7.M.A.M.< ..M.7. 9#arol Da%ila: Bucureti< $ocietatea !om)n de
+steointegrare
\\\7acultatea de Medicin Dentar< ..M.7. 9#arol Da%ila: Bucureti< $ocietatea
;ntrod!ere) Pacien(ii cu defecte congenitale ori datorate traumatismelor sau
cu leziuni tumorale maligne ;n regiunea ca*ului i g)tului< ce necesit de cele mai
multe ori inter%en(ii chirurgicale radicale mutilante< sufer din cauza as*ectului
inestetic care le afecteaz foarte se%er *erce*(ia de sine i integrarea ;n %ia(a social.
5/
Scop) #hirurgia *lastic modern ofer di%erse ti*uri de tehnici loco4
regionale *entru reconstruc(ia defectelor cranio4faciale. 6ntr4un numr foarte mare de
cazuri rezultatul estetic rm)ne deficitar< datorit necesit(ii unor inter%en(ii
chirurgicale la'orioase i com*lexit(ii organelor din aceast regiune< cum ar fi
urechea< nasul< or'ita. #a alternati% la chirurgia *lastic< utilizarea e*itezelor ancorate
*rin im*lanturi endoosoase a determinat o'(inerea de rezultate cosmetice i func(ionale
satisfctoare< ;nso(ite de reintegrarea social a *acientului.
Materiale i metod) Au fost e%alua(i trei *acien(i cu rezec(ii ale *iramidei
nazale< la care nasul a fost reconstruit cu a>utorul e*itezelor ancorate cu im*lanturi
endoosoase.
"ez!ltat) To(i *acien(ii au *rezentat un grad foarte 'un de acce*tare a
e*itezei ca *arte a *ro*riului cor*.
Concl!zii) Pacien(ii cu *rognostic rezer%at sau contraindica(ii locale sau
sistemice ale chirurgiei *lastice< ;n s*ecial cei %)rstnici *ot 'eneficia de reconstruc(ia
defectelor faciale cu a>utorul e*itezelor ancorate *rin im*lanturi< necesit)nd o
inter%en(ie chirurgical minim in%azi%< cu foarte 'une rezultate func(ionale i estetice.
C!+inte cheie) im*lant< e*itez< rezec(ie< traumatism< res*ect de sine.
;ntrod!ction) Patients Fith congenital defects< defects due to trauma and
ad%anced head and necC cancer< often reRuiring radical and mutilating surgerE< suffer
from se%ere im*airment of their aesthetic self4*erce*tion and social life due to the
ex*osed character of the head and necC region.
P!rpose) Modern *lastic surgerE offers %arious Cinds of loco4regional
techniRues for reconstructing cranio4facial defects. But in a huge num'er of *atients<
the cosmetic results remain *oor due to la'orious surgical *rocedures and the
com*lexitE of the head and necC organs such as the ear< nose and or'it. #osmeticallE
satisfEing results are *ossi'le Fith 'one4anchored e*ithesis re*resenting a serious
alternati%e to cranio4facial reconstructi%e techniRues.
Material and methods) Three *atients Fere e%aluated after im*lant
anchored e*ithesial reconstruction of the nose *ost tumor resection.
"es!lts) All *atients had a %erE good acce*tance of the e*ithesis as *art of
their 'odE. Concl!sions) Patients Fith a Forse *rognosis and other se%ere maladies<
such as dia'etes associated Fith difficult Found healing< and< in *articular< elderlE
*eo*le in a reduced general condition could *rofit from 'one anchored e*ithesis as a
su'stitute for the resected< trauma or congenitallE missing tissue in the cranio4facial
region. This reconstruction reRuires a minimum4in%asi%e surgerE Fith good esthetic
and functional results.
DeECords) im*lant< e*ithesis< resection< trauma< self4esteem.
50
"ez!mate
"OF5F M&;C5F5; ; P$C;&4T5F5; 4 M&4T&4$4P$
"&J5FT$T&FO" T"$T$M&4T5F5; ;MPF$4TO-P"OT&T;C
T=& "OF& OK &4T;ST $4 P$T;&4T ;4 M$;4T&4$4C& OK
P"OST=&T;C ;MPF$4T T"&$TM&4T "&S5FTS
&er lucr. Dr. !uxandra $featcu\< Dr. #orina #ristache\\< #onf. Dr. Mihai
Burli'aa\\\< #onf. Dr. Dana #ristina Bodnar\< Prof. Dr. Petru
Armean\\\\< Dr. +leg Do'ro%olschi\\\\\
\7acultatea de Medicin Dentar< .M7 <<#arol Da%ila:< Bucureti< $ocietatea
\\$.#. #oncordia Dent $.!.".< Bucureti< $ocietatea !om)n de +steointegrare
\\\7.M.A.M.< ..M.7. <<#arol Da%ila:< Bucureti< $ocietatea !om)n de +steoint
$tandardele de ;ngri>ire *re%enti% tre'uie s fie *arte integrant i de rutin
;n cadrul restaurrilor cu im*lanturi< de aceea o'iecti%ul acestei *rezentri este
su'linierea im*ortan(ei *e care tre'uie s o acordm mentenan(ei im*lantului i
snt(ii (esuturilor *eriim*lantare *e toat *erioada existen(ei im*lantului *e arcad.
Material i metod8 s4a realizat un re%ieF al literaturii de s*ecialitate *entru a culege
date legate de as*ectele teoretice i *ractice ale ;ngri>irii *re%enti%e ale *acien(ilor
rea'ilita(i im*lanto4*rotetic. !ezultate8 sunt *rezentate instrumentele i tehnicile de
igienizare *rofesional a im*lanturilor dentare< *recum i ghiduri de ;ngri>ire a
im*lanturilor i lucrrilor *rotetice *entru *acien(i. !ecomandrile de ;ngri>ire
*ersonal *rofilactic sunt adresate *acientului ;n func(ie de situa(ia clinic<
dexteritatea acestuia< dar mai ales de ti*ul de su*rastructur *e im*lant. #oncluzii8 este
extrem de im*ortant s existe 'inomul ;ngri>ire *re%enti% *rofesional *eriodic 3
igienizarea *ersonal corect< zilnic< realizat de ctre un *acient moti%at i educat.
Pentru *rofesionistul ;n medicina dentar< a'ordarea *re%enti% este extrem de
im*ortant ;ntruc)t asigur succesul *e termen lung al tratamentului cu im*lanturi
dentare i ;n final satisfac(ia< dar i loialitatea *acientului.
#u%inte cheie8 mentenan(< ghid *ractic< dis*ensarizare
Pre%enti%e care standards must 'e an integral and routine in the im*lants
restoration< so the o'>ecti%e of this *resentation is to underline the im*ortance grant to
the im*lant maintenance throughout the existence of the im*lant. Material and
methods8 a re%ieF of the literature Fas conducted to collect data on theoretical and
*ractical as*ects of *re%enti%e care for *rosthetic im*lant reha'ilitated *atients.
!esults8 are *resented the *rofessional cleaning tools and techniRues for dental
im*lants and also< tFo guidelines for the *atients< a'out *ersonal dailE care of im*lants
and *rosthetic dentures. Personal *re%enti%e care recommendations are made 'ased
u*on clinical situation< his dexteritE and es*eciallE on the tE*e of im*lant *rosthetic
su*erstructure. #onclusions8 it is %erE im*ortant to ha%e the 'inomial8 regular
*rofessional *re%enti%e care 3 *ro*er dailE *ersonal hEgiene< achie%ed 'E a moti%ated
and educated *atient. 7or *rofessional in dentistrE< *re%enti%e a**roach is extremelE
im*ortant 'ecause it *ro%ides long4term success of treatment Fith dental im*lants and
final satisfaction and *atient loEaltE.
HeEFords8maintenance< *ractical guide< folloF4u*
51
"OF5F P"OK* "* $4 T=&OO"&SC5 4 KO"M$"&$ ;
&JVOFT$"&$ STOM$TOFO#;&; 4 "OMO4;$
P"OK* "* $4 T=&OO"&SC5 % ;4VOFV&M&4T ;4
T"$;4;4# $4 &V&FOPM&4T OK &4T;ST"N ;4
"OM$4;$
#onf. Dr. Mihai Burli'aa\< Dr. #orina Marilena #ristache\\< Prof. Dr.
Petru Armean\\\
0
7.M.A.M.< ..M.7. 9#arol Da%ila: Bucureti< $ocietatea !om)n de +steointegrare
1
$.#. #+=#+!DIA D-=T $.!.".< $ocietatea !om)n de +steointegrare
,
7.M.A.M.< ..M.7. 9#arol Da%ila: Bucureti
Personalitate remarca'il a medicinii rom)neti< Prof. Dr. Dan Theodorescu
S0522402?5T este considerat *e dre*t cu%)nt ca fiind creatorul stomatologiei moderne
din !om)nia< *recum i deschiztorul de drum *entru o chirurgie maxilo4facial
com*etiti% ;n -uro*a.
#ercettor tiin(ific cu o mare *utere de lucru< cu in%enti%itate ;n alegerea
tehnicilor o*eratorii< dar i cu o *utere de con%ingere extraordinar< Prof. Dr. Dan
Theodorescu a reuit integrarea stomatologiei rom)neti ;n familia medical i
'iologic.
Astfel< ca recunotin( a *ersonalit(ii acestui mare maestru< cu ocazia
;m*linirii a @/ de ani de la ;nfiin(are< 7acultatea de $tomatologie din Bucureti a
;nscris ;n anul 0225 *e frontis*iciul su numele Prof. Dr. Dan Theodorescu.
De aceea< ;n acest material ne4am *ro*us s e%iden(iem i totodat s
omagiem< rolul *e care Prof. Dr. Dan Theodorescu l4a a%ut ;n formarea i dez%oltarea
stomatologiei ;n !om)nia.
!emarCa'le *ersonalitE of !omanian Medicine< Prof. Dr. Dan Theodorescu
S0522402?5T is rightlE considered the creator of modern dentistrE in !omania and also<
the starter for the com*etiti%e maxillo4facial surgerE in -uro*e.
!esearcher ForCing Fith a great *oFer< Fith in%enti%eness in choosing
surgical techniRues< 'ut Fith an extraordinarE *ersuasion< Dr. Dan Theodorescu
successfullE managed the integration of !omanian dentistrE in medical and 'iological
familE.
Thus< in recognition of the *ersonalitE of this great master and to
commemorate the @/th anni%ersarE< 7acultE of DentistrE from Bucharest signed the
name of Professor Dr. Dan Theodorescu on its frontis*iece< in 0225.
Therefore< in this *a*er Fe intend to highlight and cele'rate also< the role
that Prof. Dr. Dan Theodorescu had in forming and de%elo*ment of dentistrE in
!omania.
5,
"ez!mate
SL4LT$T& O"$FL< ;4T&"4&T< COM54;C$"&<
M$4$#&M&4T STOM$TOFO#;C
O"$F =&$FT=< ;4T&"4&T< COMM54;C$T;O4< &4T$F
M$4$#&M&4T
Dr. #osmin4Marian #;rcu< Dr. Adriana &er'an< Dr. !adu Tarhon< Dr. "aura
Pan< Dr. Andrei Trandafir< Dr. Anca Al'in< Dr. Ana rigoroiu
$ocietatea !om)n de +steointegrare
;ntrod!cere) $uccesul unui tratament stomatologic com*lex *oate de*inde
de existen(a unei rela(ii *otri%ite ;ntre medic i *acient. 6n general aceast legtur se
'azeaz *e ;ncredere i *oate fi afectat de un %iciu de comunicare. #omunicarea este
cea care face diferen(a dintre o afacere medical de succes i un eec.
Scop) Medicul nu este ;ntotdeauna ;nzestrat cu a'ilit(i de comunicare
o*time. De multe ori *acientul nu are suficiente cunotin(e medicale *entru a ;n(elege
un *lan de tratament i necesitatea anumitor acte medicale. Tendin(ele actuale de
*romo%are fac ca< frec%ent< *rima ;nt)lnire dintre medic i *acient s ai' loc *e
internet. De aceea internetul i numeroasele sale a*lica(ii *ot de%eni un instrument
%aloros< util ;n egal msur at)t medicilor c)t i *acien(ilor.
Material i metod) Pentru a testa modalit(ile moderne de atingere a
sco*urilor *ro*use mai sus am realizat un *ortal Fe' utiliz)nd $istemul de
Management al #on(inutului intitulat 9Doomlaj:. Aceast a*lica(ie a fost instalat *e un
ser%er Fe' iar con(inutul a fost construit i o*timizat ;n >urul cu%intelor cheie rele%ante
*entru domeniul snt(ii orale.
Concl!zii) Posi'ilit(ile actuale de realizare a *aginilor de internet< *rin
sim*litatea i accesi'ilitate< *rezint un *oten(ial uria *entru *romo%area snt(ii
orale< dar i a ser%iciilor medicale oferite de s*ecialiti. Astfel< 9$istemele de
Management al #on(inutului 3 #M$4urile: fac *osi'il crearea i administrarea facil
a unei *agini de internet cu sco* educa(ional< dar i *romo%are a unui ca'inet
stomatologic. Acestea necesit alocarea unui tim* minim *entru ;nsuirea cunotin(elor
necesare utilizrii *recum i un 'uget limitat *entru integrarea ;n conce*tul general de
management stomatologic.
#u%inte cheie8 sntate oral< internet< comunicare< management
stomatologic< >oomla
;ntrod!ction) The success of com*lex dental treatment maE de*end on
ha%ing a right relationshi* 'etFeen doctor and *atient. In general this connection is
'ased on trust and maE 'e affected 'E a communication fault. #ommunication is Fhat
maCes the difference 'etFeen 'usiness success and failure.
P!rpose) The doctor is not alFaEs endoFed Fith o*timal communication
sCills. +ften the *atient does not ha%e sufficient medical CnoFledge to understand the
treatment *lan and the need for some s*ecific dental *rocedures. #urrent marCeting
trends maCe the first meeting 'etFeen doctor and *atient to taCe *lace on line. The
internet and its manE a**lications 'ecome a *oFerful and useful tool for 'oth doctors
and *atients.
Materials and methods) To test the modern FaEs in achie%ing the goals
mentioned a'o%e Fe ha%e created a Fe' *ortal using a #ontent Management $Estem
5?
entitled aDoomlaja This a**lication Fas installed on a Fe' ser%er and content Fas
designed and o*timized around CeEFords that are rele%ant to oral health.
Concl!sions) The current *ossi'ilities of maCing Fe' *ages< their
sim*licitE and afforda'ilitE< ha%e a huge *otential for *romoting 'oth oral health and
the medical ser%ices *ro%ided 'E s*ecialists. Thus< a#ontent Management $Estems 3
or #M$Xsa ena'le easE creation and management of Fe'sites for teaching and
*romoting a dental *ractice. TheE reRuire a minimum time allocation for learning and
CnoFledge needed to use and at the same time a limited 'udget for integration into the
general conce*t of dental management.
HeEFords8 oral health< internet< communication< dental management<
>oomla
S&M4;K;C$P;$ $4T"OPOFO#;CL $ ?&ST&T;C5F5;@ 4
&VOF5P;$ 5M$4L
T=& $4T"OPOFO#;C$F S;#4;K;C$4C& ;4 =5M$4
&VOF5T;O4
Prof. Dr. Ptru 7iru< Prof. Dr. =orina #onsuela 7orna
Termenul de 9estetic: este introdus de dr. Bamgarten ;n 0I@/ cu
semnifica(ia de frumos< drgla< gra(ios< su'lim< su*er'< minunat< etc.O este de fa*t un
ad>ecti% ce ;nso(ete un su'stanti%< o'iect< ac(iune< o*er de art< etc.< care 9ne *lace:<
ne emo(ioneaz *)n la extaz< c)nd ne trezesc cele @ sim(uri ale noastre.
Ideea de frumos %ariaz cu e*oca ;n care trim< e*oc ;n care este o anumit
cultur sau ci%iliza(ie.
Autorii se refer numai la urmaii *rimului descendent al lui Homo $a*iens
7osillis< #rk Magnon< care a format de fa*t rasa al' SleucodermeleT actual.
Primele manifestri ale 9esteticului: au a*rut la #rk Magnon S,////40/@//
ani ;.H.T su' forma artei *icturii< scul*turii SornamentaleT i chiar ;n forma uneltelor
sau locuin(eiO ;n art *rimii oameni ;i ex*rimau de fa*t conce*(ia lor des*re %ia(<
legturile fundamentale ;ntre el i cosmos< ;ntre el i di%initate< ca un mag< un sacerdot
sau un sim*lu muritor< femeia fiind de la ;nce*ut cea mai 9drag: i necesar *ersoan
a omului *rimiti% i actual.
Autorii trec ;n re%ist 9esteticul: ;n art care re*rezint 9omul:< femeia ;n
s*ecial< la care se admir ;n *rimele culturi sim'oliste la #rk Magnon Sfemeia gestant
gras< cu s)ni mari< cu steato*igie sau mero*igieT< ;n tim* ce omul actual ador femeia
ideal< Venus< cu un cor* z%elt< su'(ire< cu *icioare lungi fusiforme< alungite< cu
*antofi cu toc su*er;nalt.
De la aceste extreme se *erind toate stilurile de re*rezentare a 9frumuse(ii:
umane< ;nce*)nd cu cor*ul< mai t)rziu cu figura i mult mai t)rziu cu z)m'etul< cu
*roiectarea din(ilor al'i strlucitori< ;ncon>ura(i de roul carminat al 'uzelor i al
ghirlandei gingi%ale< fositele su*erioare.
6n toat aceast incursiune a esteticului dento4facial sunt amintite 9codurile:
frumuse(ii< care %ariaz cu gradul de cultur al *o*ula(iilor #rk Magnonoide< diferit de
cel al urmailor co*ii ai lui Homo $a*iens 7osillis SAurignac< rimaldiT sau ai lui
Homo -rectus< la%anensis sau PeCinensisO acetia din urm ex*rim frumuse(ea mai
mult ;n muzic< dans< arhitectur< maini< unelte< etc.
5@
"ez!mate
6n *rezent este o tendin( de uni%ersalitate< de glo'alizare ;n 9gusturi: i
aceasta ;nce*e ;n mod sur*rinztor cu din(ii< unde forma< culoarea i ra*orturile lor cu
'uzele i ghirlanda gingi%al< sunt de>a codificate< z)m'etul de%enind un element
esen(ial ;n a*recierea 9esteticului:< a *rieteniei< a dragostei uni%ersale.
The term of âesthetics: Fas 'rought 'E dr. A. Baumgarten in 02I/ Fith the
significance of ^'eautiful:< ^nice:< ^su'lime:< ^su*er':< ^Fonderful:< ^gracious:< etc.O
it is in fact an ad>ecti%e coming a su'stanti%e< o'>ect< action< artistic *roduction and so
on< Fhich Fe ^liCe:< Fhich 'rings emotions and feelings going u* to ecstasE< Fhen our
fi%e senses FaCes u*.
The motion of 'eautE changes in time< Fith the changes of the e*och and so
the changes of culture or ci%ilizations.
The authors are referring to the descendants of Homo $a*iens 7osillis< #rk4
Magnon< Fhich formed in fact the *resent Fhite race Sthe leucodermsT.
The first manifestations of âesthetics: Fere seen at #rk4Magnon S,////4
0/@// B.#.T in art< *icture and ornamental scul*ture< and e%en in the sha*e of the tools
and homesO in art the first humans ex*ressed in fact their %ision of life< the connections
'etFeen them and 'etFeen them and uni%erse 3 as theE CneF it. Also< 'etFeen and
di%initE 3 as a magus< astrologer< Fizard 3 or 'etFeen them and a sim*le mortalO the
Foman Fas >ust from the start considered as the most ^dear: and ^necessarE: *erson
for the *rimiti%e and modern men.
The authors re%ieF the aesthetics in art< folloFing the re*resentation of man
and Foman during time and ages< until our daE. 7rom these 'eginnings< the succession
includes all the stEles of human 'eautE re*resentation that starts Fith the 'odE< than
later Fith the face and e%en more latelE Fith the smile and the teeth.
BetFeen those extremes of dento4facial aesthetics< are *resented the ^codes:
of 'eautE Fhich folloFs the culture and ci%ilization of #rk4Magnon *o*ulations 3 %erE
different from the descendants of Homo $a*iens 7osillis SAurignac< rimaldiT or
Homo -rectus< laFanensis or PeCinensis< those ex*ressing 'eautE in music< dance<
architecture< cars< tools and so on.
=oFadaEs there is a trend of uni%ersalitE and glo'alization in ^tastes: and
this 3 sur*risinglE 3 'egins Fith teeth< Fhen the sha*e< colors and re*orts Fith the li*s
and gums are alreadE coded< the smile 'eing noF are essential element in the
a**reciation of uni%ersal aesthetics< friendshi* and lo%e.
S&4;O"; V&"S5S T54;O"; 4 M&;C;4$ &4T$"L
7acultatea de Medicin Dentar< .M7 9r. T. Po*aa< Iai
Pro%ocrile lumii moderne sunt cu at)t mai mari< cu c)t tehnologizarea face
ca totul s se desfoare cu o %itez uimitoare iar situa(iile noi s se succead din ce ;n
ce mai ra*id< sentimentul neada*trii fiind tot mai acut. 6n acest context< *osi'ilit(ile
de a face fa( la schim'ri nu au e%oluat tot at)t de ra*id. =u ;nt)m*ltor 'olile omului
sunt cauzate ;n *rinci*al de stres< cu *recdere cel *sihologic< nu cel fizic. =u rareori
stresul *ro%ine din conflictul care se creeaz ;ntre rolurile >ucate acas< res*ecti% la
ser%iciu. Iat c statisticile cele mai moderne situeaz *rofesia de medic *rintre cele
mai solicitante i mai dificile meserii.
5A
-uro*a ;m'tr)nete i< ;ntr4o situa(ie de criz ca cea *rezent< nu ar tre'ui
s ne *ermitem s *ierdem cunotin(ele i ex*erien(ele acumulate de cei ;n %)rst odat
ce ei *rsesc *ia(a muncii. 6ncura>area 'tr)ne(ii acti%e< asigurarea transferului de
cunotin(e ;ntre genera(ii sunt elemente fundamentale *entru a atinge o'iecti%ele
$trategiei de la "isa'ona *ri%ind com*eti(ia i dez%oltarea echili'rat< sustena'il i
echita'il 'azat *e o societate a cunoaterii. $eniorii notri< odat ce *rsesc *ia(a
muncii< nu mai au ansa de a4i oferi cunotin(ele SCnoF4hoFT ctre alte gru*uri i nici
acces la *rocese de ;n%(are *ermanent Sli*sa moti%a(ieiT<ceea ce ;nseamn excludere
social. =e dorim s transformm *ersoanele %)rstnice ;n mentori ai ex*erien(ei <
oferind formrii necesare< instrumentele i metodologiile care fa%orizeaz transferul
efecti% de cunoatere i *ermite crearea contextelor s*eciale *entru schim'ul ;ntre
genera(ii.
Profesia de medic se indi%idualizeaz ;ntre celelalte meserii *rin
res*onsa'ilit(ile *e care ea le im*une celui care are ;n m)inile sale %ia(a unui om.
Medicina re*rezint o meserie %oca(ional care *resu*une o temeinic *regtire
teoretic i *ractic de s*ecialitate< dar i a'ilit(i de comunicare< necesare de altfel ;n
orice domeniu de acti%itate care im*lic lucrul cu oamenii. Acti%itatea dintr4un ca'inet
stomatologic este o acti%itate medical< chirurgical< *sihologic< iar *rin *risma
holistic im*lic multe %erigi materiale i umane< ce concur la reuita final a
tratamentului efectuat< *rin im*licarea total a resurselor *ersonalit(ii umane a
echi*ei< coro'orate cu o gestionare< mani*ulare corect a resurselor materiale. Desigur<
*racticarea unui tratament com*lex< adec%at< cere tim* i r'dare< iar rezultatele < de
cele mai multe ori nu sunt imediate< du* cum ar fi o iluzie s credem c ;n *ofida
exercitrii meseriei du* toate regulile artei< la final nu to(i *acien(ii %or fi mul(umi(i.
6n general< stresul la ser%iciu este moti%at de li*sa de satisfac(ie ;n *ri%in(a
realizrilor i a o*ortunit(ilor ;n carier< a *osi'ilit(ilor de dez%oltare *ersonal i de
utilizare a *rice*erilor do')ndite ;n tim*ul studiilor de s*ecialitate. #a dentist< medicul
nu este im*licat numai ;ntr4o afacere *ri%ind numai sntatea oral< ci ;ntr4o afacere
centrat *e rela(ie. #omunicarea e im*ortant *entru succesul unui ca'inet medical<
aa cum loca(ia e im*ortant *entru succesul unei afaceri.
Datorit stresului< o'oselii< se *oate ;nt)m*la ca medicii s ;i creeze unele
mecanisme de indiferen( fa( de suferin(a *acien(ilor< ;n s*ecial fa( de ;n(elegerea
gradului emo(ional ridicat al acestora. $u*erficialitatea i negli>en(a unor medici< rutina
rece din care li*sete cldura i ;n(elegerea creeaz o atmosfer de res*ingere
reci*roc ;ntre medici i 'olna%i. #onsider c exist o serie de calit(i o'ligatorii care
se im*un medicului *ractician stomatolog8 calit(i fizice< calit(i intelectuale< calit(i
morale< tactul< ;n(elegerea semenilor< s*iritul de o'ser%a(ie< arta de a con%inge i nu ;n
ultimul r)nd comunicarea cu *acientul. Medicii tre'uie s ;i dez%olte em*atia<
com*asiunea< ;n(elegerea< acce*tarea i o atitudine *oziti% fa( de 'olna%i< chiar dac
aceasta *resu*une un consum emo(ional considera'il< *entru ca< la r)ndul lor< *acien(ii
s ca*ete ;ncredere ;n ansele de %indecare< *recum i ;n com*eten(a medicului. Din
tinere(e< chiar de la ;nce*uturi tre'uie gsit calea cea mai direct dar *lin de r'dare
i com*rehensiune fa( de suferin(ele 'olna%ului. -l simte un medic calm< 'un< 'l)nd
dar ferm. Aten(ia acordat sentimentelor< ideilor i %alorilor *acientului eficientizeaz
actul medical.
Dificult(ile dialogului i distan(a inter4genera(ii< ;m'tr)nirea societ(ii i
*rocesul de schim'are a rela(iilor< li*sa de actualizare a cilor de formare *rofesional<
;n conformitate cu ne%oile societ(ii i ale economiei. Pro'lemele a*ar mai ales ;n
5I
"ez!mate
cazul >uniorilor care ; i ;nce* cariera< instrui i fiind de ctre *ersoane ;n %)rst< cu care
9nu %or'esc aceea i lim':. Diferen(a dintre aceste dou
genera(ii este foarte mare< din cauza modificrilor rele%ante ce au a%ut loc ;n
ultimii ,/ de ani. Dar< aceast distan( *oate fi scurtat *rin solidaritatea i dialogul
;ntre cele dou genera(ii.
$uccesul ca medic nu se msoar ;n cantitatea < ;n %olumul de *acien(i sau
de *roceduri realizate< ci ;n calitatea acestora. $e s*une c lcomia ne duce acolo unde
nu ar tre'ui s fim. Tenta(ia de a face mai mult dec)t suntem ca*a'ili< ;n cutare de
recom*ense materiale< ne face s ne rtcim i s ne *ierdem ;n cele din urm
ade%rata satisfac(ie *rofesional. Meseria de medic im*rim anumite com*ortamente.
6n general< doctorul este cel care< *rin st*)nirea *ro*riilor emo(ii< ;i confer
*acientului senza(ia de siguran( i ;ncrederea c situa(ia e su' control.
STOM$T;T&F& P"OT&T;C& % $SP&CT& T&"$P&5T;C&
P"OST=&T;C STOM$T;T;S % T=&"$P&5T;C $SP&CTS
#onf. Dr. $anda Mihaela Po*escu< Asist. Dr. -mma #ristina Drghici<
Drd. !oxana Marinescu< Asist. Dr. Monica #ri(oiu< Asist. Dr. "umini(a
Dguci
.M7 #raio%a
+'iecti%e8 $tudiul a a%ut dre*t sco* analizarea as*ectelor tera*eutice ale
stomatitei *rotetice candidozice ;n *ractica stomatologic de rutin.
Materiale i metod8 6n studiul clinic *ros*ecti% randomizat au fost inclui
1A de *acien(i *urttori de *roteze totale sau *ar(iale. Diagnosticul s4a 'azat *e criterii
clinice i de la'orator. Tratamentul a constat ;n a*licarea to*ic a unui agent
antifungic< utilizarea solu(iei de clorhexidin /<1V *entru cltiri 'ucale< educa(ia
*entru igienizarea *rotezei i< ;n unele situa(ii< ;nlocuirea *rotezei. 0@ *acien(i au
*rimit nistatin solu(ie 0// /// uiWml Rid 0/ zile iar 00 *acien(i natamicin solu(ie 1@
mgWml Rid 0/ zile. Pacien(ii au fost instrui(i ca o dat *e zi s introduc *rotezele ;n
solu(ie de clorhexidin /<1V tim* de 0@ minute i a*oi s le clteasc tim* de cel *u(in
1 minute su' >et de a*.
!ezultate8 $tudiul a inclus 1A de *acien(i< 0A femei i 0/ 'r'a(i< cu %)rste
cu*rinse ;ntre @? i IA de ani. Doar ?1<,V din *acien(i s4au *rezentat *entru acuze
su'iecti%e determinate de candidoza de *rotez< ;n tim* ce la @I<IV candidoza a fost
desco*erit ;nt)m*ltor. Toate cazurile incluse ;n studiu au *rezentat candidoza de
*rotez atrofic< la maxilar. Doar A2<1,V din *acien(i au res*ectat recomandrile
medicului dentist< ;n tim* ce restul nu s4au mai *rezentat la control. Du* tratament s4a
o'ser%at reducerea semnificati% a eritemului *alatinal< *acien(ii ra*ort)nd
;m'unt(irea situa(iei orale. -fectele ad%erse ca gust ne*lcut< grea( au fost ra*ortate
de ? *acien(i< 1 la nistatin i 1 la natamicin.
#oncluzii8 =istatin i natamicin au eficien( com*ara'il ;n tratamentul
candidozei *rotetice< demonstrat *rin reducerea eritemului *alatinal i examen
micologic.
#u%inte cheie8 candidoz de *rotez< nistatin< natamicin< o*(iune
tera*eutic< com*lian(
55
+'>ecti%es8 The studE aimed to analEze the thera*eutic as*ects of *rosthetic
candidiasis stomatitis in routine dental *ractice.
Materials and methods8 The *ros*ecti%e randomized clinical trial included
*atients Fith *artial or com*lete dentures. The diagnosis Fas 'ased on clinical and
la'oratorE criteria. Treatment Fas the to*ical a**lication of an antifungal agent< /.1V
solution of chlorhexidine mouth rinses< denture hEgiene education and< in some cases<
re*lacement of *rosthesis. 0@ *atients recei%ed nEstatin solution 0///// iuWml hID for
0/ daEs and 00 *atients =atamEcin solution 1@ mgWml hID for 0/ daEs. Patients Fere
instructed that once a daE to *lace dentures in /.1V chlorhexidine solution for 0@
minutes and then rinse them for at least 1 minutes under running Fater.
!esults8 The studE included 1A *atients< 0A Fomen and 0/ men< aged
'etFeen @? and IA Eears. +nlE ?1.,V of *atients *resented in the dental office Fith
su'>ecti%e com*laints caused 'E Eeast< Fhile the @I.IV candidiasis Fere disco%ered
accidentallE. All cases included in the studE had atro*hic maxillarE candidiasis. +nlE
A2.1,V of *atients com*lied Fith the recommendations made 'E dentist< Fhile the rest
ha%e not *resented to control. After treatment there Fas significant reduction of *alatal
erEthema< *atients re*orting im*ro%ement of oral health. There Fere a total of ?
*atients Fho re*orted incon%enience of the to*ical antifungal S'ad taste< nauseaT< 1 to
nEstatin and 1 to =atamEcin.
#onclusions8 =Estatin and =atamEcin ha%e com*ara'le efficacE in the
treatment of *rosthetic candidiasis demonstrated 'E reducing *alatal erEthema and
mEcological examination.
HeEFords8*rosthetic candidiasis< =Estatin< =atamEcin< treatment o*tions<
com*liance
ST5;5 COMP$"$T;V P";V;4 $T;T5;4;F& ;
COMPO"T$M&4T5F K$ L & SL4LT$T&$ O"$FL F$
ST5&4 ;; & M&;C;4L &4T$"L ; C&; & M&;C;4L
#&4&"$FL ;4 35C5"& T;
$ COMP$"$T;V& ST5N OK O"$F =&$FT= $TT;T5&S $4
3&=$V;O" 3&TQ&&4 &4T$F $4 M&;C$F ST5&4TS ;4
35C=$"&ST
ef lucr. Dr. #orina4Mona Buzea< #onf. Dr. Marian #uculescu< Asist. Dr.
#ristina P;r%u
$co*ul acestui studiu a fost e%aluarea atitudinilor i a com*ortamentului fa
de sntatea oral *ro*rie la studen ii anului III de medicin dentar i cei de medicin
general< din cadrul ..M.7. 9#arol Da%ila: Bucure ti.
Material i metod8 $tudiul cross4sec ional s4a desf urat ;n *erioada oct.
1/0/4mai 1/00 i a cu*rins studen ii de anul III de la 7acultatea de Medicin Dentar
Scare nu studiaser anterior curricula de Pre%en ie oro4dentarT i cei de la 7acultatea
de Medicin eneral. #hestionarul auto4administrat< %arianta modificat a
chestionarului Hiroshima .ni%ersitE4Dental Beha%ioural In%entorE SH.4DBIT< a fost
com*letat anonim ;n cadrul slilor de curs< studen ii men ion)nd doar %)rsta< sexul i
facultatea. Anterior a fost o' inut consim m)ntul informat al *artici*an ilor. Datele
o' inute au fost analizate cu a>utorul statisticilor descri*ti%e i a testului chi4sRuare.
52
"ez!mate
!ezultate8 $tudiul a cu*rins 100 studen i< 0/? studen i de medicin dentar
S?2<,VT i 0/I studen i de medicin general S@/<IVT. $tuden ii de medicin dentar<
,5<@V 'r'a i Snc?/T i A0<@V femei SncA?T< a%eau o %)rst medie de 11<1? ani
S$.D.c1<25T< iar cei de medicin general< ?0<0V 'r'a i Snc??T i @5<2V femei
SncA,T< a%eau o %)rst medie de 1/<?0 ani S$.D.c/<AIT. De i 2A<1V Snc1/,T studen i
se *rezentaser anterior la medicul dentist< studen ii la medicin general se adreseaz
frec%ent medicului dentist doar *entru tratament de urgen SA@<?V %s. 05<,VT
S*g/<//0T. De asemenea< @A<0V SncA/T studen i la medicin general nu au fost
instrui i de un s*ecialist s4 i execute *eria>ul corect al din ilor< com*arati% cu ,?<AV
Snc,AT studen i la medicin dentar S*c/<//1T< astfel c de i 50<@V Snc0I1T studen i
realizeaz *eria>ul de dou sau mai multe ori zilnic< studen ii la medicin dentar
execut *eria>ul mai frec%ent com*arati% cu studen ii la medicin general S2/<?V %s.
I1<2VT S*c/<//0T. $)ngerarea gingi%al este mai frec%ent ra*ortat la studen ii de
medicin general S@/<@V %s. 1/<1VT S*g/<//0T. .tilizarea regulat a a ei dentare este
mai frec%ent la studen ii la medicin dentar S?A<1V %s. 0A<5VT S*g/<//0T. De
asemenea< fumatul este mai frec%ent la studen ii de medicin general S?,<2V %s.
1A<2VT S*c/</0/T< consumul zilnic de* ind >umtate de *achet igri S15V %s.
02<1VT< diferen a fiind nesemnificati% statistic S*g/</@T.
#oncluzii8 !ezultatele studiului au indicat necesitatea ;m'unt irii
atitudinilor i com*ortamentului fa de sntatea oral la studen ii am'elor facult i<
astfel ;nc)t ace tia s constituie ulterior modele *oziti%e *entru *acien i.
#u%inte cheie8 chestionar< studen i de medicin dentar< studen i de
medicin general
The aim of this studE Fas to assess attitudes and 'eha%ior of third Eear
dental and medical students< from ..M.7. 9#arol Da%ila:< toFards their oral health
self4care.
Materials and methods8 A cross4sectional studE Fas conducted 'etFeen oct.
1/0/4maE 1/00on the third Eear dental S'efore studEing +ro4Dental Pre%entionT and
medical students. A self4administered Ruestionnaire 'ased on a modified %ersion of the
Hiroshima .ni%ersitE4Dental Beha%ioral In%entorE SH.4DBIT Fas com*leted
anonEmouslE< during facultE hours and students had to mention their age< gender and
facultE. Prior the studE informed consent Fas o'tained. The data Fere analEzed using
descri*ti%e statistics and chi4sRuare test.
!esults8 The studE included 100 students< 0/? dental S?2.,VT and 0/I
medical S@/.IVT students. The mean age of dental students< ,5.@V males Snc?/T and
A0.@V females SncA?T< Fas 11.1? Eears S$.D.c1.25T< and of medical students< ?0.0V
males Snc??T and @5.2V females SncA,T<Fas 1/.?0 Eears S$.D.c/.AIT. Although 2A.1V
Snc1/,T students had 'een to a dentist 'efore< the medical students freRuentlE Fent to
the dentist onlE for emergencE treatment SA@.?V %s. 05.,VT S*g/.//0T. Also< @A.0V
SncA/T medical students had ne%er 'een *rofessionallE taught hoF to 'rush their teeth<
com*ared Fith ,?.AV Snc,AT dental students S*c/.//1T< so that although 50.@V
Snc0I1T students 'rushed their teeth tFice dailE or more< the dental students 'rushed
the teeth more freRuentlE than medical students S@/.@V %s. 1/.1VT S*g/.//0T.
Bleeding gums is more freRuentlE re*orted in medical students S@/.@V %s. 1/.1VT
S*g/.//0T. Dental students used dental floss on regular 'asis more freRuent S?A.1V %s.
0A.5VT S*g/.//0T. Also< smoCing is more common in medical students S?,.2V %s.
2/
1A.2VT S* c /./0/T< dailE consum*tion exceeding half a cigarette *acC S15V %s.
02.1VT< the difference 'eing not statisticallE significant S* g /./@T.
#onclusions8 The results shoFed 'oth dental and medical students still need
to im*ro%e their oral health attitudes and 'eha%ior in order to ser%e later as a *ositi%e
model for *atients.
HeEFords8Ruestionnaire< dental students< medical students
ST5;5 COMP$"$T;V P";V;4 5T;F;J$"&$ $ O5L
T;P5"; & $"T;C5F$TO$"& 4 T"$T$M&4T5F
&&4T$P;&; TOT$F&
Dr. Anca P;rnog
Medic rezident< 7acultatea de Medicin Dentar< .M7 9#arol Da%ilaa< Bucureti
+'iecti%. !ealizarea unei com*ara(ii ;ntre utilizarea articulatoarelor medii i
a celor semiada*ta'ile ;n tratamentul edenta(iei totale din *unct de %edere al tim*ului
de lucru necesar ;n edin(ele destinate determinrii !IM< numrul de edin(e necesare
determinrii !IM< *recum i din *unct de %edere al tim*ului necesar ada*trii
*rotezelor la finalul tratamentului i numrului de edin(e *entru retu.
Material i metod. $tudiul a fost realizat *e 0/ cazuri tratate ;n #linica de
Protetic Dentar a 7acult(ii de $tomatologie din Bucureti.
Pentru @ dintre cazurile studiate< montarea modelelor s4a realizat ;n
articulatoare medii< utiliz)ndu4se o *rocedur standardizat de montare a modelelor ;n
articulator< care e%it utilizarea arcului facial< iar ghida>ele condiliene au a%ut %alori
medii. Pentru celelalte @ cazuri< montarea modelelor a fost fcuta ;ntr4un articulator
semiada*ta'ilO a fost utilizat arcul facial *entru determinarea *ozi(iei maxilarului fa(
de axa 'alama terminal a *acientului i transferul acestei rela(ii la articulator i s4au
realizat ;nregistrri statice de *ro*ulsie i lateralitate *entru reglarea ghida>elor
condiliene i a unghiurilor Bennett.
!ezultatele studiului. Prin com*ararea rezultatelor o'(inute ;n urma
studiului realizat am concluzionat c tim*ul necesar ;nregistrrii !IM ;n cazul
articulatoarelor medii a fost de 2A minute S;n condi(iile de lucru ;m*reun cu gru*a de
studen(iT< *e c)nd ;n cazul celor semiada*ta'ile< tim*ul mediu necesar a fost de 021
minute. De asemenea< numrul edin(elor necesare ;nregistrrii acestor rela(ii a fost< ;n
medie< de 1 edin(e ;n cazul articulatoarelor medii< iar ;n cazul celor semiada*ta'ile<
media a fost a*roa*e du'l. 6n ceea ce *ri%ete tim*ul necesar ada*trii *rotezelor
totale la finalul tratamentului< media a fost de ,? minute *entru articulatoarele medii i
1@ minute *entru cele semiada*ta'ile< iar numrul mediu al edin(elor necesare *entru
retu ;n cazul *acien(ilor inclui ;n studiu a fost a*roximati% egal *entru cele doua
ti*uri de articulatoare utilizate S1< res*ecti% 0<2T.
#oncluzii. Din rezultatele o'(inute i literatura de s*ecialitate am
concluzionat c utilizarea articulatoarelor ;n tratamentul edenta(iei totale se confrunt
cu numeroase dificult(i. Princi*ala *ro'lem cu care ne4am confruntat ;n studiul
realizat a fost dificultatea transferului datelor de la *acient la artriculator *rin
intermediul ;nregistrrilor statice de *ro*ulsie i lateralitate< acest as*ect dator)ndu4se
insta'ilit(ii a'loanelor *e c)m*ul *rotetic ;n tim*ul acestor micri.
Im*lica(ii clinice. 6n *ractica stomatologic curent< datorit a%anta>elor
legate de tim*ul de lucru mai scurt i de *rocedurile mai sim*le< este *referat
20
"ez!mate
utilizarea articulatoarelor medii i a *rocedurii de montare standardizata ;n articulator<
care e%it utilizarea arcului facial de transfer. Totui< *entru cazurile clinice dificile<
este de *referat utilizarea articulatoarelor semiada*ta'ile< cu reglarea indi%idual a
ghida>elor condiliene i transferul *ozi(iei modelului maxilar cu a>utorul arcului facial<
;n ;ncercarea de a o'(ine cel mai 'un echili'ru al *rotezelor.
ST5;5 & C$J P";V;4 T"$T$M&4T5F 54&; &&4T$ ;;
P$" ;$F& 4SO ;TL & SCL&"&$ VO
Dr. Alexandru Da%id
-denta iile *ar iale care determin scderea DV+ sunt ;ntotdeauna greu de
*rotezat.
6n aceste cazuri sta'ilirea *lanului de tratament este cheia succesului.
Aceast *rezentare ; i *ro*une s in%estigheze factorii de care de*inde o
'un *lanificare a tratamentului i cum aceasta tre'uie s cores*und ne%oilor i
cererilor indi%iduale ale *acientului.
!efacerea DV+ este o *rocedur dificil< care necesit aten ie i tim*< un
rol esen ial a%)ndu4l *rotezarea *ro%izorie.
!ezultatul final este ;nsumarea mai multor eta*e *re*rotetice i *rotetice< de
a cror corectitudine de*inde sntatea i satisfac ia *acientului.
ST5;5 &P;&M;OFO#;C P";V;4 $K&CT$"&$ P";4 C$";&
F$ COP;;; & 1-2 $4; ;4 35C5"&T;
&P;&M;OFO#;C$F ST5N "&#$";4# C$";&S
&MP&";&4C& ;4 1-2 N&$"S-OF C=;F"&4 K"OM
35C=$"&ST
Pre*. Dr. Daciana Bmarandache< Prof. Dr. !odica "uca
$co*ul studiului a fost e%aluarea afectrii *rin carie a co*iilor ;n momentul
;n care ;nce* clasa ;nt)i.
Material i metod. $4a realizat un studiu trans%ersal *e 1// de co*ii S0/1
feteO %)rsta medie I<Ae/<@O mediana I<AA aniT. #o*iii au fost examina i ;n slile de
clas conform criteriilor ela'orate de +M$ S022IT. $4au ;nregistrat *rezen a i
distri'u ia cariilor Sleziuni ca%itareT< a o'tura iilor i din ii extra i datorit *roceselor
carioase. $4au calculat *re%alen a SI*T i %alorile medii i inter%alele de ;ncredere
*entru indicii care ex*rim acti%itatea carioas *entru ;ntregul lot i se*arat *entru
fiecare sex SdmftWdmfs< DM7TWDM7$< indexul $i#,/T. Datele au fost *relucrate
utiliz)nd *rogramul ]indoFs $P$$ 0@./.
!ezultate. Din ii tem*orari8 *rocentul de co*ii fr carii 1I<@V
S'ie icfetec1I<@VT. I*c I1<@VO dmftc,<5@e,<@, S'ie ic,<2@e,<AO fetec,<I,e,<@?<
nsTO $i#,/c5<,@e0<21 S'ie ic5<@e1<11< fetecI<51e0<@5< nsTO dmfsc5<IIe2<AI
S'ie ic5<2Ie 2<55< fetec5<@@e2<?1< nsT. Din ii *ermanen i8 *rocentul de co*ii fr carii
I0<@V S'ie icI?<@V< fetecA5<?VT< I*c 15<@V S'ie ic1@<@V< fetec,0<AVTO
21
DM7Tc/<@2e0</2 S'ie ic/<?2e/<25< fetec/<A5e0<2< nsTO $i#,/c0<2@e0<0?
S'ie ic0<Ie/<2O fetec1e0<@5< nsTO DM7$c /<I0e0<?1 S'ie ic/<@2e0<1?<
fetec/<5?e0<A< nsT.
#oncluzii. Procentul de co*ii fr carii este mult mai mic dec)t cel
recomandat de +M$. + treime dintre co*ii au o*t din i tem*orari afecta i. 6n denti ia
*ermanent a*roximati% doi din i sunt caria i S$i# ,/c0<2@e0<0?T la o treime dintre
co*ii< ceea ce su'liniaz necesitatea a*licrii unor msuri locale< indi%idualizate< de
*re%enire a cariei dentare.
#u%inte cheie8 caria dentar< ex*erien a carioas< co*ii colari
+'>ecti%e8 To asses the carious ex*erience of children at the 'eginning of
the first grade.
Material and methods8 A crossectional studE Fas conducted on 1// children
S0/1 girls< mean agecI.Ae/.@O median I.AA aniT. $u'>ects Fere examined in
classrooms according to ]H+ criteria S022IT. Presence and distri'ution of caries
Sca%itarE lesionsT< fillings and teeth missing due to caries Fere recorded. There Fere
determined8 the *re%alence index SI*T< mean %alues and confidence inter%als for
dmftWdmfs< $i#,/ Index< DM7TWDM7$ for the entire grou* and se*aratelE for 'oEs
and girls. Data Fas analEzed using ]indoFs $P$$ 0@./.
!esults. PrimarE teeth8 caries4free children8 1I.@V S'oEscgirlsc1I.@VTO
I*cI1.@VO dmftc,.5@e ,.@, S'oEsc,.2@ e ,.AO girlsc,.I,e,.@?< nsTO $i# ,/c5.,@e0.21
S'oEsc5.@e1.11< girlscI.51e0.@5< nsTO dmfsc5.IIe2.AI S'oEsc5.2Ie 2.55<
girlsc5.@@e2.?1< nsT. Permanent teeth8 caries free children I0.@V S'oEscI?.@V<
girlscA5.?VT< I*c 15.@V S'ie ic1@.@V< fetec,0.AVTO DM7Tc/.@2e0./2
S'oEsc/.?2e/.25< girlsc/.A5e0.2< nsT< $i#,/c0.2@e0.0? S'oEsc0.Ie/.2O girlsc1e0.@5<
nsTO DM7$c /.I0e0.?1 S'oEsc/.@2e0.1?< girlsc/.5?e0.A< nsT.
#onclusions. The *ercentage of caries4free children Fas 'eloF ]H+
recommendations. +ne third of the children had eight *rimarE teeth affected. In
*ermanent dentition one third of the children had a'out tFo decaEed teeth
S$i#,/c0.2@e0.0?T< so these *oints out the im*ortance of indi%idualized local
*re%enti%e strategies for dental caries.
HeEFords8caries ex*erience< dental caries< schoolchildren
ST5;5F ;4T&"$CP;54;; M$T&";$F&FO" POF;M&";C&
MO&"4& C5 ST"5CT5";F& 5"& &4T$"&
ST5N OK MO&"4 POFNM&";C M$T&";$FS
;4T&"$CT;O4 Q;T= &4T$F =$" ST"5CT5"&S
Asist. Dr. Bogdan Mihai l'inau\< Dr. Dan Hersch'ach\\< Dr. Ing.
7lorin Miculescu\\\< Dr. !aluca rigoriu\< Prof. Dr. Ion Ptracu\
\\Practic *ri%at< Bahnartzte in $chFa'iCum< Munchen< ermania
\\\.ni%ersitatea Politehnic din Bucureti
$co*ul acestui studiu este e%aluarea in %itro< static i dinamic< a interfe(ei
dintre materialele *olimerice moderne i (esuturile dure dentare cores*unztoare.
Material i metod. $tudiul con(ine 1 eta*e de cercetare. + *rim eta* ;n
care se realizeaz analiza cu a>utorul micrografiei de scaning a interfe ei dintre
2,
"ez!mate
materialele de restaurare direct i esuturile dure dentare i cea de a doua eta*a ;n care
se realizeaz o analiz dinamic a interfe ei mai sus amintite.
6n acest studiu am utilizat din(i extrai integri< *remolari i molari< la ni%elul
crora s4au *re*arat ca%it(i clasa ti* M+D. Acestea au fost realizate folosindu4se freze
fine i extrafine la tura(ie ;nalt i con%en(ional conform indica(iilor de *re*arare
citate ;n literatura de s*ecialitate.
6n *rima eta* s4a realizat restaurarea direct a ca%it(ilor o'(inute<
temociclarea *ro'elor< urmat de analiza electrono4microsco*ic a interfe(ei. .lterior<
;n cea de a doua eta*< am folosit *rocedurile s*ecifice sistemului #erec , *entru
o'(inerea inlaE4urilor i de asemenea sistemul MultilinC *entru fixarea acestora la
ni%elul ca%it(ilor o'(inute.
Pro'ele astfel o'(inute %or fi ;m*r(ite ;n trei gru*uri de testare8 gru*ul I un
gru* martor 3 nu %a fi su*us for(elor ocluzale< gru*ul II 3 for(ele ocluzale la care %or fi
su*use *ro'ele %or a%ea o direc(ie *er*endicular< gru*ul III 3 for(ele ocluzale la care
%or fi su*use *ro'ele %or a%ea o direc(ie la ?@ de grade. ru*urile %or fi *regtite i
e%aluate cu a>utorul microsco*iei electronice. Punctul de interes %a fi interfa(a o'(inut
at)t la ni%el (esut dur dentar 3 ciment MultilinC< c)t i MultilinC 3 inlaE ceramic. $e %a
realiza termociclarea i su*unerea *ro'elor la for(ele cores*unztoare *rotocolului.
!ezultate. #oncluzii $tudiul efectuat a furnizat informa(ii amnun(ite cu
*ri%ire la gradul de etaneitate o'(inut *rin utilizarea tehnicilor i a materialelor
*olimerice moderne.
The *ur*ose of this studE is static and dEnamic in %itro e%aluation of
modern *olEmeric materials interaction Fith dental hard structures.
Materials and methods8 This studE contains 1 research directions The
*ur*ose of first studE Fas to e%aluate the *ossi'ilities of classical and modern
in%estigation techniRues of the interface 'etFeen hard tooth structures and restorati%e
materials. The second studE is searching for anE changes in the adhesi%e interface
'etFeen the tooth and fullE ceramic inlaE after undergoing all the mechanical and
thermal stresses these changes Fould ha%e re*ercussions on the clinical 'eha%ior of the
restoration.
M+D ca%ities Fere made in *ermanent< intact teeth< molars and *remolars.
]e used fine and extrafine 'urs at normal and high s*eed rotation according to the
literature.
In the first studE ca%ities Fere clogged Fith coronarE different restorati%e
materials< the sam*les Fere termocEcled and examined using electronomicrosco*E.
7urther on< Fe used #erec, s*ecific *rocedures for o'taining all4ceramics inlaEs and
also MultilinC sEstem for fixing them.
The sam*les thus o'tained Fere di%ided in three test grou*s8 the 0st grou*<
the control grou*< Fas not su'>ect to anE oclusal force< the 1nd grou* 3 oclusal forces
had *er*endicular direction< the ,rd grou* 3 oclusal forces had a ?@ degree direction.
The sam*les Fere examined using electronomicrosco*E. The *oint of interest Fas the
dental tissue 3 MultilinC and also MultilinC 3 ceramic inlaE. The thermocEcling
*arameters and oclusal force %alues Fere conducted according to examination
*rotocol.
!esults< #onclusions8 The studE *ro%ided detailed information on
microleaCage degree o'tained 'E using the adhesi%e technics and modern *olEmeric
materials.
2?
S5P"$P"OT&J$"&$ P& ;MPF$4T5"; C5 ;$M&T"5 "&5S
4 &&4T$P;$ TOT$FL
T"&$TM&4T OK COMPF&T& &&4T5FO5S Q;T= 4$""OQ
&4T$F ;MPF$4T OV&"&4T5"&
-denta(ia total *rezint as*ecte clinice cu o mare %aria'ilitate< care ridic
de multe ori dificult(i ;n *rotezarea con%en(ional. $u*ra*rotezarea *e im*lanturi
aduce ;m'unt(iri e%idente ;n echili'rul *rotezelor i satisfacerea func(ional a
*acientului. .tilizarea im*lantelor cu diametru redus la edentatul total< numite i
im*lanturi de sta'ilizare a *rotezelor< ofer o serie de a%anta>e ;n *lus fa( de
im*lanturile con%en(ionale8 inter%en(ii non in%azi%e< scurtarea eta*elor de tratament<
*osi'ilitatea de ;ncrcare imediat i de ;nlocuire a im*lanturilor ;n caz de eec< costuri
mai reduse etc. -xem*lificrile clinice *rin utilizarea miniim*lanturilor ,M -$P- sau
im*lantuti cu diametru redus ti* mini$CE Bredent< %in s confirme as*ectele anterior
*rezentate.
#u%inte cheie8 edentat total< su*ra*rotezare< im*lanturi cu diametru redus
#om*lete edentulous is a clinical condition characterized 'E an increased
%aria'ilitE of its clinical features< Fhich raises numerous difficulties during
con%entional com*lete denture manufacturing. Im*lant su**orted o%erdenture ensures
an increased denture 'alance< Fith *atientUs satisfaction regarding de%iceUs
functionalitE. In com*lete edentulous< using narroF dental im*lants< named also
denture sta'ilization im*lants< has se%eral ad%antages com*ared to con%entional
im*lants8 minimal in%asi%e surgical *rocedures< shortening the clinical *hases<
*ossi'ilitE of immediate im*lant loading< easiness of im*lant re*lacement Fhen
im*lant failure occurs< loFer costs etc. #linical cases of narroF im*lant su**orted
o%erdentures< using ,M -$P- mini im*lants and Bredent mini$CE dental im*lants<
Fill 'e *resented< higlinting the *re%oius statements.
HeEFords8edentulous< o%edentures< narroF im*lants
T&C=4OFO#;C$F ST"$T&#;&S TO CO4T"OF T=& 3;OK;FM
KO"M$T;O4 O4 ;MPF$4TS $4 P"OST=&T;C M$T&";$FS
Prof. Dr. "ia !imondini
.ni%ersitE of Piemonte +rientale Âmedeo A%ogadro:< =o%ara< ItalE
Bacterial contamination of im*lanted de%ices is a common cause of their
failure. Micro'ial contamination of the 'iomaterials differs from that of natural tissues.
In fact< the contamination modalities of medical de%ices de*end on manE *eculiar
factors related to them8 the chemistrE of the 'iomaterial< the *hEsical *ro*erties of the
surface< the design of the medical de%ice< the extension of surgical in%asion< and the
time of a**lication. The en%ironment andWor the conditions and res*onse of the host
also contri'ute to the de%elo*ment of infection.
Viruses< fungi< *rotozoas and 'acteria are all in%ol%ed in 'iomaterial
contamination. TheE are endogenous commensals of the mouth< not %irulent in
*lanCtonic form< 'ut *athogens Fhen arranged in 'iofilm.
2@
"ez!mate
The surface of the materials *laEs a *i%otal role in 'iofilm formation.
$urface energE< micromor*hologE< roughness and sta'ilitE of the material ha%e 'een
*ro%en to affect susce*ti'ilitE of 'iofilm adhesion and earlE de%elo*ment. Therefore<
'iomaterials surface characteristics could *romote or re*ress 'acterial adhesion and
colonization.
In this lectures the modalities of oral 'iofilm formation onto oral im*lants
and *rosthetic materials and the strategies to contrast it Fill 'e discussed. TheE Fill
include crEstallogra*hic modifications of Ti+
1
< ion im*lantations and functionalization
of the surfaces Fith anti'acterial su'stances.
T&=4;C; & S5T5"L 4 C=;"5"#;$ P"&P"OT&T;CL %
=$4S O4
Dr. Andrei4Alexandru TonCo
Medic !ezident< 7acultatea de Medicin Dentar< .M7 9#arol Da%ila:< Bucureti
$utura este o mano*er esen(ial ;n asigurarea %indecrii *redicti'ile
*ostinter%en(ionale. #u toate acestea deseori im*ortan(a ei este minimizat. + 'un
cunoatere a tehnicilor de sutur *recum i a a%anta>elor i deza%anta>elor acestora ;n
asociere cu o exersare *reala'il *e modele cu gingie artificial se >ustific *entru a
crete gradul de corectitudine al mano*erei.
Vor fi *rezentate 01 tehnici de sutur cu indica(ii< a%anta>e< deza%anta>e i
modul de realizare. Partici*an(ii %or exersa tehnicile de sutur *e modele cu gingie
artificial.
T&"$P;$ ;MPF$4TO-P"OT&T;CL 4 &&4T$P;;F&
T&"M;4$F&
Dr. #ristian Ba'u
+'iecti%8 Prezentarea *as cu *as a eta*elor tera*eutice ;n tera*ia im*lanto4
*rotetic< ;n , cazuri clinice.
Material i Metod8 , *acien(i edenta(i terminal au fost *roteza(i< *rin lucrri
dentare metalo4ceramice< ancorate *e im*lanturi endo4osoase.
#oncluzii8 -denta(iile terminale se *ot *roteza cu succes *rin tera*ia
im*lanto4*rotetic. 7actorii ce *ot limita acest tratament (in de oferta osoas sau de
s*a(iul *rotetic necesar restaurrii *rotetice.
T&"&45F P$"OO4TOP$T ; &C;J;$ & ;MPF$4T$"&
;4;V;5$F S5SC&PT;3;F;TN K;&F TO P&";OO4T;T;S
$4 &C;S;O4 KO" ;MPF$4T$T;O4
.ni%ersitatea de Medicin i 7armacie 9r. T. Po*a: 3 Iai
2A
6n ultimele , decenii im*lanturile dentare au de%enit din ce ;n ce mai
folosite ca o alternati% la con%en(ionala *rotez dentar amo%i'il. .n numr de
studii clinice au indicat c tera*ia im*lantar are un *rognostic fa%ora'il *e termen
lung. !ata mare de su*ra%ie(uire clinic i la *acien(ii *ar(ial edenta(i a dus la o
acce*tare i utilizare de im*lanturi orale *e scar larg. Dei im*resia general de
utilizare a tera*iei im*lantare este dat de rata de succes mare< o serie de *ro'leme *ot
sa a*ar du* im*lantare. 7actori cum ar fi calitatea osului< traumatismul chirurgical
sau contaminarea 'acterian ;n tim*ul inter%en(iei chirurgicale de im*lantare au fost
asocia(i cu eecuri *recoce. $u*rasarcina< definit ca o situa(ie ;n care sarcina a*licat
*rin *rotezare *e im*lante de*ete ca*acitatea interfe(ei os4im*lant de a rezista la ea
odat ce *roteza este inserata< este alt cauz *osi'il de eec a im*lantului. 7actorii
asocia(i cu eecurile tardi%e ale im*lantrii sunt mai 'ine ;n(elei i *ar a fi lega(i at)t
de mediul *eri4im*lantar c)t i de *arametrii gazd. Micro'iota asociat cu *eri4
im*lantite cores*unde cu cea o'ser%at la site4uri cu *arodontit a%ansat i a sugerat
c agen(ii *atogeni *rezen(i ;n *ungile *arodontale ale din(ilor ar *utea coloniza noile
im*lanturi inserate i %or duce la riscul de com*romitere tisular *eriim*lantar. "a
*acien(ii edenta(i *ar(ial< microorganismele din *ungile *arodontale *ot ac(iona ca un
rezer%or de colonizare a zonei su'gingi%ale din >urul im*lanturilor i au fost
demonstrate *eriim*lantite la *acien(i cu im*lanturi ;n edenta(ii *ar(iale< mai frec%ent
datorate Actino'acillus actinomEcetemcomitans< Por*hEromonas gingi%alis i
Pre%otella intermedia com*arati% cu succesul tera*eutic ;n im*lanturi la edentatii total.
$usce*ti'ilitatea indi%idualm este considerat ca reac(ie mai intens la un agent
infec(ios i care rezid ;ntr4o afectare tisular mai a%ansat. Prin urmare< *oate fi
rezona'il s se antici*eze c riscul de infec(ii *eri4im*lantare este mai mare la
*acien(ii cu antecedente de 'oal *arodontal. Acest lucru *oate fi deose'it de a*arent
;n cazul ;n care 'oala *arodontal nu este controlat ;n momentul im*lantarii. Aceasta
ar *utea duce la o rat de insucces al tratamentului *e im*lante la aceast categorie de
*acien(i.
Pe 'aza datelor limitate< se *are >ustificat s se concluzioneze c rezultatul
tratamentului cu im*lante la *acien(ii *arodonto*a(i *oate fi diferit fa( de cei fr
astfel de istoric du* cum reiese din *ierderea de s*ri>in osos i *ierderea im*lantului.
In the last three decades< dental im*lants ha%e 'ecome increasinglE used as
an alternati%e to con%entional remo%a'le dentures. $e%eral studies ha%e indicated that
im*lant thera*E has a fa%ora'le long4term *rognosis. The high rate of sur%i%al e%en in
*artiallE edentulous *atients has led to acce*tance and use of oral im*lants FidelE.
Although the o%erall im*ression of using im*lant thera*E is gi%en 'E the high success
rate< a num'er of *ro'lems can occur after im*lantation. 7actors such as 'one RualitE<
surgical trauma or 'acterial contamination during im*lant surgerE ha%e 'een
associated Fith earlE failures. +%erload is defined as a situation Fhere the a**lied load
exceeds the ca*acitE of the *rosthetic im*lant 'one4im*lant interface to resist it once
the *rosthesis is inserted< is another *ossi'le cause of im*lant failure. 7actors
associated Fith late failures of im*lantation are 'etter understood and a**ear to 'e
related 'oth *eri4im*lant en%ironment and host *arameters. Micro'iota associated Fith
*eri4im*lantitis corres*onds to that o'ser%ed in sites Fith ad%anced *eriodontitis and it
suggested that *athogens *resent in *eriodontal *ocCets of teeth maE colonize neF
im*lants inserted and Fill carrE the risC of com*romising tissue *eri4im*lants. In
2I
"ez!mate
*artiallE edentulous *atients< the microorganisms in *eriodontal *ocCets maE act as a
reser%oir for colonization of the su'gingi%al field around the im*lants and ha%e 'een
demonstrated *eri4im*lantitis in *artial edentulous *atients Fith im*lants< freRuentlE
due to Actino'acillus actinomEcetemcomitans< Por*hEromonas gingi%alis and
Pre%otella intermedia com*ared Fith thera*eutic success im*lants in edentulous in
total. Indi%idual susce*ti'ilitE field is considered more intense res*onse to an
infectious agent and that resides in more ad%anced tissue damage. Therefore< it maE 'e
reasona'le to antici*ate that the risC of *eri4im*lant infection is higher in *atients Fith
*eriodontal disease. This maE 'e *articularlE a**arent Fhen *eriodontal disease is not
controlled at the time of im*lants *rocedures. This could lead to a failure rate of
im*lant treatment in this *atient *o*ulation. Based on limited data< it seems reasona'le
to conclude that the outcome of im*lant treatment in *eriodontitis susce*ti'ilitE
*atients maE 'e different from those Fithout such historE as e%idenced 'E the loss of
infraosseous su**ort and im*lant loss
T&ST$"&$ 3;OC=;M;CL $ V;"5F&4P&; ; P$TO#&4;TLP;;
3;OK;FM&FO" 3$CT&";&4& 4 P&";;MPF$4T;T&
V;"5F&4C& $4 P$T=O#&4;C;TN 3;OC=&M;C$F T&ST;4#
OK 3$CT&";$F 3;OK;FMS ;4 P&";;MPF$4T;T;S
"ector. Dr. "iliana Burli'aa\< Dr. #ristian Bratu\\< Dr. Adela Ioana
Bratu\\< #onf. Dr. Mihai Burli'aa\\\< #*t. Dr. $imion heorghe
Dumitru\\\\
\7acultatea de Biologie< .ni%ersitatea din Bucureti< $ocietatea !om)n de
+steointegrare
\\$.#. A=D.BA D-=T $.!.". Bucureti< $ocietatea !om)n de +steointegrare
\\\7.M.A.M.< ..M.7. 9#arol Da%ila: Bucureti< $ocietatea !om)n de
+steointegrare
\\\\..M. 0
Introducere8 -nzimele din echi*amentul enzimatic 'acterian *ot >uca rol de
factori de %irulen(< inter%enind ;n diferite eta*e ale *rocesului infec(ios Scolonizare<
in%azie< *rotec(ie fa( de efectorii sistemului imunitarT< iar e%iden(ierea lor *rin teste
'iochimice *ermite a*recierea *oten(ialului *atogen i a gradului de %irulen( al
tul*inii izolate din *ro'e clinice. $4au efectuat teste *entru decelarea *rezen(ei
lecitinazelor< li*azelor< *roteazelor Scazeinaz i gelatinazT< hidroliza esculinei<
amilazele< D=4azele 'acteriene.
$co*ul acestui studiu< este acela de a e%iden(ia *rin teste 'iochimice factorii
de %irulen( i *atogenitate ai 'iofilmelor Stul*inilorT 'acteriene *ro%enite din
com*lica(iile *eriim*lantare8 *eriim*lantite i *erimucozite.
Material i metod8 6n *erioada 1/0/41/01 au fost *rele%ate *ro'e
micro'iene de la un numr de 0, *acien(i< care au *rezentat com*lica(ii *eriim*lantare.
Au fost izolate ,/ de tul*ini micro'iene aero'e i ,/ de tul*ini micro'iene anaero'e.
-xaminarea microsco*ic a tul*inilor izolate *e diferite medii de cultur solide *rin
colora(ia ram a e%iden(iat o micro'iot di%ersificat cu morfologii %ariate8 coci
ram4*oziti%i< coco'acili ram4*oziti%i< 'acili ram4negati%i i ram4*oziti%i< le%uri<
actino'acterii etc.
25
!ezultate8 Analiza *rin teste 'iochimice a factorilor de %irulen( i
*atogenitate a *us ;n e%iden( fa*tul c< ma>oritatea tul*inilor aero'e testate
hidrolizeaz esculina S?@V dintre tul*iniT< *entru o'(inerea ionilor de fier necesari
*roceselor meta'olice ale celulei. ?5<1@V din totalul tul*inilor 'acteriene aero'e
studiate *roduc hidroliza *roteinelor la *e*tide i aminoacizi< fiind astfel im*licate ;n
distrugerea (esuturilor gazdei i ;n *rogresia infec(iei. Amilaza a fost *rezent la ?0<?V
din totalul tul*inilor aero'e< testul *entru e%iden(ierea D=4azelor a fost *oziti% ;n cazul
a ,,V dintre tul*inile aero'e< ;n tim* ce lecitinaza i li*aza au fost decelate la 1I<@V<
res*ecti% 1/<IV dintre tul*inile aero'e< acestea a%)nd rol ;n formarea *orilor ;n
mem'rana celulelor eucariote i alterarea con(inutului li*idic al acestora. 6n cazul
tul*inilor anaero'e izolate s4a o'ser%at c I/V dintre acestea *ot degrada amidonul<
datorit *rezen(ei amilazei< iar @@ V dintre tul*inile anaero'e *roduc D=4az.
#oncluzii i im*lica(ii clinice8 $*re deose'ire de tul*inile aero'e< ex*resia
de factori de %irulen( solu'ili a fost mai sczut ;n cazul tul*inilor micro'iene
anaero'e< ;ns ;n cazul acestor tul*ini sunt *redominan(i factorii im*lica(i ;n
distrugerea mecanismelor de a*rare ale gazdei SD=4aza< lecitinaza< esculinaT< ;n
%ederea asigurrii unei mai 'une *roliferri. Acest lucru denot c aceti factori *ot
accelera ca*acitatea de infec(iozitate< de in%azie i de toxigenitate a 'iofilmelor
micro'iene *rezente ;n *eriim*lantite.
#u%inte cheie8 testare 'iochimic< 'iofilme 'acteriene< *eriim*lantite
BacCground8 -nzEmes from 'acterial enzEme eRui*ment can *laE the role
of %irulence factors< inter%ening at different stages of infection Scolonization< in%asion<
*rotection from effectors of immune sEstemT< and their highlighting through
'iochemical tests *ermits the assessment of the *athogen *otential and the degree of
%irulence for the strain isolated from clinical sam*les. Tests Fere *erformed to detect
the *resence of lecithinases< li*ases< *roteases Scaseinase and gelatinaseT< esculin
hEdrolEsis< amElases< 'acterial D=4ase.
Aim8 The aim of this studE is to highlight 'E 'iochemical tests< the %irulence
and *athogenicitE factors of 'acterial 'iofilms SstrainsT from *eriim*lantitis and
*ermucositis.
Material and methods8 During 1/0/41/01 micro'ial sam*les Fere taCen
from a total of 0, *atients Fho ex*erienced *eriim*lantitis. There Fere isolated ,/
micro'ial aero'ic strains and ,/ anaero'ic sam*les. Microsco*ic examination of
strains isolated on different solid culture media 'E ram staining re%ealed a di%erse
micro'iota Fith different mor*hologies8 cocci ram4*ositi%e< ram4*ositi%e
coco'acili< ram4negati%e and ram4*ositi%e Eeasts< actino'acteria< etc.
!esults8 AnalEsis of 'iochemical tests for %irulence and *athogenicitE
re%ealed that most aero'ic strains hEdrolEze the esculina S?@V of strainsT< to o'tain the
necessarE iron ions for the *rocess of cell meta'olism. ?5.1@V of the total aero'ic
'acterial *roduce hEdrolEsis of *roteins to *e*tides and amino acids< 'eing in%ol%ed in
host tissue destruction and *rogression of infection. AmElase Fas *resent in ?0.?V of
the total aero'ic strains< the D=4ase test Fas *ositi%e for ,,V of aero'ic strains< Fhile
lecithinase and li*ase Fere found in 1I.@V< res*ecti%elE 1/.IV of aero'ic strains<
these ha%ing a role in *ores de%elo*ment in the mem'rane of euCarEotic cells and in
altering their li*id content. 7or anaero'ic strains Fas noted that I/V of them can
degrade the starch< due to the *resence of amElase< and @@V of anaero'ic strains
*roduce D=4ase.
22
"ez!mate
#onclusions and clinical im*lications8 .nliCe the aero'ic strains< ex*ression
of solu'le %irulence factors Fas loFer for anaro'e micro'ial strains< 'ut factors
in%ol%ed in the destruction of host defense mechanisms SD=4ase< lecitinase< esculinT
are *redominant< in order to ensure a 'etter *roliferation. This shoFs that these factors
maE accelerate the a'ilitE of infecti%itE< in%asion and the toxigenic of micro'ial
'iofilms detected in *eriim*lantitis.
HeEFords8'iochemical testing< 'acterial 'iofilms< *eriim*lantitis
T"$T$M&4T5F ;MPF$4TO-P"OT&T;C F$ O P$C;&4TL
TO4L"L C5 &&4T$P;& T&"M;4$FL CFS ;; D&44&N
Dr. "aura Maria Mrgrit< Dr. $ergiu Alexandru !dulescu
+'iecti%8 analiza atent i atitudinea tera*eutic ada*tat i nuan(at a
cazului clinic.
Material i metod8 acordul si dis*oni'ilitatea *acientei *e *arcursul
tratamentuluiO examene *araclinice8 orto*antomografie< com*uter tomograf< fotografii
!ezultate8 o'(inerea unui rezultat func(ional i estetic urmrind as*ectele
fizio4*atologice i fizionomice ce tre'uie luate ;n considera(ie.
#oncluzii8 ;n cazul edenta(iei terminale la *acien(ii tineri< im*lanturile
dentare sunt considerate o solu(ie de *referat celor mai multe sisteme de *rotezare.
Im*lantologia dentar cunoate astzi o am*loare deose'it datorit dez%oltrii
tehnologiei i a ex*erien(ei c)tigate ;n tim*.
T"$T$M&4T5F 4&C=;"5"#;C$F $F 545; ;4T& STOFP &
P54T& C5 F&J;54& P&";$P;C$FL &MT;4SL
4O4-S5"#;C$F T"&$TM&4T OK $4 $35TM&4T TOOT=
Q;T= &MT&4& P&";$P;C$F F&S;O4
Asist. Dr. !uxandra Mrgrit\< &ef lucr. Dr. +ana #ella Andrei\< &ef lucr.
Dr. #risti Dguci\\
\\7acultatea de Medicin Dentar< .M7 #raio%a
"eziunile *eri*icale situate la ni%elul din(ilor st)l*i de *unte *ot 'eneficia
de tratament endodontic urmat de inter%en(ie chirurgical de rezec(ie a*ical< dar o
metod mai conser%atoare de tratament o re*rezint tratamentul nechirurgical< ce ar
tre'ui s fie *rima o*(iune de luat ;n calcul. Tratamentul endodontic *oate fi realizat
*rin tre*anarea coroanei sau mai indicat du* ;nde*rtarea lucrrii *rotetice cu
*strarea acesteia *entru recimentare.
Hidroxidul de calciu endocanalicular s4a do%edit a fi un material eficient ;n
tratamentul leziunilor *eria*icale< a%)nd o ac(iune 'actericid asu*ra
microorganismelor din s*a(iul endodontic. Dac tratamentul mecanic de canal este
urmat de a*licarea ;n interiorul canalului radicular a hidroxidului da calciu i a
iodoformului< rezultatele o'(inute *ot fi fa%ora'ile< %indecarea leziunilor *eria*icale
o'(in)ndu4se fr a fi necesar o inter%en(ie chirurgical.
Ma>oritatea *acien(ilor ce au 'eneficiat de tratament nechirurgical al
leziunilor a*icale nu au *rezentat sim*tomatologie du* *erioada de monitorizare< iar
0//
;n urma examenului radiologic s4a o'ser%at reducerea ;n dimensiune sau chiar
dis*ari(ia inflama(iei *eria*icale. Diferitele studii au artat c tratamentul conser%ator
al *arodontitelor a*icale *rezint o rat de succes ce o de*ete *e cea a tratamentului
chirurgical. A%anta>ele tratamentului nechirurgical al leziunilor a*icale ale din(ilor
st)l*i< mai ales cele de natur *sihologic< fac ca acest tratament s fie recomandat ca
*rim o*(iune de rezol%are a *atologiei *eria*icale.
#u%inte cheie8 dinte st)l*< leziune *eria*ical< tratament nechirurgical
"arge *eria*ical lesions located at the 'ridge a'utment teeth can 'e
managed 'E endodontic treatment folloFed 'E surgical excision< 'ut a more
conser%ati%e a**roach is to treat them 'E conser%ati%e methods Fhich should 'e the
first o*tion to taCe. The endodontic treatment can 'e *erformed through the croFn or
'etter Fe can trE to remo%e the croFn or 'ridge in order to Cee* it.
-ndocanalicular calcium hEdroxide *ro%ed to 'e effecti%e in treating
*eria*ical lesions< ha%ing 'actericidal acti%itE against microorganisms from
endodontic s*ace. If mechanical treatment is folloFed 'E the a**lication inside the
root canal of the calcium hEdroxide and iodo*horm< the results are fa%ora'le resulting
in *eria*ical lesions heal Fithout reRuiring surgerE.
Most *atients Fho recei%ed nonsurgical treatment of a*ical lesions shoFed
no sEm*toms after the monitoring *eriod< and after radiological exam< reduction in
size Fas o'ser%ed or e%en disa**earance of *eria*ical inflammation. Different studies
ha%e shoFn that conser%ati%e treatment of a*ical *eriodontitis has a success rate that
exceeds that of surgerE. Ad%antages of nonsurgical treatment of a*ical lesions of the
a'utment teeth< es*eciallE the *sEchological ones< maCe this treatment to 'e
recommended as first o*tion for resol%ing *eria*ical *athologE.
HeEFords8a'utment< *eria*ical lesion< nonsurgical treatment
T"$T$M&4T5F STOM$TOFO#;C $F $P4&&FO"
O3ST"5CT;V& & SOM4
Dr. iuse**e Burlon
Voluntar +%erland for $mile
$omnul este o stare ;n care a*ar modificri ale res*ira(iei s*ecifice
sindromului de a*nee o'structi% S+$A$T< modificri ce ;n stare de %eghe nu exist.
+$A$ este o condi(ie caracterizat de e*isoade re*etate de o'struc(ie a cilor
res*iratorii su*eriore ;n tim*ul somnului asociate cu reducerea satura(iei
oxihemoglo'inice i cu *ertur'ri ale somnului< sforit *uternic i somnolen( diurn<
uneori urmate de sechele cardio%asculare i neuro com*ortamentale. 6n *rezent sunt
diagnostica(i ;n >ur de 0.5//./// italieni.
.imitor este fa*tul c des*re o *ro'lem at)t de des ;nt)lnit i deran>ant s4
a ;nce*ut s se %or'easc ;n lume doar ;n ultimii ,/ de ani< ;ns i mai su*rtor este
fa*tul c ;n Italia este o *atologie a*roa*e necunoscut i extrem de su'estimat.
$im*tomele clasice< ;n afar de sforit i somnolen( diurn sunt8 o'oseal
cronic< nicturie< im*oten( sexual legat de scderea li'idoului< cefalee la trezirea de
diminea(< mrirea tensiunii arteriale< aritmii cardiace i *rezen(a dia'etului zaharat.
Analiza de referin( *entru diagnosticarea *acientului sus*ectat de +$A$
este *olisonografia. + a'ordare mai sim*l a *atologiei este re*rezentat de sisteme de
0/0
"ez!mate
monitorizare cardiores*iratorie care *ot fi urmrite i la domiciliul *acientului i cu
care< conform *olisonografiei nu se ;nregistreaz semnale de sta'ilire a fazelor
somnului i informa(ii des*re cantitatea i calitatea somnului *acientului. Din *unct de
%edere *ractic aceste sisteme de monitorizare cardiores*iratorie furnizeaz ;n schim' o
informa(ie corect des*re gra%itatea *atologiei.
Pentru tratamentul sindromului a*neei o'structi%e #PAP4ul< care
administreaz aer cu *resiune *oziti% continu cu masc nazal sau nazo4'ucal<
re*rezint de acum tera*ia cea mai eficace dac este *rescris i executat corect.
6n caz de sforit S+$A$ 4 +'struction $lee* A*nea $Endrome< AHI 3 a*nea
hE*o*nea index mic @40@ sau AHI moderat 0@4,/T< 7DA din America S7ood end Drug
AdministrationT a a*ro'at i certificat folosirea *rotruzorului mandi'ular.
-ste %or'a des*re un a*arat oral montat de ctre medicul dentist i *urtat de
ctre *acient ;n tim*ul no*(iiO rolul sau este de a ;m*inge ;n fa( mandi'ula i o dat cu
ea lim'a< mrind diametrul s*a(iului retro4faringian astfel *ermi()nd trecerea corect a
aerului res*irat.
T"$T$M&4T5F STOM$TOFO#;C $F $P4&&FO"
O3ST"5CT;V& & SOM4
Dr. iuse**e Burlon
Voluntar +%erland for $mile
$omnul este o stare ;n care a*ar modificri ale res*ira(iei s*ecifice
sindromului de a*nee o'structi% S+$A$T< modificri ce ;n stare de %eghe nu exist.
+$A$ este o condi(ie caracterizat de e*isoade re*etate de o'struc(ie a cilor
res*iratorii su*eriore ;n tim*ul somnului asociate cu reducerea satura(iei
oxihemoglo'inice i cu *ertur'ri ale somnului< sforit *uternic i somnolen( diurn<
uneori urmate de sechele cardio%asculare i neuro com*ortamentale. 6n *rezent sunt
diagnostica(i ;n >ur de 0.5//./// italieni.
.imitor este fa*tul c des*re o *ro'lem at)t de des ;nt)lnit i deran>ant s4
a ;nce*ut s se %or'easc ;n lume doar ;n ultimii ,/ de ani< ;ns i mai su*rtor este
fa*tul c ;n Italia este o *atologie a*roa*e necunoscut i extrem de su'estimat.
$im*tomele clasice< ;n afar de sforit i somnolen( diurn sunt8 o'oseal
cronic< nicturie< im*oten( sexual legat de scderea li'idoului< cefalee la trezirea de
diminea(< mrirea tensiunii arteriale< aritmii cardiace i *rezen(a dia'etului zaharat.
Analiza de referin( *entru diagnosticarea *acientului sus*ectat de +$A$
este *olisonografia. + a'ordare mai sim*l a *atologiei este re*rezentat de sisteme de
monitorizare cardiores*iratorie care *ot fi urmrite i la domiciliul *acientului i cu
care< conform *olisonografiei nu se ;nregistreaz semnale de sta'ilire a fazelor
somnului i informa(ii des*re cantitatea i calitatea somnului *acientului. Din *unct de
%edere *ractic aceste sisteme de monitorizare cardiores*iratorie furnizeaz ;n schim' o
informa(ie corect des*re gra%itatea *atologiei.
Pentru tratamentul sindromului a*neei o'structi%e #PAP4ul< care
administreaz aer cu *resiune *oziti% continu cu masc nazal sau nazo4'ucal<
re*rezint de acum tera*ia cea mai eficace dac este *rescris i executat corect.
0/1
6n caz de sforit S+$A$ 4 +'struction $lee* A*nea $Endrome< AHI 3 a*nea
hE*o*nea index mic @40@ sau AHI moderat 0@4,/T< 7DA din America S7ood end Drug
AdministrationT a a*ro'at i certificat folosirea *rotruzorului mandi'ular.
-ste %or'a des*re un a*arat oral montat de ctre medicul dentist i *urtat de
ctre *acient ;n tim*ul no*(iiO rolul sau este de a ;m*inge ;n fa( mandi'ula i o dat cu
ea lim'a< mrind diametrul s*a(iului retro4faringian astfel *ermi()nd trecerea corect a
aerului res*irat.
54 T";O 4 &"#O4OM;$ &4T$"L) POST5"L & F5C"5<
POJ;P;& ; V;J;3;F;T$T&
$ T";O ;4 &4T$F &"#O4OM;CS) QO"D;4# POST5"&<
POS;T;O4 $4 V;J;3;F;TN
Asist. Dr. #ristina P;r%u< Prof. Dr. Ion Ptracu< Asist. Dr. Daniela P;r%u<
&ef lucr. Dr. Mona4#orina Buzea< Pre*. Dr. Anca Axante
$*ecificul *racticii dentare< o *rofesie deose'it de dificil< o'ositoare i care
solicit *racticienii ;ntr4un mod foarte dinamic i com*lex a dus la cutarea unei
maniere de lucru care s conduc la un randament maxim ;n condi(iile unor costuri
umane minime. Astfel de *reocu*ri au existat dintotdeauna ;n toate domeniile muncii
regsindu4se actualmente ;n cadrul unei tiin(e deose'it de com*lexe denumit
ergonomie.
-rgonomia dentar nu *oate fi conce*ut ;n afara ergonomiei generale<
*rinci*iile de 'az fiind *reluate de la aceasta. Din *cate ;ns no(iunile teoretice i
*ractice care fundamenteaz aceast tiin( sunt ;nc *u(in cunoscute i adesea
ignorate. Prezentarea de fa( ;i *ro*une s su'linieze modul ;n care ergonomia dentar
ar *utea s adauge %aloare %ie(ii *rofesionale a tuturor celor ce fac *arte din echi*a de
lucru.
A fost realizat o analiz atent a rela(iei de condi(ionare ;ntre trei as*ecte
ce (in de *ractica curent a oricrui *ractician8 *ostura 3 ortostatism sau *e scaun< cu
diferite %ariante< *ozi(ionarea *racticianului fa( de *acient i condi(iile create *entru
%izi'ilitate direct sau indirect. #unoaterea i contientizarea ;n lucru a acestei rela(ii
este un factor ce influen(eaz ma>or confortul lucrului< cu consecin(e at)t asu*ra
eficacit(ii muncii< c)t i asu*ra strii de sntate a medicului i *re%enirea afec(iunilor
musculo4scheletale.
DentistrE in its s*ecificitE< a highlE difficult *rofession< tiring and highlE
com*lex has led to the necessitE of finding ForCing methods that are due to lead to a
maximum efficiencE Fith minimum human ex*enditure. $uch concerns are no
no%elties 3 theE ha%e 'een *resent for a long time in e%erE domain and are noF *art of
a %erE com*lex science named ergonomics.
Dental ergonomics cannot 'e concei%ed outside general ergonomics and its
'asic *rinci*les are draFn from it. .nfortunatelE< the theoretical and *ractical conce*ts
that this science Fas 'uilt on are not totallE CnoFn and often ignored. This
*resentation aims at underlining the FaE dental ergonomics could add %alue to the
*rofessional life of all the team mem'ers.
0/,
"ez!mate
Three as*ects of dental *ractice and the relation 'etFeen them ha%e 'een
e%aluated. In e%erE daE *ractice the doctor has to maCe a choice of8 ForCing *osture
Sstanding or sittingT< *osition face to the *atient head and %isi'ilitE manner Sdirect or
indirect< using a mirrorT. The ForCing comfort and the *re%ention of musculosCeletal
disorders can 'e achie%ed easilE if the dentist *aEs attention to all this as*ects and the
close connection 'etFeen them.
5T;F;J$"&$ $C;5F5; =;$F5"O4;C 4 M&;C;4$
&4T$"L
T=& 5S& OK =N$F5"O4;C $C; ;4 &4T$F M&;C;4&
$tructura *arodon(iului marginal are dre*t element constituent de 'aza din
*unct de %edere 'iochimic< acidul hialuronic.
"a ni%elul corionului gingi%al si al su'stan(ei fundamentale din
desmodontiu< acesta de gsete su' form de glico*roteine< glicozaminoglicani< ;n
cadrul com*uilor nesulfata(i dar i alturi de com*ui sulfata(i8 condroidin sulfat<
he*aran sulfat< dermatan sulfat.
Pro*riet(ile acidului hialuronic au rol ma>or ;n men(inerea fiziologiei
normale la ni%el tisular8 este hidrofil< asigur)nd gradul de hidratare i nutri(ie necesar
desfurrii *roceselor meta'olice< este cicatrizant i stimulator al *roceselor de
regenerare tisular i %indecare< este 'acteriostatic.
6n inflama(iile gingi%ale concentra(ia de acid hialuronic scade in%ers
*ro*or(ional cu gradul de afectare inflamatorie.
$tudiul de fa( are dre*t sco* e%iden(ierea *ro*riet(ilor acidului hialuronic
;n tratamentul afec(iunilor gingi%o4*arodontale.
Material i metod8 lotul de studiu a fost alctuit din 1/ de su'iec(i< femei si
'r'a(i< diagnostica(i cu *arodontit marginal cronic *rofund< fr afec(iuni
generale< sistemice asociate.
#a *rocedur tera*eutic am instituit metoda chirurgical a lam'oului
*ar(ial decolat< cu a*licare de acid hialuronic 0V<4HlAD-=T< ;n *ungile *arodontale<
du* e%idarea con(inutului *atologic al acestora.
-%aluarea statistic< *arte fundamental a acestui studiu< a a%ut ;n %edere
indici clinici o'iecti%i ai statusului *arodontal< IPSIndicele de PlacT i I$ SIndicele de
$)ngerareT< ;nainte i du* tratamentul com*lex *arodontal.
#oncluziile acestui studiu confirm< *e 'aza a*recierii clinice o'iecti%e i a
inter*retrii statistice< efectele 'enefice ale utilizrii acidului hialuronic HlAD-=T ;n
tratamentul afec(iunilor *arodontale.
6n afara acestui studiu %oi *rezenta cazuri clinice re*rezentati%e *ri%ind
modul de utilizare< *ro*riet(ile i efectele tera*eutice ale HlAD-=T ;n8 retrac(ii
gingi%aleO sinus4liftO im*lantologie.
Prezentarea este o sintez a modului ;n care HlAD-=T4acid hEaluronic
re*rezint un mi>loc eficient i %aloros ;n tera*ia chirurgical i antimicro'ian ;n
medicina dentar.
0/?
+ne of the most im*ortant com*onents of the structure of marginal
*eriodontium is a 'iochemical element< the hEaluronic acid
At the le%el of gingi%al chorion and of fundamental su'stance from the
desmodontium< hEaluronic acid could 'e found in the form of glEco*roteins<
glEcosaminoglEcans< in the non4sulfatates com*ounds and also together Fith sul*hates
com*ounds liCe8 condroidin sulfate< he*aran sulfate< dermatan sulfate.
Pro*erties of hEaluronic acid ha%e a ma>or role in maintaining the normal
*hEsiologE of the tissue8 it is hEdro*hilic< ensuring hEdration and nutrition needed to
carrE out meta'olic *rocesses< it is cicatrizing and stimulating of tissue regeneration
and healing *rocesses< and it also is 'acteriostatic.
In gingi%al inflammations the concentration of hEaluronic acid is in%erselE
*ro*ortional to the degree of inflammatorE damage.
The *resent studE aims to em*hasize the *ro*erties of hEaluronic acid in the
treatment of gingi%al4*eriodontal diseases.
Material and methods8 The studE grou* consisted of 1/ su'>ects< Fomen and
men diagnosed Fith dee* chronic *eriodontitis< Fithout anE associated generalW
sEstemic diseases.
As a thera*eutic *rocedure Fe set u* surgical *rocedure of the *artial
thicCness fla*< Fith a**lication of hEaluronic acid 0V4HlAD-=T in *eriodontal
*ocCets after their em*tEing of *athological content.
$tatistical e%aluation< a fundamental *art of this studE< has taCen into
account clinical o'>ecti%e indicators of *eriodontal status< IP S*laRue indexT and I$
S'leeding indexT< 'efore and after the com*lex *eriodontal treatment.
#onclusions of this studE confirm< 'ased on o'>ecti%e clinical assessment
and statistical inter*retation< the 'enefits of using hEaluronic acid HlAD-=T in the
treatment of *eriodontal disease.
In addition to this studE< I Fill *resent clinical cases Fhich are
re*resentati%e for the use< for *ro*erties and for thera*eutic effects of HlAD-=T in8
ingi%al recessionsO $inus4liftO im*lantologE.
This *resentation is a summarE of hoF HlAD-=T 3 hEaluronic acid is an
effecti%e and %alua'le *rocedure in surgical and antimicro'ial thera*E in dental
medicine.
5T;F;J$"&$ F$S&"5F5; 4 ;MPF$4TOFO#;$ O"$FL
T=& 5T;F;J$T;O4 OK T=& F$S&" ;4 T=& O"$F
;MPF$4TOFO#N
&ef lucr. Dr. a'riela Tnase\< Drd. -lena Manoloiu\< Dr. Tatiana
Do'ro%olschi\\< Prof. Dr. Augustin Mihai\< &ef lucr. Dr. !z%an
#hi%u\\\< #*t. Dr. $imion h. Dumitru\\\\
\7acultatea de Medicin Dentar< .M7. 9#arol Da%ila:< Bucureti< $ocietatea
\\$.# D-=TA"M-D #+M $.!."< $ocietatea !om)n de +steointegrare
\\\7.M.A.M.< ..M.7. 9#arol Da%ila: Bucureti
\\\\..M. 0I@0 Brao%< $ocietatea !om)n de +st
$co*8 Prin utilizarea laserului ;n desco*erirea im*lanturilor ;n cadrul celei
de4a doua eta* chirurgical< ;n cazul nostru ]aterlase MD< se urmrete realizarea
0/@
"ez!mate
unei inter%en(ii minim in%azi%e< cu un disconfort redus *entru *acient i o rat crescut
de %indecare.
Materiale i metode8 Au fost lua(i ;n studiu clinic un numr de ?/ de
*acien(i cu %)rste cu*rinse ;ntre 05 i A/ de ani< crora le4au fost inserate un numr
0,A de im*lanturi endoosoase ti* uru' ;n diferite sectoare ale arcadelor maxilare< iar
gingia fix care le aco*erea a%ea o l(ime mai mare de @ mm. "a *rimul lot de *acien(i
S1/ de *acien(i 3 I/ im*lanturi inserateT a fost efectuat o incizie circular a muco4
*eriostului care aco*erea im*lantul cu un 'isturiu circular montat la *iesa contraunghi<
du* care s4a ;nde*rtat cercule(ul de muco4*eriost i s4a montat conformatorul
gingi%al. "a cel de4al doilea lot de *acien(i S1/ de *acien(i 3 AA im*lanturi inserateT s4a
realizat excizia muco4*eriostului care aco*erea *latforma im*lantului cu a>utorul undei
laser S]aterlase MDT. Astfel< a*a atomizat *rintr4un *rocedeu hidrofotonic realizeaz
excizia muco4*eriostului.
!ezultate8 Prin utilizarea laserului am o'ser%at8 *rocedura este nedureroas
i nu necesit dec)t anestezie de contact< *laga nu este s)nger)nd< (esuturile
marginilor *lgii ;i *streaz *ro*riet(ile de regenerare< se o'(ine o a>ustare *erfect
a *lgii cu conformatorul gingi%al< edemul *osto*erator este ne;nsemnat< efectul
anti'acterian *re%ine com*lica(iile inflamatorii *osto*eratorii.
#oncluzii8 0. Prin folosirea ]aterlase4ului la desco*erirea im*lantului< se
scurteaz tim*ul de conformare a muco4*eriostului ;n >urul conformatorului gingi%al<
am*renta *ut)ndu4se lua imediat du* aceast mano*er. 1. -ficacitatea utilizrii ;n
im*lantologia oral a laserelor de ti* 9]aterlase MD: necesit totui un studiu mai
a*rofundat.
Acest material a fost sus(inut de ctre Programul +*era(ional $ectorial
!esurse .mane 1//I41/0,< finan(ate *rin 7ondul $ocial -uro*ean i u%ernul
!om)niei ;n urma contractului P+$D!.W0/IW0.@W$W515,2a$co*8 Prin utilizarea
laserului ;n desco*erirea im*lanturilor ;n cadrul celei de4a doua eta* chirurgical< ;n
cazul nostru ]aterlase MD< se urmrete realizarea unei inter%en(ii minim in%azi%e< cu
un disconfort redus *entru *acient i o rat crescut de %indecare.
Materiale i metode8 Au fost lua(i ;n studiu clinic un numr de ?/ de
*acien(i cu %)rste cu*rinse ;ntre 05 i A/ de ani< crora le4au fost inserate un numr
0,A de im*lanturi endoosoase ti* uru' ;n diferite sectoare ale arcadelor maxilare< iar
gingia fix care le aco*erea a%ea o l(ime mai mare de @ mm. "a *rimul lot de *acien(i
S1/ de *acien(i 3 I/ im*lanturi inserateT a fost efectuat o incizie circular a muco4
*eriostului care aco*erea im*lantul cu un 'isturiu circular montat la *iesa contraunghi<
du* care s4a ;nde*rtat cercule(ul de muco4*eriost i s4a montat conformatorul
gingi%al. "a cel de4al doilea lot de *acien(i S1/ de *acien(i 3 AA im*lanturi inserateT s4a
realizat excizia muco4*eriostului care aco*erea *latforma im*lantului cu a>utorul undei
laser S]aterlase MDT. Astfel< a*a atomizat *rintr4un *rocedeu hidrofotonic realizeaz
excizia muco4*eriostului.
!ezultate8 Prin utilizarea laserului am o'ser%at8 *rocedura este nedureroas
i nu necesit dec)t anestezie de contact< *laga nu este s)nger)nd< (esuturile
marginilor *lgii ;i *streaz *ro*riet(ile de regenerare< se o'(ine o a>ustare *erfect
a *lgii cu conformatorul gingi%al< edemul *osto*erator este ne;nsemnat< efectul
anti'acterian *re%ine com*lica(iile inflamatorii *osto*eratorii.
#oncluzii8 0. Prin folosirea ]aterlase4ului la desco*erirea im*lantului< se
scurteaz tim*ul de conformare a muco4*eriostului ;n >urul conformatorului gingi%al<
am*renta *ut)ndu4se lua imediat du* aceast mano*er. 1. -ficacitatea utilizrii ;n
0/A
im*lantologia oral a laserelor de ti* 9]aterlase MD: necesit totui un studiu mai
a*rofundat.
Acest material a fost sus(inut de ctre Programul +*era(ional $ectorial
!esurse .mane 1//I41/0,< finan(ate *rin 7ondul $ocial -uro*ean i u%ernul
!om)niei ;n urma contractului P+$D!.W0/IW0.@W$W515,2a
#u%inte cheie8 desco*erire im*lant< 'isturiu circular< ]aterlase Md
The o'>ecti%e8 BE using the laser for the second stage of ex*osing the
im*lants< in our case ]aterlase MD< Fe are trEing to o'tain a surgical o*eration Fith
minimal inter%ention< Fith a loF discomfort for the *atient< and Fith a faster rate of
reco%erE.
Materials and methods8 The studE Fas done on ?/ *atients Fith ages
'etFeen 05 and A/ < Fhich has 0,A screF tE*e endo4osseous im*lants in %arious
sectors of the maxillarE arch< and the gum that co%ered them Fas Fidth 'igger than @
mm. In the first trial of *atients S1/ *atients4I/ im*lantsT it Fas *erformed a circular
incision in the muco4*eriosteum < that Fas co%ering the im*lant< Fith a circular scal*el
that Fas mounted at the counter *iece < afterFards the muco4*eriosteum Fas remo%ed
and the com*lied gum Fas *ut on. At the second trail of *atients S1/ *atients4 AA
im*lantsT the excision of the muco4*eriosteum that Fas co%ering the *latform of the
im*lant Fas done Fith the hel* of the laser 'eam S]aterlase MDT. Thus< the Fater that
Fas atomized through a *hoton *rocess is *erforming the excision of the muco4
*eriosteum.
The results8 ]hen using the laser Fe ha%e o'ser%ed8 the *rocedure is
*ainless and does not reRuire anEthing 'ut a contact anesthesia< the Found does not
'leed< the tissues of the edges of the Found Cee* their regenerating *ro*erties< Fe
achie%e a *erfect ad>ustment of the Found Fith the com*lied gum< the *ost4o*erator
edema is insignificant< the anti'acterial effect *re%ents the *ost4o*erator inflammatorE
com*lications.
#onclusions8 0. BE using ]aterlase to unco%er the im*lant Fe decrease the
com*lEing time of the muco4*eriosteum around the com*lied gum< the *rint can 'e
taCen immediatelE after this o*eration. 1. The efficiencE of the ]aterlase MD laser
tE*e in the field of oral im*lantologE does need a more *rofound studE.
A#H=+]"-D-M-=T8 This *a*er is su**orted 'E the $ectoral
+*erational Programme Human !esources De%elo*ment S$+P H!DT 1//I41/0,<
financed from the -uro*ean $ocial 7und and 'E the !omanian o%ernment under the
contract num'er P+$D!.W0/IW0.@W$W515,2a
HeEFords8ex*osing the im*lant< circular scal*el< ]aterlase MD
0/I

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