Occlusal Interferences in Localised and Generalized Periodontitis

Značaj okuzijskih zapreka u razvoju i u terapiji parodontnih bolesti i poremećaja iznimno je kontroverzan. Još uvijek su u najstručnijim krugovima znanstvenika aktualne rasprave o povezanosti zapreka i okluzijske traume i o njihovoj ulozi u parodontnoj bolesti. Svrha rada bila je istražiti postoji li statistički znatna razlika u pojavnosti okluzijskih zapreka ( na radnoj i balansnoj strani) između skupine pacijenata s lokaliziranim parodontitisom i skupine pacijenata s generaliziranim parodontitisom. Ispitanici su bili pacijenti s parodontnom bolesti, koji su klasificirani prema Extent and Severity Indexu (ESI) na ispitivanu skupinu lokaliziranih parodontitisa i ispitivanu skupinu generaliziranih parodontitisa. Kretnje na laterotruzijskoj strani/kontakti u interkaninom području tijekom protruzijske kretnje bilježene su plavim artikulacijskim papirom debljine 12µ, a kontakti na mediotruzijskoj strani/kontakti u lateralnim područjima tijekom protruzijske kretnje bilježeni su crvenim artikulacijskim papirom debljine 12µ. U obje ispitivane skupine 45,12% ispitanika imalo je zapreke na radnoj strani, a 48,78% ispitanika imalo je zapreke na balansnoj strani. U skupini lokaliziranoga parodontitisa 33,33% ispitanika imalo je zapreke na radnoj strani, a 50,81% ispitanika imalo ih je u skupini generaliziranoga parodontitisa. Zapreke na balansnoj strani postojale su u 52,38% ipitanika u skupini lokaliziranoga parodontitisa, a 47,54% ispitanika imalo ih je u skupini generaliziranoga parodontitisa. Hi-kvadrat testom utvrđeno je da ne postoji statistički znatna razlika između pojavnosti okluzijskih zapreka u skupini ispitanika s lokaliziranim parodontitisom u usporedbi sa skupinom ispitanika s generaliziranim parodontitisom. Iako nema statistički znatne razlike, postoji tendencija razlike u frekvencijama (p = 0,054) te je vidljivo da u skupini ispitanika s generaliziranim parodontitisom postoji više slučajeva bez zapreka na balansnoj strani (52,45%) u odnosu prema skupini ispitanika s lokaliziranim parodontitisom (47,61%). Rezultati ovog istraživanja pokazuju da ne postoji statistički znatna razlika u pojavnosti okluzijskih zapreka u skupini ispitanika s lokaliziranim parodontitisom i u skupini ispitanika s generaliziranim parodontitisom.The significance of occlusal interference in the development and therapy of periodontal disease is very controversial. There are still very vivid discussions going on between experts whether or not interferences cause occlusal trauma, and wath is its role in periodontal disease. The aim of the study was to investigate whether there i statistically significant difference in the manifestation of occlusal interferences (working side and balancing side) among a group of patients sufferig from localised periodontitis and a group of patients with generalized periodontitis. Examinees were patients with periodontal disease, classified according to Extent and Severity Index (ESI) into a group with localised periodontitis and a group with generalized peiodontitis. Movements on the laterotrusion side/contacts in the intercanine segment in protrusion were marked with blue articulation paper 12µ thick, while contacts on the mediotrusion side/contacts in lateral segments during protrusion were marked with red articulation paper (12µ thick). Of al patients, there were 45.12% with working side interferences, and 48.78% with balancing side interferences in both examined groups. 33.33% of the examinees in the group with localised periodontitis had working side interferences, and 50.81% of the examinees in the group with generalized periodontitis. Balancing side interferences were found in 52.38% of patients in the group with localised periodontitis, and 47.54% of patients in the group with generalized periodontitis. Chi-square test showed that there was statistically significant difference between manifestation of occlusal interferences in the group of patients with localised periodontitis compared to manifestation of articulation interferences in the group of patients with generalized periodontitis (chi-square = 3.561; p = 0.313). Although there was no statistically significant difference, there was a tendency to difference in frequencies (p = 0.054), and it is shown that in the group of patients with generalized periodontitis there were more cases with no balancing side interferences on any side (52.45%), compared to the group of patients with localised periodontitis (47.61%). Results showed that there was no difference in manfestation of occlusal interferences in localised peiodontitis compared to generalized periodontitis

Disability reassessment in chronic bronchitis and pulmonary functional criteria

U sklopu reevaluacije gubitka radne sposobnosti 579 osoba s glavnom internističkom dijagnozom specifično je obrađeno 88 muškaraca (dob 52,82 g) s dominantnom bolešću - kronični bronhitis te posljedičnim gubitkom radne sposobnosti. Rearbitraža gubitka radne sposobnosti koju je proveo neformalni arbitrarni tim upućuje na nesklad s obzirom na neispravno donijetu odluku o statusu invalidnosti, posebno s aspekta preostale radne sposobnosti. Kronični opstruktivni bronhitis imalo je 68 muškaraca (dob 52,29 g). U uzorku 68 ispitanika izvršena je kompletna funkcijska obrada uključivši plinsku analizu arterijske krvi, neke izvedene pokazatelje i nespecifičnu reaktivnost dišnih putova. Uzorak ispitanika reevaluiran je prema pokazateljima: pravilna ocjena, neispravna ocjena, preostala radna sposobnost, nezavršeno liječenje. Neparametrijska statistička obrada podataka jednosmjernom Kruskal-Walli-sovom analizom rangova atribuira kao specifične prediktore: dob ispitanika, PC20 FEV1, stanje hiperreaktivnosti i stupanj opstrukcije dišnih putova. U radu se obrazlaže važnost funkcijske obrade u mirovanju, a napose značenje varijable FEV1 u ocjeni gubitka radne sposobnosti osoba s kroničnim opstruktivnim bronhitisom.As part of an investigation to reassess disability which was performed in .579 subjects with an internist\u27s diagnosis, disability was reassessed in 68 males with chronic bronchitis as the main diagnosis. Disability reassessment was carried out by an informal team of physicians consisting of pulmologists and members of a second degree disability board. The aim of the study was to define the differences between disability reevaluation and residual working capacity. In chronic bronchitis, a complete functional pulmonary test was carried out including measurement of the degree of obstruction, several specific parameters, non-specific bronchial reactivity and an analysis of arterial blood gases. Disability was reassessed in accordance with the following parameters: accurate evaluation, inaccurate evaluation, residual working capacity, uncompleted treatment. The one-way Kruskal-Wallis rank analysis of non-parametric data attributed the following predictors as specific: age, PC20, FEV1, the condition of hyperreactive airways and the degree of airway obstruction. The relevance of functional criteria arrest, particularly of FEY1, for assessing the loss of working capacity in persons with chronic obstructive bronchitis is emphasized

Disability reassessment in a sample of pensioners in SR Croatia

Arbitrarni tim sastavljen od liječnika-specijalista te članova drugostepene invalidske komisije SIZ MIORH reevaluirao je ocjenu gubitka radne sposobnosti u 1009 invalida-umirovljenika-dobrovoljaca (234 žene i 775 muškaraca). Ispitanici su bili umirovljeni i pregledani tijekom 1985. i 1986. god. Prosječna dob ispitanika bila je 50,4 g. (muškarci) odnosno 48,2 g.(žene). Ispitanici predstavljaju nasumce odabran uzorak među 10 870 invalida iz priobalne, kontinentalne i Zagrebačke regije, umirovljenih u istom razdoblju. Prema glavnoj dijagnozi odgovornoj za nastanak invalidnosti utvrđen je nesklad kriterija u populaciji žena prema muškarcima (p<0,001). Precijenjena je i uloga lokomotornog sustava (p<0,01). Utvrđen je i značajno veći broj pogrešno ocijenjenog gubitka radne sposobnosti u skupini poljoprivrednika prema ostalim zanimanjima (p<0,001). Reevaluacija gubitka radne sposobnosti nije upozorila na postojanje razlika u ocjeni invalidnosti komisija prema regiji i skupu internističkih, lokomotornih i neuropsihijatrijskih dijagnoza. To implicira dalja istraživanja funkcija kriterija za ocjenu gubitka radne sposobnosti.A team of specialist doctors and members of the Second-Degree Disability Board reevaluated disability without residual working capacity in 1009 volunteers, 234 women and 775 men. These were randomly selected out of 10870 pensioners from a coastal and a continental region of SR Croatia and from the city of Zagreb. In view of the main diagnosis responsible for the development of disability a discrepancy was found between the criteria as applied in women and in men (p<0.001). The role of the diseases of the locomotive system was found to have been overestimated (p<0.01). A significantly high number of false assessments was also established among agricultural workers in relation to the other occupations (p<0.001). Reassessment of working capacity did not show discrepancies in the diagnoses of diseases of the intestinal, locomotive and nervous systems as made by regional disability boards. Results suggest a need for further analysis of the functional criteria for the assessment of disability and residual working capacity

Disability reassessment in a sample of pensioners in SR Croatia

Arbitrarni tim sastavljen od liječnika-specijalista te članova drugostepene invalidske komisije SIZ MIORH reevaluirao je ocjenu gubitka radne sposobnosti u 1009 invalida-umirovljenika-dobrovoljaca (234 žene i 775 muškaraca). Ispitanici su bili umirovljeni i pregledani tijekom 1985. i 1986. god. Prosječna dob ispitanika bila je 50,4 g. (muškarci) odnosno 48,2 g.(žene). Ispitanici predstavljaju nasumce odabran uzorak među 10 870 invalida iz priobalne, kontinentalne i Zagrebačke regije, umirovljenih u istom razdoblju. Prema glavnoj dijagnozi odgovornoj za nastanak invalidnosti utvrđen je nesklad kriterija u populaciji žena prema muškarcima (p<0,001). Precijenjena je i uloga lokomotornog sustava (p<0,01). Utvrđen je i značajno veći broj pogrešno ocijenjenog gubitka radne sposobnosti u skupini poljoprivrednika prema ostalim zanimanjima (p<0,001). Reevaluacija gubitka radne sposobnosti nije upozorila na postojanje razlika u ocjeni invalidnosti komisija prema regiji i skupu internističkih, lokomotornih i neuropsihijatrijskih dijagnoza. To implicira dalja istraživanja funkcija kriterija za ocjenu gubitka radne sposobnosti.A team of specialist doctors and members of the Second-Degree Disability Board reevaluated disability without residual working capacity in 1009 volunteers, 234 women and 775 men. These were randomly selected out of 10870 pensioners from a coastal and a continental region of SR Croatia and from the city of Zagreb. In view of the main diagnosis responsible for the development of disability a discrepancy was found between the criteria as applied in women and in men (p<0.001). The role of the diseases of the locomotive system was found to have been overestimated (p<0.01). A significantly high number of false assessments was also established among agricultural workers in relation to the other occupations (p<0.001). Reassessment of working capacity did not show discrepancies in the diagnoses of diseases of the intestinal, locomotive and nervous systems as made by regional disability boards. Results suggest a need for further analysis of the functional criteria for the assessment of disability and residual working capacity