34 research outputs found
Stanje parodoncijuma osoba obolelih od dijabetes melitusa u odnosu na nivo glikoziliranog hemoglobina i oralnu higijenu
Introduction. It has been known that periodontitis is one of the most common oral diseases in patients having diabetes mellitus (DM). The aim of this study was to examine the influence of glycosylated hemoglobin (HbA1c) level and the level of oral hygiene on periodontal status of patients suffering from DM. Material and Methods. The research included 50 people with type 2 DM randomly selected. Based on values of HbA1c, patients were divided into two groups: well controlled DM (HbA1cā¤8.5%) and poorly controlled DM (HbA1c>8.5%). Patients with poorly and well controlled DM were further grouped into subgroups depending on the level of oral hygiene. For each patient, during the clinical examination, periodontal parameters were determined: plaque index (PI), sulcus bleeding index (SBI), the level of junctional epithelium (LJE) and periodontal pocket depth (PPD). Results. The results showed that patients with well controlled disease and good oral hygiene had lower values of the examined periodontal parameters (SBI and PPD) then patients with poorly controlled DM and worse oral hygiene (p lt 0.01 for SBI, p lt 0.05 for PPD). Conclusion. The results of this study indicate the important role of oral hygiene for periodontal status of patients with DM.Uvod. Parodontopatija je jedno od najÄeÅ”Äih oboljenja oralne regije kod osoba obolelih od dijabetes melitusa (DM). Cilj ovog istraživanja je bio da se ispita uticaj nivoa glikoziliranog hemoglobina (HbA1c) i stepena oralne higijene na stanje parodoncijuma bolesnika sa DM. Materijal i metode rada. Ispitano je 50 osoba sa DM tip 2 koje su odabrane metodom sluÄajnog uzorka. Na osnovu vrednosti HbA1c, ispitanici su svrstani u dve grupe: prvu grupu su Äinili bolesnici koji su dobro kontrolisali DM (HbA1cā¤8,5%), a drugu bolesnici s loÅ”e kontrolisanim DM (HbA1c>8,5%). Ispitanici dve grupe su dalje podeljeni u podgrupe u zavisnosti od stepena oralne higijene. Svakom bolesniku su prilikom kliniÄkog pregleda odreÄene vrednosti parodontalnih parametara: plak-indeksa (PI), indeksa krvarenja gingive (IKG), nivoa pripojnog epitela (NPE) i dubine parodontalnog džepa (DPDŽ). Rezultati. Dobijeni rezultati su pokazali da su kod bolesnika sa dobro kontrolisanim oboljenjem i dobrom oralnom higijenom vrednosti ispitivanih parodontalnih parametara (IKG i NPE) niže nego kod bolesnika s loÅ”e kontrolisanim DM i loÅ”ijom oralnom higijenom (p lt 0,01 za IKG; p lt 0,05 za NPE). ZakljuÄak. Rezultati ovog istraživanja ukazuju na znaÄajnu ulogu oralne higijene na stanje parodoncijuma osoba sa DM
Uticaj dva razliÄita oralna antiseptika na akumulaciju dentalnog plaka (biofilma) i zapaljenje gingive
Introduction. Since the discovery that periodontal diseases are caused by microbial plaque the interest of many scientists has been focused on oral antiseptics. There are very few mouthrinses with oral antiseptic effect originally designed in our country. One of these is OzoseptĀ® solution. Objective. This study evaluated the effect of OzoseptĀ® solution (phenol compound) on the oral hygiene and gingival inflammation, in comparison with Hibidex DAPĀ® solution (chlorhexidine digluconate). Methods. Two groups, each of 21 persons, which did not significantly differ concerning Silness-Lƶe plaque index (PI) and Lƶe-Sillnes gingival index (GI), used one of the studied oral antiseptic for a 15-day period. Oral hygiene was maintained by subjects' habitual home methods, and no technique of professionally advised brushing was performed during the experimental period. Results. At the end of the study, PI and GI scores were lowered to a statistically high significance in both groups of participants in comparison to the indexes at the beginning of the study. At the end of the study, PI and GI scores did not significantly differ between the two analyzed groups. No side effects, which were recorded in the Hibidex DAPĀ® group (tooth and filling staining 9.5% and 4.74% respectively, transitory tongue numbness 28.6% and reduced taste sensation 14.3%), were registered in the group of subjects using OzoseptĀ® solution. Conclusion. It is concluded that OzoseptĀ® solution is effective in the control of dental plaque - biofilm accumulation and gingival inflammation, and produces no side effects related to chlorhexidine digluconate usage.Uvod. Oralni antiseptici su predmet mnogih istraživanja veoma dugo - od trenutka kada je otkriveno da su oboljenja potpornog aparata zuba bakterijskog porekla. Malo je, meÄutim, originalnih domaÄih preparata s antiseptiÄkim dejstvom za ispiranje usne duplje. Cilj rada. Cilj rada je bio da se ispita efekat rastvora OzoseptĀ® (fenolna jedinjenja) na oralnu higijenu i zapaljenje gingive, te uporedi s uÄinkom rastvora Hibidex DAPĀ® (hlorheksidin-diglukonat). Metode rada. U istraživanje su ukljuÄene dve grupe od po 21 ispitanika koje su u pogledu Silnes-Loevog (Silness-Lƶe) plak-indeksa (PI) i Loe-Silnesovog (Lƶe-Silness) gingivnog indeksa (GI) predstavljale statistiÄki homogenu grupu, odnosno koje su na poÄetku eksperimentalnog perioda koristile jedan od navedenih oralnih antiseptika tokom 15 dana. Tokom eksperimentalnog perioda ispitanici su održavali oralnu higijenu na dotada uobiÄajeni naÄin i nije primenjivana nijedna metoda profesionalnog ÄiÅ”Äenja zuba. Rezultati. U obe grupe ispitanika vrednosti PI i GI su na kraju eksperimenta bile smanjene sa statistiÄki visokom znaÄajnoÅ”Äu u odnosu na vrednosti na poÄetku ispitivanja. Vrednosti PI i GI na kraju eksperimenta se nisu znaÄajno razlikovale izmeÄu posmatranih grupa. TakoÄe, kod ispitanika koji su primenjivali rastvor OzoseptĀ® nije uoÄen nijedan neželjeni efekat, dok je u grupi koja je primenjivala rastvor Hibidex DAPĀ® prebojenost zuba uoÄena kod 9,5% ispitanika, prebojenost plombi kod 4,75%, prolazna utrnulost jezika kod 28,6%, a smanjenje percepcije ukusa kod 14,3% ispitanika. ZakljuÄak. Rastvor OzoseptĀ® je efikasno sredstvo u kontroli akumulacije dentalnog plaka (biofilma) i zapaljenja gingive i ne stvara neželjene efekte
Salivarni i inflamatorni medijatori plazme i sekretorni status prevremeno poroÄenih žena sa periodontitisom ā studija preseka
Bacground/Aim. Preterm birth is defined as a delivery prior to the completed 37th week of gestation. Literature data suggested that periodontal processes may influence to the feto-placental unit and induce preterm delivery. The degree of the periodontal disease is influenced by secretor status. Pro-inflammatory cytokines are involved in periodontitis as well as in delivery. The combined influence of these factors on the risk of preterm birth has not been explored. The aim of our study was to investigate the associations between periodontal diseases, secretor status, and interleukin-1-Ī² (IL1-Ć) and prostaglandine E2 (PGE2) levels in women delivered preterm. Methods. The study included 56 preterm delivery women and 56 women delivered at term as a control group, aged between 17 and 41 years. Periodontal examination, blood and saliva sampling were performed within 48 hours following delivery. Secretor phenotype was determined by hemagglutination inhibition method. The concentrations of IL1-Ć and PGE2 were measured by high sensitivity Enzyme-linked Immunosorbent Assay (ELISA). Results. In the pre-term birth group there were 66.1% of women with periodontitis, while in the control one there were 12.5% (p < 0.01). Concentrations of IL1-Ć and PGE2 in plasma were significantly higher in the non-secretor group of women who gave birth pre-term and had periodontitis comparing to other groups. There was a significant correlation between salivary and plasma levels of PGE2 and IL1-Ć in the preterm birth group (R = 0.416, p = 0.017 and R = -0.592, p < 0.001, respectively). There were no such correlations in women who delivered at term. Conclusion. Our results support the hypothesis that non-secretor phenotype and periodontitis are at least in part responsible for pathogenesis of preterm birth. This probability of negative impact of non-secretor status cannot be ignored. These findings support the need for additional research into the biology of human parturition. Ā© 2020 Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.Uvod/Cilj. Prevremeni poroÄaj se definiÅ”e kao poroÄaj pre navrÅ”ene 37 nedelje gestacije. Podaci iz literature govore u prilog tome da periodontalni procesi mogu uticati na fetoplacentalnu jedinicu i indukovati preterminski poroÄaj. Sekretorni status može uticati na stepen periodontalne bolesti. Proinflamatorni citokini imaju uticaj na periodontitis kao i na poroÄaj. Kombinovani uticaj ovih faktora rizika za prevremeni poroÄaj nije dovoljno istražen. Cilj ove studije je bio da istraži povezanost izmeÄu periodontalne bolesti, sekretornog statusa, nivoa interleukina 1-b (IL1-b) i prostaglandina E2 (PGE2) kod žena koje su imale prevremeni poroÄaj. Metode. Studijom je bilo obuhvaÄeno 56 žena, koje su imale prevremen poroÄaj i 56 žena u kontrolnoj grupi koje su se porodile u terminu, starosti izmeÄu 17 i 41 godine. Periodontalni pregled, uzorkovanje krvi i salive je izvrÅ”eno u prvih 48 sati po poroÄaju. Sekretorni status je odreÄen metodom inhibicije hemaglutinacije. Koncentracije IL1-b i PGE2 su merene visoko senzitivnim Enzyme-linked Immunosorbent Assay (ELISA) testom. Rezultati. U grupi prevremenih poroÄaja bilo je 66,1% žena sa periodontitisom, a u kontrolnoj grupi 12,5% (p < 0.01). Prevremeno poroÄene žena, nesekretori sa periodontitisom imale su u plazmi znaÄajno viÅ”e vrednosti IL 1-b i PGE 2 u odnosu na ostale grupe (p < 0,01). U grupi prevremeno poroÄenih žena postojala je znaÄajna korelacija izmeÄu salivarnih i plazmatskih koncentracija PGE2 i IL1-b (R = 0.416, p = 0.017 i R = -0,592, p < 0,001, redom). Ove korelacije nisu postojale kod žena koje su imale terminski poroÄaj. ZakljuÄak. NaÅ”i rezultati podržavaju hipotezu da su sekretorni status i periodontitis, bar delimiÄno, odgovorni za patogenezu preterminskog poroÄaja. VerovatnoÄa negativnog uticaja nesekretornog statusa se ne sme ignorisati. Ovi zakljuÄci ukazuju na potrebu za dodatnim istraživanjima poroÄaja
Oral symptoms and mucosal lesions in patients with diabetes mellitus type 2
Background: Good glycoregulation at patients with diabetes mellitus is essential for prevention of many complications, including those in oral cavity. Results of numerous studies indicate that xerostomia and neurosensory oral disorders are present in type 2 diabetics. A review of the literature shows contradictory results about prevalence of oral mucosal lesions in diabetics. The aim of this study was to evaluate the presence of xerostomia, neurosensory disorders and mucosal lesions in oral cavity of type 2 diabetics. Material and Methods: This study involved 90 adults, 60 with type 2 diabetes and 30 healthy subjects, aged 45-65 years. With regard to value of HbA1c level diabetics were divided into two groups: 30 subjects with satisfactory glycoregulation (HbA1c lt 9%) and 30 subjects with poor glycoregulation (HbA1cā„9%). All patients recruited into the study completed a questionnaire that included their demographic, medical and oral health data. Clinical examination of the oral mucosa was performed by a single examiner. Results: In relation to the presence of xerostomia and dysgeusia between satisfactory controlled diabetics and healthy subjects a significant difference was observed (p lt 0.05). Compared with healthy subjects, poor controlled diabetics had significantly higher presence of xerostomia (p lt 0.001) and neurosensory disorders (p lt 0.05). A higher prevalence of oral mucosal lesions was found in poor controlled diabetics, but significant difference between groups was not observed (p>0.05). A significant positive correlation was revealed between smoking and glossodynia as well as smoking and glossopyrosis (p>0.05). Conclusion: Glycemic control level seems to influence the susceptibility of type 2 diabetics to xerostomia and neurosensory disorders. Less clear is whether diabetes are correlated to oral mucosal lesions
Primena beta trikalcijum-fosfata i goveÄeg koÅ”tanog matriksa u voÄenoj regeneraciji dubokih infrakoÅ”tanih parodontalnih oÅ”teÄenja
Introduction. The primary goal of bone regeneration procedures with application of various regenerative biologic agents and biomaterials is to facilitate the formation of periodontal tissues lost as a result of periodontitis. Objective. The aim of the study was to compare clinical outcome of the guided tissue regeneration (GTR) treatment with the use of Ī²-tricalcium phosphate and with bovine bone matrix in human deep intra-osseous defects. Methods. Twenty-one systemically healthy subjects with moderate to advanced periodontitis, between 30 and 56 years of age, 11 females and 10 males, were selected. Patients having two similar inter-proximal defects with pocket probing depths following initial therapy greater than 5 mm were recruited for the study. Experimental sites were grafted with pure Ī²-tricalcium phosphate biomaterial (CerasorbĀ®) and a biomembrane, while control sites were treated with bovine-bone hydroxiapatite xenograft (Bio-ossĀ®) and a biomembrane. Immediately before surgery and 12 months after surgery, pocket probing depth (PPD), epithelial attachment level (EAL) and gingival recession (GR) were evaluated. Results. In the experimental group PPD amounted to 6.76Ā±0.83 mm before surgery, and decreased significantly to 2.67Ā±0.48 mm 12 months following surgery, while in the control group PPD significantly decreased from 7.14Ā±0.65 mm presurgically to 2.85Ā±0.57 mm postsurgically. After one year, EAL gain was 2.76Ā±0.99 mm in the experimental group, and 3.24Ā±0.16 mm in the control group. After twelve months postoperatively GR amounted to 1.33Ā±0.79 mm in the experimental group and to 1.05Ā±0.80 mm in the control group. No statistically significant differences for PPD reduction, EAL gain and GR increase were detected between the groups. Conclusion. Results from the present study indicate that GTR treatment of deep intra-osseous defects with Bio-ossĀ® and CerasorbĀ® resulted in clinically and statistically significant improvement of EAL gain and PPD reduction. A GR was slightly increased, with no statistical significance.Uvod. Za regeneraciju tkiva koje je izgubljeno tokom parodontopatije koriste se razni bioloÅ”ki i sintetski materijali s razliÄitim uspehom. Oni se najÄeÅ”Äe primenjuju za obnavljanje pripojnog epitela i gubljenje alveolarne kosti u dubokim infrakoÅ”tanim oÅ”teÄenjima. Cilj rada. Cilj rada je bio da se ispita znaÄaj primene beta trikalcijum-fosfata i hidroksiapatita u leÄenju dubokih infrakoÅ”tanih oÅ”teÄenja. Metode rada. U istraživanje je ukljuÄena dvadeset i jedna zdrava osoba (11 žena i 10 muÅ”karaca) starosti 30-45 godina kod koje je dijagnostikovana parodontopatija. Kod svih ispitanika ustanovljena su dva sliÄna oÅ”teÄenja sa dubinom sondiranja džepa od preko 5 mm. Tzv. eksperimentalna strana je tretirana Äistim beta trikalcijum-fosfatnim biomaterijalom (CerasorbĀ®) i biomembranom, dok je tzv. kontrolna strana tretirana hidroksiapatitnim goveÄim koÅ”tanim ksenograftom (Bio-ossĀ®) i biomembranom. Dubina sondiranja džepa, nivo pripojenog epitela i recesija gingive su zabeleženi neposredno pre intervencije i 12 meseci kasnije. Rezultati. U eksperimentalnoj grupi dubina sondiranja džepa je bila 6,76Ā±0,83 mm pre intervencije, a znaÄajno manja nakon 12 meseci (2,76Ā±0,48 mm). U kontrolnoj grupi ona je bila 7,14Ā±0,65 mm pre intervencije, a znaÄajno manja na kontrolnom pregledu (2,85Ā±0,57 mm). Posle godinu dana nivo pripojenog epitela se poveÄao 2,76Ā±0,99 mm u eksperimentalnoj grupi, odnosno 3,24Ā±0,16 mm u kontrolnoj. Dvanaest meseci nakon intervencije recesija gingive bila je 1,33Ā±0,79 mm u eksperimentalnoj, odnosno 1,05Ā±0,80 mm u kontrolnoj grupi. Nisu zabeležene statistiÄki znaÄajne razlike u vrednosti dubine sondiranja džepa, nivou pripojenog epitela i recesiji gingive izmeÄu kontrolne i eksperimentalne grupe. ZakljuÄak. Tretman dubokih infrakoÅ”tanih oÅ”teÄenja beta trikalcijum-fosfatom i hidroksiapatitom dao je dobre kliniÄke rezultate, buduÄi da se znaÄajno smanjila dubina oÅ”teÄenja, a nivo pripojenog epitela podigao. Recesija gingive se umanjila, ali bez statistiÄki znaÄajne razlike
Utjecaj parodontne terapije na koncentraciju 8-hidroksi-deoksigvanozina u slini i plazmi kod bolesnika s kroniÄnim parodontitisom
The 8-hydroxy-deoxyguanosine (8-OHdG) is one of the customary products of
oxidized DNA. The purpose of this study was to compare salivary and plasma 8-OHdG concentrations
in a group of chronic periodontitis patients to those measured in a group of patients with healthy
periodontium, as well as to determine the impact of periodontal therapy on 8-OHdG concentrations
in saliva and plasma in chronic periodontitis patients. The study sample comprised of 24 patients with
chronic periodontitis and 16 periodontally healthy individuals. Plaque index, gingival index, papilla
bleeding index, probing depth and clinical attachment level were indices used to determine patient
periodontal status. Salivary and plasma 8-OHdG concentrations were determined by ELISA method.
The salivary 8-OHdG concentration was statistically significantly higher in the group of periodontitis
patients compared to periodontally healthy subjects. After initial periodontal therapy, the 8-OHdG
concentration in saliva was significantly reduced in the periodontitis group (p=0.021). Differences in
plasma 8-OHdG concentrations between the two groups did not reach statistical significance and no
significant changes were noted in the periodontitis group following initial periodontal therapy. A
higher salivary 8-OHdG concentration reflects increased oxidative stress caused by periodontal disease.
Initial periodontal therapy may be helpful in reducing salivary 8-OHdG concentrations in
chronic periodontitis patients.8-hidroksi-deoksigvanozin (8-OHdG) je jedan od uobiÄajenih proizvoda oksidirane DNA. Svrha ove studije bila je
usporediti
koncentracije 8-OHdG u slini i plazmi u skupini pacijenata s kroniÄnim parodontitisom i skupini ispitanika sa
zdravim parodontom te odrediti utjecaj parodontne terapije na koncentracije 8-OHdG u slini i plazmi kod pacijenata s
kroniÄnim parodontitisom. Uzorak studije Äinila su 24 pacijenta s kroniÄnim parodontitisom i 16 osoba sa zdravim parodontom.
Indeks plaka, indeks gingive, indeks krvarenja iz papile, dubina sondiranja i razina kliniÄkoga priÄvrstka bili su indeksi
koji su primijenjeni za odreÄivanje parodontnog stanja pacijenata. Koncentracije 8-OHdG u slini i plazmi odreÄivane su
metodom ELISA. Koncentracija 8-OHdG u slini bila je statistiÄki znaÄajno veÄa u skupini pacijenata s parodontitisom u
usporedbi s ispitanicima sa zdravim parodontom. Nakon inicijalne parodontalne terapije, koncentracija 8-OHdG u slini
znaÄajno je smanjena u skupini pacijenata s parodontitisom (p=0,021). Razlike u koncentracijama 8-OHdG u plazmi izmeÄu
dviju skupina nisu dostigle statistiÄku znaÄajnost i nisu uoÄene znaÄajne promjene u skupini pacijenata s parodontitisom
nakon inicijalne parodontalne terapije. VeÄa koncentracija 8-OHdG u slini odražava poveÄani oksidacijski stres uzrokovan
parodontnom boleÅ”Äu. Inicijalna parodontna terapija može biti korisna u smanjenju koncentracije 8-OHdG u pacijenata s
kroniÄnim parodontitisom
Assessment of risk factors and preventive measures and their relations to work-related musculoskeletal pain among dentists
BACKGROUND: Dentists have a high prevalence of musculoskeletal (MS) pain, which is the most common symptom associated with work-related musculoskeletal disorders (WMSDs). To overcome this problem, identification of the risk factors and preventive measures for MS pain are of paramount importance to dentists in order to improve their quality of life and work. OBJECTIVES: The aims of this study were to recognize the risk factors for MS pain and their impact on dental work, as well as to identify preventive measures of MS pain among dentists. METHODS: Self-reporting questionnaire consisting of 78 questions was exclusively developed for the study and sent to 500 working active dentists in Serbia. RESULTS: Response rate was 71.2% (356 dentists). The prevalence of MS pain was 82.6% among dentists. The main risk factors for MS pain were advanced age, female dentists, presence of chronic diseases, long working hours, and high frequency of treated patients. The most effective preventive measures in preventing MS pain were massage treatments and physical activities. Followed by use of ergonomically designed equipment, correct and dynamic working positions, and an adequate workflow organization. CONCLUSION: The risk factors for MS pain and their impact on dental work should widely be disseminated among dentists. Importantly, proper implementation in everyday life of adequate preventive measures is essential for preventing MS pain and development of WMSDs
Anatomske karakteristike furkacija i korenova viŔekorenih zuba - epidemioloŔka studija
Background/Aim. Knowledge of numerous variations in anatomical features of furcation area is a prerequisite for the achievement of more predictable results in the therapy of multi-rooted teeth with furcation involvement (FI). The aim of the study was to evaluate the morphological characteristics of extracted molars of adult population in Belgrade, Serbia. Methods. In total, 468 extracted first and second molars, both mandibular and maxillary, were measured. The values of root trunk lengths and root lengths, diameter of furcation entrances (FE), distance between the roots and depth of root concavity were analysed. Results. The maxillary first molars had significantly higher root trunk lengths values than the second molars. As for the mandibular molars, FE was smaller than 1 mm. The distance between the roots was more than 2 mm at the third level of measurement. Conclusion. The buccal FE of maxillary molars was the lowest. The root concavity of the second mandibular molars was higher from the lingual aspect.Uvod/Cilj. Poznavanje mnogobrojnih varijacija anatomskih karakteristika furkacija (furkacionih regija) je preduslov za postizanje predvidivih rezultata terapije furkacionih defekata viÅ”ekorenih zuba. Cilj ovog istraživanja je bio procena morfoloÅ”ke karakteristike izvaÄenih zuba adultne populacije u Beogradu. Metode. Merenja su vrÅ”ena na ukupno 468 izvaÄenih prvih i drugih molara i gornje i donje vilice. Analizirane su izmerene vrednosti dužine korenskog stabla i dužine korenova, preÄnik ulaza u furkaciju, odstojanje izmeÄu korenova i dubina korenskog konkaviteta. Rezultati. Prvi gornji molari su imali signifikantno veÄe vrednosti dužine korenskog stabla od drugih gornjih molara. Kod donjih molara, preÄnik ulaska u furkaciju bio je manji od 1 mm. Na treÄem nivou merenja, odstojanje izmeÄu korenova imalo je vrednost veÄu od 2 mm. ZakljuÄak. PreÄnik ulaska u furkaciju sa bukalne strane gornjih molara bio je najmanji. Dubina korenskog konkaviteta drugih donjih molara bila je veÄa sa lingvalne strane
Komparativna analiza primene dveju tehnika transplantata vezivnog tkiva u leÄenju recesija gingive
Introduction Gingival recession is a displacement of gingival margin apically to cement-enamel junction. Objective The aim of this study was to compare the results achieved with two different surgical procedures used in gingival recession treatment. Methods Ten patients with bilateral buccal recession on maxillary canines or premolars were included in the study. Professional teeth cleaning was performed before surgery. Recession on the experimental side was treated with connective tissue graft in combination with coronally advanced, split thickness flap (tunnel technique). Control side recession was treated with connective tissue graft in combination with trapezoidal coronally advanced, full thickness flap. Coin toss was used for side decision. The following parameters were evaluated before surgery and 6 months post-op: Vertical Recession Dimension, Clinical Attachment Level, Apico-coronal width of the keratinized tissue, Healing index (Laundry), RES index, and Patient evaluation of esthetic results. Student's t-test was used for statistical analysis. Results Six months after surgery, mean root coverage was 91.5Ā±14.1% and 90.1Ā±14.6% on the experimental and on the control side, respectively. RES index, Healing index (Laundry) and Patient Subjective evaluation of esthetic results showed significantly better results (pā¤0.05). Conclusion Both surgical procedures produce highly successful clinical results based on evaluated parameters, but this tunnel technique provides significantly better esthetic results.Uvod Gingivalna recesija, koja nastaje kao posledica morfoloÅ”kih nepravilnosti u mukogingivalnom kompleksu, loÅ”e utiÄe na nastanak i prognozu parodontopatije i odlikuje se nezadovoljavajuÄom estetikom. Cilj rada Cilj ove studije bio je da se uporede rezultati dobijeni primenom dveju razliÄitih hirurÅ”kih tehnika u leÄenju gingivalnih recesija. Metode rada U studiju je ukljuÄeno 10 pacijenata Klinike za parodontologiju i oralnu medicinu StomatoloÅ”kog fakulteta Univerziteta u Beogradu. Osnovni kriterijum za ukljuÄivanje u studiju bilo je postojanje obostranih gingivalnih recesija I ili II klase prema klasifikaciji Milera (Miller) na gornjim oÄnjacima ili premolarima. IzvoÄenje studije odobrio je EtiÄki odbor StomatoloÅ”kog fakulteta. Ispitanici su podvrgnuti hirurÅ”kom leÄenju, obostrano, primenom metoda podeljenih usta. Jedna strana tretirana je primenom transplantata vezivnog tkiva tunel- tehnikom (eksperimentalna tehnika), a druga konvencionalnom tehnikom (kontrolna tehnika). Posmatrani kliniÄki parametri - vertikalna dimenzija gingivalne recesije, nivo pripojnog epitela i Å”irina keratinizovane gingive - zabeleženi su pre operacije i Å”est meseci nakon hirurÅ”kog leÄenja. Zarastanje u ranoj postoperacionoj fazi procenjivano je na osnovu vrednosti indeksa tkivnog zarastanja. Objektivna procena estetskog ishoda terapije vrÅ”ena je pomoÄu indeksa prekrivenosti korena zuba. Rezultati Å est meseci nakon intervencije primenom eksperimentalne tehnike ostvarena je prekrivenost korena od 91,5Ā±14,1%, dok je primenom kontrolne tehnike ostvarena pokrivenost korena od 90,1Ā±14,6%. Parametri za objektivnu procenu postignutih estetskih rezultata i indeksa zarastanja rane pokazali su statistiÄki znaÄajno bolje rezultate ostvarene primenom eksperimentalne tehnike. ZakljuÄak Obe procedure uspeÅ”ne su u leÄenju gingivalne recesije i daju predvidljive rezultate, ali se primenom tunel- tehnike mogu oÄekivati bolji estetski rezultati