Browsing by Author "Daković, Dragana (18433406100)"

Background/Aim. Despite significant advances in current medicine and improvement of overall health education, chronic periodontitis is still a widespread disease. Losing teeth is the most serious complication of this particular illness. The aim of this study was to examine patients with chronic periodontitis in order to evaluate the efficacy of non-surgical therapy and combination of amoxicillin and metronidazole compared with cefixime, which has not been so far used for the treatment of this disease. Methods. Adult patients with chronic periodontitis (n = 90) underwent non-surgical periodontal treatment (zero-day) and then randomly divided into three groups. The group I served as a control, the group II was additionally treated with the combination of amoxicillin and metronidazole (for 7 days), while the group III was treated with cefixime (also for 7 days). To assess the condition of periodontium before and seven days after the therapy, four clinical parameters were used: gingival index (GI), bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL). Results. On the day 7 after the beginning of the therapy, we found that all the three groups of patients had statistically significant clinical improvement of three parameters: GI, BOP and PD, but not of the CAL. However, the improvement of PD was only statistically, but not clinically significant. The improvement in the control group of patients on the day 7 was 19% in BOP and 28% in GI; this improvement was statistically highly significant after the addition of amoxicillin plus metronodazole (71% in BOP and 77% in GI) or cefixime (62% in BOP and 82% in GI). Compared to the combination of amoxicillin and metronidazole, cefixim was statistically significantly more effective for GI (p < 0.05), while for the other three clinical parameters their effects were equal. Conclusion. The conjunction of amoxicillin plus metronidazole or cefixime to the causal treatment of patients with chronic periodontitis led to statistically significant improvement in efficacy in relation to GI and BOP parameters, while cefixime was statistically significantly more efficient than the combination of amoxicillin and metronidazole for GI. © 2016, Institut za Vojnomedicinske Naucne Informacije/Documentaciju. All rights reserved.

Background/Aim. The assessment of the impact of oral health on the quality of life presents the increasing need in testing oral health of an individual and of the entire population. The aim of the study was to translate the index of “Oral Health Questionnaire for Adults” of the World Health Organization into the Serbian language and to check its reliability in the Serbian Armed Forces professional staff. Methods. This study was designed as an observational, epidemiological study. The “Oral Health Questionnaire for Adults” was translated into the Serbian language. The classical test theory was used in the data analysis. The assessed characteristics included internal consistency and construct validity. Results. A total of 1,741 participants were included in this analysis. The mean age of the study group was 32.4 ± 9.7 years. In the last 12 months, problems which occurred frequently or very often regarding teeth and mouth were as follows: difficult biting of food (6.2%), difficult chewing (5.1%), difficult speech or difficult pronunciation of certain words (1.9%), dryness of the mouth (2.9%), the feeling of discomfort due to the esthetic appearance of teeth (6.8%). The reliability of the “Oral Health Questionnaire for Adults” (items considering Oral Health Self-Assessment) had high internal consistency (the Cronbach’s coefficient was 0.879). The Principal component analysis and Promax rotation revealed 1 factor with Eigenvalue exceeding 1, accounting for 54.3% of the total variance. Conclusion. The Serbian version of the „Oral Health Questionnaire for Adults” provides very useful and reliable information on the condition of oral health of the Serbian Armed Forces professional members. © 2021 Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.