[Immediate prosthetic reconstruction after resection of the upper jaw]. / Imedijatna proteticka rekonstrukcija posle resekcija gornje vilice.

In order to determine the right time when appliance should be applied to the patient after partial, subtotal or total resection of the maxilla, represent cases treated during a six year period at the Clinic of Maxillofacial Surgery of the Stomatology Faculty in Belgrade. In 11 operated patients the appliance was applied immediately after surgery and tamponade of postresection activity cavity. In 46 patients operated at other clinics it was applied more than month after surgery. Thus, 57 patients received immediate prosthetic reconstructive treatment. According to criteria of adaptability considering new appliances major differences could be observed among different groups of patients. 57 patients recovery was normal, while in 4 adaptability was slower. In 12 referral cases not a single case of normal adaptability was registered. 4 patients demonstrated slower adaptability, while in 8 patients severe adaptability problems were registered.

[Surgical and prosthetic reconstruction of post-tumor defects of the face (case report)]. / Hirursko-proteticka rekonstrukcija posttumorksog defekta lica (Povodom jednog slucaja).

This paper shows a combination of methods in treatment of a facial post tumorous defect. Simultaneous surgical and prosthetic reconstruction was used when treating ablation of the facial basal cell carcinoma in a 70 year old female patient. When planning this surgery the next must be taken into consideration: the age of the patient, general health condition and the size and type of the defect, especially of the bone structures. It means that collaboration between the surgeon and prosthetic is of great importance. In this way a very fast facial rejuvenation can be achieved, even in large defects which enables not only healing but further social rehabilitation of such patients too.

[Masticatory values of dental prostheses anchored to depulped teeth]. / Mastikatorne vrednosti zubnih proteza sidrenih na depulpiranim zubima.

The progress of conservative and surgical treatment of pulpless teeth has increased the number of pulpless teeth within prothetic restorations. There is a dilemma about masticatory values of such teeth and about the maximum load they can bear, that is, what masticatory values the denture anchored to them will have. Tooth values were measured by gnatodynamometry. We used gnatodynamometer with electroresistant metal measurement strips whose deformity is proportional to the force which the tooth, namely, the denture, bears. Measurements were carried out on a sample of 33 pulpless teeth, that is, on the almost same number of dentures anchored to the teeth. The measured pulpless teeth showed lower values than control teeth. The control group comprised normal teeth of the same subject, the sam jaw, which neutralized the problem of individuality. After the prothetic reconstruction by which the tooth regained its function, we checked mastication values again, this time the values of the dentures anchored to the pulpless teeth. We can conclude that pulpless teeth have lower values than vital ones. The lower values resulted also from their dysfunction. Prothetic reconstruction increases mastication values of pulpless teeth, but they never reach the values of controls, namely, of vital teeth.