OBJECTIVE:To compare the therapeutic effects of the application of doxycycline-full dose (100 mg) and sub-dose (20 mg) in the treatment of periodontal disease.MATERIAL AND METHODS:A total of 60 patients with periodontal disease were examined. Patients are divided into two groups: A) treated with antimicrobial dose of 100 mg doxycycline once daily for 30 days, and B) treated with 2 x 20 mg/day. doxycycline, during 75 days. Among all patients a conservative treatment was carried out and ordinated the proper dose doxycycline in total dose during treatment from 3 gr. Index of dental plaque by Löe-Sillness, index of gingival inflammation and gingival bleeding by Cowell were followed.RESULTS:Values of dental plaque in relation first examination, 10th, 20th day, 1 month and 2.5 months, showed that after 2.5 months, average value (x = 0.83) of dental plaque in second group is slightly less than the value (x = 0.93) of dental plaque in the first group. The average value (x = 0.17) of gingival inflammation in second group is significantly less than the value (x = 0.50) of gingival inflammation in the first group. The average value (x = 0.97) of gingival bleeding in patients from the first group was significantly higher than value(x = 0.37) of gingival bleeding in the second group.CONCLUSION:Patients whose therapy was helped by a sub-dose doxycycline demonstrated positive therapeutic effects on gingival inflammation and bleeding.

BACKGROUND: The advanced periodontal disease is characterised by a strongly pronounced loss of attachment and reduction of the alveolar bone support, which leads to luxation, migration of the teeth, functional discomfort and poor facial aesthetics. CASE PRESENTATION: The aim of this paper is to present the case of a 26-year-old female patient, registered at the Clinic of Periodontology with highly expressed gingivitis, unsatisfactory periodontal status, presence of diastemas between the frontal teeth and attachment loss of 5-6 millimetres in different areas. We conducted a thorough classic periodontal treatment, as well as training for proper maintenance of oral hygiene, with frequent professional oral-prophylactic sessions, complemented with orthodontic treatment. Fixed orthodontic appliances were installed, and mild forces were applied for gradual levelling of the teeth, with constant control of the periodontal status. After 20 months of treatment, the patient was in retention. CONCLUSION: Orthodontic therapy of periodontally-affected teeth can begin only after exhaustive administration of a periodontal treatment. Orthodontic treatment as an addition to the periodontal restoration must be gradual with mild forces for an optimal dental response, thus helping to improve function, facial aesthetics and psychological confidence of adult patients.

Pleasant appearance often means the difference between success and failure in both our personal andprofessional lives. An attractive or pleasant smile clearly enhances the acceptance of the individual in society andthe character of the smile greatly influences the attractiveness and personality of the individual. Aesthetic andattractive smile is one of the most important components that affects the overall facial aesthetics. The paperprovides important information and a systematic overview of beauty, esthetics, esthetics dentistry and cosmeticdentistry. Physical attributes of the elements of the dento-facial composition are presented in this study. The articlefocuses on three components of esthetics: macro, mini and microesthetics, classification and style of the smile.Extraoral and intraoral features of a smile are presented. Dento-facial analysis, dento-labial analysis, dento-gingivalanalysis,and dental analysis are analyzed are presented and described in detail.

Uvod. Inflamacija gingive je veoma česta u detinjstvu i pubertetu. Cilj istraživanja bio je odrediti indekse gingive i vrednosti 17β estradiola u pljuvački i serumu i njegov uticaj na zdravlje gingive kod tinejdžerki. Pacijenti i metode. Studija je obuhvatila 30 devojčica (starosti od 11 do 14 godina) sa inflamacijom gingive i 30 devojčica kontrolne grupe koje nemaju inflamaciju gingive. Stepen zdravlja gingive je procenjen kliničkim merenjem indeksa gingive. Koncentracija 17β estradiola u serumu i pljuvački određena je DRG Estradiol ELISA (EIA-2693) i DRG Salivary Estradiol ELISA (SLV-4188) metodom. Rezultati. Vrednosti indeksa gingive jasno ukazuju na prisustvo inflamacije gingive. Analiza vrednosti nivoa estrogena u serumu i pljuvački ukazuju na pozitivnu korelaciju indeksa, posebno ističući uticaj 17β estradiola na inflamaciju i krvarenje gingive. Zaključak. Dobijene vrednosti koncentracije hormona u serumu i pljuvački pokazuju u obe grupe njegov potencijalni uticaj na zdravlje gingive, što ističe ulogu stomatologa u preventivi i terapiji parodontopatije u pubertetu. Conclusion.The obtained values of the hormone concentrations in serum and saliva, in both groups, suggest their potential impact on the gingival health. This emphasizes the role of dentists in preventive and treatment modalities in patients during the period of puberty.

No abstract