Enamel damage often occurs in a process of adhesive removal after the completion of therapy with fixed orthodontic appliances. The aim of this study was to evaluate the enamel surface after applying a 12-fluted round tungsten carbide bur for adhesive removal at different speeds of dental micro motor after debonding brackets. Material and method: On 40 human premolars, extracted for orthodontic purposes, metal brackets were bonded with composite material. After removing the brackets, the sample was divided into two groups: group A - 20 teeth from which the rest of the composite material was removed with a round tungsten carbide bur at 8,000 rotations per minute and group B - 20 teeth from which the rest of adhesive was removed with a round tungsten carbide bur at 32,000 rotations per minute. For each sample, four images were made under different magnifications by scanning electron microscopy, and the damage estimation was performed using the Enamel damage index (EDI) and Surface roughness index (SRI). Results: The most common EDI score on the overall level was 3 (62.5%), while the most commonly represented SRI score was 2 (52.5%). There was no statistically significant difference in the average values of the EDI index (t (38) = -.96, p> .05) and in the average SRI index values (t (38) = -. 89, p> .05) between two tooth examined groups. Conclusion: Enamel damage was found after applying a round tungsten carbide bur at 8,000 and 32,000 rpm. The number of rotations per minute did not affect the size of enamel damage.

SUMMARY Introduction Need for orthodontic treatment is determined by the severity of specific malocclusion. Orthodontic indices are used to objectively present treatment needs. The most commonly used is the Index of Orthodontic Treatment Need (IOTN). The aim of this study was to determine the need for orthodontic therapy in 11 to 13 years old schoolchildren in Republika Srpska. Material and Methods 1377 patients, 11 to 13 years old, were included in this study. The examinations were performed in elementary schools, using daylight, flat mirror and two-dimensional orthodontic caliper. Patients were ranked into 5 grades according to the Dental Health Component (DHC) and graded on a scale 1 to 10 for the Aesthetic Component (AC) of the IOTN index. Results According to the Dental Health Component (DHC), 79.23% of patients needed orthodontic treatment. Little and borderline orthodontic need was present in 27.74% and 24.83% children, respectively, while severe need was present in 19.98% and 6.68% respectively. 20.77% of subjects did not need orthodontic treatment. In regards to the Aesthetic Component (AC) (face appearance related to orthodontic need) little or no treatment was needed in 91.42% of subjects while 6.42% were borderline and 2.16% of subjects had severe relation between orthodontic need and facial appearance. Conclusion Due to the wide presence of orthodontic irregularities in schoolchildren 11-13 years old in Republika Srpska, it is important to introduce orthodontic indices in clinical practice in order to determine orthodontic treatment needs.

Summary Introduction In order to establish an accurate diagnosis and proper therapy planning in orthodontics, it is necessary to perform the analysis of transverse and sagittal dental arch development in relation to the facial type of the patient. The aim of this study was to determine sagittal and transverse parameters of dental arches in the population of Republika Srpska (Bosnia and Herzegovina) based on Schwarz analysis. Material and Methods Facial type was determined in 300 patients of both genders, aged 18 to 25, with class I occlusion. After taking impressions of the upper and lower jaw, cast study models were poured and used to determine basic sagittal and transverse parameters of dental arches. The obtained values were compared with the values defined by Schwarz in order to determine the existence of certain variations. Results Out of 300 subjects, 50.33% were dolichofacial, 30.76% were mesofacial and 19.00% were brachyfacial. The average values of anterior width, posterior width and height of dental arch in patients with all three types of face showed lower range of values compared to the values defined by Schwarz, who determined his values by examining the same parameters in the population of Vienna. These parameters did not show linear proportional increase with the increase of the sum of upper incisors, what is the case with the values defined by Schwarz. Conclusion The results of this study showed significant differences compared to Schwarz’s values. Modification of the size and shape of dental arch leads to changes in the appearance of patient’s face. Therefore, an individual approach during orthodontic diagnosis and treatment planning must be present despite the great importance of biometric standards.

Plaster dental casts represent an important item in the process of diagnosis, therapy planning and documenting, both in orthodontics, as well as other areas of dentistry. Dental casts allow us to track occlusal contacts before the therapy as well as the changes during the growth and therapy. Although they do possess many positive features, due to the rapid advancements in technology, their negative sides have became more prominent leading to the more widespread use of digital 3D models as their replacement. In this paper, we present a web based system that allows us, after the casts have been scanned, to produce easily usable digital models, to store them and perform measurements on them. Performed measurements are suitable for futher processing and analysis.