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    FREQUENCY AND DISTRIBUTION OF LAMBDACISM AND RHOTACISM IN 5-6 YEARS OLD CHILDREN
    (University Ss. Cyril and Methodius in Skopje, 2024)
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    ASSOCIATION BETWEEN ANATOMICAL ANDMORPHOLOGICAL FEATURES OF THE DENTAL ROOT AND PERIODONTAL DISEASE: A COMPREHENSIVE REVIEW
    (Faculty of Dentistry, University „Ss. Cyril and Methodius“ in Skopje and Macedonian Dental Society, 2024)
    Dollaku Shkreta B
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    Introduction.Periodontal disease, as a chronic inflammatory condition affecting the tissues surrounding the teeth, is a major health concern. Various factors contribute to the development and progression of periodontal disease, including genetic component, environmental factors, and specific anatomical and morphological charac teristics of the dental root. Aim: To record therisk factors associated with periodontal disease focusing on the anatomical and morphological characteristics of dental roots. Material and method:A systematic search of databases including PubMed, Scopus and Google Scholar was conducted to identify relevant studies published up to March 2024. The keywords used in search term were “root morphology”, “root concavities”, “root grooves”, “root proximity”, “furcation anatomy” and “periodontal disease”.Selection criteria included English-language studies that provided quantitative or qualitative data on the impact of morphological variation on periodontal health. Results: By reviewing the current literature and numerous empirical studies, this paper elucidates how these anatomical factors contribute to the progression of peri odontal disease and discusses the implications in clinical practice, emphasizing the need for tailored preventive and therapeutic approaches based on individual anatomical conditions. Conclusion:The anatomical and morphological characteristics of the dental root are crucial inthe diagnosis and management of periodontal disease. These features not only affect how the disease starts and progresses, but impact the success of periodontal treatments as well. Dental professionals need to consider these factors in their clinical practice in order to personalize prevention and treatment plans effectively. This can lead to better periodontal health outcomes and help preserve patients’ teeth.
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    The Relationship between the Type of Cleft and Nasal Air Emission in Speech of Children with Cleft Palate or Cleft Lip and Palate
    (Scientific Foundation SPIROSKI, 2019-02-10)
    <jats:p>BACKGROUND: Cleft palate, due to damage of the soft palate, leads to dysfunction, i.e., inappropriate closure of the velopharynx during speech production, thus resulting in velopharyngeal insufficiency which characterises with hypernasal speech and nasal air loss/emission during speech production. AIM: To establish the relationship between the type of cleft according to the Veau classification and the degree of nasal air emission in the speech of patients with cleft using auditory-visual perceptual assessment procedures. MATERIAL AND METHODS: A group of 40 patients with irregular speech aged 4 to 7, out of which 20 with cleft palate or cleft lip and palate, participated in the research. The Veau classification was used to classify the cleft severity, while an indirect instrumental examination was conducted with the See-Scape instrument to detect nasal air emission during the speech. RESULTS: The respondents with cleft palate or cleft lip and palate of higher Veau class had a greater degree of nasal air emission during the speech. There is a positive, statistically significant correlation between the results obtained with the Veau classification of cleft lip and palate, and the degree of nasal air emission. The value of Spearman’s coefficient of correlation is R = 0.46, and the calculated p-value is p = 0.04. CONCLUSION: A more severe cleft type is associated with an increased degree of nasal air emission during the speech, and vice versa.</jats:p>
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    Lambdacism, Rhotacism and Sigmatism in Preschool Children: Frequency and Distribution
    (Scientific Foundation SPIROSKI, 2019-02-15)
    Speech sound appears first in the child's speech development and is the primary means of expression. Articulation disorders can hinder the comprehensibility of children's speech. The speech, in turn, can limit the child's inclusion in the social and educational environment.
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    БЕНЕФИТИ ОД ИМПЛЕМЕНТАЦИЈАТА НА КОХЛЕАРЕН ИМПЛАНТ
    (2023)
    Лазаровска, В
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    Јовановска, М
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    Ѓорѓеска, Б
    Кохлеарниот имплант е софистицирано техничко помагало кое се вградува во внатрешното уво и овозможува слушна перцепција кај лица со ош тетен слух. Со директна електрична стимулација на аудиторниот нерв, кохлеарниот имплант ги заменува оштетените или неразвиените сензорни структури во кохлеата. Кохлеарниот имплант обезбедува пренос на звучна информација до централниот нервен систем. Предмет. Предмет на презентирањето ќе биде моменталната сос тојба на лицата со оштетен слух кои се корисници на кохлеарен имплант, опфаќајки го нивниот број и поделба, времето на возраста на нивната им плантација и квалитетот на нивното живеење во социјалната средина. Резултати. Лицата со оштетен слух кои биле имплантирани на по рана возраст имаат подобар бенефит од лицата кои се подоцна имплантира ни, квалитетот на нивното живеење се подобрува со добивање на имплантот. Заклучок. Квалитетот на живеење кај лицата со оштетен слух се подобрува со вградувањето на нивниот кохлеарниот имплант.
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    DENTAL AND OCCLUSAL CHARACTERISTICS IN PATIENTS WITH IMPACTED MAXILLARY CANINES
    (Institute of Knowledge Management, 2024)
    Jeta Bedzeti
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    Cena Dimova
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    Armend Redzepi
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    Impacted teeth, retained are fully formed teeth, but with delayed eruption time on their own or elsewhere in the dental arch or outside of it, based on clinical and radiographic assessment. Objective: To determine the dental and occlusal characteristics in patients with impaction of the maxillary canines. Materials and methods: Orthodontic study models from 60 male and female subjects aged 11 to 18 years with unilateral and bilateral impaction of maxillary canines were used. The control group for gnathometric analysis consisted of 60 subjects with normally erupted maxillary canines of the same age. The following parameters were measured on the models of the subjects and the control group: Palatal index (palate depth), Overjet (oj), Overbite (ob), and Dent-alveolar intermaxillary relationship based on incisal classification: I incisal, II/I, II/II, and III incisal class. Results: Among the patients in the study group, 36.7% had an impacted maxillary canine 13, and 21.7% had an impacted maxillary canine 23. Bilateral impaction of maxillary canines 13 and 23 was present in 41.7%. Unilateral impaction of maxillary canines was recorded in 58.4% of the study group. A significant association was found between bilateral/unilateral impaction versus the side of buccal/palatal impaction for p<.05 (Pearson Chi-square: 10.8225, p=.001003). No significant association was found between bilateral/unilateral impaction versus gender for p>.05 (Pearson Chi-square: 2.19429, p=.138523). A significant correlation was recorded between genders versus the registration of impacted maxillary canines (Chi-square: 4.1262, p=.0422247). A significant difference was confirmed between the average age of subjects with unilateral and bilateral impaction (Mann-Whitney U Test, p=0.007947). According to the Mann-Whitney U Test, the difference in average values of the palatal index (palate depth) between the two groups was not significant for p>.05 (Mann-Whitney U Test, p=.068566). According to the Mann-Whitney U Test, the difference in average values of overjet (oj) or horizontal incisal distance between the two groups was not significant for p>.05 (Mann-Whitney U Test, p=.140956). According to the Mann-Whitney U Test, the difference in average values of overbite (ob) or vertical incisal distance between the two groups was not significant for p>.05 (Mann-Whitney U Test, p=.719198). No significant correlation was recorded between dentoalveolar intermaxillary relationship based on incisal classification and membership in the two groups for p>.05 (Pearson Chi-square: 8.98978, p=.174154). Conclusion: In relation to the buccal/palatal impaction position, there is a significant association between bilateral/unilateral impaction. There is no significant association between bilateral/unilateral impaction in relation to gender. Female patients are twice as likely to develop impacted maxillary canines compared to male patients. The average age of patients with unilateral impaction is 15.2±2.2 years, while the average age of patients with bilateral impaction is 13.1±1.9 years. There is a significant difference in the mesiodistal dimensions of teeth 16, 13, 21, and 23 between the two groups studied. The total sum of the mesiodistal dimensions of the teeth is greater in patients with impacted maxillary canines. In the IG, the most represented depth of the palate is medium depth (28.0 - 39.9) at 55.0%, followed by shallow depth at 43.3%, and high depth (>=40.0) at 1.7%. There is no significant difference in the depth of the palate between the groups studied. There is no significant difference between the two groups regarding overjet and overbite. The majority of patients with impacted maxillary canines are in Class I incisal, with 36.7%.
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    GNATHOMETRIC ANALYSIS IN PATIENTS WITH IMPACTED MAXILLARY CANINES
    (Institute of Knowledge Management, 2024)
    Jeta Bedzeti
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    Cena Dimova
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    Armend Redzepi
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    Impaction is a pathological condition defined as the failure of a tooth to erupt into the oral cavity within the time and physiological limits of the normal eruptive process. Objective: To determine the dimensions of the teeth and the dimensions of the dental arches in patients with impaction of the maxillary canines. Material and method: Orthodontic study models from 60 male and female subjects aged 11 to 18 years with unilateral and bilateral impaction of maxillary canines were examined. The control group for gnathometric analysis consisted of 60 subjects with normally erupted maxillary canines of the same age. The following parameters were analyzed: mesiodistal tooth width, inter-premolar width, inter-molar width, and height of the maxillary dental arch. Results: Among the patients in the study group (SG), 36.7% had an impacted maxillary canine 13, and 21.7% had an impacted maxillary canine 23. Bilateral impaction of maxillary canines 13 and 23 was present in 41.7%. Unilateral impaction of maxillary canines was recorded in 58.4% of the study group. A significant association was found between bilateral/unilateral impaction versus buccal/palatal impaction for p<.05 (Pearson Chi-square: 10.8225, p=.001003). In terms of gender distribution in the study group, males comprised 33.3% and females 66.7%, with the percentage difference being significant for p<.05 (Difference test, p=.0003). The average age of patients in the study group was 14.3±2.3 years, and in the control group was 14.2±2.3 years, with the difference in average values being insignificant for p>.05. The average age of patients with unilateral impaction was 15.2±2.2 years, and the average age of patients with bilateral impaction was 13.1±1.9 years. A significant difference was confirmed between the average age of subjects with unilateral and bilateral impaction (Mann-Whitney U Test, p=0.007947). The difference registered between the groups for mesiodistal tooth width on the models according to the Mann-Whitney U Test was significant for p<.05 between 16 (10.3 vs.10.0) (p=.036009), 13 (8.2 vs.7.7) (p=.000433), 21 (8.7 vs.8.4) (p=.049041), and 23 (8.2 vs.7.6) (p=.000025). The overall average value of the models in the study group for mesiodistal width was 93.8±5.4, while the total value in the control group was lower at 91.4±4.6. The difference registered between the average values of mesiodistal width in both groups was significant for p<.05 (Mann-Whitney U Test, p=.010194). The average values of inter-premolar width (anterior width) of the jaw in the study group were 34.8±3.3, while in the control group, the average value was higher at 36.3±2.8. The difference between the average values of anterior width was significant for p<.05 (Mann-Whitney U Test, p=.007036). The average values of inter molar width (posterior width) of the jaw in the study group were 46.4±3.5, while in the control group, the average value was 46.8±3.4. The difference between the average values of posterior width was not significant for p>.05 (Mann-Whitney U Test, p=.435731). The average height of the maxillary dental arch was 26.5±2.5 in the study group, while in the control group, it was higher at 27.8±2.9. The difference between the average values of the height of the maxillary dental arch in both groups was significant for p<.05 (Mann-Whitney U Test, p=.002253). Conclusion: There is a significant association between bilateral/unilateral impaction in relation to the side of buccal/palatal impaction position. There is no significant association between bilateral/unilateral impaction in relation to gender. Female patients are twice as likely to develop impacted maxillary canines compared to male patients. The average age of patients with unilateral impaction is 15.2±2.2 years, while the average age of patients with bilateral impaction is 13.1±1.9 years. There is a significant difference in the mesiodistal dimensions of teeth 16, 13, 21, and 23 between the two groups studied. The total sum of mesiodistal dimensions of the teeth is greater in patients with impacted maxillary canines. The anterior width of the maxilla is significantly smaller in patients with impaction. There is no significant difference in the posterior width of the maxillary dental arch between the two groups. There is a significant difference in the height of the maxillary dental arch between the two groups, with a lower height in patients with impacted maxillary canines.
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    ASSESSMENT OF THE VELOPHARYNGEAL SPHINCTER AND ITS ROLE IN THE SPEECH OF PATIENTS WITH CLEFT LIP AND PALATE
    (Medical faculty, Ss Cyril and Methodius University in Skopje, 2016)
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    Gjorgova J
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    Popovski V
    The cleft lip and palate are congenital anomalies with different dimensions; their existence alters the facial aesthetics and many orofacial functions as well. They characterize with a discontinuity of the lip, hard and soft palate and the alveolar ridge. The gravity of the clinical picture can be detennined by the lack of continuity in the skin tissue, muscles and bones, which can be manifested with a mild form of lip distortion, severe bilateral cleft lip, palate, and alveolar bone and the most severe - oblique facial cleft. The clefts can be of different dimensions; still, regardless of the size, the articulatory speech is rendered more difficult due to the constant communication between the oral and nasal cavity. Every child born with a cleft palate has dysfunction of the velopharyngeal sphincter leading to pathology of the verbal communication. The velopharyngeal sphincter is a tridimensional muscle area between the oral and nasal cavity. It is built by the lateral and posterior pharyngeal wall and the soft palate. The role of the velopharyngeal sphincter is to separate the oral from the nasal cavity, and, in that way, enable normal speech and swallowing, that is, prevent the air from escaping through the nose instead of the mouth. The speech of children with cleft is usually accompanied by a nasal sound that is associated with the velopharyngeal insufficiency (weak function of the soft palate). When the soft palate does not close completely the airflow through the nose, air passes through the thin passage and nasal speech is heard. Today, one of the techniques used to assess the articulatory function of the oropharyngeal region, both in normal and pathological cases, is the magnetic resonance. Compared to other techniques, it has more advantages due to its non-invasiveness, non-radioactivity and the fact that it is video fluoroscopic. It is used for obtaining dynamic pictures while in motion, the so called, magnetic resonance imaging.
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    The Role of the Velopharyngeal Sphincter in the Speech of Patients with Cleft Palate or Cleft Lip and Palate Using Perceptual Methods
    (Scientific Foundation SPIROSKI, 2016-12-15)
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    Gjorgova, Juliana
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    The velopharyngeal sphincter (VPS) plays the main role in speech formation. The cleft palate, due to the damage of the soft palate, leads to dysfunction of the velopharyngeal sphincter thus causing speech disorder.
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    PREVALENCE OF ORTHODONTIC ANOMALIES IN 6 YEARSOLD CHILDREN WITH DYSLALIA
    (Faculty of Dentistry, University „Ss. Cyril and Methodius“ in Skopje and Macedonian Dental Society, 2024)
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    Stavreva, N
    Aim of the study: The aim of our research is to determine the frequency and distribution of orthodontic anomalies in female and male children at the age of 6 who have previously been diagnosed with dyslalia. Methods: The frequency and distribution of orthodontic anomalies were analyzed in a selected sample (n=586) of boys and girls at the age of 6, all with dyslalia.The performed analysis is retrospective, on data for patients recorded in an outpatient clinic for carried out diagnostic ortho dontic-speech examinationsin the period 2015-2019 at the Public Health Institution “Center for Rehabilitation of Verbal Communication Pathology - Skopje”. The data is statistically examined, represented in tables and figures and analysed descriptively. Results: 15% of children with dyslalia had orthodontic anomalies of teeth and jaws. Most often, in as many as 50% of cases, it is about sagittal occlusion anomalies, followed by vertical occlusion anomalies (26.1%), anomalies in the dental arch es (19.3%), etc. Among children with dyslalia, girlsare more likely to have orthodontic anomalies than boys. Conclusion: The findings obtained from the research can serve for better planning and implementation of diagnostic-rehabilitation activities in relation to orthodontic anomalies and the formation of speech sounds, with the ulti mate goal of enabling, to as many children as possible, conditions for adopting clear and distinct speech sounds.