Katarzyna Sporniak-Tutak

Publications of Katarzyna Sporniak-Tutak

• Management of temporomandibular ankylosis--compromise or individualization--a literature review.

  Authors: Katarzyna Sporniak-Tutak, Joanna Janiszewska-Olszowska, Robert Kowalczyk

  Medical science monitor : international medical journal of experimental and clinical research. 05/2011; 17(5):RA111-6.

  Temporomandibular joint ankylosis is defined as bony or fibrous adhesion of the anatomic joint components accompanied by a limitation in opening the mouth, causing difficulties with mastication,Temporomandibular joint ankylosis is defined as bony or fibrous adhesion of the anatomic joint components accompanied by a limitation in opening the mouth, causing difficulties with mastication, speaking and oral hygiene as well as inadvertently influencing mandibular growth. Surgical treatment procedures include arthroplasty of the joint cavity with or without a reconstruction and a coronoidectomy, an autogenous costochondral rib graft, distraction osteogenesis and intensive mouth-opening exercise, corrective orthognathic surgery or alloplastic joint prostheses. The authors of this study would like to provide the reader with an evidence-based review of the literature in order to determine the most efficient way to manage TMJ ankylosis and re-ankylosis. The authors have concluded that in order to achieve a satisfactory and durable effective treatment, an individualized approach is necessary in each case.

• [Comprehensive treatment of the endo-perio syndrome. Case reports].

  Authors: Maria Wiernicka-Menkiszak, Marlena Trabska-Swistelnicka, Katarzyna Sporniak-Tutak, Mariusz Lipski, Joanna Janiszewska-Olszowska

  Annales Academiae Medicae Stetinensis. 01/2010; 56(1):93-8; discussion 98.

  The endo-perio syndrome presenting with periodontitis is very difficult to manage due to its pathomechanism which until today has evaded clarification. Substantial loss of tooth-bearing tissuesThe endo-perio syndrome presenting with periodontitis is very difficult to manage due to its pathomechanism which until today has evaded clarification. Substantial loss of tooth-bearing tissues within the alveolar processes of the maxilla and the alveolar part of the mandible compounds the situation and complicates efforts to control the inflammatory process and restore the missing periodontal tissues, to minimize the costs for the patient, and to achieve a good cosmetic effect. The aim of this work was to assess therapeutic efforts undertaken in some cases of the endo-perio syndrome. The results of periodontic and implantologic treatment in three patients with the endo-perio syndrome caused by periodontitis are presented. Conservative treatment of the endo-perio syndrome leads to restoration of periodontal tissues, provides a good esthetic effect, and greatly minimizes the psychosocial costs due to temporary loss of a tooth in the visible part of dental arches.

• [Metabolic changes in bone marrow in patients submitted to immunosuppressive treatment].

  Authors: Katarzyna Sporniak-Tutak, Julia Borowczyk, Leszek Domański, Leszek Myśliwiec, Justyna Drukała

  Przegla̧d lekarski. 01/2010; 67(7):512-8.

  A historical outline of the immunosuppressive treatment and related developments in transplantology is presented here. It is accompanied by a description of the essential knowledge of the bone marrowA historical outline of the immunosuppressive treatment and related developments in transplantology is presented here. It is accompanied by a description of the essential knowledge of the bone marrow histology as well as of the role of mesenchymal stem cells (MSCs) in the regenerative processes occurring in the organism following tissue damage. We have reviewed contemporary knowledge of negative (quantitative and qualitative) changes in bone tissues caused by immunosuppressive treatment after an organ transplantation and mentioned prophylactic measures which may be used in such cases. We also describe basic immunosuppressive medications taking into account their side effects on the organism of the patient and, in particular, on the bone marrow metabolism as well as the mechanisms of their action at the cellular level.

• [Missing maxillary: comprehensive orthodontic and prosthodontic treatment canines with endosseous implants].

  Authors: Katarzyna Sporniak-Tutak, Marcin Tutak, Magdalena Miedzik, Leszek Myśliwiec

  Annales Academiae Medicae Stetinensis. 01/2009; 55(3):65-9.

  Impacted maxillary canines are a serious problem in orthodontics and prosthodontics. The incidence of impaction has been reported at 3.3% of the general population and is more common among women.Impacted maxillary canines are a serious problem in orthodontics and prosthodontics. The incidence of impaction has been reported at 3.3% of the general population and is more common among women. Impaction of canines can be unilateral or bilateral, palatal or labial. The causes of this pathology are varied. Irrespective of the cause of impaction, missing canines represent first and foremost an esthetic problem. The aim of this study was to analyze the possibilities of reconstructing missing permanent maxillary canines in a given clinical situation. We present the case of a young female with bilateral impaction of permanent and retention of deciduous maxillary canines. A detailed orthodontic investigation ruled out the possibility of forced eruption of impacted canines. Consequently, surgical extraction of impacted canines and prosthetic replacement of missing teeth using endosseous implants were done. The immediate functional and esthetic result in the patient was very good. As prosthetic crowns were cemented to the implants on the day of implantation, soft tissues received support without risk of contour change. The procedure ensured comfort for the patient without the need of wearing removable partial dentures. 1. Missing permanent canines represent a significant esthetic defect of dentition. 2. Surgical extraction and reconstructive treatment is an option when forced eruption of impacted canines proves impossible. 3. Close cooperation between the orthodontist and implant prosthodontist is necessary for a satisfactory esthetic result.

• [Lincomycin applied to the alveolus on TCP carrier and its effect on wound healing after surgical extraction of a third molar].

  Authors: Izabela Wiśniewska, Anna Slósarczyk, Leszek Myśliwiec, Katarzyna Sporniak-Tutak

  Annales Academiae Medicae Stetinensis. 01/2009; 55(2):59-64.

  The dental surgeon is often confronted by complications particularly after extraction ofunerupted lower third molars. The most common complication is alveolar periostitis. The healing process afterThe dental surgeon is often confronted by complications particularly after extraction ofunerupted lower third molars. The most common complication is alveolar periostitis. The healing process after extraction is accompanied by physiologic atrophy of the alveolus involving on the average 30% of bone tissue. Beta-tricalcium phosphate (TCP) is a synthetic material used in medicine to fill up bone defects caused by pathologic processes. The properties of TCP are appropriate for the material to be used as a carrier for drugs, in particular antibiotics. This study was undertaken to determine whether lincomycin applied to the alveolus on TCP carrier can be used to accelerate wound healing and reduce inflammation after surgical extraction of a third molar. We enrolled 80 patients (males and females between the age of 18 and 50 years) who underwent extraction of a third molar at the Department of Dental Surgery, Pomeranian Medical University in Szczecin. Surgical difficulty in the patients according to the Pederson scale corresponded to grade 2 or 3 (medium or high difficulty). The study group consisted of 40 patients who received lincomycin on TCP. Beta-tricalcium phosphate (300-700 microm pores) obtained from the Department of Technology of Ceramics and Refractories, AGH University of Science and Technology in Cracow, was soaked with 500 mg of lincomycin in solution and applied to the dental alveolus after tooth extraction. The alveolus was tightly sutured. The control group comprised 40 patients not treated with lincomycin. The patients reappeared for examination on the first, third, and seventh day after surgery. Attention during follow-up was directed to alveolar periostitis, pain, and trismus. Pain intensity was assessed with the 10-degree Visual Analog Scale (VAS). We analyzed the subjective pain intensity reported during follow-up by the patients. In the study group, 20 patients reported no pain 24 hours after extraction. On the third day after surgery, alveolar periostitis was present in 15% of patients in the study group and 75% of patients in the control group. On the last day of follow-up, periostitis was present in only 2.5% of patients in the study group as opposed to 45% of patients in the control group. The differences were statistically significant (chi-square 36.05, p < 0.0001). (1) Lincomycin on TCP can be used to prevent alveolar periostitis. (2) Lincomycin on TCP reduces complications in the form of pain and trismus. (3) Beta-tricalcium phosphate prevents atrophy of the alveolar process.

• [Implant-prosthetic rehabilitation of patients with absence of maxillary lateral incisors]

  Authors: Leszek Myśliwiec, Katarzyna Sporniak-Tutak, Bartosz Łuszczyński, Michał Lesiakowski, Krzysztof Kałuzyński

  Annales Academiae Medicae Stetinensis. 02/2008; 54(2):155-9; discussion 159.

  INTRODUCTION: The absence of maxillary lateral incisors caused by traumatic or genetic reasons or as a result of endodontic failure is a difficult problem for an implantologist. The difficulties areINTRODUCTION: The absence of maxillary lateral incisors caused by traumatic or genetic reasons or as a result of endodontic failure is a difficult problem for an implantologist. The difficulties are the result of bone deficiency in all three dimensions, irregularity of interdental papillae locations and often convergence of roots of the neighbouring teeth. The aim of this study was to present the complexity of orthodontic and implant-prosthetic treatment of the absence of maxillary lateral incisors. MATERIAL AND METHODS: Between 2003 and 2007, 11 patients with absence of maxillary lateral incisors were treated in the Department of Oral Surgery of the Pomeranian Medical University in Szczecin. In 5 cases the incisors were congenitally absent, 2 patients lost their incisors because of traumatic injuries and in 4 patients the absence was a result of treatment failures (perforations, fractures, endodontic failures). The average age of the patients was 27 years. The purpose of the initial, orthodontic part of the treatment was to obtain enough space for implantation. During the next part implants were placed in the bone. 15 Zimmer-Dental and Alfa-Bio implants were placed altogether (3.3 and 3.7 mm diameter, 13-16 mm length). Due to bone deficiency, in 11 cases alveolar distraction was necessary and in the rest of the cases bone substitute materials were used to obtain enough amount of bone. Only in 2 patients the implants were loaded immediately, the remaining received prosthetic reconstruction after 6 months; 1 implant was lost (6% of all placed implants). CONCLUSIONS: Implant-prosthetic treatment of single front tooth absence needs cooperation of multiple dental specialties. Implantation with the help of the described alveolar distraction technique seems to be a promising way of reconstruction in cases of bone deficiency.

• [Endodontic treatment or dental implant treatment?]

  Authors: Leszek Myśliwiec, Katarzyna Sporniak-Tutak, Bartosz Łuszczyński, Michał Lesiakowski, Krzysztof Kałuzyński

  Annales Academiae Medicae Stetinensis. 01/2008; 54(3):89-93.

  INTRODUCTION: The main purpose of today's dental treatment is the longest possible retention of teeth with all its functional and esthetic aspects. Thanks to modern endodontic techniques andINTRODUCTION: The main purpose of today's dental treatment is the longest possible retention of teeth with all its functional and esthetic aspects. Thanks to modern endodontic techniques and microsurgical procedures, it is possible today to treat and keep teeth that would have had to be extracted before. On the other hand, the latest development of forms and surfaces of dental implants, improved operation techniques and precision in preparing superstructures have determined a significant increase of percentage of successful implantations and survival rate of the implants, widening the range of possibilities of prosthetic reconstructions. The aim of this study is to present current, often ambiguous view on the problem of long-term effects of endodontic treatment and its impact on teeth retention compared with effects of dental implant treatment and to try to answer the question: extirpation or implantation? MATERIALS AND METHODS: The comparative research was based on studies published within two databases: PubMed and Medline. RESULTS: Studies from a 10 years' period show similar percentage of surviving teeth after endodontic treatment and surviving implants: between 86 and 94 per cent with slight advantage of the implants. Esthetic problems, the time needed for implantation procedures and high costs of implant treatment make implantation less attractive and accessible. However, anatomical limitations ofmultirooted teeth, extensive periapical granulomatic lesions or considerable crown and root destruction are all indications for implant treatment. The lack of clear-cut evaluation criteria regarding both endodontic and implant treatment success makes statistic analysis impossible.

• [Application of research results of tissue engineering in wound healing]

  Authors: Justyna Drukała, Katarzyna Sporniak-Tutak

  Przegla̧d lekarski. 02/2002; 59(10):862-6.

  Based on current literature wound healing and repair have been analyzed. Basic types of dressing materials used in wound repair as well as the use of skin grafts for covering skin lesions have beenBased on current literature wound healing and repair have been analyzed. Basic types of dressing materials used in wound repair as well as the use of skin grafts for covering skin lesions have been discussed. Taking into account the results of research in the fields of molecular biology and tissue engineering the authors describe the possibilities of producing skin substitutes, transplanting in vitro-cultured epithelial cells and gene therapy of various skin diseases and systemic diseases.