Telemedicina je kao sistem pružanja zdravstvene zaštite, definisana od Svetske zdravstvene organizacije (SZO) kao praktična zdravstvena zaštita koja koristi interaktivnu zvučnu, vizuelnu komunikaciju i razmenu podataka. Univerzitetski telemedicinski centar u Kosovskoj Mitrovici obezbeđuje stalnu dostupnost kadra neophodnih specijalnosti za brzu i efikasnu telekonsultaciju u slučajevima kada je ona neophodna ili se nameće kao metoda izbora u pomoći kod postavljanja dijagnoze, ali i planiranja i sprovođenja same terapije. Prikazana je 'store and forward' telemedicinska konsultacija u vidu slučaja normalnog nivoa hitnosti koji je zahtevao interdisciplinarni pristup između stomatologa endodonta i stomatologa oralnog hirurga. Kao pametna veza između telekonsultanata pri Univerzitetskom telemedicinskom centru korišćen je XPA3 online aplikacioni sistem. Nakon adekvatne telekonsultacije u kojoj su učestvovali lekari iz Kosovske Mitrovice, Niša i Podgorice, na pacijentu je uspešno sprovedena endodontsko oralnohirurška terapija, čime je pacijent u potpunosti zbrinut.

Introduction: Upon teeth are lost, morphological and functional disorders are caused on stomatognathic system. Since a longer period of time, total dentures made on conventional way were the best choice for treating toothless patients. Because of specific configuration of the toothless lower jaw, patients with total dentures mostly suffer problems with lower jaw total denture. From the time when osseointegration was applied as a successful clinical concept, implants have been used as well as for retention and stabilization of the total dentures. Case report: 66 years old male patient underwent surgery where implant-prosthetics rehabilitation of lower jaw is attained with application of four Bredent mini implants, used for retention and rehabilitation of total acrylic denture. The overall process was completed in one session within approximately one and a half hours, with the regular post surgical care and immediate load of implants. Conclusion: Taking into consideration simplicity, safety and non invasive procedure of placing mini implants, as well as their effect on improving quality of life of toothless patients, and economic aspect, we can conclude that along with classical and small implants they present future and method of choice for the rehabilitation of toothless patients.

Introduction: Most permanent teeth erupt and establish proper occlusion. In some cases, the permanent teeth have a problem in the eruption and remain impacted in bone.There are two possibilities. 1. Extraction of impacted tooth and its replacement implant or a prosthetic replacement, 2. Surgical release of the impacted teeth and orthodontic traction in the dental arch. The time of treatment, type of surgery release impacted teeth, orthodontic techniques and possible problems during treatment, depending on the type of the impacted tooth and its location. Case report: Clinical examination 14-year-old patients concluded the lack of maxillary canine teeth in the dental arch. Panoramic image showed bilateral canine impaction in the upper jaw. The analysis of X-ray image was recorded axial and in the middle alveolar position of both the impacted tooth. This is why we chose the of closed eruption method. Discussion: Impacted maxillary canines, the middle alveolar ridge treated by closed eruption, except for a slight increase in clinical crown of the tooth does not show other changes deteriorate.

Periodontal disease is a chronic inflammatory disease that is largely attributable to infections with gram-negative bacteria and is characterised by both gingival inflammation and alveolar bone resorption. Beside macrophages, the second most common cells of the gingival inflammatory infiltrat are mast cells. Mast cells are heterogenous cell population which live from six months to one year. These cells are activated by differnt immunologic and non-immunologic signals. Activated mast cells can secrete a range of substances that regulate angiogenesis, tissue remodeling and wound healing, which include both degradation and synthesis of tissue components. Apart from that, mast cells have an important role in phagocytosis, antigen processing and presentation to T-cells. It is confirmed that gingival mast cells can express matrix metalloproteinases (MMPs) and the tissue inhibitors of metalloproteinases, TIMP-1 and TIMP-2. This indicates that mast cells are likely to play an important role in inflammation and tissue degradation in periodontal diseases.