Assoc. Professor Marko Jakovac DMD, MSC, PhD (HR)
Assoc. Professor Marko Jakovac, DMD, MSc, PhD, graduated from the School of
Dental Medicine in Zagreb, Croatia, in 1998. In 2000, he passed the state exam and
obtained a license for independent work. In 2002, he began to specialize in
prosthodontics. After receiving his Master of Science degree in 2003 and his PhD in
2008 he became a senior assistant at the Department of Prosthodontics of the School of
Dental Medicine in Zagreb. Since 2009, Marko Jakovac is ass. professor and has been
a course instructor in the “Advanced Preparation Techniques in Fixed Prosthodontics”
further education program at the Zagreb Dental School. In 2010, he was appointed head
of the postgraduate student course “Esthetics in Fixed Prosthodontics on Teeth and
Implants”. In 2012, he became head of the undergraduate students course “Pre-clinical
and Laboratory Fixed Prosthodontics”. In 2013, he received the Dean’s award for the
best teacher at the School of Dental Medicine in Zagreb and since 2015, he has been
head of the undergraduate students course “Microscope in Dental Medicine”. Since
2015, he is assoc. professor at Dpt. of Fixed Prosthodontics.
Marko Jakovac is the author and co-author of several scientific papers and he has
actively participated in numerous international conferences. He is a lecturer and
training course instructor (KOL) at international meetings for Ivoclar Vivadent, Sirona
CAD-CAM and Carl Zeiss. He is a vice president of Croatian Society of Minimal
Intervention Dentistry and a member of the Croatian Prosthodontics Society, European
Prosthodontics Society, Croatian Society of Dental Implantology, Croatian Medical
Association and the Croatian Dental Chamber. Moreover, he is the owner of the
“Aesthetica” dental clinic in Zagreb
”ESTHETIC DENTISTRY; DIGITAL AND ANALOG APPROACH ”
Assoc. Prof. Dr. Marko Jakovac
Dep. of Fixed Prosthodontics, School of Dental Medicine, University in Zagreb
Modern dentistry is at the moment in the transition period from the analog era to the
digital one. More and more fixed prosthodontics is done digitally. Still, some oral
rehabilitations are more convenient to be done with the analog approach.
Esthetic dentistry is very commonly misinterpreted as a cosmetic dentistry, but there
are lots of situations where it is not only cosmetics but also a psychological therapy.
One very complex situation is Amelogenesis Imperfecta.
It is a hereditary disorder that has been familiar to dentists for a very long time (Finn
SB, 1938; Coley-Smith AC et al., 1996; Sundell S et al., 1986). It is found in 1:2000
up to 1:18,000 cases (Backman et al., 1986; Al-Salehi SK et al., 2009; Stern BM, 2010)
with different categories and types. In general, there are 3 different categories:
And between these categories, there are subcategories.
(Al Salehi SK et al., 2009; Lindemeyer RG at al. 2010; Rowely R at al., 1982).
In different categories there are developmental tooth abnormalities: extensive loss of
tooth tissue, tooth sensitivity, excessive attrition leading to short clinical crowns,
spacing in the anterior region of the dentition, normal or tight proximal contacts in the
posterior region, and a general enamel caries resistance (Hoppenreijs TJ et al. 1998;
Hall PK et al. 1995; Toksavul S et al. 2004).
The patients show other abnormalities, such as an open-bite malocclusion, gingival
overgrowth, hypodontia, pulpal calcifications and aberrant root formation of the
unerupted teeth (Feller L et al. 2008).
The patients have very complex therapy, including the pediatric or restorative
dentistry, orthodontics, perio surgery and prosthodontics at the end (Al-Salehi SK et
al. 2009, Stern BM et al. 2010, Coeld KD et al. 2005).
Except physical abnormalities, most of the older patients show psychological
symptoms, for example, lack of confidence. Therefore, we need very good protocols
and treatment planning for these cases. After treatment planning the full ceramic
restorations are indicated for protection the remaining teeth and the goal is complete
functional and esthetic rehabilitation.