PhD Silvana Bara
Education: Graduated from Faculty of Medicine, Stomatology Branch – today’s
Faculty of Dental Medicine, University of Tirana, in 2007
Postgraduate specialization of two years in dental therapy, Master Degree of Second
Level in Prosthesis and Implanto-prosthesis with advanced technologies, Bologna
Italy, PhD/from University of Medicine Tirana, on “The value of e hydroxyapatite
and its connection with the cement” in 2013.
Research interests: Research activity of Silvana Bara is focused on
paradonthology, oral disease, etc.
Experience: Current Position: Full time professor at Faculty of Dental Medicine
from April 2016. She worked as a full time professor at the Faculty of Technical
Medical Science, Tirana, Albania, during 2011-2016.
Prior to that, she worked as part-time dentist at Maria Veronica OrsiDental Clinic,
Bologna, Italy from 2010-2011.
Publications: Author of several published books, articles and scientific presentations
in national and international forums:
– Connectivity of caries and social medical factors on children aged 12-15,
Contemporary Medicine, Faculty of Technical Medical Science.
– Morphology of tooth’s strong tissues, MEDICUS Medical Journal.
– Evaluation of enzymatic changes on patients being treated with
carbamazepine, MEDICUS Medical Journal.
– Biological future of breast cancer in post menopausal women, Bucharest,
BJCL (Balcan Journal of Clinical laboratory”, 19-th Meeting of Balcan
Clinical Laboratory Federation, Bucharest 21-23 September 2011.
– Benefits and risks of blood transfusion, UNIVERI – International Journal of
Education, Science, Technology, Innovation, Health and Environment.
– Lecturer at Alma Mater Studiorum, Universita di Bologna on “The influence
of domicile hygiene on the state of supporting tissues in removable
prosthesis”, Bologna, Italy, 2016.
”SOME CONSIDERATIONS ABOUT LEUKOPLAKIA AND ERITHROPLAKIA ”
PhD Silvana Bara, Prof. Dr. Adem Alushi
Oral leukoplakia and erythroplakia are oral mucosal diseases that have a very high
risk for malignant transformation. Possible etiologic factors might be tobacco,
alcohol, solar rays, candidiasis, human papilloma viruses, etc.
Oral leukoplakia may exhibit varied clinical appearances as homogeneous or not
homogeneous (nodular or speckled, verrucous). The site and the malignant
transformation are joint to each other. Studies reveal that the floor of the mouth and
the ventral surface of the tongue show the highest risk of leukoplakia, manifested as
epithelial dysplasia, carcinoma in situ or invasive carcinoma in the biopsy. The rate
of transformation of leukoplakia to carcinoma is related to the number of years of
follow up and studies report to occur as 20-40% of cases followed over 10 years.
Differential diagnosis of oral leukoplakia should be done through keratitis lesions by
clinical and histological examinations. Most common cases that should be
differentiated by Candidiasis, Oral lichen planus, syphilis, etc. Surgical excision
remains the standard treatment for leukoplakia, although cryosurgery and laser
obliteration are often preferred for their precision and rapid healing.
Meanwhile, eryhtroplakia exhibits a high frequency of cellular atypia and
premalignant or malignant changes. Studies reveal that histopathological spectrum of
erythroplakia is displayed through severe epithelial dysplasia, carcinoma in situ ore
invasive carcinoma. Its etiology still remains unknown and treatment should start
from the suspected cases in order to remove possible local irritants and identify
systemic predisposing factors. Biopsy is planned in some cases and in cases of no
evidence of dysplasia, conservative treatment is acceptable. For larger lesions with no
evidence of dysplasia in biopsy, there is a choice between removal of the remainder
of the lesion and follow up evaluation, with or without local medication.