Fogorvosi szemle, 2004 (97. évfolyam, 1-6. szám)
2004-08-01 / 4. szám
168 - FOGORVOSI SZEMLE ■ 97. évf. 4. sz. 2004. 37. Müller-Fahlbusch H: Nervenärztliche Aspekte der Prothesenunverträglichkeit. Dtsch Zahnarzt!Z1976; 31:13-17. 38. Müller-Fahlbusch H, SoneK: Präprotetische Psychagogik. Dtsch zahnärztIZ 1982; 37:703-707. 39. Müller-Fahlbusch H, Riedel-Stückmeyer H: Untersuchungen zur Adaptation von Zahnersatz. ZWR1983; 10:58-60. 40. Pintér G: Személyközpontú pszichoterápia. In: Szônyi G, Füredi J (szerk.): A pszichoterápia tankönyve. Medicina, Budapest, 2000; 407-419. 41. Reeve Pe, Watson Cj, Stafford Gd: The role of personality in the management of complete denture patients. Brit Dent J 1984; 156:356-362. 42. Rogers Cr: A terápiás kapcsolat: a jelenlegi elméletek és kutatások. In: Buda B. (szerk.): Pszichoterápia. Gondolat, Budapest, 1981; 181-196. 43.Silverman Si, Silverman B, Garfinkel L: Self-image and its relation to denture acceptance. J Prosthet Denf 1976; 35:131-141. 44. Wöstmann B: Psychogene Zahnersatzunverträglichkeit. In: Sergl HG (szerk.): Psychologie und Psychosomatik in der Zahnheilkunde. Urban & Schwarzenberg, München-Wien-Baltimore, 1996; 187-213. 45. ÎRINGER L: A gyógyító beszélgetés. Vikote, Budapest, 1998. 46. Tringer L: Viselkedés és kognitív terápiák. In: Füredi J. (szerk.): A pszichiátria magyar kézikönyve. Medicina, Budapest, 1998; 534-543. 47. Watson Cj, Reeve Pe: The effects of combined psychological and controlled clinical management of preprosthetic surgery patients. Brit Denf J1985; 159:286-291. 48. Wright S: An examination of the personality of dental patients who complain of retching with dentures. Brit Dent J1980; 148:211-213. 49. Y0SHIZUMI Dt: An evaluation of factors pertinent to the success of complete denture service. J Prosthet Dent 1964; 14:866-878. Fábián TK, Kaán B, Fejérdy L, Tóth Zs, Fejérdy P: Efficacy of psychotherapy in the treatment of denture intolerance. Evaluation of 25 cases 25 „problem-patients” of the Clinic of Prosthetic Dentistry participated in this study (21 female, 4 male, aged between 32- SI yr.; mean age: 56.92+12.09 ). All included therapies were provided by dentists specialised in psychotherapy, and the efficacy of our model to treat denture intolerance patients was analysed based on the time need, and other parameters. Psychiatric diagnostic (ICD-10) categories were: F20-29:12%; F30-39:40%, F40-48:36%; F60-69:12%. The efficacy of the provided psychotherapy was: recovery in 44% (patient accepted the denture); improvement in 32% (patient compromised to accept the denture); no effect in 24% (the patient did not accept the denture). Number of psychotherapeutic sittings ranged: 1-10 in 24%; 10-20 in 28%, 20-30 in 16%, 30-40 in 8%; 40-50 in 8%; 50-60 in 12%; and 80-90 in 4% of the cases. Our results indicate that, the efficacy of dentists specialised in psychotherapy is appropriate to treat denture intolerance patients. However, treatments are rather time consuming, and 24% of the cases are unsuccessful. Because of this, the prevention and early diagnosis of this problems are crucial. Key words: denture intolerance, psychotherapy, efficacy, time-need, dentistry ELADÓ POLGÁRDI városban (Fejér megye) 6400 fős, vegyes fogászati alapellátási praxisjog vállalkozó fogorvosi jogviszonyban eladó. Érdeklődni telefonon: 06-30-2953-428 dr. Petővári László fogorvos
