Fogorvosi szemle, 2004 (97. évfolyam, 1-6. szám)
2004-02-01 / 1. szám
47 FOGORVOSI SZEMLE ■ 97. évf. 1. sz. 2004. opmental anomalies such as structural disorders, tooth/ root malformation and agenesis. Results were analysed statistically. Results: Independently from the type of the previous oncologic or hematologic disease, significantly more decayed and missing tooth surfaces were found in the group of patients than in the control group. Conclusions: There were no significant sex-related differences either in the patient group or in the control group. The differences indicate the significantly divergent stomatologic condition of the two groups. Our results suggest that negative stomatologic impact of antineoplastic drugs and irradiation, as well as negligence deteriorate oral health status of patients. Special attention and proper oral and dental care of childhood cancer patients is required during and after antineoplastic treatment. FULL MOUTH DISINFECTION AROCA Sofia Denis-Diderot University, Paris, France Numerous papers from the periodontal scientific literature have concluded that certain areas of the oral cavity could be used as reservoirs for some periodontal diseases associated bacteria. Thus, untreated periodontal pockets, which contain important amount of bacteria, are obviously susceptible to be involved in bacterial translocations. Therefore, it has been logically proposed recently to perform complete full-mouth disinfection during a reduced length of time rather than the classical aetiologic treatment performed quadrant after quadrant. The observed clinical results for the treatment of aggressive periodontitis are quite exciting. However, the most important advantage of this concept might not exclusively be due to the global and simultaneous disorganization of the biofilm, but rather to a modified or amplified immune response. This modulation of the immune response might explain the observed improvements of aggressive periodontitis which are better characterized by risk factors (other than plaque itself) that are usually modulating adversely the immune response and the subsequent cytokine profile. This new therapeutic strategy could therefore be the first occurrence of an immuno-modulatory treatment of periodontal disease. THE EFFECT OF A NEEDS-RELATED CARIES PREVENTIVE PROGRAM IN CHILDREN AND YOUNG ADULTS RESULTS AFTER 20 YEARS AXELSSON Per Public Dental Health Service, Karlstad, Sweden Objectives: Subjects following the program to 19 years of age: 1. No approximal restorations; 2. No occlusal amalgam restorations; 3. No approximal loss of periodontal attachment; 4. Motivated to assume responsibility for their own health. Materials and Methods: From costeffectiveness point of view, the caries preventive programs were concentrated on key-risk age groups, individuals-teeth and-surfaces (the approximal and occlusal surfaces of the molars). Needs-related oral hygiene habits based on self-diagnosis were established as early as possible. In selected key-risk individuals, professional mechanical tooth-cleaning (PMTC) and use of fluoride varnish was supplemented with needs-related intervals. The effect of the program was evaluated once every year on almost 100% of all 3- to 19-year olds in a computer-aided program from 1979. Results: The percentage of caries-free 3-year-olds was increased from 51% to 97% and 85% of the 12-year-olds were cariesfree in 1999. The mean DFS in 12 and 19-year-olds was reduced from 6 to 0.3 and from 23 to 2 respectively. No approximal attachment loss. Conclusions: Close to 100% of the objectives were achieved. AMINE FLUORIDE + STANNOUS FLUORIDE IN THE PREVENTION OF PLAQUE AND GINGIVITIS: A REVIEW BÁNÓCZY Jolán Semmelweis University, Budapest, Hungary The objective of the paper is to give a short review on the epidemiology of gingivitis and oral hygiene conditions in Hungary, as well as to report on clinical studies conducted with amine fluoride/stannous fluoride (AmF/ SnF2) toothpastes and mouthrinses within this country. A previous medium-term (12 weeks), double blind study, performed on 92 schoolchildren, with a mean age of 12.4 ys, randomly distributed to four groups, investigated the effect of AmF/SnF2 toothpastes alone or in combination with AmF/SnF2 mouthrinsings on dental plaque accumulation and gingivitis [Bánóczy et al. 1989]. By the end of the experiment both the plaque indices (PI Silness and Löe 1964) and sulcus bleeding indices (SBI Mühlemann and Son 1971) showed the greatest, clinically and statistically significant (p<0.001 ) decrease in the group using both AmF/SnF2 toothpaste plus mouthrinsings, when compared with the others. Recently, a short term (fourweek) study, where 42 young adults (mean age: 28.3 ys), were randomly distributed to two groups, yielded similar results. The use of an AmF/SnF2 toothpaste only resulted in a clinically and statistically significant reduction both in dental plaque (PI) and gingival indices (Gl Löe and Silness 1963) values ( p<0.01 vs. pcO.001). However, the reduction of PI-, and Gl-values in the combined (AmF/SnF2 toothpaste + mouthrinsing) group was statistically significantly greater (p< 0.001), than in the toothpaste only group. In conclusion: the regular use of AmF/ SnF2 toothpaste might be increased by the combined
