Fogorvosi szemle, 2004 (97. évfolyam, 1-6. szám)
2004-02-01 / 1. szám
55 FOGORVOSI SZEMLE ■ 97. évf. 1. sz. 2004. oride (F) varnish treatments for effects on transmission of mutant streptococci (ms). Pregnant women (n=195) with high salivary ms levels participated in the study. The mothers in the X group used X gum (65% w/w) 3- 24 months after the child was born. In the two control groups the mothers received varnish applications biannually until the child was 2 years. Ms of the children were assessed at 1,2,3, 6 and 10 years and dental examinations have been carried out annually. At two years of age, 10% in the X group, 29% in the CHX group, and 49% in the F group showed detectable levels of ms. The X group also showed significantly lower ms counts compared to the control groups during the follow-up. The differences found between the groups in the early ms colonisation were reflected in the caries occurrence. As a conclusion, mothers of infants could improve their children’s dental health by chewing xylitol chewing gum. SECONDARY PREVENTION IN STOMATO-ONCOLOGY SONKODI István Szeged University of Sciences, Szeged, Hungary Hungarian rates of morbidity and mortality due to oral cavity cancers are very bad in international comparison. The Department of Dentistry and Oral Surgery at Szeged University has been focusing increased attention on screening, treating and providing continuing care to stomato-oncological diseases since 1968; screening has been ongoing since 1970. In 1970-1973, screening was carried out in a targeted population sample (industrial plants), and parallel to that, screening has been made on patients from the patient population of the Department (institutional screening) to date. Through institutional screening, out of 145,163 patients registered at the Department, 13,205 (9.09%) stomatooncological patients were identified in the period 1970-2002; 5,249 patients (3.61%) were diagnosed with benign tumor, 3,538 patients (2.43%) with precancer and 4,418 patients (3.04%) with malignant tumors. In addition to the importance of primary and tertiary prevention of cancers of the oral cavity, secondary prevention (screening) should be stressed because it offers the earliest and most efficient opportunity to change the alarming mortality data. It must be stressed, though, that in addition to dentists and dental surgeons, family practitioners and all relevant healthcare workers must bear responsibility in attaining this realistic objective. INDIVIDUALISED THERAPY OF DENTAL EROSION SZABÓ János S and Z Ltd., Pécs, Hungary Knowing the signs and symptoms of dental erosion, the characteristics of established lesions give clues and guidance as to if and when intervention is indicated as well as to the likely progression of the lesions if left untreated. Recording and monitoring the lesions using clinical indexes to measure the wear and finding the aetiological factors are the cornerstones of individual therapy. Dietary analysis and cooperation with the patient’s general medical practitioner, if necessary, are also parts of the individualized treatment. Adhesive restorations in composites or compomers may be useful as immediate and temporary treatment to alleviate signs. Complex individual restorative techniques, such as gold inlays, onlays, pinlays, adhesive metal castings, porcelain veneers and crowns should be preceded by the elimination of pain or sensitivity and increasing the vertical dimension of occlusion. The aims of final restoration are to provide optimal aesthetics, reasonable function and to ensure that it is in conjunction with the patient’s wishes and financial considerations. Since the effects of erosion are cumulative and irreversible, it seems likely that the management of erosion will become a major issue in dentistry in the future. ORAL HEALTH - THE SITUATION IN HUNGARY SZŐKE Judit Dental Faculty, Semmelweis University, Budapest, Hungary During the past two decades many industrialized countries have experienced a dramatic decline in dental caries prevalence among children and adolescents. This favourable change has made it possible for these countries to attain WHO’s dental health goals for the year 2000. The aim of this presentation is to: - give up-to-date information on the oral disease status and trends based on the national pathfinder surveys, - describe dental health behaviour and prevention awareness among the adult population. Material and method. The clinical investigations and questionnaire surveys were conducted in compliance with WHO’s standard diagnostical criteria and methodology. Results: - The rate of caries free 5- 6-year-old children was 31.3%. - The DMFT mean lev-
