Fogorvosi szemle, 2006 (99. évfolyam, 1-6. szám)
2006-12-01 / 6. szám
251 FOGORVOSI SZEMLE ■ 99. évf. 6. sz. 2006. amined, we cannot make utter statistical comparisons. However, we cannot emphasize sufficiently the importance of filtering out the tumor suspicious, precancerous cases, and starting immediately the oncological and/or surgical treatment of these cases. This would hopefully decrease the morbidity and mortality rates resulting from these cases. INSPECTION OF THE SKELETAL CAUSES OF SURGICALLY TREATED PROGENIES KERNÁCS, I.1, TÓTH BAGI, Z.2, VÉGH, A.1 1’3Heim Pál Children’s Hospital, Department of Orofacial Orthopaedics and Orthodontics, Budapest, Hungary; Hungarian Defense Forces „Dr. Radó György” Central Military Hospital, Department of Head and Neck Surgery, Budapest, Hungary Introduction: The ortho- and disgnathia surgeries in progeny cases (mainly done by the oral surgery of Central Military Hospital) planned and prepared in the last three years at Heim Pál Hospital had been evaluated from the aspect of which jaw to intervene in, so as to correct the disproportion solving the skeletal anomaly. Material and methods: The lateral and frontal cephalometric radiographs were evaluated by Ricketts and Segner Hasund method. The examination of the relation of dental arches was executed both on the moulages that were placed in the articulator by facebowtransmission (SAM mean value articulator) and by the analysis of the functional occlusion. In the course of the aesthetic analysis photos were taken. Six patients out of sixteen were suffering from disturbance of development (five cleft palates, one Syndrome Crouson). Results: Surgical intervention was needed on the mandible in only one case, in the rest (fifteen cases) it was needed either on the maxilla or on both jaws. Six out of these fifteen patients needed RPE. Bimaxillary surgery settled the occlusal and aesthetical relations at nine patients. Discussion: It can be stated, that in almost all of those progeny cases that were treated surgically, surgical correction on the maxilla had to be done. From this fact we can suspect that the underdevelopment and/or the disposition of the maxilla play an important role as an etiological factor in this type of alteration. BLOOD LOSS IN ORTHOGNATHIC SURGERY KERTÉSZ, É.1, TÓTH BAGI, Z.\ GYENES, V.1, PATAKI, T.2 department of Oral and Maxillofacial Surgery, Hungarian Defense Forces „Dr. Radó György” Central Military Hospital, Budapest, Hungary; department of Anaesthesiology, Hungarian Defense Forces „Dr. Radó György” Central Military Hospital, Budapest, Hungary Introduction: In some cases of surgical intervention in the maxillo-facial region a significant blood-loss can be expected. For replacement, transfusion or autotransfusion may be used. According to modern medical approach not the blood should be replaced, but the loss should be prevented. Material and methods: One of the major profiles of our department is orthognathic surgery. During such operations we studied the facts influencing blood-loss. In the past 5 years we performed osteotomies on 63 patients and measured the amount of lost blood, the time of surgery, the circumstances of general anaesthesia and the change of the haematological parameters. Results: Relying on literature data, our surgical experience and up-to-date anaesthesiological methods (hypotensive technique), we achieved that these planned surgical interventions caused minimal blood-loss, so transfusions were not necessary. Discussion: During the elective orthognathic surgeries the minimization of intraoperative blood-loss is important and the goal to achieve. Avoiding the transfusion can lead to less complications and decreases costs. Based on our own measurement and leaning on concrete statistical data we can inform our patients preoperative, that we anticipate there will be no need of blood-replacement during or after the surgical intervention. DENTAL FEAR OF 12-19-YEAR-OLD STUDENTS AMONG THE HUNGARIAN MINORITY IN RUMANIA MARKOVICS, E.1, MARKOVICS, P.2, KOVÁCS, SZ.3, FEJÉRDY, L.3, SZABÓ, ZS.2, FÁBIÁN, T. K.3, FEJÉRDY, P.3 1Clinic of Prosthetic Dentistry, University of Medicine and Pharmacy TG-Mure§, Rumania; 2Clinic of Oral and Maxillofacial Surgery, University of Medicine and Pharmacy TG-Mure§, Rumania; 3Clinic of Prosthetic Dentistry, Semmelweis University, Budapest, Hungary Aim: Dental fear of the Hungarian minority in Rumania (Partium) were analysed related to gender, age, and anxiety level. Materials and methods: 549 primary and grammar school students participated (342 female, 207 male; 15,2 ± 2 years). DAS, DFS, STAI-S, STAI-T scores were analysed (SPSS 8.0). Results: Chronbach-alpha of DAS, DFS, STAI-S, STAI-T were: 0.803, 0.932, 0.892, 0.875, respectively. Total scores of the scales were DAS: 12.6 + 3.3, DFS: 50.6 ±25.1, STAI-S: 39.7+ 17.1, STAI-T: 43.8 ± 9.9. Gender, age, DFS, STAI-S, STAI-T influenced significantly
