Fogorvosi szemle, 2006 (99. évfolyam, 1-6. szám)
2006-12-01 / 6. szám
252 FOGORVOSI SZEMLE ■ 99. évf. 6. sz. 2006. the total-scores and all of the items of the DAS scale (ANOVA; p < 0.01). Gender, age, DAS, STAI-S, STAIT influenced significantly the DFS total-scores (ANOVA; p < 0.01). Gender influenced 16 items of DFS, but did not influence items N° 2, 3, 4, 12 (t-probe, p < 0.05). Age influenced 12 items of DFS, but did not influence items N° 2, 6, 8, 9, 12, 15, 16, 18 (ANOVA, p < 0.05). STAI-S influenced 18 items of DFS, but did not influence items N° 3, 15 (ANOVA, p < 0.05). STAI-T influenced 18 items of DFS, but did not influence items N° 3, 5 (one-way ANOVA, p < 0.05). DAS total score influenced all of the items of DFS (ANOVA, p < 0.05). Item-scores of DFS related to dental handpiece, and the scores of item N° 20 were higher than scores related to anaesthetic needle only in the case of high dental fear subjects (DAS > 18). Conclusions: Total-scores were higher, but item-scores were rather similar comparing to data measured in present-day Hungary. TYPES OF BEHAVIOUR-ORIGIN IATROGENY IN ORAL MEDICINE MATEKOVITS, GY. Stomatologica University, Timisoara, Rumania In dental surgery, the negative effects that can be caused by the dentist are classified as therapeutic and behavioral. The anamnesis and the superficial clinical examination, an incomplete diagnosis or improper therapy may lead to negative results. In many cases, the negative behavior of the dentist or his team may have a strong psychological impact on some patients. For the material and method section regarding this subject, the author, member of the Dental Association of Timis County, has studied 24 files with complaints against general practitioners. The results of his study are presented objectively and the types of the complaints are classified on a scientific basis. The conclusions demonstrate the strong impact the doctor’s behaviour may have on the patients. In the end, the paper describes a positive type of attitude towards the patients that all doctors should adopt, irrespective of their age. HOME DENTAL CARE FOR IMMOBILIZED PATIENTS PÁNCZÉL, J„ MATEKOVITS, GY. Stomatologica University, Timisoara, Rumania This study has a double aim. It deals with the oral necessities of immobilized patients who are forced to live in a small space. In addition, it classifies the causes of immobilization which influence the whole medical act that must provide the patient with the comfort of a normal life. Usually the dentist is part of a multidisciplinary team, which he consults and which he is consulted by in order to elaborate a proper treatment plan. In this paper the dental medical act is presented in all its steps, from the first visit or contact, through the anamnesis to the establishment of the diagnosis and its therapeutic process, with its peculiar approach, behavior, therapy and instruments. COMPLEX REHABILITATION OF EAGLE’S SYNDROME NÉMETH, O.1, CSÁKI, G.2, KIVOVICS, P.1 1 Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary; 2 Department of Head and Neck Surgery, National Cancer Institute, Budapest, Hungary Eagle’s syndrome is the term given to the symptomatic elongation of the styloid process, or mineralization of the stylohyoid or stylomandibular ligament, or posterior belly of digastric muscle. Marchetti first alluded to this syndrome in early 17th century, but Eagle was the first to described this syndrome in 1937. A 3 cm or longer process is considered anomalous and responsible for the so-called Eagle’s syndrome, although study by Moffet et al. of the styloid process suggested a normality range to be between 1.52 and 4.77 cm. Symptoms of Eagle’s syndrome are pharingeal pain localized in the tonsillar fossa or hyoid bone, hypersalivation, foreign body sensation, and rarely voice alteration. Pain is triggered by head rotation, lingual movements, swallowing or chewing. Middle-aged patients often believe that they have not healed properly from their tonsillectomy, but there occurred a 11-year-old patient as well. More report mentioned this syndrome produced by a malignant tumor (granular cell tumor, neurogen tumor). Diagnosis can usually be made on physical examination by digital palpation of the styloid process in the tonsillar fossa, and by radiography (panoramic radiographic, CT scans, MRI). Eagle’s syndrome can be treated by drugs (NSAID, cortison injection), or surgery (transoral approach and extraoral-cervical approach). The incidence of elongated styloid process has been reported 4%, but only about 0.16% with symptoms. The vagueness of symptoms and the infrequent clinical observation are often misleading, so that the correct diagnosis is the most important. These patients are often seen by a dentist. Consequently we have operative task to have a correct treatment plan. Our case report deals with a 27-year-old woman’s Eagle’s syndrome treatment from complaint to the complex rehabilitation.
