Fogorvosi szemle, 2006 (99. évfolyam, 1-6. szám)
2006-04-01 / 2. szám
78 FOGORVOSI SZEMLE ■ 99. évf. 2. sz. 2006. version with 49 items (OHIP-E49) has been translated twice into Hungarian - first by a native Hungarian dentist and than by an official supervising board. The corrected variant has been again retranslated into English twice, controlled by the supervising Board, merged into one single second English variant and matched with the original English version. We got a Hungarian variant with 49 items (OHIP-H49) matching the English OHIP version (OHIP-E49) and one with 53 items (OHIP-H53) matching the German variant (OHIP-G53). The short OHIP variant (OHIP-H14) has not been translated separately. The same 14 items a sin OHIP-E14 and OHIP-G14 have been considered for OHIPO-H14. Patients groups are to be selected from clinical practices and regional lung screening station to test validity, reliability and responsiveness. From this preliminary study it was concluded that the translated instrument seems to meet the standard criteria and the Hungarian translation of the OHIP-H49 scale could be considered as a scientifically sound tool to measure oral health related quality of life in local inhabitants. DR. A. SZŰCS, DR. T. DIVINYI Semmelweis University, Department of Oral and Maxillofacial Surgery, Budapest POSSIBILITIES OF THE CLINICAL TESTING OF THE OSSEOINTEGRATION OF DENTAL IMPLANTS A basic condition of the long term success of dental implants is osseointegration. The direct testing of osseointegration in clinical practice is not possible. Conclusions on the degree of osseointegration or rather on the lack of it can be drawn from various indirect signs. Radiological methods, the manual and instrumental examination of implant placement are such options. The examination of implant stability gives no direct information on the degree of osseointegration but respecting some considerations it can serve as indirect evidence of osseointegration. After implant placement primary stability depends on the bone quality of the recipient area and on placement technique but we cannot speak of osseointegration yet. During the healing process there is remodelling in the recipient bony tissue. After the conclusion of this process the degree of stability indirectly informs of the degree of osseointegration. Two methods of instrumental testing are common: resonance frequency analysis and testing with the Periotest device. In our studies we tested the stability of dental implants with the Periotest device. In the case of early loaded implants testing was performed immediately after placement, while in the other cases tests were performed three, six, nine and twelve months after placement. DR. F. TOLDI, D.D.S. private dental practitioner IMMEDIATE LOADING - PRESENTATION (A CASE STUDY) Applying procedures in practice without the necessary critical prospective as well as thorough clarification of phraseology and of new or recurring principles may result in serious problems. In case of immediate imposition it is feasible to make use of the principles of evidence based medicine. In today's ever faster life prompt solutions become a requisite on increasing number of occasions, yet real possibilities are limited. From a professional standpoint the first step is undoubtedly to be the clarification of definitions and terminology. Immediate loading produces secure results in certain indications, albeit the prompt realisation of the imposition encounters numerous practical difficulties. The prosthesis prepared in the presented case (edentulous mandibula) serves as an apt example. The bone quality of the interforaminal area, the implants of increased surface and the immediate splinting enable prime stability, that in turn enables functionality. A special impression taking technique facilitates the preparation of a passive fit of the mezzo structure and regular checks insure long-term functionality. The case itself is only one year old. There was no noticeable pathological sign either in the soft tissue or in the implantbone connection. Only the fixing elements of the suprastructure required correction. The time passed so far does not allow a long-term comparison of the immediate loading with implants integrated in mechanical quiescence. Data from professional publications suggest a careful approach. DR. Ö. TOLLAS, DR. E. SOMOGYI, F. LINDEISZ,1 DR. P. FEJÉRDY Semmelweis University Faculty of Dentistry, Department of Prosthodontics, Budapest;1 Mathematician SOME CHARACTERISTICS OF DISTAL CANTILEVER BRIDGES ON THE BASIS OF TWO REPRESENTATIVE STUDIES Introduction: In this presentation we would like to demonstrate the statistical characteristics of distal cantilever bridges on the basis of analysis of numerous bridges, and we try to answer the question, how the instructions/guidlines of the theoretical and practical education are realised in the everyday practice. Material and methods: In Hungary a dental epidemiological study was performed following the WHO indications (WHO, 1998) by the calibrated dentists of the Department of Prosthetic Dentistry (Semmelweis University, Budapest) in 2003-2004. Altogether 4606 persons, 2923 women, 1683 men participated in the study. Probands were selected randomly from the population attending the compulsory lung screening examinations. To make a representative sample of the whole population in the country, the chosen localities covered all regions, the capital, the large towns and villages as well.
