Fogorvosi szemle, 2009 (102. évfolyam, 1-6. szám)
2009-04-01 / 2. szám
72 FOGORVOSI SZEMLE ■ 102. évf. 2. sz. 2009. be increased significantly. Yet it may be argued if any combination of known risk factors can predict future caries accurately enough. Moreover, life conditions and oral health behavior of the examined population may change over time modifying the caries risk for the better or for the worse. Therefore, caries prevention should be rendered for the whole population. Contrary to the above, the period of early childhood seems to be an exception to the “rule”. The level of mutans streptococci and the presence of visible plaque seem to be good predictors of future caries among small children. It also seems that caries can be predicted more accurately in early childhood than in older age groups. Combining past caries experience and the presence of streptococcus mutans in small children, the predictive power can be increased to a level which appears to be cost-effective and justify caries risk assessment of the 2-year-olds. This presentation describes the conditions and the feasible means of risk assessment among 2-year-olds. PATIENTS SUFFERING FROM CHRONIC INFLAMMATION OF LIP AS A RISK GROUP Katona József Saint John’s Hospital, Otolaryngological and Oral Surgery Department, Budapest, Hungary Hungary has gradually become number one in the European statistics of oral cancer. Malignant oral tumours are usually the result of the combination of alcohol and tobacco consumption in the risk group. Chances for chronic inflammatory diseases of the lips are also increasing with regular smoking. In many cases we can see the general rundown of oral health together with chronic inflammatory changes of oral and lip mucosa, that can turn into malignant lesions. As the cancer spreads over the whole lip mucosa surgical intervention can rather be complicated. The author summarizes his experience in this field. PREVENTIVE ASPECTS IN DENTAL CARE OF PATIENTS WITH EPILEPSY KáROLYHÁZY Katalin, Hermann Péter, Kivovics Péter, Fejérdy Pál Semmelweis University, Department of Prosthodontics, Budapest, Hungary It is a general experience, that the dental status and oral health of epilepsy patients are worse, and declining quicker as compared to the healthy population. This has been supported by statistical means. The authors set up a new classification system of epilepsy patients, that is taking into consideration the etiology, type of seizures, therapeutical effect of antiepileptic drugs, psychiatric condition of patients, and giving guideline of their dental treatment. The recovered and seizure free patients belong to Group I. Their dental treatment is the same as for healthy people. In Group II there are tonic-clonic seizures in masticatory apparatus, that might overload the remaining teeth. Dental treatment is slightly modified. In group III Grand Mai seizures are regular, we propose strict modifications in dental treatment. In the first case report, the epilepsy patient got a mild form of the disease, therefore we planned acrylic baseplate, of upper removable denture, and casted clasp retention of the lower removable partial denture. In the second case report, the patient got a severe form of epilepsy with regular GM seizures. We anchored the upper and lower removable partial denture with MK1 bolt attachments. So the patient was able to remove the dentures only in active consciousness. CHILDHOOD DIABETES AS A DENTAL RISK FACTOR Kárpáti Krisztina*, Kürti Kálmán**, E. Kókai Erzsébet *, Kocsis Savanya Gábor * *SZTE FOK, Szeged, Hungary, **SZTE ÁOK, Szeged, Hungary Nowadays the diabetes mellitus - especially the second type - means a great epidemiological problem. Today in Hungary approximately 40-50 thousand diabetic patients are recorded and 2600 children - under 14 - are among them. The most new first type patients come from the 3-5 and the 10-13 years agegroup. From pedodontical aspect this group is highly endangered, therefore they need a continuous and close monitoring. In this lecture the authors analyze the effect of the long term diet - which is the part of the treatment in the first type diabetes - on the dentititon. The surveys took place in the “B” division of the Paediatric Clinic of SZTE in 1993, 2004, and in 2007. The results were compared with non-diabetic patients’ (in similar age and similar number) data. The outcome showed us that the childhood diabetes, especially in neglected cases, could adversely influence the state of the dentition and the oral cavity. PREVENTION OF ORAL HEALTH RISK IN ELDERLY AND COMPROMISED INDIVIDUALS Loveren Cor Van Academic Centre of Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands With aging a variety of incidents may compromise oral health and thereby quality of life. The elderly may lose
