Fogorvosi szemle, 2009 (102. évfolyam, 1-6. szám)
2009-04-01 / 2. szám
74 FOGORVOSI SZEMLE ■ 101. évf. 5. sz. 2008. of the patients were carried out. UWS was determined by the spitting method. The number of the decayed, missing and filled teeth (DMF-T number, WHO 1977) was determined with the use of a standard dental mirror and probe. The periodontal probing depth (PPD) was determined with a calibrated periodontal probe, and the number of sites with a probing depth > 5 mm/ person was recorded. Löe-Silness plaque-index (PI) was also determined. Gingival bleeding index (GBI) was recorded by the Ainamo-Bay index. Data were statistically analysed by ANOVA test, Student’s t-test and Pearson-correlation test. According to the results, subjective symptoms were as follows: xerostomia: 34%, dysphagia: 13%, glossopyrosis: 7%, dysphonia: 31%, dysgeusia: 9%, nasal dryness: 32%, xerophthalmia: 21%, itching eyes: 40%, dry skin: 60%. Vaginal dryness: 14%, vaginal itching: 16% were in the interviewed women. Grade of xerostomia (r=-0,17), dysphagia (r=-0,12), tiredness (r=-0,11), and the GBI (r=- 0,48) showed a negative correlation with UWS. DMF-T number, GBI and the PI showed to be significantly higher in hyposalivators, compared to those who had normal UWS (DMF-T: 21+8 and 27 ± 6, respectively; pcO.001) (bleeding: 0.26 ± 0.31 and 0.5 ± 0.38, respectively; p<0.001) (plaque: 0.78 ± 0.57 and 0.61 ± 0.55, respectively; p<0.05). RISK GROUPS AND PERIODS - EXPECTING MOTHERS Nyárasdy Ida Semmelweis University, Budapest, Hungary An expecting mother deserves not only maximum request from society but also everything possible must be done for her and her baby’s health and healthy teeth. Dentists and dental hygienists are also responsible for the baby’s health as there is significant evidence today that supports the relationship between periodontal (chronic, inflammatory) processes and some systemic diseases. Therefore, in addition to cardiovascular diseases, Type 2 diabetes mellitus and osteoporosis, adverse consequences during pregnancy must also be dealt with and their prevention or hindering their progression should be focused on. Another goal should be to ensure that the child can smile with caries-free, healthy milk-teeth. A very important part of prenatal prevention is the personal involvement of the mother (the parents-to-be) in prevention and consultation, and, of course, providing them dental treatment as necessary. Attention to prevention of childhood caries and tooth discoloration should be drawn already during pregnancy. Preventional dental treatment of expecting women consists of prevention or treatment of caries, erosion and pregnancy gingivitis. Drawing attention to adverse effects of smoking on the mother’s and the baby’s health can help a lot to prevent premature birth. Dental prevention should of course be completed with dietary and oral hygiene advice. CHILD ABUSE - THE ROLE OF THE DENTAL TEAM IN ITS RECOGNITION Páli Eszter Outpatient Department of Child and Adolescent Psychiatry of Central Health Care Institute, Pécs, Hungary Related to children’s dental care and dental screening, dental teams have access to examining a wide range of children on a regular basis. Various studies have confirmed that in about 65-75% of cases of abuse injuries of the head and neck are (also) involved. Due to these facts, dental teams are in an ideal position to recognize child abuse early, and prevent more serious injuries. However, only a mere 1% of reports referring to child abuse derive from dentists. This is exactly why experts involved in offering dental care should be wellinformed about child abuse and its consequences, to be alert in their contribution towards its recognition. The paper provides a summary of the somatic (especially located facially, orally, dentally) symptoms, the general and behavioral indicators of different forms of child abuse (physical abuse and neglect, emotional abuse and neglect, sexual abuse, Münchausen’s syndrome by proxy), with special emphasis on possibilities of their recognition in dentist’s surgery. Additionally, it also provides information about obligations of reporting, the system of reporting in Hungary, as well as about the collaboration with other experts related to this issue. CLOSING THE GAP SYSTEMATICALLY: GETTING PREVENTIVE EVIDENCE I NTO PRACTICE Pitts Nigel Dundee University, Dundee, Scotland, UK The move to Evidence-Based Healthcare is a global phenomenon. It is proceeding at a variety of speeds, but significant progress is being made in many parts of Europe. This philosophy requires a new “mindset” and a more open approach. High values are given to robust research findings, if we have them; less value is given to low quality research / expert opinion alone. However, Professional consensus is still valuable if other evidence is weak. Patients are also increasingly empowered by this process. The twin tasks dentistry now has are: closing the evidence gaps (where systematic reviews show that there is insufficient high-
