Fogorvosi szemle, 2009 (102. évfolyam, 1-6. szám)
2009-04-01 / 2. szám
FOGORVOSI SZEMLE quality research) and closing the practice gaps (where current practice does not implement current best evidence). Evidence-Based Dentistry (EBD) is the means by which findings from research should influence: policy, public health practice, clinical practice and education. EBD has been defined as: an approach to oral health care that requires the judicious integration of: a) systematic assessments of clinically relevant scientific evidence, relating to the patient’s oral and medical condition and history, with b) the dentist’s clinical expertise and c) the patient’s treatment needs and preferences. The Collaboration for Improving Dentistry (CID) model of EBD will be presented and examples of making progress in this area will be given from the work of SIGN (Scottish Inter-collegiate Guidelines Network) in dental caries management, NICE (National Institute for Clinical Excellence) on dental recall intervals, and ICDAS (International Caries Detection and Assessment System) on caries assessment and planning care. PARODONTAL PREVENTION FOR PATIENTS WEARING PROSTHESIS Radnai Márta University of Szeged, Faculty of Dentistry, Szeged, Hungary Long term success of prosthetic rehabilitation depends on careful planning, proper preprosthetic treatment of the chewing apparatus, precise work, and on maintenance. During the preprosthetic treatment the health of the periodontium has to be restored, and we aim to create a desire in the patient to keep this healthy state. The dental prosthesis has to fulfill biologic, mechanical, aesthetic, functional and preventive requirements. The prosthesis has to be prepared so that it may not worsen oral hygiene; its surfaces have to be accessible for cleaning. After instruction the patient has to be able to clean his/her own teeth and the prosthesis without any difficulty. The periodontal requirements have to be adhered to in the case of fixed and removable prosthesis, natural teeth and implants. In the case of fixed restorations the most important features are: the form of the finish line, the place of the margin, the material and the precision of the marginal seal, the anatomic shape, and the accessibility of the gingival surface of the pontics. The restoration has to follow the axial shape of the tooth and allow good access to the furcation area for oral hygiene to be undertaken. The optimal number and place of the retention elements of the partial denture may cause a problem in following the preventive measures. Splinting of the teeth may be carried out only according to thorough indication. The functional or the oral hygiene requirements must be the major reason for the procedure as ■ 101. évf. 5. sz. 2008. - - 75 opposed to the aesthetic desires of the patient. The patient must be advised that it is of absolute necessity to follow the preventive measures in order that the denture could function successfully on the long run. RELATIONSHIP OF NUTRITION AND PERIODONTAL CONDITION ( Rigó Orsolya Procter & Gamble Cental Europe South As dental professionals become increasingly aware of the association between systemic and oral health, the importance of addressing systemic nutrition issues takes on a new urgency. Nutrition is one of the modifiable factors that impact the host’s immune response and the integrity of the hard and soft tissues of the oral cavity. There are many patients at high risk for nutritional I inadequacies worldwide. The recent literature has rej ported evidences that nutritional status is one of the modifying factors in the progression and healing of the periodontal tissues. Nutrition counseling in the dental office can enhance the result of periodontal treatments. FUNCTIONAL FOODS AND DENTAL EROSION Schlüter Nadine Justus-Liebig-University, Giessen, Germany “Functional food” is a modern term in press or media - but what is “functional food” and how is it related to dental erosion? Deriving from Japan, where it is called Food for Specific Health Use (FOSHU), it covers food which, fresh or processed, is claimed to have health-promoting and/or disease-preventing properties beyond the basic nutritional function of supplying nutrients. Linking functional food to dental erosion, the lecture deals with relevant factors influencing the erosive potential of foods and beverages and discusses possible “functional” modifications of such. Erosion occurs in case of undersaturation of the environment with respect to tooth minerals. Special emphasis will be given to understand the pathomechanism of erosive dental tissue loss. One major disease preventing strategy is to maintain saturated conditions by adding calcium or phosphate to potentially erosive drinks or combining acidic foods with dairy products. Current basic research on biopolymers and proteins both being related to the strengthening of the protective properties of the pellicle will be presented. Finally, practical advices for pa- I tients at risk for erosion will be given.
