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Volume 124 (2014): Edizione 2 (June 2014)

Volume 124 (2014): Edizione 1 (March 2014)

Dettagli della rivista
Formato
Rivista
eISSN
2083-4829
Pubblicato per la prima volta
23 Apr 2014
Periodo di pubblicazione
1 volta all'anno
Lingue
Inglese

Cerca

Volume 124 (2014): Edizione 2 (June 2014)

Dettagli della rivista
Formato
Rivista
eISSN
2083-4829
Pubblicato per la prima volta
23 Apr 2014
Periodo di pubblicazione
1 volta all'anno
Lingue
Inglese

Cerca

12 Articoli
Accesso libero

Assessment of the Dentition in Children Aged 3-4 Years in the Mazowieckie Province

Pubblicato online: 08 Aug 2014
Pagine: 63 - 65

Astratto

Abstract

Introduction. Caries of deciduous teeth in the population of Polish children is a significant health, social and organizational problem.

Aim. The aim of the study was to evaluate the dentition of 3- and 4-year-old children in the Mazowieckie Province.

Material and methods. The study comprised 393 kindergarten children aged 3 and 4 years in the Mazowieckie Province, 202 girls and 191 boys, including 159 children aged 3 years and 243 children aged 4 years. In all subjects the state of dentition was assessed. The prevalence of caries was calculated as the percentage of people affected by this disease, and the intensity of dental caries was determined using the dmft index. The results were compared with those that Polish researchers obtained in the 3 – and 4-year-olds after 2000.

Results. In the studied group of 3- and 4-year-olds the prevalence of caries was 62.85%, among girls – 61.88% and among boys – 63.87%. For all subjects the average scores for dmft index were 3.22 and its components dt – 2.72 (decayed teeth), mt – 0.1 (missing teeth), ft – 0.4 (filled teeth).

Conclusions. The prevalence and intensity of dental caries in 3- and 4-year-old children attending kindergartens in the Ma-zowieckie Province is high and close to the national average. It is advisable to increase the preventive and curative measures in this age group of children on dental caries.

Parole chiave

  • dental caries
  • deciduous teeth
  • caries frequency
  • caries prevalence
Accesso libero

The Influence of Social and Living Environment on Development of Oral Hygiene Habits in People Over The Age of 65

Pubblicato online: 08 Aug 2014
Pagine: 66 - 69

Astratto

Abstract

Introduction. Oral health largely depends on proper hygiene, which in elderly people is not different from generally accepted standards, however, must be adjusted to specific conditions in oral cavities of the elderly.

Aim. The aim of the study was the assessment of oral hygiene habits in people over the age of 65 residing in Lublin Nursing Homes and in family homes basing on questionnaire survey.

Material and methods. The study was conducted among 240 people over the age of 65: 117 residents of the four Lublin Nursing Homes (group I) and 123 seniors living in their own homes in Lublin (group II). Assessment of the oral hygiene habits was conducted basing on the questionnaire survey concerning the frequency of tooth brushing, type of toothpaste, the use of additional oral aids as well as the frequency of toothbrush replacement.

Results. Questionnaire survey revealed that seniors residing in Nursing Homes who had their own teeth most frequently brushed them once daily e.g. 37.25%, whereas the surveyed who lived in their family homes twice daily – 47.67%. In both groups the people who brushed their teeth used fluoride toothpastes. Additional oral hygiene aids were used by 31.71% of the surveyed living with their families. Both, the residents of Nursing Homes and those who lived with their families most frequently reported replacing their toothbrushes at least every 3 months.

Conclusions. Nursing Homes residents essentially more frequently revealed considerable neglect and irregularities in oral hygiene in comparison to seniors living with their families. Population of elderly people, especially residents of nursing homes, should be provided with complex dental care.

Parole chiave

  • geriatric dentistry
  • the aged
  • oral hygiene
  • nursing homes
Accesso libero

An Analysis of the Selected Sociodemographic Characteristics in Removable Denture Wearers

Pubblicato online: 08 Aug 2014
Pagine: 70 - 72

Astratto

Abstract

Introduction. Dental prosthetic replacements allow restoring the masticatory function, thus contributing to proper nutrition and correct speech, and also improving facial aesthetics.

Aim. The aim of the study was to assess the selected sociodemographic characteristics of people using removable dentures (patient-paid and funded by the National Health Fund).

Material and methods. A questionnaire survey involved 321 individuals, resident in the Lubelskie Voivodship, who used removable dental prostheses. Their selected sociodemographic characteristics were analysed: age, sex, education, place of residence and material status, as well as the form of payment for prosthetic replacements. The obtained results were analysed statistically.

Results. Almost 70% of the studied population wearing removable prostheses had their dentures funded by the National Health Fund. In each age group, women used National Health Fund funded prostheses twice more frequently than men. Prostheses funded by the National Health Fund were used significantly more frequently by patients aged 51-70 years, living in cities and with a higher education level, in comparison to the respondents from other age groups, with different place of residence and education level.

Conclusions. There is correlation between sex, age, place of residence and education level of patients and the frequency of their wearing removable dentures, both patient-paid and funded by the National Health Fund.

Parole chiave

  • removable dentures
  • sociodemographic characteristics
  • forms of payment
Accesso libero

Prevalence of Joint Hypermobility Syndrome Amongst Dental Students of the Medical University of Lublin

Pubblicato online: 08 Aug 2014
Pagine: 73 - 76

Astratto

Abstract

Introduction. The joint hypermobility syndrome is a connective tissue disorder affecting the entire organism. The symptoms include laxity of joint-stabilizing capsules and ligaments, excessive joint mobility and other accompanying symptoms. Some symptoms manifest in the oral cavity, which is of importance to dentists.

Aim. The authors attempted to determine the prevalence of joint hypermobility syndrome in the population studied.

Material and methods. The questionnaire study was conducted amongst students of the Faculty of Medicine with Dentistry Division, Medical University of Lublin. The study population consisted of 321 individuals, including 283 Polish students and 37 students of south-eastern nationalities (Saudi Arabia, Taiwan).

Results and conclusions. The prevalence of constitutional hypermobility amongst dental students is comparable to that reported in literature. Constitutional hypermobility is more common in students of south-eastern nationalities than in Polish students.

Parole chiave

  • joint instability
  • joint laxity
  • dentistry
Accesso libero

Career Plans of Students of Dental-Medical Major at Medical University of Lublin in The Years 2004-2012

Pubblicato online: 08 Aug 2014
Pagine: 77 - 80

Astratto

Abstract

Introduction. Higher education institutions thoroughly analyze the labor market. Knowing the career plans of students is important information showing the potential and direction of development of the labor market.

Aim The aim of the study was to gather information on career plans and further development of graduates of the Division of Dentistry, Medical University of Lublin in the years 2004-2012.

Material and methods The survey covered a group of 743 graduates of medical-dental faculty. Students filled in an anonymous questionnaire after passing the exam in conservative dentistry with endodontics. The questions concerned the location and nature of future work, as well as the desire to specialize and determining the area in which the graduate is planning to specialize.

Results The question: “Where are you planning to start work after graduation?” – was answered by more than 35% of the students: “In a big city outside of Lublin.” Over 24% of respondents expressed a desire to return to their hometown, and 21% declared remaining in Lublin. Approximately 13.6% of respondents were considering going abroad, and about 5.65% of the students declared choosing village or a small town, as a place for future work. Among all graduated students, 45.5% would like to work in a medical joint venture, 38.5% wishing to undertake business activity in their own dental office. Only 7.4% of students declared their desire to remain at the university and carry out scientific work. The vast majority of graduates (87.35%) expressed the desire for specialization. The most frequently indicated specialization was conservative dentistry with endo-dontics – the choice was indicated by 22.62% of the respondents. Students expressed similar interest in further development in the field of oral surgery (20.33%), prosthodontics (20.33%) and orthodontics (18.58%).

Conclusions Most of the students of dental-medical major of Medical University of Lublin after graduation planned to work in Poland. The respondents were planning to work primarily in medical partnerships or to open their own dental offices. The vast majority of respondents declared a desire to get specialization.

Parole chiave

  • dentistry
  • students
  • career choice
  • education
Accesso libero

Evaluation of Gingival Conditions and Saliva TNF-α Concentration in Children with Acute Lymphoblastic Leukemia

Pubblicato online: 08 Aug 2014
Pagine: 81 - 85

Astratto

Abstract

Introduction. Patients with the history of neoplastic disease in childhood and adolescence, successfully treated, are at higher risk in terms of their susceptibility to develop other diseases later in their lives.

Aim. The purpose of study was to evaluate saliva TNF-α concentration in the children with acute lymphoblastic leukemia with reference to gingival inflammations.

Material and methods. The investigation was carried out in the group of 78 children with ALL aged 2-18yrs and analogical in terms of age and gender group of healthy controls. Results. Gingival conditions were expressed as gingival index (GI). In the group of children with ALL mean GI determined in examination 1 was 0.084±0.34, in examination 2 GI=0.007±0.04 and in examination 3 mean GI=0.017±0.13. In the group of healthy controls GI=0.003±0.03. Saliva concentration of TNF-α determined in the group of children with ALL in examination 1 ranged 4.16-135.01pg/ml. In that group in examination 1, mean saliva TNF-α concentration was 36.9±32.6pg/ml. In the group of healthy children mean saliva TNF-α concentration was 52.1±107.64pg/ml.

Conclusions. The authors, who observed various increases in the concentrations of TNF-α, IL-1α, IL-6, and IL-8 in the saliva and oral tissues in the patients consider that the proinflammatory cytokines in the saliva present in significantly higher concentrations in the future may have diagnostic and predicative value as replace indices of neoplastic transformations.

Monitoring of prognostic factors affecting inflammations of the oral mucosa in children with ALL is likely to prevent complications to standard treatment and prolonged time of anticancer therapy. Early evaluation of those parameters can quicken recovery and strengthen patient's health. Close cooperation between dentists and pediatricians-hematologists is important in maintaining oral health and improve the quality of life of children suffering from neoplastic diseases.

Parole chiave

  • children
  • ALL
  • saliva TNF-α concentration
  • gingival conditions
Accesso libero

The Assessment of Periodontal Status and Treatment Needs of the Adult Population Aged 34-44 Residing in Lublin Province and Visiting the Dentist Regularly

Pubblicato online: 08 Aug 2014
Pagine: 86 - 88

Astratto

Abstract

Introduction. Periodontitis is a group of inflammatory disorders affecting periodontal tissues. This condition manifests by a progressive destruction of the alveolar bone, subsequently leading to tooth loss. World Health Organization introduced Community Periodontal Index of Treatment Needs in order to gain data regarding periodontal health and treatment needs of people with periodontitis

Aim. To evaluate the periodontal status of citizens living in the city of Lublin and its surrounding, using Community Periodontal Index of Treatment Needs (CPITN).

Material and methods. Community Periodontal Index of Treatment Needs was used to assess the periodontal status among 180 patients aged 35-44 residing in Lublin and the area around it.

Results. Periodontal diseases have been observed in over 90% of the examined population. Treatment need index TN1 has referred to 26.11% of the patients, TN2 – 61.67% and TN3 – 2.22% respectively.

Conclusions. Patients who visit the dentist regularly have a better periodontal status as compared to groups randomly selected.

Parole chiave

  • periodontitis
  • periodontal index
  • public health
Accesso libero

Usefulness of Composite Restoration in Direct Esthetic Closure of Midline Gap

Pubblicato online: 08 Aug 2014
Pagine: 89 - 92

Astratto

Abstract

Introduction. Midline gap (diastema) is a space between two teeth, commonly between two incisors. The treatment can be provided by orthodontic, conservative (restorative) or prosthetic methods.

Aim. The aim of the study was an assessment of using direct composite restoration in aesthetic closing of diastema.

Material and methods. The space correction between teeth was performed among female and male adult patients with diastema of 3 to 6 mm. The microhybrid resin composite was used for the composite build-ups with a help of celluloid or silicon matrix due to its good handling properties and shade matching, and polishability properties.

Results. Depending on the size of diastema, the partial or total closing was done to achieve the cosmetic effect. The obtained clinical results were highly assessed both by dentists and patients. It was possible to obtain optimal aesthetic results with resin composite restorations only.

Conclusions. The simple closure of diastema with direct composite reconstructions can result in successful outcome and patient's satisfaction.

Parole chiave

  • midline gap
  • diastema
  • diastema closure
  • composite restoration
Accesso libero

Dental Erosion

Pubblicato online: 08 Aug 2014
Pagine: 93 - 95

Astratto

Abstract

Dental erosion is described as an irreversible loss of dental hard tissue resulting from exposure to non-bacterial acids or chelating substances. It may be caused by exogenous or endogenous factors. In the former case, food, drink, as well as the environment might be sources of acids; in the latter, acids flowing into the oral cavity from the stomach and duodenum.

Exogenous dental erosive lesions are localized mainly on the labial surfaces of the anterior teeth of the maxilla, while the endogenous ones can be found on the palatal and masticatory surfaces of the maxilla and the masticatory and buccal surfaces of the mandible.

Reduced saliva secretion, which occurs in a number of diseases, also influences dental erosion, while erosion-causing factors and aggressive tooth brushing immediately after consuming acidic food increases the range and depth of erosion cavities.

The consequence of dental erosion is teeth hypersensitivity, which results from exposure of dental tubules and of the pulp leading to the loss of tooth vitality and decrease in occlusal height.

Treatment of exogenous dental erosion consists in changing nutritional and hygienic habits. In the case of endogenous erosion, however, the therapy should address mainly an underlying disease. Worn teeth surfaces should be restored with conservatory or/and prosthetic methods.

In the context of an increasing prevalence of dental erosion in the population, it is necessary to develop and implement prophylactic measures, including broadly understood health education on the risk factors, preventive activities, and possibilities of diagnosis and therapy.

Parole chiave

  • tooth erosion
  • etiology
  • diagnosis
  • prevention
Accesso libero

Gingival Crevicular Fluid – Composition and Clinical Importance in Gingivitis and Periodontitis

Pubblicato online: 08 Aug 2014
Pagine: 96 - 98

Astratto

Abstract

Among many substances used in clinical diagnosis, such as peripheral blood, gum homogenate, saliva and gingival pocket fluid, it is the latter that seems to bean extremely valuable diagnostic and research material. Identification of mediators in gingival crevicular fluid, both in the healthy gingival fissure, as well as in pathological periodontal pockets can be a valuable supplement to the initial diagnosis and describe the mechanism of gumorperiodontal diseases.

Changes in the concentration of individual components in the gingival crevicular fluid may be used to assess the severity of periodontal disease.

There are numerous methods for collecting fluid from the sulcus described: Micro-capillary drainage, micropipette drainage, rinsing pocket or drainage with the use of methylcellulose strips and then reading with Periotron.

Gingival fluid is composed mainly of blood electrolytes and organic molecules, i.e. albumins, globulins, lipoproteins or fibrinogen and cellular components as well as peptides, bacteria and enzymes.

Therefore gingival crevicular fluid (GCF) is treated as a window for noninvasive analysis of periodontitis, taking into account indicators and markers of connective tissue and bone destruction.

Parole chiave

  • gingival crevicular fluid
  • periodontitis
  • gingivitis
Accesso libero

Composite Inlays as A Modern Way of Posterior Restorations in the Dental Arch

Pubblicato online: 08 Aug 2014
Pagine: 99 - 102

Astratto

Abstract

Modern restorative dentistry offers many methods of restoring qualitative cavities within the clinical crowns. Due to the concept of maintaining continuity of the dental arch and maintaining the correct plane of occlusion, for reconstruction of posterior teeth, there are especially recommended indirect restorations, which are made in the dental laboratory, i.e. crown inlays.

The aim of the study was based on the literature to describe indications, classifications and advantages of indirect composite inlays. Additionally, factors affecting the durability of indirect composite inlays and the influence on stomatognathic system were noted. Authors concluded that composite inlays can be recommended restoration method, not only in situations of loss of clinical crown tissue, but also in situations where it is necessary as structural reinforcement, e.g., in the case of Cracked Tooth Syndrome or Molar Incisor Hypomineralization.

Parole chiave

  • composite inlays
  • indirect restorations
  • posterior restorations
Accesso libero

Orthodontic Treatment – Complications and Preventive Measures

Pubblicato online: 08 Aug 2014
Pagine: 103 - 106

Astratto

Abstract

Orthodontic treatment aims at restoring correct occlusion and chewing function and improving the aesthetics of the dentition and facial esthetics of the patient. During treatment complications may occur. Most frequently observed complications have been described in the paper.

There role of the orthodontist in the therapeutic process and the principles on which doctor- patient cooperation should be based in order to achieve a therapeutic success have been presented. Particular emphasis has been put to the importance of prevention of dental caries and periodontal diseases in orthodontic patients.

Parole chiave

  • orthodontic treatment
  • complications
  • prophylaxis
12 Articoli
Accesso libero

Assessment of the Dentition in Children Aged 3-4 Years in the Mazowieckie Province

Pubblicato online: 08 Aug 2014
Pagine: 63 - 65

Astratto

Abstract

Introduction. Caries of deciduous teeth in the population of Polish children is a significant health, social and organizational problem.

Aim. The aim of the study was to evaluate the dentition of 3- and 4-year-old children in the Mazowieckie Province.

Material and methods. The study comprised 393 kindergarten children aged 3 and 4 years in the Mazowieckie Province, 202 girls and 191 boys, including 159 children aged 3 years and 243 children aged 4 years. In all subjects the state of dentition was assessed. The prevalence of caries was calculated as the percentage of people affected by this disease, and the intensity of dental caries was determined using the dmft index. The results were compared with those that Polish researchers obtained in the 3 – and 4-year-olds after 2000.

Results. In the studied group of 3- and 4-year-olds the prevalence of caries was 62.85%, among girls – 61.88% and among boys – 63.87%. For all subjects the average scores for dmft index were 3.22 and its components dt – 2.72 (decayed teeth), mt – 0.1 (missing teeth), ft – 0.4 (filled teeth).

Conclusions. The prevalence and intensity of dental caries in 3- and 4-year-old children attending kindergartens in the Ma-zowieckie Province is high and close to the national average. It is advisable to increase the preventive and curative measures in this age group of children on dental caries.

Parole chiave

  • dental caries
  • deciduous teeth
  • caries frequency
  • caries prevalence
Accesso libero

The Influence of Social and Living Environment on Development of Oral Hygiene Habits in People Over The Age of 65

Pubblicato online: 08 Aug 2014
Pagine: 66 - 69

Astratto

Abstract

Introduction. Oral health largely depends on proper hygiene, which in elderly people is not different from generally accepted standards, however, must be adjusted to specific conditions in oral cavities of the elderly.

Aim. The aim of the study was the assessment of oral hygiene habits in people over the age of 65 residing in Lublin Nursing Homes and in family homes basing on questionnaire survey.

Material and methods. The study was conducted among 240 people over the age of 65: 117 residents of the four Lublin Nursing Homes (group I) and 123 seniors living in their own homes in Lublin (group II). Assessment of the oral hygiene habits was conducted basing on the questionnaire survey concerning the frequency of tooth brushing, type of toothpaste, the use of additional oral aids as well as the frequency of toothbrush replacement.

Results. Questionnaire survey revealed that seniors residing in Nursing Homes who had their own teeth most frequently brushed them once daily e.g. 37.25%, whereas the surveyed who lived in their family homes twice daily – 47.67%. In both groups the people who brushed their teeth used fluoride toothpastes. Additional oral hygiene aids were used by 31.71% of the surveyed living with their families. Both, the residents of Nursing Homes and those who lived with their families most frequently reported replacing their toothbrushes at least every 3 months.

Conclusions. Nursing Homes residents essentially more frequently revealed considerable neglect and irregularities in oral hygiene in comparison to seniors living with their families. Population of elderly people, especially residents of nursing homes, should be provided with complex dental care.

Parole chiave

  • geriatric dentistry
  • the aged
  • oral hygiene
  • nursing homes
Accesso libero

An Analysis of the Selected Sociodemographic Characteristics in Removable Denture Wearers

Pubblicato online: 08 Aug 2014
Pagine: 70 - 72

Astratto

Abstract

Introduction. Dental prosthetic replacements allow restoring the masticatory function, thus contributing to proper nutrition and correct speech, and also improving facial aesthetics.

Aim. The aim of the study was to assess the selected sociodemographic characteristics of people using removable dentures (patient-paid and funded by the National Health Fund).

Material and methods. A questionnaire survey involved 321 individuals, resident in the Lubelskie Voivodship, who used removable dental prostheses. Their selected sociodemographic characteristics were analysed: age, sex, education, place of residence and material status, as well as the form of payment for prosthetic replacements. The obtained results were analysed statistically.

Results. Almost 70% of the studied population wearing removable prostheses had their dentures funded by the National Health Fund. In each age group, women used National Health Fund funded prostheses twice more frequently than men. Prostheses funded by the National Health Fund were used significantly more frequently by patients aged 51-70 years, living in cities and with a higher education level, in comparison to the respondents from other age groups, with different place of residence and education level.

Conclusions. There is correlation between sex, age, place of residence and education level of patients and the frequency of their wearing removable dentures, both patient-paid and funded by the National Health Fund.

Parole chiave

  • removable dentures
  • sociodemographic characteristics
  • forms of payment
Accesso libero

Prevalence of Joint Hypermobility Syndrome Amongst Dental Students of the Medical University of Lublin

Pubblicato online: 08 Aug 2014
Pagine: 73 - 76

Astratto

Abstract

Introduction. The joint hypermobility syndrome is a connective tissue disorder affecting the entire organism. The symptoms include laxity of joint-stabilizing capsules and ligaments, excessive joint mobility and other accompanying symptoms. Some symptoms manifest in the oral cavity, which is of importance to dentists.

Aim. The authors attempted to determine the prevalence of joint hypermobility syndrome in the population studied.

Material and methods. The questionnaire study was conducted amongst students of the Faculty of Medicine with Dentistry Division, Medical University of Lublin. The study population consisted of 321 individuals, including 283 Polish students and 37 students of south-eastern nationalities (Saudi Arabia, Taiwan).

Results and conclusions. The prevalence of constitutional hypermobility amongst dental students is comparable to that reported in literature. Constitutional hypermobility is more common in students of south-eastern nationalities than in Polish students.

Parole chiave

  • joint instability
  • joint laxity
  • dentistry
Accesso libero

Career Plans of Students of Dental-Medical Major at Medical University of Lublin in The Years 2004-2012

Pubblicato online: 08 Aug 2014
Pagine: 77 - 80

Astratto

Abstract

Introduction. Higher education institutions thoroughly analyze the labor market. Knowing the career plans of students is important information showing the potential and direction of development of the labor market.

Aim The aim of the study was to gather information on career plans and further development of graduates of the Division of Dentistry, Medical University of Lublin in the years 2004-2012.

Material and methods The survey covered a group of 743 graduates of medical-dental faculty. Students filled in an anonymous questionnaire after passing the exam in conservative dentistry with endodontics. The questions concerned the location and nature of future work, as well as the desire to specialize and determining the area in which the graduate is planning to specialize.

Results The question: “Where are you planning to start work after graduation?” – was answered by more than 35% of the students: “In a big city outside of Lublin.” Over 24% of respondents expressed a desire to return to their hometown, and 21% declared remaining in Lublin. Approximately 13.6% of respondents were considering going abroad, and about 5.65% of the students declared choosing village or a small town, as a place for future work. Among all graduated students, 45.5% would like to work in a medical joint venture, 38.5% wishing to undertake business activity in their own dental office. Only 7.4% of students declared their desire to remain at the university and carry out scientific work. The vast majority of graduates (87.35%) expressed the desire for specialization. The most frequently indicated specialization was conservative dentistry with endo-dontics – the choice was indicated by 22.62% of the respondents. Students expressed similar interest in further development in the field of oral surgery (20.33%), prosthodontics (20.33%) and orthodontics (18.58%).

Conclusions Most of the students of dental-medical major of Medical University of Lublin after graduation planned to work in Poland. The respondents were planning to work primarily in medical partnerships or to open their own dental offices. The vast majority of respondents declared a desire to get specialization.

Parole chiave

  • dentistry
  • students
  • career choice
  • education
Accesso libero

Evaluation of Gingival Conditions and Saliva TNF-α Concentration in Children with Acute Lymphoblastic Leukemia

Pubblicato online: 08 Aug 2014
Pagine: 81 - 85

Astratto

Abstract

Introduction. Patients with the history of neoplastic disease in childhood and adolescence, successfully treated, are at higher risk in terms of their susceptibility to develop other diseases later in their lives.

Aim. The purpose of study was to evaluate saliva TNF-α concentration in the children with acute lymphoblastic leukemia with reference to gingival inflammations.

Material and methods. The investigation was carried out in the group of 78 children with ALL aged 2-18yrs and analogical in terms of age and gender group of healthy controls. Results. Gingival conditions were expressed as gingival index (GI). In the group of children with ALL mean GI determined in examination 1 was 0.084±0.34, in examination 2 GI=0.007±0.04 and in examination 3 mean GI=0.017±0.13. In the group of healthy controls GI=0.003±0.03. Saliva concentration of TNF-α determined in the group of children with ALL in examination 1 ranged 4.16-135.01pg/ml. In that group in examination 1, mean saliva TNF-α concentration was 36.9±32.6pg/ml. In the group of healthy children mean saliva TNF-α concentration was 52.1±107.64pg/ml.

Conclusions. The authors, who observed various increases in the concentrations of TNF-α, IL-1α, IL-6, and IL-8 in the saliva and oral tissues in the patients consider that the proinflammatory cytokines in the saliva present in significantly higher concentrations in the future may have diagnostic and predicative value as replace indices of neoplastic transformations.

Monitoring of prognostic factors affecting inflammations of the oral mucosa in children with ALL is likely to prevent complications to standard treatment and prolonged time of anticancer therapy. Early evaluation of those parameters can quicken recovery and strengthen patient's health. Close cooperation between dentists and pediatricians-hematologists is important in maintaining oral health and improve the quality of life of children suffering from neoplastic diseases.

Parole chiave

  • children
  • ALL
  • saliva TNF-α concentration
  • gingival conditions
Accesso libero

The Assessment of Periodontal Status and Treatment Needs of the Adult Population Aged 34-44 Residing in Lublin Province and Visiting the Dentist Regularly

Pubblicato online: 08 Aug 2014
Pagine: 86 - 88

Astratto

Abstract

Introduction. Periodontitis is a group of inflammatory disorders affecting periodontal tissues. This condition manifests by a progressive destruction of the alveolar bone, subsequently leading to tooth loss. World Health Organization introduced Community Periodontal Index of Treatment Needs in order to gain data regarding periodontal health and treatment needs of people with periodontitis

Aim. To evaluate the periodontal status of citizens living in the city of Lublin and its surrounding, using Community Periodontal Index of Treatment Needs (CPITN).

Material and methods. Community Periodontal Index of Treatment Needs was used to assess the periodontal status among 180 patients aged 35-44 residing in Lublin and the area around it.

Results. Periodontal diseases have been observed in over 90% of the examined population. Treatment need index TN1 has referred to 26.11% of the patients, TN2 – 61.67% and TN3 – 2.22% respectively.

Conclusions. Patients who visit the dentist regularly have a better periodontal status as compared to groups randomly selected.

Parole chiave

  • periodontitis
  • periodontal index
  • public health
Accesso libero

Usefulness of Composite Restoration in Direct Esthetic Closure of Midline Gap

Pubblicato online: 08 Aug 2014
Pagine: 89 - 92

Astratto

Abstract

Introduction. Midline gap (diastema) is a space between two teeth, commonly between two incisors. The treatment can be provided by orthodontic, conservative (restorative) or prosthetic methods.

Aim. The aim of the study was an assessment of using direct composite restoration in aesthetic closing of diastema.

Material and methods. The space correction between teeth was performed among female and male adult patients with diastema of 3 to 6 mm. The microhybrid resin composite was used for the composite build-ups with a help of celluloid or silicon matrix due to its good handling properties and shade matching, and polishability properties.

Results. Depending on the size of diastema, the partial or total closing was done to achieve the cosmetic effect. The obtained clinical results were highly assessed both by dentists and patients. It was possible to obtain optimal aesthetic results with resin composite restorations only.

Conclusions. The simple closure of diastema with direct composite reconstructions can result in successful outcome and patient's satisfaction.

Parole chiave

  • midline gap
  • diastema
  • diastema closure
  • composite restoration
Accesso libero

Dental Erosion

Pubblicato online: 08 Aug 2014
Pagine: 93 - 95

Astratto

Abstract

Dental erosion is described as an irreversible loss of dental hard tissue resulting from exposure to non-bacterial acids or chelating substances. It may be caused by exogenous or endogenous factors. In the former case, food, drink, as well as the environment might be sources of acids; in the latter, acids flowing into the oral cavity from the stomach and duodenum.

Exogenous dental erosive lesions are localized mainly on the labial surfaces of the anterior teeth of the maxilla, while the endogenous ones can be found on the palatal and masticatory surfaces of the maxilla and the masticatory and buccal surfaces of the mandible.

Reduced saliva secretion, which occurs in a number of diseases, also influences dental erosion, while erosion-causing factors and aggressive tooth brushing immediately after consuming acidic food increases the range and depth of erosion cavities.

The consequence of dental erosion is teeth hypersensitivity, which results from exposure of dental tubules and of the pulp leading to the loss of tooth vitality and decrease in occlusal height.

Treatment of exogenous dental erosion consists in changing nutritional and hygienic habits. In the case of endogenous erosion, however, the therapy should address mainly an underlying disease. Worn teeth surfaces should be restored with conservatory or/and prosthetic methods.

In the context of an increasing prevalence of dental erosion in the population, it is necessary to develop and implement prophylactic measures, including broadly understood health education on the risk factors, preventive activities, and possibilities of diagnosis and therapy.

Parole chiave

  • tooth erosion
  • etiology
  • diagnosis
  • prevention
Accesso libero

Gingival Crevicular Fluid – Composition and Clinical Importance in Gingivitis and Periodontitis

Pubblicato online: 08 Aug 2014
Pagine: 96 - 98

Astratto

Abstract

Among many substances used in clinical diagnosis, such as peripheral blood, gum homogenate, saliva and gingival pocket fluid, it is the latter that seems to bean extremely valuable diagnostic and research material. Identification of mediators in gingival crevicular fluid, both in the healthy gingival fissure, as well as in pathological periodontal pockets can be a valuable supplement to the initial diagnosis and describe the mechanism of gumorperiodontal diseases.

Changes in the concentration of individual components in the gingival crevicular fluid may be used to assess the severity of periodontal disease.

There are numerous methods for collecting fluid from the sulcus described: Micro-capillary drainage, micropipette drainage, rinsing pocket or drainage with the use of methylcellulose strips and then reading with Periotron.

Gingival fluid is composed mainly of blood electrolytes and organic molecules, i.e. albumins, globulins, lipoproteins or fibrinogen and cellular components as well as peptides, bacteria and enzymes.

Therefore gingival crevicular fluid (GCF) is treated as a window for noninvasive analysis of periodontitis, taking into account indicators and markers of connective tissue and bone destruction.

Parole chiave

  • gingival crevicular fluid
  • periodontitis
  • gingivitis
Accesso libero

Composite Inlays as A Modern Way of Posterior Restorations in the Dental Arch

Pubblicato online: 08 Aug 2014
Pagine: 99 - 102

Astratto

Abstract

Modern restorative dentistry offers many methods of restoring qualitative cavities within the clinical crowns. Due to the concept of maintaining continuity of the dental arch and maintaining the correct plane of occlusion, for reconstruction of posterior teeth, there are especially recommended indirect restorations, which are made in the dental laboratory, i.e. crown inlays.

The aim of the study was based on the literature to describe indications, classifications and advantages of indirect composite inlays. Additionally, factors affecting the durability of indirect composite inlays and the influence on stomatognathic system were noted. Authors concluded that composite inlays can be recommended restoration method, not only in situations of loss of clinical crown tissue, but also in situations where it is necessary as structural reinforcement, e.g., in the case of Cracked Tooth Syndrome or Molar Incisor Hypomineralization.

Parole chiave

  • composite inlays
  • indirect restorations
  • posterior restorations
Accesso libero

Orthodontic Treatment – Complications and Preventive Measures

Pubblicato online: 08 Aug 2014
Pagine: 103 - 106

Astratto

Abstract

Orthodontic treatment aims at restoring correct occlusion and chewing function and improving the aesthetics of the dentition and facial esthetics of the patient. During treatment complications may occur. Most frequently observed complications have been described in the paper.

There role of the orthodontist in the therapeutic process and the principles on which doctor- patient cooperation should be based in order to achieve a therapeutic success have been presented. Particular emphasis has been put to the importance of prevention of dental caries and periodontal diseases in orthodontic patients.

Parole chiave

  • orthodontic treatment
  • complications
  • prophylaxis

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