Knowledge of dental surgeons regarding dental treatment of cardiosurgical patients was assessed by means of anonymous questionnaires at dental departments in Prague and in four district in the CSR. The tasks of the respondents was to suggest treatment in patients after implantation of an artificial valve and in patients with an implanted pacemaker. The doctors were asked whether they were informed on the problem and where.
At present we include under the term arthropathy of the temporomandibular joint a large group of affections of this joint. In recent years the term myofacial painful dysfunction syndrome was defined in mode detail. It is a condition characterized by its polyaetiological nature and is linked to the area of the temporo-mandibular joint and its surroundings. It is associated with pain without apparent destructive changes on the X-ray picture. In the submitted paper attention is paid to conservative treatment of painful dysfunctional muscular syndrome by means of an occulsion splint. In a group of 32 patient the advantages of the method are demonstrated.
The author assessed by means of questionnaires the incidence of hepatitis B and the use of protective devices in a group of 612 Prague stomatologists. Fifty-four (3.8%) reported hepatitis B. 17.5% of the doctors were vaccinated against the condition. Doctors who treat 20 or more patients per day report hepatitis B four times more frequently than those who treat only to 20 patients per day. 53.5% of the doctors never use rubber gloves during treatment. For the prevention of transmission of infection in addition to hygienic provisions also the organization of work must be changed.
The authors assessed the diagnostic reasons for extraction of 1170 teeth in 565 patients treated in a health community dental centre. They recorded data on the patient's sex and age, on the extracted tooth and reason for extraction. They found that under the age of 30 years permanent teeth were extracter mostly on account of extensive damage by caries and its sequelae. On account of destruction of the periodontium permanent teeth were extracted in patients older than 31 years. At the age of 31-40 years on account of extensive caries and its complications significantly more teeth were extracted in women than in men, at the age above 71 years significantly more teeth were extracted on account of this diagnosis in men, as compared with women. On account of caries and its sequelae 75.7% upper premolars, 69.7% upper molars and 69.9% lower molars were extracted. On account of advanced destruction of the periodontium in the investigated group 80.5% lower incisors were extracted. In other groups of teeth this diagnosis was less frequent.
The paper deals with the problem of mucocutaneous candidosis, because the incidence of the disease is increasing steadily in recent years. The author draws attention to various already known causes of the development of candidosis and submits also some hypothese reported in the literature. The classification of candidosis should facilitate diagnostic work of the attending physician. In therapy in particularly refractory candidoses are emphasized and the author present on the example of one patient an account of recent therapeutic possibilities.
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