Prakticke zubni lekarstvi最新文献

The authors examined 29 patients with fixed prostheses. They investigated the condition of the periodontium of pillar teeth of these dentures and examined the vestibular and oral dental surfaces, the adjacent gingiva and the presence of microbial dental plaque. They recorded also the period of use of the denture. The periodontium was evaluated by Russel's according to Silness-Lö. In 16 dentures the assessed values ware compared with intact teeth on the contralateral side of the same jaw. The values of periodontal indices in pillar teeth of fixed prostheses are higher than in teeth without prosthetic treatment and they are proportional to the standard of hygiene and the period for which the prosthesis has been used.

The authors presents an account on a computer system by means of which it is possible to follow up therapeutic and preventive activities of a stomatological department. They describe the "Basic Information System" which has the following aim: to create a qualitatively new background for the evaluation and management of dental therapeutic and preventive care, to support dispensary care and to reduce administrative work to a minimum. An integral part of the information system is also an innovated "Daily working records of doctors".

The authors made a nation-wide survey focused on the choice, appreciation of different properties of toothpastes and the popularity of different brands. They also evaluated the quality of some toothpastes according to Czechoslovak standards. The results revealed that the attitude of the public as regards toothpastes is correct. The great majority of subjects consider fluorine and therapeutic substances an important part of toothpastes. The majority of subjects are satisfied with the supply, one third of the people complain that some types are in short supply. More than half the subjects ask for toothpastes with texts providing information. The majority of toothpastes met the demand defined by the Czechoslovak standards. Some shortcomings were revealed during organoleptic evaluation and in the technology of production. The authors discuss the small consumption of toothpastes which must be increased by the health educational activities of dental surgeons but also by increased attention of manufactures and the network of shops to the technology, distribution and propagation of toothpastes.

The author paid a study visit at Dental Royal College in Aarhus, Denmark from 3rd September to 5th November 1987. The postgraduate course was devoted to progressive methods of fixed prosthetics. The author draws attention to some conceptual differences in Danish fixed prosthetics. In the preparation technique there are particularly differences in grinding the grinding of support teeth in metalloceramic works. In the impression technique preference is given to the method of double mixing with injection discharge of elastomer subgingivally and around the circumference of the prepared stump while using a bitumen individual spoon. In the laboratory technique they have been using the American PIN-DEX system of pull-out necks, modelling of buttress construction without relief and together with the construction, in addition to ceramic facet making to chemical facet-making by means of composite bitumen made by KULZER, trade mark DENTACOLOR XS, which polymerize in Ultraviolet light.

The authors, based on their own experience, draw attention to the necessity of interdisciplinary collaboration in the diagnosis and treatment of patients who need a surgical operation in the orofacial and craniofacial region. They draw attention to new diagnostic and therapeutic procedures and possibilities, and to the advantages of computer technique and the part played by microelectronics in stomato-surgical practice.

The author found within the framework of comprehensive treatment of haemophiliacs in the temporary after-care unit of the department of clinical haematology of the Regional Institute of National Health in Plzen that on average 58.5% of the patients have carious teeth. They present their experience with dental treatment of these patients and discuss some problems. They emphasize that systematic, early and careful dental care of haemophiliacs within the framework of care at the district level is essential.

The authors describe an apparatus of their own design for the melting and application of thermoplasts. They discuss its construction and possible use for the preparation of fixed and removable dentures.

The authors investigated the frequency of unfounded teeth in a selected cohort of jaw-orthopedic patients from the iZlina district at the age of seven to 12 years. From the total of 4,405 patients, a decreased number of teeth was found in 179 children (4%), 130 of them being girls and 69 boys. In all the 179 children, 410 teeth missing. Three teeth were missing per one child on the average. Patients with cleft disorders and evident displasiae were excluded from the investigation. The third molars were not considered in the evaluation. Most of the affected children live in localities where they are exposed to air pollution. These patients displayed various aplasiae of tooth groups, where event constant tooth groups (ocular teeth) were not exceptional. Recent data from the world literature present various patterns of partial anodontia as a result of numerous genetic-mutational interreactions of living environment.

Based on regular information from a computer an annual evaluation of prescribed drugs in a stomatological ward was done. The most frequently prescribed drugs were antibiotics in 38.85%, stomatological drugs in 19.52% and vitamins in 12.39%. Further extended use of computer in a stomatological practice and a possibility of mutual connection of several stomatological workplaces, in the systems of data, their collection and transfer to the central computer of the ward, would significantly contribute to a more precise evaluation of pharmacotherapy even in connection with other indices of stomatological records.