[Comparing the function of the temporomandibular joint before and after surgical treatment in a young patient with idiopathic scoliosis. Case presentation]. / Fiatalkori idiopathiás scoliosis mutéti korrekciójának hatása az állkapocs mozgástartományára.

From an anatomic and functional point of view, the stomatognathic system and the upper cervical spine are closely connected. Together with the complex neuromuscular relationships, this generates an important field of cooperation between dentists and orthopedics. The aim of this case report was to demonstrate the improvements of temporomandibular joint (TMJ) function after orthopedic surgery in case of a patient with idiopathic scoliosis. A 15-year-old female patient who had adolescent idiopathic scoliosis was surgically treated in 2016. Functional analyses of the TMJ were performed before the day of the operation and 10 months after the surgery. For detection, an ultrasound-based testing machine was used. The analyses of the data showed that almost all ranges of motions (ROM) were improved. The deviation to the right side was reduced from 8 mm to 2 mm during mouth opening. The patient had limited left lateral movement before the operation, however, after 10 months following the operation, there were free motions towards both sides. The originally asymmetrical protrusion became almost completely symmetrical. Regarding the functions of the TMJ, the surgery was successful; this in itself had a beneficial effect on the range and the path of the mandibular movements without any other treatment. These improved functions are indirect evidences for the connection of the function of the spine and TMJ. Orv Hetil. 2018; 159(50): 2144-2149.

[Health insurance reimbursement of dental care in Hungary]. / A fogászati ellátás egészségbiztositási finanszírozása Magyarországon.

The aim of this study was to assess the annual health insurance reimbursement of dental health service in Hungary. The assessment base of the study was the annual reports of National Health Insurance Fund Administration (OEP). Only the data collected from the services in contractual relationship with the OEP and delivered in 2008 were evaluated. Dental care services are organised in different levels: general dental service, specialist dental care, special dental care on university level and inpatient departments. Our study covers primary, outpatient and hospital dental care. Dental care was supplied by 3.378 general and specialist dental care services at the end of 2008. For the hospital treatment of more serious cases 17 inpatient departments are available with 154 patient beds. Within the period of examination (2008) 23.6 million interventions were carried out in 7.6 million cases. The total health insurance reimbursement of dental care (including primary, outpatient and hospital care) was 24.92 billion HUF (88.82 million Euro) in 2008. The health insurance reimbursement of dental care in Hungary is approximately 2% of the total health insurance expenditures of the National Health Insurance Fund Administration (OEP). Within the period under investigation, the health insurance reimbursement of dental care did not change significantly.

[Glass fiber polymerization--an effective method of increasing fracture resistance of the denture base (case reports)]. / Uvegrost-polimerizáció mint a fogsor alaplemez erósítés hatásos eszköze (Esetismertetések).

Three cases are presented to demonstrate how the application of glass fibres could be integrated into the treatment plan of removable dentures. In Case one the lack of space excluded the use of chrome-cobalt framework, but glass fibre reinforcement for the implant prothesis, secured by ball attachments, ensured structural stability. In Case two in order to keep the upper canine, an overdenture was constructed, which incorporated glass fibres in its dental base to prevent fracture propagation there. In Case three where the transfer of an extremely great chewing load to the dental base caused repeated fractures, the complex treatment of second framed work, fibres reinforcement and reline gave a stable satisfactory result over a long-term monitoring period. It was concluded, as presented, that the application of glass fibre reinforcement polymerised in the denture base can ensure structural stability and prevent fracture.