Caries prevalence and tooth loss in Hungarian adult population: results of a national survey.

BACKGROUND: Oral health is basically important for the well-being of people. Thus, it is strongly suggested to organize epidemiological surveys in order to gain representative data on oral condition of the given population. The purpose of the cross-sectional study was to determine the results on tooth loss and caries prevalence of Hungarian adults in different age groups. METHODS: Altogether 4606 persons (2923 women, 1683 men) participated in the study who were classified into different age groups: 19 [less than or equal to], 20-24, 35-44, 45-64, 65-74, [greater than or equal to]75 year olds. Probands were selected randomly from the population attending the compulsory lung screening examinations. The participants were examined by calibrated dentists, according to the WHO (1997) criteria. In order to produce representative data, the chosen localities for these examinations covered the capital, the largest towns, the villages, and case weights were used for the statistical evaluation. RESULTS: The mean values of DMF-T were found between 11.79+/-5.68 and 21.90+/-7.61 These values were significantly higher in women compared to men (p < 0.05). In all age groups the values of M were the highest. Except for the women in the groups of 35-44 and 45-64 year olds, these values showed an increasing tendency both in women and men by age (from 5.50+/-6.49, and 4.70+/-4.08 to 21.52+/-9.07 and 18.41+/-8.89 respectively). The values of D components reached the highest values in 45-64 year olds (4.54+/-2.12 and 4.22+/-2.81, by gender, respectively), then in the older age groups there was a high reduction in these values (in 65-74 year olds: 2.72+/-1.88 and 1.36+/-2.48; in 75 or more than 75 year olds: 1.05+/-1.41 and 1.03+/-1.76 by gender, respectively). The ratio of D and F values was the highest in the age group of 65-74 year olds (2.12), the lowest ratio could be calculated in 20-34 year olds (0.65).Data showed some decrease in caries experience in 35-44 years of age between 2000 and 2004. The prevalence of persons with 21 or more teeth had been increased from 65.6% to 73.1%. This positive tendency has not been occured in prevalence of edentulousness in this age group: the prevalence of edentulous persons changed from 1.4 to 1.9%. In 65-74 year olds the level of edentulousness became lower, from 25.9 to 14.8% and the prevalence of persons with 21 or more teeth is higher (22.6%) than it was in 2000 (13.0%). CONCLUSION: Present data from Hungary show some slight decrease in caries experience between 35-44 years of age, although this positive tendency has not been occured in prevalence of edentulousness in this age group. A positive tendency could be experienced in the group of 65-74 year olds in edentulousness and in number of teeth, but further efforts are needed to reach a better situation.

Frequency and location of traumatic ulcerations following placement of complete dentures.

PURPOSE: To determine the location of mucosal injuries that appear following placement of complete dentures, as well as the number of adjustments necessary to achieve patient comfort. The frequency of mucosal injuries in female and male patients and their connection with clinical anatomic features were also investigated. MATERIALS AND METHODS: Sixty-one completely edentulous healthy patients who wore dentures (47 women and 14 men) took part in the study; 122 newly fabricated complete maxillary and mandibular dentures were investigated. All patients were seen for a 1-week adjustment appointment. Areas where signs of denture-induced mucosal injuries appeared were marked on an anatomic illustration. The follow-up period was in 1-week increments as deemed necessary by the patient. Associations between variables were analyzed with analysis of variance. Results were recorded as mean + SD. Statistical significance was set at P < or = .05. RESULTS: Eighty-seven percent of the dentures required adjustment at week 1, 50% at week 2, and only 7% at week 3. No patients required a further visit. Most frequently injured maxillary areas were the vestibular sulcus (41%), maxillary tuberosity (21%), and hamular notch (12%). In the mandible, the most frequently injured areas were the retromylohyoid area (17%), lingual sulcus (14%), and vestibular sulcus (13%). Denture-induced irritations were detected in a higher ratio in the mandible (P < .001), especially in male denture wearers at the first adjustment (P < .05). Men had a higher ratio of lesions at the region of the maxillary vestibular sulcus between the labial and buccal frenum and at the mandibular vestibular sulcus of the buccal shelf region (P < .001). CONCLUSIONS: Denture-induced irritations appeared most often in the vestibular sulcus of the maxilla and mandible, indicating that it is necessary to evaluate the area of the facial seal of the prosthesis by applying a medium- or a heavy-pressure indicator paste to the borders, and to make adjustments at the delivery stage and subsequent adjustment appointments. Denture placement must not be the final patient-clinician encounter when treating with complete dentures. Denture adjustments are very important clinical phases of denture fabrication and essential in patient care.

[The prevalence of oral mucosal lesions in Hungary]. / Szájnyálkahártya-elváltozások elofordulási gyakorisága Magyarországon.

The aim of the survey was to recognize the lesions of the oral mucosa (any alterations from healthy normal tissues) related to gender, age, intraoral localization, geographic regions, according to smoking habits and dental surgery attendance, based on the data of "Epidemiological national survey on oral health 2003-2004.". In the nationwide survey 4606 people (2923 women, 1683 men) participated. Oral mucosal lesions registered in 10.14 and 9.41% in males and females (respectively). The highest prevalence of mucosal lesions occurred in 45-64 year old age group. The highest number of the oral lesions was found in the buccal mucosa in males (42%). In females the most of the lesions are registered on the hard palate (24%) and on the buccal mucosa (24%). By geographic regions the highest prevalence of oral mucosal lesions occurred in "Közép-Dunántúl" statistical region, and the lowest prevalence was found in "Dél-Dunántúl". Statistically significant correlation could be shown between prevalence of oral mucosal lesions and smoking habits (p < or = 0.05) and there was a significant correlation between the frequency of dental surgery attendance and the prevalence of mucosal lesions in the examined population. The data of this epidemiological study could serve a good base for planning of preventive programs in different populations in the future.

[Dental wear as a stomatologic manifestation of bulimia nervosa--a clinical case]. / A fogállományvesztés mint a bulimia nervosa stomatológiai megjelenési formája (gondolatok egy eset kapcsán).

The number of patients with anorexia and bulimia nervosa is increasing nowadays. The typical oral feature of these eating disorders is the dental erosion which causes sensitivity of the teeth and esthetic problems for the involved patients. This phenomenon is a characteristic feature in these cases and it may be the first sign of the mentioned disorders. The purpose of the study was to describe the generally the most characteristic oral findings of bulimia nervosa and anorexia nervosa because the dentists play a significant role in recognizing the basic problem of the patients, and they can send them for medical treatment of the serious general problems.

[Correlation between the weight and usefulness of complete lower denture]. / A teljes alsó lemezes fogpótlások súlya és használhatósága közötti összefüggés vizsgálata.

The importance of gravity has been known for a long time in prosthetic dentistry. However, few researchers have focused on the measurement of the weight of complete lower dentures or on the possibility of increasing that weight and its effect on stability. Some authors recommend hidden weight increase using a horseshoe-shaped alloy covered by the artificial gum in order to increase the weight of complete lower dentures; others recommend the use of metal molars, heavy acrylic artificial gum, and a baseplate partially or fully made of metal for the same purpose. The authors of the present article have measured 167 complete lower dentures using an assay balance. They compared three sets of complete lower dentures of 24 patients, one of the three being of increased weight in each case. The examination by x2 statistics (four-domain contingency test) of the relationship between the weight and usefulness of complete lower dentures showed that an overwhelming majority of patients preferred the weight-increased dentures.