Gusztáv Keszthelyi

ASSOCIATIONS BETWEEN MICROBIOLOGICAL AND SALIVARY CARIES ACTIVITY TESTS AND CARIES EXPERIENCE IN HUNGARIAN ADOLESCENTS

The aim of the study was to assess caries prevalence in connection with salivary caries–related findings in 349 14– to 16–year–old Hungarian adolescents living in two different cities. DMFT, DMFS means, stimulated salivary flow, buffer capacity, mutans streptococci, lactobacilli and candida counts in saliva were determined. The ratio of caries–free adolescents was 4.6% in the total population sample, DMFT mean values were 7.24±4.86, DMFS means 10.50±8.35. Mean secretion rate of stimulated saliva was 0.84±0.50; a low buffer capacity was found in 6.3% of the examined children. The ratio of carriers of mutans streptococci, lactobacilli and yeasts in saliva was 89.7, 73.9 and 47.7%, respectively. DMFT and DMFS values as well as mutans streptococci and candida counts were lower in the capital than in the other city. Statistically significant correlations were found between DMFT, DMFS mean values, and salivary microbiological counts.

Effect of Amine Fluoride Toothpaste and Gel in High Risk Groups of Hungarian Adolescents: Results of a Longitudinal Study

The aim of the study was to establish a preventive program with the combined use of amine fluoride toothpaste and gel in groups of adolescents living in different locations in Hungary. Caries and oral hygiene examinations were performed at the beginning of the study and repeated after 1 and 2 years. The adolescents were divided into 3 groups: 1 control and 2 test groups. The control group continued its usual oral care habits. One of the test groups received Elmex toothpaste for unsupervised home use daily and Elmex gel for use once a week, and the other test group received Elmex toothpaste and only placebo gel. The combined use of amine fluoride-containing toothpaste and gel provided a significant reduction in DMFS mean values (38% including white spot lesions, 34% not including white spot lesions, p < 0.05) and in visible plaque index values (18%, p < 0.05) compared to the control group.

3D reconstruction based on hard tissue microtome cross-section pictures in dentistry

The aim of this study was to examine the accuracy of the computerized 3D surface analyzing and volume measuring method in dentistry. Two different types of test objects were used in the first part of the measurements. Each sample of the two groups was cross-sectioned using a hard tissue microtome. The sections were photographed on both sides and were projected on a graphical tablet and analyzed using a computer program. The measured and calculated parameters were compared. In the second part, 200 microm thick horizontal sections were prepared from 11 human incisor roots using the hard tissue microtome. This way, five sections were prepared from the apical 2 mm of each root. The effects of section thickness and number were modeled by decreasing the inclusion rate of the obtained number of sections from 10 to 2 and its influence on the calculated results was determined. This method was suitable for the approximation and analysis of 3D parameters. The results indicated that using 200-300 microm section thickness, the measured values were approximately 8-21% lower than the real parameters.

Technique for fabrication of centric relation-based occlusal splint with central bearing device

This study presents a technique for constructing an occlusal appliance. The central relation position must be located with Gothic arch registration. A central bearing post is fixed to the upper vacuum-adapted sheet and a registration plate is made for the lower cast. For the eccentric guidance construction, a prefabricated guiding ramp is secured just behind the most anterior point of the Gothic arch. The eccentric guidances, which harmonize with condylar movements, are printed by the mandibular canines on the surface of the self-curing resin as the post slides on the inclined surface of the ramp.