A műfogsorragasztó hatása a nyugalmi kevert és a kis nyálmirigyek szekréciójára, valamint a szájszárazság érzetére teljes lemezes fogpótlást viselőkben

Abstract

Introduction and aim: To determine whether the continuous use of gel-type denture adhesives influence the unstimulated whole saliva, the palatal and labial saliva flow rates, and to assess the possible changes of subjective orofacial sicca symptoms. Method: 28 maxillary complete denture wearing patients (average age: 70 ± 10 years) were investigated. A gel-type denture adhesive was administered to the patients for regular use during the 3 weeks of examination. A questionnaire of 16 questions was used to evaluate subjective orofacial sicca symptoms. Unstimulated whole saliva was determined by the spitting method, palatal and labial saliva flow rates were measured by the Periotron® device with filter paper discs at the initial, first, second and third weeks. Statistical analysis: The following tests were used: subjective values – χ2-test; flow rates – ANOVA, paired Student’s t-test. Results: According to the questionnaire, the ratio or severity of xerostomia did not change. A significant increase in the subjective feeling of “saliva thickness” could be detected (p = 0.027), but the other subjective parameters remained unchanged. Palatal saliva flow rates decreased significantly by week 3 (week 0: 4.21 ± 3.96 µl/cm2/min; week 3: 2.21 ± 2.30 µl/cm2/min; p = 0.024). On the other hand, there was no significant change in the unstimulated whole saliva (week 0: 0.37 ± 0.36 ml/min; week 3: 0.39 ± 0.35 ml/min) and labial saliva (week 0: 3.99 ± 3.75 µl/cm2/min; week 3: 2.58 ± 3.39 µl/cm2/min) flow rates. Conclusions: The regular use of denture adhesives did not influence xerostomia and the majority of subjective orofacial sicca symptoms, but may cause a subjective feeling of “increased saliva thickness” and reduce palatal minor salivary gland flow rates among complete maxillary denture wearers. Orv Hetil. 2018; 159(40): 1637–1644.

Environmentally friendly behaviour in dentistry

“…Incineration or landfilling of waste has a significant impact on the environment by emitting greenhouse gases and polluting the air, soil, and water. It is important that non-infectious and infectious waste does not mingle, because the removal of infectious waste is much more burdensome for the environment [ 8 , 18 , 19 ]. Where possible, non-infectious waste should be collected selectively.…”

“…If possible, in the green area, but also in pots, it is recommended to grow vegetables and fruits (such as herbs, tomatoes, hot peppers) in the appropriate rooms of the practice (waiting room, reception, staff rooms), so food can be obtained up close and environmentally friendly. The green wall created in the surgery is not only environmentally friendly but can even reduce patients’ anxiety if they are waiting for treatment in such a waiting room and supports smoking cessation [ 8 , 18 , 19 ]. It is also recommended to get the vegetables and fruits consumed from a local farmer and to draw the attention of patients to this [ 8 ].…”

Comparative characteristics of the clinical application of the latest fixing gels for complete dentures

“…Основними вадами, які виділяють науковці у фіксаційних адгезивних системах, є: недостатні антисептичні властивості, недостатньо сильна адгезивність (тривалість надійної фіксації 3-5 годин) та інші [9][10]. Велика кількість науковців свідчить, що адгезивні системи необхідні у клінічній практиці для підвищення функціональної цінності повних знімних протезів, і рекомендують працювати над покращенням складу та властивостей композицій [4].…”