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[Motivation of patients to stomatological care].

The discussion is presented on certain factors influencing the motivation of the patients to undergo stomatological treatment. They included: 1. Increasing positive motivation to treatment: striving to alleviate pain caused by decayed tooth, realization of aims not related to health, cultural aspects. 2. Motivating treatment avoidance: fear of pain connected with the treatment, consequence of low availability of dentists in Poland unconscious anxiety connected with: violation of bodily integrity of the patient, manipulation in particularly important oral area, stomatologist's domination over patient.

Anxiety↗

[Philosophy of prevention in stomatology].

The authors make an analysis of the concept of prevention as applied to the field of stomatology, and also discuss the prophylactic strategies, and the means for action. A series of aspects are discussed, including: the why of preventive practice? What is preventive practice? The philosophy of prevention; which are the facilities and the necessary equipment?

Dental Prophylaxis↗

[Contribution to stomatologic work posture].

In an experimental study the work postures at stomatologic works were checked. An objectivation of the reaching space was carried out and dependences of the posture on the kind of equipment and its use were analyzed. It is tried to evaluate the problem of false postures.

Adult↗

[Surgical stomatological interventions of patients on anticoagulant therapy (with description of two patients)].

The possible risk factors originating during surgical stomatological interventions of patients on anticoagulant therapy are described in the paper. They are connected both with the main disease the reason the patient is on such a therapy and with the intake of anticoagulants being of two kinds; direct (physiological) and indirect. Two patients are described: one with prosthetization in 1982 with aorta prosthesis because of aortic valvular defect and a female patient with lupus eythematodes disseminata and severe organ disorders resulting from that (cardiac, renal, amputation of the left arm). Both patients were on maintenance therapy with indirect coagulants: sincoumar and sintrom. The author describes the pre-operation treatment, mode of anticoagulant dosing during and after the surgical intervention and the agents used for local hemostasis and antibiotic protection. Hemorrhagic complications were not observed in the patients described. Based on literature data and the patients described, the authors takes the liberty to sum up the tendencies in the behaviour of the stomatologist during surgical sanation of oral cavity of patients, on anticoagulant therapy.

Adult↗

[Hearing protection against noise in the stomatologic clinic].

On the basis of current analyses of the noise situation in the stomatologic practice proposals are made for noise control. An newly developed personal ear protector is especially taken into consideration. Furthermore, the possibility of using wide-band absorbers is presented to reduce the room sound level.

Dental Clinics↗

[Basic information system of a stomatological department].

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".

Computer Systems↗

[Physiological and psychological specifics of the stomatological care in patients suffering from connatal troubles of the haemodynamics].

Four groups of patients are subdivided related to the degree of severity of the trouble of haemodynamics. Main reasons for the decreased loadability are the lack in oxygen in the capillary range, increased infections of the respiratory systems and an altered situation of defense. The multitude of patients of the groups I and II can be treated in child's stomatology. The endangering of the patient acc. to its loadability, the application of local anaesthetics without supplement of means affecting the circulation and a protection by antibiotics with all the surgical interventions are prerequisites.

Dental Care↗

[Occupational diseases of groups in stomatology].

From the legal bases of occupational health the general aspects in connection with occupational diseases are presented. By the example of an epidemiologic study of occupational groups in stomatology in the GDR priorities of recognized occupational diseases are assigned and possibilities of prevention shown.

Dental Auxiliaries↗

[Investigations of stomatologic lighting equipment].

12 types of stomatologic lighting equipment were investigated with regard to their specific luminous intensity. The examination of the thermal radiation of the lighting equipment included subjective evaluations. Conclusions were drawn in order to improve the lighting.

Dental Equipment↗

[The effectiveness of studies at the Department of Stomatology of the Pomeranian Medical Academy].

The suitability for studying is defined by the percentages of students finishing the study in relation to those who commenced it. Since the number of students changes during the study in respective years, the true picture of efficiency cannot be made out on the basis of graduation index without taking into account the on-time graduation. The authors carried out analysis of 6 cycles of studies accomplished by students of stomatology at the Pomeranian Medical Academy over the period of 10 years. Percentage was calculated for punctual and non-punctual finishing of studies as well as the percentage of students who joined or left the respective cycle. As a result of the investigations it was found out that during the analyzed 6 cycles of studies the highest efficiency index--54.9% (the punctuality being taken into consideration) was achieved in cycle V in the years 1980/1985; the lowest--17.9% in cycle III in the years 1978-1983. In cycle VI of studies the efficiency of studying was hardly 20.3% with the highest index for graduation being 69.7%. The greatest changes in the number of students are observed during the II year of studies.

Dentistry↗

[The stomatologic polishing machine ShM-03].

Herein is introduced a new machine dedicated to the treatment of the metal dentures, ceramics and hard alloys, which allows the patient's treatment in Stomatological Polyclinics. The design of the major parts of the machine--treatment unit and electronic control unit are described. Herein are described in details operation instructions, interlocks information of the unit that allows to extend the life of the motor and of some other electric circuit devices. The advantages of this new machine compared to the alternative Soviet manufactured unit are marked here. Introduction of this machine into production will help to introduce chromium-Cobalt alloys, ceramics and other materials of the heightened hardness into dental prostheses practice.

Dental Equipment↗

[Scientifically founded drug prescription in surgical stomatology].

Scientifically founded drug prescription is necessary to secure optimal therapeutical success with a minimum of risks. Dosage must conform to pharmacokinetics and consider the patient's age and diseases, especially affections of the liver and kidney. Furthermore, the possibility of drug interferences, which might lead to serious complications, should be borne in mind if several drugs are prescribed simultaneously. The present paper deals only with drugs frequently prescribed in surgical stomatology.

Analgesia↗

[An analysis of the incidence of surgical-stomatologic disease pictures and required treatment needs].

In a good bordered drainage area in the sense of the reachdentist-system a study of morbidity was made. It could be fixed that in nearly a third of all patients diseases a relation of 862 patients to 1351 diagnoses was found. As the principle of division the International Classification of Diseases was used and with 97,13% the Class IX was absolutely dominating. The expense of therapy was carefully registered and about it was found that only 6% of the working time is needed for surgical stomatological operations.

Adult↗