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The aim of this study was to assess the aetiological factors having an impact on the prevalence of dental caries, missing or filled teeth in a subsample of a single-centre cross-sectional study conducted among the inpatients of the National Institute of Medical Rehabilitation in Hungary.Data collection was carried out through the full mouth screening for dental caries according to World Health Organization (WHO) criteria and a questionnaire covering social background, oral hygiene routine, eating habits for all inpatients who underwent rehabilitation between May 2019 and March 2020.The mean + standard deviation (SD) DMF-T score in the study sample of 110 physically disabled patients was 18.90 + 7.85. Factors which influenced DMF-T were age, frequency of dental visits and frequency of toothbrushing. The caries prevalence was higher than in the general Hungarian non-disabled population.In the current study it was apparent that patients with physical disability had less favourable oral health with frequent occurrence of dental caries and missing teeth. Based on the results of the current study, new, targeted prevention and intervention can be developed.

A világon több mint 1 milliárd ember él valamilyen fogyatékkal. Ezeket az embereket speciális ellátást igénylő páciensekközé soroljuk, hiszen a funkcióveszteség következményeként nehezített a szájhigiéniás rutin és a rendszeres fogorvosikontroll. Az irodalomban található adatok alapján a speciális ellátást igénylő betegek szájhigiéniás állapota rossz, ennekoka, hogy fogászati terápiájuk, gondozásuk nem megoldott a mindennapi gyakorlatban.

Since its emergence in China, the COVID-19 pandemic has become the number 1 health challenge in the world with all affected countries trying to learn from each other’s experiences. When it comes to health services, dental care does not seem to be a priority area, despite the fact that it is among the highest risk medical specialisations in terms of spreading the infection. Using the Department of Community Dentistry of Semmelweis University as a case study, the objective of this paper is to introduce and analyze the system and organizational level measures, which have been implemented in dental care in Hungary during the first months of the COVID-19 outbreak. The system level measures to promote social distancing, to reduce the use of health services and to protect high risk health professionals, together with the deployment of protective equipment and the reorganization of patient pathways at the organizational level proved to be effective in keeping the outbreak in control. There are two, less frequently mentioned ingredients of successful coping with the COVID-19 challenge. First, mental health support is at least as important as physical protection. Second, most of the interventions do not require big financial investments, but behavioural change, which in turn requires leadership and change management skills.

Abstract: Introduction: More than 1 billion people in the world live with some form of disability. According to the 2011 census in Hungary, their number can be around 500 000. These people are considered as a vulnerable group even from a dental point of view, since the loss of function makes regular oral hygienic routine and dentistry control more difficult. In 2015, The Department of Community Dentistry and The National Institute of Medical Rehabilitation started to operate together a dental office to examine the dental and oral hygiene condition of the inpatients and to make their oral rehabilitation. Aim:aAim: A total of 608 patients have gone through a full dental examination including a stomato-oncological screening. From this we gathered comprehensive information on the oral health of patients currently undergoing rehabilitation and living with disabilities. Method: This study was approved by the Medical Research Council. Clinical examinations were done on the basis of the recommendation by WHO. We analysed the DMF-T values, restorative index, periodontal status and lesions of the oral mucosa. From a survey of 20 questions we asked about oral hygiene practices, toothbrushing frequency, last visit to a dentist, eating habits, addictions and social background. Results: The patients had poor oral hygiene. The number of lost teeth is high, but the prosthetic care is not satisfying. The DMF-T value was 20.5, from this D-T = 2.6, M-T = 11.2, F-T = 6.7. The patients’ complaints about dental and oral mucosal lesions are minimal compared to their general dental condition. A majority of them did not experienced toothaches in the last 12 months. The last dental checkup in the case of most patients exceeds 12 months. Conclusions: The oral hygiene of patients living with some form of disability is poor since their daily oral hygiene routine and care in practice are not solved. Orv Hetil. 2018; 159(52): 2202–2206.

More than 1 billion people in the world live with some form of disability. According to the 2011 census in Hungary, their number can be around 500 000. These people are considered as a vulnerable group even from a dental point of view, since the loss of function makes regular oral hygienic routine and dentistry control more difficult. In 2015, The Department of Community Dentistry and The National Institute of Medical Rehabilitation started to operate together a dental office to examine the dental and oral hygiene condition of the inpatients and to make their oral rehabilitation.aAim: A total of 608 patients have gone through a full dental examination including a stomato-oncological screening. From this we gathered comprehensive information on the oral health of patients currently undergoing rehabilitation and living with disabilities.This study was approved by the Medical Research Council. Clinical examinations were done on the basis of the recommendation by WHO. We analysed the DMF-T values, restorative index, periodontal status and lesions of the oral mucosa. From a survey of 20 questions we asked about oral hygiene practices, toothbrushing frequency, last visit to a dentist, eating habits, addictions and social background.The patients had poor oral hygiene. The number of lost teeth is high, but the prosthetic care is not satisfying. The DMF-T value was 20.5, from this D-T = 2.6, M-T = 11.2, F-T = 6.7. The patients' complaints about dental and oral mucosal lesions are minimal compared to their general dental condition. A majority of them did not experienced toothaches in the last 12 months. The last dental checkup in the case of most patients exceeds 12 months.The oral hygiene of patients living with some form of disability is poor since their daily oral hygiene routine and care in practice are not solved. Orv Hetil. 2018; 159(52): 2202-2206.Absztrakt: Bevezetés: A világon több mint 1 milliárd ember, ebből Magyarországon a 2011. évi népszámlálás alapján 500 000 ember él valamilyen fogyatékkal. Ezek az emberek veszélyeztetett csoportba tartoznak fogászati szempontból is, hiszen a funkcióveszteség következményeként a szájhigiéniás rutin és rendszeres fogorvosi kontroll nehezített. 2015 őszén a Fogászati és Szájsebészeti Oktató Intézet és az Országos Orvosi Rehabilitációs Intézet által közösen működtetett fogorvosi rendelő került átadásra, hogy a rehabilitáció alatt állók szájhigiéniás felmérése, dentális és szájhigiéniás rehabilitációja is megtörténjen. Célkitűzés:aCélkitűzés: 608, rehabilitációs kezelés alatt álló beteg fogászati állapotának felmérése és sztomatoonkológiai szűrése, valamint szükség esetén kezelése történt meg. Ezáltal átfogó képet kapunk a rehabilitációra szoruló, fogyatékossággal élő betegek szájüregi állapotáról. Módszer:aMódszer: A fogorvosi klinikai vizsgálat WHO-ajánlás alapján történt: a DMF-T-számot, a fogászati ellátottságot, a szájnyálkahártyán látható elváltozásokat mértük fel. A 20 kérdésből álló kérdőív segítségével a szájhigiéniás rutinról, a fogorvoshoz járás gyakoriságáról, az étkezési szokásokról, a káros szenvedélyekről és a szociális háttérről nyertünk adatokat. Eredmények:aEredmények: Az ellátottság csupán alacsony szintjét figyelhetjük meg. A hiányzó fogak száma magas, viszont a fogazat pótoltsága alacsony. A DMF-T-szám 20,5, ebből a D-T = 2,6, M-T = 11,2, F-T = 6,7. A páciensek fogászati és szájnyálkahártya-elváltozások okozta panaszai minimálisak az általános fogászati állapotukhoz képest, nagy részük nem észlelt fogfájást az előző 12 hónapban. Az utolsó fogorvosi vizsgálat időpontja a betegek többségénél meghaladja a 12 hónapot. Következtetések:aKövetkeztetések: A fogyatékkal élő betegek szájhigiéniás állapota rossz, ennek oka, hogy fogászati terápiájuk, gondozásuk a mindennapi gyakorlatban nem megoldott. Orv Hetil. 2018; 159(52): 2202–2206.