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Rev. Rom de STOMATOLOGIE nr.1 - 2007.p65 - medica.ro

Rev. Rom de STOMATOLOGIE nr.1 - 2007.p65 - medica.ro

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18 REVISTA ROMÂNÅ DE <st<strong>ro</strong>ng>STOMATOLOGIE</st<strong>ro</strong>ng> – VOL. LIII, NR. 1, AN 2007<br />

• p<strong>ro</strong>movarea concursului <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> preparator la catedra<br />

<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> „P<strong>ro</strong>teticå <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ntarå“ a UMF Ca<strong>ro</strong>l Davila în 1996<br />

• medic specialist ortodont din 1999<br />

• asistent universitar din 2000<br />

• doctorand în 1998<br />

• medic primar <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> ortodon¡ie ¿i ortopedie<br />

<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ntofacialå din 2004<br />

• doctor în medicinå <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ntarå din 2005<br />

• absolvent a 12 cursuri na¡ionale ¿i interna¡ionale<br />

în domeniul implantologiei, p<strong>ro</strong>teticii, ortodon¡iei ¿i<br />

pa<strong>ro</strong>dontologiei<br />

• autor a peste 15 <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> lucråri comunicate ¿i publicate<br />

în domeniul p<strong>ro</strong>teticii, implantologiei, a<br />

tratamentelor mixte ortodontico-p<strong>ro</strong>tetice ¿i a<br />

cosmeticii <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ntare<br />

• coautor a trei cår¡i <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> p<strong>ro</strong>teticå <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ntarå ¿i cosmeticå<br />

<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ntarå<br />

Rezumat<br />

Dificultå¡ile reabilitå¡ii implanto-p<strong>ro</strong>tetice ¡in <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>:<br />

a. condi¡iile locale complicate <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> multe ori <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng><br />

afectåri ale ¡esutului osos<br />

b. diminuarea pânå la absen¡å a ofertei osoase<br />

c. p<strong>ro</strong>bleme <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> cooperare cu pacientul<br />

Depå¿irea acestor dificultå¡i ¡ine <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> aplicarea<br />

unor tehnici chirurgicale corecte, <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> elaborarea ¿i<br />

respectarea tempoului terapeutic ¿i <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> cont<strong>ro</strong>larea<br />

rela¡iei medic-pacient.<br />

DIABETUL – FACTOR DE RISC ÎN BOALA<br />

PARODONTALÅ<br />

Dr. Liliana Osain, Dr. Carmen Georgescu,<br />

ªef Lucr. Dr. Teodor Georgescu<br />

Facultatea <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> Medicinå Dentarå,<br />

Universitatea „Titu Maiorescu“, Bucure¿ti<br />

Boala pa<strong>ro</strong>dontalå este consi<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ratå aståzi cea<br />

<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>-a ¿asea complica¡ie a diabetului dupå complica¡iile<br />

vasculare, infec¡ioase, oculare, renale ¿i<br />

nervoase.<br />

Ne-am p<strong>ro</strong>pus så verificåm gradul <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> afectare<br />

al pa<strong>ro</strong>don¡iului la bolnavii cu diabet.<br />

În acest scop la Spitalul Clinic Malaxa în cadrul<br />

sec¡iei <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> diabet am efectuat un studiu pe 260<br />

pacien¡i interna¡i cu diferite tipuri <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> diabet, care<br />

au fost examina¡i din punct <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> ve<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>re pa<strong>ro</strong>dontal.<br />

S-a constatat cå to¡i bolnavii aveau pa<strong>ro</strong>dontopatie<br />

în diferite stadii <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> evolu¡ie.<br />

Un al doilea studiu a fost efectuat într-un cabinet<br />

<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> stomatologie un<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> au fost analizate fi¿ele<br />

a 350 pacien¡i cu pa<strong>ro</strong>dontopatie, pentru a constata<br />

câ¡i dintre ace¿tia suferå <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> o afec¡iune sistemicå<br />

¿i mai ales câ¡i au diabet.<br />

Din totalul <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> pacien¡i examina¡i, 85% (298)<br />

aveau afec¡iuni sistemice ¿i 15% erau sånåto¿i.<br />

Din cei 298 pacien¡i cu afec¡iuni sistemice, 25%<br />

(74) aveau diabet.<br />

Studiul confirmå faptul cå diabetul reprezintå<br />

un factor <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> risc major pentru boala pa<strong>ro</strong>dontalå.<br />

De asemenea, rezultå cå se impune un examen<br />

clinic general pentru <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>pistarea ¿i tratamentul afec-<br />

¡iunilor sistemice ¿i mai ales al diabetului, condi¡ie<br />

fårå <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> care tratamentul bolii pa<strong>ro</strong>dontale nu va<br />

avea succes.<br />

DIABETES – RISK FACTOR IN<br />

PERISODONTAL ILLNESS<br />

Osain Liliana, MD; Carmen Georgescu, MD;<br />

Teodor Georgescu, MD, Assist. P<strong>ro</strong>f.<br />

Faculty of Dental Medicine,<br />

„Titu Maiorescu“ University, Bucharest<br />

The periodontal illness it is consi<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>red today,<br />

the six complication of Diabetes after vascular,<br />

infection, ocular, renal and nervous structure.<br />

Our purpose is to check verify the rate of periodontal<br />

disease at the person with diabetes.<br />

In that way, at the Clinical Hospital Malaxa in<br />

the diabetes section we have begin a study of a lot<br />

of 260 patients with diverse for of diabetes, and<br />

we examined them in the periodontal perspective.<br />

We observe during the test that the all patients have<br />

the periodontal illness in many state of evolution.<br />

The test we have ma<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> in a <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>ntistry clinic were<br />

we studied the evolution paper of treatment of 350<br />

patients, with the periodontal disease observed,<br />

for purpose to discover if they have a systemic<br />

disor<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>r and how many have diabetes.<br />

F<strong>ro</strong>m all the patients examined 85% (298) have<br />

systemic disor<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>r and 15% are healthy.<br />

F<strong>ro</strong>m 298 with systemic illness, 25% (74) have<br />

diabetes.<br />

The study confirms that the diabetes is a major<br />

risk factor in the periodontal disease.<br />

Also result, it is important to make a full clinic<br />

examination of a patient to observe sistemic<br />

disease especially diabetes, condition without the<br />

treatment of periodontal disease can not go further<br />

and have not a chance to end.<br />

EDENTATUL TOTAL DIN ROMÂNIA – PACIENT<br />

EUROPEAN?<br />

P<strong>ro</strong>f. Univ. Dr. Emilian Hutu,<br />

ªef Lucr. Dr. Elena-Gabriela Despa,<br />

Prep. Univ. Dr. Raluca Giurescu,<br />

Dr. Rodica Pany,<br />

Asistent <st<strong>ro</strong>ng>medica</st<strong>ro</strong>ng>l Margareta Tivga<br />

Facultatea <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> Medicinå Dentarå<br />

Universitatea „Titu Maiorescu“, Bucure¿ti<br />

Rezumat<br />

Autorii prezintå importan¡a e<st<strong>ro</strong>ng>de</st<strong>ro</strong>ng>nta¡iei totale la<br />

pacien¡ii <st<strong>ro</strong>ng>de</st<strong>ro</strong>ng> vârsta a-IV-a comparând p<strong>ro</strong>filul

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