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stomatologika exof.
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EK 431/2 5 A 2005
ISSN 1011 - 4181
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TOMO 50
IANOYAPIO - MAPTIO 2006
hellenic
stomatological review
HELLENIC DENTAL ASSOCIATION
VOLUME 50, ISSUE 1, JANUARY - MARCH 2006
ISSN 1011 - 4181
stomatologika exof.*
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EPEYNHTIKH EPAIA

Ni-Cr
E. , I. T. ...................9-14
KINIKH MEETH
M -
A. N, B. E. ................................15-23
ENIAEPOYE EPITEI
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I. Z, M. , E. B A. ...........25-28

. A
E. M, . Z ..............................................................29-34
BIBIOPAIKE ANAKOHEI
, A ,
( PFAPA-Periodic
Fever, Aphthous stomatitis, Pharyngitis and cervical Adenitis)
E. , E. . A. K ......................35-38
O

Kubais Al Assaf, A. B ........................................................39-44
A
A. ......................................................................................45-55
3-10-08 13:31
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EIHMIOOIKH MEETH
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TOMO 50, TEYXO 1

ISSN 1011 - 4181
3-10-08 13:31
603
Hellenic Dental Association
Hellenic
Stomatological
Review
CONTENTS
PROPRIETOR:
EDITOR -IN- CHIEF:
J. G. Tzoutzas
EDITORIAL BOARD:
G. Douvitsas
F. Zervou - Valvi
H. Karkazis
E. Katsavrias
G. Mountouris
L. Papagiannoulis
D. Tziafas
V. Topitsoglou - Themeli
COPY EDITOR:
Evelin Babai
PRODUCTION - PROMOTION:
TypeProduct
V. & E. Babai Ltd
31 Epikourou Str., Athens Hellas
Phone#: (3210) 32.14.904
Fax#: (3210) 32.14.991
ADVERTISEMENTS - PUBLIC
RELATIONS:
M. Morfoniou - S. Gogas
Phone#: (3210) 33.02.343
Fax: (3210) 38.34.385
Hellenic Stomatological Review is the
official publication of the Hellenic Dental
Association, published trimonthly.
Annual subscription
40 $ USD
PUBLISHER:
Panos Alexiou
President of the Hellenic Dental Association
HEADQUARTERS
38 Themistokleous Str., Athens, 106 78
Phone#: (3210) 38.13.380
Fax#: (3210) 38.34.385
VOLUME 50, ISSUE 1

JANUARY - MARCH 2006
ISSN 1011 - 4181
RESEARCH PAPER
A comparative study of the strength bond between a resin

and a Ni-Cr alloy after different surface treatment procedures
E. Dimitropoulou, I. Seimenis and T. Papadopoulos.......................9-14
CLINICAL STUDY
Single Osseointegrated implants - Possibilities and limitations

A. Nikolaidis, V. Piperias and E. Sinanioti.....................................15-23
CASE REPORTS
Leiomyoma of the cheek. Report of a case

I. Zografos, M. Leventis, E. Vardas and A. Sklavounou.................25-28
Mandibular nerve paresthesia caused by endodontic pathosis.
Report of two cases
E. Mazinis, P. Zogakis ...................................................................29-34
LITERATURE REVIEWS
PFAPA SYNDROME
(Periodic Fever, Aphthous stomatitis, Pharyngitis and cervical
Adenitis)
E. Giofkou, E. Sourgouni and A. Kolokotronis ..............................35-38
Dental implant design and its relationship to long-term
implant success
Kubais Al Assaf, A. Vladikas..........................................................39-44
Prosthodontic treatment of partial edentulism in the elderly
A. Sofou .......................................................................................45-55
3-10-08 13:31
604
Hellenic
Stomatological
Review
PROPRIETOR:
EDITOR -IN- CHIEF:
J. G. Tzoutzas
EDITORIAL BOARD:
G. Douvitsas
F. Zervou - Valvi
H. Karkazis
E. Katsavrias
G. Mountouris
L. Papagiannoulis
D. Tziafas
V. Topitsoglou - Themeli
COPY EDITOR:
Evelin Babai
PRODUCTION - PROMOTION:
TypeProduct
V. & E. Babai Ltd
31 Epikourou Str., Athens Hellas
Phone#: (3210) 32.14.904
Fax#: (3210) 32.14.991
ADVERTISEMENTS - PUBLIC
RELATIONS:
M. Morfoniou - S. Gogas
Phone#: (3210) 33.02.343
Fax: (3210) 38.34.385
Hellenic Stomatological Review is the
official publication of the Hellenic Dental
Association, published trimonthly.
Annual subscription
40 $ USD
PUBLISHER:
Panos Alexiou
President of the Hellenic Dental Association
HEADQUARTERS
38 Themistokleous Str., Athens, 106 78
Phone#: (3210) 38.13.380
Fax#: (3210) 38.34.385
VOLUME 50, ISSUE 1

JANUARY - MARCH 2006
ISSN 1011 - 4181
PRACTICAL NOTE
Fabrication of a partial denture to a partial glossectomy patient:

The application of neutral zone concept
P. Ntala, A. Niarchou, M. Frangou and G. Polyzois ......................57-61
EPIDEMIOLOGICAL STUDY
Adult Dental Health Knowledge and oral prevention

recommendations given by their dentists
H. Koletsi-Kounari, H. Mamai-Homata .........................................63-72
QUESTIONAIRE
3-10-08 13:31
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materials. Dent Mater 2002; 18 (8): 561-569.
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3-10-08 13:30
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1- H Ni-Cr
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.
SUMMARY
A comparative study of the strength bond

between a resin and a Ni-Cr alloy after different
surface treatment procedurers
procedure was performed in a special apparatus and

specimens recycled 300 times at 5C to 55C water baths.
The metal-resin bond strength was tested in a Monsato
mechanical testing machine under shear loads. The
received values were elaborated statistically by pair t-test.
The fractured surfaces were evaluated in an optical
microscope under magnification 25x.
Results. From the statistical analysis of the results it is
derived that the specimens of the B group (smooth
surface-Siloc treated specimens) presented statistically
significant lower bond strength in relation with the other
two groups. The use of Siloc seems to have no further
improvement on the bond strength of the specimens of
group C (surface with beads and Siloc) in relation with the
specimens of the group A (surface with beads).
From the picture analysis of the fractured surfaces it is
concluded that the fracture type for the specimens of
group B was adhesive, while the presence of beads
resulted in a cohesive mode of failure (groups A and C),
out of the existence of the adhesive factor.
Conclusions. The application of the adhesive Siloc
system alone, without any mechanical retention, seems to
not offer successful services for longevity of resin to cast
Ni-Cr prosthetic works.
Key words: Resin, Ni-Cr alloy, shear bond strength
I. Seimenis, E. Dimitropoulou, T. Papadopoulos

BIBIOPAIA
hellenic stomatological review 50: 9-14, 2006
The development of new veneering systems on dental

prosthetic metal substrates, based on reinforced
photocured resins, is a procedure in continuous evolution
for about the last two decades. Nowadays, research is
focused on the achievement of a strong chemical bond
between the metal substrate and the resinous material,
which will be able to replace completely the mechanical
retention of the veneer. The systems that have proposed
till now, although they improved the bonding issue, their
effectiveness remain doubtable. Thus most of the
manufacturers recommend the complementary use of
small diameter beads to secure the longevity of these
restorations. The results of many researches present
controversial on how these adhesive chemical-bonding
procedures can work under different environmental and
load conditions.
Aim of this study was to determine the bond strength of a
veneering resin and a cast Ni-Cr alloy, after different
surface treatments.
Materials and method. 21 cylindrical specimens (10mm
in diameter and 1,5mm thick) were cast from a Ni-Cr dental
alloy. They were divided into three groups of 7 specimens
each. To the specimens of the A and the C group beads
were put, while to the specimens of the B and C group
Siloc adhesive system was used. A veneering photo cured
resin (Signum+) was applied in a circular central area,
5mm in diameter, in all the specimens. A thermocycling
50: 9-14, 2006
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10. Kern M & Thompson PV: Influence of prolonged thermal
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Heraeus Kulzer 1997.
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bond strength of techniques for bonding esthetic veneers to
metal. J Prosthet Dent 1999; 82: 608-614.
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21. ISO 10477. (2004). Dentistry-Polymer-based crown and
bridge materials. International Standard Organization,
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1991; 65: 221-228.
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25. Kern M & Thompson PV: Effects of sandblasting and silicacoating procedures on pure titanium. J Dent 1994; 22: 300-306.
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:
T
2, 115 27 A
.: 210 7461100
Fax: 210 7240633
e-mail: tpapad@cc.uoa.gr
14
50: 9-14, 2006
15-23 SEL. SINANIOTI*
3-10-08 13:26
15
K M
E -
A. N*, B. **, E. ***
.
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SUMMARY
Single Osseointegrated Imlants - Possibilities

and Limitations
A. Nikolaidis, V. Piperias, E. Sinanioti
The lack of individual teeth constitutes usual clinical

finding. The use of single osseointegrated dental implants
offers an important alternative solution in treatment
planning and it tends to constitute the solution of choice.
Dental implants are autonomous prosthetic units and their
placement deters the iatrogenic wound of the adjacent
teeth, which is caused by conventional prosthodontics.
To achieve a satisfactory result - from the functional and
the aesthetic point of view - during the prioritisation of the
therapeutic steps, it is essential that we take into consideration all the important factors, which have decisive role in
the maintenance of result and in the long-lasting clinical
success.
Aim of this scientific paper is the literature review in single
osseointegrated implants as well as the presentation of
three clinical cases. The therapeutic confrontation of the
clinical cases took place in a private dental clinic.
Key words: single osseointegrated implants, alveolar ridge
deficiencies, guided bone regeneration (GBR), success - failure
of single osseointegrated implants
BIBIOPAIA
1. Buser D, Von Arx T: Surgical procedures in partially
edentulous patients with ITI implants. Clin Oral Implants Res
2000;11:83-100.
2. Sadan A, Blatz MB, Salinas TJ, Block MS: A contemporary
approach for implant restorations: a predictable outcome. J
Oral Maxillofac Surg 2004; 62(9):73-81.
3. Van Steenberghe D, Lekholm U, Bolender C: Applicability of
osseointegrated oral implants in the rehabilitation of partial
edentulism: A prospective multicenter study on 558 fixtures.
22
Int J Oral Maxillofac Impl 1990; 5:272-281.

4. Nevins , Stein JM: The placement of maxillary anterior
implants. In: Nevins M, Mellonig JM: Implant Therapy Clinical approaches and evidence of success, eds Quint.
Publ., Tokyo 1998: 111-127.
5. Misch CE, Judy KW: Classification of partially edentulous
arches for implant dentistry. Int Oral Impl 1987; 4:7-13.
6. Mayer TM, Hawley CE, Gunsolley JC, Feldman S: The singletooth implant: a viable alternative for single-tooth
replacement. J Periodontol 2002; 73(7):687-693.
7. Salinas TJ, Block MS, Sadan A: Fixed partial denture or
single-tooth implant restoration? Statistical considerations
for sequencing and treatment. J Oral Maxillofac Surg 2004;
62(9);2-16.
8. Rosenfeld AL, Mecall RA: Using computerized tomography
to develop realistic treatment objectives for the implant team.
In: Nevins M, Mellonig JM: Implant Therapy - Clinical
approaches and evidence of success, eds Quint. Publ.,
Tokyo 1998: 29-46.
9. Schwartz AD, Samet N, Samet Nachum: Single tooth
replacement of missing molars: a retrospective study of 78
implants. J Periodontol 1999; 70(4):449-454.
10. Nevins M: A changed paradigm of treatment the natural tooth
or a dental implant. In: Nevins M, Mellonig JM: Implant
Therapy - Clinical approaches and evidence of success, eds
Quint. Publ., Tokyo 1998, pages 1-22.
11. Buser D: Proceedings of the 4th European Workshop on
Periodontology. GBR in implant Dentistry 2003, Berlin,
Germany.
12. Simion M, Jovanovic S, Tinti C, Benfenati SP: Long-term
evaluation of osseointegrated implants inserted at the time or
after vertical ridge augmentation. Clin Oral Impl. Res 2001;
12:35-45.
13. Tinti C, Benfenati SP: Vertical ridge augmentation: surgical
protocol and retrospective evaluation of 48 consecutively
inserted implants. Int J Periodont Rest Dent 1998; 18:434-443.
14. Zitzmann NU, Scharer O, Marinello CP: Long term results of
implants treated with guided bone regeneration: 5-year
prospective study. Int J Oral Maxillofac Surg 2001; 16:355-366.
15. Naert I, Koutsikakis G, Duynk J, Quirynen M, Jacobs R, Van
Steeberghe D: Biologic outcome of single-implant restorations as tooth replacements: a long term follow-up study. Clin
Implant Dent Relat Res 2000; 2(4):209-218.
16. Simion M, Trisi P, Piatelli A: Vertical ridge augmentation using
a membrane technique associated with osseointegrated
implants. Int J Periodont Rest Dent 1994; 14:497-511.
17. Buser D, Ingimarsson S, Dula K, Lussi A, Hirt HP, Belser UC:
Long term stability of osseointegrated implants in augmented
bone: a 5-year prospective study in partially edentulous
patients. Int J Periodont Rest Dent 2002; 22:109-117.
18. Nevins M, Mellonig JT, Clem DS, Reiser G, Buser D: Implants
in regenerated bone: long term survival. Int J Periodont Rest
Dent 1998; 18:35-45.
19. Norton MR: Single-tooth implant-supported restorations.
Planning for an aesthetic and functional solution. Dental
Update 2001; 28:170-175.
20. Mellonig JT, Triplett RG: Guided tissue regeneration and
endosseous dental implants. Int J Periodont Rest Dent 1993;
13:109-119.
21. Branemark P: Osseointegration and its experimental
background. J Prosthet. Dent 1983; 50:399-410.
22. Bakaeen LG, Winkler S, Neff PA: The effect of implant
diameter, restoration design and occlusal table variations on
screw loosening of posterior single-tooth implant
restorations. J Oral Implantol 2001; 27(2):63-72.
23. Lautenschlanger E, Monaghan P: Titanium and titanium
50: 15-23, 2006
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23
K M
alloys as dental materials.Int Dent J 1993; 43:245-253.

24. Cohran D, Simpson J, Weber H, Buser D: Attachment and
growth of periodontal cells on smooth and rough titanium. Int
J Oral Maxillofac Impl 1994; 9:289-297.
25. Evian CI, Rosenberg ES, Coslet JG, Gorth H: The osteogenic
activity of bone removed from healing extraction sockets in
human. J Periodontol 1982; 53:81-85.
26. Mombelli A, Lang NP: Clinical parameters for the evaluation
of dental implants. Periodontol 2000 1994; 4:81-86.
27. Wilson TG: Guided tissue regeneration around dental
implants in immediate and recent extraction sites. Initial
observations. Int Periodont Rest Dent 1992; 12:185-194.
28. Shanaman RH: The use of guided tissue regeneration to
facilitate ideal prosthetic placement of implants. Int J
Periodont Rest Dent 1992; 12:257-265.
29. Brogniez V, Nyssen-Behets C, Gregorie V, Reychler H,
Lengele B: Implant osseointegration in the irradiated
mandible. Clin Oral Impl Res 2002; 13:234-242.
30. Steenberghe D, Quirynen M, Molly L, Jacobs R: Impact of
systemic diseases and medication on osseointegration.
Periodontol 2000; 4:323-330.
31. Sugerman PB, Barber MT: Patient selection for endosseous
dental implants: oral and systemic considerations. Int J Oral
Maxillofac Implants 2002; 17:191-201.
32. , :
. : , , : , . . . 3 .
2001: 362-363.
33. Marinello CP, Mayenberg KH, Zitzmann N, Imoberdorf M:
Single-tooth replacement: some clinical aspects.J Estet Dent
1997; 9:169-178.
34. Wannfors K, Smedberg JI: A prospective clinical evaluation of
different single-tooth restoration designs on osseointegrated
implants. A 3-year follow up of Branemark implants. Clin. Oral
Implants Res 1999; 10(6):453-458.
35. Clauser R, Sailer I, Wohlwend A Studer S, Schibi M, Sharer P:
Experimental zirconia abutments for implant - supported
single tooth restorations in esthetically demanding regions: 4
years results of a prospective clinical study Int J Prosthodont
2004; 17(3):285-290.
36. Scheller H, Urgell JP, Kultje C, Klineberg I, Goldberg PV, et al: A
5-year multicenter study on implant-supported single crown
restorations. Int J Oral Maxillofac Implants 1998; 13(2):212-218.

37. - :
. : , : , . 2004, : 993-1022.
38. , :
O (.O.) . 2005; 49:189-198.
39. Buser D, Von Arx T: Fortbildungskurs ser Universitaet Bern,
Gesteuerte Gewebe Regeneration im Implantologie, Bern 2003.
40. Nevins M, Mellonig JT: The advantages of localized ridge
augmentation prior to implant placement: a stage event. Int J
Periodont Rest Dent 1994; 14(2): 97-111.
41. Schropp L, Wenzel A, Kostopoulos L, Karring T: Bone healing
and soft tissue contour changes following single tooth
extraction: A clinical and radiographic 12-month prospective
study. Int J Periodont Rest Dent 2003; 23:313-323.
42. , , : : . 2002; 46:44-45.
43. Priest G: Single-tooth implants and their role in preserving
remaining teeth: a 10-year survival study. Int J Oral Maxillofac
Impl 1999; 14(2):181-188.
44. Salvi G, Bardet P, Lang NP: Clinical parameters in
longitudinal implant studies. In: Lang NP, Karring T, Lindhe J:
Proceedings of the 3rd European Workshop on
Periodontology. Implant Dentistry .Berlin Quintessence
Verlag 1999; 3:217-227.
45. El Askary AS, Meffert RM, Griffin T: Why do implants fail?
Implant Dent 1999; 8:173-185.
46. Curtis JW Jr: Implant placement and restoration following
bone marrow transplantation for chronic leukemia: a case
report. Int J Oral Maxillofac Implants 1996; 11:81-86.
47. Esposito M, Hirsch JM, Lekholm U, Thomsen P: Biological
factors contributing to failures of osseointegrated oral
implants Etiopathogenesis. Eur J Oral Sci 1998; 106:721-764.
48. Wallance RH: The relationship between cigarette smoking
and dental implant failure. Eur J Prosthodont Rest Dent 2000;
8(3):103-106.
49. Kumar A, Jaffin RA, Berman C: The effect of smoking on
achieving osseointegration of surface-modified implants: a
clinical report. Int J Oral Maxillofac. Impl 2002; 17:816-819.
50. : , A, . . 2003.
:
.
12
15451 .
: 2106756691
email: efisin@otenet.gr
www.periodontics.gr
50: 15-23, 2006
23
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3-10-08 13:27
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3-10-08 13:27
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SUMMARY
Leiomyoma of the cheek. Report of a case

I. Zografos, M. Leventis, E. Vardas, A. Sklavounou
Leiomyoma is a benign smooth muscle neoplasm. It is the

most common benign neoplasm in the uterus and the
stomach. The tumor is considered rare in the oral cavity
because of the paucity of smooth muscle. Leiomyomas
are classified into three histologic subtypes: solid leiomyomas, vascular leiomyomas (angioleiomyoma) and epithelioid leiomyomas (leiomyoblastoma). The most common is the vascular histologic subtype.
Oral leiomyomas generally present as slow enlarging,
painless, well circumscribed lesions. The most frequent
reported site is the lip, followed by the tongue, the palate
and the buccal mucosa. The clinical differential diagnosis
relevant to angioleiomyoma includes benign mesenchymal tumors such as fibroma, lipoma, neurilemmoma and
neurofibroma, benign lesions of the salivary glands,
vascular lesions and soft tissue cysts, including dermoid
cyst. Immunohistochemistry is a precise and reliable
method for definitive diagnosis of oral angioleiomyoma.
The treatment of choice is surgical excision. Despite the
vascular nature of oral angeioleiomyoma, profuse bleeding during the operation is rarely seen, and recurrences
are notably rare.
This article presents a case of angioleiomyoma of the right
cheek in a 31-year-old female patient.
Key words: Leiomyoma, angioleiomyoma, oral cavity
27
3-10-08 13:27
28
BIBIOPAIA
1. , , : . 3 . . . 2000:365-366.
2. Damm DD, Neville BW: Oral leiomyomas. Oral Surg Oral Med
Oral Pathol 1979; 47:343-348.
3. Epivatianos A, Trigonidis G, Papanayotou P: Vascular
leiomyoma of the oral cavity. J Oral Maxillofac Surg 1985;
43:377-382.
4. Srinath VS, Meher R, Sabherwal A, Sharma N: Angiomyoma of
soft palate. A case report. Indian J Surg 2004; 66:293-294.
5. Enzinger FM, Lattes R, Torloni H: Histological typing of soft
tissue tumors. Geneva. 1969. World Health Organization. pp.
30-31.
6. Baden E, Doyle JL, Lederman DA: Leiomyoma of the oral
cavity: a light microscopic and immunohistochemical study
with review of the literature from 1884 to 1992. Eur J Cancer
B Oral Oncol 1994; 30:1-7.
7. Wertheimer-Hatch L, Hatch GF III, Hatch KF, Davis GB,
Blanchard DK, Foster RS Jr et al: Tumors of the oral cavity
and pharynx. World J Surg 2000; 24:395-400.
8. Brooks JK, Nikitakis NG, Goodman NJ, Levy BA: Clinicopa-
thologic characterization of oral angioleiomyomas. Oral Surg

Oral Med Oral Pathol Oral Radiol Endod 2002; 94:221-227.
9. Cherrick HM, Dunlap CL, King OH Jr: Leiomyomas of the oral
cavity: review of the literature and clinicopathologic study of
seven new cases. Oral Surg Oral Med Oral Pathol 1973;
35:54-66.
10. Punyasingh J, Chongrak A: Vascular leiomyoma: report of a
case of the oral cavity. J Dent Assoc Thai 1985, 35:38-42.
11. Hachisuga T, Hashimoto H, Enjoji M: Angioleiomyoma: a
clinicopathologic reappraisal of 562 cases. Cancer 1984;
54:126-130.
12. Goldblatt LI, Edesess RB: Central leiomyoma of the
mandible: report of a case with ultrastructural confirmation.
Oral Surg Oral Med Oral Pathol 1977; 43:591-597.
13. Burkes EJ Jr: Vascular leiomyoma of the mandible: report of
a case. J Oral Maxillofac Surg 1995; 53:65-66.
14. Leung K, Wong D, Li W: Oral leiomyoma: case report. J Oral
Maxillofac Surg 1990; 48:735-738.
15. Nikitakis NG, Lopes MA, Bailey JS, Blanchaert Jr RH, Ord RA,
Sauk JJ: Oral leiomyosarcoma: review of the literature and
review of two cases with assessment of the prognostic and
diagnostic significance of immunohistochemical and molecular markers. Oral Oncology 2002; 38:201-208.
:

. 48
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.: 210 9828103
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SUMMARY
Mandibular nerve paresthesia caused

by endodontic pathosis. Report of two cases
E. Mazinis, P. Zogakis
Sensory disturbances may be present in the oral cavity,

stemming from many local and systemic factors.
Paresthesia can be defined as an abnormal sensation of
tingling, burning and itching. Paresthesia of the mandibular nerve can be a rare complication of infections of
dental origin as, among others, periapical lesions can
damage the nerve, resulting in sensory disturbances of its
innervated area.
This article presents two cases of paresthesia caused by
apical periodontitis of a right mandibular first molar and a
left mandibular second premolar. In both cases the
symptoms developed immediately after the onset of the
abscess, suggesting a close etiologic relationship.
In the first case, the patient proceeded with acute pain
and swelling at first right mandibular molar area and
numbness of the right mental and lip area. An orthopanoramic radiograph defined the anatomic relationship
between the periapical lesion and the nerves involved.
After the conventional endodontic treatment and the
appropriate medication, swelling and pain had disappeared seven days later. The symptoms of paresthesia
completely disappeared two months later.
The second case concerned a patient with acute apical
periodontitis and mental nerve paresthesia caused by a
33
29-34 SEL. MAZINIS*
3-10-08 13:27
34
E
second mandibular premolar. After the endodontic
treatment, the tooth was asymptomatic but paresthesia
did not completely disappear. To further elucidate the
clinical findings, a computed tomography scan of the
region affected was obtained but no direct contact
between the periapical lesion and the mental nerve was
observed. Five months after the treatment, the patient still
felt a residual numbness affecting the skin of the lip.
Both patients were asked to sketch the paresthesia area
daily or weekly. This proved to be helpful for the determination of the healing process.
The possible mechanisms responsible for paresthesia
associated with periapical infection are discussed.
Infection related paresthesia is usually related to
mechanical pressure and ischemia associated with the
inflammatory process or caused by the local pressure to
the mental nerve, consequent to the accumulation of
purulent exudates in the mandibular bone. Another cause
of the paresthesia could have been the toxic metabolic
products of bacteria or the inflammatory products release
from the tissue damage.
Key words: mandibular nerve paresthesia, endodontic treatment
BIBIOPAIA
1. Morse DR: Infection-related mental and inferior alveolar
nerve paresthesia: literature review and presentation of two
cases. J Endod 1997; 23:457-60.
2. Goldstein N, Gibilisco J, Rushton T: Trigeminal neuropath
and neuritis. JAMA 1968; 184:458-62.
3. Lambrianidis T, Molyvdas J: Paresthesia of the inferior
alveolar nerve caused by periodontal-endodontic pathosis.
Oral Surg Oral Med Oral Pathol 1987; 63:90-2.
4. Swanson AE: Incidence of inferior alveolar nerve injury in
mandibular third molar surgery. J Can Dent Assoc 1991;
57:327-8.
5. Abbot PV: Lower lip paresthesia following restoration of a
second premolar tooth. Aust Dent J 1997; 42: 297-301.
6. Zmener O: Mental nerve paresthesia associated with an
adhesive resin restoration: A case report. J Endod 2004;
30:117-9.
7. Tang N, Selwyn-Barnett B, Blight S: Lip paresthesia
associated with orthodontic treatment. A case report. Br
Dent J 1993; 124:29-30.
8. Kaufman AY, Rosenberg L: Paresthesia caused by

Endomethasone. J Endod 1980; 6: 529-31.
9. Pyner DA: Paresthesia of the inferior alveolar nerve caused
by Hydron: a case report. J Endod 1980; 6:527-9.
10. rstavik D, Brodin P, Aas E: Paraesthesia following
endodontic treatment: survey of the literature and report of a
case. Int Endod J 1983; 16:167-72.
11. Gallas-Torreira MM, Reboiras-Lpez MD, Garca-Garca A,
Gnda RA, Rey J: Mandibular nerve paresthesia caused by
endodontic treatment. Med Oral 2003; 8: 299-303.
12. Pinsawasdi P: The induction on trigeminal neuralgia-like
symptoms by pulp-periapical pathosis. J Endod 1986;
12:73-5.
13. Cohenca N, Rotstein I: Mental nerve paresthesia associated
with a non-vital tooth. Endod Dent Traumatol 1996; 12:298300.
14. Giuliani M, Lajolo C, Deli G, Silveri C: Inferior alveolar nerve
paresthesia caused by endodontic pathosis: a case report
and review of the literature. Oral Surg Oral Med Oral Pathol
Oral Radiol Endod 2001; 92:670-4.
15. Di Lenarda R, Cadenaro M, Stacchi C: Paresthesia of the
mental nerve induced by periapical infection: a case report.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;
90:746-9.
16. Knowles KI, Jergenson MA, Howard JH: Paresthesia
associated with endodontic treatment of mandibular
premolars. J Endod 2003; 29:768-70.
17. Denio D, Torabinejad M, Bakland LK: Anatomical
relationship of the mandibular canal to its surrounding
structures in mature mandibles. J Endod 1992; 18: 161-5.
18. Littner MM, Kaffe I, Tamse A, Dicapua P: Relationship
between the apices of the lower molars and mandibular
canal -a radiographic study. Oral Surg Oral Med Oral Pathol
1986; 62:595-602.
19. Neaverth EJ: Disabling complications following inadvertent
overextension of a root canal filling material. J Endod 1989;
15:135-9.
20. Girard KR: Consideration in the management of damage to
the mandibular nerve. J Am Dent Assoc 1979; 98: 65-71.
21. Lambrianidis T: Risk management in root canal treatment.
Thessaloniki, University Studio Press. 2001: 256.
22. Estrela CRA, Estrela C, Reis C, Bammann LL, Pcora JD:
Control of microorganisms in vitro by endodontic irrigants.
Braz Dent J 2003; 14: 187-92.
23. Yesilsoy C, Whitaker E, Cleveland D, Phillips E, Trope M:
Antimicrobial and toxic effects of established and potential
root canal irrigants. J Endod 1995; 21: 513-5.
:
M E
M. A 27
591 00 B
./Fax: 23310 70490
e-mail: manos27@otenet.gr
34
50: 29-34, 2006
35-38 SEL. GIOFKOU*
3-10-08 13:28
35
B A
, A ,
( PFAPA-Periodic
Fever, Aphthous stomatitis, (Pharyngitis and cervical Adenitis)
E. , E. *, A. K***
T PFAPA FAPA, Marshall, 1987, . E : ) , ) , ) , ) . H 4-6 . H . H , -IgD , , TRAPS ABehcet. H , .

50: 35-38, 2006
7/4/2005 - 21/6/2005
ITOPIKA EOMENA
T 1987, Marshall .[1],
, 12
(40-41C) 4-5 . ,
, ,
, . ,
. T
T.K.E. O 4-6 . M
[2, 3], Marshall .
PFAPA [4]. T PFAPA Periodic Fever,
: PFAPA, FAPA,
Marshall, , , .
* O
** A K A...
Aphthous stomatitis, Pharyngitis and cervical Adenitis.

PFAPA. T ,
Marshall . 1989
Thomas . 1999 1.

Marshall FAPA.
INAKA 1
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PFAPA.
I
II
III
IV
V
5 .
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:
A) A
B)
)
A

A

35
35-38 SEL. GIOFKOU*
3-10-08 13:28
36
B A
AITIOAOENEIA
T . E [5, 6]. E, [6, 7].
.
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.
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EIHMIOOIA
.
,
.
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.[8] Ovetchkine [5], 5 5 3
. M
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IAOPIKH IANH
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50% 3 . 2 . T
' [5, 7, 8].

:
) (>39C) 100%
, ) 89,3%, ) 72,1% ) 71,4%.
. ,
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10, 11]
, , , , , , .
, 75% [9]. T 3-4
(39-41) 4-6 [8]. T .

2 [5, 8, 9, 12].
T PFAPA

. , )
, ABehcet )
, -IgD ( HIDS), ( Still), TRAPS ( TNF-), CINCA
( ). T

2[1, 5, 9, 11, 13].
A Long, 8 ,
PFAPA,
22 PFAPA,
, TRAPS[14].
EPATHPIAKA EYPHMATA
, T.K.E. CRP (C ) ' 36
EPAEIA
M
. ,
. A, ,
[14,
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. H 1
mg/kg 0,5 mg/kg 2 [11, 13, 17]. T
50: 35-38, 2006
35-38 SEL. GIOFKOU*
3-10-08 13:28
37
B A
INAKA 2. N PFAPA.
X
PFAPA
O
M
-IgD
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TRAPS
CINCA
E
5
(3 )
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>30
> 7
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4-8
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K
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M
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24 . E, 1-2 . O
65% [8, 12, 18, 19]. A

[11, 12, 20, 21, 22].
YMEPAMATA
H
, . T
,
, .
SUMMARY
Pfapa Syndrome (Periodic Fever, Aphthous

stomatitis, Pharyngitis and cervical Adenitis)
E. Giofkou, E. Sourgouni, A. Kolokotronis
PFAPA syndrome, also known as FAPA or Marshall

syndrome, was first described in 1987, is relatively rare and
thus not so widespread. It only occurs in childhood and its
primary clinical symptoms are: a) clockwork periodic febrile
50: 35-38, 2006
episodes, b) aphthae in the oral mucosa, c) pharyngitis and

d) lymphadenitis. Its particularity as a syndrome is its
recursion every 4 - 6 weeks and the absence of symptoms
in the intervals. The aetiology of the syndrome is unknown.
Differential diagnosis should be carried out with other
syndromes such as Mediterranean familiar fever, hyper-lgD
syndrome, cyclic neutropenia and Behcet syndrome. The
majority of the literature refers to the use of cortico-steroids
as the treatment of choice. The prognosis is good as up to
the present no complications have been reported.
Key words: PFAPA syndrome, FAPA syndrome, Marshall syndrome, mouth ulcer, apthae, apthous stomatitis, periodic fever.
BIBIOPAIA
1. Marshall GS, Edwards KM. Butler J, Lawton AR: Syndrome of
periodic fever, pharyngitis and aphthous stomatitis. J
Pediatr1987; 110:43-6.
2. Rubin LG, Kamani N: Syndrome of periodic fever and
pharyngitis. J Pediatr 1987; 110:307.
3. Feder HM Jr, Bialecki CA: Periodic fever associated with
aphthous stomatitis, pharyngitis, and cervical adenitis. Ped
Infect Dis J 1989; 8:186-7.
4. Marshall GS, Edwards KM: PFAPA syndrome. Ped Infect Dis
J 1989; 8:658-9.
5. Ovetchkine P, Bry M L, Reinert P: et le Groupe de pathologie
infectieuse pediatrique. Syndrome de Marshall: resultats
dune enquete nationale retrospective. Arch. Pediatr 2000; 7
Suppl 3 :578-82.
6. Padeh S, Brezniak N, Zemer D, et al: Periodic fever,
aphthous stomatitis, pharyngitis, and adenopathy
syndrome: clinical characteristics and outcome. J Pediatr
1999; 135:15-21.
37
35-38 SEL. GIOFKOU*
3-10-08 13:28
38
B A
7. Long SS: Syndrome of periodic fever, aphthous stomatitis,
pharyngitis, and adenitis (PFAPA)-what it isnt? J Pediatr
1999; 135:1-5.
8. Galanakis E, Papadakis C E, Giannoussi, Karatzanis A D,
Bitsori M, Helidonis E S: PFAPA syndrome in children
evaluated for tonsillectomy. Arch Dis Child 2002; 86:434-435.
9. Wen-/ Lee, Mei-Hui Yang Kam-Fai Lee, Li-Chen Chen, SyhJae Lin, Kuo-Wei Yeh and Jing-Long Huang: PFAPA
Syndrome. Clin Rheumatol 1999; 18:207-213.
10. Feder HM Jr: Periodic fever, aphthous stomatitis,
pharyngitis, adenitis: a clinical review of a new syndrome.
Curr Opin Pediatr 2000; 12:253-6.
11. Thomas KJ, Feder HM Jr, Lawton AR, and Edwards KM:
Periodic fever syndrome in children. J Pediatr 1999; 135:15-21.
12. Hernandez-Sou S, Giner M, Plaza AM, Sierra Jl, Martvn
Mateos MA: PFAPA Syndrome: with regard to a case.
Allergologia et immunopathologia 2003; 31:236-239.
13. Frenkel J, Wietse Kuis: Overt and occult rheumatic diseases:
the child with chronic fever. Best practice & research. Clin
Rheumatol 2002; 16:443-469.
14. Long SS: TRAPS and PFAPA. J Pediatr 2005; 146:283.

15. Feder HM Jr: Cimetidine treatment for periodic fever
assosiated with apthous stomatitis, pharyngitis, and cervical
adenitis. Infect Dis J 1992; 11:318-21.
16. laacs D, May M: Recurrent episodes of fever with tonsillitis,
mouth ulcers and adenopathy. J Paediatr Child Health 2003;
39:627-28.
17. Pillet P, Ansoborlo S, Carrere A, Perel Y, Guillard JM:
(P)FAPA syndrome: interet de la cimetidine. Arch. Pediatr
2000; 7 :54-7.
18. Thomas Kenneth Tyson, Henry M. Feder, Jr, Alexander R.
Lawfon, and Kathryn M. Edwards: Periodic fever syndrome in
children. J Pediatr 1999; 135:15-21.
19. Arav-Boger R, Spirer Z: Periodic syndromes of childhood.
Adv Pediatr 1997; 44:389-428.
20. Reimann HA: Periodic diseases. JAMA 1948; 136:239-44.
21. Donadieu J: Neutropenies constitutionelles et acquises de
lenfant. Presse Med 1996; 25:293-8.
22. Drenht JP, Van der Meer JW: Hereditary periodic fever. N
Engl J Med 2001; 345:1748-57.
:
E
. A 30
546 36 -40 E,
T.: 2310 204547

Fax: 2370999433
e-mail: egiofkou@gmail.com
38
50: 35-38, 2006
39-44 SEL. VLADIKAS*
3-10-08 13:28
39
B A
O

Al Assaf Kubais *, A. B**
, .
.
O .
.
50: 39-44, 2006
8/6/2005 - 7/2/2006
EIAH

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3-10-08 13:28
40
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IPAH TOY XHMATO, TOY IAMETPHMATO KAI
TOY HKOY
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(bicorticated).
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50: 39-44, 2006
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.

, (16).

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(22). O Winkler et al. (23). (7mm, 8mm, 10mm,
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90,7% 3 3,9 94,6%
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OTEEMATA TOY XEIAMOY HMATN / EMETPIA (EFFECTS OF THREAD DESING/GEOMETRY).
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41
3-10-08 13:28
42
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,
. , 0,6 mm
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.
,
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Innovations Inc., Palm Beach Gardens, FL, ITI, The
Strauman Co., Waltham, MA, Nobel Biocare, Nobel
Biocare USA Inc.), , (16). (.. Biohorizons,
Biohorizons Implant Systems, Birmingham, AL),
, ,
, , . (29), (.. Steri-Oss, Steri-Oss Inc,
Anaheim, CA)
.
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, Impladent Ltdl, Holliswood,
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, 50: 39-44, 2006
3-10-08 13:28
43
B A
.
, :
.
.
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.
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OTIKH YKNOTHTA KAI IANEIA TOY MYTEYMATO

, . O , ,
.

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4
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APA-EITOYPIKE EEI

,

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,
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- .
,

50: 39-44, 2006
43
3-10-08 13:28
44
B A
. ,
.
SUMMARY
Dental Implant Design and Its Relationship

to Long-Term Implant
Al Assaf Kubais, A. Vladikas
The introduction of osseo-integrated implants gave a huge

boost in the field of the restorative dentistry. The success
of those implants can be affected by many factors. Various
researches have been done on the relationship between
the implant designs and implant surface and how these
affect the treatment result. This article discusses the
design elements that can affect the quality of osseointegration and how they are related to long-term success.
Key words: Leiomyoma, angioleiomyoma, oral cavity
Dental Implant, Osseointegration,Implant Desing,Implant Surface
BIBIOPAIA
1. Branemark PI, Hansson BO, Adell R, et al: Osseointegrated
implants in the treatment of the edentulous jaw. Experience
from a 10-year period. Scand J Plast Reconstr Surg Suppl.
1977; 16: 1132.
2. Saadoun AP, LeGall ML: Clinical results and guidelines on
Steri-Oss endosseous implants. Int J Periodontics Restorative Dent. 1992; 12: 486495.
3. Schnitman PA, Rubenstein JE, Woehrle PS, et al: Implants for
partial edentulism. Int J Oral Implantol. 1988; 5: 3335.
4. Albrektsson T, Lekholm U: Osseointegration: current state of
the art. Dent Clin North Am. 1989; 33: 537554.
5. Lekholm U, Zarb GA: Tissue Integrated Prostheses.
Osseointegration in Clinical Dentistry. Chicago: Quintessence
Publishing Co; 1985.
6. Engquist B, Bergendal T, Kallus T, et al: A retrospective
multicenter evaluation of osseointegrated implants
supporting overdentures. Int J Oral Maxillofac Implants.
1988; 3: 129134.
7. Misch CE: Density of bone: effect on treatment plans,
surgical approach, healing, and progressive bone loading.
Int J Oral Implantol. 1990; 6: 2331.
8. Carlsson L, Rostlund T, Albrektsson B, et al: Removal torques
for polished and rough titanium implants. Int J Oral Maxillofac
Implants. 1988; 3: 2124.
9. Buser D, Schenk RK, Steinemann S, et al: Influence of surface
characteristics on bone integration of titanium implants. A
histomorphometric study in miniature pigs. J Biomed Mater
Res. 1991; 25: 889902..
10. Schenk RK, Buser D: Osseointegration: a reality. Periodont
2000. 1998; 17: 22-35
11. Rieger MR, Mayberry M, Brose MO: Finite element analysis of
six endosseous implants. J Prosthet Dent. 1990; 63:

671676.
12. Rieger MR, Adams WK, Kinzel GL, et al: Finite element
analysis of bone-adapted and bone-bonded endosseous
implants. J Prosthet Dent. 1989; 62: 436440.
13. Reilly DT, Burstein AH: The elastic and ultimate properties of
compact bone tissue. J Biomech. 1975; 8: 393405.
14. Cowin SC: Bone Mechanics. Boca Raton: CRC Press; 1989.
15. Bumgardner JD, Boring JG, Cooper RC Jr, et al: Preliminary
evaluation of a new dental implant design in canine models.
Implant Dentistry. 2000; 9: 252260.
16. Misch CE: Contemporary Implant Dentistry, 2nd ed. St. Louis:
Mosby; 1999.
17. Lum LB: A biomechanical rationale for the use of short
implants. J Oral Implantol. 1991; 17: 126131.
18. Bahat O: Treatment planning and placement of implants in the
posterior maxillae: report of 732 consecutive Nobelpharma
implants.Int J Oral Maxillofac Implants.1993; 8; 151-161.
19. Ferrigno N, Laureti M, Fanali S, et al: A long-term follow-up
study of non-submerged ITI implants in the treatment of
totally edentulous jaws. Part I: ten year life table analysis of a
prospective multicenter study with 1286 implants. Clin Oral
Implants Res. 2002; 13:260-273.
20. Lum LB, Osier JF: Load transfer from endosteal implants to
supporting bone: an analysis using statics. Part 1: horizontal
loading. J Oral Implantol. 1992; 18: 343348.
21. ten Bruggenkate CM, Asikainen P, Foitzik C, et al: Short (6mm) nonsubmerged dental implants: results of a Multicenter
clinical trial of 1 to 7 years. Int J Oral Maxillofac Implants.
1998; 13: 791-798 .
22. Misch CE: Implant design considerations for the posterior
regions of the mouth. Implant Dentistry. 1999; 8: 376386.
23. Winkler S, Morris HF, Ochi S: Implant survival to 36 months as
related to length and diameter. Ann Periodontol. 2000; 5:
2231.
24. Ivanoff CJ, Grondahl K, Sennerby L, et al: Influence of
variations in implant diameters: a 3- to 5-year retrospective
clinical report. Int J Oral Maxillofac Implants. 1999; 14:
173180.
25. Brunski JB: Biomechanical considerations in dental implant
design. Int J Oral Implantol. 1988; 5: 3134.
26. Misch CE, Qu Z, Bidez MW: Mechanical properties of
trabecular bone in the human mandible: implications for
dental implant treatment planning and surgical placement. J
Oral Maxillofac Surg. 1999; 57: 700706;
27. Barbier L, Schepers E: Adaptive bone remodeling around
oral implants under axial and nonaxial loading conditions in
the dog mandible. Int J Oral Maxillofac Implants. 1997; 12:
215223.
28. Sykaras N, Iacopino AM, Marker VA, et al: Implant materials,
designs, and surface topographies: their effect on osseointegration. A literature review. Int J Oral Maxillofac Implants.
2000; 15: 675690.
29. Misch CE, Bidez MW, Sharawy M: A bioengineered implant
for a predetermined bone cellular response to loading forces.
A literature review and case report. J Periodontol. 2001;in
30. Valen M, Locante WM: LaminOss immediate-load implants: I.
Introducing osteocompression in dentistry. J Oral Implantol.
2000; 26: 177184.
31. Block CM, Tillmanns HW, Meffert RM: Histologic evaluation of
the LaminOss osteocompressive dental screw: a pilot study.
Compend Contin Educ Dent. 1997; 18(7): 676685.
:
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.: 2310 251301 - K.: 6944780893
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B A
SUMMARY
Prosthodontic treatment of partial

edentulism in the elderly
A. Sofou
hellenic stomatological review 50: 45-55 2006
The better dental care and generally increased

prophylaxes has lead to the situation that persons who
earlier were edentulous and therefore treated with
complete dentures now retain a few or more teeth. Tooth
loss, results in difficulty chewing and limitation of
masticatory function. However, many patients with large
number of missing posterior teeth have little or no
complains about their chewing ability. The purpose of this
article is to clarify the scientific background for some of
the more important but also controversial aspects on
indications for replacement of missing teeth, which
cannot be considered without a balance to the adverse
effects of a treatment, in the perspective of need for
function, chewing ability, quality of life and patient
satisfaction, and interactions between prosthodontic
treatment and the oral structures. For the treatment of
partial edentulism during the last decades alternatives to
removable partial dentures (RPD) such as fixed
prosthodontics and implantology more and more come to
the fore even in those patients with a compromised oral or
general health status. Removable partial dentures have
for a long time been an important prosthodontic treatment
and educational discipline. Many reports have, however,
demonstrated serious side effects and low patient
satisfaction. Some studies report a 25 percent or more
discharge of produced removable partial dentures. The
indication for RPDs is a mix of biological, functional and
economical considerations However, if we look at the
possibilities for the great majority of partially edentulous
patients, removable partial dentures will still be the only
realistic treatment alternative also in developed countries
for practical and financial reasons, for a long time to
come. Success in the provision on partial dentures can be
achieved with the open-hygienic design principles that
emphasize simplicity and uncovering of gingival margins.
Therefore greater emphasis should be paid to RPD
design that minimise plaque accumulation and the risks
of tissue injury in accordance with modern concepts of
preventive dentistry.
Key words: Prosthodontics, Removable Partial Dentures, Partial

Edentulism, Elderly Patients
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:
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.: 2310 999553, 2310 811422
Fax: 2310 812909
E-mail: asofou@dent.auth.gr
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. , 1.
SUMMARY
Fabrication of partial denture

to a partial glossectomy patient:
The application of Neutral Zone Concept
P. Ntala, A. Niarchou, M. Frangou, G. Polyzois
The basic factors that should be taken under consideration in order to achieve dentures retention and stability
are the proper positioning of the artificial teeth and the
external contours of the prosthesis. For patients with an
altered denture space caused by surgical resection,
diseases or trauma its even more difficult to obtain
satisfactory retention and stability.
The purpose of this report is to describe a procedure for
making a mandibular partial denture to a patient after
glossectomy. The patient was a 63-years old man who had
carcinoma on the right side of the tongue. During the
surgery it was resected one third of the tongue, part of the
floor of the mouth, part of the mandibular bone including
the teeth, as well as local neck lymph glands. The floor of
the mouth and part of the tongue were covered by graft
taken from the internal side of the right forearm.
The patient was treated with a partial denture, fabricated with
the neutral zone approach. The neutral zone is the
potential space between the lips or cheeks on one side and
the tongue on the other, where the forces between them are
neutralized. The residual alveolar ridge crest changes its
location in a buccolingual direction after resorption.
Additionally, with the tendency of the tongue to enlarge in the
edentulous mouth in combination with the time that the
patient has remained edentulous influence the buccolingual
position of the neutral zone. Using base plates and a heavy
body silicone, the impressions of the labial, buccal and
lingual surfaces were taken in order to determine the
position of the denture teeth. The patient was instructed to
shallow, drink some water, purse his lips and stay in centric
relation position until the material was polymerized.

Afterwards we applied a light body silicone in the tissue
surface of the base plate and we took a wash impression,
with the patients mandible in centric relation. The laboratory
process included the construction of putty silicone indexes,
to confine the neutral zone impression, its replacement by
wax and the arrangement of denture teeth.
The function of the lips, cheeks and tongue and their
controlling action on the dentures during function is a
fundamental principle behind the neutral zone concept.
This technique presents many advantages compared with
conventional method such as: comfort, better speech, no
biting of cheeks and tongue, increased stability of the
prosthesis, better cheeks support and improved esthetics.
Finally a very important factor that contributes to the
success of this method is the laboratory process. Increased laboratory time is necessary and the laboratory technician must be well trained in order to support this clinical
procedure.
Key words: mandibular defect, neutral zone, functional movements, partial dentures
BIBIOPAIA
1. Wee AG, Cwynar RB, Cheng AC: Utilization of the neutral
zone technique for a maxillofacial patient. J Prosthodont
2000; 9(1):2-7.
2. Fahmi FM: The position of the neutral zone in relation to the
alveolar ridge. J Prosthet Dent 1992; 67(6): 805-809.
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teeth. J Can Dent Assoc 1969; 35(5): 260-266.
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5. Brill N, Tryde G, Cantor R: The dynamic nature of the lower
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dentures. J Prosthet Dent 1976; 36(4):356-367.
7. O : . .
, , 2000, : 253.
8. Ohkubo C, Hanatani S, Hosoi T, Mizuno Y: Neutral zone
approach for denture fabrication for a partially glossectomy
patient: a clinical report. J Prosthet Dent 2000; 84(4):390-393.
9. Alfano SG, Leupold RJ: Using the neutral zone to obtain
maxillomandibular relationship records for complete denture
patients. J Prosthet Dent 2001; 85(6):621-623.
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neutral zone in complete dentures. J Prosthet Dent 1990;
64(4):459-462.
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88(2):125-127.
:

11
17778
:210-3475131, 6973405376
e-mail:ntalapol@yahoo.com
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Yates. E,
(simple factorial one way ANOVA).
AOTEEMATA
2 . H

.
,
(223 ) (34%) (39%) .
20% 5%. T (45%) ,
(29%), (2, p<0.05). A, , (27% 15% ). , (45-55)
(p<0.05),
(18-24). E,
45-55, (p<0.05),

(8%), .
3 ,
.
, 77%
50: 63-72, 2006

79% , (60%)
. ,
(9%) (27%). A,

(36%),
. E,
59% .
,
,
85%,
(92%).
4
.
, 6%
, 28% . H
(66%). (2, p<0.05) 45-55 . E (p<0.05) ,
. T, (p<0.05) .
5 . Y 8 .
. T

65
63-72 SEL. KOLETSI*
3-10-08 13:30
66
E M
2. K

(N - %)
%
A
(119 - 39)
A
(104 - 34)

(61 - 20)
K
(15 - 5)
A
(10 - 2)
O %
18-24
T
%
25-34
35-44
45-55
E
%
/
29
45*
30
34
41
49*
41
32
45
37
33
32
35
34
34
33
34
32
37
26
37
33
27*
15
27
22
21
8*
19
23
22
19
19
12
K %
A %
(N - %)
(39)
46
38
33
36
41
41
35
A (34)
28
34
37
37
30
32
36
(20)
17
20
21
19
21
18
23
K (5)
A (2)
* p<0.05
3.
E
(%)
1. ;
77
2. ;
27
9
3. ;
B
X
85
8
4. ;
36
5. T ;
60
6. ;
79
7. ;
30
8. ;
O
O
98
46
66
50: 63-72, 2006
63-72 SEL. KOLETSI*
3-10-08 13:30
67
E M
4. E

%
E
X
M
Y
O %
X
M
Y
E %
N
%
28
66
6
34
62
4
24
69
7
18-24 25-34 35-44 45-55

30
61
9*
22
73
5*
26
65
9*
K
E
T
%
35
65
0
27
66
7
30
67
4
9
82
9
31*
64
5
45*
53
2
N
%
28
66
6
Y
%
M
%
16
73
11
28*
68
4
X
%
38*
58
4
N
%
N
%
25
70
5
31
63
6
28
67
5
27
66
7
*p<0.05
5.

E

(%)
1. ;
67
2. ;
40
3. ;
56
4. ;
47
5. ;
23
6. ;
32
7. ;
47
8. ;
18
(67%
56% ).
( 50%). E,

18% . H
47%.
6 .
, 17%
31% 50: 63-72, 2006
. O (52%) . T A, (2,
p<0.05) , , (p<0.05) .

(p<0.05)
. E
(p<0.05) ,
67
63-72 SEL. KOLETSI*
3-10-08 13:30
68
E M
6. E

%
E
X
M
Y
O %
X
M
Y
E
%
N
%
31
52
17
35
48
17
28
55
17
18-24 25-34 35-44 45-55

34
48
18
25
54
21
28
61
11
K
E
T
%
38
45
17
27
52
21*
42*
54
4
25
59*
16
28
55*
17
55*
31
14
N
%
31
52
17
Y
%
M
%
21
66
17
30
50*
20
X
%
41*
44*
15
N
%
N
%
30
54
16
32
51
17
28
56
16
36
47
17
*p<0.05
. T, (p<0.05) ,
(p<0.05)
.
T (simple
factorial one way ANOVA)
7 8 .
7, (p<0.005),
(p<0.005) (p<0.001) .

( 8), (p<0.005), (p<0.005), (p<0.005) (p<0.05)

.
YZHTHH
E ,

. O
. E68
, , - -
1, 12, 13, 15, 16.
A ,

24.
H

E,
.
, E
. , ,
.

. A, .
O . E,

.
, ,
. K
50: 63-72, 2006
63-72 SEL. KOLETSI*
3-10-08 13:30
69
E M
7.

E

P
()
1,134
0,288
28,912
0,000
9,824
0,002
10,047
0,002
2,581
0,109
0,803
0,371
0,358
0,550
8.

E
E
P
()
10,078
0,002
5,684
0,016
1,880
0,171
10,537
0,001
8,938
0,003
0,548
0,460

, . A 16, 21, 22, 25-28
Y
2000,
29
OY
Y 21 30.
T , , , . T 21, 31, 32. T
, , ,
50: 63-72, 2006
, , .
T
(77%)
, (39%)
(9%)

. M (27%), ,
,
59%
.
, E21.

69
63-72 SEL. KOLETSI*
3-10-08 13:30
70
E M
I, A33-35. A,
HA36, 80% ,
.
H
. E,
. M, 47%,
,
.
(8%) .
E18, 19, 21. ,
, ,
1996 198537. A,
38.

,
. T (67%).
(56%).
E, 36% 55%

18, 19. I,

50% 33.
, ,
. A
18% ,
,
.
A
, (
17%), (31%) . T
. A
,
.
70
T
.

A,
.
21.
T

.
- -
.
, .
, . , . ,
. O/ , , , , , . K

, ,
/ .
YMEPAMATA
A

. H
. E,

.

.
T 50: 63-72, 2006
63-72 SEL. KOLETSI*
3-10-08 13:30
71
E M
- -
.
SUMMARY
Adult dental health knowledge and oral

prevention recommendations given by their
dentists
H. Koletsi-Kounari, H. Mamai-Homata
The aim of the present study was to investigate the level of

dental health knowledge, the attitude towards preventive
dentistry and the level of recommendations given by
dentists concerning oral prevention, of adult population
aged 18-55 year-old, in relation to selected demographic
and socioeconomic variables. Three hundred and nine
adults, selected at random, living in Athens and
Thessaloniki, were interviewed personally. The answers
of the questionnaire were grouped according to attitude
towards dental prevention and into two categories
concerning level of dental knowledge and level of
dentists recommendations on matters of oral prevention,
and were analyzed statistically. The analysis of data
revealed, among others, the following: A significant
percentage of responders (73%) believe very much (39%)
and enough (34%) in preventive dentistry. Only 6%
presented high level of dental knowledge, while most of
them (66%) ranged in a medium level. Concerning the
level of information and recommendations given by
dentists on matters of oral prevention, slightly more than
50% of the interviewed persons presented a medium level
and only 17% presented a high level. Demographic
variables such as age and sex had a statistically
significant impact on attitudes towards prevention.
Statistically significant impact on the level of dental
knowledge had the demographic variables age and sex,
as well as the socioeconomic factors of education and
socioeconomic level. Finally, the variables place of
residence, socioeconomic status and level of education
showed statistically significant impact on the level of
recommendations given by dentists concerning oral
prevention. The results of the present study suggest that
the responders show a low level of dental awareness but
positive attitudes towards oral health prevention,
providing a basis for community based oral health
education programs, especially targeting adults of low
socio-economic level and those who are less educated.
Furthermore, more dental practitioners must make an
active effort towards increasing their level of information
and their recommendations towards patients on matters
of oral prevention.
Key words: Oral health, Knowledge, Recommendations,
Dentists, Adults
50: 63-72, 2006
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stomatologika exof.

ENTYO KEITO AP. A. 520/92

EITHMONIKO ENTYO ME ENIKH ANANPIH

ISSN 1011 - 4181

ISSN 1011 - 4181

TOMO 50, TEYXO 1

TOMO 50, TEYXO 1

Hellenic Dental Association

VOLUME 50, ISSUE 1

A comparative study of the strength bond between a resin

Single Osseointegrated implants - Possibilities and limitations

Leiomyoma of the cheek. Report of a case

Hellenic Dental Association

VOLUME 50, ISSUE 1

Fabrication of a partial denture to a partial glossectomy patient:

Adult Dental Health Knowledge and oral prevention

Scanning Electron Microscopy

ANAEPHMENE OHIE IA TOY YPAEI

9-14 SEL. PAPADOPOULOS*

9-14 SEL. PAPADOPOULOS*

T (Heravest E Plus, Heraeus Kulzer, Wehrheim,

9-14 SEL. PAPADOPOULOS*

9-14 SEL. PAPADOPOULOS*

9-14 SEL. PAPADOPOULOS*

A comparative study of the strength bond

procedure was performed in a special apparatus and

Key words: Resin, Ni-Cr alloy, shear bond strength

I. Seimenis, E. Dimitropoulou, T. Papadopoulos

The development of new veneering systems on dental

9-14 SEL. PAPADOPOULOS*

porcelain veneers bonded to cast alloys. J Prosthet Dent

50: 9-14, 2006

15-23 SEL. SINANIOTI*

15-23 SEL. SINANIOTI*

15-23 SEL. SINANIOTI*

15-23 SEL. SINANIOTI*

15-23 SEL. SINANIOTI*

15-23 SEL. SINANIOTI*

(. 12 ). (Friadent, Dentsply) . (. 13).

3 K : T 6 K.O.A. (Staged Approach)

15-23 SEL. SINANIOTI*

(1, 8, 9, 10, 36)

.O.. (immediate implant placement +

15-23 SEL. SINANIOTI*

Single Osseointegrated Imlants - Possibilities

The lack of individual teeth constitutes usual clinical

Int J Oral Maxillofac Impl 1990; 5:272-281.

15-23 SEL. SINANIOTI*

alloys as dental materials.Int Dent J 1993; 43:245-253.

restorations. Int J Oral Maxillofac Implants 1998; 13(2):212-218.

50: 15-23, 2006

25-28 SEL. ZOGRAFOS*

25-28 SEL. ZOGRAFOS*

25-28 SEL. ZOGRAFOS*

(P.T.A.H., Van Gieson, Mallory,

Leiomyoma of the cheek. Report of a case

Leiomyoma is a benign smooth muscle neoplasm. It is the

25-28 SEL. ZOGRAFOS*

thologic characterization of oral angioleiomyomas. Oral Surg

50: 25-28, 2006

29-34 SEL. MAZINIS*

29-34 SEL. MAZINIS*

29-34 SEL. MAZINIS*