DEPARTMENT OF DENTAL AND ORAL SURGERY

INTRODUCTION

Our department provides outpatient and inpatient care in the region. We treat 20,000 patients annually.

In our clinic, we provide care in all dental specialties (dento-alveolar surgery, implantology, prosthodontics, orthodontics, pediatric dentistry, conservative dentistry and endodontics, periodontology) as well as facial and maxillofacial surgery.

The priority areas of the dento-alveolar oral surgery are the reduction of complications (prevention of nerve injuries, prevention and treatment of alveolitis, coronectomy) associated with impacted wisdom teeth (1100-1300 cases/year), the surgical solution of obstructive diseases of the large salivary glands (40-60 cases/year) and oral surgery care for the blood-sensitive patient group (120-140 cases/year). We have extensive list of publications in these three areas.
The bone replacements are also our important area. We provide references for several manufacturers:

• NSK (Eschborn, Germany)
• PROMED (Hódmezővásárhely, Hungary)
• ORTHOSERA (Győr, Hungary).

The Orthodontic Unit provides general orthodontic care, but we deal with who require special treratments. Children born with cleft lip and palate are treated from birth by the Pécs Cleft Group. The patients born with various syndromes or genetic disorders (eg. Tourette's syndrome, Gorlin-Goltz syndrome, acromegaly, achondroplasia, aplasia) are also treated in our unit. The jaw joint dysfunction group deals with all dysfunctions which affect the musculoskeletal systems (joints, masticatory muscles). The invisible orthodontic system, based on high-tech 3D technology, is the latest method of orthodontic treatment. The orthodontic software (OrthoStudio) processes the data generated by the 3D scanner. The thin biocompatible, transparent splints are prepared at the 3D Printing and Visualisation Centre of the University of Pécs. Efficient and hygienic tooth movement is also possible with the help of splints for adult patients, too. All special orthodontic fields are listed as research topics for PhD students.

The Endodontics and conservative dentistry unit achieved outstanding results in aesthetic restorations. Clinical trials in endodontics are carried out in the determination of the implementation duration, preparation methods, removal of broken endodontic instruments, and testing of models used in endodontic education. The conservation dentistry group provides patient care in restorative dentistry and endodontic specialist care. The endodontic professional training started at our unit started in 2018. The education is supported by a full range of instrumental and diagnostic facilities. We regularly organize international professional training, where dentist colleagues may improve their skills in aesthetic dentistry and microscopic endodontic skills. 

The Periodontology Unit carries out conservative and surgical treatment of periodontal disease (pocket surgery, regenerative and mucogingival surgical interventions), dental implantology, treatment of peri-implantitis and precancerous lesions. Our department is the only one in Transdanubia to offer periodontology professional training. We pay special attention to the dental screening of kidney patients and the diagnostics of autoimmune patients, in which we also conduct research.
 

Research Topics

• Oral health examination of kidney transplant patients, license number: PTE/41139/2016 (PhD research),

• Clinical, epigenetic and molecular biological examination of autoimmune pathologies associated with chronic 
  inflammation, license number: PTE/7634/2019,

• Appearance of periodontitis in chronic obstructive pulmonary disease, license number: PTE/5241/2014,

• Effect of sensory neuropeptides on inflammatory processes in oral lichen planus, license number: PTE/2269/2004

Number of clinical trial investigators with Good Clinical Practice (GCP) certificate : 5 
Number of clinical trial doctors with Good Clinical Practice (GCP) certificate: 0
Number of specialist doctors with Clinical Pharmacology certificate: 0

EQUIPMENT FOR CLINICAL TRIALS

• Gendex CBCT 

• 3D scanner and OrthoStudio orthodontic software

• Leica M320 operating microscope

REFERENCE CLINICAL TRIALS

OUR PUBLICATIONS

In Oral Surgery

SZALMA J; LOVÁSZ BV; LEMPEL E; MARÓTI P: Three-dimensionally printed individual drill sleeve for depth-controlled sections in third molar surgery.J Oral Maxillofac Surg 2019; 77(4): 704.e1-704.e7.

SZALMA J; SOÓS B; KRAJCZÁR K; LEMPEL E: Piezosurgical Management of SealerExtrusionAssociatedMentalNerveAnesthesia: A CaseReport. Aust Endod J. 2018; 10.18. Epub. doi: 10.1111/aej.12316

TORDAI B; STÁCZER N; VAJTA L; SZALMA J: Óriás nyálkövek. Esetismertetés. Orv Hetil 2016; 157 (49): 1967–1972.

LUKÁCS D; STÁCZER N; VAJTA L; OLASZ L; JOÓB-FANCSALY Á; SZALMA J: Dental and oral surgical treatment of medication-induced bleeding patients: Audit of the national guideline in Hungary. Orv Hetil 2016; 157 (43): 1722-1728.

SOÓS B, VAJTA L, SZALMA J: Sunitinib és zolendronsav által indukált állcsont-oszteonekrózis: Esetismertetés. Orv Hetil 2015; 156 (46): 1865–1870.

SZALMA J, JOÓB-FANCSALY Á: A vérzékeny betegek fogorvosi ellátása. Fogorvosi Szle 2015; 108(2): 57-60., Magyar Fogorvos 2015; 4: 196-199. 

Szalma J, bata zs, Lempel E, Jeges S, Olasz L: Quantitative pixel gray measurement of the “high-risk” sign, darkening of third molarroots: a pilot study. Dentomaxillofac Rad 2013; 42: 20130160.

Szalma J, VAJTA L, Lempel E, Jeges S, Olasz L: Darkening of Third Molar Roots on Panoramic Radiographs: Is it really predominantly Thinning of the Lingual Cortex? Int J Oral Maxillofac Surg.2013; 43: 483-488.

Szalma J, Lempel E, Jeges S, Olasz L: Digital versus conventional panoramic radiography in predicting inferior alveolar nerve injury after mandibular third molar removal. J Craniofac Surg.2012; 23: e155-e158.

Szalma J, Lempel E, Jeges S, Olasz L: Darkening of Third Molar Roots: Panoramic Radiographic Associations with Inferior Alveolar Nerve Exposure. J Oral Maxillofac Surg. 2011; 69: 1544-1549.

Szalma J, Lempel E, Jeges S, Szabó G, Olasz L: The Prognostic Value of Panoramic Radiography of Inferior Alveolar Nerve Damage after Mandibular Third Molar Removal. Retrospective study of 400 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 294-302.

Olasz L, Orsi E, Gelencsér G, Markó T, Szalma J: Induction chemotherapy response- and recurrence rates in correlation with N0 or N+ stage in oral squamous cell cancer (OSCC). Cancer Metastasis Rev.2010; 29: 607-611.

OLASZ L, SZALMA J, LEMPEL E, ORSI E, NYÁRÁDY Z: An application of platysma based transpositional flap for through and through facial defect when the facial artery circulation is blocked or compromised. J Oral Maxillofac Surg.2011; 69: 1242-1247.

Olasz L, Szalma J, Orsi E, Tornóczky T, Markó T, Nyárády Z: Neoadjuvant Chemotherapy: Does It Have Benefits for the Surgeon in the Treatment of Advanced Squamous Cell Cancer of the Oral Cavity? Pathol Oncol Res.2010; 16: 207-212.

In Orthodontry

GURDÁN Z, SZALMA J: Evaluation of the success and complication rates of self-drilling orthodontic mini-implants. Nig J Clin Pract 2018; 21(5): 546-552.

FRANK D, RILL L, KOLAROVSZKI B, NAGY ÁK. [Classical and modern methods for the assessment of skeletal maturation and pubertal growth spurt]. Orv Hetil. 2018 Sep; 159(35):1423-1432. doi: 10.1556/650.2018.31151. Hungarian.

VITÁLYOS G, TAKÁCS A, BORBASNÉ KF, FARAGÓ-LÁDI E, KOLAROVSZKI B, BÁRTFAI D, FRANK D. Comparison of the effect of premolar extraction and non-extraction on the position and developmental changes of the lower third molars. Int Orthod. 2018 Sep; 16(3):470-485. doi: 10.1016/j.ortho.2018.06.007.

In Conservation Dentistry 

LEMPEL E; LOVÁSZ BV; BIHARI E; KRAJCZÁR K; JEGES S; TÓTH Á; SZALMA J: Long-term clinical evaluation of direct resin composite restorations in vital vs. endodontically treated posterior teeth – Retrospective study up to 13 years. Dent Mater 2019 doi: 10.1016/j.dental.2019.06.002

LEMPEL E; LOVÁSZ BV; MESZARICS R; JEGES S; TÓTH Á; SZALMA J: Direct resin composite restorations for fractured maxillary teeth and diastema closure: A 7 years retrospective evaluation of survival and influencing factors. Dent Mater 2017; 33(4): 467-476.

LEMPEL E, TÓTH Á, FÁBIÁN T, KRAJCZÁR K, SZALMA J: Retrospective evaluation of posterior direct composite restorations: 10-Year findings. Dent Mater 2015; 31(2): 115-122.

In Endodontry

TORDAI B, SCHREINDORFER K, LEMPEL E, KRAJCZÁR K. Factors affecting ultrasonic removal of separated endodontic instruments: A retrospective clinical study. Quintessence Int. 2018;49(4):257-266.

KRAJCZÁR K, MARADA G, GYULAI G, TÓTH V. Comparison of radiographic and electronical working length determination on palatal and mesio-buccal root canals of extracted upper molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Aug; 106(2):e90-3. doi: 10.1016/j.tripleo. 2008.04.007.

In Periodontry 

BÁN Á, PATONAI Z, FOGARASI K, SCHNEIDER P, BODA R, GERGELY P. [Analysis of medical diagnostic reports (constats) on dental injuries from terminological, dental and forensic medical points of view]. Orv Hetil. 2018 Dec; 159(51):2154-2161. doi: 10.1556/650.2018.31212. Hungarian.

BÁN Á, NÉMETH ZF, SZAUTER A, SOÓS S, BALASKÓ M. [Prevalence and severity of chronic parodontitis and oral mucosal lesions in chronic obstructive lung disease]. Orv Hetil. 2018 May; 159(21):831-836. doi: 10.1556/650.2018.31037. Hungarian.

BÁN Á, PINTÉR E, KUN J. [Proper oral health can protect from developing gingival hyperplasia induced by calcium channel blockers]. Orv Hetil. 2018 Jul; 159(29):1183-1187. doi: 10.1556/650.2018.31088. Hungarian.

SCHÖNFELD B, VARGA Á, SZAKÁLY P, BÁN Á. Oral Health Status of KidneyTransplantPatients. TransplantProc. 2019 May; 51(4):1248-1250. doi: 10.1016/j.transproceed. 2019.03.009.

KUN, J ; PERKECZ, A ; KNIE, L ; SETALO, G JR ; TORNOCZKY, T ; PINTER, E ; BAN, A: TRPA1 receptor is upregulated in human oral lichenplanus. Oral diseases 2017; 23(2): 189-198.

PRINCIPAL INVESTIGATORS

STUDY TEAM

We carry out clinical trials by using the Coordination Centre for Clinical Trials (KVKK).

Created: 09/09/2019
Last updated: 09.09.2019