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Zahnärztliche Hypnoseforschung an der Semmelweis Universität Budapest

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Long-term photo-acoustic stimulation is used for the induction of altered states of consciousness for both therapeutic and experimental purposes. Long-term photo-acoustic stimulation also leads to changes in the composition of saliva which have a key contribution to the efficiency of this technique in easing mucosal symptoms of oral psychosomatic patients. The aim of this study is to find out whether there is any cumulative effect of repeated stimulation and whether there are any detectable differences between diverse stimulatory patterns of long lasting photo-acoustic stimulation on the phenomenology of the appearing trance state and on salivary secretion. There was significant cumulative effect in relation with the appearance of day dreaming as phenomenological parameter, and in relation with protein output and amylase/protein ratio as salivary parameter. Pattern specific effect was detectable in relation with salivary flow rate only. Although our results clearly indicate the existence of certain cumulative and stimulation-pattern specific effects of repeated photo-acoustic stimulation, the absolute values of all these effects were relatively small in this study. Therefore, in spite of their theoretical importance there are no direct clinical consequences of these findings. However, our data do not exclude at all the possibility that repeated stimulation with other stimulatory parameters may lead to more pronounced effects. Further studies are needed to make clear conclusion in this respect.
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Various dental specialties have made such enormous advances that it has become impossible to absorb all that is new in all dental areas. Therefore a collaborative effort between orthodontist and prosthodontist is often necessary to achieve an optimal treatment result. Prosthodontists and restorative dentists rely on orthodontics as a means of providing more comprehensive care to their patients. Such collaboration is not only desirable, but mandatory if dentists are to provide highest level care for their patients. Preprosthetic orthodontics gains significance in both esthetics and functionality of the denture being under preparation. Therefore, an interdisciplinary approach may also be cost-effective for both patient and dentist from the standpoint of producing more stable and durable restorations of high esthetics. Orthodontics may contribute to the success of cases undergoing restorative dental procedures where preliminary minor tooth movement is necessary, to correct local malpositions and/or to move abutment teeth with simple appliances. Success of implant placement may also be improved via orthodontic forced extrusion of periodontally compromised teeth. Collaboration of orthodontist and prosthodontist may be even more demanding when correction of primary orthodontic anomalies would be needed. No wonder that, the integration of orthodontics and prosthetic dentistry into a multidisciplinary rehabilitation is often indispensable for a proper dental care of the patients. A proper plaque control is also essential for a successful treatment in all cases. Along with mechanical and biological principles, unique psychological and social aspects of the combined orthodontic and prosthetic treatment should also be considered for a successful therapy. In this chapter the important role of orthodontics and its contribution to the success of prosthetic dentistry for adult patients is discussed.
Article
The most frequent complaints of orthodontic patients are related to treatment induced pain, aesthetics and occlusion. Most of these complaints usually disappear during the treatment or soon after the orthodontic treatment is fulfilled. However, in certain cases the complaints remain after treatment notwithstanding that a standard and proper orthodontic treatment was carried out. In such cases existence of complaints is frequently rooted in deeper psychological problems of patients. One of the most difficult problems in the treatment of orthodontic patients suffering from such psychogenic complaints is their refusal to accept the psychological background of their symptoms. Since most of these patients refuse a referral to psychiatrist and/or psychotherapist, an initial psychosomatic therapy is needed, which is a scope of dental professions duty. Initiation of a palliative orthodontic care and gradual escalation of any kind of mind-body therapies (as "basic therapeutics" for psychosomatic disorders) are "cornerstones" of such psychosomatic dental interventions. Photo-acoustic stimulation combined with hypnotherapy was found a highly efficient mind-body method for treatment of such orofacial psychogenic manifestations including psychogenic orofacial pain, esthetic overcriticism and occlusal problems of psychogenic origin. Improved oral defense functions including increase of salivary flow rate, salivary amylase and protein concentration, increased level of salivary IgA and salivary chaperone Hsp70 was also reported in relation with photo-acoustic stimulation treatment. Photo-acoustic stimulation utilizes flash light and rhythmic sound effects for the induction of a unique altered state of consciousness. Although turning the light or sound on and off leads to stimulation of the central nervous system as a short stimulus, longer lasting stimulation with flash light and tone signals leads to a unique trance state with mixed alpha-theta activity and to bodily relaxation with increased skin resistance, decreased EMG activity and decreased salivary cortisol level. Based on above, photo-acoustic stimulation seems to be an efficient tool, suitable for the initial psychosomatic therapy of orthodontic patients with psychogenic symptoms. Photo-acoustic stimulation may also be a useful tool for other professionals working in several other fields of psychosomatic medicine and psychotherapy.
Article
Psychogenic complications of making dentures as well as consequently appearing psychogenic denture intolerance is a complex and rising problem of dentistry and presents many intricate problems, which are being tackled by various disciplines of both basic and clinical research. Estimations based on the available data and clinical experience indicate that, at least 3-4% of denture wearers suffer from psychogenic symptoms caused by the treatment procedure, insertion or wearing of fixed or removable dentures. No wonder that, there is a high amount of scientific information gathered so far, however data are rather divergent, sometimes even contradictory and there are numerous questions without any available data to answer. Present chapter is primarily dedicated to the clinical aspects of these phenomena, including clinical manifestations, diagnosis, prevention and treatment possibilities. Other relevant subject areas of this chapter include theoretical background and peculiarities of denture-related psychological and psycho-physiological phenomena, background and pathomechanisms of denture induced psychosomatic manifestations, basic principles of communication and patient-nurse-dentist interrelationships. This collection of information helps the reader to be at home in scientific field of denture related psychogenic manifestations.
Article
Psychogenic denture intolerance is a complex and rising problem of dentistry and presents many intricate problems, which are being tackled by various disciplines of both basic and clinical research. This book reviews research on the subject of psychogenic denture intolerance including peculiarities of denture-related psychological and psycho-physiological phenomena, background and pathomechanisms of denture induced psychosomatic manifestations, preventive- diagnostic and treatment strategies of premised conditions, basic principles of communication and patient-nurse-dentist interrelationships as well as an introduction in several treatment methods like psychotherapeutic approaches and others.
Article
Light and sound effects have frequently been used for the induction of altered states of consciousness. Turning on and off light or sound leads to short-term excitation of the central nervous system, while longer lasting stimulation has led to drowsiness and mixed alpha-theta activity and to bodily relaxation with increased skin resistance, decreased EMG activity and a decreased salivary cortisol level; though an increased salivary IgA level and output of the salivary chaperone Hsp70 have also been reported. At the same time a strong trance inducing ability of photic stimulation (10 min) has been demonstrated. In open clinical studies orofacial psychosomatic patients have been treated: Atypical facial pain (n = 20) recovered in 34.9 %, improvement occurred in 40.4 %, with no effect in 24.7 %. Initial psychogenic denture intolerance (n = 9) symptoms recovered in 44.4 %, improvement occurred in 33.3 %, with no effect in 22.2 %. Chronic denture intolerance (n = 14) symptoms recovered in 21.4 %, improvement occurred in 50.0 %, with no effect in 28.6 %. In hyposalivation cases (n = 4), a significant increase of salivary flow rate and protein concentration occurred in 2/4. However, randomized controlled trials that might support the application of photo-acoustic stimulation are still lacking. Copyright © 2009 British Society of Experimental & Clinical Hypnosis. Published by John Wiley & Sons, Ltd.
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