Poliklinik für Zahnärztliche Prothetik mit Propädeutik

Over the past eight years, the continuous call for "more oral health services research" in Germany has been (at least partially) answered. Today, relevant oral and dental health services research activities can be found at 12 medical faculties in Germany and nine large-scale projects are funded by the German Ministry for Education and Research (BMBF) or the Innovation Fund of the Federal Joint Committee (G-BA). However, the demand for high-level research in this field exceeds the current capacities of university and non-university dentistry; structured and methodically competent research networks that are cross-linked within the dental and public health services are required. These would allow research to assure sustainable and demand-oriented dental services, scientifically supporting the demographically, economically, and socially driven major changes to be expected in the coming years.The article describes the current status of dental and oral health services research in Germany and addresses major challenges: methodological competence, data accessibility and usage, and the prospects for this field of research. Therefore, it takes stock of existing research activities and infrastructure (including educational and funding opportunities).Knowledge obtained from dental and oral health services research in Germany can be pioneering for other countries, while researchers in Germany may be able to adopt and adapt servicing strategies from other countries and health systems for Germany. To achieve these aims, dental and oral health services researchers should professionalize and network. Sustainable structures (professorships, staff) and frameworks (data availability, funding) should be established and findings promptly translated into use.

Zusammenfassung Die Versorgung mit Gesichtsprothesen (Epithesen) ist eine technische wie auch psychologische Herausforderung– für die betroffenen Patienten wie auch die Epithetiker und Behandler. Der technologische Fortschritt bei digitalen Prozessketten von der Erfassung, über die Weiterverarbeitung bis hin zur Fertigung erlaubt es in diesem Teilgebiet erhebliche Verbesserungen zu ermöglichen. So können kontaktlose Abformungen von Defekten die Belastungen für den Patienten reduzieren und das digitale Design die Laufzeit und Reproduzierbarkeit für die Versorger verbessern. Der 3D-Druck stellt in Aussicht, Prototypen bis hin zu fertigen Prothesen verlässlich fertigen zu können, wobei abschließende Individualisierungen auch langfristig noch nötig sein werden. Der vorliegende Artikel beschreibt die Grundzüge der Versorgung, den derzeitigen Entwicklungsstand und zukünftige Möglichkeiten bei der Versorgung von gesichtsversehrten Patienten.

264 patients with the dysfunction-pain-syndrome (DPS) and with headache were examined in finding characteristic pain quality, pain intensity and pain locations. With the 24 adjective word list we could find 9 special adjectives for the Patients with the DPS. With the pain intensity test we found that 30% of the patients had very strong pains. Out of the pain location list the main locations were the area in front of the ears, the temples, the forehead, the area around the eyes and the upper jaw. This shows that all patients had chronic pains.