Pub Date : 2023-11-01DOI: 10.36377/1683-2981-2023-21-3-231-237
A. Sh. Gazimagomedova, M. A. Vardanyan, N. S. Drobysheva
Aim. To conduct a comparative evaluation of methods for measuring the width of the upper jaw in growing patients in order to determine the difference between these standard values and improve diagnostics. Materials and methods. The study was conducted in 20 patients aged 6, 8, 10 and 12 years. Measurement of the transversal dimensions of the jaws was carried out on frontal cephalograms using the Ricketts cephalometric analysis, and on CBCT scans using the analysis of the University of Pennsylvania. Results. The results of measurements by frontal cephalograms and CBCT scans have almost the same indicators, the data of both methods differ insignificantly. Conclusions. As a result of the study, both methods confirmed their reliability, however, the analysis of cone-beam computed tomography has a number of advantages. Accordingly, it is possible to simplify the carrying out of diagnostic measures to determine the width of the upper jaw, limiting ourselves to one research method – cone-beam computed tomography without prescribing additional teleroentgenography.
{"title":"Comparative evaluation of methods fordetermining the width of the upper jaw in growing patients","authors":"A. Sh. Gazimagomedova, M. A. Vardanyan, N. S. Drobysheva","doi":"10.36377/1683-2981-2023-21-3-231-237","DOIUrl":"https://doi.org/10.36377/1683-2981-2023-21-3-231-237","url":null,"abstract":"Aim. To conduct a comparative evaluation of methods for measuring the width of the upper jaw in growing patients in order to determine the difference between these standard values and improve diagnostics. Materials and methods. The study was conducted in 20 patients aged 6, 8, 10 and 12 years. Measurement of the transversal dimensions of the jaws was carried out on frontal cephalograms using the Ricketts cephalometric analysis, and on CBCT scans using the analysis of the University of Pennsylvania. Results. The results of measurements by frontal cephalograms and CBCT scans have almost the same indicators, the data of both methods differ insignificantly. Conclusions. As a result of the study, both methods confirmed their reliability, however, the analysis of cone-beam computed tomography has a number of advantages. Accordingly, it is possible to simplify the carrying out of diagnostic measures to determine the width of the upper jaw, limiting ourselves to one research method – cone-beam computed tomography without prescribing additional teleroentgenography.","PeriodicalId":34648,"journal":{"name":"Endodontiia Today","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135271976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.36377/1683-2981-2023-21-3-238-241
A. A. Ismoilov, Sh. K. Razakova, Dzh. T. Makhmudov
Aim. To study the effectiveness of remineralization and hygienic measures in the prevention of demineralization of hard tissues of teeth when using a fixed orthodontic structure in children and teenagers with dentoalveolar anomalies. Materials and methods. We examined 150 children and adolescents with anomalies of the dentition at the age of 12 to 16 years with fixed orthodontic structures. When starting orthodontic treatment of anomalies of the dentoalveolar system in children, we proceeded from the fact that the treatment and prophylactic methods of education consisted of two stages: 1st stage – general, where they explained in detail how to carry out an individual hygienic procedure in the oral cavity with controlled brushing of the teeth; Stage 2 – specialized, which includes the features of oral care in children with orthodontic appliances in these specific conditions, in accordance with the new dental clinical situation of the oral cavity. Results. The data obtained necessitate the conditions for successful prevention of orthodontic complications during corrective therapy of dentoalveolar anomalies are remineralizing therapy, the correct choice of methods and means of individual oral hygiene.
{"title":"Some features of prevention of demineralization of hard tissues of teeth during orthodontic treatment of children with dental anomalies","authors":"A. A. Ismoilov, Sh. K. Razakova, Dzh. T. Makhmudov","doi":"10.36377/1683-2981-2023-21-3-238-241","DOIUrl":"https://doi.org/10.36377/1683-2981-2023-21-3-238-241","url":null,"abstract":"Aim. To study the effectiveness of remineralization and hygienic measures in the prevention of demineralization of hard tissues of teeth when using a fixed orthodontic structure in children and teenagers with dentoalveolar anomalies. Materials and methods. We examined 150 children and adolescents with anomalies of the dentition at the age of 12 to 16 years with fixed orthodontic structures. When starting orthodontic treatment of anomalies of the dentoalveolar system in children, we proceeded from the fact that the treatment and prophylactic methods of education consisted of two stages: 1st stage – general, where they explained in detail how to carry out an individual hygienic procedure in the oral cavity with controlled brushing of the teeth; Stage 2 – specialized, which includes the features of oral care in children with orthodontic appliances in these specific conditions, in accordance with the new dental clinical situation of the oral cavity. Results. The data obtained necessitate the conditions for successful prevention of orthodontic complications during corrective therapy of dentoalveolar anomalies are remineralizing therapy, the correct choice of methods and means of individual oral hygiene.","PeriodicalId":34648,"journal":{"name":"Endodontiia Today","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.36377/1683-2981-2023-21-3-242-248
A. R. Sergeenkova, N. S. Drobysheva
Aim. To evaluate the effectiveness of the method of corticotomy with bone grafting with narrowing of the upper jaw for its expansion. Materials and methods. A clinical case of a 35-year-old patient with a narrowing of the upper jaw is presented. The transversal size of the jaw was measured using a CT scan using the analysis of the University of Pennsylvania. The patient also underwent an analysis of the inclination of the molars and an assessment of the thickness of bone tissue before and after corticotomy. Results. The results showed that after corticotomy with bone grafting, skeletal expansion of the upper jaw occurred in patient V. Conclusions. As a result of the conducted research, this method has confirmed its effectiveness and has several advantages. Accordingly, in certain clinical cases, you can limit yourself to this method, excluding surgical expansion of the upper jaw with the installation of a distraction device.
{"title":"Corticotomy as a stage of complex treatment of orthodontic patients","authors":"A. R. Sergeenkova, N. S. Drobysheva","doi":"10.36377/1683-2981-2023-21-3-242-248","DOIUrl":"https://doi.org/10.36377/1683-2981-2023-21-3-242-248","url":null,"abstract":"Aim. To evaluate the effectiveness of the method of corticotomy with bone grafting with narrowing of the upper jaw for its expansion. Materials and methods. A clinical case of a 35-year-old patient with a narrowing of the upper jaw is presented. The transversal size of the jaw was measured using a CT scan using the analysis of the University of Pennsylvania. The patient also underwent an analysis of the inclination of the molars and an assessment of the thickness of bone tissue before and after corticotomy. Results. The results showed that after corticotomy with bone grafting, skeletal expansion of the upper jaw occurred in patient V. Conclusions. As a result of the conducted research, this method has confirmed its effectiveness and has several advantages. Accordingly, in certain clinical cases, you can limit yourself to this method, excluding surgical expansion of the upper jaw with the installation of a distraction device.","PeriodicalId":34648,"journal":{"name":"Endodontiia Today","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.36377/1683-2981-2023-21-3-222-226
D. A. Ostanina, A. M. Fulova, Yu. A. Mitronin, A. V. Mitronin
Diagnosis and treatment of pulp disease is one of the leading and widespread problems in dentistry. Clinicians are often faced with a dilemma when treating vital teeth with deep carious lesions and the development of reversible inflammation in the pulp tissue: whether to perform minimally invasive treatment to maintain pulp viability or to perform vital extirpation to prevent pulp necrosis, its further infection and prevention of apical periodontitis. To date, researchers and clinicians report that clinical recovery of the pulp with viable new bioactive materials is observed in 90% of cases provided that the inflammatory process in the pulp is diagnosed in the stage of reversibility. This article presents a clinical case of initial pulpitis treatment of teeth 1.5, 1.6 with the pulp-preserving method: direct pulp capping with bioactive cement Biodentine (Septodont). In the dynamics of observation after 1, 6, 12, 18 months teeth were asymptomatic and a favorable prognosis of the therapy was observed.
{"title":"Clinical case of preservation of teeth vitality during treatment of initial pulpitis","authors":"D. A. Ostanina, A. M. Fulova, Yu. A. Mitronin, A. V. Mitronin","doi":"10.36377/1683-2981-2023-21-3-222-226","DOIUrl":"https://doi.org/10.36377/1683-2981-2023-21-3-222-226","url":null,"abstract":"Diagnosis and treatment of pulp disease is one of the leading and widespread problems in dentistry. Clinicians are often faced with a dilemma when treating vital teeth with deep carious lesions and the development of reversible inflammation in the pulp tissue: whether to perform minimally invasive treatment to maintain pulp viability or to perform vital extirpation to prevent pulp necrosis, its further infection and prevention of apical periodontitis. To date, researchers and clinicians report that clinical recovery of the pulp with viable new bioactive materials is observed in 90% of cases provided that the inflammatory process in the pulp is diagnosed in the stage of reversibility. This article presents a clinical case of initial pulpitis treatment of teeth 1.5, 1.6 with the pulp-preserving method: direct pulp capping with bioactive cement Biodentine (Septodont). In the dynamics of observation after 1, 6, 12, 18 months teeth were asymptomatic and a favorable prognosis of the therapy was observed.","PeriodicalId":34648,"journal":{"name":"Endodontiia Today","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135929862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.36377/1683-2981-2023-21-3-212-221
I. A. Voronov, M. N. Melikova, S. A. Fokina, R. A. Avetisyan, T. A. Eliseeva, A. A. Malkova, A. V. Shegay
Aim. To analyze different methods of socket preservation. This procedure plays important role in the placement of implants, since due to this procedure, the bone that was left after the tooth extraction is going to be preserved. Also this procedure promote bone formation that is very significant for the reliable placement of implants. Materials and methods. Was produced the study of the publications from PubMed, Cyberleninka , Google Scholar during the systematic review of the literature.Selected and included articles, the content of which concerns different methods of the socket preservation and their role on the bone tissue. Results: 78 publications were reviewed. After analyzing the literature for inclusion criteria, the total number of publications has become 50. Conclusions. According to the analyzed data, there are different methods of the socket preservation that lead to a successful result. However there are some methods that lead to a deterioration result for some patients. Therefore, at this moment investigating different methods of the socket preservation is not ended.
的目标。分析不同的护套方法。这个过程在植入物的放置中起着重要的作用，因为由于这个过程，拔牙后留下的骨头将被保存下来。此外，这个过程促进骨形成，这对植入物的可靠放置非常重要。材料和方法。在对文献进行系统回顾期间，对PubMed, Cyberleninka, Google Scholar的出版物进行了研究。选择并收录的文章，内容涉及不同的窝保存方法及其对骨组织的作用。结果:共回顾文献78篇。在对文献进行纳入标准分析后，出版物总数已达到50篇。结论。根据分析的数据，有不同的套接字保存方法，导致成功的结果。然而，也有一些方法导致一些患者的恶化结果。因此，目前对套接字保存的不同方法的研究还没有结束。
{"title":"Methods of socket preservation: literature review","authors":"I. A. Voronov, M. N. Melikova, S. A. Fokina, R. A. Avetisyan, T. A. Eliseeva, A. A. Malkova, A. V. Shegay","doi":"10.36377/1683-2981-2023-21-3-212-221","DOIUrl":"https://doi.org/10.36377/1683-2981-2023-21-3-212-221","url":null,"abstract":"Aim. To analyze different methods of socket preservation. This procedure plays important role in the placement of implants, since due to this procedure, the bone that was left after the tooth extraction is going to be preserved. Also this procedure promote bone formation that is very significant for the reliable placement of implants. Materials and methods. Was produced the study of the publications from PubMed, Cyberleninka , Google Scholar during the systematic review of the literature.Selected and included articles, the content of which concerns different methods of the socket preservation and their role on the bone tissue. Results: 78 publications were reviewed. After analyzing the literature for inclusion criteria, the total number of publications has become 50. Conclusions. According to the analyzed data, there are different methods of the socket preservation that lead to a successful result. However there are some methods that lead to a deterioration result for some patients. Therefore, at this moment investigating different methods of the socket preservation is not ended.","PeriodicalId":34648,"journal":{"name":"Endodontiia Today","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.36377/1683-2981-2023-21-3-188-193
I. A. Paramonova, A. G. Volkov, N. Zh. Dikopova, M. S. Podporin, Yu. O. Paramonov, I. A. Nikolskaya
Aim. To study the antibacterial efficacy of the antiseptic drug Miramistin, activated by ultrasound of different frequencies, against pathogenic microorganisms of periodontal pockets, in an experiment. Materials and methods. As an antiseptic drug, the drug Miramistin 0.01% was used, which was activated using ultrasound of different frequencies: high-frequency (880 kHz) in continuous mode for 4 minutes, low-frequency (26.5 kHz) in continuous mode for 2 minutes. To conduct the study, clinical strains of microorganisms obtained from periodontal pockets with moderate periodontitis were used: S. sanguis, S. pyogenes, P. intermedia, C. albicans. The study was carried out using automatic programmable cultivation, using the RTS-8 system. The studied samples of the antiseptic drug were previously diluted in a nutrient broth in a ratio of 2:200. Results. In the course of the study, it was found that with respect to pathogenic microorganisms obtained from periodontal pockets with moderate periodontitis, Miramistin in a dilution of 2:200, activated by low-frequency ultrasound, showed more pronounced antibacterial effect compared to Miramistin activated by high-frequency ultrasound. Conclusions. In the treatment of periodontitis, to suppress the vital activity of pathogenic microorganisms, preference should be given to the combined effects of low-frequency ultrasound and the antiseptic drug Miramistin.
{"title":"Experimental study of the antibacterial efficacy of an antiseptic drug activated by ultrasound of different frequencies","authors":"I. A. Paramonova, A. G. Volkov, N. Zh. Dikopova, M. S. Podporin, Yu. O. Paramonov, I. A. Nikolskaya","doi":"10.36377/1683-2981-2023-21-3-188-193","DOIUrl":"https://doi.org/10.36377/1683-2981-2023-21-3-188-193","url":null,"abstract":"Aim. To study the antibacterial efficacy of the antiseptic drug Miramistin, activated by ultrasound of different frequencies, against pathogenic microorganisms of periodontal pockets, in an experiment. Materials and methods. As an antiseptic drug, the drug Miramistin 0.01% was used, which was activated using ultrasound of different frequencies: high-frequency (880 kHz) in continuous mode for 4 minutes, low-frequency (26.5 kHz) in continuous mode for 2 minutes. To conduct the study, clinical strains of microorganisms obtained from periodontal pockets with moderate periodontitis were used: S. sanguis, S. pyogenes, P. intermedia, C. albicans. The study was carried out using automatic programmable cultivation, using the RTS-8 system. The studied samples of the antiseptic drug were previously diluted in a nutrient broth in a ratio of 2:200. Results. In the course of the study, it was found that with respect to pathogenic microorganisms obtained from periodontal pockets with moderate periodontitis, Miramistin in a dilution of 2:200, activated by low-frequency ultrasound, showed more pronounced antibacterial effect compared to Miramistin activated by high-frequency ultrasound. Conclusions. In the treatment of periodontitis, to suppress the vital activity of pathogenic microorganisms, preference should be given to the combined effects of low-frequency ultrasound and the antiseptic drug Miramistin.","PeriodicalId":34648,"journal":{"name":"Endodontiia Today","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.36377/1683-2981-2023-21-3-205-211
M. Yu. Pokrovsky, O. A. Aleshina, T. P. Goryacheva, A. M. Pokrovskiy
Aim. To describe the radiological signs of a "missed" root canal when using CBCT based on verified clinical cases. Materials and methods. The study is based on the analysis of cases of endodontic treatment, which are associated with the detection of a "missed" root canal detected intraoperatively at the stage of primary endodontic treatment or at the stage of endodontic revision (repeated endodontic intervention). Clinical cases were verified by detecting the root canal during endodontic treatment using a microscope. Results. During the endodontic treatment of 2149 teeth, 506 "missed" canals were identified and verified using a microscope. Based on the comparison of cone-beam computed tomography data and clinical data obtained during the examination of teeth under a microscope, 7 signs of the presence of a "missed" root canal are described. General recommendations are given to improve the quality of root canal system diagnostics. Conclusions. The presented information contributes to improving the accuracy of diagnosis, proper planning and improving the effectiveness of endodontic treatment not only in endodontic revision (repeated root canal treatment), but also in primary endodontic treatment.
{"title":"Signs of a missed root canal","authors":"M. Yu. Pokrovsky, O. A. Aleshina, T. P. Goryacheva, A. M. Pokrovskiy","doi":"10.36377/1683-2981-2023-21-3-205-211","DOIUrl":"https://doi.org/10.36377/1683-2981-2023-21-3-205-211","url":null,"abstract":"Aim. To describe the radiological signs of a \"missed\" root canal when using CBCT based on verified clinical cases. Materials and methods. The study is based on the analysis of cases of endodontic treatment, which are associated with the detection of a \"missed\" root canal detected intraoperatively at the stage of primary endodontic treatment or at the stage of endodontic revision (repeated endodontic intervention). Clinical cases were verified by detecting the root canal during endodontic treatment using a microscope. Results. During the endodontic treatment of 2149 teeth, 506 \"missed\" canals were identified and verified using a microscope. Based on the comparison of cone-beam computed tomography data and clinical data obtained during the examination of teeth under a microscope, 7 signs of the presence of a \"missed\" root canal are described. General recommendations are given to improve the quality of root canal system diagnostics. Conclusions. The presented information contributes to improving the accuracy of diagnosis, proper planning and improving the effectiveness of endodontic treatment not only in endodontic revision (repeated root canal treatment), but also in primary endodontic treatment.","PeriodicalId":34648,"journal":{"name":"Endodontiia Today","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135929730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.36377/1683-2981-2023-21-3-199-204
N. I. Borisov, I. D. Ushnitsky
Aim. Based on the results of the study of the frequency and structure of complete loss of teeth in the upper and lower jaws, to determine the need of elderly and senile people in prosthetics with complete removable orthopedic structures. Materials and methods. A dental examination was carried out in 5,791 people aged 60 to 93 years. At the same time, on the recommendation of WHO, a key age group of 65-74 years was formed. The study took into account the topography of the absence of teeth, gender, age, the presence and evaluation of previously manufactured complete removable dentures and the need for prosthetics. Results. A high prevalence of complete loss of teeth on the upper and lower jaws was found in the examined age groups of elderly and senile age. The largest proportion of complete loss of teeth of the upper and lower jaws was revealed in the age group of 75-84 years. At the same time, in elderly people, complete adentia is detected mainly in women, since men occupy a quarter of the gender ratio. Meanwhile, taking into account the indications for reprosthetics and the absence of prostheses with complete loss of teeth, the need for the manufacture of orthopedic structures in the form of complete removable prostheses in the surveyed population is determined. Conclusions. The obtained results dictate the need to improve orthopedic rehabilitation of patients with complete loss of teeth in the upper and lower jaws, taking into account the data obtained on the structure and frequency of complete loss of teeth in elderly and senile people.
{"title":"Clinical and epidemiological characteristics of the frequency and structure of edentulism in elderly and senile people of the Republic of Sakha (Yakutia)","authors":"N. I. Borisov, I. D. Ushnitsky","doi":"10.36377/1683-2981-2023-21-3-199-204","DOIUrl":"https://doi.org/10.36377/1683-2981-2023-21-3-199-204","url":null,"abstract":"Aim. Based on the results of the study of the frequency and structure of complete loss of teeth in the upper and lower jaws, to determine the need of elderly and senile people in prosthetics with complete removable orthopedic structures. Materials and methods. A dental examination was carried out in 5,791 people aged 60 to 93 years. At the same time, on the recommendation of WHO, a key age group of 65-74 years was formed. The study took into account the topography of the absence of teeth, gender, age, the presence and evaluation of previously manufactured complete removable dentures and the need for prosthetics. Results. A high prevalence of complete loss of teeth on the upper and lower jaws was found in the examined age groups of elderly and senile age. The largest proportion of complete loss of teeth of the upper and lower jaws was revealed in the age group of 75-84 years. At the same time, in elderly people, complete adentia is detected mainly in women, since men occupy a quarter of the gender ratio. Meanwhile, taking into account the indications for reprosthetics and the absence of prostheses with complete loss of teeth, the need for the manufacture of orthopedic structures in the form of complete removable prostheses in the surveyed population is determined. Conclusions. The obtained results dictate the need to improve orthopedic rehabilitation of patients with complete loss of teeth in the upper and lower jaws, taking into account the data obtained on the structure and frequency of complete loss of teeth in elderly and senile people.","PeriodicalId":34648,"journal":{"name":"Endodontiia Today","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135928100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.36377/1683-2981-2023-21-3-194-198
V. V. Aliamovskii, V. N. Gorbunov
Aim. To assess compliance with clinical guidelines for periapical tissue diseases by dentists. Materials and methods. Evaluation of medical records in non-state medical organizations for compliance with the completeness of simple medical services was performed. In the process of evaluating the completeness of clinical guidelines, the sections of the requirements for outpatient diagnosis and treatment of periapical tissue diseases in complicated clinical cases were analyzed. A total of 9 cases of patients with periapical tissue pathology were analyzed. Results. Out of 22 simple therapeutic and diagnostic medical services (SMS) that should be performed for each patient with periapical tissue diseases, most of the mandatory PMU related to professional oral hygiene were not performed, or were performed in an insignificant number of cases. Recommendations for the selection of items and hygiene products integral to oral care education were given only to those patients (22.2%) who had a root apex resection surgery as part of the package of measures. In 100.0% of cases, dentists perform and record the following PMU: collection of anamnesis and complaints for oral pathology, visual examination for oral pathology, diagnosis of the state of the dentoalveolar system using methods and means of radiological imaging, description and interpretation of radiological images, instrumental and medicamentous treatment of root canal, root canal filling. Considering the requirements of clinical guidelines for outpatient diagnostics in periapical tissue diseases it must be noted that the following obligatory PMU are performed insufficiently: palpation of oral organs (33,3%), targeted intraoral contact radiography (33,3%), thermodiagnostics of tooth (11,1%). Conclusions. The conducted research has shown that there are considerable deviations from requirements of acting clinical recommendations in diagnostics and treatment of periapical tissue diseases which may be connected both with continuation of the steady treatment and diagnostic approaches existing for many decades and with lack of careful attitude of dentists to the new normative legal acts regulating their labor functions.
{"title":"Compliance of endodontic treatment with clinical guidelines for dental care in periapical diseases","authors":"V. V. Aliamovskii, V. N. Gorbunov","doi":"10.36377/1683-2981-2023-21-3-194-198","DOIUrl":"https://doi.org/10.36377/1683-2981-2023-21-3-194-198","url":null,"abstract":"Aim. To assess compliance with clinical guidelines for periapical tissue diseases by dentists. Materials and methods. Evaluation of medical records in non-state medical organizations for compliance with the completeness of simple medical services was performed. In the process of evaluating the completeness of clinical guidelines, the sections of the requirements for outpatient diagnosis and treatment of periapical tissue diseases in complicated clinical cases were analyzed. A total of 9 cases of patients with periapical tissue pathology were analyzed. Results. Out of 22 simple therapeutic and diagnostic medical services (SMS) that should be performed for each patient with periapical tissue diseases, most of the mandatory PMU related to professional oral hygiene were not performed, or were performed in an insignificant number of cases. Recommendations for the selection of items and hygiene products integral to oral care education were given only to those patients (22.2%) who had a root apex resection surgery as part of the package of measures. In 100.0% of cases, dentists perform and record the following PMU: collection of anamnesis and complaints for oral pathology, visual examination for oral pathology, diagnosis of the state of the dentoalveolar system using methods and means of radiological imaging, description and interpretation of radiological images, instrumental and medicamentous treatment of root canal, root canal filling. Considering the requirements of clinical guidelines for outpatient diagnostics in periapical tissue diseases it must be noted that the following obligatory PMU are performed insufficiently: palpation of oral organs (33,3%), targeted intraoral contact radiography (33,3%), thermodiagnostics of tooth (11,1%). Conclusions. The conducted research has shown that there are considerable deviations from requirements of acting clinical recommendations in diagnostics and treatment of periapical tissue diseases which may be connected both with continuation of the steady treatment and diagnostic approaches existing for many decades and with lack of careful attitude of dentists to the new normative legal acts regulating their labor functions.","PeriodicalId":34648,"journal":{"name":"Endodontiia Today","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135927968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.36377/1683-2981-2023-21-3-227-230
R. A. Mikhailik, T. A. Lopushanskaya, A. V. Tsimbalistov, N. A. Ogrina
Aim. To estimate the size of the areas of the skull holes along the course of the trigeminal nerve in dental patients with prosopalgia according to computed tomography. Materials and methods. Twenty seven dental patients were examined. Clinical methods of examination, palpation, assessment of the intensity pain manifestations using a visual analog scale of pain, clinical index Helkimo. Instrumental methods: gnathodynamometry, spiral computed tomography. Results. The article describes data on the condition of bone canals and skull holes of dental patients with facial pain. 27 dental patients with complaints of pain in the facial area were examined using a visual analog scale of pain, the clinical Helkimo index and spiral computed tomography. The method of measuring the bone channels and holes of the skull is described. Criteria for assessing the degree of asymmetry of bone structures are proposed. Conclusions. The factors of predisposition to prosopalgia of dental patients in the presence of narrowing and pronounced asymmetry of the size of the bone canals of the skull were revealed.
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