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Comparative evaluation of methods fordetermining the width of the upper jaw in growing patients 生长期患者上颌宽度测定方法的比较评价
Pub Date : 2023-11-01 DOI: 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.
的目标。对生长期患者上颌宽度测量方法进行比较评价,以确定这些标准值之间的差异,提高诊断水平。材料和方法。该研究对20名年龄分别为6岁、8岁、10岁和12岁的患者进行了研究。下颌横向尺寸的测量是在使用Ricketts头侧测量分析的额部头颅造影上进行的,以及使用宾夕法尼亚大学分析的CBCT扫描上进行的。结果。额位头颅造影与CBCT的测量结果指标基本一致,两种方法的数据差异不显著。结论。作为研究的结果,两种方法都证实了它们的可靠性,然而,锥束计算机断层扫描的分析有许多优点。因此,有可能简化诊断措施的实施,以确定上颌的宽度,将我们自己限制在一种研究方法-锥束计算机断层扫描,而无需规定额外的远程心动图。
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引用次数: 0
Some features of prevention of demineralization of hard tissues of teeth during orthodontic treatment of children with dental anomalies 畸牙儿童正畸治疗中预防牙硬组织脱矿的一些特点
Pub Date : 2023-11-01 DOI: 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.
的目标。探讨再矿化及卫生措施在预防牙槽畸形儿童、青少年使用固定正畸结构时牙硬组织脱矿的效果。材料和方法。我们检查了150名年龄在12至16岁的儿童和青少年的牙列异常与固定正畸结构。当开始对儿童牙槽系统异常进行正畸治疗时,我们从治疗和预防教育方法包括两个阶段的事实出发:第一阶段-一般阶段,他们详细解释如何在口腔内进行个人卫生程序,控制刷牙;第二阶段——专门化,其中包括儿童在这些特定条件下使用正畸器具进行口腔护理的特点,根据新的口腔临床情况进行口腔护理。结果。结果表明,牙槽畸形矫治过程中成功预防正畸并发症的条件是再矿化治疗、正确选择个体口腔卫生的方法和手段。
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引用次数: 0
Corticotomy as a stage of complex treatment of orthodontic patients 皮质切开术作为正畸患者复杂治疗的一个阶段
Pub Date : 2023-11-01 DOI: 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.
的目标。目的:探讨皮质切开术联合骨移植术治疗上颌扩张的效果。材料和方法。临床病例的一个35岁的病人狭窄的上颌是提出。下颌的横向尺寸是通过宾夕法尼亚大学的CT扫描来测量的。患者还接受了磨牙倾斜度分析和骨组织厚度评估前后皮质切开术。结果。结果显示,患者v在皮质切除术后植骨,上颌出现骨扩张。经过研究,证实了该方法的有效性和优越性。因此,在某些临床病例中,您可以限制自己使用这种方法,不包括通过安装牵引装置进行上颌手术扩张。
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引用次数: 0
Clinical case of preservation of teeth vitality during treatment of initial pulpitis 原发性牙髓炎治疗中保持牙齿活力的临床观察
Pub Date : 2023-10-31 DOI: 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.
牙髓疾病的诊断和治疗是牙医学的主要和广泛的问题之一。临床医生在治疗深部龋齿及牙髓组织可逆性炎症发展的生命牙时,往往面临着一个两难的问题:是通过微创治疗维持牙髓活力,还是进行生命摘除以防止牙髓坏死及其进一步感染,预防根尖牙周炎。迄今为止,研究人员和临床医生报告说,在90%的病例中,如果牙髓的炎症过程被诊断为可逆性阶段,则可以观察到牙髓的临床恢复。本文报道1例1.5、1.6牙首发牙髓炎的保髓方法:生物活性骨水泥Biodentine (septo不)直接盖髓。动态观察1、6、12、18个月后牙无症状,治疗预后良好。
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引用次数: 0
Methods of socket preservation: literature review 保存牙套的方法:文献回顾
Pub Date : 2023-10-31 DOI: 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。
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引用次数: 0
Experimental study of the antibacterial efficacy of an antiseptic drug activated by ultrasound of different frequencies 不同频率超声激活抗菌药物抑菌效果的实验研究
Pub Date : 2023-10-31 DOI: 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.
的目标。通过实验研究不同频率超声激活抗菌药物Miramistin对牙周袋病原菌的抑菌效果。材料和方法。抗菌药物使用0.01%的药物Miramistin,使用不同频率的超声激活:高频(880 kHz)连续4分钟,低频(26.5 kHz)连续2分钟。为了进行研究,使用了从中度牙周炎患者的牙周袋中获得的临床微生物菌株:血链球菌、化脓性链球菌、中间假单胞菌、白色假单胞菌。本研究采用RTS-8系统进行自动可编程培养。所研究的抗菌药物样品先前在营养肉汤中以2:200的比例稀释。结果。在研究过程中发现,对于中度牙周炎患者牙周袋中获得的病原微生物,低频超声激活的Miramistin比高频超声激活的Miramistin抑菌效果更明显。结论。在牙周炎的治疗中,为了抑制病原微生物的生命活动,应优先考虑低频超声与抗菌药物米拉米司汀的联合作用。
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引用次数: 0
Signs of a missed root canal 有遗漏根管的迹象
Pub Date : 2023-10-31 DOI: 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.
的目标。根据临床病例,描述使用CBCT时“遗漏”根管的影像学征象。材料和方法。本研究基于对根管治疗病例的分析,这些病例与术中在初级根管治疗阶段或在根管翻修阶段(重复根管干预)发现“遗漏”根管有关。临床病例通过在根管治疗过程中使用显微镜检测根管进行验证。结果。在2149颗牙齿的根管治疗过程中,在显微镜下发现并验证了506个“遗漏”的根管。根据锥形束计算机断层扫描数据和在显微镜下检查牙齿时获得的临床数据的比较,描述了7种“遗漏”根管存在的迹象。提出了提高根管系统诊断质量的一般建议。结论。本文所提供的信息有助于提高根管翻修(重复根管治疗)以及初级根管治疗的诊断准确性、合理规划和提高治疗效果。
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引用次数: 0
Clinical and epidemiological characteristics of the frequency and structure of edentulism in elderly and senile people of the Republic of Sakha (Yakutia) 萨哈共和国(雅库特)老年人牙补牙频率和结构的临床和流行病学特征
Pub Date : 2023-10-31 DOI: 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.
的目标。通过对上下颌骨牙齿完全脱落的频率和结构的研究结果,确定老年人对具有完全可移动矫形结构的义肢的需求。材料和方法。对5791名年龄在60岁至93岁之间的人进行了牙齿检查。同时,根据世卫组织的建议,形成了65-74岁的关键年龄组。该研究考虑了缺牙的地形、性别、年龄、以前制造的全活动义齿的存在和评估以及对义齿的需求。结果。在老年人和老年年龄组中,发现上颌和下颌牙齿完全脱落的患病率很高。75 ~ 84岁年龄组的上颌和下颚牙齿完全脱落比例最大。与此同时,在老年人中,完全痴呆主要发生在女性身上,因为男性占性别比例的四分之一。同时,考虑到再修复的适应症和牙齿完全缺失的假体的缺失,确定了在调查人群中制造完全可移动假体形式的矫形结构的需求。结论。研究结果表明,考虑到老年人和老年人牙齿完全脱落的结构和频率数据,需要提高上颌和下颌完全脱落患者的骨科康复水平。
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引用次数: 0
Compliance of endodontic treatment with clinical guidelines for dental care in periapical diseases 根管治疗与根尖周围疾病牙科护理临床指南的依从性
Pub Date : 2023-10-31 DOI: 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.
的目标。评估牙医对根尖周围组织疾病临床指南的依从性。材料和方法。对非国家医疗机构的病历进行了评估,以确定其是否符合简单医疗服务的完整性。在评价临床指南完整性的过程中,分析了临床复杂病例中根尖周围组织疾病门诊诊疗要求的章节。对9例根尖周围组织病理患者进行分析。结果。在每个根尖周围组织疾病患者应进行的22项简单治疗和诊断医疗服务(SMS)中,大多数与专业口腔卫生有关的强制性PMU没有进行,或者在极少数情况下进行了。仅对那些(22.2%)将根尖切除手术作为一揽子措施的一部分的患者提供了选择项目和卫生用品作为口腔保健教育的一部分的建议。在100.0%的病例中,牙医执行并记录了以下PMU:收集口腔病理的记忆和主诉,口腔病理的目视检查,使用放射成像方法和手段诊断牙槽系统的状态,放射图像的描述和解释,根管的器械和药物治疗,根管填充。考虑到临床指南对根尖周围组织疾病门诊诊断的要求,必须指出的是,以下强制性PMU的执行力度不够:口腔器官触诊(33.3%),有针对性的口内接触x线摄影(33.3%),牙齿热诊断(11.1%)。结论。所进行的研究表明,在根尖周围组织疾病的诊断和治疗中,与临床建议的要求存在相当大的偏差,这可能与数十年来持续存在的稳定治疗和诊断方法以及牙医对规范其劳动功能的新规范性法律行为缺乏谨慎的态度有关。
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引用次数: 0
Differential diagnosis of prosopalgia of dental patients 牙病患者面痛的鉴别诊断
Pub Date : 2023-10-31 DOI: 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.
的目标。目的:利用计算机断层成像技术估计牙病人面痛患者沿三叉神经走行方向的颅孔面积。材料和方法。对27例牙科患者进行了检查。临床检查方法,触诊,疼痛表现评估强度采用视觉疼痛模拟量表,临床指标Helkimo。仪器方法:口腔测定仪,螺旋计算机断层扫描。结果。本文介绍了面部疼痛患者的骨管和颅骨孔的情况。采用视觉模拟疼痛量表、临床Helkimo指数和螺旋计算机断层扫描对27例主诉面部疼痛的牙科患者进行了检查。描述了测量颅骨骨通道和骨孔的方法。提出了评估骨结构不对称程度的标准。结论。揭示了在颅骨骨管狭窄和明显不对称的情况下,牙科患者易患体痛的因素。
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引用次数: 0
期刊
Endodontiia Today
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