Stomatologiya最新文献

The aim the study. Evaluate the effectiveness of biofeedback therapy in the complex rehabilitation of masticatory muscle hypertonicity in patients with a high level of anxiety.

Material and methods: The study included 40 patients aged 20 to 32 years with complaints of fatigue and discomfort in the area of chewing muscles, teeth compression during the day, nocturnal bruxism, crowding of teeth. Two groups were formed: the study group, whose patients underwent splint therapy in combination with biofeedback therapy trainings; in the control group, patients received treatment with splint therapy without the use of biofeedback therapy. Electromyography of the masticatory muscles at rest and during compression were used to diagnose hypertonicity of the masticatory muscles. To assess the psycho-emotional state, a medical and social questionnaire was conducted using questionnaires: «Health Questionnaire», Beck Depression Inventory, Spielberger-Khanin Anxiety Scale, SF-16 Quality of Life Scale.

Results: A decrease in the level of depression, anxiety was revealed with the stabilization of emotional sensitivity in relation to other people, emotional involvement in everyday life, and an increase in the quality of life. When comparing electromyographic data at rest and during clenching of teeth in patients of the study group the indicators were lower than in the control group.

Conclusions: The effectiveness of biofeedback therapy at the stages of orthodontic treatment using splint therapy was established in the form of a decrease in the activity of masticatory muscles in patients of the study group. In the control group, the index of masticatory muscle activity decreased to a lesser extent. Biofeedback methods have shown a high level of effectiveness in reducing the symptoms of anxiety and depression, improving the quality of life.

Objective: Increasing the effectiveness of treatment of chronic generalized periodontitis using PDT based on clinical and functional substantiation of the effects of a photosensitizer.

Materials and methods: A clinical and functional study and treatment of moderate chronic generalized periodontitis was carried out in 62 people (26 men and 36 women) aged from 35 to 55 years without a somatic model with an orthognathic occlusion diagnosed according to ICD-10 - K05.3. Of these, 2 groups were divided depending on the type of treatment: Group 1 (main) - patients with moderate chronic generalized periodontitis - 32 people. (17 men and 15 women, average age of the group - 43.2±2.2 years); Group 2 (control) - patients with moderate chronic generalized periodontitis - 30 people. (14 men and 16 women, average age of the group - 44.0±3.3 years). Complex treatment consisted of sanitation of the mouth, removal of dental plaque and curettage of periodontal pockets in group 1, followed by PDT with Revixan gel using a special wired aligner REVIXAN DENTAL LED (16 r). The clinical condition of the periodontium was assessed using the Greene Vermillion Hygienic Index (OHI-S), the Mühlleman Bleeding Index (SBI) modified by Cowell, and the periodontal index PI. To study the state of microcirculation in the gum tissue, the laser Doppler flowmetry (LDF) method was used using the LAKK-M device (NPP «Lazma», Russia). The state of microcirculation was assessed by the microcirculation index (M), which characterizes the level of tissue blood flow; parameter - «σ», which determines the fluctuation of the erythrocyte flow. According to Wavelet analysis of LDF-grams, the shunt index (SH) of blood flow was determined. In the «LDF + spectrometry» mode, oxygenation in periodontal tissues was studied using optical tissue oximetry (OTO), based on the results of which the perfusion saturation index (Sm) and the specific oxygen consumption index (U, %) were determined.

Results: According to LDF data, after PDT (group 1), normalization of clinical indices and the level of microcirculation in periodontal tissues was established, which was accompanied by an increase in the level of blood flow (M) and its activity (σ), which persisted after 3 and 6 months. after PDT. The perfusion saturation index (Sm) and specific oxygen consumption (U) increased more significantly after PDT, which persisted after 3 and 6 months. In the control group, the dynamics of indicators was less pronounced.

Conclusion: The use of PDT with Revixan gel normalizes the clinical condition of the periodontium, indicators of microhemodynamics and oxygen metabolism.

The aim of this work is to study the mechanical properties of temporary composite crowns and temporary composite orthopedic structures manufactured by 3D printing.

Materials and methods: For the two studied groups of samples: the original 3D-printed samples and the poured samples from a composite material of a certain shape, 8 samples were made and visually checked for the absence of porosity. The strength and elasticity were measured using the three-point bending method and the hardness was measured using the indentation method.

Results: For both materials, the hardness, flexural strength and flexural elasticity show consistently high values required by GOST 24621-2015 (ISO 868:2003) [Plastics and ebonite] and GOST 4648-2014 (ISO 178:2010) [Plastics]. However, the statistical data on bending are higher for the composite material, with a larger spread of the elastic modulus value, in contrast to the 3D-printed samples.

Conclusion: Both materials are suitable for the manufacture of temporary orthopedic structures. For a more accurate assessment, it is necessary to continue studying the 3D-printed material for cytotoxicity, water absorption, and microstructure.

Objective: The aim of the study is to perform a systematic search, qualitative synthesis, and a meta-analysis of scientific publications on the prevalence and experience of dental caries among 15-year-old adolescents in the Arctic zone of the Russian Federation.

Materials and methods: A systematic review based on PRISMA guidelines. The review includes sources that describe the prevalence and intensity of caries in 15-year-old adolescents within the Arctic zone of the Russian Federation. Publications from 1998-2023 in English and Russian were searched for using the PubMed and eLIBRARY platforms. In total, 208 publications identified, but only 4 were included in meta-analysis.

Results: The total number of adolescents in the studies included in the review was 1567 with a significant proportion being residents of the Arkhangelsk region. The weighted prevalence of caries was 87.9% (95% CI: 83.7-91.7%). The statistically significant increase was registered only in the city of Norilsk. In Arkhangelsk, the increase in the prevalence of caries was accompanied by a decrease in the activity of the carious process, which was due to a significant decrease in the K component in the structure of the DMFT index.

Conclusion: The review provides the evidence on a high prevalence of caries among 15-year-old adolescents in Arctic Russia. Further research of the dental status of adolescents is warranted as well as the development of effective preventive measures on individual and population levels.

The aim of the study: Was to elaborate and assess biocompatible compositions based on oligocarbonate methacrylate filled with hydroxyapatite.

Materials and methods: The manufacturing methods of the compositions are considered, and their polymerization ability, strength and elastic properties are evaluated.

Results: The highest values of hardness and elasticity were found in the composition containing 0.50% by weight of diphenyl (2.4,6-trimethylbenzoate)phosphine oxide and 10% by weight of hydroxyapatite. Its compressive strength was comparable to bone tissue and dental cements.

Conclusion: The described composition can be used as a model system for assessing the physical and mechanical properties of materials used to fill defects in dental tissue and bone.

The study aims: To evaluate and compare the growth of gingiva around dental implants following the use of collagen matrices and connective tissue grafts (CTG).

Materials and methods: The study included 80 study participants, who were divided into four groups based on the type of material used to enhance gingival thickness. Two groups utilized collagen matrices, Fibro-Gide and FibroMatrix as materials, while the other two groups utilized CTG obtained from the hard palate or tubercle area of the maxilla as controls. Measurements of gum tissue thickness were obtained before surgery and three- and six-months following surgery using three different methods: mucosa piercing with a spreader and ruler, digital impression, and comparison of cone-beam computed tomography (CBCT) scans and digital impressions.

Results: At six-months examination after the use of grafts from the palate and tubercle, there was a significantly greater increase in gum tissue thickness compared to the use of collagen matrices. The increase was 1.6±0.3 mm and 1.7±0.6 mm for palatal and tubercle grafts, correspondingly, compared to 1.3±0.4 mm for Fibro-Gide and 0.9±0.5 mm for FibroMatrix.

Conclusion: To increase the thickness of soft tissue it is recommended to use CTG from the tubercle or palate. If there is a lack of available donor areas, collagen matrices may be used as a substitute.

The aim of the study: Was to investigate the dynamics of mandibular density in cancer patients during therapy with zolendronic acid.

Materials and methods: The study comprised 14 patients who received zolendronic acid at a dosage of 4 mg once every 28 days for bone metastases. In all 14 patients, measurements of mandibular density values on CT scans were performed over time.

Results: Using multiple linear regression analysis, a model was developed to predict the effect of the number of zolendronic acid injections «X₁» on the dynamics of mandibular density «Y». The resulting formula for predicting mandibular density is Y = 5.9 X₁ + 49 HU.

Conclusion: The model has limitations due to the study design but still can be used by oncologists and dentists to assess mandibular density in patients taking zolendronic acid.

Objective: Comparative study of changes in the secondary structure of dental biofilm proteins in people with cariesogenic and cariesoprotective status using synchrotron IR microspectroscopy.

Materials and methods: Dental biofilm samples from 50 patients without caries (group 1) and with carious lesions of tooth enamel (group 2) were studied. The molecular composition of biofilms was studied using IR microspectroscopy. Changes in the secondary structure of dental biofilm proteins were evaluated based on deconvolution of Amide I or Amide II amide bands. using the analysis of variance. Patients of both groups took tablets containing a mineral complex with calcium glycerophosphate.

Results: Based on the deconvolution of the IR spectral profile of the Amide I and Amide II bands, the changes occurring in the secondary structure of dental biofilm proteins have been studied. Using a large set of spectra, it was shown that the prediction of the secondary structure of the biofilm protein network is influenced by both the cariesogenic situation in the oral cavity (with initial carious lesions of the enamel) and the fact that patients use a modulator - calcium glycerophosphate (a tableted mineral complex with calcium glycerophosphate). Significant intra-group and intergroup differences in the secondary structure of dental biofilm proteins were established for patients in normal and carisogenic situations in the mouth, including after the use of a tableted mineral complex with calcium glycerophosphate. This allowed us to give a mathematical assessment of shifts in the secondary structure of proteins depending on the activity of caries and external modulation.

Conclusion: The results obtained can form the basis of a technique for spectroscopic diagnosis of changes (shifts) in the oral microbiome leading to the development of the carious process, as well as become the basis for choosing the optimal therapeutic ways to treat enamel caries, including through preventive measures aimed at restoring the microflora of the patient's oral cavity.

The aim of the study: Was to evaluate the use of Ketorol Express as a preventive analgesia to increase the effectiveness of local anesthesia in providing emergency dental care to patients with arterial hypertension.

Materials and methods: The study was conducted on the basis of the state autonomous healthcare institution of the Moscow region «Royal Dental Clinic» with the participation of 83 people. The patients were divided into two groups. In group 1, Ketorol Express was prescribed as a preventive analgesia in a dosage of 20 mg before local anesthesia. Patients of group 2 underwent dental interventions without the use of preventive analgesia. A 3% solution of mepivacaine was used as a local analgesic solution. For a subjective assessment of the effectiveness of anesthesia, use a visual analog scale. All patients had their blood pressure and heart rate measured before and after the interventions and hemodynamic parameters were continuously monitored during emergency dental care.

Results: In group 1, the effectiveness of combined anesthesia with the infiltration method of local anesthetic administration was 93±1.17%, according to the patient, 94±1.47%, according to the doctor, with the conductive method of anesthesia at the mandibular orifice - according to the patient it was 91±1.01%, according to the doctor 92± 1.36%. In group 2, when providing emergency dental care with the infiltration method of administration of 3% mepivacaine the anesthesia was effective in 80±1.97% of cases according to the patient and in 80±1.17% of cases according to the doctor, with the conductive method of anesthesia at the mandibular orifice, the effectiveness of anesthesia according to the patient was 82±1.11%, according to the doctor 85±1.23%.

Conclusion: The results of the study demonstrated a statistically significant increase in the effectiveness of local anesthesia performed with a 3% solution of mepivacaine in patients with arterial hypertension due to the use of preventive analgesia with Ketorol Express at a dosage of 20 mg (2 tablets of 10 mg) in emergency dental care with registration and analysis of changes in hemodynamic parameters.

The aim of the study: To assess the effectiveness of pulp revascularization procedure in children with external inflammatory root resorption (EIRR) after constant teeth injury.

Materials and methos: The study comprised 17 children aged 6-10 years diagnosed with EIRR as a long-term complication of dental trauma in 19 teeth. EIRR was diagnosed with periapical radiographs and CBCT was performed to further assess the pathology extension. Pulp revascularization was carried out in all 19 teeth.

Results: There was no resorption progression in all cases. EIRR areas were substituted by bone. In 10 from 19 teeth with early stages of root development bone or cement-like tissue ingrowth into the root canal was observed radiologically. In cases of severe EIRR this ingrowth may partially compensate for lost tissues which is confirmed by a high percentage (94.7%) of functional teeth during mean follow up time of 38±10 months.

Conclusion: Pulp revascularization is an effective method for retaining teeth with EIRR for a relatively long period of time and allows maintaining alveolar bone volume both due to functional tooth preservation and healing of bone lesions in periapical and resorption areas.