Pub Date : 2023-05-22DOI: 10.18481/2077-7566-2023-19-1-110-120
A. Shishmareva, E. Bimbas, Elizaveta Khelashvili, E. Menshikova, Aleksandr Plotnikov, Uliya Shishmareva, Lyudmila Vorozhcova
The problem of studying the prevalence of dentofacial abnormalities in children in the Sverdlovsk region is relevant, as the data for different regions are differ, which is confirmed by the heterogeneity of indicators and statistics in the research. In 2022, an epidemiological study was conducted among the children's population of 4 cities of the Sverdlovsk region to study the prevalence of dentofacial abnormalities in the age groups 3–5, 6, 12 and 15 years, a total of 455 children were examined. Registration of dentofacial abnormalities was carried out in the author's card of dentofacial system disorders developed, using the classifications of MGMSU and ICD-10. Statistical processing of the data obtained was carried out in STATISTICA 13.3. The study revealed a high prevalence of dentofacial abnormalities in children in the Sverdlovsk region – 71.43% ± 2.12. With age, there is a tendency to increase the frequency of dentofacial abnormalities: in children 3–5 years of dentofacial abnormalities were in 34.85% ± 5.87 cases; in the group of 6-year-olds – in 70.18% ± 4.28; and in groups of 12-year-old and 15-year-old children – 81.38% ± 3.23 and 80.00%. It was revealed that the older the children are, the more likely they have severe malocclusion compared to children aged 3–5 and 6. The groups noted high rates of dentition deformities, the number of which also increases with age (decrease in the length of the upper dentition was detected in 36.26% ± 2.25, the lower dentition – in 47.47% ± 2.34 of cases; narrowing of the upper dentition – in 55.60 ± 2.33%, lower dentition – in 45.49% ± 2.33 of cases). Dentition deformities are associated with the development of teeth abnormalities, such as teeth retention (13.10% ± 2.80 and 9.23% ± 2.54 of cases in 12- and 15-year-old children, respectively), as well as mandibular displacement (displacement to the side was detected in 22.20% ± 1.95 of cases). Performed study is justification for the development and implementation of a regional program for the prevention of dental diseases in children of the Sverdlovsk region.
{"title":"THE PREVALENCE OF DENTOFACIAL ABNORMALITIES OF CHILDREN IN THE SVERDLOVSK REGION","authors":"A. Shishmareva, E. Bimbas, Elizaveta Khelashvili, E. Menshikova, Aleksandr Plotnikov, Uliya Shishmareva, Lyudmila Vorozhcova","doi":"10.18481/2077-7566-2023-19-1-110-120","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-1-110-120","url":null,"abstract":"The problem of studying the prevalence of dentofacial abnormalities in children in the Sverdlovsk region is relevant, as the data for different regions are differ, which is confirmed by the heterogeneity of indicators and statistics in the research. In 2022, an epidemiological study was conducted among the children's population of 4 cities of the Sverdlovsk region to study the prevalence of dentofacial abnormalities in the age groups 3–5, 6, 12 and 15 years, a total of 455 children were examined. Registration of dentofacial abnormalities was carried out in the author's card of dentofacial system disorders developed, using the classifications of MGMSU and ICD-10. Statistical processing of the data obtained was carried out in STATISTICA 13.3. The study revealed a high prevalence of dentofacial abnormalities in children in the Sverdlovsk region – 71.43% ± 2.12. With age, there is a tendency to increase the frequency of dentofacial abnormalities: in children 3–5 years of dentofacial abnormalities were in 34.85% ± 5.87 cases; in the group of 6-year-olds – in 70.18% ± 4.28; and in groups of 12-year-old and 15-year-old children – 81.38% ± 3.23 and 80.00%. It was revealed that the older the children are, the more likely they have severe malocclusion compared to children aged 3–5 and 6. The groups noted high rates of dentition deformities, the number of which also increases with age (decrease in the length of the upper dentition was detected in 36.26% ± 2.25, the lower dentition – in 47.47% ± 2.34 of cases; narrowing of the upper dentition – in 55.60 ± 2.33%, lower dentition – in 45.49% ± 2.33 of cases). Dentition deformities are associated with the development of teeth abnormalities, such as teeth retention (13.10% ± 2.80 and 9.23% ± 2.54 of cases in 12- and 15-year-old children, respectively), as well as mandibular displacement (displacement to the side was detected in 22.20% ± 1.95 of cases). Performed study is justification for the development and implementation of a regional program for the prevention of dental diseases in children of the Sverdlovsk region.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"470 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120940000","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 : 2023-05-22DOI: 10.18481/2077-7566-2023-19-1-64-69
O. Uspenskaya, N. Kazarina, Alina Shaykhutdinova, Khadizhat Magomedova
Desquamative glossitis is a disease characterized by an unclear etiology, torpidity of the course, recurrence-proneness. The mechanism underlying the disease development is cellular kinetics disorders. The essential micronutrient zinc is an apoptotic inhibitor in various cellular systems, including the epithelium. Methodology. The study involved 33 patients with desquamative glossitis. In all cases, traditional local treatment with keratoplastics was prescribed, supplemented with the appointment of zinc-containing toothpaste (contains zinc lactate) and an oral preparation containing zinc oxide (2 mg in one tablet). The determination of zinc in the oral fluid was carried out using a method of mass spectrometry with an ion source in the form of inductively coupled plasma (ICP-MS). Units of measurement mmol/l. Results. When prescribing zinc preparations of general and/or local action, the concentration of zinc in the oral fluid increases in each group (*p < 0.05,**p < 0.001). The rate of epithelization of lesions with desquamative glossitis is higher when taking zinc preparations orally, while the maximum rate of epithelization is observed with simultaneous local and general use of zinc-containing agents (p < 0.05). Conclusion. Our study demonstrated the clinical effectiveness of zinc-containing drugs in the treatment of desquamative glossitis, which is confirmed by an increase in the rate of epithelialization and a decrease in the area of lesions when they are used with the registration of an increase in the level of zinc in the oral fluid.
{"title":"THE ROLE OF ZINC IN THE TREATMENT OF DESQUAMATIVE GLOSSITIS","authors":"O. Uspenskaya, N. Kazarina, Alina Shaykhutdinova, Khadizhat Magomedova","doi":"10.18481/2077-7566-2023-19-1-64-69","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-1-64-69","url":null,"abstract":"Desquamative glossitis is a disease characterized by an unclear etiology, torpidity of the course, recurrence-proneness. The mechanism underlying the disease development is cellular kinetics disorders. The essential micronutrient zinc is an apoptotic inhibitor in various cellular systems, including the epithelium. \u0000Methodology. The study involved 33 patients with desquamative glossitis. In all cases, traditional local treatment with keratoplastics was prescribed, supplemented with the appointment of zinc-containing toothpaste (contains zinc lactate) and an oral preparation containing zinc oxide (2 mg in one tablet). The determination of zinc in the oral fluid was carried out using a method of mass spectrometry with an ion source in the form of inductively coupled plasma (ICP-MS). Units of measurement mmol/l. \u0000Results. When prescribing zinc preparations of general and/or local action, the concentration of zinc in the oral fluid increases in each group (*p < 0.05,**p < 0.001). \u0000The rate of epithelization of lesions with desquamative glossitis is higher when taking zinc preparations orally, while the maximum rate of epithelization is observed with simultaneous local and general use of zinc-containing agents (p < 0.05). \u0000Conclusion. Our study demonstrated the clinical effectiveness of zinc-containing drugs in the treatment of desquamative glossitis, which is confirmed by an increase in the rate of epithelialization and a decrease in the area of lesions when they are used with the registration of an increase in the level of zinc in the oral fluid.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133328264","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 : 2023-05-22DOI: 10.18481/2077-7566-2023-19-1-52-56
M. Nagaeva, Anna Bútorová, Taisia Klimova, Aleksandra Tomilova
Objectives. To determine the prevalence and severity of alexithymia in patients with oral manifestation of lichen planus (LP). Methodology. The study involved 90 young and middle-aged patients (mean age 49.4 ± 8.9 years). The patients were divided into 3 groups: group 1 – 34 people with oral manifestations of LP, group 2 – 16 people with leukoplakia, group 3 – 40 people without clinical manifestations of diseases of the oral mucosa. A dental examination was conducted, including an assessment of the condition of the oral mucosa, and a standardized questionnaire survey using a Russian-language validated version of the 20-point Toronto Alexithymia Scale. Results. Alexithymia was detected in 55.88% with various forms of LP, which is statistically 2.2 times higher (p < 0.001) than in patients with leukoplakia of the oral mucosa (25%) and 5.6 times higher (p < 0.001) than in patients of group 3 who do not have diseases of the oral mucosa. The average score of alexithymia in patients with LP was 80.5 ± 2.7 points, which is statistically significantly higher than in the group of patients with leukoplakia (61.0 ± 4.2 points, p = 0.006) and in the control group (44.1 ± 2.9 points, p < 0.001). A higher incidence of alexithymia was revealed in patients with exudative hyperemic form (58.33%, P1 = 0.041) and erosive-ulcerative form of LP (57.14%, p = 0.049). Quantitative assessment of alexithymia showed that among patients with LP, the greatest severity of alexithymia was found in patients with exudative hyperemic form of LP – 85.9 = 1.5 points, (p < 0.001). Conclusion. The data obtained allow us to consider LP as a disease in the development of which there is a psychosomatic component. The presence of alexithymia and the degree of its severity can be considered as a predictive or predictive candidate factor.
{"title":"PSYCHOSOMATIC ASPECTS IN THE COURSE OF LICHEN PLANUS OF THE ORAL MUCOSA","authors":"M. Nagaeva, Anna Bútorová, Taisia Klimova, Aleksandra Tomilova","doi":"10.18481/2077-7566-2023-19-1-52-56","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-1-52-56","url":null,"abstract":"Objectives. To determine the prevalence and severity of alexithymia in patients with oral manifestation of lichen planus (LP). \u0000Methodology. The study involved 90 young and middle-aged patients (mean age 49.4 ± 8.9 years). The patients were divided into 3 groups: group 1 – 34 people with oral manifestations of LP, group 2 – 16 people with leukoplakia, group 3 – 40 people without clinical manifestations of diseases of the oral mucosa. A dental examination was conducted, including an assessment of the condition of the oral mucosa, and a standardized questionnaire survey using a Russian-language validated version of the 20-point Toronto Alexithymia Scale. \u0000Results. Alexithymia was detected in 55.88% with various forms of LP, which is statistically 2.2 times higher (p < 0.001) than in patients with leukoplakia of the oral mucosa (25%) and 5.6 times higher (p < 0.001) than in patients of group 3 who do not have diseases of the oral mucosa. The average score of alexithymia in patients with LP was 80.5 ± 2.7 points, which is statistically significantly higher than in the group of patients with leukoplakia (61.0 ± 4.2 points, p = 0.006) and in the control group (44.1 ± 2.9 points, p < 0.001). A higher incidence of alexithymia was revealed in patients with exudative hyperemic form (58.33%, P1 = 0.041) and erosive-ulcerative form of LP (57.14%, p = 0.049). Quantitative assessment of alexithymia showed that among patients with LP, the greatest severity of alexithymia was found in patients with exudative hyperemic form of LP – 85.9 = 1.5 points, (p < 0.001). \u0000Conclusion. The data obtained allow us to consider LP as a disease in the development of which there is a psychosomatic component. The presence of alexithymia and the degree of its severity can be considered as a predictive or predictive candidate factor.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"202 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132641419","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 : 2023-05-22DOI: 10.18481/2077-7566-2023-19-1-12-18
Y. Melnikov, S. Zholudev
The main attention in dental procedures is paid to the preservation and restoration of their own teeth. In case of tooth loss, permanent prosthetics based on dental implants is a good treatment option with high rates of clinical success. An integrated approach to diagnosis and treatment with the involvement of related specialists ensures the long-term success of prostheses both based on implants and natural teeth. To restore the defect of the dentition, most often you can offer the patient removable and non-removable prosthetics or the use of dental implants. Dental implants have a high clinical success nowadays since 1984 when they were proposed by Branemark. And also they have some advantages over removable dentures with support for natural teeth. Fixed prostheses on implants improve the patients quality of life. However, dental implants are accompanied by physical and psychological stress due to surgery, duration of treatment, complications and high cost. Therefore, when deciding on tooth extraction and restoration of chewing efficiency using implants, specialists should take into account possible options for preserving the tooth.
{"title":"DENTAL PRESERVATION PROCEDURES OR DENTAL IMPLANTS. LONG-TERM FORECAST","authors":"Y. Melnikov, S. Zholudev","doi":"10.18481/2077-7566-2023-19-1-12-18","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-1-12-18","url":null,"abstract":"The main attention in dental procedures is paid to the preservation and restoration of their own teeth. In case of tooth loss, permanent prosthetics based on dental implants is a good treatment option with high rates of clinical success. An integrated approach to diagnosis and treatment with the involvement of related specialists ensures the long-term success of prostheses both based on implants and natural teeth. \u0000To restore the defect of the dentition, most often you can offer the patient removable and non-removable prosthetics or the use of dental implants. Dental implants have a high clinical success nowadays since 1984 when they were proposed by Branemark. And also they have some advantages over removable dentures with support for natural teeth. Fixed prostheses on implants improve the patients quality of life. However, dental implants are accompanied by physical and psychological stress due to surgery, duration of treatment, complications and high cost. Therefore, when deciding on tooth extraction and restoration of chewing efficiency using implants, specialists should take into account possible options for preserving the tooth.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127868242","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 : 2023-05-22DOI: 10.18481/2077-7566-2023-19-1-126-132
N. Brandt, S. Verdiyan, S. Lebedenko, Martiros S. Sarkisyan, I. Lebedenko
Subject. Ceramics based on zirconia can fluoresce through the additional application of fluorescent glazes, fluorescent dyes, as well. To date, there are no methods for assessing the fluorescence of dental materials used in prosthetics. The aim –– Development of a method for quantitative determination of the fluorescence intensity of dental prosthetic materials. Methodology. The study was conducted in the laboratory of the Faculty of Physics of Moscow State University. Fluorescence was excited by an ultraviolet lamp. The fluorescence spectra of the samples were measured using the Ocean Optics fiber optic spectrofluorometer. Ceramic billets made of zirconia "Ziceram T" A2 of domestic production without and with the staining of fluorescent glaze "Ivocolor fluo", as well as natural teeth were used as samples for patients. Results. Samples of domestic zirconia acquire fluorescent properties after applying and sintering the fluorescent glaze. The varied number of layers of the applied glaze explains why the fluorescence intensity increases. The authors compare the fluorescence spectra of two natural teeth with the spectra of zirconia samples with two and three layers of glaze. The spectra coincide well with each other in pairs. A fluorescence spectrum that is similar to one of the natural tooth samples can thus be achieved by varying the number of glaze layers. Conclusions. The analysis of the fluorescence spectra of samples of zirconia from domestic production after application and sintering of fluorescent glaze shows a similar fluorescence spectrum to samples of natural teeth.
{"title":"QUANTITATIVE ASSESSMENT OF DENTAL PROSTHETIC FLUORESCENCE","authors":"N. Brandt, S. Verdiyan, S. Lebedenko, Martiros S. Sarkisyan, I. Lebedenko","doi":"10.18481/2077-7566-2023-19-1-126-132","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-1-126-132","url":null,"abstract":"Subject. Ceramics based on zirconia can fluoresce through the additional application of fluorescent glazes, fluorescent dyes, as well. To date, there are no methods for assessing the fluorescence of dental materials used in prosthetics. \u0000The aim –– Development of a method for quantitative determination of the fluorescence intensity of dental prosthetic materials. \u0000Methodology. The study was conducted in the laboratory of the Faculty of Physics of Moscow State University. Fluorescence was excited by an ultraviolet lamp. The fluorescence spectra of the samples were measured using the Ocean Optics fiber optic spectrofluorometer. Ceramic billets made of zirconia \"Ziceram T\" A2 of domestic production without and with the staining of fluorescent glaze \"Ivocolor fluo\", as well as natural teeth were used as samples for patients. \u0000Results. Samples of domestic zirconia acquire fluorescent properties after applying and sintering the fluorescent glaze. The varied number of layers of the applied glaze explains why the fluorescence intensity increases. The authors compare the fluorescence spectra of two natural teeth with the spectra of zirconia samples with two and three layers of glaze. The spectra coincide well with each other in pairs. A fluorescence spectrum that is similar to one of the natural tooth samples can thus be achieved by varying the number of glaze layers. \u0000Conclusions. The analysis of the fluorescence spectra of samples of zirconia from domestic production after application and sintering of fluorescent glaze shows a similar fluorescence spectrum to samples of natural teeth.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116834281","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 : 2023-05-22DOI: 10.18481/2077-7566-2023-19-1-80-86
E. Diachkova, S. Tarasenko, E. Morozova, I. Repin, A. Li, Hesham AL-Shrani, Svetlana Bokereva, I. Demyanenko, Georgy Gevorkov
Subject. The periimplantitis management and prophylaxis technique using xenogenic collagen gel and laser technique, analysis of their results. Aim. To evaluate the effect of periimplantitis management and prophylaxis with xenogenic collagen gel and laser technique. Methodology. The study was conducted on the basis of Sechenov University from 2020 to 2022. The study included ten patients with diagnosed peri-implantitis (age range 28–45 years, median is 35 years). All patients underwent professional hygiene followed by division into 2 groups by random sampling: patients of group 1 were injected with xenogenic collagen gel in the area of the peri-implant pocket and in the soft tissues around the dental implant in the area of alveolar bone resorption, patients of group 2 were subjected to laser bactericidal treatment of peri-implant pockets. The results were evaluated by the depth of probing of the peri-implant pocket and the clinical symptoms of the disease, the presence of adverse outcomes after the application of the techniques. Results. During 12 months of observation, a decrease in the depth of the peri-implant pocket during probing was noted by an average of 3 mm from the initial depth in both groups (p < 0.05), an increase in the volume of soft tissues around the implants, mainly when xenogenic gel was used (p < 0.05). Conclusions. Xenogenic collagen gel and laser microbiocidal treatment of peri-implant pockets may be an alternative treatment for peri-implantitis after full-fledged randomized clinical multicenter trials.
{"title":"XENOGENIC COLLAGEN GEL AND LASER LIGHT IN PROPHYLAXIS AND MANAGEMENT OF PERIIMPLANTITIS: A PILOT STUDY","authors":"E. Diachkova, S. Tarasenko, E. Morozova, I. Repin, A. Li, Hesham AL-Shrani, Svetlana Bokereva, I. Demyanenko, Georgy Gevorkov","doi":"10.18481/2077-7566-2023-19-1-80-86","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-1-80-86","url":null,"abstract":"Subject. The periimplantitis management and prophylaxis technique using xenogenic collagen gel and laser technique, analysis of their results. \u0000Aim. To evaluate the effect of periimplantitis management and prophylaxis with xenogenic collagen gel and laser technique. \u0000Methodology. The study was conducted on the basis of Sechenov University from 2020 to 2022. The study included ten patients with diagnosed peri-implantitis (age range 28–45 years, median is 35 years). All patients underwent professional hygiene followed by division into 2 groups by random sampling: patients of group 1 were injected with xenogenic collagen gel in the area of the peri-implant pocket and in the soft tissues around the dental implant in the area of alveolar bone resorption, patients of group 2 were subjected to laser bactericidal treatment of peri-implant pockets. The results were evaluated by the depth of probing of the peri-implant pocket and the clinical symptoms of the disease, the presence of adverse outcomes after the application of the techniques. \u0000Results. During 12 months of observation, a decrease in the depth of the peri-implant pocket during probing was noted by an average of 3 mm from the initial depth in both groups (p < 0.05), an increase in the volume of soft tissues around the implants, mainly when xenogenic gel was used (p < 0.05). \u0000Conclusions. Xenogenic collagen gel and laser microbiocidal treatment of peri-implant pockets may be an alternative treatment for peri-implantitis after full-fledged randomized clinical multicenter trials.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123877096","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 : 2023-05-22DOI: 10.18481/2077-7566-2023-19-1-92-98
Georgiy Parfenyuk, A. Lepilin, Ivan Parfenyk, Valery Bashkov
The subject of the study is the prospects of implementing the method of X-ray densitometry in preparation for dental implantation (DI) in patients with chronic kidney disease (CKD). The aim of the study was to determine the diagnostic significance of densitometry results (frequency and severity of BMD) in middle-aged patients with various stages of CKD and healthy controls when choosing a method of dental implantation. Methodology. We selected 203 ambulatory charts of middle-aged patients which underwent dual-energy X-ray absorptiometry (DXA) with DTX 200 densitometer (Denmark) on the basis of Saratov Regional Center of Osteoporosis Prevention and Treatment and osteoporosis centers. Results and discussion. The somatic pathology of the examined persons was represented by: diseases of cardiovascular system, kidney diseases, rheumatologic diseases, combination of cardiovascular diseases and kidney diseases and cardiovascular and rheumatologic diseases. Data on the periodontal status of those examined were unknown. Twelve groups of examinees were distinguished according to gender, glomerular filtration rate (GFR). Two other gender groups were patients on outpatient hemodialysis. BMD in CHD depends on patient's sex, somatic pathology and the nature of treatment, stage of the disease. As the disease severity increases, the number of patients with normal BMD decreases, the number of patients with low BMD increases, with osteopenia diagnosed in every third of both genders, and osteoporosis (OD) in every third man and every second woman. The pathology itself, regardless of the patient's gender, is of decisive importance in the development of a decreased BMD in patients with somatic pathology. It is important for MDI to distinguish forms of renal osteodystrophy (ROD), but X-ray densitometry cannot distinguish OP from several forms of ROD. Conclusions. In middle-aged individuals, X-ray densitometry should be performed as a mandatory examination for the timely detection of OP. For outpatient dental patients with CKD, we suggest not to test for MPCT by this method prior to MDI.
{"title":"THE USE OF STRUCTURAL CHANGES IN BONE TISSUE IN DENTAL PRACTICE AND THE POSSIBILITY OF THEIR USE IN THE EXAMINATION OF PATIENTS WITH CHRONIC KIDNEY DISEASE.","authors":"Georgiy Parfenyuk, A. Lepilin, Ivan Parfenyk, Valery Bashkov","doi":"10.18481/2077-7566-2023-19-1-92-98","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-1-92-98","url":null,"abstract":"The subject of the study is the prospects of implementing the method of X-ray densitometry in preparation for dental implantation (DI) in patients with chronic kidney disease (CKD). \u0000The aim of the study was to determine the diagnostic significance of densitometry results (frequency and severity of BMD) in middle-aged patients with various stages of CKD and healthy controls when choosing a method of dental implantation. \u0000Methodology. We selected 203 ambulatory charts of middle-aged patients which underwent dual-energy X-ray absorptiometry (DXA) with DTX 200 densitometer (Denmark) on the basis of Saratov Regional Center of Osteoporosis Prevention and Treatment and osteoporosis centers. \u0000Results and discussion. The somatic pathology of the examined persons was represented by: diseases of cardiovascular system, kidney diseases, rheumatologic diseases, combination of cardiovascular diseases and kidney diseases and cardiovascular and rheumatologic diseases. Data on the periodontal status of those examined were unknown. Twelve groups of examinees were distinguished according to gender, glomerular filtration rate (GFR). Two other gender groups were patients on outpatient hemodialysis. \u0000BMD in CHD depends on patient's sex, somatic pathology and the nature of treatment, stage of the disease. As the disease severity increases, the number of patients with normal BMD decreases, the number of patients with low BMD increases, with osteopenia diagnosed in every third of both genders, and osteoporosis (OD) in every third man and every second woman. The pathology itself, regardless of the patient's gender, is of decisive importance in the development of a decreased BMD in patients with somatic pathology. It is important for MDI to distinguish forms of renal osteodystrophy (ROD), but X-ray densitometry cannot distinguish OP from several forms of ROD. \u0000Conclusions. In middle-aged individuals, X-ray densitometry should be performed as a mandatory examination for the timely detection of OP. For outpatient dental patients with CKD, we suggest not to test for MPCT by this method prior to MDI.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124169270","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 : 2023-05-22DOI: 10.18481/2077-7566-2023-19-1-5-11
Aleksandr Dovgerd, K. Sivolapov
The subject of the study is the formation of a biofilm in the area of ceramic and titanium implants. Objectives. A systematic analysis of modern domestic and foreign literature sources to determine the main features and differences in the formation of a biofilm in the field of ceramic and titanium implants. Methodology. The study was based on the search and study of original articles on dental implantation in databases: Russian State Library, eLibrary, PubMed, The Cochrane Library, Google Scholar. The main selection of materials was carried out by keywords. Results. Rehabilitation of edentulous spaces in patients with osseointegrated dental implants is a scientifically recognized and well-documented treatment method. Bacterial adhesion on dental implants can cause inflammatory conditions such as mucositis and peri-implantitis. Peri-implantitis can lead to bone resorption and eventual loss of the implant. It has been established that zirconium oxide has a lower bacterial capacity for adhesion and inflammatory infiltration compared to titanium, and due to its hygienic properties, it has significant advantages in maintaining the level of soft tissues of the aesthetic zone and maintaining the level of the alveolar bone. Numerous studies show that the clinical use of zirconium oxide implants is practically not accompanied by manifestations of peri-implantitis, and gum epithelial tissues are able to firmly and reliably attach to their surface. Zirconia is bioinert to other materials found in the oral cavity and is particularly suitable for patients who are allergic or intolerant to metals. The latest techniques and materials, which include zirconium dioxide, have important advantages, and its use as a material for dental implants significantly increases the clinical effectiveness of treatment. Conclusions. A review of the literature on the formation of a biofilm in the area of dental implants showed that zirconium oxide has a lower bacterial ability for adhesion and inflammatory infiltration compared to titanium, and due to hygienic properties has significant advantages in maintaining the level of soft tissues of the aesthetic zone and maintaining the level of the alveolar bone.
{"title":"FEATURES AND DIFFERENCES OF BIOFILM FORMATION IN THE FIELD OF CERAMIC AND TITANIUM IMPLANTS","authors":"Aleksandr Dovgerd, K. Sivolapov","doi":"10.18481/2077-7566-2023-19-1-5-11","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-1-5-11","url":null,"abstract":"The subject of the study is the formation of a biofilm in the area of ceramic and titanium implants. \u0000Objectives. A systematic analysis of modern domestic and foreign literature sources to determine the main features and differences in the formation of a biofilm in the field of ceramic and titanium implants. \u0000Methodology. The study was based on the search and study of original articles on dental implantation in databases: Russian State Library, eLibrary, PubMed, The Cochrane Library, Google Scholar. The main selection of materials was carried out by keywords. \u0000Results. Rehabilitation of edentulous spaces in patients with osseointegrated dental implants is a scientifically recognized and well-documented treatment method. Bacterial adhesion on dental implants can cause inflammatory conditions such as mucositis and peri-implantitis. Peri-implantitis can lead to bone resorption and eventual loss of the implant. It has been established that zirconium oxide has a lower bacterial capacity for adhesion and inflammatory infiltration compared to titanium, and due to its hygienic properties, it has significant advantages in maintaining the level of soft tissues of the aesthetic zone and maintaining the level of the alveolar bone. Numerous studies show that the clinical use of zirconium oxide implants is practically not accompanied by manifestations of peri-implantitis, and gum epithelial tissues are able to firmly and reliably attach to their surface. Zirconia is bioinert to other materials found in the oral cavity and is particularly suitable for patients who are allergic or intolerant to metals. The latest techniques and materials, which include zirconium dioxide, have important advantages, and its use as a material for dental implants significantly increases the clinical effectiveness of treatment. \u0000Conclusions. A review of the literature on the formation of a biofilm in the area of dental implants showed that zirconium oxide has a lower bacterial ability for adhesion and inflammatory infiltration compared to titanium, and due to hygienic properties has significant advantages in maintaining the level of soft tissues of the aesthetic zone and maintaining the level of the alveolar bone.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129275617","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 : 2023-05-22DOI: 10.18481/2077-7566-2023-19-1-19-24
G. Fayzullina, F. Mirsaeva
Background. Difficulties in the treatment of the inflammatory process of bone tissue focus the attention of researchers and practitioners on the early identification of pathogens of osteomyelitis, which is the key to successful treatment of the disease. According to publications cited in The Cocrane Library database, the epidemiology and etiological structure of osteomyelitis has undergone significant changes in recent years. The aim of the review is to provide up-to-date information on etiologically significant representatives of the microbial flora in osteomyelitis of the jaws. Methodology. Search work was carried out using international scientific databases PubMed, ScienceDirect, Scopus, Cochrane Collaboration, Elsevier, as well as electronic catalogs Elibrary and Cyberleninka on microbiological aspects of the etiology of osteomyelitis of the jaws. Results. A review of publications has demonstrated the dominant position of representatives of the genus Staphylococcus in the etiological spectrum of chronic post-traumatic osteomyelitis. The predominant pathogen is S. aureus. The proportion of infections mediated by S. epidermidis, S. Saprophyticus is, on average, about 25% of cases. The proportion of representatives of the gram-negative flora Escherichia, Klebsiella, Enterobacter, Citrobacter, Proteus, Providencia, Serratia reaches 23% of cases. According to the above information, the causative agents of gram-negative infections make up 1/5 of the etiological spectrum of chronic osteomyelitis. Pathogenic nosocomial strains of P. aeruginosa are also involved in the formation of chronic inflammation in osteomyelitis. According to the results of published studies, more than a third of cases of chronic osteomyelitis are mediated by microbial associations. The latter are dominated by S. aureus, S. epidermidis and, less frequently, E. faecalis. At the same time, dynamic analysis showed the variability of the microbial composition of associations, which determines additional difficulties in choosing the actual etiotropic therapy and may cause further progression of the pathological process. Conclusions. Implementation of effective methods of therapy requires new informative diagnostic approaches. However, the sensitivity of routine microbiological analyzes is not high enough. At the present stage, the diagnostic value of molecular genetic methods based on the polymerase chain reaction has been recognized.
{"title":"MICROBIOLOGICAL ASPECTS OF THE ETIOLOGY OF JAW OSTEOMYELITIS","authors":"G. Fayzullina, F. Mirsaeva","doi":"10.18481/2077-7566-2023-19-1-19-24","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-1-19-24","url":null,"abstract":"Background. Difficulties in the treatment of the inflammatory process of bone tissue focus the attention of researchers and practitioners on the early identification of pathogens of osteomyelitis, which is the key to successful treatment of the disease. According to publications cited in The Cocrane Library database, the epidemiology and etiological structure of osteomyelitis has undergone significant changes in recent years. \u0000The aim of the review is to provide up-to-date information on etiologically significant representatives of the microbial flora in osteomyelitis of the jaws. Methodology. Search work was carried out using international scientific databases PubMed, ScienceDirect, Scopus, Cochrane Collaboration, Elsevier, as well as electronic catalogs Elibrary and Cyberleninka on microbiological aspects of the etiology of osteomyelitis of the jaws. \u0000Results. A review of publications has demonstrated the dominant position of representatives of the genus Staphylococcus in the etiological spectrum of chronic post-traumatic osteomyelitis. The predominant pathogen is S. aureus. The proportion of infections mediated by S. epidermidis, S. Saprophyticus is, on average, about 25% of cases. The proportion of representatives of the gram-negative flora Escherichia, Klebsiella, Enterobacter, Citrobacter, Proteus, Providencia, Serratia reaches 23% of cases. According to the above information, the causative agents of gram-negative infections make up 1/5 of the etiological spectrum of chronic osteomyelitis. Pathogenic nosocomial strains of P. aeruginosa are also involved in the formation of chronic inflammation in osteomyelitis. According to the results of published studies, more than a third of cases of chronic osteomyelitis are mediated by microbial associations. The latter are dominated by S. aureus, S. epidermidis and, less frequently, E. faecalis. At the same time, dynamic analysis showed the variability of the microbial composition of associations, which determines additional difficulties in choosing the actual etiotropic therapy and may cause further progression of the pathological process. \u0000Conclusions. Implementation of effective methods of therapy requires new informative diagnostic approaches. However, the sensitivity of routine microbiological analyzes is not high enough. At the present stage, the diagnostic value of molecular genetic methods based on the polymerase chain reaction has been recognized.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130723763","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 : 2023-05-22DOI: 10.18481/2077-7566-2023-19-1-70-74
O. Uspenskaya, E. Kachesova, I. Nikolaev, O. Vyatkina, Natal'ya Pod'yablonskaya
Summary Currently, higher education requires students to spend a lot of energy, psychological stability and physical effort. A special place among this group of young people is occupied by students who come to study from other countries. Earlier, in the studies of Uspenskaya O. A. and Spiridonova S. A. (2022), it was revealed that the unsatisfactory hygienic state of the oral cavity in foreign students occurs 2 times more often than in Russians. A more detailed study is needed to identify the causes of periodontal disease in this category of citizens, as well as to find optimal solutions for its elimination. Subject of study: periodontal status of Privolzhsky Research Medical University foreign students. The purpose of the study: to research the periodontal status of foreign students of Faculty of General Medicine and Faculty of Dentistry. Materials and methods. 120 foreign students of 2-5 courses of Privolzhsky Research Medical University were examined. The simple hygiene index was used to assess the hygienic state of the oral cavity (Green J.C., Vermillion J.R., 1964), periodontal condition was assessed using the papillary-marginal-alveolar index. complex periodontal index (P.A. Leus, 1988) All examined patients were divided into 4 groups, depending on the course of study and faculty, 30 people in each group: group 1 - 2-3 courses of Faculty of Dentistry, group 2 - 4-5 courses of Faculty of Dentistry, group 3 - 2-3 courses of Faculty of General Medicine, group 4 - 4-5 courses of Faculty of General Medicine. Research results. As a result of the study, a positive correlation of the studied indices was also determined. At 4-5 courses, the level of oral hygiene among students of the Faculty of Dentistry is better than at 2-3 courses, and the reverse picture was observed at the Faculty of General Medicine. The results of the study showed a deterioration in the periodontal status of 4-5 year students of the foreign department of the Faculty of General Medicine compared with 2-3 year students. Conclusions. In the course of the study, the periodontal status of young people was studied on the example of students of a foreign department. The results revealed motivation and regular check-ups as one of the key factors in the prevention of periodontal tissue diseases.
{"title":"STUDYING THE PERIODONTOLOGICAL STATUS OF YOUNG PERSONS ON THE EXAMPLE OF STUDENTS","authors":"O. Uspenskaya, E. Kachesova, I. Nikolaev, O. Vyatkina, Natal'ya Pod'yablonskaya","doi":"10.18481/2077-7566-2023-19-1-70-74","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-1-70-74","url":null,"abstract":"Summary \u0000Currently, higher education requires students to spend a lot of energy, psychological stability and physical effort. A special place among this group of young people is occupied by students who come to study from other countries. Earlier, in the studies of Uspenskaya O. A. and Spiridonova S. A. (2022), it was revealed that the unsatisfactory hygienic state of the oral cavity in foreign students occurs 2 times more often than in Russians. A more detailed study is needed to identify the causes of periodontal disease in this category of citizens, as well as to find optimal solutions for its elimination. \u0000Subject of study: periodontal status of Privolzhsky Research Medical University foreign students. \u0000The purpose of the study: to research the periodontal status of foreign students of Faculty of General Medicine and Faculty of Dentistry. \u0000Materials and methods. 120 foreign students of 2-5 courses of Privolzhsky Research Medical University were examined. The simple hygiene index was used to assess the hygienic state of the oral cavity (Green J.C., Vermillion J.R., 1964), periodontal condition was assessed using the papillary-marginal-alveolar index. complex periodontal index (P.A. Leus, 1988) \u0000All examined patients were divided into 4 groups, depending on the course of study and faculty, 30 people in each group: group 1 - 2-3 courses of Faculty of Dentistry, group 2 - 4-5 courses of Faculty of Dentistry, group 3 - 2-3 courses of Faculty of General Medicine, group 4 - 4-5 courses of Faculty of General Medicine. \u0000Research results. \u0000As a result of the study, a positive correlation of the studied indices was also determined. At 4-5 courses, the level of oral hygiene among students of the Faculty of Dentistry is better than at 2-3 courses, and the reverse picture was observed at the Faculty of General Medicine. The results of the study showed a deterioration in the periodontal status of 4-5 year students of the foreign department of the Faculty of General Medicine compared with 2-3 year students. \u0000Conclusions. In the course of the study, the periodontal status of young people was studied on the example of students of a foreign department. The results revealed motivation and regular check-ups as one of the key factors in the prevention of periodontal tissue diseases.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117281055","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}
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