Pub Date : 2023-11-30DOI: 10.18481/2077-7566-2023-19-3-47-52
Alla Zakroeva, Tat'yana Elovicova, Svetlana Ssablina, Ksenya Dorokhina, Sergey Griroriev, Maria Dominykh, A. Koshchev
Subject. The subject of this case report is infective endocarditis. Objective. The objective is to describe a clinical case under outpatient-polyclinic conditions at the dentist’s (periodontist’s) office. Methodology. Infective endocarditis is one of the most severe coronary vascular diseases associated with high mortality affected by the area and characteristics of infection, the phase of development, the type of a causative agent, the time to start antibacterial therapy, coexisting diseases, the extent of sequelae, surgical treatment and other circumstances. Following the appropriate treatment, more than 70% patients with infective endocarditis achieve recovery. Conclusions. This case report presents clinical manifestations in the oral cavity of a patient with infective endocarditis. The patient did not exhibit specific symptoms of infective endocarditis serving as the basis for the preliminary dental diagnosis and sending the patient to a cardiologist, rheumatologist for examination and treatment. It should be noted that the patient needs the complex treatment of periodontitis, oral cavity sanation, the case follow-up, supportive periodontal therapy and professional oral hygiene on a quarterly basis. These all can significantly improve the patient’s quality of life and longevity.
{"title":"INFECTIVE ENDOCARDITIS IN DENTAL PRACTICE: A CASE STUDY","authors":"Alla Zakroeva, Tat'yana Elovicova, Svetlana Ssablina, Ksenya Dorokhina, Sergey Griroriev, Maria Dominykh, A. Koshchev","doi":"10.18481/2077-7566-2023-19-3-47-52","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-3-47-52","url":null,"abstract":"Subject. The subject of this case report is infective endocarditis. Objective. The objective is to describe a clinical case under outpatient-polyclinic conditions at the dentist’s (periodontist’s) office. Methodology. Infective endocarditis is one of the most severe coronary vascular diseases associated with high mortality affected by the area and characteristics of infection, the phase of development, the type of a causative agent, the time to start antibacterial therapy, coexisting diseases, the extent of sequelae, surgical treatment and other circumstances. Following the appropriate treatment, more than 70% patients with infective endocarditis achieve recovery. Conclusions. This case report presents clinical manifestations in the oral cavity of a patient with infective endocarditis. The patient did not exhibit specific symptoms of infective endocarditis serving as the basis for the preliminary dental diagnosis and sending the patient to a cardiologist, rheumatologist for examination and treatment. It should be noted that the patient needs the complex treatment of periodontitis, oral cavity sanation, the case follow-up, supportive periodontal therapy and professional oral hygiene on a quarterly basis. These all can significantly improve the patient’s quality of life and longevity.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139208097","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 : 2023-11-30DOI: 10.18481/2077-7566-2023-19-3-58-63
E. Dzyuba, M. Nagaeva
The treatment of chronic periodontitis is based on a comprehensive approach that includes supportive therapy, which requires patient commitment to treatment. Patient commitment to treatment is enhanced by the use of appropriate therapeutic regimens and the use of medications in the form of fixed combinations. Objective of the study: to assess the clinical effectiveness of a new pharmacological composition for the treatment of chronic periodontitis in patients with insufficient treatment adherence. Materials and methods: a study and treatment were conducted on 92 patients with moderate-severity chronic periodontitis with insufficient treatment adherence (control group, n = 62 – received standard treatment; main group, n = 30 – received standard treatment supplemented with the new pharmacological composition). The level of treatment adherence was determined using the Treatment Adherence Quantification Questionnaire. Comparative assessment of treatment effectiveness in the study groups was conducted dynamically at control points (7, 14 days, 1, 6 months) based on clinical-instrumental data, periodontal tissue condition index assessment (OHI-S, PMA, PI), microcirculation condition (linear and volumetric blood flow velocities, pulsatility index). Disease outcome was recorded after 6 months: compensation, stabilization, or development of a new disease related to the primary one. Results: The main group of patients showed statistically significantly lower PMA and PI index values at all control points. Microcirculation indicators significantly improved at the 14-day, 1-month, and 6-month control points compared to the control group. The recurrence rate after 6 months in the main group was 1.6 times lower than in the control group. Conclusion: The use of a new pharmacological composition for the treatment of chronic periodontitis in patients with insufficient treatment adherence showed clinical effectiveness, leading to longer stabilization of the process and compensation of the condition in over half of the cases.
{"title":"CLINICAL AND LABORATORY EVALUTION OF THE EFFICACY OF A PHARMACOLODICAL COMPOSITION OF COMBINED ACTION IN THE TREATMENT OF PERIODONTITIS IN SUBJECTS WITH POOR ADHERENCE TO TREATMENT","authors":"E. Dzyuba, M. Nagaeva","doi":"10.18481/2077-7566-2023-19-3-58-63","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-3-58-63","url":null,"abstract":"The treatment of chronic periodontitis is based on a comprehensive approach that includes supportive therapy, which requires patient commitment to treatment. Patient commitment to treatment is enhanced by the use of appropriate therapeutic regimens and the use of medications in the form of fixed combinations. Objective of the study: to assess the clinical effectiveness of a new pharmacological composition for the treatment of chronic periodontitis in patients with insufficient treatment adherence. Materials and methods: a study and treatment were conducted on 92 patients with moderate-severity chronic periodontitis with insufficient treatment adherence (control group, n = 62 – received standard treatment; main group, n = 30 – received standard treatment supplemented with the new pharmacological composition). The level of treatment adherence was determined using the Treatment Adherence Quantification Questionnaire. Comparative assessment of treatment effectiveness in the study groups was conducted dynamically at control points (7, 14 days, 1, 6 months) based on clinical-instrumental data, periodontal tissue condition index assessment (OHI-S, PMA, PI), microcirculation condition (linear and volumetric blood flow velocities, pulsatility index). Disease outcome was recorded after 6 months: compensation, stabilization, or development of a new disease related to the primary one. Results: The main group of patients showed statistically significantly lower PMA and PI index values at all control points. Microcirculation indicators significantly improved at the 14-day, 1-month, and 6-month control points compared to the control group. The recurrence rate after 6 months in the main group was 1.6 times lower than in the control group. Conclusion: The use of a new pharmacological composition for the treatment of chronic periodontitis in patients with insufficient treatment adherence showed clinical effectiveness, leading to longer stabilization of the process and compensation of the condition in over half of the cases.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139208666","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 : 2023-11-30DOI: 10.18481/2077-7566-2023-19-3-80-84
S. Chuykin, N. Davletshin, O. Chuykin, N. Makusheva, K. Kuchuk, A. Bilak
Objectives. Clinical case in the practice of an oral and maxillofacial surgeon: a child with cranioclavicular dysostosis. This cider was first described in 1898 by P. Marie and P. Sainton. H. Scheuthauer described the pathological manifestations of skeletal anomalies in more detail. Steithauer–Marie–Sainton syndrome, or cranioclavicular dysostosis, involves aplasia or hypoplasia of the clavicles, delayed dentition, supernumerary teeth, and other skeletal abnormalities. In this syndrome, skeletal abnormalities include clavicular aplasia, or hypoplasia, bell-shaped chest, enlarged cranial vault with a convex frontal bone, open fontanelle, brachydactyly, pelvic hypoplasia, short stature, severe abnormal development of teeth with changes in occlusion, that is, this is a fairly severe hereditary pathology . Retention and dystopia of permanent teeth are associated with the presence of one or more supernumerary teeth on the upper and lower jaws. Purpose. Conducting an anthropometric, dental, and x-ray examination of a child with cranioclavicular dysostosis. Methodology. The article presents photographs of the child, pediatric and dental examination data, plain radiography of the chest and collarbones, orthopantomography of the upper and lower jaw, and a treatment plan for cranioclavicular dysostosis. Currently, due to a problem with teething, she consulted a dentist; after an examination, the child was referred to a maxillofacial surgeon. Conclusions. Cranioclavical dysostosis syndrome is a complex congenital pathology, the complex rehabilitation of which should involve not only doctors of all dental specialties, but also maxillofacial surgeons, orthopedists, pediatricians, neurologists, speech therapists, and medical psychologists.
目标。口腔颌面外科医生的临床病例：一名颅锁关节发育不良的儿童。1898 年，P. Marie 和 P. Sainton 首次描述了这种畸形。H. Scheuthauer 更详细地描述了骨骼异常的病理表现。Steithauer-Marie-Sainton综合征，或称颅锁关节发育不良，包括锁骨发育不全或发育不良、牙齿发育迟缓、超常牙齿和其他骨骼异常。在这种综合征中，骨骼畸形包括锁骨增生或发育不良、钟形胸、颅穹增大且额骨外凸、囟门开放、腕骨发育不良、骨盆发育不良、身材矮小、牙齿发育严重异常且咬合发生变化，也就是说，这是一种相当严重的遗传性病症。恒牙滞留和阻生与上下颌存在一颗或多颗超常牙齿有关。 研究目的对一名患有颅锁关节发育不良的儿童进行人体测量、牙科和 X 光检查。 方法。文章介绍了患儿的照片、儿科和牙科检查数据、胸部和锁骨的X光平片、上颚和下颚的X光正位片以及颅锁关节发育不良的治疗方案。目前，由于长牙问题，她咨询了牙医；经过检查后，孩子被转诊到颌面外科医生处。 结论颅锁关节发育不良综合征是一种复杂的先天性疾病，其复杂的康复治疗不仅需要所有牙科专业的医生参与，还需要颌面外科医生、矫形外科医生、儿科医生、神经科医生、语言治疗师和医学心理学家的参与。
{"title":"CLINICAL CASE OF CRANIOCLAVICAL DYSOSTOSIS SYNDROME: CLINICAL AND X-RAY MANIFESTATIONS","authors":"S. Chuykin, N. Davletshin, O. Chuykin, N. Makusheva, K. Kuchuk, A. Bilak","doi":"10.18481/2077-7566-2023-19-3-80-84","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-3-80-84","url":null,"abstract":"Objectives. Clinical case in the practice of an oral and maxillofacial surgeon: a child with cranioclavicular dysostosis. This cider was first described in 1898 by P. Marie and P. Sainton. H. Scheuthauer described the pathological manifestations of skeletal anomalies in more detail. Steithauer–Marie–Sainton syndrome, or cranioclavicular dysostosis, involves aplasia or hypoplasia of the clavicles, delayed dentition, supernumerary teeth, and other skeletal abnormalities. In this syndrome, skeletal abnormalities include clavicular aplasia, or hypoplasia, bell-shaped chest, enlarged cranial vault with a convex frontal bone, open fontanelle, brachydactyly, pelvic hypoplasia, short stature, severe abnormal development of teeth with changes in occlusion, that is, this is a fairly severe hereditary pathology . Retention and dystopia of permanent teeth are associated with the presence of one or more supernumerary teeth on the upper and lower jaws. Purpose. Conducting an anthropometric, dental, and x-ray examination of a child with cranioclavicular dysostosis. Methodology. The article presents photographs of the child, pediatric and dental examination data, plain radiography of the chest and collarbones, orthopantomography of the upper and lower jaw, and a treatment plan for cranioclavicular dysostosis. Currently, due to a problem with teething, she consulted a dentist; after an examination, the child was referred to a maxillofacial surgeon. Conclusions. Cranioclavical dysostosis syndrome is a complex congenital pathology, the complex rehabilitation of which should involve not only doctors of all dental specialties, but also maxillofacial surgeons, orthopedists, pediatricians, neurologists, speech therapists, and medical psychologists.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139199135","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 : 2023-11-30DOI: 10.18481/2077-7566-2023-19-3-19-28
Anastasia Safonova, Sergey Lebedev, A. Bragin, Elena Mamchits, Andrey Kopytov, I. Kuratov
The enlarged literature review concerning an important relevant dental problem related to caries spreading and its intensity, inflammatory periodontal diseases, non carious dental lesions, dentomaxillar abnormalities in the population living in the rural areas is presented. The aim of the study is to analyze the epidemiology of main dental diseases in the population living in the rural areas according to the review of the modern scientific literature for the period since 2013. Methodology. To write this article the analytical work on studying data taken from the special available literature was carried out. The scientific library resourses such as PubMed Central and Elibrary were used. The search of original publications was done using key words to get relevant results. 43 scientific sources were included in the review. Results and conclusion. The modern scientific data concerning incidence and degree of manifestation of key pathologies of oral organs and tissues such as carious process, gingivitis and perodontitis, malocclusion, non carious dental lesions (mainly-hypoplasia, fluorosis) were systematized as well as the estimation of prosthesis quality of teeth and dental sets of teeth in the rural population living both in Russia and abroad was given. The clinical significance of the work is to know a real incidence of dental diseases in the different regions of the country and develop complex preventive programs taking into consideration the territory peculiarities. The perspective way for studying is to reveal risk factors of the dental diseases development paying attention to the association with the oral health, social deprivation, diet, hygiene, bad habits and stress which have to improve dental health in the population living in the rural areas.
{"title":"THE ANALYSIS OF THE EPIDEMIOLOGY OF DENTAL DISEASES IN THE POPULATION LIVING IN THE RURAL AREAS","authors":"Anastasia Safonova, Sergey Lebedev, A. Bragin, Elena Mamchits, Andrey Kopytov, I. Kuratov","doi":"10.18481/2077-7566-2023-19-3-19-28","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-3-19-28","url":null,"abstract":"The enlarged literature review concerning an important relevant dental problem related to caries spreading and its intensity, inflammatory periodontal diseases, non carious dental lesions, dentomaxillar abnormalities in the population living in the rural areas is presented. The aim of the study is to analyze the epidemiology of main dental diseases in the population living in the rural areas according to the review of the modern scientific literature for the period since 2013. Methodology. To write this article the analytical work on studying data taken from the special available literature was carried out. The scientific library resourses such as PubMed Central and Elibrary were used. The search of original publications was done using key words to get relevant results. 43 scientific sources were included in the review. Results and conclusion. The modern scientific data concerning incidence and degree of manifestation of key pathologies of oral organs and tissues such as carious process, gingivitis and perodontitis, malocclusion, non carious dental lesions (mainly-hypoplasia, fluorosis) were systematized as well as the estimation of prosthesis quality of teeth and dental sets of teeth in the rural population living both in Russia and abroad was given. The clinical significance of the work is to know a real incidence of dental diseases in the different regions of the country and develop complex preventive programs taking into consideration the territory peculiarities. The perspective way for studying is to reveal risk factors of the dental diseases development paying attention to the association with the oral health, social deprivation, diet, hygiene, bad habits and stress which have to improve dental health in the population living in the rural areas.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"372 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139205015","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 : 2023-11-30DOI: 10.18481/2077-7566-2023-19-3-64-68
Anastasiya Shiyanova, L. Orehova, Tatyana Kudryavtseva, Olga Prokhorova, I. Berezkina, Ekaterina Tasaeva
Subject. The hygienic condition of the oral cavity of pregnant women, using oral hygiene products of national production. Objectives. Studying the influence of personal oral hygiene products on pregnant women's periodontal status. Methodology. The study involved 90 pregnant women in the second trimester of pregnancy with symptoms of periodontal disease. All patients filled out a questionnaire and underwent a comprehensive dental examination with the determination of the Green–Vermillion hygiene indexes, API, PMA indexes, and Orekhova–Ulitovsky's sensitivity index. Pregnant women were taught the correct technique of brushing their teeth. Furthermore, they were divided into three groups: the first group used the toothpaste of national production, the second used the toothpaste and the mouthwash of national production, and the third group was control. The control of the study was carried out in 2 and 4 weeks with repeated completion of the questionnaire and the determination of indices. Results. According to the survey, 72% of pregnant women noted bleeding gums and bad breath during pregnancy. Examination of the oral cavity after using the toothpaste and the mouthwash of the national production showed a significant reduction in plaque formation and a decrease in hygienic and periodontal indexes compared to the control group. Conclusion 1. Using the toothpaste and the mouthwash of the national production helped eliminate subjective sensations in pregnant women in the area of bad breath and tooth sensitivity. 2. The toothpaste and the mouthwash of the national production have a beneficial effect on periodontal tissues, reducing plaque formation and inflammation in pregnant women's periodontal tissues. 3. Using both toothpaste and mouthwash of national production appeared to be the most effective.
{"title":"INFLUENCE OF PERSONAL ORAL HYGIENE PRODUCTS ON THE DYNAMICS OF PERIODONTAL STATUS OF PREGNANT WOMEN","authors":"Anastasiya Shiyanova, L. Orehova, Tatyana Kudryavtseva, Olga Prokhorova, I. Berezkina, Ekaterina Tasaeva","doi":"10.18481/2077-7566-2023-19-3-64-68","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-3-64-68","url":null,"abstract":"Subject. The hygienic condition of the oral cavity of pregnant women, using oral hygiene products of national production. Objectives. Studying the influence of personal oral hygiene products on pregnant women's periodontal status. Methodology. The study involved 90 pregnant women in the second trimester of pregnancy with symptoms of periodontal disease. All patients filled out a questionnaire and underwent a comprehensive dental examination with the determination of the Green–Vermillion hygiene indexes, API, PMA indexes, and Orekhova–Ulitovsky's sensitivity index. Pregnant women were taught the correct technique of brushing their teeth. Furthermore, they were divided into three groups: the first group used the toothpaste of national production, the second used the toothpaste and the mouthwash of national production, and the third group was control. The control of the study was carried out in 2 and 4 weeks with repeated completion of the questionnaire and the determination of indices. Results. According to the survey, 72% of pregnant women noted bleeding gums and bad breath during pregnancy. Examination of the oral cavity after using the toothpaste and the mouthwash of the national production showed a significant reduction in plaque formation and a decrease in hygienic and periodontal indexes compared to the control group. Conclusion 1. Using the toothpaste and the mouthwash of the national production helped eliminate subjective sensations in pregnant women in the area of bad breath and tooth sensitivity. 2. The toothpaste and the mouthwash of the national production have a beneficial effect on periodontal tissues, reducing plaque formation and inflammation in pregnant women's periodontal tissues. 3. Using both toothpaste and mouthwash of national production appeared to be the most effective.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"75 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139205914","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 : 2023-11-30DOI: 10.18481/2077-7566-2023-19-3-119-125
Yu. . Parshin, Maksim Mishnev, V. Trezubov, R. Rozov
The subject of the research is implant prosthetics. The goal is to increase the efficiency of implant prosthetics by optimizing the design of the prosthesis. Methodology. 131 patients (57 men and 74 women) aged from 60 to 82 years (mean age 68.3 ± 7.3 years) were examined. The patients were divided into 3 groups: group 1 – 36 patients (14 men and 22 women with an average age of 70.1 ± 5.4 years) with vertical distal implants without dorsal weight; group 2 – 44 people (19 men, 25 women with an average age of 69.4 ± 7.2 years) with inclined distal implants without dorsal weight; group 3 – 51 people (24 men and 27 women with an average age of 68.4 ± 6.8 years) with inclined distal implants, which also carried the dorsal body of the prosthesis with unilateral support on them. The condition of the peri-implant bone was assessed using 16 criteria obtained using clinical and instrumental research methods. The study of the distributions and magnitude of elastic stresses in the peri-implant bone was carried out using mathematical modeling using finite elements. Results. Identical results were obtained for the reaction of the peri-implant bone and mucous membrane of the peri-implant cuff, as well as the levels of preservation of implants and implant prostheses in the long term (2–3 years) in patients with different configurations of the distal parts of extended implant prostheses. Mathematical modeling by the finite element method also showed the non-criticality of the distribution of elastic stresses in the prosthesis, distal implant, compact and cancellous bone with different configurations of the distal parts of the prosthesis. Conclusion. Inclined implants, including those with additional load in the form of a dorsal body with unilateral support, can be quite widely used in elderly patients.
{"title":"RATIONALE FOR THE USE OF DORZALLY TILTED DISTAL ARTIFICIAL SUPPORTS FOR EXTENDED IMPLANT PROSTHESES IN ELDERLY PATIENTS","authors":"Yu. . Parshin, Maksim Mishnev, V. Trezubov, R. Rozov","doi":"10.18481/2077-7566-2023-19-3-119-125","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-3-119-125","url":null,"abstract":"The subject of the research is implant prosthetics. The goal is to increase the efficiency of implant prosthetics by optimizing the design of the prosthesis. Methodology. 131 patients (57 men and 74 women) aged from 60 to 82 years (mean age 68.3 ± 7.3 years) were examined. The patients were divided into 3 groups: group 1 – 36 patients (14 men and 22 women with an average age of 70.1 ± 5.4 years) with vertical distal implants without dorsal weight; group 2 – 44 people (19 men, 25 women with an average age of 69.4 ± 7.2 years) with inclined distal implants without dorsal weight; group 3 – 51 people (24 men and 27 women with an average age of 68.4 ± 6.8 years) with inclined distal implants, which also carried the dorsal body of the prosthesis with unilateral support on them. The condition of the peri-implant bone was assessed using 16 criteria obtained using clinical and instrumental research methods. The study of the distributions and magnitude of elastic stresses in the peri-implant bone was carried out using mathematical modeling using finite elements. Results. Identical results were obtained for the reaction of the peri-implant bone and mucous membrane of the peri-implant cuff, as well as the levels of preservation of implants and implant prostheses in the long term (2–3 years) in patients with different configurations of the distal parts of extended implant prostheses. Mathematical modeling by the finite element method also showed the non-criticality of the distribution of elastic stresses in the prosthesis, distal implant, compact and cancellous bone with different configurations of the distal parts of the prosthesis. Conclusion. Inclined implants, including those with additional load in the form of a dorsal body with unilateral support, can be quite widely used in elderly patients.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"59 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139206618","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 : 2023-11-30DOI: 10.18481/2077-7566-2023-19-3-42-46
Tat'yana Elovicova, Svetlana Ssablina, Sergey Griroriev, Y. Mandra, A. Koshchev, Natalia Makerova, N. Gegalina, A. Kozmenko
Subject. The subject of this research is manual skills in molar restoration. Objective. The objective of this research is to analyze the process of mastering manual skills in restoration of phantom molar tooth models by senior dental students. Methodology. The study was carried out by the Department of Therapeutic Dentistry and Propedeutics of Dental Disease of Ural State Medical University of the Ministry of Health of the Russian Federation together with the Department of Control Systems Modeling, Ural Federal University. The study involved 54 four- and five-year dental students of Ural State Medical University (24 young male adults, 30 young adult women; the average age was 22.25 ± 1.75 years) in a procedure of dental filling of carious cavities in five “phantom” teeth – extracted molars (Black classification was Class I). This research applied the method developed by Prof. Larisa Lomiashvili together with co-authors for molar restoration using modular techniques. To analyze self-assessment of manual skills for molar restoration by senior students the questionnaire was completed. The questionnaire was made up of three blocks including 12 questions (parameters) evaluated using 1 to 10 rating scale survey, the rating being 10 for “fully satisfied”, and 1 for “completely dissatisfied”. The survey questions were divided into the following blocks: understanding of dental anatomical features, professional skills of students, cognitive motivational factors. Conclusions. The analysis of assessment scores and survey responses showed that mastering manual skills by senior students during a molar restoration procedure promotes their accuracy and ability to work with precision. The analysis of mastering manual skills for molar restoration by dental senior students using the survey responses showed rather high self-assessments (p ≤ 0.05).
{"title":"ANALYSIS OF MASTERING MOLAR RESTORATION MANUAL SKILLS BY SENIOR DENTAL STUDENTS","authors":"Tat'yana Elovicova, Svetlana Ssablina, Sergey Griroriev, Y. Mandra, A. Koshchev, Natalia Makerova, N. Gegalina, A. Kozmenko","doi":"10.18481/2077-7566-2023-19-3-42-46","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-3-42-46","url":null,"abstract":"Subject. The subject of this research is manual skills in molar restoration. Objective. The objective of this research is to analyze the process of mastering manual skills in restoration of phantom molar tooth models by senior dental students. Methodology. The study was carried out by the Department of Therapeutic Dentistry and Propedeutics of Dental Disease of Ural State Medical University of the Ministry of Health of the Russian Federation together with the Department of Control Systems Modeling, Ural Federal University. The study involved 54 four- and five-year dental students of Ural State Medical University (24 young male adults, 30 young adult women; the average age was 22.25 ± 1.75 years) in a procedure of dental filling of carious cavities in five “phantom” teeth – extracted molars (Black classification was Class I). This research applied the method developed by Prof. Larisa Lomiashvili together with co-authors for molar restoration using modular techniques. To analyze self-assessment of manual skills for molar restoration by senior students the questionnaire was completed. The questionnaire was made up of three blocks including 12 questions (parameters) evaluated using 1 to 10 rating scale survey, the rating being 10 for “fully satisfied”, and 1 for “completely dissatisfied”. The survey questions were divided into the following blocks: understanding of dental anatomical features, professional skills of students, cognitive motivational factors. Conclusions. The analysis of assessment scores and survey responses showed that mastering manual skills by senior students during a molar restoration procedure promotes their accuracy and ability to work with precision. The analysis of mastering manual skills for molar restoration by dental senior students using the survey responses showed rather high self-assessments (p ≤ 0.05).","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"13 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139207398","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 : 2023-11-30DOI: 10.18481/2077-7566-2023-19-3-132-136
Vladimir Vagner, L. Markina, Fedor losev, D. Bogomolov
The provision of paid medical services (PMS) is declared by Federal Law No. 323-FZ dated 21.11.2011 "On the basics of protecting the health of citizens in the Russian Federation" (Article 19) [1, 5, 7]. The procedure and conditions for the provision of PMS by medical organizations are established by the Decree of the Government of the Russian Federation of the same name dated May 11, 2023 No. 736 in the form of Rules [8, 10]. Any medical organization regardless of its organizational and legal form and form of ownership as well as an individual entrepreneur can be the provider of such services [3, 11]. An indispensable requirement for the provision of PMS is compliance with the procedures for the provision of medical care, clinical recommendations approved by non-profit professional organizations, and standards approved by the Ministry of Health of the Russian Federation [9, 10]. The provision of PMS is also regulated by the Law of the Russian Federation No. 23001 of February 7, 1992 "On Consumer Rights Protection". At the same time, there is a constant increase in the amount of PMS in the Russian Federation, their provision being an additional and quite significant source of funding for medical organizations [2, 4, 6]. The article presents the analysis of the volume of medical services provided at the expense of citizens and in accordance with voluntary health insurance contracts in the dental department of the state medical organization for five years in the specialty of therapeutic dentistry. It is found that 71.8% of services were provided at the expense of citizens, and 28.2% were provided under voluntary medical insurance contracts. In the general structure of therapeutic and diagnostic measures, the removal of deposits on the teeth (69.3%) ranks the first, the treatment of caries being in the second place (15.0%), and the treatment of non-carious lesions of the teeth being in the third place (6.4%). The data obtained show a year-over-year increase in the volume of therapeutic and preventive care: by 1.3 times for caries, by 1.2 times for non-carious lesions of teeth, by 1.8 times for pulpitis, by 2.1 times for gingivitis. Patients do not show any interest in the paid treatment of periodontal diseases, so it takes less than one percent of the total volume of care (0.88% at the expense of citizens and 0.25% under voluntary health insurance contracts). The unfavorable epidemiological situation leads to a decrease in the volume of paid dental therapeutic care.
{"title":"CHARACTERISTICS OF THE VALUME OF DENTAL THERAPEUTIC CARE PROVIDED IN THE FROM OF PAID MEDICAL SERVICES","authors":"Vladimir Vagner, L. Markina, Fedor losev, D. Bogomolov","doi":"10.18481/2077-7566-2023-19-3-132-136","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-3-132-136","url":null,"abstract":"The provision of paid medical services (PMS) is declared by Federal Law No. 323-FZ dated 21.11.2011 \"On the basics of protecting the health of citizens in the Russian Federation\" (Article 19) [1, 5, 7]. The procedure and conditions for the provision of PMS by medical organizations are established by the Decree of the Government of the Russian Federation of the same name dated May 11, 2023 No. 736 in the form of Rules [8, 10]. Any medical organization regardless of its organizational and legal form and form of ownership as well as an individual entrepreneur can be the provider of such services [3, 11]. An indispensable requirement for the provision of PMS is compliance with the procedures for the provision of medical care, clinical recommendations approved by non-profit professional organizations, and standards approved by the Ministry of Health of the Russian Federation [9, 10]. The provision of PMS is also regulated by the Law of the Russian Federation No. 23001 of February 7, 1992 \"On Consumer Rights Protection\". At the same time, there is a constant increase in the amount of PMS in the Russian Federation, their provision being an additional and quite significant source of funding for medical organizations [2, 4, 6]. The article presents the analysis of the volume of medical services provided at the expense of citizens and in accordance with voluntary health insurance contracts in the dental department of the state medical organization for five years in the specialty of therapeutic dentistry. It is found that 71.8% of services were provided at the expense of citizens, and 28.2% were provided under voluntary medical insurance contracts. In the general structure of therapeutic and diagnostic measures, the removal of deposits on the teeth (69.3%) ranks the first, the treatment of caries being in the second place (15.0%), and the treatment of non-carious lesions of the teeth being in the third place (6.4%). The data obtained show a year-over-year increase in the volume of therapeutic and preventive care: by 1.3 times for caries, by 1.2 times for non-carious lesions of teeth, by 1.8 times for pulpitis, by 2.1 times for gingivitis. Patients do not show any interest in the paid treatment of periodontal diseases, so it takes less than one percent of the total volume of care (0.88% at the expense of citizens and 0.25% under voluntary health insurance contracts). The unfavorable epidemiological situation leads to a decrease in the volume of paid dental therapeutic care.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139201389","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}
When studying exogenous factors of the Far North that negatively affect human health, it was established: the impact of not only low temperatures, traumatic aerodynamic conditions, and a deficiency of ultraviolet radiation, but also geomagnetic field tension, microelement shifts in the composition of soil and water, and fluctuations in atmospheric pressure levels. A special role for carrying out therapeutic and diagnostic measures is played by the fact that the entire territory located beyond the Arctic Circle belongs to zones with a significant deficiency of the biologically active part of the solar spectrum of ultraviolet radiation. This leads to disruption of photoperiodicity due to the change of polar day and polar night, disruption of biological rhythms, and a decrease in reserve capabilities for regulating homeostasis. The fact that a person lives in a long-term deficiency of ultraviolet radiation affects all biological processes occurring in the body; it plays a special role in the occurrence and development of some forms of cheilitis. The study involved 37 patients aged 18 to 55 years with a diagnosis of chronic recurrent fissure of the lip, meteorological cheilitis, dry form of exfoliative cheilitis, symptomatic atopic cheilitis. After a thorough history, review of patient medical records, and dental examination, serum vitamin D and E levels were measured in all patients before treatment. The best results in treatment were achieved by prescribing combined ointments based on glucocorticoids and antibacterial/antifungal components in combination with physiotherapeutic procedures.
在研究极北地区对人类健康产生负面影响的外源因素时，人们发现：不仅低温、空气动力条件创伤和紫外线辐射不足会产生影响，而且地磁场紧张、土壤和水成分中微量元素的变化以及大气压力水平的波动也会产生影响。北极圈以外的整个地区属于太阳光谱中紫外线辐射生物活性部分严重不足的地区，这对采取治疗和诊断措施起着特殊作用。极昼极夜的变化导致光周期紊乱，生物节律被破坏，调节平衡的储备能力下降。一个人长期生活在缺乏紫外线辐射的环境中，会影响体内发生的所有生物过程；它在某些形式的咽颊炎的发生和发展中起着特殊作用。这项研究涉及 37 名年龄在 18 至 55 岁之间、诊断为慢性复发性唇裂、气象性咽颊炎、干燥型剥脱性咽颊炎、症状性特应性咽颊炎的患者。在详细询问病史、查看病历和进行牙科检查后，所有患者在治疗前都进行了血清维生素 D 和 E 水平测定。通过处方基于糖皮质激素和抗菌/抗真菌成分的复合软膏并结合物理治疗程序，取得了最佳治疗效果。
{"title":"METHODOLOGICAL PRINCIPLES OF TREATING CHEILITIS IN THE FAR NORTH","authors":"Ludmila Isaeva, Eleonora Borisova, Yuliya Khrustaleva","doi":"10.18481/2077-7566-2023-19-3-53-57","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-3-53-57","url":null,"abstract":"When studying exogenous factors of the Far North that negatively affect human health, it was established: the impact of not only low temperatures, traumatic aerodynamic conditions, and a deficiency of ultraviolet radiation, but also geomagnetic field tension, microelement shifts in the composition of soil and water, and fluctuations in atmospheric pressure levels. A special role for carrying out therapeutic and diagnostic measures is played by the fact that the entire territory located beyond the Arctic Circle belongs to zones with a significant deficiency of the biologically active part of the solar spectrum of ultraviolet radiation. This leads to disruption of photoperiodicity due to the change of polar day and polar night, disruption of biological rhythms, and a decrease in reserve capabilities for regulating homeostasis. The fact that a person lives in a long-term deficiency of ultraviolet radiation affects all biological processes occurring in the body; it plays a special role in the occurrence and development of some forms of cheilitis. The study involved 37 patients aged 18 to 55 years with a diagnosis of chronic recurrent fissure of the lip, meteorological cheilitis, dry form of exfoliative cheilitis, symptomatic atopic cheilitis. After a thorough history, review of patient medical records, and dental examination, serum vitamin D and E levels were measured in all patients before treatment. The best results in treatment were achieved by prescribing combined ointments based on glucocorticoids and antibacterial/antifungal components in combination with physiotherapeutic procedures.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"87 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139203656","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 : 2023-11-30DOI: 10.18481/2077-7566-2023-19-3-108-113
M. Martyusheva, Nataliya Astashina, Natalia Shchekolova
The article is devoted to improving the effectiveness of diagnosis and treatment of a dysfunctional state of the TMJ from the standpoint of an interdisciplinary approach. The nature and prevalence of dental disorders, postural imbalance, and neuropsychiatric changes were determined. The algorithm of diagnosis and treatment of this group of patients is described. Purpose: to improve algorithms for the diagnosis and treatment of patients with a dysfunctional TMJ condition. Materials and methods. 136 patients with a dysfunctional state of the TMJ were examined, including 25 men (18.38%), 111 women (81.62%), aged 18 to 81 years. The median age was 43.17 years. Dental examination, registration of neuropsychiatric status and postural status of patients were carried out on the basis of diagnostic algorithms developed by us. Results. The examination revealed a high need for dental treatment of dentists of different profiles in patients with a dysfunctional state of the TMJ. The analysis of the postural status revealed deformities of the trunk in the neck, shoulder blades and pelvis, which led to moderate (59.18%) and severe violations (24.19%) of the postura. In this group of patients, the quality of life decreases, the mental (60%) and physical components of health are at an average level (80%), there is high personal anxiety (80%), with an average (60%) and high (40%) level of situational anxiety. Conclusions. The multifactorial and multi-morbidity of dysfunctional TMJ conditions requires an interdisciplinary approach to the diagnosis and treatment of patients suffering from this pathology. Dental treatment of patients should be carried out with the correction of neuropsychiatric status and postural status, which significantly increases the effectiveness of therapy and allows achieving more stable results.
{"title":"A INTERDISCIPLINARY APPROACH TO THE DIAGNOSIS AND TREATMENT OF PATIENTS WITH A DYSFUNCTIONAL CONDITION OF THE TEMPOROMANDIBULAR JOINT","authors":"M. Martyusheva, Nataliya Astashina, Natalia Shchekolova","doi":"10.18481/2077-7566-2023-19-3-108-113","DOIUrl":"https://doi.org/10.18481/2077-7566-2023-19-3-108-113","url":null,"abstract":"The article is devoted to improving the effectiveness of diagnosis and treatment of a dysfunctional state of the TMJ from the standpoint of an interdisciplinary approach. The nature and prevalence of dental disorders, postural imbalance, and neuropsychiatric changes were determined. The algorithm of diagnosis and treatment of this group of patients is described. Purpose: to improve algorithms for the diagnosis and treatment of patients with a dysfunctional TMJ condition. Materials and methods. 136 patients with a dysfunctional state of the TMJ were examined, including 25 men (18.38%), 111 women (81.62%), aged 18 to 81 years. The median age was 43.17 years. Dental examination, registration of neuropsychiatric status and postural status of patients were carried out on the basis of diagnostic algorithms developed by us. Results. The examination revealed a high need for dental treatment of dentists of different profiles in patients with a dysfunctional state of the TMJ. The analysis of the postural status revealed deformities of the trunk in the neck, shoulder blades and pelvis, which led to moderate (59.18%) and severe violations (24.19%) of the postura. In this group of patients, the quality of life decreases, the mental (60%) and physical components of health are at an average level (80%), there is high personal anxiety (80%), with an average (60%) and high (40%) level of situational anxiety. Conclusions. The multifactorial and multi-morbidity of dysfunctional TMJ conditions requires an interdisciplinary approach to the diagnosis and treatment of patients suffering from this pathology. Dental treatment of patients should be carried out with the correction of neuropsychiatric status and postural status, which significantly increases the effectiveness of therapy and allows achieving more stable results.","PeriodicalId":430676,"journal":{"name":"Actual problems in dentistry","volume":"412 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139203898","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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