Pub Date : 2023-07-01DOI: 10.18499/2070-9277-2023-26-2-18-34
Alexander V. Guskov, A. Oleynikov, Dmitry G. Zhukovets, Nikita E. Levashov, Tatiana A. Vasileva
Surgical interventions in the dentoalveolar system and maxillofacial area inevitably lead to the formation of long-term healing postoperative wounds or acquired jaw defects. An accessible method of choice for early rehabilitation is considered to be direct removable dentures, however, traditional approaches to this type of treatment can lead to postoperative inflammatory complications. At the Department of Orthopedic Dentistry and Orthodontics of Ryazan State Medical University carried out orthopedic treatment in 120 patients aged from 21 to 89 years after teeth extraction and surgical interventions in the maxillofacial area during the period from 2021 to 2023. The proposed approach to treatment was to manufacture structures of immediate dentures depending on the type of oral mucosa of the prosthetic bed using additive manufacturing technologies and the creation of elastic elements of dentures bases with dynamic control of inflammatory postoperative complications using an improved Schiller-Pisarev test. The effectiveness of the proposed approach was compared with the traditional immediate dentures. According to the results of the study, it was found that the proposed protocol for treatment and diagnosis made it possible to achieve a reduction in the area of wound healing by 50% and a decrease in the area of inflammation by 78% faster compared to the traditional method. Normalization of the microcirculatory activity of the wound healing zones was achieved in the period from 10 to 20 days of observation, with the traditional method, insufficient microcirculatory activity was noted by the 30th day of observation.
{"title":"OPTIMIZATION AND EVALUATION THE EFFECTIVENESS OF IMMEDIATE PROSTHETIC APPROACHES FOR PATIENTS AFTER TEETH EXTRACTION AND MAXILLOFACIAL SURGERY","authors":"Alexander V. Guskov, A. Oleynikov, Dmitry G. Zhukovets, Nikita E. Levashov, Tatiana A. Vasileva","doi":"10.18499/2070-9277-2023-26-2-18-34","DOIUrl":"https://doi.org/10.18499/2070-9277-2023-26-2-18-34","url":null,"abstract":"Surgical interventions in the dentoalveolar system and maxillofacial area inevitably lead to the formation of long-term healing postoperative wounds or acquired jaw defects. An accessible method of choice for early rehabilitation is considered to be direct removable dentures, however, traditional approaches to this type of treatment can lead to postoperative inflammatory complications. At the Department of Orthopedic Dentistry and Orthodontics of Ryazan State Medical University carried out orthopedic treatment in 120 patients aged from 21 to 89 years after teeth extraction and surgical interventions in the maxillofacial area during the period from 2021 to 2023. The proposed approach to treatment was to manufacture structures of immediate dentures depending on the type of oral mucosa of the prosthetic bed using additive manufacturing technologies and the creation of elastic elements of dentures bases with dynamic control of inflammatory postoperative complications using an improved Schiller-Pisarev test. The effectiveness of the proposed approach was compared with the traditional immediate dentures. According to the results of the study, it was found that the proposed protocol for treatment and diagnosis made it possible to achieve a reduction in the area of wound healing by 50% and a decrease in the area of inflammation by 78% faster compared to the traditional method. Normalization of the microcirculatory activity of the wound healing zones was achieved in the period from 10 to 20 days of observation, with the traditional method, insufficient microcirculatory activity was noted by the 30th day of observation.","PeriodicalId":503589,"journal":{"name":"Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)","volume":"181 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366062","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 : 2023-07-01DOI: 10.18499/2070-9277-2023-26-2-78-83
Natalia V. Strahova, I. I. Libina, E. S. Natarova
This article discusses the use of digital technologies in building the career trajectory of medical university students. The features of the digital model of the development of the career trajectory of a dental student, the requirements of employers and the main problems faced by young professionals at the beginning of their work are shown. Starting from the first year, students are constantly held meetings with employers, Career Days, master classes, trainings, where future specialists have the opportunity to decide on the direction of training. The dental profession is a dynamically developing specialty, where knowledge in the field of high digital technologies, the latest techniques, work on new equipment is needed. The conducted survey of students of the Institute of Dentistry of the Burdenko State Medical University showed the need to acquire digital literacy of students during training and the importance of this indicator when applying for a job for employers.
{"title":"FORMATION OF THE CAREER TRAJECTORY OF A DENTAL STUDENT USING DIGITAL TECHNOLOGIES AT A MEDICAL UNIVERSITY","authors":"Natalia V. Strahova, I. I. Libina, E. S. Natarova","doi":"10.18499/2070-9277-2023-26-2-78-83","DOIUrl":"https://doi.org/10.18499/2070-9277-2023-26-2-78-83","url":null,"abstract":"This article discusses the use of digital technologies in building the career trajectory of medical university students. The features of the digital model of the development of the career trajectory of a dental student, the requirements of employers and the main problems faced by young professionals at the beginning of their work are shown. Starting from the first year, students are constantly held meetings with employers, Career Days, master classes, trainings, where future specialists have the opportunity to decide on the direction of training. The dental profession is a dynamically developing specialty, where knowledge in the field of high digital technologies, the latest techniques, work on new equipment is needed. The conducted survey of students of the Institute of Dentistry of the Burdenko State Medical University showed the need to acquire digital literacy of students during training and the importance of this indicator when applying for a job for employers.","PeriodicalId":503589,"journal":{"name":"Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365279","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 : 2023-07-01DOI: 10.18499/2070-9277-2023-26-2-11-17
S. Garazha, Tanzila Sh Kodzhakova, Julduz T. Gerbekova, E. Grishilova, Angelina O. Gotlieb
Clinical, radiological and cytoenzymochemical studies of the results of using 243 metal-ceramic crowns during the year in 90 patients with healthy periodontium were carried out. The edges of the crowns were located in an equal number of teeth subgingivally and supragingivally. The activity of myeloperoxidase, alkaline phosphatase and cationic proteins in peripheral blood leukocytes was studied. It has been established that the subgingival location of the edge of the crowns causes the activation of the lysosomal apparatus of neutrophilic leukocytes and leads to the development of an inflammatory process in the marginal part of the gum. With the supragingival location of the edge of the crowns, there were no manifestations of the inflammatory process in the gingival margin. Changes in the biological activity of neutrophilic leukocytes precede the clinical manifestations of inflammation. Of the cytochemical parameters used in the study, the highest sensitivity was obtained when assessing the amount of cationic proteins in leukocytes.
{"title":"RESPONSE OF PARODONTAL TISSUES TO THE USE OF METAL-CERAMIC DENTURES WITH DIFFERENT TOPOGRAPHY OF THE GINGIVE EDGE OF CROWNS","authors":"S. Garazha, Tanzila Sh Kodzhakova, Julduz T. Gerbekova, E. Grishilova, Angelina O. Gotlieb","doi":"10.18499/2070-9277-2023-26-2-11-17","DOIUrl":"https://doi.org/10.18499/2070-9277-2023-26-2-11-17","url":null,"abstract":"Clinical, radiological and cytoenzymochemical studies of the results of using 243 metal-ceramic crowns during the year in 90 patients with healthy periodontium were carried out. The edges of the crowns were located in an equal number of teeth subgingivally and supragingivally. The activity of myeloperoxidase, alkaline phosphatase and cationic proteins in peripheral blood leukocytes was studied. It has been established that the subgingival location of the edge of the crowns causes the activation of the lysosomal apparatus of neutrophilic leukocytes and leads to the development of an inflammatory process in the marginal part of the gum. With the supragingival location of the edge of the crowns, there were no manifestations of the inflammatory process in the gingival margin. Changes in the biological activity of neutrophilic leukocytes precede the clinical manifestations of inflammation. Of the cytochemical parameters used in the study, the highest sensitivity was obtained when assessing the amount of cationic proteins in leukocytes.","PeriodicalId":503589,"journal":{"name":"Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365891","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 : 2023-07-01DOI: 10.18499/2070-9277-2023-26-2-84-91
Alona A. Komova, E. G. Borisova, V. A. Zheleznyak, Georgiy B. Gorshunov, H. Yagmurov
Recurrent aphthous stomatitis is a polyetiological inflammatory disease of the oral mucosa, characterized by the appearance of aphthous ulcers. The etiology and pathogenesis of this disease have not been finally revealed. There is an imbalance of immunity observed in patients who are suffering from recurrent aphthous stomatitis caused by the influence of certain trigger factors. The purpose is to summarize the literature data on the relationship of somatic status with the occurrence of recurrent aphthous stomatitis. The review considers the pathogenesis of recurrent aphthous stomatitis, as well as possible trigger factors: genetic predisposition, infections, somatic diseases, allergies, stress, and hypovitaminosis. An obligatory link in the pathogenesis of recurrent aphthous stomatitis is an imbalance of immunity - cellular (the production of pro-inflammatory cytokines increases, and the synthesis of anti-inflammatory heat shock proteins decreases) and humoral (an increase in the number of neutrophils and B-lymphocytes, activation of the complement system). Genetic predisposition, some somatic diseases (Behcet's disease) and viral infections (in particular, COVID-19) lead to an imbalance in the immune system. Provoke the occurrence of recurrent aphthous stomatitis infections, diseases of the gastrointestinal tract, stress and insufficiency of B vitamins and trace elements. The indirect effect of trigger circumstances is due to a decrease in the trophism of the oral mucosa, which leads to a local decrease in the number of factors of cellular and humoral immunity and to hyposalivation and a decrease in the pH of the oral fluid, which provokes the reproduction of opportunistic microflora. Based on the analyzed literature data, it can be concluded that the somatic status influences the development of recurrent aphthous stomatitis. Accordingly, patients suffering from recurrent aphthous stomatitis should be referred to a general doctor for evaluation.
复发性阿弗他口腔炎是一种以出现阿弗他溃疡为特征的多病原性口腔粘膜炎症性疾病。这种疾病的病因和发病机制尚未最终揭示。在某些诱发因素的影响下，反复发作的口腔炎患者会出现免疫失衡。本文旨在总结有关体质与复发性口腔炎发生关系的文献资料。综述考虑了复发性口腔炎的发病机制，以及可能的诱发因素：遗传易感性、感染、躯体疾病、过敏、压力和维生素缺乏。复发性口腔炎发病机制的一个必然环节是免疫失衡--细胞免疫（促炎细胞因子的产生增加，抗炎热休克蛋白的合成减少）和体液免疫（中性粒细胞和 B 淋巴细胞数量增加，补体系统启动）。遗传易感性、某些体质性疾病（白塞氏病）和病毒感染（尤其是 COVID-19）会导致免疫系统失衡。诱发复发性口腔炎感染、胃肠道疾病、压力、B 族维生素和微量元素不足。诱发因素的间接影响是由于口腔黏膜滋养度下降，导致局部细胞免疫和体液免疫因子数量减少，以及唾液分泌减少和口腔液 pH 值下降，从而引发机会性微生物菌群的繁殖。根据所分析的文献数据，可以得出结论：体质状况会影响复发性口腔炎的发展。因此，患有复发性口腔炎的患者应转诊至全科医生进行评估。
{"title":"INFLUENCE OF SOMATIC STATUS ON THE APPEARANCE OF RECURRENT APHTHOSIS STOMATITIS","authors":"Alona A. Komova, E. G. Borisova, V. A. Zheleznyak, Georgiy B. Gorshunov, H. Yagmurov","doi":"10.18499/2070-9277-2023-26-2-84-91","DOIUrl":"https://doi.org/10.18499/2070-9277-2023-26-2-84-91","url":null,"abstract":"Recurrent aphthous stomatitis is a polyetiological inflammatory disease of the oral mucosa, characterized by the appearance of aphthous ulcers. The etiology and pathogenesis of this disease have not been finally revealed. There is an imbalance of immunity observed in patients who are suffering from recurrent aphthous stomatitis caused by the influence of certain trigger factors. The purpose is to summarize the literature data on the relationship of somatic status with the occurrence of recurrent aphthous stomatitis. The review considers the pathogenesis of recurrent aphthous stomatitis, as well as possible trigger factors: genetic predisposition, infections, somatic diseases, allergies, stress, and hypovitaminosis. An obligatory link in the pathogenesis of recurrent aphthous stomatitis is an imbalance of immunity - cellular (the production of pro-inflammatory cytokines increases, and the synthesis of anti-inflammatory heat shock proteins decreases) and humoral (an increase in the number of neutrophils and B-lymphocytes, activation of the complement system). Genetic predisposition, some somatic diseases (Behcet's disease) and viral infections (in particular, COVID-19) lead to an imbalance in the immune system. Provoke the occurrence of recurrent aphthous stomatitis infections, diseases of the gastrointestinal tract, stress and insufficiency of B vitamins and trace elements. The indirect effect of trigger circumstances is due to a decrease in the trophism of the oral mucosa, which leads to a local decrease in the number of factors of cellular and humoral immunity and to hyposalivation and a decrease in the pH of the oral fluid, which provokes the reproduction of opportunistic microflora. Based on the analyzed literature data, it can be concluded that the somatic status influences the development of recurrent aphthous stomatitis. Accordingly, patients suffering from recurrent aphthous stomatitis should be referred to a general doctor for evaluation.","PeriodicalId":503589,"journal":{"name":"Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365445","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 : 2023-07-01DOI: 10.18499/2070-9277-2023-26-2-73-77
Eleonora G. Borisova, Vladimir V. Balin
This work represents a completed study on the development and implementation of the developed and optimized virtual-simulation program of continuing medical education (36 hours) to improve the manual skills of therapeutic treatment in dentistry in the module "Direct Restorations" using the evaluation of the survival rate of knowledge and skills obtained. With the traditional system of practical retraining of military dentists, using the dental clinic as a training base is difficult; the presence of a preceptor is required during the training manipulation; training depends on the clinic schedule and the availability of the pathology being studied; and there is no opportunity to repeat the manipulation or intervention. In addition, evaluation of the level of practical training of trainees is subjective, there is no unified system of its objective assessment [1-4]. Two stages are introduced for the trainees in the continuing medical education system: Stage 1 - assessment of the available practical skills on standard assignments, Stage 2 - assessment of the mastered practical skills. Improving the practical skills of practicing military dentists with the help of simulation training eliminates the risk to the life and health of the patient and trainee, allows you to conduct classes on an individual educational program without taking into account the working hours of the medical organization and the work schedule of the teacher, makes it possible to repeatedly practice the skill and bring the manipulation to automatism, provides objective quality control of its implementation, easily models rare pathologies and clinical cases [1-7].
{"title":"EVALUATION OF THE EFFICACY OF VIRTUAL-SIMULATION TEACHING TECHNIQUES IN ENDODONTIC TREATMENT IN THE SYSTEM OF CONTINUING MEDICAL EDUCATION","authors":"Eleonora G. Borisova, Vladimir V. Balin","doi":"10.18499/2070-9277-2023-26-2-73-77","DOIUrl":"https://doi.org/10.18499/2070-9277-2023-26-2-73-77","url":null,"abstract":"This work represents a completed study on the development and implementation of the developed and optimized virtual-simulation program of continuing medical education (36 hours) to improve the manual skills of therapeutic treatment in dentistry in the module \"Direct Restorations\" using the evaluation of the survival rate of knowledge and skills obtained. With the traditional system of practical retraining of military dentists, using the dental clinic as a training base is difficult; the presence of a preceptor is required during the training manipulation; training depends on the clinic schedule and the availability of the pathology being studied; and there is no opportunity to repeat the manipulation or intervention. In addition, evaluation of the level of practical training of trainees is subjective, there is no unified system of its objective assessment [1-4]. Two stages are introduced for the trainees in the continuing medical education system: Stage 1 - assessment of the available practical skills on standard assignments, Stage 2 - assessment of the mastered practical skills. Improving the practical skills of practicing military dentists with the help of simulation training eliminates the risk to the life and health of the patient and trainee, allows you to conduct classes on an individual educational program without taking into account the working hours of the medical organization and the work schedule of the teacher, makes it possible to repeatedly practice the skill and bring the manipulation to automatism, provides objective quality control of its implementation, easily models rare pathologies and clinical cases [1-7].","PeriodicalId":503589,"journal":{"name":"Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365973","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 : 2023-07-01DOI: 10.18499/2070-9277-2023-26-2-53-58
Anton S. Valynov, Natalia V. Chirkova, Elena V. Kravchuk, Aleksey N. Morozov, Natalia G. Derevnina
The most common manifestation of a complication in the treatment of patients with fixed denture structures is a violation of fixation. An orthopedic dentist places high demands on fixing cements and most refuse zinc-phosphate cements, preferring materials of a different class. Zinc-phosphate cements are one of the first representatives of fixing materials in the history of dental prosthetics and their formulation, accordingly, is undergoing constant modernization. After the introduction of certain modifications, as a result, the properties are improved. The physicomechanical properties of zinc-phosphate cements used today as fixing materials for fixed structures of dentures in a comparative aspect have been studied. The importance of our research is dictated by the paramount importance of the studied properties. The materials of domestic production were used in the work - "NeoDent" LLC "Celit" Voronezh, "VISCIN" LLC "Raduga-R" Voronezh and a foreign representative of zinc-phosphate cement "Adhedor" SpofaDental, Czech Republic. The research methods included the measurement of compressive strength, the thickness of the cement film and the determination of the net hardening time.
{"title":"COMPARATIVE ANALYSIS AND PROSPECTS FOR IMPROVING THE PROPERTIES OF ZINC-PHOSPHATE CEMENTS","authors":"Anton S. Valynov, Natalia V. Chirkova, Elena V. Kravchuk, Aleksey N. Morozov, Natalia G. Derevnina","doi":"10.18499/2070-9277-2023-26-2-53-58","DOIUrl":"https://doi.org/10.18499/2070-9277-2023-26-2-53-58","url":null,"abstract":"The most common manifestation of a complication in the treatment of patients with fixed denture structures is a violation of fixation. An orthopedic dentist places high demands on fixing cements and most refuse zinc-phosphate cements, preferring materials of a different class. Zinc-phosphate cements are one of the first representatives of fixing materials in the history of dental prosthetics and their formulation, accordingly, is undergoing constant modernization. After the introduction of certain modifications, as a result, the properties are improved. The physicomechanical properties of zinc-phosphate cements used today as fixing materials for fixed structures of dentures in a comparative aspect have been studied. The importance of our research is dictated by the paramount importance of the studied properties. The materials of domestic production were used in the work - \"NeoDent\" LLC \"Celit\" Voronezh, \"VISCIN\" LLC \"Raduga-R\" Voronezh and a foreign representative of zinc-phosphate cement \"Adhedor\" SpofaDental, Czech Republic. The research methods included the measurement of compressive strength, the thickness of the cement film and the determination of the net hardening time.","PeriodicalId":503589,"journal":{"name":"Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366099","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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