Vol 22, No 1 (2018)

Articles
POSSIBILITIES AND PERSPECTIVES OF RAMAN FLUORESCENCE DIAGNOSTIC APPLICATION IN DENTISTRY
Alexandrov M.T., Kukushkin V.I., Margaryan E.G., Pashkov E.P., Bagramova G.E.
Abstract
Experimental-theoretic rationale and hardware-software device of application of Raman-fluorescence medical technologies in dentistry were performed. High-sensitive and high-specific express methods of caries and demineralization level of hard tooth tissues diagnostic, species indication of germs and express determination of its sensitivity to medications, verification of medications and drugs, malignant and benign neoplasms express diagnostic were presented. Wide range of method's clinical-diagnostic capabilities and of presented domestic hardware-software complex of Raman fluorescence diagnostic are recommended for clinical application.
Russian Journal of Dentistry. 2018;22(1):4-11
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THE STUDY OF THRESHOLDS OF PAIN SENSITIVITY OF ORAL MUCOSA TO MECHANICAL STIMULI
Arutyunov A.S., Pertsov S.S., Muslov S.A., Shanidze Z.L.
Abstract
Tactile and pain sensitivity of the oral mucosa has been the subject of study of a number of researchers. However, the numerical values of the thresholds of the excitation of the baro - and mechanoreceptors of the mucosa of the oral cavity not sufficiently detailed in the literature, experimental data is highly scattered, often presented without specifying the method of measurement or sections of the jaws, which were received. However, the authors note the unequal sensitivity of the mucous membrane in its different areas and its dependence on the presence or absence of a number of chronic diseases. Systematic study on the diagnosis of sensitivity associated with dental prostheses of the prosthetic bed tissues to pressure, virtually no. In this report the authors made some attempt to rectify this gap. It shows the numerical values of thresholds of pain sensitivity of the mucous membrane of the oral cavity of humans and animals by mechanical action on the basis of literary data and results of numerical analysis of the mathematical model “obturator maxillary prosthesis - mucosa the edges of the defect of the upper jaw”. The average value of the lower threshold of pain sensitivity was 20,72 g/m2 according to the data of different authors, and the upper limit was 63,82 g/m2.
Russian Journal of Dentistry. 2018;22(1):11-17
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EFFECT OF COMPLEX EFFECTS OF ARGININE AND NANOHYDROXYAPATITE ON SOLID TISSUES PREPARED TEETH
Kodzhakova T.S., Garazha S.N., Grishilova E.N., Grishkov M.S., Martynov D.V.
Abstract
The most pronounced positive and effective impact on the structure of dentin after preparation having combined the combined effect of arginine and nanohydroxyapatite. The use of arginine and nanohydroxyapatite is an effective therapeutic and prophylactic effects on prepared vital teeth, which manifests itself in the formation on the surface of prepared dentin a dense protective layer for the open dentinal tubules and dentin mitubushi. Arginine and nanohydroxyapatite accelerate the process of near-pulp dentinogenesis.
Russian Journal of Dentistry. 2018;22(1):18-21
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GALVANOS ASSOCIATED WITH IRON DEFICIENCY ANEMIA
Gozhaya L.D., Egorova T.A., Isakova T.G., Goncharova O.P., Dikanova M.V.
Abstract
Comprehensive assessment of galvanosis and irondeficient anemia, by the results of electrochemical, patentological, spectro-graphic, hematological studies of the oral cavity hemostasis.
Russian Journal of Dentistry. 2018;22(1):21-24
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IMMUNOLOGICAL AND PATHOPHYSIOLOGICAL LAWS OF LOCAL IMMUNITY ORAL CAVITY PREVENTION OF INFLAMMATORY COMPLICATIONS OF TREATMENT OF DENTOALVEOLAR ANOMALIES
Zheleznyi P.A., Shchelkunov K.S., Zheleznyi S.P., Zheleznaia A.P., Belousov Y.N.
Abstract
The state of local immunity oral factors in orthodontic treatment with fixed structures in 192 people aged 18-25 years. The mixed saliva was determined lysozyme activity levels of secretory immunoglobulin A, interleukin 1в and interleukin 4 dynamics. It was found that orthodontic treatment leads to activation of the inflammatory process in periodontal tissues, effective therapy which should be based on the integrated use of antimicrobial agents and immunomodulatory agents.
Russian Journal of Dentistry. 2018;22(1):25-28
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PROSTHETIC REABILITATION OF THE PATIENT WITH APPLICATION OF THE IMPRESSION TRAY-TRANSFORMER: CASE REPORT
Kochurova E.V., Lapina N.V., Grishechkin M.S., Izhnina E.V.
Abstract
Improvement of surgical methods of treatment of patients with malignant neoplasm of the oropharyngeal region increased the number of positive prognoses for the rehabilitation of patients with surgical defects. However, prosthetic care presents great difficulties for this patients because of complications during antitumor treatment. The treatment of malignant neoplasm leads to temporary and permanent lockjaws besides the disturbance of breath, swallowing, speech. Optimization of existing stages of prosthesis fabrication is necessary to improve the effectiveness of prosthetic care for patients with malignant neoplasm of the oropharyngeal region.
Russian Journal of Dentistry. 2018;22(1):28-30
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DENTAL AND SALIVARY STATUSES OF MEN WITH ALCOHOL USE DISORDER DEPENDING ON AGE
Kunavina K.A., Opravin A.S., Soloviev A.G., Kharkova O.A., Galieva A.S.
Abstract
Introduction. High level of alcohol consumption in Russia and significant need of dental care especially among patients with alcohol use disorder (AUD) dictate necessity of investigation of dental pathology features among this group of patients. The aim of the study is to research dental and salivary statuses of men with ADS depending on the age. Methods. Examination of indices of dental and salivary statuses was carried out among two age groups of patients with second stage of AUD aged 25-44 years - «younger» and 45-64 years - «older». Methods of statistical analysis were Pearson's chi-squared test, Mann-Whitney U test and logistic regression. Results. In studied group median of DMFT with Q1 and Q3 is 14,0 (11,0-20,0) in younger group and 23,0 (18,0-29,0) in older group with significant prevalence of missing teeth in older group (p<0,001). According to the results of F-(D+M) investigation, more than 90% of the research subjects had negative attitude towards their dental health but in older group the index was two times lower than in younger group (p<0,001). The need of prosthetic care among study participants was almost 100% (р=0,253); hygienic level of both groups was satisfactory (р=0,210). Salivary status was characterized by low salivation rate (р=0,723), acidic pH (р=0,511) and low microcrystallization potential of saliva (р=0,047) both in younger and older group. On the opposite, the indices of saliva viscosity (р=0,042) and surface tension (р=0,669) were increased. The analysis of the microcrystallization of saliva types has revealed that types г and Д prevailed. Conclusion. During the study we revealed statistically significant age differences among patients with AUD in indices of dental and salivary statuses. These findings determine the need of development of narcological circumspection among dentists and formulating the recommendations for the management of narcological patients and secondary prevention for the preservation of dental health.
Russian Journal of Dentistry. 2018;22(1):31-36
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IMPROVED LOCAL TREATMENT WITH WOUND COVERING IN PATIENTS WITH FACE AND NECK PHLEGMONS REGARDING WOUND PROCESS PHASE
Paramonova O.A., Savchenko Y.P., Gayvoronskaya T.V., Terman E.A., Gerbova T.V., Tsinenko D.I.
Abstract
Clinical and microbiological analysis of «Aquacel Ag + Hydrofiber dressing», «Aquacel Ag Foam dressing Hydrofiber» and «Granulex» (ConvaTec, USA; wound covering efficiency in complex treatment of patients with face and neck phlegmons was carried out. We proved positive influence and potent action of the wound dressing on reparative processes in postoperative purulent wounds in patients with face and neck phlegmons. Application of «Aquacel Ag + Hydrofiber dressing», «Aquacel AgFoam Hydrofiber dressing» and «Granuflex» wound covering in a complex therapy allowed to improve wound condition in earlier terms, put secondary sutures and reduce terms of patient hospital stay.
Russian Journal of Dentistry. 2018;22(1):36-40
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THE INDIVIDUAL COMPLEX ALGORITHM IN THE TREATMENT OF THE PATIENT WITH PHLEGMON OF THE PAROTID-CHEWING AREA
Serpionov S.Y., Stepanova Z.E., Maksyukov S.Y., Stepanov D.A.
Abstract
The examination and complex treatment of 86 patients with phlegmon of the parotid-chewing area were carried out. Based on clinical data, modern laboratory and instrumental (invasive measurement of tissue pressure), significant prognostic criteria were revealed, an algorithm for evaluating the effectiveness of treatment was developed. Adequate choice of classification characteristics, as well as further application of differential treatment tactics in the patients of the main group of observations, further confirmed that the individual substantiation of the therapeutic algorithm allows to improve the results of treatment. Obtained 90.9% good results of treatment of patients with phlegmon of parotid-chewing area, with 6.8% of satisfactory outcomes and only 2.3% of unsatisfactory results, allow to recommend the developed technologies protected by 2 patents of the Russian Federation in clinical practice.
Russian Journal of Dentistry. 2018;22(1):41-44
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ANALYSIS OF THE BASIC ANTHROPOMETRIC MEASUREMENT PARAMETERS OF DENTAL PATIENTS WITH CONNECTIVE TISSUE DYSPLASIA
Statovskaia E.E.
Abstract
The purpose of this study was to determine the bodybuild, the basic anthropometric measurement parameters (body-weight index - BMI, Varga Index - VI, height, weight), the nature of variation thereof in relation to sex, age and possible correlation with dental health status, in adult patients with connective tissue dysplasia (CTD). A group of 360 dental patients of white race, aged 16-56, residents of St. Petersburg, including: control group of patients (n=84) not having the connective tissue dysplasia (CTD) and the basic group of patients (n=276) having the CTD, has been examined. Patients underwent complex clinical and instrumental examination of their dental, somatic status, CTD check. We have found that BMI, in comparison with VI, identifies the differences between the studied groups more accurately, and seems more preferable for diagnosis of the nutritional status and differential diagnosis of patients whether having or not having CTD. In the basic group, BMI is affected by the course of CTD and by age. In the control group, BMI is affected by age and gender. In the basic group, the course of CTD and gender affect VI. In the control group, gender and age affect VI. Correlations of the anthropometric parameters (n=320; p=0,0001) with CTD and dental parameters, have been identified. Varga Index has positive correlations with body-weight index, BMI (r=0.951), weight (r=0,837), periodontal biotype (r=0,289), and negative correlations with CTD (r = -0.290). BMI positively correlates with VI (r= 0,951), weight (r=0,856), and age (r=0.392), gingiva biotype (r=0,305), presence of dentition defects (r=0,301). BWI negatively correlates with the diagnostic bone criteria of CTD (r=-0,308; n=249) and the CTD phenotype (r=-0,323). In the examined patients, age correlates with the CFE index (index of caries-decayed, filled, extracted teeth) (r=508) positively, and correlates with the weight (r=-0.300) of the patient negatively (p=0,0001; n=320). Implementing the study of dental patients, it is necessary to take into account the values and correlations of the anthropometric measurement parameters (BMI, VI of weight, height), which correlate with age, gender and dental status characteristics (periodontal biotypes, CFE, dentition defects), as well as bone diagnostic criteria of CTD, feature of the CTD course and phenotype.
Russian Journal of Dentistry. 2018;22(1):45-49
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ANALYSIS OF COLOR CHARACTERISTICS FOR VARIOUS COMBINATIONS OF THE CORE MATERIALS AND ALLCERAMIC MATERIALS
Ryakhovsky A.N., Tikhon Y.V.
Abstract
This paper is devoted to the analysis of the optical interaction of materials for the fabrication of the post-core and all-ceramic framework of a non-removable prosthesis. The gold-palladium alloy, cobalt-chromium alloy and composite materials were chosen as the material for restoration of the core of teeth. The first group of ceramic samples consisted of zirconia zirconia disks (Dental Direkt, Germany), 0.3 mm thick and 0.5 mm thick with different transparency (high, medium and low). The second group of framed ceramic materials ware disks from lithium disilicate E.max Press (Ivoclar Vivadent, Liechtenstein), 0.4 mm thick and 0.6 mm thick from blanks of different transparency (high transparency, low transparency, medium opacity, high opacity). The study was based on the principle of comparative analysis of the obtained samples on a spectrometric color analyzer and comparing the reflection coefficient. The dependence of the brightness of the finished restoration on the type of the core materials and all-ceramic discs of different thicknesses has been determined, which should be taken into account when calculating the final ceramic restoration color. It has been established that a composite base should be used for prosthetics of an aesthetically significant group of teeth. In turn, core materials from CoCch and Au alloys according to colorimetric characteristics are not suitable for this prosthesis and they must be primed with opaque materials beforehand.
Russian Journal of Dentistry. 2018;22(1):50-54
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FEATURES OF PROVIDING DENTAL CARE TO DRUG-ADDICTED PATIENTS
Evstratenko V.V., Sevbitov A.V., Platonova V.V.
Abstract
Drug addiction of any kind is a serious threat to patients' dental health too. It has been found out that patients, who are drug addicted, have a significantly higher frequency and severity of oral diseases: increase in frequency of caries and its complications, inflammatory-and-dystrophic diseases of periodontitis, pathologies of mucous tunic of mouth. We examined 197 persons who had drug addiction. The conducted research revealed that all 100% examined patients needed dental care; preparation of drug-addicted patients for a dental treatment must be conducted under control of narcologist, anesthesiologist and dentist.
Russian Journal of Dentistry. 2018;22(1):55-57
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EXPERT ASSESSMENT OF MEDICAL RECORDS MAINTENANCE FOR OUT-PATIENT ORAL SURGERY PROCEDURES
Izmaylova Z.M., Smirnova L.E., Vagner V.D.
Abstract
The paper presents a protocol of medical record review used for control of adequate medical history taking, diagnostics, care and rehabilitation thus improving the quality of dental care in patients undergoing oral surgery procedures.
Russian Journal of Dentistry. 2018;22(1):57-60
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LEGISLATIVE AND NORMATIVE LEGAL PROVISION OF CONTINUOUS PROFESSIONAL EDUCATION
Drozdova O.V., Maksimovskaya L.N., Wagner V.D.
Abstract
In recent years, the country has undergone significant changes in the legislation on health and education, which have influenced the process of training medical personnel. Federal laws have been passed and entered into force. The analysis carried out by the authors showed that there are serious problems that need to be resolved: it is necessary to adopt a new regulation on clinical medical organizations (clinical bases of educational organizations), point to the implementation of educational activities by the medical organization in the manner and under the conditions established by the current legislation, think about creating special mechanisms for financing clinical medical organizations. Peculiarities of students‘ legal status, their interaction with medical personnel of the institution and patients should be determined.
Russian Journal of Dentistry. 2018;22(1):61-63
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DENTAL STATUS OF WORKERS OF MINING AND PROCESSING PLANT ENGAGED IN MINING AND PROCESSING OF COPPER-ZINC ORES
Trofimchuk A.A., Kabirova M.F., Gulyaeva O.A., Karimova L.K., Salyakhova G.A.
Abstract
With the aim of studying the state of periodontal tissues in workers of mining and processing plants engaged in the extraction and processing of copper-zinc ores carried out a comprehensive dental examination of 395 workers of the production and the control group of 90 people. There was a high prevalence and intensity of diseases of hard tissues of teeth, periodontal tissues and mucous membranes of the oral cavity of the miners engaged in the extraction and processing of copper-zinc ores, which correlates with the degree and duration of contact with harmful production factors. The results of the study can be used to optimize the existing system of protection of dental health of the employees of this and other similar enterprises.
Russian Journal of Dentistry. 2018;22(1):64-67
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THE NEED OF THE POPULATION IN DENTAL CARE AND RETROSPEKTIVNYI OPINION ON ITS QUALITY (A REVIEW OF THE LITERATURE)
Smirnova L.E.
Abstract
Analysis of the sources of literature both Russian and foreign, points to the need to create and implement comprehensive strategies aimed at improving the quality of dental care, minimizing errors, ensuring a decent quality of life. The economic costs of eliminating health-care deficiencies are also a huge problem, especially if the funding source is the budget or the funds of the MLA and VMI.
Russian Journal of Dentistry. 2018;22(1):68-72
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