Vol 22, No 6 (2018)

Articles
RAMAN FLUORESCENCE CHARACTERISTICS OF HARD DENTAL TISSUES AND THEIR CLINICAL SIGNIFICANCE
Aleksandrov M.T., Kukushkin V.I., Polyakova M.A., Novozhilova N.E., Babina K.S., Arakelyan M.G., Bagramova G.E., Pashkov E.P., Dmitrieva E.F.
Abstract
The aim of the study is to study the spectral characteristics of the hard tissues of the tooth, their Raman-fluorescent components (RFS) and to determine the possibility of using the method to assess the degree of mineralization of hard tissues of the tooth. In a preclinical study on model test objects of different functional groups of teeth (incisors, premolars, molars), remote by clinical indications, Raman-fluorescence spectroscopy was performed using the laser hardware-software complex “Inspector M” with a wavelength of probing radiation 514 nm. In the course of the study, a qualitative and quantitative analysis of the content and distribution of hydroxyapatite in the structures of hard dental tissues (enamel, dentin, cement) in normal and pathological conditions was performed. The high sensitivity and expressiveness of the method, the possibility of quantitative processing of the results of the study, which allows us to recommend it for assessing the degree of mineralization/demineralization of the tooth, the effectiveness of remineralizing drugs and methods of their use in the clinic of therapeutic dentistry.
Russian Journal of Dentistry. 2018;22(6):276-280
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EFFICIENCY OF APPLICATION OF MODERN MATERIALS IN A BIOLOGICAL METHOD OF PULPITIS TREATMENT OF EXPERIMENTAL
Ivashchenko V.A., Adamchik A.A.
Abstract
This article is devoted to the morphological substantiation of the usage of the developed dental medical pads (DDMP) in comparison with modern materials - “Biodentin” (Septodont), “Calcesil” (VladMiVa) and “TheraCal” (Bisco) on an experimentally formed model of acute focal pulpitis in rats taken Vivarium from the FSBEI HE Kuban State Medical University of the Ministry of Health care of Russia. The quality assessment with the usage of the above stated materials and the developed dental medical pad has been carried out by means of histological examination of the tissues of dental pulp on 3rd, 7th and 30th day from the start of the study. The received results of the experimental study has indicated various histological changes in the studied materials during the treatment of acute focal pulpitis with a biological method.
Russian Journal of Dentistry. 2018;22(6):281-284
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EFFICIENCY THE HYGIENIC PROPERTIES OF CLASP DENTURES FOR PATIENTS WITH MISSING TEETH AND PERIODONTITIS
Amhadova M.A., Rahaeva D.Y., Garazha S.N., Hubaev Z.S., Grishilova E.N., Arutyunov E.V., Hubaev T.S., Hachaturov S.S.
Abstract
The ability to penetrate conditionally pathogenic microflora from defects of the oral mucosa, from the surface of dentures and tissues of the prosthetic bed into the bloodstream is extremely dangerous for the body. The method of evaluation of colonization of opportunistic microflora in the experiment in-vitro alloy samples for the manufacture of clasp prostheses allows to objectively assess the level of bacterial contamination of dental materials and predict the effectiveness of hygienic measures removable dentures, which is especially important in patients with inflammatory periodontal diseases. Structural heterogeneity, low surface purity, polished cobalt-chromium alloy provide adhesion of microbial cells, thereby increasing the colonization of microflora on the surface of the material. A sample of the alloy based on gold, and cobalt-chromium alloy with electroplating showed identical results reduced sorption of microorganisms and good hygiene quality.
Russian Journal of Dentistry. 2018;22(6):285-287
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HEMODYNAMIC CHANGES IN THE COMPLEX TREATMENT OF PERIODONTAL DISEASES, AND PARTIAL LOSS OF TEETH
Garazha S.N., Amhadova M.A., Grishilova E.N., Hubayev Z.S., Rakhaeva D.Y., Khachaturov S.S., Muzaeva Z.R.
Abstract
Inflammatory periodontal disease is a common pathology and in some cases determine the partial loss of teeth. Studied hemodynamic indicators point to a steady improvement of blood circulation in the periodontal tissues after treatment by combination of immobilized diarizing, and laser radiation. Hemodynamic parameters of patients using clasp dentures with acrylic teeth are significantly lower than those of patients using clasp dentures with metal-ceramic teeth.
Russian Journal of Dentistry. 2018;22(6):288-291
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RESTORATION OF DEFECTS IN CERAMIC VENEER FRAME PROSTHETIC TECHNOLOGY CAD/CAM
Morozov D.I., Zaslavsky R.S., Shmatov K.V., Ivanov A.S., Martinov D.V.
Abstract
In the article options of chipping of the ceramic veneer metal-ceramic fixed prostheses Zirconia or frameworks, including those based on dental implants. The variants of elimination of such defects are described by the degree of complication. Special attention is paid to the method of restoration of defective ceramic cladding by means of preparation of facing ceramics, scanning by CEREC intraoral scanner, milling of ceramic restoration and its fixation to the place of chipping. The author’s experience from six months to five years has shown the high efficiency of this method of repair of ceramic cladding.
Russian Journal of Dentistry. 2018;22(6):292-296
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EFFECTIVENESS OF PROSTHODONTIC TREATMENT OF PATIENTS WITH INCREASED DENTAL ATTRITION ON THE BASIS OF FUNCTIONAL DIAGNOSTIC
Romanov A.S., Morozov V.G., Geletin P.N.
Abstract
Aim of the present study was to evaluate the effectiveness of prosthodontic methods of treatment based of functional diagnostic of patients with increased dental attrition Methods. We have examined 35 patients at the Smolensk State Medical University Hospital: 20 patients with increased dental attrition and 15 patients who didn’t have any sign of functional disorders of dentoalveolar and musculoskeletal system. The main group was divided into two subgroups. In the group 1 (11 patients) required a prosthodontic therapy included individual wax-up of future prosthetic construction based on data of functional diagnostic. An electromyographic study was conducted before and one month after treatment for determination of the effectiveness of treatment methods. Results. Analyzing and comparing the data of the electromyographic study 1 month before and after treatment of patients of the 1 group have shown 93,1 % effectiveness of the treatment and the control group. The results of the study show that such occlusion is optimal for the muscles and temporomandibular joint. Conclusion. Dental treatment of increased attrition of teeth based on functional diagnostic contributes to the normalization of muscles activity. Moreover it allows to protect teeth from attrition and providing effective rehabilitation of patients.
Russian Journal of Dentistry. 2018;22(6):297-300
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IMPROVEMENT OF MANAGEMENT PROCESS TO PROVIDE DENTAL SERVICES IN THE COMPULSORY HEALTH INSURANCE SYSTEM
Zuev M.V., Butova V.G., Vlasova T.I.
Abstract
The conducted comprehensive medical, economic and statistical analysis indicates the need to develop more effective management decisions aimed at monitoring, coordination and improvement of the provision of dental services and the activities of medical organizations in the implementation of the program of state guarantees. The fiscal deficit in the compulsory health insurance system in 2017, 1.36% of all expenditures allocated for the implementation of the CHI in the field of dentistry. This fact directly indicates that the stated guarantees of free medical care are implemented in insufficient volume and quality. Current scenarios of institutional changes in the CHI system are initiated at macro, meso and micro levels. And at each of them the priority is to create an appropriate regulatory framework.
Russian Journal of Dentistry. 2018;22(6):301-304
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THE RESULTS OF THE SURVEY OF DENTISTS FOR THE CHALLENGES OF MALIGNANCIES
Kryazhinova I.A., Ismailova V.I., Kalinina A.N., Lashko I.S.
Abstract
In connection with the deterioration of the environmental situation, the prevalence of bad habits, untimely access to the dentist for the treatment of dental diseases and preventive examinations, the complexity of diagnosis and treatment of precancerous diseases of the oral cavity cancer incidence with the localization of the tumor in the maxillofacial region increases. It is necessary to activate the early diagnosis of cancer at the dental reception and the qualification of dentists of all specialties in matters of cancer alertness. A survey of 176 dentists in 12 districts of the Moscow region on 10 issues, reflecting the frequency of detection of cancer pathology and precancerous conditions, doctors ‘ knowledge of diagnostic methods and therapeutic tactics in the detection of this pathology. Most of the interviewed dentists of the Moscow region consider the full collection of anamnesis and examination of the maxillofacial area and oral cavity in patients. Not more than 10% of dentists (mainly surgeons) reported about the treatment of patients with cancer (precancerous and cancerous diseases), at the same time about 80% of doctors met in their work with cancer. The main diagnoses of cancer pathology doctors note cancer of the mucous membrane of the mouth, tongue and lip; then leukoplakia and lichen planus. More than 40% of dentists do not use clinical and laboratory methods for the diagnosis of diseases of the mucous membrane of the mouth and lips; the most common methods of diagnosis of diseases of the mucous is Cytology and clinical examination. About 80% of dentists in the Moscow region had experience in referral for further examination and treatment of patients with cancer pathology in approximately equal proportion to dentists, surgeons, oncologists in the area and in MONICA (less often MOS); dentists in a number of districts of the Moscow region do not use the opportunities of regional dental institutions. Half of dentists do not fill in the reporting and regulatory documentation in the detection of cancer of the mouth. With a high readiness of more than 85% of dentists to use a new method of diagnosing cancer, about 40% of doctors were not familiar with the photodynamic screening test Vizi Lite Plus. The vast majority of dentists in the Moscow region consider it appropriate for the early diagnosis of cancer pathology organization of dental examination, dental preventive examinations, as well as the use of screening tests, although a third of doctors did not give proposals to improve the early diagnosis of cancer. There is no doubt that there is a need to improve the organizational and diagnostic base of early diagnosis of cancer in dentistry.
Russian Journal of Dentistry. 2018;22(6):305-308
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LEGAL RISKS IN THE PRACTICE OF A DENTIST
Andreeva S.N.
Abstract
The article presents the results of the analysis of judicial practice for five years (2013-2017) in civil cases related to defects of dental care. Studies have shown that the most common reasons for patients to go to court are claims to orthopedic dentists (in 42% of cases) and dental therapists (in 31% of cases). The specialty of the doctor is not of decisive importance for the occurrence of judicial risks, due to the fact that the quality of complex dental care is most often assessed (in 45% of cases). The largest amounts of payments, exceeding 92 times the cost of treatment, are determined by dentists-surgeons. The study substantiates the need to develop new assessments at the stages of treatment, criteria for assessing the achieved results of treatment and the development of the practice of insurance of professional responsibility of dentists.
Russian Journal of Dentistry. 2018;22(6):309-313
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USE OF ROBOTS IN DENTISTRY. PART 1. ROBOTIC SYSTEM FOR TRAINING DENTAL STUDENTS AND PROFESSIONALS
Ukhanov M.M., Ivashchenko A.V., Fedyaev I.M., Yablokov A.E., Kolganov I.N., Tlustenko V.P.
Abstract
Introduction. The first use of the robot in surgery occurred in 1985. The PUMA 560 robot was used to position a needle for a brain biopsy according to a CT scan [2,4,5]. In 1994, Computer Motion’s surgical robotic system, Automated Endoscopic System for Optimal Positioning (AESOP), was the first in the United States to receive permission for use in surgical practice from the Food and Drug Administration (FDA). Purpose. To analyze the literature and patent sources and propose a preliminary classification of the range of application of robot-assisted systems in medicine. Material and methods. Analyzed and systematized the field of application of robot-assimilated systems (RAS) in medicine, as well as the possibility of using the application of RAS for training specialists. Findings. In our opinion, the development of robot-assisted systems should include the improvement of methods of intraoperative imaging, diagnostic tools, the improvement of surgical instruments, as well as the emergence of new robot-assisted developments. We assume that the future of medical operational technologies is beyond mechatronic devices, but the use of these systems requires a rational approach. The use of this equipment is justified only in the case when it is impossible or significantly difficult to carry out the operation by a doctor.
Russian Journal of Dentistry. 2018;22(6):314-324
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MODERN APPROACHES TO THE DIAGNOSIS OF FRACTURES OF THE FACIAL SKELETON
Urgunaliev B.K., Shayakhmetov D.B., Tsoi A.R.
Abstract
The authors presented data on modern approaches to the diagnosis of damage to the bones of the facial skeleton, as well as the main and special methods of radiation examination. The indications for their use and diagnostic capabilities of different methods are considered. Such modern methods of radiation diagnosis as computed tomography, magnetic resonance imaging and ultrasound and the limits of their capabilities are covered.
Russian Journal of Dentistry. 2018;22(6):325-328
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