Vol 19, No 3 (2015)

For a long time the main structural material for fixed dental prostheses were cobalt and Nickel-chrome alloys, which were covered in ceramic coatings. However, due to the environmental degradation increases as the number of complaints of allergic reactions, adverse reactions in the oral cavity, deterioration of the General condition of the body, frequent exacerbations of chronic diseases. In this regard, more and more widely used alloys of noble metals, because they have an exceptional combination of high-tech unique properties and biocompatibility. Dental technicians often use in their work sprues that according to some authors can strongly affect the physical and mechanical properties. To study the maximum number of sprues that can be added to the new pellets, without the risk of breakage of the prosthesis, we have investigated changes in physico-mechanical properties (thermal linear expansion factor, yield strength in bending, hardness) and chemical composition of the samples of noble national dental alloysfor the manufacture ofmetal-ceramic dental prostheses. The data obtained allow to conclude that dentures made of precious alloys during casting of the frames which adds 50% of the sprues, the basic composition and properties correspond dentures made of new granules. Dentures, frames which are made from 100% sprues are significant differences in physico-mechanical properties from the source material. Thus, it is possible to recommend the use of 100% of the sprues data noble alloys for the manufacture of inlays, all-metal, metal-composite or polymeric denture, since the addition of sprues, in this case, will not affect the risk of breakage of the frame.

The paper presents the results of a clinical study of the relationship of the mechanisms of endogenous intoxication and lipid peroxidation in the development of chronic generalized periodontitis in 26 patients aged 30 to 50 years, treated in the national dental clinic and dental clinic № 3, Saransk. It is shown thatfor patients with chronic generalized periodontitis is characterized by the formation of a syndrome of endogenous intoxication, as one of the most important components of the pathogenesis of this disease. Carried out the complex of therapeutic measures (basic therapy) suspends, but does not eliminates endotoxicosis. Confirmation of the presence of endotoxemia in chronic periodontitis on the background of basic therapy is to maintain blood plasma molecular products of lipid peroxidation, which identified and chemiluminescence test, and in the lipids of lipoproteins in the blood. Diagnosed with changes in indicators of free radical oxidation of lipids correlated with parameters reflecting the effects of endogenous intoxication (r=0,79-0,87), indicating that the relationship between endotoxemia and processes of lipid peroxidation, as the criteria for progression of chronic periodontitis. Performed study demonstrates the lack of desired positive results of traditional therapy for the correction of endogenous intoxication and processes of lipid peroxidation in patients with chronic periodontitis. This fact is the basis for the feasibility of developing new schemes pharmacotherapy of chronic periodontitis.

The prevalence of chronic recurrent aphthous stomatitis is high enough. The aim of the study was to improve the methods of treatment of chronic recurrent aphthous stomatitis. Analyzed the changes of immunological parameters of oral fluid. Treatment ofpatients with chronic recurrent aphthous stomatitis and urogenital infection was carried out with the use of drugs Atarax, Galavit and Eplan. There was an increase of immunological parameters of oral fluid (lysozyme and secretory immunoglobulin A), the normalization values of the coefficient of local immunity factors balance in the treatment of chronic recurrent aphthous stomatitis in women with urogenital infection, most pronounced at 3 months after treatment and showing favorable level of local immunity cavity mouth.

The authors described the statistics on the diseases of the salivary glands. It is established that diseases of the salivary glands are found in 11.7% of cases among all patients with diseases of the surgical stomatologiches profile. The most frequently diagnosed sialadenosis and clonakenny disease. Women are 1.8 times more often affected by this disease than men. Neediness of women in inpatient treatment 1.7 times higher than that of men, which must be considered in the allocation of beds in hospitals-hour stay.

Analysis of the legal framework for the regulation of medical records for accounting labor dentists revealed major issues. Established mechanism for the formation of non-compliance accounting work of dentists in various accounting and reporting of medical records. Practice has shown to eliminate the existing shortcomings is necessary to form a common information base dental service needed for internal analysis of the dental organization and its subsidiaries.

The paper deals with the study of the organization of the Soviet state of dental care in the late 1930s. and related health and social problems. During this period the formation of the Soviet system ofdental care completed, and this system existed until the end of the XX century. Providing this type of care was organized in accordance with the economic priorities and capacities of the state by a unified, obligatory methods of social and clinical dentistry. In this approach the indices ofperformance ofpublic dental health dominated and the interests of individual members of society were ignored.