Эмаль и дентин зубов человека. Усталостная прочность
- Авторы: Силин А.В.1, Сатыго Е.А.1, Марьянович А.Т.1
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Учреждения:
- Северо-Западный государственный медицинский университет им. И.И. Мечникова
- Выпуск: Том 15, № 4 (2023)
- Страницы: 19-29
- Раздел: Научный обзор
- URL: https://journals.eco-vector.com/vszgmu/article/view/624120
- DOI: https://doi.org/10.17816/mechnikov624120
- ID: 624120
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Аннотация
В статье представлен краткий обзор исследований, касающихся изменений структуры и состава зубов после прорезывания. Проанализированы факторы дегенеративных изменений в структурах зуба и их взаимосвязь с возникновением некариозных поражений. В исследованиях сделан акцент на долговечность зуба и изучены факторы, влияющие на усталость тканей, что, в свою очередь, объясняет усиление износа тканей под влиянием местных факторов. В понимании механизмов метаболизма твердых тканей зубов кроется ответ на вопросы стабильности результатов реставрационного лечения и возникновения некариозных поражений зубов. Обращает на себя внимание эволюция взглядов на эту проблему. При анализе литературы очевидно первоначальное преобладание концепций механических воздействий, абразии и минерализации, позднее дополненных детальным анализом влияния разрушающих напряжений и деформации под действием механических факторов. Все передовые работы 2000-х годов посвящены анализу ультраструктурных особенностей эмали, влияющих на ее механические характеристики, и способны объяснить как особенности формы и интенсивности механического износа зуба при функционировании зубно-челюстного аппарата, так и долговечность выполненных реставраций. Обзор литературы проведен по 74 источникам за последние 15 лет.
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Об авторах
Алексей Викторович Силин
Северо-Западный государственный медицинский университет им. И.И. Мечникова
Email: silin@me.com
ORCID iD: 0000-0002-3533-5615
SPIN-код: 4956-6941
доктор мед. наук, профессор
Россия, 191015, Санкт-Петербург, Кирочная ул., д. 41Елена Александровна Сатыго
Северо-Западный государственный медицинский университет им. И.И. Мечникова
Автор, ответственный за переписку.
Email: stom9@yandex.ru
ORCID iD: 0000-0001-9801-503X
SPIN-код: 8776-0513
доктор мед. наук, профессор
Россия, 191015, Санкт-Петербург, Кирочная ул., д. 41Александр Тимурович Марьянович
Северо-Западный государственный медицинский университет им. И.И. Мечникова
Email: atm52@mail.ru
ORCID iD: 0000-0001-7482-3403
SPIN-код: 5957-2347
доктор биол. наук, профессор
Россия, 191015, Санкт-Петербург, Кирочная ул., д. 41Список литературы
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