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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">periodontology</journal-id><journal-title-group><journal-title xml:lang="ru">Пародонтология</journal-title><trans-title-group xml:lang="en"><trans-title>Parodontologiya</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1683-3759</issn><issn pub-type="epub">1726-7269</issn><publisher><publisher-name>Russian Periodontal Association (RPA)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33925/1683-3759-2024-974</article-id><article-id custom-type="elpub" pub-id-type="custom">periodontology-974</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ИССЛЕДОВАНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>RESEARCH</subject></subj-group></article-categories><title-group><article-title>Цифровые методы диагностики нарушений окклюзионных взаимоотношений</article-title><trans-title-group xml:lang="en"><trans-title>Digital methods for diagnosing dental occlusion disorders</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8478-9648</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ярыгина</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Yarygina</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ярыгина Елена Николаевна, кандидат медицинских наук, заведующий кафедрой хирургической стоматологии и челюстно-лицевой хирургии</p><p>Волгоград</p></bio><bio xml:lang="en"><p>Elena N. Yarygina, DMD, PhD, DSc, Head of the Department of Surgical Dentistry and Maxillofacial Surgery</p><p>Volgograd</p></bio><email xlink:type="simple">elyarygina@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6990-6482</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Поройский</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Poroyskiy</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Поройский Сергей Викторович, доктор медицинских наук, заведующий кафедрой мобилизационной подготовки здравоохранения и медицины катастроф</p><p>Волгоград</p></bio><bio xml:lang="en"><p>Sergey V. Poroyskiy, MD, PhD, DSc, Head of Department of Healthcare Mobilization and Disaster Medicine</p><p>Volgograd</p></bio><email xlink:type="simple">poroyskiy@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5546-8570</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Македонова</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Makedonova</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Македонова Юлия Алексеевна, доктор медицинских наук, профессор, заведующий кафедрой стоматологии института непрерывного медицинского и фармацевтического образования; старший научный сотрудник </p><p>Волгоград</p></bio><bio xml:lang="en"><p>Yulia A. Makedonova, DMD, PhD, DSc, Professor, Head of the Department of Dentistry, Institute for Continuing Medical and Pharmaceutical Professional Development; Senior Researcher</p><p>Volgograd</p></bio><email xlink:type="simple">mihai-m@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8378-0505</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воробьев</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorobyov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Воробьев Александр Александрович, доктор медицинских наук, профессор, заведующий кафедрой оперативной хирургии и топографической анатомии, заведующий лабораторией инновационных методов реабилитации и абилитации</p><p>Волгоград</p></bio><bio xml:lang="en"><p>Alexander A. Vorobyov, MD, PhD, DSc, Professor, Head of the Department of Operative Surgery and Topographic Anatomy; Head laboratory of innovative methods of rehabilitation and habilitation</p><p>Volgograd</p></bio><email xlink:type="simple">cos@volgmed.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7063-2132</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дьяченко</surname><given-names>Д. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Dyachenko</surname><given-names>D. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гаврикова Людмила Михайловна, кандидат медицинских наук, доцент кафедры стоматологии института непрерывного медицинского и фармацевтического образования</p><p>Волгоград</p></bio><bio xml:lang="en"><p>Lyudmila M. Gavrikova, DMD, PhD, Associate Professor, Department of the Dentistry, Institute for Continuing Medical and Pharmaceutical Professional Development</p><p>Volgograd</p></bio><email xlink:type="simple">stom.gavrikova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4445-6109</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаврикова</surname><given-names>Л. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Gavrikova</surname><given-names>L. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дьяченко Денис Юрьевич, кандидат медицинских наук, ассистент кафедры стоматологии института непрерывного медицинского и фармацевтического образования</p><p>Волгоград</p></bio><bio xml:lang="en"><p>Denis Yu. Dyachenko, Assistant Professor, Department of the Dentistry, Institute for Continuing Medical and Pharmaceutical Professional Development</p><p>Volgograd</p></bio><email xlink:type="simple">stom.infmo@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Волгоградский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Volgograd State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Волгоградский государственный медицинский университет; Волгоградский медицинский научный центр</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Volgograd State Medical University; Volgograd Medical Scientific Center</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>18</day><month>09</month><year>2024</year></pub-date><volume>29</volume><issue>3</issue><fpage>259</fpage><lpage>269</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ярыгина Е.Н., Поройский С.В., Македонова Ю.А., Воробьев А.А., Дьяченко Д.Ю., Гаврикова Л.М., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Ярыгина Е.Н., Поройский С.В., Македонова Ю.А., Воробьев А.А., Дьяченко Д.Ю., Гаврикова Л.М.</copyright-holder><copyright-holder xml:lang="en">Yarygina E.N., Poroyskiy S.V., Makedonova Y.A., Vorobyov A.A., Dyachenko D.Y., Gavrikova L.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.parodont.ru/jour/article/view/974">https://www.parodont.ru/jour/article/view/974</self-uri><abstract><sec><title>Актуальность</title><p>Актуальность. Нарушения окклюзии – предикторы не только заболеваний полости рта, но и эндокринных, сердечно-сосудистых, когнитивных нарушений, что является общемедицинской проблемой. Перспективными подходами к оценке окклюзионного статуса пациента являются цифровизация диагностических процессов и трансформация традиционных методов путем применения компьютерных технологий, что определяет актуальность анализа цифровых методов диагностики нарушений окклюзионных взаимоотношений. Цель. Анализ цифровых методов и устройств для диагностики нарушений окклюзионных взаимоотношений.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Проведен систематический анализ 40 научных публикаций, посвященных цифровым методам диагностики окклюзионного дисбаланса за период 2016-2024 гг. В ходе исследования рассмотрены характеристики электронных устройств для регистрации силы окклюзии, базирующихся на едином принципе трансформации силы в электрическую энергию с помощью различных датчиков. Цифровые методики применяются для исследования функционального состояния жевательной системы: при выявлении развившихся ранее нарушений височно-нижнечелюстного сустава, переломов нижней челюсти и деформаций прикуса, а также для динамического контроля показателей силы окклюзии в процессе терапии. Инновационные разработки портативных электронных сенсоров открывают перспективы для их имплантации вместе с управляющими чипами в зубные протезы, шины для стабилизации окклюзии, что позволит осуществлять мониторинг параметров силы сжатия зубов, в том числе с помощью искусственного интеллекта.</p></sec><sec><title>Результаты</title><p>Результаты. Разработка новых методик и приборов, высокочувствительных датчиков для определения силы жевательного давления открывает новые диагностические возможности и дает потенциал к выявлению ранее недоступных к анализу клинических параметров. Новейшие разработки аппаратных технологий на основании нейросетевого анализа способны сокращать время постановки точного диагноза и прогнозировать риск развития возможных осложнений.</p></sec><sec><title>Заключение</title><p>Заключение. В Российской Федерации и за рубежом разрабатывается большое количество цифровых методов диагностики окклюзионного дисбаланса, приоритет которых будет неоспорим в будущем. В настоящее время на скорость внедрения цифровых окклюзионных методик в повседневную стоматологическую практику влияют не только сложности оснащения клиник цифровым оборудованием, но и недостаточный уровень цифровых компетенций врачей-стоматологов. Решение этих проблем поможет достичь эффективного оказания стоматологической помощи пациентам с окклюзионными нарушениями.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Relevance</title><p>Relevance. Occlusal disorders are not only predictors of oral diseases but are also associated with systemic conditions such as endocrine, cardiovascular, and cognitive disorders, highlighting their broader significance in medicine. The digitization of diagnostic processes and the integration of computer technologies into traditional methods offer promising advancements in assessing occlusal status. This makes the analysis of digital methods for diagnosing occlusal relationship disorders particularly relevant.</p></sec><sec><title>Purpose</title><p>Purpose. To evaluate digital methods and devices used for diagnosing occlusal relationship disorders.</p></sec><sec><title>Material and methods</title><p>Material and methods. A systematic review was conducted, analyzing 40 scientific publications from 2016 to 2024 that focus on digital methods for diagnosing occlusal imbalance. The study assessed electronic devices that measure occlusal force by converting mechanical force into electrical signals using various sensors. These digital methods are employed to evaluate the functional state of the masticatory system, including the detection of temporomandibular joint disorders, mandibular fractures, and occlusal deformities, as well as to monitor occlusal force dynamics during treatment. Recent advancements in portable electronic sensors suggest potential applications for their integration with control chips into dental prostheses or occlusal stabilization splints, allowing real-time monitoring of tooth compression forces, potentially enhanced by artificial intelligence.</p></sec><sec><title>Results</title><p>Results. The development of new diagnostic methods and devices equipped with highly sensitive sensors for measuring masticatory pressure opens new avenues for identifying clinical parameters that were previously difficult to analyze. Recent advances in hardware technology, particularly those utilizing neural network analysis, have the potential to expedite accurate diagnosis and predict the risk of complications.</p></sec><sec><title>Conclusion</title><p>Conclusion. Both in Russia and internationally, significant progress is being made in the development of digital methods for diagnosing occlusal imbalance. These methods are poised to become a priority in the future of dental practice. However, the adoption of digital occlusal methods into routine dental practice is currently hindered by challenges related to the availability of digital equipment in clinics and the insufficient digital skills of many dentists. Addressing these challenges is crucial for improving the quality of dental care for patients with occlusal disorders.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>окклюзионные взаимоотношения</kwd><kwd>нарушения окклюзии</kwd><kwd>цифровые технологии</kwd><kwd>окклюзионные сенсоры</kwd></kwd-group><kwd-group xml:lang="en"><kwd>dental occlusion</kwd><kwd>occlusal disorders</kwd><kwd>digital technologies</kwd><kwd>occlusal sensors</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена в рамках гранта РНФ «Разработка методики нейросетевого анализа и прогнозирования риска развития нарушений окклюзионных взаимоотношений» (соглашение №24-25-20098) и Соглашения о предоставлении из областного бюджета (Волгоградская область) субсидий от 31.05.2024 №10.</funding-statement><funding-statement xml:lang="en">This work was supported by a Russian Science Foundation grant for the project "Development of a neural network analysis method and risk prediction for occlusal relationship disorders" (agreement №24-25-20098) and a subsidy from the regional budget of Volgograd Region (agreement dated May 31, 2024, №10).</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Hashimoto S, Kosaka T, Nakai M, Kida M, Fushida S, Kokubo Y, et al. 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