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Parodontologiya

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Vol 23, No 1 (2018)
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CLINIC

4-9 440
Abstract
Abstract Due to the long-term clinical experience a concept of the restoration of hard tooth tissues in patients with periodontal disease was formed considering compatibility with periodontal tissues. The aim of the study is evaluate the effectiveness of the conceptual restoration of the tooth shape in patients with periodontal disease. The stages of restoration of hard tooth tissues are defined: pre-restoration preparation, direct and indirect restoration of the anatomical tooth shape and professional hygiene. Due to knowledges of the basic principles of the proposed concept and ideal implementation in the restoration of dental shape there are possible to obtain a favorable interaction of restoration with the surrounding tissues of the biological periodontal system in 98% patients with periodontal disease.
41-44 421
Abstract
The aim of the study was to develop methods of stimulation process of osseointegration in patients with chronic generalized parodontitis with lower rates of bone mineral density (BMD) in dental implantation. Dental status was studied 151 patient aged 35-44 years with HGP before dental implantation and 30 healthy persons, conducted x-ray studies, determined mineral bone density. IPC status was evaluated in the control group and group study, which showed a decline of more than half of the surveyed have IPC. The results were compared to the IASC indicators before and after dental implantation through 6 and 12 months. The data obtained confirmed the clinical efficacy of topically and inside mehanoaktivnoj nanodispersnoj Calcium Gluconate form on IPC status in patients in dental implantation.
86-89 2391
Abstract
The one of the urgent problems in dentistry is earlier and effective treatment of premalignant diseases of the oral mucosa. High risks of malignant mucosal lesions necessitate a combination of conservative and surgical treatment. In this article we presents clinical examples of treatment of leukoplakia with extensive lesions of the oral mucosa. We performed cryodestruction for patients with liquid nitrogen (t = -1960C), with a preliminary histological examination and further observation. We estimated the duration of rehabilitation, wound healing and mucosal repair Immediately after cryotherapy, edema and hyperemia appeared. Within three days a fibrin membrane was formed, under which the process of epithelialization of the mucosa proceeded from 7 to 10 days. Clinically, there was no deformation of the mucous areas of the oral cavity, contractures.

RESEARCH

15-18 690
Abstract
The article considers smoking cigarettes and hookah on the microcirculatory bed of periodontal tissues. The definition of hygienic and periodontal indices was carried out. To register hemodynamic changes before smoking and immediately after smoking a device was used to diagnose microcirculation «Minimax-Doppler-K».
26-29 353
Abstract
Dental implantation, nowadays, has become a frequently applied procedure in the daily practice of a dentist. However, the actual direction of scientific research remains the prediction of the effectiveness of surgical intervention. The aim of this work is to establish diagnostic value of lifting of the contents about- and anti-inflammatory cytokines (IL-8, MCP-1, IL-1RA, TNF) and the vascular endothelial growth factor (VEGF) in the gingival fluid in patients after dental implant installation.
30-36 533
Abstract
The study evaluated the adaptive capacity of the organism of patients with acute and chronic catarrhal gingivitis in the dynamics of treatment by conventional method, and with the use of proposed complex therapy, which includes injections of Traumeel-C and Coenzyme compositum preparations in addition to traditional therapeutic measures. It was noted the increase in clinical efficacy as a result of treatment of patients with catarrhal gingivitis by the proposed method. The use of complex therapy in accordance with the proposed scheme allows not only to improve significantly the condition of periodontal tissues, but also to increase the adaptive capacity of the organism, which positively affects the general state of patients after 6-7 days already. The use of the complex approach facilitates the reduction in the duration of treatment by 30.8%, the increase in the duration of remission by 27.5% and the improvement in the quality of life of patients with this pathology.
37-40 425
Abstract
More than 100 years has gone since difference methods of the periodontal scaling was applied in clinical practice. However, the basic point are defining efficacy of SRP has continued the quality of root surface treatment. There were results of comparative research of quality different methods of root surface treatment and periodontal spaces were dscribed in this article.
49-51 458
Abstract
The aim of this research was studying of the effectiveness of toothpaste based on sodium bicarbonate in patients undergoing treatment with use of the permanent orthodontic technique. As a result, it has been established that in patients with permanent orthodontic technique the indices of oral hygiene deteriorate, the viscosity of saliva increases and the mineralizing potential of saliva decreases. The use of 2 times a day for the oral care of toothpaste based on sodium bicarbonate improves the index of oral hygiene, reduces the viscosity of saliva, activates the buffer capacity of the oral fluid and increases the MPS.
69-78 548
Abstract
In 12 non-native dogs, the morphological state of periodontal tissues was studied using the developed experimental model and the design of an orthodontic device for horizontal movement of teeth under the action of dosed loading for 40 days. When modeling the process of reconstructing periodontal tissues using fixed orthodontic technique under the influence of small forces, the daily rate of tooth movement was no more than half the width of the periodontal gap, and the loading value did not exceed the fixing capacity of the periodontal. The obtained morphological data are compared with the structure of periodontal 4 intact animals. It was established that the physiological character of the processes of bone remodeling under the influence of small forces exerts a positive effect on the morphological changes in the tissues of the periodontal complex, minimizes the number of complications in orthodontic movement of the teeth, contributing to the reduction of the adaptation time.
80-85 296
Abstract
The relevance of the research. Study the possibility of using a small number of implants in prosthetic treatment of patients of elderly and senile age with complete loss of teeth on the lower jaw is important. Not currently described methods and devices used to objectively measure the extent and quality of fixation of complete removable denture implant of the lower jaw. Purpose. Instrumental assessment of the degree of fixation of full dentures of the lower jaw, based on a different number of implants. Materials and methods. The object of the study were 43 people with a diagnosis of complete loss of teeth on the lower jaw, which were divided into 2 groups according to type of manufactured construction: 1 group (22 persons) - fixation of the prosthesis on a single implant, the 2nd group (21 persons) - fixation of the prosthesis on two implants. The power of fixation (retention and stabilization) was determined before implantation of the prosthesis, after 3 and 12 months (application for invention No. 2016148504 from 09.12.2016). Results. The indices of retention of the prostheses in the first group after implantation increased from 337,28 ± 34,99 g to 1462,50 ± 204,22 g, and stabilization with 212,86 ± 20,05 g to 613,05 ± 144,88 g. In the second group of indicators of retention after implantation increased with 323,67 ± 59,00 g to 1704,57 ± 102,19 g, and stabilization with 210,52 ± 29,97 g to 761,50 ± 71,65 g. Summary: 1) the developed device allows to conduct an objective measurement of the foce of retention and stabilization of the prosthesis, as in conventional and implant prosthetics using different number of implants and implant different types of locking fasteners; 2. The degree of retention and stabilization of the prosthesis after implantation increased in the presence of one or two supporting implants, the changes of the indicators were more pronounced in the group of patients with fixation of the prosthesis on two implants; 3. Fixing that achieved by one supporting implant was enough to improve the quality of functionality and ease of use of a complete removable prosthesis of the lower jaw.

DIAGNOSTICS

52-57 364
Abstract
The search of the proper overlay of the occlusal surface is the major task during the dental rehabilitation of the patient. The article presents a new approach for it finding, which would enable to create esthetic and functional optimum in patient treatment using extended fixed bridges. The use of the dental laser level helps to create the parallel occlusal plane of the maxilla dentures relatively the pupillary line. Dental laser level is a device, allowing to determine the parallel of the the one plane relative to another one. The device makes an opportunity to match the «middle» line of the face with the line, going between the upper incisors and mandible.

AB EXTERIORIBUS AD INTERIORA

10-14 532
Abstract
It has been established that periodontal diseases in the mother are associated with the risk of premature birth, and as they progress in pregnancy, the risk rises, but the cause of this relationship is unclear. It is suggested that an increased risk of preterm delivery may be due to hematogenous spread of infection to the pelvic organs or, more likely, by common mechanisms of inflammatory response to microorganisms in the oral cavity and the reproductive tract. The association between maternal periodontitis and adverse pregnancy outcomes is important from the point of view of public health, given that periodontitis is preventable and treatable, a significant part of adverse pregnancy outcomes occur in the absence of established risk factors, adverse pregnancy outcomes result in a significant burden on health and social welfare . It should be noted, however, that there is no evidence of an impact on the risk of preterm labor of periodontal disease before conception.
22-25 458
Abstract
Abstract This study investigated the dental status and cytological features of oral mucosa in patients with iron deficiency anemia. The results of the study revealed an increase in the number of cells of the IV stage of differentiation and a decrease in the number of V stage cells and a decrease in the index of epithelial cell differentiation. There was a tendency to normalize the nature of cell differentiation in patients with iron deficiency anemia after therapy with iron preparations. In addition, it was determined the change in adhesion to epithelial cells in patients with iron deficiency anemia, which did not change during treatment. The change in the cytological characteristics of the oral mucosa can be regarded as the effect of an existing somatic disease. Key words: iron-deficiency anemia, scraping, oral mucosa, an index of differentiation, adhesion, epithelial cell.
90-92 465
Abstract
Severe disorders of the factors of both nonspecific and immune defense of the oral cavity are detected to patients with chronic periodontal diseases on the background of bronchial asthma, with the most significant changes being noted to patients with hormone-dependent bronchial asthma.

ЭПИДЕМИОЛОГИЯ

45-48 361
Abstract
Inspection of 858 out-patient cards of the stomatologic patient in departmental stomatologic out-patient and polyclinic establishment and 320 case histories of unit of maxillofacial surgery and an odontology of departmental versatile MPI regarding use at diagnostics and treatment of diseases of the parodont of various methods of inspection and determination of frequency of their use taking into account the existing clinical references or protocols of treatment the parodontologicheskikh of patients is carried out. The reasons of failure to follow the standard of inspection at parodont diseases are discussed.

PREPARATION

19-21 445
Abstract
This article is devoted to the main aspects of treatment and prophylactic therapy of periodontal inflammatory diseases with the use of pastes, which can be recommended in the complex treatment of initial forms of pathology.

ОРГАНИЗАЦИЯ СТОМАТОЛОГИЧЕСКОЙ ПОМОЩИ

64-67 364
Abstract
The quality of medical care in general depends on the quality of the provision of nursing services. Currently, there is a pronounced shortage of nursing staff in healthcare and in dentistry in particular. This actualizes a problem of personnel management, which should be carried out taking into account the views of both the employees and the patients. The article provides data of self-assessment of knowledge level of nurses (which ranged from 3.3 points in the health economics to 4.6 points in nursing). 73% sisters work more than a bet. 30,6% of respondents were satisfied on their wages.  Almost one in six (13,0%) sister is planning to change their profession. The respondents believe that the main factor contributing to the quality of work is the rational organization of labor. They are not quite satisfied with the relationship with doctors. Patients highly appreciated the quality of care provided in the clinic, but 40% of them are unable to assess the attitude of nursing staff (apparently due to his non-participation in the treatment process that is not quite adequate to modern medical and organizational technologies). The article includes some proposes for improving personnel management in the organization.


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ISSN 1683-3759 (Print)
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