No 3 (2007)

Rabbit experiments showed that periodontitis was more severe in those animals that also had bilateral knee arthritis. The combined inflammatory pathology was associated with intensive inflammatory infiltration of periodontal tissue, bony tissue resorption in the alveoles, and the appearance of solitary necrotic foci. Diclofenac and boswellic acids, non-steroidal antiinflammatory drugs, demonstrated nearly equal effectiveness. The use of these agents favored cessation of inflammation in the periodontum and joint tissue and intensified elimination of the gingival pocket and gingival inflammatory infiltration, moderately activating osteogenesis as well. Unlike the use of boswellic acids, diclofenac application was associated with a clear tendency towards the development of anemia.

The creation of a mineral substance layer on the bottom of a natural fissure and an artificial defect on extracted human tooth enamel, as well as on experimental dog molar enamel, proved to be possible using the mineralizing material BV; this was evidenced with electron scanning microscopy. The layer of the mineral substance was covered with Fisseal C, a sealing material. The study found that sealing material application is an obligatory condition for a long preservation of the mineral layer on the enamel.

The authors report on orthopedic rehabilitation carried out in 36 patients after mandibular bone plasty using microsurgical autoplasty. An all cases satisfactory functional and aesthetic treatment results were achieved. The authors determine methodological positions on the rehabilitation of this category of patients.

The article is dedicated to the topical problem of dental treatment of patients with connective tissue dysplasia. Earlier studies evidenced serious changes in periodontal tissues in this fairly widely spread pathology. The authors performed their indexed evaluation during the orthopedic treatment of 30 patients carried out using 120 metal ceramic constructions. The study results demonstrate that the condition of the marginal periodontum worsens after treatment. In this connection, the authors recommend individual approaches to patient preparation for orthopedic treatment and the use of such individual approaches during the course of the treatment.

The psychoemotional status of 29 middle-age toothless patients was studied; changes in their psychological character- istics were evaluated in the course of the treatment and adaptation to full removable dental prostheses. According to the study, orthopedic treatment lowers situational anxiety and neurotism, increases social activity, and has positive influence on personal characteristics; these changes appear as soon as at the beginning of adaptation to prostheses.

The authors studied long-term results of orthopedic treatment of 82 toothless patients with removable dental prostheses with GosSeal soft pad; quality of life was evaluated using A. Borracchini questionnaire. The use of the Russian silicon hot polymerization soft pad GosSeal significantly increased the quality of life of most patients after tooth replacement with full removable dental prostheses. The presence of a fairly large proportion of persons experiencing discomfort caused by removable prostheses suggests that follow-up of such patients is necessary.

A hundred patients with atypical facial pain (AFP) were examined; mean age of the patients was 36 years. Serological immune parameters - myeloperoxidase (MPO) antibodies and myelin basic protein (MBP) antibodies - were measured with using immune-enzyme assay. The results were compared with results received in the control group. The study found chronic pulpitis in all the patients with AFP. Clinically AFP manifested by hypestesia or hyperestesia. Elevated immune parameters (MPO and MBP antibodies) evidence that primary inflammation of small vessels (microangiitis) is the basis for AFP; microangiitis leads to lesion in the terminal nerve distal segments in a form of demyelinization.