Vol 18, No 3 (2014)

Rehabilitation patients with total loss of teeth and restoration of function of chewing and achievement of high esthetic result of orthopedic treatment at patients with total loss of teeth remains so far an actual problem. The purpose of our research was studying of biomechanical aspects of interaction of structures of bone tissue of a jaw with different types the dentalnykh of intra bone implants, especially at functional loadings, for development of the most rational and improvement of methods of orthopedic treatment of patients with total absence of teeth. In total 9 options of prosthetics of patients with total absence of teeth with various support (dentalny intra bone implants of standard diameter and miniimplants) under a removable orthopedic design are studied. For each option the maximum tension of compression and stretching, the maximum shift tension and probability of destruction of biomechanical system were calculated. The comparative assessment of these indicators on the basis of which conclusions about the most rational method of orthopedic treatment of patients with total loss of teeth were formulated is carried out and the corresponding recommendations for practice are made.

To improve the efficiency of the treatment of odontogenic cysts in the upper jaw and the prevention of complications we have developed a way to kriocistèktomii. Experimental studies using morphological and lazero-termometrical methods have made it possible to develop optimum cryotherapy with liquid nitrogen. The data obtained are highly informative testimony of simplicity, rationality and security regime developed by kriocistèktomy in the treatment of odontogenic cysts.

The authors on the basis of the clinical-laboratory dental examination musicians playing brass instruments and with fixed dentures from base alloys, proved that this group of patients is a group of risk of galvanism. Recommendations on selection of the optimal materials for non-removable prosthetics.

Ninety-seven patients aged from 18 to 47 with caries localization of class I-III, according to Black, were under supervision. In total there were 160 restorations. When carrying out our researches we used Single Bond Universal as adhesive system (Filtek Ultimate was used as filling material), and Filtek Bulk Fill was also used as a nanocomposite in order to prevent polymerization shrinkage. By all criteria of Ryge (marginal adaptation, anatomic shape, secondary decay, base colour match, cavity edge discoloration, surface roughness). 97% of restorations after completion and 3 months later were assessed as " perfect". It was stated that Single Bond Universal causes acidulation of pH oral liquid and redox potential increase, while Filtek Ultimate and Filtek Bilk Fill cause decrease of redox potential. The tendency to oral liquid structure change was revealed. Single Bond Universal causing strength disturbance of tranferase, oxidoreductase and hydrolase enzymes appeared to be the most aggressive. The materials used are not bionert composites, while demonstrating good strength and aesthetic characterises.

The saliva diagnostics of 81patients with Parkinson ’s disease has been conducted. Compared with the control group in the oral fluid of patients there is an excess content of toxic microelements: barium (36.5 times), plumbum, aluminum, cadmium, nickel (1,5 times), arsenic (3 times). Essential microelements have tended to decline: measured relative lack of iron, chromium, selenium - by 7-11%; the level of strontium significantly increased (1,9 times). It has been shown that the permeability of hematosalivary barrier for calcium, magnesium and zinc in PD is increasing, the usage of levodopa brings it to a functional relevance in healthy individuals.

Chronic periodontal disease and cardiovascular disease is widely distributed in the population, while the high frequency of complications and deaths in the result of atherosclerosis, in this regard, required large costs for their prevention and treatment. At the same time periodontal disease may be prevented or effectively treated. This article presents the peculiarities of chronic periodontal disease and in patients with cardiovascular pathology, the exact composition parodontopathogenic microflora in patients with acute myocardial infarction, as well as recommendations for dental escort of patients with acute myocardial infarction at the hospital stage.

At the Federal level are missing: the ratio of number of references (completed cases) about dental diseases; the ratio of the number of visits in the emergency form, the methodology of the statistical accounting of the figures and the number of calls about dental diseases. Resolution of these aspects in the formation of state plans - volume jobs and financing of health care dental diseases is extremely challenging.