Vol 22, No 2 (2018)

The article shows the results of physical and mechanical tests of samples of the alloy palladent UNI based on palladium for metal-ceramic dentures. The values of these results were used for mathematical modeling by finite element method of metal-ceramic prosthesis frames. Determined the minimum allowable size of the connection supporting crowns and intermediate parts.

Introduction. At present, objective difficulties remain in the timely diagnosis and treatment of severe complications of acute odontogenic infection, including progressive odontogenic phlegmon, contact odontogenic mediastinitis, odontogenic sepsis. Goal. Develop an algorithm for diagnosis and treatment of severe inflammatory complications of acute odontogenic infection, taking into account the criteria of “Sepsis-3” and evaluate its effectiveness. Material and methods. To conduct a comparative evaluation of the results of the study, patients (311 people) were divided into 2 groups: a control group (247 people), in which diagnosis and treatment were performed using the criteria “Sepsis-1”, and the main group (64 people), diagnosis and treatment were performed with using the developed algorithm for diagnosis and treatment, which includes a number of additions to the criteria of “Sepsis-3” of the European Society of Critical States Medicine and the Society of Critical States Medicine (SCCM / ESICM). Results. Using the developed algorithm for diagnosis and treatment of patients with odontogenic inflammatory diseases of the maxillofacial area allows to significantly increase the efficiency of early diagnosis of purulent-inflammatory processes in the maxillofacial region (by 5.7%), to reduce the number of severe septic complications (by 6.6%). Discussion. The application of the criteria “Sepsis-3” is not an effective method of early diagnosis of odontogenic sepsis. The conclusion. The conducted study confirmed the effectiveness of the developed algorithm for diagnosis and treatment of severe inflammatory complications of acute odontogenic infection, taking into account the criteria of “Sepsis-3”.

Article describes clinico-roentgenological classification of midface jaw osteonecrosis and different surgical treatment options to improve surgical outcome.

Based on the clinical and neurophysiological examination of 72 patients operated on for phlegmon parotid-masticatory area is divided into three degrees of severity of pain myofascial dysfunction chewing muscles. The effect of gravity surgery bioelectric activity of masticatory muscles.

The article is devoted to the possibilities of using bacteriophages in dentistry. The main characteristics of bacteriophages and mechanisms of their interaction with a bacterial cell as well as the data of microbiological studies and the results of clinical use of bacteriophages in periodontal diseases are discussed. Bacteriophages have been shown to be effective against periodontopathogenic microorganisms, including antibiotic resistant bacteria in vitro and in vivo. There were reflected the advantages and disadvantages of phage therapy, the main of which for today is a small experience of clinical use of this method. Objective. To analyze the data of foreign and domestic literature and publications in the field of phagotherapy effectiveness in dentistry.

After studying literature on the problems and complications associated with endodontic dentistry, necessity for studying clinical effectiveness of high-frequency monopolar diathermocoagulation for endodontic treatment of teeth with chronic forms of pulpitis is justified, the necessity for developing recommendations for the use of high-frequency monopolar diathermocoagulation in endodontic dentistry with the use of modern safe coagulator DC-35 MS intended for ambulatory practice is justified. The use of high-frequency monopolar diathermocoagulation in endodontic treatment of teeth with chronic forms of pulpitis will improve the quality and effectiveness of endodontic treatment of pulpal diseases.