Vol 22, No 3 (2018)

Articles
THE DISCOLORING TEETH: THE CHEMISTRY OF THE EMERGENCE AND EFFECTIVE WHITENING
Bordina G.E., Lopina N.P., Blinova A.V., Bordin D.A.
Abstract
In the article stated mechanism of formation organic and inorganic pigmentary complexes which changes color of teeth. Chemical aspects of dentistry procedure of whitening teeth are consider, original author's schemes of ion-changes and oxidative process are given, which happen with it. Knowledge of intermolecular interaction, which leads to the appearance of coloration and proceeding in process of his removal, will allow to develop new treatment methods and to improve existing, which apply in an esthetic dentistry.
Russian Journal of Dentistry. 2018;22(3):124-128
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FAILURE OF BONE GRAFTING OF THE MANDIBLE A FREE BONE GRAFT AND HOW TO RESOLVE THEM
Shvyrkov M.B.
Abstract
The article deals with the fate of the transplanted free bone graft. Analyzed changes in the tissues surrounding the transplanted graft. The ideal graft is a demineralized bone matrix, which contains the bone morphogenetic proteins, biodegradable replacement of the newly formed bone, is inert to surrounding tissues, and being porous, is a template for the ingrowth of blood vessels. Thus, demineralized bone matrix is an alternative to bio-organic, ceramic and synthetic tarnsplants in view of osteoinductivity.
Russian Journal of Dentistry. 2018;22(3):129-132
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ANALYSIS OF THE DEPENDENCE BETWEEN THE NUMBER OF INVOLVED INVOLVED IN THE INFLAMMATORY PROCESS CELLULAR SPACES, DEPTH OF LESION AND PRESENCE OF ORGAN FAILURE IN PATIENTS WITH ODONTOGENIC INFLAMMATORY DISEASES OF MAXILLOFACIAL AREA AND NECK
Gromov A.L., Gubin M.A., Ivanov S.V., Tishkov D.S.
Abstract
Introduction. In the diagnosis and subsequent treatment of patients with phlegmons of the maxillofacial region and neck, a large number of errors are allowed, which leads to the growth of neglected extensive purulent processes. Goal. Increasing the effectiveness of diagnosis of acute odontogenic inflammatory diseases. Material and methods. The first block of research. To determine the relationship between the number of cell spaces involved in the odontogenic inflammatory process, the depth of lesion and the presence of organ failure, a group of patients (480 patients) with acute odontogenic inflammatory diseases of the maxillofacial region and neck were analyzed. The following indicators were evaluated: the number of facial and neck cell spaces involved in the inflammatory process, the depth of the lesion, as well as the presence of organ failure. The second block of research. To evaluate the effectiveness of the developed algorithm for determining the high probability of development of organ failure, the developed algorithm was tested on a group of patients with odontogenic inflammatory diseases (64 patients). An indicator of the effectiveness of early diagnosis and prediction of odontogenic organ failure was assessed (when the patient entered the hospital). Results. Between the involvement of deep cellular spaces of the maxillofacial region and the presence of organ failure there is a direct dependence. In patients with organ failure, lesions of 4 or more cellular spaces are most often observed. Discussion. To determine the high probability of development of organ failure, it is possible to study the number of involved cell spaces and / or the depth of lesion. For more purposeful observation, this technique should not be used in isolation, but must be combined with other methods of effective diagnosis. The conclusion. Phlegmon, which spreads to 4 or more cellular spaces, and / or involves the deep cellular spaces of the maxillofacial region, the cellular spaces of the neck, the mediastinum, is characterized by a high risk of organ failure.
Russian Journal of Dentistry. 2018;22(3):133-138
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THE USE OF FIXING DEVICES WITH SHAPE MEMORY EFFECT IN FRACTURES OF THE MANDIBLE
Medvedev Y.A., Zhang S.I., Petruk P.S.
Abstract
The study was devoted to the evaluation of the effectiveness of the osteosynthesis using titanium nickelide clamps with shape memory in angular fractures of the mandible. Clinical and radiological examination was done in 70 patients. The volume of surgery included open reduction and rigid internal fixation of the bony fragments. The choice of fixing devices, their number was based on the pattern of bone damage and configuration of the fracture line. In early postoperative period, the dynamics of restoration of the function of the lower jaw, duration of intermaxillary fixation, as well as general time of hospitalization were evaluated. In the long-term period, control checkups were performed with mandatory x-ray imaging of the mandible. According to the data obtained during examination of the local status and radiographic data, the correct position of bone fragments and fixation structures in all operated patients were noted. There were no symptoms of infection, malocclusion or nonunion. Thus, the use of a personified approach in the selection of fixation devices in patients with fractures of the lower jaw allowed to improve the quality of surgical treatment, as well as to shorten timeframe of the rehabilitation.
Russian Journal of Dentistry. 2018;22(3):139-143
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INDIVIDUAL APPLICATORS FOR THE TREATMENT OF LIP DISEASES
Smerdina J.G., Tyo E.A., Smerdina L.N.
Abstract
Recurrent course of most diseases of the lips requires long-term topical use of drugs. To avoid drying and lubrication of drugs, to improve the fixation of applications, various options for individual applicators for the treatment of diseases of the red border and the mucous membrane of the lips are offered. It is possible to manufacture applicators of the thermally labile material using vacuum forming with little penetration of the anatomical topography of the plane of the closing of the lips or forming the horizontal plane for a thickness of the lip a lip that allows you to hold the applicator against movement during treatment, increasing the reliability of fixing. For patients with hypotonia of facial muscles suggested nagurny applicator with interdental holder. In the absence of the apparatus for vacuum forming, the applicator can be made of acrylic base plastic series. All applicators are made individually for each patient and can be used repeatedly. Applicators are easy to manufacture and easy to use. Fixation of medicinal forms on the lips in the form of ointments, creams and gels with the help of applicators increases the effectiveness of treatment.
Russian Journal of Dentistry. 2018;22(3):144-145
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TREATMENT TACTICS FOR COMPARTMENT SYNDROME IN PATIENTS WITH COMBINED PHLEGMONS OF SUBMANDIBULAR AND SUBMENTAL SPACE
Stepanov D.A., Maksyukov S.Y.
Abstract
Case monitoring to reveal the clinical pattern of compartment syndrome in patients suffering from sub-mandibular and submental space phlegmons was carried out. Two trend groups were formed: the primary group (33 patients) where compartment syndrome was diagnosed and treated according to an original method (RF Patent No. 2612830) including ultrasound wound treatment and ozone therapy, and the control group (32 patients) treated using established methods. In the control group, steady-state character of postoperative status was observed, while the primary group demonstrated regressive character. Good results in 93,9% and satisfactory results in 6,1% of the patients allow to recommend the developed patient surveillance tactics for phlegmon cases in clinical practice.
Russian Journal of Dentistry. 2018;22(3):146-149
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STRUCTURAL RESTORATION OF THE CORONARY PART OF THE TOOTH BY COMPOSITE MATERIALS, WITH CREATION OF A LAYER OF ARTIFICIAL MANTLE DENTINE
Starodubova A.V., Vinnichenko Y.A.
Abstract
The article presents the clinical application of the technique of reconstructing an artificial mantle dentin in composition of a composite filling that has the closest anatomical structure and mechanical properties to the original. The developed technique demonstrated stable and long-lasting preservation of high quality indices of restoration of hard tooth tissues (96% of fillings did not change their quality indices in the direction of deterioration during operation for 2 years, compared to the control group, where the analogous indices did not exceed 86%).
Russian Journal of Dentistry. 2018;22(3):150-151
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ANALYSIS OF PREFERENCES AND CRITERIA OF PROFESSIONAL CHOICE OF DOCTORS WHEN WORKING WITH MATERIALS FOR ROOT CANAL TREATMENT AND FILLING
Gerasimova A.V., Luzin A.A., Paramonov Y.O., Nesterova O.V.
Abstract
A questionnaire of 37 dentists was conducted, where they chose the most preferably endodontic material among two analogues (domestic and foreign productions). There were questions with commentation opportunities in survey. Application and composition of materials included in the questionnaire and dentists' arguments in answering were analyzed. Now there exists a prejudiced notion about the quality of domestic endodontic materials. However, actually, not all domestic drugs, examined by us, were lower in quality than foreign ones. The choice of material is recommended to be made according to medical practice, in order to avoid the influence of prevailing stereotypes.
Russian Journal of Dentistry. 2018;22(3):152-155
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DENTAL ROOT RESORPTION. ANALYSIS OF DIAGNOSTICS AND TREATMENT ALGORITHMS USED IN PRACTICE
Loos J.G., Makeeva I.M., Paramonov Y.O.
Abstract
Resorption of the root of the tooth is a process in which the hard tissues of the tooth and the surrounding bone are destroyed. The incidence of internal resorption is unknown, because the results may vary significantly when different diagnostic methods are used. Scientific publications focus on external resorption, but internal resorption is also a problem for the practitioner. This article describes the results of an anonymous questionnaire of doctors with the purpose of analyzing knowledge about root resorption and internal resorption in particular.
Russian Journal of Dentistry. 2018;22(3):156-158
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TRAUMATOLOGY OF THE MAXILLOFACIAL REGION: CURRENT CONDITION OF THE PROBLEMS (ACCORDING TO THE DEPARTMENT OF MAXILLOFACIAL SURGERY NATIONAL HOSPITAL OF THE KYRGYz REPUBLIC)
Urgunaliev B.K.
Abstract
A retrospective continuous analysis of the medical documentation of patients of maxillofacial surgery department of the national hospital in dynamics conducted, over the 8-years period, from 2010 to 2017. The purpose of analysis is to identify the features of traumatism of the maxillofacial area among adult population of Kyrgyzstan. Revealed that the largest number of hospitalized patients was in 2015, and the smallest in 2016. Most of the patients are residents of rural areas and most of the injuries are domestic. The number of injuries increases in the spring and autumn that shows seasonality. There is a relatively high incidence of the late appeal and hospitalization of the patients.
Russian Journal of Dentistry. 2018;22(3):159-161
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EFFECT OF ORAL MICROBIOTA ON THE DEVELOPMENT OF INFLAMMATION AND SOMATIC DISEASES
Katola V.M., Tarasenko S.V., Komogortseva V.E.
Abstract
The review presents the modern concept of the oral microbioma, its species diversity, the properties of microbial associations and their effect on the immunobiological resistance of the organism, the development of chronic inflammation and the two leading infectious and inflammatory diseases, dental caries and periodontal diseases. Briefly summarized information about the presence and nature of the relationship between the composition of periodontal microorganisms and concomitant somatic diseases: in atherosclerotic plaques in cardiovascular diseases, with pathology of the gastrointestinal tract, respiratory system and other organs and systems.
Russian Journal of Dentistry. 2018;22(3):162-165
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ADVANTAGE OF NETWORK STRUCTURES IN THE DEVELOPMENT OF DOMESTIC DENTISTRY
Ulyanov Y.A.
Abstract
In modern dental private practice, the majority of leaders in this field of health care are moving to the use of network structures of organization and business management, as the formation of network structures in the field of dental services has a number of undeniable advantages. The transition of private clinics to the network business structure will undoubtedly have a positive effect, which will affect both the profitability and success of the clinics themselves, and to increase the level of trust and quality of service, as well as the rapidly developing domestic dentistry in General.
Russian Journal of Dentistry. 2018;22(3):166-168
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