Vol 20, No 1 (2016)

In the article the design features and biomechanics of fixed dentures with unilateral medial support on the basis of mathematical modeling. A model of the patients jaw containing the incisors, canines andfirst premolars. To achieve maximum representation of data for clinical applications, the resulting mathematical simulation in the virtual model introduced a number of the most important biological parameters of the prototype: the size and physiological mobility of the teeth, the shape and dimensions of the dentition, the geometrical characteristics of the defects of the dentition, the physical characteristics of the bone and periodontal, fixing jaw in extreme nodes and nodes, the allegedfixing of the masticatory muscles. When you restore a fixed prosthesis with unilateral support of chewing teeth reasonable ratio between the number of artificial and abutments is one in three. When restoring the cantilevered portion of the prosthesis without distal nonremovable support two posterior teeth on one or both sides of the denture support structure consists of at least six teeth along the arc stabilized.

The investigation of the clinical and antimicrobial efficacy of photodynamic therapy was conducted in treatment ofpatients with chronic generalized periodontitis (CGP), of moderate and severe degrees. In a treatment of a chronic generalized periodontal disease of moderate severity 1 session of laser photodynamic therapy was performed directly after actions of professional hygiene. The photodynamic therapy was performed twice in the complex treatment of patients with severe CGP: after professional hygiene and after surgical treatment (flap surgery). The analysis of short-and long-term results showed that the inclusion of a comprehensive treatment of antimicrobial photodynamic therapy has not only significantly reduce the amount of basic parodontopatogenic microorganisms in periodontal pockets according to the PCR, but to receive positive clinical dynamics.

Qualitative assessment of bacterial colonization and mRNA of human protective factors in periodontal swabs by using dPCR revealed principal differences between males and females. We demonstrated that concentration of transcripts encoding tumor necrosis factor (TNF-alpha), matrix metalloprotease 8 and 9 (MMP8 and MMP9) changes synchronously at periodontium of healthy men, but not in women and men with the chronic periodontitis. This observation correlates with a new fact of the most tight statistical association of the periodontal hyper-colonization with Porhyromonas gingivalis colonization with the severity of the chronic periodontitis in women but not in men. In contrast, Tanerella forsythensis or its complex with Treponema denticola are the only pathogen whose prevalence is statistically associated with the chronic periodontitis in men. Despite of similar extent ofperiodontium colonization with the pathogens in the males and the females, the women are substantially more prone to onset of the chronic periodontitis at the same level of the periodontal pathogen colonization. On the other hand, the males are inclined to a multiple infection with several principal periodontal pathogens, whereas the females more often are subjected to a mono-infection. Taken together, these facts allow a hypothesis that mechanisms of periodontium protection are different in males and females. The periodontal pathogens quantified by dPCR provide a better predictor of the periodontitis in the females then in the males.

Results of studying of dynamics of indicators of microcirculation of a prosthetic field at the patients who finished orthopedic treatment with use of the full removable artificial limbs leaning on dental implants of various diameter are reflected in article. The condition of a blood-groove was estimated on an indicator of microcirculation (M). Defined a mean square deviation a (statistically significant fluctuations of speed of erythrocytes), measured in the perfuzion units. Counted the coefficient of a variation of KV characterizing vasomotorial activity of microvessels. Microcirculation indicators in area the dental implants of various diameter are established: level of a capillary blood-groove, its intensity, vasomotorial activity of microvessels in various terms of adaptation to orthopedic designs. The comparative assessment of these indicators on the basis of which conclusions about loudspeakers of indicators ofmicrocirculation at this category ofpatients were formulated is carried out and the corresponding recommendations for practice are made.

The changes of mucous membrane of cavity of mouth of patients are in-process considered a myelosis, recipient treatment of imatinib. Duration of cytostatic therapy 3-5. The clinical is used, cytologic, microbiological and virologic methods of research. The got results allowed to work out clinical recommendations for doctors-stomatologies on the conduct of patients a myelosis.

The analysis of cost price of services in specialization «Dentistry» in the area of quality provision is the multilevel and variously directed process demanding the integration of knowledge of economic and clinical character. The improvement of quality of dental help of population is not only medical but also social and economical problem. The cost price of medical services in specialization «dentistry» in all examining medical organizations is higher two-threefold than officially determined tariffs in system of state insurance.

This assessment covers the dental prosthetic service operation in Omsk region in 1990-2013 based on the analysis of the performance dynamics, staffing and material support in state and municipal medical institutions of the regional public health system, which render dental prosthetic services to citizens. The receivedfindings have made it possible to identify a number of trends impacting the entire service operation and to determine the ways to improve the provision of quality dental prosthetic services to citizens.