Saratov JOURNAL of Medical and Scientific Research

Aslanyan M.A.

Saratov State Medical University n.a. V.I. Razumovsky Department of Propaedeutics of Dental Diseases, Assistant

Evaluation of the efectiveness of psychopharmaco-therapy correction with an anxiolytic drug for patients with a periodontal disease and a dentopatiya.

Year: 2019, volume 15 Issue: №2 Pages: 256-260
Heading: Stomatology Article type: Original article
Authors: Savina E.A., Kobzeva Yu.A., Aslanyan M.A., Eremin O.V., Nelovko T.V.
Organization: Saratov State Medical University
Summary:

Objective: to assess the impact of behavioral psychotherapy and psychopharmacocorrection with an anxiolytic drug on the level of anxiety and dentophobia, compliance, and the efectiveness of therapy in patients with infamma-tory periodontal diseases. Material and Methods. Comprehensive examination of 40 patients aged 27–57 years with a diagnosis of refractory periodontitis. The clinical assessment of the periodontal tissues was taken into account and the psycho-emotional status of the patient was assessed using the characterological questionnaire H. Smishek, the hospital anxiety and depression scale and a specially designed questionnaire for determining the level of dentophobia and the dynamics of the doctor-patient relationship. Results. Since the frst visit and till the 26th week consecutive decrease in level of uneasiness, then slight increase by the 52nd week is noted. Conclusion. The use of the developed algorithm for personalized treatment of patients with infammatory periodontal diseases with the inclusion of behavioral psychotherapy and psychopharmacocorrection may reduce the level of anxiety and dental fear, increase compliance and the efectiveness of therapy.

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Use of adhesive systems in dentistry: past and present

Year: 2018, volume 14 Issue: №2 Pages: 234-239
Heading: Stomatology Article type: Review
Authors: Aslanyan M.A., Eremin O.V., Trufanova Yu.Yu., Aslanyan Mel.A., Eremin А.О., Bykova О.A., Zavyalov A.I.
Organization: Saratov State Medical University
Summary:

In recent decades, in the sphere of minimally invasive approach to preparing hard dental tissues, adhesive dentistry has made significant progress, revolutionizing many aspects of restorative dentistry. The attitude towards cavity preparation has changed due to adhesive systems as there is no necessary to prepare cavities with additional retention points to ensure mechanical adhesion with the filling material. Thus, the introduction of adhesive systems contributes to the preservation of more non-demineralized enamel and dentin in the preparation of hard dental tissues in accordance with the principle of "biological expediency". To achieve a better connection with the hard tissues of the tooth, a number of adhesive systems has been developed. The complexity of achieving a better connection is due to the heterogeneity of the structure and composition of the hard dental tissues, the hydrophilicity of the exposed dentin surface, smear layer formed during the preparation of the cavity and the characteristics of the adhesive system, such as its physical and chemical properties and the way it interacts with enamel and dentin. With the development of technologies, adhesive systems have evolved from systems that do not involve the etching of hard dental tissues to systems with preliminary total etching and self-etching adhesive systems.

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