Saratov JOURNAL of Medical and Scientific Research

Dubrovskaya M.V.

M.V. Dubrovskaya - Saratov State Medical University n.a V.I. Razumovsky, Department of Propaedeutics of Stomatological Diseases, Assistant, Candidate of Medical Science

Results of practical application of questionnaire to determine the level of dentophobia and dynamics in the doctor— patient relationship

Year: 2013, volume 9 Issue: №3 Pages: 462-467
Heading: Stomatology Article type: Original article
Authors: Savina Е.А., Bulkina N.V., Eremin О.V., Dubrovskaya М.V., Olevskaya О.A.
Organization: Saratov Clinical Hospital № 2 n.a. V I. Razumovsky, Saratov State Medical University
Summary:

Objective: to develop a questionnaire for assessing the level of dentophobia and dynamics of the relationship in the «doctor-patient» in the course of treatment and to conduct its clinical trials. Material and Methods. 90 patients aged 26-56 years with chronic generalized periodontitis have been examined. The research has been conducted by Hospital Anxiety and depression (HADS) questionnaire to determine the level of dentophobia; psychophysiological testing was carried out on the hardware-software complex (APC) «NS-Psychotest» (LLC «Neurosoft», Russia, Ivanovo, 2007). Clinical examination included examination of the mouth and the index of assessment of hard tissue of teeth and peri-odontal tissue: a defining simplified oral hygiene index (UIG), sulcus bleeding index (IR), gingival index (PMA). The survey was carried out before the treatment and 3 months after the treatment. Statistical analysis was performed in the program Statistica. Using non-parametric methods (Wilcoxon test, criterion A2, Spearman correlation coefficient). Statistically significant differences with p < 0,05 were considered. Results. The development of the questionnaire was carried out in accordance with all generally accepted standards. The initial testing was performed easily by patients. During the clinical trials visible results of the proposed questionnaire were obtained that proved its sensitivity to the changes in dental and psychological status of the oral cavity. Conclusion. The practical application of the questionnaire determines the level of dentophobia during the first visit. The data of the questionnaire identify the differentiated deontological approach. It improves the relationship with the patient, reduces his level of dentophobia. The reduced dentophobia promotes compliance and psychologically comfortable communication in the doctor-patient system, which also contributes to the prevention of emotional burn out among dentists.

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Risk factors of development of inflammatory diseases of parodentium in pregnant women

Year: 2013, volume 9 Issue: №3 Pages: 383-386
Heading: Stomatology Article type: Original article
Authors: Dubrovskaya M.V., Eremin O.V., Savina Е.А., Ivashchenko Y.Y., Minasyn A.M.
Organization: Saratov State Medical University
Summary:

Pathogenesis of oral hygiene, smoking, gestosis, immunosuppression and cytokine disbalance affect inflammatory periodontal diseases in pregnant women. The research goal is to study clinical and immunological features of parodentium and cytokine profile in oral cavity of pregnant women. Material and methods: The condition of parodentium tissues was studied at 240 women with physiological pregnancy and 360 with pregnancy complicadet by gestosis. Re-sults: Freguency and character of inflammatory periodontal diseases in pregnancy were defined. Immune and cytokine disbalance contributed greatly to pathogenesis of inflammatory periodontal diseases at pregnant women. Conclusion: Violations of immune homeostasis at the pregnancy, complicated gestosis, authentically are more expressed that contributes to the development of gingivitis and periodontal disease. The imbalance of cytokines can serve in oral liquid as additional diagnostic and predictive marker of severity of a course of inflammatory periodontal disease.

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Chronic pyelonephritis in pregnancy

Year: 2012, volume 8 Issue: №4 Pages: 920-925
Heading: Obstetrics and Gynecology Article type: Review
Authors: Minasyan A.M., Dubrovskaya М.V.
Organization: Saratov State Medical University
Summary:

В обзоре литературы анализируются актуальные проблемы такого опасного заболевания, как пиелонефрит, диагносцируемый у беременных и родильниц.

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Immunological disorders in formation of periodontal diseases at pregnant women

Year: 2010, volume 6 Issue: №2 Pages: 392-396
Heading: Stomatology Article type: Original article
Authors: A.V. Lepilin, M.V. Dubrovskaya
Organization: Saratov State Medical University
Summary:

The research goal is to study clinical and immunological features of parodentium and cytokine profile in oral cavity of pregnant women.
The condition of parodentium tissues was studied at 200 women with physiological pregnancy and 300 women with pregnancy complicated by gestosis. According to the results of examination 50 women with gestosis and 50 women with physiological pregnancy had inflammatory periodontal diseases. Phenotyping of lymphocytes by immunofluorescence method, investigation of necrosis containing factor of tumour-a, interleukin-8, interleukin-4 and transforming growth factor beta-1 in oral cavity by immunofermental analysis were performed.
Frequency and character of inflammatory periodontal diseases at pregnancy were defined. Correlation of gingivitis and periodontitis at pregnancy with extragenital pathology was demonstrated. Immune and cytokine disbalance contributed greatly to pathogenesis of inflammatory periodontal diseases at pregnant women.
Thus pathogenesis of oral hygiene, smoking, gestosis, immunosuppression and cytokine disbalance affects inflammatory periodontal diseases at pregnant women

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