Saratov JOURNAL of Medical and Scientific Research

Stomatology

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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Features of dental prosthetics at patients with chronic periodontitis and coronary heart disease

Year: 2019, volume 15 Issue: №2 Pages: 251-256
Heading: Stomatology Article type: Original article
Authors: Lepilin A.V., Eremin A.V., Lipatova T.E.
Organization: I.M. Sechenov First Moscow State Medical University, Saratov State Medical University
Summary:

Objective: at patients with chronic generalized periodontitis in combination with chronic ischemic heart disease to study the change of cytokines, biomarkers of osteoproliferation and osteoresorption in comparison with the character- istics of endothelial functions and the determine rational approaches to prosthetics. Material and Methods. 90 patients with periodontitis and coronary heart disease, who use metal, metal-ceramic and removable partial dentures using thermoplastic resin were survey. We studied of cytokines, markers of bone metabolism in the oral fuid, evaluated va-sodilating, vasoconstrictor and adhesive endothelial function. Results. The coronary heart disease in combination with chronic periodontitis is characterized by the endothelial dysfunction, which associated with the activity of periodontitis. Biochemical manifestations of periodontitis, bone resorption and endothelial dysfunction are more pronounced by the use patients metal dentures compared to metal-ceramic and removable partial dentures using thermoplastic resin. Conclusion. The use of patients at periodontitis and coronary heart disease metal dentures, in contrast to patients using metal-ceramic and removable partial dentures using thermoplastic resin, is accompanied the increase of biochemical markers of infammation and bone resorption in the oral fuid and the endothelial dysfunction.

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Features of dental prosthetics at patients with chronic periodontitis and coronary heart disease

Year: 2019, volume 15 Issue: №2 Pages: 251-256
Heading: Stomatology Article type: Original article
Authors: Lepilin A.V., Eremin A.V., Lipatova T.E.
Organization: I.M. Sechenov First Moscow State Medical University, Saratov State Medical University
Summary:

Objective: at patients with chronic generalized periodontitis in combination with chronic ischemic heart disease to study the change of cytokines, biomarkers of osteoproliferation and osteoresorption in comparison with the character- istics of endothelial functions and the determine rational approaches to prosthetics. Material and Methods. 90 patients with periodontitis and coronary heart disease, who use metal, metal-ceramic and removable partial dentures using thermoplastic resin were survey. We studied of cytokines, markers of bone metabolism in the oral fuid, evaluated va-sodilating, vasoconstrictor and adhesive endothelial function. Results. The coronary heart disease in combination with chronic periodontitis is characterized by the endothelial dysfunction, which associated with the activity of periodontitis. Biochemical manifestations of periodontitis, bone resorption and endothelial dysfunction are more pronounced by the use patients metal dentures compared to metal-ceramic and removable partial dentures using thermoplastic resin. Conclusion. The use of patients at periodontitis and coronary heart disease metal dentures, in contrast to patients using metal-ceramic and removable partial dentures using thermoplastic resin, is accompanied the increase of biochemical markers of infammation and bone resorption in the oral fuid and the endothelial dysfunction.

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Periodontal disease at cardiovascular pathology

Year: 2019, volume 15 Issue: №2 Pages: 246-251
Heading: Stomatology Article type: Review
Authors: Eremin A.V., Lepilin A.V., Lipatova T.E.
Organization: First Moscow State Medical University n.a. I.M. Sechenov, Saratov State Medical University
Summary:

The purpose of the systematic literature review was to characterize existing problem of the relationship between cardiovascular diseases and periodontal diseases on the basis of information analysis of the Russian and English original studies and metanalyses published in open access bibliographical databases such as eLibrary and PubMed the past ten years as a methodological basis for future clinical and experimental studies

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Local effect of vitamin D on the immune system of periodontium

Year: 2019, volume 15 Issue: №1 Pages: 41-47
Heading: Stomatology Article type: Review
Authors: Ostrovskaya L.Yu., Zakharova N.B., Bodyleva А.Р., Bulkina N.V., Lysov A.V., Osipova U.L.
Organization: I.M. Sechenov First Moscow State Medical University, Saratov State Medical University
Summary:

 Literature review is devoted to the analysis of scientific findings about extraosseous effects of vitamin D on the immune system of the periodontal tissues. It was found that the biological functions of vitamin D (VD) in the body are diverse.Along with the detailed study of the effect on metabolic processes in bone tissue, VD makes a significant contribution to a large number of processes that ensure the activity of the immune system. In addition, VD increases the production of "endogenous antibiotics". This allows us to consider VD as a therapeutic agent that prevents the development of inflammatory and destructive changes in the periodontal tissues in population with simultaneous slowing of bone loss and preservation of bone mass of the dentofacial system. Currently detected hidden hypovitaminosis VD in almost majority of the population is considered a leading factor in the development of periodontal disease and its prevention and treatment is one of the most important tasks of therapeutic dentistry.

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The role of chronic inflammation in the formation of dentigerous (follicular) cysts of the jaws in children

Year: 2018, volume 14 Issue: №4 Pages: 657-660
Heading: Stomatology Article type: Original article
Authors: Slesareva О.А., Potemina Т.Е.
Organization: Privolzhskiy Research Medical University, Nizhny Novgorod Regional Children's Hospital
Summary:

Purpose: to determine the role of chronic inflammation in deciduous teeth data in the formation of dentigerous (follicular) cysts of the jaws in children; to considerthe pathophysiological mechanism of follicular cysts formation. Material and Methods. Case histories of 134 patients of the department of maxillofacial surgery (dentistry) "Nizhny Novgorod regional children's hospital" from 2003 to 2013 with a diagnosis of "follicular jaw cyst" with different localization. Results. The dental status, specifically centers of chronic inflammation, in the area of follicular cyst formation was assessed. The connection with the ecological situation of the residence area of patients with the prevalence of follicular cysts of the jaws in children was found. Conclusion. The key role of chronic inflammation in the form of complicated forms of caries of temporary teeth for the development of follicular cysts of the jaws. The data of the study (the important role of chronic inflammation of the deciduous teeth in the formation of follicular cysts of the jaws in children) adverse environmental conditions of the place of residence will help to develop principles of prevention and examination for early detection of pathological changes.

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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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Study of Zn-hydroxyapatite crystals formation and growth on dentine base at ultrasonic influence

Year: 2017, volume 13 Issue: №2 Pages: 260-265
Heading: Stomatology Article type: Original article
Authors: Kazakova L.N., Tereschuk O.S., Kuligin A.V., Suetenkov D.Ye., Pichkhidze S.Ya., Garievskaya A.V.
Organization: Saratov State Medical University, Yuri Gagarin State Technical University of Saratov
Summary:

The objective: the study analyses the features of spontaneous growth of hydroxyapatite crystals on dentinal substrate using (by the use of) artificially grown Zn-hydroxyapatite combined with ultrasonic treatment. Material and Methods. A dynamic study of dentinal substrate structure was conducted in a certain time interval after standard primary surface treatment of dentin micro-sections, divided into control and experimental groups. Dentin surfaces in the second group were covered by finely dispersed Zn-hydroxyapatite in combination with ultrasonic treatment. The investigation was performed by use of analytical complex based on scanning electron microscope with high resolution SEM Mira II LMU (Tescan) and energy dispersive analysis system. Results. There were revealed the structural changes of dentinal substrate surface overtime period due to directional growth of Zn-hydroxyapatite crystals. Conclusion. The conducted study showed the possibility of formation of the stable structures in the dentinal substrate when using Zn-hydroxyapatite in combination with ultrasonic treatment.

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Improvement of technology of clasp dentures manufacture

Year: 2016, volume 12 Issue: №4 Pages: 589-592
Heading: Stomatology Article type: Original article
Authors: Komlev S.S.
Organization: Samara State Medical University
Summary:

The aim of the article is to improve the technology of clasp dentures manufacture. Material and Methods. Orthopaedic treatment of 27 patients was conducted using advanced technology of manufacturing clasp dentures at the Department of Prosthetic Dentistry at Samara State Medical University. Results. Conducting the orthopaedic treatment a method of obtaining an impression in prosthetics on implants and teeth, a method of manufacturing clasp denture with locking fasteners and a method of manufacturing a clasp denture with a questionable prognosis of bearing tooth were used. Conclusion. Using the advanced technology of manufacturing clasp denture has solved the problem with unreliable periodontal tissues, loss of a removable part of clasp denture and allowed to improve the quality of obtaining impression from bearing teeth.

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Posmetnaya TV. Peculiarities of clinical and X-ray findings at women during postmenopause with chronic generalized periodontitis determined by mineral bone density

Year: 2016, volume 12 Issue: №4 Pages: 586-588
Heading: Stomatology Article type: Original article
Authors: Eremina N.V., Ismailova О.А., Strukov V.I., Kirillova T.V.,
Organization: Penza Institute for Advanced Training of Physicians
Summary:

The aim: to study clinical and X-ray specifics of chronic generalized periodontitis of women during a postmenopaus-al period determined by mineral bone density. Material and Methods. 80 women having chronic generalized periodontitis during a postmenopausal period were examined using clinical and X-ray research. Material of bone density was taken into consideration. Results. Decrease of hygienic indices of women at postmenopausal period has been found. It depends on the degree of severity of chronic generalized periodontitis. There was a reverse connection of periodon-tal index and mineral density of bone tissues in the 1-st group: — 0.9 (p<0.05), in the 2-nd group: — 0.5 (p<0.05), in the 3-rd group: — 0.79 (p<0.05). Cone-beam computer tomography made possible to find out the initial signs of edge osteoporosis of interdental partitions at the light degree of chronic generalized periodontitis and signs of spot and homogenous osteoporosis of gum bones, osteoporosis of interdental partitions with osteolysis at mild and severe degrees of severity. Conclusion. The clinical researches with cone-beam computer tomography and densitometry have revealed the exact data on the condition of bone tissues. The results have given an opportunity to plan osteotropic therapy and to control the dynamics of the process correctly.

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