№3, 2013, volume 9

Purpose: to compare the antimicrobial efficacy of chlorhexidine bigluconate used in different forms for the treatment of acute deep caries, to define the percentage of complications in the treatment of acute deep caries in children on the stage of its development in 6 and 12 months. Material and methods: Bacteriological study of demineralized dentin taken from the bottom of «the work space» by the sterile instrument, clinical monitoring of children after 6 and 12 months. Results. A significant reduction of colonies forming odontopathogenic and opportunistic microorganisms during the application of the film «Diplen» and a high percentage of favorable outcomes over the period of follow-up in the second study group. Conclusion. Qualitative etiological treatment conducted in a timely manner taking into account the structural features of hard and soft tissues of the tooth, creates the conditions for full formation of all tooth tissues.

Objective: to establish the relationship of chronic generalized periodontitis, multiple cavities and dentofacial anomalies with various forms of coronary heart disease and its complications. Material and methods. The study included 294 patients with coronary heart disease and its complications. The patients were divided into two groups. Group I included 89 patients with acute Q-myocardial infarction, which was placed in the presence of at least 2 of the following criteria identified on the basis of a comprehensive clinical and instrumental examination: clinical, laboratory confirmation (CK-MB), electrocardiographic signs of damage or myocardial necrosis. The following statistical methods were used: multi-variate and univariate analysis of variance, non-parametric tests, crosstabulation, chi-square test, Fisher»s exact test. As a measure of variability of the normal distribution standard deviation was used. Results. It is noted that in patients with myocardial infarction more likely than in patients without coronary heart attack in history severe generalized periodontitis, dentofacial anomalies and multiple dental caries have appeared. In patients with acute myocardial infarction, severe periodontal disease has been associated with increased fibrinogen levels in the blood and an increase in the dispersion of the interval QT, which are known to be indicators of poor prognosis in acute coronary disease.

The purpose of the work is optimization of diagnostics and planning of surgical treatment of patients with different forms of jaw deformations complicated by partial adentia. Material and methods. Complex treatment has been provided to 16 patients with different forms of jaw deformation complicated by partial adentia. 7 patients out of 16 had the diagnosis of skeletal distal occlusion, nine patients with the diagnosis of skeletal form of mesial occlusion. Results. To estimate the treatment results during 6 months, control orthopantomography, computer tomography and teleroentgenogram have been carried out. Teeth rows have also been photographed. We considered the successful criterion of treatment of normal position of temporomandibular joint from both sides, stable state of central occlusion, the state of chewing apparatus, enabling to fulfill the chewing function completely and harmonic appearance satisfying the patient. Conclusion. Serious achievements have been made in the fields of diagnostics of dentoalveolar anomalies. Opened possibilities of 3D visualizations when planning orthognathic operations together with surgical techniques enable to get prognosing results when treating the patients with different forms of jaw deformations. Progress in this field gives possibilities to a great range of indications for treatment.

Modern methods of diagnosing of maxillary bones in various clinical situations presume a method of computer tomography. In some cases, the treatment planning according to three-dimensional image cannot be performed and the question of creation of the biomechanical model study area arises. Various methods of computer-aided design and three-dimensional modeling are worth while using to achieve the realization of the task.

The objective of this study is to determine a selection criterion that is applicable for the treatment of patients with dental arch asymmetry caused by loss of a premolar on one side of the mouth. Material and methods. Fifty-seven patients (first maturity level) who had some teeth extracted for orthodontic treatment were included in the study. The patients were divided into basic and control groups. We proposed to shape the extraction socket immediately after the extraction of a permanent tooth. In the basic group the extraction sockets were filled with osteoplastic material. Patients in the control group refused any surgical interventions. Results. According to a given criterion, the correlation between tooth size and dental arch parameters has been determined. When applying this criterion for finding the correlation, the frontal distal diagonal size of the dental arch was multiplied by 1.14 coefficient. The sum of the mesiodistal diameters of seven teeth in the half-arc was subtracted from the obtained value. The value which was equal to 0±1.0mm indicated the correlation between tooth size and dental arch parameters. Conclusion. If there is a correlation between tooth size and dental arch parameters, it is advisable to provide treatment associated with having the post-extraction socket opened and implant therapy performed (most commonly with the use of intraosseous dental implants).

Aim of the investigation: to develop the methods of increasing effectiveness of stomatologic accompanying therapy at all stages of locally extended cancer of oral cavity mucus. Material and methods: The results of treatment of 563 patients with locally extended cancer of oral cavity mucus have been analyzed. Among them 205 patients with the proved diagnosis were examined by a dentist. A special committee developed a plan of accompanying therapy where a stomatologic treatment was significant. Other 358 patients were not examined by a dentist before therapy. Re-sults. Planning of stomatologic aid and carrying out measures directed to the prevention of complications against the background of combined and complex therapy of locally extended cancer of oral cavity mucus allows to decrease the number of hemorrhagic complications to 4,9%, local inflammatory processes — to 2,7% as well as other complications. Conclusion: Planning of accompanying stoma-tologic therapy and organization of adequate curable and rehabilitation measures significantly improves life quality of the patients with locally extended cancer of oral cavity mucus.

The purpose of the study, to improve the quality of treatment of mild periodontitis based on clinical and microbiological studies on the effectiveness of pharmacotherapy by liniment of cycloferon. Research methods. Clinical study included 50 patients aged 20-50 years old with mild periodontitis in the acute stage. Liniment of cycloferon was applied on the gums two times a day in 10-12 hours for 14 days. Microbial picture of oral mucosal and periodontal pockets in patients with periodontitis were analyzed twice before the treatment and at 30-31-day of observation according to the detection of microorganisms by polymerase chain reaction (PCR). Results. The dynamics on the background of pharmacotherapy in patients with mild periodontitis with liniment of cycloferon showed a significant decrease in the frequency of identification of pathogenic flora, compared with conventional therapy of periodontitis, the disappearance of complaints and the main clinical manifestations of periodontitis. Conclusion. The accelerated recovery of patients with periodontitis decreasing frequency of relapses by pharmacotherapy using liniment of cycloferon accompanied by sanogenic effects for microbial associations of periodontal pockets and oral mucosa showed pathogenic focus and efficiency of the drug in periodontitis.

The purpose of the study: rationalization of selecting of the method of immobilization of the fragments of the mandible in patients with fractures, combined with chronic generalized periodontitis. Material and Methods. There were 70 patients with mandibular fractures in combination with chronic generalized periodontitis who underwent immobilization of the mandible in various ways. Clinical examination of common cytokines and Cross laps of the contents of periodontal pockets have been carried out. The results revealed that patients in the orthopedic treatment of the dynamics observed progression of inflammatory-destructive processes. When immobilization of the mandible with intermaxillary fixation on the titanium screws and the surgical method of treating inflammation at periodontal pockets cropped. Conclusion. Considering inflammatory complications of mandibular fractures in patients who have used the intermaxillary fixation screws in titanium, it has been found out that this method is more optimal.

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.

The objective of the study is to develop an algorithm for determining the correlation between tooth size, dental arch parameters and the craniofacial complex. Material and methods. 178 patients with physiological occlusion of permanent teeth and neutral type of jaw growth were examined to determine the correlation between tooth size, dental arch parameters and craniofacial complex. Correlation between tooth size and dental arch parameters was determined based on the relationship of the major dental arch parameters and the size of 12 teeth including first molars, premo-lars, canines and incisors, as well as the width of the face between zygomatic points and the distance between lateral surfaces of the wings of the nose. Results. The algorithm is based on the dentofacial index (D. F. I.), calculated as the percentage ratio of the sum of four incisors to facial width. Conclusions. In patients with mesodontism and physiologic occlusion of permanent teeth the dentofacial indexwas23.5%±1.5%. An increase in the dentofacial index up to 25.1% was indicative of individual macrodontia of four upper anterior teeth. The value below 21.9% indicated individual micro-dontia of four upper anterior teeth. The correlation between individual teeth of different types and compared the size of teeth in certain segments and dental arch parameters has been evaluated.