Stomatologiya最新文献

{"title":"[Comparison of diagnostic methods and the initial stage of treatment in patients with temporomandibular joint dysfunction].","authors":"M A Chibisova, L A Yermolayeva, V A Zheleznyak, A V Nikolayev, A V Pavlov, S Y Kuyumchian","doi":"10.17116/stomat202510402159","DOIUrl":"https://doi.org/10.17116/stomat202510402159","url":null,"abstract":"<p><p>The aim the study. The aim of the study was to conduct a comparative analysis of methods for determining the optimal individual position of the mandible using a hydrostatic mouth guard and transcutaneous electrical stimulation (TENS) techniques.</p><p><strong>Material and methods: </strong>The study comprised 188 patients with musculoskeletal and articular dysfunction of the TMJ. The subject of the study is cone beam computed tomography and magnetic resonance imaging of the TMJ of these patients. Before starting treatment, all patients underwent magnetic resonance imaging of the TMJ with functional tests (in the open and closed mouth position) and seizure of the masticatory muscles.</p><p><strong>Results: </strong>It was found that the results of the therapeutic and diagnostic procedure for finding the optimal position of the lower jaw using a hydrostatic mouth guard and the TENS method are comparable to each other.</p><p><strong>Conclusion: </strong>CBCT and TMJ MRI are informative diagnostic tools that can be effectively used in the diagnosis and treatment of patients with musculoskeletal dysfunction. Methods for determining the optimal position of the mandible using a hydrostatic mouth guard and TENS have shown their effectiveness at the therapeutic and diagnostic stage of rehabilitation of patients with musculoskeletal dysfunction of the TMJ.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 2","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Evaluation of periodontal status in patients with liver cirrhosis].","authors":"E Y Diachkova, S V Tarasenko, Ch S Pavlov, K A Gorshkov, A D Abdurakhmanova, E M Tumanova","doi":"10.17116/stomat20251040216","DOIUrl":"https://doi.org/10.17116/stomat20251040216","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to assess the dental status, including the condition of periodontal tissues, in patients with liver cirrhosis.</p><p><strong>Material and methods: </strong>Based at the Federal State Autonomous Educational Institution of Higher Education of the First Moscow State Medical University named after I.M. Sechenov a dental examination of 52 patients with liver cirrhosis of various etiologies was conducted. The main diagnosis was established based on the results of biochemical blood parameters and ultrasound examination of the abdominal organs, according to which the patients had all 3 classes of liver cirrhosis according to Child-Pugh.</p><p><strong>Results: </strong>Comparison of the periodontal index in groups depending on the severity of liver cirrhosis showed a significant difference between groups (<i>p</i><0.05): the maximum was determined in patients with Child-Pugh C (59±0.14 percentage), the minimum - with Child-Pugh A (36.4±0.13 percentage). Comparison of periodontal pocket depth (PD index) in groups depending on the degree of severity showed a significant difference between groups (<i>p</i><0.05): the maximum was determined in patients with Child-Pugh C (4.02 mm), the minimum - in Child-Pugh A (2.96 mm). Comparison of clinical loss of attachment (CAL index) in groups depending on the degree of severity showed a significant difference between groups (<i>p</i><0.05): the maximum was determined in patients with Child-Pugh C (-4.1 mm), the minimum - at Child-Pugh A (-2.8 mm).</p><p><strong>Conclusion: </strong>Based on the results of the study, the presence of a direct connection between periodontitis and the severity of liver cirrhosis could not be excluded.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 2","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The use of modern wound dressings based for the treatment of palatal defects in patients with cleft lip and palate].","authors":"T Z Chkadua, N D Oltarzhevskaya, G V Sogachev, L E Smirnova, A K Egiazaryan, E O Medusheva","doi":"10.17116/stomat202510401123","DOIUrl":"10.17116/stomat202510401123","url":null,"abstract":"<p><p>The favorable course of postoperative healing is a crucial stage in surgical treatment and a significant factor in achieving successful outcomes. The rehabilitation of patients with cleft lip and palate also depends on various other factors. To a great extent, the success of treatment depends on an integrated approach that includes both surgical interventions and subsequent rehabilitation measures. Wound healing of oral mucosal tissues has specific characteristics, and therefore, when choosing wound dressings, it is essential to consider the environment and the nature of the wound healing process. It has been observed that the correction of palatal defects in patients following a series of surgeries for clefts is further complicated by the scarring of palatal tissues. The main objectives of modern wound dressings are to protect and stimulate regenerative processes in the surgical site. We have successfully developed and tested a novel wound dressing based on alginate sodium that is designed to stimulate tissue regeneration in individuals with pathology in the maxillofacial area and a complicated wound healing process, particularly those with pronounced scarring of the hard palate that is common in this patient group.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"23-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Artificial Intelligence in Dentistry: A Sign of the Times].","authors":"K Sh Oisieva, R A Rozov","doi":"10.17116/stomat202510401187","DOIUrl":"10.17116/stomat202510401187","url":null,"abstract":"<p><p>Artificial Intelligence (AI) has emerged as one of the most significant innovations in dentistry, enabling the efficient analysis of large volumes of data and enhancing the quality of diagnosis and treatment.</p><p><strong>The aim of this study: </strong>Is to conduct a systematic review of the existing literature related to the application of AI in dental imaging. T.</p><p><strong>Materials and methods: </strong>The study included works where AI was used for the analysis of dental images, with a focus on deep learning methods and convolutional neural networks. The search was conducted in six leading databases, including PubMed, IEEE Xplore and others.</p><p><strong>Results: </strong>AI significantly improves the accuracy of diagnosing dental conditions, such as caries and periodontitis, and promotes a more personalized approach to patient treatment. However, existing studies are often limited by small data sets, highlighting the need for further research.</p><p><strong>Conclusion: </strong>AI has the potential to greatly enhance dental practice, but its full integration into clinical practice requires additional studies. The legal regulation of AI use is also an important aspect to consider.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"87-92"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The legislative framework and regulatory legal regulation of the maintenance of medical records in the provision of dental care].","authors":"V D Vagner, L E Smirnova, A A Zhurina","doi":"10.17116/stomat202510401171","DOIUrl":"10.17116/stomat202510401171","url":null,"abstract":"<p><p>The article presents the results of an analysis of the legislative framework and regulatory legal framework for the requirements for maintaining medical records in dental medical organizations, as well as information obtained in the process of studying records in medical records of a dental patient in dental medical organizations of state, municipal and private health systems.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"71-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Factors of health formation in disabled children with congenital cleft lip and/or palate].","authors":"K S Tutova, A A Muzychina","doi":"10.17116/stomat202510402130","DOIUrl":"https://doi.org/10.17116/stomat202510402130","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The aim of the study to determine the factors of health formation in disabled children with congenital cleft lip and/or palate.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Material and methods: &lt;/strong&gt;The data of rehabilitation records and interviews with families raising 393 children with congenital clefts of the upper lip and/or palate aged 3 to 12 years were analyzed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Registration of disability status was untimely in 57.25% of children with congenital palate, in 12.05% of children with congenital cleft lip and/or palate, and in 11.46% of children with congenital cleft. The late registration of the relevant documents on the child's status in 3.56% of parents was influenced by reluctance to consider their child disabled for psychological reasons, in 9.16% of cases - by low qualification of a pediatrician/neonatologist, in 4.33% - by untimely diagnosis, in 65.9% - by ignorance of the possibility to register the disability status, in the remaining 17.05% of cases - by organizational reasons.&lt;/p&gt;&lt;p&gt;&lt;p&gt;Among 61.83% of mothers in the maternity hospital there was no instruction and/or practical training in the peculiarities of feeding children with congenital cleft lip and/or palate. A fairly large percentage of children (47.8%) were transferred from the maternity hospital to the neonatal pathology department without vital indications due to the «impossibility» to organize their proper feeding. In the maternity hospitals of Donetsk Oblast, only 3 children out of 100 newborns with congenital cleft lip and/or palate were consulted by a maxillofacial surgeon during the analyzed period. The organization of rehabilitation of children with congenital cleft lip and/or palate in the pediatric area does not meet the standards. Only 46.06% of parents received specific and detailed medical and organizational recommendations from the pediatrician during the first week of the child's stay at the site. Children with congenital cleft palate were especially often out of the field of vision of both pediatricians and surgeons. Only 23% of children were examined by an oral surgeon in the first two months of life. 72.01% of parents were insufficiently informed on most of the issues related to treatment and rehabilitation of their child. 9.41% of the surveyed parents had no such knowledge. Only 76.08% of parents followed all or part of the recommendations of specialists on child care at home.&lt;/p&gt;&lt;p&gt;&lt;p&gt;Analysis of the morbidity structure of children with congenital cleft lip and/or palate has shown that the first ranks, regardless of the type of malformation, are occupied by diseases of the blood and hematopoietic organs, respiratory diseases, diseases of the endocrine system, nutritional and metabolic disorders, and skin diseases. Congenital anomalies, mental disorders and psychotic states occupy a significant specific weight in the structure of morbidity of children with congenital cleft lip and/or palate.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/st","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 2","pages":"30-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The possibilities of speech rehabilitation of patients after resection of the upper jaw with an obturator prosthesis].","authors":"K A Veselova, M Yu Boboshko, I N Antonova, A L Rubezhov, N V Gromova, N V Kotova-Lapominskaya, Y S Kibalova, E S Garbaruk","doi":"10.17116/stomat202510402115","DOIUrl":"https://doi.org/10.17116/stomat202510402115","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to evaluate the function of sound reproduction in patients with postoperative defects the upper jaw with and without a prosthesis replacing the defect.</p><p><strong>Material and methods: </strong>The study included 25 patients with an upper jaw defect acquired as a result of resection, aged 33 to 74 years. Among them are patients with various types of defects: a defect of only the alveolar process (3 patients, 12%), a defect of the alveolar process and half of the palatine process on the resection side (7 patients, 28%), a defect reaching the midline of the hard palate or a defect involving the tissues of the hard palate on both sides of the midline (12 patients, 48%), any defect involving soft palate tissues (3 patients, 12%). To replace the defect of the upper jaw, prostheses of various configurations were made for patients: a partial removable plate prosthesis with an obturator (13 (52%)), a complete removable upper jaw prosthesis with an obturator, including one collapsible complete removable prosthesis with an obturator (7(28%)), a clasp prosthesis with an obturator (5 (20%)).</p><p><strong>Results: </strong>It was revealed that the use of an upper jaw prosthesis with an obturator significantly improves speech recognition and reduces the number of speech defects in patients with acquired upper jaw defects. It was found that the presence of a patient with an upper jaw defect in the anamnesis of radiation therapy for an upper jaw tumor negatively affects the quality of sound reproduction. It was also revealed that the configuration of the postoperative defect is a predictor of the success of the patient's speech rehabilitation using an upper jaw prosthesis with an obturator.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 2","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Validation of situational tasks to assess the competence of orthodontists (using the example of cases of combined jaw deformity)].","authors":"A V Malervein, A V Kochubey, O Y Bogaevskaya, V V Kochubey, M I Lazechko","doi":"10.17116/stomat202510401137","DOIUrl":"10.17116/stomat202510401137","url":null,"abstract":"<p><strong>The aim the study: </strong>The choice of situational tasks to assess the knowledge of orthodontists about the management of patients with combined jaw deformities.</p><p><strong>Materials and methods: </strong>An expert assessment of 13 situational tasks was carried out in relation to three categories: validity - compliance with real cases in clinical practice, clarity - a complete and adequate description of the case; complexity - the difficulty of solving the problem. The assessment by category was performed on a rating six-point scale based on a calculated integral coefficient (IC) equal to the sum of the ratings by category.</p><p><strong>Results: </strong>The values of the Integral coefficient of the first round of estimates differ significantly, <i>p</i>≤0.001. The Duncan test identifies 9 homogeneous subsets. The estimates of tasks No. 10, 1, 9, 4, 3, 11 simultaneously form 4 groups of subsets for which a second round of evaluation is made. The integral coefficient of the points of the second round of the expert assessment is significantly different, <i>p</i>≤0.001. The Duncan test identifies 2 homogeneous subsets. The experts rated task No. 3 significantly higher (M=10.9). The integral coefficient of the third round of assessments of tasks 3.12.13 is significantly different, <i>p</i>=0.023, «reasonableness» (<i>p</i>=0.815) and «clarity» (<i>p</i>= 0.082) do not differ, the \"complexity\" of task 13 is higher than that of task 3 (<i>p</i>=0.026), differences in the \"complexity\" of tasks 3 and 12 (<i>p</i>=0.209), 12 and 13 (<i>p</i>=0.383) no. In the first round, the reasonableness (3.23±1.34 points), complexity (3.15±1.26), clarity (3.04±1.15) of the tasks did not significantly differ (0.055≤<i>p</i>≤0.422). In the second round, the reasonableness (2.98±0.89) of the tasks is higher than their complexity (2.52±0.86) and clarity (2.54±0.74), (<i>p</i>=0.005 and <i>p</i>=0.003), but the complexity and clarity of the tasks are the same (<i>t</i>=0.18, <i>p</i>=0.860). Reasonableness (5.67±0.48), complexity (5.38±0.49) and clarity (5.62±0.49) do not differ in the third round (0.058≤<i>p</i>≤0.763).</p><p><strong>Conclusion: </strong>The situational tasks selected in the study are distinguished by an integral coefficient of validity, complexity and clarity higher than other evaluated tasks, which allows for a multi-level assessment of the knowledge of orthodontists in the management of patients with combined dental anomalies. Expert assessment is acceptable for validating situational tasks when identifying assessment categories.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[On the issue of choosing anesthesia methods: a comparison of general medicine and clinical dentistry].","authors":"A V Ermakov, E A Dubina, M A Khramova, E A Ustinova, Yu A Trusov","doi":"10.17116/stomat202510401176","DOIUrl":"10.17116/stomat202510401176","url":null,"abstract":"<p><p>A comparative analysis of the effectiveness of anesthesia methods used in general medicine and dentistry has been carried out. The study highlights various methods of anesthesia, including general, regional and local anesthesia, as well as innovative methods such as computer-based monitoring of the depth of anesthesia and the use of ultrasound to accurately administer the anesthetic. In dentistry, local anesthesia is more often used, which minimizes pain and has fewer side effects. One of the key issues in anesthesiology is the effectiveness of anesthesia, which depends on many factors, including the type of surgery, the physiological characteristics of the patient, and economic components. The main sources of information for this work were scientific articles published in peer-reviewed medical journals. The main platforms for finding relevant literature were: PubMed, ScienceDirect and Google Scholar.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"76-80"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Soviet military dentistry in the years of the Great Patriotic War].","authors":"A K Iordanishvili","doi":"10.17116/stomat202510402186","DOIUrl":"https://doi.org/10.17116/stomat202510402186","url":null,"abstract":"<p><p>The objective of the study is to analyze the system of organization and care of the patients with maxillofacial wounds and dental pathology, the feature of their evacuation, as well as progress in the treatment of maxillofacial injuries during the Great Patriotic War of 1941-1945. It was noted that the elements of assistance system for the patients with maxillofacial wounds and their evacuation, as well as the proposed therapeutic methods used during the Great Patriotic War, had previously undergone detailed testing during the battles at Lake Khasan (1939) and the Khalkhin Gol (1939) and during Soviet-Finnish (Winter) war (1939-1940).The special activity of the medical service during the Great Patriotic War was evident in connection with the provision of medical care to the population and treatment at all stages, during which medical and medical measures were taken from the conditions of the military and health situation. Author presents data on the treatment of maxillofacial wounded in the army, military, front-line and inland regions. The author describes the success in the development and use of new methods for restoring the shape and function of damaged facial organs, which reduced the treatment and rehabilitation periods. This success ensured more than 81% of return for facial wounds patients, and 95.5% for the patients with isolated soft tissue injuries.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 2","pages":"86-90"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}