Stomatologiya最新文献

{"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":"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":"[Clinical case: functional and aesthetic rehabilitation after tooth injury].","authors":"E V Krikun, A A Karimova, V F Akhmetgareev, R R Aleeva","doi":"10.17116/stomat202510403177","DOIUrl":"10.17116/stomat202510403177","url":null,"abstract":"<p><p>In the practice of a dentist, there are often contentious situations where it is necessary to choose a treatment strategy that provides the greatest benefit while minimizing costs for the patient. In extreme cases, when a patient presents with a nearly complete loss of the crown, even an experienced clinician may question the feasibility of preserving the tooth. This article presents a clinical case of comprehensive treatment of a patient using the concept of tooth extrusion-turbo-extrusion-in an aesthetically important area, employing orthodontic materials, followed by endodontic retreatment, preparation, and fixation of a ceramic prosthesis. After conducting a literature review, it was concluded that careful diagnostics and rational treatment planning can yield stable clinical outcomes, including tooth preservation, achieving the desired architecture of the marginal gingiva, and restoring aesthetic parameters.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733590","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 the need to press the matrix during restorations of the proximal surfaces of teeth].","authors":"V Yu Shefov, L Yu Orekhova, O V Prokhorova","doi":"10.17116/stomat202510403116","DOIUrl":"10.17116/stomat202510403116","url":null,"abstract":"<p><p>The aim the study: to make a comparative clinical analysis of the effectiveness of restoring the proximal surfaces of teeth using the active method as modified by the authors and the passive method without pressing the matrix.</p><p><strong>Material and methods: </strong>The study consisted of 2 stages: preclinical and clinical. At the preclinical stage, a computer-mathematical simulation of matrix deformation was carried out depending on the pressing point in the AutoDesk SolidWorks 2019 software package. The clinical stage of the study involved 140 patients who were divided by block randomization with a block volume of 5 into 2 groups: control group (treatment passive method of restoring the contact point without pressing using a ring matrix system) and the study group (treatment with an active method with pressing along the anatomical landmarks of the teeth in combination with the use of a ring matrix system). Monitoring of the condition of the restoration, periodontium and tooth contact point was carried out after 6 months and after 18 months to assess long-term results.</p><p><strong>Results: </strong>The results of the study demonstrated statistically significant differences (method used: Pearson Chi-square) between the control and study groups: for all studied parameters, the incidence of complications in the study group was lower than in the control group.</p><p><strong>Conclusion: </strong>The results obtained during the study confirmed the need for anatomically correct compression of the matrix, even when using modern ring matrix systems, as well as the importance of periodic preventive examinations every 6 months to prevent the development of complications after treatment.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733597","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}

{"title":"[Planning of orthodontic treatment considering individual transversal parameters of dental arches].","authors":"O I Arsenina, A V Shefova, L N Soldatova","doi":"10.17116/stomat202510403166","DOIUrl":"10.17116/stomat202510403166","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To determine the current coefficients of transverse parameters for calculating the ideal width of the dental arch.</p><p><strong>Material and methods: </strong>This study examined the ideal width of the dental arch, considering the anatomical dimensions of the jaws and teeth. Correlation between the mesiodistal dimensions of the upper incisors and the width of the dental arch in the premolar and molar regions was used to calculate index values. Patients with a history of orthodontic treatment were excluded from the study. The sample consisted of 500 young patients (18-44 years old) as categorized by WHO. Each participant underwent a dental examination and cone-beam computed tomography. Control-diagnostic models of dental arches were also obtained for further measurements. The width of the dental arches was measured with a caliper between selected points, allowing the determination of parameters in the premolar and molar regions of the upper and lower jaws. Statistical analysis was performed using StatTech v. 4.2.5 software, including the Kolmogorov-Smirnov test to assess normality of distribution. Correlation evaluation was conducted using Pearson's coefficient, and a predictive model was developed via linear regression.</p><p><strong>Results: </strong>By using occlusal points to measure the width of the dental arch in the premolar and molar regions, values applicable to both the upper and lower jaws were calculated. These points represent the contacts between the teeth of the upper and lower jaws during occlusion, ensuring normal alignment. Regression analysis was used to determine the calculated coefficients for the ideal width of the dental arch in the premolar and molar regions. The results obtained were transformed into molar and premolar coefficients.</p><p><strong>Conclusion: </strong>Diagnosis of dental arch narrowing based on anthropometric parameters directly impacts the stability of orthodontic treatment outcomes. A combination of traditional anthropometric methods and modern technologies provides more precise and individualized diagnostics. This not only improves the accuracy of detecting dental arch narrowing but also allows for the selection of optimal orthodontic treatment strategies, leading to predictable and stable results while minimizing the risk of complications.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733598","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}