Stomatologiya最新文献

{"title":"[Main characteristics of materials used for retrograde filling].","authors":"V A Badalyan, L A Nadzharyan, N V Elfimova","doi":"10.17116/stomat2025104041107","DOIUrl":"10.17116/stomat2025104041107","url":null,"abstract":"<p><p>The most important stage in the surgical treatment of chronic apical periodontitis is the creation of a sealed barrier that prevents the penetration of microorganisms outside the root canal. The choice of the most optimal material for retrograde sealing is a process that requires special attention. Many different types of sealing materials used in apical surgery are presented. In this article, we set out information about the most used materials and their properties. Today, preference in choosing a material for retrograde sealing is given to silicate cements, but, given the current limited data, there is not enough evidence to conclude about the advantages of one material compared to another.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 4","pages":"107-111"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972394","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":"[Expression of NOD-like receptors in periodontal tissues of patients with aggressive periodontitis].","authors":"E V Fomenko, A I Grudyanov, O V Kalyuzhin, A M Maybogin, I I Babichenko","doi":"10.17116/stomat202510404117","DOIUrl":"10.17116/stomat202510404117","url":null,"abstract":"<p><strong>Objective: </strong>To study the expression of NOD-like receptors (NLRs) in periodontal tissue cells of patients with aggressive periodontitis before and after complex treatment.</p><p><strong>Material and methods: </strong>An immunohistochemical study of NLR expression (NOD1, NOD2, NLRC3, NLRP3, NLRP7, NLRP12, NAIP) was performed in periodontal tissue samples from patients with aggressive periodontitis before and after complex treatment, as well as in samples of the gingival mucosa of patients with gingival fibroids without signs of inflammation, who served as a control group.</p><p><strong>Results: </strong>In the control group, NLR expression in the multilayer squamous epithelium of the gingival mucosa was not detected. In patients with aggressive periodontitis, during the exacerbation period, pronounced expression of all studied NLRs was revealed in the inflammatory infiltrate cells of the subepithelial tissues of the periodontal pocket, as well as NOD1, NLRP3, NLRP12 and NAIP in the nuclei and cytoplasm of the cells of the multilayer squamous epithelium of the periodontal pocket. During complex treatment, the expression of most NLRs in epithelial cells persists for 21 days, while it decreases in the inflammatory infiltrate cells of the subepithelial tissues of the periodontal pocket.</p><p><strong>Conclusion: </strong>Statistically significant differences between IHC expression parameters before and after treatment according to the criterion of \"inflammatory infiltrate\" were found among such receptors as NAIP, NLRP12 and NLRP7.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 4","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972288","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":"[Digital dental approach in rehabilitation of a patient treated for unilateral ankylosis of a temporomandibular joint using condylotomy].","authors":"E A Voronina, N S Nurieva, S M Rizaeva","doi":"10.17116/stomat20251040119","DOIUrl":"10.17116/stomat20251040119","url":null,"abstract":"<p><strong>The aim of the study: </strong>To study the possibilities of using digital dental techniques in the rehabilitation of a patient after surgical treatment of unilateral ankylosis of the temporomandibular joint (TMJ) using the condylotomy method.</p><p><strong>Material and methods: </strong>Digital dental techniques, the method of electronic axiography, cone-beam computed tomography, intraoral scanning, programs that allow compiling the obtained data into a general functional-dynamic model were used.</p><p><strong>Results: </strong>The use of digital dental techniques in the rehabilitation of people after surgical treatment of unilateral TMJ ankylosis using condylotomy is advisable, since they are painless and safe for the patient. Standardization of the procedure allows obtaining reliable information, including during dynamic observation. Thanks to the use of a digital approach, it becomes possible to combine the results of individual digital methods into one functional model, which allows for a comprehensive analysis of the rehabilitation process.</p><p><strong>Conclusion: </strong>The use of digital dental techniques is becoming a necessary step in dental rehabilitation and carries the prospects for further digital development of dentistry and MSF.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524191","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":"[Analysis of the content of some chemical trace elements in intact tooth enamel of individuals with different frequency of polymorphisms of the kallikrein-4 gene].","authors":"I L Gorbunova, D V Penkov","doi":"10.17116/stomat20251040317","DOIUrl":"10.17116/stomat20251040317","url":null,"abstract":"<p><p>The aim the study. Assessment of the content of various trace elements in the intact tooth enamel of individuals genotyped by polymorphism G/G, G/A, A/A of the kallikrein-4 gene at mutational points G2664153A and G2142A.</p><p><strong>Material and methods: </strong>Laboratory examination of 160 enamel samples of intact premolars of the upper jaws removed according to orthodontic indications in individuals with different genotypes of G/G, G/A and A/A of the kallikrein-4 gene at mutation points G2664153A and G2142A was carried out using X-ray spectral fluorescence analysis.</p><p><strong>Results: </strong>In the intact tooth enamel of individuals with an increase in the frequency of polymorphism G/G of the kallikrein-4 gene, there is a significant increase in the concentration of fluorine, iron, strontium, silicon. In the intact tooth enamel of individuals with an increase in the frequency of polymorphism A/A of the kallikrein-4 gene, there is a significant increase in the concentration of magnesium, zinc, aluminum, sulfur, and chlorine. Concentrations of the main trace elements involved in remineralization (calcium and phosphorus) have no statistical significance in intact tooth enamel of individuals with both G/G polymorphism and A/A polymorphism of the kallikrein-4 gene at mutation points G2664153A and G2142A.</p><p><strong>Conclusion: </strong>Mutation of the kallikrein-4 gene in positions G2664153A and G2142A is accompanied by a change in the quantitative content of a number of trace elements in the tooth enamel of individuals with polymorphisms G/G and A/A, without affecting the concentration of calcium and phosphorus.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733586","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":"[Vitamin D role in oral cavity diseases].","authors":"A V Ermakov, S A Katrechko, Y I Zablotskaya, V V Molchanova, V I Novitskaya","doi":"10.17116/stomat202510401181","DOIUrl":"10.17116/stomat202510401181","url":null,"abstract":"<p><p>The purpose of this scientific article is to analyze the scientific literature aimed at identifying the relationship between vitamin D levels in the body and diseases of the oral organs, in order to determine the potential impact of vitamin D deficiency on their development. Special attention is paid to the development of recommendations for maintaining optimal vitamin D levels for various population groups in order to strengthen both general health and prevent diseases of the oral cavity.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"81-86"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524747","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":"[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":"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":"[Attendance of oral surgeons per one inhabitant per year in the subjects of the Russian Federation in 2017-2023].","authors":"A A Kulakov, B Sh Abakarov, M A Ivanova","doi":"10.17116/stomat202510403153","DOIUrl":"10.17116/stomat202510403153","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to investigate the dynamics of attendance of oral surgeons in the subjects of the Russian Federation per one inhabitant per year.</p><p><strong>Material and methods: </strong>The data of statistical compilations of the Ministry of Health of Russia on resource provision in federal districts and subjects of the Russian Federation for 2018, 2020, 2022 and 2024 were used in the work.</p><p><strong>Results: </strong>In the Russian Federation the attendance of oral surgeons per resident per year decreased by 9.7% from 2017 to 2023/ In most federal districts, the dynamics of the attendance rate of oral surgeons per one inhabitant for the period from 2017 to 2023 is comparable to the trend for the country as a whole, except for the North Caucasus, where there was an increase of the indicator by 12.6% for the same period. During the COVID-19 pandemic, the attendance rate decreased by 10.5% in 84.7% of the subjects, after the pandemic it increased in 56.5, decreased in 38.8, and stabilized in 4.7% of federal districts.</p><p><strong>Conclusions: </strong>The results of the study show the ambiguity of the situation on the attendance of oral surgeons in the subjects of the Russian Federation, which is probably related to the age characteristics of patients and the accessibiility of specialized medical care to the population.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"53-56"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733589","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":"[Modern scientific trends in the study of mandibular canal anatomy].","authors":"A V Kuzin, A P Vedyaeva, G V Remizov","doi":"10.17116/stomat202510403197","DOIUrl":"10.17116/stomat202510403197","url":null,"abstract":"<p><p>A study of the scientific literature on the topographical and anatomical features of the mandibular canal (canalis mandibulae) has been conducted with the priority of searching for classical dissection anatomical experiments. Scientific achievements of recent years have been identified: the microstructure of bone walls throughout the canal has been studied, the intracanal functional organization of the neurovascular bundle has been studied, variants of the position of the inferior alveolar artery in relation to the inferior alveolar nerve have been studied, and the microcirculatory bed has been studied. The features of the anatomy of the mandibular canal in the pathology of tumor growth of benign cavities of the jaws and inflammatory diseases of the jaws, as well as the anatomy of the canal in its close proximity to the roots of the third molars, remain poorly understood. The scientific novelty is the study of the shape, diameter and length of the canal at the level of pathological formations of the jaws, as well as options for lysis of the bone walls of the canal in dental pathology and developmental disorders of the mandible.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"97-100"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733596","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":"[Primary-chronic osteomyelitis and fibrous dysplasia of the mandible in children. Differential diagnosis and treatment].","authors":"A Yu Kugushev, A V Lopatin, N S Grachev","doi":"10.17116/stomat202510404141","DOIUrl":"10.17116/stomat202510404141","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study is differential diagnosis of primary chronic osteomyelitis (PCO) and fibrous dysplasia (FD) of the mandible.</p><p><strong>Material and methods: </strong>A retrospective comparative study of the case histories of 36 patients with PCO (average age 8.9 years) and 12 patients with FD (average age 8.5 years) who were treated at the Department of Maxillofacial surgery of the RCCH in the period from 2015 to 2023 was conducted. The features of clinical manifestations were evaluated: pain, swelling of soft tissues, trismus of the masticatory muscles, bone deformity, numbness of the lips, increased skin temperature in the area of lesions. The condition of the bone structures was assessed according to both panoramic radiographs and computed tomography (CT) scans. The bone structure, involvement of the condyle of the mandible, tooth displacement, displacement and width of the mandibular canal were evaluated.</p><p><strong>Results: </strong>Both study groups were dominated by girls (PCO 1:2.6; FD 1:1) and unilateral jaw lesion (PCO 1:1.31; PD 1:1.4). Patients with PCO mainly complained of pain (94.4%), soft tissue edema (100.0%) and masticatory muscle trismus (100%), while patients with FD had no pain and an increase in volume of bone (83.3%) without trismus. Computed tomography of patients with PCO showed the formation of the subcortical bone, lysis of the cortical layer, dilation of the mandibular canal on the affected side, whereas in patients with FD, moderate or pronounced bone swelling, a well-defined cortical layer, displacement of teeth and the mandibular canal from the node of FD were mainly observed.</p><p><strong>Conclusion: </strong>The data obtained emphasize the importance of clinical and radiological signs in various diseases. Pain, edema, formation of the subcostal bone, unilateral expansion of the mandibular canal, the clarity of the boundary of the cortical and medulla and the continuity of the cortical bone are the key points allowing for the differential diagnosis of these conditions.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 4","pages":"41-48"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972442","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}