Stomatologiya最新文献

{"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":"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":"[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":"[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":"[Clinical observation and complications in the treatment of a child with capillary malformation in the facial area].","authors":"E Yu Gavelya, V V Roginsky, D L Weise, A M Maybogin","doi":"10.17116/stomat202510404198","DOIUrl":"10.17116/stomat202510404198","url":null,"abstract":"<p><strong>Objective: </strong>To present a retrospective analysis, clinical picture, diagnostic and surgical tactics in the clinical observation of capillary blood vessel malformation.</p><p><p>The article presents an analysis of a clinical case of capillary malformation in a 17-year-old boy who was admitted to the children's clinic of the Central Research Institute of Dentistry and Maxillofacial Surgery after inadequate, long-term treatment with various treatment methods for capillary-type blood vessel malformations in the lower lip area. Incorrectly chosen treatment tactics led to hypertrophy and scarring of soft tissue in the affected area. The resulting cosmetic defect could only be eliminated surgically. The resulting cosmetic defect could only be eliminated surgically. At the stage of preparation for surgical treatment, additional research methods were carried out: ultrasound with Dopplerography of the soft tissues of the lower lip, chin, cheek areas, MRI of the soft tissues of the face and neck. The patient underwent surgical treatment. A comprehensive operation was performed - removal of pathological tissues with correction of the shape of the lower lip. Pathomorphological examination of the material was carried out after surgical treatment. As a result of the operation, a satisfactory cosmetic result was achieved.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 4","pages":"98-102"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972278","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 dental surgeons for diseases in the Russian Federation in 2017-2023].","authors":"A A Kulakov, B Sh Abakarov, M A Ivanova","doi":"10.17116/stomat202510404162","DOIUrl":"10.17116/stomat202510404162","url":null,"abstract":"<p><strong>Objective: </strong>To study the frequency of visits to dental surgeons in different subjects of the Russian Federation.</p><p><strong>Material and methods: </strong>The work used the data of sectoral statistical observation for 2017-2023 presented in the 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. Statistical and analytical methods of research were used in the work.</p><p><strong>Results: </strong>It was found that the highest attendance rate of dental surgeons nationwide was recorded in 2018 and 2019. During the COVID-19 pandemic period from 2019 to 2021, specialist attendance decreased by 10.5%. However, despite the imposed restrictive measures during the COVID-19 pandemic the number of visits to dental surgeons for the disease increased in 17.6% of the subjects of the Russian Federation. After the COVID-19 pandemic (from 2022 to 2023) the rate in general increased by 0.5%. In the period under study, the dynamics of attendance of dental surgeons in the country as a whole remains negative with a decrease of 9.9%.</p><p><strong>Conclusion: </strong>The increase in the frequency of visits to dental surgeons among the population of the Russian Federation both during the COVID-19 pandemic and after it indicates an increase in the medical activity of the population in maintaining dental health.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 4","pages":"62-65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972285","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":"[Esthetic evaluation of gingival recession plastic surgery in patients using collagen matrices].","authors":"A A Kulova, A P Vedyaeva, V G Dzherieva, A V Kuzin, G V Remizov, A I Potapova","doi":"10.17116/stomat202510404157","DOIUrl":"10.17116/stomat202510404157","url":null,"abstract":"<p><strong>Objective: </strong>To conduct a comparative analysis of the aesthetic results of treatment of patients with gingival recession of RD class I and II according to Miller using collagen matrices and connective tissue transplant (CTT).</p><p><strong>Material and methods: </strong>The study included 25 patients with grade I and II RD in the area of 107 teeth on the upper and lower jaws. The patients were divided into 4 groups: Mucoderm (<i>n</i>=28), Fibro-Gide (<i>n</i>=22), FibroMATRIX (<i>n</i>=23) and CTT as controls (<i>n</i>=34). The operation was performed using a modified coronary displaced flap technique. In the postoperative period the pain syndrome was studied using a numerical scale. After 12 months, an aesthetic assessment of GR plastics was performed using the Root Coverage Esthetic Score (RCES), and the percentage of GR closure was determined.</p><p><strong>Results: </strong>After two weeks, a significant decrease in pain intensity was recorded in all the study groups. At the same time, the pain level in the comparison groups was significantly lower compared to the control group. Complete closure of the exposed surface of the dental roots was achieved in 85% of cases in the Mucoderm group, in 90% in the Fibro-Gide group, in 80% in FibroMATRIX and in 95% in the control group (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>Collagen matrices can serve as an alternative to CTT, but despite the positive results they provide a smaller increase in keratinized gums and do not always completely eliminate GR limiting their use in periodontal surgery.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 4","pages":"57-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972333","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}