Stomatologiya最新文献

{"title":"[Treatment of adult patients with upper micrognathia after a series of surgeries for unilateral cleft lip and palate. Part 1].","authors":"T Z Chkadua, G V Sogachev, T D Cholokava, S V Tekucheva, M B Khamhoev","doi":"10.17116/stomat202510403126","DOIUrl":"10.17116/stomat202510403126","url":null,"abstract":"<p><strong>Objective: </strong>The aim the study is to improve the quality of treatment for patients with upper micrognathia after a series of surgeries for cleft lip and palate.</p><p><strong>Material and methods: </strong>15 patients were treated at the FSBI NMIC «TSNIIS and ChLH» with a diagnosis of upper micrognathia; a condition after a series of operations for unilateral cleft lip and palate. Measurements of the transversal dimensions of the upper jaw were performed based on the results of CBCT. Indications for surgical-assisted expansion of the upper jaw have been determined. At the first stage, the distraction device was modeled and installed, supported by 4 orthodontic implants with an expansion screw of - 10 mm. At the next stage of treatment, a surgically assisted extension of the upper jaw was performed: osteotomy along the lines of Le Fort I. 7 days after the operation, the distraction apparatus was activated: 2 turns in the morning and evening, 0.5 mm per day (1 turn - 0.25 mm). The duration of distraction was 20 days.</p><p><strong>Results: </strong>After 6 months of using the distraction device, the necessary amount of movement of the upper jaw had been achieved. The average postoperative relapse of maxillary constriction was 0.93 mm. There was an improvement in the relationship between the front and side groups of teeth in the upper and lower jaws, as well as correction of the backward incisor overlap in the front group of teeth in the upper jaw. This indicates that the movement of the maxilla was not only in the transverse plane.</p><p><strong>Conclusion: </strong>The study confirms the effectiveness of surgically assisted maxillary dilation as a method of correcting upper micrognathia in patients who have undergone a number of operations for cleft lip and palate. The use of an individualized distraction device based on orthodontic implants in combination with surgery ensures the necessary volume of expansion of the upper jaw and minimizes the risk of recurrence of narrowing, typical for patients in this group.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733601","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":"[Xenogenic collagen matrix for the treatment of multiple gingival recessions].","authors":"A A Kulova, A P Vedyaeva, V G Dzherieva, S V Tekucheva","doi":"10.17116/stomat202510403133","DOIUrl":"10.17116/stomat202510403133","url":null,"abstract":"<p><strong>Aim: </strong>To compare the clinical results of treatment of patients with multiple gingival recessions class I and II according to Miller using the modified coronary advanced flap (MCAF) technique in combination with collagen matrix (CMX) and connective tissue graft (CTG).</p><p><strong>Material and methods: </strong>The study included 20 patients with Class I and II Miller gum recessions in the area of 136 teeth. Recessions were divided into 2 groups, the first group was operated with a MCAF+CMX combination (test group), and the second one using MCAF+CTG (control group).</p><p><strong>Results: </strong>Complete root closure was achieved in 87% of the teeth in the test group and 95% of the teeth in the control group (<i>p</i><0.05). At 6 months the complete root coverage observed in 85% in the test group and 97% in the control group. The average width of the attached keratinized gum had an increase in values 3 mm in the test group and 3.3 mm in the control group. The recession depth decreased in both groups, but in the test group, the residual recession depth was 1.2 mm, and in the control group 0.7 mm. The thickness of the keratinized gum increased from 1.1 mm to 1.7 mm in the test group, and from 1.1 mm to 1.8 mm in controls. Surgery duration and postoperative pain in the test group were significantly lower compared to the control group.</p><p><strong>Conclusion: </strong>The use of collagen matrix with cross-linked collagen can be an alternative to SST and can also be used in cases where it is not possible to use the donor resource of the palate. However, the use of collagen matrix leads to a lower growth of keratinized attached gingiva and does not always contribute to the complete elimination of gingival recessions.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733602","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 and radiological features of inflammatory collateral cysts: retrospective case series].","authors":"M V Korolenkova, A G Nadtochiy, N S Alekseeva, A V Nemaeva","doi":"10.17116/stomat202510402164","DOIUrl":"10.17116/stomat202510402164","url":null,"abstract":"<p><p>Based on eight clinical cases the article analyzes the main clinical and radiographic features of eight children aged 6-14 years with rare cystic lesions: juvenile inflammatory collateral cyst (ICC). ICCs were associated with incompletely erupted first (6 children) or second (2 children) permanent molars. Only in 5 cases did they manifest as pain in the area of the affected teeth, in the remaining cases they were radiographic findings during examination before orthodontic treatment. At the same time, the teeth in the projection of the cyst retained their vitality in all cases, which was confirmed by the cold test and continued root growth after cystectomy. On OPG, ICCs were manifested by a wide variety of localizations (in the bifurcation projection, below, distal or medial to the roots of the teeth), but CBCT made it possible to detect a common symptom - predominantly the vestibular location of the lesion. Cystectomy without endodontic treatment of teeth in the projection of the cyst turned out to be a successful treatment tactic, which is confirmed by observation for 6 -84 months without recurrence of ICCs and dental complications.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 2","pages":"64-71"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188196","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":"[Features of general anesthesia during dental interventions in children with dystrophic epidermolysis bullosa].","authors":"A S Tishchenko, A S Dobrodeev","doi":"10.17116/stomat202510401163","DOIUrl":"10.17116/stomat202510401163","url":null,"abstract":"<p><strong>Objective: </strong>To summarize and present the experience of general anesthesia with nasotracheal intubation for children suffering from dystrophic epidermolysis bullosa (DBE) during dental interventions on an outpatient basis.</p><p><strong>Materials and methods: </strong>In 2023, 18 children with DBE received dental treatment under general anesthesia, two patients underwent general anesthesia twice a month with a break due to the large volume of intervention.</p><p><strong>Results: </strong>The paper highlights the main features of preoperative examination of this category of patients, preparation for monitoring, induction of anesthesia, and ensuring patency of the upper respiratory tract. The practical recommendations and techniques mentioned in the article allow the anesthesiologist to minimize the risks of damage to the skin and mucous membrane of the mouth and pharynx. The duration of anesthesia ranged from 50 to 225 minutes, the average duration of anesthesia was 135 minutes. The observation time in the wake-up ward ranged from 105 to 360 minutes, the average time of postoperative observation was 177 minutes. There were no perioperative hemodynamic and respiratory disorders.</p><p><strong>Conclusion: </strong>With proper preparation of the anesthesiological team, strict observance of the rules for working with children suffering from DBE, general combined anesthesia with nasotracheal intubation ensure a high safety profile for these patients and create comfortable conditions for high-quality dental work.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524209","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":"[Improving the symptomatic diagnosis of mesial occlusion - a stage of differential diagnostics of dentofacial anomalies].","authors":"Yu M Malygin, A A Bednyakov, S I Abakarov, A V Basov, A M Malygin, A S Abakarova","doi":"10.17116/stomat202510401142","DOIUrl":"10.17116/stomat202510401142","url":null,"abstract":"<p><strong>The aim of the study: </strong>Was to improve the quality of symptomatic diagnostics of mesial occlusion.</p><p><strong>Materials and methods: </strong>The object of our epidemiological study was 2842 schoolchildren aged 6 to 18 years, and 458 conclusions of Professor Yu. M. Malygin to patients who sought consultative assistance. The analysis of the archive of diagnostic models of jaws of the Department of Orthopedic Dentistry of the Central Institute of Orthopedic Medicine and the Department of Orthodontics of the Russian Medical Academy of Postgraduate Education in the volume of 20.000 pairs and a sample of 2490 models of jaws of patients with mesial occlusion were conducted, and then an in-depth biometric study of 205 pairs of models of jaws of patients with permanent mesial occlusion was carried out.</p><p><strong>Results: </strong>Clinical and epidemiological characteristics of mesial occlusion showed the percentage of occurrence among bite anomalies 5.6+2.03; it occurs more often in boys than in girls and more often in mixed dentition than in permanent dentition. The efficiency of determining individual types of mesial bite varied from 100% to 14%, and on average the visual diagnosis was established correctly in 44.7%. A comparative analysis of 205 pairs of jaw models with mesial bite relative to the norm showed that differences in 39 parameters out of 43 were not statistically guaranteed, so the inclinations of the anterior teeth were also studied, and then 9 typical types of mesial bite were determined using the \"diagnostic key\" of Yu. M. Malygin and the algorithm we developed.</p><p><strong>Conclusion: </strong>An algorithm for symptomatic diagnostics has been developed, which made it possible to identify and systematize typical types of mesial bite.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"42-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524602","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 first experience of using an autograft from the wide fascia of the thigh for closing oroantral fistula].","authors":"S A Alishlalov, S P Sysolyatin, T V Serebrov, E V Shelesko, N A Chernikova, A S Khandzratsyan","doi":"10.17116/stomat202510401117","DOIUrl":"10.17116/stomat202510401117","url":null,"abstract":"<p><strong>The aim the study: </strong>Improving the effectiveness of treatment of patients with recurrent oroantral fistula in conditions of local tissue deficiency and chronic odontogenic maxillary sinusitis using a free autograft from the wide fascia of the hip (fascia lata).</p><p><strong>Materials and methods: </strong>Surgical treatment was performed in 6 patients with scarring of soft tissues, absence of an oral vestibule, chronic odontogenic maxillary sinusitis after repeated unsuccessful attempts at surgical treatment of oroantral fistulas (OAS). To eliminate OAS and maxillary sinusitis, a free autograft from the wide fascia of the thigh was used.</p><p><strong>Results: </strong>In all patients, 3 months after surgical treatment, closure of the oroantral anastomosis of the maxillary sinus and oral cavity with complete epithelialization in the postoperative area was observed, as well as the elimination of symptoms of chronic odontogenic sinusitis.</p><p><strong>Conclusion: </strong>The experience of clinical use of an autograft from the wide fascia of the hip can serve as a basis for its further study in the reconstruction of other defects of the oral cavity and maxillofacial region.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524587","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":"[A case of the traumatic carotid-jugular junction of the neck].","authors":"I V Kan, N V Litvinyuk, F S Kulakov, A G Simonov, S S Mahnach, E A Bakova","doi":"10.17116/stomat202510402177","DOIUrl":"10.17116/stomat202510402177","url":null,"abstract":"<p><p>The most common cause of the arteriovenous junction between the carotid artery and the jugular vein is iatrogenic damage to the vessel walls during vein catheterization, however, this article describes a rare clinical case of traumatic carotid jugular junction of the neck. In addition to the well-known local symptoms of this pathology such as swelling, pulsation, redness of soft tissues, the formation of purulent crusts in the right eye was observed in the patient, which was not characteristic of arteriovenous anastomosis. The article presents the outcomes of multispiral computed tomography (MSCT) of the neck and brachiocephalic vessels with intravenous contrast enhancement confirming the diagnosis, as well as angiography of the common carotid artery basin. During the operation, the ligation of the vessels involved in arteriovenous discharge, the facial vein and artery, was performed. The results of surgical treatment are: reduction of swelling and redness of the soft tissues of the right buccal and suborbital areas, cessation of pulsation and formation of purulent crusts in the right eye after sleep. The article presents the main results of studying foreign literature on this topic: statistical data on the frequency and etiology of arteriovenous junction, characteristic clinical manifestations of this pathology and methods of differential diagnosis. Additionally, it lists treatment tactics used in world practice. Given the rarity of the pathology, the complexity of its diagnosis, and the lack of a standard surgical treatment technique, the presented clinical case is of the signficant practical interest.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 2","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188193","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":"[Effects of rapid palatal expansion on the midface and nasal septum changes in patients with early and late mixed dentition].","authors":"O I Arsenina, A V Khachieva, N V Popova, A V Popova, A V Serdichenko","doi":"10.17116/stomat202510403157","DOIUrl":"10.17116/stomat202510403157","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study. To assess the effect of rapid palatal expansion on the nasal septum and midface in children aged 6 to 12 years.</p><p><strong>Material and methods: </strong>The results of treatment of 60 patients with narrowing and deformation of the upper jaw during the early and late mixed dentition are presented. The patients were divided into groups according to the stage of formation of the midpalatine suture: Group 1 included 38 patients with stage «A» (average age 6-9 years); Group 2 - 22 patients with stage «B» (average age 8-12 years). The study also included a control group of patients who were not prescribed orthodontic treatment. The treatment was carried out using devices for rapid palatal expansion with dental, intraosseous and hybrid types of fixation. After clinical and radiological examination of patients and analysis of the obtained data, we identified and assessed the effect of rapid palatal expansion on changes in the midface and nasal septum.</p><p><strong>Results: </strong>Expansion of the upper jaw in the area of the apex of the palatine roots of the first molars at the skeletal level was achieved by 3.02±1.71 mm (<i>p</i><0.05) and its effects on the structures of the midface and nasal septum were analyzed. As a result of the conducted studies, an increase in the length of the septum was revealed by 5.1±1.39 mm (<i>p</i><0.05) after the use of rapid palatal expansion in patients aged 6 to 12 years, undergoing orthodontic treatment compared with patients in the control group.</p><p><strong>Conclusion: </strong>The use of the rapid palatal expansion technique allows achieving skeletal effects not only at the level of the upper jaw, but also contributes to an increase in the volume of the nasal cavity, exerting a positive effect on the growth of the maxillary complex.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"57-65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733593","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":"[Results of X-ray examination of the dental-alveolar complex in patients with asymmetric lymphostasis after contour injection facial plastic surgery].","authors":"A G Nadtochiy, O V Vozgoment, A A Ivanova","doi":"10.17116/stomat202510403139","DOIUrl":"10.17116/stomat202510403139","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study is to assess the role of the dentoalveolar pathology in the face soft tissues lymphostasis development in patients after facial contour injection plastic.</p><p><strong>Material and methods: </strong>Clinical, ultrasound and dental X-ray examination was performed in 37 patients (36 women and 1 man) aged 21 to 70 years with facial lymphedema and close history of facial CIP. The patients were divided into two groups: early development of complications - up to 4 weeks (17 patients - 45.9%) and delayed development - from 4 weeks or more (20 patients - 54.1%). Unilateral facial lymphedema was diagnosed in 17 patients, and bilateral lymphedema with greater severity on one side was diagnosed in 20 patients.</p><p><strong>Results: </strong>Among the examined patients with facial lymphedema, patients after multiple CIP predominated (62.2%). Early complications prevailed in patients with single CIP (64.3%), delayed complications prevailed in patients with multiple CIP (65.2%). In patients with multiple CIP the lymphedema grade 2 and 3 predominated, in patients with a single CIP grade 0 and 1. X-ray dental examination detected inflammatory dental diseases in 86.5% of patients: in all cases changes on the side of lymphostasis predominated.</p><p><strong>Conclusion: </strong>Facial CIP is not a harmless procedure and may have undesirable consequences in the form of regional lymphostasis (lymphedema). Inflammatory dental diseases are an important pathogenetic link in the occurrence of facial lymphedema after CIP. A clinical examination of the patient's oral cavity should be supplemented by an X-ray dental examination. The detection of inflammatory dental diseases requires mandatory oral sanation to reduce the risk of post-injection complications and prevent complications afner subsequent injection procedures.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"39-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733600","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":"[TMJ features MRI study in patients with complete edentia in the absence of clinical manifestations of TMJ dysfunction].","authors":"S I Abakarov, D A Lezhnev, A V Basov, A S Abakarova, A V Starodubova, E A Yegorova","doi":"10.17116/stomat202510401150","DOIUrl":"10.17116/stomat202510401150","url":null,"abstract":"<p><strong>The aim of the study: </strong>Was to determine the signs of TMJ dysfunction in patients with complete removable dentures who did not complain of discomfort or pain.</p><p><strong>Materials and methods: </strong>The study included 264 patients with complete absence of teeth, who had complete removable dentures for at least 6 months. Two groups of subjects were formed, 20 of whom (the control group) had no clinical signs, MRI examination in the TMJ did not reveal any pathological changes, and manual examination did not reveal pathological symptoms. The remaining 244 patients formed the main group, who also did not complain of any complaints. In these patients, tooth extractions were performed 6-12 months ago.</p><p><strong>Results: </strong>In the main group, it was determined that only 36 patients (15%) presented complaints when using complete removable dentures, and 224 patients (85%) had no symptoms, and crunching and clicking in the TMJ, accompanied by discomfort and minor pain were observed in 7 patients (20% of those presenting complaints). According to the results of the MRI study, it was determined that all 56 patients regardless of gender have an asymmetry in the shape of the articular heads and their sclerotic changes, 44 patients with complete edentia showed a posterior displacement of the joint heads and a narrowing of the joint space. At the same time 46 of the 56 patients were over 70 years old and used dentures for more than 4 years, a visual examination determined a decrease in the height of the lower part of the face, including due to the wear of artificial teeth installed in the denture.</p><p><strong>Conclusion: </strong>Thus, it has been determined that a significant number of patients using complete removable dentures have dysfunctional disorders in the temporomandibular joint, which are detected only by special examination methods. This category of patients does not seek dental care from medical organizations due to the absence of complaints of painful sensations.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"50-56"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524744","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}