Stomatologiya最新文献

{"title":"[Comparative assessment of the absorbency of wound dressings used in the removal of third molars of the lower jaw].","authors":"A M Tsitsiashvili, I V Yagova, D D Mirzoyan, A M Panin, E I Karamysheva","doi":"10.17116/stomat202610501116","DOIUrl":"https://doi.org/10.17116/stomat202610501116","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to evaluate the absorption capacity of various wound dressings used in the management of the recess of the removed third molar of the mandible.</p><p><strong>Materials and methods: </strong>A comparative assessment of the absorption capacity of YT, KG and AK was carried out. 10 samples of each wound dressing were immersed in four solutions (distilled water, saline, oral fluid, simulated exudate) for 72 hours; then the absorption capacity was calculated, statistical processing was performed using the Mann-Whitney <i>U</i>-test.Materials and methods: A comparative assessment of the absorption capacity of iodoform turunda, collagen-based and calcium alginate-based dressings was carried out. 10 samples of each wound dressing were immersed in four solutions (distilled water, saline, oral fluid, simulated exudate) for 72 hours; then the absorption capacity was calculated, statistical processing was performed using the Mann-Whitney <i>U</i>-test.</p><p><strong>Results: </strong>In saline solution, the absorption capacity was: YT 6.43 ml/g, KG 11 ml/g (<i>p</i>≤0.05), AK 17.06 ml/g (<i>p</i>≤0.05); in distilled water, YT corresponded to 7.2 ml/g, KG 8.13 ml/g (<i>p</i>>0.05), in AK 15.8 ml/g (<i>p</i>≤0.05). In the oral fluid, the absorption capacity of wound dressings corresponded to 9.0 ml/g in YT, 15, 3 ml/g in KG (<i>p</i> >0.05), and 16.8 ml/g in AK (<i>p</i>≤0.05). In the exudate model, the absorption capacity of YT is 13.5 ml/g, KG is 8.3 ml/g (<i>p</i> >0.05), AK is 18.0 ml/g (<i>p</i>≤0.05). The intragroup values of YT and KG differed depending on the type of liquid. When assessing the absorption capacity of AK in different media, there were no statistically significant differences between the indicators (<i>p</i>>0.05 in all intragroup comparisons).</p><p><strong>Conclusion: </strong>The alginate dressing has significantly relatively high absorption properties, demonstrating functional stability in various environments, which makes it possible to recommend it as a reliable alternative to other wound dressings after complex removal of the third molar of the mandible and opens up prospects for evaluating its clinical effectiveness.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"105 1","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311064","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":"[Physical health of the patients with post-traumatic defects of the skull's visceral part of the middle zone].","authors":"V M Mikhaylyukov, A Yu Drobyshev, O V Levchenko, P O Golomazdin, M I Misirkhanova","doi":"10.17116/stomat202610503115","DOIUrl":"https://doi.org/10.17116/stomat202610503115","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the physical component of the quality of life of patients with post-traumatic defects of the upper and middle part of the visceral skull.</p><p><strong>Material and methods: </strong>The study included 78 patients over the age of 18 with post-traumatic defects and deformities of the middle zone of the face. All patients underwent an analysis of the mechanism of injury and the nature of the damage. The physical component of quality of life was assessed using the SF-36 questionnaire in several key areas: physical functioning, limitations in daily life due to health problems, as well as pain intensity and overall perception of one's condition.</p><p><strong>Results: </strong>The SF-36 physical component summary score assessment showed that all patients experienced moderate pain (48.1±7.9 points) and significant limitation of physical activity (47.3±6.1 points), which led to noticeable difficulties in daily life and overall health deterioration. Diplopia (<i>r</i>=0.83), pain in the injured area (<i>r</i>=0.85), and limited jaw mobility (<i>r</i>=0.80) (<i>p</i> <0.0001) also lead to significant limitations and poor health outcomes.</p><p><strong>Conclusion: </strong>The prospects of this study are the standardization and digitalization of the preoperative examination protocol for patients with injuries to the bones of the visceral part of the skull. The results are of great clinical importance for the development of comprehensive rehabilitation programs for patients with post-traumatic deformities of the middle zone of the facial part of the skull, which corresponds to modern approaches to personalized treatment strategies.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"105 3","pages":"15-21"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279103","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 results of implementing telemedicine technologies in the practice of a federal center providing maxillofacial surgery care].","authors":"A P Vedyaeva, V V Salkutsan, L E Smirnova, T Z Chkadua","doi":"10.17116/stomat202610504119","DOIUrl":"https://doi.org/10.17116/stomat202610504119","url":null,"abstract":"<p><strong>Objective: </strong>Analysis of the implementation and use of telemedicine technologies in the field of maxillofacial surgery at the Federal Center of the National Medical Research Center \"Central Research Institute of Maxillofacial Surgery\" of the Ministry of Health of the Russian Federation in 2022-2024.</p><p><strong>Material and methods: </strong>The data of 3229 telemedicine consultations (TMC) in 88 constituent entities of the Russian Federation for the period 2022-2024 were ranked. The share of cases requiring patient routing to the federal center and additional examination was determined. The analysis of the availability and staffing of maxillofacial surgeons was carried out. The increase/decrease of indicators was calculated using the standard formula for relative change as a percentage. The relationship between indicators (population size, staffing, availability, number of CFLs and number of TMCs) was estimated using the Pearson correlation coefficient (r).</p><p><strong>Results: </strong>The total number of TMCs increased from 833 in 2022 to 1296 in 2024, an increase of 55.6%. The leader in absolute number of TMCs is the Volga Federal District. At the same time, a decrease in the number of consultations was noted in the North-Western District. The share of TMCs that required patient routing to the federal center was 26.6% in 2024. There was a steady increase in the share of cases that required additional examination: from 65% in 2022, 73.7% in 2023, and 69.5% in 2024. A moderate negative correlation was found between the number of doctors and the number of TMK (r≈-0.61…-0.64), and a weak positive correlation was found between the number of doctors and the volume of consultations (r≈0.37-0.38). Despite fluctuations in the number of doctors in 2023 and subsequent growth in 2024, the overall staffing increased by 5.8% over the three-year period.</p><p><strong>Conclusion: </strong>The data obtained indicate that telemedicine technologies in maxillofacial surgery are an effective tool for increasing the availability of specialized and high-tech medical care, especially in regions with a severe shortage of personnel and a large territorial distance. TMC contributes to early diagnosis, clarification of treatment tactics, optimization of patient routing to federal centers, and strengthening the professional competencies of regional specialists.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"105 4","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713918","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 characteristics of pain syndromes in dental practice among patients with chronic kidney disease].","authors":"A F Yusupov, M Sh Abdykadyrov, F A Yusupov","doi":"10.17116/stomat202610504134","DOIUrl":"10.17116/stomat202610504134","url":null,"abstract":"<p><p>The analysis of the etiology, pathogenesis and clinical features of the appearance of pain syndrome in the maxillofacial region in patients with chronic kidney disease is presented. The mechanisms of the effect of uremic intoxication on the oral mucosa and the peripheral nervous system are considered. Specific conditions such as uremic stomatitis, trigeminal neuropathy, and burning mouth syndrome have been identified. Special attention is paid to the manifestations of bone mineral disorders (CKD-MBD), including renal osteodystrophy of the jaws. The approach to pharmacological pain relief is systematized: a strict ban on the use of nonsteroidal anti-inflammatory drugs (NSAIDs) is justified and algorithms for the safe dosing of analgesics and adjuvants (gabapentinoids) are proposed, taking into account the reduced glomerular filtration rate and dialysis clearance. Clinical recommendations on dental treatment tactics, including hemostasis measures and timing of hemodialysis sessions to minimize the risks of complications, are also formulated.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"105 4","pages":"34-39"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713957","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":"[Experimental and clinical study of the effect of biomechanical conditions on the effectiveness of implant-supported prosthetics].","authors":"V N Olesova, S I Abakarov, R S Zaslavsky, E E Olesov, V V Mikryukov","doi":"10.17116/stomat202610501110","DOIUrl":"10.17116/stomat202610501110","url":null,"abstract":"<p><strong>Objective: </strong>To substantiate the prevention of overload of periimplant bone tissue according to clinical studies and mathematical modeling.</p><p><strong>Materials and methods: </strong>A parallel study was conducted of the influence of inadequate biomechanical factors on the effectiveness of prosthetics on implants in 181 patients with a service life of 10 years, as well as on the parameters of the stress-strain state of periimplant bone tissue in three-dimensional mathematical modeling.</p><p><strong>Results: </strong>Against the background of average rates of periimplant inflammation and bone resorption detected 10 years after implant placement (55.2%), as well as the frequency of implant removal (11.4%), inadequate biomechanical factors of implant installation and operation increase the frequency of implant removal to 23.3%. Unfavorable biomechanical factors include the tilt of implants, narrow implants, and incompletely replaced dentition defects.</p><p><p>The clinical data are consistent with the pattern of an increase in functional stresses in periimplant bone tissue under unfavorable biomechanical conditions according to three-dimensional mathematical modeling (up to five times with an inclined load). At the same time, stresses reach the limits of bone strength in situations such as peri-implantitis with bone resorption of more than a third of the implant length, implant tilt or the use of an abutment with an angle of 30°, the use of narrow implants, overload with incomplete replacement of the dentition.</p><p><strong>Conclusion: </strong>The negative impact of inadequate biomechanical conditions of the installation and operation of implants on the effectiveness of implantation has been established. Clinical data are consistent with the pattern of increasing functional.</p><p><p>stresses in the peri-implant bone tissue in unfavorable biomechanical conditions according to the data of three-dimensional mathematical modeling. In unfavorable load conditions, a fivefold increase in stresses in the cortical or spongy peri-implant bone tissue is possible, especially when the load vector deviates from the axis of the implant.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"105 1","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311048","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":"[Restoration of a segmental tooth gap in combined alveolar ridge defects of the posterior maxilla: A clinical case report].","authors":"A K Prokopenkova, G V Veselov","doi":"10.17116/stomat202610503130","DOIUrl":"10.17116/stomat202610503130","url":null,"abstract":"<p><p>The article presents a method of comprehensive surgical and orthopedic rehabilitation of a patient with a combined defect of the alveolar process of the upper jaw. A patient consulted the Central Research Institute of Stomatology and Oral Surgery of the Ministry of Health of the Russian Federation regarding the missing tooth 2.6 and the presence of a combined bone defect of the alveolar process. During the patient's treatment, a combined approach was used, involving the sequential restoration of the bone contour and volume, implantation, and the sequential provision of temporary and permanent prostheses to create a natural gingival contour. Preoperative diagnostics (CT), surgical technique, individualized temporary and permanent prosthetics, and monitoring of results are described. After 8.5 months, stable bone volume, reliable implant osteointegration, and restoration of the function and aesthetics of the dentition were achieved.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"105 3","pages":"30-37"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279208","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":"[Materials for the production of temporary dental restorations using digital technologies].","authors":"F F Losev, T V Brailovskaya, I Ya Poyurovskaya, M P Grigoriev, M S Kotik","doi":"10.17116/stomat202610503160","DOIUrl":"https://doi.org/10.17116/stomat202610503160","url":null,"abstract":"<p><p>This article presents an overview of modern materials and technologies used for the fabrication of temporary prosthetic restorations in dentistry. The fabrication of temporary restorations is considered an important stage of restorative prosthetics in the clinical practice of prosthetic dentistry. These restorations should function as effectively as definitive restorations, restoring function, aesthetics, and phonetics while promoting proper hygiene. The effectiveness and safety of temporary restorations clearly depend on the materials and technologies used for their fabrication. Therefore, this review focuses on polymeric materials based on polymethyl methacrylate and their physical, mechanicaland aesthetic properties. An assessment is made of the use of modern digital technologies, CAD/CAM, and 3D printing for the fabrication of temporary prosthetic restorations, as well as their advantages and disadvantages compared to traditional methods. The article highlights the relevance of further research in the field of digital dentistry.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"105 3","pages":"60-65"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279111","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 effect of autoclaving sterilization on the physical-mechanical properties of samples made of photopolymer materials].","authors":"F F Losev, T V Brailovskaya, F S Rusanov, I Ya Poyurovskaya, A F Sharganov","doi":"10.17116/stomat20261050315","DOIUrl":"https://doi.org/10.17116/stomat20261050315","url":null,"abstract":"<p><strong>Objective: </strong>A comprehensive assessment of the effect of the standard autoclaving sterilization procedure on the physico-mechanical properties of samples made from domestic photopolymer material using stereolithographic 3D printing.</p><p><strong>Materials and methods: </strong>To form a representative sample, a batch of samples printed on a 3D stereolithographic system with a 0.05 mm pitch was used. The samples were divided into two groups: group No. 1 (<i>n</i>=10), which was not sterilized, and group No. 2 (<i>n</i>=10), which underwent a full cycle of autoclaving in the standard mode, the mechanical test procedure consisted of The values of the following parameters are: flexural strength (<i>σ</i>, MPa), flexural modulus of elasticity (Emod, MPa) and deformation (mm) to the moment of fracture.</p><p><strong>Results: </strong>A tendency to decrease bending strength by an average of 1.05% was revealed, from 140±11 MPa for non-autoclaved samples to 138±7 MPa for samples after autoclaving. The modulus of elasticity, which is the main indicator of the strength of the material, decreased by an average of 1.66% from 3242±228 to 3188±152 Mpa.</p><p><strong>Conclusion: </strong>The data obtained allow us to recommend the use of the studied domestic photopolymer material in combination with printing with a minimum step of 0.05 mm and subsequent sterilization by autoclaving in the standard mode as a technologically sound and clinically safe protocol for surgical dentistry.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"105 3","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279136","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":"[Response of bone tissue and mucosa of the maxillary sinus to bone substitutes for subantral augmentation in dental implantation: results of a prospective cohort study].","authors":"S V Sirak, M G Perikova, I A Gatilo, N I Bykova, A V Shchetinina","doi":"10.17116/stomat202610503122","DOIUrl":"https://doi.org/10.17116/stomat202610503122","url":null,"abstract":"<p><strong>Objective: </strong>Increasing the effectiveness of dental implantation after subantral augmentation through postoperative assessment of bone tissue and mucous membrane parameters of the maxillary sinus, taking into account the response to various bone substitutes.</p><p><strong>Materials and methods: </strong>The study included 62 patients (25-65 years old) with alveolar process atrophy of the maxilla, divided into two groups depending on the stage and method of treatment: control (<i>n</i>=48) - two-stage sinus lifting with mineralized allogeneic spongy powder and bioresorbable membrane \"Lioplast\", implantation after 6 months; main (<i>n</i>=76) - one-stage augmentation with allogeneic bone rings \"Maxgraft Bonering\", filling with platelet-rich plasma (OPP gel, PRP gel - platelet-rich plasma-gel) and a bioresorbable membrane. The assessment was carried out using cone beam computed tomography (CBCT): thickness of the mucous membrane of the maxillary sinus (SM MMP), height of the bone tissue of the maxillary sinus (CT MMP); Implant stability was determined using the dental implant stability coefficient (DISC) using resonance frequency analysis (Osstell ISQ). Measurements were taken immediately after surgery and after 12, 24, and 36 months.</p><p><strong>Results: </strong>In the study group, by 36 months, a more stable maxillary sinus thickness was observed (2.83±0.14 mm in the study group and 4.84±0.72 mm in the control group, <i>p</i><0.01), along with a higher maxillary sinus height (10.83±0.43 mm in the study group and 9.23±0.46 mm in the control group, <i>p</i><0.05) and DIC (80.44±0.27 units in the study group and 78.51±0.62 units in the control group, <i>p</i><0.05). Statistically significant time and between-group differences (<i>p</i><0.001) confirm progressive osseointegration and reduced postoperative swelling without complications.</p><p><strong>Conclusion: </strong>One-stage subantral augmentation with allogeneic bone rings and PRP is superior to the two-stage method in terms of peri-implant tissue stability, minimizing the risk of Schneiderian membrane perforation and mucosal hypertrophy. Preoperative CBCT analysis and the use of bioresorbable materials are recommended to optimize dental implant placement.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"105 3","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279227","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 the effectiveness of diagnosis and treatment of early forms of caries using the ICON method based on laser-fluorescence analysis].","authors":"L A Markina, V M Grinin, F F Losev, V D Vagner, A E Bratus","doi":"10.17116/stomat202610504140","DOIUrl":"https://doi.org/10.17116/stomat202610504140","url":null,"abstract":"<p><strong>Objective: </strong>To develop an improved diagnostic protocol for a comprehensive assessment of the effectiveness of infiltration therapy.</p><p><strong>Material and methods: </strong>208 patients with caries in the stage of a spot (white and pigmented) were treated by the method of innovative infiltration of the surface layer of enamel using the ICON technique. Evaluation of the results (objective diagnosis of the condition of the surface layers of enamel) was performed using a DIAGNOdent Pen device (Kavodentalg GmbH, Germany) using laser-induced fluorescence technology (the difference in the nature of the glow between healthy and demineralized dental tissue).</p><p><strong>Results: </strong>After 6 months, 43.1% of patients showed complete restoration of the surface layer of enamel using the ICON technique, and after 12 months, only 1 case of enamel caries was registered. After 24 months, patients with pigmented carious spots on their tooth enamel showed long-term stability and no further progression of the carious process, while those with white spot caries showed greater progression of the carious process: 4 patients (7.8%) on the vestibular surfaces and 8 patients (16.7%) on the proximal surfaces of the tooth (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>Long-term observation has established the high efficiency of this technique in terms of the treatment of carious spots and the reduction of the probability of further progression of caries, depending on the type of carious spot and the localization area of the carious process. The possibility of widespread application of this technology has been substantiated.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"105 4","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713875","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}