Stomatologiya最新文献

{"title":"[Tooth decay and autism spectrum disorders in children: is there a connection?]","authors":"A S Dontsova, O V Gulenko","doi":"10.17116/stomat202410302171","DOIUrl":"https://doi.org/10.17116/stomat202410302171","url":null,"abstract":"<p><strong>Objective: </strong>The study of caries lesions of children 7 and 12 years old with different degrees of severity of autism and concomitant intellectual disabilities, in comparison with a control group of neurotypical patients of similar age.</p><p><strong>Materials and methods: </strong>The main study group included children with ASD ages 7 and 12 (<i>n</i>=214), and the comparison group included neurotypical children of the same age (<i>n</i>=140). To assess the incidence of dental caries, indicators of the prevalence and intensity of the process were used.</p><p><strong>Results: </strong>The prevalence of dental caries in children with ASD is lower than in the comparison group or comparable. The average caries prevalence was found in the 7- and 12-year-old groups in children with mild autism without concomitant intellectual deficits (80.89±3.40 and 76.65±4.24, respectively). In children with severe and extremely severe autism, regardless of the presence of intellectual disability, the prevalence of dental caries was high in both age groups, which is comparable with the same indicator and age of neurotypical children. Moreover, both age groups of neurotypical children were also comparable in caries prevalence (89.67±1.65 and 90.32±1.20 respectively). Caries intensity did not seem to be related to years of autistic disorder (significantly lower in the group of 12-year-old children with ASD, compared to 7-year-olds). Caries intensity in children with ASD increased with increasing severity of autism and concomitant intellectual disability.</p><p><strong>Conclusion: </strong>Further comprehensive studies in terms of included variables are needed to identify contributing factors (impact of family socioeconomic opportunities, increased parental care, etc.).</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"103 2","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916456","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":"[Laboratory evaluation of the effectiveness and safety of the Chairside Light Whitening System fläsh].","authors":"I Ya Poyurovskaya, Yu A Vinnichenko, I A Kryazhinova, F S Rusanov, A V Korshunova","doi":"10.17116/stomat202410301116","DOIUrl":"10.17116/stomat202410301116","url":null,"abstract":"<p><strong>The aim of the study: </strong>Optimization of methods for treating dental discoloration using whitening systems based on hydrogen peroxide by laboratory studying their chemical properties.</p><p><strong>Material and methods: </strong>The effectiveness of the bleaching system was assessed by quantitatively assessing the color change of model samples of hydroxyapatite (HAP) in the CIE L*a*b* system on a Spectron-M color analyzer after exposure to coloring food media. Safety assessment was carried out on samples made from teeth removed according to indications.</p><p><strong>Results: </strong>The results of laboratory tests allow us to conclude that the Chairside Light Whitening System professional teeth whitening system fläsh. (WHITEsmile GmbH, Germany) has high whitening efficiency with a whitening degree of ~84%, which significantly exceeds the norm of GOST R 702.3.004-2021. the microhardness of the enamel of samples exposed to the whitening gel for 15 minutes changes extremely little. After exposure of the studied samples to the Chairside Light Whitening System fläsh whitening system for 45 minutes, an increase in digital microhardness indicators is observed, which indicates the dynamics of processes demineralizing the hard tooth structure.</p><p><strong>Conclusions: </strong>Chairside Light Whitening System fläsh professional teeth whitening system has high whitening efficiency with minimal impact on the teeth structure and high safety.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"103 1","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900582","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":"[Abstracts of the XV scientific and practical conference of young scientists «Scientific achievements of modern dentistry and maxillofacial surgery», dedicated to the memory of professor V.M. Bezrukov].","authors":"","doi":"10.17116/stomat202410303167","DOIUrl":"https://doi.org/10.17116/stomat202410303167","url":null,"abstract":"<p><strong>Abstract: </strong>S of the XV scientific and practical conference of young scientists «Scientific achievements of modern dentistry and maxillofacial surgery», dedicated to the memory of professor V.M. Bezrukov.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"103 3","pages":"67-79"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433010","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":"[Oral sedation in pediatric outpatient dentistry].","authors":"E A Shavlokhova, I F Ostreikov, B D Babaev, M V Korolenkova, A S Dobrodeev, O R Mamedli","doi":"10.17116/stomat202410303142","DOIUrl":"https://doi.org/10.17116/stomat202410303142","url":null,"abstract":"<p><strong>The aim of the study: </strong>Was to improve the quality of treatment in pediatric outpatient dentistry with the effective use of oral sedation.</p><p><strong>Materials and methods: </strong>The study comprised 60 children aged 3-12 years who were undergoing therapeutic/surgical dental treatment. All children's somatic state was assessed as ASAI-II. All children met a number of psychological, anamnestic and procedural criteria. Midazolam and chloropyramine in a dose calculated for the patient's body weight were used as components of oral sedation. The estimated sedation depth was Ramsay II-III. The study included an analysis of objective (the time of comfortable treatment, the amount of treated or removed teeth per visit, the possibility of treatment without anesthesia during further visits) and subjective (the possibility of contact with the child during treatment, behavioral reactions at home and on further visits) criteria. Negative behavioral reactions and dental effects were also assessed.</p><p><strong>Results: </strong>The treatment features correlated with the age category and gender of the patient. In the older age group of 7-12 years, the amount of comfortable treatment time was higher, the possibility of contact with the child reached 100% (which is twice as much as in the younger one), and also a larger number of patients were treated during further visits without an anesthetic aid. At the same time, in the younger age group of 3-6 years, the volume of treatment per visit was higher, since it takes less time to treat a primary tooth than for a permanent one. Side effects (visual hallucinations, diplopia, hyperactivity, tearfulness and aggressiveness) were more often recorded in the younger age group, but emotional instability was equally manifested in both groups.</p><p><strong>Conclusion: </strong>In order to maximize the effectiveness of using oral sedation as a method, it is necessary to take into account the duration and traumatism of the proposed procedure, the peculiarities of age psychology and the peculiarities of the psychological development of boys and girls.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"103 3","pages":"42-49"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433016","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":"[Comparative analysis of the microbiological stability of modern polymers for the manufacture of removable prostheses].","authors":"A V Gus'kov, E A Kokoreva, S A Mashutin, A A Oleinikov, P M Ignatov","doi":"10.17116/stomat202410306114","DOIUrl":"https://doi.org/10.17116/stomat202410306114","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study is to study the degree of adhesion of reference strains of microorganisms to the surface of modern polymer materials for the manufacture of removable prostheses.</p><p><strong>Materials and methods: </strong>The primary and residual microbial adhesion of 4 types of polymers was studied: acrylic polymer (Villacryl H Plus), monomerless polymer (Vertex ThermoSens), photopolymers for additive manufacturing (Harz Labs Dental Denture Base, Harz Labs Dental Sand). <i>C. albicans</i>, <i>S. aureus</i>, <i>E. faecalis</i>, and <i>S. mutans</i> were used as reference strains.</p><p><strong>Results: </strong>The analysis of the primary adhesion of <i>C. albicans</i>, <i>S. aureus</i>, <i>E. faecalis</i>, and <i>S. mutans</i> revealed statistically significant differences between the adhesion indices to the studied material samples. The minimal indices of primary and residual adhesion were noted for the photopolymers for additive manufacturing samples while monomerless polymer samples showed the highest adhesion index in all cases. The indicators of residual adhesion of the reference strains were extremely low.</p><p><strong>Conclusion: </strong>Photopolymers for additive manufacturing have a lower index of primary and residual microbial adhesion in comparison with acrylic and non-monomeric polymers. These materials are potentially inert from a microbiological point of view and can be recommended for the manufacture of removable prostheses.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"103 6","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865883","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 duration of orthodontic treatment and the number of visits depending on the degree of difficulty when using modern orthodontic equipment].","authors":"V E Tikhonov, V M Grinin, A V Sevbitov","doi":"10.17116/stomat202410304154","DOIUrl":"https://doi.org/10.17116/stomat202410304154","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study is to analyze the estimated and actual duration of treatment and the number of visits to the orthodontist by patients using modern orthodontic equipment. Analysis of the duration of orthodontic treatment of patients with varying degrees of difficulty and comparison of the estimated and actually spent time for its implementation.</p><p><strong>Material and methods: </strong>308 medical records of patients who underwent orthodontic treatment were analyzed. According to the Siebert - Malygin method, the degree of difficulty of treatment, its duration, the number of necessary visits were calculated and the data obtained were compared with the actual time spent on correcting dental and occlusion anomalies and the number of visits by the patient to the orthodontist.</p><p><strong>Results: </strong>The results of treatment of 308 patients who underwent orthodontic treatment with modern non-removable equipment (braces) are analyzed in the clinic of LLC «Prime dentistry» in Ryazan. Before starting treatment, the preliminary treatment time was calculated using the method of determining the difficulty of orthodontic treatment of Siebert - Malygin. The calculation of the degree of difficulty of treatment, its duration, and the number of necessary visits was carried out. The data obtained were compared with the actual time spent on correction of dental and occlusion anomalies and the number of visits by the patient to an orthodontist. It was found that, despite the use of modern equipment, the treatment time practically does not decrease, but the number of visits to achieve the desired result is significantly reduced. Coefficients have been calculated to clarify the required number of visits to the orthodontist. In the treatment of anomalies in the position of teeth (APD), it is 0.77, APD, combined with distal occlusion - 0.79 deep - 0.78, open - 0.66 and mesial - 0.69.</p><p><strong>Conclusion: </strong>The use of modern orthodontic equipment reduces the number of patient visits to the doctor, which saves time, reduces labor costs and allows you to provide the necessary assistance to more people in need. The coefficients calculated during the study to determine the required number of visits to an orthodontist by a patient, depending on the existing orthodontic pathology, make it possible to predict the treatment time with greater accuracy when using the Siebert - Malygin method. This is very relevant when planning upcoming manipulations and to more accurately justify the cost of treatment depending on the required time and number of visits to eliminate APS.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"103 4","pages":"54-58"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018977","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 efficiency of the method of biological feedback in complex therapy of patients with hypertonus of the chewing muscles].","authors":"O I Admakin, A V Glazkova, A M Dybov, D S Petelin, B A Volel","doi":"10.17116/stomat202410301135","DOIUrl":"10.17116/stomat202410301135","url":null,"abstract":"<p><p>The aim the study. Evaluate the effectiveness of biofeedback therapy in the complex rehabilitation of masticatory muscle hypertonicity in patients with a high level of anxiety.</p><p><strong>Material and methods: </strong>The study included 40 patients aged 20 to 32 years with complaints of fatigue and discomfort in the area of chewing muscles, teeth compression during the day, nocturnal bruxism, crowding of teeth. Two groups were formed: the study group, whose patients underwent splint therapy in combination with biofeedback therapy trainings; in the control group, patients received treatment with splint therapy without the use of biofeedback therapy. Electromyography of the masticatory muscles at rest and during compression were used to diagnose hypertonicity of the masticatory muscles. To assess the psycho-emotional state, a medical and social questionnaire was conducted using questionnaires: «Health Questionnaire», Beck Depression Inventory, Spielberger-Khanin Anxiety Scale, SF-16 Quality of Life Scale.</p><p><strong>Results: </strong>A decrease in the level of depression, anxiety was revealed with the stabilization of emotional sensitivity in relation to other people, emotional involvement in everyday life, and an increase in the quality of life. When comparing electromyographic data at rest and during clenching of teeth in patients of the study group the indicators were lower than in the control group.</p><p><strong>Conclusions: </strong>The effectiveness of biofeedback therapy at the stages of orthodontic treatment using splint therapy was established in the form of a decrease in the activity of masticatory muscles in patients of the study group. In the control group, the index of masticatory muscle activity decreased to a lesser extent. Biofeedback methods have shown a high level of effectiveness in reducing the symptoms of anxiety and depression, improving the quality of life.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"103 1","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900537","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 photodynamic effect on the state of microcirculation and oxygenation in periodontal tissues in the treatment of chronic generalized periodontitis].","authors":"E K Krechina, A V Myagkova, Z U Abdurakhmanova, A V Rassadina, I E Guseva, I V Pogabalo","doi":"10.17116/stomat202410302118","DOIUrl":"https://doi.org/10.17116/stomat202410302118","url":null,"abstract":"<p><strong>Objective: </strong>Increasing the effectiveness of treatment of chronic generalized periodontitis using PDT based on clinical and functional substantiation of the effects of a photosensitizer.</p><p><strong>Materials and methods: </strong>A clinical and functional study and treatment of moderate chronic generalized periodontitis was carried out in 62 people (26 men and 36 women) aged from 35 to 55 years without a somatic model with an orthognathic occlusion diagnosed according to ICD-10 - K05.3. Of these, 2 groups were divided depending on the type of treatment: Group 1 (main) - patients with moderate chronic generalized periodontitis - 32 people. (17 men and 15 women, average age of the group - 43.2±2.2 years); Group 2 (control) - patients with moderate chronic generalized periodontitis - 30 people. (14 men and 16 women, average age of the group - 44.0±3.3 years). Complex treatment consisted of sanitation of the mouth, removal of dental plaque and curettage of periodontal pockets in group 1, followed by PDT with Revixan gel using a special wired aligner REVIXAN DENTAL LED (16 r). The clinical condition of the periodontium was assessed using the Greene Vermillion Hygienic Index (OHI-S), the Mühlleman Bleeding Index (SBI) modified by Cowell, and the periodontal index PI. To study the state of microcirculation in the gum tissue, the laser Doppler flowmetry (LDF) method was used using the LAKK-M device (NPP «Lazma», Russia). The state of microcirculation was assessed by the microcirculation index (M), which characterizes the level of tissue blood flow; parameter - «σ», which determines the fluctuation of the erythrocyte flow. According to Wavelet analysis of LDF-grams, the shunt index (SH) of blood flow was determined. In the «LDF + spectrometry» mode, oxygenation in periodontal tissues was studied using optical tissue oximetry (OTO), based on the results of which the perfusion saturation index (Sm) and the specific oxygen consumption index (U, %) were determined.</p><p><strong>Results: </strong>According to LDF data, after PDT (group 1), normalization of clinical indices and the level of microcirculation in periodontal tissues was established, which was accompanied by an increase in the level of blood flow (M) and its activity (σ), which persisted after 3 and 6 months. after PDT. The perfusion saturation index (Sm) and specific oxygen consumption (U) increased more significantly after PDT, which persisted after 3 and 6 months. In the control group, the dynamics of indicators was less pronounced.</p><p><strong>Conclusion: </strong>The use of PDT with Revixan gel normalizes the clinical condition of the periodontium, indicators of microhemodynamics and oxygen metabolism.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"103 2","pages":"18-23"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915668","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 value of restoration marginal fit as risk factor for pathological root resorption in primary teeth].","authors":"M V Korolenkova, S G Pazhi, V M Nikolenko","doi":"10.17116/stomat202410304170","DOIUrl":"10.17116/stomat202410304170","url":null,"abstract":"<p><p>The presented clinical case describes the need for repetitive dental treatment in a child with pathological root resorption in all the primary molars after pulpotomy and composite resin restoration. Pathological resorption is of inflammatory origin in the majority of cases and an important risk factor for it is marginal leakage of the restoration. According to literature, the optimal restorative choice considering marginal fit are stainless steel pediatric crowns. Root resorption in the patient was asymptomatic. It proves the necessity for radiological control after treatment and 3, 6, 12, 24 months after it.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"103 4","pages":"70-74"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018921","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 mechanical properties of a material of temporary structures manufactured by direct method and provisional crowns made by 3D printing].","authors":"S D Shneider, N S Nurieva, A D Yurasov","doi":"10.17116/stomat202410306120","DOIUrl":"https://doi.org/10.17116/stomat202410306120","url":null,"abstract":"<p><p>The aim of this work is to study the mechanical properties of temporary composite crowns and temporary composite orthopedic structures manufactured by 3D printing.</p><p><strong>Materials and methods: </strong>For the two studied groups of samples: the original 3D-printed samples and the poured samples from a composite material of a certain shape, 8 samples were made and visually checked for the absence of porosity. The strength and elasticity were measured using the three-point bending method and the hardness was measured using the indentation method.</p><p><strong>Results: </strong>For both materials, the hardness, flexural strength and flexural elasticity show consistently high values required by GOST 24621-2015 (ISO 868:2003) [Plastics and ebonite] and GOST 4648-2014 (ISO 178:2010) [Plastics]. However, the statistical data on bending are higher for the composite material, with a larger spread of the elastic modulus value, in contrast to the 3D-printed samples.</p><p><strong>Conclusion: </strong>Both materials are suitable for the manufacture of temporary orthopedic structures. For a more accurate assessment, it is necessary to continue studying the 3D-printed material for cytotoxicity, water absorption, and microstructure.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"103 6","pages":"20-24"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865869","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}