Stomatologiya最新文献

{"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":"[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":"[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":"[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":"[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 the temporomandibular joint morphology and function in the adults with different growth patterns].","authors":"Y I Afanasyeva, N Yu Oborotistov, S N Ermolev, S V Tekucheva","doi":"10.17116/stomat202510401129","DOIUrl":"10.17116/stomat202510401129","url":null,"abstract":"<p><strong>The aim of the study: </strong>Was to improve methods for diagnosing the morphofunctional state of the TMJ in individuals with normal occlusion with various types of facial skull growth.</p><p><strong>Materials and methods: </strong>The study comprised 35 volunteers aged 18-45 years (average age 25.6±4.8 years) with normal occlusion and intact dentition. Telerentgenography (TRG), cone beam computed tomography (CBCT), magnetic resonance imaging, and ultrasound examination of the TMJ were performed.</p><p><strong>Results: </strong>Horizontal type of growth of the facial part of the skull was established in 13 people; 12 had neutral type and 10 had vertical type. According to CBCT data, in patients with horizontal growth type, the highest values of the parameters of the width of the articular head, the smallest parameters of the length of the condyle process and the size of the articular gap in the upper-anterior and upper-posterior sections were determined. In patients with the vertical type, an inverse correlation of values was established, which may be due to the anatomical features of the TMJ structure: the articular head is narrower and longer, and the articular gap is wider. According to MRI data, in all patients, regardless of the type of growth of the facial part of the skull, the posterior thickening of the articular disc was located at «11-12 hours» mark in the sagittal plane, and the poles of the articular disc did not extend beyond the poles of the articular head of the same name in the coronal plane. According to ultrasound data, the indicators of the size of the articular gaps were fully consistent with the conclusions obtained from CT and MRI. The smallest length of the articular pathway was found in patients with vertical growth type, the largest in patients with horizontal growth type.</p><p><strong>Conclusion: </strong>Statistically significant differences in morphometric (the size of the articular gap) and functional (the length of the trajectory of the articular heads) parameters of the TMJ were established for various types of growth of the facial part of the skull, which confirms the need to study the state of the TMJ, considering the identified differences.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 1","pages":"29-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524539","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":"[Specialized medical care for facial injuries].","authors":"A A Kulakov, O D Maday, G A Grebnev, A S Bagnenko, D Yu Maday","doi":"10.17116/stomat202510404137","DOIUrl":"10.17116/stomat202510404137","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the results of specialized medical care (SMC) to the injured in the maxillofacial region using the principles of multi-stage surgical treatment.</p><p><strong>Material and methods: </strong>To achieve the purpose of the study, the results of surgical treatment of the wounded with combat wounds of the maxillofacial region in military medical hospitals and medical institutions performing qualified and specialized care were analyzed. Clinical examination, observation and treatment were carried out using a comprehensive multidisciplinary approach (examination by an anesthesiologist, intensive care specialist, neurosurgeon, maxillofacial surgeon, traumatologist, surgeon, ophthalmologist and otolaryngologist). Qualified medical care was provided for urgent indications (elimination of asphyxia and control of continuing bleeding. fixation of bone fragments). SSC requires the participation of high-class specialists and appropriate equipment to achieve maximum quality of treatment.</p><p><strong>Results: </strong>According to the experience of combat operations in the Republic of Afghanistan and the counter-terrorism operation in the North Caucasus, isolated and combined (leading damage to the maxillofacial region) MFZ injuries in the overall structure of combat surgical trauma amounted to 4.3% and 4.5-5.0%, respectively, taking into account concomitant wounds - 8.5% and 8.3-10.7%.</p><p><strong>Conclusion: </strong>Multi-stage surgical treatment tactics in the specialized medical care section led to a 3.4% decrease in mortality; the number of complications decreased by 2 times; the number of bed days in the ICU decreased by 1.8 times; the duration of functional and aesthetic rehabilitation of casualties decreased.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 4","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972437","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 characteristics of the torque and primary stability values of dental implants with «classical» and «active» threads placed in low-density bone by various techniques].","authors":"B A Kudzaev, V A Badalyan, E M Chernovol, A P Vedyaeva, A V Kuzin","doi":"10.17116/stomat202510403146","DOIUrl":"10.17116/stomat202510403146","url":null,"abstract":"<p><strong>The aim of the study: </strong>Was the analysis of the values of torque and primary stability of dental implants with «classical» and «active» threads, placed in low-density bone with different methods.</p><p><strong>Material and methods: </strong>Implants were placed into the cancellous bone of pig's breastbone that represents low-density bone. Specimens were divided into 2 groups according to used protocols with 10 samples of each type with «classical» and «active» threads, 40 implants overall. In the first group osteotomy was performed according to the standard technique using the cutting drills, in the second one using osseodensification method. The torque was measured during implantation with physiodispenser and the implant stability quotient with the help of Osstell Beacon device.</p><p><strong>Results: </strong>Comparative analysis of obtained values showed statistically significant difference with the advantage of using osseodensification protocol in each case. For example, the median torque value of the implants placed by the standard protocol was 15 N/cm and 44 N/cm when using osseodensification method. When comparing implants with «classical» threads, the median value of torque was 15.5 N/cm in the first group and 52.5 N/cm in the second group, and the arithmetic mean of ISQ when using the Smartpeg pin was 69 and 78 units, respectively. A similar result was obtained when comparing implants with «active» threads, in which the arithmetic mean of the torque in the first group was 13.5 N/cm and 35.8 N/cm in the second group, and the stability quotient when using the Smartpeg pin was 67 and 77.1 units, respectively. When using implants with «classical» thread design with an osseodensification protocol hypertorque was obtained.</p><p><strong>Conclusion: </strong>When working in low-density bone the use of a standard preparation protocol is ineffective, unlike the osseodensification method. The use of the latter with implants with a classic «non-aggressive» macro design should be carried out carefully.</p>","PeriodicalId":35887,"journal":{"name":"Stomatologiya","volume":"104 3","pages":"46-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733592","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}