Stomatologiâ detskogo vozrasta i profilaktika最新文献

{"title":"On the issue of surgical treatment of patients with congenital orofacial clefts combined with other organ and system comorbidities","authors":"Yu. S. Rogozhina, S. I. Blokhina, E. S. Bimbas","doi":"10.33925/1683-3031-2023-658","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-658","url":null,"abstract":"Relevance. Surgical treatment of patients with congenital orofacial clefts and comorbidities of other organs and systems remains a complex problem in specialized surgery, and it requires concentration of knowledge of individual characteristics and diagnosed disorders during their implementation, taking into account the sequence, volume and time of execution. Purpose. Optimize the tactics of surgical treatment of children born with orofacial clefts combined with disorders of other organs and systems, improving rehabilitation effectiveness. Material and methods. The work focuses on the results of a study of 2475 patients with congenital orofacial defects during the long-term follow-up period (1998-2022) in the Bonum Medical Center (Yekaterinburg). There were 823 cases of congenital orofacial clefts combined with disorders of other organs and systems. The disease combination groups were systematized and determined the tactics of surgical treatment of orofacial defects and the rehabilitation techniques for comorbid defects. Results. To date, out of 823 patients with orofacial clefts and comorbidities of other organs and systems, 591 (71.81%) patients are known to have received comprehensive surgical rehabilitation, part of them turned 18 years and were withdrawn from the long-term follow-up care, the rest – 232 (28.19%) continued to receive specialized care in the Bonum Center system. Of the 823 patients, 370 children needed primary cheilo-rhinoplasty, 196 people (52.97%) had surgery at the traditionally accepted time (in the first six months of the child's life), 302 children (81.62%) had surgery by the age of nine months, and 329 children (88.92%) by one year. Based on the individual indications, thirty-six children (9.73%) had surgery after one year, of which eight patients (2.16%) after two years. Of the 823 patients, 770 people needed palatoplasty (cleft repair of hard and soft palates), while in the conditions of special preparation, the operation was performed in 360 children (46.75%) by 18 months, in 483 children (62.73%) by24 months, and 588 children (76.36%) by the age of 3 years. Considering the cleft palate complexity, 102 children (13.25%) needed further treatment later due to physical condition restrictions and social reasons. Conclusion. The proposed strategy of surgical treatment of children with orofacial clefts combined with disorders of other organs and systems allows treatment of congenital orofacial malformation in the most favourable period based on the patient's physical condition.","PeriodicalId":496491,"journal":{"name":"Stomatologiâ detskogo vozrasta i profilaktika","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135587288","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 total occlusal contact area in children with physiologic and distal occlusion","authors":"I. V. Kosolapova, E. V. Dorohov, M. E. Kovalenko, Yu. A. Ippolitov, E. A. Leshcheva","doi":"10.33925/1683-3031-2023-649","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-649","url":null,"abstract":"Relevance. Total occlusal contact area assessment is an important tool for malocclusion diagnosing and treatment planning in children. Purpose. The study aimed to evaluate (during six months) the effect of orthodontic treatment with plates and trainers on the change in the total occlusal contact area in children with distal occlusion compared to children with physiologic occlusion. Material and methods. The study groups included 145 children with distal occlusion: Group I (82 patients) was treated with a plate modified by AM Schwartz, and Group II (63 patients) had silicone trainers. The control group consisted of 42 children with physiologic occlusion who had not previously had orthodontic treatment. The T-Scan III assessed the total occlusal contact area before and during six months of treatment. Results. The analysis of total occlusal contact area changes in children with physiologic and distal occlusion revealed a statistically significant (p < 0,05) increase in the orthodontic treatment groups (plates and silicone trainers) in 3 and 6 months. Comparative analysis showed a smaller total occlusal contact area in children with distal occlusion before the treatment. Conclusion. Patients with distal occlusion demonstrated a smaller total occlusal contact area before the treatment compared to patients with physiologic occlusion. The children with distal occlusion showed a total occlusal contact area increase during 6-month orthodontic treatment.","PeriodicalId":496491,"journal":{"name":"Stomatologiâ detskogo vozrasta i profilaktika","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134903514","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":"Criterion-based assessment of masticatory muscle hypertonia severity in children with cerebral palsy","authors":"Yu. A. Makedonova, A. V. Vorobev, A. G. Pavlova-Adamovich, O. Yu. Afanasyeva, O. N. Filimonova, L. A. Devyatchenko","doi":"10.33925/1683-3031-2023-643","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-643","url":null,"abstract":"Relevance. In children, muscle hypertonia, including sustained stiffness of the chewing muscles, accompanies the spastic form of cerebral palsy. Considering hypertonia severity is necessary to develop treatment tactics and schemes. This paper proposes a reasonable criterion-based assessment of the above pathology severity based on clinical and functional examination data. Material and methods. To develop grading of muscle hypertonia severity, we examined 30 children with spastic cerebral palsy and 30 healthy children of the same age to obtain normalized parameters. Based on the questionnaire data, the study analyzed the functions of chewing, swallowing, and speech formation, assessed the condition of the hard dental tissues by clinical examination, and obtained active and passive mouth-opening data. Electromyography calculated the average amplitude of the right and left temporal and masticatory muscles and the total biopotential. Results . Clinical and functional evaluation data showed a direct correlation. The more complex the situation in the oral cavity was, the higher the amplitude of the chewing muscles was. Conclusion . The correlation allowed the development of the criterion-based assessment of moderate and significant masticatory muscle hypertonia severity, which management of this patient type should consider.","PeriodicalId":496491,"journal":{"name":"Stomatologiâ detskogo vozrasta i profilaktika","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135815589","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}