No 69 (2017)

Articles
COMPARATIVE CHARACTERISTICS OF MORPHOLOGICAL STRUCTURE OSTEOPLASTIC MATERIALS OF VARIOUS ORIGIN ANDBONE TISSUE OF MAN
Kharitonov D.Y., Azarova Y.A., Azarova O.A.
Abstract
The morphological and structural characteristics of the bone tissue of the lower jaw of man and osteoplastic materials "Klipdent", "Bioplast-dent" were studied. For the analysis of porosity, size of agglomerates and morphology of samples, the scanning electron microscopy (SEM) method was used. A study of samples of materials with an increase of 50 times was carried out. As a result of the SEM with an increase of x50, the differences in the structure of macropores of the materials studied were established. The pore size of the human jawbone in the sample under study is more than 500 μm, the pore size of the "Bioplast-dent" material varies in the range of ~ 10-250 μm. Material "The clipper is devoid of a porous structure, it is homogeneous rounded agglomerates, 2-20 microns in size. The conclusion is made about the presence of osteonconductive properties of the "Bioplast-dent" material and the rate of bioresorption close to the rate of formation of the human bone. Long-term resorption and unexpressed osteoconductive properties of the "Clipendent" material are predicted.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):3-6
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OPTIMIZATION OF SURGICAL TREATMENT OF AMBULATORY DENTAL PATIENTS WITH GRANULATING PERIODONTITIS
Haritonov D.Y., Azarova E.A., Azarova O.A.
Abstract
The course of the postoperative period was studied in the surgical treatment of granulation periodontitis using various osteoplastic materials and without them. The daily table of the account of objective and subjective indicators was made. The table included indicators: pain in the wound, presence of postoperative edema and hematoma, body temperature, separated from the wound, type of wound healing. According to the results of the study, the use of osteoplastic materials in conjunction with the resorbable membrane facilitates the course of the postoperative period, reduces edema and pain reaction. Anticipation of the processes of convalescence occurs for 2-3 days in comparison with the control group.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):7-10
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SRAVNITEL'NAYa KhARAKTERISTIKA KhELATNYKh SOEDINENIY DLYa KhIMIChESKOGO RASShIRENIYa KORNEVYKh KANALOV ZUBOV
Sushchenko A.V., Alferov E.A., Krasnikova O.P., Oleinik O.I., Tinned E.V.
Abstract
The chelate compounds increase the permeability of the dentin, thereby promoting mechanical cleaning of the root canal. They have excellent lubricity and cleansing ability. The study found that the highest content of floating agents that help remove particles of dentin were at RC-prep (USA) and apparently it should give preference to when choosing a gel for chemical enlargement of a root canal.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):11-14
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SELECTING CRITERIA OF THE EPIDEMIOLOGICAL SURVEY PRINTING OF EFFECTIVE PREVENTION OF HYPERESTESIA OF TEETH
Belenova I.A., Kunin A.A., Lesnikov R.V., Zhakot I.V., Shabanov R.A.
Abstract
By the method of analytical epidemiology in Voronezh, the informative value of a number of significant European indicators of the dental health of the child population has been tested according to the dental status and anonymous questioning of 116 schoolchildren of 13 years. The studied indicators can be used for monitoring of communal programs of primary prevention of dental diseases, including hyperesthesia of teeth, and evaluation of the quality of treatment.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):15-22
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PREVENTION OF COMPLICATIONS OF ENDODONTIC TREATMENT OF TEETH ASSOCIATED WITH ROOT CANAL FILLING
Belenova I.A., Kunin A.A., Lesnikov R.V., Zhakot I.V., Shabanov R.A.
Abstract
Endodontic treatment of caries complications is one of the most difficult questions. Existing today a large number of different techniques and materials create conditions for quality treatment. The historically established concept of pain elimination as the only goal of treatment was gradually supplemented by restoration of the dental function and later - aesthetic rehabilitation. Despite the high quality of the dentist's work, there are often various complications that significantly reduce the percentage of successful endodontic treatment. The frequency of occurrence of complications can vary depending on the manual skills of the dentist, the reactivity of the patient's body and the particularities of the materials used. On the basis of known information about the possibility of modifying materials based on epoxy resins by an electromagnetic field, a study was carried out. The study result of which demonstrates a number of improvements in endodontic sealers based on amino epoxy resin. The results of scanning electron microscopy of cleavage lines of endodontic sealers modified and unmodified by an electromagnetic field were evaluated. The results of the study show that the epoxy-based sealer, after exposure to the electromagnetic field, began to exhibit some structural differences. The trial has showen reduction of quantity and the size of pores, a more homogeneous structure of the sealer and closer arrangement of particles in samples of experimental group, in comparison with the control group.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):23-30
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THE PATHOPHYSIOLOGICAL BASIS OF THE DENTAL THERAPY ON THE BACKGROUND OF THE DEVELOPMENT OF CHRONIC RENAL FAILURE
Bolotskykh V.I., Lidokhova O.V., Makeeva A.V., Voevodina N.V.
Abstract
Among the important problems of dentistry the main place is occupied by questions are the prevention and treatment of dental diseases in patients with severe somatic pathology. The number of patients with end-stage chronic renal failure is constantly increasing and patients are on renal replacement therapy, including hemo - and peritoneal dialysis, constitute a large segment of the population in need of dental care. The development of chronic kidney disease and replacement therapy can significantly affect the condition of periodontal tissues, including an increase in microbial contamination, gingivitis, dental calculus deposition and the potential increase in the prevalence and severity of destructive periodontal processes. The article describes pathophysiological characteristic features of changes in the oral cavity of patients with chronic renal failure on hemodialysis.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):31-35
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PRIMENENIE OTEChESTVENNYKh SISTEM IMPLANTATsII
Kharitonov D.Y., Petrov I.Y., But L.V., Vetohina V.V.
Abstract
Изучены вопросы развития отечественной имплантологии в практическом приеме в период с 1990г. по 2017г. Проведен анализ практической работы в области дентальной имплантации, рассмотрены наиболее успешные методы и материалы. Изучены вопросы по выбору применяемого имплантационного и остеотропного материала. Изучены вопросы оптимизации подготовки пациентов к операции дентальной имплантации с реконструкцией альвеолярных отростков, а также применяемые методы для улучшения послеоперационного периода. Проведен статистический анализ проведенных операций, успешных работ, осложнений в зависимости от выбранной методики. С целью предупреждения и лечения послеоперационных осложнений изучены вопросы внедрения программы обеспечения безопасности операций дентальной имплантации, которые позволили минимизировать количество осложнений. Также изучались вопросы по применению плоских и винтовых имплантационных систем, их сравнительная характеристика и практическое применение. Проанализированы выводы и приведены результаты работы.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):36-41
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INFLUENCE OF THE FUNCTIONAL STATE OF MASSETER MUSCLES ON THE DEGREE OF CARIES RESISTANCE OF HARD TOOTH TISSUES IN ADOLESCENTS
Ippolitov Y.A., Bondareva E.N., Zolotareva E.Y.
Abstract
The objective of this study is to investigate the functional state of externally localized masseter and temporalis of adolescents with high and medium hard caries resistance by electromyography and evaluation the effect of the functional state of the masticatory muscles on the degree of caries resistance of hard caries resistance of adolescents. The basis for the study served as a scientific data, shows that enamel is a mineral and protein tissue with microcirculatory system in the form of enamel tubules. The orifices of enamel tubules has opening on enamel sac. Interstitial fluid aspired out through enamel and dentinal canals because of pressure gradient in pulp. Chewing function is only physiological mechanism to provision of pressure gradient. Surface electromyography was provide to determine the functional state of the masseter and temporal muscles. The assessment was carried out with apparatus “Synapsis”. The development degrees of tooth's caries was determined dental apparatus light-induced system, sistema radiografico per diagnosi intraorale - х-ray system. It was proved that electrobiological activity of masseter among patients with medium caries resistance was significantly lower than among adolescents with high caries resistance. The difference of performance on this parameter thus there is an imbalance in indices of the electrobiological activity between masseter and temporalis, increasing masseter fatigue in response to a static load among the adolescents with the medium caries resistance.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):42-49
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THE IMPORTANCE OF THE ARTHROSCOPIC PICTURE IN THE DIAGNOSIS AND THE TREATMENT OF TRAUMATIC DAMAGE OF THE LUMINO-LOWER-MALE JOINT
Kharitonov D.Y., Morozov A.N., Krasnova V.A.
Abstract
The paper presents the results of the examination of patients with traumatic lesions of the temporomandibular joint. Two identical independent samples of patients of this group of diseases were formed. During the examination, "highly specific" and "low-specific" clinical symptoms were identified. Algorithms for diagnosing and treating this class of diseases have been developed. During the implementation of this study, clinical, x-ray and arthroscopic patterns of internal disturbances of the temporomandibular joint of post-traumatic genesis were determined. Cases that are not verified radiographically, can now be resolved by arthroscopic diagnosis. The implementation of the developed algorithms almost completely solves the existing problem at the diagnostic level to a large extent at the treatment level.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):50-56
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MODELING OF PURULENT WOUNDS IN RATS
Charitonov D.Y., Kovalenko A.Y.
Abstract
The aim of this study is to identify the optimal method of formation of inflammatory process in laboratory animals - rats. Given the many different methods of formation of purulent wounds in rats, we have chosen the most extreme results. Method of the inverted flap, method of the Schennikov A. I., method of Belarusian state medical University and method of the subcutaneous injection known suspension cultures. Modeling of purulent wounds is most justified in the shoulder area, since this anatomical region is more protected not only from the animal itself, but also from external influences such as, for example, additional contamination of the wound microflora in the litter material. Modeling of purulent wounds in the femoral-gluteal region may, subject to the protection of purulent wounds with a blanket, films, etc., but in the scale of a surgical experiment is hampered by the complexity of the work and material cost. Besides, wound in shoulder area more accessible for visual inspection, as well as more practical in terms of further treatment.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):57-60
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THE CHANGE OF FREE RADICAL EQUILIBRIUM OF THE ORAL FLUID IN PATIENTS RECEIVING MULTIVITAMIN COMPLEXES
Lushchik M.V., Makeeva A.V., Grebennikova I.V., Lidokhova O.V.
Abstract
Questions reflecting clinical implications of hypovitaminosis among students were studied. It is shown that 60% of the respondents lack vitamins, which is more often manifested in the form of bleeding gums, rapid fatigue, dry skin. On volunteer students who did not have clinical signs of hypovitaminosis, an oxidative status assessment was carried out in the oral fluid before and after taking multivitamin complexes. Decrease of the activity of antioxidative systems after two-week intake of multivitamin complexes, and an increase in the level of products of peroxide oxidation of lipids are established. After a month of taking multivitamin complexes, all indices were approaching the control values. A diverse, high-grade food and an energy-sufficient diet can guarantee the prevention of hypovitaminosis. And to prevent the development of isolated and combined hypovitaminosis, it is necessary to ensure regular intake of vitamins.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):61-66
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PREVENTIVE MEASURES IN PATIENTS WITH ORTHOPEDIC DENTURES FROM THERMOPLASTIC POLYMERS
Morozov A.N., Chirkova N.V., Vecherkina Z.V., Fomina K.A., Polushkina N.A.
Abstract
To date, the problem of the duration of use of dentures of various designs remains very relevant for dental practice. At the same time, an increase in the risk of major dental diseases in patients with removable orthopedic structures due to the appearance of additional retention points for accumulation of plaque, as well as insufficient oral care and denture skills of patients. In this connection, the study of the hygienic state of the oral cavity, dentures and the condition of periodontal tissues in patients using removable orthopedic dental structures made of thermoplastic polymers with partial absence of teeth is of great interest, and the development of a set of preventive measures aimed at preventing complications after orthopedic dental treatment.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):67-72
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MODERN ASPECTS OF SECONDARY PREVENTION OF PARODONT DISEASES
Oleynik O.I., Kubyshkina K.P., Chirkova N.V., Polushkina N.A.
Abstract
Проблема профилактики в стоматологии входит в число особо актуальных и значимых на данный момент задач для государства. Статья посвящена современным аспектам вторичной профилактики воспалительных заболеваний пародонта с использованием ультразвуковых аппаратов, в том числе «Вектора», антибактериальных препаратов, которые могут быть рекомендованы при различных формах патологии или сопутствовать другим видам восстановительного лечения и профилактики (ортопедическим и хирургическим).
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):73-78
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EXPERIENCE OF TREATMENT OF INFANTILES HEMANGIOMAS OF THE MAXILLO-FACIAL AREA IN CHILDREN WITH USE PROPRANOLOL
Garshina M.A., Korytina I.V., Kharitonov D.Y.
Abstract
The issues of the efficacy and safety of treatment of children with infantile hemangiomas of the maxillo facial area with non-selective Β-adrenoblockers. Hemangiomas occupy the first place in the frequency of occurrence among benign neoplasms in children. It should be clinically identified infantile hemangiomas, consisting mainly of immature endothelium of the vessels, which can be treated with non-selective β-adrenoblockers. Therefore, the selection of patients should be thorough and considered. The article reflects the experience of complex treatment of 13 patients with infantile hemangiomas of the face and neck. All have achieved an improvement in the local status and there are no serious complications. During the course of treatment, a pediatric patronage monitoring, self-sustaining (home-made) pulse and blood pressure control and monthly blood glucose monitoring, ECG and cardiologist consultation are required.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):79-84
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ENDOVASCULAR SCLEROTHERAPY OF VENOUS AND CAPILLARY ANGIODYSPLASIA OF THE MAXILLOFACIAL REGION
Степанов I.V., Olshanskiy M.S., Haritonov D.Y., Dmitriev V.V., Podoprigora A.V., Scherbinin A.S.
Abstract
Presents a method for the treatment of venous and capillary forms of angiodysplasia of the maxillofacial region with the use of sclerosing funds, based on a preliminary assessment of the volume and vascular pattern angiodysplasia by performing contrast flebography. Contrasting angiodysplasia is achieved by percutaneous introduction into the lumen of the blood vessels contrast media urografin 76%, heated to 36.4-37,6 C. Endovascular sclerotherapy spend 1% solution of ethoxysclerol. The indications for endovascular sclerotherapy is a slow-flow (venous and capillary) angiodysplasia of size up to 5 cm, surgical treatment of which poses a risk of cosmetic defects, violation of functions of organs of the maxillofacial region.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):85-88
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THE FEATURES OF PSYCHOLOGICAL STATUS OF PRESCHOOLED CHILDREN IN PROGRESS OF ORTODONTIC TREATMENT
Kovalenko M.E., Tatarintsev M.M., Zolotareva E.Y., Bondareva E.N.
Abstract
The early diagnosis, prophylaxis and treatment of dentoalveolar anomalies have great importance in context of prevention more severe malocclusions which could form during development and growth. The success of orthodontic treatment directly depends on the psychological status of the child, as well as on the nature of the relationship between the doctor, patient and parents. The cooperative motivation of children and parents is especially important if treatment by removable and fixed appliances is carried out for a long time. The beginning of orthodontic treatment develops a new order of life for the child and the discipline plays a leading role in the conducting of therapeutic interventions. Thus, in the planning of treatment manipulations, it seems reasonable to provide a stage of psychological testing, the results will be important in determining the method of orthodontic correction, the type of appliance and the duration of its impact.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):89-95
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SRAVNITEL'NAYa OTsENKA KLINIChESKOY EFFEKTIVNOSTI PRIMENENIYa MODIFITsIROVANNOGO GIPSA STOMATOLOGIChESKOGO 3 KLASSA DLYa IZGOTOVLENIYa S\"EMNYKh ZUBNYKh PROTEZOV
Podoprigora A.V., Kukuyev V.I.
Abstract
В статье приводятся данные клинических исследований пациентов, пользующихся съёмными пластиночными протезами полного зубного ряда в течении года. Протезы были изготовлены по традиционной методике с использованием в качестве паковочного материала гипса стоматологического третьего типа и гипса, модифицированного гиперпластификатором на поликарбоксилатной основе.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):96-101
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A REVIEW OF LONG-TERM EXPERIENCE IN THE TREATMENT OF PATIENTS WITH CRANIAL FACIAL LESIONS COMBINED
Kharitonov D.Y., Dmitriyev V.V., Stepanov I.V.
Abstract
From 2000 to 2016 on the basis of NHO VGKBSMP-1 examination and treatment of 1934 victims with the combined craniofacial trauma is conducted. The gender structure of a trauma, distribution of patients on age, the mechanism of receiving the combined craniofacial damages, communication of weight of a craniocereberal trauma with damages of face zones is studied. The algorithm of diagnostics and treatment of a kraniofatsialny trauma, practical recommendations are developed.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):102-109
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ANALYSISOFORALMUCOSACYTOGRAM
Podoprigora A.V., Kharitonov D.Y., Kalivradzhiyan E.S., Kumirova O.A., Andreyeva Y.A., Zotov A.I.
Abstract
The article covers the data on the analysis of oral mucosa cytogram, when applying modified polymer with silver nanoparticles as structural material for designing complex removable dentures and apparatus.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):110-119
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DETERMINATION OF CORRELATION BETWEEN IDICATORS OF AGE, CONTENT OF HYALURONAN IN SERUM, ORAL FLUID, BONE TISSUE OF PATIENTS
Haritonov D.Y., Barsukova K.V., Sambulov D.V., Atyakshin D.A.
Abstract
It is known that hyaluronan is present in virtually all tissues of human body, including blood, oral fluid, bone tissue. This substance is involved in regulation of many important processes, such as proliferation, migration, differentiation of cells, transportation of growth factors, angiogenesis, reparative tissue regeneration. Specimens of blood serum, oral fluid and bone tissue were collected from 73 patients (33 men and 40 women) treated by dental implantation. Hyaluronan level in bone tissue specimens was measured by microdensitometry. Quantity of hyaluronan in biological fluids was determined by ELISA assay. Correlation links between age, content of hyaluronan in blood serum, oral fluid, bone tissue of patents were revealed. The analysis of the results of this work in relation with our earlier findings was carried out.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):120-128
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COMPLEX PROPHYLAXIS OF THE TEETH HYPERESTHESIA BY «SENSIDENT» AND «FLUOROPHILE COLORLESS»
Chirkova N.V., Popova T.A., Pshenichnikov I.A., Vecherkina Z.V., Bogatyreva Y.A.
Abstract
The problem of hyperesthesia of teeth is very relevant in modern dentistry. In the article the questions of efficiency of complex application in the clinic of preparations of firm «Celit» in preventive of hyperesthesia of teeth at different pH of oral fluid in patients. The results of the study were confirmed with the help of clinical research methods.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):129-132
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THE ANALYSIS OF THE MICROBIOLOGICAL PICTURE OF THE ORAL CAVITY UNDER OPERATING CONDITIONS REMOVABLE ORTHODONTIC APPLIANCES WHEN USING ACRYLIC POLYMER MODIFIED WITH NANOSIZED SILVER
Podoprogora A.V., Kalivradzhiyan E.S., Zherbinin A.S., Kalmykov D.Y., Demchenko D.N.
Abstract
In article the data on the results of a study of the microflora of the oral cavity in children with removable orthodontic appliances and on the basis of acrylic polymer modified with nanosized silver and the comparative evaluation with traditional polymers.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(69):133-138
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