Vol 26, No 1 (2023): Опубликован 29.03.2023
- Year: 2023
- Articles: 9
- URL: https://new.vestnik-surgery.com/index.php/2070-9277/issue/view/202
Full Issue
Articles
A-PRF AS AN ALTERNATIVE TO ALVEOLAR AUGMENTATION
Abstract
A dentist-surgeon performs a large number of different surgical procedures. Despite the fact that in the 21st century, the level of dental care is high, the number of tooth extractions has not decreased. The main component of surgical work is the extraction of a tooth.
The article analyzes the clinical and radiological control of the process of socket regeneration using A-PRF technology, in addition, an assessment of the opinion of doctors on the use of this technique of “hole preservation” after removal was carried out.
In his practice, a dental surgeon often encounters complications after a tooth extraction operation, and in order to avoid them, it is necessary to carry out a set of measures aimed at improving the rehabilitation period, optimizing the reparative process and improving the results of surgical treatment.
Based on the results of our work, we found that this technique is not popular among doctors, although it shows good results. When using A-PRF clot, the period of socket epithelialization is reduced, and early formation of a bone pattern is observed, which we do not observe in patients in whom this technique is not used.
In order not to carry out repeated surgical reception in the future, it is necessary to think about early conservation.
SELECTION OF A STRUCTURAL MATERIAL FOR THE BASIS OF A REMOVABLE PROSTHESIS IN PATIENTS WITH ORAL DYSBIOSIS BASED ON TOXICOLOGICAL EXAMINATION
Abstract
It is proved that the tissues and organs of the oral cavity are normally in dynamic equilibrium with balanced biochemical processes that preserve tissue structures and support their function. The problem of the relationship of tissues and organs of the oral cavity with materials intended for the manufacture of dentures is one of the main problems in the clinic of orthopedic dentistry. Currently, acrylic plastics, the technological properties of which do not require expensive equipment, are most widely used in the manufacture of prosthetic structures. However, according to most experts, acrylic plastics have a number of significant drawbacks: the occurrence of toxic-allergic reactions, violation of the microflora of the oral cavity, the development of blastomatous growth in the tissues of the prosthetic bed. In order to increase the effectiveness of orthopedic treatment with removable dentures and reduce the intensity of the occurrence and development of oral dysbiosis and inflammatory reactions after prosthetics, the authors conducted biotesting of polymer materials of acrylic nature, the results of which are presented in this paper.
EFFECTIVENESS OF TREATMENT OF CHRONIC GENERALIZED PERIODONTITIS USING PHOTODYNAMIC AND ANTI-INFLAMMATORY THERAPY
Abstract
Inflammatory periodontal diseases remain an unsolved problem of modern medicine due to the high prevalence and insufficient effectiveness of treatment. The study examined the effectiveness of photodynamic and anti-inflammatory therapy in the treatment of chronic generalized periodontitis of moderate severity. The study material was the results of a comprehensive dental examination and treatment of 90 patients aged 30 to 49 years. For treatment, Asepta balm, photodynamic therapy (FotoSan 630 device), etoricoxib (Arcoxia) were used for follow-up periods of up to six months using periodontal indices. The high efficiency of treatment of chronic generalized periodontitis of moderate severity with a combination of photodynamic and anti-inflammatory therapy has been proven. This combination increased the effectiveness of treatment, compared with single-component antimicrobial therapy by 29.9%.
EMPIRIC ANTIBIOTIC THERAPY OF ACUTE INFLAMMATORY PROCESSES OF THE FACE AND NECK IN CHILDREN AT THE OUTPATIENT STAGE, BASED ON THE RESULTS OF BACTERIOLOGICAL MONITORING OF THE DEPARTMENT OF MAXILLOFACIAL SURGERY.
Abstract
Based on the analysis of bacteriological cultures of the wound discharge according to archival data of the case histories of patients with acute inflammatory processes of the face and neck on the basis of the Department of Maxillofacial Surgery of the Voronezh Regional Children's Clinical Hospital No. 2, data were obtained on microbiological pathogens and their sensitivity to various antibacterial drugs. Monitoring was carried out and the pathogen was classified in the main inflammatory processes of the face and neck in children from 1 to 15 years old. Based on the results obtained, we have developed and proposed schemes for empirical antibiotic therapy for use by pediatric dentists and pediatricians on an outpatient basis. The most relevant for outpatient applications are oral antibiotics with high bioavailability and efficacy against etiological pathogens.
INVESTIGATION OF THE ADHESIVE ABILITY OF ZINC-PHOSPHATE CEMENTS TO THE DENTIN OF THE TOOTH
Abstract
Improving the reliability of fixing fixed orthopedic structures of dentures is an urgent issue at all times. Due to the increase in the variety of materials in the modern world, the choice for dentists has become even more difficult. Various types of fixing materials are used in the clinic, and their choice depends on the specifics of the clinical situation and the material of the structure from which it is made.
One of the types of cements are zinc-phosphate, which are used in practice for a long time and are characterized by sufficient adhesion strength. Representatives of this group have become less popular in the orthopedic dental clinic, since its properties are considered insufficiently satisfactory. Undoubtedly, any fixing material has both pros and cons. It is possible to get high-quality treatment with a dental prosthesis in the oral cavity if the fixing materials are correctly selected, the principles of preparation are observed and a high-quality adhesive protocol is performed.
The article describes a study of the adhesive ability of individual zinc-phosphate cements, which was carried out in laboratory conditions at the technical base of LLC "Tselit" Voronezh. 30 teeth of the chewing group were used, which were divided into groups according to the use of materials: "NeoDent" LLC Celit, "VISCIN" LLC Raduga-R, "Adhesor" SpofaDental (Czech Republic).
The strength of adhesion was studied using the method - shear test, which determines the strength of the connection of dentine tissue with zinc-phosphate cement.
XEROSTOMIA AS AN IDIOPATHIC SYMPTOM IN DENTISTRY
Abstract
The article presents an overview of modern scientific literature on the problem of xerostomia and its etiopathogenetic connection with various general somatic diseases. To date, often the treatment of xerostomia is carried out as an independent disease, due to the failure to identify the underlying pathology. Often, ignorance of the causal relationship of various diseases, both somatic and psycho-emotional, leads to an incorrect diagnosis at a dental appointment and, as a result, an incorrect treatment plan, which leads to a deterioration in the patient's condition and the occurrence of complications. In this connection, the task of a modern dentist becomes urgent to establish the true cause of the pathology of the oral cavity and provide highly qualified treatment, according to the obtained diagnostic data.
EVALUATION OF THE EFFECTIVENESS OF PROFESSIONAL TRAINING OF PHARMACEUTICAL SPECIALISTS VORONEZH
Abstract
The data of domestic and foreign literature characterizing the current state of pharmaceutical education are studied. The criteria for the effectiveness of the process of professional development of pharmaceutical industry specialists have been established. A sociological study of pharmaceutical workers on the demand and quality of pharmaceutical education received by them was conducted. Practical recommendations aimed at improving the process of professional development of pharmaceutical workers to improve the quality of pharmaceutical care are proposed.
OBTAINING THE EXTRACT OF CHELIDONII MAJORIS L. AS A COMPONENT OF TOPICAL PREPARATIONS IN THE THERAPY OF PSORIASIS
Abstract
Psoriasis is one of the most common dermatological diseases that significantly reduces the quality of life of patients. At the same time, about 70% of them need the use of external therapy. The aim of the study was to increase the degree of extraction of active substances from plant materials in order to improve the therapeutic properties of topical preparations for the treatment of psoriasis. For the treatment of psoriasis, it is necessary to use highly concentrated alkaloid extracts of celandine; for this, an 80% solution of acetic acid was used as an extractant.
DETERMINATION OF ANTIBIOTICS CEPHALOSPORIN SERIES WITH PIEZOELECTRIC SENSORS IN WATER SOLUTIONS
Abstract
The aim of the work was to create a piezoelectric sensor modified with a polymer with molecular imprints of cefuroxime for its subsequent determination in aqueous solutions. For the synthesis of MIP, we used a mixture containing a copolymer of 1,2,4,5-benzenetracarboxylic acid and 4,4'-diaminodiphenyl oxide produced by OJSC IIPP SPA «Plastic» (Moscow), as well as a solution containing template molecules.
The resulting mixture was applied to the surface of the sensor electrode by stamping. After that, thermal imidization was carried out in an oven. Next, the sensors were cooled and placed in distilled water to remove the template.
The resulting sensor was used to determine the content of the antibiotic cefuroxime in aqueous solutions using a calibration curve. For this, standard solutions of cefuroxime were prepared with concentrations of 1.0•10–1 – 1.0•10–7 g/dm3. The measurements made allowed us to conclude that with an increase in the antibiotic concentration in the analyzed solution, a decrease in the resonant frequency occurs. The calibration dependence is linear. The limit of detection of cefuroxime for the obtained sensor is 1.0•10–5 g/dm3. To test the selectivity of the obtained sensor based on a polymer with molecular imprints, an analysis of an antibiotic similar in structure, cefazolin, was carried out. It has been established that the sensory system is selective only for the antibiotic that was used for the synthesis of MIP.