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Kuban Scientific Medical Bulletin

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No 1 (2015)
7-11 282
Abstract
Light curing composites are widely used in therapeutic dentistry when teeth are restored. But there are some complications that are connected with features of composite's polymerization. During this work it was made comparative analysis of polymerization's depth of different composite materials using halogen, diode and polyvalent polymerization apparatus with and without heating.
12-16 249
Abstract
The relationship of periodontal disease and somatic pathology determines the interest of the dentist to the peculiarities of the local organization of nonspecific protection and the search for new ways of non-invasive diagnosis and monitoring for violations of its operation, coupled with the presence of foci of chronic inflammation in the oral cavity and the possibility of development or worsening of the clinical course of the underlying disease. One of the main components of nonspecific protection of organs and tissues are immunological reactivity and antioxidant system, the sustainability of living cells to infection and free radical damage.
16-20 253
Abstract
Dynamics of neutrophil granulocytes antibacterial system activity during rehabilitation period after dental caries complications treatment was studied. Decrease of neutrophils functional activity, mediated by suppression of antibacterial system activity in inflammatory region was revealed. After traditional treatment of pulpitis and periodontitis within 6 months signs of the local secondary granulocytopathy are remained. The additional prescription of rehabilitation therapy individual courses promotes fast normalization of antibacterial system activity of neutrophils of circulating and local pool, that creates favorable conditions for the rehabilitation period and promotes reduction of number of complications by 2,2 times.
20-24 271
Abstract
One reason to resort to orthodontic care and cosmetic defect complaint is the eruption of permanent canines, at least -the absence of permanent teeth in the arc after the end of their eruption. A common approach for the treatment of patients with erupted outside the arch permanent teeth involves their orthodontic movement in an arch. Place for canines is obtained by increasing the size of the dental arch or deleting the first premolars. Impacted teeth pulled using not removable orthodontic appliances and traction attached to orthodontic button fixed to the naked surgically most accessible surface of the crown. The authors conducted analysis of complex rehabilitation of 19 children who have applied to the orthodontist at the age of 9-11 years. The possibility of preventing abnormal eruption of permanent canines and premolars, as well as high efficiency of the developed programs for the conservation of teeth for each patient, patient monitoring during the mixed dentition and improved removable orthodontic appliances. The program for the treatment of patients appropriate applied during the change dentition. This treatment technique creates all the conditions for the formation of physiological occlusion with minor deviations from the norm of dental system and significantly reduce the need for expensive equipment during the permanent dentition.
24-28 192
Abstract
On the three-dimensional mathematical model of the upper molars mapped stress-strain state on the border of dental hard tissues with ceramic inlays or composite restorations. Set permissibility of the use of composite restorations in molars with intact pulp, but the necessity of recovery from the standpoint of biomechanics defect depulpirovannogo tooth ceramic inlays.
28-31 310
Abstract
The aim of the study was to determine the species composition of microorganisms in the periapical tissues, quantitative and qualitative change their composition during the application of antibiotic therapy in exacerbations of chronic periodontitis. The results of our study showed the prevalence in the studied material anaerobic asporogenic bacteria capable of vehetuvaty in the mouth and in the norm, despite their abstractionist they can become pathogens in microbial association. When antibiotic therapy revealed changes in the composition of the microflora, but the main pathogen remained prevalent in the sample of clinical material. We have found that the quantitative method of study allows to determine the dominant microorganism associations, but is time consuming.
31-34 278
Abstract
The aim of this investigation was to improve the effectiveness of the complex treatment of chronic destructive periodontitis. Complex treatment included endodontical, antibacterial, antihistaminic and sorptive therapy. The data obtained were evaluated in terms of 14 days and after the year, compared with the control group. The results of the study demonstrated the effectiveness of the purpose of chronic destructive periodontitis treatment.
34-37 237
Abstract
In periodontal diseases cytochemical methods for determining the content of cationic protein, myeloperoxidase and alkaline phosphatase can be used as a sensitive and informative criteria for evaluating the effectiveness of various antiinflammatory therapies. Obtained in the course of clinical trials digital cytochemical indicators lead to the conclusion that the treatment of chronic gingivitis after professional oral hygiene use of photodynamic therapy leads to a permanent reduction in the activation of cationic proteins, the subsequent use of the laser radiation enhances the therapeutic effect of photodynamic therapy. Thus, the use in the treatment of gingivitis and combinations photodynamic laser therapy can potentiate the effect of each of these methods.
37-43 316
Abstract
The absence of mentally retarded children readiness to dental treatment entails significant costs for the individual and for society, exacerbating dental pathology. Therefore, the identification of patients with a low level of compliance in the future will help them to focus on their influence and to focus on the necessary dental procedures, in order to increase the level of motivation for treatment. In a study of dental status of school-age mentally retarded children of varying severity were found higher rates of oral hygiene, caries and periodontal disease compared to healthy. In addition, the results of the survey indicate a lower level of compliance of mentally retarded children and their parents.
43-49 284
Abstract
Developed and tested a device for determining periodontal capillary pressure. It is proved that the periodontal capillary pressure has multidirectional changes depending on the type of pathology: the gingival recession in conjunction with malocclusions identified reduction of periodontal capillary pressure in 1.1 times in chronic generalized periodontitis complex in conjunction with malocclusions increase it to 1.5 times. High sensitivity (97%), the minimum time (2 min) to carry out the diagnostic procedure and the possibility of obtaining data of capillary pressure periodontal allow to relate to the category of diagnosis developed innovative rapid methods.
49-54 275
Abstract
The authors propose a method for augmentation of the alveolar bone, which was held simultaneously with the removal of permanent teeth for orthodontic reasons with post-extraction space being developed at the same time to provide the teeth movement. The study included 46 patients in their first period of mature age, who had some of their teeth extracted on orthodontic grounds. Group 1 (main) included 22 patients, who had their post-extraction tooth space formed by various methods. The patients in group 2 underwent orthodontic treatment following conventional methods. The results showed that the formation of the post-extraction space and augmentation of the alveolar bone of the upper jaw and alveolar part of the mandible could be effective in terms of preventing complications at different stages of orthodontic treatment.
54-65 296
Abstract
Laboratory tests and diagnostic procedures in children and adolescents aged 10-15 with dentofacial pathologies were used to conduct an evaluation of hematological parameters of bone metabolism as well as calcium and phosphorus metabolism (total calcium, ionized calcium, inorganic phosphate, parathyroid hormone, calcitonin, osteocalcin, 25-hydroxyvitamin D3), the acid-base balance in the oral fluid (unstimulated salivatory flow rate, buffer capacity for acidity, buffer capacity for bases), as well as to investigate the dynamics of biochemical activity in mixed saliva after the oral microflora was stimulated with sucrose-containing test loads. Proof has been obtained to the fact that a reliable index reflecting the intensity of the morphological and functional disorders in case of dentofacial pathologies, can be found in an increased total Ca/P and Са2+/Р ratio gradient under reduced serum levels of calcium (both total and ionized) as well as in a reduction of the total Ca/P ratio gradient given increased calcium levels (total and ionized) in mixed saliva.
66-69 269
Abstract
The paper presents the experience in treating 152 patients with alveolitis. Treatment of patients in the study group was conducted by the author's method of using the drug «β-gemostopan-2». In the control group used yodoformnuyu mixture preparations «alveost» and «oksitselodeks». All used drug has a different degree of a pronounced effect on the inflammatory response and the elimination of pain. Proved to be the most effective drug «β-gemostopan-2», which provides a reliable consolidation blood clot prevented from entering into the well of microorganisms and food residues. The research showed that 97,5% of patients of the group by the end of the first day after the start of treatment was completely docked pain, redness and swelling of the mucous membrane in the hole «causes» of the tooth is greatly reduced.
69-74 597
Abstract
It is carried out the retrospective analysis and an assessment of efficiency of treatment of 13 patients (1 men and 12 women) aged from 49 till 79 years which were on hospitalization concerning sialoses. From Mikulich's illness 5 women aged from 46 till 59 years suffered. Concerning Shegren's syndrome treatment there passed 8 people (1 man and 7 women) aged from 59 till 77 years. On the basis of kompleknsy treatment of 16 patients of advanced and senile age (1 man and 15 women) aged from 61 till 77 years suffering from sialoses, including Mikulich's illness of 5 women aged from 61 till 72 years and Shegren's syndrome of 11 people (1 man and 10 women) aged from 63 till 77 years, ways of an assessment of severity of the specified pathology and efficiency of its treatment at adults of different age groups are offered. Sovershenstvovana a technique of treatment of sialoses at people of the senior age groups with application of bioproofreaders of a delivery of «lesmin», «yodemam», «fitolon», linimentum of a tsikloferon, the peptide vezugen bioregulator. Importance of regular carrying out antirecurrent treatment-and-prophylactic actions in the course of dynamic observation over patients of advanced and senile age, a stradayushchimisialozama that leads to improvement of quality of their life is shown.
74-79 315
Abstract
In the article evaluated the performance of the secretory immune saliva, 109 people of different ages (from 20 to 90 years), residing in St. Petersburg and Leningrad region do not have diseases of the salivary glands. The content in saliva immunoglobulins IgA, IgM, IgG and secretory IgA, and pro-inflammatory (IL -1β, interleukin-6, interleukin-8, tumor necrosis factor-α) and anti-inflammatory (interleukin-1 receptor antagonist, interleukin-4, interleukin-10) cytokines by ELISA. The study established that the level of sIgA in saliva increases with age, reaching maximum values in a group of elderly people, but to people senile age content of sIgA in saliva dropped. In patients of elderly and senile age there are changes in the content of cytokines in saliva: elevated levels of proinflammatory IL-1β and TNFα and anti-IL-10, with a simultaneous decrease of IL-8 (the main chemotactic factor for neutrophils). These changes may cause an imbalance in the local immune response to the pathogen and development of both autoimmune and inflammatory diseases of the oral cavity.
79-81 295
Abstract
The dynamics of the process of inflammation and regeneration in the region of pathological sead and in the operating wound when the original surgical treatment of heavy phlegmons of head and neck of odontological and non-odontological origion have been investigated. More than 500 histological preparations made of biopsical materials, which was taken out from is 50 patients have been examined. The analysis showed that the optimizing surgical treatment modifies the dynamics of the process, which takes place in the wound and it permits to close an operating wound quickly and to gat its healing by the type of initial surface tension.
81-84 371
Abstract
Currently, therapeutic dentistry is developing by leaps and bounds. With the huge number of new filling materials, techniques that appeared in the dental market, before dentist faces the task proper, reasoned choice. In this paper, we conducted a comparative analysis of adhesive strength of different composition and properties of materials for restoration of the tooth crown using andsystem. The extracted teeth were divided into two groups: group I - used titanium standard pins, which are fixed glass ionomers cement; group II - fiberglass pins for fixing which used cement Relyx U200. Was conclusively proven the best adhesion of the composite to the tooth hard tissues using self-adhesive composite cement in combination with fiberglass pins.
85-87 235
Abstract
According to the survey of 100 patients studied medical and social effectiveness of clinical examination after prosthetics metal-ceramic prosthesis. It is proved that this method of organizing and carrying out medical examination of rehabilitation therapy allows to improve the quality of life of patients 1.4 times.
88-90 219
Abstract
Occlusal relationships of dentition in dentistry is important. When orthopedic treatment alters the shape of the crowns of the teeth and, as a consequence, change the occlusal relationships of dentition. Occlusal relationships form the basis of the functional activity of dental system, providing conditions for the functioning of the masticatory muscles and temporomandibular joint.
91-96 281
Abstract
In this arcticle we investigated age features of cytokines profile that regulates protective reactions of organism and helps to get information about functional state of cells stage and severity of inflammation, and also indexes of immune system regulation and functioning among children with cleft lip and palate. It's interesting to investige 2 kinds of cytokines- proflammatory (IL6, IL1β, IFHγ), antiflammatory (IL4) and also IL17 in different age groups among children with cleft lip and palate.
96-99 265
Abstract
On the example of two age groups (20-34 and 35-44 years) conducted a situational analysis of dental disease in workers core enterprises with dangerous working conditions in the Siberian region. Given detailed characteristics of the state of the teeth, periodontal and other tissues and organs dentition. Conclusions about the high demand for dental prevention and treatment among young workers OUT, the importance of preventive work in the previous children's and educational institutions closed city.
99-102 251
Abstract
In the experiment established the influence of emotional and cold stress not only on metabolic changes, but also structural changes in the dental pulp. It was shown that the dental pulp stress leads to disruption of intercellular interactions due to morphological characteristics and cell fusion proteins and peptides. Short-term stress exposure causes a reaction similar to the inflammation of the pulp and long leads to inhibition of calcium and phosphorus metabolism and apoptosis odontoblasts.
102-106 270
Abstract
The comparative analysis of recording the amplitude of bioelectric potentials of masseters with 41 patients having dysfunction of temporomandibular joints (TMJ) with sagittal and transversal mandible shifts in the traditional method of treatment and in the application of transcranial electric stimulation (TES-therapy) has been carried out. The obtained results of electric myography (EMG) of masseters made it possible to establish that TES-therapy has a more effective impact on the functional condition of the muscular complex of the patients having the dysfunction TMJ with sagittal and transversal shifts of mandible by reducing bioelectric activity of masseters in the condition of relative rest and by increasing the amplitude of biological potentials during chewing and in the maximum compression of jaws.
106-111 244
Abstract
The paper presents the results of the application of porous titanium for subantralnoy bone augmentation in dental implantation. Found that the use of a porous titanium subantralnoy promising for augmentation of bone of the upper jaw with dental implants and reconstructive plastic surgery is an alternative to porous titanium materials based on calcium phosphate and collagen for bone augmentation subantralnoy bones of the upper jaw with dental implants and reconstructive plastic surgery on the maxillary sinus.
111-114 366
Abstract
In patients with chronic generalized periodontitis in aggregate with iron-deficiency anemia revealed dysfunction of neutrophilic leukocytes caused by decreased activity of iron-containing components of antibacterial systems, in particular of NADPH-oxidase. Dental treatment of these patients is ineffective without the use of iron preparations.
114-118 257
Abstract
This article analyzes the clinical trial on the use of peptide bioregulators «kartalaks», produced by the St. Petersburg Institute of bioregulation and gerontology, on the course of reparative osteogenesis jaw after surgical treatment of chronic periapical odontogenic foci of infection in older age groups. With the help of clinical and radiological methods of research by the authors proved the effectiveness of this drug on reparative osteogenesis in older age groups. The authors conclude that the use of biocontrol treatment is necessary for leveling age variations in the healing of posttraumatic defects jawbone and recommend the use of approved methods in gerontostomatologу.
119-124 222
Abstract
Comparative clinical and immunological analysis of treatment of 49 patients with fractures of the mandible, receiving traditional therapy and treatment with use of immumomodulator leukinferon is carried out in this work. The results of the study demonstrate, that use of immunocorrection with leukinferon gives high immunological effect in comparison with traditional patients treatment. Positive dynamics of immunological parameters changes at patients is closely correlates with current of a clinical state in posttraumatic period. Use of leukinferon in complex therapy at patients with fracture of the mandible with high risk of inflammatory complications development allows to improve a condition of patients in shorter period and to warn inflammatory complications development.
124-127 240
Abstract
During complex surgical treatment of chronic generalized periodontitis studies were taken concerning the production of interleukin 1β in the periphery blood and mixed saliva. A close connection was noticed between the level of cytokine production, stage of the disease and the treatment effectiveness: straight dependence with IL-1β, so its concentrations could be an objective diagnostic markers.
128-132 400
Abstract
The article presents data about the efficiency of glossalgia and stomatalgia complex treatment. This pathology is rather widespread and distresses patients. The diseases are polygenic, pathogenesis is unplumbed, and treatment methods are multivarious and not always effective. This fact determined the timeliness of the chosen issue. For many years we have been applying different treatment methods. The received results allowed us to recommend some of them, for example cranial electrotherapy stimulation, cryotherapy, hirudotherapy, laser treatment, local immunomodulators, rinsing with antiseptics, split meals, examination by interns if indicated, and general treatment prescribed by different doctors.
132-139 217
Abstract
The article presents the information gained from the literature review and some independent researches of the temporary teeth pulpotomy efficiency while using the «trioxident» («VladMiVa») preparation combined with the antiseptizing of pulpa with the sodium hypochloride. There were 39 temporary molar cured. Clinical efficiency for the period of 3 years is equal to 15,20%, roentgenologic еfficiency - 23,64%.


ISSN 1608-6228 (Print)
ISSN 2541-9544 (Online)