The results of the study are of primary importance for the maintenance of oral cavity health in musicians-instrumentalists which is indispensable for the maintenance of their successful professional activity.
The relevance of the problem of dental morbidity in children is obvious. In 2022, an epidemiological survey of the main dental diseases of the child population was conducted according to the WHO methodology in Ekaterinburg and the Sverdlovsk region in key groups of 3, 6, 12 and 15 years old. The epidemiological survey involved 756 children in six settlements of the region. The registration of the oral cavity condition was carried out using the "Maps for assessing the dental status of children" recommended by the World Health Organization (2013). Informed consent was obtained from parents and guardians to participate in the survey. Statistical processing of the results was carried out in the Statistica 10 program. In Yekaterinburg and the Sverdlovsk region, dental caries and inflammatory periodontal diseases remain the most common pathology in children. The prevalence of caries in 3, 6, 12, 15-year-olds was 34,2%, 80%, 20%, 86%, 96% accordingly , at an intensity of 2,3±0,5; 4,9±0,2; 4,59±0,3; 6,5±0,4. Signs of periodontal inflammation were detected among 12-year-olds in Yekaterinburg in 35.2% children, in the region - 38.1% of children. Among 15-year-olds, this indicator was 24.0% and 48.8%. These indicators increased with age. The prevalence of enamel hypoplasia in the main key group of 12-year-olds in Ekaterinburg was 8%, in the region – 12,9%. 90% of children need fissure sealing of permanent molars. In comparison with the previously conducted national epidemiological surveys of 2008 and 2015, there is an unfavorable dynamics and deterioration of the main indicators of dental morbidity. The epidemiological survey conducted in Ekaterinburg and the cities of the Sverdlovsk region is the justification for the development and implementation of a regional program for the prevention of dental diseases.
Application in complex treatment of the temporomandibular joint pain dysfunction syndrome in vocalists infrared irradiation and ultrasonic treatment eliminates the pain and increased tone of the masticatory muscles in a short time, which increases the amplitude of movements of the mandible and the functional capabilities of the temporomandibular joint with increased professional workload. The proposed course of physiotherapy procedures allows for successful rehabilitation in a complex of therapeutic measures and to improve the effectiveness of treatment of the temporomandibular joint pain dysfunction syndrome, which is especially important for the quality of life of people involved in the vocals.
РАЗВИТИЕ лИЦЕВОГО СКЕлЕТА У ДЕТЕЙ ПОСлЕ РАННЕЙ ПОТЕРИ ВРЕМЕННЫХ РЕЗЦОВ ВЕРХНЕЙ ЧЕлЮСТИ бимбас Е. С., Шишмарева А. С., Мельникова М. А. ФГБОУ ВО «Уральский государственный медицинский университет» Минздрава России, г. Екатеринбург, Россия Аннотация Предметом изучения данной статьи явилось развитие лицевого скелета у детей 6-10 лет. Цель -выявление особенностей развития лицевого скелета после ранней потери временных резцов верхней челюсти по данным цефалометрии.Методология. Проведено ретроспективное когортное исследование с разделением всех исследуемых детей на три группы: на детей с замещением дефекта зубного ряда, детей, не получавших ортопедическую помощь при наличии показаний к ней и детей с физиологической сменой зубов. Пациентам всех групп проводилось полное клиническое обследование, все данные статистически обработаны в программе Microsoft Office Excel. В ходе исследования в каждой группе выделены три подгруппы по данным измерения угла ANB, соответствующие I, II, III скелетным классам.Результаты. В результате исследования выявлено, что во всех исследуемых группах наиболее часто у детей определялось соотношение челюстей по I классу. Соотношение челюстей по II классу в первой и третьей (контрольной) группах наблюдалось значительно чаще, чем во второй, по III классу во второй группе -чаще, чем в третьей и первой. Таким образом, после ранней потери временных резцов верхней челюсти без своевременного протезирования характерно развитие аномалий III класса, а также установлено, что у детей, использовавших профилактические протезы, после ранней потери временных резцов осевое положение постоянных резцов верхней челюсти наиболее благоприятное при различном соотношении челюстей, а диспропорции челюстей менее выражены.Выводы. Своевременное протезирование способствует более гармоничному развитию лицевого скелета. Ключевые слова: ранняя потеря резцов верхней челюсти, профилактическое протезирование, цефалометрия. develOpMent Of children`s facial sKeletOn after early lOss Of teMpOral incisOrs Of the Upper Jaw Bimbas e. S., Shishmareva A. S., Melnikova M. A.annotationThe subject of the study in the article was the development of the facial skeleton in children 6-10 years old. The purpose of this article: to reveal the features of the development of the facial skeleton after the early loss of temporary incisors by means of cephalometry. For this, a retrospective cohort study was conducted with the separation of all the children studied into three groups: a group of children with replacement of a dentition defect, a group of children who did not receive orthopedic help, in the presence of indications to it and a group of children with physiological dentition. Patients of all groups underwent a complete clinical examination, all data were statistically processed in the Microsoft Office Excel program. During the study, in each group, three subgroups were identified according to the ANB angle measurement data, corresponding to I, II, and III skeletal classes. As a result of the study, it was found that in all the study group...
Object. A cephalometric analysis was performed in children with deep distal occlusion. The aim of the study — To determine the age-related changes in the vertical parameters of the face in children with deep distal occlusion. Methodology. The article is devoted to the analysis of cephalometric parameters in patients with deep distal occlusion at different age periods in the groups: 7-9, 10-12, 13-15 years. The calculation of 15 parameters of lateral teleroentgenograms was carried out, of which 12 characterized the vertical development of the facial skeleton and the tooth-alveolar region. The analysis was performed using a computer program for automated analysis of skull radiographs. Results. The study revealed age-related changes in the parameters that characterize the vertical development of the maxillofacial region in children with deep distal occlusion. Conclusion. Changes with age in the parameters of the angles NSL/ML, NSL/NL, anterior and posterior height of the face are early signs of a genetically determined developmental anomaly. An increase in the depth of the incisal overlap with age, a deepening of the Spee occlusal line are interrelated with an increase in the tooth-alveolar height in the incisor region and with a decrease in the tooth-alveolar height in the region of the first molars, especially in the lower jaw. The sagittal position of the upper and lower incisors in distal occlusion does not change with age and corresponds to the average normal values. Established age-related changes in the parameters of the facial skeleton in deep distal occlusion make it possible to determine the area of influence of orthodontic treatment at the stages of bite development — tooth-alveolar, in the vertical plane.
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