Introduction: Orthodontic treatment often causes inflammatory diseases in the oral cavity. The aim: То іncrease the effectiveness of prevention of inflammatory complications in the provision of orthodontic care to children with dentomaxillary anomalies using nonremovable orthodontic devices on the basis of study of clinical and biochemical parameters. Materials and methods: The study was conducted among 100 patients divided into two groups: control and experimental group 2 (50 patients in each). The control group included healthy children without dento-maxillary anomalies. The second group were children aged 9-15 years with dento-maxillary anomalies which used non-removable (bracket systems) orthodontic devices. The oral fluid was collected at the beginning of the medical application of orthodontic devices (at the first day of treatment in the clinic) and after 3 and 6 months of treatment. The study included the definition of the oral hygiene degree by using the Green-Vermillion index (OHI-S), the modified Fedorov-Volodkin’s and Siness-Loe index, the determination of hydrogen sulfide and total protein levels, the content of nitrogen metabolites in the oral liquid. Results: The use of non-removable orthodontic devices led to signs of inflammation in the oral cavity. This was accompanied by a deterioration of the oral hygiene, increase the total protein, hydrogen sulfide and nitrogen metabolites levels in the oral fluid. Conclusions: Complex accounting is required of keeping oral hygiene in good condition, level determination of total protein, hydrogen sulfide and nitrogen metabolites for the prevention of the development of inflammatory diseases in the provision of orthodontic care.
In Ukrainian young men (n=49) or young women (n=76) with orthognathic occlusion with different face types, numerous reliable and tendencies of differences of cephalometric parameters by the Stainer method were established. Among the indicators belonging to the second group (indicators of the upper and lower jaws according to the Steiner method), significant differences were found only between young women with a very wide face and other types of faces. Among the indicators belonging to the third group (indicators by the Steiner method that characterize the position of each individual tooth relative to each other, cranial structures and soft tissue profile of the face), more pronounced differences are also found between young women with very wide faces and other facial types; among young men – with representatives with a wide face compared to the middle and narrow face types. Among the cephalometric parameters belonging to the second group of indicators, the expressed manifestations of sexual dimorphism of cephalometric parameters are established only for linear indicators; among the parameters belonging to the third group of indicators, the manifestations of sexual dimorphism are established for both linear and angular indicators.
Numerous studies have shown that teleroentgenographic indicators differ in people of different races, ethnicities, different populations, inhabitants of different geographical areas and often differ from the values of such indicators described by the authors of classical methods of cephalometric analysis. The aim of the study was to establish teleroentgenographic parameters that can be most often corrected during orthodontic and surgical interventions and to determine their features in Ukrainian young men and young women with orthognathic occlusion depending on profiles and facial types according to Schwarz A. M. The results of studies of lateral teleroentgenogram of the head of 49 young men aged 17 to 21 years and 76 young women aged 16 to 20 years with a physiological bite as close as possible to orthognathic using dental cone-beam tomography Veraviewepocs 3D Morita (Japan) are presented in this work. The morphometric teleroentgenographic parameters of the upper and lower jaws and inter-jaw parameters, which can most often change during surgical, orthodontic, cosmetic interventions in groups of persons with different profiles or types of faces according to Schwarz A. M., were determined. All significant differences between groups of young men with different facial profiles and between groups of young women with different facial profiles are of the same type: in both young men and young women with the first type of face profile – angle B is greater than in representatives with the third profile type, and angle MM is greater than in representatives with the third and second profile types; both in young men and young women with a second face type profile – distance R.asc. larger than the representatives with the first profile type; in both young men and young women with the third face profile type, the angle F is larger than in the representatives with the first profile type, the angle I is larger than in the representatives with the first and second profiles type, and the distances L-Mand and R.asc. larger than the representatives with the first profile type; the angle T have greater values in young men or young women with the first profile type of the face than with the second and third profiles type and have greater values in the representatives with the second profile type than with the first type profile of the face. Another picture is observed in the analysis of indicators in young men and young women with different face types. Thus, in persons with the third type of face the distance Max is greater than in persons with the first type and with the second type of face; the angle F in young men or young women with the third type of face is greater than in representatives with the second and first types, and in representatives with the second type – greater than in young men or young women with the first type of face. Young men with the first type of face have higher values of angles G, B and T than young men with the third type and angle B than young men with the second type of face; in young men with the second type of face – greater values of angle I than in young men with the first type and angle B than in young men with the third type of face; young men with the third type of face have larger values of angle I and distance R.asc. than young men with the first type of face. In young women, only tendencies to higher values of I and T angles were recorded in persons with the third type of face than with the first type. The obtained results indicate the need to divide young men and young women into separate groups according to the profile and type of person for an individualized approach to the definition and analysis of teleroentgenographic indicators in the population of Ukraine.
The introduction of laser systems into the dental practice takes an important place in the development of methods for accelerated and effective treatment of viral diseases. As a matter of fact, laser radiation blocks the inflammatory process, suppresses the pathogenicity of the virus, improves the processes of microcirculation. The use of tea tree oil-based preparations promotes regeneration and restoration of the tunica mucosa of mouth. The aim of this study is to assess the therapeutic efficacy of combined use of laser radiation with “Tebodont” gel based on tea tree oil in the treatment of recurrent Herpes simplex Labialis. Clinical observation of 44 patients was conducted on the basis of Pyrohov Memorial Vinnytsia National Medical University at the age from 17 to 22 years old. Among them there were 26 women and 18 men with a prolonged history of the disease within 6 years or more: light severity. Diagnosis of the disease was performed on the basis of complaints of patients, results of objective examination and molecular-biological method of polymerase chain reaction (PCR). To assess the treatment efficiency, patients were divided into three levels according to the number of group: I, II and control. All patients were prescribed a commonly agreed treatment regimen, which included the local application of antiviral “Herpevir” ointment for the first 3 days, anaesthetic gel “Kamistad”, and keratoplastic agents to stimulate the epithelization. Patients of I group, with the exception of “Herpevir” ointment, during the first 3 days of the disease received a daily two-time application of “Tebodont” gel on the affected lip area until the final epithelization. Patients of II main group underwent laser contactless irradiation of the affected lip area with diode laser Picasso made by the company “AMD Lasers” (USA) in a continuous mode with the power range of 0.5 Watt using non-activated fibre and “Program 4”. Exposition – 2 minutes on the area, number – 5 procedures and daily two-time application of “Tebodont” gel on the affected lip area until the final epithelization. The efficiency was being assessed within two weeks from the starting date of treatment based on subjective data and clinical examination results. Patients of I main group began to recover on 3-4 days of examination. Full epithelization of the affected area occurred on the 5-6 days of treatment. All patients of II main group showed an improvement in the clinical picture already on the second day after the treatment. They noted a decrease in pain, edema, and hyperaemia. Complete epithelization of erosive defects in patients was observed on the 3-4 days of the examination. Patients of the control group noted an improvement in the clinical picture of the disease – decrease of discomfort, pain, only on the fifth day of treatment. Initial manifestations of epithelization of the affected area were observed in the patients of this group only on the 7-8 days. High efficiency of treatment in the main groups was observed already on the 5th day of treatment and constituted 100% in II and 79% in the I group. In the control group, complete healing occurred only on the 10-12 days of treatment. Obtained results of the study certify that the use of laser radiation in combination with tea tree oil-based “Tebodont” gel in the treatment of recurrent Herpes simplex Labialis, in terms of therapeutic efficiency, exceeds conventional medical treatment. The prospect of further research is to develop and introduce modern methods for the treatment of diseases of the tunica mucosa of mouth into the dental practice with the usage of laser radiation and preparations based on tea tree oil.
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