Розвиток сучасної дентальної імплантології як науки відбувається стрімко, набуваючи масштабів, що вражають. Незважаючи на безсумнівні досягнення, важливою проблемою дентальної імплантації є ризик виникнення післяопераційних ускладнень запального характеру. Мета роботи-оцінити ефективність запропонованої диференційованої медикаментозної терапії в післяопераційному періоді у хворих, яким проведена дентальна імплантація, за результатами динамічного спостереження за клінічною картиною в найближчі терміни до 3 місяців. Матеріали та методи. Обстежили 124 соматично здорові людини (54 чоловіки та 70 жінок) віком від 18 до 34 років. Серед обстежених 25 осіб з інтактним пародонтом, 35 хворих на хронічний катаральний гінгівіт (ХКГ), 30 хворих на генералізований пародонтит (ГП) початкового-І, І ступеня, 34 хворих на ГП І, І-ІІ ступенів тяжкості. Пацієнтів поділили на 2 групи: дослідна (62 пацієнти), яка в ранньому післяопераційному періоді отримувала запропоновану медикаментозну терапію (обсяг визначався вихідним гігієнічним станом порожнини рота); контрольна (62 пацієнти), котра одержувала традиційне лікування. Оскільки пацієнтам зі здоровим пародонтом (25 осіб) недоцільно призначати спеціальну медикаментозну терапію після операції імплантації, вони склали групу порівняння. Хворим на ХКГ у післяопераційному періоді рекомендована монотерапія з застосуванням імуномодулювального препарату «Імудон» у вигляді пігулок для розсмоктування по 6 на день протягом 2 тижнів. Хворим із ГП початкового, початкового-І ступеня та І, І-ІІ ступенів рекомендовано поєднане призначення імуномодулювального препарату «Імудон» у зазначеній схемі та універсального антимікробного препарату широкого спектра дії «Мірамістин» протягом 2 тижнів. Контрольні дослідження виконували через 1 тиждень після зняття швів, потім щотижня протягом 3 місяців до початку другого етапу операції.
Harmonious facial aesthetics, proper bite, straight teeth are an integral part of individual psychological well-being and a modern person’s professional success. According to scientific studies, orthodontic pathology occupies third place in terms of incidence among dental diseases after dental caries and periodontal diseases. Being man-made polluted, the Donetsk region also has a high prevalence of dentoalveolar anomalies. In 7-15 year old children, the incidence rate is 68-90%. The aim of the study is to research the prevalence and structure of dentoalveolar anomalies among students of a medical university in the Donetsk region. Materials and methods. To fulfill the purpose of the study we analyzed the orthodontic status of 300 Donetsk National Medical University students. Examinations of students were performed according to the generally accepted method in dentistry. The material of the clinical trial was subjected to variational-statistical analysis in accordance with the purpose of the study. Results. The analysis of the study data showed that there were abnormalities in the attachment of the oral soft tissues, namely 56,0% (168/300) of those examined had a short bridle of the tongue, 20,0% (60/300) of students – a short bridle of the upper lip, 5,3% (16/300) patients – a short frenulum of the lower lip and 17,3% (52/300) of those examined – a shallow vestibule of the mouth. The data on the orthodontic status of the examined patients showed that the prevalence of dental anomalies was 98,7% (296/300). 64% (192/300) of examined subjects had anomalies of occlusion in combination with anomalies of individual teeth. Anomalies of individual teeth without occlusion pathology were diagnosed in 34,7% (104/300) of patients. 1,3% (4/300) of students have been found to be orthodontically healthy. Moreover, the case history of those examined shows that 30,7% (92/300) of students underwent orthodontic treatment in the past, which was not always successful. The external examination revealed facial signs of dentoalveolar anomalies in 50,0% (148/296) of students, which indicates the gnathic nature of orthodontic pathology. Deep bite (54,2%) and deep occlusion in combination with distal occlusion (25,0%) were significant. Class 2 pathology was detected in 10,4% (20/192) of individuals. The examination did not reveal any cases of open bite in the subjects. The prevalence of crossbite and mesial occlusion was low and amounted to 8,3% (16/192) and 2,1% (4/192) of cases, respectively. Teeth rotation was prevalent (71,6%; 212/296) among 296 students who had anomalies of individual teeth and dentition (isolated or combined with an occlusion anomaly). The results of the study indicate that 56,6% of those examined (120/212) had lower teeth rotation, 26,4% of subjects (56/212) presented with the combination of this pathology in both jaws, and tortoanomaly of upper teeth was found in 17,0% (36/212) of cases. Crowding of the frontal mandible segment was also a common pathology (58,1%;172/296), the first degree of this pathology’s severity being prevalent (79,0%; 136/172). Examination of students showed that 51,4% of subjects had a vestibular position of individual teeth (152/296). Oral position of teeth and crowding of the frontal upper segment were less common and were observed in 43,2% (128/296) and 29,7% (88/296) cases, respectively. Among the examined students diastemata and tremata were diagnosed in 13,5% (40/296) and 25,7% (76/296) cases, respectively. It should be noted that this pathology predominantly affected the upper jaw: diastema occured in 90% (36/40), and tremata in 57,9% (44/76) of cases. The examination revealed an abnormal inclination of the students’ front teeth. The overall prevalence of protrusion of incisors was 13,5% (40/296), maxillary protrusion of teeth being most prevalent (90%; 36/40). The incidence of incisor retrusion was 10,8% (32/296). Also, this pathology predominated in the upper jaw (87,5%; 28/32). The study of dentition disorders revealed the prevalence of transversely and sagittally oriented changes in the shape of dental arches. The results revealed that the shortening of the dentition was the most common dentition deformation, being detected in 66,9% (198/296) of cases. The narrowing of the dentition was found in 51,0% of subjects (151/296). Conclusions. Such studies allow to improve the prevention principles of dentoalveolar anomalies and to organize the timely provision of specialized medical care.
The dynamics of biochemical parameters (lipid peroxidation, medium molecular peptides, prostaglandins) blood levels after periodontal tissues surgery of 24 dogs with spontaneous periodontitis has been studied. Animals were divided into groups with normal, hyper- and hyporeactivity of the body. It has been revealed that the changes of the studied biochemical parameters during normoreactivity of the organism are mutually correlated, which provides synchronization of necrotic and reparative processes in the healing of mucosal wounds after patch surgery in cases of spontaneous periodontitis. When hyperreactivity of organism is observed, the changes of indicators of lipid peroxidation, medium molecular peptides and prostaglandins promote strengthening of necrotic processes, and in cases of hyporeactivity they boost their slowing down that in both cases leads to delay of reparation in healing of an artificial mucous-bone wound. Keywords: spontaneous periodontitis, reactivity of the organism, wound healing, biochemical parameters.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.