Efficiency of Telemedical Technologies in Treatment of Patients With Theoral Mucosa Diseases

The relevance of this work is due to the high prevalence of diseases of the oral mucosa, which have a chronic protracted nature. Underdiagnosis of patients at a dental appointment often leads to complications of various kinds. The aim of the work is to develop an algorithm for providing dental care to patients with diseases of the oral mucosa. 146 patients who applied for dental care took part in the examination. As a result of clinical examination and additional diagnostic methods, defects of the oral mucosa were detected in 19.8% of patients. The patients underwent a basic examination, the nature and intensity of pain on the Hossley-Bergman scale were determined, the area of erosive and ulcerative defects was calculated. Additional examination methods included electromyography and laser Doppler flowmetry. Electromyographic examination during the "bruxism" test made it possible to diagnose muscle hypertension, which is a predictor of the development of chronic injuries. Doppler flowmetry reflected the state and genesis of microcirculatory disorders of the oral mucosa. Thus, there is a decrease in the microcirculation parameter, the mean square deviation and the basal blood flow rate. Carrying out a full-fledged diagnostic complex allows both to identify the root causes of the development of pathologies, and to prescribe pathogenetic therapy taking into account the identified disorders. Timely diagnosis makes it possible to identify pathology at an early stage, which will prevent the development of a number of complications, such as the transition to a more severe form of the disease and malignancy of the decubital ulcer. Compliance by dentists with the algorithm of providing medical care to patients with diseases of the oral mucosa will allow timely identification and elimination of the etiological factor, timely restoration of the functions of the oral mucosa, normalize the functional state of the body.

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Algorithm for Providing Medical Care to Patients With Diseases of the Oral Mucosa

Shkarin

Makedonova

A.V.

2023

Mediko-farmacevtičeskij žurnal "Pulʹs"

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Analysis of monitoring and routing of patients with lichen planus of the oral mucosa according to a questionnaire of doctors

Shkarin

Makedonova

Dyachenko

et al. 2022

Medicinskij alfavit

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The greatest increase in the frequency of occurrence was noted among diseases of the oral mucosa, especially lichen planus (LP). This dictates the need to study the features of LP monitoring and routing of patient data. Currently, the national project «Healthcare» implies, in addition to the main medical federal projects, organizational and digital directions for the development of the Russian Federation. The purpose of the study is to conduct a sociological study of monitoring and routing of patients with lichen planus of the oral mucosa. Materials and methods. To achieve this goal, an anonymous survey of 287 dentists was conducted on the provision of dental therapeutic care to patients with LP SP using a questionnaire developed by us, consisting of 35 questions of clinical, organizational and social aspects. Results and discussion. Specialist doctors noted the need to consult patients using telemedicine technologies, to create an objective way to monitor the pathological process in LP. Conclusion. Dental treatment, aimed not only at eliminating symptomatic factors, but also carried out from the standpoint of preventive medicine, is one of the urgent tasks today. Dentists are acutely aware of the lack of computerized methods for monitoring and routing patients with LP SBP, which should be the goal of the developed medical complexes.

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Development and justification of a hardware and software complex for the diagnosis of diseases of the oral mucosa

Shkarin

Makedonova

Dyachenko

et al. 2023

Medicinskij alfavit

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Relevance. Currently, a significant increase in diseases of the oral mucosa, manifested by inflammatory and destructive lesions, has been revealed. To determine the correct tactics for the treatment of inflammatory and destructive lesions in lichen planus, it is necessary to comprehensively assess the situation in the oral cavity, taking into account planimetry data, the size of the inflammatory background, the presence of exudate, the severity of pain syndrome, and also include criteria for the stages of the lesion in the evaluation system, which requires a personalized and differentiated approach to patient management tactics. The purpose of this work was to develop and substantiate a hardware and software complex for the diagnosis of diseases of the oral mucosa. Materials and methods. The study involved 34 patients with erosive and ulcerative form of lichen planus. The patients were diagnosed with pathological elements of the oral mucosa using the developed hardware and soft-ware complex. Pain was determined (in points), the area of inflammation, the area of fibrinous plaque, the total area of the lesion for 14 days. Assessment of the stages of the pathological process contributed to the differentiated appointment of pharmaceuticals. According to the results of the clinical examination, the effectiveness of the hardware and software complex for the diagnosis of diseases of the oral mucosa has been proved and justified. Conclusion. During the study, it was reliably proved that the use of a hardware and software complex is advisable to include in the algorithm of examination of patients with diseases of the oral mucosa. No side effects and complications were detected. When drawing up a treatment plan, it is necessary to approach each patient individually, depending on the clinical situation.

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Efficiency of Telemedical Technologies in Treatment of Patients With Theoral Mucosa Diseases

Cited by 7 publications

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Algorithm for Providing Medical Care to Patients With Diseases of the Oral Mucosa

Algorithm for Providing Medical Care to Patients With Diseases of the Oral Mucosa

Analysis of monitoring and routing of patients with lichen planus of the oral mucosa according to a questionnaire of doctors

Development and justification of a hardware and software complex for the diagnosis of diseases of the oral mucosa

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