Hemomicrocirculation of tissues around dental implants: clinical and functional parallels

Makedonova, Yu. A.; Михальченко, Д В; Dyachenko, D. Yu.; Veremeenko, S. A.

doi:10.33925/1683-3759-2020-25-4-338-342

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…As a response to the impact of such aggravating factors as pain, blood loss [7], mechanical tissue damage [1][2][3][4][5], hypoxia [6], increased free radical oxidation [8,9], a non-specific neuroendocrine reaction appears [10]. Consequently, the influence of different types of therapeutic approaches for the treatment of post-prosthetic complications is reflected in the dynamics of changes in serum concentrations of both catecholamines (epinephrine, norepinephrine) [11] and glucocorticoids (cortisol) -hormones of the medulla and the adrenal cortex [12].…”

Section: R E L E V a N C Ementioning

confidence: 99%

Immunological Assessment of the Stress Response in Patients With Inflammatory Postprothetic Complications

Makedonova¹,

Михальченко²,

Kurkina³

et al. 2021

ArveMED

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Post-prosthetic complications during dental implantation are accompanied by pain symptoms leading to disorders of the psychoemotional state. All this influences the behavior of patients. In addition, psychoemotional stress is often a factor of provocation and persistence of the complications. The presence of a stress state in the identified pathology, as well as the influence of various therapies on the treatment of post-prosthetic complications, is reflected in the dynamics of changes in the concentrations of both catecholamines (epinephrine, norepinephrine) and glucocorticoids (cortisol) — hormones of the medulla and the adrenal cortex. The aim: to conduct an immunological analysis of the stress response in patients with postprosthetic complications during dental implantation. Materials and methods: The study was performed in 120 patients with post-prosthetic complications during dental implantation before and during treatment: Group I (control) — 30 patients treated with the conventional therapy; group II — 30 patients treated with ozone therapy in addition to the conventional therapy; group III — 30 patients treated with transcranial electrical stimulation in addition to the conventional therapy; Group IV — 30 patients treated with a combination of conventional therapy, ozone therapy and transcranial electrical stimulation. The concentration of epinephrine, norepinephrine, cortisol, alkaline phosphatase, and the Garkavi index were evaluated. Results: The change in these indicators after the treatment indicates the normalization of the level of the studied enzymes — markers of bone homeostasis, which is confirmed by an improvement in the clinical picture in the oral cavity. Conclusion: changes in immunological parameters objectively reflect the psychoemotional state of patients. The nature of changes in the hormonal stress response to the treatment of post-prosthetic complications indicates the effectiveness of the therapeutic regimens used, and, as a result, a decrease in both pain symptoms and psychoemotional stress.

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Section: R E L E V a N C Ementioning

confidence: 99%

Immunological Assessment of the Stress Response in Patients With Inflammatory Postprothetic Complications

Makedonova¹,

Михальченко²,

Kurkina³

et al. 2021

ArveMED

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“…Changes are observed in the oral cavity, the severity of which depends on the severity of the course, the age of the patient and the duration of the course of the general somatic pathology [12]. The most characteristic changes in the oral cavity are xerostomia, catarrhal stomatitis and glossitis, fungal stomatitis, mycotic congestion, paresthesia of the oral mucosa, trophic disorders, lichen planus, gingivitis, periodontitis, mucositis [9]. At the same time, a two-way relationship is monitored [8], as inflammatory diseases in the oral cavity can contribute to the occurrence and exacerbation of chronic diseases of the body, and general somatic pathology can cause changes in the oral cavity [1][2][3][4][5][6] Psychoemotional stress is also no exception in the development of inflammatory complications in the oral cavity [10].…”

Section: Introductionmentioning

confidence: 99%

The Role of Psychoemotional Stress in the Development of Inflammatory Post-Prosthetic Complications

Makedonova¹,

Михальченко²,

Gavrikova³

et al. 2021

ArveMED

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Relevance: Before starting the treatment, the patient's medical history should be carefully studied. Special attention should be paid to the presence/absence of diseases of the cardiovascular system, kidney disease, endocrine pathology, and the psychological state of the body. These diseases can directly affect the dental status and worsen the clinical picture. Psychoemotional stress and inflammatory post-prosthetic complications are reciprocal risk factors. Psychophysiological disorders can lead to the development of dental complications in the oral cavity and vice versa, mucositis can cause a stress reaction in a person. This assumption served as the purpose of this study. Materials and methods: During implant treatment, the analysis of the psychophysiological state in patients with inflammatory post-prosthetic complications was carried out according to 3 parameters (the results of the questionnaire, based on heart rate variability and using software), parallel to the assessment of the dental status in 30 patients. Stress and mucositis should be treated simultaneously, with sedation support where necessary. Outcomes: All patients showed a high level of stress. During the dental examinationthe presence of inflammation of the parotid tissue was detectes. Conclusion: Psychoemotional stress can be one of the initiating factors in the development of inflammatory complications during dental implantation. The main task of a dentist is, first of all, to identify the early stages of the development of the disease, and secondly, to provide not only symptomatic, but also pathogenetic treatment, taking into account the factors that facilitate the development of this pathology.

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Comparative analysis of clinical and functional parameters of the gingival margin of patients with low crown height against the background of various methods of preparation for prosthetics

Veremeenko

Makedonova

Verstakov

et al. 2023

Journal of Volgograd State Medical University

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Currently, one of the most common types of prosthetics are restorative crowns or bridges, which cannot provide high-quality retention and long-term fixation with a low crown of supporting teeth. For an orthopedic dentist, the question arises of choosing a method of preparation before prosthetics. In this work, a comprehensive examination and treatment of 95 patients with a low crown of supporting teeth was carried out, who were randomized into 3 groups according to the methods of preparation for orthopedic treatment gingivoretraction, gingivectomy and gingiviplasty. The change in the state of the dentoalveolar complex was carried out clinically and functionally. The hygienic index API, papillary bleeding index PBI, the index of need for periodontal treatment CPITN, gum recession and depth of probing were determined. Laser Doppler flowmetry was used to assess the state of local blood flow and vasomotor activity of vessels. The studied parameters were evaluated before the start of preparation for orthopedic treatment and after 14 days. During the study, complications and side effects were not revealed, however, clinical and functional indicators indicate that preference should be given to gingivoplasty as one of the qualitative methods of preparing the dentoalveolar complex in patients with a low crown of supporting teeth.

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Hemomicrocirculation of tissues around dental implants: clinical and functional parallels

Cited by 6 publications

References 4 publications

Immunological Assessment of the Stress Response in Patients With Inflammatory Postprothetic Complications

Immunological Assessment of the Stress Response in Patients With Inflammatory Postprothetic Complications

The Role of Psychoemotional Stress in the Development of Inflammatory Post-Prosthetic Complications

Comparative analysis of clinical and functional parameters of the gingival margin of patients with low crown height against the background of various methods of preparation for prosthetics

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