[An integrated approach to reducing hyperesthesia of teeth in patients with underlying somatic pathology]. / Kompleksnyi podkhod v reabilitatsii patsientov s giperesteziei tverdykh tkanei zubov na fone somaticheskikh zabolevanii.

THE AIM OF THE STUDY: Was to analyze the effectiveness of therapeutic and preventive measures aimed at reducing hyperesthesia of hard dental tissues in patients with background somatic diseases. MATERIALS AND METHODS: The study involved 113 patients with increased tooth sensitivity and treated in the gastroenterological and endocrinological departments of the S.M. Kirov City Clinical Hospital No.3¼ in Astrakhan in the period from 2018 to 2021 at the age of 26-43 years. The main group included 52 patients with confirmed diagnoses of gastric and duodenal ulcer, pancreatitis and type II diabetes mellitus who were treated for dental hyperesthesia with an integrated approach. The control group included 61 patients with periodontal disease without background somatic pathologies in whom hyperesthesia was treated by remineralizing therapy. The effectiveness of the treatment was determined in dynamics on the 10th and 40th days of treatment using OHI-S, PMA indices, dental hypersensitivity prevalence (DHP), dental hypersensitivity intensity (DHI), Dental Sensitivity Index (DSI), Efficacy of Dental Sensitivity Index (EDSI). In addition, the pH of saliva, the activity of lysozyme and S-IgA, and the levels of cytokines IL-1ß, IL-4, IL-6, and IL-8 were determined. RESULTS: The average value of OHI-S in the main group on the 10th day of treatment decreased from 2.25±0.12 (poor level of hygiene) to 1.47±0.09 (satisfactory level). The PMA index in the main group also tended to decrease from 32.1±1.44% (moderate degree of gingivitis) to 20.5±2.08% (mild degree) on the 10th day of treatment. The average values of DPH, DPI, EDSI and DSI in the main group had a noticeable decrease already on the 10th day from the start of treatment (from 12.3±1.66% to 2.1±1.22%; from 2.5±0.48 to 1.2±0.16; from 48.3±1.14% to 40.8±1.71%; from 42.1±2.07% to 20.8±1, 65% respectively). In the main group on the 10th and 40th day of treatment the pH values of non-stimulated and stimulated saliva stabilized (from 4.61±0.12 to 6.94±0.07 and from 5.47±0.21 to 7.42±0.24, respectively), the activity of lysozyme increased (from 45.97±1.46% to 55.19±0.96%) alongside with secretory IgA (from 0.17±0.02 to 0.33±0.21 mg/ml). Also, indicators of cytokines IL-1ß, IL-4, IL-6, IL-8 tended to improve. The analysis of the control group revealed persistent mean values that did not yield to significant changes either in the course of treatment. CONCLUSION: Thus, in patients of the main group, the results obtained indicate an improvement in the dental status and activation of cytokine regulation, providing a combination of active components of the mineral complex. In controls the method of remineralizing therapy for tooth hyperesthesia alleviated dental hypersensitivity, but without significant improvement of the laboratory results.

[Analysis of the quality of orthodontic care for children with partial defects of dentition in the dental organizations of various forms of ownership]. / Analiz kachestva ortodonticheskoi pomoshchi detyam pri chastichnykh defektakh zubnykh ryadov v stomatologicheskikh organizatsiyakh razlichnoi formy sobstvennosti.

THE AIM OF THE STUDY WAS: To conduct a comparative analysis of the quality of medical care for children and adolescents with dentoalveolar anomalies in dental medical organizations of different organizational and legal basis and forms of ownership. MATERIAL AND METHODS: The analysis of orthodontic records of children and adolescents with dentoalveolar anomalies and factors predisposing to their development in 1032 patients aged from 6 months to 18 years was carried out with the use of orthodontic patient records classification of L.S. Persin (2020). The effectiveness of orthodontic care for children and adolescents with various forms of anomalies of the dentition was analyzed. The draft clinical guidelines have been developed depending on the patient model. RESULTS: As shown by the data of orthodontic records of patients, 12% of patients applied during the formation of occlusion of deciduous teeth, 9.2% of children in the early mixed dentition phase, 66.5% of patients in the late mixed dentition phase, and 12.2% of patients first admitted in the permanent dentition phase. As for the analysis of the quality of orthodontic care for children and adolescents with dentoalveolar anomalies in dental organizations of various forms of ownership, the results are controversial. CONCLUSION: Most often in the orthodontic charts data on dentition anomalies were filled, followed by the anomalies of the teeth, anomalies of occlusion in the sagittal direction, anomalies of occlusion in the vertical direction and partial defects of the dentition. Anomalies of soft tissue attachment, anomalies of occlusion of molars on the right and left with palatoocclusion, and anomalies of occlusion of molars on the right and left with linguo-occlusion were less common in orthodontic charts.