[Psychoneurological and degenerative-dystrophic disorders in patients with pathology of the temporomandibular joint]. / Psikhonevrologicheskie i degenerativno-distroficheskie narusheniya u patsientov s disfunktsional'nym sindromom visochno-nizhnechelyustnogo sustava.

OBJECTIVE: The aim of the study is to detail neuropsychiatric and degenerative-dystrophic disorders in patients with dysfunctional TMJ syndrome and develop principles for their correction. MATERIAL AND METHODS: 84 patients with complaints of impaired TMJ function were examined: 14 men (16.67%) and 70 women (83.33%) aged 18 to 74 years. The average age of the patients was 63.22±18.82 years. The analysis of the dental status was carried out, the state of the musculoskeletal system and somatic status in patients with dysfunctional TMJ syndrome was studied. Methods of diagnosis of autonomic dysfunction syndrome were used to assess the state of neuropsychiatric status. Occlusive disorders were evaluated in relation to the peculiarities of maintaining posture and autonomic joint dysfunction. RESULTS: Occlusive disorders were assessed in relation to the peculiarities of posture maintenance and autonomic dysfunction of the joint. Pathology of the temporomandibular region was accompanied by psychovegetative disorders in 80% of patients. At the same time, autonomic dysfunction was diagnosed with pathological changes in the autonomic index, the formation of anxiety and depression. CONCLUSION: The adequacy of rehabilitation measures was associated with the preparation of rehabilitation programs, considering the severity of dental pathology, the state of the somatic and emotional-volitional spheres. Elimination of musculo-articular dysfunctions and pain syndrome was of leading importance in the rehabilitation of patients.

[Evaluation of the dynamics of prosthetic dental care provided to patients with the complete absence of teeth in the Perm district]. / Otsenka dinamiki ob"ema ortopedicheskoi pomoshchi patsientam s polnym otsutstviem zubov v Permskom krae.

BACKGROUND: Currently, one third of the world's population aged 65-74 years has partially or completely missing teeth. In our country, the data of epidemiological studies are scattered. OBJECTIVE: The aim of the study is assessment of the dynamics of the volume of orthopedic care provided to patients with complete absence of teeth in the Perm Region. MATERIAL AND METHODS: The study of the volume of orthopedic care provided to patients with complete absence of teeth was carried out on the basis of a detailed retrospective analysis of their referral to dental clinics in the Perm Region for the period from 2014 to 2020. To assess the long-term dynamics of indicators of the volume of orthopedic care provided to patients with complete absence of teeth, the least squares method was used-gradation of growth rates. RESULTS: This investigation shows the trend of increasing the volume of orthopedic care provided to patients with complete absence of teeth for the period from 2014 to 2020. The average annual growth rate was 5.2%, this situation may be partly due to the accumulation of chronic inflammatory diseases of the oral cavity in the population. Among the patients who applied for dental orthopedic care with complete absence of teeth, women prevailed - 61.8%. The average age of patients with complete absence of teeth was 63.2±1.6 years. CONCLUSION: The trend of increasing the volume of orthopedic care provided to patients with complete absence of teeth in the Perm Region indicates unfavorable changes in the overall dental morbidity over the period 2014-2020 and increased availability of removable dentures with complete loss of teeth. Forecasting the volume of care for patients in this category is important for planning preventive measures.

[Salivary level of lipid peroxidation products as a predictor of dental implantation complications]. / Uroven' perekisnogo okisleniia lipidov sliuny kak prediktor oslozhnenii dental'noi implantatsii.

The aim of the study was to elucidate of changes in the level of lipid peroxidation products in saliva for the development of a method for the early diagnosis of complications in dental implantation. The study included 53 patients with complications of implant treatment, 31 patients with a safe outcome of dental implantation, and 13 clinically healthy individuals. In the saliva obtained at the stage of preparation for dental implantation, the content of products of lipid peroxidation was determined. Re-saliva was taken four months after dental implantation or in the case of peri-implantitis verification. It is established that the development of inflammatory complications of dental implantation is accompanied by the development of oxidative stress, which leads to local accumulation of lipoperoxidation products. An increase in the salivary level of products of lipid peroxidation during dental implantation is observed before the formation of clinically significant changes in the tissues of the implantation canal and is associated with a high risk of development of inflammatory complications of dental implantation. The most informative and prognostically unfavorable is the increase in the salivar level of the Schiff bases.

[The efficacy of divasa in the early recovery period of ischemic stroke]. / Effektivnost' preparata divaza v rannem vosstanovitel'nom periode ishemicheskogo insul'ta.

AIM: To evaluate the efficacy of the drug divasa in treatment of cognitive and emotional disorders in patients in the early recovery period of ischemic stroke (IS). MATERIAL AND METHODS: The study included 60 patients, aged from 45 to 64 years, in the early recovery period of IS. The main group (n=30) received divasa in the dose of 2 tablets three times a day for 12 weeks in the combination with standard treatment, patients of the comparison group (n=30) received only standard treatment. Treatment efficacy was assessed using psychometric scales at baseline (21st day after stroke onset), in 3rd and 12th weeks of the study. RESULTS: Divaza significantly improved cognitive status as assessed with MMSE and reduce anxiety symptoms according to the Hamilton anxiety scale after three weeks of treatment. This statistically significant trend was observed after 12 weeks treatment. Correction of cognitive and emotional capacities contributed to a significant increase in quality of life (SS-QOL) in patients of the main group. The drug was well-tolerated by all patients and had no side-effects. CONCLUSION: Divaza can be used in patients in the early recovery period of IS as the drug with nootropic, vasoactive and antioxidant properties.

[The comprehensive pathogenetic approach to the neuro-orthopedic rehabilitation of the children of different age presenting with cerebral palsy].

OBJECTIVES: The present study was aimed at the improvement of comprehensive neuro-orthopedic rehabilitation of the children of different age presenting with cerebral palsy. MATERIAL AND METHODS: A total of 267 patients with infantile cerebral paralysis at the age from 1 year to 16 years were available for the observation including 158 (59.2%) boys and 109 (40.8%) girls. RESULTS: The orthopedic treatment of locomotor disorders was adjusted for the patients' age, the neuropsychiatric status, and the type of autonomous dysfunction. The conservative treatment was given 104 (39%) patients and the surgical intervention performed on 163 (61%) ones. Vegetative disbalance was the predominant condition in the children aged up to 3 years. Orthopedic alignment of the muscle tone was one of the most common methods of the treatment. We used milestone plaster bandages for immobilization followed by wearing the orthoses and orthopedic shoes in combination with massage and therapeutic physical exercises. The surgical treatment aimed at the normalization of the musculo-ligamentous apparatus was the predominant strategy for the age group of 4-7 years. The conservative treatment was most frequently prescribed for the correction of vegetative dystonia. The physiotherapeutic methods were applied differentially. In the groups of children aged from 8 to 12 years and from 13 to 15 years, the surgical correction was aimed at the elimination of gross deformities. The differentiated treatment and the use of different types of equipment proved highly efficient for the elimination of muscle spasticity and hypotrophy as well as for the correction of corporal deformities. Moreover, it helped to restore and improve the motor ability. The children's physical development and mental capacity have also been stimulated.

[Sinusoidal modulated currents for the complex rehabilitation of the patients presenting with pediatric cerebral palsy during a school year].

The objective of the present work was to study the adaptation of patients with pediatric cerebral palsy to the educational process throughout the academic year. The patients were examined with the use of the method of variational cardiointervalography in the beginning and the end of the school year and during exposure to sinusoidal modulated currents applied to the vegetative nods on the neck. It was shown that the clinical conditions of the patients with cerebral palsy in the beginning of the school year were dominated by ergotropic influence. The introduction of sinusoidal modulated. currents in their rehabilitative treatment increased the adaptive capacity of the brain and promoted the trophotropic influence.

[Emotional and autonomous presentations of metabolic syndrome in childhood].

We examined 46 children and adolescents, aged from 7 to 16 years, with metabolic syndrome (MS) and 20 healthy volunteers. Diagnosis was established by the presence of abdominal obesity. Total cholesterol, low density proteins, atherogenity index, blood insulin and glucose with the determination of insulin resistance index were measured. A special table suggested by A.M. Vein was used for assessment of autonomous tonus and reactivity, Kerdo index and Danini-Ashner reflex were calculated. Compensatory abilities in children with MS were determined by the results of variation cardiointervalography with the calculation of main indicators. The study of autonomous provision of activity was carried out using the experimental modeling of activity: mental, emotional. Emotions and personality were assessed by Shmishek-Leonhard questionnaire. The neurological examination did not reveal focal symptoms. The disintegration of the autonomous system activity manifested itself by the activation of ergotropic link accompanied by the changes in autonomous reactivity and formation of inadequate provision of activity. The results of psychological examination revealed the ecstatic type of accentuation that indicated high emotionality and psychological lability of subjects.