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Artigo em Russo | MEDLINE | ID: mdl-33899448


Chronic pain syndromes in the neck and shoulder girdle are one of the important clinical problems due to their high prevalence. In addition, it's of great interest to study the mutual influence of the musculoskeletal system pathology, balance organs and dentoalveolar system due to the possible negative impact of these structures on each other which surely affects the treatment timing and its results. OBJECTIVE: To develop a diagnostic algorithm and a comprehensive program for the treatment and rehabilitation of patients with cervicobrachialgia combined with pathological dental occlusion. MATERIAL AND METHODS: The study involved 90 persons of both genders aged 18 to 55 years consisted of 3 clinical study groups (25 patients) and one control group (15 healthy persons). The clinical groups included 75 patients with chronic myofascial pain syndrome in the neck and shoulder girdle resistant to drug therapy, with temporomandibular joint (TMJ) dysfunction and/or pathological dental occlusion (PDO). The groups were formed depending on the chosen treatment methods: manual therapy was used in the 1st group; in the 2nd group - dental treatment aimed at correcting PDO; in the 3rd group the manual therapy was used together with the correction of the jaws' occlusal relationship. RESULTS: In the study course the most effective algorithm for the diagnosis and rehabilitation of patients with cervicobrachialgia caused by pathological dental occlusion was determined. Positive clinical results were noted in patients of all three groups; however, in the 3- group where manual therapy and complex dental treatment were carried out the results are not differing significantly from the controls. The study showed that in patients with myofascial pain syndrome at the cervical and shoulder levels caused by TMJ dysfunction and pathological dental occlusion it's advisable to include manual and osteopathic diagnostics in the algorithm. Manual muscle testing, posture tests in combination with 3D X-ray imaging and computerized functional studying the maxillofacial region should be used to identify etiology-pathogenesis links between these conditions. These methods are also applicable for quality control of treatment. CONCLUSION: Thus, as a study result the diagnostic algorithm was developed; it allows to determine the relationship of pharmacoresistant pain syndrome of the cervicobrachial region with dental pathology at high degree of accuracy; and a comprehensive interdisciplinary approach to the therapy and rehabilitation of this combined pathology was proposed.

Oclusão Dentária , Síndromes da Dor Miofascial , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Postura , Adulto Jovem
Stomatologiia (Mosk) ; 88(1): 32-7, 2009.
Artigo em Russo | MEDLINE | ID: mdl-19365345


In the group of 290 human having metal artificial limbs in an oral cavity, decrease in average value pH the mixed saliva in comparison with the persons who are not having metal inclusions was due to increase of percent of persons with sour reaction of saliva. Thus the degree of decrease the mixed saliva pH did not depend up on size of galvanic currents and presence of galvanic symptoms. The hypothesis was put forward, that decrease of saliva pH and development of galvanism was connected with local changes in a biofilm contacting to metal artificial prosthetic devices. Galvanic currents extended both on a surface of oral mucous membrane and in tissue. Clinical symptoms of galvanism we more expressed when galvanic currents flow manly in oral tissue.

Prótese Dentária/efeitos adversos , Eletrogalvanismo Intrabucal , Metais/efeitos adversos , Boca/química , Saliva/química , Adulto , Idoso , Feminino , Humanos , Concentração de Íons de Hidrogênio , Masculino , Pessoa de Meia-Idade , Boca/microbiologia , Saliva/microbiologia
Stomatologiia (Mosk) ; 86(6): 26-9, 2007.
Artigo em Russo | MEDLINE | ID: mdl-18163098


During clinical-immunological study of the patients with chronic apical periodontitis (CAP) some differences were found between the following categories--CAP involving not more than 2 teeth and plural CAP. There were found the changes of both general immunity indices and its local components. Chronic inflammation course in periodontal tissues led to imbalance between cellular and humoral local immune reactions. It was shown that the presence of protracted multiple infectious focuses in periodontal tissues led to organism sensitizing and secondary immune deficiency.

Imunidade Celular/imunologia , Periodontite Periapical/imunologia , Linfócitos T/imunologia , Adulto , Doença Crônica , Humanos , Contagem de Leucócitos , Periodontite Periapical/patologia , Prognóstico , Índice de Gravidade de Doença
Stomatologiia (Mosk) ; 86(3): 11-6, 2007.
Artigo em Russo | MEDLINE | ID: mdl-17690637


The most important reasons for metal intolerance used for teeth treatment and dental prosthetics are allergic intolerance for the given metals and galvanic currents appearance in the oral cavity. Although they often have similar symptoms their differential diagnostics is very important for determination of correct tactics of treatment and further patient's course. The method of galvanic currents measurement in oral cavity was invented. Basing on data of clinical and laboratory examination of considerable group of human beings the principles of exact determination of galvanic currents in oral cavity including algorithm of determination of the received data clinical significance.

Algoritmos , Ligas Dentárias/efeitos adversos , Eletrogalvanismo Intrabucal , Boca/fisiopatologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
Stomatologiia (Mosk) ; 85(2): 48-53, 2006.
Artigo em Russo | MEDLINE | ID: mdl-16710281


There were developed, tested and used in practice new transdental implants (TDI) considerably widening the indications to endodontic-endoossal implantation. Universal TDI has a number of advantages over the known analogs and meant for osseointegration and fibro-osseointegration. The implant provides full tooth fixation in small bone volume, on maxilla including.

Implantação Dentária Endo-Óssea Endodôntica/tendências , Traumatismos Dentários/cirurgia , Adolescente , Adulto , Implantação Dentária Endo-Óssea Endodôntica/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Osseointegração/fisiologia , Radiografia , Traumatismos Dentários/diagnóstico por imagem , Resultado do Tratamento