[Optimization of monitoring of pregnant women with various risk of dental caries relapse]. / Monitoring stomatologicheskogo statusa beremennykh s razlichnym riskom retsidiva kariesa zubov.

OBJECTIVE: The aim of the study is determination of the effectiveness of technologies for predicting the progressive course of dental caries in pregnant women. MATERIAL AND METODS: We examined 511 pregnant women aged 18-40 years with dental caries (304 were included in a main group, 207 were enrolled in controls), who were assessed the DMFT index sequentially in the 1st, 2nd and 3rd trimesters of pregnancy. The prognosis of recurrence of dental caries was determined by the method of two-stage clinical and laboratory prognosis. RESULTS: The prevalence of dental caries in the main group was 89.1% (271 out of 304 patients), in the control group - 87.9% (182 out of 207 patients). In the third trimester of pregnancy 36.2% of women in the main group had a recurrence of caries (vs 43.0% in the control group). Early examination of patients in the 1st trimester of pregnancy, followed by monitoring of the state of the organs and tissues of the mouth, made it possible to achieve timely treatment of dental caries and prevent its recurrence. In the third trimester of pregnancy, the DMFT-index in the dispensary group, in contrast to the control group, was statistically significantly (p<0.05) lower by 12.3%, which indicated the effective use of the proposed monitoring. CONCLUSION: The use of a system for providing dental treatment and preventive care in the form of screening, dynamic forecasting and assessment of the risk of recurrence of caries in pregnant women with dental caries and a high risk of its progression makes it possible to stop the development of this process and ensure the preservation of dental health.

[The structure of inflammatory periodontal diseases and the dynamics of the periodontal status in pregnant women during the gestational period]. / Struktura vospalitel'nykh zabolevanii parodonta i dinamika parodontal'nogo statusa beremennykh na protiazhenii gestatsionnogo perioda.

Basing on the analysis of 165 pregnant women with confirmed diagnosis of periodontal disease the structure of inflammatory periodontal diseases and periodontal status of pregnant women during gestation has been studied considering the influence of various factors on the dynamics of several periodontal and hygiene indices. The study proved a significant age-related deterioration of the periodontal status of pregnant women due to hormonal changes in the gestational period.

[Specific features of deployment of medical staff in the private dental sector]. / Osobennosti komplektovaniia vrachebnymi kadrami chastnogo stomatologicheskogo sektora.

The features of deployment of dentists of different specialties in the private dental sector of the city of Moscow are studied. On the material of 296 dentists, the main reasons for the employment, motivation to change from state, municipal, departmental to private medical organizations are considered for dentists of different specialties.

[Incidence and risk factors of oral diseases in pregnant women]. / Rasprostranennost' i faktory riska razvitiia osnovnykh stomatologicheskikh zabolevanii u beremennykh.

The prevalence of tooth caries and periodontitis in pregnant women has been studied; susceptibility of pregnant women to a high risk of development of dental pathology. Proven factors that modify the risk of tooth caries, periodontitis of mild and moderate severity in pregnancy are age over 30 years, repeated childbirth and pregnancy, complications of the gestational period, and for periodontitis, additionally - diseases of the digestive system, musculoskeletal system , anemia and metabolic-endocrine disorders.

[Practical approach to the problem of additional vocational training of dentists]. / Poluchenie novoi (dopolnitel'noi) vrachebnoi spetsial'nosti rabotayushchimi vrachami-stomatologami: prakticheskaya realizatsiya poslediplomnogo obrazovaniya v svete sovremennykh pravovykh realii.

We consider the political and legal features and the possibility of operating a new medical specialty in the light of current legal requirements. The paper presents the review of the most pressing issues of modern law enforcement practices and features of the implementation of the rights and interests of the physician and the employer in terms of the search for a balance of interests and reasonable approach not contradicting to legal norms.