Assessment of morphological and functional state of parodontal tissues of persons receiving orthodontic treatment

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Назарова N., & Саидмурадова J. (2022). Assessment of morphological and functional state of parodontal tissues of persons receiving orthodontic treatment. in Library, 22(1), 33–40. извлечено от https://inlibrary.uz/index.php/archive/article/view/8731
Нодира Назарова, Самаркандский государственный медицинский университет

доктор медицинских наук, доцент кафедры стоматологии факультета последипломного образования

Жамила Саидмурадова, Самаркандский государственный медицинский университет

ассистент кафедры детской стоматологии

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Аннотация

Dental anomalies belong to the group of major dental diseases and are characterized by a high prevalence. Currently, the prevalence of dental anomalies in children and adolescents in the CIS countries is 50-80%, while 37% of the population needs specialized orthodontic care (L.S. Persin, 2014).

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FRONTLINE MEDICAL SCIENCES AND PHARMACEUTICAL JOURNAL
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VOLUME

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I

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Pages:

33-40

SJIF

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MPACT

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(2022:

5.605

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OCLC

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METADATA

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6.986















































Publisher:

Frontline Journals

A

BSTRACT

Dental anomalies belong to the group of major dental diseases and are characterized by a high prevalence.
Currently, the prevalence of dental anomalies in children and adolescents in the CIS countries is 50-80%,

while 37% of the population needs specialized orthodontic care (L.S. Persin, 2014).

K

EYWORDS

Dental health index, periodontal disease, taste analyzer, chronic generalized periodontitis.

I

NTRODUCTION

The introduction of new technologies and

materials into dentistry makes it possible to

achieve optimal functional and aesthetic results

in the process of orthodontic treatment using

Journal

Website:

https://frontlinejournal
s.org/journals/index.ph
p/fmspj

Copyright:

Original

content from this work
may be used under the
terms of the creative
commons

attributes

4.0 licence.

Research Article

ASSESSMENT OF MORPHOLOGICAL AND FUNCTIONAL STATE
OF PARODONTAL TISSUES OF PERSONS RECEIVING
ORTHODONTIC TREATMENT

Submission Date:

May

10, 2022,

Accepted Date:

May 20

, 2022,

Published Date:

May

30, 2022

Crossref doi:

https://doi.org/10.37547/medical-fmspj-02-05-05

Nazarova Nodira Sharipovna

Doctor of Medical Sciences, Associate Professor of the Department of Dentistry, Faculty of Postgraduate
education of the Samarkand State Medical University, Uzbekistan

Saidmuradova Zhamila Batyrovna

Assistant of the Department of Pediatric Dentistry of Samarkand State Medical University, Uzbekistan


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FRONTLINE MEDICAL SCIENCES AND PHARMACEUTICAL JOURNAL
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VOLUME

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SJIF

I

MPACT

FACTOR

(2021:

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(2022:

5.605

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OCLC

1272874727

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6.986















































Publisher:

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fixed appliances (Arsenina O.I., 2018; Alexander

W., 2018; McLaughlin R., 2015; Proffit W., 2013).

If previously removable devices were used in

90% of cases, they are currently used only in 16%

of cases. Today, 84% of patients are treated using

fixed equipment (N.M. Shulkina, V.A. Uskova, M.V.

Shulkin, 2019).

However, despite the undeniable advantages of
using a bracket system, brackets fixed on the

teeth, rings, arcs, wires, ligatures, springs

significantly complicate oral hygiene, which leads

in 32.7% of cases to damage to the hard tissues of

teeth, mostly immune to caries. surfaces, and in

92% there is an unfavorable condition of the

periodontium. The percentage of complications
(discoloration of the tooth enamel around the

braces, the formation of white spots and enamel

defects, the development of inflammatory

periodontal diseases - gingivitis, periodontitis)

detected during orthodontic treatment remains

high - from 32.7 to 50% (Kiselnikova L.P. , Ramm

H.L, 2016, Medvedovskaya N.M., 2017).

Violations of the occlusion of the dentition

increase the risk of other dental diseases and
complicate the process of preparing food for

digestion and assimilation, create aesthetic and

related psychological problems. Actual or

imaginary cosmetic flaws that accompany

anomalies in the structure of the dental system

can become a source of moral suffering and

inferiority complexes for a person.

The prevalence of inflammatory periodontal

diseases remains at a high level (Domasheva N.N.,

2018; Bodet C., Chandad F., Grenier D., 2017),

while the clinical picture of chronic catarrhal
gingivitis, as well as the early stages of chronic

generalized periodontitis, is characterized by

low-manifest

and

latent

course,

which

complicates timely diagnosis and, therefore,

delays the start of adequate therapeutic and

rehabilitation measures. The prevalence and

intensity of dental diseases in people with
orthodontic structures is more pronounced than

in patients who do not use them.

Studies on the prevention of dental diseases

during orthodontic treatment are numerous, but

there are still no clear criteria for assessing the

condition of periodontal hard tissues, the

complexes of preventive measures necessary to

maintain the health of periodontal tissues in

different age groups using non-removable
orthodontic

equipment

have

not

been

differentiated.


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SJIF

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(2021:

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(2022:

5.605

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OCLC

1272874727

METADATA

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6.986















































Publisher:

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In this regard, the development and improvement

of methods for early diagnosis and prevention of

initial forms of dental caries and inflammatory

diseases

of

periodontal

tissues

during

orthodontic treatment is one of the urgent tasks

that need to be resolved. At the same time, this
problem, as well as information about the means

of preventing pathological changes that occur in

the oral cavity during treatment with bracket

systems, remain insufficiently studied.

The purpose of this study is to study the

morphological and functional state of periodontal

tissues during orthodontic treatment.

Modern orthodontic structures in the form of

removable and non-removable structures have

become more and more widely introduced into

dental practice in the treatment of various

dentoalveolar anomalies.

Among orthodontic structures, non-removable

orthodontic equipment has become much more
often used, which has expanded the possibilities

for

correcting

dentoalveolar

anomalies.

According to V. Ressi (2016), a dentist often treats

patients as part of a comprehensive treatment

involving other dental specialties and specialties

of related areas, while excellent results of

orthodontic

treatment

of

dentoalveolar

anomalies are noted both in adolescents and in

adults.

M

ATERIAL AND RESEARCH METHODS

To study the morphological and functional
changes in periodontal tissues, an in-depth dental

examination of persons with periodontal

diseases, who are undergoing orthodontic

treatment in the regional dental clinic in the

amount of 38 people - the main group, as well as

20 patients who do not have dentoalveolar

anomalies, was carried out. They were taken as a

comparison group.

R

ESULTS AND DISCUSSION

Orthodontic treatment, which is aimed at

correcting irregularly located teeth, their

crowding, normalizing the ratio of teeth, can be

the cause of periodontal disease as a result of
changes in the state of the tissues that surround

the teeth.

Dental anomalies are characterized by serious
violations of the ratio of teeth, expressed in a

decrease in the effectiveness of the functions of

the temporomandibular joint, in the development


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VOLUME

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SJIF

I

MPACT

FACTOR

(2021:

5.14

)

(2022:

5.605

)

OCLC

1272874727

METADATA

IF

6.986















































Publisher:

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of the pathology of the masticatory apparatus, as

well as in the appearance of cosmetic defects,

which reduces the mental balance of patients,

which leads to the appearance of complexes,

isolation, etc.

Treatment of developed dentoalveolar anomalies

and deformities of the maxillofacial area today is

carried out both with the help of removable
orthodontic structures (ROS) and fixed

orthodontic structures (FOS).

We conducted a marketing survey to find out the
demand of people for the proposed dental

services (correction and normalization of bite).

According to a marketing survey, scientists came

to the following conclusion: more than half of the

respondents have no idea about the word

"braces"; for the sake of cosmetic well-being and
healthy teeth, 72% of respondents, mostly female

respondents, agreed to endure inconvenience,

but a very small contingent of the population

agree to pay for this large finances; the population

has come to terms with the fact that the use of

braces when necessary is of great importance for

the dental health of the oral cavity and the beauty
of the teeth, and most of them think that this is

necessary; almost 45% of those surveyed think

that even bite and beautiful teeth have nothing to

do with being beautiful.

Bleeding gums, the presence of plaque, shallow

periodontal pockets in young people who do not

observe oral hygiene, especially in people with

orthodontic appliances, and who do not receive

appropriate medical care, lead for several years to

severe and persistent periodontal diseases
(periodontitis), requiring long-term and complex

treatment.

If the microbial flora of the oral cavity in healthy
people has a relative constancy, which is

considered normal, and this symbiotic microflora

also acts as a barrier, preventing the development

of pathogenic microorganisms in the oral cavity

from the external environment, then a violation of

this ratio leads to an increase in the total number
of microorganisms and vegetation in the mouth

area of strains of microorganisms that are not

characteristic of this area of the human div.

Decreased immunity in this case can lead to the

occurrence of inflammatory processes in the oral

cavity.

Orthodontic treatment suppresses the factors of

local immunity of the oral cavity, manifested by a

decrease in the activity of lysozyme (by 99.8%,


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FRONTLINE MEDICAL SCIENCES AND PHARMACEUTICAL JOURNAL
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VOLUME

02

I

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Pages:

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SJIF

I

MPACT

FACTOR

(2021:

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)

(2022:

5.605

)

OCLC

1272874727

METADATA

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6.986















































Publisher:

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26.6%, 10.89% and 53.5%, 10.09%, 4.08%,

respectively) and the concentration of slgA in

mixed saliva (by 129.09%%, 62.29%, 22.89% and

83.51%, 34.42%, 14.59%, respectively) in groups

1 and 2 on day 7, after 1 and 3 months after

fixation of non-removable equipment.

During orthodontic interventions, accompanied

by prolonged use of appropriate equipment,
overload of individual teeth, severe complications

from the periodontium often develop, tissue

nutrition is disturbed due to compression and

thrombosis of blood vessels and venous

circulation disorders. Orthodontic appliances

contribute to the retention of food residues of

plaque. The oral surface of the gingival faye
suffers most often, especially when using plates

with vestibular arches that compress the gum

tissue, injuring them during prosthesis

microexcursions.

The functional state of the periodontium is

heterogeneous in the process of orthodontic

treatment of crowded teeth. The decrease in these

parameters in the future is due to the adaptation

of the support-retaining apparatus of the tooth to
the applied load, which is consistent with the data

in the works of Lobanov Yu.S. (2014).

Thus, one of the main factors that play an

important role in the occurrence of periodontal

disease in persons using orthodontic appliances

is the very presence of this appliance, as well as

poor oral hygiene, which leads to an increase in

the contamination of the oral cavity with various
opportunistic microorganisms, which, in turn, can

be causative agents of inflammatory processes in

this area.

That in children with dental anomalies and

deformities at the stages of instrumental

treatment, when using removable and non-

removable devices, an imbalance of the immune

system develops.

The decrease in the effectiveness of preventive

measures and remedies in children with

dentoalveolar anomalies and deformities is due to
the development of periods of immunological

stress when using a bracket system.

A study of the state of the periodontium in the
process of orthodontic treatment of crowded

teeth in patients aged 13-18 years, conducted by

Pankratova N.V. and A.B. Slabkovskaya A.B.

(2016) made it possible to establish that the

incorrect position in the dentition reduces the


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Pages:

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SJIF

I

MPACT

FACTOR

(2021:

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(2022:

5.605

)

OCLC

1272874727

METADATA

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6.986















































Publisher:

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endurance of their periodontium to horizontal

load.

The dynamics of indicators of cellular and

humoral immunity at the stages of orthodontic

treatment is associated with the type and

duration of instrumental treatment. In children

with dentoalveolar anomalies and deformities

treated with removable appliances, periods of
immunological discoordination occur 5 and 15

months after the fixation of orthodontic

appliances. Children with dento-maxillary

anomalies and deformities who are being treated

with a bracket system have the same periods of

immunological stress, but the signs of imbalance

are more pronounced in them.

Orthodontic treatment using removable and non-

removable appliances has a negative impact on
the tissues of the oral cavity. Children with dental

anomalies and deformities treated with

removable and non-removable appliances differ

from children with dental anomalies and

deformities without orthodontic treatment in the

dynamics of clinical indicators of the state of the

cavity mouth.

At the stages of orthodontic treatment (after 15,

24, 36, 48 months), they have higher values of

hygiene indices, PMA, KPU(h) and KPU(p) indices,

a higher rate of growth of dental caries, a higher

value of the TER test, a greater prevalence of

caries in the stain stage.

Orthodontic treatment contributes to a decrease

in the level of oral hygiene by 26.8% on the

seventh day after the fixation of fixed equipment.

The complexity of dental treatment and

prevention is, according to the timing data: the

course of treatment of periodontitis is 3.1 hours,

gingivitis is 1.08 hours, the manufacture of an
occlusal splint is 0.86 hours by a doctor and 1.08

hours by a dental technician, the application of a

composite filling is 0.60 hours , making a ceramic

inlay 1.10 hours at the doctor’s and 2.5 hours at

the dental technician, endodontic treatment with

restoration of the tooth with a light composite
1.47 hours (with revision of the sealed root canals

2.1 hours) (with the restoration of the ceramic

inlay of the tooth during the primary and

repeated endodontic treatment 1.56 hours and

2.36 hours at the doctor and 2.5 hours each at the

dental technician), tooth extraction 0.58 hours,

professional hygiene at the dental hygienist 0.99
hours, remtherapy 1.23 hours, dispensary

examination 0 .31 hours.


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FRONTLINE MEDICAL SCIENCES AND PHARMACEUTICAL JOURNAL
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VOLUME

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Pages:

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SJIF

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MPACT

FACTOR

(2021:

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)

(2022:

5.605

)

OCLC

1272874727

METADATA

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6.986















































Publisher:

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Thus,

morpho-functional

methods

for

determining changes in the state of the

periodontium

in

individuals.

Being

on

orthodontic treatment, which is an economical,

non-invasive method for assessing bacterial

contamination of the oral mucosa, is
recommended for use in the practice of

orthodontists.

R

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Rustem Hayaliev, Sabir Nurkhodjaev,

Nodira Nazarova, Jasur Rizayev, Rustam

Rahimberdiyev, Tatyana Timokhina, Ivan
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Biomedical

Engineering

in

the

Development of Technical Devices for

Medical Research. Journal of Biomimetics,

Biomaterials and Biomedical Engineering

Submitted: 2021-05, Vol. 53, pp 85-92

Accepted: 2021-05-11.

2.

Alisher Norbutaev, Nodira Nazarova.

Assessment of the results of the level of

oligopeptides of average molecular mass

in the oral fluid of employees in the

production of ammonium and nitrate

saltpeter. Frontline medical sciences and

pharmaceutical journal 1(8): 2021, 24-34.

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Rizayev Jasur Alimjanovich, Nazarova

Nodira

Sharipovna,

Nasreddinova

Maxzuna Taxsinovna. (2021). Improving

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With The Help Of Immunomodulating And

Probiotic Drugs. The American Journal of
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Research, 3(08), 44–50.

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Аlisher

Berdikulovich

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Rizayev Jasur Alimdjanovich, Nazarova

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Zhasur

Alimdzhanovich

Rizaev,

Rahimberdiev Rustam Abdunosirovich,

Nazarova Nodira Sharipovna. Ways to

improve the organization of dental
services for chemical industry workers.


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Volume 02 Issue 05-2022

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FRONTLINE MEDICAL SCIENCES AND PHARMACEUTICAL JOURNAL
(ISSN

2752-6712)

VOLUME

02

I

SSUE

05

Pages:

33-40

SJIF

I

MPACT

FACTOR

(2021:

5.14

)

(2022:

5.605

)

OCLC

1272874727

METADATA

IF

6.986















































Publisher:

Frontline Journals

The American journal of medical sciences

and pharmaceutical research. Volume 2

Issue 12, 2020, Р 35-39.

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Nazarova

Nodira

Sharipovna,

Rakhmberdiev Rustam Abdunosirovich,

Bakirov

Asadullo

Abdikodirovich,

Sultonov Odiljon Raimovich. The intensity

of dental caries in workers is harmful

industry. The American journal of medical

sciences

and

pharmaceutical

research.Volume 03 Issue 07-2021, P-68-

72

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Rustam

Rakhmberdiev,

Gulchekhra

Musaeva, Nodira Nazarova. Ways to

improve the organization of dental care for

workers in the chemical industry. Society

and innovations. Volume 01 Issue 1-2021,

P 139-144.

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Rizayev Jasur Alimdjanovich, Nazarova

Nodira Sharipovna. Assessment of
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epoxy resin. The American journal of

medical sciences and pharmaceutical

research 2019, №2 Р 14-17.

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Н.Ш. Назарова, Т.А. Бердиев. Эпоксид

смолалар

таъсирига

учраган

ишчиларда пародонтал тукималар

холатининг

узгаришини

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Жамият ва инновациялар. 2020, С 566-

570.

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Т.А. Шиша толали тузилмаларни ишлаб

чикаришда NBF гингивал гелининг
самарадорлиги.

Жамият

ва

инновациялар. 2020, октябрь. С 565-

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Библиографические ссылки

Rustem Hayaliev, Sabir Nurkhodjaev, Nodira Nazarova, Jasur Rizayev, Rustam Rahimberdiyev, Tatyana Timokhina, Ivan Petrov. Interdisciplinary Approach of Biomedical Engineering in the Development of Technical Devices for Medical Research. Journal of Biomimetics, Biomaterials and Biomedical Engineering Submitted: 2021-05, Vol. 53, pp 85-92 Accepted: 2021-05-11.

Alisher Norbutaev, Nodira Nazarova. Assessment of the results of the level of oligopeptides of average molecular mass in the oral fluid of employees in the production of ammonium and nitrate saltpeter. Frontline medical sciences and pharmaceutical journal 1(8): 2021, 24-34.

Rizayev Jasur Alimjanovich, Nazarova Nodira Sharipovna, Nasreddinova Maxzuna Taxsinovna. (2021). Improving The Treatment Of Paradontic Diseases With The Help Of Immunomodulating And Probiotic Drugs. The American Journal of Medical Sciences and Pharmaceutical Research, 3(08), 44-50.

Alisher Berdikulovich Norbutaev, Mukhiddin Kamariddinovich Shamsiev, Nodira Sharipovna Nazarova. Clinical and functional changes in hard tissues of teeth in patients with hemophilia. The American journal of medical sciences and pharmaceutical research Volume 2 Issue 12, 2020, P 29-34

Rizayev Jasur Alimdjanovich, Nazarova Nodira Sharipovna. Assessment of changes in the condition of periodontal tissues in workers exposed to exposure to epoxy resin. The American journal of medical sciences and pharmaceutical research №2 P 14-17. 2020.

Zhasur Alimdzhanovich Rizaev, Rahimberdiev Rustam Abdunosirovich, Nazarova Nodira Sharipovna. Ways to improve the organization of dental services for chemical industry workers.

The American journal of medical sciences and pharmaceutical research. Volume 2 Issue 12, 2020, P 35-39.

Nazarova Nodira Sharipovna, Rakhmberdiev Rustam Abdunosirovich, Bakirov Asadullo Abdikodirovich, Sultonov Odiljon Raimovich. The intensity of dental caries in workers is harmful industry. The American journal of medical sciences and pharmaceutical research.Volume 03 Issue 07-2021, P-68-72

Rustam Rakhmberdiev, Gulchekhra Musaeva, Nodira Nazarova. Ways to improve the organization of dental care for workers in the chemical industry. Society and innovations. Volume 01 Issue 1-2021, P 139-144.

Rizayev Jasur Alimdjanovich, Nazarova Nodira Sharipovna. Assessment of changes in the condition of periodontal tissues in workers exposed to exposure to epoxy resin. The American journal of medical sciences and pharmaceutical research 2019, №2 P 14-17.

Н.Ш. Назарова, Т.А. Бердиев. Эпоксид смолалар таъсирига учраган ишчиларда пародонтал тукималар холатининг узгаришини бахолаш. Жамият ва инновациялар. 2020, С 566-570.

Ризаев Ж.А., Назарова Н.Ш.,. Бердиев. Т.А. Шиша толали тузилмаларни ишлаб чикаришда NBF гингивал гелининг самарадорлиги. Жамият ва инновациялар. 2020, октябрь. С 565-569.

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