Воронкообразная деформация грудной клетки(ВДГК), одна из часто встречаемых аномалий развития у детей, представляет врождённую патологию, характеризующуюся западением внутрь грудины и хрящевой части рёбер с образованием воронкообразного углубления на передней поверхности грудной клетки. Воронкообразная грудная клетка может приводить к серьёзным нарушениям сердечно сосудистой и дыхательной систем. Сужение грудной полости по средней линии и горизонтальное расположение рёбер, помимо создаваемого косметического дефекта, определяют развитие рестриктивных нарушений дыхания, приобретающих с возрастом клинические проявления, угрожающие качеству жизни. Любой вариант торакопластики является травматичной операцией и требует адекватного анестезиологического обеспечения во время операции.
Аллергический ринит - это заболевание, в основе которого лежит IgE-опосредованное воспаление слизистой оболочки носа (вызываемое аллергенами), которое ежедневно характеризуется как минимум двумя из следующих симптомов: заложенность носа, выделения из носа (ринорея), чихание, зуд в полости носа. . Аллергический ринит часто сочетается с другими аллергическими заболеваниями, такими как бронхиальная астма, аллергическийконъюнктивит, атопический дерматит, и, безусловно, представляет собой глобальную медицинскую и социальную проблему. Хотя аллергический ринит - серьезное, опасное для жизни заболевание, тем не менее его медицинское и социальное значение связано с его высокой распространенностью среди детей, подростков и взрослых, особенно в сочетании с острым и хроническим синуситом, средним отитом, бронхиальной астмой.
Вопросы сочетанных поражений полости рта и внутренних органов среди проблем стоматологии в настоящее время занимают видное место, так как позволяют отразить сущность генеза заболеваний, проявляющихся на слизистой оболочке полости рта (СОПР)
The success of modern dentistry is largely due to the development and implementation in practice of new tools and methods that allow painlessly carry out long and large — scale interventions in the oral cavity. The most effective and safe way of anesthesia on an outpatient dental reception is local anesthesia (M. G. Panin, 1969; A. F. Bizyaev, 1998; S. F. Gritsuk 1998; S. A. Rabinovich, 2000; R. S. Brown, 1994; S. Malamed, 1994, 1997; etc.). For the time being. The most effective of them are recognized drugs created on the basis of articaine, due to the peculiarities of its pharmacokinetics and pharmacodynamics (H. Lemay, 1984; R. Rahn, 1996, S. Malamed, 1997; A. J. Petrikas, 1997; L. A. Grigoryants, A. P. Shafransky, 1999; E. V. Zoryan, E. N. Anisimova, 2002; S. A. Rabinovich et al., 2005, 2006; E. V. Zoryan, S. A. Rabinovich, 2005; S. A. Rabinovich, E. V. Zoryan, 2006; etc.).The articaine containing products produced by various foreign companies and is known for its proprietary trade names: al-fakin (Densply, France), Articaine of INIBSA (Inibsa, Spain), Prilocain (Russia), Primaquin (France), Septanest (Septodont, France), Ubistesin (ZM ESPE, Germany), Ultracain (Sanofi-Aventis, Germany), Cytokeratin (Italy). The main component of all these drugs is a local anesthetic — articaine, which determines, on the one hand, the General features of the action of all these drugs, and on the other-their distinctive features in comparison with drugs created on the basis of lidocaine or mepivacaine. Articaine, lidocaine and mepivacaine are international nonproprietary names (INN), which are indicated along with trade names (E. V. Zoryan, S. A. Rabinovich)
Parodontitis is one of the most common types of dental pathology. Many factors play a role in the emergence and development of this disease. Despite certain achievements in the study of the etiological and pathogenetic ome and in the development of parodontitis diagnostics and methods of treatment of Ome, its emergence and development have not yet been determined to the end.
The emergence and passage of parodontitis is accompanied by significant changes in the content of humoral factors in the oral fluid: IgA, which plays a leading role in the defense of the mucous membrane of the oral cavity, immunoglobulins of IgG classes and secretory immunoglobulins - slgA; albumin, whose concentration in the oral fluid increases as a result of increasing the permeability of the walls
Оценка эффективности местного лечения эрозивно-язвенных поражений слизистой оболочки полости рта с помощью Дентором-гель (ALTEZZA pharma, Италия).
Hozirgi kunda yuqori jag’ torligi va yuqori jag’ning skeletal muommolari ortodontiyada asosiy o’rinni egallab kelmoqda. Shu o’rinda, yuqori jag’ni kengaytirish uzoq vaqtni oladigan ortodontik muolajanitalab qiladi. Shu sababli diagnostika va to’g’ri davo chorasini tanlash va dinamikada kuzatish muhim ahamiyat kasb etadi
Under our supervision, there were 92 patients with included and terminal defects of the dentition, who underwent prosthetics based on dental implants of the “DIO” system at the Department of Orthopedic Direction FPK TGSI Control group (13) of the patient, “manual toothbrush” - during the entire study period, patients used only a manual toothbrush to clean the crowns on implants; The second group (30) of patients who were prescribed a “manual toothbrush + interdental brush”, corresponding to the size of the proximal space of the orthopedic construction; The third group (49) of patients who were prescribed a “manual toothbrush + interdental brush + irrigator”, in addition to a manual toothbrush, were prescribed an interdental brush and an oral irrigator, an irrigator Waterpik WP-660 (Aquarius) was prescribed for the oral cavity after brushing teeth twice per day for 3-5 minutes, the power of the water jet of the irrigator corresponded to mode 2. An index assessment of the amount of plaque in the area of a fixed structure on implants was carried out using a simplified index of oral hygiene (IGR-U) (J. R. Vermillion, 1964) The condition of the gums in the area of dental implants was assessed based on the Gingival Index (GI) - Loe & Silness, 1963. Thus, at the beginning of the study in all three groups, the HI was low and corresponded to good implant hygiene. After 3 and 6 months, the values of those indices were significantly worse, and corresponded to the unsatisfactory hygiene of the implants. In groups 2 and 3, throughout the entire study, HI indices were optimal and corresponded to good and satisfactory implant hygiene. The indicators of the 3rd group, in which the whole complex of individual and professional methods was applied, were the most positive throughout the study, in comparison with other groups. Analysis of the results of the Gingival Index study showed that the indicator increased in all observation groups. In group 2 patients using manual dental and interdental brushes for cleaning the structure, by the end of the study period the index value increased to 0.95 ± 0.05 points, which corresponded to mild gingivitis of the gums in the area of implants, i.e. there was slight hyperemia and individual punctate bleeding of the gums at the probing sites. Patients of the 3rd group, using an irrigator, had minimal index values at all periods of the study, and the index values were interpreted as “normal gums”, that is, no signs of gingivitis were recorded.