This article deals with the results of immediate loading of 145 screw implants on the base of objective apparatus and instrumental methods of determination of their stability. From 145 implants 75 implants of Any Ridge construction and 70 implants of Any One construction were successfully integrated into maxillary bones.
Analysis of the assortment of sedatives registered in the Republic of Uzbekistan showed that sedatives are represented on the pharmaceutical market of the country by such dosage forms as drops, solutions, tinctures, syrups, medicinal herbal raw materials, capsules and tablets. Considering that sedatives registered in the form of a substance, with the exception of the dry extract of Leoglycyrfl produced by “Uzkimyofarm”, there are practically no names of S.K. Islambekov in the Joint Stock Company. In this regard, we consider it expedient to create a new sedative medicinal product of herbal origin in the form of a substance and obtain dosage forms based on it.
Ushbu maqolada sanoat ishlab chiqarish korxonalarida innovatsion jarayonni tashkil etishning o‘ziga xos xususiyatlari muhokama qilingan. Shuningdek, sanoat korxonalariga innovatsiyalarni joriy etishning ustuvor jihatlari belgilab berilgan
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.
Improvement of early diagnosis and orthodontic treatment in children with dentoalveolar anomalies and deformities.
To evaluate the effectiveness of the use of a domestic production of Vinifer in the prevention of alveolitis after the removal of impacted and dystopic teeth. Material and methods: 72 patients aged 17 to 30 years and older, who applied from district polyclinics in Tashkent and other regions of Uzbekistan in 2019-2021, were under observation. Results: When using Vinifer to prevent alveolitis, the frequency of complications after tooth extraction decreased markedly. Treatment of alveolitis with the use of powder from the Vinifer preparation has reduced the number of visits to the dental surgeon. Conclusions: In terms of therapeutic and prophylactic properties, the drug showed positive results, while not inferior to imported counterparts.
Purpose: comparative evaluation of the clinical effectiveness of dental implantation (EMS, Switzerland) in the complex treatment of patients with peri-implantitis and peri-implant mucositis and traditional methods. Material and methods: the results of treatment of para-implantation inflammatory diseases in 17 patients aged 24-56 years, including 9 men and 8 women (main group), with terms of using implants from 1 to 7 years, were studied. Results: a comparative analysis of the two methods in terms of PIC depth reduction revealed a statistically significantly higher efficiency of the research method compared to the control (p<0.01). After 3 and 6 months from the start of treatment, the research method led to a more significant reduction in the depth of PIC compared to the method used in the control group, which we explain by the better restoration of the biocompatibility of the tissues of the peri-implant pocket during aquakinetic treatment due to the destruction of the biofilm compared to the traditional method. Conclusions: a schedule of dynamic monitoring of patients with dental implants: one month after implantation, then every 3-4 months, with stable remission - 2-3 times a year. If necessary, light probing is carried out, and radiography is used to assess the level.
In the article the possibility of training innovative methods use in the system of professional education is considered. Training innovative methods induce students to activity, initiatively, self-reflection and allow to become involved in learning outcomes. Criteria of training innovative methods in higher education institution are: availability of reflexive settled mode of thinking, ability to project new forms of action, ability to organize productive communication at a group decision of a problem in a situation of uncertainty. The author has estimated the conflict value as means of problems‘ and person-to-person interaction contradictions solution. In the article the informative and procedural part of the conflict-method applying in vocational training is analyzed. The specifics of the conflict-method implementation in training process consists in updating of students‘ personal experience in conflict situation, the analysis of emotional states and transformation of habitual stereotypic behavioral reactions in conflict interaction. The conflict-method contributes to the development of reflexive, communicative and analytical abilities of students. Application of the conflict-method in practical educational activity demands cognitive, emotional, behavioral flexibility, developed communicative and facilitative abilities from the teacher of higher educational institution.
В настоящее время распространенность зубочелюстных аномалий у детей и подростков достаточно высока - по данным отечественных и зарубежных авторов она варьирует от 50% до 80%, и занимает второе место среди стоматологических заболеваний после кариеса.
Dental implantation is currently one of the most promising areas in the rehabilitation of dental patients. Despite the success achieved, dental implantation, like other surgical methods of treatment, is accompanied by various kinds of complications. The most common complications are of an inflammatory nature. However, there are many problems in dental implantology. This article presents a review of the scientific literature on risk factors for early and late complications of dental implantation. It is considered that a well-established and integrated dental implant should function for at least 10 years, satisfy the patient in aesthetic and functional terms, have clinical stability, and be biocompatible with respect to the surrounding tissues.
Таълим сифатиниоширишнинг яна бир қирраси бу таълим беришда муляж, фантом, автоматлаштирилган маникенлар, тренажѐрлар ва аппаратлардан кенг фойдаланишдир. Тошкент давлат стоматология институтида талабаларни билим савиясини ошириш, ўқув жараѐнини янги ахборот технологиялар билан бойитиш, интерактив ўқитиш усуллари, фан бўйича жаҳондаги энг янги маълумотларга эга бўлиш, кафедраларнинг моддий техника базасини яхшилаш ва ундан барча педагогик ва талабаларни унумли фойдаланиши учун тематик ўқув хоналарини яратиш мақсад қилиб қўйилган. Бундай ўқув тематик хоналарни яратиш педагоглар, магистрлар ва талабаларнинг мустақил тайѐрланишларичун кенг шароит яратиб бериб, қуйидаги вазифаларни амалга ошириш имкониятини беради.
The article presents data on risk factors after surgical complications of dental implantation. It was found that for the effectiveness of dental prosthetics depends not only on the functional mechanical stresses on the implants, but also on biological factors associated with the developing processes in the tissues of the oral cavity and on the surface of the implant.
Поиск новых и совершенствование уже существующих пластических материалов для замещения врожденных или приобретенных дефектов костей остается одной из главных и актуальных проблем в современной восстановительной и реконструктивной хирургии. В настоящее время для пластики костных дефектов используются биоматериалы естественного происхождения, - аутотрансплантаты, аллоимплантаты, ксеноимплантаты и искусственные биоматериалы (аллопластические имплантаты) и их комбинации. Обладая определенными достоинствами и недостатками, все они, по строгим показаниям, используются в реконструктивной ортопедии.
Обосновать метод внутрикостного введения лекарственных препаратов при хирургическом лечении больных с острым остеомиелитом челюстей для повышения эффективности лечения.
According to the Protocol of intraoperative direct prosthetics (IDP), the immediate functional load is provided by temporary orthopedic structures. The Protocol significantly reduces the treatment time and the need for preliminary pre-prosthetic reconstructive surgery-bone transplantation methods and allows you to bypass areas where transplants are ineffective. The orthopedic Protocol is simplified as much as possible. The possibility of prosthetics without the use of cement fixation of prostheses is realized. Protocols of intraoperative direct prosthetics for implant-prosthetic rehabilitation of patients require prototyping and designing of treatment results.
To assess the hygienic status of the oral cavity depending on the treatment methods used. Material and methods: 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 of the FPC TGSI. Results: At the beginning of the study, the IGS was low in all three groups and corresponded to good implant hygiene. After 3 and 6 months, the index values were significantly worse and corresponded to the unsatisfactory implant hygiene. Patients of the 3rd group, who used the whole complex of individual and professional methods, had better indicators than in other groups. Conclusions: In patients using the irrigator, no signs of gingivitis were recorded for the entire observation period.
Для реконструкции зубочелюстного аппарата в настоящее время все большее значение приобретают технологии с использованием имплантатов. Одним из основных показателей длительного сохранения имплантатов является интенсивность резорбции тканей пародонта. Поэтому обеспечение наиболее благоприятных режимов микроциркуляции в зоне альвеолярных отростков способствует долговременному и полноценному функционированию имплантатов.
Использование управляемого хирургического подхода с помощью компьютерного моделирования позволяет обеспечить установку имплантата с точностью около 98%, управляемая хирургия выгодна для обычного размещения имплантата, немедленного имплантата размещение и потенциальная немедленная провизионализация.
Асимметричное сокращение жевательных мышц приводит к несогласованному движению обеих нижнечелюстных головок в суставных ямках, что вызывает повреждение суставных поверхностей, сдавление отдельных участков внутрисуставного диска, дистальное смещение головок нижней челюсти.
The popularity of orthopedic treatment using the method of dental implantation causes the interest of researchers to study the integration of implants in bone tissue. Analysis of the literature shows that the improvement of research technology and interdisciplinary approach to the study of the phenomenon of osteointegration of dental implants has led to a change in traditional concept in recent years. This article summarizes information about the physiological processes and cellular interactions occurring on the border "implant-bone tissue" in various stages of integration. The results of studies indicate the need for revision notions of bio inertness of titanium implants and consideration of the integration process in the immunological aspect.
Microbiological research was carried out by PCR method in 42 persons aged 25-60 years (men - 24 and women - 18), installed and Osseo integrated DIO dental implants, which were prototyped by metal-ceramic crowns, with temporary fixation on Tempo Bond NE. After 20 days, a follow-up visit was scheduled. All the examined patients were taken biological substrate of gingival fluid from the para-implant furrow using paper endodontic pins (№ 25). Exposure of two pins was made within 30 seconds with the help of tweezers between the peri-implant cuff and the crown, biological substrate of gum liquid was taken from the parai-implant furrow. The biological substrate was transported and tested according to the manufacturer's recommendations. When studying the content in patients with orthopedic constructions on dental implants by PCR method we observed high frequency of occurrence of Streptococcus sobrinus (69,3%), Streptococcus sanguis (48,6%) and Porphyromonas gingivalis (41,9). Relatively similar data on the content of these microorganisms were obtained in the molecular genetic study of Streptococcus oralis samples (22.7%). Obviously, it is the combined effect of the most frequently diagnosed pathogens and peculiarities of interaction of anaerobic agents of parasitocenosis that can determine the nature of inflammatory and destructive process in the peri-implant zone.
Ushbu maqolada bulutli hisoblash texnologiyalarida axborotlarni buzilish holatlari tahlili batafsil keltirilib, ularga qarshi himoya yondashuvlari tavsiya etilgan.
Знание нормального состояния слизистой оболочки полости рта является необходимым условием точной диагностики ее заболеваний. Проведенными исследованиями определена структура и интенсивность стоматологической патологии среди обследованных одного пола и возраста. Показана взаимосвязь влияния экологических, нутритивных и эндогенных факторов на проявление кариеса, аномалий окклюзии, а также заболеваний слизистой оболочки полости рта [Фирсова И.В. и соавт.,2011]
Dental implantation is currently one of the most promising areas in the rehabilitation of dental patients. Despite the success achieved, dental implantation, like other surgical methods of treatment, is accompanied by various kinds of complications. The most common complications are of an inflammatory nature. However, there are many problems in dental implantology. This article presents a review of the scientific literature on risk factors for early and late complications of dental implantation. It is considered that a well-established and integrated dental implant should function for at least 10 years, satisfy the patient in aesthetic and functional terms, have clinical stability, and be biocompatible with respect to the surrounding tissues.