Hemorrhagic stroke among acute cerebral circulatory disorders is characterized by severe neurological complications and the need to choose between surgical intervention or therapeutic therapy. According to the World Health Organization (WHO)". Globally, stroke deaths will reach 7.8 million by 2030 unless an aggressive global response to the epidemic is put in place" 1. Subarachnoid haemorrhage, which accounts for half of the non-traumatic intracerebral haemorrhage, affects the most active and able-bodied population. The most important medical and social objectives are to monitor the course of the disease from the first hours after the onset of stroke, to prescribe adequate treatment in a timely manner, and to reduce mortality and disability rates [5,9].
В структуре стоматологических заболеваний больные с одонтогенными кистами и кистоподобными доброкачественными образованиями занимают определенное место, и их количество не имеет тенденцию к снижению.
The purpose of this study was to assess the state of hemostatic homeostasis in the postoperative period after tooth extraction in patients with viral hepatitis. 58 patients with chronic viral hepatitis were examined. The indicators of the hemostasis system before and after the tooth extraction operation were studied. It was revealed that the indicators of vascular-platelet and fibrinolytic links of the hemostasis system in viral hepatitis have a compensatory and adaptive orientation and contribute to maintaining homeostasis at different levels, but are closely related to the number and functional state of platelets.
При любом хирургическом вмешательстве в полости рта, неудовлетворительный уровень гигиены полости рта и воспалительные заболевания пародонта, значительно повышают риск общих инфекционных осложнений, вызванные патогенной пародонтальной микрофлорой
Tooth extraction is the most common operation, after which hemorrhagic complications often occur, especially in patients with chronic viral liver disease. This condition is caused by damage to the endothelial lining of blood vessels. Based on this, the purpose of this study was to study the features of endothelial dysfunction before tooth extraction in patients with viral hepatitis. 58 patients with hepatitis B and C with different prescription periods of the disease were examined. In patients with viral hepatitis, an increase in platelet aggregation activity on the effect of an ADP inducer (Tma) by 45% was noted before tooth extraction. The lengthening of the activated recalcification time (AVR) by 37% observed by us in patients with viral hepatitis reflects a deficiency of plasma factors (XII,XI,XIII) of the blood coagulation system and indicates a state of hypocoagulation. Against this background, high values of alpha-2 macroglobulin in the blood (4 times) and Willebrand factor (15%) and a significant decrease (by 35%) in the content of protein C in the blood of the examined patients were noted. The obtained results of the study indicate that these patients have a narrow band of maintaining hemostatic balance, and the existing balance can easily be transformed into hypo- or hypercoagulation, which requires preventive measures to prevent complications after tooth extraction.
Врожденная расщелина неба (ВРН) может возникать отдельно или одновременно с расщелиной верхней губы. При ВРН возникает не только деформация мягких тканей, но и дефекты и деформации костной ткани разной степени которые намного серьезнее, чем ВРГ, с точки зрения физиологической дисфункции, такой как сосание, еда и язык. Из-за роста и развития челюстей часто происходит коллапс середины лица. В тяжелых случаях оно имеет форму тарелки и имеет нарушенный прикус. Таким образом, различные физические дисфункции, вызванные деформацией волчьей пасти, особенно такие как языковая дисфункция и расстройство зубов, оказывают неблагоприятное воздействие. Оба эти заболевания являются врожденными и в медицине называются врожденными пороками развития ротовой полости.
Основными задачами диагностики воспалительных заболеваний являются: возможно быстрое и точное определение нозологической формы патологического процесса; уточнение его топографии и распространенности; выяснение источника инфицирования как причины развития заболевания; контроль за динамикой заболевания во время лечения пациента.
Важность адекватной визуализации анатомических структур на этапе планирования лечения в стоматологии обусловлена непредсказуемым клиническим исходом стоматологических вмешательств.
It is known that in chronic liver diseases, secondary immunodeficiency is formed, which is of great importance for the dental system and the entire body as a whole. Therefore, it becomes clear the importance of studying the state of the protective system of oral tissues in chronic viral liver pathology, which requires timely and constant correction. The aim of this study was to evaluate the activity of proinflammatory cytokines and cytolytic enzymes in patients with chronic viral hepatitis before tooth extraction. The level of cytokine IL-1 in patients with CVI before tooth extraction was on average 43.97±3.56 pg / ml, whereas in healthy people the studied indicator was on average 5.41 ± 0.42 pg / ml. The patients showed an increase in the level of IFN in the blood serum by an average of 6.2 times, the level of interleukin-18, belonging to the IL-1 family, was statistically significantly increased by 2.4 times in patients with CVI, compared with the control group. The features of CVH are dissociations between the levels of proinflammatory cytokines IL-1, IL-6, IL-18 and interferon. This indicates the disintegration of the inflammatory process occurring in the periodontal tissues and with the transition to a chronic course of the disease. Changes in the level of IL-1, IL-6, IL-18 and interferon in the blood serum of patients with CVI from normal parameters before tooth extraction is an indicator of the severity of the inflammatory process in the liver, as evidenced by changes in the dynamics of cytolytic enzymes.
This article is devoted to the actual problem of maxillofacial surgery, to the development of tactics of the complex treatment of purulent inflammatory diseases of the maxillofacial region in children.
Изучить состояние фосфорно-кальциевого обмена у пациентов с вторичной частичной адентией при применении дентальной имплантации верхней челюсти.
Анализ данных научной литературы и клинических исследований, посвящённых изучению эффективности
применения различных остеопластических материалов для ремоделирования альвеолярного гребня при дентальной имплантации.
To study errors in the diagnosis and treatment of acute toothache in the prehospital period and their consequences. Material and methods: In 2019-2020 under our supervision in the clinic of adult surgical dentistry of the Tashkent State Dental Institute, there were 441 patients with odontogenic inflammatory diseases of the PMO, 90% of them were admitted to the clinic for emergency indications. Results: After hospitalization in the department, premedication was performed in some patients according to indications to perform the operation of opening the phlegmon and removing the causative tooth (s). The patient remained in the department for an average of 6-7 days. Within 3-4 days after discharge, the patients underwent dressing in the clinic of the MCS, then this procedure was performed in the clinic at the place of residence for 5-7 days. According to estimates, only the average cost of drugs used in the treatment of phlegmon was 402,400 soums. Conclusions: It is important for dentists to form clear ideas about the dynamics of the spread of a purulent inflammatory process.
Soft tissue deficiency in atrophy of the alveolar ridge creates difficulties for performing guided bone regeneration (GBR), the success of which to a certain extent depends on the closure of the wound without tension. The study examined the effect of the method of preliminary expansion of soft tissues on the subsequent processes of bone remodeling by histological examination of biopsies after NCR with the use of osteoplastic materials of various origins.
The subject of research in this work is the psychology of patients undergoing aesthetic surgery. Currently, aesthetic surgery is becoming in demand and the number of people who have exposed themselves and who want to receive the help of a plastic surgeon is increasing [Piskunov S.Z., 1996; Heden P., 2001; Davis D., 2004; Gasanov A.G., 2007; Mikhailov A.G., 2007, etc.].
Улучшение результатов хирургического лечения гнойно-воспалительных заболеваний челюстно-лицевой области, путем применения оптимальной схемы лазерной фотодинамической терапии (ЛФДТ) с мазью на полиэтиленгликолевой основе.
It is known that in chronic liver diseases, secondary immunodeficiency is formed, which is of great importance for the dental system and the entire body as a whole. Therefore, it becomes clear the importance of studying the state of the protective system of oral tissues in chronic viral liver pathology, which requires timely and constant correction. The aim of this study was to evaluate the activity of proinflammatory cytokines and cytolytic enzymes in patients with chronic viral hepatitis before tooth extraction. The level of cytokine IL-1 in patients with CVI before tooth extraction was on average 43.97±3.56 pg / ml, whereas in healthy people the studied indicator was on average 5.41 ± 0.42 pg / ml. The patients showed an increase in the level of IFN in the blood serum by an average of 6.2 times, the level of interleukin-18, belonging to the IL-1 family, was statistically significantly increased by 2.4 times in patients with CVI, compared with the control group. The features of CVH are dissociations between the levels of proinflammatory cytokines IL-1, IL-6, IL-18 and interferon. This indicates the disintegration of the inflammatory process occurring in the periodontal tissues and with the transition to a chronic course of the disease. Changes in the level of IL-1, IL-6, IL-18 and interferon in the blood serum of patients with CVI from normal parameters before tooth extraction is an indicator of the severity of the inflammatory process in the liver, as evidenced by changes in the dynamics of cytolytic enzymes.
На основании результатов проведенных исследований ряда авторов провести сравнительную оценку эффективности использования различных антисептических растворов в комплексе с оральными ирригаторамиу больных с переломами нижней челюсти.
Despite a large number of studies conducted in the field of dentistry, including in the field of surgical dentistry, the etiology and pathogenesis of inflammatory complications after tooth extraction have not been fully determined. This slows down the healing process of the hole and the normal formation of bone tissue. At the same time, the occurrence of complications is facilitated by the presence of concomitant pathology in patients. According to new WHO estimates, "... there are 354 million people worldwide living with chronic hepatitis B and C. In the European region, 14 and 12 million people live with hepatitis B and C – one of the main causes of cirrhosis and liver cancer, respectively ...". Currently, viral liver diseases are one of the global problems not only of a medical, but also of a social nature. First of all, this is due to the significant prevalence of viral hepatitis, despite preventive measures. An urgent problem of modern surgical dentistry is the improvement of methods of prevention and treatment after tooth extraction in patients with chronic hepatitis.
The treatment and outcomes of 539 patients with closed injuries of the abdominal organs in 2011 -2021 were analyzed. Multi-stage "damage control" surgical tactics in isolated and combined severe liver injuries is an effective method in unstable patients with the risk of coagulopathy and multiple organ failure. A necessary component at the final stage of surgical intervention is intestinal decompression in order to conduct enteral tube feeding to correct hypermatabolism and prevent secondary systemic complications associated with emerging enteric insufficiency.