Dental Profile Research Articles

RISK FACTORS IN THE PROCESS OF EMPLOYMENT OF MEDICAL WORKERS OF THE DENTAL PROFILE

One of the most socially important types of work is the work of medical workers. Due to the presence of a significant number of harmful and dangerous factors, the medical profession is divided into a separate group, which in turn is characterized by unique aspects of work. The work of doctors and nurses of different specialties of the dental profile differs significantly in the density of the working day, the volume and nature of professional activities; responsibility for the life of the patient, which affects many physiological processes.
 The purpose. Assessment and comparative characterization of the presence of occupational risks in the dental field, which are daily exposed to factors of aggressive and dangerous nature, as well as the development of a set of preventive measures aimed at reducing occupational morbidity.
 Materials and methods. Hygienic research of working conditions of medical staff of the University Dental Clinic in the form of a questionnaire. Statistical analysis of data of special assessment of working conditions; sanitary and hygienic characteristics, acts, maps of cases of nosocomial diseases; laboratory and instrumental research conducted as part of production control; dosimetric control, air sampling with subsequent sowing on the nutrient medium of IPA.
 Results. It was found that in the studied premises, the total microbial count varied from 756 ± 0.8 CFU / 1m3 to 6497 ± 3.4 CFU / 1m3. In most medical institutions, the level of artificial lighting in the workplaces of medical workers was insufficient. The largest negative contribution was provided by such production factors as: labor intensity and intensity - 26.41%; physical: noise, vibration, non-ionizing and ionizing radiation - 25.32%; chemical - 12.77%. The total contribution of the main factors was 91.78%. Assessment of working conditions is based on hygienic criteria to assess the degree of deviations of the parameters of the production environment and labor process from the current hygienic standards, as well as after analysis and processing of data submitted by employees in the format of their questionnaires. In this regard, the distribution of harmful production factors and their degree of impact on the health of medical personnel was established with the help of multifactor analysis.
 Conclusions. Thus, the research interprets the results, which clearly in the format of a specific percentage, identify those factors that have a strong driving impact on the health of dental professionals. The most substantiated are such production factors as: chemical (exposure to drugs and chemicals), physical (noise and vibration, non-ionizing and ionizing radiation), the severity and intensity of the labor process, lighting (non-compliance with regulations for artificial lighting in the workplace) and microclimate and biological (work with biological, potentially contaminated material, samples, patients), non-ionizing and ionizing radiation, labor intensity (tension of the visual organs).

Children with autism spectrum disorder at a dental appointment: problems, behavioral characteristics, recommendations

Relevance. Dental care is one of the principal unmet health needs of children with autism spectrum disorder (ASD). Based on the available publications, the study discusses the dental profile of a child with autism and the social factors affecting the oral health of such children.Materials and methods. A search was performed of publications for the 15 years in the Medline database using the terms autism”, behavior management/techniques”, child”, dental care for children with other abilities”, dental education”, dental disease”, pediatric dentistry” to find relevant publications.Results. In the found publications, the authors most frequently mention poor oral hygiene. However, they disagree regarding the caries occurrence rate in children with ASD. Insufficient specialized training of dentists on interaction with special children may be one of the reasons for the limited access to dental care.Conclusions. Dental treatment of an autistic child requires a thorough knowledge of comorbidity, relevant behavioral management and customization of treatment protocols according to individual needs. The effectiveness, safety and rationale of the known dental treatment strategies for children with ASD require further study and improvement.

Applications of Kinetotherapy in the Prophylaxis of Occupational Cervical Syndrome (Overloading) among Professions with a Medical Profile in The Field of Dentistry - Preliminary Study

Abstract Professionals from different fields are exposed to myo-arto-kinetic disorders, among them those in the medical field with dental profile, respectively dentists, dental assistants and dental technicians. Given that specialists in the field of dentistry are exposed to musculoskeletal risk factors with cervical location, the purpose of this study is to provide data to contribute to an effective kinetic intervention strategy for professionals working in the field of dentistry.

Критерії та індикатори якості стоматологічної допомоги: стан розробки та використання

Healthcare quality criteria and indicators allow the head of the health care facility to clearly orientate in the degree of achievement of targets and improvement of results for patients. Studies of approaches to the formation of criteria and indicators of quality in the conditions of real domestic clinical practice, in particular, dental, are isolated. At the same time, in Ukraine there are no clinical protocols of dental care based on evidence-based technologies, which contain clinical quality indicators. The purpose of the study was to conduct a research on approaches to the development and usage of criteria and indicators for the quality of dental care in dental health facilities. Materials and methods. Such materials were used in the study as work plans for 2010-2019, administrative documents (orders), maps of expert assessments, "Guidelines for quality", internal audit protocols (a total of 149 units) of the three regional health care institutions of the dental profile. Methods, which were used, are system and process approach, content analysis, comparative analysis, graphical method. Results and discussion. In each institution, criteria and quality indicators are developed and monitored at the level of the doctor, line managers, the head of the institution and the medical council. Line managers conduct expert quality assessment, generalized "models of end results" which are formed at the level of the head of the institution. Detailed sets of criteria for the quality of the dental care process, ancillary processes and quality management systems are formed. Quantitative evaluation of the corresponding results on a scale and individual percentages is carried out. In general, the set of quality criteria and indicators is excessive in number, which does not meet the quality criteria defined by the standards for quality management systems, it contains mainly indicators of traditional industry reporting. At the same time, the world's evidence-based technologies of dental practice contain clinical indicators that reflect the use of interventions that have a proven impact on the quality of dental care expected by the patient, and which ensure efficient use of resources. Conclusion. The introduction of evidence-based technologies in dental practice is appropriate to improve approaches to the development of quality criteria and indicators, monitoring of clinical processes and compliance audits should be used, expert assessment should be carried out in case of defects

КУЛЬТУРА ПАЦИЕНТОВ КАК ФАКТОР ОБЕСПЕЧЕНИЯ КАЧЕСТВА МЕДИЦИНСКОЙ ПОМОЩИ

The relevance of the study is due to the insufficient development of improving the structural component of the quality of medical care in terms of the cultural characteristics of the participants in their provision. The purpose of the study: to determine the contribution of the patient's culture factor to ensuring the quality of medical care of different profiles. The collection of material was carried out by the method of sociological survey of patients on the original questionnaires and the method of expert assessment of cases of medical care. The volume of the sample population formed by random selection amounted to 256 patients of dental profile, 320 therapeutic, 196 surgical (urological), 210 pediatric profile, respectively. An expert assessment of the quality of medical care was carried out according to the methodology that takes into account the implementation of its individual properties, for 984 cases of assistance. It is established that the quality of medical care is reliably influenced by the state of the cultural profile of patients. It was found that the assessment of the patient structural component of the quality of medical services without taking into account their profile was reduced to 40.6% relative to the maximum assessment, especially the characteristics of the sanological and information culture of the patient. The analysis of the role of patient cultural characteristics in the formation of the structural component of the quality of medical services showed the presence among them of characteristics that have a significant impact on the decline in the quality of services. The revealed differences in the value of the relative risk of the same patient cultural risk factor for reducing the quality of medical services in their different profiles substantiated the need to differentiate factors into high-risk and low-risk. The basis for managing the culture of patients should be measures to transform low gradations of cultural characteristics of patients into high ones, through medical information and education, socio-psychological counseling, patient education and the formation of behaviors focused on the preservation and promotion of health.

АНАЛИЗ СТРУКТУРЫ ХИРУРГИЧЕСКИХ ЗАБОЛЕВАНИЙ ЧЕЛЮСТНО-ЛИЦЕВОЙ ОБЛАСТИ В УСЛОВИЯХ ГОСПИТАЛИЗАЦИИ ДЕТСКОГО И ВЗРОСЛОГО НАСЕЛЕНИЯ ЮЖНОГО УРАЛА

The reforms carried out in the country in health care redefine the tasks and functions of health care management, including the dental service. In recent decades, there has been a clear tendency towards an increase in dental morbidity in Russia against the background of a decrease in its availability and the level of preventive work, primarily due to an increase in the volume of medical care. In connection with the increase in the segment of non-state dental clinics, a change in the structure of the network of medical and prophylactic institutions of a dental profile is registered, while an increase in the number of patients seeking dental care for the first time at the stage of the disease requiring treatment in inpatient conditions is revealed. The aim of the study was to study the structure of surgical pathology of the maxillofacial region in children and adults in the Chelyabinsk region. To solve this goal, a retrospective study of the incidence and structure of surgical diseases of the maxillofacial region was carried out in patients of all age groups who received inpatient treatment in specialized departments for the period from 2016 to 2020. In the course of the study, it was revealed that in the Chelyabinsk region there is a consistently high need to provide assistance to patients of different ages with surgical pathology of the maxillofacial region in hospitalization — both among adults (18883 people were treated for the 5-year period under study), and during the analysis. data of pediatric patients (from 873 to 1070 children were treated per year). The majority of adult patients undergoing treatment in the conditions of the departments of maxillofacial surgery were admitted on an emergency basis with inflammatory processes (most often diagnosed with odontogenic phlegmon (L03.2)) and traumatic lesions of the face and neck (the vast majority — patients with fractures of the lower jaw (S02.6)), then in descending order — neoplasms, deformities and congenital pathology of the maxillofacial region followed; in children, after inflammatory diseases, neoplasms of the orofacial zone were recorded, followed by congenital pathology and facial injuries.

Formation of Professional Readyness of the Future Specialist

The article substantiates the content and develops a model of professional training of assistant dentist, as well as his educational and qualification characteristics and educational and professional program and, through experiment, introduced the training of such a specialist in seven higher medical schools in Ukraine. Theoretical concretization and experimental testing of organizational and pedagogical conditions of professional training of junior specialists of dental profile in the line of general requirements of the personal approach to the organization of process of professional training are carried out. Factor analysis of trends in the development of education and environmental systems and analysis of the experience of professional training of auxiliary specialists in the field of dentistry abroad revealed the conditionality and necessity of professional training in Ukraine for junior dentists. The organizational and pedagogical conditions that will ensure the effectiveness of professional training of a dental assistant in a higher medical educational institution, namely: the system of three-subject interaction of the educational institution, the student as a future specialist and potential employer and pedagogical opportunities for self-realization of the student as a subobject of his/her own professional training. Through the experiment, the effectiveness of the introduction of organizational and pedagogical conditions for the professional training of an assistant dentist was proved. During the study, the experimental group eventually rethought the “object” of its activities and crossed the previously opaque boundaries between medical care and student supervision for the benefit of all parties.

Дистанційне навчання за циклом "Невідкладні стани" очима лікаря-інтерна лікувального профілю та стоматолога

The purpose of the study. We analyzed the advantages and disadvantages of distance training of interns of various specialties for the licensed integrated exam "Krok-3" by studying the opinions of the subjects of training. Materials and methods. More than 200 anonymous questionnaires of first-year interns in various specialties were analyzed. The survey was conducted on a five-point system. If the respondent had not wanted to answer any item of the questionnaire, in the corresponding column he put a mark "0". A comparative analysis of the results of testing the interns in the areas of "General Medicine" and "Dentistry" has been carried out. Distance learning means such an organization of the educational process in which the main attention is paid to the independent training of an intern doctor. Our previous studies have shown that most interns can master large volumes of educational material. Therefore, according to the subject of the cycle, we have developed a number of microlectures in the form of voiced multimedia presentations for self-preparation of interns for classes, which were approved by the CMC of the Academy. At the end of each section, there is a considerable list of questions for self-control and a selection of test tasks on the topic. For self-preparation, we also offer clinical lectures texts copies of the department staff, published in professional scientific publications. Results and discussion. According to the results of an anonymous survey, 58.8% of respondents in the medical profile consider the "Emergencies" on-line cycle very significant for the preparation to a licensed exam, 35.3% - important, and only 5.1% - not paramount. Among interns-dentists, only 26.3% of the respondents recognized our classes as very important for passing “Krok-3”, and 47.4% - not very serious, and 26.3% did not at all perceive the expediency of this cycle. It can be explained by the fact that the thematic plan of classes of somatic pathology, which our department conducts for interns-dentists, is a very small share of the special dental program. Only 26.5% of medical interns and 21.1% of dentists recognized the stimulating effect of “Krok-3” for mastering knowledge of emergency care, 44.1% and 15.8% of respondents consider it quite important, respectively, and 32.4% of medical interns and 63.1% of dentists do not consider it appropriate at all, they say, the exam itself does not contribute to the improvement of medical qualifications. Conclusion. Conducted on-line cycle "Emergencies" was generally quite highly appreciated by subjects of training in many qualitative components. Interns of the dental profile showed significantly less interest in the performed cycle due to its limited somatic pathology. The problem of the unfair attitude of interns to the means of control at our department has been completely solved in full-time education, but in the case of distance education, it requires an urgent search for ways to overcome it. The transition to distance learning during an epidemic is a forced, but the only possible measure that will preserve the health and life of the subjects of learning. This type of training requires careful study, optimization and adaptation to modern conditions

QUALITY OF LIFE ASSESSMENT IN PATIENTS AFTER PROSTHETIC TREATMENT USING THE DENTAL PROFILE QUESTIONNAIRE

Introduction. Quality of life, objective assessment criterion of which is level of human’s needs and interests satisfaction, is primarily connected with health status. This is why so called “health-related quality of life” is closely associated with patient’s well-being and satisfaction of those aspects of life, that are impacted by disease or treatment process. During the study of oral health related quality of life (OHRQoL, 1996), most authors take the OHIP (Oral Health Impact Profile, G.D. Slade, A.J. Spencer, 1994) approach as a basis, such as OHIP-EDENT (Short Version). Due to the fact, other methods of quality of life assessment are not widely used in dental practice, and it is important to develop new approaches in quality of life study, combined with prosthetic treatment results, considering the appropriate indicators of oral health.
 The aim of this study is to conduct a personalized dental health indicators assessment reflecting patients’ quality of life after restoration of mandibular dental arch with overdentures.
 Materials and methods. Main group (MG) comprised 23(54,8%) female patients and 19 (45,2%) males ones (n=42) aged 56-89, whom mandibular overdentures with ball attachments were constructed. Comparison group (CG) consisted of 17(47,2%) women and 19(52.8 %) men (n=36) aged 57-76, who have been using first-timely constructed complete removable mandibular dentures for three years. After use of the Dental Profile Questionnaire, and after detailed anamnestic study, the number of patients’ of both groups responses about possible unfavourable symptoms in use of dental prostheses and the mean value of frequency of those symptoms (1- sometimes, 2- often, 3- mainly) were estimated. Statistical processing of data obtained was performed by standard methods of variation statistics using Statistica 6.0 Program.
 Results and discussion. The subjective component of our treatment results evaluation of in-depth analysis, after all reflected in extended description of the clinical cases in MG patients development of the current disease — significant loss of teeth with mandibular single remaining teeth / roots (K08.9 according to ICD-10) indicated that quality of life level of these individuals has a close connection with their oral health. According to the overall subjective evaluation of prosthetic treatment results after answering 14 patient’s oral health- related questions, the number of reports of adverse events was markedly different -22.7% in MG patients after 12 months of observation vs. 77.3% of CG patients, and statistically significant (p <0.05) - the decrease in the average score of their frequency.
 Thus, it can be argued, that in the MG patients satisfaction with the treatment results, that reflected the quality of life level, associated with oral health, was notably higher, than in the CG patiens. So, the dentures were identified applicable (pp.1-6) by 90.9% of MG patients vs. 54.6% of CG patients, accompanying signs (pp.7-12) were positively evaluated by 90.1% vs. 69.0%, and subjective well-being (pp.13-14) was acheived in 90.5% vs. 63.9% of patients in these groups.
 Conclusions. Results of the research have defined the improvement of all the 14 studied oral health indicators in patients of the main group after 1 year of the examination compared with the previous data after 1 and 6 months of mandibular overdentures use. Patients’ satisfaction with treatment results, reflecting the quality of life level, associated with oral health, confirms the higher efficiency of overdentures use compared to complete removable dentures in mandibular dental arch restoration.

The organization of the dental service in the Voronezh region

Introduction: The article «Organization of dental services in the Voronezh region» - a large subject of the Russian Federation (RF), the features of the organization of dental care for adults and children are considered. Materials and methods: Analytical methods and extracts of data from reports of medical organizations of the dental profile of the Voronezh Region for 2017-2019 were used. In accordance with the action plan of the Department of Health of the Voronezh Region, the issues of primary prevention of dental diseases among the population of the Voronezh Region are covered within the framework of the state program of the Russian Federation «Development of Health Care». When considering. Results: The current state of science and practical health care to preserve the health of the population is reflected, and at the same time, the relevance of dental research remains unchanged. The working dental organizations of the region are described. The analysis of literature sources and reporting materials showed the importance of dynamic observation of medical and social indicators, conditions and lifestyle, the level and structure of dental morbidity, and the demographic situation. The author of the work is well aware of the importance of the background of dental measures aimed at prevention (first of all) and treatment (if necessary). Speaking about the indicators of morbidity in dentistry, the author emphasizes the need to study it to assess the public health of the entire population. Conclusion: It is emphasized that the priority directions of the development of the dental service of the Voronezh region can be considered (including recommended to other regions): strict implementation of the Program of State Guarantees to the population of the region, equipping dental departments and offices in accordance with the standards of equipment, improving the availability, safety and quality of dental care to the population, as well as the priority of prevention in the field of health protection, including through the school dental service.

Antiresorptive medication in oncology: the clinical and dental profile of patients in a reference center.

ObjectivesThe aim of this study was to evaluate the profile of patients on antiresorptive therapies for cancer treatment and assess presence of oral lesions, oral hygiene status, and knowledge regarding medication-related osteonecrosis of the jaw (MRONJ).Materials and MethodsThis was an observational cross-sectional study that evaluated patients treated with antiresorptive medication at a single cancer hospital. Clinical data were collected and oral examination was performed to assess patient oral health.ResultsFrom July 2017 to December 2018, 90 patients were assessed; 64 were female and 26 were male, and the mean age was 61 years. The most common drug was an intravenous bisphosphonate, zoledronic acid. Among the 90 patients, 47 presented with some type of oral disease, isolated or associated. Among these 47 patients, 9 patients (10%) developed osteonecrosis. Oral hygiene was evaluated, and most patients, with or without MRONJ, presented with regular to poor condition. Regarding patient knowledge of the risks of MRONJ and the risks associated with dental surgery, 60% stated that they were not aware of the risks.ConclusionIdentifying the profile of patients and their needs facilitates not only the preventive process, but also the emergence of new therapeutic options. Our study shows that most patients are weakened both by metastatic disease and antineoplastic treatment as well as by issues associated with aging because most were over 60 years of age. Collectively, this information should be considered for management of preventive and therapeutic measures.

The Organization of the Dental Service in the Voronezh Region

Introduction: The article «Organization of dental services in the Voronezh region» - a large subject of the Russian Federation (RF), the features of the organization of dental care for adults and children are considered. Materials and methods: Analytical methods and extracts of data from reports of medical organizations of the dental profile of the Voronezh Region for 2017-2019 were used. In accordance with the action plan of the Department of Health of the Voronezh Region, the issues of primary prevention of dental diseases among the population of the Voronezh Region are covered within the framework of the state program of the Russian Federation «Development of Health Care». When considering. Results: The current state of science and practical health care to preserve the health of the population is reflected, and at the same time, the relevance of dental research remains unchanged. The working dental organizations of the region are described. The analysis of literature sources and reporting materials showed the importance of dynamic observation of medical and social indicators, conditions and lifestyle, the level and structure of dental morbidity, and the demographic situation. The author of the work is well aware of the importance of the background of dental measures aimed at prevention (first of all) and treatment (if necessary). Speaking about the indicators of morbidity in dentistry, the author emphasizes the need to study it to assess the public health of the entire population. Conclusion: It is emphasized that the priority directions of the development of the dental service of the Voronezh region can be considered (including recommended to other regions): strict implementation of the Program of State Guarantees to the population of the region, equipping dental departments and offices in accordance with the standards of equipment, improving the availability, safety and quality of dental care to the population, as well as the priority of prevention in the field of health protection, including through the school dental service.

Dental emergency care in Spain during the state of alarm due to COVID-19 pandemic

BackgroundThe first state of alarm due to COVID-19 in Spain led to limit dental treatment exclusively to emergencies. The objective of the survey was to evaluate the amount and type of emergencies attended during this period, as well as to know how they were solved, and what measures were adopted to carry out dental care in these exceptional circumstances. Material and MethodsThis cross-sectional study included 312 Spanish dentists, who fulfilled an online questionnaire with 22 closed questions, divided into five sections regarding to various aspects of professional dental profile and emergency care. Descriptive statistic and Chi-square tests were performed (p<0.05). Results75.64% of respondents attended emergencies in person only when required, being dental pain the main emergency (90.38%). Dental emergency care in person involved a prior telephone triage of the patient to identify possible COVID-19 symptoms, as well as protective measures implementation for both, the patient and the dentist, at dental office. ConclusionsThe number of dental emergencies decreased during the state of alarm, being dental pain the main cause of dental assistance via telephone or in person. Triage of patients before scheduling an in-person appointment and protective measures implementation were common features in dental emergency care during the first state of alarm period. Key words:Dental emergencies, COVID-19, state of alarm, survey.

ВЗАИМОСВЯЗЬ ПОКАЗАТЕЛЕЙ КАЧЕСТВА ЖИЗНИ И ВИДОВ ДЕФЕКТОВ ЗУБНЫХ РЯДОВ У ПАЦИЕНТОВ ПОЖИЛОГО И СТАРЧЕСКОГО ВОЗРАСТА

Subject. One of the priority areas of modern scientific and practical medicine is the study of the quality of life of patients with a dental profile. Of particular interest for the study is a group of patients consisting of elderly people. In connection with the current global trend in the implementation of socially significant labor and pension reforms, the social indicator characterizing age is increasingly becoming a priority. Overcoming social stereotypes, older people tend to take an active civic position in modern society and such factors as the absence of toothache, open smile, happy laughter, free conversation, not clouded by bad breath, the possibility of taking your favorite food in a public place, etc. etc., actively contribute to this. A comprehensive study and correction of the quality of life of the elderly and senile people can contribute to the humane implementation of social reforms carried out both in Russia and around the world, which determined the purpose of this research work. This article provides an overview of statistical information characterizing the structure of orthopedic structures used for dental rehabilitation of elderly and senile patients, describes the results of our own studies to identify the relationships between quality of life indicators and types of defects in the dentition in the studied group of patients. Methodology. The study was conducted in the form of an observational longitudinal prospective study with a double survey of respondents. An alternative version of THE ORAL HEALTH IMPACT PROFILE, OHIP 14 questionnaire was chosen as a tool for studying quality of life. Results. It has been established that defects in the dentition have a significant effect on the quality of life of elderly and senile patients. Conclusions. The study of dental morbidity is the basis for the correction of the quality of life of the elderly and senile in order to increase social life expectancy.

Ретроспективный анализ обращаемости пациентов с хроническим пародонтитом в лечебные учреждения стоматологического профиля г.о. Самара

Subject. Data on the prevalence and epidemiology of chronic periodontitis are presented. The main treatment protocols for this pathology and the most common complications arising from its neglect or inadequate treatment are presented. The goal is to conduct a retrospective analysis of the incidence of chronic generalized periodontitis in the period from 2015 to 2019 in medical institutions of the dental profile of the city of Samara Methodology. During the study 21368 medical records were studied in the period from 2015 to 2019, and errors in filling out 2910 medical records of primary patients were analyzed. The quality of conducting 18458 medical records was assessed in the provision of dental care for patients with a diagnosis of chronic periodontitis. Statistical processing of the material was carried out using the statistical program package “Statistica” for the formation of clear approaches in the diagnosis, treatment methods and prevention of this pathology. Results. An analysis of medical records showed that the highest prevalence of chronic periodontitis was observed in the 55―64-year-old age group (29.82 % of those examined), while 67.5 % of the patients showed a generalized form of chronic periodontitis, and 32.5 % localized. The treatment of such patients was carried out comprehensively and included both conservative methods of treatment, as well as surgical and orthodontic treatment. Stabilization in chronic generalized and localized periodontitis of mild degree occurred in 45 % of patients, in medium ― in 33.4 %, and in severe ― in 8.5 %. Conclusions. The frequency of occurrence of patients with a diagnosis of "chronic periodontitis" by referral to dental clinics is about 86 %. At the same time, the positive outcome of the treatment currently remains at an extremely low level, especially in the treatment of patients with a severe degree of development of chronic periodontitis. This is largely due to the neglect by the dentists of the proposed treatment protocols.

АНАЛИЗ ПОКАЗАТЕЛЕЙ КАЧЕСТВА ЖИЗНИ И СОЦИАЛЬНЫХ ОСОБЕННОСТЕЙ ПАЦИЕНТОВ ПОЖИЛОГО И СТАРЧЕСКОГО ВОЗРАСТА

Subject. This article provides a brief description of socially significant factors affecting the quality of life of elderly and senile patients who applied for dental care in the orthopedic profile at the municipal health care institution of the dental profile in Cheboksary. The criteria for assessing the quality of life and the laws of their manifestation in elderly patients of different social groups are listed. A quantitative and structural analysis of orthopedic structures used in the process of orthopedic dental treatment of the examined group of patients is given.&#x0D; One of the priority areas of modern scientific and practical dentistry is the study of the quality of life of patients with a dental profile. The quality of life of elderly and senile patients with a dental profile has not been adequately studied, while the study of this problem may underlie many problems of organizing dental care for this population group, which determined the purpose of this publication.&#x0D; Methodology. The study of the quality of life features of this group of patients was carried out in the form of a classic observational longitudinal prospective study with a double survey of respondents. As an optimal tool for studying the quality of life of patients with a dental profile, an alternative version of the specialized questionnaire “The degree of importance of dental health, 14” was chosen.&#x0D; Results. The analysis revealed patterns between the social affiliation of patients, the choice of the orthopedic design used as a denture, and the quality of life of the examined group of patients.&#x0D; Conclusions. The study revealed that older people who continue to work, live in families, have an average and high level of average monthly income, lead an active lifestyle, initially had higher quality of life than people who do not work, with a low income, lonely and forced to lead a passive lifestyle.

Определение лучевой нагрузки на пациентов при стоматологических рентгенологических исследованиях

Purpose: Improving the quality of radiation assessment of patients of the medical institution of the dental profile using the calculated values of effective doses.&#x0D; Material and methods: Using the RED-2018 and ORTO-2018 programs, the values of effective patient exposure doses for 29 medical organizations of the dental profile were calculated. The obtained values of the effective dose were compared with the values specified in the methodological recommendations MP 0100 / 1659-07-26 of February 16, 2007 “Filling of forms of federal state statistical observation 3-DOZ”.&#x0D; Results: The analysis showed that the doses obtained using the RED-2018 and ORTO-2018 computer programs, respectively, are 21 and 14 times lower than the doses indicated in the methodological recommendations MP 0100 / 1659-07-26. &#x0D; Conclusion: It is shown that the developed computer programs can be applied by a dentist practicing physician who performs an x-ray examination in order to automatically and reliably determine the patient’s dose when performing x-ray-mathematical studies in accordance with the guidelines of MU 2.6.1.2944-11 “Monitoring effective doses of patients during x-ray examinations” also used in the preparation of radiation hygienic passports of organizations and statistical form 3-DOZ. The indication of the actually calculated values of the effective dose of the patient, rather than repeatedly overestimated averages, will reduce the level of radiophobia in society.

Immediate and late follow-up effects of class III early correction in cleft lip and palate patients treated with maxillary protraction

Abstract Introduction There is no consensus about the immediate and latte follow-up effects of maxillary protraction in cleft lip and palate patients. Objective To evaluate the stability of Class III early treatment in cleft lip and palate patients through maxillary expansion and protraction. Material and method The sample consists in three lateral cephalometric radiographs of 28 patients (mean pre-treatment age of 6.7±1.8 years) who presented cleft lip and palate and were treated with maxillary expansion and Petit facial mask. The angular (SNA, SNB, ANB, SN.GoGn, FMA, Z Angle) and linear (overjet, Co-A, Co-Gn, Nperp-A, Nperp-Pg, AO-BO) cephalometric measures were evaluated through the Dolphin® software, in three moments: T0 (initial), T1 (after treatment), and T2 (follow-up). Data were submitted to the analysis of variance (ANOVA) and Tukey-Kramer test. The correlation between cephalometric measures and patient’s age was determined by Pearson’s chi-squared test. Result The SNA, ANB, and AO-BO measures increased considerably (p&lt;0.05), and they did not present any differences compared to the initial ones after the follow-up time. The overjet measure increased (p&lt;0.05) after treatment and, even with its decrease at the follow-up time, it was still higher than at the beginning (p&lt;0.05). The Z angle showed improvement with treatment and remained stable at the follow-up time. Conclusion After treatment (maxillary expansion associated with protraction), there was a skeletal pattern improvement. During the follow-up period, those alterations decreased to a measure close to the beginning. There was an improvement in the dental pattern and facial profile that continued in the follow-up period.

Odontogenic Cervico-Facial Cellulitis at the University Hospital of Brazzaville: About 431 Cases

Context and Objective: Cellulitis is potentially serious polymicrobial infections that can be life-threatening for the patient. They are clearly increasing in our service. It is with the aim of determining the hospital frequency of cellulitis of dental origin epidemiological profile, describing the clinical types, the therapeutic modalities and evaluating the results obtained. Subjects and Methods: This is a retrospective descriptive study on the files of 431 hospitalized patients, between January 2010 and December 2018 in the department of stomatology and maxillofacial surgery of the University Hospital of Brazzaville (Congo). The studied parameters: The frequency, the age, the gender, the origin, the consultation average time, the contributing factors, the entrance gate, the seat, the paraclinical assessment, the therapeutic modalities and the evolution. Results: Cervico-facial cellulitis accounted for 32.8% of hospitalizations. The average age was 32.8 ± 1.98 years, ranges from 3 to 93 years. The predominance was male with 241 cases, or 55.9%. 64.73% of patients came from CHUB emergencies. The mandibular seat was dominant with 77.72% of cases. The average consultation time was 6 days. As a contributing factor, we found the consumption of nonsteroidal anti-inflammatory drugs (NSAIDs). Tooth decay was the most common etiology 92.5%. Antibiotic therapy and surgery had a good evolution in 96.8% of cases. The mortality rate was 3.3%. Conclusion: odontogenic cervicofacial cellulitis remains common in daily practice. Patient care should focus on the preventive component integrating patient awareness of oral health.

80th anniversary of the department of maxillofacial surgery and surgical dentistry in Kazan state medical university

The article highlights the main stages of formation and development of the Department of maxillofacial surgery and surgical dentistry of Kazan state medical University in 80 years of its activity. The article presents the information about the employees of the Department, starting from the first head of the Department associate professor I.M. Utrobin, the main directions of scientific research conducted under the leadership of the heads of the Department, the results of teaching, research and medical work. Special attention is paid to the achievements and contribution of the department staff to the clinical practice and work of the basic department of maxillofacial surgery in Kazan. The history of higher dental education in Kazan and training of specialists is inextricably linked with the activities of the department, whose representatives have made a significant contribution to the development of the national scientific school of dentistry and practical health care. The study of the history of maxillofacial surgery and surgical dentistry in Kazan, the study of ways and directions of its development, the study of the activity of the heads of the department, their achievements and scientific schools created by them, have traditionally been of interest not only among historians of medicine, specialists of surgical dental profile, as well as students of dental faculties, who decided to devote themselves to maxillofacial surgery or surgical dentistry. Today we are deeply grateful and proud to honor the memory of our teachers and predecessors, those who created Kazan dental school in the period of its formation and rapid development from the beginning of the 20th century to the present day by their glorious work and scientific discoveries.