scholarly journals Therapeutic and rehabilitation complex for the treatment of patients with chronic generalized periodontitis and bruxism

2020 ◽  
Vol 17 (5) ◽  
pp. 252-257
Author(s):  
Rasima R. Khaybullina ◽  
Larisa P. Gerasimova ◽  
Lira T. Gilmutdinova ◽  
Marina Yu. Gerasimenko
Keyword(s):  
High Efficiency ◽  
Clinical Symptoms ◽  
Blood Perfusion ◽  
Control Group ◽  
Bioelectric Activity ◽  
Temporal Muscle ◽  
Doppler Flowmetry ◽  
Flow Perfusion ◽  
Therapeutic Procedures ◽  
Relationship Of

Background. The article discusses modern concepts of the relationship of periodontal disease and bruxism. Aim: to study the efficiency of the proposed therapeutic and rehabilitation complex for patients with chronic generalized periodontitis and bruxism. Methods. 73 patients aged 3045 years with a diagnosis of chronic generalized periodontitis of moderate severity and bruxism were examined. The control group consisted of 15 apparently healthy individuals of the same age to clarify the functional parameters of the norm. To assess the effectiveness of the proposed therapeutic and rehabilitation complex, clinical, Doppler flowmetric and electromyographic research methods were used. Results. High efficiency of the therapeutic and rehabilitation complex in the treatment of chronic generalized moderate periodontitis and bruxism has been revealed. An analysis of changes in time of clinical symptoms revealed that when using this program, which includes basic therapy, laser phoresis, ozone irrigation of the gums, the intake of phyto-complex and local-mineral complexes, the use of dental pins with propolis and phytocomplex, physiotherapy exercises and fluctuorization, positive changes were pronounced. Under the influence of the course effect of therapeutic procedures, patients showed an increase in blood perfusion volume by 37.7% (p 0.05), blood flow perfusion rate by 58.2% (p 0.05) from the initial values. At the same time, a decrease by 51.82% (p 0.05) from the initial indices of bioelectric activity of the temporal muscle at rest was registered, as well as by 40.4% (p 0.05) with voluntary constriction, and a decrease in the bioelectric activity of the mastication muscle at rest by 47.4% (p 0.05), and with voluntary constriction by 35.12% (p 0.05). Conclusion. The data obtained based on electromyography and laser Doppler flowmetry indicate that the developed treatment and rehabilitation complex is an effective method for correcting the microcirculation of periodontal vessels, the functional activity of the maxillofacial muscles.

scholarly journals Therapeutic and rehabilitation complex for the treatment of patients with chronic generalized periodontitis and bruxism

2020 ◽  
Vol 17 (5) ◽  
pp. 252-257
Author(s):  
Rasima R. Khaybullina ◽  
Larisa P. Gerasimova ◽  
Lira T. Gilmutdinova ◽  
Marina Yu. Gerasimenko
Keyword(s):  
High Efficiency ◽  
Clinical Symptoms ◽  
Blood Perfusion ◽  
Control Group ◽  
Bioelectric Activity ◽  
Temporal Muscle ◽  
Doppler Flowmetry ◽  
Flow Perfusion ◽  
Therapeutic Procedures ◽  
Relationship Of

Background. The article discusses modern concepts of the relationship of periodontal disease and bruxism. Aim: to study the efficiency of the proposed therapeutic and rehabilitation complex for patients with chronic generalized periodontitis and bruxism. Methods. 73 patients aged 3045 years with a diagnosis of chronic generalized periodontitis of moderate severity and bruxism were examined. The control group consisted of 15 apparently healthy individuals of the same age to clarify the functional parameters of the norm. To assess the effectiveness of the proposed therapeutic and rehabilitation complex, clinical, Doppler flowmetric and electromyographic research methods were used. Results. High efficiency of the therapeutic and rehabilitation complex in the treatment of chronic generalized moderate periodontitis and bruxism has been revealed. An analysis of changes in time of clinical symptoms revealed that when using this program, which includes basic therapy, laser phoresis, ozone irrigation of the gums, the intake of phyto-complex and local-mineral complexes, the use of dental pins with propolis and phytocomplex, physiotherapy exercises and fluctuorization, positive changes were pronounced. Under the influence of the course effect of therapeutic procedures, patients showed an increase in blood perfusion volume by 37.7% (p 0.05), blood flow perfusion rate by 58.2% (p 0.05) from the initial values. At the same time, a decrease by 51.82% (p 0.05) from the initial indices of bioelectric activity of the temporal muscle at rest was registered, as well as by 40.4% (p 0.05) with voluntary constriction, and a decrease in the bioelectric activity of the mastication muscle at rest by 47.4% (p 0.05), and with voluntary constriction by 35.12% (p 0.05). Conclusion. The data obtained based on electromyography and laser Doppler flowmetry indicate that the developed treatment and rehabilitation complex is an effective method for correcting the microcirculation of periodontal vessels, the functional activity of the maxillofacial muscles.

Evaluation of efficiency of complex treatment of patients with generalized chronic parodontitis and bruxism

2019 ◽  
Vol 24 (3) ◽  
pp. 254-257
Author(s):  
R. R. Khaybullina ◽  
L. P. Gerasimova ◽  
M. F. Kabirova ◽  
R. Z. Rakhmatullina ◽  
E. D. Tkachenko ◽  
...  
Keyword(s):  
Blood Flow ◽  
Chronic Periodontitis ◽  
Voluntary Contraction ◽  
Control Group ◽  
Bioelectric Activity ◽  
Temporal Muscle ◽  
Doppler Flowmetry ◽  
Flow Perfusion ◽  
Normal Functional ◽  
Baseline Values

Relevance: the purpose of this work was to study the effectiveness of proposed treatment and rehabilitation complex for patients with generalized chronic periodontitis and bruxism.Materials and methods: we examined 73 patients aged 30 to 45 years diagnosed with generalized chronic periodontitis of moderate severity and bruxism. Control group included 15 healthy individuals of the same age for clarify normal functional parameters. Clinical, Doppler flowmetry and electromyographic methods were used for evaluation of the effectiveness of proposed treatment and rehabilitation complex.Results: the course of treatment resulted in the increase in blood flow perfusion volume by 37.7% (p < 0.05), of blood flow perfusion rate by 58.2% (p<0.05) from baseline values. At the same time, the decrease in bioelectric activity of temporal muscle at rest by 51.82% (p >< 0.05), at voluntary contraction – by 40.4% (p<0.05), the decrease in bioelectric activity of masseter muscle at rest – by 47.4% (p><0.05), at voluntary contraction - by 35.12% (p >< 0.05) from values before treatment, were observed.Conclusion: data obtained on the basis of electromyography and laser Doppler flowmetry showed that developed treatment and rehabilitation complex is an effective method for correcting the microcirculation in periodontal vessels and the functional activity of the muscles of maxillofacial area.

ELECTRODIAGNOSTIC CRITERIA FOR DIAGNOSING CARPAL TUNNEL SYNDROME NEED TO BE REVISED IN HYPOTHYROID PATIENTS

2017 ◽  
Vol 20 (03) ◽  
pp. 1750014
Author(s):  
Mahdieh Asadi ◽  
Sharareh Roshanzamir
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Clinical Symptoms ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Control Group ◽  
Tunnel Syndrome ◽  
Clinical Signs And Symptoms ◽  
Relationship Of ◽  
Hypothyroid Patients

Background: Previous studies do not agree with each other on the association between electrodiagnostic findings and clinical symptoms of Carpal tunnel syndrome (CTS). In most of these studies, many variables such as age, sex, obesity and hypothyroidism have not been taken into account. Material & methods: About 62 patients with hypothyroidism and 62 patients without hypothyroidism with sign and symptoms of CTS were included in this study. Electrodiagnostic tests were done for all patients. And relationship of the severity of CTS signs and symptoms with electrodiagnostic parameters was examined statistically in each group. Results: This study showed that distal motor latency in control group (without hypothyroidism) is significantly more prolonged than hypothyroid patients. Also there was significant correlation between clinical symptoms and electrodiagnostic findings in control group, but there was not such correlation in hypothyroid patients. In 62% of hypothyroid patients with clinical signs and symptoms of CTS, electrodiagnostic findings were normal and only in 38% of cases, electrodiagnostic findings were suggestive of CTS. Conclusion: Relationship of the severity of CTS signs and symptoms with electrodiagnostic parameters is very weak in hypothyroid patients. Many hypothyroid patients with clinical signs and symptoms of CTS have normal electrodiagnostic findings; so we need more studies for revising the para-clinic criteria of labeling patients having CTS in hypothyroid patients.

scholarly journals Functional analysis of the results of using Ufi Gel P elastic soft lining from VOCO (Germany) as a means to reduce the time of adaptation to removable plate prostheses in the process of prosthetic rehabilitation of patients with asymmetric distally unlimited defects of dental rows in the early stages

2020 ◽  
Vol 103 (4) ◽  
pp. 53-60
Author(s):  
R. Symonenko ◽  
◽  
L. Etnis ◽  
Keyword(s):  
High Efficiency ◽  
Study Groups ◽  
Masticatory Muscles ◽  
Control Group ◽  
Bioelectrical Activity ◽  
Clinical Group ◽  
Bioelectric Activity ◽  
Rest Periods ◽  
Masticatory Efficiency ◽  
Elastic Lining

Objectives. Study of ways to increase the efficiency of immediate prosthetic treatment of patients with asymmetric distally unlimited defects of dental rows by using clinical relining of partial removable dentures with Ufi Gel P material from VOCO (Germany) to reduce the time of adaptation to dentures and normalize the functional activity of the masticatory muscles. Materials and methods. The efficiency of clinical relining of partial removable dentures using an elastic lining with Ufi Gel P from VOCO (Germany) was evaluated by electromyographic examination with BioEMG III electromyograph from BioRESEARCH Associates, Inc. (USA). The bioelectrical activity of the temporal and masseter muscles was evaluated during maximum voluntary clenching and mastication. The quantitative indicators of the amplitude of biopotentials (μV) and the qualitative characteristics of the chewing cycles were evaluated. Results. Our study has revealed that patients with asymmetric distally unlimited defects of dental rows had shown a significant decrease in the amplitude of biopotentials of the masticatory muscles compared to patients in the control group during maximum voluntary clenching and chewing, as well as a significant asymmetry of the bioelectric activity of the masticatory muscles on the right and left. During mastication there were significant differences in the size and duration of chewing cycles, a decrease in the duration of rest periods and the average number of chewing movements increased almost two times compared with intact dentition. A month after prosthetics, the indicators of bioelectrical activity of the masticatory muscles improved in both study groups of patients, but the most significant increase in amplitude was observed in the second group with a soft lining. There was also revealed a significant increase in the symmetry of bioelectric activity of the masticatory muscles, an improvement in the characteristics of the masticatory cycles and normalization of the activity and rest periods duration ratio in patients of the second group, while in patients of the 1st clinical group the indicators of symmetry did not change significantly. The average number of chewing movements required to chew the hazelnut kernel decreased to 38.7±16.2 and 29.3±10.7 respectively, in groups 1 and 2, which indicates an increase of masticatory efficiency. Conclusions. In the framework of this study, the high efficiency of Ufi Gel P (VOCO) elastic lining for the successful rehabilitation of patients with asymmetric distally unlimited defects in case of early prosthodontic interventions was proved. Our observations have shown that the use of the Ufi Gel P (VOCO) soft lining significantly increases the functional parameters of the masticatory system, shortens the period of adaptation to removable dentures and supports the formation of the alveolar processes relief without irregularities.

scholarly journals Analysis of the results of using elastic soft lining as a means to reduce the time of adaptation to removable plate prostheses in the process of the early prosthetic rehabilitation of patients

2020 ◽  
Vol 104 (5) ◽  
pp. 44-51
Author(s):  
R. Symonenko ◽  
◽  
L. Etnis ◽  
T. Kostiuk ◽  
◽  
...  
Keyword(s):  
High Efficiency ◽  
Study Groups ◽  
Masticatory Muscles ◽  
Control Group ◽  
Bioelectrical Activity ◽  
Clinical Group ◽  
Bioelectric Activity ◽  
Rest Periods ◽  
Masticatory Efficiency ◽  
Elastic Lining

Objectives. Study of ways to increase the efficiency of immediate prosthetic treatment of patients with asymmetric distally unlimited defects of dental rows by using clinical relining of partial removable dentures with elastic material to reduce the time of adaptation to dentures and normalize the functional activity of the masticatory muscles. Materials and methods. The efficiency of clinical relining of partial removable dentures using an elastic lining with Ufi Gel P from VOCO (Germany) was evaluated by electromyographic examination with BioEMG III electromyograph from BioRESEARCH Associates, Inc. (USA). The bioelectrical activity of the temporal and masseter muscles was evaluated during maximum voluntary clenching and mastication. The quantitative indicators of the amplitude of biopotentials (μV) and the qualitative characteristics of the chewing cycles were evaluated. Results. Our study has revealed that patients with asymmetric distally unlimited defects of dental rows had shown a significant decrease in the amplitude of biopotentials of the masticatory muscles compared to patients in the control group during maximum voluntary clenching and chewing, as well as a significant asymmetry of the bioelectric activity of the masticatory muscles on the right and left. During mastication there were significant differences in the size and duration of chewing cycles, a decrease in the duration of rest periods and the average number of chewing movements increased almost two times compared with intact dentition. A month after prosthetics, the indicators of bioelectrical activity of the masticatory muscles improved in both study groups of patients, but the most significant increase in amplitude was observed in the second group with a soft lining. There was also revealed a significant increase in the symmetry of bioelectric activity of the masticatory muscles, an improvement in the characteristics of the masticatory cycles and normalization of the activity and rest periods duration ratio in patients of the second group, while in patients of the 1st clinical group the indicators of symmetry did not change significantly. The average number of chewing movements required to chew the hazelnut kernel decreased to 38.7±16.2 and 29.3±10.7 respectively, in groups 1 and 2, which indicates an increase of masticatory efficiency. Conclusions. In the framework of this study, the high efficiency of elastic lining for the successful rehabilitation of patients with asymmetric distally unlimited defects in case of early prosthodontic interventions was proved. Our observations have shown that the use of the soft lining significantly increases the functional parameters of the masticatory system, shortens the period of adaptation to removable dentures and supports the formation of the alveolar processes relief without irregularities.

scholarly journals Optimization of early diagnosis of ovarian cancer using an original software ScOv

2019 ◽  
Vol 15 (2) ◽  
pp. 71-76
Author(s):  
S. V. Khabarov ◽  
S. O. Nikogosyan ◽  
V. G. Volkov ◽  
G. M. Chibisova
Keyword(s):  
Ovarian Cancer ◽  
High Risk ◽  
High Efficiency ◽  
Clinical Symptoms ◽  
Early Stage ◽  
Computer Software ◽  
Cost Effective ◽  
Control Group ◽  
Minimal Impact ◽  
Screening Programs

The most common causes of treatment failure in ovarian cancer (ОС) include late diagnosis due to the absence of screening programs for its early detection and lack of vigilance by general practitioners and gynecologists. World experience suggests that screening of 100% of women has a minimal impact on mortality. Examination of women at high risk for OC is a sensible alternative to mass screening. This examination can be performed using universal computerized screening, which is a very promising and cost-effective method.To identify the symptoms significantly associated with early-stage OC, we questionnaired 100 patients with morphologically verified stage IA–IC OC, admitted to the Department of Gynecology, Tula Regional Oncology Dispensary between 2010 and 2017 (experimental group). The control group included 200 women without malignant diseases, who underwent preventive medical examination in outpatient units of Tula. We analyzed the significance of 22 clinical symptoms and developed original computer software ScOv, which was subsequently used for identifying patients at high risk of OC among women aged 40 years and older by evaluating their complaints. The sensitivity and specificity of ScOv were 73.7 % and 88.8 % respectively. A retrospective check of the developed program demonstrated its high efficiency and prognostic value.

scholarly journals MONITORING OF THE MICROCIRCULATION OF THE MUCOUS MEMBRANE CONDITION IN THE TRANSITORY FOLD OF TEETH WITH CHRONIC APICAL PERIODONTITIS IN THE DYNAMICS OF COMPLEX ENDODONTIC TREATMENT

2019 ◽  
Vol 15 (3) ◽  
pp. 75-81 ◽  
Author(s):  
Алина Юсупова ◽  
Alina Yusupova ◽  
Лариса Герасимова ◽  
Larisa Gerasimova ◽  
Ирина Усманова ◽  
...  
Keyword(s):  
Mucous Membrane ◽  
Laser Doppler Flowmetry ◽  
Root Canal ◽  
High Efficiency ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Laser Doppler ◽  
Control Group ◽  
Doppler Flowmetry ◽  
Periodontal Tissues

Subject. A sufficiently sensitive, high-resolution method of laser doppler flowmetry is used to characterize the сlaudication in the oral mucous membrane and periodontal tissues. This method makes it possible to detect early changes in the microcirculatory bloodstream and predict the course of chronic apical periodontitis. With the help of the method of laser doppler fluorometry, a comparative monitoring of the microcirculatory bloodstream of the mucous membrane of the transitory fold in the area of intact teeth and teeth with chronic apical periodontal was carried out. The aim of this study was efficiency determination of complex endodontic treatment of chronic apical periodontitis on the basis of monitoring the state of microcirculation of the mucous membrane in the transitory fold of the studied teeth. Methodology. Control group consisted of 55 patients with chronic apical periodontitis, and 20 patients with intact teeth aged 20 to 30 years old who underwent the analysis of microcirculation of the mucous membrane of the transitional fold of the studied teeth using laser doppler flowmetry (LDF). Results. The indicators IM, Kv, Q among 20 patients with intact teeth examined with the method of laser doppler flowmetry (LDF) were taken as normal. Studied parameters are significantly lower than normal in 55 patients with chronic apical periodontitis. In case of patients with chronic apical periodontitis, the inclusion of complex composed of the root canal system treatment by diode laser and the insertion into the root canal trombocytic autoplasma and its injection in projection of the root end in the protocol of endodontic treatment of chronic apical periodontitis helps to normalize microcirculation in the mucosa of the transitory folds of the investigated teeth. Summary. The study of the dynamics of the complex of endodontic treatment of chronic apical periodontitis showed its high efficiency (p≤0.001).

scholarly journals CHARACTERISTICS OF THE BIOELECTRIC ACTIVITY OF THE MASTICATORY MUSCLES IN PATIENTS WITH HEARING DEPRIVATION IN PERMANENT OCCLUSION IN THE PHYSIOLOGICAL STATE

2020 ◽  
pp. 64-68
Author(s):  
V.D. Kuroiedova ◽  
Yu.K. Sokolohorska-Nykina
Keyword(s):  
Hearing Loss ◽  
Physiological State ◽  
Masticatory Muscles ◽  
Normal Hearing ◽  
Hearing Impaired ◽  
Control Group ◽  
Bioelectric Activity ◽  
Temporal Muscle ◽  
Functional Relationships ◽  
Functional Features

The study of the muscles of the maxillofacial area both in normal and pathological occlusions is the area of great interest, since muscle function is an indicator of complex functional relationships of the dento-mandibular system. Hearing impaired patients have many features related to the functional features of the maxillofacial area due to the slight or complete lack of use of facial muscles during speech or through the use of sign language. Hearing impaired children have 100% of bite pathology. The functional state of chewing and temporal muscles in schoolchildren with hearing loss in constant bite at rest was studied. Twenty-five hearing impaired students with permanent dentistry were studied at Poltava Special Boarding School for Deaf Children, who formed the study group. Among them, there were 13 women (62.5%) and 12 men (37.5%). The mean age was 18.7 ± 1.31 years. The control group used the data of the study of patients with constant physiological bite without hearing disorders, determined by M. I. Dmytrenko. The average age was 21.3 ± 1.25 years. The bioelectric activity of the chewing muscles was examined on an electromyographic complex. The average values of oscillation amplitude (μV) of muscle biopotential on both sides were determined. Muscle biopotentials were recorded for five seconds in a state of physiological calm with closed lips. The results show that all indicators of PD of chewing muscles in a state of physiological rest are almost 2 times higher (p˂0,05) in comparison with those of patients with normal hearing and physiological bite. The work of the temporal muscles in schoolchildren with hearing loss is characterized by symmetry. There is also greater electrical activity of the temporal muscle than the masticatory muscles at rest, unlike normal hearing patients. All patients with hearing impairment had 100% prevalence of dental anomalies. Biopotential of chewing muscle of I class. for angle was 2.7 times higher than in patients with the control group. The biopotential of the temporalis muscle in the ICE was 1.8 times higher (p˂0.05), which indicates a constant tension or insufficient muscle relaxation in patients with ICE. In patients with hearing loss of II class. for angle, the average value of the biopotential of the chewing muscle was 2.3 times higher than in patients in 2 group, the temporal muscle was 1.5 times higher.

Beat-to-beat and spectral analyses of the noninvasive radial pulse and laser-Doppler signals in patients with hypertension

2021 ◽  
pp. 1-15
Author(s):  
Ju-Chi Liu ◽  
Yi-Ping Hsu ◽  
Jia-Cheng Zhu ◽  
Wen-Rui Hao ◽  
Tsung-Yeh Yang ◽  
...  
Keyword(s):  
Blood Flow ◽  
Harmonic Component ◽  
Skin Surface ◽  
Relative Energy ◽  
Laser Doppler ◽  
Control Group ◽  
Noninvasive Methods ◽  
Spectral Analyses ◽  
Doppler Flowmetry ◽  
Flow Perfusion

This study performed beat-to-beat and spectral analyses of 20-minute skin-surface laser-Doppler-flowmetry (LDF) and radial blood-pressure-waveform (BPW) signals in order to compare the blood-flow perfusion condition and regulatory mechanisms between essential-hypertension (EHT) patients and aged-matched control subjects. Beat-to-beat LDF analyses yielded the pulse width (PW), AC-to-DC ratio (AD), and their corresponding variability indices (coefficients of variation [CVs]). The relative energy contributions (RECs) of five characteristic frequency peaks (defined as FR1–FR5) were also calculated. Spectral BPW analysis obtained the amplitude proportion (C n ) and phase angle (P n ) of each harmonic component n. PW, AD, AD_CV, and REC of FR2 were significantly smaller in the EHT group than in the control group. Regarding BPW indices, C 1, C 2, C 4, and C 5 were significantly larger and P 2–P 8 were significantly smaller in EHT patients than in controls. The present results indicate that BPW and LDF indices can be used to evaluate the blood-flow perfusion efficiency and microcirculatory regulatory activities in EHT. Sex differences were found, with the effects being more prominent in female patients. These findings may be partly attributable to impairment of endothelial and neural regulatory functions. The present findings might aid the development of new noninvasive methods for reducing the risk of EHT-induced damage.

The response of skin perfusion and of rheological and immunological variables to intravenous prostanoid administration in Raynaud’s phenomenon secondary to collagenosis

VASA ◽  
2005 ◽  
Vol 34 (4) ◽  
pp. 243-249 ◽  
Author(s):  
Drinda ◽  
Neumann ◽  
Pöhlmann ◽  
Vogelsang ◽  
Stein ◽  
...  
Keyword(s):  
Laser Doppler Flowmetry ◽  
Raynaud’S Phenomenon ◽  
Raynaud's Phenomenon ◽  
Plasma Viscosity ◽  
Laser Doppler ◽  
Erythrocyte Aggregation ◽  
Control Group ◽  
Long Term Effects ◽  
Doppler Flowmetry

Background: Prostanoids are used in the treatment of Raynaud’s phenomenon and acral perfusion disorders secondary to collagenosis. In subjective terms, intravenous administration of these agents produces success in more than 50% of patients. The therapeutic outcome of clinical administration of alprostadil or iloprost may vary from individual to individual. Patients and methods: The following variables were analysed in a cross-over study in 27 patients with collagenosis and Raynaud’s phenomenon: plasma viscosity and erythrocyte aggregation (rheological variables), partial pressure of oxygen and laser Doppler flowmetry in the finger region, and lymphocyte phenotyping and interleukin (IL) determinations (immunological variables). Results: Laser Doppler flowmetry revealed significant differences between patients with secondary Raynaud’s phenomenon and a control group of 25 healthy subjects. Laser Doppler readings did not change significantly as a result of the treatments. Therapy with iloprost produced a reduction in IL-1beta, L-selectin (CD 62 L) and IL-6. Conclusion: The change in immunological variables due to iloprost may explain the long-term effects of prostaglandins in the treatment of Raynaud’s phenomenon. From our results it is not possible to infer any preference for iloprost or alprostadil.

Sign in / Sign up

Export Citation Format

Share Document